2020 California Small Group 4-Tier PPO Prescription Drug List

Pharmacy | PDL | California

Please note: This Prescription Drug List (PDL) is accurate as of June 1, 2020 and is subject to change after this date. All previous versions of this PDL are no longer in effect. Your estimated coverage and copay/coinsurance may vary based on the benefit plan you choose and the effective date of the plan.

This PDL can also be accessed online at myuhc.com > Pharmacy Information > Prescription Drug Lists > California plans > Small Group - Standard plans. Plan-specific coverage documents may be accessed online at uhc.com/statedruglists > Small Group Plans > California. If you are a UnitedHealthcare member, please register or log on to myuhc.com, or call the toll-free number on your health plan ID card to find pharmacy information specific to your benefit plan. This PDL is applicable to the following health insurance products offered by UnitedHealthcare: • Navigate

Updated 4/23/2020

At UnitedHealthcare, we want to help you better understand your medication options...... 3

How do I use my PDL? ...... 4

What are tiers? ...... 5

When does the PDL change?...... 5

Utilization Management Programs ...... 6

Your Right to Request Access to a Non-formulary Drug ...... 6

Requesting a Prior Authorization or Step Therapy Exception...... 7

How do I locate and fill a prescription through a retail network pharmacy?...... 7

How do I locate and fill a prescription through the mail order pharmacy? ...... 7

How do I locate and fill a prescription at a specialty pharmacy? ...... 8

How do I get updated information about my pharmacy benefit?...... 8

Nondiscrimination notice and access to communication services...... 9

Prescription Drug List...... 12

2 At UnitedHealthcare, we want to help you better understand your medication options. Your pharmacy benefit offers flexibility and choice in determining the right medication for you. To help you get the most out of your pharmacy benefit, we’ve included some of the most commonly used terms and their definitions as well as frequently asked questions: Brand-name drug means a Prescription Drug Product (1) which is manufactured and marketed under a trademark or name by a specific drug manufacturer; or (2) that we identify as a brand-name product, based on available data resources. This includes data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “brand-name” by the manufacturer, pharmacy, or your Physician will be classified as brand-name by us. A brand-name drug is listed in this PDL in all CAPITAL letters. Coinsurance means a percentage of the cost of a covered health care benefit that you pay after you have paid the deductible, if a deductible applies to the health care benefit. Copayment means a fixed dollar amount that you pay for a covered health care benefit after you have paid the deductible, if a deductible applies to the health care benefit. Deductible means the amount you pay for covered health care benefits that are subject to the deductible before your health insurer begins to pay. If your health insurance policy has a deductible, it may have either one deductible or separate deductibles for medical benefits and prescription drug benefits. After you pay your deductible, you usually pay only a copayment or coinsurance for covered health care benefits. Your insurance company pays the rest. Drug Tier means a group of Prescription Drug Products that correspond to a specified cost sharing tier in your health insurance policy. The drug tier in which a Prescription Drug Product is placed determines your portion of the cost for the drug. Exception request means a request for coverage of a non-formulary drug. If you, your designee, or your prescribing health care provider submits a request for coverage of a non-formulary drug, your insurer must cover the non-formulary drug when it is medically necessary for you to take the drug. Exigent circumstances means when you are suffering from a medical condition that may seriously jeopardize your life, health, or ability to regain maximum function, or when you are undergoing a current course of treatment using a non-formulary drug. Formulary or Prescription Drug List (PDL) means a list that categorizes into tiers medications or products that have been approved by the U.S. Food and Drug Administration (FDA). This list is subject to our periodic review and modification (generally quarterly, but no more than six times per calendar year). Generic drug means a Prescription Drug Product: (1) that is chemically equivalent to a brand-name drug; or (2) that we identify as a generic product based on available data resources. This includes, data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “generic” by the manufacturer, pharmacy or your Physician will be classified as a generic by us. A generic drug is listed in this PDL in italicized lowercase letters. Medically Necessary means health care benefits needed to diagnose, treat, or prevent a medical condition or its symptoms and that meet accepted standards of medicine. Health insurance usually does not cover health care benefits that are not medically necessary. Non-formulary drug means a Prescription Drug Product that is not listed on this PDL. Out-of-pocket costs means your expenses for health care benefits that aren’t reimbursed by your health insurance. Out-of-pocket costs include deductibles, copayments, and coinsurance for covered health care benefits, plus all costs for health care benefits that are not covered. Prescribing provider means a health care provider who can write a prescription for a drug to diagnose, treat, or prevent a medical condition. Prescription means an oral, written, or electronic order from a prescribing provider authorizing a Prescription Drug Product to be provided to a specific individual. Prescription Drug Product means a medication or product that has been approved by the U.S. Food and Drug Administration (FDA) and that can, under federal or state law, be dispensed only according to a Prescription Order or Refill. A Prescription Drug Product includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. We will provide coverage for a Prescription Drug Product which includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. This definition includes: Inhalers (with spacers); Insulin; the following diabetic supplies: standard insulin syringes with needles; blood-testing strips - glucose; urine-testing strips - glucose; ketone-testing strips and tablets; lancets and lancet devices; and glucose meters (including continuous glucose monitors); disposable devices which

3 are medically necessary for the administration of a covered outpatient Prescription Drug Product. Benefits also include FDA-approved contraceptive drugs, devices, and products available over-the-counter when prescribed by a Network provider. Prior Authorization means a process by your health insurer to determine that a health care benefit is medically necessary for you. If a Prescription Drug Product is subject to prior authorization in this PDL, your prescribing provider must request approval from your health insurer to cover the drug. Your health insurer must grant a prior authorization request when it is medically necessary for you to take the drug. Step therapy means a specific sequence in which Prescription Drug Products for a particular medical condition must be tried. If a drug is subject to step therapy in this PDL, you may have to try one or more other drugs before your health insurance policy will cover that drug for your medical condition. If your prescribing provider submits a request for an exception to the step therapy requirement, your health insurer must grant the request when it is medically necessary for you to take the drug.

How do I use my PDL? When choosing a medication, you and your doctor should consult the PDL. It will help you and your doctor choose the most cost- effective prescription drugs. This guide tells you if special programs apply. Bring this list with you when you see your doctor. It is organized by therapeutic category and class. The therapeutic category and class are based on the American Hospital Formulary Service (AHFS) Pharmacologic-Therapeutic Classification. You may also find a drug by its brand or generic name in the alphabetical index. If a generic equivalent for a brand-name drug is not available on the market or is not covered, the drug will not be separately listed by its generic name. This is the way Prescription Drug Products appear in the PDL: 1. A drug is listed alphabetically by its brand and generic names in the therapeutic category and class to which it belongs; 2. The generic name for a brand-name drug is included after the brand-name in parentheses and all lowercase italicized letters; 3. If a generic equivalent for a brand-name drug is both available and covered, the generic drug will be listed separately from the brand-name drug in all lowercase italicized letters; and

4. If a generic drug is marketed under a proprietary, trademark-protected brand-name, the brand-name will be listed after the generic name in parentheses and regular typeface with the first letter of each word capitalized. Example: Coverage Requirements & Prescription Drug Name Drug Tier Limits AVAPRO ORAL TABLET 150 MG, 300 MG, 75 MG (irbesartan) 3 irbesartan oral tablet 150 mg, 300 mg, 75 mg 1

If your medication is not listed in this document, please visit myuhc.com or call the toll-free member phone number on your health plan ID card. Below is a list of drug tier numbers, abbreviations, and designations used in the PDL as well as an explanation for each. Drug Tier 1 Your lowest cost medications ST Step Therapy Drug Tier 2 Your mid-range cost medications H May be part of health care reform preventive Drug Tier 3 Your mid-range cost medications May be part of health care reform preventive with H-PA prior authorization Drug Tier 4 Your highest cost medications SP Specialty medication PA Prior authorization required CM Orally administered anti-cancer medication SL Supply Limit

4 What are tiers? Tiers are the different cost levels you pay for a medication. Each tier is assigned a cost, which is determined by your employer or health plan. This is how much you will pay when you fill a prescription. Tier 1 medications are your lowest-cost options. If your medication is placed in Tier 2, 3 or 4, look to see if there is a Tier 1 option available. Discuss these options with your doctor. For orally administered anti-cancer medications on any Tier, the total amount of copayments and/or coinsurance shall not exceed $250 for an individual prescription of up to a 30-day supply. For high deductible health plans, the $250 maximum only applies once the deductible has been met. Check your benefit plan documents to find out your specific pharmacy plan costs, including any maximum dollar amount of cost sharing that may apply to a drug. Preferred medications are found in tier 1, tier 2 or tier 3 and may vary depending on the medication and the condition it treats. $ Drug tier Includes Helpful tips

Tier 1 Medications that provide the highest overall value. Mostly generic Use Tier 1 drugs for the lowest $ Your lowest cost drugs. Some preferred brand-name drugs may also be included. out‑of-pocket costs.

Tier 2 Medications that provide good overall value. A mix of nonpreferred Use Tier 2 or Tier 3 drugs Your mid-range generic drugs and preferred brand-name drugs. instead of Tier 4 to help reduce $$ your out-of-pocket costs. cost

Tier 3 Medications that provide good overall value. A mix of nonpreferred Use Tier 2 or Tier 3 drugs Your mid-range generic drugs and nonpreferred brand-name drugs. instead of Tier 4 to help reduce $$ your out-of-pocket costs. cost

Tier 4 Medications that provide the lowest overall value. May include Many Tier 4 drugs have Your highest biologics, drugs that must be distributed through a specialty lower‑cost options in Tier 1, 2 pharmacy, drugs that require special training or clinical monitoring or 3. Ask your doctor if they cost $$$ for self-administration, or drugs that cost the health insurer more could work for you. than $600 (net of rebates) for a one-month supply.

Please note: If you have a high deductible plan, the tier cost levels may apply once you reach your deductible. Refer to your enrollment and plan materials on myuhc.com, or call the toll-free number on your health plan ID card for more information about your benefit plan. When does the PDL change? This PDL is required to be updated on a monthly basis. • Medications may move to a lower tier at any time. • Medications may move to a higher tier when a generic becomes available. • Medications may move to a higher tier or become non-formulary most often on January 1 or May 1. • Medications may become subject to new or revised utilization management procedures, such as prior authorization, step therapy or supply limits, at any time but most often upon FDA approval of the medication or its generic, January 1, or May 1. When a medication changes tiers, you may have to pay a different amount for that medication. The presence of a Prescription Drug Product on the PDL does not guarantee that you will be prescribed that Prescription Drug Product by your provider for a particular medical condition.

5 Utilization Management Programs

Prior authorization required — Your doctor is required to provide additional information to us to determine coverage. For specific prior authorization requirements, please refer to your Evidence of Coverage.

Supply limit — Amount of medication covered per copayment or in a specific time period.

Step therapy — Requires you to try one or more other medications before the medication you are requesting may be covered. For specific step therapy requirements, please refer to your Evidence of Coverage.

Health Care Reform Preventive with Prior Authorization — This medication is part of a health care reform preventive benefit and may be available at no cost to you if prior authorization criteria is met. For more information, please refer to the California Advantage and Essential HMO and PPO Prescription Drug List (PDL) PPACA $0 Cost-Share Preventive Care Medications list.

Designated specialty program — For certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Prescription Drug Products, which are identified in the Coverage Requirements and Limits column of the Prescription Drug List (PDL). If you choose not to obtain your Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program by contacting us at myuhc.com or the telephone number on your ID card.

To learn more about a pharmacy program or to find out if it applies to you, please visitmyuhc.com or call the toll-free member phone number on your health plan ID card. If you are a pre-enrollee and you would like to learn more about your specific pharmacy benefit, please contact your employer. Drugs administered by a healthcare professional are generally covered under the medical benefit while drugs that are self-administered are covered under the pharmacy benefit. In order to obtain medical benefits for drugs that are administered by a healthcare professional, your provider may also be required to obtain a prior authorization. The provider may contact UnitedHealthcare for more information or uhcprovider.com. Your Right to Request Access to a Non-formulary Drug This plan must cover all Medically Necessary Prescription Drug Products. When a Prescription Drug Product is not on our PDL, you or your representative may request an exception to gain access to that Prescription Drug Product. To make a request, contact us in writing or call the toll-free number on your ID card. We will notify you of our determination within 72 hours. If approved, we will cover the Prescription Drug Product for the duration of the prescription, including refills. Urgent Requests If your request requires immediate action and a delay could significantly increase the risk to your health, or the ability to regain maximum function, call us as soon as possible. We will provide a written or electronic determination within 24 hours. If approved, we will cover the Prescription Drug Product for the duration of the exigency. External Review If you are not satisfied with our determination of your exception request, you may be entitled to request an external review. You or your representative may request an external review by sending a written request to us to the address set out in the determination letter or by calling the toll-free number on your ID card. The Independent Review Organization (IRO) will notify you of its determination within 72 hours. Expedited External Review If you are not satisfied with our determination of your exception request and it involves an urgent situation, you or your representative may request an expedited external review by calling the toll-free number on your ID card or by sending a written request to the address set out in the determination letter. The IRO will notify you of our determination within 24 hours. If we deny your exception request, you may appeal. Please refer to your Evidence of coverage for details. The complaint and appeals process, including independent review, is described under Section 6: Questions, Complaints and Appeals. You may also call the telephone number listed on your identification (ID) card.

6 Requesting a Prior Authorization or Step Therapy Exception Before certain Prescription Drug Products are dispensed to you, your prescribing provider or your pharmacist is required to obtain prior authorization or step therapy exception from us. Your prescribing provider can submit a request by phone to OptumRx or electronically by contacting us at uhcprovider.com. The Prior Authorization staff of qualified pharmacists and technicians is available Monday through Friday from 5:00 a.m. to 10:00 p.m. PST and Saturday from 6:00 a.m. to 3:00 p.m. PST to assist licensed physicians. Most authorizations are completed within 24 hours. The most common reason for delay in the authorization process is insufficient information. Your licensed physician may need to provide information on diagnosis and medication history and/or evidence in the form of documents, records or lab tests which establish that the use of the requested Prescription Drug Product meets plan criteria. You may determine whether a particular Prescription Drug Product is subject to prior authorization or step therapy requirements by going online at myuhc.com or by calling at the toll-free phone number on the back of your health plan ID card. If you are changing policies, we will not require you to repeat step therapy when you are already being treated for a medical condition by a Prescription Drug Product provided the Prescription Drug Product is appropriately prescribed and considered safe and effective for your medical condition. However, we may impose a prior authorization requirement for the continued coverage of a Prescription Drug Product prescribed pursuant to step therapy requirements imposed by the former policy. Your prescribing provider may also prescribe another Prescription Drug Product covered under your policy that is medically appropriate for your medical condition. If you are currently taking a Prescription Drug Product which was approved by UnitedHealthcare for a specific medical condition and that drug is removed from the Prescription Drug List (PDL) and the prescribing provider continues to prescribe the Prescription Drug Product for your medical condition, we will continue to cover the Prescription Drug Product provided that the drug is appropriately prescribed and is considered safe and effective for treating your medical condition. In the case of a standard prior authorization or step therapy exception request, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 72 hours following receipt of the request. In the case of an expedited prior authorization or step therapy exception request based on exigent circumstances, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 24 hours following receipt of the request. If we fail to respond to you, your designee, or your prescribing provider within the prescribed time limits, the request is deemed approved and we may not deny the request thereafter. If you disagree with a determination, you can request an appeal. The complaint and appeals process, including independent medical review, is described in the Evidence of Coverage under Section 6: Questions, Complaints and Appeals. You may also call at the telephone number on your ID card. How do I locate and fill a prescription through a retail network pharmacy? UnitedHealthcare has a well-established network of pharmacies including most major pharmacy and supermarket chains as well as many independent pharmacies. For a listing of network pharmacies, call the toll-free phone number on your health plan ID card to help locate a network pharmacy near you or visit our website at myuhc.com for an up-to-date list. How do I locate and fill a prescription through the mail order pharmacy? UnitedHealthcare offers a Mail Order Pharmacy Program through OptumRx®. Here’s how to fill prescriptions through the Mail Order Pharmacy Program. 1. Call your prescribing provider to obtain a new prescription for each medication. When you call, ask the Physician to write the prescription for a 90-day supply which represents three prescription units with up to three additional refills. The doctor will tell you when to pick up the written prescription. (Note: OptumRx must have a new prescription to process any new Mail Order request.) 2. After picking up the prescription, complete the Mail Order Form included in your enrollment materials. (To obtain additional forms or for assistance in completing the form, contact UnitedHealthcare’s Customer Service Department by calling the telephone number on the back of your ID card. You can also find the form atoptumrx.com .) 3. Enclose the prescription and appropriate copayment via check, money order, or credit card. Your Pharmacy Schedule of Benefits will have the applicable copayment for the Mail Order Pharmacy Program. Make the check or money order payable to OptumRx. No cash please.

7 Important Tip: If you are starting a new Prescription Drug Product, please request two prescriptions from your physician. Have one filled immediately at a network pharmacy while mailing the second prescription to UnitedHealthcare’s Mail Order Pharmacy. Once you receive your medication through the Mail Order Pharmacy Program, you should stop filling the prescription at the network pharmacy. How do I locate and fill a prescription at a specialty pharmacy? Call the phone number on the back of your health plan ID card or visit specialty.optumrx.com to locate a designated specialty pharmacy for your medication.

Designated Pharmacies If you require certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Specialty Prescription Drug Products. There are both retail and mail pharmacies in the Designated Pharmacy network. Note that not all contracted retail pharmacies are in the Designated Pharmacy network. Only retail pharmacies that are in the Designated Pharmacy network will provide access to these Specialty Prescription Drug Products. If you choose not to obtain your Specialty Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program through the Internet at [myuhc.com] or by calling the telephone number on your ID card. If you want to opt-out of the program and fill your Specialty Prescription Drug Product at a non-Designated Pharmacy but do not inform us, you will be responsible for the entire cost of the Specialty Prescription Drug Product and no Benefits will be paid. In urgent or emergent circumstances, you may contact Customer Service by calling the telephone number on the back of your ID card. This will allow you access to the retail network override process and allow the urgent or emergent prescription claim to pay at your local pharmacy for same day access if they have the Prescription Drug Product available. How do I get updated information about my pharmacy benefit? Since the PDL may change during your plan year, we encourage you to visit myuhc.com or call the toll-free member phone number on your health plan ID card for more current information.

Log in to myuhc.com for the following pharmacy And, if mail order services are included in your information and tools: pharmacy benefit, you can also: • Pharmacy benefit and coverage information • Refill prescriptions • Possible lower-cost medication options • Check the status of your order • Medication interactions and side effects • Set up reminders for refills • Participating retail pharmacies by ZIP code • Manage your account • Your prescription history

To learn more: Call the toll-free member phone number on your health plan ID card, or visit myuhc.com.

8 Nondiscrimination notice and access to communication services

UnitedHealthcare Services, Inc. on behalf of itself and its affiliates does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. If you think you were treated unfairly for any of these reasons, you can send a complaint to: Online: [email protected] Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UTAH 84130

You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll-free phone number listed on your ID card. If you think you were treated unfairly because of your race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can also send a complaint to the California Department of Insurance: California Department of Insurance Consumer Communications Bureau 300 South Spring Street, South Tower Los Angeles, CA 90013 1-800-927-HELP (1-800-927-4357) 1-800-482-4833 (TTY) Internet Website: www.insurance.ca.gov

If you think you were treated unfairly because of your sex, age, race, color, national origin, or disability, you can also file a complaint with the U.S. Dept. of Health and Human services: Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services. 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201

9 English IMPORTANT: You can get an interpreter at no cost to talk to your doctor or health insurance company. To get an interpreter or to ask about written information in your language, first call your insurance company’s phone number at 1-800-842-2656. Someone who speaks your language can help you. If you need more help, call the Department of Insurance Hotline at 1-800-927-4357.

