ADAP Quarterly NDC Special Review

Home , Acetohexamide, Alseroxylon, Benzquinamide, Bepridil, Bretylium, Buclizine

ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANDROGENS-ANABOLIC* Nandrolone Decanoate ANABOLIN LA INJ 100MG/ML 06/11/2010 12/31/2029 NO NO ANDROLONE-D INJ 100MG/ML 06/11/2010 12/31/2029 NO NO ANDROLONE-D INJ 200MG/ML 06/11/2010 12/31/2029 NO NO DECA-DURABOL INJ 100MG/ML 06/11/2010 12/31/2029 NO YES DECA-DURABOL INJ 200MG/ML 06/11/2010 12/31/2029 NO YES DECA-DURABOL INJ 50MG/ML 06/11/2010 12/31/2029 NO YES HYBOLIN DECA INJ 100MG/ML 06/11/2010 12/31/2029 NO NO HYBOLIN DECA INJ 50MG/ML 06/11/2010 12/31/2029 NO NO KABOLIN INJ 50MG/ML 06/11/2010 12/31/2029 NO NO NANDROL DEC INJ 100MG/ML 06/11/2010 12/31/2029 NO NO NANDROL DEC INJ 200MG/ML 06/11/2010 12/31/2029 NO NO NANDROL DEC INJ 50MG/ML 06/11/2010 12/31/2029 NO NO NANDROLATE INJ 100MG/ML 06/11/2010 12/31/2029 NO NO NANDROLATE INJ 50MG/ML 06/11/2010 12/31/2029 NO NO NEO-DURABOL INJ 200MG/ML 06/11/2010 12/31/2029 NO NO NEO-DURABOL INJ 50MG/ML 06/11/2010 12/31/2029 NO NO NEO-DURABOLI INJ 100MG/ML 06/11/2010 12/31/2029 NO NO Nandrolone Phenpropionate ANABOLIN INJ 50MG/ML 06/11/2010 12/31/2029 NO NO ANDROLONE INJ 25MG/ML 06/11/2010 12/31/2029 NO NO ANDROLONE 50 INJ 50MG/ML 06/11/2010 12/31/2029 NO NO DURABOLIN INJ 25MG/ML 06/11/2010 12/31/2029 NO YES DURABOLIN INJ 50MG/ML 06/11/2010 12/31/2029 NO YES HYBOLIN INJ 50MG/ML 06/11/2010 12/31/2029 NO NO HYBOLIN IMPR INJ 25MG/ML 06/11/2010 12/31/2029 NO NO HYBOLIN IMPR INJ 50MG/ML 06/11/2010 12/31/2029 NO YES NANDROBOLIC INJ 25MG/ML 06/11/2010 12/31/2029 NO NO NANDROL PHEN INJ 25MG/ML 06/11/2010 12/31/2029 NO NO NANDROL PHEN INJ 50MG/ML 06/11/2010 12/31/2029 NO NO Testosterone ANDRO 100 INJ 100MG/ML 06/11/2010 12/31/2029 NO NO ANDRODERM DIS 2.5MG/24 06/11/2010 12/31/2029 NO YES ANDRODERM DIS 4MG/24HR 06/11/2010 12/31/2029 NO YES ANDRODERM DIS 5MG/24HR 06/11/2010 12/31/2029 NO YES ANDROGEL GEL 1%(25MG) 06/11/2010 12/31/2029 NO YES ANDROGEL GEL 1%(50MG) 01/01/2012 12/31/2029 NO YES ANDROGEL GEL 1.62% 09/30/2011 12/31/2029 NO YES ANDROLAN INJ 100MG/ML 06/11/2010 12/31/2029 NO NO ANDROLAN INJ 25MG/ML 06/11/2010 12/31/2029 NO NO ANDROLAN INJ 50MG/ML 06/11/2010 12/31/2029 NO NO DURA TESTOST INJ 200/ML 06/11/2010 12/31/2029 NO YES HISTERONE INJ 100MG/ML 06/11/2010 12/31/2029 NO NO HISTERONE INJ 50MG/ML 06/11/2010 12/31/2029 NO NO SHOTEST 100 INJ 100MG/ML 06/11/2010 12/31/2029 NO NO SHOTEST 50 INJ 50MG/ML 06/11/2010 12/31/2029 NO NO STRIANT MIS 30MG 06/11/2010 12/31/2029 NO YES TESAMORE 100 INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESONE 100 INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESTIM GEL 1%(50MG) 01/01/2012 12/31/2029 NO YES TESTODERM DIS 4MG/24HR 06/11/2010 12/31/2029 NO YES TESTODERM DIS 6MG/24HR 06/11/2010 12/31/2029 NO YES TESTODERM DIS TTS 06/11/2010 12/31/2029 NO YES TESTOJECT-50 INJ 50MG/ML 06/11/2010 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 1 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANDROGENS-ANABOLIC* Testosterone TESTOLIN INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESTONE POW 06/11/2010 12/31/2029 NO NO TESTONE/AQ INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESTONE/AQ INJ 50MG/ML 06/11/2010 12/31/2029 NO NO TESTOPEL MIS PELLETS 06/11/2010 12/31/2029 NO YES TESTOSTERONE GEL 1%(50MG) 01/01/2012 12/31/2029 NO YES TESTOSTERONE INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESTOSTERONE INJ 25MG/ML 06/11/2010 12/31/2029 NO NO TESTOSTERONE INJ 50MG/ML 06/11/2010 12/31/2029 NO NO TESTOSTERONE POW 06/11/2010 12/31/2029 NO YES TESTOSTERONE POW MICRONIZ 06/11/2010 12/31/2029 NO YES TESTRO INJ 100MG/ML 06/11/2010 12/31/2029 NO NO TESTRO INJ 50MG/ML 06/11/2010 12/31/2029 NO NO VOGELXO GEL 1%(50MG) 01/01/2012 12/31/2029 NO YES Testosterone Cypionate ANDRO-CYP200 INJ 200MG/ML 06/11/2010 12/31/2029 NO NO DEPANDRO 200 INJ 200MG/ML 06/11/2010 12/31/2029 NO NO DEPOTEST INJ 200MG/ML 06/11/2010 12/31/2029 NO NO DEPO-TESTOST INJ 200MG/ML 06/11/2010 12/31/2029 NO YES D-TES 200 INJ 200MG/ML 06/11/2010 12/31/2029 NO NO DURATEST INJ 200MG/ML 06/11/2010 12/31/2029 NO NO LA TEST 200 INJ 200MG/ML 06/11/2010 12/31/2029 NO NO RU-ANDROSPAN INJ 200MG/ML 06/11/2010 12/31/2029 NO NO TESTOJECT LA INJ 200MG/ML 06/11/2010 12/31/2029 NO NO TESTONE/CYP INJ 200MG/ML 06/11/2010 12/31/2029 NO YES TESTOST CYP INJ 200MG/ML 06/11/2010 12/31/2029 NO NO TESTRED INJ 200MG/ML 06/11/2010 12/31/2029 NO NO VIRILON INJ 200MG/ML 06/11/2010 12/31/2029 NO NO *ANORECTAL AGENTS* Benzocaine (Rectal) AMERICAINE OIN 20% 07/01/2007 12/31/2029 NO YES ANOCAINE SUP 07/01/2007 12/31/2029 NO YES BISCOLAN SUP 07/01/2007 12/31/2029 NO NO HEMET HEMORR SUP 07/01/2007 12/31/2029 NO NO MEDICONE OIN 07/01/2007 12/31/2029 NO NO MEDICONE SUP 07/01/2007 12/31/2029 NO NO MEDICONE SUP 130MG 07/01/2007 12/31/2029 NO YES MEDICONE REC OIN 07/01/2007 12/31/2029 NO YES MEDICONE REC SUP 07/01/2007 12/31/2029 NO YES Benzocaine-Benzethonium (Rectal) AMERICAINE OIN 20% 07/01/2007 12/31/2029 NO YES Benzocaine-Ephedrine HEMOCAINE OIN 07/01/2007 12/31/2029 NO YES PAZO OIN 07/01/2007 12/31/2029 NO YES PAZO SUP 07/01/2007 12/31/2029 NO YES Benzocaine-Phenylephrine RECTAGENE SUP 07/01/2007 12/31/2029 NO YES Benz-Pyril-Phenyleph-Bismuth Subgallate-Zinc Oxide RECTAGENE OIN 07/01/2007 12/31/2029 NO NO Budesonide (Intrarectal) UCERIS AER 2MG/ACT 07/01/2007 12/31/2029 NO YES Calamine-Zinc Oxide (Rectal) VERSAL SUP HEMORRHO 07/01/2007 12/31/2029 NO YES Camphor-Phenol-Tannic Acid-Zinc Oxide (Rectal) MEDICONE OIN MAX ST 07/01/2007 12/31/2029 NO YES PETERSONS OIN HEMORRH 07/01/2007 12/31/2029 NO YES Cocoa Butter-Shark Liver Oil HCA HEMORRHO SUP 79-3% 07/01/2007 12/31/2029 NO NO HEMOR AID SUP 07/01/2007 12/31/2029 NO NO HEMORRHOID SUP PREP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO YES HEMORRHOIDAL SUP H 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 2 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Cocoa Butter-Shark Liver Oil HEMORRHOIDAL SUP PREP 07/01/2007 12/31/2029 NO NO HEMORROID SUP 3% 07/01/2007 12/31/2029 NO YES OSCO HEMORRH SUP 3% 07/01/2007 12/31/2029 NO NO PREPARATION SUP H 07/01/2007 12/31/2029 NO YES PROMPT RELIE SUP 07/01/2007 12/31/2029 NO NO SAV-ON HEMOR SUP 07/01/2007 12/31/2029 NO NO WYANOIDS REL SUP FACTOR 07/01/2007 12/31/2029 NO YES Dibucaine (Rectal) DIBUCAINE OIN 1% 07/01/2007 12/31/2029 NO NO HEMMORHOIDAL OIN & TOP 1% 07/01/2007 12/31/2029 NO NO NUPERCAINAL OIN 1% 07/01/2007 12/31/2029 NO YES RECTACAINE OIN 1% 07/01/2007 12/31/2029 NO NO Diperodon HCl (Rectal) HEMORRHOID OIN 07/01/2007 12/31/2029 NO NO RECTOLATUM OIN 07/01/2007 12/31/2029 NO NO Diperodon-Pyrilamine-Phenylephrine EMEROID CRE 07/01/2007 12/31/2029 NO YES HEMET HEMORR OIN 07/01/2007 12/31/2029 NO NO RECTAL OIN 07/01/2007 12/31/2029 NO YES Ephedrine & Belladonna WYANOID SUP 07/01/2007 12/31/2029 NO YES Hamamelis Water-Glycerin TUCKS CLEAR GEL 07/01/2007 12/31/2029 NO YES Hydrocortisone (Intrarectal) COLOCORT ENE 100MG 07/01/2007 12/31/2029 NO NO CORTENEMA ENE 100MG 07/01/2007 12/31/2029 NO YES HYDROCORT ENE 100MG 07/01/2007 12/31/2029 NO NO Hydrocortisone (Rectal) ANUSOL-HC CRE 2.5% 07/01/2007 12/31/2029 NO YES HEMORRHOIDAL CRE HC 2.5% 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE -HC 2.5% 07/01/2007 12/31/2029 NO NO HYDROCORT CRE 1% 07/01/2007 12/31/2029 NO NO HYDROCORT CRE 2.5% 07/01/2007 12/31/2029 NO NO HYDROCORTISO CRE 2.5% 07/01/2007 12/31/2029 NO NO PROCTOCARE CRE -HC 2.5% 07/01/2007 12/31/2029 NO NO PROCTOCORT CRE 1% 07/01/2007 12/31/2029 NO YES PROCTOCREAM CRE HC 2.5% 07/01/2007 12/31/2029 NO NO PROCTOCREAM CRE -HC 2.5% 07/01/2007 12/31/2029 NO NO PROCTO-KIT CRE 2.5% 07/01/2007 12/31/2029 NO NO PROCTO-MED CRE HC 2.5% 07/01/2007 12/31/2029 NO NO PROCTO-PAK CRE 1% 07/01/2007 12/31/2029 NO NO PROCTOSOL HC CRE 2.5% 07/01/2007 12/31/2029 NO NO PROCTOZONE CRE -HC 2.5% 07/01/2007 12/31/2029 NO NO Hydrocortisone Ace-Pramoxine-Dietary Manage Prod-Cleans Wipe ANALPRAM KIT ADVANCED 07/01/2007 12/31/2029 NO YES Hydrocortisone Acetate (Intrarectal) CORTIFOAM AER 90MG 07/01/2007 12/31/2029 NO YES Hydrocortisone Acetate (Rectal) ANUCORT-HC SUP 10MG 07/01/2007 12/31/2029 NO NO ANUCORT-HC SUP 25MG 07/01/2007 12/31/2029 NO NO ANUGARD-HC SUP 07/01/2007 12/31/2029 NO NO ANU-MED HC SUP 25MG 07/01/2007 12/31/2029 NO NO ANUMED-HC SUP 25MG 07/01/2007 12/31/2029 NO NO ANU-MED-HC SUP 10MG 07/01/2007 12/31/2029 NO NO ANUPREP-HC SUP 10MG 07/01/2007 12/31/2029 NO NO ANUPREP-HC SUP 25MG 07/01/2007 12/31/2029 NO NO ANURX-HC SUP 25MG 07/01/2007 12/31/2029 NO NO ANUSOL-HC CRE 0.5% 07/01/2007 12/31/2029 NO YES ANUSOL-HC CRE 1% 07/01/2007 12/31/2029 NO YES ANUSOL-HC SUP 10MG 07/01/2007 12/31/2029 NO YES ANUSOL-HC SUP 25MG 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 3 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Hydrocortisone Acetate (Rectal) ANUZONE-HC SUP 25MG 07/01/2007 12/31/2029 NO NO CORTA-PLEX SUP HC 25MG 07/01/2007 12/31/2029 NO NO CORT-DOME SUP 25MG 07/01/2007 12/31/2029 NO NO GRX HICORT SUP 25MG 07/01/2007 12/31/2029 NO NO HEDAL-HC SUP 25MG 07/01/2007 12/31/2029 NO NO HEMMOREX-HC SUP 25MG 07/01/2007 12/31/2029 NO NO HEMMOREX-HC SUP 30MG 07/01/2007 12/31/2029 NO NO HEMMORRHOID SUP -HC 25MG 07/01/2007 12/31/2029 NO NO HEMMORRHOIDA SUP -HC 10MG 07/01/2007 12/31/2029 NO NO HEMOR ANUSER CRE 1% 07/01/2007 12/31/2029 NO NO HEMORRHOID SUP -HC 10MG 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 10MG 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP -HC 10MG 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP -HC 25MG 07/01/2007 12/31/2029 NO NO HEMRIL-30 SUP 30MG 07/01/2007 12/31/2029 NO NO HYDROCORT AC SUP 10MG 07/01/2007 12/31/2029 NO NO HYDROCORT AC SUP 25MG 07/01/2007 12/31/2029 NO NO HYDROCORT AC SUP 30MG 07/01/2007 12/31/2029 NO NO HYDROCORTISO CRE 2.5% 07/01/2007 12/31/2029 NO YES PROCTOCORT SUP 30MG 07/01/2007 12/31/2029 NO YES PROCTOSERT H SUP 30 MG 07/01/2007 12/31/2029 NO NO PROCTOSOL SUP 25MG 07/01/2007 12/31/2029 NO NO PROCTOZONE H CRE 1% 07/01/2007 12/31/2029 NO YES RECTACORT-HC SUP 25MG 07/01/2007 12/31/2029 NO NO RECTASOL-HC SUP 25MG 07/01/2007 12/31/2029 NO NO Hydrocortisone Acetate w/ Pramoxine ANALPRAM E KIT 07/01/2007 12/31/2029 NO YES ANALPRAM HC CRE 2.5-1% 07/01/2007 12/31/2029 NO YES ANALPRAM-HC CRE 1-1% 07/01/2007 12/31/2029 NO YES ANALPRAM-HC CRE 1-2.5% 07/01/2007 12/31/2029 NO YES ANALPRAM-HC CRE SINGLES 07/01/2007 12/31/2029 NO YES ANALPRAM-HC LOT 2.5% 07/01/2007 12/31/2029 NO YES ANALPRM SNGL CRE HC 2.5-1 07/01/2007 12/31/2029 NO YES ENDAROID CRE 1-1% 07/01/2007 12/31/2029 NO NO HC PRAM CRE 1-1% 07/01/2007 12/31/2029 NO NO HC PRAM CRE 2.5-1% 07/01/2007 12/31/2029 NO NO HC PRAMOXINE CRE 07/01/2007 12/31/2029 NO YES HC PRAMOXINE CRE 1-1% 07/01/2007 12/31/2029 NO NO HC PRAMOXINE CRE 2.5-1% 07/01/2007 12/31/2029 NO NO HYDROCORT/ KIT PRAMOXIN 07/01/2007 12/31/2029 NO NO PRAMCORT CRE 1-1% 07/01/2007 12/31/2029 NO NO PRAM-HCA KIT 2.35-1% 07/01/2007 12/31/2029 NO NO PRAMOXINE/HC AER 07/01/2007 12/31/2029 NO NO PRAMOXINE/HC AER 1% 07/01/2007 12/31/2029 NO NO PRAMOXINE/HC CRE 1-1% 07/01/2007 12/31/2029 NO NO PRAMOXINE-HC AER 1% 07/01/2007 12/31/2029 NO NO PROCORT CRE 07/01/2007 12/31/2029 NO YES PROCTOCRE-HC CRE 1% 07/01/2007 12/31/2029 NO YES PROCTOFOAM AER HC 1% 07/01/2007 12/31/2029 NO YES PROCTOFOAM AER -HC 1% 07/01/2007 12/31/2029 NO YES RECTOCORT-HC CRE 1% 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 4 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Hydrocortisone Acetate w/ Pramoxine Z-PRAM KIT 2.35-1% 07/01/2007 12/31/2029 NO YES ZYPRAM CRE 2.35-1% 07/01/2007 12/31/2029 NO YES Hydrocortisone w/ Benzocaine BISCOLAN HC SUP 07/01/2007 12/31/2029 NO YES Hydrocortisone w/ Dibucaine DIBUSONE CRE 07/01/2007 12/31/2029 NO YES Lidocaine (Anorectal) ANECREAM5 CRE 5% 07/01/2007 12/31/2029 NO NO ELA-MAX 5 CRE 5% 07/01/2007 12/31/2029 NO YES LC-5 LIDOCNE CRE 5% 07/01/2007 12/31/2029 NO NO LIDOCAINE CRE 5% 07/01/2007 12/31/2029 NO NO LIDOSENSE 5 CRE 5% 07/01/2007 12/31/2029 NO NO LMX 5 CRE 5% 07/01/2007 12/31/2029 NO YES RA ANORECTAL CRE 5% 07/01/2007 12/31/2029 NO NO RECTASMOOTHE CRE 5% 07/01/2007 12/31/2029 NO NO RECTICARE CRE 5% 07/01/2007 12/31/2029 NO YES TOPICAINE 5 GEL 5% 07/01/2007 12/31/2029 NO YES Lidocaine HCl-Glycerin RECTICARE PAD 5-20% 07/01/2007 12/31/2029 NO YES Lidocaine-Hydrocortisone Acetate (Rectal) ANA-LEX KIT 07/01/2007 12/31/2029 NO NO ANAMANTLE HC CRE 07/01/2007 12/31/2029 NO YES ANAMANTLE HC KIT 07/01/2007 12/31/2029 NO YES ANAMANTLE HC KIT 3-2.5% 07/01/2007 12/31/2029 NO YES ANAMANTLE HC KIT FORTE 07/01/2007 12/31/2029 NO YES HC/LIDOCAINE KIT 2-2% 07/01/2007 12/31/2029 NO NO LIDAZONE CRE 07/01/2007 12/31/2029 NO NO LIDAZONE HC KIT 07/01/2007 12/31/2029 NO NO LIDOCAINE/HC CRE 3%-0.5% 07/01/2007 12/31/2029 NO NO LIDOCAINE/HC KIT 2-2% 07/01/2007 12/31/2029 NO YES LIDOCAINE/HC KIT 3%-0.5% 07/01/2007 12/31/2029 NO NO LIDOCAINE/HC KIT 3%-1% 07/01/2007 12/31/2029 NO NO LIDOCAINE/HC KIT 3-2.5% 07/01/2007 12/31/2029 NO NO LIDOCORT KIT 3-2.5% 07/01/2007 12/31/2029 NO NO LIDO-HYDRO GEL 2.8-0.55 07/01/2007 12/31/2029 NO YES PERANEX HC KIT 2-2% 07/01/2007 12/31/2029 NO YES RECTACREME KIT HC 07/01/2007 12/31/2029 NO NO RECTAGEL HC GEL 07/01/2007 12/31/2029 NO YES Lidocaine-Hydrocortisone Acetate-Psyllium XYRALID RC KIT 07/01/2007 12/31/2029 NO YES Live Yeast Cell & Shark Liver Oil w/ Emollients HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO YES RECTACAINE SUP 07/01/2007 12/31/2029 NO YES RECTORX OIN 07/01/2007 12/31/2029 NO YES Methylprednisolone Acetate (Rectal) MEDROL ENPAK KIT 40MG 07/01/2007 12/31/2029 NO YES MEDROL ENPAK MIS REF 40MG 07/01/2007 12/31/2029 NO YES Nitroglycerin (Intra-Anal) RECTIV OIN 0.4% 07/01/2007 12/31/2029 NO YES Phenylephrine in Hard Fat ANU-MED SUP 07/01/2007 12/31/2029 NO NO ANURX SUP 07/01/2007 12/31/2029 NO NO ANUSERT SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 0.25% 07/01/2007 12/31/2029 NO NO MEDICONE SUP 07/01/2007 12/31/2029 NO NO RECTACAINE SUP 07/01/2007 12/31/2029 NO NO RECTASOL SUP 07/01/2007 12/31/2029 NO NO TRONOLANE SUP 07/01/2007 12/31/2029 NO NO Phenylephrine-Cocoa Butter HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO PREPARATION SUP H 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 5 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Phenylephrine-Cocoa Butter RA HEMORRHOI SUP RELIEF 07/01/2007 12/31/2029 NO NO Phenylephrine-Mineral Oil-Petrolatum HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO NO MAJOR-PREP OIN HEMORRHO 07/01/2007 12/31/2029 NO NO PREPARATION OIN H 07/01/2007 12/31/2029 NO YES Phenylephrine-Shark Liver Oil-Cocoa Butter HEMORRHOID SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP RELIEF 07/01/2007 12/31/2029 NO NO HEM-PREP SUP 07/01/2007 12/31/2029 NO NO PREP-HEM SUP 07/01/2007 12/31/2029 NO NO Phenylephrine-Shark Liver Oil-Glycerin-Petrolatum FORMULATION CRE R 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE 07/01/2007 12/31/2029 NO NO HEM-PREP CRE 07/01/2007 12/31/2029 NO NO PREPARATION CRE H 07/01/2007 12/31/2029 NO YES SAV-ON HEMOR CRE 07/01/2007 12/31/2029 NO NO Phenylephrine-Shark Liver Oil-Hard Fat FORMULATION SUP R 07/01/2007 12/31/2029 NO YES Phenylephrine-Shark Liver Oil-Mineral Oil-Petrolatum FORMULATION OIN R 07/01/2007 12/31/2029 NO NO HCA HEMORRHO OIN 07/01/2007 12/31/2029 NO NO HEMORRHOID OIN 07/01/2007 12/31/2029 NO NO HEMORRHOID OIN PREP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO NO MAJOR-PREP OIN 07/01/2007 12/31/2029 NO NO PREPARATION OIN H 07/01/2007 12/31/2029 NO YES PREP-HEM OIN 07/01/2007 12/31/2029 NO NO PROMPT RLF OIN HEMORR 07/01/2007 12/31/2029 NO NO PX HEMORRHOI OIN 07/01/2007 12/31/2029 NO NO RECTACAINE OIN 07/01/2007 12/31/2029 NO NO SB HEMORRHOI OIN 07/01/2007 12/31/2029 NO NO SM HEMORRHOI OIN 07/01/2007 12/31/2029 NO NO Phenylephrine-Witch Hazel HEMORRHOIDAL GEL 0.25-50% 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL GEL COOLING 07/01/2007 12/31/2029 NO NO PREPARATIO H GEL 07/01/2007 12/31/2029 NO YES PREPARATIO H GEL TOTABLE 07/01/2007 12/31/2029 NO YES SM HEMORRHOI GEL COOLING 07/01/2007 12/31/2029 NO NO Phenylephrine-Zinc Oxide HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO YES HEM-PREP OIN 07/01/2007 12/31/2029 NO YES HEM-PREP SUP 07/01/2007 12/31/2029 NO YES SG HEMORRHOI OIN 07/01/2007 12/31/2029 NO YES Pramoxine HCl (Rectal) ANESTHETIC CRE HEMORRH 07/01/2007 12/31/2029 NO YES ANUPREP SUP 07/01/2007 12/31/2029 NO NO ANUSERT OIN 1% 07/01/2007 12/31/2029 NO NO ANUSOL OIN 1% 07/01/2007 12/31/2029 NO YES FLEET RELIEF OIN /APP 1% 07/01/2007 12/31/2029 NO NO FLEET RELIEF OIN 1% 07/01/2007 12/31/2029 NO NO PRAMOXINE AER 1% 07/01/2007 12/31/2029 NO NO PROCTOFOAM AER NS 07/01/2007 12/31/2029 NO YES PROCTOFOAM AER NS 1% 07/01/2007 12/31/2029 NO YES PROCTOZONE P CRE 1% 07/01/2007 12/31/2029 NO NO PROMOX SUP 1% 07/01/2007 12/31/2029 NO NO RECTAFOAM AER 1% 07/01/2007 12/31/2029 NO NO TRONOLANE CRE 07/01/2007 12/31/2029 NO YES TRONOLANE CRE 1% 07/01/2007 12/31/2029 NO YES

RT18100 Saturday, July 8, 2017 Page 6 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Pramoxine HCl (Rectal) TRONOLANE SUP 1% 07/01/2007 12/31/2029 NO YES TUCKS OIN 1% 07/01/2007 12/31/2029 NO YES VERSAL SUP 07/01/2007 12/31/2029 NO NO Pramoxine HCl-Glycerin FLEET PAIN PAD RELIEF 07/01/2007 12/31/2029 NO YES Pramoxine HCl-Zinc Oxide TRONOLANE CRE 1-5% 07/01/2007 12/31/2029 NO YES Pramoxine w/ Zinc Oxide in Mineral Oil ANURX OIN 1% 07/01/2007 12/31/2029 NO YES ANUSOL OIN 07/01/2007 12/31/2029 NO YES HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO NO TUCKS OIN 07/01/2007 12/31/2029 NO YES Pramoxine-Phenylephrine-Glycerin-Petrolatum FORMULATION CRE R 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE MAX ST 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE MAX STR 07/01/2007 12/31/2029 NO NO PREPARATIO H CRE TOTABLE 07/01/2007 12/31/2029 NO YES PREPARATION CRE H 07/01/2007 12/31/2029 NO YES PX HEMORRHOI CRE 07/01/2007 12/31/2029 NO NO RA HEMORRHOI CRE 07/01/2007 12/31/2029 NO NO SM HEMORRHOI CRE 07/01/2007 12/31/2029 NO NO Pramoxine-Phenylephrine-Mineral Oil-Petrolatum HEMORID CRE 07/01/2007 12/31/2029 NO YES HEMORID OIN 07/01/2007 12/31/2029 NO YES HEMORID/ALOE CRE 07/01/2007 12/31/2029 NO YES HEMORID/ALOE OIN 07/01/2007 12/31/2029 NO YES Rectal Cleansers FLEET NATURL ENE CLEANSNG 07/01/2007 12/31/2029 NO YES Rectal Protectant-Emollient ANUCORT SUP 07/01/2007 12/31/2029 NO NO ANULAN SUP 07/01/2007 12/31/2029 NO NO ANU-MED SUP 07/01/2007 12/31/2029 NO NO ANUSERT SUP 07/01/2007 12/31/2029 NO NO APHCO HEMORR OIN 07/01/2007 12/31/2029 NO YES APHCO HEMORR SUP 07/01/2007 12/31/2029 NO NO CALMOL-4 CRE 07/01/2007 12/31/2029 NO YES CALMOL-4 SUP 07/01/2007 12/31/2029 NO YES HEMM-PREP OIN 07/01/2007 12/31/2029 NO NO HEMOR PREP OIN 07/01/2007 12/31/2029 NO NO HEMORID FOR SUP WOMEN 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO HEMRIL UNISE SUP 07/01/2007 12/31/2029 NO NO NUPERCAINAL SUP 07/01/2007 12/31/2029 NO YES OSCO HEMORRH OIN 07/01/2007 12/31/2029 NO NO POSTERISAN OIN 07/01/2007 12/31/2029 NO YES POSTERISAN SUP 07/01/2007 12/31/2029 NO YES RECTAL OIN 07/01/2007 12/31/2029 NO YES Shark Liver Oil in Petrolatum HEMORROID CRE 3% 07/01/2007 12/31/2029 NO YES OSCO HEMORRH CRE 3% 07/01/2007 12/31/2029 NO YES Skin Resp Factor-Shark Liver Oil w/ Phenylmercuric Nitrate FORMULATION CRE R 07/01/2007 12/31/2029 NO YES FORMULATION OIN R 07/01/2007 12/31/2029 NO NO FORMULATION SUP R 07/01/2007 12/31/2029 NO NO FV HEMORRHOI OIN 07/01/2007 12/31/2029 NO NO FV HEMORRHOI SUP 07/01/2007 12/31/2029 NO NO GENPREP OIN 07/01/2007 12/31/2029 NO NO HEMOR AID OIN 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANORECTAL AGENTS* Skin Resp Factor-Shark Liver Oil w/ Phenylmercuric Nitrate HEMORR PREP SUP 07/01/2007 12/31/2029 NO NO HEMORRH PREP OIN 07/01/2007 12/31/2029 NO NO HEMORRHOID CRE 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL CRE 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL OIN 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL OIN PREP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL OIN -R 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP H 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP PREP 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP -R 07/01/2007 12/31/2029 NO NO HEM-PREP OIN 07/01/2007 12/31/2029 NO NO HEM-PREP SUP 07/01/2007 12/31/2029 NO NO HM HEMORRHOI OIN 07/01/2007 12/31/2029 NO NO HM HEMORRHOI SUP 07/01/2007 12/31/2029 NO NO MAJOR-PREP CRE HEMMOR 07/01/2007 12/31/2029 NO YES MAJOR-PREP OIN 07/01/2007 12/31/2029 NO NO MAJOR-PREP SUP 07/01/2007 12/31/2029 NO NO MDL HEMORRHO OIN 07/01/2007 12/31/2029 NO NO MDL HEMORRHO SUP 07/01/2007 12/31/2029 NO NO PHARM-A-PREP OIN 07/01/2007 12/31/2029 NO NO PREPARATION SUP H 07/01/2007 12/31/2029 NO YES PREP-HEM OIN 07/01/2007 12/31/2029 NO NO PREP-HEM SUP 07/01/2007 12/31/2029 NO NO PROCTACAIN OIN 07/01/2007 12/31/2029 NO NO PROCTACAIN H OIN 07/01/2007 12/31/2029 NO NO PROCTACAIN-H SUP 07/01/2007 12/31/2029 NO NO PROCTOCAIN-H SUP 07/01/2007 12/31/2029 NO NO PROMPT RELIE OIN 07/01/2007 12/31/2029 NO NO PROMPT RELIE OIN HEMORR 07/01/2007 12/31/2029 NO NO PROMPT RELIE SUP 07/01/2007 12/31/2029 NO NO PROTOCAINE OIN 07/01/2007 12/31/2029 NO NO RECTAGENE OIN 07/01/2007 12/31/2029 NO NO RECTAGENE SUP 07/01/2007 12/31/2029 NO NO RECTORX SUP 07/01/2007 12/31/2029 NO NO SPERTI OIN 07/01/2007 12/31/2029 NO YES UNI-H OIN 07/01/2007 12/31/2029 NO NO Starch (topical) ANUSOL SUP 51% 07/01/2007 12/31/2029 NO YES GNP ANUSERT SUP 51% 07/01/2007 12/31/2029 NO NO HEMORRHOIDAL SUP 51% 07/01/2007 12/31/2029 NO NO TUCKS SUP 51% 07/01/2007 12/31/2029 NO YES Tissue Resp Factor-Shark Liver Oil FORMULATION CRE R 07/01/2007 12/31/2029 NO NO MAJOR-PREP CRE 07/01/2007 12/31/2029 NO YES WYANOIDS REL SUP FACTOR 07/01/2007 12/31/2029 NO YES *ANTHELMINTICS* Albendazole ALBENZA TAB 200MG 07/01/2006 12/31/2029 NO YES Diethylcarbamazine Citrate DIETHYLCARBA TAB 200MG 07/01/2007 12/31/2029 NO YES DIETHYLCARBA TAB 400MG 07/01/2007 12/31/2029 NO YES Ivermectin IVERMECTIN TAB 3MG 07/01/2007 12/31/2029 NO NO STROMECTOL TAB 3MG 07/01/2007 12/31/2029 NO YES STROMECTOL TAB 6MG 07/01/2007 12/31/2029 NO YES Mebendazole EMVERM CHW 100MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTHELMINTICS* Mebendazole MEBENDAZOLE CHW 100MG 07/01/2007 12/31/2029 NO YES MEBENDAZOLE POW 07/01/2007 12/31/2029 NO YES VERMOX CHW 100MG 07/01/2007 12/31/2029 NO YES Niclosamide NICLOCIDE CHW 500MG 07/01/2007 12/31/2029 NO YES Oxamniquine VANSIL CAP 250MG 07/01/2007 12/31/2029 NO YES Piperazine Citrate ASCARSAN SYP 500/5ML 07/01/2007 12/31/2029 NO YES PIPERAZINE POW 07/01/2007 12/31/2029 NO YES PIPERAZINE POW USP 07/01/2007 12/31/2029 NO YES PIPERAZINE SYP 550/5ML 07/01/2007 12/31/2029 NO NO PIPERAZINE TAB 250MG 07/01/2007 12/31/2029 NO NO Praziquantel BILTRICIDE TAB 600MG 07/01/2007 12/31/2029 NO YES Pyrantel Pamoate ANTIMINTH SUS 250/5ML 07/01/2007 12/31/2029 NO YES ASCAREL SUS 50MG/ML 07/01/2007 12/31/2029 NO NO P.A.W.S ORAL SUS 50MG/ML 07/01/2007 12/31/2029 NO NO PAMIX SUS 50MG/ML 07/01/2007 12/31/2029 NO NO PARASITOL SUS 50MG/ML 07/01/2007 12/31/2029 NO YES PIN WORM SUS 250/5ML 07/01/2007 12/31/2029 NO NO PINWORM TAB MEDICINE 07/01/2007 12/31/2029 NO YES PINWORM MED SUS 144MG/ML 07/01/2007 12/31/2029 NO NO PIN-X CHW 250MG 07/01/2007 12/31/2029 NO YES PIN-X SUS 250/5ML 07/01/2007 12/31/2029 NO NO PIN-X SUS 50MG/ML 07/01/2007 12/31/2029 NO NO PPS SUS 250/5ML 07/01/2007 12/31/2029 NO NO PYRANTEL PAM SUS 250/5ML 07/01/2007 12/31/2029 NO NO REESES MED SUS PINWORM 07/01/2007 12/31/2029 NO NO SIRENAL SUS 250/5ML 07/01/2007 12/31/2029 NO NO Thiabendazole MINTEZOL CHW 500MG 07/01/2007 12/31/2029 NO YES MINTEZOL SUS 500/5ML 07/01/2007 12/31/2029 NO YES THIABENDAZOL POW 07/01/2007 12/31/2029 NO YES THIABENDAZOL POW USP 07/01/2007 12/31/2029 NO YES *ANTIANGINAL AGENTS* Erythrityl Tetranitrate CARDILATE SUB 10MG 07/01/2007 12/31/2029 NO YES CARDILATE SUB 5MG 07/01/2007 12/31/2029 NO YES Isosorbide Dinitrate DILATRATE SR CAP 40MG 07/01/2007 12/31/2029 NO YES DILATRATE SR CAP 40MG SR 07/01/2007 12/31/2029 NO NO I.S.D. TAB 10MG 07/01/2007 12/31/2029 NO NO I.S.D. TAB 5MG 07/01/2007 12/31/2029 NO NO ISO-BID CAP 40MG CR 07/01/2007 12/31/2029 NO NO ISOCHRON TAB 40MG CR 07/01/2007 12/31/2029 NO NO ISODITRATE TAB 40MG ER 07/01/2007 12/31/2029 NO NO ISORDIL SUB 10MG 07/01/2007 12/31/2029 NO YES ISORDIL SUB 2.5MG 07/01/2007 12/31/2029 NO YES ISORDIL SUB 5MG 07/01/2007 12/31/2029 NO YES ISORDIL TAB 10MG 07/01/2007 12/31/2029 NO YES ISORDIL TAB 20MG 07/01/2007 12/31/2029 NO YES ISORDIL TAB 30MG 07/01/2007 12/31/2029 NO YES ISORDIL TAB 40MG 07/01/2007 12/31/2029 NO YES ISORDIL TAB 5MG 07/01/2007 12/31/2029 NO YES ISORDIL TEMB CAP 40MG CR 07/01/2007 12/31/2029 NO YES ISORDIL TEMB TAB 40MG CR 07/01/2007 12/31/2029 NO YES ISOSORB DIN CAP 40MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN CAP 40MG CR 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANGINAL AGENTS* Isosorbide Dinitrate ISOSORB DIN CAP 40MG SR 07/01/2007 12/31/2029 NO NO ISOSORB DIN CAP 40MG TD 07/01/2007 12/31/2029 NO NO ISOSORB DIN CAP 40MG TR 07/01/2007 12/31/2029 NO NO ISOSORB DIN SUB 10MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN SUB 2.5MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN SUB 5MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 10MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 20MG 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 30MG 07/01/2007 12/31/2029 NO YES ISOSORB DIN TAB 40MG 07/01/2007 12/31/2029 NO YES ISOSORB DIN TAB 40MG CR 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 40MG ER 07/01/2007 12/31/2029 NO YES ISOSORB DIN TAB 40MG SA 