BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
8-MOP METHOXSALEN 10 MG CAPSULE ORAL
ABRAXANE PACLITAXEL PROTEIN-BOUND 100 MG VIAL INTRAVEN.
ACTEMRA TOCILIZUMAB 80 MG/4 ML VIAL INTRAVEN.
ACTEMRA TOCILIZUMAB 200MG/10ML VIAL INTRAVEN.
ACTEMRA TOCILIZUMAB 400MG/20ML VIAL INTRAVEN.
ACTEMRA TOCILIZUMAB 162 MG/0.9 SYRINGE SUB-Q
ACTHREL CORTICORELIN OVINE TRIFLUTATE 100 MCG VIAL INTRAVEN.
ACTIMMUNE INTERFERON GAMMA-1B,RECOMB. 100MCG/0.5 VIAL SUB-Q
ADCETRIS BRENTUXIMAB VEDOTIN 50 MG VIAL INTRAVEN.
ADCIRCA TADALAFIL 20 MG TABLET ORAL
ADEMPAS RIOCIGUAT 0.5 MG TABLET ORAL
ADEMPAS RIOCIGUAT 1 MG TABLET ORAL
ADEMPAS RIOCIGUAT 1.5 MG TABLET ORAL
ADEMPAS RIOCIGUAT 2 MG TABLET ORAL
ADEMPAS RIOCIGUAT 2.5 MG TABLET ORAL
ADRIAMYCIN DOXORUBICIN HCL 20 MG VIAL INTRAVEN.
ADVATE ANTIHEMOPH.FVIII PLAS/ALB FREE 4000 (+/-) VIAL INTRAVEN.
ADVATE ANTIHEMOPH.FVIII PLAS/ALB FREE 3000 (+/-) VIAL INTRAVEN.
ADVATE H ANTIHEMOPH.FVIII PLAS/ALB FREE 1000 (+/-) VIAL INTRAVEN.
ADVATE L ANTIHEMOPH.FVIII PLAS/ALB FREE 250 (+/-) VIAL INTRAVEN.
ADVATE M ANTIHEMOPH.FVIII PLAS/ALB FREE 500 (+/-) VIAL INTRAVEN.
ADVATE SH ANTIHEMOPH.FVIII PLAS/ALB FREE 1500 (+/-) VIAL INTRAVEN.
ADVATE UH ANTIHEMOPH.FVIII PLAS/ALB FREE 2000 (+/-) VIAL INTRAVEN.
AFINITOR EVEROLIMUS 2.5 MG TABLET ORAL
AFINITOR EVEROLIMUS 5 MG TABLET ORAL
AFINITOR EVEROLIMUS 10 MG TABLET ORAL
AFINITOR EVEROLIMUS 2.5 MG TABLET ORAL
AFINITOR EVEROLIMUS 7.5 MG TABLET ORAL
AFINITOR DISPERZ EVEROLIMUS 2 MG TAB SUSP ORAL
AFINITOR DISPERZ EVEROLIMUS 3 MG TAB SUSP ORAL
1 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
AFINITOR DISPERZ EVEROLIMUS 5 MG TAB SUSP ORAL
ALDURAZYME LARONIDASE 2.9 MG/5ML VIAL INTRAVEN.
ALFERON N INTERFERON ALFA-N3 5MMUNIT/ML VIAL INJECTION
ALIMTA PEMETREXED DISODIUM 500 MG VIAL INTRAVEN.
ALIMTA PEMETREXED DISODIUM 100 MG VIAL INTRAVEN.
ALPHANATE ANTIHEMOPHILIC FACTOR/VWF 250 (100) VIAL INTRAVEN.
ALPHANATE ANTIHEMOPHILIC FACTOR/VWF 500 (200) VIAL INTRAVEN.
ALPHANATE ANTIHEMOPHILIC FACTOR/VWF 1000 (400) VIAL INTRAVEN.
ALPHANATE ANTIHEMOPHILIC FACTOR/VWF 1500 (600) VIAL INTRAVEN.
ALPHANINE SD FACTOR IX 1500 (+/-) VIAL INTRAVEN.
ALPHANINE SD FACTOR IX 500 (+/-) VIAL INTRAVEN.
ALPHANINE SD FACTOR IX 1000 (+/-) VIAL INTRAVEN.
ALPROLIX FACTOR IX REC, FC FUSION PROTN 500 UNIT VIAL INTRAVEN.
ALPROLIX FACTOR IX REC, FC FUSION PROTN 1000 UNIT VIAL INTRAVEN.
ALPROLIX FACTOR IX REC, FC FUSION PROTN 2000 UNIT VIAL INTRAVEN.
ALPROLIX FACTOR IX REC, FC FUSION PROTN 3000 UNIT VIAL INTRAVEN.
AMIFOSTINE AMIFOSTINE CRYSTALLINE 500 MG VIAL INTRAVEN.
AMPYRA DALFAMPRIDINE 10 MG TAB ER 12H ORAL
ANGIOMAX BIVALIRUDIN 250 MG VIAL INTRAVEN.
ANZEMET DOLASETRON MESYLATE 100 MG/5ML VIAL INTRAVEN.
ANZEMET DOLASETRON MESYLATE 12.5/0.625 VIAL INTRAVEN.
ANZEMET DOLASETRON MESYLATE 20 MG/ML VIAL INTRAVEN.
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 25 MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 60MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 100 MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 200 MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 40 MCG/0.4 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 60MCG/0.3 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 100MCG/0.5 SYRINGE INJECTION
2 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 150MCG/0.3 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 500 MCG/ML SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 200MCG/0.4 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 25MCG/0.42 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 300MCG/0.6 SYRINGE INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 300 MCG/ML VIAL INJECTION
ARANESP DARBEPOETIN ALFA IN POLYSORBAT 150MCG/.75 VIAL INJECTION
ARCALYST RILONACEPT 220 MG VIAL SUB-Q
AROMASIN EXEMESTANE 25 MG TABLET ORAL
ARZERRA OFATUMUMAB 100 MG/5ML VIAL INTRAVEN.
ARZERRA OFATUMUMAB 1000 MG/50 VIAL INTRAVEN.
ASTAGRAF XL TACROLIMUS 0.5 MG CAP ER 24H ORAL
ASTAGRAF XL TACROLIMUS 1 MG CAP ER 24H ORAL
ASTAGRAF XL TACROLIMUS 5 MG CAP ER 24H ORAL
ATGAM LYMPHOCYTE IMMUNE GLOBULIN 50 MG/ML AMPUL INTRAVEN.
ATRACURIUM BESYLATE ATRACURIUM BESYLATE 10 MG/ML VIAL INTRAVEN.
AUBAGIO TERIFLUNOMIDE 7 MG TABLET ORAL
AUBAGIO TERIFLUNOMIDE 14 MG TABLET ORAL
AVASTIN BEVACIZUMAB 25 MG/ML VIAL INTRAVEN.
AVONEX INTERFERON BETA-1A 30MCG/.5ML KIT INTRAMUSC.
AVONEX INTERFERON BETA-1A 30MCG/.5ML SYRINGE INTRAMUSC.
AVONEX ADMINISTRATION PACK INTERFERON BETA-1A/ALBUMIN 30 MCG KIT INTRAMUSC.
AVONEX PEN INTERFERON BETA-1A 30MCG/.5ML PEN INJCTR INTRAMUSC.
AVONEX PEN INTERFERON BETA-1A 30MCG/.5ML PEN IJ KIT INTRAMUSC.
BAL IN OIL DIMERCAPROL 100 MG/ML AMPUL INTRAMUSC.
BARACLUDE ENTECAVIR 0.05MG/ML SOLUTION ORAL
BARACLUDE ENTECAVIR 0.5 MG TABLET ORAL
BARACLUDE ENTECAVIR 1 MG TABLET ORAL
BCG VACCINE (TICE STRAIN) BCG LIVE 50 MG VIAL INTRAVESIC
BCG VACCINE (TICE STRAIN) BCG VACCINE, LIVE/PF 50 MG VIAL INJECTION
3 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
BCG VACCINE (TICE STRAIN) BCG LIVE 50 MG VIAL INTRAVESIC
BEBULIN VH IMMUNO FACTOR IX COMPLEX HUMAN 700 (+/-) VIAL INTRAVEN.
BENEFIX FACTOR IX HUMAN RECOMBINANT 1000 UNIT KIT INTRAVEN.
BENEFIX FACTOR IX HUMAN RECOMBINANT 500 UNIT KIT INTRAVEN.
BENEFIX FACTOR IX HUMAN RECOMBINANT 250 UNIT KIT INTRAVEN.
BENEFIX FACTOR IX HUMAN RECOMBINANT 3000 UNIT KIT INTRAVEN.
BENEFIX FACTOR IX HUMAN RECOMBINANT 2000 UNIT KIT INTRAVEN.
BENLYSTA BELIMUMAB 120 MG VIAL INTRAVEN.
BENLYSTA BELIMUMAB 400 MG VIAL INTRAVEN.
BERINERT C1 ESTERASE INHIBITOR 500(10 ML) KIT INTRAVEN.
BEXXAR TOSITUMOMAB (WITH MALTOSE) 14MG/ML VIAL INTRAVEN.