Español IMPORTANTE: Puede obtener la ayuda de un intérprete sin costo alguno para hablar con su médico o con su compañía de seguros. Para obtener la ayuda de un intérprete o preguntar sobre información escrita en español, primero llame al número de teléfono de su compañía de seguros al 1-800-842-2656. Alguien que habla español puede ayudarle. Si necesita ayuda adicional, llame a la línea directa del Departamento de seguros al 1-800-927-4357. (Spanish)

中文

重要事項﹕您與您的醫生或醫療保險公司交談時，可獲得免費口譯服務。如欲請翻譯員提供口譯，或欲查詢中文書面資料，請先致電您的保險公司，電話號碼1-800-842-2656

說中文人士將為您提供協助。如需更多協助，請致電保險部熱線 1-800-927-4357 (Chinese)

10 ATENCIÓN: Si habla español (Spanish), hay servicios de asistencia de idiomas, sin cargo, a su disposición. Llame al 1-866-260-2723.

請注意：如果您說中文 (Chinese)，我們免費為您提供語言協助服務。請致電：1-866-260-2723.

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PAUNAWA: Kung nagsasalita ka ng Tagalog (Tagalog), may makukuha kang mga libreng serbisyo ng tulong sa wika. Pakitawagan ang toll-free na numero ng telepono na nasa iyong identification card.

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ﺗﻨﺒﯿﮫ: إذا ﻛﻨﺖ ﺗﺘﺤﺪث اﻟﻌﺮﺑﯿﺔ (Arabic)، ﻓﺈن ﺧﺪﻣﺎت اﻟﻤﺴﺎﻋﺪة اﻟﻠﻐﻮﯾﺔ اﻟﻤﺠﺎﻧﯿﺔ ﻣﺘﺎﺣﺔ ﻟﻚ. اﻟﺮﺟﺎء اﻻﺗﺼﺎل ﻋﻠﻰ رﻗﻢ اﻟﮭﺎﺗﻒ اﻟﻤﻮﺟﻮد ﻋﻠﻰ ّﻣﻌﺮف اﻟﻌﻀﻮﯾﺔ. اﻟﻤﺠﺎﻧﻲ

注意事項：日本語(Japanese)を話される場合、無料の言語支援サービスをご利用いただけます。健康保険証に記載されているフリーダイヤルにお電話ください。

ﺗﻮﺟﮫ: اﮔﺮ زﺑﺎن ﺷﻤﺎ ﻓﺎرﺳﯽ (Farsi) اﺳﺖ، ﺧﺪﻣﺎت اﻣﺪاد زﺑﺎﻧﯽ ﺑﮫ طﻮر راﯾﮕﺎن در اﺧﺘﯿﺎر ﺷﻤﺎ ﻣﯽ ﺑﺎﺷﺪ. ﻟﻄﻔﺎ ﺑﺎ ﺷﻤﺎره ﺗﻠﻔﻦ راﯾﮕﺎﻧﯽ ﮐﮫ روی ﮐﺎرت ﺷﻨﺎﺳﺎﯾﯽ ﺷﻤﺎ ﻗﯿﺪ ﺷﺪه ﺗﻤﺎس ﺑﮕﯿﺮﯾﺪ.

�यान ��: य�� आप हंद (Hindi) भाषी ह� तो आपके लए भाषा सहायता सेवाएं �न:शुक उपल�� ह�� कृ पया अपने पहचान प पर ��ए टोल- फ़ोन नंबर पर काल कर� �

CEEB TOOM: Yog koj hais Lus Hmoob (Hmong), muaj kev pab txhais lus pub dawb rau koj. Thov hu rau tus xov tooj hu deb dawb uas teev muaj nyob rau ntawm koj daim yuaj cim qhia tus kheej.

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ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե հայերեն (Armenian) եք խոսում, անվճար լեզվական օգնության ծառայություններ են հասնում Ձեզ: Խնդրվում է զանգահարել անվճար հեռախոսահամարով, որը նշվել է Ձեր ճանաչողական քարտի վրա:

ਿਧਆਨ ਿਦਓ: ਜੇ ਤੁਸ� ਪੰ ਜ ਾ ਬ ੀ (Punjabi) ਬੋਲਦੇ ਹੋ, ਤ� ਤੁਹਾਡੇ ਲਈ ਭਾਸ਼ਾ ਸਹਾਇਤਾ ਸੇਵਾਵ� ਿਬਲਕੁਲ ਮੁਫ਼ਤ ਉਪਲਬਧ ਹਨ। ਿਕਰਪਾ ਕਰਕੇ ਆਪਣੇ ਪਛਾਣ-ਪੱ ਤ ਰ 'ਤੇ ਿਦੱ ਤ ੇ ਗਏ ਟੋਲ ਫ਼ੀ ਨੰ ਬ ਰ 'ਤੇ ਕਾੱਲ ਕਰੋ।

โปรดทราบ: หากคุณพูดภาษาไทย (Thai) มีบริการความชวยเห่ ลือด ้านภาษาให ้แก่คุณโดยที คุณไม่ต ้องเสยค่าใชี จ่ายแต่อย่างใด้ โปรดโทรศพท์ถึงหั มายเลขโทรฟรีทีอยู่บนบัตรประจําตัวของคุณ

11 Table of Contents of Prescription Drug List

Informational Section...... 1 ANTIHISTAMINE DRUGS - Drugs for Allergy...... 12 ANTI-INFECTIVE AGENTS - Drugs for Infections...... 13 ANTINEOPLASTIC AGENTS - Drugs for Cancer...... 32 ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES - DRUGS FOR THE IMMUNE SYSTEM...... 41 AUTONOMIC DRUGS - Drugs for the Nervous System...... 44 BLOOD FORMATION, COAGULATION, THROMBOSIS - Drugs for the Blood...... 53 CARDIOVASCULAR DRUGS - Drugs for the Heart...... 63 CENTRAL NERVOUS SYSTEM AGENTS - Drugs for the Nervous System...... 94 CONTRACEPTIVES (E.G. FOAMS, DEVICES) - Drugs for Women...... 131 DEVICES - Medical Supplies and Durable Medical Equipment...... 132 DIAGNOSTIC AGENTS...... 136 DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants...... 138 ELECTROLYTIC, CALORIC, AND WATER BALANCE...... 138 ENZYMES...... 145 EYE, EAR, NOSE AND THROAT (EENT) PREPS...... 146 GASTROINTESTINAL DRUGS...... 154 GASTROINTESTINAL DRUGS - Drugs for the Stomach...... 154 GOLD COMPOUNDS...... 161 HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron...... 161 HORMONES AND SYNTHETIC SUBSTITUTES - Hormones...... 162 MISCELLANEOUS THERAPEUTIC AGENTS...... 191 OXYTOCICS - Drugs for Women...... 210 PHARMACEUTICAL AIDS...... 210 RESPIRATORY TRACT AGENTS - Drugs for the Lungs...... 210 SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin...... 220 SMOOTH MUSCLE RELAXANTS - Drugs to Relax Muscles...... 245 VITAMINS...... 245

