Premium-Value Formulary Reference Guide Formulary Reference Guide ... please visit your member...
Transcript of Premium-Value Formulary Reference Guide Formulary Reference Guide ... please visit your member...
Premium-Value 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-Value Formulary is a partially-closed formulary. The Premium-
Value 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-Value 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGAICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
cefprozil
cefuroxime axetil
cefuroxime sodium
PREFERRED
January 2016 Cefaclor
NON PREFERRED
ANTI-INFECTIVES Cefaclor ER
Cefotetan
PENICILLINS
Cefotetan/Dextrose
GENERIC
Cefoxitin Sodium
amoxicillin
Ceftin
amoxicillin/clavulanate potassium
Cefuroxime Sodium
amoxicillin/clavulanate potassium ER
Cefuroxime/Dextrose
ampicillin
Mefoxin
ampicillin sodium
Zinacef
ampicillin-sulbactam
THIRD GENERATION
dicloxacillin sodium
GENERIC
nafcillin sodium
cefdinir
oxacillin sodium
cefixime
penicillin v potassium
cefotaxime sodium
penicillin G potassium
cefpodoxime proxetil
piperacillin sodium/ tazobactam sodium
ceftazidime
piperacillin sodium/tazobactam sodium
ceftriaxone sodium
piperacillin/tazobactam
NON PREFERRED
Amoxicillin/Clavulanate Potassium
Cedax
PREFERRED
Cefditoren Pivoxil
Amoxicillin
Ceftazidime/Dextrose
Ampicillin
Ceftibuten
NON PREFERRED
Ceftriaxone IN Iso-osmotic Dextrose
Amoxicillin ER
Ceftriaxone Sodium
Ampicillin Sodium
Ceftriaxone/Dextrose
Ampicillin-sulbactam
Claforan
Augmentin
Claforan/D5W
Augmentin ES-600
Fortaz
Augmentin XR
Rocephin
Bactocill IN Dextrose
Spectracef
Bicillin C-R
Suprax
Bicillin L-a
Tazicef
Moxatag
FOURTH GENERATION
Nafcillin Sodium
GENERIC
Nallpen Iso-osmotic IN Dextrose
cefepime
Nallpen/Dextrose
NON PREFERRED
Penicillin G Potassium IN Iso-osmotic Dextrose
Cefepime
Penicillin G Procaine
Maxipime
Penicillin G Sodium
Pfizerpen-G
MACROLIDES
Timentin
GENERIC
Unasyn
azithromycin
Unasyn Bulk Pack
clarithromycin
Zosyn
clarithromycin ER
erythromycin
CEPHALOSPORIN
PREFERRED
FIRST GENERATION
E.e.s. 400
GENERIC
Erythromycin Base
cefadroxil
Erythromycin Ethylsuccinate
cefazolin sodium
NON PREFERRED
cephalexin
Azithromycin
PREFERRED
Biaxin
Cephalexin
Biaxin XL
NON PREFERRED
Biaxin XL PAC
Ancef
Dificid
Cefazolin
E.e.s. Granules
Cefazolin Sodium
Ery-TAB
Cefazolin Sodium/Dextrose
Eryped 200
Keflex
Eryped 400
SECOND GENERATION
Erythrocin Lactobionate
GENERIC
Erythrocin Stearate
cefaclor
PCE
cefoxitin sodium
Zithromax
Effective January 1, 2016 v.3 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.
1
Zithromax Tri-PAK paromomycin sulfate
Zithromax Z-PAK tobramycin
Zmax tobramycin sulfate
PREFERRED
TETRACYCLINES Bethkis
NON PREFERRED
GENERIC
Gentamicin Sulfate/0.9% Sodium Chloride
demeclocycline HCL
Isotonic Gentamicin
doxycycline
Streptomycin Sulfate
doxycycline hyclate
Tobramycin Sulfate/Sodium Chloride
doxycycline hyclate DR
doxycycline monohydrate
SULFONAMIDES
minocycline HCL
minocycline HCL ER PREFERRED
Tetracycline HCL Sulfadiazine
NON PREFERRED
Acticlate ANTIMYCOBACTERIAL AGENTS
Adoxa
GENERIC
Adoxa PAK 1/100
ethambutol HCL
Adoxa PAK 1/150
isoniazid
Adoxa PAK 2/100
pyrazinamide
Alodox Convenience Kit
rifabutin
Avidoxy DK
rifampin
Benzodox 30 Kit
NON PREFERRED
Benzodox 60 Kit
Capastat Sulfate
Doryx
Cycloserine
Minocin
Isoniazid
Minocin Kit
Myambutol
Monodox
Mycobutin
Morgidox 1X100MG
Paser
Morgidox 2X100MG
Priftin
Nicazeldoxy 30 Kit
Rifadin
Nicazeldoxy 60 Kit
Rifamate
Nutridox
Rifater
Ocudox
Sirturo
Solodyn
Trecator
Targadox
Vibramycin
ANTIFUNGALS
GENERIC
QUINOLONES
fluconazole
GENERIC
fluconazole IN dextrose
ciprofloxacin
fluconazole IN NACL
ciprofloxacin ER
flucytosine
ciprofloxacin HCL
griseofulvin microsize
ciprofloxacin I.V.-IN D5W
griseofulvin ultramicrosize
levofloxacin
itraconazole
levofloxacin IN D5W
ketoconazole
moxifloxacin HCL
nystatin
ofloxacin
terbinafine HCL
Ciprofloxacin HCL
voriconazole
Ofloxacin
NON PREFERRED
NON PREFERRED
Abelcet
Avelox
Ambisome
Avelox Abc Pack
Amphotec
Cipro
Amphotericin B
Cipro I.V.-IN D5W
Ancobon
Cipro XR
Cancidas
Factive
Cresemba
Levaquin
Diflucan
Moxifloxacin HCL
Eraxis
Noroxin
Fluconazole IN NACL
Grifulvin V
AMINOGLYCOSIDES
Gris-peg
GENERIC Lamisil
amikacin sulfate Mycamine
gentamicin sulfate Noxafil
gentamicin sulfate pediatric Onmel
gentamicin sulfate/0.9% sodium chloride Sporanox
isotonic gentamicin Sporanox Pulsepak
neomycin sulfate Terbinex
Effective January 1, 2016
2
Vfend Epivir
Vfend IV Epivir HBV
Famvir
ANTIVIRALS Flumadine
Foscavir
GENERIC
Hepsera
abacavir
Infergen
abacavir sulfate/lamivudine/zidovudine
Moderiba
acyclovir
Moderiba 1200 Dose Pack
acyclovir sodium
Moderiba 800 Dose Pack
adefovir dipivoxil
Olysio
cidofovir
Peg-intron
didanosine
Peg-intron Redipen
entecavir
Peg-intron Redipen PAK 4
famciclovir
Pegintron
ganciclovir
Rapivab
lamivudine
Rebetol
lamivudine/zidovudine
Relenza Diskhaler
nevirapine
Retrovir
nevirapine ER
Ribasphere
ribavirin
Ribasphere Ribapak
rimantadine HCL
Rimantalist
stavudine
Sitavig
valacyclovir HCL
Tamiflu
valganciclovir
Trizivir
zidovudine
Tyzeka
PREFERRED
Valcyte
Aptivus
Valtrex
Atripla
Victrelis
Complera
Videx EC
Crixivan
Viekira PAK
Edurant
Viramune
Emtriva
Viramune XR
Epzicom
Virazole
Evotaz
Vistide
Fuzeon
Zerit
Harvoni
Ziagen
Intelence
Zovirax
Invirase
Isentress
ANTIMALARIALS
Kaletra
Lexiva GENERIC
Nevirapine atovaquone/proguanil HCL
Norvir chloroquine phosphate
Pegasys hydroxychloroquine sulfate
Pegasys Proclick mefloquine HCL
Prezcobix quinine sulfate
Prezista Primaquine Phosphate
Rescriptor PREFERRED
Retrovir IV Infusion Daraprim
Reyataz NON PREFERRED
Ribatab Aralen
Selzentry Coartem
Sovaldi Malarone
Stribild Plaquenil
Sustiva Qualaquin
Tivicay
Triumeq AMEBICIDES
Truvada
PREFERRED
Tybost
Yodoxin
Videx Pediatric
Viracept
ANTHELMINTICS
Viread
GENERIC
Vitekta
ivermectin
NON PREFERRED
PREFERRED
Acyclovir Sodium
Biltricide
Baraclude
NON PREFERRED
Combivir
Albenza
Copegus
Stromectol
Cytovene
Effective January 1, 2016
3
MISC. ANTI-INFECTIVES Vancocin HCL
Vancomycin HCL
GENERIC
Vancomycin HCL + Syrspendsf PH4
atovaquone
Vancomycin HCL IN Dextrose
aztreonam
Vibativ
bacitracin
Xifaxan
clindamycin palmitate HCL
Zerbaxa
clindamycin phosphate
Zyvox
clindamycin phosphate add-vantage
clindamycin phosphate pharmacy bulk package
ANTINEOPLASTICS, ETC
clindamycin phosphate IN D5W
clindamycin HCL
ALKYLATING AGENTS
colistimethate sodium
GENERIC
imipenem/cilastatin
carboplatin
linezolid
cisplatin
meropenem
cyclophosphamide
metronidazole
ifosfamide
metronidazole IN NACL 0.79%
melphalan hydrochloride
polymyxin b sulfate
oxaliplatin
sulfamethoxazole/trimethoprim
temozolomide
sulfamethoxazole/trimethoprim DS
Lomustine
tinidazole
PREFERRED
trimethoprim
Alkeran
vancomycin HCL
Bicnu
Dapsone
Busulfex
PREFERRED
Hexalen
Alinia
Leukeran
Nebupent
Mustargen
NON PREFERRED
Myleran
Avycaz
Treanda
Azactam
Zanosar
Azactam IN Iso-osmotic Dextrose
NON PREFERRED
Bacitracin
Cisplatin
Bactrim
Cyclophosphamide
Bactrim DS
Eloxatin
Cayston
Gleostine
Chloramphenicol Sodium Succinate
Gliadel Wafer
Cleocin
Ifex
Cleocin IN D5W
Ifosfamide
Cleocin Pediatric Granules
Temodar
Cleocin Phosphate
Thiotepa
Clin Single Use Kit
Valchlor
Clindamycin Phosphate
Coly-mycin M
ANTIBIOTICS
Cubicin
GENERIC
Dalvance
bleomycin sulfate
Doribax
daunorubicin HCL
First-vancomycin 25
doxorubicin HCL
First-vancomycin 50
doxorubicin HCL liposome
Flagyl
epirubicin HCL
Flagyl ER
idarubicin HCL
Invanz
mitomycin
Ketek
mitoxantrone HCL
Lincocin
Doxorubicin HCL
Lincomycin/Lidocaine
Mitomycin
Mepron
PREFERRED
Meropenem/Sodium Chloride
Daunoxome
Merrem
NON PREFERRED
Metro IV
Adriamycin
Neutrexin
Cosmegen
Orbactiv
Doxil
Pentam 300
Ellence
Primaxin IV
Epirubicin HCL
Primaxin IV Add-vantage
Idamycin PFS
Primsol
Sivextro
ANTINEOPLASTIC ENZYMES
Sulfamethoxazole/Trimethoprim
PREFERRED
Synercid
Oncaspar
Tindamax
NON PREFERRED
Tygacil
Erwinaze
Effective January 1, 2016
4
ANTIMETABOLITES leuprolide acetate
megestrol acetate
GENERIC
tamoxifen citrate
azacitidine
PREFERRED
capecitabine
Eligard
cladribine
Emcyt
cytarabine
Fareston
cytarabine aqueous
Faslodex
decitabine
Lupron Depot
floxuridine
Lysodren
fludarabine phosphate
Nilandron
fluorouracil
Zoladex
gemcitabine HCL
NON PREFERRED
mercaptopurine
Arimidex
methotrexate
Aromasin
methotrexate sodium
Casodex
Floxuridine
Depo-provera
PREFERRED
Femara
Alimta
Firmagon
Arranon
Megace Oral
Clolar
Soltamox
Folotyn
Trelstar
Tabloid
Trelstar Mixject
NON PREFERRED
Vantas
Cytarabine
Xtandi
Dacogen
Zytiga
Fludara
Fludarabine Phosphate
IMMUNOMODULATORS
Gemcitabine
Gemzar GENERIC
Purinethol azathioprine
Purixan cyclosporine
Trexall cyclosporine modified
Vidaza mycophenolate mofetil
Xeloda mycophenolic acid DR
sirolimus
ANGIOGENESIS INHIBITORS tacrolimus
PREFERRED
PREFERRED
Atgam
Avastin
Cellcept Intravenous
Zaltrap
Cyclosporine Modified
NON PREFERRED
Thalomid
Cyramza
NON PREFERRED
Astagraf XL
ANTIBODIES
Azasan
PREFERRED
Cellcept
Adcetris
Envarsus XR
Arzerra
Imuran
Bexxar
Myfortic
Erbitux
Neoral
Herceptin
Nulojix
Perjeta
Pomalyst
Yervoy
Prograf
NON PREFERRED
Rapamune
Blincyto
Revlimid
Gazyva
Sandimmune
Kadcyla
Simulect
Keytruda
Thymoglobulin
Opdivo
Zortress
Portrazza
Rituxan
MITOTIC INHIBITORS
Vectibix
GENERIC
Zevalin Y-90
docetaxel
etoposide
HORMONAL AGENTS
paclitaxel
GENERIC
vincristine sulfate
anastrozole
vinorelbine tartrate
bicalutamide
PREFERRED
exemestane
Abraxane
flutamide
Etoposide
letrozole
Effective January 1, 2016
5
Halaven PREFERRED
Ixempra Kit Bexxar 131 Iodine
Jevtana Xofigo
NON PREFERRED NON PREFERRED
Docefrez Metastron
Docetaxel Quadramet
Etopophos
Marqibo CELLULAR IMMUNOTHERAPY
Navelbine
PREFERRED
Paclitaxel
Provenge
Taxotere
Teniposide
ANTINEOPLASTICS MISC.
Vinblastine Sulfate
GENERIC
bexarotene
ENZYME INHIBITORS
dacarbazine
PREFERRED
hydroxyurea
Afinitor
tretinoin
Caprelsa
PREFERRED
Gleevec
Actimmune
Istodax
Alferon N
Jakafi
Matulane
Kyprolis
Proleukin
Mekinist
Theracys
Nexavar
Tice Bcg
Tafinlar
Trisenox
Tasigna
NON PREFERRED
Torisel
Dacarbazine
Tykerb
Hydrea
Velcade
Intron A
Xalkori
Intron A W/Diluent
Zolinza
Nipent
NON PREFERRED
Photofrin
Afinitor Disperz
Sylatron
Beleodaq
Synribo
Bosulif
Targretin
Cometriq
Uvadex
Farydak
Gilotrif
CHEMOTHERAPY RESCUE
Ibrance
GENERIC
Iclusig
amifostine
Imbruvica
dexrazoxane
Inlyta
leucovorin calcium
Iressa
levoleucovorin
Lenvima 10MG Daily Dose
levoleucovorin calcium
Lenvima 14MG Daily Dose
mesna
Lenvima 20MG Daily Dose
PREFERRED
Lenvima 24MG Daily Dose
Leucovorin Calcium
Lynparza
NON PREFERRED
Sprycel
Calcium Folinate
Stivarga
Ethyol
Sutent
Fusilev
Tarceva
Levoleucovorin
Votrient
Mesnex
Zelboraf
Totect
Zydelig
Voraxaze
Zykadia
Zinecard
TOPOISOMERASE I INHIBITOR
CHEMOTHERAPY ADJUNCTS
GENERIC
PREFERRED
irinotecan
Kepivance
topotecan HCL
NON PREFERRED
NON PREFERRED
Elitek
Camptosar
Hycamtin
CARDIOVASCULAR DRUGS
Irinotecan
PHOSPHODIESTERASE INHBTR
Topotecan HCL
GENERIC
milrinone lactate
RADIOPHARMACEUTICALS
milrinone IN dextrose
Effective January 1, 2016
6
CARDIAC GLYCOSIDES Innopran XL
Kerlone
GENERIC
Levatol
digoxin
Lopressor
PREFERRED
Sectral
Lanoxin
Sotalol Hydrochloride
NON PREFERRED
Sotylize
Digoxin
Tenormin
Lanoxin Pediatric
Toprol XL
Trandate
ANTIANGINAL AGENTS
Zebeta
GENERIC
isosorbide dinitrate
CALCIUM CHANNEL BLOCKERS
isosorbide mononitrate
GENERIC
isosorbide mononitrate ER
amlodipine besylate
nitroglycerin lingual
diltiazem CD
nitroglycerin transdermal
diltiazem HCL
nitroglycerin ER
diltiazem HCL ER
nitroglycerin IN dextrose 5%
felodipine ER
nitroglycerin IN 5% dextrose
isradipine
Isosorbide Dinitrate
nicardipine HCL
Nitroglycerin Lingual
nifedipine
PREFERRED
nifedipine ER
Dilatrate SR
nimodipine
Isosorbide Dinitrate ER
nisoldipine
Nitro-bid
verapamil HCL
Nitro-dur
verapamil HCL ER
Nitrostat
verapamil HCL SR
Ranexa
NON PREFERRED
NON PREFERRED
Adalat CC
Imdur
Calan
Isordil Titradose
Calan SR
Nitroglycerin
Cardene I.v.
Nitroglycerin IN Dextrose 5%
Cardene IV
Nitrolingual Pumpspray
Cardene SR
Nitromist
Cardizem
Nitronal
Cardizem CD
Cardizem LA
BETA BLOCKERS
Cleviprex
GENERIC
Dilacor XR
acebutolol HCL
Diltiazem HCL
atenolol
Hypertenipine-2.5
betaxolol HCL
Nisoldipine
bisoprolol fumarate
Nisoldipine ER
carvedilol
Norvasc
esmolol HCL
Nymalize
labetalol HCL
Procardia
metoprolol succinate ER
Procardia XL
metoprolol tartrate
Sular
nadolol
Tiazac
pindolol
Verelan
propranolol HCL
Verelan PM
propranolol HCL ER
sotalol HCL
ANTIARRHYTHMICS
sotalol HCL (AF)
GENERIC
PREFERRED
adenosine
Bystolic
amiodarone HCL
Propranolol HCL
disopyramide phosphate
Timolol Maleate
flecainide acetate
NON PREFERRED
ibutilide fumarate
Betapace
lidocaine HCL
Betapace AF
lidocaine HCL IN D5W
Brevibloc
lidocaine HCL/dextrose
Coreg
mexiletine HCL
Coreg CR
propafenone HCL
Corgard
propafenone HCL ER
Hemangeol
quinidine gluconate CR
Hypertenevide-12.5
quinidine gluconate ER
Inderal LA
quinidine sulfate
Inderal XL
Effective January 1, 2016
7
PREFERRED ANTIHYPERTENSIVES MISC.
Norpace CR
GENERIC
Quinidine Sulfate
clonidine HCL
Quinidine Sulfate ER
doxazosin
NON PREFERRED
doxazosin mesylate
Adenocard
eplerenone
Amiodarone HCL
fenoldopam mesylate
Cordarone
guanfacine HCL
Corvert
hydralazine HCL
Lidocaine HCL
methyldopa
Multaq
minoxidil
Nexterone
phenoxybenzamine hydrochloride
Norpace
prazosin HCL
Procainamide HCL
terazosin HCL
Quinidine Gluconate
PREFERRED
Rythmol
Reserpine
Rythmol SR
NON PREFERRED
Tikosyn
Cardura
Xylocaine
Catapres
Catapres-tts-1
ACE INHIBITORS
Catapres-tts-2
GENERIC Catapres-tts-3
benazepril HCL Corlopam
captopril Demser
enalapril maleate Dibenzyline
enalaprilat Inspra
fosinopril sodium Methyldopate HCL
lisinopril Minipress
moexipril HCL Nitropress
perindopril erbumine Phentolamine Mesylate
quinapril HCL Tenex
ramipril Vecamyl
trandolapril
NON PREFERRED ANTIHYPERTENSIVE COMBO
Accupril
GENERIC
Aceon
amlodipine besylate/benazepril hydrochloride
Altace
amlodipine besylate/benazepril HCL
Epaned
amlodipine besylate/valsartan
Lotensin
amlodipine/valsartan/hctz
Mavik
atenolol/chlorthalidone
Prinivil
benazepril HCL/hydrochlorothiazide
Univasc
bisoprolol fumarate/hydrochlorothiazide
Vasotec
candesartan cilexetil/hydrochlorothiazide
Zestril
enalapril maleate/hydrochlorothiazide
fosinopril sodium/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER
irbesartan/hydrochlorothiazide
GENERIC lisinopril/hydrochlorothiazide
candesartan cilexetil losartan potassium/hydrochlorothiazide
irbesartan metoprolol/hydrochlorothiazide
losartan potassium moexipril/hydrochlorothiazide
telmisartan nadolol/bendroflumethiazide
valsartan quinapril/hydrochlorothiazide
Eprosartan Mesylate telmisartan/amlodipine
PREFERRED telmisartan/hydrochlorothiazide
Benicar trandolapril/verapamil HCL
NON PREFERRED trandolapril/verapamil HCL ER
Atacand valsartan/hydrochlorothiazide
Avapro PREFERRED
Cozaar Azor
Diovan Benicar HCT
Edarbi Captopril/Hydrochlorothiazide
Micardis Dutoprol
Teveten Methyldopa/Hydrochlorothiazide
Propranolol/Hydrochlorothiazide
DIRECT RENIN INHIBITORS Tekturna HCT
Tribenzor
PREFERRED
NON PREFERRED
Tekturna
Accuretic
Amturnide
Effective January 1, 2016
8
Atacand HCT Maxzide-25
Avalide Microzide
Clorpres Neptazane
Corzide Sodium Diuril
Diovan HCT Sodium Edecrin
Edarbyclor Torsemide
Exforge Zaroxolyn
Exforge HCT
Hypertensolol VASOPRESSORS
Hyzaar
GENERIC
Lopressor HCT
dobutamine HCL
Lotensin HCT
dobutamine HCL/D5W
Lotrel
dobutamine/dextrose 5%
Lytensopril Kit
dopamine HCL
Lytensopril-90
dopamine HCL-dextrose 5%
Lytensopril-90 Kit
dopamine HCL/dextrose 5%
Micardis HCT
dopamine/D5W
Prestalia
ephedrine sulfate
Tarka
midodrine HCL
Tekamlo
norepinephrine bitartrate
Tenoretic 100
phenylephrine HCL
Tenoretic 50
PREFERRED
Teveten HCT
Epipen 2-PAK
Twynsta
Epipen-JR 2-PAK
Uniretic
NON PREFERRED
Vaseretic
Adrenalin
Zestoretic
Dobutamine/Dextrose 5%
Ziac
Dopamine HCL
Ephedrine Sulfate/Sodium Chloride
DIURETICS
Epinephrine
GENERIC Epinephrine HCL
acetazolamide Episnap
acetazolamide sodium Levophed
acetazolamide ER Northera
amiloride HCL Phenylephrine HCL
amiloride/hydrochlorothiazide Phenylephrine HCL/Sodium Chloride
bumetanide Vazculep
chlorothiazide
chlorothiazide sodium ANTIHYPERLIPIDEMICS
furosemide
GENERIC
hydrochlorothiazide
atorvastatin calcium
indapamide
cholestyramine
mannitol
cholestyramine light
methazolamide
colestipol HCL
metolazone
colestipol HCL for oral suspension
spironolactone
fenofibrate
spironolactone/hydrochlorothiazide
fenofibrate micronized
torsemide
fenofibric acid DR
triamterene/hydrochlorothiazide
fluvastatin
Acetazolamide
fluvastatin sodium ER
Chlorothiazide
gemfibrozil
Chlorthalidone
lovastatin
Triamterene/Hydrochlorothiazide
niacin ER
PREFERRED
omega-3-acid ethyl esters
Furosemide
pravastatin sodium
Methyclothiazide
simvastatin
NON PREFERRED
Fenofibric Acid
Aldactazide
PREFERRED
Aldactone
Crestor
Bumex
Fibricor
Demadex
Lipofen
Diamox
Niacor
Diuril
Praluent
Dyazide
Simcor
Dyrenium
Vascepa
Edecrin
Welchol
Ethacrynate Sodium
NON PREFERRED
Lasix
Advicor
Maxzide
Antara
Effective January 1, 2016
9
Colestid sodium sulfacetamide/sulfur wash
Colestid Flavored sulfacetamide sodium
Fenofibrate sulfacetamide sodium/sulfur cleanser
Fenoglide tretinoin
Juxtapid tretinoin microsphere
Kynamro tretinoin microsphere P.M.
Lescol XL PREFERRED
Lofibra Benzamycinpak
Lopid Clindagel
Lovaza Retinoic Acid
Niaspan Retinoic Acid-all Trans
Omega-3/D-3 Wellness Pack Tretinoin
Questran Tretinoin (all-trans Retinoic Acid)
Questran Light NON PREFERRED
Repatha Absorica
Repatha Sureclick Acanya
Tricor Aczone
Triglide Adapalene
Trilipix Akne-mycin
Zetia Atralin
Avar
CARDIOVASCULAR - MISC. Avar LS
Avar LS Cleanser
GENERIC
Avar-e LS
amlodipine besylate/atorvastatin calcium
Azelex
epoprostenol sodium
Benzac Ac Wash
papaverine HCL
Benzac W Wash
sildenafil
Benzaclin
sildenafil citrate
Benzaclin With P.M.
PREFERRED
Benzamycin
Adempas
Benzefoam
Cialis
Benzefoamultra
Isoxsuprine HCL
Benziq
Letairis
Benziq LS
Opsumit
Clarifoam EF
Remodulin
Cleocin-t
Stendra
Clindacin Etz
Tracleer
Clindacin PAC
Veletri
Clindap-t
NON PREFERRED
Clinoin
Adcirca
Dermapak Plus
Bidil
Differin
Caduet
Duac
Corlanor
Epiduo
Flolan
Epiduo Forte
Muse
Erygel
Natrecor
Evoclin
Orenitram
Fabior
Revatio
Inova
Tyvaso
Inova 4/1 Acne Control Therapy
Tyvaso Refill
Inova 8/2 Acne Control Therapy
Tyvaso Starter
Klaron
Ventavis
Neuac Kit
Nuox
DERMATOLOGICALS
Onexton
ACNE PRODUCTS
Plexion
GENERIC
Plexion Cleanser
adapalene
Plexion Cleansing Cloths
benzoyl peroxide
Prascion Ra With Sunscreens
benzoyl peroxide SHORT contact
Retin-a
clindamycin phosphate
Retin-a Micro
clindamycin/benzoyl peroxide
Retin-a Micro P.M.
erythromycin
Riax
erythromycin/benzoyl peroxide
Rosanil
sodium sulfacetamide
Rosula
sodium sulfacetamide/sulfur
Sodium Sulfacetamide/Sulfur
sodium sulfacetamide/sulfur cleanser
Sodium Sulfacetamide/Sulfur Cleanser IN Urea
sodium sulfacetamide/sulfur cleansing cloths
Sodium Sulfacetamide/Sulfur IN Urea
sodium sulfacetamide/sulfur green
Sulfoam
sodium sulfacetamide/sulfur w/sunscreen
Sumadan Kit
Effective January 1, 2016
10
Sumadan Wash Ecoza
Sumadan XLT Ertaczo
Sumaxin Exelderm
Sumaxin CP Kit Extina
Sumaxin Ts Halotin
Sumaxin Wash Jublia
Tretin-x Kerydin
Triseon Ketodan Kit
Vanoxide-HC Lamisil Spray
Veltin Loprox
Zacare 4% Kit Loprox Shampoo
Zacare 8% Kit Lotrisone
Ziana Luzu
Mentax
ROSACEA AGENTS Naftifine HCL
Naftin
GENERIC
Nizoral
metronidazole
Oxistat
Doxycycline
Pediaderm AF Complete Kit
PREFERRED
Pedipirox-4 Nail
Finacea
Penlac Nail Lacquer
NON PREFERRED
Recura
Metrocream
Vusion
Metrogel
Xolegel
Metrolotion
Xolegel Corepak
Mirvaso
Xolegel Duo/Head & Shoulders
Noritate
Xolegel Duo/Xolex
Oracea
Rosadan Kit
ANTIVIRALS - TOPICAL
Soolantra
GENERIC
ANALGESICS - TOPICAL acyclovir
NON PREFERRED
NON PREFERRED
Denavir
A.a.g.c. Kit IN Teroderm
Lidovir
Baclofen
Xerese
Equipto-baclofen
Zovirax
ANTIBIOTICS - TOPICAL
ANTIHISTAMINES-TOPICAL
GENERIC
NON PREFERRED
mupirocin
Allo-pax
mupirocin calcium
Nazirex
PREFERRED
Gentamicin Sulfate
ANTI-INFLAMMATORY AGENTS
NON PREFERRED
Altabax GENERIC
Bactroban diclofenac sodium
Centany AT PREFERRED
Cortisporin Voltaren
Neo-synalar NON PREFERRED
Neo-synalar Kit Dermacinrx Lexitral Pharmapak
Dipentocaine
ANTIFUNGALS - TOPICAL Dsg PAK
Emvoren
GENERIC
Equipto-naproxen
ciclopirox
Extardol
ciclopirox nail lacquer
Flector
ciclopirox olamine
Innoprax-5
clotrimazole
K.b.g.l. IN Teroderm Cream
clotrimazole/betamethasone dipropionate
Ketorolac 2% Gel
econazole nitrate
Lidoprofen
ketoconazole
Novoclair
nystatin
Nuvya
nystatin/triamcinolone
Pennsaid
PREFERRED
Vopac
Ala-quin
Vopac GB
Exoderm
Vopac Kt
NON PREFERRED
Zyvodol
Ciclodan Cream Kit
Ciclodan Solution Kit
ANTIPRURITICS
Ciclopirox Topical Solution Kit
Cnl8 Nail Kit
Effective January 1, 2016
11
NON PREFERRED mometasone furoate
Prudoxin prednicarbate
Zonalon triamcinolone acetonide
Amcinonide
ANTIPSORIATICS Desoximetasone
Diflorasone Diacetate
GENERIC
PREFERRED
acitretin
Pramosone
calcipotriene
Triamcinolone Acetonide
methoxsalen
NON PREFERRED
Calcitriol
Aclovate
PREFERRED
Advanced Allergy Collection Kit
Anthralin
Ala Scalp
Dritho-creme HP
Capex
Stelara
Carmol-HC
Vectical
Clobex
NON PREFERRED
Clocortolone Pivalate
Cosentyx
Clocortolone Pivalate P.M.
Cosentyx Sensoready Pen
Clodan Kit
Dovonex
Cloderm
Oxsoralen Ultra
Cloderm P.M.
Soriatane
Cordran
Sorilux
Cordran Tape
Tazorac
Cortalo
Zithranol
Cutivate
Zithranol-rr
Derma Silkrx Sds PAK
8-mop
Derma-smoothe/FS Body
Derma-smoothe/FS Scalp
ANTISEBORRHEIC AGENTS
Dermasorb HC
GENERIC
Dermasorb Ta
selenium sulfide
Dermatop
sodium sulfacetamide
Desonate
sodium sulfacetamide wash
Desowen
PREFERRED
Desowen Cream/Cetaphil Lotion
Seb-prev
Desowen Lotion/Cetaphil Cream
NON PREFERRED
Desowen Ointment/Cetaphil Lotion
Glycolic Acid
Diprolene
Glycolic Acid 70% High Purity
Diprolene AF
Ovace Plus
Elocon
Ovace Plus Wash
Epifoam
Ovace Wash
First-hydrocortisone
Promiseb
Halog
Promiseb Complete
Halonate
Selrx
Kenalog
Tersi Foam
Locoid
TL Triseb
Locoid Lipocream
Luxiq
CORTICOSTEROIDS - TOPICAL
Nucort
GENERIC
Nuzon
alclometasone dipropionate
Olux
augmented betamethasone dipropionate
Olux-e
betamethasone dipropionate
Pandel
betamethasone valerate
Pediaderm HC
calcipotriene/betamethasone dipropionate
Pediaderm Ta
clobetasol propionate
Scalacort DK
clobetasol propionate emollient
Silazone Pharmapak
desonide
Synalar
desoximetasone
Synalar Cream Kit
fluocinolone acetonide
Synalar Ointment Kit
fluocinonide
Synalar Ts
fluocinonide-e
Taclonex
fluticasone propionate
Temovate
halobetasol propionate
Temovate E
hydrocortisone
Texacort
hydrocortisone acetate/aloe
Topicort
hydrocortisone butyrate
Triamsil Combipak
hydrocortisone butyrate (lipid)
Trianex
hydrocortisone butyrate (lipophilic)
Triderma Forte
hydrocortisone valerate
Ultravate
hydrocortisone IN absorbase
Ultravate PAC
Effective January 1, 2016
12
Ultravate X Elimite
Validerm Emla
Vanos Emulsion SB
Verdeso Epiceram
Westcort Ethyl Chloride
Ethyl Chloride/Fine Pinpoint
IMMUNOMODULATING AGENTS Ethyl Chloride/Fine Stream
Ethyl Chloride/Medium Jet Stream
GENERIC
Ethyl Chloride/Medium Stream
imiquimod
Ethyl Chloride/Mist
tacrolimus
Gebauers Pain Ease
PREFERRED
Gebauers Spray And Stretch
Elidel
Genadur
NON PREFERRED
Genadur Kit
Aldara
Gordofilm
Protopic
Gordons Urea
Zyclara
Hydro 35
Zyclara P.M.
