Prime Detailed Formulary Guide - Universal Rx

Bold Upper Case = Brand-name drug QL Quantity Limits SP Specialty Program Lower Case = generic drug INJ Injectable ST Step Therapy

Disclaimer: This information is confidential and proprietary and may not be reproduced or disclosed in whole or part unless authorized in

writing by an authorized representative of Pharmacy Data Management, Inc. v. 2020-04

Prime Detailed Formulary

Guide

v. 2020-10

Disclaimer: This information is confidential and proprietary and may not be reproduced or disclosed in whole or part unless authorized in

writing by an authorized representative of Universal Rx. v. 2020-10

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Prime Detailed Formulary Guide

The Prime Formulary Guide outlines the tier coverage and suggested limitations of the most commonly prescribed medications. A formulary is the list of drugs available for certain conditions and organized by tiers (cost levels).

Drug Tier Types of Drugs Included Cost

1 Generic Drugs Lowest Copay

2 Preferred Brand Name Drugs Medium Copay

3 Non-Preferred Brand Name Drugs Higher Copay

Limits Description

INJ – Injectable Drug Product is administered via an injectable route of administration and may be subject to a separate benefit.

QL – Quantity Limit Drug is subject to a specific quantity per days supply due to patient safety or cost containment measures.

SP – Specialty Program Drug is designated as a specialty drug and may be subject to a separate specialty benefit.

ST – Step Therapy A more cost-effective option must be tried before a Step Therapy drug may be covered.

Preferred and non-preferred brand name medications are listed to help identify clinically appropriate and cost-effective options within drug categories. Unless specifically indicated, drug list products will include all dosage forms. This is not an all-inclusive list and does not guarantee coverage. Medications listed may change to a lower tier at any time. Medications may also be moved to non-preferred status twice a year on January 1 and July 1. A brand-name drug for which a generic product becomes available may be designated as a non-preferred option upon release of the generic product to the market. Products recently approved by the U.S. Food and Drug Administration (FDA) may not be covered upon release to the market. When a medication changes tiers, the member may have to pay a different amount for that medication. The member's specific prescription benefit plan design may not cover certain products or categories regardless of their appearance in this document. For the most up-to-date list call customer service at the toll-free member phone number on the ID card. Need assistance finding a drug on this formulary guide? An alphabetical index is included at the end of the formulary listing. You may also press Control + F to search for the product name.

Drug Name Drug Tier Limits Drug Name Drug Tier Limits


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ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS ADDERALL 3 ADDERALL XR 3 ADHANSIA XR 3 ADIPEX-P 3 ADZENYS ER 3 ADZENYS XR-ODT 3 amphetamine sulfate 1 amphetamine/dextroampheta 1 APTENSIO XR 3 armodafinil 1 atomoxetine 1 atomoxetine hydrochloride 1 BELVIQ 3 BELVIQ XR 3 benzphetamine hcl 1 CAFCIT 3 INJ caffeine cit inj 60mg/3ml 1 INJ caffeine citrate 1 clonidine hcl er 1 CONCERTA 3 CONTRAVE 3 COTEMPLA XR-ODT 3 DAYTRANA 2 dexmethylphenidate hcl 1 dexmethylphenidate hcl er 1 dexmethylphenidate hydroc 1 dextroamphetamine sulfate 1 diethylpropion hcl 1 diethylpropion hcl er 1 DOPRAM 3 INJ DYANAVEL XR 2 EVEKEO 3 EVEKEO ODT 3 FOCALIN 3 FOCALIN XR 3 guanfacine er 1 INTUNIV 3 JORNAY PM 3 LOMAIRA 3 methamphetamine hcl 1 METHYLIN 3

METHYLPHENIDATE CAP ER 1 METHYLPHENIDATE TAB ER 3 modafinil 1 MYDAYIS 2 NUVIGIL 3 phendimetraz tab 35mg 1 PHENDIMETRAZ CAP 105MG ER 3 phentermine hcl 1 phentermine hydrochloride 1 PROCENTRA 2 QSYMIA 3 QUILLICHEW ER 2 QUILLIVANT XR 2 RITALIN 3 RITALIN LA 3 SAXENDA 3 INJ STRATTERA 3 SUNOSI 2 VYVANSE 2 XENICAL 3 zenzedi tab 5mg 1 ZENZEDI TAB 7.5MG 3 Amebicides SOLOSEC 2 Aminoglycosides amikacin sulfate 1 INJ BETHKIS 2 SP gentamicin sulfate 1 INJ KITABIS PAK 2 SP neomycin sulfate 1 paromomycin sulfate 1 TOBI 3 SP TOBI PODHALER 2 SP tobramycin 1 SP tobramycin sulfate 1 INJ ANALGESICS - ANTI-INFLAMMATORY ACTEMRA 2 INJ SP ACTEMRA ACTPEN 2 INJ SP ARAVA 3 ARTHROTEC 50 3 ARTHROTEC 75 3 CELEBREX 3



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celecoxib 1 DAYPRO 3 diclofenac potassium 1 diclofenac sodium dr 1 diclofenac sodium er 1 diclofenac sodium/misopro 1 DUEXIS 3 EC-NAPROXEN 3 ENBREL 2 INJ SP ENBREL MINI 2 INJ SP ENBREL SURECLICK 2 INJ SP etodolac 1 etodolac er 1 FELDENE 3 fenoprofen tab 600mg 1 FENOPROFEN CAP 400MG 3 flurbiprofen 1 HUMIRA 2 INJ SP HUMIRA PEDIATRIC CROHNS D 2 INJ SP HUMIRA PEN 2 INJ SP HUMIRA PEN-CD/UC/HS START 2 INJ SP HUMIRA PEN-PS/UV STARTER 2 INJ SP ibu 1 ibuprofen 1 ILARIS 2 INJ SP INDOCIN 3 indomethacin inj 1mg 1 INJ indomethacin cap 1 indomethacin er 1 indomethacin sr 1 ketoprofen er 1 ketorolac tab 10mg 1 QL ketorolac tromethamine 1 INJ KEVZARA 3 INJ SP KINERET 3 INJ SP leflunomide 1 meclofenamate sodium 1 mefenamic acid 1 meloxicam 1 MOBIC 3 nabumetone 1 naproxen 1 naproxen dr 1

naproxen sodium 1 naproxen sodium er 1 OLUMIANT 2 SP ORENCIA 3 INJ SP ORENCIA CLICKJECT 3 INJ SP OTEZLA 2 SP OTREXUP 2 INJ oxaprozin 1 piroxicam 1 QMIIZ ODT 3 RASUVO 2 INJ RELAFEN DS 3 RIDAURA 2 RINVOQ 2 SP SIMPONI INJ 50/0.5ML 3 INJ SP SIMPONI INJ 100MG/ML 2 INJ SP SIMPONI ARIA 3 INJ SP SPRIX 3 sulindac 1 tolmetin sodium 1 VIMOVO 3 XELJANZ 2 SP XELJANZ XR 2 SP ZIPSOR 3 ZORVOLEX 3 ANALGESICS - NonNarcotic bupap 1 butal/apap tab 50-325mg 1 BUTAL/APAP CAP 50-300MG 3 butalbital/acetaminophen/ 1 BUTALBITAL/ASPIRIN/CAFFEI 2 clonidine inj 1 INJ diflunisal 1 FIORICET 3 FIORINAL 3 PRIALT 2 INJ SP salsalate 1 TENCON 2 ANALGESICS - OPIOID acetaminophen/caffeine/di 1 acetaminophen/codeine 1 alfentanil 1 INJ ALFENTANIL HCL 3 INJ



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APADAZ 3 ascomp/codeine 1 BELBUCA 2 BENZHYDROCODONE/ACETAMINO 3 BUNAVAIL 3 BUPRENEX 3 INJ buprenorphine 1 BUPRENORPHIN DIS 7.5/HR 3 buprenorphin sub 2mg 1 buprenorphin inj 0.3mg/ml 1 INJ buprenorphine hcl/naloxon 1 buprenorphine hydrochlori 1 but/asa/caf/ cap cod 30mg 1 butorphanol sol 10mg/ml 1 QL BUTORPHANOL TARTRATE 3 INJ QL BUTRANS 3 codeine sulfate 1 CONZIP 3 DEMEROL 3 INJ DOLOPHINE 3 duramorph 1 INJ endocet 1 fentanyl 1 FENTANYL CITRATE 3 INJ fentanyl citrate oral tra 1 FIORICET/CODEINE 3 FIORINAL/CODEINE #3 3 hydrocodone bitartrate/ac 1 hydrocodone/acetaminophen 1 hydrocodone/ibuprofen 1 hydromorphone hcl tab 1 hydromorphon inj 4mg/ml 1 INJ hydromorphon sup 3mg 1 hydromorphone hcl er 1 hydromorphon inj 2mg/ml 1 INJ hydromorphone hydrochlori 1 HYSINGLA ER 2 INFUMORPH 200 2 INJ INFUMORPH 500 2 INJ KADIAN 3 LAZANDA 3 lorcet 1 lorcet hd 1

LORTAB 3 meperidine sol 50mg/5ml 1 meperidine inj 25mg/ml 1 INJ methadone con 10mg/ml 1 METHADONE SOL 10MG/5ML 2 methadone inj 10mg/ml 1 INJ METHADOSE 2 MORPHABOND ER 3 morphine sul tab 1 morphine sulfate inj 1 INJ morphine sul sup 5mg 1 morphine sulfate er 1 MS CONTIN 3 nalbuphine hcl 1 INJ NORCO 3 NUCYNTA 2 NUCYNTA ER 2 OXAYDO 3 oxycodone hcl 1 OXYCODONE HCL ER 3 oxycodone hydrochloride 1 OXYCODONE HYDROCHLORIDE E 3 oxycodone/acetaminophen 1 oxycodone/ibuprofen 1 OXYCONTIN 2 oxymorphone hydrochloride 1 OXYMORPHONE TAB 5MG ER 3 pentazocine/naloxone hcl 1 PERCOCET 3 PRIMLEV 3 ROXICODONE 3 SUBLOCADE 2 INJ SP SUBOXONE 2 SUBSYS 3 tramadol hcl 1 tramadol hcl tab 100mg er 1 TRAMADOL HCL CAP ER 100MG 3 tramadol hydrochloride/ac 1 TREZIX 3 TYLENOL/CODEINE #3 3 ULTRAM 3 vicodin es 1 vicodin hp 1



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XTAMPZA ER 3 ZOHYDRO ER 3 ZUBSOLV 2 ANDROGENS-ANABOLIC ANDRODERM 2 ANDROGEL 3 ANDROGEL PUMP 3 AVEED 3 INJ SP danazol 1 DEPO-TESTOSTERONE 3 INJ METHITEST 2 methyltestosterone 1 NATESTO 2 oxandrolone 1 TESTIM 3 TESTOPEL 3 INJ SP testosterone 1 TESTOSTERONE 3 testosterone cypionate 1 INJ testosterone enanthate 1 INJ TESTOSTERONE PUMP 3 testosterone topical solu 1 VOGELXO 3 VOGELXO PUMP 3 XYOSTED 3 INJ ANORECTAL AGENTS ANALPRAM HC 3 ANALPRAM-HC 3 anucort-hc 1 anusol-hc 1 colocort 1 CORTIFOAM 3 hemmorex-hc 1 hydrocort ene 100mg 1 hydrocort ac sup 25mg 1 hc pramoxine cre 1-1% 1 lidocaine/hc cre 3%-0.5% 1 LIDO-HYDRO GEL 2.8-0.55 2 PROCORT 3 PROCTOFOAM HC 3 procto-med hc 1 proctosol hc 1 proctozone-hc 1

RECTIV 2 UCERIS AER 2MG/ACT 2 Anthelmintics albendazole 1 BENZNIDAZOLE 2 EMVERM 2 ivermectin tab 3mg 1 praziquantel 1 STROMECTOL 3 ANTIANGINAL AGENTS ISORDIL TITRADOSE 3 isosorbide dinitrate 1 isosorbide dinitrate sa 1 isosorbide mononitrate 1 isosorbide mononitrate er 1 NITRO-BID 2 NITRO-DUR 3 nitroglycer inj 5mg/ml 1 INJ nitroglycern sub 1 nitroglycerin er 1 NITROGLYCERIN IN DEXTROSE 2 INJ nitroglycerin lingual 1 nitroglycerin transdermal 1 NITROMIST 3 NITROSTAT 3 RANEXA 3 ranolazine er 1 ANTIANXIETY AGENTS alprazolam 1 alprazolam er 1 ALPRAZOLAM INTENSOL 2 alprazolam odt 1 alprazolam xr 1 ATIVAN 3 ATIVAN INJ 2MG/ML 3 INJ buspirone hcl 1 buspirone hydrochloride 1 chlordiazepoxide hcl 1 chlordiazepoxide hydrochl 1 clorazepate dipotassium 1 diazepam sol 5mg/5ml 1 diazepam 1 INJ diazepam intensol 1



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droperidol 1 INJ hydroxyzine hcl inj 1 INJ hydroxyzine hcl tab 1 hydroxyzine pamoate 1 lorazepam 1 lorazepam inj 1 INJ lorazepam intensol 1 meprobamate 1 oxazepam 1 VALIUM 3 VISTARIL 3 XANAX 3 XANAX XR 3 ANTIARRHYTHMICS ADENOCARD 3 INJ adenosine 1 INJ amiodarone inj 1 INJ amiodarone hcl 1 amiodarone hydrochloride 1 CORVERT 3 INJ disopyramide phosphate 1 dofetilide 1 flecainide acetate 1 lidocaine hcl in d5w 1 INJ mexiletine hcl 1 MULTAQ 3 NORPACE 3 NORPACE CR 3 pacerone 1 procainamide hcl 1 INJ procainamide hydrochlorid 1 INJ propafenone hcl 1 propafenone hydrochloride 1 quinidine gluconate cr 1 quinidine sulfate 1 RYTHMOL SR 3 TIKOSYN 3 ANTIASTHMATIC AND BRONCHODILATOR AGENTS ADVAIR DISKUS 3 ADVAIR HFA 2 AIRDUO RESPICLICK 113/14 3 albuterol tab 1

albuterol neb 1 albuterol sulfate er 1 ALBUTEROL SULFATE HFA 3 ALVESCO 3 aminophylline 1 INJ ANORO ELLIPTA 2 ARNUITY ELLIPTA 2 ASMANEX HFA 2 ASMANEX TWISTHALER 120 ME 2 ASMANEX TWISTHALER 7 METE 2 ATROVENT HFA 3 BEVESPI AEROSPHERE 2 BREO ELLIPTA 2 BROVANA 3 budesonide sus 1 BUDESONIDE/FORMOTEROL FUM 3 COMBIVENT RESPIMAT 2 cromolyn sod neb 1 DALIRESP 2 difil-g forte 1 DULERA 2 ELIXOPHYLLIN 2 FASENRA 2 INJ SP FASENRA PEN 3 INJ SP FLOVENT DISKUS 2 FLOVENT HFA 2 FLUTICASONE/SALMETEROL INH 2 fluticasone/salmeterol aero 1 INCRUSE ELLIPTA 2 ipratropium bromide 1 ipratropium bromide/albut 1 isoproterenol hydrochlori 1 INJ ISUPREL 3 INJ levalbuterol 1 levalbuterol hcl 1 LEVALBUTEROL TARTRATE HFA 3 montelukast sodium 1 NUCALA 2 INJ SP PERFOROMIST 2 PROAIR HFA 2 PROAIR RESPICLICK 2 PROVENTIL HFA 3 PULMICORT 3



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PULMICORT FLEXHALER 2 QVAR REDIHALER 2 SEEBRI NEOHALER 3 SEREVENT DISKUS 2 SINGULAIR 3 SPIRIVA HANDIHALER 2 SPIRIVA RESPIMAT 2 STIOLTO RESPIMAT 2 STRIVERDI RESPIMAT 2 SYMBICORT 2 terbutaline sulfate 1 THEO-24 3 THEOCHRON TAB 100MG CR 3 theochron 1 theophylline 1 theophylline cr 1 theophylline er 1 theophylline/d5w 1 INJ TRELEGY ELLIPTA 2 TUDORZA PRESSAIR 3 VENTOLIN HFA 2 wixela inhub 1 XOLAIR 2 INJ SP XOPENEX 3 XOPENEX CONCENTRATE 3 XOPENEX HFA 3 YUPELRI 2 zafirlukast 1 ZYFLO 3 ST ANTICOAGULANTS bivalirudin 1 INJ SP BIVALIRUDIN/SODIUM CHLORI 3 INJ SP COUMADIN 3 ELIQUIS 2 enoxaparin sodium 1 INJ fondaparinux sodium 1 INJ SP FRAGMIN 2 INJ SP heparin lock flush 1 INJ heparin sodium 1 INJ heparin sodium/d5w 1 INJ heparin sodium/nacl 0.9% 1 INJ jantoven 1 LOVENOX 3 INJ

PRADAXA 3 sash kit for flushing vas 1 INJ SAVAYSA 3 TRICITRASOL 2 warfarin sodium 1 XARELTO 2 XARELTO STARTER PACK 2 ANTICONVULSANTS APTIOM 3 BANZEL 2 BRIVIACT 3 carbamazepine 1 carbamazepine er 1 CARBATROL 3 CELONTIN 2 CEREBYX 3 INJ clobazam 1 clonazepam 1 clonazepam odt 1 DEPACON 3 INJ DEPAKOTE 3 DEPAKOTE ER 3 DEPAKOTE SPRINKLES 3 DIACOMIT 2 SP DIASTAT ACUDIAL 3 DIASTAT PEDIATRIC 3 DIAZEPAM RECTAL GEL 2 DILANTIN CAP 100MG 3 DILANTIN CAP 30MG 2 DILANTIN INFATABS 3 DILANTIN-125 3 divalproex sodium 1 divalproex sodium dr 1 divalproex sodium er 1 EPIDIOLEX 2 SP epitol 1 ethosuximide 1 felbamate 1 FELBATOL 3 fosphenytoin sodium 1 INJ FYCOMPA 2 gabapentin 1 GABITRIL 3



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KEPPRA 3 KEPPRA XR 3 KLONOPIN 3 LAMICTAL 3 LAMICTAL CHEWABLE DISPERS 3 LAMICTAL ODT 3 LAMICTAL STARTER/NOT TAKI 3 LAMICTAL STARTER/TAKING C 3 LAMICTAL STARTER/TAKING V 3 LAMICTAL XR 3 lamotrigine 1 lamotrigine er 1 lamotrigine odt 1 lamotrigine starter kit/g 1 lamotrigine starter kit/o 1 levetiracetam 1 levetiracetam inj 1 INJ levetiracetam er 1 LYRICA 3 MYSOLINE 3 NAYZILAM 2 NEURONTIN 3 ONFI 3 oxcarbazepine 1 OXTELLAR XR 3 PHENYTEK 3 phenytoin 1 phenytoin sodium 1 INJ phenytoin sodium extended 1 pregabalin 1 primidone 1 QUDEXY XR 2 roweepra 1 roweepra xr 1 SABRIL 3 SP subvenite 1 subvenite starter kit/ora 1 SYMPAZAN 3 SP TEGRETOL 3 TEGRETOL-XR 3 tiagabine hydrochloride 1 TOPAMAX 3 topiramate 1

TOPIRAMATE ER 3 TRILEPTAL 3 TROKENDI XR 3 valproate sodium 1 INJ valproic acid 1 vigabatrin 1 SP vigadrone 1 SP VIMPAT 2 INJ ZARONTIN 3 ZONEGRAN 3 zonisamide 1 ANTIDEPRESSANTS amitriptyline hcl 1 amitriptyline hydrochlori 1 amoxapine 1 ANAFRANIL 3 APLENZIN 3 ST bupropion hcl 1 bupropion tab sr 1 BUPROPION TAB 450MG XL 3 CELEXA 3 citalopram hydrobromide 1 clomipramine hcl 1 CYMBALTA 3 desipramine hcl 1 desipramine hydrochloride 1 desvenlafaxine er 1 DESVENLAFAX TAB 100MG ER 3 doxepin hcl 1 doxepin hydrochloride 1 duloxetine hcl 1 duloxetine hydrochloride 1 EFFEXOR XR 3 EMSAM 3 escitalopram oxalate 1 FETZIMA 2 ST FETZIMA TITRATION PACK 2 ST fluoxetine dr 1 fluoxetine hcl 1 FLUOXETINE TAB 60MG 3 fluvoxamine maleate 1 fluvoxamine maleate er 1 FORFIVO XL 3



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imipramine hcl 1 imipramine pamoate 1 LEXAPRO 3 maprotiline hcl 1 MARPLAN 3 mirtazapine 1 mirtazapine odt 1 NARDIL 3 nefazodone hcl 1 nefazodone hydrochloride 1 NORPRAMIN 3 nortriptyline hcl 1 nortriptyline hydrochlori 1 PAMELOR 3 paroxetine hcl 1 paroxetine hcl er 1 paroxetine hydrochloride 1 PAXIL 3 PAXIL CR 3 phenelzine sulfate 1 PRISTIQ 3 protriptyline hcl 1 PROZAC 3 REMERON 3 REMERON SOLTAB 3 sertraline hcl 1 sertraline hydrochloride 1 SPRAVATO 56MG DOSE 3 SP SPRAVATO 84MG DOSE 3 SP TOFRANIL 3 tranylcypromine sulfate 1 trazodone hydrochloride 1 TRINTELLIX 3 ST venlafaxine hcl 1 venlafaxine hcl er 1 VIIBRYD 2 ST VIIBRYD STARTER PACK 2 ST WELLBUTRIN SR 3 WELLBUTRIN XL 3 ZOLOFT 3 ANTIDIABETICS acarbose 1 ADLYXIN 3 INJ

ADLYXIN STARTER PACK 3 INJ ADMELOG 3 INJ ADMELOG SOLOSTAR 3 INJ AFREZZA 3 ALOGLIPTIN 3 ST ALOGLIPTIN/METFORMIN HCL 3 ST ALOGLIPTIN/PIOGLITAZONE 3 ST AMARYL 3 APIDRA 3 INJ APIDRA SOLOSTAR 3 INJ AVANDIA 3 BAQSIMI ONE PACK 2 BASAGLAR KWIKPEN 3 INJ BYDUREON BCISE 2 INJ BYDUREON PEN 2 INJ BYETTA 2 INJ CYCLOSET 3 FARXIGA 2 ST FIASP 2 INJ FIASP FLEXTOUCH 2 INJ FIASP PENFILL 2 INJ glimepiride 1 glipizide 1 glipizide er 1 glipizide xl 1 glipizide/metformin hydro 1 GLUCAGEN HYPOKIT 2 INJ GLUCAGON EMERGENCY KIT 2 INJ GLUCOPHAGE 3 GLUCOPHAGE XR 3 GLUCOTROL 3 GLUCOTROL XL 3 GLUMETZA 3 glyburide 1 glyburide micronized 1 glyburide/metformin hydro 1 GLYNASE 3 GLYSET 3 GLYXAMBI 2 ST GVOKE PFS 2 INJ HUMALOG 2 INJ HUMALOG JUNIOR KWIKPEN 2 INJ HUMALOG KWIKPEN 2 INJ



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HUMALOG MIX 50/50 2 INJ HUMALOG MIX 50/50 KWIKPEN 2 INJ HUMALOG MIX 75/25 2 INJ HUMALOG MIX 75/25 KWIKPEN 2 INJ HUMULIN R U-500 (CONCENTR 2 INJ HUMULIN R U-500 KWIKPEN 2 INJ INSULIN LISPRO 3 INJ INSULIN LISPRO KWIKPEN 3 INJ INVOKAMET 2 ST INVOKAMET XR 2 ST INVOKANA 2 ST JANUMET 2 ST JANUMET XR 2 ST JANUVIA 2 ST JARDIANCE 2 JENTADUETO 2 ST JENTADUETO XR 2 ST KOMBIGLYZE XR 3 ST KORLYM 3 SP LANTUS 2 INJ LANTUS SOLOSTAR 2 INJ LEVEMIR 2 INJ LEVEMIR FLEXTOUCH 2 INJ metformin hydrochloride 1 metformin hydrochloride e 1 miglitol 1 MYXREDLIN 3 INJ nateglinide 1 NESINA 3 ST NOVOLOG 2 INJ NOVOLOG FLEXPEN 2 INJ NOVOLOG MIX 70/30 2 INJ NOVOLOG MIX 70/30 PREFILL 2 INJ NOVOLOG PENFILL 2 INJ ONGLYZA 3 ST OSENI 3 ST OZEMPIC 2 INJ pioglitazone hcl 1 pioglitazone hcl/metformi 1 pioglitazone hcl-glimepir 1 pioglitazone hydrochlorid 1 PROGLYCEM 2 QTERN 3 ST

repaglinide 1 RIOMET 3 RYBELSUS 2 SEGLUROMET 2 ST SOLIQUA 100/33 2 INJ STARLIX 3 STEGLATRO 2 ST STEGLUJAN 3 ST SYMLINPEN 120 2 INJ SYMLINPEN 60 2 INJ SYNJARDY 2 ST SYNJARDY XR 2 ST tolbutamide 1 TOUJEO MAX SOLOSTAR 2 INJ TOUJEO SOLOSTAR 2 INJ TRADJENTA 2 ST TRESIBA 2 INJ TRESIBA FLEXTOUCH 2 INJ TRIJARDY XR 2 TRULICITY 2 INJ VICTOZA 2 INJ XIGDUO XR 2 ST XULTOPHY 100/3.6 2 INJ ANTIDIARRHEAL/PROBIOTIC AGENTS diphenoxylate hydrochlori 1 diphenoxylate/atropine 1 LOMOTIL 3 loperamide hcl 1 MYTESI 3 opium 1 paregoric 1 PRODIGEN 3 RESTORA RX 3 VSL#3 DS 3 ZELAC 3 Antidotes and Specific Antagonists acetylcysteine 1 INJ BAL IN OIL 2 INJ BRIDION 3 INJ CHEMET 2 CYANOKIT 3 INJ deferoxamine mesylate 1 INJ SP



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DESFERAL 3 INJ SP DUODOTE 3 INJ EXJADE 3 SP flumazenil 1 INJ fomepizole 1 INJ JADENU 3 SP JADENU SPRINKLE 3 SP methylene blue 1 INJ naloxone hcl 1 INJ naltrexone hcl 1 NARCAN 2 PHYSOSTIGMINE SALICYLATE 2 INJ PRALIDOXIME CHLORIDE 3 INJ PRAXBIND 3 INJ PROVAYBLUE 3 INJ VIVITROL 2 INJ SP ANTIEMETICS AKYNZEO 3 ANZEMET 3 QL aprepitant 1 QL BONJESTA 3 DICLEGIS 3 doxylamine succinate/pyri 1 dronabinol 1 EMEND 3 QL EMEND TRIPACK 3 QL FOSAPREPITANT DIMEGLUMINE 3 INJ granisetron hcl 1 granisetron inj 1mg/ml 1 INJ MARINOL 3 meclizine hcl 1 ondansetron hcl 1 ondansetron inj 1 INJ ondansetron hydrochloride 1 ondansetron odt 1 palonosetron hydrochlorid 1 INJ SANCUSO 3 scopolamine 1 SYNDROS 3 TRANSDERM SCOP 3 TRANSDERM-SCOP 3 trimethobenzamide hydroch 1 ZOFRAN 3

ZUPLENZ 3 Antifungals AMBISOME 2 INJ amphotericin b 1 INJ ANCOBON 3 CANCIDAS 3 INJ caspofungin acetate 1 INJ CRESEMBA INJ 2 INJ SP CRESEMBA 2 SP DIFLUCAN 3 ERAXIS 2 INJ fluconazole 1 fluconazole in nacl 1 INJ flucytosine 1 griseofulvin microsize 1 griseofulvin ultramicrosi 1 itraconazole 1 ketoconazole tab 1 MYCAMINE 2 INJ NOXAFIL 3 nystatin tab 1 posaconazole dr 1 terbinafine hcl 1 VFEND 3 VFEND IV 3 INJ voriconazole 1 voriconazole inj 200mg 1 INJ ANTIHISTAMINES carbinoxamine maleate 1 cetirizine hydrochloride 1 CLARINEX 3 clemastine fumarate 1 cyproheptadine hcl 1 cyproheptadine hydrochlor 1 desloratadine 1 desloratadine odt 1 diphenhydramine hcl 1 diphenhydramine inj 1 INJ KARBINAL ER 3 levocetirizine dihydrochl 1 phenadoz 1 PHENERGAN 3 INJ promethazine tab 1



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promethazine inj 1 INJ promethazine sup 1 promethazine hcl plain 1 promethazine hydrochlorid 1 promethegan 1 RYCLORA 3 RYVENT 3 ANTIHYPERLIPIDEMICS ANTARA 3 atorvastatin calcium 1 cholestyramine 1 cholestyramine light 1 colesevelam hydrochloride 1 COLESTID 3 colestipol hcl 1 CRESTOR 3 ezetimibe 1 ezetimibe/simvastatin 1 fenofibrate tab 1 FENOFIBRATE CAP 3 fenofibrate micronized 1 fenofibric acid dr 1 FLOLIPID 3 ST fluvastatin 1 fluvastatin sodium er 1 gemfibrozil 1 LESCOL XL 3 LIPITOR 3 LIPOFEN 2 LIVALO 2 ST LOPID 3 lovastatin 1 LOVAZA 3 NEXLETOL 2 NEXLIZET 2 niacin er 1 NIACOR 3 NIASPAN 3 omega-3-acid ethyl esters 1 PRALUENT 2 INJ SP PRAVACHOL 3 pravastatin sodium 1 QUESTRAN LIGHT 3

REPATHA 2 INJ SP REPATHA PUSHTRONEX SYSTEM 2 INJ SP REPATHA SURECLICK 2 INJ SP rosuvastatin calcium 1 simvastatin 1 TRICOR 3 TRILIPIX 3 VASCEPA 2 VYTORIN 3 WELCHOL 3 ZETIA 3 ZOCOR 3 ZYPITAMAG 3 ST ANTIHYPERTENSIVES ACCUPRIL 3 ACCURETIC 3 aliskiren 1 amlodipine besylate/benaz 1 amlodipine besylate/valsa 1 amlodipine/olmesartan med 1 amlodipine/valsartan/hctz 1 amlodipine/valsartan/hydr 1 ATACAND 3 atenolol/chlorthalidone 1 AVALIDE 3 AVAPRO 3 AZOR 3 benazepril hcl 1 benazepril hcl/hydrochlor 1 benazepril hydrochloride 1 benazepril hydrochloride/ 1 BENICAR 3 BENICAR HCT 3 bisoprolol fumarate/hydro 1 candesartan cilexetil 1 candesartan cilexetil/hyd 1 captopril 1 captopril/hydrochlorothia 1 CARDURA 3 CATAPRES 3 CATAPRES-TTS-1 3 CATAPRES-TTS-2 3 CATAPRES-TTS-3 3



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clonidine tab 0.1mg 1 clonidine dis 0.1/24hr 1 clonidine hydrochloride 1 CORLOPAM 3 INJ COZAAR 3 DEMSER 2 DIOVAN 3 DIOVAN HCT 3 doxazosin mesylate 1 EDARBI 2 ST EDARBYCLOR 2 ST enalapril maleate 1 enalapril maleate/hydroch 1 enalaprilat 1 INJ EPANED 3 eplerenone 1 eprosartan mesylate 1 EXFORGE 3 EXFORGE HCT 3 fosinopril sodium 1 fosinopril sodium/hydroch 1 guanfacine hcl 1 hydralazine hcl 1 hydralazine inj 1 INJ hydralazine hydrochloride 1 HYZAAR 3 INSPRA 3 irbesartan 1 irbesartan/hydrochlorothi 1 lisinopril 1 lisinopril/hydrochlorothi 1 LOPRESSOR HCT 3 losartan potassium 1 losartan potassium/hydroc 1 LOTENSIN 3 LOTENSIN HCT 3 LOTREL 3 methyldopa 1 methyldopa/hydrochlorothi 1 metoprolol/hydrochlorothi 1 MICARDIS 3 MICARDIS HCT 3 MINIPRESS 3

minoxidil 1 moexipril hcl 1 NITROPRESS 3 INJ olmesartan medoxomil 1 olmesartan medoxomil/amlo 1 olmesartan medoxomil/hydr 1 perindopril erbumine 1 phenoxybenzamine hydrochl 1 phentolamine mesylate 1 INJ prazosin hcl 1 prazosin hydrochloride 1 PRINIVIL 3 propranolol/hydrochloroth 1 QBRELIS 3 quinapril hcl 1 quinapril hydrochloride 1 quinapril/hydrochlorothia 1 ramipril 1 sodium nitroprusside 1 INJ TARKA 3 TEKTURNA 3 TEKTURNA HCT 2 telmisartan 1 telmisartan/amlodipine 1 telmisartan/hydrochloroth 1 terazosin hcl 1 terazosin hydrochloride 1 trandolapril 1 trandolapril/verapamil hc 1 TRIBENZOR 3 TWYNSTA 3 valsartan 1 valsartan/hydrochlorothia 1 VASERETIC 3 VASOTEC 3 ZESTRIL 3 Anti-infective Agents - Misc. ALINIA 2 atovaquone 1 AZACTAM 3 INJ bacitracin 1 INJ CAYSTON 2 SP CLEOCIN 3