TOC-1 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIHISTAMINE DRUGS - Drugs for Allergy ETHANOLAMINE DERIVATIVES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphen oral elixir 12.5 mg/5ml 1 diphenhydramine hcl oral elixir 12.5 mg/5ml 1 duraxin oral capsule 300-200-20 mg 1 FIRST GEN. ANTIHIST. DERIVATIVES, MISC. - Drugs for Allergy cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 FIRST GENERATION ANTIHISTAMINES - Drugs for Allergy brompheniramine tannate oral tablet chewable 12 mg 1 carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphen oral elixir 12.5 mg/5ml 1 diphenhydramine hcl oral elixir 12.5 mg/5ml 1 PHENOTHIAZINE DERIVATIVES - Drugs for Allergy promethazine hcl (Phenadoz Rectal Suppository 12.5 Mg, 25 1 Mg) promethazine hcl oral solution 6.25 mg/5ml 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 25 mg, 50 mg 1 promethazine hcl rectal suppository 12.5 mg, 25 mg 1 promethazine-dm oral syrup 6.25-15 mg/5ml 1 promethazine-phenyleph-codeine oral syrup 6.25-5-10 mg/5ml 1 PA; SL (360 ml per month) promethazine-phenylephrine oral syrup 6.25-5 mg/5ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 114 Coverage Requirements & Prescription Drug Name Drug Tier Limits ERGOT-DERIV. DOPAMINE RECEPTOR AGONISTS - Drugs for Parkinson bromocriptine mesylate oral capsule 5 mg 1 bromocriptine mesylate oral tablet 2.5 mg 1 cabergoline oral tablet 0.5 mg 2 CYCLOSET ORAL TABLET 0.8 MG (bromocriptine mesylate) 3 FIBROMYALGIA AGENTS - Drugs for Nerve Pain DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 3 PA; SL (2 capsules per day) SPRINKLE 20 MG, 30 MG, 60 MG (duloxetine hcl) DRIZALMA SPRINKLE ORAL CAPSULE DELAYED RELEASE 3 PA; SL (1 capsule per day) SPRINKLE 40 MG (duloxetine hcl) duloxetine hcl oral capsule delayed release particles 20 mg, 60 2 SL (2 capsules per day) mg duloxetine hcl oral capsule delayed release particles 30 mg 2 SL (1 capsule per day) LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 25 MG, PA; ST; SL (93 capsules per 3 50 MG, 75 MG (pregabalin) 31 days) PA; ST; SL (62 capsules per LYRICA ORAL CAPSULE 225 MG, 300 MG (pregabalin) 3 31 days) PA; ST; SL (30.52 ml per LYRICA ORAL SOLUTION 20 MG/ML (pregabalin) 3 day) pregabalin oral capsule 100 mg, 150 mg, 200 mg, 25 mg, 50 2 SL (93 capsules per 31 days) mg, 75 mg pregabalin oral capsule 225 mg, 300 mg 2 SL (62 capsules per 31 days) pregabalin oral solution 20 mg/ml 3 SL (30.52 ml per day) SAVELLA ORAL TABLET 100 MG, 12.5 MG, 25 MG, 50 MG 3 SL (2 tablets per day) (milnacipran hcl) SAVELLA TITRATION PACK ORAL 12.5 & 25 & 50 MG 3 SL (1 pack per 365 days) (milnacipran hcl) HYDANTOINS - Drugs for Seizures DILANTIN INFATABS ORAL TABLET CHEWABLE 50 MG 3 (phenytoin) DILANTIN ORAL CAPSULE 100 MG, 30 MG (phenytoin sodium 3 extended) DILANTIN ORAL SUSPENSION 125 MG/5ML (phenytoin) 3 PEGANONE ORAL TABLET 250 MG (ethotoin) 2 PHENYTEK ORAL CAPSULE 200 MG, 300 MG (phenytoin 3 sodium extended) phenytoin (Phenytoin Infatabs Oral Tablet Chewable 50 Mg) 1 Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 115 Coverage Requirements & Prescription Drug Name Drug Tier Limits phenytoin oral suspension 125 mg/5ml 1 phenytoin oral tablet chewable 50 mg 1 phenytoin sodium extended oral capsule 100 mg, 200 mg, 300 1 mg INHALATION ANESTHETICS - Anesthetics FORANE INHALATION SOLUTION (isoflurane) 2 isoflurane inhalation solution 1 sevoflurane inhalation solution 1 isoflurane (Terrell Inhalation Solution) 1 ULTANE INHALATION SOLUTION (sevoflurane) 3 MONOAMINE OXIDASE B INHIBITORS - Drugs for Parkinson EMSAM TRANSDERMAL PATCH 24 HOUR 12 MG/24HR, 6 3 MG/24HR, 9 MG/24HR (selegiline) rasagiline mesylate oral tablet 0.5 mg, 1 mg 3 selegiline hcl oral capsule 5 mg 1 selegiline hcl oral tablet 5 mg 1 ZELAPAR ORAL TABLET DISPERSIBLE 1.25 MG (selegiline 3 hcl) MONOAMINE OXIDASE INHIBITORS - Drugs for Depression & Psychosis EMSAM TRANSDERMAL PATCH 24 HOUR 12 MG/24HR, 6 3 MG/24HR, 9 MG/24HR (selegiline) MARPLAN ORAL TABLET 10 MG (isocarboxazid) 3 NARDIL ORAL TABLET 15 MG (phenelzine sulfate) 3 PARNATE ORAL TABLET 10 MG (tranylcypromine sulfate) 3 phenelzine sulfate oral tablet 15 mg 1 rasagiline mesylate oral tablet 0.5 mg, 1 mg 3 selegiline hcl oral capsule 5 mg 1 selegiline hcl oral tablet 5 mg 1 tranylcypromine sulfate oral tablet 10 mg 1 ZELAPAR ORAL TABLET DISPERSIBLE 1.25 MG (selegiline 3 hcl) NONERGOT-DERIV.DOPAMINE RECEPTOR AGONIST - Drugs for Parkinson APOKYN SUBCUTANEOUS SOLUTION CARTRIDGE 30 2 SP MG/3ML (apomorphine hcl) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 116 Coverage Requirements & Prescription Drug Name Drug Tier Limits MIRAPEX ORAL TABLET 0.125 MG, 0.5 MG, 0.75 MG, 1 MG, 3 1.5 MG (pramipexole dihydrochloride) NEUPRO TRANSDERMAL PATCH 24 HOUR 1 MG/24HR, 2 MG/24HR, 3 MG/24HR, 4 MG/24HR, 6 MG/24HR, 8 MG/24HR 3 (rotigotine) pramipexole dihydrochloride oral tablet 0.125 mg, 0.25 mg, 0.5 1 mg, 0.75 mg, 1 mg, 1.5 mg ropinirole hcl oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 1 mg, 5 mg OPIATE AGONISTS - Drugs for Pain acetaminophen-codeine #2 oral tablet 300-15 mg 1 acetaminophen-codeine #3 oral tablet 300-30 mg 1 acetaminophen-codeine #4 oral tablet 300-60 mg 1 acetaminophen-codeine oral solution 120-12 mg/5ml 1 acetaminophen-codeine oral tablet 300-15 mg, 300-30 mg, 300- 1 60 mg SL (40 capsules per apap-caff-dihydrocodeine oral capsule 320.5-30-16 mg 3 prescription) SL (40 tablets per apap-caff-dihydrocodeine oral tablet 325-30-16 mg 1 prescription) butalbital-asa-caff-codeine (Ascomp-Codeine Oral Capsule 50- 1 325-40-30 Mg) belladonna alkaloids-opium rectal suppository 16.2-30 mg, 16.2- 1 60 mg BENZHYDROCODONE-ACETAMINOPHEN ORAL TABLET 3 4.08-325 MG, 6.12-325 MG, 8.16-325 MG butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 carisoprodol-aspirin-codeine oral tablet 200-325-16 mg 1 codeine sulfate oral tablet 30 mg, 60 mg 1 DILAUDID ORAL LIQUID 1 MG/ML (hydromorphone hcl) 3 DILAUDID ORAL TABLET 2 MG, 4 MG, 8 MG (hydromorphone 3 hcl) DOLOPHINE ORAL TABLET 10 MG (methadone hcl) 3 PA; SL (2 tablets per day) DOLOPHINE ORAL TABLET 5 MG (methadone hcl) 3 PA; SL (4 tablets per day) oxycodone-acetaminophen (Endocet Oral Tablet 10-325 Mg, 1 2.5-325 Mg, 5-325 Mg, 7.5-325 Mg)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 141 Coverage Requirements & Prescription Drug Name Drug Tier Limits MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 3 spironolactone oral tablet 100 mg, 25 mg, 50 mg 1 spironolactone-hctz oral tablet 25-25 mg 1 triamterene oral capsule 100 mg, 50 mg 3 triamterene-hctz oral capsule 37.5-25 mg 1 triamterene-hctz oral tablet 37.5-25 mg, 75-50 mg 1 REPLACEMENT PREPARATIONS calcium acetate (phos binder) oral tablet 667 mg 1 calcium-folic acid plus d oral wafer 1342-1 mg 1 EFFER-K ORAL TABLET EFFERVESCENT 10 MEQ, 20 MEQ 2 (potassium bicarb-citric acid) potassium bicarbonate (Effer-K Oral Tablet Effervescent 25 1 Meq) FOSTEUM PLUS ORAL CAPSULE (dietary management 3 product) HYPERSAL INHALATION NEBULIZATION SOLUTION 3.5 %, 2 7 % (sodium chloride) potassium chloride (Klor-Con 10 Oral Tablet Extended Release 1 10 Meq) potassium chloride crys er (Klor-Con M10 Oral Tablet Extended 1 Release 10 Meq) KLOR-CON M15 ORAL TABLET EXTENDED RELEASE 15 3 MEQ (potassium chloride crys er) potassium chloride crys er (Klor-Con M20 Oral Tablet Extended 1 Release 20 Meq) potassium chloride (Klor-Con Oral Packet 20 Meq) 1 potassium chloride (Klor-Con Oral Tablet Extended Release 8 1 Meq) potassium chloride (Klor-Con Sprinkle Oral Capsule Extended 1 Release 10 Meq, 8 Meq) potassium bicarbonate (Klor-Con/Ef Oral Tablet Effervescent 25 1 Meq) potassium bicarbonate (K-Prime Oral Tablet Effervescent 25 1 Meq) K-TAB ORAL TABLET EXTENDED RELEASE 10 MEQ, 20 3 MEQ, 8 MEQ (potassium chloride) M-NATAL PLUS ORAL TABLET 27-1 MG 3 sodium chloride (Nebusal Inhalation Nebulization Solution 3 %) 1 Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 142 Coverage Requirements & Prescription Drug Name Drug Tier Limits NEBUSAL INHALATION NEBULIZATION SOLUTION 6 % 3 (sodium chloride) NESTABS ORAL TABLET 32-1 MG (prenat-fe bisgly-fa-w/o vit 3 a) pot bicarb-pot chloride oral tablet effervescent 25 meq 1 potassium bicarbonate oral tablet effervescent 25 meq 1 potassium chloride crys er oral tablet extended release 10 meq, 1 20 meq potassium chloride er oral capsule extended release 10 meq, 8 1 meq potassium chloride er oral tablet extended release 10 meq, 20 1 meq, 8 meq potassium chloride oral packet 20 meq 1 potassium chloride oral solution 20 meq/15ml (10%), 40 1 meq/15ml (20%) PRENAISSANCE ORAL CAPSULE 29-1.25-325 MG 2 prenatal oral tablet 27-1 mg 1 prenatal plus iron oral tablet 29-1 mg 1 PRENATE ORAL TABLET CHEWABLE 0.6-0.4 MG (prenat mv- 3 min-methylfolate-fa) sodium chloride (Pulmosal Inhalation Nebulization Solution 7 %) 1 sodium chloride inhalation nebulization solution 0.9 %, 10 %, 3 1 %, 7 % trinate oral tablet 1 VITAFOL-OB+DHA ORAL 65-1 & 250 MG (prenatal mv-min-fe 3 fum-fa-dha) THIAZIDE DIURETICS - Drugs for Water Balance ACCURETIC ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20-25 3 MG (quinapril-hydrochlorothiazide) ALDACTAZIDE ORAL TABLET 25-25 MG (spironolactone-hctz) 3 ALDACTAZIDE ORAL TABLET 50-50 MG (spironolactone-hctz) 2 amiloride-hydrochlorothiazide oral tablet 5-50 mg 1 ATACAND HCT ORAL TABLET 16-12.5 MG, 32-12.5 MG, 32- 3 25 MG (candesartan cilexetil-hctz) AVALIDE ORAL TABLET 150-12.5 MG, 300-12.5 MG 3 (irbesartan-hydrochlorothiazide) benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg, 5-6.25 mg Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 143 Coverage Requirements & Prescription Drug Name Drug Tier Limits bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 1 mg, 5-6.25 mg candesartan cilexetil-hctz oral tablet 16-12.5 mg, 32-12.5 mg, 3 32-25 mg captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 1 50-15 mg, 50-25 mg chlorothiazide oral tablet 250 mg, 500 mg 1 DIURIL ORAL SUSPENSION 250 MG/5ML (chlorothiazide) 2 DYAZIDE ORAL CAPSULE 37.5-25 MG (triamterene-hctz) 3 enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg 1 fosinopril sodium-hctz oral tablet 10-12.5 mg, 20-12.5 mg 1 hydrochlorothiazide oral capsule 12.5 mg 1 hydrochlorothiazide oral tablet 12.5 mg, 25 mg, 50 mg 1 HYZAAR ORAL TABLET 100-12.5 MG, 100-25 MG, 50-12.5 3 MG (losartan potassium-hctz) irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300- 1 12.5 mg lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 1 mg, 20-25 mg LOPRESSOR HCT ORAL TABLET 50-25 MG (metoprolol- 3 hydrochlorothiazide) losartan potassium-hctz oral tablet 100-12.5 mg, 100-25 mg, 1 50-12.5 mg LOTENSIN HCT ORAL TABLET 10-12.5 MG, 20-12.5 MG, 20- 3 25 MG (benazepril-hydrochlorothiazide) MAXZIDE ORAL TABLET 75-50 MG (triamterene-hctz) 3 MAXZIDE-25 ORAL TABLET 37.5-25 MG (triamterene-hctz) 3 methyldopa-hydrochlorothiazide oral tablet 250-15 mg, 250-25 1 mg metoprolol-hydrochlorothiazide oral tablet 100-25 mg, 100-50 1 mg, 50-25 mg olmesartan medoxomil-hctz oral tablet 20-12.5 mg, 40-12.5 mg, 2 40-25 mg propranolol-hctz oral tablet 40-25 mg, 80-25 mg 1 quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 2 mg, 20-25 mg spironolactone-hctz oral tablet 25-25 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 152 Coverage Requirements & Prescription Drug Name Drug Tier Limits CYSTARAN OPHTHALMIC SOLUTION 0.44 % (cysteamine PA; SL (60 ml (4 bottles) per 2 hcl) month); SP GELFILM OPHTHALMIC FILM (gelatin adsorbable) 2 IOPIDINE OPHTHALMIC SOLUTION 1 % (apraclonidine hcl) 3 ipratropium bromide nasal solution 0.03 %, 0.06 % 1 LACRISERT OPHTHALMIC INSERT 5 MG (artificial tear insert) 2 OXERVATE OPHTHALMIC SOLUTION 0.002 % (cenegermin- PA; SL (1 ml per day and 56 3 bkbj) ml per 365 days); SP PHOTREXA-PHOTREXA VISCOUS KIT OPHTHALMIC SOLUTION PREFILLED SYRINGE 0.146 &0.146-20 % 3 (riboflav5 & riboflav5-dextran) EENT NONSTEROIDAL ANTI-INFLAM. AGENTS - Drugs for Inflammation ACULAR LS OPHTHALMIC SOLUTION 0.4 % (ketorolac 3 tromethamine) ACULAR OPHTHALMIC SOLUTION 0.5 % (ketorolac 3 tromethamine) diclofenac sodium ophthalmic solution 0.1 % 1 flurbiprofen sodium ophthalmic solution 0.03 % 1 ketorolac tromethamine ophthalmic solution 0.4 %, 0.5 % 1 NEVANAC OPHTHALMIC SUSPENSION 0.1 % (nepafenac) 3 LOCAL ANESTHETICS (EENT) - Drugs for Numbing AKTEN OPHTHALMIC GEL 3.5 % (lidocaine hcl) 3 ALCAINE OPHTHALMIC SOLUTION 0.5 % (proparacaine hcl) 3 tetracaine hcl (Altacaine Ophthalmic Solution 0.5 %) 1 lidocaine hcl external solution 4 % 1 lidocaine hcl urethral/mucosal external gel 2 % 1 lidocaine hcl urethral/mucosal external prefilled syringe 2 % 1 lidocaine viscous hcl mouth/throat solution 2 % 1 PRAMOTIC OTIC LIQUID 1-0.1 % (pramoxine-chloroxylenol) 3 proparacaine hcl ophthalmic solution 0.5 % 1 tetracaine hcl ophthalmic solution 0.5 % 1 MIOTICS - Drugs for the Eye ISOPTO CARPINE OPHTHALMIC SOLUTION 1 %, 2 %, 4 % 3 (pilocarpine hcl) PHOSPHOLINE IODIDE OPHTHALMIC SOLUTION 2 RECONSTITUTED 0.125 % (echothiophate iodide) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 153 Coverage Requirements & Prescription Drug Name Drug Tier Limits pilocarpine hcl ophthalmic solution 1 %, 2 %, 4 % 1 MYDRIATICS - Drugs for the Eye atropine sulfate ophthalmic ointment 1 % 1 CYCLOGYL OPHTHALMIC SOLUTION 0.5 %, 1 %, 2 % 3 (cyclopentolate hcl) CYCLOMYDRIL OPHTHALMIC SOLUTION 0.2-1 % 3 (cyclopentolate-phenylephrine) cyclopentolate hcl ophthalmic solution 0.5 %, 1 %, 2 % 1 homatropaire ophthalmic solution 5 % 1 PROSTAGLANDIN ANALOGS - Drugs for the Eye latanoprost ophthalmic solution 0.005 % 1 LUMIGAN OPHTHALMIC SOLUTION 0.01 % (bimatoprost) 2 ROCKLATAN OPHTHALMIC SOLUTION 0.02-0.005 % 3 SL (2.5 mL per prescription) (netarsudil-latanoprost) TRAVATAN Z OPHTHALMIC SOLUTION 0.004 % (travoprost) 3 SL (3 ml per prescription) travoprost (bak free) ophthalmic solution 0.004 % 2 SL (3 ml per prescription) XELPROS OPHTHALMIC EMULSION 0.005 % (latanoprost) 3 SL (2.5 ml per prescription) ST; SL (30 unit of use ZIOPTAN OPHTHALMIC SOLUTION 0.0015 % (tafluprost) 3 droppers per prescription) RHO KINASE INHIBITORS - Drugs for the Eye RHOPRESSA OPHTHALMIC SOLUTION 0.02 % (netarsudil 3 SL (2.5 ml per prescription) dimesylate) ROCKLATAN OPHTHALMIC SOLUTION 0.02-0.005 % 3 SL (2.5 mL per prescription) (netarsudil-latanoprost) VASOCONSTRICTORS ADRENALIN NASAL SOLUTION 0.1 % (epinephrine hcl 2 (nasal)) phenylephrine hcl (Altafrin Ophthalmic Solution 10 %, 2.5 %) 1 phenylephrine hcl ophthalmic solution 10 %, 2.5 % 1 GASTROINTESTINAL DRUGS ANTACIDS AND ADSORBENTS SODIUM BICARBONATE ORAL POWDER 3 GASTROINTESTINAL DRUGS - Drugs for the Stomach 5-HT3 RECEPTOR ANTAGONISTS - Drugs for Vomiting and Nausea AKYNZEO ORAL CAPSULE 300-0.5 MG (netupitant- SL (1 capsule per 3 palonosetron) prescription) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 154 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (4 tablets per ANZEMET ORAL TABLET 100 MG (dolasetron mesylate) 3 prescription) ANZEMET ORAL TABLET 50 MG (dolasetron mesylate) 3 SL (1 tablet per prescription) granisetron hcl oral tablet 1 mg 2 ondansetron hcl oral solution 4 mg/5ml 1 ondansetron hcl oral tablet 24 mg, 4 mg, 8 mg 1 ondansetron odt oral tablet dispersible 4 mg, 8 mg 1 ZOFRAN ORAL TABLET 4 MG, 8 MG (ondansetron hcl) 4 ANTIDIARRHEA AGENTS - Drugs for Diarrhea diphenoxylate-atropine oral liquid 2.5-0.025 mg/5ml 1 diphenoxylate-atropine oral tablet 2.5-0.025 mg 1 LOMOTIL ORAL TABLET 2.5-0.025 MG (diphenoxylate- 3 atropine) MYTESI ORAL TABLET DELAYED RELEASE 125 MG 3 PA; SL (2 tablets per day) (crofelemer) opium oral tincture 10 mg/ml (1%) 1 PA; SL (3 tablets per day); XERMELO ORAL TABLET 250 MG (telotristat etiprate) 3 SP ANTIEMETICS, MISCELLANEOUS - Drugs for Vomiting and Nausea dronabinol oral capsule 10 mg, 2.5 mg, 5 mg 1 scopolamine transdermal patch 72 hour 1 mg/3days 3 SYNDROS ORAL SOLUTION 5 MG/ML (dronabinol) 3 PA; SL (4 ml per day) TRANSDERM SCOP (1.5 MG) TRANSDERMAL PATCH 72 3 HOUR 1 MG/3DAYS (scopolamine base) TRANSDERM-SCOP (1.5 MG) TRANSDERMAL PATCH 72 3 HOUR 1 MG/3DAYS (scopolamine base) ANTIHISTAMINES (GI DRUGS) - Drugs for Vomiting and Nausea prochlorperazine (Compro Rectal Suppository 25 Mg) 1 prochlorperazine maleate oral tablet 10 mg, 5 mg 1 prochlorperazine rectal suppository 25 mg 1 TIGAN ORAL CAPSULE 300 MG (trimethobenzamide hcl) 3 trimethobenzamide hcl oral capsule 300 mg 1 ANTI-INFLAMMATORY AGENTS (GI DRUGS) - Drugs for Inflammation alosetron hcl oral tablet 0.5 mg, 1 mg 2 PA; SL (2 tablets per day) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 155 Coverage Requirements & Prescription Drug Name Drug Tier Limits APRISO ORAL CAPSULE EXTENDED RELEASE 24 HOUR 2 0.375 GM (mesalamine) AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 3 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 3 balsalazide disodium oral capsule 750 mg 1 DIPENTUM ORAL CAPSULE 250 MG (olsalazine sodium) 3 LIALDA ORAL TABLET DELAYED RELEASE 1.2 GM 2 (mesalamine) mesalamine rectal enema 4 gm 1 mesalamine rectal suppository 1000 mg 2 mesalamine-cleanser rectal kit 4 gm 1 SL (4 grams per month) ROWASA RECTAL KIT 4 GM (mesalamine-cleanser) 4 SL (4 grams per month) SFROWASA RECTAL ENEMA 4 GM/60ML (mesalamine) 4 sulfasalazine oral tablet 500 mg 1 sulfasalazine oral tablet delayed release 500 mg 1 ANTIULCER AGENTS AND ACID SUPPRESS.,MISC - Drugs for Ulcers and Stomach Acid PYLERA ORAL CAPSULE 140-125-125 MG (bis subcit- SL (120 capsules per 180 3 metronid-tetracyc) days) CATHARTICS AND LAXATIVES - Drugs for Constipation PA; ST; SL (62 capsules per AMITIZA ORAL CAPSULE 24 MCG, 8 MCG (lubiprostone) 3 month) cascara sagrada oral fluid extract 1 gm/ml 1 CLENPIQ ORAL SOLUTION 10-3.5-12 MG-GM -GM/160ML 3 (sod picosulfate-mag ox-cit acd) gavilyte-c oral solution reconstituted 240 gm 1 H peg 3350-kcl-nabcb-nacl-nasulf (Gavilyte-G Oral Solution SL (400 mL per prescription); 1 Reconstituted 236 Gm) H bisacodyl-peg-kcl-nabicar-nacl (Gavilyte-H Oral Kit 5-210 Mg- 1 Gm) peg 3350-kcl-na bicarb-nacl (Gavilyte-N With Flavor Pack Oral SL (4000 ml per 1 Solution Reconstituted 420 Gm) prescription); H GOLYTELY ORAL SOLUTION RECONSTITUTED 227.1 GM SL (1 packet per 2 (peg 3350-kcl-nabcb-nacl-nasulf) prescription) GOLYTELY ORAL SOLUTION RECONSTITUTED 236 GM 3 SL (400 mL per prescription) (peg 3350-kcl-nabcb-nacl-nasulf)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 219 Coverage Requirements & Prescription Drug Name Drug Tier Limits TYVASO STARTER INHALATION SOLUTION 0.6 MG/ML 2 PA (treprostinil) UPTRAVI ORAL TABLET 1000 MCG, 1200 MCG, 1400 MCG, PA; SL (2 tablets per day); 1600 MCG, 200 MCG, 400 MCG, 600 MCG, 800 MCG 3 SP (selexipag) UPTRAVI ORAL TABLET THERAPY PACK 200 & 800 MCG PA; SL (200 tablets per 3 (selexipag) year); SP VENTAVIS INHALATION SOLUTION 10 MCG/ML, 20 MCG/ML 2 PA; SP (iloprost) XANTHINE DERIVATIVES - Drugs for Asthma/COPD ELIXOPHYLLIN ORAL ELIXIR 80 MG/15ML (theophylline) 3 THEO-24 ORAL CAPSULE EXTENDED RELEASE 24 HOUR 3 100 MG, 200 MG, 300 MG, 400 MG (theophylline) theophylline er oral tablet extended release 12 hour 300 mg, 1 450 mg theophylline er oral tablet extended release 24 hour 400 mg, 1 600 mg theophylline oral solution 80 mg/15ml 1 SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin ANTIBACTERIALS (SKIN, MUCOUS MEMBRANE) - Drugs for the Skin SL (60 grams per ACZONE EXTERNAL GEL 5 %, 7.5 % (dapsone) 3 prescription) SL (15 grams per ALTABAX EXTERNAL OINTMENT 1 % (retapamulin) 3 prescription) BENZAMYCIN EXTERNAL GEL 5-3 % (benzoyl peroxide- SL (23.3 grams per 2 erythromycin) prescription) SL (23.3 grams per benzoyl peroxide-erythromycin external gel 5-3 % 1 prescription) SL (22 grams per CENTANY EXTERNAL OINTMENT 2 % (mupirocin) 3 prescription) CLEOCIN VAGINAL CREAM 2 % (clindamycin phosphate) 3 CLEOCIN VAGINAL SUPPOSITORY 100 MG (clindamycin 2 phosphate) SL (30 grams (1 tube) per CLEOCIN-T EXTERNAL GEL 1 % (clindamycin phosphate) 3 prescription) CLEOCIN-T EXTERNAL LOTION 1 % (clindamycin phosphate) 3 clindamycin phosphate (Clindacin Etz External Swab 1 %) 1 Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 220 Coverage Requirements & Prescription Drug Name Drug Tier Limits clindamycin phosphate (Clindacin-P External Swab 1 %) 1 SL (1 bottle (45 grams) per clindamycin phos-benzoyl perox external gel 1.2-5 % 3 month) clindamycin phosphate external foam 1 % 3 SL (30 grams (1 tube) per clindamycin phosphate external gel 1 % 3 prescription) clindamycin phosphate external lotion 1 % 3 clindamycin phosphate external solution 1 % 1 SL (30 ml per prescription) clindamycin phosphate external swab 1 % 1 clindamycin phosphate vaginal cream 2 % 2 CLINDESSE VAGINAL CREAM 2 % (clindamycin phosphate (1 2 dose)) CORTISPORIN EXTERNAL CREAM 3.5-10000-0.5 (neomycin- 2 polymyxin-hc) CORTISPORIN EXTERNAL OINTMENT 1 % (bacit-poly-neo 3 hc) SL (60 grams per dapsone gel 7.5 % external 7.5 % 1 prescription) ery external pad 2 % 1 ERYGEL EXTERNAL GEL 2 % (erythromycin) 3 erythromycin external gel 2 % 1 erythromycin external solution 2 % 1 EVOCLIN EXTERNAL FOAM 1 % (clindamycin phosphate) 3 gentamicin sulfate external cream 0.1 % 1 gentamicin sulfate external ointment 0.1 % 1 METROCREAM EXTERNAL CREAM 0.75 % (metronidazole) 3 METROLOTION EXTERNAL LOTION 0.75 % (metronidazole) 3 metronidazole external cream 0.75 % 1 metronidazole external gel 0.75 % 1 metronidazole external lotion 0.75 % 1 metronidazole vaginal gel 0.75 % 2 SL (15 grams per mupirocin calcium external cream 2 % 3 prescription) SL (22 grams per mupirocin external ointment 2 % 1 prescription) SL (1 bottle (45 grams) per clindamycin-benzoyl per (refr) (Neuac External Gel 1.2-5 %) 3 month) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your mid-range cost medications; Drug Tier 4: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-PA: May be part of health care reform preventive with prior authorization; SP: Specialty medication; CM: Orally administered anticancer medication. 221 Coverage Requirements & Prescription Drug Name Drug Tier Limits metronidazole (Rosadan External Cream 0.75 %) 1 metronidazole (Rosadan External Gel 0.75 %) 1 metronidazole (Vandazole Vaginal Gel 0.75 %) 2 XEPI EXTERNAL CREAM 1 % (ozenoxacin) 3 SL (30 g per prescription) ANTIFULGALS (SKIN, MUCOUS MEMBRANE),MISC - Drugs for the Skin exoderm external lotion 25-1 % 1 ANTI-INFLAMMATORY AGENTS (SKIN, MUCOUS) - Drugs for the Skin ALA SCALP EXTERNAL LOTION 2 % (hydrocortisone) 3 ala-cort external cream 2.5 % 1 alclometasone dipropionate external cream 0.05 % 1 alclometasone dipropionate external ointment 0.05 % 1 amcinonide external cream 0.1 % 3 amcinonide external lotion 0.1 % 3 amcinonide external ointment 0.1 % 1 ANALPRAM HC EXTERNAL CREAM 2.5-1 % (hydrocortisone 3 ace-pramoxine) ANALPRAM HC SINGLES EXTERNAL CREAM 2.5-1 % 3 (hydrocortisone ace-pramoxine) ANALPRAM-HC EXTERNAL CREAM 1-1 % (hydrocortisone 3 ace-pramoxine) ANALPRAM-HC EXTERNAL LOTION 2.5-1 % (hydrocortisone 3 ace-pramoxine) anucort-hc rectal suppository 25 mg 2 ANUSOL-HC EXTERNAL CREAM 2.5 % (hydrocortisone) 3 APEXICON E EXTERNAL CREAM 0.05 % (diflorasone diacet SL (30 grams per 2 emoll base) prescription) ST; SL (60 ml per fluticasone propionate (Beser External Lotion 0.05 %) 3 prescription) betamethasone dipropionate aug external cream 0.05 % 1 betamethasone dipropionate aug external gel 0.05 % 1 betamethasone dipropionate aug external lotion 0.05 % 3 betamethasone dipropionate aug external ointment 0.05 % 3 betamethasone dipropionate external cream 0.05 % 2 betamethasone dipropionate external lotion 0.05 % 1

