Premium Formulary Reference Guide - Brown … Formulary Reference Guide ... your member website or...
Transcript of Premium Formulary Reference Guide - Brown … Formulary Reference Guide ... your member website or...
Premium Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
The Optum Premium Formulary is a partially-closed formulary. The Premium Formulary is considered partially-closed because it excludes coverage of some brand-name drugs that do not offer a clear clinical advantage over other less costly brand or generic alternatives. Most other prescription drugs are on the formulary including specialty medications. Some medications may be subject to utilization management programs to ensure appropriate clinical use and cost efficiency. The formulary structure features medications generics (with the lowest copayments), preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed under “GENERIC” have the same active ingredient as the brand-name versions but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand name drugs that will generally have lower co-payments than non-preferred brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a generic or preferred drug when it is
Premium Formulary Reference Guide
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co‐payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of Optum. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up‐to‐date formulary
status of your medication, please visit your member website or call member services at the number listed on your ID card.
appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include generic, preferred brand-name, and non-preferred brand-name medications. Health plans often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other health plans design their prescription drug plans, they may choose to provide coverage only for certain medications, time periods, doses, quantities, or for a specific indications (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications). When coverage for medications is provided based on use or quantity, your pharmacy benefit may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a Member Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
OptumRx specializes in the delivery, clinical management and affordability of prescription medications and consumer health products. We are an OptumTM company — a leading provider of integrated health services. Learn more at optum.com.
All OptumTM
trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or
registered marks of their respective owners. © 2015 Optum, Inc. All rights reserved.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
cefotetan
cefoxitin sodium
cefprozil
cefuroxime axetil
January 2017 cefuroxime sodium
PREFERRED
ANTI-INFECTIVES Cefaclor
NON PREFERRED
PENICILLINS
Cefaclor ER
GENERIC
Cefotan
amoxicillin
Cefotetan
amoxicillin/clavulanate potassium
Cefotetan/Dextrose
amoxicillin/clavulanate potassium ER
Cefoxitin Sodium
ampicillin
Ceftin
ampicillin sodium
Cefuroxime Sodium
ampicillin-sulbactam
Zinacef
dicloxacillin sodium
THIRD GENERATION
nafcillin sodium
GENERIC
oxacillin sodium
cefdinir
penicillin v potassium
cefixime
penicillin G potassium
cefotaxime sodium
piperacillin sodium/ tazobactam sodium
cefpodoxime proxetil
piperacillin sodium/tazobactam sodium
ceftazidime
piperacillin/tazobactam
ceftriaxone sodium
Amoxicillin/Clavulanate Potassium
Cefotaxime Sodium
PREFERRED
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin
NON PREFERRED
Ampicillin
Cedax
NON PREFERRED
Cefditoren Pivoxil
Amoxicillin ER
Ceftazidime/Dextrose
Ampicillin Sodium
Ceftibuten
Augmentin
Ceftriaxone Sodium
Augmentin ES-600
Ceftriaxone/Dextrose
Augmentin XR
Claforan
Bactocill IN Dextrose
Claforan/D5W
Bicillin C-R
Fortaz
Bicillin L-a
Rocephin
Moxatag
Spectracef
Nafcillin
Suprax
Nafcillin Sodium
Tazicef
Penicillin G Potassium IN Iso-osmotic Dextrose
FOURTH GENERATION
Penicillin G Procaine
GENERIC
Penicillin G Sodium
cefepime
Pfizerpen-G
NON PREFERRED
Timentin
Cefepime
Unasyn
Cefepime/Dextrose
Unasyn Bulk Pack
Maxipime
Zosyn
MACROLIDES
CEPHALOSPORIN
GENERIC
FIRST GENERATION
azithromycin
GENERIC
clarithromycin
cefadroxil
clarithromycin ER
cefazolin sodium
erythromycin
cephalexin
erythromycin ethylsuccinate
PREFERRED
Azithromycin
Cephalexin
PREFERRED
NON PREFERRED
E.e.s. 400
Ancef
Erythromycin Base
Cefazolin
Erythromycin Ethylsuccinate
Cefazolin Sodium
NON PREFERRED
Cefazolin Sodium/Dextrose
Biaxin
Cefazolin/Dextrose
Dificid
Cefazolin/D5W
E.e.s. Granules
Cefazolin/Sodium Chloride
Ery-TAB
Keflex
Eryped 200
SECOND GENERATION
Eryped 400
GENERIC
Erythrocin Lactobionate
cefaclor
Erythrocin Stearate
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
1
PCE GENERIC
Zithromax amikacin sulfate
Zithromax Tri-PAK gentamicin sulfate
Zithromax Z-PAK gentamicin sulfate pediatric
Zmax gentamicin sulfate/0.9% sodium chloride
isotonic gentamicin
TETRACYCLINES neomycin sulfate
paromomycin sulfate
GENERIC
tobramycin
demeclocycline HCL
tobramycin sulfate
doxycycline
Tobramycin
doxycycline hyclate
PREFERRED
doxycycline hyclate DR
Bethkis
doxycycline monohydrate
NON PREFERRED
minocycline HCL
Gentamicin Sulfate/0.9% Sodium Chloride
minocycline HCL ER
Streptomycin Sulfate
tetracycline hydrochloride
Tobramycin Sulfate
Tetracycline HCL
NON PREFERRED
SULFONAMIDES
Acticlate
Adoxa PREFERRED
Adoxa PAK 1/100 Sulfadiazine
Adoxa PAK 1/150
Adoxa PAK 2/100 ANTIMYCOBACTERIAL AGENTS
Alodox Convenience Kit
GENERIC
Avidoxy DK
ethambutol HCL
Benzodox 30 Kit
isoniazid
Benzodox 60 Kit
pyrazinamide
Doryx
rifabutin
Doryx Mpc
rifampin
Minocin
NON PREFERRED
Minocin Kit
Capastat Sulfate
Monodox
Cycloserine
Morgidox 1X100MG
Isoniazid
Morgidox 1X50MG Kit
Myambutol
Morgidox 2X100MG
Mycobutin
Nicazeldoxy 30 Kit
Paser
Nicazeldoxy 60 Kit
Priftin
Nutridox
Rifadin
Ocudox
Rifamate
Solodyn
Rifater
Targadox
Sirturo
Vibramycin
Trecator
QUINOLONES
ANTIFUNGALS
GENERIC
GENERIC
ciprofloxacin
fluconazole
ciprofloxacin ER
fluconazole IN dextrose
ciprofloxacin HCL
fluconazole IN NACL
ciprofloxacin I.V.-IN D5W
flucytosine
levofloxacin
griseofulvin microsize
levofloxacin IN D5W
griseofulvin ultramicrosize
levofloxacin IN 5% dextrose
itraconazole
moxifloxacin HCL
ketoconazole
Ciprofloxacin HCL
nystatin
Ofloxacin
terbinafine HCL
NON PREFERRED
voriconazole
Avelox
NON PREFERRED
Avelox Abc Pack
Abelcet
Cipro
Ambisome
Cipro I.V.-IN D5W
Amphotec
Cipro XR
Amphotericin B
Ciprofloxacin
Ancobon
Factive
Cancidas
Levaquin
Cresemba
Moxifloxacin HCL
Diflucan
Noroxin
Eraxis
Fluconazole IN NACL
AMINOGLYCOSIDES
Grifulvin V
Gris-peg
Effective January 1, 2017
2
Lamisil Tybost
Mycamine Videx Pediatric
Noxafil Viracept
Onmel Viread
Sporanox Vitekta
Sporanox Pulsepak Zepatier
Vfend NON PREFERRED
Vfend IV Acyclovir Sodium
Baraclude
ANTIVIRALS Combivir
Copegus
GENERIC
Cytovene
abacavir
Daklinza
abacavir sulfate/lamivudine/zidovudine
Epivir
abacavir/lamivudine
Epivir HBV
acyclovir
Epzicom
acyclovir sodium
Famvir
adefovir dipivoxil
Flumadine
cidofovir
Foscavir
didanosine
Hepsera
entecavir
Moderiba
famciclovir
Moderiba 1200 Dose Pack
ganciclovir
Moderiba 800 Dose Pack
lamivudine
Olysio
lamivudine/zidovudine
Peg-intron
nevirapine
Peg-intron Redipen
nevirapine ER
Peg-intron Redipen PAK 4
ribavirin
Pegintron
rimantadine HCL
Rapivab
stavudine
Rebetol
valacyclovir HCL
Relenza Diskhaler
valganciclovir
Retrovir
valganciclovir hydrochlorde
Ribasphere
zidovudine
Ribasphere Ribapak
Nevirapine
Rimantalist
PREFERRED
Sitavig
Aptivus
Tamiflu
Atripla
Technivie
Complera
Trizivir
Crixivan
Tyzeka
Descovy
Valcyte
Edurant
Valtrex
Emtriva
Victrelis
Epclusa
Videx EC
Evotaz
Viekira PAK
Fuzeon
Viekira XR
Genvoya
Viramune
Harvoni
Viramune XR
Intelence
Virazole
Invirase
Vistide
Isentress
Zerit
Kaletra
Ziagen
Lexiva
Zovirax
Norvir
Odefsey
ANTIMALARIALS
Pegasys
Pegasys Proclick GENERIC
Prezcobix atovaquone/proguanil HCL
Prezista chloroquine phosphate
Rescriptor hydroxychloroquine sulfate
Retrovir IV Infusion mefloquine HCL
Reyataz quinine sulfate
Ribatab Primaquine Phosphate
Selzentry PREFERRED
Sovaldi Daraprim
Stribild NON PREFERRED
Sustiva Aralen
Tivicay Coartem
Triumeq Malarone
Truvada Plaquenil
Effective January 1, 2017
3
Qualaquin First-vancomycin 50
Flagyl
AMEBICIDES Flagyl ER
Impavido
PREFERRED
Invanz
Yodoxin
Ketek
Lincocin
ANTHELMINTICS
Lincomycin/Lidocaine
GENERIC
Mepron
ivermectin
Meropenem/Sodium Chloride
PREFERRED
Merrem
Biltricide
Metro IV
NON PREFERRED
Neutrexin
Albenza
Orbactiv
Emverm
Pentam 300
Stromectol
Primaxin IV
Primaxin IV Add-vantage
MISC. ANTI-INFECTIVES
Primsol
GENERIC
Sivextro
atovaquone
Sulfamethoxazole/Trimethoprim
aztreonam
Synercid
bacitracin
Tindamax
clindamycin
Tygacil
clindamycin palmitate HCL
Vancocin HCL
clindamycin phosphate
Vancomycin
clindamycin phosphate add-vantage
Vancomycin Hydrochloride
clindamycin phosphate pharmacy bulk package
Vancomycin Hydrochloride/Dextrose
clindamycin phosphate IN D5W
Vancomycin Hydrochloride/NACL
clindamycin HCL
Vancomycin Hydrochloride/Sodium Chloride
colistimethate sodium
Vancomycin HCL
dapsone
Vancomycin HCL + Syrspendsf PH4
daptomycin
Vancomycin HCL IN Dextrose
imipenem/cilastatin
Vibativ
lincomycin HCL
Xifaxan
linezolid
Zerbaxa
meropenem
Zyvox
metronidazole
metronidazole IN NACL 0.79%
ANTINEOPLASTICS, ETC
polymyxin b sulfate
ALKYLATING AGENTS
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS GENERIC
tinidazole carboplatin
trimethoprim cisplatin
vancomycin HCL cyclophosphamide
Linezolid ifosfamide
PREFERRED melphalan hydrochloride
Alinia oxaliplatin
Nebupent temozolomide
NON PREFERRED Lomustine
Avycaz PREFERRED
Azactam Alkeran
Azactam IN Iso-osmotic Dextrose Bicnu
Bactrim Busulfex
Bactrim DS Hexalen
Cayston Leukeran
Chloramphenicol Sodium Succinate Mustargen
Cleocin Myleran
Cleocin IN D5W Treanda
Cleocin Pediatric Granules Zanosar
Cleocin Phosphate NON PREFERRED
Clin Single Use Kit Bendeka
Clindamycin Phosphate Cisplatin
Coly-mycin M Cyclophosphamide
Cubicin Eloxatin
Cubicin RF Evomela
Dalvance Gleostine
Doribax Gliadel Wafer
First-metronidazole 100 Ifex
First-metronidazole 50 Ifosfamide
First-vancomycin 25 Temodar
Effective January 1, 2017
4
Thiotepa NON PREFERRED
Valchlor Cyramza
Yondelis
ANTIBODIES
ANTIBIOTICS
PREFERRED
GENERIC Adcetris
bleomycin sulfate Arzerra
daunorubicin HCL Erbitux
doxorubicin HCL Herceptin
doxorubicin HCL liposome Perjeta
epirubicin HCL Yervoy
idarubicin HCL NON PREFERRED
mitomycin Blincyto
mitoxantrone HCL Darzalex
Doxorubicin HCL Empliciti
Mitomycin Gazyva
PREFERRED Kadcyla
Daunoxome Keytruda
NON PREFERRED Opdivo
Bleo 15k Portrazza
Cosmegen Rituxan
Doxil Tecentriq
Ellence Unituxin
Idamycin PFS Vectibix
Zevalin Y-90
ANTINEOPLASTIC ENZYMES
HORMONAL AGENTS
PREFERRED
Oncaspar GENERIC
NON PREFERRED anastrozole
Erwinaze bicalutamide
exemestane
ANTIMETABOLITES flutamide
letrozole
GENERIC
leuprolide acetate
azacitidine
megestrol acetate
capecitabine
nilutamide
cladribine
tamoxifen citrate
cytarabine
Hydroxyprogesterone Caproate
cytarabine aqueous
PREFERRED
decitabine
Emcyt
fludarabine phosphate
Fareston
fluorouracil
Faslodex
gemcitabine
Lupron Depot
gemcitabine HCL
Lysodren
mercaptopurine
Zoladex
methotrexate
NON PREFERRED
methotrexate sodium
Arimidex
Floxuridine
Aromasin
Methotrexate Sodium
Casodex
PREFERRED
Depo-provera
Alimta
Eligard
Arranon
Femara
Clolar
Firmagon
Folotyn
Megace Oral
Tabloid
Nilandron
NON PREFERRED
Soltamox
Cytarabine Aqueous
Trelstar
Dacogen
Trelstar Mixject
Fludara
Vantas
Gemzar
Xtandi
Purinethol
Zytiga
Purixan
Trexall
IMMUNOMODULATORS
Vidaza
Xeloda GENERIC
azathioprine
ANGIOGENESIS INHIBITORS cyclosporine
cyclosporine modified
PREFERRED
mycophenolate mofetil
Avastin
mycophenolic acid DR
Zaltrap
Effective January 1, 2017
5
sirolimus Zolinza
tacrolimus NON PREFERRED
Azathioprine Afinitor Disperz
PREFERRED Alecensa
Atgam Beleodaq
Cellcept Intravenous Bosulif
Thalomid Cabometyx
NON PREFERRED Cometriq
Astagraf XL Cotellic
Azasan Farydak
Cellcept Gilotrif
Cyclosporine Modified Gleevec
Envarsus XR Ibrance
Imuran Iclusig
Myfortic Imbruvica
Neoral Inlyta
Nulojix Iressa
Pomalyst Lenvima 10 MG Daily Dose
Prograf Lenvima 14 MG Daily Dose
Rapamune Lenvima 18 MG Daily Dose
Revlimid Lenvima 20 MG Daily Dose
Sandimmune Lenvima 24 MG Daily Dose
Simulect Lenvima 8 MG Daily Dose
Thymoglobulin Lynparza
Zortress Ninlaro
Stivarga
MITOTIC INHIBITORS Sutent
Tagrisso
GENERIC
Tarceva
docetaxel
Tasigna
etoposide
Votrient
paclitaxel
Zelboraf
vincristine sulfate
Zydelig
vinorelbine tartrate
Zykadia
PREFERRED
Abraxane
TOPOISOMERASE I INHIBITOR
Etoposide
Halaven GENERIC
Ixempra Kit irinotecan
Jevtana irinotecan HCL
NON PREFERRED topotecan HCL
Docefrez NON PREFERRED
Docetaxel Camptosar
Docetaxel (non-alcohol Formula) Hycamtin
Etopophos Irinotecan
Marqibo Onivyde
Navelbine Topotecan HCL
Paclitaxel
Taxotere RADIOPHARMACEUTICALS
Teniposide
PREFERRED
Vinblastine Sulfate
Xofigo
NON PREFERRED
ENZYME INHIBITORS
Metastron
GENERIC Quadramet
imatinib mesylate
PREFERRED CELLULAR IMMUNOTHERAPY
Afinitor
PREFERRED
Caprelsa
Provenge
Istodax
Istodax (overfill)
ANTINEOPLASTICS MISC.
Jakafi
GENERIC
Kyprolis
bexarotene
Mekinist
dacarbazine
Nexavar
hydroxyurea
Sprycel
tretinoin
Tafinlar
PREFERRED
Torisel
Actimmune
Tykerb
Alferon N
Velcade
Matulane
Xalkori
Proleukin
Effective January 1, 2017
6
Theracys nitroglycerin IN 5% dextrose
Tice Bcg Nitroglycerin Lingual
Trisenox PREFERRED
NON PREFERRED Dilatrate SR
Dacarbazine Isosorbide Dinitrate ER
Hydrea Nitro-bid
Intron A Nitro-dur
Intron A W/Diluent Ranexa
Nipent NON PREFERRED
Photofrin Imdur
Sylatron Isordil Titradose
Synribo Nitroglycerin
Targretin Nitroglycerin IN Dextrose 5%
Uvadex Nitrolingual Pumpspray
Nitromist
CHEMOTHERAPY RESCUE Nitronal
Nitrostat
GENERIC
amifostine
BETA BLOCKERS
dexrazoxane
leucovorin calcium GENERIC
levoleucovorin acebutolol HCL
levoleucovorin calcium atenolol
mesna betaxolol HCL
PREFERRED bisoprolol fumarate
Leucovorin Calcium carvedilol
NON PREFERRED esmolol HCL
Ethyol labetalol HCL
Fusilev metoprolol succinate ER
Levoleucovorin metoprolol tartrate
Mesnex nadolol
Totect pindolol
Voraxaze propranolol HCL
Zinecard propranolol HCL ER
sotalol HCL
CHEMOTHERAPY ADJUNCTS sotalol HCL (AF)
Metoprolol Tartrate
PREFERRED
PREFERRED
Kepivance
Bystolic
NON PREFERRED
Propranolol HCL
Elitek
Timolol Maleate
NON PREFERRED
ANTINEOPLASTIC COMBO
Betapace
NON PREFERRED
Betapace AF
Lonsurf
Brevibloc
Coreg
CARDIOVASCULAR DRUGS
Coreg CR
PHOSPHODIESTERASE INHBTR
Corgard
GENERIC
Esmolol HCL
milrinone lactate
Hemangeol
milrinone IN dextrose
Hypertenevide-12.5
Inderal LA
CARDIAC GLYCOSIDES
Inderal XL
GENERIC
Innopran XL
digoxin
Kerlone
PREFERRED
Levatol
Lanoxin
Lopressor
NON PREFERRED
Sectral
Digoxin
Sotalol Hydrochloride
Lanoxin Pediatric
Sotylize
Tenormin
ANTIANGINAL AGENTS
Toprol XL
GENERIC
Trandate
isosorbide dinitrate
Zebeta
isosorbide mononitrate
isosorbide mononitrate ER
CALCIUM CHANNEL BLOCKERS
nitroglycerin
GENERIC
nitroglycerin lingual
amlodipine besylate
nitroglycerin transdermal
diltiazem CD
nitroglycerin ER
diltiazem HCL
nitroglycerin IN dextrose 5%
Effective January 1, 2017
7
diltiazem HCL CD Tikosyn
diltiazem HCL ER Xylocaine
felodipine ER
isradipine ACE INHIBITORS
nicardipine HCL
GENERIC
nifedipine
benazepril HCL
nifedipine ER
captopril
nimodipine
enalapril maleate
nisoldipine
enalaprilat
verapamil HCL
fosinopril sodium
verapamil HCL ER
lisinopril
verapamil HCL SR
moexipril HCL
NON PREFERRED
perindopril erbumine
Adalat CC
quinapril HCL
Calan
ramipril
Calan SR
trandolapril
Cardene IV
NON PREFERRED
Cardizem
Accupril
Cardizem CD
Aceon
Cardizem LA
Altace
Cleviprex
Epaned
Diltiazem Hydrochloride/Sodium Chloride
Lotensin
Diltiazem HCL
Mavik
Hypertenipine-2.5
Prinivil
Nisoldipine
Qbrelis
Nisoldipine ER
Univasc
Norvasc
Vasotec
Nymalize
Zestril
Procardia
Procardia XL
ANGIOTENSIN RCPTR BLOCKER
Sular
GENERIC
Tiazac
candesartan cilexetil
Verelan
irbesartan
Verelan PM
losartan potassium
telmisartan
ANTIARRHYTHMICS
valsartan
GENERIC
Eprosartan Mesylate
adenosine
PREFERRED
amiodarone HCL
Benicar
disopyramide phosphate
Olmesartan Medoxomil
dofetilide
NON PREFERRED
flecainide acetate
Atacand
ibutilide fumarate
Avapro
lidocaine HCL
Cozaar
lidocaine HCL IN D5W
Diovan
lidocaine HCL/dextrose
Edarbi
mexiletine HCL
Micardis
propafenone HCL
Teveten
propafenone HCL ER
quinidine gluconate CR
DIRECT RENIN INHIBITORS
quinidine gluconate ER
PREFERRED
quinidine sulfate
Tekturna
Amiodarone HCL
Quinidine Sulfate ER
ANTIHYPERTENSIVES MISC.
PREFERRED
GENERIC
Norpace CR
clonidine HCL
Quinidine Sulfate
doxazosin
NON PREFERRED
doxazosin mesylate
Adenocard
eplerenone
Cordarone
fenoldopam mesylate
Corvert
guanfacine HCL
Lidocaine HCL
hydralazine HCL
Multaq
methyldopa
Nexterone
minoxidil
Norpace
phenoxybenzamine hydrochloride
Procainamide HCL
prazosin HCL
Quinidine Gluconate
terazosin HCL
Rythmol
PREFERRED
Rythmol SR
Reserpine
Effective January 1, 2017
8
NON PREFERRED Lotrel
Cardura Lytensopril Kit
Catapres Lytensopril-90 Kit
Catapres-tts-1 Micardis HCT
Catapres-tts-2 Prestalia
Catapres-tts-3 Tarka
Corlopam Tekamlo
Demser Tenoretic 100
Dibenzyline Tenoretic 50
Inspra Teveten HCT
Methyldopate HCL Twynsta
Minipress Vaseretic
Nitropress Zestoretic
Phentolamine Mesylate Ziac
Tenex
Vecamyl DIURETICS
GENERIC
ANTIHYPERTENSIVE COMBO
acetazolamide
GENERIC acetazolamide sodium
amlodipine besylate/benazepril hydrochloride acetazolamide ER
amlodipine besylate/benazepril HCL amiloride HCL
amlodipine besylate/valsartan amiloride/hydrochlorothiazide
amlodipine/valsartan/hctz bumetanide
atenolol/chlorthalidone chlorothiazide
benazepril HCL/hydrochlorothiazide chlorothiazide sodium
bisoprolol fumarate/hydrochlorothiazide chlorthalidone
candesartan cilexetil/hydrochlorothiazide ethacrynate sodium
enalapril maleate/hydrochlorothiazide ethacrynic acid
fosinopril sodium/hydrochlorothiazide furosemide
irbesartan/hydrochlorothiazide hydrochlorothiazide
lisinopril/hydrochlorothiazide indapamide
losartan potassium/hydrochlorothiazide mannitol
metoprolol/hydrochlorothiazide methazolamide
moexipril/hydrochlorothiazide metolazone
nadolol/bendroflumethiazide spironolactone
quinapril/hydrochlorothiazide spironolactone/hydrochlorothiazide
telmisartan/amlodipine torsemide
telmisartan/hydrochlorothiazide triamterene/hydrochlorothiazide
trandolapril/verapamil HCL Acetazolamide
trandolapril/verapamil HCL ER Chlorothiazide
valsartan/hydrochlorothiazide Chlorthalidone
PREFERRED Triamterene/Hydrochlorothiazide
Amlodipine/Olmesartan Medoxomil PREFERRED
Azor Furosemide
Benicar HCT Methyclothiazide
Captopril/Hydrochlorothiazide NON PREFERRED
Dutoprol Aldactazide
Methyldopa/Hydrochlorothiazide Aldactone
Metoprolol Succinate ER/Hydrochlorothiazide Bumex
Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide Demadex
Olmesartan Medoxomil/Hydrochlorothiazide Diamox
Propranolol/Hydrochlorothiazide Diuril
Tekturna HCT Dyazide
Tribenzor Dyrenium
NON PREFERRED Edecrin
Accuretic Keveyis
Amturnide Lasix
Atacand HCT Maxzide
Avalide Maxzide-25
Clorpres Microzide
Corzide Neptazane
Diovan HCT Sodium Diuril
Edarbyclor Sodium Edecrin
Exforge Torsemide
Exforge HCT Zaroxolyn
Hypertensolol
Hyzaar VASOPRESSORS
Lopressor HCT
GENERIC
Lotensin HCT
dobutamine HCL
Effective January 1, 2017
9
dobutamine HCL/D5W Antara
dobutamine/dextrose 5% Colestid
dopamine HCL Colestid Flavored
dopamine HCL-dextrose 5% Crestor
dopamine HCL/dextrose 5% Fenoglide
dopamine/D5W Juxtapid
ephedrine sulfate Kynamro
midodrine HCL Lescol
norepinephrine bitartrate Lescol XL
phenylephrine HCL Lipitor
PREFERRED Livalo
Epipen 2-PAK Lofibra
Epipen-JR 2-PAK Lopid
NON PREFERRED Lovaza
Adrenalin Mevacor
Adyphren II Niaspan
Adyphren Kit Omega-3/D-3 Wellness Pack
Akovaz Pravachol
Dopamine HCL Questran
Ephedrine Sulfate Questran Light
Ephedrine Sulfate/Sodium Chloride Repatha
Epinephrine Repatha Pushtronex System
Epinephrine HCL Repatha Sureclick
Episnap Tricor
Epy II Kit Triglide
Epy Kit Trilipix
Levophed Zetia
Norepinephrine Bitartrate/Dextrose Zocor
Norepinephrine Bitartrate/Sodium Chloride
Norepinephrine/Sodium Chloride CARDIOVASCULAR - MISC.
Northera
GENERIC
Phenylephrine Hydrochloride/Dextrose
amlodipine besylate/atorvastatin calcium
Phenylephrine HCL
epoprostenol sodium
Phenylephrine HCL/Sodium Chloride
papaverine HCL
Phenylephrine/Sodium Chloride
sildenafil
Vazculep
sildenafil citrate
PREFERRED
ANTIHYPERLIPIDEMICS
Adempas
GENERIC Cialis
atorvastatin calcium Letairis
cholestyramine Opsumit
cholestyramine light Remodulin
colestipol HCL Tracleer
fenofibrate Veletri
fenofibrate micronized Viagra
fenofibric acid DR NON PREFERRED
fluvastatin Adcirca
fluvastatin sodium ER Bidil
gemfibrozil Caduet
lovastatin Corlanor
niacin ER Entresto
omega-3-acid ethyl esters Flolan
pravastatin sodium Muse
rosuvastatin calcium Natrecor
simvastatin Orenitram
Fenofibrate Revatio
Fenofibric Acid Tyvaso
PREFERRED Tyvaso Refill
Fibricor Tyvaso Starter
Lipofen Uptravi
Niacor Ventavis
Praluent
Simcor DERMATOLOGICALS
Vascepa
ACNE PRODUCTS
Vytorin
GENERIC
Welchol
adapalene
NON PREFERRED
adapalene P.M.
Advicor
benzoyl peroxide
Altoprev
benzoyl peroxide SHORT contact
Effective January 1, 2017
10
clindamycin phosphate Sodium Sulfacetamide/Sulfur
clindamycin phosphate/tretinoin Sodium Sulfacetamide/Sulfur Cleanser IN Urea
clindamycin/benzoyl peroxide Sodium Sulfacetamide/Sulfur IN Urea
erythromycin Sulfoam
erythromycin/benzoyl peroxide Sumadan Kit
sodium sulfacetamide Sumadan Wash
sodium sulfacetamide/sulfur Sumadan XLT
sodium sulfacetamide/sulfur cleanser Sumaxin
sodium sulfacetamide/sulfur cleansing cloths Sumaxin CP Kit
sodium sulfacetamide/sulfur green Sumaxin Ts
sodium sulfacetamide/sulfur w/sunscreen Sumaxin Wash
sodium sulfacetamide/sulfur wash Tretin-x
sulfacetamide sodium Triseon
sulfacetamide sodium/sulfur Vanoxide-HC
sulfacetamide sodium/sulfur cleanser Zacare 4% Kit
tretinoin Zacare 8% Kit
tretinoin microsphere
tretinoin microsphere P.M. ROSACEA AGENTS
PREFERRED
GENERIC
Clindagel
metronidazole
Retinoic Acid
Doxycycline
Retinoic Acid-all Trans
PREFERRED
Tretinoin
Mirvaso
Tretinoin (all-trans Retinoic Acid)
Soolantra
NON PREFERRED
NON PREFERRED
Absorica
Finacea
Aczone
Metrocream
Adapalene
Metrogel
Akne-mycin
Metrolotion
Atralin
Noritate
Avar
Oracea
Avar LS
Rosadan Kit
Avar LS Cleanser
Avar-e LS
ANALGESICS - TOPICAL
Azelex
NON PREFERRED
Benzac Ac Wash
A.a.g.c. Kit IN Teroderm
Benzefoam
Baclofen
Benzefoam Ultra
Equipto-baclofen
Benzefoamultra
Benziq
ANTIBIOTICS - TOPICAL
Benziq LS
GENERIC
Clarifoam EF
mupirocin
Cleocin-t
mupirocin calcium
Clindacin Etz
PREFERRED
Clindacin PAC
Centany
Clindap-t
Gentamicin Sulfate
Clinoin
NON PREFERRED
Dermapak Plus
Altabax
Differin
Bactroban
Epiduo
Centany AT
Epiduo Forte
Cortisporin
Erygel
Neo-synalar
Evoclin
Neo-synalar Kit
Fabior
Inova
ANTIFUNGALS - TOPICAL
Inova 4/1 Acne Control Therapy
GENERIC
Inova 8/2 Acne Control Therapy
ciclopirox
Klaron
ciclopirox nail lacquer
Neuac Kit
ciclopirox olamine
Nuox
clotrimazole
Onexton
clotrimazole/betamethasone dipropionate
Plexion
econazole nitrate
Plexion Cleanser
ketoconazole
Plexion Cleansing Cloths
naftifine hydrochloride
Prascion Ra With Sunscreens
nystatin
Retin-a
nystatin/triamcinolone
Retin-a Micro
oxiconazole nitrate
Retin-a Micro P.M.
PREFERRED
Riax
Ala-quin
Rosula
Effective January 1, 2017
11
Exoderm Vopac GB
NON PREFERRED Vopac Kt
Ciclodan Cream Kit Xrylix
Ciclodan Solution Kit Zyvodol
Cnl8 Nail Kit
Dermacinrx Therazole PAK ANTIPRURITICS
Ecoza
GENERIC
Ertaczo
Doxepin Hydrochloride
Exelderm
NON PREFERRED
Extina
Prudoxin
Halotin
Zonalon
Jublia
Kerydin
ANTIPSORIATICS
Ketodan Kit
GENERIC
Loprox
acitretin
Loprox Shampoo
calcipotriene
Lotrisone
methoxsalen
Luzu
Calcitriol
Mentax
PREFERRED
Naftifine HCL
Anthralin
Naftin
Dritho-creme HP
Nizoral
Stelara
Nyata
Vectical
Oxistat
NON PREFERRED
Pediaderm AF Complete Kit
Cosentyx
Penlac Nail Lacquer
Cosentyx Sensoready Pen
Recura
Dovonex
Vusion
Oxsoralen Ultra
Xolegel
Soriatane
Xolegel Corepak
Sorilux
Xolegel Duo/Head & Shoulders
Taltz
Xolegel Duo/Xolex
Tazorac
Zithranol
ANTIVIRALS - TOPICAL
Zithranol-rr
GENERIC
8-mop
acyclovir
NON PREFERRED
ANTISEBORRHEIC AGENTS
Denavir
GENERIC
Lidovir
selenium sulfide
Xerese
sodium sulfacetamide
Zovirax
sodium sulfacetamide wash
NON PREFERRED
ANTIHISTAMINES-TOPICAL
Glycolic Acid
NON PREFERRED
Glycolic Acid 70% High Purity
Allo-pax
Ovace Plus
Nazirex
Ovace Plus Wash
Ovace Wash
ANTI-INFLAMMATORY AGENTS
Promiseb
GENERIC Promiseb Complete
diclofenac sodium Selrx
NON PREFERRED Tersi Foam
Dermacinrx Lexitral Pharmapak TL Triseb
Diclofenac Sodium
Dipentocaine CORTICOSTEROIDS - TOPICAL
Dsg PAK
GENERIC
Emvoren
alclometasone dipropionate
Equipto-naproxen
augmented betamethasone dipropionate
Extardol
betamethasone dipropionate
Flector
betamethasone valerate
Innoprax-5
calcipotriene/betamethasone dipropionate
K.b.g.l. IN Teroderm Cream
clobetasol propionate
Ketophene Rapidpaq
clobetasol propionate emollient
Ketorolac 2% Gel
desonide
Lidoprofen
desoximetasone
Novoclair
fluocinolone acetonide
Nuvya
fluocinonide
Pennsaid
fluocinonide-e
Voltaren
flurandrenolide
Vopac
fluticasone propionate
Effective January 1, 2017
12
halobetasol propionate Topicort
hydrocortisone Triamsil Combipak
hydrocortisone butyrate Trianex
hydrocortisone butyrate (lipid) Triderma Forte
hydrocortisone butyrate (lipophilic) Ultravate
hydrocortisone valerate Ultravate X
hydrocortisone IN absorbase Validerm
mometasone furoate Vanos
prednicarbate Verdeso
triamcinolone acetonide Westcort
Amcinonide Xilapak
Desoximetasone
Diflorasone Diacetate IMMUNOMODULATING AGENTS
PREFERRED
GENERIC
Pramosone
imiquimod
NON PREFERRED
tacrolimus
Aclovate
PREFERRED
Advanced Allergy Collection Kit
Elidel
Ala Scalp
NON PREFERRED
Capex
Aldara
Clobex
Protopic
Clocortolone Pivalate
Zyclara
Clocortolone Pivalate P.M.