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CLEOCIN PEDIATRIC GRANULE 3 CLEOCIN PHOSPHATE 3 INJ clindamycin hcl 1 clindamycin palmitate hcl 1 clindamycin inj 1 INJ clindamycin phosphate in 1 INJ CLINDAMYCIN/SODIUM CHLORI 3 INJ colistimethate sodium 1 INJ SP dapsone 1 daptomycin 1 INJ ertapenem sodium 1 INJ FIRST-METRONIDAZOLE 100 3 FIRST-METRONIDAZOLE 50 3 FIRVANQ 3 FLAGYL 3 imipenem/cilastatin 1 INJ INVANZ 3 INJ LINCOCIN 3 INJ linezolid 1 linezolid inj 2mg/ml 1 INJ MEPRON 3 meropenem 1 INJ MEROPENEM/SODIUM CHLORIDE 2 INJ MERREM 3 INJ metronidazole tab 1 metronidazole 1 INJ metronidazole in nacl 0.7 1 INJ NEBUPENT 2 pentamidine isethionate 1 INJ PRIMAXIN IV 3 INJ SIVEXTRO 3 SP sulfamethoxazole/trimetho 1 sulfamethoxazole/trimetho 1 INJ sulfatrim pediatric 1 tinidazole 1 trimethoprim 1 VANCOMYCIN 2 INJ vancomycin hcl 1 INJ VANCOMYCIN HCL IN DEXTROS 2 INJ vancomycin hydrochloride 1 XIFAXAN 2 ZYVOX 3 INJ Antimalarials

atovaquone/proguanil hcl 1 chloroquine phosphate 1 COARTEM 2 hydroxychloroquine sulfat 1 KRINTAFEL 3 MALARONE 3 mefloquine hcl 1 PLAQUENIL 3 primaquine phosphate 1 QUALAQUIN 3 quinine sulfate 1 Antimyasthenic/Cholinergic Agents GUANIDINE HCL 2 MESTINON 3 MESTINON TIMESPAN 3 neostigmine methylsulfate 1 INJ pyridostigmine bromide 1 pyridostigmine bromide er 1 REGONOL 2 INJ Antimycobacterial Agents CAPASTAT SULFATE 2 INJ cycloserine 1 ethambutol hcl 1 ethambutol hydrochloride 1 isoniazid 1 isoniazid inj 1 INJ MYCOBUTIN 3 PRIFTIN 2 pyrazinamide 1 rifabutin 1 RIFADIN 3 RIFAMATE 3 rifampin 1 rifampin inj 1 INJ RIFATER 3 TRECATOR 3 ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES abiraterone acetate 1 SP ADRIAMYCIN 3 INJ SP adrucil 1 INJ AFINITOR 2 SP



16

AFINITOR DISPERZ 2 SP ALECENSA 2 SP ALIMTA 2 INJ ALUNBRIG 2 SP anastrozole 1 ARIMIDEX 3 AROMASIN 3 ARRANON 2 INJ SP arsenic trioxide 1 INJ SP ARZERRA 3 INJ SP AVASTIN 2 INJ SP azacitidine 1 INJ SP BESPONSA 2 INJ SP bexarotene 1 SP bicalutamide 1 BICNU 3 INJ SP bleomycin 1 INJ SP bleomycin sulfate 1 INJ SP BOSULIF 2 SP BRAFTOVI 3 SP busulfan 1 INJ SP CABOMETYX 2 SP CALQUENCE 3 SP CAMPTOSAR 3 INJ SP capecitabine 1 SP CAPRELSA 2 SP carboplatin 1 INJ cisplatin 1 INJ clofarabine 1 INJ SP CLOLAR 3 INJ SP CYCLOPHOSPHAMIDE CAP 25MG 2 cyclophosphamide inj 1 INJ cyclophosphamide 1 CYRAMZA 2 INJ SP cytarabine 1 INJ dacarbazine 1 INJ daunorubicin hcl 1 INJ SP DAUNORUBICIN HYDROCHLORID 2 INJ SP DAURISMO 3 SP decitabine 1 INJ SP DEPO-PROVERA 2 INJ dexrazoxane 1 INJ SP DOXIL 3 INJ SP

doxorubicin hcl 1 INJ SP doxorubicin hydrochloride 1 INJ SP ELIGARD 2 INJ SP ELITEK 2 INJ SP ELLENCE 3 INJ SP EMCYT 2 SP EMPLICITI 3 INJ SP epirubicin hcl 1 INJ SP ERIVEDGE 2 SP erlotinib hydrochloride 1 SP ETOPOPHOS 2 INJ SP etoposide 1 INJ SP exemestane 1 FARYDAK 3 SP FASLODEX 3 INJ SP FEMARA 3 floxuridine 1 INJ SP fludarabine phosphate 1 INJ SP fluorouracil 1 INJ flutamide 1 GEMCITABINE 3 INJ SP gemcitabine hcl 1 INJ SP GILOTRIF 2 SP GLEEVEC 3 SP GLEOSTINE 2 SP GLIADEL WAFER 3 INJ SP HERCEPTIN 2 INJ SP HYCAMTIN CAP 0.25MG 2 SP HYCAMTIN INJ 4MG 3 INJ SP HYDREA 3 hydroxyurea 1 IBRANCE 2 SP IDAMYCIN PFS 3 INJ SP idarubicin hcl 1 INJ SP IFEX 3 INJ SP imatinib mesylate 1 SP IMBRUVICA 2 SP IMFINZI 2 INJ SP INLYTA 2 SP INTRON A 2 INJ SP IRESSA 2 SP irinotecan hcl 1 INJ SP irinotecan hydrochloride 1 INJ SP



17

JAKAFI 2 SP JEVTANA 2 INJ SP KEYTRUDA 2 INJ SP KISQALI 3 SP KISQALI FEMARA 200 DOSE 3 SP KISQALI FEMARA 400 DOSE 3 SP KISQALI FEMARA 600 DOSE 3 SP KYMRIAH 2 INJ SP LARTRUVO 3 INJ SP LENVIMA 12MG DAILY DOSE 2 SP letrozole 1 leucovorin calcium 1 LEUCOVORIN CALCIUM TAB 10MG 2 leucovorin calcium inj 1 INJ LEUKERAN 2 leuprolide acetate 1 INJ SP levoleucovorin 1 INJ SP levoleucovorin calcium 1 INJ SP LONSURF 2 SP LORBRENA 2 SP LUMOXITI 3 INJ SP LUPRON DEPOT INJ 3.75MG 2 INJ SP LUPRON DEPOT INJ 7.5MG 3 INJ SP LUPRON DEPOT INJ 22.5MG 3 INJ SP LUPRON DEPOT INJ 11.25MG 2 INJ SP LUPRON DEPOT INJ 30MG 3 INJ SP LUPRON DEPOT INJ 45MG 3 INJ SP LYNPARZA 2 SP LYSODREN 2 SP MARQIBO 2 INJ SP MATULANE 2 SP megestrol acetate 1 MEKINIST 2 SP MEKTOVI 3 SP melphalan hydrochloride 1 INJ SP mercaptopurine 1 SP mesna 1 INJ SP MESNEX INJ 1GM 3 INJ SP MESNEX TAB 400MG 2 SP methotrexate 1 methotrexate sodium 1 INJ mitomycin 1 INJ SP mitoxantrone hcl 1 INJ SP

MVASI 2 INJ SP MYLOTARG 2 INJ SP NERLYNX 2 SP NEXAVAR 2 SP NINLARO 2 SP NIPENT 3 INJ SP NUBEQA 2 SP ODOMZO 2 SP ONCASPAR 2 INJ ONIVYDE 2 INJ OPDIVO 2 INJ SP oxaliplatin 1 INJ SP paclitaxel 1 INJ SP PERJETA 2 INJ SP PIQRAY 200MG DAILY DOSE 3 SP PIQRAY 250MG DAILY DOSE 3 SP PIQRAY 300MG DAILY DOSE 3 SP POMALYST 2 SP PORTRAZZA 3 INJ SP PROVENGE 2 INJ PURIXAN 2 SP QUADRAMET 3 INJ RITUXAN 2 INJ SP ROMIDEPSIN 3 INJ SP ROZLYTREK 2 SP RUBRACA 2 SP RYDAPT 2 SP SPRYCEL 2 SP STIVARGA 2 SP SUTENT 2 SP SYLATRON 2 INJ SP TABLOID 3 SP TAFINLAR 2 SP TAGRISSO 2 SP TALZENNA 2 SP tamoxifen citrate 1 TARCEVA 3 SP TARGRETIN CAP 3 SP TASIGNA 2 SP TAXOTERE 3 INJ SP TEMODAR CAP 100MG 3 SP TEMODAR INJ 100MG 2 INJ SP temozolomide 1 SP



18

temsirolimus 1 INJ SP thiotepa 1 INJ SP TICE BCG 2 INJ toposar 1 INJ SP TORISEL 3 INJ SP TRELSTAR MIXJECT 3 INJ SP tretinoin cap 10mg 1 SP TREXALL 3 TYKERB 2 SP valrubicin 1 INJ SP VELCADE 2 INJ SP VENCLEXTA 2 SP VENCLEXTA STARTING PACK 2 SP VERZENIO 2 SP vinorelbine tartrate 1 INJ SP VIZIMPRO 2 SP VOTRIENT 2 SP XALKORI 2 SP XELODA 3 SP XOSPATA 2 SP XTANDI 2 SP YERVOY 2 INJ SP ZALTRAP 2 INJ SP ZANOSAR 2 INJ SP ZELBORAF 2 SP ZINECARD 3 INJ SP ZOLADEX 2 INJ SP ZOLINZA 2 SP ZYKADIA 2 SP ZYTIGA 2 SP ANTIPARKINSON AND RELATED THERAPY AGENTS amantadine hcl 1 APOKYN 2 INJ SP AZILECT 3 benztropine inj 1mg/ml 1 INJ benztropine mesylate 1 bromocriptine mesylate 1 carbidopa 1 carbidopa/levodopa 1 carbidopa/levodopa er 1 carbidopa/levodopa odt 1 CARB/LEVO 50 TAB /ENTACAP 2

carb/levo100 tab /entacap 1 COMTAN 3 DUOPA 3 SP entacapone 1 INBRIJA 2 SP LODOSYN 3 MIRAPEX 3 MIRAPEX ER 3 NEUPRO 3 PARLODEL 3 pramipexole dihydrochlori 1 rasagiline mesylate 1 REQUIP XL 3 ropinirole er 1 ropinirole hcl 1 ropinirole hydrochloride 1 RYTARY 3 selegiline hcl 1 selegiline hydrochloride 1 SINEMET 3 SINEMET CR 3 STALEVO 100 3 STALEVO 125 3 STALEVO 150 3 STALEVO 200 3 STALEVO 50 3 STALEVO 75 3 TASMAR 3 trihexyphenidyl hcl 1 trihexyphenidyl hydrochlo 1 XADAGO 3 ZELAPAR 3 ANTIPSYCHOTICS/ANTIMANIC AGENTS ABILIFY 3 ABILIFY MAINTENA 2 INJ ADASUVE 3 aripiprazole 1 aripiprazole odt 1 ARISTADA 2 INJ SP ARISTADA INITIO 2 INJ SP chlorpromazine hcl 1 CHLORPROMAZINE INJ 2 INJ



19

clozapine 1 CLOZAPINE TAB 150/ODT 3 clozapine odt 1 compro 1 EQUETRO 3 FANAPT 3 ST FAZACLO 3 fluphenazine decanoate 1 INJ fluphenazine hcl 1 FLUPHENAZINE HYDROCHLORID 2 GEODON 3 haloperidol 1 haloperidol decanoate 1 INJ haloperidol lactate 1 INJ INVEGA 3 INVEGA SUSTENNA 3 INJ INVEGA TRINZA 3 INJ LATUDA 2 ST lithium 1 lithium carbonate 1 lithium carbonate er 1 loxapine 1 loxapine succinate 1 olanzapine 1 olanzapine inj 1 INJ olanzapine odt 1 paliperidone er 1 perphenazine 1 PERSERIS 3 INJ SP prochlorperazine 1 prochlorperazine edisylat 1 INJ prochlorperazine maleate 1 quetiapine fumarate 1 quetiapine fumarate er 1 REXULTI 3 ST RISPERDAL CONSTA 2 INJ risperidone 1 risperidone odt 1 SAPHRIS 3 ST SEROQUEL 3 SEROQUEL XR 3 thioridazine hcl 1 thiothixene 1

trifluoperazine hcl 1 trifluoperazine hydrochlo 1 VRAYLAR 3 SP ST ziprasidone hcl 1 ZYPREXA 3 ZYPREXA RELPREVV 3 INJ ZYPREXA ZYDIS 3 Antiseptics & Disinfectants CETYLCIDE-G 2 formaldehyde 1 LUGOLS STRONG IODINE 2 ANTIVIRALS abacavir 1 SP abacavir sulfate/lamivudi 1 SP acyclovir 1 APTIVUS 2 SP atazanavir sulfate 1 SP ATRIPLA 3 SP BARACLUDE 3 SP BARACLUDE SOL 2 SP BIKTARVY 2 SP cidofovir 1 INJ SP COMPLERA 3 SP CRIXIVAN 2 SP DELSTRIGO 3 SP DESCOVY 2 SP DOVATO 2 SP EDURANT 2 SP efavirenz 1 SP entecavir 1 SP EPCLUSA 2 SP EPIVIR 3 EPIVIR HBV TAB 100MG 3 SP EPIVIR HBV SOL 5MG/ML 2 SP EVOTAZ 3 SP famciclovir 1 fosamprenavir calcium 1 SP FUZEON 2 INJ SP GANCICLOVIR 3 INJ SP GENVOYA 2 SP HARVONI 2 SP INTELENCE 2 SP INVIRASE 2 SP



20

ISENTRESS 2 SP ISENTRESS HD 2 SP JULUCA 2 SP KALETRA TAB 100-25MG 2 SP KALETRA SOL 3 SP lamivudine 1 SP lamivudine/zidovudine 1 SP LEDIPASVIR/SOFOSBUVIR 2 SP lopinavir/ritonavir 1 SP MAVYRET 2 SP nevirapine 1 SP nevirapine er 1 SP NORVIR SOL 80MG/ML 2 SP NORVIR TAB 100MG 3 SP ODEFSEY 2 SP oseltamivir phosphate 1 QL PEGASYS 2 INJ SP PEGASYS PROCLICK 2 INJ SP PEGINTRON 3 INJ SP PIFELTRO 3 SP PREVYMIS 2 SP PREZCOBIX 3 SP PREZISTA 2 SP RELENZA DISKHALER 3 QL REYATAZ 3 SP ribavirin 1 SP rimantadine hcl 1 ritonavir 1 SP SELZENTRY 2 SP SITAVIG 3 SOFOSBUVIR/VELPATASVIR 2 SP stavudine 1 SP STRIBILD 3 SP SUSTIVA 3 SP SYMTUZA 2 SP TAMIFLU 3 QL tenofovir disoproxil fuma 1 SP TIVICAY 2 SP TRIUMEQ 2 SP TRUVADA 2 SP valacyclovir hcl 1 valacyclovir hydrochlorid 1 VALCYTE 3 SP

valganciclovir 1 SP valganciclovir hydrochlor 1 SP VALTREX 3 VEMLIDY 2 SP VIDEX 2 SP VIDEX EC 3 SP VIEKIRA PAK 2 SP VIRAMUNE 3 SP VIRAMUNE XR 3 SP VIRAZOLE 3 SP VIREAD 3 SP VOSEVI 2 SP XOFLUZA 3 ZEPATIER 2 SP zidovudine 1 SP BETA BLOCKERS acebutolol hcl 1 acebutolol hydrochloride 1 atenolol 1 BETAPACE 3 betaxolol tab 1 bisoprolol fumarate 1 BREVIBLOC 3 INJ BREVIBLOC PREMIXED 3 INJ BREVIBLOC PREMIXED DOUBLE 3 INJ BYSTOLIC 2 ST carvedilol 1 carvedilol phosphate 1 COREG 3 COREG CR 3 CORGARD 3 esmolol hcl 1 INJ HEMANGEOL 3 INDERAL LA 3 KAPSPARGO SPRINKLE 3 ST labetalol inj 1 INJ labetalol hydrochloride 1 LOPRESSOR 3 metoprolol succinate er 1 metoprolol tartrate 1 INJ metoprolol tartrate tab 1 nadolol 1 pindolol 1



21

propranolol hcl 1 propranolol hcl er 1 propranolol hydrochloride 1 sotalol hcl 1 sotalol hcl (af) 1 sotalol hcl af 1 sotalol hydrochloride 1 SOTYLIZE 2 TENORMIN 3 timolol maleate 1 TOPROL XL 3 Calcium Channel Blockers amlodipine besylate 1 CALAN 3 CALAN SR 3 CARDENE IV 3 INJ CARDIZEM 3 CARDIZEM CD 3 CARDIZEM LA 3 cartia xt 1 CLEVIPREX 3 INJ diltiazem tab 1 diltiazem hcl cd 1 diltiazem hcl er 1 diltiazem hydrochloride e 1 DILT-XR CAP 120MG 3 dilt-xr 1 felodipine er 1 ISOPTIN SR 3 isradipine 1 matzim la 1 nicardipine inj 1 INJ nicardipine cap 1 nifedipine 1 nifedipine er 1 nimodipine 1 nisoldipine er 1 NORVASC 3 NYMALIZE 3 PROCARDIA 3 PROCARDIA XL 3 taztia xt 1 TIAZAC 3

verapamil hcl 1 verapamil hcl er 1 verapamil hcl sa 1 verapamil hcl sr 1 verapamil tab 1 verapamil inj 1 INJ CARDIOTONICS digox 1 digoxin 1 digoxin inj 1 INJ DIGOXIN SOL 50MCG/ML 2 LANOXIN PED INJ 0.1MG/ML 3 INJ milrinone in dextrose 1 INJ milrinone lactate 1 INJ CARDIOVASCULAR AGENTS - MISC. ADEMPAS 2 SP alyq 1 SP ambrisentan 1 SP amlodipine besylate/atorv 1 BIDIL 3 bosentan 1 SP CADUET 3 cardioplegic 1 INJ CAVERJECT 2 INJ QL CAVERJECT IMPULSE 2 INJ QL CIALIS 3 QL CORLANOR 2 EDEX 3 INJ QL ENTRESTO 2 epoprostenol sodium 1 INJ SP FLOLAN 2 INJ SP LETAIRIS 3 SP LEVITRA 3 QL MUSE 2 QL OPSUMIT 2 SP papaverine hcl 1 INJ PLEGISOL 3 INJ REMODULIN 2 INJ SP REVATIO 3 INJ SP sildenafil citrate 1 QL STAXYN 3 QL STENDRA 3 QL ST tadalafil 1 QL



22

TRACLEER 3 SP treprostinil 1 INJ SP TYVASO REFILL 2 SP UPTRAVI 2 SP vardenafil hydrochloride 1 QL VELETRI 2 INJ SP VIAGRA 3 QL VYNDAMAX 2 SP VYNDAQEL 2 SP CEPHALOSPORINS AVYCAZ 2 INJ cefaclor 1 CEFACLOR SUS 125/5ML 2 cefaclor er 1 cefadroxil 1 cefdinir 1 cefepime 1 INJ CEFEPIME/DEXTROSE 3 INJ cefixime 1 cefotaxime sodium 1 INJ cefotetan 1 INJ CEFOTETAN/DEXTROSE 3 INJ cefoxitin sodium 1 INJ cefpodoxime proxetil 1 cefprozil 1 ceftazidime 1 INJ CEFTAZIDIME/DEXTROSE 2 INJ ceftriaxone in iso-osmoti 1 INJ ceftriaxone sodium 1 INJ CEFTRIAXONE/DEXTROSE 2 INJ cefuroxime axetil 1 cefuroxime sodium 1 INJ CEPHALEXIN TAB 250MG 2 cephalexin 1 KEFLEX 3 MAXIPIME 3 INJ SUPRAX 3 TAZICEF 3 INJ TEFLARO 2 INJ CONTRACEPTIVES altavera 1 alyacen 1/35 1 alyacen 7/7/7 1

amethia 1 amethia lo 1 amethyst 1 apri 1 aranelle 1 ashlyna 1 aubra 1 aubra eq 1 aurovela 1/20 1 aurovela 24 fe 1 aviane 1 azurette 1 BALCOLTRA 3 balziva 1 BEYAZ 3 blisovi 24 fe 1 blisovi fe 1.5/30 1 blisovi fe 1/20 1 briellyn 1 camila 1 camrese 1 camrese lo 1 caziant 1 chateal eq 1 cryselle-28 1 cyclafem 1/35 1 cyclafem 7/7/7 1 cyred 1 cyred eq 1 dasetta 1/35 1 dasetta 7/7/7 1 daysee 1 deblitane 1 DEPO-PROVERA CONTRACEPTIV 3 INJ DEPO-SUBQ PROVERA 104 3 INJ desogestrel/ethinyl estra 1 drospirenone/ethinyl estr 1 elinest 1 ELLA 3 enpresse-28 1 enskyce 1 errin 1 estarylla 1



23

ESTROSTEP FE 3 ethynodiol diacetate/ethi 1 falmina 1 fayosim 1 femynor 1 GENERESS FE 3 gianvi 1 hailey 24 fe 1 heather 1 introvale 1 isibloom 1 jasmiel 1 jencycla 1 jolessa 1 juleber 1 junel 1.5/30 1 junel 1/20 1 junel fe 1.5/30 1 junel fe 1/20 1 junel fe 24 1 kaitlib fe 1 kariva 1 kelnor 1/35 1 kelnor 1/50 1 kurvelo 1 KYLEENA 2 larin 1.5/30 1 larin 1/20 1 larin 24 fe 1 larin fe 1.5/30 1 larin fe 1/20 1 larissia 1 layolis fe 1 lessina 1 levonest 1 levonorgestrel and ethiny 1 levonorgestrel/ethinyl es 1 levora 0.15/30-28 1 LILETTA 3 lillow 1 LO LOESTRIN FE 2 LOESTRIN 1.5/30-21 3 LOESTRIN FE 1.5/30 3

LOESTRIN FE 1/20 3 loryna 1 low-ogestrel 1 lo-zumandimine 1 lutera 1 marlissa 1 medroxyprogesterone inj 1 INJ melodetta 24 fe 1 mibelas 24 fe 1 microgestin 1.5/30 1 microgestin 1/20 1 microgestin fe 1 microgestin fe 1.5/30 1 mili 1 MINASTRIN 24 FE 3 MIRCETTE 3 MIRENA 2 mono-linyah 1 NATAZIA 3 necon 0.5/35-28 1 NEXPLANON 2 INJ nikki 1 nora-be 1 norethindrone 1 norethindrone & ethinyl e 1 norethindrone acetate/eth 1 norethindrone/ethinyl est 1 norgestimate/ethinyl estr 1 norlyda 1 nortrel 0.5/35 (28) 1 nortrel 1/35 1 nortrel 7/7/7 1 NUVARING 3 ocella 1 ogestrel 1 orsythia 1 ORTHO MICRONOR 3 ORTHO TRI-CYCLEN LO 3 ORTHO-NOVUM 1/35-28 3 PARAGARD INTRAUTERINE COP 3 philith 1 pimtrea 1 pirmella 1/35 1



24

pirmella 7/7/7 1 portia-28 1 previfem 1 QUARTETTE 3 reclipsen 1 rivelsa 1 SAFYRAL 3 SEASONIQUE 3 setlakin 1 sharobel 1 simpesse 1 SKYLA 2 SLYND 3 solia 1 sprintec 28 1 sronyx 1 syeda 1 tarina 24 fe 1 tarina fe 1/20 1 tarina fe 1/20 eq 1 TAYTULLA 2 tilia fe 1 tri femynor 1 tri-estarylla 1 tri-legest fe 1 tri-linyah 1 tri-lo-estarylla 1 tri-lo-marzia 1 tri-lo-sprintec 1 tri-previfem 1 tri-sprintec 1 trivora-28 1 tri-vylibra 1 tri-vylibra lo 1 tulana 1 tydemy 1 velivet 1 vienva 1 viorele 1 vyfemla 1 vylibra 1 wera 1 wymzya fe 1

XULANE 2 YASMIN 28 3 YAZ 3 zarah 1 zovia 1/35e 1 CORTICOSTEROIDS betamethasone sodium phos 1 INJ budesonide 1 budesonide er 1 CELESTONE-SOLUSPAN 3 INJ CONTRAST ALLERGY PREMED P 3 CORTEF 3 CORTISONE ACETATE 2 DEPO-MEDROL 3 INJ DEXAMETHASONE SOL 0.5/5ML 2 dexamethasone 1 dexamethasone 10-day dose 1 dexamethasone 6-day dose 1 DEXAMETHASONE INTENSOL 2 dexamethasone pho inj 1 INJ dexpak 10 day 1 dexpak 13 day 1 dexpak 6 day 1 EMFLAZA 3 SP ENTOCORT EC 3 fludrocortisone acetate 1 hidex 6-day 1 hydrocort tab 5mg 1 KENALOG-10 3 INJ KENALOG-40 3 INJ KENALOG-80 3 INJ MEDROL 3 MEDROL DOSEPAK 3 methylprednisolone 1 methylprednisolone acetat 1 INJ methylprednisolone dose p 1 methylprednisolone sodium 1 INJ MILLIPRED 2 MILLIPRED DP 2 prednisolone 1 prednisolone sodium phosp 1 prednisone 1 PREDNISONE SOL 5MG/5ML 2



25

PREDNISONE INTENSOL 2 RAYOS 3 SOLU-CORTEF 2 INJ SOLU-MEDROL 3 INJ taperdex 6-day 1 TAPERDEX 7-DAY 3 triamcinolone acetonide 1 INJ UCERIS TAB 9MG 3 COUGH/COLD/ALLERGY acetylcystine sol 1 benzonatate 1 bromfed dm 1 bromphen/pseudoephedrine 1 CLARINEX-D 12 HOUR 3 GILTUSS TR 3 hydrocodone bitartrate/ho 1 hydrocodone polistirex/ch 1 hydromet 1 NEBUSAL 3 NEOTUSS PLUS 2 promethazine/codeine 1 promethazine/dextromethor 1 promethazine/phenylephrin 1 SEMPREX-D 3 sodium chlor neb 10% 1 SSKI 3 TESSALON PERLES 3 TUSSICAPS 3 DERMATOLOGICALS ABSORICA 3 ACANYA 3 acitretin 1 SP ACUICYN DAILY EYELID & EY 2 acyclovir cream 1 ACZONE 3 adapalene gel 0.1% 1 ADAPALENE SOL 0.1% 3 adapalene pump 1 adapalene/benzoyl peroxid 1 agoneaze 1 AKLIEF 3 AKTIPAK 3 ALA SCALP 3

ALA-QUIN 3 alclometasone dipropionat 1 ALCORTIN A 3 ALLEVYN GENTLE 3 ALTABAX 3 ALTRENO 3 amcinonide 1 ammonium lactate 1 amnesteem 1 AMZEEQ 2 ANACAINE 3 APEXICON E 2 arzol silver nitrate app 1 ATOPADERM 3 ATRALIN 3 ATRAPRO ANTIPRURITIC HYDR 3 ATRAPRO CP 3 ATRAPRO DERMAL SPRAY 3 augmented betamethasone d 1 AVAGE 3 AVAR 3 avar cleanser 1 AVAR LS 3 AVAR LS CLEANSER 3 avar-e green 1 AVAR-E LS 3 AVENOVA 3 avita 1 azelaic acid 1 AZELEX 3 BEAU RX 3 BENSAL HP 3 BENZAC AC WASH 3 BENZACLIN WITH PUMP 3 BENZAMYCIN 3 benzepro foaming cloths 1 BENZIQ 3 BENZIQ LS 3 BENZIQ WASH 3 benzoin compound tincture 1 betamethasone dipropionat 1 betamethasone valerate 1 bimatoprost 1



26

BOTOX COSMETIC 3 INJ SP bp foam 1 bp wash 1 BPCO 3 BRYHALI 3 calcipotriene 1 calcipotriene/betamethaso 1 calcitriol oin 3mcg/gm 1 CAPEX 3 CARAC 2 CARRASYN HYDROGEL WOUND D 3 celacyn 1 CERACADE 3 CERAMAX 3 CETACAINE 3 ciclopirox 1 ciclopirox nail lacquer 1 ciclopirox olamine 1 ciclopirox treatment 1 claravis 1 CLEOCIN-T 3 clindacin etz pledgets 1 CLINDACIN PAC 3 CLINDAGEL 3 clindamycin sol 1% 1 CLINDAMYCIN GEL 1% 3 clindamycin phosphate/ben 1 clindamycin phosphate/tre 1 clindamycin/benzoyl perox 1 clobetasol propionate 1 clobetasol propionate emo 1 CLOBEX 3 CLOCORTOLONE PIVALATE 3 CLODERM 3 clotrimazole sol 1% 1 clotrimazole anti-fungal 1 clotrimazole/betamethason 1 CONDYLOX 3 CORDRAN 3 COSENTYX 2 INJ SP COSENTYX SENSOREADY PEN 2 INJ SP crotan 1 c-topical 1

CURITY HYPERTONIC SODIUM 3 CURITY SODIUM CHLORIDE DR 3 CUTIVATE 3 dapsone gel 5% 1 DENAVIR 3 DERMACINRX LEXITRAL PHARM 3 DERMACINRX PHN PAK 3 DERMACINRX ZRM PAK 3 DERMA-SMOOTHE/FS BODY 3 DERMA-SMOOTHE/FS SCALP 3 dermazene 1 desonide 1 DESOWEN 3 desoximetasone 1 DICLOFENAC EPOLAMINE 2 diclofenac gel 1 diclofex dc 1 DIFFERIN 3 diflorasone diacetate 1 DIPROLENE 3 DIPROLENE AF 3 DOXYCYCLINE CAP 40MG 3 DRITHO-CREME HP 2 DRYSOL 3 DUAC 3 DUOBRII 3 DUPIXENT 2 INJ SP econazole nitrate 1 ECOZA 3 ST EFUDEX 3 ELETONE TWINPACK 2 ELIDEL 3 ELOCON 3 ENSTILAR 2 ENTTY SPRAY EMULSION 3 EPICERAM 3 EPICYN 3 EPIDUO 3 EPIDUO FORTE 2 EPIFOAM 3 ERTACZO 3 ST ERY 3 ERYGEL 2



27

erythromycin gel 2% 1 erythromycin/benzoyl pero 1 ETHYL CHLORIDE/FINE STREA 2 ethyl chloride/mist 1 EUCRISA 3 EURAX 3 EVOCLIN 3 EXELDERM 3 ST EXODERM 3 EXTINA 3 FABIOR 3 FINACEA GEL 15% 3 FINACEA AER 15% 2 FLECTOR 2 fluocinonide 1 FLUOROPLEX 3 fluorouracil cre 5% 1 FLUOROURACIL CRE 0.5% 3 flurandrenolide 1 fluticasone oin 0.005% 1 GEBAUERS SPRAY AND STRETC 3 GENADUR 3 gentamicin oin 0.1% 1 glydo 1 GORDOFILM 3 grafco silver nitrate app 1 halcinonide 1 halobetasol cre 0.05% 1 HALOBETASOL AER 0.05% 3 HALOG 3 HPR PLUS 2 HYCLODEX 3 HYDRO 35 3 HYDRO 40 FOAM 3 hydrocort cre 1% 1 hc pramoxine cre 2.5-1% 1 hc butyrate sol 0.1% 1 hc butyrate cre 0.1% 1 hydrocortisone valerate 1 hydrocortisone/iodoquinol 1 HYDROFERA BLUE FOAM DRESS 3 HYDROFERA BLUE READY FOAM 3 hydroquinone 1

hydroquinone time release 1 HYLATOPIC PLUS 3 HYPOCYN 3 ILUMYA 3 INJ SP imiquimod 1 IMIQUIMOD PUMP 3 IMPOYZ 3 iodoquinol/hydrocortisone 1 isotretinoin 1 ivermectin cre 1% 1 JUBLIA 3 ST KAMDOY 3 KENALOG 3 KERALAC 3 KERALYT 3 KERALYT SCALP 3 KERYDIN 3 ST ketoconazole cream 1 KLARON 3 LAC-HYDRIN 3 LATISSE 3 LAVARE WOUND WASH 3 LEVICYN 3 levicyn dermal spray 1 LEVULAN KERASTICK 3 LEXETTE 3 lidocaine 1 LIDOCAINE AND TETRACAINE 3 lidocaine sol 1 lidocaine hcl jelly 1 lidocaine/prilocaine 1 LIDODERM 3 lidozion 1 lindane 1 livixil pak 1 LOCOID 3 LOCOID LIPOCREAM 3 LOTRISONE 3 LOYON 3 LULICONAZOLE 3 ST LUXIQ 3 LUZU 3 ST malathion 1



