ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX ABSTRAL FENTANYL CITRATE 100 MCG 90 UNITS YES ABSTRAL FENTANYL CITRATE 200 MCG 90 UNITS YES ABSTRAL FENTANYL CITRATE 300 MCG 90 UNITS YES ABSTRAL FENTANYL CITRATE 400 MCG 90 UNITS YES ABSTRAL FENTANYL CITRATE 600 MCG 90 UNITS YES ABSTRAL FENTANYL CITRATE 800 MCG 90 UNITS YES ACIPHEX SPRINKLE RABEPRAZOLE SODIUM 10 MG CAPSULE 30 CAPSULES YES ACIPHEX SPRINKLE RABEPRAZOLE SODIUM 5 MG CAPSULE 30 CAPSULES YES ACTEMRA TOCILIZUMAB 162 MG/0.9 ML AUTO-INJECTOR 2 AUTO-INJECTORS NO ACTEMRA TOCILIZUMAB 162 MG/0.9 ML PRE-FILLED SYRINGE 2 PRE-FILLED SYRINGES YES ACTIQ FENTANYL CITRATE 1200 MCG 90 UNITS YES ACTIQ FENTANYL CITRATE 1600 MCG 90 UNITS YES ACTIQ FENTANYL CITRATE 200 MCG 90 UNITS YES ACTIQ FENTANYL CITRATE 400 MCG 90 UNITS YES ACTIQ FENTANYL CITRATE 600 MCG 90 UNITS YES ACTIQ FENTANYL CITRATE 800 MCG 90 UNITS YES ACTONEL RISEDRONATE SODIUM 150 MG TABLET 1 TABLET YES ACTONEL RISEDRONATE SODIUM 30 MG TABLET 30 TABLETS YES ACTONEL RISEDRONATE SODIUM 35 MG TABLET 4 TABLETS NO, 28 DAYS ACTONEL RISEDRONATE SODIUM 5 MG TABLET 30 TABLETS YES ACTONEL RISEDRONATE SODIUM 75 MG TABLET 2 TABLETS YES ACTOPLUS MET PIOGLITAZONE/METFORMIN HCL 15/500 MG TABLET 90 TABLETS YES ACTOPLUS MET PIOGLITAZONE/METFORMIN HCL 15/850 MG TABLET 90 TABLETS YES ACTOPLUS MET XR PIOGLITAZONE/METFORMIN HCL 15/1000 MG TABLET 60 TABLETS YES ACTOPLUS MET XR PIOGLITAZONE/METFORMIN HCL 30/1000 MG TABLET 30 TABLETS YES ACTOS PIOGLITAZONE HCL 15 MG TABLET 30 TABLETS YES ACTOS PIOGLITAZONE HCL 30 MG TABLET 30 TABLETS YES ACTOS PIOGLITAZONE HCL 45 MG TABLET 30 TABLETS YES ADCIRCA TADALAFIL 20 MG TABLET 60 TABLETS YES ADLYXIN LIXISENATIDE MAINTENANCE KIT 1 KIT (2 X 3 ML SYRINGES) YES ADLYXIN LIXISENATIDE STARTER KIT 1 KIT (2 X 3 ML SYRINGES) YES ADRENACLICK EPINEPHRINE 0.15 MG TWO-PACK 2 UNITS (1 CARTON) NO, 1 EPISODE ADRENACLICK EPINEPHRINE 0.3 MG TWO-PACK 2 UNITS (1 CARTON) NO, 1 EPISODE ADVAIR DISKUS FLUTICASONE/SALMETEROL 100/50 WITH DEVICE (14 BLISTER DISKUS) 14 BLISTERS NO, 7 DAYS ADVAIR DISKUS FLUTICASONE/SALMETEROL 100/50 WITH DEVICE (60 BLISTER DISKUS) 1 DEVICE YES ADVAIR DISKUS FLUTICASONE/SALMETEROL 250/50 WITH DEVICE (14 BLISTER DISKUS) 14 BLISTERS NO, 7 DAYS ADVAIR DISKUS FLUTICASONE/SALMETEROL 250/50 WITH DEVICE (60 BLISTER DISKUS) 1 DEVICE YES ADVAIR DISKUS FLUTICASONE/SALMETEROL 500/50 WITH DEVICE (14 BLISTER DISKUS) 14 BLISTERS NO, 7 DAYS ADVAIR DISKUS FLUTICASONE/SALMETEROL 500/50 WITH DEVICE (60 BLISTER DISKUS) 1 DEVICE YES ADVAIR HFA (120) FLUTICASONE/SALMETEROL 115/21 MCG 1 DEVICE YES ADVAIR HFA (120) FLUTICASONE/SALMETEROL 230/21 MCG 1 DEVICE YES ADVAIR HFA (120) FLUTICASONE/SALMETEROL 45/21 MCG 1 DEVICE YES ADVAIR HFA (60) FLUTICASONE/SALMETEROL 115/21 MCG 1 DEVICE NO, 15 DAYS ADVAIR HFA (60) FLUTICASONE/SALMETEROL 230/21 MCG 1 DEVICE NO, 15 DAYS ADVAIR HFA (60) FLUTICASONE/SALMETEROL 45/21 MCG 1 DEVICE NO, 15 DAYS ADVICOR NIACIN/LOVASTATIN 1000 MG/20 MG TABLET 60 TABLETS YES ADVICOR NIACIN/LOVASTATIN 1000 MG/40 MG TABLET 30 TABLETS YES ADVICOR NIACIN/LOVASTATIN 500 MG/20 MG TABLET 30 TABLETS YES ADVICOR NIACIN/LOVASTATIN 750 MG/20 MG TABLET 60 TABLETS YES AEMCOLO RIFAMYCIN 194 MG TABLET 12 TABLETS YES AEROSPAN FLUNISOLIDE 80 MCG INHALER 18 G (2 INHALERS, 8.9 G EACH) YES AIMOVIG ERENUMAB-AOOE 140 MG/ML AUTO-INJECTOR/SYRINGE 1 AUTO-INJECTOR/SYRINGE YES AIMOVIG ERENUMAB-AOOE 70 MG/ML AUTO-INJECTOR 1 AUTO-INJECTOR YES AIRDUO FLUTICASONE PROPIONATE AND SALMETEROL) 113-14 MCG INHALER 1 INHALER YES AIRDUO FLUTICASONE PROPIONATE AND SALMETEROL) 232-14 MCG INHALER 1 INHALER YES AIRDUO FLUTICASONE PROPIONATE AND SALMETEROL) 55-14 MCG INHALER 1 INHALER YES AJOVY FREMANEZUMAB-VFRM 225 MG/1.5 ML PRE-FILLED AUTOINJECTOR 3 PRE-FILLED AUTOINJECTORS NO, 90 DAYS AJOVY FREMANEZUMAB-VFRM 225 MG/1.5 ML PRE-FILLED SYRINGE 3 PRE-FILLED SYRINGES NO, 90 DAYS AKYNZEO NETUPITANT/PALONOSETRON HCL 300/0.5 MG CAPSULE 1 CAPSULE NO, 1 CHEMOTHERAPY COURSE ALBENZA ALBENDAZOLE 200 MG TABLET 120 TABLETS YES ALECENSA ALECTINIB HCL 150 MG CAPSULE 240 CAPSULES YES ALENDRONATE ALENDRONATE SODIUM 10 MG TABLET 30 TABLETS YES ALENDRONATE ALENDRONATE SODIUM 35 MG TABLET 4 TABLETS NO, 28 DAYS ALENDRONATE ALENDRONATE SODIUM 40 MG TABLET 30 TABLETS YES ALENDRONATE ALENDRONATE SODIUM 5 MG TABLET 30 TABLETS YES ALENDRONATE ALENDRONATE SODIUM 70 MG/75 ML SOLUTION 4 TABLETS NO, 28 DAYS ALINIA NITAZOXANIDE 100 MG /5 ML SUSPENSION 360 ML YES ALINIA NITAZOXANIDE 500 MG TABLET 14 TABLETS YES ALLEGRA FEXOFENADINE HCL 180 MG TABLET 30 TABLETS YES ALLEGRA FEXOFENADINE HCL 60 MG CAPSULE/TABLET 60 TABLETS/ CAPSULES YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX ALLEGRA ALLERGY 12 HOUR FEXOFENADINE HCL 60 MG TABLET 60 TABLETS YES ALLEGRA ALLERGY 24 HOUR FEXOFENADINE HCL 180 MG TABLET 30 TABLETS YES ALLEGRA CHILDREN’S ALLERGY FEXOFENADINE HCL 30 MG ODT 60 TABLETS YES ALLEGRA CHILDREN’S ALLERGY FEXOFENADINE HCL 30 MG TABLET 60 TABLETS YES ALLEGRA-D 12 HOUR FEXOFENADINE/PSEUDOEPHEDRINE HCL 60 MG/120 MG TABLET 60 TABLETS YES ALLEGRA-D 12 HOUR ALLERGY AND CONGESTIONFEXOFENADINE/PSEUDOEPHEDRINE HCL 60 MG/120 MG TABLET 60 TABLETS YES ALLEGRA-D 24 HOUR FEXOFENADINE/PSEUDOEPHEDRINE HCL 180 MG/240 MG TABLET 30 TABLETS YES ALLEGRA-D 24 HOUR ALLERGY AND CONGESTIONFEXOFENADINE/PSEUDOEPHEDRINE HCL 180 MG/240 MG TABLET 30 TABLETS YES ALORA ESTRADIOL 0.025 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ALORA ESTRADIOL 0.05 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ALORA ESTRADIOL 0.075 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ALORA ESTRADIOL 0.1 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ALSUMA SUMATRIPTAN SUCCINATE 6 MG INJECTION 30 TABLETS NO, 1 HEADACHE ALTOPREV LOVASTATIN 20 MG TABLET 30 TABLETS YES ALTOPREV LOVASTATIN 40 MG TABLET 30 TABLETS YES ALTOPREV LOVASTATIN 60 MG TABLET 30 TABLETS YES ALUNBRIG BRIGATINIB 180 MG TABLET 60 TABLETS YES ALUNBRIG BRIGATINIB 30 MG TABLET 30 TABLETS YES ALUNBRIG BRIGATINIB 90 MG TABLET 30 TABLETS YES ALUNBRIG STARTER PACK BRIGATINIB 90 MG/180 MG 2 INHALERS YES ALVESCO CICLESONIDE 160 MCG(60 ACTUATIONS) 6.1 G CANISTER 1 INHALER YES ALVESCO CICLESONIDE 80 MCG (60 ACTUATIONS) 6.1G CANISTER 60 CAPSULES YES AMBIEN ZOLPIDEM TARTRATE 10 MG TABLET 60 CAPSULES YES AMBIEN ZOLPIDEM TARTRATE 5 MG TABLET 30 PATCHES YES AMBIEN CR ZOLPIDEM TARTRATE 12.5 MG TABLET 30 PATCHES YES AMBIEN CR ZOLPIDEM TARTRATE 6.25 MG TABLET 30 PACKETS YES AMERGE NARATRIPTAN HCL 1 MG TABLET 60 PACKETS NO, 4 HEADACHES AMERGE NARATRIPTAN HCL 2.5 MG TABLET 300 GM NO, 4 HEADACHES AMITIZA LUBIPROSTONE 24 MCG CAPSULE 30 PACKETS YES AMITIZA LUBIPROSTONE 8 MCG CAPSULE 60 PACKETS YES ANDRODERM TESTOSTERONE 2 MG/24 HR PATCH 150 GM YES ANDRODERM TESTOSTERONE 4 MG/24 HR PATCH 14 BLISTERS (INSTITUTIONAL PACK) YES ANDROGEL 1% TESTOSTERONE 2.5 GM GEL 60 BLISTERS YES ANDROGEL 1% TESTOSTERONE 5 GM GEL 3 TABLETS YES ANDROGEL 1% TESTOSTERONE 75 GM PUMP 3 TABLETS YES ANDROGEL 1.62% TESTOSTERONE 1.25 GM GEL 30 TABLETS YES ANDROGEL 1.62% TESTOSTERONE 2.5 GM GEL 30 TABLETS YES ANDROGEL 1.62% TESTOSTERONE 75 GM PUMP 1 PACKAGE (30 CAPSULES) YES ANNOVERA SEGESTERONE ACETATE/ETHINYL ESTRADIOL 0.15 MG/0.013 MG VAGINAL RING 1 RING NO, 274 DAYS ANORO ELLIPTA UMECLIDINIUM/VILANTEROL 62.5/25 MCG 1 INHALER NO, 7 DAYS ANORO ELLIPTA UMECLIDINIUM/VILANTEROL 62.5/25 MCG 1 INHALER YES ANZEMET DOLASETRON MESYLATE 100 MG TABLET 1 INHALER NO, 1 CHEMOTHERAPY COURSE 1 INHALER (30 BLISTERS OR 14 BLISTERS ANZEMET DOLASETRON MESYLATE 50 MG TABLET NO, 1 CHEMOTHERAPY COURSE INSTITUTIONAL PACK) 1 INHALER (30 BLISTERS OR 14 BLISTERS ARAVA LEFLUNOMIDE 10 MG YES INSTITUTIONAL PACK) ARAVA LEFLUNOMIDE 20 MG 1 INHALER (30 BLISTERS) YES ARCAPTA NEOHALER INDACATEROL MALEATE 75 MCG POWDER 13 GRAMS (1 INHALER) YES ARMONAIR RESPICLICK FLUTICASONE PROPIONATE 113 MCG INHALER 13 GRAMS (1 INHALER) YES ARMONAIR RESPICLICK FLUTICASONE PROPIONATE 232 MCG INHALER 13 GRAMS (1 INHALER) YES ARMONAIR RESPICLICK FLUTICASONE PROPIONATE 55 MCG INHALER 1 INHALER YES ARNUITY ELLIPTA FLUTICASONE FUROATE 100 MCG INHALER 1 INHALER YES, OR 14 DAYS ARNUITY ELLIPTA FLUTICASONE FUROATE 200 MCG INHALER 1 INHALER (7 INHALATIONS INSTITUTIONAL PACK) YES, OR 14 DAYS ARNUITY ELLIPTA FLUTICASONE FUROATE 50 MCG INHALER 1 INHALER YES ASMANEX HFA MOMETASONE FUROATE 100 MCG INHALER 1 INHALER YES ASMANEX HFA MOMETASONE FUROATE 200 MCG INHALER 1 INHALER YES ASMANEX HFA MOMETASONE FUROATE 50 MCG INHALER 1 INHALER YES ASMANEX TWISTHALER MOMETASONE FUROATE 110 MCG/INH (14 INHALATIONS) 2 BOTTLES NO, 14 DAYS ASMANEX TWISTHALER MOMETASONE FUROATE 110 MCG/INH (30 INHALATIONS) 2 INHALERS YES ASMANEX TWISTHALER MOMETASONE FUROATE 110 MG #7 2 INHALERS NO, 7 DAYS ASMANEX TWISTHALER MOMETASONE FUROATE 220 MCG/INH (120 INHALATIONS) 1 BOTTLE YES ASMANEX TWISTHALER MOMETASONE FUROATE 220 MCG/INH (14 INHALATIONS) 2 BOTTLES NO, 14 DAYS ASMANEX TWISTHALER MOMETASONE FUROATE 220 MCG/INH (30 INHALATIONS) 2 UNITS (1 CARTON) YES ASMANEX TWISTHALER MOMETASONE FUROATE 220 MCG/INH (60 INHALATIONS) 2 UNITS (1 CARTON) YES ASTELIN READY SPRAY NASAL SPRAY AZELASTINE HCL 34 ML BOTTLE 2 UNITS (1 CARTON) YES ATELVIA RISEDRONATE 35 MG TABLET 4 TABLETS NO, 28 DAYS ATROVENT HFA IPRATROPIUM BROMIDE 12.9 GM AEROSOL 60 TABLETS YES ATROVENT INHALER IPRATROPIUM BROMIDE 14.7 GM AEROSOL 60 TABLETS NO, 28 DAYS ATROVENT NASAL SPRAY IPRATROPIUM BROMIDE 0.03% (30 ML) NASAL SOLUTION 60 TABLETS NO, 28 DAYS ATROVENT NASAL SPRAY IPRATROPIUM BROMIDE 0.06% (15 ML) NASAL SOLUTION 60 TABLETS NO, 20 DAYS