Zyclara P.M.
Clodan Kit
Cloderm
DERMATOLOGICALS - MISC.
Cloderm P.M.
GENERIC
Cordran
ammonium lactate
Cordran Tape
episone CRE
Cutivate
lactic acid
Derma-smoothe/FS Body
lactic acid e
Derma-smoothe/FS Scalp
lactic acid w/vitamin e
Dermasorb HC
lidocaine
Dermasorb Ta
lidocaine HCL
Dermatop
lidocaine HCL jelly
Dermazone
lidocaine-prilocaine-cream base
Desonate
lidocaine/prilocaine
Desowen
lindane
Diprolene
malathion
Diprolene AF
permethrin
Elocon
podofilox
Enstilar
salicylic acid
Epifoam
salicylic acid cream
First-hydrocortisone
salicylic acid lotion
Halog
salicylic acid ER
Kenalog
sodium hyaluronate
Locoid
urea
Locoid Lipocream
urea topical
Luxiq
urea IN zinc undecylenate/lactic acid vehicle
Micort-HC
urea 40% nail film
Noxipak
PREFERRED
Nucort
Drysol
Nuzon
Eurax
Olux
Lindane
Olux-e
NON PREFERRED
Pandel
Accucaine
Pediaderm HC
Acuicyn Daily Eyelid & Eyelash Cleanser
Pediaderm Ta
Alevicyn Antipruritic SG
Rrb PAK
Aluvea
Scalacort DK
Anacaine
Sernivo
Arnica Flower
Silazone Pharmapak
Astero
Silazone-II
Atopiclair
Synalar
Aurstat Anti-itch Hydrogel
Synalar Cream Kit
Aurstat Anti-itch Hydrogel Kit
Synalar Ointment Kit
Avenova
Synalar Ts
Avenova/Neutrox
Taclonex
Benzoin Compound Tincture
Temovate
Benzoin Tincture
Temovate E
Boric Acid
Texacort
Effective January 1, 2017
13
Ceracade Presera
Coal TAR Pruclair
Cocaine HCL Prumyx
Condylox Pyrogallic Acid
Copasil Qutenza
Dermacinrx Clorhexacin Relyyks
Dermacinrx Duopatch Pharmapak Relyyt
Dermacinrx Neurotral Pharmapak Salex
Dermacinrx Phn PAK Salex Cream
Dermacinrx Surgical Pharmapak Salex Lotion
Dermacinrx Zrm PAK Salicylic Acid
Dermasorb XM Salicylic Acid IN Ammonium Lactate Vehicle
Dermawerx Surgical Plus PAK Salvax
Dermazyl Salvax Duo Plus
Eletone Scar Patch
Eletone Twinpack Sebuderm
Elimite Sinelee
Emla Sklice
Emulsion SB Solaice
Entty Spray Emulsion Soothee
Epiceram Spinosad
Ethyl Chloride Sulfurated Lime
Ethyl Chloride/Fine Pinpoint Supracil
Ethyl Chloride/Fine Stream Synera
Ethyl Chloride/Medium Jet Stream Tetrix
Ethyl Chloride/Medium Stream Tropazone
Ethyl Chloride/Mist Ulesfia
Gebauers Pain Ease Ultrasal-ER
Gebauers Spray And Stretch Umecta
Genadur Umecta Nail Film
Genadur Kit Umecta PD
Gordofilm Uramaxin
Gordons Urea Uramaxin GT
Hydro 35 Uramaxin GT Kit
Hydro 40 Foam Utopic
Hylatopic Veinpuncture Px1 Phlebotomy System
Hylatopic Plus Venipuncture Cpi
Hylira Veregen
HPR Verrunex
HPR Plus Vexa
HPR Plus Hydrogel Kit Virasal
HPR Plus/Mb Hydrogel Xerac Ac
IV Infusion Cpi Xeralux
Keralac Xylocaine
Keralyt
Keralyt Scalp ENDOCRINE AND METABOLIC
Lac-hydrin
CORTICOSTEROIDS
Latrix XM
GENERIC
Ldo Plus
betamethasone sodium phosphate/betamethasone acetate
Lido-RX 4.1
Lidocaine And Tetracaine Cream
budesonide
Lidocaine HCL
dexamethasone
Lidoderm
dexamethasone sodium phosphate
Lidothol
fludrocortisone acetate
Lidotral
hydrocortisone
Lycelle
methylprednisolone
Mb Hydrogel
methylprednisolone acetate
Medi-derm/L-RX
methylprednisolone dose pack
Megrix
methylprednisolone sodiumsuccinate
Natroba
prednisolone
Neosalus
prednisolone sodium phosphate
Neosalus CP
prednisolone sodium phosphate odt
Neuvaxin
prednisone
Nivatopic Plus
Dexamethasone Sodium Phosphate
Nusrugepak Surgical Prep/Carepak
PREFERRED
Nuvail
Cortisone Acetate
Ovide
Dexamethasone
Oxsoralen
Medrol
Pliaglis
Millipred
Pr Cream
Effective January 1, 2017
14
Prednisone Androgel
Prednisone Intensol Androgel P.M.
NON PREFERRED Androxy
Aristospan Intra-articular NON PREFERRED
Betalido Anadrol-50
Betaloan Suik Android
Betamethasone SP Aveed
Celestone-soluspan Depo-testosterone
Cortef First-testosterone
Depo-medrol First-testosterone Mc Compounding Kit
Dermacinrx Cinlone-i Cpi Natesto
Dexamethasone Intensol Oxandrin
Dexlido Striant
Dexlido-m Testone Cik
Dexpak 10 Day Testopel
Dexpak 13 Day Testosterone
Dexpak 6 Day Testred
Doubledex
Dyural-l ESTROGENS
Dyural-lm
GENERIC
Dyural-40
estradiol
Dyural-80
estradiol valerate
Entocort EC
estradiol/norethindrone acetate
Interarticular Joint Kit
norethindrone acetate/ethinyl estradiol
Kenalog-10
Estropipate
Kenalog-40
PREFERRED
LT Injection Kit
Climara Pro
Marbeta-l
Duavee
Marbeta-25
Menest
Mardex-25
Premphase
Medrol Dosepak
Prempro
Medroloan II Suik
NON PREFERRED
Medroloan Suik
Activella
Methylprednisolone
Alora
Methylprednisolone PF
Angeliq
Methylprednisolone/Lidocaine
Biest/Progesterone
Millipred DP
Climara
Mlk F4 Kit
Combipatch
Mlp A-2
Delestrogen
Orapred Odt
Depo-estradiol
Pediapred
Divigel
Prednisolone Sodium Phosphate
Elestrin
Pro-c-dure 5 Kit
Enjuvia
Pro-c-dure 6 Kit
Estrace
Rayos
Estradiol
Readysharp-k
Estrogel
Readysharp-p40
Evamist
Readysharp-p80
Femhrt Low Dose
Solu-cortef
Menostar
Solu-medrol
Minivelle
Triamcinolone
Prefest
Triamcinolone Acetonide PF
Premarin
Triamcinolone PF
Vivelle-dot
Triamcinolone/Lidocaine
Triloan II Suik
CONTRACEPTIVES
Triloan Suik
GENERIC
Uceris
desogestrel/ethinyl estradiol
Veripred 20
drospirenone/ethinyl estradiol
drospirenone/ethinyl estradiol/levomefolate calcium
ANDROGENS-ANABOLIC
levonorgestrel
GENERIC
levonorgestrel and ethinyl estradiol
danazol
levonorgestrel/ethinyl estradiol
methyltestosterone
norethindrone
oxandrolone
norethindrone & ethinyl estradiol ferrous fumarate
testosterone
norethindrone acetate/ethinyl estradiol
testosterone cypionate
norethindrone acetate/ethinyl estradiol/ferrous fumarate
testosterone enanthate
norgestimate/ethinyl estradiol
PREFERRED
Levonorgestrel
Androderm
Effective January 1, 2017
15
PREFERRED Humulin N Kwikpen
Natazia Humulin R
Necon 1/50-28 Humulin R U-500 (concentrated)
Necon 10/11-28 Humulin R U-500 Kwikpen
Norinyl 1+50 Humulin 70/30
Nuvaring Humulin 70/30 Kwikpen
Zovia 1/50e Lantus
NON PREFERRED Lantus Solostar
Beyaz Toujeo Solostar
Brevicon-28 NON PREFERRED
Cyclessa Afrezza
Desogen AMYLIN ANALOGS
Ella NON PREFERRED
Estrostep FE Symlinpen 120
Falessa Symlinpen 60
Femcon FE INCRETIN MIMETIC AGENTS
Generess FE PREFERRED
Loestrin FE 1.5/30 Bydureon
Loestrin FE 1/20 Bydureon Pen
Loestrin 1.5/30-21 Byetta
Loestrin 1/20-21 Trulicity
Loseasonique Victoza
LO Loestrin FE SULFONYLUREAS
Minastrin 24 FE GENERIC
Mircette glimepiride
Modicon glipizide
Nor-QD glipizide ER
Norinyl 1+35 glyburide
Ortho Micronor glyburide micronized
Ortho Tri-cyclen tolazamide
Ortho Tri-cyclen LO Glyburide
Ortho-cept Tolazamide
Ortho-cyclen PREFERRED
Ortho-novum 1/35 Chlorpropamide
Ortho-novum 7/7/7 Diabeta
Ovcon-35 Tolbutamide
Quartette NON PREFERRED
Safyral Amaryl
Seasonique Glucotrol
Taytulla Glucotrol XL
Tri-norinyl 28 Glynase
Yasmin 28 BIGUANIDES
Yaz GENERIC
metformin HCL
PROGESTINS metformin HCL ER
NON PREFERRED
GENERIC
Fortamet
medroxyprogesterone acetate
Glucophage
megestrol acetate
Glucophage XR
norethindrone acetate
Glumetza
progesterone
Riomet
PREFERRED
MEGLITINIDE ANALOGUES
Makena
GENERIC
NON PREFERRED
nateglinide
Aygestin
repaglinide
Medroxyprogesterone/Lidocaine
NON PREFERRED
Megace ES
Prandin
Progesterone 10% Kit
Starlix
Prometrium
DIABETIC OTHER
Provera
PREFERRED
Glucagen Hypokit
ANTIDIABETIC AGENTS
Glucagon Emergency Kit
INSULIN
Invokana
PREFERRED
Jardiance
Humalog
Proglycem
Humalog Kwikpen
NON PREFERRED
Humalog Mix 50/50
Cycloset
Humalog Mix 50/50 Kwikpen
Korlym
Humalog Mix 75/25
ALPHA-GLUCOSIDASE INHIBIT
Humalog Mix 75/25 Kwikpen
Humulin N
Effective January 1, 2017
16
GENERIC CALCITONINS
acarbose
GENERIC
miglitol
calcitonin salmon
NON PREFERRED
calcitonin-salmon
Glyset
NON PREFERRED
Precose
Fortical
DPP-4 INHIBITORS
Miacalcin
GENERIC
Alogliptin
PARATHYROID HORMONE
PREFERRED
PREFERRED
Januvia
Forteo
Tradjenta
NON PREFERRED
INSULIN SENSITIZING AGENT
Natpara
GENERIC
pioglitazone HCL
RANK LIGAND INHIBITORS
NON PREFERRED
PREFERRED
Actos
Prolia
Avandia
Xgeva
ANTIDIABETIC COMBINATIONS
GENERIC
HORMONE RECEPTOR MDLTR
glipizide/metformin HCL
GENERIC
glyburide/metformin HCL
raloxifene hydrochloride
pioglitazone HCL-glimepiride
NON PREFERRED
pioglitazone HCL/metformin HCL
Evista
Alogliptin/Metformin HCL
Osphena
Alogliptin/Pioglitazone
Repaglinide/Metformin Hydrochloride
FERTILITY REGULATORS
PREFERRED
GENERIC
Invokamet
chorionic gonadotropin
Invokamet XR
clomiphene citrate
Janumet
PREFERRED
Janumet XR
Gonal-f
Jentadueto
Gonal-f RFF
Jentadueto XR
Gonal-f RFF Rediject
Synjardy
NON PREFERRED
NON PREFERRED
Menopur
Actoplus Met
Ovidrel
Actoplus Met XR
Appformin
LHRH/GNRH AGONIST
Appformin-d
PREFERRED
Avandamet
Lupron Depot-PED
Avandaryl
Supprelin LA
Duetact
Synarel
Glucovance
NON PREFERRED
Glyxambi
Lupaneta Pack
Prandimet
GNRH/LHRH ANTAGONISTS
BISPHOSPHONATES
PREFERRED
GENERIC
Cetrotide
alendronate sodium
NON PREFERRED
ibandronate sodium
Ganirelix Acetate
pamidronate disodium
risedronate sodium
GROWTH HORMONES
risedronate sodium DR
PREFERRED
zoledronic acid
Norditropin Cartridge
PREFERRED
Norditropin Flexpro
Alendronate Sodium
Norditropin Nordiflex Pen
NON PREFERRED
Nutropin AQ Nuspin 10
Actonel
Nutropin AQ Nuspin 20
Atelvia
Nutropin AQ Nuspin 5
Binosto
Nutropin AQ Pen
Boniva
Saizen
Etidronate Disodium
Saizen Click.easy
Fosamax
Serostim
Fosamax Plus D
NON PREFERRED
Pamidronate Disodium
Zorbtive
Reclast
Zoledronic Acid
GHRH
Zometa
Effective January 1, 2017
17
NON PREFERRED NON PREFERRED
Egrifta Ammonul
Buphenyl
SOMATOMEDINS Carnitor
Carnitor SF
PREFERRED
Cystadane
Increlex
Hectorol
Kanuma
SOMATOSTATIC AGENTS
Myalept
GENERIC
Orfadin
octreotide acetate
Ravicti
NON PREFERRED
Rocaltrol
Sandostatin
Sensipar
Sandostatin Lar Depot
Strensiq
Signifor
Vimizim
Signifor Lar
Xuriden
Somatuline Depot
Zemplar
GH RECEPTOR ANTAGONISTS
THYROID AGENTS
NON PREFERRED
GENERIC
Somavert
levothyroxine sodium
liothyronine sodium
POSTERIOR PITUITARY
methimazole
GENERIC
propylthiouracil
desmopressin acetate
NON PREFERRED
vasopressin
Armour Thyroid
NON PREFERRED
Cytomel
Ddavp
Levothyroxine Sodium
Pitressin Synthetic
Nature-throid
Stimate
Nature-throid Nt-2.5
Vasopressin/Sodium Chloride
Synthroid
Vasostrict
Tapazole
Thyrolar-1
CORTICOTROPIN
Thyrolar-1/2
PREFERRED
Thyrolar-1/4
H.p. Acthar
Thyrolar-2
Thyrolar-3
PROLACTIN INHIBITORS
Tirosint
GENERIC
Triostat
cabergoline
Westhroid
Wp Thyroid
VASOPRESSIN ANTAGONISTS
PREFERRED
GASTROINTESTINAL
Samsca
LAXATIVES
NON PREFERRED
GENERIC
Vaprisol
lactulose
mineral oil heavy
PROGESTERONE ANTAGONISTS
peg 3350/electrolytes
NON PREFERRED
peg-3350/electrolytes
Mifeprex
peg-3350/NACL/NA bicarbonate/KCL
polyethylene glycol 3350
METABOLIC MODIFIERS
NON PREFERRED
GENERIC
Cascara Sagrada
calcitriol
Colyte-flavor Packs
doxercalciferol
Gialax
levocarnitine
Golytely
paricalcitol
Kristalose
sodium phenylacetate/sodium benzoate
Moviprep
sodium phenylbutyrate
Nulytely/Flavor Packs
PREFERRED
Osmoprep
Aldurazyme
Pcp 100
Carbaglu
Prepopik
Elaprase
Suclear
Fabrazyme
Suprep Bowel Prep
Kuvan
Lumizyme
ANTIDIARRHEALS
Myozyme
GENERIC
Naglazyme
diphenoxylate/atropine
loperamide HCL
Effective January 1, 2017
18
opium Esomeprazole Strontium
opium tincture Famotidine Premixed
PREFERRED First-lansoprazole
Diphenoxylate/Atropine First-omeprazole
Paregoric Gabitidine
NON PREFERRED Gastrinex NF
Fulyzaq Glycopyrrolate
Lomotil Levbid
Motofen Levsin
Mytesi Levsin/SL
Restora RX Librax
Restora Sprinkles Nexium
Rezyst IM Nexium I.v.
Vsl#3 DS Omeprazole + Syrspend SF Alka
Pamine
ANTACIDS Pamine Forte
Pamine FQ
NON PREFERRED
Pepcid
Sodium Bicarbonate
Prevacid
Prevacid Solutab
ULCER DRUGS
Prevpac
GENERIC
Prilosec
atropine sulfate
Protonix
chlordiazepoxide HCL/clidinium bromide
Robinul
cimetidine
Robinul Forte
cimetidine HCL
Scopolamine Hydrobromide
dicyclomine HCL
Sentradine
esomeprazole magnesium
Zantac
esomeprazole sodium
Zegerid
famotidine
glycopyrrolate
ANTIEMETICS
hyoscyamine sulfate
GENERIC
hyoscyamine sulfate odt
dronabinol
hyoscyamine sulfate ER
granisetron HCL
hyoscyamine sulfate SR
meclizine HCL
lansoprazole
ondansetron odt
lansoprazole/amoxicillin/clarithromycin
ondansetron HCL
methscopolamine bromide
trimethobenzamide HCL
misoprostol
PREFERRED
nizatidine
Aloxi
omeprazole
NON PREFERRED
omeprazole/sodium bicarbonate
Akynzeo
pantoprazole sodium
Anzemet
rabeprazole sodium
Cesamet
ranitidine HCL
Diclegis
sucralfate
Dimenhydrinate
Esomeprazole Sodium
Emend
Famotidine
Granisol
Nizatidine
Marinol
PREFERRED
Ondansetron Hydrochloride/Sodium Chloride
Dexilant
Sancuso
Omeclamox-PAK
Tigan
Propantheline Bromide
Transderm-scop
Pylera
Varubi
Symax Duotab
Zofran
NON PREFERRED
Zofran Odt
Aciphex
Zuplenz
Aciphex Sprinkle
Anaspaz
DIGESTIVE AIDS
Atropen
Atropine Sulfate PREFERRED
Belladonna & Opium Creon
Belladonna Alkaloids & Opium Pancrelipase
Bentyl Zenpep
Cantil NON PREFERRED
Carafate Sucraid
Cuvposa
Cytotec GASTROINTESTINAL - MISC.
Deprizine Fusepaq
GENERIC
Deprizine Rapidpaq
alosetron hydrochloride
Effective January 1, 2017
19
balsalazide disodium Viberzi
calcium acetate
cromolyn sodium GENITOURINARY
hydrocort ene 100MG
URINARY ANTI-INFECTIVES
hydrocortisone
GENERIC
hydrocortisone acetate/pramoxine
methenamine hippurate
lactulose
methenamine mandelate
lidocaine HCL/hydrocortisone acetate
nitrofurantoin
mesalamine
nitrofurantoin macrocrystals
metoclopramide odt
nitrofurantoin monohydrate
metoclopramide HCL
nitrofurantoin monohydrate/macrocrystals
sulfasalazine
PREFERRED
ursodiol
Methenamine Mandelate
PREFERRED
NON PREFERRED
Amitiza
Furadantin
Apriso
Hiprex
Canasa
Macrobid
Cimzia
Macrodantin
Cimzia Starter Kit
Monurol
Lialda
Uretron D/S
Linzess
Urimar-t
Proctofoam HC
Urogesic-blue
Relistor
Remicade
URINARY ANTISPASMODICS
Renvela
GENERIC
Sevelamer Carbonate
bethanechol chloride
Sfrowasa
darifenacin hydrobromide ER
Stelara
flavoxate HCL
NON PREFERRED
oxybutynin chloride
Actigall
oxybutynin chloride ER
Analpram Advanced
tolterodine tartrate
Analpram-HC
tolterodine tartrate ER
Analpram-HC Singles
trospium chloride
Anusol-HC
trospium chloride ER
Auryxia
PREFERRED
Azulfidine
Vesicare
Azulfidine EN-TABS
NON PREFERRED
Chenodal
Detrol
Cholbam
Detrol LA
Colazal
Ditropan XL
Cortenema
Enablex
Cortifoam
Gelnique
Dexpanthenol
Oxytrol
Dipentum
Toviaz
Eliphos
Urecholine
Entereg
Entyvio
VAGINAL PRODUCTS
Fosrenol
GENERIC
Gastrocrom
clindamycin phosphate
Gattex
metronidazole vaginal
Giazo
terconazole
Lidocaine HCL-hydrocortisone Acetate With Aloe
PREFERRED
Lotronex
Premarin
Metoclopramide Odt
NON PREFERRED
Metozolv Odt
Avc
Movantik
Cleocin
Ocaliva
Clindesse
Pentasa
Crinone
Phoslo
Endometrin
Phoslyra
Estrace
Procort
Estring
Proctocort
Fem PH
Rectiv
Femring
Reglan
First-progesterone VGS 100 Compounding Kit
Renagel
First-progesterone VGS 200 Compounding Kit
Rowasa
First-progesterone VGS 25 Compounding Kit
Uceris
First-progesterone VGS 400 Compounding Kit
Urso Forte
First-progesterone VGS 50 Compounding Kit
Urso 250
Gynazole-1
Velphoro
Effective January 1, 2017
20
Metrogel-vaginal Animi-3/Vitamin D
Nuvessa B-12 Kit
Relagard B-6 Folic Acid
Terazol 3 Biferarx
Terazol 7 Cenfol
Vagifem Centratex
Cerdelga
GENITOURINARY - MISC. Ciferex
Corvite 150
GENERIC
Dermacinrx Purefolix
alfuzosin HCL ER
Divista
citric acid/sodium citrate
Droxia
dutasteride
Ed Cyte F
dutasteride/tamsulosin hydrochloride
Elelyso
dutasteride/tamsulosin HCL
Feraheme
finasteride
Feriva
phenazopyridine HCL
Feriva 21/7
potassium citrate ER
Ferivafa
potassium citrate-citric acid crystals
Ferralet 90
potassium citrate/citric acid
Ferrex 150 Forte Plus
potassium citrate/sodium citrate/citric acid
Ferrex 28
sodium citrate/citric acid
Ferrlecit
tamsulosin HCL
Ferro-plex Hematinic
tricitrates
Ferrotrin
PREFERRED
Focalgin Dss
Cytra-3
Folene
Elmiron
Folgard RX
Rapaflo
Folic Acid
NON PREFERRED
Folivane-f
Avodart
Folivane-plus
Cardura XL
Folixapure
Cystagon
Foltrate
Flomax
Fusion Plus
Jalyn
Fusion Sprinkles
K-phos NO 2
Hematogen Fa
Lithostat
Hematron-AF
Oracit
Hemocyte Plus
Procysbi
Hemocyte-f
Proscar
Hydroxocobalamin
Pyridium
Icar-c Plus
Shohls Solution Modified
Infed
Thiola
Injectafer
Urocit-k 10
Integra F
Urocit-k 15
Integra Plus
Urocit-k 5
Irospan 24/6
Uroxatral
Is 24/6
Leukine
HEMATOLOGICAL
Maxaron Forte
HEMATOPOIETIC AGENTS
Maxfe
GENERIC
Methionine/Inositol/Choline/Cyanocobalamin
cyanocobalamin
Mircera
folic acid
Multigen
folic acid/vitamin b-6/vitamin b-12
Multigen Folic
sodium ferric gluconate complex/sucrose
Multigen Plus
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
PREFERRED
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Cerezyme
Folitab 500
Nascobal
Granix
Natalvirt Flt
Mozobil
Nephron Fa
Neumega
Neulasta
Neupogen
Neulasta Onpro Kit
Nplate
Novaferrum
Procrit
Nufera
Zarxio
Omontys
NON PREFERRED
Pre-folic
Abaneu-SL
Proferrin-forte
Albafort
Promacta
Animi-3
Protectiron
Tandem F
Effective January 1, 2017
21
Tandem Plus Thrombin-jmi W/Dil Spray P.M. Actuator
Triferic Thrombogen
Venofer Tisseel
Vpriv Tisseel VH
Zavesca
Zolate HEMATOLOGICAL - MISC.
GENERIC
ANTICOAGULANTS
anagrelide hydrochloride
GENERIC cilostazol
argatroban clopidogrel
bivalirudin dipyridamole
enoxaparin sodium eptifibatide
fondaparinux sodium hetastarch 6%/NACL
heparin lock pentoxifylline ER
heparin lock flush ticlopidine HCL
heparin lock flush for flushing vascular access devices Aspirin/Dipyridamole
heparin lock flush/NACL for flushing vascular access devices
PREFERRED
Advate
heparin sodium
Alphanate/Von Willebrand Factor Complex/Human
heparin sodium dcu
Alphanine SD
heparin sodium lock flush
Bebulin
heparin sodium/sodium chloride 0.9% premix
Benefix
heparin sodium/D5W
Berinert
heparin sodium/NACL 0.9%
Brilinta
warfarin sodium
Cinryze
PREFERRED
Corifact
Pradaxa
Effient
Xarelto
Feiba
Xarelto Starter Pack
Feiba NF
NON PREFERRED
Firazyr
Angiomax
Hemofil M
Argatroban
Humate-p
Arixtra
Koate-dvi
Coumadin
Monoclate-p
Defitelio
Mononine
Eliquis
Novoseven
Fragmin
Novoseven Rt
Heparin Lock Flush
Profilnine
Heparin Sodium
Profilnine SD
Heparin Sodium/D5W
Recombinate
Heparin Sodium/NACL
Riastap
Heparin Sodium/NACL 0.45%
Soliris
Heparin Sodium/Sodium Chloride
Ticlopidine HCL
Heparin Sodium/Sodium Chloride PF
Wilate
Heparin Sodium/Sodium Chloride 0.9%
NON PREFERRED
Heparin Sodium/Sodium CH Loride
Activase
Iprivask
Aggrastat
Lovenox
Aggrenox
Savaysa
Agrylin
Sodium Citrate
Cathflo Activase
Durlaza
HEMOSTATICS
Helixate FS
GENERIC
Hespan
aminocaproic acid
Hextend
tranexamic acid
Integrilin
NON PREFERRED
Ixinity
Amicar
Kalbitor
Aminocaproic Acid
Kengreal
Artiss
Kinlytic
Astringyn
Kogenate FS
Cyklokapron
Kogenate FS Bio-set
Evicel
Kovaltry
Evithrom
LMD 10% Dextrose 5%
Lysteda
LMD 10% Sodium Chloride 0.9%
Recothrom
Novoeight
Recothrom Spray Kit
Nuwiq
Thrombin-jmi Diluent
Persantine
Thrombin-jmi Epistaxis
Plavix
Thrombin-jmi Syringe Spray Kit
Pletal
Effective January 1, 2017
22
Protamine Sulfate Hydroxyzine Pamoate
Reopro NON PREFERRED
Tnkase Alprazolam Intensol
Voluven Ativan
Xyntha Gabavale-5
Xyntha Solofuse Gabazolamine
Zontivity Gabazolamine-0.5
Hydroxyzine HCL
MOUTH/THROAT/DENTAL AGENT Lorazepam
Sentrazolam AM 0.25
Tranxene T
GENERIC
Valium
cevimeline HCL
Vistaril
chlorhexidine gluconate
Xanax
chlorhexidine gluconate oral rinse
Xanax XR
clotrimazole
lidocaine viscous
ANTIDEPRESSANTS
lidocaine HCL viscous
GENERIC
nystatin
amitriptyline HCL
pilocarpine hydrochloride
bupropion HCL
pilocarpine HCL
bupropion HCL ER
stannous fluoride oral rinse
bupropion HCL SR
triamcinolone acetonide
bupropion HCL XL
triamcinolone IN orabase
citalopram hydrobromide
Lidocaine HCL
clomipramine HCL
NON PREFERRED
desipramine HCL
Aquoral
doxepin HCL
Caphosol
duloxetine HCL
Debacterol
escitalopram oxalate
Evoxac
fluoxetine DR
First-bxn Mouthwash
fluoxetine HCL
First-dukes Mouthwash
fluvoxamine maleate
First-marys Mouthwash
fluvoxamine maleate ER
First-mouthwash Blm
imipramine pamoate
Gel-kam Oral Care Rinse
imipramine HCL
Gelclair
mirtazapine
Nafrinse Daily/Acidulated
mirtazapine odt
Nafrinse Daily/Neutral
nefazodone HCL
Nafrinse Weekly
nortriptyline HCL
Neutrasal
paroxetine HCL
Numoisyn
paroxetine HCL ER
Orafate
phenelzine sulfate
Oravig
protriptyline HCL
Peridex
sertraline HCL
Prevident
tranylcypromine sulfate
Prothelial
trazodone HCL
Salagen
trimipramine maleate
Salivamax
venlafaxine HCL
Salivate RX
venlafaxine HCL ER
Amoxapine
NEUROLOGY, CNS, PSYCH
Doxepin HCL
ANTIANXIETY AGENTS
Nefazodone HCL
GENERIC
Nortriptyline HCL
alprazolam
Venlafaxine HCL ER
alprazolam odt
PREFERRED
alprazolam ER
Fluoxetine HCL
buspirone HCL
Forfivo XL
chlordiazepoxide HCL
Maprotiline HCL
clorazepate dipotassium
Paxil
diazepam
Pristiq
droperidol
NON PREFERRED
gene-xene TAB 15MG
Anafranil
gene-xene TAB 3.75MG
Aplenzin
gene-xene TAB 7.5MG
Appbutamone
hydroxyzine pamoate
Brintellix
hydroxyzine HCL
Celexa
lorazepam
Cymbalta
meprobamate
Desvenlafaxine ER
oxazepam
Duloxetine HCL
Diazepam
Effective January 1, 2017
23
Effexor XR Clozapine Odt
Elavil PREFERRED
Emsam Abilify Discmelt
Fetzima Fluphenazine HCL
Fetzima Titration Pack Saphris
Gaboxetine Seroquel XR
Irenka NON PREFERRED
Khedezla Abilify
Lexapro Abilify Maintena
Luvox CR Adasuve
Marplan Aristada
Nardil Chlorpromazine HCL
Norpramin Clozaril
Oleptro Equetro
Pamelor Fanapt
Parnate Fanapt Titration Pack
Paxil CR Fazaclo
Pexeva Geodon
Prozac Haldol
Prozac Weekly Haldol Decanoate 100
Remeron Haldol Decanoate 50
Remeron Soltab Invega
Sentraflox AM-10 Invega Sustenna
Sentralopram AM-10 Invega Trinza
Sentravil PM-25 Latuda
Sentroxatine Lithium
Surmontil Lithium Carbonate
Tofranil Lithobid
Tofranil-PM Molindone Hydrochloride
Trazamine Nuplazid
Trintellix Rexulti
Viibryd Risperdal
Viibryd Starter Pack Risperdal Consta
Vivactil Risperdal M-TAB
Wellbutrin Seroquel
Wellbutrin SR Versacloz
Wellbutrin XL Vraylar
Zoloft Zyprexa
Zyprexa Relprevv
ANTIPSYCHOTICS Zyprexa Zydis
GENERIC
HYPNOTICS
aripiprazole
aripiprazole odt GENERIC
chlorpromazine HCL dexmedetomidine HCL
clozapine estazolam
clozapine odt eszopiclone
fluphenazine decanoate phenobarbital
fluphenazine HCL temazepam
haloperidol triazolam
haloperidol decanoate zaleplon
haloperidol lactate zolpidem tartrate
lithium carbonate zolpidem tartrate ER
lithium carbonate ER Flurazepam HCL
loxapine Phenobarbital
loxapine succinate Quazepam
olanzapine Triazolam
olanzapine odt NON PREFERRED
paliperidone ER Ambien
perphenazine Ambien CR
prochlorperazine Amytal Sodium
prochlorperazine edisylate Belsomra
prochlorperazine maleate Butisol Sodium
quetiapine fumarate Dexmedetomidine HCL
risperidone Doral
risperidone odt Edluar
thioridazine HCL Gabazolpidem-5
thiothixene Halcion
trifluoperazine HCL Hetlioz
ziprasidone HCL Intermezzo
Effective January 1, 2017
24
Lunesta ANTICONVULSANTS
Nembutal Sodium
GENERIC
Phenobarbital Sodium
carbamazepine
Precedex
carbamazepine ER
Restoril
clonazepam
Rozerem
clonazepam odt
Seconal
divalproex sodium
Seconal Sodium
divalproex sodium DR
Sentrazolpidem PM-5
divalproex sodium ER
Silenor
ethosuximide
Sonata
felbamate
Strazepam
fosphenytoin sodium
Zolpimist
gabapentin
lamotrigine
ADHD, NARCOLEPSY, ETC.