Hydro 40 Foam
Hylatopic
DERMATOLOGICALS - MISC.
Hylatopic Plus
GENERIC
Hylira
ammonium lactate
HPR
episone CRE
HPR Plus
lactic acid
HPR Plus Hydrogel Kit
lactic acid e
HPR Plus/Mb Hydrogel
lactic acid w/vitamin e
Kerafoam
lidocaine
Kerafoam 42
lidocaine HCL
Keralac
lidocaine HCL jelly
Keralyt
lidocaine/prilocaine
Keralyt Scalp
lindane
Lac-hydrin
malathion
Latrix XM
permethrin
Ldo Plus
podofilox
Lidocaine And Tetracaine Cream
salicylic acid
Lidocaine HCL
salicylic acid cream
Lidoderm
salicylic acid lotion
Lidothol
sodium hyaluronate
Lycelle
urea
Mb Hydrogel
urea topical
Medi-derm/L-RX
urea IN zinc undecylenate/lactic acid vehicle
Megrix
urea 40% nail film
Natroba
PREFERRED
Neosalus
Drysol
Neosalus CP
Eurax
Neuvaxin
NON PREFERRED
Nivatopic Plus
Acuicyn Daily Eyelid & Eyelash Cleanser
Nuvail
Alevicyn Antipruritic SG
Ovide
Aluvea
Oxsoralen
Anacaine
Pharmacist Choice Tsx Patch
Arnica Flower
Pliaglis
Atopiclair
Pr Cream
Aurstat Anti-itch Hydrogel
Presera
Aurstat Anti-itch Hydrogel Kit
Pruclair
Avenova
Prumyx
Benzoin Compound Tincture
Pyrogallic Acid
Benzoin Tincture
Qutenza
Boric Acid
Relyyks
Capsiderm
Relyyt
Clever Choice Comfort EZ Patch
Salex
Coal TAR
Salex Cream
Cocaine HCL
Salex Lotion
Condylox
Salicylic Acid
Copasil
Salicylic Acid IN Ammonium Lactate Vehicle
Dermacinrx Duopatch Pharmapak
Salkera
Dermacinrx Neurotral Pharmapak
Salvax
Dermacinrx Surgical Pharmapak
Salvax Duo Plus
Dermasorb XM
Scar Patch
Eletone
Sinelee
Eletone Twinpack
Sklice
Effective January 1, 2016
13
Solaice Dyural-80
Soothee Entocort EC
Spinosad FLO-pred
Sulfurated Lime Interarticular Joint Kit
Supracil Kenalog-10
Synera Kenalog-40
Tetrix K10-lido
Tropazone K40-lido
Ulesfia LT Injection Kit
Ultrasal-ER Marbeta-l
Umecta Marbeta-25
Umecta Nail Film Mardex-25
Umecta PD Medrol Dosepak
Uramaxin Methylprednisolone
Uramaxin GT Methylprednisolone PF
Uramaxin GT Kit Methylprednisolone/Lidocaine
Utopic Millipred DP
Veregen Mlk F4 Kit
Verrunex Orapred
Vexa Orapred Odt
Virasal Pediapred
Xerac Ac Prednisolone Sodium Phosphate
Xylocaine Pro-c-dure 1 Kit
Pro-c-dure 2 Kit
ENDOCRINE AND METABOLIC Pro-c-dure 3 Kit
Pro-c-dure 4 Kit
CORTICOSTEROIDS
Pro-c-dure 5 Kit
GENERIC
Pro-c-dure 6 Kit
betamethasone sodium phosphate/betamethasone acetate
Rayos
Solu-cortef
budesonide
Solu-medrol
dexamethasone
Triamcinolone
dexamethasone sodium phosphate
Triamcinolone PF
fludrocortisone acetate
Triamcinolone/Lidocaine
hydrocortisone
Uceris
methylprednisolone
Veripred 20
methylprednisolone acetate
methylprednisolone dose pack
ANDROGENS-ANABOLIC
methylprednisolone sodiumsuccinate
prednisolone GENERIC
prednisolone sodium phosphate danazol
prednisolone sodium phosphate odt methyltestosterone
prednisone oxandrolone
Dexamethasone Sodium Phosphate testosterone cypionate
PREFERRED testosterone enanthate
Cortisone Acetate PREFERRED
Dexamethasone Androderm
Medrol Androgel
Millipred Androgel P.M.
Prednisone Androxy
Prednisone Intensol NON PREFERRED
NON PREFERRED Anadrol-50
Aristospan Intra-articular Android
Aristospan Intralesional Aveed
Beta Inject Kit Depo-testosterone
Betalido First-testosterone
Betamethasone SP First-testosterone Mc Compounding Kit
Celestone-soluspan Natesto
Cortef Oxandrin
Depo-medrol Striant
Dexamethasone Intensol Testone Cik
Dexlido Testopel
Dexlido-m Testosterone
Dexpak 10 Day Testred
Dexpak 13 Day
Dexpak 6 Day ESTROGENS
Doubledex
GENERIC
Dyural-l
estradiol
Dyural-lm
estradiol valerate
Dyural-40
estradiol/norethindrone acetate
Effective January 1, 2016
14
estropipate LO Loestrin FE
norethindrone acetate/ethinyl estradiol LO Minastrin FE
PREFERRED Minastrin 24 FE
Alora Mircette
Climara Pro Modicon
Duavee Nor-QD
Estropipate Norinyl 1+35
Menest Ortho Evra
Premphase Ortho Micronor
Prempro Ortho Tri-cyclen
NON PREFERRED Ortho Tri-cyclen LO
Activella Ortho-cept
Angeliq Ortho-cyclen
Biest/Progesterone Ortho-novum 1/35
Cenestin Ortho-novum 7/7/7
Climara Ovcon-35
Combipatch Plan B
Delestrogen Plan B One-step
Depo-estradiol Quartette
Divigel Safyral
Elestrin Seasonique
Enjuvia Tri-norinyl 28
Estrace Yasmin 28
Estradiol Yaz
Estrasorb
Estrogel PROGESTINS
Evamist
GENERIC
Femhrt Low Dose
medroxyprogesterone acetate
Menostar
megestrol acetate
Minivelle
norethindrone acetate
Prefest
progesterone
Premarin
PREFERRED
Vivelle-dot
Makena
NON PREFERRED
CONTRACEPTIVES
Aygestin
GENERIC Medroxyprogesterone/Lidocaine
desogestrel/ethinyl estradiol Megace ES
drospirenone/ethinyl estradiol Progesterone 10% Kit
levonorgestrel Prometrium
levonorgestrel and ethinyl estradiol Provera
levonorgestrel/ethinyl estradiol
norethindrone ANTIDIABETIC AGENTS
norethindrone & ethinyl estradiol ferrous fumarate
INSULIN
norethindrone acetate/ethinyl estradiol
PREFERRED
norethindrone acetate/ethinyl estradiol/ferrous fumarate
Humalog
norgestimate/ethinyl estradiol
Humalog Kwikpen
Levonorgestrel
Humalog Mix 50/50
PREFERRED
Humalog Mix 50/50 Kwikpen
Natazia
Humalog Mix 75/25
Necon 1/50-28
Humalog Mix 75/25 Kwikpen
Necon 10/11-28
Humulin N
Norinyl 1+50
Humulin N Kwikpen
Nuvaring
Humulin N U-100 Pen
Zovia 1/50e
Humulin R
NON PREFERRED
Humulin R U-500 (concentrated)
Beyaz
Humulin 70/30
Brevicon-28
Humulin 70/30 Kwikpen
Cyclessa
Humulin 70/30 Pen
Desogen
Lantus
Ella
Lantus Solostar
Estrostep FE
Toujeo Solostar
Falessa
NON PREFERRED
Femcon FE
Afrezza
Generess FE
AMYLIN ANALOGS
Loestrin FE 1.5/30
NON PREFERRED
Loestrin FE 1/20
Symlinpen 120
Loestrin 1.5/30-21
Symlinpen 60
Loestrin 1/20-21
INCRETIN MIMETIC AGENTS
Loseasonique
PREFERRED
Bydureon
Effective January 1, 2016
15
Byetta PREFERRED
Victoza Invokamet
SULFONYLUREAS Janumet
GENERIC Janumet XR
glimepiride Kombiglyze XR
glipizide NON PREFERRED
glipizide ER Actoplus Met
glyburide Actoplus Met XR
glyburide micronized Appformin
tolazamide Appformin-d
Glyburide Avandamet
PREFERRED Avandaryl
Chlorpropamide Duetact
Diabeta Glucovance
Tolazamide Glyxambi
Tolbutamide Prandimet
NON PREFERRED Xigduo XR
Amaryl
Glucotrol BISPHOSPHONATES
Glucotrol XL
GENERIC
Glynase
alendronate sodium
BIGUANIDES
ibandronate sodium
GENERIC
pamidronate disodium
metformin HCL
risedronate sodium
metformin HCL ER
risedronate sodium DR
NON PREFERRED
zoledronic acid
Fortamet
PREFERRED
Glucophage
Alendronate Sodium
Glucophage XR
NON PREFERRED
Glumetza
Actonel
Riomet
Atelvia
MEGLITINIDE ANALOGUES
Binosto
GENERIC
Boniva
nateglinide
Etidronate Disodium
repaglinide
Fosamax
NON PREFERRED
Fosamax Plus D
Prandin
Pamidronate Disodium
Starlix
Reclast
DIABETIC OTHER
Zoledronic Acid
PREFERRED
Zometa
Glucagen Hypokit
Glucagon Emergency Kit
CALCITONINS
Invokana
GENERIC
Jardiance
calcitonin salmon
Proglycem
calcitonin-salmon
NON PREFERRED
NON PREFERRED
Korlym
Fortical
ALPHA-GLUCOSIDASE INHIBIT
Miacalcin
GENERIC
acarbose
PARATHYROID HORMONE
NON PREFERRED
PREFERRED
Glyset
Forteo
Precose
NON PREFERRED
DPP-4 INHIBITORS
Natpara
PREFERRED
Januvia
RANK LIGAND INHIBITORS
Onglyza
PREFERRED
INSULIN SENSITIZING AGENT
Prolia
GENERIC
Xgeva
pioglitazone HCL
NON PREFERRED
CALCIUM REGULATORS - MISC
Actos
NON PREFERRED
Avandia
Ganite
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
repaglinide/metformin hydrochloride
Effective January 1, 2016
16
Osphena GENERIC
desmopressin acetate
FERTILITY REGULATORS vasopressin
NON PREFERRED
GENERIC
Ddavp
chorionic gonadotropin
Pitressin Synthetic
clomiphene citrate
Stimate
PREFERRED
Vasostrict
Follistim AQ
Gonal-f
CORTICOTROPIN
Gonal-f RFF
Gonal-f RFF Pen NON PREFERRED
Gonal-f RFF Rediject H.p. Acthar
NON PREFERRED
Bravelle PROLACTIN INHIBITORS
Menopur
GENERIC
Ovidrel
cabergoline
Repronex
VASOPRESSIN ANTAGONISTS
LHRH/GNRH AGONIST
PREFERRED
PREFERRED
Samsca
Lupron Depot-PED
NON PREFERRED
Supprelin LA
Vaprisol
Synarel
NON PREFERRED
PROGESTERONE ANTAGONISTS
Lupaneta Pack
NON PREFERRED
Mifeprex
GNRH/LHRH ANTAGONISTS
PREFERRED
METABOLIC MODIFIERS
Cetrotide
GENERIC
NON PREFERRED
calcitriol
Ganirelix Acetate
doxercalciferol
levocarnitine
GROWTH HORMONES
paricalcitol
PREFERRED
sodium phenylbutyrate
Norditropin Cartridge
PREFERRED
Nutropin AQ Nuspin 10
Aldurazyme
Nutropin AQ Nuspin 20
Carbaglu
Nutropin AQ Nuspin 5
Elaprase
Nutropin AQ Pen
Fabrazyme
Saizen
Kuvan
Saizen Click.easy
Lumizyme
Serostim
Myozyme
NON PREFERRED
Naglazyme
Zorbtive
NON PREFERRED
Ammonul
GHRH
Buphenyl
NON PREFERRED Carnitor
Egrifta Carnitor SF
Cystadane
SOMATOMEDINS Hectorol
Kanuma
PREFERRED
Myalept
Increlex
Orfadin
Ravicti
SOMATOSTATIC AGENTS
Rocaltrol
GENERIC
Sensipar
octreotide acetate
Vimizim
NON PREFERRED
Zemplar
Sandostatin
Sandostatin Lar Depot
THYROID AGENTS
Signifor
GENERIC
Signifor Lar
levothyroxine sodium
Somatuline Depot
liothyronine sodium
methimazole
GH RECEPTOR ANTAGONISTS
propylthiouracil
NON PREFERRED
NON PREFERRED
Somavert
Armour Thyroid
Cytomel
POSTERIOR PITUITARY
Levothyroxine Sodium
Effective January 1, 2016
17
Nature-throid famotidine
Nature-throid Nt-2.5 glycopyrrolate
Synthroid hyoscyamine sulfate
Tapazole hyoscyamine sulfate odt
Thyrolar-1 hyoscyamine sulfate ER
Thyrolar-1/2 hyoscyamine sulfate SR
Thyrolar-1/4 lansoprazole
Thyrolar-2 lansoprazole/amoxicillin/clarithromycin
Thyrolar-3 methscopolamine bromide
Tirosint misoprostol
Triostat nizatidine
Westhroid omeprazole
Wp Thyroid omeprazole/sodium bicarbonate
pantoprazole sodium
GASTROINTESTINAL rabeprazole sodium
ranitidine HCL
LAXATIVES
sucralfate
GENERIC
Esomeprazole Sodium
lactulose
Famotidine
peg 3350/electrolytes
PREFERRED
peg-3350/electrolytes
Carafate
peg-3350/NACL/NA bicarbonate/KCL
Dexilant
polyethylene glycol 3350
Nexium
NON PREFERRED
Nexium 24HR
Cascara Sagrada
Omeclamox-PAK
Colyte-flavor Packs
Propantheline Bromide
Golytely
Pylera
Kristalose
Symax Duotab
Mineral Oil Heavy
NON PREFERRED
Moviprep
Aciphex
Nulytely/Flavor Packs
Aciphex Sprinkle
Osmoprep
Anaspaz
Pcp 100
Atropen
Prepopik
Atropine Sulfate
Suclear
Axid
Suprep Bowel Prep
Belladonna & Opium
Belladonna Alkaloids & Opium
ANTIDIARRHEALS
Bentyl
GENERIC
Cantil
diphenoxylate/atropine
Cuvposa
loperamide HCL
Cytotec
opium
Deprizine Fusepaq
opium tincture
Esomeprazole Strontium
PREFERRED
Famotidine Premixed
Diphenoxylate/Atropine
First-lansoprazole
Opium Tincture (paregoric)
First-omeprazole
NON PREFERRED
Gabitidine
Fulyzaq
Gastrinex NF
Lomotil
Glycate
Motofen
Helidac
Restora RX
Levbid
Restora Sprinkles
Levsin
Rezyst IM
Levsin/SL
Rezyst SB
Nexium I.v.
Vsl#3 DS
Omeprazole + Syrspend SF Alka
Pamine
ANTACIDS
Pamine Forte
PREFERRED
Pamine FQ
Calcium Carbonate
Pepcid
NON PREFERRED
Prevacid
Sodium Bicarbonate
Prevacid Solutab
Prevpac
ULCER DRUGS
Prilosec
GENERIC
Protonix
atropine sulfate
Robinul
cimetidine
Robinul Forte
cimetidine HCL
Scopolamine Hydrobromide
dicyclomine HCL
Sentradine
esomeprazole magnesium
Zantac
esomeprazole sodium
Zegerid
Effective January 1, 2016
18
Analpram-HC
ANTIEMETICS Analpram-HC Singles
Anusol-HC
GENERIC
Auryxia
dronabinol
Azulfidine
granisetron HCL
Azulfidine EN-TABS
meclizine HCL
Chenodal
ondansetron odt
Cholbam
ondansetron HCL
Colazal
trimethobenzamide HCL
Cortenema
PREFERRED
Cortifoam
Aloxi
Dexpanthenol
NON PREFERRED
Dipentum
Akynzeo
Eliphos
Anzemet
Entereg
Cesamet
Entyvio
Diclegis
Fosrenol
Dimenhydrinate
Gastrocrom
Emend
Gattex
Granisol
Giazo
Marinol
Lidocaine HCL-hydrocortisone Acetate With Aloe
Sancuso
Lotronex
Tigan
Metoclopramide Odt
Transderm-scop
Metozolv Odt
Zofran
Pentasa
Zofran Odt
Phoslo
Zuplenz
Phoslyra
Procort
DIGESTIVE AIDS
Proctocort
PREFERRED
Rectiv
Creon
Reglan
Pancrelipase
Renagel
Zenpep
Rowasa
NON PREFERRED
Uceris
Sucraid
Urso Forte
Urso 250
GASTROINTESTINAL - MISC.
Velphoro
GENERIC
alosetron hydrochloride
GENITOURINARY
balsalazide disodium
URINARY ANTI-INFECTIVES
calcium acetate
cromolyn sodium GENERIC
hydrocort ene 100MG methenamine hippurate
hydrocortisone methenamine mandelate
hydrocortisone acetate/lidocaine HCL nitrofurantoin
hydrocortisone acetate/pramoxine nitrofurantoin macrocrystals
lactulose nitrofurantoin monohydrate
lidocaine HCL/hydrocortisone acetate nitrofurantoin monohydrate/macrocrystals
mesalamine PREFERRED
metoclopramide odt Methenamine Mandelate
metoclopramide HCL NON PREFERRED
sulfasalazine Furadantin
ursodiol Hiprex
PREFERRED Macrobid
Amitiza Macrodantin
Canasa Monurol
Cimzia Prosed/DS
Cimzia Starter Kit Uretron D/S
Lialda Urimar-t
Linzess Urogesic-blue
Movantik Uroqid #2
Proctofoam HC
Relistor URINARY ANTISPASMODICS
Remicade
GENERIC
Renvela
bethanechol chloride
Sevelamer Carbonate
flavoxate HCL
Sfrowasa
oxybutynin chloride
NON PREFERRED
oxybutynin chloride ER
Actigall
tolterodine tartrate
Analpram Advanced
tolterodine tartrate ER
Effective January 1, 2016
19
trospium chloride Cardura XL
trospium chloride ER Cystagon
PREFERRED Flomax
Gelnique Jalyn
Vesicare K-phos NO 2
NON PREFERRED Lithostat
Detrol Oracit
Detrol LA Procysbi
Ditropan XL Proscar
Enablex Pyridium
Myrbetriq Shohls Solution Modified
Oxytrol Thiola
Sanctura Urocit-k 10
Sanctura XR Urocit-k 15
Toviaz Urocit-k 5
Urecholine Uroxatral
VAGINAL PRODUCTS HEMATOLOGAICAL
GENERIC
HEMATOPOIETIC AGENTS
clindamycin phosphate
GENERIC
metronidazole vaginal
cyanocobalamin
terconazole
folic acid
PREFERRED
folic acid/vitamin b-6/vitamin b-12
Premarin
sodium ferric gluconate complex/sucrose
NON PREFERRED
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc
Avc
Cleocin PREFERRED
Clindesse Cerezyme
Crinone Folitab 500
Endometrin Mozobil
Estrace Neumega
Estring Nplate
Fem PH NON PREFERRED
Femring Abaneu-SL
First-progesterone VGS 100 Compounding Kit Albafort
First-progesterone VGS 200 Compounding Kit Animi-3
First-progesterone VGS 25 Compounding Kit Animi-3/Vitamin D
First-progesterone VGS 400 Compounding Kit B-6 Folic Acid
First-progesterone VGS 50 Compounding Kit Biferarx
Gynazole-1 Cenfol
Metrogel-vaginal Centratex
Nuvessa Cerdelga
Relagard Ciferex
Terazol 3 Corvite 150
Terazol 7 Dermacinrx Purefolix
Vagifem Divista
Droxia
GENITOURINARY - MISC. Ed Cyte F
Elelyso
GENERIC
Feraheme
alfuzosin HCL ER
Feriva
citric acid/sodium citrate
Feriva 21/7
dutasteride
Ferivafa
dutasteride/tamsulosin hydrochloride
Ferralet 90
finasteride
Ferrex 150 Forte Plus
hydrochloric acid
Ferrex 28
phenazopyridine HCL
Ferrlecit
potassium citrate ER
Ferro-plex Hematinic
potassium citrate-citric acid crystals
Ferrotrin
potassium citrate/citric acid
Focalgin Dss
potassium citrate/sodium citrate/citric acid
Folgard RX
sodium citrate/citric acid
Folic Acid
tamsulosin HCL
Folivane-f
tricitrates
Folivane-plus
PREFERRED
Foltrate
Cytra-3
Fusion Plus
Elmiron
Fusion Sprinkles
Rapaflo
Granix
NON PREFERRED
Hematogen Fa
Avodart
Effective January 1, 2016
20
Hematron-AF Fragmin
Hemocyte Plus Heparin Lock Flush
Hemocyte-f Heparin Sodium
Hydroxocobalamin Heparin Sodium/D5W
Icar-c Plus Heparin Sodium/NACL 0.45%
Infed Heparin Sodium/Sodium Chloride 0.9%
Injectafer Iprivask
Integra F Lovenox
Integra Plus Savaysa
Irospan 24/6
Is 24/6 HEMOSTATICS
Leukine
GENERIC
Maxaron Forte
aminocaproic acid
Maxfe
tranexamic acid
Mircera
NON PREFERRED
Multigen
Amicar
Multigen Folic
Aminocaproic Acid
Multigen Plus
Artiss
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa
Astringyn
Cyklokapron
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac
Evicel
Evithrom
Nascobal
Lysteda
Natalvirt Flt
Recothrom
Nephron Fa
Recothrom Spray Kit
Neulasta
Thrombin-jmi Diluent
Neulasta Delivery Kit
Thrombin-jmi Epistaxis
Neupogen
Thrombin-jmi Syringe Spray Kit
Novaferrum
Thrombin-jmi W/Dil Spray P.M. Actuator
Omontys
Thrombogen
Pre-folic
Tisseel
Procrit
Tisseel VH
Proferrin-forte
Promacta
HEMATOLOGICAL - MISC.
Protectiron
GENERIC
Tandem F
anagrelide hydrochloride
Tandem Plus
cilostazol
Triferic
clopidogrel
Venofer
dipyridamole
Vpriv
hetastarch 6%/NACL
Zavesca
pentoxifylline ER
ticlopidine HCL
ANTICOAGULANTS
Aspirin/Dipyridamole
GENERIC
PREFERRED
argatroban
Advate
bivalirudin
Alphanate/Von Willebrand Factor Complex/Human
enoxaparin sodium
Alphanine SD
fondaparinux sodium
Bebulin
heparin lock
Benefix
heparin lock flush
Berinert
heparin lock flush for flushing vascular access devices
Cinryze
heparin lock flush/NACL for flushing vascular access devices
Corifact
Effient
heparin sodium
Feiba
heparin sodium dcu
Feiba NF
heparin sodium lock flush
Firazyr
heparin sodium/sodium chloride 0.9% premix
Hemofil M
heparin sodium/D5W
Humate-p
heparin sodium/NACL 0.9%
Koate-dvi
warfarin sodium
Monoclate-p
PREFERRED
Mononine
Pradaxa
Novoseven Rt
Xarelto
Profilnine
Xarelto Starter Pack
Profilnine SD
NON PREFERRED
Recombinate
Angiomax
Riastap
Argatroban
Soliris
Arixtra
Ticlopidine HCL
Coumadin
Wilate
Eliquis
Effective January 1, 2016
21
NON PREFERRED Oravig
Activase Peridex
Aggrastat Prevident
Aggrenox Prothelial
Agrylin Salagen
Brilinta
Cathflo Activase NEUROLOGY, CNS, PSYCH
Durlaza
ANTIANXIETY AGENTS
Helixate FS
GENERIC
Hespan
alprazolam
Hextend
alprazolam odt
Integrilin
alprazolam ER
Ixinity
buspirone HCL
Kalbitor
chlordiazepoxide HCL
Kengreal
clorazepate dipotassium
Kinlytic
diazepam
Kogenate FS
droperidol
Kogenate FS Bio-set
gene-xene TAB 15MG
LMD 10% Dextrose 5%
gene-xene TAB 3.75MG
LMD 10% Sodium Chloride 0.9%
gene-xene TAB 7.5MG
Novoeight
hydroxyzine pamoate
Nuwiq
hydroxyzine HCL
Persantine
lorazepam
Plavix
meprobamate
Pletal
oxazepam
Protamine Sulfate
Hydroxyzine Pamoate
Reopro
NON PREFERRED
Retavase
Alprazolam Intensol
Retavase Half-kit
Ativan
Tnkase
Diazepam
Voluven
Gabavale-5
Xyntha
Gabazolamine
Xyntha Solofuse
Gabazolamine-0.5
Zontivity
Hydroxyzine HCL
Niravam
MOUTH/THROAT/DENTAL AGENT
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
GENERIC
lidocaine HCL viscous
amitriptyline HCL
nystatin
bupropion HCL
pilocarpine hydrochloride
bupropion HCL ER
pilocarpine HCL
bupropion HCL SR
stannous fluoride oral rinse
bupropion HCL XL
triamcinolone acetonide
citalopram hydrobromide
triamcinolone IN orabase
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
Lta 360 Kit
mirtazapine odt
Nafrinse Daily/Acidulated
nefazodone HCL
Nafrinse Daily/Neutral
nortriptyline HCL
Nafrinse Weekly
paroxetine HCL
Neutrasal
paroxetine HCL ER
Numoisyn
phenelzine sulfate
Orafate
protriptyline HCL
Effective January 1, 2016
22
sertraline HCL clozapine odt
tranylcypromine sulfate fluphenazine decanoate
trazodone HCL fluphenazine HCL
trimipramine maleate haloperidol
venlafaxine HCL haloperidol decanoate
venlafaxine HCL ER haloperidol lactate
Amoxapine lithium carbonate
Doxepin HCL lithium carbonate ER
Nefazodone HCL loxapine
Nortriptyline HCL loxapine succinate
Venlafaxine HCL ER olanzapine
PREFERRED olanzapine odt
Fluoxetine HCL paliperidone ER
Forfivo XL perphenazine
Maprotiline HCL prochlorperazine
Paxil prochlorperazine edisylate
Pristiq prochlorperazine maleate
NON PREFERRED quetiapine fumarate
Anafranil risperidone
Aplenzin risperidone odt
Appbutamone thioridazine HCL
Appbutamone-d thiothixene
Brintellix trifluoperazine HCL
Celexa ziprasidone HCL
Cymbalta Aripiprazole Odt
Desvenlafaxine ER Clozapine Odt
Duloxetine HCL PREFERRED
Effexor XR Abilify Discmelt
Emsam Fluphenazine HCL
Fetzima Saphris
Fetzima Titration Pack Seroquel XR
Gaboxetine NON PREFERRED
Irenka Abilify
Khedezla Abilify Maintena
Lexapro Adasuve
Luvox CR Chlorpromazine HCL
Marplan Clozaril
Nardil Compazine
Norpramin Equetro
Oleptro Fanapt
Pamelor Fanapt Titration Pack
Parnate Fazaclo
Paxil CR Geodon
Pexeva Haldol
Prozac Haldol Decanoate 100
Prozac Weekly Haldol Decanoate 50
Remeron Invega
Remeron Soltab Invega Sustenna
Sentraflox AM-10 Invega Trinza
Sentralopram AM-10 Latuda
Sentravil PM-25 Lithium
Sentroxatine Lithium Carbonate
Surmontil Lithobid
Tofranil Loxitane
Tofranil-PM Molindone Hydrochloride
Trazamine Rexulti
Viibryd Risperdal
Viibryd Starter Pack Risperdal Consta
Vivactil Risperdal M-TAB
Wellbutrin Seroquel
Wellbutrin SR Versacloz
Wellbutrin XL Zyprexa
Zoloft Zyprexa Relprevv
Zyprexa Zydis
ANTIPSYCHOTICS
HYPNOTICS
GENERIC
aripiprazole GENERIC
chlorpromazine HCL dexmedetomidine HCL
clozapine estazolam
Effective January 1, 2016
23
eszopiclone Evekeo
flurazepam HCL Focalin
phenobarbital Focalin XR
temazepam Intuniv
triazolam Kapvay
zaleplon Kapvay Dose Pack
zolpidem tartrate Metadate CD
zolpidem tartrate ER Methylin
Flurazepam HCL Nuvigil
Phenobarbital Procentra
NON PREFERRED Provigil
Ambien Quillivant XR
Ambien CR Ritalin
Amytal Sodium Ritalin LA
Belsomra Ritalin SR
Butisol Sodium Sentramodafin AM-100
Doral Zenzedi
Edluar
Gabazolpidem-5 ANTICONVULSANTS
Halcion
GENERIC
Hetlioz
carbamazepine
Intermezzo
carbamazepine ER
Lunesta
clonazepam
Nembutal Sodium
clonazepam odt
Phenobarbital Sodium
divalproex sodium
Precedex
divalproex sodium DR
Quazepam
divalproex sodium ER
Restoril
ethosuximide
Rozerem
felbamate
Seconal
fosphenytoin sodium
Sentrazolpidem PM-5
gabapentin
Silenor
lamotrigine
Sonata
lamotrigine odt
Strazepam
lamotrigine titration
Zolpimist
lamotrigine ER
levetiracetam
ADHD, NARCOLEPSY, ETC.
levetiracetam ER
GENERIC oxcarbazepine
amphetamine/dextroamphetamine phenytoin
caffeine citrate phenytoin sodium
clonidine HCL ER phenytoin sodium extended
dexmethylphenidate HCL primidone
dexmethylphenidate HCL ER tiagabine hydrochloride
dextroamphetamine sulfate topiramate
dextroamphetamine sulfate ER valproate sodium
doxapram HCL valproic acid
guanfacine ER zonisamide
methamphetamine HCL PREFERRED
methylphenidate hydrochloride Diastat Acudial
methylphenidate HCL Diastat Pediatric
methylphenidate HCL CD Diazepam
methylphenidate HCL ER Lamictal
methylphenidate HCL SR Lamictal Chewable Dispersible
modafinil Lamictal Starter/Not Taking Carbamazepine
Methylphenidate HCL ER Lamictal Starter/Taking Carbamazepine/Not Taking Valproate
PREFERRED
Lamictal Starter/Taking Valproate
Strattera
Lyrica
Vyvanse
NON PREFERRED
NON PREFERRED
Aptiom
Adderall
Banzel
Adderall XR
Carbatrol
Aptensio XR
Celontin
Cafcit
Cerebyx
Caffeine/Sodium Benzoate
Depacon
Concerta
Depakene
Daytrana
Depakote
Desoxyn
Depakote ER
Dexedrine
Depakote Sprinkles
Dopram
Effective January 1, 2016
24
Dilantin Requip
Dilantin Infatabs Requip XL
Dilantin-125 Rytary
Fanatrex Fusepaq Sinemet
Felbatol Sinemet CR
Fycompa Stalevo 100
Gabitril Stalevo 125
Keppra Stalevo 150
Keppra XR Stalevo 200
Klonopin Stalevo 50
Lamictal Odt Stalevo 75
Lamictal XR Tasmar
Levetiracetam Zelapar
Mysoline
Neurontin NEUROLOGY, PSYCH - MISC.
