Medicaid-Approved Preferred Drug List · Georgia Medicaid-Approved Preferred Drug List Effective...
Transcript of Medicaid-Approved Preferred Drug List · Georgia Medicaid-Approved Preferred Drug List Effective...
Georgia
Medicaid-Approved
Preferred Drug List
Effective May 1, 2018
Legend
In each class, drugs are listed alphabetically by either brand name or generic name.
Brand name drug: Uppercase in bold type
Generic drug: Lowercase in plain type
AL: Age Limit Restrictions
DO: Dose Optimization Program
GR: Gender Restriction
OTC: Over the counter medication available with a prescription. (Prescribers please indicate OTC on the prescription)
PA: Prior authorization is required. Prior authorization is the process of obtaining approval of benefits before certain prescriptions are filled.
QL: Quantity limits; certain prescription medications have specific quantity limits per prescription or per month.
SP: Specialty Pharmacy
ST: Step therapy is required. You may need to use one medication before benefits for the use of another medication can be authorized.
Drug Name Reference Notes
ALTERNATIVE THERAPY
ALTERNATIVE THERAPY
antioxidant a/c/e/selenium oral capsule OTC
e-400 c-500 and beta carotene oral tablet OTC
eye health plus lutein oral tablet OTC; QL
glucosamine-chondroitin complx oral capsule
OTC
healthy eyes oral tablet OTC; QL
healthy eyes supervision oral capsule OTC
ICAPS AREDS ORAL CAPSULE OTC
i-vite oral tablet OTC; QL
i-vite protect oral tablet OTC; QL
kelp-lecithin-b6 oral tablet OTC
lecithin-kelp-b6 (100-8.3) oral tablet OTC
lecithin-kelp-b6 (400-20) oral tablet OTC
lecithin-kelp-b6 oral capsule OTC
opti-vitamins oral tablet OTC; QL
prosight oral tablet OTC; QL
super antioxidant oral capsule OTC
SYSTANE VITAMIN ORAL CAPSULE OTC
ultra antioxidant formula oral tablet OTC
ANALGESIC, ANTI-INFLAMMATORY OR ANTIPYRETIC
ANALGESIC/ANTIPYRETICS, SALICYLATES
added strength headache relief oral tablet OTC
adult low dose aspirin oral tablet,delayed release (dr/ec)
OTC; QL
antacid and pain relief oral tablet, effervescent
OTC
aspir-81 oral tablet,delayed release (dr/ec) OTC; QL
aspirin childrens oral tablet,chewable OTC; QL
aspirin low dose oral tablet,delayed release (dr/ec)
OTC; QL
aspirin oral tablet Bayer Aspirin OTC; QL
aspirin oral tablet,chewable Aspirin Childrens OTC; QL
aspirin oral tablet,delayed release (dr/ec) 325 mg
Aspir-Trin OTC; QL
2
Drug Name Reference Notes
aspirin oral tablet,delayed release (dr/ec) 500 mg, 650 mg
OTC
aspirin oral tablet,delayed release (dr/ec) 81 mg
Adult Aspirin Regimen OTC; QL
aspirin rectal suppository OTC
aspir-low oral tablet,delayed release (dr/ec)
OTC; QL
aspir-trin oral tablet,delayed release (dr/ec)
OTC; QL
back and body pain reliever oral tablet OTC
bayer advanced oral tablet OTC
bayer aspirin oral tablet OTC; QL
bufferin oral tablet OTC
butalbital-aspirin-caffeine oral capsule Fiorinal QL
butalbital-aspirin-caffeine oral tablet
children's aspirin oral tablet,chewable OTC; QL
choline,magnesium salicylate oral liquid
diflunisal oral tablet
e.c. prin oral tablet,delayed release (dr/ec) OTC; QL
efferves pain relief antacid oral tablet, effervescent
OTC
enteric coated aspirin oral tablet,delayed release (dr/ec)
OTC; QL
headache relief (asa-acet-caf) oral tablet OTC
lite coat aspirin oral tablet OTC; QL
lo-dose aspirin oral tablet,delayed release (dr/ec)
OTC; QL
migraine formula oral tablet OTC
migraine relief oral tablet OTC
pain relief (acetamin-asp-caf) oral tablet OTC
pain reliever (acetam-aspirin) oral tablet OTC
pain reliever plus oral tablet OTC
pain-off oral tablet OTC
salsalate oral tablet Disalcid
tri-buffered aspirin oral tablet OTC
ANALGESICS, NARCOTICS
acetaminophen-codeine oral solution 120 mg-12 mg /5 ml (5 ml), 120-12 mg/5 ml, 300 mg-30 mg /12.5 ml
AL; QL
3
Drug Name Reference Notes
acetaminophen-codeine oral solution 240 mg-24 mg /10 ml (10 ml)
AL
acetaminophen-codeine oral tablet AL; QL
ascomp with codeine oral capsule AL; QL
butalbital compound w/codeine oral capsule
AL; QL
butalbital compound-codeine oral capsule AL; QL
butalbital-acetaminop-caf-cod oral capsule AL; QL
butorphanol tartrate nasal spray,non-aerosol
PA; QL
codeine sulfate oral tablet AL; QL
codeine-butalbital-asa-caff oral capsule Ascomp with Codeine AL; QL
diskets oral tablet,soluble QL
endocet oral tablet QL
fentanyl citrate buccal lozenge on a handle
Actiq PA; QL
fentanyl transdermal patch 72 hour Duragesic PA; QL
hydrocodone-acetaminophen oral solution Hycet QL
hydrocodone-acetaminophen oral tablet Lorcet (hydrocodone) QL
hydrocodone-ibuprofen oral tablet QL
hydromorphone oral liquid Dilaudid QL
hydromorphone oral tablet Dilaudid QL
hydromorphone rectal suppository QL
meperidine oral solution QL
meperidine oral tablet QL
methadone intensol oral concentrate PA; QL
methadone oral concentrate Methadone Intensol PA; QL
methadone oral solution PA; QL
methadone oral tablet Dolophine PA; QL
methadone oral tablet,soluble Diskets PA; QL
methadose oral concentrate PA; QL
methadose oral tablet,soluble PA; QL
morphine concentrate oral solution QL
morphine oral solution QL
morphine oral tablet QL
morphine oral tablet extended release MS Contin PA; QL
morphine rectal suppository QL
oxycodone oral capsule QL
4
Drug Name Reference Notes
oxycodone oral concentrate QL
oxycodone oral solution QL
oxycodone oral tablet Roxicodone QL
oxycodone-acetaminophen oral tablet Endocet QL
oxycodone-aspirin oral tablet QL
pentazocine-naloxone oral tablet QL
tramadol oral tablet Ultram AL; QL
tramadol-acetaminophen oral tablet Ultracet AL; QL
vicodin es oral tablet QL
vicodin hp oral tablet QL
vicodin oral tablet QL
ANALGESICS, NON-NARCOTIC
8 hour pain reliever oral tablet extended release
OTC; QL
acephen rectal suppository OTC
acetaminophen extra strength oral tablet OTC; QL
acetaminophen oral drops,suspension Infant's Pain Relief OTC; QL
acetaminophen oral elixir Non-Aspirin OTC
acetaminophen oral liquid 160 mg/5 ml Children's Pain-Fever Relief OTC; QL
acetaminophen oral liquid 500 mg/5 ml OTC
acetaminophen oral solution Mapap (acetaminophen) OTC
acetaminophen oral suspension BetaTemp OTC; QL
acetaminophen oral tablet 325 mg Athenol OTC
acetaminophen oral tablet 500 mgAcetaminophen Extra Strength
OTC; QL
acetaminophen oral tablet extended release
8 Hour Pain Reliever OTC; QL
acetaminophen oral tablet,chewable Children's Acetaminophen OTC; QL
acetaminophen oral tablet,disintegrating Children's Acetaminophen OTC
acetaminophen pain relief oral tablet OTC; QL
acetaminophen rectal suppository Acephen OTC
arthritis pain relief (acetam) oral tablet extended release
OTC; QL
arthritis pain reliever oral tablet extended release
OTC; QL
athenol oral tablet OTC
betatemp oral suspension OTC; QL
butalbital-acetaminophen oral tablet Tencon QL
5
Drug Name Reference Notes
butalbital-acetaminophen-caff oral capsule Capacet QL
butalbital-acetaminophen-caff oral tablet Esgic QL
capacet oral capsule QL
child pain rel-fever reducer rectal suppository
OTC
children's acetaminophen oral suspension OTC; QL
children's acetaminophen oral tablet,chewable
OTC; QL
children's acetaminophen oral tablet,disintegrating
OTC
children's easy-melts oral tablet,disintegrating
OTC
children's fever reducing rectal suppository
OTC
children's mapap oral tablet,disintegrating OTC
children's non-aspirin oral suspension OTC; QL
children's non-aspirin oral tablet,chewable OTC; QL
children's non-aspirin pain oral tablet,chewable
OTC; QL
children's pain relief oral suspension OTC; QL
children's pain reliever oral suspension OTC; QL
children's pain reliever oral tablet,disintegrating
OTC
children's pain-fever relief oral liquid OTC; QL
children's pain-fever relief oral suspension OTC; QL
children's pain-fever relief oral tablet,chewable
OTC; QL
children's pain-fever relief oral tablet,disintegrating
OTC
children's silapap oral liquid OTC; QL
children's tactinal oral tablet,chewable OTC; QL
ed-apap oral liquid OTC; QL
fever reducer an pain reliever oral suspension
OTC; QL
fever reducer rectal suppository OTC
feverall rectal suppository OTC
infant fever reducer-pain relf oral suspension
OTC; QL
infant pain reliever oral suspension OTC; QL
infant's non-aspirin oral drops,suspension OTC; QL
6
Drug Name Reference Notes
infants' pain and fever oral suspension OTC; QL
infant's pain relief oral drops,suspension OTC; QL
infants' pain relief oral suspension OTC; QL
infant's pain relief oral suspension OTC; QL
infant's pain reliever oral drops,suspension
OTC; QL
jr. acetaminophen oral tablet,disintegrating
OTC
jr. str non-aspirin pain oral tablet,disintegrating
OTC
jr. strength pain reliever oral tablet,disintegrating
OTC
little remedies fever and pain oral liquid OTC; QL
mapap (acetaminophen) oral capsule OTC; QL
mapap (acetaminophen) oral drops,suspension
OTC; QL
mapap (acetaminophen) oral liquid 160 mg/5 ml
OTC; QL
mapap (acetaminophen) oral liquid 500 mg/15 ml
OTC
mapap (acetaminophen) oral suspension OTC; QL
mapap (acetaminophen) oral tablet OTC
mapap (acetaminophen) oral tablet,chewable
OTC; QL
mapap arthritis pain oral tablet extended release
OTC; QL
mapap extra strength oral tablet OTC; QL
masophen oral tablet 325 mg OTC
masophen oral tablet 500 mg OTC; QL
non-aspirin childrens oral drops OTC
non-aspirin extra strength oral liquid OTC
non-aspirin extra strength oral tablet OTC; QL
non-aspirin jr strength oral tablet,chewable
OTC; QL
non-aspirin oral elixir OTC
non-aspirin oral suspension OTC; QL
non-aspirin oral tablet OTC
non-aspirin oral tablet,chewable OTC; QL
non-aspirin pain relief oral tablet 325 mg OTC
7
Drug Name Reference Notes
non-aspirin pain relief oral tablet 500 mg OTC; QL
nortemp oral drops OTC
nortemp oral suspension OTC; QL
pain and fever oral tablet 325 mg OTC
pain and fever oral tablet 500 mg OTC; QL
pain relief 8hr oral tablet extended release OTC; QL
pain relief adult oral liquid OTC
pain relief extra strength oral tablet OTC; QL
pain relief oral liquid OTC; QL
pain relief oral tablet OTC; QL
pain relief oral tablet extended release OTC; QL
pain relief regular strength oral tablet OTC
pain reliever extra strength oral tablet OTC; QL
pain reliever jr strength oral tablet,chewable
OTC; QL
pain reliever oral tablet 325 mg OTC
pain reliever oral tablet 500 mg OTC; QL
pediacare fever reducer oral suspension OTC; QL
pharbetol oral tablet 325 mg OTC
pharbetol oral tablet 500 mg OTC; QL
pre-menstrual relief oral tablet OTC
premsyn pms oral tablet OTC
tactinal extra strength oral tablet OTC; QL
tactinal oral tablet OTC
tencon oral tablet QL
tylophen oral capsule OTC; QL
ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
ENBREL MINI SUBCUTANEOUS CARTRIDGE
PA; QL
ENBREL SUBCUTANEOUS RECON SOLN
PA; QL
ENBREL SUBCUTANEOUS SYRINGE PA; QL
ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR
PA; QL
HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT
PA; QL
HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
8
Drug Name Reference Notes
HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA SUBCUTANEOUS SYRINGE KIT
PA; QL
ANTI-INFLAMMATORY, PYRIMIDINE SYNTHESIS INHIBITOR
leflunomide oral tablet Arava
RIDAURA ORAL CAPSULE
DISEASE MODIFYING ANTI-RHEUMATOID DRUGS (DMARD)
DEPEN TITRATABS ORAL TABLET PA
minocycline oral capsule Minocin
minocycline oral tablet
sulfasalazine oral tablet Azulfidine QL
sulfasalazine oral tablet,delayed release (dr/ec)
Azulfidine EN-tabs QL
IMMUNOSUPRESSANTS
cyclosporine modified oral capsule Gengraf
cyclosporine modified oral solution Gengraf
cyclosporine oral capsule Sandimmune
gengraf oral capsule
gengraf oral solution
mycophenolate mofetil oral suspension for reconstitution
CellCept
SANDIMMUNE ORAL SOLUTION
NSAIDS
advil oral tablet OTC
advil oral tablet,chewable OTC; QL
all day pain relief oral tablet OTC; QL
all day relief oral tablet OTC; QL
child ibuprofen oral suspension OTC; QL
children's advil oral suspension OTC; QL
children's ibuprofen oral suspension OTC; QL
children's profen ib oral suspension OTC; QL
diclofenac potassium oral tablet
diclofenac sodium oral tablet,delayed release (dr/ec)
9
Drug Name Reference Notes
etodolac oral capsule
etodolac oral tablet Lodine
flanax (naproxen) oral tablet OTC; QL
flurbiprofen oral tablet
ibu oral tablet
ibu-drops oral drops,suspension OTC; QL
ibuprofen ib oral tablet OTC; QL
ibuprofen ib oral tablet,chewable OTC; QL
ibuprofen jr strength oral tablet,chewable OTC; QL
ibuprofen oral capsule Advil Liqui-Gel PA; OTC
ibuprofen oral drops,suspension Ibu-Drops OTC; QL
ibuprofen oral suspension Child Ibuprofen OTC; QL
ibuprofen oral tablet 100 mg Advil OTC
ibuprofen oral tablet 200 mg Advil OTC; QL
ibuprofen oral tablet 400 mg, 600 mg, 800 mg
IBU
INDOCIN RECTAL SUPPOSITORY PA
indomethacin oral capsule
infants ibu-drops oral drops,suspension OTC; QL
infant's ibuprofen oral drops,suspension OTC; QL
infants profenib oral drops,suspension OTC; QL
i-prin oral tablet OTC; QL
ketorolac injection cartridge QL
ketorolac injection solution QL
ketorolac intramuscular cartridge
ketorolac intramuscular solution
ketorolac oral tablet QL
mediproxen oral tablet OTC; QL
meloxicam oral suspension
meloxicam oral tablet 15 mg Mobic
meloxicam oral tablet 7.5 mg Mobic PA
nabumetone oral tablet
NALFON ORAL CAPSULE PA; QL
naproxen oral suspension Naprosyn PA
naproxen oral tablet
naproxen sodium oral capsule Aleve OTC
naproxen sodium oral tablet 220 mg Aleve OTC; QL
10
Drug Name Reference Notes
naproxen sodium oral tablet 275 mg
naproxen sodium oral tablet 550 mg Anaprox DS
piroxicam oral capsule Feldene PA
profeno oral tablet QL
provil oral tablet OTC; QL
sulindac oral tablet
wal-profen oral capsule PA; OTC
wal-profen oral tablet OTC; QL
wal-proxen oral tablet OTC; QL
ANESTHETICS
LOCAL ANESTHETICS
lidocaine hcl laryngotracheal solution LTA Pre-Attached QL
lidocaine topical ointment QL
ANORECTAL PREPARATIONS
ANORECTAL AGENTS
hydrocortisone topical cream with perineal applicator
Anusol-HC QL
proctosol hc topical cream with perineal applicator
QL
proctozone-hc topical cream with perineal applicator
QL
HEMORRHOIDAL PREPARATIONS
anu-med rectal suppository OTC
hemorrhoid rectal ointment OTC
hemorrhoidal (phenyleph-cocoa) rectal suppository
OTC
hemorrhoidal rectal ointment OTC
hemorrhoidal rectal suppository OTC
hemorrhoidal suppository rectal suppository
OTC
ANTIDOTES AND OTHER REVERSAL AGENTS
ANTIDOTES
acetylcysteine solution
CHELATING AGENTS
deferoxamine injection recon soln Desferal
DEPEN TITRATABS ORAL TABLET PA
trientine oral capsule Syprine PA; QL
11
Drug Name Reference Notes
NARCOTIC ANTAGONISTS
naloxone injection solution QL
naloxone injection syringe QL
naltrexone oral tablet
NARCAN NASAL SPRAY,NON-AEROSOL
QL
ANTI-INFECTIVE AGENTS
ABSORBABLE SULFONAMIDES
sulfamethoxazole-trimethoprim oral suspension
Sulfatrim
sulfamethoxazole-trimethoprim oral tablet Bactrim
sulfatrim oral suspension
trimethoprim oral tablet
AMEBICIDES
paromomycin oral capsule
AMINOGLYCOSIDES
neomycin oral tablet
AMINOPENICILLINS
amoxicillin oral capsule
amoxicillin oral suspension for reconstitution
QL
amoxicillin oral tablet
amoxicillin oral tablet,chewable
amoxicillin-pot clavulanate oral suspension for reconstitution
Augmentin ES-600
amoxicillin-pot clavulanate oral tablet
amoxicillin-pot clavulanate oral tablet extended release 12 hr
Augmentin XR QL
amoxicillin-pot clavulanate oral tablet,chewable
ampicillin oral capsule
ANTHELMINTICS
ALBENZA ORAL TABLET
ivermectin oral tablet Stromectol
praziquantel oral tablet Biltricide
reese's pinworm medicine oral suspension OTC
12
Drug Name Reference Notes
ANTIFUNGAL ANTIBIOTICS
fluconazole oral suspension for reconstitution
Diflucan QL
fluconazole oral tablet Diflucan QL
flucytosine oral capsule Ancobon
griseofulvin microsize oral suspension
griseofulvin ultramicrosize oral tablet
itraconazole oral capsule Sporanox PA
ketoconazole oral tablet QL
nystatin oral powder
nystatin oral tablet
terbinafine hcl oral tablet QL
voriconazole intravenous solution Vfend IV PA
voriconazole oral suspension for reconstitution
Vfend PA
voriconazole oral tablet 200 mg Vfend PA; QL
voriconazole oral tablet 50 mg Vfend PA
ANTILEPROTIC - SULFONE AGENTS
dapsone oral tablet
ANTIMYCOBACTERIUM AGENTS
ethambutol oral tablet Myambutol
isoniazid oral solution
isoniazid oral tablet
PRIFTIN ORAL TABLET
pyrazinamide oral tablet
rifabutin oral capsule Mycobutin
rifampin oral capsule Rifadin
RIFATER ORAL TABLET
ANTIPROTOZOAL ANTIBACTERIAL AGENTS
metronidazole oral capsule Flagyl
metronidazole oral tablet Flagyl
tinidazole oral tablet QL
ANTIVIRALS, GENERAL
acyclovir oral capsule Zovirax
acyclovir oral suspension Zovirax
13
Drug Name Reference Notes
acyclovir oral tablet Zovirax
famciclovir oral tablet QL
oseltamivir oral capsule Tamiflu QL
oseltamivir oral suspension for reconstitution
Tamiflu QL
RELENZA DISKHALER INHALATION BLISTER WITH DEVICE
QL
rimantadine oral tablet Flumadine
TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION
QL
valacyclovir oral tablet Valtrex QL
valganciclovir oral recon soln Valcyte
valganciclovir oral tablet Valcyte
ANTIVIRALS, HIV SPECIFIC
abacavir oral solution Ziagen
abacavir oral tablet Ziagen
abacavir-lamivudine oral tablet Epzicom
abacavir-lamivudine-zidovudine oral tablet Trizivir
APTIVUS ORAL CAPSULE
APTIVUS ORAL SOLUTION
atazanavir oral capsule Reyataz
BIKTARVY ORAL TABLET
CRIXIVAN ORAL CAPSULE
DESCOVY ORAL TABLET
didanosine oral capsule,delayed release(dr/ec)
Videx EC
EDURANT ORAL TABLET
EMTRIVA ORAL CAPSULE
EMTRIVA ORAL SOLUTION
EVOTAZ ORAL TABLET
FUZEON SUBCUTANEOUS RECON SOLN
PA
GENVOYA ORAL TABLET
INTELENCE ORAL TABLET AL
ISENTRESS HD ORAL TABLET
ISENTRESS ORAL POWDER IN PACKET
ISENTRESS ORAL TABLET
14
Drug Name Reference Notes
ISENTRESS ORAL TABLET,CHEWABLE
JULUCA ORAL TABLET
KALETRA ORAL TABLET
lamivudine oral solution Epivir AL
lamivudine oral tablet Epivir
lamivudine-zidovudine oral tablet Combivir
lopinavir-ritonavir oral solution Kaletra
nevirapine oral suspension Viramune
nevirapine oral tablet Viramune
nevirapine oral tablet extended release 24 hr
Viramune XR
NORVIR ORAL CAPSULE
NORVIR ORAL SOLUTION
PREZCOBIX ORAL TABLET
PREZISTA ORAL SUSPENSION
PREZISTA ORAL TABLET
RESCRIPTOR ORAL TABLET
RESCRIPTOR ORAL TABLET, DISPERSIBLE
RETROVIR INTRAVENOUS SOLUTION
REYATAZ ORAL POWDER IN PACKET
ritonavir oral tablet Norvir
SELZENTRY ORAL SOLUTION
SELZENTRY ORAL TABLET
stavudine oral capsule Zerit
STRIBILD ORAL TABLET
tenofovir disoproxil fumarate oral tablet Viread PA; QL
TIVICAY ORAL TABLET
TRIUMEQ ORAL TABLET
TRUVADA ORAL TABLET
VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN
VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN
VIRACEPT ORAL TABLET
VIREAD ORAL POWDER PA; QL
VIREAD ORAL TABLET PA; QL
15
Drug Name Reference Notes
zidovudine oral capsule Retrovir
zidovudine oral syrup Retrovir
zidovudine oral tablet
CEPHALOSPORIN ANTIBIOTICS
cefaclor oral capsule
cefaclor oral suspension for reconstitution
cefaclor oral tablet extended release 12 hr
cefadroxil oral capsule
cefadroxil oral suspension for reconstitution
cefadroxil oral tablet
cefdinir oral capsule QL
cefdinir oral suspension for reconstitution QL
cefpodoxime oral suspension for reconstitution
cefpodoxime oral tablet
cefprozil oral suspension for reconstitution
cefprozil oral tablet
ceftriaxone injection recon soln 1 gram, 2 gram, 250 mg, 500 mg
QL
ceftriaxone injection recon soln 10 gram
cefuroxime axetil oral suspension for reconstitution
cefuroxime axetil oral tablet
cephalexin oral capsule Keflex
cephalexin oral suspension for reconstitution
cephalexin oral tablet
HEPATITIS B TREATMENT AGENTS
adefovir oral tablet Hepsera PA; QL
BARACLUDE ORAL SOLUTION PA; QL
entecavir oral tablet Baraclude PA; QL
EPIVIR HBV ORAL SOLUTION PA; QL
lamivudine oral tablet Epivir HBV PA; QL
HEPATITIS C TREATMENT AGENTS
MAVYRET ORAL TABLET PA; QL
PEGASYS PROCLICK SUBCUTANEOUS PEN INJECTOR
PA
16
Drug Name Reference Notes
PEGASYS SUBCUTANEOUS SOLUTION
PA; QL
PEGASYS SUBCUTANEOUS SYRINGE PA
PEGINTRON SUBCUTANEOUS KIT PA
ribavirin oral capsule Ribasphere QL
ribavirin oral tablet Moderiba QL
LINCOSAMIDES
clindamycin hcl oral capsule Cleocin HCl
clindamycin palmitate hcl oral recon soln Cleocin Pediatric
clindamycin pediatric oral recon soln
MACROLIDES
azithromycin oral packet Zithromax QL
azithromycin oral suspension for reconstitution
Zithromax QL
azithromycin oral tablet Zithromax QL
clarithromycin oral suspension for reconstitution
clarithromycin oral tablet
clarithromycin oral tablet extended release 24 hr
e.e.s. 400 oral tablet
ery-tab oral tablet,delayed release (dr/ec)
erythrocin (as stearate) oral tablet
erythromycin ethylsuccinate oral tablet E.E.S. 400
erythromycin oral capsule,delayed release(dr/ec)
erythromycin oral tablet
erythromycin stearate oral tablet Erythrocin (as stearate)
PENICILLINS
dicloxacillin oral capsule
penicillin v potassium oral recon soln
penicillin v potassium oral tablet
PLASMOCIDES COMBINATION
atovaquone-proguanil oral tablet Malarone Pediatric
PLASMOCIDES
chloroquine phosphate oral tablet
hydroxychloroquine oral tablet Plaquenil
mefloquine oral tablet QL
17
Drug Name Reference Notes
PRIMAQUINE ORAL TABLET
QUINOLONES
ciprofloxacin hcl oral tablet QL
levofloxacin oral solution QL
levofloxacin oral tablet Levaquin QL
ofloxacin oral tablet QL
SULFONAMIDE ANTIBIOTIC
sulfadiazine oral tablet
TETRACYCLINES
demeclocycline oral tablet
doxycycline monohydrate oral capsule 100 mg, 50 mg
Mondoxyne NL QL
doxycycline monohydrate oral capsule 150 mg
doxycycline monohydrate oral capsule 75 mg
Mondoxyne NL
doxycycline monohydrate oral suspension for reconstitution
Vibramycin
minocycline oral capsule Minocin
minocycline oral tablet
tetracycline oral capsule
VANCOMYCIN AND DERIVATIVES
linezolid oral suspension for reconstitution Zyvox PA; QL
linezolid oral tablet Zyvox PA; QL
vancomycin oral capsule Vancocin PA
ANTINEOPLASTICS
ANTINEOPLASTIC/IMMUNOSUPPRESSANT DRUGS
anastrozole oral tablet Arimidex QL
bicalutamide oral tablet Casodex
EMCYT ORAL CAPSULE PA
exemestane oral tablet Aromasin QL
flutamide oral capsule
HEXALEN ORAL CAPSULE PA
hydroxyurea oral capsule Hydrea
imatinib oral tablet Gleevec PA; QL
IRESSA ORAL TABLET PA; QL
letrozole oral tablet Femara QL
18
Drug Name Reference Notes
leucovorin calcium injection recon soln
leucovorin calcium oral tablet
megestrol oral tablet
melphalan oral tablet Alkeran
MESNEX ORAL TABLET PA
MYLERAN ORAL TABLET
PROLEUKIN INTRAVENOUS RECON SOLN
tamoxifen oral tablet
tretinoin (chemotherapy) oral capsule
VANTAS IMPLANT KIT PA
VELCADE INJECTION RECON SOLN PA
ANTISEPTICS AND DISINFECTANTS