lamotrigine odt
GENERIC lamotrigine titration
amphetamine/dextroamphetamine lamotrigine ER
armodafinil levetiracetam
caffeine citrate levetiracetam ER
clonidine HCL ER oxcarbazepine
dexmethylphenidate HCL phenytoin
dexmethylphenidate HCL ER phenytoin sodium
dextroamphetamine sulfate phenytoin sodium extended
dextroamphetamine sulfate ER primidone
doxapram HCL tiagabine hydrochloride
guanfacine ER topiramate
methamphetamine HCL valproate sodium
methylphenidate hydrochloride valproic acid
methylphenidate HCL zonisamide
methylphenidate HCL CD Diazepam
methylphenidate HCL ER PREFERRED
methylphenidate HCL SR Diastat Acudial
modafinil Diastat Pediatric
Armodafinil Lyrica
Methylphenidate HCL ER NON PREFERRED
PREFERRED Aptiom
Strattera Banzel
Vyvanse Briviact
NON PREFERRED Carbatrol
Adderall Celontin
Adderall XR Cerebyx
Adzenys XR-odt Depacon
Aptensio XR Depakene
Cafcit Depakote
Caffeine/Sodium Benzoate Depakote ER
Concerta Depakote Sprinkles
Daytrana Dilantin
Desoxyn Dilantin Infatabs
Dexedrine Dilantin-125
Dopram Fanatrex Fusepaq
Dyanavel XR Felbatol
Evekeo Fycompa
Focalin Gabitril
Focalin XR Keppra
Intuniv Keppra XR
Kapvay Klonopin
Metadate CD Lamictal
Methylin Lamictal Chewable Dispersible
Nuvigil Lamictal Odt
Procentra Lamictal Starter/Not Taking Carbamazepine
Provigil Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
Quillichew ER
Lamictal Starter/Taking Valproate
Quillivant XR
Lamictal XR
Ritalin
Levetiracetam
Ritalin LA
Mysoline
Sentramodafin AM-100
Neurontin
Zenzedi
Onfi
Oxtellar XR
Effective January 1, 2017
25
Peganone disulfiram
Phenytek donepezil HCL
Potiga ergoloid mesylates
Qudexy XR galantamine hydrobromide
Sabril glatopa
Spritam memantine hydrochloride
Stavzor memantine HCL
Tegretol memantine HCL titration PAK
Tegretol-XR olanzapine/fluoxetine
Therapentin-60 pimozide
Therapentin-90 rivastigmine tartrate
Topamax rivastigmine transdermal system
Topamax Sprinkle tetrabenazine
Topiramate ER Ergoloid Mesylates
Trileptal Galantamine Hydrobromide
Trokendi XR PREFERRED
Vimpat Ampyra
Zarontin Avonex
Zonegran Avonex Pen
Betaseron
ANTIPARKINSON AGENTS Chlordiazepoxide/Amitriptyline
Copaxone
GENERIC
Namenda XR
amantadine HCL
Namenda XR Titration Pack
benztropine mesylate
Namzaric
bromocriptine mesylate
Perphenazine/Amitriptyline
carbidopa
Tecfidera
carbidopa/levodopa
Tecfidera Starter Pack
carbidopa/levodopa odt
NON PREFERRED
carbidopa/levodopa ER
Antabuse
entacapone
Aricept
pramipexole dihydrochloride
Aricept Odt
pramipexole dihydrochloride ER
Aubagio
ropinirole ER
Brisdelle
ropinirole HCL
Campral
selegiline HCL
Convenience PAK
tolcapone
Dermacinrx Dpn PAK
trihexyphenidyl HCL
Exelon
Carbidopa/Levodopa/Entacapone
Fluoxetine
PREFERRED
Gilenya
Apokyn
Gralise
NON PREFERRED
Gralise Starter
Amantadine HCL
Horizant
Azilect
Lemtrada
Cogentin
Namenda
Comtan
Namenda Titration PAK
Duopa
Nuedexta
Eldepryl
Orap
Lodosyn
Razadyne
Mirapex
Razadyne ER
Mirapex ER
Sarafem
Neupro
Savella
Parlodel
Savella Titration Pack
Requip
Smartrx Gaba Kit
Requip XL
Smartrx Gaba-v Kit
Rytary
Symbyax
Sinemet
Tysabri
Sinemet CR
Xenazine
Stalevo 100
Xyrem
Stalevo 125
Zinbryta
Stalevo 150
Stalevo 200
NEUROMUSCULAR AGENTS
Stalevo 50
Stalevo 75 GENERIC
Tasmar atracurium besylate
Zelapar cisatracurium besylate
pancuronium bromide
NEUROLOGY, PSYCH - MISC. riluzole
rocuronium bromide
GENERIC
vecuronium bromide
acamprosate calcium DR
Effective January 1, 2017
26
PREFERRED Tabradol Rapidpaq
Botox Therabenzaprine-60
NON PREFERRED Therabenzaprine-90
Anectine Therabenzaprine-90-5
Dysport Tizanidine Comfort PAC
Myobloc Zanaflex
Nimbex
Quelicin ANTIMYASTHENIC AGENTS
Quelicin 1000
GENERIC
Rilutek
neostigmine methylsulfate
Rocuronium Bromide
pyridostigmine bromide
Succinylcholine Chloride
pyridostigmine bromide ER
Vecuronium Bromide
PREFERRED
Vecuronium Bromide/Sodiumchloride
Guanidine HCL
Xeomin
NON PREFERRED
Zemuron
Bloxiverz
Enlon
MUSCULOSKELETAL AGENTS
Enlon-plus
GENERIC Mestinon
baclofen Mestinon Timespan
carisoprodol Neostigmine Methylsulfate
carisoprodol/aspirin Regonol
carisoprodol/aspirin/codeine
chlorzoxazone OPHTHALMOLOGY AND OTIC
cyclobenzaprine HCL
ANTI-INFECTIVES
dantrolene sodium
GENERIC
metaxalone
bacitracin/polymyxin b
methocarbamol
ciprofloxacin HCL
orphenadrine citrate
erythromycin
orphenadrine citrate ER
gatifloxacin
tizanidine HCL
gentamicin sulfate
Metaxalone
levofloxacin
PREFERRED
neomycin/bacitracin/polymyxin
Euflexxa
neomycin/polymyxin/bacitracin zinc
Gablofen
neomycin/polymyxin/gramicidin
Lioresal Intrathecal
ofloxacin
Synvisc
polymyxin b sulfate/trimethoprim sulfate
Synvisc One
sodium sulfacetamide
NON PREFERRED
sulfacetamide sodium
Amrix
tobramycin sulfate
Cyclobenzaprine Comfort PAC
trifluridine
Cyclophene Rapidpaq
trimethoprim sulfate/polymyxin b sulfate
Dantrium
PREFERRED
Dantrium IV
Bacitracin
Fexmid
Moxeza
First-baclofen 1
Natacyn
First-baclofen 5
Sulfacetamide Sodium
Flexepax
Vigamox
Gel-one
NON PREFERRED
Gelsyn-3
Azasite
Genvisc 850
Besivance
Hyalgan
Betadine Ophthalmic Prep
Hymovis
Bleph-10
Lorvatus Pharmapak
Ciloxan
Lorzone
Garamycin
Metaxall CP
Mitosol
Monovisc
Neosporin
Norflex
Ocuflox
Orthovisc
Polytrim
Parafon Forte DSC
Tobrex
Prazolamine
Viroptic
Robaxin
Zirgan
Robaxin-750
Zymaxid
Ryanodex
Skelaxin
ARTIFICIAL TEAR/LUBRICANT
Soma
NON PREFERRED
Supartz
Lacrisert
Supartz Fx
Tabradol Fusepaq
Effective January 1, 2017
27
BETA-BLOCKERS CYCLOPLEGIC MYDRIATICS
GENERIC GENERIC
betaxolol HCL atropine sulfate
carteolol HCL cyclopentolate hydrochloride
dorzolamide HCL/timolol maleate cyclopentolate HCL
levobunolol HCL homatropine HBR
timolol maleate Atropine Sulfate
timolol maleate ophthalmic gel forming NON PREFERRED
Metipranolol Cyclogyl
PREFERRED Cyclomydril
Betoptic-s Isopto Atropine
Combigan
Timoptic Ocudose DECONGESTANTS
NON PREFERRED
GENERIC
Betagan
phenylephrine HCL
Betimol
PREFERRED
Cosopt
Naphazoline HCL
Cosopt PF
Istalol
MIOTICS
Timoptic
GENERIC
Timoptic-xe
pilocarpine HCL
PREFERRED
OPHTHALMIC STEROIDS
Phospholine Iodide
GENERIC
NON PREFERRED
dexamethasone sodium phosphate
Isopto Carpine
fluorometholone
neomycin/polymyxin/bacitracin/hydrocortisone
ADRENERGIC AGENTS
neomycin/polymyxin/dexamethasone
GENERIC
prednisolone acetate
apraclonidine
sulfacetamide sodium/prednisolone sodium phosphate
brimonidine tartrate
tobramycin/dexamethasone
PREFERRED
PREFERRED
Alphagan P
Dexamethasone Sodium Phosphate
Simbrinza
FML
NON PREFERRED
FML Forte
Iopidine
Pred Mild
Prednisolone Sodium Phosphate
IMMUNOMODULATORS
NON PREFERRED
NON PREFERRED
Alrex
Restasis
Blephamide
Blephamide S.o.p.
LOCAL ANESTHETICS
Durezol
GENERIC
Flarex
proparacaine HCL
FML Liquifilm
tetracaine HCL
Lotemax
NON PREFERRED
Maxidex
Akten
Maxitrol
Alcaine
Neomycin/Polymyxin/Hydrocortisone
Omnipred
OPHTHALMICS - MISC.
Pred Forte
GENERIC
Pred-G
azelastine HCL
Pred-G S.o.p.
bromfenac
Prednisolone/Moxifloxacin
cromolyn sodium
Prednisolone/Moxifloxacin/Bromfenac
diclofenac sodium
Tobradex
dorzolamide HCL
Tobradex ST
epinastine HCL
Vexol
flurbiprofen sodium
Zylet
ketorolac tromethamine
olopatadine HCL
PROSTAGLANDINS
PREFERRED
GENERIC
Azopt
latanoprost
Pataday
Bimatoprost
Pazeo
Travoprost
NON PREFERRED
PREFERRED
Acular
Lumigan
Acular LS
Travatan Z
Acuvail
NON PREFERRED
Alocril
Xalatan
Alomide
Effective January 1, 2017
28
Bepreve NON PREFERRED
Bromfenac Allzital
Cystaran Bupap
Elestat Disalcid
Emadine Esgic
Ilevro Fioricet
Lastacaft Fiorinal
Nevanac Levacet
Ocufen Ofirmev
Optivar Vanatol LQ
Patanol
Prolensa ANALGESICS - OPIOID
Trusopt
GENERIC
acetaminophen/caffeine/dihydrocodeine
OTIC AGENTS
acetaminophen/codeine
GENERIC acetaminophen/codeine #2
acetic acid acetaminophen/codeine #3
antipyrine/benzocaine acetaminophen/codeine #4
fluocinolone acetonide acetaminophen/codeine phosphate
fluocinolone acetonide ear drops alfentanil
hydrocortisone/acetic acid buprenorphine HCL
neomycin/polymyxin/hydrocortisone buprenorphine HCL/naloxone HCL
neomycin/polymyxin/HC butalbital/acetaminophen/caffeine/codeine
ofloxacin butalbital/aspirin/caffeine/codeine
PREFERRED butorphanol tartrate
Acetic Acid/Aluminum Acetate codeine sulfate
Ciprodex fentanyl
Pramotic fentanyl citrate oral transmucosal
NON PREFERRED hydrocodone bitartrate/acetaminophen
Antipyrine/Benzocaine hydrocodone/acetaminophen
Cetraxal hydrocodone/ibuprofen
Cipro HC hydromorphone hydrochloride
Ciprofloxacin hydromorphone HCL
Coly-mycin S hydromorphone HCL dosette
Cortisporin-tc hydromorphone HCL ER
Dermotic meperidine HCL
Floxin Otic methadone HCL
Otiprio morphine sulfate
Otovel morphine sulfate ER
Otozin nalbuphine HCL
Vosol HC oxycodone HCL
oxycodone/acetaminophen
OXYTOCICS oxycodone/aspirin
oxymorphone hydrochloride
oxymorphone hydrochloride ER
GENERIC
pentazocine/naloxone HCL
methylergonovine maleate
tramadol hydrochloride/acetaminophen
oxytocin
tramadol HCL
NON PREFERRED
tramadol HCL ER
Cervidil
Aspirin-caffeine-dihydrocodeine
Hemabate
Fentanyl
Oxytocin
Hydrocodone/Acetaminophen
Oxytocin/Lactated Ringers
Hydromorphone HCL/Sodium Chloride
Pitocin
Meperidine Hydrochloride/Sodium Chloride
Prepidil
Morphine Sulfate
Prostin E2
Morphine Sulfate ER
Oxycodone HCL ER
PAIN MANAGEMENT
PREFERRED
ANALGESICS - NONNARCOTIC
Embeda
GENERIC
Hydromorphone HCL
butalbital/acetaminophen
Oxycodone/Ibuprofen
butalbital/acetaminophen/caffeine
Oxycontin
butalbital/aspirin/caffeine
Suboxone
choline magnesium trisalicylate
Zubsolv
diflunisal
NON PREFERRED
salsalate
Actiq
PREFERRED
Alfenta
Choline Magnesium Trisalicylate
Avinza
Dologesic
Belbuca
Prialt
Effective January 1, 2017
29
Bunavail
Buprenex ANTI-INFLAMMATORY
Butrans
GENERIC
Capital/Codeine
celecoxib
Codeine Sulfate
diclofenac potassium
Conzip
diclofenac sodium DR
Demerol
diclofenac sodium ER
Dilaudid
diclofenac sodium/misoprostol
Dilaudid-HP
etodolac
Dolophine
etodolac ER
Duragesic
flurbiprofen
Exalgo
ibuprofen
Fentanyl Citrate
ibuprofen lysine
Fentanyl Citrate/NACL
indomethacin
Fentanyl Citrate/Sodium Chloride
indomethacin ER
Fioricet/Codeine
ketoprofen
Fiorinal/Codeine #3
ketorolac tromethamine
Hycet
leflunomide
Hydromorphone Hydrochloride/ NACL
mefenamic acid
Hydromorphone Hydrochloride/NACL
meloxicam
Hydromorphone Hydrochloride/Sodium Chloride
nabumetone
Hydromorphone HCL/NACL
naproxen
Ibudone
naproxen sodium
Infumorph 200
naproxen sodium CR
Infumorph 500
naproxen sodium ER
Ionsys
oxaprozin
Lazanda
piroxicam
Levorphanol Tartrate
sulindac
Lortab
tolmetin sodium
Meperidine HCL
Meclofenamate Sodium
Methadone HCL
Naproxen
Methadose
Tolmetin Sodium
Methadose Sugar-free
PREFERRED
Morphine Sulfate Add-vantage
Fenoprofen Calcium
Morphine Sulfate/NACL
Humira
Morphine Sulfate/Sodium Chloride
Humira Pediatric Crohns Disease Starter Pack
MS Contin
Humira Pen
Norco
Humira Pen-crohns Diseasestarter
Nucynta
Humira Pen-psoriasis Starter
Opana
Ilaris
Oxaydo
Ketoprofen ER
Oxycodone/Acetaminophen
Meloxicam
Percocet
Rasuvo
Percodan
Simponi
Primlev
Simponi Aria
Probuphine Implant Kit
NON PREFERRED
Remifentanil HCL
Actemra
Reprexain
Anaprox DS
Roxicet
Arava
Roxicodone
Arcalyst
Synalgos-dc
Arthrotec 50
Synapryn Fusepaq
Arthrotec 75
Talwin
Caldolor
Theracodeine-300
Capxib Kit
Theracodophen-325
Cataflam
Theratramadol-60
Celebrex
Theratramadol-90
Daypro
Tramadol HCL ER
Derma Silkrx Anodynexa PAK
Trezix
Derma Silkrx Diclopak
Tylenol/Codeine #3
Dermacinrx Inflammatral PAK
Tylenol/Codeine #4
Dyloject
Ultiva
Enbrel
Ultracet
Enbrel Sureclick
Ultram
EC-naprosyn
Ultram ER
Feldene
Vicoprofen
Fenortho
Xartemis XR
Flanax Pain Relief Kit
Xodol
Ibuprofen Comfort PAC
Xtampza ER
Indocin
Zamicet
Effective January 1, 2017
30
Indomethacin Imitrex Statdose System
IC 400 Maxalt
IC 800 Maxalt-MLT
Ketorocaine-l Migergot
Ketorocaine-lm Migral
Ketorolac Tromethamine Migranal
Kineret Migranow
Lodine Onzetra Xsail
Meloxicam Comfort PAC Relpax
Mobic Sumavel Dosepro
Nalfon Treximet
Naprelan Zecuity
Naprosyn Zembrace Symtouch
Naproxen Comfort PAC Zomig
Neoprofen Zomig Nasal Spray
Orencia Zomig ZMT
Orencia Clickject
Otezla GOUT AGENTS
Otrexup
GENERIC
Ponstel
allopurinol
Prastera
probenecid
Previdolrx Analgesic PAK
probenecid/colchicine
Rheumatrex
PREFERRED
Ridaura
Colcrys
Sprix
Uloric
Therafeldamine
NON PREFERRED
Theraprofen-60
Aloprim
Theraprofen-800
Colchicine
Theraprofen-90
Krystexxa
Theraproxen-500
Mitigare
Theraproxen-60
Zyloprim
Theraproxen-90
Tivorbex
LOCAL ANESTHETICS-INJ
Toronova II Suik
GENERIC
Toronova Suik
bupivacaine HCL
Trepadiclofen-25
bupivacaine/epinephrine
Trepoxicam-7.5
lidocaine HCL
Vivlodex
lidocaine/epinephrine
Voltaren-XR
ropivacaine
Xeljanz
ropivacaine HCL
Xeljanz XR
Tetracaine HCL
Zipsor
NON PREFERRED
Articadent Dental
MIGRAINE PRODUCTS
Bupivacaine Hydrochloride/Sodium Chloride
GENERIC
BD Pudendal/Local Block Tray 1% Lidocaine
almotriptan
Carbocaine
almotriptan malate
Citanest Forte Dental
dihydroergotamine mesylate
Citanest Plain Dental
frovatriptan succinate
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
naratriptan HCL
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
rizatriptan benzoate
rizatriptan benzoate odt
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
sumatriptan
sumatriptan succinate
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
sumatriptan succinate refill
zolmitriptan
Exparel
zolmitriptan odt
Lidocaine HCL
Dihydroergotamine Mesylate
Lidocaine HCL/Dextrose
Sumatriptan Succinate
Marcaine
NON PREFERRED
Marcaine/Epinephrine
Alsuma
Marlido-25
Amerge
Marvona Suik
Axert
Mld Kit
Cafergot
Monoject Bone Marrow Biopsy Prepping Tray
D.h.e. 45
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
Ergomar
Frova
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Imitrex
Imitrex Statdose Refill
Effective January 1, 2017
31
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Rhinocort Aqua
Ticaspray
Naropin
Tyzine
Nesacaine
Tyzine Pediatric Nasal Drops
Nesacaine-mpf
Veramyst
Readysharp-a
Zetonna
Ropivacaine
Ropivacaine Hydrochloride/Sodium Chloride
COUGH/COLD/ALLERGY
Sensorcaine-mpf/Epinephrine
GENERIC
Turkel Paracentesis Procedure Tray/8french
acetylcysteine
Xylocaine
benzonatate
Xylocaine-mpf
bromphen/pseudoephedrine HCL/dextromethorphan HBR
Xylocaine-mpf/Epinephrine
hydrocodone bitartrate/chlorpheniramine maleate/PSE
Xylocaine/Epinephrine
hydrocodone bitartrate/homatropine methylbromide
hydrocodone polistirex/chlorpheniramine polistirex
RESPIRATORY, ALLERGY, ETC
hydrocodone/homatropine
ANTIHISTAMINES
phenylephrine/guaifenesin
GENERIC promethazine-DM
carbinoxamine maleate promethazine/codeine
cetirizine HCL promethazine/dextromethorphan
clemastine fumarate promethazine/phenylephrine
cyproheptadine HCL promethazine/phenylephrine/codeine
desloratadine sodium chloride
diphenhydramine HCL Benzonatate
levocetirizine dihydrochloride PREFERRED
promethazine HCL Dallergy
promethazine HCL plain J-max
Clemastine Fumarate Mucinex Maximum Strength
Desloratadine Odt Promethazine/Phenylephrine
PREFERRED NON PREFERRED
Allegra Allergy Childrens Carbaphen 12
Dexchlorpheniramine Maleate Carbaphen 12 PED
NON PREFERRED Clarinex-d 12 HOUR
Brompheniramine Codar AR
Brompheniramine Tannate Cpb Wc
Clarinex Decon-a
Dicopanol Fusepaq Exactuss
Dicopanol Rapidpaq Flowtuss
Karbinal ER Gilphex TR
Phenergan Giltuss
Respa-BR Giltuss TR
Xyzal Hycofenix
Hyper-sal
NASAL AGENTS Hypersal
Nebusal
GENERIC
Neotuss Plus
azelastine HCL
Obredon
budesonide
Panatuss Dxp
flunisolide
Relhist
fluticasone propionate
Rescon-JR
ipratropium bromide
Rezira
mometasone furoate
Semprex-d
olopatadine HCL
Tessalon Perles
triamcinolone acetonide
Tussicaps
PREFERRED
Tussionex Pennkinetic Extended Release
Dymista
Tuzistra XR
NON PREFERRED
Vituz
Adrenalin
Zonatuss
Astepro
Zutripro
Atrovent
Bactroban Nasal
ANTIASTHMATIC/COPD AGENTS
Beconase AQ
Dermacinrx Azenase PAK GENERIC
Dermacinrx Ticanase PAK albuterol
Flonase albuterol sulfate
Nasonex albuterol sulfate ER
Omnaris albuterol TAB 4MG
Patanase aminophylline
Qnasl budesonide
Qnasl Childrens epinephrine HCL
Effective January 1, 2017
32
ipratropium bromide Ofev
ipratropium bromide/albuterol sulfate Orkambi
levalbuterol Prolastin-c
levalbuterol HCL Surfaxin
montelukast sodium Survanta Intratracheal
terbutaline sulfate Zemaira
theophylline
theophylline CR TOXOIDS
theophylline ER
zafirlukast
NON PREFERRED
Cromolyn Sodium
Adacel
PREFERRED
Boostrix
Advair Diskus
Daptacel
Advair HFA
Diphtheria/Tetanus Toxoids Adsorbed Pediatric
Anoro Ellipta
Infanrix
Arnuity Ellipta
Kinrix
Breo Ellipta
Pediarix
Combivent Respimat
Pentacel
Elixophyllin
Quadracel
Flovent Diskus
Tenivac
Flovent HFA
Tetanus/Diphtheria Toxoids-adsorbed
Foradil Aerolizer
Tetanus/Diphtheria Toxoids-adsorbed Adult
Incruse Ellipta
Metaproterenol Sulfate
VACCINES
Proair HFA
Proair Respiclick
NON PREFERRED
Pulmicort Flexhaler
Acthib
Serevent Diskus
Afluria PF 2014-2015
Spiriva Handihaler
Afluria PF 2015-2016
Spiriva Respimat
Afluria PF 2016-2017
Stiolto Respimat
Afluria Quadrivalent 2016-2017
Symbicort
Afluria 2014-2015
Ventolin HFA
Afluria 2015-2016
Xolair
Afluria 2016-2017
NON PREFERRED
Bcg Vaccine
Accolate
Bexsero
Aerospan
Biothrax
Arcapta Neohaler
Cervarix
Atrovent HFA
Comvax
Brovana
Engerix-b
Cinqair
Fluad 2016-2017
Daliresp
Fluarix Quadrivalent 2014-2015
Isuprel
Fluarix Quadrivalent 2015-2016
Lufyllin
Fluarix Quadrivalent 2016-2017
Nucala
Fluarix 2014-2015
Perforomist
Flublok 2014-2015
Pulmicort
Flublok 2015-2016
Pulmophylline
Flublok 2016-2017
Singulair
Flucelvax Quadrivalent 2016-2017
Striverdi Respimat
Flucelvax 2014-2015
Theo-24
Flucelvax 2015-2016
Theophylline/D5W
Flulaval Quadrivalent 2014-2015
Utibron Neohaler
Flulaval Quadrivalent 2015-2016
Vospire ER
Flulaval Quadrivalent 2016-2017
Xopenex
Flulaval 2014-2015
Xopenex Concentrate
Flumist Quadrivalent
Zyflo
Fluvirin PF 2014-2015
Zyflo CR
Fluvirin 2014-2015
Fluvirin 2015-2016
RESPIRATORY AGENTS - MISC
Fluvirin 2016-2017
PREFERRED
Fluzone High-dose PF 2014-2015
Pulmozyme
Fluzone High-dose PF 2015-2016
NON PREFERRED
Fluzone High-dose PF 2016-2017
Aralast NP
Fluzone PF 2014-2015
Curosurf
Fluzone Quadrivalent 2014-2015
Esbriet
Fluzone Quadrivalent 2015-2016
Glassia
Fluzone Quadrivalent 2016-2017
Infasurf
Fluzone Split 2014-2015
Kalydeco
Fluzone Split 2015-2016
Effective January 1, 2017
33
Gardasil Duet DHA Balanced
Gardasil 9 Duet DHA 400
Havrix Duet DHA 400EC
Hiberix Duet DHA 430
Imovax Rabies (h.d.c.v.) Duet DHA 430EC
Ipol Inactivated IPV Enbrace HR
Ixiaro Escavite
M-m-r II Escavite D
Medical Provider EZ Flu Shot 2014-2015 Folbee Plus Cz
Medical Provider EZ Flu Shot 2015-2016 Folcaps Omega 3
Medical Provider Single Use EZ Flu Shot Folivane-OB
Menactra Healthy Mama Be Well Rounded
Menhibrix Marnatal-f
Menomune-a/C/Y/W-135 Mission Prenatal
Menveo Mteryti
Pedvax HIB Mteryti Folic 5
Pneumovax 23 Mykidz Iron Fl
Pneumovax 23/1 Dose Mynatal
Pneumovax 23/5 Dose Natachew
Prevnar 13 Natalvit
Proquad Natelle One
Rabavert Neevo DHA
Recombivax HB Nestabs
Rotarix Nestabs DHA
Rotateq Newgen
Trumenba Niva-plus
Twinrix O-CAL Fa
Typhim VI O-CAL Prenatal
Vaqta Obstetrix DHA
Varivax Obtrex
Vaxchora Obtrex DHA
Vivotif One A Day Womens Prenatal/DHA
Yf-vax One A Day Womens Prenatal1
Zostavax One-a-day Womens Prenatal
OB Complete
VITAMINS OB Complete One
OB Complete Petite
VITAMINS
OB Complete Premier
GENERIC
OB Complete/DHA
ascorbic acid
Poly-VI-flor
ergocalciferol
Poly-VI-flor FS
phytonadione
Poly-VI-flor/Iron
pyridoxine HCL
Prefera OB
thiamine HCL
Prefera OB + DHA
vitamin c 222MG
Prenata
vitamin d
Prenatal Vitamin
vitamin k1
Prenatal Vitamins
PREFERRED
Prenate AM
Mephyton
Prenate Elite
Vitamin A
Prenate Essential
NON PREFERRED
Prenate Star
Aquasol A Parenteral
Provida OB
Drisdol
Right Step Prenatal
Niacin
Select-OB
Vitamin K1
Stuart Prenatal
Wheat Germ
Taron-bc
Taron-c DHA
MULTIVITAMINS
Theranatal Core Nutrition
GENERIC
Tri-VI-flor
b-complex 100
Tricare Prenatal
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Tricare Prenatal Compleat
PREFERRED
Tricare Prenatal DHA One
Atabex EC
Tricare Prenatal 1
Atabex Prenatal
Vinacal B
Bal-care DHA
Vinate AZ Extra
Citranatal B-calm
Vinate Calcium
Citranatal RX
Vinate DHA RF
Clinical Nutrients Prenatal Formula
Vita-pren
Concept DHA
Vitafol Gummies
Concept OB
Vitafol-nano
Effective January 1, 2017
34
Vitamedmd Redichew RX Renatabs With Iron
Vitapearl Req 49+
Viva DHA Select-ob+dha
Your Life Multi Prenatal Siderol
Zatean-pn Strovite Forte
Zatean-pn Plus Strovite One
NON PREFERRED Supervite
Adrenal C Formula Supervite EC
Albafort Support-500
Bacmin Synagex
Citranatal Assure Synatek
Citranatal DHA Texavite LQ
Citranatal Harmony Triveen-duo DHA
Citranatal 90 DHA Triveen-prx RNF
Cod Liver Oil TL G-FOL OS
Corvite Udamin SP
Crnatal Vemavite-prx 2
Dialyvite Supreme D Vitafol
Dialyvite 3000 Vitafol Fe+
Dialyvite 5000 Vitafol Ultra
Dialyvite/Zinc Vitafol-ob+dha
Floriva Vitafol-one
Focalgin CA Vital-d RX
Focalgin 90 DHA Vitamedmd One RX/Quatrefolic
Folet DHA Vitamedmd Plus RX/Quatre Folic
Folet One Vitaroca Plus
Folgard OS Vitatrue
Folivane-prx DHA NF Zatean-pn DHA
Fortavit Zatean-CH
Gesticare DHA
Infuvite MEDICAL DEVICES
Infuvite Adult
DIABETIC SUPPLIES
Infuvite Pediatric
PREFERRED
M.v.i. Adult
Accu-chek Safe-t-pro Lancets
M.v.i. Pediatric
Accu-chek Safe-t-pro Pluslancets
M.v.i.-12 Without Vitamin K
Accu-chek Soft Touch Lancets
Natalvirt CA
Accu-chek Softclix Lancets
Natalvirt 90 DHA
Active 1ST Blood Lancets 30G/Easy Twist CAP
Nephplex RX
Advocate Insulin Pen Needles 29GX12.7MM
Nephro-vite RX
Advocate Insulin Pen Needles 31GX5MM
Nephrocaps
Advocate Insulin Pen Needles 31GX8MM
Nephrocaps QT
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
Nestabs Abc
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
Nexa Plus
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
Nicadan
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
Nicadan ZX
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
Nicazel
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
Nicazel Forte
Advocate Insulin Syringe/U-100/1ML/29GX1/2"
Nicomide
Advocate Insulin Syringe/U-100/1ML/30GX5/16"
Nutricap
Advocate Insulin Syringe/U-100/1ML/31GX5/16"
Nutrivit
Advocate Lancets
Obstetrix One
Advocate Lancets 30G
Ocuvel
Advocate Safety Lancets
OB Complete Gold
Advocate Safety Lancets 26G
Paire OB
Agamatrix Ultra-thin Lancets 33G
Preferaob +dha
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Preferaob One
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
Prefol-DHA
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Prenate
Assure Haemolance Plus High Flow 18G
Prenate DHA
Assure Haemolance Plus Low Flow 25G
Prenate Enhance
Assure Haemolance Plus Micro Flow 28G
Prenate Mini
Assure Haemolance Plus Normal Flow 21G
Prenate Pixie
Assure Haemolance Plus Pediatric Blade
Prenate Restore
Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Preque 10
Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Protect Plus
Assure Lance Lancets
Provida DHA
Assure Lance Lancets 21G
Quflora FE
Assure Lance Plus Safety Lancets 25G
R-natal OB
Assure Lance Plus Safety Lancets 30G
Renatabs
Effective January 1, 2017
35
Assure Lancets BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Aurora Lancet Super Thin 30G
BD Microtainer Lancets
Aurora Lancet Thin 23G
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Aurora Pen Needles 29GX12MM
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Aurora Pen Needles 31G X 6MM
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Aurora Pen Needles 31G X 8MM
BD Pen Needle/Ultrafine/29G X 12.7MM
Autolet Platforms
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
AF Lancets Super Thin
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
AT Last Lancets
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
BD-insul SYR Mis LO Dose
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Carefine Pen Needle 32GX4MM
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"
Carefine Pen Needles 29GX1/2"
Bayer Microlet Lancets
Carefine Pen Needles 30GX5/16"
Bullseye Safety Lancets
Carefine Pen Needles 31GX6MM
BD Autoshield Duo 30G X 3/16"
Carefine Pen Needles 31GX8MM
BD Autoshield 29G X 3/16"
Careone Lancet Thin
BD Autoshield 29G X 5/16"
Careone Lancet Ultra Thin
BD Insulin Syringe LUER-LOK/U-100/1ML
Cleanlet Lancets 28G
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Clever Chek Lancets Ultrathin
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Clever Chek Lancets Ultrathin 30G
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2"
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe Slip Tip/U-100/1ML
BD Insulin Syringe U-40/1ML/25G X 5/8"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 29GX12MM
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 31GX6MM
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 32GX4MM
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 32GX8MM
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 33GX4MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Clever Choice Comfort EZ Pen Needles 33GX5MM
Clever Choice Comfort EZ Pen Needles 33GX6MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Clever Choice Comfort EZ Pen Needles 33GX8MM
Coaguchek Lancets
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe/U-500/0.5ML/31G X 15/64"
Comfort Assist Insulin Syringe/1ML/30G X 5/16"
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/31G X 5/16"
BD Integra Syringe/Retracting Needle/1ML/25G X 1"
Comfort Lancets
BD Lancet Ultrafine 30G
Diastar Easy Test II Lancets 30G
BD Lancet Ultrafine 33G
Effective January 1, 2017
36
Diastar Easy Test Lancets30G Easy Touch Safety Lancets26G/Button Activated
Droplet Lancets Ultra Thin 30G Easy Touch Safety Lancets26G/Pressure Activated
Droplet Pen Needles 29GX12MM Easy Touch Safety Lancets28G/Button Activated
Droplet Pen Needles 31GX5MM Easy Touch Safety Lancets28G/Pressure Activated
Droplet Pen Needles 31GX6MM Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2"
Droplet Pen Needles 31GX8MM
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16"
Droplet Pen Needles 32GX4MM
Droplet Pen Needles 32GX8MM
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16"
Drug Mart On-the-go Lancets Gentle 30G
Drug Mart Unilet Lancets Super Thin 30G
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2"
Drug Mart Unilet Lancets Ultra Thin 28G
Easy Twist & CAP Lancets
Duane Reade Unifine Pentips 29G X 12MM
Easytest II Lancets
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT
Easytest Lancets
Duane Reade Unifine Pentips 31G X 8MM SHORT
Embrace Lancets Ultra Thin 30G
E-z Ject Lancets
Eql SHORT Pen Needles 31G X 8MM
E-z Ject Lancets Color
Eql Ultra SHORT Pen Needles 31G X 6MM
E-z Ject Lancets Super Thin
Excel Comfort Point Insulin Pen Needles 31G X 4MM
E-z Ject Lancets Super Thin 30G
Exel Comfort Point Insulin Pen Needles 29G X 12MM
E-z Ject Lancets Thin 26G
Exel Comfort Point Insulin Pen Needles 31G X 6MM
E-z Ject Lancets 21G