253 aminocaproic acid...... 57 Aranelle...... 168 AURYXIA...... 140 Aminoreliefrms...... 207 ARANESP (ALBUMIN FREE) AUSTEDO...... 113, 130, 131 amiodarone hcl...... 80 ...... 55, 56 AUTOLET II CLINISAFE...... 132 AMITIZA...... 156 ARAVA...... 196, 200 AUTOLET LANCING DEVICE 132 amitriptyline hcl...... 130 ARCALYST...... 207 AVAILNEX...... 207 amlodipine besylate 73, 82, 84, 91 ARCAPTA NEOHALER.... 51, 218 AVALIDE...... 64, 65, 89, 143 amlodipine besylate-benazepril ARICEPT...... 49 AVANDIA...... 190 hcl...... 66, 67, 73, 82, 83, 85, 91 ARIKAYCE...... 15 AVAPRO...... 64, 65 amlodipine besylate-valsartan aripiprazole...... 101, 107 Avar Cleanser...... 236, 238 ...... 64, 65, 73, 82, 83, 85, 91 ARIXTRA...... 54, 55 Avar-E Emollient...... 236, 238 Amnesteem...... 241 armodafinil...... 131 Avar-E Green...... 236, 238 amoxapine...... 130 ARMOUR THYROID...... 190 AVAR-E LS...... 236, 238 amoxicillin...... 15 ARNUITY ELLIPTA...... 162, 215 Aviane...... 169 amoxicillin-potassium AROMASIN...... 32, 166 avidoxy...... 30 clavulanate...... 15 ARTHROTEC...... 123, 160 AVIDOXY DK...... 30 AMPHETAMINE ER...... 94 ARTISS...... 241 AVONEX PEN...... 200 amphetamine- Arzol Silver Nit Applicators...... 236 AVONEX PREFILLED...... 200 dextroamphetamine...... 94 Ascomp-Codeine AXONA...... 139, 246 ampicillin...... 15 ...... 104, 108, 117, 125, 126 AYGESTIN...... 186 ANADROL-50...... 165 Ashlyna...... 168 Ayuna...... 169 anagrelide hcl...... 63 ASMANEX (120 METERED AYVAKIT...... 32 ANALPRAM HC...... 222, 228, 230 DOSES)...... 162, 216 AZASAN...... 196, 200, 205 ANALPRAM HC SINGLES ASMANEX (14 METERED AZASITE...... 147 ...... 222, 228, 231 DOSES)...... 162, 216 azathioprine...... 196, 200, 205 ANALPRAM-HC...... 222, 228, 231 ASMANEX (30 METERED azelaic acid...... 241 ANASPAZ...... 45 DOSES)...... 162, 216 azelastine hcl...... 146 anastrozole...... 32, 166 ASMANEX (60 METERED AZELEX...... 241 ANCOBON...... 29 DOSES)...... 162, 216 azithromycin...... 28 ANDRODERM...... 165 ASMANEX (7 METERED AZOPT...... 150 ANGELIQ...... 179, 186 DOSES)...... 162, 216 AZULFIDINE..... 30, 156, 196, 200 ANNOVERA...... 168 ASMANEX HFA...... 162, 216 AZULFIDINE EN-TABS ANORO ELLIPTA45, 51, 211, 218 aspirin-dipyridamole er 62, 91, 126 ...... 30, 156, 196, 200 ANTABUSE...... 191 ATACAND...... 64, 65 Azurette...... 169 anticoagulant cit dext soln a ATACAND HCT.... 64, 65, 89, 143 bacitracin...... 147 ...... 53, 139 atazanavir sulfate...... 24 bacitracin-polymyxin b...... 147 ANTICOAGULANT SODIUM atenolol...... 52, 69, 70, 79 bacitra-neomycin-polymyxin-hc CITRATE...... 53, 138 atenolol-chlorthalidone ...... 147, 150 anucort-hc...... 222, 231 ...... 52, 69, 70, 79, 91, 145 baclofen...... 48 ANUSOL-HC...... 222, 231 atomoxetine hcl...... 113 BACMIN...... 61, 246, 248 ANZEMET...... 155 atorvastatin calcium...... 84 BACTRIM...... 30 apap-caff-dihydrocodeine atovaquone...... 17 BACTRIM DS...... 30 ...... 95, 117, 124, 125 atovaquone-proguanil hcl...... 16 BALCOLTRA...... 169 APEXICON E...... 222, 231 ATRIPLA...... 22, 23 balsalazide disodium...... 156 APOKYN...... 116 atropine sulfate...... 154 balsam peru-castor oil...... 241 APPTRIM...... 207 ATROVENT HFA...... 45, 211 BALVERSA...... 32 APPTRIM-D...... 207 AUBAGIO...... 200 Balziva...... 169 apraclonidine hcl...... 152 Aubra...... 168 BANZEL...... 97 aprepitant...... 159, 160 Aubra Eq...... 168 BAQSIMI ONE PACK..... 181, 191 Apri...... 168 Aurovela 1.5/30...... 169 BAQSIMI TWO PACK.....181, 191 APRISO...... 156 Aurovela 1/20...... 169 BARACLUDE...... 27 APTIOM...... 97 Aurovela 24 Fe...... 169 BASAGLAR KWIKPEN... 182, 184 APTIVUS...... 24 Aurovela Fe 1.5/30...... 169 BAXDELA...... 29 ARAKODA...... 16 Aurovela Fe 1/20...... 169 Bekyree...... 169

254 BELBUCA...... 122 bisoprolol-hydrochlorothiazide BYETTA 10 MCG PEN...... 182 belladonna alkaloids-opium.... 117 ...... 53, 69, 70, 79, 89, 144 BYETTA 5 MCG PEN...... 182 BELSOMRA...... 106 BLEPH-10...... 147 BYSTOLIC...... 48, 69 benazepril hcl...... 66, 67 BLEPHAMIDE...... 147 cabergoline...... 115 benazepril-hydrochlorothiazide BLEPHAMIDE S.O.P...... 147 CABLIVI...... 54 ...... 66, 67, 89, 143 Blisovi 24 Fe...... 169 CABOMETYX...... 33 BENEFIX...... 57 Blisovi Fe 1.5/30...... 169 CAFERGOT...... 49, 104 BENLYSTA...... 205 Blisovi Fe 1/20...... 169 caffeine citrate...... 125 BENZALKONIUM CHLORIDE 238 BONIVA...... 193 CALAN SR.. 72, 73, 75, 76, 81, 91 benzalkonium chloride...... 238 BOOSTRIX...... 42 calcipotriene...... 241 BENZAMYCIN...... 220 bosentan...... 91, 219 calcipotriene-betameth diprop BENZHYDROCODONE- BOSULIF...... 33 ...... 223, 231, 241 ACETAMINOPHEN...... 95, 117 bp 10-1...... 236, 238 calcitonin (salmon).. 166, 185, 193 BENZIQ WASH...... 236 bp cleansing wash...... 236, 238 Calcitrene...... 241 BENZNIDAZOLE...... 17 b-plex plus...... 61, 246 calcitriol...... 241, 251 BENZOIN...... 210, 241 BRAFTOVI...... 33 calcium acetate...... 140 benzoin compound...... 210, 230 BREO ELLIPTA 51, 162, 216, 218 calcium acetate (phos binder) benzonatate...... 211 briellyn...... 169 ...... 140, 142 benzoyl peroxide-erythromycin BRILINTA...... 62 calcium-folic acid plus d...... 142 ...... 220 brimonidine tartrate...... 146 CALQUENCE...... 33 benzphetamine hcl...... 95 BRIVIACT...... 97 Camila...... 169 benztropine mesylate...... 47, 97 Bromfed Dm...... 44, 210, 211, 213 Camrese...... 169 BERINERT...... 196 bromocriptine mesylate...... 115 Camrese Lo...... 169 Beser...... 222, 231 brompheniramine tannate candesartan cilexetil...... 64, 65 BESIVANCE...... 147 ...... 12, 13, 213 candesartan cilexetil-hctz BETADINE OPHTHALMIC BROVANA...... 51, 218 ...... 64, 65, 89, 144 PREP...... 152 BRUKINSA...... 33 CAPEX...... 223, 231 betamethasone dipropionate budesonide...... 163, 216 CAPRELSA...... 33 ...... 222, 223, 231 bumetanide...... 86, 140 captopril...... 66, 67 betamethasone dipropionate BUNAVAIL...... 122 captopril-hydrochlorothiazide aug...... 222, 231 Bupap...... 95, 108 ...... 66, 67, 90, 144 betamethasone valerate. 223, 231 BUPHENYL...... 139 CARAC...... 33, 241 BETAPACE AF buprenorphine hcl...... 122 CARAFATE...... 160 ...... 48, 69, 70, 79, 80, 85 buprenorphine hcl-naloxone CARBAGLU...... 139 BETASERON...... 200 hcl...... 122 carbamazepine...... 97, 102 betaxolol hcl bupropion hcl...... 101 carbamazepine er..... 97, 101, 102 ...... 52, 69, 70, 79, 85, 149 bupropion hcl er (smoking det)101 CARBATROL...... 98, 102 bethanechol chloride...... 49 bupropion hcl er (sr)...... 101 carbidopa...... 113 BETHKIS...... 15 bupropion hcl er (xl)...... 101 carbidopa-levodopa...... 114 BETIMOL...... 149 buspirone hcl...... 106 carbidopa-levodopa er...... 114 BETOPTIC-S...... 149 butalbital-acetaminophen..95, 108 carbidopa-levodopa- BEVESPI AEROSPHERE butalbital-apap-caff-cod entacapone...... 112, 114 ...... 45, 51, 218 ...... 95, 104, 108, 117, 125 carbinoxamine maleate.....12, 213 BEVYXXA...... 55 butalbital-apap-caffeine CARDIOVID PLUS...... 207 BEXSERO...... 42 ...... 95, 104, 109, 125 CARDURA...... 49, 63, 85 bicalutamide...... 32 butalbital-asa-caff-codeine CARDURA XL...... 49, 63, 85 BIDIL...... 83, 87 ...... 104, 109, 117, 125, 126 CARETOUCH BIJUVA...... 179, 186 butalbital-aspirin-caffeine LANCING/EJECTOR...... 132 BIKTARVY...... 22, 23 ...... 62, 63, 104, 109, 125, 126 carisoprodol...... 47 BILTRICIDE...... 16 butorphanol tartrate...... 122 carisoprodol-aspirin...... 47, 126 biocel...... 246, 248 BYDUREON...... 182 carisoprodol-aspirin-codeine bisoprolol fumarate. 52, 69, 70, 79 BYDUREON BCISE ...... 47, 117, 126 AUTOINJECTOR...... 182 CARNITOR...... 207

255 CARNITOR SF...... 207 chlorpromazine hcl...... 124 clonazepam...... 109, 111 CAROSPIR...... 86, 87, 88, 141 chlorthalidone...... 91, 145 clonidine...... 44, 78 carteolol hcl...... 149 chlorzoxazone...... 47 clonidine hcl...... 44, 78 Cartia Xt...... 72, 73, 75, 76, 81, 91 CHOLBAM...... 158 clopidogrel bisulfate...... 62 carvedilol.....48, 50, 63, 69, 79, 85 cholestyramine...... 71 clorazepate dipotassium. 109, 111 cascara sagrada...... 156 cholestyramine light...... 71 clotrimazole...... 229 CASODEX...... 33 choline-mag trisalicylate...... 126 clotrimazole-betamethasone CATAPRES...... 44, 77 Ciclodan...... 236 ...... 223, 229, 232 CATAPRES-TTS-1...... 44, 77 ciclopirox...... 236 clozapine...... 107 CATAPRES-TTS-2...... 44, 78 ciclopirox olamine...... 236 CLOZARIL...... 107 CATAPRES-TTS-3...... 44, 78 ciclopirox treatment...... 236, 237 co q-10...... 207 Cavarest...... 194 cilostazol...... 62, 88 COAGADEX...... 57 CAVERJECT...... 92 CILOXAN...... 147 COAL TAR...... 238 CAVERJECT IMPULSE...... 91 CIMDUO...... 23 COARTEM...... 16 CAYA...... 131 cimetidine...... 159 codeine sulfate...... 117, 212 CAYSTON...... 27 cimetidine hcl...... 159 colchicine-probenecid..... 145, 193 Caziant...... 169 CIMZIA PREFILLED KIT COLESTID...... 71 cefaclor...... 14 ...... 158, 196, 200 COLESTID FLAVORED...... 71 cefaclor er...... 14 CIMZIA STARTER KIT colestipol hcl...... 71 cefadroxil...... 13 ...... 158, 196, 200 colistimethate sodium (cba)...... 29 cefdinir...... 14 cinacalcet hcl...... 166, 207 Colocort...... 223, 232 cefditoren pivoxil...... 14 CIPRO...... 17, 29 COLY-MYCIN M...... 29 cefixime...... 14 CIPRO HC...... 147, 150 COLY-MYCIN S...... 147 cefpodoxime proxetil...... 14 CIPRODEX...... 147, 150 COMBIGAN...... 146, 149 cefprozil...... 14 ciprofloxacin hcl...... 17, 29, 147 COMBIPATCH...... 179, 186 cefuroxime axetil...... 14 citalopram hydrobromide...... 128 COMBIVENT RESPIMAT celecoxib...... 114 CITRANATAL BLOOM ...... 45, 51, 211, 218 CELONTIN...... 129 ...... 61, 248, 251 COMBIVIR...... 23 CENTANY...... 220 Claravis...... 241 COMETRIQ (100 MG DAILY cephalexin...... 13 clarithromycin...... 18, 28 DOSE)...... 33 CEQUR SIMPLICITY 2U...... 132 clarithromycin er...... 18, 28 COMETRIQ (140 MG DAILY CERDELGA...... 207 clemastine fumarate...... 12, 213 DOSE)...... 33 Cerovel...... 236 CLENPIQ...... 156 COMETRIQ (60 MG DAILY CERVIDIL...... 210 CLEOCIN...... 26, 220 DOSE)...... 33 CETRAXAL...... 147 CLEOCIN-T...... 220 COMPLERA...... 22, 23 cevimeline hcl...... 49 CLIMARA PRO...... 179 Compro...... 124, 155 CHANTIX...... 47 Clindacin Etz...... 220 COMTAN...... 112 CHANTIX CONTINUING Clindacin-P...... 221 CONCERTA...... 125 MONTH PAK...... 47 clindamycin hcl...... 26 CONDYLOX...... 241 CHANTIX STARTING MONTH clindamycin palmitate hcl...... 26 constulose...... 139 PAK...... 47 clindamycin phos-benzoyl CONTOUR CONTROL...... 132 Chateal...... 169 perox...... 221, 237 CONTOUR NEXT CONTROL.132 Chateal Eq...... 169 clindamycin phosphate...... 221 CONTOUR NEXT MONITOR. 132 CHEMET...... 161, 191 CLINDESSE...... 221 CONTOUR NEXT TEST...... 136 CHEMSTRIP UGK...... 137 Clinpro 5000...... 194 CONTOUR TEST...... 136 CHENODAL...... 157 clobazam...... 109, 111 CONTRAVE...... 97 chlordiazepoxide hcl...... 110 clobetasol prop emollient base COPASIL...... 210 chlordiazepoxide-amitriptyline ...... 223, 231 COPIKTRA...... 33 ...... 110, 130 clobetasol propionate CORDRAN...... 223, 232 chlordiazepoxide-clidinium 45, 110 ...... 223, 231, 232 COREG...... 48, 50, 63, 69, 79, 85 chlorhexidine gluconate...... 152 clobetasol propionate e...223, 231 CORGARD...... 48, 69, 70, 79 chloroquine phosphate...... 16 clocortolone pivalate...... 223, 232 CORIFACT...... 57 chlorothiazide...... 90, 144 clomipramine hcl...... 130 CORLANOR...... 77

256 CORTANE-B...... 150 danazol...... 165 dexamethasone sodium CORTEF...... 163 DANTRIUM...... 48 phosphate...... 150 CORTENEMA...... 223, 232 dantrolene sodium...... 48 DEXCOM G4 / G5 / G6 CORTIFOAM...... 223, 232 dapsone...... 17, 221, 241 RECEIVER, TRANSMITTER, cortisone acetate...... 163 DARAPRIM...... 16 SENSOR (INCLUDING CORTISPORIN...... 221, 223, 232 darifenacin hydrobromide er... 245 PLATINUM, PLATINUM CORTROSYN...... 136 Dasetta 1/35...... 170 PEDIATRIC)...... 133 corvita...... 246, 248 Dasetta 7/7/7...... 170 DEXILANT...... 160 COSENTYX (300 MG DOSE).241 DAURISMO...... 33 dexmethylphenidate hcl...... 125 COSENTYX 150 MG/ML...... 241 DAYPRO...... 123 dexmethylphenidate hcl er...... 125 COSENTYX SENSOREADY Daysee...... 170 Dexpak 10 Day...... 163 (300 MG)...... 241 DDAVP...... 57, 185 Dexpak 13 Day...... 163 COSENTYX SENSOREADY DDAVP RHINAL TUBE.....57, 185 Dexpak 6 Day...... 163 PEN...... 241 DEBACTEROL...... 242 DEXTENZA...... 150 COSOPT...... 149, 150 Deblitane...... 170 dextroamphetamine sulfate...... 95 cosyntropin...... 136 deferasirox...... 161 dextroamphetamine sulfate er.. 95 COUMADIN...... 54 DELESTROGEN...... 179 DIACOMIT...... 98 Covaryx...... 165, 179 DELSTRIGO...... 22, 23 DIALYVITE SUPREME D249, 251 Covaryx Hs...... 165, 179 Delyla...... 170 DIASTAT ACUDIAL...... 109, 111 COZAAR...... 64, 65 demeclocycline hcl...... 30 DIASTAT PEDIATRIC.....110, 111 CREON...... 157 DEMSER...... 207 diazepam...... 110, 111 CRESEMBA...... 18 Denta 5000 Plus...... 194 Diazepam Intensol...... 110, 111 CRINONE...... 186 Dentagel...... 194 diazoxide...... 166 CRIXIVAN...... 25 DEPAKOTE...... 98, 102, 104 diclofenac potassium...... 123 cromolyn sodium...... 146, 215 DEPAKOTE ER...... 98, 102, 104 diclofenac sodium crotan...... 240 DEPAKOTE SPRINKLES ...... 33, 123, 153, 240, 242 Cryselle-28...... 170 ...... 98, 102, 104 diclofenac sodium er...... 123 CUPRIMINE...... 161, 197 DEPEN TITRATABS...... 161, 197 diclofenac-misoprostol.... 123, 160 CUTIVATE...... 223, 232 DEPO-ESTRADIOL...... 179 dicloxacillin sodium...... 29 CUVPOSA...... 45 DEPO-PROVERA...... 186 DICOPANOL FUSEPAQ...12, 213 cyanocobalamin...... 248 DEPO-SUBQ PROVERA 104.186 dicyclomine hcl...... 45 Cyclafem 1/35...... 170 DEPO-TESTOSTERONE...... 165 didanosine...... 23 Cyclafem 7/7/7...... 170 DERMA-SMOOTHE/FS BODY diethylpropion hcl...... 94 cyclobenzaprine hcl...... 47 ...... 224, 232 diethylpropion hcl er...... 94 CYCLOGYL...... 154 DERMA-SMOOTHE/FS DIFICID...... 28 CYCLOMYDRIL...... 154 SCALP...... 224, 232 diflorasone diacetate...... 224, 233 cyclopentolate hcl...... 154 Dermazene...... 232, 238 DIFLUCAN...... 19 cyclophosphamide...... 33, 205 DERMOTIC...... 150 diflunisal...... 123 cycloserine...... 18 DESCOVY...... 23 Digitek...... 68, 77 CYCLOSET...... 115 desipramine hcl...... 130 Digox...... 68, 77 cyclosporine...... 197, 200, 205 desmopressin ace spray refrig digoxin...... 68, 77 cyclosporine modified ...... 57, 185 dihydroergotamine mesylate ...... 197, 200, 205 desmopressin acetate...... 57, 185 ...... 49, 104 cyproheptadine hcl...... 12, 213 desmopressin acetate spray... 185 DILANTIN...... 78, 115 Cyred...... 170 desogestrel-ethinyl estradiol... 170 DILANTIN INFATABS...... 78, 115 Cyred Eq...... 170 DESONATE...... 224, 232 DILATRATE-SR...... 87 CYSTADANE...... 207 desonide...... 224, 232 DILAUDID...... 117 CYSTAGON...... 207 DESOWEN...... 224, 232 diltiazem hcl 72, 73, 75, 76, 81, 92 CYSTARAN...... 153 desoximetasone...... 224, 232, 233 diltiazem hcl er CYTOTEC...... 160 DESOXYN...... 95 ...... 72, 73, 75, 76, 81, 92 cytra k crystals...... 138 desvenlafaxine succinate er....127 diltiazem hcl er beads dalfampridine er...... 207 dexamethasone...... 163 ...... 72, 73, 75, 76, 81, 92 DALIRESP...... 217 dexamethasone intensol...... 163