ANTISEPTICS, GENERAL
alcohol pads topical pads, medicated OTC
alcohol prep pads topical pads, medicated OTC
alcohol swabs topical pads, medicated Alcohol Pads OTC
alcohol wipes topical pads, medicated OTC
antiseptic skin clnsr(chlorhe) topical liquid OTC; QL
betasept surgical scrub topical liquid OTC; QL
chlorhexidine gluconate topical liquid Dyna-Hex OTC
curity alcohol swabs topical pads, medicated
OTC
easy touch alcohol prep pads topical pads, medicated
OTC
hibiclens topical liquid OTC; QL
hydrogen peroxide solution OTC
sure comfort alcohol prep pads topical pads, medicated
OTC
webcol topical pads, medicated OTC
DISINFECTANTS - OTHER
alcoh-wipe towelette OTC
BIOLOGICALS
IMMUNE GLOBULINS
GAMUNEX-C INJECTION SOLUTION PA
OCTAGAM INTRAVENOUS SOLUTION PA
19
Drug Name Reference Notes
IMMUNOLOGICALS VACCINES
AFLURIA 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
AFLURIA 2017-2018 INTRAMUSCULAR SUSPENSION
QL
AFLURIA QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
AFLURIA QUAD 2017-2018 INTRAMUSCULAR SUSPENSION
QL
FLUAD 2017-2018 (65 YR UP)(PF) INTRAMUSCULAR SYRINGE
QL
FLUARIX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLUBLOK 2017-2018 (PF) INTRAMUSCULAR SOLUTION
QL
FLUBLOK QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLUCELVAX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLUCELVAX QUAD 2017-2018 INTRAMUSCULAR SUSPENSION
QL
FLULAVAL QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLULAVAL QUAD 2017-2018 INTRAMUSCULAR SUSPENSION
QL
FLUVIRIN 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLUVIRIN 2017-2018 INTRAMUSCULAR SUSPENSION
QL
FLUZONE HIGH-DOSE 2017-18 (PF) INTRAMUSCULAR SYRINGE
QL
FLUZONE INTRADERM QUAD 2017-18 INTRADERMAL SYRINGE
QL
FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SUSPENSION
QL
FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE
QL
FLUZONE QUAD 2017-2018 INTRAMUSCULAR SUSPENSION
QL
FLUZONE QUAD PEDI 2017-18 (PF) INTRAMUSCULAR SYRINGE
QL
20
Drug Name Reference Notes
PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE
SYNAGIS INTRAMUSCULAR SOLUTION
PA
CARDIOVASCULAR THERAPY AGENTS
ACE INHIBITOR/CALCIUM CHANNEL BLOCK COMBINATION
amlodipine-benazepril oral capsule QL
ADRENERGIC VASOPRESSOR
midodrine oral tablet
ALDOSTERONE RECEPTOR ANTAGONISTS
spironolactone oral tablet Aldactone
ALPHA/BETA-ADRENERGIC BLOCKING AGENTS
carvedilol oral tablet Coreg QL
labetalol oral tablet
ALPHA-ADRENERGIC BLOCKING AGENTS
doxazosin oral tablet Cardura QL
prazosin oral capsule Minipress
terazosin oral capsule QL
ANAPHYLAXIS THERAPY AGENTS
epinephrine injection auto-injector EpiPen Jr QL
epinephrine injection solution Adrenalin
ANTIARRHYTHMICS
amiodarone oral tablet 200 mg Pacerone QL
amiodarone oral tablet 400 mg Pacerone
disopyramide phosphate oral capsule Norpace
flecainide oral tablet QL
mexiletine oral capsule
pacerone oral tablet 200 mg QL
pacerone oral tablet 400 mg
propafenone oral capsule,extended release 12 hr
Rythmol SR
propafenone oral tablet
21
Drug Name Reference Notes
quinidine gluconate oral tablet extended release
quinidine sulfate oral tablet
sorine oral tablet QL
sotalol af oral tablet QL
sotalol oral tablet Betapace QL
verapamil oral tablet QL
BETA-ADRENERGIC BLOCKING AGENTS
acebutolol oral capsule
atenolol oral tablet Tenormin
betaxolol oral tablet
bisoprolol fumarate oral tablet
metoprolol succinate oral tablet extended release 24 hr
Toprol XL
metoprolol tartrate oral tablet 100 mg, 50 mg
Lopressor QL
metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg
nadolol oral tablet 20 mg, 40 mg Corgard
nadolol oral tablet 80 mg Corgard PA
pindolol oral tablet
propranolol oral capsule,extended release 24 hr
Inderal LA
propranolol oral solution
propranolol oral tablet
sorine oral tablet QL
sotalol af oral tablet QL
sotalol oral tablet Betapace QL
timolol maleate oral tablet
CALCIUM CHANNEL BLOCKING AGENTS
afeditab cr oral tablet extended release 30 mg
DO; QL
afeditab cr oral tablet extended release 60 mg
QL
amlodipine oral tablet 10 mg Norvasc QL
amlodipine oral tablet 2.5 mg, 5 mg Norvasc DO; QL
22
Drug Name Reference Notes
cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg
DO; QL
cartia xt oral capsule,extended release 24hr 300 mg
QL
diltiazem hcl oral capsule,ext.rel 24h degradable 120 mg, 180 mg
DILT-XR DO; QL
diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg
DILT-XR QL
diltiazem hcl oral capsule,extended release 12 hr
QL
diltiazem hcl oral capsule,extended release 24 hr 120 mg, 180 mg
Taztia XT DO; QL
diltiazem hcl oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg
Taztia XT QL
diltiazem hcl oral capsule,extended release 24 hr 420 mg
Tiazac QL
diltiazem hcl oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg
Cardizem CD DO; QL
diltiazem hcl oral capsule,extended release 24hr 300 mg, 360 mg
Cardizem CD QL
diltiazem hcl oral tablet Cardizem QL
diltiazem hcl oral tablet extended release 24 hr 180 mg, 240 mg
Cardizem LA DO; QL
diltiazem hcl oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg
Cardizem LA QL
dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg
DO; QL
dilt-xr oral capsule,ext.rel 24h degradable 240 mg
QL
felodipine oral tablet extended release 24 hr 10 mg
QL
felodipine oral tablet extended release 24 hr 2.5 mg, 5 mg
DO; QL
isradipine oral capsule QL
matzim la oral tablet extended release 24 hr 180 mg, 240 mg
DO; QL
matzim la oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg
QL
nicardipine oral capsule QL
nifedipine oral capsule QL
nifedipine oral tablet extended release 24hr 30 mg
Procardia XL DO; QL
23
Drug Name Reference Notes
nifedipine oral tablet extended release 24hr 60 mg, 90 mg
Procardia XL QL
nifedipine oral tablet extended release 30 mg
Adalat CC DO; QL
nifedipine oral tablet extended release 60 mg, 90 mg
Adalat CC QL
taztia xt oral capsule,extended release 24 hr 120 mg, 180 mg
DO; QL
taztia xt oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg
QL
verapamil oral capsule, 24 hr er pellet ct Verelan PM DO; QL
verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg
Verelan DO; QL
verapamil oral capsule,ext rel. pellets 24 hr 240 mg, 360 mg
Verelan QL
verapamil oral tablet QL
verapamil oral tablet extended release Calan SR QL
DIGITALIS GLYCOSIDES
digitek oral tablet
digox oral tablet
digoxin oral solution
digoxin oral tablet Digitek
DIURETIC AGENTS, OTHER
acetazolamide oral capsule, extended release
acetazolamide oral tablet
methazolamide oral tablet
spironolactone oral tablet Aldactone
HYPOTENSIVES, ACE INHIBITORS, COMBINATIONS
benazepril oral tablet QL
benazepril-hydrochlorothiazide oral tablet QL
captopril oral tablet QL
captopril-hydrochlorothiazide oral tablet QL
enalapril maleate oral tablet Vasotec QL
enalapril-hydrochlorothiazide oral tablet QL
fosinopril oral tablet QL
fosinopril-hydrochlorothiazide oral tablet QL
lisinopril oral tablet 10 mg, 20 mg, 5 mg Prinivil DO; QL
24
Drug Name Reference Notes
lisinopril oral tablet 2.5 mg Zestril DO; QL
lisinopril oral tablet 30 mg, 40 mg Zestril QL
lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg
Zestoretic DO; QL
lisinopril-hydrochlorothiazide oral tablet 20-12.5 mg, 20-25 mg
Zestoretic QL
moexipril oral tablet
moexipril-hydrochlorothiazide oral tablet
perindopril erbumine oral tablet QL
quinapril oral tablet Accupril QL
quinapril-hydrochlorothiazide oral tablet Accuretic QL
ramipril oral capsule Altace QL
trandolapril oral tablet
HYPOTENSIVES, ANGIOTENSIN RECEPTOR ANTAGONIST
candesartan oral tablet Atacand
candesartan-hydrochlorothiazid oral tablet Atacand HCT
irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL
irbesartan oral tablet 300 mg Avapro QL
irbesartan-hydrochlorothiazide oral tablet Avalide QL
losartan oral tablet Cozaar QL
losartan-hydrochlorothiazide oral tablet 100-12.5 mg, 100-25 mg
Hyzaar QL
losartan-hydrochlorothiazide oral tablet 50-12.5 mg
Hyzaar DO; QL
valsartan oral tablet Diovan QL
valsartan-hydrochlorothiazide oral tablet Diovan HCT QL
HYPOTENSIVES, MISCELLANEOUS
atenolol-chlorthalidone oral tablet Tenoretic 100
bisoprolol-hydrochlorothiazide oral tablet Ziac
clonidine hcl oral tablet Catapres
guanfacine oral tablet
methyldopa oral tablet
methyldopa-hydrochlorothiazide oral tablet
metoprolol ta-hydrochlorothiaz oral tablet Lopressor HCT QL
nadolol-bendroflumethiazide oral tablet Corzide QL
propranolol-hydrochlorothiazid oral tablet
25
Drug Name Reference Notes
HYPOTENSIVES, VASODILATORS
hydralazine oral tablet
minoxidil oral tablet
LIPOTROPICS
atorvastatin oral tablet 10 mg, 20 mg, 40 mg
Lipitor DO; QL
atorvastatin oral tablet 80 mg Lipitor QL
cholestyramine (with sugar) oral powder Questran
cholestyramine (with sugar) oral powder in packet
Questran
cholestyramine light oral powder
cholestyramine light oral powder in packet
colestipol oral granules Colestid
colestipol oral packet Colestid
colestipol oral tablet Colestid
fenofibrate micronized oral capsule 130 mg, 200 mg, 43 mg
QL
fenofibrate micronized oral capsule 134 mg
fenofibrate micronized oral capsule 67 mg PA; QL
fenofibrate nanocrystallized oral tablet Tricor QL
fenofibrate oral tablet QL
fenofibric acid (choline) oral capsule,delayed release(dr/ec) 135 mg
Trilipix QL
fenofibric acid (choline) oral capsule,delayed release(dr/ec) 45 mg
Trilipix PA; QL
fenofibric acid oral tablet Fibricor PA; QL
fish oil concentrate oral capsule OTC
fish oil oral capsule OTC
fish oil oral capsule,delayed release(dr/ec) OTC
gemfibrozil oral tablet Lopid
GRAM-O-LECI ORAL TABLET,CHEWABLE
OTC
inositol oral tablet OTC
lecithin oral capsule OTC
lecithin, soy oral capsule OTC
lovastatin oral tablet QL
maxepa oral capsule OTC
niacin oral tablet Niacor OTC
26
Drug Name Reference Notes
omega-3 fatty acids oral capsule Fish Oil Concentrate OTC
pravastatin oral tablet Pravachol QL
prevalite oral powder
prevalite oral powder in packet
simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg
Zocor DO; QL
simvastatin oral tablet 80 mg Zocor PA; QL
super omega-3 oral capsule OTC
super twin epa-dha oral capsule OTC
vitamin e oral capsule OTC
LOOP DIURETICS
bumetanide oral tablet
furosemide oral solution
furosemide oral tablet Lasix
torsemide oral tablet Demadex
PCSK-9 INHIBITORS
REPATHA PUSHTRONEX SUBCUTANEOUS WEARABLE INJECTOR
PA; QL
REPATHA SURECLICK SUBCUTANEOUS PEN INJECTOR
PA; QL
REPATHA SYRINGE SUBCUTANEOUS SYRINGE
PA; QL
POTASSIUM SPARING DIURETICS
amiloride oral tablet
amiloride-hydrochlorothiazide oral tablet
spironolacton-hydrochlorothiaz oral tablet Aldactazide
triamterene-hydrochlorothiazid oral capsule
triamterene-hydrochlorothiazid oral tablet Maxzide-25mg
PULMONARY ARTERIAL HYPERTENSION
ADCIRCA ORAL TABLET PA; QL
LETAIRIS ORAL TABLET PA; QL
sildenafil (antihypertensive) oral tablet Revatio PA; QL
THIAZIDE AND RELATED DIURETICS
chlorothiazide oral tablet
27
Drug Name Reference Notes
chlorthalidone oral tablet
hydrochlorothiazide oral capsule Microzide QL
hydrochlorothiazide oral tablet 12.5 mg QL
hydrochlorothiazide oral tablet 25 mg, 50 mg
indapamide oral tablet
metolazone oral tablet
VASODILATORS, CORONARY
isosorbide dinitrate oral tablet
isosorbide dinitrate oral tablet extended release
ISOCHRON
isosorbide mononitrate oral tablet
isosorbide mononitrate oral tablet extended release 24 hr
nitro-bid transdermal ointment
NITRO-DUR TRANSDERMAL PATCH 24 HOUR
nitroglycerin oral capsule, extended release
Nitro-Time
nitroglycerin sublingual tablet Nitrostat
nitroglycerin transdermal patch 24 hour Minitran
nitro-time oral capsule, extended release
CENTRAL NERVOUS SYSTEM AGENTS
ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS
mirtazapine oral tablet Remeron
mirtazapine oral tablet,disintegrating Remeron SolTab
ANTI-ANXIETY DRUGS
alprazolam intensol oral concentrate
alprazolam oral tablet Xanax
alprazolam oral tablet,disintegrating
buspirone oral tablet
chlordiazepoxide hcl oral capsule
clonazepam oral tablet Klonopin
clonazepam oral tablet,disintegrating
clorazepate dipotassium oral tablet
diazepam intensol oral concentrate
28
Drug Name Reference Notes
diazepam oral concentrate Diazepam Intensol
diazepam oral solution
diazepam oral tablet Valium
hydroxyzine hcl oral solution
hydroxyzine hcl oral tablet
hydroxyzine pamoate oral capsule
lorazepam oral tablet Ativan
oxazepam oral capsule
ANTICONVULSANTS
carbamazepine oral capsule, er multiphase 12 hr
Carbatrol QL
carbamazepine oral suspension Tegretol
carbamazepine oral tablet Epitol
carbamazepine oral tablet extended release 12 hr
Tegretol XR
carbamazepine oral tablet,chewable
clonazepam oral tablet Klonopin
clonazepam oral tablet,disintegrating
diazepam rectal kit Diastat QL
divalproex oral capsule, delayed rel sprinkle
Depakote Sprinkles QL
divalproex oral tablet extended release 24 hr
Depakote ER QL
divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg
Depakote QL
divalproex oral tablet,delayed release (dr/ec) 500 mg
Depakote
epitol oral tablet
ethosuximide oral capsule Zarontin
ethosuximide oral solution Zarontin
felbamate oral suspension Felbatol
felbamate oral tablet Felbatol
gabapentin oral capsule Neurontin QL
gabapentin oral solution Neurontin QL
gabapentin oral tablet Neurontin QL
lamotrigine oral tablet Lamictal
lamotrigine oral tablet disintegrating, dose pk
Lamictal ODT Starter (Orange)
29
Drug Name Reference Notes
lamotrigine oral tablet extended release 24hr
Lamictal XR
lamotrigine oral tablet, chewable dispersible
Lamictal
lamotrigine oral tablet,disintegrating 100 mg, 50 mg
Lamictal ODT QL
lamotrigine oral tablet,disintegrating 200 mg, 25 mg
Lamictal ODT
lamotrigine oral tablets,dose pack Lamictal Starter (Blue) Kit
levetiracetam oral solution Keppra
levetiracetam oral tablet Keppra QL
levetiracetam oral tablet extended release 24 hr
Keppra XR QL
oxcarbazepine oral suspension Trileptal
oxcarbazepine oral tablet Trileptal
phenobarbital oral elixir
phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg
phenobarbital oral tablet 32.4 mg QL
phenytoin oral suspension Dilantin-125
phenytoin oral tablet,chewable Dilantin Infatabs
phenytoin sodium extended oral capsule Phenytek
primidone oral tablet Mysoline
ROWEEPRA ORAL TABLET QL
roweepra xr oral tablet extended release 24 hr
QL
tiagabine oral tablet Gabitril
topiramate oral capsule, sprinkle Topamax
topiramate oral tablet Topamax
valproic acid (as sodium salt) oral solution Depakene
valproic acid oral capsule Depakene QL
zonisamide oral capsule 100 mg Zonegran
zonisamide oral capsule 25 mg Zonegran QL
zonisamide oral capsule 50 mg QL
ANTIDEPRESSANTS, OTHER
perphenazine-amitriptyline oral tablet
ANTIMANIA DRUGS
lithium carbonate oral capsule
lithium carbonate oral tablet
30
Drug Name Reference Notes
lithium carbonate oral tablet extended release
Lithobid
lithium citrate oral solution 8 meq/5 ml AL
lithium citrate oral solution 8 meq/5 ml (5 ml)
ANTIMIGRAINE PREPARATIONS
divalproex oral tablet extended release 24 hr
Depakote ER QL
ergotamine-caffeine oral tablet Cafergot
isometh-dichloral-acetaminophn oral capsule
migergot rectal suppository
naratriptan oral tablet Amerge QL
sumatriptan nasal spray,non-aerosol Imitrex PA; QL
sumatriptan succinate oral tablet Imitrex QL
sumatriptan succinate subcutaneous cartridge
Imitrex STATdose Kit Refill PA; QL
sumatriptan succinate subcutaneous pen injector
Imitrex STATdose Pen PA; QL
sumatriptan succinate subcutaneous solution
Imitrex PA; QL
ANTIPARKINSONISM DRUGS, ANTICHOLINERGIC
benztropine oral tablet
trihexyphenidyl oral elixir
trihexyphenidyl oral tablet
ANTIPARKINSONISM DRUGS, OTHER
amantadine hcl oral capsule QL
amantadine hcl oral solution
amantadine hcl oral tablet
bromocriptine oral capsule Parlodel
bromocriptine oral tablet Parlodel
carbidopa-levodopa oral tablet Sinemet
carbidopa-levodopa oral tablet extended release
Sinemet CR
carbidopa-levodopa oral tablet,disintegrating
carbidopa-levodopa-entacapone oral tablet
Stalevo 50 QL
31
Drug Name Reference Notes
entacapone oral tablet Comtan
pramipexole oral tablet Mirapex QL
ropinirole oral tablet Requip
selegiline hcl oral capsule
selegiline hcl oral tablet
ANTIPSYCHOTICS, ATYPICAL DOPAMINE AND SEROTONIN ANTAGONISTS
ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON
PA; AL; QL
ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING
PA; AL
aripiprazole oral tablet Abilify AL; QL
ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING
PA; AL
clozapine oral tablet Clozaril AL; QL
INVEGA SUSTENNA INTRAMUSCULAR SYRINGE
PA; AL; QL
INVEGA TRINZA INTRAMUSCULAR SYRINGE
PA; AL; QL
olanzapine intramuscular recon soln Zyprexa AL
olanzapine oral tablet Zyprexa AL; QL
paliperidone oral tablet extended release 24hr
Invega AL
quetiapine oral tablet Seroquel AL; QL
RISPERDAL CONSTA INTRAMUSCULAR SYRINGE
PA; AL; QL
risperidone oral solution Risperdal AL; QL
risperidone oral tablet Risperdal AL; QL
ziprasidone hcl oral capsule Geodon AL; QL
ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION
PA; AL
ANTIPSYCHOTICS, TYPICAL
chlorpromazine oral tablet AL
fluphenazine decanoate injection solution AL
fluphenazine hcl injection solution AL
fluphenazine hcl oral concentrate AL
fluphenazine hcl oral elixir AL
32
Drug Name Reference Notes
fluphenazine hcl oral tablet AL
haloperidol decanoate intramuscular solution 100 mg/ml
Haldol Decanoate AL; QL
haloperidol decanoate intramuscular solution 50 mg/ml
Haldol Decanoate AL
haloperidol lactate injection solution Haldol AL
haloperidol lactate intramuscular syringe AL
haloperidol lactate oral concentrate AL
haloperidol oral tablet AL
loxapine succinate oral capsule AL
perphenazine oral tablet AL
pimozide oral tablet Orap PA
prochlorperazine maleate oral tablet Compazine
thioridazine oral tablet
thiothixene oral capsule AL
trifluoperazine oral tablet AL
ATTENTION DEFICIT - HYPERACTIVITY (ADHD)/NARCOLEPSY
atomoxetine oral capsule Strattera DO; AL; QL
clonidine hcl oral tablet extended release 12 hr
Kapvay AL; QL
dexmethylphenidate oral capsule,er biphasic 50-50
Focalin XR AL; QL
dexmethylphenidate oral tablet 10 mg Focalin AL; QL
dexmethylphenidate oral tablet 2.5 mg Focalin AL
dexmethylphenidate oral tablet 5 mg Focalin PA; QL
dextroamphetamine oral capsule, extended release
Dexedrine Spansule AL; QL
dextroamphetamine oral tablet Zenzedi AL; QL
dextroamphetamine-amphetamine oral capsule,extended release 24hr
Adderall XR AL; QL
dextroamphetamine-amphetamine oral tablet
Adderall AL
metadate er oral tablet extended release AL; QL
methylphenidate hcl oral capsule, er biphasic 30-70
AL; QL
methylphenidate hcl oral capsule,er biphasic 50-50
Ritalin LA AL; QL
33
Drug Name Reference Notes
methylphenidate hcl oral solution Methylin AL
methylphenidate hcl oral tablet Ritalin AL
methylphenidate hcl oral tablet extended release 10 mg
AL
methylphenidate hcl oral tablet extended release 20 mg
Metadate ER AL; QL
methylphenidate hcl oral tablet extended release 24hr
Concerta AL; QL
ATTENTION DEFICIT-HYPERACTIVITY (ADHD)/NARCOLEPSY
caffeine citrate intravenous solution Cafcit
caffeine citrate oral solution
BENZODIAZEPINES
alprazolam intensol oral concentrate
alprazolam oral tablet Xanax
alprazolam oral tablet,disintegrating
amitriptyline-chlordiazepoxide oral tablet
chlordiazepoxide hcl oral capsule
clonazepam oral tablet Klonopin
clonazepam oral tablet,disintegrating
clorazepate dipotassium oral tablet
diazepam intensol oral concentrate
diazepam oral concentrate Diazepam Intensol
diazepam oral solution
diazepam oral tablet Valium
diazepam rectal kit Diastat AcuDial QL
estazolam oral tablet
flurazepam oral capsule QL
lorazepam oral tablet Ativan
oxazepam oral capsule
temazepam oral capsule Restoril QL
triazolam oral tablet Halcion QL
CNS STIMULANTS
dextroamphetamine oral capsule, extended release
Dexedrine Spansule AL; QL
dextroamphetamine oral tablet Zenzedi AL; QL
34
Drug Name Reference Notes
dextroamphetamine-amphetamine oral capsule,extended release 24hr
Adderall XR AL; QL
dextroamphetamine-amphetamine oral tablet
Adderall AL
MAO INHIBITORS
phenelzine oral tablet Nardil
tranylcypromine oral tablet Parnate
NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIBITORS (NDRIS)
bupropion hcl oral tablet
bupropion hcl oral tablet extended release 12 hr
Wellbutrin SR
bupropion hcl oral tablet extended release 24 hr
Wellbutrin XL QL
SEDATIVE-HYPNOTICS, BARBITURATES
phenobarbital oral elixir
phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg
phenobarbital oral tablet 32.4 mg QL
SEDATIVE-HYPNOTICS, NON-BARBITURATES
alka-seltzer plus allergy oral tablet OTC
diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL
diphenhydramine hcl oral capsule 50 mg Banophen OTC
diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC; QL
estazolam oral tablet
flurazepam oral capsule QL
nightime sleep oral capsule OTC
nighttime sleep aid (diphen) oral capsule OTC
nighttime sleep aid (diphen) oral tablet OTC
restfully sleep oral tablet OTC
simply sleep oral tablet OTC
sleep aid (diphenhydramine) oral capsule OTC
sleep aid (diphenhydramine) oral tablet OTC
sleep aid (doxylamine) oral tablet OTC
sleep aid max str (diphenhydr) oral capsule
OTC
sleep ii oral tablet OTC
35
Drug Name Reference Notes
sleep oral tablet OTC
sleep tablet (diphenhydramine) oral tablet OTC
sleep-tabs oral tablet OTC
temazepam oral capsule Restoril QL
triazolam oral tablet Halcion QL
ultra sleep (doxylamine succ) oral tablet OTC
UNISOM (DIPHENHYDRAMINE) ORAL LIQUID
OTC
UNISOM SLEEPGELS ORAL CAPSULE OTC
wal-som (diphenhydramine) oral capsule OTC
zaleplon oral capsule Sonata QL
zolpidem oral tablet Ambien QL
SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)
citalopram oral solution QL
citalopram oral tablet 10 mg, 40 mg Celexa
citalopram oral tablet 20 mg Celexa QL
escitalopram oxalate oral solution
escitalopram oxalate oral tablet Lexapro QL
fluoxetine oral capsule Prozac QL
fluoxetine oral capsule,delayed release(dr/ec)
fluoxetine oral solution
fluoxetine oral tablet Sarafem QL
fluvoxamine oral tablet
paroxetine hcl oral tablet Paxil QL
paroxetine hcl oral tablet extended release 24 hr 12.5 mg, 37.5 mg
Paxil CR
paroxetine hcl oral tablet extended release 24 hr 25 mg
Paxil CR QL
sertraline oral concentrate Zoloft QL
sertraline oral tablet Zoloft QL
SEROTONIN-2 ANTAGONIST REUPTAKE INHIBITORS (SARIS)
nefazodone oral tablet
trazodone oral tablet
36
Drug Name Reference Notes
SEROTONIN-NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS)
venlafaxine oral capsule,extended release 24hr
Effexor XR QL
venlafaxine oral tablet QL
venlafaxine oral tablet extended release 24hr
QL
TRICYCLIC ANTIDEPRESSANT/BENZODIAZEPINE COMBINATIONS
amitriptyline-chlordiazepoxide oral tablet