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 40MG SR 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 40MG TD 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 40MG TR 07/01/2007 12/31/2029 NO NO ISOSORB DIN TAB 5MG 07/01/2007 12/31/2029 NO NO ISOTRATE TAB 40MG CR 07/01/2007 12/31/2029 NO NO SORBITRATE CHW 10MG 07/01/2007 12/31/2029 NO YES SORBITRATE CHW 5MG 07/01/2007 12/31/2029 NO YES SORBITRATE SUB 10MG 07/01/2007 12/31/2029 NO YES SORBITRATE SUB 2.5MG 07/01/2007 12/31/2029 NO YES SORBITRATE SUB 5MG 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 10MG 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 20MG 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 30MG 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 40MG 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 40MG CR 07/01/2007 12/31/2029 NO YES SORBITRATE TAB 5MG 07/01/2007 12/31/2029 NO YES THSC ISO DIN TAB 10MG 07/01/2007 12/31/2029 NO NO THSC ISO DIN TAB 20MG 07/01/2007 12/31/2029 NO NO Isosorbide Mononitrate IMDUR TAB 120MG ER 07/01/2007 12/31/2029 NO YES IMDUR TAB 30MG ER 07/01/2007 12/31/2029 NO YES IMDUR TAB 60MG ER 07/01/2007 12/31/2029 NO YES ISMO TAB 20MG 07/01/2007 12/31/2029 NO YES ISOSORB MONO TAB 10MG 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 120MG ER 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 20MG 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 30MG ER 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 30MG SR 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 60MG ER 07/01/2007 12/31/2029 NO NO ISOSORB MONO TAB 60MG SR 07/01/2007 12/31/2029 NO NO ISOTRATE ER TAB 60MG 07/01/2007 12/31/2029 NO NO MONOKET TAB 10MG 07/01/2007 12/31/2029 NO YES MONOKET TAB 20MG 07/01/2007 12/31/2029 NO YES Nitroglycerin DEPONIT DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO DEPONIT DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO GONITRO POW 400MCG 07/01/2007 12/31/2029 NO YES MINITRAN DIS 0.1MG/HR 07/01/2007 12/31/2029 NO NO MINITRAN DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO MINITRAN DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANGINAL AGENTS* Nitroglycerin MINITRAN DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO MI-TRATES CAP 2.5MG TD 07/01/2007 12/31/2029 NO NO MI-TRATES CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO N.T.S. DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO N.T.S. DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITREK DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITREK DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITREK DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO NITRO CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITRO CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITRO CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITRO TRANSD DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITRO TRANSD DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITRO TRANSD DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO NITROBART CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITROBART CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITROBID OIN 2% 07/01/2007 12/31/2029 NO YES NITRO-BID CAP 2.5MG CR 07/01/2007 12/31/2029 NO YES NITRO-BID CAP 6.5MG CR 07/01/2007 12/31/2029 NO YES NITRO-BID CAP 9MG CR 07/01/2007 12/31/2029 NO YES NITRO-BID OIN 2% 07/01/2007 12/31/2029 NO YES NITROBID IV INJ 5MG/ML 07/01/2007 12/31/2029 NO YES NITROBID PL CAP 2.5MG CR 07/01/2007 12/31/2029 NO YES NITROBID PL CAP 6.5MG CR 07/01/2007 12/31/2029 NO YES NITROBID PL CAP 9MG CR 07/01/2007 12/31/2029 NO YES NITROCINE CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITROCINE CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITROCINE CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITROCINE DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITROCINE DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROCINE DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO NITROCOT CAP 2.5MG SA 07/01/2007 12/31/2029 NO NO NITRODISC DIS 0.2MG/HR 07/01/2007 12/31/2029 NO YES NITRODISC DIS 0.3MG/HR 07/01/2007 12/31/2029 NO YES NITRODISC DIS 0.4MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.1MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.2MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.3MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.4MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.6MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR DIS 0.8MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR II DIS 0.1MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR II DIS 0.2MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR II DIS 0.3MG/HR 07/01/2007 12/31/2029 NO YES NITRO-DUR II DIS 0.4MG/HR 07/01/2007 12/31/2029 NO YES NITROGARD TAB 1MG CR 07/01/2007 12/31/2029 NO YES NITROGARD TAB 2MG CR 07/01/2007 12/31/2029 NO YES NITROGARD TAB 3MG CR 07/01/2007 12/31/2029 NO YES NITROGLYCER AER 400MCG 07/01/2007 12/31/2029 NO YES NITROGLYCER CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 2.5MG ER 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANGINAL AGENTS* Nitroglycerin NITROGLYCER CAP 2.5MG LA 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 2.5MG SA 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 2.5MG SR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 2.5MG TD 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 2.5MG TR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG ER 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG SA 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG SR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG TD 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 6.5MG TR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 9MG ER 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 9MG SR 07/01/2007 12/31/2029 NO NO NITROGLYCER CAP 9MG TD 07/01/2007 12/31/2029 NO NO NITROGLYCER DIS 0.1MG/HR 07/01/2007 12/31/2029 NO NO NITROGLYCER DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITROGLYCER DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROGLYCER DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO NITROGLYCER INJ 10MG/ML 07/01/2007 12/31/2029 NO NO NITROGLYCER INJ 5MG/ML 07/01/2007 12/31/2029 NO YES NITROGLYCER KIT 50MG 07/01/2007 12/31/2029 NO YES NITROGLYCER OIN 2% 07/01/2007 12/31/2029 NO NO NITROGLYCER SUB 0.15MG 07/01/2007 12/31/2029 NO NO NITROGLYCER SUB 0.3MG 07/01/2007 12/31/2029 NO NO NITROGLYCER SUB 0.4MG 07/01/2007 12/31/2029 NO NO NITROGLYCER SUB 0.6MG 07/01/2007 12/31/2029 NO YES NITROGLYCER TAB 2.5MG SA 07/01/2007 12/31/2029 NO NO NITROGLYCERI SUB 0.6MG 07/01/2007 12/31/2029 NO NO NITROGLYCERN SUB 0.3MG 07/01/2007 12/31/2029 NO NO NITROGLYCERN SUB 0.4MG 07/01/2007 12/31/2029 NO NO NITROGLYCRN SPR 0.4MG 07/01/2007 12/31/2029 NO NO NITROGLYN CAP 13MG SR 07/01/2007 12/31/2029 NO YES NITROGLYN CAP 2.5MG SR 07/01/2007 12/31/2029 NO NO NITROGLYN CAP 6.5MG SR 07/01/2007 12/31/2029 NO NO NITROGLYN CAP 9MG SR 07/01/2007 12/31/2029 NO NO NITROGLYN-SA CAP 6.5MG SA 07/01/2007 12/31/2029 NO NO NITROGLYN-SA CAP 9MG SA 07/01/2007 12/31/2029 NO NO NITROL DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITROL DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROL OIN 2% 07/01/2007 12/31/2029 NO NO NITROL IV INJ 0.8MG/ML 07/01/2007 12/31/2029 NO YES NITROL IV INJ 5MG/ML 07/01/2007 12/31/2029 NO YES NITROLIN CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITROLINGUAL AER 0.4/DOSE 07/01/2007 12/31/2029 NO YES NITROLINGUAL SPR DUO PACK 07/01/2007 12/31/2029 NO YES NITROLINGUAL SPR PUMPSPRA 07/01/2007 12/31/2029 NO YES NITROMIST AER 400MCG 07/01/2007 12/31/2029 NO YES NITRONAL SOL 1MG/ML 07/01/2007 12/31/2029 NO YES NITRONG OIN 2% 07/01/2007 12/31/2029 NO NO NITRONG TAB 2.6MG CR 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANGINAL AGENTS* Nitroglycerin NITRONG TAB 6.5MG CR 07/01/2007 12/31/2029 NO YES NITRONG TAB 6.5MG ER 07/01/2007 12/31/2029 NO YES NITRONG TAB 9MG CR 07/01/2007 12/31/2029 NO YES NITRO-PAR CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITRO-PAR CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITRO-PAR CAP 9MG TD 07/01/2007 12/31/2029 NO NO NITRO-PATCH DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITRO-PATCH DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROQUICK SUB 0.3MG 07/01/2007 12/31/2029 NO NO NITROQUICK SUB 0.4MG 07/01/2007 12/31/2029 NO NO NITROQUICK SUB 0.6MG 07/01/2007 12/31/2029 NO NO NITROREX CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITROREX CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITROREX CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITROSPAN CAP 2.5MG CR 07/01/2007 12/31/2029 NO YES NITROSPAN CAP 6.5MG CR 07/01/2007 12/31/2029 NO YES NITRO-SRC CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITRO-SRC CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITROSTAT INJ 50/10ML 07/01/2007 12/31/2029 NO YES NITROSTAT INJ 8MG/10ML 07/01/2007 12/31/2029 NO YES NITROSTAT OIN 2% 07/01/2007 12/31/2029 NO NO NITROSTAT SUB 0.3MG 07/01/2007 12/31/2029 NO YES NITROSTAT SUB 0.4MG 07/01/2007 12/31/2029 NO YES NITROSTAT SUB 0.6MG 07/01/2007 12/31/2029 NO YES NITROSTAT IV INJ 0.8MG/ML 07/01/2007 12/31/2029 NO YES NITROSTAT IV INJ 100/10ML 07/01/2007 12/31/2029 NO NO NITROTAB SUB 0.3MG 07/01/2007 12/31/2029 NO NO NITROTAB SUB 0.4MG 07/01/2007 12/31/2029 NO NO NITROTAB SUB 0.6MG 07/01/2007 12/31/2029 NO NO NITRO-TIME CAP 2.5MG CR 07/01/2007 12/31/2029 NO NO NITRO-TIME CAP 6.5MG CR 07/01/2007 12/31/2029 NO NO NITRO-TIME CAP 9MG CR 07/01/2007 12/31/2029 NO NO NITRO-TRANSD DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITRO-TRANSD DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROTRANSDE DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO NITROTRANSDE DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO NITROTRANSDE DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO TRANSD NITRO DIS 0.2MG/HR 07/01/2007 12/31/2029 NO YES TRANSD NITRO DIS 0.4MG/HR 07/01/2007 12/31/2029 NO YES TRANSDERM-NI DIS 0.1MG/HR 07/01/2007 12/31/2029 NO YES TRANSDERM-NI DIS 0.2MG/HR 07/01/2007 12/31/2029 NO YES TRANSDERM-NI DIS 0.4MG/HR 07/01/2007 12/31/2029 NO YES TRANSDERM-NI DIS 0.6MG/HR 07/01/2007 12/31/2029 NO YES TRANSDERM-NI DIS 0.8MG/HR 07/01/2007 12/31/2029 NO YES TRANSD-NTG DIS 0.2MG/HR 07/01/2007 12/31/2029 NO NO TRANSD-NTG DIS 0.4MG/HR 07/01/2007 12/31/2029 NO NO TRANSD-NTG DIS 0.6MG/HR 07/01/2007 12/31/2029 NO NO TRIDIL INJ 0.5MG/ML 07/01/2007 12/31/2029 NO YES TRIDIL INJ 100/20ML 07/01/2007 12/31/2029 NO NO TRIDIL INJ 25MG/5ML 07/01/2007 12/31/2029 NO NO TRIDIL INJ 50/10ML 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 13 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANGINAL AGENTS* Nitroglycerin TRIDIL INJ 5MG/10ML 07/01/2007 12/31/2029 NO YES TRIDIL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Nitroglycerin in D5W NITROGLY/D5W INJ 07/01/2007 12/31/2029 NO NO NITROGLY/D5W INJ 100MG 07/01/2007 12/31/2029 NO YES NITROGLY/D5W INJ 200MG 07/01/2007 12/31/2029 NO NO NITROGLY/D5W INJ 25MG 07/01/2007 12/31/2029 NO NO NITROGLY/D5W INJ 50MG 07/01/2007 12/31/2029 NO NO Pentaerythritol Tetranitrate ANTRATE TAB 80MG 07/01/2007 12/31/2029 NO NO DUOTRATE CAP 30MG CR 07/01/2007 12/31/2029 NO YES DUOTRATE CAP 45MG CR 07/01/2007 12/31/2029 NO YES PENTRITOL CAP 60MG CR 07/01/2007 12/31/2029 NO YES PENTYLAN TAB 10MG 07/01/2007 12/31/2029 NO NO PENTYLAN TAB 20MG 07/01/2007 12/31/2029 NO NO PERITRATE TAB 10MG 07/01/2007 12/31/2029 NO YES PERITRATE TAB 20MG 07/01/2007 12/31/2029 NO YES PERITRATE TAB 40MG 07/01/2007 12/31/2029 NO YES PERITRATE SA TAB 80MG 07/01/2007 12/31/2029 NO YES PETN CAP 80MG CR 07/01/2007 12/31/2029 NO NO PETN CAP 80MG SA 07/01/2007 12/31/2029 NO NO PETN CAP 80MG TD 07/01/2007 12/31/2029 NO NO PETN TAB 10MG 07/01/2007 12/31/2029 NO NO PETN TAB 20MG 07/01/2007 12/31/2029 NO NO PETN TAB 80MG 07/01/2007 12/31/2029 NO NO PETN TAB 80MG CR 07/01/2007 12/31/2029 NO NO PETN TAB 80MG SA 07/01/2007 12/31/2029 NO NO PETN TAB 80MG TD 07/01/2007 12/31/2029 NO NO PETN TAB 80MG TR 07/01/2007 12/31/2029 NO NO Pentaerythritol Tetranitrate w/ PB PB/PETN TAB 10MG 07/01/2007 12/31/2029 NO YES PB/PETN TAB 20MG 07/01/2007 12/31/2029 NO YES Ranolazine RANEXA TAB 1000MG 07/01/2007 12/31/2029 NO YES RANEXA TAB 500MG 07/01/2007 12/31/2029 NO YES *ANTIANXIETY AGENTS* Alprazolam ALPRAZOLAM CON 1 MG/ML 07/01/2007 12/31/2029 NO YES ALPRAZOLAM SOL 0.5MG/5 07/01/2007 12/31/2029 NO YES ALPRAZOLAM TAB 0.25 ODT 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 0.25MG 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 0.5MG 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 0.5MG ER 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 0.5MG OD 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 0.5MG XR 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 1MG 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 1MG ER 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 1MG ODT 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 1MG XR 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 2MG 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 2MG ER 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 2MG ODT 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 2MG XR 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 3MG ER 07/01/2007 12/31/2029 NO NO ALPRAZOLAM TAB 3MG XR 07/01/2007 12/31/2029 NO NO NIRAVAM TAB 0.25MG 07/01/2007 12/31/2029 NO YES NIRAVAM TAB 0.5MG 07/01/2007 12/31/2029 NO YES

RT18100 Saturday, July 8, 2017 Page 14 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANXIETY AGENTS* Alprazolam NIRAVAM TAB 1MG 07/01/2007 12/31/2029 NO YES NIRAVAM TAB 2MG 07/01/2007 12/31/2029 NO YES XANAX TAB 0.25MG 07/01/2007 12/31/2029 NO YES XANAX TAB 0.5MG 07/01/2007 12/31/2029 NO YES XANAX TAB 1MG 07/01/2007 12/31/2029 NO YES XANAX TAB 2MG 07/01/2007 12/31/2029 NO YES XANAX XR TAB 0.5MG 07/01/2007 12/31/2029 NO YES XANAX XR TAB 1MG 07/01/2007 12/31/2029 NO YES XANAX XR TAB 2MG 07/01/2007 12/31/2029 NO YES XANAX XR TAB 3MG 07/01/2007 12/31/2029 NO YES Chlordiazepoxide CHLORDIAZEP TAB 10MG 07/01/2007 12/31/2029 NO NO CHLORDIAZEP TAB 5MG 07/01/2007 12/31/2029 NO NO LIBRITABS TAB 10MG 07/01/2007 12/31/2029 NO YES LIBRITABS TAB 25MG 07/01/2007 12/31/2029 NO YES LIBRITABS TAB 5MG 07/01/2007 12/31/2029 NO YES Chlordiazepoxide HCl CALMIUM CAP 10MG 07/01/2007 12/31/2029 NO NO CALMIUM CAP 25MG 07/01/2007 12/31/2029 NO NO CALMIUM CAP 5MG 07/01/2007 12/31/2029 NO NO CHLORDIAZEP CAP 10MG 07/01/2007 12/31/2029 NO NO CHLORDIAZEP CAP 25MG 07/01/2007 12/31/2029 NO NO CHLORDIAZEP CAP 5MG 07/01/2007 12/31/2029 NO NO H-TRAN CAP 10MG 07/01/2007 12/31/2029 NO NO H-TRAN CAP 25MG 07/01/2007 12/31/2029 NO NO H-TRAN CAP 5MG 07/01/2007 12/31/2029 NO NO LIBRIUM CAP 10MG 07/01/2007 12/31/2029 NO YES LIBRIUM CAP 25MG 07/01/2007 12/31/2029 NO YES LIBRIUM CAP 5MG 07/01/2007 12/31/2029 NO YES LIBRIUM INJ 100MG 07/01/2007 12/31/2029 NO YES MITRAN CAP 10MG 07/01/2007 12/31/2029 NO NO POXI CAP 10MG 07/01/2007 12/31/2029 NO NO SPAT-10 CAP 10MG 07/01/2007 12/31/2029 NO NO SPAZ-10 CAP 10MG 07/01/2007 12/31/2029 NO NO SPAZ-5 CAP 5MG 07/01/2007 12/31/2029 NO NO Clorazepate Dipotassium CLORAZ DIPOT CAP 15MG 07/01/2007 12/31/2029 NO NO CLORAZ DIPOT CAP 3.75MG 07/01/2007 12/31/2029 NO NO CLORAZ DIPOT CAP 7.5MG 07/01/2007 12/31/2029 NO NO CLORAZ DIPOT TAB 15MG 07/01/2007 12/31/2029 NO NO CLORAZ DIPOT TAB 3.75MG 07/01/2007 12/31/2029 NO NO CLORAZ DIPOT TAB 7.5MG 07/01/2007 12/31/2029 NO NO GEN-XENE TAB 15MG 07/01/2007 12/31/2029 NO NO GEN-XENE TAB 3.75MG 07/01/2007 12/31/2029 NO NO GEN-XENE TAB 7.5MG 07/01/2007 12/31/2029 NO NO TRANXENE SD TAB 22.5MG 07/01/2007 12/31/2029 NO YES TRANXENE T TAB 15MG 07/01/2007 12/31/2029 NO YES TRANXENE T TAB 3.75MG 07/01/2007 12/31/2029 NO YES TRANXENE T TAB 7.5MG 07/01/2007 12/31/2029 NO YES TRANXENE-SD TAB 11.25MG 07/01/2007 12/31/2029 NO YES TRANXENE-SD TAB 22.5MG 07/01/2007 12/31/2029 NO YES TRANXENE-T TAB 15MG 07/01/2007 12/31/2029 NO YES Diazepam DI TRAN TAB 10MG 07/01/2007 12/31/2029 NO NO DI TRAN TAB 2MG 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 15 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANXIETY AGENTS* Diazepam DI TRAN TAB 5MG 07/01/2007 12/31/2029 NO NO DIAZEPAM CON 5MG/ML 07/01/2007 12/31/2029 NO NO DIAZEPAM INJ 10MG/2ML 07/01/2007 12/31/2029 NO YES DIAZEPAM INJ 5MG/ML 07/01/2007 12/31/2029 NO NO DIAZEPAM SOL 1MG/ML 07/01/2007 12/31/2029 NO YES DIAZEPAM SOL 5MG/5ML 07/01/2007 12/31/2029 NO YES DIAZEPAM TAB 10MG 07/01/2007 12/31/2029 NO NO DIAZEPAM TAB 2MG 07/01/2007 12/31/2029 NO NO DIAZEPAM TAB 5MG 07/01/2007 12/31/2029 NO NO DIZAC INJ 5MG/ML 07/01/2007 12/31/2029 NO YES D-VAL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Q-PAM TAB 10MG 07/01/2007 12/31/2029 NO NO Q-PAM TAB 2MG 07/01/2007 12/31/2029 NO NO Q-PAM TAB 5MG 07/01/2007 12/31/2029 NO NO THSC DIAZEPM TAB 5MG 07/01/2007 12/31/2029 NO NO VALIMATE INJ 5MG/ML 07/01/2007 12/31/2029 NO NO VALIUM INJ 5MG/ML 07/01/2007 12/31/2029 NO YES VALIUM TAB 10MG 07/01/2007 12/31/2029 NO YES VALIUM TAB 2MG 07/01/2007 12/31/2029 NO YES VALIUM TAB 5MG 07/01/2007 12/31/2029 NO YES VALRELEASE CAP 15MG CR 07/01/2007 12/31/2029 NO YES ZETRAN INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Empty Level MAZICON INJ 0.1MG/ML 07/01/2007 12/31/2029 NO YES ROMAZICON INJ 0.1MG/ML 07/01/2007 12/31/2029 NO YES Halazepam PAXIPAM TAB 20MG 07/01/2007 12/31/2029 NO YES PAXIPAM TAB 40MG 07/01/2007 12/31/2029 NO YES Lorazepam ATIVAN INJ 2MG/ML 07/01/2007 12/31/2029 NO YES ATIVAN INJ 4MG/ML 07/01/2007 12/31/2029 NO YES ATIVAN TAB 0.5MG 07/01/2007 12/31/2029 NO YES ATIVAN TAB 1MG 07/01/2007 12/31/2029 NO YES ATIVAN TAB 2MG 07/01/2007 12/31/2029 NO YES LORAZEPAM CON 2MG/ML 07/01/2007 12/31/2029 NO NO LORAZEPAM INJ 2MG/ML 07/01/2007 12/31/2029 NO NO LORAZEPAM INJ 4MG/ML 07/01/2007 12/31/2029 NO NO LORAZEPAM TAB 0.5MG 07/01/2007 12/31/2029 NO NO LORAZEPAM TAB 1MG 07/01/2007 12/31/2029 NO NO LORAZEPAM TAB 2MG 07/01/2007 12/31/2029 NO NO THSC LORAZEP TAB 0.5MG 07/01/2007 12/31/2029 NO NO THSC LORAZEP TAB 1MG 07/01/2007 12/31/2029 NO NO THSC LORAZEP TAB 2MG 07/01/2007 12/31/2029 NO NO Lorazepam-Dextrose LORAZEP/D5W SOL 100/100 07/01/2007 12/31/2029 NO YES Lorazepam-Sodium Chloride LORAZ NACL INJ 60/60 07/01/2007 12/31/2029 NO YES LORAZEP/NACL SOL 100/100 07/01/2007 12/31/2029 NO YES Oxazepam OXAZEPAM CAP 10MG 07/01/2007 12/31/2029 NO NO OXAZEPAM CAP 15MG 07/01/2007 12/31/2029 NO NO OXAZEPAM CAP 30MG 07/01/2007 12/31/2029 NO NO OXAZEPAM TAB 15MG 07/01/2007 12/31/2029 NO NO SERAX CAP 10MG 07/01/2007 12/31/2029 NO YES SERAX CAP 15MG 07/01/2007 12/31/2029 NO YES SERAX CAP 30MG 07/01/2007 12/31/2029 NO YES SERAX TAB 15MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIANXIETY AGENTS* Prazepam CENTRAX CAP 10MG 07/01/2007 12/31/2029 NO YES CENTRAX CAP 20MG 07/01/2007 12/31/2029 NO YES CENTRAX CAP 5MG 07/01/2007 12/31/2029 NO YES CENTRAX TAB 10MG 07/01/2007 12/31/2029 NO YES PRAZEPAM CAP 10MG 07/01/2007 12/31/2029 NO NO PRAZEPAM CAP 5MG 07/01/2007 12/31/2029 NO NO *ANTIARRHYTHMICS* Adenosine ADENOCARD INJ 12MG/4ML 07/01/2007 12/31/2029 NO YES ADENOCARD INJ 3MG/ML 07/01/2007 12/31/2029 NO YES ADENOCARD INJ 6MG/2ML 07/01/2007 12/31/2029 NO YES ADENOSINE INJ 12MG/4ML 07/01/2007 12/31/2029 NO NO ADENOSINE INJ 3MG/ML 07/01/2007 12/31/2029 NO NO ADENOSINE INJ 6MG/2ML 07/01/2007 12/31/2029 NO NO ADENOSINE INJ 90/30ML 07/01/2007 12/31/2029 NO YES Amiodarone HCl AMIODARONE INJ 150MG/3M 07/01/2007 12/31/2029 NO NO AMIODARONE INJ 450MG/9M 07/01/2007 12/31/2029 NO NO AMIODARONE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES AMIODARONE INJ 900MG/18 07/01/2007 12/31/2029 NO NO AMIODARONE TAB 100MG 07/01/2007 12/31/2029 NO NO AMIODARONE TAB 200MG 07/01/2007 12/31/2029 NO NO AMIODARONE TAB 400MG 07/01/2007 12/31/2029 NO NO CORDARONE TAB 200MG 07/01/2007 12/31/2029 NO YES CORDARONE IV INJ 50MG/ML 07/01/2007 12/31/2029 NO YES PACERONE TAB 100MG 07/01/2007 12/31/2029 NO NO PACERONE TAB 200MG 07/01/2007 12/31/2029 NO NO PACERONE TAB 300MG 07/01/2007 12/31/2029 NO YES PACERONE TAB 400MG 07/01/2007 12/31/2029 NO NO Amiodarone HCl in Dextrose AMIODARO/D5W INJ 450/250 07/01/2007 12/31/2029 NO YES AMIODARO/D5W SOL 150/100 07/01/2007 12/31/2029 NO YES AMIODARO/D5W SOL 900/500 07/01/2007 12/31/2029 NO YES AMIODARONE INJ DEXTROSE 07/01/2007 12/31/2029 NO YES NEXTERONE INJ 07/01/2007 12/31/2029 NO YES Bretylium Tosylate BRETYLIUM INJ 500/10ML 07/01/2007 12/31/2029 NO NO BRETYLIUM INJ 50MG/ML 07/01/2007 12/31/2029 NO YES BRETYLOL INJ 500/10ML 07/01/2007 12/31/2029 NO YES BRETYLOL INJ 50MG/ML 07/01/2007 12/31/2029 NO YES Bretylium Tosylate in D5W BRETYL/D5W INJ 1GM 07/01/2007 12/31/2029 NO NO BRETYL/D5W INJ 2MG/ML 07/01/2007 12/31/2029 NO YES BRETYL/D5W INJ 4MG/ML 07/01/2007 12/31/2029 NO YES BRETYL/D5W INJ 500MG 07/01/2007 12/31/2029 NO NO Disopyramide Phosphate DISOPYRAMIDE CAP 100MG 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE CAP 100MG CR 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE CAP 100MG ER 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE CAP 150MG 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE CAP 150MG CR 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE CAP 150MG ER 07/01/2007 12/31/2029 NO NO DISOPYRAMIDE POW PHOSPHAT 07/01/2007 12/31/2029 NO YES NORPACE CAP 100MG 07/01/2007 12/31/2029 NO YES NORPACE CAP 100MG CR 07/01/2007 12/31/2029 NO YES NORPACE CAP 150MG 07/01/2007 12/31/2029 NO YES NORPACE CAP 150MG CR 07/01/2007 12/31/2029 NO YES Dofetilide DOFETILIDE CAP 125MCG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIARRHYTHMICS* Dofetilide DOFETILIDE CAP 250MCG 07/01/2007 12/31/2029 NO NO DOFETILIDE CAP 500MCG 07/01/2007 12/31/2029 NO NO TIKOSYN CAP 125MCG 07/01/2007 12/31/2029 NO YES TIKOSYN CAP 250MCG 07/01/2007 12/31/2029 NO YES TIKOSYN CAP 500MCG 07/01/2007 12/31/2029 NO YES Dronedarone HCl MULTAQ TAB 400MG 07/01/2007 12/31/2029 NO YES Encainide HCl ENKAID CAP 25MG 07/01/2007 12/31/2029 NO YES ENKAID CAP 35MG 07/01/2007 12/31/2029 NO YES ENKAID CAP 50MG 07/01/2007 12/31/2029 NO YES Flecainide Acetate FLECAINIDE TAB 100MG 07/01/2007 12/31/2029 NO NO FLECAINIDE TAB 150MG 07/01/2007 12/31/2029 NO NO FLECAINIDE TAB 50MG 07/01/2007 12/31/2029 NO NO TAMBOCOR TAB 100MG 07/01/2007 12/31/2029 NO YES TAMBOCOR TAB 150MG 07/01/2007 12/31/2029 NO YES TAMBOCOR TAB 50MG 07/01/2007 12/31/2029 NO YES Ibutilide Fumarate CORVERT INJ 1MG/10ML 07/01/2007 12/31/2029 NO YES IBUTILIDE INJ 1MG/10ML 07/01/2007 12/31/2029 NO NO Lidocaine HCl (Cardiac) LIDOCAINE INJ 100MG/ML 07/01/2007 12/31/2029 NO YES LIDOCAINE INJ 10MG/ML 07/01/2007 12/31/2029 NO NO LIDOCAINE INJ 200MG/ML 07/01/2007 12/31/2029 NO NO LIDOCAINE INJ 20MG/ML 07/01/2007 12/31/2029 NO NO LIDOCAINE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO LIDO-STORZ INJ 20MG/ML 07/01/2007 12/31/2029 NO NO XYLOCAINE INJ 100/5ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 100MG/ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 10MG/ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 1GM/5ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 2% 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 200MG/ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 2GM/10ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES XYLOCAINE INJ 40MG/ML 07/01/2007 12/31/2029 NO YES Lidocaine in D5W LIDOCAIN/D5W INJ 2MG/ML 07/01/2007 12/31/2029 NO NO LIDOCAIN/D5W INJ 4MG/ML 07/01/2007 12/31/2029 NO NO LIDOCAIN/D5W INJ 8MG/ML 07/01/2007 12/31/2029 NO NO Mexiletine HCl MEXILETINE CAP 150MG 07/01/2007 12/31/2029 NO NO MEXILETINE CAP 200MG 07/01/2007 12/31/2029 NO NO MEXILETINE CAP 250MG 07/01/2007 12/31/2029 NO NO MEXITIL CAP 150MG 07/01/2007 12/31/2029 NO YES MEXITIL CAP 200MG 07/01/2007 12/31/2029 NO YES MEXITIL CAP 250MG 07/01/2007 12/31/2029 NO YES Moricizine HCl ETHMOZINE TAB 200MG 07/01/2007 12/31/2029 NO YES ETHMOZINE TAB 250MG 07/01/2007 12/31/2029 NO YES ETHMOZINE TAB 300MG 07/01/2007 12/31/2029 NO YES Procainamide HCl PROCAINAMIDE CAP 250MG 07/01/2007 12/31/2029 NO NO PROCAINAMIDE CAP 375MG 07/01/2007 12/31/2029 NO NO PROCAINAMIDE CAP 500MG 07/01/2007 12/31/2029 NO NO PROCAINAMIDE CRY 07/01/2007 12/31/2029 NO YES PROCAINAMIDE INJ 100MG/ML 07/01/2007 12/31/2029 NO NO PROCAINAMIDE INJ 500MG/ML 07/01/2007 12/31/2029 NO NO PROCAINAMIDE POW 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIARRHYTHMICS* Procainamide HCl PROCAINAMIDE TAB 1000 CR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 1000 ER 07/01/2007 12/31/2029 NO YES PROCAINAMIDE TAB 1000 SR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 250MG CR 07/01/2007 12/31/2029 NO YES PROCAINAMIDE TAB 250MG ER 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 250MG SR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 500MG CR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 500MG ER 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 500MG SR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 500MG TR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 750MG CR 07/01/2007 12/31/2029 NO NO PROCAINAMIDE TAB 750MG ER 07/01/2007 12/31/2029 NO YES PROCAINAMIDE TAB 750MG SR 07/01/2007 12/31/2029 NO NO PROCAMIDE SR TAB 250MG CR 07/01/2007 12/31/2029 NO NO PROCAMIDE SR TAB 500MG 07/01/2007 12/31/2029 NO NO PROCAMIDE SR TAB 750MG 07/01/2007 12/31/2029 NO NO PROCAN SR TAB 1000 CR 07/01/2007 12/31/2029 NO YES PROCAN SR TAB 250MG CR 07/01/2007 12/31/2029 NO YES PROCAN SR TAB 500MG 07/01/2007 12/31/2029 NO YES PROCAN SR TAB 750MG 07/01/2007 12/31/2029 NO YES PROCANBID TAB 1000 MG 07/01/2007 12/31/2029 NO YES PROCANBID TAB 1000 CR 07/01/2007 