28

MENTAX 3 methoxsalen 1 METROCREAM 3 METROGEL 3 METROLOTION 3 metronidazol gel 1 MICONAZOLE NITRATE/ZINC O 3 MIMYX 3 MIRVASO 2 mometasone oin 0.1% 1 mupirocin 1 myorisan 1 naftifine hcl 1 naftifine hydrochloride 1 NAFTIN 3 ST NATROBA 3 NEOCERA 3 NEOSALUS 3 NEOSALUS CP 3 NEUAC KIT 3 NIVATOPIC PLUS 2 NIZORAL 3 nolix 1 NORITATE 3 NUCORT 3 nudiclo solupak 1 NUTRASEB 3 NUVAIL 3 nyamyc 1 nystatin cre 1 nystatin/triamcinolone 1 nystop 1 OLUX 3 OLUX-E 3 ONEXTON 2 ORACEA 2 OVACE PLUS 3 OVACE PLUS WASH 3 OVACE WASH 3 oxiconazole nitrate 1 OXISTAT 3 ST OXSORALEN ULTRA 3 PANDEL 3

PENLAC NAIL LACQUER 3 PENNSAID 3 permethrin 1 PICATO 2 PICO SINGLE USE NEGATIVE 3 pimecrolimus 1 PLEXION 3 PLEXION CLEANSER 3 PODOCON 25 IN BENZOIN TIN 3 podofilox 1 PRAMOSONE 3 prednicarbate 1 PRESERA 3 PROMISEB 3 PROPECIA 3 PROTOPIC 3 PSORCON 3 PYROGALLIC ACID 3 QBREXZA 2 RECEDO 2 RECURA 3 REGENECARE 3 REGRANEX 2 RENOVA 3 RETIN-A 3 RETIN-A MICRO 3 RETIN-A MICRO PUMP 3 RHOFADE 3 RIAX 3 ROSADAN KIT 3 SALEX 3 salicylic acid 1 salicylic acid cream 1 salicylic acid er 1 salicylic acid lotion 1 salicylic acid wart remov 1 SALVAX 2 SALVAX DUO PLUS 3 SANTYL 2 selenium sulfide 1 selenium sulfide shampoo 1 SELRX 3 SERNIVO 3



29

SILIQ 3 INJ SP SILVADENE 3 SILVER NITRATE 2 silver sulfadiazine 1 SKLICE 3 SKYRIZI 2 INJ SP sodium sulfacetamide sham 10% 1 sodium sulfacetamide wash 1 SOD SUL/SULF EMU 10-5% 2 sod sul/sulf liq wash 1 SOOLANTRA 2 SORIATANE 3 SP SORILUX 3 SPINOSAD 2 ssd 1 sss 10%-5% 1 STELARA 2 INJ SP sulfacetamide sodium 1 sulfacetamide sodium/sulf 1 sulfacleanse 8/4 1 SUMADAN WASH 3 SUVICORT 3 SYNERA 3 TACLONEX 2 tacrolimus oin 0.1% 1 TALTZ 2 INJ SP TARGRETIN GEL 1% 2 SP tazarotene 1 TAZORAC GEL 0.1% 2 TAZORAC CRE 0.1% 3 TEMOVATE 3 TETRIX 3 TEXACORT 3 THERAHONEY 3 tl hydroquinone 1 TOLAK 3 TOPICORT 3 TREMFYA 2 INJ SP tretinoin gel 0.01% 1 tretinoin microsphere 1 tretinoin microsphere pum 1 triamcinolon cre 0.5% 1 TRIANEX 2

TRI-CHLOR 2 TRIDESILON 3 TRI-LUMA 3 ULESFIA 3 ULTRAVATE 3 urea 1 urea nail 1 UTOPIC 3 VALCHLOR 2 SP VANIQA 3 vanoxide-hc 1 VECTICAL 3 VELTIN 3 VENELEX 3 VERDESO 3 VEREGEN 3 VEXASYN 3 VOLTAREN 3 VUSION 3 VYTONE 3 XALIX 3 XEPI 3 XERAC AC 3 XERALUX 3 XERESE 3 XEROFORM NON-OCCLUSIVE OI 2 XEROFORM OCCLUSIVE PETROL 2 XOLEGEL 3 ST XOLEGEL COREPAK 3 XOLEGEL DUO/HEAD & SHOULD 3 XOLEGEL DUO/XOLEX 3 XRYLIX 3 zenatane 1 ZIANA 3 ZITHRANOL 3 ZONALON 3 ZOVIRAX OIN 5% 3 ZOVIRAX CRE 5% 3 ZTLIDO 2 ZYCLARA 3 ZYCLARA PUMP 3 DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS



30

CAMINO PRO 15PE 3 CAMINO PRO PKU 2 CEREFOLIN 3 CEREFOLIN NAC 3 DEPLIN 15 3 DEPLIN 7.5 3 ELFOLATE 3 ENLYTE 3 ENTERAGAM 3 EQUACARE JR 2 folbic 1 FOLBIC RF 3 FOLTANX RF 3 FOLTX 3 GLYTACTIN BETTERMILK 15 2 GLYTACTIN BETTERMILK DE-L 2 GLYTACTIN BUILD 10PE 3 GLYTACTIN BUILD 20/20 PKU 3 GLYTACTIN COMPLETE 10PE 3 GLYTACTIN RESTORE 10 3 GLYTACTIN RESTORE 5 3 GLYTACTIN RESTORE LITE 10 3 GLYTACTIN RTD 10 3 GLYTACTIN RTD 15 3 GLYTACTIN RTD LITE 15 3 GLYTACTIN SWIRL 15PE 3 HOMACTIN AA PLUS 3 ISOVACTIN AA PLUS 3 KETOVIE 3 KETOVIE PEPTIDE 3 LEVOMEFOLATE CALCIUM ALGA 3 LEVOMEFOLATE CALCIUM/N-AC 3 LEVOMEFOLATE CALCIUM/PYRI 3 L-METHYL-B6-B12 2 L-METHYLFOLATE 2 L-METHYLFOLATE CA/S-ALGAL 3 L-METHYLFOLATE FORTE 3 L-METHYL-MC NAC 2 METANX 3 NICAPRIN 3 niva-fol 1 PHENACTIN AA PLUS 3 PODIAPN 3

PROMACTIN AA PLUS 20PE 3 RHEUMATE 3 TL-ICARE 3 TYLACTIN BUILD 20PE TYR 3 TYLACTIN COMPLETE 15 PE 3 TYLACTIN RESTORE 10 3 TYLACTIN RESTORE 5PE 3 TYLACTIN RTD 15 3 VASCAZEN 3 VASCULERA 3 VILACTIN AA PLUS 3 VISBIOME 3 XYZBAC 3 ZYVEXOL 3 ZYVIT 3 DIGESTIVE AIDS CREON 2 PANCREAZE 3 PERTZYE 3 SUCRAID 2 SP VIOKACE 2 ZENPEP 2 DIURETICS acetazolamide 1 acetazolamide er 1 acetazolamide sodium 1 INJ ALDACTAZIDE 3 ALDACTONE 3 amiloride hcl 1 amiloride/hydrochlorothia 1 bumetanide tab 1 bumetanide inj 1 INJ BUMEX 3 CAROSPIR 3 chlorothiazide 1 chlorothiazide sodium 1 INJ chlorthalidone 1 DIURIL 3 DYAZIDE 3 DYRENIUM 3 EDECRIN 3 ethacrynic acid 1 furosemide 1



31

furosemide inj 1 INJ hydrochlorothiazide 1 indapamide 1 LASIX 3 mannitol 1 INJ MAXZIDE 3 MAXZIDE-25 3 methazolamide 1 metolazone 1 SODIUM EDECRIN 3 INJ spironolactone 1 spironolactone/hydrochlor 1 torsemide 1 triamterene 1 triamterene/hydrochloroth 1 ENDOCRINE AND METABOLIC AGENTS - MISC. ACTHAR 3 INJ SP ACTONEL 3 alendronate sodium 1 ALENDRONATE TAB 40MG 2 AMMONUL 3 INJ SP ATELVIA 3 BINOSTO 3 ST BONIVA 3 cabergoline 1 calcitonin-salmon 1 calcitriol 1 calcitriol inj 1 INJ CARNITOR 3 CARNITOR SF 3 CETROTIDE 2 INJ chorionic gonadotropin 1 INJ SP cinacalcet hydrochloride 1 SP clomiphene citrate 1 CYSTADANE 2 SP desmopressin inj 1 INJ desmopressin acetate 1 desmopressin spr 0.01% 1 doxercalciferol 1 SP etidronate disodium 1 EVISTA 3 FABRAZYME 2 INJ SP

FOLLISTIM AQ 3 INJ SP FORTEO 2 INJ SP FOSAMAX 3 FOSAMAX PLUS D 3 ST GALAFOLD 3 SP GENOTROPIN 2 INJ SP GENOTROPIN MINIQUICK 2 INJ SP GONAL-F 2 INJ SP GONAL-F RFF REDIJECT 2 INJ SP HUMATROPE 2 INJ SP HUMATROPE COMBO PACK 2 INJ SP ibandronate inj 1 INJ SP ibandronate sodium 1 INCRELEX 2 INJ SP KANUMA 2 INJ SP KUVAN 2 SP levocarnitine 1 LUMIZYME 2 INJ SP LUPANETA PACK 2 SP LUPRON DEPOT-PED (1-MONTH 2 INJ SP LUPRON DEPOT-PED (3-MONTH 2 INJ SP MENOPUR 2 INJ SP nitisinone 1 SP NORDITROPIN FLEXPRO 2 INJ SP NOVAREL 2 INJ NUTROPIN AQ NUSPIN 10 3 INJ SP NUTROPIN AQ NUSPIN 20 3 INJ SP NUTROPIN AQ NUSPIN 5 3 INJ SP octreotide acetate 1 INJ SP OMNITROPE 3 INJ SP ORILISSA 2 OSPHENA 3 OVIDREL 2 INJ SP PALYNZIQ 2 INJ SP paricalcitol inj 1 INJ SP paricalcitol 1 SP PREGNYL W/DILUENT BENZYL 3 INJ SP PROLIA 3 INJ SP raloxifene hydrochloride 1 RAYALDEE 3 RECLAST 3 INJ SP risedronate sodium 1 risedronate sodium dr 1



32

ROCALTROL 3 SANDOSTATIN 3 INJ SP SANDOSTATIN LAR DEPOT 3 INJ SP SENSIPAR 3 SP SIGNIFOR 2 INJ SP SIGNIFOR LAR 3 INJ SP sodium phenylacetate/sodi 1 INJ SP SOMATULINE DEPOT 2 INJ SP SOMAVERT 2 INJ SP STIMATE 2 SP STRENSIQ 2 INJ SP SUPPRELIN LA 3 INJ SP SYNAREL 2 SP TERIPARATIDE 3 INJ SP TRIPTODUR 2 INJ SP TYMLOS 2 INJ SP XGEVA 2 INJ SP ZEMPLAR 3 INJ SP zoledronic acid 1 INJ SP ZOMACTON 3 INJ SP Estrogens ALORA 3 amabelz 1 ANGELIQ 3 BI-EST 50:50 COMPOUNDING 3 BI-EST 50:50 PROGESTERONE 3 BI-EST 80:20 PROGESTERONE 3 BIJUVA 3 CLIMARA 3 CLIMARA PRO 3 COMBIPATCH 2 covaryx 1 covaryx hs 1 DELESTROGEN 3 INJ DEPO-ESTRADIOL 2 INJ DIVIGEL 2 dotti 1 DUAVEE 2 eemt 1 eemt hs 1 ELESTRIN 3 esterified estrogens/meth 1 ESTRACE TAB 3

estradiol 1 estradiol valerate 1 INJ estradiol/norethindrone a 1 ESTRIOL-PROGESTERONE COMP 3 ESTROGEL 3 EVAMIST 3 FEMHRT LOW DOSE 3 fyavolv 1 jinteli 1 lopreeza 1 MENEST 3 MENOSTAR 3 mimvey 1 mimvey lo 1 MINIVELLE 3 PREMARIN 2 INJ PREMPHASE 2 PREMPRO 2 VIVELLE-DOT 3 Fluoroquinolones BAXDELA 3 CIPRO 3 ciprofloxacin hcl 1 ciprofloxacin i.v.-in d5w 1 INJ levofloxacin 1 levofloxacin inj 1 INJ levofloxacin in d5w 1 INJ moxifloxacin tab 1 ofloxacin 1 GASTROINTESTINAL AGENTS - MISC. ACTIGALL 3 alosetron hydrochloride 1 AMITIZA 3 APRISO 3 ASACOL HD 3 AURYXIA 3 AZULFIDINE 3 AZULFIDINE EN-TABS 3 balsalazide disodium 1 calcium acetate 1 CANASA 3 CIMZIA 3 INJ SP



33

CIMZIA STARTER KIT 3 INJ SP cromolyn sodium 1 DELZICOL 3 DIPENTUM 3 ENTYVIO 2 INJ SP enulose 1 FOSRENOL 3 GASTROCROM 3 generlac 1 INFLECTRA 3 INJ SP lanthanum carbonate 1 LIALDA 3 LINZESS 2 mesalamine 1 mesalamine dr 1 metoclopramide hcl 1 metoclopramide inj 1 INJ metoclopramide hydrochlor 1 METOCLOPRAMIDE ODT 2 MOTEGRITY 3 MOVANTIK 2 OCALIVA 2 SP PENTASA 2 RELISTOR TAB 2 SP QL

RELISTOR INJ 2 INJ SP

QL REMICADE 2 INJ SP RENAGEL 3 RENFLEXIS 3 INJ SP RENVELA 3 ROWASA 3 sevelamer carbonate 1 sevelamer hydrochloride 1 SFROWASA 3 SIMETHICONE 3 STELARA INJ 5MG/ML 3 INJ SP sulfasalazine 1 sulfazine 1 SYMPROIC 2 TRULANCE 2 ursodiol 1 VELPHORO 2 SP VIBERZI 2

ZELNORM 3 GENERAL ANESTHETICS AMIDATE 3 INJ desflurane 1 etomidate 1 INJ FORANE 2 ketamine hcl 1 INJ propofol 1 INJ sevoflurane 1 SUPRANE 3 ULTANE 3 GENITOURINARY AGENTS - MISCELLANEOUS acetic acid 0.25% 1 alfuzosin hcl er 1 aminoacetic acid 1 argyle sterile saline 100 1 AVODART 3 QL CARDURA XL 3 curity sterile saline 1 CYSTAGON 2 SP dutasteride 1 QL dutasteride/tamsulosin hc 1 ELMIRON 2 finasteride 1 FLOMAX 3 glycine 1 JALYN 3 K-PHOS NO 2 3 LITHOSTAT 3 ORACIT 3 phenazo 1 phenazopyridine hcl 1 phenazopyridine hydrochlo 1 potassium citrate er 1 potassium citrate/citric 1 PROSCAR 3 PYRIDIUM 3 RAPAFLO 3 RENACIDIN 2 RIMSO-50 3 INJ silodosin 1 sodium chloride 0.9% 1



34

sodium citrate/citric aci 1 SORBITOL 3 SORBITOL-MANNITOL 3 tamsulosin hydrochloride 1 taron-crystals 1 THIOLA 3 SP THIOLA EC 3 SP tricitrates 1 UROCIT-K 10 3 UROCIT-K 15 3 UROCIT-K 5 3 Gout Agents allopurinol 1 allopurinol sodium 1 INJ COLCHICINE 3 COLCRYS 2 febuxostat 1 GLOPERBA 3 MITIGARE 2 probenecid 1 probenecid/colchicine 1 ULORIC 3 ST ZYLOPRIM 3 HEMATOLOGICAL AGENTS - MISC. ADVATE 2 INJ SP ADYNOVATE 2 INJ SP AGGRASTAT 3 INJ AGGRENOX 3 anagrelide hydrochloride 1 aspirin/dipyridamole er 1 BRILINTA 2 CEPROTIN 2 INJ SP cilostazol 1 clopidogrel 1 dipyridamole 1 EFFIENT 3 ELOCTATE 2 INJ SP eptifibatide 1 INJ FIRAZYR 3 INJ SP flexbumin 1 INJ HEMLIBRA 2 INJ SP HEMOFIL M 2 INJ SP HESPAN 3 INJ

hetastarch 6%/nacl 1 INJ HEXTEND 2 INJ icatibant acetate 1 INJ SP INTEGRILIN 3 INJ JIVI 2 INJ SP KENGREAL 3 INJ KOGENATE FS 2 INJ SP KOVALTRY 2 INJ SP LMD 10% DEXTROSE 5% 2 INJ LMD 10% SODIUM CHLORIDE 0 2 INJ MONONINE 2 INJ SP NOVOEIGHT 2 INJ SP NOVOSEVEN RT 2 INJ SP OBIZUR 2 INJ SP pentoxifylline er 1 plasbumin-25 1 INJ plasbumin-5 1 INJ PLASMANATE 2 INJ PLAVIX 3 prasugrel 1 REBINYN 3 INJ SP RECOMBINATE 3 INJ SP RETAVASE 3 INJ SP RETAVASE HALF-KIT 3 INJ SP RIXUBIS 3 INJ SP SOLIRIS 2 INJ SP TAKHZYRO 3 INJ SP THROMBATE III 2 INJ SP THROMBATE III W/20 ML STE 2 INJ SP TRETTEN 2 INJ SP ULTOMIRIS 3 INJ SP VOLUVEN 2 INJ VONVENDI 2 INJ XYNTHA 3 INJ SP XYNTHA SOLOFUSE 3 INJ SP ZONTIVITY 3 HEMATOPOIETIC AGENTS ACTIVE FE 3 airavite 1 ANIMI-3 3 ARANESP ALBUMIN FREE 2 INJ SP CENFOL 3 CENTRATEX 2



35

chromagen 1 corvita 150 1 CORVITE FE 3 cyanocobalamin 1 INJ DOPTELET 2 SP DROXIA 2 ELELYSO 3 INJ SP EPOGEN 3 INJ SP fabb 1 FERAHEME 2 INJ FERIVA 21/7 3 FERIVAFA 3 ferocon 1 ferotrinsic 1 FERRALET 90 3 FERRAPLUS 90 2 FERRLECIT 3 INJ SP folbee 1 FOLGARD RX 3 folic acid 1 folic acid/vitamin b-6/vi 1 FOLIVANE-F 2 FOLIVANE-PLUS 2 foltrin 1 FULPHILA 2 INJ SP FUSION PLUS 3 GENICIN VITA-D 3 hematinic/folic acid 1 HEMATOGEN FA 2 hematogen forte 1 HEMATRON-AF 3 hemocyte-f 1 hydroxocobalamin 1 INJ INFED 2 INJ INJECTAFER 3 INJ INTEGRA F 3 INTEGRA PLUS 3 IROSPAN 24/6 3 LEUKINE 2 INJ SP miglustat 1 SP MOZOBIL 2 INJ SP MULPLETA 3 SP MULTIGEN 2

MULTIGEN PLUS 2 NASCOBAL 2 NEPHRON FA 3 NEULASTA 2 INJ SP NEULASTA ONPRO KIT 2 INJ SP NEUPOGEN 2 INJ SP NIVESTYM 2 INJ SP NPLATE 2 INJ SP NUFERA 3 ORTHO DF 3 poly-iron 150 forte 1 polysaccharide iron forte 1 PROCRIT 2 INJ SP PROMACTA 2 SP RETACRIT 3 INJ SP se-tan plus 1 sodium ferric gluconate c 1 INJ SP TALIVA 3 TARON FORTE 2 tl gard rx 1 tl icon 1 tl-hem 150 1 trigels-f forte 1 UDENYCA 2 INJ SP VENOFER 2 INJ SP virt-gard 1 VPRIV 3 INJ SP ZARXIO 2 INJ SP HEMOSTATICS AMICAR 2 aminocaproic acid 1 INJ aminocaproic acid 1 CYKLOKAPRON 3 INJ GEL-FLOW 3 MONSELS FERRIC SUBSULFATE 2 TISSEEL 3 tranexamic acid inj 1 INJ tranexamic acid 1 HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS AMBIEN 3 QL AMBIEN CR 3 QL AMYTAL SODIUM 2 INJ



36

BELSOMRA 3 QL ST BUTISOL SODIUM 3 dexmedetomidine hcl 1 INJ dexmedetomidine hydrochlo 1 INJ DORAL 3 EDLUAR 3 QL ST estazolam 1 eszopiclone 1 QL flurazepam hcl 1 HALCION 3 QL LUNESTA 3 QL midazolam hcl 1 midazolam inj 1 INJ midazolam hydrochloride 1 INJ pentobarbital sodium 1 INJ phenobarbital 1 PHENOBARB INJ 65MG/ML 2 INJ phenobarb inj 130mg/ml 1 INJ PRECEDEX 3 INJ QUAZEPAM 3 ramelteon 1 QL ST RESTORIL 3 ROZEREM 3 QL ST SECONAL SODIUM 2 SILENOR 3 ST temazepam 1 triazolam 1 QL zaleplon 1 QL zolpidem tartrate 1 QL zolpidem tartrate er 1 QL LAXATIVES CLENPIQ 2 COLYTE-FLAVOR PACKS 3 constulose 1 gavilyte-c 1 gavilyte-n/flavor pack 1 GOLYTELY 3 KRISTALOSE 3 lactulose 1 MOVIPREP 3 NULYTELY/FLAVOR PACKS 3 OSMOPREP 3 peg 3350/electrolytes 1

peg-3350/electrolytes 1 peg-3350/nacl/na bicarbon 1 PLENVU 3 PREPOPIK 2 SUPREP BOWEL PREP KIT 2 trilyte 1 LOCAL ANESTHETICS-Parenteral bupivacaine hcl 1 INJ bupivacaine spinal 1 INJ bupivacaine/epinephrine 1 INJ chloroprocaine hydrochlor 1 INJ CLOROTEKAL 3 INJ DURASAFE SPINAL/EPIDURAL 3 INJ lidocaine inj 1 INJ LIDOCAINE HCL/DEXTROSE 2 lidocaine/epinephrine 1 INJ MARCAINE 3 INJ MARCAINE SPINAL 3 INJ MARCAINE/EPINEPHRINE 3 INJ MONOJECT BONE MARROW BIOP 3 INJ ropivacaine 1 INJ ropivacaine hcl 1 INJ sensorcaine-mpf 1 INJ tetracaine hcl 1 INJ XYLOCAINE 3 INJ XYLOCAINE-MPF 3 INJ MACROLIDES azithromycin 1 AZITHROMYCIN POW 1GM PAK 2 clarithromycin 1 clarithromycin er 1 DIFICID 3 e.e.s. 400 1 E.E.S. GRANULES 3 ERYPED 200 3 ERYPED 400 3 ery-tab 1 ERYTHROCIN LACTOBIONATE 2 INJ ERYTHROCIN STEARATE 2 erythromycin cap 1 erythromycin base 1 erythromycin dr 1 erythromycin ethylsuccina 1



37

ZITHROMAX 3 INJ MEDICAL DEVICES AND SUPPLIES CAYA 3 FEMCAP 2 RAPPORT RING LOADING SYST 2 RAPPORT VACUUM THERAPY DE 2 REMESENSE 3 WIDE-SEAL SILICONE DIAPHR 3 Migraine Products

AIMOVIG 2 INJ QL

ST

AJOVY 2 INJ QL

ST almotriptan 1 QL almotriptan malate 1 QL AMERGE 3 QL CAFERGOT 3 CAMBIA 3 QL dihydroergotamine mesylat 1 INJ QL DIHYDROERGOTAMINE SPR 2 QL ST eletriptan hydrobromide 1 QL

EMGALITY 2 INJ ST

ERGOMAR 3 ergotamine tartrate/caffe 1 frovatriptan succinate 1 QL IMITREX 3 QL IMITREX STATDOSE REFILL 3 INJ QL IMITREX STATDOSE SYSTEM 3 INJ QL MAXALT 3 QL MAXALT-MLT 3 QL MIGRANAL 3 QL ST naratriptan hcl 1 QL ONZETRA XSAIL 3 QL ST RELPAX 3 QL rizatriptan benzoate 1 QL rizatriptan benzoate odt 1 QL sumatriptan 1 QL sumatriptan inj 1 INJ QL sumatriptan succinate 1 QL SUMATRIPTAN INJ 6MG/0.5 3 INJ QL sumatriptan succinate ref 1 INJ QL sumatriptan/naproxen sodi 1 QL TREXIMET 3 QL

ZEMBRACE SYMTOUCH 3 INJ QL

ST zolmitriptan 1 QL zolmitriptan odt 1 QL ZOMIG 3 QL ZOMIG SPR 5MG 2 QL ST MINERALS AND ELECTROLYTES bd posiflush 1 INJ CALCIFOL 3 calcium chloride 1 INJ calcium gluconate 1 INJ COPPER TRACE METAL 2 INJ DEXTROSE 10%/NACL 0.45% 2 INJ DEXTROSE 5% 2 INJ dextrose 10%/nacl 0.2% 1 INJ dextrose 2.5%/nacl 0.45% 1 INJ dextrose 5%/lactated ring 1 INJ dextrose 5%/nacl 0.2% 1 INJ dextrose 5%/nacl 0.225% 1 INJ dextrose 5%/nacl 0.3% 1 INJ dextrose 5%/nacl 0.33% 1 INJ dextrose 5%/nacl 0.45% 1 INJ dextrose 5%/nacl 0.9% 1 INJ DEXTROSE/SODIUM CHLORIDE 2 INJ effer-k 1 EFFER-K TAB 20MEQ 3 FLUORABON 3 fluoride 1 fluoritab 1 GALZIN 3 HYPERLYTE-CR 3 INJ iodine strong 1 IONOSOL-MB/DEXTROSE 5% 2 INJ ISOLYTE-P/DEXTROSE 5% 2 INJ ISOLYTE-S 2 INJ ISOLYTE-S PH 7.4 2 INJ kcl 0.075%/d5w/nacl 0.45% 1 INJ kcl 0.15%/d5w/nacl 0.2% 1 INJ kcl 0.15%/d5w/nacl 0.225% 1 INJ kcl 0.15%/d5w/nacl 0.45% 1 INJ kcl 0.15%/d5w/nacl 0.9% 1 INJ kcl 0.3%/d5w/nacl 0.45% 1 INJ KCL 0.3%/D5W/NACL 0.9% 2 INJ



38

klor-con 1 klor-con 10 1 klor-con 8 1 klor-con m10 1 KLOR-CON M15 2 klor-con m20 1 klor-con sprinkle 1 klor-con/ef 1 K-PHOS 2 K-PHOS NEUTRAL 2 k-prime 1 K-TAB TAB 20MEQ 3 K-TAB 2 lactated ringers 1 INJ LACTATED RINGERS VIAFLEX 3 INJ ludent 1 nafrinse 1 nafrinse drops 1 NEUT 2 INJ normal saline flush 1 INJ NORMOSOL -R 3 INJ NORMOSOL-M IN D5W 2 INJ NORMOSOL-R 2 INJ NORMOSOL-R IN D5W 2 INJ phospha 250 neutral 1 phospho-trin 250 neutral 1 PLASMA-LYTE A 2 INJ PLASMA-LYTE-148 2 INJ potassium acetate 1 INJ potassium chloride 1 potassium chloride cr 1 potassium chloride er 1 potassium chloride sr 1 potassium chloride/sodium 1 INJ potassium phosphate 1 INJ ringers injection 1 INJ selenium 1 INJ sodium bicarbonate 1 INJ sod chloride inj 0.9% 1 INJ sodium chloride 0.45% 1 INJ sodium chloride flush 1 INJ sodium fluoride 1 sodium phosphate 1 INJ

TPN ELECTROLYTES 3 INJ TRACE ELEMENTS 4/PEDIATRI 2 INJ virt-phos 250 neutral 1 ZINC SULFATE 2 INJ Miscellaneous Therapeutic Classes alprostadil 1 INJ AMPHADASE 3 INJ argyle sterile water 100m 1 ASTAGRAF XL 3 SP ATGAM 2 INJ SP AZASAN 3 SP AZATHIOPRINE INJ 2 INJ SP azathioprine 1 BENLYSTA 2 INJ SP CELLCEPT 3 SP CELLCEPT INTRAVENOUS 3 INJ SP CUPRIMINE 3 SP cyclosporine inj 1 INJ cyclosporine 1 CYCLOSPORINE CAP 50MG MOD 2 cyclosporine cap 25mg mod 1 DEPEN TITRATABS 3 SP DIANEAL LOW CALCIUM/1.5% 3 INJ DIANEAL LOW CALCIUM/2.5% 3 INJ DIANEAL LOW CALCIUM/4.25% 3 INJ DIANEAL PD-2/1.5% DEXTROS 3 INJ DIANEAL PD-2/2.5% DEXTROS 3 INJ DIANEAL PD-2/4.25% DEXTRO 3 INJ D-PENAMINE 2 SP ENVARSUS XR 3 SP EXTRANEAL 2 INJ gengraf 1 HYLENEX 3 INJ IMURAN 3 kionex 1 lactated ringers irrigati 1 LOKELMA 2 mycophenolate mofetil 1 SP mycophenolate inj 1 INJ SP mycophenolic acid dr 1 SP MYFORTIC 3 SP NEORAL 3 NEXAVIR 3 INJ



39

NULOJIX 2 INJ SP penicillamine 1 SP physiolyte 1 physiosol irrigation 1 PRISMASOL B22GK 4/0 3 INJ PRISMASOL BGK 0/2.5 3 INJ PRISMASOL BGK 2/0 3 INJ PRISMASOL BGK 2/3.5 3 INJ PRISMASOL BGK 4/2.5 3 INJ PRISMASOL BK 0/0/1.2 3 INJ PROGRAF CAP 3 SP PROGRAF GRA 0.2MG 2 SP PROGRAF INJ 2 INJ SP PROSTIN VR PEDIATRIC 3 INJ RAPAMUNE 3 SP REVLIMID 2 SP ringers irrigation 1 SANDIMMUNE INJ 3 INJ SANDIMMUNE 2 SIMULECT 2 INJ SP sirolimus 1 SP sodium polystyrene sulfon 1 sps 1 sterile water irrigation 1 SYPRINE 3 SP tacrolimus cap 1 SP TRAUMANIL 3 trientine hydrochloride 1 SP ULTRABAG/DIANEAL LOW CALC 3 INJ ULTRABAG/DIANEAL PD-2/1.5 3 INJ ULTRABAG/DIANEAL PD-2/2.5 3 INJ ULTRABAG/DIANEAL PD-2/4.2 3 INJ VELTASSA 3 VITRASE 3 INJ XIAFLEX 2 INJ SP ZORTRESS 2 SP MOUTH/THROAT/DENTAL AGENTS AQUORAL 3 ARESTIN 3 CAPHOSOL 3 cevimeline hcl 1 chlorhexidine gluconate 1 clinpro 5000 1

clotrimazole troche 10mg 1 DEBACTEROL 3 denta 5000 plus 1 dentagel 1 FIRST-MOUTHWASH BLM 2 lidocaine viscous 1 NAFRINSE DAILY/ACIDULATED 3 NAFRINSE DAILY/NEUTRAL 3 NAFRINSE WEEKLY 3 NEUTRASAL 3 NUMOISYN 3 nystatin susp 1 paroex 1 pilocarpine tab 1 pilocarpine hydrochloride 1 PREVIDENT 5000 BOOSTER PL 3 PREVIDENT 5000 DRY MOUTH 3 PREVIDENT 5000 ENAMEL PRO 3 PREVIDENT 5000 PLUS 3 PREVIDENT FLUORIDE 3 PREVIDENT RINSE 3 SALIVAMAX 3 sf 1 sf 5000 plus 1 topex topical anesthetic 1 triamcinolone acetonide d 1 XEROSTOMIA RELIEF SPRAY 3 MULTIVITAMINS ADVANCED AM/PM 2 BACMIN 3 b-plex 1 b-plex plus 1 CITRANATAL ASSURE 3 CITRANATAL B-CALM 3 CITRANATAL BLOOM 3 CITRANATAL BLOOM DHA 3 CITRANATAL DHA 3 CITRANATAL HARMONY 3 CITRANATAL MEDLEY 3 CITRANATAL RX 3 C-NATE DHA 2 complete natal dha 1 completenate 1



40

co-natal fa 1 CONCEPT DHA 3 CORVITA 3 dialyvite 1 DIALYVITE 3000 3 DIALYVITE 5000 3 DIALYVITE SUPREME D 3 DIALYVITE/ZINC 2 DUET DHA BALANCED 3 elite-ob 1 ENBRACE HR 3 FLORIVA PLUS 3 folbee plus 1 FOLGARD OS 3 FOLIVANE-OB 2 hylavite 1 MARNATAL-F 3 M-NATAL PLUS 3 multivitamin with fluorid 1 MULTIVIT/FL CHW 0.5MG 3 MULTIVIT/FL CHW 0.25MG 2 multi-vitamin/fluoride dr 1 multi-vitamin/fluoride/ir 1 m-vit 1 NATELLE ONE 3 NEEVO DHA 3 NEPHRO-VITE RX 2 NESTABS ONE 3 NICOMIDE 3 OB COMPLETE 3 OB COMPLETE ONE 3 OB COMPLETE PETITE 3 OB COMPLETE/DHA 3 OBSTETRIX DHA 2 obstetrix ec 1 OBSTETRIX ONE 3 O-CAL FA 3 O-CAL PRENATAL 3 PNV PRENATAL TAB PLUS 2 PRENATAL PLS MIS MV + DHA 3 PNV TABS 29-1 2 pnv-dha 1 PNV-DHA+DOCUSATE 2