BLEOMYCIN SULFATE BLEOMYCIN SULFATE 15 UNIT VIAL INJECTION
BLEOMYCIN SULFATE BLEOMYCIN SULFATE 30 UNIT VIAL INJECTION
BOSULIF BOSUTINIB 100 MG TABLET ORAL
BOSULIF BOSUTINIB 500 MG TABLET ORAL
BOTOX ONABOTULINUMTOXINA 200 UNIT VIAL INJECTION
BOTOX 100 UNITS VIAL ONABOTULINUMTOXINA 100 UNIT VIAL INJECTION
BOTOX COSMETIC ONABOTULINUMTOXINA 100 UNIT VIAL INJECTION
BOTOX COSMETIC ONABOTULINUMTOXINA 50 UNIT VIAL INTRAMUSC.
CA-DTPA PENTETATE CA TRISODIUM 200 MG/ML AMPUL INTRAVEN.
CAMPATH ALEMTUZUMAB 30 MG/ML VIAL INTRAVEN.
CAMPTOSAR IRINOTECAN HCL 300MG/15ML VIAL INTRAVEN.
CAPRELSA VANDETANIB 100 MG TABLET ORAL
CAPRELSA VANDETANIB 300 MG TABLET ORAL
CARBOPLATIN CARBOPLATIN 150 MG VIAL INTRAVEN.
CARIMUNE NF NANOFILTERED IMMUNE GLOBULIN,GAMMA(IGG) 3 G VIAL INTRAVEN.
CARIMUNE NF NANOFILTERED IMMUNE GLOBULIN,GAMMA(IGG) 6G VIAL INTRAVEN.
CARIMUNE NF NANOFILTERED IMMUNE GLOBULIN,GAMMA(IGG) 12G VIAL INTRAVEN.
CASODEX BICALUTAMIDE 50 MG TABLET ORAL
CAYSTON AZTREONAM LYSINE 75 MG/ML VIAL-NEB INHALATION
4 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
CEREZYME IMIGLUCERASE 400 UNIT VIAL INTRAVEN.
CHEMET SUCCIMER 100 MG CAPSULE ORAL
CIMZIA CERTOLIZUMAB PEGOL 400MG/2ML SYRINGEKIT SUB-Q
CIMZIA CERTOLIZUMAB PEGOL 400 MG KIT SUB-Q
CINRYZE C1 ESTERASE INHIBITOR 500 (5 ML) VIAL INTRAVEN.
COMETRIQ CABOZANTINIB S-MALATE 140 MG/DAY CAPSULE ORAL
COMETRIQ CABOZANTINIB S-MALATE 100 MG/DAY CAPSULE ORAL
COMETRIQ CABOZANTINIB S-MALATE 60 MG/DAY CAPSULE ORAL
COPAXONE GLATIRAMER ACETATE 20 MG/ML SYRINGEKIT SUB-Q
COPAXONE GLATIRAMER ACETATE 40 MG/ML SYRINGE SUB-Q
COSYNTROPIN COSYNTROPIN 0.25 MG VIAL INJECTION
COSYNTROPIN COSYNTROPIN 0.25 MG/ML VIAL INTRAVEN.
CUROSURF PORACTANT ALFA 120MG/1.5 VIAL INHALATION
CUROSURF PORACTANT ALFA 240 MG/3ML VIAL INHALATION
CYANIDE ANTIDOTE PACKAGE NA NITRITE/NA THIOSUL/AMYL NIT 300-12.5 KIT INTRAVEN.
CYTOGAM CYTOMEGALOVIRUS IMMUNE GLOB 50 MG/ML VIAL INTRAVEN.
DACARBAZINE DACARBAZINE 100 MG VIAL INTRAVEN.
DACARBAZINE DACARBAZINE 200 MG VIAL INTRAVEN.
DACTINOMYCIN DACTINOMYCIN 0.5 MG VIAL INTRAVEN.
DAUNORUBICIN HCL DAUNORUBICIN HCL 20 MG VIAL INTRAVEN.
DAUNORUBICIN HCL DAUNORUBICIN HCL 5 MG/ML VIAL INTRAVEN.
DAUNOXOME DAUNORUBICIN CITRATE LIPOSOMAL 2 MG/ML VIAL INTRAVEN.
DECITABINE DECITABINE 50 MG VIAL INTRAVEN.
DESFERAL DEFEROXAMINE MESYLATE 2 G VIAL INJECTION
DESFERAL MESYLATE DEFEROXAMINE MESYLATE 500 MG VIAL INJECTION
DOCEFREZ DOCETAXEL 80 MG VIAL INTRAVEN.
DOCEFREZ DOCETAXEL 20 MG VIAL INTRAVEN.
DOCETAXEL DOCETAXEL FNL 20MG/2 VIAL INTRAVEN.
DOCETAXEL DOCETAXEL FNL 80MG/8 VIAL INTRAVEN.
DOCETAXEL DOCETAXEL 160 MG/8ML VIAL INTRAVEN.
5 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
DOCETAXEL DOCETAXEL 140 MG/7ML VIAL INTRAVEN.
DOCETAXEL DOCETAXEL 80 MG/8 ML VIAL INTRAVEN.
DOCETAXEL DOCETAXEL 20 MG/2 ML VIAL INTRAVEN.
DOCETAXEL DOCETAXEL 160MG/16ML VIAL INTRAVEN.
DOCETAXEL DOCETAXEL FNL 20MG/2 VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 10 MG VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 50 MG VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 2 MG/ML VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 10 MG/5 ML VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 50 MG/25ML VIAL INTRAVEN.
DOXORUBICIN HCL DOXORUBICIN HCL 20 MG/10ML VIAL INTRAVEN.
DYSPORT ABOBOTULINUMTOXINA 500 UNIT VIAL INTRAMUSC.
DYSPORT ABOBOTULINUMTOXINA 300 UNIT VIAL INTRAMUSC.
EGRIFTA TESAMORELIN ACETATE 1 MG VIAL SUB-Q
EGRIFTA TESAMORELIN ACETATE 2 MG VIAL SUB-Q
ELAPRASE IDURSULFASE 6 MG/3 ML VIAL INTRAVEN.
ELELYSO TALIGLUCERASE ALFA 200 UNIT VIAL INTRAVEN.
ELSPAR ASPARAGINASE 10000 UNIT VIAL INJECTION
EMCYT ESTRAMUSTINE PHOSPHATE SODIUM 140 MG CAPSULE ORAL
ENBREL ETANERCEPT 50 MG/ML SYRINGE SUB-Q
ENBREL ETANERCEPT 25 MG VIAL SUB-Q
ENBREL ETANERCEPT 50 MG/ML PEN INJCTR SUB-Q
ENBREL ETANERCEPT 25MG/0.5ML SYRINGE SUB-Q
ENTEREG ALVIMOPAN 12 MG CAPSULE ORAL
ENTEREG ALVIMOPAN 12 MG CAPSULE ORAL
EPIRUBICIN HCL EPIRUBICIN HCL 50 MG VIAL INTRAVEN.
EPIRUBICIN HCL EPIRUBICIN HCL 200 MG VIAL INTRAVEN.
EPIRUBICIN HCL EPIRUBICIN HCL 50 MG/25ML VIAL INTRAVEN.
EPIRUBICIN HCL EPIRUBICIN HCL 200MG/0.1L VIAL INTRAVEN.
EPIVIR HBV LAMIVUDINE 25 MG/5 ML SOLUTION ORAL
6 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
ERBITUX CETUXIMAB 100MG/50ML VIAL INTRAVEN.
ERBITUX CETUXIMAB 200MG/0.1L VIAL INTRAVEN.
ERIVEDGE VISMODEGIB 150 MG CAPSULE ORAL
ERWINAZE ASPARAGINASE (ERWINIA CHRYSAN) 10000 UNIT VIAL INTRAMUSC.
ETOPOPHOS ETOPOSIDE PHOSPHATE 100 MG VIAL INTRAVEN.
ETOPOSIDE ETOPOSIDE 50 MG CAPSULE ORAL
ETOPOSIDE ETOPOSIDE 50 MG CAPSULE ORAL
EXJADE DEFERASIROX 125 MG TAB DISPER ORAL
EXJADE DEFERASIROX 250 MG TAB DISPER ORAL
EXJADE DEFERASIROX 500 MG TAB DISPER ORAL
EXTAVIA INTERFERON BETA-1B 0.3 MG KIT SUB-Q
EXTAVIA INTERFERON BETA-1B 0.3 MG VIAL SUB-Q
EXTAVIA INTERFERON BETA-1B 0.3 MG KIT SUB-Q
EYLEA AFLIBERCEPT 2MG/0.05ML VIAL INTRAOCULR
FARESTON TOREMIFENE CITRATE 60 MG TABLET ORAL
FASLODEX FULVESTRANT 250 MG/5ML SYRINGE INTRAMUSC.
FEIBA NF ANTI-INHIBITOR COAGULANT COMP. 651-1200 U VIAL INTRAVEN.
FEIBA NF ANTI-INHIBITOR COAGULANT COMP. 400-650 U VIAL INTRAVEN.
FEIBA NF ANTI-INHIBITOR COAGULANT COMP. 1750-3250 VIAL INTRAVEN.
FEMARA LETROZOLE 2.5 MG TABLET ORAL
FERRIPROX DEFERIPRONE 500 MG TABLET ORAL
FIRAZYR ICATIBANT ACETATE 30 MG/3 ML SYRINGE SUB-Q
FIRMAGON DEGARELIX ACETATE 80 MG VIAL SUB-Q
FIRMAGON DEGARELIX ACETATE 120 MG VIAL SUB-Q
FLOLAN EPOPROSTENOL SODIUM (GLYCINE) 0.5 MG VIAL INTRAVEN.