12/31/2029 NO YES PROCANBID TAB 500MG CR 07/01/2007 12/31/2029 NO YES PROCAREX CAP 250MG 07/01/2007 12/31/2029 NO NO PROCAREX CAP 500MG 07/01/2007 12/31/2029 NO NO PRONESTYL CAP 250MG 07/01/2007 12/31/2029 NO YES PRONESTYL CAP 375MG 07/01/2007 12/31/2029 NO YES PRONESTYL CAP 500MG 07/01/2007 12/31/2029 NO YES PRONESTYL INJ 100MG/ML 07/01/2007 12/31/2029 NO YES PRONESTYL INJ 500MG/ML 07/01/2007 12/31/2029 NO YES PRONESTYL TAB 250MG 07/01/2007 12/31/2029 NO YES PRONESTYL TAB 375MG 07/01/2007 12/31/2029 NO YES PRONESTYL TAB 500MG 07/01/2007 12/31/2029 NO YES PRONESTYL SR TAB 500MG 07/01/2007 12/31/2029 NO YES Propafenone HCl PROPAFENONE CAP 225MG ER 07/01/2007 12/31/2029 NO NO PROPAFENONE CAP 325MG ER 07/01/2007 12/31/2029 NO NO PROPAFENONE CAP 425MG SR 07/01/2007 12/31/2029 NO NO PROPAFENONE TAB 150MG 07/01/2007 12/31/2029 NO NO PROPAFENONE TAB 225MG 07/01/2007 12/31/2029 NO NO PROPAFENONE TAB 300MG 07/01/2007 12/31/2029 NO NO RYTHMOL TAB 150MG 07/01/2007 12/31/2029 NO YES RYTHMOL TAB 225MG 07/01/2007 12/31/2029 NO YES RYTHMOL TAB 300MG 07/01/2007 12/31/2029 NO YES RYTHMOL SR CAP 225MG 07/01/2007 12/31/2029 NO YES RYTHMOL SR CAP 325MG 07/01/2007 12/31/2029 NO YES RYTHMOL SR CAP 425MG 07/01/2007 12/31/2029 NO YES Quinidine Gluconate DURAQUIN TAB 330MG 07/01/2007 12/31/2029 NO YES QUINADURE TAB 324MG CR 07/01/2007 12/31/2029 NO NO QUINAGLUTE TAB 324MG CR 07/01/2007 12/31/2029 NO YES QUINALAN LAN TAB 324MG CR 07/01/2007 12/31/2029 NO NO QUINATIME CAP 324MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIARRHYTHMICS* Quinidine Gluconate QUINATIME TAB 324MG CR 07/01/2007 12/31/2029 NO NO QUIN-G TAB 324MG CR 07/01/2007 12/31/2029 NO NO QUINIDINE GL INJ 80MG/ML 07/01/2007 12/31/2029 NO YES QUINIDINE GL TAB 324MG CR 07/01/2007 12/31/2029 NO NO QUINIDINE GL TAB 324MG ER 07/01/2007 12/31/2029 NO NO QUINIDINE GL TAB 324MG SA 07/01/2007 12/31/2029 NO NO QUINIDINE GL TAB 324MG SR 07/01/2007 12/31/2029 NO NO QUINIDINE GL TAB 324MG TD 07/01/2007 12/31/2029 NO NO QUINITIME TD TAB 324MG CR 07/01/2007 12/31/2029 NO NO Quinidine Polygalacturonate CARDIOQUIN TAB 275MG 07/01/2007 12/31/2029 NO YES Quinidine Sulfate CIN QUIN CAP 200MG 07/01/2007 12/31/2029 NO NO CIN QUIN CAP 300MG 07/01/2007 12/31/2029 NO YES CIN QUIN TAB 100MG 07/01/2007 12/31/2029 NO YES CIN QUIN TAB 200MG 07/01/2007 12/31/2029 NO NO CIN QUIN TAB 300MG 07/01/2007 12/31/2029 NO NO QUINIDEX EXT TAB 300MG CR 07/01/2007 12/31/2029 NO YES QUINIDINE SU CAP 200MG 07/01/2007 12/31/2029 NO NO QUINIDINE SU INJ 200MG/ML 07/01/2007 12/31/2029 NO YES QUINIDINE SU TAB 100MG 07/01/2007 12/31/2029 NO NO QUINIDINE SU TAB 200MG 07/01/2007 12/31/2029 NO NO QUINIDINE SU TAB 300MG 07/01/2007 12/31/2029 NO YES QUINIDINE SU TAB 300MG ER 07/01/2007 12/31/2029 NO NO QUINORA TAB 300MG 07/01/2007 12/31/2029 NO NO QUIN-TAB TAB 200MG 07/01/2007 12/31/2029 NO NO THSC QUINIDN TAB SUL200MG 07/01/2007 12/31/2029 NO NO Tocainide HCl TONOCARD TAB 400MG 07/01/2007 12/31/2029 NO YES TONOCARD TAB 600MG 07/01/2007 12/31/2029 NO YES *ANTICONVULSANTS* Brivaracetam BRIVIACT INJ 50MG/5ML 07/01/2007 12/31/2029 NO YES BRIVIACT SOL 10MG/ML 07/01/2007 12/31/2029 NO YES BRIVIACT TAB 100MG 07/01/2007 12/31/2029 NO YES BRIVIACT TAB 10MG 07/01/2007 12/31/2029 NO YES BRIVIACT TAB 25MG 07/01/2007 12/31/2029 NO YES BRIVIACT TAB 50MG 07/01/2007 12/31/2029 NO YES BRIVIACT TAB 75MG 07/01/2007 12/31/2029 NO YES Carbamazepine ATRETOL TAB 200MG 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN CAP 100MG ER 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN CAP 200MG ER 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN CAP 300MG ER 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN CHW 100MG 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN POW 07/01/2007 12/31/2029 NO YES CARBAMAZEPIN POW USP 07/01/2007 12/31/2029 NO YES CARBAMAZEPIN SUS 100/5ML 07/01/2007 12/31/2029 NO YES CARBAMAZEPIN TAB 100MGER 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN TAB 200MG 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN TAB 200MG ER 07/01/2007 12/31/2029 NO NO CARBAMAZEPIN TAB 400MG ER 07/01/2007 12/31/2029 NO NO CARBATROL CAP 100MG 07/01/2007 12/31/2029 NO YES CARBATROL CAP 200MG 07/01/2007 12/31/2029 NO YES CARBATROL CAP 300MG 07/01/2007 12/31/2029 NO YES EPITOL TAB 200MG 07/01/2007 12/31/2029 NO NO TEGRETOL CHW 100MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Carbamazepine TEGRETOL SUS 100/5ML 07/01/2007 12/31/2029 NO YES TEGRETOL TAB 200MG 07/01/2007 12/31/2029 NO YES TEGRETOL XR TAB 100MG 07/01/2007 12/31/2029 NO YES TEGRETOL XR TAB 200MG 07/01/2007 12/31/2029 NO YES TEGRETOL XR TAB 400MG 07/01/2007 12/31/2029 NO YES TEGRETOL-XR TAB 100MG 07/01/2007 12/31/2029 NO YES TEGRETOL-XR TAB 200MG 07/01/2007 12/31/2029 NO YES TEGRETOL-XR TAB 400MG 07/01/2007 12/31/2029 NO YES Clobazam ONFI SUS 2.5MG/ML 07/01/2007 12/31/2029 NO YES ONFI TAB 10MG 07/01/2007 12/31/2029 NO YES ONFI TAB 20MG 07/01/2007 12/31/2029 NO YES ONFI TAB 5MG 07/01/2007 12/31/2029 NO YES Clonazepam CEBERCLON TAB 0.5MG 07/01/2007 12/31/2029 NO NO CEBERCLON TAB 1MG 07/01/2007 12/31/2029 NO NO CLONAZEP ODT TAB 0.125MG 07/01/2007 12/31/2029 NO NO CLONAZEP ODT TAB 0.25MG 07/01/2007 12/31/2029 NO NO CLONAZEP ODT TAB 0.5MG 07/01/2007 12/31/2029 NO NO CLONAZEP ODT TAB 1MG 07/01/2007 12/31/2029 NO NO CLONAZEP ODT TAB 2MG 07/01/2007 12/31/2029 NO NO CLONAZEPAM TAB 0.5MG 07/01/2007 12/31/2029 NO NO CLONAZEPAM TAB 1MG 07/01/2007 12/31/2029 NO NO CLONAZEPAM TAB 2MG 07/01/2007 12/31/2029 NO NO KLONOPIN TAB 0.5MG 07/01/2007 12/31/2029 NO YES KLONOPIN TAB 1MG 07/01/2007 12/31/2029 NO YES KLONOPIN TAB 2MG 07/01/2007 12/31/2029 NO YES KLONOPIN WAF TAB 0.125MG 07/01/2007 12/31/2029 NO YES KLONOPIN WAF TAB 0.25MG 07/01/2007 12/31/2029 NO YES KLONOPIN WAF TAB 0.5MG 07/01/2007 12/31/2029 NO YES KLONOPIN WAF TAB 1MG 07/01/2007 12/31/2029 NO YES KLONOPIN WAF TAB 2MG 07/01/2007 12/31/2029 NO YES Diazepam (Anticonvulsant) DIASTAT GEL 15MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT MIS 10MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT MIS 15MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT MIS 20MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT ACDL GEL 12.5-20 07/01/2007 12/31/2029 NO YES DIASTAT ACDL GEL 20MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT ACDL GEL 5-10MG 07/01/2007 12/31/2029 NO YES DIASTAT ADUL GEL 20MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT PED GEL 2.5M GEL 07/01/2007 12/31/2029 NO YES DIASTAT PED GEL 5MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT PED MIS 2.5M GEL 07/01/2007 12/31/2029 NO YES DIASTAT PED MIS 5MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT UNIV GEL 10MG GEL 07/01/2007 12/31/2029 NO YES DIASTAT UNIV MIS 10MG GEL 07/01/2007 12/31/2029 NO YES DIAZEPAM GEL 10MG 07/01/2007 12/31/2029 NO YES DIAZEPAM GEL 2.5MG 07/01/2007 12/31/2029 NO YES DIAZEPAM GEL 20MG 07/01/2007 12/31/2029 NO YES Divalproex Sodium DEPAKOTE TAB 125MG DR 07/01/2007 12/31/2029 NO YES DEPAKOTE TAB 125MG EC 07/01/2007 12/31/2029 NO YES DEPAKOTE TAB 250MG DR 07/01/2007 12/31/2029 NO YES DEPAKOTE TAB 250MG EC 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Divalproex Sodium DEPAKOTE TAB 500MG DR 07/01/2007 12/31/2029 NO YES DEPAKOTE TAB 500MG EC 07/01/2007 12/31/2029 NO YES DEPAKOTE ER TAB 250MG 07/01/2007 12/31/2029 NO YES DEPAKOTE ER TAB 500MG 07/01/2007 12/31/2029 NO YES DEPAKOTE SPR CAP 125MG 07/01/2007 12/31/2029 NO YES DEPA-TAB TAB 125MG EC 07/01/2007 12/31/2029 NO NO DEPA-TAB TAB 250MG EC 07/01/2007 12/31/2029 NO NO DEPA-TAB TAB 500MG EC 07/01/2007 12/31/2029 NO NO DIVALPROEX CAP 125MG 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 125MG DR 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 125MG EC 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 250MG DR 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 250MG EC 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 250MG ER 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 500MG DR 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 500MG EC 07/01/2007 12/31/2029 NO NO DIVALPROEX TAB 500MG ER 07/01/2007 12/31/2029 NO NO Eslicarbazepine Acetate APTIOM TAB 200MG 07/01/2007 12/31/2029 NO YES APTIOM TAB 400MG 07/01/2007 12/31/2029 NO YES APTIOM TAB 600MG 07/01/2007 12/31/2029 NO YES APTIOM TAB 800MG 07/01/2007 12/31/2029 NO YES Ethosuximide ETHOSUXIMIDE CAP 250MG 07/01/2007 12/31/2029 NO NO ETHOSUXIMIDE SOL 250/5ML 07/01/2007 12/31/2029 NO NO ETHOSUXIMIDE SYP 250/5ML 07/01/2007 12/31/2029 NO NO ZARONTIN CAP 250MG 07/01/2007 12/31/2029 NO YES ZARONTIN SOL 250/5ML 07/01/2007 12/31/2029 NO YES ZARONTIN SYP 250/5ML 07/01/2007 12/31/2029 NO YES Ethotoin PEGANONE TAB 250MG 07/01/2007 12/31/2029 NO YES PEGANONE TAB 500MG 07/01/2007 12/31/2029 NO YES Ezogabine POTIGA TAB 200MG 07/01/2007 12/31/2029 NO YES POTIGA TAB 300MG 07/01/2007 12/31/2029 NO YES POTIGA TAB 400MG 07/01/2007 12/31/2029 NO YES POTIGA TAB 50MG 07/01/2007 12/31/2029 NO YES Felbamate FELBAMATE SUS 600/5ML 07/01/2007 12/31/2029 NO NO FELBAMATE TAB 400MG 07/01/2007 12/31/2029 NO NO FELBAMATE TAB 600MG 07/01/2007 12/31/2029 NO NO FELBATOL SUS 600/5ML 07/01/2007 12/31/2029 NO YES FELBATOL TAB 400MG 07/01/2007 12/31/2029 NO YES FELBATOL TAB 600MG 07/01/2007 12/31/2029 NO YES Fosphenytoin Sodium CEREBYX INJ 100/2ML 07/01/2007 12/31/2029 NO YES CEREBYX INJ 500/10ML 07/01/2007 12/31/2029 NO YES FOSPHENYTOIN INJ 100/2ML 07/01/2007 12/31/2029 NO NO FOSPHENYTOIN INJ 500/10ML 07/01/2007 12/31/2029 NO NO Gabapentin FANATREX SUS 25MG/ML 07/01/2007 12/31/2029 NO YES GABAPENTIN CAP 100MG 07/01/2006 12/31/2029 NO NO GABAPENTIN CAP 300MG 07/01/2006 12/31/2029 NO NO GABAPENTIN CAP 400MG 07/01/2006 12/31/2029 NO NO GABAPENTIN SOL 250/5ML 07/01/2006 12/31/2029 NO NO GABAPENTIN SOL 300/6ML 07/01/2006 12/31/2029 NO NO GABAPENTIN TAB 100MG 07/01/2006 12/31/2029 NO NO GABAPENTIN TAB 300MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Gabapentin GABAPENTIN TAB 400MG 07/01/2006 12/31/2029 NO NO GABAPENTIN TAB 600MG 07/01/2006 12/31/2029 NO NO GABAPENTIN TAB 800MG 07/01/2006 12/31/2029 NO NO GABARONE TAB 100MG 07/01/2006 12/31/2029 NO YES GABARONE TAB 300MG 07/01/2006 12/31/2029 NO YES GABARONE TAB 400MG 07/01/2006 12/31/2029 NO YES NEURONTIN CAP 100MG 07/01/2006 12/31/2029 NO YES NEURONTIN CAP 300MG 07/01/2006 12/31/2029 NO YES NEURONTIN CAP 400MG 07/01/2006 12/31/2029 NO YES NEURONTIN SOL 250/5ML 07/01/2006 12/31/2029 NO YES NEURONTIN TAB 600MG 07/01/2006 12/31/2029 NO YES NEURONTIN TAB 800MG 07/01/2006 12/31/2029 NO YES Gabapentin-Dietary Management Product THERAPENTIN PAK -60 07/01/2007 12/31/2029 NO YES THERAPENTIN PAK -90 07/01/2007 12/31/2029 NO YES Lacosamide VIMPAT INJ 200MG/20 07/01/2007 12/31/2029 NO YES VIMPAT SOL 10MG/ML 07/01/2007 12/31/2029 NO YES VIMPAT TAB 100MG 07/01/2007 12/31/2029 NO YES VIMPAT TAB 150MG 07/01/2007 12/31/2029 NO YES VIMPAT TAB 200MG 07/01/2007 12/31/2029 NO YES VIMPAT TAB 50MG 07/01/2007 12/31/2029 NO YES Lamotrigine LAMICTAL CHW 25MG 07/01/2007 12/31/2029 NO YES LAMICTAL CHW 2MG 07/01/2007 12/31/2029 NO YES LAMICTAL CHW 5MG 07/01/2007 12/31/2029 NO YES LAMICTAL KIT START 35 07/01/2007 12/31/2029 NO YES LAMICTAL KIT START 49 07/01/2007 12/31/2029 NO YES LAMICTAL KIT START 98 07/01/2007 12/31/2029 NO YES LAMICTAL TAB 100MG 07/01/2007 12/31/2029 NO YES LAMICTAL TAB 150MG 07/01/2007 12/31/2029 NO YES LAMICTAL TAB 200MG 07/01/2007 12/31/2029 NO YES LAMICTAL TAB 25MG 07/01/2007 12/31/2029 NO YES LAMICTAL ODT KIT 07/01/2007 12/31/2029 NO YES LAMICTAL ODT TAB 100MG 07/01/2007 12/31/2029 NO YES LAMICTAL ODT TAB 200MG 07/01/2007 12/31/2029 NO YES LAMICTAL ODT TAB 25MG 07/01/2007 12/31/2029 NO YES LAMICTAL ODT TAB 50MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR KIT 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 100MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 200MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 250MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 25MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 300MG 07/01/2007 12/31/2029 NO YES LAMICTAL XR TAB 50MG 07/01/2007 12/31/2029 NO YES LAMOTRIG ODT KIT 25/50MG 07/01/2007 12/31/2029 NO NO LAMOTRIG ODT KIT 50/100MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE CHW 25MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE CHW 5MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE KIT ODT 07/01/2007 12/31/2029 NO NO LAMOTRIGINE KIT START 35 07/01/2007 12/31/2029 NO NO LAMOTRIGINE KIT START 49 07/01/2007 12/31/2029 NO NO LAMOTRIGINE KIT START 98 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 100MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Lamotrigine LAMOTRIGINE TAB 100MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 150MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 200MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 200MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 250MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 25MG 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 25MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 25MG ODT 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 300MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 50MG ER 07/01/2007 12/31/2029 NO NO LAMOTRIGINE TAB 50MG ODT 07/01/2007 12/31/2029 NO NO Levetiracetam KEPPRA INJ 500/5ML 07/01/2007 12/31/2029 NO YES KEPPRA SOL 100MG/ML 07/01/2007 12/31/2029 NO YES KEPPRA TAB 1000MG 07/01/2007 12/31/2029 NO YES KEPPRA TAB 250MG 07/01/2007 12/31/2029 NO YES KEPPRA TAB 500MG 07/01/2007 12/31/2029 NO YES KEPPRA TAB 750MG 07/01/2007 12/31/2029 NO YES KEPPRA XR TAB 500MG 07/01/2007 12/31/2029 NO YES KEPPRA XR TAB 750MG 07/01/2007 12/31/2029 NO YES LEVETIRACETA SOL 100MG/ML 07/01/2007 12/31/2029 NO NO LEVETIRACETA SOL 500/5ML 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 1000MG 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 250MG 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 500MG 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 500MG ER 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 750MG 07/01/2007 12/31/2029 NO NO LEVETIRACETA TAB 750MG ER 07/01/2007 12/31/2029 NO NO LEVETIRACETM INJ 500/5ML 07/01/2007 12/31/2029 NO NO ROWEEPRA TAB 1000MG 07/01/2007 12/31/2029 NO NO ROWEEPRA TAB 500MG 07/01/2007 12/31/2029 NO NO ROWEEPRA TAB 750MG 07/01/2007 12/31/2029 NO NO SPRITAM TAB 1000MG 07/01/2007 12/31/2029 NO YES SPRITAM TAB 250MG 07/01/2007 12/31/2029 NO YES SPRITAM TAB 500MG 07/01/2007 12/31/2029 NO YES SPRITAM TAB 750MG 07/01/2007 12/31/2029 NO YES Levetiracetam in Sodium Chloride LEVETIRACETA INJ 10MG/ML 07/01/2007 12/31/2029 NO YES LEVETIRACETA INJ 15MG/ML 07/01/2007 12/31/2029 NO NO LEVETIRACETA INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Mephenytoin MESANTOIN TAB 100MG 07/01/2007 12/31/2029 NO YES Methsuximide CELONTIN CAP 150MG 07/01/2007 12/31/2029 NO YES CELONTIN CAP 300MG 07/01/2007 12/31/2029 NO YES Oxcarbazepine OXCARBAZEPIN SUS 300MG/5M 07/01/2007 12/31/2029 NO NO OXCARBAZEPIN TAB 150MG 07/01/2007 12/31/2029 NO NO OXCARBAZEPIN TAB 300MG 07/01/2007 12/31/2029 NO NO OXCARBAZEPIN TAB 600MG 07/01/2007 12/31/2029 NO NO OXTELLAR XR TAB 150MG 07/01/2007 12/31/2029 NO YES OXTELLAR XR TAB 300MG 07/01/2007 12/31/2029 NO YES OXTELLAR XR TAB 600MG 07/01/2007 12/31/2029 NO YES TRILEPTAL SUS 300MG/5M 07/01/2007 12/31/2029 NO YES TRILEPTAL TAB 150MG 07/01/2007 12/31/2029 NO YES TRILEPTAL TAB 300MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Oxcarbazepine TRILEPTAL TAB 600MG 07/01/2007 12/31/2029 NO YES Paramethadione PARADIONE CAP 150MG 07/01/2007 12/31/2029 NO YES PARADIONE CAP 300MG 07/01/2007 12/31/2029 NO YES Perampanel FYCOMPA SUS 0.5MG/ML 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 10MG 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 12MG 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 2MG 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 4MG 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 6MG 07/01/2007 12/31/2029 NO YES FYCOMPA TAB 8MG 07/01/2007 12/31/2029 NO YES Phenacemide PHENURONE TAB 500MG 07/01/2007 12/31/2029 NO YES Phensuximide MILONTIN CAP 0.5GM 07/01/2007 12/31/2029 NO YES Phenytoin DILANTIN CHW 50MG 07/01/2007 12/31/2029 NO YES DILANTIN-125 SUS 125/5ML 07/01/2007 12/31/2029 NO YES DILANTIN-30 SUS 30MG/5ML 07/01/2007 12/31/2029 NO YES PHENYTOIN CHW 50MG 07/01/2007 12/31/2029 NO NO PHENYTOIN SUS 100/4ML 07/01/2007 12/31/2029 NO YES PHENYTOIN SUS 125/5ML 07/01/2007 12/31/2029 NO YES Phenytoin Sodium DILANTIN INJ 100MG 07/01/2007 12/31/2029 NO YES DILANTIN INJ 250MG 07/01/2007 12/31/2029 NO YES DILANTIN INJ 50MG/ML 07/01/2007 12/31/2029 NO YES PHENYTOIN INJ 100/2ML 07/01/2007 12/31/2029 NO NO PHENYTOIN INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PHENYTOIN KIT 50MG/ML 07/01/2007 12/31/2029 NO YES PHENYTOIN POW 07/01/2007 12/31/2029 NO YES PHENYTOIN POW SODIUM 07/01/2007 12/31/2029 NO YES Phenytoin Sodium Extended DILANTIN CAP 100MG 07/01/2007 12/31/2029 NO YES DILANTIN CAP 30MG 07/01/2007 12/31/2029 NO YES DIPHENTOIN CAP 100MG EX 07/01/2007 12/31/2029 NO NO PHENYTEK CAP 200MG 07/01/2007 12/31/2029 NO YES PHENYTEK CAP 300MG 07/01/2007 12/31/2029 NO YES PHENYTEX EX CAP 100MG 07/01/2007 12/31/2029 NO NO PHENYTOIN EX CAP 100MG 07/01/2007 12/31/2029 NO NO PHENYTOIN EX CAP 200MG 07/01/2007 12/31/2029 NO NO PHENYTOIN EX CAP 300MG 07/01/2007 12/31/2029 NO NO PHENYTOIN LA CAP 100MG 07/01/2007 12/31/2029 NO NO PHENYTOIN SA CAP 100MG 07/01/2007 12/31/2029 NO NO THSC DILANTN CAP 100MG 07/01/2007 12/31/2029 NO YES Phenytoin Sodium Prompt DI-PHEN CAP 100MG 07/01/2007 12/31/2029 NO NO DIPHENTOIN CAP 100MG 07/01/2007 12/31/2029 NO NO DIPHENYLAN CAP 100MG 07/01/2007 12/31/2029 NO NO PHENY SOD CAP PROMPT 07/01/2007 12/31/2029 NO NO PHENYTOIN CAP 100MG 07/01/2007 12/31/2029 NO NO Phenytoin w/ Phenobarbital DILANTIN/PB CAP 15MG 07/01/2007 12/31/2029 NO YES DILANTIN/PB CAP 30MG 07/01/2007 12/31/2029 NO YES Pregabalin LYRICA CAP 100MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 150MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 200MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 225MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 25MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 300MG 06/11/2010 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Pregabalin LYRICA CAP 50MG 06/11/2010 12/31/2029 NO YES LYRICA CAP 75MG 06/11/2010 12/31/2029 NO YES LYRICA SOL 20MG/ML 07/01/2007 12/31/2029 NO YES Primidone MYSOLINE SUS 250/5ML 07/01/2007 12/31/2029 NO YES MYSOLINE TAB 250MG 07/01/2007 12/31/2029 NO YES MYSOLINE TAB 50MG 07/01/2007 12/31/2029 NO YES PRIMIDONE TAB 250MG 07/01/2007 12/31/2029 NO NO PRIMIDONE TAB 50MG 07/01/2007 12/31/2029 NO NO Rufinamide BANZEL SUS 40MG/ML 07/01/2007 12/31/2029 NO YES BANZEL TAB 200MG 07/01/2007 12/31/2029 NO YES BANZEL TAB 400MG 07/01/2007 12/31/2029 NO YES Tiagabine HCl GABITRIL TAB 12MG 07/01/2007 12/31/2029 NO YES GABITRIL TAB 16MG 07/01/2007 12/31/2029 NO YES GABITRIL TAB 20MG 07/01/2007 12/31/2029 NO YES GABITRIL TAB 2MG 07/01/2007 12/31/2029 NO YES GABITRIL TAB 4MG 07/01/2007 12/31/2029 NO YES TIAGABINE TAB 2MG 07/01/2007 12/31/2029 NO NO TIAGABINE TAB 4MG 07/01/2007 12/31/2029 NO NO Topiramate QUDEXY XR CAP 100/24HR 07/01/2007 12/31/2029 NO YES QUDEXY XR CAP 150/24HR 07/01/2007 12/31/2029 NO YES QUDEXY XR CAP 200/24HR 07/01/2007 12/31/2029 NO YES QUDEXY XR CAP 25/24HR 07/01/2007 12/31/2029 NO YES QUDEXY XR CAP 50/24HR 07/01/2007 12/31/2029 NO YES TOPAMAX TAB 100MG 07/01/2007 12/31/2029 NO YES TOPAMAX TAB 200MG 07/01/2007 12/31/2029 NO YES TOPAMAX TAB 25MG 07/01/2007 12/31/2029 NO YES TOPAMAX TAB 50MG 07/01/2007 12/31/2029 NO YES TOPAMAX SPR CAP 15MG 07/01/2007 12/31/2029 NO YES TOPAMAX SPR CAP 25MG 07/01/2007 12/31/2029 NO YES TOPIRAGEN TAB 100MG 07/01/2007 12/31/2029 NO NO TOPIRAGEN TAB 200MG 07/01/2007 12/31/2029 NO NO TOPIRAGEN TAB 25MG 07/01/2007 12/31/2029 NO NO TOPIRAGEN TAB 50MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE CAP 15MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE CAP 25MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE CAP ER 100MG 07/01/2007 12/31/2029 NO YES TOPIRAMATE CAP ER 150MG 07/01/2007 12/31/2029 NO YES TOPIRAMATE CAP ER 200MG 07/01/2007 12/31/2029 NO YES TOPIRAMATE CAP ER 25MG 07/01/2007 12/31/2029 NO YES TOPIRAMATE CAP ER 50MG 07/01/2007 12/31/2029 NO YES TOPIRAMATE TAB 100MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE TAB 200MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE TAB 25MG 07/01/2007 12/31/2029 NO NO TOPIRAMATE TAB 50MG 07/01/2007 12/31/2029 NO NO TROKENDI XR CAP 100MG 07/01/2007 12/31/2029 NO YES TROKENDI XR CAP 200MG 07/01/2007 12/31/2029 NO YES TROKENDI XR CAP 25MG 07/01/2007 12/31/2029 NO YES TROKENDI XR CAP 50MG 07/01/2007 12/31/2029 NO YES Trimethadione TRIDIONE CAP 300MG 07/01/2007 12/31/2029 NO YES TRIDIONE SOL 40MG/ML 07/01/2007 12/31/2029 NO YES TRIDIONE TAB 150MG 07/01/2007 12/31/2029 NO YES

RT18100 Saturday, July 8, 2017 Page 26 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTICONVULSANTS* Valproate Sodium DEPACON INJ 100MG/ML 07/01/2007 12/31/2029 NO YES DEPAKENE SOL 250/5ML 07/01/2007 12/31/2029 NO YES MY-PROIC ACD SYP 250/5ML 07/01/2007 12/31/2029 NO NO MYPROIC ACID SYP 250/5ML 07/01/2007 12/31/2029 NO NO VALPROATE INJ 100MG/ML 07/01/2007 12/31/2029 NO NO VALPROATE INJ 500/5ML 07/01/2007 12/31/2029 NO NO VALPROIC ACD SOL 250/5ML 07/01/2007 12/31/2029 NO NO VALPROIC ACD SYP 250/5ML 07/01/2007 12/31/2029 NO NO Valproic Acid DEPAKENE CAP 250MG 07/01/2007 12/31/2029 NO YES DEPROIC CAP 250MG 07/01/2007 12/31/2029 NO NO STAVZOR CAP 125MG 07/01/2007 12/31/2029 NO YES STAVZOR CAP 250MG 07/01/2007 12/31/2029 NO YES STAVZOR CAP 500MG 07/01/2007 12/31/2029 NO YES VALPROIC ACD CAP 250MG 07/01/2007 12/31/2029 NO NO Vigabatrin SABRIL POW 500MG 07/01/2007 12/31/2029 NO YES SABRIL TAB 500MG 07/01/2007 12/31/2029 NO YES Zonisamide ZONEGRAN CAP 100MG 07/01/2007 12/31/2029 NO YES ZONEGRAN CAP 25MG 07/01/2007 12/31/2029 NO YES ZONEGRAN CAP 50MG 07/01/2007 12/31/2029 NO YES ZONISAMIDE CAP 100MG 07/01/2007 12/31/2029 NO NO ZONISAMIDE CAP 25MG 07/01/2007 12/31/2029 NO NO ZONISAMIDE CAP 50MG 07/01/2007 12/31/2029 NO NO *ANTIDEPRESSANTS* Amitriptyline HCl AMITRIL TAB 100MG 07/01/2007 12/31/2029 NO NO AMITRIL TAB 10MG 07/01/2007 12/31/2029 NO NO AMITRIL TAB 25MG 07/01/2007 12/31/2029 NO NO AMITRIL TAB 50MG 07/01/2007 12/31/2029 NO NO AMITRIL TAB 75MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN POW 07/01/2007 12/31/2029 NO YES AMITRIPTYLIN POW HCL 07/01/2007 12/31/2029 NO YES AMITRIPTYLIN TAB 100MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN TAB 10MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN TAB 150MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN TAB 25MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN TAB 50MG 07/01/2007 12/31/2029 NO NO AMITRIPTYLIN TAB 75MG 07/01/2007 12/31/2029 NO NO ELAVIL INJ 10MG/ML 07/01/2007 12/31/2029 NO YES ELAVIL TAB 100MG 07/01/2007 12/31/2029 NO YES ELAVIL TAB 10MG 07/01/2007 12/31/2029 NO YES ELAVIL TAB 150MG 07/01/2007 12/31/2029 NO YES ELAVIL TAB 25MG 07/01/2007 12/31/2029 NO YES ELAVIL TAB 50MG 07/01/2007 12/31/2029 NO YES ELAVIL TAB 75MG 07/01/2007 12/31/2029 NO YES ENDEP TAB 100MG 07/01/2007 12/31/2029 NO NO ENDEP TAB 10MG 07/01/2007 12/31/2029 NO NO ENDEP TAB 150MG 07/01/2007 12/31/2029 NO NO ENDEP TAB 25MG 07/01/2007 12/31/2029 NO NO ENDEP TAB 50MG 07/01/2007 12/31/2029 NO NO ENDEP TAB 75MG 07/01/2007 12/31/2029 NO NO ENOVIL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO VANATRIP TAB 50MG 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 27 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Amitriptyline HCl & Dietary Management Product SENTRAVIL PM PAK -25 07/01/2007 12/31/2029 NO YES Amoxapine AMOXAPINE TAB 100MG 07/01/2007 12/31/2029 NO YES AMOXAPINE TAB 150MG 07/01/2007 12/31/2029 NO NO AMOXAPINE TAB 25MG 07/01/2007 12/31/2029 NO YES AMOXAPINE TAB 50MG 07/01/2007 12/31/2029 NO NO ASENDIN TAB 100MG 07/01/2007 12/31/2029 NO YES ASENDIN TAB 150MG 07/01/2007 12/31/2029 NO YES ASENDIN TAB 25MG 07/01/2007 12/31/2029 NO YES ASENDIN TAB 50MG 07/01/2007 12/31/2029 NO YES Bupropion HCl BUDEPRION TAB 100MG SR 07/01/2007 12/31/2029 NO NO BUDEPRION TAB 150MG SR 07/01/2007 12/31/2029 NO NO BUDEPRION XL TAB 150MG 07/01/2007 12/31/2029 NO NO BUDEPRION XL TAB 300MG 07/01/2007 12/31/2029 NO NO BUPROPION TAB 100MG 07/01/2007 12/31/2029 NO NO BUPROPION TAB 100MG ER 07/01/2007 12/31/2029 NO NO BUPROPION TAB 100MG SR 07/01/2007 12/31/2029 NO NO BUPROPION TAB 150MG ER 07/01/2007 12/31/2029 NO NO BUPROPION TAB 150MG SR 07/01/2007 12/31/2029 NO NO BUPROPION TAB 200MG ER 07/01/2007 12/31/2029 NO NO BUPROPION TAB 200MG SR 07/01/2007 12/31/2029 NO NO BUPROPION TAB 75MG 07/01/2007 12/31/2029 NO NO BUPROPN HCL TAB 150MG XL 07/01/2007 12/31/2029 NO NO BUPROPN HCL TAB 300MG XL 07/01/2007 12/31/2029 NO NO FORFIVO XL TAB 450MG 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB 100MG 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB 100MG SR 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB 150MG SR 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB 200MG SR 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB 75MG 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB XL 150MG 07/01/2007 12/31/2029 NO YES WELLBUTRIN TAB XL 300MG 07/01/2007 12/31/2029 NO YES Bupropion HCl-Dietary Management Product APPBUTAMONE PAK 07/01/2007 12/31/2029 NO YES APPBUTAMONE PAK -D 07/01/2007 12/31/2029 NO YES Bupropion Hydrobromide APLENZIN TAB 174MG 07/01/2007 12/31/2029 NO YES APLENZIN TAB 348MG 07/01/2007 12/31/2029 NO YES APLENZIN TAB 522MG 07/01/2007 12/31/2029 NO YES Citalopram & Dietary Management Product SENTRALOPRAM PAK AM-10 07/01/2007 12/31/2029 NO YES Citalopram Hydrobromide CELEXA SOL 10MG/5ML 07/01/2007 12/31/2029 NO YES CELEXA TAB 10MG 07/01/2007 12/31/2029 NO YES CELEXA TAB 20MG 07/01/2007 12/31/2029 NO YES CELEXA TAB 40MG 07/01/2007 12/31/2029 NO YES CITALOPRAM SOL 10MG/5ML 07/01/2007 12/31/2029 NO NO CITALOPRAM TAB 10MG 07/01/2007 12/31/2029 NO NO CITALOPRAM TAB 20MG 07/01/2007 12/31/2029 NO NO CITALOPRAM TAB 40MG 07/01/2007 12/31/2029 NO NO Clomipramine HCl ANAFRANIL CAP 25MG 07/01/2007 12/31/2029 NO YES ANAFRANIL CAP 50MG 07/01/2007 12/31/2029 NO YES ANAFRANIL CAP 75MG 07/01/2007 12/31/2029 NO YES CLOMIPRAMINE CAP 25MG 07/01/2007 12/31/2029 NO NO CLOMIPRAMINE CAP 50MG 07/01/2007 12/31/2029 NO NO CLOMIPRAMINE CAP 75MG 07/01/2007 12/31/2029 NO NO