PNV-OMEGA 2 POLY-VI-FLOR 3 POLY-VI-FLOR FS 3 POLY-VI-FLOR/IRON 3 PRENA1 CHEW 2 PRENA1 PEARL 2 PRENATA 3 prenatabs rx 1 PRENATAL 2 prenatal 19 1 PRENATAL LOW IRON 3 PRENATAL PLUS IRON 2 PRENATAL PLUS/IRON 3 PRENATAL VITAMINS PLUS LO 2 PRENATAL-U 2 PRENATE 3 PRENATE DHA 3 PRENATE ELITE 3 PRENATE ENHANCE 3 PRENATE MINI 3 PRENATE PIXIE 3 PREPLUS 2 PROVIDA OB 3 QUFLORA FE 3 QUFLORA FE PEDIATRIC 3 QUFLORA GUMMIES 3 QUFLORA PEDIATRIC 3 RELNATE DHA 2 renal caps 1 reno caps 1 SELECT-OB 3 SELECT-OB+DHA 3 se-natal 19 1 SIDEROL 3 STROVITE FORTE 3 STROVITE ONE 3 SUPERVITE 3 SUPPORT 2 SUPPORT-500 3 TARON-BC 2 TARON-C DHA 2 TARON-PREX 2 THRIVITE RX 3



41

TL FOLATE 3 TL G-FOL OS 2 TL-CARE DHA 2 TL-FLUORIVITE 2 TL-SELECT 2 trinatal rx 1 1 triphrocaps 1 TRISTART DHA 3 TRISTART ONE 3 TRI-TABS DHA 2 TRIVEEN-DUO DHA 2 TRI-VI-FLOR 3 TRI-VI-FLORO 3 tri-vitamin/fluoride 1 ultimatecare one 1 v-c forte 1 VENA-BAL DHA 2 VINATE M 2 vinate one 1 virt-caps 1 VIRT-PN DHA 2 VITAFOL 3 VITAFOL FE+ 3 VITAFOL GUMMIES 3 VITAFOL STRIPS 3 VITAFOL ULTRA 3 VITAFOL-NANO 3 VITAFOL-OB 3 VITAFOL-OB+DHA 3 VITAFOL-ONE 3 VITAMEDMD ONE RX/QUATREFO 3 VITAMEDMD REDICHEW RX 3 vitamins a/c/d/fluoride 1 VITAPEARL 3 VITATRUE 3 vol-care rx 1 VOL-NATE 2 VOL-PLUS 2 VOL-TAB RX 2 VP-PNV-DHA 3 ZATEAN-PN DHA 2 ZATEAN-PN PLUS 2

MUSCULOSKELETAL THERAPY AGENTS AMRIX 3 QL baclofen 1 carisoprodol 1 carisoprodol/aspirin 1 chlorzoxazone 1 cyclobenzaprine hydrochlo 1 QL dantrolene sodium 1 DUROLANE 3 INJ SP EUFLEXXA 2 INJ SP FIRST-BACLOFEN 5 2 GEL-ONE 3 INJ SP HYALGAN 3 INJ SP LORZONE 3 metaxalone 1 methocarbamol 1 methocarbamol inj 1 INJ MONOVISC 2 INJ SP orphenadrine citrate 1 INJ orphenadrine citrate er 1 ORTHOVISC 2 INJ SP OZOBAX 3 revonto 1 INJ ROBAXIN 3 INJ SKELAXIN 3 SOMA 3 SUPARTZ FX 3 INJ SP SYNVISC 3 INJ SP SYNVISC ONE 3 INJ SP tizanidine hcl 1 tizanidine hydrochloride 1 VISCO-3 3 INJ SP ZANAFLEX 3 NASAL AGENTS - SYSTEMIC AND TOPICAL ASTEPRO 3 azelastine spray 1 BECONASE AQ 3 ST DYMISTA 2 ST flunisolide 1 fluticasone spr 50mcg 1 ipratropium spray 1



42

mometasone spr 50mcg 1 NASONEX 3 olopatadine spr 0.6% 1 OMNARIS 3 ST PATANASE 3 QNASL 2 ST QNASL CHILDRENS 2 ST SINUVA 3 SP XHANCE 3 ZETONNA 3 ST NEUROMUSCULAR AGENTS ANECTINE 3 INJ atracurium besylate 1 INJ BOTOX 2 INJ SP cisatracurium besylate 1 INJ DYSPORT 3 INJ SP MYOBLOC 2 INJ SP NIMBEX 3 INJ pancuronium bromide 1 INJ QUELICIN 3 INJ riluzole 1 SP rocuronium bromide 1 INJ SPINRAZA 2 INJ SP vecuronium bromide 1 INJ XEOMIN 3 INJ SP OPHTHALMIC AGENTS ACULAR 3 ACULAR LS 3 ACUVAIL 3 ak-poly-bac 1 AKTEN 3 ALCAINE 3 ALOCRIL 3 ALOMIDE 3 ST ALPHAGAN P SOL 0.15% 3 ALPHAGAN P SOL 0.1% 2 ALREX 2 apraclonidine 1 atropine sul sol 1% op 1 AZASITE 2 azelastine dro 0.05% 1 AZOPT 3 BACITRACIN OIN OP 2

bacitracin/polymyxin b 1 balanced salt solution 1 INJ BEOVU 3 SP BEPREVE 2 ST BESIVANCE 3 BETADINE OPHTHALMIC PREP 3 betaxolol sol 0.5% op 1 BETIMOL 3 BETOPTIC-S 3 bimatoprost 1 BLEPH-10 3 BLEPHAMIDE 3 BLEPHAMIDE S.O.P. 3 brimonidine tartrate 1 bromfenac 1 BROMSITE 3 BSS 3 INJ carteolol hcl 1 CEQUA 3 CILOXAN 3 ciprofloxacn sol 0.3% op 1 COMBIGAN 2 COSOPT 3 COSOPT PF 3 cromolyn sodium 1 CYCLOGYL 3 CYCLOMYDRIL 3 cyclopentolate hcl 1 cyclopentolate hydrochlor 1 dexamethasone pho sol 0.1% op 1 diclofenac sol 0.1% op 1 dorzolamide hcl 1 dorzolamide hcl/timolol m 1 dorzolamide hydrochloride 1 DUREZOL 3 epinastine hcl 1 erythromycin oin 5mg/gm 1 EYLEA 2 SP FLAREX 3 fluorometholone 1 flurbiprofen sodium 1 FML 3 FML FORTE 3



43

FML LIQUIFILM 3 gatifloxacin 1 GELFILM OP 3 GENTAK 2 gentamicin sol 0.3% op 1 HEALON 3 INJ HEALON GV 3 INJ HEALON5 3 INJ homatropine hbr 1 ILEVRO 2 INVELTYS 2 IOPIDINE 3 ISOPTO ATROPINE 3 ISOPTO CARPINE 3 ISTALOL 3 JETREA 2 SP ketorolac sol 0.5% 1 LACRISERT 3 LASTACAFT 3 ST latanoprost 1 levobunolol hcl 1 levofloxacin sol 0.5% 1 LOTEMAX 2 LOTEMAX SM 2 loteprednol etabonate 1 LUMIGAN 2 ST MAXIDEX 3 MAXITROL 3 MIOCHOL-E 3 INJ MIOSTAT 2 INJ MOXEZA 3 moxifloxacin sol 1 NATACYN 2 neomycin/bacitracin/polym 1 neomycin/polymyxin/bacitr 1 neomycin/polymyxin/dexame 1 neomycin/polymyxin/gramic 1 neo/poly/hc sus op 1 neo-polycin 1 neo-polycin hc 1 NEVANAC 3 OCUFLOX 3 ofloxacin dro 0.3% op 1

olopatadine dro 0.1% 1 olopatadine hydrochloride 1 OZURDEX 2 SP PATADAY 3 PATANOL 3 PAZEO 2 ST phenylephrin sol 2.5% op 1 PHOSPHOLINE IODIDE 2 PHOTREXA VISCOUS 3 PHOTREXA/PHOTREXA VISCOUS 3 SP pilocarpine sol 1% op 1 polycin 1 polymyxin b sulfate/trime 1 POLYTRIM 3 PRED FORTE 3 PRED MILD 3 PRED-G 3 PRED-G S.O.P. 3 prednisolone acetate 1 pred sod pho sol 1% op 1 PROLENSA 2 proparacaine hcl 1 PROVISC 3 INJ RESTASIS MULTIDOSE 2 RETISERT 3 SP RHOPRESSA 2 ROCKLATAN 3 SIMBRINZA 3 sodium sulfacetamide 1 SULFACET SOD OIN 10% OP 2 sulfacet sod sol 10% op 1 sulfacetamide sodium/pred 1 tetracaine hydrochloride 1 timolol sol 0.5% op 1 TIMOLOL MALEATE OPHTHALMI 3 TIMOPTIC 3 TIMOPTIC OCUDOSE 3 TIMOPTIC-XE 3 TOBRADEX SUS 0.3-0.1% 3 TOBRADEX OIN 0.3-0.1% 2 TOBRADEX ST 2 tobramycin sol 0.3% op 1 tobramycin/dexamethasone 1



44

TOBREX 3 TRAVATAN Z 3 ST TRIESENCE 3 INJ trifluridine 1 trimethoprim sulfate/poly 1 TRUSOPT 3 VIGAMOX 3 VISUDYNE 2 INJ SP VYZULTA 3 XALATAN 3 XIIDRA 2 ZIOPTAN 2 ST ZIRGAN 3 ZYLET 2 ZYMAXID 3 OTIC AGENTS acetic acid 1 CIPRO HC 3 CIPRODEX 2 CIPROFLOXACIN 2 CIPROFLOXACIN/FLUOCINOLON 3 COLY-MYCIN S 3 cortic-nd 1 CORTISPORIN-TC 3 DERMOTIC 3 exotic-hc 1 fluocinolone acetonide 1 hydrocortisone/acetic aci 1 neomycin/polymyxin/hc 1 neo/poly/hc sus 1% otic 1 ofloxacin dro 0.3%otic 1 OTOVEL 2 Oxytocics HEMABATE 2 INJ methergine 1 methylergonovine maleate 1 methylergon inj 0.2mg/ml 1 INJ PREPIDIL 3 PROSTIN E2 3 PASSIVE IMMUNIZING AND TREATMENT AGENTS ANTIVENIN LATRODECTUS MAC 3 INJ ANTIVENIN NORTH AMERICAN 3 INJ

CUTAQUIG 3 INJ SP CUVITRU 3 INJ SP FLEBOGAMMA DIF 3 INJ SP GAMASTAN 2 INJ SP GAMASTAN S/D 2 INJ SP GAMMAGARD LIQUID 2 INJ SP GAMMAGARD S/D IGA LESS TH 2 INJ SP GAMMAKED 3 INJ SP GAMUNEX-C 2 INJ SP HIZENTRA 2 INJ SP HYPERHEP B S/D 2 INJ SP HYPERRAB 2 INJ SP HYPERRAB S/D 2 INJ SP HYPERRHO S/D 2 INJ SP HYPERRHO S/D MINI-DOSE 2 INJ SP HYPERTET S/D 2 INJ SP HYQVIA 3 INJ SP IMOGAM RABIES-HT 2 INJ SP MICRHOGAM ULTRA-FILTERED 3 INJ SP PANZYGA 3 INJ SP PRIVIGEN 2 INJ SP RHOGAM ULTRA-FILTERED PLU 3 INJ SP SYNAGIS 2 INJ SP XEMBIFY 2 INJ SP ZINPLAVA 3 INJ PENICILLINS amoxicillin 1 amoxicillin/clavulanate p 1 ampicillin 1 ampicillin sodium 1 INJ ampicillin-sulbactam 1 INJ BICILLIN L-A 2 INJ dicloxacillin sodium 1 NAFCILLIN 2 INJ nafcillin sodium 1 INJ OXACILLIN 2 INJ oxacillin sodium 1 INJ penicillin g potassium 1 INJ PENICILLIN G POTASSIUM IN 2 INJ penicillin g sodium 1 INJ penicillin v potassium 1 PFIZERPEN 2 INJ piperacillin sodium/tazob 1 INJ



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piperacillin/tazobactam 1 INJ UNASYN 3 INJ UNASYN BULK PACK 3 INJ Progestins hydroxyprogesterone capro 1 INJ SP MAKENA 3 INJ SP medroxyprogesterone tab 1 norethindrone acetate 1 progesterone 1 INJ progesterone cap 100mg 1 PROGESTERONE COMPOUNDING 3 PROMETRIUM 3 PROVERA 3 Psychotherapeutic and Neurological Agents - Misc. acamprosate calcium dr 1 ADDYI 3 SP AMPYRA 3 SP ANTABUSE 3 AUBAGIO 3 SP AUSTEDO 2 SP AVONEX 2 INJ SP AVONEX PEN 2 INJ SP BETASERON 2 INJ SP BRISDELLE 3 CHANTIX 2 QL CHANTIX CONTINUING MONTH 2 QL CHANTIX STARTING MONTH PA 2 QL chlordiazepoxide/amitript 1 COPAXONE 2 INJ SP dalfampridine er 1 SP disulfiram 1 donepezil hcl 1 donepezil hydrochloride 1 donepezil hydrochloride o 1 EXELON 3 EXTAVIA 3 INJ SP galantamine hydrobromide 1 GILENYA 2 SP glatiramer acetate 1 INJ SP glatopa 1 INJ SP GRALISE 3 ST GRALISE STARTER 3 ST

HORIZANT 3 ST INGREZZA 3 SP LUCEMYRA 2 SP LYRICA CR 3 ST MAYZENT 2 SP memantine hcl titration p 1 memantine hydrochloride 1 memantine hydrochloride e 1 NAMENDA 3 NAMENDA TITRATION PAK 3 NAMENDA XR 3 NAMENDA XR TITRATION PACK 3 NAMZARIC 2 NICOTROL INHALER 3 NICOTROL NS 3 NUEDEXTA 2 OCREVUS 2 INJ SP olanzapine/fluoxetine 1 paroxetine 1 perphenazine/amitriptylin 1 pimozide 1 PLEGRIDY 2 INJ SP PLEGRIDY STARTER PACK 2 INJ SP REBIF 2 INJ SP REBIF REBIDOSE 2 INJ SP rivastigmine tartrate 1 rivastigmine transdermal 1 SARAFEM 3 SAVELLA 2 SAVELLA TITRATION PACK 2 SYMBYAX 3 TECFIDERA 2 SP TECFIDERA STARTER PACK 2 SP TEGSEDI 2 INJ SP tetrabenazine 1 SP TYSABRI 2 INJ SP VUMERITY 2 SP XENAZINE 3 SP XYREM 2 SP Respiratory Agents - Misc. ARALAST NP 2 INJ SP CUROSURF 3 ESBRIET 2 SP



46

GLASSIA 2 INJ SP KALYDECO 2 SP OFEV 2 SP ORKAMBI 2 SP PROLASTIN-C 2 INJ SP PULMOZYME 2 SP SURVANTA INTRATRACHEAL 3 SYMDEKO 2 SP TRIKAFTA 2 SP ZEMAIRA 2 INJ SP Sulfonamides sulfadiazine 1 Tetracyclines ACTICLATE 3 demeclocycline hcl 1 DORYX MPC 3 doxycycline sus 25mg/5ml 1 doxycycline hyclate 1 DOXYCYCLINE HYC TAB 50MG 3 doxycycline hyclate dr 1 doxycycline monohydrate 1 MINOCIN 3 minocycline hcl 1 minocycline hcl er 1 minocycline hydrochloride 1 MINOLIRA 3 okebo 1 SEYSARA 3 SOLODYN 3 TARGADOX 3 tetracycline hydrochlorid 1 TYGACIL 3 INJ VIBRAMYCIN 3 XIMINO 3 THYROID AGENTS ARMOUR THYROID 2 CYTOMEL 3 euthyrox 1 levothyroxine sodium 1 levothyroxine/liothyronin 1 levoxyl 1 liothyronine sodium 1 methimazole 1

NATURE-THROID 2 np thyroid 120 1 np thyroid 15 1 np thyroid 30 1 np thyroid 60 1 np thyroid 90 1 propylthiouracil 1 SYNTHROID 3 TIROSINT 3 TIROSINT-SOL 3 unithroid 1 WP THYROID 3 Toxoids ADACEL 2 INJ BOOSTRIX 2 INJ PENTACEL 2 INJ TDVAX 2 INJ TENIVAC 3 INJ ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS ACIPHEX 3 QL ACIPHEX SPRINKLE 3 QL ST ANASPAZ 2 ATROPEN 3 INJ BELLA/OPIUM SUP 16.2-60 3 belladonna/opium 1 CARAFATE SUS 1GM/10ML 2 CARAFATE TAB 1GM 3 chlordiazepoxide hcl/clid 1 cimetidine 1 cimetidine hcl 1 CUVPOSA 3 CYTOTEC 3 DEXILANT 3 QL ST dicyclomine hcl 1 INJ dicyclomine sol 10mg/5ml 1 dicyclomine hydrochloride 1 DONNATAL 3 ed-spaz 1 esomeprazole magnesium 1 QL esomeprazole sodium 1 INJ famotidine 1



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famotidine inj 1 INJ famotidine premixed 1 INJ FIRST-LANSOPRAZOLE 2 QL FIRST-OMEPRAZOLE 2 QL GLYCATE 3 glycopyrrolate inj 0.2mg/ml 1 INJ glycopyrrolate tab 1mg 1 hyoscyamine tab 0.125mg 1 hyoscyamine sub 0.125mg 1 hyoscyamine sulfate er 1 hyosyne 1 lansoprazole 1 QL lansoprazole odt 1 QL lansoprazole/amoxicillin/ 1 LEVSIN 2 INJ LIBRAX 3 methscopolamine bromide 1 misoprostol 1 NEXIUM GRA DR 2 QL ST NEXIUM CAP 20MG 3 QL NEXIUM I.V. 3 INJ nizatidine 1 NIZATIDINE SOL 15MG/ML 2 omeprazole 1 QL omeprazole dr 1 QL omeprazole/sodium bicarbo 1 oscimin sub 0.125mg 1 oscimin tab 0.125mg 1 oscimin sr 1 pantoprazole inj sod 40mg 1 INJ QL pantoprazole tab 40mg 1 QL pantoprazole sodium dr 1 QL PEPCID 3 phenobarbital/belladonna 1 phenohytro 1 PREVACID 3 QL PREVACID SOLUTAB 3 QL PRILOSEC 3 propantheline bromide 1 PROTONIX 3 QL PYLERA 2 rabeprazole sodium 1 QL ranitidine hcl 1

ranitidine hydrochloride 1 sucralfate tab 1gm 1 SUCRALFATE SUS 1GM/10ML 2 SYMAX DUOTAB 3 TALICIA 2 ZEGERID 3 Urinary Anti-infectives HIPREX 3 HYOPHEN 2 MACROBID 3 me/naphos/mb/hyo 1 1 methenamine hippurate 1 methenamine mandelate 1 MONUROL 3 nitrofurantoin 1 nitrofurantoin macrocryst 1 nitrofurantoin monohydrat 1 phosphasal 1 urelle 1 uretron d/s 1 uribel 1 URIMAR-T 2 uro-458 1 UROGESIC-BLUE 2 uro-mp 1 ustell 1 vilamit mb 1 Urinary Antispasmodics bethanechol chloride 1 darifenacin hydrobromide 1 QL DETROL 3 QL DETROL LA 3 QL ENABLEX 3 QL flavoxate hcl 1 GELNIQUE 2 MYRBETRIQ 2 oxybutynin chloride 1 oxybutynin chloride er 1 QL OXYTROL 3 solifenacin succinate 1 QL tolterodine tartrate 1 QL tolterodine tartrate er 1 QL TOVIAZ 2 QL



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trospium chloride 1 QL trospium chloride er 1 QL VESICARE 3 QL VACCINES AFLURIA QUADRIVALENT 2019 2 INJ BEXSERO 2 INJ ENGERIX-B 2 INJ FLUAD 2019-2020 2 INJ FLUARIX QUADRIVALENT 2019 2 INJ FLUBLOK QUADRIVALENT 2019 2 INJ FLUCELVAX QUADRIVALENT 20 2 INJ FLULAVAL QUADRIVALENT 201 2 INJ FLUZONE HIGH-DOSE PF 2019 2 INJ FLUZONE QUADRIVALENT 2019 2 INJ GARDASIL 9 2 INJ HAVRIX 2 HEPLISAV-B 3 IMOVAX RABIES (H.D.C.V.) 2 IPOL INACTIVATED IPV 2 IXIARO 2 MENACTRA 2 MENVEO 3 M-M-R II 2 PEDVAX HIB 2 PNEUMOVAX 23 2 PREVNAR 13 2 PROQUAD 2 RECOMBIVAX HB 2 ROTATEQ 2 SHINGRIX 2 STAMARIL 2 TRUMENBA 2 TWINRIX 2 TYPHIM VI 2 VAQTA 3 VARIVAX 2 VAXCHORA 2 VIVOTIF 2 ZOSTAVAX 3 VAGINAL AND RELATED PRODUCTS AVC 3 clindamycin cre 2% vag 1

CLINDESSE 3 clotrimazole vag cre 2% 1 CRINONE 2 ENDOMETRIN 2 ESTRACE VAG CRE 0.01% 3 estradiol vag tab 1 ESTRING 2 FEM PH 2 FEMRING 3 FIRST-PROGESTERONE VGS 20 3 GYNAZOLE-1 3 IMVEXXY MAINTENANCE PACK 3 IMVEXXY STARTER PACK 3 INTRAROSA 3 metronidazole vaginal 1 MICONAZOLE 3 2 NUVESSA 3 terconazole 1 TRIMO-SAN 2 VAGIFEM 3 vandazole 1 yuvafem 1 Vasopressors AUVI-Q 3 SP dobutamine hcl 1 dobutamine hcl/d5w 1 dobutamine hydrochloride/ 1 dobutamine/dextrose 5% 1 dopamine hcl 1 dopamine hydrochloride/de 1 dopamine/d5w 1 EPIPEN 2-PAK 2 EPIPEN-JR 2-PAK 2 EPISNAP 3 LEVOPHED 3 midodrine hcl 1 midodrine hydrochloride 1 norepinephrine bitartrate 1 NORTHERA 3 SP SYMJEPI 2 VITAMINS DRISDOL 3 ergocalciferol 1



49

MEPHYTON 3 phytonadione 1 POTABA 3

vitamin d 1 vitamin k1 1

50

A abacavir ____________ 19 abacavir sulfate/lamivudi

_________________ 19 ABILIFY _____________ 18 ABILIFY MAINTENA ___ 18 abiraterone acetate ___ 15 ABSORICA __________ 25 acamprosate calcium dr 45 ACANYA ____________ 25 acarbose ____________ 10 ACCUPRIL ___________ 13 ACCURETIC __________ 13 acebutolol hcl ________ 20 acebutolol hydrochloride

_________________ 20 acetaminophen/caffeine/di

__________________ 4 acetaminophen/codeine 4 acetazolamide _______ 30 acetazolamide er _____ 30 acetazolamide sodium _ 30 acetic acid________ 33, 44 acetic acid 0.25% _____ 33 acetylcysteine _______ 11 acetylcystine sol _____ 25 ACIPHEX ____________ 46 ACIPHEX SPRINKLE ___ 46 acitretin ____________ 25 ACTEMRA ____________ 3 ACTEMRA ACTPEN _____ 3 ACTHAR ____________ 31 ACTICLATE __________ 46 ACTIGALL ___________ 32 ACTIVE FE ___________ 34 ACTONEL ___________ 31 ACUICYN DAILY EYELID &

EY _______________ 25 ACULAR ____________ 42 ACULAR LS __________ 42 ACUVAIL ____________ 42 acyclovir _________ 19, 25 acyclovir cream _____ 25 ACZONE ____________ 25 ADACEL_____________ 46 adapalene gel 0.1% __ 25 ADAPALENE SOL 0.1% 25 adapalene pump _____ 25 adapalene/benzoyl peroxid

_________________ 25 ADASUVE ___________ 18 ADDERALL ___________ 3 ADDERALL XR _________ 3 ADDYI ______________ 45 ADEMPAS ___________ 21 ADENOCARD _________ 7 adenosine ____________ 7

ADHANSIA XR _________ 3 ADHD/ANTI-

NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS __________________ 3

ADIPEX-P ____________ 3 ADLYXIN ____________ 10 ADLYXIN STARTER PACK 10 ADMELOG ___________ 10 ADMELOG SOLOSTAR _ 10 ADRIAMYCIN ________ 15 adrucil ______________ 15 ADVAIR DISKUS _______ 7 ADVAIR HFA __________ 7 ADVANCED AM/PM ___ 39 ADVATE ____________ 34 ADYNOVATE _________ 34 ADZENYS ER __________ 3 ADZENYS XR-ODT ______ 3 AFINITOR ________ 15, 16 AFINITOR DISPERZ ____ 16 AFLURIA QUADRIVALENT

2019 _____________ 48 AFREZZA ____________ 10 AGGRASTAT _________ 34 AGGRENOX __________ 34 agoneaze____________ 25 AIMOVIG ___________ 37 airavite _____________ 34 AIRDUO RESPICLICK

113/14 ____________ 7 AJOVY ______________ 37 AKLIEF ______________ 25 ak-poly-bac __________ 42 AKTEN ______________ 42 AKTIPAK ____________ 25 AKYNZEO ___________ 12 ALA SCALP __________ 25 ALA-QUIN ___________ 25 albendazole __________ 6 albuterol neb ________ 7 albuterol tab ________ 7 albuterol sulfate er _____ 7 ALBUTEROL SULFATE HFA 7 ALCAINE ____________ 42 alclometasone dipropionat

_________________ 25 ALCORTIN A _________ 25 ALDACTAZIDE ________ 30 ALDACTONE _________ 30 ALECENSA ___________ 16 ALENDRONATE TAB 40MG

_________________ 31 alendronate sodium ___ 31 alfentanil _____________ 4 ALFENTANIL HCL ______ 4 alfuzosin hcl er _______ 33 ALIMTA _____________ 16

ALINIA ______________ 14 aliskiren _____________ 13 ALLEVYN GENTLE _____ 25 allopurinol ___________ 34 allopurinol sodium ____ 34 almotriptan __________ 37 almotriptan malate ____ 37 ALOCRIL ____________ 42 ALOGLIPTIN _________ 10 ALOGLIPTIN/METFORMIN

HCL ______________ 10 ALOGLIPTIN/PIOGLITAZON

E ________________ 10 ALOMIDE____________ 42 ALORA ______________ 32 alosetron hydrochloride 32 ALPHAGAN P SOL 0.1% 42 ALPHAGAN P SOL 0.15%

_________________ 42 alprazolam ___________ 6 alprazolam er _________ 6 ALPRAZOLAM INTENSOL 6 alprazolam odt ________ 6 alprazolam xr _________ 6 alprostadil ___________ 38 ALREX ______________ 42 ALTABAX ____________ 25 altavera _____________ 22 ALTRENO ____________ 25 ALUNBRIG ___________ 16 ALVESCO _____________ 7 alyacen 1/35 _________ 22 alyacen 7/7/7 ________ 22 alyq ________________ 21 amabelz _____________ 32 amantadine hcl _______ 18 AMARYL ____________ 10 AMBIEN _____________ 35 AMBIEN CR __________ 35 AMBISOME __________ 12 ambrisentan _________ 21 amcinonide __________ 25 Amebicides ___________ 3 AMERGE ____________ 37 amethia _____________ 22 amethia lo ___________ 22 amethyst ____________ 22 AMICAR _____________ 35 AMIDATE____________ 33 amikacin sulfate _______ 3 amiloride hcl _________ 30 amiloride/hydrochlorothia

_________________ 30 aminoacetic acid ______ 33 aminocaproic acid _____ 35 Aminoglycosides ______ 3 aminophylline _________ 7 amiodarone inj _______ 7

amiodarone hcl ________ 7 amiodarone hydrochloride

__________________ 7 AMITIZA ____________ 32 amitriptyline hcl _______ 9 amitriptyline hydrochlori 9 amlodipine besylate 13, 21 amlodipine besylate/atorv

_________________ 21 amlodipine besylate/benaz

_________________ 13 amlodipine besylate/valsa

_________________ 13 amlodipine/olmesartan

med ______________ 13 amlodipine/valsartan/hctz

_________________ 13 amlodipine/valsartan/hydr

_________________ 13 ammonium lactate ____ 25 AMMONUL __________ 31 amnesteem __________ 25 amoxapine ____________ 9 amoxicillin ___________ 44 amoxicillin/clavulanate p 44 AMPHADASE _________ 38 amphetamine sulfate ___ 3 amphetamine/dextroamph

eta ________________ 3 amphotericin b _______ 12 ampicillin ____________ 44 ampicillin sodium _____ 44 ampicillin-sulbactam ___ 44 AMPYRA ____________ 45 AMRIX ______________ 41 AMYTAL SODIUM _____ 35 AMZEEQ ____________ 25 ANACAINE ___________ 25 ANAFRANIL ___________ 9 anagrelide hydrochloride

_________________ 34 ANALGESICS - ANTI-

INFLAMMATORY ____ 3 ANALGESICS - NonNarcotic

__________________ 4 ANALGESICS - OPIOID ___ 4 ANALPRAM HC ________ 6 ANALPRAM-HC ________ 6 ANASPAZ ____________ 46 anastrozole __________ 16 ANCOBON ___________ 12 ANDRODERM _________ 6 ANDROGEL ___________ 6 ANDROGEL PUMP______ 6 ANDROGENS-ANABOLIC 6 ANECTINE ___________ 42 ANGELIQ ____________ 32 ANIMI-3 _____________ 34

51

ANORECTAL AGENTS ___ 6 ANORO ELLIPTA _______ 7 ANTABUSE __________ 45 ANTARA ____________ 13 Anthelmintics ________ 6 ANTIANGINAL AGENTS _ 6 ANTIANXIETY AGENTS__ 6 ANTIARRHYTHMICS ____ 7 ANTIASTHMATIC AND

BRONCHODILATOR AGENTS ___________ 7

ANTICOAGULANTS ____ 8 ANTICONVULSANTS ___ 8 ANTIDEPRESSANTS ____ 9 ANTIDIABETICS ______ 10 ANTIDIARRHEAL/PROBIOT

IC AGENTS ________ 11 Antidotes and Specific

Antagonists _______ 11 ANTIEMETICS ________ 12 Antifungals __________ 12 ANTIHISTAMINES ____ 12 ANTIHYPERLIPIDEMICS 13 ANTIHYPERTENSIVES __ 13 Anti-infective Agents -

Misc. ____________ 14 Antimalarials ________ 15 Antimyasthenic/Cholinergi

c Agents __________ 15 Antimycobacterial Agents

_________________ 15 ANTINEOPLASTICS AND

ADJUNCTIVE THERAPIES _______ 15

ANTIPARKINSON AND RELATED THERAPY AGENTS __________ 18

ANTIPSYCHOTICS/ANTIMANIC AGENTS ______ 18

Antiseptics & Disinfectants _________________ 19

ANTIVENIN LATRODECTUS MAC _____________ 44

ANTIVENIN NORTH AMERICAN _______ 44

ANTIVIRALS _________ 19 anucort-hc ___________ 6 anusol-hc ____________ 6 ANZEMET ___________ 12 APADAZ _____________ 5 APEXICON E _________ 25 APIDRA _____________ 10 APIDRA SOLOSTAR ___ 10 APLENZIN ____________ 9 APOKYN ____________ 18 apraclonidine ________ 42 aprepitant __________ 12 apri ________________ 22 APRISO _____________ 32 APTENSIO XR _________ 3

APTIOM _____________ 8 APTIVUS ____________ 19 AQUORAL ___________ 39 ARALAST NP _________ 45 aranelle _____________ 22 ARANESP ALBUMIN FREE

_________________ 34 ARAVA ______________ 3 ARESTIN ____________ 39 argyle sterile saline 100 33 argyle sterile water 100m

_________________ 38 ARIMIDEX ___________ 16 aripiprazole __________ 18 aripiprazole odt ______ 18 ARISTADA ___________ 18 ARISTADA INITIO _____ 18 armodafinil ___________ 3 ARMOUR THYROID ___ 46 ARNUITY ELLIPTA ______ 7 AROMASIN __________ 16 ARRANON ___________ 16 arsenic trioxide _______ 16 ARTHROTEC 50 ________ 3 ARTHROTEC 75 ________ 3 ARZERRA____________ 16 arzol silver nitrate app _ 25 ASACOL HD __________ 32 ascomp/codeine _______ 5 ashlyna _____________ 22 ASMANEX HFA ________ 7 ASMANEX TWISTHALER