TRICYCLIC ANTIDEPRESSANTS AND RELATED NON-SELECT REUPTAKE INHIBITORS
amitriptyline oral tablet
amoxapine oral tablet
clomipramine oral capsule Anafranil
desipramine oral tablet Norpramin
doxepin oral capsule
doxepin oral concentrate
imipramine hcl oral tablet Tofranil
imipramine pamoate oral capsule
maprotiline oral tablet
nortriptyline oral capsule Pamelor
nortriptyline oral solution
protriptyline oral tablet
trimipramine oral capsule Surmontil
CHEMICAL DEPENDENCY, AGENTS TO TREAT
ALCOHOL ANTAGONIST
acamprosate oral tablet,delayed release (dr/ec)
QL
disulfiram oral tablet Antabuse
NARCOTIC ANTAGONISTS
buprenorphine hcl sublingual tablet QL
buprenorphine-naloxone sublingual tablet PA; QL
SUBOXONE SUBLINGUAL FILM PA; QL
37
Drug Name Reference Notes
SMOKING DETERRENT AGENTS
bupropion hcl (smoking deter) oral tablet extended release 12 hr
Zyban QL
bupropion hcl oral tablet extended release 12 hr
Wellbutrin SR
nicorelief buccal gum OTC; QL
nicotine (polacrilex) buccal gum Nicorelief OTC; QL
nicotine (polacrilex) buccal lozenge Nicorette OTC; QL
nicotine (polacrilex) buccal mini lozenge Nicorette OTC; QL
nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL
nicotine transdermal patch, td daily, sequential
OTC
quit 2 buccal gum OTC; QL
quit 4 buccal gum OTC; QL
stop smoking aid buccal lozenge OTC; QL
CHEMICALS-PHARMACEUTICAL ADJUVANTS
CHEMICALS - SOLVENTS
alcohol, rubbing solution OTC
isopropyl alcohol solution OTC
PHARMACEUTICAL ADJUVANT
nebusal inhalation solution for nebulization
petrolatum topical ointment OTC
petroleum jelly topical gel OTC
petroleum jelly, white topical gel OTC
pulmosal inhalation solution for nebulization
sodium chloride inhalation solution for nebulization
NebuSal
white petrolatum topical gel Lip Treatment OTC
white petroleum jelly topical gel OTC
COGNITIVE DISORDER THERAPY
CHOLINESTERASE INHIBITORS
donepezil oral tablet 10 mg, 5 mg Aricept QL
donepezil oral tablet 23 mg Aricept PA; QL
donepezil oral tablet,disintegrating QL
38
Drug Name Reference Notes
galantamine oral capsule,ext rel. pellets 24 hr
Razadyne ER
galantamine oral solution
galantamine oral tablet Razadyne QL
memantine oral solution
memantine oral tablet Namenda QL
memantine oral tablets,dose pack Namenda Titration Pak QL
NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK
QL
rivastigmine tartrate oral capsule
CONTRACEPTIVES
CONTRACEPTIVES
altavera (28) oral tablet AL; QL
alyacen 1/35 (28) oral tablet AL
alyacen 7/7/7 (28) oral tablet AL
amethia lo oral tablets,dose pack,3 month AL; QL
amethia oral tablets,dose pack,3 month AL; QL
amethyst oral tablet AL
apri oral tablet AL
aranelle (28) oral tablet AL
ashlyna oral tablets,dose pack,3 month AL; QL
aubra oral tablet AL
aviane oral tablet AL
azurette (28) oral tablet AL
balziva (28) oral tablet AL
bekyree (28) oral tablet AL
blisovi 24 fe oral tablet AL
blisovi fe 1.5/30 (28) oral tablet AL
blisovi fe 1/20 (28) oral tablet AL
briellyn oral tablet AL
camila oral tablet AL
camrese lo oral tablets,dose pack,3 month AL; QL
camrese oral tablets,dose pack,3 month AL; QL
caziant (28) oral tablet AL
chateal oral tablet AL; QL
cryselle (28) oral tablet AL
cyclafem 1/35 (28) oral tablet AL
39
Drug Name Reference Notes
cyclafem 7/7/7 (28) oral tablet AL
cyred oral tablet AL
dasetta 1/35 (28) oral tablet AL
dasetta 7/7/7 (28) oral tablet AL
daysee oral tablets,dose pack,3 month AL; QL
deblitane oral tablet AL
delyla (28) oral tablet AL
desog-e.estradiol/e.estradiol oral tablet Azurette (28) AL
desogestrel-ethinyl estradiol oral tablet Apri AL
drospirenone-e.estradiol-lm.fa oral tablet Beyaz AL
drospirenone-ethinyl estradiol oral tablet Ocella AL
elinest oral tablet AL
emoquette oral tablet AL
enpresse oral tablet AL
enskyce oral tablet AL
errin oral tablet AL
estarylla oral tablet AL
ethynodiol diac-eth estradiol oral tablet Kelnor 1-50 AL
falmina (28) oral tablet AL
fayosim oral tablets,dose pack,3 month AL; QL
femynor oral tablet AL
gianvi (28) oral tablet AL
heather oral tablet AL
introvale oral tablets,dose pack,3 month AL; QL
isibloom oral tablet AL
jencycla oral tablet AL
jolessa oral tablets,dose pack,3 month AL; QL
jolivette oral tablet AL
juleber oral tablet AL
junel 1.5/30 (21) oral tablet AL
junel 1/20 (21) oral tablet AL
junel fe 1.5/30 (28) oral tablet AL
junel fe 1/20 (28) oral tablet AL
junel fe 24 oral tablet AL
kaitlib fe oral tablet,chewable AL
kariva (28) oral tablet AL
kelnor 1/35 (28) oral tablet AL
40
Drug Name Reference Notes
kelnor 1-50 oral tablet
kimidess (28) oral tablet AL
kurvelo oral tablet AL; QL
l norgest/e.estradiol-e.estrad oral tablets,dose pack,3 month
Amethia AL; QL
larin 1.5/30 (21) oral tablet AL
larin 1/20 (21) oral tablet AL
larin 24 fe oral tablet AL
larin fe 1.5/30 (28) oral tablet AL
larin fe 1/20 (28) oral tablet AL
larissia oral tablet AL
layolis fe oral tablet,chewable AL
leena 28 oral tablet AL
lessina oral tablet AL
levonest (28) oral tablet AL
levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg
Aubra AL
levonorgestrel-ethinyl estrad oral tablet 0.15-0.03 mg
Altavera (28) AL; QL
levonorgestrel-ethinyl estrad oral tablet 90-20 mcg
Amethyst AL
levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month
Introvale AL; QL
levonorg-eth estrad triphasic oral tablet Enpresse AL
levora 0.15/30 (28) oral tablet AL; QL
levora-28 oral tablet AL; QL
lillow oral tablet AL; QL
loryna (28) oral tablet AL
low-ogestrel (28) oral tablet AL
lutera (28) oral tablet AL
lyza oral tablet AL
marlissa oral tablet AL; QL
medroxyprogesterone intramuscular suspension
Depo-Provera AL; QL
medroxyprogesterone intramuscular syringe
Depo-Provera AL; QL
melodetta 24 fe oral tablet,chewable AL
mibelas 24 fe oral tablet,chewable AL
microgestin 1.5/30 (21) oral tablet AL
41
Drug Name Reference Notes
microgestin 1/20 (21) oral tablet AL
microgestin fe 1.5/30 (28) oral tablet AL
microgestin fe 1/20 (28) oral tablet AL
mono-linyah oral tablet AL
mononessa (28) oral tablet AL
myzilra oral tablet AL
necon 0.5/35 (28) oral tablet AL
necon 7/7/7 (28) oral tablet AL
nikki (28) oral tablet AL
nora-be oral tablet AL
noreth-ethinyl estradiol-iron oral tablet,chewable
Wymzya Fe AL
norethindrone (contraceptive) oral tablet Camila AL
norethindrone ac-eth estradiol oral tablet Junel 1/20 (21) AL
norethindrone-e.estradiol-iron oral tablet Blisovi Fe 1/20 (28) AL
norethindrone-e.estradiol-iron oral tablet,chewable
Melodetta 24 Fe AL
norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-25 mcg
Ortho Tri-Cyclen LO (28) AL; QL
norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-35 mcg (28)
Ortho Tri-Cyclen (28) AL
norgestimate-ethinyl estradiol oral tablet 0.25-35 mg-mcg
Estarylla AL
norgestrel-ethinyl estradiol oral tablet Ogestrel (28) AL
norlyda oral tablet AL
norlyroc oral tablet AL
nortrel 0.5/35 (28) oral tablet AL
nortrel 1/35 (21) oral tablet AL
nortrel 1/35 (28) oral tablet AL
nortrel 7/7/7 (28) oral tablet AL
NUVARING VAGINAL RING AL; QL
ocella oral tablet AL
ogestrel (28) oral tablet AL
orsythia oral tablet AL
philith oral tablet AL
pimtrea (28) oral tablet AL
pirmella oral tablet AL
portia oral tablet AL; QL
42
Drug Name Reference Notes
previfem oral tablet AL
quasense oral tablets,dose pack,3 month AL; QL
rajani oral tablet AL
reclipsen (28) oral tablet AL
RIVELSA ORAL TABLETS,DOSE PACK,3 MONTH
AL; QL
setlakin oral tablets,dose pack,3 month AL; QL
sharobel oral tablet AL
sprintec (28) oral tablet AL
sronyx oral tablet AL
syeda oral tablet AL
tarina fe 1/20 (28) oral tablet AL
tilia fe oral tablet AL; QL
TODAY CONTRACEPTIVE SPONGE VAGINAL CONTRACEPTIVE SPONGE
OTC
tri femynor oral tablet AL
tri-estarylla oral tablet AL
tri-legest fe oral tablet AL; QL
tri-linyah oral tablet AL
tri-lo-estarylla oral tablet AL; QL
tri-lo-marzia oral tablet AL; QL
tri-lo-sprintec oral tablet AL; QL
trinessa (28) oral tablet AL
trinessa lo oral tablet AL; QL
tri-previfem (28) oral tablet AL
tri-sprintec (28) oral tablet AL
trivora (28) oral tablet AL
tri-vylibra oral tablet AL
tydemy oral tablet AL
vaginal contraceptive film vaginal film OTC
vaginal contraceptive foam vaginal foam OTC
vcf contraceptive film vaginal film OTC
velivet triphasic regimen (28) oral tablet AL
vienva oral tablet AL
viorele (28) oral tablet AL
vyfemla (28) oral tablet AL
vylibra oral tablet AL
43
Drug Name Reference Notes
wera (28) oral tablet AL
wymzya fe oral tablet,chewable AL
xulane transdermal patch weekly AL; QL
zarah oral tablet AL
zenchent (28) oral tablet AL
zovia 1/35e (28) oral tablet AL
EMERGENCY CONTRACEPTIVES
econtra ez oral tablet OTC; QL
econtra one-step oral tablet OTC; QL
ELLA ORAL TABLET
my choice oral tablet OTC; QL
my way oral tablet OTC; QL
next choice one dose oral tablet OTC; QL
opcicon one-step oral tablet OTC; QL
option-2 oral tablet OTC; QL
DENTAL AIDS AND PREPARATIONS
ANTISEPTICS, GENERAL
chloraseptic mucous membrane aerosol,spray
OTC
chlorhexidine gluconate mucous membrane mouthwash
Paroex Oral Rinse QL
paroex oral rinse mucous membrane mouthwash
QL
periogard mucous membrane mouthwash QL
sore throat (hexylresorcinol) mucous membrane lozenge
OTC
FLUORIDE PREPARATIONS
dentagel dental gel
fluoride (sodium) oral drops OTC; QL
fluoride (sodium) oral tablet,chewable Fluoritab OTC
fluoritab oral tablet,chewable OTC
FLURA-DROPS ORAL DROPS OTC
ludent fluoride oral tablet,chewable OTC
perio med dental solution OTC
sf dental gel
44
Drug Name Reference Notes
MOUTH AND THROAT AGENTS
cherry cough drops mucous membrane lozenge
OTC
cherry menthol mucous membrane lozenge
OTC
chloraseptic sore throat mucous membrane lozenge
OTC
chloraseptic throat spray mucous membrane aerosol,spray
OTC
clotrimazole mucous membrane troche QL
cough drops (with eucalyptus) mucous membrane lozenge
OTC
honey lemon mucous membrane lozenge OTC
lidocaine hcl mucous membrane jelly
lidocaine hcl mucous membrane solution QL
lidocaine viscous mucous membrane solution
QL
medikoff drops mucous membrane lozenge
OTC
menthol drops mucous membrane lozenge
OTC
nystatin oral suspension
oralone dental paste
pilocarpine hcl oral tablet Salagen (pilocarpine) QL
sore throat (benzocaine-menth) mucous membrane lozenge
OTC
sore throat relief (pectin) mucous membrane lozenge on a handle
OTC
throat drops mucous membrane lozenge OTC
throat lozenges mucous membrane lozenge
OTC
triamcinolone acetonide dental paste Oralone
zinc with vitamins a and c oral lozenge OTC
DERMATOLOGICAL
ACNE AGENTS, SYSTEMIC
claravis oral capsule PA
myorisan oral capsule PA
zenatane oral capsule PA
45
Drug Name Reference Notes
ACNE AGENTS, TOPICAL
acne cleanser topical cleanser OTC
acne cleansing bar topical bar OTC
acne control cleanser topical cream OTC
acne foaming wash topical cleanser OTC
acne medication topical gel 10 % OTC; QL
acne medication topical gel 5 % OTC
acne medication topical lotion OTC; QL
acne pads topical pads, medicated OTC
acne treatment (benzoyl perox) topical gel OTC; QL
acne vanishing topical cream OTC
acne-clear topical gel OTC; QL
advanced acne wash topical cleanser,extended release
OTC
benzepro topical foam OTC
benzoyl peroxide topical cleanser 10 % Acne Foaming Wash OTC
benzoyl peroxide topical cleanser 5 %Advanced Exfoliating Cleanser
OTC; QL
benzoyl peroxide topical cleanser 6 % OTC; QL
benzoyl peroxide topical foam BenzEFoam OTC
benzoyl peroxide topical gel 10 % Acne Medication OTC; QL
benzoyl peroxide topical gel 2.5 % OTC
benzoyl peroxide topical gel 5 % Acne Medication OTC
bp foam topical foam OTC
bp gel topical gel OTC
bp topical gel 10 % OTC; QL
bp topical gel 5 % OTC
bp wash acne treatment topical kit OTC
bp wash topical cleanser 10 %, 2.5 %, 7 %
OTC
bp wash topical cleanser 5 % OTC; QL
bpo-10 topical cleanser OTC
bpo-5 topical cleanser OTC; QL
clindamycin phosphate topical gel Cleocin T
clindamycin phosphate topical solution Cleocin T QL
clindamycin phosphate topical swab Cleocin T QL
clindamycin-benzoyl peroxide topical gel Duac QL
creamy acne face topical cleanser OTC
46
Drug Name Reference Notes
daily face wash topical cleanser OTC
ery pads topical swab QL
erygel topical gel QL
erythromycin with ethanol topical solution QL
erythromycin with ethanol topical swab Ery Pads QL
foaming acne face wash topical cleanser OTC
metronidazole topical cream MetroCream QL
metronidazole topical lotion MetroLotion
panoxyl topical cleanser OTC
panoxyl topical cream OTC
persa-gel topical gel OTC; QL
rapid clear treatment pads topical pads, medicated
OTC
RIAX TOPICAL FOAM OTC
rosadan topical cream QL
ANTIPSORIATIC AGENTS
calcipotriene scalp solution QL
calcipotriene topical cream Dovonex QL
calcipotriene topical ointment Calcitrene
calcitrene topical ointment
ROSACEA AGENTS, TOPICAL
metronidazole topical gel 0.75 % Rosadan
metronidazole topical gel 1 % Metrogel QL
metronidazole topical gel with pump Metrogel QL
rosadan topical gel
SCABICIDE AND PEDICULICIDES
complete lice treatment topical kit OTC; QL
lice bedding spray aerosol,spray OTC
lice complete kit 1-2-3 topical kit OTC; QL
lice killing (permethrin) topical liquid OTC; QL
lice killing topical shampoo OTC
lice pyrinyl shampoo topical shampoo OTC
lice solution topical kit OTC; QL
lice treatment (permethrin) topical liquid OTC; QL
lice treatment topical liquid OTC; QL
lice treatment topical shampoo OTC
permethrin topical cream Elimite QL
47
Drug Name Reference Notes
rid complete lice elim kit topical kit OTC; QL
spinosad topical suspension Natroba
TOPICAL AGENTS, MISCELLANEOUS
a and d (lan, pet) topical ointment OTC; QL
absorbine pain relieving topical gel OTC
advanced healing (petrolatum) topical ointment
OTC
alphabath topical oil OTC
aluminum chloride topical solution Drysol
ameriphor topical ointment OTC
amlactin topical lotion OTC
ammonium lactate topical cream Geri-Hydrolac OTC; QL
ammonium lactate topical lotion AmLactin OTC
anti-dandruff topical shampoo OTC
aqua glycolic face topical cream OTC
aqua glycolic topical shampoo OTC
aqua lube topical lubricant OTC
arthricream rub topical cream OTC
aveeno intense relief topical cream OTC
bath oil topical oil OTC
beta care topical cream OTC
beta care topical lotion OTC
blue gel topical gel OTC
calamine phenolated topical lotion OTC
calamine topical lotion OTC
calamine-zinc oxide topical lotion OTC
calamine-zinc oxide-phenol topical suspension
OTC
callus remover topical adhesive patch,medicated
OTC
callus removers topical adhesive patch,medicated
OTC
cam topical lotion OTC
CERAVE PM TOPICAL LOTION,EXTENDED RELEASE
OTC
CERAVE SUNSCREEN TOPICAL LOTION
OTC
CERAVE TOPICAL CLEANSER OTC
48
Drug Name Reference Notes
CERAVE TOPICAL CREAM OTC
cetaphil moisturizing topical cream OTC
cloverine topical ointment OTC
compound w topical liquid OTC
corn remover topical adhesive patch,medicated
OTC
CUTTER BACKWOODS TOPICAL AEROSOL,SPRAY
OTC
CUTTER SKINSATIONS TOPICAL SPRAY,NON-AEROSOL
OTC
daily moisturizing lotion topical lotion OTC
daylogic advanced healing topical ointment
OTC
dermabase topical cream OTC
dermacerin topical cream OTC; QL
dermaphor topical ointment OTC
dermarest psoriasis medicated topical lotion
OTC
dermarest psoriasis medicated topical shampoo
OTC
dermavantage topical lotion OTC; QL
DESENEX TOPICAL AEROSOL POWDER
OTC
diaper rash relief topical ointment OTC
diaper rash topical ointment OTC; QL
diclofenac sodium topical drops PA; QL
dr scholl's clear away topical adhesive patch,medicated
OTC
dry skin care topical lotion OTC
dry skin therapy moisturizing topical lotion OTC
dry skin therapy topical cream OTC
duofilm topical liquid OTC
emollient topical cream Aqua Glycolic Face OTC
eucerin original topical lotion OTC; QL
excel-gel topical gel OTC
finger cream topical cream OTC
geri-hydrolac topical cream OTC; QL
geri-hydrolac topical lotion OTC
glycerin topical liquid OTC
49
Drug Name Reference Notes
glycerin topical solution OTC
gordon's vite a topical cream OTC
gordons-vite e topical cream OTC
gordo-vite a topical cream OTC
gordo-vite e topical cream OTC
hydrocerin (with petrolatum) topical cream OTC; QL
hydrocerin topical lotion OTC
hydrolatum topical ointment OTC
ice blue gel topical gel OTC
INSECT REPELLENT (PICARIDIN) TOPICAL SPRAY WITH PUMP
OTC
lan-o-soothe topical cream OTC
lidocaine hcl mucous membrane jelly
lidocaine topical adhesive patch,medicated
Lidoderm PA; QL
lidocaine topical ointment QL
liquid corn and callus remover topical liquid
OTC
lubriderm daily moisture (pet) topical lotion OTC
lubriderm skin nourishing topical lotion OTC
lubrisilk topical lotion OTC
lubrisoft topical lotion OTC
mapo bath topical oil OTC
mediplast corn-callus-wart topical adhesive patch,medicated
OTC
menthol topical gel Pain Relief (menthol) OTC
mineral oil light topical oil OTC
mineral oil topical oil Lobana Bath OTC
minerin creme topical cream OTC; QL
minerin topical lotion OTC
moisturizing cream topical cream OTC
moiturizing lotion topical lotion OTC
mosco callus-corn remover topical liquid OTC
mosco corn remover topical adhesive patch,medicated
OTC
NATRAPEL TOPICAL AEROSOL,SPRAY
OTC
natural oatmeal bath treatment topical packet
OTC
50
Drug Name Reference Notes
nivatopic plus topical cream
oatmeal bath regular topical packet OTC
OFF ACTIVE TOPICAL AEROSOL,SPRAY
OTC
OFF DEEP WOODS DRY TOPICAL AEROSOL POWDER
OTC
OFF DEEP WOODS TOPICAL AEROSOL,SPRAY
OTC
OFF FAMILYCARE (WITH DEET) TOPICAL AEROSOL POWDER
OTC
pain relief (menthol) topical gel OTC
pain relieving (menthol) topical gel OTC
pediatric oint (cod liver oil) topical ointment
OTC
petrolatum topical ointment OTC
petroleum jelly topical gel OTC
petroleum jelly, white topical gel OTC
podofilox topical solution PA
protective ointment topical ointment OTC
prumyx topical cream
psoriasis medicated topical shampoo OTC
REPEL SPORTSMEN DRY TOPICAL AEROSOL,SPRAY
OTC
REPEL SPORTSMEN MAX TOPICAL AEROSOL,SPRAY
OTC
REPEL SPORTSMEN TOPICAL AEROSOL,SPRAY
OTC
salactic film topical liquid OTC
salicylic acid topical cream Salimez
salicylic acid topical cream,extended release
salicylic acid topical film forming liquid w/appl
Virasal
salicylic acid topical film-forming soln er w/ appl
UltraSal-ER
salicylic acid topical foam Salvax
salicylic acid topical gel Keralyt Rx
salicylic acid topical liquid
salicylic acid topical lotion
51
Drug Name Reference Notes
salicylic acid topical lotion,extended release
salicylic acid topical shampoo Salex
sal-plant topical gel OTC
salvax topical foam
scar gel topical gel OTC
scar topical gel OTC
sebex topical shampoo OTC
secura protective topical ointment OTC
selenium sulfide topical lotion QL
selenium sulfide topical shampoo
selsun blue (salicylic acid) topical shampoo
OTC
selsun blue naturals topical shampoo OTC
selsun blue topical shampoo OTC
silver sulfadiazine topical cream Silvadene
skin treatment topical lotion OTC
sorbidon hydrate topical cream OTC
special care lotion topical lotion OTC
ssd topical cream
sween cream topical cream OTC
sween topical cream OTC
thera bath topical oil OTC
thera-derm topical lotion OTC; QL
therapeutic blue topical gel OTC
therapeutic moisturizing topical cream OTC; QL
therapeutic t plus topical shampoo OTC
ultra mide 25 topical lotion OTC
unscented cold cream topical cream OTC
urea topical cream 20 % Gormel OTC
urea topical cream 40 % QL
urea topical cream 45 % Uramaxin QL
urea topical cream 50 % Ure-K
urea topical gel CEM-Urea
urea topical lotion Uramaxin
vanicream topical cream OTC
vitamin a and d topical ointment OTC
52
Drug Name Reference Notes
vitamin e plus topical cream OTC
vitamin e topical cream Gordo-Vite E OTC
vitamin e topical oil OTC
vitamin e-vitamins a and d topical cream OTC
vits a and d-white pet-lanolin topical ointment
A and D (lan, pet) OTC; QL
vits a and d-white pet-lanolin topical ointment in packet
Vitamin A and D GRx OTC
walgreens dry skin treatment topical ointment
OTC
wart remover topical adhesive patch,medicated
OTC
wart remover topical gel OTC
wart remover topical liquid OTC
wart remover topical plaster OTC
white petrolatum topical ointment Cloverine OTC
white petrolatum topical ointment in packet
Vaseline White Petroleum OTC
white petroleum jelly topical gel OTC
x-seb t pearl topical shampoo OTC
zinc oxide diaper cream topical cream OTC
zinc oxide topical ointment Triple Paste OTC; QL
zinc oxide topical ointment 20 % OTC
zinc oxide topical ointment 40 % Boudreauxs Butt Paste OTC; QL
TOPICAL ANESTHETICS
hydrocortisone-pramoxine topical cream Pramosone
lidocaine-prilocaine topical cream QL
TOPICAL ANTIBIOTICS
antibiotic (bacitracin zinc) topical ointment OTC; QL
antibiotic (neomy-bacit-polym) topical ointment
OTC; QL
antibiotic-pain relief (bacit) topical ointment
OTC; QL
bacitracin topical ointment Bacitraycin Plus OTC; QL
bacitracin topical packet OTC; QL
bacitracin zinc topical ointment Antibiotic (bacitracin zinc) OTC; QL
bacitracin zinc topical packet OTC; QL
bacitracin-polymyxin b topical ointment Double Antibiotic OTC
bacitracin-polymyxin b topical packet Polysporin OTC
53
Drug Name Reference Notes
bacitraycin plus topical ointment OTC; QL
double antibiotic (b.tracn zn) topical ointment
OTC
double antibiotic topical ointment OTC
gentamicin topical cream
gentamicin topical ointment
mupirocin topical ointment Centany QL
NEOSPORIN PLUS PAINRELIEF(BAC) TOPICAL OINTMENT
OTC; QL
poly bacitracin topical ointment OTC
sss 10-5 topical cream
sulfacetamide sodium-sulfur topical cream Avar-E
triple antibiotic (pram) extra topical ointment
OTC; QL
triple antibiotic plus topical ointment OTC; QL
triple antibiotic topical ointment OTC; QL
triple antibiotic topical ointment in packet OTC
wal-sporin topical ointment OTC
TOPICAL ANTIFUNGALS
af topical aerosol powder OTC
ALEVAZOL TOPICAL OINTMENT OTC
antifungal (clotrimazole) topical cream OTC; QL
antifungal (tolnaftate) topical aerosol,spray
OTC
antifungal (tolnaftate) topical cream OTC
antifungal (tolnaftate) topical powder OTC
antifungal cream topical cream OTC
antifungal spray topical aerosol powder OTC
antifungal topical liquid OTC
antifungal topical solution OTC
athlete's foot (clotrimazole) topical cream OTC; QL
athlete's foot (terbinafine) topical cream OTC
athlete's foot (tolnaftate) topical aerosol powder
OTC
athlete's foot (tolnaftate) topical aerosol,spray
OTC
athlete's foot (tolnaftate) topical cream OTC
athlete's foot af topical cream OTC
54
Drug Name Reference Notes
athlete's foot topical aerosol powder OTC
athlete's foot topical powder OTC
athletic foot cream topical cream OTC; QL
baza antifungal topical cream OTC
baza cream hospital care pack topical combo pack
OTC
blis-to-sol (tolnaftate) topical solution OTC
ciclopirox topical cream Ciclodan PA; QL
ciclopirox topical solution Ciclodan PA; QL
