HealthPartners EnhancedRx Drug List (formulary)
For current information on the EnhancedRx Drug List, visit healthpartners.com/pharmacy.
Effective: July 1, 2015
©2013 HealthPartners What’s the EnhancedRx drug list? What do the abbreviations in the “More details” column mean? This is the list of medicines (a drug list sometimes also called a formulary) covered by your health plan. The This column gives special information about the medicine drug list is reviewed by a team of clinical experts every you’re searching for. The abbreviations let you know there three months for new medicines, safety alerts and other might be a special program or rules for the medicine. Use developments. this key to help you navigate the drug list:
Prior Authorization Required Who decides what’s on the drug list? Step Therapy Required The HealthPartners Pharmacy and Therapeutics Committee (P&T) manages the list. This team of clinical Age Edit experts is focused on safety, effectiveness and affordability. Visit healthpartners.com/pharmacy for Gender Edit Female more information on how we decide what medicines Gender Edit Male are included on the drug lists. Quantity Limit
How do you use the drug list? Smoking Cessation The medicines on the drug list are listed in alphabetical Specialty Drugs order by medicine category starting on page 4. Some medicines are listed in ALL CAPS and others are lower italics Trial Drug Program to help you determine which medicines are brand and which are generic. Brand medicines are the most costly. Weight Loss Generic medicines are just as safe and effective as brand medicines but cost you less, and some generic medicines Oncology are very low-cost. Use this key to help:
Brand medicines are in ALL CAPS (e.g., KEFLEX) What’s Step Therapy?
Generic medicines are in lower italics Some medicines are on the drug list, but require you to try one or more other drug list medicines first. (e.g., cephalexin) HealthPartners covers a medicine with step therapy, if o High-Cost Generics you've already tried the other medicine(s). If you haven't tried the other medicine(s) first, you or your o Low-Cost Generics doctor will need to get approval from HealthPartners before the medicine will be covered by your lowest brand, generic or specialty copay or coinsurance. The Why do you need prior authorization for approval decision is usually made within 2 to 3 working some medicines? days of the request.
Even though some medicines are on the drug list, they need to meet the HealthPartners prior authorization What’s Age Edit? criteria in order for the medicine to be covered by your pharmacy benefits. Your doctor will get the approval for An age edit means some medicines are only covered if you. The approval decision is usually made within 2 to 3 you’re within a specific age range. If you're not in the working days of the request. approved age range, you or your doctor will need to request approval from HealthPartners if you want your What’s Trial Drug Program? medicine to be covered by your pharmacy benefits. The approval decision is usually made within 2 to 3 working The trial drug program applies to new prescriptions for certain medicines that may not be well tolerated due days of the request. to: Side effects
What’s Gender Edit? High cost
A gender edit means some medicines are covered for High potential for waste males or females only. If you're not in the approved gender group, you or your doctor will need to request Your first fill of a trial drug may be limited to less than a approval from HealthPartners if you want your month supply. If the drug is well tolerated and effective, medicine to be covered by your pharmacy benefits. The you’ll get the remainder of your first month supply. If a approval decision is usually made within 2 to 3 working flat dollar copay applies to the medicine, you’ll pay no days of the request. more than one copay for each one month supply.
What’s a Quantity Limit? What’s Weight Loss? This means HealthPartners limits the amount of the medicine that you'll get each time you fill your This type of medicine may have limits on the amount prescription. The quantity limit may be less than the you get or may not be covered under all contracts. Log days supply listed in your contract or Summary Plan on to your secure myHealthPartners account and click Description. on "My plan benefits" on the Medical Plan tab to check your benefits for weight loss. Weight Loss medicines are listed on the drug list under the Weight Loss medicine What’s Smoking Cessation? category. These are medicines that can be used to help you stop smoking. Some medicines used for smoking cessation may have limits on the amount you get. What’s Oncology?
These are oncology (cancer) medicines that must be What’s Specialty Medicine? filled at a specialty pharmacy, but are not subject to the Specialty medicines are usually prescribed by doctors specialty benefit. Instead, your regular generic or brand pharmacy copay or coinsurance will apply. whose focus is on the treatment of chronic and complex diseases. These medicines usually require a higher degree of management, have a high price and aren’t always stocked at retail pharmacies. Prescriptions for these medicines must be filled at a specialty pharmacy and are often covered at a different benefit than non- specialty medicines. Log on to your secure myHealthPartners account and click on "My plan benefits" on the Medical Plan tab to check your benefits for specialty medicines.
The HealthPartners family of health plans is underwritten and/or administered by HealthPartners, Inc., Group Health, Inc., HealthPartners Insurance Company or HealthPartners Administrators, Inc. Fully insured Wisconsin plans are underwritten by HealthPartners Insurance Company. (1/15) ©2013 HealthPartners Table of Contents
Alcohol Dependency ...... 3 Allergy ...... 3 Alpha-1 Antitrypsin Deficiency ...... 4 Anti-Addiction/Substance Abuse Treatment Agents ...... 4 Anti-Infective ...... 5 Arthritis ...... 15 Asthma & COPD ...... 15 Behavioral Health ...... 18 Birth Control ...... 22 Bleeding Disorders ...... 28 Blood Modifier ...... 28 Blood Thinner ...... 30 Bone Health ...... 32 Cancer ...... 32 Corticosteroids ...... 35 Cough & Cold ...... 36 Cystic Fibrosis ...... 36 Dementia ...... 37 Diabetes ...... 37 Ear Conditions ...... 40 Enzyme Replacement ...... 40 Eye Conditions ...... 40 Gout ...... 45 Heart Health ...... 45 Hereditary Angioedema ...... 53 Immune Deficiency ...... 53 Immune Suppressant ...... 54 Kidney Failure ...... 55 Men's Health ...... 55 Migraine ...... 56 Mouth & Throat ...... 57 Multiple Sclerosis ...... 58 Muscle Relaxant ...... 59 Other Conditions ...... 59 Pain ...... 61 Parkinson's ...... 65 Pulmonary Hypertension ...... 66 Seizures / Epilepsy ...... 67 Skin Conditions ...... 70 Sleep Disorders ...... 77 Smoking Cessation ...... 78 Stomach / Gastrointestinal ...... 78 Thyroid ...... 82 Urinary & Bladder Health ...... 82 Vaccines ...... 84 1 Vitamins And Minerals ...... 85 Weight Loss ...... 88 Women's Health ...... 88 Index ...... 91
2 Drug Status More Details Alcohol Dependency Alcohol Dependency acamprosate oral tablet,delayed release (dr/ec)
333 mg disulfiram oral tablet 250 mg, 500 mg naltrexone oral tablet 50 mg
Allergy Allergy, Eye azelastine ophthalmic drops 0.05 % cromolyn ophthalmic drops 4 % epinastine ophthalmic drops 0.05 %
PATADAY OPHTHALMIC DROPS 0.2 %
PAZEO OPHTHALMIC DROPS 0.7 %
Allergy, Injection AUVI-Q INJECTION AUTO-INJECTOR 0.15
MG/0.15 ML (1:1,000), 0.3 MG/0.3 ML (1:1,000) EPIPEN INJECTION AUTO-INJECTOR 0.3 MG/0.3
ML (1:1,000) EPIPEN JR 2-PAK INJECTION AUTO-INJECTOR 0.15
MG/0.3 ML (1:2,000) Allergy, Other Nasal azelastine nasal aerosol,spray 137 mcg (0.1 %) ipratropium bromide nasal spray,non-aerosol 0.03
%, 0.06 % Allergy, Other Oral GRASTEK SUBLINGUAL TABLET 2,800 BAU
RAGWITEK SUBLINGUAL TABLET 12 AMB A 1 UNIT Antihistamines, Oral clemastine oral syrup 0.67 mg/5 ml
EnhancedRx July 1, 2015 3 Drug Status More Details cyproheptadine oral syrup 2 mg/5 ml cyproheptadine oral tablet 4 mg hydroxyzine hcl oral solution 10 mg/5 ml hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg promethazine oral syrup 6.25 mg/5 ml promethazine oral tablet 12.5 mg, 25 mg, 50 mg
Corticosteroids, Nasal flunisolide nasal spray,non-aerosol 25 mcg (0.025
%), 29 mcg (0.025 %) fluticasone nasal spray,suspension 50 mcg/actuation NASONEX NASAL SPRAY,NON-AEROSOL 50
MCG/ACTUATION QNASL NASAL HFA AEROSOL INHALER 40
MCG/ACTUATION, 80 MCG/ACTUATION VERAMYST NASAL SPRAY,SUSPENSION 27.5
MCG/ACTUATION Alpha-1 Antitrypsin Deficiency Alpha-1 Antitrypsin Deficiency ARALAST NP INTRAVENOUS RECON SOLN 1,000 MG, 500 MG GLASSIA INTRAVENOUS SOLUTION 1 GRAM/50 ML (2 %) PROLASTIN INTRAVENOUS RECON SOLN 1,000 MG, 500 MG PROLASTIN-C INTRAVENOUS RECON SOLN 1,000 MG ZEMAIRA INTRAVENOUS RECON SOLN 1,000 MG
Anti-Addiction/Substance Abuse
Treatment Agents Anti-Addiction/Substance Abuse
Treatment Agents
EnhancedRx July 1, 2015 4 Drug Status More Details naloxone injection syringe 1 mg/ml
Anti-Infective Antibiotics, Cephalosporins cefadroxil oral capsule 500 mg cefadroxil oral suspension for reconstitution 250 mg/5 ml, 500 mg/5 ml cefadroxil oral tablet 1 gram cefdinir oral capsule 300 mg cefdinir oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml cefprozil oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml cefprozil oral tablet 250 mg, 500 mg
CEFTIN ORAL SUSPENSION FOR
RECONSTITUTION 125 MG/5 ML, 250 MG/5 ML cefuroxime axetil oral tablet 250 mg, 500 mg cephalexin oral capsule 250 mg, 500 mg cephalexin oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml cephalexin oral tablet 250 mg, 500 mg
SUPRAX ORAL CAPSULE 400 MG
SUPRAX ORAL TABLET 400 MG
Antibiotics, Macrolides azithromycin oral suspension for reconstitution
100 mg/5 ml, 200 mg/5 ml azithromycin oral tablet 250 mg, 500 mg, 600 mg clarithromycin oral suspension for reconstitution
125 mg/5 ml, 250 mg/5 ml clarithromycin oral tablet 250 mg, 500 mg
EnhancedRx July 1, 2015 5 Drug Status More Details DIFICID ORAL TABLET 200 MG
ERYPED 400 ORAL SUSPENSION FOR
RECONSTITUTION 400 MG/5 ML ery-tab oral tablet,delayed release (dr/ec) 250 mg,
500 mg ERY-TAB ORAL TABLET,DELAYED RELEASE
(DR/EC) 333 MG erythrocin (as stearate) oral tablet 250 mg erythromycin ethylsuccinate oral suspension for reconstitution 200 mg/5 ml erythromycin ethylsuccinate oral tablet 400 mg erythromycin oral capsule,delayed release(dr/ec)
250 mg erythromycin oral tablet 250 mg, 500 mg erythromycin-sulfisoxazole oral suspension for reconstitution 200-600 mg/5 ml Antibiotics, Other clindamycin hcl oral capsule 150 mg, 300 mg, 75 mg clindamycin palmitate hcl oral recon soln 75 mg/5 ml neomycin oral tablet 500 mg sulfamethoxazole-trimethoprim oral suspension
200-40 mg/5 ml sulfamethoxazole-trimethoprim oral tablet 400-80 mg, 800-160 mg trimethoprim oral tablet 100 mg vancomycin intravenous recon soln 1,000 mg, 10 gram, 5 gram, 500 mg vancomycin oral capsule 125 mg, 250 mg
XIFAXAN ORAL TABLET 200 MG, 550 MG
ZYVOX ORAL SUSPENSION FOR RECONSTITUTION 100 MG/5 ML
EnhancedRx July 1, 2015 6 Drug Status More Details ZYVOX ORAL TABLET 600 MG
Antibiotics, Penicillins amoxicillin oral capsule 250 mg, 500 mg amoxicillin oral suspension for reconstitution 125 mg/5 ml, 200 mg/5 ml, 250 mg/5 ml, 400 mg/5 ml amoxicillin oral tablet 500 mg, 875 mg amoxicillin oral tablet,chewable 125 mg, 250 mg amoxicillin-pot clavulanate oral suspension for reconstitution 200-28.5 mg/5 ml, 250-62.5 mg/5 ml, 400-57 mg/5 ml, 600-42.9 mg/5 ml amoxicillin-pot clavulanate oral tablet 250-125 mg, 500-125 mg, 875-125 mg amoxicillin-pot clavulanate oral tablet,chewable
200-28.5 mg, 400-57 mg ampicillin oral capsule 250 mg, 500 mg ampicillin oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml dicloxacillin oral capsule 250 mg, 500 mg penicillin v potassium oral recon soln 125 mg/5 ml, 250 mg/5 ml penicillin v potassium oral tablet 250 mg, 500 mg
Antibiotics, Quinolones ciprofloxacin hcl oral tablet 100 mg, 250 mg, 500 mg, 750 mg ciprofloxacin oral suspension,microcapsule recon
250 mg/5 ml, 500 mg/5 ml levofloxacin oral solution 250 mg/10 ml levofloxacin oral tablet 250 mg, 500 mg, 750 mg moxifloxacin oral tablet 400 mg
Antibiotics, Tetracyclines demeclocycline oral tablet 150 mg, 300 mg
EnhancedRx July 1, 2015 7 Drug Status More Details doxycycline hyclate oral tablet 20 mg doxycycline monohydrate oral capsule 100 mg, 50 mg minocycline oral capsule 100 mg, 50 mg, 75 mg tetracycline oral capsule 250 mg, 500 mg
Antifungals clotrimazole mucous membrane troche 10 mg
CRESEMBA ORAL CAPSULE 186 MG fluconazole oral suspension for reconstitution 10 mg/ml, 40 mg/ml fluconazole oral tablet 100 mg, 150 mg, 200 mg,
50 mg griseofulvin microsize oral suspension 125 mg/5 ml griseofulvin microsize oral tablet 500 mg griseofulvin ultramicrosize oral tablet 125 mg, 250 mg itraconazole oral capsule 100 mg ketoconazole oral tablet 200 mg
NOXAFIL ORAL SUSPENSION 200 MG/5 ML (40 MG/ML) NOXAFIL ORAL TABLET,DELAYED RELEASE (DR/EC) 100 MG nystatin oral suspension 100,000 unit/ml nystatin oral tablet 500,000 unit
SPORANOX ORAL SOLUTION 10 MG/ML terbinafine hcl oral tablet 250 mg voriconazole oral suspension for reconstitution 200 mg/5 ml (40 mg/ml)
EnhancedRx July 1, 2015 8 Drug Status More Details voriconazole oral tablet 200 mg, 50 mg
Anti-Infective, Other ALBENZA ORAL TABLET 200 MG atovaquone oral suspension 750 mg/5 ml
BILTRICIDE ORAL TABLET 600 MG dapsone oral tablet 100 mg, 25 mg ivermectin oral tablet 3 mg rifabutin oral capsule 150 mg
SIVEXTRO ORAL TABLET 200 MG
Antiprotozoals ALINIA ORAL SUSPENSION FOR RECONSTITUTION 100 MG/5 ML ALINIA ORAL TABLET 500 MG atovaquone-proguanil oral tablet 250-100 mg,
62.5-25 mg chloroquine phosphate oral tablet 250 mg, 500 mg hydroxychloroquine oral tablet 200 mg mefloquine oral tablet 250 mg metronidazole oral tablet 250 mg, 500 mg
YODOXIN ORAL TABLET 210 MG, 650 MG
Antiviral, Hepatitis B adefovir oral tablet 10 mg
BARACLUDE ORAL SOLUTION 0.05 MG/ML entecavir oral tablet 0.5 mg, 1 mg
EnhancedRx July 1, 2015 9 Drug Status More Details EPIVIR HBV ORAL SOLUTION 25 MG/5 ML (5
MG/ML) lamivudine oral tablet 100 mg
TYZEKA ORAL TABLET 600 MG
Antiviral, Hepatitis C HARVONI ORAL TABLET 90-400 MG
INTRON A INJECTION RECON SOLN 10 MILLION UNIT (1 ML), 18 MILLION UNIT (1 ML), 50
MILLION UNIT (1 ML) INTRON A INJECTION SOLUTION 10 MILLION UNIT/ML, 6 MILLION UNIT/ML OLYSIO ORAL CAPSULE 150 MG
PEGASYS CONVENIENCE PACK SUBCUTANEOUS KIT 180 MCG/0.5 ML PEGASYS PROCLICK SUBCUTANEOUS PEN INJECTOR 135 MCG/0.5 ML, 180 MCG/0.5 ML PEGASYS SUBCUTANEOUS SOLUTION 180 MCG/ML PEGASYS SUBCUTANEOUS SYRINGE 180 MCG/0.5 ML PEGINTRON REDIPEN SUBCUTANEOUS PEN INJECTOR KIT 120 MCG/0.5 ML, 150 MCG/0.5
ML, 50 MCG/0.5 ML, 80 MCG/0.5 ML PEGINTRON SUBCUTANEOUS KIT 120 MCG/0.5 ML, 150 MCG/0.5 ML, 50 MCG/0.5 ML, 80
MCG/0.5 ML REBETOL ORAL SOLUTION 40 MG/ML ribavirin oral capsule 200 mg ribavirin oral tablet 200 mg
SOVALDI ORAL TABLET 400 MG
Antiviral, HIV abacavir oral tablet 300 mg
EnhancedRx July 1, 2015 10 Drug Status More Details abacavir-lamivudine-zidovudine oral tablet 300-
150-300 mg APTIVUS ORAL CAPSULE 250 MG
APTIVUS ORAL SOLUTION 100 MG/ML
ATRIPLA ORAL TABLET 600-200-300 MG
COMPLERA ORAL TABLET 200-25-300 MG
CRIXIVAN ORAL CAPSULE 200 MG, 400 MG didanosine oral capsule,delayed release(dr/ec)
125 mg, 200 mg, 250 mg, 400 mg EDURANT ORAL TABLET 25 MG
EMTRIVA ORAL CAPSULE 200 MG
EMTRIVA ORAL SOLUTION 10 MG/ML
EPZICOM ORAL TABLET 600-300 MG
EVOTAZ ORAL TABLET 300-150 MG
FUZEON SUBCUTANEOUS RECON SOLN 90 MG
INTELENCE ORAL TABLET 100 MG, 200 MG, 25
MG INVIRASE ORAL CAPSULE 200 MG
INVIRASE ORAL TABLET 500 MG
ISENTRESS ORAL POWDER IN PACKET 100 MG
ISENTRESS ORAL TABLET 400 MG
ISENTRESS ORAL TABLET,CHEWABLE 100 MG, 25
MG KALETRA ORAL SOLUTION 400-100 MG/5 ML