Exel Comfort Point Insulin Pen Needles 31G X 8MM
E-ZJECT Lancets Micro-thin 33G
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2"
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2"
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16"
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16"
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"
EZ Smart Blood Glucose Lancets
EZ-lets Lancets 21G
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"
EZ-lets Lancets 23G
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"
EZ-lets Lancets 26G Super-soft
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"
EZ-lets Lancets 28G Ultra-soft
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"
EZ-lets Lancets 30G
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Fifty50 Pen Needles 31G X3/16" (5MM)
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"
Fifty50 Pen Needles 31G X5/16" (8MM)
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"
Fifty50 Pen Needles 31GX5MM
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"
Fifty50 Pen Needles/31GX8MM
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2"
Fifty50 Pen Needles/32GX4MM
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2"
Fifty50 Safety Seal Lancets 30G
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2"
Fifty50 Safety Seal Lancets 32G
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/29G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/30G X 5/16"
Fifty50 Unilet Lancets 33G
Easy Touch Insulin Syringe/1ML/30G X 5/16"
Fine 30
Easy Touch Lancets 21G/Pressure Activated
Fingerstix Lancets
Easy Touch Lancets 23G/Pressure Activated
Fora Lancets
Easy Touch Lancets 26G/Pressure Activated
Freestyle Lancets
Easy Touch Lancets 26G/Pull-top
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Lancets 26G/Twist
Easy Touch Lancets 28G/Pressure Activated
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Lancets 28G/Pull-top
Easy Touch Lancets 28G/Twist
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Lancets 30G/Button-activated
Easy Touch Lancets 30G/Pressure Activated
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"
Easy Touch Lancets 30G/Pull-top
Easy Touch Lancets 30G/Twist Freestyle Unistick II Lancets
Easy Touch Lancets 32G/Pressure Activated Gentle-let GP Lancets
Easy Touch Lancets 32G/Pull-top Gentle-let Lancets General Purpose Style/Fine Point
Easy Touch Lancets 32G/Twist Gentle-let Lancets General Purpose Style/Medium Point
Easy Touch Lancets 33G/Twist Gentle-let Lancets Safety Style/Fine Point
Easy Touch Pen Needles 29GX1/2" Gentle-let Lancets Safety Style/Medium Point
Easy Touch Pen Needles 31GX1/4" Gentle-let Platforms 2.4MM
Easy Touch Pen Needles 31GX5/16" Gentle-let Platforms 3.0MM
Easy Touch Pen Needles 32GX5/32" Glucocom Lancets 28G
Easy Touch Pen Needles/31G X 3/16" Glucocom Lancets 30G
Easy Touch Safety Lancets21G/Pressure Activated Glucocom Lancets 33G
Easy Touch Safety Lancets23G/Pressure Activated Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Effective January 1, 2017
37
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16" Leader Unifine Pentips Plus/Mini/31GX3/16"
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16" Leader Unifine Pentips Plus/SHORT/31GX5/16"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2" Leader Unifine Pentips/Mini/31GX3/16"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16" Leader Unifine Pentips/Nano/32GX5/32"
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16" Leader Unifine Pentips/Plus/32GX5/32"
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2" Liberty Medical Lancets 30G
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16" Lifescan Unistik II Lancets
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16" Lifescan Unistik 2 Deep Penetration
Glucosource Lancets Lite Touch Pen Needles/31G X 3/16"
Gmate Lancets 30G Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"
H-e-b Incontrol Pen Needles 29GX12MM Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"
H-e-b IN Control Pen Needles 31GX6MM Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"
H-e-b IN Control Pen Needles 31GX8MM Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"
H-e-b IN Control Unifine Pentips Plus 32GX4MM Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"
Haemolance Litetouch Insulin Syringe/0.3ML/29G X 1/2"
Haemolance Low Flow Lancets Litetouch Insulin Syringe/0.3ML/30G X 5/16"
Haemolance Plus Litetouch Insulin Syringe/0.3ML/31G X 5/16"
Haemolance Plus High Flow Litetouch Insulin Syringe/0.5ML/30G X 5/16"
Haemolance Plus Low Flow Litetouch Insulin Syringe/0.5ML/31G X 5/16"
Haemolance Plus Max Flow Litetouch Insulin Syringe/1ML/30G X 5/16"
Haemolance Plus Pediatric Flow Litetouch Lancets Micro Thin 33G
Healthwise Mini Pen Needles 31GX6MM Litetouch Pen Needles 29GX12.7MM
Healthwise Pen Needles 29GX12MM Litetouch Pen Needles 31G X 6MM
Healthwise SHORT Pen Needles 31GX8MM Litetouch Pen Needles 31GX8MM SHORT
Hy-vee Lancets Live Better Lancet Super Thin 30G
Insulin Syringe/U-100/0.3ML/29G X 1/2" Live Better Lancet Ultra Thin 28G
Insulin Syringe/U-100/0.5ML/28G X 1/2" Live Better Pen Needles 29G X 12MM
Insulin Syringe/U-100/0.5ML/29G X 1/2" Live Better Pen Needles 31G X 12MM
Insulin Syringe/U-100/1ML/28G X 1/2" Live Better Pen Needles 31G X 6MM
Insulin Syringe/U-100/1ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2"
Insulin Syringe/U-100/1ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16"
Insulin Syringe/U-100/1ML/31G X 5/16" Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Insulin Syringe/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16"
Insulin Syringe/0.3ML/29G X 1" Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Insulin Syringe/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"
Insulin Syringe/0.3ML/31G X 5/16" Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2"
Insulin Syringe/0.5ML/27G X 1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2"
Insulin Syringe/0.5ML/28G X 1/2" Medisense Thin Lancets
Insulin Syringe/0.5ML/29G X 1/2" Medlance Plus Extra Lancets 21G
Insulin Syringe/0.5ML/30G X 1/2" Medlance Plus Lancets
Insulin Syringe/0.5ML/30G X 5/16" Medlance Plus Lancets Lite 25G
Insulin Syringe/0.5ML/31G X 5/16" Medlance Plus Lite Lancets 25G
Insulin Syringe/1ML/28G X 1/2" Medlance Plus Special Lancets 0.8MM
Insulin Syringe/1ML/29G X 1/2" Medlance Plus Superlite 30G
Insulin Syringe/1ML/30G X 5/16" Medlance Plus Superlite 30G/Comfort Max
Insulin Syringe/1ML/31G X 5/16" Medlance Plus Universal Lancets 21G
Insupen Sensitive 32GX8MM Medlance Plus/Lite 25G
Insupen Ultrafin 29GX12MM Medlance/Extra
Insupen Ultrafin 30GX8MM Medlance/Lite
Insupen Ultrafin 31GX6MM Medlance/Universal
Insupen Ultrafin 31GX8MM Meijer Lancets Universal 30G
IN Touch Sterile Lancets 30G Meijer Super Thin Lancets
Lancet Transporter Case Microlet Lancets
Lancets Microtainer Safety Flow Lancet/Sterile/Single-use
Lancets Bullseye Safety Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML
Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"
Lancets Safety Seal 26G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"
Lancets Safety Seal 28G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"
Lancets Safety Seal 30G
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"
Lancets Thin
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"
Lancets Twist Top
Lancets Ultra Fine
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"
Lancets Ultra Thin
Lancets 26G Twist Top
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"
Lancets 28G
Lancets 30G
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"
Lancets 30G Twist Top
Lancets 30G/Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"
Lancets 31G Twist Top
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"
Lancets 33G Universal Design
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Effective January 1, 2017
38
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2" Penlet II Replacement CAPS-regular
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16" Pentips 29GX12MM
Monoject Insulin Syringe/U-100/1ML/28G X 1/2" Pentips 31GX5MM
Monoject Insulin Syringe/U-100/1ML/30G X 5/16" Pentips 31GX6MM
Monoject Insulin Syringe/1ML Pentips 31GX8MM
Monoject Insulin Syringe/1ML/31G X 5/16" Pentips 32GX4MM
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2" Perfect Lancets 30G
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" Perfect Pressure Activated Safety Lancets 28G
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" Pharmacist Choice Ultra Thin Lancets
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2" Pharmacist Choice Ultra Thin Lancets 28G
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2" Pharmacist Choice Ultra Thin Lancets 30G
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" Pharmacist Choice Ultra Thin Lancets 31G
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" Pharmacist Choice Ultra Thin Lancets 33G
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2" Pharmacy Counter Lancets
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"
Monojector End CAPS Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"
Monojector Opd End CAPS Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"
Monolet Lancets Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"
Monolet Opd Lancets Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"
Monolettor Safety Lancets
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2"
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Precision Thin Lancets
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Precision Thins GP Lancet
Precision Ultra Lancet
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Preferred Plus Unifine Pentips 29G X 12MM
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Preferred Plus Unifine Pentips 31G X 8MM SHORT
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"
Myglucohealth Mgh Softlance Lancets 30G
Prodigy Insulin Syringe/1/2ML/31G X 5/16"
Netgroup Lancets
Prodigy Insulin Syringe/1ML/28G X 1/2"
Nova Safety Lancets 23G
Prodigy Pressure Activated Safety Lancets
Nova Safety Lancets 28G
Prodigy Safety Lancets
Nova Sureflex Lancets
Prodigy Twist Top Lancets
Novofine Plus 32GX4MM
Pss Select GP Lancets
On Call Lancets
Pss Select Platforms
On Call Plus Lancets
Pss Select Safety Lancets
Onetouch Club Lancets Fine Point
Px Lancets Ultra Thin
Onetouch Combo Pack
PC Unifine Pentips 29G X 1/2"
Onetouch Delica Lancets Extra Fine 33G
PC Unifine Pentips 31G X 6MM Ultra SHORT
Onetouch Delica Lancets Fine 30G
PC Unifine Pentips 31G X 8MM SHORT
Onetouch Finepoint Lancets
Qc Lancets Super Thin
Onetouch Lancets
Qc Lancets Ultra Thin
Onetouch Suresoft Lancing Device/18G
Qc Pen Needles 29G X 12MM
Onetouch Suresoft Lancing Device/21G
Qc Pen Needles 31G X 6MM
Onetouch Suresoft Lancing Device/28G
Qc Pen Needles 31G X 8MM
Onetouch Ultra Blue
Relion Insulin Syringe/U -100/0.5ML/29G
Onetouch Ultra Mini
Relion Insulin Syringe/U-00/1ML/29G X 1/2"
Onetouch Ultra 2
Relion Insulin Syringe/U-100/0.3ML/29G
Onetouch Ultralink System (hex)
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"
Onetouch Ultralink System (DEC)
Relion Insulin Syringe/U-100/0.3ML/30G
Onetouch Ultrasoft Lancets
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"
Onetouch Verio
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"
Onetouch Verio Flex Bloodglucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Onetouch Verio IQ Blood Glucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/30G
Onetouch Verio Sync Bloodglucose Monitoring System
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"
Onetouch Verio Test Strips
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"
Pen Needles 29G X 12MM
Relion Insulin Syringe/U-100/1ML/30G
Pen Needles 29GX1/2"
Relion Insulin Syringe/U-100/1ML/30G X 5/16"
Pen Needles 30GX5/16"
Relion Insulin Syringe/U-100/1ML/31G X 5/16"
Pen Needles 31G X 1/4" SHORT
Relion Lancets Micro-thin33G
Pen Needles 31G X 3/16"
Relion Lancets Standard 21G
Pen Needles 31G X 5MM
Relion Lancets Thin 26G
Pen Needles 31G X 6MM
Relion Lancets Ultra-thin30G
Pen Needles 31GX5/16"
Relion Mini Pen Needles 31GX6MM
Pen Needles 31GX6MM (1/4")
Relion Pen Needles 29GX12MM
Pen Needles 31GX8MM
Relion Pen Needles 31GX6MM
Pen Needles 31GX8MM (5/16")
Relion Pen Needles 31GX8MM
Pen Needles 32GX4MM
Relion Pen Needles 32GX4MM
Penlet II Replacement CAPS
Relion SHORT Pen Needles 31GX8MM
Penlet II Replacement CAPS-deep
Relion Thin Lancets
Effective January 1, 2017
39
Relion Ultra Thin Lancets Surelite Lancets
Relion Ultra Thin Lancets30G Techlite AST Lancets
Relion Ultra Thin Plus Lancets 32G Techlite Lancets
Relion Ultra Thin Plus Lancets 33G Techlite Lancets 30G
Rexall Lancets Ultra Thin Techlite Pen Needles/31G X 5MM
Rightest Gl300 Lancets Techlite Pen Needles/31G X 6 MM
Rightest GD-L500 Alternate Site Adapter Techlite Pen Needles/31G X 8MM
Safe-t-lance Low Flow 25G Techlite Pen Needles/32G X 4MM
Safe-t-lance Normal Flow 21G Techlite Pen Needles/32G X 8MM
Safe-t-lance Plus Safety Lancet High Flow Thinlets GP Lancets
Safe-t-lance Plus Safety Lancet Low Flow Thinlets Lancet
Safe-t-lance Plus Safety Lancet Normal Flow Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"
Safesnap Insulin Syringe/0.3ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"
Safesnap Insulin Syringe/0.5ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"
Safesnap Insulin Syringe/0.5ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"
Safesnap Insulin Syringe/1ML/28G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"
Safesnap Insulin Syringe/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"
Safety Lancet 21G/Pressure Activated Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"
Safety Lancet 28G/Pressure Activated Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"
Safety Lancets Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"
Safety Lancets 21G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"
Safety Lancets 28G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"
Safety Let Lancets Trueplus Lancets 26G
Safety Seal Lancets 28G Trueplus Lancets 28G
Safety Seal Lancets 30G Trueplus Lancets 28G Super Thin
Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Trueplus Lancets 30G
Shopko On-the-go Comfort Lancets 30G Trueplus Lancets 30G Ultra Thin
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Lancets 33G
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Lancets 33G Micro Thin
Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Safety Lancets 28G
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"
Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM
Ulticare Insulin Safety Syringe/1ML/29G X 1/2"
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Shopko Unilet Lancets Super Thin 30G
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"
Shopko Unilet Lancets Ultra Thin 28G
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"
Single-let
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"
Smart Diabetes Vantage Universal Lancets 30G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"
Smart Sense Color Lancets Universal 33G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"
Smart Sense Standard Lancets Universal 21G
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"
Smart Sense Super Thin Lancets Universal 30G
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"
Smart Sense Thin Lancets Universal 26G
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"
Smartest Lancets 28G
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"
Solus V2 Pressure Activated Safety Lancets 28G
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"
Solus V2 Twist Lancets 30G
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"
Sterilance PA
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"
Sterilance TL
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"
Sure-fine Pen Needles 29GX1/2" 12.7MM
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"
Sure-fine Pen Needles 31GX3/16" 5MM
Ulticare Insulin Syringe/0.3ML/29G X 1/2"
Sure-fine Pen Needles 31GX5/16" 8MM
Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16"
Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Ulticare Insulin Syringe/1ML/28G X 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16"
Ulticare Insulin Syringe/1ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"
Ulticare Insulin Syringe/1ML/30G X 1/2"
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"
Ulticare Insulin Syringe/1ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"
Ulticare Micro Pen Needles 31G X 8MM
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"
Ulticare Micro Pen Needles 32G X 4MM
Sure-lance Flat Lancets
Ulticare Micro Pen Needles/32G X 4MM
Sure-lance Lancets 26G
Ulticare Mini Pen Needles Ulti-fine IV
Sure-lance Thin Lancets 28G
Ulticare Mini Pen Needles 31GX6MM
Sure-lance Ultra Thin Lancets
Ulticare Mini Pen Needles/31G X 6MM
Sure-touch Lancets Universal
Effective January 1, 2017
40
Ulticare Mini Pen Needles31GX6MM Unistik CZT Normal
Ulticare Original Pen Needles Ulti-fine Unistik Safety Lancets 28G
Ulticare Pen Needles/29G X 12.7MM Unistik Safety Lancets 30G
Ulticare SHORT Pen Needles Ulti-fine IV Unistik Touch Safety Lancets 21G
Ulticare SHORT Pen Needles 31GX8MM Unistik Touch Safety Lancets 23G
Ulticare SHORT Pen Needles/31G X 8MM Unistik Touch Safety Lancets 28G
Ulticare Thin Lancets 30G Unistik Touch Safety Lancets 30G
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4" Unistik 1
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4" Unistik 2
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4" Unistik 2 Comfort
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4" Unistik 2 Extra
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 2 Neonatal
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 2 Normal
Ultilet Classic Lancets Unistik 2 Super
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Comfort
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Unistik 3 Extra
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Unistik 3 Extra Single Use Safety Lancets/21G
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Unistik 3 Gentle
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Unistik 3 Neonatal
Ultilet Lancets Unistik 3 Normal
Ultilet Lancets 33G Universal 1 Lancets Thin 26G
Ultilet Pen Needle 32GX4MM/SHORT Universal 1 Lancets Ultra Thin 30G
Ultilet Safety Lancets 23G V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultilet SHORT Pen Needles 31GX5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ultilet SHORT Pen Needles31GX3/16" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ultra-thin II Auto Lancet V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Valumark Lancet Super Thin 30G
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"
Valumark Lancet Ultra Thin 28G
Valumark Pen Needles 29GX12MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16"
Valumark Pen Needles 31G X 6MM
Valumark Pen Needles 31G X 8MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16"
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"
Vanishpoint Insulin Syringe/1ML/29G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Vida Mia Unifine Pentips Mini 31GX6MM
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Vida Mia Unifine Pentips Original 29GX12MM
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Vida Mia Unifine Pentips 32GX4MM
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
Vida Mia Unilet Lancets Super Thin 30G
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
Vida Mia Unilet Lancets Ultra Thin 28G
Ultra-thin II Lancets 28G
Vida Mia Unipfine Pentipsshort 31GX8MM
Ultra-thin II Lancets 30G
Vitalet Pro Lancets
Ultra-thin II Mini Pen Neeedles/31GX3/16"
Vitalet Pro Plus Lancets
Ultra-thin II Pen Needles 29GX1/2"
W&f Lancets Colored 21G
Ultra-thin II Pen Needles/SHORT/31GX5/16"
W&f Lancets 26G
Ultra-thin II Safety Autolancets 26G
Walgreens Lancets
Ultralance
Walgreens Thin Lancets
Unifine Pentips Plus 29GX12MM
Walgreens Ultra Thin Lancets
Unifine Pentips Plus 31GX5MM
1ST Choice Lancets Super Thin
Unifine Pentips Plus 31GX6MM
1ST Choice Lancets Thin
Unifine Pentips Plus 31GX8MM
1ST Choice Lancets Ultra Thin
Unifine Pentips 29GX12MM
1ST Tier Unifine Pentips 29GX12MM
Unifine Pentips 31G X 3/16"
1ST Tier Unifine Pentips 31GX6MM
Unifine Pentips 31G X 6MM
1ST Tier Unifine Pentips 31GX8MM
Unifine Pentips 31G X 8MM
Unifine Pentips 31GX5MM
MEDICAL DEVICES - MISC
Unifine Pentips 31GX6MM
PREFERRED
Unifine Pentips 31GX8MM
Aerochamber Mini Aerosol Chamber
Unifine Pentips 32GX4MM
Aerochamber MV
Unilet Comfortouch Lancet
Aerochamber Plus Flow VU
Unilet Excelite
Aerochamber Plus Flow-VU
Unilet Excelite II
Aerochamber Plus Flow-VU/Large Mask
Unilet G.p. Lancet
Aerochamber Plus Flow-VU/Mask
Unilet G.p. Superlite Lancet
Aerochamber Plus Flow-VU/Medium Mask
Unilet GP 28 Ultra Thin
Aerochamber Plus Flow-VU/Small Mask
Unilet Lancet
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Unilet Lancets Micro-thin33G
Unilet Lancets Super-thin30G
Aerochamber Z-stat Plus/Flowsignal
Unilet Lancets Ultra-thin 28G
Aerochamber Z-stat Plus/Large Mask
Unilet Superlite Lancet
Unistik CZT Comfort
Effective January 1, 2017
41
Aerochamber Z-stat Plus/Medium Mask Vortex Valved Holding Chamber
Aerochamber Z-stat Plus/Small Mask Watchhaler
Aerochamber/Flowsignal
Aerovent Plus Holding Chamber/Collapsible MISCELLANEOUS
Arial Chamber
Breatherite
NON PREFERRED
Breatherite Collapsible Adult Spacer W/Mask
Chemet
Breatherite Collapsible Child Spacer W/Mask
Exjade
Breatherite Collapsible Infant Spacer W/Mask
Ferriprox
Breatherite Collapsible Small Child Spacer W/Mask
Jadenu
Breatherite Collapsible Spacer W/ Neonate Mask
Pentetate Calcium Trisodium
Breatherite Rigid Spacer W/Mask
Pentetate Zinc Trisodium
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
Clever Choice Anti-staticvalved Holding Chamber/Adult Large
Clever Choice Anti-staticvalved Holding Chamber/Medium
Clever Choice Anti-staticvalved Holding Chamber/Small
Compact Space Chamber/Anti-static
Compact Space Chamber/Anti-static/Large Mask
Compact Space Chamber/Anti-static/Medium Mask
Compact Space Chamber/Anti-static/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Flexichamber
Flexichamber Adult Mask/Small
Flexichamber Child Mask/Large
Flexichamber Child Mask/Small
Inspirachamber/Anti-static Valved/Mouthpiece
Inspirachamber/Large
Inspirachamber/Soothermask/Inspiramask/Medium
Inspirachamber/Soothermask/Inspiramask/Small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Advantage/Large Mask
Optichamber Advantage/Medium Face Mask
Optichamber Advantage/Small Face Mask
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optichamber Face Mask/Large
Optichamber Face Mask/Medium
Optichamber Face Mask/Small
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Effective January 1, 2017 All OptumTM trademarks and logos are owned by Optum, Inc. All other brand or product names are trademarks or registered marks of their respective owners. © 2017 Optum, Inc. All rights reserved.
42
Index
A
Adacel, 33 Aerochamber Plus Flow-VU/Small Mask, 41
Adalat CC, 8
A.a.g.c. Kit IN Teroderm, 11
adapalene, 10 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 41
abacavir, 3
Adapalene, 11
abacavir sulfate/lamivudine/zidovudine, 3
adapalene P.M., 10 Aerochamber Z-stat Plus/Flowsignal, 41
abacavir/lamivudine, 3
Adasuve, 24 Aerochamber Z-stat Plus/Large Mask, 41
Abaneu-SL, 21
Adcetris, 5 Aerochamber Z-stat Plus/Medium Mask, 42
Abelcet, 2
Adcirca, 10
Abilify, 24
Adderall, 25 Aerochamber Z-stat Plus/Small Mask, 42
Abilify Discmelt, 24
Adderall XR, 25 Aerochamber/Flowsignal, 42
Abilify Maintena, 24
adefovir dipivoxil, 3 Aerospan, 33
Abraxane, 6
Adempas, 10 Aerovent Plus Holding Chamber/Collapsible, 42
Absorica, 11
Adenocard, 8
acamprosate calcium DR, 26
adenosine, 8 AF Lancets Super Thin, 36
acarbose, 17
Adoxa, 2 Afinitor, 6
Accolate, 33
Adoxa PAK 1/100, 2 Afinitor Disperz, 6
Accu-chek Safe-t-pro Lancets, 35
Adoxa PAK 1/150, 2 Afluria 2014-2015, 33
Accu-chek Safe-t-pro Pluslancets, 35
Adoxa PAK 2/100, 2 Afluria 2015-2016, 33
Accu-chek Soft Touch Lancets, 35
Adrenal C Formula, 35 Afluria 2016-2017, 33
Accu-chek Softclix Lancets, 35
Adrenalin, 10, 32 Afluria PF 2014-2015, 33
Accucaine, 13
Advair Diskus, 33 Afluria PF 2015-2016, 33
Accupril, 8
Advair HFA, 33 Afluria PF 2016-2017, 33
Accuretic, 9
Advanced Allergy Collection Kit, 13 Afluria Quadrivalent 2016-2017, 33
acebutolol HCL, 7
Advate, 22 Afrezza, 16
Aceon, 8
Advicor, 10 Agamatrix Ultra-thin Lancets 33G, 35
acetaminophen/caffeine/dihydrocodeine, 29
Advocate Insulin Pen Needles 29GX12.7MM, 35
Aggrastat, 22
Aggrenox, 22
acetaminophen/codeine, 29
Advocate Insulin Pen Needles 31GX5MM, 35
Agrylin, 22
acetaminophen/codeine #2, 29
Akne-mycin, 11
acetaminophen/codeine #3, 29
Advocate Insulin Pen Needles 31GX8MM, 35
Akovaz, 10
acetaminophen/codeine #4, 29
Akten, 28
acetaminophen/codeine phosphate, 29
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 35
Akynzeo, 19
acetazolamide, 9
Ala Scalp, 13
Acetazolamide, 9
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16", 35
Ala-quin, 11
acetazolamide ER, 9
Albafort, 21, 35
acetazolamide sodium, 9
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16", 35
Albenza, 4
acetic acid, 29
albuterol, 32
Acetic Acid/Aluminum Acetate, 29
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2", 35
albuterol sulfate, 32
acetylcysteine, 32
albuterol sulfate ER, 32
Aciphex, 19
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16", 35
albuterol TAB 4MG, 32
Aciphex Sprinkle, 19
Alcaine, 28
acitretin, 12
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16", 35
alclometasone dipropionate, 12
Aclovate, 13
Aldactazide, 9
Actemra, 30
Advocate Insulin Syringe/U-100/1ML/29GX1/2", 35
Aldactone, 9
Acthib, 33
Aldara, 13
Acticlate, 2
Advocate Insulin Syringe/U-100/1ML/30GX5/16", 35
Aldurazyme, 18
Actigall, 20
Alecensa, 6
Actimmune, 6
Advocate Insulin Syringe/U-100/1ML/31GX5/16", 35
alendronate sodium, 17
Actiq, 29
Alendronate Sodium, 17
Activase, 22
Advocate Lancets, 35 Alevicyn Antipruritic SG, 13
Active 1ST Blood Lancets 30G/Easy Twist CAP, 35
Advocate Lancets 30G, 35 Alfenta, 29
Advocate Safety Lancets, 35 alfentanil, 29
Activella, 15
Advocate Safety Lancets 26G, 35 Alferon N, 6
Actonel, 17
Adyphren II, 10 alfuzosin HCL ER, 21
Actoplus Met, 17
Adyphren Kit, 10 Alimta, 5
Actoplus Met XR, 17
Adzenys XR-odt, 25 Alinia, 4
Actos, 17
Aerochamber Mini Aerosol Chamber, 41 Alkeran, 4
Acuicyn Daily Eyelid & Eyelash Cleanser, 13
Aerochamber MV, 41 Allegra Allergy Childrens, 32