ciclopirox topical suspension Loprox (as olamine) QL
clotrimazole af topical cream OTC; QL
clotrimazole topical cream Antifungal (clotrimazole) OTC; QL
clotrimazole topical solution OTC
clotrimazole-betamethasone topical cream Lotrisone QL
clotrimazole-betamethasone topical lotion QL
desenex topical powder OTC
ELON DUAL DEFENSE TOPICAL SOLUTION
OTC
foot and sneaker topical aerosol powder OTC
FUNGI-NAIL TOPICAL SOLUTION OTC
fungoid-d topical cream OTC
GORDOCHOM TOPICAL SOLUTION OTC
HONGO CURA SPRAY TOPICAL AEROSOL,SPRAY
OTC
inzo antifungal topical cream OTC
itch relief (clotrimazole) topical cream OTC; QL
jock itch (clotrimazole) topical cream OTC; QL
jock itch (terbinafine) topical cream OTC
jock itch topical aerosol powder OTC
ketoconazole topical cream QL
ketoconazole topical shampoo Nizoral QL
lamisil (aerosol) topical aerosol,spray OTC
lamisil af topical aerosol powder OTC
lamisil af topical powder OTC
lamisil at topical cream OTC
lamisil at topical gel OTC
lotrimin af (clotrimazole) topical cream OTC; QL
55
Drug Name Reference Notes
lotrimin af jock itch powder topical aerosol powder
OTC
lotrimin af powder topical aerosol powder OTC
lotrimin af topical aerosol,spray OTC
lotrimin af topical powder OTC
lotrimin ultra topical cream PA; OTC; QL
micatin topical cream OTC
miconazole nitrate topical aerosol powder Athlete's Foot OTC
miconazole nitrate topical cream Antifungal Cream OTC
miconazorb af topical powder OTC
micro-guard topical powder OTC
MYCO NAIL A TOPICAL SOLUTION OTC
MYCO NAIL TOPICAL LIQUID OTC
NIZORAL A-D TOPICAL SHAMPOO OTC
nyamyc topical powder QL
nystatin topical cream QL
nystatin topical ointment QL
nystatin topical powder Nyamyc QL
nystop topical powder QL
odor control foot-sneaker topical aerosol powder
OTC
remedy antifungal topical cream OTC
remedy antifungal topical powder OTC
remedy phytoplex antifungal topical ointment
OTC
remedy phytoplex antifungal topical powder
OTC
ringworm topical cream OTC; QL
secura antifungal extra thick topical cream OTC
secura antifungal topical cream OTC
terbinafine hcl topical cream Antifungal (terbinafine) OTC
tinactin topical aerosol powder OTC
tinactin topical cream OTC
tolnaftate topical aerosol powder AF OTC
tolnaftate topical cream Antifungal (tolnaftate) OTC
tolnaftate topical powder Antifungal (tolnaftate) OTC
zeasorb (miconazole) topical powder OTC
zeasorb af topical powder OTC
56
Drug Name Reference Notes
TOPICAL ANTI-INFLAMMATORY STEROIDAL AGENTS
amcinonide topical lotion
amcinonide topical ointment QL
anti-itch (hc) topical cream OTC; QL
anti-itch (hc) topical ointment OTC
anti-itch (hc) with aloe-vit e topical cream OTC; QL
anti-itch plus topical cream OTC; QL
betamethasone dipropionate topical lotion QL
betamethasone valerate topical cream QL
betamethasone valerate topical ointment QL
betamethasone, augmented topical cream
clobetasol scalp solution Cormax QL
clobetasol topical cream Temovate QL
clobetasol topical gel
clobetasol topical ointment Temovate QL
clobetasol-emollient topical cream QL
cormax scalp solution QL
CORTAID TOPICAL CREAM OTC; QL
cortisone (hydrocortisone) topical cream OTC; QL
diflorasone topical cream Psorcon QL
eczema anti-itch topical cream OTC; QL
fluocinonide-e topical cream
fluocinonide-emollient topical cream Fluocinonide-E
fluticasone topical cream Cutivate QL
fluticasone topical ointment QL
halobetasol propionate topical cream Ultravate QL
halobetasol propionate topical ointment Ultravate QL
hydrocortisone acetate topical cream OTC; QL
hydrocortisone acetate topical ointment OTC
hydrocortisone plus topical cream OTC; QL
hydrocortisone topical cream 0.5 % OTC; QL
hydrocortisone topical cream 1 % Ala-Cort PA; OTC; QL
hydrocortisone topical cream 2.5 % Ala-Cort QL
hydrocortisone topical cream in packet OTC
hydrocortisone topical cream with perineal applicator
Anusol-HC QL
57
Drug Name Reference Notes
hydrocortisone topical ointment 0.5 % OTC
hydrocortisone topical ointment 1 % Anti-Itch (HC) OTC
hydrocortisone topical ointment 2.5 % QL
hydrocortisone-aloe vera topical cream Cortizone-10 with aloe PA; OTC; QL
hydrocortisone-pramoxine topical cream Pramosone
hydrocream topical cream OTC; QL
mometasone topical cream Elocon QL
mometasone topical ointment Elocon QL
mometasone topical solution QL
noble formula hc topical cream OTC; QL
prednicarbate topical ointment Dermatop QL
proctosol hc topical cream with perineal applicator
QL
proctozone-hc topical cream with perineal applicator
QL
scalp relief topical solution OTC
scalpicin anti-itch topical solution OTC
TEXACORT TOPICAL SOLUTION
triamcinolone acetonide topical cream Triderm QL
triamcinolone acetonide topical ointment QL
trianex topical ointment QL
triderm topical cream QL
TOPICAL ANTINEOPLASTIC AND PREMALIGNANT
fluorouracil topical cream Efudex QL
fluorouracil topical solution QL
TOPICAL ANTIPARASITICS
CUTTER BACKWOODS TOPICAL AEROSOL,SPRAY
OTC
CUTTER SKINSATIONS TOPICAL SPRAY,NON-AEROSOL
OTC
INSECT REPELLENT (PICARIDIN) TOPICAL SPRAY WITH PUMP
OTC
NATRAPEL TOPICAL AEROSOL,SPRAY
OTC
OFF ACTIVE TOPICAL AEROSOL,SPRAY
OTC
OFF DEEP WOODS DRY TOPICAL AEROSOL POWDER
OTC
58
Drug Name Reference Notes
OFF DEEP WOODS TOPICAL AEROSOL,SPRAY
OTC
OFF FAMILYCARE (WITH DEET) TOPICAL AEROSOL POWDER
OTC
REPEL SPORTSMEN DRY TOPICAL AEROSOL,SPRAY
OTC
REPEL SPORTSMEN MAX TOPICAL AEROSOL,SPRAY
OTC
REPEL SPORTSMEN TOPICAL AEROSOL,SPRAY
OTC
TOPICAL ANTIVIRALS
ABREVA TOPICAL CREAM OTC; QL
acyclovir topical ointment Zovirax PA; QL
TOPICAL IMMUNOMODULATORS
imiquimod topical cream in packet Aldara PA; QL
tacrolimus topical ointment Protopic PA; AL; QL
VITAMIN A DERIVATIVES
adapalene topical cream Differin PA; QL
adapalene topical gel Differin PA; QL
DIFFERIN TOPICAL GEL OTC; QL
tretinoin (emollient) topical cream Refissa PA; AL
tretinoin microspheres topical gel Retin-A Micro PA; AL; QL
tretinoin topical cream Retin-A PA
tretinoin topical gel Retin-A PA; QL
DIAGNOSTIC AGENTS
DIAGNOSTIC - MULTIPLE URINE TESTS
AZO TEST STRIPS STRIP OTC
CHEMSTRIP 10 MD STRIP OTC
MULTISTIX 9 SG STRIP OTC
MULTISTIX 9 STRIP OTC
URINARY TRACT INF.TEST (WBCS) STRIP
OTC
DIAGNOSTIC DRUGS - GASTROINTESTINAL RADIOLOGICAL ADJUNCT
GLUCAGEN DIAGNOSTIC KIT INJECTION RECON SOLN
QL
59
Drug Name Reference Notes
DIAGNOSTIC DRUGS - PITUITARY FUNCTION
cosyntropin injection recon soln Cortrosyn QL
cosyntropin intravenous solution
DRUGS TO TREAT MULTIPLE SCLEROSIS
DRUGS TO TREAT MULTIPLE SCLEROSIS
AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT
PA; QL
AVONEX INTRAMUSCULAR PEN INJECTOR KIT
PA; QL
AVONEX INTRAMUSCULAR SYRINGE KIT
PA; QL
BETASERON SUBCUTANEOUS KIT PA; QL
EXTAVIA SUBCUTANEOUS KIT PA; QL
EXTAVIA SUBCUTANEOUS RECON SOLN
PA
GILENYA ORAL CAPSULE PA; QL
glatiramer subcutaneous syringe Copaxone PA; QL
glatopa subcutaneous syringe PA; QL
REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE
PA
REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR
PA
REBIF TITRATION PACK SUBCUTANEOUS SYRINGE
PA
TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC)
PA; QL
EATING DISORDER THERAPY
ANTI-OBESITY AGENTS
ALLI ORAL CAPSULE PA; OTC; QL
APPETITE STIMULANT AGENTS
megestrol oral suspension
ELECTROLYTE BALANCE-NUTRITIONAL PRODUCTS
BIOFLAVONOID COMBINATIONS
ear care oral tablet OTC
ear health formula oral tablet OTC
60
Drug Name Reference Notes
CALCIUM REPLACEMENT
bone meal-vitamin d2 oral tablet OTC
ca-d3-mag ox-zinc-cop-mang-bor oral tablet
Calcium 600-D3 Plus OTC
ca-d3-mag ox-zinc-cop-mang-bor oral tablet,chewable 600 mg calcium- 400 unit-40 mg
OTC; QL
CA-D3-MAG OX-ZINC-COP-MANG-BOR ORAL TABLET,CHEWABLE 600 MG CALCIUM- 800 UNIT-40 MG
OTC
ca-d3-mag-zinc-cop-mang-bor oral tablet OTC
calci-chew oral tablet,chewable OTC; QL
calcitrate oral tablet OTC
calcium 500 + d (d3) oral tablet OTC
calcium 500 + d oral tablet OTC
calcium 500 + d oral tablet,chewable OTC
calcium 500 oral tablet OTC; QL
calcium 500 oral tablet,chewable OTC; QL
calcium 500 with d oral tablet OTC
calcium 600 + d(3) oral capsule OTC
calcium 600 + d(3) oral tablet 600 mg(1,500mg) -200 unit
OTC
calcium 600 + d(3) oral tablet 600 mg(1,500mg) -400 unit
OTC; QL
calcium 600 + minerals oral tablet 600 mg calcium- 200 unit
OTC
calcium 600 + minerals oral tablet 600 mg calcium- 400 unit
OTC; QL
calcium 600 oral tablet OTC
calcium 600 with vitamin d3 oral capsule 600 mg(1,500mg) -400 unit
OTC; QL
calcium 600 with vitamin d3 oral capsule 600 mg(1,500mg) -500 unit
OTC
calcium 600 with vitamin d3 oral tablet OTC
calcium 600 with vitamin d3 oral tablet,chewable
OTC; QL
CALCIUM 600-D3 PLUS ORAL TABLET OTC
calcium acetate oral tablet Calphron PA
calcium carb and citrate-vitd3 oral tablet extended release
Citracal + D Slow Release OTC
61
Drug Name Reference Notes
calcium carbonate oral suspension OTC
calcium carbonate oral tablet 500 mg calcium (1,250 mg)
Calcium 500 OTC; QL
calcium carbonate oral tablet 600 mg calcium (1,500 mg)
Calcium 600 OTC
calcium carbonate oral tablet 650 mg calcium (1,625 mg)
OTC; QL
calcium carbonate oral tablet,chewable 300 mg (750 mg)
Antacid Ext Str (calcium carb)
OTC
calcium carbonate oral tablet,chewable 500 mg calcium (1,250 mg)
Calci-Chew OTC; QL
calcium carbonate-vit d3-min oral tablet Calcium 600 + Minerals OTC; QL
calcium carbonate-vit d3-min oral tablet,chewable
OTC
calcium carbonate-vitamin d3 oral capsuleCalcium 600 with Vitamin D3
OTC; QL
calcium carbonate-vitamin d3 oral tablet 250-125 mg-unit
Oyster Shell + D3 OTC; QL
calcium carbonate-vitamin d3 oral tablet 500 mg(1,250mg) -125 unit
Calcium 500 + D (D3) OTC
calcium carbonate-vitamin d3 oral tablet 500 mg(1,250mg) -200 unit, 500 mg(1,250mg) -400 unit
Calcium 500 + D OTC
calcium carbonate-vitamin d3 oral tablet 500mg (1,250mg) -600 unit
Os-Cal 500 + D3 OTC
calcium carbonate-vitamin d3 oral tablet 600 mg(1,500mg) -400 unit
Calcium 600 + D(3) OTC; QL
calcium carbonate-vitamin d3 oral tablet 600 mg(1,500mg) -800 unit
Caltrate with Vitamin D3 OTC
calcium carbonate-vitamin d3 oral tablet,chewable 500 mg(1,250mg) -400 unit
Calcium 500 + D OTC
calcium carbonate-vitamin d3 oral tablet,chewable 500-100 mg-unit
OTC; QL
calcium citrate + d oral tablet OTC
calcium citrate oral tablet Calcitrate OTC
calcium citrate-vitamin d2 oral tablet OTC
calcium citrate-vitamin d3 oral tablet Calcium Citrate + D OTC
calcium for women oral tablet,chewable OTC
calcium gluconate oral tablet 45 mg (500 mg)
OTC; QL
62
Drug Name Reference Notes
calcium gluconate oral tablet 60 mg (650 mg)
OTC
calcium lactate oral tablet OTC
calcium magnesium oral tablet OTC
calcium soft chew oral tablet,chewable OTC
calcium with vitamin d oral tablet OTC; QL
calcium-folic acid-vitamin d oral wafer OTC
calcium-magnesium-zinc oral tablet OTC
calcium-vitamin d3-vitamin k oral tablet,chewable
Calcium Soft Chew OTC
citrus calcium oral tablet OTC
hi-cal plus vit d oral tablet OTC
oysco 500/d oral tablet OTC
oysco-500 oral tablet OTC; QL
oyst-cal-500 oral tablet OTC; QL
oyster shell + d3 oral tablet OTC; QL
oyster shell calcium 500 oral tablet OTC; QL
oyster shell calcium oral tablet OTC; QL
oyster shell calcium-vit d2 oral tablet OTC; QL
oyster shell calcium-vit d3 oral tablet 250-125 mg-unit
OTC; QL
oyster shell calcium-vit d3 oral tablet 500 mg(1,250mg) -200 unit, 500 mg(1,250mg) -400 unit
OTC
oystercal-d oral tablet OTC
risacal-d oral tablet OTC
super calcium oral tablet OTC
tl g-fol os oral tablet
DIETARY PRODUCTS
hair, skin and nails advanced oral tablet OTC
ELECTROLYTE REPLACEMENT
electrolytes-dextrose oral solution Enfamil Enfalyte OTC; QL
oralyte oral solution OTC; QL
pedialyte freezer pops oral solution OTC; QL
pedialyte oral solution OTC; QL
pedialyte singles oral solution OTC; QL
pediatric electrolyte oral solution OTC; QL
pediatric freezer pops oral solution OTC; QL
63
Drug Name Reference Notes
FOLIC ACID PREPARATIONS
elfolate oral tablet OTC
fabb oral tablet OTC
folbee oral tablet OTC
folbic oral tablet OTC; QL
folic acid injection solution
folic acid oral tablet OTC
folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC
folplex 2.2 oral tablet OTC
levomefolate calcium oral tablet Elfolate OTC
l-methylfolate oral tablet OTC
tl gard rx oral tablet OTC
virt-gard oral tablet OTC
virt-vite oral tablet OTC
IRON REPLACEMENT
centratex oral capsule OTC
chewable iron oral tablet,chewable OTC
children's iron oral drops OTC
corvita 150 oral tablet OTC
duofer oral tablet OTC
elite-ob oral tablet AL; QL
ezfe 200 oral capsule OTC
fe c oral tablet OTC
fe c plus oral tablet OTC; QL
feosol oral tablet OTC; QL
ferate oral tablet OTC; QL
ferocon oral capsule OTC; QL
ferosul oral elixir OTC
ferosul oral tablet OTC; QL
ferraplus 90 oral tablet OTC
ferretts oral tablet OTC
ferrex 150 forte oral capsule OTC
ferrex 150 forte plus oral capsule OTC
ferrex 150 oral capsule OTC
ferrex 150 plus oral capsule OTC
ferrex 28 oral tablet OTC
ferric x-150 oral capsule OTC
64
Drug Name Reference Notes
ferrocite oral tablet OTC
ferrocite plus oral tablet OTC
ferro-time oral tablet OTC; QL
ferrous fumarate oral tablet Ferrocite OTC
ferrous gluconate oral tablet Ferate OTC; QL
ferrous sulfate oral drops Children's Iron OTC
ferrous sulfate oral elixir FeroSul OTC
ferrous sulfate oral liquid OTC
ferrous sulfate oral solution OTC
ferrous sulfate oral syringe OTC
ferrous sulfate oral tablet Feosol OTC; QL
ferrous sulfate oral tablet,delayed release (dr/ec) 324 mg (65 mg iron)
OTC; QL
ferrous sulfate oral tablet,delayed release (dr/ec) 325 mg (65 mg iron)
OTC
ferrousul oral tablet OTC; QL
folitab oral tablet extended release OTC
folivane-f oral capsule OTC
folivane-plus oral capsule OTC
hematinic plus vit/minerals oral tablet OTC
hematinic/folic acid oral tablet OTC
hematogen fa oral capsule OTC
hematogen forte oral capsule OTC
hematogen oral capsule OTC
hemetab oral tablet OTC; QL
high potency iron oral tablet OTC
iferex 150 forte oral capsule OTC
iferex 150 oral capsule OTC
infed injection solution
iron (dried) oral tablet extended release OTC
iron (ferrous sulfate) oral tablet OTC; QL
iron 100 plus oral tablet OTC; QL
iron chews oral tablet,chewable OTC
iron high potency oral tablet OTC; QL
iron oral tablet OTC; QL
iron oral tablet extended release OTC
iron, carbonyl oral tablet Feosol OTC
65
Drug Name Reference Notes
iron,carbonyl-vitamin c oral tablet FE C OTC
multigen folic oral tablet OTC
multigen oral tablet OTC
multigen plus oral tablet OTC
myferon 150 forte oral capsule OTC
myferon 150 oral capsule OTC
pedia iron oral drops OTC
poly-iron 150 forte oral capsule OTC
poly-iron oral capsule OTC
polysaccharide iron complex oral capsule Ferrex 150 OTC
slow release iron oral tablet extended release
OTC
sodium ferric gluconat-sucrose intravenous solution
Ferrlecit
stress formula oral tablet OTC; QL
taron forte oral capsule OTC
tl icon oral capsule OTC; QL
tricon oral capsule OTC; QL
trigels-f forte oral capsule OTC
wee care oral suspension OTC; QL
IRRIGATION SOLUTIONS
sodium chloride irrigation solution Sterile Saline
sterile saline irrigation solution OTC
MINERALS AND ELECTROLYTES AGENTS
av-phos 250 neutral oral tablet OTC
calcium-magnesium-copper-zinc oral tablet
OTC
k-phos-neutral oral tablet OTC
laxative dietary supplement oral tablet OTC
mag 64 oral tablet,delayed release (dr/ec) OTC; QL
mag-delay oral tablet,delayed release (dr/ec)
OTC
mag-g oral tablet OTC
magnesium gluconate oral tablet Mag-G OTC
magnesium oral tablet OTC
magnesium oxide oral capsule OTC
66
Drug Name Reference Notes
magnesium oxide oral tablet 200 mg magnesium, 250 mg, 420 mg
OTC
magnesium oxide oral tablet 400 mg MagOx OTC; QL
magnesium oxide oral tablet 500 mgLaxative Dietary Supplement
OTC
mgo oral tablet OTC; QL
phospha 250 neutral oral tablet OTC
phospho-trin 250 neutral oral tablet OTC
virt-phos 250 neutral oral tablet OTC
MULTIVITAMINS
a thru z advanced formula oral tablet OTC; QL
a thru z high potency oral tablet OTC; QL
a thru z oral tablet OTC; QL
a thru z select 50+ formula oral tablet OTC
a thru z select oral tablet OTC; QL
a thru z select women's oral tablet OTC; QL
abc plus oral tablet OTC
actical oral capsule OTC
adults 50 plus oral tablet OTC
antioxidant a/c/e/selenium oral capsule OTC
apatate forte oral liquid OTC; QL
bee-zee oral tablet OTC; QL
biosupp oral liquid OTC; QL
biotect plus oral liquid OTC
biovol oral syrup OTC; QL
calcium citrate plus (vit b6) oral tablet OTC
centamin oral liquid OTC
central vite with lutein oral tablet OTC
central-vite cardio oral tablet OTC; QL
central-vite select oral tablet OTC; QL
centravites 50 plus oral tablet OTC; QL
centravites 50 plus oral tablet 0.4-300-250 mg-mcg-mcg
OTC
centravites oral tablet OTC; QL
centrum women oral tablet OTC; QL
century adults 50 plus oral tablet OTC
century cardio oral tablet OTC; QL
67
Drug Name Reference Notes
century mature oral tablet 0.4-300-250 mg-mcg-mcg
OTC
century mature oral tablet 400-30 mcg OTC; QL
century oral tablet OTC; QL
century ultimate women's oral tablet 18-400 mg-mcg
OTC; QL
century ultimate women's oral tablet 8 mg iron-400 mcg-300 mcg
OTC
cerovite advanced formula oral tablet OTC; QL
cerovite senior oral tablet OTC; QL
certa plus oral tablet OTC; QL
certavite senior-antioxidant oral tablet OTC
certavite-antioxid (iron gluc) oral liquid OTC
certavite-antioxidant oral tablet OTC; QL
chewable-vite oral tablet,chewable OTC
compete oral tablet OTC; QL
complete 50+ oral tablet OTC
complete multi 50+ oral tablet OTC; QL
complete multi oral tablet OTC; QL
complete multivitamin oral tablet OTC; QL
complete multivitamin oral tablet 0.4-300-250 mg-mcg-mcg
OTC
complete multivitamin-mineral oral tablet OTC; QL
complete oral tablet OTC; QL
complete premium vitamin oral tablet OTC; QL
complete senior oral tablet OTC; QL
complete senior oral tablet 0.4-300-250 mg-mcg-mcg
OTC
complete women oral tablet OTC; QL
corvita oral tablet OTC
daily multiple for men oral tablet OTC; QL
daily multiple for women 50+ oral tablet OTC; QL
daily multiple oral tablet OTC; QL
daily multiple vitamins/iron oral tablet OTC; QL
daily multi-vitamin oral tablet OTC; QL
daily multivitamin with iron oral tablet OTC; QL
daily multivitamin-minerals oral tablet OTC; QL
daily multi-vitamins/iron oral tablet OTC; QL
68
Drug Name Reference Notes
daily value oral tablet OTC; QL
daily vitamin formula oral tablet OTC; QL
daily vitamin formula-iron oral tablet OTC; QL
daily vitamin formula-minerals oral tablet OTC; QL
daily vitamin with iron and ca oral tablet OTC; QL
daily vitamin with iron oral tablet OTC; QL
daily vites/iron oral tablet OTC; QL
daily-vite oral tablet OTC; QL
e-400 c-500 and beta carotene oral tablet OTC
eldertonic oral elixir OTC; QL
essentia oral tablet OTC; QL
essential daily oral tablet OTC; QL
eye health plus lutein oral tablet OTC; QL
fosfree oral tablet OTC; QL
geriaton oral liquid OTC; QL
hair vitamins oral tablet OTC; QL
hair,skin and nails oral tablet OTC; QL
healthy eyes oral tablet OTC; QL
healthy eyes supervision oral capsule OTC
ICAPS AREDS ORAL CAPSULE OTC
ICAPS PLUS ORAL TABLET OTC; QL
i-vite oral tablet OTC; QL
i-vite protect oral tablet OTC; QL
m.v.i. adult intravenous solution
macuvite eye care oral tablet OTC; QL
maximum daily multivitamin oral tablet OTC; QL
mega multi for women oral tablet OTC
mega multiple/chelated mineral oral tablet OTC; QL
mega multivitamin for men oral tablet OTC
mega multivitamin with mineral oral tablet OTC
men's daily multivit-mineral oral tablet OTC; QL
men's multi-vitamin oral tablet OTC; QL
men's one daily oral tablet OTC; QL
milltrium senior oral tablet OTC; QL
multi complete with iron oral tablet OTC; QL
multi for her oral tablet OTC
multi-day with iron oral tablet OTC; QL
69
Drug Name Reference Notes
multi-delyn with iron oral liquid OTC
multilex oral tablet OTC; QL
multilex-t and m oral tablet OTC; QL
multiple vitamin, womens oral tablet OTC; QL
multiple vitamin-minerals oral tablet OTC; QL
multiple vitamins oral tablet OTC; QL
multivitamin 50 plus oral tablet OTC; QL
multi-vitamin hp/minerals oral capsule OTC
multivitamin oral capsule OTC
multivitamin oral tablet Daily Multi-Vitamin OTC; QL
multivitamin with iron oral tablet Daily Multi-Vitamins/Iron OTC; QL
multivitamin with minerals oral liquid OTC
multivitamin with minerals oral tablet Bee-Zee OTC; QL
multi-vite (with folic acid) oral tablet OTC; QL
multi-vite 50 and over oral tablet OTC; QL
multivit-min-iron fum-folic ac oral tablet OTC
my-vitalife oral capsule OTC; QL
ocutabs oral tablet OTC; QL
omnicap oral tablet OTC; QL
once daily oral tablet OTC; QL
one daily calcium/iron oral tablet OTC; QL
one daily complete oral tablet OTC; QL
one daily energy oral tablet OTC; QL
one daily essential oral tablet OTC; QL
one daily for men 50+ advanced oral tablet
OTC; QL
one daily for women oral tablet OTC; QL
one daily maximum oral tablet OTC; QL
one daily men's 50 plus memory oral tablet
OTC; QL
one daily mens 50 plus(ginkgo) oral tablet OTC
one daily multi-vit w-mineral oral tablet OTC; QL
one daily multivitamin oral tablet OTC; QL
one daily multivit-iron(folic) oral tablet OTC; QL
one daily oral tablet OTC; QL
one daily plus iron oral tablet OTC; QL
one daily plus minerals oral tablet OTC; QL
70
Drug Name Reference Notes
one daily with iron oral tablet OTC; QL
one daily womens 50 plus oral tablet OTC; QL
one daily women's health oral tablet OTC; QL
one daily women's oral tablet OTC; QL
ONE-A-DAY ESSENTIAL ORAL TABLET
OTC; QL
ONE-A-DAY MAXIMUM FORMULA ORAL TABLET
OTC; QL
ONE-A-DAY TEEN ADVANTAGE ORAL TABLET
OTC; QL
one-tablet-daily oral tablet OTC; QL
opti-vitamins oral tablet OTC; QL
purevit dualfe plus oral capsule OTC
quintabs-m iron free oral tablet OTC; QL
senior tabs oral tablet OTC
sentry (with lutein) oral tablet OTC; QL
sentry oral tablet OTC; QL
sentry senior oral tablet 0.4-300-250 mg-mcg-mcg
OTC
sentry senior oral tablet 500-300-250 mcg OTC; QL
se-tan plus oral capsule OTC
spectravite adult 50+ oral tablet OTC
spectravite advanced formula oral tablet OTC; QL
spectravite men's oral tablet OTC; QL
spectravite senior oral tablet OTC; QL
spectravite ultra women oral tablet OTC; QL
spectravite ultra women's sr oral tablet OTC
sunvite oral tablet OTC
super antioxidant oral capsule OTC
super multiple oral tablet OTC; QL
super multivitamin oral tablet OTC; QL
super thera vite m oral tablet OTC; QL
support oral liquid OTC; QL
tab-a-vite oral tablet OTC; QL
tab-a-vite/iron oral tablet OTC; QL
tab-a-vite-minerals oral tablet OTC; QL
thera m plus (ferrous fumarat) oral tablet OTC; QL
thera oral tablet OTC; QL
71
Drug Name Reference Notes
THERADEX M ORAL TABLET OTC; QL
theralogix companion oral tablet OTC; QL