RT18100 Saturday, July 8, 2017 Page 28 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Desipramine HCl DESIPRAMINE POW 07/01/2007 12/31/2029 NO YES DESIPRAMINE TAB 100MG 07/01/2007 12/31/2029 NO NO DESIPRAMINE TAB 10MG 07/01/2007 12/31/2029 NO NO DESIPRAMINE TAB 150MG 07/01/2007 12/31/2029 NO NO DESIPRAMINE TAB 25MG 07/01/2007 12/31/2029 NO NO DESIPRAMINE TAB 50MG 07/01/2007 12/31/2029 NO NO DESIPRAMINE TAB 75MG 07/01/2007 12/31/2029 NO NO NORPRAMIN TAB 100MG 07/01/2007 12/31/2029 NO YES NORPRAMIN TAB 10MG 07/01/2007 12/31/2029 NO YES NORPRAMIN TAB 150MG 07/01/2007 12/31/2029 NO YES NORPRAMIN TAB 25MG 07/01/2007 12/31/2029 NO YES NORPRAMIN TAB 50MG 07/01/2007 12/31/2029 NO YES NORPRAMIN TAB 75MG 07/01/2007 12/31/2029 NO YES PERTOFRANE CAP 25MG 07/01/2007 12/31/2029 NO YES PERTOFRANE CAP 50MG 07/01/2007 12/31/2029 NO YES THSC DESIPRM TAB 50MG 07/01/2007 12/31/2029 NO NO Desvenlafaxine DESVENLAFAX TAB 100MG ER 07/01/2007 12/31/2029 NO YES DESVENLAFAX TAB 50MG ER 07/01/2007 12/31/2029 NO YES KHEDEZLA TAB 100MG ER 07/01/2007 12/31/2029 NO YES KHEDEZLA TAB 50MG ER 07/01/2007 12/31/2029 NO YES Desvenlafaxine Fumarate DESVENLAFAX TAB 100MG ER 07/01/2007 12/31/2029 NO YES DESVENLAFAX TAB 50MG ER 07/01/2007 12/31/2029 NO YES Desvenlafaxine Succinate DESVENLAFAX TAB 100MG ER 07/01/2007 12/31/2029 NO NO DESVENLAFAX TAB 25MG ER 07/01/2007 12/31/2029 NO NO DESVENLAFAX TAB 50MG ER 07/01/2007 12/31/2029 NO NO DESVENLAFAXI TAB 100MG 07/01/2007 12/31/2029 NO NO PRISTIQ TAB 100MG 07/01/2007 12/31/2029 NO YES PRISTIQ TAB 25MG 07/01/2007 12/31/2029 NO YES PRISTIQ TAB 50MG 07/01/2007 12/31/2029 NO YES Doxepin HCl ADAPIN CAP 100MG 07/01/2007 12/31/2029 NO YES ADAPIN CAP 10MG 07/01/2007 12/31/2029 NO YES ADAPIN CAP 150MG 07/01/2007 12/31/2029 NO YES ADAPIN CAP 25MG 07/01/2007 12/31/2029 NO YES ADAPIN CAP 50MG 07/01/2007 12/31/2029 NO YES ADAPIN CAP 75MG 07/01/2007 12/31/2029 NO YES DOXEPIN HCL CAP 100MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CAP 10MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CAP 150MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CAP 25MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CAP 50MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CAP 75MG 07/01/2007 12/31/2029 NO NO DOXEPIN HCL CON 10MG/ML 07/01/2007 12/31/2029 NO NO DOXEPIN HCL POW 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 100MG 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 10MG 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 150MG 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 25MG 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 50MG 07/01/2007 12/31/2029 NO YES SINEQUAN CAP 75MG 07/01/2007 12/31/2029 NO YES SINEQUAN CON 10MG/ML 07/01/2007 12/31/2029 NO YES Duloxetine HCl CYMBALTA CAP 20MG 07/01/2007 12/31/2029 NO YES

RT18100 Saturday, July 8, 2017 Page 29 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Duloxetine HCl CYMBALTA CAP 30MG 07/01/2007 12/31/2029 NO YES CYMBALTA CAP 60MG 07/01/2007 12/31/2029 NO YES DULOXETINE CAP 20MG 07/01/2007 12/31/2029 NO NO DULOXETINE CAP 30MG 07/01/2007 12/31/2029 NO NO DULOXETINE CAP 40MG 07/01/2007 12/31/2029 NO YES DULOXETINE CAP 60MG 07/01/2007 12/31/2029 NO NO IRENKA CAP 40MG 07/01/2007 12/31/2029 NO YES Escitalopram Oxalate ESCITALOPRAM SOL 5MG/5ML 07/01/2007 12/31/2029 NO NO ESCITALOPRAM TAB 10MG 07/01/2007 12/31/2029 NO NO ESCITALOPRAM TAB 20MG 07/01/2007 12/31/2029 NO NO ESCITALOPRAM TAB 5MG 07/01/2007 12/31/2029 NO NO LEXAPRO SOL 5MG/5ML 07/01/2007 12/31/2029 NO YES LEXAPRO TAB 10MG 07/01/2007 12/31/2029 NO YES LEXAPRO TAB 20MG 07/01/2007 12/31/2029 NO YES LEXAPRO TAB 5MG 07/01/2007 12/31/2029 NO YES Escitalopram Oxalate & L-Methylfolate-Vit B6-Vit B12-Vit D PRAMLYTE PAK 07/01/2007 12/31/2029 NO YES Fluoxetine HCl FLUOXETINE CAP 10MG 07/01/2007 12/31/2029 NO NO FLUOXETINE CAP 20MG 07/01/2007 12/31/2029 NO NO FLUOXETINE CAP 40MG 07/01/2007 12/31/2029 NO NO FLUOXETINE CAP 90MG DR 07/01/2007 12/31/2029 NO NO FLUOXETINE LIQ 20MG/5ML 07/01/2007 12/31/2029 NO NO FLUOXETINE SOL 20MG/5ML 07/01/2007 12/31/2029 NO NO FLUOXETINE TAB 10MG 07/01/2007 12/31/2029 NO NO FLUOXETINE TAB 20MG 07/01/2007 12/31/2029 NO NO FLUOXETINE TAB 60MG 07/01/2007 12/31/2029 NO YES PROZAC CAP 10MG 07/01/2007 12/31/2029 NO YES PROZAC CAP 20MG 07/01/2007 12/31/2029 NO YES PROZAC CAP 40MG 07/01/2007 12/31/2029 NO YES PROZAC LIQ 20MG/5ML 07/01/2007 12/31/2029 NO YES PROZAC SOL 20MG/5ML 07/01/2007 12/31/2029 NO YES PROZAC TAB 10MG 07/01/2007 12/31/2029 NO YES PROZAC WEEKL CAP 90MG 07/01/2007 12/31/2029 NO YES RAPIFLUX TAB 20MG 07/01/2007 12/31/2029 NO YES Fluoxetine HCl-Dietary Management Product GABOXETINE PAK 07/01/2007 12/31/2029 NO YES SENTRAFLOX PAK AM-10 07/01/2007 12/31/2029 NO YES SENTROXATINE PAK 07/01/2007 12/31/2029 NO YES Fluvoxamine Maleate FLUVOXAMINE CAP 100MG ER 07/01/2007 12/31/2029 NO NO FLUVOXAMINE CAP 150MG ER 07/01/2007 12/31/2029 NO NO FLUVOXAMINE TAB 100MG 07/01/2007 12/31/2029 NO NO FLUVOXAMINE TAB 25MG 07/01/2007 12/31/2029 NO NO FLUVOXAMINE TAB 50MG 07/01/2007 12/31/2029 NO NO LUVOX TAB 100MG 07/01/2007 12/31/2029 NO YES LUVOX TAB 25MG 07/01/2007 12/31/2029 NO YES LUVOX TAB 50MG 07/01/2007 12/31/2029 NO YES LUVOX CR CAP 100MG 07/01/2007 12/31/2029 NO YES LUVOX CR CAP 150MG 07/01/2007 12/31/2029 NO YES Imipramine HCl IMIPRAM HCL TAB 10MG 07/01/2007 12/31/2029 NO NO IMIPRAM HCL TAB 25MG 07/01/2007 12/31/2029 NO NO IMIPRAM HCL TAB 50MG 07/01/2007 12/31/2029 NO NO IMIPRAMINE POW 07/01/2007 12/31/2029 NO YES IMIPRAMINE POW HCL 07/01/2007 12/31/2029 NO YES

RT18100 Saturday, July 8, 2017 Page 30 of 279 Confidentiality Notice: This report is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is strictly prohibited. ADAP Formulary Report Current List Of Specified Drug Classes and Drugs Effective Between 04/01/2017 and 06/30/2017

DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Imipramine HCl JANIMINE TAB 10MG 07/01/2007 12/31/2029 NO NO JANIMINE TAB 25MG 07/01/2007 12/31/2029 NO NO JANIMINE TAB 50MG 07/01/2007 12/31/2029 NO NO TOFRANIL INJ 25MG/2ML 07/01/2007 12/31/2029 NO YES TOFRANIL TAB 10MG 07/01/2007 12/31/2029 NO YES TOFRANIL TAB 25MG 07/01/2007 12/31/2029 NO YES TOFRANIL TAB 50MG 07/01/2007 12/31/2029 NO YES Imipramine Pamoate IMIPRAM PAM CAP 100MG 07/01/2007 12/31/2029 NO NO IMIPRAM PAM CAP 125MG 07/01/2007 12/31/2029 NO NO IMIPRAM PAM CAP 150MG 07/01/2007 12/31/2029 NO NO IMIPRAM PAM CAP 75MG 07/01/2007 12/31/2029 NO NO TOFRANIL-PM CAP 100MG 07/01/2007 12/31/2029 NO YES TOFRANIL-PM CAP 125MG 07/01/2007 12/31/2029 NO YES TOFRANIL-PM CAP 150MG 07/01/2007 12/31/2029 NO YES TOFRANIL-PM CAP 75MG 07/01/2007 12/31/2029 NO YES Isocarboxazid MARPLAN TAB 10MG 07/01/2007 12/31/2029 NO YES Levomilnacipran HCl FETZIMA CAP 120MG 07/01/2007 12/31/2029 NO YES FETZIMA CAP 20MG 07/01/2007 12/31/2029 NO YES FETZIMA CAP 40MG 07/01/2007 12/31/2029 NO YES FETZIMA CAP 80MG 07/01/2007 12/31/2029 NO YES FETZIMA CAP TITRATIO 07/01/2007 12/31/2029 NO YES Maprotiline HCl LUDIOMIL TAB 25MG 07/01/2007 12/31/2029 NO YES LUDIOMIL TAB 50MG 07/01/2007 12/31/2029 NO YES LUDIOMIL TAB 75MG 07/01/2007 12/31/2029 NO YES MAPROTILINE TAB 25MG 07/01/2007 12/31/2029 NO NO MAPROTILINE TAB 50MG 07/01/2007 12/31/2029 NO YES MAPROTILINE TAB 75MG 07/01/2007 12/31/2029 NO YES Mirtazapine MIRTAZAPINE TAB 15MG 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 15MG ODT 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 30MG 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 30MG ODT 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 45MG 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 45MG ODT 07/01/2007 12/31/2029 NO NO MIRTAZAPINE TAB 7.5MG 07/01/2007 12/31/2029 NO NO REMERON TAB 15MG 07/01/2007 12/31/2029 NO YES REMERON TAB 30MG 07/01/2007 12/31/2029 NO YES REMERON TAB 45MG 07/01/2007 12/31/2029 NO YES REMERON SLTB TAB 15MG 07/01/2007 12/31/2029 NO YES REMERON SLTB TAB 30MG 07/01/2007 12/31/2029 NO YES REMERON SLTB TAB 45MG 07/01/2007 12/31/2029 NO YES Nefazodone HCl NEFAZODONE TAB 100MG 07/01/2007 12/31/2029 NO NO NEFAZODONE TAB 150MG 07/01/2007 12/31/2029 NO NO NEFAZODONE TAB 200MG 07/01/2007 12/31/2029 NO YES NEFAZODONE TAB 250MG 07/01/2007 12/31/2029 NO NO NEFAZODONE TAB 50MG 07/01/2007 12/31/2029 NO YES SERZONE TAB 100MG 07/01/2007 12/31/2029 NO YES SERZONE TAB 150MG 07/01/2007 12/31/2029 NO YES SERZONE TAB 200MG 07/01/2007 12/31/2029 NO YES SERZONE TAB 250MG 07/01/2007 12/31/2029 NO YES SERZONE TAB 50MG 07/01/2007 12/31/2029 NO YES Nortriptyline HCl AVENTYL CAP 10MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Nortriptyline HCl AVENTYL CAP 25MG 07/01/2007 12/31/2029 NO YES AVENTYL SOL 10MG/5ML 07/01/2007 12/31/2029 NO YES NORTRIPTYLIN CAP 10MG 07/01/2007 12/31/2029 NO NO NORTRIPTYLIN CAP 25MG 07/01/2007 12/31/2029 NO NO NORTRIPTYLIN CAP 50MG 07/01/2007 12/31/2029 NO NO NORTRIPTYLIN CAP 75MG 07/01/2007 12/31/2029 NO NO NORTRIPTYLIN POW 07/01/2007 12/31/2029 NO YES NORTRIPTYLIN POW HCL 07/01/2007 12/31/2029 NO YES NORTRIPTYLIN SOL 10MG/5ML 07/01/2007 12/31/2029 NO YES PAMELOR CAP 10MG 07/01/2007 12/31/2029 NO YES PAMELOR CAP 25MG 07/01/2007 12/31/2029 NO YES PAMELOR CAP 50MG 07/01/2007 12/31/2029 NO YES PAMELOR CAP 75MG 07/01/2007 12/31/2029 NO YES PAMELOR SOL 10MG/5ML 07/01/2007 12/31/2029 NO YES Paroxetine HCl PAROXETIN ER TAB 12.5MG 07/01/2007 12/31/2029 NO NO PAROXETIN ER TAB 37.5MG 07/01/2007 12/31/2029 NO NO PAROXETINE SUS 10MG/5ML 07/01/2007 12/31/2029 NO NO PAROXETINE TAB 10MG 07/01/2007 12/31/2029 NO NO PAROXETINE TAB 20MG 07/01/2007 12/31/2029 NO NO PAROXETINE TAB 25MG ER 07/01/2007 12/31/2029 NO NO PAROXETINE TAB 30MG 07/01/2007 12/31/2029 NO NO PAROXETINE TAB 40MG 07/01/2007 12/31/2029 NO NO PAXIL SUS 10MG/5ML 07/01/2007 12/31/2029 NO YES PAXIL TAB 10MG 07/01/2007 12/31/2029 NO YES PAXIL TAB 20MG 07/01/2007 12/31/2029 NO YES PAXIL TAB 30MG 07/01/2007 12/31/2029 NO YES PAXIL TAB 40MG 07/01/2007 12/31/2029 NO YES PAXIL CR TAB 12.5MG 07/01/2007 12/31/2029 NO YES PAXIL CR TAB 25MG 07/01/2007 12/31/2029 NO YES PAXIL CR TAB 37.5MG 07/01/2007 12/31/2029 NO YES Paroxetine Mesylate PEXEVA TAB 10MG 07/01/2007 12/31/2029 NO YES PEXEVA TAB 20MG 07/01/2007 12/31/2029 NO YES PEXEVA TAB 30MG 07/01/2007 12/31/2029 NO YES PEXEVA TAB 40MG 07/01/2007 12/31/2029 NO YES Phenelzine Sulfate NARDIL TAB 15MG 07/01/2007 12/31/2029 NO YES PHENELZINE TAB 15MG 07/01/2007 12/31/2029 NO NO Protriptyline HCl PROTRIPTYLIN TAB 10MG 07/01/2007 12/31/2029 NO NO PROTRIPTYLIN TAB 5MG 07/01/2007 12/31/2029 NO NO VIVACTIL TAB 10MG 07/01/2007 12/31/2029 NO YES VIVACTIL TAB 5MG 07/01/2007 12/31/2029 NO YES Selegiline EMSAM DIS 12MG/24H 07/01/2007 12/31/2029 NO YES EMSAM DIS 6MG/24HR 07/01/2007 12/31/2029 NO YES EMSAM DIS 9MG/24HR 07/01/2007 12/31/2029 NO YES Sertraline HCl SERTRALINE CON 20MG/ML 07/01/2007 12/31/2029 NO NO SERTRALINE TAB 100MG 07/01/2007 12/31/2029 NO NO SERTRALINE TAB 25MG 07/01/2007 12/31/2029 NO NO SERTRALINE TAB 50MG 07/01/2007 12/31/2029 NO YES ZOLOFT CON 20MG/ML 07/01/2007 12/31/2029 NO YES ZOLOFT TAB 100MG 07/01/2007 12/31/2029 NO YES ZOLOFT TAB 25MG 07/01/2007 12/31/2029 NO YES ZOLOFT TAB 50MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Tranylcypromine Sulfate PARNATE TAB 10MG 07/01/2007 12/31/2029 NO YES TRANYLCYPROM TAB 10MG 07/01/2007 12/31/2029 NO NO Trazodone HCl DESYREL TAB 100MG 07/01/2007 12/31/2029 NO YES DESYREL TAB 150MG 07/01/2007 12/31/2029 NO YES DESYREL TAB 300MG 07/01/2007 12/31/2029 NO YES DESYREL TAB 50MG 07/01/2007 12/31/2029 NO YES OLEPTRO TAB 24HR150 07/01/2007 12/31/2029 NO YES OLEPTRO TAB 24HR300 07/01/2007 12/31/2029 NO YES TRAZODONE POW 07/01/2007 12/31/2029 NO YES TRAZODONE TAB 100MG 07/01/2007 12/31/2029 NO NO TRAZODONE TAB 150MG 07/01/2007 12/31/2029 NO NO TRAZODONE TAB 300MG 07/01/2007 12/31/2029 NO NO TRAZODONE TAB 50MG 07/01/2007 12/31/2029 NO NO TRIALODINE TAB 100MG 07/01/2007 12/31/2029 NO NO TRIALODINE TAB 50MG 07/01/2007 12/31/2029 NO NO Trazodone HCl-Dietary Management Product TRAZAMINE PAK 07/01/2007 12/31/2029 NO YES TRAZAMINE PAK 50MG 07/01/2007 12/31/2029 NO YES Trimipramine Maleate SURMONTIL CAP 100MG 07/01/2007 12/31/2029 NO YES SURMONTIL CAP 25MG 07/01/2007 12/31/2029 NO YES SURMONTIL CAP 50MG 07/01/2007 12/31/2029 NO YES TRIMIPRAMINE CAP 100MG 07/01/2007 12/31/2029 NO NO TRIMIPRAMINE CAP 25MG 07/01/2007 12/31/2029 NO NO TRIMIPRAMINE CAP 50MG 07/01/2007 12/31/2029 NO NO TRIMIPRAMINE POW MALEATE 07/01/2007 12/31/2029 NO YES Venlafaxine HCl EFFEXOR TAB 100MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 25MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 37.5MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 50MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 75MG 07/01/2007 12/31/2029 NO YES EFFEXOR XR CAP 150MG 07/01/2007 12/31/2029 NO YES EFFEXOR XR CAP 37.5MG 07/01/2007 12/31/2029 NO YES EFFEXOR XR CAP 75MG 07/01/2007 12/31/2029 NO YES VENLAFAXINE CAP 150MG ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE CAP 37.5 ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE CAP 37.5MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE CAP 75MG ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 100MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 150MG ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 225MG ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 25MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 37.5 ER 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 37.5MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 50MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 75MG 07/01/2007 12/31/2029 NO NO VENLAFAXINE TAB 75MG ER 07/01/2007 12/31/2029 NO NO Vilazodone HCl VIIBRYD KIT 07/01/2007 12/31/2029 NO YES VIIBRYD KIT STARTER 07/01/2007 12/31/2029 NO YES VIIBRYD TAB 10MG 07/01/2007 12/31/2029 NO YES VIIBRYD TAB 20MG 07/01/2007 12/31/2029 NO YES VIIBRYD TAB 40MG 07/01/2007 12/31/2029 NO YES Viloxazine HCl EFFEXOR TAB 25MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDEPRESSANTS* Viloxazine HCl EFFEXOR TAB 37.5MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 50MG 07/01/2007 12/31/2029 NO YES EFFEXOR TAB 75MG 07/01/2007 12/31/2029 NO YES EFFEXOR XR CAP 37.5MG 07/01/2007 12/31/2029 NO YES Vortioxetine HBr BRINTELLIX TAB 10MG 07/01/2007 12/31/2029 NO YES BRINTELLIX TAB 20MG 07/01/2007 12/31/2029 NO YES BRINTELLIX TAB 5MG 07/01/2007 12/31/2029 NO YES TRINTELLIX TAB 10MG 07/01/2007 12/31/2029 NO YES TRINTELLIX TAB 20MG 07/01/2007 12/31/2029 NO YES TRINTELLIX TAB 5MG 07/01/2007 12/31/2029 NO YES *ANTIDIABETICS* Acarbose ACARBOSE TAB 100MG 07/01/2007 12/31/2029 NO NO ACARBOSE TAB 25MG 07/01/2007 12/31/2029 NO NO ACARBOSE TAB 50MG 07/01/2007 12/31/2029 NO NO PRECOSE TAB 100MG 07/01/2007 12/31/2029 NO YES PRECOSE TAB 25MG 07/01/2007 12/31/2029 NO YES PRECOSE TAB 50MG 07/01/2007 12/31/2029 NO YES Acetohexamide ACETOHEXAMID TAB 250MG 07/01/2007 12/31/2029 NO NO ACETOHEXAMID TAB 500MG 07/01/2007 12/31/2029 NO NO DYMELOR TAB 250MG 07/01/2007 12/31/2029 NO YES DYMELOR TAB 500MG 07/01/2007 12/31/2029 NO YES Albiglutide TANZEUM INJ 30MG 07/01/2007 12/31/2029 NO YES TANZEUM INJ 50MG 07/01/2007 12/31/2029 NO YES Alogliptin Benzoate ALOGLIPTIN TAB 12.5MG 07/01/2007 12/31/2029 NO YES ALOGLIPTIN TAB 25MG 07/01/2007 12/31/2029 NO YES ALOGLIPTIN TAB 6.25MG 07/01/2007 12/31/2029 NO YES NESINA TAB 12.5MG 07/01/2007 12/31/2029 NO YES NESINA TAB 25MG 07/01/2007 12/31/2029 NO YES NESINA TAB 6.25MG 07/01/2007 12/31/2029 NO YES Alogliptin-Metformin HCl ALOGLIPTIN/ TAB METFORM 07/01/2007 12/31/2029 NO YES KAZANO 12.5- TAB 1000MG 07/01/2007 12/31/2029 NO YES KAZANO 12.5- TAB 500MG 07/01/2007 12/31/2029 NO YES Alogliptin-Pioglitazone ALOG/PIOGLIT TAB 12.5-15 07/01/2007 12/31/2029 NO YES ALOG/PIOGLIT TAB 12.5-30 07/01/2007 12/31/2029 NO YES ALOG/PIOGLIT TAB 12.5-45 07/01/2007 12/31/2029 NO YES ALOG/PIOGLIT TAB 25-15MG 07/01/2007 12/31/2029 NO YES ALOG/PIOGLIT TAB 25-30MG 07/01/2007 12/31/2029 NO YES ALOG/PIOGLIT TAB 25-45MG 07/01/2007 12/31/2029 NO YES OSENI TAB 12.5-15 07/01/2007 12/31/2029 NO YES OSENI TAB 12.5-30 07/01/2007 12/31/2029 NO YES OSENI TAB 12.5-45 07/01/2007 12/31/2029 NO YES OSENI TAB 25-15MG 07/01/2007 12/31/2029 NO YES OSENI TAB 25-30MG 07/01/2007 12/31/2029 NO YES OSENI TAB 25-45MG 07/01/2007 12/31/2029 NO YES Bromocriptine Mesylate (Diabetes) CYCLOSET TAB 0.8MG 07/01/2007 12/31/2029 NO YES Canagliflozin INVOKANA TAB 100MG 07/01/2007 12/31/2029 NO YES INVOKANA TAB 300MG 07/01/2007 12/31/2029 NO YES Canagliflozin-Metformin HCl INVOKAMET TAB 150-1000 07/01/2007 12/31/2029 NO YES INVOKAMET TAB 150-500 07/01/2007 12/31/2029 NO YES INVOKAMET TAB 50-1000 07/01/2007 12/31/2029 NO YES INVOKAMET TAB 50-500MG 07/01/2007 12/31/2029 NO YES INVOKAMET XR TAB 150-1000 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Canagliflozin-Metformin HCl INVOKAMET XR TAB 150-500 07/01/2007 12/31/2029 NO YES INVOKAMET XR TAB 50-1000 07/01/2007 12/31/2029 NO YES INVOKAMET XR TAB 50-500MG 07/01/2007 12/31/2029 NO YES Chlorpropamide CHLORABETIC TAB 250MG 07/01/2007 12/31/2029 NO NO CHLORPROPAM TAB 100MG 07/01/2007 12/31/2029 NO NO CHLORPROPAM TAB 250MG 07/01/2007 12/31/2029 NO YES DIABINESE TAB 100MG 07/01/2007 12/31/2029 NO YES DIABINESE TAB 250MG 07/01/2007 12/31/2029 NO YES INSULASE TAB 250MG 07/01/2007 12/31/2029 NO NO Dapagliflozin Propanediol FARXIGA TAB 10MG 07/01/2007 12/31/2029 NO YES FARXIGA TAB 5MG 07/01/2007 12/31/2029 NO YES Dapagliflozin-Metformin HCl XIGDUO XR TAB 10-1000 07/01/2007 12/31/2029 NO YES XIGDUO XR TAB 10-500MG 07/01/2007 12/31/2029 NO YES XIGDUO XR TAB 5-1000MG 07/01/2007 12/31/2029 NO YES XIGDUO XR TAB 5-500MG 07/01/2007 12/31/2029 NO YES Dextrose (Diabetic Use) BD GLUCOSE CHW 5GM 07/01/2007 12/31/2029 NO YES B-D GLUCOSE CHW 07/01/2007 12/31/2029 NO YES B-D GLUCOSE CHW 5GM 07/01/2007 12/31/2029 NO YES BL GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW TROPICAL 07/01/2007 12/31/2029 NO YES CVS GLUCOSE GEL 40% 07/01/2007 12/31/2029 NO NO DD GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES DD GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES DE GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES DE GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES DE GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES DEX4 CHW 1GM 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE CHW QK DISLV 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE GEL 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE GEL 40% 07/01/2007 12/31/2029 NO NO DEX4 GLUCOSE LIQ 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE LIQ 15GM 07/01/2007 12/31/2029 NO YES DEXTROSE TAB 500MG 07/01/2007 12/31/2029 NO NO DEXTROTAB TAB 500MG 07/01/2007 12/31/2029 NO YES DR GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES ECK GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES ECK GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES FC GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES FC GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES FP GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES GE GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GE GLUCOSE CHW LEMON 07/01/2007 12/31/2029 NO YES GE GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GE GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES GLUCO BURST GEL 40% 07/01/2007 12/31/2029 NO NO GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES GLUCOSE CHW 5GM 07/01/2007 12/31/2029 NO NO GLUCOSE CHW 5GM ORNG 07/01/2007 12/31/2029 NO NO GLUCOSE CHW 5GM RASP 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Dextrose (Diabetic Use) GLUCOSE CHW BLK CHRY 07/01/2007 12/31/2029 NO YES GLUCOSE CHW FRT PUNC 07/01/2007 12/31/2029 NO YES GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GLUCOSE CHW LEMON 07/01/2007 12/31/2029 NO YES GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES GLUCOSE CHW TROPICAL 07/01/2007 12/31/2029 NO YES GLUCOSE CHW WATERMLN 07/01/2007 12/31/2029 NO YES GLUCOSE GEL 40% 07/01/2007 12/31/2029 NO NO GLUCOSE LIQ 15/59ML 07/01/2007 12/31/2029 NO NO GLUCOSE BITS CHW 1GM 07/01/2007 12/31/2029 NO YES GLUCOSE DRNK LIQ 15/59ML 07/01/2007 12/31/2029 NO NO GLUCOSE SHOT LIQ 15/59ML 07/01/2007 12/31/2029 NO NO GLUCOSE SHOT LIQ 15GM 07/01/2007 12/31/2029 NO NO GLUTOSE CHW 5GM 07/01/2007 12/31/2029 NO NO GLUTOSE GEL 40% 07/01/2007 12/31/2029 NO NO GLUTOSE 15 GEL 40% 07/01/2007 12/31/2029 NO NO GLUTOSE 45 GEL 40% 07/01/2007 12/31/2029 NO NO GNP GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW RASPBERR 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES GNP GLUCOSE GEL 40% 07/01/2007 12/31/2029 NO NO HCA GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES INSTA-GLUCOS GEL 40% 07/01/2007 12/31/2029 NO NO INSTA-GLUCOS GEL 77.4% 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES MONO INSULIN GEL REAC 40% 07/01/2007 12/31/2029 NO NO MONOJEL GEL 40% 07/01/2007 12/31/2029 NO NO QUICK DISSOL CHW GLUCOSE 07/01/2007 12/31/2029 NO YES RA GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES RA GLUCOSE GEL 07/01/2007 12/31/2029 NO NO SM GLUCOSE CHW SOUR APP 07/01/2007 12/31/2029 NO YES SOBA GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES SOBA GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES SOBA GLUCOSE CHW WATERMLN 07/01/2007 12/31/2029 NO YES TRUEPLS GLUC GEL 15/32ML 07/01/2007 12/31/2029 NO YES WD GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES WD GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES Diazoxide PROGLYCEM CAP 50MG 07/01/2007 12/31/2029 NO YES PROGLYCEM SUS 50MG/ML 07/01/2007 12/31/2029 NO YES Dulaglutide TRULICITY INJ 0.75/0.5 07/01/2007 12/31/2029 NO YES TRULICITY INJ 1.5/0.5 07/01/2007 12/31/2029 NO YES Empagliflozin JARDIANCE TAB 10MG 07/01/2007 12/31/2029 NO YES JARDIANCE TAB 25MG 07/01/2007 12/31/2029 NO YES Empagliflozin-Linagliptin GLYXAMBI TAB 10-5 MG 07/01/2007 12/31/2029 NO YES GLYXAMBI TAB 25-5 MG 07/01/2007 12/31/2029 NO YES Empagliflozin-Metformin HCl SYNJARDY TAB 07/01/2007 12/31/2029 NO YES SYNJARDY TAB 12.5-500 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Empagliflozin-Metformin HCl SYNJARDY TAB 5-1000MG 07/01/2007 12/31/2029 NO YES SYNJARDY TAB 5-500MG 07/01/2007 12/31/2029 NO YES SYNJARDY XR TAB 07/01/2007 12/31/2029 NO YES SYNJARDY XR TAB 10-1000 07/01/2007 12/31/2029 NO YES SYNJARDY XR TAB 25-1000 07/01/2007 12/31/2029 NO YES SYNJARDY XR TAB 5-1000MG 07/01/2007 12/31/2029 NO YES Exenatide BYDUREON INJ 07/01/2007 12/31/2029 NO YES BYDUREON INJ 2MG 07/01/2007 12/31/2029 NO YES BYDUREON PEN INJ 2MG 07/01/2007 12/31/2029 NO YES BYETTA INJ 10MCG 07/01/2007 12/31/2029 NO YES BYETTA INJ 5MCG 07/01/2007 12/31/2029 NO YES Glimepiride AMARYL TAB 1MG 07/01/2007 12/31/2029 NO YES AMARYL TAB 2MG 07/01/2007 12/31/2029 NO YES AMARYL TAB 4MG 07/01/2007 12/31/2029 NO YES GLIMEPIRIDE TAB 1MG 07/01/2007 12/31/2029 NO NO GLIMEPIRIDE TAB 2MG 07/01/2007 12/31/2029 NO NO GLIMEPIRIDE TAB 4MG 07/01/2007 12/31/2029 NO NO Glipizide GLIPIZIDE POW 07/01/2007 12/31/2029 NO YES GLIPIZIDE TAB 10MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE TAB 5MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE ER TAB 10MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE ER TAB 2.5MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE ER TAB 5MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE XL TAB 10MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE XL TAB 2.5MG 07/01/2007 12/31/2029 NO NO GLIPIZIDE XL TAB 5MG 07/01/2007 12/31/2029 NO NO GLUCOTROL TAB 10MG 07/01/2007 12/31/2029 NO YES GLUCOTROL TAB 5MG 07/01/2007 12/31/2029 NO YES GLUCOTROL XL TAB 10MG 07/01/2007 12/31/2029 NO YES GLUCOTROL XL TAB 2.5MG 07/01/2007 12/31/2029 NO YES GLUCOTROL XL TAB 5MG 07/01/2007 12/31/2029 NO YES Glipizide-Metformin HCl GLIP/METFORM TAB 2.5-250M 07/01/2007 12/31/2029 NO NO GLIP/METFORM TAB 2.5-500M 07/01/2007 12/31/2029 NO NO GLIP/METFORM TAB 5-500MG 07/01/2007 12/31/2029 NO NO METAGLIP TAB 2.5-250M 07/01/2007 12/31/2029 NO YES METAGLIP TAB 2.5-500M 07/01/2007 12/31/2029 NO YES METAGLIP TAB 5-500MG 07/01/2007 12/31/2029 NO YES Glucagon GLUCAGON INJ 10MG 07/01/2007 12/31/2029 NO YES GLUCAGON INJ 1MG 07/01/2007 12/31/2029 NO NO GLUCAGON KIT 1MG 07/01/2007 12/31/2029 NO YES Glucagon (rDNA) GLUCAGON KIT 1MG 07/01/2007 12/31/2029 NO YES Glucagon HCl (rDNA) GLUCAGEN INJ HYPOKIT 07/01/2007 12/31/2029 NO YES Glucose-Vitamin C CVS GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW FRUIT 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW SOUR APL 07/01/2007 12/31/2029 NO YES CVS GLUCOSE CHW TROP BLS 07/01/2007 12/31/2029 NO YES DEX4 CHW FRUIT 07/01/2007 12/31/2029 NO YES DEX4 CHW GRAPE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Glucose-Vitamin C DEX4 CHW ORANGE 07/01/2007 12/31/2029 NO YES DEX4 CHW RASPBERR 07/01/2007 12/31/2029 NO YES DEX4 CHW RASPBERY 07/01/2007 12/31/2029 NO YES DEX4 CHW SOUR APL 07/01/2007 12/31/2029 NO YES DEX4 CHW TROP FRT 07/01/2007 12/31/2029 NO YES DEX4 CHW WATERMLN 