257 diltiazem hcl er coated beads EASYMAX CONTROL...... 133 Endocet...... 95, 117 ...... 72, 73, 75, 76, 81, 92 EASYPLUS BLOOD ENDOMETRIN...... 186 dilt-xr...... 72, 73, 75, 76, 81, 92 GLUCOSE TEST...... 136 ENGERIX-B...... 42 DIPENTUM...... 156 EC-NAPROSYN...... 123, 193 ENLITE GLUCOSE SENSOR.133 diphen...... 12, 213 ec-naproxen...... 123, 193 enovarx-amitriptyline...... 130 diphenhydramine hcl...... 12, 214 econazole nitrate...... 229 enovarx-baclofen...... 242 diphenoxylate-atropine EDARBI...... 64, 65 enovarx-cyclobenzaprine hcl.. 242 ...... 45, 155, 211 EDARBYCLOR..... 64, 65, 91, 145 enovarx-ibuprofen...... 224, 240 DIPROLENE...... 224, 233 EDECRIN...... 86, 140 enovarx-lidocaine hcl...... 228 DIPROLENE AF...... 224, 233 EDEX...... 92 enovarx-naproxen...... 224, 240 dipyridamole...... 62, 92 ed-spaz...... 45 enoxaparin sodium...... 60 disopyramide phosphate...... 78 EDURANT...... 22 Enpresse-28...... 170 disulfiram...... 191 Eemt...... 165, 179 Enskyce...... 170 DITROPAN XL...... 245 Eemt Hs...... 165, 179 ENSTILAR...... 224, 233, 242 DIURIL...... 90, 144 efavirenz...... 22 entacapone...... 112 divalproex sodium..... 98, 102, 104 EFFER-K...... 142 entecavir...... 27 divalproex sodium er.98, 102, 104 Effer-K...... 142 ENTERAGAM...... 207 DIVIGEL...... 179 EFUDEX...... 33, 242 ENTEREG...... 158 dofetilide...... 80 EGATEN...... 16 ENTRESTO...... 65, 89 DOLOPHINE...... 117 EGRIFTA...... 189 enulose...... 139 donepezil hcl...... 49 EGRIFTA SV...... 189 EPANED...... 66, 67 DOPTELET...... 56 ELESTRIN...... 179 EPCLUSA...... 20, 21 DORAL...... 111 eletriptan hydrobromide...... 127 EPIDIOLEX...... 98 DORZOLAMIDE HCL...... 150 ELIDEL...... 205, 242 EPIFOAM...... 224, 228, 233 dorzolamide hcl...... 150 ELIGARD...... 33, 34, 181 epinephrine...... 44, 210 dorzolamide hcl-timolol mal ELIMITE...... 240 Epitol...... 98, 102 ...... 149, 150 Elinest...... 170 EPIVIR...... 23 DOVATO...... 22, 23 ELIQUIS...... 55 EPIVIR HBV...... 23 DOVONEX...... 242 ELIQUIS DVT/PE STARTER eplerenone...... 86, 87, 89 doxazosin mesylate...... 49, 63, 85 PACK...... 55 EQUETRO...... 98, 102 doxepin hcl...... 130, 228 ELITE-OB...... 61, 246, 249 ERGOCAL...... 251 doxercalciferol...... 251 ELIXOPHYLLIN 83, 140, 220, 245 ergocalciferol...... 251 doxycycline hyclate...... 30, 147 ELLA...... 170 ergoloid mesylates...... 49 doxycycline monohydrate...... 30 ELMIRON...... 210 ERGOMAR...... 49, 105 DRISDOL...... 251 ELOCTATE...... 58 ergotamine-caffeine...... 49, 105 DRIZALMA SPRINKLE... 115, 127 EMCYT...... 34 ERIVEDGE...... 34 dronabinol...... 155 EMEND...... 160 ERLEADA...... 34 drospiren-eth estrad-levomefol170 EMEND TRI-PACK...... 160 erlotinib hcl...... 34 drospirenone-ethinyl estradiol.170 EMGALITY...... 105, 112 Errin...... 170 DROXIA...... 33 EMGALITY (300 MG DOSE).. 112 ery...... 221 DRYSOL...... 229 Emoquette...... 170 ERYGEL...... 221 DUAVEE...... 178, 179 EMSAM...... 116 ERYPED 200...... 19, 26 DUETACT...... 189, 190 EMTRIVA...... 23 ERYPED 400...... 19, 26 duloxetine hcl...... 115, 127 EMVERM...... 16 Ery-Tab...... 19, 26 DUOPA...... 114 enalapril maleate...... 66, 67 ERYTHROCIN STEARATE 20, 26 DUPIXENT...... 214, 242 enalapril-hydrochlorothiazide erythromycin...... 20, 26, 147, 221 duraxin...... 12, 95, 214 ...... 66, 67, 90, 144 erythromycin base...... 20, 26 DUREZOL...... 150 ENBRACE HR...... 61, 246, 249 erythromycin ethylsuccinate 20, 26 dutasteride...... 191 ENBREL...... 197, 200, 242 ESBRIET...... 211 DYAZIDE...... 88, 90, 141, 144 ENBREL MINI...... 197, 200, 242 escitalopram oxalate...... 128 DYRENIUM...... 88, 141 ENBREL SURECLICK Esgic...... 95, 105, 109, 125 E.E.S. GRANULES...... 19, 26 ...... 197, 200, 242 ESGIC...... 96, 105, 109, 125 EASIVENT...... 133 ENDARI...... 158, 207 esomeprazole magnesium...... 160

258 est estrogens-methyltest.165, 179 FELDENE...... 123 fluocinolone acetonide est estrogens-methyltest ds felodipine er...... 73, 82, 83, 85, 92 ...... 151, 224, 225, 233 ...... 165, 179 FEM PH...... 238 fluocinolone acetonide body est estrogens-methyltest hs FEMHRT LOW DOSE.....180, 186 ...... 224, 233 ...... 165, 179 FEMRING...... 180 fluocinolone acetonide scalp Estarylla...... 170 Femynor...... 171 ...... 225, 233 estazolam...... 111 fenofibrate...... 84 fluocinonide...... 225, 233 ESTRACE...... 179 fentanyl...... 118 fluocinonide emulsified base estradiol...... 179 fentanyl citrate...... 118 ...... 225, 233 estradiol valerate...... 179 FERRIPROX...... 161 FLUORABON...... 194 estradiol-norethindrone acet FETZIMA...... 127 Fluoridex...... 194 ...... 179, 186 FETZIMA TITRATION...... 127 Fluoridex Sensitivity Relief...... 194 ESTRING...... 180 FEXMID...... 47 fluoritab...... 194 ESTROGEL...... 180 FINACEA...... 242 fluorometholone...... 151 ESTROSTEP FE...... 170 finasteride...... 191 FLUOROPLEX...... 34, 242 eszopiclone...... 106 FIORICET...... 96, 105, 109, 125 FLUOROURACIL...... 34, 242 ethacrynic acid...... 86, 140 FIORINAL. 63, 105, 109, 125, 126 fluorouracil...... 34, 242 ethambutol hcl...... 18 FIORINAL/CODEINE #3 fluoxetine hcl...... 128, 129 ethosuximide...... 130 ...... 105, 109, 118, 125, 127 fluphenazine hcl...... 124 ethynodiol diac-eth estradiol... 171 FIRAZYR...... 196 FLURA-DROPS...... 194 etodolac...... 123 FIRDAPSE...... 207 flurandrenolide...... 225, 233 etodolac er...... 123 FIRMAGON...... 34, 166, 200 flurazepam hcl...... 111 etoposide...... 34 FIRMAGON (240 MG DOSE) flurbiprofen...... 123 EUCRISA...... 224, 227 ...... 34, 166, 199 flurbiprofen sodium...... 153 Euthyrox...... 190 FIRST-LANSOPRAZOLE...... 160 flutamide...... 34 EVAMIST...... 180 FIRST-MOUTHWASH BLM.... 242 fluticasone propionate everolimus...... 34, 205 FIRST-OMEPRAZOLE...... 160 ...... 151, 215, 225, 233 EVOCLIN...... 221 FIRVANQ...... 20 FLUTICASONE- EVOTAZ...... 25, 207 Flac...... 150 SALMETEROL..51, 163, 216, 218 EVOXAC...... 49 FLAGYL...... 14, 15, 17 fluvastatin sodium...... 84 EVZIO...... 121, 191 FLAREX...... 150 fluvastatin sodium er...... 84 EXELDERM...... 229 flavoxate hcl...... 245 fluvoxamine maleate...... 129 exemestane...... 34, 166 flecainide acetate...... 79 fluvoxamine maleate er...... 129 exoderm...... 222 FLEXICHAMBER ADULT FLUZONE HIGH-DOSE...... 42 exotic-hc...... 150 MASK/SMALL...... 133 FLUZONE QUADRIVALENT.... 43 EXTINA...... 229 FLEXICHAMBER CHILD FML...... 151 EZALLOR SPRINKLE...... 84 MASK/LARGE...... 133 FML FORTE...... 151 ezetimibe...... 78 FLEXICHAMBER CHILD FML LIQUIFILM...... 151 ezetimibe-simvastatin...... 78, 84 MASK/SMALL...... 133 FOCALIN...... 125 FALESSA...... 249 FLOLIPID...... 84 folic acid...... 249 Falmina...... 171 FLORIVA...... 194, 251 fondaparinux sodium...... 54, 55 famciclovir...... 27 FLORIVA PLUS...... 194, 246 FORANE...... 116 famotidine...... 159 FLOVENT DISKUS...... 163, 216 formaldehyde...... 210, 242 FANAPT...... 107 FLOVENT HFA...... 163, 216 FORMALDEHYDE...... 210 FANAPT TITRATION PACK... 107 FLUAD...... 42 FORTAVIT...... 61, 246 FARESTON...... 34, 178 FLUARIX QUADRIVALENT...... 42 FORTEO...... 185, 193 FARYDAK...... 34 fluconazole...... 19 FORTISCARE CONTROL...... 133 FASENRA PEN...... 214 flucytosine...... 29 FOSAMAX...... 193 Fayosim...... 171 fludrocortisone acetate...... 163 FOSAMAX PLUS D...... 194, 251 febuxostat...... 193 FLULAVAL QUADRIVALENT... 42 fosamprenavir calcium...... 25 FEIBA...... 58 flunisolide...... 151, 215 fosinopril sodium...... 66, 67 felbamate...... 98 FELBATOL...... 98

259 fosinopril sodium-hctz glimepiride...... 189 HEMOFIL M...... 58 ...... 66, 67, 90, 144 glipizide...... 189 hemorrhoidal-hc...... 225 FOSRENOL...... 140, 191 glipizide er...... 189 heparin lock flush...... 60, 133 FOSTEUM...... 207 glipizide xl...... 189 heparin sodium (porcine)...... 60 FOSTEUM PLUS...... 142, 207 glipizide-metformin hcl.... 167, 189 heparin sodium (porcine) pf...... 60 FOVEX...... 68, 208 GLUCAGEN HYPOKIT... 181, 191 heparin sodium lock flush. 60, 133 FRAGMIN...... 60 GLUCAGON EMERGENCY HEPLISAV-B...... 43 FREESTYLE LIBRE 14 DAY KIT...... 181, 191 HEPSERA...... 27 READER...... 133 GLUCOTROL...... 189 HETLIOZ...... 106 FREESTYLE LIBRE 14 DAY GLUCOTROL XL...... 189 HIBERIX...... 43 SENSOR...... 133 GLUTARALDEHYDE...... 138 HIPREX...... 31 FREESTYLE LIBRE READER 133 glyburide...... 189 homatropaire...... 154 FREESTYLE LIBRE SENSOR glyburide micronized...... 189 HUMALOG...... 183, 188 SYSTEM...... 133 glyburide-metformin...... 167, 189 HUMALOG KWIKPEN.... 182, 187 FREESTYLE PRECISION glycopyrrolate...... 45 HUMALOG MIX 50/50 NEO TEST...... 136 GLYNASE...... 189 KWIKPEN...... 182, 184, 187 FROTEK...... 225, 240 GLYSET...... 165 HUMALOG MIX 50/50 VIAL FROVA...... 127 GLYXAMBI...... 177, 188 ...... 182, 184, 187 frovatriptan succinate...... 128 GOLYTELY...... 156 HUMALOG MIX 75/25 furosemide...... 86, 140 GORDOFILM...... 237 KWIKPEN...... 183, 184, 187 FUZEON...... 21 grafco silver nit applicator...... 237 HUMALOG MIX 75/25 VIAL Fyavolv...... 180, 187 granisetron hcl...... 155 ...... 183, 184, 187 FYCOMPA...... 98 GRASTEK...... 41, 208 HUMALOG U-100 JUNIOR GABADONE...... 208 griseofulvin microsize...... 16 KWIKPEN...... 183, 188 gabapentin...... 96, 98 griseofulvin ultramicrosize...... 16 HUMATE-P...... 58 GABITRIL...... 98 guaiatussin ac...... 118, 212, 213 HUMIRA..158, 159, 197, 201, 243 GALAFOLD...... 208 guaifenesin ac...... 118, 212, 213 HUMIRA PEDIATRIC galantamine hydrobromide...... 50 guanfacine hcl...... 78, 113 CROHNS START galantamine hydrobromide er... 50 guanfacine hcl er...... 78, 113 ...... 158, 197, 201, 242 GALZIN...... 161 GUANIDINE HCL...... 50 HUMIRA PEN GARDASIL 9...... 43 GUARDIAN CONNECT ...... 158, 197, 201, 242, 243 GASTROCROM...... 215 TRANSMITTER...... 133 HUMIRA PEN-CD/UC/HS gatifloxacin...... 147 GUARDIAN LINK 3 STARTER...... 158, 197, 201, 243 GATTEX...... 158 TRANSMITTER...... 133 HUMIRA PEN-PS/UV/ADOL gavilyte-c...... 156 GVOKE PFS...... 181, 191 HS START...... 158, 197, 201, 243 Gavilyte-G...... 156 GYNAZOLE-1...... 229 HUMULIN 70/30 KWIKPEN Gavilyte-H...... 156 HAEGARDA...... 196 ...... 183, 184, 188 Gavilyte-N With Flavor Pack... 156 Hailey 1.5/30...... 171 HUMULIN 70/30 VIAL GELFILM...... 153 Hailey 24 Fe...... 171 ...... 183, 184, 188 gemfibrozil...... 84 halcinonide...... 225, 233 HUMULIN N KWIKPEN.. 183, 184 generlac...... 139 HALCION...... 111 HUMULIN N VIAL...... 183, 184 Gengraf...... 197, 201, 205 halobetasol propionate....225, 234 HUMULIN R U-500 KWIKPEN gentak...... 147 HALOG...... 225, 234 ...... 183, 188 gentamicin sulfate...... 147, 221 haloperidol...... 112 HUMULIN R U-500 VIAL GENVOYA...... 22, 23 haloperidol lactate...... 112 (CONCENTRATED)...... 183, 188 Gianvi...... 171 HALUCORT...... 230 HUMULIN R VIAL...... 183, 188 GILENYA...... 201 HARVONI...... 20, 21 HYCAMTIN...... 34 GILOTRIF...... 34 HAVRIX...... 43 hydralazine hcl...... 83 GILPHEX TR...... 44, 213 Heather...... 171 HYDREA...... 34 GILTUSS TR...... 44, 212, 213 hematinic/folic acid...... 61, 249 HYDRO 40...... 237 glatiramer acetate...... 201 HEMLIBRA...... 58 hydrochlorothiazide...... 90, 144 Glatopa...... 201 Hemmorex-Hc...... 225, 234 hydrocodone bitartrate er...... 118 GLEOSTINE...... 34 Hemocyte-F...... 61, 249