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX AUVI-Q EPINEPHRINE 0.1 MG AUTO-INJECTOR TWO-PACK 30 TABLETS NO, 1 EPISODE AUVI-Q EPINEPHRINE 0.15 MG AUTO-INJECTOR TWO-PACK 30 TABLETS NO, 1 EPISODE AUVI-Q EPINEPHRINE 0.3 MG AUTO-INJECTOR TWO-PACK 30 TABLETS NO, 1 EPISODE AVANDAMET ROSIGLITAZONE/METFORMIN HCL 2 MG/1000 MG TABLET 30 TABLETS YES AVANDAMET ROSIGLITAZONE/METFORMIN HCL 2 MG/500 MG TABLET 30 TABLETS YES AVANDAMET ROSIGLITAZONE/METFORMIN HCL 4 MG/1000 MG TABLET 60 TABLETS YES AVANDAMET ROSIGLITAZONE/METFORMIN HCL 4 MG/500 MG TABLET 60 TABLETS YES AVANDARYL ROSIGLITAZONE/METFORMIN HCL 4 MG/1 MG TABLET 30 TABLETS YES AVANDARYL ROSIGLITAZONE/METFORMIN HCL 4 MG/2 MG TABLET 180 ML YES AVANDARYL ROSIGLITAZONE/METFORMIN HCL 4 MG/4 MG TABLET 30 TABLETS YES AVANDARYL ROSIGLITAZONE/METFORMIN HCL 8 MG/2 MG TABLET 30 TABLETS YES AVANDARYL ROSIGLITAZONE/METFORMIN HCL 8 MG/4 MG TABLET 30 TABLETS YES AVANDIA ROSIGLITAZONE 2 MG TABLET 2 INHALERS YES AVANDIA ROSIGLITAZONE 4 MG TABLET 2 NASAL SPRAY UNITS YES AVANDIA ROSIGLITAZONE 8 MG TABLET 28 TABLETS YES AVINZA MORPHINE SULFATE 120 MG CAPSULE 60 TABLETS YES AVINZA MORPHINE SULFATE 30 MG CAPSULE 60 TABLETS YES AVINZA MORPHINE SULFATE 45 MG CAPSULE 60 TABLETS YES AVINZA MORPHINE SULFATE 60 MG CAPSULE 60 TABLETS YES AVINZA MORPHINE SULFATE 75 MG CAPSULE 60 TABLETS YES AVINZA MORPHINE SULFATE 90 CAPSULE 60 TABLETS YES AVONEX INTERFERON BETA-1A 30 MCG PREFILLED SYRINGE (0.5 ML) 4 SYRINGES YES AVONEX INTERFERON BETA-1A 30 MCG VIAL 4 VIALS YES AVONEX PEN INTERFERON BETA-1A 30 MCG/0.5 ML PEN 1 BOX (4 PENS) YES AXERT ALMOTRIPTAN 12.5 MG TABLET 2 BOTTLES NO, 6 HEADACHES AXERT ALMOTRIPTAN 6.25 MG TABLET 60 FILMS NO, 3 HEADACHES AXIRON TESTOSTERONE 90 ML PUMP 60 FILMS YES AYVAKIT AVAPRITINIB 100 MG TABLET 60 FILMS YES AYVAKIT AVAPRITINIB 200 MG TABLET 60 FILMS YES AYVAKIT AVAPRITINIB 300 MG TABLET 60 FILMS YES AZMACORT TRIAMCINOLONE ACETONIDE 20 GRAMS 60 FILMS YES BAQSIMI GLUCAGON 3 MG NASAL SPRAY 60 FILMS NO, 2 DOSES BAXDELA DELAFLOXACIN 450 MG TABLET 30 TABLETS NO BECONASE AQ BECLOMETHASONE DIPROPIONATE 42 MCG (25 G) NASAL SPRAY 30 TABLETS YES BELBUCA BUPRENOPRHINE HCL 150 MCG FILM 30 TABLETS YES BELBUCA BUPRENOPRHINE HCL 300 MCG FILM 30 TABLETS YES BELBUCA BUPRENOPRHINE HCL 450 MCG FILM 56 AMPULES YES BELBUCA BUPRENOPRHINE HCL 600 MCG FILM 10.7 GRAM CANISTER (120 INHALATIONS) YES BELBUCA BUPRENOPRHINE HCL 75 MCG FILM 90 TABLETS YES BELBUCA BUPRENOPRHINE HCL 750 MCG FILM 30 TABLETS YES BELBUCA BUPRENOPRHINE HCL 900 MCG FILM 30 TABLETS YES BELSOMRA SUVOREXANT 10 MG TABLET 120 CAPSULES YES BELSOMRA SUVOREXANT 15 MG TABLET 180 CAPSULES YES BELSOMRA SUVOREXANT 20 MG TABLET 28 BLISTERS (1 INHALER) YES BELSOMRA SUVOREXANT 5 MG TABLET 60 BLISTERS YES BENLYSTA BELIMUMAB 200 MG AUTO INJECTOR 4 AUTO INJECTORS NO, 28 DAYS BENLYSTA BELIMUMAB 200 MG PRE-FILLED SYRINGE 4 PRE-FILLED SYRINGES NO, 28 DAYS BENZNIDAZOLE BENZNIDAZOLE 100 MG TABLET 720 TABLETS NO, 365 DAYS BENZNIDAZOLE BENZNIDAZOLE 12.5 MG TABLET 720 TABLETS NO, 365 DAYS
14 OR 15 VIALS WITH PREFILLED DILUENT BETASERON INTERFERON BETA-1B 0.3 MG VIAL YES SYRINGE (DEPENDING ON PRODUCT PACKAGING) BETHKIS TOBRAMYCIN 300 MG/4 ML AMPULE 1 INHALER (28 BLISTERS) NO, 28 DAYS BEVESPI AEROSPHERE GLYCOPYRROLATE AND FORMOTEROL FUMARATE 10.7 GRAM CANISTER (120 INHALATIONS) 1 INHALER (60 BLISTERS) YES BEVYXXA BETRIXABAN 40 MG CAPSULE 42 CAPSULES (30 PER FILL) NO, 365 DAYS BEVYXXA BETRIXABAN 80 MG CAPSULE 42 CAPSULES (30 PER FILL) NO, 365 DAYS BINOSTO ALENDRONATE 70 MG EFFERVESCENT TABLET 4 TABLETS NO, 28 DAYS BONIVA IBANDRONATE 150 MG TABLET 1 TABLET YES BONJESTA DOXYLAMINE SUCCINATE/PYRIDOXINE HYDROCHLORIDE20/20 MG TABLET 360 TABLETS NO, 365 DAYS BOSULIF BOSUTINIB 100 MG TABLET 1 INHALER YES BOSULIF BOSUTINIB 400 MG TABLET 1 INHALER YES BOSULIF BOSUTINIB 500 MG TABLET 2 CARTONS YES BRAFTOVI ENCORAFENIB 50 MG CAPSULE 30 FILMS YES BRAFTOVI ENCORAFENIB 75 MG CAPSULE 60 FILMS YES BREO ELLIPTA FLUTICASONE/VILANTEROL 100 MCG/25 MCG #28 1 CARTON (4 SINGLE-DOSE TRAYS) NO, 14 DAYS BREO ELLIPTA FLUTICASONE/VILANTEROL 100 MCG/25 MCG #60 4 AUTO INJECTORS YES BREO ELLIPTA FLUTICASONE/VILANTEROL 200 MCG/25 MCG, PACKAGE SIZE 28 4 PENS (1 PACKAGE) YES BREO ELLIPTA FLUTICASONE/VILANTEROL 200 MCG/25 MCG, PACKAGE SIZE 60 1 SYRINGE YES BUDESONIDE/GLYCOPYRROLATE/FORMOTEROL BREZTRI AEROSPHERE 10.7 GM INHALER 1 SYRINGE YES FUMARATE
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX BUDESONIDE/GLYCOPYRROLATE/FORMOTEROL BREZTRI AEROSPHERE 5.9 GM INHALER 30 TABLETS YES FUMARATE BROVANA INHALATION SOLUTION ARFORMOTEROL TARTRATE 1 CARTON (30 VIALS; 15 MCG/VIALS) 30 TABLETS YES BUNAVAIL BUPRENORPHINE/NALOXONE 2.1 MG/0.3 MG FILM 30 TABLETS YES BUNAVAIL BUPRENORPHINE/NALOXONE 4.2 MG/0.7 MG FILM 30 TABLETS YES BYDUREON EXENATIDE 2 MG VIAL 30 TABLETS NO, 28 DAYS BYDUREON BCISE EXENATIDE 2 MG/0.85 ML 30 TABLETS YES BYDUREON PEN EXENATIDE 2 MG PEN 30 TABLETS YES BYETTA EXENATIDE 1.2 ML (250 MCG/ML) 30 TABLETS YES BYETTA EXENATIDE 2.4 ML (250 MCG/ML) 30 TABLETS YES CABERGOLINE CABERGOLINE 0.5 MG TABLET 8 TABLETS NO, 28 DAYS CABOMETYX CABOZANTINIB 20 MG TABLET 30 TABLETS YES CABOMETYX CABOZANTINIB 40 MG TABLET 30 TABLETS YES CABOMETYX CABOZANTINIB 60 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 10/10 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 10/20 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 10/40 MG TABLET 60 CAPSULES YES CADUET AMLODIPINE/ATORVASTATIN 10/80 MG TABLET 60 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 2.5/10 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 2.5/20 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 2.5/40 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 5/10 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 5/20 MG TABLET 60 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 5/40 MG TABLET 30 TABLETS YES CADUET AMLODIPINE/ATORVASTATIN 5/80 MG TABLET 30 TABLETS YES CALCIPOTRIENE CALCIPOTRIENE 0.005% TOPICAL 120 GRAMS YES CALCITRENE CALCIPOTRIENE 0.005% OINTMENT 120 GRAMS YES CALQUENCE ACALABRUTINIB 100 MG CAPSULE 1 KIT (84 VIALS OF AZTREONAM AND 88 VIALS OF DLIUENT)YES CAMBIA DICLOFENAC POTASSIUM 50 MG POWDER 30 CAPSULES NO, 9 EPISODES CAPRELSA VANDETANIB 100 MG TABLET 5 G (1 BOTTLE) YES CAPRELSA VANDETANIB 300 MG TABLET 120 CAPSULES YES CARDURA DOXAZOSIN MESYLATE 1 MG TABLET 3 VIALS YES CARDURA DOXAZOSIN MESYLATE 2 MG TABLET 30 TABLETS YES CARDURA DOXAZOSIN MESYLATE 4 MG TABLET 30 TABLETS YES CARDURA DOXAZOSIN MESYLATE 8 MG TABLET 30 TABLETS YES CARDURA XL DOXAZOSIN MESYLATE 4 MG TABLET 60 TABLETS YES CARDURA XL DOXAZOSIN MESYLATE 8 MG TABLET 30 TABLETS YES CATAPRES CLONIDINE HCL TTS PATCHES 1 PATCH 4 PATCHES NO, 28 DAYS CAVERJECT ALPROSTADIL 20 MCG (VIAL) 30 TABLETS NO, 28 DAYS CAVERJECT ALPROSTADIL 40 MCG (VIAL) 30 TABLETS NO, 28 DAYS CAVERJECT IMPULSE ALPROSTADIL 10 MCG (SYSTEM) 60 TABLETS NO, 28 DAYS CAVERJECT IMPULSE ALPROSTADIL 20 MCG (SYSTEM) 30 TABLETS NO, 28 DAYS CAYSTON AZTREONAM LYSINE 75 MG POWDER 180 GRAMS NO, 28 DAYS CESAMET NABILONE 1 MG CAPSULE 2 INHALERS NO, 1 CHEMOTHERAPY COURSE CHILDREN'S QNASL BECLOMETHASONE DIPROPIONATE 40 MCG (4.9 G) 2 INHALERS YES CHOLBAM CHOLIC ACID 50 MG CAPSULE 30 TABLETS YES CHORIONIC GONADOTROPIN CHORIONIC GONADOTROPIN 10,000 UNITS, GENERIC 30 TABLETS YES, IN MOST CASES CIALIS TADALAFIL 10 MG TABLET 30 TABLETS NO, 8 DOSES/6 DOSES CIALIS TADALAFIL 2.5 MG TABLET 60 CAPSULES YES CIALIS TADALAFIL 20 MG TABLET 60 CAPSULES NO, 8 DOSES/6 DOSES CIALIS TADALAFIL 5 MG TABLET 63 TABLETS NO, 8 DOSES/6 DOSES CICLOPIROX CICLOPIROX 0.77% GEL 45 GRAMS NO, 28 DAYS CIMZIA CERTOLIZUMAB PEGOL 200 MG PRE-FILLED SYRINGE 2 SYRINGES YES CIMZIA CERTOLIZUMAB PEGOL 200 MG PRE-FILLED SYRINGE STARTER PACK 6 SYRINGES NO, 365 DAYS CIMZIA CERTOLIZUMAB PEGOL 200 MG VIAL 6 VIALS NO CLARINEX DESLORATADINE 2.5 MG REDITABS 30 TABLETS YES CLARINEX DESLORATADINE 5 MG REDITAB/TABLET 30 TABLETS YES CLARINEX –D 12 HOUR DESLORATADINE/PSEUDOEPHEDRINE SULFATE 2.5 MG/120 MG TABLET 30 TABLETS YES CLARINEX –D 24 HOUR TELITHROMYCIN 5 MG/240 MG TABLET 30 TABLETS YES CLARITIN LORATADINE 10 MG REDITAB/TABLET/CAPSULE 30 TABLETS YES CLARITIN LORATADINE 5 MG CHEWABLE TABLET 60 TABLETS YES CLARITIN-D 12 HOUR PSEUDOEPHEDRINE SULFATE/LORATADINE 5 MG/120 MG TABLET 30 TABLETS YES CLARITIN-D 24 HOUR PSEUDOEPHEDRINE SULFATE/LORATADINE 10 MG/240 MG TABLET 30 CAPSULES YES CLEOCIN T CLINDAMYCIN 1% TOPICAL GEL 120 GM YES CLEOCIN T CLINDAMYCIN 1% TOPICAL LOTION 120 GM YES CLEOCIN T CLINDAMYCIN 1% TOPICAL SOLUTION 120 ML YES CLIMARA ESTRADIOL 0.025 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLIMARA ESTRADIOL 0.0375 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLIMARA ESTRADIOL 0.05 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLIMARA ESTRADIOL 0.06 MG/DAY PATCH 4 PATCHES NO, 28 DAYS
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX CLIMARA ESTRADIOL 0.075 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLIMARA ESTRADIOL 0.1 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLIMARA PRO ESTRADIOL/LEVONOGESTREL 0.045 MG/0.015 MG/DAY PATCH 4 PATCHES NO, 28 DAYS CLINDAGEL CLINDAMYCIN PHOSPHATE 1% TOPICAL GEL 150 ML YES CLOBETASOL CLOBETASOL EMOLLIENT CREAM 120 GRAMS NO, 28 DAYS CLOBETASOL CLOBETASOL FOAM, SOLUTION, EMOLLIENT FOAM 100 GRAMS NO, 28 DAYS CLOBETASOL CLOBETASOL LOTION 118 GRAMS NO, 28 DAYS CLOBETASOL CLOBETASOL OINTMENT, CREAM, AND GEL 120 GRAMS NO, 28 DAYS CLOBETASOL CLOBETASOL SHAMPOO 236 GRAMS NO, 28 DAYS CLOBETASOL CLOBETASOL SPRAY 125 GRAMS NO, 28 DAYS CLOTRIMAZOLE CLOTRIMAZOLE 1% CREAM 45 GRAMS NO, 28 DAYS CLOTRIMAZOLE CLOTRIMAZOLE 1% SOLUTION 30 ML NO, 28 DAYS CLOTRIMAZOLE CLOTRIMAZOLE BETAMETHASONE LOTION 60 ML NO, 28 DAYS COARTEM ARTEMETHER/LUMEFANTRINE 20/120 MG TABLET 24 TABLETS YES COLLAGENASE SANTYL COLLAGENASE 250 UNITS/G OINTMENT 20 TABLETS YES COMBIVENT IPRATROPIUM BROMIDE/ALBUTEROL SULFATE 14.7 GRAMS 2 TABLETS YES COMBIVENT RESPIMAT IPRATROPIUM BROMIDE/ALBUTEROL SULFATE 20 MCG-100 MCG 30 PACKETS YES CONZIP ER TRAMADOL HCL 200 MG CAPSULE 30 PACKETS YES CONZIP ER TRAMADOL HCL 300 MG CAPSULE 30 PACKETS YES CONZIP ER (TRAMADOL ER -BRAND) TRAMADOL HCL 100 MG CAPSULE 30 PACKETS YES COPAXONE GLATIRAMER ACETATE 40 MG/ML SYRINGE 12 SYRINGES YES COPAXONE/GLATOPA GLATIRAMER ACETATE 20 MG PREFILLED SYRINGE 30 ML/1 KIT (30 PREFILLED SYRINGES) YES COPIKTRA DUVELISIB 15 MG CAPSULE 15 TABLETS YES COPIKTRA DUVELISIB 25 MG CAPSULE 60 INHALATIONS YES CORDRAN FLUDROXYCORTIDE 0.025% TOPICAL CREAM 120 GM YES CORDRAN FLUDROXYCORTIDE 0.05% TOPICAL CREAM 120 GM YES CORDRAN FLUDROXYCORTIDE 0.05% TOPICAL LOTION 120 GM YES CORDRAN FLUDROXYCORTIDE 0.05% TOPICAL OINTMENT 120 GM YES COSENTYX SECUKINUMAB 150 MG/ML PREFILLED SYRINGE 10 SYRINGES - LOADING DOSE YES COSENTYX SECUKINUMAB 150 MG/ML PREFILLED SYRINGE 2 SYRINGES - MAINTENANCE DOSE YES COSENTYX SECUKINUMAB 150 MG/ML SENSOREADY PEN 10 PENS - LOADING DOSE YES COSENTYX SECUKINUMAB 150 MG/ML SENSOREADY PEN 2 PENS - MAINTENANCE DOSE YES COTELLIC COBIMETINIB 20 MG TABLET 30 TABLETS NO, 21 DAYS