07/01/2007 12/31/2029 NO YES DEX4 CHW WLD BERY 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE CHW 07/01/2007 12/31/2029 NO YES DEX4 GLUCOSE CHW /VIT C 07/01/2007 12/31/2029 NO YES DEX4 NATURAL CHW ORANGE 07/01/2007 12/31/2029 NO YES DEX4 POUCH CHW PACK 07/01/2007 12/31/2029 NO YES EQUATE GLUCO CHW /VIT C 07/01/2007 12/31/2029 NO YES GLUCOSE CHW 4-.006GM 07/01/2007 12/31/2029 NO YES GLUCOSE CHW 4-0.006 07/01/2007 12/31/2029 NO YES GLUCOSE CHW 4GM 07/01/2007 12/31/2029 NO YES GLUCOSE CHW FRT PNCH 07/01/2007 12/31/2029 NO YES GLUCOSE CHW FRUIT 07/01/2007 12/31/2029 NO YES GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES GLUCOSE CHW RASPBRRY 07/01/2007 12/31/2029 NO YES GLUCOSE CHW TROP FRT 07/01/2007 12/31/2029 NO YES GLUCOSE CHW WATERMLN 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES GNP GLUCOSE CHW WATERMLN 07/01/2007 12/31/2029 NO YES GOODSENSE CHW GRAPE 07/01/2007 12/31/2029 NO YES GOODSENSE CHW ORANGE 07/01/2007 12/31/2029 NO YES GOODSENSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES HM GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES HM GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW TROP FRT 07/01/2007 12/31/2029 NO YES KROG GLUCOSE CHW WATERMLN 07/01/2007 12/31/2029 NO YES PX GLUCOSE CHW FRUIT 07/01/2007 12/31/2029 NO YES PX GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES PX GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES PX GLUCOSE CHW SOUR APL 07/01/2007 12/31/2029 NO YES PX GLUCOSE CHW TROP FRU 07/01/2007 12/31/2029 NO YES RA GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES RA GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES RA GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES RA GLUCOSE CHW TROP FRT 07/01/2007 12/31/2029 NO YES SM GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES SM GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES SMART SENSE CHW 4GM 07/01/2007 12/31/2029 NO YES SMART SENSE CHW GLUCOSE 07/01/2007 12/31/2029 NO YES TGT GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Glucose-Vitamin C TGT GLUCOSE CHW ORANGE 07/01/2007 12/31/2029 NO YES TGT GLUCOSE CHW RASPBERY 07/01/2007 12/31/2029 NO YES TGT GLUCOSE CHW TROP FRT 07/01/2007 12/31/2029 NO YES UP&UP CHW GRAPE 07/01/2007 12/31/2029 NO YES UP&UP CHW ORANGE 07/01/2007 12/31/2029 NO YES UP&UP CHW RASPBERY 07/01/2007 12/31/2029 NO YES VP GLUCOSE CHW FRUIT 07/01/2007 12/31/2029 NO YES VP GLUCOSE CHW GRAPE 07/01/2007 12/31/2029 NO YES Glyburide DIABETA TAB 1.25MG 07/01/2007 12/31/2029 NO YES DIABETA TAB 2.5MG 07/01/2007 12/31/2029 NO YES DIABETA TAB 5MG 07/01/2007 12/31/2029 NO YES GLIBENCLAMID POW BP 07/01/2007 12/31/2029 NO YES GLYBURIDE POW 07/01/2007 12/31/2029 NO YES GLYBURIDE POW USP/NF 07/01/2007 12/31/2029 NO YES GLYBURIDE TAB 1.25MG 07/01/2007 12/31/2029 NO NO GLYBURIDE TAB 2.5MG 07/01/2007 12/31/2029 NO YES GLYBURIDE TAB 5MG 07/01/2007 12/31/2029 NO YES MICRONASE TAB 1.25MG 07/01/2007 12/31/2029 NO YES MICRONASE TAB 2.5MG 07/01/2007 12/31/2029 NO YES MICRONASE TAB 5MG 07/01/2007 12/31/2029 NO YES Glyburide Micronized GLYBURID MCR TAB 1.5MG 07/01/2007 12/31/2029 NO NO GLYBURID MCR TAB 3MG 07/01/2007 12/31/2029 NO NO GLYBURID MCR TAB 6MG 07/01/2007 12/31/2029 NO NO GLYCRON TAB 1.5MG 07/01/2007 12/31/2029 NO NO GLYCRON TAB 3MG 07/01/2007 12/31/2029 NO NO GLYCRON TAB 4.5MG 07/01/2007 12/31/2029 NO YES GLYCRON TAB 6MG 07/01/2007 12/31/2029 NO NO GLYNASE TAB 1.5MG 07/01/2007 12/31/2029 NO YES GLYNASE TAB 3MG 07/01/2007 12/31/2029 NO YES GLYNASE TAB 6MG 07/01/2007 12/31/2029 NO YES Glyburide-Metformin GLUCOVANCE TAB 1.25-250 07/01/2007 12/31/2029 NO YES GLUCOVANCE TAB 2.5-500 07/01/2007 12/31/2029 NO YES GLUCOVANCE TAB 5-500MG 07/01/2007 12/31/2029 NO YES GLYB/METFORM TAB 1.25-250 07/01/2007 12/31/2029 NO NO GLYB/METFORM TAB 2.5-500 07/01/2007 12/31/2029 NO NO GLYB/METFORM TAB 5-500MG 07/01/2007 12/31/2029 NO NO Insulin Aspart NOVOLOG INJ 100/ML 07/01/2007 12/31/2029 NO YES NOVOLOG INJ FLEXPEN 07/01/2007 12/31/2029 NO YES NOVOLOG INJ PENFILL 07/01/2007 12/31/2029 NO YES Insulin Aspart Protamine & Aspart (Human) NOVOLOG MIX INJ 70/30 07/01/2007 12/31/2029 NO YES NOVOLOG MIX INJ FLEXPEN 07/01/2007 12/31/2029 NO YES NOVOLOG MIX INJ PENFILL 07/01/2007 12/31/2029 NO YES Insulin Degludec TRESIBA FLEX INJ 100UNIT 07/01/2007 12/31/2029 NO YES TRESIBA FLEX INJ 200UNIT 07/01/2007 12/31/2029 NO YES Insulin Degludec-Liraglutide XULTOPHY INJ 100/3.6 07/01/2007 12/31/2029 NO YES Insulin Detemir LEVEMIR INJ 07/01/2007 12/31/2029 NO YES LEVEMIR INJ FLEXPEN 07/01/2007 12/31/2029 NO YES LEVEMIR INJ FLEXTOUC 07/01/2007 12/31/2029 NO YES Insulin Glargine BASAGLAR INJ 100UNIT 07/01/2007 12/31/2029 NO YES LANTUS INJ 100/ML 07/01/2007 12/31/2029 NO YES LANTUS INJ SOLOSTAR 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Insulin Glargine LANTUS FOR INJ OPTICLIK 07/01/2007 12/31/2029 NO YES TOUJEO SOLO INJ 300IU/ML 07/01/2007 12/31/2029 NO YES Insulin Glargine-Lixisenatide SOLIQUA INJ 100/33 07/01/2007 12/31/2029 NO YES Insulin Glulisine APIDRA INJ 07/01/2007 12/31/2029 NO YES APIDRA INJ SOLOSTAR 07/01/2007 12/31/2029 NO YES APIDRA INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Isophane ILETIN I NPH INJ U-100 07/01/2007 12/31/2029 NO YES ILETIN I NPH INJ U-40 07/01/2007 12/31/2029 NO YES Insulin Isophane (Beef) ILETIN II INJ NPH BEEF 07/01/2007 12/31/2029 NO YES INSULIN NPH INJ U100BEEF 07/01/2007 12/31/2029 NO YES Insulin Isophane (Pork) ILETIN II INJ NPH PORK 07/01/2007 12/31/2029 NO YES INSULIN NPH INJ U100PORK 07/01/2007 12/31/2029 NO YES Insulin Lispro HUMALOG INJ 100/ML 07/01/2007 12/31/2029 NO YES HUMALOG KWIK INJ 100/ML 07/01/2007 12/31/2029 NO YES HUMALOG KWIK INJ 200/ML 07/01/2007 12/31/2029 NO YES HUMALOG PEN INJ 100/ML 07/01/2007 12/31/2029 NO YES Insulin Lispro Protamine & Lispro HUMALOG MIX INJ 50/50 07/01/2007 12/31/2029 NO YES HUMALOG MIX INJ 50/50KWP 07/01/2007 12/31/2029 NO YES HUMALOG MIX INJ 75/25KWP 07/01/2007 12/31/2029 NO YES HUMALOG MIX SUS 75/25 07/01/2007 12/31/2029 NO YES HUMALOG PEN INJ 50/50 07/01/2007 12/31/2029 NO YES HUMALOG PEN INJ 75/25 07/01/2007 12/31/2029 NO YES Insulin NPH (Human) (Isophane) HUMULIN N INJ U-100 07/01/2007 12/31/2029 NO YES HUMULIN N INJ U-100KWP 07/01/2007 12/31/2029 NO YES HUMULIN N PN INJ U-100 07/01/2007 12/31/2029 NO YES INSULAT NPH INJ U-100 07/01/2007 12/31/2029 NO YES NOVOLIN N INJ INNOLET 07/01/2007 12/31/2029 NO YES NOVOLIN N INJ PENFILL 07/01/2007 12/31/2029 NO YES NOVOLIN N INJ RELION 07/01/2007 12/31/2029 NO YES NOVOLIN N INJ U-100 07/01/2007 12/31/2029 NO YES RELION N INJ 100/ML 07/01/2007 12/31/2029 NO YES RELION N INJ 100U/ML 07/01/2007 12/31/2029 NO YES RELION N INJ INNOLET 07/01/2007 12/31/2029 NO YES RELION N INJ U-100 07/01/2007 12/31/2029 NO YES Insulin NPH Isophane & Reg (Human) HUMULIN INJ 50/50 07/01/2007 12/31/2029 NO YES HUMULIN INJ 70/30 07/01/2007 12/31/2029 NO YES HUMULIN INJ 70/30KWP 07/01/2007 12/31/2029 NO YES HUMULIN PEN INJ 70/30 07/01/2007 12/31/2029 NO YES MIXTARD INJ 70/30 07/01/2007 12/31/2029 NO YES MIXTARD HUM INJ 70/30 07/01/2007 12/31/2029 NO YES NOVOLIN INJ 70/30 07/01/2007 12/31/2029 NO YES NOVOLIN 70/ INJ 30 INNLT 07/01/2007 12/31/2029 NO YES NOVOLIN 70/ INJ 30 PNFIL 07/01/2007 12/31/2029 NO YES NOVOLIN70/30 INJ RELION 07/01/2007 12/31/2029 NO YES RELION 70/30 INJ 100/ML 07/01/2007 12/31/2029 NO YES RELION 70/30 INJ 100U/ML 07/01/2007 12/31/2029 NO YES RELION 70/30 INJ 70/30 07/01/2007 12/31/2029 NO YES RELION 70/30 INJ INNOLET 07/01/2007 12/31/2029 NO YES Insulin Protamine Zinc ILETIN I PZI INJ U-100 07/01/2007 12/31/2029 NO YES ILETIN I PZI INJ U-40 07/01/2007 12/31/2029 NO YES Insulin Protamine Zinc (Beef) ILETIN II PZ INJ U100BEEF 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Insulin Protamine Zinc (Pork) ILETIN II PZ INJ U100PORK 07/01/2007 12/31/2029 NO YES Insulin Reg & Isophane (Pork) MIXTARD INJ 70/30PRK 07/01/2007 12/31/2029 NO YES Insulin Reg (Human) Buffered HUMULIN BR INJ U-100 07/01/2007 12/31/2029 NO YES VELOSULIN BR INJ 100/ML 07/01/2007 12/31/2029 NO YES VELOSULIN BR INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Regular ILETIN I INJ U-40 07/01/2007 12/31/2029 NO YES ILETIN I REG INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Regular (Beef) ILETIN II INJ REG BEEF 07/01/2007 12/31/2029 NO YES Insulin Regular (Human) AFREZZA POW 12 UNIT 07/01/2007 12/31/2029 NO YES AFREZZA POW 4&8 UNIT 07/01/2007 12/31/2029 NO YES AFREZZA POW 4/8/12UN 07/01/2007 12/31/2029 NO YES AFREZZA POW 4UNIT 07/01/2007 12/31/2029 NO YES AFREZZA POW 8 UNIT 07/01/2007 12/31/2029 NO YES AFREZZA POW 8&12UNIT 07/01/2007 12/31/2029 NO YES EXUBERA POW KIT 07/01/2007 12/31/2029 NO YES EXUBERA COMB POW PACK 12 07/01/2007 12/31/2029 NO YES EXUBERA COMB POW PACK 15 07/01/2007 12/31/2029 NO YES EXUBERA PTPK POW 1MG 07/01/2007 12/31/2029 NO YES EXUBERA PTPK POW 3MG 07/01/2007 12/31/2029 NO YES HUMULIN R INJ U-100 07/01/2007 12/31/2029 NO YES HUMULIN R INJ U-500 07/01/2007 12/31/2029 NO YES NOVOLIN R INJ INNOLET 07/01/2007 12/31/2029 NO YES NOVOLIN R INJ PENFILL 07/01/2007 12/31/2029 NO YES NOVOLIN R INJ RELION 07/01/2007 12/31/2029 NO YES NOVOLIN R INJ U-100 07/01/2007 12/31/2029 NO YES RELION R INJ 100/ML 07/01/2007 12/31/2029 NO YES RELION R INJ 100U/ML 07/01/2007 12/31/2029 NO YES RELION R INJ U-100 07/01/2007 12/31/2029 NO YES VELOSULIN R INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Regular (Pork) ILETIN II RG INJ U100PORK 07/01/2007 12/31/2029 NO YES ILETIN II RG INJ U500PORK 07/01/2007 12/31/2029 NO YES INSULIN REG INJ U100PORK 07/01/2007 12/31/2029 NO YES Insulin Zinc ILETIN I LEN INJ U-100 07/01/2007 12/31/2029 NO YES ILETIN I LEN INJ U-40 07/01/2007 12/31/2029 NO YES Insulin Zinc (Beef) ILETIN II INJ LENTBEEF 07/01/2007 12/31/2029 NO YES INSULIN LENT INJ U100BEEF 07/01/2007 12/31/2029 NO YES Insulin Zinc (Human) HUMULIN L INJ U-100 07/01/2007 12/31/2029 NO YES NOVOLIN L INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Zinc (Pork) ILETIN II INJ LENTE PK 07/01/2007 12/31/2029 NO YES INSULIN LENT INJ U100PORK 07/01/2007 12/31/2029 NO YES Insulin Zinc Extended ILETIN I INJ ULTRALEN 07/01/2007 12/31/2029 NO YES ILETIN I ULT INJ U-40 07/01/2007 12/31/2029 NO YES Insulin Zinc Extended (Beef) IN ULTRALENT INJ U100BEEF 07/01/2007 12/31/2029 NO YES Insulin Zinc Extended (Human) HUMULIN U INJ U-100 07/01/2007 12/31/2029 NO YES Insulin Zinc Prompt ILETIN I INJ SEMILENT 07/01/2007 12/31/2029 NO YES ILETIN I SEM INJ U-40 07/01/2007 12/31/2029 NO YES Insulin Zinc Prompt (Beef) INSULIN SEMI INJ U100BEEF 07/01/2007 12/31/2029 NO YES Insulin Zinc Prompt (Pork) INSULIN SEMI INJ U100PORK 07/01/2007 12/31/2029 NO YES Linagliptin TRADJENTA TAB 5MG 07/01/2007 12/31/2029 NO YES Linagliptin-Metformin HCl JENTADUETO TAB 2.5-1000 07/01/2007 12/31/2029 NO YES JENTADUETO TAB 2.5-500 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Linagliptin-Metformin HCl JENTADUETO TAB 2.5-850 07/01/2007 12/31/2029 NO YES JENTADUETO TAB XR 07/01/2007 12/31/2029 NO YES Liraglutide VICTOZA INJ 18MG/3ML 07/01/2007 12/31/2029 NO YES Lixisenatide ADLYXIN INJ 10/20MCG 07/01/2007 12/31/2029 NO YES ADLYXIN INJ 20MCG 07/01/2007 12/31/2029 NO YES Metformin HCl FORTAMET TAB 1000MG 07/01/2007 12/31/2029 NO YES FORTAMET TAB 500MG 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB 1000MG 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB 500MG 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB 500MG XR 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB 750MG XR 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB 850MG 07/01/2007 12/31/2029 NO YES GLUCOPHAGE TAB XR 500MG 07/01/2007 12/31/2029 NO YES GLUMETZA TAB 1000MG 07/01/2007 12/31/2029 NO YES GLUMETZA TAB 500MG 07/01/2007 12/31/2029 NO YES METFORMIN TAB 1000 ER 07/01/2007 12/31/2029 NO NO METFORMIN TAB 1000MG 07/01/2007 12/31/2029 NO NO METFORMIN TAB 500MG 07/01/2007 12/31/2029 NO NO METFORMIN TAB 500MG ER 07/01/2007 12/31/2029 NO NO METFORMIN TAB 750MG ER 07/01/2007 12/31/2029 NO NO METFORMIN TAB 850MG 07/01/2007 12/31/2029 NO NO METFORMIN ER TAB 1000MG 07/01/2007 12/31/2029 NO NO RIOMET SOL 07/01/2007 12/31/2029 NO YES RIOMET SOL 500/5ML 07/01/2007 12/31/2029 NO YES Metformin HCl-Diagnostic Test D-CARE DM2 KIT 500MG 07/01/2007 12/31/2029 NO YES Metformin HCl-Dietary Management Product APPFORMIN PAK 07/01/2007 12/31/2029 NO YES APPFORMIN-D PAK 07/01/2007 12/31/2029 NO YES Mifepristone (Hyperglycemia) KORLYM TAB 300MG 07/01/2007 12/31/2029 NO YES Miglitol GLYSET TAB 100MG 07/01/2007 12/31/2029 NO YES GLYSET TAB 25MG 07/01/2007 12/31/2029 NO YES GLYSET TAB 50MG 07/01/2007 12/31/2029 NO YES MIGLITOL TAB 100MG 07/01/2007 12/31/2029 NO NO MIGLITOL TAB 25MG 07/01/2007 12/31/2029 NO NO MIGLITOL TAB 50MG 07/01/2007 12/31/2029 NO NO Nateglinide NATEGLINIDE TAB 120MG 07/01/2007 12/31/2029 NO NO NATEGLINIDE TAB 60MG 07/01/2007 12/31/2029 NO NO STARLIX TAB 120MG 07/01/2007 12/31/2029 NO YES STARLIX TAB 60MG 07/01/2007 12/31/2029 NO YES Pioglitazone HCl ACTOS TAB 15MG 07/01/2007 12/31/2029 NO YES ACTOS TAB 30MG 07/01/2007 12/31/2029 NO YES ACTOS TAB 45MG 07/01/2007 12/31/2029 NO YES PIOGLITAZONE TAB 15MG 07/01/2007 12/31/2029 NO NO PIOGLITAZONE TAB 30MG 07/01/2007 12/31/2029 NO NO PIOGLITAZONE TAB 45MG 07/01/2007 12/31/2029 NO NO Pioglitazone HCl-Glimepiride DUETACT TAB 30-2MG 07/01/2007 12/31/2029 NO YES DUETACT TAB 30-4MG 07/01/2007 12/31/2029 NO YES PIOGLIT/GLIM TAB 30-2MG 07/01/2007 12/31/2029 NO NO PIOGLIT/GLIM TAB 30-4MG 07/01/2007 12/31/2029 NO NO Pioglitazone HCl-Metformin HCl ACTOPLUS MET TAB 15-500MG 07/01/2007 12/31/2029 NO YES ACTOPLUS MET TAB 15-850MG 07/01/2007 12/31/2029 NO YES ACTOPLUS MET TAB XR 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Pioglitazone HCl-Metformin HCl PIOGLITA/MET TAB 15-500MG 07/01/2007 12/31/2029 NO NO PIOGLITA/MET TAB 15-850MG 07/01/2007 12/31/2029 NO NO Pramlintide Acetate SYMLIN INJ 600MCG 07/01/2007 12/31/2029 NO YES SYMLINPEN 60 INJ 1000MCG 07/01/2007 12/31/2029 NO YES SYMLNPEN 120 INJ 1000MCG 07/01/2007 12/31/2029 NO YES Repaglinide PRANDIN TAB 0.5MG 07/01/2007 12/31/2029 NO YES PRANDIN TAB 1MG 07/01/2007 12/31/2029 NO YES PRANDIN TAB 2MG 07/01/2007 12/31/2029 NO YES REPAGLINIDE TAB 0.5MG 07/01/2007 12/31/2029 NO NO REPAGLINIDE TAB 1MG 07/01/2007 12/31/2029 NO NO REPAGLINIDE TAB 2MG 07/01/2007 12/31/2029 NO NO Repaglinide-Metformin HCl PRANDIMET TAB 1-500MG 07/01/2007 12/31/2029 NO YES PRANDIMET TAB 2-500MG 07/01/2007 12/31/2029 NO YES REPAGLINIDE TAB 1-500MG 07/01/2007 12/31/2029 NO YES REPAGLINIDE TAB 2-500MG 07/01/2007 12/31/2029 NO YES Rosiglitazone Maleate AVANDIA TAB 2MG 07/01/2007 12/31/2029 NO YES AVANDIA TAB 4MG 07/01/2007 12/31/2029 NO YES AVANDIA TAB 8MG 07/01/2007 12/31/2029 NO YES Rosiglitazone Maleate-Glimepiride AVANDARYL TAB 4-1MG 07/01/2007 12/31/2029 NO YES AVANDARYL TAB 4-2MG 07/01/2007 12/31/2029 NO YES AVANDARYL TAB 4-4MG 07/01/2007 12/31/2029 NO YES AVANDARYL TAB 8-2MG 07/01/2007 12/31/2029 NO YES AVANDARYL TAB 8-4MG 07/01/2007 12/31/2029 NO YES Rosiglitazone Maleate-Metformin HCl AVANDAMET TAB 1-500MG 07/01/2007 12/31/2029 NO YES AVANDAMET TAB 2-1000MG 07/01/2007 12/31/2029 NO YES AVANDAMET TAB 2-500MG 07/01/2007 12/31/2029 NO YES AVANDAMET TAB 4-1000MG 07/01/2007 12/31/2029 NO YES AVANDAMET TAB 4-500MG 07/01/2007 12/31/2029 NO YES Saxagliptin HCl ONGLYZA TAB 2.5MG 07/01/2007 12/31/2029 NO YES ONGLYZA TAB 5MG 07/01/2007 12/31/2029 NO YES Saxagliptin-Metformin HCl KOMBIGLYZ XR TAB 2.5-1000 07/01/2007 12/31/2029 NO YES KOMBIGLYZ XR TAB 5-1000MG 07/01/2007 12/31/2029 NO YES KOMBIGLYZ XR TAB 5-500MG 07/01/2007 12/31/2029 NO YES Sitagliptin Phosphate JANUVIA TAB 100MG 07/01/2007 12/31/2029 NO YES JANUVIA TAB 25MG 07/01/2007 12/31/2029 NO YES JANUVIA TAB 50MG 07/01/2007 12/31/2029 NO YES Sitagliptin-Metformin HCl JANUMET TAB 50-1000 07/01/2007 12/31/2029 NO YES JANUMET TAB 50-500MG 07/01/2007 12/31/2029 NO YES JANUMET XR TAB 100-1000 07/01/2007 12/31/2029 NO YES JANUMET XR TAB 50-1000 07/01/2007 12/31/2029 NO YES JANUMET XR TAB 50-500MG 07/01/2007 12/31/2029 NO YES Sitagliptin-Simvastatin JUVISYNC TAB 100-10MG 07/01/2007 12/31/2029 NO YES JUVISYNC TAB 100-20MG 07/01/2007 12/31/2029 NO YES JUVISYNC TAB 100-40MG 07/01/2007 12/31/2029 NO YES JUVISYNC TAB 50-10MG 07/01/2007 12/31/2029 NO YES JUVISYNC TAB 50-20MG 07/01/2007 12/31/2029 NO YES JUVISYNC TAB 50-40MG 07/01/2007 12/31/2029 NO YES Tolazamide RONASE TAB 100MG 07/01/2007 12/31/2029 NO NO RONASE TAB 250MG 07/01/2007 12/31/2029 NO NO RONASE TAB 500MG 07/01/2007 12/31/2029 NO NO TOLAZAMIDE TAB 100MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIABETICS* Tolazamide TOLAZAMIDE TAB 250MG 07/01/2007 12/31/2029 NO NO TOLAZAMIDE TAB 500MG 07/01/2007 12/31/2029 NO NO TOLINASE TAB 100MG 07/01/2007 12/31/2029 NO YES TOLINASE TAB 250MG 07/01/2007 12/31/2029 NO YES TOLINASE TAB 500MG 07/01/2007 12/31/2029 NO YES Tolbutamide ORIBETIC TAB 500MG 07/01/2007 12/31/2029 NO NO ORINASE TAB 250MG 07/01/2007 12/31/2029 NO YES ORINASE TAB 500MG 07/01/2007 12/31/2029 NO YES TOLBUTAMIDE TAB 250MG 07/01/2007 12/31/2029 NO NO TOLBUTAMIDE TAB 500MG 07/01/2007 12/31/2029 NO YES Troglitazone REZULIN TAB 200MG 07/01/2007 12/31/2029 NO YES REZULIN TAB 300MG 07/01/2007 12/31/2029 NO YES REZULIN TAB 400MG 07/01/2007 12/31/2029 NO YES *ANTIDIARRHEALS* Attapulgite ANTI-DIARRHE LIQ 600/15ML 07/01/2007 12/31/2029 NO NO ATTAPULGITE SUS 600/15ML 07/01/2007 12/31/2029 NO NO DIARR/CRAMP SUS 600/15ML 07/01/2007 12/31/2029 NO NO DIARREST TAB 07/01/2007 12/31/2029 NO YES DIARRH/CRAMP SUS RELIEF 07/01/2007 12/31/2029 NO NO DIASORB LIQ 750/5ML 07/01/2007 12/31/2029 NO YES DIASORB TAB 750MG 07/01/2007 12/31/2029 NO YES DI-GON II TAB 600MG 07/01/2007 12/31/2029 NO NO DONNAGEL CHW 600MG 07/01/2007 12/31/2029 NO YES DONNAGEL LIQ 600/15ML 07/01/2007 12/31/2029 NO NO FP KA-PEC LIQ 750MG/15 07/01/2007 12/31/2029 NO NO KAOMAR LIQ 600/15ML 07/01/2007 12/31/2029 NO NO KAOPECT CHLD SUS 600/15ML 07/01/2007 12/31/2029 NO YES KAOPECTATE CHW CHILDREN 07/01/2007 12/31/2029 NO YES KAOPECTATE LIQ 07/01/2007 12/31/2029 NO YES KAOPECTATE LIQ 600/15ML 07/01/2007 12/31/2029 NO YES KAOPECTATE LIQ ADV FORM 07/01/2007 12/31/2029 NO YES KAOPECTATE LIQ PEPPRMNT 07/01/2007 12/31/2029 NO YES KAOPECTATE LIQ REGULAR 07/01/2007 12/31/2029 NO YES KAOPECTATE SUS 600/15ML 07/01/2007 12/31/2029 NO YES KAOPECTATE TAB 07/01/2007 12/31/2029 NO YES KAOPECTATE TAB 750MG 07/01/2007 12/31/2029 NO NO KAOPEK LIQ 600/15ML 07/01/2007 12/31/2029 NO NO KAOPEK SUS 600/15ML 07/01/2007 12/31/2029 NO NO KAO-PULGITE SUS 600/15ML 07/01/2007 12/31/2029 NO NO KAO-PULGITE SUS 750/15ML 07/01/2007 12/31/2029 NO NO KAO-TIN LIQ ADV FORM 07/01/2007 12/31/2029 NO NO KAO-TIN SUS 600/15ML 07/01/2007 12/31/2029 NO NO KA-PEC SUS 600/15ML 07/01/2007 12/31/2029 NO NO KAPECTOLIN LIQ 600/15ML 07/01/2007 12/31/2029 NO NO K-PEC LIQ 750MG/15 07/01/2007 12/31/2029 NO NO K-PEC SUS 600/15ML 07/01/2007 12/31/2029 NO NO K-PEK SUS 750/15ML 07/01/2007 12/31/2029 NO NO PAREPECTOLIN SUS 600/15ML 07/01/2007 12/31/2029 NO NO RA K-PEC SUS 750/15ML 07/01/2007 12/31/2029 NO NO RAPID D/R SUS 600/15ML 07/01/2007 12/31/2029 NO NO RHEABAN TAB 750MG 07/01/2007 12/31/2029 NO NO Attapulgite-Pectin DIAR-AID LIQ 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Attapulgite-Pectin DIAR-AID TAB 07/01/2007 12/31/2029 NO YES Bacillus Coagulans-Inulin PROBIOTIC CAP FORMULA 07/01/2007 12/31/2029 NO NO PROBIOTIC W/ CAP PREBIOTI 07/01/2007 12/31/2029 NO NO Banana Flakes BANATROL PAK PLUS 07/01/2007 12/31/2029 NO YES Bifidobacterium bifidum KIJIMEA IBS CAP 07/01/2007 12/31/2029 NO YES Bis Hydroxide-Kaolin-Pectin-Opium BIPECTOL CHW 07/01/2007 12/31/2029 NO YES Bis Subcarbonate-Calcium Carb-Opium DIABISMUL TAB 07/01/2007 12/31/2029 NO YES Bis Subgal-Kaolin-Pectin-Opium-Zinc Phenolsulfonate BPP-LEMMON CHW 07/01/2007 12/31/2029 NO YES Bis Subsal-Kaolin-Pectin-Opium BISKAPEC TAB 07/01/2007 12/31/2029 NO YES Bis Subsal-Opium-Phenylsalicylate-K Cit-Zinc Phenol DIAMULSIN SYP 07/01/2007 12/31/2029 NO YES Bis Subsal-Pectin-Opium-Zinc Phenolsulfonate BANATOL SUS 07/01/2007 12/31/2029 NO NO INFANTOL PIN SUS 07/01/2007 12/31/2029 NO YES Bis Subsal-PG-Pepsin-Phenyl Salicylate-Zn Phenolsulfonate CORRECT MIX/ LIQ PAREGOR 07/01/2007 12/31/2029 NO YES Bismuth Magma MILK OF BISM SUS 07/01/2007 12/31/2029 NO YES PINK BISMUTH SUS 07/01/2007 12/31/2029 NO YES Bismuth Subgallate BISMUTH POW SUBGALLA 07/01/2007 12/31/2029 NO YES BISMUTH SUBG POW 07/01/2007 12/31/2029 NO YES BISMUTH SUBG POW PURIFIED 07/01/2007 12/31/2029 NO YES BISMUTH SUBG TAB 324MG 07/01/2007 12/31/2029 NO YES DEVROM CHW 200MG 07/01/2007 12/31/2029 NO YES STOMAX TAB 400MG 07/01/2007 12/31/2029 NO YES Bismuth Subsalicylate ANTI-DIARRHL SUS 262/15ML 07/01/2007 12/31/2029 NO NO BIS SUBSAL CHW 300MG 07/01/2007 12/31/2029 NO NO BISMA-REX CHW 262MG 07/01/2007 12/31/2029 NO NO BISMATE SUS 262/15ML 07/01/2007 12/31/2029 NO NO BISMATE SUS 525/15ML 07/01/2007 12/31/2029 NO NO BIS-MATE CHW 262MG 07/01/2007 12/31/2029 NO NO BISMATROL CHW 262MG 07/01/2007 12/31/2029 NO NO BISMATROL SUS 262/15ML 07/01/2007 12/31/2029 NO NO BISMATROL SUS 524/30ML 07/01/2007 12/31/2029 NO NO BISMATROL SUS 525/15ML 07/01/2007 12/31/2029 NO NO BISMATROL SUS 527/30ML 07/01/2007 12/31/2029 NO NO BISMUTH CHW 262MG 07/01/2007 12/31/2029 NO NO BISMUTH SUS 524/30ML 07/01/2007 12/31/2029 NO NO BISMUTH MS SUS 525/15ML 07/01/2007 12/31/2029 NO NO BISMUTH PINK SUS 527/30ML 07/01/2007 12/31/2029 NO NO BISMUTH SUBS CHW 300MG 07/01/2007 12/31/2029 NO NO BISMUTH SUBS SUS 262/15ML 07/01/2007 12/31/2029 NO NO BISMUTH SUBS SUS 524/30ML 07/01/2007 12/31/2029 NO NO BISMUTH SUBS SUS 527/30ML 07/01/2007 12/31/2029 NO NO BISMUTH SUBS SUS 690/30ML 07/01/2007 12/31/2029 NO NO BL PINK BISM SUS 525/15ML 07/01/2007 12/31/2029 NO NO BL PINK BISM SUS 525MG/15 07/01/2007 12/31/2029 NO NO CVS BISMUTH CHW 262MG 07/01/2007 12/31/2029 NO NO CVS BISMUTH SUS 262/15ML 07/01/2007 12/31/2029 NO NO CVS BISMUTH SUS MAX STR 07/01/2007 12/31/2029 NO NO CVS BISMUTH TAB 262MG 07/01/2007 12/31/2029 NO NO DIARRHEA SUS 262/15ML 07/01/2007 12/31/2029 NO NO DIARRHEA REL SUS 262/15ML 07/01/2007 12/31/2029 NO NO DIOTAME CHW 262MG 07/01/2007 12/31/2029 NO NO DIOTAME SUS 524/30ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Bismuth Subsalicylate EQ STOMACH CHW 262MG 07/01/2007 12/31/2029 NO NO EQL STOMACH CHW 262MG 07/01/2007 12/31/2029 NO NO FV STRESS CHW 262MG 07/01/2007 12/31/2029 NO NO FV STRESS SUS 527/30ML 07/01/2007 12/31/2029 NO NO FV STRESS MS SUS 525/15ML 07/01/2007 12/31/2029 NO NO GERI-PECTATE SUS 262/15ML 07/01/2007 12/31/2029 NO NO GNP K-PEC SUS 262/15ML 07/01/2007 12/31/2029 NO NO GNP PINK BIS SUS 524/15ML 07/01/2007 12/31/2029 NO NO HCA PINK BIS CHW 262MG 07/01/2007 12/31/2029 NO NO HM PK BISMUT CHW 262MG 07/01/2007 12/31/2029 NO NO HM PK BISMUT SUS 525/15ML 07/01/2007 12/31/2029 NO NO HM STOMACH SUS 262/15ML 07/01/2007 12/31/2029 NO NO KAOPECTATE SUS 262/15ML 07/01/2007 12/31/2029 NO NO KAOPECTATE SUS 87MG/5ML 07/01/2007 12/31/2029 NO NO KAOPECTATE SUS EX ST 07/01/2007 12/31/2029 NO NO KAOPECTATE TAB 07/01/2007 12/31/2029 NO NO KAOPECTATE TAB 262MG 07/01/2007 12/31/2029 NO NO KAO-TIN SUS 262/15ML 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS 262/15ML 07/01/2007 12/31/2029 NO NO KOLA-PECTIN SUS 07/01/2007 12/31/2029 NO YES KOLA-PECTIN SUS DS 07/01/2007 12/31/2029 NO NO K-PEC SUS 262/15ML 07/01/2007 12/31/2029 NO NO K-PEK SUS 262/15ML 07/01/2007 12/31/2029 NO NO MAALOX TOTAL SUS 525/15ML 07/01/2007 12/31/2029 NO NO MAX-ST STRES SUS 690/30ML 07/01/2007 12/31/2029 NO NO MDL STOM REL SUS 527/30ML 07/01/2007 12/31/2029 NO NO MDL STOMACH CHW RELIEF 07/01/2007 12/31/2029 NO NO MEDI-BISMUTH CHW 262MG 07/01/2007 12/31/2029 NO NO MEDI-BISMUTH SUS 262/15ML 07/01/2007 12/31/2029 NO NO OSCO BISMUTH CHW 262MG 07/01/2007 12/31/2029 NO NO OSCO BISMUTH CHW CHERRY 07/01/2007 12/31/2029 NO NO OSCO BISMUTH SUS 262/15ML 07/01/2007 12/31/2029 NO NO OSCO BISMUTH SUS MAX STR 07/01/2007 12/31/2029 NO NO OSCO BISMUTH TAB 262MG 07/01/2007 12/31/2029 NO NO PEPTIC RELF CHW 262MG 07/01/2007 12/31/2029 NO NO PEPTIC RELF CHW 300MG 07/01/2007 12/31/2029 NO NO PEPTIC RELF SUS 262/15ML 07/01/2007 12/31/2029 NO NO PEPTIC RELIE SUS 525/15ML 07/01/2007 12/31/2029 NO NO PEPTIC RELIE TAB 262MG 07/01/2007 12/31/2029 NO NO PEPTO BISMOL SUS 262/15ML 07/01/2007 12/31/2029 NO YES PEPTO BISMOL TAB 262MG 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL CHW 262MG 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL CHW 300MG 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL CHW CHERRY 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL SUS 262/15ML 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL SUS 524/30ML 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL SUS 525/15ML 07/01/2007 12/31/2029 NO YES PEPTO-BISMOL SUS 527/30ML 07/01/2007 12/31/2029 NO YES PINK BIS MS SUS 525/15ML 07/01/2007 12/31/2029 NO NO PINK BISMOL SUS 524/30ML 07/01/2007 12/31/2029 NO NO PINK BISMOL SUS 525/15ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Bismuth Subsalicylate PINK BISMUTH CHW 262MG 07/01/2007 12/31/2029 NO NO PINK BISMUTH CHW 300MG 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS 262/15ML 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS 524/30ML 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS 525/15ML 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS 527/30ML 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS 690/30ML 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS MAX STR 07/01/2007 12/31/2029 NO NO PINK BISMUTH SUS X-STR 07/01/2007 12/31/2029 NO NO PINK BISMUTH TAB 262MG 07/01/2007 12/31/2029 NO NO PX STOMACH CHW 262MG 07/01/2007 12/31/2029 NO NO PX STOMACH SUS 262/15ML 07/01/2007 12/31/2029 NO NO PX STOMACH SUS 525/15ML 