Aerochamber Plus Flow VU, 41 Allo-pax, 12
Acular, 28
Aerochamber Plus Flow-VU, 41 allopurinol, 31
Acular LS, 28
Aerochamber Plus Flow-VU/Large Mask, 41
Allzital, 29
Acuvail, 28
almotriptan, 31
acyclovir, 3, 12
Aerochamber Plus Flow-VU/Mask, 41 almotriptan malate, 31
acyclovir sodium, 3
Aerochamber Plus Flow-VU/Medium Mask, 41
Alocril, 28
Acyclovir Sodium, 3
Alodox Convenience Kit, 2
Aczone, 11
Alogliptin, 17
Ampyra, 26 armodafinil, 25
Alogliptin/Metformin HCL, 17
Amrix, 27 Armodafinil, 25
Alogliptin/Pioglitazone, 17
Amturnide, 9 Armour Thyroid, 18
Alomide, 28
Amytal Sodium, 24 Arnica Flower, 13
Aloprim, 31
Anacaine, 13 Arnuity Ellipta, 33
Alora, 15
Anadrol-50, 15 Aromasin, 5
alosetron hydrochloride, 19
Anafranil, 23 Arranon, 5
Aloxi, 19
anagrelide hydrochloride, 22 Arthrotec 50, 30
Alphagan P, 28
Analpram Advanced, 20 Arthrotec 75, 30
Alphanate/Von Willebrand Factor Complex/Human, 22
Analpram-HC, 20 Articadent Dental, 31
Analpram-HC Singles, 20 Artiss, 22
Alphanine SD, 22
Anaprox DS, 30 Arzerra, 5
alprazolam, 23
Anaspaz, 19 ascorbic acid, 34
alprazolam ER, 23
anastrozole, 5 Aspirin-caffeine-dihydrocodeine, 29
Alprazolam Intensol, 23
Ancef, 1 Aspirin/Dipyridamole, 22
alprazolam odt, 23
Ancobon, 2 Assure Haemolance Plus High Flow 18G, 35
Alrex, 28
Androderm, 15
Alsuma, 31
Androgel, 15 Assure Haemolance Plus Low Flow 25G, 35
Altabax, 11
Androgel P.M., 15
Altace, 8
Android, 15 Assure Haemolance Plus Micro Flow 28G, 35
Altoprev, 10
Androxy, 15
Aluvea, 13
Anectine, 27 Assure Haemolance Plus Normal Flow 21G, 35
amantadine HCL, 26
Angeliq, 15
Amantadine HCL, 26
Angiomax, 22 Assure Haemolance Plus Pediatric Blade, 35
Amaryl, 16
Animi-3, 21
Ambien, 24
Animi-3/Vitamin D, 21 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 35
Ambien CR, 24
Anoro Ellipta, 33
Ambisome, 2
Antabuse, 26 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 35
Amcinonide, 13
Antara, 10
Amerge, 31
Anthralin, 12 Assure Lance Lancets, 35
Amicar, 22
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 35
Assure Lance Lancets 21G, 35
amifostine, 7
Assure Lance Plus Safety Lancets 25G, 35
amikacin sulfate, 2
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 35
amiloride HCL, 9
Assure Lance Plus Safety Lancets 30G, 35
amiloride/hydrochlorothiazide, 9
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 35
aminocaproic acid, 22
Assure Lancets, 36
Aminocaproic Acid, 22
antipyrine/benzocaine, 29 Astagraf XL, 6
aminophylline, 32
Antipyrine/Benzocaine, 29 Astepro, 32
amiodarone HCL, 8
Anusol-HC, 20 Astero, 13
Amiodarone HCL, 8
Anzemet, 19 Astringyn, 22
Amitiza, 20
Aplenzin, 23 AT Last Lancets, 36
amitriptyline HCL, 23
Apokyn, 26 Atabex EC, 34
amlodipine besylate, 7
Appbutamone, 23 Atabex Prenatal, 34
amlodipine besylate/atorvastatin calcium, 10
Appformin, 17 Atacand, 8
Appformin-d, 17 Atacand HCT, 9
amlodipine besylate/benazepril HCL, 9
apraclonidine, 28 Atelvia, 17
amlodipine besylate/benazepril hydrochloride, 9
Apriso, 20 atenolol, 7
Aptensio XR, 25 atenolol/chlorthalidone, 9
amlodipine besylate/valsartan, 9
Aptiom, 25 Atgam, 6
Amlodipine/Olmesartan Medoxomil, 9
Aptivus, 3 Ativan, 23
amlodipine/valsartan/hctz, 9
Aquasol A Parenteral, 34 Atopiclair, 13
ammonium lactate, 13
Aquoral, 23 atorvastatin calcium, 10
Ammonul, 18
Aralast NP, 33 atovaquone, 4
Amoxapine, 23
Aralen, 3 atovaquone/proguanil HCL, 3
amoxicillin, 1
Arava, 30 atracurium besylate, 26
Amoxicillin, 1
Arcalyst, 30 Atralin, 11
Amoxicillin ER, 1
Arcapta Neohaler, 33 Atripla, 3
amoxicillin/clavulanate potassium, 1
argatroban, 22 Atropen, 19
Amoxicillin/Clavulanate Potassium, 1
Argatroban, 22 atropine sulfate, 19, 28
amoxicillin/clavulanate potassium ER, 1
Arial Chamber, 42 Atropine Sulfate, 19, 28
amphetamine/dextroamphetamine, 25
Aricept, 26 Atrovent, 32
Amphotec, 2
Aricept Odt, 26 Atrovent HFA, 33
Amphotericin B, 2
Arimidex, 5 Aubagio, 26
ampicillin, 1
aripiprazole, 24 augmented betamethasone dipropionate, 12
Ampicillin, 1
aripiprazole odt, 24
ampicillin sodium, 1
Aristada, 24 Augmentin, 1
Ampicillin Sodium, 1
Aristospan Intra-articular, 15 Augmentin ES-600, 1
ampicillin-sulbactam, 1
Arixtra, 22 Augmentin XR, 1
Aurora Lancet Super Thin 30G, 36
bacitracin/polymyxin b, 27 BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 36
Aurora Lancet Thin 23G, 36
Baclofen, 11
Aurora Pen Needles 29GX12MM, 36
baclofen, 27 BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 36
Aurora Pen Needles 31G X 6MM, 36
Bacmin, 35
Aurora Pen Needles 31G X 8MM, 36
Bactocill IN Dextrose, 1 BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 36
Aurstat Anti-itch Hydrogel, 13
Bactrim, 4
Aurstat Anti-itch Hydrogel Kit, 13
Bactrim DS, 4 BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 36
Auryxia, 20
Bactroban, 11
Autolet Platforms, 36
Bactroban Nasal, 32 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 36
Avalide, 9
Bal-care DHA, 34
Avandamet, 17
balsalazide disodium, 20 BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 36
Avandaryl, 17
Banzel, 25
Avandia, 17
Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 36
Avapro, 8
Bayer Microlet Lancets, 36
Avar, 11
Bcg Vaccine, 33 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 36
Avar LS, 11
BD Autoshield 29G X 3/16", 36
Avar LS Cleanser, 11
BD Autoshield 29G X 5/16", 36 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 36
Avar-e LS, 11
BD Autoshield Duo 30G X 3/16", 36
Avastin, 5
BD Insulin Syringe LUER-LOK/U-100/1ML, 36
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 36
Avc, 20
Aveed, 15
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 36
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 36
Avelox, 2
Avelox Abc Pack, 2
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 36
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 36
Avenova, 13
Avenova/Neutrox, 13
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 36
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 36
Avidoxy DK, 2
Avinza, 29
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 36
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 36
Avodart, 21
Avonex, 26
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 36
BD Insulin Syringe/U-100/1ML/27G X 1/2", 36
Avonex Pen, 26
Avycaz, 4
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 36
BD Insulin Syringe/U-100/1ML/28G X 1/2", 36
Axert, 31
Aygestin, 16
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 36
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 36
azacitidine, 5
Azactam, 4
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 36
BD Insulin Syringe/U-100/2ML/29G X 1/2", 36
Azactam IN Iso-osmotic Dextrose, 4
Azasan, 6
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 36
BD Insulin Syringe/U-500/0.5ML/31G X 15/64", 36
Azasite, 27
azathioprine, 5
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 36
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 36
Azathioprine, 6
azelastine HCL, 28, 32
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 36
BD Integra Syringe/Retracting Needle/1ML/25G X 1", 36
Azelex, 11
Azilect, 26
BD Insulin Syringe Slip Tip/U-100/1ML, 36
BD Lancet Ultrafine 30G, 36
azithromycin, 1
BD Lancet Ultrafine 33G, 36
Azithromycin, 1
BD Insulin Syringe U-40/1ML/25G X 5/8", 36
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36
Azopt, 28
Azor, 9
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 36
BD Microtainer Lancets, 36
aztreonam, 4
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36
Azulfidine, 20
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 36
Azulfidine EN-TABS, 20
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36
B
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 36
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36
B-12 Kit, 21
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36
B-6 Folic Acid, 21
BD Pen Needle/Ultrafine/29G X 12.7MM, 36
b-complex 100, 34
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 36
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 36
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 36
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 36
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 36
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 36
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 36
BD Pudendal/Local Block Tray 1% Lidocaine, 31
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 36
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 36
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 36
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 36
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 36
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 36
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 36
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 36
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 36
bacitracin, 4
BD-insul SYR Mis LO Dose, 36
Bacitracin, 27
Bebulin, 22
Bleo 15k, 5 butalbital/aspirin/caffeine/codeine, 29
Beconase AQ, 32
bleomycin sulfate, 5 Butisol Sodium, 24
Belbuca, 29
Bleph-10, 27 butorphanol tartrate, 29
Beleodaq, 6
Blephamide, 28 Butrans, 30
Belladonna & Opium, 19
Blephamide S.o.p., 28 Bydureon, 16
Belladonna Alkaloids & Opium, 19
Blincyto, 5 Bydureon Pen, 16
Belsomra, 24
Bloxiverz, 27 Byetta, 16
benazepril HCL, 8
Boniva, 17 Bystolic, 7
benazepril HCL/hydrochlorothiazide, 9
Boostrix, 33 C
Bendeka, 4
Boric Acid, 13
cabergoline, 18
Benefix, 22
Bosulif, 6
Cabometyx, 6
Benicar, 8
Botox, 27
Caduet, 10
Benicar HCT, 9
Breatherite, 42
Cafcit, 25
Bentyl, 19
Breatherite Collapsible Adult Spacer W/Mask, 42
Cafergot, 31
Benzac Ac Wash, 11
caffeine citrate, 25
Benzefoam, 11
Breatherite Collapsible Child Spacer W/Mask, 42
Caffeine/Sodium Benzoate, 25
Benzefoam Ultra, 11
Calan, 8
Benzefoamultra, 11
Breatherite Collapsible Infant Spacer W/Mask, 42
Calan SR, 8
Benziq, 11
calcipotriene, 12
Benziq LS, 11
Breatherite Collapsible Small Child Spacer W/Mask, 42
calcipotriene/betamethasone dipropionate, 12
Benzodox 30 Kit, 2
Benzodox 60 Kit, 2
Breatherite Collapsible Spacer W/ Neonate Mask, 42
calcitonin salmon, 17
Benzoin Compound Tincture, 13
calcitonin-salmon, 17
Benzoin Tincture, 13
Breatherite Rigid Spacer W/Mask, 42
Calcitriol, 12
benzonatate, 32
Breatherite W/Large Mask, 42
calcitriol, 18
Benzonatate, 32
Breatherite W/Medium Mask, 42
calcium acetate, 20
benzoyl peroxide, 10
Breatherite W/Small Mask, 42
Caldolor, 30
benzoyl peroxide SHORT contact, 10
Breo Ellipta, 33
Campral, 26
benztropine mesylate, 26
Brevibloc, 7
Camptosar, 6
Bepreve, 29
Brevicon-28, 16
Canasa, 20
Berinert, 22
Brilinta, 22
Cancidas, 2
Besivance, 27
brimonidine tartrate, 28
candesartan cilexetil, 8
Betadine Ophthalmic Prep, 27
Brintellix, 23
candesartan cilexetil/hydrochlorothiazide, 9
Betagan, 28
Brisdelle, 26
Betalido, 15
Briviact, 25
Cantil, 19
Betaloan Suik, 15
bromfenac, 28
Capastat Sulfate, 2
betamethasone dipropionate, 12
Bromfenac, 29
capecitabine, 5
betamethasone sodium phosphate/betamethasone acetate, 14
bromocriptine mesylate, 26
Capex, 13
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 32
Caphosol, 23
Betamethasone SP, 15
Capital/Codeine, 30
betamethasone valerate, 12
Brompheniramine, 32
Caprelsa, 6
Betapace, 7
Brompheniramine Tannate, 32
captopril, 8
Betapace AF, 7
Brovana, 33
Captopril/Hydrochlorothiazide, 9
Betaseron, 26
budesonide, 14, 32(2)
Capxib Kit, 30
betaxolol HCL, 7, 28
Bullseye Safety Lancets, 36
Carafate, 19
bethanechol chloride, 20
bumetanide, 9
Carbaglu, 18
Bethkis, 2
Bumex, 9
carbamazepine, 25
Betimol, 28
Bunavail, 30
carbamazepine ER, 25
Betoptic-s, 28
Bupap, 29
Carbaphen 12, 32
bexarotene, 6
Buphenyl, 18
Carbaphen 12 PED, 32
Bexsero, 33
bupivacaine HCL, 31
Carbatrol, 25
Beyaz, 16
Bupivacaine Hydrochloride/Sodium Chloride, 31
carbidopa, 26
Biaxin, 1
carbidopa/levodopa, 26
bicalutamide, 5
bupivacaine/epinephrine, 31
carbidopa/levodopa ER, 26
Bicillin C-R, 1
Buprenex, 30
carbidopa/levodopa odt, 26
Bicillin L-a, 1
buprenorphine HCL, 29
Carbidopa/Levodopa/Entacapone, 26
Bicnu, 4
buprenorphine HCL/naloxone HCL, 29
carbinoxamine maleate, 32
Bidil, 10
bupropion HCL, 23
Carbocaine, 31
Biest/Progesterone, 15
bupropion HCL ER, 23
carboplatin, 4
Biferarx, 21
bupropion HCL SR, 23
Cardene IV, 8
Biltricide, 4
bupropion HCL XL, 23
Cardizem, 8
Bimatoprost, 28
buspirone HCL, 23
Cardizem CD, 8
Binosto, 17
Busulfex, 4
Cardizem LA, 8
Biothrax, 33
butalbital/acetaminophen, 29
Cardura, 9
bisoprolol fumarate, 7
butalbital/acetaminophen/caffeine, 29
Cardura XL, 21
bisoprolol fumarate/hydrochlorothiazide, 9
butalbital/acetaminophen/caffeine/codeine, 29
Carefine Pen Needle 32GX4MM, 36
Carefine Pen Needles 29GX1/2", 36
bivalirudin, 22
butalbital/aspirin/caffeine, 29
Carefine Pen Needles 30GX5/16", 36
Carefine Pen Needles 31GX6MM, 36
Centany AT, 11 cisplatin, 4
Carefine Pen Needles 31GX8MM, 36
Centratex, 21 Cisplatin, 4
Careone Lancet Thin, 36
cephalexin, 1 citalopram hydrobromide, 23
Careone Lancet Ultra Thin, 36
Cephalexin, 1 Citanest Forte Dental, 31
carisoprodol, 27
Ceracade, 14 Citanest Plain Dental, 31
carisoprodol/aspirin, 27
Cerdelga, 21 Citranatal 90 DHA, 35
carisoprodol/aspirin/codeine, 27
Cerebyx, 25 Citranatal Assure, 35
Carnitor, 18
Cerezyme, 21 Citranatal B-calm, 34
Carnitor SF, 18
Cervarix, 33 Citranatal DHA, 35
carteolol HCL, 28
Cervidil, 29 Citranatal Harmony, 35
carvedilol, 7
Cesamet, 19 Citranatal RX, 34
Cascara Sagrada, 18
cetirizine HCL, 32 citric acid/sodium citrate, 21
Casodex, 5
Cetraxal, 29 cladribine, 5
Cataflam, 30
Cetrotide, 17 Claforan, 1
Catapres, 9
cevimeline HCL, 23 Claforan/D5W, 1
Catapres-tts-1, 9
Chemet, 42 Clarifoam EF, 11
Catapres-tts-2, 9
Chenodal, 20 Clarinex, 32
Catapres-tts-3, 9
Chloramphenicol Sodium Succinate, 4 Clarinex-d 12 HOUR, 32
Cathflo Activase, 22
chlordiazepoxide HCL, 23 clarithromycin, 1
Cayston, 4
chlordiazepoxide HCL/clidinium bromide, 19
clarithromycin ER, 1
Cedax, 1
Cleanlet Lancets 28G, 36
cefaclor, 1
Chlordiazepoxide/Amitriptyline, 26 clemastine fumarate, 32
Cefaclor, 1
chlorhexidine gluconate, 23 Clemastine Fumarate, 32
Cefaclor ER, 1
chlorhexidine gluconate oral rinse, 23 Cleocin, 4, 20
cefadroxil, 1
chloroquine phosphate, 3 Cleocin IN D5W, 4
Cefazolin, 1
chlorothiazide, 9 Cleocin Pediatric Granules, 4
cefazolin sodium, 1
Chlorothiazide, 9 Cleocin Phosphate, 4
Cefazolin Sodium, 1
chlorothiazide sodium, 9 Cleocin-t, 11
Cefazolin Sodium/Dextrose, 1
chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36
Cefazolin/D5W, 1
Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin 30G, 36
Cefazolin/Dextrose, 1
Chlorpropamide, 16 Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 42
Cefazolin/Sodium Chloride, 1
chlorthalidone, 9
cefdinir, 1
Chlorthalidone, 9 Clever Choice Anti-staticvalved Holding Chamber/Medium, 42
Cefditoren Pivoxil, 1
chlorzoxazone, 27
cefepime, 1
Cholbam, 20 Clever Choice Anti-staticvalved Holding Chamber/Small, 42
Cefepime, 1
cholestyramine, 10
Cefepime/Dextrose, 1
cholestyramine light, 10 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36
cefixime, 1
choline magnesium trisalicylate, 29
Cefotan, 1
Choline Magnesium Trisalicylate, 29 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36
cefotaxime sodium, 1
chorionic gonadotropin, 17
Cefotaxime Sodium, 1
Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36
cefotetan, 1
Ciclodan Cream Kit, 12
Cefotetan, 1
Ciclodan Solution Kit, 12 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36
Cefotetan/Dextrose, 1
ciclopirox, 11
cefoxitin sodium, 1
ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36
Cefoxitin Sodium, 1
ciclopirox olamine, 11
cefpodoxime proxetil, 1
cidofovir, 3 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36
cefprozil, 1
Ciferex, 21
ceftazidime, 1
cilostazol, 22 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36
Ceftazidime/Dextrose, 1
Ciloxan, 27
Ceftibuten, 1
cimetidine, 19 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36
Ceftin, 1
cimetidine HCL, 19
Ceftriaxone IN Iso-osmotic Dextrose, 1
Cimzia, 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36
ceftriaxone sodium, 1
Cimzia Starter Kit, 20
Ceftriaxone Sodium, 1
Cinqair, 33 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36
Ceftriaxone/Dextrose, 1
Cinryze, 22
cefuroxime axetil, 1
Cipro, 2 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36
cefuroxime sodium, 1
Cipro HC, 29
Cefuroxime Sodium, 1
Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36
Celebrex, 30
Cipro XR, 2
celecoxib, 30
Ciprodex, 29 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36
Celestone-soluspan, 15
ciprofloxacin, 2
Celexa, 23
Ciprofloxacin, 2, 29 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 36
Cellcept, 6
ciprofloxacin ER, 2
Cellcept Intravenous, 6
ciprofloxacin HCL, 2, 27 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36
Celontin, 25
Ciprofloxacin HCL, 2
Cenfol, 21
ciprofloxacin I.V.-IN D5W, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36
Centany, 11
cisatracurium besylate, 26
Clever Choice Comfort EZ Pen Needles 31GX5MM, 36
Coartem, 3 Corlopam, 9
Cocaine HCL, 14 Cortef, 15
Clever Choice Comfort EZ Pen Needles 31GX6MM, 36
Cod Liver Oil, 35 Cortenema, 20
Codar AR, 32 Cortifoam, 20
Clever Choice Comfort EZ Pen Needles 31GX8MM, 36
codeine sulfate, 29 Cortisone Acetate, 14
Codeine Sulfate, 30 Cortisporin, 11
Clever Choice Comfort EZ Pen Needles 32GX4MM, 36
Cogentin, 26 Cortisporin-tc, 29
Colazal, 20 Corvert, 8
Clever Choice Comfort EZ Pen Needles 32GX8MM, 36
Colchicine, 31 Corvite, 35
Colcrys, 31 Corvite 150, 21
Clever Choice Comfort EZ Pen Needles 33GX4MM, 36
Colestid, 10 Corzide, 9
Colestid Flavored, 10 Cosentyx, 12
Clever Choice Comfort EZ Pen Needles 33GX5MM, 36
colestipol HCL, 10 Cosentyx Sensoready Pen, 12
colistimethate sodium, 4 Cosmegen, 5
Clever Choice Comfort EZ Pen Needles 33GX6MM, 36
Coly-mycin M, 4 Cosopt, 28
Coly-mycin S, 29 Cosopt PF, 28
Clever Choice Comfort EZ Pen Needles 33GX8MM, 36
Colyte-flavor Packs, 18 Cotellic, 6
Combigan, 28 Coumadin, 22
Cleviprex, 8
Combipatch, 15 Cozaar, 8
Climara, 15
Combivent Respimat, 33 Cpb Wc, 32
Climara Pro, 15
Combivir, 3 Creon, 19
Clin Single Use Kit, 4
Cometriq, 6 Cresemba, 2
Clindacin Etz, 11
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 36
Crestor, 10
Clindacin PAC, 11
Crinone, 20
Clindagel, 11
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 36
Crixivan, 3
clindamycin, 4
Crnatal, 35
clindamycin HCL, 4
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 36
cromolyn sodium, 20, 28
clindamycin palmitate HCL, 4
Cromolyn Sodium, 33
clindamycin phosphate, 4, 11, 20
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 36
Cubicin, 4
Clindamycin Phosphate, 4
Cubicin RF, 4
clindamycin phosphate add-vantage, 4
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 36
Curosurf, 33
clindamycin phosphate IN D5W, 4
Cutivate, 13
clindamycin phosphate pharmacy bulk package, 4
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 36
Cuvposa, 19
cyanocobalamin, 21
clindamycin phosphate/tretinoin, 11
Comfort Assist Insulin Syringe/1ML/29G X 1/2", 36
Cyclessa, 16
clindamycin/benzoyl peroxide, 11
Cyclobenzaprine Comfort PAC, 27
Clindap-t, 11
Comfort Assist Insulin Syringe/1ML/30G X 5/16", 36
cyclobenzaprine HCL, 27
Clindesse, 20
Cyclogyl, 28
Clinical Nutrients Prenatal Formula, 34
Comfort Assist Insulin Syringe/1ML/31G X 5/16", 36
Cyclomydril, 28
Clinoin, 11
cyclopentolate HCL, 28
clobetasol propionate, 12
Comfort Lancets, 36 cyclopentolate hydrochloride, 28
clobetasol propionate emollient, 12
Compact Space Chamber/Anti-static, 42 Cyclophene Rapidpaq, 27
Clobex, 13
Compact Space Chamber/Anti-static/Large Mask, 42
cyclophosphamide, 4
Clocortolone Pivalate, 13
Cyclophosphamide, 4
Clocortolone Pivalate P.M., 13
Compact Space Chamber/Anti-static/Medium Mask, 42
Cycloserine, 2
Clodan Kit, 13
Cycloset, 16
Cloderm, 13
Compact Space Chamber/Anti-static/Small Mask, 42
cyclosporine, 5
Cloderm P.M., 13
cyclosporine modified, 5
Clolar, 5
Complera, 3 Cyclosporine Modified, 6
clomiphene citrate, 17
Comtan, 26 Cyklokapron, 22
clomipramine HCL, 23
Comvax, 33 Cymbalta, 23
clonazepam, 25
Concept DHA, 34 cyproheptadine HCL, 32
clonazepam odt, 25
Concept OB, 34 Cyramza, 5
clonidine HCL, 8
Concerta, 25 Cystadane, 18
clonidine HCL ER, 25
Condylox, 14 Cystagon, 21
clopidogrel, 22
Convenience PAK, 26 Cystaran, 29
clorazepate dipotassium, 23
Conzip, 30 cytarabine, 5
Clorpres, 9
Copasil, 14 cytarabine aqueous, 5
clotrimazole, 11, 23
Copaxone, 26 Cytarabine Aqueous, 5
clotrimazole/betamethasone dipropionate, 11
Copegus, 3 Cytomel, 18
Cordarone, 8 Cytotec, 19
clozapine, 24
Cordran, 13 Cytovene, 3
clozapine odt, 24
Cordran Tape, 13 Cytra-3, 21
Clozapine Odt, 24
Coreg, 7 D
Clozaril, 24
Coreg CR, 7
D.h.e. 45, 31
Cnl8 Nail Kit, 12
Corgard, 7
dacarbazine, 6
Coaguchek Lancets, 36
Corifact, 22
Dacarbazine, 7
Coal TAR, 14
Corlanor, 10
Dacogen, 5
Daklinza, 3
desipramine HCL, 23 digoxin, 7
Daliresp, 33
desloratadine, 32 Digoxin, 7
Dallergy, 32
Desloratadine Odt, 32 dihydroergotamine mesylate, 31
Dalvance, 4
desmopressin acetate, 18 Dihydroergotamine Mesylate, 31
danazol, 15
Desogen, 16 Dilantin, 25
Dantrium, 27
desogestrel/ethinyl estradiol, 15 Dilantin Infatabs, 25
Dantrium IV, 27
Desonate, 13 Dilantin-125, 25
dantrolene sodium, 27
desonide, 12 Dilatrate SR, 7
dapsone, 4
Desowen, 13 Dilaudid, 30
Daptacel, 33
desoximetasone, 12 Dilaudid-HP, 30
daptomycin, 4
Desoximetasone, 13 diltiazem CD, 7
Daraprim, 3
Desoxyn, 25 diltiazem HCL, 7
darifenacin hydrobromide ER, 20
Desvenlafaxine ER, 23 Diltiazem HCL, 8
Darzalex, 5
Detrol, 20 diltiazem HCL CD, 8
daunorubicin HCL, 5
Detrol LA, 20 diltiazem HCL ER, 8
Daunoxome, 5
dexamethasone, 14 Diltiazem Hydrochloride/Sodium Chloride, 8
Daypro, 30
Dexamethasone, 14
Daytrana, 25
Dexamethasone Intensol, 15 Dimenhydrinate, 19
Ddavp, 18
dexamethasone sodium phosphate, 14, 28
Diovan, 8
Debacterol, 23
Diovan HCT, 9
decitabine, 5
Dexamethasone Sodium Phosphate, 14, 28
Dipentocaine, 12
Decon-a, 32
Dipentum, 20
Defitelio, 22
Dexchlorpheniramine Maleate, 32 diphenhydramine HCL, 32
Delestrogen, 15
Dexedrine, 25 diphenoxylate/atropine, 18
Demadex, 9
Dexilant, 19 Diphenoxylate/Atropine, 19
demeclocycline HCL, 2
Dexlido, 15 Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 33
Demerol, 30
Dexlido-m, 15
Demser, 9
dexmedetomidine HCL, 24 Diprolene, 13
Denavir, 12
Dexmedetomidine HCL, 24 Diprolene AF, 13
Depacon, 25
dexmethylphenidate HCL, 25 dipyridamole, 22
Depakene, 25
dexmethylphenidate HCL ER, 25 Disalcid, 29
Depakote, 25
Dexpak 10 Day, 15 disopyramide phosphate, 8
Depakote ER, 25
Dexpak 13 Day, 15 disulfiram, 26
Depakote Sprinkles, 25
Dexpak 6 Day, 15 Ditropan XL, 20
Depo-estradiol, 15
Dexpanthenol, 20 Diuril, 9
Depo-medrol, 15
dexrazoxane, 7 divalproex sodium, 25
Depo-provera, 5
dextroamphetamine sulfate, 25 divalproex sodium DR, 25
Depo-testosterone, 15
dextroamphetamine sulfate ER, 25 divalproex sodium ER, 25
Deprizine Fusepaq, 19
Diabeta, 16 Divigel, 15
Deprizine Rapidpaq, 19
Dialyvite 3000, 35 Divista, 21
Derma Silkrx Anodynexa PAK, 30
Dialyvite 5000, 35 dobutamine HCL, 9
Derma Silkrx Diclopak, 30
Dialyvite Supreme D, 35 dobutamine HCL/D5W, 10
Derma-smoothe/FS Body, 13
Dialyvite/Zinc, 35 dobutamine/dextrose 5%, 10
Derma-smoothe/FS Scalp, 13
Diamox, 9 Docefrez, 6
Dermacinrx Azenase PAK, 32
Diastar Easy Test II Lancets 30G, 36 docetaxel, 6
Dermacinrx Cinlone-i Cpi, 15
Diastar Easy Test Lancets30G, 37 Docetaxel, 6
Dermacinrx Clorhexacin, 14
Diastat Acudial, 25 Docetaxel (non-alcohol Formula), 6
Dermacinrx Dpn PAK, 26
Diastat Pediatric, 25 dofetilide, 8
Dermacinrx Duopatch Pharmapak, 14
diazepam, 23 Dologesic, 29
Dermacinrx Inflammatral PAK, 30
Diazepam, 23, 25 Dolophine, 30
Dermacinrx Lexitral Pharmapak, 12
Dibenzyline, 9 donepezil HCL, 26
Dermacinrx Neurotral Pharmapak, 14
Diclegis, 19 dopamine HCL, 10
Dermacinrx Phn PAK, 14
diclofenac potassium, 30 Dopamine HCL, 10
Dermacinrx Purefolix, 21
diclofenac sodium, 12, 28 dopamine HCL-dextrose 5%, 10
Dermacinrx Surgical Pharmapak, 14
Diclofenac Sodium, 12 dopamine HCL/dextrose 5%, 10
Dermacinrx Therazole PAK, 12
diclofenac sodium DR, 30 dopamine/D5W, 10
Dermacinrx Ticanase PAK, 32
diclofenac sodium ER, 30 Dopram, 25
Dermacinrx Zrm PAK, 14
diclofenac sodium/misoprostol, 30 Doral, 24
Dermapak Plus, 11
dicloxacillin sodium, 1 Doribax, 4
Dermasorb HC, 13
Dicopanol Fusepaq, 32 Doryx, 2
Dermasorb Ta, 13
Dicopanol Rapidpaq, 32 Doryx Mpc, 2
Dermasorb XM, 14
dicyclomine HCL, 19 dorzolamide HCL, 28
Dermatop, 13
didanosine, 3 dorzolamide HCL/timolol maleate, 28
Dermawerx Surgical Plus PAK, 14
Differin, 11 Doubledex, 15
Dermazone, 13
Dificid, 1 Dovonex, 12
Dermazyl, 14
Diflorasone Diacetate, 13 doxapram HCL, 25
Dermotic, 29
Diflucan, 2 doxazosin, 8
Descovy, 3
diflunisal, 29 doxazosin mesylate, 8
doxepin HCL, 23
Dyazide, 9 100/1ML/30G X 1/2", 37
Doxepin HCL, 23
Dyloject, 30 Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 37
Doxepin Hydrochloride, 12
Dymista, 32
doxercalciferol, 18
Dyrenium, 9 Easy Touch Lancets 21G/Pressure Activated, 37
Doxil, 5
Dysport, 27
doxorubicin HCL, 5
Dyural-40, 15 Easy Touch Lancets 23G/Pressure Activated, 37
Doxorubicin HCL, 5
Dyural-80, 15
doxorubicin HCL liposome, 5
Dyural-l, 15 Easy Touch Lancets 26G/Pressure Activated, 37
doxycycline, 2
Dyural-lm, 15
Doxycycline, 11
E Easy Touch Lancets 26G/Pull-top, 37
doxycycline hyclate, 2
Easy Touch Lancets 26G/Twist, 37
E-z Ject Lancets, 37
doxycycline hyclate DR, 2
Easy Touch Lancets 28G/Pressure Activated, 37
E-z Ject Lancets 21G, 37
doxycycline monohydrate, 2
E-z Ject Lancets Color, 37
Drisdol, 34
Easy Touch Lancets 28G/Pull-top, 37
E-z Ject Lancets Super Thin, 37
Dritho-creme HP, 12
Easy Touch Lancets 28G/Twist, 37
E-z Ject Lancets Super Thin 30G, 37
dronabinol, 19
Easy Touch Lancets 30G/Button-activated, 37
E-z Ject Lancets Thin 26G, 37
droperidol, 23
E-z Spacer, 42
Droplet Lancets Ultra Thin 30G, 37
Easy Touch Lancets 30G/Pressure Activated, 37
E-z Spacer The Body Guards Pack, 42
Droplet Pen Needles 29GX12MM, 37
E-ZJECT Lancets Micro-thin 33G, 37
Droplet Pen Needles 31GX5MM, 37
Easy Touch Lancets 30G/Pull-top, 37
E.e.s. 400, 1
Droplet Pen Needles 31GX6MM, 37
Easy Touch Lancets 30G/Twist, 37
E.e.s. Granules, 1
Droplet Pen Needles 31GX8MM, 37
Easy Touch Lancets 32G/Pressure Activated, 37
Easivent, 42
Droplet Pen Needles 32GX4MM, 37
Easivent/Mask-large, 42
Droplet Pen Needles 32GX8MM, 37
Easy Touch Lancets 32G/Pull-top, 37
Easivent/Mask-medium, 42
drospirenone/ethinyl estradiol, 15
Easy Touch Lancets 32G/Twist, 37
Easivent/Mask-small, 42
drospirenone/ethinyl estradiol/levomefolate calcium, 15
Easy Touch Lancets 33G/Twist, 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 37
Easy Touch Pen Needles 29GX1/2", 37
Droxia, 21