CRESTOR ROSUVASTATIN 10 MG TABLET 30 TABLETS YES CRESTOR ROSUVASTATIN 20 MG TABLET 1 INHALER YES CRESTOR ROSUVASTATIN 40 MG TABLET 1 INHALER (60 SPRAYS/INHALER) YES CRESTOR ROSUVASTATIN 5 MG TABLET 1 INHALER YES DALIRESP ROFLUMILAST 250 MCG 13 GRAMS (1 INHALER) YES DALMANE FLURAZEPAM 15 MG CAPSULE 15 CAPSULES YES DALMANE FLURAZEPAM 30 MG CAPSULE 15 CAPSULES YES DAURISMO GLASDEGIB 25 MG TABLET 180 VIALS (PACKAGE SIZE 3) YES DAURISMO GLASDEGIB 50 MG TABLET 1 BOTTLE YES DEPO-PROVERA PROGESTERONE 150 MG/ML VIAL/SYRINGE 1 VIAL/SYRINGE YES DEPO-SUBQ PROVERA 104 PROGESTERONE 104 MG/0.65 ML SYRINGE 1 SYRINGE YES DEXCOM G4 TRANSMITTER KIT 1 TRANSMITTER NO, 180 DAYS DEXCOM G5 TRANSMITTER KIT 1 TRANSMITTER NO, 90 DAYS DEXCOM G5-G4 SENSOR KIT 4 SENSORS NO, 28 DAYS DEXCOM G6 SENSOR 3 SENSORS YES DEXCOM G6 TRANSMITTER 1 TRANSMITTER NO, 90 DAYS DEXILANT DEXLANSOPRAZOLE 30 MG CAPSULE 52 GRAMS (2 PUMPS) YES DICLEGIS DOXYLAMINE SUCCINATE/PYRIDOXINE HYDROCHLORIDE10/10 MG TABLET 720 TABLETS NO, 365 DAYS DIFICID FIDAXOMICIN 200 MG TABLET 1 TABLET/DOSE NO, 10 DAYS DIFLORASONE DIFLORASONE 0.05% TOPICAL OINTMENT 120 GM YES DIFLUCAN FLUCONAZOLE 150 MG TABLET 1 CAPSULE NO, 2 EPISODES DIVIGEL ESTRADIOL 0.1% (0.25 G/PACKET) 3 PACKETS YES DIVIGEL ESTRADIOL 0.1% (0.5 G/PACKET) 1 CAPSULE YES DIVIGEL ESTRADIOL 0.1% (0.75 G/PACKET) 2 CAPSULES YES DIVIGEL ESTRADIOL 0.1% (1 G/PACKET) 1 PACK YES DOPTELET AVATROMBOPAG 20 MG 1 PACK (PACKAGE SIZE 3) YES DORAL QUAZEPAM 15 MG TABLET 15 TABLETS YES DORAL QUAZEPAM 7.5 MG TABLET 15 TABLETS YES DOSTINEX CABERGOLINE 0.5 MG TABLET 8 TABLETS NO, 28 DAYS DOVONEX CALCIPOTRIENE 0.005% CREAM 120 GRAMS YES DUAKLIR PRESSAIR ACLIDINIUM BROMIDE/FORMOTEROL FUMARATE 400 MCG/12 MCG 2 UNITS (1 CARTON) NO, 60 DOSES DUETACT GLIMEPIRIDE/PIOGLITAZONE HCL 30/2 MG TABLET 2 UNITS (1 CARTON) YES DUETACT GLIMEPIRIDE/PIOGLITAZONE HCL 30/4 MG TABLET 2 UNITS YES DULERA FORMOTEROL/MOMETASONE 100 MCG/5 MCG INHALER 2 UNITS (1 CARTON) YES DULERA FORMOTEROL/MOMETASONE 200 MCG/5 MCG (INSTITUTIONAL PACKAGE) 30 CAPSULES NO, 15 DAYS DULERA FORMOTEROL/MOMETASONE 200 MCG/5 MCG INHALER 120 TABLETS YES DULERA FORMOTEROL/MOMETASONE 50 MCG/5 MCG INHALER 270 CAPSULES YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX DUOBRII HALOBETASOL PROPIONATE/TAZAROTENE 0.01%/0.045% TOPICAL LOTION 200 GRAMS YES DUONEB IPRATROPIUM BROMIDE/ALBUTEROL SULFATE 3 ML VIAL 1 PACK (63 CAPSULES) YES DUPIXENT DUPILUMAB 300 MG SYRINGE 4 SYRINGES (INITIAL DOSE); 2 SYRINGES (MAINTENANCE)NO, 28 DAYS DURAGESIC FENTANYL 100 MCG/HR 15 PATCHES YES DURAGESIC FENTANYL 12 MCG/HR 15 PATCHES YES DURAGESIC FENTANYL 25 MCG/HR 15 PATCHES YES DURAGESIC FENTANYL 50 MCG/HR 15 PATCHES YES DURAGESIC FENTANYL 75 MCG/HR 15 PATCHES YES DYMISTA AZELASTINE HCL/ FLUTICASONE PROPIONATE 137 MCG-50 MCG (23 G) NASAL SPRAY 1 CARTON (252 CAPSULES) YES ECONAZOLE ECONAZOLE 1% CREAM 85 GRAMS NO, 28 DAYS ECOZA ECOZA 1% FOAM 70 GRAMS NO, 28 DAYS EDEX ALPROSTADIL 10 MCG MCG/ML (2 PK) 30 CAPSULES NO, 28 DAYS EDEX ALPROSTADIL 10 MCG MCG/ML (6 PK) 56 PACKETS (97.44 G) NO, 28 DAYS EDEX ALPROSTADIL 20 MCG MCG/ML (2 PK) 1 PUMP NO, 28 DAYS EDEX ALPROSTADIL 20 MCG MCG/ML (6 PK) 2 PUMPS NO, 28 DAYS EDEX ALPROSTADIL 40 MCG MCG/ML (2 PK) 6 SYRINGES NO, 28 DAYS EDEX ALPROSTADIL 40 MCG MCG/ML (6 PK) 1 PACKAGE (2 DEVICES PLUS 1 TRAINER) NO, 28 DAYS EDLUAR ZOLPIDEM TARTRATE 10 MG TABLET 1 KIT (2 AUTO-INJECTORS) YES EDLUAR ZOLPIDEM TARTRATE 5 MG TABLET 30 CAPSULES YES ELESTRIN GEL ESTRADIOL 0.06% GEL METER DOSE PUMP 30 CAPSULES YES ELIDEL PIMECROLIMUS 1% CREAM 100 GRAMS YES ELLA ULIPRISTAL ACETATE 30 MG TABLET (1 TABLET/BLISTER PACK) 30 CAPSULES NO, ADEQUATE FOR ONE DOSE EMBEDA MORPHINE SULFATE/NALTREXONE HCL 100 MG/4 MG 90 CAPSULES YES EMBEDA MORPHINE SULFATE/NALTREXONE HCL 20 MG/0.8 MG 90 CAPSULES YES EMBEDA MORPHINE SULFATE/NALTREXONE HCL 30 MG/1.2 MG 90 CAPSULES YES EMBEDA MORPHINE SULFATE/NALTREXONE HCL 50 MG/2 MG 90 CAPSULES YES EMBEDA MORPHINE SULFATE/NALTREXONE HCL 60 MG/2.4 MG 90 CAPSULES YES EMBEDA MORPHINE SULFATE/NALTREXONE HCL 80 MG/3.2 MG 90 CAPSULES YES EMEND APREPITANT 125 MG CAPSULE 30 CAPSULES NO, 1 CHEMOTHERAPY COURSE EMEND APREPITANT 125 MG ORAL SUSPENSION 21 TABLETS NO, 1 CHEMOTHERAPY COURSE EMEND APREPITANT 40 MG CAPSULE 60 TABLETS NO, 1 CHEMOTHERAPY COURSE EMEND APREPITANT 80 MG CAPSULE 21 TABLETS NO, 1 CHEMOTHERAPY COURSE EMEND APREPITANT BIFOLD PACK 30 TABLETS NO, 1 CHEMOTHERAPY COURSE TRIFOLD PACK, CONTAINS ONE 125 MG AND TWO 80 MG EMEND APREPITANT 30 TABLETS NO, 1 CHEMOTHERAPY COURSE CAPSULES EMGALITY GALCANEZUMAB-GNLM 100 MG/ML PRE-FILLED SYRINGE 1 PRE-FILLED SYRINGE YES EMGALITY GALCANEZUMAB-GNLM 120 MG/ML PRE-FILLED SYRINGE 1 PRE-FILLED SYRINGE YES EMVERM MEBENDAZOLE 100 MG CHEWABLE TABLETS 6 TABLETS YES ENBREL ETANERCEPT 25 MG VIALS & PRE-FILLED SYRINGES 8 VIALS/SYRINGES NO, 28 DAYS ENBREL ETANERCEPT 25 MG/0.5 ML VIAL 8 VIALS YES ENBREL ETANERCEPT 50 MG SYRINGE/AUTO INJECTORS/SURECLICK 4 SYRINGES/AUTO INJECTORS NO, 28 DAYS ENSTILAR CALCIPOTRIENE/BETAMETHASONE DIPROPIONATE 0.005%/0.064% FOAM 60 GRAMS YES EPCLUSA SOFOSBUVIR AND VELPATASVIR TABLETS 84 TABLETS NO, 365 DAYS EPINEPHRINE EPINEPHRINE 0.15 MG TWO-PACK 6 CAPSULES NO, 1 EPISODE EPINEPHRINE EPINEPHRINE 0.3 MG TWO-PACK 6 CAPSULES NO, 1 EPISODE EPIPEN EPINEPHRINE 0.3 MG TWO-PACK 6 CAPSULES NO, 1 EPISODE EPIPEN JR EPINEPHRINE 0.15 MG TWO-PACK 300 ML NO, 1 EPISODE ERIVEDGE VISMODEGIB 150 MG CAPSULE 450 ML YES ERLEADA APALUTAMIDE 60 MG TABLET 60 PATCHES YES ERTACZO SERTACONAZOLE NITRATE 2% CREAM 60 GRAMS NO, 28 DAYS ESBRIET PIRFENIDONE 267 MG CAPSULE 1 BOTTLE (150 ML) YES ESBRIET PIRFENIDONE 267 MG CAPSULE (14 DAY TITRATION BLISTER PACK) 1 BOTTLE NO, 14 DAYS ESBRIET PIRFENIDONE 267 MG CAPSULE (4 WEEK MAINTENANCE BLISTER PACK) 16 ML (15.8 ML = 1 BOTTLE) NO, 28 DAYS ESOMEPRAZOLE STRONTIUM ESOMEPRAZOLE STRONTIUM 24.65 MG CAPSULE 10 ML (9.9 ML = 1 BOTTLE) YES ESTRADERM ESTRADIOL 0.05 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ESTRADERM ESTRADIOL 0.1 MG/DAY PATCH 8 PATCHES NO, 28 DAYS ESTRASORB ESTRADIOL 4.35 MG PER 1.74 G POUCH 1 UNIT (16G) NO, 28 DAYS ESTROGEL ESTRADIOL 0.06% 50 GM PUMP 1 UNIT (10 G) YES EUCRISA CRISABOROLE 2% OINTMENT 120 GRAMS YES EVAMIST ESTRADIOL 1.53 MG SPRAY 1 INHALER YES EVENITY ROMOSOZUMAB-AQQG 105 MG/1.17 ML SYRINGE 4 INHALERS YES EVENITY ROMOSOZUMAB-AQQG 210 MG SYRINGE 2 SYRINGES YES EVERSENSE SMART TRANSMITTER 1 TRANSMITTER NO, 365 DAYS EVOCLIN CLINDAMYCIN PHOSPHATE 1% TOPICAL FOAM 100 GRAMS YES EVRYSDI RISDIPLAM 60 MG/80 ML SOLUTION 240 ML YES EVZIO NALOXONE HCL 0.4 MG AUTOINJECTOR 1 INHALER NO, 1 EPISODE EVZIO NALOXONE HCL INJECTION 2 MG/0.4 ML AUTO-INJECTOR 1 INHALER NO, 1 DOSE EXALGO HYDROMORPHONE HCL 12 MG TABLET 60 TABLETS YES EXALGO HYDROMORPHONE HCL 16 MG TABLET 60 TABLETS YES EXALGO HYDROMORPHONE HCL 32 MG TABLET 60 TABLETS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX EXALGO HYDROMORPHONE HCL 8 MG TABLET 60 TABLETS YES EXELDERM SULCONAZOLE NITRATE 1% CREAM AND SOLUTION 60 GRAMS NO, 28 DAYS EXTAVIA INTERFERON BETA-1B 0.3 MG KIT 15 BLISTER UNITS/VIALS YES EXTAVIA INTERFERON BETA-1B 0.3 MG VIAL 15 BLISTER UNITS/VIALS YES EXTINA KETOCONAZOLE 2% FOAM 100 GRAMS NO, 28 DAYS EZALLOR ROSUVASTATIN 10 MG CAPSULE 1 INHALER YES EZALLOR ROSUVASTATIN 20 MG CAPSULE 2 INHALERS YES EZALLOR ROSUVASTATIN 40 MG CAPSULE 2 BOTTLES YES EZALLOR ROSUVASTATIN 5 MG CAPSULE 1 PACKAGE (PACKAGE SIZE 12) 12 CAPSULES YES FAMVIR FAMCICLOVIR 125 MG TABLET 1 PACKAGE (PACKAGE SIZE 60) 60 CAPUSULES NO, FOR SOME INDICATIONS FAMVIR FAMCICLOVIR 250 MG TABLET 60 TABLETS YES, FOR CHRONIC SUPPRESSION FAMVIR FAMCICLOVIR 500 MG TABLET 30 TABLETS YES, FOR HERPES ZOSTER FARXIGA DAPAGLIFLOZIN 10 MG TABLET 120 GM YES FARXIGA DAPAGLIFLOZIN 5 MG TABLET 30 TABLETS NO, 28 DAYS FARYDAK PANOBINOSTAT 10 MG CAPSULE 30 TABLETS NO, 21 DAYS FARYDAK PANOBINOSTAT 15 MG CAPSULE 30 TABLETS NO, 21 DAYS FARYDAK PANOBINOSTAT 20 MG CAPSULE 15 CAPSULES NO, 21 DAYS FENTORA FENTANYL 100 MCG 90 UNITS YES FENTORA FENTANYL 200 MCG 90 UNITS YES FENTORA FENTANYL 300 MCG 90 UNITS YES FENTORA FENTANYL 400 MCG 90 UNITS YES FENTORA FENTANYL 600 MCG 90 UNITS YES FENTORA FENTANYL 800 MCG 90 UNITS YES FIRVANQ VANCOMYCIN 25 MG/ML ORAL SOLUTION 30 GRAMS YES FIRVANQ VANCOMYCIN 50 MG/ML ORAL SOLUTION 30 SACHETS YES FLECTOR DICLOFENAC EPOLAMINE 1.3% PATCH 1 PUMP YES FLOLIPID SIMVASTATIN 40 MG/5 ML ORAL SUSPENSION 30 TABLETS YES FLONASE FLUTICASONE 50 MCG (16 G) NASAL SPRAY (120 ACTUATIONS) 30 TABLETS YES FLONASE ALLERGY RELIEF FLUTICASONE 50 MCG NASAL SPRAY (15.8 G) 30 TABLETS YES FLONASE ALLERGY RELIEF FLUTICASONE 50 MCG NASAL SPRAY (9.9 G) 180 TABLES YES FLONASE ALLERGY RELIEF 50 MCG SPRAY FLUTICASONE PACKAGE SIZE 15.8 G 60 TABLETS YES FLONASE ALLERGY RELIEF 50 MCG SPRAY FLUTICASONE PACKAGE SIZE 9.9 G 2 KITS NO, 15 DAYS FLOVENT DISKUS FLUTICASONE PROPIONATE POWDER 100 MCG (1 DEVICE = 60 DOSES) 120 TABLETS YES FLOVENT DISKUS FLUTICASONE PROPIONATE POWDER 250 MCG (1 DEVICE = 60 DOSES) 60 TABLETS YES FLOVENT DISKUS FLUTICASONE PROPIONATE POWDER 50 MCG (1 DEVICE = 60 DOSES) 60 TABLETS YES FLOVENT HFA FLUTICASONE PROPIONATE AEROSOL 10.6 GM (120 DOSES; 44 MCG/DOSE) 120 TABLETS YES - IF USING 88 MCG BID FLOVENT HFA FLUTICASONE PROPIONATE AEROSOL 12 GM (120 DOSES; 110 MCG/DOSE) 30 TABLETS YES FLOVENT HFA FLUTICASONE PROPIONATE AEROSOL 12 GM (120 DOSES; 220 MCG/DOSE) 30 TABLETS YES FLUNISOLIDE FLUNISOLIDE 0.025% (25 ML) NASAL SOLUTION 1 BOTTLE (30 ML) NO, 25 DAYS 0.05% CREAM, 0.05% CREAM-EMULSIFIED BASE, 0.1% CREAM, FLUOCINONIDE FLUOCINONIDE 120 GRAMS YES 0.05% OINTMENT, 0.05% GEL, 0.05% SOLUTION FORADIL FORMOTEROL FUMARATE 1 DEVICE (12 BLISTERS) 2 SYRINGES NO, INSTITUTIONAL PACKAGE FORADIL FORMOTEROL FUMARATE 1 DEVICE (60 BLISTERS; 12 MCG/INH) 2 SYRINGES YES FORTAMET METFORMIN 1,000 MG TABLET 30 CAPSULES YES FORTAMET METFORMIN 500 MG TABLET 30 TABLETS YES FORTEO TERIPARATIDE 600 MCG/2.4 ML PREFILLED PEN 1 PEN YES FORTESTA TESTOSTERONE 60 GM GEL PUMP 60 TABLETS YES FOSAMAX ALENDRONATE 10 MG TABLET 30 TABLETS YES FOSAMAX ALENDRONATE 35 MG TABLET 4 TABLETS NO, 28 DAYS FOSAMAX ALENDRONATE 40 MG TABLET 30 TABLETS YES FOSAMAX ALENDRONATE 5 MG TABLET 21 CAPSULES YES FOSAMAX ALENDRONATE 70 MG TABLET 4 TABLETS NO, 28 DAYS FOSAMAX ALENDRONATE 70 MG/75 ML ORAL SOLUTION 4 BOTTLES (300 ML) YES