120 ME ____________ 7 ASMANEX TWISTHALER 7

METE _____________ 7 aspirin/dipyridamole er 34 ASTAGRAF XL ________ 38 ASTEPRO ____________ 41 ATACAND ___________ 13 atazanavir sulfate _____ 19 ATELVIA ____________ 31 atenolol __________ 13, 20 atenolol/chlorthalidone 13 ATGAM _____________ 38 ATIVAN ______________ 6 ATIVAN INJ 2MG/ML 6 atomoxetine __________ 3 atomoxetine hydrochloride

__________________ 3 ATOPADERM ________ 25 atorvastatin calcium ___ 13 atovaquone ______ 14, 15 atovaquone/proguanil hcl

_________________ 15 atracurium besylate ___ 42 ATRALIN ____________ 25 ATRAPRO ANTIPRURITIC

HYDR ____________ 25 ATRAPRO CP _________ 25

ATRAPRO DERMAL SPRAY _________________ 25

ATRIPLA ____________ 19 ATROPEN ___________ 46 atropine sul sol 1% op _ 42 ATROVENT HFA _______ 7 AUBAGIO ___________ 45 aubra _______________ 22 aubra eq ____________ 22 augmented

betamethasone d ___ 25 aurovela 1/20 ________ 22 aurovela 24 fe ________ 22 AURYXIA ____________ 32 AUSTEDO ___________ 45 AVAGE ______________ 25 AVALIDE ____________ 13 AVANDIA____________ 10 AVAPRO ____________ 13 AVAR _______________ 25 avar cleanser _________ 25 AVAR LS ____________ 25 AVAR LS CLEANSER ___ 25 avar-e green _________ 25 AVAR-E LS ___________ 25 AVASTIN ____________ 16 AVC ________________ 48 AVEED _______________ 6 AVENOVA ___________ 25 aviane ______________ 22 avita ________________ 25 AVODART ___________ 33 AVONEX ____________ 45 AVONEX PEN ________ 45 AVYCAZ _____________ 22 azacitidine ___________ 16 AZACTAM ___________ 14 AZASAN _____________ 38 AZASITE _____________ 42 azathioprine _________ 38 AZATHIOPRINE INJ ____ 38 azelaic acid __________ 25 azelastine dro 0.05% __ 42 azelastine spray _____ 41 AZELEX _____________ 25 AZILECT _____________ 18 azithromycin _________ 36 AZITHROMYCIN POW 1GM

PAK ______________ 36 AZOPT ______________ 42 AZOR _______________ 13 AZULFIDINE __________ 32 AZULFIDINE EN-TABS __ 32 azurette _____________ 22

B bacitracin ________ 14, 42 BACITRACIN OIN OP __ 42 bacitracin/polymyxin b _ 42

baclofen _____________ 41 BACMIN _____________ 39 BAL IN OIL ___________ 11 balanced salt solution __ 42 BALCOLTRA __________ 22 balsalazide disodium ___ 32 balziva ______________ 22 BANZEL ______________ 8 BAQSIMI ONE PACK ___ 10 BARACLUDE _________ 19 BARACLUDE SOL ____ 19 BASAGLAR KWIKPEN __ 10 BAXDELA ____________ 32 bd posiflush __________ 37 BEAU RX ____________ 25 BECONASE AQ ________ 41 BELBUCA _____________ 5 BELLA/OPIUM SUP 16.2-

60 _______________ 46 belladonna/opium ____ 46 BELSOMRA __________ 36 BELVIQ _______________ 3 BELVIQ XR ____________ 3 benazepril hcl ________ 13 benazepril hcl/hydrochlor

_________________ 13 benazepril hydrochloride13 benazepril hydrochloride/

_________________ 13 BENICAR ____________ 13 BENICAR HCT ________ 13 BENLYSTA ___________ 38 BENSAL HP __________ 25 BENZAC AC WASH ____ 25 BENZACLIN WITH PUMP 25 BENZAMYCIN ________ 25 benzepro foaming cloths 25 BENZHYDROCODONE/ACE

TAMINO ___________ 5 BENZIQ _____________ 25 BENZIQ LS ___________ 25 BENZIQ WASH ________ 25 BENZNIDAZOLE ________ 6 benzoin compound

tincture ___________ 25 benzonatate _________ 25 benzphetamine hcl _____ 3 benztropine inj 1mg/ml 18 benztropine mesylate __ 18 BEOVU ______________ 42 BEPREVE ____________ 42 BESIVANCE __________ 42 BESPONSA ___________ 16 BETA BLOCKERS ______ 20 BETADINE OPHTHALMIC

PREP _____________ 42 betamethasone

dipropionat ________ 25 betamethasone sodium

phos _____________ 24

52

betamethasone valerate 25 BETAPACE __________ 20 BETASERON _________ 45 betaxolol sol 0.5% op 42 betaxolol tab _______ 20 bethanechol chloride __ 47 BETHKIS _____________ 3 BETIMOL ___________ 42 BETOPTIC-S _________ 42 BEVESPI AEROSPHERE __ 7 bexarotene __________ 16 BEXSERO ___________ 48 BEYAZ ______________ 22 bicalutamide ________ 16 BICILLIN L-A _________ 44 BICNU ______________ 16 BIDIL _______________ 21 BI-EST 50

50 COMPOUNDING 32 50 PROGESTERONE_ 32

BI-EST 80 20 PROGESTERONE_ 32

BIJUVA _____________ 32 BIKTARVY ___________ 19 bimatoprost ______ 25, 42 BINOSTO ___________ 31 bisoprolol fumarate 13, 20 bisoprolol fumarate/hydro

_________________ 13 bivalirudin ___________ 8 BIVALIRUDIN/SODIUM

CHLORI ___________ 8 bleomycin ___________ 16 bleomycin sulfate _____ 16 BLEPH-10 ___________ 42 BLEPHAMIDE ________ 42 BLEPHAMIDE S.O.P.___ 42 blisovi 24 fe _________ 22 blisovi fe 1.5/30 ______ 22 blisovi fe 1/20________ 22 BONIVA ____________ 31 BONJESTA __________ 12 BOOSTRIX___________ 46 bosentan ___________ 21 BOSULIF ____________ 16 BOTOX __________ 26, 42 BOTOX COSMETIC ____ 26 bp foam ____________ 26 bp wash ____________ 26 BPCO_______________ 26 b-plex ______________ 39 b-plex plus __________ 39 BRAFTOVI ___________ 16 BREO ELLIPTA_________ 7 BREVIBLOC __________ 20 BREVIBLOC PREMIXED 20 BREVIBLOC PREMIXED

DOUBLE __________ 20 BRIDION ____________ 11 briellyn _____________ 22

BRILINTA ____________ 34 brimonidine tartrate __ 42 BRISDELLE ___________ 45 BRIVIACT ____________ 8 bromfed dm _________ 25 bromfenac __________ 42 bromocriptine mesylate 18 bromphen/pseudoephedri

ne _______________ 25 BROMSITE __________ 42 BROVANA ____________ 7 BRYHALI ____________ 26 BSS ________________ 42 budesonide ________ 7, 24 budesonide sus _______ 7 budesonide er________ 24 BUDESONIDE/FORMOTER

OL FUM ___________ 7 bumetanide inj ______ 30 bumetanide tab _____ 30 BUMEX _____________ 30 BUNAVAIL____________ 5 bupap _______________ 4 bupivacaine hcl _______ 36 bupivacaine spinal ____ 36 bupivacaine/epinephrine

_________________ 36 BUPRENEX ___________ 5 BUPRENORPHIN DIS

7.5/HR ____________ 5 buprenorphin inj 0.3mg/ml

__________________ 5 buprenorphin sub 2mg _ 5 buprenorphine ________ 5 buprenorphine hcl/naloxon

__________________ 5 buprenorphine hydrochlori

__________________ 5 bupropion tab sr _____ 9 BUPROPION TAB 450MG

XL ________________ 9 bupropion hcl _________ 9 buspirone hcl _________ 6 buspirone hydrochloride 6 busulfan ____________ 16 but/asa/caf/ cap cod 30mg

__________________ 5 BUTAL/APAP CAP 50-

300MG ____________ 4 butal/apap tab 50-325mg

__________________ 4 butalbital/acetaminophen/

__________________ 4 BUTALBITAL/ASPIRIN/CAF

FEI _______________ 4 BUTISOL SODIUM ____ 36 butorphanol sol 10mg/ml 5 BUTORPHANOL TARTRATE

__________________ 5 BUTRANS ____________ 5

BYDUREON BCISE _____ 10 BYDUREON PEN ______ 10 BYETTA _____________ 10 BYSTOLIC ____________ 20

C cabergoline __________ 31 CABOMETYX _________ 16 CADUET _____________ 21 CAFCIT _______________ 3 CAFERGOT___________ 37 caffeine cit inj 60mg/3ml 3 caffeine citrate ________ 3 CALAN ______________ 21 CALAN SR ___________ 21 CALCIFOL ____________ 37 calcipotriene _________ 26 calcipotriene/betamethaso

_________________ 26 calcitonin-salmon _____ 31 calcitriol __________ 26, 31 calcitriol inj _________ 31 calcitriol oin 3mcg/gm 26 calcium acetate _______ 32 Calcium Channel Blockers

_________________ 21 calcium chloride ______ 37 calcium gluconate _____ 37 CALQUENCE _________ 16 CAMBIA _____________ 37 camila ______________ 22 CAMINO PRO 15PE ____ 30 CAMINO PRO PKU ____ 30 CAMPTOSAR _________ 16 camrese _____________ 22 camrese lo ___________ 22 CANASA ____________ 32 CANCIDAS ___________ 12 candesartan cilexetil ___ 13 candesartan cilexetil/hyd

_________________ 13 CAPASTAT SULFATE ___ 15 capecitabine _________ 16 CAPEX ______________ 26 CAPHOSOL __________ 39 CAPRELSA ___________ 16 captopril ____________ 13 captopril/hydrochlorothia

_________________ 13 CARAC ______________ 26 CARAFATE SUS

1GM/10ML _______ 46 CARAFATE TAB 1GM_ 46 CARB/LEVO 50 TAB

/ENTACAP ________ 18 carb/levo100 tab /entacap

_________________ 18 carbamazepine ________ 8 carbamazepine er ______ 8

CARBATROL ___________ 8 carbidopa ___________ 18 carbidopa/levodopa ___ 18 carbidopa/levodopa er _ 18 carbidopa/levodopa odt 18 carbinoxamine maleate 12 carboplatin __________ 16 CARDENE IV _________ 21 cardioplegic __________ 21 CARDIOTONICS _______ 21 CARDIOVASCULAR

AGENTS - MISC. ____ 21 CARDIZEM ___________ 21 CARDIZEM CD ________ 21 CARDIZEM LA ________ 21 CARDURA ________ 13, 33 CARDURA XL _________ 33 carisoprodol _________ 41 carisoprodol/aspirin ___ 41 CARNITOR ___________ 31 CARNITOR SF _________ 31 CAROSPIR ___________ 30 CARRASYN HYDROGEL

WOUND D ________ 26 carteolol hcl __________ 42 cartia xt _____________ 21 carvedilol ____________ 20 carvedilol phosphate___ 20 caspofungin acetate ___ 12 CATAPRES ___________ 13 CATAPRES-TTS-1 ______ 13 CATAPRES-TTS-2 ______ 13 CATAPRES-TTS-3 ______ 13 CAVERJECT __________ 21 CAVERJECT IMPULSE __ 21 CAYA _______________ 37 CAYSTON ____________ 14 caziant ______________ 22 cefaclor _____________ 22 CEFACLOR SUS 125/5ML

_________________ 22 cefaclor er ___________ 22 cefadroxil ____________ 22 cefdinir _____________ 22 cefepime ____________ 22 CEFEPIME/DEXTROSE __ 22 cefixime _____________ 22 cefotaxime sodium ____ 22 cefotetan ____________ 22 CEFOTETAN/DEXTROSE 22 cefoxitin sodium ______ 22 cefpodoxime proxetil __ 22 cefprozil _____________ 22 ceftazidime __________ 22 CEFTAZIDIME/DEXTROSE

_________________ 22 ceftriaxone in iso-osmoti 22 ceftriaxone sodium ____ 22 CEFTRIAXONE/DEXTROSE

_________________ 22

53

cefuroxime axetil _____ 22 cefuroxime sodium ___ 22 celacyn _____________ 26 CELEBREX ____________ 3 celecoxib ____________ 4 CELESTONE-SOLUSPAN 24 CELEXA ______________ 9 CELLCEPT ___________ 38 CELLCEPT INTRAVENOUS

_________________ 38 CELONTIN ____________ 8 CENFOL _____________ 34 CENTRATEX _________ 34 cephalexin __________ 22 CEPHALEXIN TAB 250MG

_________________ 22 CEPHALOSPORINS ____ 22 CEPROTIN ___________ 34 CEQUA _____________ 42 CERACADE __________ 26 CERAMAX ___________ 26 CEREBYX _____________ 8 CEREFOLIN __________ 30 CEREFOLIN NAC ______ 30 CETACAINE __________ 26 cetirizine hydrochloride 12 CETROTIDE __________ 31 CETYLCIDE-G ________ 19 cevimeline hcl _______ 39 CHANTIX ____________ 45 CHANTIX CONTINUING

MONTH __________ 45 CHANTIX STARTING

MONTH PA _______ 45 chateal eq ___________ 22 CHEMET ____________ 11 chlordiazepoxide hcl 6, 46 chlordiazepoxide hcl/clid 46 chlordiazepoxide hydrochl

__________________ 6 chlordiazepoxide/amitript

_________________ 45 chlorhexidine gluconate 39 chloroprocaine hydrochlor

_________________ 36 chloroquine phosphate 15 chlorothiazide _______ 30 chlorothiazide sodium _ 30 CHLORPROMAZINE INJ 18 chlorpromazine hcl ___ 18 chlorthalidone _______ 30 chlorzoxazone _______ 41 cholestyramine ______ 13 cholestyramine light __ 13 chorionic gonadotropin 31 chromagen __________ 35 CIALIS ______________ 21 ciclopirox ___________ 26 ciclopirox nail lacquer _ 26 ciclopirox olamine ____ 26

ciclopirox treatment ___ 26 cidofovir ____________ 19 cilostazol ____________ 34 CILOXAN ____________ 42 cimetidine ___________ 46 cimetidine hcl ________ 46 CIMZIA __________ 32, 33 CIMZIA STARTER KIT __ 33 cinacalcet hydrochloride 31 CIPRO ___________ 32, 44 CIPRO HC ___________ 44 CIPRODEX ___________ 44 CIPROFLOXACIN ______ 44 ciprofloxacin hcl ______ 32 ciprofloxacin i.v.-in d5w 32 CIPROFLOXACIN/FLUOCIN

OLON ____________ 44 ciprofloxacn sol 0.3% op 42 cisatracurium besylate _ 42 cisplatin_____________ 16 citalopram hydrobromide 9 CITRANATAL ASSURE __ 39 CITRANATAL B-CALM __ 39 CITRANATAL BLOOM __ 39 CITRANATAL BLOOM DHA

_________________ 39 CITRANATAL DHA ____ 39 CITRANATAL HARMONY 39 CITRANATAL MEDLEY _ 39 CITRANATAL RX ______ 39 claravis _____________ 26 CLARINEX ________ 12, 25 CLARINEX-D 12 HOUR _ 25 clarithromycin _______ 36 clarithromycin er _____ 36 clemastine fumarate __ 12 CLENPIQ ____________ 36 CLEOCIN ______ 14, 15, 26 CLEOCIN PEDIATRIC

GRANULE _________ 15 CLEOCIN PHOSPHATE _ 15 CLEOCIN-T __________ 26 CLEVIPREX __________ 21 CLIMARA____________ 32 CLIMARA PRO _______ 32 clindacin etz pledgets __ 26 CLINDACIN PAC ______ 26 CLINDAGEL __________ 26 clindamycin cre 2% vag 48 CLINDAMYCIN GEL 1% 26 clindamycin inj _______ 15 clindamycin sol 1% ___ 26 clindamycin hcl _______ 15 clindamycin palmitate hcl

_________________ 15 clindamycin phosphate in

_________________ 15 clindamycin

phosphate/ben ____ 26

clindamycin phosphate/tre _________________ 26

clindamycin/benzoyl perox _________________ 26

CLINDAMYCIN/SODIUM CHLORI ___________ 15

CLINDESSE ___________ 48 clinpro 5000 _________ 39 clobazam _____________ 8 clobetasol propionate _ 26 clobetasol propionate emo

_________________ 26 CLOBEX _____________ 26 CLOCORTOLONE PIVALATE

_________________ 26 CLODERM ___________ 26 clofarabine __________ 16 CLOLAR _____________ 16 clomiphene citrate ____ 31 clomipramine hcl ______ 9 clonazepam ___________ 8 clonazepam odt _______ 8 clonidine dis 0.1/24hr 14 clonidine inj _________ 4 clonidine tab 0.1mg __ 14 clonidine hcl er ________ 3 clonidine hydrochloride 14 clopidogrel __________ 34 clorazepate dipotassium 6 CLOROTEKAL _________ 36 clotrimazole anti-fungal 26 clotrimazole sol 1% ____ 26 clotrimazole troche 10mg

_________________ 39 clotrimazole vag cre 2% 48 clotrimazole/betamethaso

n ________________ 26 clozapine ____________ 19 CLOZAPINE TAB

150/ODT _________ 19 clozapine odt_________ 19 C-NATE DHA _________ 39 COARTEM ___________ 15 codeine sulfate ________ 5 COLCHICINE _________ 34 COLCRYS ____________ 34 colesevelam hydrochloride

_________________ 13 COLESTID ___________ 13 colestipol hcl _________ 13 colistimethate sodium _ 15 colocort ______________ 6 COLY-MYCIN S _______ 44 COLYTE-FLAVOR PACKS 36 COMBIGAN __________ 42 COMBIPATCH ________ 32 COMBIVENT RESPIMAT _ 7 COMPLERA __________ 19 complete natal dha ____ 39 completenate ________ 39

compro _____________ 19 COMTAN ____________ 18 co-natal fa ___________ 40 CONCEPT DHA ________ 40 CONCERTA____________ 3 CONDYLOX __________ 26 constulose ___________ 36 CONTRACEPTIVES _____ 22 CONTRAST ALLERGY

PREMED P ________ 24 CONTRAVE ___________ 3 CONZIP ______________ 5 COPAXONE __________ 45 COPPER TRACE METAL _ 37 CORDRAN ___________ 26 COREG ______________ 20 COREG CR ___________ 20 CORGARD ___________ 20 CORLANOR __________ 21 CORLOPAM __________ 14 CORTEF _____________ 24 cortic-nd ____________ 44 CORTICOSTEROIDS ____ 24 CORTIFOAM __________ 6 CORTISONE ACETATE __ 24 CORTISPORIN-TC _____ 44 CORVERT _____________ 7 CORVITA ____________ 40 corvita 150___________ 35 CORVITE FE __________ 35 COSENTYX ___________ 26 COSENTYX SENSOREADY

PEN ______________ 26 COSOPT _____________ 42 COSOPT PF __________ 42 COTEMPLA XR-ODT ____ 3 COUGH/COLD/ALLERGY 25 COUMADIN ___________ 8 covaryx _____________ 32 covaryx hs ___________ 32 COZAAR _____________ 14 CREON ______________ 30 CRESEMBA __________ 12 CRESEMBA INJ ______ 12 CRESTOR ____________ 13 CRINONE ____________ 48 CRIXIVAN ____________ 19 cromolyn sod neb ______ 7 cromolyn sodium __ 33, 42 crotan ______________ 26 cryselle-28 ___________ 22 c-topical _____________ 26 CUPRIMINE __________ 38 CURITY HYPERTONIC

SODIUM __________ 26 CURITY SODIUM

CHLORIDE DR ______ 26 curity sterile saline ____ 33 CUROSURF __________ 45 CUTAQUIG ___________ 44

54

CUTIVATE ___________ 26 CUVITRU ____________ 44 CUVPOSA ___________ 46 cyanocobalamin ______ 35 CYANOKIT __________ 11 cyclafem 1/35________ 22 cyclafem 7/7/7 _______ 22 cyclobenzaprine hydrochlo

_________________ 41 CYCLOGYL ___________ 42 CYCLOMYDRIL _______ 42 cyclopentolate hcl ____ 42 cyclopentolate hydrochlor

_________________ 42 cyclophosphamide ____ 16 CYCLOPHOSPHAMIDE CAP

25MG ____________ 16 cyclophosphamide inj _ 16 cycloserine __________ 15 CYCLOSET ___________ 10 cyclosporine _________ 38 cyclosporine cap 25mg

mod _____________ 38 CYCLOSPORINE CAP 50MG

MOD ____________ 38 cyclosporine inj ______ 38 CYKLOKAPRON ______ 35 CYMBALTA ___________ 9 cyproheptadine hcl ___ 12 cyproheptadine hydrochlor

_________________ 12 CYRAMZA ___________ 16 cyred _______________ 22 cyred eq ____________ 22 CYSTADANE _________ 31 CYSTAGON __________ 33 cytarabine __________ 16 CYTOMEL ___________ 46 CYTOTEC ____________ 46

D dacarbazine _________ 16 dalfampridine er _____ 45 DALIRESP ____________ 7 danazol ______________ 6 dantrolene sodium____ 41 dapsone _________ 15, 26 dapsone gel 5% ____ 26 daptomycin _________ 15 darifenacin hydrobromide

_________________ 47 dasetta 1/35 _________ 22 dasetta 7/7/7 ________ 22 daunorubicin hcl _____ 16 DAUNORUBICIN

HYDROCHLORID ___ 16 DAURISMO __________ 16 DAYPRO _____________ 4 daysee _____________ 22

DAYTRANA ___________ 3 DEBACTEROL ________ 39 deblitane ____________ 22 decitabine ___________ 16 deferoxamine mesylate 11 DELESTROGEN _______ 32 DELSTRIGO __________ 19 DELZICOL ___________ 33 demeclocycline hcl ____ 46 DEMEROL ____________ 5 DEMSER ____________ 14 DENAVIR ____________ 26 denta 5000 plus ______ 39 dentagel ____________ 39 DEPACON ____________ 8 DEPAKOTE ___________ 8 DEPAKOTE ER _________ 8 DEPAKOTE SPRINKLES __ 8 DEPEN TITRATABS ____ 38 DEPLIN 15 ___________ 30 DEPLIN 7.5 __________ 30 DEPO-ESTRADIOL _____ 32 DEPO-MEDROL _______ 24 DEPO-PROVERA ___ 16, 22 DEPO-PROVERA

CONTRACEPTIV ____ 22 DEPO-SUBQ PROVERA 104

_________________ 22 DEPO-TESTOSTERONE __ 6 DERMACINRX LEXITRAL

PHARM __________ 26 DERMACINRX PHN PAK 26 DERMACINRX ZRM PAK 26 DERMA-SMOOTHE/FS

BODY ____________ 26 DERMA-SMOOTHE/FS

SCALP ____________ 26 DERMATOLOGICALS __ 25 dermazene __________ 26 DERMOTIC __________ 44 DESCOVY ___________ 19 DESFERAL ___________ 12 desflurane ___________ 33 desipramine hcl _______ 9 desipramine hydrochloride

__________________ 9 desloratadine ________ 12 desloratadine odt _____ 12 desmopressin acetate _ 31 desmopressin inj _____ 31 desmopressin spr 0.01% 31 desogestrel/ethinyl estra22 desonide ____________ 26 DESOWEN ___________ 26 desoximetasone ______ 26 DESVENLAFAX TAB

100MG ER _________ 9 desvenlafaxine er ______ 9 DETROL _____________ 47 DETROL LA __________ 47

dexamethasone ___ 24, 42 dexamethasone 10-day

dose _____________ 24 dexamethasone 6-day dose

_________________ 24 DEXAMETHASONE

INTENSOL _________ 24 dexamethasone pho inj 24 dexamethasone pho sol

0.1% op __________ 42 DEXAMETHASONE SOL

0.5/5ML __________ 24 DEXILANT ___________ 46 dexmedetomidine hcl __ 36 dexmedetomidine

hydrochlo _________ 36 dexmethylphenidate hcl _ 3 dexmethylphenidate hcl er

__________________ 3 dexmethylphenidate

hydroc ____________ 3 dexpak 10 day ________ 24 dexpak 13 day ________ 24 dexpak 6 day _________ 24 dexrazoxane _________ 16 dextroamphetamine

sulfate ____________ 3 DEXTROSE 10%/NACL

0.45% ____________ 37 DEXTROSE 5% _______ 37 dextrose 10%/nacl 0.2% 37 dextrose 2.5%/nacl 0.45%

_________________ 37 dextrose 5%/lactated ring

_________________ 37 dextrose 5%/nacl 0.2% _ 37 dextrose 5%/nacl 0.225%

_________________ 37 dextrose 5%/nacl 0.3% _ 37 dextrose 5%/nacl 0.33% 37 dextrose 5%/nacl 0.45% 37 dextrose 5%/nacl 0.9% _ 37 DEXTROSE/SODIUM

CHLORIDE_________ 37 DIACOMIT ____________ 8 dialyvite _____________ 40 DIALYVITE 3000 ______ 40 DIALYVITE 5000 ______ 40 DIALYVITE SUPREME D 40 DIALYVITE/ZINC ______ 40 DIANEAL LOW

CALCIUM/1.5% ____ 38 DIANEAL LOW

CALCIUM/2.5% ____ 38 DIANEAL LOW

CALCIUM/4.25% ___ 38 DIANEAL PD-2/1.5%

DEXTROS _________ 38 DIANEAL PD-2/2.5%

DEXTROS _________ 38

DIANEAL PD-2/4.25% DEXTRO __________ 38

DIASTAT ACUDIAL______ 8 DIASTAT PEDIATRIC ____ 8 diazepam _____________ 6 diazepam sol 5mg/5ml 6 diazepam intensol ______ 6 DIAZEPAM RECTAL GEL _ 8 DICLEGIS ____________ 12 diclofenac gel _______ 26 diclofenac sol 0.1% op_ 42 DICLOFENAC EPOLAMINE

_________________ 26 diclofenac potassium ___ 4 diclofenac sodium dr____ 4 diclofenac sodium er ____ 4 diclofenac sodium/misopro

__________________ 4 diclofex dc ___________ 26 dicloxacillin sodium ____ 44 dicyclomine sol 10mg/5ml

_________________ 46 dicyclomine hcl _______ 46 dicyclomine hydrochloride

_________________ 46 DIETARY

PRODUCTS/DIETARY MANAGEMENT PRODUCTS ________ 29

diethylpropion hcl ______ 3 diethylpropion hcl er ____ 3 DIFFERIN ____________ 26 DIFICID ______________ 36 difil-g forte ____________ 7 diflorasone diacetate __ 26 DIFLUCAN ___________ 12 diflunisal _____________ 4 DIGESTIVE AIDS ______ 30 digox _______________ 21 digoxin ______________ 21 digoxin inj _________ 21 DIGOXIN SOL

50MCG/ML ________ 21 dihydroergotamine

mesylat ___________ 37 DIHYDROERGOTAMINE

SPR ______________ 37 DILANTIN CAP 100MG 8 DILANTIN CAP 30MG _ 8 DILANTIN INFATABS ____ 8 DILANTIN-125 _________ 8 diltiazem tab ________ 21 diltiazem hcl cd _______ 21 diltiazem hcl er _______ 21 diltiazem hydrochloride e

_________________ 21 dilt-xr _______________ 21 DILT-XR CAP 120MG 21 DIOVAN _____________ 14 DIOVAN HCT _________ 14

55

DIPENTUM __________ 33 diphenhydramine hcl __ 12 diphenhydramine inj __ 12 diphenoxylate hydrochlori

_________________ 11 diphenoxylate/atropine 11 DIPROLENE __________ 26 DIPROLENE AF _______ 26 dipyridamole ________ 34 disopyramide phosphate 7 disulfiram ___________ 45 DIURETICS __________ 30 DIURIL _____________ 30 divalproex sodium _____ 8 divalproex sodium dr ___ 8 divalproex sodium er ___ 8 DIVIGEL ____________ 32 dofetilide ____________ 7 DOLOPHINE __________ 5 donepezil hcl ________ 45 donepezil hydrochloride 45 donepezil hydrochloride o

_________________ 45 DONNATAL__________ 46 DOPRAM ____________ 3 DOPTELET ___________ 35 DORAL _____________ 36 DORYX MPC _________ 46 dorzolamide hcl ______ 42 dorzolamide hcl/timolol m

_________________ 42 dorzolamide hydrochloride

_________________ 42 dotti _______________ 32 DOVATO ____________ 19 doxazosin mesylate ___ 14 doxepin hcl ___________ 9 doxepin hydrochloride __ 9 doxercalciferol _______ 31 DOXIL ______________ 16 doxorubicin hcl _______ 16 doxorubicin hydrochloride

_________________ 16 DOXYCYCLINE CAP 40MG

_________________ 26 doxycycline sus 25mg/5ml

_________________ 46 DOXYCYCLINE HYC TAB

50MG ____________ 46 doxycycline hyclate ___ 46 doxycycline hyclate dr _ 46 doxycycline monohydrate

_________________ 46 doxylamine succinate/pyri

_________________ 12 D-PENAMINE ________ 38 DRITHO-CREME HP ___ 26 dronabinol __________ 12 droperidol ___________ 7

drospirenone/ethinyl estr _________________ 22

DROXIA _____________ 35 DRYSOL _____________ 26 DUAC ______________ 26 DUAVEE ____________ 32 DUET DHA BALANCED _ 40 DUEXIS ______________ 4 DULERA ______________ 7 duloxetine hcl _________ 9 duloxetine hydrochloride 9 DUOBRII ____________ 26 DUODOTE ___________ 12 DUOPA _____________ 18 DUPIXENT ___________ 26 duramorph ___________ 5 DURASAFE

SPINAL/EPIDURAL __ 36 DUREZOL ___________ 42 DUROLANE __________ 41 dutasteride __________ 33 dutasteride/tamsulosin hc

_________________ 33 DYANAVEL XR ________ 3 DYAZIDE ____________ 30 DYMISTA____________ 41 DYRENIUM __________ 30 DYSPORT ___________ 42

E e.e.s. 400 ___________ 36 E.E.S. GRANULES _____ 36 EC-NAPROXEN ________ 4 econazole nitrate _____ 26 ECOZA ______________ 26 EDARBI _____________ 14 EDARBYCLOR ________ 14 EDECRIN ____________ 30 EDEX _______________ 21 EDLUAR _____________ 36 ed-spaz _____________ 46 EDURANT ___________ 19 eemt _______________ 32 eemt hs _____________ 32 efavirenz ____________ 19 effer-k ______________ 37 EFFER-K TAB 20MEQ 37 EFFEXOR XR __________ 9 EFFIENT _____________ 34 EFUDEX _____________ 26 ELELYSO ____________ 35 ELESTRIN ____________ 32 ELETONE TWINPACK __ 26 eletriptan hydrobromide 37 ELFOLATE ___________ 30 ELIDEL ______________ 26 ELIGARD ____________ 16 elinest ______________ 22 ELIQUIS ______________ 8

ELITEK ______________ 16 elite-ob _____________ 40 ELIXOPHYLLIN _________ 7 ELLA ________________ 22 ELLENCE ____________ 16 ELMIRON ____________ 33 ELOCON _____________ 26 ELOCTATE ___________ 34 EMCYT ______________ 16 EMEND _____________ 12 EMEND TRIPACK ______ 12 EMFLAZA ____________ 24 EMGALITY ___________ 37 EMPLICITI ___________ 16 EMSAM ______________ 9 EMVERM _____________ 6 ENABLEX ____________ 47 enalapril maleate _____ 14 enalapril maleate/hydroch

_________________ 14 enalaprilat ___________ 14 ENBRACE HR _________ 40 ENBREL ______________ 4 ENBREL MINI _________ 4 ENBREL SURECLICK _____ 4 endocet ______________ 5 ENDOCRINE AND

METABOLIC AGENTS - MISC. ____________ 31

ENDOMETRIN ________ 48 ENGERIX-B __________ 48 ENLYTE _____________ 30 enoxaparin sodium _____ 8 enpresse-28 _________ 22 enskyce _____________ 22 ENSTILAR ___________ 26 entacapone __________ 18 entecavir ____________ 19 ENTERAGAM _________ 30 ENTOCORT EC ________ 24 ENTRESTO ___________ 21 ENTTY SPRAY EMULSION

_________________ 26 ENTYVIO ____________ 33 enulose _____________ 33 ENVARSUS XR ________ 38 EPANED _____________ 14 EPCLUSA ____________ 19 EPICERAM ___________ 26 EPICYN _____________ 26 EPIDIOLEX ____________ 8 EPIDUO _____________ 26 EPIDUO FORTE _______ 26 EPIFOAM ____________ 26 epinastine hcl ________ 42 epirubicin hcl ________ 16 epitol ________________ 8 EPIVIR ______________ 19 EPIVIR HBV SOL 5MG/ML