EnhancedRx July 1, 2015 11 Drug Status More Details KALETRA ORAL TABLET 100-25 MG, 200-50 MG lamivudine oral solution 10 mg/ml lamivudine oral tablet 150 mg, 300 mg lamivudine-zidovudine oral tablet 150-300 mg
LEXIVA ORAL SUSPENSION 50 MG/ML
LEXIVA ORAL TABLET 700 MG nevirapine oral suspension 50 mg/5 ml nevirapine oral tablet 200 mg nevirapine oral tablet extended release 24 hr 400 mg NORVIR ORAL SOLUTION 80 MG/ML
NORVIR ORAL TABLET 100 MG
NORVIR SOFT GELATIN ORAL CAPSULE 100 MG
PREZCOBIX ORAL TABLET 800-150 MG-MG
PREZISTA ORAL SUSPENSION 100 MG/ML
PREZISTA ORAL TABLET 150 MG, 400 MG, 600
MG, 75 MG, 800 MG RESCRIPTOR ORAL TABLET 200 MG
RESCRIPTOR ORAL TABLET, DISPERSIBLE 100 MG
REYATAZ ORAL CAPSULE 100 MG, 150 MG, 200
MG, 300 MG REYATAZ ORAL POWDER IN PACKET 50 MG
SELZENTRY ORAL TABLET 150 MG, 300 MG stavudine oral capsule 15 mg, 20 mg, 30 mg, 40 mg EnhancedRx July 1, 2015 12 Drug Status More Details stavudine oral recon soln 1 mg/ml
STRIBILD ORAL TABLET 150-150-200-300 MG
SUSTIVA ORAL CAPSULE 200 MG, 50 MG
SUSTIVA ORAL TABLET 600 MG
TIVICAY ORAL TABLET 50 MG
TRIUMEQ ORAL TABLET 600-50-300 MG
TRUVADA ORAL TABLET 200-300 MG
TYBOST ORAL TABLET 150 MG
VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN 10
MG/ML (FINAL) VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN 10
MG/ML (FINAL) VIRACEPT ORAL TABLET 250 MG, 625 MG
VIREAD ORAL POWDER 40 MG/SCOOP (40
MG/GRAM) VIREAD ORAL TABLET 150 MG, 200 MG, 250 MG,
300 MG VITEKTA ORAL TABLET 150 MG, 85 MG
ZIAGEN ORAL SOLUTION 20 MG/ML zidovudine oral capsule 100 mg zidovudine oral syrup 10 mg/ml zidovudine oral tablet 300 mg
Antiviral, Other acyclovir oral capsule 200 mg acyclovir oral suspension 200 mg/5 ml
EnhancedRx July 1, 2015 13 Drug Status More Details acyclovir oral tablet 400 mg, 800 mg amantadine hcl oral capsule 100 mg amantadine hcl oral solution 50 mg/5 ml
RELENZA DISKHALER INHALATION BLISTER WITH DEVICE 5 MG/ACTUATION rimantadine oral tablet 100 mg
TAMIFLU ORAL CAPSULE 30 MG, 45 MG, 75 MG
TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION 6 MG/ML valacyclovir oral tablet 1 gram, 500 mg
VALCYTE ORAL RECON SOLN 50 MG/ML valganciclovir oral tablet 450 mg
Tuberculosis cycloserine oral capsule 250 mg ethambutol oral tablet 100 mg, 400 mg isoniazid oral solution 50 mg/5 ml isoniazid oral tablet 100 mg, 300 mg
PRIFTIN ORAL TABLET 150 MG pyrazinamide oral tablet 500 mg rifampin oral capsule 150 mg, 300 mg
SIRTURO ORAL TABLET 100 MG
TRECATOR ORAL TABLET 250 MG
Urinary Anti-Infectives MACRODANTIN ORAL CAPSULE 25 MG
EnhancedRx July 1, 2015 14 Drug Status More Details MONUROL ORAL PACKET 3 GRAM nitrofurantoin macrocrystal oral capsule 100 mg, 50 mg nitrofurantoin monohyd/m-cryst oral capsule 100 mg nitrofurantoin oral suspension 25 mg/5 ml
Arthritis Arthritis, Other CUPRIMINE ORAL CAPSULE 250 MG
DEPEN TITRATABS ORAL TABLET 250 MG
Disease Modifying Agents ENBREL SUBCUTANEOUS RECON SOLN 25 MG (1 ML) ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML) ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR 50 MG/ML (0.98 ML) HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT 40 MG/0.8 ML HUMIRA SUBCUTANEOUS SYRINGE KIT 10 MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML KINERET SUBCUTANEOUS SYRINGE 100 MG/0.67 ML leflunomide oral tablet 10 mg, 20 mg methotrexate sodium (pf) injection solution 25 mg/ml methotrexate sodium injection solution 25 mg/ml methotrexate sodium oral tablet 2.5 mg
RIDAURA ORAL CAPSULE 3 MG
Asthma & COPD Asthma & COPD, Other ATROVENT HFA INHALATION HFA AEROSOL
INHALER 17 MCG/ACTUATION EnhancedRx July 1, 2015 15 Drug Status More Details cromolyn inhalation solution for nebulization 20 mg/2 ml DALIRESP ORAL TABLET 500 MCG ipratropium bromide inhalation solution 0.02 % montelukast oral granules in packet 4 mg montelukast oral tablet 10 mg montelukast oral tablet,chewable 4 mg, 5 mg
SPIRIVA RESPIMAT INHALATION MIST 2.5
MCG/ACTUATION SPIRIVA WITH HANDIHALER INHALATION
CAPSULE, W/INHALATION DEVICE 18 MCG Bronchodilators, Inhaled albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 5 mg/ml FORADIL AEROLIZER INHALATION CAPSULE,
W/INHALATION DEVICE 12 MCG MAXAIR AUTOHALER INHALATION AEROSOL BREATH ACTIVATED 200 MCG/INHALATION SEREVENT DISKUS INHALATION BLISTER WITH
DEVICE 50 MCG/DOSE STRIVERDI RESPIMAT INHALATION MIST 2.5
MCG/ACTUATION VENTOLIN HFA INHALATION HFA AEROSOL
INHALER 90 MCG/ACTUATION Bronchodilators, Oral albuterol sulfate oral syrup 2 mg/5 ml albuterol sulfate oral tablet 2 mg, 4 mg albuterol sulfate oral tablet extended release 12 hr 4 mg, 8 mg terbutaline oral tablet 2.5 mg, 5 mg theophylline oral tablet extended release 12 hr
100 mg, 200 mg, 300 mg, 450 mg
EnhancedRx July 1, 2015 16 Drug Status More Details theophylline oral tablet extended release 400 mg,
600 mg Combination Agents, Inhaled ADVAIR DISKUS INHALATION BLISTER WITH DEVICE 100-50 MCG/DOSE, 250-50 MCG/DOSE, 500-50 MCG/DOSE ADVAIR HFA INHALATION HFA AEROSOL INHALER 115-21 MCG/ACTUATION, 230-21 MCG/ACTUATION, 45-21 MCG/ACTUATION ANORO ELLIPTA INHALATION BLISTER WITH DEVICE 62.5-25 MCG/ACTUATION ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE 100 MCG/ACTUATION, 200 MCG/ACTUATION BREO ELLIPTA INHALATION BLISTER WITH DEVICE
100-25 MCG/DOSE, 200-25 MCG/DOSE COMBIVENT INHALATION AEROSOL 18-103
MCG/ACTUATION COMBIVENT RESPIMAT INHALATION MIST 20-
100 MCG/ACTUATION DULERA INHALATION HFA AEROSOL INHALER 100-5 MCG/ACTUATION, 200-5
MCG/ACTUATION ipratropium-albuterol inhalation solution for nebulization 0.5 mg-3 mg(2.5 mg base)/3 ml Corticosteroids, Inhaled ASMANEX HFA INHALATION HFA AEROSOL INHALER 100 MCG/ACTUATION, 200 MCG/ACTUATION ASMANEX TWISTHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 110 MCG (30
DOSES), 220 MCG (120 DOSES), 220 MCG (30 DOSES), 220 MCG (60 DOSES) budesonide inhalation suspension for nebulization 0.25 mg/2 ml, 0.5 mg/2 ml FLOVENT DISKUS INHALATION BLISTER WITH DEVICE 100 MCG/ACTUATION, 250 MCG/ACTUATION, 50 MCG/ACTUATION FLOVENT HFA INHALATION HFA AEROSOL INHALER 110 MCG/ACTUATION, 220 MCG/ACTUATION, 44 MCG/ACTUATION
EnhancedRx July 1, 2015 17 Drug Status More Details PULMICORT FLEXHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 180 MCG/ACTUATION, 90 MCG/ACTUATION PULMICORT INHALATION SUSPENSION FOR NEBULIZATION 1 MG/2 ML QVAR INHALATION AEROSOL 40
MCG/ACTUATION, 80 MCG/ACTUATION Behavioral Health Antipsychotic ABILIFY DISCMELT ORAL TABLET,DISINTEGRATING 10 MG, 15 MG ABILIFY ORAL SOLUTION 1 MG/ML aripiprazole oral tablet 10 mg, 15 mg, 2 mg, 20 mg, 30 mg, 5 mg chlorpromazine oral tablet 10 mg, 100 mg, 200 mg, 25 mg, 50 mg clozapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg clozapine oral tablet,disintegrating 100 mg, 12.5 mg, 150 mg, 200 mg, 25 mg fluphenazine hcl oral concentrate 5 mg/ml fluphenazine hcl oral elixir 2.5 mg/5 ml fluphenazine hcl oral tablet 1 mg, 10 mg, 2.5 mg, 5 mg haloperidol lactate oral concentrate 2 mg/ml haloperidol oral tablet 0.5 mg, 1 mg, 10 mg, 2 mg, 20 mg, 5 mg loxapine succinate oral capsule 10 mg, 25 mg, 5 mg, 50 mg olanzapine oral tablet 10 mg, 15 mg, 2.5 mg, 20 mg, 5 mg, 7.5 mg olanzapine oral tablet,disintegrating 10 mg, 15 mg, 20 mg, 5 mg perphenazine oral tablet 16 mg, 2 mg, 4 mg, 8 mg quetiapine oral tablet 100 mg, 200 mg, 25 mg, 300 mg, 400 mg, 50 mg risperidone oral solution 1 mg/ml
EnhancedRx July 1, 2015 18 Drug Status More Details risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg risperidone oral tablet,disintegrating 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg SEROQUEL XR ORAL TABLET EXTENDED RELEASE 24 HR 150 MG, 200 MG, 300 MG, 400 MG, 50 MG thioridazine oral tablet 10 mg, 100 mg, 25 mg, 50 mg thiothixene oral capsule 1 mg, 10 mg, 2 mg, 5 mg trifluoperazine oral tablet 1 mg, 10 mg, 2 mg, 5 mg VERSACLOZ ORAL SUSPENSION 50 MG/ML ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg Anxiety alprazolam oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg buspirone oral tablet 10 mg, 15 mg, 30 mg, 5 mg,
7.5 mg chlordiazepoxide hcl oral capsule 10 mg, 25 mg, 5 mg clonazepam oral tablet 0.5 mg, 1 mg, 2 mg diazepam intensol oral concentrate 5 mg/ml diazepam oral solution 5 mg/5 ml diazepam oral tablet 10 mg, 2 mg, 5 mg lorazepam oral concentrate 2 mg/ml lorazepam oral tablet 0.5 mg, 1 mg, 2 mg
Attention Deficit/Hyperactivity Disorder
(ADHD) adderall xr oral capsule,extended release 24hr 10 mg, 15 mg, 20 mg, 25 mg, 30 mg, 5 mg amphetamine salt combo oral tablet 10 mg, 12.5 mg, 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mg clonidine hcl oral tablet extended release 12 hr 0.1 mg EnhancedRx July 1, 2015 19 Drug Status More Details dexmethylphenidate oral tablet 10 mg, 2.5 mg, 5 mg dextroamphetamine oral capsule, extended release 10 mg, 15 mg, 5 mg dextroamphetamine oral tablet 10 mg, 5 mg guanfacine oral tablet extended release 24 hr 1 mg, 2 mg, 3 mg, 4 mg methylphenidate oral capsule, er biphasic 30-70 10 mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg methylphenidate oral capsule,er biphasic 50-50 20 mg, 30 mg, 40 mg methylphenidate oral tablet 10 mg, 20 mg, 5 mg methylphenidate oral tablet extended release 10 mg, 20 mg methylphenidate oral tablet extended release 24hr 18 mg, 27 mg, 36 mg, 54 mg QUILLIVANT XR ORAL SUSPENSION,EXT REL
24HR,RECON 5 MG/ML (25 MG/5 ML) STRATTERA ORAL CAPSULE 10 MG, 100 MG, 18 MG, 25 MG, 40 MG, 60 MG, 80 MG VYVANSE ORAL CAPSULE 10 MG, 20 MG, 30 MG, 40 MG, 50 MG, 60 MG, 70 MG Bipolar Disorder divalproex oral capsule, sprinkle 125 mg divalproex oral tablet extended release 24 hr 250 mg, 500 mg divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg, 500 mg lithium carbonate oral capsule 150 mg, 300 mg,
600 mg lithium carbonate oral tablet 300 mg lithium carbonate oral tablet extended release
300 mg, 450 mg lithium citrate oral solution 8 meq/5 ml
Depression amitriptyline oral tablet 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg EnhancedRx July 1, 2015 20 Drug Status More Details budeprion sr oral tablet extended release 150 mg bupropion hcl oral tablet 100 mg, 75 mg bupropion hcl oral tablet extended release 100 mg, 150 mg, 200 mg bupropion hcl oral tablet extended release 24 hr
150 mg, 300 mg citalopram oral solution 10 mg/5 ml citalopram oral tablet 10 mg, 20 mg, 40 mg clomipramine oral capsule 25 mg, 50 mg, 75 mg desipramine oral tablet 10 mg, 100 mg, 150 mg,
25 mg, 50 mg, 75 mg doxepin oral capsule 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg doxepin oral concentrate 10 mg/ml duloxetine oral capsule,delayed release(dr/ec) 20 mg, 30 mg, 60 mg EMSAM TRANSDERMAL PATCH 24 HOUR 12 MG/24 HR, 6 MG/24 HR, 9 MG/24 HR escitalopram oxalate oral solution 5 mg/5 ml escitalopram oxalate oral tablet 10 mg, 20 mg, 5 mg fluoxetine oral capsule 10 mg, 20 mg, 40 mg fluoxetine oral solution 20 mg/5 ml fluoxetine oral tablet 10 mg, 20 mg fluvoxamine oral tablet 100 mg, 25 mg, 50 mg imipramine hcl oral tablet 10 mg, 25 mg, 50 mg mirtazapine oral tablet 15 mg, 30 mg, 45 mg, 7.5 mg nefazodone oral tablet 100 mg, 150 mg, 200 mg,
250 mg, 50 mg
EnhancedRx July 1, 2015 21 Drug Status More Details nortriptyline oral capsule 10 mg, 25 mg, 50 mg, 75 mg nortriptyline oral solution 10 mg/5 ml paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg, 40 mg PAXIL ORAL SUSPENSION 10 MG/5 ML phenelzine oral tablet 15 mg sertraline oral concentrate 20 mg/ml sertraline oral tablet 100 mg, 25 mg, 50 mg tranylcypromine oral tablet 10 mg trazodone oral tablet 100 mg, 150 mg, 300 mg, 50 mg venlafaxine oral capsule,extended release 24hr
150 mg, 37.5 mg, 75 mg venlafaxine oral tablet 100 mg, 25 mg, 37.5 mg,
50 mg, 75 mg Birth Control Contraceptives, Other NUVARING VAGINAL RING 0.12-0.015 MG/24 HR xulane transdermal patch weekly 150-35 mcg/24 hr Emergency Contraception ELLA ORAL TABLET 30 MG levonorgestrel oral tablet 0.75 mg, 1.5 mg my way oral tablet 1.5 mg next choice one dose oral tablet 1.5 mg
Oral Contraceptives altavera (28) oral tablet 0.15-0.03 mg alyacen 1/35 (28) oral tablet 1-35 mg-mcg
EnhancedRx July 1, 2015 22 Drug Status More Details alyacen 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35 mcg apri oral tablet 0.15-0.03 mg aranelle (28) oral tablet 0.5/1/0.5-35 mg-mcg aubra oral tablet 0.1-20 mg-mcg aviane oral tablet 0.1-20 mg-mcg azurette (28) oral tablet 0.15-0.02 mgx21 /0.01 mg x 5 balziva (28) oral tablet 0.4-35 mg-mcg brevicon (28) oral tablet 0.5-35 mg-mcg briellyn oral tablet 0.4-35 mg-mcg camila oral tablet 0.35 mg caziant (28) oral tablet 0.1/.125/.15-25 mg-mcg cesia (28) oral tablet 0.1/.125/.15-25 mg-mcg chateal oral tablet 0.15-0.03 mg cryselle (28) oral tablet 0.3-30 mg-mcg cyclafem 1/35 (28) oral tablet 1-35 mg-mcg cyclafem 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35 mcg dasetta 1/35 (28) oral tablet 1-35 mg-mcg dasetta 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35 mcg desogestrel-ethinyl estradiol oral tablet 0.15-0.03 mg drospirenone-ethinyl estradiol oral tablet 3-0.03 mg elinest oral tablet 0.3-30 mg-mcg
EnhancedRx July 1, 2015 23 Drug Status More Details emoquette oral tablet 0.15-0.03 mg enpresse oral tablet 50-30 (6)/75-40 (5)/125- 30(10) enskyce oral tablet 0.15-0.03 mg errin oral tablet 0.35 mg estarylla oral tablet 0.25-35 mg-mcg falmina (28) oral tablet 0.1-20 mg-mcg gianvi (28) oral tablet 3-0.02 mg gildagia oral tablet 0.4-35 mg-mcg gildess fe oral tablet 1 mg-20 mcg (21)/75 mg (7), 1.5 mg-30 mcg (21)/75 mg (7) gildess oral tablet 1-20 mg-mcg, 1.5-30 mg-mcg heather oral tablet 0.35 mg introvale oral tablets,dose pack,3 month 0.15-30 mg-mcg jencycla oral tablet 0.35 mg jolessa oral tablets,dose pack,3 month 0.15-30 mg-mcg jolivette oral tablet 0.35 mg junel 1.5/30 (21) oral tablet 1.5-30 mg-mcg junel 1/20 (21) oral tablet 1-20 mg-mcg junel fe 1.5/30 (28) oral tablet 1.5 mg-30 mcg (21)/75 mg (7) junel fe 1/20 (28) oral tablet 1 mg-20 mcg (21)/75 mg (7) kariva (28) oral tablet 0.15-0.02 mgx21 /0.01 mg x 5 kelnor 1/35 (28) oral tablet 1-35 mg-mcg
EnhancedRx July 1, 2015 24 Drug Status More Details kurvelo oral tablet 0.15-0.03 mg larin 1/20 (21) oral tablet 1-20 mg-mcg larin fe oral tablet 1 mg-20 mcg (21)/75 mg (7), 1.5 mg-30 mcg (21)/75 mg (7) leena 28 oral tablet 0.5/1/0.5-35 mg-mcg lessina oral tablet 0.1-20 mg-mcg levlen (28) oral tablet 0.15-0.03 mg levonest (28) oral tablet 50-30 (6)/75-40 (5)/125- 30(10) levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg, 0.15-0.03 mg levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month 0.15-30 mg-mcg levora-28 oral tablet 0.15-0.03 mg loryna (28) oral tablet 3-0.02 mg low-ogestrel (28) oral tablet 0.3-30 mg-mcg lutera (28) oral tablet 0.1-20 mg-mcg lyza oral tablet 0.35 mg marlissa oral tablet 0.15-0.03 mg microgestin 1.5/30 (21) oral tablet 1.5-30 mg-mcg microgestin 1/20 (21) oral tablet 1-20 mg-mcg microgestin fe 1.5/30 (28) oral tablet 1.5 mg-30 mcg (21)/75 mg (7) microgestin fe 1/20 (28) oral tablet 1 mg-20 mcg (21)/75 mg (7) mono-linyah oral tablet 0.25-35 mg-mcg mononessa (28) oral tablet 0.25-35 mg-mcg
EnhancedRx July 1, 2015 25 Drug Status More Details myzilra oral tablet 50-30 (6)/75-40 (5)/125-30(10) necon 0.5/35 (28) oral tablet 0.5-35 mg-mcg necon 1/35 (28) oral tablet 1-35 mg-mcg necon 1/50 (28) oral tablet 1-50 mg-mcg necon 10/11 (28) oral tablet 0.5-35/1-35 mg- mcg/mg-mcg necon 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35 mcg nora-be oral tablet 0.35 mg norethindrone (contraceptive) oral tablet 0.35 mg norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-35 mcg (28), 0.25-35 mg-mcg norgestrel-ethinyl estradiol oral tablet 0.3-30 mg- mcg norinyl 1+35 (28) oral tablet 1-35 mg-mcg nortrel 0.5/35 (28) oral tablet 0.5-35 mg-mcg nortrel 1/35 (21) oral tablet 1-35 mg-mcg nortrel 1/35 (28) oral tablet 1-35 mg-mcg nortrel 7/7/7 (28) oral tablet 0.5/0.75/1 mg- 35 mcg ocella oral tablet 3-0.03 mg ogestrel (28) oral tablet 0.5-50 mg-mcg orsythia oral tablet 0.1-20 mg-mcg philith oral tablet 0.4-35 mg-mcg pimtrea (28) oral tablet 0.15-0.02 mgx21 /0.01 mg x 5 pirmella oral tablet 0.5/0.75/1 mg- 35 mcg, 1-35 mg-mcg