FOSAMAX PLUS D ALENDRONATE/VITAMIN D 70 MG/2800 IU 4 TABLETS NO, 28 DAYS FOSAMAX PLUS D ALENDRONATE/VITAMIN D 70 MG/5600 IU 4 TABLETS NO, 28 DAYS FREESTYLE LIBRE 10-DAY SENSOR 3 SENSORS YES FREESTYLE LIBRE 14-DAY SENSOR 2 SENSORS NO, 28 DAYS FREESTYLE NAVIGATOR SENSOR KIT 6 SENSORS YES FROVA FROVATRIPTAN 2.5 MG TABLET 21 CAPSULES NO, 3 EPISODES GALAFOLD MIGALASTAT 123 MG CAPSULE 21 CAPSULES YES GELNIQUE OXYBUTYNIN CHLORIDE 0.1 60 TABLETS YES GELNIQUE OXYBUTYNIN CHLORIDE 10% GEL 30 TABLETS YES GELNIQUE OXYBUTYNIN CHLORIDE 3 % GEL 30 TABLETS YES GILOTRIF AFATINIB 20 MG TABLET 30 TABLETS YES GILOTRIF AFATINIB 30 MG TABLET 30 CAPSULES YES GILOTRIF AFATINIB 40 MG TABLET 30 TABLETS YES GLEEVEC IMATINIB MESYLATE 100 MG TABLET 30 TABLETS YES GLEEVEC IMATINIB MESYLATE 400 MG TABLET 30 TABLETS YES GLUCAGEN HYPOKIT GLUCAGON 1 MG 30 CAPSULES NO, 2 DOSES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX 1 INHALER (30 BLISTERS OR 7 BLISTERS GLUCOPHAGE XR METFORMIN 500 MG TABLET YES INSTITUTIONAL PACK) GLUCOPHAGE XR METFORMIN 750 MG TABLET 180 TABLETS YES GLUMETZA METFORMIN 1,000 MG TABLET 120 TABLETS YES GLUMETZA METFORMIN 500 MG TABLET 5 TABLETS YES GLYXAMBI EMPAGLIFLOZIN/LINAGLIPTIN 10 MG/5 MG TABLET 120 CAPSULES YES GLYXAMBI EMPAGLIFLOZIN/LINAGLIPTIN 25 MG/5 MG TABLET 60 TABLETS YES GRANISOL GRANISETRON 2 MG/10 ML SOLUTION 60 TABLETS NO, 1 CHEMOTHERAPY COURSE GUARDIAN SENSOR 3 5 SENSORS YES GUARDIAN CONNECT TRANSMITTER 1 TRANSMITTER NO, 365 DAYS GVOKE GLUCAGON 0.5 MG/0.1 ML SYRINGE 60 TABLETS NO, 2 DOSES GVOKE GLUCAGON 1 MG/0.2 ML SYRINGE 60 TABLETS NO, 2 DOSES HALCION TRIAZOLAM 0.125 MG TABLET 15 TABLETS YES HALCION TRIAZOLAM 0.25 MG TABLET 15 TABLETS YES HARVONI LEDIPASVIR/SOFOSBUVIR 33.75 MG/150 MG PELLET 56 PACKETS (28 PACKETS PER FILL) NO, 365 DAYS HARVONI LEDIPASVIR/SOFOSBUVIR 45 MG/200 MG PELLET 112 PACKETS (56 PACKETS PER FILL) NO, 365 DAYS HARVONI LEDIPASVIR/SOFOSBUVIR 45 MG/200 MG TABLET 112 TABLETS NO, 365 DAYS HARVONI LEDIPASVIR/SOFOSBUVIR 45 MG/200 MG TABLET 56 TABLETS YES HARVONI LEDIPASVIR/SOFOSBUVIR 90 MG/400 MG TABLET 56 TABLETS (28 TABLETS/28 DAYS) NO, 365 DAYS HETLIOZ TASIMELTEON 20 MG CAPSULE 30 TABLETS YES HUMIRA ADALIMUMAB 10 MG SYRINGE 2 SYRINGES NO, 28 DAYS HUMIRA ADALIMUMAB 20 MG SYRINGE 2 SYRINGES NO, 28 DAYS HUMIRA ADALIMUMAB 40 MG CROHN’S STARTER PACK 6 PENS NO, 365 DAYS HUMIRA ADALIMUMAB 40 MG PEDIATRIC CROHN'S STARTER PACK 3 SYRINGES NO, 365 DAYS HUMIRA ADALIMUMAB 40 MG PEDIATRIC CROHN'S STARTER PACK 6 SYRINGES NO, 365 DAYS HUMIRA ADALIMUMAB 40 MG PEN/SYRINGE 2 PENS/SYRINGES NO, 28 DAYS HUMIRA ADALIMUMAB 40 MG PSORIASIS, UVEITIS OR AH STARTER PACK 4 PENS NO, 365 DAYS HUMIRA ADALIMUMAB 80 MG CROHN’S DISEASE, UC OR HS STARTER PACK 3 PENS NO, 365 DAYS HUMIRA ADALIMUMAB 80 MG PEDIATRIC CROHN'S STARTER PACK 3 SYRINGES NO, 365 DAYS HUMIRA ADALIMUMAB 80-40 MG PEDIATRIC CROHN'S STARTER PACK 2 SYRINGES NO, 365 DAYS HUMIRA ADALIMUMAB 80-40 MG PSORIASIS, UVEITIS OR AHS STARTER PACK 3 PENS NO, 365 DAYS HYSINGLA ER HYDROCODONE BITARTRATE ER 100 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 120 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 20 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 30 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 40 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 60 MG TABLET 60 TABLETS YES HYSINGLA ER HYDROCODONE BITARTRATE ER 80 MG TABLET 60 TABLETS YES HYTRIN TERAZOSIN 1 MG CAPSULE 30 TABLETS YES HYTRIN TERAZOSIN 10 MG CAPSULE 240 TABLETS YES HYTRIN TERAZOSIN 2 MG CAPSULE 180 TABLETS YES HYTRIN TERAZOSIN 5 MG CAPSULE 60 TABLETS YES IBRANCE PALBOCICLIB 100 MG CAPSULE 60 TABLETS YES IBRANCE PALBOCICLIB 125 MG CAPSULE 60 TABLETS YES IBRANCE PALBOCICLIB 75 MG CAPSULE 60 TABLETS YES ICLUSIG PONATINIB 15 MG TABLET 60 TABLETS YES ICLUSIG PONATINIB 45 MG TABLET 60 TABLETS YES IDHIFA ENASIDENIB 100 MG TABLET 60 TABLETS YES IDHIFA ENASIDENIB 50 MG TABLET 60 TABLETS YES LOADING DOSE: 2 PRE-FILLED SYRINGES ILUMYA TILDRAKIZUMAB-ASMN 100 MG/1 ML PRE-FILLED SYRINGE NO, 84 DAYS MAINTENANCE DOSE: 1 PRE-FILLED SYRINGE IMBRUVICA IBRUTINIB 140 MG CAPSULE 30 TABLETS YES IMBRUVICA IBRUTINIB 280 MG TABLET 60 TABLETS YES IMBRUVICA IBRUTINIB 420 MG TABLET 30 TABLETS YES IMBRUVICA IBRUTINIB 560 MG TABLET 30 TABLETS YES IMBRUVICA IBRUTINIB 70 MG CAPSULE 30 TABLETS YES IMITREX SUMATRIPTAN SUCCINATE 100 MG TABLET 30 TABLETS NO, 4 HEADACHES IMITREX SUMATRIPTAN SUCCINATE 20 MG NS DEVICE 30 TABLETS NO, 3 HEADACHES IMITREX SUMATRIPTAN SUCCINATE 25 MG TABLET 30 TABLETS NO, 4 HEADACHES IMITREX SUMATRIPTAN SUCCINATE 4 MG/0.5 ML INJECTION 60 CAPSULES NO, 1 EPISODE IMITREX SUMATRIPTAN SUCCINATE 4 MG/0.5 ML VIAL 60 CAPSULES NO, 1 EPISODE IMITREX SUMATRIPTAN SUCCINATE 5 MG NS DEVICE 60 CAPSULES NO, 3 HEADACHES IMITREX SUMATRIPTAN SUCCINATE 50 MG TABLET 60 TABLETS NO, 4 HEADACHES IMITREX SUMATRIPTAN SUCCINATE 6 MG/0.5 ML INJECTION 60 TABLETS NO, 1 EPISODE IMITREX SUMATRIPTAN SUCCINATE 6 MG/0.5 ML VIAL 60 TABLETS NO, 1 EPISODE IMPAVIDO MILTEFOSINE 50 MG CAPSULE 84 CAPSULES YES INCRUSE ELLIPTA UMECLIDINIUM 62.5 MCG INHALER 60 TABLETS YES, OR 7 DAYS INLYTA AXITINIB 1 MG TABLET 30 TABLETS YES INLYTA AXITINIB 5 MG TABLET 30 TABLETS YES INQOVI DECITABINE/CEDAZURIDINE 35-100 MG TABLET 30 TABLETS NO, 5 DAYS (28 DAY CYCLE)
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX INREBIC FEDRATINIB 100 MG CAPSULE 30 TABLETS YES INTERMEZZO ZOLPIDEM TARTRATE 1.75 MG TABLET 60 TABLETS YES INTERMEZZO ZOLPIDEM TARTRATE 3.5 MG TABLET 56 TABLETS YES INVOKAMET CANAGLIFLOZIN/METFORMIN HCL 150 MG/1000 MG TABLET 14 TABLETS YES INVOKAMET CANAGLIFLOZIN/METFORMIN HCL 150 MG/500 MG TABLET 30 TABLETS YES INVOKAMET CANAGLIFLOZIN/METFORMIN HCL 50 MG/1000 MG TABLET 56 TABLETS YES INVOKAMET CANAGLIFLOZIN/METFORMIN HCL 50 MG/500 MG TABLET 14 TABLETS YES INVOKANA CANAGLIFLOZIN 100 MG TABLET 56 TABLETS YES IRESSA GEFITINIB 250 MG TABLET 14 TABLETS YES ISTURISA OSILODROSTAT 1 MG TABLET 56 TABLETS YES ISTURISA OSILODROSTAT 10 MG TABLET 14 TABLETS YES ISTURISA OSILODROSTAT 5 MG TABLET 56 TABLETS YES JAKAFI RUXOLITINIB 10 MG TABLET 14 TABLETS YES JAKAFI RUXOLITINIB 15 MG TABLET 60 TABLETS YES JAKAFI RUXOLITINIB 20 MG TABLET 56 PACKETS (1 PACKAGE) YES JAKAFI RUXOLITINIB 25 MG TABLET 56 PACKETS (1 PACKAGE) YES JAKAFI RUXOLITINIB 5 MG TABLET 60 TABLETS YES JANUMET SITAGLIPTIN/METFORMIN HCL 50/1000 MG TABLET 60 TABLETS YES JANUMET SITAGLIPTIN/METFORMIN HCL 50/500 MG TABLET 21 TABLETS (1 PACK) YES JANUMET XR SITAGLIPTIN/METFORMIN HCL XR 100/1000 MG TABLET 42 TABLETS (1 PACK) YES JANUMET XR SITAGLIPTIN/METFORMIN HCL XR 50/1000 MG TABLET 63 TABLETS (1 PACK) YES JANUMET XR SITAGLIPTIN/METFORMIN HCL XR 50/500 MG TABLET 1 PACK YES JANUVIA SITAGLIPTIN 100 MG TABLET 1 PACK YES JANUVIA SITAGLIPTIN 25 MG TABLET 1 PACK YES JANUVIA SITAGLIPTIN 50 MG TABLET 280 ML = 1 PACKAGE (56 AMPULES, 5 ML EACH) YES JARDIANCE EMPAGLIFLOZIN 10 MG TABLET 60 TABLETS YES JARDIANCE EMPAGLIFLOZIN 25 MG TABLET 30 TABLETS YES JATENZO TESTOSTERONE UNDECANOATE 158 MG CAPSULE 30 TABLETS YES JATENZO TESTOSTERONE UNDECANOATE 198 MG CAPSULE 6 TABLETS YES JATENZO TESTOSTERONE UNDECANOATE 237 MG CAPSULE 1 BOTTLE (30 ML) YES JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/1,000 MG TABLET 30 TABLETS YES JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/500 MG TABLET 60 TABLETS YES JENTADUETO LINAGLIPTIN/METFORMIN HCL 2.5/850 MG TABLET 30 TABLETS YES JENTADUETO XR LINAGLIPTIN/METFORMIN 2.5 MG TABLET 30 PATCHES YES JENTADUETO XR LINAGLIPTIN/METFORMIN 5 MG TABLET 30 CAPSULES YES JUVISYNC SIMVASTATIN/SITAGLIPTIN 100/10 MG TABLET 30 CAPSULES YES JUVISYNC SIMVASTATIN/SITAGLIPTIN 100/20 MG TABLET 30 CAPSULES YES JUVISYNC SIMVASTATIN/SITAGLIPTIN 100/40 MG TABLET 30 TABLETS YES JYNARQUE TOLVAPTAN 15 MG TABLET 30 TABLETS YES JYNARQUE TOLVAPTAN 15 MG/15 MG TABLET (28 DAY BLISTER CARD) 30 TABLETS NO, 28 DAYS JYNARQUE TOLVAPTAN 15 MG/15 MG TABLET (7 DAY BLISTER CARD) 30 TABLETS NO, 7 DAYS JYNARQUE TOLVAPTAN 30 MG TABLET 30 TABLETS YES JYNARQUE TOLVAPTAN 30 MG/15 MG TABLET (28 DAY BLISTER CARD) 30 TABLETS NO, 28 DAYS JYNARQUE TOLVAPTAN 30 MG/15 MG TABLET (7 DAY BLISTER CARD) 30 TABLETS NO, 7 DAYS JYNARQUE TOLVAPTAN 45 MG/15 MG TABLET (28 DAY BLISTER CARD) 30 TABLETS NO, 28 DAYS JYNARQUE TOLVAPTAN 45 MG/15 MG TABLET (7 DAY BLISTER CARD) 30 TABLETS NO, 7 DAYS JYNARQUE TOLVAPTAN 60 MG/30 MG TABLET (28 DAY BLISTER CARD) 30 TABLETS NO, 28 DAYS JYNARQUE TOLVAPTAN 60 MG/30 MG TABLET (7 DAY BLISTER CARD) 30 TABLETS NO, 7 DAYS JYNARQUE TOLVAPTAN 90 MG/30 MG TABLET (28 DAY BLISTER CARD) 30 PACKETS NO, 28 DAYS JYNARQUE TOLVAPTAN 90 MG/30 MG TABLET (7 DAY BLISTER CARD) 30 PACKETS NO, 7 DAYS KADIAN MORPHINE SULFATE ER 10 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 100 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 130 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 150 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 20 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 200 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 30 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 40 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 50 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 60 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 70 MG CAPSULE 90 CAPSULES YES KADIAN MORPHINE SULFATE ER 80 MG CAPSULE 90 CAPSULES YES KALYDECO IVACAFTOR 150 MG TABLET 60 VIALS YES KALYDECO IVACAFTOR 50 MG GRANULES PACKET 30 TABLETS YES KALYDECO IVACAFTOR 75 MG GRANULES PACKET 90 TABLETS YES KAZANO ALOGLIPTIN/METFORMIN HCL 12.5 MG/1000 MG TABLET 224 TABLETS YES KAZANO ALOGLIPTIN/METFORMIN HCL 12.5 MG/500 MG TABLET 120 TABLETS YES KENALOG TRIAMCINOLONE 0.147 MG/G TOPICAL SPRAY (100 GM) 100 GM YES KENALOG TRIAMCINOLONE 0.147 MG/G TOPICAL SPRAY (63 GM) 126 GM YES KETOCONAZOLE KETOCONAZOLE 2% CREAM 60 GRAMS NO, 28 DAYS