Onfi
GENERIC
Oxtellar XR
acamprosate calcium DR
Peganone
disulfiram
Phenytek
donepezil HCL
Potiga
ergoloid mesylates
Qudexy XR
fluoxetine
Sabril
galantamine hydrobromide
Stavzor
memantine hydrochloride
Tegretol
memantine HCL
Tegretol-XR
memantine HCL titration PAK
Therapentin-60
olanzapine/fluoxetine
Therapentin-90
pimozide
Topamax
rivastigmine tartrate
Topamax Sprinkle
rivastigmine transdermal system
Topiramate ER
tetrabenazine
Trileptal
Ergoloid Mesylates
Trokendi XR
Galantamine Hydrobromide
Vimpat
PREFERRED
Zarontin
Ampyra
Zonegran
Avonex
Avonex Pen
ANTIPARKINSON AGENTS
Chlordiazepoxide/Amitriptyline
GENERIC Copaxone
amantadine HCL Namenda XR
benztropine mesylate Namenda XR Titration Pack
bromocriptine mesylate Perphenazine/Amitriptyline
carbidopa Plegridy
carbidopa/levodopa Plegridy Starter Pack
carbidopa/levodopa odt Tecfidera
carbidopa/levodopa ER Tecfidera Starter Pack
entacapone NON PREFERRED
pramipexole dihydrochloride Antabuse
pramipexole dihydrochloride ER Aricept
ropinirole ER Aricept Odt
ropinirole HCL Aubagio
selegiline HCL Brisdelle
tolcapone Campral
trihexyphenidyl HCL Exelon
Carbidopa/Levodopa/Entacapone Gilenya
PREFERRED Gralise
Apokyn Gralise Starter
NON PREFERRED Horizant
Amantadine HCL Lemtrada
Azilect Namenda
Cogentin Namenda Titration PAK
Comtan Namzaric
Duopa Nuedexta
Eldepryl Orap
Lodosyn Razadyne
Mirapex Razadyne ER
Mirapex ER Sarafem
Neupro Savella
Parcopa Savella Titration Pack
Parlodel Symbyax
Effective January 1, 2016
25
Tysabri Supartz
Xenazine Supartz Fx
Xyrem Tabradol Fusepaq
Therabenzaprine-60
NEUROMUSCULAR AGENTS Therabenzaprine-90
Therabenzaprine-90-5
GENERIC
Tizanidine Comfort PAC
atracurium besylate
Zanaflex
cisatracurium besylate
pancuronium bromide
ANTIMYASTHENIC AGENTS
riluzole
rocuronium bromide GENERIC
vecuronium bromide neostigmine methylsulfate
PREFERRED pyridostigmine bromide
Botox PREFERRED
NON PREFERRED Guanidine HCL
Anectine NON PREFERRED
Dysport Bloxiverz
Myobloc Enlon
Nimbex Enlon-plus
Quelicin Mestinon
Quelicin 1000 Mestinon Timespan
Rilutek Neostigmine Methylsulfate
Xeomin Prostigmin
Zemuron Regonol
MUSCULOSKELETAL AGENTS OPHTHALMOLOGY AND OTIC
GENERIC
ANTI-INFECTIVES
baclofen
GENERIC
carisoprodol
bacitracin/polymyxin b
carisoprodol/aspirin
ciprofloxacin HCL
carisoprodol/aspirin/codeine
erythromycin
chlorzoxazone
gatifloxacin
cyclobenzaprine HCL
gentamicin sulfate
dantrolene sodium
levofloxacin
metaxalone
neomycin/bacitracin/polymyxin
methocarbamol
neomycin/polymyxin/bacitracin zinc
orphenadrine citrate
neomycin/polymyxin/gramicidin
orphenadrine citrate ER
ofloxacin
orphenadrine/asa/caffeine
polymyxin b sulfate/trimethoprim sulfate
tizanidine HCL
sodium sulfacetamide
Carisoprodol
sulfacetamide sodium
Dantrolene Sodium
tobramycin sulfate
PREFERRED
trifluridine
Euflexxa
trimethoprim sulfate/polymyxin b sulfate
Gablofen
PREFERRED
Lioresal Intrathecal
Bacitracin
Synvisc
Moxeza
Synvisc One
Natacyn
NON PREFERRED
Sulfacetamide Sodium
Amrix
Vigamox
Cyclobenzaprine Comfort PAC
NON PREFERRED
Dantrium
Azasite
Dantrium IV
Besivance
Fexmid
Betadine Ophthalmic Prep
Flexepax
Bleph-10
Gel-one
Ciloxan
Hyalgan
Garamycin
Lorzone
Mitosol
Metaxalone
Neosporin
Monovisc
Ocuflox
Norflex
Polytrim
Orthovisc
Tobrex
Parafon Forte DSC
Viroptic
Prazolamine
Zirgan
Robaxin
Zymaxid
Robaxin-750
Ryanodex
ARTIFICIAL TEAR/LUBRICANT
Skelaxin
NON PREFERRED
Soma
Lacrisert
Effective January 1, 2016
26
BETA-BLOCKERS CYCLOPLEGIC MYDRIATICS
GENERIC GENERIC
betaxolol HCL atropine sulfate
carteolol HCL cyclopentolate HCL
dorzolamide HCL/timolol maleate homatropine HBR
levobunolol HCL PREFERRED
timolol maleate Atropine Sulfate
timolol maleate ophthalmic gel forming Cyclogyl
Metipranolol Isopto Homatropine
PREFERRED NON PREFERRED
Betoptic-s Cyclomydril
Combigan Isopto Atropine
Levobunolol HCL Isopto Hyoscine
Timoptic Ocudose
NON PREFERRED DECONGESTANTS
Betagan
GENERIC
Betimol
phenylephrine HCL
Cosopt
PREFERRED
Cosopt PF
Naphazoline HCL
Istalol
NON PREFERRED
Timoptic
Mydfrin
Timoptic-xe
MIOTICS
OPHTHALMIC STEROIDS
GENERIC
GENERIC
pilocarpine HCL
dexamethasone sodium phosphate
PREFERRED
fluorometholone
Isopto Carbachol
neomycin/polymyxin/bacitracin/hydrocortisone
Phospholine Iodide
neomycin/polymyxin/dexamethasone
NON PREFERRED
prednisolone acetate
Isopto Carpine
sulfacetamide sodium/prednisolone sodium phosphate
tobramycin/dexamethasone
ADRENERGIC AGENTS
PREFERRED
GENERIC
Dexamethasone Sodium Phosphate
apraclonidine
FML
brimonidine tartrate
FML Forte
PREFERRED
Pred Mild
Alphagan P
Prednisolone Sodium Phosphate
NON PREFERRED
NON PREFERRED
Iopidine
Alrex
Simbrinza
Blephamide
Blephamide S.o.p.
IMMUNOMODULATORS
Durezol
NON PREFERRED
Flarex
Restasis
FML Liquifilm
Lotemax
LOCAL ANESTHETICS
Maxidex
GENERIC
Maxitrol
proparacaine HCL
Neomycin/Polymyxin/Hydrocortisone
tetracaine HCL
Omnipred
NON PREFERRED
Pred Forte
Akten
Pred-G
Alcaine
Pred-G S.o.p.
Tobradex
OPHTHALMICS - MISC.
Tobradex ST
GENERIC
Vexol
azelastine HCL
Zylet
bromfenac
cromolyn sodium
PROSTAGLANDINS
diclofenac sodium
GENERIC
dorzolamide HCL
latanoprost
epinastine HCL
Bimatoprost
flurbiprofen sodium
PREFERRED
ketorolac tromethamine
Lumigan
olopatadine HCL
Travatan Z
PREFERRED
Travoprost
Azopt
NON PREFERRED
Pataday
Xalatan
NON PREFERRED
Acular
Effective January 1, 2016
27
Acular LS PREFERRED
Acuvail Choline Magnesium Trisalicylate
Alocril Dologesic
Alomide Prialt
Bepreve Tencon
Cystaran NON PREFERRED
Elestat Bupap
Emadine Disalcid
Ilevro Dolgic Plus
Lastacaft Equagesic
Nevanac Esgic
Ocufen Fioricet
Optivar Fiorinal
Patanol Levacet
Pazeo Ofirmev
Prolensa Phrenilin Forte
Trusopt Rhinoflex-650
Staflex
OTIC AGENTS Vanatol LQ
GENERIC
ANALGESICS - OPIOID
acetic acid
antipyrine/benzocaine GENERIC
fluocinolone acetonide acetaminophen/caffeine/dihydrocodeine
fluocinolone acetonide ear drops acetaminophen/codeine
hydrocortisone/acetic acid acetaminophen/codeine #2
neomycin/polymyxin/hydrocortisone acetaminophen/codeine #3
neomycin/polymyxin/HC acetaminophen/codeine #4
ofloxacin acetaminophen/codeine phosphate
PREFERRED alfentanil
Acetic Acid/Aluminum Acetate buprenorphine HCL
NON PREFERRED buprenorphine HCL/naloxone HCL
Antipyrine/Benzocaine butalbital/acetaminophen/caffeine/codeine
Auralgan butalbital/aspirin/caffeine/codeine
Cetraxal butorphanol tartrate
Cipro HC codeine sulfate
Ciprodex fentanyl
Ciprofloxacin fentanyl citrate oral transmucosal
Coly-mycin S hydrocodone bitartrate/acetaminophen
Cortisporin hydrocodone/acetaminophen
Cortisporin-tc hydrocodone/ibuprofen
Cresylate hydromorphone HCL
Dermotic hydromorphone HCL dosette
Myoxin hydromorphone HCL ER
Otozin meperidine HCL
Pramotic methadone HCL
Vosol HC morphine sulfate
morphine sulfate ER
OXYTOCICS nalbuphine HCL
oxycodone HCL
oxycodone/acetaminophen
GENERIC
oxycodone/aspirin
methylergonovine maleate
oxycodone/ibuprofen
oxytocin
oxymorphone hydrochloride
NON PREFERRED
oxymorphone hydrochloride ER
Cervidil
pentazocine/acetaminophen
Hemabate
pentazocine/naloxone HCL
Oxytocin/Lactated Ringers
tramadol hydrochloride/acetaminophen
Pitocin
tramadol HCL
Prepidil
tramadol HCL ER
Prostin E2
Aspirin-caffeine-dihydrocodeine
Fentanyl
PAIN MANAGEMENT
Hydrocodone Bitartrate/Acetaminophen
ANALGESICS - NONNARCOTIC
Hydrocodone/Acetaminophen
GENERIC
Hydromorphone HCL/Sodium Chloride
butalbital/acetaminophen
Morphine Sulfate ER
butalbital/acetaminophen/caffeine
Oxycodone HCL ER
butalbital/aspirin/caffeine
PREFERRED
choline magnesium trisalicylate
Hydromorphone HCL
diflunisal
Morphine Sulfate
salsalate
Effective January 1, 2016
28
Oxycontin Ultiva
Suboxone Ultracet
NON PREFERRED Ultram
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate Ultram ER
Actiq Vicoprofen
Alfenta Xartemis XR
Avinza Xodol
Bunavail Xolox
Buprenex Zamicet
Butrans Zubsolv
Capital/Codeine Zydone
Codeine Sulfate
Conzip ANTI-INFLAMMATORY
Demerol
GENERIC
Dilaudid
celecoxib
Dilaudid-HP
diclofenac potassium
Dolophine
diclofenac sodium DR
Duragesic
diclofenac sodium ER
Exalgo
diclofenac sodium/misoprostol
Fentanyl Citrate/Sodium Chloride
etodolac
Fioricet/Codeine
etodolac ER
Fiorinal/Codeine #3
flurbiprofen
Hycet
ibuprofen
Hydromorphone HCL ER
indomethacin
Hydromorphone HCL/NACL
indomethacin ER
Hysingla ER
ketoprofen
Ibudone
ketorolac tromethamine
Infumorph 200
leflunomide
Infumorph 500
mefenamic acid
Ionsys
meloxicam
Levorphanol Tartrate
nabumetone
Liquicet
naproxen
Lortab
naproxen sodium
Magnacet
naproxen sodium CR
Maxidone
naproxen sodium ER
Meperidine HCL
oxaprozin
Methadone HCL
piroxicam
Methadose
sulindac
Methadose Sugar-free
tolmetin sodium
Morphine Sulfate Add-vantage
Meclofenamate Sodium
Morphine Sulfate/Sodium Chloride
Tolmetin Sodium
MS Contin
PREFERRED
Norco
Fenoprofen Calcium
Nucynta
Humira
Opana
Humira Pediatric Crohns Disease Starter Pack
Opana ER (crush Resistant)
Humira Pen
Oxaydo
Humira Pen-crohns Diseasestarter
Oxecta
Humira Pen-psoriasis Starter
Oxycodone HCL
Ilaris
Percocet
Ketoprofen ER
Percodan
Meloxicam
Primlev
Naproxen
Reprexain
Rasuvo
Roxicet
Simponi
Roxicodone
Simponi Aria
Subsys
NON PREFERRED
Synalgos-dc
Actemra
Synapryn Fusepaq
Anaprox
Talwin
Anaprox DS
Theracodeine-300
Arava
Theracodophen-low-90
Arcalyst
Theracodophen-325
Arthrotec 50
Theracodophen-650
Arthrotec 75
Theracodophen-750
Caldolor
Theratramadol-60
Cataflam
Theratramadol-90
Celebrex
Tramadol HCL ER
Daypro
Trezix
Derma Silkrx Anodynexa PAK
Tylenol/Codeine #3
Derma Silkrx Diclopak
Tylenol/Codeine #4
Effective January 1, 2016
29
Dermacinrx Inflammatral PAK D.h.e. 45
Enbrel Ergomar
Enbrel Sureclick Frova
EC-naprosyn Imitrex
Feldene Imitrex Statdose Refill
Flanax Pain Relief Kit Imitrex Statdose System
Ibuprofen Comfort PAC Maxalt
Indocin Maxalt-MLT
Indomethacin Migergot
Indomethacin Sodium Migral
IC 400 Migranal
IC 800 Relpax
Ketorocaine-l Sumavel Dosepro
Ketorocaine-lm Treximet
Ketorolac Tromethamine Zomig
Kineret Zomig ZMT
Meloxicam Comfort PAC
Mobic GOUT AGENTS
Nalfon
GENERIC
Naprelan
allopurinol
Naprosyn
probenecid
Naproxen Comfort PAC
probenecid/colchicine
Neoprofen
PREFERRED
Orencia
Colcrys
Otezla
Uloric
Otrexup
NON PREFERRED
Ponstel
Aloprim
Prastera
Colchicine
Rheumatrex
Krystexxa
Ridaura
Mitigare
Sprix
Zyloprim
Therafeldamine
Theraprofen-60
LOCAL ANESTHETICS-INJ
Theraprofen-800
GENERIC
Theraprofen-90
bupivacaine HCL
Theraproxen-500
bupivacaine/epinephrine
Theraproxen-60
chloroprocaine HCL
Theraproxen-90
lidocaine HCL
Tivorbex
lidocaine/epinephrine
Trepadiclofen-25
ropivacaine
Trepoxen-250
ropivacaine HCL
Trepoxicam-7.5
Tetracaine HCL
Vivlodex
NON PREFERRED
Voltaren-XR
Articadent Dental
Xeljanz
BD Pudendal/Local Block Tray 1% Lidocaine
Zipsor
Carbocaine
Citanest Forte Dental
MIGRAINE PRODUCTS
Citanest Plain Dental
GENERIC
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH
almotriptan malate
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH
dihydroergotamine mesylate
naratriptan HCL
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH
rizatriptan benzoate
rizatriptan benzoate odt
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH
sumatriptan succinate
sumatriptan succinate refill
Exparel
zolmitriptan
Lidocaine HCL/Dextrose
zolmitriptan odt
Marcaine
Dihydroergotamine Mesylate
Marcaine W/O Epi
Sumatriptan Succinate
Marcaine/Epinephrine
PREFERRED
Marlido-25
Sumatriptan
Monoject Bone Marrow Biopsy Prepping Tray
Zomig Nasal Spray
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4"
NON PREFERRED
Alsuma
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4"
Amerge
Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G
Axert
Cafergot
Naropin
Cambia
Nesacaine
Effective January 1, 2016
30
Nesacaine-mpf 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
phenylephrine/guaifenesin
ANTIHISTAMINES
promethazine-DM
GENERIC
promethazine/codeine
carbinoxamine maleate
promethazine/dextromethorphan
cetirizine HCL
promethazine/phenylephrine
clemastine fumarate
promethazine/phenylephrine/codeine
cyproheptadine HCL
sodium chloride
desloratadine
PREFERRED
desloratadine odt
Dallergy
diphenhydramine HCL
J-max
levocetirizine dihydrochloride
Mucinex D
promethazine HCL
Mucinex Maximum Strength
promethazine HCL plain
Promethazine/Phenylephrine
Clemastine Fumarate
NON PREFERRED
PREFERRED
Carbaphen 12
Allegra Allergy Childrens
Carbaphen 12 PED
Dexchlorpheniramine Maleate
Clarinex-d 12 HOUR
NON PREFERRED
Clarinex-d 24 HOUR
Brompheniramine
Codar AR
Brompheniramine Tannate
Cpb Wc
Clarinex
Decon-a
Clarinex Reditabs
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL
Dicopanol Fusepaq
Karbinal ER
Exactuss
Palgic
Flowtuss
Phenergan
Gilphex TR
Respa-BR
Giltuss
Xyzal
Giltuss PED-c
Giltuss TR
NASAL AGENTS
Hycofenix
GENERIC
Hyper-sal
azelastine HCL
Hypersal
budesonide
Nebusal
flunisolide
Neotuss Plus
fluticasone propionate
Obredon
ipratropium bromide
Panatuss Dxp
olopatadine HCL
Pediatex TD
triamcinolone acetonide
Pediatex TDM
PREFERRED
Relhist
Nasonex
Rescon-JR
Veramyst
Rescon-MX
NON PREFERRED
Rezira
Adrenalin
Semprex-d
Astelin
Suttar-SF
Astepro
Suttar-2
Atrovent
Tessalon Perles
Bactroban Nasal
Tussicaps
Beconase AQ
Tussionex Pennkinetic Extended Release
Dermacinrx Azenase PAK
Tuzistra XR
Dermacinrx Ticanase PAK
Vituz
Dymista
Zonatuss
Flonase
Zutripro
Omnaris
Patanase
ANTIASTHMATIC/COPD AGENTS
Qnasl
GENERIC
Qnasl Childrens
albuterol
Rhinocort Aqua
albuterol sulfate
Tyzine
albuterol sulfate ER
Tyzine Pediatric Nasal Drops
albuterol TAB 4MG
Zetonna
aminophylline
Effective January 1, 2016
31
budesonide Infasurf
epinephrine HCL Kalydeco
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
Breo Ellipta
Kinrix
Combivent Respimat
Pediarix
Elixophyllin
Pentacel
Flovent Diskus
Quadracel
Flovent HFA
Tenivac
Foradil Aerolizer
Tetanus Toxoid Adsorbed
Incruse Ellipta
Tetanus/Diphtheria Toxoids-adsorbed
Metaproterenol Sulfate
Tetanus/Diphtheria Toxoids-adsorbed Adult
Proair HFA
Proair Respiclick
VACCINES
Pulmicort Flexhaler
Serevent Diskus
NON PREFERRED
Spiriva Handihaler
Acthib
Spiriva Respimat
Afluria PF 2012-2013
Symbicort
Afluria PF 2013-2014
Ventolin HFA
Afluria PF 2014-2015
Xolair
Afluria PF 2015-2016
NON PREFERRED
Afluria 2012-2013
Accolate
Afluria 2013-2014
Aerospan
Afluria 2014-2015
Arcapta Neohaler
Afluria 2015-2016
Arnuity Ellipta
Bcg Vaccine
Atrovent HFA
Bexsero
Brovana
Biothrax
Daliresp
Cervarix
Duoneb
Comvax
Isuprel
Engerix-b
Lufyllin
Fluarix Quadrivalent 2013-2014
Maxair Autohaler
Fluarix Quadrivalent 2014-2015
Perforomist
Fluarix Quadrivalent 2015-2016
Pulmicort
Fluarix 2013-2014
Pulmophylline
Fluarix 2014-2015
Senophylline
Flublok 2013-2014
Singulair
Flublok 2014-2015
Stiolto Respimat
Flublok 2015-2016
Striverdi Respimat
Flucelvax 2013-2014
Theo-24
Flucelvax 2014-2015
Theophylline/D5W
Flucelvax 2015-2016
Vospire ER
Flulaval Quadrivalent 2013-2014
Xopenex
Flulaval Quadrivalent 2014-2015
Xopenex Concentrate
Flulaval Quadrivalent 2015-2016
Zyflo
Flulaval 2013-2014
Zyflo CR
Flulaval 2014-2015
Flumist Quadrivalent
RESPIRATORY AGENTS - MISC
Fluvirin PF 2013-2014
PREFERRED
Fluvirin PF 2014-2015
Pulmozyme
Fluvirin 2013-2014
NON PREFERRED
Fluvirin 2014-2015
Aralast NP
Fluvirin 2015-2016
Curosurf
Fluzone High-dose PF 2013-2014
Esbriet
Fluzone High-dose PF 2014-2015
Glassia
Fluzone High-dose PF 2015-2016
Effective January 1, 2016
32
Fluzone Pediatric PF 2013-2014 PREFERRED
Fluzone PF 2013-2014 Atabex EC
Fluzone PF 2014-2015 Atabex Prenatal
Fluzone Quadrivalent 2013-2014 Bal-care DHA
Fluzone Quadrivalent 2014-2015 Bal-care DHA Essential
Fluzone Quadrivalent 2015-2016 Citranatal B-calm
Fluzone Split 2013-2014 Citranatal RX
Fluzone Split 2014-2015 Clinical Nutrients Prenatal Formula
Fluzone Split 2015-2016 Concept DHA
Gardasil Concept OB
Gardasil 9 Duet DHA Balanced
Havrix Duet DHA 400
Hiberix Duet DHA 400EC
Imovax Rabies (h.d.c.v.) Duet DHA 430
Ipol Inactivated IPV Duet DHA 430EC
Ixiaro Enbrace HR
M-m-r II Escavite
Medical Provider EZ Flu Shot 2014-2015 Escavite D
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 Moms Choice RX
Pedvax HIB Mykidz Iron Fl
Pneumovax 23 Mynatal
Pneumovax 23/1 Dose Natachew
Pneumovax 23/5 Dose Natafort
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
Vivotif Obtrex DHA
Vivotif Berna 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 400
ascorbic acid
OB Complete/DHA
ergocalciferol
Poly-VI-flor
phytonadione
Poly-VI-flor FS
thiamine HCL
Poly-VI-flor/Iron
vitamin c 222MG
Prefera OB
vitamin d
Prefera OB + DHA
vitamin k1
Prenata
PREFERRED
Prenatal Vitamin
Mephyton
Prenatal Vitamins
Vitamin A
Prenate AM
NON PREFERRED
Prenate Elite
Aquasol A Parenteral
Prenate Essential
Drisdol
Prenate Star
Pyridoxine HCL
Provida OB
Vitamin K1
Right Step Prenatal
Wheat Germ
Select-OB
Stuart Prenatal
MULTIVITAMINS
Taron-bc
GENERIC
Taron-c DHA
b-complex 100
Theranatal Core Nutrition
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Tri-VI-flor
Tricare Prenatal Compleat
Effective January 1, 2016
33
Tricare Prenatal DHA One Protect Plus
Vinacal B Provida DHA
Vinate AZ Extra R-natal OB
Vinate Calcium Renatabs
Vinate DHA Renatabs With Iron
Vinate DHA RF Req 49+
Vita-pren Select-ob+dha
Vitafol-nano Siderol
Vitafol-pn Strovite Forte
Vitamedmd Redichew RX Strovite One
Vitamedmd Redichew RX/Quatrefolic Supervite
Vitapearl Supervite EC
Viva DHA Support-500
Your Life Multi Prenatal Synagex
Zatean-pn Synatek
Zatean-pn Plus Texavite LQ
NON PREFERRED Triveen-duo DHA
Adrenal C Formula Triveen-prx RNF
Albafort TL G-FOL OS
Bacmin Udamin SP
Citranatal Assure Vemavite-prx 2
Citranatal DHA Vitafol
Citranatal Harmony Vitafol Fe+
Citranatal 90 DHA Vitafol Ultra
Cod Liver Oil Vitafol-ob+dha
Corvite Vitafol-one
Crnatal Vital-d RX
Dialyvite Supreme D Vitamedmd One RX/Quatrefolic
Dialyvite 3000 Vitamedmd Plus RX/Quatre Folic
Dialyvite 5000 Vitaroca Plus
Dialyvite/Zinc Vitatrue
Diatx ZN Zatean-pn DHA
Floriva Zatean-CH
Focalgin CA
Focalgin 90 DHA MEDICAL DEVICES
Folet DHA
DIABETIC SUPPLIES
Folet One
PREFERRED
Folgard OS
Accu-chek Safe-t-pro Lancets
Folivane-prx DHA NF
Accu-chek Safe-t-pro Pluslancets
Fortavit
Accu-chek Soft Touch Lancets
Gesticare DHA
Accu-chek Softclix Lancets
M.v.i. Adult
Advocate Insulin Pen Needles 29GX12.7MM
M.v.i. Pediatric
Advocate Insulin Pen Needles 31GX5MM
M.v.i.-12 Without Vitamin K
Advocate Insulin Pen Needles 31GX8MM
Natalvirt CA
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
Natalvirt 90 DHA
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
Nephplex RX
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
Nephro-vite RX
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
Nephrocaps
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
Nephrocaps QT
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
Nestabs Abc
Advocate Insulin Syringe/U-100/1ML/29GX1/2"
Nexa Plus
Advocate Insulin Syringe/U-100/1ML/30GX5/16"
Nicadan
Advocate Insulin Syringe/U-100/1ML/31GX5/16"
Nicazel
Advocate Lancets
Nicazel Forte
Advocate Lancets 30G
Nicomide
Advocate Safety Lancets
Nutricap
Advocate Safety Lancets 26G
Nutrivit
Agamatrix Ultra-thin Lancets 33G
Ocuvel
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Paire OB
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
Preferaob +dha
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Preferaob One
Assure Haemolance Plus High Flow 18G
Prefol-DHA
Assure Haemolance Plus Low Flow 25G
Prenate
Assure Haemolance Plus Micro Flow 28G
Prenate DHA
Assure Haemolance Plus Normal Flow 21G
Prenate Enhance
Assure Haemolance Plus Pediatric Blade
Prenate Mini
Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Prenate Pixie
Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Prenate Restore
Assure Lance Lancets
Preque 10
Effective January 1, 2016
34
Assure Lance Lancets 21G BD Lancet Ultrafine 30G
Assure Lance Plus Safety Lancets 25G BD Lancet Ultrafine 33G
Assure Lance Plus Safety Lancets 30G BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2"
Assure Lancets
BD Microtainer Lancets
Aurora Lancet Super Thin 30G
BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Aurora Lancet Thin 23G
BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Aurora Pen Needles 29GX12MM
BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Aurora Pen Needles 31G X 6MM
BD Pen Needle/Ultrafine/29G X 12.7MM
Aurora Pen Needles 31G X 8MM
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
Autolet Platforms
BD Pen Needles SHORT/Ultrafine/31G X 5/16"
AF Lancets Super Thin
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"
AT Last Lancets
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2"
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16"
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16"
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16"
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16"
BD-insul SYR Mis LO Dose
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Carefine Pen Needle 32GX4MM
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Carefine Pen Needles 29GX1/2"
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2"
Carefine Pen Needles 30GX5/16"
Bayer Microlet Lancets
Carefine Pen Needles 31GX6MM
Bullseye Safety Lancets
Carefine Pen Needles 31GX8MM
BD Autoshield Duo 30G X 3/16"
Careone Lancet Thin
BD Autoshield 29G X 3/16"
Careone Lancet Ultra Thin
BD Autoshield 29G X 5/16"
Cleanlet Lancets 28G
BD Insulin Syringe LUER-LOK/U-100/1ML
Clever Chek Lancets Ultrathin
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Clever Chek Lancets Ultrathin 30G
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16"
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2"
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2"
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16"
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
BD Insulin Syringe Slip Tip/U-100/1ML
Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2"
BD Insulin Syringe U-40/1ML/25G X 5/8"
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64"
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16"
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64"
Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16"
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
Clever Choice Comfort EZ Pen Needles 29GX12MM
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 31GX6MM
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 32GX4MM
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 32GX8MM
BD Insulin Syringe Ultrafine/1ML/30G X 1/2"
Clever Choice Comfort EZ Pen Needles 33GX4MM
BD Insulin Syringe Ultrafine/1ML/31G X 5/16"
Clever Choice Comfort EZ Pen Needles 33GX5MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1"
Clever Choice Comfort EZ Pen Needles 33GX6MM
Clever Choice Comfort EZ Pen Needles 33GX8MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"
Coaguchek Lancets
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2"
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16"
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16"
BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2"
BD Insulin Syringe/U-100/1ML/27G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16"
BD Insulin Syringe/U-100/1ML/28G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16"
BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Comfort Assist Insulin Syringe/1ML/29G X 1/2"
BD Insulin Syringe/U-100/2ML/29G X 1/2"
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"
Effective January 1, 2016
35
Comfort Lancets Excel Comfort Point Insulin Pen Needles 31G X 4MM
Diastar Easy Test II Lancets 30G Exel Comfort Point Insulin Pen Needles 29G X 12MM
Diastar Easy Test Lancets30G Exel Comfort Point Insulin Pen Needles 31G X 6MM
Droplet Lancets Ultra Thin 30G Exel Comfort Point Insulin Pen Needles 31G X 8MM
Drug Mart On-the-go Lancets Gentle 30G Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2"
Drug Mart Unilet Lancets Super Thin 30G Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16"
Drug Mart Unilet Lancets Ultra Thin 28G Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2"
Duane Reade Unifine Pentips 29G X 12MM Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2"
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16"
Duane Reade Unifine Pentips 31G X 8MM SHORT Exel Comfort Point Insulin Syringe/1ML/28G X 1/2"
E-z Ject Lancets Exel Comfort Point Insulin Syringe/1ML/29G X 1/2"
E-z Ject Lancets Color Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"
E-z Ject Lancets Super Thin EZ Smart Blood Glucose Lancets
E-z Ject Lancets Super Thin 30G EZ-lets Lancets 21G
E-z Ject Lancets Thin 26G EZ-lets Lancets 23G
E-z Ject Lancets 21G EZ-lets Lancets 26G Super-soft
E-ZJECT Lancets Micro-thin 33G EZ-lets Lancets 28G Ultra-soft
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2"
EZ-lets Lancets 30G
Fasttake Compact Monitoring System
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16"
Fasttake Test Strips
Fifty50 Pen Needles 31G X3/16" (5MM)
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"
Fifty50 Pen Needles 31G X5/16" (8MM)
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"
Fifty50 Safety Seal Lancets 30G
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"
Fifty50 Safety Seal Lancets 32G
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2" Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16"
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2" Fine 30
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2" Fingerstix Lancets
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2" Fora Lancets