EnhancedRx July 1, 2015 26 Drug Status More Details portia oral tablet 0.15-0.03 mg previfem oral tablet 0.25-35 mg-mcg quasense oral tablets,dose pack,3 month 0.15-30 mg-mcg reclipsen (28) oral tablet 0.15-0.03 mg sprintec (28) oral tablet 0.25-35 mg-mcg sronyx oral tablet 0.1-20 mg-mcg syeda oral tablet 3-0.03 mg tilia fe oral tablet 1-20(5)/1-30(7) /1mg-35mcg (9) tri-estarylla oral tablet 0.18/0.215/0.25 mg-35 mcg (28) tri-legest fe oral tablet 1-20(5)/1-30(7) /1mg- 35mcg (9) tri-linyah oral tablet 0.18/0.215/0.25 mg-35 mcg (28) trinessa (28) oral tablet 0.18/0.215/0.25 mg-35 mcg (28) tri-previfem (28) oral tablet 0.18/0.215/0.25 mg- 35 mcg (28) tri-sprintec (28) oral tablet 0.18/0.215/0.25 mg-35 mcg (28) trivora (28) oral tablet 50-30 (6)/75-40 (5)/125- 30(10) velivet triphasic regimen (28) oral tablet 0.1/.125/.15-25 mg-mcg vestura (28) oral tablet 3-0.02 mg viorele (28) oral tablet 0.15-0.02 mgx21 /0.01 mg x 5 vyfemla (28) oral tablet 0.4-35 mg-mcg wera (28) oral tablet 0.5-35 mg-mcg zarah oral tablet 3-0.03 mg
EnhancedRx July 1, 2015 27 Drug Status More Details zenchent (28) oral tablet 0.4-35 mg-mcg zovia 1/35e (28) oral tablet 1-35 mg-mcg zovia 1/50e (28) oral tablet 1-50 mg-mcg
Bleeding Disorders Bleeding Disorders, Hemophilia STIMATE NASAL SPRAY,NON-AEROSOL 150 MCG/SPRAY (0.1 ML) Bleeding Disorders, Other aminocaproic acid oral solution 25 % aminocaproic acid oral tablet 500 mg
Blood Modifier Blood Modifiers ARANESP (IN POLYSORBATE) INJECTION SOLUTION 100 MCG/ML, 150 MCG/0.75 ML, 200 MCG/ML, 25 MCG/ML, 300 MCG/ML, 40 MCG/ML, 60 MCG/ML ARANESP (IN POLYSORBATE) INJECTION SYRINGE 10 MCG/0.4 ML, 100 MCG/0.5 ML, 150 MCG/0.3 ML, 200 MCG/0.4 ML, 25 MCG/0.42 ML, 300
MCG/0.6 ML, 40 MCG/0.4 ML, 500 MCG/ML, 60 MCG/0.3 ML LEUKINE INJECTION RECON SOLN 250 MCG
LEUKINE INJECTION SOLUTION 500 MCG/ML
NEULASTA SUBCUTANEOUS SYRINGE 6 MG/0.6ML NEULASTA SUBCUTANEOUS SYRINGE, W/ WEARABLE INJECTOR 6 MG/0.6 ML NEUPOGEN INJECTION SOLUTION 300 MCG/ML, 480 MCG/1.6 ML NEUPOGEN INJECTION SYRINGE 300 MCG/0.5 ML, 480 MCG/0.8 ML PROCRIT INJECTION SOLUTION 10,000 UNIT/ML, 2,000 UNIT/ML, 20,000 UNIT/2 ML, 20,000
UNIT/ML, 3,000 UNIT/ML, 4,000 UNIT/ML
EnhancedRx July 1, 2015 28 Drug Status More Details PROMACTA ORAL TABLET 12.5 MG, 25 MG, 50 MG, 75 MG Clotting Disorders ADVATE INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 3,000 (+/-) UNIT, 4,000 (+/-) UNIT, 500 (+/-) UNIT ALPHANATE INTRAVENOUS RECON SOLN 1,000 (400 VWF) UNIT/10 ML, 1,500 (600 VWF) UNIT/10 ML, 2,000 (800 VWF) UNIT/10 ML, 250 (100 VWF) UNIT/5 ML, 500 (200 VWF) UNIT/5 ML ALPHANINE SD INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 500 (+/-) UNIT ALPROLIX INTRAVENOUS RECON SOLN 1,000 UNIT, 2,000 UNIT, 3,000 UNIT, 500 UNIT BEBULIN VH INTRAVENOUS RECON SOLN 700 (+/-) UNIT BENEFIX INTRAVENOUS KIT 1,000 UNIT, 2,000 UNIT, 250 UNIT, 3,000 UNIT, 500 UNIT CORIFACT INTRAVENOUS KIT 1,000-1,600 UNIT
ELOCTATE INTRAVENOUS RECON SOLN 1,000 UNIT, 1,500 UNIT, 2,000 UNIT, 250 UNIT, 3,000
UNIT, 500 UNIT, 750 UNIT FEIBA NF INTRAVENOUS RECON SOLN 1,750- 3,250 UNIT, 400-650 UNIT, 651-1,200 UNIT HELIXATE FS INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 3,000
(+/-) UNIT, 500 (+/-) UNIT HEMOFIL M HIGH INTRAVENOUS RECON SOLN 801-1,500 UNIT HEMOFIL M LOW INTRAVENOUS RECON SOLN 220-400 UNIT HEMOFIL M MID INTRAVENOUS RECON SOLN 401-800 UNIT HEMOFIL M SUPER HIGH INTRAVENOUS RECON SOLN 1,501-2,000 UNIT HUMATE-P INTRAVENOUS KIT 1,000-2,400 UNIT, 250-600 UNIT, 500-1,200 UNIT IXINITY INTRAVENOUS RECON SOLN 1,000 UNIT, 1,500 UNIT, 500 UNIT
EnhancedRx July 1, 2015 29 Drug Status More Details KOATE-DVI INTRAVENOUS KIT 500 (+/-) UNIT
KOATE-DVI INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT KOGENATE FS INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 3,000
(+/-) UNIT, 500 (+/-) UNIT MONOCLATE-P INTRAVENOUS KIT 1,000 (+/-) UNIT, 1,500 (+/-) UNIT MONONINE INTRAVENOUS KIT 1,000 (+/-) UNIT
NOVOEIGHT INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 2,000 (+/-) UNIT, 250
(+/-) UNIT, 3,000 (+/-) UNIT, 500 (+/-) UNIT NOVOSEVEN RT INTRAVENOUS RECON SOLN 1 MG (1,000 MCG), 2 MG (2,000 MCG), 5 MG
(5,000 MCG), 8 MG (8,000 MCG) OBIZUR INTRAVENOUS RECON SOLN 500 (+/-) UNIT RANGE PLASMANATE INTRAVENOUS PARENTERAL SOLUTION 5 % PROFILNINE INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 1,200 (+/-) UNIT, 1,500 (+/-) UNIT, 500
(+/-) UNIT RECOMBINATE INTRAVENOUS RECON SOLN 1,000 (+/-) UNIT, 1,500 (+/-) UNIT, 2,000 (+/-)
UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT RIXUBIS INTRAVENOUS RECON SOLN 1,000 UNIT, 2,000 UNIT, 250 UNIT, 3,000 UNIT, 500 UNIT THROMBATE III INTRAVENOUS RECON SOLN 500 (+/-) UNIT TRETTEN INTRAVENOUS RECON SOLN 2,500 UNIT
WILATE INTRAVENOUS KIT 1,000-1,000 UNIT, 450-450 UNIT, 500-500 UNIT, 900-900 UNIT XYNTHA INTRAVENOUS KIT 1,000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT XYNTHA SOLOFUSE INTRAVENOUS SYRINGE KIT 1,000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT,
3,000 (+/-) UNIT, 500 (+/-) UNIT Blood Thinner Anticoagulants
EnhancedRx July 1, 2015 30 Drug Status More Details ELIQUIS ORAL TABLET 2.5 MG, 5 MG enoxaparin subcutaneous solution 300 mg/3 ml enoxaparin subcutaneous syringe 100 mg/ml, 120 mg/0.8 ml, 150 mg/ml, 30 mg/0.3 ml, 40 mg/0.4 ml, 60 mg/0.6 ml, 80 mg/0.8 ml fondaparinux subcutaneous syringe 10 mg/0.8 ml, 2.5 mg/0.5 ml, 5 mg/0.4 ml, 7.5 mg/0.6 ml heparin (porcine) injection cartridge 5,000 unit/ml
(1 ml) heparin (porcine) injection solution 1,000 unit/ml,
10,000 unit/ml, 20,000 unit/ml, 5,000 unit/ml heparin, porcine (pf) injection syringe 5,000 unit/0.5 ml jantoven oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg PRADAXA ORAL CAPSULE 150 MG, 75 MG warfarin oral tablet 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg XARELTO ORAL TABLET 10 MG, 15 MG, 20 MG
XARELTO ORAL TABLETS,DOSE PACK 15 MG (42)-
20 MG (9) Platelet Inhibitors AGGRENOX ORAL CAPSULE, ER MULTIPHASE 12
HR 25-200 MG anagrelide oral capsule 0.5 mg, 1 mg
BRILINTA ORAL TABLET 90 MG cilostazol oral tablet 100 mg, 50 mg clopidogrel oral tablet 75 mg dipyridamole oral tablet 25 mg, 50 mg, 75 mg
EFFIENT ORAL TABLET 10 MG, 5 MG pentoxifylline oral tablet extended release 400 mg
EnhancedRx July 1, 2015 31 Drug Status More Details ZONTIVITY ORAL TABLET 2.08 MG
Bone Health Bone Health, Other etidronate disodium oral tablet 200 mg, 400 mg
Osteoporosis alendronate oral solution 70 mg/75 ml alendronate oral tablet 10 mg, 35 mg, 40 mg, 5 mg, 70 mg calcitonin (salmon) nasal spray,non-aerosol 200 unit/actuation FORTEO SUBCUTANEOUS PEN INJECTOR 20 MCG/DOSE - 600 MCG/2.4 ML FORTICAL NASAL SPRAY,NON-AEROSOL 200
UNIT/ACTUATION FOSAMAX PLUS D ORAL TABLET 70-2,800 MG- UNIT, 70-5,600 MG-UNIT raloxifene oral tablet 60 mg risedronate oral tablet 150 mg, 30 mg, 35 mg, 5 mg Cancer Cancer AFINITOR DISPERZ ORAL TABLET FOR SUSPENSION 2 MG, 3 MG, 5 MG AFINITOR ORAL TABLET 10 MG, 2.5 MG, 5 MG, 7.5 MG ALKERAN ORAL TABLET 2 MG anastrozole oral tablet 1 mg bicalutamide oral tablet 50 mg
BOSULIF ORAL TABLET 100 MG, 500 MG capecitabine oral tablet 150 mg, 500 mg
CAPRELSA ORAL TABLET 100 MG, 300 MG
EnhancedRx July 1, 2015 32 Drug Status More Details COMETRIQ ORAL CAPSULE 100 MG/DAY(80 MG[1]-20 MG[1]), 140 MG/DAY(80 MG[1]-20
MG[3]), 60 MG/DAY (20 MG [3]/DAY) cyclophosphamide oral capsule 25 mg, 50 mg cyclophosphamide oral tablet 25 mg, 50 mg
EMCYT ORAL CAPSULE 140 MG
ERIVEDGE ORAL CAPSULE 150 MG etoposide oral capsule 50 mg exemestane oral tablet 25 mg flutamide oral capsule 125 mg
GILOTRIF ORAL TABLET 20 MG, 30 MG, 40 MG
GLEEVEC ORAL TABLET 100 MG, 400 MG
HEXALEN ORAL CAPSULE 50 MG
HYCAMTIN INTRAVENOUS RECON SOLN 4 MG
HYCAMTIN ORAL CAPSULE 0.25 MG, 1 MG hydroxyurea oral capsule 500 mg
ICLUSIG ORAL TABLET 15 MG, 45 MG
IMBRUVICA ORAL CAPSULE 140 MG
INLYTA ORAL TABLET 1 MG, 5 MG
JAKAFI ORAL TABLET 10 MG, 15 MG, 20 MG, 25 MG, 5 MG letrozole oral tablet 2.5 mg
LEUKERAN ORAL TABLET 2 MG
EnhancedRx July 1, 2015 33 Drug Status More Details lomustine oral capsule 10 mg, 100 mg, 40 mg
MATULANE ORAL CAPSULE 50 MG megestrol oral tablet 20 mg, 40 mg
MEKINIST ORAL TABLET 0.5 MG, 2 MG mercaptopurine oral tablet 50 mg methotrexate sodium (pf) injection solution 25 mg/ml methotrexate sodium injection solution 25 mg/ml methotrexate sodium oral tablet 2.5 mg
MYLERAN ORAL TABLET 2 MG
NEXAVAR ORAL TABLET 200 MG
POMALYST ORAL CAPSULE 1 MG, 2 MG, 3 MG, 4 MG REVLIMID ORAL CAPSULE 10 MG, 15 MG, 2.5 MG, 20 MG, 25 MG, 5 MG SOLTAMOX ORAL SOLUTION 10 MG/5 ML
SPRYCEL ORAL TABLET 100 MG, 140 MG, 20 MG, 50 MG, 70 MG, 80 MG STIVARGA ORAL TABLET 40 MG
SUTENT ORAL CAPSULE 12.5 MG, 25 MG, 37.5 MG, 50 MG SYLATRON SUBCUTANEOUS KIT 200 MCG, 300 MCG, 600 MCG TABLOID ORAL TABLET 40 MG
TAFINLAR ORAL CAPSULE 50 MG, 75 MG tamoxifen oral tablet 10 mg, 20 mg
TARCEVA ORAL TABLET 100 MG, 150 MG, 25 MG
EnhancedRx July 1, 2015 34 Drug Status More Details TASIGNA ORAL CAPSULE 150 MG, 200 MG temozolomide oral capsule 100 mg, 140 mg, 180 mg, 20 mg, 250 mg, 5 mg THALOMID ORAL CAPSULE 100 MG, 150 MG, 200 MG, 50 MG tretinoin (chemotherapy) oral capsule 10 mg
TYKERB ORAL TABLET 250 MG
VALCHLOR TOPICAL GEL 0.016 %
VOTRIENT ORAL TABLET 200 MG
XALKORI ORAL CAPSULE 200 MG, 250 MG
XTANDI ORAL CAPSULE 40 MG
ZELBORAF ORAL TABLET 240 MG
ZOLINZA ORAL CAPSULE 100 MG
ZYTIGA ORAL TABLET 250 MG
Corticosteroids Corticosteroids, Oral DEXAMETHASONE INTENSOL ORAL DROPS 1
MG/ML dexamethasone oral elixir 0.5 mg/5 ml dexamethasone oral solution 0.5 mg/5 ml dexamethasone oral tablet 0.5 mg, 0.75 mg, 1 mg,
1.5 mg, 2 mg, 4 mg, 6 mg fludrocortisone oral tablet 0.1 mg hydrocortisone oral tablet 10 mg, 20 mg, 5 mg
MEDROL ORAL TABLET 2 MG methylprednisolone oral tablet 16 mg, 32 mg, 4 mg, 8 mg EnhancedRx July 1, 2015 35 Drug Status More Details methylprednisolone oral tablets,dose pack 4 mg
MILLIPRED ORAL TABLET 5 MG prednisolone oral solution 15 mg/5 ml prednisolone sodium phosphate oral solution 15 mg/5 ml, 25 mg/5 ml (5 mg/ml), 5 mg base/5 ml (6.7 mg/5 ml) PREDNISONE INTENSOL ORAL CONCENTRATE 5
MG/ML prednisone oral solution 5 mg/5 ml prednisone oral tablet 1 mg, 10 mg, 2.5 mg, 20 mg, 5 mg, 50 mg prednisone oral tablets,dose pack 10 mg, 5 mg
Cough & Cold Cough & Cold benzonatate oral capsule 100 mg, 200 mg codeine-guaifenesin oral liquid 10-100 mg/5 ml guaiatussin ac oral liquid 10-100 mg/5 ml promethazine vc oral syrup 6.25-5 mg/5 ml promethazine-dm oral syrup 6.25-15 mg/5 ml
Cystic Fibrosis Cystic Fibrosis acetylcysteine solution 100 mg/ml (10 %), 200 mg/ml (20 %) CAYSTON INHALATION SOLUTION FOR NEBULIZATION 75 MG/ML KALYDECO ORAL GRANULES IN PACKET 50 MG, 75 MG KALYDECO ORAL TABLET 150 MG
PULMOZYME INHALATION SOLUTION 1 MG/ML tobramycin in 0.225 % nacl inhalation solution for nebulization 300 mg/5 ml EnhancedRx July 1, 2015 36 Drug Status More Details Dementia Dementia donepezil oral tablet 10 mg, 5 mg donepezil oral tablet,disintegrating 10 mg, 5 mg
EXELON TRANSDERMAL PATCH 24 HOUR 13.3
MG/24 HOUR, 4.6 MG/24 HR, 9.5 MG/24 HR galantamine oral capsule,ext rel. pellets 24 hr 16 mg, 24 mg, 8 mg galantamine oral solution 4 mg/ml galantamine oral tablet 12 mg, 4 mg, 8 mg
NAMENDA ORAL SOLUTION 10 MG/5 ML
NAMENDA ORAL TABLET 10 MG, 5 MG
NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK 5-10 MG NAMENDA XR ORAL CAP,SPRINKLE,ER 24HR DOSE PACK 7-14-21-28 MG NAMENDA XR ORAL CAPSULE,SPRINKLE,ER 24HR 14 MG, 21 MG, 28 MG, 7 MG rivastigmine tartrate oral capsule 1.5 mg, 3 mg,
4.5 mg, 6 mg Diabetes Diabetes, Injection BYDUREON SUBCUTANEOUS PEN INJECTOR 2
MG/0.65 ML BYDUREON SUBCUTANEOUS
SUSPENSION,EXTENDED REL RECON 2 MG BYETTA SUBCUTANEOUS PEN INJECTOR 10 MCG/DOSE(250 MCG/ML) 2.4 ML, 5 MCG/DOSE (250 MCG/ML) 1.2 ML GLUCAGEN HYPOKIT INJECTION RECON SOLN 1
MG GLUCAGEN INJECTION RECON SOLN 1 MG
GLUCAGON EMERGENCY KIT (HUMAN)
INJECTION KIT 1 MG
EnhancedRx July 1, 2015 37 Drug Status More Details TRULICITY SUBCUTANEOUS PEN INJECTOR 0.75 MG/0.5 ML, 1.5 MG/0.5 ML VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR
0.6 MG/0.1 ML (18 MG/3 ML) VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR
0.6 MG/0.1 ML (18 MG/3 ML) Diabetes, Oral acarbose oral tablet 100 mg, 25 mg, 50 mg
CYCLOSET ORAL TABLET 0.8 MG glimepiride oral tablet 1 mg, 2 mg, 4 mg glipizide oral tablet 10 mg, 5 mg glipizide oral tablet extended release 24hr 10 mg,
2.5 mg, 5 mg glipizide-metformin oral tablet 2.5-250 mg, 2.5-
500 mg, 5-500 mg GLYSET ORAL TABLET 100 MG, 25 MG, 50 MG
INVOKAMET ORAL TABLET 150-1,000 MG, 150- 500 MG, 50-1,000 MG, 50-500 MG INVOKANA ORAL TABLET 100 MG, 300 MG
JARDIANCE ORAL TABLET 10 MG, 25 MG
JENTADUETO ORAL TABLET 2.5-1,000 MG, 2.5-
500 MG, 2.5-850 MG metformin oral tablet 1,000 mg, 500 mg, 850 mg metformin oral tablet extended release 24 hr 500 mg, 750 mg nateglinide oral tablet 120 mg, 60 mg pioglitazone oral tablet 15 mg, 30 mg, 45 mg pioglitazone-glimepiride oral tablet 30-2 mg, 30-4 mg pioglitazone-metformin oral tablet 15-500 mg, 15-
850 mg
EnhancedRx July 1, 2015 38 Drug Status More Details repaglinide oral tablet 0.5 mg, 1 mg, 2 mg
TRADJENTA ORAL TABLET 5 MG
Insulin HUMALOG KWIKPEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS
INSULIN PEN 100 UNIT/ML (50-50) HUMALOG MIX 50-50 SUBCUTANEOUS
SUSPENSION 100 UNIT/ML (50-50) HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS
INSULIN PEN 100 UNIT/ML (75-25) HUMALOG MIX 75-25 SUBCUTANEOUS
SUSPENSION 100 UNIT/ML (75-25) HUMALOG SUBCUTANEOUS CARTRIDGE 100
UNIT/ML HUMALOG SUBCUTANEOUS SOLUTION 100
UNIT/ML HUMULIN 70/30 KWIKPEN SUBCUTANEOUS
INSULIN PEN 100 UNIT/ML (70-30) HUMULIN 70/30 PEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (70-30) HUMULIN 70/30 SUBCUTANEOUS SUSPENSION
100 UNIT/ML (70-30) HUMULIN N KWIKPEN SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (3 ML) HUMULIN N PEN SUBCUTANEOUS INSULIN PEN
100 UNIT/ML (3 ML) HUMULIN N SUBCUTANEOUS SUSPENSION 100
UNIT/ML HUMULIN R INJECTION SOLUTION 100 UNIT/ML
HUMULIN R U-500 "CONCENTRATED"
SUBCUTANEOUS SOLUTION 500 UNIT/ML LANTUS SOLOSTAR SUBCUTANEOUS INSULIN
PEN 100 UNIT/ML (3 ML) LANTUS SUBCUTANEOUS SOLUTION 100
UNIT/ML LEVEMIR FLEXPEN SUBCUTANEOUS INSULIN PEN 100 UNIT/ML (3 ML)
EnhancedRx July 1, 2015 39 Drug Status More Details LEVEMIR SUBCUTANEOUS SOLUTION 100 UNIT/ML TOUJEO SOLOSTAR SUBCUTANEOUS INSULIN
PEN 300 UNIT/ML (1.5 ML) Ear Conditions Anti-Infectives, Ear acetic acid otic solution 2 %
CIPRO HC OTIC DROPS,SUSPENSION 0.2-1 %
CIPRODEX OTIC DROPS,SUSPENSION 0.3-0.1 % neomycin-polymyxin-hc otic drops,suspension 3.5-
10,000-1 mg/ml-unit/ml-% neomycin-polymyxin-hc otic solution 3.5-10,000-1 mg/ml-unit/ml-% ofloxacin otic drops 0.3 %
Ear Conditions, Other antipyrine-benzocaine otic drops 5.4-1.4 % fluocinolone acetonide oil otic drops 0.01 %
Enzyme Replacement Enzyme Replacement CERDELGA ORAL CAPSULE 84 MG
CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 12,000-38,000 -60,000 UNIT, 24,000-76,000 - 120,000 UNIT, 3,000-9,500- 15,000 UNIT, 36,000- 114,000- 180,000 UNIT, 6,000-19,000 -30,000 UNIT SUCRAID ORAL SOLUTION 8,500 UNIT/ML
ZAVESCA ORAL CAPSULE 100 MG
Eye Conditions Anti-Infectives, Eye AZASITE OPHTHALMIC DROPS 1 %
EnhancedRx July 1, 2015 40 Drug Status More Details bacitracin ophthalmic ointment 500 unit/gram bacitracin-polymyxin b ophthalmic ointment 500-
10,000 unit/gram BESIVANCE OPHTHALMIC DROPS,SUSPENSION 0.6 % BLEPHAMIDE S.O.P. OPHTHALMIC OINTMENT 10-
0.2 % CILOXAN OPHTHALMIC OINTMENT 0.3 % ciprofloxacin hcl ophthalmic drops 0.3 % erythromycin ophthalmic ointment 5 mg/gram
(0.5 %) gatifloxacin ophthalmic drops 0.5 % gentamicin ophthalmic ointment 0.3 % (3 mg/gram) neomycin-bacitracin-polymyxin ophthalmic ointment 3.5-400-10,000 mg-unit-unit/g neomycin-polymyxin b-dexameth ophthalmic drops,suspension 3.5mg/ml-10,000 unit/ml-0.1 % neomycin-polymyxin-gramicidin ophthalmic drops
1.75 mg-10,000 unit-0.025mg/ml ofloxacin ophthalmic drops 0.3 % polymyxin b sulf-trimethoprim ophthalmic drops