FLOLAN EPOPROSTENOL SODIUM (GLYCINE) 1.5 MG VIAL INTRAVEN.
FLUTAMIDE FLUTAMIDE 125 MG CAPSULE ORAL
FOLOTYN PRALATREXATE 20MG/ML(1) VIAL INTRAVEN.
FOLOTYN PRALATREXATE 40 MG/2 ML VIAL INTRAVEN.
FORTEO TERIPARATIDE 20MCG/DOSE PEN INJCTR SUB-Q
7 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
GALZIN ZINC ACETATE 25 MG CAPSULE ORAL
GALZIN ZINC ACETATE 50 MG CAPSULE ORAL
GAMASTAN S-D IMMUNE GLOBULIN,GAMMA(IGG) 15%-18% VIAL INTRAMUSC.
GAMMAGARD S-D IMMUNE GLOBULIN,GAMMA(IGG) 2.5 G VIAL INTRAVEN.
GAMMAGARD S-D IMMUNE GLOBULIN,GAMMA(IGG) 5 G VIAL INTRAVEN.
GAMMAGARD S-D IMMUNE GLOBULIN,GAMMA(IGG) 10 G VIAL INTRAVEN.
GAMMAPLEX IMMUNE GLOBULIN,GAMMA(IGG) 5 % VIAL INTRAVEN.
GAMUNEX IMMUNE GLOB,GAM CAPRYLATE(IGG) 10 % VIAL INTRAVEN.
GAMUNEX-C IMMUNE GLOB,GAM CAPRYLATE(IGG) 1 G/10 ML VIAL INJECTION
GAMUNEX-C IMMUNE GLOB,GAM CAPRYLATE(IGG) 2.5G/25ML VIAL INJECTION
GAMUNEX-C IMMUNE GLOB,GAM CAPRYLATE(IGG) 5 G/50 ML VIAL INJECTION
GAMUNEX-C IMMUNE GLOB,GAM CAPRYLATE(IGG) 10 G/100ML VIAL INJECTION
GAMUNEX-C IMMUNE GLOB,GAM CAPRYLATE(IGG) 20 G/200ML VIAL INJECTION
GATTEX TEDUGLUTIDE 5 MG KIT SUB-Q
GAZYVA OBINUTUZUMAB 1000 MG/40 VIAL INTRAVEN.
GEL-ONE HYALURONATE SOD, CROSS-LINKED 30 MG/3 ML SYRINGE INTRAARTIC
GEMCITABINE HCL GEMCITABINE HCL 2 G VIAL INTRAVEN.
GEMZAR GEMCITABINE HCL 200 MG VIAL INTRAVEN.
GEMZAR GEMCITABINE HCL 1 G VIAL INTRAVEN.
GENOTROPIN SOMATROPIN 0.2MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 0.4MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 0.6MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 0.8MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 2MG/0.25ML SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 1MG/0.25ML SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 5 MG/ML CARTRIDGE SUB-Q
GENOTROPIN SOMATROPIN 12 MG/ML CARTRIDGE SUB-Q
GENOTROPIN SOMATROPIN 1.2MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 1.4MG/0.25 SYRINGE SUB-Q
GENOTROPIN SOMATROPIN 1.6MG/0.25 SYRINGE SUB-Q
8 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
GENOTROPIN SOMATROPIN 1.8MG/0.25 SYRINGE SUB-Q
GILENYA FINGOLIMOD HCL 0.5 MG CAPSULE ORAL
GILENYA FINGOLIMOD HCL 0.5 MG CAPSULE ORAL
GILOTRIF AFATINIB DIMALEATE 20 MG TABLET ORAL
GILOTRIF AFATINIB DIMALEATE 30 MG TABLET ORAL
GILOTRIF AFATINIB DIMALEATE 40 MG TABLET ORAL
GLASSIA ALPHA-1-PROTEINASE INHIBITOR 1 G/50 ML VIAL INTRAVEN.
GLEEVEC IMATINIB MESYLATE 400 MG TABLET ORAL
GLEEVEC IMATINIB MESYLATE 100 MG TABLET ORAL
GLUCOSAMINE-CHONDROITIN ANTIARTHRITIC COMBINATION NO.2 900 MG TABLET ORAL
GRANISETRON HCL GRANISETRON HCL 1 MG/ML VIAL INTRAVEN.
GRANISETRON HCL GRANISETRON HCL 1 MG/ML(1) VIAL INTRAVEN.
GRANIX TBO-FILGRASTIM 300MCG/0.5 SYRINGE SUB-Q
GRANIX TBO-FILGRASTIM 480MCG/0.8 SYRINGE SUB-Q
H.P. ACTHAR CORTICOTROPIN 80 UNIT/ML VIAL INJECTION
HECORIA TACROLIMUS 1 MG CAPSULE ORAL
HECORIA TACROLIMUS 5 MG CAPSULE ORAL
HECORIA TACROLIMUS 0.5 MG CAPSULE ORAL
HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN 220-400 VIAL INTRAVEN.
HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN 401-800 VIAL INTRAVEN.
HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN 801-1500 VIAL INTRAVEN.
HEMOFIL M ANTIHEMOPHILIC FACTOR, HUMAN 1501-2000 VIAL INTRAVEN.
HEPAGAM B HEPATITIS B IMMUN GLOB/MALTOSE >312/ML VIAL INJECTION
HEPAGAM B HEPATITIS B IMMUN GLOB/MALTOSE >312/ML(5) VIAL INJECTION
HEPSERA ADEFOVIR DIPIVOXIL 10 MG TABLET ORAL
HERCEPTIN TRASTUZUMAB 440 MG VIAL INTRAVEN.
HERCEPTIN TRASTUZUMAB 440 MG VIAL INTRAVEN.
HIZENTRA IMMUNE GLOBULIN,GAMMA(IGG) 1 G/5 ML VIAL SUB-Q
HIZENTRA IMMUNE GLOBULIN,GAMMA(IGG) 2 G/10 ML VIAL SUB-Q
HIZENTRA IMMUNE GLOBULIN,GAMMA(IGG) 4 G/20 ML VIAL SUB-Q
9 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
HIZENTRA IMMUNE GLOBULIN,GAMMA(IGG) 10 G/50 ML VIAL SUB-Q
HUMATE-P ANTIHEMOPHILIC FACTOR/VWF 250-600 KIT INTRAVEN.
HUMATE-P ANTIHEMOPHILIC FACTOR/VWF 1000-2400 KIT INTRAVEN.
HUMATE-P ANTIHEMOPHILIC FACTOR/VWF 500-1200 U KIT INTRAVEN.
HUMATROPE SOMATROPIN 24 MG CARTRIDGE INJECTION
HUMATROPE SOMATROPIN 5 MG VIAL INJECTION
HUMATROPE SOMATROPIN 6 MG CARTRIDGE INJECTION
HUMATROPE SOMATROPIN 12 MG CARTRIDGE INJECTION
HUMIRA ADALIMUMAB 40MG/0.8ML KIT SUB-Q
HUMIRA ADALIMUMAB 40MG/0.8ML PEN IJ KIT SUB-Q
HUMIRA ADALIMUMAB 20MG/0.4ML KIT SUB-Q
HYALGAN HYALURONATE SODIUM 10 MG/ML VIAL INTRAARTIC
HYCAMTIN TOPOTECAN HCL 0.25 MG CAPSULE ORAL
HYCAMTIN TOPOTECAN HCL 1 MG CAPSULE ORAL
HYPERHEP B S-D HEPATITIS B IMMUNE GLOBULIN 220 UNIT/1 SYRINGE INTRAMUSC.
HYPERHEP B S-D HEPATITIS B IMMUNE GLOBULIN 220 UNIT/1 VIAL INTRAMUSC.
HYPERHEP B S-D HEPATITIS B IMMUNE GLOBULIN 110/0.5ML SYRINGE INTRAMUSC.
HYPERHEP B S-D HEPATITIS B IMMUNE GLOBULIN 220/ML (5) VIAL INTRAMUSC.
HYPERTET S-D TETANUS IMMUNE GLOBULIN/PF 250 UNIT SYRINGE INTRAMUSC.
ICLUSIG PONATINIB HCL 15 MG TABLET ORAL
ICLUSIG PONATINIB HCL 45 MG TABLET ORAL
IDARUBICIN HCL IDARUBICIN HCL 1 MG/ML VIAL INTRAVEN.
ILARIS CANAKINUMAB/PF 180 MG/1.2 VIAL SUB-Q
IMBRUVICA IBRUTINIB 140 MG CAPSULE ORAL
IMIQUIMOD IMIQUIMOD 5 % CREAM PACK TOPICAL
IMOGAM RABIES-HT RABIES IMMUNE GLOBULIN/PF 150 UNIT/1 VIAL INTRAMUSC.