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX KEVZARA SARILUMAB 150 MG/1.14 ML 2 SYRINGES NO, 28 DAYS KEVZARA SARILUMAB 200 MG/1.14 ML 2 SYRINGES NO, 28 DAYS KINERET ANAKINRA 100 MG/0.67 ML PRE-FILLED SYRINGE 2800 MG (28 PRE-FILLED SYRINGES) YES KISQALI RIBOCICLIB 21 TABLET PACK 120 TABLETS NO, 1 CHEMOTHERAPY COURSE KISQALI RIBOCICLIB 42 TABLET PACK 1 INHALER NO, 1 CHEMOTHERAPY COURSE KISQALI RIBOCICLIB 63 TABLET PACK 30 TABLETS NO, 1 CHEMOTHERAPY COURSE KISQALI FEMARA CO-PACK RIBOCICLIB TABLETS; LETROZOLE TABLETS 49 TABLET PACK 30 TABLETS NO, 28 DAYS KISQALI FEMARA CO-PACK RIBOCICLIB TABLETS; LETROZOLE TABLETS 70 TABLET PACK 90 TABLETS NO, 28 DAYS KISQALI FEMARA CO-PACK RIBOCICLIB TABLETS; LETROZOLE TABLETS 91 TABLET PACK 30 TABLETS NO, 28 DAYS KITABIS PACK TOBRAMYCIN PAK (BRAND, TOBRAMYCIN 300 MG/5 ML SOLUTION 180 TABLETS NO, 28 DAYS ALSO BY SAME MANU: PARI ) KOMBIGLYZE XR SAXAGLIPTIN/METFORMIN HCL XR 2.5/1000 MG TABLET 10 TABLETS YES KOMBIGLYZE XR SAXAGLIPTIN/METFORMIN HCL XR 5/1000 MG TABLET 240 TABLETS YES KOMBIGLYZE XR SAXAGLIPTIN/METFORMIN HCL XR 5/500 MG TABLET 30 TABLETS YES KRINTAFEL TAFENOQUINE 150 MG TABLET 2 TABLETS YES KYTRIL GRANISETRON 1 MG TABLET 60 TABLETS NO, 1 CHEMOTHERAPY COURSE KYTRIL GRANISETRON 2 MG/10 ML ORAL SOLUTION 60 TABLETS NO, 1 CHEMOTHERAPY COURSE LAZANDA FENTANYL 100 MCG NS 23 UNITS YES LAZANDA FENTANYL 400 MCG NS 23 UNITS YES LESCOL FLUVASTATIN 20 MG CAPSULE 30 TABLETS YES LESCOL FLUVASTATIN 40 MG CAPSULE 30 TABLETS YES LESCOL XL FLUVASTATIN ER 80 MG TABLET 30 TABLETS YES LEVITRA VARDENAFIL HCL 10 MG TABLET 30 TABLETS NO, 8 DOSES/6 DOSES LEVITRA VARDENAFIL HCL 2.5 MG TABLET 30 TABLETS NO, 8 DOSES/6 DOSES LEVITRA VARDENAFIL HCL 20 MG TABLET 1 PACKAGE (2 DEVICES) NO, 8 DOSES/6 DOSES LEVITRA VARDENAFIL HCL 5 MG TABLET 11 ML (1 BOTTLE = 10.8 ML) NO, 8 DOSES/6 DOSES LICART DICLOFENAC EPOLAMINE 1.3% PATCH 17 ML (1 BOTTLE = 16.9 ML) YES LIDOCAINE JELLY LIDOCAINE 2% 60 ML YES LIDOCAINE OINTMENT LIDOCAINE 35.44 OR 50 GRAMS 1 TUBE YES LIDOCAINE/PRILOCAINE CREAM LIDOCAINE 2.5% 30 GRAMS YES LINZESS LINACLOTIDE 145 MCG CAPSULE 1 BOTTLE YES LINZESS LINACLOTIDE 290 MCG CAPSULE 1 BOTTLE YES LINZESS LINACLOTIDE 72 MCG CAPSULE 3 METERED DOSE PUMPS YES LIPITOR ATORVASTATIN 10 MG TABLET 30 TABLETS YES LIPITOR ATORVASTATIN 20 MG TABLET 30 TABLETS YES LIPITOR ATORVASTATIN 40 MG TABLET 30 TABLETS YES LIPITOR ATORVASTATIN 80 MG TABLET 120 TABLETS YES LIPTRUZET EZETIMIBE/ATORVASTATIN 10/10 MG TABLET 30 PACKETS YES LIPTRUZET EZETIMIBE/ATORVASTATIN 10/20 MG TABLET 30 PACKETS YES LIPTRUZET EZETIMIBE/ATORVASTATIN 10/40 MG TABLET 30 CAPSULES YES LIPTRUZET EZETIMIBE/ATORVASTATIN 10/80 MG TABLET 30 PACKETS YES LIVALO PITAVASTATIN 1 MG TABLET 30 PACKETS YES LIVALO PITAVASTATIN 2 MG TABLET 3 CAPSULES YES LIVALO PITAVASTATIN 4 MG TABLET 3 CAPSULES YES LOCOID HYDROCORTISONE BUTYRATE 0.1% CREAM 120 GRAMS YES LOCOID HYDROCORTISONE BUTYRATE 0.1% LOTION 118 ML YES LOCOID HYDROCORTISONE BUTYRATE 0.1% SOLUTION 120 ML YES LOCOID LIPOCREAM HYDROCORTISONE BUTYRATE 0.1% CREAM 120 GRAMS YES LOKELMA SODIUM ZIRCONIUM CYCLOSILICATE 10 G ORAL SUSPENSION 3 CAPSULES YES LOKELMA SODIUM ZIRCONIUM CYCLOSILICATE 5 G ORAL SUSPENSION 3.8 GRAMS YES LONHALA MAGNAIR GLYCOPYRROLATE 25 MCG/1 ML 3.8 GRAMS YES LOPROX CICLOPIROX 0.77% CREAM 90 GRAMS NO, 28 DAYS LOPROX CICLOPIROX 0.77% CREAM KIT 1 KIT YES LOPROX CICLOPIROX 0.77% SUSPENSION 60 ML NO, 28 DAYS LOPROX CICLOPIROX 0.77% SUSPENSION KIT 1 KIT YES LOPROX CICLOPIROX 1% SHAMPOO 120 ML NO, 28 DAYS LORBRENA LORLATINIB 100 MG TABLET 3 VIALS YES LORBRENA LORLATINIB 25 MG TABLET 6 VIALS YES LOTRISONE CLOTRIMAZOLE AND BETAMETHASONE LOTRISONE CREAM 45 GRAMS NO, 28 DAYS LUCEMYRA LOFEXIDINE 0.18 MG 120 TABLETS YES LUNESTA ESZOPICLONE 1 MG TABLET 181 TABLETS YES LUNESTA ESZOPICLONE 2 MG TABLET 181 TABLETS YES LUNESTA ESZOPICLONE 3 MG TABLET 181 TABLETS YES LUZU LULICONAZOLE CREAM 1% CREAM 60 GRAMS NO, 28 DAYS LYNPARZA OLAPARIB 100 MG TABLET 30 TABLETS YES LYNPARZA OLAPARIB 150 MG TABLET 180 GRAMS YES MALARONE ATOVAQUONE/PROGUANIL 250/100 MG TABLET 60 TABLETS NO, 180 DAYS MALARONE ATOVAQUONE/PROGUANIL 62.5/25 MG TABLET 180 TABLETS NO, 180 DAYS MAVENCLAD CLADRIBINE 10 MG 10 TABLET DOSEPACK 30 TABLETS YES MAVENCLAD CLADRIBINE 10 MG 4 TABLET DOSEPACK 16 TABLETS NO, 720 DAYS
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX MAVENCLAD CLADRIBINE 10 MG 5 TABLET DOSEPACK 20 TABLETS NO, 720 DAYS MAVENCLAD CLADRIBINE 10 MG 6 TABLET DOSEPACK 24 TABLETS NO, 720 DAYS MAVENCLAD CLADRIBINE 10 MG 7 TABLET DOSEPACK 28 TABLETS NO, 720 DAYS MAVENCLAD CLADRIBINE 10 MG 8 TABLET DOSEPACK 32 TABLETS NO, 720 DAYS MAVENCLAD CLADRIBINE 10 MG 9 TABLET DOSEPACK 36 TABLETS NO, 720 DAYS MAVYRET GLECAPREVIR/PIBRENTASVIR 100-40 MG TABLET 168 TABLETS NO, 365 DAYS MAXAIR AUTOHALER PIRBUTEROL 0.2 MG/ACTUATION 30 TABLETS YES MAXALT RIZATRIPTAN 10 MG TABLET 30 CAPSULES NO, 6 EPISODES MAXALT RIZATRIPTAN 5 MG TABLET 60 CAPSULES NO, 6 EPISODES MAXALT MLT RIZATRIPTAN 10 MG TABLET 60 CAPSULES NO, 6 EPISODES MAXALT MLT RIZATRIPTAN 5 MG TABLET 30 TABLETS NO, 6 EPISODES MAYZENT SIPONIMOD 0.25 MG TABLET 30 TABLETS YES MAYZENT SIPONIMOD 2 MG TABLET 80 CAPS/TABS (10 CARDS) = 1 COMBO PACK YES MEFLOQUINE MEFLOQUINE 250 MG TABLET 13 TABLETS NO, 180 DAYS MEKINIST TRAMETINIB 0.5 MG TABLET 1 BOTTLE YES MEKINIST TRAMETINIB 2 MG TABLET 30 TABLETS YES MEKTOVI BINIMETINIB 15 MG TABLET 30 TABLETS YES MENOSTAR ESTRADIOL 14 MCG/DAY PATCH 4 PATCHES NO, 28 DAYS MENTAX BUTENAFINE 1% CREAM 30 GRAMS NO, 28 DAYS MEPHTYON PHYTONADIONE 5 MG 15 TABLETS NO METHERGINE METHYLERGONOVINE MALEATE 0.2 MG TABLET 14 TABLETS YES MEVACOR LOVASTATIN 10 MG TABLET 14 TABLETS YES MEVACOR LOVASTATIN 20 MG TABLET 30 TABLETS YES MEVACOR LOVASTATIN 40 MG TABLET 60 TABLETS YES MIGRANAL DIHYDROERGOTAMINE 4 MG/ML NS 56 PACKETS NO, 8 EPISODES MINIVELLE ESTRADIOL 0.0375 MG PATCH 8 PATCHES NO, 28 DAYS MINIVELLE ESTRADIOL 0.05 MG PATCH 8 PATCHES NO, 28 DAYS MINIVELLE ESTRADIOL 0.075 MG PATCH 8 PATCHES NO, 28 DAYS MINIVELLE ESTRADIOL 0.1 MG PATCH 8 PATCHES NO, 28 DAYS MOBIC MELOXICAM 7.5 MG TABLET 112 TABLETS (1 BOX) YES MORPHABOND ER MORPHINE SULFATE 100 MG TABLET 120 TABLETS YES MORPHABOND ER MORPHINE SULFATE 15 MG TABLET 120 TABLETS YES MORPHABOND ER MORPHINE SULFATE 30 MG TABLET 120 TABLETS YES MORPHABOND ER MORPHINE SULFATE 60 MG TABLET 120 TABLETS YES MOTEGRITY PRUCALOPRIDE 1 MG TABLET 56 PACKETS YES MOTEGRITY PRUCALOPRIDE 2 MG TABLET 112 TABLETS (1 PACKAGE) YES MOVANTIK NALOXEGOL 12.5 MG TABLET 30 TABLETS YES MOVANTIK NALOXEGOL 25 MG TABLET 30 TABLETS YES MS CONTIN MORPHINE SULFATE ER 100 MG TABLET 120 TABLETS YES MS CONTIN MORPHINE SULFATE ER 15 MG TABLET 120 TABLETS YES MS CONTIN MORPHINE SULFATE ER 200 MG TABLET 120 TABLETS YES MS CONTIN MORPHINE SULFATE ER 30 MG TABLET 120 TABLETS YES MS CONTIN MORPHINE SULFATE ER 60 MG TABLET 120 TABLETS YES MUSE ALPROSTADIL 1000 MCG SUPPOSITORY 30 TABLETS NO, 28 DAYS MUSE ALPROSTADIL 125 MCG SUPPOSITORY 30 TABLETS NO, 28 DAYS MUSE ALPROSTADIL 250 MCG SUPPOSITORY 30 TABLETS NO, 28 DAYS MUSE ALPROSTADIL 500 MCG SUPPOSITORY 30 TABLETS NO, 28 DAYS NAFTIN NAFTIFINE HYDROCHLORIDE 1 % AND 2% CREAM 60 GRAMS NO, 28 DAYS NARCAN NALOXONE HCL 4 MG/0.1 NASAL SPRAY 1 VIAL NO, 1 EPISODE NASACORT ALLERGY 24HR (OTC) TRIAMCINOLONE 55 MCG PER ACTUATION NASAL SPRAY (10.8 ML) 90 TABLETS YES NASACORT ALLERGY 24HR (OTC) TRIAMCINOLONE 55 MCG PER ACTUATION NASAL SPRAY (16.9 ML) 1 PEN YES NASACORT AQ TRIAMCINOLONE 55 MCG/ACTUATION NS 2 PENS YES NASONEX MOMETASONE FUROATE 50 MCG (17 G) NASAL SPRAY 45 CAPSULES YES NATESTO TESTOSTERONE 60 METERED GEL PUMP 30 CAPSULES YES NEBUPENT PENTAMIDINE ISETHIONATE 300 MG/CONTAINER 1 CONTAINER (INHALER) NO, 28 DAYS NESINA ALOGLIPTIN 12.5 MG TABLET 60 CAPSULES YES NESINA ALOGLIPTIN 25 MG TABLET 15 CAPSULES YES NESINA ALOGLIPTIN 6.25 MG TABLET 30 CAPSULES YES NEULASTA PEGFILGRASTIM 6 MG SYRINGE 2 SYRINGES YES NEXAVAR SORAFENIB 200 MG TABLET 60 CAPSULES YES NEXIUM ESOMEPRAZOLE 10 MG PACKET 45 CAPSULES YES NEXIUM ESOMEPRAZOLE 2.5 MG PACKET 15 PACKETS YES NEXIUM ESOMEPRAZOLE 20 MG CAPSULE 30 PACKETS YES NEXIUM ESOMEPRAZOLE 20 MG PACKET 30 CAPSULES YES NEXIUM ESOMEPRAZOLE 5 MG PACKET 90 CAPSULES YES NINLARO IXAZOMIB 2.3 MG CAPSULE 60 CAPSULES NO, 28 DAYS NINLARO IXAZOMIB 3 MG CAPSULE 13 CAPSULES NO, 28 DAYS NINLARO IXAZOMIB 4 MG CAPSULE 30 SYRINGES NO, 28 DAYS NIZORAL KETOCONAZOLE 2% SHAMPOO 120 ML NO, 28 DAYS NOCDURNA DESMOPRESSIN ACETATE 27.7 MCG TABLET 30 TABLETS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX NOCDURNA DESMOPRESSIN ACETATE 55.3 MCG TABLET 30 TABLETS YES NOCTIVA DESMOPRESSIN ACETATE 0.83 MCG/0.1 ML 8 SYRINGES YES NOCTIVA DESMOPRESSIN ACETATE 1.66 MCG/0.1 ML 60 SYRINGES YES NOVAREL CHORIONIC GONADOTROPIN 10,000 UNITS 1 BOTTLE YES, IN MOST CASES NOVAREL CHORIONIC GONADOTROPIN 5,000 UNITS 14 TABLETS NO NUBEQA DAROLUTAMIDE 300 MG TABLET 14 TABLETS YES NUCALA MEPOLIZUMAB 100 MG VIAL 1 VIAL NO, 28 DAYS NUCYNTA TAPENTADOL 100 MG TABLET 14 TABLETS YES NUCYNTA TAPENTADOL 50 MG TABLET 1 CARTON (60 VIALS) YES NUCYNTA TAPENTADOL 75 MG TABLET 1 TABLET YES NUCYNTA ER TAPENTADOL ER 100 MG TABLET 60 TABLETS YES NUCYNTA ER TAPENTADOL ER 150 MG TABLET 60 TABLETS YES NUCYNTA ER TAPENTADOL ER 200 MG TABLET 60 TABLETS YES NUCYNTA ER TAPENTADOL ER 250 MG TABLET 60 TABLETS YES NUCYNTA ER TAPENTADOL ER 50 MG TABLET 60 TABLETS YES NURTEC ODT RIMEGEPANT 75 MG TABLET 2 TABLETS YES NUVIGIL ARMODAFINIL 150 MG TABLET 30 TABLETS YES NUVIGIL ARMODAFINIL 200 MG TABLET 30 TABLETS YES NUVIGIL ARMODAFINIL 250 MG TABLET 30 TABLETS YES NUVIGIL ARMODAFINIL 50 MG TABLET 30 TABLETS YES NUZYRA OMADACYCLINE 150 MG TABLET 150 TABLETS YES NYSTATIN NYSTATIN CREAM AND OINTMENT 30 GRAMS NO, 28 DAYS NYSTATIN NYSTATIN POWDER 150 TABLETS YES NYSTATIN-TRIAMCINOLONE NYSTATIN CREAM AND OINTMENT 60 GRAMS NO, 28 DAYS OCALIVA OBETICHOLIC ACID 10 MG TABLET 30 TABLETS YES OCALIVA OBETICHOLIC ACID 5 MG TABLET 30 TABLETS YES ODOMZO SONIDEGIB 200 MG CAPSULE 30 TABLETS YES OFEV NINTEDANIB 100 MG CAPSULE 30 TABLETS YES OFEV NINTEDANIB 150 MG CAPSULE 3 VIALS YES OLUMIANT BARICITINIB 1 MG TABLET 30 CAPSULES YES OLUMIANT BARICITINIB 2 MG 30 TABLETS YES OMECLAMOX -PAK AMOXICILLIN, CLARITHROMYCIN, OMEPRAZOLE PATIENT PACK 112 CAPS/TABS (14 CARDS) = 1 PACK NO, ENOUGH FOR ONE COURSE OF THERAPY (10 DAYS) OMNARIS CICLESONIDE 50 MCG (12.5G) NASAL SPRAY 30 CAPSULES YES ONGLYZA SAXAGLIPTIN 2.5 MG TABLET 30 PACKETS YES ONGLYZA SAXAGLIPTIN 5 MG TABLET 60 PACKETS YES ONMEL ITRACONAZOLE 200 MG TABLET 30 CAPSULES YES ONSOLIS FENTANYL 1200 MCG 90 UNITS YES ONSOLIS FENTANYL 200 MCG 90 UNITS YES ONSOLIS FENTANYL 400 MCG 90 UNITS YES ONSOLIS FENTANYL 600 MCG 90 UNITS YES ONSOLIS FENTANYL 800 MCG 90 UNITS YES ONUREG AZACITIDINE 200 MG