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16" Freestyle Lancets
Easy Touch Insulin Syringe/0.3ML/30G X 5/16" Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16"
Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Insulin Syringe/0.5ML/29G X 1/2"
Easy Touch Insulin Syringe/0.5ML/30G X 5/16"
Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Insulin Syringe/1ML/30G X 5/16"
Easy Touch Lancets 21G/Pressure Activated
Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16"
Easy Touch Lancets 23G/Pressure Activated
Easy Touch Lancets 26G/Pressure Activated
Freestyle Unistick II Lancets
Easy Touch Lancets 26G/Pull-top
Gentle-let GP Lancets
Easy Touch Lancets 26G/Twist
Gentle-let Lancets General Purpose Style/Fine Point
Easy Touch Lancets 28G/Pressure Activated
Gentle-let Lancets General Purpose Style/Medium Point
Easy Touch Lancets 28G/Pull-top
Gentle-let Lancets Safety Style/Fine Point
Easy Touch Lancets 28G/Twist
Gentle-let Lancets Safety Style/Medium Point
Easy Touch Lancets 30G/Button-activated
Gentle-let Platforms 2.4MM
Easy Touch Lancets 30G/Pressure Activated
Gentle-let Platforms 3.0MM
Easy Touch Lancets 30G/Pull-top
Glucocom Lancets 28G
Easy Touch Lancets 30G/Twist
Glucocom Lancets 30G
Easy Touch Lancets 32G/Pressure Activated
Glucocom Lancets 33G
Easy Touch Lancets 32G/Pull-top
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Easy Touch Lancets 32G/Twist
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"
Easy Touch Lancets 33G/Twist
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"
Easy Touch Pen Needles 29GX1/2"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"
Easy Touch Pen Needles 31GX1/4"
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Pen Needles 31GX5/16"
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Pen Needles 32GX5/32"
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"
Easy Touch Pen Needles/31G X 3/16"
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"
Easy Touch Safety Lancets21G/Pressure Activated
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Safety Lancets23G/Pressure Activated
Glucosource Lancets
Easy Touch Safety Lancets26G/Button Activated
Gmate Lancets 30G
Easy Touch Safety Lancets26G/Pressure Activated
H&h Thinlet Lancets 26G
Easy Touch Safety Lancets28G/Button Activated
H&h Thinlet Super Thin Lancets 30G
Easy Touch Safety Lancets28G/Pressure Activated
H-e-b Incontrol Pen Needles 29GX12MM
Easy Twist & CAP Lancets
H-e-b IN Control Pen Needles 31GX6MM
Easytest II Lancets
H-e-b IN Control Pen Needles 31GX8MM
Easytest Lancets
Haemolance
Embrace Lancets Ultra Thin 30G
Haemolance Low Flow Lancets
Eql SHORT Pen Needles 31G X 8MM
Haemolance Plus
Eql Ultra SHORT Pen Needles 31G X 6MM
Haemolance Plus High Flow
Effective January 1, 2016
36
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 Super Thin Lancets
IN Touch Sterile Lancets 30G Microlet Lancets
Lancet Transporter Case Microtainer Safety Flow Lancet/Sterile/Single-use
Lancets Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML
Lancets Bullseye Safety Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8"
Lancets Safety Seal 21G Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2"
Lancets Safety Seal 26G Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2"
Lancets Safety Seal 28G
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2"
Lancets Safety Seal 30G
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2"
Lancets Thin
Lancets Twist Top
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2"
Lancets Ultra Fine
Lancets Ultra Thin
Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2"
Lancets 26G Twist Top
Lancets 28G
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2"
Lancets 30G
Lancets 30G Twist Top Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2"
Lancets 30G/Twist Top
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2"
Lancets 31G Twist Top
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Lancets 33G Universal Design
Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Leader Unifine Pentips Plus/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Leader Unifine Pentips Plus/SHORT/31GX5/16"
Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Leader Unifine Pentips/Mini/31GX3/16"
Monoject Insulin Syringe/U-100/1ML/30G X 5/16"
Leader Unifine Pentips/Nano/32GX5/32"
Monoject Insulin Syringe/1ML
Leader Unifine Pentips/Plus/32GX5/32"
Monoject Insulin Syringe/1ML/31G X 5/16"
Liberty Medical Lancets 30G
Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"
Lifescan Unistik II Lancets
Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"
Lifescan Unistik 2 Deep Penetration
Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"
Lite Touch Pen Needles/31G X 3/16"
Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2"
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16"
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"
Litetouch Insulin Syringe/0.3ML/29G X 1/2"
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"
Litetouch Insulin Syringe/0.3ML/30G X 5/16"
Monojector End CAPS
Litetouch Insulin Syringe/0.3ML/31G X 5/16"
Monojector Opd End CAPS
Litetouch Insulin Syringe/0.5ML/30G X 5/16"
Monolet Lancets
Effective January 1, 2016
37
Monolet Opd Lancets Precision Thin Lancets
Monolettor Safety Lancets Precision Thins GP Lancet
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Precision Ultra Lancet
Preferred Plus Unifine Pentips 29G X 12MM
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT
Preferred Plus Unifine Pentips 31G X 8MM SHORT
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Prodigy Insulin Mini Pen Needles/31G X 3/16"
Prodigy Insulin Pen Needles/29G X 1/2"
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16"
Prodigy Insulin Syringe/1/2ML/31G X 5/16"
Myglucohealth Mgh Softlance Lancets 30G
Prodigy Insulin Syringe/1ML/28G X 1/2"
Netgroup Lancets
Prodigy Insulin SHORT Penneedles/31G X 5/16"
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 Basic System
Px Lancets Ultra Thin
Onetouch Basic/Profile Test Strips
PC Unifine Pentips 29G X 1/2"
Onetouch Club Lancets Fine Point
PC Unifine Pentips 31G X 6MM Ultra SHORT
Onetouch Combo Pack
PC Unifine Pentips 31G X 8MM SHORT
Onetouch Delica Lancets Extra Fine 33G
Qc Lancets Super Thin
Onetouch Delica Lancets Fine 30G
Qc Lancets Ultra Thin
Onetouch Finepoint Lancets
Qc Pen Needles 29G X 12MM
Onetouch Lancets
Qc Pen Needles 31G X 6MM
Onetouch Profile System
Qc Pen Needles 31G X 8MM
Onetouch Suresoft Lancing Device/18G
Relion Insulin Syringe/U -100/0.5ML/29G
Onetouch Suresoft Lancing Device/21G
Relion Insulin Syringe/U-00/1ML/29G X 1/2"
Onetouch Suresoft Lancing Device/28G
Relion Insulin Syringe/U-100/0.3ML/29G
Onetouch Ultra Blue
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2"
Onetouch Ultra Mini
Relion Insulin Syringe/U-100/0.3ML/30G
Onetouch Ultra System Kit
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16"
Onetouch Ultra 2
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16"
Onetouch Ultralink System (hex)
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Onetouch Ultralink System (DEC)
Relion Insulin Syringe/U-100/0.5ML/30G
Onetouch Ultrasmart
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16"
Onetouch Ultrasoft Lancets
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16"
Onetouch Verio
Relion Insulin Syringe/U-100/1ML/30G
Onetouch Verio IQ Blood Glucose Monitoring System
Relion Insulin Syringe/U-100/1ML/30G X 5/16"
Onetouch Verio Sync Bloodglucose Monitoring System
Relion Insulin Syringe/U-100/1ML/31G X 5/16"
Onetouch Verio Test Strips
Relion Lancets Micro-thin33G
Pen Needles 29G X 12MM
Relion Lancets Standard 21G
Pen Needles 29GX1/2"
Relion Lancets Thin 26G
Pen Needles 30GX5/16"
Relion Lancets Ultra-thin30G
Pen Needles 31G X 1/4" SHORT
Relion Mini Pen Needles 31GX6MM
Pen Needles 31G X 3/16"
Relion Pen Needles 29GX12MM
Pen Needles 31G X 6MM
Relion Pen Needles 31GX8MM
Pen Needles 31GX5/16"
Relion Pen Needles 32GX4MM
Penlet II Replacement CAPS
Relion SHORT Pen Needles 31GX8MM
Penlet II Replacement CAPS-deep
Relion Thin Lancets
Penlet II Replacement CAPS-regular
Relion Ultra Thin Lancets
Pentips 31GX5MM
Relion Ultra Thin Lancets30G
Pentips 31GX8MM
Relion Ultra Thin Plus Lancets 32G
Pentips 32GX4MM
Relion Ultra Thin Plus Lancets 33G
Perfect Lancets 30G
Renew Advanced Lancing Cartridge Refills
Perfect Pressure Activated Safety Lancets 28G
Rexall Lancets Ultra Thin
Pharmacist Choice Ultra Thin Lancets
Rightest Gl300 Lancets
Pharmacist Choice Ultra Thin Lancets 28G
Rightest GD-L500 Alternate Site Adapter
Pharmacist Choice Ultra Thin Lancets 30G
Safe-t-lance Low Flow 25G
Pharmacist Choice Ultra Thin Lancets 31G
Safe-t-lance Normal Flow 21G
Pharmacist Choice Ultra Thin Lancets 33G
Safe-t-lance Plus Safety Lancet High Flow
Pharmacy Counter Lancets
Safe-t-lance Plus Safety Lancet Low Flow
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16"
Safe-t-lance Plus Safety Lancet Normal Flow
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2"
Safesnap Insulin Syringe/0.3ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2"
Safesnap Insulin Syringe/0.5ML/29G X 1/2"
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8"
Safesnap Insulin Syringe/0.5ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2"
Safesnap Insulin Syringe/1ML/28G X 1/2"
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2"
Safesnap Insulin Syringe/1ML/29G X 1/2"
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2" Safety Lancet 21G/Pressure Activated
Effective January 1, 2016
38
Safety Lancet 28G/Pressure Activated Thinpro Insulin Syringe/0.5ML/28G X 1/2"
Safety Lancets Thinpro Insulin Syringe/0.5ML/29G X 1/2"
Safety Lancets 21G Thinpro Insulin Syringe/0.5ML/30G X 3/8"
Safety Lancets 28G Thinpro Insulin Syringe/0.5ML/31G X 3/8"
Safety Let Lancets Thinpro Insulin Syringe/1ML/28G X 1/2"
Safety Seal Lancets 28G Thinpro Insulin Syringe/1ML/29G X 1/2"
Safety Seal Lancets 30G Thinpro Insulin Syringe/1ML/30G X 3/8"
Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Thinpro Insulin Syringe/1ML/31G X 3/8"
Shopko On-the-go Comfort Lancets 30G Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2"
Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16"
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16"
Shopko Unifine Pentips Pen Needles/Original/29GX12MM Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2"
Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"
Shopko Unilet Lancets Super Thin 30G Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16"
Shopko Unilet Lancets Ultra Thin 28G Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16"
Single-let Trueplus Insulin Syringe/U-100/1ML/28G X 1/2"
Smart Diabetes Vantage Universal Lancets 30G Trueplus Insulin Syringe/U-100/1ML/29G X 1/2"
Smart Sense Color Lancets Universal 33G Trueplus Insulin Syringe/U-100/1ML/30G X 5/16"
Smart Sense Standard Lancets Universal 21G Trueplus Insulin Syringe/U-100/1ML/31G X 5/16"
Smart Sense Super Thin Lancets Universal 30G Trueplus Lancets 26G
Smart Sense Thin Lancets Universal 26G Trueplus Lancets 28G
Smartest Lancets 28G Trueplus Lancets 28G Super Thin
Solus V2 Pressure Activated Safety Lancets 28G Trueplus Lancets 30G
Solus V2 Twist Lancets 30G Trueplus Lancets 30G Ultra Thin
Sterilance PA Trueplus Lancets 33G
Sterilance TL Trueplus Lancets 33G Micro Thin
Sure-fine Pen Needles 29GX1/2" 12.7MM Trueplus Safety Lancets 28G
Sure-fine Pen Needles 31GX3/16" 5MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2"
Sure-fine Pen Needles 31GX5/16" 8MM Ulticare Insulin Safety Syringe/1ML/29G X 1/2"
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2" Ulticare Insulin Syringe 1CC/28G U-100 1/2"
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2" Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16" Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16" Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2" Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2" Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16" Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16"
Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16" Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2"
Sure-lance Flat Lancets Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2"
Sure-lance Lancets 26G Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16"
Sure-lance Thin Lancets 28G Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16"
Sure-lance Ultra Thin Lancets Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2"
Sure-touch Lancets Universal Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2"
Surelite Lancets Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16"
Surestep Test Strips Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16"
Techlite AST Lancets Ulticare Insulin Syringe/U-100/1ML/29G X 1/2"
Techlite Lancets Ulticare Insulin Syringe/U-100/1ML/30G X 1/2"
Techlite Lancets 30G Ulticare Insulin Syringe/U-100/1ML/30G X 5/16"
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare Insulin Syringe/U-100/1ML/31G X 5/16"
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2" Ulticare Insulin Syringe/0.3ML/29G X 1/2"
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Terumo Insulin Syringe/U-100/1ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Terumo Insulin Syringe/0.3ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Terumo Insulin Syringe/0.5ML/29G X 1/2" Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Terumo Insulin Syringe/0.5ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Terumo Insulin Syringe/1ML/27G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Terumo Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/28G X 1/2"
Terumo Insulin Syringe/1ML/30G X 3/8" Ulticare Insulin Syringe/1ML/29G X 1/2"
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2"
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16"
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2" Ulticare Micro Pen Needles/32G X 4MM
Terumo Surguard Insulin Syringe/1ML/28G X 1/2" Ulticare Mini Pen Needles Ulti-fine IV
Terumo Surguard Insulin Syringe/1ML/29G X 1/2" Ulticare Mini Pen Needles 31GX6MM
Thinlets GP Lancets Ulticare Mini Pen Needles/31G X 6MM
Thinlets Lancet Ulticare Mini Pen Needles31GX6MM
Thinpro Insulin Syringe/0.3ML/29G X 1/2" Ulticare Original Pen Needles Ulti-fine
Thinpro Insulin Syringe/0.3ML/30G X 3/8" Ulticare Pen Needles/29G X 12.7MM
Thinpro Insulin Syringe/0.3ML/31G X 3/8" Ulticare SHORT Pen Needles Ulti-fine IV
Effective January 1, 2016
39
Ulticare SHORT Pen Needles 31GX8MM Unistik 2
Ulticare SHORT Pen Needles/31G X 8MM Unistik 2 Comfort
Ulticare Thin Lancets 30G Unistik 2 Extra
Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2" Unistik 2 Neonatal
Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16" Unistik 2 Normal
Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2" Unistik 2 Super
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Unistik 3
Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2" Unistik 3 Comfort
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Unistik 3 Extra
Ultilet Classic Lancets Unistik 3 Gentle
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Unistik 3 Neonatal
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Unistik 3 Normal
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Universal 1 Lancets Thin 26G
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Universal 1 Lancets Ultra Thin 30G
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Ultilet Lancets V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Ultilet Lancets 33G V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Ultilet Pen Needle 32GX4MM/SHORT V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Ultilet Safety Lancets 23G Valumark Lancet Super Thin 30G
Ultilet SHORT Pen Needles 31GX5/16" Valumark Lancet Ultra Thin 28G
Ultilet SHORT Pen Needles31GX3/16" Valumark Pen Needles 29GX12MM
Ultra-thin II Auto Lancet Valumark Pen Needles 31G X 6MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16"
Valumark Pen Needles 31G X 8MM
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2"
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16"
Vanishpoint Insulin Syringe/1ML/29G X 1/2"
Vida Mia Unifine Pentips Mini 31GX6MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16"
Vida Mia Unifine Pentips Original 29GX12MM
Vida Mia Unifine Pentips 32GX4MM
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16"
Vida Mia Unilet Lancets Super Thin 30G
Vida Mia Unilet Lancets Ultra Thin 28G
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Vida Mia Unipfine Pentipsshort 31GX8MM
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Vitalet Pro Lancets
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Vitalet Pro Plus Lancets
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
W&f Lancets Colored 21G
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
W&f Lancets 26G
Ultra-thin II Lancets 28G
Walgreens Lancets
Ultra-thin II Lancets 30G
Walgreens Thin Lancets
Ultra-thin II Mini Pen Neeedles/31GX3/16"
Walgreens Ultra Thin Lancets
Ultra-thin II Pen Needles 29GX1/2"
1ST Choice Lancets Super Thin
Ultra-thin II Pen Needles/SHORT/31GX5/16"
1ST Choice Lancets Thin
Ultra-thin II Safety Autolancets 26G
1ST Choice Lancets Ultra Thin
Ultralance
1ST Tier Unifine Pentips 29GX12MM
Unifine Pentips Plus 29GX12MM
1ST Tier Unifine Pentips 31GX6MM
Unifine Pentips Plus 31GX5MM
1ST Tier Unifine Pentips 31GX8MM
Unifine Pentips Plus 31GX6MM
Unifine Pentips Plus 31GX8MM
MEDICAL DEVICES - MISC
Unifine Pentips 29GX12MM
PREFERRED
Unifine Pentips 31G X 3/16"
Aerochamber Mini Aerosol Chamber
Unifine Pentips 31G X 6MM
Aerochamber MV
Unifine Pentips 31G X 8MM
Aerochamber Plus Flow VU
Unifine Pentips 31GX5MM
Aerochamber Plus Flow-VU
Unifine Pentips 31GX6MM
Aerochamber Plus Flow-VU/Large Mask
Unifine Pentips 31GX8MM
Aerochamber Plus Flow-VU/Mask
Unifine Pentips 32GX4MM
Aerochamber Plus Flow-VU/Medium Mask
Unilet Comfortouch Lancet
Aerochamber Plus Flow-VU/Small Mask
Unilet Excelite
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Unilet Excelite II
Unilet G.p. Lancet
Aerochamber Z-stat Plus/Flowsignal
Unilet G.p. Superlite Lancet
Aerochamber Z-stat Plus/Large Mask
Unilet GP 28 Ultra Thin
Aerochamber Z-stat Plus/Medium Mask
Unilet Lancet
Aerochamber Z-stat Plus/Small Mask
Unilet Lancets Micro-thin33G
Aerochamber/Flowsignal
Unilet Lancets Super-thin30G
Aerovent Plus Holding Chamber/Collapsible
Unilet Lancets Ultra-thin 28G
Arial Chamber
Unilet Superlite Lancet
Breatherite
Unistik CZT Comfort
Breatherite Collapsible Adult Spacer W/Mask
Unistik CZT Normal
Breatherite Collapsible Child Spacer W/Mask
Unistik Safety Lancets 28G
Breatherite Collapsible Infant Spacer W/Mask
Unistik Safety Lancets 30G
Unistik 1
Effective January 1, 2016
40
Breatherite Collapsible Small Child Spacer W/Mask
Breatherite Collapsible Spacer W/ Neonate Mask
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Flexichamber
Inspirachamber/Anti-static Valved/Mouthpiece
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 Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Panda Mask Medium
Panda Mask Small
Pediatric Panda Mask
Pocket Chamber
Pocket Spacer
Riteflo
Vortex Valved Holding Chamber
Watchhaler
MISCELLANEOUS
NON PREFERRED
Chemet
Exjade
Ferriprox
Jadenu
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective January 1, 2016 v.3 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.
41
Index
A
Adalat CC, 7 Aerochamber Z-stat Plus/Flowsignal, 40
adapalene, 10 Aerochamber Z-stat Plus/Large Mask, 40
A.a.g.c. Kit IN Teroderm, 11
Adapalene, 10 Aerochamber Z-stat Plus/Medium Mask, 40
abacavir, 3
Adasuve, 23
abacavir sulfate/lamivudine/zidovudine, 3
Adcetris, 5 Aerochamber Z-stat Plus/Small Mask, 40
Abaneu-SL, 20
Adcirca, 10 Aerochamber/Flowsignal, 40
Abelcet, 2
Adderall, 24 Aerospan, 32
Abilify, 23
Adderall XR, 24 Aerovent Plus Holding Chamber/Collapsible, 40
Abilify Discmelt, 23
adefovir dipivoxil, 3
Abilify Maintena, 23
Adempas, 10 AF Lancets Super Thin, 35
Abraxane, 5
Adenocard, 8 Afinitor, 6
Absorica, 10
adenosine, 7 Afinitor Disperz, 6
acamprosate calcium DR, 25
Adoxa, 2 Afluria 2012-2013, 32
Acanya, 10
Adoxa PAK 1/100, 2 Afluria 2013-2014, 32
acarbose, 16
Adoxa PAK 1/150, 2 Afluria 2014-2015, 32
Accolate, 32
Adoxa PAK 2/100, 2 Afluria 2015-2016, 32
Accu-chek Safe-t-pro Lancets, 34
Adrenal C Formula, 34 Afluria PF 2012-2013, 32
Accu-chek Safe-t-pro Pluslancets, 34
Adrenalin, 9, 31 Afluria PF 2013-2014, 32
Accu-chek Soft Touch Lancets, 34
Adriamycin, 4 Afluria PF 2014-2015, 32
Accu-chek Softclix Lancets, 34
Advair Diskus, 32 Afluria PF 2015-2016, 32
Accupril, 8
Advair HFA, 32 Afrezza, 15
Accuretic, 8
Advanced Allergy Collection Kit, 12 Agamatrix Ultra-thin Lancets 33G, 34
acebutolol HCL, 7
Advate, 21 Aggrastat, 22
Aceon, 8
Advicor, 9 Aggrenox, 22
acetaminophen/caffeine/dihydrocodeine, 28
Advocate Insulin Pen Needles 29GX12.7MM, 34
Agrylin, 22
Akne-mycin, 10
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 29
Advocate Insulin Pen Needles 31GX5MM, 34
Akten, 27
Akynzeo, 19
acetaminophen/codeine, 28
Advocate Insulin Pen Needles 31GX8MM, 34
Ala Scalp, 12
acetaminophen/codeine #2, 28
Ala-quin, 11
acetaminophen/codeine #3, 28
Advocate Insulin Syringe/U-100/0.3ML/29GX1/2", 34
Albafort, 20, 34
acetaminophen/codeine #4, 28
Albenza, 3
acetaminophen/codeine phosphate, 28
Advocate Insulin Syringe/U-100/0.3ML/30GX5/16", 34
albuterol, 31
acetazolamide, 9
albuterol sulfate, 31
Acetazolamide, 9
Advocate Insulin Syringe/U-100/0.3ML/31GX5/16", 34
albuterol sulfate ER, 31
acetazolamide ER, 9
albuterol TAB 4MG, 31
acetazolamide sodium, 9
Advocate Insulin Syringe/U-100/0.5ML/29GX1/2", 34
Alcaine, 27
acetic acid, 28
alclometasone dipropionate, 12
Acetic Acid/Aluminum Acetate, 28
Advocate Insulin Syringe/U-100/0.5ML/30GX5/16", 34
Aldactazide, 9
acetylcysteine, 31
Aldactone, 9
Aciphex, 18
Advocate Insulin Syringe/U-100/0.5ML/31GX5/16", 34
Aldara, 13
Aciphex Sprinkle, 18
Aldurazyme, 17
acitretin, 12
Advocate Insulin Syringe/U-100/1ML/29GX1/2", 34
alendronate sodium, 16
Aclovate, 12
Alendronate Sodium, 16
Actemra, 29
Advocate Insulin Syringe/U-100/1ML/30GX5/16", 34
Alevicyn Antipruritic SG, 13
Acthib, 32
Alfenta, 29
Acticlate, 2
Advocate Insulin Syringe/U-100/1ML/31GX5/16", 34
alfentanil, 28
Actigall, 19
Alferon N, 6
Actimmune, 6
Advocate Lancets, 34 alfuzosin HCL ER, 20
Actiq, 29
Advocate Lancets 30G, 34 Alimta, 5
Activase, 22
Advocate Safety Lancets, 34 Alinia, 4
Activella, 15
Advocate Safety Lancets 26G, 34 Alkeran, 4
Actonel, 16
Aerochamber Mini Aerosol Chamber, 40 Allegra Allergy Childrens, 31
Actoplus Met, 16
Aerochamber MV, 40 Allo-pax, 11
Actoplus Met XR, 16
Aerochamber Plus Flow VU, 40 allopurinol, 30
Actos, 16
Aerochamber Plus Flow-VU, 40 almotriptan malate, 30
Acuicyn Daily Eyelid & Eyelash Cleanser, 13
Aerochamber Plus Flow-VU/Large Mask, 40
Alocril, 28
Alodox Convenience Kit, 2
Acular, 27
Aerochamber Plus Flow-VU/Mask, 40 Alomide, 28
Acular LS, 28
Aerochamber Plus Flow-VU/Medium Mask, 40
Aloprim, 30
Acuvail, 28
Alora, 15
acyclovir, 3, 11
Aerochamber Plus Flow-VU/Small Mask, 40
alosetron hydrochloride, 19
acyclovir sodium, 3
Aloxi, 19
Acyclovir Sodium, 3
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 40
Alphagan P, 27
Aczone, 10
Alphanate/Von Willebrand Factor
Adacel, 32
Complex/Human, 21
Anaprox, 29 ascorbic acid, 33
Alphanine SD, 21
Anaprox DS, 29 Aspirin-caffeine-dihydrocodeine, 28
alprazolam, 22
Anaspaz, 18 Aspirin/Dipyridamole, 21
alprazolam ER, 22
anastrozole, 5 Assure Haemolance Plus High Flow 18G, 34
Alprazolam Intensol, 22
Ancef, 1
alprazolam odt, 22
Ancobon, 2 Assure Haemolance Plus Low Flow 25G, 34
Alrex, 27
Androderm, 14
Alsuma, 30
Androgel, 14 Assure Haemolance Plus Micro Flow 28G, 34
Altabax, 11
Androgel P.M., 14
Altace, 8
Android, 14 Assure Haemolance Plus Normal Flow 21G, 34
Aluvea, 13
Androxy, 14
amantadine HCL, 25
Anectine, 26 Assure Haemolance Plus Pediatric Blade, 34
Amantadine HCL, 25
Angeliq, 15
Amaryl, 16
Angiomax, 21 Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 34
Ambien, 24
Animi-3, 20
Ambien CR, 24
Animi-3/Vitamin D, 20 Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2", 34
Ambisome, 2
Anoro Ellipta, 32
Amcinonide, 12
Antabuse, 25 Assure Lance Lancets, 34
Amerge, 30
Antara, 9 Assure Lance Lancets 21G, 35
Amicar, 21
Anthralin, 12 Assure Lance Plus Safety Lancets 25G, 35
amifostine, 6
Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2", 34
amikacin sulfate, 2
Assure Lance Plus Safety Lancets 30G, 35
amiloride HCL, 9
Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2", 34
amiloride/hydrochlorothiazide, 9
Assure Lancets, 35
aminocaproic acid, 21
Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 34
Astagraf XL, 5
Aminocaproic Acid, 21
Astelin, 31
aminophylline, 31
antipyrine/benzocaine, 28 Astepro, 31
amiodarone HCL, 7
Antipyrine/Benzocaine, 28 Astringyn, 21
Amiodarone HCL, 8
Anusol-HC, 19 AT Last Lancets, 35
Amitiza, 19
Anzemet, 19 Atabex EC, 33
amitriptyline HCL, 22
Aplenzin, 23 Atabex Prenatal, 33
amlodipine besylate, 7
Apokyn, 25 Atacand, 8
amlodipine besylate/atorvastatin calcium, 10
Appbutamone, 23 Atacand HCT, 9
Appbutamone-d, 23 Atelvia, 16
amlodipine besylate/benazepril HCL, 8