INCIVEK TELAPREVIR 375 MG TABLET ORAL
INFASURF CALFACTANT 35MG/ML VIAL INHALATION
INFERGEN INTERFERON ALFACON-1 15MCG/.5ML VIAL SUB-Q
INFERGEN INTERFERON ALFACON-1 9MCG/0.3ML VIAL SUB-Q
10 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
INLYTA AXITINIB 1 MG TABLET ORAL
INLYTA AXITINIB 5 MG TABLET ORAL
INTRON A INTERFERON ALFA-2B,RECOMB. 6MMUNIT/ML VIAL INJECTION
INTRON A INTERFERON ALFA-2B,RECOMB. 10MM/ML VIAL INJECTION
INTRON A INTERFERON ALFA-2B,RECOMB. 10MM UNIT VIAL INJECTION
INTRON A INTERFERON ALFA-2B,RECOMB. 50MM UNIT VIAL INJECTION
INTRON A INTERFERON ALFA-2B,RECOMB. 18MM UNIT VIAL INJECTION
IPRIVASK DESIRUDIN 15 MG VIAL SUB-Q
IRINOTECAN HCL IRINOTECAN HCL 40 MG/2 ML VIAL INTRAVEN.
IRINOTECAN HCL IRINOTECAN HCL 100 MG/5ML VIAL INTRAVEN.
IRINOTECAN HCL IRINOTECAN HCL 500MG/25ML VIAL INTRAVEN.
ISTODAX ROMIDEPSIN 10 MG/2 ML VIAL INTRAVEN.
JAKAFI RUXOLITINIB PHOSPHATE 5 MG TABLET ORAL
JAKAFI RUXOLITINIB PHOSPHATE 10 MG TABLET ORAL
JAKAFI RUXOLITINIB PHOSPHATE 15 MG TABLET ORAL
JAKAFI RUXOLITINIB PHOSPHATE 20 MG TABLET ORAL
JAKAFI RUXOLITINIB PHOSPHATE 25 MG TABLET ORAL
JEVTANA CABAZITAXEL FNL10MG/ML VIAL INTRAVEN.
JUXTAPID LOMITAPIDE MESYLATE 5 MG CAPSULE ORAL
JUXTAPID LOMITAPIDE MESYLATE 10 MG CAPSULE ORAL
JUXTAPID LOMITAPIDE MESYLATE 20 MG CAPSULE ORAL
KADCYLA ADO-TRASTUZUMAB EMTANSINE 100 MG VIAL INTRAVEN.
KADCYLA ADO-TRASTUZUMAB EMTANSINE 160 MG VIAL INTRAVEN.
KALBITOR ECALLANTIDE 10MG/ML(1) VIAL SUB-Q
KALYDECO IVACAFTOR 150 MG TABLET ORAL
KINERET ANAKINRA 100MG/0.67 SYRINGE SUB-Q
KOATE-DVI ANTIHEMOPHILIC FACTOR, HUMAN 500 (+/-) KIT INTRAVEN.
KOATE-DVI ANTIHEMOPHILIC FACTOR, HUMAN 1000 (+/-) VIAL INTRAVEN.
KOATE-DVI ANTIHEMOPHILIC FACTOR, HUMAN 500 (+/-) VIAL INTRAVEN.
KOATE-DVI ANTIHEMOPHILIC FACTOR, HUMAN 250 (+/-) VIAL INTRAVEN.
11 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 500 (+/-) KIT INTRAVEN.
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 1000 (+/-) KIT INTRAVEN.
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 250 (+/-) KIT INTRAVEN.
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 3000 (+/-) KIT INTRAVEN.
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 2000 (+/-) KIT INTRAVEN.
KOGENATE FS ANTIHEMOPHILIC FACTOR, HUM REC 3000 (+/-) VIAL INTRAVEN.
KORLYM MIFEPRISTONE 300 MG TABLET ORAL
KUVAN SAPROPTERIN DIHYDROCHLORIDE 100 MG POWD PACK ORAL
KUVAN SAPROPTERIN DIHYDROCHLORIDE 100 MG TABLET SOL ORAL
KYNAMRO MIPOMERSEN SODIUM 200 MG/ML SYRINGE SUB-Q
KYPROLIS CARFILZOMIB 60 MG VIAL INTRAVEN.
LAMIVUDINE HBV LAMIVUDINE 100 MG TABLET ORAL
LETAIRIS AMBRISENTAN 5 MG TABLET ORAL
LETAIRIS AMBRISENTAN 10 MG TABLET ORAL
LEUKINE SARGRAMOSTIM 500 MCG/ML VIAL INJECTION
LEUKINE SARGRAMOSTIM 250 MCG VIAL INJECTION
LEUPROLIDE ACETATE LEUPROLIDE ACETATE 1 MG/0.2ML KIT SUB-Q
LIORESAL INTRATHECAL BACLOFEN 2000MCG/ML AMPUL INTRATHEC.
LIORESAL INTRATHECAL BACLOFEN 50 MCG/ML AMPUL INTRATHEC.
LIORESAL INTRATHECAL BACLOFEN 500 MCG/ML AMPUL INTRATHEC.
LIPODOX 50 DOXORUBICIN HCL PEG-LIPOSOMAL 2 MG/ML VIAL INTRAVEN.
LIPODOX 50 DOXORUBICIN HCL PEG-LIPOSOMAL 2 MG/ML VIAL INTRAVEN.
LOMUSTINE LOMUSTINE 10 MG CAPSULE ORAL
LOMUSTINE LOMUSTINE 100 MG CAPSULE ORAL
LOMUSTINE LOMUSTINE 40 MG CAPSULE ORAL
LUPANETA PACK LEUPROLIDE/NORETHINDRONE ACET 11.25-5 MG KT SYR TAB MISCELL.
LUPANETA PACK LEUPROLIDE/NORETHINDRONE ACET 3.75MG-5MG KT SYR TAB MISCELL.
LUPRON DEPOT LEUPROLIDE ACETATE 7.5 MG SYRINGEKIT INTRAMUSC.
LUPRON DEPOT LEUPROLIDE ACETATE 30 MG SYRINGEKIT INTRAMUSC.
LYSODREN MITOTANE 500 MG TABLET ORAL
12 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
LYSODREN MITOTANE 500 MG TABLET ORAL
MACUGEN PEGAPTANIB SODIUM 0.3 MG/90 SYRINGE INTRAOCULR
MAKENA HYDROXYPROGESTERONE CAPROATE 250 MG/ML VIAL INTRAMUSC.
MARQIBO VINCRISTINE SULFATE LIPOSOMAL FNL 5MG/31 KIT INTRAVEN.
MATULANE PROCARBAZINE HCL 50 MG CAPSULE ORAL
MEKINIST TRAMETINIB DIMETHYL SULFOXIDE 0.5 MG TABLET ORAL
MEKINIST TRAMETINIB DIMETHYL SULFOXIDE 2 MG TABLET ORAL
MESNEX MESNA 400 MG TABLET ORAL
MESNEX MESNA 100 MG/ML VIAL INTRAVEN.
METASTRON STRONTIUM-89 CHLORIDE 1 MCI/ML VIAL INTRAVEN.
MICRHOGAM ULTRA-FILTERED PLUS RHO(D) IMMUNE GLOBULIN 250 UNIT SYRINGE INTRAMUSC.
MITOMYCIN MITOMYCIN 20 MG VIAL INTRAVEN.
MITOMYCIN MITOMYCIN 5 MG VIAL INTRAVEN.
MITOMYCIN MITOMYCIN 40 MG VIAL INTRAVEN.
MITOXANTRONE HCL MITOXANTRONE HCL 2 MG/ML VIAL INTRAVEN.
MONOCLATE-P ANTIHEMOPHILIC FACTOR, HUMAN 1000 (+/-) KIT INTRAVEN.
MONOCLATE-P ANTIHEMOPHILIC FACTOR, HUMAN 1500 (+/-) KIT INTRAVEN.
MONONINE FACTOR IX 1000 (+/-) KIT INTRAVEN.
MONOVISC HYALURONATE SODIUM, STABILIZED 88 MG/4 ML SYRINGE INTRAARTIC
MYOBLOC RIMABOTULINUMTOXINB 2500/0.5ML VIAL INTRAMUSC.
MYOBLOC RIMABOTULINUMTOXINB 10000/2ML VIAL INTRAMUSC.
MYOBLOC RIMABOTULINUMTOXINB 5000/ML VIAL INTRAMUSC.
MYOZYME ALGLUCOSIDASE ALFA 50 MG VIAL INTRAVEN.
NABI-HB HEPATITIS B IMMUNE GLOBULIN >312/ML VIAL INTRAMUSC.
NABI-HB HEPATITIS B IMMUNE GLOBULIN >1560/5ML VIAL INTRAMUSC.
NAGLAZYME GALSULFASE 5 MG/5 ML VIAL INTRAVEN.
NEULASTA PEGFILGRASTIM 6MG/0.6ML SYRINGE SUB-Q
NEUMEGA OPRELVEKIN 5 MG VIAL SUB-Q
NEUPOGEN FILGRASTIM 480MCG/1.6 VIAL INJECTION
NEUPOGEN FILGRASTIM 480MCG/0.8 SYRINGE INJECTION
13 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
NEUPOGEN FILGRASTIM 300MCG/0.5 SYRINGE INJECTION
NEUPOGEN FILGRASTIM 300 MCG/ML VIAL INJECTION
NEXAVAR SORAFENIB TOSYLATE 200 MG TABLET ORAL
NILANDRON NILUTAMIDE 150 MG TABLET ORAL
NIMBEX CISATRACURIUM BESYLATE 10 MG/ML VIAL INTRAVEN.
NIMBEX CISATRACURIUM BESYLATE 2 MG/ML VIAL INTRAVEN.
NITHIODOTE SODIUM NITRITE/SOD THIOSULFATE 300-12.5 VIAL INTRAVEN.