TABLET 2 INHALERS NO, 14 DAYS (28 DAY CYCLE) ONUREG AZACITIDINE 300 MG TABLET 2 INHALERS NO, 14 DAYS (28 DAY CYCLE) ONZETRA XSAIL SUMATRIPTAN NASAL POWDER 11 MG/NOSEPIECE 2 INHALERS (2 G) NO, 4 HEADACHES OPANA ER OXYMORPHONE ER 10 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 15 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 20 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 30 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 40 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 5 MG TABLET 90 TABLETS YES OPANA ER OXYMORPHONE ER 7.5 MG TABLET 90 TABLETS YES ORAMORPH SR MORPHINE SULFATE 100 MG TABLET 120 TABLETS YES ORAMORPH SR MORPHINE SULFATE 15 MG TABLET 120 TABLETS YES ORAMORPH SR MORPHINE SULFATE 30 MG TABLET 120 TABLETS YES ORAMORPH SR MORPHINE SULFATE 60 MG TABLET 120 TABLETS YES ORENCIA ABATACEPT 125 MG/ML AUTO-INJECTOR 4 AUTO-INJECTORS NO ORENCIA ABATACEPT 125 MG/ML PRE-FILLED SYRINGE 4 PRE-FILLED SYRINGES YES ORENCIA ABATACEPT 50 MG/0.4 ML PRE-FILLED SYRINGE 4 PRE-FILLED SYRINGES YES ORENCIA ABATACEPT 87.5 MG/0.7 ML PRE-FILLED SYRINGE 4 PRE-FILLED SYRINGES YES ORILISSA ELAGOLIX 150 MG TABLET 30 TABLETS YES ORILISSA ELAGOLIX 200 MG TABLET 2 INHALERS YES ORKAMBI LUMACAFTOR/IVACAFTOR 100 MG/125 MG ORAL GRANULES 2 INHALERS YES ORKAMBI LUMACAFTOR/IVACAFTOR 100 MG/125 MG TABLET 1 INHALER YES ORKAMBI LUMACAFTOR/IVACAFTOR 150 MG/188 MG ORAL GRANULES 60 RESPULES YES ORKAMBI LUMACAFTOR/IVACAFTOR 200 MCG/125 MG TABLET 60 RESPULES YES OSENI ALOGLIPTIN/PIOGLITAZONE 12.5-15 MG TABLET 30 RESPULES YES OSENI ALOGLIPTIN/PIOGLITAZONE 12.5-30 MG TABLET 90 TABLETS YES OSENI ALOGLIPTIN/PIOGLITAZONE 12.5-45 MG TABLET 30 TABLETS YES OSENI ALOGLIPTIN/PIOGLITAZONE 25-15 MG TABLET 1 BOTTLE YES OSENI ALOGLIPTIN/PIOGLITAZONE 25-30 MG TABLET 2 INHALERS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX OSENI ALOGLIPTIN/PIOGLITAZONE 25-45 MG TABLET 2 INHALERS YES OTEZLA APREMILAST 30 MG TABLET 60 TABLETS YES OTEZLA APREMILAST 30 MG TABLET 14-DAY STARTER PACK 27 TABLETS NO, 274 DAYS OTEZLA APREMILAST 30 MG TABLET 28-DAY STARTER PACK 55 TABLETS NO, 274 DAYS OTIPRIO CIPROFLOXACIN 6% OTIC SUSPENSION 1 INHALER YES OXBRYTA VOXELETOR 500 MG TABLET 2 INHALERS YES OXISTAT OXICONAZOLE NITRATE 1% CREAM 60 GRAMS NO, 28 DAYS OXYCONTIN OXYCODONE HCL 10 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 15 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 20 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 30 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 40 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 60 MG TABLET 90 TABLETS YES OXYCONTIN OXYCODONE HCL 80 MG TABLET 90 TABLETS YES OXYTROL OXYBUTYNIN 3.9 MG/24 HOUR PATCH 8 PATCHES NO, 28 DAYS OZEMPIC SEMAGLUTIDE 0.25 MG-0.5 MG 1 TUBE YES OZEMPIC SEMAGLUTIDE 1 MG 60 VIALS YES PALFORZIA ARACHIS HYPOGAEA 12 MG LEVEL 3 5.5 ML NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 120 MG LEVEL 7 180 CAPSULES NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 160 MG LEVEL 8 120 CAPSULES NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 20 MG LEVEL 4 112 ML (1 BOTTLE) NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 200 MG LEVEL 9 90 TABLETS NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 240 MG LEVEL 10 9 GM (8.6 G = 1 BOTTLE) AND 5 G (1 BOTTLE) NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 3 MG LEVEL 1 2 BOTTLES NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 300 MG LEVEL 11 30 TABLETS NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 300 MG MAINTENANCE 30 CAPSULES YES PALFORZIA ARACHIS HYPOGAEA 40 MG LEVEL 5 90 CAPSULES NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 6 MG LEVEL 2 120 TABLETS NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA 80 MG LEVEL 6 120 TABLETS NO, 15 DAYS PALFORZIA ARACHIS HYPOGAEA INITIAL DOSE PACK 120 TABLETS NO, 1 DAY PALYNZIQ PEGVALIASE-PQPZ 10 MG/0.5 ML 30 TABLETS YES PALYNZIQ PEGVALIASE-PQPZ 2.5 MG/0.5 ML 30 TABLETS YES PALYNZIQ PEGVALIASE-PQPZ 20 MG/1 ML 30 TABLETS YES PATANASE OLOPATADINE HCL 30.5 GM SPRAY 240 TABLETS YES PEG INTRON PEGINTERFERON ALFA-2B 120 MCG KIT 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 120 MCG/PEN 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 150 MCG KIT 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 150 MCG/PEN 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 50 MCG KIT 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 50 MCG/PEN 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 80 MCG KIT 4 PENS/VIALS NO, 28 DAYS PEG INTRON PEGINTERFERON ALFA-2B 80 MCG/PEN 4 PENS/VIALS NO, 28 DAYS PEGASYS PEGINTERFERON ALFA-2B 135 MCG PROCLICK CONVENIENCE PACK 1 BOX NO, 28 DAYS PEGASYS PEGINTERFERON ALFA-2B 180 MCG CONVENIENCE PACK 1 BOX NO, 28 DAYS PEGASYS PEGINTERFERON ALFA-2B 180 MCG PROCLICK CONVENIENCE PACK 1 BOX NO, 28 DAYS PEGASYS PEGINTERFERON ALFA-2B 180 MCG/VIAL 4 VIALS NO, 28 DAYS PEMAZYRE PEMIGATINIB 13.5 MG TABLET 30 TABLETS NO, 14 DAYS PEMAZYRE PEMIGATINIB 4.5 MG TABLET 30 TABLETS NO, 14 DAYS PEMAZYRE PEMIGATINIB 9 MG TABLET 30 TABLETS NO, 14 DAYS PENNSAID DICLOFENAC SODIUM TOPICAL SOLUTION 2% SOLUTION 112 GRAMS NO, 28 DAYS PENNSAID AND KLOFENSAID DICLOFENAC SODIUM DROP 1.5 DROPS 150 ML NO, 28 DAYS PERFOROMIST FORMOTEROL FUMARATE 20 MCG/2 ML VIAL 30 TABLETS YES PLAN B ONE-STEP; AFTERA; ECONTRA EZ; ECONTRA ONE-STEP; LEVONORGESTREL; MY LEVONORGESTREL 1.5 MG TABLET 60 TABLETS NO, 1 EPISODE CHOICE; MY WAY; NEW DAY; OPCICON ONE- STEP; OPTION; TAKE ACTION PLAN B; NEXT CHOICE LEVONORGESTREL 0.75 MG TABLET 1 PATCH NO, 1 EPISODE PLEGRIDY PEGINTERFERON BETA-1A 125 MCG/0.5 ML PREFILLED PEN OR SYRINGE 2 UNITS (PENS OR SYRINGES - 1 ML TOTAL) NO, 28 DAYS STARTER PACK (ONE 63 MCG, AND ONE 94 MCG PREFILLED PEN 1 CARTON/PACK (CONTAINS 2 PENS OR SYRINGES - PLEGRIDY PEGINTERFERON BETA-1A NO, 365 DAYS OR SYRINGE) 1 ML TOTAL) PLIAGLIS LIDOCAINE & TETRACAINE 7%/7% CREAM 30 GRAMS YES PRANDIMET REPAGLINIDE/METFORMIN HCL 1 MG/500 MG 30 CAPSULES YES PRANDIMET REPAGLINIDE/METFORMIN HCL 2 MG/500 MG 60 INHALATIONS (1 PACKAGE) YES PRAVACHOL PRAVASTATIN 10 MG TABLET 60 TABLETS YES PRAVACHOL PRAVASTATIN 20 MG TABLET 60 TABLETS YES PRAVACHOL PRAVASTATIN 40 MG TABLET 60 TABLETS YES PRAVACHOL PRAVASTATIN 80 MG TABLET 60 TABLETS YES PREGNYL CHORIONIC GONADOTROPIN 10,000 UNITS 1 PACKAGE YES, IN MOST CASES PREVACID LANSOPRAZOLE 15 MG CAPSULE 1 PACKAGE YES PREVACID LANSOPRAZOLE 15 MG SOLUTAB 60 TABLETS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX PREVPAC LANSOPRAZOLE/AMOXICILLIN/CLARITHROMYCIN PATIENT PACK 30 TABLETS NO, ENOUGH FOR ONE COURSE PREVYMIS LETERMOVIR 240 MG 100 TABLETS (30 PER FILL) NO, 365 DAYS PREVYMIS LETERMOVIR 480 MG 100 TABLETS (30 PER FILL) NO, 365 DAYS PRILOSEC OMEPRAZOLE 10 MG CAPSULE 30 TABLETS YES PRILOSEC OMEPRAZOLE 10 MG PACKETS 30 TABLETS YES PRILOSEC OMEPRAZOLE 2.5 MG PACKETS 60 TABLETS YES PRILOSEC OMEPRAZOLE 20 MG CAPSULE 2 TABLETS (1 PACKAGE) YES PRIMAQUINE PRIMAQUINE 26.3 MG CAPSULE 120 CAPSULES NO, 180 DAYS PROAIR DIGIHALER ALBUTEROL SULFATE 117 MCG 1 PACKAGE (5 X 3 ML SYRINGES) YES PROAIR HFA ALBUTEROL SULFATE 8.5 GM INHALER 1 PACKET YES PROAIR RESPICLICK ALBUTEROL SULFATE 90 MCG INHALER 1 PACKAGE YES PROSOM ESTAZOLAM 1 MG TABLET 15 TABLETS YES PROSOM ESTAZOLAM 2 MG TABLET 15 TABLETS YES PROTONIX PANTOPRAZOLE 20 MG TABLET 1 PACKAGE YES PROTOPIC OINTMENT TACROLIMUS 0.0003 100 GRAMS YES PROTOPIC OINTMENT TACROLIMUS 0.001 100 GRAMS YES PROVENTIL HFA ALBUTEROL SULFATE 6.7 GM AEROSOL 1 PACKAGE (90 DOSES) YES PROVIGIL MODAFINIL 100 MG TABLET 30 TABLETS YES PROVIGIL MODAFINIL 200 MG TABLET 60 TABLETS YES PSORCON DIFLORASONE 0.05% TOPICAL CREAM 120 GM YES PULMICORT FLEXHALER BUDESONIDE 180 MCG/ACTUATION 4 G = 1 INHALER (60 INHALATIONS) YES PULMICORT FLEXHALER BUDESONIDE 90 MCG/ACTUATION 1 INHALER (4 G) YES, IF DOSE IS 90 MCG TWICE DAILY PULMICORT RESPULES BUDESONIDE 0.25 MG/2 ML 30 CAPSULES YES PULMICORT RESPULES BUDESONIDE 0.5 MG/2 ML 5 BOTTLES YES PULMICORT RESPULES BUDESONIDE 1 MG/2 ML 30 TABLETS YES QINLOCK RIPRETINIB 50 MG TABLET 30 TABLETS YES QMIIZ ODT MELOXICAM 7.5 MG TABLET 90 TABLETS YES QNASL BECLOMETHASONE DIPROPIONATE 80 MCG (8.7 G) NASAL SPRAY 30 TABLETS YES QUALAQUIN QUININE 324 MG TABLET 40 TABLETS YES QVAR HFA BECLOMETHASONE DIPROPIONATE 40 MCG (8.7G) 60 TABLETS YES, IF DOSE IS 40, 80, OR 120 MCG BID QVAR HFA BECLOMETHASONE DIPROPIONATE 80 MCG (8.7 G) 30 TABLETS YES QVAR REDIHALER BECLOMETHASONE DIPROPIONATE HFA 40 MGC 30 TABLETS YES QVAR REDIHALER BECLOMETHASONE DIPROPIONATE HFA 80 MCG 30 TABLETS YES REBIF INTERFERON BETA-1A 22 MCG SYRINGE 12 SYRINGES NO, 28 DAYS REBIF INTERFERON BETA-1A 44 MCG SYRINGE 12 SYRINGES NO, 28 DAYS REBIF INTERFERON BETA-1A 8.8 MCG SYRINGES/22 MCG SYRINGE 1 PACKAGE NO, ENOUGH FOR ONE REGRANEX BECAPLERMIN 0.01% GEL, 15 GM 30 TABLETS YES RELENZA BECAPLERMIN 5 MG DISKHALER 30 TABLETS NO, ENOUGH FOR ONE COURSE OF TREATMENT 1 INHALER = 4 G (60 INHALATIONS OR 28 RELPAX ELETRIPTAN HBR 20 MG TABLET NO, 3 EPISODES INHALATIONS INSTITUTIONAL PACK) RELPAX ELETRIPTAN HBR 40 MG TABLET 84 TABLES NO, 3 EPISODES RESTASIS CYCLOSPORINE 0.0005 60 BUCCAL SYSTEMS YES 1 INHALER (60 INHALATIONS OR 28 INHALATIONS RESTASIS CYCLOSPORINE RESTASIS 5.5 ML MULTIDOSE VIAL YES INSTITUTIONAL PACK) RESTORIL TEMAZEPAM 15 MG CAPSULE 15 CAPSULES YES RESTORIL TEMAZEPAM 22.5 MG CAPSULE 15 CAPSULES YES RESTORIL TEMAZEPAM 30 MG CAPSULE 15 CAPSULES YES RESTORIL TEMAZEPAM 7.5 MG CAPSULE 15 CAPSULES YES RETEVMO SELPERCATINIB 40 MG CAPSULE 90 FILMS YES RETEVMO SELPERCATINIB 80 MG CAPSULE 90 TABLETS YES REVATIO SILDENAFIL CITRATE 10 MG/ML ORAL SUSPENSION 90 FILMS YES REVATIO SILDENAFIL CITRATE 20 MG TABLET 90 FILMS YES REYVOW LASMIDITAN 100 MG TABLET 90 CAPSULES NO, 28 DAYS REYVOW LASMIDITAN 50 MG TABLET 30 CAPSULES NO, 28 DAYS 32 MCG (120 SPRAYS PER BOTTLE, 8.6 G; 60 SPRAYS PER RHINOCORT ALLERGY SPRAY BUDESONIDE 30 CAPSULES YES BOTTLE, 5 G) NASAL SPRAY RHINOCORT AQ BUDESONIDE 32 MCG (120 SPRAYS PER BOTTLE, 8.6 GM) 30 CAPSULES YES RINVOQ UPADACITINIB 15 MG TABLET 1 PACKAGE (6) YES ROZEREM RAMELTEON 8 MG TABLET 1 PACKAGE (10.2) YES ROZLYTREK ENTRECTINIB 100 MG CAPSULE 1 PACKAGE (10.2) YES ROZLYTREK ENTRECTINIB 200 MG CAPSULE 1 PACKAGE (6.9) YES RUBRACA RUCAPARIB 200 MG TABLET 56 TABLETS YES RUBRACA RUCAPARIB 250 