Appformin, 16 atenolol, 7
amlodipine besylate/benazepril hydrochloride, 8
Appformin-d, 16 atenolol/chlorthalidone, 8
apraclonidine, 27 Atgam, 5
amlodipine besylate/valsartan, 8
Aptensio XR, 24 Ativan, 22
amlodipine/valsartan/hctz, 8
Aptiom, 24 Atopiclair, 13
ammonium lactate, 13
Aptivus, 3 atorvastatin calcium, 9
Ammonul, 17
Aquasol A Parenteral, 33 atovaquone, 4
Amoxapine, 23
Aquoral, 22 atovaquone/proguanil HCL, 3
amoxicillin, 1
Aralast NP, 32 atracurium besylate, 26
Amoxicillin, 1
Aralen, 3 Atralin, 10
Amoxicillin ER, 1
Arava, 29 Atripla, 3
amoxicillin/clavulanate potassium, 1
Arcalyst, 29 Atropen, 18
Amoxicillin/Clavulanate Potassium, 1
Arcapta Neohaler, 32 atropine sulfate, 18, 27
amoxicillin/clavulanate potassium ER, 1
argatroban, 21 Atropine Sulfate, 18, 27
amphetamine/dextroamphetamine, 24
Argatroban, 21 Atrovent, 31
Amphotec, 2
Arial Chamber, 40 Atrovent HFA, 32
Amphotericin B, 2
Aricept, 25 Aubagio, 25
ampicillin, 1
Aricept Odt, 25 augmented betamethasone dipropionate, 12
Ampicillin, 1
Arimidex, 5
ampicillin sodium, 1
aripiprazole, 23 Augmentin, 1
Ampicillin Sodium, 1
Aripiprazole Odt, 23 Augmentin ES-600, 1
ampicillin-sulbactam, 1
Aristospan Intra-articular, 14 Augmentin XR, 1
Ampicillin-sulbactam, 1
Aristospan Intralesional, 14 Auralgan, 28
Ampyra, 25
Arixtra, 21 Aurora Lancet Super Thin 30G, 35
Amrix, 26
Armour Thyroid, 17 Aurora Lancet Thin 23G, 35
Amturnide, 8
Arnica Flower, 13 Aurora Pen Needles 29GX12MM, 35
Amytal Sodium, 24
Arnuity Ellipta, 32 Aurora Pen Needles 31G X 6MM, 35
Anacaine, 13
Aromasin, 5 Aurora Pen Needles 31G X 8MM, 35
Anadrol-50, 14
Arranon, 5 Aurstat Anti-itch Hydrogel, 13
Anafranil, 23
Arthrotec 50, 29 Aurstat Anti-itch Hydrogel Kit, 13
anagrelide hydrochloride, 21
Arthrotec 75, 29 Auryxia, 19
Analpram Advanced, 19
Articadent Dental, 30 Autolet Platforms, 35
Analpram-HC, 19
Artiss, 21 Avalide, 9
Analpram-HC Singles, 19
Arzerra, 5 Avandamet, 16
Avandaryl, 16
Baraclude, 3 BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2", 35
Avandia, 16
Bayer Microlet Lancets, 35
Avapro, 8
Bcg Vaccine, 32 BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2", 35
Avar, 10
BD Autoshield 29G X 3/16", 35
Avar LS, 10
BD Autoshield 29G X 5/16", 35 BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64", 35
Avar LS Cleanser, 10
BD Autoshield Duo 30G X 3/16", 35
Avar-e LS, 10
BD Insulin Syringe LUER-LOK/U-100/1ML, 35
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16", 35
Avastin, 5
Avc, 20
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1", 35
Aveed, 14
Avelox, 2
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8", 35
Avelox Abc Pack, 2
Avenova, 13
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2", 35
Avidoxy DK, 2
Avinza, 29
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35
BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 35
Avodart, 20
Avonex, 25
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35
BD Insulin Syringe/U-100/1ML/27G X 1/2", 35
Avonex Pen, 25
Avycaz, 4
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35
BD Insulin Syringe/U-100/1ML/28G X 1/2", 35
Axert, 30
Axid, 18
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35
BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 35
Aygestin, 15
azacitidine, 5
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35
BD Insulin Syringe/U-100/2ML/29G X 1/2", 35
Azactam, 4
Azactam IN Iso-osmotic Dextrose, 4
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35
BD Integra Insulin Syringe/U-100/1ML/29G X 1/2", 35
Azasan, 5
Azasite, 26
BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35
BD Integra Syringe/Retracting Needle/1ML/25G X 1", 35
azathioprine, 5
azelastine HCL, 27, 31
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16", 35
BD Lancet Ultrafine 30G, 35
Azelex, 10
BD Lancet Ultrafine 33G, 35
Azilect, 25
BD Insulin Syringe Slip Tip/U-100/1ML, 35
BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 35
azithromycin, 1
Azithromycin, 1
BD Insulin Syringe U-40/1ML/25G X 5/8", 35
BD Microtainer Lancets, 35
Azopt, 27
BD Pen Needle/Mini/Ultrafine/31G X 3/16", 35
Azor, 8
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16", 35
aztreonam, 4
BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 35
Azulfidine, 19
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 35
Azulfidine EN-TABS, 19
BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 35
B
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 35
BD Pen Needle/Ultrafine/29G X 12.7MM, 35
B-6 Folic Acid, 20
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
b-complex 100, 33
BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 35
B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16", 35
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 35
BD Pen Needles SHORT/Ultrafine/31G X 5/16", 35
B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16", 35
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
BD Pudendal/Local Block Tray 1% Lidocaine, 30
B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 35
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 35
BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 35
B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35
BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 35
B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 35
BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 35
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 35
B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 35
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2", 35
BD-insul SYR Mis LO Dose, 35
bacitracin, 4
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2", 35
Bebulin, 21
Bacitracin, 4, 26
Beconase AQ, 31
bacitracin/polymyxin b, 26
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64", 35
Beleodaq, 6
Baclofen, 11
Belladonna & Opium, 18
baclofen, 26
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16", 35
Belladonna Alkaloids & Opium, 18
Bacmin, 34
Belsomra, 24
Bactocill IN Dextrose, 1
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2", 35
benazepril HCL, 8
Bactrim, 4
benazepril HCL/hydrochlorothiazide, 8
Bactrim DS, 4
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2", 35
Benefix, 21
Bactroban, 11
Benicar, 8
Bactroban Nasal, 31
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64", 35
Benicar HCT, 8
Bal-care DHA, 33
Bentyl, 18
Bal-care DHA Essential, 33
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16", 35
Benzac Ac Wash, 10
balsalazide disodium, 19
Benzac W Wash, 10
Banzel, 24
Benzaclin, 10
Botox, 26 Calan, 7
Benzaclin With P.M., 10
Bravelle, 17 Calan SR, 7
Benzamycin, 10
Breatherite, 40 calcipotriene, 12
Benzamycinpak, 10
Breatherite Collapsible Adult Spacer W/Mask, 40
calcipotriene/betamethasone dipropionate, 12
Benzefoam, 10
Benzefoamultra, 10
Breatherite Collapsible Child Spacer W/Mask, 40
calcitonin salmon, 16
Benziq, 10
calcitonin-salmon, 16
Benziq LS, 10
Breatherite Collapsible Infant Spacer W/Mask, 40
Calcitriol, 12
Benzodox 30 Kit, 2
calcitriol, 17
Benzodox 60 Kit, 2
Breatherite Collapsible Small Child Spacer W/Mask, 41
calcium acetate, 19
Benzoin Compound Tincture, 13
Calcium Carbonate, 18
Benzoin Tincture, 13
Breatherite Collapsible Spacer W/ Neonate Mask, 41
Calcium Folinate, 6
benzonatate, 31
Caldolor, 29
benzoyl peroxide, 10
Breatherite Rigid Spacer W/Mask, 41 Cambia, 30
benzoyl peroxide SHORT contact, 10
Breatherite W/Large Mask, 41 Campral, 25
benztropine mesylate, 25
Breatherite W/Medium Mask, 41 Camptosar, 6
Bepreve, 28
Breatherite W/Small Mask, 41 Canasa, 19
Berinert, 21
Breo Ellipta, 32 Cancidas, 2
Besivance, 26
Brevibloc, 7 candesartan cilexetil, 8
Beta Inject Kit, 14
Brevicon-28, 15 candesartan cilexetil/hydrochlorothiazide, 8
Betadine Ophthalmic Prep, 26
Brilinta, 22
Betagan, 27
brimonidine tartrate, 27 Cantil, 18
Betalido, 14
Brintellix, 23 Capastat Sulfate, 2
betamethasone dipropionate, 12
Brisdelle, 25 capecitabine, 5
betamethasone sodium phosphate/betamethasone acetate, 14
bromfenac, 27 Capex, 12
bromocriptine mesylate, 25 Caphosol, 22
Betamethasone SP, 14
bromphen/pseudoephedrine HCL/dextromethorphan HBR, 31
Capital/Codeine, 29
betamethasone valerate, 12
Caprelsa, 6
Betapace, 7
Brompheniramine, 31 Capsiderm, 13
Betapace AF, 7
Brompheniramine Tannate, 31 captopril, 8
betaxolol HCL, 7, 27
Brovana, 32 Captopril/Hydrochlorothiazide, 8
bethanechol chloride, 19
budesonide, 14, 31, 32 Carafate, 18
Bethkis, 2
Bullseye Safety Lancets, 35 Carbaglu, 17
Betimol, 27
bumetanide, 9 carbamazepine, 24
Betoptic-s, 27
Bumex, 9 carbamazepine ER, 24
bexarotene, 6
Bunavail, 29 Carbaphen 12, 31
Bexsero, 32
Bupap, 28 Carbaphen 12 PED, 31
Bexxar, 5
Buphenyl, 17 Carbatrol, 24
Bexxar 131 Iodine, 6
bupivacaine HCL, 30 carbidopa, 25
Beyaz, 15
bupivacaine/epinephrine, 30 carbidopa/levodopa, 25
Biaxin, 1
Buprenex, 29 carbidopa/levodopa ER, 25
Biaxin XL, 1
buprenorphine HCL, 28 carbidopa/levodopa odt, 25
Biaxin XL PAC, 1
buprenorphine HCL/naloxone HCL, 28 Carbidopa/Levodopa/Entacapone, 25
bicalutamide, 5
bupropion HCL, 22 carbinoxamine maleate, 31
Bicillin C-R, 1
bupropion HCL ER, 22 Carbocaine, 30
Bicillin L-a, 1
bupropion HCL SR, 22 carboplatin, 4
Bicnu, 4
bupropion HCL XL, 22 Cardene I.v., 7
Bidil, 10
buspirone HCL, 22 Cardene IV, 7
Biest/Progesterone, 15
Busulfex, 4 Cardene SR, 7
Biferarx, 20
butalbital/acetaminophen, 28 Cardizem, 7
Biltricide, 3
butalbital/acetaminophen/caffeine, 28 Cardizem CD, 7
Bimatoprost, 27
butalbital/acetaminophen/caffeine/codeine, 28
Cardizem LA, 7
Binosto, 16
Cardura, 8
Biothrax, 32
butalbital/aspirin/caffeine, 28 Cardura XL, 20
bisoprolol fumarate, 7
butalbital/aspirin/caffeine/codeine, 28 Carefine Pen Needle 32GX4MM, 35
bisoprolol fumarate/hydrochlorothiazide, 8
Butisol Sodium, 24 Carefine Pen Needles 29GX1/2", 35
butorphanol tartrate, 28 Carefine Pen Needles 30GX5/16", 35
bivalirudin, 21
Butrans, 29 Carefine Pen Needles 31GX6MM, 35
bleomycin sulfate, 4
Bydureon, 15 Carefine Pen Needles 31GX8MM, 35
Bleph-10, 26
Byetta, 16 Careone Lancet Thin, 35
Blephamide, 27
Bystolic, 7 Careone Lancet Ultra Thin, 35
Blephamide S.o.p., 27
C carisoprodol, 26
Blincyto, 5
Carisoprodol, 26
cabergoline, 17
Bloxiverz, 26
carisoprodol/aspirin, 26
Caduet, 10
Boniva, 16
carisoprodol/aspirin/codeine, 26
Cafcit, 24
Boostrix, 32
Carmol-HC, 12
Cafergot, 30
Boric Acid, 13
Carnitor, 17
caffeine citrate, 24
Bosulif, 6
Carnitor SF, 17
Caffeine/Sodium Benzoate, 24
carteolol HCL, 27
Chenodal, 19 Clarinex-d 12 HOUR, 31
carvedilol, 7
Chloramphenicol Sodium Succinate, 4 Clarinex-d 24 HOUR, 31
Cascara Sagrada, 18
chlordiazepoxide HCL, 22 clarithromycin, 1
Casodex, 5
Chlordiazepoxide/Amitriptyline, 25 clarithromycin ER, 1
Cataflam, 29
chlorhexidine gluconate, 22 Cleanlet Lancets 28G, 35
Catapres, 8
chlorhexidine gluconate oral rinse, 22 clemastine fumarate, 31
Catapres-tts-1, 8
chloroprocaine HCL, 30 Clemastine Fumarate, 31
Catapres-tts-2, 8
chloroquine phosphate, 3 Cleocin, 4, 20
Catapres-tts-3, 8
chlorothiazide, 9 Cleocin IN D5W, 4
Cathflo Activase, 22
Chlorothiazide, 9 Cleocin Pediatric Granules, 4
Cayston, 4
chlorothiazide sodium, 9 Cleocin Phosphate, 4
Cedax, 1
chlorpromazine HCL, 23 Cleocin-t, 10
cefaclor, 1
Chlorpromazine HCL, 23 Clever Chek Lancets Ultrathin, 35
Cefaclor, 1
Chlorpropamide, 16 Clever Chek Lancets Ultrathin 30G, 35
Cefaclor ER, 1
Chlorthalidone, 9 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 35
cefadroxil, 1
chlorzoxazone, 26
Cefazolin, 1
Cholbam, 19 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 35
cefazolin sodium, 1
cholestyramine, 9
Cefazolin Sodium, 1
cholestyramine light, 9 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 35
Cefazolin Sodium/Dextrose, 1
choline magnesium trisalicylate, 28
cefdinir, 1
Choline Magnesium Trisalicylate, 28 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 35
Cefditoren Pivoxil, 1
chorionic gonadotropin, 17
cefepime, 1
Cialis, 10 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 35
Cefepime, 1
Ciclodan Cream Kit, 11
cefixime, 1
Ciclodan Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 35
cefotaxime sodium, 1
ciclopirox, 11
Cefotetan, 1
ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 35
Cefotetan/Dextrose, 1
ciclopirox olamine, 11
cefoxitin sodium, 1
Ciclopirox Topical Solution Kit, 11 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 35
Cefoxitin Sodium, 1
cidofovir, 3
cefpodoxime proxetil, 1
Ciferex, 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 35
cefprozil, 1
cilostazol, 21
ceftazidime, 1
Ciloxan, 26 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 35
Ceftazidime/Dextrose, 1
cimetidine, 18
Ceftibuten, 1
cimetidine HCL, 18 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 35
Ceftin, 1
Cimzia, 19
Ceftriaxone IN Iso-osmotic Dextrose, 1
Cimzia Starter Kit, 19 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 35
ceftriaxone sodium, 1
Cinryze, 21
Ceftriaxone Sodium, 1
Cipro, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 35
Ceftriaxone/Dextrose, 1
Cipro HC, 28
cefuroxime axetil, 1
Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 35
cefuroxime sodium, 1
Cipro XR, 2
Cefuroxime Sodium, 1
Ciprodex, 28 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 35
Cefuroxime/Dextrose, 1
ciprofloxacin, 2
Celebrex, 29
Ciprofloxacin, 28 Clever Choice Comfort EZ Patch, 13
celecoxib, 29
ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles 29GX12MM, 35
Celestone-soluspan, 14
ciprofloxacin HCL, 2, 26
Celexa, 23
Ciprofloxacin HCL, 2 Clever Choice Comfort EZ Pen Needles 31GX5MM, 35
Cellcept, 5
ciprofloxacin I.V.-IN D5W, 2
Cellcept Intravenous, 5
cisatracurium besylate, 26 Clever Choice Comfort EZ Pen Needles 31GX6MM, 35
Celontin, 24
cisplatin, 4
Cenestin, 15
Cisplatin, 4 Clever Choice Comfort EZ Pen Needles 31GX8MM, 35
Cenfol, 20
citalopram hydrobromide, 22
Centany AT, 11
Citanest Forte Dental, 30 Clever Choice Comfort EZ Pen Needles 32GX4MM, 35
Centratex, 20
Citanest Plain Dental, 30
cephalexin, 1
Citranatal 90 DHA, 34 Clever Choice Comfort EZ Pen Needles 32GX8MM, 35
Cephalexin, 1
Citranatal Assure, 34
Cerdelga, 20
Citranatal B-calm, 33 Clever Choice Comfort EZ Pen Needles 33GX4MM, 35
Cerebyx, 24
Citranatal DHA, 34
Cerezyme, 20
Citranatal Harmony, 34 Clever Choice Comfort EZ Pen Needles 33GX5MM, 35
Cervarix, 32
Citranatal RX, 33
Cervidil, 28
citric acid/sodium citrate, 20 Clever Choice Comfort EZ Pen Needles 33GX6MM, 35
Cesamet, 19
cladribine, 5
cetirizine HCL, 31
Claforan, 1 Clever Choice Comfort EZ Pen Needles 33GX8MM, 35
Cetraxal, 28
Claforan/D5W, 1
Cetrotide, 17
Clarifoam EF, 10 Cleviprex, 7
cevimeline HCL, 22
Clarinex, 31 Climara, 15
Chemet, 41
Clarinex Reditabs, 31 Climara Pro, 15
Clin Single Use Kit, 4
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 35
Cubicin, 4
Clindacin Etz, 10
Curosurf, 32
Clindacin PAC, 10
Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 35
Cutivate, 12
Clindagel, 10
Cuvposa, 18
clindamycin HCL, 4
Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 35
cyanocobalamin, 20
clindamycin palmitate HCL, 4
Cyclessa, 15
clindamycin phosphate, 4, 10, 20
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 35
Cyclobenzaprine Comfort PAC, 26
Clindamycin Phosphate, 4
cyclobenzaprine HCL, 26
clindamycin phosphate add-vantage, 4
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 35
Cyclogyl, 27
clindamycin phosphate IN D5W, 4
Cyclomydril, 27
clindamycin phosphate pharmacy bulk package, 4
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 35
cyclopentolate HCL, 27
cyclophosphamide, 4
clindamycin/benzoyl peroxide, 10
Comfort Assist Insulin Syringe/1ML/29G X 1/2", 35
Cyclophosphamide, 4
Clindap-t, 10
Cycloserine, 2
Clindesse, 20
Comfort Assist Insulin Syringe/1ML/30G X 5/16", 35
cyclosporine, 5
Clinical Nutrients Prenatal Formula, 33
cyclosporine modified, 5
Clinoin, 10
Comfort Assist Insulin Syringe/1ML/31G X 5/16", 35
Cyclosporine Modified, 5
clobetasol propionate, 12
Cyklokapron, 21
clobetasol propionate emollient, 12
Comfort Lancets, 36 Cymbalta, 23
Clobex, 12
Compazine, 23 cyproheptadine HCL, 31
Clocortolone Pivalate, 12
Complera, 3 Cyramza, 5
Clocortolone Pivalate P.M., 12
Comtan, 25 Cystadane, 17
Clodan Kit, 12
Comvax, 32 Cystagon, 20
Cloderm, 12
Concept DHA, 33 Cystaran, 28
Cloderm P.M., 12
Concept OB, 33 cytarabine, 5
Clolar, 5
Concerta, 24 Cytarabine, 5
clomiphene citrate, 17
Condylox, 13 cytarabine aqueous, 5
clomipramine HCL, 22
Conzip, 29 Cytomel, 17
clonazepam, 24
Copasil, 13 Cytotec, 18
clonazepam odt, 24
Copaxone, 25 Cytovene, 3
clonidine HCL, 8
Copegus, 3 Cytra-3, 20
clonidine HCL ER, 24
Cordarone, 8 D
clopidogrel, 21
Cordran, 12
D.h.e. 45, 30
clorazepate dipotassium, 22
Cordran Tape, 12
dacarbazine, 6
Clorpres, 9
Coreg, 7
Dacarbazine, 6
clotrimazole, 11, 22
Coreg CR, 7
Dacogen, 5
clotrimazole/betamethasone dipropionate, 11
Corgard, 7
Daliresp, 32
Corifact, 21
Dallergy, 31
clozapine, 23
Corlanor, 10
Dalvance, 4
clozapine odt, 23
Corlopam, 8
danazol, 14
Clozapine Odt, 23
Cortalo, 12
Dantrium, 26
Clozaril, 23
Cortef, 14
Dantrium IV, 26
Cnl8 Nail Kit, 11
Cortenema, 19
dantrolene sodium, 26
Coaguchek Lancets, 35
Cortifoam, 19
Dantrolene Sodium, 26
Coal TAR, 13
Cortisone Acetate, 14
Dapsone, 4
Coartem, 3
Cortisporin, 11, 28
Daptacel, 32
Cocaine HCL, 13
Cortisporin-tc, 28
Daraprim, 3
Cod Liver Oil, 34
Corvert, 8
daunorubicin HCL, 4
Codar AR, 31
Corvite, 34
Daunoxome, 4
codeine sulfate, 28
Corvite 150, 20
Daypro, 29
Codeine Sulfate, 29
Corzide, 9
Daytrana, 24
Cogentin, 25
Cosentyx, 12
Ddavp, 17
Colazal, 19
Cosentyx Sensoready Pen, 12
Debacterol, 22
Colchicine, 30
Cosmegen, 4
decitabine, 5
Colcrys, 30
Cosopt, 27
Decon-a, 31
Colestid, 10
Cosopt PF, 27
Delestrogen, 15
Colestid Flavored, 10
Coumadin, 21
Demadex, 9
colestipol HCL, 9
Cozaar, 8
demeclocycline HCL, 2
colestipol HCL for oral suspension, 9
Cpb Wc, 31
Demerol, 29
colistimethate sodium, 4
Creon, 19
Demser, 8
Coly-mycin M, 4
Cresemba, 2
Denavir, 11
Coly-mycin S, 28
Crestor, 9
Depacon, 24
Colyte-flavor Packs, 18
Cresylate, 28
Depakene, 24
Combigan, 27
Crinone, 20
Depakote, 24
Combipatch, 15
Crixivan, 3
Depakote ER, 24
Combivent Respimat, 32
Crnatal, 34
Depakote Sprinkles, 24
Combivir, 3
cromolyn sodium, 19, 27
Depo-estradiol, 15
Cometriq, 6
Cromolyn Sodium, 32
Depo-medrol, 14
Depo-provera, 5
Dialyvite Supreme D, 34 Docefrez, 6
Depo-testosterone, 14
Dialyvite/Zinc, 34 docetaxel, 5
Deprizine Fusepaq, 18
Diamox, 9 Docetaxel, 6
Derma Silkrx Anodynexa PAK, 29
Diastar Easy Test II Lancets 30G, 36 Dolgic Plus, 28
Derma Silkrx Diclopak, 29
Diastar Easy Test Lancets30G, 36 Dologesic, 28
Derma Silkrx Sds PAK, 12
Diastat Acudial, 24 Dolophine, 29
Derma-smoothe/FS Body, 12
Diastat Pediatric, 24 donepezil HCL, 25
Derma-smoothe/FS Scalp, 12
Diatx ZN, 34 dopamine HCL, 9
Dermacinrx Azenase PAK, 31
diazepam, 22 Dopamine HCL, 9
Dermacinrx Duopatch Pharmapak, 13
Diazepam, 22, 24 dopamine HCL-dextrose 5%, 9
Dermacinrx Inflammatral PAK, 30
Dibenzyline, 8 dopamine HCL/dextrose 5%, 9
Dermacinrx Lexitral Pharmapak, 11
Diclegis, 19 dopamine/D5W, 9
Dermacinrx Neurotral Pharmapak, 13
diclofenac potassium, 29 Dopram, 24
Dermacinrx Purefolix, 20
diclofenac sodium, 11, 27 Doral, 24
Dermacinrx Surgical Pharmapak, 13
diclofenac sodium DR, 29 Doribax, 4
Dermacinrx Ticanase PAK, 31
diclofenac sodium ER, 29 Doryx, 2
Dermapak Plus, 10
diclofenac sodium/misoprostol, 29 dorzolamide HCL, 27
Dermasorb HC, 12
dicloxacillin sodium, 1 dorzolamide HCL/timolol maleate, 27
Dermasorb Ta, 12
Dicopanol Fusepaq, 31 Doubledex, 14
Dermasorb XM, 13
dicyclomine HCL, 18 Dovonex, 12
Dermatop, 12
didanosine, 3 doxapram HCL, 24
Dermotic, 28
Differin, 10 doxazosin, 8
desipramine HCL, 22
Dificid, 1 doxazosin mesylate, 8
desloratadine, 31
Diflorasone Diacetate, 12 doxepin HCL, 22
desloratadine odt, 31
Diflucan, 2 Doxepin HCL, 23
desmopressin acetate, 17
diflunisal, 28 doxercalciferol, 17
Desogen, 15
digoxin, 7 Doxil, 4
desogestrel/ethinyl estradiol, 15
Digoxin, 7 doxorubicin HCL, 4
Desonate, 12
dihydroergotamine mesylate, 30 Doxorubicin HCL, 4
desonide, 12
Dihydroergotamine Mesylate, 30 doxorubicin HCL liposome, 4
Desowen, 12
Dilacor XR, 7 doxycycline, 2
Desowen Cream/Cetaphil Lotion, 12
Dilantin, 25 Doxycycline, 11
Desowen Lotion/Cetaphil Cream, 12
Dilantin Infatabs, 25 doxycycline hyclate, 2
Desowen Ointment/Cetaphil Lotion, 12
Dilantin-125, 25 doxycycline hyclate DR, 2
desoximetasone, 12
Dilatrate SR, 7 doxycycline monohydrate, 2
Desoximetasone, 12
Dilaudid, 29 Drisdol, 33
Desoxyn, 24
Dilaudid-HP, 29 Dritho-creme HP, 12
Desvenlafaxine ER, 23
diltiazem CD, 7 dronabinol, 19
Detrol, 20
diltiazem HCL, 7 droperidol, 22
Detrol LA, 20
Diltiazem HCL, 7 Droplet Lancets Ultra Thin 30G, 36
dexamethasone, 14
diltiazem HCL ER, 7 drospirenone/ethinyl estradiol, 15
Dexamethasone, 14
Dimenhydrinate, 19 Droxia, 20
Dexamethasone Intensol, 14
Diovan, 8 Drug Mart On-the-go Lancets Gentle 30G, 36
dexamethasone sodium phosphate, 14, 27
Diovan HCT, 9
Dipentocaine, 11 Drug Mart Unilet Lancets Super Thin 30G, 36
Dexamethasone Sodium Phosphate, 14, 27
Dipentum, 19
diphenhydramine HCL, 31 Drug Mart Unilet Lancets Ultra Thin 28G, 36
Dexchlorpheniramine Maleate, 31
diphenoxylate/atropine, 18
Dexedrine, 24
Diphenoxylate/Atropine, 18 Drysol, 13
Dexilant, 18
Diphtheria/Tetanus Toxoids Adsorbed Pediatric, 32
Dsg PAK, 11
Dexlido, 14
Duac, 10
Dexlido-m, 14
Diprolene, 12 Duane Reade Unifine Pentips 29G X 12MM, 36
dexmedetomidine HCL, 23
Diprolene AF, 12
dexmethylphenidate HCL, 24
dipyridamole, 21 Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 36
dexmethylphenidate HCL ER, 24
Disalcid, 28
Dexpak 10 Day, 14
disopyramide phosphate, 7 Duane Reade Unifine Pentips 31G X 8MM SHORT, 36
Dexpak 13 Day, 14
disulfiram, 25
Dexpak 6 Day, 14
Ditropan XL, 20 Duavee, 15
Dexpanthenol, 19
Diuril, 9 Duet DHA 400, 33
dexrazoxane, 6
divalproex sodium, 24 Duet DHA 400EC, 33
dextroamphetamine sulfate, 24
divalproex sodium DR, 24 Duet DHA 430, 33
dextroamphetamine sulfate ER, 24
divalproex sodium ER, 24 Duet DHA 430EC, 33
Dextromethorphan HBR/Chlorpheniramine/Phenylephrine HCL, 31
Divigel, 15 Duet DHA Balanced, 33
Divista, 20 Duetact, 16
dobutamine HCL, 9 duloxetine HCL, 22
dobutamine HCL/D5W, 9 Duloxetine HCL, 23
Diabeta, 16
dobutamine/dextrose 5%, 9 Duoneb, 32
Dialyvite 3000, 34
Dobutamine/Dextrose 5%, 9 Duopa, 25
Dialyvite 5000, 34
Duragesic, 29
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2", 36
Elestrin, 15
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close CATH, 30
Eletone, 13
Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2", 36
Eletone Twinpack, 13
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open CATH, 30
Elidel, 13
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2", 36
Eligard, 5
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close CATH, 30
Elimite, 13
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16", 36
Eliphos, 19
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open CATH, 30
Eliquis, 21
Easy Touch Lancets 21G/Pressure Activated, 36
Elitek, 6
Durezol, 27
Elixophyllin, 32
Durlaza, 22
Easy Touch Lancets 23G/Pressure Activated, 36
Ella, 15
dutasteride, 20
Ellence, 4
dutasteride/tamsulosin hydrochloride, 20
Easy Touch Lancets 26G/Pressure Activated, 36
Elmiron, 20
Dutoprol, 8
Elocon, 12
Dyazide, 9
Easy Touch Lancets 26G/Pull-top, 36 Eloxatin, 4
Dymista, 31
Easy Touch Lancets 26G/Twist, 36 Emadine, 28
Dyrenium, 9
Easy Touch Lancets 28G/Pressure Activated, 36
Embrace Lancets Ultra Thin 30G, 36
Dysport, 26
Emcyt, 5
Dyural-40, 14
Easy Touch Lancets 28G/Pull-top, 36 Emend, 19
Dyural-80, 14
Easy Touch Lancets 28G/Twist, 36 Emla, 13
Dyural-l, 14
Easy Touch Lancets 30G/Button-activated, 36
Emsam, 23
Dyural-lm, 14
Emtriva, 3
E
Easy Touch Lancets 30G/Pressure Activated, 36
Emulsion SB, 13
Emvoren, 11
E-z Ject Lancets, 36
Easy Touch Lancets 30G/Pull-top, 36 Enablex, 20
E-z Ject Lancets 21G, 36
Easy Touch Lancets 30G/Twist, 36 enalapril maleate, 8
E-z Ject Lancets Color, 36
Easy Touch Lancets 32G/Pressure Activated, 36
enalapril maleate/hydrochlorothiazide, 8
E-z Ject Lancets Super Thin, 36
enalaprilat, 8
E-z Ject Lancets Super Thin 30G, 36
Easy Touch Lancets 32G/Pull-top, 36 Enbrace HR, 33
E-z Ject Lancets Thin 26G, 36
Easy Touch Lancets 32G/Twist, 36 Enbrel, 30
E-z Spacer, 41
Easy Touch Lancets 33G/Twist, 36 Enbrel Sureclick, 30
E-z Spacer The Body Guards Pack, 41
Easy Touch Pen Needles 29GX1/2", 36 Endometrin, 20
E-ZJECT Lancets Micro-thin 33G, 36
Easy Touch Pen Needles 31GX1/4", 36 Engerix-b, 32
E.e.s. 400, 1
Easy Touch Pen Needles 31GX5/16", 36 Enjuvia, 15
E.e.s. Granules, 1
Easy Touch Pen Needles 32GX5/32", 36 Enlon, 26
Easivent, 41
Easy Touch Pen Needles/31G X 3/16", 36
Enlon-plus, 26
Easivent/Mask-large, 41
enoxaparin sodium, 21
Easivent/Mask-medium, 41
Easy Touch Safety Lancets21G/Pressure Activated, 36
entacapone, 25
Easivent/Mask-small, 41
entecavir, 3
Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 36
Easy Touch Safety Lancets23G/Pressure Activated, 36
Entereg, 19
Entocort EC, 14
Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 36
Easy Touch Safety Lancets26G/Button Activated, 36
Entyvio, 19
Envarsus XR, 5
Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 36
Easy Touch Safety Lancets26G/Pressure Activated, 36
Epaned, 8
ephedrine sulfate, 9
Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 36
Easy Touch Safety Lancets28G/Button Activated, 36