_________________ 19

EPIVIR HBV TAB 100MG _________________ 19

eplerenone __________ 14 EPOGEN _____________ 35 epoprostenol sodium __ 21 eprosartan mesylate ___ 14 eptifibatide __________ 34 EQUACARE JR ________ 30 EQUETRO____________ 19 ERAXIS ______________ 12 ERGOMAR ___________ 37 ergotamine tartrate/caffe

_________________ 37 ERIVEDGE ___________ 16 erlotinib hydrochloride _ 16 errin ________________ 22 ERTACZO ____________ 26 ertapenem sodium ____ 15 ERY _________________ 26 ERYGEL _____________ 26 ERYPED 200 __________ 36 ERYPED 400 __________ 36 ery-tab ______________ 36 ERYTHROCIN

LACTOBIONATE ____ 36 ERYTHROCIN STEARATE 36 erythromycin base ____ 36 erythromycin cap _____ 36 erythromycin dr ______ 36 erythromycin ethylsuccina

_________________ 36 erythromycin gel 2% ___ 27 erythromycin oin 5mg/gm

_________________ 42 erythromycin/benzoyl pero

_________________ 27 ESBRIET _____________ 45 escitalopram oxalate ____ 9 esmolol hcl __________ 20 esomeprazole magnesium

_________________ 46 esomeprazole sodium __ 46 estarylla _____________ 22 estazolam ___________ 36 esterified estrogens/meth

_________________ 32 ESTRACE TAB ______ 32 ESTRACE VAG CRE 0.01%

_________________ 48 estradiol__________ 32, 48 estradiol vag tab _____ 48 estradiol valerate _____ 32 estradiol/norethindrone a

_________________ 32 ESTRING ____________ 48 ESTRIOL-PROGESTERONE

COMP ____________ 32 ESTROGEL ___________ 32 Estrogens ____________ 32 ESTROSTEP FE ________ 23

56

eszopiclone _________ 36 ethacrynic acid _______ 30 ethambutol hcl _______ 15 ethambutol hydrochloride

_________________ 15 ethosuximide _________ 8 ETHYL CHLORIDE/FINE

STREA ___________ 27 ethyl chloride/mist____ 27 ethynodiol diacetate/ethi

_________________ 23 etidronate disodium __ 31 etodolac _____________ 4 etodolac er ___________ 4 etomidate ___________ 33 ETOPOPHOS _________ 16 etoposide ___________ 16 EUCRISA ____________ 27 EUFLEXXA ___________ 41 EURAX _____________ 27 euthyrox ____________ 46 EVAMIST ___________ 32 EVEKEO______________ 3 EVEKEO ODT _________ 3 EVISTA _____________ 31 EVOCLIN ____________ 27 EVOTAZ ____________ 19 EXELDERM __________ 27 EXELON_____________ 45 exemestane _________ 16 EXFORGE ___________ 14 EXFORGE HCT________ 14 EXJADE _____________ 12 EXODERM___________ 27 exotic-hc ____________ 44 EXTAVIA ____________ 45 EXTINA _____________ 27 EXTRANEAL _________ 38 EYLEA ______________ 42 ezetimibe ___________ 13 ezetimibe/simvastatin _ 13

F fabb _______________ 35 FABIOR _____________ 27 FABRAZYME _________ 31 falmina _____________ 23 famciclovir __________ 19 famotidine _______ 46, 47 famotidine inj _______ 47 famotidine premixed __ 47 FANAPT ____________ 19 FARXIGA ____________ 10 FARYDAK ___________ 16 FASENRA ____________ 7 FASENRA PEN ________ 7 FASLODEX __________ 16 fayosim _____________ 23 FAZACLO____________ 19

febuxostat___________ 34 felbamate ____________ 8 FELBATOL ____________ 8 FELDENE _____________ 4 felodipine er _________ 21 FEM PH _____________ 48 FEMARA ____________ 16 FEMCAP ____________ 37 FEMHRT LOW DOSE ___ 32 FEMRING ___________ 48 femynor ____________ 23 FENOFIBRATE CAP ___ 13 fenofibrate tab ______ 13 fenofibrate micronized 13 fenofibric acid dr _____ 13 FENOPROFEN CAP

400MG ____________ 4 fenoprofen tab 600mg _ 4 fentanyl ______________ 5 FENTANYL CITRATE ____ 5 fentanyl citrate oral tra _ 5 FERAHEME __________ 35 FERIVA 21/7 _________ 35 FERIVAFA ___________ 35 ferocon _____________ 35 ferotrinsic ___________ 35 FERRALET 90 _________ 35 FERRAPLUS 90 _______ 35 FERRLECIT ___________ 35 FETZIMA _____________ 9 FETZIMA TITRATION PACK

__________________ 9 FIASP _______________ 10 FIASP FLEXTOUCH ____ 10 FIASP PENFILL ________ 10 FINACEA AER 15% __ 27 FINACEA GEL 15% __ 27 finasteride___________ 33 FIORICET ___________ 4, 5 FIORICET/CODEINE ____ 5 FIORINAL __________ 4, 5 FIORINAL/CODEINE #3 _ 5 FIRAZYR ____________ 34 FIRST-BACLOFEN 5 ____ 41 FIRST-LANSOPRAZOLE _ 47 FIRST-METRONIDAZOLE

100 ______________ 15 FIRST-METRONIDAZOLE 50

_________________ 15 FIRST-MOUTHWASH BLM

_________________ 39 FIRST-OMEPRAZOLE __ 47 FIRST-PROGESTERONE

VGS 20 ___________ 48 FIRVANQ ____________ 15 FLAGYL _____________ 15 FLAREX _____________ 42 flavoxate hcl _________ 47 FLEBOGAMMA DIF ____ 44 flecainide acetate ______ 7

FLECTOR ____________ 27 flexbumin ___________ 34 FLOLAN _____________ 21 FLOLIPID ____________ 13 FLOMAX ____________ 33 FLORIVA PLUS ________ 40 FLOVENT DISKUS ______ 7 FLOVENT HFA _________ 7 floxuridine ___________ 16 FLUAD 2019-2020 _____ 48 FLUARIX QUADRIVALENT

2019 _____________ 48 FLUBLOK QUADRIVALENT

2019 _____________ 48 FLUCELVAX

QUADRIVALENT 20 _ 48 fluconazole __________ 12 fluconazole in nacl ____ 12 flucytosine ___________ 12 fludarabine phosphate _ 16 fludrocortisone acetate 24 FLULAVAL QUADRIVALENT

201 ______________ 48 flumazenil ___________ 12 flunisolide ___________ 41 fluocinolone acetonide _ 44 fluocinonide _________ 27 FLUORABON _________ 37 fluoride _____________ 37 fluoritab ____________ 37 fluorometholone _____ 42 FLUOROPLEX_________ 27 Fluoroquinolones _____ 32 fluorouracil _______ 16, 27 FLUOROURACIL CRE 0.5%

_________________ 27 fluorouracil cre 5% ____ 27 FLUOXETINE TAB 60MG 9 fluoxetine dr __________ 9 fluoxetine hcl _________ 9 fluphenazine decanoate 19 fluphenazine hcl ______ 19 FLUPHENAZINE

HYDROCHLORID ___ 19 flurandrenolide _______ 27 flurazepam hcl _______ 36 flurbiprofen ________ 4, 42 flurbiprofen sodium ___ 42 flutamide ____________ 16 fluticasone oin 0.005% 27 fluticasone spr 50mcg _ 41 fluticasone/salmeterol

aero ______________ 7 FLUTICASONE/SALMETER

OL INH ____________ 7 fluvastatin ___________ 13 fluvastatin sodium er __ 13 fluvoxamine maleate ___ 9 fluvoxamine maleate er _ 9

FLUZONE HIGH-DOSE PF 2019 _____________ 48

FLUZONE QUADRIVALENT 2019 _____________ 48

FML _____________ 42, 43 FML FORTE __________ 42 FML LIQUIFILM _______ 43 FOCALIN _____________ 3 FOCALIN XR ___________ 3 folbee ___________ 35, 40 folbee plus ___________ 40 folbic _______________ 30 FOLBIC RF ___________ 30 FOLGARD OS _________ 40 FOLGARD RX _________ 35 folic acid ____________ 35 folic acid/vitamin b-6/vi 35 FOLIVANE-F __________ 35 FOLIVANE-OB ________ 40 FOLIVANE-PLUS ______ 35 FOLLISTIM AQ ________ 31 FOLTANX RF _________ 30 foltrin _______________ 35 FOLTX ______________ 30 fomepizole ___________ 12 fondaparinux sodium ___ 8 FORANE _____________ 33 FORFIVO XL ___________ 9 formaldehyde ________ 19 FORTEO _____________ 31 FOSAMAX ___________ 31 FOSAMAX PLUS D _____ 31 fosamprenavir calcium _ 19 FOSAPREPITANT

DIMEGLUMINE _____ 12 fosinopril sodium _____ 14 fosinopril sodium/hydroch

_________________ 14 fosphenytoin sodium ___ 8 FOSRENOL ___________ 33 FRAGMIN ____________ 8 frovatriptan succinate __ 37 FULPHILA ____________ 35 furosemide _______ 30, 31 furosemide inj _______ 31 FUSION PLUS _________ 35 FUZEON _____________ 19 fyavolv ______________ 32 FYCOMPA ____________ 8

G gabapentin ___________ 8 GABITRIL _____________ 8 GALAFOLD ___________ 31 galantamine hydrobromide

_________________ 45 GALZIN______________ 37 GAMASTAN __________ 44 GAMASTAN S/D ______ 44

57

GAMMAGARD LIQUID _ 44 GAMMAGARD S/D IGA

LESS TH __________ 44 GAMMAKED ________ 44 GAMUNEX-C ________ 44 GANCICLOVIR________ 19 GARDASIL 9 _________ 48 GASTROCROM _______ 33 GASTROINTESTINAL

AGENTS - MISC. ___ 32 gatifloxacin __________ 43 gavilyte-c ___________ 36 gavilyte-n/flavor pack _ 36 GEBAUERS SPRAY AND

STRETC___________ 27 GELFILM OP _________ 43 GEL-FLOW __________ 35 GELNIQUE __________ 47 GEL-ONE ____________ 41 GEMCITABINE _______ 16 gemcitabine hcl ______ 16 gemfibrozil __________ 13 GENADUR ___________ 27 GENERAL ANESTHETICS 33 GENERESS FE ________ 23 generlac ____________ 33 gengraf _____________ 38 GENICIN VITA-D ______ 35 GENITOURINARY AGENTS -

MISCELLANEOUS __ 33 GENOTROPIN ________ 31 GENOTROPIN MINIQUICK

_________________ 31 GENTAK ____________ 43 gentamicin oin 0.1% __ 27 gentamicin sol 0.3% op 43 gentamicin sulfate _____ 3 GENVOYA ___________ 19 GEODON____________ 19 gianvi ______________ 23 GILENYA ____________ 45 GILOTRIF ___________ 16 GILTUSS TR __________ 25 GLASSIA ____________ 46 glatiramer acetate ____ 45 glatopa _____________ 45 GLEEVEC ____________ 16 GLEOSTINE __________ 16 GLIADEL WAFER ______ 16 glimepiride __________ 10 glipizide ____________ 10 glipizide er __________ 10 glipizide xl ___________ 10 glipizide/metformin hydro

_________________ 10 GLOPERBA __________ 34 GLUCAGEN HYPOKIT __ 10 GLUCAGON EMERGENCY

KIT ______________ 10 GLUCOPHAGE _______ 10

GLUCOPHAGE XR _____ 10 GLUCOTROL _________ 10 GLUCOTROL XL _______ 10 GLUMETZA __________ 10 glyburide ____________ 10 glyburide micronized __ 10 glyburide/metformin hydro

_________________ 10 GLYCATE ____________ 47 glycine ______________ 33 glycopyrrolate inj

0.2mg/ml _________ 47 glycopyrrolate tab 1mg 47 glydo _______________ 27 GLYNASE ____________ 10 GLYSET _____________ 10 GLYTACTIN BETTERMILK

15 _______________ 30 GLYTACTIN BETTERMILK

DE-L _____________ 30 GLYTACTIN BUILD 10PE 30 GLYTACTIN BUILD 20/20

PKU _____________ 30 GLYTACTIN COMPLETE

10PE _____________ 30 GLYTACTIN RESTORE 10 30 GLYTACTIN RESTORE 5 30 GLYTACTIN RESTORE LITE

10 _______________ 30 GLYTACTIN RTD 10 ____ 30 GLYTACTIN RTD 15 ____ 30 GLYTACTIN RTD LITE 15 30 GLYTACTIN SWIRL 15PE 30 GLYXAMBI __________ 10 GOLYTELY ___________ 36 GONAL-F ____________ 31 GONAL-F RFF REDIJECT 31 GORDOFILM _________ 27 Gout Agents _________ 34 grafco silver nitrate app 27 GRALISE ____________ 45 GRALISE STARTER ____ 45 granisetron inj 1mg/ml 12 granisetron hcl _______ 12 griseofulvin microsize__ 12 griseofulvin ultramicrosi 12 guanfacine er _________ 3 guanfacine hcl _______ 14 GUANIDINE HCL ______ 15 GVOKE PFS __________ 10 GYNAZOLE-1 _________ 48

H hailey 24 fe __________ 23 halcinonide __________ 27 HALCION ____________ 36 HALOBETASOL AER 0.05%

_________________ 27 halobetasol cre 0.05% _ 27

HALOG______________ 27 haloperidol __________ 19 haloperidol decanoate _ 19 haloperidol lactate ____ 19 HARVONI ___________ 19 HAVRIX _____________ 48 hc butyrate cre 0.1% __ 27 hc butyrate sol 0.1% __ 27 hc pramoxine cre 1-1% __ 6 hc pramoxine cre 2.5-1% 27 HEALON ____________ 43 HEALON GV __________ 43 HEALON5 ___________ 43 heather _____________ 23 HEMABATE __________ 44 HEMANGEOL ________ 20 hematinic/folic acid ___ 35 HEMATOGEN FA ______ 35 hematogen forte ______ 35 HEMATOLOGICAL AGENTS

- MISC. ___________ 34 HEMATOPOIETIC AGENTS

_________________ 34 HEMATRON-AF _______ 35 HEMLIBRA ___________ 34 hemmorex-hc _________ 6 hemocyte-f __________ 35 HEMOFIL M __________ 34 HEMOSTATICS _______ 35 heparin lock flush ______ 8 heparin sodium ________ 8 heparin sodium/d5w ___ 8 heparin sodium/nacl 0.9% 8 HEPLISAV-B __________ 48 HERCEPTIN __________ 16 HESPAN _____________ 34 hetastarch 6%/nacl ____ 34 HEXTEND ____________ 34 hidex 6-day __________ 24 HIPREX _____________ 47 HIZENTRA ___________ 44 HOMACTIN AA PLUS __ 30 homatropine hbr _____ 43 HORIZANT ___________ 45 HPR PLUS ___________ 27 HUMALOG _______ 10, 11 HUMALOG JUNIOR

KWIKPEN _________ 10 HUMALOG KWIKPEN __ 10 HUMALOG MIX 50/50 _ 11 HUMALOG MIX 50/50

KWIKPEN _________ 11 HUMALOG MIX 75/25 _ 11 HUMALOG MIX 75/25

KWIKPEN _________ 11 HUMATROPE ________ 31 HUMATROPE COMBO

PACK _____________ 31 HUMIRA _____________ 4

HUMIRA PEDIATRIC CROHNS D _________ 4

HUMIRA PEN __________ 4 HUMIRA PEN-CD/UC/HS

START _____________ 4 HUMIRA PEN-PS/UV

STARTER ___________ 4 HUMULIN R U-500

(CONCENTR _______ 11 HUMULIN R U-500

KWIKPEN _________ 11 HYALGAN ___________ 41 HYCAMTIN CAP 0.25MG

_________________ 16 HYCAMTIN INJ 4MG _ 16 HYCLODEX ___________ 27 hydralazine inj _______ 14 hydralazine hcl _______ 14 hydralazine hydrochloride

_________________ 14 HYDREA _____________ 16 HYDRO 35 ___________ 27 HYDRO 40 FOAM _____ 27 hydrochlorothiazide ___ 31 hydrocodone bitartrate/ac

__________________ 5 hydrocodone bitartrate/ho

_________________ 25 hydrocodone polistirex/ch

_________________ 25 hydrocodone/acetaminoph

en ________________ 5 hydrocodone/ibuprofen _ 5 hydrocort cre 1% ____ 27 hydrocort ene 100mg __ 6 hydrocort tab 5mg ___ 24 hydrocort ac sup 25mg __ 6 hydrocortisone valerate 27 hydrocortisone/acetic aci

_________________ 44 hydrocortisone/iodoquinol

_________________ 27 HYDROFERA BLUE FOAM

DRESS ____________ 27 HYDROFERA BLUE READY

FOAM ____________ 27 hydromet ____________ 25 hydromorphon inj 2mg/ml

__________________ 5 hydromorphon inj 4mg/ml

__________________ 5 hydromorphon sup 3mg _ 5 hydromorphone hcl tab _ 5 hydromorphone hcl er __ 5 hydromorphone

hydrochlori _________ 5 hydroquinone ________ 27 hydroquinone time release

_________________ 27 hydroxocobalamin ____ 35

58

hydroxychloroquine sulfat _________________ 15

hydroxyprogesterone capro ____________ 45

hydroxyurea _________ 16 hydroxyzine hcl inj _____ 7 hydroxyzine hcl tab ____ 7 hydroxyzine pamoate __ 7 HYLATOPIC PLUS _____ 27 hylavite _____________ 40 HYLENEX ____________ 38 HYOPHEN ___________ 47 hyoscyamine sub 0.125mg

_________________ 47 hyoscyamine tab 0.125mg

_________________ 47 hyoscyamine sulfate er 47 hyosyne ____________ 47 HYPERHEP B S/D _____ 44 HYPERLYTE-CR _______ 37 HYPERRAB __________ 44 HYPERRAB S/D _______ 44 HYPERRHO S/D ______ 44 HYPERRHO S/D MINI-

DOSE ____________ 44 HYPERTET S/D _______ 44 HYPNOTICS/SEDATIVES/SL

EEP DISORDER AGENTS _________________ 35

HYPOCYN ___________ 27 HYQVIA ____________ 44 HYSINGLA ER _________ 5 HYZAAR ____________ 14

I ibandronate inj ______ 31 ibandronate sodium __ 31 IBRANCE ____________ 16 ibu __________________ 4 ibuprofen ____________ 4 icatibant acetate _____ 34 IDAMYCIN PFS _______ 16 idarubicin hcl ________ 16 IFEX ________________ 16 ILARIS _______________ 4 ILEVRO _____________ 43 ILUMYA ____________ 27 imatinib mesylate ____ 16 IMBRUVICA _________ 16 IMFINZI _____________ 16 imipenem/cilastatin ___ 15 imipramine hcl _______ 10 imipramine pamoate __ 10 imiquimod __________ 27 IMIQUIMOD PUMP ___ 27 IMITREX ____________ 37 IMITREX STATDOSE REFILL

_________________ 37

IMITREX STATDOSE SYSTEM __________ 37

IMOGAM RABIES-HT __ 44 IMOVAX RABIES (H.D.C.V.)

_________________ 48 IMPOYZ _____________ 27 IMURAN ____________ 38 IMVEXXY MAINTENANCE

PACK ____________ 48 IMVEXXY STARTER PACK

_________________ 48 INBRIJA _____________ 18 INCRELEX ___________ 31 INCRUSE ELLIPTA ______ 7 indapamide __________ 31 INDERAL LA _________ 20 INDOCIN _____________ 4 indomethacin cap ______ 4 indomethacin er _______ 4 indomethacin inj 1mg __ 4 indomethacin sr _______ 4 INFED ______________ 35 INFLECTRA __________ 33 INFUMORPH 200 ______ 5 INFUMORPH 500 ______ 5 INGREZZA ___________ 45 INJECTAFER _________ 35 INLYTA _____________ 16 INSPRA _____________ 14 INSULIN LISPRO ______ 11 INSULIN LISPRO KWIKPEN

_________________ 11 INTEGRA F __________ 35 INTEGRA PLUS _______ 35 INTEGRILIN __________ 34 INTELENCE __________ 19 INTRAROSA _________ 48 INTRON A ___________ 16 introvale ____________ 23 INTUNIV _____________ 3 INVANZ _____________ 15 INVEGA _____________ 19 INVEGA SUSTENNA ___ 19 INVEGA TRINZA ______ 19 INVELTYS ___________ 43 INVIRASE ___________ 19 INVOKAMET _________ 11 INVOKAMET XR ______ 11 INVOKANA __________ 11 iodine strong ________ 37 iodoquinol/hydrocortisone

_________________ 27 IONOSOL-MB/DEXTROSE

5% ______________ 37 IOPIDINE ____________ 43 IPOL INACTIVATED IPV 48 ipratropium spray ____ 41 ipratropium bromide ___ 7 ipratropium bromide/albut

__________________ 7

irbesartan ___________ 14 irbesartan/hydrochlorothi

_________________ 14 IRESSA ______________ 16 irinotecan hcl ________ 16 irinotecan hydrochloride 16 IROSPAN 24/6 _______ 35 ISENTRESS ___________ 20 ISENTRESS HD ________ 20 isibloom _____________ 23 ISOLYTE-P/DEXTROSE 5%

_________________ 37 ISOLYTE-S ___________ 37 ISOLYTE-S PH 7.4 _____ 37 isoniazid ____________ 15 isoniazid inj _________ 15 isoproterenol hydrochlori 7 ISOPTIN SR __________ 21 ISOPTO ATROPINE ____ 43 ISOPTO CARPINE _____ 43 ISORDIL TITRADOSE ____ 6 isosorbide dinitrate ____ 6 isosorbide dinitrate sa __ 6 isosorbide mononitrate _ 6 isosorbide mononitrate er 6 isotretinoin __________ 27 ISOVACTIN AA PLUS ___ 30 isradipine ___________ 21 ISTALOL _____________ 43 ISUPREL ______________ 7 itraconazole _________ 12 ivermectin cre 1% ____ 27 ivermectin tab 3mg ____ 6 IXIARO ______________ 48

J JADENU _____________ 12 JADENU SPRINKLE ____ 12 JAKAFI ______________ 17 JALYN ______________ 33 jantoven _____________ 8 JANUMET ___________ 11 JANUMET XR_________ 11 JANUVIA ____________ 11 JARDIANCE __________ 11 jasmiel ______________ 23 jencycla _____________ 23 JENTADUETO ________ 11 JENTADUETO XR ______ 11 JETREA______________ 43 JEVTANA ____________ 17 jinteli _______________ 32 JIVI _________________ 34 jolessa ______________ 23 JORNAY PM __________ 3 JUBLIA ______________ 27 juleber ______________ 23 JULUCA _____________ 20 junel 1.5/30 __________ 23

junel 1/20 ___________ 23 junel fe 1.5/30 ________ 23 junel fe 1/20 _________ 23 junel fe 24 ___________ 23

K KADIAN ______________ 5 kaitlib fe _____________ 23 KALETRA SOL ______ 20 KALETRA TAB 100-

25MG ____________ 20 KALYDECO ___________ 46 KAMDOY ____________ 27 KANUMA ____________ 31 KAPSPARGO SPRINKLE _ 20 KARBINAL ER _________ 12 kariva _______________ 23 kcl 0.075%/d5w/nacl

0.45% ____________ 37 kcl 0.15%/d5w/nacl 0.2%

_________________ 37 kcl 0.15%/d5w/nacl

0.225% ___________ 37 kcl 0.15%/d5w/nacl 0.45%

_________________ 37 kcl 0.15%/d5w/nacl 0.9%

_________________ 37 kcl 0.3%/d5w/nacl 0.45%

_________________ 37 KCL 0.3%/D5W/NACL 0.9%

_________________ 37 KEFLEX ______________ 22 kelnor 1/35 __________ 23 kelnor 1/50 __________ 23 KENALOG _________ 24, 27 KENALOG-10 _________ 24 KENALOG-40 _________ 24 KENALOG-80 _________ 24 KENGREAL ___________ 34 KEPPRA ______________ 9 KEPPRA XR ___________ 9 KERALAC ____________ 27 KERALYT ____________ 27 KERALYT SCALP _______ 27 KERYDIN ____________ 27 ketamine hcl _________ 33 ketoconazole cream ___ 27 ketoconazole tab ______ 12 ketoprofen er _________ 4 ketorolac sol 0.5% ___ 43 ketorolac tab 10mg ___ 4 ketorolac tromethamine _ 4 KETOVIE _____________ 30 KETOVIE PEPTIDE _____ 30 KEVZARA _____________ 4 KEYTRUDA ___________ 17 KINERET ______________ 4 kionex ______________ 38 KISQALI _____________ 17

59

KISQALI FEMARA 200 DOSE ____________ 17



KITABIS PAK __________ 3 KLARON ____________ 27 KLONOPIN ___________ 9 klor-con ____________ 38 klor-con 10 __________ 38 klor-con 8 ___________ 38 klor-con m10 ________ 38 KLOR-CON M15 ______ 38 klor-con m20 ________ 38 klor-con sprinkle _____ 38 klor-con/ef __________ 38 KOGENATE FS _______ 34 KOMBIGLYZE XR _____ 11 KORLYM ____________ 11 KOVALTRY __________ 34 K-PHOS __________ 33, 38 K-PHOS NEUTRAL ____ 38 K-PHOS NO 2 ________ 33 k-prime _____________ 38 KRINTAFEL __________ 15 KRISTALOSE _________ 36 K-TAB ______________ 38 K-TAB TAB 20MEQ 38 kurvelo _____________ 23 KUVAN _____________ 31 KYLEENA ____________ 23 KYMRIAH ___________ 17

L labetalol inj ________ 20 labetalol hydrochloride 20 LAC-HYDRIN _________ 27 LACRISERT __________ 43 lactated ringers ______ 38 lactated ringers irrigati 38 LACTATED RINGERS

VIAFLEX __________ 38 lactulose ____________ 36 LAMICTAL ____________ 9 LAMICTAL CHEWABLE

DISPERS ___________ 9 LAMICTAL ODT _______ 9 LAMICTAL STARTER/NOT

TAKI ______________ 9 LAMICTAL

STARTER/TAKING C _ 9 LAMICTAL

STARTER/TAKING V _ 9 LAMICTAL XR _________ 9 lamivudine __________ 20 lamivudine/zidovudine 20 lamotrigine ___________ 9 lamotrigine er_________ 9

lamotrigine odt ________ 9 lamotrigine starter kit/g _ 9 lamotrigine starter kit/o_ 9 LANOXIN PED INJ

0.1MG/ML ________ 21 lansoprazole _________ 47 lansoprazole odt ______ 47 lansoprazole/amoxicillin/

_________________ 47 lanthanum carbonate __ 33 LANTUS _____________ 11 LANTUS SOLOSTAR ___ 11 larin 1.5/30 __________ 23 larin 1/20 ___________ 23 larin 24 fe ___________ 23 larin fe 1.5/30 ________ 23 larin fe 1/20 _________ 23 larissia ______________ 23 LARTRUVO __________ 17 LASIX _______________ 31 LASTACAFT __________ 43 latanoprost __________ 43 LATISSE _____________ 27 LATUDA ____________ 19 LAVARE WOUND WASH 27 LAXATIVES __________ 36 layolis fe ____________ 23 LAZANDA ____________ 5 LEDIPASVIR/SOFOSBUVIR

_________________ 20 leflunomide __________ 4 LENVIMA 12MG DAILY

DOSE ____________ 17 LESCOL XL ___________ 13 lessina ______________ 23 LETAIRIS ____________ 21 letrozole ____________ 17 leucovorin calcium ____ 17 leucovorin calcium inj _ 17 LEUCOVORIN CALCIUM

TAB 10MG ________ 17 LEUKERAN __________ 17 LEUKINE ____________ 35 leuprolide acetate ____ 17 levalbuterol __________ 7 levalbuterol hcl ________ 7 LEVALBUTEROL TARTRATE

HFA ______________ 7 LEVEMIR ____________ 11 LEVEMIR FLEXTOUCH _ 11 levetiracetam _________ 9 levetiracetam er _______ 9 levetiracetam inj_______ 9 LEVICYN ____________ 27 levicyn dermal spray __ 27 LEVITRA ____________ 21 levobunolol hcl _______ 43 levocarnitine _________ 31 levocetirizine dihydrochl 12 levofloxacin_______ 32, 43

levofloxacin in d5w ____ 32 levofloxacin inj _______ 32 levofloxacin sol 0.5% __ 43 levoleucovorin _______ 17 levoleucovorin calcium _ 17 LEVOMEFOLATE CALCIUM

ALGA ____________ 30 LEVOMEFOLATE

CALCIUM/N-AC ____ 30 LEVOMEFOLATE

CALCIUM/PYRI_____ 30 levonest _____________ 23 levonorgestrel and ethiny

_________________ 23 levonorgestrel/ethinyl es23 levora 0.15/30-28 _____ 23 levothyroxine sodium __ 46 levothyroxine/liothyronin

_________________ 46 levoxyl ______________ 46 LEVSIN ______________ 47 LEVULAN KERASTICK __ 27 LEXAPRO ____________ 10 LEXETTE _____________ 27 LIALDA ______________ 33 LIBRAX______________ 47 lidocaine __ 6, 7, 27, 36, 39 lidocaine inj ________ 36 lidocaine sol ________ 27 LIDOCAINE AND

TETRACAINE_______ 27 lidocaine hcl in d5w ____ 7 lidocaine hcl jelly _____ 27 LIDOCAINE HCL/DEXTROSE

_________________ 36 lidocaine viscous ______ 39 lidocaine/epinephrine _ 36 lidocaine/hc cre 3%-0.5% 6 lidocaine/prilocaine ___ 27 LIDODERM __________ 27 LIDO-HYDRO GEL 2.8-0.55

__________________ 6 lidozion _____________ 27 LILETTA _____________ 23 lillow _______________ 23 LINCOCIN ___________ 15 lindane _____________ 27 linezolid _____________ 15 linezolid inj 2mg/ml __ 15 LINZESS _____________ 33 liothyronine sodium ___ 46 LIPITOR _____________ 13 LIPOFEN ____________ 13 lisinopril_____________ 14 lisinopril/hydrochlorothi 14 lithium ______________ 19 lithium carbonate _____ 19 lithium carbonate er ___ 19 LITHOSTAT __________ 33 LIVALO _____________ 13

livixil pak ____________ 27 LMD 10% DEXTROSE 5% 34 LMD 10% SODIUM

CHLORIDE 0 _______ 34 L-METHYL-B6-B12 _____ 30 L-METHYLFOLATE _____ 30 L-METHYLFOLATE CA/S-

ALGAL ____________ 30 L-METHYLFOLATE FORTE

_________________ 30 L-METHYL-MC NAC ____ 30 LO LOESTRIN FE ______ 23 LOCAL ANESTHETICS-

Parenteral ________ 36 LOCOID _____________ 27 LOCOID LIPOCREAM ___ 27 LODOSYN____________ 18 LOESTRIN 1.5/30-21 ___ 23 LOESTRIN FE 1.5/30 ___ 23 LOESTRIN FE 1/20 _____ 23 LOKELMA ____________ 38 LOMAIRA _____________ 3 LOMOTIL ____________ 11 LONSURF ____________ 17 loperamide hcl _______ 11 LOPID _______________ 13 lopinavir/ritonavir _____ 20 lopreeza _____________ 32 LOPRESSOR _______ 14, 20 LOPRESSOR HCT ______ 14 lorazepam ____________ 7 lorazepam inj ________ 7 lorazepam intensol _____ 7 LORBRENA ___________ 17 lorcet ________________ 5 lorcet hd _____________ 5 LORTAB ______________ 5 loryna _______________ 23 LORZONE ____________ 41 losartan potassium ____ 14 losartan potassium/hydroc

_________________ 14 LOTEMAX ___________ 43 LOTEMAX SM ________ 43 LOTENSIN ___________ 14 LOTENSIN HCT________ 14 loteprednol etabonate _ 43 LOTREL______________ 14 LOTRISONE __________ 27 lovastatin ____________ 13 LOVAZA _____________ 13 LOVENOX ____________ 8 low-ogestrel _________ 23 loxapine _____________ 19 loxapine succinate_____ 19 LOYON ______________ 27 lo-zumandimine ______ 23 LUCEMYRA __________ 45 ludent ______________ 38

60

LUGOLS STRONG IODINE _________________ 19

LULICONAZOLE ______ 27 LUMIGAN ___________ 43 LUMIZYME __________ 31 LUMOXITI ___________ 17 LUNESTA ___________ 36 LUPANETA PACK _____ 31 LUPRON DEPOT INJ