thera-m oral tablet OTC; QL
therapeutic liquid oral liquid OTC
therapeutic-m oral tablet OTC; QL
therapeutic-m vitamin/minerals oral tablet OTC; QL
thera-tabs m oral tablet OTC; QL
thera-tabs oral tablet OTC; QL
theratrum complete 50 plus/lut oral tablet OTC; QL
theratrum complete 50 plus-lyc oral tablet OTC
theratrum complete with lutein oral tablet OTC; QL
therems oral tablet OTC; QL
therems-m oral tablet OTC; QL
totalday multiple oral tablet extended release
OTC; QL
tyr cooler oral liquid OTC
ultimate women's complete 50+ oral tablet OTC
ultra antioxidant formula oral tablet OTC
unicomplex-m oral tablet OTC; QL
UROSEX ORAL TABLET OTC
v-c forte oral capsule OTC
vic-forte oral capsule OTC
vit 3 oral capsule OTC
vitacel (with lutein) oral tablet OTC
vitalee oral tablet OTC; QL
vitamins a and d oral capsule OTC
vitamins and minerals oral tablet OTC; QL
vitamins for hair oral tablet OTC; QL
vitatrum oral tablet OTC; QL
vitrum senior oral tablet OTC; QL
women's daily formula oral tablet OTC; QL
women's daily multivitamin oral tablet OTC; QL
yelets oral tablet OTC; QL
NUTRITIONAL PRODUCTS
GERBER GOOD START GLUCOSE ORAL SOLUTION
OTC
72
Drug Name Reference Notes
PEDIATRIC VITAMIN PREPARATIONS
animal chews oral tablet,chewable OTC
animal shape vitamins oral tablet,chewable
OTC
animal shapes complete oral tablet,chewable
OTC
cerovite jr oral tablet,chewable OTC; QL
chewable-vite oral tablet,chewable OTC
chewable-vite with iron oral tablet,chewable
OTC
children's chewable multivitmn oral tablet,chewable
OTC
children's chewable oral tablet,chewable OTC
children's chewable vitamin oral tablet,chewable
OTC
children's chewables extra c oral tablet,chewable
OTC
children's chewables oral tablet,chewable OTC
children's chewables with iron oral tablet,chewable
OTC
childs chew vite oral tablet,chewable OTC
child's chewable vitamins/iron oral tablet,chewable
OTC
child's vitamin with iron oral tablet,chewable
OTC
childs/iron oral tablet,chewable OTC
dino-life oral tablet,chewable OTC
dino-life with extra c oral tablet,chewable OTC
dino-life with iron-zinc oral tablet,chewable OTC; QL
FLINTSTONES MULTI-VIT GUMMIES ORAL TABLET,CHEWABLE
OTC
FLINTSTONES TAB CHEW ORAL TABLET,CHEWABLE
OTC
fruity vitamin oral tablet,chewable OTC
gummi bear multivitamin oral tablet,chewable
OTC
gummy dinos oral tablet,chewable OTC
honey bears oral tablet,chewable OTC
73
Drug Name Reference Notes
honey bears with iron-zinc oral tablet,chewable
OTC; QL
little animals oral tablet,chewable OTC
little animals-iron oral tablet,chewable OTC
lysiplex plus oral liquid OTC; QL
multi-vit with fluoride-iron oral drops OTC
multi-vitamin with fluoride oral drops OTC
multivitamin with fluoride oral tablet,chewable
OTC
multi-vitamin with fluoride oral tablet,chewable
OTC
multivitamins with fluoride oral tablet,chewable
OTC
multi-vitamins with iron oral tablet,chewable
OTC; QL
multivit-fluor (vit e acetate) oral drops OTC
mvc-fluoride oral tablet,chewable OTC
PEDIA POLY-VITE ORAL DROPS OTC
POLY-VI-SOL ORAL DROPS OTC
POLY-VI-SOL WITH IRON ORAL DROPS
OTC
polyvitamin with iron oral tablet,chewable OTC; QL
poly-vitamins oral tablet,chewable OTC
triple vitamin with fluoride oral drops OTC
tri-vitamin with fluoride oral drops OTC
vitalets oral tablet,chewable OTC
vitamins a,c,d and fluoride oral drops OTC
zoo chews oral tablet,chewable OTC
zoo friends original oral tablet,chewable OTC
POTASSIUM REMOVING RESINS
sodium polystyrene (sorb free) oral suspension
sodium polystyrene sulfonate oral suspension
sodium polystyrene (sorb free)
sodium polystyrene sulfonate rectal enema
sps (with sorbitol) oral suspension
sps (with sorbitol) rectal enema
74
Drug Name Reference Notes
POTASSIUM REPLACEMENT
effer-k oral tablet, effervescent
k-effervescent oral tablet, effervescent
klor-con 10 oral tablet extended release
klor-con 8 oral tablet extended release
klor-con m10 oral tablet,er particles/crystals
klor-con m15 oral tablet,er particles/crystals
klor-con m20 oral tablet,er particles/crystals
klor-con oral packet
klor-con/ef oral tablet, effervescent
k-tab oral tablet extended release
potassium bicarb and chloride oral tablet, effervescent
potassium bicarb-citric acid oral tablet, effervescent
Effer-K
potassium chloride oral capsule, extended release
Klor-Con Sprinkle
potassium chloride oral liquid
potassium chloride oral packet Klor-Con
potassium chloride oral tablet extended release
K-Tab
potassium chloride oral tablet,er particles/crystals
Klor-Con M20
potassium gluconate oral tablet OTC; QL
PRENATAL VITAMIN PREPARATIONS
classic prenatal oral tablet AL; OTC; QL
daily prenatal oral combo pack AL; OTC; QL
dothelle dha oral capsule AL; QL
elite-ob oral tablet AL; QL
kpn oral tablet AL; OTC; QL
MINI PRENATAL ORAL TABLET AL; OTC; QL
mynatal advance oral tablet AL; QL
mynatal oral capsule AL; QL
mynatal oral tablet AL; QL
mynatal plus oral tablet AL; QL
75
Drug Name Reference Notes
mynatal-z oral tablet AL; QL
mynate 90 plus oral tablet extended release
AL; QL
one daily prenatal oral combo pack AL; OTC; QL
perry prenatal oral capsule AL; OTC; QL
pnv cmb#95-ferrous fumarate-fa oral tablet
Prenatal AL; OTC; QL
prena1 true oral combo pack AL; QL
prenatal + dha oral combo pack AL; OTC; QL
prenatal formula oral tablet AL; OTC; QL
prenatal gummy oral tablet,chewable AL; OTC; QL
prenatal multivitamins oral tablet AL; OTC; QL
prenatal one daily oral tablet AL; OTC; QL
prenatal oral tablet AL; OTC; QL
prenatal tablet oral tablet AL; OTC; QL
prenatal vitamin oral tablet AL; OTC; QL
prenatal vitamin plus low iron oral tablet AL; QL
prenatal vitamin with minerals oral tablet AL; OTC; QL
prenatal vits96-iron fum-folic oral tablet AL; OTC; QL
thrivite-19 oral tablet AL; OTC; QL
virt-nate dha oral capsule AL; QL
vol-plus oral tablet AL; OTC; QL
women's prenatal + dha oral combo pack AL; OTC; QL
VITAMIN A PREPARATIONS
vitamin a oral capsule 10,000 unit, 8,000 unit
OTC
vitamin a oral capsule 25,000 unit OTC; QL
VITAMIN B PREPARATIONS
apetigen plus oral liquid OTC
b complex 1 oral tablet OTC
b complex 100 injection solution
b complex 100 oral tablet OTC
b complex-vitamin b12 oral tablet OTC
b complex-vitamin c-folic acid oral tablet OTC
b-100 complex oral tablet extended release
OTC
b-12 dots oral tablet OTC
balance b-100 oral tablet OTC
76
Drug Name Reference Notes
balance b-50 oral tablet OTC
balanced b-100 complex oral tablet extended release
OTC
balanced b-100 oral tablet OTC
balanced b-50 complex oral tablet OTC
balanced b-50 oral tablet OTC
b-complex oral tablet OTC
b-complex with vitamin c oral capsule Super B/C OTC; QL
b-complex with vitamin c oral tablet Super B Complex-Vitamin C OTC; QL
b-complex with vitamin c oral tablet 400-500 mcg-mg
OTC
b-complex with vitamin c oral tablet extended release
OTC; QL
complex b-100 oral tablet extended release
OTC
cyanocobalamin (vitamin b-12) injection solution
Vitamin B-12
cyanocobalamin (vitamin b-12) oral liquid Liquid B 12 OTC
cyanocobalamin (vitamin b-12) oral tablet Vitamin B-12 OTC
cyanocobalamin (vitamin b-12) oral tablet extended release
Vitamin B-12 OTC
cyanocobalamin (vitamin b-12) sublingual drops
OTC
cyanocobalamin (vitamin b-12) sublingual lozenge
OTC
cyanocobalamin (vitamin b-12) sublingual tablet
Vitamin B-12 OTC
DIALYVITE 800 ORAL TABLET OTC
DIALYVITE ORAL TABLET OTC
fabb oral tablet OTC
folbee oral tablet OTC
folbee plus oral tablet OTC
folbic oral tablet OTC; QL
folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC
folplex 2.2 oral tablet OTC
foltabs 800 oral tablet OTC
full spectrum b-vitamin c oral tablet OTC
hydroxocobalamin intramuscular solution
kobee oral tablet OTC
77
Drug Name Reference Notes
mynephrocaps oral capsule OTC
mynephron oral capsule OTC
natural b-100 complex oral tablet OTC
nephplex rx oral tablet OTC
nephronex oral liquid OTC
nephronex-sl oral tablet,disintegrating OTC
NEPHRO-VITE RX ORAL TABLET OTC
niacin (inositol niacinate) oral capsule Niacin Flush Free OTC
niacin (niacinamide) oral tablet OTC
niacin flush free oral capsule OTC
niacin oral capsule, extended release OTC; QL
niacin oral tablet OTC
niacin oral tablet extended release Endur-Acin OTC
niacinamide oral tablet Niacin (niacinamide) OTC
pantothenic acid (vit b5) oral tablet OTC
pyridoxine (vitamin b6) injection solution
pyridoxine (vitamin b6) oral tablet Vitamin B-6 OTC
renal caps oral capsule OTC
rena-vite oral tablet OTC
rena-vite rx oral tablet OTC
reno caps oral capsule OTC
riboflavin (vitamin b2) oral tablet Vitamin B-2 OTC
slo-niacin oral tablet extended release OTC
stress b plus zinc oral tablet OTC; QL
stress b with zinc oral tablet OTC; QL
stress formula 600 c oral tablet OTC; QL
stress formula oral tablet OTC; QL
stress formula plus iron oral tablet OTC; QL
stress formula with iron oral tablet OTC
stress formula with iron(sulf) oral tablet OTC
stress formula with zinc oral tablet OTC; QL
super b complex-vitamin c oral tablet OTC; QL
super b maxi complex oral tablet OTC
super b/c oral capsule OTC; QL
super b-50 complex oral capsule OTC
super b-50 complex plus oral tablet OTC
super quints b-50 oral tablet OTC
78
Drug Name Reference Notes
super quints oral tablet OTC
superplex-t oral tablet OTC; QL
thiamine hcl (vitamin b1) injection solution
thiamine hcl (vitamin b1) oral tablet Vitamin B-1 OTC
thiamine mononitrate (vit b1) oral tablet Vitamin B-1 (mononitrate) OTC
tl gard rx oral tablet OTC
total b/c oral tablet OTC; QL
triphrocaps oral capsule OTC
ultra b-100 complex oral tablet OTC
virt-gard oral tablet OTC
virt-vite oral tablet OTC
vit b complex-folic acid oral tablet B Complex 100 OTC
vitamin b complex oral capsule Super B-50 Complex OTC
vitamin b complex oral tablet B Complex 1 OTC
vitamin b complex with c oral capsule OTC; QL
vitamin b-1 (mononitrate) oral tablet OTC
vitamin b-1 oral tablet OTC
vitamin b-12 injection solution
vitamin b-12 oral tablet OTC
vitamin b-12 oral tablet extended release OTC
vitamin b-12 sublingual tablet OTC
vitamin b-2 oral tablet OTC
vitamin b-6 oral tablet OTC
vitamins b complex oral capsule OTC
vitamins b complex oral tablet OTC
vitamins for hair oral tablet OTC; QL
vol-care rx oral tablet OTC
vp-vite rx oral tablet OTC
VITAMIN C PREPARATIONS
acerola c-500 oral wafer OTC
ascorbate calcium oral tablet OTC
ascorbic acid (vitamin c) injection solution
ascorbic acid (vitamin c) oral capsule, extended release
Vitamin C OTC
ascorbic acid (vitamin c) oral syrup OTC
ascorbic acid (vitamin c) oral tablet 1,000 mg
C-1000 OTC
79
Drug Name Reference Notes
ascorbic acid (vitamin c) oral tablet 250 mg
Vitamin C OTC; QL
ascorbic acid (vitamin c) oral tablet 500 mg
Ascorbic Acid with Rose Hips
OTC; QL
ascorbic acid (vitamin c) oral tablet extended release
OTC
ascorbic acid (vitamin c) oral tablet,chewable
Acerola C OTC; QL
ascorbic acid with rose hips oral tablet OTC; QL
c complex oral tablet extended release OTC
c-1000 oral tablet OTC
c-1000 oral tablet extended release OTC
c-1000 with rose hips oral tablet OTC
c-500 oral tablet OTC; QL
c-500 oral tablet extended release OTC
c-500 oral tablet,chewable OTC; QL
endur-c with rose hips oral tablet extended release
OTC
fruit c oral tablet,chewable OTC
fruit c-500 oral tablet,chewable OTC; QL
halls defense oral lozenge OTC
soothing pureway-c oral tablet OTC; QL
strawberry c oral tablet,chewable OTC; QL
vita-c oral crystals OTC
vitamin c drops oral lozenge OTC
vitamin c oral capsule, extended release OTC
vitamin c oral lozenge OTC
vitamin c oral powder OTC
vitamin c oral tablet 1,000 mg, 100 mg OTC
vitamin c oral tablet 250 mg, 500 mg OTC; QL
vitamin c oral tablet extended release OTC
vitamin c oral tablet,chewable 250 mg OTC
vitamin c oral tablet,chewable 500 mg OTC; QL
vitamin c with rose hips oral tablet 1,000 mg
OTC
vitamin c with rose hips oral tablet 500 mg OTC; QL
vitamin c with rose hips oral tablet extended release
OTC
zinc and c oral lozenge OTC
80
Drug Name Reference Notes
VITAMIN D PREPARATIONS
calcidol oral drops OTC
calcitriol oral capsule Rocaltrol PA
calcitriol oral solution Rocaltrol PA
cholecalciferol (vitamin d3) oral capsule 1,000 unit, 400 unit
Vitamin D3 OTC
cholecalciferol (vitamin d3) oral capsule 10,000 unit
Decara OTC
cholecalciferol (vitamin d3) oral capsule 2,000 unit
D3-2000 OTC; QL
cholecalciferol (vitamin d3) oral capsule 5,000 unit
Dialyvite Vitamin D OTC; QL
cholecalciferol (vitamin d3) oral drops 400 unit/ml
D-Vi-Sol OTC; QL
cholecalciferol (vitamin d3) oral drops 5,000 unit/ml
OTC
cholecalciferol (vitamin d3) oral tablet 1,000 unit, 5,000 unit
Vitamin D3 OTC
cholecalciferol (vitamin d3) oral tablet 2,000 unit
D3 DOTS OTC
cholecalciferol (vitamin d3) oral tablet 400 unit
Delta D3 OTC; QL
cholecalciferol (vitamin d3) oral tablet,chewable
Kids Vitamin D3 OTC
d3-2000 oral capsule OTC; QL
delta d3 oral tablet OTC; QL
DIALYVITE VITAMIN D ORAL CAPSULE OTC; QL
d-vi-sol oral drops OTC; QL
ergocalciferol (vitamin d2) oral capsule Drisdol
ergocalciferol (vitamin d2) oral drops Calcidol OTC
ergocalciferol (vitamin d2) oral tablet OTC
replesta oral wafer OTC
thera-d oral tablet OTC
vitajoy daily d oral tablet,chewable OTC
vitamin d2 oral capsule
vitamin d3 oral capsule 1,000 unit, 400 unit
OTC
vitamin d3 oral capsule 2,000 unit OTC; QL
vitamin d3 oral tablet 1,000 unit, 2,000 unit, 5,000 unit
OTC
81
Drug Name Reference Notes
vitamin d3 oral tablet 400 unit OTC; QL
vitamin d3 oral tablet,chewable OTC
VITAMIN E PREPARATIONS
aquasol e (d-alpha tocopherol) oral drops OTC
vitamin e (dl, acetate) oral capsule OTC
vitamin e acetate oral capsule OTC
vitamin e mixed oral capsule OTC
vitamin e oral capsule OTC
vitamin e oral dropsAquasol E (d-alpha tocopherol)
OTC
wheat germ oil oral capsule OTC
VITAMIN K PREPARATIONS
phytonadione (vitamin k1) oral tablet 100 mcg
OTC
phytonadione (vitamin k1) oral tablet 5 mg Mephyton
vitamin k injection solution
vitamin k1 injection solution
VITAMINS
biotin oral capsule Meribin OTC
biotin oral tablet OTC
ZINC REPLACEMENT
chelated zinc oral tablet OTC; QL
zinc amino acid chelate oral tablet OTC; QL
zinc gluconate oral tablet 100 mg, 30 mg OTC
zinc gluconate oral tablet 50 mg OTC; QL
zinc oral tablet Chelated Zinc OTC; QL
zinc sulfate oral capsule Orazinc OTC
zinc sulfate oral tablet OTC
zinc-220 oral capsule OTC
zinc-vit c-pyridoxine (vit b6) oral lozenge OTC
ENDOCRINE
ANDROGENIC AGENTS
testosterone cypionate intramuscular oil Depo-Testosterone PA
testosterone enanthate intramuscular oil PA
testosterone transdermal gel Testim PA; QL
testosterone transdermal gel in metered-dose pump
Vogelxo PA; QL
82
Drug Name Reference Notes
testosterone transdermal gel in packet AndroGel PA; QL
ANTIDIURETIC AND VASOPRESSOR HORMONES
DDAVP NASAL SOLUTION
desmopressin nasal spray with pump DDAVP
desmopressin nasal spray,non-aerosol
desmopressin oral tablet DDAVP QL
ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE
SYMLINPEN 120 SUBCUTANEOUS PEN INJECTOR
PA; QL
SYMLINPEN 60 SUBCUTANEOUS PEN INJECTOR
PA; QL
ANTIHYPERGLYCEMIC, INCRETIN MIMETIC (GLP-1 RECEPTOR AGONIST)
OZEMPIC SUBCUTANEOUS PEN INJECTOR
PA; QL
TANZEUM SUBCUTANEOUS PEN INJECTOR
PA; QL
VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR
PA; QL
VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR
PA; QL
ANTITHYROID PREPARATIONS
methimazole oral tablet Tapazole
propylthiouracil oral tablet
BONE RESORPTION INHIBITORS
alendronate oral solution QL
alendronate oral tablet QL
CALCITONINS
calcitonin (salmon) nasal spray,non-aerosol
DIPEPTIDYL PEPTIDASE - IV INHIBITOR & COMBINATIONS
JANUMET ORAL TABLET PA; QL
JANUMET XR ORAL TABLET, ER MULTIPHASE 24 HR
PA; QL
JANUVIA ORAL TABLET PA; QL
83
Drug Name Reference Notes
JENTADUETO ORAL TABLET PA; QL
JENTADUETO XR ORAL TABLET, IR - ER, BIPHASIC 24HR
PA; QL
TRADJENTA ORAL TABLET PA; QL
ESTROGENIC AGENTS
amabelz oral tablet
estradiol oral tablet Estrace
estradiol transdermal patch transdermal patch weekly
QL
estradiol transdermal patch weekly Climara QL
estradiol-norethindrone acet oral tablet Activella
estropipate oral tablet
fyavolv oral tablet
jevantique lo oral tablet
jinteli oral tablet
lopreeza oral tablet
mimvey lo oral tablet
mimvey oral tablet
norethindrone ac-eth estradiol oral tablet Fyavolv
PREMPHASE ORAL TABLET
PREMPRO ORAL TABLET
raloxifene oral tablet Evista
FERTILITY ENHANCER
MAKENA (PF) SUBCUTANEOUS AUTO-INJECTOR
PA
MAKENA INTRAMUSCULAR OIL PA; QL
GLUCOCORTICOIDS
cortisone oral tablet
dexamethasone intensol oral drops
dexamethasone oral elixir Decadron
dexamethasone oral solution
dexamethasone oral tablet Decadron
dexamethasone sodium phosphate injection solution
DEXPAK 10 DAY ORAL TABLETS,DOSE PACK
DEXPAK 13 DAY ORAL TABLETS,DOSE PACK
84
Drug Name Reference Notes
DEXPAK 6 DAY ORAL TABLETS,DOSE PACK
hydrocortisone oral tablet Cortef
MEDROL ORAL TABLET
methylprednisolone acetate injection suspension
Depo-Medrol
methylprednisolone oral tablet Medrol
methylprednisolone oral tablets,dose pack Medrol (Pak)
millipred oral tablet
prednisolone oral solution
prednisolone sodium phosphate oral solution
prednisone intensol oral concentrate
prednisone oral solution
prednisone oral tablet
prednisone oral tablets,dose pack
GROWTH HORMONES
ZOMACTON SUBCUTANEOUS RECON SOLN
PA; QL
HYPERGLYCEMICS
dex4 glucose bits oral tablet,chewable OTC
dex4 glucose oral tablet,chewable OTC
dex4 glucose pouch pack oral tablet,chewable
OTC
dex4 glucose quick dissolve oral tablet,chewable
OTC
dextrose oral gel Dex4 Glucose OTC
GLUCAGEN HYPOKIT INJECTION RECON SOLN
QL
GLUCAGON EMERGENCY KIT (HUMAN) INJECTION KIT
QL
gluco burst oral gel OTC
glucose bits oral tablet,chewable OTC
glucose gel oral gel OTC
glucose oral tablet,chewable Dex4 Glucose OTC
HYPOGLYCEMICS, ALPHA GLUCOSIDASE INHIBITOR TYPE
acarbose oral tablet 100 mg Precose
acarbose oral tablet 25 mg, 50 mg Precose QL
85
Drug Name Reference Notes
HYPOGLYCEMICS, BIGUANIDINE TYPE
metformin oral tablet Glucophage
metformin oral tablet extended release 24 hr
Glucophage XR
HYPOGLYCEMICS, INSULIN - RELEASE STIMULANT TYPE
glimepiride oral tablet Amaryl
glipizide oral tablet Glucotrol
glipizide oral tablet extended release 24hr Glucotrol XL
glipizide-metformin oral tablet
glyburide micronized oral tablet Glynase
glyburide oral tablet
glyburide-metformin oral tablet
nateglinide oral tablet Starlix PA; QL
repaglinide oral tablet Prandin PA
HYPOGLYCEMICS, INSULIN - RESPONSE ENHANCER
pioglitazone oral tablet Actos PA; QL
pioglitazone-glimepiride oral tablet DUETACT PA
pioglitazone-metformin oral tablet Actoplus MET PA
INSULINS
APIDRA SOLOSTAR U-100 INSULIN SUBCUTANEOUS INSULIN PEN
QL
APIDRA U-100 INSULIN SUBCUTANEOUS SOLUTION
QL
BASAGLAR KWIKPEN U-100 INSULIN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 50-50 INSULN U-100 SUBCUTANEOUS SUSPENSION
QL
HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS INSULIN PEN
QL
HUMALOG MIX 75-25(U-100)INSULN SUBCUTANEOUS SUSPENSION
QL
HUMULIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
HUMULIN 70/30 U-100 KWIKPEN SUBCUTANEOUS INSULIN PEN
OTC; QL
86
Drug Name Reference Notes
HUMULIN N NPH INSULIN KWIKPEN SUBCUTANEOUS INSULIN PEN
OTC; QL
HUMULIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
HUMULIN R REGULAR U-100 INSULN INJECTION SOLUTION
OTC; QL
HUMULIN R U-500 (CONC) INSULIN SUBCUTANEOUS SOLUTION
QL
HUMULIN R U-500 (CONC) KWIKPEN SUBCUTANEOUS INSULIN PEN
QL
NOVOLIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
NOVOLIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION
OTC; QL
NOVOLIN R REGULAR U-100 INSULN INJECTION SOLUTION
OTC; QL
NOVOLOG MIX 70-30 U-100 INSULN SUBCUTANEOUS SOLUTION
QL
NOVOLOG MIX 70-30FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN
QL
MINERALOCORTICOIDES
fludrocortisone oral tablet
OXYTOCICS
methylergonovine injection solution
methylergonovine oral tablet Methergine
PITUITARY SUPPRESSIVE AGENTS
cabergoline oral tablet QL
PROGESTATIONAL AGENTS
hydroxyprogesterone caproate intramuscular oil
PA; QL
MAKENA (PF) SUBCUTANEOUS AUTO-INJECTOR
PA
MAKENA INTRAMUSCULAR OIL PA; QL
medroxyprogesterone oral tablet Provera QL
norethindrone acetate oral tablet Aygestin
progesterone micronized oral capsule Prometrium QL
SODIUM GLUCOSE (SGLT2) INHIBITORS
JARDIANCE ORAL TABLET PA; QL
SYNJARDY ORAL TABLET PA; QL
87
Drug Name Reference Notes
SYNJARDY XR ORAL TABLET, IR - ER, BIPHASIC 24HR
PA; QL
THYROID HORMONES
levothyroxine oral tablet Levo-T
levoxyl oral tablet
liothyronine oral tablet Cytomel
nature-throid oral tablet QL
np thyroid oral tablet QL
thyroid (pork) oral tablet Armour Thyroid QL
unithroid oral tablet
westhroid oral tablet QL
GASTROINTESTINAL THERAPY AGENTS
ANTACIDS
acid gone antacid e.strength oral tablet,chewable
OTC
acid gone antacid oral suspension OTC
advanced antacid-antigas oral suspension OTC
alcalak oral tablet,chewable OTC
almacone oral suspension OTC
almacone-2 oral suspension OTC
aluminum hydroxide gel oral suspension OTC
alum-mag hydroxide-simeth oral suspension
Advanced Antacid-Antigas OTC
antacid (calcium carb-mag hyd) oral tablet,chewable
OTC
antacid (calcium carbonate) oral tablet,chewable
OTC; QL
antacid anti-gas double str oral suspension
OTC
antacid anti-gas oral suspension OTC
antacid exst (mag carb-al hyd) oral tablet,chewable
OTC
antacid ext str (calcium carb) oral tablet,chewable
OTC
antacid extra-strength oral suspension OTC
antacid extra-strength oral tablet,chewable
OTC
antacid liquid oral suspension OTC
88
Drug Name Reference Notes
antacid m oral suspension OTC
antacid maximum strength oral suspension
OTC
antacid oral suspension OTC
antacid plus anti-gas oral suspension OTC
antacid regular strength oral suspension OTC
antacid supreme oral suspension OTC
antacid ultra strength oral tablet,chewable OTC
antacid-antigas oral suspension OTC
antacid-simethicone oral suspension OTC
calcium antacid oral tablet,chewable 200 mg calcium (500 mg), 430 mg calcium (1,000 mg)
OTC; QL
calcium antacid oral tablet,chewable 300 mg (750 mg), 320 mg calcium (750 mg), 400 mg calcium (1,000 mg)
OTC
calcium antacid tropical oral tablet,chewable
OTC
calcium antacid ultra max st oral tablet,chewable
OTC
calcium carbonate oral tablet OTC; QL
calcium carbonate oral tablet,chewable 200 mg calcium (500 mg)
Antacid (calcium carbonate) OTC; QL
calcium carbonate oral tablet,chewable 300 mg (750 mg)
Antacid Ext Str (calcium carb)
OTC
calcium carbonate oral tablet,chewable 400 mg calcium (1,000 mg)
Antacid Ultra Strength OTC
cal-gest antacid oral tablet,chewable OTC; QL
children's pepto oral tablet,chewable OTC
children's soothe oral tablet,chewable OTC
comfort gel extra strength oral suspension OTC
comfort gel oral suspension OTC