Ephedrine Sulfate/Sodium Chloride, 9
Epiceram, 13
Easy Touch Insulin Syringe/1ML/30G X 5/16", 36
Easy Touch Safety Lancets28G/Pressure Activated, 36
Epiduo, 10
Epiduo Forte, 10
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2", 36
Easy Twist & CAP Lancets, 36 Epifoam, 12
Easytest II Lancets, 36 epinastine HCL, 27
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16", 36
Easytest Lancets, 36 Epinephrine, 9
EC-naprosyn, 30 Epinephrine HCL, 9
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2", 36
econazole nitrate, 11 epinephrine HCL, 32
Ecoza, 11 Epipen 2-PAK, 9
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2", 36
Ed Cyte F, 20 Epipen-JR 2-PAK, 9
Edarbi, 8 epirubicin HCL, 4
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2", 36
Edarbyclor, 9 Epirubicin HCL, 4
Edecrin, 9 Episnap, 9
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2", 36
Edluar, 24 episone CRE, 13
Edurant, 3 Epivir, 3
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2", 36
Effexor XR, 23 Epivir HBV, 3
Effient, 21 eplerenone, 8
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2", 36
Egrifta, 17 epoprostenol sodium, 10
Elaprase, 17 Eprosartan Mesylate, 8
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16", 36
Eldepryl, 25 Epzicom, 3
Elelyso, 20 Eql SHORT Pen Needles 31G X 8MM, 36
Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2", 36
Elestat, 28
Eql Ultra SHORT Pen Needles 31G X 6MM, 36
Evista, 16 Feiba NF, 21
Evithrom, 21 felbamate, 24
Equagesic, 28
Evoclin, 10 Felbatol, 25
Equetro, 23
Evotaz, 3 Feldene, 30
Equipto-baclofen, 11
Evoxac, 22 felodipine ER, 7
Equipto-naproxen, 11
Exactuss, 31 Fem PH, 20
Eraxis, 2
Exalgo, 29 Femara, 5
Erbitux, 5
Excel Comfort Point Insulin Pen Needles 31G X 4MM, 36
Femcon FE, 15
ergocalciferol, 33
Femhrt Low Dose, 15
ergoloid mesylates, 25
Exel Comfort Point Insulin Pen Needles 29G X 12MM, 36
Femring, 20
Ergoloid Mesylates, 25
fenofibrate, 9
Ergomar, 30
Exel Comfort Point Insulin Pen Needles 31G X 6MM, 36
Fenofibrate, 10
Ertaczo, 11
fenofibrate micronized, 9
Erwinaze, 4
Exel Comfort Point Insulin Pen Needles 31G X 8MM, 36
Fenofibric Acid, 9
Ery-TAB, 1
fenofibric acid DR, 9
Erygel, 10
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 36
Fenoglide, 10
Eryped 200, 1
fenoldopam mesylate, 8
Eryped 400, 1
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 36
Fenoprofen Calcium, 29
Erythrocin Lactobionate, 1
fentanyl, 28
Erythrocin Stearate, 1
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 36
Fentanyl, 28
erythromycin, 1, 10, 26
fentanyl citrate oral transmucosal, 28
Erythromycin Base, 1
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 36
Fentanyl Citrate/Sodium Chloride, 29
Erythromycin Ethylsuccinate, 1
Feraheme, 20
erythromycin/benzoyl peroxide, 10
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 36
Feriva, 20
Esbriet, 32
Feriva 21/7, 20
Escavite, 33
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 36
Ferivafa, 20
Escavite D, 33
Ferralet 90, 20
escitalopram oxalate, 22
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 36
Ferrex 150 Forte Plus, 20
Esgic, 28
Ferrex 28, 20
esmolol HCL, 7
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 36
Ferriprox, 41
esomeprazole magnesium, 18
Ferrlecit, 20
esomeprazole sodium, 18
Exelderm, 11 Ferro-plex Hematinic, 20
Esomeprazole Sodium, 18
Exelon, 25 Ferrotrin, 20
Esomeprazole Strontium, 18
exemestane, 5 Fetzima, 23
estazolam, 23
Exforge, 9 Fetzima Titration Pack, 23
Estrace, 15, 20
Exforge HCT, 9 Fexmid, 26
estradiol, 14
Exjade, 41 Fibricor, 9
Estradiol, 15
Exoderm, 11 Fifty50 Pen Needles 31G X3/16" (5MM), 36
estradiol valerate, 14
Exparel, 30
estradiol/norethindrone acetate, 14
Extardol, 11 Fifty50 Pen Needles 31G X5/16" (8MM), 36
Estrasorb, 15
Extina, 11
Estring, 20
EZ Smart Blood Glucose Lancets, 36 Fifty50 Safety Seal Lancets 30G, 36
Estrogel, 15
EZ-lets Lancets 21G, 36 Fifty50 Safety Seal Lancets 32G, 36
estropipate, 15
EZ-lets Lancets 23G, 36 Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 36
Estropipate, 15
EZ-lets Lancets 26G Super-soft, 36
Estrostep FE, 15
EZ-lets Lancets 28G Ultra-soft, 36 Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 36
eszopiclone, 24
EZ-lets Lancets 30G, 36
Ethacrynate Sodium, 9
F Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 36
ethambutol HCL, 2
Fabior, 10
ethosuximide, 24
Finacea, 11
Fabrazyme, 17
Ethyl Chloride, 13
finasteride, 20
Factive, 2
Ethyl Chloride/Fine Pinpoint, 13
Fine 30, 36
Falessa, 15
Ethyl Chloride/Fine Stream, 13
Fingerstix Lancets, 36
famciclovir, 3
Ethyl Chloride/Medium Jet Stream, 13
Fioricet, 28
famotidine, 18
Ethyl Chloride/Medium Stream, 13
Fioricet/Codeine, 29
Famotidine, 18
Ethyl Chloride/Mist, 13
Fiorinal, 28
Famotidine Premixed, 18
Ethyol, 6
Fiorinal/Codeine #3, 29
Famvir, 3
Etidronate Disodium, 16
Firazyr, 21
Fanapt, 23
etodolac, 29
Firmagon, 5
Fanapt Titration Pack, 23
etodolac ER, 29
First-bxn Mouthwash, 22
Fanatrex Fusepaq, 25
Etopophos, 6
First-dukes Mouthwash, 22
Fareston, 5
etoposide, 5
First-hydrocortisone, 12
Farydak, 6
Etoposide, 5
First-lansoprazole, 18
Faslodex, 5
Euflexxa, 26
First-marys Mouthwash, 22
Fasttake Compact Monitoring System, 36
Eurax, 13
First-mouthwash Blm, 22
Evamist, 15
First-omeprazole, 18
Fasttake Test Strips, 36
Evekeo, 24
First-progesterone VGS 100 Compounding Kit, 20
Fazaclo, 23
Evicel, 21
Feiba, 21
First-progesterone VGS 200 Compounding Kit, 20
fluoxetine HCL, 22 fosinopril sodium, 8
Fluoxetine HCL, 23 fosinopril sodium/hydrochlorothiazide, 8
First-progesterone VGS 25 Compounding Kit, 20
fluphenazine decanoate, 23 fosphenytoin sodium, 24
fluphenazine HCL, 23 Fosrenol, 19
First-progesterone VGS 400 Compounding Kit, 20
Fluphenazine HCL, 23 Fragmin, 21
flurazepam HCL, 24 Freestyle Lancets, 36
First-progesterone VGS 50 Compounding Kit, 20
Flurazepam HCL, 24 Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16", 36
flurbiprofen, 29
First-testosterone, 14
flurbiprofen sodium, 27 Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16", 36
First-testosterone Mc Compounding Kit, 14
flutamide, 5
fluticasone propionate, 12, 31 Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16", 36
First-vancomycin 25, 4
fluvastatin, 9
First-vancomycin 50, 4
fluvastatin sodium ER, 9 Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16", 36
Flagyl, 4
Fluvirin 2013-2014, 32
Flagyl ER, 4
Fluvirin 2014-2015, 32 Freestyle Unistick II Lancets, 36
Flanax Pain Relief Kit, 30
Fluvirin 2015-2016, 32 Frova, 30
Flarex, 27
Fluvirin PF 2013-2014, 32 Fulyzaq, 18
flavoxate HCL, 19
Fluvirin PF 2014-2015, 32 Furadantin, 19
flecainide acetate, 7
fluvoxamine maleate, 22 furosemide, 9
Flector, 11
fluvoxamine maleate ER, 22 Furosemide, 9
Flexepax, 26
Fluzone High-dose PF 2013-2014, 32 Fusilev, 6
Flexichamber, 41
Fluzone High-dose PF 2014-2015, 32 Fusion Plus, 20
FLO-pred, 14
Fluzone High-dose PF 2015-2016, 32 Fusion Sprinkles, 20
Flolan, 10
Fluzone Pediatric PF 2013-2014, 33 Fuzeon, 3
Flomax, 20
Fluzone PF 2013-2014, 33 Fycompa, 25
Flonase, 31
Fluzone PF 2014-2015, 33 G
Floriva, 34
Fluzone Quadrivalent 2013-2014, 33
gabapentin, 24
Flovent Diskus, 32
Fluzone Quadrivalent 2014-2015, 33
Gabavale-5, 22
Flovent HFA, 32
Fluzone Quadrivalent 2015-2016, 33
Gabazolamine, 22
Flowtuss, 31
Fluzone Split 2013-2014, 33
Gabazolamine-0.5, 22
floxuridine, 5
Fluzone Split 2014-2015, 33
Gabazolpidem-5, 24
Floxuridine, 5
Fluzone Split 2015-2016, 33
Gabitidine, 18
Fluarix 2013-2014, 32
FML, 27
Gabitril, 25
Fluarix 2014-2015, 32
FML Forte, 27
Gablofen, 26
Fluarix Quadrivalent 2013-2014, 32
FML Liquifilm, 27
Gaboxetine, 23
Fluarix Quadrivalent 2014-2015, 32
Focalgin 90 DHA, 34
galantamine hydrobromide, 25
Fluarix Quadrivalent 2015-2016, 32
Focalgin CA, 34
Galantamine Hydrobromide, 25
Flublok 2013-2014, 32
Focalgin Dss, 20
ganciclovir, 3
Flublok 2014-2015, 32
Focalin, 24
Ganirelix Acetate, 17
Flublok 2015-2016, 32
Focalin XR, 24
Ganite, 16
Flucelvax 2013-2014, 32
Folcaps Omega 3, 33
Garamycin, 26
Flucelvax 2014-2015, 32
Folet DHA, 34
Gardasil, 33
Flucelvax 2015-2016, 32
Folet One, 34
Gardasil 9, 33
fluconazole, 2
Folgard OS, 34
Gastrinex NF, 18
fluconazole IN dextrose, 2
Folgard RX, 20
Gastrocrom, 19
fluconazole IN NACL, 2
folic acid, 20
gatifloxacin, 26
Fluconazole IN NACL, 2
Folic Acid, 20
Gattex, 19
flucytosine, 2
folic acid/vitamin b-6/vitamin b-12, 20
Gazyva, 5
Fludara, 5
Folitab 500, 20
Gebauers Pain Ease, 13
fludarabine phosphate, 5
Folivane-f, 20
Gebauers Spray And Stretch, 13
Fludarabine Phosphate, 5
Folivane-OB, 33
Gel-kam Oral Care Rinse, 22
fludrocortisone acetate, 14
Folivane-plus, 20
Gel-one, 26
Flulaval 2013-2014, 32
Folivane-prx DHA NF, 34
Gelclair, 22
Flulaval 2014-2015, 32
Follistim AQ, 17
Gelnique, 20
Flulaval Quadrivalent 2013-2014, 32
Folotyn, 5
Gemcitabine, 5
Flulaval Quadrivalent 2014-2015, 32
Foltrate, 20
gemcitabine HCL, 5
Flulaval Quadrivalent 2015-2016, 32
fondaparinux sodium, 21
gemfibrozil, 9
Flumadine, 3
Fora Lancets, 36
Gemzar, 5
Flumist Quadrivalent, 32
Foradil Aerolizer, 32
Genadur, 13
flunisolide, 31
Forfivo XL, 23
Genadur Kit, 13
fluocinolone acetonide, 12, 28
Fortamet, 16
gene-xene TAB 15MG, 22
fluocinolone acetonide ear drops, 28
Fortavit, 34
gene-xene TAB 3.75MG, 22
fluocinonide, 12
Fortaz, 1
gene-xene TAB 7.5MG, 22
fluocinonide-e, 12
Forteo, 16
Generess FE, 15
fluorometholone, 27
Fortical, 16
gentamicin sulfate, 2, 26
fluorouracil, 5
Fosamax, 16
Gentamicin Sulfate, 11
fluoxetine, 25
Fosamax Plus D, 16
gentamicin sulfate pediatric, 2
fluoxetine DR, 22
Foscavir, 3
gentamicin sulfate/0.9% sodium chloride,
2
glycopyrrolate, 18 Hematron-AF, 21
Gentamicin Sulfate/0.9% Sodium Chloride, 2
Glynase, 16 Hemocyte Plus, 21
Glyset, 16 Hemocyte-f, 21
Gentle-let GP Lancets, 36
Glyxambi, 16 Hemofil M, 21
Gentle-let Lancets General Purpose Style/Fine Point, 36
Gmate Lancets 30G, 36 heparin lock, 21
Golytely, 18 heparin lock flush, 21
Gentle-let Lancets General Purpose Style/Medium Point, 36
Gonal-f, 17 Heparin Lock Flush, 21
Gonal-f RFF, 17 heparin lock flush for flushing vascular access devices, 21
Gentle-let Lancets Safety Style/Fine Point, 36
Gonal-f RFF Pen, 17
Gonal-f RFF Rediject, 17 heparin lock flush/NACL for flushing vascular access devices, 21
Gentle-let Lancets Safety Style/Medium Point, 36
Gordofilm, 13
Gordons Urea, 13 heparin sodium, 21
Gentle-let Platforms 2.4MM, 36
Gralise, 25 Heparin Sodium, 21
Gentle-let Platforms 3.0MM, 36
Gralise Starter, 25 heparin sodium dcu, 21
Geodon, 23
granisetron HCL, 19 heparin sodium lock flush, 21
Gesticare DHA, 34
Granisol, 19 heparin sodium/D5W, 21
Giazo, 19
Granix, 20 Heparin Sodium/D5W, 21
Gilenya, 25
Grifulvin V, 2 Heparin Sodium/NACL 0.45%, 21
Gilotrif, 6
Gris-peg, 2 heparin sodium/NACL 0.9%, 21
Gilphex TR, 31
griseofulvin microsize, 2 Heparin Sodium/Sodium Chloride 0.9%, 21
Giltuss, 31
griseofulvin ultramicrosize, 2
Giltuss PED-c, 31
guanfacine ER, 24 heparin sodium/sodium chloride 0.9% premix, 21
Giltuss TR, 31
guanfacine HCL, 8
Glassia, 32
Guanidine HCL, 26 Hepsera, 3
Gleevec, 6
Gynazole-1, 20 Herceptin, 5
Gleostine, 4
H Hespan, 22
Gliadel Wafer, 4
hetastarch 6%/NACL, 21
H&h Thinlet Lancets 26G, 36
glimepiride, 16
Hetlioz, 24
H&h Thinlet Super Thin Lancets 30G, 36
glipizide, 16
Hexalen, 4
H-e-b IN Control Pen Needles 31GX6MM, 36
glipizide ER, 16
Hextend, 22
glipizide/metformin HCL, 16
Hiberix, 33
H-e-b IN Control Pen Needles 31GX8MM, 36
Glucagen Hypokit, 16
Hiprex, 19
Glucagon Emergency Kit, 16
homatropine HBR, 27
H-e-b Incontrol Pen Needles 29GX12MM, 36
Glucocom Lancets 28G, 36
Horizant, 25
Glucocom Lancets 30G, 36
HPR, 13
H.p. Acthar, 17
Glucocom Lancets 33G, 36
HPR Plus, 13
Haemolance, 36
Glucophage, 16
HPR Plus Hydrogel Kit, 13
Haemolance Low Flow Lancets, 36
Glucophage XR, 16
HPR Plus/Mb Hydrogel, 13
Haemolance Plus, 36
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2", 36
Humalog, 15
Haemolance Plus High Flow, 36
Humalog Kwikpen, 15
Haemolance Plus Low Flow, 37
Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16", 36
Humalog Mix 50/50, 15
Haemolance Plus Max Flow, 37
Humalog Mix 50/50 Kwikpen, 15
Haemolance Plus Pediatric Flow, 37
Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16", 36
Humalog Mix 75/25, 15
Halaven, 6
Humalog Mix 75/25 Kwikpen, 15
Halcion, 24
Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2", 36
Humate-p, 21
Haldol, 23
Humira, 29
Haldol Decanoate 100, 23
Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16", 36
Humira Pediatric Crohns Disease Starter Pack, 29
Haldol Decanoate 50, 23
halobetasol propionate, 12
Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16", 36
Humira Pen, 29
Halog, 12
Humira Pen-crohns Diseasestarter, 29
Halonate, 12
Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 36
Humira Pen-psoriasis Starter, 29
haloperidol, 23
Humulin 70/30, 15
haloperidol decanoate, 23
Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 36
Humulin 70/30 Kwikpen, 15
haloperidol lactate, 23
Humulin 70/30 Pen, 15
Halotin, 11
Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 36
Humulin N, 15
Harvoni, 3
Humulin N Kwikpen, 15
Havrix, 33
Glucosource Lancets, 36
Humulin N U-100 Pen, 15
Healthwise Mini Pen Needles 31GX6MM, 37
Glucotrol, 16
Humulin R, 15
Glucotrol XL, 16
Humulin R U-500 (concentrated), 15
Healthwise Pen Needles 29GX12MM, 37
Glucovance, 16
Hy-vee Lancets, 37
Healthwise SHORT Pen Needles 31GX8MM, 37
Glumetza, 16
Hyalgan, 26
glyburide, 16
Hycamtin, 6
Healthy Mama Be Well Rounded, 33
Glyburide, 16
Hycet, 29
Hectorol, 17
glyburide micronized, 16
Hycofenix, 31
Helidac, 18
glyburide/metformin HCL, 16
hydralazine HCL, 8
Helixate FS, 22
Glycate, 18
Hydrea, 6
Hemabate, 28
Glycolic Acid, 12
Hydro 35, 13
Hemangeol, 7
Glycolic Acid 70% High Purity, 12
Hydro 40 Foam, 13
Hematogen Fa, 20
hydrochloric acid, 20
idarubicin HCL, 4 Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
hydrochlorothiazide, 9
Ifex, 4
hydrocodone bitartrate/acetaminophen, 28
ifosfamide, 4 Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
Ifosfamide, 4
Hydrocodone Bitartrate/Acetaminophen, 28
Ilaris, 29 Insulin Syringe/U-100/1ML/28G X 1/2", 37
Ilevro, 28
hydrocodone bitartrate/chlorpheniramine maleate/PSE, 31
Imbruvica, 6 Insulin Syringe/U-100/1ML/29G X 1/2", 37
Imdur, 7
hydrocodone bitartrate/homatropine methylbromide, 31
imipenem/cilastatin, 4 Insulin Syringe/U-100/1ML/30G X 5/16", 37
imipramine HCL, 22
hydrocodone polistirex/chlorpheniramine polistirex, 31
imipramine pamoate, 22 Insulin Syringe/U-100/1ML/31G X 5/16", 37
imiquimod, 13
hydrocodone/acetaminophen, 28
Imitrex, 30 Insupen Sensitive 32GX8MM, 37
Hydrocodone/Acetaminophen, 28
Imitrex Statdose Refill, 30 Insupen Ultrafin 29GX12MM, 37
hydrocodone/homatropine, 31
Imitrex Statdose System, 30 Insupen Ultrafin 30GX8MM, 37
hydrocodone/ibuprofen, 28
Imovax Rabies (h.d.c.v.), 33 Insupen Ultrafin 31GX6MM, 37
hydrocort ene 100MG, 19
Imuran, 5 Insupen Ultrafin 31GX8MM, 37
hydrocortisone, 12, 14, 19
IN Touch Sterile Lancets 30G, 37 Integra F, 21
hydrocortisone acetate/aloe, 12
Increlex, 17 Integra Plus, 21
hydrocortisone acetate/lidocaine HCL, 19
Incruse Ellipta, 32 Integrilin, 22
hydrocortisone acetate/pramoxine, 19
indapamide, 9 Intelence, 3
hydrocortisone butyrate, 12
Inderal LA, 7 Interarticular Joint Kit, 14
hydrocortisone butyrate (lipid), 12
Inderal XL, 7 Intermezzo, 24
hydrocortisone butyrate (lipophilic), 12
Indocin, 30 Intron A, 6
hydrocortisone IN absorbase, 12
indomethacin, 29 Intron A W/Diluent, 6
hydrocortisone valerate, 12
Indomethacin, 30 Intuniv, 24
hydrocortisone/acetic acid, 28
indomethacin ER, 29 Invanz, 4
hydromorphone HCL, 28
Indomethacin Sodium, 30 Invega, 23
Hydromorphone HCL, 28
Infanrix, 32 Invega Sustenna, 23
hydromorphone HCL dosette, 28
Infasurf, 32 Invega Trinza, 23
hydromorphone HCL ER, 28
Infed, 21 Invirase, 3
Hydromorphone HCL ER, 29
Infergen, 3 Invokamet, 16
Hydromorphone HCL/NACL, 29
Infumorph 200, 29 Invokana, 16
Hydromorphone HCL/Sodium Chloride, 28
Infumorph 500, 29 Ionsys, 29
Injectafer, 21 Iopidine, 27
Hydroxocobalamin, 21
Inlyta, 6 Ipol Inactivated IPV, 33
hydroxychloroquine sulfate, 3
Innopran XL, 7 ipratropium bromide, 31, 32
hydroxyurea, 6
Innoprax-5, 11 ipratropium bromide/albuterol sulfate, 32
hydroxyzine HCL, 22
Inova, 10 Iprivask, 21
Hydroxyzine HCL, 22
Inova 4/1 Acne Control Therapy, 10 irbesartan, 8
hydroxyzine pamoate, 22
Inova 8/2 Acne Control Therapy, 10 irbesartan/hydrochlorothiazide, 8
Hydroxyzine Pamoate, 22
Inspirachamber/Anti-static Valved/Mouthpiece, 41
Irenka, 23
Hylatopic, 13
Iressa, 6
Hylatopic Plus, 13
Inspirachamber/Soothermask/Inspiramask/Medium, 41
irinotecan, 6
Hylira, 13
Irinotecan, 6
hyoscyamine sulfate, 18
Inspirachamber/Soothermask/Inspiramask/Small, 41
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C Threon/Suc, 20
hyoscyamine sulfate ER, 18
hyoscyamine sulfate odt, 18
Inspirease Bags, 41 Irospan 24/6, 21
hyoscyamine sulfate SR, 18
Inspirease Drug Delivery System, 41 Is 24/6, 21
Hyper-sal, 31
Inspirease Mouthpiece, 41 Isentress, 3
Hypersal, 31
Inspirease Reservoir Bags, 41 isoniazid, 2
Hypertenevide-12.5, 7
Inspra, 8 Isoniazid, 2
Hypertenipine-2.5, 7
Insulin Syringe/0.3ML/29G X 1", 37 Isopto Atropine, 27
Hypertensolol, 9
Insulin Syringe/0.3ML/29G X 1/2", 37 Isopto Carbachol, 27
Hysingla ER, 29
Insulin Syringe/0.3ML/30G X 5/16", 37 Isopto Carpine, 27
Hyzaar, 9
Insulin Syringe/0.3ML/31G X 5/16", 37 Isopto Homatropine, 27
I
Insulin Syringe/0.5ML/27G X 1/2", 37 Isopto Hyoscine, 27
Insulin Syringe/0.5ML/28G X 1/2", 37 Isordil Titradose, 7
ibandronate sodium, 16
Insulin Syringe/0.5ML/29G X 1/2", 37 isosorbide dinitrate, 7
Ibrance, 6
Insulin Syringe/0.5ML/30G X 1/2", 37 Isosorbide Dinitrate, 7
Ibudone, 29
Insulin Syringe/0.5ML/30G X 5/16", 37 Isosorbide Dinitrate ER, 7
ibuprofen, 29
Insulin Syringe/0.5ML/31G X 5/16", 37 isosorbide mononitrate, 7
Ibuprofen Comfort PAC, 30
Insulin Syringe/1ML/28G X 1/2", 37 isosorbide mononitrate ER, 7
ibutilide fumarate, 7
Insulin Syringe/1ML/29G X 1/2", 37 isotonic gentamicin, 2
IC 400, 30
Insulin Syringe/1ML/30G X 5/16", 37 Isotonic Gentamicin, 2
IC 800, 30
Insulin Syringe/1ML/31G X 5/16", 37 Isoxsuprine HCL, 10
Icar-c Plus, 21
Insulin Syringe/U-100/0.3ML/29G X 1/2", 37
isradipine, 7
Iclusig, 6
Istalol, 27
Idamycin PFS, 4
Istodax, 6
Kombiglyze XR, 16 Leader Unifine Pentips/Mini/31GX3/16", 37
Isuprel, 32
Korlym, 16
itraconazole, 2
Kristalose, 18 Leader Unifine Pentips/Nano/32GX5/32", 37
ivermectin, 3
Krystexxa, 30
Ixempra Kit, 6
Kuvan, 17 Leader Unifine Pentips/Plus/32GX5/32", 37
Ixiaro, 33
Kynamro, 10
Ixinity, 22
Kyprolis, 6 leflunomide, 29
J
L Lemtrada, 25
Lenvima 10MG Daily Dose, 6
J-max, 31
labetalol HCL, 7
Lenvima 14MG Daily Dose, 6
Jadenu, 41
Lac-hydrin, 13
Lenvima 20MG Daily Dose, 6
Jakafi, 6
Lacrisert, 26
Lenvima 24MG Daily Dose, 6
Jalyn, 20
lactic acid, 13
Lescol XL, 10
Janumet, 16
lactic acid e, 13
Letairis, 10
Janumet XR, 16
lactic acid w/vitamin e, 13
letrozole, 5
Januvia, 16
lactulose, 18, 19
leucovorin calcium, 6
Jardiance, 16
Lamictal, 24
Leucovorin Calcium, 6
Jevtana, 6
Lamictal Chewable Dispersible, 24
Leukeran, 4
Jublia, 11
Lamictal Odt, 25
Leukine, 21
Juxtapid, 10
Lamictal Starter/Not Taking Carbamazepine, 24
leuprolide acetate, 5
K
Levacet, 28
Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 24
levalbuterol, 32
K-phos NO 2, 20
levalbuterol HCL, 32
K.b.g.l. IN Teroderm Cream, 11
Levaquin, 2
K10-lido, 14
Lamictal Starter/Taking Valproate, 24
Levatol, 7
K40-lido, 14
Lamictal XR, 25
Levbid, 18
Kadcyla, 5
Lamisil, 2
levetiracetam, 24
Kalbitor, 22
Lamisil Spray, 11
Levetiracetam, 25
Kaletra, 3
lamivudine, 3
levetiracetam ER, 24
Kalydeco, 32
lamivudine/zidovudine, 3
levobunolol HCL, 27
Kanuma, 17
lamotrigine, 24
Levobunolol HCL, 27
Kapvay, 24
lamotrigine ER, 24
levocarnitine, 17
Kapvay Dose Pack, 24
lamotrigine odt, 24
levocetirizine dihydrochloride, 31
Karbinal ER, 31
lamotrigine titration, 24
levofloxacin, 2, 26
Keflex, 1
Lancet Transporter Case, 37
levofloxacin IN D5W, 2
Kenalog, 12
Lancets, 37
levoleucovorin, 6
Kenalog-10, 14
Lancets 26G Twist Top, 37
Levoleucovorin, 6
Kenalog-40, 14
Lancets 28G, 37
levoleucovorin calcium, 6
Kengreal, 22
Lancets 30G, 37
levonorgestrel, 15
Kepivance, 6
Lancets 30G Twist Top, 37
Levonorgestrel, 15
Keppra, 25
Lancets 30G/Twist Top, 37
levonorgestrel and ethinyl estradiol, 15
Keppra XR, 25
Lancets 31G Twist Top, 37
levonorgestrel/ethinyl estradiol, 15
Kerafoam, 13
Lancets 33G Universal Design, 37
Levophed, 9
Kerafoam 42, 13
Lancets Bullseye Safety, 37
Levorphanol Tartrate, 29
Keralac, 13
Lancets Safety Seal 21G, 37
levothyroxine sodium, 17
Keralyt, 13
Lancets Safety Seal 26G, 37
Levothyroxine Sodium, 17
Keralyt Scalp, 13
Lancets Safety Seal 28G, 37
Levsin, 18
Kerlone, 7
Lancets Safety Seal 30G, 37
Levsin/SL, 18
Kerydin, 11
Lancets Thin, 37
Lexapro, 23
Ketek, 4
Lancets Twist Top, 37
Lexiva, 3
ketoconazole, 2, 11
Lancets Ultra Fine, 37
Lialda, 19
Ketodan Kit, 11
Lancets Ultra Thin, 37
Liberty Medical Lancets 30G, 37
ketoprofen, 29
Lanoxin, 7
lidocaine, 13
Ketoprofen ER, 29
Lanoxin Pediatric, 7
Lidocaine And Tetracaine Cream, 13
Ketorocaine-l, 30
lansoprazole, 18
lidocaine HCL, 7, 13, 22, 30
Ketorocaine-lm, 30
lansoprazole/amoxicillin/clarithromycin, 18
Lidocaine HCL, 8, 13
Ketorolac 2% Gel, 11
lidocaine HCL IN D5W, 7
ketorolac tromethamine, 27, 29
Lantus, 15
lidocaine HCL jelly, 13
Ketorolac Tromethamine, 30
Lantus Solostar, 15
lidocaine HCL viscous, 22
Keytruda, 5
Lasix, 9
Lidocaine HCL-hydrocortisone Acetate With Aloe, 19
Khedezla, 23
Lastacaft, 28
Kineret, 30
latanoprost, 27
lidocaine HCL/dextrose, 7
Kinlytic, 22
Latrix XM, 13
Lidocaine HCL/Dextrose, 30
Kinrix, 32
Latuda, 23
lidocaine HCL/hydrocortisone acetate, 19
Klaron, 10
Ldo Plus, 13
lidocaine viscous, 22
Klonopin, 25
Leader Unifine Pentips Plus/Mini/31GX3/16", 37
lidocaine/epinephrine, 30
Koate-dvi, 21
lidocaine/prilocaine, 13
Kogenate FS, 22
Leader Unifine Pentips Plus/SHORT/31GX5/16", 37
Lidoderm, 13
Kogenate FS Bio-set, 22
Lidoprofen, 11
Loestrin FE 1/20, 15 Magnacet, 29
Lidothol, 13
Lofibra, 10 Makena, 15
Lidovir, 11
Lomotil, 18 Malarone, 3
Lifescan Unistik 2 Deep Penetration, 37
Lomustine, 4 malathion, 13
Lifescan Unistik II Lancets, 37
loperamide HCL, 18 mannitol, 9
Lincocin, 4
Lopid, 10 Maprotiline HCL, 23
Lincomycin/Lidocaine, 4
Lopressor, 7 Marbeta-25, 14
lindane, 13
Lopressor HCT, 9 Marbeta-l, 14
linezolid, 4
Loprox, 11 Marcaine, 30
Linzess, 19
Loprox Shampoo, 11 Marcaine W/O Epi, 30
Lioresal Intrathecal, 26
lorazepam, 22 Marcaine/Epinephrine, 30
liothyronine sodium, 17
Lortab, 29 Mardex-25, 14
Lipofen, 9
Lorzone, 26 Marinol, 19
Liquicet, 29
losartan potassium, 8 Marlido-25, 30
lisinopril, 8
losartan potassium/hydrochlorothiazide, 8
Marnatal-f, 33
lisinopril/hydrochlorothiazide, 8
Marplan, 23
Lite Touch Pen Needles/31G X 3/16", 37
Loseasonique, 15 Marqibo, 6
Liteaire, 41
Lotemax, 27 Mask Vortex/Baby Whirl Duckling, 41
Litetouch Insulin Syringe/0.3ML/29G X 1/2", 37
Lotensin, 8 Mask Vortex/Child/Frog, 41
Lotensin HCT, 9 Mask Vortex/Spinner The Duck, 41
Litetouch Insulin Syringe/0.3ML/30G X 5/16", 37
Lotrel, 9 Mask Vortex/Toddler/Lady Bug, 41
Lotrisone, 11 Matulane, 6
Litetouch Insulin Syringe/0.3ML/31G X 5/16", 37
Lotronex, 19 Mavik, 8
lovastatin, 9 Maxair Autohaler, 32
Litetouch Insulin Syringe/0.5ML/30G X 5/16", 37
Lovaza, 10 Maxalt, 30
Lovenox, 21 Maxalt-MLT, 30
Litetouch Insulin Syringe/0.5ML/31G X 5/16", 37
loxapine, 23 Maxaron Forte, 21
loxapine succinate, 23 Maxfe, 21
Litetouch Insulin Syringe/1ML/30G X 5/16", 37
Loxitane, 23 Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2", 37
LT Injection Kit, 14
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
Lta 360 Kit, 22 Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2", 37
Lufyllin, 32
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2", 37
Lumigan, 27 Maxidex, 27
Lumizyme, 17 Maxidone, 29
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 37
Lunesta, 24 Maxipime, 1
Lupaneta Pack, 17 Maxitrol, 27
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 37
Lupron Depot, 5 Maxzide, 9
Lupron Depot-PED, 17 Maxzide-25, 9
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 37
Luvox CR, 23 Mb Hydrogel, 13
Luxiq, 12 meclizine HCL, 19
Litetouch Lancets Micro Thin 33G, 37
Luzu, 11 Meclofenamate Sodium, 29
Litetouch Pen Needles 29GX12.7MM, 37
Lycelle, 13 Medi-derm/L-RX, 13
Litetouch Pen Needles 31G X 6MM, 37
Lynparza, 6 Medical Provider EZ Flu Shot 2014-2015, 33
Litetouch Pen Needles 31GX8MM SHORT, 37
Lyrica, 24
Lysodren, 5 Medical Provider EZ Flu Shot 2015-2016, 33
Lithium, 23
Lysteda, 21
lithium carbonate, 23
Lytensopril Kit, 9 Medical Provider Single Use EZ Flu Shot, 33
Lithium Carbonate, 23
Lytensopril-90, 9
lithium carbonate ER, 23
Lytensopril-90 Kit, 9 Medisense Thin Lancets, 37
Lithobid, 23
M Medlance Plus Extra Lancets 21G, 37
Lithostat, 20
Medlance Plus Lancets, 37
M-m-r II, 33
Live Better Lancet Super Thin 30G, 37
Medlance Plus Lancets Lite 25G, 37
M.v.i. Adult, 34
Live Better Lancet Ultra Thin 28G, 37
Medlance Plus Lite Lancets 25G, 37
M.v.i. Pediatric, 34
Live Better Pen Needles 29G X 12MM, 37
Medlance Plus Special Lancets 0.8MM, 37
M.v.i.-12 Without Vitamin K, 34
Macrobid, 19
Live Better Pen Needles 31G X 12MM, 37
Medlance Plus Superlite 30G, 37
Macrodantin, 19
Medlance Plus Superlite 30G/Comfort Max, 37