NORDITROPIN FLEXPRO SOMATROPIN 5 MG/1.5ML PEN INJCTR SUB-Q
NORDITROPIN FLEXPRO SOMATROPIN 10MG/1.5ML PEN INJCTR SUB-Q
NORDITROPIN FLEXPRO SOMATROPIN 15MG/1.5ML PEN INJCTR SUB-Q
NORDITROPIN NORDIFLEX SOMATROPIN 30 MG/3 ML PEN INJCTR SUB-Q
NOVOSEVEN RT COAGULATION FACTOR VIIA,RECOMB 8 MG VIAL INTRAVEN.
NOVOSEVEN RT COAGULATION FACTOR VIIA,RECOMB 1 MG VIAL INTRAVEN.
NOVOSEVEN RT COAGULATION FACTOR VIIA,RECOMB 2 MG VIAL INTRAVEN.
NOVOSEVEN RT COAGULATION FACTOR VIIA,RECOMB 5 MG VIAL INTRAVEN.
NPLATE ROMIPLOSTIM 500 MCG VIAL SUB-Q
NPLATE ROMIPLOSTIM 250 MCG VIAL SUB-Q
NUTROPIN SOMATROPIN 10 MG VIAL SUB-Q
NUTROPIN AQ SOMATROPIN 10 MG/2 ML VIAL SUB-Q
NUTROPIN AQ NUSPIN SOMATROPIN 5 MG/2 ML CARTRIDGE SUB-Q
NUTROPIN AQ NUSPIN SOMATROPIN 20 MG/2 ML CARTRIDGE SUB-Q
NUTROPIN AQ NUSPIN SOMATROPIN 10 MG/2 ML CARTRIDGE SUB-Q
OCTAGAM IMMUNE GLOBULIN,G(IGG)/MALTOSE 5 % VIAL INTRAVEN.
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 50 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 500 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 100 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 50 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 500 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 100 MCG/ML VIAL INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 50 MCG/ML SYRINGE INJECTION
14 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 500 MCG/ML SYRINGE INJECTION
OCTREOTIDE ACETATE OCTREOTIDE ACETATE 100 MCG/ML SYRINGE INJECTION
OLYSIO SIMEPREVIR SODIUM 150 MG CAPSULE ORAL
OMNITROPE SOMATROPIN 10MG/1.5ML CARTRIDGE SUB-Q
OMNITROPE SOMATROPIN 5 MG/1.5ML CARTRIDGE SUB-Q
OMNITROPE SOMATROPIN 5.8 MG VIAL SUB-Q
OMONTYS PEGINESATIDE 10 MG/ML VIAL INJECTION
ONCASPAR PEGASPARGASE 750/ML VIAL INJECTION
OPSUMIT MACITENTAN 10 MG TABLET ORAL
ORENCIA ABATACEPT/MALTOSE 250 MG VIAL INTRAVEN.
ORENCIA ABATACEPT 125 MG/ML SYRINGE SUB-Q
ORENITRAM ER TREPROSTINIL DIOLAMINE 0.25 MG TABLET ER ORAL
ORENITRAM ER TREPROSTINIL DIOLAMINE 0.125 MG TABLET ER ORAL
ORENITRAM ER TREPROSTINIL DIOLAMINE 1 MG TABLET ER ORAL
ORENITRAM ER TREPROSTINIL DIOLAMINE 2.5 MG TABLET ER ORAL
ORFADIN NITISINONE 2 MG CAPSULE ORAL
ORFADIN NITISINONE 5 MG CAPSULE ORAL
ORFADIN NITISINONE 10 MG CAPSULE ORAL
ORTHOVISC HYALURONATE SODIUM 30 MG/2 ML SYRINGE INTRAARTIC
OTEZLA APREMILAST 30 MG TABLET ORAL
OTEZLA APREMILAST 10-20-30MG TAB DS PK ORAL
OXSORALEN-ULTRA METHOXSALEN, RAPID 10 MG CAPSULE ORAL
PACLITAXEL PACLITAXEL 6 MG/ML VIAL INTRAVEN.
PACLITAXEL PACLITAXEL 6 MG/ML VIAL INTRAVEN.
PAMIDRONATE DISODIUM PAMIDRONATE DISODIUM 30 MG VIAL INTRAVEN.
PAMIDRONATE DISODIUM PAMIDRONATE DISODIUM 90 MG VIAL INTRAVEN.
PANCURONIUM BROMIDE PANCURONIUM BROMIDE 1 MG/ML VIAL INTRAVEN.
PANRETIN ALITRETINOIN 0.1 % GEL (GRAM) TOPICAL
PEGASYS PEGINTERFERON ALFA-2A 180MCG/0.5 SYRINGE SUB-Q
PEGASYS PEGINTERFERON ALFA-2A 180MCG/ML VIAL SUB-Q
15 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
PEGASYS PEGINTERFERON ALFA-2A 180MCG/0.5 KIT SUB-Q
PEGASYS PROCLICK PEGINTERFERON ALFA-2A 180MCG/0.5 PEN INJCTR SUB-Q
PEGASYS PROCLICK PEGINTERFERON ALFA-2A 135MCG/0.5 PEN INJCTR SUB-Q
PEGINTRON PEGINTERFERON ALFA-2B 120MCG/0.5 KIT SUB-Q
PEGINTRON PEGINTERFERON ALFA-2B 150MCG/0.5 KIT SUB-Q
PEGINTRON PEGINTERFERON ALFA-2B 50 MCG/0.5 KIT SUB-Q
PEGINTRON PEGINTERFERON ALFA-2B 80MCG/0.5 KIT SUB-Q
PEGINTRON REDIPEN PEGINTERFERON ALFA-2B 120MCG/0.5 PEN IJ KIT SUB-Q
PEGINTRON REDIPEN PEGINTERFERON ALFA-2B 80MCG/0.5 PEN IJ KIT SUB-Q
PEGINTRON REDIPEN PEGINTERFERON ALFA-2B 50 MCG/0.5 PEN IJ KIT SUB-Q
PEGINTRON REDIPEN PEGINTERFERON ALFA-2B 150MCG/0.5 PEN IJ KIT SUB-Q
PENTOSTATIN PENTOSTATIN 10 MG VIAL INTRAVEN.
PERJETA PERTUZUMAB 420MG/14ML VIAL INTRAVEN.
PHOTOFRIN PORFIMER SODIUM 75 MG VIAL INTRAVEN.
POMALYST POMALIDOMIDE 1 MG CAPSULE ORAL
POMALYST POMALIDOMIDE 2 MG CAPSULE ORAL
POMALYST POMALIDOMIDE 3 MG CAPSULE ORAL
POMALYST POMALIDOMIDE 4 MG CAPSULE ORAL
PRALIDOXIME CHLORIDE PRALIDOXIME CHLORIDE 600MG/2ML PEN INJCTR INTRAMUSC.
PRIVIGEN IMMUNE GLOBULIN,GAMMA(IGG) 10 % VIAL INTRAVEN.
PROCRIT EPOETIN ALFA 20000/2ML VIAL INJECTION
PROCRIT EPOETIN ALFA 2000/ML VIAL INJECTION
PROCRIT EPOETIN ALFA 4000/ML VIAL INJECTION
PROCRIT EPOETIN ALFA 10000/ML VIAL INJECTION
PROCRIT EPOETIN ALFA 3000/ML VIAL INJECTION
PROCRIT EPOETIN ALFA 20000/ML VIAL INJECTION
PROCRIT EPOETIN ALFA 40000/ML VIAL INJECTION
PROFILNINE FACTOR IX COMPLEX HUMAN 1000 (+/-) VIAL INTRAVEN.
PROFILNINE FACTOR IX COMPLEX HUMAN 500 (+/-) VIAL INTRAVEN.
PROFILNINE FACTOR IX COMPLEX HUMAN 1500 (+/-) VIAL INTRAVEN.
16 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
PROFILNINE SD FACTOR IX COMPLEX HUMAN 1200 (+/-) VIAL INTRAVEN.
PROGRAF TACROLIMUS 5 MG/ML AMPUL INTRAVEN.
PROGRAF TACROLIMUS 1 MG CAPSULE ORAL
PROGRAF TACROLIMUS 5 MG CAPSULE ORAL
PROGRAF TACROLIMUS 0.5 MG CAPSULE ORAL
PROLASTIN ALPHA-1-PROTEINASE INHIBITOR 500 MG VIAL INTRAVEN.
PROLEUKIN ALDESLEUKIN 22MM UNIT VIAL INTRAVEN.
PROLEUKIN ALDESLEUKIN 22MM UNIT VIAL INTRAVEN.
PROLIA DENOSUMAB 60 MG/ML SYRINGE SUB-Q
PROMACTA ELTROMBOPAG OLAMINE 25 MG TABLET ORAL
PROMACTA ELTROMBOPAG OLAMINE 50 MG TABLET ORAL
PROMACTA ELTROMBOPAG OLAMINE 75 MG TABLET ORAL
PROMACTA ELTROMBOPAG OLAMINE 12.5 MG TABLET ORAL
PROTOPAM CHLORIDE PRALIDOXIME CHLORIDE 1 G VIAL INJECTION
PROVENGE SIPULEUCEL-T/LACTATED RINGERS 50 MM/250 PLAST. BAG INTRAVEN.
PULMOZYME DORNASE ALFA 1 MG/ML SOLUTION INHALATION
PURINETHOL MERCAPTOPURINE 50 MG TABLET ORAL
QUADRAMET SAMARIUM SM 153 LEXIDRONAM 150MCI/3ML VIAL INTRAVEN.