07/01/2007 12/31/2029 NO NO RA BISMUTH SUS 524/30ML 07/01/2007 12/31/2029 NO NO RA K-PEC SUS 262/15ML 07/01/2007 12/31/2029 NO NO RA PINK BISM CHW 262MG 07/01/2007 12/31/2029 NO NO RA PINK BISM TAB 262MG 07/01/2007 12/31/2029 NO NO SAV-ON BISMU CHW 262MG 07/01/2007 12/31/2029 NO NO SAV-ON BISMU TAB 262MG 07/01/2007 12/31/2029 NO NO SAV-ON PINK CHW BISMUTH 07/01/2007 12/31/2029 NO NO SAV-ON PINK SUS BISMUTH 07/01/2007 12/31/2029 NO NO SB BISMUTH SUS 262/15ML 07/01/2007 12/31/2029 NO NO SB BISMUTH TAB 262MG 07/01/2007 12/31/2029 NO NO SM STOMACH SUS 262/15ML 07/01/2007 12/31/2029 NO NO SM STOMACH SUS 525/30ML 07/01/2007 12/31/2029 NO NO SM STOMACH SUS 527/30ML 07/01/2007 12/31/2029 NO NO SOOTHE CHW 262MG 07/01/2007 12/31/2029 NO NO SOOTHE SUS 262/15ML 07/01/2007 12/31/2029 NO NO SOOTHE SUS 525/15ML 07/01/2007 12/31/2029 NO NO SOOTHE TAB 262MG 07/01/2007 12/31/2029 NO NO STOM RELIEF TAB 262MG 07/01/2007 12/31/2029 NO NO STOMACH RELF CHW 262MG 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 262/15ML 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 524/30ML 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 525/15ML 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 525/30ML 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS 527/30ML 07/01/2007 12/31/2029 NO NO STOMACH RELF SUS PLUS 07/01/2007 12/31/2029 NO NO STOMACH RELF TAB 262MG 07/01/2007 12/31/2029 NO NO STOMACH RLF TAB 262MG 07/01/2007 12/31/2029 NO NO STRESS LIQ SUS 525/15ML 07/01/2007 12/31/2029 NO NO STRESS LIQ SUS 525/30ML 07/01/2007 12/31/2029 NO NO THSC BISMATE CHW 262MG 07/01/2007 12/31/2029 NO NO THSC BISMATE SUS 524/30ML 07/01/2007 12/31/2029 NO NO UNI-COAT SUS 527/30ML 07/01/2007 12/31/2029 NO NO V-R STOM REL SUS 527/30ML 07/01/2007 12/31/2029 NO NO Brown Mixture BROWN MIXTUR SOL 12% 07/01/2007 12/31/2029 NO NO Crofelemer FULYZAQ TAB 125MG 07/01/2007 12/31/2029 NO YES MYTESI TAB 125MG 07/01/2007 12/31/2029 NO YES Difenoxin w/ Atropine MOTOFEN TAB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Difenoxin w/ Atropine MOTOFEN TAB 1-0.025 07/01/2007 12/31/2029 NO YES Diphenoxylate w/ Atropine DI-ATRO TAB 2.5MG 07/01/2007 12/31/2029 NO NO DIMOTAL TAB 2.5MG 07/01/2007 12/31/2029 NO NO DIPHEN/ATROP LIQ 2.5/5 07/01/2007 12/31/2029 NO NO DIPHEN/ATROP TAB 2.5MG 07/01/2007 12/31/2029 NO NO DIPHENATOL LIQ 2.5/5 07/01/2007 12/31/2029 NO NO DIPHENATOL TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOFENE TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOGEN LIQ 2.5/5 07/01/2007 12/31/2029 NO NO LOMANATE LIQ 2.5/5 07/01/2007 12/31/2029 NO NO LOMANATE TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOMOCOT TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOMODIX LIQ 2.5/5 07/01/2007 12/31/2029 NO NO LOMODIX TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOMOQUEL TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOMOTIL LIQ 2.5/5 07/01/2007 12/31/2029 NO YES LOMOTIL TAB 2.5MG 07/01/2007 12/31/2029 NO YES LONOX TAB 2.5MG 07/01/2007 12/31/2029 NO NO LO-REX TAB 2.5MG 07/01/2007 12/31/2029 NO NO LO-TROL LIQ 2.5/5 07/01/2007 12/31/2029 NO NO UNI-LOM TAB 2.5MG 07/01/2007 12/31/2029 NO NO Empty Level K-C SUS 07/01/2007 12/31/2029 NO YES Fructooligosaccharides FOS POW 07/01/2007 12/31/2029 NO YES Kaolin KAOLIN POW 07/01/2007 12/31/2029 NO YES KAOLIN POW COLLOID 07/01/2007 12/31/2029 NO YES Kaolin-Belladonna Alkaloids KAOLIN/BELLA SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin KAOLIN MIXTU SUS 07/01/2007 12/31/2029 NO NO KAOLIN/PECT CON 07/01/2007 12/31/2029 NO YES KAOLIN/PECT SUS 07/01/2007 12/31/2029 NO YES KAOPECTALIN SUS 07/01/2007 12/31/2029 NO NO KAOPECTATE CON 07/01/2007 12/31/2029 NO YES KAOPECTATE SUS 07/01/2007 12/31/2029 NO YES KAOPECTOLIN SUS 07/01/2007 12/31/2029 NO NO KAOPEK SUS 07/01/2007 12/31/2029 NO NO KAO-SPEN SUS 07/01/2007 12/31/2029 NO YES KAPECTOLIN SUS 07/01/2007 12/31/2029 NO NO KA-PEK SUS 07/01/2007 12/31/2029 NO NO K-PEC SUS 07/01/2007 12/31/2029 NO NO K-PEK SUS 07/01/2007 12/31/2029 NO NO PARPECTATE SUS 07/01/2007 12/31/2029 NO NO ST JOSEPH SUS ANTI DIA 07/01/2007 12/31/2029 NO YES Kaolin-Pectin w/ Attapulgite K-PEC SUS W/ATTAPU 07/01/2007 12/31/2029 NO YES Kaolin-Pectin w/ Bis Subsalicylate-Carboxymethylcellulose KAODENE NN SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin-Belladonna Alkaloids DONNAGEL SUS 07/01/2007 12/31/2029 NO YES KAODONNA SUS 07/01/2007 12/31/2029 NO NO KAOLIN/PECT SUS /BELLADO 07/01/2007 12/31/2029 NO NO KAOPECTALIN SUS /BELLADO 07/01/2007 12/31/2029 NO NO KAOPECTOLIN SUS /BELLADO 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS /BELLADO 07/01/2007 12/31/2029 NO NO QUIAGEL SUS 07/01/2007 12/31/2029 NO NO Kaolin-Pectin-Bismuth Hydroxide BISMAPEC TAB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Kaolin-Pectin-Bismuth Subsalicylate KAO-PAVERIN SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin-Codeine KAODENE/COD SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin-Opium DIABISMUL SUS 07/01/2007 12/31/2029 NO NO KAOPECTALIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS PG 07/01/2007 12/31/2029 NO NO PAREPECTOLIN SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin-Opium-Belladonna DONNACHEM-PG SUS 07/01/2007 12/31/2029 NO NO DONNAGEL-PG SUS 07/01/2007 12/31/2029 NO YES KAODONNA PG SUS 07/01/2007 12/31/2029 NO NO KAOLIN/PECT SUS /BELLADO 07/01/2007 12/31/2029 NO NO KAOPECTALIN SUS -PG 07/01/2007 12/31/2029 NO NO KAOPECTLIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAOPECTOLIN SUS -PG 07/01/2007 12/31/2029 NO NO KAO-PG SUS 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS PG 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS -PG 07/01/2007 12/31/2029 NO NO QUIAGEL PG SUS 07/01/2007 12/31/2029 NO NO QUIAGEL-PG SUS 07/01/2007 12/31/2029 NO NO Kaolin-Pectin-Paregoric KAODENE SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAOLIN/PECT SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAOPECTOLIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS /PAREGOR 07/01/2007 12/31/2029 NO NO KAPECTOLIN SUS PAREGORI 07/01/2007 12/31/2029 NO NO KAPECTORIN SUS /PARAGOR 07/01/2007 12/31/2029 NO NO PARAPECTOLIN SUS 07/01/2007 12/31/2029 NO YES Kaolin-Pectin-Zinc Phenolsulfonate PECTOCOMP LIQ 07/01/2007 12/31/2029 NO YES Lactobacillus ABATINEX CAP 680MG 07/01/2007 12/31/2029 NO NO ACIDOPH/PROB TAB FORMULA 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP /PECTIN 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP 100MG 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP 10MG 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP 500MG 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP EX ST 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP LACTOBA 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP SUPER 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CHW 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CHW /PECTIN 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CHW ACTIVE 07/01/2007 12/31/2029 NO NO ACIDOPHILUS TAB 07/01/2007 12/31/2029 NO NO ACIDOPHILUS TAB L-SPORO 07/01/2007 12/31/2029 NO NO ACIDOPHILUS TAB PROBIOTC 07/01/2007 12/31/2029 NO NO ACIDOPHILUS WAF 07/01/2007 12/31/2029 NO YES ACIDOPHILUS/ TAB CIT PECT 07/01/2007 12/31/2029 NO NO ACIDOPHILUS/ WAF BIFIDUS 07/01/2007 12/31/2029 NO YES BACID CAP 07/01/2007 12/31/2029 NO YES BIOTINEX CAP 07/01/2007 12/31/2029 NO NO DIGESTIVE CAP PROBIOTI 07/01/2007 12/31/2029 NO NO DOFUS CAP 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Lactobacillus FLORA ASSIST PAK 07/01/2007 12/31/2029 NO NO FLORAJEN CAP ACIDOPHI 07/01/2007 12/31/2029 NO YES FLORANEX CHW 07/01/2007 12/31/2029 NO NO FLORANEX GRA 07/01/2007 12/31/2029 NO NO FLORANEX TAB 07/01/2007 12/31/2029 NO NO INTESTINEX CAP 07/01/2007 12/31/2029 NO NO LACTINEX CHW 07/01/2007 12/31/2029 NO NO LACTINEX GRA 07/01/2007 12/31/2029 NO YES LACTINEX GRA 1GM 07/01/2007 12/31/2029 NO YES LACTINEX TAB 07/01/2007 12/31/2029 NO YES LACTOBAC ACI CAP 07/01/2007 12/31/2029 NO NO LACTOBACILLU CAP 07/01/2007 12/31/2029 NO NO LACTOBACILLU TAB 07/01/2007 12/31/2029 NO NO LACTO-KEY- CAP 100 07/01/2007 12/31/2029 NO NO LACTO-KEY- CAP 600 07/01/2007 12/31/2029 NO NO MORE-DOPHILU POW ACIDOPHI 07/01/2007 12/31/2029 NO YES NOVAFLOR CAP 07/01/2007 12/31/2029 NO NO NOVAFLOR NR CAP 07/01/2007 12/31/2029 NO NO OSCO ACIDOPH CAP 50MG 07/01/2007 12/31/2029 NO NO PROBIATA TAB 07/01/2007 12/31/2029 NO NO PROBIOTIC CAP 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP ACIDOPHI 07/01/2007 12/31/2029 NO NO PROBIOTIC CAP FORMULA 07/01/2007 12/31/2029 NO NO PROBIOTIC CAP GOLD 07/01/2007 12/31/2029 NO NO PROBIOTIC CHW CHILDREN 07/01/2007 12/31/2029 NO NO PROBIOTIC PAK CHILDREN 07/01/2007 12/31/2029 NO NO RA ACIDOPHIL CAP 07/01/2007 12/31/2029 NO NO RA ACIDOPHIL CAP 300MG 07/01/2007 12/31/2029 NO NO REPHRESH CAP PRO-B 07/01/2007 12/31/2029 NO YES SAV-ON CAP ACIDOPHL 07/01/2007 12/31/2029 NO NO Lactobacillus Acidophilus-Pectin ACIDOPHILUS CAP 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP /PECTIN 07/01/2007 12/31/2029 NO NO ACIDOPHILUS CAP PECTIN 07/01/2007 12/31/2029 NO NO ACIDOPHILUS/ TAB CIT PECT 07/01/2007 12/31/2029 NO YES ACIDOPHILUS/ TAB PECTIN 07/01/2007 12/31/2029 NO YES EQL PROBIOTI CAP ACIDOPHI 07/01/2007 12/31/2029 NO NO KALA TAB 07/01/2007 12/31/2029 NO YES Lactobacillus Bifidus LACTO-BIFIDU CAP -600 07/01/2007 12/31/2029 NO YES Lactobacillus Casei-Folic Acid RESTORA RX CAP 60-1.25 07/01/2007 12/31/2029 NO YES RESTORA SPRI PAK 15-0.25 07/01/2007 12/31/2029 NO YES Lactobacillus Reuteri BIOGAIA CHW 100M CEL 07/01/2007 12/31/2029 NO YES BIOGAIA CHW GASTRUS 07/01/2007 12/31/2029 NO YES BIOGAIA DRO PROBIOTI 07/01/2007 12/31/2029 NO YES BIOGAIA MIS PROBIOTI 07/01/2007 12/31/2029 NO YES BIOGAIA PROT DRO BABY 07/01/2007 12/31/2029 NO YES GERBR SOOTHE DRO COLIC 07/01/2007 12/31/2029 NO YES PEDIA-LAX CHW YUMS 07/01/2007 12/31/2029 NO YES PROBIOTICA CHW 07/01/2007 12/31/2029 NO YES Lactobacillus Reuteri-Vitamin D BIOGAIA PROT DRO VIT D 07/01/2007 12/31/2029 NO YES Lactobacillus Rhamnosus (GG) CULTURELLE CAP 07/01/2007 12/31/2029 NO YES CULTURELLE CAP FOR KIDS 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Lactobacillus Rhamnosus (GG) CULTURELLE CAP IMMUNITY 07/01/2007 12/31/2029 NO YES CULTURELLE CHW KIDS 07/01/2007 12/31/2029 NO YES CULTURELLE PAK KIDS 07/01/2007 12/31/2029 NO YES HM PROBIOTIC CAP 07/01/2007 12/31/2029 NO NO PROBIOTIC CAP 07/01/2007 12/31/2029 NO NO PROBIOTIC DRO COLIC 07/01/2007 12/31/2029 NO YES Lactobacillus-Inulin CULTURELLE CAP 07/01/2007 12/31/2029 NO YES CULTURELLE CAP DIGESTIV 07/01/2007 12/31/2029 NO YES CULTURELLE CAP HLTH/WEL 07/01/2007 12/31/2029 NO YES CULTURELLE CHW DIGESTIV 07/01/2007 12/31/2029 NO YES Loperamide HCl ANTI-DIARRHE CAP 2MG 07/01/2007 12/31/2029 NO NO ANTI-DIARRHE LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO ANTI-DIARRHE TAB 2MG 07/01/2007 12/31/2029 NO NO DIAMODE TAB 2MG 07/01/2007 12/31/2029 NO NO DIAR-AID TAB 2MG 07/01/2007 12/31/2029 NO NO FV ANTI-DIAR LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO FV ANTI-DIAR TAB 2MG 07/01/2007 12/31/2029 NO NO IMODIUM CAP 2MG 07/01/2007 12/31/2029 NO YES IMODIUM A-D CAP 2MG 07/01/2007 12/31/2029 NO YES IMODIUM A-D CHW 2MG 07/01/2007 12/31/2029 NO YES IMODIUM A-D LIQ 1MG/5ML 07/01/2007 12/31/2029 NO YES IMODIUM A-D LIQ 1MG/7.5 07/01/2007 12/31/2029 NO YES IMODIUM A-D TAB 2MG 07/01/2007 12/31/2029 NO YES IMOGEN LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO IMOTIL TAB 2MG 07/01/2007 12/31/2029 NO NO IMPERIM TAB 2MG 07/01/2007 12/31/2029 NO NO KAODENE AD TAB 2MG 07/01/2007 12/31/2029 NO NO KAO-PAVERIN TAB 2MG 07/01/2007 12/31/2029 NO NO KAOPECTATE TAB 1-D 07/01/2007 12/31/2029 NO NO KENAMIDE LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO KLS ANTI-DIA TAB 2MG 07/01/2007 12/31/2029 NO NO K-PEK II LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO LOPERAMIDE CAP 2MG 07/01/2007 12/31/2029 NO NO LOPERAMIDE LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO LOPERAMIDE LIQ 1MG/7.5 07/01/2007 12/31/2029 NO NO LOPERAMIDE LIQ 2MG/10ML 07/01/2007 12/31/2029 NO NO LOPERAMIDE LIQ 4MG/20ML 07/01/2007 12/31/2029 NO NO LOPERAMIDE POW 07/01/2007 12/31/2029 NO YES LOPERAMIDE POW HCL 07/01/2007 12/31/2029 NO YES LOPERAMIDE SUS 1MG/7.5 07/01/2007 12/31/2029 NO NO LOPERAMIDE TAB 2MG 07/01/2007 12/31/2029 NO NO MAALOX A-DIA LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO MAALOX A-DIA TAB 2MG 07/01/2007 12/31/2029 NO NO MDL ANTI-DIA LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO MDL ANTI-DIA TAB 2MG 07/01/2007 12/31/2029 NO NO OSCO LOPERAM TAB 2MG 07/01/2007 12/31/2029 NO NO PEPTO DIARRH LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO PEPTO DIARRH TAB 2MG 07/01/2007 12/31/2029 NO NO SM ANTI-DIAR TAB 2MG 07/01/2007 12/31/2029 NO NO SOBA ANTI-DI LIQ 1MG/5ML 07/01/2007 12/31/2029 NO NO SOBA ANTI-DI TAB 2MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Loperamide HCl SR ANTI-DIAR TAB 2MG 07/01/2007 12/31/2029 NO NO UNI-A/D TAB 2MG 07/01/2007 12/31/2029 NO NO V-R ANTI-DIA TAB 2MG 07/01/2007 12/31/2029 NO NO Loperamide-Simethicone ANTI-DIARRHE TAB ADVANCED 07/01/2007 12/31/2029 NO NO ANTI-DIARRHE TAB ANTI-GAS 07/01/2007 12/31/2029 NO NO ANTI-DIARRHE TAB GAS RELF 07/01/2007 12/31/2029 NO NO GNP ANTI-DIA TAB ANTI-GAS 07/01/2007 12/31/2029 NO NO IMODIUM ADV CHW 2-125MG 07/01/2007 12/31/2029 NO YES IMODIUM ADV TAB 07/01/2007 12/31/2029 NO YES IMODIUM MS TAB RELIEF 07/01/2007 12/31/2029 NO YES IMODIUM MULT CHW SYMP RLF 07/01/2007 12/31/2029 NO YES Opium Alkaloids PANTOPON INJ 20MG/ML 07/01/2007 12/31/2029 NO YES Opium Tincture OPIUM TIN 1% 07/01/2007 12/31/2029 NO YES OPIUM TIN 10% 07/01/2007 12/31/2029 NO YES OPIUM TIN 10MG/ML 07/01/2007 12/31/2029 NO NO Paregoric OPIUM CAMPHO TIN 07/01/2007 12/31/2029 NO NO PAREGORIC TIN 2MG/5ML 07/01/2007 12/31/2029 NO YES Pectin APPLE PECTIN TAB 300MG 07/01/2007 12/31/2029 NO YES PECTIN POW 07/01/2007 12/31/2029 NO YES Pectin-Calcium Carbonate DIARAL TAB 130/420 07/01/2007 12/31/2029 NO YES DIATROL TAB 318/318 07/01/2007 12/31/2029 NO YES Pectin-Opium-Homatropine DIA-QUEL LIQ 07/01/2007 12/31/2029 NO YES Prebiotic Product PREB-2 PAK 07/01/2007 12/31/2029 NO YES Probiotic Product 4X PROBIOTIC TAB 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP GOATMILK 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP HIGH POT 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP HIGH-POT 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP PEARLS 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CAP PROBIOTI 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CHW 07/01/2007 12/31/2029 NO YES ACIDOPHILUS CHW WAFERS 07/01/2007 12/31/2029 NO YES ACIDOPHILUS TAB BLEND 07/01/2007 12/31/2029 NO YES ACIDOPHILUS TAB COMPLEX 07/01/2007 12/31/2029 NO YES ACIDOPHILUS TAB PROBIOTC 07/01/2007 12/31/2029 NO YES ACIDOPHILUS TAB XTRA 07/01/2007 12/31/2029 NO YES ACIDOPHILUS/ CHW BIFIDUS 07/01/2007 12/31/2029 NO YES ACIDOPHILUS/ WAF BIFIDUS 07/01/2007 12/31/2029 NO YES ADV PROBIOTC CHW GUMMIES 07/01/2007 12/31/2029 NO NO ADVANCED CAP PROBIOTI 07/01/2007 12/31/2029 NO YES ALIGN CAP 4MG 07/01/2007 12/31/2029 NO YES ALIGN CHW 07/01/2007 12/31/2029 NO NO ALIGN JR CHW FOR KIDS 07/01/2007 12/31/2029 NO NO BACID TAB 07/01/2007 12/31/2029 NO YES CHILD PROBIO CAP PEARLS 07/01/2007 12/31/2029 NO YES CHILDRENS CHW PROBIOT 07/01/2007 12/31/2029 NO YES CULTURELLE CAP IMMUNE 07/01/2007 12/31/2029 NO YES CULTURELLE CAP PRO-WELL 07/01/2007 12/31/2029 NO YES CVS SENIOR CAP PROBIOTC 07/01/2007 12/31/2029 NO YES DAILY PROBIO CAP 5MG 07/01/2007 12/31/2029 NO YES DIALYVITE CHW PROBIOTI 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Probiotic Product DIFF-STAT CAP 07/01/2007 12/31/2029 NO YES DIFF-STAT POW 07/01/2007 12/31/2029 NO YES DIGESTIVE CAP ADVANTAG 07/01/2007 12/31/2029 NO YES DIGESTIVE CAP PROBIOTC 07/01/2007 12/31/2029 NO YES DIGESTIVE CHW ADVANTAG 07/01/2007 12/31/2029 NO NO ENTEROGENIC CAP CONCENTR 07/01/2007 12/31/2029 NO YES EQ PROBIOTIC CAP 07/01/2007 12/31/2029 NO YES EQL 4X TAB PROBIOTC 07/01/2007 12/31/2029 NO YES EQL DAILY CAP PROBIOTI 07/01/2007 12/31/2029 NO YES EQL PROBIOTI CAP COLON 07/01/2007 12/31/2029 NO YES FLORA VANCE CAP 07/01/2007 12/31/2029 NO YES FLORAJEN CAP 4KIDS 07/01/2007 12/31/2029 NO YES FLORAJEN CAP BIFIDO 07/01/2007 12/31/2029 NO YES FLORAJEN3 CAP 07/01/2007 12/31/2029 NO YES FLORA-Q CAP 07/01/2007 12/31/2029 NO YES FLORA-Q 2 CAP 07/01/2007 12/31/2029 NO YES FORTFY DAILY CAP PROBIOTI 07/01/2007 12/31/2029 NO YES GNP 4X TAB PROBIOTI 07/01/2007 12/31/2029 NO YES GNP PROBIOTI CAP COLON 07/01/2007 12/31/2029 NO YES HEALTHY CAP COLON 07/01/2007 12/31/2029 NO YES HM 4X TAB PROBIOTI 07/01/2007 12/31/2029 NO YES LACTO-PECTIN CAP 07/01/2007 12/31/2029 NO YES MEGA CAP PROBIOTI 07/01/2007 12/31/2029 NO YES META BIOTIC CAP BIO-ACT 07/01/2007 12/31/2029 NO YES NATRUL CAP PROBIOTI 07/01/2007 12/31/2029 NO YES NEXABIOTIC CAP 07/01/2007 12/31/2029 NO YES PEARLS IC CAP 07/01/2007 12/31/2029 NO YES PHILLIPS CAP COLON 07/01/2007 12/31/2029 NO YES PHILLIPS POW COLON 07/01/2007 12/31/2029 NO YES PREORBOTIC CAP 07/01/2007 12/31/2029 NO YES PRO NUTRIENT POW PROBIOTI 07/01/2007 12/31/2029 NO YES PROB CHOCOL CHW BEARS 07/01/2007 12/31/2029 NO NO PROBIO COLON CAP SUPPORT 07/01/2007 12/31/2029 NO YES PROBIOMAX CAP DAILY DF 07/01/2007 12/31/2029 NO YES PROBIOMAX PAK PLUS DF 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP ACIDOPHI 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP ADLT 50+ 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP ADULT 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP ADVANCED 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP COLON 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP COMPLEX 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP DAILY 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP DIGESTIV 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP FORMULA 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP MAX STR 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP PEARLS 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP SUPER 07/01/2007 12/31/2029 NO YES PROBIOTIC CHW 07/01/2007 12/31/2029 NO NO PROBIOTIC CHW CHILDRNS 07/01/2007 12/31/2029 NO NO PROBIOTIC CHW KIDS 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIDIARRHEALS* Probiotic Product PROBIOTIC PAK COLOSTRM 07/01/2007 12/31/2029 NO YES PROBIOTIC TAB 07/01/2007 12/31/2029 NO YES PROBIOTIC TAB 2 IN 1 07/01/2007 12/31/2029 NO YES PROBIOTIC TAB ENZYME 07/01/2007 12/31/2029 NO YES PROBIOTIC TAB TRIPLE 07/01/2007 12/31/2029 NO YES PRO-BIOTIC CAP BLEND 07/01/2007 12/31/2029 NO YES PROBIOTIC & CAP ACIDOPHI 07/01/2007 12/31/2029 NO YES PROBIOTIC + CAP OMEGA-3 07/01/2007 12/31/2029 NO YES PROBIOTIC 10 CAP ADVANCED 07/01/2007 12/31/2029 NO YES PROBIOTIC-10 CAP 07/01/2007 12/31/2029 NO YES PROBIOTIC-10 CAP ULTIMATE 07/01/2007 12/31/2029 NO YES PROBIOTIC-10 CHW BERRY 07/01/2007 12/31/2029 NO NO PRO-FLORA CAP CONCENTR 07/01/2007 12/31/2029 NO YES PRO-FLORA CAP IMMUNE 07/01/2007 12/31/2029 NO YES PROVELLA TAB 07/01/2007 12/31/2029 NO YES RA PROBIOTIC CHW GUMMIES 07/01/2007 12/31/2029 NO NO RA PROBIOTIC TAB COMPLEX 07/01/2007 12/31/2029 NO YES RA PROBIOTIC TAB DIGESTIV 07/01/2007 12/31/2029 NO YES RE:IIMMUNE PAK 07/01/2007 12/31/2029 NO YES RESTORA CAP 07/01/2007 12/31/2029 NO YES REZYST IM CHW 07/01/2007 12/31/2029 NO NO RISA-BID TAB PROBIO 07/01/2007 12/31/2029 NO YES RISAQUAD CAP 07/01/2007 12/31/2029 NO YES RISAQUAD-2 CAP 07/01/2007 12/31/2029 NO YES SM 4X TAB PROBIOTI 07/01/2007 12/31/2029 NO YES SOLUBLE FIB/ CHW PROBIOTI 07/01/2007 12/31/2029 NO YES TRUBIOTICS CAP 07/01/2007 12/31/2029 NO YES TRUNATURE CAP PROBIOTI 07/01/2007 12/31/2029 NO YES ULTRAFLORA CAP IMMUNE 07/01/2007 12/31/2029 NO YES VISBIOME PRO CAP HIGH POT 07/01/2007 12/31/2029 NO YES VISBIOME PRO PAK HIGH POT 07/01/2007 12/31/2029 NO YES VSL#3 CAP 07/01/2007 12/31/2029 NO YES VSL#3 PAK 07/01/2007 12/31/2029 NO YES VSL#3 DS PAK 07/01/2007 12/31/2029 NO YES Saccharomyces boulardii DIGES PROBIO CAP 250MG 07/01/2007 12/31/2029 NO NO FLORASTOR CAP 250MG 07/01/2007 12/31/2029 NO YES FLORASTOR CAP 50MG 07/01/2007 12/31/2029 NO YES FLORASTOR PAK 250MG 07/01/2007 12/31/2029 NO YES FLORASTOR PAK KIDS 07/01/2007 12/31/2029 NO YES FLORASTOR KI PAK 250MG 07/01/2007 12/31/2029 NO YES FLORASTORMAX PAK 500MG 07/01/2007 12/31/2029 NO YES PROBIOTIC CAP 250MG 07/01/2007 12/31/2029 NO NO REZYST SB CHW 250MG 07/01/2007 12/31/2029 NO YES SM PROBIOTIC CAP 250MG 07/01/2007 12/31/2029 NO NO STABLEGI CAP 250MG 07/01/2007 12/31/2029 NO NO *ANTIEMETICS* Aprepitant APREPITANT CAP 125MG 07/01/2007 12/31/2029 NO NO APREPITANT CAP 40MG 07/01/2007 12/31/2029 NO NO APREPITANT CAP 80MG 07/01/2007 12/31/2029 NO NO APREPITANT PAK 80 & 125 07/01/2007 12/31/2029 NO NO EMEND CAP 125MG 07/01/2007 12/31/2029 NO YES EMEND CAP 40MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Aprepitant EMEND CAP 80MG 07/01/2007 12/31/2029 NO YES EMEND SUS 125MG 07/01/2007 12/31/2029 NO YES EMEND TRIPAC PAK 80 & 125 07/01/2007 12/31/2029 NO YES Benzquinamide HCl EMETE-CON INJ 50MG 07/01/2007 12/31/2029 NO YES Buclizine HCl BUCLADIN-S TAB 50MG 07/01/2007 12/31/2029 NO YES Cerium Oxalate-Bis Subnitrate BIOTHESIN TAB 07/01/2007 12/31/2029 NO NO Cyclizine HCl BONINE KIDS CHW 25MG 07/01/2007 12/31/2029 NO YES CYCLIVERT TAB 25MG 07/01/2007 12/31/2029 NO YES MAREZINE TAB 50MG 07/01/2007 12/31/2029 NO YES Cyclizine Lactate MAREZINE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES Dextrose-Fructose-Sodium Citrate NAUZENE CHW 07/01/2007 12/31/2029 NO YES NAUZENE LIQ 07/01/2007 12/31/2029 NO YES Dimenhydrinate DIMENATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DIMENHYDRIN INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DIMENHYDRIN LIQ 12.5/4ML 07/01/2007 12/31/2029 NO NO DIMENHYDRIN LIQ 12.5/5ML 07/01/2007 12/31/2029 NO YES DIMENHYDRIN TAB 50MG 07/01/2007 12/31/2029 NO NO DIMENTABS TAB 50MG 07/01/2007 12/31/2029 NO NO DIMETABS TAB 50MG 07/01/2007 12/31/2029 NO NO DINATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DITINIC TAB 50MG 07/01/2007 12/31/2029 NO NO DMH SYP 12.5/4ML 07/01/2007 12/31/2029 NO YES DOMMANATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DRAMAMINE CHW 25MG 07/01/2007 12/31/2029 NO YES DRAMAMINE CHW 50MG 07/01/2007 12/31/2029 NO YES DRAMAMINE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES DRAMAMINE LIQ 12.5/4ML 07/01/2007 12/31/2029 NO YES DRAMAMINE LIQ 12.5/5ML 07/01/2007 12/31/2029 NO YES DRAMAMINE TAB 50MG 07/01/2007 12/31/2029 NO YES DRAMAREX INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DRAMAREX TAB 50MG 07/01/2007 12/31/2029 NO NO DRAMAVANCE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DRAMOCEN INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DRAMOJECT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DRIMINATE TAB 50MG 07/01/2007 12/31/2029 NO NO DYMENATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO ECK MOTION TAB 50MG 07/01/2007 12/31/2029 NO NO ENVERT TAB 50MG 07/01/2007 12/31/2029 NO NO FV TRAV SICK TAB 50MG 07/01/2007 12/31/2029 NO NO GRAVOL TAB 50MG 07/01/2007 12/31/2029 NO NO HCA MOT SICK TAB 50MG 07/01/2007 12/31/2029 NO NO HM TRAV SICK TAB 50MG 07/01/2007 12/31/2029 NO NO HYDRATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO HYDRINATE LIQ 12.5/4ML 07/01/2007 12/31/2029 NO NO MDL TRAVEL TAB 50MG 07/01/2007 12/31/2029 NO NO MOTION RELIE TAB 50MG 07/01/2007 12/31/2029 NO NO MOTION SICK TAB 50MG 07/01/2007 12/31/2029 NO NO MOTION SICK TAB 50MG 07/01/2007 12/31/2029 NO NO MOTION SICK TAB REL 50MG 07/01/2007 12/31/2029 NO NO MOTION-AID INJ 50MG/ML 07/01/2007 12/31/2029 NO NO MOTION-AID LIQ 12.5/4ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Dimenhydrinate MOTION-AID TAB 50MG 07/01/2007 12/31/2029 NO NO NICO-VERT CAP 50 MG 07/01/2007 12/31/2029 NO NO OSCO TRAVEL TAB SICKNESS 07/01/2007 12/31/2029 NO NO RA TRAVEL SK TAB REL 50MG 07/01/2007 12/31/2029 NO NO SAV-ON TRAVL TAB 50MG 07/01/2007 12/31/2029 NO NO SHODRAM INJ 50MG/ML 07/01/2007 12/31/2029 NO NO TRAVEL AID TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL MOTIO TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL SICK TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL-EASE TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL-EZE TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL-WISE TAB 50MG 07/01/2007 12/31/2029 NO NO TRAV-TAB TAB 50MG 07/01/2007 12/31/2029 NO NO TRAV-TABS TAB 50MG 07/01/2007 12/31/2029 NO NO TRIPTONE TAB 50MG 07/01/2007 12/31/2029 NO NO UNI-CALM TAB 50MG 07/01/2007 12/31/2029 NO NO VERTAB CAP 07/01/2007 12/31/2029 NO YES WAL-DRAM TAB 50MG 07/01/2007 12/31/2029 NO NO WEHAMINE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO Dimenhydrinate-Niacin A-VAN CAP 07/01/2007 12/31/2029 NO NO NICO-VERT CAP 07/01/2007 12/31/2029 NO NO TEGA-VERT CAP 07/01/2007 12/31/2029 NO YES TRI-VERT TAB 07/01/2007 12/31/2029 NO YES VERGON CAP 07/01/2007 12/31/2029 NO NO Diphenidol HCl VONTROL TAB 25MG 07/01/2007 12/31/2029 NO YES Dolasetron Mesylate ANZEMET INJ 20MG/ML 07/01/2007 12/31/2029 NO YES ANZEMET TAB 100MG 07/01/2007 12/31/2029 NO YES ANZEMET TAB 50MG 07/01/2007 12/31/2029 NO YES Doxylamine-Pyridoxine DICLEGIS TAB 10-10MG 07/01/2007 12/31/2029 NO YES Dronabinol DRONABINOL CAP 10MG 07/01/2006 12/31/2029 NO NO DRONABINOL CAP 2.5MG 07/01/2006 12/31/2029 NO NO DRONABINOL CAP 5MG 07/01/2006 12/31/2029 NO NO MARINOL CAP 10MG 07/01/2006 12/31/2029 NO YES MARINOL CAP 2.5MG 07/01/2006 12/31/2029 NO YES MARINOL CAP 5MG 07/01/2006 12/31/2029 NO YES SYNDROS SOL 5MG/ML 07/01/2007 12/31/2029 NO YES Fosaprepitant Dimeglumine EMEND SOL 115MG 07/01/2007 12/31/2029 NO YES EMEND SOL 150MG 07/01/2007 12/31/2029 