10,000 unit- 1 mg/ml sulfacetamide sodium ophthalmic drops 10 % sulfacetamide sodium ophthalmic ointment 10 % sulfacetamide-prednisolone ophthalmic drops 10
%-0.23 % (0.25 %) TOBRADEX OPHTHALMIC OINTMENT 0.3-0.1 % tobramycin ophthalmic drops 0.3 % tobramycin-dexamethasone ophthalmic drops,suspension 0.3-0.1 % TOBREX OPHTHALMIC OINTMENT 0.3 %
EnhancedRx July 1, 2015 41 Drug Status More Details trifluridine ophthalmic drops 1 %
VIGAMOX OPHTHALMIC DROPS 0.5 %
ZIRGAN OPHTHALMIC GEL 0.15 %
ZYLET OPHTHALMIC DROPS,SUSPENSION 0.3-0.5
% Anti-Inflammatories, Eye ACUVAIL (PF) OPHTHALMIC DROPPERETTE 0.45 % ALREX OPHTHALMIC DROPS,SUSPENSION 0.2 % bromfenac ophthalmic drops 0.09 % dexamethasone sodium phosphate ophthalmic drops 0.1 % diclofenac sodium ophthalmic drops 0.1 %
DUREZOL OPHTHALMIC DROPS 0.05 % fluorometholone ophthalmic drops,suspension 0.1
% flurbiprofen sodium ophthalmic drops 0.03 %
FML S.O.P. OPHTHALMIC OINTMENT 0.1 %
ILEVRO OPHTHALMIC DROPS,SUSPENSION 0.3 % ketorolac ophthalmic drops 0.4 %, 0.5 %
LOTEMAX OPHTHALMIC DROPS,GEL 0.5 %
LOTEMAX OPHTHALMIC DROPS,SUSPENSION 0.5
% LOTEMAX OPHTHALMIC OINTMENT 0.5 %
NEVANAC OPHTHALMIC DROPS,SUSPENSION 0.1
% PRED FORTE OPHTHALMIC DROPS,SUSPENSION 1
%
EnhancedRx July 1, 2015 42 Drug Status More Details PRED MILD OPHTHALMIC DROPS,SUSPENSION
0.12 % prednisolone acetate ophthalmic drops,suspension 1 % prednisolone sodium phosphate ophthalmic drops
1 % PROLENSA OPHTHALMIC DROPS 0.07 %
Eye Conditions, Other altafrin ophthalmic drops 10 % atropine ophthalmic drops 1 % atropine ophthalmic ointment 1 %
CYCLOGYL OPHTHALMIC DROPS 0.5 % cyclopentolate ophthalmic drops 1 %, 2 %
CYSTARAN OPHTHALMIC DROPS 0.44 % homatropaire ophthalmic drops 5 %
ISOPTO HYOSCINE OPHTHALMIC DROPS 0.25 %
LACRISERT OPHTHALMIC INSERT 5 MG phenylephrine hcl ophthalmic drops 10 %, 2.5 %
RESTASIS OPHTHALMIC DROPPERETTE 0.05 %
Glaucoma acetazolamide oral capsule, extended release 500 mg acetazolamide oral tablet 125 mg, 250 mg
ALPHAGAN P OPHTHALMIC DROPS 0.1 %
AZOPT OPHTHALMIC DROPS,SUSPENSION 1 % betaxolol ophthalmic drops 0.5 %
EnhancedRx July 1, 2015 43 Drug Status More Details BETOPTIC S OPHTHALMIC DROPS,SUSPENSION
0.25 % bimatoprost ophthalmic drops 0.03 % brimonidine ophthalmic drops 0.15 %, 0.2 % carteolol ophthalmic drops 1 %
COMBIGAN OPHTHALMIC DROPS 0.2-0.5 %
COSOPT (PF) OPHTHALMIC DROPPERETTE 2-0.5 % dorzolamide ophthalmic drops 2 % dorzolamide-timolol ophthalmic drops 22.3-6.8 mg/ml latanoprost ophthalmic drops 0.005 % levobunolol ophthalmic drops 0.25 %, 0.5 %
LUMIGAN OPHTHALMIC DROPS 0.01 % methazolamide oral tablet 25 mg, 50 mg
PHOSPHOLINE IODIDE OPHTHALMIC DROPS
0.125 % pilocarpine hcl ophthalmic drops 1 %, 2 %, 4 %
PILOPINE HS OPHTHALMIC GEL 4 %
SIMBRINZA OPHTHALMIC DROPS,SUSPENSION 1-
0.2 % timolol maleate ophthalmic drops 0.25 %, 0.5 % timolol maleate ophthalmic gel forming solution
0.25 %, 0.5 % TRAVATAN Z OPHTHALMIC DROPS 0.004 % travoprost (benzalkonium) ophthalmic drops
0.004 % ZIOPTAN (PF) OPHTHALMIC DROPPERETTE 0.0015 % EnhancedRx July 1, 2015 44 Drug Status More Details Gout Gout allopurinol oral tablet 100 mg, 300 mg colchicine oral capsule 0.6 mg colchicine oral tablet 0.6 mg colchicine-probenecid oral tablet 0.5-500 mg probenecid oral tablet 500 mg
ULORIC ORAL TABLET 40 MG, 80 MG
Heart Health Angina ISORDIL ORAL TABLET 40 MG isosorbide dinitrate oral tablet 10 mg, 20 mg, 30 mg, 5 mg isosorbide dinitrate oral tablet extended release
40 mg isosorbide dinitrate sublingual tablet 2.5 mg, 5 mg isosorbide mononitrate oral tablet 10 mg, 20 mg isosorbide mononitrate oral tablet extended release 24 hr 120 mg, 30 mg, 60 mg NITRO-BID TRANSDERMAL OINTMENT 2 %
NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.3
MG/HR, 0.8 MG/HR nitroglycerin transdermal patch 24 hour 0.1 mg/hr, 0.2 mg/hr, 0.4 mg/hr, 0.6 mg/hr NITROSTAT SUBLINGUAL TABLET 0.3 MG, 0.4
MG, 0.6 MG Antiarrhythmics amiodarone oral tablet 100 mg, 200 mg, 400 mg disopyramide phosphate oral capsule 100 mg, 150 mg
EnhancedRx July 1, 2015 45 Drug Status More Details flecainide oral tablet 100 mg, 150 mg, 50 mg mexiletine oral capsule 150 mg, 200 mg, 250 mg
MULTAQ ORAL TABLET 400 MG
NORPACE CR ORAL CAPSULE, EXTENDED RELEASE
100 MG, 150 MG propafenone oral tablet 150 mg, 225 mg, 300 mg quinidine gluconate oral tablet extended release
324 mg quinidine sulfate oral tablet 200 mg, 300 mg quinidine sulfate oral tablet extended release 300 mg sotalol af oral tablet 120 mg, 160 mg, 80 mg sotalol oral tablet 120 mg, 160 mg, 240 mg, 80 mg TIKOSYN ORAL CAPSULE 125 MCG, 250 MCG, 500
MCG Blood Pressure, ACEI & ARB amlodipine-benazepril oral capsule 10-20 mg, 10-
40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine-valsartan oral tablet 10-160 mg, 10- 320 mg, 5-160 mg, 5-320 mg amlodipine-valsartan-hcthiazid oral tablet 10-160- 12.5 mg, 10-160-25 mg, 10-320-25 mg, 5-160-
12.5 mg, 5-160-25 mg benazepril oral tablet 10 mg, 20 mg, 40 mg, 5 mg benazepril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg, 5-6.25 mg captopril oral tablet 100 mg, 12.5 mg, 25 mg, 50 mg captopril-hydrochlorothiazide oral tablet 25-15 mg, 25-25 mg, 50-15 mg, 50-25 mg enalapril maleate oral tablet 10 mg, 2.5 mg, 20 mg, 5 mg enalapril-hydrochlorothiazide oral tablet 10-25 mg, 5-12.5 mg
EnhancedRx July 1, 2015 46 Drug Status More Details fosinopril oral tablet 10 mg, 20 mg, 40 mg fosinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg irbesartan oral tablet 150 mg, 300 mg, 75 mg irbesartan-hydrochlorothiazide oral tablet 150-
12.5 mg, 300-12.5 mg lisinopril oral tablet 10 mg, 2.5 mg, 20 mg, 30 mg,
40 mg, 5 mg lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg losartan oral tablet 100 mg, 25 mg, 50 mg losartan-hydrochlorothiazide oral tablet 100-12.5 mg, 100-25 mg, 50-12.5 mg moexipril oral tablet 15 mg, 7.5 mg moexipril-hydrochlorothiazide oral tablet 15-12.5 mg, 15-25 mg, 7.5-12.5 mg perindopril erbumine oral tablet 2 mg, 4 mg, 8 mg quinapril oral tablet 10 mg, 20 mg, 40 mg, 5 mg quinapril-hydrochlorothiazide oral tablet 10-12.5 mg, 20-12.5 mg, 20-25 mg ramipril oral capsule 1.25 mg, 10 mg, 2.5 mg, 5 mg trandolapril oral tablet 1 mg, 2 mg, 4 mg valsartan oral tablet 160 mg, 320 mg, 40 mg, 80 mg valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 160-25 mg, 320-12.5 mg, 320-25 mg, 80-12.5 mg Blood Pressure, Beta Blockers atenolol oral tablet 100 mg, 25 mg, 50 mg atenolol-chlorthalidone oral tablet 100-25 mg, 50-
25 mg bisoprolol fumarate oral tablet 10 mg, 5 mg
EnhancedRx July 1, 2015 47 Drug Status More Details bisoprolol-hydrochlorothiazide oral tablet 10-6.25 mg, 2.5-6.25 mg, 5-6.25 mg carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg,
6.25 mg COREG CR ORAL CAPSULE, ER MULTIPHASE 24 HR 10 MG, 20 MG, 40 MG, 80 MG labetalol oral tablet 100 mg, 200 mg, 300 mg metoprolol succinate oral tablet extended release
24 hr 100 mg, 200 mg, 25 mg, 50 mg metoprolol ta-hydrochlorothiaz oral tablet 100-25 mg, 100-50 mg, 50-25 mg metoprolol tartrate oral tablet 100 mg, 25 mg, 50 mg nadolol oral tablet 20 mg, 40 mg, 80 mg propranolol oral capsule,extended release 24 hr
120 mg, 160 mg, 60 mg, 80 mg propranolol oral solution 20 mg/5 ml, 40 mg/5 ml propranolol oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg propranolol-hydrochlorothiazid oral tablet 40-25 mg, 80-25 mg Blood Pressure, Calcium Channel Blockers amlodipine oral tablet 10 mg, 2.5 mg, 5 mg amlodipine-benazepril oral capsule 10-20 mg, 10-
40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine-valsartan oral tablet 10-160 mg, 10- 320 mg, 5-160 mg, 5-320 mg amlodipine-valsartan-hcthiazid oral tablet 10-160- 12.5 mg, 10-160-25 mg, 10-320-25 mg, 5-160-
12.5 mg, 5-160-25 mg cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg, 300 mg diltia xt oral capsule,ext release degradable 120 mg, 240 mg diltiazem hcl oral capsule, extended release 120 mg, 180 mg, 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl oral capsule,ext release degradable
120 mg, 180 mg, 240 mg
EnhancedRx July 1, 2015 48 Drug Status More Details diltiazem hcl oral capsule,extended release 12 hr
120 mg, 60 mg, 90 mg diltiazem hcl oral capsule,extended release 24hr
120 mg, 180 mg, 240 mg, 300 mg, 360 mg diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg, 90 mg dilt-xr oral capsule,ext release degradable 120 mg,
180 mg nifedipine oral tablet extended release 24hr 30 mg, 60 mg, 90 mg nifedipine oral tablet extended release 30 mg, 60 mg, 90 mg nimodipine oral capsule 30 mg taztia xt oral capsule, extended release 120 mg,
180 mg, 240 mg, 300 mg, 360 mg verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg, 240 mg, 360 mg verapamil oral tablet 120 mg, 40 mg, 80 mg verapamil oral tablet extended release 120 mg,
180 mg, 240 mg Blood Pressure, Other clonidine hcl oral tablet 0.1 mg, 0.2 mg, 0.3 mg clonidine transdermal patch weekly 0.1 mg/24 hr,
0.2 mg/24 hr, 0.3 mg/24 hr DIBENZYLINE ORAL CAPSULE 10 MG doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg guanfacine oral tablet 1 mg, 2 mg hydralazine oral tablet 10 mg, 100 mg, 25 mg, 50 mg methyldopa oral tablet 250 mg, 500 mg midodrine oral tablet 10 mg, 2.5 mg, 5 mg minoxidil oral tablet 10 mg, 2.5 mg
EnhancedRx July 1, 2015 49 Drug Status More Details prazosin oral capsule 1 mg, 2 mg, 5 mg reserpine oral tablet 0.1 mg, 0.25 mg terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg
Cholesterol Lowering, Bile Acid Resins cholestyramine (with sugar) oral powder 4 gram cholestyramine (with sugar) oral powder in packet
4 gram cholestyramine light oral powder 4 gram cholestyramine light oral powder in packet 4 gram colestipol oral tablet 1 gram prevalite oral powder 4 gram prevalite oral powder in packet 4 gram
Cholesterol Lowering, Other JUXTAPID ORAL CAPSULE 10 MG, 20 MG, 30 MG, 40 MG, 5 MG, 60 MG KYNAMRO SUBCUTANEOUS SYRINGE 200 MG/ML ZETIA ORAL TABLET 10 MG
Cholesterol Lowering, Statins atorvastatin oral tablet 10 mg, 20 mg, 40 mg, 80 mg LIPTRUZET ORAL TABLET 10-10 MG, 10-20 MG, 10-40 MG, 10-80 MG lovastatin oral tablet 10 mg, 20 mg, 40 mg pravastatin oral tablet 10 mg, 20 mg, 40 mg, 80 mg simvastatin oral tablet 10 mg, 20 mg, 5 mg simvastatin oral tablet 40 mg simvastatin oral tablet 80 mg
EnhancedRx July 1, 2015 50 Drug Status More Details VYTORIN 10-10 ORAL TABLET 10-10 MG
VYTORIN 10-20 ORAL TABLET 10-20 MG
VYTORIN 10-40 ORAL TABLET 10-40 MG
VYTORIN 10-80 ORAL TABLET 10-80 MG
Diuretics acetazolamide oral capsule, extended release 500 mg acetazolamide oral tablet 125 mg, 250 mg
ALDACTAZIDE ORAL TABLET 50-50 MG amiloride oral tablet 5 mg amiloride-hydrochlorothiazide oral tablet 5-50 mg bumetanide oral tablet 0.5 mg, 1 mg, 2 mg chlorothiazide oral tablet 250 mg, 500 mg chlorthalidone oral tablet 25 mg, 50 mg
DIURIL ORAL SUSPENSION 250 MG/5 ML
EDECRIN ORAL TABLET 25 MG eplerenone oral tablet 25 mg, 50 mg furosemide oral solution 10 mg/ml, 40 mg/5 ml furosemide oral tablet 20 mg, 40 mg, 80 mg hydrochlorothiazide oral capsule 12.5 mg hydrochlorothiazide oral tablet 12.5 mg, 25 mg,
50 mg indapamide oral tablet 1.25 mg, 2.5 mg metolazone oral tablet 10 mg, 2.5 mg, 5 mg
EnhancedRx July 1, 2015 51 Drug Status More Details spironolactone oral tablet 100 mg, 25 mg, 50 mg spironolacton-hydrochlorothiaz oral tablet 25-25 mg torsemide oral tablet 10 mg, 100 mg, 20 mg, 5 mg triamterene-hydrochlorothiazid oral capsule 37.5-
25 mg, 50-25 mg triamterene-hydrochlorothiazid oral tablet 37.5-
25 mg, 75-50 mg Heart Health, Other DIGOXIN ORAL SOLUTION 50 MCG/ML digoxin oral tablet 125 mcg digoxin oral tablet 250 mcg klor-con m10 oral tablet,er particles/crystals 10 meq klor-con m15 oral tablet,er particles/crystals 15 meq KLOR-CON/25 ORAL PACKET 25 MEQ potassium chloride oral capsule, extended release
10 meq, 8 meq potassium chloride oral liquid 20 meq/15 ml, 40 meq/15 ml potassium chloride oral packet 20 meq potassium chloride oral tablet extended release 10 meq, 8 meq potassium chloride oral tablet,er particles/crystals
10 meq, 20 meq Triglyceride Lowering fenofibrate micronized oral capsule 134 mg, 200 mg, 67 mg fenofibrate nanocrystallized oral tablet 145 mg,
48 mg fenofibrate oral tablet 160 mg, 54 mg gemfibrozil oral tablet 600 mg
EnhancedRx July 1, 2015 52 Drug Status More Details omega-3 acid ethyl esters oral capsule 1 gram
VASCEPA ORAL CAPSULE 1 GRAM
Hereditary Angioedema Hereditary Angioedema BERINERT INTRAVENOUS KIT 500 UNIT (10 ML)
BERINERT INTRAVENOUS RECON SOLN 500 UNIT (10 ML) CINRYZE INTRAVENOUS RECON SOLN 500 UNIT (5 ML) FIRAZYR SUBCUTANEOUS SYRINGE 30 MG/3 ML
KALBITOR SUBCUTANEOUS SOLUTION 10 MG/ML (1 ML) RUCONEST INTRAVENOUS RECON SOLN 2,100 UNIT Immune Deficiency Immune Deficiency BIVIGAM INTRAVENOUS SOLUTION 10 %
CARIMUNE NF NANOFILTERED INTRAVENOUS RECON SOLN 12 GRAM, 3 GRAM, 6 GRAM FLEBOGAMMA DIF INTRAVENOUS SOLUTION 10 %, 5 % GAMASTAN S/D INTRAMUSCULAR SOLUTION 15- 18 % RANGE GAMMAGARD LIQUID INJECTION SOLUTION 10 % GAMMAGARD S/D INTRAVENOUS RECON SOLN 10 GRAM, 2.5 GRAM, 5 GRAM GAMMAGARD S-D (IGA < 1 MCG/ML) INTRAVENOUS RECON SOLN 10 GRAM, 5 GRAM GAMMAKED INJECTION SOLUTION 1 GRAM/10 ML (10 %), 10 GRAM/100 ML (10 %), 2.5 GRAM/25 ML (10 %), 20 GRAM/200 ML (10 %), 5 GRAM/50 ML (10 %) GAMMAPLEX INTRAVENOUS SOLUTION 5 %
EnhancedRx July 1, 2015 53 Drug Status More Details GAMUNEX INTRAVENOUS SOLUTION 10 %
GAMUNEX-C INJECTION SOLUTION 1 GRAM/10 ML (10 %), 10 GRAM/100 ML (10 %), 2.5 GRAM/25 ML (10 %), 20 GRAM/200 ML (10 %), 5 GRAM/50 ML (10 %) HIZENTRA SUBCUTANEOUS SOLUTION 1 GRAM/5 ML (20 %), 10 GRAM/50 ML (20 %), 2 GRAM/10
ML (20 %), 4 GRAM/20 ML (20 %) HYQVIA SUBCUTANEOUS SOLUTION 10 GRAM /100 ML (10 %), 2.5 GRAM /25 ML (10 %), 20 GRAM /200 ML (10 %), 30 GRAM /300 ML (10 %), 5 GRAM /50 ML (10 %) OCTAGAM INTRAVENOUS SOLUTION 5 %
PRIVIGEN INTRAVENOUS SOLUTION 10 %
VIVAGLOBIN SUBCUTANEOUS SOLUTION 16 % (160 MG/ML) Immune Suppressant Immune Suppressant azathioprine oral tablet 50 mg cyclophosphamide oral capsule 25 mg, 50 mg cyclophosphamide oral tablet 25 mg, 50 mg cyclosporine modified oral capsule 100 mg, 25 mg,
50 mg cyclosporine modified oral solution 100 mg/ml cyclosporine oral capsule 100 mg, 25 mg gengraf oral capsule 100 mg, 25 mg gengraf oral solution 100 mg/ml mercaptopurine oral tablet 50 mg methotrexate sodium (pf) injection solution 25 mg/ml methotrexate sodium injection solution 25 mg/ml
EnhancedRx July 1, 2015 54 Drug Status More Details methotrexate sodium oral tablet 2.5 mg mycophenolate mofetil oral capsule 250 mg mycophenolate mofetil oral suspension for reconstitution 200 mg/ml mycophenolate mofetil oral tablet 500 mg
RAPAMUNE ORAL SOLUTION 1 MG/ML sirolimus oral tablet 0.5 mg, 1 mg, 2 mg tacrolimus oral capsule 0.5 mg, 1 mg, 5 mg
Kidney Failure Kidney Failure calcium acetate oral capsule 667 mg
PHOSLYRA ORAL SOLUTION 667 MG (169 MG
CALCIUM)/5 ML RENVELA ORAL POWDER IN PACKET 0.8 GRAM,
2.4 GRAM RENVELA ORAL TABLET 800 MG
SENSIPAR ORAL TABLET 30 MG, 60 MG, 90 MG sevelamer carbonate oral tablet 800 mg
Men's Health Benign Prostatic Hypertrophy alfuzosin oral tablet extended release 24 hr 10 mg
AVODART ORAL CAPSULE 0.5 MG doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg finasteride oral tablet 5 mg
JALYN ORAL CAPSULE, ER MULTIPHASE 24 HR
0.5-0.4 MG prazosin oral capsule 1 mg, 2 mg, 5 mg
EnhancedRx July 1, 2015 55 Drug Status More Details tamsulosin oral capsule,extended release 24hr 0.4 mg terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg
Testosterone Deficiency ANDRODERM TRANSDERMAL PATCH 24 HOUR 2 MG/24 HOUR, 4 MG/24 HR ANDROGEL TRANSDERMAL GEL IN METERED- DOSE PUMP 20.25 MG/1.25 GRAM (1.62 %) ANDROGEL TRANSDERMAL GEL IN PACKET 1.62 % (20.25 MG/1.25 GRAM), 1.62 % (40.5 MG/2.5
GRAM) androxy oral tablet 10 mg