QUELICIN SUCCINYLCHOLINE CHLORIDE 100 MG/ML VIAL INJECTION
QUELICIN SUCCINYLCHOLINE CHLORIDE 20 MG/ML VIAL INJECTION
QUTENZA CAPSAICIN/SKIN CLEANSER 8 % KIT TOPICAL
RADIOGARDASE PRUSSIAN BLUE (INSOLUBLE) 0.5G CAPSULE ORAL
REBETOL RIBAVIRIN 40 MG/ML SOLUTION ORAL
REBIF INTERFERON BETA-1A/ALBUMIN 22MCG/.5ML SYRINGE SUB-Q
REBIF INTERFERON BETA-1A/ALBUMIN 44MCG/.5ML SYRINGE SUB-Q
REBIF INTERFERON BETA-1A/ALBUMIN 8.8-22(6) SYRINGE SUB-Q
REBIF REBIDOSE INTERFERON BETA-1A/ALBUMIN 8.8-22(6) PEN INJCTR SUB-Q
REBIF REBIDOSE INTERFERON BETA-1A/ALBUMIN 22MCG/.5ML PEN INJCTR SUB-Q
REBIF REBIDOSE INTERFERON BETA-1A/ALBUMIN 44MCG/.5ML PEN INJCTR SUB-Q
RECOMBINATE ANTIHEMOPHILIC FACTOR, HUM REC 250 (+/-) VIAL INTRAVEN.
17 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
RECOMBINATE ANTIHEMOPHILIC FACTOR, HUM REC 1000 (+/-) VIAL INTRAVEN.
RECOMBINATE ANTIHEMOPHILIC FACTOR, HUM REC 500 (+/-) VIAL INTRAVEN.
RECOMBINATE ANTIHEMOPHILIC FACTOR, HUM REC 2000 (+/-) VIAL INTRAVEN.
RECOMBINATE ANTIHEMOPHILIC FACTOR, HUM REC 1500 (+/-) VIAL INTRAVEN.
RELISTOR METHYLNALTREXONE BROMIDE 12MG/0.6ML SYRINGE SUB-Q
RELISTOR METHYLNALTREXONE BROMIDE 8 MG/0.4ML SYRINGE SUB-Q
RELISTOR METHYLNALTREXONE BROMIDE 12MG/0.6ML KIT SUB-Q
RELISTOR METHYLNALTREXONE BROMIDE 12MG/0.6ML VIAL SUB-Q
REMICADE INFLIXIMAB 100 MG VIAL INTRAVEN.
REMODULIN TREPROSTINIL SODIUM 1 MG/ML VIAL INJECTION
REMODULIN TREPROSTINIL SODIUM 2.5 MG/ML VIAL INJECTION
REMODULIN TREPROSTINIL SODIUM 5 MG/ML VIAL INJECTION
REMODULIN TREPROSTINIL SODIUM 10 MG/ML VIAL INJECTION
REVATIO SILDENAFIL CITRATE 10 MG/12.5 VIAL INTRAVEN.
REVLIMID LENALIDOMIDE 5 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 10 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 15 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 25 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 5 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 10 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 15 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 25 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 2.5 MG CAPSULE ORAL
REVLIMID LENALIDOMIDE 20 MG CAPSULE ORAL
RHOGAM ULTRA-FILTERED PLUS RHO(D) IMMUNE GLOBULIN 1500 UNIT SYRINGE INTRAMUSC.
RHOPHYLAC RHO(D) IMMUNE GLOBULIN 1500/2 ML SYRINGE INJECTION
RIBAPAK RIBAVIRIN 200-400MG TAB DS PK ORAL
RIBAPAK RIBAVIRIN 200-400(7) TAB DS PK ORAL
RIBAPAK RIBAVIRIN 400-400(7) TAB DS PK ORAL
RIBAPAK RIBAVIRIN 600-400(7) TAB DS PK ORAL
18 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
RIBAPAK RIBAVIRIN 600-600(7) TAB DS PK ORAL
RIBASPHERE RIBAVIRIN 400 MG TABLET ORAL
RIBASPHERE RIBAVIRIN 600 MG TABLET ORAL
RIBATAB RIBAVIRIN 600-400 MG TAB DS PK ORAL
RIBATAB RIBAVIRIN 400-400 MG TAB DS PK ORAL
RIBATAB RIBAVIRIN 600-600 MG TAB DS PK ORAL
RIBAVIRIN RIBAVIRIN 200 MG CAPSULE ORAL
RIBAVIRIN RIBAVIRIN 200 MG TABLET ORAL
RILUZOLE RILUZOLE 50 MG TABLET ORAL
RITUXAN RITUXIMAB 10 MG/ML VIAL INTRAVEN.
RITUXAN RITUXIMAB 10 MG/ML VIAL INTRAVEN.
RIXUBIS FACTOR IX HUMAN RECOMBINANT 250 UNIT VIAL INTRAVEN.
RIXUBIS FACTOR IX HUMAN RECOMBINANT 500 UNIT VIAL INTRAVEN.
RIXUBIS FACTOR IX HUMAN RECOMBINANT 1000 UNIT VIAL INTRAVEN.
RIXUBIS FACTOR IX HUMAN RECOMBINANT 2000 UNIT VIAL INTRAVEN.
RIXUBIS FACTOR IX HUMAN RECOMBINANT 3000 UNIT VIAL INTRAVEN.
ROCURONIUM BROMIDE ROCURONIUM BROMIDE 50 MG/5 ML SYRINGE INTRAVEN.
ROCURONIUM BROMIDE ROCURONIUM BROMIDE 100MG/10ML SYRINGE INTRAVEN.
SABRIL VIGABATRIN 500 MG POWD PACK ORAL
SABRIL VIGABATRIN 500 MG TABLET ORAL
SAIZEN SOMATROPIN 8.8 MG/1.5 CARTRIDGE SUB-Q
SAMSCA TOLVAPTAN 15 MG TABLET ORAL
SAMSCA TOLVAPTAN 30 MG TABLET ORAL
SANDOSTATIN OCTREOTIDE ACETATE 50 MCG/ML AMPUL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 100 MCG/ML AMPUL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 500 MCG/ML AMPUL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 200 MCG/ML VIAL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 1000MCG/ML VIAL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 50 MCG/ML AMPUL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 100 MCG/ML AMPUL INJECTION
19 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
SANDOSTATIN OCTREOTIDE ACETATE 500 MCG/ML AMPUL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 200 MCG/ML VIAL INJECTION
SANDOSTATIN OCTREOTIDE ACETATE 1000MCG/ML VIAL INJECTION
SANDOSTATIN LAR OCTREOTIDE ACETATE 20 MG KIT INTRAMUSC.
SANDOSTATIN LAR OCTREOTIDE ACETATE 30 MG KIT INTRAMUSC.
SANDOSTATIN LAR OCTREOTIDE ACETATE 10 MG KIT INTRAMUSC.
SANDOSTATIN LAR OCTREOTIDE ACETATE 20 MG KIT INTRAMUSC.
SANDOSTATIN LAR OCTREOTIDE ACETATE 30 MG KIT INTRAMUSC.
SANDOSTATIN LAR OCTREOTIDE ACETATE 10 MG KIT INTRAMUSC.
SCLEROSOL TALC 4 G AERO POWD INTRAPLEUR
SENSIPAR CINACALCET HCL 30 MG TABLET ORAL
SENSIPAR CINACALCET HCL 60 MG TABLET ORAL
SENSIPAR CINACALCET HCL 90 MG TABLET ORAL
SEROSTIM SOMATROPIN 6 MG VIAL SUB-Q
SEROSTIM SOMATROPIN 4 MG VIAL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.3 MG/ML AMPUL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.6 MG/ML AMPUL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.9 MG/ML AMPUL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.3 MG/ML AMPUL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.6 MG/ML AMPUL SUB-Q
SIGNIFOR PASIREOTIDE DIASPARTATE 0.9 MG/ML AMPUL SUB-Q
SILDENAFIL SILDENAFIL CITRATE 20 MG TABLET ORAL
SIMPONI GOLIMUMAB 50MG/0.5ML PEN INJCTR SUB-Q
SIMPONI GOLIMUMAB 50MG/0.5ML SYRINGE SUB-Q
SIMPONI GOLIMUMAB 100 MG/ML SYRINGE SUB-Q
SIMPONI GOLIMUMAB 100 MG/ML PEN INJCTR SUB-Q
SIMPONI ARIA GOLIMUMAB 50 MG/4 ML VIAL INTRAVEN.
SODIUM IODIDE I-123 SODIUM IODIDE-123 3.7 MBQ CAPSULE ORAL
SODIUM THIOSULFATE SODIUM THIOSULFATE 1 G/10 ML VIAL INTRAVEN.
SODIUM THIOSULFATE SODIUM THIOSULFATE 12.5G/50ML VIAL INTRAVEN.
20 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
SOLARAZE DICLOFENAC SODIUM 3 % GEL (GRAM) TOPICAL
SOLIRIS ECULIZUMAB 300MG/30ML VIAL INTRAVEN.