Easy Touch Pen Needles 31GX1/4", 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2", 37
Drug Mart On-the-go Lancets Gentle 30G, 37
Easy Touch Pen Needles 31GX5/16", 37
Easy Touch Pen Needles 32GX5/32", 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16", 37
Drug Mart Unilet Lancets Super Thin 30G, 37
Easy Touch Pen Needles/31G X 3/16", 37
Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 37
Drug Mart Unilet Lancets Ultra Thin 28G, 37
Easy Touch Safety Lancets21G/Pressure Activated, 37
Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 37
Drysol, 13
Easy Touch Safety Lancets23G/Pressure Activated, 37
Dsg PAK, 12
Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 37
Duane Reade Unifine Pentips 29G X 12MM, 37
Easy Touch Safety Lancets26G/Button Activated, 37
Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 37
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 37
Easy Touch Safety Lancets26G/Pressure Activated, 37
Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 37
Duane Reade Unifine Pentips 31G X 8MM SHORT, 37
Easy Touch Safety Lancets28G/Button Activated, 37
Easy Touch Insulin Syringe/1ML/30G X 5/16", 37
Duavee, 15
Easy Touch Safety Lancets28G/Pressure Activated, 37
Duet DHA 400, 34
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 37
Duet DHA 400EC, 34
Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 37
Duet DHA 430, 34
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 37
Duet DHA 430EC, 34
Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 37
Duet DHA Balanced, 34
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 37
Duetact, 17
Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 37
duloxetine HCL, 23
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 37
Duloxetine HCL, 23
Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2", 37
Duopa, 26
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 37
Duragesic, 30
Easy Twist & CAP Lancets, 37
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 31
Easytest II Lancets, 37
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 37
Easytest Lancets, 37
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 31
EC-naprosyn, 30
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
econazole nitrate, 11
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 31
Ecoza, 12
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2", 37
Ed Cyte F, 21
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 31
Edarbi, 8
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16", 37
Edarbyclor, 9
Durezol, 28
Edecrin, 9
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 37
Durlaza, 22
Edluar, 24
dutasteride, 21
Edurant, 3
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 37
dutasteride/tamsulosin HCL, 21
Effexor XR, 24
dutasteride/tamsulosin hydrochloride, 21
Effient, 22
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 37
Dutoprol, 9
Egrifta, 18
Dyanavel XR, 25
Elaprase, 18
Easy Touch Insulin Syringe/U-
Elavil, 24
epirubicin HCL, 5 Ethyl Chloride/Medium Stream, 14
Eldepryl, 26
Episnap, 10 Ethyl Chloride/Mist, 14
Elelyso, 21
episone CRE, 13 Ethyol, 7
Elestat, 29
Epivir, 3 Etidronate Disodium, 17
Elestrin, 15
Epivir HBV, 3 etodolac, 30
Eletone, 14
eplerenone, 8 etodolac ER, 30
Eletone Twinpack, 14
epoprostenol sodium, 10 Etopophos, 6
Elidel, 13
Eprosartan Mesylate, 8 etoposide, 6
Eligard, 5
eptifibatide, 22 Etoposide, 6
Elimite, 14
Epy II Kit, 10 Euflexxa, 27
Eliphos, 20
Epy Kit, 10 Eurax, 13
Eliquis, 22
Epzicom, 3 Evamist, 15
Elitek, 7
Eql SHORT Pen Needles 31G X 8MM, 37
Evekeo, 25
Elixophyllin, 33
Evicel, 22
Ella, 16
Eql Ultra SHORT Pen Needles 31G X 6MM, 37
Evista, 17
Ellence, 5
Evithrom, 22
Elmiron, 21
Equetro, 24 Evoclin, 11
Elocon, 13
Equipto-baclofen, 11 Evomela, 4
Eloxatin, 4
Equipto-naproxen, 12 Evotaz, 3
Emadine, 29
Eraxis, 2 Evoxac, 23
Embeda, 29
Erbitux, 5 Exactuss, 32
Embrace Lancets Ultra Thin 30G, 37
ergocalciferol, 34 Exalgo, 30
Emcyt, 5
ergoloid mesylates, 26 Excel Comfort Point Insulin Pen Needles 31G X 4MM, 37
Emend, 19
Ergoloid Mesylates, 26
Emla, 14
Ergomar, 31 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37
Empliciti, 5
Ertaczo, 12
Emsam, 24
Erwinaze, 5 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 37
Emtriva, 3
Ery-TAB, 1
Emulsion SB, 14
Erygel, 11 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 37
Emverm, 4
Eryped 200, 1
Emvoren, 12
Eryped 400, 1 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37
Enablex, 20
Erythrocin Lactobionate, 1
enalapril maleate, 8
Erythrocin Stearate, 1 Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 37
enalapril maleate/hydrochlorothiazide, 9
erythromycin, 1, 11, 27
enalaprilat, 8
Erythromycin Base, 1 Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 37
Enbrace HR, 34
erythromycin ethylsuccinate, 1
Enbrel, 30
Erythromycin Ethylsuccinate, 1 Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 37
Enbrel Sureclick, 30
erythromycin/benzoyl peroxide, 11
Endometrin, 20
Esbriet, 33 Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 37
Engerix-b, 33
Escavite, 34
Enjuvia, 15
Escavite D, 34 Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 37
Enlon, 27
escitalopram oxalate, 23
Enlon-plus, 27
Esgic, 29 Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 37
enoxaparin sodium, 22
esmolol HCL, 7
Enstilar, 13
Esmolol HCL, 7 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37
entacapone, 26
esomeprazole magnesium, 19
entecavir, 3
esomeprazole sodium, 19 Exelderm, 12
Entereg, 20
Esomeprazole Sodium, 19 Exelon, 26
Entocort EC, 15
Esomeprazole Strontium, 19 exemestane, 5
Entresto, 10
estazolam, 24 Exforge, 9
Entty Spray Emulsion, 14
Estrace, 15, 20 Exforge HCT, 9
Entyvio, 20
estradiol, 15 Exjade, 42
Envarsus XR, 6
Estradiol, 15 Exoderm, 12
Epaned, 8
estradiol valerate, 15 Exparel, 31
Epclusa, 3
estradiol/norethindrone acetate, 15 Extardol, 12
ephedrine sulfate, 10
Estring, 20 Extina, 12
Ephedrine Sulfate, 10
Estrogel, 15 EZ Smart Blood Glucose Lancets, 37
Ephedrine Sulfate/Sodium Chloride, 10
Estropipate, 15 EZ-lets Lancets 21G, 37
Epiceram, 14
Estrostep FE, 16 EZ-lets Lancets 23G, 37
Epiduo, 11
eszopiclone, 24 EZ-lets Lancets 26G Super-soft, 37
Epiduo Forte, 11
ethacrynate sodium, 9 EZ-lets Lancets 28G Ultra-soft, 37
Epifoam, 13
ethacrynic acid, 9 EZ-lets Lancets 30G, 37
epinastine HCL, 28
ethambutol HCL, 2 F
Epinephrine, 10
ethosuximide, 25
Fabior, 11
Epinephrine HCL, 10
Ethyl Chloride, 14
Fabrazyme, 18
epinephrine HCL, 32
Ethyl Chloride/Fine Pinpoint, 14
Factive, 2
Epipen 2-PAK, 10
Ethyl Chloride/Fine Stream, 14
Falessa, 16
Epipen-JR 2-PAK, 10
Ethyl Chloride/Medium Jet Stream, 14
famciclovir, 3
famotidine, 19
Finacea, 11 fluconazole, 2
Famotidine, 19
finasteride, 21 fluconazole IN dextrose, 2
Famotidine Premixed, 19
Fine 30, 37 fluconazole IN NACL, 2
Famvir, 3
Fingerstix Lancets, 37 Fluconazole IN NACL, 2
Fanapt, 24
Fioricet, 29 flucytosine, 2
Fanapt Titration Pack, 24
Fioricet/Codeine, 30 Fludara, 5
Fanatrex Fusepaq, 25
Fiorinal, 29 fludarabine phosphate, 5
Fareston, 5
Fiorinal/Codeine #3, 30 fludrocortisone acetate, 14
Farydak, 6
Firazyr, 22 Flulaval 2014-2015, 33
Faslodex, 5
Firmagon, 5 Flulaval Quadrivalent 2014-2015, 33
Fazaclo, 24
First-baclofen 1, 27 Flulaval Quadrivalent 2015-2016, 33
Feiba, 22
First-baclofen 5, 27 Flulaval Quadrivalent 2016-2017, 33
Feiba NF, 22
First-bxn Mouthwash, 23 Flumadine, 3
felbamate, 25
First-dukes Mouthwash, 23 Flumist Quadrivalent, 33
Felbatol, 25
First-hydrocortisone, 13 flunisolide, 32
Feldene, 30
First-lansoprazole, 19 fluocinolone acetonide, 12, 29
felodipine ER, 8
First-marys Mouthwash, 23 fluocinolone acetonide ear drops, 29
Fem PH, 20
First-metronidazole 100, 4 fluocinonide, 12
Femara, 5
First-metronidazole 50, 4 fluocinonide-e, 12
Femcon FE, 16
First-mouthwash Blm, 23 fluorometholone, 28
Femhrt Low Dose, 15
First-omeprazole, 19 fluorouracil, 5
Femring, 20
First-progesterone VGS 100 Compounding Kit, 20
Fluoxetine, 26
fenofibrate, 10
fluoxetine DR, 23
Fenofibrate, 10
First-progesterone VGS 200 Compounding Kit, 20
fluoxetine HCL, 23
fenofibrate micronized, 10
Fluoxetine HCL, 23
Fenofibric Acid, 10
First-progesterone VGS 25 Compounding Kit, 20
fluphenazine decanoate, 24
fenofibric acid DR, 10
fluphenazine HCL, 24
Fenoglide, 10
First-progesterone VGS 400 Compounding Kit, 20
Fluphenazine HCL, 24
fenoldopam mesylate, 8
flurandrenolide, 12
Fenoprofen Calcium, 30
First-progesterone VGS 50 Compounding Kit, 20
Flurazepam HCL, 24
Fenortho, 30
flurbiprofen, 30
fentanyl, 29
First-testosterone, 15 flurbiprofen sodium, 28
Fentanyl, 29
First-testosterone Mc Compounding Kit, 15
flutamide, 5
Fentanyl Citrate, 30
fluticasone propionate, 12, 32
fentanyl citrate oral transmucosal, 29
First-vancomycin 25, 4 fluvastatin, 10
Fentanyl Citrate/NACL, 30
First-vancomycin 50, 4 fluvastatin sodium ER, 10
Fentanyl Citrate/Sodium Chloride, 30
Flagyl, 4 Fluvirin 2014-2015, 33
Feraheme, 21
Flagyl ER, 4 Fluvirin 2015-2016, 33
Feriva, 21
Flanax Pain Relief Kit, 30 Fluvirin 2016-2017, 33
Feriva 21/7, 21
Flarex, 28 Fluvirin PF 2014-2015, 33
Ferivafa, 21
flavoxate HCL, 20 fluvoxamine maleate, 23
Ferralet 90, 21
flecainide acetate, 8 fluvoxamine maleate ER, 23
Ferrex 150 Forte Plus, 21
Flector, 12 Fluzone High-dose PF 2014-2015, 33
Ferrex 28, 21
Flexepax, 27 Fluzone High-dose PF 2015-2016, 33
Ferriprox, 42
Flexichamber, 42 Fluzone High-dose PF 2016-2017, 33
Ferrlecit, 21
Flexichamber Adult Mask/Small, 42 Fluzone PF 2014-2015, 33
Ferro-plex Hematinic, 21
Flexichamber Child Mask/Large, 42 Fluzone Quadrivalent 2014-2015, 33
Ferrotrin, 21
Flexichamber Child Mask/Small, 42 Fluzone Quadrivalent 2015-2016, 33
Fetzima, 24
Flolan, 10 Fluzone Quadrivalent 2016-2017, 33
Fetzima Titration Pack, 24
Flomax, 21 Fluzone Split 2014-2015, 33
Fexmid, 27
Flonase, 32 Fluzone Split 2015-2016, 33
Fibricor, 10
Floriva, 35 FML, 28
Fifty50 Pen Needles 31G X3/16" (5MM), 37
Flovent Diskus, 33 FML Forte, 28
Flovent HFA, 33 FML Liquifilm, 28
Fifty50 Pen Needles 31G X5/16" (8MM), 37
Flowtuss, 32 Focalgin 90 DHA, 35
Floxin Otic, 29 Focalgin CA, 35
Fifty50 Pen Needles 31GX5MM, 37
Floxuridine, 5 Focalgin Dss, 21
Fifty50 Pen Needles/31GX8MM, 37
Fluad 2016-2017, 33 Focalin, 25
Fifty50 Pen Needles/32GX4MM, 37
Fluarix 2014-2015, 33 Focalin XR, 25
Fifty50 Safety Seal Lancets 30G, 37
Fluarix Quadrivalent 2014-2015, 33 Folbee Plus Cz, 34
Fifty50 Safety Seal Lancets 32G, 37
Fluarix Quadrivalent 2015-2016, 33 Folcaps Omega 3, 34
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 37
Fluarix Quadrivalent 2016-2017, 33 Folene, 21
Flublok 2014-2015, 33 Folet DHA, 35
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37
Flublok 2015-2016, 33 Folet One, 35
Flublok 2016-2017, 33 Folgard OS, 35
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37
Flucelvax 2014-2015, 33 Folgard RX, 21
Flucelvax 2015-2016, 33 folic acid, 21
Fifty50 Unilet Lancets 33G, 37
Flucelvax Quadrivalent 2016-2017, 33 Folic Acid, 21
folic acid/vitamin b-6/vitamin b-12, 21
Gazyva, 5 3ML/31G X 5/16", 38
Folitab 500, 21
Gebauers Pain Ease, 14 Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 38
Folivane-f, 21
Gebauers Spray And Stretch, 14
Folivane-OB, 34
Gel-kam Oral Care Rinse, 23 Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
Folivane-plus, 21
Gel-one, 27
Folivane-prx DHA NF, 35
Gelclair, 23 Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16", 38
Folixapure, 21
Gelnique, 20
Folotyn, 5
Gelsyn-3, 27 Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 38
Foltrate, 21
gemcitabine, 5
fondaparinux sodium, 22
gemcitabine HCL, 5 Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 38
Fora Lancets, 37
gemfibrozil, 10
Foradil Aerolizer, 33
Gemzar, 5 Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 38
Forfivo XL, 23
Genadur, 14
Fortamet, 16
Genadur Kit, 14 Glucosource Lancets, 38
Fortavit, 35
gene-xene TAB 15MG, 23 Glucotrol, 16
Fortaz, 1
gene-xene TAB 3.75MG, 23 Glucotrol XL, 16
Forteo, 17
gene-xene TAB 7.5MG, 23 Glucovance, 17
Fortical, 17
Generess FE, 16 Glumetza, 16
Fosamax, 17
gentamicin sulfate, 2, 27 glyburide, 16
Fosamax Plus D, 17
Gentamicin Sulfate, 11 Glyburide, 16
Foscavir, 3
gentamicin sulfate pediatric, 2 glyburide micronized, 16
fosinopril sodium, 8
gentamicin sulfate/0.9% sodium chloride, 2
glyburide/metformin HCL, 17
fosinopril sodium/hydrochlorothiazide, 9
Glycolic Acid, 12
fosphenytoin sodium, 25
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Glycolic Acid 70% High Purity, 12
Fosrenol, 20
glycopyrrolate, 19
Fragmin, 22
Gentle-let GP Lancets, 37 Glycopyrrolate, 19
Freestyle Lancets, 37
Gentle-let Lancets General Purpose Style/Fine Point, 37
Glynase, 16
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 37
Glyset, 17
Gentle-let Lancets General Purpose Style/Medium Point, 37
Glyxambi, 17
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 37
Gmate Lancets 30G, 38
Gentle-let Lancets Safety Style/Fine Point, 37
Golytely, 18
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 37
Gonal-f, 17
Gentle-let Lancets Safety Style/Medium Point, 37
Gonal-f RFF, 17
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 37
Gonal-f RFF Rediject, 17
Gentle-let Platforms 2.4MM, 37 Gordofilm, 14
Freestyle Unistick II Lancets, 37
Gentle-let Platforms 3.0MM, 37 Gordons Urea, 14
Frova, 31
Genvisc 850, 27 Gralise, 26
frovatriptan succinate, 31
Genvoya, 3 Gralise Starter, 26
Fulyzaq, 19
Geodon, 24 granisetron HCL, 19
Furadantin, 20
Gesticare DHA, 35 Granisol, 19
furosemide, 9
Gialax, 18 Granix, 21
Furosemide, 9
Giazo, 20 Grifulvin V, 2
Fusilev, 7
Gilenya, 26 Gris-peg, 2
Fusion Plus, 21
Gilotrif, 6 griseofulvin microsize, 2
Fusion Sprinkles, 21
Gilphex TR, 32 griseofulvin ultramicrosize, 2
Fuzeon, 3
Giltuss, 32 guanfacine ER, 25
Fycompa, 25
Giltuss TR, 32 guanfacine HCL, 8
G
Glassia, 33 Guanidine HCL, 27
glatopa, 26 Gynazole-1, 20
gabapentin, 25
Gleevec, 6 H
Gabavale-5, 23
Gleostine, 4
Gabazolamine, 23
H-e-b IN Control Pen Needles 31GX6MM, 38
Gliadel Wafer, 4
Gabazolamine-0.5, 23
glimepiride, 16
Gabazolpidem-5, 24
H-e-b IN Control Pen Needles 31GX8MM, 38
glipizide, 16
Gabitidine, 19
glipizide ER, 16
Gabitril, 25
H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38
glipizide/metformin HCL, 17
Gablofen, 27
Glucagen Hypokit, 16
Gaboxetine, 24
H-e-b Incontrol Pen Needles 29GX12MM, 38
Glucagon Emergency Kit, 16
galantamine hydrobromide, 26
Glucocom Lancets 28G, 37
Galantamine Hydrobromide, 26
H.p. Acthar, 18
Glucocom Lancets 30G, 37
ganciclovir, 3
Haemolance, 38
Glucocom Lancets 33G, 37
Ganirelix Acetate, 17
Haemolance Low Flow Lancets, 38
Glucophage, 16
Garamycin, 27
Haemolance Plus, 38
Glucophage XR, 16
Gardasil, 34
Haemolance Plus High Flow, 38
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 37
Gardasil 9, 34
Haemolance Plus Low Flow, 38
Gastrinex NF, 19
Haemolance Plus Max Flow, 38
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Gastrocrom, 20
Haemolance Plus Pediatric Flow, 38
gatifloxacin, 27
Halaven, 6
Glucopro Insulin Syringe/U-100/0.
Gattex, 20
Halcion, 24
Haldol, 24
Humalog Mix 75/25, 16 Hylatopic, 14
Haldol Decanoate 100, 24
Humalog Mix 75/25 Kwikpen, 16 Hylatopic Plus, 14
Haldol Decanoate 50, 24
Humate-p, 22 Hylira, 14
halobetasol propionate, 13
Humira, 30 Hymovis, 27
Halog, 13
Humira Pediatric Crohns Disease Starter Pack, 30
hyoscyamine sulfate, 19
haloperidol, 24
hyoscyamine sulfate ER, 19
haloperidol decanoate, 24
Humira Pen, 30 hyoscyamine sulfate odt, 19
haloperidol lactate, 24
Humira Pen-crohns Diseasestarter, 30 hyoscyamine sulfate SR, 19
Halotin, 12
Humira Pen-psoriasis Starter, 30 Hyper-sal, 32
Harvoni, 3
Humulin 70/30, 16 Hypersal, 32
Havrix, 34
Humulin 70/30 Kwikpen, 16 Hypertenevide-12.5, 7
Healthwise Mini Pen Needles 31GX6MM, 38
Humulin N, 16 Hypertenipine-2.5, 8
Humulin N Kwikpen, 16 Hypertensolol, 9
Healthwise Pen Needles 29GX12MM, 38
Humulin R, 16 Hyzaar, 9
Healthwise SHORT Pen Needles 31GX8MM, 38
Humulin R U-500 (concentrated), 16 I
Humulin R U-500 Kwikpen, 16
ibandronate sodium, 17
Healthy Mama Be Well Rounded, 34
Hy-vee Lancets, 38
Ibrance, 6
Hectorol, 18
Hyalgan, 27
Ibudone, 30
Helixate FS, 22
Hycamtin, 6
ibuprofen, 30
Hemabate, 29
Hycet, 30
Ibuprofen Comfort PAC, 30
Hemangeol, 7
Hycofenix, 32
ibuprofen lysine, 30
Hematogen Fa, 21
hydralazine HCL, 8
ibutilide fumarate, 8
Hematron-AF, 21
Hydrea, 7
IC 400, 31
Hemocyte Plus, 21
Hydro 35, 14
IC 800, 31
Hemocyte-f, 21
Hydro 40 Foam, 14
Icar-c Plus, 21
Hemofil M, 22
hydrochlorothiazide, 9
Iclusig, 6
heparin lock, 22
hydrocodone bitartrate/acetaminophen, 29
Idamycin PFS, 5
heparin lock flush, 22
idarubicin HCL, 5
Heparin Lock Flush, 22
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 32
Ifex, 4
heparin lock flush for flushing vascular access devices, 22
ifosfamide, 4
hydrocodone bitartrate/homatropine methylbromide, 32
Ifosfamide, 4
heparin lock flush/NACL for flushing vascular access devices, 22
Ilaris, 30
hydrocodone polistirex/chlorpheniramine polistirex, 32
Ilevro, 29
heparin sodium, 22
imatinib mesylate, 6
Heparin Sodium, 22
hydrocodone/acetaminophen, 29
Imbruvica, 6
heparin sodium dcu, 22
Hydrocodone/Acetaminophen, 29
Imdur, 7
heparin sodium lock flush, 22
hydrocodone/homatropine, 32
imipenem/cilastatin, 4
heparin sodium/D5W, 22
hydrocodone/ibuprofen, 29
imipramine HCL, 23
Heparin Sodium/D5W, 22
hydrocort ene 100MG, 20
imipramine pamoate, 23
Heparin Sodium/NACL, 22
hydrocortisone, 13, 14, 20
imiquimod, 13
Heparin Sodium/NACL 0.45%, 22
hydrocortisone acetate/pramoxine, 20
Imitrex, 31
heparin sodium/NACL 0.9%, 22
hydrocortisone butyrate, 13
Imitrex Statdose Refill, 31
Heparin Sodium/Sodium CH Loride, 22
hydrocortisone butyrate (lipid), 13
Imitrex Statdose System, 31
Heparin Sodium/Sodium Chloride, 22
hydrocortisone butyrate (lipophilic), 13
Imovax Rabies (h.d.c.v.), 34
Heparin Sodium/Sodium Chloride 0.9%, 22
hydrocortisone IN absorbase, 13
Impavido, 4
hydrocortisone valerate, 13
Imuran, 6
heparin sodium/sodium chloride 0.9% premix, 22
hydrocortisone/acetic acid, 29
IN Touch Sterile Lancets 30G, 38
hydromorphone HCL, 29
Increlex, 18
Heparin Sodium/Sodium Chloride PF, 22
Hydromorphone HCL, 29
Incruse Ellipta, 33
Hepsera, 3
hydromorphone HCL dosette, 29
indapamide, 9
Herceptin, 5
hydromorphone HCL ER, 29
Inderal LA, 7
Hespan, 22
Hydromorphone HCL/NACL, 30
Inderal XL, 7
hetastarch 6%/NACL, 22
Hydromorphone HCL/Sodium Chloride, 29
Indocin, 30
Hetlioz, 24
indomethacin, 30
Hexalen, 4
hydromorphone hydrochloride, 29
Indomethacin, 31
Hextend, 22
Hydromorphone Hydrochloride/ NACL, 30
indomethacin ER, 30
Hiberix, 34
Infanrix, 33
Hiprex, 20
Hydromorphone Hydrochloride/NACL, 30
Infasurf, 33
homatropine HBR, 28
Hydromorphone Hydrochloride/Sodium Chloride, 30
Infed, 21
Horizant, 26
Infumorph 200, 30
HPR, 14
Hydroxocobalamin, 21
Infumorph 500, 30
HPR Plus, 14
hydroxychloroquine sulfate, 3
Infuvite, 35
HPR Plus Hydrogel Kit, 14
Hydroxyprogesterone Caproate, 5
Infuvite Adult, 35
HPR Plus/Mb Hydrogel, 14
hydroxyurea, 6
Infuvite Pediatric, 35
Humalog, 16
hydroxyzine HCL, 23
Injectafer, 21
Humalog Kwikpen, 16
Hydroxyzine HCL, 23
Inlyta, 6
Humalog Mix 50/50, 16
hydroxyzine pamoate, 23
Innopran XL, 7
Humalog Mix 50/50 Kwikpen, 16
Hydroxyzine Pamoate, 23
Innoprax-5, 12
Inova, 11
ipratropium bromide, 32, 33 Keppra XR, 25
Inova 4/1 Acne Control Therapy, 11
ipratropium bromide/albuterol sulfate, 33 Keralac, 14
Inova 8/2 Acne Control Therapy, 11
Iprivask, 22 Keralyt, 14
Inspirachamber/Anti-static Valved/Mouthpiece, 42
irbesartan, 8 Keralyt Scalp, 14
irbesartan/hydrochlorothiazide, 9 Kerlone, 7
Inspirachamber/Large, 42
Irenka, 24 Kerydin, 12
Inspirachamber/Soothermask/Inspiramask/Medium, 42
Iressa, 6 Ketek, 4
irinotecan, 6 ketoconazole, 2, 11
Inspirachamber/Soothermask/Inspiramask/Small, 42
Irinotecan, 6 Ketodan Kit, 12
irinotecan HCL, 6 Ketophene Rapidpaq, 12
Inspirease Bags, 42
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 21
ketoprofen, 30
Inspirease Drug Delivery System, 42
Ketoprofen ER, 30
Inspirease Mouthpiece, 42
Irospan 24/6, 21 Ketorocaine-l, 31
Inspirease Reservoir Bags, 42
Is 24/6, 21 Ketorocaine-lm, 31
Inspra, 9
Isentress, 3 Ketorolac 2% Gel, 12
Insulin Syringe/0.3ML/29G X 1", 38
isoniazid, 2 ketorolac tromethamine, 28, 30
Insulin Syringe/0.3ML/29G X 1/2", 38
Isoniazid, 2 Ketorolac Tromethamine, 31
Insulin Syringe/0.3ML/30G X 5/16", 38
Isopto Atropine, 28 Keveyis, 9
Insulin Syringe/0.3ML/31G X 5/16", 38
Isopto Carpine, 28 Keytruda, 5
Insulin Syringe/0.5ML/27G X 1/2", 38
Isordil Titradose, 7 Khedezla, 24
Insulin Syringe/0.5ML/28G X 1/2", 38
isosorbide dinitrate, 7 Kineret, 31
Insulin Syringe/0.5ML/29G X 1/2", 38
Isosorbide Dinitrate ER, 7 Kinlytic, 22
Insulin Syringe/0.5ML/30G X 1/2", 38
isosorbide mononitrate, 7 Kinrix, 33
Insulin Syringe/0.5ML/30G X 5/16", 38
isosorbide mononitrate ER, 7 Klaron, 11
Insulin Syringe/0.5ML/31G X 5/16", 38
isotonic gentamicin, 2 Klonopin, 25
Insulin Syringe/1ML/28G X 1/2", 38
isradipine, 8 Koate-dvi, 22
Insulin Syringe/1ML/29G X 1/2", 38
Istalol, 28 Kogenate FS, 22
Insulin Syringe/1ML/30G X 5/16", 38
Istodax, 6 Kogenate FS Bio-set, 22
Insulin Syringe/1ML/31G X 5/16", 38
Istodax (overfill), 6 Korlym, 16
Insulin Syringe/U-100/0.3ML/29G X 1/2", 38
Isuprel, 33 Kovaltry, 22
itraconazole, 2 Kristalose, 18
Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
IV Infusion Cpi, 14 Krystexxa, 31
ivermectin, 4 Kuvan, 18
Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Ixempra Kit, 6 Kynamro, 10
Ixiaro, 34 Kyprolis, 6
Insulin Syringe/U-100/1ML/28G X 1/2", 38
Ixinity, 22 L
J
labetalol HCL, 7
Insulin Syringe/U-100/1ML/29G X 1/2", 38
J-max, 32 Lac-hydrin, 14
Jadenu, 42 Lacrisert, 27
Insulin Syringe/U-100/1ML/30G X 5/16", 38
Jakafi, 6 lactic acid, 13
Jalyn, 21 lactic acid e, 13
Insulin Syringe/U-100/1ML/31G X 5/16", 38
Janumet, 17 lactic acid w/vitamin e, 13
Janumet XR, 17 lactulose, 18, 20
Insupen Sensitive 32GX8MM, 38
Januvia, 17 Lamictal, 25
Insupen Ultrafin 29GX12MM, 38
Jardiance, 16 Lamictal Chewable Dispersible, 25
Insupen Ultrafin 30GX8MM, 38
Jentadueto, 17 Lamictal Odt, 25
Insupen Ultrafin 31GX6MM, 38
Jentadueto XR, 17 Lamictal Starter/Not Taking Carbamazepine, 25
Insupen Ultrafin 31GX8MM, 38
Jevtana, 6
Integra F, 21
Jublia, 12 Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25
Integra Plus, 21
Juxtapid, 10
Integrilin, 22
K
Intelence, 3
Lamictal Starter/Taking Valproate, 25
Interarticular Joint Kit, 15
K-phos NO 2, 21
Lamictal XR, 25
Intermezzo, 24
K.b.g.l. IN Teroderm Cream, 12
Lamisil, 3
Intron A, 7
Kadcyla, 5
lamivudine, 3
Intron A W/Diluent, 7
Kalbitor, 22
lamivudine/zidovudine, 3
Intuniv, 25
Kaletra, 3
lamotrigine, 25
Invanz, 4
Kalydeco, 33
lamotrigine ER, 25
Invega, 24
Kanuma, 18
lamotrigine odt, 25
Invega Sustenna, 24
Kapvay, 25
lamotrigine titration, 25
Invega Trinza, 24
Karbinal ER, 32
Lancet Transporter Case, 38
Invirase, 3
Keflex, 1
Lancets, 38
Invokamet, 17
Kenalog, 13
Lancets 26G Twist Top, 38
Invokamet XR, 17
Kenalog-10, 15
Lancets 28G, 38
Invokana, 16
Kenalog-40, 15
Lancets 30G, 38
Ionsys, 30
Kengreal, 22
Lancets 30G Twist Top, 38
Iopidine, 28
Kepivance, 7
Lancets 30G/Twist Top, 38
Ipol Inactivated IPV, 34
Keppra, 25
Lancets 31G Twist Top, 38
Lancets 33G Universal Design, 38
levoleucovorin calcium, 7 Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Lancets Bullseye Safety, 38
levonorgestrel, 15
Lancets Safety Seal 21G, 38
Levonorgestrel, 15 Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Lancets Safety Seal 26G, 38
levonorgestrel and ethinyl estradiol, 15
Lancets Safety Seal 28G, 38
levonorgestrel/ethinyl estradiol, 15 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 38
Lancets Safety Seal 30G, 38
Levophed, 10
Lancets Thin, 38
Levorphanol Tartrate, 30 Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 38
Lancets Twist Top, 38
levothyroxine sodium, 18
Lancets Ultra Fine, 38
Levothyroxine Sodium, 18 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 38
Lancets Ultra Thin, 38
Levsin, 19
Lanoxin, 7
Levsin/SL, 19 Litetouch Lancets Micro Thin 33G, 38
Lanoxin Pediatric, 7
Lexapro, 24 Litetouch Pen Needles 29GX12.7MM, 38
lansoprazole, 19
Lexiva, 3 Litetouch Pen Needles 31G X 6MM, 38
lansoprazole/amoxicillin/clarithromycin, 19
Lialda, 20 Litetouch Pen Needles 31GX8MM SHORT, 38
Liberty Medical Lancets 30G, 38
Lantus, 16
Librax, 19 Lithium, 24
Lantus Solostar, 16
Lido-RX 4.1, 14 lithium carbonate, 24
Lasix, 9
lidocaine, 13 Lithium Carbonate, 24
Lastacaft, 29
Lidocaine And Tetracaine Cream, 14 lithium carbonate ER, 24
latanoprost, 28
lidocaine HCL, 8, 13, 31 Lithobid, 24
Latrix XM, 14
Lidocaine HCL, 8, 14, 23, 31 Lithostat, 21
Latuda, 24
lidocaine HCL IN D5W, 8 Livalo, 10
Lazanda, 30
lidocaine HCL jelly, 13 Live Better Lancet Super Thin 30G, 38
Ldo Plus, 14
lidocaine HCL viscous, 23 Live Better Lancet Ultra Thin 28G, 38
Leader Unifine Pentips Plus/Mini/31GX3/16", 38
Lidocaine HCL-hydrocortisone Acetate With Aloe, 20
Live Better Pen Needles 29G X 12MM, 38
Leader Unifine Pentips Plus/SHORT/31GX5/16", 38
lidocaine HCL/dextrose, 8 Live Better Pen Needles 31G X 12MM, 38
Lidocaine HCL/Dextrose, 31
Leader Unifine Pentips/Mini/31GX3/16", 38
lidocaine HCL/hydrocortisone acetate, 20 Live Better Pen Needles 31G X 6MM, 38
lidocaine viscous, 23 LMD 10% Dextrose 5%, 22
Leader Unifine Pentips/Nano/32GX5/32", 38
lidocaine-prilocaine-cream base, 13 LMD 10% Sodium Chloride 0.9%, 22
lidocaine/epinephrine, 31 LO Loestrin FE, 16
Leader Unifine Pentips/Plus/32GX5/32", 38
lidocaine/prilocaine, 13 Locoid, 13
Lidoderm, 14 Locoid Lipocream, 13
leflunomide, 30
Lidoprofen, 12 Lodine, 31
Lemtrada, 26
Lidothol, 14 Lodosyn, 26
Lenvima 10 MG Daily Dose, 6
Lidotral, 14 Loestrin 1.5/30-21, 16
Lenvima 14 MG Daily Dose, 6
Lidovir, 12 Loestrin 1/20-21, 16
Lenvima 18 MG Daily Dose, 6
Lifescan Unistik 2 Deep Penetration, 38 Loestrin FE 1.5/30, 16
Lenvima 20 MG Daily Dose, 6
Lifescan Unistik II Lancets, 38 Loestrin FE 1/20, 16
Lenvima 24 MG Daily Dose, 6
Lincocin, 4 Lofibra, 10
Lenvima 8 MG Daily Dose, 6
lincomycin HCL, 4 Lomotil, 19
Lescol, 10
Lincomycin/Lidocaine, 4 Lomustine, 4
Lescol XL, 10
lindane, 13 Lonsurf, 7
Letairis, 10
Lindane, 13 loperamide HCL, 18
letrozole, 5
linezolid, 4 Lopid, 10
leucovorin calcium, 7
Linezolid, 4 Lopressor, 7
Leucovorin Calcium, 7
Linzess, 20 Lopressor HCT, 9
Leukeran, 4
Lioresal Intrathecal, 27 Loprox, 12
Leukine, 21
liothyronine sodium, 18 Loprox Shampoo, 12
leuprolide acetate, 5
Lipitor, 10 lorazepam, 23
Levacet, 29
Lipofen, 10 Lorazepam, 23
levalbuterol, 33
lisinopril, 8 Lortab, 30
levalbuterol HCL, 33
lisinopril/hydrochlorothiazide, 9 Lorvatus Pharmapak, 27
Levaquin, 2
Lite Touch Pen Needles/31G X 3/16", 38 Lorzone, 27
Levatol, 7
Liteaire, 42 losartan potassium, 8
Levbid, 19
Litetouch Insulin Syringe/0.3ML/29G X 1/2", 38
losartan potassium/hydrochlorothiazide, 9
levetiracetam, 25