DEPO-TESTOSTERONE INTRAMUSCULAR OIL 200 MG/ML testosterone cypionate intramuscular oil 100 mg/ml, 200 mg/ml testosterone enanthate intramuscular oil 200 mg/ml testosterone transdermal gel in metered-dose pump 1.25 gram/ actuation (1 %) testosterone transdermal gel in packet 1 % (25 mg/2.5gram), 1 % (50 mg/5 gram) Migraine Migraine, Other cafergot oral tablet 1-100 mg dihydroergotamine injection solution 1 mg/ml dihydroergotamine nasal spray,non-aerosol 0.5 mg/pump act. (4 mg/ml) ERGOMAR SUBLINGUAL TABLET 2 MG isometh-dichloral-acetaminophn oral capsule 65- 100-325 mg migergot rectal suppository 2-100 mg migragesic ida oral capsule 65-100-325 mg nodolor oral capsule 65-100-325 mg
EnhancedRx July 1, 2015 56 Drug Status More Details prodrin oral tablet 65-20-325 mg
Migraine, Preventives divalproex oral capsule, sprinkle 125 mg divalproex oral tablet extended release 24 hr 250 mg, 500 mg divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg, 500 mg propranolol oral capsule,extended release 24 hr
120 mg, 160 mg, 60 mg, 80 mg propranolol oral solution 20 mg/5 ml, 40 mg/5 ml propranolol oral tablet 10 mg, 20 mg, 40 mg, 60 mg, 80 mg Migraine, Triptans naratriptan oral tablet 1 mg, 2.5 mg rizatriptan oral tablet 10 mg, 5 mg rizatriptan oral tablet,disintegrating 10 mg, 5 mg sumatriptan nasal spray,non-aerosol 20 mg/actuation, 5 mg/actuation sumatriptan succinate oral tablet 100 mg, 25 mg, 50 mg sumatriptan succinate subcutaneous cartridge 4 mg/0.5 ml, 6 mg/0.5 ml sumatriptan succinate subcutaneous pen injector 4 mg/0.5 ml, 6 mg/0.5 ml sumatriptan succinate subcutaneous solution 6 mg/0.5 ml Mouth & Throat Dental Health chlorhexidine gluconate mucous membrane mouthwash 0.12 % periogard mucous membrane mouthwash 0.12 % triamcinolone acetonide dental paste 0.1 %
Dry Mouth
EnhancedRx July 1, 2015 57 Drug Status More Details cevimeline oral capsule 30 mg pilocarpine hcl oral tablet 5 mg, 7.5 mg
Pain lidocaine hcl mucous membrane gel 2 % lidocaine hcl mucous membrane jelly in applicator
2 % lidocaine hcl mucous membrane solution 2 %, 4 %
(40 mg/ml) lidocaine viscous mucous membrane solution 2 %
Multiple Sclerosis Multiple Sclerosis, Injection AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT 30 MCG AVONEX INTRAMUSCULAR PEN INJECTOR 30 MCG/0.5 ML AVONEX INTRAMUSCULAR PEN INJECTOR KIT 30 MCG/0.5 ML AVONEX INTRAMUSCULAR SYRINGE 30 MCG/0.5 ML AVONEX INTRAMUSCULAR SYRINGE KIT 30 MCG/0.5 ML COPAXONE SUBCUTANEOUS SYRINGE 40 MG/ML
COPAXONE SUBCUTANEOUS SYRINGE KIT 20 MG/ML EXTAVIA SUBCUTANEOUS KIT 0.3 MG
REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE 22 MCG/0.5 ML, 44 MCG/0.5 ML REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR 22 MCG/0.5 ML, 44 MCG/0.5 ML,
8.8MCG/0.2ML-22 MCG/0.5ML (6) REBIF TITRATION PACK SUBCUTANEOUS SYRINGE 8.8MCG/0.2ML-22 MCG/0.5ML (6) Multiple Sclerosis, Oral AMPYRA ORAL TABLET EXTENDED RELEASE 12 HR 10 MG
EnhancedRx July 1, 2015 58 Drug Status More Details GILENYA ORAL CAPSULE 0.5 MG
TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC) 120 MG, 120 MG (14)- 240 MG
(46), 240 MG Muscle Relaxant Muscle Relaxants baclofen oral tablet 10 mg, 20 mg chlorzoxazone oral tablet 500 mg cyclobenzaprine oral tablet 10 mg, 5 mg, 7.5 mg dantrolene oral capsule 100 mg, 25 mg, 50 mg methocarbamol oral tablet 500 mg, 750 mg tizanidine oral tablet 2 mg, 4 mg
Other Conditions Other Agents ACTHAR H.P. INJECTION GEL 80 UNIT/ML
ALFERON N INJECTION SOLUTION 5 MILLION UNIT/ML ARCALYST SUBCUTANEOUS RECON SOLN 220 MG
BUPHENYL ORAL TABLET 500 MG
CHEMET ORAL CAPSULE 100 MG
CYSTAGON ORAL CAPSULE 150 MG, 50 MG desmopressin nasal aerosol,spray 10 mcg/spray (0.1 ml) desmopressin nasal solution 0.1 mg/ml (refrigerate) desmopressin nasal spray,non-aerosol 10 mcg/spray (0.1 ml) desmopressin oral tablet 0.1 mg, 0.2 mg
EnhancedRx July 1, 2015 59 Drug Status More Details ergoloid oral tablet 1 mg
ESBRIET ORAL CAPSULE 267 MG
EXJADE ORAL TABLET, DISPERSIBLE 125 MG, 250 MG, 500 MG FERRIPROX ORAL TABLET 500 MG
ILARIS (PF) SUBCUTANEOUS RECON SOLN 180 MG/1.2 ML (150 MG/ML) JADENU ORAL TABLET 180 MG, 360 MG, 90 MG kionex oral powder
KUVAN ORAL POWDER IN PACKET 100 MG, 500 MG KUVAN ORAL TABLET,SOLUBLE 100 MG leucovorin calcium oral tablet 10 mg, 15 mg, 25 mg, 5 mg levocarnitine (with sugar) oral solution 100 mg/ml levocarnitine oral tablet 330 mg marlexate oral powder megestrol oral suspension 400 mg/10 ml (40 mg/ml) MESTINON ORAL SYRUP 60 MG/5 ML
MESTINON TIMESPAN ORAL TABLET EXTENDED
RELEASE 180 MG nifedipine oral capsule 10 mg, 20 mg octreotide acetate injection solution 1,000 mcg/ml, 100 mcg/ml, 200 mcg/ml, 50 mcg/ml,
500 mcg/ml octreotide acetate injection syringe 100 mcg/ml (1 ml), 50 mcg/ml (1 ml), 500 mcg/ml (1 ml) OFEV ORAL CAPSULE 100 MG, 150 MG
EnhancedRx July 1, 2015 60 Drug Status More Details oxandrolone oral tablet 10 mg, 2.5 mg pyridostigmine bromide oral tablet 60 mg
RAVICTI ORAL LIQUID 1.1 GRAM/ML riluzole oral tablet 50 mg
SIGNIFOR SUBCUTANEOUS SOLUTION 0.3 MG/ML (1 ML), 0.6 MG/ML (1 ML), 0.9 MG/ML (1
ML) sodium phenylbutyrate oral powder 0.94 gram/gram sodium polystyrene (sorb free) oral suspension 15 gram/60 ml sodium polystyrene sulfonate oral powder sodium polystyrene sulfonate oral suspension 15 gram/60 ml SOMAVERT SUBCUTANEOUS RECON SOLN 10 MG, 15 MG, 20 MG, 25 MG, 30 MG XENAZINE ORAL TABLET 12.5 MG, 25 MG
Pain Fibromyalgia / Neuropathic Pain duloxetine oral capsule,delayed release(dr/ec) 20 mg, 30 mg, 60 mg gabapentin oral capsule 100 mg, 300 mg, 400 mg gabapentin oral solution 250 mg/5 ml, 250 mg/5 ml (5 ml), 300 mg/6 ml (6 ml) gabapentin oral tablet 600 mg, 800 mg lidocaine topical adhesive patch,medicated 5 %(700 mg/patch) LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 225 MG, 25 MG, 300 MG, 50 MG, 75 MG LYRICA ORAL SOLUTION 20 MG/ML
SAVELLA ORAL TABLET 100 MG, 12.5 MG, 25 MG, 50 MG
EnhancedRx July 1, 2015 61 Drug Status More Details SAVELLA ORAL TABLETS,DOSE PACK 12.5 MG (5)- 25 MG(8)-50 MG(42) Non-Steroidal Anti-Inflammatories celecoxib oral capsule 100 mg, 200 mg, 400 mg,
50 mg diclofenac potassium oral tablet 50 mg diclofenac sodium oral tablet extended release 24 hr 100 mg diclofenac sodium oral tablet,delayed release
(dr/ec) 25 mg, 50 mg, 75 mg etodolac oral capsule 200 mg, 300 mg etodolac oral tablet 400 mg, 500 mg etodolac oral tablet extended release 24 hr 400 mg, 500 mg, 600 mg flurbiprofen oral tablet 100 mg, 50 mg ibuprofen oral tablet 400 mg, 600 mg, 800 mg
INDOCIN ORAL SUSPENSION 25 MG/5 ML indomethacin oral capsule 25 mg, 50 mg ketorolac oral tablet 10 mg meloxicam oral suspension 7.5 mg/5 ml meloxicam oral tablet 15 mg, 7.5 mg nabumetone oral tablet 500 mg, 750 mg naproxen oral suspension 125 mg/5 ml naproxen oral tablet 250 mg, 375 mg, 500 mg naproxen oral tablet,delayed release (dr/ec) 375 mg, 500 mg naproxen sodium oral tablet 275 mg, 550 mg piroxicam oral capsule 10 mg, 20 mg
EnhancedRx July 1, 2015 62 Drug Status More Details salsalate oral tablet 500 mg, 750 mg sulindac oral tablet 150 mg, 200 mg tolmetin oral capsule 400 mg tolmetin oral tablet 200 mg, 600 mg
Pain, Opioids acetaminophen-codeine oral solution 120-12 mg/5 ml, 300 mg-30 mg /12.5 ml acetaminophen-codeine oral tablet 300-15 mg, 300-30 mg, 300-60 mg buprenorphine-naloxone sublingual tablet 2-0.5 mg, 8-2 mg codeine sulfate oral tablet 15 mg, 30 mg, 60 mg endocet oral tablet 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg fentanyl transdermal patch 72 hour 100 mcg/hr, 12 mcg/hr, 25 mcg/hr, 37.5 mcg/hour, 50 mcg/hr,
62.5 mcg/hour, 75 mcg/hr, 87.5 mcg/hour hydrocodone-acetaminophen oral solution 7.5- 325 mg/15 ml hydrocodone-acetaminophen oral tablet 10-325 mg, 10-500 mg, 2.5-500 mg, 5-325 mg, 5-500 mg,
7.5-325 mg, 7.5-500 mg hydrocodone-ibuprofen oral tablet 7.5-200 mg hydromorphone oral liquid 1 mg/ml hydromorphone oral tablet 2 mg, 4 mg, 8 mg hydromorphone rectal suppository 3 mg methadone oral concentrate 10 mg/ml methadone oral solution 10 mg/5 ml, 5 mg/5 ml methadone oral tablet 10 mg, 5 mg methadone oral tablet,soluble 40 mg
EnhancedRx July 1, 2015 63 Drug Status More Details morphine concentrate oral solution 100 mg/5 ml (20 mg/ml) morphine oral solution 10 mg/5 ml, 20 mg/5 ml
MORPHINE ORAL TABLET 15 MG, 30 MG morphine oral tablet extended release 100 mg, 200 mg morphine oral tablet extended release 15 mg, 30 mg, 60 mg morphine rectal suppository 10 mg, 20 mg, 30 mg, 5 mg oxycodone oral capsule 5 mg oxycodone oral concentrate 20 mg/ml oxycodone oral solution 5 mg/5 ml oxycodone oral tablet 10 mg, 15 mg, 20 mg, 5 mg oxycodone oral tablet 30 mg oxycodone oral tablet,oral only,ext.rel.12 hr 10 mg, 20 mg, 40 mg oxycodone oral tablet,oral only,ext.rel.12 hr 80 mg oxycodone-acetaminophen oral capsule 5-500 mg oxycodone-acetaminophen oral tablet 10-325 mg, 5-325 mg, 7.5-325 mg, 7.5-500 mg oxycodone-aspirin oral tablet 4.8355-325 mg
OXYCONTIN ORAL TABLET,ORAL ONLY,EXT.REL.12 HR 10 MG, 15 MG, 20 MG, 30
MG, 40 MG OXYCONTIN ORAL TABLET,ORAL ONLY,EXT.REL.12 HR 60 MG, 80 MG roxicet oral solution 5-325 mg/5 ml
SUBOXONE SUBLINGUAL FILM 12-3 MG, 2-0.5 MG, 4-1 MG, 8-2 MG Pain, Other
EnhancedRx July 1, 2015 64 Drug Status More Details butalbital compound oral tablet 50-325-40 mg butalbital-acetaminophen oral tablet 50-325 mg butalbital-acetaminophen-caff oral tablet 50-325- 40 mg, 50-500-40 mg butalbital-aspirin-caffeine oral capsule 50-325-40 mg butalbital-aspirin-caffeine oral tablet 50-325-40 mg tramadol oral tablet 50 mg
Pain, Topical lidocaine topical ointment 5 % lidocaine-prilocaine topical cream 2.5-2.5 %
VOLTAREN TOPICAL GEL 1 %
Parkinson's Parkinson's amantadine hcl oral capsule 100 mg amantadine hcl oral solution 50 mg/5 ml
AZILECT ORAL TABLET 0.5 MG, 1 MG benztropine oral tablet 0.5 mg, 1 mg, 2 mg bromocriptine oral capsule 5 mg bromocriptine oral tablet 2.5 mg carbidopa oral tablet 25 mg carbidopa-levodopa oral tablet 10-100 mg, 25-100 mg, 25-250 mg carbidopa-levodopa oral tablet extended release
25-100 mg, 50-200 mg
EnhancedRx July 1, 2015 65 Drug Status More Details carbidopa-levodopa-entacapone oral tablet 12.5- 50-200 mg, 18.75-75-200 mg, 25-100-200 mg,
31.25-125-200 mg, 37.5-150-200 mg, 50-200-200 mg entacapone oral tablet 200 mg
MIRAPEX ER ORAL TABLET EXTENDED RELEASE 24 HR 2.25 MG, 3 MG, 3.75 MG, 4.5 MG NEUPRO TRANSDERMAL PATCH 24 HOUR 1 MG/24 HOUR, 2 MG/24 HOUR, 3 MG/24 HOUR,
4 MG/24 HOUR, 6 MG/24 HOUR, 8 MG/24 HOUR pramipexole oral tablet 0.125 mg, 0.25 mg, 0.5 mg, 0.75 mg, 1 mg, 1.5 mg pramipexole oral tablet extended release 24 hr 0.375 mg, 0.75 mg, 1.5 mg ropinirole oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg,
3 mg, 4 mg, 5 mg ropinirole oral tablet extended release 24 hr 12 mg, 2 mg, 4 mg, 6 mg, 8 mg RYTARY ORAL CAPSULE, EXTENDED RELEASE 23.75-95 MG, 36.25-145 MG, 48.75-195 MG,
61.25-245 MG selegiline hcl oral capsule 5 mg selegiline hcl oral tablet 5 mg trihexyphenidyl oral elixir 0.4 mg/ml trihexyphenidyl oral tablet 2 mg, 5 mg
Pulmonary Hypertension Pulmonary Hypertension ADEMPAS ORAL TABLET 0.5 MG, 1 MG, 1.5 MG, 2 MG, 2.5 MG EPOPROSTENOL (GLYCINE) INTRAVENOUS RECON SOLN 1.5 MG FLOLAN INTRAVENOUS RECON SOLN 1.5 MG
LETAIRIS ORAL TABLET 10 MG, 5 MG
OPSUMIT ORAL TABLET 10 MG
EnhancedRx July 1, 2015 66 Drug Status More Details REMODULIN INJECTION SOLUTION 1 MG/ML, 10 MG/ML, 2.5 MG/ML, 5 MG/ML REVATIO ORAL SUSPENSION FOR RECONSTITUTION 10 MG/ML sildenafil oral tablet 20 mg
TRACLEER ORAL TABLET 125 MG, 62.5 MG
TYVASO INHALATION SOLUTION FOR NEBULIZATION 1.74 MG/2.9 ML (0.6 MG/ML) TYVASO REFILL KIT INHALATION SOLUTION FOR NEBULIZATION 1.74 MG/2.9 ML (0.6 MG/ML) TYVASO STARTER KIT INHALATION SOLUTION FOR NEBULIZATION 1.74 MG/2.9 ML VELETRI INTRAVENOUS RECON SOLN 0.5 MG
VELETRI INTRAVENOUS RECON SOLN 1.5 MG
VENTAVIS INHALATION SOLUTION FOR NEBULIZATION 10 MCG/ML, 20 MCG/ML Seizures / Epilepsy Seizures / Epilepsy acetazolamide oral capsule, extended release 500 mg acetazolamide oral tablet 125 mg, 250 mg
APTIOM ORAL TABLET 200 MG, 400 MG, 600 MG, 800 MG BANZEL ORAL SUSPENSION 40 MG/ML
BANZEL ORAL TABLET 200 MG, 400 MG carbamazepine oral capsule, er multiphase 12 hr
100 mg, 200 mg, 300 mg carbamazepine oral suspension 100 mg/5 ml, 100 mg/5 ml (5 ml) carbamazepine oral tablet 200 mg carbamazepine oral tablet extended release 12 hr
200 mg, 400 mg carbamazepine oral tablet,chewable 100 mg
EnhancedRx July 1, 2015 67 Drug Status More Details clonazepam oral tablet 0.5 mg, 1 mg, 2 mg diazepam intensol oral concentrate 5 mg/ml diazepam oral solution 5 mg/5 ml diazepam oral tablet 10 mg, 2 mg, 5 mg diazepam rectal kit 12.5-15-17.5-20 mg, 2.5 mg, 5-7.5-10 mg DILANTIN KAPSEAL ORAL CAPSULE 30 MG
DILANTIN ORAL CAPSULE 30 MG divalproex oral capsule, sprinkle 125 mg divalproex oral tablet extended release 24 hr 250 mg, 500 mg divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg, 500 mg ethosuximide oral capsule 250 mg ethosuximide oral solution 250 mg/5 ml felbamate oral suspension 600 mg/5 ml felbamate oral tablet 400 mg, 600 mg
FYCOMPA ORAL TABLET 10 MG, 12 MG, 2 MG, 4 MG, 6 MG, 8 MG gabapentin oral capsule 100 mg, 300 mg, 400 mg gabapentin oral solution 250 mg/5 ml, 250 mg/5 ml (5 ml), 300 mg/6 ml (6 ml) gabapentin oral tablet 600 mg, 800 mg
GABITRIL ORAL TABLET 12 MG, 16 MG
LAMICTAL ORAL TABLET, CHEWABLE
DISPERSIBLE 2 MG lamotrigine oral tablet 100 mg, 150 mg, 200 mg,
25 mg
EnhancedRx July 1, 2015 68 Drug Status More Details lamotrigine oral tablet, chewable dispersible 25 mg, 5 mg lamotrigine oral tablet,disintegrating 100 mg, 200 mg, 25 mg, 50 mg lamotrigine oral tablets,dose pack 25 mg (35) levetiracetam oral solution 100 mg/ml levetiracetam oral tablet 1,000 mg, 250 mg, 500 mg, 750 mg LYRICA ORAL CAPSULE 100 MG, 150 MG, 200 MG, 225 MG, 25 MG, 300 MG, 50 MG, 75 MG LYRICA ORAL SOLUTION 20 MG/ML
ONFI ORAL SUSPENSION 2.5 MG/ML
ONFI ORAL TABLET 10 MG, 20 MG, 5 MG oxcarbazepine oral suspension 300 mg/5 ml oxcarbazepine oral tablet 150 mg, 300 mg, 600 mg phenobarbital oral elixir 20 mg/5 ml phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg phenytoin oral suspension 125 mg/5 ml phenytoin oral tablet,chewable 50 mg phenytoin sodium extended oral capsule 100 mg,
200 mg, 300 mg POTIGA ORAL TABLET 200 MG, 300 MG, 400 MG, 50 MG primidone oral tablet 250 mg, 50 mg
SABRIL ORAL POWDER IN PACKET 500 MG
SABRIL ORAL TABLET 500 MG
TEGRETOL XR ORAL TABLET EXTENDED RELEASE
12 HR 100 MG EnhancedRx July 1, 2015 69 Drug Status More Details tiagabine oral tablet 2 mg, 4 mg topiramate oral capsule, sprinkle 15 mg, 25 mg topiramate oral tablet 100 mg, 200 mg, 25 mg, 50 mg valproic acid (as sodium salt) oral solution 250 mg/5 ml, 500 mg/10 ml (10 ml) valproic acid oral capsule 250 mg
VIMPAT ORAL SOLUTION 10 MG/ML
VIMPAT ORAL TABLET 100 MG, 150 MG, 200 MG, 50 MG zonisamide oral capsule 100 mg, 25 mg, 50 mg
Skin Conditions Acne, Oral amnesteem oral capsule 10 mg, 20 mg, 40 mg claravis oral capsule 10 mg, 20 mg, 30 mg, 40 mg myorisan oral capsule 10 mg, 20 mg, 40 mg sotret oral capsule 20 mg, 40 mg zenatane oral capsule 10 mg, 20 mg, 40 mg
Acne, Topical ACZONE TOPICAL GEL 5 % adapalene topical cream 0.1 % adapalene topical gel 0.1 %, 0.3 % adapalene topical gel with pump 0.3 % avita topical cream 0.025 % avita topical gel 0.025 %
EnhancedRx July 1, 2015 70 Drug Status More Details AZELEX TOPICAL CREAM 20 % cerisa topical cleanser 10-1 % clindamycin phosphate topical gel 1 % clindamycin phosphate topical lotion 1 % clindamycin phosphate topical solution 1 % clindamycin phosphate topical swab 1 % erythromycin with ethanol topical gel 2 % erythromycin with ethanol topical solution 2 % sulfacetamide sodium (acne) topical suspension
10 % sulfacetamide sodium-sulfur topical cleanser 10-5
% (w/w) sulfacetamide sodium-sulfur topical cream 10-5 %
(w/w) sulfacetamide sodium-sulfur topical lotion 10-5 %
(w/v), 10-5 % (w/w) sulfacetamide sod-sulfur-urea topical cleanser 10-
5-10 % tretinoin microspheres topical gel 0.04 %, 0.1 % tretinoin microspheres topical gel with pump 0.04 %, 0.1 % tretinoin topical cream 0.025 %, 0.05 %, 0.1 % tretinoin topical gel 0.01 %, 0.025 %
Antifungals, Topical ciclopirox topical cream 0.77 % ciclopirox topical gel 0.77 % ciclopirox topical solution 8 %
EnhancedRx July 1, 2015 71 Drug Status More Details ciclopirox topical suspension 0.77 % econazole topical cream 1 %