SOMATULINE DEPOT LANREOTIDE ACETATE 90MG/0.3ML SYRINGE SUB-Q
SOMATULINE DEPOT LANREOTIDE ACETATE 120MG/0.5 SYRINGE SUB-Q
SOMATULINE DEPOT LANREOTIDE ACETATE 60MG/0.2ML SYRINGE SUB-Q
SOMATULINE DEPOT LANREOTIDE ACETATE 90MG/0.3ML SYRINGE SUB-Q
SOMATULINE DEPOT LANREOTIDE ACETATE 120MG/0.5 SYRINGE SUB-Q
SOMATULINE DEPOT LANREOTIDE ACETATE 60MG/0.2ML SYRINGE SUB-Q
SOMAVERT PEGVISOMANT 10 MG VIAL SUB-Q
SOMAVERT PEGVISOMANT 15 MG VIAL SUB-Q
SOMAVERT PEGVISOMANT 20 MG VIAL SUB-Q
SORIATANE ACITRETIN 10 MG CAPSULE ORAL
SORIATANE ACITRETIN 25 MG CAPSULE ORAL
SORIATANE ACITRETIN 17.5 MG CAPSULE ORAL
SPRYCEL DASATINIB 20 MG TABLET ORAL
SPRYCEL DASATINIB 50 MG TABLET ORAL
SPRYCEL DASATINIB 70 MG TABLET ORAL
SPRYCEL DASATINIB 80 MG TABLET ORAL
SPRYCEL DASATINIB 140 MG TABLET ORAL
SPRYCEL DASATINIB 100 MG TABLET ORAL
STELARA USTEKINUMAB 45MG/0.5ML SYRINGE SUB-Q
STELARA USTEKINUMAB 90 MG/ML SYRINGE SUB-Q
STELARA USTEKINUMAB 45MG/0.5ML SYRINGE SUB-Q
STELARA USTEKINUMAB 90 MG/ML SYRINGE SUB-Q
STERILE TALC TALC 5 G VIAL INTRAPLEUR
STIVARGA REGORAFENIB 40 MG TABLET ORAL
SUCCINYLCHOLINE CHLORIDE SUCCINYLCHOLINE CHLORIDE 100 MG/5ML SYRINGE INTRAVEN.
SUCCINYLCHOLINE CHLORIDE SUCCINYLCHOLINE CHLORIDE 200MG/10ML SYRINGE INTRAVEN.
SUCCINYLCHOLINE CHLORIDE SUCCINYLCHOLINE CHLORIDE 140 MG/7ML SYRINGE INTRAVEN.
SUCCINYLCHOLINE CHLORIDE-NS SUCCINYLCHOLINE IN 0.9%NACL/PF 140 MG/7ML SYRINGE INTRAVEN.
21 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
SUCCINYLCHOLINE CHLORIDE-NS SUCCINYLCHOLINE IN 0.9%NACL/PF 200MG/10ML SYRINGE INTRAVEN.
SUCCINYLCHOLINE CHLORIDE-NS SUCCINYLCHOLINE IN 0.9%NACL/PF 100 MG/5ML SYRINGE INTRAVEN.
SUCRAID SACROSIDASE 8500/ML SOLUTION ORAL
SUPARTZ HYALURONATE SODIUM 10 MG/ML SYRINGE INTRAARTIC
SURFAXIN LUCINACTANT 34 MG/ML VIAL INHALATION
SURVANTA BERACTANT 25 MG/ML VIAL INHALATION
SUTENT SUNITINIB MALATE 12.5 MG CAPSULE ORAL
SUTENT SUNITINIB MALATE 25 MG CAPSULE ORAL
SUTENT SUNITINIB MALATE 50 MG CAPSULE ORAL
SYLATRON 4-PACK PEGINTERFERON ALFA-2B 296 MCG KIT SUB-Q
SYLATRON 4-PACK PEGINTERFERON ALFA-2B 888 MCG KIT SUB-Q
SYLATRON 4-PACK PEGINTERFERON ALFA-2B 444 MCG KIT SUB-Q
SYLVANT SILTUXIMAB 100 MG VIAL INTRAVEN.
SYLVANT SILTUXIMAB 400 MG VIAL INTRAVEN.
SYNAGIS PALIVIZUMAB 50MG/0.5ML VIAL INTRAMUSC.
SYNAGIS PALIVIZUMAB 100 MG/ML VIAL INTRAMUSC.
SYNRIBO OMACETAXINE MEPESUCCINATE 3.5 MG VIAL SUB-Q
SYNVISC HYLAN G-F 20 16MG/2ML SYRINGE INTRAARTIC
SYNVISC-ONE HYLAN G-F 20 48 MG/6 ML SYRINGE INTRAARTIC
SYPRINE TRIENTINE HCL 250 MG CAPSULE ORAL
TACHOSIL FIBRINOGEN/THROMBIN (HUM PLAS) 4.8X4.8 CM ADH. PATCH TOPICAL
TACHOSIL FIBRINOGEN/THROMBIN (HUM PLAS) 9.5X4.8 CM ADH. PATCH TOPICAL
TAFINLAR DABRAFENIB MESYLATE 50 MG CAPSULE ORAL
TAFINLAR DABRAFENIB MESYLATE 75 MG CAPSULE ORAL
TARCEVA ERLOTINIB HCL 150 MG TABLET ORAL
TARCEVA ERLOTINIB HCL 100 MG TABLET ORAL
TARCEVA ERLOTINIB HCL 25 MG TABLET ORAL
TARGRETIN BEXAROTENE 1 % GEL (GRAM) TOPICAL
TARGRETIN BEXAROTENE 75 MG CAPSULE ORAL
TASIGNA NILOTINIB HCL 150 MG CAPSULE ORAL
22 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
TASIGNA NILOTINIB HCL 200 MG CAPSULE ORAL
TAXOTERE DOCETAXEL 20MG/ML(1) VIAL INTRAVEN.
TAXOTERE DOCETAXEL 80 MG/4 ML VIAL INTRAVEN.
TAXOTERE DOCETAXEL FNL 80MG/8 VIAL INTRAVEN.
TECFIDERA DIMETHYL FUMARATE 120-240 MG CAPSULE DR ORAL
TECFIDERA DIMETHYL FUMARATE 120 MG CAPSULE DR ORAL
TECFIDERA DIMETHYL FUMARATE 240 MG CAPSULE DR ORAL
TEMODAR TEMOZOLOMIDE 100 MG VIAL INTRAVEN.
TEMOZOLOMIDE TEMOZOLOMIDE 5 MG CAPSULE ORAL
TEMOZOLOMIDE TEMOZOLOMIDE 20 MG CAPSULE ORAL
TEMOZOLOMIDE TEMOZOLOMIDE 100 MG CAPSULE ORAL
TEMOZOLOMIDE TEMOZOLOMIDE 250 MG CAPSULE ORAL
TEMOZOLOMIDE TEMOZOLOMIDE 140 MG CAPSULE ORAL
TEMOZOLOMIDE TEMOZOLOMIDE 180 MG CAPSULE ORAL
TESTRED 10 MG CAPSULE METHYLTESTOSTERONE 10 MG CAPSULE ORAL
TEV-TROPIN SOMATROPIN 5 MG VIAL SUB-Q
THALOMID THALIDOMIDE 200 MG CAPSULE ORAL
THALOMID THALIDOMIDE 50 MG CAPSULE ORAL
THALOMID THALIDOMIDE 100 MG CAPSULE ORAL
THALOMID THALIDOMIDE 150 MG CAPSULE ORAL
THERACYS BCG LIVE 81 MG VIAL INTRAVESIC
THYMOGLOBULIN LYMPHOCYTE IMMU GLOB.,RABBIT 25 MG VIAL INTRAVEN.
TOBI PODHALER TOBRAMYCIN 28 MG CAP W/DEV INHALATION
TOBI PODHALER TOBRAMYCIN 28 MG CAP W/DEV INHALATION
TOBI PODHALER TOBRAMYCIN 28 MG CAPSULE INHALATION
TOBRAMYCIN TOBRAMYCIN IN 0.225% NACL 300 MG/5ML AMPUL-NEB INHALATION
TOPOSAR ETOPOSIDE 20 MG/ML VIAL INTRAVEN.
TOPOTECAN HCL TOPOTECAN HCL 4 MG VIAL INTRAVEN.
TOPOTECAN HCL TOPOTECAN HCL 4 MG VIAL INTRAVEN.
TOPOTECAN HCL TOPOTECAN HCL 4 MG/4 ML VIAL INTRAVEN.
23 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
TORISEL TEMSIROLIMUS FNL 30MG/3 VIAL INTRAVEN.
TRACLEER BOSENTAN 125 MG TABLET ORAL
TRACLEER BOSENTAN 62.5 MG TABLET ORAL
TREANDA BENDAMUSTINE HCL 25 MG VIAL INTRAVEN.
TREANDA BENDAMUSTINE HCL 100 MG VIAL INTRAVEN.
TRELSTAR TRIPTORELIN PAMOATE 22.5MG/2ML SYRINGE INTRAMUSC.
TRELSTAR TRIPTORELIN PAMOATE 22.5 MG VIAL INTRAMUSC.
TRELSTAR TRIPTORELIN PAMOATE 11.25/2ML SYRINGE INTRAMUSC.
TRELSTAR TRIPTORELIN PAMOATE 3.75MG/2ML SYRINGE INTRAMUSC.
TRELSTAR DEPOT TRIPTORELIN PAMOATE 3.75 MG VIAL INTRAMUSC.
TRELSTAR LA TRIPTORELIN PAMOATE 11.25 MG VIAL INTRAMUSC.
TRETINOIN TRETINOIN 10 MG CAPSULE ORAL
TRETINOIN TRETINOIN 10 MG CAPSULE ORAL
TRISENOX ARSENIC TRIOXIDE 10 MG/10ML AMPUL INTRAVEN.