260 hydrocodone polst-cpm polst IMVEXXY MAINTENANCE isoniazid...... 18 er...... 13, 118, 212, 214 PACK...... 180 ISOPTO CARPINE...... 153 hydrocodone-acetaminophen IMVEXXY STARTER PACK... 180 ISORDIL TITRADOSE...... 87 ...... 96, 118 INBRIJA...... 114 isosorbide dinitrate...... 87 hydrocodone-homatropine Incassia...... 171 isosorbide mononitrate...... 87 ...... 45, 118, 212 INCRELEX...... 189 isosorbide mononitrate er...... 87 hydrocodone-ibuprofen... 118, 123 INCRUSE ELLIPTA...... 46, 211 isotretinoin...... 243 hydrocortisone...... 163, 226, 234 indapamide...... 91, 145 isoxsuprine hcl...... 92 hydrocortisone (perianal) 225, 234 INDERAL XL isradipine...... 73, 82, 83, 85, 92 hydrocortisone ace-pramoxine ...... 48, 69, 70, 79, 85, 105 ISTALOL...... 149 ...... 225, 228, 234 INDOCIN...... 123, 193 itraconazole...... 19 hydrocortisone acetate....225, 234 indomethacin...... 123, 193 ivermectin...... 16, 243 hydrocortisone butyrate indomethacin er...... 123, 193 JADENU...... 161 ...... 225, 226, 234 INGREZZA...... 113, 131 JADENU SPRINKLE...... 161 hydrocortisone valerate...226, 234 INLYTA...... 35 Jaimiess...... 171 hydrocortisone-acetic acid INNOPRAN XL JAKAFI...... 35 ...... 151, 152 ...... 48, 69, 70, 79, 85, 105 Jantoven...... 54 hydrocortisone-iodoquinol INOVA...... 237 JANUMET...... 167, 177 ...... 234, 238 INOVA 4/1 ACNE CONTROL JANUMET XR...... 167, 177 hydrocort-pramoxine (perianal) THERAPY...... 237 JANUVIA...... 178 ...... 226, 228, 234 INOVA 8/2 ACNE CONTROL JARDIANCE...... 188 hydromet...... 45, 118, 212 THERAPY...... 237 Jasmiel...... 171 hydromorphone hcl...... 118, 119 INREBIC...... 35 Jencycla...... 171 hydromorphone hcl er...... 118 INSPIREASE RESERVOIR JENTADUETO...... 167, 178 hydroxychloroquine sulfate BAGS...... 134 JENTADUETO XR...... 167, 178 ...... 16, 197, 201 INSPRA...... 86, 87, 89 Jinteli...... 180, 187 hydroxyurea...... 35 INSULIN PEN NEEDLES...... 134 JIVI...... 58 hydroxyzine hcl...... 13, 106 INSULIN SYRINGES...... 134 Jolessa...... 171 hydroxyzine pamoate...... 13, 106 INTELENCE...... 22 JUBLIA...... 229 hyophen...... 31 INTRAROSA...... 163 Juleber...... 171 hyoscyamine sulfate...... 46 INTRON A...... 25, 35, 201, 202 JULUCA...... 22 hyoscyamine sulfate er...... 46 Introvale...... 171 Junel 1.5/30...... 171 hyoscyamine sulfate sl...... 46 INVELTYS...... 151 Junel 1/20...... 171 hyosyne...... 46 INVIRASE...... 25 Junel Fe 1.5/30...... 171 HYPERSAL...... 134, 142 INVOKAMET...... 167, 188 Junel Fe 1/20...... 171 HYPERTENSA...... 208 INVOKAMET XR...... 167, 188 Junel Fe 24...... 171 HYPOCYN...... 134 INVOKANA...... 188 JUXTAPID...... 68 HYZAAR...... 64, 65, 90, 144 IODINE STRONG JYNARQUE...... 145 ibandronate sodium...... 194 ...... 16, 167, 192, 213 Kaitlib Fe...... 171 IBRANCE...... 35 iodine tincture...... 238 KALETRA...... 25 Ibu...... 123 IOPIDINE...... 153 Kalliga...... 172 ibuprofen...... 123 IPOL...... 43 KALYDECO...... 213 ICLUSIG...... 35 ipratropium bromide.. 46, 153, 211 KAPSPARGO SPRINKLE IDELVION...... 58 ipratropium-albuterol ...... 53, 69, 70, 79 IDHIFA...... 35 ...... 46, 52, 211, 218 Kariva...... 172 imatinib mesylate...... 35 irbesartan...... 64, 65 KATERZIA...... 74, 82, 83, 85, 92 IMBRUVICA...... 35 irbesartan-hydrochlorothiazide KAZANO...... 167, 178 imipramine hcl...... 130 ...... 64, 65, 90, 144 KEFLEX...... 14 imipramine pamoate...... 130 IRESSA...... 35 Kelnor 1/35...... 172 imiquimod...... 243 ISENTRESS...... 22 Kelnor 1/50...... 172 IMITREX...... 128 ISENTRESS HD...... 22 KEPPRA...... 98 IMPAVIDO...... 17 Isibloom...... 171 KEPPRA XR...... 98 isoflurane...... 116 KERALAC...... 237

261 KERYDIN...... 240 LAMICTAL STARTER...... 99, 102 leucovorin calcium...... 192 ketoconazole...... 19, 229 LAMICTAL XR...... 99 LEUKERAN...... 36 Ketodan...... 229 lamivudine...... 24 LEUKINE...... 56 KETONE TEST...... 137 lamivudine-zidovudine...... 24 leuprolide acetate...... 36, 181 ketoprofen...... 123 lamotrigine...... 99, 102 levalbuterol hcl...... 52, 218 ketoprofen er...... 123 lamotrigine er...... 99 LEVALBUTEROL HFA...... 52, 218 ketorolac tromethamine.. 123, 153 lamotrigine starter kit-blue.99, 102 LEVAQUIN...... 18, 29 KETOSTIX...... 137 lamotrigine starter kit-green LEVBID...... 46 KETOVIE...... 139 ...... 99, 102 LEVEMIR U-100 FLEXTOUCH KETOVIE PEPTIDE...... 139 lamotrigine starter kit-orange ...... 183, 184 KEVEYIS...... 150 ...... 99, 102 LEVEMIR U-100 VIAL.....183, 184 KEVZARA...... 197, 198, 202 LANCETS...... 134 levetiracetam...... 99 KINERET...... 198, 202 LANOXIN...... 68, 77 levetiracetam er...... 99 Kionex...... 141, 192 lansoprazole...... 161 levobunolol hcl...... 149 KISQALI (200 MG DOSE)...... 35 lanthanum carbonate...... 140, 192 levocarnitine...... 208 KISQALI (400 MG DOSE)...... 36 Larin 1.5/30...... 172 levocarnitine sf...... 208 KISQALI (600 MG DOSE)...... 36 Larin 1/20...... 172 levocetirizine dihydrochloride KISQALI FEMARA (400 MG Larin 24 Fe...... 172 ...... 13, 217 DOSE)...... 36, 166 Larin Fe 1.5/30...... 172 levofloxacin...... 18, 29, 147 KISQALI FEMARA (600 MG Larin Fe 1/20...... 172 Levonest...... 172 DOSE)...... 36, 166 Larissia...... 172 levonorgest-eth est & eth est.. 172 KISQALI FEMARA(200 MG LASIX...... 86, 140 levonorgest-eth estrad 91-day 172 DOSE)...... 36, 166 LASTACAFT...... 146 levonorgestrel...... 172 KLARON...... 238 latanoprost...... 154 levonorgestrel-ethinyl estrad...172 Klor-Con...... 142 LATRIX XM...... 237 levonorg-eth estrad triphasic...173 Klor-Con 10...... 142 LATUDA...... 107 Levora 0.15/30 (28)...... 173 Klor-Con M10...... 142 Layolis Fe...... 172 levorphanol tartrate...... 119 KLOR-CON M15...... 142 LAZANDA...... 119 Levo-T...... 190 Klor-Con M20...... 142 L-CYSTINE...... 139 levothyroxine sodium...... 190 Klor-Con Sprinkle...... 142 LEDIPASVIR-SOFOSBUVIR Levoxyl...... 190 Klor-Con/Ef...... 142 ...... 20, 21 LEVSIN...... 46 KOATE...... 58 Leena...... 172 LEVSIN/SL...... 46 KOATE-DVI...... 58 leflunomide...... 198, 202 LEVULAN KERASTICK...... 243 KOGENATE FS...... 58 LENVIMA (10 MG DAILY LEXIVA...... 25 KOMBIGLYZE XR...167, 168, 178 DOSE)...... 36 LIALDA...... 156 KORLYM...... 166 LENVIMA (12 MG DAILY lidocaine...... 228 KOSELUGO...... 36 DOSE)...... 36 lidocaine hcl...... 153, 228 KOVALTRY...... 58 LENVIMA (14 MG DAILY lidocaine hcl urethral/mucosal.153 K-PHOS...... 138 DOSE)...... 36 lidocaine viscous hcl...... 153 K-PHOS NO 2...... 138 LENVIMA (18 MG DAILY lidocaine-prilocaine...... 228 K-PHOS-NEUTRAL...... 138 DOSE)...... 36 LIDOPIN...... 228 K-Prime...... 142 LENVIMA (20 MG DAILY LIDTOPIC MAX...... 228 KRINTAFEL...... 16 DOSE)...... 36 Lillow...... 173 KRISTALOSE...... 139 LENVIMA (24 MG DAILY LIMBREL...... 208 K-TAB...... 142 DOSE)...... 36 LIMBREL250...... 208 Kurvelo...... 172 LENVIMA (4 MG DAILY LIMBREL500...... 208 KUVAN...... 208 DOSE)...... 36 lindane...... 240 labetalol hcl. 48, 50, 63, 69, 70, 79 LENVIMA (8 MG DAILY linezolid...... 28 LACRISERT...... 153 DOSE)...... 36 LINZESS...... 159 lactulose...... 139 Lessina...... 172 liothyronine sodium...... 190 lactulose encephalopathy...... 139 LETAIRIS...... 92, 219 lisinopril...... 66, 67 LAMICTAL...... 99, 102 letrozole...... 36, 166 LAMICTAL ODT...... 99, 102 lets...... 228

262 lisinopril-hydrochlorothiazide LYNPARZA...... 37 MENTAX...... 230 ...... 66, 67, 90, 144 LYRICA...... 96, 99, 115 MENVEO...... 43 L-ISOLEUCINE...... 210 Lysiplex Plus...... 139 meperidine hcl...... 119 LISTER-V...... 208 LYSODREN...... 37 MEPHYTON...... 192, 252 lithium...... 103 LYSTEDA...... 58 meprobamate...... 106 lithium carbonate...... 103 Lyza...... 173 mercaptopurine...... 37, 205 lithium carbonate er...... 103 MACROBID...... 31 mesalamine...... 156 LITHOBID...... 103 MACRODANTIN...... 31 mesalamine-cleanser...... 156 LITHOSTAT...... 139 mafenide acetate...... 238 MESNEX...... 210 LO LOESTRIN FE...... 173 MAGNEBIND 400...... 140 MESTINON...... 50 LOCOID...... 226, 234 MALARONE...... 16 Metadate Er...... 125 LOESTRIN 1.5/30 (21)...... 173 malathion...... 240 metaproterenol sulfate...... 52, 218 LOESTRIN 1/20 (21)...... 173 maprotiline hcl...... 130 metaxalone...... 47 LOESTRIN FE 1.5/30...... 173 marlissa...... 173 metformin hcl...... 168 LOESTRIN FE 1/20...... 173 MARPLAN...... 116 metformin hcl er...... 168 Lojaimiess...... 173 MASK VORTEX...... 134 methadone hcl...... 119 LOKELMA...... 141 MATULANE...... 37 Methadone Hcl Intensol...... 119 LOMAIRA...... 94 Matzim La... 72, 74, 75, 76, 81, 92 methadose...... 119 LOMOTIL...... 46, 155, 211 MAVENCLAD (10 TABS)...... 205 Methadose...... 119 LONSURF...... 36 MAVENCLAD (4 TABS)...... 205 methadose sugar-free...... 119 LOPID...... 84 MAVENCLAD (5 TABS)...... 205 methamphetamine hcl...... 95 lopinavir-ritonavir...... 25 MAVENCLAD (6 TABS)...... 205 methazolamide...... 150 Lopreeza...... 180, 187 MAVENCLAD (7 TABS)...... 205 methenamine hippurate...... 31 LOPRESSOR...... 53, 69, 70, 79 MAVENCLAD (8 TABS)...... 205 methenamine mandelate...... 31 LOPRESSOR HCT MAVENCLAD (9 TABS)...... 205 Methergine...... 210 ...... 53, 69, 70, 79, 90, 144 MAVYRET...... 21 methimazole...... 167 LOPROX...... 236, 243 MAXICOMFORT SYR 27G X METHITEST...... 165 lorazepam...... 110, 111 1/2"...... 134 methocarbamol...... 47 Lorazepam Intensol...... 110, 111 MAXIDEX...... 151 methotrexate..... 37, 198, 202, 205 LORBRENA...... 36 MAXITROL...... 147, 151 methotrexate sodium Lorcet...... 96, 119 MAXZIDE...... 89, 90, 141, 144 ...... 37, 198, 202, 205 Lorcet Hd...... 96, 119 MAXZIDE-25...... 89, 90, 142, 144 methotrexate sodium (pf) Lorcet Plus...... 96, 119 MAYZENT...... 202 ...... 37, 198, 202, 205 LORTAB...... 96, 119 MAYZENT STARTER PACK.. 202 methoxsalen rapid...... 240 Loryna...... 173 me/naphos/mb/hyo1...... 31 methscopolamine bromide...... 46 losartan potassium...... 64, 65 meclofenamate sodium...... 123 methyl salicylate...... 127 losartan potassium-hctz MEDERMA SPF 30...... 230 methyldopa...... 45, 78 ...... 64, 65, 90, 144 MEDROL...... 163, 164 methyldopa- LOSEASONIQUE...... 173 MEDROX-RX...... 243 hydrochlorothiazide LOTEMAX...... 151 medroxyprogesterone acetate 187 ...... 45, 78, 90, 144 LOTEMAX SM...... 151 mefenamic acid...... 123 methylergonovine maleate...... 210 LOTENSIN...... 66, 67 mefloquine hcl...... 16 METHYLIN...... 125 LOTENSIN HCT....66, 67, 90, 144 MEGACE ES...... 37, 187 methylphenidate hcl...... 126 loteprednol etabonate...... 151 megestrol acetate...... 37, 187 methylphenidate hcl er...... 126 LOTREL 66, 67, 74, 82, 83, 85, 92 MEKINIST...... 37 methylphenidate hcl er (cd).....125 lovastatin...... 84 MEKTOVI...... 37 methylphenidate hcl er (la)...... 126 Low-Ogestrel...... 173 Melodetta 24 Fe...... 173 methylprednisolone...... 164 loxapine succinate...... 106 meloxicam...... 124 methyltestosterone...... 165 Lo-Zumandimine...... 173 melphalan...... 37 metoclopramide hcl...... 160 LUCEMYRA...... 45 memantine hcl...... 113 metolazone...... 91, 145 Ludent...... 194 MENACTRA...... 43 metoprolol succinate er LUMIGAN...... 154 MENEST...... 180 ...... 53, 69, 71, 80 Lutera...... 173 MENOSTAR...... 180 metoprolol tartrate...53, 69, 71, 80

263 metoprolol-hydrochlorothiazide morphine sulfate er...... 119 nateglinide...... 184 ...... 53, 69, 71, 80, 90, 144 morphine sulfate er beads...... 119 NATPARA...... 185, 193 METROCREAM...... 221 MOTEGRITY...... 160 NATURE-THROID...... 190 METROLOTION...... 221 MOVIPREP...... 157 NAYZILAM...... 110, 111 metronidazole...... 15, 17, 221 MOXEZA...... 147 NEBUPENT...... 17 mexiletine hcl...... 78 moxifloxacin hcl...... 18, 29, 147 Nebusal...... 134, 142 MIACALCIN...... 167, 185, 194 moxifloxacin hcl (2x day)...... 147 NEBUSAL...... 134, 143 Mibelas 24 Fe...... 173 MOZOBIL...... 56 Necon 0.5/35 (28)...... 174 miconazole 3...... 229 MS CONTIN...... 120 nefazodone hcl...... 129 MICRODOT TEST...... 136 MUCOSITISRX...... 134 neomycin sulfate...... 15 Microgestin 1.5/30...... 173 MULPLETA...... 56 neomycin-bacitracin zn- Microgestin 1/20...... 173 MULTAQ...... 80 polymyx...... 148 Microgestin Fe 1.5/30...... 173 multi-vit/iron/fluoride..61, 194, 246 neomycin-polymyxin-dexameth Microgestin Fe 1/20...... 174 multivitamin/fluoride...... 194, 246 ...... 148, 151 MICROLET NEXT LANCING multi-vitamin/fluoride...... 194, 246 neomycin-polymyxin- DEVICE...... 134 multivitamin/fluoride/iron gramicidin...... 148 midazolam hcl...... 111 ...... 61, 194, 246 neomycin-polymyxin-hc.. 148, 151 midodrine hcl...... 45 multi-vitamin/fluoride/iron Neo-Polycin...... 148 MIGERGOT...... 49, 105 ...... 61, 194, 246 Neo-Polycin Hc...... 148, 151 miglitol...... 165 multivitamins/fluoride...... 195, 246 NEOTUSS PLUS 13, 45, 212, 214 miglustat...... 208 mupirocin...... 221 NEOVITE...... 246, 249 Mili...... 174 mupirocin calcium...... 221 NERLYNX...... 37 MILLIPRED...... 164 MUSE...... 92 NESINA...... 178 MILLIPRED DP...... 164 Mvc-Fluoride...... 195, 246 NESTABS...... 61, 143, 246, 249 Mimvey...... 180, 187 MYALEPT...... 184 Neuac...... 221, 237 mineral oil heavy...... 157 MYAMBUTOL...... 18 NEULASTA...... 56 MINIPRESS...... 49, 63, 64 MYCOBUTIN...... 18, 29 NEUPRO...... 117 Minitran...... 87 mycophenolate mofetil...... 206 NEURAPTINE...... 243 minocycline hcl...... 30 mycophenolate sodium...... 206 NEUREPA...... 208 minoxidil...... 83 MYLERAN...... 37 NEURONTIN...... 96, 99 MIRAPEX...... 117 Myorisan...... 243 neutral sodium fluoride...... 195 MIRCETTE...... 174 MYSOLINE...... 108 NEVANAC...... 153 mirtazapine...... 101 MYTESI...... 155 nevirapine...... 22 MIRVASO...... 243 nabumetone...... 124 NEXAVAR...... 37 misoprostol...... 160 n-acetyl-l-cysteine...... 208 NEXIUM...... 161 MITIGARE...... 193 nadolol...... 48, 69, 71, 80 niacin (antihyperlipidemic)...... 68 MITOSOL...... 149 NAFRINSE DAILY/NEUTRAL.195 niacin er (antihyperlipidemic).... 68 M-M-R II...... 43 naloxone hcl...... 121, 122, 192 niacor...... 68 M-NATAL PLUS 61, 142, 246, 249 NALOXONE HCL...... 121, 192 NIASPAN...... 68 MOBIC...... 124 naltrexone hcl...... 122, 191 NICADAN...... 208, 249 modafinil...... 131 NAMENDA...... 113 NICAPRIN...... 208, 249 moexipril hcl...... 66, 68 NAMENDA TITRATION PAK..113 nicardipine hcl... 74, 82, 83, 85, 92 molindone hcl...... 106 NAMZARIC...... 50, 113 NICAZEL...... 208, 249 mometasone furoate...... 226, 234 NAPROSYN...... 124, 193 NICAZEL FORTE...... 208, 249 Mondoxyne Nl...... 30 naproxen...... 124, 193 NICORETTE...... 47 Mono-Linyah...... 174 naproxen dr...... 124, 193 nicotine polacrilex...... 47 MONONINE...... 58 naproxen sodium...... 124, 193 nicotine step 1...... 47 monsels ferric subsulfate.. 58, 210 naratriptan hcl...... 128 nicotine step 2...... 47 montelukast sodium...... 214 NARCAN...... 122, 192 nicotine step 3...... 47 MONUROL...... 31 NARDIL...... 116 NICOTROL...... 47 Morgidox...... 30 NASCOBAL...... 249 NICOTROL NS...... 47 morphine sulfate...... 120 NATACYN...... 149 nifedipine...... 74, 82, 83, 85, 92 morphine sulfate (concentrate)119 NATAZIA...... 174 nifedipine er...... 74, 82, 83, 85, 92