NO YES Fructose-Dextrose-Phosphoric Acid ANTI-NAUSEA LIQ 07/01/2007 12/31/2029 NO NO ANTI-NAUSEA SOL 07/01/2007 12/31/2029 NO NO ANTI-NAUSEA SOL CHERRY 07/01/2007 12/31/2029 NO NO ANTI-NAUSEA SOL LIQUID 07/01/2007 12/31/2029 NO NO ANTI-NAUSEA/ SOL REKEMAT 07/01/2007 12/31/2029 NO NO BL ANTI-NAUS LIQ 07/01/2007 12/31/2029 NO NO EMECHECK SOL CHERRY 07/01/2007 12/31/2029 NO NO EMETROL SOL 07/01/2007 12/31/2029 NO YES EMETROL SOL CHERRY 07/01/2007 12/31/2029 NO YES EMETROL SOL LEM-MINT 07/01/2007 12/31/2029 NO YES EMETROL SOL LEMONMIN 07/01/2007 12/31/2029 NO YES ESPECOL SOL 07/01/2007 12/31/2029 NO NO ESPECOL SOL CHERRY 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Fructose-Dextrose-Phosphoric Acid FORMULA EM SOL 07/01/2007 12/31/2029 NO NO GNP ANTI-NAU SOL 07/01/2007 12/31/2029 NO NO HM ANTI-NAUS SOL 07/01/2007 12/31/2029 NO NO KALMZ SOL ANTI-NAU 07/01/2007 12/31/2029 NO NO LITTLE TUMMY SOL NAUSEA 07/01/2007 12/31/2029 NO NO NAUSATROL SOL 07/01/2007 12/31/2029 NO NO NAUSEA LIQ RELIEF 07/01/2007 12/31/2029 NO NO NAUSEA CONTR SOL 07/01/2007 12/31/2029 NO NO NAUSETROL SOL 07/01/2007 12/31/2029 NO NO SAV-ON ANTI- SOL CHERRY 07/01/2007 12/31/2029 NO NO SB ANTI-NAUS SOL 07/01/2007 12/31/2029 NO NO Granisetron SANCUSO DIS 3.1MG 07/01/2007 12/31/2029 NO YES SUSTOL INJ 10/0.4ML 07/01/2007 12/31/2029 NO YES Granisetron HCl GRANISETRON INJ 0.1MG/ML 07/01/2007 12/31/2029 NO NO GRANISETRON INJ 1MG/ML 07/01/2007 12/31/2029 NO NO GRANISETRON INJ 4MG/4ML 07/01/2007 12/31/2029 NO NO GRANISETRON TAB 1MG 07/01/2007 12/31/2029 NO NO GRANISOL SOL 2MG/10ML 07/01/2007 12/31/2029 NO YES KYTRIL INJ 0.1MG/ML 07/01/2007 12/31/2029 NO YES KYTRIL INJ 1MG/ML 07/01/2007 12/31/2029 NO YES KYTRIL SOL 2MG/10ML 07/01/2007 12/31/2029 NO YES KYTRIL TAB 1MG 07/01/2007 12/31/2029 NO YES Meclizine HCl AMBIZINE TAB 25MG 07/01/2007 12/31/2029 NO NO ANTAZINE TAB 12.5MG 07/01/2007 12/31/2029 NO NO ANTAZINE TAB 25MG 07/01/2007 12/31/2029 NO NO ANTIVERT CHW 25MG 07/01/2007 12/31/2029 NO YES ANTIVERT TAB 12.5MG 07/01/2007 12/31/2029 NO YES ANTIVERT TAB 25MG 07/01/2007 12/31/2029 NO YES ANTIVERT TAB 50MG 07/01/2007 12/31/2029 NO YES BL MOTION SI TAB 25MG 07/01/2007 12/31/2029 NO NO BONINE CHW 25MG 07/01/2007 12/31/2029 NO YES DIZMISS CHW 25MG 07/01/2007 12/31/2029 NO NO DRAMAMINE TAB 25MG 07/01/2007 12/31/2029 NO NO DRIMINATE II TAB 25MG 07/01/2007 12/31/2029 NO NO D-VERT CHW 25MG 07/01/2007 12/31/2029 NO NO D-VERT TAB 12.5MG 07/01/2007 12/31/2029 NO NO D-VERT 15 CAP 15MG 07/01/2007 12/31/2029 NO YES D-VERT 30 CAP 30MG 07/01/2007 12/31/2029 NO YES ENVERT TAB 25MG 07/01/2007 12/31/2029 NO NO EN-VERT TAB 25MG 07/01/2007 12/31/2029 NO NO EQL MOTION TAB SICKNESS 07/01/2007 12/31/2029 NO NO FP MOTION TAB 25MG 07/01/2007 12/31/2029 NO NO GNP MOTION TAB 25MG 07/01/2007 12/31/2029 NO NO MECLAREX CHW 25MG 07/01/2007 12/31/2029 NO NO MECLAREX TAB 12.5MG 07/01/2007 12/31/2029 NO NO MECLAREX TAB 25MG 07/01/2007 12/31/2029 NO NO MECLICOT TAB 12.5MG 07/01/2007 12/31/2029 NO NO MECLIZINE CHW 25MG 07/01/2007 12/31/2029 NO NO MECLIZINE POW 07/01/2007 12/31/2029 NO YES MECLIZINE POW HCL 07/01/2007 12/31/2029 NO YES MECLIZINE POW HCL MONO 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Meclizine HCl MECLIZINE TAB 12.5MG 07/01/2007 12/31/2029 NO NO MECLIZINE TAB 25MG 07/01/2007 12/31/2029 NO NO MECLIZINE TAB 50MG 07/01/2007 12/31/2029 NO NO MECLIZINE 25 TAB 07/01/2007 12/31/2029 NO NO MEDI-MECLIZI TAB 25MG 07/01/2007 12/31/2029 NO NO MEDIVERT TAB 30MG 07/01/2007 12/31/2029 NO YES MENI-D CAP 25MG 07/01/2007 12/31/2029 NO YES MOTION RELF CHW 25MG 07/01/2007 12/31/2029 NO NO MOTION RELF TAB 25MG 07/01/2007 12/31/2029 NO NO MOTION SICK CHW 25MG 07/01/2007 12/31/2029 NO NO MOTION SICK TAB 25MG 07/01/2007 12/31/2029 NO NO MOTION-TIME CHW 25MG 07/01/2007 12/31/2029 NO NO NICO-VERT CAP 30MG 07/01/2007 12/31/2029 NO NO RU-VERT-M TAB 25MG 07/01/2007 12/31/2029 NO NO T-BIO TAB 25MG 07/01/2007 12/31/2029 NO NO TEGA-VERT TAB 50MG 07/01/2007 12/31/2029 NO NO TRAVEL AIDE CHW 25MG 07/01/2007 12/31/2029 NO NO TRAVEL SICK CHW 25MG 07/01/2007 12/31/2029 NO NO TRAVEL-EASE CHW 25MG 07/01/2007 12/31/2029 NO NO TRAVEL-EASE TAB 25MG 07/01/2007 12/31/2029 NO NO UNIVERT TAB 32MG 07/01/2007 12/31/2029 NO NO VERGON CAP 30MG 07/01/2007 12/31/2029 NO NO VERTIN-32 TAB 07/01/2007 12/31/2029 NO NO WAL-DRAM II TAB 25MG 07/01/2007 12/31/2029 NO NO Nabilone CESAMET CAP 1MG 07/01/2007 12/31/2029 NO YES Netupitant-Palonosetron AKYNZEO CAP 300-0.5 07/01/2007 12/31/2029 NO YES Ondansetron ONDANSETRON TAB 4MG 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 4MG ODT 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 8MG 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 8MG ODT 07/01/2007 12/31/2029 NO NO ZOFRAN INJ 2MG/ML 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 4MG ODT 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 8MG 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 8MG ODT 07/01/2007 12/31/2029 NO YES ZUPLENZ MIS 4MG 07/01/2007 12/31/2029 NO YES ZUPLENZ MIS 8MG 07/01/2007 12/31/2029 NO YES Ondansetron HCl ONDANSETRON INJ 40/20ML 07/01/2007 12/31/2029 NO NO ONDANSETRON INJ 4MG/2ML 07/01/2007 12/31/2029 NO NO ONDANSETRON SOL 4MG/5ML 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 24MG 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 4MG 07/01/2007 12/31/2029 NO NO ONDANSETRON TAB 8MG 07/01/2007 12/31/2029 NO NO ZOFRAN INJ 2MG/ML 07/01/2007 12/31/2029 NO YES ZOFRAN INJ 40/20ML 07/01/2007 12/31/2029 NO YES ZOFRAN INJ 4MG/2ML 07/01/2007 12/31/2029 NO YES ZOFRAN SOL 4MG/5ML 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 24MG 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 4MG 07/01/2007 12/31/2029 NO YES ZOFRAN TAB 8MG 07/01/2007 12/31/2029 NO YES Ondansetron HCl and Dextrose ONDANSETRON INJ 32/50ML 07/01/2007 12/31/2029 NO NO ZOFRAN INJ 32/50ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Ondansetron HCl and Sodium Chloride ONDANSE/NACL INJ 12/50ML 07/01/2007 12/31/2029 NO YES ONDANSE/NACL INJ 16/50ML 07/01/2007 12/31/2029 NO YES ONDANSE/NACL INJ 8MG/50ML 07/01/2007 12/31/2029 NO YES ONDANSETRON SOL 32MG/50M 07/01/2007 12/31/2029 NO YES Palonosetron HCl ALOXI INJ 07/01/2007 12/31/2029 NO YES ALOXI INJ 0.25MG/5 07/01/2007 12/31/2029 NO YES Pheniramine-Niacin VERSTAT CAP 07/01/2007 12/31/2029 NO YES Phosphorated Carbohydrate ANTI-EMETIC SOL 07/01/2007 12/31/2029 NO NO ANTI-NAUSEA SOL 07/01/2007 12/31/2029 NO NO EMETROL SOL 07/01/2007 12/31/2029 NO YES EMETROL SOL CHERRY 07/01/2007 12/31/2029 NO YES EMETROL SOL LEM-MINT 07/01/2007 12/31/2029 NO YES EMETROL SOL LEMONMIN 07/01/2007 12/31/2029 NO YES FOR NAUSEA SOL 07/01/2007 12/31/2029 NO NO FORMULA EM SOL 07/01/2007 12/31/2029 NO NO FV ANTI-NAUS SOL 07/01/2007 12/31/2029 NO NO NAUSATROL SOL 07/01/2007 12/31/2029 NO NO NAUS-A-WAY SOL 07/01/2007 12/31/2029 NO YES NAUS-CONTROL SOL 07/01/2007 12/31/2029 NO NO NAUSEA CONTR SOL 07/01/2007 12/31/2029 NO NO NAUSEA RELIE SOL MEDICINE 07/01/2007 12/31/2029 NO NO NAUSETROL SOL 07/01/2007 12/31/2029 NO NO NAUSETROL AN SOL 07/01/2007 12/31/2029 NO NO NAUS-X SOL 07/01/2007 12/31/2029 NO NO Phosphorated Carbohydrate w/Caffeine COCA COLA SYP 07/01/2007 12/31/2029 NO YES Rolapitant HCl VARUBI TAB 90MG 07/01/2007 12/31/2029 NO YES Scopolamine TRANSDERM-SC DIS 1.5MG 07/01/2007 12/31/2029 NO YES Scopolamine Aminoxide Hydrobromide SCOPODEX CAP 0.5MG 07/01/2007 12/31/2029 NO YES Scopolamine Hydrobromide MALDEMAR TAB 0.4MG 07/01/2007 12/31/2029 NO NO SCOPACE TAB 0.4MG 07/01/2007 12/31/2029 NO YES Thiethylperazine Maleate NORZINE INJ 10MG/2ML 07/01/2007 12/31/2029 NO NO NORZINE SUP 10MG 07/01/2007 12/31/2029 NO NO NORZINE TAB 10MG 07/01/2007 12/31/2029 NO NO TORECAN INJ 10MG/2ML 07/01/2007 12/31/2029 NO YES TORECAN SUP 10MG 07/01/2007 12/31/2029 NO YES TORECAN TAB 10MG 07/01/2007 12/31/2029 NO YES Trimethobenzamide HCl BIO-GAN SUP 100MG 07/01/2007 12/31/2029 NO NO BIO-GAN SUP 200MG 07/01/2007 12/31/2029 NO NO HYMETIC INJ 100MG/ML 07/01/2007 12/31/2029 NO NO NAVOGAN SUP 100MG 07/01/2007 12/31/2029 NO NO TEBAMIDE SUP 100MG 07/01/2007 12/31/2029 NO NO TEBAMIDE SUP 200MG 07/01/2007 12/31/2029 NO NO TEGAMIDE SUP 200MG 07/01/2007 12/31/2029 NO NO TEGAMIDE PED SUP 100MG 07/01/2007 12/31/2029 NO NO TICON INJ 100MG/ML 07/01/2007 12/31/2029 NO NO TIGAN CAP 100MG 07/01/2007 12/31/2029 NO YES TIGAN CAP 250MG 07/01/2007 12/31/2029 NO YES TIGAN CAP 300MG 07/01/2007 12/31/2029 NO YES TIGAN INJ 100MG/ML 07/01/2007 12/31/2029 NO YES TIGAN SUP 200MG 07/01/2007 12/31/2029 NO YES TIGAN PEDIAT SUP 100MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIEMETICS* Trimethobenzamide HCl TIJECT-20 INJ 100MG/ML 07/01/2007 12/31/2029 NO NO TI-PLEX 100 SUP 100MG 07/01/2007 12/31/2029 NO NO TI-PLEX 200 SUP 200MG 07/01/2007 12/31/2029 NO NO TRIBAN SUP 100MG 07/01/2007 12/31/2029 NO NO TRIBAN SUP 200MG 07/01/2007 12/31/2029 NO NO TRIBAN PED SUP 100MG 07/01/2007 12/31/2029 NO NO TRIMETH INJ 100MG/ML 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ CAP 100MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ CAP 250MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ CAP 300MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ INJ 100MG/ML 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ SUP 100MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ SUP 200MG 07/01/2007 12/31/2029 NO NO Trimethobenzamide-Benzocaine TEBAMIDE SUP 100MG 07/01/2007 12/31/2029 NO NO TEBAMIDE SUP 200MG 07/01/2007 12/31/2029 NO NO TEGAMIDE SUP 200MG 07/01/2007 12/31/2029 NO NO TEGAMIDE PED SUP 100MG 07/01/2007 12/31/2029 NO NO TIGAN SUP 100MG 07/01/2007 12/31/2029 NO YES TIGAN SUP 200MG 07/01/2007 12/31/2029 NO YES TRIMETHOBENZ SUP 100MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ SUP 100MG-2% 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ SUP 200MG 07/01/2007 12/31/2029 NO NO TRIMETHOBENZ SUP 200MG-2% 07/01/2007 12/31/2029 NO NO *ANTIFUNGALS* Amphotericin B AMPHOCIN INJ 50MG 07/01/2006 12/31/2029 NO NO AMPHOTERICIN INJ 50MG 07/01/2006 12/31/2029 NO YES FUNGIZONE INJ 50MG 07/01/2006 12/31/2029 NO YES Caspofungin Acetate CANCIDAS INJ 50MG 07/01/2006 12/31/2029 NO YES CANCIDAS INJ 70MG 07/01/2006 12/31/2029 NO YES Fluconazole DIFLUCAN SUS 10MG/ML 07/01/2006 12/31/2029 NO YES DIFLUCAN SUS 40MG/ML 07/01/2006 12/31/2029 NO YES DIFLUCAN TAB 100MG 07/01/2006 12/31/2029 NO YES DIFLUCAN TAB 150MG 07/01/2006 12/31/2029 NO YES DIFLUCAN TAB 200MG 07/01/2006 12/31/2029 NO YES DIFLUCAN TAB 50MG 07/01/2006 12/31/2029 NO YES FLUCONAZOLE SUS 10MG/ML 07/01/2006 12/31/2029 NO NO FLUCONAZOLE SUS 40MG/ML 07/01/2006 12/31/2029 NO NO FLUCONAZOLE TAB 100MG 07/01/2006 12/31/2029 NO NO FLUCONAZOLE TAB 150MG 07/01/2006 12/31/2029 NO NO FLUCONAZOLE TAB 200MG 07/01/2006 12/31/2029 NO NO FLUCONAZOLE TAB 50MG 07/01/2006 12/31/2029 NO NO Flucytosine ANCOBON CAP 250MG 07/01/2006 12/31/2029 NO YES ANCOBON CAP 500MG 07/01/2006 12/31/2029 NO YES FLUCYTOSINE CAP 250MG 07/01/2006 12/31/2029 NO NO FLUCYTOSINE CAP 500MG 07/01/2006 12/31/2029 NO NO Itraconazole ITRACONAZOLE CAP 100MG 07/01/2006 12/31/2029 NO NO SPORANOX CAP 100MG 07/01/2006 12/31/2029 NO YES SPORANOX CAP PULSEPAK 07/01/2006 12/31/2029 NO YES SPORANOX KIT 250MG 07/01/2006 12/31/2029 NO YES SPORANOX SOL 10MG/ML 07/01/2006 12/31/2029 NO YES Ketoconazole KETOCONAZOLE TAB 200MG 07/01/2006 12/31/2029 NO NO NIZORAL TAB 200MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIFUNGALS* Miconazole MICONAZOLE POW 07/01/2006 12/31/2029 NO YES Nystatin BIO-STATIN CAP 1000000 07/01/2006 12/31/2029 NO YES BIO-STATIN CAP 500000 07/01/2006 12/31/2029 NO YES BIO-STATIN POW 07/01/2006 12/31/2029 NO NO MYCOSTATIN TAB 500000 07/01/2006 12/31/2029 NO YES MYCOSTATIN TAB 500000U 07/01/2006 12/31/2029 NO YES NILSTAT TAB 500000U 07/01/2006 12/31/2029 NO YES NYSTATIN POW 07/01/2006 12/31/2029 NO NO NYSTATIN TAB 500000 07/01/2006 12/31/2029 NO NO NYSTATIN TAB 500000U 07/01/2006 12/31/2029 NO NO O-V STATIN PKG COMB 07/01/2006 12/31/2029 NO YES Voriconazole VFEND SUS 40MG/ML 07/01/2006 12/31/2029 NO YES VFEND TAB 200MG 07/01/2006 12/31/2029 NO YES VFEND TAB 50MG 07/01/2006 12/31/2029 NO YES VFEND IV INJ 200MG 07/01/2006 12/31/2029 NO YES VORICONAZOLE INJ 200MG 07/01/2006 12/31/2029 NO NO VORICONAZOLE SUS 40MG/ML 07/01/2006 12/31/2029 NO NO VORICONAZOLE TAB 200MG 07/01/2006 12/31/2029 NO NO VORICONAZOLE TAB 50MG 07/01/2006 12/31/2029 NO NO *ANTIHYPERLIPIDEMICS* Alirocumab PRALUENT INJ 150MG/ML 07/01/2007 12/31/2029 NO YES PRALUENT INJ 75MG/ML 07/01/2007 12/31/2029 NO YES Aspirin Buffered-Pravastatin Sodium PRAVIGARD MIS 325-20MG 07/01/2007 12/31/2029 NO YES PRAVIGARD MIS 325-40MG 07/01/2007 12/31/2029 NO YES PRAVIGARD MIS 325-80MG 07/01/2007 12/31/2029 NO YES PRAVIGARD MIS 81-20MG 07/01/2007 12/31/2029 NO YES PRAVIGARD MIS 81-40MG 07/01/2007 12/31/2029 NO YES PRAVIGARD MIS 81-80MG 07/01/2007 12/31/2029 NO YES Atorvastatin Calcium ATORVASTATIN TAB 10MG 07/01/2007 12/31/2029 NO NO ATORVASTATIN TAB 20MG 07/01/2007 12/31/2029 NO NO ATORVASTATIN TAB 40MG 07/01/2007 12/31/2029 NO NO ATORVASTATIN TAB 80MG 07/01/2007 12/31/2029 NO NO LIPITOR TAB 10MG 07/01/2007 12/31/2029 NO YES LIPITOR TAB 20MG 07/01/2007 12/31/2029 NO YES LIPITOR TAB 40MG 07/01/2007 12/31/2029 NO YES LIPITOR TAB 80MG 07/01/2007 12/31/2029 NO YES Atorvastatin Calcium-Coenzyme Q10 ATORVA/COQ10 PAK 20-100MG 07/01/2007 12/31/2029 NO YES Cerivastatin Sodium BAYCOL TAB 0.2MG 07/01/2007 12/31/2029 NO YES BAYCOL TAB 0.3MG 07/01/2007 12/31/2029 NO YES BAYCOL TAB 0.4MG 07/01/2007 12/31/2029 NO YES BAYCOL TAB 0.8MG 07/01/2007 12/31/2029 NO YES Cholestyramine CHOLESTYRAM POW 4GM 07/01/2007 12/31/2029 NO NO CHOLESTYRAM POW 4GM LITE 07/01/2007 12/31/2029 NO NO CHOLYBAR BAR 4GM 07/01/2007 12/31/2029 NO YES LOCHOLEST POW 4GM 07/01/2007 12/31/2029 NO NO QUESTRAN POW 4GM 07/01/2007 12/31/2029 NO YES QUESTRAN POW 4GM LITE 07/01/2007 12/31/2029 NO YES QUESTRAN TAB 1GM 07/01/2007 12/31/2029 NO YES Cholestyramine Light CHOLESTYRAM POW 4GM LITE 07/01/2007 12/31/2029 NO NO LOCHOLEST POW 4GM LITE 07/01/2007 12/31/2029 NO NO PREVALITE POW 4GM 07/01/2007 12/31/2029 NO NO PREVALITE POW 4GM PK 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERLIPIDEMICS* Cholestyramine Light QUESTRAN POW 4GM LITE 07/01/2007 12/31/2029 NO YES Choline Fenofibrate FENOFIBRIC CAP 135MG DR 07/01/2007 12/31/2029 NO NO FENOFIBRIC CAP 45MG DR 07/01/2007 12/31/2029 NO NO TRILIPIX CAP 135MG 07/01/2007 12/31/2029 NO YES TRILIPIX CAP 45MG 07/01/2007 12/31/2029 NO YES Clofibrate ATROMID S CAP 500MG 07/01/2007 12/31/2029 NO YES CLOFIBRATE CAP 500MG 07/01/2007 12/31/2029 NO NO Colesevelam HCl WELCHOL PAK 3.75GM 07/01/2007 12/31/2029 NO YES WELCHOL TAB 625MG 07/01/2007 12/31/2029 NO YES Colestipol HCl COLESTID GRA 5GM 07/01/2007 12/31/2029 NO YES COLESTID POW 5GM 07/01/2007 12/31/2029 NO YES COLESTID TAB 1GM 07/01/2007 12/31/2029 NO YES COLESTID FLA GRA 5/7.5GM 07/01/2007 12/31/2029 NO YES COLESTID FLA GRA 5GM 07/01/2007 12/31/2029 NO YES COLESTIPOL GRA 5GM 07/01/2007 12/31/2029 NO NO COLESTIPOL TAB 1GM 07/01/2007 12/31/2029 NO NO Dextrothyroxine Sodium CHOLOXIN TAB 1MG 07/01/2007 12/31/2029 NO YES CHOLOXIN TAB 2MG 07/01/2007 12/31/2029 NO YES CHOLOXIN TAB 4MG 07/01/2007 12/31/2029 NO YES CHOLOXIN TAB 6MG 07/01/2007 12/31/2029 NO YES Evolocumab REPATHA INJ 140MG/ML 07/01/2007 12/31/2029 NO YES REPATHA PUSH INJ 420/3.5 07/01/2007 12/31/2029 NO YES REPATHA SURE INJ 140MG/ML 07/01/2007 12/31/2029 NO YES Ezetimibe EZETIMIBE TAB 10MG 07/01/2007 12/31/2029 NO NO ZETIA TAB 10MG 07/01/2007 12/31/2029 NO YES Ezetimibe-Atorvastatin LIPTRUZET TAB 10-10MG 07/01/2007 12/31/2029 NO YES LIPTRUZET TAB 10-20MG 07/01/2007 12/31/2029 NO YES LIPTRUZET TAB 10-40MG 07/01/2007 12/31/2029 NO YES LIPTRUZET TAB 10-80MG 07/01/2007 12/31/2029 NO YES Ezetimibe-Simvastatin EZETIM/SIMVA TAB 10-10MG 07/01/2007 12/31/2029 NO NO EZETIM/SIMVA TAB 10-20MG 07/01/2007 12/31/2029 NO NO EZETIM/SIMVA TAB 10-40MG 07/01/2007 12/31/2029 NO NO EZETIM/SIMVA TAB 10-80MG 07/01/2007 12/31/2029 NO NO VYTORIN TAB 10-10MG 07/01/2007 12/31/2029 NO YES VYTORIN TAB 10-20MG 07/01/2007 12/31/2029 NO YES VYTORIN TAB 10-40MG 07/01/2007 12/31/2029 NO YES VYTORIN TAB 10-80MG 07/01/2007 12/31/2029 NO YES Fenofibrate FENOFIBRATE CAP 150MG 07/01/2007 12/31/2029 NO YES FENOFIBRATE CAP 50MG 07/01/2007 12/31/2029 NO YES FENOFIBRATE TAB 120MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 145MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 160 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 160MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 40MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 48MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE TAB 54MG 07/01/2007 12/31/2029 NO NO FENOGLIDE TAB 120MG 07/01/2007 12/31/2029 NO YES FENOGLIDE TAB 40MG 07/01/2007 12/31/2029 NO YES LIPOFEN CAP 150MG 07/01/2007 12/31/2029 NO YES LIPOFEN CAP 50MG 07/01/2007 12/31/2029 NO YES LOFIBRA TAB 160MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERLIPIDEMICS* Fenofibrate LOFIBRA TAB 54MG 07/01/2007 12/31/2029 NO YES TRICOR TAB 145MG 07/01/2007 12/31/2029 NO YES TRICOR TAB 160MG 07/01/2007 12/31/2029 NO YES TRICOR TAB 48MG 07/01/2007 12/31/2029 NO YES TRICOR TAB 54MG 07/01/2007 12/31/2029 NO YES TRIGLIDE TAB 160MG 07/01/2007 12/31/2029 NO YES TRIGLIDE TAB 50MG 07/01/2007 12/31/2029 NO YES Fenofibrate Micronized ANTARA CAP 130MG 07/01/2007 12/31/2029 NO YES ANTARA CAP 30MG 07/01/2007 12/31/2029 NO YES ANTARA CAP 43MG 07/01/2007 12/31/2029 NO YES ANTARA CAP 90MG 07/01/2007 12/31/2029 NO YES FENOFIBRATE CAP 130MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE CAP 134MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE CAP 200MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE CAP 43MG 07/01/2007 12/31/2029 NO NO FENOFIBRATE CAP 67MG 07/01/2007 12/31/2029 NO NO LOFIBRA CAP 134MG 07/01/2007 12/31/2029 NO YES LOFIBRA CAP 200MG 07/01/2007 12/31/2029 NO YES LOFIBRA CAP 67MG 07/01/2007 12/31/2029 NO YES TRICOR CAP 134MG 07/01/2007 12/31/2029 NO YES TRICOR CAP 200MG 07/01/2007 12/31/2029 NO YES TRICOR CAP 67MG 07/01/2007 12/31/2029 NO YES Fenofibric Acid FENOFIBRIC TAB 105MG 07/01/2007 12/31/2029 NO YES FENOFIBRIC TAB 35MG 07/01/2007 12/31/2029 NO YES FIBRICOR TAB 105MG 07/01/2007 12/31/2029 NO YES FIBRICOR TAB 35MG 07/01/2007 12/31/2029 NO YES Fluvastatin Sodium FLUVASTATIN CAP 20MG 07/01/2007 12/31/2029 NO NO FLUVASTATIN CAP 40MG 07/01/2007 12/31/2029 NO NO FLUVASTATIN TAB 80MG ER 07/01/2007 12/31/2029 NO NO LESCOL CAP 20MG 07/01/2007 12/31/2029 NO YES LESCOL CAP 40MG 07/01/2007 12/31/2029 NO YES LESCOL XL TAB 80MG 07/01/2007 12/31/2029 NO YES Gemfibrozil GEMCOR TAB 600MG 07/01/2007 12/31/2029 NO NO GEMFIBROZIL POW 07/01/2007 12/31/2029 NO YES GEMFIBROZIL TAB 600MG 07/01/2007 12/31/2029 NO NO LOPID CAP 300MG 07/01/2007 12/31/2029 NO YES LOPID TAB 600MG 07/01/2007 12/31/2029 NO YES Icosapent Ethyl VASCEPA CAP 0.5GM 07/01/2007 12/31/2029 NO YES VASCEPA CAP 1GM 07/01/2007 12/31/2029 NO YES Lomitapide Mesylate JUXTAPID CAP 10MG 07/01/2007 12/31/2029 NO YES JUXTAPID CAP 20MG 07/01/2007 12/31/2029 NO YES JUXTAPID CAP 30MG 07/01/2007 12/31/2029 NO YES JUXTAPID CAP 40MG 07/01/2007 12/31/2029 NO YES JUXTAPID CAP 5MG 07/01/2007 12/31/2029 NO YES JUXTAPID CAP 60MG 07/01/2007 12/31/2029 NO YES Lovastatin ALTOCOR TAB 10MG CR 07/01/2007 12/31/2029 NO YES ALTOCOR TAB 20MG CR 07/01/2007 12/31/2029 NO YES ALTOCOR TAB 40MG CR 07/01/2007 12/31/2029 NO YES ALTOCOR TAB 60MG CR 07/01/2007 12/31/2029 NO YES ALTOPREV TAB 10MG ER 07/01/2007 12/31/2029 NO YES ALTOPREV TAB 20MG ER 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERLIPIDEMICS* Lovastatin ALTOPREV TAB 40MG ER 07/01/2007 12/31/2029 NO YES ALTOPREV TAB 60MG ER 07/01/2007 12/31/2029 NO YES LOVASTATIN TAB 10MG 07/01/2007 12/31/2029 NO NO LOVASTATIN TAB 20MG 07/01/2007 12/31/2029 NO NO LOVASTATIN TAB 40MG 07/01/2007 12/31/2029 NO NO MEVACOR TAB 10MG 07/01/2007 12/31/2029 NO YES MEVACOR TAB 20MG 07/01/2007 12/31/2029 NO YES MEVACOR TAB 40MG 07/01/2007 12/31/2029 NO YES Mipomersen Sodium KYNAMRO INJ 200MG/ML 07/01/2007 12/31/2029 NO YES Misc Natural HMG CoA Reductase Inhibitors CHOLESTIN CAP 600MG 07/01/2007 12/31/2029 NO YES Niacin (Antihyperlipidemic) NIACIN TAB 500MG ER 07/01/2007 12/31/2029 NO NO NIACIN ER TAB 1000MG 07/01/2007 12/31/2029 NO NO NIACIN ER TAB 500MG 07/01/2007 12/31/2029 NO NO NIACIN ER TAB 750MG 07/01/2007 12/31/2029 NO NO NIACOR TAB 500MG 07/01/2007 12/31/2029 NO YES NIASPAN TAB 1000 ER 07/01/2007 12/31/2029 NO YES NIASPAN TAB 500MG ER 07/01/2007 12/31/2029 NO YES NIASPAN TAB 750MG ER 07/01/2007 12/31/2029 NO YES NIASPAN TAB START ER 07/01/2007 12/31/2029 NO YES Niacin-Lovastatin ADVICOR TAB 1000-20 07/01/2007 12/31/2029 NO YES ADVICOR TAB 1000-40 07/01/2007 12/31/2029 NO YES ADVICOR TAB 500-20MG 07/01/2007 12/31/2029 NO YES ADVICOR TAB 750-20MG 07/01/2007 12/31/2029 NO YES Niacin-Simvastatin SIMCOR TAB 1000-20 07/01/2007 12/31/2029 NO YES SIMCOR TAB 1000-40 07/01/2007 12/31/2029 NO YES SIMCOR TAB 500-20MG 07/01/2007 12/31/2029 NO YES SIMCOR TAB 500-40MG 07/01/2007 12/31/2029 NO YES SIMCOR TAB 750-20MG 07/01/2007 12/31/2029 NO YES Omega-3-acid Ethyl Esters LOVAZA CAP 1GM 07/01/2007 12/31/2029 NO YES OMACOR CAP 1GM 07/01/2007 12/31/2029 NO YES OMEGA-3-ACID CAP 1GM 07/01/2007 12/31/2029 NO NO Omega-3-acid Ethyl Esters & Cholecalciferol OMEGA-3/D-3 KIT WELLNESS 07/01/2007 12/31/2029 NO YES SURE RESULT KIT O3D3 SYS 07/01/2007 12/31/2029 NO YES Pitavastatin Calcium LIVALO TAB 1MG 07/01/2007 12/31/2029 NO YES LIVALO TAB 2MG 07/01/2007 12/31/2029 NO YES LIVALO TAB 4MG 07/01/2007 12/31/2029 NO YES Pravastatin Sodium PRAVACHOL TAB 10MG 07/01/2007 12/31/2029 NO YES PRAVACHOL TAB 20MG 07/01/2007 12/31/2029 NO YES PRAVACHOL TAB 40MG 07/01/2007 12/31/2029 NO YES PRAVACHOL TAB 80MG 07/01/2007 12/31/2029 NO YES PRAVASTATIN TAB 10MG 07/01/2007 12/31/2029 NO NO PRAVASTATIN TAB 20MG 07/01/2007 12/31/2029 NO NO PRAVASTATIN TAB 40MG 07/01/2007 12/31/2029 NO NO PRAVASTATIN TAB 80MG 07/01/2007 12/31/2029 NO NO Probucol LORELCO TAB 250MG 07/01/2007 12/31/2029 NO YES LORELCO TAB 500MG 07/01/2007 12/31/2029 NO YES PROBUCOL POW 07/01/2007 12/31/2029 NO YES Rosuvastatin Calcium CRESTOR TAB 10MG 07/01/2007 12/31/2029 NO YES CRESTOR TAB 20MG 07/01/2007 12/31/2029 NO YES CRESTOR TAB 40MG 07/01/2007 12/31/2029 NO YES CRESTOR TAB 5MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERLIPIDEMICS* Rosuvastatin Calcium ROSUVASTATIN TAB 10MG 07/01/2007 12/31/2029 NO NO ROSUVASTATIN TAB 20MG 07/01/2007 12/31/2029 NO NO ROSUVASTATIN TAB 40MG 07/01/2007 12/31/2029 NO NO ROSUVASTATIN TAB 5MG 07/01/2007 12/31/2029 NO NO Simvastatin SIMVASTATIN TAB 10MG 07/01/2007 12/31/2029 NO NO SIMVASTATIN TAB 20MG 07/01/2007 12/31/2029 NO NO SIMVASTATIN TAB 40MG 07/01/2007 12/31/2029 NO NO SIMVASTATIN TAB 5MG 07/01/2007 12/31/2029 NO NO SIMVASTATIN TAB 80MG 07/01/2007 12/31/2029 NO NO ZOCOR TAB 10MG 07/01/2007 12/31/2029 NO YES ZOCOR TAB 20MG 07/01/2007 12/31/2029 NO YES ZOCOR TAB 40MG 07/01/2007 12/31/2029 NO YES ZOCOR TAB 5MG 07/01/2007 12/31/2029 NO YES ZOCOR TAB 80MG 07/01/2007 12/31/2029 NO YES *ANTIHYPERTENSIVES* Aliskiren Fumarate TEKTURNA TAB 150MG 07/01/2007 12/31/2029 NO YES TEKTURNA TAB 300MG 07/01/2007 12/31/2029 NO YES Aliskiren-Amlodipine TEKAMLO TAB 150-10MG 07/01/2007 12/31/2029 NO YES TEKAMLO TAB 150-5MG 07/01/2007 12/31/2029 NO YES TEKAMLO TAB 300-10MG 07/01/2007 12/31/2029 NO YES TEKAMLO TAB 300-5MG 07/01/2007 12/31/2029 NO YES Aliskiren-Amlodipine-Hydrochlorothiazide AMTURNIDE150 TAB -5-12.5 07/01/2007 12/31/2029 NO YES AMTURNIDE300 TAB -10-12.5 07/01/2007 12/31/2029 NO YES AMTURNIDE300 TAB -10-25MG 07/01/2007 12/31/2029 NO YES AMTURNIDE300 TAB -5-12.5 07/01/2007 12/31/2029 NO YES AMTURNIDE300 TAB -5-25MG 07/01/2007 12/31/2029 NO YES Aliskiren-Hydrochlorothiazide TEKTURNA HCT TAB 150-12.5 07/01/2007 12/31/2029 NO YES TEKTURNA HCT TAB 150-25MG 07/01/2007 12/31/2029 NO YES TEKTURNA HCT TAB 300-12.5 07/01/2007 12/31/2029 NO YES TEKTURNA HCT TAB 300-25MG 07/01/2007 12/31/2029 NO YES Aliskiren-Valsartan VALTURNA TAB 150-160 07/01/2007 12/31/2029 NO YES VALTURNA TAB 300-320 07/01/2007 12/31/2029 NO YES Alseroxylon RAUWILOID TAB 2MG 07/01/2007 12/31/2029 NO YES Amlodipine Besylate-Benazepril HCl AMLOD/BENAZP CAP 10-20MG 07/01/2007 12/31/2029 NO NO AMLOD/BENAZP CAP 10-40MG 07/01/2007 12/31/2029 NO NO AMLOD/BENAZP CAP 2.5-10MG 07/01/2007 12/31/2029 NO NO AMLOD/BENAZP CAP 5-10MG 07/01/2007 12/31/2029 NO NO AMLOD/BENAZP CAP 5-20MG 07/01/2007 12/31/2029 NO NO AMLOD/BENAZP CAP 5-40MG 07/01/2007 12/31/2029 NO NO LOTREL CAP 10-20MG 07/01/2007 12/31/2029 NO YES LOTREL CAP 10-40MG 07/01/2007 12/31/2029 NO YES LOTREL CAP 2.5-10MG 07/01/2007 12/31/2029 NO YES LOTREL CAP 5-10MG 07/01/2007 12/31/2029 NO YES LOTREL CAP 5-20MG 07/01/2007 12/31/2029 NO YES LOTREL CAP 5-40MG 07/01/2007 12/31/2029 NO YES Amlodipine Besylate-Olmesartan Medoxomil AMLOD/OLMESA TAB 10-20MG 07/01/2007 12/31/2029 NO NO AMLOD/OLMESA TAB 10-40MG 07/01/2007 12/31/2029 NO NO AMLOD/OLMESA TAB 5-20MG 07/01/2007 12/31/2029 NO NO AMLOD/OLMESA TAB 5-40MG 07/01/2007 12/31/2029 NO NO AZOR TAB 10-20MG 07/01/2007 12/31/2029 NO YES AZOR TAB 10-40MG 07/01/2007 12/31/2029 NO YES AZOR TAB 5-20MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Amlodipine Besylate-Olmesartan Medoxomil AZOR TAB 5-40MG 07/01/2007 12/31/2029 NO YES Amlodipine Besylate-Valsartan AMLOD/VALSAR TAB 10-160MG 07/01/2007 12/31/2029 NO NO AMLOD/VALSAR TAB 10-320MG 07/01/2007 12/31/2029 NO NO AMLOD/VALSAR TAB 5-160MG 07/01/2007 12/31/2029 NO NO AMLOD/VALSAR TAB 5-320MG 07/01/2007 12/31/2029 NO NO EXFORGE TAB 10-160MG 07/01/2007 12/31/2029 NO YES EXFORGE TAB 10-320MG 07/01/2007 12/31/2029 NO YES EXFORGE TAB 5-160MG 07/01/2007 12/31/2029 NO YES EXFORGE TAB 5-320MG 07/01/2007 