EXELDERM TOPICAL CREAM 1 %
EXELDERM TOPICAL SOLUTION 1 % ketoconazole topical cream 2 % ketoconazole topical shampoo 2 % nystatin topical cream 100,000 unit/gram nystatin topical ointment 100,000 unit/gram nystatin topical powder 100,000 unit/gram
Anti-Infectives, Topical ALTABAX TOPICAL OINTMENT 1 % gentamicin topical cream 0.1 % gentamicin topical ointment 0.1 % mupirocin calcium topical cream 2 % mupirocin topical ointment 2 % silver sulfadiazine topical cream 1 %
Corticosteroids, Topical APEXICON E TOPICAL CREAM 0.05 % betamethasone dipropionate topical cream 0.05 % betamethasone dipropionate topical lotion 0.05 % betamethasone dipropionate topical ointment
0.05 % betamethasone valerate topical cream 0.1 %
EnhancedRx July 1, 2015 72 Drug Status More Details betamethasone valerate topical lotion 0.1 % betamethasone valerate topical ointment 0.1 % betamethasone, augmented topical cream 0.05 % betamethasone, augmented topical gel 0.05 % betamethasone, augmented topical lotion 0.05 % betamethasone, augmented topical ointment 0.05
% clobetasol topical cream 0.05 % clobetasol topical gel 0.05 % clobetasol topical ointment 0.05 % clobetasol topical solution 0.05 % clobetasol-emollient topical cream 0.05 %
CORDRAN TAPE LARGE ROLL TOPICAL TAPE 4 MCG/CM2 CORDRAN TAPE SMALL ROLL TOPICAL TAPE 4 MCG/CM2 desonide topical cream 0.05 % desonide topical lotion 0.05 % desonide topical ointment 0.05 % desoximetasone topical cream 0.05 %, 0.25 % desoximetasone topical gel 0.05 % desoximetasone topical ointment 0.25 % fluocinolone topical cream 0.01 %, 0.025 % fluocinolone topical oil 0.01 %
EnhancedRx July 1, 2015 73 Drug Status More Details fluocinolone topical ointment 0.025 % fluocinolone-shower cap topical oil 0.01 % fluocinonide topical cream 0.05 % fluocinonide topical gel 0.05 % fluocinonide topical ointment 0.05 % fluocinonide topical solution 0.05 % fluocinonide-emollient topical cream 0.05 % fluticasone topical cream 0.05 % fluticasone topical ointment 0.005 % hydrocortisone topical cream 2.5 % hydrocortisone topical lotion 2.5 % hydrocortisone topical ointment 2.5 % hydrocortisone valerate topical cream 0.2 % hydrocortisone valerate topical ointment 0.2 % hydrocortisone-pramoxine topical cream 2.5-1 % iodoquinol-hc topical cream 1-1 % lokara topical lotion 0.05 % mometasone topical cream 0.1 % mometasone topical ointment 0.1 % mometasone topical solution 0.1 % triamcinolone acetonide topical cream 0.025 %,
0.1 %, 0.5 %
EnhancedRx July 1, 2015 74 Drug Status More Details triamcinolone acetonide topical lotion 0.025 %,
0.1 % triamcinolone acetonide topical ointment 0.025 %,
0.1 %, 0.5 % triderm topical cream 0.1 %
Lice / Scabies, Topical EURAX TOPICAL CREAM 10 %
EURAX TOPICAL LOTION 10 % malathion topical lotion 0.5 % permethrin topical cream 5 %
Psoriasis, Other acitretin oral capsule 10 mg, 17.5 mg, 25 mg
ENBREL SUBCUTANEOUS RECON SOLN 25 MG (1 ML) ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML) ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR 50 MG/ML (0.98 ML) HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT 40 MG/0.8 ML HUMIRA SUBCUTANEOUS SYRINGE KIT 10 MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML methotrexate sodium oral tablet 2.5 mg
Psoriasis, Topical calcipotriene topical cream 0.005 % calcipotriene topical ointment 0.005 % calcipotriene topical solution 0.005 % calcipotriene-betamethasone topical ointment 0.005-0.064 % calcitriol topical ointment 3 mcg/gram
EnhancedRx July 1, 2015 75 Drug Status More Details DRITHOCREME HP TOPICAL CREAM 1 %
TACLONEX TOPICAL SUSPENSION 0.005-0.064 %
TAZORAC TOPICAL CREAM 0.05 %, 0.1 %
TAZORAC TOPICAL GEL 0.05 %, 0.1 %
Rosacea cerisa topical cleanser 10-1 %
FINACEA TOPICAL GEL 15 % metronidazole topical cream 0.75 % metronidazole topical gel 0.75 %, 1 % metronidazole topical lotion 0.75 %
NORITATE TOPICAL CREAM 1 % sulfacetamide sodium-sulfur topical cleanser 10-5
% (w/w) sulfacetamide sodium-sulfur topical cream 10-5 %
(w/w) sulfacetamide sodium-sulfur topical lotion 10-5 %
(w/v), 10-5 % (w/w) sulfacetamide sod-sulfur-urea topical cleanser 10-
5-10 % Skin Conditions, Other ammonium lactate topical cream 12 % ammonium lactate topical lotion 12 %
CONDYLOX TOPICAL GEL 0.5 %
ELIDEL TOPICAL CREAM 1 %
FLUOROPLEX TOPICAL CREAM 1 % fluorouracil topical cream 0.5 %, 5 %
EnhancedRx July 1, 2015 76 Drug Status More Details fluorouracil topical solution 2 %, 5 % granulex topical aerosol,spray 0.12-87 mg/gram hypercare topical solution 20 % imiquimod topical cream in packet 5 %
OXSORALEN TOPICAL LOTION 1 %
PICATO TOPICAL GEL 0.015 %, 0.05 % podofilox topical solution 0.5 % selenium sulfide topical suspension 2.5 % tacrolimus topical ointment 0.03 %, 0.1 % urea topical cream 40 % urea topical gel 40 % urea topical lotion 40 % urea topical nail film suspension 40 %
Sleep Disorders Insomnia temazepam oral capsule 15 mg, 30 mg zaleplon oral capsule 10 mg, 5 mg zolpidem oral tablet 10 mg, 5 mg zolpidem oral tablet,ext release multiphase 12.5 mg, 6.25 mg Narcolepsy / Excessive Sleepiness modafinil oral tablet 100 mg, 200 mg
NUVIGIL ORAL TABLET 150 MG, 200 MG, 250 MG, 50 MG
EnhancedRx July 1, 2015 77 Drug Status More Details XYREM ORAL SOLUTION 500 MG/ML
Smoking Cessation Nicotine Replacement nicotine (polacrilex) buccal gum 2 mg, 4 mg nicotine (polacrilex) buccal lozenge 2 mg, 4 mg nicotine transdermal patch 24 hour 14 mg/24 hr, 21 mg/24 hr, 22 mg/24 hr, 7 mg/24 hr NICOTROL INHALATION CARTRIDGE 10 MG
NICOTROL NS NASAL SPRAY,NON-AEROSOL 10 MG/ML Smoking Cessation, Other buproban oral tablet extended release 150 mg
CHANTIX CONTINUING MONTH BOX ORAL TABLET 1 MG CHANTIX CONTINUING MONTH PAK ORAL TABLET 1 MG CHANTIX ORAL TABLET 0.5 MG, 1 MG
CHANTIX STARTING MONTH BOX ORAL TABLETS,DOSE PACK 0.5 MG (11)- 1 MG (42) CHANTIX STARTING MONTH PAK ORAL TABLETS,DOSE PACK 0.5 MG (11)- 1 MG (42) Stomach / Gastrointestinal Bowel Prep gavilyte-c oral recon soln 240-22.72-6.72 gram gavilyte-g oral recon soln 236-22.74-6.74 gram gavilyte-n oral recon soln 420 gram
MOVIPREP ORAL POWDER IN PACKET 100-7.5-
2.691 GRAM Constipation AMITIZA ORAL CAPSULE 24 MCG, 8 MCG
EnhancedRx July 1, 2015 78 Drug Status More Details enulose oral solution 10 gram/15 ml lactulose oral solution 10 gram/15 ml
LINZESS ORAL CAPSULE 145 MCG, 290 MCG
RELISTOR SUBCUTANEOUS KIT 12 MG/0.6 ML
RELISTOR SUBCUTANEOUS SOLUTION 12 MG/0.6 ML RELISTOR SUBCUTANEOUS SYRINGE 12 MG/0.6 ML, 8 MG/0.4 ML Crohn's Disease / Ulcerative Colitis ASACOL HD ORAL TABLET,DELAYED RELEASE
(DR/EC) 800 MG balsalazide oral capsule 750 mg budesonide oral capsule,delayed,extend.release 3 mg CANASA RECTAL SUPPOSITORY 1,000 MG
DELZICOL ORAL CAPSULE,DELAYED
RELEASE(DR/EC) 400 MG HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT 40 MG/0.8 ML HUMIRA SUBCUTANEOUS SYRINGE KIT 10 MG/0.2 ML, 20 MG/0.4 ML, 40 MG/0.8 ML LIALDA ORAL TABLET,DELAYED RELEASE (DR/EC)
1.2 GRAM mesalamine rectal enema 4 gram/60 ml
PENTASA ORAL CAPSULE, EXTENDED RELEASE
250 MG, 500 MG sulfasalazine oral tablet 500 mg sulfasalazine oral tablet,delayed release (dr/ec)
500 mg Nausea / Vomiting dronabinol oral capsule 10 mg, 2.5 mg, 5 mg
EMEND ORAL CAPSULE 125 MG, 40 MG, 80 MG
EnhancedRx July 1, 2015 79 Drug Status More Details EMEND ORAL CAPSULE,DOSE PACK 125 MG (1)-
80 MG (2) metoclopramide hcl oral solution 5 mg/5 ml metoclopramide hcl oral tablet 10 mg, 5 mg ondansetron hcl oral solution 4 mg/5 ml ondansetron hcl oral tablet 24 mg, 4 mg, 8 mg ondansetron oral tablet,disintegrating 4 mg, 8 mg prochlorperazine maleate oral tablet 10 mg, 5 mg prochlorperazine rectal suppository 25 mg promethazine oral syrup 6.25 mg/5 ml promethazine oral tablet 12.5 mg, 25 mg, 50 mg promethazine rectal suppository 12.5 mg, 25 mg,
50 mg TRANSDERM-SCOP TRANSDERMAL PATCH 72 HOUR 1.5 MG (1 MG OVER 3 DAYS) trimethobenzamide oral capsule 300 mg
Stomach / Gastrointestinal, Other alosetron oral tablet 0.5 mg, 1 mg
CARBAGLU ORAL TABLET, DISPERSIBLE 200 MG
CUVPOSA ORAL SOLUTION 1 MG/5 ML (0.2 MG/ML) dicyclomine oral capsule 10 mg dicyclomine oral solution 10 mg/5 ml dicyclomine oral tablet 20 mg diphenoxylate-atropine oral liquid 2.5-0.025 mg/5 ml diphenoxylate-atropine oral tablet 2.5-0.025 mg
EnhancedRx July 1, 2015 80 Drug Status More Details FULYZAQ ORAL TABLET,DELAYED RELEASE (DR/EC) 125 MG glycopyrrolate oral tablet 1 mg, 2 mg hyoscyamine sulfate oral drops 0.125 mg/ml hyoscyamine sulfate oral elixir 0.125 mg/5 ml hyoscyamine sulfate oral tablet 0.125 mg hyoscyamine sulfate oral tablet extended release
12 hr 0.375 mg hyoscyamine sulfate oral tablet,disintegrating
0.125 mg hyoscyamine sulfate sublingual tablet 0.125 mg
MOVANTIK ORAL TABLET 12.5 MG, 25 MG paregoric oral liquid 2 mg/5 ml propantheline oral tablet 15 mg ursodiol oral capsule 300 mg ursodiol oral tablet 250 mg, 500 mg
Stomach / Gastrointestinal, Rectal CORTIFOAM RECTAL FOAM 10 % (80 MG) hydrocortisone acetate rectal suppository 25 mg hydrocortisone rectal enema 100 mg/60 ml hydrocortisone-pramoxine rectal cream 1-1 %,
2.5-1 % PROCTOFOAM HC RECTAL FOAM 1-1 % proctosol hc rectal cream 2.5 %
Ulcers / Heartburn / GERD CARAFATE ORAL SUSPENSION 100 MG/ML
EnhancedRx July 1, 2015 81 Drug Status More Details cimetidine hcl oral solution 300 mg/5 ml cimetidine oral tablet 300 mg, 400 mg, 800 mg famotidine oral tablet 20 mg, 40 mg lansoprazole oral capsule,delayed release(dr/ec) 15 mg, 30 mg misoprostol oral tablet 100 mcg, 200 mcg omeprazole oral capsule,delayed release(dr/ec) 10 mg, 20 mg, 40 mg pantoprazole oral tablet,delayed release (dr/ec)
20 mg, 40 mg PREVACID SOLUTAB ORAL TABLET,DISINTEGRAT, DELAY REL 15 MG, 30 MG ranitidine hcl oral syrup 15 mg/ml ranitidine hcl oral tablet 150 mg, 300 mg sucralfate oral suspension 100 mg/ml sucralfate oral tablet 1 gram
Thyroid Antithyroid Agents methimazole oral tablet 10 mg, 5 mg propylthiouracil oral tablet 50 mg
Thyroid Agents levothyroxine oral tablet 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg liothyronine oral tablet 25 mcg, 5 mcg, 50 mcg
SYNTHROID ORAL TABLET 100 MCG, 112 MCG, 125 MCG, 137 MCG, 150 MCG, 175 MCG, 200
MCG, 25 MCG, 300 MCG, 50 MCG, 75 MCG, 88 MCG Urinary & Bladder Health Overactive Bladder
EnhancedRx July 1, 2015 82 Drug Status More Details MYRBETRIQ ORAL TABLET EXTENDED RELEASE 24
HR 25 MG, 50 MG oxybutynin chloride oral syrup 5 mg/5 ml oxybutynin chloride oral tablet 5 mg oxybutynin chloride oral tablet extended release
24hr 10 mg, 15 mg, 5 mg tolterodine oral capsule,extended release 24hr 2 mg, 4 mg tolterodine oral tablet 1 mg, 2 mg trospium oral tablet 20 mg
VESICARE ORAL TABLET 10 MG, 5 MG
Urinary & Bladder Health, Other bethanechol chloride oral tablet 10 mg, 25 mg, 5 mg, 50 mg cytra-2 oral solution 500-334 mg/5 ml cytra-3 oral solution 550-500-334 mg/5 ml cytra-k oral solution 1,100-334 mg/5 ml
ELMIRON ORAL CAPSULE 100 MG phenazopyridine oral tablet 100 mg, 200 mg phospha 250 neutral oral tablet 250 mg pot & sod citrate-citric acid oral solution 550-500-
334 mg/5 ml potassium citrate oral tablet extended release 10 meq (1,080 mg), 15 meq, 5 meq (540 mg) potassium citrate-citric acid oral solution 1,100-
334 mg/5 ml sodium citrate-citric acid oral solution 500-334 mg/5 ml tricitrates oral solution 550-500-334 mg/5 ml
EnhancedRx July 1, 2015 83 Drug Status More Details virt-phos 250 neutral oral tablet 250 mg
Vaccines Vaccines FLUARIX 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)/0.5 ML FLUARIX QUAD 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 60 MCG (15 MCG X 4)/0.5 ML FLUCELVAX 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)0.5 ML FLULAVAL 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)/0.5 ML FLULAVAL 2014-2015 INTRAMUSCULAR
SUSPENSION 45 MCG (15 MCG X 3)/0.5 ML FLULAVAL QUAD 2014-2015 (PF) INTRAMUSCULAR SYRINGE 60 MCG (15 MCG X 4)/0.5 ML FLULAVAL QUAD 2014-2015 INTRAMUSCULAR
SUSPENSION 60 MCG (15 MCG X 4)/0.5 ML FLUVIRIN 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)/0.5 ML FLUVIRIN 2014-2015 INTRAMUSCULAR
SUSPENSION 45 MCG (15 MCG X 3)/0.5 ML FLUZONE 2014-2015 (PF) INTRAMUSCULAR
SYRINGE 45 MCG (15 MCG X 3)/0.5 ML FLUZONE 2014-2015 INTRAMUSCULAR
SUSPENSION 45 MCG (15 MCG X 3)/0.5 ML FLUZONE HIGH-DOSE 2014-15 (PF)
INTRAMUSCULAR SYRINGE 180 MCG/0.5 ML FLUZONE INTRADERM QUAD 2014-15
INTRADERMAL SYRINGE 36 MCG/0.1 ML FLUZONE QUAD 2014-2015 (PF) INTRAMUSCULAR SUSPENSION 60 MCG (15 MCG X 4)/0.5 ML FLUZONE QUAD 2014-2015 (PF) INTRAMUSCULAR SYRINGE 60 MCG (15 MCG X 4)/0.5 ML FLUZONE QUAD 2014-2015 INTRAMUSCULAR
SUSPENSION 60 MCG (15 MCG X 4)/0.5 ML FLUZONE QUAD PEDI 2014-15 (PF) INTRAMUSCULAR SYRINGE 30 MCG (7.5 MCG X 4)/0.25 ML
EnhancedRx July 1, 2015 84 Drug Status More Details SINGLE USE EZ FLU 2014-15(PF) INTRAMUSCULAR SYRINGE KIT 45 MCG (15 MCG X3)/0.5 ML VIVOTIF BERNA VACCINE ORAL CAPSULE,DELAYED RELEASE(DR/EC) 2 BILLION UNIT Vitamins And Minerals Vitamins And Minerals calcitriol oral capsule 0.25 mcg, 0.5 mcg calcitriol oral solution 1 mcg/ml completenate oral tablet,chewable 29-1 mg cyanocobalamin (vitamin b-12) injection solution
1,000 mcg/ml denta 5000 plus dental cream 1.1 % dentagel dental gel 1.1 % ergocalciferol (vitamin d2) oral capsule 50,000 unit fabb oral tablet 2.2-25-1 mg fluoridex daily defense dental gel 1.1 % folbee plus oral tablet 5 mg folic acid oral tablet 1 mg inatal advance oral tablet 90-1-50 mg inatal ultra oral tablet 90-1-50 mg
MEPHYTON ORAL TABLET 5 MG multi-vitamin with fluoride oral drops 0.25 mg/ml,
0.5 mg/ml multi-vitamin with fluoride oral tablet,chewable
0.25 mg, 0.5 mg, 1 mg multivitamins with fluoride oral tablet,chewable
0.25 mg, 0.5 mg, 1 mg mynatal advance oral tablet 90-1-50 mg
EnhancedRx July 1, 2015 85 Drug Status More Details mynatal oral tablet 90-1-50 mg mynatal plus oral tablet 65-1 mg mynatal-z oral tablet 65-1 mg mynate 90 plus oral tablet extended release 90 mg iron-1 mg mynephrocaps oral capsule 1 mg natal-v rx oral tablet 29 mg iron- 1 mg nephrocaps oral capsule 1 mg o-cal prenatal oral tablet 15-1 mg pediatric multivitamin-fl oral drops 0.25 mg/ml poly-vitamin with fluoride oral drops 0.5 mg/ml prenaplus oral tablet 27-1 mg prenatabs fa oral tablet 29-1 mg prenatabs rx oral tablet 29 mg iron- 1 mg prenatal ad oral tablet 90-1-50 mg prenatal low iron oral tablet 27-1 mg prenatal plus (calcium carb) oral tablet 27 mg iron- 1 mg prenatal plus oral tablet 29 mg iron- 1 mg prenatal plus with iron (ca) oral tablet 29 mg iron-
1 mg purefe ob plus oral capsule 106 mg iron- 1 mg purefe plus oral capsule 106 mg iron- 1 mg
QUFLORA PEDIATRIC DROPS ORAL DROPS 0.25MG FLUORIDE (0.55 MG)/ML, 0.5 MG FLUORIDE (1.1 MG)/ML renal caps oral capsule 1 mg
EnhancedRx July 1, 2015 86 Drug Status More Details reno caps oral capsule 1 mg se-natal 19 (with docusate) oral tablet 29 mg iron-
1 mg-25 mg se-natal 19 oral tablet,chewable 29 mg iron- 1 mg sf 5000 plus dental cream 1.1 % sf dental gel 1.1 % sodium fluoride dental solution 0.2 % sodium fluoride oral drops 0.5 mg fluoride (1.1 mg)/ml sodium fluoride oral tablet 1 mg fluoride (2.2 mg) sodium fluoride oral tablet,chewable 0.25 mg fluorid (0.55 mg), 0.5 mg fluoride (1.1 mg), 1 mg fluoride (2.2 mg) tl gard rx oral tablet 2.2-25-1 mg triadvance oral tablet 90-1-50 mg trinatal gt oral tablet 90-1-50 mg trinatal ultra oral tablet 90-1-50 mg trinate oral tablet 28-1 mg triphrocaps oral capsule 1 mg triple vitamin with fluoride oral drops 0.25 mg fluor. (0.55 mg)/ml tri-vitamin with fluoride oral drops 0.25 mg fluor.
(0.55 mg)/ml, 0.5 mg fluoride (1.1 mg)/ml vinate az oral tablet 27-1 mg vinate care oral tablet,chewable 40 mg iron- 1 mg vinate gt oral tablet 90-1-50 mg vinate m oral tablet 27-1 mg vinate one oral tablet 60 mg iron-1 mg
EnhancedRx July 1, 2015 87 Drug Status More Details vinate ultra oral tablet 90-1-50 mg vitamin b-12 injection solution 1,000 mcg/ml vitamin d2 oral capsule 50,000 unit vitamins a,c,d & fluoride oral drops 0.25 mg fluor.