264 nifedipine er osmotic release NOVOSEVEN RT...... 59 ONETOUCH DELICA ...... 74, 82, 83, 85, 92 NOVOTWIST PEN NEEDLE.. 134 LANCING DEV...... 134 Nikki...... 174 NOXAFIL...... 19 ONETOUCH DELICA PLUS nilutamide...... 37 np thyroid...... 190 LANCING...... 135 nimodipine...... 74, 82, 83, 85, 92 NUBEQA...... 37 ONETOUCH ULTRA 2...... 135 NINLARO...... 37 NUCALA...... 214 ONETOUCH ULTRA BLUE nisoldipine er.....74, 82, 83, 85, 92 NUCORT...... 226, 234 TEST STRIPS...... 137 NITRO-BID...... 87 NUCYNTA...... 120 ONETOUCH ULTRA MINI...... 135 NITRO-DUR...... 87 NUCYNTA ER...... 120 ONETOUCH VERIO...... 135, 137 nitrofurantoin...... 31 NUEDEXTA...... 113, 212 ONETOUCH VERIO FLEX nitrofurantoin macrocrystal...... 31 Nulev...... 46 SYSTEM KIT W/DEVICE...... 135 nitrofurantoin monohydrate NULYTELY WITH FLAVOR ONETOUCH VERIO IQ macrocrystals...... 31 PACKS...... 157 SYSTEM...... 135 nitroglycerin...... 87 NUPLAZID...... 107 ONETOUCH VERIO SYNC NITROMIST...... 87 NUTRICAP...... 61, 246, 249 SYSTEM KIT W/DEVICE...... 135 NITROSTAT...... 87 NUTRIDOX...... 30 ONEVITE...... 246, 249 nitro-time...... 87 NUTROPIN AQ NUSPIN 10... 186 ONFI...... 110, 111 NITYR...... 208 NUTROPIN AQ NUSPIN 20... 186 ONGLYZA...... 178 nizatidine...... 159 NUTROPIN AQ NUSPIN 5..... 186 OPANA...... 120 NIZORAL...... 229 NUVAIL...... 134 opium...... 120, 155 NOCDURNA...... 58, 185 NUVARING...... 175 OPSUMIT...... 93, 219 Nolix...... 226, 234 NUWIQ...... 59 ORACIT...... 138 Nora-Be...... 174 NUZYRA...... 15 ORALAIR...... 42, 209 NORCO...... 96, 120 Nyamyc...... 240 ORALAIR ADULT SAMPLE norethin ace-eth estrad-fe...... 174 NYMALIZE...... 74, 82, 83, 85, 93 KIT...... 41, 208 norethindrone...... 174 nystatin...... 29, 240 ORALAIR ADULT STARTER norethindrone acetate...... 187 Nystop...... 240 PACK...... 41, 209 norethindrone acet-ethinyl est.174 OCALIVA...... 159 ORALAIR CHILDRENS norethindrone-eth estradiol Ocella...... 175 SAMPLE KIT...... 42, 209 ...... 180, 187 octreotide acetate...... 189, 208 ORALAIR CHILDRENS norethin-eth estradiol-fe...... 174 OCUFLOX...... 148 STARTER PACK...... 42, 209 norgestimate-eth estradiol...... 174 OCUVEL...... 246, 249, 251, 252 Oralone...... 226, 235 norgestimate-ethinyl estradiol ODACTRA...... 41 ORAPRED ODT...... 164 triphasic...... 174 ODEFSEY...... 22, 24 ORAVIG...... 230 Norlyda...... 174 ODOMZO...... 37 ORENCIA...... 198, 202 Norlyroc...... 174 OFEV...... 211 ORENCIA CLICKJECT... 198, 202 NORPACE...... 78 ofloxacin...... 29, 148 ORENITRAM...... 93, 219 NORPACE CR...... 78 ogestrel...... 175 ORILISSA...... 166 NORPRAMIN...... 130 olanzapine...... 103, 107 ORKAMBI...... 212, 213 NORTHERA...... 44 olanzapine-fluoxetine hcl 107, 129 orphenadrine citrate er...... 53 Nortrel 0.5/35 (28)...... 174 olmesartan medoxomil...... 64, 65 orphenadrine-aspirin-caffeine Nortrel 1/35 (21)...... 174 olmesartan medoxomil-hctz ...... 53, 127 Nortrel 1/35 (28)...... 174 ...... 64, 65, 90, 144 Orsythia...... 175 Nortrel 7/7/7...... 174 olopatadine hcl...... 146 ORTHO MICRONOR...... 175 nortriptyline hcl...... 130 OLUMIANT...... 198, 202 ORTHO-NOVUM 7/7/7 (28).... 175 NORVIR...... 25 OMECLAMOX-PAK.... 15, 28, 161 oscimin...... 46 NOVOEIGHT...... 58, 59 omega-3-acid ethyl esters...... 68 oscimin sr...... 46 NOVOFINE AUTOCOVER omeprazole...... 161 oseltamivir phosphate...... 27 PEN NEEDLE...... 134 OMEPRAZOLE+SYRSPEND OSENI...... 178, 190 NOVOFINE PEN NEEDLE..... 134 SF ALKA...... 161 OSMOPREP...... 157 NOVOFINE PLUS PEN ondansetron hcl...... 155 OSPHENA...... 178 NEEDLE...... 134 ondansetron odt...... 155 OTEZLA...... 198, 202, 243 NOVOPEN ECHO...... 134 OTICIN HC NR...... 151

265 OVACE PLUS...... 238, 239 pentazocine-naloxone hcl...... 122 PIQRAY (300 MG DAILY OVACE PLUS WASH...... 239 pentoxifylline er...... 56 DOSE)...... 38 OVACE WASH...... 239 PERCURA...... 209 Pirmella 1/35...... 175 OVIDE...... 240 PERFOROMIST...... 52, 218 Pirmella 7/7/7...... 175 oxandrolone...... 165 PERIDEX...... 152 piroxicam...... 124 oxaprozin...... 124 perindopril erbumine...... 66, 68 PLAN B ONE-STEP...... 175 oxazepam...... 111 Periogard...... 152 PLEGRIDY...... 203 oxcarbazepine...... 100 permethrin...... 240 PLEGRIDY STARTER PACK. 202 OXERVATE...... 153 perphenazine...... 124 PLENVU...... 157 oxiconazole nitrate...... 230 perphenazine-amitriptyline PNEUMOVAX 23...... 43 OXISTAT...... 230 ...... 124, 130 pnv prenatal plus multivit+dha OXSORALEN ULTRA...... 240 PERTZYE...... 158 ...... 61, 246, 249 oxybutynin chloride...... 245 Phenadoz...... 12, 106 podocon...... 244 oxybutynin chloride er...... 245 Phenazo...... 228 podofilox...... 244 oxycodone hcl...... 120 phenazopyridine hcl...... 228 Polycin...... 148 oxycodone-acetaminophen phendimetrazine tartrate...... 94 polymyxin b-trimethoprim...... 148 ...... 96, 120 phendimetrazine tartrate er...... 94 POLYTRIM...... 148 oxycodone-aspirin...... 120, 127 phenelzine sulfate...... 116 POLY-VI-FLOR...... 195, 246 oxycodone-ibuprofen...... 120, 124 phenobarbital...... 108, 109 POLY-VI-FLOR/IRON oxymorphone hcl...... 120 phenoxybenzamine hcl...... 49, 85 ...... 61, 195, 246, 247 oxymorphone hcl er...... 120 phentermine hcl...... 94 POMALYST...... 38, 203 OZEMPIC...... 182 phenylephrine hcl...... 154 Portia-28...... 175 OZOBAX...... 48 PHENYTEK...... 78, 115 posaconazole...... 19 Pacerone...... 80 phenytoin...... 79, 116 pot bicarb-pot chloride...... 143 paliperidone er...... 107 Phenytoin Infatabs...... 78, 115 POTABA...... 209 PALYNZIQ...... 145 phenytoin sodium extended potassium bicarbonate...... 143 PAMELOR...... 130 ...... 79, 116 potassium chloride...... 143 PANCREAZE...... 157 Philith...... 175 potassium chloride crys er...... 143 PANDEL...... 226, 235 PHOSLYRA...... 141 potassium chloride er...... 143 PANRETIN...... 37, 243 Phospha 250 Neutral...... 138 potassium citrate er...... 138 pantoprazole sodium...... 161 Phosphasal...... 31 potassium citrate-citric acid.....138 paricalcitol...... 251 PHOSPHOLINE IODIDE...... 153 PRADAXA...... 55 PARNATE...... 116 phosphorous...... 138 PRALUENT...... 88 Paroex...... 152 Phospho-Trin 250 Neutral...... 138 pramipexole dihydrochloride... 117 paromomycin sulfate...... 15 PHOTREXA-PHOTREXA pramosone...... 226, 228, 235 paroxetine hcl...... 129 VISCOUS KIT...... 153 PRAMOSONE...... 226, 228, 235 paroxetine hcl er...... 129 phytonadione...... 192, 252 PRAMOTIC...... 152, 153 PASER...... 18 PICATO...... 37, 38, 243 Pramox...... 228 PATANASE...... 146 PIFELTRO...... 22 prasugrel hcl...... 63 PAXIL...... 129 pilocarpine hcl...... 50, 154 PRAVACHOL...... 84 PAXIL CR...... 129 pimecrolimus...... 206, 244 pravastatin sodium...... 84 PEDIAPRED...... 164 pimozide...... 106 praziquantel...... 16 PEDVAX HIB...... 43 Pimtrea...... 175 prazosin hcl...... 49, 63, 64 peg 3350-kcl-na bicarb-nacl....157 pindolol...... 48, 69, 71, 80, 86 PRECISION PCX PLUS TEST137 peg-3350/electrolytes...... 157 pioglitazone hcl...... 190 PRECISION QID TEST...... 137 PEGANONE...... 115 pioglitazone hcl-glimepiride.....190 PRECISION SOF-TACT TEST PEGASYS...... 26 pioglitazone hcl-metformin hcl ...... 137 PEGASYS PROCLICK...... 25 ...... 168, 190 PRECISION XTRA...... 135 PEGINTRON...... 26 PIQRAY (200 MG DAILY PRECISION XTRA BLOOD Peg-Prep...... 157 DOSE)...... 38 GLUCOSE...... 137 penicillamine...... 161, 198 PIQRAY (250 MG DAILY PRECISION XTRA KETONE..135 penicillin v potassium...... 27 DOSE)...... 38 PRECOSE...... 165 pentamidine isethionate...... 17 PRED FORTE...... 151

266 PRED MILD...... 152 PREZISTA...... 25 protriptyline hcl...... 130 PRED-G...... 148, 152 PRIFTIN...... 18, 29 PROVENTIL HFA...... 52, 218 PRED-G S.O.P...... 148, 152 PRIMACARE...... 62, 247, 250 PROVERA...... 187 prednicarbate...... 226, 235 primaquine phosphate...... 16 PRUDOXIN...... 229 prednisolone...... 164 primidone...... 108 pseudoephedrine-bromphen- prednisolone acetate...... 152 PRIMSOL...... 31 dm...... 44, 210, 212, 214 prednisolone sodium PRINIVIL...... 66, 68 PSORCON...... 227, 235 phosphate...... 152, 164 PROAIR HFA...... 52, 218 PULMICORT FLEXHALER prednisone...... 164 PROAIR RESPICLICK...... 52, 218 ...... 164, 217 prednisone intensol...... 164 probenecid...... 145, 193 PULMONA...... 209 PREFEST...... 180 PROCARDIA.....74, 82, 83, 86, 93 Pulmosal...... 135, 143 pregabalin...... 96, 100, 115 PROCARDIA XL74, 82, 83, 86, 93 PULMOZYME...... 146, 215 PREMARIN...... 180 Procentra...... 95 PURAMINO DHA/ARA...... 139 PREMPHASE...... 180 prochlorperazine...... 124, 155 PURIXAN...... 38, 206 PREMPRO...... 180 prochlorperazine maleate124, 155 PYLERA....15, 16, 17, 28, 31, 156 PRENAISSANCE PROCTOFOAM HC 226, 228, 235 pyrazinamide...... 18 ...... 61, 143, 157, 247, 249 Procto-Med Hc...... 226, 235 PYRIDIUM...... 229 PRENATA...... 61, 247, 249 Procto-Pak...... 226, 235 pyridostigmine bromide...... 50 prenatal...... 61, 143, 247, 249 Proctosol Hc...... 226, 235 pyridostigmine bromide er...... 50 prenatal plus iron Proctozone-Hc...... 227, 235 pyrimethamine...... 16 ...... 61, 143, 247, 249 PROCYSBI...... 209 PYROGALLIC ACID...... 244 PRENATE...... 143, 247, 250 PROFILNINE...... 59 QBRELIS...... 66, 68 PRENATE DHA...... 61, 247, 249 PROFILNINE SD...... 59 QSYMIA...... 94, 100 PRENATE ELITE...... 61, 247, 249 progesterone...... 187 QUALAQUIN...... 17 PRENATE ENHANCE progesterone micronized...... 187 quazepam...... 111 ...... 61, 247, 249 PROGLYCEM...... 166 QUESTRAN...... 72 PRENATE ESSENTIAL PROGRAF...... 206 QUESTRAN LIGHT...... 72 ...... 61, 247, 250 PROMACTA...... 56 quetiapine fumarate...... 103, 108 PRENATE MINI...... 62, 247, 250 PROMACTIN AA PLUS 20PE 139 quetiapine fumarate er PRENATE PIXIE...... 62, 247, 250 promethazine hcl...... 12, 106, 214 ...... 103, 107, 108 PRENATE RESTORE promethazine-codeine QUFLORA PEDIATRIC.. 195, 247 ...... 62, 247, 250 ...... 120, 212, 214 quinapril hcl...... 66, 68 PREPIDIL...... 210 promethazine-dm...... 12, 212, 214 quinapril-hydrochlorothiazide PREPOPIK...... 157 promethazine-phenyleph- ...... 67, 68, 90, 144 PRETOMANID...... 18 codeine...... 12, 45, 120, 212, 214 quinidine gluconate er...... 17, 78 PREVACID SOLUTAB...... 161 promethazine-phenylephrine quinidine sulfate...... 17, 78 Prevalite...... 72 ...... 12, 45, 214 quinine sulfate...... 17 PREVIDENT...... 195 Promethegan...... 13, 106 QVAR REDIHALER...... 164, 217 PREVIDENT 5000 BOOSTER promethegan...... 13, 106 rabeprazole sodium...... 161 PLUS...... 195 PROMISEB...... 135 RADIOGARDASE...... 140, 192 PREVIDENT 5000 DRY propafenone hcl...... 79 RAGWITEK...... 42, 209 MOUTH...... 195 propafenone hcl er...... 79 raloxifene hcl...... 178, 194 PREVIDENT 5000 ENAMEL propantheline bromide...... 46 ramelteon...... 106 PROTECT...... 195 proparacaine hcl...... 153 ramipril...... 67, 68 PREVIDENT 5000 ORTHO propranolol hcl ranolazine er...... 77 DEFENSE...... 195 ...... 48, 70, 71, 80, 86, 105 RAPAMUNE...... 206 PREVIDENT 5000 PLUS...... 195 propranolol hcl er rasagiline mesylate...... 116 PREVIDENT 5000 SENSITIVE ...... 48, 70, 71, 80, 86, 105 RASUVO...38, 198, 199, 203, 206 ...... 195 propranolol-hctz RAVICTI...... 139 Previfem...... 175 ...... 49, 70, 71, 80, 90, 144 RAZADYNE...... 50 PREVNAR 13...... 43 propylthiouracil...... 167 RAZADYNE ER...... 50 PREVYMIS...... 18, 27 PROSCAR...... 191 REBIF...... 203 PREZCOBIX...... 25, 209 PROSTIN E2...... 210 REBIF REBIDOSE...... 203

267 REBIF REBIDOSE risperidone...... 103, 108 SENTRA PM...... 209 TITRATION PACK...... 203 RITALIN...... 126 SEREVENT DISKUS...... 52, 218 REBIF TITRATION PACK...... 203 ritonavir...... 25 SEROSTIM...... 186 Reclipsen...... 175 rivastigmine...... 50 sertraline hcl...... 129 RECOMBINATE...... 59 rivastigmine tartrate...... 50 Setlakin...... 175 RECOMBIVAX HB...... 43 Rivelsa...... 175 sevelamer carbonate...... 141, 192 RECOTHROM...... 59 RIXUBIS...... 59 sevelamer hcl...... 141, 192 RECOTHROM SPRAY KIT...... 59 rizatriptan benzoate...... 128 sevoflurane...... 116 RECTIV...... 244 ROBAXIN-750...... 48 sf...... 195 REGLAN...... 160 ROCALTROL...... 251 sf 5000 plus...... 195 REGRANEX...... 230, 244 ROCKLATAN...... 149, 154 SFROWASA...... 156 RELENZA DISKHALER...... 27 ropinirole hcl...... 117 Sharobel...... 175 RELION BLOOD GLUCOSE Rosadan...... 222 SHARPS CONTAINER...... 135 TEST...... 137 rosuvastatin calcium...... 84 SHINGRIX...... 43 RELION ULTIMA TEST...... 137 ROWASA...... 156 SIDEROL...... 62, 250, 251 RELISTOR...... 159 Roweepra...... 100 SIGNIFOR...... 189 RELNATE DHA...... 62, 247, 250 Roweepra Xr...... 100 sildenafil citrate...... 88, 219 REMEDIENT...... 62, 247, 250 ROXICODONE...... 120 silodosin...... 50 REMERON...... 101 ROZEREM...... 106 SILVADENE...... 239 REMERON SOLTAB...... 101 ROZLYTREK...... 38 silver nitrate...... 237, 239 RENAGEL...... 141, 192 RUBRACA...... 39 silver sulfadiazine...... 239 RENVELA...... 141, 192 RUCONEST...... 196 Simliya...... 175 repaglinide...... 184, 185 RUZURGI...... 209 Simpesse...... 175 REPATHA...... 88 RYBELSUS...... 182 SIMPONI...... 159, 199, 204 REPATHA PUSHTRONEX RYDAPT...... 39 simvastatin...... 84 SYSTEM...... 88 RYTHMOL SR...... 79 SINEMET...... 114 REPATHA SURECLICK...... 88 SABRIL...... 100 SINGULAIR...... 214 REQ 49+...... 247 SALAGEN...... 50 sirolimus...... 206 RESTASIS...... 152 salicylic acid...... 237 SIRTURO...... 18 RESTORIL...... 111 salimez...... 237 SIVEXTRO...... 28 RETACRIT...... 56 salsalate...... 127 SKLICE...... 240 RETROVIR...... 24 SALVAX DUO PLUS...... 237 SKYRIZI (150 MG DOSE)...... 244 REVATIO...... 88, 219 SAMSCA...... 145 SLYND...... 175, 187 REVLIMID...... 38, 203 SANDIMMUNE...... 199, 204, 206 sod citrate-citric acid...... 138 REXULTI...... 108 SANTYL...... 244 SODIUM BICARBONATE REYATAZ...... 25 SAPHRIS...... 103, 108 ...... 138, 154 RHEUMATE...... 209 SAVAYSA...... 55 sodium chloride...... 135, 143 RHOFADE...... 244 SAVELLA...... 115, 127 sodium fluoride...... 195, 196 RHOPRESSA...... 149, 154 SAVELLA TITRATION PACK sodium fluoride 5000 plus...... 195 ribavirin...... 27 ...... 115, 127 sodium fluoride 5000 ppm...... 195 RIDAURA...... 161, 199, 203 SAXENDA...... 182 sodium hyaluronate...... 135 rifabutin...... 18, 29 SCALACORT DK...... 227, 235 sodium phenylbutyrate...... 139 RIFADIN...... 18, 29 scopolamine...... 155 sodium polystyrene sulfonate RIFAMATE...... 18, 29 SEASONIQUE...... 175 ...... 141, 192 rifampin...... 18, 29 SECONAL...... 109 sodium sulfacetamide...... 239 RIFATER...... 18, 29 SEEBRI NEOHALER...... 46 sodium sulfacetamide wash....239 RILUTEK...... 113 SELECT-OB...... 62, 247, 250 SODIUM SULFACETAMIDE riluzole...... 113 selegiline hcl...... 116 WASH...... 239 rimantadine hcl...... 14 selenium sulfide...... 239 SOFOSBUVIR-VELPATASVIR RINVOQ...... 199, 204 SELZENTRY...... 21 ...... 20, 21 RIOMET...... 168 SEMPREX-D...... 13, 44, 210, 217 SOF-SENSOR...... 135 RIOMET ER...... 168 SENSIPAR...... 167, 209 SOLIQUA...... 182, 183, 184 risedronate sodium...... 194 SENTRA AM...... 209 SOLOSEC...... 17