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2", 37
Live Better Pen Needles 31G X 6MM, 37
LMD 10% Dextrose 5%, 22
Medlance Plus Universal Lancets 21G, 37
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16", 37
LMD 10% Sodium Chloride 0.9%, 22
LO Loestrin FE, 15
Medlance Plus/Lite 25G, 37
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2", 37
LO Minastrin FE, 15
Medlance/Extra, 37
Locoid, 12
Medlance/Lite, 37
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16", 37
Locoid Lipocream, 12
Medlance/Universal, 37
Lodosyn, 25
Medrol, 14
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2", 37
Loestrin 1.5/30-21, 15
Medrol Dosepak, 14
Loestrin 1/20-21, 15
medroxyprogesterone acetate, 15
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16", 37
Loestrin FE 1.5/30, 15
Medroxyprogesterone/Lidocaine, 15
mefenamic acid, 29
methylphenidate HCL ER, 24 Mitomycin, 4
mefloquine HCL, 3
Methylphenidate HCL ER, 24 Mitosol, 26
Mefoxin, 1
methylphenidate HCL SR, 24 mitoxantrone HCL, 4
Megace ES, 15
methylphenidate hydrochloride, 24 Mlk F4 Kit, 14
Megace Oral, 5
methylprednisolone, 14 Mobic, 30
megestrol acetate, 5, 15
Methylprednisolone, 14 modafinil, 24
Megrix, 13
methylprednisolone acetate, 14 Moderiba, 3
Meijer Super Thin Lancets, 37
methylprednisolone dose pack, 14 Moderiba 1200 Dose Pack, 3
Mekinist, 6
Methylprednisolone PF, 14 Moderiba 800 Dose Pack, 3
meloxicam, 29
methylprednisolone sodiumsuccinate, 14 Modicon, 15
Meloxicam, 29
Methylprednisolone/Lidocaine, 14 moexipril HCL, 8
Meloxicam Comfort PAC, 30
methyltestosterone, 14 moexipril/hydrochlorothiazide, 8
melphalan hydrochloride, 4
Metipranolol, 27 Molindone Hydrochloride, 23
memantine HCL, 25
metoclopramide HCL, 19 mometasone furoate, 12
memantine HCL titration PAK, 25
metoclopramide odt, 19 Moms Choice RX, 33
memantine hydrochloride, 25
Metoclopramide Odt, 19 Monoclate-p, 21
Menactra, 33
metolazone, 9 Monodox, 2
Menest, 15
metoprolol succinate ER, 7 Monoject Bone Marrow Biopsy Prepping Tray, 30
Menhibrix, 33
metoprolol tartrate, 7
Menomune-a/C/Y/W-135, 33
metoprolol/hydrochlorothiazide, 8 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 11GX4", 30
Menopur, 17
Metozolv Odt, 19
Menostar, 15
Metro IV, 4 Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle 8GX4", 30
Mentax, 11
Metrocream, 11
Menveo, 33
Metrogel, 11 Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle 16G, 30
meperidine HCL, 28
Metrogel-vaginal, 20
Meperidine HCL, 29
Metrolotion, 11 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 37
Mephyton, 33
metronidazole, 4, 11
meprobamate, 22
metronidazole IN NACL 0.79%, 4 Monoject Insulin Syringe/1ML, 37
Mepron, 4
metronidazole vaginal, 20 Monoject Insulin Syringe/1ML/31G X 5/16", 37
mercaptopurine, 5
mexiletine HCL, 7
meropenem, 4
Miacalcin, 16 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 37
Meropenem/Sodium Chloride, 4
Micardis, 8
Merrem, 4
Micardis HCT, 9 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 37
mesalamine, 19
Microchamber, 41
mesna, 6
Microlet Lancets, 37 Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 37
Mesnex, 6
Microspacer, 41
Mestinon, 26
Microtainer Safety Flow Lancet/Sterile/Single-use, 37
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2", 37
Mestinon Timespan, 26
Metadate CD, 24
Microzide, 9 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 37
Metaproterenol Sulfate, 32
midodrine HCL, 9
Metastron, 6
Mifeprex, 17 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 37
metaxalone, 26
Migergot, 30
Metaxalone, 26
Migral, 30 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 37
metformin HCL, 16
Migranal, 30
metformin HCL ER, 16
Millipred, 14 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 37
methadone HCL, 28
Millipred DP, 14
Methadone HCL, 29
milrinone IN dextrose, 6 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 37
Methadose, 29
milrinone lactate, 6
Methadose Sugar-free, 29
Minastrin 24 FE, 15 Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2", 37
methamphetamine HCL, 24
Mineral Oil Heavy, 18
methazolamide, 9
Minipress, 8 Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16", 37
methenamine hippurate, 19
Minivelle, 15
methenamine mandelate, 19
Minocin, 2 Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 37
Methenamine Mandelate, 19
Minocin Kit, 2
methimazole, 17
minocycline HCL, 2 Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16", 37
methocarbamol, 26
minocycline HCL ER, 2
methotrexate, 5
minoxidil, 8 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 37
methotrexate sodium, 5
Mirapex, 25
methoxsalen, 12
Mirapex ER, 25 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 37
methscopolamine bromide, 18
Mircera, 21
Methyclothiazide, 9
Mircette, 15 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 37
methyldopa, 8
mirtazapine, 22
Methyldopa/Hydrochlorothiazide, 8
mirtazapine odt, 22 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 37
Methyldopate HCL, 8
Mirvaso, 11
methylergonovine maleate, 28
misoprostol, 18 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 37
Methylin, 24
Mission Prenatal, 33
methylphenidate HCL, 24
Mitigare, 30 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 37
methylphenidate HCL CD, 24
mitomycin, 4
Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 37
Myglucohealth Mgh Softlance Lancets 30G, 38
nefazodone HCL, 22
Nefazodone HCL, 23
Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 37
Mykidz Iron Fl, 33 Nembutal Sodium, 24
Myleran, 4 Neo-synalar, 11
Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 37
Mynatal, 33 Neo-synalar Kit, 11
Myobloc, 26 neomycin sulfate, 2
Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 37
Myoxin, 28 neomycin/bacitracin/polymyxin, 26
Myozyme, 17 neomycin/polymyxin/bacitracin zinc, 26
Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 37
Myrbetriq, 20 neomycin/polymyxin/bacitracin/hydrocortisone, 27
Mysoline, 25
Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 37
N neomycin/polymyxin/dexamethasone, 27
neomycin/polymyxin/gramicidin, 26
nabumetone, 29
Monojector End CAPS, 37
neomycin/polymyxin/HC, 28
nadolol, 7
Monojector Opd End CAPS, 37
Neomycin/Polymyxin/Hydrocortisone, 27
nadolol/bendroflumethiazide, 8
Monolet Lancets, 37
neomycin/polymyxin/hydrocortisone, 28
nafcillin sodium, 1
Monolet Opd Lancets, 38
Neoprofen, 30
Nafcillin Sodium, 1
Monolettor Safety Lancets, 38
Neoral, 5
Nafrinse Daily/Acidulated, 22
Mononine, 21
Neosalus, 13
Nafrinse Daily/Neutral, 22
Monovisc, 26
Neosalus CP, 13
Nafrinse Weekly, 22
montelukast sodium, 32
Neosporin, 26
Naftifine HCL, 11
Monurol, 19
neostigmine methylsulfate, 26
Naftin, 11
Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 38
Neostigmine Methylsulfate, 26
Naglazyme, 17
Neotuss Plus, 31
nalbuphine HCL, 28
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Nephplex RX, 34
Nalfon, 30
Nephro-vite RX, 34
Nallpen Iso-osmotic IN Dextrose, 1
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 38
Nephrocaps, 34
Nallpen/Dextrose, 1
Nephrocaps QT, 34
Namenda, 25
Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 38
Nephron Fa, 21
Namenda Titration PAK, 25
Neptazane, 9
Namenda XR, 25
Morgidox 1X100MG, 2
Nesacaine, 30
Namenda XR Titration Pack, 25
Morgidox 2X100MG, 2
Nesacaine-mpf, 31
Namzaric, 25
morphine sulfate, 28
Nessi Spacer/Large Mask, 41
Naphazoline HCL, 27
Morphine Sulfate, 28
Nessi Spacer/Mouthpiece, 41
Naprelan, 30
Morphine Sulfate Add-vantage, 29
Nessi Spacer/Small/MED Mask, 41
Naprosyn, 30
morphine sulfate ER, 28
Nestabs, 33
naproxen, 29
Morphine Sulfate ER, 28
Nestabs Abc, 34
Naproxen, 29
Morphine Sulfate/Sodium Chloride, 29
Nestabs DHA, 33
Naproxen Comfort PAC, 30
Motofen, 18
Netgroup Lancets, 38
naproxen sodium, 29
Movantik, 19
Neuac Kit, 10
naproxen sodium CR, 29
Moviprep, 18
Neulasta, 21
naproxen sodium ER, 29
Moxatag, 1
Neulasta Delivery Kit, 21
naratriptan HCL, 30
Moxeza, 26
Neumega, 20
Nardil, 23
moxifloxacin HCL, 2
Neupogen, 21
Naropin, 30
Moxifloxacin HCL, 2
Neupro, 25
Nascobal, 21
Mozobil, 20
Neurontin, 25
Nasonex, 31
MS Contin, 29
Neutrasal, 22
Natachew, 33
Mucinex D, 31
Neutrexin, 4
Natacyn, 26
Mucinex Maximum Strength, 31
Neuvaxin, 13
Natafort, 33
Multaq, 8
Nevanac, 28
Natalvirt 90 DHA, 34
Multigen, 21
nevirapine, 3
Natalvirt CA, 34
Multigen Folic, 21
Nevirapine, 3
Natalvirt Flt, 21
Multigen Plus, 21
nevirapine ER, 3
Natalvit, 33
mupirocin, 11
Newgen, 33
Natazia, 15
mupirocin calcium, 11
Nexa Plus, 34
nateglinide, 16
Muse, 10
Nexavar, 6
Natelle One, 33
Mustargen, 4
Nexium, 18
Natesto, 14
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic Acd/B12/Fa, 21
Nexium 24HR, 18
Natpara, 16
Nexium I.v., 18
Natrecor, 10
MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ Acd/Stomac, 21
Nexterone, 8
Natroba, 13
niacin ER, 9
Nature-throid, 18
Myalept, 17
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper, 33
Nature-throid Nt-2.5, 18
Myambutol, 2
Navelbine, 6
Mycamine, 2
Niacor, 9
Nazirex, 11
Mycobutin, 2
Niaspan, 10
Nebupent, 4
mycophenolate mofetil, 5
Nicadan, 34
Nebusal, 31
mycophenolic acid DR, 5
nicardipine HCL, 7
Necon 1/50-28, 15
Mydfrin, 27
Nicazel, 34
Necon 10/11-28, 15
Myfortic, 5
Nicazel Forte, 34
Neevo DHA, 33
Nicazeldoxy 30 Kit, 2
Novoeight, 22 On Call Lancets, 38
Nicazeldoxy 60 Kit, 2
Novofine Plus 32GX4MM, 38 On Call Plus Lancets, 38
Nicomide, 34
Novoseven Rt, 21 Oncaspar, 4
nifedipine, 7
Noxafil, 2 ondansetron HCL, 19
nifedipine ER, 7
Nplate, 20 ondansetron odt, 19
Nilandron, 5
Nucort, 12 One A Day Womens Prenatal/DHA, 33
Nimbex, 26
Nucynta, 29 One A Day Womens Prenatal1, 33
nimodipine, 7
Nuedexta, 25 One-a-day Womens Prenatal, 33
Nipent, 6
Nulojix, 5 Onetouch Basic System, 38
Niravam, 22
Nulytely/Flavor Packs, 18 Onetouch Basic/Profile Test Strips, 38
nisoldipine, 7
Numoisyn, 22 Onetouch Club Lancets Fine Point, 38
Nisoldipine, 7
Nuox, 10 Onetouch Combo Pack, 38
Nisoldipine ER, 7
Nutricap, 34 Onetouch Delica Lancets Extra Fine 33G, 38
Nitro-bid, 7
Nutridox, 2
Nitro-dur, 7
Nutrivit, 34 Onetouch Delica Lancets Fine 30G, 38
nitrofurantoin, 19
Nutropin AQ Nuspin 10, 17 Onetouch Finepoint Lancets, 38
nitrofurantoin macrocrystals, 19
Nutropin AQ Nuspin 20, 17 Onetouch Lancets, 38
nitrofurantoin monohydrate, 19
Nutropin AQ Nuspin 5, 17 Onetouch Profile System, 38
nitrofurantoin monohydrate/macrocrystals, 19
Nutropin AQ Pen, 17 Onetouch Suresoft Lancing Device/18G, 38
Nuvail, 13
Nitroglycerin, 7
Nuvaring, 15 Onetouch Suresoft Lancing Device/21G, 38
nitroglycerin ER, 7
Nuvessa, 20
nitroglycerin IN 5% dextrose, 7
Nuvigil, 24 Onetouch Suresoft Lancing Device/28G, 38
nitroglycerin IN dextrose 5%, 7
Nuvya, 11
Nitroglycerin IN Dextrose 5%, 7
Nuwiq, 22 Onetouch Ultra 2, 38
nitroglycerin lingual, 7
Nuzon, 12 Onetouch Ultra Blue, 38
Nitroglycerin Lingual, 7
Nymalize, 7 Onetouch Ultra Mini, 38
nitroglycerin transdermal, 7
nystatin, 2, 11, 22 Onetouch Ultra System Kit, 38
Nitrolingual Pumpspray, 7
nystatin/triamcinolone, 11 Onetouch Ultralink System (DEC), 38
Nitromist, 7
O Onetouch Ultralink System (hex), 38
Nitronal, 7
Onetouch Ultrasmart, 38
O-CAL Fa, 33
Nitropress, 8
Onetouch Ultrasoft Lancets, 38
O-CAL Prenatal, 33
Nitrostat, 7
Onetouch Verio, 38
OB Complete, 33
Niva-plus, 33
Onetouch Verio IQ Blood Glucose Monitoring System, 38
OB Complete 400, 33
Nivatopic Plus, 13
OB Complete One, 33
nizatidine, 18
Onetouch Verio Sync Bloodglucose Monitoring System, 38
OB Complete Petite, 33
Nizoral, 11
OB Complete Premier, 33
Nor-QD, 15
Onetouch Verio Test Strips, 38
OB Complete/DHA, 33
Norco, 29
Onexton, 10
Obredon, 31
Norditropin Cartridge, 17
Onfi, 25
Obstetrix DHA, 33
norepinephrine bitartrate, 9
Onglyza, 16
Obtrex, 33
norethindrone, 15
Onmel, 2
Obtrex DHA, 33
norethindrone & ethinyl estradiol ferrous fumarate, 15
Opana, 29
octreotide acetate, 17
Opana ER (crush Resistant), 29
Ocudox, 2
norethindrone acetate, 15
Opdivo, 5
Ocufen, 28
norethindrone acetate/ethinyl estradiol, 15(2)
opium, 18
Ocuflox, 26
opium tincture, 18
Ocuvel, 34
norethindrone acetate/ethinyl estradiol/ferrous fumarate, 15
Opium Tincture (paregoric), 18
Ofev, 32
Opsumit, 10
Ofirmev, 28
Norflex, 26
Optichamber Advantage, 41
ofloxacin, 2, 26, 28
norgestimate/ethinyl estradiol, 15
Optichamber Diamond, 41
Ofloxacin, 2
Norinyl 1+35, 15
Optichamber Diamond/Largeface Mask, 41
olanzapine, 23
Norinyl 1+50, 15
olanzapine odt, 23
Noritate, 11
Optichamber Diamond/Medium Face Mask, 41
olanzapine/fluoxetine, 25
Noroxin, 2
Oleptro, 23
Norpace, 8
Optichamber Diamond/Smallface Mask, 41
olopatadine HCL, 27, 31
Norpace CR, 8
Olux, 12
Norpramin, 23
Optihaler, 41
Olux-e, 12
Northera, 9
Optihaler MDI Drug Delivery System, 41
Olysio, 3
nortriptyline HCL, 22
Optivar, 28
Omeclamox-PAK, 18
Nortriptyline HCL, 23
Oracea, 11
omega-3-acid ethyl esters, 9
Norvasc, 7
Oracit, 20
Omega-3/D-3 Wellness Pack, 10
Norvir, 3
Orafate, 22
omeprazole, 18
Nova Safety Lancets 23G, 38
Orap, 25
Omeprazole + Syrspend SF Alka, 18
Nova Safety Lancets 28G, 38
Orapred, 14
omeprazole/sodium bicarbonate, 18
Nova Sureflex Lancets, 38
Orapred Odt, 14
Omnaris, 31
Novaferrum, 21
Oravig, 22
Omnipred, 27
Novoclair, 11
Orbactiv, 4
Omontys, 21
Orencia, 30
pancuronium bromide, 26 Pentam 300, 4
Orenitram, 10
Panda Mask Large, 41 Pentasa, 19
Orfadin, 17
Panda Mask Medium, 41 pentazocine/acetaminophen, 28
Orkambi, 32
Panda Mask Small, 41 pentazocine/naloxone HCL, 28
orphenadrine citrate, 26
Pandel, 12 Pentetate Calcium Trisodium, 41
orphenadrine citrate ER, 26
pantoprazole sodium, 18 Pentetate Zinc Trisodium, 41
orphenadrine/asa/caffeine, 26
papaverine HCL, 10 Pentips 31GX5MM, 38
Ortho Evra, 15
Parafon Forte DSC, 26 Pentips 31GX8MM, 38
Ortho Micronor, 15
Parcopa, 25 Pentips 32GX4MM, 38
Ortho Tri-cyclen, 15
paricalcitol, 17 pentoxifylline ER, 21
Ortho Tri-cyclen LO, 15
Parlodel, 25 Pepcid, 18
Ortho-cept, 15
Parnate, 23 Percocet, 29
Ortho-cyclen, 15
paromomycin sulfate, 2 Percodan, 29
Ortho-novum 1/35, 15
paroxetine HCL, 22 Perfect Lancets 30G, 38
Ortho-novum 7/7/7, 15
paroxetine HCL ER, 22 Perfect Pressure Activated Safety Lancets 28G, 38
Orthovisc, 26
Paser, 2
Osmoprep, 18
Pataday, 27 Perforomist, 32
Osphena, 17
Patanase, 31 Peridex, 22
Otezla, 30
Patanol, 28 perindopril erbumine, 8
Otozin, 28
Paxil, 23 Perjeta, 5
Otrexup, 30
Paxil CR, 23 permethrin, 13
Ovace Plus, 12
Pazeo, 28 perphenazine, 23
Ovace Plus Wash, 12
PC Unifine Pentips 29G X 1/2", 38 Perphenazine/Amitriptyline, 25
Ovace Wash, 12
PC Unifine Pentips 31G X 6MM Ultra SHORT, 38
Persantine, 22
Ovcon-35, 15
Pexeva, 23
Ovide, 13
PC Unifine Pentips 31G X 8MM SHORT, 38
Pfizerpen-G, 1
Ovidrel, 17
Pharmacist Choice Tsx Patch, 13
oxacillin sodium, 1
PCE, 1 Pharmacist Choice Ultra Thin Lancets, 38
oxaliplatin, 4
Pcp 100, 18
Oxandrin, 14
Pediaderm AF Complete Kit, 11 Pharmacist Choice Ultra Thin Lancets 28G, 38
oxandrolone, 14
Pediaderm HC, 12
oxaprozin, 29
Pediaderm Ta, 12 Pharmacist Choice Ultra Thin Lancets 30G, 38
Oxaydo, 29
Pediapred, 14
oxazepam, 22
Pediarix, 32 Pharmacist Choice Ultra Thin Lancets 31G, 38
oxcarbazepine, 24
Pediatex TD, 31
Oxecta, 29
Pediatex TDM, 31 Pharmacist Choice Ultra Thin Lancets 33G, 38
Oxistat, 11
Pediatric Panda Mask, 41
Oxsoralen, 13
Pedipirox-4 Nail, 11 Pharmacy Counter Lancets, 38
Oxsoralen Ultra, 12
Pedvax HIB, 33 phenazopyridine HCL, 20
Oxtellar XR, 25
peg 3350/electrolytes, 18 phenelzine sulfate, 22
oxybutynin chloride, 19
peg-3350/electrolytes, 18 Phenergan, 31
oxybutynin chloride ER, 19
peg-3350/NACL/NA bicarbonate/KCL, 18 phenobarbital, 24
oxycodone HCL, 28
Peg-intron, 3 Phenobarbital, 24
Oxycodone HCL, 29
Peg-intron Redipen, 3 Phenobarbital Sodium, 24
Oxycodone HCL ER, 28
Peg-intron Redipen PAK 4, 3 phenoxybenzamine hydrochloride, 8
oxycodone/acetaminophen, 28
Peganone, 25 Phentolamine Mesylate, 8
oxycodone/aspirin, 28
Pegasys, 3 phenylephrine HCL, 9, 27
oxycodone/ibuprofen, 28
Pegasys Proclick, 3 Phenylephrine HCL, 9
Oxycontin, 29
Pegintron, 3 Phenylephrine HCL/Sodium Chloride, 9
oxymorphone hydrochloride, 28
Pen Needles 29G X 12MM, 38 phenylephrine/guaifenesin, 31
oxymorphone hydrochloride ER, 28
Pen Needles 29GX1/2", 38 Phenytek, 25
oxytocin, 28
Pen Needles 30GX5/16", 38 phenytoin, 24
Oxytocin/Lactated Ringers, 28
Pen Needles 31G X 1/4" SHORT, 38 phenytoin sodium, 24
Oxytrol, 20
Pen Needles 31G X 3/16", 38 phenytoin sodium extended, 24
P
Pen Needles 31G X 6MM, 38 Phoslo, 19
Pen Needles 31GX5/16", 38 Phoslyra, 19
paclitaxel, 5
penicillin G potassium, 1 Phospholine Iodide, 27
Paclitaxel, 6
Penicillin G Potassium IN Iso-osmotic Dextrose, 1
Photofrin, 6
Paire OB, 34
Phrenilin Forte, 28
Palgic, 31
Penicillin G Procaine, 1 phytonadione, 33
paliperidone ER, 23
Penicillin G Sodium, 1 pilocarpine HCL, 22, 27
Pamelor, 23
penicillin v potassium, 1 pilocarpine hydrochloride, 22
pamidronate disodium, 16
Penlac Nail Lacquer, 11 pimozide, 25
Pamidronate Disodium, 16
Penlet II Replacement CAPS, 38 pindolol, 7
Pamine, 18
Penlet II Replacement CAPS-deep, 38 pioglitazone HCL, 16
Pamine Forte, 18
Penlet II Replacement CAPS-regular, 38 pioglitazone HCL-glimepiride, 16
Pamine FQ, 18
Pennsaid, 11 pioglitazone HCL/metformin HCL, 16
Panatuss Dxp, 31
Pentacel, 32 piperacillin sodium/ tazobactam sodium,
Pancrelipase, 19
1
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 38
Prinivil, 8
piperacillin sodium/tazobactam sodium, 1
Pristiq, 23
piperacillin/tazobactam, 1
Precision Thin Lancets, 38 Pro-c-dure 1 Kit, 14
piroxicam, 29
Precision Thins GP Lancet, 38 Pro-c-dure 2 Kit, 14
Pitocin, 28
Precision Ultra Lancet, 38 Pro-c-dure 3 Kit, 14
Pitressin Synthetic, 17
Precose, 16 Pro-c-dure 4 Kit, 14
Plan B, 15
Pred Forte, 27 Pro-c-dure 5 Kit, 14
Plan B One-step, 15
Pred Mild, 27 Pro-c-dure 6 Kit, 14
Plaquenil, 3
Pred-G, 27 Proair HFA, 32
Plavix, 22
Pred-G S.o.p., 27 Proair Respiclick, 32
Plegridy, 25
prednicarbate, 12 probenecid, 30
Plegridy Starter Pack, 25
prednisolone, 14 probenecid/colchicine, 30
Pletal, 22
prednisolone acetate, 27 Procainamide HCL, 8
Plexion, 10
prednisolone sodium phosphate, 14 Procardia, 7
Plexion Cleanser, 10
Prednisolone Sodium Phosphate, 14, 27 Procardia XL, 7
Plexion Cleansing Cloths, 10
prednisolone sodium phosphate odt, 14 Procentra, 24
Pliaglis, 13
prednisone, 14 prochlorperazine, 23
Pneumovax 23, 33
Prednisone, 14 prochlorperazine edisylate, 23
Pneumovax 23/1 Dose, 33
Prednisone Intensol, 14 prochlorperazine maleate, 23
Pneumovax 23/5 Dose, 33
Prefera OB, 33 Procort, 19
Pocket Chamber, 41
Prefera OB + DHA, 33 Procrit, 21
Pocket Spacer, 41
Preferaob +dha, 34 Proctocort, 19
podofilox, 13
Preferaob One, 34 Proctofoam HC, 19
Poly-VI-flor, 33
Preferred Plus Unifine Pentips 29G X 12MM, 38
Procysbi, 20
Poly-VI-flor FS, 33
Prodigy Insulin Mini Pen Needles/31G X 3/16", 38
Poly-VI-flor/Iron, 33
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 38
polyethylene glycol 3350, 18
Prodigy Insulin Pen Needles/29G X 1/2", 38
polymyxin b sulfate, 4
Preferred Plus Unifine Pentips 31G X 8MM SHORT, 38
polymyxin b sulfate/trimethoprim sulfate, 26
Prodigy Insulin SHORT Penneedles/31G X 5/16", 38
Prefest, 15
Polytrim, 26
Prefol-DHA, 34 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 38
Pomalyst, 5
Premarin, 15, 20
Ponstel, 30
Premphase, 15 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 38
Portrazza, 5
Prempro, 15
potassium citrate ER, 20
Prenata, 33 Prodigy Insulin Syringe/1ML/28G X 1/2", 38
potassium citrate-citric acid crystals, 20
Prenatal Vitamin, 33
potassium citrate/citric acid, 20
Prenatal Vitamins, 33 Prodigy Pressure Activated Safety Lancets, 38
potassium citrate/sodium citrate/citric acid, 20
Prenate, 34
Prenate AM, 33 Prodigy Safety Lancets, 38
Potiga, 25
Prenate DHA, 34 Prodigy Twist Top Lancets, 38
Pr Cream, 13
Prenate Elite, 33 Proferrin-forte, 21
Pradaxa, 21
Prenate Enhance, 34 Profilnine, 21
Praluent, 9
Prenate Essential, 33 Profilnine SD, 21
pramipexole dihydrochloride, 25
Prenate Mini, 34 progesterone, 15
pramipexole dihydrochloride ER, 25
Prenate Pixie, 34 Progesterone 10% Kit, 15
Pramosone, 12
Prenate Restore, 34 Proglycem, 16
Pramotic, 28
Prenate Star, 33 Prograf, 5
Prandimet, 16
Prepidil, 28 Prolastin-c, 32
Prandin, 16
Prepopik, 18 Prolensa, 28
Prascion Ra With Sunscreens, 10
Preque 10, 34 Proleukin, 6
Prastera, 30
Presera, 13 Prolia, 16
pravastatin sodium, 9
Prestalia, 9 Promacta, 21
Prazolamine, 26
Prevacid, 18 promethazine HCL, 31
prazosin HCL, 8
Prevacid Solutab, 18 promethazine HCL plain, 31
Pre-folic, 21
Prevident, 22 promethazine-DM, 31
Precedex, 24
Prevnar 13, 33 promethazine/codeine, 31
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 38
Prevpac, 18 promethazine/dextromethorphan, 31
Prezcobix, 3 promethazine/phenylephrine, 31
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 38
Prezista, 3 Promethazine/Phenylephrine, 31
Prialt, 28 promethazine/phenylephrine/codeine, 31
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 38
Priftin, 2 Prometrium, 15
Prilosec, 18 Promiseb, 12
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 38
Primaquine Phosphate, 3 Promiseb Complete, 12
Primaxin IV, 4 propafenone HCL, 7
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 38
Primaxin IV Add-vantage, 4 propafenone HCL ER, 7
primidone, 24 Propantheline Bromide, 18
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 38
Primlev, 29 proparacaine HCL, 27
Primsol, 4 propranolol HCL, 7
Propranolol HCL, 7
Quinidine Sulfate, 8 Relion Pen Needles 32GX4MM, 38
propranolol HCL ER, 7
Quinidine Sulfate ER, 8 Relion SHORT Pen Needles 31GX8MM, 38
Propranolol/Hydrochlorothiazide, 8
quinine sulfate, 3
propylthiouracil, 17
Qutenza, 13 Relion Thin Lancets, 38
Proquad, 33
R Relion Ultra Thin Lancets, 38
Proscar, 20
Relion Ultra Thin Lancets30G, 38
R-natal OB, 34
Prosed/DS, 19
Relion Ultra Thin Plus Lancets 32G, 38
Rabavert, 33
Prostigmin, 26
Relion Ultra Thin Plus Lancets 33G, 38
rabeprazole sodium, 18
Prostin E2, 28
Relistor, 19
raloxifene hydrochloride, 16
Protamine Sulfate, 22
Relpax, 30
ramipril, 8
Protect Plus, 34
Relyyks, 13
Ranexa, 7
Protectiron, 21
Relyyt, 13
ranitidine HCL, 18
Prothelial, 22
Remeron, 23
Rapaflo, 20
Protonix, 18
Remeron Soltab, 23
Rapamune, 5
Protopic, 13
Remicade, 19
Rapivab, 3
protriptyline HCL, 22
Remodulin, 10
Rasuvo, 29
Provenge, 6
Renagel, 19
Ravicti, 17
Provera, 15
Renatabs, 34
Rayos, 14
Provida DHA, 34
Renatabs With Iron, 34
Razadyne, 25
Provida OB, 33
Renew Advanced Lancing Cartridge Refills, 38
Razadyne ER, 25
Provigil, 24
Rebetol, 3
Prozac, 23
Renvela, 19
Reclast, 16
Prozac Weekly, 23
Reopro, 22
Recombinate, 21
Pruclair, 13
repaglinide, 16
Recombivax HB, 33
Prudoxin, 12
repaglinide/metformin hydrochloride, 16
Recothrom, 21
Prumyx, 13
Repatha, 10
Recothrom Spray Kit, 21
Pss Select GP Lancets, 38
Repatha Sureclick, 10
Rectiv, 19
Pss Select Platforms, 38
Reprexain, 29
Recura, 11
Pss Select Safety Lancets, 38
Repronex, 17
Reglan, 19
Pulmicort, 32
Req 49+, 34
Regonol, 26
Pulmicort Flexhaler, 32
Requip, 25
Relagard, 20
Pulmophylline, 32
Requip XL, 25
Relenza Diskhaler, 3
Pulmozyme, 32
Rescon-JR, 31
Relhist, 31
Purinethol, 5
Rescon-MX, 31
Relion Insulin Syringe/U -100/0.5ML/29G, 38
Purixan, 5
Rescriptor, 3
Px Lancets Ultra Thin, 38
Reserpine, 8
Relion Insulin Syringe/U-00/1ML/29G X 1/2", 38
Pylera, 18
Respa-BR, 31
pyrazinamide, 2
Restasis, 27
Relion Insulin Syringe/U-100/0.3ML/29G, 38
Pyridium, 20
Restora RX, 18
pyridostigmine bromide, 26
Restora Sprinkles, 18
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2", 38
Pyridoxine HCL, 33
Restoril, 24
Pyrogallic Acid, 13
Retavase, 22
Relion Insulin Syringe/U-100/0.3ML/30G, 38
Q
Retavase Half-kit, 22
Retin-a, 10
Qc Lancets Super Thin, 38
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16", 38
Retin-a Micro, 10
Qc Lancets Ultra Thin, 38
Retin-a Micro P.M., 10
Qc Pen Needles 29G X 12MM, 38
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16", 38
Retinoic Acid, 10
Qc Pen Needles 31G X 6MM, 38
Retinoic Acid-all Trans, 10
Qc Pen Needles 31G X 8MM, 38
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2", 38
Retrovir, 3
Qnasl, 31
Retrovir IV Infusion, 3
Qnasl Childrens, 31
Relion Insulin Syringe/U-100/0.5ML/30G, 38
Revatio, 10
Quadracel, 32
Revlimid, 5
Quadramet, 6
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16", 38
Rexall Lancets Ultra Thin, 38
Qualaquin, 3
Rexulti, 23
Quartette, 15
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16", 38
Reyataz, 3
Quazepam, 24
Rezira, 31
Qudexy XR, 25
Relion Insulin Syringe/U-100/1ML/30G, 38
Rezyst IM, 18
Quelicin, 26
Rezyst SB, 18
Quelicin 1000, 26
Relion Insulin Syringe/U-100/1ML/30G X 5/16", 38
Rheumatrex, 30
Questran, 10
Rhinocort Aqua, 31
Questran Light, 10
Relion Insulin Syringe/U-100/1ML/31G X 5/16", 38
Rhinoflex-650, 28
quetiapine fumarate, 23
Riastap, 21
Quillivant XR, 24
Relion Lancets Micro-thin33G, 38
Riax, 10
quinapril HCL, 8
Relion Lancets Standard 21G, 38
Ribasphere, 3
quinapril/hydrochlorothiazide, 8
Relion Lancets Thin 26G, 38
Ribasphere Ribapak, 3
Quinidine Gluconate, 8
Relion Lancets Ultra-thin30G, 38
Ribatab, 3
quinidine gluconate CR, 7
Relion Mini Pen Needles 31GX6MM, 38
ribavirin, 3
quinidine gluconate ER, 7
Relion Pen Needles 29GX12MM, 38
Ridaura, 30
quinidine sulfate, 7
Relion Pen Needles 31GX8MM, 38
rifabutin, 2
Safesnap Insulin Syringe/0.5ML/30G X 5/16", 38
Sentravil PM-25, 23
Rifadin, 2
Sentrazolam AM 0.25, 22
Rifamate, 2
Safesnap Insulin Syringe/1ML/28G X 1/2", 38
Sentrazolpidem PM-5, 24
rifampin, 2
Sentroxatine, 23