(0.55 mg)/ml vol-plus oral tablet 27-1 mg vol-tab rx oral tablet 29 mg iron- 1 mg
Weight Loss Weight Loss ALLI ORAL CAPSULE 60 MG phentermine oral capsule 15 mg, 30 mg, 37.5 mg phentermine oral tablet 37.5 mg
XENICAL ORAL CAPSULE 120 MG
Women's Health Anti-Infectives, Vaginal CLEOCIN VAGINAL SUPPOSITORY 100 MG clindamycin phosphate vaginal cream 2 % metronidazole vaginal gel 0.75 % terconazole vaginal cream 0.4 %, 0.8 % terconazole vaginal suppository 80 mg
Estrogens, Vaginal ESTRACE VAGINAL CREAM 0.01 % (0.1
MG/GRAM) ESTRING VAGINAL RING 2 MG
PREMARIN VAGINAL CREAM 0.625 MG/GRAM
EnhancedRx July 1, 2015 88 Drug Status More Details VAGIFEM VAGINAL TABLET 10 MCG
Hormone Replacement CLIMARA PRO TRANSDERMAL PATCH WEEKLY
0.045-0.015 MG/24 HR COMBIPATCH TRANSDERMAL PATCH SEMIWEEKLY 0.05-0.14 MG/24 HR, 0.05-0.25 MG/24 HR estradiol oral tablet 0.5 mg, 1 mg, 2 mg estradiol transdermal patch semiweekly 0.025 mg/24 hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.075 mg/24 hr, 0.1 mg/24 hr estradiol transdermal patch weekly 0.025 mg/24 hr, 0.0375 mg/24 hr, 0.05 mg/24 hr, 0.06 mg/24 hr, 0.075 mg/24 hr, 0.1 mg/24 hr estradiol-norethindrone acet oral tablet 0.5-0.1 mg, 1-0.5 mg estropipate oral tablet 0.75 mg, 1.5 mg, 3 mg jinteli oral tablet 1-5 mg-mcg medroxyprogesterone oral tablet 10 mg, 2.5 mg, 5 mg mimvey lo oral tablet 0.5-0.1 mg mimvey oral tablet 1-0.5 mg norethindrone acetate oral tablet 5 mg norethindrone ac-eth estradiol oral tablet 0.5-2.5 mg-mcg PREMARIN ORAL TABLET 0.3 MG, 0.45 MG, 0.625
MG, 0.9 MG, 1.25 MG PREMPHASE ORAL TABLET 0.625 MG (14)/
0.625MG-5MG(14) PREMPRO ORAL TABLET 0.3-1.5 MG, 0.45-1.5
MG, 0.625-2.5 MG, 0.625-5 MG progesterone micronized oral capsule 100 mg, 200 mg Women's Health, Other cabergoline oral tablet 0.5 mg
EnhancedRx July 1, 2015 89 Drug Status More Details danazol oral capsule 100 mg, 200 mg, 50 mg methylergonovine oral tablet 0.2 mg nifedipine oral capsule 10 mg, 20 mg raloxifene oral tablet 60 mg tranexamic acid oral tablet 650 mg
EnhancedRx July 1, 2015 90 Index
A ALTABAX ...... 72 ASMANEX TWISTHALER ...... 17 abacavir ...... 10 altafrin ...... 43 atenolol ...... 47 abacavir-lamivudine- altavera (28) ...... 22 atenolol-chlorthalidone ...... 47 zidovudine ...... 11 alyacen 1/35 (28) ...... 22 atorvastatin ...... 50 ABILIFY ...... 18 alyacen 7/7/7 (28) ...... 23 atovaquone ...... 9 ABILIFY DISCMELT...... 18 amantadine hcl ...... 14, 65 atovaquone-proguanil ...... 9 acamprosate ...... 3 amiloride ...... 51 ATRIPLA ...... 11 acarbose ...... 38 amiloride-hydrochlorothiazide atropine ...... 43 acetaminophen-codeine ...... 63 ...... 51 ATROVENT HFA ...... 15 acetazolamide ...... 43, 51, 67 aminocaproic acid ...... 28 aubra ...... 23 acetic acid ...... 40 amiodarone ...... 45 AUVI-Q ...... 3 acetylcysteine ...... 36 AMITIZA ...... 78 aviane ...... 23 acitretin ...... 75 amitriptyline ...... 20 avita ...... 70 ACTHAR H.P...... 59 amlodipine ...... 48 AVODART ...... 55 ACUVAIL (PF) ...... 42 amlodipine-benazepril ... 46, 48 AVONEX ...... 58 acyclovir ...... 13, 14 amlodipine-valsartan ...... 46, 48 AVONEX (WITH ALBUMIN) ... 58 ACZONE ...... 70 amlodipine-valsartan-hcthiazid AZASITE ...... 40 adapalene ...... 70 ...... 46, 48 azathioprine ...... 54 adderall xr ...... 19 ammonium lactate ...... 76 azelastine ...... 3 adefovir ...... 9 amnesteem ...... 70 AZELEX ...... 71 ADEMPAS ...... 66 amoxicillin ...... 7 AZILECT ...... 65 ADVAIR DISKUS ...... 17 amoxicillin-pot clavulanate .... 7 azithromycin ...... 5 ADVAIR HFA ...... 17 amphetamine salt combo .... 19 AZOPT ...... 43 ADVATE ...... 29 ampicillin ...... 7 azurette (28) ...... 23 AFINITOR ...... 32 AMPYRA ...... 58 B AFINITOR DISPERZ ...... 32 anagrelide ...... 31 bacitracin ...... 41 AGGRENOX ...... 31 anastrozole ...... 32 bacitracin-polymyxin b ...... 41 ALBENZA ...... 9 ANDRODERM ...... 56 baclofen ...... 59 albuterol sulfate ...... 16 ANDROGEL ...... 56 balsalazide ...... 79 ALDACTAZIDE ...... 51 androxy ...... 56 balziva (28) ...... 23 alendronate ...... 32 ANORO ELLIPTA ...... 17 BANZEL...... 67 ALFERON N ...... 59 antipyrine-benzocaine ...... 40 BARACLUDE ...... 9 alfuzosin ...... 55 APEXICON E ...... 72 BEBULIN VH ...... 29 ALINIA ...... 9 apri ...... 23 benazepril ...... 46 ALKERAN ...... 32 APTIOM ...... 67 benazepril- ALLI ...... 88 APTIVUS ...... 11 hydrochlorothiazide ...... 46 allopurinol ...... 45 ARALAST NP ...... 4 BENEFIX...... 29 alosetron ...... 80 aranelle (28) ...... 23 benzonatate ...... 36 ALPHAGAN P ...... 43 ARANESP (IN POLYSORBATE) 28 benztropine ...... 65 ALPHANATE ...... 29 ARCALYST ...... 59 BERINERT ...... 53 ALPHANINE SD ...... 29 aripiprazole ...... 18 BESIVANCE ...... 41 alprazolam ...... 19 ARNUITY ELLIPTA ...... 17 betamethasone dipropionate ALPROLIX ...... 29 ASACOL HD ...... 79 ...... 72 ALREX ...... 42 ASMANEX HFA ...... 17 betamethasone valerate 72, 73 EnhancedRx July 1, 2015 91 betamethasone, augmented 73 capecitabine ...... 32 chlorthalidone ...... 51 betaxolol ...... 43 CAPRELSA ...... 32 chlorzoxazone ...... 59 bethanechol chloride ...... 83 captopril ...... 46 cholestyramine (with sugar) . 50 BETOPTIC S ...... 44 captopril-hydrochlorothiazide cholestyramine light ...... 50 bicalutamide ...... 32 ...... 46 ciclopirox...... 71, 72 BILTRICIDE ...... 9 CARAFATE ...... 81 cilostazol ...... 31 bimatoprost ...... 44 CARBAGLU ...... 80 CILOXAN ...... 41 bisoprolol fumarate ...... 47 carbamazepine ...... 67 cimetidine ...... 82 bisoprolol-hydrochlorothiazide carbidopa ...... 65 cimetidine hcl ...... 82 ...... 48 carbidopa-levodopa ...... 65 CINRYZE ...... 53 BIVIGAM ...... 53 carbidopa-levodopa- CIPRO HC ...... 40 BLEPHAMIDE S.O.P...... 41 entacapone ...... 66 CIPRODEX ...... 40 BOSULIF ...... 32 CARIMUNE NF NANOFILTERED ciprofloxacin ...... 7 BREO ELLIPTA ...... 17 ...... 53 ciprofloxacin hcl ...... 7, 41 brevicon (28) ...... 23 carteolol ...... 44 citalopram ...... 21 briellyn ...... 23 cartia xt ...... 48 claravis ...... 70 BRILINTA ...... 31 carvedilol ...... 48 clarithromycin ...... 5 brimonidine ...... 44 CAYSTON ...... 36 clemastine ...... 3 bromfenac ...... 42 caziant (28) ...... 23 CLEOCIN ...... 88 bromocriptine ...... 65 cefadroxil ...... 5 CLIMARA PRO ...... 89 budeprion sr ...... 21 cefdinir ...... 5 clindamycin hcl ...... 6 budesonide ...... 17, 79 cefprozil ...... 5 clindamycin palmitate hcl ...... 6 bumetanide ...... 51 CEFTIN ...... 5 clindamycin phosphate... 71, 88 BUPHENYL ...... 59 cefuroxime axetil ...... 5 clobetasol ...... 73 buprenorphine-naloxone ..... 63 celecoxib ...... 62 clobetasol-emollient ...... 73 buproban ...... 78 cephalexin ...... 5 clomipramine ...... 21 bupropion hcl ...... 21 CERDELGA ...... 40 clonazepam ...... 19, 68 buspirone ...... 19 cerisa ...... 71, 76 clonidine ...... 49 butalbital compound ...... 65 cesia (28) ...... 23 clonidine hcl ...... 19, 49 butalbital-acetaminophen .... 65 cevimeline ...... 58 clopidogrel ...... 31 butalbital-acetaminophen-caff CHANTIX ...... 78 clotrimazole ...... 8 ...... 65 CHANTIX CONTINUING clozapine ...... 18 butalbital-aspirin-caffeine .... 65 MONTH BOX ...... 78 codeine sulfate ...... 63 BYDUREON ...... 37 CHANTIX CONTINUING codeine-guaifenesin ...... 36 BYETTA ...... 37 MONTH PAK...... 78 colchicine ...... 45 C CHANTIX STARTING MONTH colchicine-probenecid ...... 45 cabergoline ...... 89 BOX ...... 78 colestipol ...... 50 cafergot ...... 56 CHANTIX STARTING MONTH COMBIGAN ...... 44 calcipotriene ...... 75 PAK...... 78 COMBIPATCH ...... 89 calcipotriene-betamethasone chateal ...... 23 COMBIVENT ...... 17 ...... 75 CHEMET ...... 59 COMBIVENT RESPIMAT ...... 17 calcitonin (salmon) ...... 32 chlordiazepoxide hcl ...... 19 COMETRIQ ...... 33 calcitriol ...... 75, 85 chlorhexidine gluconate ...... 57 COMPLERA ...... 11 calcium acetate ...... 55 chloroquine phosphate ...... 9 completenate ...... 85 camila ...... 23 chlorothiazide ...... 51 CONDYLOX ...... 76 CANASA ...... 79 chlorpromazine ...... 18 COPAXONE ...... 58
EnhancedRx July 1, 2015 92 CORDRAN TAPE LARGE ROLL 73 desogestrel-ethinyl estradiol 23 DUREZOL ...... 42 CORDRAN TAPE SMALL ROLL 73 desonide ...... 73 E COREG CR ...... 48 desoximetasone ...... 73 econazole ...... 72 CORIFACT ...... 29 dexamethasone ...... 35 EDECRIN ...... 51 CORTIFOAM ...... 81 DEXAMETHASONE INTENSOL EDURANT ...... 11 COSOPT (PF) ...... 44 ...... 35 EFFIENT ...... 31 CREON ...... 40 dexamethasone sodium ELIDEL ...... 76 CRESEMBA ...... 8 phosphate ...... 42 elinest ...... 23 CRIXIVAN ...... 11 dexmethylphenidate ...... 20 ELIQUIS ...... 31 cromolyn...... 3, 16 dextroamphetamine...... 20 ELLA ...... 22 cryselle (28) ...... 23 diazepam ...... 19, 68 ELMIRON ...... 83 CUPRIMINE ...... 15 diazepam intensol ...... 19, 68 ELOCTATE...... 29 CUVPOSA ...... 80 DIBENZYLINE ...... 49 EMCYT ...... 33 cyanocobalamin (vitamin b-12) diclofenac potassium ...... 62 EMEND ...... 79, 80 ...... 85 diclofenac sodium ...... 42, 62 emoquette ...... 24 cyclafem 1/35 (28) ...... 23 dicloxacillin ...... 7 EMSAM ...... 21 cyclafem 7/7/7 (28) ...... 23 dicyclomine...... 80 EMTRIVA ...... 11 cyclobenzaprine ...... 59 didanosine ...... 11 enalapril maleate ...... 46 CYCLOGYL ...... 43 DIFICID ...... 6 enalapril-hydrochlorothiazide cyclopentolate ...... 43 digoxin ...... 52 ...... 46 cyclophosphamide ...... 33, 54 DIGOXIN ...... 52 ENBREL ...... 15, 75 cycloserine ...... 14 dihydroergotamine ...... 56 ENBREL SURECLICK ...... 15, 75 CYCLOSET ...... 38 DILANTIN ...... 68 endocet ...... 63 cyclosporine ...... 54 DILANTIN KAPSEAL ...... 68 enoxaparin ...... 31 cyclosporine modified ...... 54 diltia xt ...... 48 enpresse ...... 24 cyproheptadine ...... 4 diltiazem hcl ...... 48, 49 enskyce ...... 24 CYSTAGON ...... 59 dilt-xr ...... 49 entacapone ...... 66 CYSTARAN ...... 43 diphenoxylate-atropine ...... 80 entecavir ...... 9 cytra-2 ...... 83 dipyridamole ...... 31 enulose ...... 79 cytra-3 ...... 83 disopyramide phosphate ...... 45 epinastine ...... 3 cytra-k ...... 83 disulfiram ...... 3 EPIPEN ...... 3 D DIURIL ...... 51 EPIPEN JR 2-PAK...... 3 DALIRESP ...... 16 divalproex ...... 20, 57, 68 EPIVIR HBV ...... 10 danazol ...... 90 donepezil ...... 37 eplerenone ...... 51 dantrolene ...... 59 dorzolamide ...... 44 EPOPROSTENOL (GLYCINE) ... 66 dapsone ...... 9 dorzolamide-timolol ...... 44 EPZICOM ...... 11 dasetta 1/35 (28) ...... 23 doxazosin ...... 49, 55 ergocalciferol (vitamin d2) ... 85 dasetta 7/7/7 (28) ...... 23 doxepin ...... 21 ergoloid ...... 60 DELZICOL ...... 79 doxycycline hyclate ...... 8 ERGOMAR ...... 56 demeclocycline ...... 7 doxycycline monohydrate ...... 8 ERIVEDGE ...... 33 denta 5000 plus ...... 85 DRITHOCREME HP ...... 76 errin ...... 24 dentagel ...... 85 dronabinol ...... 79 ERYPED 400 ...... 6 DEPEN TITRATABS ...... 15 drospirenone-ethinyl estradiol ery-tab ...... 6 DEPO-TESTOSTERONE ...... 56 ...... 23 ERY-TAB ...... 6 desipramine ...... 21 DULERA ...... 17 erythrocin (as stearate) ...... 6 desmopressin ...... 59 duloxetine ...... 21, 61 erythromycin ...... 6, 41
EnhancedRx July 1, 2015 93 erythromycin ethylsuccinate .. 6 FLUCELVAX 2014-2015 (PF) .. 84 fosinopril ...... 47 erythromycin with ethanol .. 71 fluconazole ...... 8 fosinopril-hydrochlorothiazide erythromycin-sulfisoxazole .... 6 fludrocortisone ...... 35 ...... 47 ESBRIET ...... 60 FLULAVAL 2014-2015 ...... 84 FULYZAQ ...... 81 escitalopram oxalate ...... 21 FLULAVAL 2014-2015 (PF) .... 84 furosemide...... 51 estarylla ...... 24 FLULAVAL QUAD 2014-2015 84 FUZEON ...... 11 ESTRACE...... 88 FLULAVAL QUAD 2014-2015 FYCOMPA ...... 68 estradiol ...... 89 (PF) ...... 84 G estradiol-norethindrone acet flunisolide ...... 4 gabapentin ...... 61, 68 ...... 89 fluocinolone ...... 73, 74 GABITRIL ...... 68 ESTRING ...... 88 fluocinolone acetonide oil .... 40 galantamine ...... 37 estropipate ...... 89 fluocinolone-shower cap ...... 74 GAMASTAN S/D ...... 53 ethambutol ...... 14 fluocinonide ...... 74 GAMMAGARD LIQUID ...... 53 ethosuximide ...... 68 fluocinonide-emollient ...... 74 GAMMAGARD S/D ...... 53 etidronate disodium ...... 32 fluoridex daily defense ...... 85 GAMMAGARD S-D (IGA < 1 etodolac ...... 62 fluorometholone ...... 42 MCG/ML) ...... 53 etoposide ...... 33 FLUOROPLEX ...... 76 GAMMAKED ...... 53 EURAX ...... 75 fluorouracil ...... 76, 77 GAMMAPLEX ...... 53 EVOTAZ ...... 11 fluoxetine...... 21 GAMUNEX ...... 54 EXELDERM ...... 72 fluphenazine hcl ...... 18 GAMUNEX-C ...... 54 EXELON ...... 37 flurbiprofen ...... 62 gatifloxacin ...... 41 exemestane ...... 33 flurbiprofen sodium ...... 42 gavilyte-c ...... 78 EXJADE ...... 60 flutamide ...... 33 gavilyte-g ...... 78 EXTAVIA ...... 58 fluticasone ...... 4, 74 gavilyte-n ...... 78 F FLUVIRIN 2014-2015 ...... 84 gemfibrozil ...... 52 fabb ...... 85 FLUVIRIN 2014-2015 (PF) ..... 84 gengraf ...... 54 falmina (28) ...... 24 fluvoxamine ...... 21 gentamicin ...... 41, 72 famotidine ...... 82 FLUZONE 2014-2015 ...... 84 gianvi (28) ...... 24 FEIBA NF ...... 29 FLUZONE 2014-2015 (PF) ..... 84 gildagia ...... 24 felbamate ...... 68 FLUZONE HIGH-DOSE 2014-15 gildess ...... 24 fenofibrate...... 52 (PF) ...... 84 gildess fe ...... 24 fenofibrate micronized ...... 52 FLUZONE INTRADERM QUAD GILENYA ...... 59 fenofibrate nanocrystallized 52 2014-15 ...... 84 GILOTRIF ...... 33 fentanyl ...... 63 FLUZONE QUAD 2014-2015 .. 84 GLASSIA ...... 4 FERRIPROX ...... 60 FLUZONE QUAD 2014-2015 GLEEVEC ...... 33 FINACEA ...... 76 (PF) ...... 84 glimepiride ...... 38 finasteride ...... 55 FLUZONE QUAD PEDI 2014-15 glipizide ...... 38 FIRAZYR...... 53 (PF) ...... 84 glipizide-metformin ...... 38 FLEBOGAMMA DIF ...... 53 FML S.O.P...... 42 GLUCAGEN ...... 37 flecainide ...... 46 folbee plus ...... 85 GLUCAGEN HYPOKIT ...... 37 FLOLAN ...... 66 folic acid ...... 85 GLUCAGON EMERGENCY KIT FLOVENT DISKUS ...... 17 fondaparinux ...... 31 (HUMAN) ...... 37 FLOVENT HFA ...... 17 FORADIL AEROLIZER ...... 16 glycopyrrolate ...... 81 FLUARIX 2014-2015 (PF) ...... 84 FORTEO ...... 32 GLYSET ...... 38 FLUARIX QUAD 2014-2015 (PF) FORTICAL ...... 32 granulex ...... 77 ...... 84 FOSAMAX PLUS D ...... 32 GRASTEK ...... 3
EnhancedRx July 1, 2015 94 griseofulvin microsize ...... 8 hydrocortisone valerate ...... 74 ivermectin ...... 9 griseofulvin ultramicrosize ..... 8 hydrocortisone-pramoxine .. 74, IXINITY...... 29 guaiatussin ac ...... 36 81 J guanfacine ...... 20, 49 hydromorphone ...... 63 JADENU ...... 60 H hydroxychloroquine ...... 9 JAKAFI ...... 33 haloperidol ...... 18 hydroxyurea ...... 33 JALYN ...... 55 haloperidol lactate ...... 18 hydroxyzine hcl ...... 4 jantoven ...... 31 HARVONI ...... 10 hydroxyzine pamoate ...... 4 JARDIANCE ...... 38 heather ...... 24 hyoscyamine sulfate ...... 81 jencycla ...... 24 HELIXATE FS ...... 29 hypercare ...... 77 JENTADUETO ...... 38 HEMOFIL M HIGH ...... 29 HYQVIA ...... 54 jinteli ...... 89 HEMOFIL M LOW ...... 29 I jolessa ...... 24 HEMOFIL M MID ...... 29 ibuprofen ...... 62 jolivette ...... 24 HEMOFIL M SUPER HIGH ...... 29 ICLUSIG ...... 33 junel 1.5/30 (21) ...... 24 heparin (porcine) ...... 31 ILARIS (PF) ...... 60 junel 1/20 (21) ...... 24 heparin, porcine (pf) ...... 31 ILEVRO ...... 42 junel fe 1.5/30 (28) ...... 24 HEXALEN ...... 33 IMBRUVICA ...... 33 junel fe 1/20 (28) ...... 24 HIZENTRA ...... 54 imipramine hcl ...... 21 JUXTAPID ...... 50 homatropaire ...... 43 imiquimod ...... 77 K HUMALOG ...... 39 inatal advance ...... 85 KALBITOR ...... 53 HUMALOG KWIKPEN ...... 39 inatal ultra ...... 85 KALETRA ...... 11, 12 HUMALOG MIX 50-50 ...... 39 indapamide ...... 51 KALYDECO ...... 36 HUMALOG MIX 50-50 INDOCIN...... 62 kariva (28) ...... 24 KWIKPEN...... 39 indomethacin ...... 62 kelnor 1/35 (28) ...... 24 HUMALOG MIX 75-25 ...... 39 INLYTA ...... 33 ketoconazole ...... 8, 72 HUMALOG MIX 75-25 INTELENCE ...... 11 ketorolac ...... 42, 62 KWIKPEN...... 39 INTRON A ...... 10 KINERET ...... 15 HUMATE-P ...... 29 introvale ...... 24 kionex ...... 60 HUMIRA ...... 15, 75, 79 INVIRASE ...... 11 klor-con m10 ...... 52 HUMIRA PEN ...... 15, 75, 79 INVOKAMET ...... 38 klor-con m15 ...... 52 HUMULIN 70/30 ...... 39 INVOKANA ...... 38 KLOR-CON/25 ...... 52 HUMULIN 70/30 KWIKPEN ... 39 iodoquinol-hc ...... 74 KOATE-DVI ...... 30 HUMULIN 70/30 PEN ...... 39 ipratropium bromide ...... 3, 16 KOGENATE FS...... 30 HUMULIN N ...... 39 ipratropium-albuterol ...... 17 kurvelo ...... 25 HUMULIN N KWIKPEN ...... 39 irbesartan ...... 47 KUVAN ...... 60 HUMULIN N PEN...... 39 irbesartan-hydrochlorothiazide KYNAMRO ...... 50 HUMULIN R ...... 39 ...... 47 L HUMULIN R U-500 ...... 39 ISENTRESS ...... 11 labetalol ...... 48 HYCAMTIN ...... 33 isometh-dichloral- LACRISERT ...... 43 hydralazine ...... 49 acetaminophn ...... 56 lactulose ...... 79 hydrochlorothiazide ...... 51 isoniazid ...... 14 LAMICTAL ...... 68 hydrocodone-acetaminophen ISOPTO HYOSCINE ...... 43 lamivudine ...... 10, 12 ...... 63 ISORDIL ...... 45 lamivudine-zidovudine ...... 12 hydrocodone-ibuprofen ...... 63 isosorbide dinitrate ...... 45 lamotrigine ...... 68, 69 hydrocortisone ...... 35, 74, 81 isosorbide mononitrate ...... 45 lansoprazole ...... 82 hydrocortisone acetate ...... 81 itraconazole ...... 8 LANTUS ...... 39