268 SOMA...... 48 Subvenite Starter Kit-Green SYNAPRYN FUSEPAQ...... 121 SOMATULINE DEPOT...... 189 ...... 100, 103 SYNAREL...... 181 SOMAVERT...... 189 Subvenite Starter Kit-Orange SYNDROS...... 155 SOOLANTRA...... 244 ...... 100, 103 SYNJARDY...... 168, 188 SORIATANE...... 244 SUCRAID...... 146 SYNJARDY XR...... 168, 188 sotalol hcl...... 49, 70, 71, 80, 86 sucralfate...... 160 SYNRIBO...... 39 sotalol hcl (af)....49, 70, 71, 80, 86 SULAR...... 74, 82, 83, 86, 93 SYNTHROID...... 190 SOTYLIZE...... 49, 70, 71, 80, 86 SULCONAZOLE NITRATE.....230 SYNVEXIA TC...... 229 SOVALDI...... 20 sulfacetamide sodium..... 148, 239 SYPRINE...... 161 SPECTRACEF...... 14 sulfacetamide sodium (acne).. 239 TABLOID...... 39 spinosad...... 240 sulfacetamide sodium-sulfur TACLONEX...... 227, 235, 244 SPIRIVA HANDIHALER....46, 211 ...... 237, 239 tacrolimus...... 206, 244 SPIRIVA RESPIMAT...... 46, 211 sulfacetamide-prednisolone.... 148 tadalafil...... 88 spironolactone...... 86, 87, 89, 142 sulfacetamide-sulfur in urea tadalafil (pah)...... 88, 219 spironolactone-hctz ...... 237, 239 TAFINLAR...... 39 ...... 86, 87, 89, 90, 142, 144 sulfadiazine...... 30 TAGRISSO...... 39 SPORANOX...... 19 sulfamethoxazole-trimethoprim.30 TAKHZYRO...... 196 SPORANOX PULSEPAK...... 19 SULFAMYLON...... 239 TALZENNA...... 39 SPRAVATO (56 MG DOSE)... 101 sulfasalazine..... 30, 156, 199, 204 tamoxifen citrate...... 39, 178 SPRAVATO (84 MG DOSE)... 101 Sulfatrim Pediatric...... 30 tamsulosin hcl...... 50 Sprintec 28...... 175 sulindac...... 124 TAPAZOLE...... 167 SPRIX...... 124 sumatriptan...... 128 TAPERDEX 12-DAY...... 164 SPRYCEL...... 39 sumatriptan succinate...... 128 Taperdex 6-Day...... 164 Sps...... 141, 192 sumatriptan succinate refill..... 128 TAPERDEX 7-DAY...... 164 Sronyx...... 176 SUMAXIN...... 237, 239 TARCEVA...... 39 Ssd...... 239 SUMAXIN WASH...... 238, 240 TARGRETIN...... 39, 244 SSKI...... 16, 167, 192, 213 SUNOSI...... 131 Tarina 24 Fe...... 176 sss 10-5...... 237, 239 support...... 248 Tarina Fe 1/20...... 176 STALEVO 100...... 112, 114 SUPRAX...... 14 Tarina Fe 1/20 Eq...... 176 STALEVO 125...... 112, 114 SUPREP BOWEL PREP KIT..157 TARKA...... 67, 68, 72, 74, 76, 93 STALEVO 150...... 112, 114 SURESTEP PRO HIGH Taron-Crystals...... 138 STALEVO 200...... 112, 114 GLUCOSE...... 135 TASIGNA...... 39 STALEVO 50...... 113, 114 SURESTEP PRO LOW TAVALISSE...... 54 STALEVO 75...... 113, 114 GLUCOSE...... 135 TAYTULLA...... 176 STARLIX...... 185 SURESTEP PRO NORMAL TAZORAC...... 244 stavudine...... 24 GLUCOSE...... 135 Taztia Xt...... 72, 74, 75, 76, 81, 93 STELARA...... 199, 204, 244 SUSTIVA...... 23 TAZVERIK...... 39 STENDRA...... 88 SUTENT...... 39 TECFIDERA...... 204 STIMATE...... 59, 186 Syeda...... 176 TEGRETOL...... 100, 103, 104 STIVARGA...... 39 SYLATRON...... 26, 39 TEGRETOL-XR...... 100, 104 STRENSIQ...... 146 SYMAX DUOTAB...... 46 TEGSEDI...... 193 STRIANT...... 165 Symax-Sl...... 46 TEKTURNA...... 89 STRIBILD...... 22, 24 Symax-Sr...... 47 TEKTURNA HCT...... 89, 90, 145 STRIVERDI RESPIMAT... 52, 219 SYMBICORT.....52, 164, 217, 219 telmisartan...... 64, 65 STROMECTOL...... 16 SYMBYAX...... 108, 129 telmisartan-hctz.....64, 65, 90, 145 STROVITE FORTE...62, 247, 250 SYMFI...... 23, 24 temazepam...... 111 STROVITE ONE..... 248, 250, 251 SYMFI LO...... 23, 24 TEMODAR...... 39 SUBOXONE...... 122 SYMJEPI...... 44, 211 TEMOVATE...... 227, 235 Subvenite...... 100, 103 SYMLINPEN 120...... 165 temozolomide...... 40 Subvenite Starter Kit-Blue SYMLINPEN 60...... 165 tencon...... 96, 109 ...... 100, 103 SYMPROIC...... 159 TENIVAC...... 42 SYMTUZA...... 24, 25, 27, 209 tenofovir disoproxil fumarate.....24 SYNAGEX...... 250 terazosin hcl...... 49, 63, 64, 86

269 terbinafine hcl...... 14 TOPAMAX...... 100 trifluridine...... 149 terbutaline sulfate...... 52, 219 TOPAMAX SPRINKLE...... 100 trihexyphenidyl hcl...... 47, 97 terconazole...... 230 TOPICORT...... 227, 235 TRIKAFTA...... 213 Terrell...... 116 topiramate...... 100 Tri-Legest Fe...... 176 TESSALON PERLES...... 212 TOPROL XL...... 53, 70, 71, 80 TRILEPTAL...... 100 TESTIM...... 166 toremifene citrate...... 40, 178 Tri-Linyah...... 176 testosterone cypionate...... 166 torsemide...... 86, 140 Tri-Lo-Estarylla...... 176 testosterone enanthate...... 166 TOVIAZ...... 245 Tri-Lo-Marzia...... 176 tetrabenazine...... 113, 114, 131 TRACLEER...... 93, 219 Tri-Lo-Mili...... 176 tetracaine hcl...... 153 TRADJENTA...... 178 Tri-Lo-Sprintec...... 176 tetracycline hcl...... 31 tramadol hcl...... 121 Trilyte...... 157 TEXACORT...... 227, 235 tramadol hcl er...... 121 trimethobenzamide hcl...... 155 THALOMID...... 204 tramadol-acetaminophen trimethoprim...... 31 THEO-24...... 83, 140, 220, 245 ...... 96, 105, 121 Tri-Mili...... 176 theophylline...... 84, 140, 220, 245 trandolapril...... 67, 68 trimipramine maleate...... 130 theophylline er...84, 140, 220, 245 trandolapril-verapamil hcl er trinate...... 62, 143, 248, 250 THERAMINE...... 209 ...... 67, 68, 72, 74, 76, 93 TRINTELLIX...... 129 THERAMINE PLUS...... 209 tranexamic acid...... 59 Tri-Previfem...... 176 THIOLA...... 209 TRANSDERM SCOP (1.5 MG) Tri-Sprintec...... 176 THIOLA EC...... 209 ...... 155 TRIUMEQ...... 22, 24 thioridazine hcl...... 124 TRANSDERM-SCOP (1.5 MG) TRI-VI-FLOR...... 196, 248 thiothixene...... 130 ...... 155 TRI-VI-FLORO...... 196, 248 THROMBIN-JMI...... 59 TRANXENE-T...... 110, 111 tri-vitamin/fluoride....196, 248, 251 THROMBIN-JMI EPISTAXIS.... 59 tranylcypromine sulfate...... 116 tri-vite/fluoride...... 196, 248, 251 Tiadylt Er.....72, 74, 75, 76, 81, 93 TRAVATAN Z...... 154 Trivora (28)...... 176 tiagabine hcl...... 100 travoprost (bak free)...... 154 Tri-Vylibra...... 177 TIAZAC...... 72, 74, 75, 76, 81, 93 trazodone hcl...... 129 Tri-Vylibra Lo...... 176 TIBSOVO...... 40 TRECATOR...... 18 TRIZIVIR...... 24 TIGAN...... 155 TRELEGY ELLIPTA TRUE METRIX BLOOD TIGLUTIK...... 114 ...... 47, 52, 165, 211, 217, 219 GLUCOSE TEST...... 137 TIKOSYN...... 80 TREMFYA...... 244, 245 TRUE METRIX LEVEL 1...... 135 Tilia Fe...... 176 TRESIBA...... 183, 184 TRUE METRIX LEVEL 2...... 135 timolol maleate TRESIBA FLEXTOUCH..183, 184 TRUE METRIX LEVEL 3...... 136 ...... 49, 70, 71, 80, 86, 105, 149 tretinoin...... 40, 230 TRUE METRIX PRO BLOOD TIMOPTIC...... 150 TRETTEN...... 59 GLUCOSE...... 137 TIMOPTIC OCUDOSE...... 149 TREXALL...... 40, 199, 204, 206 TRUETRACK TEST...... 137 TIMOPTIC-XE...... 150 TREZIX...... 97, 121, 126 TRULANCE...... 159 tinidazole...... 17 Tri Femynor...... 176 TRULICITY...... 182 TIROSINT-SOL...... 191 triamcinolone acetonide TRUMENBA...... 43 TISSEEL...... 244 ...... 227, 235, 236 TRUSOPT...... 150 TIVICAY...... 22 triamterene...... 89, 142 TRUVADA...... 24 tizanidine hcl...... 48 triamterene-hctz Tulana...... 177 TL-ICARE...... 248 ...... 89, 90, 91, 142, 145 TURALIO...... 40 TOBI PODHALER...... 15 triazolam...... 111 TURPENTINE...... 210 TOBRADEX...... 148, 152 TRICARE PRENATAL DHA TUSSICAPS...... 13, 121, 212, 214 TOBRAMYCIN...... 15 ONE...... 62, 157, 248, 250 TUXARIN ER.... 13, 121, 212, 214 tobramycin...... 148 TRI-CHLOR...... 245 TWINRIX...... 43 tobramycin-dexamethasone TRICITRASOL...... 53, 138 TYBOST...... 209 ...... 148, 152 tricitrates...... 138 Tydemy...... 177 TOBREX...... 148, 149 Triderm...... 227, 236 TYKERB...... 40 tolbutamide...... 190 TRIDESILON...... 227, 236 TYLACTIN RESTORE 5PE.... 139 tolcapone...... 113 Tri-Estarylla...... 176 tolmetin sodium...... 124 trifluoperazine hcl...... 124

270 TYLENOL WITH CODEINE #3 VANCOCIN HCL...... 20 VISTOGARD...... 192 ...... 97, 121 vancomycin hcl...... 20 Vita S Forte...... 62, 248, 250 TYMLOS...... 185, 193 Vandazole...... 222 Vitacel...... 248, 250 TYVASO...... 93, 219 VAQTA...... 43 VITAFOL FE+...... 62, 248, 250 TYVASO REFILL...... 93, 219 vardenafil hcl...... 88 VITAFOL-OB+DHA TYVASO STARTER...... 93, 220 VARIVAX...... 44 ...... 62, 143, 248, 250 UCERIS...... 165 VASCEPA...... 68 vitamin d (ergocalciferol)...... 251 UDAMIN SP...... 248, 250 v-c forte...... 248, 250 vitamins acd-fluoride ULTANE...... 116 VECAMYL...... 86 ...... 196, 248, 251 ULTRACET...... 97, 105, 121 Velivet...... 177 VITRAKVI...... 40 ULTRAM...... 121 VELPHORO...... 141 VIVELLE-DOT...... 180 UNISTRIP CONTROL...... 136 VELTASSA...... 141 VIZIMPRO...... 40 Unithroid...... 191 VEMLIDY...... 28 Volnea...... 177 UPTRAVI...... 93, 220 VENCLEXTA...... 40 VOLTAREN...... 124, 240, 245 urea...... 238 VENCLEXTA STARTING VONVENDI...... 59 urea nail...... 238 PACK...... 40 voriconazole...... 19 URECHOLINE...... 50 VENELEX...... 245 VOSEVI...... 21 Urelle...... 31 venlafaxine hcl...... 127 VOTRIENT...... 40 Uretron D/S...... 31 venlafaxine hcl er...... 127 vp-pnv-dha...... 62, 248, 250 Uribel...... 31 VENTAVIS...... 93, 220 VRAYLAR...... 108 URIMAR-T...... 31 VENTOLIN HFA...... 52, 219 Vtol Lq...... 97, 105, 109, 126 urin ds...... 31 verapamil hcl Vyfemla...... 177 URO-458...... 31 ...... 73, 75, 76, 77, 81, 94 VYLEESI...... 114 UROCIT-K 10...... 138 verapamil hcl er Vylibra...... 177 UROCIT-K 15...... 139 ...... 73, 74, 75, 76, 77, 81, 93, 94 VYNDAMAX...... 77 UROCIT-K 5...... 139 VEREGEN...... 245 VYNDAQEL...... 77 UROGESIC-BLUE...... 31 VERELAN... 73, 75, 76, 77, 81, 94 VYVANSE...... 95 uro-mp...... 31 VERELAN PM WAKIX...... 131 UROXATRAL...... 51 ...... 73, 75, 76, 77, 81, 94 warfarin sodium...... 54 URSO 250...... 157 VERZENIO...... 40 WELCHOL...... 72, 166 URSO FORTE...... 157 VFEND...... 19 Wera...... 177 ursodiol...... 157 VIBERZI...... 159 WESTHROID...... 191 Uryl...... 31 VIBRAMYCIN...... 31 WHEAT GERM OIL...... 252 Ustell...... 32 Vic-Forte...... 248, 250 WIDE-SEAL DIAPHRAGM 60 131 uticap...... 32 VICTOZA...... 182 WIDE-SEAL DIAPHRAGM 65 131 Utira-C...... 32 VIEKIRA PAK...... 21, 25 WIDE-SEAL DIAPHRAGM 70 131 UTOPIC...... 238 Vienva...... 177 WIDE-SEAL DIAPHRAGM 75 131 Utrona-C...... 32 vigabatrin...... 101 WIDE-SEAL DIAPHRAGM 80 131 valacyclovir hcl...... 27 Vigadrone...... 101 WIDE-SEAL DIAPHRAGM 85 131 VALCHLOR...... 40, 245 VIIBRYD...... 129 WIDE-SEAL DIAPHRAGM 90 131 VALCYTE...... 27 VIIBRYD STARTER PACK..... 129 WIDE-SEAL DIAPHRAGM 95 131 valganciclovir hcl...... 28 Vilamit Mb...... 32 WILATE...... 59 valproic acid...... 101, 104, 105 Vilevev Mb...... 32 WP THYROID...... 191 valsartan...... 64, 65 VIMPAT...... 101 Wymzya Fe...... 177 valsartan-hydrochlorothiazide VIOKACE...... 158 XALKORI...... 40 ...... 65, 66, 91, 145 viorele...... 177 XARELTO...... 55 VALTOCO 10 MG DOSE 110, 112 VIRACEPT...... 25 XARELTO STARTER PACK.....55 VALTOCO 15 MG DOSE 110, 112 VIRAMUNE...... 23 XATMEP...... 40, 199, 204, 206 VALTOCO 20 MG DOSE 110, 112 VIRAZOLE...... 28 XELJANZ...... 199, 204 VALTOCO 5 MG DOSE..110, 112 VIREAD...... 24 XELJANZ XR...... 199, 204 Vanatol Lq...... 97, 105, 109, 126 virt-phos 250 neutral...... 138 XELODA...... 40, 41 Vanatol S...... 97, 105, 109, 126 virtussin ac w/alc.....121, 212, 213 XELPROS...... 154 VANCOCIN...... 20 VISTARIL...... 13, 106 XENICAL...... 159

271 XENLETA...... 29 ZIRGAN...... 149 XEPI...... 222 ZITHROMAX...... 28 XERMELO...... 155 ZITHROMAX TRI-PAK...... 28 XIFAXAN...... 30 ZITHROMAX Z-PAK...... 28 XIIDRA...... 152 ZOCOR...... 84 XOFLUZA (40 MG DOSE)...... 18 ZOFRAN...... 155 XOFLUZA (80 MG DOSE)...... 18 ZOHYDRO ER...... 121 XOLEGEL...... 230 ZOLINZA...... 41 XOPENEX HFA...... 52, 219 zolmitriptan...... 128 XOSPATA...... 41 zolpidem tartrate...... 106 XPOVIO (100 MG ONCE ZOLPIMIST...... 106 WEEKLY)...... 41 ZOMIG...... 128 XPOVIO (60 MG ONCE ZOMIG ZMT...... 128 WEEKLY)...... 41 ZONALON...... 229 XPOVIO (80 MG ONCE ZONEGRAN...... 101 WEEKLY)...... 41 zonisamide...... 101 XPOVIO (80 MG TWICE ZONTIVITY...... 63 WEEKLY)...... 41 ZORBTIVE...... 186 XTAMPZA ER...... 121 ZORTRESS...... 207 XTANDI...... 41 ZOSTAVAX...... 44 xulane...... 177 Zovia 1/35E (28)...... 177 XURIDEN...... 210 ZOVIRAX...... 28 XYNTHA...... 59 ZUBSOLV...... 122 XYNTHA SOLOFUSE...... 60 Zumandimine...... 177 XYREM...... 114 ZYDELIG...... 41 YASMIN 28...... 177 ZYFLO...... 215 YAZ...... 177 ZYKADIA...... 41 YUPELRI...... 47 ZYLET...... 149, 152 Yuvafem...... 180 ZYLOPRIM...... 193 ZACARE...... 238 ZYMAXID...... 149 zaclir cleansing...... 238 ZYTIGA...... 41 zafirlukast...... 214 ZYVOX...... 28 zaleplon...... 106 ZANAFLEX...... 48 Zarah...... 177 ZARONTIN...... 130 ZARXIO...... 56 Zebutal...... 97, 106, 109, 126 ZEJULA...... 41 ZELAPAR...... 116 ZELBORAF...... 41 ZELNORM...... 159, 160 ZEMPLAR...... 251 Zenatane...... 245 ZENPEP...... 158 ZEPATIER...... 21 ZETONNA...... 152, 215 ZIAC...... 53, 70, 71, 80, 91, 145 ZIAGEN...... 24 zidovudine...... 24 zileuton er...... 215 ZIOPTAN...... 154 ziprasidone hcl...... 104, 108

272