11.25MG _________ 17 LUPRON DEPOT INJ

22.5MG __________ 17 LUPRON DEPOT INJ

3.75MG __________ 17 LUPRON DEPOT INJ 30MG

_________________ 17 LUPRON DEPOT INJ 45MG

_________________ 17 LUPRON DEPOT INJ 7.5MG

_________________ 17 LUPRON DEPOT-PED (1-

MONTH __________ 31 LUPRON DEPOT-PED (3-

MONTH __________ 31 lutera ______________ 23 LUXIQ ______________ 27 LUZU _______________ 27 LYNPARZA __________ 17 LYRICA ___________ 9, 45 LYRICA CR ___________ 45 LYSODREN __________ 17

M MACROBID __________ 47 MACROLIDES ________ 36 MAKENA____________ 45 MALARONE _________ 15 malathion ___________ 27 mannitol ____________ 31 maprotiline hcl _______ 10 MARCAINE __________ 36 MARCAINE SPINAL ___ 36 MARCAINE/EPINEPHRINE

_________________ 36 MARINOL ___________ 12 marlissa ____________ 23 MARNATAL-F ________ 40 MARPLAN___________ 10 MARQIBO ___________ 17 MATULANE _________ 17 matzim la ___________ 21 MAVYRET ___________ 20 MAXALT ____________ 37 MAXALT-MLT ________ 37 MAXIDEX ___________ 43 MAXIPIME __________ 22 MAXITROL __________ 43 MAXZIDE ___________ 31 MAXZIDE-25 _________ 31

MAYZENT ___________ 45 me/naphos/mb/hyo 1 _ 47 meclizine hcl _________ 12 meclofenamate sodium _ 4 MEDICAL DEVICES AND

SUPPLIES _________ 37 MEDROL ____________ 24 MEDROL DOSEPAK ___ 24 medroxyprogesterone inj

_________________ 23 medroxyprogesterone tab

_________________ 45 mefenamic acid _______ 4 mefloquine hcl _______ 15 megestrol acetate ____ 17 MEKINIST ___________ 17 MEKTOVI ___________ 17 melodetta 24 fe ______ 23 meloxicam ___________ 4 melphalan hydrochloride

_________________ 17 memantine hcl titration p

_________________ 45 memantine hydrochloride

_________________ 45 memantine hydrochloride

e ________________ 45 MENACTRA __________ 48 MENEST ____________ 32 MENOPUR __________ 31 MENOSTAR __________ 32 MENTAX ____________ 28 MENVEO ____________ 48 meperidine inj 25mg/ml 5 meperidine sol 50mg/5ml

__________________ 5 meprobamate _________ 7 MEPRON ____________ 15 mercaptopurine ______ 17 meropenem _________ 15 MEROPENEM/SODIUM

CHLORIDE ________ 15 MERREM ____________ 15 mesalamine _________ 33 mesalamine dr _______ 33 mesna ______________ 17 MESNEX INJ 1GM __ 17 MESNEX TAB 400MG 17 MESTINON __________ 15 MESTINON TIMESPAN _ 15 METANX ____________ 30 metaxalone __________ 41 metformin hydrochloride

_________________ 11 metformin hydrochloride e

_________________ 11 methadone con 10mg/ml

__________________ 5 methadone inj 10mg/ml 5

METHADONE SOL 10MG/5ML ________ 5

METHADOSE __________ 5 methamphetamine hcl __ 3 methazolamide _______ 31 methenamine hippurate 47 methenamine mandelate

_________________ 47 methergine __________ 44 methimazole _________ 46 METHITEST ___________ 6 methocarbamol ______ 41 methocarbamol inj ___ 41 methotrexate ________ 17 methotrexate sodium __ 17 methoxsalen _________ 28 methscopolamine bromide

_________________ 47 methyldopa __________ 14 methyldopa/hydrochloroth

i _________________ 14 methylene blue _______ 12 methylergon inj 0.2mg/ml

_________________ 44 methylergonovine maleate

_________________ 44 METHYLIN ____________ 3 METHYLPHENIDATE CAP ER

__________________ 3 METHYLPHENIDATE TAB

ER ________________ 3 methylprednisolone ___ 24 methylprednisolone acetat

_________________ 24 methylprednisolone dose p

_________________ 24 methylprednisolone

sodium ___________ 24 methyltestosterone ____ 6 metoclopramide inj ___ 33 metoclopramide hcl ___ 33 metoclopramide

hydrochlor ________ 33 METOCLOPRAMIDE ODT33 metolazone __________ 31 metoprolol succinate er 20 metoprolol tartrate ___ 20 metoprolol tartrate tab 20 metoprolol/hydrochlorothi

_________________ 14 METROCREAM _______ 28 METROGEL __________ 28 METROLOTION _______ 28 metronidazol gel ______ 28 metronidazole _____ 15, 48 metronidazole in nacl 0.7

_________________ 15 metronidazole tab ____ 15 metronidazole vaginal _ 48 mexiletine hcl _________ 7

mibelas 24 fe _________ 23 MICARDIS ___________ 14 MICARDIS HCT _______ 14 MICONAZOLE 3 _______ 48 MICONAZOLE

NITRATE/ZINC O ___ 28 MICRHOGAM ULTRA-

FILTERED__________ 44 microgestin 1.5/30 ____ 23 microgestin 1/20 ______ 23 microgestin fe ________ 23 microgestin fe 1.5/30 __ 23 midazolam inj _______ 36 midazolam hcl ________ 36 midazolam hydrochloride

_________________ 36 miglitol ______________ 11 miglustat ____________ 35 Migraine Products ____ 37 MIGRANAL __________ 37 mili _________________ 23 MILLIPRED ___________ 24 MILLIPRED DP ________ 24 milrinone in dextrose __ 21 milrinone lactate ______ 21 mimvey _____________ 32 mimvey lo ___________ 32 MIMYX _____________ 28 MINASTRIN 24 FE _____ 23 MINERALS AND

ELECTROLYTES _____ 37 MINIPRESS __________ 14 MINIVELLE ___________ 32 MINOCIN ____________ 46 minocycline hcl _______ 46 minocycline hcl er _____ 46 minocycline hydrochloride

_________________ 46 MINOLIRA ___________ 46 minoxidil ____________ 14 MIOCHOL-E __________ 43 MIOSTAT ____________ 43 MIRAPEX ____________ 18 MIRAPEX ER _________ 18 MIRCETTE ___________ 23 MIRENA _____________ 23 mirtazapine __________ 10 mirtazapine odt _______ 10 MIRVASO____________ 28 Miscellaneous Therapeutic

Classes ___________ 38 misoprostol __________ 47 MITIGARE ___________ 34 mitomycin ___________ 17 mitoxantrone hcl ______ 17 M-M-R II ____________ 48 M-NATAL PLUS _______ 40 MOBIC _______________ 4 modafinil _____________ 3 moexipril hcl _________ 14

61

mometasone oin 0.1% 28 mometasone spr 50mcg

_________________ 42 MONOJECT BONE

MARROW BIOP ____ 36 mono-linyah _________ 23 MONONINE _________ 34 MONOVISC __________ 41 MONSELS FERRIC

SUBSULFATE ______ 35 montelukast sodium ___ 7 MONUROL __________ 47 MORPHABOND ER _____ 5 morphine sul sup 5mg __ 5 morphine sul tab ______ 5 morphine sulfate er ____ 5 morphine sulfate inj ____ 5 MOTEGRITY _________ 33 MOUTH/THROAT/DENTAL

AGENTS __________ 39 MOVANTIK __________ 33 MOVIPREP __________ 36 MOXEZA ____________ 43 moxifloxacin sol ______ 43 moxifloxacin tab ______ 32 MOZOBIL ___________ 35 MS CONTIN __________ 5 MULPLETA __________ 35 MULTAQ _____________ 7 MULTIGEN __________ 35 MULTIGEN PLUS _____ 35 MULTIVIT/FL CHW

0.25MG __________ 40 MULTIVIT/FL CHW 0.5MG

_________________ 40 multivitamin with fluorid 40 multi-vitamin/fluoride dr40 multi-vitamin/fluoride/ir 40 MULTIVITAMINS _____ 39 mupirocin ___________ 28 MUSCULOSKELETAL

THERAPY AGENTS __ 41 MUSE ______________ 21 MVASI _____________ 17 m-vit _______________ 40 MYCAMINE _________ 12 MYCOBUTIN _________ 15 mycophenolate inj ____ 38 mycophenolate mofetil 38 mycophenolic acid dr __ 38 MYDAYIS ____________ 3 MYFORTIC __________ 38 MYLOTARG _________ 17 MYOBLOC ___________ 42 myorisan ____________ 28 MYRBETRIQ _________ 47 MYSOLINE ___________ 9 MYTESI _____________ 11 MYXREDLIN _________ 11

N nabumetone __________ 4 nadolol _____________ 20 NAFCILLIN ___________ 44 nafcillin sodium ______ 44 nafrinse _____________ 38 NAFRINSE

DAILY/ACIDULATED 39 NAFRINSE DAILY/NEUTRAL

_________________ 39 nafrinse drops________ 38 NAFRINSE WEEKLY ____ 39 naftifine hcl __________ 28 naftifine hydrochloride 28 NAFTIN _____________ 28 nalbuphine hcl ________ 5 naloxone hcl _________ 12 naltrexone hcl ________ 12 NAMENDA __________ 45 NAMENDA TITRATION PAK

_________________ 45 NAMENDA XR _______ 45 NAMENDA XR TITRATION

PACK ____________ 45 NAMZARIC __________ 45 naproxen_____________ 4 naproxen dr __________ 4 naproxen sodium ______ 4 naproxen sodium er ____ 4 naratriptan hcl _______ 37 NARCAN ____________ 12 NARDIL _____________ 10 NASAL AGENTS -

SYSTEMIC AND TOPICAL __________ 41

NASCOBAL __________ 35 NASONEX ___________ 42 NATACYN ___________ 43 NATAZIA ____________ 23 nateglinide __________ 11 NATELLE ONE ________ 40 NATESTO ____________ 6 NATROBA ___________ 28 NATURE-THROID _____ 46 NAYZILAM ___________ 9 NEBUPENT __________ 15 NEBUSAL____________ 25 necon 0.5/35-28 ______ 23 NEEVO DHA _________ 40 nefazodone hcl _______ 10 nefazodone hydrochloride

_________________ 10 neo/poly/hc sus 1% otic 44 neo/poly/hc sus op ___ 43 NEOCERA ___________ 28 neomycin sulfate ______ 3 neomycin/bacitracin/poly

m _______________ 43

neomycin/polymyxin/bacitr ________________ 43

neomycin/polymyxin/dexame ______________ 43

neomycin/polymyxin/gramic ________________ 43

neomycin/polymyxin/hc 44 neo-polycin __________ 43 neo-polycin hc _______ 43 NEORAL _____________ 38 NEOSALUS___________ 28 NEOSALUS CP ________ 28 neostigmine methylsulfate

_________________ 15 NEOTUSS PLUS _______ 25 NEPHRON FA ________ 35 NEPHRO-VITE RX _____ 40 NERLYNX ____________ 17 NESINA _____________ 11 NESTABS ONE ________ 40 NEUAC KIT __________ 28 NEULASTA ___________ 35 NEULASTA ONPRO KIT _ 35 NEUPOGEN __________ 35 NEUPRO ____________ 18 NEUROMUSCULAR

AGENTS __________ 42 NEURONTIN __________ 9 NEUT _______________ 38 NEUTRASAL _________ 39 NEVANAC ___________ 43 nevirapine ___________ 20 nevirapine er _________ 20 NEXAVAR ___________ 17 NEXAVIR ____________ 38 NEXIUM CAP 20MG 47 NEXIUM GRA DR ___ 47 NEXIUM I.V. _________ 47 NEXLETOL ___________ 13 NEXLIZET ____________ 13 NEXPLANON _________ 23 niacin er ____________ 13 NIACOR _____________ 13 NIASPAN ____________ 13 NICAPRIN ___________ 30 nicardipine cap _______ 21 nicardipine inj _______ 21 NICOMIDE ___________ 40 NICOTROL INHALER ___ 45 NICOTROL NS ________ 45 nifedipine ___________ 21 nifedipine er _________ 21 nikki ________________ 23 NIMBEX _____________ 42 nimodipine __________ 21 NINLARO ____________ 17 NIPENT _____________ 17 nisoldipine er ________ 21 nitisinone ___________ 31 NITRO-BID ____________ 6

NITRO-DUR ___________ 6 nitrofurantoin ________ 47 nitrofurantoin macrocryst

_________________ 47 nitrofurantoin monohydrat

_________________ 47 nitroglycer inj 5mg/ml __ 6 nitroglycerin er ________ 6 NITROGLYCERIN IN

DEXTROSE _________ 6 nitroglycerin lingual ____ 6 nitroglycerin transdermal 6 nitroglycern sub _______ 6 NITROMIST ___________ 6 NITROPRESS _________ 14 NITROSTAT ___________ 6 niva-fol ______________ 30 NIVATOPIC PLUS ______ 28 NIVESTYM ___________ 35 nizatidine ____________ 47 NIZATIDINE SOL

15MG/ML _________ 47 NIZORAL ____________ 28 nolix ________________ 28 nora-be _____________ 23 NORCO ______________ 5 NORDITROPIN FLEXPRO 31 norethindrone _____ 23, 45 norethindrone & ethinyl e

_________________ 23 norethindrone acetate 23,

45 norethindrone acetate/eth

_________________ 23 norethindrone/ethinyl est

_________________ 23 norgestimate/ethinyl estr

_________________ 23 NORITATE ___________ 28 norlyda _____________ 23 normal saline flush ____ 38 NORMOSOL -R _______ 38 NORMOSOL-M IN D5W 38 NORMOSOL-R ________ 38 NORMOSOL-R IN D5W _ 38 NORPACE_____________ 7 NORPACE CR __________ 7 NORPRAMIN _________ 10 nortrel 0.5/35 (28) ____ 23 nortrel 1/35 __________ 23 nortrel 7/7/7 _________ 23 nortriptyline hcl_______ 10 nortriptyline hydrochlori 10 NORVASC ___________ 21 NORVIR SOL 80MG/ML

_________________ 20 NORVIR TAB 100MG 20 NOVAREL ____________ 31 NOVOEIGHT _________ 34 NOVOLOG ___________ 11

62

NOVOLOG FLEXPEN ___ 11 NOVOLOG MIX 70/30 _ 11 NOVOLOG MIX 70/30

PREFILL __________ 11 NOVOLOG PENFILL ___ 11 NOVOSEVEN RT ______ 34 NOXAFIL ____________ 12 np thyroid 120 _______ 46 np thyroid 15 ________ 46 np thyroid 30 ________ 46 np thyroid 60 ________ 46 np thyroid 90 ________ 46 NPLATE _____________ 35 NUBEQA ____________ 17 NUCALA _____________ 7 NUCORT ____________ 28 NUCYNTA ____________ 5 NUCYNTA ER _________ 5 nudiclo solupak ______ 28 NUEDEXTA __________ 45 NUFERA ____________ 35 NULOJIX ____________ 39 NULYTELY/FLAVOR PACKS

_________________ 36 NUMOISYN _________ 39 NUTRASEB __________ 28 NUTROPIN AQ NUSPIN 10

_________________ 31 NUTROPIN AQ NUSPIN 20

_________________ 31 NUTROPIN AQ NUSPIN 5

_________________ 31 NUVAIL _____________ 28 NUVARING __________ 23 NUVESSA ___________ 48 NUVIGIL _____________ 3 nyamyc _____________ 28 NYMALIZE __________ 21 nystatin cre ________ 28 nystatin susp_______ 39 nystatin tab________ 12 nystatin/triamcinolone 28 nystop ______________ 28

O OB COMPLETE _______ 40 OB COMPLETE ONE ___ 40 OB COMPLETE PETITE _ 40 OB COMPLETE/DHA __ 40 OBIZUR _____________ 34 OBSTETRIX DHA ______ 40 obstetrix ec _________ 40 OBSTETRIX ONE ______ 40 O-CAL FA ___________ 40 O-CAL PRENATAL _____ 40 OCALIVA ____________ 33 ocella ______________ 23 OCREVUS ___________ 45 octreotide acetate ____ 31

OCUFLOX ___________ 43 ODEFSEY ____________ 20 ODOMZO ___________ 17 OFEV _______________ 46 ofloxacin ______ 32, 43, 44 ofloxacin dro 0.3% op 43 ofloxacin dro 0.3%otic 44 ogestrel _____________ 23 okebo ______________ 46 olanzapine _______ 19, 45 olanzapine inj _______ 19 olanzapine odt _______ 19 olanzapine/fluoxetine _ 45 olmesartan medoxomil 14 olmesartan

medoxomil/amlo ___ 14 olmesartan

medoxomil/hydr ___ 14 olopatadine dro 0.1% _ 43 olopatadine spr 0.6%__ 42 olopatadine hydrochloride

_________________ 43 OLUMIANT ___________ 4 OLUX _______________ 28 OLUX-E _____________ 28 omega-3-acid ethyl esters

_________________ 13 omeprazole __________ 47 omeprazole dr _______ 47 omeprazole/sodium

bicarbo ___________ 47 OMNARIS ___________ 42 OMNITROPE _________ 31 ONCASPAR __________ 17 ondansetron inj ______ 12 ondansetron hcl ______ 12 ondansetron hydrochloride

_________________ 12 ondansetron odt______ 12 ONEXTON ___________ 28 ONFI ________________ 9 ONGLYZA ___________ 11 ONIVYDE ____________ 17 ONZETRA XSAIL ______ 37 OPDIVO_____________ 17 OPHTHALMIC AGENTS _ 42 opium ______________ 11 OPSUMIT ___________ 21 ORACEA ____________ 28 ORACIT _____________ 33 ORENCIA _____________ 4 ORENCIA CLICKJECT ____ 4 ORILISSA ____________ 31 ORKAMBI ___________ 46 orphenadrine citrate __ 41 orphenadrine citrate er 41 orsythia _____________ 23 ORTHO DF___________ 35 ORTHO MICRONOR ___ 23 ORTHO TRI-CYCLEN LO 23

ORTHO-NOVUM 1/35-28 _________________ 23

ORTHOVISC __________ 41 oscimin sub 0.125mg 47 oscimin tab 0.125mg 47 oscimin sr ___________ 47 oseltamivir phosphate _ 20 OSENI ______________ 11 OSMOPREP __________ 36 OSPHENA ___________ 31 OTEZLA ______________ 4 OTIC AGENTS ________ 44 OTOVEL _____________ 44 OTREXUP_____________ 4 OVACE PLUS _________ 28 OVACE PLUS WASH ___ 28 OVACE WASH ________ 28 OVIDREL ____________ 31 OXACILLIN ___________ 44 oxacillin sodium ______ 44 oxaliplatin ___________ 17 oxandrolone __________ 6 oxaprozin ____________ 4 OXAYDO _____________ 5 oxazepam ____________ 7 oxcarbazepine _________ 9 oxiconazole nitrate ____ 28 OXISTAT ____________ 28 OXSORALEN ULTRA ___ 28 OXTELLAR XR _________ 9 oxybutynin chloride ___ 47 oxybutynin chloride er _ 47 oxycodone hcl _________ 5 OXYCODONE HCL ER ___ 5 oxycodone hydrochloride 5 OXYCODONE

HYDROCHLORIDE E __ 5 oxycodone/acetaminophen

__________________ 5 oxycodone/ibuprofen ___ 5 OXYCONTIN __________ 5 OXYMORPHONE TAB

5MG ER ___________ 5 oxymorphone

hydrochloride _______ 5 Oxytocics ___________ 44 OXYTROL ____________ 47 OZEMPIC ____________ 11 OZOBAX ____________ 41 OZURDEX ___________ 43

P pacerone _____________ 7 paclitaxel ____________ 17 paliperidone er _______ 19 palonosetron hydrochlorid

_________________ 12 PALYNZIQ ___________ 31 PAMELOR ___________ 10

PANCREAZE __________ 30 pancuronium bromide _ 42 PANDEL _____________ 28 pantoprazole inj sod 40mg

_________________ 47 pantoprazole sodium dr 47 pantoprazole tab 40mg _ 47 PANZYGA ____________ 44 papaverine hcl ________ 21 PARAGARD INTRAUTERINE

COP ______________ 23 paregoric ____________ 11 paricalcitol ___________ 31 paricalcitol inj ________ 31 PARLODEL ___________ 18 paroex ______________ 39 paromomycin sulfate ___ 3 paroxetine ________ 10, 45 paroxetine hcl ________ 10 paroxetine hcl er ______ 10 paroxetine hydrochloride

_________________ 10 PASSIVE IMMUNIZING

AND TREATMENT AGENTS __________ 44

PATADAY ____________ 43 PATANASE ___________ 42 PATANOL ____________ 43 PAXIL _______________ 10 PAXIL CR ____________ 10 PAZEO ______________ 43 PEDVAX HIB _________ 48 peg 3350/electrolytes __ 36 peg-3350/electrolytes __ 36 peg-3350/nacl/na bicarbon

_________________ 36 PEGASYS ____________ 20 PEGASYS PROCLICK ___ 20 PEGINTRON __________ 20 penicillamine _________ 39 penicillin g potassium __ 44 PENICILLIN G POTASSIUM

IN _______________ 44 penicillin g sodium ____ 44 penicillin v potassium __ 44 PENICILLINS __________ 44 PENLAC NAIL LACQUER 28 PENNSAID ___________ 28 PENTACEL ___________ 46 pentamidine isethionate 15 PENTASA ____________ 33 pentazocine/naloxone hcl 5 pentobarbital sodium __ 36 pentoxifylline er ______ 34 PEPCID ______________ 47 PERCOCET ____________ 5 PERFOROMIST ________ 7 perindopril erbumine __ 14 PERJETA _____________ 17 permethrin __________ 28

63

perphenazine _____ 19, 45 perphenazine/amitriptylin

_________________ 45 PERSERIS ___________ 19 PERTZYE ____________ 30 PFIZERPEN __________ 44 PHENACTIN AA PLUS __ 30 phenadoz ___________ 12 phenazo ____________ 33 phenazopyridine hcl___ 33 phenazopyridine hydrochlo

_________________ 33 PHENDIMETRAZ CAP

105MG ER _________ 3 phendimetraz tab 35mg 3 phenelzine sulfate ____ 10 PHENERGAN ________ 12 phenobarb inj 130mg/ml

_________________ 36 PHENOBARB INJ

65MG/ML ________ 36 phenobarbital_____ 36, 47 phenobarbital/belladonna

_________________ 47 phenohytro _________ 47 phenoxybenzamine

hydrochl _________ 14 phentermine hcl _______ 3 phentermine

hydrochloride ______ 3 phentolamine mesylate 14 phenylephrin sol 2.5% op

_________________ 43 PHENYTEK ___________ 9 phenytoin ____________ 9 phenytoin sodium _____ 9 phenytoin sodium

extended __________ 9 philith ______________ 23 phospha 250 neutral __ 38 phosphasal __________ 47 PHOSPHOLINE IODIDE _ 43 phospho-trin 250 neutral

_________________ 38 PHOTREXA VISCOUS __ 43 PHOTREXA/PHOTREXA

VISCOUS _________ 43 physiolyte ___________ 39 physiosol irrigation ___ 39 PHYSOSTIGMINE

SALICYLATE _______ 12 PICATO _____________ 28 PICO SINGLE USE

NEGATIVE ________ 28 PIFELTRO ___________ 20 pilocarpine sol 1% op _ 43 pilocarpine tab ______ 39 pilocarpine hydrochloride

_________________ 39 pimecrolimus ________ 28

pimozide ____________ 45 pimtrea _____________ 23 pindolol _____________ 20 pioglitazone hcl ______ 11 pioglitazone hcl/metformi

_________________ 11 pioglitazone hcl-glimepir 11 pioglitazone hydrochlorid

_________________ 11 piperacillin sodium/tazob

_________________ 44 piperacillin/tazobactam 45 PIQRAY 200MG DAILY

DOSE ____________ 17 PIQRAY 250MG DAILY

DOSE ____________ 17 PIQRAY 300MG DAILY

DOSE ____________ 17 pirmella 1/35 ________ 23 pirmella 7/7/7 _______ 24 piroxicam ____________ 4 PLAQUENIL __________ 15 plasbumin-25 ________ 34 plasbumin-5 _________ 34 PLASMA-LYTE A ______ 38 PLASMA-LYTE-148 ____ 38 PLASMANATE ________ 34 PLAVIX _____________ 34 PLEGISOL ___________ 21 PLEGRIDY ___________ 45 PLEGRIDY STARTER PACK

_________________ 45 PLENVU _____________ 36 PLEXION ____________ 28 PLEXION CLEANSER ___ 28 PNEUMOVAX 23 _____ 48 PNV PRENATAL TAB PLUS

_________________ 40 PNV TABS 29-1 _______ 40 pnv-dha _____________ 40 PNV-DHA+DOCUSATE _ 40 PNV-OMEGA ________ 40 PODIAPN ___________ 30 PODOCON 25 IN BENZOIN

TIN ______________ 28 podofilox ____________ 28 polycin _____________ 43 poly-iron 150 forte ____ 35 polymyxin b sulfate/trime

_________________ 43 polysaccharide iron forte35 POLYTRIM ___________ 43 POLY-VI-FLOR ________ 40 POLY-VI-FLOR FS _____ 40 POLY-VI-FLOR/IRON __ 40 POMALYST __________ 17 portia-28 ____________ 24 PORTRAZZA _________ 17 posaconazole dr ______ 12 potassium acetate ____ 38

potassium chloride ____ 38 potassium chloride cr __ 38 potassium chloride er __ 38 potassium chloride sr __ 38 potassium chloride/sodium

_________________ 38 potassium citrate er ___ 33 potassium citrate/citric 33 potassium phosphate __ 38 PRADAXA ____________ 8 PRALIDOXIME CHLORIDE

_________________ 12 PRALUENT ___________ 13 pramipexole dihydrochlori

_________________ 18 PRAMOSONE ________ 28 prasugrel ____________ 34 PRAVACHOL _________ 13 pravastatin sodium ____ 13 PRAXBIND ___________ 12 praziquantel __________ 6 prazosin hcl __________ 14 prazosin hydrochloride _ 14 PRECEDEX ___________ 36 PRED FORTE _________ 43 PRED MILD __________ 43 pred sod pho sol 1% op 43 PRED-G _____________ 43 PRED-G S.O.P. ________ 43 prednicarbate ________ 28 prednisolone ______ 24, 43 prednisolone acetate __ 43 prednisolone sodium

phosp ____________ 24 prednisone __________ 24 PREDNISONE SOL

5MG/5ML ________ 24 PREDNISONE INTENSOL 25 pregabalin ____________ 9 PREGNYL W/DILUENT

BENZYL ___________ 31 PREMARIN __________ 32 PREMPHASE _________ 32 PREMPRO ___________ 32 PRENA1 CHEW _______ 40 PRENA1 PEARL _______ 40 PRENATA ____________ 40 prenatabs rx _________ 40 PRENATAL ___________ 40 prenatal 19 __________ 40 PRENATAL LOW IRON _ 40 PRENATAL PLS MIS MV +

DHA _____________ 40 PRENATAL PLUS IRON _ 40 PRENATAL PLUS/IRON _ 40 PRENATAL VITAMINS PLUS

LO _______________ 40 PRENATAL-U _________ 40 PRENATE ____________ 40 PRENATE DHA ________ 40

PRENATE ELITE _______ 40 PRENATE ENHANCE ___ 40 PRENATE MINI _______ 40 PRENATE PIXIE _______ 40 PREPIDIL ____________ 44 PREPLUS ____________ 40 PREPOPIK ___________ 36 PRESERA ____________ 28 PREVACID ___________ 47 PREVACID SOLUTAB ___ 47 PREVIDENT 5000 BOOSTER

PL _______________ 39 PREVIDENT 5000 DRY

MOUTH __________ 39 PREVIDENT 5000 ENAMEL

PRO ______________ 39 PREVIDENT 5000 PLUS _ 39 PREVIDENT FLUORIDE _ 39 PREVIDENT RINSE _____ 39 previfem ____________ 24 PREVNAR 13 _________ 48 PREVYMIS ___________ 20 PREZCOBIX __________ 20 PREZISTA ____________ 20 PRIALT _______________ 4 PRIFTIN _____________ 15 PRILOSEC ____________ 47 primaquine phosphate _ 15 PRIMAXIN IV _________ 15 primidone ____________ 9 PRIMLEV _____________ 5 PRINIVIL ____________ 14 PRISMASOL B22GK 4/0 39 PRISMASOL BGK 0/2.5 _ 39 PRISMASOL BGK 2/0 __ 39 PRISMASOL BGK 2/3.5 _ 39 PRISMASOL BGK 4/2.5 _ 39 PRISMASOL BK 0/0/1.2 39 PRISTIQ _____________ 10 PRIVIGEN ____________ 44 PROAIR HFA __________ 7 PROAIR RESPICLICK ____ 7 probenecid __________ 34 probenecid/colchicine _ 34 procainamide hcl _______ 7 procainamide hydrochlorid

__________________ 7 PROCARDIA __________ 21 PROCARDIA XL _______ 21 PROCENTRA __________ 3 prochlorperazine ______ 19 prochlorperazine edisylat

_________________ 19 prochlorperazine maleate

_________________ 19 PROCORT _____________ 6 PROCRIT ____________ 35 PROCTOFOAM HC ______ 6 procto-med hc _________ 6 proctosol hc ___________ 6

64

proctozone-hc ________ 6 PRODIGEN __________ 11 progesterone ________ 45 progesterone cap 100mg45 PROGESTERONE

COMPOUNDING ___ 45 Progestins __________ 45 PROGLYCEM _________ 11 PROGRAF CAP _____ 39 PROGRAF GRA 0.2MG

_________________ 39 PROGRAF INJ ______ 39 PROLASTIN-C ________ 46 PROLENSA __________ 43 PROLIA _____________ 31 PROMACTA _________ 35 PROMACTIN AA PLUS

20PE _____________ 30 promethazine hcl plain 13 promethazine hydrochlorid

_________________ 13 promethazine inj _____ 13 promethazine sup ____ 13 promethazine tab ____ 12 promethazine/codeine 25 promethazine/dextrometh

or _______________ 25 promethazine/phenylephri

n ________________ 25 promethegan ________ 13 PROMETRIUM _______ 45 PROMISEB __________ 28 propafenone hcl _______ 7 propafenone hydrochloride

__________________ 7 propantheline bromide 47 proparacaine hcl _____ 43 PROPECIA ___________ 28 propofol ____________ 33 propranolol hcl _______ 21 propranolol hcl er ____ 21 propranolol hydrochloride

_________________ 21 propranolol/hydrochloroth

_________________ 14 propylthiouracil ______ 46 PROQUAD __________ 48 PROSCAR ___________ 33 PROSTIN E2 _________ 44 PROSTIN VR PEDIATRIC 39 PROTONIX __________ 47 PROTOPIC___________ 28 protriptyline hcl ______ 10 PROVAYBLUE ________ 12 PROVENGE __________ 17 PROVENTIL HFA _______ 7 PROVERA ___________ 45 PROVIDA OB ________ 40 PROVISC ____________ 43 PROZAC ____________ 10

PSORCON ___________ 28 Psychotherapeutic and

Neurological Agents - Misc. ____________ 45

PULMICORT ________ 7, 8 PULMICORT FLEXHALER 8 PULMOZYME ________ 46 PURIXAN ____________ 17 PYLERA _____________ 47 pyrazinamide ________ 15 PYRIDIUM ___________ 33 pyridostigmine bromide 15 pyridostigmine bromide er

_________________ 15 PYROGALLIC ACID ____ 28

Q QBRELIS ____________ 14 QBREXZA ___________ 28 QMIIZ ODT ___________ 4 QNASL ______________ 42 QNASL CHILDRENS ____ 42 QSYMIA _____________ 3 QTERN _____________ 11 QUADRAMET ________ 17 QUALAQUIN _________ 15 QUARTETTE _________ 24 QUAZEPAM _________ 36 QUDEXY XR __________ 9 QUELICIN ___________ 42 QUESTRAN LIGHT _____ 13 quetiapine fumarate __ 19 quetiapine fumarate er 19 QUFLORA FE _________ 40 QUFLORA FE PEDIATRIC 40 QUFLORA GUMMIES __ 40 QUFLORA PEDIATRIC __ 40 QUILLICHEW ER _______ 3 QUILLIVANT XR _______ 3 quinapril hcl _________ 14 quinapril hydrochloride 14 quinapril/hydrochlorothia

_________________ 14 quinidine gluconate cr __ 7 quinidine sulfate _______ 7 quinine sulfate _______ 15 QVAR REDIHALER _____ 8

R rabeprazole sodium ___ 47 raloxifene hydrochloride 31 ramelteon ___________ 36 ramipril _____________ 14 RANEXA _____________ 6 ranitidine hcl _________ 47 ranitidine hydrochloride 47 ranolazine er __________ 6 RAPAFLO____________ 33

RAPAMUNE _________ 39 RAPPORT RING LOADING

SYST _____________ 37 RAPPORT VACUUM

THERAPY DE _______ 37 rasagiline mesylate ____ 18 RASUVO _____________ 4 RAYALDEE ___________ 31 RAYOS ______________ 25 REBIF _______________ 45 REBIF REBIDOSE ______ 45 REBINYN ____________ 34 RECEDO _____________ 28 RECLAST ____________ 31 reclipsen ____________ 24 RECOMBINATE _______ 34 RECOMBIVAX HB _____ 48 RECTIV _______________ 6 RECURA _____________ 28 REGENECARE ________ 28 REGONOL ___________ 15 REGRANEX __________ 28 RELAFEN DS __________ 4 RELENZA DISKHALER __ 20 RELISTOR INJ _______ 33 RELISTOR TAB ______ 33 RELNATE DHA ________ 40 RELPAX _____________ 37 REMERON ___________ 10 REMERON SOLTAB ____ 10 REMESENSE _________ 37 REMICADE ___________ 33 REMODULIN _________ 21 RENACIDIN __________ 33 RENAGEL ____________ 33 renal caps ___________ 40 RENFLEXIS ___________ 33 reno caps ____________ 40 RENOVA ____________ 28 RENVELA ____________ 33 repaglinide __________ 11 REPATHA ____________ 13 REPATHA PUSHTRONEX

SYSTEM __________ 13 REPATHA SURECLICK __ 13 REQUIP XL ___________ 18 Respiratory Agents - Misc.