EnhancedRx July 1, 2015 95 LANTUS SOLOSTAR ...... 39 losartan-hydrochlorothiazide metoprolol tartrate ...... 48 larin 1/20 (21) ...... 25 ...... 47 metronidazole ...... 9, 76, 88 larin fe ...... 25 LOTEMAX ...... 42 mexiletine ...... 46 latanoprost ...... 44 lovastatin ...... 50 microgestin 1.5/30 (21) ...... 25 leena 28 ...... 25 low-ogestrel (28) ...... 25 microgestin 1/20 (21) ...... 25 leflunomide ...... 15 loxapine succinate ...... 18 microgestin fe 1.5/30 (28) .... 25 lessina ...... 25 LUMIGAN ...... 44 microgestin fe 1/20 (28) ...... 25 LETAIRIS ...... 66 lutera (28) ...... 25 midodrine ...... 49 letrozole ...... 33 LYRICA ...... 61, 69 migergot ...... 56 leucovorin calcium ...... 60 lyza ...... 25 migragesic ida ...... 56 LEUKERAN...... 33 M MILLIPRED ...... 36 LEUKINE ...... 28 MACRODANTIN ...... 14 mimvey ...... 89 LEVEMIR ...... 40 malathion ...... 75 mimvey lo ...... 89 LEVEMIR FLEXPEN ...... 39 marlexate ...... 60 minocycline ...... 8 levetiracetam ...... 69 marlissa ...... 25 minoxidil ...... 49 levlen (28) ...... 25 MATULANE ...... 34 MIRAPEX ER ...... 66 levobunolol ...... 44 MAXAIR AUTOHALER ...... 16 mirtazapine ...... 21 levocarnitine ...... 60 MEDROL ...... 35 misoprostol ...... 82 levocarnitine (with sugar) .... 60 medroxyprogesterone ...... 89 modafinil ...... 77 levofloxacin ...... 7 mefloquine ...... 9 moexipril ...... 47 levonest (28) ...... 25 megestrol ...... 34, 60 moexipril-hydrochlorothiazide levonorgestrel ...... 22 MEKINIST ...... 34 ...... 47 levonorgestrel-ethinyl estrad meloxicam ...... 62 mometasone ...... 74 ...... 25 MEPHYTON ...... 85 MONOCLATE-P ...... 30 levora-28 ...... 25 mercaptopurine ...... 34, 54 mono-linyah ...... 25 levothyroxine...... 82 mesalamine ...... 79 mononessa (28) ...... 25 LEXIVA...... 12 MESTINON ...... 60 MONONINE ...... 30 LIALDA ...... 79 MESTINON TIMESPAN ...... 60 montelukast ...... 16 lidocaine ...... 61, 65 metformin ...... 38 MONUROL ...... 15 lidocaine hcl ...... 58 methadone ...... 63 morphine ...... 64 lidocaine viscous...... 58 methazolamide ...... 44 MORPHINE ...... 64 lidocaine-prilocaine ...... 65 methimazole ...... 82 morphine concentrate ...... 64 LINZESS ...... 79 methocarbamol ...... 59 MOVANTIK ...... 81 liothyronine ...... 82 methotrexate sodium .... 15, 34, MOVIPREP...... 78 LIPTRUZET ...... 50 54, 55, 75 moxifloxacin ...... 7 lisinopril ...... 47 methotrexate sodium (pf) ... 15, MULTAQ ...... 46 lisinopril-hydrochlorothiazide 34, 54 multi-vitamin with fluoride .. 85 ...... 47 methyldopa ...... 49 multivitamins with fluoride .. 85 lithium carbonate ...... 20 methylergonovine ...... 90 mupirocin ...... 72 lithium citrate ...... 20 methylphenidate ...... 20 mupirocin calcium ...... 72 lokara ...... 74 methylprednisolone ...... 35, 36 my way ...... 22 lomustine ...... 34 metoclopramide hcl ...... 80 mycophenolate mofetil ...... 55 lorazepam ...... 19 metolazone ...... 51 MYLERAN ...... 34 loryna (28) ...... 25 metoprolol succinate ...... 48 mynatal ...... 86 losartan ...... 47 metoprolol ta- mynatal advance ...... 85 hydrochlorothiaz ...... 48 mynatal plus ...... 86
EnhancedRx July 1, 2015 96 mynatal-z ...... 86 nifedipine ...... 49, 60, 90 OLYSIO ...... 10 mynate 90 plus ...... 86 nimodipine...... 49 omega-3 acid ethyl esters .... 53 mynephrocaps ...... 86 NITRO-BID ...... 45 omeprazole ...... 82 myorisan ...... 70 NITRO-DUR ...... 45 ondansetron ...... 80 MYRBETRIQ ...... 83 nitrofurantoin ...... 15 ondansetron hcl ...... 80 myzilra ...... 26 nitrofurantoin macrocrystal . 15 ONFI ...... 69 N nitrofurantoin monohyd/m- OPSUMIT ...... 66 nabumetone ...... 62 cryst ...... 15 orsythia ...... 26 nadolol ...... 48 nitroglycerin ...... 45 oxandrolone...... 61 naloxone ...... 5 NITROSTAT ...... 45 oxcarbazepine ...... 69 naltrexone ...... 3 nodolor ...... 56 OXSORALEN ...... 77 NAMENDA ...... 37 nora-be ...... 26 oxybutynin chloride ...... 83 NAMENDA TITRATION PAK .. 37 norethindrone (contraceptive) oxycodone ...... 64 NAMENDA XR ...... 37 ...... 26 oxycodone-acetaminophen .. 64 naproxen ...... 62 norethindrone acetate ...... 89 oxycodone-aspirin ...... 64 naproxen sodium ...... 62 norethindrone ac-eth estradiol OXYCONTIN ...... 64 naratriptan ...... 57 ...... 89 P NASONEX ...... 4 norgestimate-ethinyl estradiol pantoprazole ...... 82 natal-v rx ...... 86 ...... 26 paregoric ...... 81 nateglinide ...... 38 norgestrel-ethinyl estradiol .. 26 paroxetine hcl ...... 22 necon 0.5/35 (28) ...... 26 norinyl 1+35 (28) ...... 26 PATADAY ...... 3 necon 1/35 (28) ...... 26 NORITATE ...... 76 PAXIL ...... 22 necon 1/50 (28) ...... 26 NORPACE CR ...... 46 PAZEO ...... 3 necon 10/11 (28) ...... 26 nortrel 0.5/35 (28) ...... 26 pediatric multivitamin-fl ...... 86 necon 7/7/7 (28) ...... 26 nortrel 1/35 (21) ...... 26 PEGASYS ...... 10 nefazodone ...... 21 nortrel 1/35 (28) ...... 26 PEGASYS CONVENIENCE PACK neomycin ...... 6 nortrel 7/7/7 (28) ...... 26 ...... 10 neomycin-bacitracin- nortriptyline...... 22 PEGASYS PROCLICK ...... 10 polymyxin ...... 41 NORVIR ...... 12 PEGINTRON ...... 10 neomycin-polymyxin b- NORVIR SOFT GELATIN ...... 12 PEGINTRON REDIPEN...... 10 dexameth ...... 41 NOVOEIGHT ...... 30 penicillin v potassium ...... 7 neomycin-polymyxin- NOVOSEVEN RT ...... 30 PENTASA ...... 79 gramicidin ...... 41 NOXAFIL ...... 8 pentoxifylline ...... 31 neomycin-polymyxin-hc ...... 40 NUVARING ...... 22 perindopril erbumine ...... 47 nephrocaps ...... 86 NUVIGIL ...... 77 periogard ...... 57 NEULASTA ...... 28 nystatin ...... 8, 72 permethrin ...... 75 NEUPOGEN ...... 28 O perphenazine ...... 18 NEUPRO ...... 66 OBIZUR...... 30 phenazopyridine ...... 83 NEVANAC ...... 42 o-cal prenatal...... 86 phenelzine ...... 22 nevirapine ...... 12 ocella ...... 26 phenobarbital ...... 69 NEXAVAR ...... 34 OCTAGAM ...... 54 phentermine ...... 88 next choice one dose ...... 22 octreotide acetate ...... 60 phenylephrine hcl ...... 43 nicotine ...... 78 OFEV ...... 60 phenytoin ...... 69 nicotine (polacrilex) ...... 78 ofloxacin ...... 40, 41 phenytoin sodium extended 69 NICOTROL ...... 78 ogestrel (28) ...... 26 philith ...... 26 NICOTROL NS ...... 78 olanzapine ...... 18 PHOSLYRA ...... 55
EnhancedRx July 1, 2015 97 phospha 250 neutral ...... 83 PREVACID SOLUTAB...... 82 quinidine gluconate ...... 46 PHOSPHOLINE IODIDE ...... 44 prevalite ...... 50 quinidine sulfate ...... 46 PICATO ...... 77 previfem ...... 27 QVAR ...... 18 pilocarpine hcl ...... 44, 58 PREZCOBIX ...... 12 R PILOPINE HS ...... 44 PREZISTA ...... 12 RAGWITEK ...... 3 pimtrea (28) ...... 26 PRIFTIN ...... 14 raloxifene ...... 32, 90 pioglitazone ...... 38 primidone ...... 69 ramipril ...... 47 pioglitazone-glimepiride ...... 38 PRIVIGEN ...... 54 ranitidine hcl ...... 82 pioglitazone-metformin ...... 38 probenecid ...... 45 RAPAMUNE ...... 55 pirmella ...... 26 prochlorperazine ...... 80 RAVICTI ...... 61 piroxicam ...... 62 prochlorperazine maleate .... 80 REBETOL ...... 10 PLASMANATE ...... 30 PROCRIT ...... 28 REBIF (WITH ALBUMIN) ...... 58 podofilox...... 77 PROCTOFOAM HC ...... 81 REBIF REBIDOSE ...... 58 polymyxin b sulf-trimethoprim proctosol hc ...... 81 REBIF TITRATION PACK ...... 58 ...... 41 prodrin ...... 57 reclipsen (28) ...... 27 poly-vitamin with fluoride .... 86 PROFILNINE ...... 30 RECOMBINATE ...... 30 POMALYST ...... 34 progesterone micronized ..... 89 RELENZA DISKHALER ...... 14 portia ...... 27 PROLASTIN ...... 4 RELISTOR ...... 79 pot & sod citrate-citric acid .. 83 PROLASTIN-C ...... 4 REMODULIN ...... 67 potassium chloride ...... 52 PROLENSA ...... 43 renal caps ...... 86 potassium citrate...... 83 PROMACTA ...... 29 reno caps ...... 87 potassium citrate-citric acid . 83 promethazine ...... 4, 80 RENVELA ...... 55 POTIGA ...... 69 promethazine vc ...... 36 repaglinide ...... 39 PRADAXA ...... 31 promethazine-dm ...... 36 RESCRIPTOR ...... 12 pramipexole ...... 66 propafenone ...... 46 reserpine ...... 50 pravastatin...... 50 propantheline ...... 81 RESTASIS ...... 43 prazosin ...... 50, 55 propranolol ...... 48, 57 REVATIO ...... 67 PRED FORTE ...... 42 propranolol- REVLIMID ...... 34 PRED MILD ...... 43 hydrochlorothiazid ...... 48 REYATAZ ...... 12 prednisolone ...... 36 propylthiouracil ...... 82 ribavirin ...... 10 prednisolone acetate ...... 43 PULMICORT ...... 18 RIDAURA ...... 15 prednisolone sodium PULMICORT FLEXHALER ...... 18 rifabutin ...... 9 phosphate...... 36, 43 PULMOZYME ...... 36 rifampin ...... 14 prednisone ...... 36 purefe ob plus ...... 86 riluzole ...... 61 PREDNISONE INTENSOL ...... 36 purefe plus ...... 86 rimantadine ...... 14 PREMARIN ...... 88, 89 pyrazinamide ...... 14 risedronate ...... 32 PREMPHASE ...... 89 pyridostigmine bromide ...... 61 risperidone...... 18, 19 PREMPRO ...... 89 Q rivastigmine tartrate ...... 37 prenaplus ...... 86 QNASL ...... 4 RIXUBIS ...... 30 prenatabs fa ...... 86 quasense ...... 27 rizatriptan ...... 57 prenatabs rx ...... 86 quetiapine ...... 18 ropinirole ...... 66 prenatal ad ...... 86 QUFLORA PEDIATRIC DROPS 86 roxicet ...... 64 prenatal low iron ...... 86 QUILLIVANT XR ...... 20 RUCONEST ...... 53 prenatal plus ...... 86 quinapril ...... 47 RYTARY ...... 66 prenatal plus (calcium carb) . 86 quinapril-hydrochlorothiazide S prenatal plus with iron (ca) .. 86 ...... 47 SABRIL ...... 69
EnhancedRx July 1, 2015 98 salsalate ...... 63 stavudine ...... 12, 13 terbutaline ...... 16 SAVELLA ...... 61, 62 STIMATE...... 28 terconazole ...... 88 selegiline hcl ...... 66 STIVARGA ...... 34 testosterone ...... 56 selenium sulfide ...... 77 STRATTERA ...... 20 testosterone cypionate ...... 56 SELZENTRY ...... 12 STRIBILD ...... 13 testosterone enanthate ...... 56 se-natal 19 ...... 87 STRIVERDI RESPIMAT...... 16 tetracycline ...... 8 se-natal 19 (with docusate) .. 87 SUBOXONE ...... 64 THALOMID ...... 35 SENSIPAR ...... 55 SUCRAID ...... 40 theophylline ...... 16, 17 SEREVENT DISKUS ...... 16 sucralfate ...... 82 thioridazine ...... 19 SEROQUEL XR ...... 19 sulfacetamide sodium ...... 41 thiothixene ...... 19 sertraline ...... 22 sulfacetamide sodium (acne)71 THROMBATE III ...... 30 sevelamer carbonate ...... 55 sulfacetamide sodium-sulfur tiagabine ...... 70 sf 87 ...... 71, 76 TIKOSYN ...... 46 sf 5000 plus ...... 87 sulfacetamide sod-sulfur-urea tilia fe ...... 27 SIGNIFOR ...... 61 ...... 71, 76 timolol maleate ...... 44 sildenafil ...... 67 sulfacetamide-prednisolone 41 TIVICAY ...... 13 silver sulfadiazine ...... 72 sulfamethoxazole- tizanidine ...... 59 SIMBRINZA ...... 44 trimethoprim ...... 6 tl gard rx ...... 87 simvastatin ...... 50 sulfasalazine ...... 79 TOBRADEX ...... 41 SINGLE USE EZ FLU 2014- sulindac ...... 63 tobramycin ...... 41 15(PF) ...... 85 sumatriptan ...... 57 tobramycin in 0.225 % nacl .. 36 sirolimus ...... 55 sumatriptan succinate ...... 57 tobramycin-dexamethasone 41 SIRTURO ...... 14 SUPRAX ...... 5 TOBREX ...... 41 SIVEXTRO ...... 9 SUSTIVA ...... 13 tolmetin ...... 63 sodium citrate-citric acid ...... 83 SUTENT ...... 34 tolterodine ...... 83 sodium fluoride ...... 87 syeda ...... 27 topiramate ...... 70 sodium phenylbutyrate ...... 61 SYLATRON ...... 34 torsemide...... 52 sodium polystyrene (sorb free) SYNTHROID ...... 82 TOUJEO SOLOSTAR ...... 40 ...... 61 T TRACLEER ...... 67 sodium polystyrene sulfonate TABLOID ...... 34 TRADJENTA ...... 39 ...... 61 TACLONEX ...... 76 tramadol ...... 65 SOLTAMOX ...... 34 tacrolimus ...... 55, 77 trandolapril ...... 47 SOMAVERT ...... 61 TAFINLAR ...... 34 tranexamic acid ...... 90 sotalol ...... 46 TAMIFLU ...... 14 TRANSDERM-SCOP ...... 80 sotalol af ...... 46 tamoxifen ...... 34 tranylcypromine ...... 22 sotret ...... 70 tamsulosin ...... 56 TRAVATAN Z ...... 44 SOVALDI ...... 10 TARCEVA ...... 34 travoprost (benzalkonium) ... 44 SPIRIVA RESPIMAT...... 16 TASIGNA ...... 35 trazodone ...... 22 SPIRIVA WITH HANDIHALER . 16 TAZORAC ...... 76 TRECATOR ...... 14 spironolactone ...... 52 taztia xt ...... 49 tretinoin ...... 71 spironolacton- TECFIDERA ...... 59 tretinoin (chemotherapy) ..... 35 hydrochlorothiaz ...... 52 TEGRETOL XR ...... 69 tretinoin microspheres ...... 71 SPORANOX ...... 8 temazepam ...... 77 TRETTEN ...... 30 sprintec (28) ...... 27 temozolomide ...... 35 triadvance ...... 87 SPRYCEL ...... 34 terazosin ...... 50, 56 triamcinolone acetonide57, 74, sronyx ...... 27 terbinafine hcl ...... 8 75
EnhancedRx July 1, 2015 99 triamterene- valsartan-hydrochlorothiazide VYTORIN 10-40 ...... 51 hydrochlorothiazid ...... 52 ...... 47 VYTORIN 10-80 ...... 51 tricitrates ...... 83 vancomycin ...... 6 VYVANSE ...... 20 triderm...... 75 VASCEPA ...... 53 W tri-estarylla ...... 27 VELETRI ...... 67 warfarin ...... 31 trifluoperazine ...... 19 velivet triphasic regimen (28) wera (28) ...... 27 trifluridine...... 42 ...... 27 WILATE ...... 30 trihexyphenidyl...... 66 venlafaxine ...... 22 X tri-legest fe ...... 27 VENTAVIS ...... 67 XALKORI ...... 35 tri-linyah ...... 27 VENTOLIN HFA ...... 16 XARELTO ...... 31 trimethobenzamide ...... 80 VERAMYST ...... 4 XENAZINE ...... 61 trimethoprim ...... 6 verapamil ...... 49 XENICAL ...... 88 trinatal gt ...... 87 VERSACLOZ ...... 19 XIFAXAN ...... 6 trinatal ultra ...... 87 VESICARE ...... 83 XTANDI ...... 35 trinate ...... 87 vestura (28) ...... 27 xulane ...... 22 trinessa (28) ...... 27 VICTOZA 2-PAK ...... 38 XYNTHA ...... 30 triphrocaps ...... 87 VICTOZA 3-PAK ...... 38 XYNTHA SOLOFUSE ...... 30 triple vitamin with fluoride .. 87 VIDEX 2 GRAM PEDIATRIC .... 13 XYREM ...... 78 tri-previfem (28) ...... 27 VIDEX 4 GRAM PEDIATRIC .... 13 Y tri-sprintec (28) ...... 27 VIGAMOX ...... 42 YODOXIN ...... 9 TRIUMEQ ...... 13 VIMPAT ...... 70 Z tri-vitamin with fluoride ...... 87 vinate az ...... 87 zaleplon ...... 77 trivora (28) ...... 27 vinate care ...... 87 zarah ...... 27 trospium ...... 83 vinate gt ...... 87 ZAVESCA ...... 40 TRULICITY ...... 38 vinate m ...... 87 ZELBORAF ...... 35 TRUVADA ...... 13 vinate one ...... 87 ZEMAIRA ...... 4 TYBOST ...... 13 vinate ultra ...... 88 zenatane ...... 70 TYKERB ...... 35 viorele (28) ...... 27 zenchent (28) ...... 28 TYVASO ...... 67 VIRACEPT ...... 13 ZETIA ...... 50 TYVASO REFILL KIT ...... 67 VIREAD ...... 13 ZIAGEN ...... 13 TYVASO STARTER KIT ...... 67 virt-phos 250 neutral ...... 84 zidovudine ...... 13 TYZEKA ...... 10 vitamin b-12 ...... 88 ZIOPTAN (PF) ...... 44 U vitamin d2 ...... 88 ziprasidone hcl ...... 19 ULORIC ...... 45 vitamins a,c,d & fluoride ...... 88 ZIRGAN ...... 42 urea ...... 77 VITEKTA ...... 13 ZOLINZA ...... 35 ursodiol ...... 81 VIVAGLOBIN ...... 54 zolpidem ...... 77 V VIVOTIF BERNA VACCINE ...... 85 zonisamide ...... 70 VAGIFEM...... 89 vol-plus ...... 88 ZONTIVITY ...... 32 valacyclovir ...... 14 vol-tab rx...... 88 zovia 1/35e (28) ...... 28 VALCHLOR ...... 35 VOLTAREN ...... 65 zovia 1/50e (28) ...... 28 VALCYTE ...... 14 voriconazole ...... 8, 9 ZYLET ...... 42 valganciclovir ...... 14 VOTRIENT ...... 35 ZYTIGA...... 35 valproic acid ...... 70 vyfemla (28) ...... 27 ZYVOX ...... 6, 7 valproic acid (as sodium salt)70 VYTORIN 10-10 ...... 51 valsartan ...... 47 VYTORIN 10-20 ...... 51
EnhancedRx July 1, 2015 100