MG TABLET 56 TABLETS YES RUBRACA RUCAPARIB 300 MG TABLET 2 SYRINGES YES RYBELSUS SEMAGLUTIDE 14 MG TABLET 2 SYRINGES YES RYBELSUS SEMAGLUTIDE 3 MG TABLET 7 PENS YES RYBELSUS SEMAGLUTIDE 7 MG TABLET 7 PENS YES RYBIX ODT TRAMADOL HCL 50 MG TABLET 60 TABLETS YES RYZOLT ER TRAMADOL HCL ER 100 MG 60 TABLETS YES RYZOLT ER TRAMADOL HCL ER 200 MG 60 TABLETS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX RYZOLT ER TRAMADOL HCL ER 300 MG 60 TABLETS YES SAMSCA TOLVAPTAN 15 MG TABLET 60 TABLETS YES SAMSCA TOLVAPTAN 30 MG TABLET 60 TABLETS YES SANCUSO GRANISETRON 3.1 MG/24 HOUR PATCH 30 TABLETS NO, 1 CHEMOTHERAPY COURSE SECONAL SECOBARBITAL SODIUM 100 MG CAPSULE 60 TABLETS YES SEEBRI NEOHALER GLYCOPYRROLATE 15.6 MCG INHALATION POWDER 120 CAPSULES YES SEGLUROMET ERTUGLIFLOZIN & METFORMIN HCL 2.5 MG/1000 MG 120 CAPSULES YES SEGLUROMET ERTUGLIFLOZIN & METFORMIN HCL 2.5 MG/500 MG 30 TABLETS YES SEGLUROMET ERTUGLIFLOZIN & METFORMIN HCL 7.5 MG/1000 MG 30 TABLETS YES SEGLUROMET ERTUGLIFLOZIN & METFORMIN HCL 7.5 MG/500 MG 168 CAPSULES YES SEREVENT SALMETEROL XINAFOATE DISKUS (28 BLISTERS; 50MCG/INH) 90 CAPSULES NO, INSTITUTIONAL PACKAGE 14 DAYS SUPPLY SEREVENT SALMETEROL XINAFOATE DISKUS (60 BLISTERS; 50MCG/INH) 30 CAPSULES YES SILENOR DOXEPIN 3 MG TABLET 4 PENS YES SILENOR DOXEPIN 6 MG TABLET 4 PENS YES SILIQ BRODALUMAB 210 MG SYRINGE 2 SYRINGES NO, 28 DAYS SIMCOR NIACIN/SIMVASTATIN 1000/20 MG TABLET 30 TABLETS YES SIMCOR NIACIN/SIMVASTATIN 1000/40 MG TABLET 30 TABLETS YES SIMCOR NIACIN/SIMVASTATIN 500/20 MG TABLET 60 TABLETS YES SIMCOR NIACIN/SIMVASTATIN 500/40 MG TABLET 112 CAPSULES YES SIMCOR NIACIN/SIMVASTATIN 750/20 MG TABLET 112 CAPSULES YES SIMPONI GOLIMUMAB 100 MG/ML 1 PRE-FILLED SYRINGE/AUTO-INJECTOR YES SIMPONI GOLIMUMAB 50 MG/0.5 ML 1 PRE-FILLED SYRINGE/AUTO-INJECTOR YES SITAVIG ACYCLOVIR 50 MG BUCCAL TABLET 120 CAPSULES NO, 1 EPISODE SKYRIZI RISANKIZUMAB-RZAA 75 MG/0.83 ML PREFILLED SYRINGE 2 KITS - LOADING DOSE YES SKYRIZI RISANKIZUMAB-RZAA 75 MG/0.83 ML PREFILLED SYRINGE 1 KIT - MAINTENANCE DOSE YES SOLARAZE DICLOFENAC SODIUM 3% GEL 100 GRAMS NO, 28 DAYS SOLIQUA INSULIN GLARGINE AND LIXISENATIDE 100 UNITS/ML/20 MCG/ML/3 ML SYRINGE 60 TABLETS YES SOLOSEC SECNIDAZOLE 2 G GRANULES 60 TABLETS NO SONATA ZALEPLON 10 MG CAPSULE 60 TUBES YES SONATA ZALEPLON 5 MG CAPSULE 90 CAPSULES YES SOOLANTRA IVERMECTIN 1% CREAM 60 GRAMS YES SORILUX CALCIPOTRIENE 0.005% FOAM 120 GRAMS YES SOVALDI SOFOSBUVIR 150 MG PELLET 84 PACKETS (28 PACKETS PER FILL) NO, 365 DAYS SOVALDI SOFOSBUVIR 200 MG PELLET 168 PACKETS (56 PACKETS PER FILL) NO, 365 DAYS SOVALDI SOFOSBUVIR 200 MG TABLET 168 TABLETS NO, 365 DAYS SOVALDI SOFOSBUVIR 200 MG TABLET 56 TABLETS YES SOVALDI SOFOSBUVIR 400 MG TABLET 84 TABLETS NO, 365 DAYS SPINRAZA NUSINERSEN 12 MG/5 ML VIAL 4 VIALS NO 18 MCG CAPSULE FOR USE WITH INHALATION DEVICE, 30 SPIRIVA HANDIHALER TIOTROPIUM BROMIDE 56 AMPOULES YES CAPSULES 18 MCG CAPSULE FOR USE WITH INHALATION DEVICE, 5 SPIRIVA HANDIHALER TIOTROPIUM BROMIDE 224 CAPSULES NO, 6 DAYS CAPSULES (1 BLISTER CARD) 18 MCG CAPSULE FOR USE WITH INHALATION DEVICE, 90 SPIRIVA HANDIHALER TIOTROPIUM BROMIDE 60 CAPSULES YES CAPSULES (6 BLISTER CARDS) SPIRIVA RESPIMAT TIOTROPIUM BROMIDE 1.25 MCG INHALATION SPRAY 20 TABLETS YES SPIRIVA RESPIMAT TIOTROPIUM BROMIDE 28 INHALATIONS PACK AND 60 INHALATIONS PACK 30 TABLETS YES, OR 14 DAYS SPORANOX ITRACONAZOLE 100 MG CAPSULE 60 CAPSULES YES 1 NASAL SPRAY BOTTLE (8 SPRAYS/BOTTLE OR SPRIX KETOROLAC TROMETHAMINE 28 BLISTERS NO, 5 DAYS 15.75MG/SPRAY) SPRYCEL DASATINIB 100 MG TABLET 60 BLISTERS YES SPRYCEL DASATINIB 140 MG TABLET 4 PENS YES SPRYCEL DASATINIB 20 MG TABLET 4 SYRINGES YES SPRYCEL DASATINIB 50 MG TABLET 4 PENS YES SPRYCEL DASATINIB 70 MG TABLET 4 SYRINGES YES SPRYCEL DASATINIB 80 MG TABLET 4 PENS YES STADOL BUTORPHANOL TARTRATE 10 MG/ML NASAL SPRAY (2.5 ML BOTTLE) 4 PENS NO, 2-3 DAYS (ACUTE PAIN) OR 4 HEADACHES STAXYN VARDENAFIL HCL 10 MG TABLET 1 INHALER NO, 8 DOSES/6 DOSES STEGLATRO ERTUGLIFLOZIN 15 MG TABLET 120 TABLETS YES STEGLATRO ERTUGLIFLOZIN 5 MG TABLET 300 TABLETS YES STEGLUJAN ERTUGLIFLOZIN & SITAGLIPTIN 15 MG/100 MG TABLET 120 CAPSULES YES STEGLUJAN ERTUGLIFLOZIN & SITAGLIPTIN 5 MG/100 MG TABLET 180 TABLETS YES STELARA USTEKINUMAB 45 MG/0.5 ML SYRINGE 1 SYRINGE NO, 84 DAYS STELARA USTEKINUMAB 45 MG/0.5 ML VIAL 1 VIAL NO, 84 DAYS STELARA USTEKINUMAB 90 MG/ML SYRINGE 1 SYRINGE NO, 56 DAYS STENDRA AVANAFIL 100 MG TABLET 1 PEN NO, 6 DOSES/8 DOSES STENDRA AVANAFIL 200 MG TABLET 240 TABLETS NO, 6 DOSES/8 DOSES STENDRA AVANAFIL 50 MG TABLET 240 TABLETS NO, 6 DOSES/8 DOSES STIOLTO RESPIMAT TIOTROPIUM BROMIDE/OLODATEROL 2.5/2.5 MCG INHALATION SPRAY 30 TABLETS YES, OR 14 DAYS STIVARGA REGORAFENIB 40 MG TABLET 30 TABLETS NO, 28 DAYS STRIANT TESTOSTERONE BUCCAL SYSTEM 30 TABLETS YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX STRIVERDI RESPIMAT OLODATEROL 28 INHALATIONS PACK, 60 INHALATIONS PACK 6 INHALATIONS (1 PACKAGE) YES, OR 14 DAYS STROMECTOL IVERMECTIN 3 MG TABLET 20 TABLETS YES SUBOXONE BUPRENORPHINE/NALOXONE 2/0.5 MG FILM 60 INHALATIONS (1 PACKAGE) YES SUBOXONE BUPRENORPHINE/NALOXONE 2/0.5 MG TABLET 30 TABLETS YES SUBOXONE BUPRENORPHINE/NALOXONE 4/1 MG FILM 30 TABLETS YES SUBOXONE BUPRENORPHINE/NALOXONE 8/2 MG FILM 40 CAPSULES YES SUBSYS FENTANYL 100 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 1200 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 1600 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 200 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 400 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 600 MCG SL SPRAY 90 SPRAY UNITS YES SUBSYS FENTANYL 800 MCG SL SPRAY 90 SPRAY UNITS YES SUMAVEL DOSEPRO SUMATRIPTAN 4 MG/.0.5 ML NEEDLE FREE INJECTOR 80 CAPSULES NO, 3 HEADACHES SUMAVEL DOSEPRO SUMATRIPTAN 6 MG/0.5 ML SYRINGE 450 ML NO, 3 EPISODES SUNOSI SOLRIAMFETOL 150 MG TABLET 30 TABLETS YES SUNOSI SOLRIAMFETOL 75 MG TABLET 30 TABLETS YES SUTENT SUNITINIB MALATE 12.5 MG CAPSULE 2 TABLETS (1 PACKAGE) YES SUTENT SUNITINIB MALATE 25 MG CAPSULE 30 PACKETS YES SUTENT SUNITINIB MALATE 37.5 MG CAPSULE 30 PACKETS YES SUTENT SUNITINIB MALATE 50 MG CAPSULE 30 PACKETS YES SYMBICORT BUDESONIDE/FORMOTEROL 160/4.5 MCG INHALER 1 STARTING PACK = 42 TABLETS YES SYMBICORT BUDESONIDE/FORMOTEROL 160/4.5 MCG INHALER 2 INHALERS YES SYMBICORT BUDESONIDE/FORMOTEROL 80/4.5 MCG INHALER 1 INHALER YES SYMBICORT BUDESONIDE/FORMOTEROL 80/4.5 MCG INHALER 1 BOTTLE YES SYMDEKO TEZACAFTOR/IVACAFTOR & IVACAFTOR 100/150 MG-150 MG TABLET 30 GRAMS YES SYMDEKO TEZACAFTOR/IVACAFTOR & IVACAFTOR 50/75 MG-75 MG TABLET 60 TABLETS YES SYMJEPI EPINEPHRINE 0.15 MG SYRINGE 60 TABLETS NO, 1 EPISODE SYMJEPI EPINEPHRINE 0.3 MG SYRINGE 60 TABLETS NO, 1 EPISODE SYMLIN PRAMLINTIDE ACETATE 120 PEN INJECTOR 60 TABLETS YES SYMLIN PRAMLINTIDE ACETATE 60 PEN INJECTOR 1 PACKAGE (2 PENS) YES SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 12.5 MG/1000 MG TABLET 1 PACKAGE (3 PENS) YES SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 12.5 MG/500 MG TABLET 30 CAPSULES YES SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 5 MG/1000 MG TABLET 30 TABLETS YES SYNJARDY EMPAGLIFLOZIN/METFORMIN HCL 5 MG/500 MG TABLET 30 TABLETS YES SYNJARDY XR EMPAGLIFLOZIN/METFORMIN HCL EXTENDED-RELEASE 10/1000 MG TABLET 30 TABLETS YES SYNJARDY XR EMPAGLIFLOZIN/METFORMIN HCL EXTENDED-RELEASE 12.5/1000 MG TABLET 60 PACKETS YES SYNJARDY XR EMPAGLIFLOZIN/METFORMIN HCL EXTENDED-RELEASE 25/1000 MG TABLET 60 TUBES YES SYNJARDY XR EMPAGLIFLOZIN/METFORMIN HCL EXTENDED-RELEASE 5/1000 MG TABLET 300 GM YES TACLONEX CALCIPOTRIENE/BETAMETHASONE DIPROPIONATE 0.005%/0.064% OINTMENT & SUSPENSION 60 GRAMS YES TAFINLAR DABRAFENIB 50 MG CAPSULE 120 TABLETS YES TAFINLAR DABRAFENIB 75 MG CAPSULE 30 TABLETS YES TAGRISSO OSIMERTINIB 40 MG TABLET 30 TABLETS YES TAGRISSO OSIMERTINIB 80 MG TABLET 30 TABLETS YES TALICIA OMEPRAZOLE MAGNESIUM/AMOXICILLIN/RIFABUTIN 10-250-12.5 MG CAPSULE 30 TABLETS YES TALTZ LXEKIZUMAB 80 MG/ML AUTO-INJECTOR 1 AUTO-INJECTOR YES TALTZ LXEKIZUMAB 80 MG/ML PRE-FILLED SYRINGE 1 PRE-FILLED SYRINGE YES TALZENNA TALAZOPARIB 0.25 MG CAPSULE 60 TABLETS YES TALZENNA TALAZOPARIB 1 MG CAPSULE 30 TABLETS YES NO, ENOUGH FOR ONE COURSE OF TREATMENT OR TAMIFLU OSELTAMIVIR PHOSPHATE 12 MG/ML SUSPENSION 60 CAPSULES PREVENTION NO, ENOUGH FOR ONE COURSE OF TREATMENT OR TAMIFLU OSELTAMIVIR PHOSPHATE 30 MG CAPSULE 60 TABLETS PREVENTION NO, ENOUGH FOR ONE COURSE OF TREATMENT OR TAMIFLU OSELTAMIVIR PHOSPHATE 45 MG CAPSULE 60 TABLETS PREVENTION NO, ENOUGH FOR ONE COURSE OF TREATMENT OR TAMIFLU OSELTAMIVIR PHOSPHATE 6 MG/ML SUSPENSION 60 TABLETS PREVENTION NO, ENOUGH FOR ONE COURSE OF TREATMENT OR TAMIFLU OSELTAMIVIR PHOSPHATE 75 MG CAPSULE 30 TABLETS PREVENTION TANZEUM ALBIGLUTIDE 30 MG PEN 30 TABLETS NO, 28 DAYS TANZEUM ALBIGLUTIDE 50 MG PEN 90 TABLETS NO, 28 DAYS TARCEVA ERLOTINIB 100 MG TABLET 2 BOTTLES (32 ML) YES TARCEVA ERLOTINIB 150 MG TABLET 9 TABLETS YES TARCEVA ERLOTINIB 25 MG TABLET 60 TABLETS YES TASIGNA NILOTINIB 150 MG CAPSULE 30 TABLETS NO, 28 DAYS TASIGNA NILOTINIB 200 MG CAPSULE 30 TABLETS NO, 28 DAYS TASIGNA NILOTINIB 50 MG CAPSULE 60 TABLETS YES TAVALISSE FOSTAMATINIB DISODIUM HEXAHYDRATE 100 MG TABLET 60 TABLETS YES TAVALISSE FOSTAMATINIB DISODIUM HEXAHYDRATE 150 MG TABLET 30 TABLETS YES TERIPARATIDE TERIPARATIDE 620 MCG/2.48 ML PEN 1 PEN YES