flavor chews antacid oral tablet,chewable OTC
foaming antacid oral suspension OTC
foaming antacid oral tablet,chewable OTC; QL
geri-lanta oral suspension OTC
heartburn antacid oral tablet,chewable OTC
heartburn relief oral tablet,chewable OTC
liquid antacid oral suspension OTC
89
Drug Name Reference Notes
maalox maximum strength oral suspension
OTC
mag-al plus extra strength oral suspension
OTC
mag-al plus oral suspension OTC
masanti double strength oral suspension OTC
mi-acid oral suspension OTC
mi-acid oral tablet,chewable OTC
mintox maximum strength oral suspension OTC
mintox oral suspension OTC
mintox plus oral tablet,chewable OTC
ri-gel ii oral suspension OTC
ri-gel oral suspension OTC
riginic oral suspension OTC
ri-mag oral suspension OTC
ri-mag plus oral suspension OTC
ri-mox oral suspension OTC
ri-mox plus oral suspension OTC
smooth antacid oral tablet,chewable OTC
sodium bicarbonate oral tablet OTC
tums ultra oral tablet,chewable OTC
ultra strength antacid oral tablet,chewable OTC
ultra strength calcium antacid oral tablet,chewable
OTC
ANTIDIARRHEALS
anti-diarrhea oral tablet OTC; QL
anti-diarrheal (loperamide) oral capsule OTC; QL
anti-diarrheal (loperamide) oral liquid OTC; QL
anti-diarrheal (loperamide) oral tablet OTC; QL
bismatrol oral suspension 262 mg/15 ml OTC; QL
bismatrol oral suspension 525 mg/15 ml OTC
bismatrol oral tablet,chewable OTC
bismuth maximum strength oral suspension
OTC
bismuth oral suspension OTC; QL
bismuth oral tablet OTC
bismuth oral tablet,chewable OTC
bismuth subsalicylate oral suspension Anti-Diarrheal OTC; QL
90
Drug Name Reference Notes
bismuth subsalicylate oral tablet,chewable Bismatrol OTC
diamode oral tablet OTC; QL
diarrhea relief (bismuth subs) oral suspension
OTC; QL
diotame oral tablet,chewable OTC
diphenoxylate-atropine oral liquid
diphenoxylate-atropine oral tablet Lomotil
kaopectate (bismuth subsalicy) oral suspension
OTC; QL
kaopectate ex str (bismuth ss) oral suspension
OTC
kao-tin (bismuth subsalicylat) oral suspension
OTC; QL
k-pec antidiarrheal (bism sub) oral suspension
OTC; QL
loperamide oral capsule Anti-Diarrheal (loperamide) OTC; QL
loperamide oral liquid Anti-Diarrheal (loperamide) OTC; QL
loperamide oral tablet Anti-Diarrhea OTC; QL
peptic relief oral suspension OTC; QL
peptic relief oral tablet,chewable OTC
pepto-bismol oral tablet,chewable OTC
pepto-bismol to-go oral tablet,chewable OTC
pink bismuth maximum strength oral suspension
OTC
pink bismuth oral suspension 262 mg/15 ml
OTC; QL
pink bismuth oral suspension 525 mg/15 ml
OTC
pink bismuth oral tablet OTC
pink bismuth oral tablet,chewable OTC
soothe (bismuth subsalicylate) oral tablet OTC
soothe (bismuth subsalicylate) oral tablet,chewable
OTC
soothe regular strength oral suspension OTC; QL
stomach relief max strength oral suspension
OTC
stomach relief oral suspension 262 mg/15 ml
OTC; QL
stomach relief oral suspension 525 mg/15 ml
OTC
91
Drug Name Reference Notes
stomach relief oral tablet OTC
stomach relief oral tablet,chewable OTC
stomach relief original oral suspension OTC; QL
ANTIEMETIC/ANTIVERTIGO AGENTS
anti-nausea oral solution OTC
compro rectal suppository
dimenhydrinate oral tablet Dramamine OTC
dramamine less drowsy oral tablet OTC
dramamine oral tablet OTC
driminate oral tablet OTC
formula em oral solution OTC
meclizine oral tablet OTC
meclizine oral tablet,chewable Bonine OTC
medi-meclizine oral tablet OTC
motion relief (meclizine) oral tablet OTC
motion sickness (meclizine) oral tablet OTC
motion sickness ii oral tablet OTC
motion sickness oral tablet OTC
motion sickness relief oral tablet OTC
motion sickness relief(mecliz) oral tablet OTC
motion sickness relief(mecliz) oral tablet,chewable
OTC
nausea control oral solution OTC
nausea relief oral solution OTC
ondansetron oral tablet,disintegrating Zofran ODT QL
phenadoz rectal suppository
prochlorperazine edisylate injection solution
prochlorperazine maleate oral tablet Compazine
prochlorperazine rectal suppository Compazine
promethazine rectal suppository Phenadoz AL
promethegan rectal suppository AL
travel sickness (meclizine) oral tablet,chewable
OTC
travel sickness oral tablet OTC
trimethobenzamide oral capsule Tigan
wal-dram oral tablet OTC
92
Drug Name Reference Notes
ANTIFLATULENTS
anti-gas ultra strength oral capsule OTC
bicarsim forte oral tablet OTC
gas relief 80 oral tablet,chewable OTC
gas relief extra strength oral capsule OTC
gas relief extra strength oral tablet,chewable
OTC
gas relief oral capsule OTC
gas relief oral drops,suspension OTC
gas relief oral tablet,chewable OTC
gas relief ultra strength oral capsule OTC
infants gas relief oral drops,suspension OTC
mi-acid gas relief oral tablet,chewable OTC
simethicone oral capsule Anti-Gas Ultra Strength OTC
simethicone oral drops,suspension Gas Relief OTC
simethicone oral tablet,chewable Gas Relief OTC
ANTISPASMODICS
dicyclomine oral capsule
dicyclomine oral solution
dicyclomine oral tablet
glycopyrrolate oral tablet Robinul
hyoscyamine sulfate oral drops Hyosyne
hyoscyamine sulfate oral elixir Hyosyne
hyoscyamine sulfate oral tablet Levsin
hyoscyamine sulfate oral tablet extended release 12 hr
Levbid
hyoscyamine sulfate oral tablet,disintegrating
Anaspaz
hyoscyamine sulfate sublingual tablet Levsin/SL
hyosyne oral drops
hyosyne oral elixir
oscimin oral tablet
oscimin oral tablet,disintegrating
oscimin sl sublingual tablet
oscimin sr oral tablet extended release 12 hr
propantheline oral tablet
symax fastabs oral tablet,disintegrating
93
Drug Name Reference Notes
symax-sr oral tablet extended release 12 hr
BILE SALTS
ursodiol oral capsule Actigall
ursodiol oral tablet URSO 250
CHRONIC INFLAMMATION, COLON DISEASE, 5-AMINOSALICYLATES
APRISO ORAL CAPSULE,EXTENDED RELEASE 24HR
QL
balsalazide oral capsule Colazal QL
mesalamine rectal enema Rowasa QL
mesalamine with cleansing wipe rectal enema kit
Rowasa QL
sulfasalazine oral tablet Azulfidine QL
sulfasalazine oral tablet,delayed release (dr/ec)
Azulfidine EN-tabs QL
GASTRIC ACID SECRETION REDUCERS
acid control (ranitidine) oral tablet OTC; QL
acid controller complete oral tablet,chewable
OTC
acid controller oral tablet OTC; QL
acid reducer (famotidine) oral tablet OTC; QL
acid reducer (omeprazole) oral capsule,delayed release(dr/ec)
OTC; QL
acid reducer (ranitidine) oral tablet OTC; QL
acid reducer complete (famot) oral tablet,chewable
OTC
CARAFATE ORAL SUSPENSION
complete oral tablet,chewable OTC
dual action complete oral tablet,chewable OTC
esomeprazole magnesium oral capsule,delayed release(dr/ec)
Nexium OTC; QL
famotidine (pf) intravenous solution
famotidine oral suspension Pepcid AL
famotidine oral tablet 10 mg, 20 mg Acid Controller OTC; QL
famotidine oral tablet 40 mg Pepcid QL
heartburn prevention oral tablet OTC; QL
heartburn relief (famotidine) oral tablet OTC; QL
94
Drug Name Reference Notes
heartburn relief (ranitidine) oral tablet OTC; QL
heartburn treatment 24 hour oral capsule,delayed release(dr/ec)
PA; OTC; QL
lansoprazole oral capsule,delayed release(dr/ec)
Heartburn Treatment 24 Hour
PA; OTC; QL
misoprostol oral tablet Cytotec
NEXIUM 24HR ORAL TABLET,DELAYED RELEASE (DR/EC)
OTC; QL
nizatidine oral capsule
nizatidine oral solution
omeprazole magnesium oral capsule,delayed release(dr/ec)
Acid Reducer (omeprazole) OTC; QL
omeprazole oral tablet,delayed release (dr/ec)
OTC; QL
pepcid ac oral tablet OTC; QL
PREVACID 24HR ORAL CAPSULE,DELAYED RELEASE(DR/EC)
PA; OTC; QL
ranitidine hcl oral capsule 150 mg
ranitidine hcl oral capsule 300 mg QL
ranitidine hcl oral syrup
ranitidine hcl oral tablet 150 mg Acid Control (ranitidine) OTC; QL
ranitidine hcl oral tablet 300 mg Zantac QL
ranitidine hcl oral tablet 75 mg Acid Reducer (ranitidine) OTC; QL
sucralfate oral suspension Carafate
sucralfate oral tablet Carafate
wal-zan 150 oral tablet OTC; QL
wal-zan 75 oral tablet OTC; QL
zantac 75 oral tablet OTC; QL
zantac maximum strength oral tablet OTC; QL
zantac oral tablet OTC; QL
ZEGERID OTC ORAL CAPSULE OTC; QL
INFLAMMATORY BOWEL AGENTS
budesonide oral capsule,delayed,extend.release
Entocort EC QL
colocort rectal enema
HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT
PA; QL
HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
95
Drug Name Reference Notes
HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT
PA; QL
HUMIRA SUBCUTANEOUS SYRINGE KIT
PA; QL
hydrocortisone rectal enema Colocort
INTESTINAL MOTILITY STIMULANTS
metoclopramide hcl oral solution
metoclopramide hcl oral tablet Reglan
LAXATIVES AND CATHARTICS
alophen oral tablet,delayed release (dr/ec) OTC; QL
bisac-evac rectal suppository OTC
bisacodyl oral tablet,delayed release (dr/ec)
Alophen OTC; QL
bisacodyl rectal suppository Bisac-Evac OTC
bisa-lax oral tablet,delayed release (dr/ec) OTC; QL
biscolax rectal suppository OTC
chocolate laxative oral tablet,chewable OTC
citrate of magnesia oral solution OTC
citroma oral solution OTC
citrucel oral tablet OTC
clearlax oral powder OTC
clearlax oral powder in packet OTC; QL
col-rite oral capsule 100 mg OTC; QL
col-rite oral capsule 250 mg OTC
constulose oral solution QL
daily fiber oral capsule OTC
diocto oral liquid OTC
diocto oral syrup OTC
dioctyl oral syrup OTC
doc-q-lace oral capsule OTC; QL
docu oral liquid OTC
docuprene oral tablet OTC
docusate calcium oral capsule Kao-Tin (docusate calcium) OTC
docusate sodium oral capsule 100 mg Col-Rite OTC; QL
docusate sodium oral capsule 250 mg Col-Rite OTC
96
Drug Name Reference Notes
docusate sodium oral liquid Diocto OTC
docusate sodium oral syrup Diocto OTC
docusate sodium oral tablet Docuprene OTC
docusil oral capsule OTC; QL
dok oral capsule 100 mg OTC; QL
dok oral capsule 250 mg OTC
dok oral tablet OTC
dok plus oral tablet OTC
dss oral capsule OTC
ducodyl oral tablet,delayed release (dr/ec) OTC; QL
dulcoease oral capsule OTC; QL
dulcolax stool softener (dss) oral capsule OTC; QL
easy fiber oral powder OTC
enema disposable rectal enema OTC
enema rectal enema OTC
enulose oral solution
epsom salt oral granules OTC; QL
fiber (calcium polycarbophil) oral tablet OTC; QL
fiber (dextrin) oral powder OTC
fiber (psyllium husk) oral capsule OTC
fiber (psyllium husk/sugar) oral powder OTC
fiber (with aspartame) oral powder OTC
fiber laxative (ca polycarbo) oral tablet OTC; QL
fiber laxative (methylcellulo) oral tablet OTC
fiber laxative (psyllium husk) oral capsule OTC
fiber oral powder OTC
fiber smooth (sucrose) oral powder OTC
fiber smooth oral powder OTC
fiber supplement (inulin) oral tablet,chewable
OTC
fiber therapy (ca polycarboph) oral tablet OTC; QL
fiber therapy (m-cell/sugar) oral powder OTC
fiber therapy (m-cellulose) oral tablet OTC
fiber therapy laxative (husk) oral capsule OTC
fiber-caps (psyllium husk) oral capsule OTC
fiber-lax oral tablet OTC; QL
fiber-tabs oral tablet OTC; QL
97
Drug Name Reference Notes
fleet enema rectal enema OTC
fleet glycerin (adult) rectal suppository OTC
fleet laxative oral tablet,delayed release (dr/ec)
OTC; QL
gavilax oral powder OTC
gavilax oral powder in packet OTC; QL
gavilyte-c oral recon soln QL
gavilyte-g oral recon soln QL
gavilyte-n oral recon soln QL
generlac oral solution
gentle laxative oral tablet,delayed release (dr/ec)
OTC; QL
gentle laxative rectal suppository OTC
gentlelax oral powder OTC
geri-kot oral tablet OTC
glycerin (adult) rectal suppository Fleet Glycerin (Adult) OTC
glycerin (child) rectal suppository Fleet Glycerin (Child) OTC
glycolax oral powder OTC
healthylax oral powder in packet OTC; QL
kao-tin (docusate calcium) oral capsule OTC
konsyl (sugar) oral powder OTC
lactulose oral solution Constulose QL
laxacin oral tablet OTC
laxaclear oral powder OTC
laxative (bisacodyl) oral tablet OTC; QL
laxative (bisacodyl) oral tablet,delayed release (dr/ec)
OTC; QL
laxative (bisacodyl) rectal suppository OTC
laxative (sennosides) oral tablet OTC
laxative (sennosides) oral tablet,chewable OTC
laxative feminine oral tablet OTC; QL
laxative maximum strength oral tablet OTC
laxative peg 3350 oral powder OTC
laxative pills oral tablet OTC
laxative pills regular oral tablet OTC
laxative plus stool softener oral tablet OTC
magnesium citrate oral solution Citrate of Magnesia OTC
magnesium hydroxide oral suspension Milk of Magnesia OTC
98
Drug Name Reference Notes
milk of magnesia concentrated oral suspension
OTC
milk of magnesia oral suspension OTC
mineral oil extra heavy oral oil OTC
mineral oil heavy oral oil OTC
mineral oil laxative oral oil OTC
mineral oil oral oil Mineral Oil Extra Heavy OTC
mineral oil rectal enema Fleet Mineral Oil OTC
miralax oral powder in packet OTC; QL
natural fiber laxative (sugar) oral powder OTC
natural fiber laxative oral capsule OTC
natural fiber laxative therapy oral powder OTC
natural fiber laxative(aspart) oral powder OTC
natural fiber supplement oral powder in packet
OTC
natural laxative oral tablet OTC
natural veg laxative(sennosid) oral tablet OTC
natural vegetable (psyllium) oral powder OTC
natural vegetable oral powder OTC
natural vegetable powder oral powder OTC
oral saline laxative oral liquid OTC
p-col rite oral tablet OTC
peg 3350-electrolytes oral recon soln GaviLyte-G QL
peg-3350 with flavor packs oral recon soln QL
peg-electrolyte soln oral recon soln GaviLyte-N QL
perdiem overnight relief oral tablet OTC
phosphate laxative oral liquid OTC
polyethylene glycol 3350 oral powder ClearLax OTC
polyethylene glycol 3350 oral powder in packet
ClearLax OTC; QL
promolaxin oral tablet OTC
psyllium husk oral capsule Daily Fiber OTC
purelax oral powder OTC
purelax oral powder in packet OTC; QL
ready-to-use enema rectal enema OTC
reguloid oral powder OTC
reguloid, sugar free oral powder OTC
sani-supp (adult) rectal suppository OTC
99
Drug Name Reference Notes
sani-supp (infant) rectal suppository OTC
senexon oral tablet OTC
senexon-s oral tablet OTC
senna concentrate oral tablet OTC
senna lax oral tablet OTC
senna laxative oral tablet OTC
senna laxative-stool softener oral tablet OTC
senna oral syrup OTC
senna oral tablet OTC
senna plus oral tablet OTC
senna with docusate sodium oral tablet OTC
senna-extra oral tablet OTC
SENNA-GEN ORAL TABLET OTC
senna-s oral tablet OTC
senna-time s oral tablet OTC
senno oral tablet OTC
sennosides oral tablet Evac-U-Gen (sennosides) OTC
sennosides-docusate sodium oral tablet Colace 2-In-1 OTC
sen-o-tab oral tablet OTC
silace oral liquid OTC
silace oral syrup OTC
smoothlax oral powder OTC
smoothlax oral powder in packet OTC; QL
sof-lax oral capsule OTC; QL
stimulant laxative plus oral tablet OTC
stool softener (docusate cal) oral capsule OTC
stool softener oral capsule 100 mg OTC; QL
stool softener oral capsule 250 mg, 50 mg OTC
stool softener oral liquid OTC
stool softener oral syrup OTC
stool softener oral tablet OTC
stool softener-laxative oral tablet OTC
stool softener-stimulant laxat oral tablet OTC
suppository adult rectal suppository OTC
surfak oral capsule OTC
the magic bullet rectal suppository OTC
trilyte with flavor packets oral recon soln QL
100
Drug Name Reference Notes
vegetable laxative oral tablet OTC
wal-mucil fiber (aspartame) oral powder OTC
wal-mucil fiber (sugar) oral powder OTC
wal-mucil fiber oral capsule OTC
wal-mucil natural fiber lax oral powder OTC
woman's laxative oral tablet OTC; QL
woman's laxative oral tablet,delayed release (dr/ec)
OTC; QL
women's gentle laxative(bisac) oral tablet,delayed release (dr/ec)
OTC; QL
women's laxative (bisacodyl) oral tablet OTC; QL
women's laxative (bisacodyl) oral tablet,delayed release (dr/ec)
OTC; QL
PANCREATIC ENZYMES
CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 12,000-38,000 -60,000 UNIT, 24,000-76,000 -120,000 UNIT, 6,000-19,000 -30,000 UNIT
QL
CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 3,000-9,500- 15,000 UNIT, 36,000-114,000- 180,000 UNIT
dairy aid oral tablet,chewable OTC
dairy digestive oral tablet OTC
dairy digestive supplement oral tablet OTC
dairy relief oral tablet OTC
dairy relief oral tablet,chewable OTC
lac-dose oral tablet OTC
lactase fast acting oral tablet OTC
lactase fast acting oral tablet,chewable OTC
lactase oral tablet Dairy Relief OTC
ultra dairy digestive oral tablet OTC
GENITOURINARY THERAPY
BENIGN PROSTATIC HYPERTROPHY/MICTURITION AGENTS
alfuzosin oral tablet extended release 24 hr
Uroxatral QL
finasteride oral tablet Proscar QL
tamsulosin oral capsule Flomax QL
101
Drug Name Reference Notes
BLOOD DETOXICANTS
calcium acetate oral capsule PA
calcium acetate oral tablet Calphron PA
eliphos oral tablet PA
VELPHORO ORAL TABLET,CHEWABLE
PA
PARASYMPATHETIC AGENTS
bethanechol chloride oral tablet Urecholine QL
URINARY ACIDIFIER
av-phos 250 neutral oral tablet OTC
k-phos-neutral oral tablet OTC
phospha 250 neutral oral tablet OTC
phospho-trin 250 neutral oral tablet OTC
virt-phos 250 neutral oral tablet OTC
URINARY ANTIBACTERIAL AGENTS
ciprofloxacin (mixture) oral tablet, er multiphase 24 hr 1,000 mg
Cipro XR
ciprofloxacin (mixture) oral tablet, er multiphase 24 hr 500 mg
Cipro XR QL
methenamine hippurate oral tablet Hiprex
methenamine mandelate oral tablet
nitrofurantoin macrocrystal oral capsule Macrodantin
nitrofurantoin monohyd/m-cryst oral capsule
Macrobid
URINARY PH MODIFIERS
cytra k crystals oral packet
cytra-2 oral solution OTC
cytra-3 oral solution OTC
cytra-k oral solution OTC
potassium citrate oral tablet extended release
Urocit-K 10
potassium citrate-citric acid oral solution Cytra-K OTC
sodium citrate-citric acid oral solution Cytra-2 OTC
tricitrates oral solution OTC
virtrate-k oral solution OTC
102
Drug Name Reference Notes
URINARY TRACT ANESTHETIC/ANALGESIC AGENT
phenazopyridine oral tablet Pyridium
urinary pain relief oral tablet OTC; QL
urinary tract oral tablet OTC; QL
URINARY TRACT ANTISPASMODIC/ANTI-INCONTINENCE AGENT
darifenacin oral tablet extended release 24 hr
Enablex
flavoxate oral tablet QL
oxybutynin chloride oral syrup QL
oxybutynin chloride oral tablet
oxybutynin chloride oral tablet extended release 24hr
Ditropan XL QL
OXYTROL FOR WOMEN TRANSDERMAL PATCH 4 DAY
OTC
tolterodine oral capsule,extended release 24hr
Detrol LA
tolterodine oral tablet Detrol
trospium oral capsule,extended release 24hr
trospium oral tablet
GOUT AND HYPERURICEMIA THERAPY
COLCHICINE COMBINATION
probenecid-colchicine oral tablet
HYPERURICEMIA TREATMENT - PURINE INHIBITORS
allopurinol oral tablet Zyloprim
URICOSURIC AGENTS
probenecid oral tablet
HEMATOLOGICAL AGENTS
ANTIFIBRINOLYTIC AGENTS
tranexamic acid oral tablet Lysteda QL
C1 ESTERASE INHIBITOR AGENTS
BERINERT INTRAVENOUS RECON SOLN
PA
103
Drug Name Reference Notes
HEMATINICS, OTHER
ARANESP (IN POLYSORBATE) INJECTION SOLUTION
PA; QL
ARANESP (IN POLYSORBATE) INJECTION SYRINGE 10 MCG/0.4 ML, 100 MCG/0.5 ML, 200 MCG/0.4 ML, 25 MCG/0.42 ML, 300 MCG/0.6 ML, 40 MCG/0.4 ML, 60 MCG/0.3 ML
PA
ARANESP (IN POLYSORBATE) INJECTION SYRINGE 150 MCG/0.3 ML, 500 MCG/ML
PA; QL
EPOGEN INJECTION SOLUTION PA
PROCRIT INJECTION SOLUTION PA
HEMORRHEOLOGIC AGENTS
pentoxifylline oral tablet extended release
HEPARIN AND RELATED PREPARATIONS
enoxaparin subcutaneous solution Lovenox QL
enoxaparin subcutaneous syringe Lovenox QL
heparin (porcine) injection cartridge
heparin (porcine) injection solution
heparin (porcine) injection syringe
heparin, porcine (pf) injection solution
heparin, porcine (pf) injection syringe
ORAL ANTICOAGULANTS
ELIQUIS ORAL TABLET
ELIQUIS ORAL TABLETS,DOSE PACK QL
jantoven oral tablet
warfarin oral tablet Coumadin
PLATELET AGGREGATION INHIBITORS
adult low dose aspirin oral tablet,delayed release (dr/ec)
OTC; QL
anagrelide oral capsule Agrylin
aspir-81 oral tablet,delayed release (dr/ec) OTC; QL
aspirin childrens oral tablet,chewable OTC; QL
aspirin low dose oral tablet,delayed release (dr/ec)
OTC; QL
aspirin oral tablet Bayer Aspirin OTC; QL
104
Drug Name Reference Notes
aspirin oral tablet,chewable Aspirin Childrens OTC; QL
aspirin oral tablet,delayed release (dr/ec) 325 mg
Aspir-Trin OTC; QL
aspirin oral tablet,delayed release (dr/ec) 500 mg, 650 mg
OTC
aspirin oral tablet,delayed release (dr/ec) 81 mg
Adult Aspirin Regimen OTC; QL
aspir-low oral tablet,delayed release (dr/ec)
OTC; QL
aspir-trin oral tablet,delayed release (dr/ec)
OTC; QL
bayer advanced oral tablet OTC
bayer aspirin oral tablet OTC; QL
children's aspirin oral tablet,chewable OTC; QL
cilostazol oral tablet
clopidogrel oral tablet 300 mg Plavix
clopidogrel oral tablet 75 mg Plavix QL
dipyridamole oral tablet
e.c. prin oral tablet,delayed release (dr/ec) OTC; QL
enteric coated aspirin oral tablet,delayed release (dr/ec)
OTC; QL
lite coat aspirin oral tablet OTC; QL
lo-dose aspirin oral tablet,delayed release (dr/ec)
OTC; QL
SICKLE CELL ANEMIA AGENTS
DROXIA ORAL CAPSULE
IMMUNOSUPPRESSIVE AGENTS
IMMUNOSUPRESSANTS
azathioprine oral tablet Imuran
cyclosporine modified oral capsule Gengraf
cyclosporine modified oral solution Gengraf
cyclosporine oral capsule Sandimmune
gengraf oral capsule
gengraf oral solution
mycophenolate mofetil oral capsule CellCept
mycophenolate mofetil oral suspension for reconstitution
CellCept
mycophenolate mofetil oral tablet CellCept
105
Drug Name Reference Notes
mycophenolate sodium oral tablet,delayed release (dr/ec)
Myfortic
RAPAMUNE ORAL SOLUTION
SANDIMMUNE ORAL SOLUTION
sirolimus oral tablet Rapamune
tacrolimus oral capsule Prograf
LOCOMOTOR SYSTEM
MUSCULOSKELETAL THERAPY AGENTS
EUFLEXXA INTRA-ARTICULAR SYRINGE
PA; QL
GELSYN-3 INTRA-ARTICULAR SYRINGE
PA; QL
SUPARTZ FX INTRA-ARTICULAR SYRINGE
PA; QL
OTHER CNS/AUTONOMIC DRUGS
MESTINON ORAL SYRUP
pyridostigmine bromide oral tablet Mestinon
pyridostigmine bromide oral tablet extended release
Mestinon Timespan
SKELETAL MUSCLE RELAXANTS
baclofen oral tablet
carisoprodol oral tablet Soma QL
carisoprodol-asa-codeine oral tablet AL; QL
carisoprodol-aspirin oral tablet QL
chlorzoxazone oral tablet
cyclobenzaprine oral tablet 10 mg QL
cyclobenzaprine oral tablet 5 mg
dantrolene oral capsule Dantrium
methocarbamol oral tablet Robaxin QL
orphenadrine citrate oral tablet extended release
QL
riluzole oral tablet Rilutek PA
tizanidine oral tablet QL
MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT (DME)
ANTISEPTICS - OTHER
alcoh-wipe towelette OTC
106
Drug Name Reference Notes
BLOOD SUGAR DIAGNOSTICS
TRUE METRIX GLUCOSE TEST STRIP STRIP
OTC; QL
TRUETEST TEST STRIPS STRIP OTC; QL
CONDOMS
AIMSCO LATEX CONDOM DEVICE OTC
CONDOMS-PREM LUBRICATED DEVICE
OTC
FANTASY CONDOM DEVICE OTC
FC2 FEMALE CONDOM OTC
KIMONO CONDOMS(NON-LUBRICATED) DEVICE
OTC
KIMONO MAXX CONDOMS DEVICE OTC
KIMONO MICROTHIN AQUA LUBE CON DEVICE
OTC
KIMONO MICROTHIN CONDOMS DEVICE
OTC
KIMONO MICROTHIN LARGE CONDOMS DEVICE