Levetiracetam, 25
Litetouch Insulin Syringe/0.3ML/30G X 5/16", 38
Loseasonique, 16
levetiracetam ER, 25
Lotemax, 28
levobunolol HCL, 28
Litetouch Insulin Syringe/0.3ML/31G X 5/16", 38
Lotensin, 8
levocarnitine, 18
Lotensin HCT, 9
levocetirizine dihydrochloride, 32
Litetouch Insulin Syringe/0.5ML/30G X 5/16", 38
Lotrel, 9
levofloxacin, 2, 27
Lotrisone, 12
levofloxacin IN 5% dextrose, 2
Litetouch Insulin Syringe/0.5ML/31G X 5/16", 38
Lotronex, 20
levofloxacin IN D5W, 2
lovastatin, 10
levoleucovorin, 7
Litetouch Insulin Syringe/1ML/30G X 5/16", 38
Lovaza, 10
Levoleucovorin, 7
Lovenox, 22
loxapine, 24
100/1ML/28GX1/2", 38 Mepron, 4
loxapine succinate, 24
Maxidex, 28 mercaptopurine, 5
LT Injection Kit, 15
Maxipime, 1 meropenem, 4
Lufyllin, 33
Maxitrol, 28 Meropenem/Sodium Chloride, 4
Lumigan, 28
Maxzide, 9 Merrem, 4
Lumizyme, 18
Maxzide-25, 9 mesalamine, 20
Lunesta, 25
Mb Hydrogel, 14 mesna, 7
Lupaneta Pack, 17
meclizine HCL, 19 Mesnex, 7
Lupron Depot, 5
Meclofenamate Sodium, 30 Mestinon, 27
Lupron Depot-PED, 17
Medi-derm/L-RX, 14 Mestinon Timespan, 27
Luvox CR, 24
Medical Provider EZ Flu Shot 2014-2015, 34
Metadate CD, 25
Luxiq, 13
Metaproterenol Sulfate, 33
Luzu, 12
Medical Provider EZ Flu Shot 2015-2016, 34
Metastron, 6
Lycelle, 14
Metaxall CP, 27
Lynparza, 6
Medical Provider Single Use EZ Flu Shot, 34
metaxalone, 27
Lyrica, 25
Metaxalone, 27
Lysodren, 5
Medisense Thin Lancets, 38 metformin HCL, 16
Lysteda, 22
Medlance Plus Extra Lancets 21G, 38 metformin HCL ER, 16
Lytensopril Kit, 9
Medlance Plus Lancets, 38 methadone HCL, 29
Lytensopril-90 Kit, 9
Medlance Plus Lancets Lite 25G, 38 Methadone HCL, 30
M
Medlance Plus Lite Lancets 25G, 38 Methadose, 30
Medlance Plus Special Lancets 0.8MM, 38
Methadose Sugar-free, 30
M-m-r II, 34
methamphetamine HCL, 25
M.v.i. Adult, 35
Medlance Plus Superlite 30G, 38 methazolamide, 9
M.v.i. Pediatric, 35
Medlance Plus Superlite 30G/Comfort Max, 38
methenamine hippurate, 20
M.v.i.-12 Without Vitamin K, 35
methenamine mandelate, 20
Macrobid, 20
Medlance Plus Universal Lancets 21G, 38
Methenamine Mandelate, 20
Macrodantin, 20
methimazole, 18
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 38
Medlance Plus/Lite 25G, 38 Methionine/Inositol/Choline/Cyanocobalamin, 21
Medlance/Extra, 38
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16", 38
Medlance/Lite, 38 methocarbamol, 27
Medlance/Universal, 38 methotrexate, 5
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 38
Medrol, 14 methotrexate sodium, 5
Medrol Dosepak, 15 Methotrexate Sodium, 5
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16", 38
Medroloan II Suik, 15 methoxsalen, 12
Medroloan Suik, 15 methscopolamine bromide, 19
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 38
medroxyprogesterone acetate, 16 Methyclothiazide, 9
Medroxyprogesterone/Lidocaine, 16 methyldopa, 8
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 38
mefenamic acid, 30 Methyldopa/Hydrochlorothiazide, 9
mefloquine HCL, 3 Methyldopate HCL, 9
Makena, 16
Megace ES, 16 methylergonovine maleate, 29
Malarone, 3
Megace Oral, 5 Methylin, 25
malathion, 13
megestrol acetate, 5, 16 methylphenidate HCL, 25
mannitol, 9
Megrix, 14 methylphenidate HCL CD, 25
Maprotiline HCL, 23
Meijer Lancets Universal 30G, 38 methylphenidate HCL ER, 25
Marbeta-25, 15
Meijer Super Thin Lancets, 38 Methylphenidate HCL ER, 25
Marbeta-l, 15
Mekinist, 6 methylphenidate HCL SR, 25
Marcaine, 31
meloxicam, 30 methylphenidate hydrochloride, 25
Marcaine/Epinephrine, 31
Meloxicam, 30 methylprednisolone, 14
Mardex-25, 15
Meloxicam Comfort PAC, 31 Methylprednisolone, 15
Marinol, 19
melphalan hydrochloride, 4 methylprednisolone acetate, 14
Marlido-25, 31
memantine HCL, 26 methylprednisolone dose pack, 14
Marnatal-f, 34
memantine HCL titration PAK, 26 Methylprednisolone PF, 15
Marplan, 24
memantine hydrochloride, 26 methylprednisolone sodiumsuccinate, 14
Marqibo, 6
Menactra, 34 Methylprednisolone/Lidocaine, 15
Marvona Suik, 31
Menest, 15 methyltestosterone, 15
Mask Vortex/Baby Whirl Duckling, 42
Menhibrix, 34 Metipranolol, 28
Mask Vortex/Child/Frog, 42
Menomune-a/C/Y/W-135, 34 metoclopramide HCL, 20
Mask Vortex/Spinner The Duck, 42
Menopur, 17 metoclopramide odt, 20
Mask Vortex/Toddler/Lady Bug, 42
Menostar, 15 Metoclopramide Odt, 20
Matulane, 6
Mentax, 12 metolazone, 9
Mavik, 8
Menveo, 34 metoprolol succinate ER, 7
Maxalt, 31
meperidine HCL, 29 Metoprolol Succinate ER/Hydrochlorothiazide, 9
Maxalt-MLT, 31
Meperidine HCL, 30
Maxaron Forte, 21
Meperidine Hydrochloride/Sodium Chloride, 29
metoprolol tartrate, 7
Maxfe, 21
Metoprolol Tartrate, 7
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 38
Mephyton, 34 metoprolol/hydrochlorothiazide, 9
meprobamate, 23 Metozolv Odt, 20
Maxi-comfort Insulin Syringe/U-
Metro IV, 4
Monodox, 2 Monolettor Safety Lancets, 39
Metrocream, 11
Monoject Bone Marrow Biopsy Prepping Tray, 31
Mononine, 22
Metrogel, 11
Monovisc, 27
Metrogel-vaginal, 21
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 31
montelukast sodium, 33
Metrolotion, 11
Monurol, 20
metronidazole, 4, 11
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 31
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
metronidazole IN NACL 0.79%, 4
metronidazole vaginal, 20
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 31
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Mevacor, 10
mexiletine HCL, 8
Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 38
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39
Miacalcin, 17
Micardis, 8
Monoject Insulin Syringe/1ML, 39 Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 39
Micardis HCT, 9
Monoject Insulin Syringe/1ML/31G X 5/16", 39
Micort-HC, 13
Morgidox 1X100MG, 2
Microchamber, 42
Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 38
Morgidox 1X50MG Kit, 2
Microlet Lancets, 38
Morgidox 2X100MG, 2
Microspacer, 42
Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 38
morphine sulfate, 29
Microtainer Safety Flow Lancet/Sterile/Single-use, 38
Morphine Sulfate, 29
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 38
Morphine Sulfate Add-vantage, 30
Microzide, 9
morphine sulfate ER, 29
midodrine HCL, 10
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 38
Morphine Sulfate ER, 29
Mifeprex, 18
Morphine Sulfate/NACL, 30
Migergot, 31
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 38
Morphine Sulfate/Sodium Chloride, 30
miglitol, 17
Motofen, 19
Migral, 31
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 38
Movantik, 20
Migranal, 31
Moviprep, 18
Migranow, 31
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 38
Moxatag, 1
Millipred, 14
Moxeza, 27
Millipred DP, 15
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 38
moxifloxacin HCL, 2
milrinone IN dextrose, 7
Moxifloxacin HCL, 2
milrinone lactate, 7
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 38
Mozobil, 21
Minastrin 24 FE, 16
MS Contin, 30
mineral oil heavy, 18
Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 38
Mteryti, 34
Minipress, 9
Mteryti Folic 5, 34
Minivelle, 15
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Mucinex Maximum Strength, 32
Minocin, 2
Multaq, 8
Minocin Kit, 2
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Multigen, 21
minocycline HCL, 2
Multigen Folic, 21
minocycline HCL ER, 2
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Multigen Plus, 21
minoxidil, 8
mupirocin, 11
Mirapex, 26
Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39
mupirocin calcium, 11
Mirapex ER, 26
Muse, 10
Mircera, 21
Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39
Mustargen, 4
Mircette, 16
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21
mirtazapine, 23
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39
mirtazapine odt, 23
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21
Mirvaso, 11
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39
misoprostol, 19
Myalept, 18
Mission Prenatal, 34
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39
Myambutol, 2
Mitigare, 31
Mycamine, 3
mitomycin, 5
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39
Mycobutin, 2
Mitomycin, 5
mycophenolate mofetil, 5
Mitosol, 27
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39
mycophenolic acid DR, 5
mitoxantrone HCL, 5
Myfortic, 6
Mld Kit, 31
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39
Myglucohealth Mgh Softlance Lancets 30G, 39
Mlk F4 Kit, 15
Mlp A-2, 15
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39
Mykidz Iron Fl, 34
Mobic, 31
Myleran, 4
modafinil, 25
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39
Mynatal, 34
Moderiba, 3
Myobloc, 27
Moderiba 1200 Dose Pack, 3
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 39
Myozyme, 18
Moderiba 800 Dose Pack, 3
Mysoline, 25
Modicon, 16
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 39
Mytesi, 19
moexipril HCL, 8
N
moexipril/hydrochlorothiazide, 9
Monojector End CAPS, 39
nabumetone, 30
Molindone Hydrochloride, 24
Monojector Opd End CAPS, 39
nadolol, 7
mometasone furoate, 13, 32
Monolet Lancets, 39
nadolol/bendroflumethiazide, 9
Monoclate-p, 22
Monolet Opd Lancets, 39
Nafcillin, 1
nafcillin sodium, 1
Neoral, 6 Nitro-dur, 7
Nafcillin Sodium, 1
Neosalus, 14 nitrofurantoin, 20
Nafrinse Daily/Acidulated, 23
Neosalus CP, 14 nitrofurantoin macrocrystals, 20
Nafrinse Daily/Neutral, 23
Neosporin, 27 nitrofurantoin monohydrate, 20
Nafrinse Weekly, 23
neostigmine methylsulfate, 27 nitrofurantoin monohydrate/macrocrystals, 20
Naftifine HCL, 12
Neostigmine Methylsulfate, 27
naftifine hydrochloride, 11
Neotuss Plus, 32 nitroglycerin, 7
Naftin, 12
Nephplex RX, 35 Nitroglycerin, 7
Naglazyme, 18
Nephro-vite RX, 35 nitroglycerin ER, 7
nalbuphine HCL, 29
Nephrocaps, 35 nitroglycerin IN 5% dextrose, 7
Nalfon, 31
Nephrocaps QT, 35 nitroglycerin IN dextrose 5%, 7
Namenda, 26
Nephron Fa, 21 Nitroglycerin IN Dextrose 5%, 7
Namenda Titration PAK, 26
Neptazane, 9 nitroglycerin lingual, 7
Namenda XR, 26
Nesacaine, 32 Nitroglycerin Lingual, 7
Namenda XR Titration Pack, 26
Nesacaine-mpf, 32 nitroglycerin transdermal, 7
Namzaric, 26
Nessi Spacer/Large Mask, 42 Nitrolingual Pumpspray, 7
Naphazoline HCL, 28
Nessi Spacer/Mouthpiece, 42 Nitromist, 7
Naprelan, 31
Nessi Spacer/Small/MED Mask, 42 Nitronal, 7
Naprosyn, 31
Nestabs, 34 Nitropress, 9
naproxen, 30
Nestabs Abc, 35 Nitrostat, 7
Naproxen, 30
Nestabs DHA, 34 Niva-plus, 34
Naproxen Comfort PAC, 31
Netgroup Lancets, 39 Nivatopic Plus, 14
naproxen sodium, 30
Neuac Kit, 11 nizatidine, 19
naproxen sodium CR, 30
Neulasta, 21 Nizatidine, 19
naproxen sodium ER, 30
Neulasta Onpro Kit, 21 Nizoral, 12
naratriptan HCL, 31
Neumega, 21 Nor-QD, 16
Nardil, 24
Neupogen, 21 Norco, 30
Naropin, 32
Neupro, 26 Norditropin Cartridge, 17
Nascobal, 21
Neurontin, 25 Norditropin Flexpro, 17
Nasonex, 32
Neutrasal, 23 Norditropin Nordiflex Pen, 17
Natachew, 34
Neutrexin, 4 norepinephrine bitartrate, 10
Natacyn, 27
Neuvaxin, 14 Norepinephrine Bitartrate/Dextrose, 10
Natalvirt 90 DHA, 35
Nevanac, 29 Norepinephrine Bitartrate/Sodium Chloride, 10
Natalvirt CA, 35
nevirapine, 3
Natalvirt Flt, 21
Nevirapine, 3 Norepinephrine/Sodium Chloride, 10
Natalvit, 34
nevirapine ER, 3 norethindrone, 15
Natazia, 16
Newgen, 34 norethindrone & ethinyl estradiol ferrous fumarate, 15
nateglinide, 16
Nexa Plus, 35
Natelle One, 34
Nexavar, 6 norethindrone acetate, 16
Natesto, 15
Nexium, 19 norethindrone acetate/ethinyl estradiol, 15(2)
Natpara, 17
Nexium I.v., 19
Natrecor, 10
Nexterone, 8 norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15
Natroba, 14
Niacin, 34
Nature-throid, 18
niacin ER, 10 Norflex, 27
Nature-throid Nt-2.5, 18
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 34
norgestimate/ethinyl estradiol, 15
Navelbine, 6
Norinyl 1+35, 16
Nazirex, 12
Niacor, 10 Norinyl 1+50, 16
Nebupent, 4
Niaspan, 10 Noritate, 11
Nebusal, 32
Nicadan, 35 Noroxin, 2
Necon 1/50-28, 16
Nicadan ZX, 35 Norpace, 8
Necon 10/11-28, 16
nicardipine HCL, 8 Norpace CR, 8
Neevo DHA, 34
Nicazel, 35 Norpramin, 24
nefazodone HCL, 23
Nicazel Forte, 35 Northera, 10
Nefazodone HCL, 23
Nicazeldoxy 30 Kit, 2 nortriptyline HCL, 23
Nembutal Sodium, 25
Nicazeldoxy 60 Kit, 2 Nortriptyline HCL, 23
Neo-synalar, 11
Nicomide, 35 Norvasc, 8
Neo-synalar Kit, 11
nifedipine, 8 Norvir, 3
neomycin sulfate, 2
nifedipine ER, 8 Nova Safety Lancets 23G, 39
neomycin/bacitracin/polymyxin, 27
Nilandron, 5 Nova Safety Lancets 28G, 39
neomycin/polymyxin/bacitracin zinc, 27
nilutamide, 5 Nova Sureflex Lancets, 39
neomycin/polymyxin/bacitracin/hydrocortisone, 28
Nimbex, 27 Novaferrum, 21
nimodipine, 8 Novoclair, 12
neomycin/polymyxin/dexamethasone, 28
Ninlaro, 6 Novoeight, 22
neomycin/polymyxin/gramicidin, 27
Nipent, 7 Novofine Plus 32GX4MM, 39
neomycin/polymyxin/HC, 29
nisoldipine, 8 Novoseven, 22
Neomycin/Polymyxin/Hydrocortisone, 28
Nisoldipine, 8 Novoseven Rt, 22
neomycin/polymyxin/hydrocortisone, 29
Nisoldipine ER, 8 Noxafil, 3
Neoprofen, 31
Nitro-bid, 7 Noxipak, 13
Nplate, 21
Olysio, 3 Optichamber Diamond/Smallface Mask, 42
Nucala, 33
Omeclamox-PAK, 19
Nucort, 13
omega-3-acid ethyl esters, 10 Optichamber Face Mask/Large, 42
Nucynta, 30
Omega-3/D-3 Wellness Pack, 10 Optichamber Face Mask/Medium, 42
Nuedexta, 26
omeprazole, 19 Optichamber Face Mask/Small, 42
Nufera, 21
Omeprazole + Syrspend SF Alka, 19 Optihaler, 42
Nulojix, 6
omeprazole/sodium bicarbonate, 19 Optihaler MDI Drug Delivery System, 42
Nulytely/Flavor Packs, 18
Omnaris, 32 Optivar, 29
Numoisyn, 23
Omnipred, 28 Oracea, 11
Nuox, 11
Omontys, 21 Oracit, 21
Nuplazid, 24
On Call Lancets, 39 Orafate, 23
Nusrugepak Surgical Prep/Carepak, 14
On Call Plus Lancets, 39 Orap, 26
Nutricap, 35
Oncaspar, 5 Orapred Odt, 15
Nutridox, 2
ondansetron HCL, 19 Oravig, 23
Nutrivit, 35
Ondansetron Hydrochloride/Sodium Chloride, 19
Orbactiv, 4
Nutropin AQ Nuspin 10, 17
Orencia, 31
Nutropin AQ Nuspin 20, 17
ondansetron odt, 19 Orencia Clickject, 31
Nutropin AQ Nuspin 5, 17
One A Day Womens Prenatal/DHA, 34 Orenitram, 10
Nutropin AQ Pen, 17
One A Day Womens Prenatal1, 34 Orfadin, 18
Nuvail, 14
One-a-day Womens Prenatal, 34 Orkambi, 33
Nuvaring, 16
Onetouch Club Lancets Fine Point, 39 orphenadrine citrate, 27
Nuvessa, 21
Onetouch Combo Pack, 39 orphenadrine citrate ER, 27
Nuvigil, 25
Onetouch Delica Lancets Extra Fine 33G, 39
Ortho Micronor, 16
Nuvya, 12
Ortho Tri-cyclen, 16
Nuwiq, 22
Onetouch Delica Lancets Fine 30G, 39 Ortho Tri-cyclen LO, 16
Nuzon, 13
Onetouch Finepoint Lancets, 39 Ortho-cept, 16
Nyata, 12
Onetouch Lancets, 39 Ortho-cyclen, 16
Nymalize, 8
Onetouch Suresoft Lancing Device/18G, 39
Ortho-novum 1/35, 16
nystatin, 2, 11, 23
Ortho-novum 7/7/7, 16
nystatin/triamcinolone, 11
Onetouch Suresoft Lancing Device/21G, 39
Orthovisc, 27
O
Osmoprep, 18
Onetouch Suresoft Lancing Device/28G, 39
Osphena, 17
O-CAL Fa, 34
Otezla, 31
O-CAL Prenatal, 34
Onetouch Ultra 2, 39 Otiprio, 29
OB Complete, 34
Onetouch Ultra Blue, 39 Otovel, 29
OB Complete Gold, 35
Onetouch Ultra Mini, 39 Otozin, 29
OB Complete One, 34
Onetouch Ultralink System (DEC), 39 Otrexup, 31
OB Complete Petite, 34
Onetouch Ultralink System (hex), 39 Ovace Plus, 12
OB Complete Premier, 34
Onetouch Ultrasoft Lancets, 39 Ovace Plus Wash, 12
OB Complete/DHA, 34
Onetouch Verio, 39 Ovace Wash, 12
Obredon, 32
Onetouch Verio Flex Bloodglucose Monitoring System, 39
Ovcon-35, 16
Obstetrix DHA, 34
Ovide, 14
Obstetrix One, 35
Onetouch Verio IQ Blood Glucose Monitoring System, 39
Ovidrel, 17
Obtrex, 34
oxacillin sodium, 1
Obtrex DHA, 34
Onetouch Verio Sync Bloodglucose Monitoring System, 39
oxaliplatin, 4
Ocaliva, 20
Oxandrin, 15
octreotide acetate, 18
Onetouch Verio Test Strips, 39 oxandrolone, 15
Ocudox, 2
Onexton, 11 oxaprozin, 30
Ocufen, 29
Onfi, 25 Oxaydo, 30
Ocuflox, 27
Onivyde, 6 oxazepam, 23
Ocuvel, 35
Onmel, 3 oxcarbazepine, 25
Odefsey, 3
Onzetra Xsail, 31 oxiconazole nitrate, 11
Ofev, 33
Opana, 30 Oxistat, 12
Ofirmev, 29
Opdivo, 5 Oxsoralen, 14
Ofloxacin, 2
opium, 19 Oxsoralen Ultra, 12
ofloxacin, 27, 29
opium tincture, 19 Oxtellar XR, 25
olanzapine, 24
Opsumit, 10 oxybutynin chloride, 20
olanzapine odt, 24
Optichamber Advantage, 42 oxybutynin chloride ER, 20
olanzapine/fluoxetine, 26
Optichamber Advantage/Large Mask, 42 oxycodone HCL, 29
Oleptro, 24
Optichamber Advantage/Medium Face Mask, 42
Oxycodone HCL ER, 29
Olmesartan Medoxomil, 8
oxycodone/acetaminophen, 29
Olmesartan Medoxomil/Amlodipine/Hydrochlorothiazide, 9
Optichamber Advantage/Small Face Mask, 42
Oxycodone/Acetaminophen, 30
oxycodone/aspirin, 29
Optichamber Diamond, 42 Oxycodone/Ibuprofen, 29
Olmesartan Medoxomil/Hydrochlorothiazide, 9
Optichamber Diamond/Largeface Mask, 42
Oxycontin, 29
oxymorphone hydrochloride, 29
olopatadine HCL, 28, 32
Optichamber Diamond/Medium Face Mask, 42
oxymorphone hydrochloride ER, 29
Olux, 13
oxytocin, 29
Olux-e, 13
Oxytocin, 29
Pen Needles 31G X 6MM, 39 10
Oxytocin/Lactated Ringers, 29
Pen Needles 31GX5/16", 39 phenylephrine/guaifenesin, 32
Oxytrol, 20
Pen Needles 31GX6MM (1/4"), 39 Phenylephrine/Sodium Chloride, 10
P
Pen Needles 31GX8MM, 39 Phenytek, 26
Pen Needles 31GX8MM (5/16"), 39 phenytoin, 25
paclitaxel, 6
Pen Needles 32GX4MM, 39 phenytoin sodium, 25
Paclitaxel, 6
penicillin G potassium, 1 phenytoin sodium extended, 25
Paire OB, 35
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Phoslo, 20
paliperidone ER, 24
Phoslyra, 20
Pamelor, 24
Penicillin G Procaine, 1 Phospholine Iodide, 28
pamidronate disodium, 17
Penicillin G Sodium, 1 Photofrin, 7
Pamidronate Disodium, 17
penicillin v potassium, 1 phytonadione, 34
Pamine, 19
Penlac Nail Lacquer, 12 pilocarpine HCL, 23, 28
Pamine Forte, 19
Penlet II Replacement CAPS, 39 pilocarpine hydrochloride, 23
Pamine FQ, 19
Penlet II Replacement CAPS-deep, 39 pimozide, 26
Panatuss Dxp, 32
Penlet II Replacement CAPS-regular, 39 pindolol, 7
Pancrelipase, 19
Pennsaid, 12 pioglitazone HCL, 17
pancuronium bromide, 26
Pentacel, 33 pioglitazone HCL-glimepiride, 17
Panda Mask Large, 42
Pentam 300, 4 pioglitazone HCL/metformin HCL, 17
Panda Mask Medium, 42
Pentasa, 20 piperacillin sodium/ tazobactam sodium, 1
Panda Mask Small, 42
pentazocine/naloxone HCL, 29
Pandel, 13
Pentetate Calcium Trisodium, 42 piperacillin sodium/tazobactam sodium, 1
pantoprazole sodium, 19
Pentetate Zinc Trisodium, 42 piperacillin/tazobactam, 1
papaverine HCL, 10
Pentips 29GX12MM, 39 piroxicam, 30
Parafon Forte DSC, 27
Pentips 31GX5MM, 39 Pitocin, 29
Paregoric, 19
Pentips 31GX6MM, 39 Pitressin Synthetic, 18
paricalcitol, 18
Pentips 31GX8MM, 39 Plaquenil, 3
Parlodel, 26
Pentips 32GX4MM, 39 Plavix, 22
Parnate, 24
pentoxifylline ER, 22 Pletal, 22
paromomycin sulfate, 2
Pepcid, 19 Plexion, 11
paroxetine HCL, 23
Percocet, 30 Plexion Cleanser, 11
paroxetine HCL ER, 23
Percodan, 30 Plexion Cleansing Cloths, 11
Paser, 2
Perfect Lancets 30G, 39 Pliaglis, 14
Pataday, 28
Perfect Pressure Activated Safety Lancets 28G, 39
Pneumovax 23, 34
Patanase, 32
Pneumovax 23/1 Dose, 34
Patanol, 29
Perforomist, 33 Pneumovax 23/5 Dose, 34
Paxil, 23
Peridex, 23 Pocket Chamber, 42
Paxil CR, 24
perindopril erbumine, 8 Pocket Spacer, 42
Pazeo, 28
Perjeta, 5 podofilox, 13
PC Unifine Pentips 29G X 1/2", 39
permethrin, 13 Poly-VI-flor, 34
PC Unifine Pentips 31G X 6MM Ultra SHORT, 39
perphenazine, 24 Poly-VI-flor FS, 34
Perphenazine/Amitriptyline, 26 Poly-VI-flor/Iron, 34
PC Unifine Pentips 31G X 8MM SHORT, 39
Persantine, 22 polyethylene glycol 3350, 18
Pexeva, 24 polymyxin b sulfate, 4
PCE, 2
Pfizerpen-G, 1 polymyxin b sulfate/trimethoprim sulfate, 27
Pcp 100, 18
Pharmacist Choice Ultra Thin Lancets, 39
Pediaderm AF Complete Kit, 12
Polytrim, 27
Pediaderm HC, 13
Pharmacist Choice Ultra Thin Lancets 28G, 39
Pomalyst, 6
Pediaderm Ta, 13
Ponstel, 31
Pediapred, 15
Pharmacist Choice Ultra Thin Lancets 30G, 39
Portrazza, 5
Pediarix, 33
potassium citrate ER, 21
Pediatric Panda Mask, 42
Pharmacist Choice Ultra Thin Lancets 31G, 39
potassium citrate-citric acid crystals, 21
Pedvax HIB, 34
potassium citrate/citric acid, 21
peg 3350/electrolytes, 18
Pharmacist Choice Ultra Thin Lancets 33G, 39
potassium citrate/sodium citrate/citric acid, 21
peg-3350/electrolytes, 18
peg-3350/NACL/NA bicarbonate/KCL, 18
Pharmacy Counter Lancets, 39 Potiga, 26
Peg-intron, 3
phenazopyridine HCL, 21 Pr Cream, 14
Peg-intron Redipen, 3
phenelzine sulfate, 23 Pradaxa, 22
Peg-intron Redipen PAK 4, 3
Phenergan, 32 Praluent, 10
Peganone, 26
phenobarbital, 24 pramipexole dihydrochloride, 26
Pegasys, 3
Phenobarbital, 24 pramipexole dihydrochloride ER, 26
Pegasys Proclick, 3
Phenobarbital Sodium, 25 Pramosone, 13
Pegintron, 3
phenoxybenzamine hydrochloride, 8 Pramotic, 29
Pen Needles 29G X 12MM, 39
Phentolamine Mesylate, 9 Prandimet, 17
Pen Needles 29GX1/2", 39
phenylephrine HCL, 10, 28 Prandin, 16
Pen Needles 30GX5/16", 39
Phenylephrine HCL, 10 Prascion Ra With Sunscreens, 11
Pen Needles 31G X 1/4" SHORT, 39
Phenylephrine HCL/Sodium Chloride, 10 Prastera, 31
Pen Needles 31G X 3/16", 39
Phenylephrine Hydrochloride/Dextrose, Pravachol, 10
Pen Needles 31G X 5MM, 39
pravastatin sodium, 10
Prepopik, 18 promethazine/dextromethorphan, 32
Prazolamine, 27
Preque 10, 35 promethazine/phenylephrine, 32
prazosin HCL, 8
Presera, 14 Promethazine/Phenylephrine, 32
Pre-folic, 21
Prestalia, 9 promethazine/phenylephrine/codeine, 32
Precedex, 25
Prevacid, 19 Prometrium, 16
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39
Prevacid Solutab, 19 Promiseb, 12
Prevident, 23 Promiseb Complete, 12
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 39
Previdolrx Analgesic PAK, 31 propafenone HCL, 8
Prevnar 13, 34 propafenone HCL ER, 8
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 39
Prevpac, 19 Propantheline Bromide, 19
Prezcobix, 3 proparacaine HCL, 28
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 39
Prezista, 3 propranolol HCL, 7
Prialt, 29 Propranolol HCL, 7
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39
Priftin, 2 propranolol HCL ER, 7
Prilosec, 19 Propranolol/Hydrochlorothiazide, 9
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39
Primaquine Phosphate, 3 propylthiouracil, 18
Primaxin IV, 4 Proquad, 34
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39
Primaxin IV Add-vantage, 4 Proscar, 21
primidone, 25 Prostin E2, 29
Precision Thin Lancets, 39
Primlev, 30 Protamine Sulfate, 23
Precision Thins GP Lancet, 39
Primsol, 4 Protect Plus, 35
Precision Ultra Lancet, 39
Prinivil, 8 Protectiron, 21
Precose, 17
Pristiq, 23 Prothelial, 23
Pred Forte, 28
Pro-c-dure 5 Kit, 15 Protonix, 19
Pred Mild, 28
Pro-c-dure 6 Kit, 15 Protopic, 13
Pred-G, 28
Proair HFA, 33 protriptyline HCL, 23
Pred-G S.o.p., 28
Proair Respiclick, 33 Provenge, 6
prednicarbate, 13
probenecid, 31 Provera, 16
prednisolone, 14
probenecid/colchicine, 31 Provida DHA, 35
prednisolone acetate, 28
Probuphine Implant Kit, 30 Provida OB, 34
prednisolone sodium phosphate, 14
Procainamide HCL, 8 Provigil, 25
Prednisolone Sodium Phosphate, 15, 28
Procardia, 8 Prozac, 24
prednisolone sodium phosphate odt, 14
Procardia XL, 8 Prozac Weekly, 24
Prednisolone/Moxifloxacin, 28
Procentra, 25 Pruclair, 14
Prednisolone/Moxifloxacin/Bromfenac, 28
prochlorperazine, 24 Prudoxin, 12
prochlorperazine edisylate, 24 Prumyx, 14
prednisone, 14
prochlorperazine maleate, 24 Pss Select GP Lancets, 39
Prednisone, 15
Procort, 20 Pss Select Platforms, 39
Prednisone Intensol, 15
Procrit, 21 Pss Select Safety Lancets, 39
Prefera OB, 34
Proctocort, 20 Pulmicort, 33
Prefera OB + DHA, 34
Proctofoam HC, 20 Pulmicort Flexhaler, 33
Preferaob +dha, 35
Procysbi, 21 Pulmophylline, 33
Preferaob One, 35
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 39
Pulmozyme, 33
Preferred Plus Unifine Pentips 29G X 12MM, 39
Purinethol, 5
Prodigy Insulin Syringe/1/2ML/31G X 5/16", 39
Purixan, 5
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39
Px Lancets Ultra Thin, 39
Prodigy Insulin Syringe/1ML/28G X 1/2", 39
Pylera, 19
Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39
pyrazinamide, 2
Prodigy Pressure Activated Safety Lancets, 39
Pyridium, 21
Prefest, 15
pyridostigmine bromide, 27
Prefol-DHA, 35
Prodigy Safety Lancets, 39 pyridostigmine bromide ER, 27
Premarin, 15, 20
Prodigy Twist Top Lancets, 39 pyridoxine HCL, 34
Premphase, 15
Proferrin-forte, 21 Pyrogallic Acid, 14
Prempro, 15
Profilnine, 22 Q
Prenata, 34
Profilnine SD, 22
Qbrelis, 8
Prenatal Vitamin, 34
progesterone, 16
Qc Lancets Super Thin, 39
Prenatal Vitamins, 34
Progesterone 10% Kit, 16
Qc Lancets Ultra Thin, 39
Prenate, 35
Proglycem, 16
Qc Pen Needles 29G X 12MM, 39
Prenate AM, 34
Prograf, 6
Qc Pen Needles 31G X 6MM, 39
Prenate DHA, 35
Prolastin-c, 33
Qc Pen Needles 31G X 8MM, 39
Prenate Elite, 34
Prolensa, 29
Qnasl, 32
Prenate Enhance, 35
Proleukin, 6
Qnasl Childrens, 32
Prenate Essential, 34
Prolia, 17
Quadracel, 33
Prenate Mini, 35
Promacta, 21
Quadramet, 6
Prenate Pixie, 35
promethazine HCL, 32
Qualaquin, 4
Prenate Restore, 35
promethazine HCL plain, 32
Quartette, 16
Prenate Star, 34
promethazine-DM, 32
Quazepam, 24
Prepidil, 29
promethazine/codeine, 32
Qudexy XR, 26
Quelicin, 27
39 Rexulti, 24
Quelicin 1000, 27
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Reyataz, 3
Questran, 10
Rezira, 32
Questran Light, 10
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
Rezyst IM, 19
quetiapine fumarate, 24
Rheumatrex, 31
Quflora FE, 35
Relion Insulin Syringe/U-100/1ML/30G, 39
Rhinocort Aqua, 32
Quillichew ER, 25
Riastap, 22
Quillivant XR, 25
Relion Insulin Syringe/U-100/1ML/30G X 5/16", 39
Riax, 11
quinapril HCL, 8
Ribasphere, 3
quinapril/hydrochlorothiazide, 9
Relion Insulin Syringe/U-100/1ML/31G X 5/16", 39
Ribasphere Ribapak, 3
Quinidine Gluconate, 8
Ribatab, 3
quinidine gluconate CR, 8
Relion Lancets Micro-thin33G, 39 ribavirin, 3
quinidine gluconate ER, 8
Relion Lancets Standard 21G, 39 Ridaura, 31
quinidine sulfate, 8
Relion Lancets Thin 26G, 39 rifabutin, 2
Quinidine Sulfate, 8
Relion Lancets Ultra-thin30G, 39 Rifadin, 2
Quinidine Sulfate ER, 8
Relion Mini Pen Needles 31GX6MM, 39 Rifamate, 2
quinine sulfate, 3
Relion Pen Needles 29GX12MM, 39 rifampin, 2
Qutenza, 14
Relion Pen Needles 31GX6MM, 39 Rifater, 2
R
Relion Pen Needles 31GX8MM, 39 Right Step Prenatal, 34
Relion Pen Needles 32GX4MM, 39 Rightest GD-L500 Alternate Site Adapter, 40
R-natal OB, 35
Relion SHORT Pen Needles 31GX8MM, 39
Rabavert, 34
Rightest Gl300 Lancets, 40
rabeprazole sodium, 19
Relion Thin Lancets, 39 Rilutek, 27
raloxifene hydrochloride, 17
Relion Ultra Thin Lancets, 40 riluzole, 26
ramipril, 8
Relion Ultra Thin Lancets30G, 40 rimantadine HCL, 3
Ranexa, 7
Relion Ultra Thin Plus Lancets 32G, 40 Rimantalist, 3
ranitidine HCL, 19
Relion Ultra Thin Plus Lancets 33G, 40 Riomet, 16
Rapaflo, 21
Relistor, 20 risedronate sodium, 17
Rapamune, 6
Relpax, 31 risedronate sodium DR, 17
Rapivab, 3