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX TESTIM TESTOSTERONE 5 GM GEL 60 VIALS YES TINDAMAX TINIDAZOLE 250 MG TABLET 40 TABLETS YES TINDAMAX TINIDAZOLE 500 MG TABLET 20 TABLETS YES TIVORBEX INDOMETHACIN 20 MG CAPSULE 2 TABLETS YES TOBI TOBRAMYCIN 300 MG/5 ML SOLUTION 2 TABLETS NO, 28 DAYS TOBI PODHALER TOBRAMYCIN 28 MG CAPSULE 2 INHALERS YES TOLSURA ITRACONAZOLE 65 MG CAPSULE 120 CAPSULES YES TORADOL KETOROLAC 10 MG TABLET 1 KIT (15 ML) NO, 5 DAYS TOSYMRA SUMATRIPTAN 10 MG NASAL SPRAY 30 TABLETS NO, 6 DOSES TRADJENTA LINAGLIPTIN 5 MG TABLET 120 TABLETS YES TRAMADOL ER TRAMADOL HCL ER 150 MG CAPSULE 30 VIALS YES TRELEGY ELLIPTA FLUTICASONE FUROATE/UMECLIDINIUM/VILANTEROL 28 BLISTERS 30 TABLETS NO TRELEGY ELLIPTA FLUTICASONE FUROATE/UMECLIDINIUM/VILANTEROL 60 BLISTERS 30 PACKETS YES TREMFYA GUSELKUMAB 100 MG/ML AUTO-INJECTOR - LOADING DOSE 200 MG (2 AUTO-INJECTORS) NO TREMFYA GUSELKUMAB 100 MG/ML AUTO-INJECTOR - MAINTENANCE DOSE 100 MG (1 AUTO-INJECTOR) NO TREMFYA GUSELKUMAB 100 MG/ML PRE-FILLED SYRINGE - LOADING DOSE 200 MG (2 PRE-FILLED SYRINGES) NO TREMFYA GUSELKUMAB 100 MG/ML PRE-FILLED SYRINGE - MAINTENANCE DOSE 100 MG (1 PRE-FILLED SYRINGE) NO TREXIMET SUMATRIPTAN/NAPROXEN SODIUM 10/60 MG TABLET 90 CAPSULES YES TREXIMET SUMATRIPTAN/NAPROXEN SODIUM 85-500 MG TABLET 240 TABLETS NO, 4 EPISODES TRULICITY DULAGLUTIDE 0.75 MG/0.5 ML PEN 1 BOTTLE NO, 28 DAYS TRULICITY DULAGLUTIDE 0.75 MG/0.5 ML SYRINGE 30 TABLETS NO, 28 DAYS TRULICITY DULAGLUTIDE 1.5 MG/0.5 ML PEN 30 TABLETS NO, 28 DAYS TRULICITY DULAGLUTIDE 1.5 MG/0.5 ML SYRINGE 30 TABLETS NO, 28 DAYS TRULICITY DULAGLUTIDE 3 MG/0.5 ML PEN 30 TABLETS NO, 28 DAYS TRULICITY DULAGLUTIDE 4.5 MG/0.5 ML PEN 30 TABLETS NO, 28 DAYS TUDORZA PRESSAIR ACLIDINIUM BROMIDE 400 MCG INHALER 1 TABLET YES TUKYSA TUCATINIB 150 MG TABLET 9 TABLETS YES TUKYSA TUCATINIB 50 MG TABLET 2 BOTTLES YES TURALIO PEXIDARTINIB 200 MG CAPSULE 9 TABLETS YES TYKERB CAPECITABINE 250 MG TABLET 9 TABLETS YES TYMLOS ABALOPARATIDE 3,120 MCG/1.56 ML INJECTION 9 TABLETS YES UBRELVY UBROGEPANT 100 MG TABLET 90 CAPSULES NO, 28 DAYS UBRELVY UBROGEPANT 50 MG TABLET 1 TUBE/5 GRAMS NO, 28 DAYS ULTRACET TRAMADOL/ACETAMINOPHEN 37.5 MG-325 MG TABLET 1 TUBE/30 GRAMS YES ULTRAM TRAMADOL HCL 50 MG TABLET 30 TABLETS YES ULTRAM ER TRAMADOL HCL ER 100 MG TABLET 60 TABLETS YES ULTRAM ER TRAMADOL HCL ER 200 MG TABLET 30 TABLETS YES ULTRAM ER TRAMADOL HCL ER 300 MG TABLET 60 TABLETS YES UTIBRON NEOHALER INDACATEROL/GLYCOPYRROLATE 27.5/15.6 MCG INHALATION POWDER (PACKAGE SIZE 6) 60 TABLETS NO, 3 DAYS UTIBRON NEOHALER INDACATEROL/GLYCOPYRROLATE 27.5/15.6 MCG INHALATION POWDER (PACKAGE SIZE 60) 10 FILMS YES VALTREX VALACYCLOVIR 1 GRAM TABLET 10 FILMS YES VALTREX VALACYCLOVIR 500 MG TABLET 60 TABLETS YES VANCOCIN VANCOMYCIN 125 MG CAPSULE 60 TABLETS YES VANCOCIN VANCOMYCIN 250 MG CAPSULE 150 CAPSULES YES VANCOMYCIN VANCOMYCIN 250 MG/5 ML ORAL SOLUTION 30 TABLETS YES VARUBI ROLAPITANT 90 MG TABLET 30 TABLETS NO, 1 CHEMOTHERAPY COURSE VELTASSA PATIROMER 16.8 G ORAL SUSPENSION 30 TABLETS YES VELTASSA PATIROMER 25.2 G ORAL SUSPENSION 30 TABLETS YES VELTASSA PATIROMER 8.4 G ORAL SUSPENSION 30 TABLETS YES VENCLEXTA VENETOCLAX STARTING PACK 30 TABLETS NO, 28 DAYS VENTOLIN HFA ALBUTEROL SULFATE 18 GM AEROSOL 30 TABLETS YES VENTOLIN HFA ALBUTEROL SULFATE 8 GM AEROSOL 60 TABLETS YES VERAMYST FLUTICASONE FUROATE 27.5 MCG (10 G) NASAL SPRAY 120 TABLETS YES VEREGEN SINECATECHINS 15% OINTMENT 60 TABLETS YES VERZENIO ABEMACICLIB 100 MG TABLET 60 TABLETS YES VERZENIO ABEMACICLIB 150 MG TABLET 60 TABLETS YES VERZENIO ABEMACICLIB 200 MG TABLET 60 TABLETS YES VERZENIO ABEMACICLIB 50 MG TABLET 60 TABLETS YES VIAGRA SILDENAFIL CITRATE 100 MG TABLET 8 UNITS/6 UNITS NO, 8 DOSES/6 DOSES VIAGRA SILDENAFIL CITRATE 25 MG TABLET 8 UNITS/6 UNITS NO, 8 DOSES/6 DOSES VIAGRA SILDENAFIL CITRATE 50 MG TABLET 8 UNITS/6 UNITS NO, 8 DOSES/6 DOSES VICTOZA LIRAGLUTIDE 18 MG/3 ML PEN (PACKAGE SIZE 2 PENS) 1 PACKAGE (2 PENS) YES VICTOZA LIRAGLUTIDE 18 MG/3 ML PEN (PACKAGE SIZE 3 PENS) 1 PACKAGE (3 PENS) YES OMBITASVIR, PARITAPREVIR, RITONAVIR 12.5/75/50 MG WITH VIEKIRA PAK OMBITASVIR, PARITAPREVIR, RITONAVIR; DASABUVIR 3 PAKS (336 TABLETS) NO, 365 DAYS DASABUVIR 250 MG) VIVELLE-DOT ESTRADIOL 0.025 MG PATCH 8 PATCHES NO, 28 DAYS VIVELLE-DOT ESTRADIOL 0.0375 MG PATCH 8 PATCHES NO, 28 DAYS VIVELLE-DOT ESTRADIOL 0.05 MG PATCH 8 PATCHES NO, 28 DAYS VIVELLE-DOT ESTRADIOL 0.075 MG PATCH 8 PATCHES NO, 28 DAYS VIVELLE-DOT ESTRADIOL 0.1 MG PATCH 8 PATCHES NO, 28 DAYS
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX VIVLODEX MELOXICAM 5 MG CAPSULE 30 CAPSULES YES VIZIMPRO DACOMITINIB 15 MG TABLET 30 TABLETS YES VIZIMPRO DACOMITINIB 30 MG TABLET 30 TABLETS YES VIZIMPRO DACOMITINIB 45 MG TABLET 30 TABLETS YES VOGELXO TESTOSTERONE 5 GM GEL PACKET 60 PACKETS YES VOGELXO TESTOSTERONE 5 GM GEL TUBE 60 TUBES YES VOGELXO TESTOSTERONE 75 GM PUMP 300 GM YES VOLTAREN DICLOFENAC 1% GEL 500 GRAMS NO, 28 DAYS VOSEVI SOFOSBUVIR/VELPATASVIR/ VOXILAPREVIR 400-100-100 MG TABLET 84 TABLETS NO, 365 DAYS VOTRIENT PAZOPANIB 200 MG TABLET 120 TABLETS YES MICONAZOLE NITRATE, ZINC OXIDE, AND WHITE VUSION OINTMENT 50 GRAMS NO, 28 DAYS PETROLATUM VYLEESI BREMELANOTIDE INJECTION 1.75 MG/0.3 ML AUTO-INJECTOR 4 AUTO-INJECTORS NO, 4 DOSES VYLEESI BREMELANOTIDE INJECTION 1.75 MG/0.3 ML AUTO-INJECTOR 8 AUTO-INJECTORS NO, 8 DOSES VYTORIN EZETIMIBE/SIMVASTATIN 10-10 MG TABLET 30 TABLETS YES VYTORIN EZETIMIBE/SIMVASTATIN 10-20 MG TABLET 30 TABLETS YES VYTORIN EZETIMIBE/SIMVASTATIN 10-40 MG TABLET 30 TABLETS YES VYTORIN EZETIMIBE/SIMVASTATIN 10-80 MG TABLET 30 TABLETS YES WAKIX PITOLISANT 17.8 MG TABLET 60 TABLETS YES WAKIX PITOLISANT 4.45 MG TABLET 30 TABLETS YES XALKORI CRIZOTINIB 200 MG CAPSULE 60 CAPSULES YES XALKORI CRIZOTINIB 250 MG CAPSULE 60 TABLETS YES XELJANZ TOFACITINIB 10 MG TABLET 60 TABLETS YES XELJANZ TOFACITINIB 5 MG TABLET 60 TABLETS YES XELJANZ XR TOFACITINIB 11 MG TABLET 30 TABLETS YES XELJANZ XR TOFACITINIB 22 MG TABLET 30 TABLETS YES XERMELO TELOTRISTAT ETHYL 250 MG TABLET 90 TABLETS YES XHANCE FLUTICASONE PROPIONATE 93 MCG NASAL SPRAY 2 BOTTLES (32 ML) YES XIFAXAN RIFAXIMIN 200 MG TABLET 9 TABLETS NO, 1 COURSE OF TREATMENT XIFAXAN RIFAXIMIN 550 MG TABLET 60 TABLETS YES XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 10 MG/1000 MG TABLET 30 TABLETS YES XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 10 MG/500 MG TABLET 30 TABLETS YES XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 2.5 MG/1000 MG TABLET 60 TABLETS YES XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 5 MG/1000 MG TABLET 60 TABLETS YES XIGDUO XR DAPAGLIFLOZIN/METFORMIN HCL XR 5 MG/500 MG TABLET 30 TABLETS YES, OR 7 DAYS XIIDRA LIFITEGRAST OPHTHALMIC SOLUTION 5% SOLUTION 60 VIALS YES XOFLUZA BALOXAVIR MARBOXIL 20 MG TABLET 2 TABLETS NO XOFLUZA BALOXAVIR MARBOXIL 20 MG TABLET 4 TABLETS NO, 365 DAYS XOFLUZA BALOXAVIR MARBOXIL 40 MG TABLET 2 TABLETS NO XOFLUZA BALOXAVIR MARBOXIL 40 MG TABLET 4 TABLETS NO, 365 DAYS XOLAIR OMALIZUMAB 150 MG VIAL 6 VIALS NO, 28 DAYS XOLEGEL KETOCONAZOLE 2% GEL 45 GRAMS NO, 28 DAYS XOPENEX HFA LEVALBUTEROL TARTRATE 45 MCG 2 INHALERS YES XTAMPZA ER OXYCODONE 13.5 MG CAPSULE 90 CAPSULES YES XTAMPZA ER OXYCODONE 18 MG CAPSULE 90 CAPSULES YES XTAMPZA ER OXYCODONE 27 MG CAPSULE 90 CAPSULES YES XTAMPZA ER OXYCODONE 36 MG CAPSULE 90 CAPSULES YES XTAMPZA ER OXYCODONE 9 MG CAPSULE 90 CAPSULES YES XTANDI ENZALUTAMIDE 40 MG CAPSULE 120 CAPSULES YES XULTOPHY INSULIN DEGLUDEC AND LIRAGLUTIDE 5 X 3 ML SYRINGE 1 KIT (15 ML) YES XYZAL LEVOCETIRIZINE 5 MG TABLET 30 TABLETS YES YONSA ABIRATERONE ACETATE 125 MG TABLET 120 TABLETS YES YUPELRI REVEFENACIN 175 MCG/3 ML VIAL 30 VIALS YES ZECUITY TDS SUMATRIPTAN IONTOPHORETIC 6.5 MG/4 HOUR 4 PATCHES NO, 2 HEADACHES ZEGERID OMEPRAZOLE,SODIUM BICARBONATE 20 MG CAPSULE 30 TABLETS YES ZEGERID OMEPRAZOLE,SODIUM BICARBONATE 20 MG PACKET 30 PACKETS YES ZEJULA NIRAPARIB 100 MG CAPSULE 90 CAPSULES YES ZELBORAF VEMURAFENIB 240 MG TABLET 240 TABLETS YES ZEMBRACE SUMATRIPTAN 3 MG/0.5 ML SYRINGE 4 SYRINGES (1 KIT) YES ZETONNA CICLESONIDE 37 MCG (6.1 G) NASAL SPRAY 1 BOTTLE YES ZINBRYTA DACLIZUMAB 150 MG/ML SYRINGE 1 SYRINGE (150 MG/ML) NO, 28 DAYS ZOCOR SIMVASTATIN 10 MG TABLET 30 TABLETS YES ZOCOR SIMVASTATIN 20 MG TABLET 30 TABLETS YES ZOCOR SIMVASTATIN 40 MG TABLET 30 TABLETS YES ZOCOR SIMVASTATIN 5 MG TABLET 30 TABLETS YES ZOCOR SIMVASTATIN 80 MG TABLET 30 TABLETS YES ZOFRAN ONDANSETRON 24 MG TABLET 1 TABLET NO, 1 CHEMOTHERAPY COURSE ZOFRAN ONDANSETRON 4 MG TABLET 9 TABLETS NO, 1 CHEMOTHERAPY COURSE ZOFRAN ONDANSETRON 4 MG/5 ML SOLUTION 2 BOTTLES NO, 1 CHEMOTHERAPY COURSE ZOFRAN ONDANSETRON 8 MG TABLET 9 TABLETS NO, 1 CHEMOTHERAPY COURSE
Data Class: Internal
ENTERPRISE HOLDINGS DRUG QUANTITY MANAGEMENT LIST 2021 QUANTITY 30 DAY SUPPLY MEDICATION GENERIC TARGET DOSAGE/STRENGTH PER DAYS OR PER RX FOR PER DAYS OR PER RX ZOFRAN ODT ONDANSETRON 4 MG TABLET 9 TABLETS NO, 1 CHEMOTHERAPY COURSE ZOFRAN ODT ONDANSETRON 8 MG TABLET 9 TABLETS NO, 1 CHEMOTHERAPY COURSE ZOHYDRO ER HYDROCODONE BITARTRATE 10 MG CAPSULE 90 CAPSULES YES ZOHYDRO ER HYDROCODONE BITARTRATE 15 MG CAPSULE 90 CAPSULES YES ZOHYDRO ER HYDROCODONE BITARTRATE 20 MG CAPSULE 90 CAPSULES YES ZOHYDRO ER HYDROCODONE BITARTRATE 30 MG CAPSULE 90 CAPSULES YES ZOHYDRO ER HYDROCODONE BITARTRATE 40 MG CAPSULE 90 CAPSULES YES ZOHYDRO ER HYDROCODONE BITARTRATE 50 MG CAPSULE 90 CAPSULES YES ZOLPIMIST ZOLPIDEM 5 MG ORAL SPRAY 4.5 ML (1 BOTTLE) YES ZOMIG ZOLMITRIPTAN 2.5 MG TABLET 6 TABLETS NO, 3 EPISODES ZOMIG ZOLMITRIPTAN 5 MG NASAL SPRAY 6 DEVICES NO, 3 EPISODES ZOMIG ZOLMITRIPTAN 5 MG TABLET 6 TABLETS NO, 3 EPISODES ZOMIG ZMT ZOLMITRIPTAN 2.5 MG TABLET 6 TABLETS NO, 3 EPISODES ZOMIG ZMT ZOLMITRIPTAN 5 MG TABLET 6 TABLETS NO, 3 EPISODES ZONALON/PRUDOXIN DOXEPIN 5% CREAM 45 GRAMS YES ZORVOLEX DICLOFENAC 18 MG CAPSULE 90 CAPSULES YES ZOVIRAX ACYCLOVIR 5% CREAM 1 TUBE/5 GRAMS YES ZOVIRAX ACYCLOVIR 5% OINTMENT 1 TUBE/30 GRAMS YES ZUBSOLV BUPRENORPHINE/NALOXONE 0.7 MG/0.18 MG TABLET 30 TABLETS YES ZUBSOLV BUPRENORPHINE/NALOXONE 1.4 MG/0.36 MG TABLET 60 TABLETS YES ZUBSOLV BUPRENORPHINE/NALOXONE 2.9 MG/0.71 MG TABLET 30 TABLETS YES ZUBSOLV BUPRENORPHINE/NALOXONE 5.7 MG/1.4 MG TABLET 60 TABLETS YES ZUBSOLV BUPRENORPHINE/NALOXONE 8.6 MG/2.1 MG TABLET 60 TABLETS YES ZUPLENZ ONDANSETRON 4 MG SOLUBLE FILM 10 FILMS NO, 1 CHEMOTHERAPY COURSE ZUPLENZ ONDANSETRON 8 MG SOLUBLE FILM 10 FILMS NO, 1 CHEMOTHERAPY COURSE ZYDELIG IDELALISIB 100 MG TABLET 60 TABLETS YES ZYDELIG IDELALISIB 150 MG TABLET 60 TABLETS YES ZYKADIA CERITINIB 150 MG CAPSULE 150 CAPSULES YES ZYPITAMAG PITAVASTATIN 1 MG TABLET 30 TABLETS YES ZYPITAMAG PITAVASTATIN 2 MG TABLET 30 TABLETS YES ZYPITAMAG PITAVASTATIN 4 MG TABLET 30 TABLETS YES ZYRTEC CETIRIZINE 10 MG CHEWABLE TABLET 30 TABLETS YES ZYRTEC CETIRIZINE 10 MG TABLET 30 TABLETS YES ZYRTEC CETIRIZINE 5 MG CHEWABLE TABLET 30 TABLETS YES ZYRTEC CETIRIZINE 5 MG TABLET 30 TABLETS YES ZYRTEC-D 12 HOUR CETIRIZINE/PSEUDOEPHEDRINE 5 MG-120 MG TABLET 60 TABLETS YES ZYTIGA ABIRATERONE ACETATE 250 MG TABLET 120 TABLETS YES ZYTIGA ABIRATERONE ACETATE 500 MG TABLET 60 TABLETS YES
Data Class: Internal