Rifater, 2
Safesnap Insulin Syringe/1ML/29G X 1/2", 38
Serevent Diskus, 32
Right Step Prenatal, 33
Seroquel, 23
Rightest GD-L500 Alternate Site Adapter, 38
Safety Lancet 21G/Pressure Activated, 38
Seroquel XR, 23
Serostim, 17
Rightest Gl300 Lancets, 38
Safety Lancet 28G/Pressure Activated, 39
sertraline HCL, 23
Rilutek, 26
Sevelamer Carbonate, 19
riluzole, 26
Safety Lancets, 39 Sfrowasa, 19
rimantadine HCL, 3
Safety Lancets 21G, 39 Shohls Solution Modified, 20
Rimantalist, 3
Safety Lancets 28G, 39 Shopko On-the-go Comfort Lancets 30G, 39
Riomet, 16
Safety Let Lancets, 39
risedronate sodium, 16
Safety Seal Lancets 28G, 39 Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 39
risedronate sodium DR, 16
Safety Seal Lancets 30G, 39
Risperdal, 23
Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 39
Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 39
Risperdal Consta, 23
Risperdal M-TAB, 23
Safyral, 15 Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 39
risperidone, 23
Saizen, 17
risperidone odt, 23
Saizen Click.easy, 17 Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 39
Ritalin, 24
Salagen, 22
Ritalin LA, 24
Salex, 13 Shopko Unilet Lancets Super Thin 30G, 39
Ritalin SR, 24
Salex Cream, 13
Riteflo, 41
Salex Lotion, 13 Shopko Unilet Lancets Ultra Thin 28G, 39
Rituxan, 5
salicylic acid, 13
rivastigmine tartrate, 25
Salicylic Acid, 13 Siderol, 34
rivastigmine transdermal system, 25
salicylic acid cream, 13 Signifor, 17
rizatriptan benzoate, 30
Salicylic Acid IN Ammonium Lactate Vehicle, 13
Signifor Lar, 17
rizatriptan benzoate odt, 30
Silazone Pharmapak, 12
Robaxin, 26
salicylic acid lotion, 13 sildenafil, 10
Robaxin-750, 26
Salkera, 13 sildenafil citrate, 10
Robinul, 18
salsalate, 28 Silenor, 24
Robinul Forte, 18
Salvax, 13 Simbrinza, 27
Rocaltrol, 17
Salvax Duo Plus, 13 Simcor, 9
Rocephin, 1
Samsca, 17 Simponi, 29
rocuronium bromide, 26
Sanctura, 20 Simponi Aria, 29
ropinirole ER, 25
Sanctura XR, 20 Simulect, 5
ropinirole HCL, 25
Sancuso, 19 simvastatin, 9
ropivacaine, 30
Sandimmune, 5 Sinelee, 13
ropivacaine HCL, 30
Sandostatin, 17 Sinemet, 25
Rosadan Kit, 11
Sandostatin Lar Depot, 17 Sinemet CR, 25
Rosanil, 10
Saphris, 23 Single-let, 39
Rosula, 10
Sarafem, 25 Singulair, 32
Rotarix, 33
Savaysa, 21 sirolimus, 5
Rotateq, 33
Savella, 25 Sirturo, 2
Rowasa, 19
Savella Titration Pack, 25 Sitavig, 3
Roxicet, 29
Scalacort DK, 12 Sivextro, 4
Roxicodone, 29
Scar Patch, 13 Skelaxin, 26
Rozerem, 24
Scopolamine Hydrobromide, 18 Sklice, 13
Ryanodex, 26
Seasonique, 15 Smart Diabetes Vantage Universal Lancets 30G, 39
Rytary, 25
Seb-prev, 12
Rythmol, 8
Seconal, 24 Smart Sense Color Lancets Universal 33G, 39
Rythmol SR, 8
Sectral, 7
S
Select-OB, 33 Smart Sense Standard Lancets Universal 21G, 39
Select-ob+dha, 34
Sabril, 25
selegiline HCL, 25 Smart Sense Super Thin Lancets Universal 30G, 39
Safe-t-lance Low Flow 25G, 38
selenium sulfide, 12
Safe-t-lance Normal Flow 21G, 38
Selrx, 12 Smart Sense Thin Lancets Universal 26G, 39
Safe-t-lance Plus Safety Lancet High Flow, 38
Selzentry, 3
Semprex-d, 31 Smartest Lancets 28G, 39
Safe-t-lance Plus Safety Lancet Low Flow, 38
Senophylline, 32 Sodium Bicarbonate, 18
Sensipar, 17 sodium chloride, 31
Safe-t-lance Plus Safety Lancet Normal Flow, 38
Sensorcaine-mpf/Epinephrine, 31 sodium citrate/citric acid, 20
Sentradine, 18 Sodium Diuril, 9
Safesnap Insulin Syringe/0.3ML/30G X 5/16", 38
Sentraflox AM-10, 23 Sodium Edecrin, 9
Sentralopram AM-10, 23 sodium ferric gluconate complex/sucrose, 20
Safesnap Insulin Syringe/0.5ML/29G X 1/2", 38
Sentramodafin AM-100, 24
sodium hyaluronate, 13
Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 39
sodium phenylbutyrate, 17
Striant, 14
sodium sulfacetamide, 10, 12, 26
Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 39
sodium sulfacetamide wash, 12
Striverdi Respimat, 32
sodium sulfacetamide/sulfur, 10
Stromectol, 3 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 39
Sodium Sulfacetamide/Sulfur, 10
Strovite Forte, 34
sodium sulfacetamide/sulfur cleanser, 10
Strovite One, 34 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 39
Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 10
Stuart Prenatal, 33
Suboxone, 29 Sure-lance Flat Lancets, 39
sodium sulfacetamide/sulfur cleansing cloths, 10
Subsys, 29 Sure-lance Lancets 26G, 39
Suclear, 18 Sure-lance Thin Lancets 28G, 39
sodium sulfacetamide/sulfur green, 10
Sucraid, 19 Sure-lance Ultra Thin Lancets, 39
Sodium Sulfacetamide/Sulfur IN Urea, 10
sucralfate, 18 Sure-touch Lancets Universal, 39
sodium sulfacetamide/sulfur w/sunscreen, 10
Sular, 7 Surelite Lancets, 39
sulfacetamide sodium, 10, 26 Surestep Test Strips, 39
sodium sulfacetamide/sulfur wash, 10
Sulfacetamide Sodium, 26 Surfaxin, 32
Solaice, 14
sulfacetamide sodium/prednisolone sodium phosphate, 27
Surmontil, 23
Soliris, 21
Survanta Intratracheal, 32
Solodyn, 2
sulfacetamide sodium/sulfur cleanser, 10 Sustiva, 3
Soltamox, 5
Sulfadiazine, 2 Sutent, 6
Solu-cortef, 14
sulfamethoxazole/trimethoprim, 4 Suttar-2, 31
Solu-medrol, 14
Sulfamethoxazole/Trimethoprim, 4 Suttar-SF, 31
Solus V2 Pressure Activated Safety Lancets 28G, 39
sulfamethoxazole/trimethoprim DS, 4 Sylatron, 6
sulfasalazine, 19 Symax Duotab, 18
Solus V2 Twist Lancets 30G, 39
Sulfoam, 10 Symbicort, 32
Soma, 26
Sulfurated Lime, 14 Symbyax, 25
Somatuline Depot, 17
sulindac, 29 Symlinpen 120, 15
Somavert, 17
Sumadan Kit, 10 Symlinpen 60, 15
Sonata, 24
Sumadan Wash, 11 Synagex, 34
Soolantra, 11
Sumadan XLT, 11 Synalar, 12
Soothee, 14
Sumatriptan, 30 Synalar Cream Kit, 12
Soriatane, 12
sumatriptan succinate, 30 Synalar Ointment Kit, 12
Sorilux, 12
Sumatriptan Succinate, 30 Synalar Ts, 12
sotalol HCL, 7
sumatriptan succinate refill, 30 Synalgos-dc, 29
sotalol HCL (AF), 7
Sumavel Dosepro, 30 Synapryn Fusepaq, 29
Sotalol Hydrochloride, 7
Sumaxin, 11 Synarel, 17
Sotylize, 7
Sumaxin CP Kit, 11 Synatek, 34
Sovaldi, 3
Sumaxin Ts, 11 Synera, 14
Spectracef, 1
Sumaxin Wash, 11 Synercid, 4
Spinosad, 14
Supartz, 26 Synribo, 6
Spiriva Handihaler, 32
Supartz Fx, 26 Synthroid, 18
Spiriva Respimat, 32
Supervite, 34 Synvisc, 26
spironolactone, 9
Supervite EC, 34 Synvisc One, 26
spironolactone/hydrochlorothiazide, 9
Support-500, 34 T
Sporanox, 2
Supprelin LA, 17
Tabloid, 5
Sporanox Pulsepak, 2
Supracil, 14
Tabradol Fusepaq, 26
Sprix, 30
Suprax, 1
Taclonex, 12
Sprycel, 6
Suprep Bowel Prep, 18
tacrolimus, 5, 13
Staflex, 28
Sure-fine Pen Needles 29GX1/2" 12.7MM, 39
Tafinlar, 6
Stalevo 100, 25
Talwin, 29
Stalevo 125, 25
Sure-fine Pen Needles 31GX3/16" 5MM, 39
Tamiflu, 3
Stalevo 150, 25
tamoxifen citrate, 5
Stalevo 200, 25
Sure-fine Pen Needles 31GX5/16" 8MM, 39
tamsulosin HCL, 20
Stalevo 50, 25
Tandem F, 21
Stalevo 75, 25
Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Tandem Plus, 21
stannous fluoride oral rinse, 22
Tapazole, 18
Starlix, 16
Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Tarceva, 6
stavudine, 3
Targadox, 2
Stavzor, 25
Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Targretin, 6
Stelara, 12
Tarka, 9
Stendra, 10
Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Taron-bc, 33
Sterilance PA, 39
Taron-c DHA, 33
Sterilance TL, 39
Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Tasigna, 6
Stimate, 17
Tasmar, 25
Stiolto Respimat, 32
Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Taxotere, 6
Stivarga, 6
Tazicef, 1
Strattera, 24
Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
Tazorac, 12
Strazepam, 24
Tecfidera, 25
Tecfidera Starter Pack, 25
Testred, 14 thioridazine HCL, 23
Techlite AST Lancets, 39
Tetanus Toxoid Adsorbed, 32 Thiotepa, 4
Techlite Lancets, 39
Tetanus/Diphtheria Toxoids-adsorbed, 32
thiothixene, 23
Techlite Lancets 30G, 39
Thrombin-jmi Diluent, 21
Tegretol, 25
Tetanus/Diphtheria Toxoids-adsorbed Adult, 32
Thrombin-jmi Epistaxis, 21
Tegretol-XR, 25
Thrombin-jmi Syringe Spray Kit, 21
Tekamlo, 9
tetrabenazine, 25 Thrombin-jmi W/Dil Spray P.M. Actuator, 21
Tekturna, 8
tetracaine HCL, 27
Tekturna HCT, 8
Tetracaine HCL, 30 Thrombogen, 21
telmisartan, 8
Tetracycline HCL, 2 Thymoglobulin, 5
telmisartan/amlodipine, 8
Tetrix, 14 Thyrolar-1, 18
telmisartan/hydrochlorothiazide, 8
Teveten, 8 Thyrolar-1/2, 18
temazepam, 24
Teveten HCT, 9 Thyrolar-1/4, 18
Temodar, 4
Texacort, 12 Thyrolar-2, 18
Temovate, 12
Texavite LQ, 34 Thyrolar-3, 18
Temovate E, 12
Thalomid, 5 tiagabine hydrochloride, 24
temozolomide, 4
Theo-24, 32 Tiazac, 7
Tencon, 28
theophylline, 32 Tice Bcg, 6
Tenex, 8
theophylline CR, 32 ticlopidine HCL, 21
Teniposide, 6
theophylline ER, 32 Ticlopidine HCL, 21
Tenivac, 32
Theophylline/D5W, 32 Tigan, 19
Tenoretic 100, 9
Therabenzaprine-60, 26 Tikosyn, 8
Tenoretic 50, 9
Therabenzaprine-90, 26 Timentin, 1
Tenormin, 7
Therabenzaprine-90-5, 26 Timolol Maleate, 7
Terazol 3, 20
Theracodeine-300, 29 timolol maleate, 27
Terazol 7, 20
Theracodophen-325, 29 timolol maleate ophthalmic gel forming, 27
terazosin HCL, 8
Theracodophen-650, 29
terbinafine HCL, 2
Theracodophen-750, 29 Timoptic, 27
Terbinex, 2
Theracodophen-low-90, 29 Timoptic Ocudose, 27
terbutaline sulfate, 32
Theracys, 6 Timoptic-xe, 27
terconazole, 20
Therafeldamine, 30 Tindamax, 4
Tersi Foam, 12
Theranatal Core Nutrition, 33 tinidazole, 4
Terumo Insulin Syringe/0.3ML/30G X 3/8", 39
Therapentin-60, 25 Tirosint, 18
Therapentin-90, 25 Tisseel, 21
Terumo Insulin Syringe/0.5ML/29G X 1/2", 39
Theraprofen-60, 30 Tisseel VH, 21
Theraprofen-800, 30 Tivicay, 3
Terumo Insulin Syringe/0.5ML/30G X 3/8", 39
Theraprofen-90, 30 Tivorbex, 30
Theraproxen-500, 30 Tizanidine Comfort PAC, 26
Terumo Insulin Syringe/1ML/27G X 1/2", 39
Theraproxen-60, 30 tizanidine HCL, 26
Theraproxen-90, 30 TL G-FOL OS, 34
Terumo Insulin Syringe/1ML/29G X 1/2", 39
Theratramadol-60, 29 TL Triseb, 12
Theratramadol-90, 29 Tnkase, 22
Terumo Insulin Syringe/1ML/30G X 3/8", 39
thiamine HCL, 33 Tobradex, 27
Thinlets GP Lancets, 39 Tobradex ST, 27
Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Thinlets Lancet, 39 tobramycin, 2
Thinpro Insulin Syringe/0.3ML/29G X 1/2", 39
tobramycin sulfate, 2, 26
Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2", 39
Tobramycin Sulfate/Sodium Chloride, 2
Thinpro Insulin Syringe/0.3ML/30G X 3/8", 39
tobramycin/dexamethasone, 27
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Tobrex, 26
Thinpro Insulin Syringe/0.3ML/31G X 3/8", 39
Tofranil, 23
Terumo Insulin Syringe/U-100/1ML/28G X 1/2", 39
Tofranil-PM, 23
Thinpro Insulin Syringe/0.5ML/28G X 1/2", 39
tolazamide, 16
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2", 39
Tolazamide, 16
Thinpro Insulin Syringe/0.5ML/29G X 1/2", 39
Tolbutamide, 16
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2", 39
tolcapone, 25
Thinpro Insulin Syringe/0.5ML/30G X 3/8", 39
tolmetin sodium, 29
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2", 39
Tolmetin Sodium, 29
Thinpro Insulin Syringe/0.5ML/31G X 3/8", 39
tolterodine tartrate, 19
Terumo Surguard Insulin Syringe/1ML/28G X 1/2", 39
tolterodine tartrate ER, 19
Thinpro Insulin Syringe/1ML/28G X 1/2", 39
Topamax, 25
Terumo Surguard Insulin Syringe/1ML/29G X 1/2", 39
Topamax Sprinkle, 25
Thinpro Insulin Syringe/1ML/29G X 1/2", 39
Topicort, 12
Tessalon Perles, 31
topiramate, 24
Testone Cik, 14
Thinpro Insulin Syringe/1ML/30G X 3/8", 39
Topiramate ER, 25
Testopel, 14
topotecan HCL, 6
Testosterone, 14
Thinpro Insulin Syringe/1ML/31G X 3/8", 39
Topotecan HCL, 6
testosterone cypionate, 14
Toprol XL, 7
testosterone enanthate, 14
Thiola, 20 Torisel, 6
torsemide, 9
26 U
Torsemide, 9
trimipramine maleate, 23
Uceris, 14, 19
Totect, 6
Triostat, 18
Udamin SP, 34
Toujeo Solostar, 15
Trisenox, 6
Ulesfia, 14
Toviaz, 20
Triseon, 11
Uloric, 30
Tracleer, 10
Triumeq, 3
Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 39
tramadol HCL, 28
Triveen-duo DHA, 34
tramadol HCL ER, 28
Triveen-prx RNF, 34
Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 39
Tramadol HCL ER, 29
Trizivir, 3
tramadol hydrochloride/acetaminophen, 28
Trokendi XR, 25
Ulticare Insulin Syringe 1CC/28G U-100 1/2", 39
Tropazone, 14
Trandate, 7
trospium chloride, 20
Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16", 39
trandolapril, 8
trospium chloride ER, 20
trandolapril/verapamil HCL, 8
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16", 39
trandolapril/verapamil HCL ER, 8
tranexamic acid, 21
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16", 39
Transderm-scop, 19
Tranxene T, 22
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Ulticare Insulin Syringe/0.3ML/29G X 1/2", 39
tranylcypromine sulfate, 23
Travatan Z, 27
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2", 39
Ulticare Insulin Syringe/0.3ML/30G X 1/2", 39
Travoprost, 27
Trazamine, 23
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
Ulticare Insulin Syringe/0.3ML/30G X 5/16", 39
trazodone HCL, 23
Treanda, 4
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Ulticare Insulin Syringe/0.5ML/28G X 1/2", 39
Trecator, 2
Trelstar, 5
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
Ulticare Insulin Syringe/0.5ML/29G X 1/2", 39
Trelstar Mixject, 5
Trepadiclofen-25, 30
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 39
Ulticare Insulin Syringe/0.5ML/30G X 1/2", 39
Trepoxen-250, 30
Trepoxicam-7.5, 30
Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 39
Ulticare Insulin Syringe/0.5ML/30G X 5/16", 39
Tretin-x, 11
tretinoin, 6, 10
Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 39
Ulticare Insulin Syringe/1ML/28G X 1/2", 39
Tretinoin, 10
Tretinoin (all-trans Retinoic Acid), 10
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 39
Ulticare Insulin Syringe/1ML/29G X 1/2", 39
tretinoin microsphere, 10
tretinoin microsphere P.M., 10
Trueplus Lancets 26G, 39
Ulticare Insulin Syringe/1ML/30G X 1/2", 39
Trexall, 5
Trueplus Lancets 28G, 39
Treximet, 30
Trueplus Lancets 28G Super Thin, 39
Ulticare Insulin Syringe/1ML/30G X 5/16", 39
Trezix, 29
Trueplus Lancets 30G, 39
Tri-norinyl 28, 15
Trueplus Lancets 30G Ultra Thin, 39
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 39
Tri-VI-flor, 33
Trueplus Lancets 33G, 39
Triamcinolone, 14
Trueplus Lancets 33G Micro Thin, 39
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 39
triamcinolone acetonide, 12, 22, 31
Trueplus Safety Lancets 28G, 39
Triamcinolone Acetonide, 12
Trumenba, 33
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 39
triamcinolone IN orabase, 22
Trusopt, 28
Triamcinolone PF, 14
Truvada, 3
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 39
Triamcinolone/Lidocaine, 14
Turkel Paracentesis Procedure Tray/8french, 31
Triamsil Combipak, 12
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 39
triamterene/hydrochlorothiazide, 9
Tussicaps, 31
Triamterene/Hydrochlorothiazide, 9
Tussionex Pennkinetic Extended Release, 31
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 39
Trianex, 12
triazolam, 24
Tuzistra XR, 31
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 39
Tribenzor, 8
Twinrix, 33
Tricare Prenatal Compleat, 33
Twynsta, 9
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 39
Tricare Prenatal DHA One, 34
Tybost, 3
tricitrates, 20
Tygacil, 4
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 39
Tricor, 10
Tykerb, 6
Triderma Forte, 12
Tylenol/Codeine #3, 29
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 39
Triferic, 21
Tylenol/Codeine #4, 29
trifluoperazine HCL, 23
Typhim VI, 33
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 39
trifluridine, 26
Tysabri, 26
Triglide, 10
Tyvaso, 10
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 39
trihexyphenidyl HCL, 25
Tyvaso Refill, 10
Trileptal, 25
Tyvaso Starter, 10
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 39
Trilipix, 10
Tyzeka, 3
trimethobenzamide HCL, 19
Tyzine, 31
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 39
trimethoprim, 4
Tyzine Pediatric Nasal Drops, 31
trimethoprim sulfate/polymyxin b sulfate,
Ulticare Insulin Syringe/U-100/1ML/29G X
1/2", 39
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16", 40
Unistik CZT Comfort, 40
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 39
Unistik CZT Normal, 40
Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16", 40
Unistik Safety Lancets 28G, 40
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 39
Unistik Safety Lancets 30G, 40
Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2", 40
Univasc, 8
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 39
Universal 1 Lancets Thin 26G, 40
Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2", 40
Universal 1 Lancets Ultra Thin 30G, 40
Ulticare Micro Pen Needles/32G X 4MM, 39
Uramaxin, 14
Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2", 40
Uramaxin GT, 14
Ulticare Mini Pen Needles 31GX6MM, 39
Uramaxin GT Kit, 14
Ulticare Mini Pen Needles Ulti-fine IV, 39
Ultra-thin II Lancets 28G, 40 urea, 13
Ulticare Mini Pen Needles/31G X 6MM, 39
Ultra-thin II Lancets 30G, 40 urea 40% nail film, 13
Ultra-thin II Mini Pen Neeedles/31GX3/16", 40
urea IN zinc undecylenate/lactic acid vehicle, 13
Ulticare Mini Pen Needles31GX6MM, 39
Ulticare Original Pen Needles Ulti-fine, 39
Ultra-thin II Pen Needles 29GX1/2", 40 urea topical, 13
Ultra-thin II Pen Needles/SHORT/31GX5/16", 40
Urecholine, 20
Ulticare Pen Needles/29G X 12.7MM, 39
Uretron D/S, 19
Ulticare SHORT Pen Needles 31GX8MM, 40
Ultra-thin II Safety Autolancets 26G, 40 Urimar-t, 19
Ultracet, 29 Urocit-k 10, 20
Ulticare SHORT Pen Needles Ulti-fine IV, 39
Ultralance, 40 Urocit-k 15, 20
Ultram, 29 Urocit-k 5, 20
Ulticare SHORT Pen Needles/31G X 8MM, 40
Ultram ER, 29 Urogesic-blue, 19
Ultrasal-ER, 14 Uroqid #2, 19
Ulticare Thin Lancets 30G, 40
Ultravate, 12 Uroxatral, 20
Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Ultravate PAC, 12 Urso 250, 19
Ultravate X, 13 Urso Forte, 19
Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16", 40
Umecta, 14 ursodiol, 19
Umecta Nail Film, 14 Utopic, 14
Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Umecta PD, 14 Uvadex, 6
Unasyn, 1 V
Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16", 40
Unasyn Bulk Pack, 1
V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2", 40
Unifine Pentips 29GX12MM, 40
Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 40
Unifine Pentips 31G X 3/16", 40
V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2", 40
Unifine Pentips 31G X 6MM, 40
Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 40
Unifine Pentips 31G X 8MM, 40
V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2", 40
Unifine Pentips 31GX5MM, 40
Ultilet Classic Lancets, 40
Unifine Pentips 31GX6MM, 40
V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 40
Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 40
Unifine Pentips 31GX8MM, 40
Unifine Pentips 32GX4MM, 40
V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 40
Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 40
Unifine Pentips Plus 29GX12MM, 40
Unifine Pentips Plus 31GX5MM, 40
Vagifem, 20
Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 40
Unifine Pentips Plus 31GX6MM, 40
valacyclovir HCL, 3
Unifine Pentips Plus 31GX8MM, 40
Valchlor, 4
Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 40
Unilet Comfortouch Lancet, 40
Valcyte, 3
Unilet Excelite, 40
valganciclovir, 3
Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 40
Unilet Excelite II, 40
Validerm, 13
Unilet G.p. Lancet, 40
Valium, 22
Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 40
Unilet G.p. Superlite Lancet, 40
valproate sodium, 24
Unilet GP 28 Ultra Thin, 40
valproic acid, 24
Ultilet Lancets, 40
Unilet Lancet, 40
valsartan, 8
Ultilet Lancets 33G, 40
Unilet Lancets Micro-thin33G, 40
valsartan/hydrochlorothiazide, 8
Ultilet Pen Needle 32GX4MM/SHORT, 40
Unilet Lancets Super-thin30G, 40
Valtrex, 3
Unilet Lancets Ultra-thin 28G, 40
Valumark Lancet Super Thin 30G, 40
Ultilet Safety Lancets 23G, 40
Unilet Superlite Lancet, 40
Valumark Lancet Ultra Thin 28G, 40
Ultilet SHORT Pen Needles 31GX5/16", 40
Uniretic, 9
Valumark Pen Needles 29GX12MM, 40
Unistik 1, 40
Valumark Pen Needles 31G X 6MM, 40
Ultilet SHORT Pen Needles31GX3/16", 40
Unistik 2, 40
Valumark Pen Needles 31G X 8MM, 40
Unistik 2 Comfort, 40
Vanatol LQ, 28
Ultiva, 29
Unistik 2 Extra, 40
Vancocin HCL, 4
Ultra-thin II Auto Lancet, 40
Unistik 2 Neonatal, 40
vancomycin HCL, 4
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/30GX5/16", 40
Unistik 2 Normal, 40
Vancomycin HCL, 4
Unistik 2 Super, 40
Vancomycin HCL + Syrspendsf PH4, 4
Ultra-thin II Insulin Syringe SHORT/U-100/0.3ML/31GX5/16", 40
Unistik 3, 40
Vancomycin HCL IN Dextrose, 4
Unistik 3 Comfort, 40
Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/30GX5/16", 40
Unistik 3 Extra, 40
Unistik 3 Gentle, 40
Vanishpoint Insulin Syringe/1ML/29G X 1/2", 40
Ultra-thin II Insulin Syringe SHORT/U-100/0.5ML/31GX5/16", 40
Unistik 3 Neonatal, 40
Unistik 3 Normal, 40
Vanos, 13
Vanoxide-HC, 11
Vinate AZ Extra, 34 Walgreens Ultra Thin Lancets, 40
Vantas, 5
Vinate Calcium, 34 warfarin sodium, 21
Vaprisol, 17
Vinate DHA, 34 Watchhaler, 41
Vaqta, 33
Vinate DHA RF, 34 Welchol, 9
Varivax, 33
Vinblastine Sulfate, 6 Wellbutrin, 23
Vascepa, 9
vincristine sulfate, 5 Wellbutrin SR, 23
Vaseretic, 9
vinorelbine tartrate, 5 Wellbutrin XL, 23
vasopressin, 17
Viracept, 3 Westcort, 13
Vasostrict, 17
Viramune, 3 Westhroid, 18
Vasotec, 8
Viramune XR, 3 Wheat Germ, 33
Vazculep, 9
Virasal, 14 Wilate, 21
Vecamyl, 8
Virazole, 3 Wp Thyroid, 18
Vectibix, 5
Viread, 3 X
Vectical, 12
Viroptic, 26
Xalatan, 27
vecuronium bromide, 26
Vistaril, 22
Xalkori, 6
Velcade, 6
Vistide, 3
Xanax, 22
Veletri, 10
Vita-pren, 34
Xanax XR, 22
Velphoro, 19
Vitafol, 34
Xarelto, 21
Veltin, 11
Vitafol Fe+, 34
Xarelto Starter Pack, 21
Vemavite-prx 2, 34
Vitafol Ultra, 34
Xartemis XR, 29
venlafaxine HCL, 23
Vitafol-nano, 34
Xeljanz, 30
venlafaxine HCL ER, 23
Vitafol-ob+dha, 34
Xeloda, 5
Venlafaxine HCL ER, 23
Vitafol-one, 34
Xenazine, 26
Venofer, 21
Vitafol-pn, 34
Xeomin, 26
Ventavis, 10
Vital-d RX, 34
Xerac Ac, 14
Ventolin HFA, 32
Vitalet Pro Lancets, 40
Xerese, 11
Veramyst, 31
Vitalet Pro Plus Lancets, 40
Xgeva, 16
verapamil HCL, 7
Vitamedmd One RX/Quatrefolic, 34
Xifaxan, 4
verapamil HCL ER, 7
Vitamedmd Plus RX/Quatre Folic, 34
Xigduo XR, 16
verapamil HCL SR, 7
Vitamedmd Redichew RX, 34
Xodol, 29
Verdeso, 13
Vitamedmd Redichew RX/Quatrefolic, 34
Xofigo, 6
Veregen, 14
Vitamin A, 33
Xolair, 32
Verelan, 7
vitamin c 222MG, 33
Xolegel, 11
Verelan PM, 7
vitamin d, 33
Xolegel Corepak, 11
Veripred 20, 14
vitamin k1, 33
Xolegel Duo/Head & Shoulders, 11
Verrunex, 14
Vitamin K1, 33
Xolegel Duo/Xolex, 11
Versacloz, 23
Vitapearl, 34
Xolox, 29
Vesicare, 20
Vitaroca Plus, 34
Xopenex, 32
Vexa, 14
Vitatrue, 34
Xopenex Concentrate, 32
Vexol, 27
Vitekta, 3
Xtandi, 5
Vfend, 3
Vituz, 31
Xylocaine, 8, 14, 31
Vfend IV, 3
Viva DHA, 34
Xylocaine-mpf, 31
Vibativ, 4
Vivactil, 23
Xylocaine-mpf/Epinephrine, 31
Vibramycin, 2
Vivelle-dot, 15
Xylocaine/Epinephrine, 31
Vicoprofen, 29
Vivlodex, 30
Xyntha, 22
Victoza, 16
Vivotif, 33
Xyntha Solofuse, 22
Victrelis, 3
Vivotif Berna, 33
Xyrem, 26
Vida Mia Unifine Pentips 32GX4MM, 40
Voltaren, 11
Xyzal, 31
Vida Mia Unifine Pentips Mini 31GX6MM, 40
Voltaren-XR, 30
Y
Voluven, 22
Vida Mia Unifine Pentips Original 29GX12MM, 40
Vopac, 11
Yasmin 28, 15
Vopac GB, 11
Yaz, 15
Vida Mia Unilet Lancets Super Thin 30G, 40
Vopac Kt, 11
Yervoy, 5
Voraxaze, 6
Yf-vax, 33
Vida Mia Unilet Lancets Ultra Thin 28G, 40
voriconazole, 2
Yodoxin, 3
Vortex Valved Holding Chamber, 41
Your Life Multi Prenatal, 34
Vida Mia Unipfine Pentipsshort 31GX8MM, 40
Vosol HC, 28
Z
Vospire ER, 32
Zacare 4% Kit, 11
Vidaza, 5
Votrient, 6
Zacare 8% Kit, 11
Videx EC, 3
Vpriv, 21
zafirlukast, 32
Videx Pediatric, 3
Vsl#3 DS, 18
zaleplon, 24
Viekira PAK, 3
Vusion, 11
Zaltrap, 5
Vigamox, 26
Vyvanse, 24
Zamicet, 29
Viibryd, 23
W
Zanaflex, 26
Viibryd Starter Pack, 23
W&f Lancets 26G, 40
Zanosar, 4
Vimizim, 17
W&f Lancets Colored 21G, 40
Zantac, 18
Vimpat, 25
Walgreens Lancets, 40
Zarontin, 25
Vinacal B, 34
Walgreens Thin Lancets, 40
Zaroxolyn, 9
Zatean-CH, 34
Zydelig, 6
Zatean-pn, 34
Zydone, 29
Zatean-pn DHA, 34
Zyflo, 32
Zatean-pn Plus, 34
Zyflo CR, 32
Zavesca, 21
Zykadia, 6
Zebeta, 7
Zylet, 27
Zegerid, 18
Zyloprim, 30
Zelapar, 25
Zymaxid, 26
Zelboraf, 6
Zyprexa, 23
Zemaira, 32
Zyprexa Relprevv, 23
Zemplar, 17
Zyprexa Zydis, 23
Zemuron, 26
Zytiga, 5
Zenpep, 19
Zyvodol, 11
Zenzedi, 24
Zyvox, 4
Zerbaxa, 4
1
Zerit, 3
1ST Choice Lancets Super Thin, 40
Zestoretic, 9
1ST Choice Lancets Thin, 40
Zestril, 8
1ST Choice Lancets Ultra Thin, 40
Zetia, 10
1ST Tier Unifine Pentips 29GX12MM, 40
Zetonna, 31
1ST Tier Unifine Pentips 31GX6MM, 40
Zevalin Y-90, 5
1ST Tier Unifine Pentips 31GX8MM, 40
Ziac, 9
8
Ziagen, 3
Ziana, 11
8-mop, 12
zidovudine, 3
Zinacef, 1
Zinecard, 6
ziprasidone HCL, 23
Zipsor, 30
Zirgan, 26
Zithranol, 12
Zithranol-rr, 12
Zithromax, 1
Zithromax Tri-PAK, 2
Zithromax Z-PAK, 2
Zmax, 2
Zofran, 19
Zofran Odt, 19
Zoladex, 5
zoledronic acid, 16
Zoledronic Acid, 16
Zolinza, 6
zolmitriptan, 30
zolmitriptan odt, 30
Zoloft, 23
zolpidem tartrate, 24
zolpidem tartrate ER, 24
Zolpimist, 24
Zometa, 16
Zomig, 30
Zomig Nasal Spray, 30
Zomig ZMT, 30
Zonalon, 12
Zonatuss, 31
Zonegran, 25
zonisamide, 24
Zontivity, 22
Zorbtive, 17
Zortress, 5
Zostavax, 33
Zosyn, 1
Zovia 1/50e, 15
Zovirax, 3, 11
Zubsolv, 29
Zuplenz, 19
Zutripro, 31
Zyclara, 13
Zyclara P.M., 13