TYKERB LAPATINIB DITOSYLATE 250 MG TABLET ORAL
TYSABRI NATALIZUMAB 300MG/15ML VIAL INTRAVEN.
TYVASO TREPROSTINIL/NEBULIZER/ACCESOR 1.74MG/2.9 AMPUL-NEB INHALATION
TYVASO TREPROSTINIL/NEB ACCESSORIES 1.74MG/2.9 AMPUL-NEB INHALATION
TYVASO TREPROSTINIL 1.74MG/2.9 AMPUL-NEB INHALATION
TYZEKA TELBIVUDINE 600 MG TABLET ORAL
UVADEX METHOXSALEN 20 MCG/ML VIAL INJECTION
VALCHLOR MECHLORETHAMINE HCL 0.016 % GEL (GRAM) TOPICAL
VALSTAR VALRUBICIN 40 MG/ML VIAL INTRAVESIC
VAPRISOL CONIVAPTAN HCL/D5W 20MG/100ML PLAST. BAG INTRAVEN.
VARIZIG VARICELLA-ZOSTER IMMUNE GLOB 125 UNIT VIAL INTRAMUSC.
VECTIBIX PANITUMUMAB 100 MG/5ML VIAL INTRAVEN.
VECTIBIX PANITUMUMAB 400MG/20ML VIAL INTRAVEN.
VECURONIUM BROMIDE VECURONIUM BROMIDE/WATER 10 MG/10ML SYRINGE INTRAVEN.
VECURONIUM BROMIDE VECURONIUM BROMIDE 10 MG VIAL INTRAVEN.
VECURONIUM BROMIDE VECURONIUM BROMIDE 20 MG VIAL INTRAVEN.
24 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
VEGETARIAN GLUCOSAMINE GLUCOSAMINE HCL 750 MG TABLET ORAL
VELCADE BORTEZOMIB 3.5 MG VIAL INJECTION
VELETRI EPOPROSTENOL SODIUM (ARGININE) 1.5 MG VIAL INTRAVEN.
VELETRI EPOPROSTENOL SODIUM (ARGININE) 0.5 MG VIAL INTRAVEN.
VENTAVIS ILOPROST TROMETHAMINE 20 MCG/ML AMPUL-NEB INHALATION
VENTAVIS ILOPROST TROMETHAMINE 10 MCG/ML AMPUL-NEB INHALATION
VICTRELIS BOCEPREVIR 200 MG CAPSULE ORAL
VIMIZIM ELOSULFASE ALFA 5 MG/5 ML VIAL INTRAVEN.
VINBLASTINE SULFATE VINBLASTINE SULFATE 10 MG VIAL INTRAVEN.
VINBLASTINE SULFATE VINBLASTINE SULFATE 1 MG/ML VIAL INTRAVEN.
VINCRISTINE SULFATE VINCRISTINE SULFATE 1 MG/ML VIAL INTRAVEN.
VINCRISTINE SULFATE VINCRISTINE SULFATE 2 MG/2 ML VIAL INTRAVEN.
VINORELBINE TARTRATE VINORELBINE TARTRATE 10 MG/ML VIAL INTRAVEN.
VINORELBINE TARTRATE VINORELBINE TARTRATE 10 MG/ML VIAL INTRAVEN.
VINORELBINE TARTRATE VINORELBINE TARTRATE 50 MG/5 ML VIAL INTRAVEN.
VOTRIENT PAZOPANIB HCL 200 MG TABLET ORAL
VPRIV VELAGLUCERASE ALFA 400 UNIT VIAL INTRAVEN.
VUMON TENIPOSIDE 50 MG/5 ML AMPUL INTRAVEN.
WILATE ANTIHEMOPHILIC FACTOR/VWF 450-450 KIT INTRAVEN.
WILATE ANTIHEMOPHILIC FACTOR/VWF 900-900 KIT INTRAVEN.
WILATE ANTIHEMOPHILIC FACTOR/VWF 500-500 KIT INTRAVEN.
WILATE ANTIHEMOPHILIC FACTOR/VWF 1K-1K UNIT KIT INTRAVEN.
WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE 1500/1.3ML VIAL INJECTION
WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE 2500/2.2ML VIAL INJECTION
WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE 5000/4.4ML VIAL INJECTION
WINRHO SDF RHO(D) IMMUNE GLOBULIN/MALTOSE 15000/13ML VIAL INJECTION
XALKORI CRIZOTINIB 250 MG CAPSULE ORAL
XALKORI CRIZOTINIB 200 MG CAPSULE ORAL
XELJANZ TOFACITINIB CITRATE 5 MG TABLET ORAL
XELODA CAPECITABINE 150 MG TABLET ORAL
25 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
XELODA CAPECITABINE 500 MG TABLET ORAL
XENAZINE TETRABENAZINE 12.5 MG TABLET ORAL
XENAZINE TETRABENAZINE 25 MG TABLET ORAL
XEOMIN INCOBOTULINUMTOXINA 100 UNIT VIAL INTRAMUSC.
XEOMIN INCOBOTULINUMTOXINA 50 UNIT VIAL INTRAMUSC.
XGEVA DENOSUMAB 120 MG/1.7 VIAL SUB-Q
XIAFLEX COLLAGENASE CLOSTRIDIUM HIST. 0.9 MG VIAL INJECTION
XIFAXAN RIFAXIMIN 550 MG TABLET ORAL
XIFAXAN RIFAXIMIN 200 MG TABLET ORAL
XOFIGO RADIUM-223 DICHLORIDE 1000KBQ/ML VIAL INTRAVEN.
XOLAIR OMALIZUMAB 150 MG VIAL SUB-Q
XTANDI ENZALUTAMIDE 40 MG CAPSULE ORAL
XYNTHA ANTIHEMOPH.FVIII PLAS/ALB FREE 3000 (+/-) SYRINGEKIT INTRAVEN.
XYNTHA ANTIHEMOPH.FVIII PLAS/ALB FREE 250 (+/-) KIT INTRAVEN.
XYNTHA ANTIHEMOPH.FVIII PLAS/ALB FREE 500 (+/-) KIT INTRAVEN.
XYNTHA ANTIHEMOPH.FVIII PLAS/ALB FREE 1000 (+/-) KIT INTRAVEN.
XYNTHA ANTIHEMOPH.FVIII PLAS/ALB FREE 2000 (+/-) KIT INTRAVEN.
XYNTHA SOLOFUSE ANTIHEMOPH.FVIII PLAS/ALB FREE 1000 (+/-) SYRINGEKIT INTRAVEN.
XYNTHA SOLOFUSE ANTIHEMOPH.FVIII PLAS/ALB FREE 2000 (+/-) SYRINGEKIT INTRAVEN.
XYNTHA SOLOFUSE ANTIHEMOPH.FVIII PLAS/ALB FREE 250 (+/-) SYRINGEKIT INTRAVEN.
XYNTHA SOLOFUSE ANTIHEMOPH.FVIII PLAS/ALB FREE 500 (+/-) SYRINGEKIT INTRAVEN.
XYREM SODIUM OXYBATE 500 MG/ML SOLUTION ORAL
XYREM SODIUM OXYBATE 500 MG/ML SOLUTION ORAL
YERVOY IPILIMUMAB 50 MG/10ML VIAL INTRAVEN.
YERVOY IPILIMUMAB 200MG/40ML VIAL INTRAVEN.
ZANOSAR STREPTOZOCIN 1 G VIAL INTRAVEN.
ZAVESCA MIGLUSTAT 100 MG CAPSULE ORAL
ZELBORAF VEMURAFENIB 240 MG TABLET ORAL
ZEMAIRA ALPHA-1-PROTEINASE INHIBITOR 1000 MG VIAL INTRAVEN.
ZEMURON ROCURONIUM BROMIDE 10 MG/ML VIAL INTRAVEN.
26 of 27 Updated 6/2014
BRAND NAME GENERIC NAME STRENGTH DOSE ADMINISTRATION
ZEVALIN KIT FOR Y-90/IBRITUMOMAB/ALBUM 3.2MG/2ML KIT INTRAVEN.
ZN-DTPA PENTETATE ZINC TRISODIUM 200 MG/ML AMPUL INTRAVEN.
ZOLADEX GOSERELIN ACETATE 10.8MG IMPLANT SUB-Q
ZOLADEX GOSERELIN ACETATE 3.6 MG IMPLANT SUB-Q
ZOLINZA VORINOSTAT 100 MG CAPSULE ORAL
ZOMETA ZOLEDRONIC ACID 4 MG/5 ML VIAL INTRAVEN.
ZORBTIVE SOMATROPIN 8.8 MG VIAL SUB-Q
ZORTRESS EVEROLIMUS 0.25 MG TABLET ORAL
ZORTRESS EVEROLIMUS 0.5 MG TABLET ORAL
ZORTRESS EVEROLIMUS 0.75 MG TABLET ORAL
ZYCLARA IMIQUIMOD 3.75 % CREAM PACK TOPICAL
ZYCLARA IMIQUIMOD 3.75 % CRM MD PMP TOPICAL
ZYCLARA IMIQUIMOD 2.5 % CRM MD PMP TOPICAL
ZYKADIA CERITINIB 150 MG CAPSULE ORAL
ZYTIGA ABIRATERONE ACETATE 250 MG TABLET ORAL
27 of 27 Updated 6/2014
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