_________________ 45 RESTASIS MULTIDOSE _ 43 RESTORA RX _________ 11 RESTORIL ____________ 36 RETACRIT ___________ 35 RETAVASE ___________ 34 RETAVASE HALF-KIT ___ 34 RETIN-A _____________ 28 RETIN-A MICRO ______ 28 RETIN-A MICRO PUMP _ 28 RETISERT ____________ 43 REVATIO ____________ 21 REVLIMID ___________ 39

revonto _____________ 41 REXULTI _____________ 19 REYATAZ ____________ 20 RHEUMATE __________ 30 RHOFADE____________ 28 RHOGAM ULTRA-FILTERED

PLU ______________ 44 RHOPRESSA __________ 43 RIAX ________________ 28 ribavirin _____________ 20 RIDAURA _____________ 4 rifabutin _____________ 15 RIFADIN _____________ 15 RIFAMATE ___________ 15 rifampin _____________ 15 rifampin inj ________ 15 RIFATER _____________ 15 riluzole ______________ 42 rimantadine hcl _______ 20 RIMSO-50 ___________ 33 ringers injection ______ 38 ringers irrigation ______ 39 RINVOQ ______________ 4 RIOMET _____________ 11 risedronate sodium ____ 31 risedronate sodium dr _ 31 RISPERDAL CONSTA ___ 19 risperidone __________ 19 risperidone odt _______ 19 RITALIN ______________ 3 RITALIN LA ____________ 3 ritonavir _____________ 20 RITUXAN ____________ 17 rivastigmine tartrate ___ 45 rivastigmine transdermal45 rivelsa ______________ 24 RIXUBIS _____________ 34 rizatriptan benzoate ___ 37 rizatriptan benzoate odt 37 ROBAXIN ____________ 41 ROCALTROL __________ 32 ROCKLATAN _________ 43 rocuronium bromide ___ 42 ROMIDEPSIN _________ 17 ropinirole er _________ 18 ropinirole hcl _________ 18 ropinirole hydrochloride 18 ropivacaine __________ 36 ropivacaine hcl _______ 36 ROSADAN KIT ________ 28 rosuvastatin calcium ___ 13 ROTATEQ ____________ 48 ROWASA ____________ 33 roweepra _____________ 9 roweepra xr ___________ 9 ROXICODONE _________ 5 ROZEREM ___________ 36 ROZLYTREK __________ 17 RUBRACA ___________ 17 RYBELSUS ___________ 11

65

RYCLORA ___________ 13 RYDAPT ____________ 17 RYTARY _____________ 18 RYTHMOL SR _________ 7 RYVENT ____________ 13

S SABRIL ______________ 9 SAFYRAL ____________ 24 SALEX ______________ 28 salicylic acid _________ 28 salicylic acid cream ___ 28 salicylic acid er _______ 28 salicylic acid lotion ____ 28 salicylic acid wart remov 28 SALIVAMAX _________ 39 salsalate _____________ 4 SALVAX _____________ 28 SALVAX DUO PLUS ___ 28 SANCUSO ___________ 12 SANDIMMUNE _______ 39 SANDIMMUNE INJ ___ 39 SANDOSTATIN _______ 32 SANDOSTATIN LAR DEPOT

_________________ 32 SANTYL _____________ 28 SAPHRIS ____________ 19 SARAFEM ___________ 45 sash kit for flushing vas _ 8 SAVAYSA ____________ 8 SAVELLA ____________ 45 SAVELLA TITRATION PACK

_________________ 45 SAXENDA ____________ 3 scopolamine _________ 12 SEASONIQUE ________ 24 SECONAL SODIUM ____ 36 SEEBRI NEOHALER _____ 8 SEGLUROMET _______ 11 SELECT-OB __________ 40 SELECT-OB+DHA _____ 40 selegiline hcl _________ 18 selegiline hydrochloride 18 selenium _________ 28, 38 selenium sulfide ______ 28 selenium sulfide shampoo

_________________ 28 SELRX ______________ 28 SELZENTRY __________ 20 SEMPREX-D _________ 25 se-natal 19 __________ 40 SENSIPAR ___________ 32 sensorcaine-mpf _____ 36 SEREVENT DISKUS _____ 8 SERNIVO ____________ 28 SEROQUEL __________ 19 SEROQUEL XR _______ 19 sertraline hcl ________ 10 sertraline hydrochloride 10

se-tan plus __________ 35 setlakin _____________ 24 sevelamer carbonate __ 33 sevelamer hydrochloride 33 sevoflurane __________ 33 SEYSARA ____________ 46 sf 39 sf 5000 plus__________ 39 SFROWASA __________ 33 sharobel ____________ 24 SHINGRIX ___________ 48 SIDEROL ____________ 40 SIGNIFOR ___________ 32 SIGNIFOR LAR ________ 32 sildenafil citrate ______ 21 SILENOR ____________ 36 SILIQ _______________ 29 silodosin ____________ 33 SILVADENE __________ 29 SILVER NITRATE ______ 29 silver sulfadiazine _____ 29 SIMBRINZA __________ 43 SIMETHICONE________ 33 simpesse ____________ 24 SIMPONI INJ

100MG/ML ________ 4 SIMPONI INJ 50/0.5ML 4 SIMPONI ARIA ________ 4 SIMULECT ___________ 39 simvastatin __________ 13 SINEMET ____________ 18 SINEMET CR _________ 18 SINGULAIR ___________ 8 SINUVA _____________ 42 sirolimus ____________ 39 SITAVIG _____________ 20 SIVEXTRO ___________ 15 SKELAXIN ___________ 41 SKLICE ______________ 29 SKYLA ______________ 24 SKYRIZI _____________ 29 SLYND ______________ 24 sod chloride inj 0.9% __ 38 SOD SUL/SULF EMU 10-5%

_________________ 29 sod sul/sulf liq wash ___ 29 sodium bicarbonate ___ 38 sodium chlor neb 10% _ 25 sodium chloride 0.9% _ 33 sodium chloride 0.45% _ 38 sodium chloride flush __ 38 sodium citrate/citric aci 34 SODIUM EDECRIN ____ 31 sodium ferric gluconate c

_________________ 35 sodium fluoride ______ 38 sodium nitroprusside __ 14 sodium phenylacetate/sodi

_________________ 32 sodium phosphate ____ 38

sodium polystyrene sulfon _________________ 39

sodium sulfacetamide _29, 43

sodium sulfacetamide sham 10% _________ 29

sodium sulfacetamide wash _____________ 29

SOFOSBUVIR/VELPATASVIR ________________ 20

solia ________________ 24 solifenacin succinate __ 47 SOLIQUA 100/33 _____ 11 SOLIRIS _____________ 34 SOLODYN ___________ 46 SOLOSEC _____________ 3 SOLU-CORTEF ________ 25 SOLU-MEDROL _______ 25 SOMA ______________ 41 SOMATULINE DEPOT __ 32 SOMAVERT __________ 32 SOOLANTRA _________ 29 SORBITOL ___________ 34 SORBITOL-MANNITOL _ 34 SORIATANE __________ 29 SORILUX ____________ 29 sotalol hcl ___________ 21 sotalol hcl (af) ________ 21 sotalol hcl af _________ 21 sotalol hydrochloride __ 21 SOTYLIZE ____________ 21 SPINOSAD ___________ 29 SPINRAZA ___________ 42 SPIRIVA HANDIHALER __ 8 SPIRIVA RESPIMAT _____ 8 spironolactone _______ 31 spironolactone/hydrochlor

_________________ 31 SPRAVATO 56MG DOSE 10 SPRAVATO 84MG DOSE 10 sprintec 28 __________ 24 SPRIX ________________ 4 SPRYCEL ____________ 17 sps _________________ 39 sronyx ______________ 24 ssd _________________ 29 SSKI ________________ 25 sss 10%-5% __________ 29 STALEVO 100 ________ 18 STALEVO 125 ________ 18 STALEVO 150 ________ 18 STALEVO 200 ________ 18 STALEVO 50 _________ 18 STALEVO 75 _________ 18 STAMARIL ___________ 48 STARLIX _____________ 11 stavudine____________ 20 STAXYN _____________ 21 STEGLATRO __________ 11 STEGLUJAN __________ 11

STELARA _________ 29, 33 STELARA INJ 5MG/ML

_________________ 33 STENDRA ____________ 21 sterile water irrigation _ 39 STIMATE ____________ 32 STIOLTO RESPIMAT ____ 8 STIVARGA ___________ 17 STRATTERA ___________ 3 STRENSIQ ___________ 32 STRIBILD ____________ 20 STRIVERDI RESPIMAT ___ 8 STROMECTOL _________ 6 STROVITE FORTE ______ 40 STROVITE ONE _______ 40 SUBLOCADE___________ 5 SUBOXONE ___________ 5 SUBSYS ______________ 5 subvenite _____________ 9 subvenite starter kit/ora _ 9 SUCRAID ____________ 30 SUCRALFATE SUS

1GM/10ML ________ 47 sucralfate tab 1gm ___ 47 SULFACET SOD OIN 10%

OP _______________ 43 sulfacet sod sol 10% op _ 43 sulfacetamide sodium _ 29,

43 sulfacetamide

sodium/pred _______ 43 sulfacetamide sodium/sulf

_________________ 29 sulfacleanse 8/4 ______ 29 sulfadiazine __________ 46 sulfamethoxazole/trimetho

_________________ 15 sulfasalazine _________ 33 sulfatrim pediatric _____ 15 sulfazine ____________ 33 Sulfonamides ________ 46 sulindac ______________ 4 SUMADAN WASH _____ 29 sumatriptan __________ 37 sumatriptan inj _______ 37 SUMATRIPTAN INJ

6MG/0.5 __________ 37 sumatriptan succinate _ 37 sumatriptan succinate ref

_________________ 37 sumatriptan/naproxen sodi

_________________ 37 SUNOSI ______________ 3 SUPARTZ FX__________ 41 SUPERVITE___________ 40 SUPPORT ____________ 40 SUPPORT-500 ________ 40 SUPPRELIN LA ________ 32 SUPRANE ____________ 33 SUPRAX _____________ 22

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SUPREP BOWEL PREP KIT _________________ 36

SURVANTA INTRATRACHEAL ___ 46

SUSTIVA ____________ 20 SUTENT _____________ 17 SUVICORT ___________ 29 syeda ______________ 24 SYLATRON __________ 17 SYMAX DUOTAB _____ 47 SYMBICORT __________ 8 SYMBYAX ___________ 45 SYMDEKO ___________ 46 SYMLINPEN 120 ______ 11 SYMLINPEN 60 _______ 11 SYMPAZAN ___________ 9 SYMPROIC __________ 33 SYMTUZA ___________ 20 SYNAGIS ____________ 44 SYNAREL ____________ 32 SYNDROS ___________ 12 SYNERA ____________ 29 SYNJARDY __________ 11 SYNJARDY XR ________ 11 SYNTHROID _________ 46 SYNVISC ____________ 41 SYNVISC ONE ________ 41 SYPRINE ____________ 39

T TABLOID ____________ 17 TACLONEX __________ 29 tacrolimus cap ______ 39 tacrolimus oin 0.1% __ 29 tadalafil ____________ 21 TAFINLAR ___________ 17 TAGRISSO ___________ 17 TAKHZYRO __________ 34 TALICIA _____________ 47 TALIVA _____________ 35 TALTZ ______________ 29 TALZENNA __________ 17 TAMIFLU____________ 20 tamoxifen citrate _____ 17 tamsulosin hydrochloride

_________________ 34 taperdex 6-day _______ 25 TAPERDEX 7-DAY _____ 25 TARCEVA ___________ 17 TARGADOX__________ 46 TARGRETIN CAP ____ 17 TARGRETIN GEL 1% __ 29 tarina 24 fe __________ 24 tarina fe 1/20 ________ 24 tarina fe 1/20 eq _____ 24 TARKA _____________ 14 TARON FORTE _______ 35 TARON-BC __________ 40 TARON-C DHA _______ 40

taron-crystals ________ 34 TARON-PREX ________ 40 TASIGNA ____________ 17 TASMAR ____________ 18 TAXOTERE___________ 17 TAYTULLA ___________ 24 tazarotene __________ 29 TAZICEF _____________ 22 TAZORAC CRE 0.1% _ 29 TAZORAC GEL 0.1% _ 29 taztia xt _____________ 21 TDVAX______________ 46 TECFIDERA __________ 45 TECFIDERA STARTER PACK

_________________ 45 TEFLARO ____________ 22 TEGRETOL ____________ 9 TEGRETOL-XR _________ 9 TEGSEDI ____________ 45 TEKTURNA __________ 14 TEKTURNA HCT ______ 14 telmisartan __________ 14 telmisartan/amlodipine 14 telmisartan/hydrochloroth

_________________ 14 temazepam __________ 36 TEMODAR CAP 100MG

_________________ 17 TEMODAR INJ 100MG

_________________ 17 TEMOVATE __________ 29 temozolomide _______ 17 temsirolimus _________ 18 TENCON _____________ 4 TENIVAC ____________ 46 tenofovir disoproxil fuma

_________________ 20 TENORMIN __________ 21 terazosin hcl _________ 14 terazosin hydrochloride 14 terbinafine hcl _______ 12 terbutaline sulfate _____ 8 terconazole __________ 48 TERIPARATIDE _______ 32 TESSALON PERLES ____ 25 TESTIM ______________ 6 TESTOPEL ____________ 6 testosterone __________ 6 TESTOSTERONE _______ 6 testosterone cypionate _ 6 testosterone enanthate _ 6 TESTOSTERONE PUMP __ 6 testosterone topical solu 6 tetrabenazine ________ 45 tetracaine hcl ________ 36 tetracaine hydrochloride 43 tetracycline hydrochlorid

_________________ 46 Tetracyclines ________ 46 TETRIX ______________ 29

TEXACORT ___________ 29 THEO-24 _____________ 8 theochron ____________ 8 THEOCHRON TAB 100MG

CR ________________ 8 theophylline __________ 8 theophylline cr ________ 8 theophylline er ________ 8 theophylline/d5w ______ 8 THERAHONEY ________ 29 THIOLA _____________ 34 THIOLA EC ___________ 34 thioridazine hcl _______ 19 thiotepa _____________ 18 thiothixene __________ 19 THRIVITE RX _________ 40 THROMBATE III _______ 34 THROMBATE III W/20 ML

STE ______________ 34 THYROID AGENTS _____ 46 tiagabine hydrochloride _ 9 TIAZAC _____________ 21 TICE BCG ____________ 18 TIKOSYN _____________ 7 tilia fe ______________ 24 timolol sol 0.5% op ___ 43 timolol maleate _______ 21 TIMOLOL MALEATE

OPHTHALMI _______ 43 TIMOPTIC ___________ 43 TIMOPTIC OCUDOSE __ 43 TIMOPTIC-XE ________ 43 tinidazole ___________ 15 TIROSINT ____________ 46 TIROSINT-SOL ________ 46 TISSEEL _____________ 35 TIVICAY _____________ 20 tizanidine hcl _________ 41 tizanidine hydrochloride 41 TL FOLATE ___________ 41 tl gard rx ____________ 35 TL G-FOL OS _________ 41 tl hydroquinone ______ 29 tl icon ______________ 35 TL-CARE DHA ________ 41 TL-FLUORIVITE _______ 41 tl-hem 150 ___________ 35 TL-ICARE ____________ 30 TL-SELECT ___________ 41 TOBI ________________ 3 TOBI PODHALER _______ 3 TOBRADEX OIN 0.3-0.1%

_________________ 43 TOBRADEX SUS 0.3-0.1%

_________________ 43 TOBRADEX ST ________ 43 tobramycin ________ 3, 43 tobramycin sol 0.3% op 43 tobramycin sulfate _____ 3

tobramycin/dexamethasone ________________ 43

TOBREX _____________ 44 TOFRANIL ___________ 10 TOLAK ______________ 29 tolbutamide __________ 11 tolmetin sodium _______ 4 tolterodine tartrate ____ 47 tolterodine tartrate er _ 47 TOPAMAX ____________ 9 topex topical anesthetic 39 TOPICORT ___________ 29 topiramate ___________ 9 TOPIRAMATE ER _______ 9 toposar _____________ 18 TOPROL XL __________ 21 TORISEL _____________ 18 torsemide ___________ 31 TOUJEO MAX SOLOSTAR

_________________ 11 TOUJEO SOLOSTAR ____ 11 TOVIAZ _____________ 47 Toxoids _____________ 46 TPN ELECTROLYTES ____ 38 TRACE ELEMENTS

4/PEDIATRI ________ 38 TRACLEER ___________ 22 TRADJENTA __________ 11 tramadol hcl __________ 5 TRAMADOL HCL CAP ER

100MG ____________ 5 tramadol hcl tab 100mg er

__________________ 5 tramadol hydrochloride/ac

__________________ 5 trandolapril __________ 14 trandolapril/verapamil hc

_________________ 14 tranexamic acid _______ 35 tranexamic acid inj ____ 35 TRANSDERM SCOP ____ 12 TRANSDERM-SCOP ____ 12 tranylcypromine sulfate 10 TRAUMANIL _________ 39 TRAVATAN Z _________ 44 trazodone hydrochloride 10 TRECATOR ___________ 15 TRELEGY ELLIPTA ______ 8 TRELSTAR MIXJECT ____ 18 TREMFYA ____________ 29 treprostinil ___________ 22 TRESIBA _____________ 11 TRESIBA FLEXTOUCH __ 11 tretinoin cap 10mg ___ 18 tretinoin gel 0.01% ___ 29 tretinoin microsphere __ 29 tretinoin microsphere pum

_________________ 29 TRETTEN ____________ 34 TREXALL _____________ 18

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TREXIMET ___________ 37 TREZIX ______________ 5 tri femynor __________ 24 triamcinolon cre 0.5% _ 29 triamcinolone acetonide

______________ 25, 39 triamcinolone acetonide d

_________________ 39 triamterene _________ 31 triamterene/hydrochloroth

_________________ 31 TRIANEX ____________ 29 triazolam ___________ 36 TRIBENZOR __________ 14 TRI-CHLOR __________ 29 TRICITRASOL _________ 8 tricitrates ___________ 34 TRICOR _____________ 13 TRIDESILON _________ 29 trientine hydrochloride 39 TRIESENCE __________ 44 tri-estarylla __________ 24 trifluoperazine hcl ____ 19 trifluoperazine hydrochlo

_________________ 19 trifluridine __________ 44 trigels-f forte ________ 35 trihexyphenidyl hcl ___ 18 trihexyphenidyl hydrochlo

_________________ 18 TRIJARDY XR ________ 11 TRIKAFTA ___________ 46 tri-legest fe __________ 24 TRILEPTAL ___________ 9 tri-linyah ____________ 24 TRILIPIX ____________ 13 tri-lo-estarylla ________ 24 tri-lo-marzia _________ 24 tri-lo-sprintec ________ 24 TRI-LUMA ___________ 29 trilyte ______________ 36 trimethobenzamide

hydroch __________ 12 trimethoprim _____ 15, 44 trimethoprim sulfate/poly

_________________ 44 TRIMO-SAN _________ 48 trinatal rx 1 __________ 41 TRINTELLIX __________ 10 triphrocaps __________ 41 tri-previfem _________ 24 TRIPTODUR _________ 32 tri-sprintec __________ 24 TRISTART DHA _______ 41 TRISTART ONE _______ 41 TRI-TABS DHA _______ 41 TRIUMEQ ___________ 20 TRIVEEN-DUO DHA ___ 41 TRI-VI-FLOR _________ 41 TRI-VI-FLORO ________ 41

tri-vitamin/fluoride ___ 41 trivora-28 ___________ 24 tri-vylibra ___________ 24 tri-vylibra lo _________ 24 TROKENDI XR _________ 9 trospium chloride _____ 48 trospium chloride er ___ 48 TRULANCE __________ 33 TRULICITY ___________ 11 TRUMENBA _________ 48 TRUSOPT ___________ 44 TRUVADA ___________ 20 TUDORZA PRESSAIR ____ 8 tulana ______________ 24 TUSSICAPS __________ 25 TWINRIX ____________ 48 TWYNSTA ___________ 14 tydemy _____________ 24 TYGACIL ____________ 46 TYKERB _____________ 18 TYLACTIN BUILD 20PE TYR

_________________ 30 TYLACTIN COMPLETE 15

PE _______________ 30 TYLACTIN RESTORE 10 _ 30 TYLACTIN RESTORE 5PE 30 TYLACTIN RTD 15 _____ 30 TYLENOL/CODEINE #3 __ 5 TYMLOS ____________ 32 TYPHIM VI __________ 48 TYSABRI ____________ 45 TYVASO REFILL _______ 22

U UCERIS AER 2MG/ACT 6 UCERIS TAB 9MG __ 25 UDENYCA ___________ 35 ULCER

DRUGS/ANTISPASMODICS/ANTICHOLINERGICS _________________ 46

ULESFIA_____________ 29 ULORIC _____________ 34 ULTANE _____________ 33 ultimatecare one _____ 41 ULTOMIRIS __________ 34 ULTRABAG/DIANEAL LOW

CALC _____________ 39 ULTRABAG/DIANEAL PD-

2/1.5 ____________ 39 ULTRABAG/DIANEAL PD-

2/2.5 ____________ 39 ULTRABAG/DIANEAL PD-

2/4.2 ____________ 39 ULTRAM _____________ 5 ULTRAVATE _________ 29 UNASYN ____________ 45 UNASYN BULK PACK __ 45 unithroid ____________ 46

UPTRAVI ____________ 22 urea ________________ 29 urea nail ____________ 29 urelle _______________ 47 uretron d/s __________ 47 uribel _______________ 47 URIMAR-T ___________ 47 Urinary Anti-infectives _ 47 Urinary Antispasmodics 47 uro-458 _____________ 47 UROCIT-K 10 _________ 34 UROCIT-K 15 _________ 34 UROCIT-K 5 __________ 34 UROGESIC-BLUE ______ 47 uro-mp _____________ 47 ursodiol _____________ 33 ustell _______________ 47 UTOPIC _____________ 29

V VACCINES ___________ 48 VAGIFEM ____________ 48 VAGINAL AND RELATED

PRODUCTS ________ 48 valacyclovir hcl _______ 20 valacyclovir hydrochlorid20 VALCHLOR ___________ 29 VALCYTE ____________ 20 valganciclovir ________ 20 valganciclovir hydrochlor20 VALIUM ______________ 7 valproate sodium ______ 9 valproic acid __________ 9 valrubicin ___________ 18 valsartan ____________ 14 valsartan/hydrochlorothia

_________________ 14 VALTREX ____________ 20 VANCOMYCIN ________ 15 vancomycin hcl _______ 15 VANCOMYCIN HCL IN

DEXTROS _________ 15 vancomycin hydrochloride

_________________ 15 vandazole ___________ 48 VANIQA _____________ 29 vanoxide-hc __________ 29 VAQTA _____________ 48 vardenafil hydrochloride 22 VARIVAX ____________ 48 VASCAZEN ___________ 30 VASCEPA ____________ 13 VASCULERA __________ 30 VASERETIC __________ 14 VASOTEC ____________ 14 VAXCHORA __________ 48 v-c forte _____________ 41 VECTICAL ____________ 29 vecuronium bromide __ 42

VELCADE ____________ 18 VELETRI _____________ 22 velivet ______________ 24 VELPHORO __________ 33 VELTASSA ___________ 39 VELTIN ______________ 29 VEMLIDY ____________ 20 VENA-BAL DHA _______ 41 VENCLEXTA __________ 18 VENCLEXTA STARTING

PACK _____________ 18 VENELEX ____________ 29 venlafaxine hcl _______ 10 venlafaxine hcl er _____ 10 VENOFER ____________ 35 VENTOLIN HFA ________ 8 verapamil inj ________ 21 verapamil tab _______ 21 verapamil hcl _________ 21 verapamil hcl er_______ 21 verapamil hcl sa ______ 21 verapamil hcl sr _______ 21 VERDESO ____________ 29 VEREGEN ____________ 29 VERZENIO ___________ 18 VESICARE ____________ 48 VEXASYN ____________ 29 VFEND ______________ 12 VFEND IV ____________ 12 VIAGRA _____________ 22 VIBERZI _____________ 33 VIBRAMYCIN _________ 46 vicodin es _____________ 5 vicodin hp ____________ 5 VICTOZA ____________ 11 VIDEX _______________ 20 VIDEX EC ____________ 20 VIEKIRA PAK _________ 20 vienva ______________ 24 vigabatrin ____________ 9 vigadrone_____________ 9 VIGAMOX ___________ 44 VIIBRYD _____________ 10 VIIBRYD STARTER PACK 10 VILACTIN AA PLUS ____ 30 vilamit mb ___________ 47 VIMOVO _____________ 4 VIMPAT ______________ 9 VINATE M ___________ 41 vinate one ___________ 41 vinorelbine tartrate ____ 18 VIOKACE ____________ 30 viorele ______________ 24 VIRAMUNE __________ 20 VIRAMUNE XR _______ 20 VIRAZOLE ___________ 20 VIREAD _____________ 20 virt-caps _____________ 41 virt-gard _____________ 35 virt-phos 250 neutral __ 38

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VIRT-PN DHA ________ 41 VISBIOME ___________ 30 VISCO-3 ____________ 41 VISTARIL _____________ 7 VISUDYNE __________ 44 VITAFOL ____________ 41 VITAFOL FE+ _________ 41 VITAFOL GUMMIES ___ 41 VITAFOL STRIPS ______ 41 VITAFOL ULTRA ______ 41 VITAFOL-NANO ______ 41 VITAFOL-OB _________ 41 VITAFOL-OB+DHA ____ 41 VITAFOL-ONE ________ 41 VITAMEDMD ONE

RX/QUATREFO ____ 41 VITAMEDMD REDICHEW

RX ______________ 41 vitamins a/c/d/fluoride 41 VITAPEARL __________ 41 VITATRUE ___________ 41 VITRASE ____________ 39 VIVELLE-DOT ________ 32 VIVITROL ___________ 12 VIVOTIF ____________ 48 VIZIMPRO ___________ 18 VOGELXO ____________ 6 VOGELXO PUMP ______ 6 vol-care rx___________ 41 VOL-NATE ___________ 41 VOL-PLUS ___________ 41 VOL-TAB RX _________ 41 VOLTAREN __________ 29 VOLUVEN ___________ 34 VONVENDI __________ 34 voriconazole _________ 12 voriconazole inj 200mg 12 VOSEVI _____________ 20 VOTRIENT ___________ 18 VP-PNV-DHA ________ 41 VPRIV ______________ 35 VRAYLAR ___________ 19 VSL#3 DS ___________ 11 VUMERITY __________ 45 VUSION ____________ 29 vyfemla _____________ 24 vylibra ______________ 24 VYNDAMAX _________ 22 VYNDAQEL __________ 22 VYTONE ____________ 29 VYTORIN____________ 13 VYVANSE ____________ 3 VYZULTA ____________ 44

W warfarin sodium _______ 8 WELCHOL ___________ 13 WELLBUTRIN SR ______ 10 WELLBUTRIN XL ______ 10 wera _______________ 24 WIDE-SEAL SILICONE

DIAPHR __________ 37 wixela inhub __________ 8 WP THYROID ________ 46 wymzya fe ___________ 24

X XADAGO ____________ 18 XALATAN ___________ 44 XALIX ______________ 29 XALKORI ____________ 18 XANAX ______________ 7 XANAX XR ____________ 7 XARELTO _____________ 8 XARELTO STARTER PACK 8 XELJANZ _____________ 4 XELJANZ XR __________ 4 XELODA_____________ 18 XEMBIFY ____________ 44 XENAZINE ___________ 45 XENICAL _____________ 3 XEOMIN ____________ 42 XEPI ________________ 29 XERAC AC ___________ 29 XERALUX ____________ 29 XERESE _____________ 29 XEROFORM NON-

OCCLUSIVE OI _____ 29 XEROFORM OCCLUSIVE

PETROL __________ 29 XEROSTOMIA RELIEF

SPRAY ___________ 39 XGEVA ______________ 32 XHANCE ____________ 42 XIAFLEX _____________ 39 XIFAXAN ____________ 15 XIGDUO XR __________ 11 XIIDRA______________ 44 XIMINO _____________ 46 XOFLUZA ____________ 20 XOLAIR ______________ 8 XOLEGEL ____________ 29 XOLEGEL COREPAK ___ 29 XOLEGEL DUO/HEAD &

SHOULD __________ 29 XOLEGEL DUO/XOLEX _ 29

XOPENEX _____________ 8 XOPENEX CONCENTRATE 8 XOPENEX HFA _________ 8 XOSPATA ____________ 18 XRYLIX ______________ 29 XTAMPZA ER __________ 6 XTANDI _____________ 18 XULANE _____________ 24 XULTOPHY 100/3.6 ___ 11 XYLOCAINE __________ 36 XYLOCAINE-MPF ______ 36 XYNTHA_____________ 34 XYNTHA SOLOFUSE ___ 34 XYOSTED _____________ 6 XYREM _____________ 45 XYZBAC _____________ 30

Y YASMIN 28 __________ 24 YAZ ________________ 24 YERVOY _____________ 18 YUPELRI ______________ 8 yuvafem ____________ 48

Z zafirlukast ____________ 8 zaleplon _____________ 36 ZALTRAP ____________ 18 ZANAFLEX ___________ 41 ZANOSAR ___________ 18 zarah _______________ 24 ZARONTIN ____________ 9 ZARXIO _____________ 35 ZATEAN-PN DHA______ 41 ZATEAN-PN PLUS _____ 41 ZEGERID ____________ 47 ZELAC ______________ 11 ZELAPAR ____________ 18 ZELBORAF ___________ 18 ZELNORM ___________ 33 ZEMAIRA ____________ 46 ZEMBRACE SYMTOUCH 37 ZEMPLAR____________ 32 zenatane ____________ 29 ZENPEP _____________ 30 zenzedi tab 5mg _____ 3 ZENZEDI TAB 7.5MG _ 3 ZEPATIER ____________ 20 ZESTRIL _____________ 14 ZETIA _______________ 13 ZETONNA ___________ 42 ZIANA ______________ 29

zidovudine ___________ 20 ZINC SULFATE ________ 38 ZINECARD ___________ 18 ZINPLAVA ___________ 44 ZIOPTAN ____________ 44 ziprasidone hcl _______ 19 ZIPSOR _______________ 4 ZIRGAN _____________ 44 ZITHRANOL __________ 29 ZITHROMAX _________ 37 ZOCOR ______________ 13 ZOFRAN _____________ 12 ZOHYDRO ER __________ 6 ZOLADEX ____________ 18 zoledronic acid _______ 32 ZOLINZA ____________ 18 zolmitriptan __________ 37 zolmitriptan odt ______ 37 ZOLOFT _____________ 10 zolpidem tartrate _____ 36 zolpidem tartrate er ___ 36 ZOMACTON __________ 32 ZOMIG ______________ 37 ZOMIG SPR 5MG __ 37 ZONALON ___________ 29 ZONEGRAN ___________ 9 zonisamide ___________ 9 ZONTIVITY ___________ 34 ZORTRESS ___________ 39 ZORVOLEX ____________ 4 ZOSTAVAX ___________ 48 zovia 1/35e __________ 24 ZOVIRAX CRE 5% ___ 29 ZOVIRAX OIN 5% ___ 29 ZTLIDO ______________ 29 ZUBSOLV _____________ 6 ZUPLENZ ____________ 12 ZYCLARA ____________ 29 ZYCLARA PUMP ______ 29 ZYFLO ________________ 8 ZYKADIA ____________ 18 ZYLET _______________ 44 ZYLOPRIM ___________ 34 ZYMAXID ____________ 44 ZYPITAMAG __________ 13 ZYPREXA ____________ 19 ZYPREXA RELPREVV ___ 19 ZYPREXA ZYDIS _______ 19 ZYTIGA ______________ 18 ZYVEXOL ____________ 30 ZYVIT _______________ 30 ZYVOX ______________ 15

Prime Detailed Formulary Guide - Universal Rx

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