OTC
KIMONO TEXTURED CONDOMS DEVICE
OTC
TRUSTEX LATEX CONDOM DEVICE OTC
TRUSTEX LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX NON-LUB CONDOMS DEVICE
OTC
TRUSTEX-RIA LUB/SPERMICIDE DEVICE
OTC
TRUSTEX-RIA LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX-RIA NON-LUB CONDOMS DEVICE
OTC
DIAPHRAGMS/CERVICAL CAP
WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM
107
Drug Name Reference Notes
WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM
MEDICAL SUPPLIES AND DME - GLUCOSE MONITORING TEST SUPPLIES
1ST TIER UNILET COMFORTOUCH OTC; QL
ACCU-CHEK SOFTCLIX LANCET DEV OTC; QL
ADJUSTABLE LANCING DEVICE OTC; QL
ADVANCED LANCING DEVICE KIT OTC; QL
ADVANCED TRAVEL LANCETS OTC; QL
ADVOCATE LANCING DEVICE OTC; QL
ADVOCATE RAPID-SAFE LANCING OTC; QL
ALTERNATE SITE LANCET OTC; QL
ALTERNATE SITE LANCING DEVICE OTC; QL
AQUA LANCE LANCING DEVICE OTC; QL
ASSURE HAEMOLANCE PLUS OTC; QL
ASSURE LANCE OTC; QL
ASSURE LANCE PLUS OTC; QL
AUTO-LANCET MINI OTC; QL
AUTOLET IMPRESSION LANC DEV KIT OTC; QL
AUTOLET LANCING DEVICE OTC; QL
AUTOLET PLUS LANCING DEVICE OTC; QL
CAREONE LANCING DEVICE OTC; QL
CAREONE THIN LANCET OTC; QL
CAREONE ULTRA THIN LANCET OTC; QL
CARETOUCH TWIST LANCET OTC; QL
COLOR LANCETS OTC; QL
COMFORT LANCETS OTC; QL
DROPLET LANCING DEVICE OTC; QL
EASY CLICK LANCING DEVICE OTC; QL
EASY TOUCH LANCETS OTC; QL
EASY TOUCH LANCING DEVICE OTC; QL
108
Drug Name Reference Notes
EASY TOUCH SAFETY LANCETS OTC; QL
EASY TOUCH TWIST LANCETS OTC; QL
E-Z JECT LANCETS OTC; QL
E-Z JECT THIN LANCETS OTC; QL
EZ SMART LANCETS OTC; QL
FINE 30 UNIVERSAL LANCETS OTC; QL
FORA LANCING DEVICE OTC; QL
FORACARE LANCETS OTC; QL
GLUCOCOM LANCETS OTC; QL
HEALTHY ACCENTS AUTOLET OTC; QL
HEALTHY ACCENTS UNILET LANCET OTC; QL
HYPOLANCE AST LANCING KIT OTC; QL
INCONTROL LANCING DEVICE OTC; QL
INCONTROL SUPER THIN LANCETS OTC; QL
INCONTROL ULTRA THIN LANCETS OTC; QL
INVACARE LANCETS OTC; QL
lancetsAccu-Chek Fastclix Lancet Drum
OTC; QL
lancets, super thin OTC; QL
lancets,thin OTC; QL
lancets,ultra thin OTC; QL
lancing device Adjustable Lancing Device OTC; QL
lancing device with lancets OTC; QL
lancing device with lancets kitAccu-Chek FastClix Lancing Dev
OTC; QL
lancing system OTC; QL
LANZO LANCING DEVICE KIT OTC; QL
LITE TOUCH LANCING DEVICE OTC; QL
MEDLANCE PLUS LANCETS OTC; QL
MICRO THIN LANCETS OTC; QL
MICROLET NEXT LANCING DEVICE KIT
OTC; QL
MINI LANCING DEVICE OTC; QL
MONOLET LANCETS OTC; QL
MONOLET THIN LANCETS OTC; QL
MULTI-LANCET DEVICE 2 KIT OTC; QL
MYGLUCOHEALTH LANCETS OTC; QL
ON CALL LANCING DEVICE OTC; QL
109
Drug Name Reference Notes
ON CALL PLUS LANCING DEVICE OTC; QL
ON-THE-GO LANCETS OTC; QL
PRODIGY LANCING DEVICE OTC; QL
RELIAMED MINI LANCING DEVICE OTC; QL
RELION THIN LANCETS OTC; QL
RELION ULTRA THIN PLUS LANCETS OTC; QL
RIGHTEST GD500 LANCING DEVICE OTC; QL
RIGHTEST GL300 LANCETS OTC; QL
SAFETY LANCETS OTC; QL
SMART SENSE LANCETS OTC; QL
SMARTDIABETES VANTAGE OTC; QL
STERILANCE TL OTC; QL
SUPER THIN LANCETS OTC; QL
SURE COMFORT LANCING PEN OTC; QL
SUREFLEX LANCING DEVICE OTC; QL
SURE-PEN LANCING DEVICE OTC; QL
TECHLITE LANCETS OTC; QL
THIN LANCETS OTC; QL
TOPCARE UNIVERSAL1 LANCET OTC; QL
TRUE METRIX AIR GLUCOSE METER OTC
TRUE METRIX LEVEL 1 SOLUTION OTC
TRUE METRIX LEVEL 2 SOLUTION OTC
TRUE METRIX LEVEL 3 SOLUTION OTC
TRUEDRAW LANCING DEVICE OTC; QL
TRUEPLUS LANCETS OTC; QL
TRUERESULT BLOOD GLUCOSE SYSTM KIT
OTC
ULTI-LANCE OTC; QL
ULTRA THIN LANCETS OTC; QL
ULTRA THIN PLUS LANCETS OTC; QL
UNILET COMFORTOUCH LANCET OTC; QL
UNILET EXCELITE II LANCET OTC; QL
UNILET EXCELITE LANCET OTC; QL
UNILET GP LANCET OTC; QL
UNILET LANCET OTC; QL
UNILET LANCETS OTC; QL
UNILET SUPER THIN LANCETS OTC; QL
110
Drug Name Reference Notes
UNISTIK 2 DEVICE KIT OTC; QL
UNISTIK 2 EXTRA KIT OTC
UNISTIK 3 COMFORT DEVICE KIT OTC; QL
UNISTIK 3 COMFORT LANCET OTC; QL
UNISTIK 3 EXTRA LANCET OTC; QL
UNISTIK 3 GENTLE OTC; QL
UNISTIK 3 KIT OTC; QL
UNISTIK 3 LANCETS OTC; QL
UNISTIK 3 NEONATAL DEVICE KIT OTC; QL
UNISTIK 3 NEONATAL KIT OTC; QL
UNISTIK 3 NORMAL LANCET OTC; QL
UNISTIK CZT LANCET OTC; QL
UNISTIK PRO LANCET OTC; QL
UNISTIK SAFETY OTC; QL
UNISTIK TOUCH LANCETS OTC; QL
UNIVERSAL 1 LANCETS OTC; QL
MEDICAL SUPPLIES AND DME - PEAK FLOW METERS
AIRZONE PEAK FLOW METER DEVICE OTC
ASTHMA CHECK METER DEVICE OTC
IN-CHECK NASAL WITH MASK DEVICE OTC
IN-CHECK ORAL FLOW METER DEVICE
OTC
MICROLIFE PEAK FLOW METER DEVICE
OTC
MINI WRIGHT PEAK FLOW METER DEVICE
PEAK AIR PEAK FLOW METER DEVICE
OTC
PERSONAL BEST FULL RANGE DEVICE
OTC
PERSONAL BEST LOW RANGE DEVICE
OTC
PIKO 1 DEVICE OTC
POCKET PEAK FLOW METER DEVICE OTC
TRUZONE PEAK FLOW METER DEVICE
111
Drug Name Reference Notes
NEEDLES/NEEDLELESS DEVICES, SYRINGES AND ACCESSORIES
1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL
1ST TIER UNIFINE PENTIPS PLUS NEEDLE
OTC; QL
ADVOCATE PEN NEEDLE NEEDLE OTC; QL
ADVOCATE SYRINGES SYRINGE OTC; QL
ASSURE ID INSULIN SAFETY SYRINGE OTC; QL
BD AUTOSHIELD DUO PEN NEEDLE NEEDLE
OTC; QL
BD ECLIPSE LUER-LOK SYRINGE OTC; QL
BD INSULIN SYRINGE HALF UNIT SYRINGE
OTC; QL
BD INSULIN SYRINGE MICRO-FINE SYRINGE
OTC; QL
BD INSULIN SYRINGE SAFETY-LOK SYRINGE
OTC; QL
BD INSULIN SYRINGE SLIP TIP SYRINGE
OTC; QL
BD INSULIN SYRINGE SYRINGE OTC; QL
BD INSULIN SYRINGE ULTRA-FINE SYRINGE
OTC; QL
BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL
BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL
BD LUER-LOK SYRINGE SYRINGE OTC
BD SAFETYGLIDE INSULIN SYRINGE SYRINGE
OTC; QL
BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL
BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE MINI PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE NANO PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE
OTC; QL
BD VEO INSULIN SYR HALF UNIT SYRINGE
OTC; QL
112
Drug Name Reference Notes
BD VEO INSULIN SYRINGE UF SYRINGE
OTC; QL
CAREFINE PEN NEEDLE NEEDLE OTC; QL
CARETOUCH PEN NEEDLE NEEDLE OTC; QL
CLICKFINE NEEDLE OTC; QL
COMFORT EZ PEN NEEDLES NEEDLE OTC; QL
COMFORT EZ SYRINGE SYRINGE OTC; QL
DROPLET PEN NEEDLE NEEDLE OTC; QL
EASY COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
EASY COMFORT PEN NEEDLES NEEDLE
OTC; QL
EASY GLIDE PEN NEEDLE NEEDLE OTC; QL
EASY TOUCH INSULIN SAFETY SYR SYRINGE
OTC; QL
EASY TOUCH INSULIN SYRINGE SYRINGE
OTC; QL
EASY TOUCH NEEDLE OTC; QL
EASY TOUCH PEN NEEDLE NEEDLE OTC; QL
EXEL INSULIN SYRINGE OTC; QL
FREESTYLE PRECISION SYRINGE OTC; QL
HEALTHY ACCENTS UNIFINE PENTIP NEEDLE
OTC; QL
INCONTROL PEN NEEDLE NEEDLE OTC; QL
insulin syringe microfine syringe OTC; QL
insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC; QL
insulin syringe syringe OTC; QL
insulin syringe-needle u-100 syringe Lite Touch Insulin Syringe OTC; QL
INSUPEN NEEDLE OTC; QL
LITE TOUCH INSULIN PEN NEEDLES NEEDLE
OTC; QL
LITE TOUCH INSULIN SYRINGE SYRINGE
OTC; QL
MAXI-COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
MINI ULTRA-THIN II NEEDLE OTC; QL
MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 29 GAUGE X 1/2", 29 GAUGE X 1/2"
OTC; QL
113
Drug Name Reference Notes
MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 30 GAUGE X 5/16, 0.5 ML 29 GAUGE X 1/2", 1/2 ML 30 GAUGE X 5/16
QL
MONOJECT INSULIN SYRINGE SYRINGE
OTC; QL
MONOJECT SAFETY SYRINGES SYRINGE
OTC
MONOJECT SYRINGE SYRINGE QL
MONOJECT ULTRA COMFORT INSULIN SYRINGE
OTC; QL
NOVOFINE 32 NEEDLE OTC; QL
pen needle needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"
OTC; QL
pen needle needle 30 gauge x 5/16" QL
pen needle, diabetic needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"
1st Tier Unifine Pentips OTC; QL
pen needle, diabetic needle 31 gauge x 1/3", 31 gauge x 1/6"
OTC; QL
pen needle, diabetic needle 32 gauge x 1/4"
BD Ultra-Fine Micro Pen Needle
OTC; QL
PEN NEEDLE, DIABETIC NEEDLE 32 GAUGE X 3/16"
CareFine Pen Needle OTC; QL
PENTIPS NEEDLE OTC; QL
PRO COMFORT PEN NEEDLE NEEDLE OTC; QL
PRODIGY INSULIN SYRINGE SYRINGE OTC; QL
RELION NEEDLES NEEDLE OTC; QL
RELION PEN NEEDLES NEEDLE OTC; QL
SURE COMFORT INS. SYR. U-100 SYRINGE
OTC; QL
SURE COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
SURE COMFORT PEN NEEDLE NEEDLE
OTC; QL
SURE-FINE PEN NEEDLES NEEDLE OTC; QL
SURE-JECT INSULIN SYRINGE SYRINGE
OTC; QL
TECHLITE PEN NEEDLE NEEDLE OTC; QL
TERUMO INSULIN SYRINGE SYRINGE OTC; QL
114
Drug Name Reference Notes
THINPRO INSULIN SYRINGE SYRINGE OTC; QL
TOPCARE CLICKFINE NEEDLE OTC; QL
TOPCARE ULTRA COMFORT SYRINGE OTC; QL
TRUEPLUS INSULIN SYRINGE OTC; QL
TRUEPLUS PEN NEEDLE NEEDLE OTC; QL
ULTICARE PEN NEEDLE NEEDLE OTC; QL
ULTICARE SYRINGE OTC; QL
ULTILET INSULIN SYRINGE SYRINGE OTC; QL
ULTILET PEN NEEDLE NEEDLE OTC; QL
ULTRA CMFT INS SYR HALF UNIT SYRINGE
OTC; QL
ULTRA COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
ULTRA-THIN II (SHORT) INS SYR SYRINGE
OTC; QL
ULTRA-THIN II (SHORT) PEN NDL NEEDLE
OTC; QL
ULTRA-THIN II INS PEN NEEDLES NEEDLE
OTC; QL
ULTRA-THIN II INSULIN SYRINGE SYRINGE
OTC; QL
UNIFINE PENTIPS NEEDLE OTC; QL
UNIFINE PENTIPS PLUS NEEDLE OTC; QL
VANISHPOINT SYRINGE SYRINGE OTC; QL
RESPIRATORY AIDS, SPACERS, DEVICES AND EQUIPMENT
ACE AEROSOL CLOUD ENHANCER SPACER
QL
AEROTRACH PLUS SPACER QL
AEROVENT PLUS SPACER QL
BREATHERITE MDI SPACER SPACER QL
BREATHERITE SPACER-MASK, NEO. SPACER
QL
BREATHERITE SPACER-MASK,ADULT SPACER
QL
BREATHERITE SPACER-MASK,CHILD SPACER
QL
BREATHERITE SPACER-MASK,INFANT SPACER
QL
115
Drug Name Reference Notes
BREATHERITE SPACER-MASK,S.CHLD SPACER
QL
BREATHERITE VALVED MDI CHAMBER SPACER
QL
BREATHERITE VALVED MDI SPACER SPACER
QL
COMPACT SPACE CHAMBER SPACER QL
COMPACT SPACE CHAMBER-LRG MASK SPACER
QL
COMPACT SPACE CHAMBER-MED MASK SPACER
QL
COMPACT SPACE CHAMBER-SM MASK SPACER
QL
EASIVENT MASK LARGE DEVICE QL
EASIVENT MASK MEDIUM DEVICE QL
EASIVENT MASK SMALL DEVICE QL
LITEAIRE MDI CHAMBER SPACER QL
MICROCHAMBER SPACER QL
MICROSPACER SPACER QL
OPTICHAMBER ADULT MASK-LARGE DEVICE
QL
OPTICHAMBER DIAMOND LG MASK SPACER
QL
OPTICHAMBER DIAMOND VHC SPACER
QL
OPTICHAMBER DIAMOND-MED MSK SPACER
QL
OPTICHAMBER DIAMOND-SML MASK SPACER
QL
POCKET CHAMBER SPACER QL
PRIMEAIRE SPACER QL
PROCHAMBER SPACER QL
RITEFLO AEROCHAMBER SPACER QL
VORTEX HOLDING CHAMBER CHILD SPACER
QL
VORTEX HOLDING CHAMBER SPACER
QL
VORTEX HOLDING CHAMBER TODDLER SPACER
QL
VORTEX VHC FROG MASK-CHILD SPACER
QL
116
Drug Name Reference Notes
VORTEX VHC LADYBUG MASK-TODDLR SPACER
QL
URINE KETONE TEST AIDS
TRUEPLUS KETONE STRIP OTC; QL
METABOLIC MODIFIERS
METABOLIC DEFICIENCY AGENTS
calcitriol oral capsule Rocaltrol PA
calcitriol oral solution Rocaltrol PA
levocarnitine oral tablet Carnitor OTC
sodium phenylbutyrate oral powder Buphenyl PA; QL
sodium phenylbutyrate oral tablet Buphenyl PA; QL
PHARMACOENHANCER - CYTOCHROME P450 INHIBITORS
TYBOST ORAL TABLET
OPHTHALMIC AGENTS
ARTIFICIAL TEARS
advanced eye relief ophthalmic (eye) drops
OTC
advanced formula eye drops ophthalmic (eye) drops
OTC
artificial tears (petro/min) ophthalmic (eye) ointment
OTC
artificial tears (pf) ophthalmic (eye) dropperette
OTC
artificial tears (polyvin alc) ophthalmic (eye) drops
OTC
artificial tears(dext70-hypro) ophthalmic (eye) drops
OTC
artificial tears(glycerin-peg) ophthalmic (eye) drops
OTC
artificial tears(pg-hypm-glyc) ophthalmic (eye) drops
OTC
dry eye relief ophthalmic (eye) drops OTC
eye drop tears ophthalmic (eye) drops OTC
eye drops (with povidone) ophthalmic (eye) drops
OTC
eye drops advanced relief ophthalmic (eye) drops
OTC
for sty relief ophthalmic (eye) ointment OTC
117
Drug Name Reference Notes
hypotears ophthalmic (eye) drops OTC
liquitears ophthalmic (eye) drops OTC
lubricant eye drops (glyc-pg) ophthalmic (eye) drops
OTC
lubricant eye drops ophthalmic (eye) drops
OTC
lubricant eye ophthalmic (eye) ointment OTC
lubricant eye(dextran70-hypml) ophthalmic (eye) dropperette
OTC
lubrifresh pm ophthalmic (eye) ointment OTC
moisture drops ophthalmic (eye) drops OTC
polyvinyl alcohol ophthalmic (eye) drops Artificial Tears (polyvin alc) OTC
puralube ophthalmic (eye) ointment OTC
TEARFAIR OPHTHALMIC (EYE) DROPS OTC
tears again (pva) ophthalmic (eye) drops OTC
ultra fresh ophthalmic (eye) drops OTC
MIOTICS/OTHER INTRAOCULAR PRESSURE REDUCERS
apraclonidine ophthalmic (eye) drops Iopidine
betaxolol ophthalmic (eye) drops
brimonidine ophthalmic (eye) drops QL
carteolol ophthalmic (eye) drops QL
dorzolamide ophthalmic (eye) drops Trusopt QL
latanoprost ophthalmic (eye) drops Xalatan QL
levobunolol ophthalmic (eye) drops Betagan
metipranolol ophthalmic (eye) drops QL
pilocarpine hcl ophthalmic (eye) drops Isopto Carpine
timolol maleate ophthalmic (eye) drops Timoptic QL
timolol maleate ophthalmic (eye) gel forming solution
Timoptic-XE QL
MYDRIATICS
atropine ophthalmic (eye) drops QL
atropine ophthalmic (eye) ointment QL
OPHTHALMIC ANTIBIOTIC - CORTICOID COMBINATIONS
neomycin-bacitracin-poly-hc ophthalmic (eye) ointment
Neo-Polycin HC
neomycin-polymyxin b-dexameth ophthalmic (eye) drops,suspension
Maxitrol
118
Drug Name Reference Notes
neomycin-polymyxin b-dexameth ophthalmic (eye) ointment
Maxitrol
neomycin-polymyxin-hc ophthalmic (eye) drops,suspension
neo-polycin hc ophthalmic (eye) ointment
sulfacetamide-prednisolone ophthalmic (eye) drops
QL
tobramycin-dexamethasone ophthalmic (eye) drops,suspension
TobraDex QL
OPHTHALMIC ANTIBIOTICS
bacitracin ophthalmic (eye) ointment QL
bacitracin-polymyxin b ophthalmic (eye) ointment
AK-Poly-Bac
ciprofloxacin hcl ophthalmic (eye) drops Ciloxan
erythromycin ophthalmic (eye) ointment
gatifloxacin ophthalmic (eye) drops Zymaxid
gentak ophthalmic (eye) ointment QL
gentamicin ophthalmic (eye) drops QL
gentamicin ophthalmic (eye) ointment Gentak QL
levofloxacin ophthalmic (eye) drops
moxifloxacin ophthalmic (eye) drops Vigamox QL
neomycin-bacitracin-polymyxin ophthalmic (eye) ointment
Neo-Polycin QL
neomycin-polymyxin-gramicidin ophthalmic (eye) drops
QL
neo-polycin ophthalmic (eye) ointment QL
ofloxacin ophthalmic (eye) drops Ocuflox QL
polycin ophthalmic (eye) ointment
polymyxin b sulf-trimethoprim ophthalmic (eye) drops
Polytrim QL
sulfacetamide sodium ophthalmic (eye) drops
Bleph-10 QL
sulfacetamide sodium ophthalmic (eye) ointment
QL
tobramycin ophthalmic (eye) drops Tobrex QL
OPHTHALMIC ANTIHISTAMINES
alaway ophthalmic (eye) drops OTC; QL
allergy eye (ketotifen) ophthalmic (eye) drops
OTC; QL
119
Drug Name Reference Notes
azelastine ophthalmic (eye) drops QL
children's alaway ophthalmic (eye) drops OTC; QL
epinastine ophthalmic (eye) drops Elestat QL
eye allergy relief ophthalmic (eye) drops 0.025-0.3 %
OTC; QL
eye allergy relief ophthalmic (eye) drops 0.02675-0.315 %
OTC
eye itch relief ophthalmic (eye) drops OTC; QL
itchy eye drops ophthalmic (eye) drops OTC; QL
ketotifen fumarate ophthalmic (eye) drops Alaway OTC; QL
redness reliever lubricant ophthalmic (eye) drops
OTC
visine-a ophthalmic (eye) drops OTC; QL
wal-zyr (ketotifen) ophthalmic (eye) drops OTC; QL
OPHTHALMIC ANTI-INFLAMMATORY AGENTS
dexamethasone sodium phosphate ophthalmic (eye) drops
diclofenac sodium ophthalmic (eye) drops
fluorometholone ophthalmic (eye) drops,suspension
FML Liquifilm
flurbiprofen sodium ophthalmic (eye) drops
prednisolone acetate ophthalmic (eye) drops,suspension
Omnipred
prednisolone sodium phosphate ophthalmic (eye) drops
XIIDRA OPHTHALMIC (EYE) DROPPERETTE
PA; QL
OPHTHALMIC ANTIVIRALS
trifluridine ophthalmic (eye) drops Viroptic QL
OPHTHALMIC BETA BLOCKERS
dorzolamide-timolol ophthalmic (eye) drops
Cosopt QL
OPHTHALMIC DECONGESTANT
altazine ophthalmic (eye) drops OTC; QL
eye drops (tetrahydrozoline) ophthalmic (eye) drops
OTC; QL
eye drops allergy relief ophthalmic (eye) drops
OTC; QL
120
Drug Name Reference Notes
opti-clear ophthalmic (eye) drops OTC; QL
phenylephrine hcl ophthalmic (eye) drops
redness reliever eye drops ophthalmic (eye) drops
OTC; QL
redness reliever lubricant ophthalmic (eye) drops
OTC
sterile eye drops ophthalmic (eye) drops OTC; QL
tetrahydrozoline ophthalmic (eye) drops Altazine OTC; QL
OPHTHALMIC MAST CELL STABILIZERS
cromolyn ophthalmic (eye) drops QL
OPHTHALMIC, OTHER
artificial tears(dext70-hypro) ophthalmic (eye) drops
OTC
OTIC
OTIC PREPARATIONS, MISCELLANEOUS ANTI-INFECTIVES
acetic acid otic (ear) solution
carbamide peroxide otic (ear) drops Auro Eardrops OTC
carbamoxide ear drops otic (ear) drops OTC
ciprofloxacin hcl otic (ear) dropperette Cetraxal QL
ear drops (carbamide peroxide) otic (ear) drops
OTC
ear drops otc otic (ear) drops OTC
ear wax drops otic (ear) drops OTC
ear wax removal drops otic (ear) drops OTC
ear wax removal kit otic (ear) drops OTC
ear wax removal system otic (ear) drops OTC
murine ear wax removal system otic (ear) drops
OTC
neomycin-polymyxin-hc otic (ear) drops,suspension
neomycin-polymyxin-hc otic (ear) solution
ofloxacin otic (ear) drops QL
121
Drug Name Reference Notes
RESPIRATORY AIDS, SPACERS, DEVICES AND EQUIPMENT
RESPIRATORY AIDS, SPACERS, DEVICES AND EQUIPMENT
1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL
1ST TIER UNIFINE PENTIPS PLUS NEEDLE
OTC; QL
1ST TIER UNILET COMFORTOUCH OTC; QL
ACCU-CHEK SOFTCLIX LANCET DEV OTC; QL
ACE AEROSOL CLOUD ENHANCER SPACER
QL
ADJUSTABLE LANCING DEVICE OTC; QL
ADVANCED LANCING DEVICE KIT OTC; QL
ADVANCED TRAVEL LANCETS OTC; QL
ADVOCATE LANCING DEVICE OTC; QL
ADVOCATE PEN NEEDLE NEEDLE OTC; QL
ADVOCATE RAPID-SAFE LANCING OTC; QL
ADVOCATE SYRINGES SYRINGE OTC; QL
AEROTRACH PLUS SPACER QL
AEROVENT PLUS SPACER QL
AIMSCO LATEX CONDOM DEVICE OTC
AIRZONE PEAK FLOW METER DEVICE OTC
ALTERNATE SITE LANCET OTC; QL
ALTERNATE SITE LANCING DEVICE OTC; QL
AQUA LANCE LANCING DEVICE OTC; QL
ASSURE HAEMOLANCE PLUS OTC; QL
ASSURE ID INSULIN SAFETY SYRINGE OTC; QL
ASSURE LANCE OTC; QL
ASSURE LANCE PLUS OTC; QL
ASTHMA CHECK METER DEVICE OTC
AUTO-LANCET MINI OTC; QL
AUTOLET IMPRESSION LANC DEV KIT OTC; QL
AUTOLET LANCING DEVICE OTC; QL
AUTOLET PLUS LANCING DEVICE OTC; QL
AZO TEST STRIPS STRIP OTC
BD AUTOSHIELD DUO PEN NEEDLE NEEDLE
OTC; QL
BD ECLIPSE LUER-LOK SYRINGE OTC; QL
122
Drug Name Reference Notes
BD INSULIN SYRINGE HALF UNIT SYRINGE
OTC; QL
BD INSULIN SYRINGE MICRO-FINE SYRINGE
OTC; QL
BD INSULIN SYRINGE SAFETY-LOK SYRINGE
OTC; QL
BD INSULIN SYRINGE SLIP TIP SYRINGE
OTC; QL
BD INSULIN SYRINGE SYRINGE OTC; QL
BD INSULIN SYRINGE ULTRA-FINE SYRINGE
OTC; QL
BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL
BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL
BD LUER-LOK SYRINGE SYRINGE OTC
BD SAFETYGLIDE INSULIN SYRINGE SYRINGE
OTC; QL
BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL
BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE MINI PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE NANO PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE
OTC; QL
BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE
OTC; QL
BD VEO INSULIN SYR HALF UNIT SYRINGE
OTC; QL
BD VEO INSULIN SYRINGE UF SYRINGE
OTC; QL
BREATHERITE MDI SPACER SPACER QL
BREATHERITE SPACER-MASK, NEO. SPACER
QL
BREATHERITE SPACER-MASK,ADULT SPACER
QL
BREATHERITE SPACER-MASK,CHILD SPACER
QL
BREATHERITE SPACER-MASK,INFANT SPACER
QL
123
Drug Name Reference Notes
BREATHERITE SPACER-MASK,S.CHLD SPACER
QL
BREATHERITE VALVED MDI CHAMBER SPACER
QL
BREATHERITE VALVED MDI SPACER SPACER
QL
CAREFINE PEN NEEDLE NEEDLE OTC; QL
CAREONE LANCING DEVICE OTC; QL
CAREONE THIN LANCET OTC; QL
CAREONE ULTRA THIN LANCET OTC; QL
CARETOUCH PEN NEEDLE NEEDLE OTC; QL
CARETOUCH TWIST LANCET OTC; QL
CHEMSTRIP 10 MD STRIP OTC
CHEMSTRIP K STRIP OTC; QL
CLICKFINE NEEDLE OTC; QL
COLOR LANCETS OTC; QL
COMFORT EZ PEN NEEDLES NEEDLE OTC; QL
COMFORT EZ SYRINGE SYRINGE OTC; QL
COMFORT LANCETS OTC; QL
COMPACT SPACE CHAMBER SPACER QL
COMPACT SPACE CHAMBER-LRG MASK SPACER
QL
COMPACT SPACE CHAMBER-MED MASK SPACER
QL
COMPACT SPACE CHAMBER-SM MASK SPACER
QL
CONDOMS-PREM LUBRICATED DEVICE
OTC
DROPLET LANCING DEVICE OTC; QL
DROPLET PEN NEEDLE NEEDLE OTC; QL
EASIVENT MASK LARGE DEVICE QL
EASIVENT MASK MEDIUM DEVICE QL
EASIVENT MASK SMALL DEVICE QL
EASY CLICK LANCING DEVICE OTC; QL
EASY COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
EASY COMFORT PEN NEEDLES NEEDLE
OTC; QL
EASY GLIDE PEN NEEDLE NEEDLE OTC; QL
124
Drug Name Reference Notes
EASY TOUCH INSULIN SAFETY SYR SYRINGE
OTC
EASY TOUCH INSULIN SYRINGE SYRINGE
OTC; QL
EASY TOUCH LANCETS OTC; QL
EASY TOUCH LANCING DEVICE OTC; QL
EASY TOUCH NEEDLE OTC; QL
EASY TOUCH PEN NEEDLE NEEDLE OTC; QL
EASY TOUCH SAFETY LANCETS OTC; QL
EASY TOUCH TWIST LANCETS OTC; QL
EXEL INSULIN SYRINGE OTC; QL
E-Z JECT LANCETS OTC; QL
E-Z JECT THIN LANCETS OTC; QL
EZ SMART LANCETS OTC; QL
FANTASY CONDOM DEVICE OTC
FC2 FEMALE CONDOM OTC
FINE 30 UNIVERSAL LANCETS OTC; QL
FORA LANCING DEVICE OTC; QL
FORACARE LANCETS OTC; QL
FREESTYLE PRECISION SYRINGE OTC; QL
GLUCOCOM LANCETS OTC; QL
HEALTHY ACCENTS AUTOLET OTC; QL
HEALTHY ACCENTS UNIFINE PENTIP NEEDLE
OTC; QL
HEALTHY ACCENTS UNILET LANCET OTC; QL
HYPOLANCE AST LANCING KIT OTC; QL
IN-CHECK NASAL WITH MASK DEVICE OTC
IN-CHECK ORAL FLOW METER DEVICE
OTC
INCONTROL LANCING DEVICE OTC; QL
INCONTROL PEN NEEDLE NEEDLE OTC; QL
INCONTROL SUPER THIN LANCETS OTC; QL
INCONTROL ULTRA THIN LANCETS OTC; QL
insulin syringe microfine syringe OTC; QL
insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC; QL
insulin syringe syringe OTC; QL
insulin syringe-needle u-100 syringe Lite Touch Insulin Syringe OTC; QL
INSUPEN NEEDLE OTC; QL
125
Drug Name Reference Notes
INVACARE LANCETS OTC; QL
KETONE CARE STRIP OTC; QL
KETONE URINE TEST STRIP OTC; QL
KETOSTIX STRIP OTC; QL
KIMONO CONDOMS(NON-LUBRICATED) DEVICE
OTC
KIMONO MAXX CONDOMS DEVICE OTC
KIMONO MICROTHIN AQUA LUBE CON DEVICE
OTC
KIMONO MICROTHIN CONDOMS DEVICE
OTC
KIMONO MICROTHIN LARGE CONDOMS DEVICE
OTC
KIMONO TEXTURED CONDOMS DEVICE
OTC
lancetsAccu-Chek Fastclix Lancet Drum
OTC; QL
lancets, super thin OTC; QL
lancets,thin OTC; QL
lancets,ultra thin OTC; QL
lancing device Adjustable Lancing Device OTC; QL
lancing device with lancets OTC; QL
lancing device with lancets kitAccu-Chek FastClix Lancing Dev
OTC; QL
lancing system OTC; QL
LANZO LANCING DEVICE KIT OTC; QL
LITE TOUCH INSULIN PEN NEEDLES NEEDLE
OTC; QL
LITE TOUCH INSULIN SYRINGE SYRINGE
OTC; QL
LITE TOUCH LANCING DEVICE OTC; QL
LITEAIRE MDI CHAMBER SPACER QL
MAXI-COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
MEDLANCE PLUS LANCETS OTC; QL
MICRO THIN LANCETS OTC; QL
MICROCHAMBER SPACER QL
MICROLET NEXT LANCING DEVICE KIT
OTC; QL
126
Drug Name Reference Notes
MICROLIFE PEAK FLOW METER DEVICE
OTC
MICROSPACER SPACER QL
MINI LANCING DEVICE OTC; QL
MINI ULTRA-THIN II NEEDLE OTC; QL
MINI WRIGHT PEAK FLOW METER DEVICE
MINI-WRIGHT PEAK FLOW METER DEVICE
MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 29 GAUGE X 1/2", 29 GAUGE X 1/2"