Relyyks, 14 Risperdal, 24
Rasuvo, 30
Relyyt, 14 Risperdal Consta, 24
Ravicti, 18
Remeron, 24 Risperdal M-TAB, 24
Rayos, 15
Remeron Soltab, 24 risperidone, 24
Razadyne, 26
Remicade, 20 risperidone odt, 24
Razadyne ER, 26
Remifentanil HCL, 30 Ritalin, 25
Readysharp-a, 32
Remodulin, 10 Ritalin LA, 25
Readysharp-k, 15
Renagel, 20 Riteflo, 42
Readysharp-p40, 15
Renatabs, 35 Rituxan, 5
Readysharp-p80, 15
Renatabs With Iron, 35 rivastigmine tartrate, 26
Rebetol, 3
Renvela, 20 rivastigmine transdermal system, 26
Reclast, 17
Reopro, 23 rizatriptan benzoate, 31
Recombinate, 22
repaglinide, 16 rizatriptan benzoate odt, 31
Recombivax HB, 34
Repaglinide/Metformin Hydrochloride, 17 Robaxin, 27
Recothrom, 22
Repatha, 10 Robaxin-750, 27
Recothrom Spray Kit, 22
Repatha Pushtronex System, 10 Robinul, 19
Rectiv, 20
Repatha Sureclick, 10 Robinul Forte, 19
Recura, 12
Reprexain, 30 Rocaltrol, 18
Reglan, 20
Req 49+, 35 Rocephin, 1
Regonol, 27
Requip, 26 rocuronium bromide, 26
Relagard, 21
Requip XL, 26 Rocuronium Bromide, 27
Relenza Diskhaler, 3
Rescon-JR, 32 ropinirole ER, 26
Relhist, 32
Rescriptor, 3 ropinirole HCL, 26
Relion Insulin Syringe/U -100/0.5ML/29G, 39
Reserpine, 8 ropivacaine, 31
Respa-BR, 32 Ropivacaine, 32
Relion Insulin Syringe/U-00/1ML/29G X 1/2", 39
Restasis, 28 ropivacaine HCL, 31
Restora RX, 19 Ropivacaine Hydrochloride/Sodium Chloride, 32
Relion Insulin Syringe/U-100/0.3ML/29G, 39
Restora Sprinkles, 19
Restoril, 25 Rosadan Kit, 11
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Retin-a, 11 Rosula, 11
Retin-a Micro, 11 rosuvastatin calcium, 10
Relion Insulin Syringe/U-100/0.3ML/30G, 39
Retin-a Micro P.M., 11 Rotarix, 34
Retinoic Acid, 11 Rotateq, 34
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Retinoic Acid-all Trans, 11 Rowasa, 20
Retrovir, 3 Roxicet, 30
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Retrovir IV Infusion, 3 Roxicodone, 30
Revatio, 10 Rozerem, 25
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Revlimid, 6 Rrb PAK, 13
Rexall Lancets Ultra Thin, 40 Ryanodex, 27
Relion Insulin Syringe/U-100/0.5ML/30G,
Rytary, 26
Sebuderm, 14 Sinemet CR, 26
Rythmol, 8
Seconal, 25 Single-let, 40
Rythmol SR, 8
Seconal Sodium, 25 Singulair, 33
S
Sectral, 7 sirolimus, 6
Select-OB, 34 Sirturo, 2
Sabril, 26
Select-ob+dha, 35 Sitavig, 3
Safe-t-lance Low Flow 25G, 40
selegiline HCL, 26 Sivextro, 4
Safe-t-lance Normal Flow 21G, 40
selenium sulfide, 12 Skelaxin, 27
Safe-t-lance Plus Safety Lancet High Flow, 40
Selrx, 12 Sklice, 14
Selzentry, 3 Smart Diabetes Vantage Universal Lancets 30G, 40
Safe-t-lance Plus Safety Lancet Low Flow, 40
Semprex-d, 32
Sensipar, 18 Smart Sense Color Lancets Universal 33G, 40
Safe-t-lance Plus Safety Lancet Normal Flow, 40
Sensorcaine-mpf/Epinephrine, 32
Sentradine, 19 Smart Sense Standard Lancets Universal 21G, 40
Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40
Sentraflox AM-10, 24
Sentralopram AM-10, 24 Smart Sense Super Thin Lancets Universal 30G, 40
Safesnap Insulin Syringe/0.5ML/29G X 1/2", 40
Sentramodafin AM-100, 25
Sentravil PM-25, 24 Smart Sense Thin Lancets Universal 26G, 40
Safesnap Insulin Syringe/0.5ML/30G X 5/16", 40
Sentrazolam AM 0.25, 23
Sentrazolpidem PM-5, 25 Smartest Lancets 28G, 40
Safesnap Insulin Syringe/1ML/28G X 1/2", 40
Sentroxatine, 24 Smartrx Gaba Kit, 26
Serevent Diskus, 33 Smartrx Gaba-v Kit, 26
Safesnap Insulin Syringe/1ML/29G X 1/2", 40
Sernivo, 13 Sodium Bicarbonate, 19
Seroquel, 24 sodium chloride, 32
Safety Lancet 21G/Pressure Activated, 40
Seroquel XR, 24 Sodium Citrate, 22
Serostim, 17 sodium citrate/citric acid, 21
Safety Lancet 28G/Pressure Activated, 40
sertraline HCL, 23 Sodium Diuril, 9
Sevelamer Carbonate, 20 Sodium Edecrin, 9
Safety Lancets, 40
Sfrowasa, 20 sodium ferric gluconate complex/sucrose, 21
Safety Lancets 21G, 40
Shohls Solution Modified, 21
Safety Lancets 28G, 40
Shopko On-the-go Comfort Lancets 30G, 40
sodium hyaluronate, 13
Safety Let Lancets, 40
sodium phenylacetate/sodium benzoate, 18
Safety Seal Lancets 28G, 40
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40
Safety Seal Lancets 30G, 40
sodium phenylbutyrate, 18
Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40
sodium sulfacetamide, 11, 12, 27
sodium sulfacetamide wash, 12
Safyral, 16
Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40
sodium sulfacetamide/sulfur, 11
Saizen, 17
Sodium Sulfacetamide/Sulfur, 11
Saizen Click.easy, 17
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40
sodium sulfacetamide/sulfur cleanser, 11
Salagen, 23
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 11
Salex, 14
Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 40
Salex Cream, 14
sodium sulfacetamide/sulfur cleansing cloths, 11
Salex Lotion, 14
Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 40
salicylic acid, 13
sodium sulfacetamide/sulfur green, 11
Salicylic Acid, 14
Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 40
Sodium Sulfacetamide/Sulfur IN Urea, 11
salicylic acid cream, 13
sodium sulfacetamide/sulfur w/sunscreen, 11
salicylic acid ER, 13
Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 40
Salicylic Acid IN Ammonium Lactate Vehicle, 14
sodium sulfacetamide/sulfur wash, 11
Shopko Unilet Lancets Super Thin 30G, 40
Solaice, 14
salicylic acid lotion, 13
Soliris, 22
Salivamax, 23
Shopko Unilet Lancets Ultra Thin 28G, 40
Solodyn, 2
Salivate RX, 23
Soltamox, 5
salsalate, 29
Siderol, 35 Solu-cortef, 15
Salvax, 14
Signifor, 18 Solu-medrol, 15
Salvax Duo Plus, 14
Signifor Lar, 18 Solus V2 Pressure Activated Safety Lancets 28G, 40
Samsca, 18
Silazone Pharmapak, 13
Sancuso, 19
Silazone-II, 13 Solus V2 Twist Lancets 30G, 40
Sandimmune, 6
sildenafil, 10 Soma, 27
Sandostatin, 18
sildenafil citrate, 10 Somatuline Depot, 18
Sandostatin Lar Depot, 18
Silenor, 25 Somavert, 18
Saphris, 24
Simbrinza, 28 Sonata, 25
Sarafem, 26
Simcor, 10 Soolantra, 11
Savaysa, 22
Simponi, 30 Soothee, 14
Savella, 26
Simponi Aria, 30 Soriatane, 12
Savella Titration Pack, 26
Simulect, 6 Sorilux, 12
Scalacort DK, 13
simvastatin, 10 sotalol HCL, 7
Scar Patch, 14
Sinelee, 14 sotalol HCL (AF), 7
Scopolamine Hydrobromide, 19
Sinemet, 26 Sotalol Hydrochloride, 7
Seasonique, 16
Sotylize, 7
Sumaxin, 11 Synercid, 4
Sovaldi, 3
Sumaxin CP Kit, 11 Synjardy, 17
Spectracef, 1
Sumaxin Ts, 11 Synribo, 7
Spinosad, 14
Sumaxin Wash, 11 Synthroid, 18
Spiriva Handihaler, 33
Supartz, 27 Synvisc, 27
Spiriva Respimat, 33
Supartz Fx, 27 Synvisc One, 27
spironolactone, 9
Supervite, 35 T
spironolactone/hydrochlorothiazide, 9
Supervite EC, 35
Tabloid, 5
Sporanox, 3
Support-500, 35
Tabradol Fusepaq, 27
Sporanox Pulsepak, 3
Supprelin LA, 17
Tabradol Rapidpaq, 27
Spritam, 26
Supracil, 14
Taclonex, 13
Sprix, 31
Suprax, 1
tacrolimus, 6, 13
Sprycel, 6
Suprep Bowel Prep, 18
Tafinlar, 6
Stalevo 100, 26
Sure-fine Pen Needles 29GX1/2" 12.7MM, 40
Tagrisso, 6
Stalevo 125, 26
Taltz, 12
Stalevo 150, 26
Sure-fine Pen Needles 31GX3/16" 5MM, 40
Talwin, 30
Stalevo 200, 26
Tamiflu, 3
Stalevo 50, 26
Sure-fine Pen Needles 31GX5/16" 8MM, 40
tamoxifen citrate, 5
Stalevo 75, 26
tamsulosin HCL, 21
stannous fluoride oral rinse, 23
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Tandem F, 21
Starlix, 16
Tandem Plus, 22
stavudine, 3
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Tapazole, 18
Stavzor, 26
Tarceva, 6
Stelara, 12, 20
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Targadox, 2
Sterilance PA, 40
Targretin, 7
Sterilance TL, 40
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 40
Tarka, 9
Stimate, 18
Taron-bc, 34
Stiolto Respimat, 33
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Taron-c DHA, 34
Stivarga, 6
Tasigna, 6
Strattera, 25
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Tasmar, 26
Strazepam, 25
Taxotere, 6
Strensiq, 18
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Taytulla, 16
Streptomycin Sulfate, 2
Tazicef, 1
Striant, 15
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 40
Tazorac, 12
Stribild, 3
Tecentriq, 5
Striverdi Respimat, 33
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 40
Tecfidera, 26
Stromectol, 4
Tecfidera Starter Pack, 26
Strovite Forte, 35
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 40
Techlite AST Lancets, 40
Strovite One, 35
Techlite Lancets, 40
Stuart Prenatal, 34
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 40
Techlite Lancets 30G, 40
Suboxone, 29
Techlite Pen Needles/31G X 5MM, 40
Succinylcholine Chloride, 27
Sure-lance Flat Lancets, 40
Techlite Pen Needles/31G X 6 MM, 40
Suclear, 18
Sure-lance Lancets 26G, 40
Techlite Pen Needles/31G X 8MM, 40
Sucraid, 19
Sure-lance Thin Lancets 28G, 40
Techlite Pen Needles/32G X 4MM, 40
sucralfate, 19
Sure-lance Ultra Thin Lancets, 40
Techlite Pen Needles/32G X 8MM, 40
Sular, 8
Sure-touch Lancets Universal, 40
Technivie, 3
sulfacetamide sodium, 11, 27
Surelite Lancets, 40
Tegretol, 26
Sulfacetamide Sodium, 27
Surfaxin, 33
Tegretol-XR, 26
sulfacetamide sodium/prednisolone sodium phosphate, 28
Surmontil, 24
Tekamlo, 9
Survanta Intratracheal, 33
Tekturna, 8
sulfacetamide sodium/sulfur, 11
Sustiva, 3
Tekturna HCT, 9
sulfacetamide sodium/sulfur cleanser, 11
Sutent, 6
telmisartan, 8
Sulfadiazine, 2
Sylatron, 7
telmisartan/amlodipine, 9
sulfamethoxazole/trimethoprim, 4
Symax Duotab, 19
telmisartan/hydrochlorothiazide, 9
Sulfamethoxazole/Trimethoprim, 4
Symbicort, 33
temazepam, 24
sulfamethoxazole/trimethoprim DS, 4
Symbyax, 26
Temodar, 4
sulfasalazine, 20
Symlinpen 120, 16
Temovate, 13
Sulfoam, 11
Symlinpen 60, 16
Temovate E, 13
Sulfurated Lime, 14
Synagex, 35
temozolomide, 4
sulindac, 30
Synalar, 13
Tenex, 9
Sumadan Kit, 11
Synalar Cream Kit, 13
Teniposide, 6
Sumadan Wash, 11
Synalar Ointment Kit, 13
Tenivac, 33
Sumadan XLT, 11
Synalar Ts, 13
Tenoretic 100, 9
sumatriptan, 31
Synalgos-dc, 30
Tenoretic 50, 9
sumatriptan succinate, 31
Synapryn Fusepaq, 30
Tenormin, 7
Sumatriptan Succinate, 31
Synarel, 17
Terazol 3, 21
sumatriptan succinate refill, 31
Synatek, 35
Terazol 7, 21
Sumavel Dosepro, 31
Synera, 14
terazosin HCL, 8
terbinafine HCL, 2
Thyrolar-3, 18 tramadol hydrochloride/acetaminophen, 29
terbutaline sulfate, 33
tiagabine hydrochloride, 25
terconazole, 20
Tiazac, 8 Trandate, 7
Tersi Foam, 12
Ticaspray, 32 trandolapril, 8
Tessalon Perles, 32
Tice Bcg, 7 trandolapril/verapamil HCL, 9
Testone Cik, 15
ticlopidine HCL, 22 trandolapril/verapamil HCL ER, 9
Testopel, 15
Ticlopidine HCL, 22 tranexamic acid, 22
testosterone, 15
Tigan, 19 Transderm-scop, 19
Testosterone, 15
Tikosyn, 8 Tranxene T, 23
testosterone cypionate, 15
Timentin, 1 tranylcypromine sulfate, 23
testosterone enanthate, 15
Timolol Maleate, 7 Travatan Z, 28
Testred, 15
timolol maleate, 28 Travoprost, 28
Tetanus/Diphtheria Toxoids-adsorbed, 33
timolol maleate ophthalmic gel forming, 28
Trazamine, 24
trazodone HCL, 23
Tetanus/Diphtheria Toxoids-adsorbed Adult, 33
Timoptic, 28 Treanda, 4
Timoptic Ocudose, 28 Trecator, 2
tetrabenazine, 26
Timoptic-xe, 28 Trelstar, 5
tetracaine HCL, 28
Tindamax, 4 Trelstar Mixject, 5
Tetracaine HCL, 31
tinidazole, 4 Trepadiclofen-25, 31
Tetracycline HCL, 2
Tirosint, 18 Trepoxicam-7.5, 31
tetracycline hydrochloride, 2
Tisseel, 22 Tretin-x, 11
Tetrix, 14
Tisseel VH, 22 tretinoin, 6, 11
Teveten, 8
Tivicay, 3 Tretinoin, 11
Teveten HCT, 9
Tivorbex, 31 Tretinoin (all-trans Retinoic Acid), 11
Texacort, 13
Tizanidine Comfort PAC, 27 tretinoin microsphere, 11
Texavite LQ, 35
tizanidine HCL, 27 tretinoin microsphere P.M., 11
Thalomid, 6
TL G-FOL OS, 35 Trexall, 5
Theo-24, 33
TL Triseb, 12 Treximet, 31
theophylline, 33
Tnkase, 23 Trezix, 30
theophylline CR, 33
Tobradex, 28 Tri-norinyl 28, 16
theophylline ER, 33
Tobradex ST, 28 Tri-VI-flor, 34
Theophylline/D5W, 33
tobramycin, 2 Triamcinolone, 15
Therabenzaprine-60, 27
Tobramycin, 2 triamcinolone acetonide, 13, 23, 32
Therabenzaprine-90, 27
tobramycin sulfate, 2, 27 Triamcinolone Acetonide PF, 15
Therabenzaprine-90-5, 27
Tobramycin Sulfate, 2 triamcinolone IN orabase, 23
Theracodeine-300, 30
tobramycin/dexamethasone, 28 Triamcinolone PF, 15
Theracodophen-325, 30
Tobrex, 27 Triamcinolone/Lidocaine, 15
Theracys, 7
Tofranil, 24 Triamsil Combipak, 13
Therafeldamine, 31
Tofranil-PM, 24 triamterene/hydrochlorothiazide, 9
Theranatal Core Nutrition, 34
tolazamide, 16 Triamterene/Hydrochlorothiazide, 9
Therapentin-60, 26
Tolazamide, 16 Trianex, 13
Therapentin-90, 26
Tolbutamide, 16 triazolam, 24
Theraprofen-60, 31
tolcapone, 26 Triazolam, 24
Theraprofen-800, 31
tolmetin sodium, 30 Tribenzor, 9
Theraprofen-90, 31
Tolmetin Sodium, 30 Tricare Prenatal, 34
Theraproxen-500, 31
tolterodine tartrate, 20 Tricare Prenatal 1, 34
Theraproxen-60, 31
tolterodine tartrate ER, 20 Tricare Prenatal Compleat, 34
Theraproxen-90, 31
Topamax, 26 Tricare Prenatal DHA One, 34
Theratramadol-60, 30
Topamax Sprinkle, 26 tricitrates, 21
Theratramadol-90, 30
Topicort, 13 Tricor, 10
thiamine HCL, 34
topiramate, 25 Triderma Forte, 13
Thinlets GP Lancets, 40
Topiramate ER, 26 Triferic, 22
Thinlets Lancet, 40
topotecan HCL, 6 trifluoperazine HCL, 24
Thiola, 21
Topotecan HCL, 6 trifluridine, 27
thioridazine HCL, 24
Toprol XL, 7 Triglide, 10
Thiotepa, 5
Torisel, 6 trihexyphenidyl HCL, 26
thiothixene, 24
Toronova II Suik, 31 Trileptal, 26
Thrombin-jmi Diluent, 22
Toronova Suik, 31 Trilipix, 10
Thrombin-jmi Epistaxis, 22
torsemide, 9 Triloan II Suik, 15
Thrombin-jmi Syringe Spray Kit, 22
Torsemide, 9 Triloan Suik, 15
Thrombin-jmi W/Dil Spray P.M. Actuator, 22
Totect, 7 trimethobenzamide HCL, 19
Toujeo Solostar, 16 trimethoprim, 4
Thrombogen, 22
Toviaz, 20 trimethoprim sulfate/polymyxin b sulfate, 27
Thymoglobulin, 6
Tracleer, 10
Thyrolar-1, 18
Tradjenta, 17 trimipramine maleate, 23
Thyrolar-1/2, 18
tramadol HCL, 29 Trintellix, 24
Thyrolar-1/4, 18
tramadol HCL ER, 29 Triostat, 18
Thyrolar-2, 18
Tramadol HCL ER, 30 Trisenox, 7
Triseon, 11
Uloric, 31 5/16", 40
Triumeq, 3
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 40
Ulticare Micro Pen Needles 31G X 8MM, 40
Triveen-duo DHA, 35
Triveen-prx RNF, 35
Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 40
Ulticare Micro Pen Needles 32G X 4MM, 40
Trizivir, 3
Trokendi XR, 26
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 40
Ulticare Micro Pen Needles/32G X 4MM, 40
Tropazone, 14
trospium chloride, 20
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 40
Ulticare Mini Pen Needles 31GX6MM, 40
trospium chloride ER, 20
Ulticare Mini Pen Needles Ulti-fine IV, 40
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 40
Ulticare Mini Pen Needles/31G X 6MM, 40
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Ulticare Insulin Syringe/0.3ML/29G X 1/2", 40
Ulticare Mini Pen Needles31GX6MM, 41
Ulticare Original Pen Needles Ulti-fine, 41
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Ulticare Insulin Syringe/0.3ML/30G X 1/2", 40
Ulticare Pen Needles/29G X 12.7MM, 41
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 40
Ulticare Insulin Syringe/0.3ML/30G X 5/16", 40
Ulticare SHORT Pen Needles 31GX8MM, 41
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Ulticare Insulin Syringe/0.5ML/28G X 1/2", 40
Ulticare SHORT Pen Needles Ulti-fine IV, 41
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Ulticare Insulin Syringe/0.5ML/29G X 1/2", 40
Ulticare SHORT Pen Needles/31G X 8MM, 41
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Ulticare Insulin Syringe/0.5ML/30G X 1/2", 40
Ulticare Thin Lancets 30G, 41
Ulticare U-100 Insulin Syringes/0.3ML/31G X 1/4", 41
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 40
Ulticare Insulin Syringe/0.5ML/30G X 5/16", 40
Ulticare U-100 Insulin Syringes/0.3ML/31G X1/4", 41
Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 40
Ulticare Insulin Syringe/1ML/28G X 1/2", 40
Ulticare U-100 Insulin Syringes/0.5ML/31G X 1/4", 41
Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 40
Ulticare Insulin Syringe/1ML/29G X 1/2", 40
Ulticare U-100 Insulin Syringes/1ML/31G X 1/4", 41
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 40
Ulticare Insulin Syringe/1ML/30G X 1/2", 40
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 41
Trueplus Lancets 26G, 40
Ulticare Insulin Syringe/1ML/30G X 5/16", 40
Trueplus Lancets 28G, 40
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 41
Trueplus Lancets 28G Super Thin, 40
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40
Trueplus Lancets 30G, 40
Ultilet Classic Lancets, 41
Trueplus Lancets 30G Ultra Thin, 40
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 41
Trueplus Lancets 33G, 40
Trueplus Lancets 33G Micro Thin, 40
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 41
Trueplus Safety Lancets 28G, 40
Trulicity, 16
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 41
Trumenba, 34
Trusopt, 29
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 41
Truvada, 3
Turkel Paracentesis Procedure Tray/8french, 32
Ulticare Insulin Syringe/SHORT/1ML/31GX 5/16", 40
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 41
Tussicaps, 32
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 41
Tussionex Pennkinetic Extended Release, 32
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 40
Ultilet Lancets, 41
Tuzistra XR, 32
Ultilet Lancets 33G, 41
Twinrix, 34
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Ultilet Pen Needle 32GX4MM/SHORT, 41
Twynsta, 9
Tybost, 3
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 40
Ultilet Safety Lancets 23G, 41
Tygacil, 4
Ultilet SHORT Pen Needles 31GX5/16", 41
Tykerb, 6
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Tylenol/Codeine #3, 30
Ultilet SHORT Pen Needles31GX3/16", 41
Tylenol/Codeine #4, 30
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 40
Typhim VI, 34
Ultiva, 30
Tysabri, 26
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Ultra-thin II Auto Lancet, 41
Tyvaso, 10
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 41
Tyvaso Refill, 10
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 40
Tyvaso Starter, 10
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16", 41
Tyzeka, 3
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 40
Tyzine, 32
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16", 41
Tyzine Pediatric Nasal Drops, 32
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 40
U
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16", 41
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 40
Uceris, 15, 20
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 41
Udamin SP, 35
Ulticare Insulin Syringe/U-100/1ML/31G X
Ulesfia, 14
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 41
Unistik Safety Lancets 28G, 41 Vancomycin HCL IN Dextrose, 4
Unistik Safety Lancets 30G, 41 Vancomycin Hydrochloride, 4
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 41
Unistik Touch Safety Lancets 21G, 41 Vancomycin Hydrochloride/Dextrose, 4
Unistik Touch Safety Lancets 23G, 41 Vancomycin Hydrochloride/NACL, 4
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 41
Unistik Touch Safety Lancets 28G, 41 Vancomycin Hydrochloride/Sodium Chloride, 4
Unistik Touch Safety Lancets 30G, 41
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 41
Unituxin, 5 Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41
Univasc, 8
Ultra-thin II Lancets 28G, 41
Universal 1 Lancets Thin 26G, 41 Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41
Ultra-thin II Lancets 30G, 41
Universal 1 Lancets Ultra Thin 30G, 41
Ultra-thin II Mini Pen Neeedles/31GX3/16", 41
Uptravi, 10 Vanos, 13
Uramaxin, 14 Vanoxide-HC, 11
Ultra-thin II Pen Needles 29GX1/2", 41
Uramaxin GT, 14 Vantas, 5
Ultra-thin II Pen Needles/SHORT/31GX5/16", 41
Uramaxin GT Kit, 14 Vaprisol, 18
urea, 13 Vaqta, 34
Ultra-thin II Safety Autolancets 26G, 41
urea 40% nail film, 13 Varivax, 34
Ultracet, 30
urea IN zinc undecylenate/lactic acid vehicle, 13
Varubi, 19
Ultralance, 41
Vascepa, 10
Ultram, 30
urea topical, 13 Vaseretic, 9
Ultram ER, 30
Urecholine, 20 vasopressin, 18
Ultrasal-ER, 14
Uretron D/S, 20 Vasopressin/Sodium Chloride, 18
Ultravate, 13
Urimar-t, 20 Vasostrict, 18
Ultravate X, 13
Urocit-k 10, 21 Vasotec, 8
Umecta, 14
Urocit-k 15, 21 Vaxchora, 34
Umecta Nail Film, 14
Urocit-k 5, 21 Vazculep, 10
Umecta PD, 14
Urogesic-blue, 20 Vecamyl, 9
Unasyn, 1
Uroxatral, 21 Vectibix, 5
Unasyn Bulk Pack, 1
Urso 250, 20 Vectical, 12
Unifine Pentips 29GX12MM, 41
Urso Forte, 20 vecuronium bromide, 26
Unifine Pentips 31G X 3/16", 41
ursodiol, 20 Vecuronium Bromide, 27
Unifine Pentips 31G X 6MM, 41
Utibron Neohaler, 33 Vecuronium Bromide/Sodiumchloride, 27
Unifine Pentips 31G X 8MM, 41
Utopic, 14 Veinpuncture Px1 Phlebotomy System, 14
Unifine Pentips 31GX5MM, 41
Uvadex, 7
Unifine Pentips 31GX6MM, 41
V Velcade, 6
Unifine Pentips 31GX8MM, 41
Veletri, 10
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 41
Unifine Pentips 32GX4MM, 41
Velphoro, 20
Unifine Pentips Plus 29GX12MM, 41
Vemavite-prx 2, 35
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 41
Unifine Pentips Plus 31GX5MM, 41
Venipuncture Cpi, 14
Unifine Pentips Plus 31GX6MM, 41
venlafaxine HCL, 23
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 41
Unifine Pentips Plus 31GX8MM, 41
venlafaxine HCL ER, 23
Unilet Comfortouch Lancet, 41
Venlafaxine HCL ER, 23
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 41
Unilet Excelite, 41
Venofer, 22
Unilet Excelite II, 41
Ventavis, 10
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 41
Unilet G.p. Lancet, 41
Ventolin HFA, 33
Unilet G.p. Superlite Lancet, 41
Veramyst, 32
Vagifem, 21
Unilet GP 28 Ultra Thin, 41
verapamil HCL, 8
valacyclovir HCL, 3
Unilet Lancet, 41
verapamil HCL ER, 8
Valchlor, 5
Unilet Lancets Micro-thin33G, 41
verapamil HCL SR, 8
Valcyte, 3
Unilet Lancets Super-thin30G, 41
Verdeso, 13
valganciclovir, 3
Unilet Lancets Ultra-thin 28G, 41
Veregen, 14
valganciclovir hydrochlorde, 3
Unilet Superlite Lancet, 41
Verelan, 8
Validerm, 13
Unistik 1, 41
Verelan PM, 8
Valium, 23
Unistik 2, 41
Veripred 20, 15
valproate sodium, 25
Unistik 2 Comfort, 41
Verrunex, 14
valproic acid, 25
Unistik 2 Extra, 41
Versacloz, 24
valsartan, 8
Unistik 2 Neonatal, 41
Vesicare, 20
valsartan/hydrochlorothiazide, 9
Unistik 2 Normal, 41
Vexa, 14
Valtrex, 3
Unistik 2 Super, 41
Vexol, 28
Valumark Lancet Super Thin 30G, 41
Unistik 3, 41
Vfend, 3
Valumark Lancet Ultra Thin 28G, 41
Unistik 3 Comfort, 41
Vfend IV, 3
Valumark Pen Needles 29GX12MM, 41
Unistik 3 Extra, 41
Viagra, 10
Valumark Pen Needles 31G X 6MM, 41
Unistik 3 Extra Single Use Safety Lancets/21G, 41
Vibativ, 4
Valumark Pen Needles 31G X 8MM, 41
Viberzi, 20
Vanatol LQ, 29
Unistik 3 Gentle, 41
Vibramycin, 2
Vancocin HCL, 4
Unistik 3 Neonatal, 41
Vicoprofen, 30
Vancomycin, 4
Unistik 3 Normal, 41
Victoza, 16
vancomycin HCL, 4
Unistik CZT Comfort, 41
Victrelis, 3
Vancomycin HCL, 4
Unistik CZT Normal, 41
Vida Mia Unifine Pentips 32GX4MM, 41
Vancomycin HCL + Syrspendsf PH4, 4
Vida Mia Unifine Pentips Mini 31GX6MM, 41
Vopac, 12 Xylocaine/Epinephrine, 32
Vopac GB, 12 Xyntha, 23
Vida Mia Unifine Pentips Original 29GX12MM, 41
Vopac Kt, 12 Xyntha Solofuse, 23
Voraxaze, 7 Xyrem, 26
Vida Mia Unilet Lancets Super Thin 30G, 41
voriconazole, 2 Xyzal, 32
Vortex Valved Holding Chamber, 42 Y
Vida Mia Unilet Lancets Ultra Thin 28G, 41
Vosol HC, 29
Yasmin 28, 16
Vospire ER, 33
Yaz, 16
Vida Mia Unipfine Pentipsshort 31GX8MM, 41
Votrient, 6
Yervoy, 5
Vpriv, 22
Yf-vax, 34
Vidaza, 5
Vraylar, 24
Yodoxin, 4
Videx EC, 3
Vsl#3 DS, 19
Yondelis, 5
Videx Pediatric, 3
Vusion, 12
Your Life Multi Prenatal, 35
Viekira PAK, 3
Vytorin, 10
Z
Viekira XR, 3
Vyvanse, 25
Vigamox, 27
W
Zacare 4% Kit, 11
Viibryd, 24
Zacare 8% Kit, 11
W&f Lancets 26G, 41
Viibryd Starter Pack, 24
zafirlukast, 33
W&f Lancets Colored 21G, 41
Vimizim, 18
zaleplon, 24
Walgreens Lancets, 41
Vimpat, 26
Zaltrap, 5
Walgreens Thin Lancets, 41
Vinacal B, 34
Zamicet, 30
Walgreens Ultra Thin Lancets, 41
Vinate AZ Extra, 34
Zanaflex, 27
warfarin sodium, 22
Vinate Calcium, 34
Zanosar, 4
Watchhaler, 42
Vinate DHA RF, 34
Zantac, 19
Welchol, 10
Vinblastine Sulfate, 6
Zarontin, 26
Wellbutrin, 24
vincristine sulfate, 6
Zaroxolyn, 9
Wellbutrin SR, 24
vinorelbine tartrate, 6
Zarxio, 21
Wellbutrin XL, 24
Viracept, 3
Zatean-CH, 35
Westcort, 13
Viramune, 3
Zatean-pn, 35
Westhroid, 18
Viramune XR, 3
Zatean-pn DHA, 35
Wheat Germ, 34
Virasal, 14
Zatean-pn Plus, 35
Wilate, 22
Virazole, 3
Zavesca, 22
Wp Thyroid, 18
Viread, 3
Zebeta, 7
X
Viroptic, 27
Zecuity, 31
Vistaril, 23
Xalatan, 28 Zegerid, 19
Vistide, 3
Xalkori, 6 Zelapar, 26
Vita-pren, 34
Xanax, 23 Zelboraf, 6
Vitafol, 35
Xanax XR, 23 Zemaira, 33
Vitafol Fe+, 35
Xarelto, 22 Zembrace Symtouch, 31
Vitafol Gummies, 34
Xarelto Starter Pack, 22 Zemplar, 18
Vitafol Ultra, 35
Xartemis XR, 30 Zemuron, 27
Vitafol-nano, 34
Xeljanz, 31 Zenpep, 19
Vitafol-ob+dha, 35
Xeljanz XR, 31 Zenzedi, 25
Vitafol-one, 35
Xeloda, 5 Zepatier, 3
Vital-d RX, 35
Xenazine, 26 Zerbaxa, 4
Vitalet Pro Lancets, 41
Xeomin, 27 Zerit, 3
Vitalet Pro Plus Lancets, 41
Xerac Ac, 14 Zestoretic, 9
Vitamedmd One RX/Quatrefolic, 35
Xeralux, 14 Zestril, 8
Vitamedmd Plus RX/Quatre Folic, 35
Xerese, 12 Zetia, 10
Vitamedmd Redichew RX, 35
Xgeva, 17 Zetonna, 32
Vitamin A, 34
Xifaxan, 4 Zevalin Y-90, 5
vitamin c 222MG, 34
Xilapak, 13 Ziac, 9
vitamin d, 34
Xodol, 30 Ziagen, 3
vitamin k1, 34
Xofigo, 6 zidovudine, 3
Vitamin K1, 34
Xolair, 33 Zinacef, 1
Vitapearl, 35
Xolegel, 12 Zinbryta, 26
Vitaroca Plus, 35
Xolegel Corepak, 12 Zinecard, 7
Vitatrue, 35
Xolegel Duo/Head & Shoulders, 12 ziprasidone HCL, 24
Vitekta, 3
Xolegel Duo/Xolex, 12 Zipsor, 31
Vituz, 32
Xopenex, 33 Zirgan, 27
Viva DHA, 35
Xopenex Concentrate, 33 Zithranol, 12
Vivactil, 24
Xrylix, 12 Zithranol-rr, 12
Vivelle-dot, 15
Xtampza ER, 30 Zithromax, 2
Vivlodex, 31
Xtandi, 5 Zithromax Tri-PAK, 2
Vivotif, 34
Xuriden, 18 Zithromax Z-PAK, 2
Voltaren, 12
Xylocaine, 8, 14, 32 Zmax, 2
Voltaren-XR, 31
Xylocaine-mpf, 32 Zocor, 10
Voluven, 23
Xylocaine-mpf/Epinephrine, 32 Zofran, 19
Zofran Odt, 19
Zoladex, 5
Zolate, 22
zoledronic acid, 17
Zoledronic Acid, 17
Zolinza, 6
zolmitriptan, 31
zolmitriptan odt, 31
Zoloft, 24
zolpidem tartrate, 24
zolpidem tartrate ER, 24
Zolpimist, 25
Zometa, 17
Zomig, 31
Zomig Nasal Spray, 31
Zomig ZMT, 31
Zonalon, 12
Zonatuss, 32
Zonegran, 26
zonisamide, 25
Zontivity, 23
Zorbtive, 17
Zortress, 6
Zostavax, 34
Zosyn, 1
Zovia 1/50e, 16
Zovirax, 3, 12
Zubsolv, 29
Zuplenz, 19
Zutripro, 32
Zyclara, 13
Zyclara P.M., 13
Zydelig, 6
Zyflo, 33
Zyflo CR, 33
Zykadia, 6
Zylet, 28
Zyloprim, 31
Zymaxid, 27
Zyprexa, 24
Zyprexa Relprevv, 24
Zyprexa Zydis, 24
Zytiga, 5
Zyvodol, 12
Zyvox, 4
1
1ST Choice Lancets Super Thin, 41
1ST Choice Lancets Thin, 41
1ST Choice Lancets Ultra Thin, 41
1ST Tier Unifine Pentips 29GX12MM, 41
1ST Tier Unifine Pentips 31GX6MM, 41
1ST Tier Unifine Pentips 31GX8MM, 41
8
8-mop, 12