OTC; QL
MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 30 GAUGE X 5/16, 0.5 ML 29 GAUGE X 1/2", 1/2 ML 30 GAUGE X 5/16
QL
MONOJECT INSULIN SYRINGE SYRINGE
OTC; QL
MONOJECT SAFETY SYRINGES SYRINGE
OTC
MONOJECT SYRINGE SYRINGE QL
MONOJECT ULTRA COMFORT INSULIN SYRINGE
OTC; QL
MONOLET LANCETS OTC; QL
MONOLET THIN LANCETS OTC; QL
MULTI-LANCET DEVICE 2 KIT OTC; QL
MULTISTIX 9 SG STRIP OTC
MULTISTIX 9 STRIP OTC
MYGLUCOHEALTH LANCETS OTC; QL
NOVOFINE 32 NEEDLE OTC; QL
ON CALL LANCING DEVICE OTC; QL
ON CALL PLUS LANCING DEVICE OTC; QL
ON-THE-GO LANCETS OTC; QL
OPTICHAMBER ADULT MASK-LARGE DEVICE
QL
OPTICHAMBER DIAMOND LG MASK SPACER
QL
OPTICHAMBER DIAMOND VHC SPACER
QL
OPTICHAMBER DIAMOND-MED MSK SPACER
QL
127
Drug Name Reference Notes
OPTICHAMBER DIAMOND-SML MASK SPACER
QL
PEAK AIR PEAK FLOW METER DEVICE
OTC
pen needle needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"
OTC; QL
pen needle needle 30 gauge x 5/16" QL
pen needle, diabetic needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"
1st Tier Unifine Pentips OTC; QL
pen needle, diabetic needle 31 gauge x 1/3", 31 gauge x 1/6"
OTC; QL
pen needle, diabetic needle 32 gauge x 1/4"
BD Ultra-Fine Micro Pen Needle
OTC; QL
PEN NEEDLE, DIABETIC NEEDLE 32 GAUGE X 3/16"
CareFine Pen Needle OTC; QL
PENTIPS NEEDLE OTC; QL
PERSONAL BEST FULL RANGE DEVICE
OTC
PERSONAL BEST LOW RANGE DEVICE
OTC
PIKO 1 DEVICE OTC
POCKET CHAMBER SPACER QL
POCKET PEAK FLOW METER DEVICE OTC
PRIMEAIRE SPACER QL
PRO COMFORT PEN NEEDLE NEEDLE OTC; QL
PROCHAMBER SPACER QL
PRODIGY INSULIN SYRINGE SYRINGE OTC; QL
PRODIGY LANCING DEVICE OTC; QL
RELIAMED MINI LANCING DEVICE OTC; QL
RELION NEEDLES NEEDLE OTC; QL
RELION PEN NEEDLES NEEDLE OTC; QL
RELION THIN LANCETS OTC; QL
RELION ULTRA THIN PLUS LANCETS OTC; QL
RIGHTEST GD500 LANCING DEVICE OTC; QL
RIGHTEST GL300 LANCETS OTC; QL
RITEFLO AEROCHAMBER SPACER QL
SAFETY LANCETS OTC; QL
SMART SENSE LANCETS OTC; QL
128
Drug Name Reference Notes
SMARTDIABETES VANTAGE OTC; QL
STERILANCE TL OTC; QL
SUPER THIN LANCETS OTC; QL
SURE COMFORT INS. SYR. U-100 SYRINGE
OTC; QL
SURE COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
SURE COMFORT LANCING PEN OTC; QL
SURE COMFORT PEN NEEDLE NEEDLE
OTC; QL
SURE-FINE PEN NEEDLES NEEDLE OTC; QL
SUREFLEX LANCING DEVICE OTC; QL
SURE-JECT INSULIN SYRINGE SYRINGE
OTC; QL
SURE-PEN LANCING DEVICE OTC; QL
TECHLITE LANCETS OTC; QL
TECHLITE PEN NEEDLE NEEDLE OTC; QL
TERUMO INSULIN SYRINGE SYRINGE OTC; QL
THIN LANCETS OTC; QL
THINPRO INSULIN SYRINGE SYRINGE OTC; QL
TOPCARE CLICKFINE NEEDLE OTC; QL
TOPCARE ULTRA COMFORT SYRINGE OTC; QL
TOPCARE UNIVERSAL1 LANCET OTC; QL
TRUE METRIX AIR GLUCOSE METER OTC
TRUE METRIX GLUCOSE TEST STRIP STRIP
OTC; QL
TRUE METRIX LEVEL 1 SOLUTION OTC
TRUE METRIX LEVEL 2 SOLUTION OTC
TRUE METRIX LEVEL 3 SOLUTION OTC
TRUEDRAW LANCING DEVICE OTC; QL
TRUEPLUS INSULIN SYRINGE OTC; QL
TRUEPLUS KETONE STRIP OTC; QL
TRUEPLUS LANCETS OTC; QL
TRUEPLUS PEN NEEDLE NEEDLE OTC; QL
TRUERESULT BLOOD GLUCOSE SYSTM KIT
OTC
TRUETEST TEST STRIPS STRIP OTC; QL
TRUSTEX LATEX CONDOM DEVICE OTC
129
Drug Name Reference Notes
TRUSTEX LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX NON-LUB CONDOMS DEVICE
OTC
TRUSTEX-RIA LUB/SPERMICIDE DEVICE
OTC
TRUSTEX-RIA LUBRICATED CONDOMS DEVICE
OTC
TRUSTEX-RIA NON-LUB CONDOMS DEVICE
OTC
TRUZONE PEAK FLOW METER DEVICE
ULTICARE PEN NEEDLE NEEDLE OTC; QL
ULTICARE SYRINGE OTC; QL
ULTI-LANCE OTC; QL
ULTILET INSULIN SYRINGE SYRINGE OTC; QL
ULTILET PEN NEEDLE NEEDLE OTC; QL
ULTRA CMFT INS SYR HALF UNIT SYRINGE
OTC; QL
ULTRA COMFORT INSULIN SYRINGE SYRINGE
OTC; QL
ULTRA THIN LANCETS OTC; QL
ULTRA THIN PLUS LANCETS OTC; QL
ULTRA-THIN II (SHORT) INS SYR SYRINGE
OTC; QL
ULTRA-THIN II (SHORT) PEN NDL NEEDLE
OTC; QL
ULTRA-THIN II INS PEN NEEDLES NEEDLE
OTC; QL
ULTRA-THIN II INSULIN SYRINGE SYRINGE
OTC; QL
UNIFINE PENTIPS NEEDLE OTC; QL
UNIFINE PENTIPS PLUS NEEDLE OTC; QL
UNILET COMFORTOUCH LANCET OTC; QL
UNILET EXCELITE II LANCET OTC; QL
UNILET EXCELITE LANCET OTC; QL
UNILET GP LANCET OTC; QL
UNILET LANCET OTC; QL
UNILET LANCETS OTC; QL
UNILET SUPER THIN LANCETS OTC; QL
130
Drug Name Reference Notes
UNISTIK 2 DEVICE KIT OTC; QL
UNISTIK 2 EXTRA KIT OTC; QL
UNISTIK 3 COMFORT DEVICE KIT OTC; QL
UNISTIK 3 COMFORT LANCET OTC; QL
UNISTIK 3 EXTRA LANCET OTC; QL
UNISTIK 3 GENTLE OTC; QL
UNISTIK 3 KIT OTC; QL
UNISTIK 3 LANCETS OTC; QL
UNISTIK 3 NEONATAL DEVICE KIT OTC; QL
UNISTIK 3 NEONATAL KIT OTC; QL
UNISTIK 3 NORMAL LANCET OTC; QL
UNISTIK CZT LANCET OTC; QL
UNISTIK PRO LANCET OTC; QL
UNISTIK SAFETY OTC; QL
UNISTIK TOUCH LANCETS OTC; QL
UNIVERSAL 1 LANCETS OTC; QL
URINARY TRACT INF.TEST (WBCS) STRIP
OTC
VANISHPOINT SYRINGE SYRINGE OTC; QL
VORTEX HOLDING CHAMBER CHILD SPACER
QL
VORTEX HOLDING CHAMBER SPACER
QL
VORTEX HOLDING CHAMBER TODDLER SPACER
QL
VORTEX VHC FROG MASK-CHILD SPACER
QL
VORTEX VHC LADYBUG MASK-TODDLR SPACER
QL
WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM
131
Drug Name Reference Notes
WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM
WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM
RESPIRATORY THERAPY AGENTS
ALPHA/BETA ADRENERGIC AGENTS
epinephrine injection solution Adrenalin
epinephrine injection syringe
ANALGESIC/ANTIPYRETICS, NON-SALICYLATE
acetadryl oral tablet OTC
aceta-gesic oral tablet OTC
acetaminophen pm extra str oral tablet OTC
acetaminophen pm oral tablet OTC
diphenhydramine-acetaminophen oral tablet
Acetadryl OTC
headache pm oral tablet OTC
headache relief pm oral tablet OTC
mapap pm oral tablet OTC
menstrual relief oral tablet OTC
midol pm oral tablet OTC
non-aspirin nightime oral tablet OTC
non-aspirin pain relief pm oral tablet OTC
non-aspirin pm oral tablet OTC
pain relief pm oral tablet OTC
pain relief pm rapid release oral tablet OTC
pain reliever pm ex-strength oral tablet OTC
pain reliever pm oral tablet OTC
percogesic extra strength oral tablet OTC
percogesic oral tablet OTC
ANTIHISTAMINE AND DECONGESTANT COMBINATIONS
alavert d-12 allergy-sinus oral tablet extended release 12 hr
OTC; QL
allerclear d-12hr oral tablet extended release 12 hr
OTC; QL
132
Drug Name Reference Notes
allerclear d-24hr oral tablet extended release 24 hr
OTC; QL
allergy and congestion relief oral tablet extended release 12 hr
OTC; QL
allergy and congestion relief oral tablet extended release 24 hr
OTC; QL
allergy relief d12 oral tablet extended release 12 hr
OTC; QL
allergy relief d-24 oral tablet extended release 24 hr
OTC; QL
allergy relief,nasal decongest oral tablet extended release 24 hr
OTC; QL
allergy relief-d (loratadine) oral tablet extended release 12 hr
OTC; QL
allergy relief-d(fexofenadine) oral tablet extended release 12 hr
OTC; QL
allergy-congestion relief-d oral tablet extended release 24 hr
OTC; QL
aprodine oral tablet OTC
ed a-hist pse oral tablet OTC
fexofenadine-pseudoephedrine oral tablet extended release 12 hr
Allegra-D 12 Hour OTC; QL
lohist - d oral liquid OTC
lorata-d oral tablet extended release 24 hr OTC; QL
lorata-dine d oral tablet extended release 24 hr
OTC; QL
loratadine-d oral tablet extended release 12 hr
OTC; QL
loratadine-d oral tablet extended release 24 hr
OTC; QL
loratadine-pseudoephedrine oral tablet extended release 24 hr
AllerClear D-24hr OTC; QL
promethazine vc oral syrup AL; QL
promethazine-phenylephrine oral syrup Promethazine VC AL; QL
ritifed oral syrup OTC
rynex pse oral liquid OTC
wal-act d cold and allergy oral tablet OTC
wal-fex d 12 hour oral tablet extended release 12 hr
OTC; QL
wal-fex d 24 hour oral tablet extended release 24 hr
OTC; QL
133
Drug Name Reference Notes
wal-itin d 12 hour oral tablet extended release 12 hr
OTC; QL
wal-itin d oral tablet extended release 24 hr
OTC; QL
ANTIHISTAMINES
alavert oral tablet,disintegrating OTC; QL
aler-cap oral capsule OTC; QL
alka-seltzer plus allergy oral tablet OTC
aller-chlor oral tablet OTC
allerclear oral tablet OTC; QL
aller-ease oral tablet OTC; QL
aller-fex oral tablet OTC; QL
aller-g-time oral tablet OTC; QL
allergy (chlorpheniramine) oral tablet OTC
allergy (diphenhydramine) oral capsule OTC; QL
allergy (diphenhydramine) oral liquid OTC; QL
allergy (diphenhydramine) oral tablet OTC; QL
allergy 4-hour oral tablet OTC
allergy medication oral capsule OTC; QL
allergy medicine oral capsule OTC; QL
allergy medicine oral liquid OTC; QL
allergy medicine oral tablet OTC; QL
allergy relief (clemastine) oral tablet OTC
allergy relief (fexofenadine) oral tablet OTC; QL
allergy relief (loratadine) oral solution OTC; QL
allergy relief (loratadine) oral tablet OTC; QL
allergy relief (loratadine) oral tablet,disintegrating
OTC; QL
allergy relief(chlorpheniramn) oral tablet OTC
allergy relief(chlorpheniramn) oral tablet extended release
OTC
allergy relief(diphenhydramin) oral capsule
OTC; QL
allergy relief(diphenhydramin) oral liquid OTC; QL
allergy relief(diphenhydramin) oral tablet OTC; QL
allergy-time oral tablet OTC
banophen allergy oral liquid OTC; QL
banophen oral capsule 25 mg OTC; QL
134
Drug Name Reference Notes
banophen oral capsule 50 mg OTC
banophen oral liquid OTC; QL
banophen oral tablet OTC; QL
carbinoxamine maleate oral liquid
carbinoxamine maleate oral tablet
child allergy relief (diphen) oral tablet,disintegrating
OTC
children's allegra allergy oral suspension OTC; QL
children's allegra allergy oral tablet,disintegrating
OTC
children's allergy (diphenhyd) oral elixir OTC; QL
children's allergy (diphenhyd) oral liquid OTC; QL
children's allergy (diphenhyd) oral tablet,disintegrating
OTC
children's allergy relief(fex) oral suspension
OTC; QL
children's allergy relief(lor) oral solution OTC; QL
children's wal-dryl allergy oral liquid OTC; QL
children's wal-dryl allergy oral prefilled spoon
OTC; QL
children's wal-dryl allergy oral tablet,disintegrating
OTC
CHILDREN'S WAL-FEX ORAL SUSPENSION
OTC; QL
chlorhist oral tablet OTC
chlorpheniramine maleate oral tablet Aller-Chlor OTC
chlorpheniramine maleate oral tablet extended release
Allergy Relief(chlorpheniramn)
OTC
chlortabs oral tablet OTC
clemastine oral tablet Allergy Relief (clemastine)
complete allergy medicine oral capsule OTC; QL
complete allergy medicine oral tablet OTC; QL
complete allergy oral capsule OTC; QL
complete allergy oral liquid OTC; QL
complete allergy oral tablet OTC; QL
cyproheptadine oral tablet
dayhist allergy oral tablet OTC
diphedryl allergy oral liquid OTC; QL
diphedryl oral capsule OTC; QL
135
Drug Name Reference Notes
diphedryl oral liquid OTC; QL
diphedryl oral tablet OTC; QL
diphen oral tablet OTC; QL
diphenhist oral capsule OTC; QL
diphenhist oral liquid OTC; QL
diphenhist oral tablet OTC; QL
diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL
diphenhydramine hcl oral capsule 50 mg Banophen OTC
diphenhydramine hcl oral elixirChildren's Allergy (diphenhyd)
OTC; QL
diphenhydramine hcl oral liquid Allergy (diphenhydramine) OTC; QL
diphenhydramine hcl oral syrup OTC
diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC; QL
ed chlorped jr oral syrup OTC
ed-chlorped oral drops OTC
fexofenadine oral suspension Children's Allegra Allergy OTC; QL
fexofenadine oral tablet Allegra Allergy OTC; QL
loradamed oral tablet OTC; QL
loratadine oral capsule Claritin Liqui-Gel OTC
loratadine oral solution Allergy Relief (loratadine) OTC; QL
loratadine oral tablet Allerclear OTC; QL
loratadine oral tablet,disintegrating Alavert OTC; QL
nightime sleep oral capsule OTC
nighttime sleep aid (diphen) oral capsule OTC
nighttime sleep aid (diphen) oral tablet OTC
non-drowsy allergy oral tablet OTC; QL
pharbechlor oral tablet OTC
pharbedryl oral capsule 25 mg OTC; QL
pharbedryl oral capsule 50 mg OTC
promethazine oral syrup AL
promethazine oral tablet 12.5 mg, 50 mg AL
promethazine oral tablet 25 mg AL; QL
restfully sleep oral tablet OTC
siladryl sa oral liquid OTC; QL
simply sleep oral tablet OTC
sleep aid (diphenhydramine) oral capsule OTC
sleep aid (diphenhydramine) oral tablet OTC
136
Drug Name Reference Notes
sleep aid max str (diphenhydr) oral capsule
OTC
sleep ii oral tablet OTC
sleep oral tablet OTC
sleep tablet (diphenhydramine) oral tablet OTC
sleep-tabs oral tablet OTC
UNISOM (DIPHENHYDRAMINE) ORAL LIQUID
OTC
UNISOM SLEEPGELS ORAL CAPSULE OTC
valu-dryl allergy oral capsule OTC; QL
wal-dryl allergy oral capsule OTC; QL
wal-dryl allergy oral liquid OTC; QL
wal-dryl allergy oral tablet OTC; QL
wal-fex allergy oral tablet OTC; QL
wal-finate oral tablet OTC
wal-itin oral solution OTC; QL
wal-itin oral tablet OTC; QL
wal-som (diphenhydramine) oral capsule OTC
ANTITUSSIVES - NONNARCOTIC
cough drops mucous membrane lozenge OTC
ASTHMA THERAPY AGENTS
ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE
QL
budesonide inhalation suspension for nebulization
Pulmicort PA; AL; QL
cromolyn inhalation solution for nebulization
FLOVENT DISKUS INHALATION BLISTER WITH DEVICE
QL
FLOVENT HFA INHALATION HFA AEROSOL INHALER
QL
montelukast oral granules in packet Singulair QL
montelukast oral tablet Singulair
montelukast oral tablet,chewable Singulair
zafirlukast oral tablet Accolate QL
BETA-ADRENERGIC AGENTS
albuterol sulfate inhalation solution for nebulization
QL
albuterol sulfate oral syrup
137
Drug Name Reference Notes
albuterol sulfate oral tablet
albuterol sulfate oral tablet extended release 12 hr
metaproterenol oral syrup
metaproterenol oral tablet
SEREVENT DISKUS INHALATION BLISTER WITH DEVICE
QL
terbutaline oral tablet
VENTOLIN HFA INHALATION HFA AEROSOL INHALER
QL
BETA-ADRENERGIC COMBINATION AGENTS
ANORO ELLIPTA INHALATION BLISTER WITH DEVICE
COMBIVENT RESPIMAT INHALATION MIST
ipratropium-albuterol inhalation solution for nebulization
BETA-ADRENERGICS AND GLUCOCORTICOIDS COMBINATIONS
BREO ELLIPTA INHALATION BLISTER WITH DEVICE 100-25 MCG/DOSE
PA; QL
BREO ELLIPTA INHALATION BLISTER WITH DEVICE 200-25 MCG/DOSE
PA
DULERA INHALATION HFA AEROSOL INHALER
PA; QL
CYSTIC FIBROSIS THERAPY AGENTS
tobramycin in 0.225 % nacl inhalation solution for nebulization
Tobi QL
DECONGESTANT - EXPECTORANT COMBINATIONS
TRIAMINIC CHEST-NASAL CONGEST ORAL LIQUID
OTC
DECONGESTANT COMBINATIONS
pain reliever pm oral tablet OTC
EXPECTORANTS
adult tussin chest congestion oral liquid OTC
adult wal-tussin oral liquid OTC
138
Drug Name Reference Notes
chest congestion relief oral tablet OTC
CHILD MUCINEX CHEST CONGESTION ORAL LIQUID
OTC
child mucus relief expectorant oral liquid OTC
children's chest congestion oral liquid OTC
cough syrup oral liquid OTC
coughtab oral tablet OTC
diabetic siltussin das-na oral liquid OTC
diabetic tussin ex oral liquid OTC
expectorant cough syrup oral liquid OTC
expectorant oral liquid OTC
fenesin ir oral tablet OTC
geri-tussin oral liquid OTC
guaifenesin oral liquidAdult Tussin Chest Congestion
OTC
guaifenesin oral tablet Coughtab OTC
mucosa oral tablet OTC
mucus relief chest oral tablet OTC
mucus relief oral tablet OTC
ri-tussin oral liquid OTC
robafen oral liquid OTC
scot-tussin expectorant oral liquid OTC
siltussin sa oral liquid OTC
tussin chest congestion oral liquid OTC
tussin expectorant oral liquid OTC
tussin honey oral liquid OTC
tussin mucus-chest congestion oral liquid OTC
tussin oral liquid OTC
tussin oral tablet OTC
GENERAL BRONCHODILATOR AGENTS
ATROVENT HFA INHALATION HFA AEROSOL INHALER
QL
ipratropium bromide inhalation solution QL
SPIRIVA RESPIMAT INHALATION MIST QL
IMMUNOGLOBULIN ANTIBODIES
XOLAIR SUBCUTANEOUS RECON SOLN
PA
139
Drug Name Reference Notes
MAST CELL STABILIZERS
cromolyn nasal spray,non-aerosolNasal Allergy Symptom Control
OTC
nasal allergy symptom control nasal spray,non-aerosol
OTC
MUCOLYTICS
acetylcysteine solution
PULMOZYME INHALATION SOLUTION PA; QL
NARCOTIC ANTITUSSIVE COMBINATIONS
cheratussin ac oral liquid AL; OTC; QL
guaiatussin ac oral liquid AL; OTC; QL
guaifenesin ac oral liquid AL; OTC; QL
guaifenesin dac oral syrup AL; OTC
hydrocodone compound oral syrup
hydrocodone-homatropine oral syrup Hydrocodone Compound
hydrocodone-homatropine oral tablet Tussigon
hydromet oral syrup
m-clear wc oral liquid AL; OTC
promethazine vc-codeine oral syrup AL; QL
promethazine-codeine oral syrup AL; QL
promethazine-phenyleph-codeine oral syrup
Promethazine VC-Codeine AL; QL
relcof c oral liquid AL; OTC
tusnel c oral syrup AL; OTC
virtussin ac oral liquid AL; OTC; QL
NASAL ANTIBIOTICS
BACTROBAN NASAL NASAL OINTMENT
QL
NASAL ANTICHOLINERGICS
ipratropium bromide nasal spray,non-aerosol
NASAL ANTIHISTAMINES
azelastine nasal aerosol,spray QL
azelastine nasal spray,non-aerosol Astepro QL
NASAL CORTICOSTEROIDS
24 hour allergy relief nasal spray,suspension
OTC; QL
140
Drug Name Reference Notes
aller-flo nasal spray,suspension OTC; QL
allergy relief (fluticasone) nasal spray,suspension
OTC; QL
CHILDREN'S FLONASE ALLERGY RLF NASAL SPRAY,SUSPENSION
OTC; QL
CHILDREN'S NASACORT NASAL AEROSOL,SPRAY
OTC; QL
CLARISPRAY NASAL SPRAY,SUSPENSION
OTC; QL
FLONASE ALLERGY RELIEF NASAL SPRAY,SUSPENSION
OTC; QL
fluticasone nasal spray,suspension 24 Hour Allergy Relief OTC; QL
NASACORT NASAL AEROSOL,SPRAY OTC; QL
nasal allergy nasal aerosol,spray OTC; QL
triamcinolone acetonide nasal aerosol,spray
24 Hour Nasal Allergy PA; OTC; QL
NASAL, OTHER
altamist nasal aerosol,spray OTC
ayr saline nasal aerosol,spray AL; OTC
ayr saline nasal drops OTC; QL
baby ayr saline nasal drops AL; OTC; QL
children's saline nasal spray nasal aerosol,spray
OTC
deep sea nasal nasal aerosol,spray OTC
little remedies nasal aerosol,spray OTC
nasal mist nasal aerosol,spray OTC
nasal moisturizing nasal aerosol,spray OTC
nasal spray (sodium chloride) nasal aerosol,spray
OTC
ocean nasal nasal aerosol,spray OTC
saline mist nasal aerosol,spray AL; OTC
saline nasal mist nasal aerosol,spray OTC
saline nasal nasal aerosol,spray OTC
saline nose nasal aerosol,spray OTC
sodium chloride nasal aerosol,spray Altamist OTC
sterile saline nasal aerosol,spray OTC
NON-NARCOTIC ANTITUSSIVE COMBINATIONS
adult robitussin peak cold dm oral liquid OTC; QL
141
Drug Name Reference Notes
adult tussin cough congest dm oral liquid OTC; QL
adult tussin dm oral syrup OTC; QL
antitussive dm oral syrup OTC; QL
benzonatate oral capsule
biocotron oral liquid OTC; QL
biogil oral liquid OTC
brotapp dm oral elixir OTC
child mucus relief cough oral liquid OTC
children's cough oral liquid OTC
CHILDREN'S MUCINEX COUGH ORAL LIQUID
OTC
chlorpheniramine-phenyleph-dm oral liquid
OTC
cough dm er oral suspension,extended rel 12 hr
OTC
cough relief oral liquid OTC; QL
cough suppressant-expectorant oral syrup OTC; QL
cough syrup dm oral syrup OTC; QL
day-time cough oral syrup OTC
despec eda cough-cold drops oral drops OTC
dextromethorphan polistirex oral suspension,extended rel 12 hr
12-Hour Cough Relief OTC
dextromethorphan-guaifenesin oral syrup Adult Tussin DM OTC; QL
diabetic siltussin-dm oral liquid OTC; QL
diabetic tussin dm oral liquid OTC; QL
g-tron oral liquid OTC; QL
guiatuss dm oral syrup OTC; QL
kidkare cough/cold oral liquid OTC
MUCINEX DM ORAL TABLET EXTENDED RELEASE 12 HR
OTC
MUCINEX FAST-MAX DM MAX ORAL LIQUID
OTC
mucus dm oral tablet extended release 12 hr
OTC
mucus relief cough oral liquid OTC
mucus relief dm max oral liquid OTC
neo-tuss oral liquid OTC
non-aspirin flu oral tablet OTC
pedia relief cough-cold oral liquid OTC
142
Drug Name Reference Notes
pediatric cough and cold oral liquid OTC
promethazine-dm oral syrup AL; QL
ri-tussin dm oral syrup OTC; QL
robafen cf oral syrup AL; OTC
robafen dm cough oral liquid OTC; QL
robafen dm cough-chest congest oral syrup
OTC; QL
robafen dm oral syrup OTC; QL
siltussin dm das oral liquid OTC; QL
siltussin-dm oral syrup OTC; QL
supress dx oral drops OTC
tusnel diabetic oral liquid OTC; QL
tussin cf oral syrup AL; OTC
tussin cough (dm only) oral liquid OTC; QL
tussin cough-chest congestion oral liquid OTC; QL
tussin dm clear oral syrup OTC; QL
tussin dm cough oral syrup OTC; QL
tussin dm oral liquid OTC; QL
tussin dm oral syrup OTC; QL
tussin maximum strength cough oral syrup OTC; QL
vicks dayquil cough oral syrup OTC
wal-tussin cough oral liquid OTC; QL
wal-tussin dm oral syrup OTC; QL
wal-tussin max strength cough oral syrup OTC; QL
SYSTEMIC SYMPATHOMIMETIC DECONGESTANTS
12 hour decongestant oral tablet extended release
OTC
12 hour nasal decongest (pse) oral tablet extended release
AL; OTC
children's silfedrine oral liquid OTC
nasal decongestant (pseudoeph) oral liquid
OTC
nasal decongestant (pseudoeph) oral tablet
OTC
nasal decongestant (pseudoeph) oral tablet extended release
OTC
pedia relief infant nasal oral drops OTC
143
Drug Name Reference Notes
pseudoephedrine hcl oral liquidNasal Decongestant (pseudoeph)
OTC
pseudoephedrine hcl oral tabletNasal Decongestant (pseudoeph)
AL; OTC
pseudoephedrine hcl oral tablet extended release
12 Hour Decongestant OTC
sinus 12 hour oral tablet extended release OTC
sudogest 12-hour oral tablet extended release
OTC
sudogest oral tablet OTC
suphedrin 12 hour oral tablet extended release
OTC
suphedrin oral liquid OTC
suphedrin oral tablet OTC
suphedrine 12 hour oral tablet extended release
OTC
suphedrine oral tablet OTC
wal-phed 12 hour oral tablet extended release
OTC
wal-phed d oral tablet extended release OTC
wal-phed oral tablet OTC
XANTHINES
theochron oral tablet extended release 12 hr
theophylline oral elixir Elixophyllin
theophylline oral solution
theophylline oral tablet extended release 12 hr
Theochron
theophylline oral tablet extended release 24 hr
VAGINAL PRODUCTS
VAGINAL ANTIBIOTICS
CLEOCIN VAGINAL SUPPOSITORY
clindamycin phosphate vaginal cream Cleocin
metronidazole vaginal gel Metrogel Vaginal
vandazole vaginal gel
VAGINAL ANTIFUNGALS
3 day vaginal vaginal cream OTC
3-day vaginal vaginal cream OTC
144
Drug Name Reference Notes
clotrimazole 3 day vaginal cream OTC
clotrimazole vaginal cream Clotrimazole-7 OTC; QL
clotrimazole-3 vaginal cream OTC
clotrimazole-7 vaginal cream OTC; QL
miconazole 7 vaginal cream OTC
miconazole 7 vaginal suppository OTC
miconazole nitrate vaginal comb pack,prefill appl, cream
Miconazole-3 OTC; QL
miconazole nitrate vaginal cream Miconazole 7 OTC
miconazole nitrate vaginal kit Monistat 1 Combo Pack OTC
miconazole nitrate vaginal suppository Miconazole 7 OTC
miconazole-3 prefil,cream,wipe vaginal kit OTC; QL
miconazole-3 vaginal comb pack,prefill appl, cream
OTC; QL
miconazole-3 vaginal kit OTC; QL
miconazole-3 vaginal suppository PA
miconazole-skin clnsr17 vaginal kitMiconazole-3 prefil,cream,wipe
OTC; QL
terconazole vaginal cream Terazol 7 QL
terconazole vaginal suppository QL
tioconazole vaginal ointment 1-Day OTC
tioconazole-1 vaginal ointment OTC
VAGINAL ESTROGEN PREPARATIONS
estradiol vaginal tablet Vagifem
yuvafem vaginal tablet
145