12/31/2029 NO YES Amlodipine-Valsartan-Hydrochlorothiazide AMLOD/VALSAR TAB /HCTZ 07/01/2007 12/31/2029 NO NO EXFORGEH/10- TAB 160-12.5 07/01/2007 12/31/2029 NO YES EXFORGEH/10- TAB 160-25 07/01/2007 12/31/2029 NO YES EXFORGEH/10- TAB 320-25 07/01/2007 12/31/2029 NO YES EXFORGEH/5- TAB 160-12.5 07/01/2007 12/31/2029 NO YES EXFORGEH/5- TAB 160-25 07/01/2007 12/31/2029 NO YES Atenolol & Chlorthalidone ATENOL/CHLOR TAB 100-25MG 07/01/2007 12/31/2029 NO NO ATENOL/CHLOR TAB 50-25MG 07/01/2007 12/31/2029 NO NO TENORETIC TAB 100 07/01/2007 12/31/2029 NO YES TENORETIC TAB -100 07/01/2007 12/31/2029 NO YES TENORETIC TAB 50 07/01/2007 12/31/2029 NO YES TENORETIC TAB -50 07/01/2007 12/31/2029 NO YES Azilsartan Medoxomil EDARBI TAB 40MG 07/01/2007 12/31/2029 NO YES EDARBI TAB 80MG 07/01/2007 12/31/2029 NO YES Azilsartan Medoxomil-Chlorthalidone EDARBYCLOR TAB 40-12.5 07/01/2007 12/31/2029 NO YES EDARBYCLOR TAB 40-25MG 07/01/2007 12/31/2029 NO YES Benazepril & Hydrochlorothiazide BENAZEP/HCTZ TAB 10-12.5 07/01/2007 12/31/2029 NO NO BENAZEP/HCTZ TAB 20-12.5 07/01/2007 12/31/2029 NO NO BENAZEP/HCTZ TAB 20-25MG 07/01/2007 12/31/2029 NO NO BENAZEP/HCTZ TAB 5-6.25 07/01/2007 12/31/2029 NO NO LOTENSIN HCT TAB 10-12.5 07/01/2007 12/31/2029 NO YES LOTENSIN HCT TAB 20-12.5 07/01/2007 12/31/2029 NO YES LOTENSIN HCT TAB 20-25MG 07/01/2007 12/31/2029 NO YES LOTENSIN HCT TAB 5-6.25MG 07/01/2007 12/31/2029 NO YES Benazepril HCl BENAZEPRIL TAB 10MG 07/01/2007 12/31/2029 NO NO BENAZEPRIL TAB 20MG 07/01/2007 12/31/2029 NO NO BENAZEPRIL TAB 40MG 07/01/2007 12/31/2029 NO NO BENAZEPRIL TAB 5MG 07/01/2007 12/31/2029 NO NO LOTENSIN TAB 10MG 07/01/2007 12/31/2029 NO YES LOTENSIN TAB 20MG 07/01/2007 12/31/2029 NO YES LOTENSIN TAB 40MG 07/01/2007 12/31/2029 NO YES LOTENSIN TAB 5MG 07/01/2007 12/31/2029 NO YES Bendroflumethiazide/Rauwolfia FLUMEZIDE TAB 07/01/2007 12/31/2029 NO NO RAUWOLFIA/ TAB BENDROFL 07/01/2007 12/31/2029 NO YES RAUZIDE TAB 07/01/2007 12/31/2029 NO YES RONDAMETH TAB 07/01/2007 12/31/2029 NO NO Bisoprolol & Hydrochlorothiazide BISOPRL/HCTZ TAB 10/6.25 07/01/2007 12/31/2029 NO NO BISOPRL/HCTZ TAB 2.5/6.25 07/01/2007 12/31/2029 NO NO BISOPRL/HCTZ TAB 5/6.25MG 07/01/2007 12/31/2029 NO NO BISOPRL/HCTZ TAB 5-6.25MG 07/01/2007 12/31/2029 NO NO ZIAC TAB 10/6.25 07/01/2007 12/31/2029 NO YES ZIAC TAB 2.5/6.25 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Bisoprolol & Hydrochlorothiazide ZIAC TAB 5/6.25MG 07/01/2007 12/31/2029 NO YES ZIAC TAB 5-6.25MG 07/01/2007 12/31/2029 NO YES Candesartan Cilexetil ATACAND TAB 16MG 07/01/2007 12/31/2029 NO YES ATACAND TAB 32MG 07/01/2007 12/31/2029 NO YES ATACAND TAB 4MG 07/01/2007 12/31/2029 NO YES ATACAND TAB 8MG 07/01/2007 12/31/2029 NO YES CANDESARTAN TAB 16MG 07/01/2007 12/31/2029 NO NO CANDESARTAN TAB 32MG 07/01/2007 12/31/2029 NO NO CANDESARTAN TAB 4MG 07/01/2007 12/31/2029 NO NO CANDESARTAN TAB 8MG 07/01/2007 12/31/2029 NO NO Candesartan Cilexetil-Hydrochlorothiazide ATACAND HCT TAB 16-12.5 07/01/2007 12/31/2029 NO YES ATACAND HCT TAB 32-12.5 07/01/2007 12/31/2029 NO YES ATACAND HCT TAB 32-25MG 07/01/2007 12/31/2029 NO YES CANDESA/HCTZ TAB 16-12.5 07/01/2007 12/31/2029 NO NO CANDESA/HCTZ TAB 32-12.5 07/01/2007 12/31/2029 NO NO CANDESA/HCTZ TAB 32-25MG 07/01/2007 12/31/2029 NO NO Captopril CAPOTEN TAB 100MG 07/01/2007 12/31/2029 NO YES CAPOTEN TAB 12.5MG 07/01/2007 12/31/2029 NO YES CAPOTEN TAB 25MG 07/01/2007 12/31/2029 NO YES CAPOTEN TAB 50MG 07/01/2007 12/31/2029 NO YES CAPTOPRIL TAB 100MG 07/01/2007 12/31/2029 NO NO CAPTOPRIL TAB 12.5MG 07/01/2007 12/31/2029 NO NO CAPTOPRIL TAB 25MG 07/01/2007 12/31/2029 NO NO CAPTOPRIL TAB 25MG VHA 07/01/2007 12/31/2029 NO NO CAPTOPRIL TAB 50MG 07/01/2007 12/31/2029 NO NO THSC CAPTOPR TAB 12.5MG 07/01/2007 12/31/2029 NO NO THSC CAPTOPR TAB 25MG 07/01/2007 12/31/2029 NO NO THSC CAPTOPR TAB 50MG 07/01/2007 12/31/2029 NO NO Captopril & Hydrochlorothiazide CAPOZIDE TAB 25/15MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 25/25MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 25-15MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 25-25MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 50/15MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 50/25MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 50-15MG 07/01/2007 12/31/2029 NO YES CAPOZIDE TAB 50-25MG 07/01/2007 12/31/2029 NO YES CAPTOPR/HCTZ TAB 25-15MG 07/01/2007 12/31/2029 NO NO CAPTOPR/HCTZ TAB 25-25MG 07/01/2007 12/31/2029 NO NO CAPTOPR/HCTZ TAB 50-15MG 07/01/2007 12/31/2029 NO NO CAPTOPR/HCTZ TAB 50-25MG 07/01/2007 12/31/2029 NO NO Clonidine & Chlorthalidone CLONID/CHLOR TAB 0.1-15 07/01/2007 12/31/2029 NO NO CLONID/CHLOR TAB 0.2-15 07/01/2007 12/31/2029 NO NO CLONID/CHLOR TAB 0.3-15 07/01/2007 12/31/2029 NO NO CLORPRES TAB 0.1-15MG 07/01/2007 12/31/2029 NO YES CLORPRES TAB 0.2-15MG 07/01/2007 12/31/2029 NO YES CLORPRES TAB 0.3-15MG 07/01/2007 12/31/2029 NO YES COMBIPRES-1 TAB 07/01/2007 12/31/2029 NO YES COMBIPRES-2 TAB 0.2MG 07/01/2007 12/31/2029 NO YES COMBIPRES-3 TAB 0.3MG 07/01/2007 12/31/2029 NO YES Clonidine HCl CATAPRES TAB 0.1MG 07/01/2007 12/31/2029 NO YES CATAPRES TAB 0.2MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Clonidine HCl CATAPRES TAB 0.3MG 07/01/2007 12/31/2029 NO YES CATAPRES-TTS DIS 0.1/24HR 07/01/2007 12/31/2029 NO YES CATAPRES-TTS DIS 0.2/24HR 07/01/2007 12/31/2029 NO YES CATAPRES-TTS DIS 0.3/24HR 07/01/2007 12/31/2029 NO YES CLONIDINE DIS 0.1/24HR 07/01/2007 12/31/2029 NO NO CLONIDINE DIS 0.2/24HR 07/01/2007 12/31/2029 NO NO CLONIDINE DIS 0.3/24HR 07/01/2007 12/31/2029 NO NO CLONIDINE POW 07/01/2007 12/31/2029 NO YES CLONIDINE TAB 0.1MG 07/01/2007 12/31/2029 NO NO CLONIDINE TAB 0.2MG 07/01/2007 12/31/2029 NO NO CLONIDINE TAB 0.3MG 07/01/2007 12/31/2029 NO NO NEXICLON XR SUS 0.09/ML 07/01/2007 12/31/2029 NO YES NEXICLON XR TAB 0.17MG 07/01/2007 12/31/2029 NO YES Cryptenamine & Methyclothiazide DIUTENSEN TAB 07/01/2007 12/31/2029 NO YES Deserpidine HARMONYL TAB 0.25MG 07/01/2007 12/31/2029 NO YES Deserpidine & Hydrochlorothiazide ORETICYL TAB 25MG 07/01/2007 12/31/2029 NO YES ORETICYL TAB 50MG 07/01/2007 12/31/2029 NO YES ORETICYL TAB FORTE 07/01/2007 12/31/2029 NO YES Deserpidine & Methyclothiazide ENDURONYL TAB 07/01/2007 12/31/2029 NO YES ENDURONYL TAB FORTE 07/01/2007 12/31/2029 NO YES METHYCLODINE TAB 07/01/2007 12/31/2029 NO NO METHYCLODINE TAB FORTE 07/01/2007 12/31/2029 NO NO METHY-DESERP TAB 07/01/2007 12/31/2029 NO NO METHY-DESERP TAB 0.25MG 07/01/2007 12/31/2029 NO NO METHY-DESERP TAB FORTE 07/01/2007 12/31/2029 NO NO METHYLCL/DES TAB 5/0.25 07/01/2007 12/31/2029 NO NO METHYLCL/DES TAB 5/0.5 07/01/2007 12/31/2029 NO NO Diazoxide (Antihypertensive) DIAZOXIDE INJ 15MG/ML 07/01/2007 12/31/2029 NO NO DIAZOXIDE POW 07/01/2007 12/31/2029 NO YES HYPERSTAT IV INJ 15MG/ML 07/01/2007 12/31/2029 NO YES Doxazosin Mesylate CARDURA TAB 1MG 07/01/2007 12/31/2029 NO YES CARDURA TAB 2MG 07/01/2007 12/31/2029 NO YES CARDURA TAB 4MG 07/01/2007 12/31/2029 NO YES CARDURA TAB 8MG 07/01/2007 12/31/2029 NO YES DOXAZOSIN TAB 1MG 07/01/2007 12/31/2029 NO NO DOXAZOSIN TAB 2MG 07/01/2007 12/31/2029 NO NO DOXAZOSIN TAB 4MG 07/01/2007 12/31/2029 NO NO DOXAZOSIN TAB 8MG 07/01/2007 12/31/2029 NO NO Enalapril Maleate ENALAPRIL TAB 10MG 07/01/2007 12/31/2029 NO NO ENALAPRIL TAB 2.5MG 07/01/2007 12/31/2029 NO NO ENALAPRIL TAB 20MG 07/01/2007 12/31/2029 NO NO ENALAPRIL TAB 5MG 07/01/2007 12/31/2029 NO NO EPANED SOL 1MG/ML 07/01/2007 12/31/2029 NO YES VASOTEC TAB 10MG 07/01/2007 12/31/2029 NO YES VASOTEC TAB 2.5MG 07/01/2007 12/31/2029 NO YES VASOTEC TAB 20MG 07/01/2007 12/31/2029 NO YES VASOTEC TAB 5MG 07/01/2007 12/31/2029 NO YES Enalapril Maleate & Hydrochlorothiazide ENALAPR/HCTZ TAB 10-25MG 07/01/2007 12/31/2029 NO NO ENALAPR/HCTZ TAB 5-12.5MG 07/01/2007 12/31/2029 NO NO VASERETIC TAB 10-25MG 07/01/2007 12/31/2029 NO YES VASERETIC TAB 5-12.5MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Enalapril Maleate-Diltiazem Malate TECZEM CR TAB 5-180MG 07/01/2007 12/31/2029 NO YES Enalapril Maleate-Felodipine LEXXEL TAB 5-2.5MG 07/01/2007 12/31/2029 NO YES LEXXEL TAB 5-5MG 07/01/2007 12/31/2029 NO YES Enalaprilat ENALAPRILAT INJ 1.25/ML 07/01/2007 12/31/2029 NO NO VASOTEC IV INJ 1.25/ML 07/01/2007 12/31/2029 NO YES Eplerenone EPLERENONE TAB 25MG 07/01/2007 12/31/2029 NO NO EPLERENONE TAB 50MG 07/01/2007 12/31/2029 NO NO INSPRA TAB 25MG 07/01/2007 12/31/2029 NO YES INSPRA TAB 50MG 07/01/2007 12/31/2029 NO YES Eprosartan Mesylate EPROSART MES TAB 600MG 07/01/2007 12/31/2029 NO YES TEVETEN TAB 400MG 07/01/2007 12/31/2029 NO YES TEVETEN TAB 600MG 07/01/2007 12/31/2029 NO YES Eprosartan Mesylate-Hydrochlorothiazide TEVETEN HCT TAB 600-12.5 07/01/2007 12/31/2029 NO YES TEVETEN HCT TAB 600-25MG 07/01/2007 12/31/2029 NO YES Fenoldopam Mesylate CORLOPAM INJ 10MG/ML 07/01/2007 12/31/2029 NO YES FENOLDOPAM INJ 10MG/ML 07/01/2007 12/31/2029 NO NO FENOLDOPAM INJ 20MG/2ML 07/01/2007 12/31/2029 NO NO Flosequinan MANOPLAX TAB 100MG 07/01/2007 12/31/2029 NO YES MANOPLAX TAB 50MG 07/01/2007 12/31/2029 NO YES MANOPLAX TAB 75MG 07/01/2007 12/31/2029 NO YES Fosinopril Sodium FOSINOPRIL TAB 10MG 07/01/2007 12/31/2029 NO NO FOSINOPRIL TAB 20MG 07/01/2007 12/31/2029 NO NO FOSINOPRIL TAB 40MG 07/01/2007 12/31/2029 NO NO MONOPRIL TAB 10MG 07/01/2007 12/31/2029 NO YES MONOPRIL TAB 20MG 07/01/2007 12/31/2029 NO YES MONOPRIL TAB 40MG 07/01/2007 12/31/2029 NO YES Fosinopril Sodium & Hydrochlorothiazide FOSINOP/HCTZ TAB 10/12.5 07/01/2007 12/31/2029 NO NO FOSINOP/HCTZ TAB 20/12.5 07/01/2007 12/31/2029 NO NO MONOPRIL HCT TAB 10/12.5 07/01/2007 12/31/2029 NO YES MONOPRIL HCT TAB 20/12.5 07/01/2007 12/31/2029 NO YES Guanabenz Acetate GUANABENZ TAB 4MG 07/01/2007 12/31/2029 NO YES GUANABENZ TAB 8MG 07/01/2007 12/31/2029 NO YES WYTENSIN TAB 16MG 07/01/2007 12/31/2029 NO YES WYTENSIN TAB 4MG 07/01/2007 12/31/2029 NO YES WYTENSIN TAB 8MG 07/01/2007 12/31/2029 NO YES Guanadrel Sulfate HYLOREL TAB 10MG 07/01/2007 12/31/2029 NO YES HYLOREL TAB 25MG 07/01/2007 12/31/2029 NO YES Guanethidine & Hydrochlorothiazide ESIMIL TAB 10/25 07/01/2007 12/31/2029 NO YES Guanethidine Monosulfate GUANETHIDINE TAB 10MG 07/01/2007 12/31/2029 NO NO GUANETHIDINE TAB 25MG 07/01/2007 12/31/2029 NO NO ISMELIN TAB 10MG 07/01/2007 12/31/2029 NO YES ISMELIN TAB 25MG 07/01/2007 12/31/2029 NO YES Guanfacine HCl GUANFACINE TAB 1MG 07/01/2007 12/31/2029 NO NO GUANFACINE TAB 2MG 07/01/2007 12/31/2029 NO NO TENEX TAB 1MG 07/01/2007 12/31/2029 NO YES TENEX TAB 2MG 07/01/2007 12/31/2029 NO YES Hydralazine & Hydrochlorothiazide APRESAZIDE CAP 100/50 07/01/2007 12/31/2029 NO YES APRESAZIDE CAP 25/25 07/01/2007 12/31/2029 NO YES APRESAZIDE CAP 50/50 07/01/2007 12/31/2029 NO YES APRES-ESIDRX TAB 25/15 07/01/2007 12/31/2029 NO YES APRESODEX TAB 25/15 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Hydralazine & Hydrochlorothiazide HYDRAL PLUS CAP 100/50 07/01/2007 12/31/2029 NO NO HYDRAL PLUS CAP 50/50 07/01/2007 12/31/2029 NO NO HYDRAL/HCTZ CAP 100/50 07/01/2007 12/31/2029 NO YES HYDRAL/HCTZ CAP 25/25 07/01/2007 12/31/2029 NO YES HYDRAL/HCTZ CAP 50/50 07/01/2007 12/31/2029 NO YES HYDRAL/HCTZ TAB 100/50 07/01/2007 12/31/2029 NO YES HYDRAL/HCTZ TAB 25/15 07/01/2007 12/31/2029 NO NO HYDRAL/HCTZ TAB 25/25 07/01/2007 12/31/2029 NO NO HYDRAL/HCTZ TAB 50/50 07/01/2007 12/31/2029 NO NO HYDRALAZIDE TAB 25/15 07/01/2007 12/31/2029 NO NO HYDRAZIDE CAP 100/50 07/01/2007 12/31/2029 NO NO HYDRAZIDE CAP 25/25 07/01/2007 12/31/2029 NO NO HYDRAZIDE CAP 50/50 07/01/2007 12/31/2029 NO NO HY-ES TAB 25/15 07/01/2007 12/31/2029 NO YES HY-ZIDE CAP 25/25 07/01/2007 12/31/2029 NO NO HY-ZIDE CAP 50/50 07/01/2007 12/31/2029 NO NO Hydralazine & Reserpine SERP-APRES TAB #1 07/01/2007 12/31/2029 NO YES SERP-APRES TAB #2 07/01/2007 12/31/2029 NO YES Hydralazine & Reserpine & Hydrochlorothiazide 3H W/R TAB 07/01/2007 12/31/2029 NO NO CAM-AP-ES TAB 07/01/2007 12/31/2029 NO NO DIURETIC TAB -AP-ES 07/01/2007 12/31/2029 NO NO H-H-R TAB 07/01/2007 12/31/2029 NO YES HYDRAL/RES/ TAB HCTZ 07/01/2007 12/31/2029 NO NO HYDRAP-ES TAB 07/01/2007 12/31/2029 NO NO HYDROSERPAZ TAB 07/01/2007 12/31/2029 NO NO HYDROSERPAZI TAB 07/01/2007 12/31/2029 NO NO HYDROSERPINE TAB PLUS 07/01/2007 12/31/2029 NO NO HYSERP TAB 07/01/2007 12/31/2029 NO NO MARPRES TAB 07/01/2007 12/31/2029 NO NO PANPRES TAB 07/01/2007 12/31/2029 NO NO RES/HYDRAL/ TAB HCTZ 07/01/2007 12/31/2029 NO NO REZIDE TAB 07/01/2007 12/31/2029 NO NO SAE TAB 07/01/2007 12/31/2029 NO NO SER-A-GEN TAB 07/01/2007 12/31/2029 NO NO SERALAZIDE TAB 07/01/2007 12/31/2029 NO NO SER-AP-ES TAB 07/01/2007 12/31/2029 NO YES SERAPINE TAB 07/01/2007 12/31/2029 NO NO SERATHIDE TAB 07/01/2007 12/31/2029 NO NO SERPAZIDE TAB 07/01/2007 12/31/2029 NO NO SERPEX TAB 07/01/2007 12/31/2029 NO NO TRI-HYDROSER TAB 07/01/2007 12/31/2029 NO NO UNIPRES TAB 0.100MG 07/01/2007 12/31/2029 NO NO UNI-SERP TAB 07/01/2007 12/31/2029 NO YES Hydralazine HCl ADROLAZINE TAB 10MG 07/01/2007 12/31/2029 NO NO ADROLAZINE TAB 25MG 07/01/2007 12/31/2029 NO NO ADROLAZINE TAB 50MG 07/01/2007 12/31/2029 NO NO APRESOLINE INJ 20MG/ML 07/01/2007 12/31/2029 NO YES APRESOLINE TAB 100MG 07/01/2007 12/31/2029 NO YES APRESOLINE TAB 10MG 07/01/2007 12/31/2029 NO YES APRESOLINE TAB 25MG 07/01/2007 12/31/2029 NO YES APRESOLINE TAB 50MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Hydralazine HCl APRESREX TAB 25MG 07/01/2007 12/31/2029 NO NO APRESREX TAB 50MG 07/01/2007 12/31/2029 NO NO HYDRALAZINE INJ 20MG/ML 07/01/2007 12/31/2029 NO NO HYDRALAZINE TAB 100MG 07/01/2007 12/31/2029 NO NO HYDRALAZINE TAB 10MG 07/01/2007 12/31/2029 NO NO HYDRALAZINE TAB 25MG 07/01/2007 12/31/2029 NO NO HYDRALAZINE TAB 50MG 07/01/2007 12/31/2029 NO NO Irbesartan AVAPRO TAB 150MG 07/01/2007 12/31/2029 NO YES AVAPRO TAB 300MG 07/01/2007 12/31/2029 NO YES AVAPRO TAB 75MG 07/01/2007 12/31/2029 NO YES IRBESARTAN TAB 150MG 07/01/2007 12/31/2029 NO NO IRBESARTAN TAB 300MG 07/01/2007 12/31/2029 NO NO IRBESARTAN TAB 75MG 07/01/2007 12/31/2029 NO NO Irbesartan-Hydrochlorothiazide AVALIDE TAB 150-12.5 07/01/2007 12/31/2029 NO YES AVALIDE TAB 300-12.5 07/01/2007 12/31/2029 NO YES AVALIDE TAB 300-25MG 07/01/2007 12/31/2029 NO YES IRBESAR/HCTZ TAB 150-12.5 07/01/2007 12/31/2029 NO NO IRBESAR/HCTZ TAB 300-12.5 07/01/2007 12/31/2029 NO NO Labetalol & Hydrochlorothiazide NORMOZIDE TAB 100/25 07/01/2007 12/31/2029 NO YES NORMOZIDE TAB 200/25 07/01/2007 12/31/2029 NO YES NORMOZIDE TAB 300/25 07/01/2007 12/31/2029 NO YES TRANDATE HCT TAB 100/25 07/01/2007 12/31/2029 NO YES TRANDATE HCT TAB 200/25 07/01/2007 12/31/2029 NO YES TRANDATE HCT TAB 300/25 07/01/2007 12/31/2029 NO YES Lisinopril LISINOPRIL TAB 10MG 07/01/2007 12/31/2029 NO NO LISINOPRIL TAB 2.5MG 07/01/2007 12/31/2029 NO NO LISINOPRIL TAB 20MG 07/01/2007 12/31/2029 NO YES LISINOPRIL TAB 30MG 07/01/2007 12/31/2029 NO NO LISINOPRIL TAB 40MG 07/01/2007 12/31/2029 NO NO LISINOPRIL TAB 5MG 07/01/2007 12/31/2029 NO NO PRINIVIL TAB 10MG 07/01/2007 12/31/2029 NO YES PRINIVIL TAB 2.5MG 07/01/2007 12/31/2029 NO YES PRINIVIL TAB 20MG 07/01/2007 12/31/2029 NO YES PRINIVIL TAB 40MG 07/01/2007 12/31/2029 NO YES PRINIVIL TAB 5MG 07/01/2007 12/31/2029 NO YES QBRELIS SOL 1MG/ML 07/01/2007 12/31/2029 NO YES THSC LISNOPR TAB 10MG 07/01/2007 12/31/2029 NO YES THSC LISNOPR TAB 20MG 07/01/2007 12/31/2029 NO YES THSC LISNOPR TAB 40MG 07/01/2007 12/31/2029 NO YES THSC LISNOPR TAB 5MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 10MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 2.5MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 20MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 30MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 40MG 07/01/2007 12/31/2029 NO YES ZESTRIL TAB 5MG 07/01/2007 12/31/2029 NO YES Lisinopril & Hydrochlorothiazide LISINOP/HCTZ TAB 10-12.5 07/01/2007 12/31/2029 NO NO LISINOP/HCTZ TAB 20-12.5 07/01/2007 12/31/2029 NO NO LISINOP/HCTZ TAB 20-25MG 07/01/2007 12/31/2029 NO NO LISINOP-HCTZ TAB 10-12.5 07/01/2007 12/31/2029 NO NO LISINOP-HCTZ TAB 20-12.5 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Lisinopril & Hydrochlorothiazide LISINOP-HCTZ TAB 20-25MG 07/01/2007 12/31/2029 NO NO PRINZIDE TAB 10/12.5 07/01/2007 12/31/2029 NO YES PRINZIDE TAB 10-12.5 07/01/2007 12/31/2029 NO YES PRINZIDE TAB 20-12.5 07/01/2007 12/31/2029 NO YES PRINZIDE TAB 20-25MG 07/01/2007 12/31/2029 NO YES ZESTORETIC TAB 10/12.5 07/01/2007 12/31/2029 NO YES ZESTORETIC TAB 10-12.5 07/01/2007 12/31/2029 NO YES ZESTORETIC TAB 20-12.5 07/01/2007 12/31/2029 NO YES ZESTORETIC TAB 20-25MG 07/01/2007 12/31/2029 NO YES Lisinopril-Dietary Management Product LYTENSOPRIL MIS -90 KIT 07/01/2007 12/31/2029 NO YES LYTENSOPRIL PAK 07/01/2007 12/31/2029 NO YES LYTENSOPRIL PAK -90 07/01/2007 12/31/2029 NO YES LYTENSOPRIL PAK KIT 07/01/2007 12/31/2029 NO YES Losartan Potassium COZAAR TAB 100MG 07/01/2007 12/31/2029 NO YES COZAAR TAB 25MG 07/01/2007 12/31/2029 NO YES COZAAR TAB 50MG 07/01/2007 12/31/2029 NO YES LOSARTAN POT TAB 100MG 07/01/2007 12/31/2029 NO NO LOSARTAN POT TAB 25MG 07/01/2007 12/31/2029 NO NO LOSARTAN POT TAB 50MG 07/01/2007 12/31/2029 NO NO Losartan Potassium & Hydrochlorothiazide HYZAAR TAB 100-12.5 07/01/2007 12/31/2029 NO YES HYZAAR TAB 100-25 07/01/2007 12/31/2029 NO YES HYZAAR TAB 50-12.5 07/01/2007 12/31/2029 NO YES LOSARTAN/HCT TAB 100-12.5 07/01/2007 12/31/2029 NO NO LOSARTAN/HCT TAB 100-25 07/01/2007 12/31/2029 NO NO LOSARTAN/HCT TAB 50-12.5 07/01/2007 12/31/2029 NO NO Mecamylamine HCl INVERSINE TAB 2.5MG 07/01/2007 12/31/2029 NO YES VECAMYL TAB 2.5MG 07/01/2007 12/31/2029 NO YES Methyldopa ALDOMET SUS 250/5ML 07/01/2007 12/31/2029 NO YES ALDOMET TAB 125MG 07/01/2007 12/31/2029 NO YES ALDOMET TAB 250MG 07/01/2007 12/31/2029 NO YES ALDOMET TAB 500MG 07/01/2007 12/31/2029 NO YES L-DOPRES TAB 250MG 07/01/2007 12/31/2029 NO NO L-DOPRES TAB 500MG 07/01/2007 12/31/2029 NO NO METHYLDOPA POW 07/01/2007 12/31/2029 NO YES METHYLDOPA POW ANHYDROU 07/01/2007 12/31/2029 NO YES METHYLDOPA SUS 250/5ML 07/01/2007 12/31/2029 NO NO METHYLDOPA TAB 125MG 07/01/2007 12/31/2029 NO YES METHYLDOPA TAB 250MG 07/01/2007 12/31/2029 NO NO METHYLDOPA TAB 500MG 07/01/2007 12/31/2029 NO NO Methyldopa & Chlorothiazide ALDOCLOR TAB 250/150 07/01/2007 12/31/2029 NO YES ALDOCLOR TAB 250/250 07/01/2007 12/31/2029 NO YES CHLO/METHYLD TAB 150-250 07/01/2007 12/31/2029 NO NO CHLO/METHYLD TAB 250-250 07/01/2007 12/31/2029 NO NO Methyldopa & Hydrochlorothiazide ALDORIL-15 TAB 250/15 07/01/2007 12/31/2029 NO YES ALDORIL-25 TAB 250/25 07/01/2007 12/31/2029 NO YES ALDORIL-D30 TAB 500/30 07/01/2007 12/31/2029 NO YES ALDORIL-D50 TAB 500/50 07/01/2007 12/31/2029 NO YES L-DOPRE/HCTZ TAB 250/15 07/01/2007 12/31/2029 NO NO L-DOPRE/HCTZ TAB 250/25 07/01/2007 12/31/2029 NO NO METHYLD/HCTZ TAB 250/15 07/01/2007 12/31/2029 NO YES METHYLD/HCTZ TAB 250/25 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Methyldopa & Hydrochlorothiazide METHYLD/HCTZ TAB 500/30 07/01/2007 12/31/2029 NO NO METHYLD/HCTZ TAB 500/50 07/01/2007 12/31/2029 NO NO Methyldopate HCl ALDOMET INJ 250/5ML 07/01/2007 12/31/2029 NO YES METHYLDOPATE INJ 250/5ML 07/01/2007 12/31/2029 NO NO METHYLDOPATE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO Metoprolol & Hydrochlorothiazide DUTOPROL TAB 100-12.5 07/01/2007 12/31/2029 NO YES DUTOPROL TAB 25-12.5 07/01/2007 12/31/2029 NO YES DUTOPROL TAB 50-12.5 07/01/2007 12/31/2029 NO YES LOPRESS HCT TAB 100/25MG 07/01/2007 12/31/2029 NO YES LOPRESS HCT TAB 100/50MG 07/01/2007 12/31/2029 NO YES LOPRESS HCT TAB 100-25MG 07/01/2007 12/31/2029 NO YES LOPRESS HCT TAB 100-50MG 07/01/2007 12/31/2029 NO YES LOPRESS HCT TAB 50-25MG 07/01/2007 12/31/2029 NO YES METOPRL/HCTZ TAB 100-25MG 07/01/2007 12/31/2029 NO NO METOPRL/HCTZ TAB 100-50MG 07/01/2007 12/31/2029 NO NO METOPRL/HCTZ TAB 50-25MG 07/01/2007 12/31/2029 NO NO METOPRO/HCTZ TAB 100-12.5 07/01/2007 12/31/2029 NO YES METOPRO/HCTZ TAB 25-12.5 07/01/2007 12/31/2029 NO YES METOPRO/HCTZ TAB 50-12.5 07/01/2007 12/31/2029 NO YES Metoprolol Tartrate-Dietary Management Product HYPERTENSOLO PAK 07/01/2007 12/31/2029 NO YES Metyrosine DEMSER CAP 250MG 07/01/2007 12/31/2029 NO YES Minoxidil LONITEN TAB 10MG 07/01/2007 12/31/2029 NO YES LONITEN TAB 2.5MG 07/01/2007 12/31/2029 NO YES MINODYL TAB 10MG 07/01/2007 12/31/2029 NO NO MINOXIDIL TAB 10MG 07/01/2007 12/31/2029 NO NO MINOXIDIL TAB 2.5MG 07/01/2007 12/31/2029 NO NO Moexipril HCl MOEXIPRIL TAB 15MG 07/01/2007 12/31/2029 NO NO MOEXIPRIL TAB 7.5MG 07/01/2007 12/31/2029 NO NO UNIVASC TAB 15MG 07/01/2007 12/31/2029 NO YES UNIVASC TAB 7.5MG 07/01/2007 12/31/2029 NO YES Moexipril-Hydrochlorothiazide MOEXIPR/HCTZ TAB 15-12.5 07/01/2007 12/31/2029 NO NO MOEXIPR/HCTZ TAB 15-25MG 07/01/2007 12/31/2029 NO NO MOEXIPR/HCTZ TAB 7.5-12.5 07/01/2007 12/31/2029 NO NO UNIRETIC TAB 15-12.5 07/01/2007 12/31/2029 NO YES UNIRETIC TAB 15-25MG 07/01/2007 12/31/2029 NO YES UNIRETIC TAB 7.5-12.5 07/01/2007 12/31/2029 NO YES Nadolol & Bendroflumethiazide CORZIDE TAB 40/5 07/01/2007 12/31/2029 NO YES CORZIDE TAB 40-5MG 07/01/2007 12/31/2029 NO YES CORZIDE TAB 80/5 07/01/2007 12/31/2029 NO YES CORZIDE TAB 80-5MG 07/01/2007 12/31/2029 NO YES NADOLOL/BEND TAB 40-5MG 07/01/2007 12/31/2029 NO NO NADOLOL/BEND TAB 80-5MG 07/01/2007 12/31/2029 NO NO Nebivolol-Valsartan BYVALSON TAB 5-80MG 07/01/2007 12/31/2029 NO YES Nitroprusside Sodium NA NITROPRUS INJ 50MG 07/01/2007 12/31/2029 NO NO NA NITROPRUS SOL 25MG/ML 07/01/2007 12/31/2029 NO NO NIPRIDE INJ 50MG 07/01/2007 12/31/2029 NO YES NITROPRESS INJ 25MG/ML 07/01/2007 12/31/2029 NO YES NITROPRESS INJ 50MG 07/01/2007 12/31/2029 NO YES NITROPRESS KIT 50MG 07/01/2007 12/31/2029 NO YES NITROPRESS SOL 25MG/ML 07/01/2007 12/31/2029 NO YES SODIUM NITRO INJ 25MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Nitroprusside Sodium-Sodium Chloride NIPRIDE RTU INJ 50/100ML 07/01/2007 12/31/2029 NO YES Olmesartan Medoxomil BENICAR TAB 20MG 07/01/2007 12/31/2029 NO YES BENICAR TAB 40MG 07/01/2007 12/31/2029 NO YES BENICAR TAB 5MG 07/01/2007 12/31/2029 NO YES OLMESA MEDOX TAB 20MG 07/01/2007 12/31/2029 NO NO OLMESA MEDOX TAB 40MG 07/01/2007 12/31/2029 NO NO OLMESA MEDOX TAB 5MG 07/01/2007 12/31/2029 NO NO Olmesartan Medoxomil-Amlodipine-Hydrochlorothiazide OLM MED/AMLO TAB /HCTZ 07/01/2007 12/31/2029 NO NO TRIBENZOR20- TAB 5-12.5MG 07/01/2007 12/31/2029 NO YES TRIBENZOR40- TAB 10-12.5 07/01/2007 12/31/2029 NO YES TRIBENZOR40- TAB 10-25MG 07/01/2007 12/31/2029 NO YES TRIBENZOR40- TAB 5-12.5MG 07/01/2007 12/31/2029 NO YES TRIBENZOR40- TAB 5-25MG 07/01/2007 12/31/2029 NO YES Olmesartan Medoxomil-Hydrochlorothiazide BENICAR HCT TAB 20-12.5 07/01/2007 12/31/2029 NO YES BENICAR HCT TAB 40-12.5 07/01/2007 12/31/2029 NO YES BENICAR HCT TAB 40-25MG 07/01/2007 12/31/2029 NO YES OLM MED/HCTZ TAB 20-12.5 07/01/2007 12/31/2029 NO NO OLM MED/HCTZ TAB 40-12.5 07/01/2007 12/31/2029 NO NO OLM MED/HCTZ TAB 40-25MG 07/01/2007 12/31/2029 NO NO Pargyline & Methyclothiazide EUTRON TAB 07/01/2007 12/31/2029 NO YES Pargyline HCl EUTONYL TAB 10MG 07/01/2007 12/31/2029 NO YES EUTONYL TAB 25MG 07/01/2007 12/31/2029 NO YES Perindopril Arginine-Amlodipine Besylate PRESTALIA TAB 14-10MG 07/01/2007 12/31/2029 NO YES PRESTALIA TAB 3.5-2.5 07/01/2007 12/31/2029 NO YES PRESTALIA TAB 7-5MG 07/01/2007 12/31/2029 NO YES Perindopril Erbumine ACEON TAB 2MG 07/01/2007 12/31/2029 NO YES ACEON TAB 4MG 07/01/2007 12/31/2029 NO YES ACEON TAB 8MG 07/01/2007 12/31/2029 NO YES PERINDOPRIL TAB 2MG 07/01/2007 12/31/2029 NO NO PERINDOPRIL TAB 4MG 07/01/2007 12/31/2029 NO NO PERINDOPRIL TAB 8MG 07/01/2007 12/31/2029 NO NO Phenoxybenzamine HCl DIBENZYLINE CAP 10MG 07/01/2007 12/31/2029 NO YES PHENOXYBENZA CAP 10MG 07/01/2007 12/31/2029 NO NO Phentolamine Mesylate PHENTOL MESY INJ 5MG 07/01/2007 12/31/2029 NO YES PHENTOLAMINE INJ 5MG 07/01/2007 12/31/2029 NO YES PHENTOLAMINE INJ MESYLATE 07/01/2007 12/31/2029 NO YES REGITINE INJ 5MG 07/01/2007 12/31/2029 NO YES Prazosin & Polythiazide MINIZIDE CAP 1MG 07/01/2007 12/31/2029 NO YES MINIZIDE CAP 2MG 07/01/2007 12/31/2029 NO YES MINIZIDE CAP 5MG 07/01/2007 12/31/2029 NO YES Prazosin HCl MINIPRESS CAP 1MG 07/01/2007 12/31/2029 NO YES MINIPRESS CAP 2MG 07/01/2007 12/31/2029 NO YES MINIPRESS CAP 5MG 07/01/2007 12/31/2029 NO YES PRAZOSIN HCL CAP 1MG 07/01/2007 12/31/2029 NO NO PRAZOSIN HCL CAP 2MG 07/01/2007 12/31/2029 NO NO PRAZOSIN HCL CAP 5MG 07/01/2007 12/31/2029 NO NO PRAZOSIN HCL POW 07/01/2007 12/31/2029 NO YES Propranolol & Hydrochlorothiazide INDERIDE TAB 40/25 07/01/2007 12/31/2029 NO YES INDERIDE TAB 80/25 07/01/2007 12/31/2029 NO YES INDERIDE LA CAP 120/50MG 07/01/2007 12/31/2029 NO YES INDERIDE LA CAP 160/50MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Propranolol & Hydrochlorothiazide INDERIDE LA CAP 80/50MG 07/01/2007 12/31/2029 NO YES PROPRAN/HCTZ TAB 40/25 07/01/2007 12/31/2029 NO YES PROPRAN/HCTZ TAB 80/25 07/01/2007 12/31/2029 NO YES Quinapril HCl ACCUPRIL TAB 10MG 07/01/2007 12/31/2029 NO YES ACCUPRIL TAB 20MG 07/01/2007 12/31/2029 NO YES ACCUPRIL TAB 40MG 07/01/2007 12/31/2029 NO YES ACCUPRIL TAB 5MG 07/01/2007 12/31/2029 NO YES QUINAPRIL TAB 10MG 07/01/2007 12/31/2029 NO NO QUINAPRIL TAB 20MG 07/01/2007 12/31/2029 NO NO QUINAPRIL TAB 40MG 07/01/2007 12/31/2029 NO NO QUINAPRIL TAB 5MG 07/01/2007 12/31/2029 NO NO Quinapril-Hydrochlorothiazide ACCURETIC TAB 10/12.5 07/01/2007 12/31/2029 NO YES ACCURETIC TAB 10-12.5 07/01/2007 12/31/2029 NO YES ACCURETIC TAB 20/12.5 07/01/2007 12/31/2029 NO YES ACCURETIC TAB 20/25MG 07/01/2007 12/31/2029 NO YES ACCURETIC TAB 20-12.5 07/01/2007 12/31/2029 NO YES ACCURETIC TAB 20-25MG 07/01/2007 12/31/2029 NO YES QNAPRIL/HCTZ TAB 10-12.5 07/01/2007 12/31/2029 NO NO QNAPRIL/HCTZ TAB 20-12.5 07/01/2007 12/31/2029 NO NO QNAPRIL/HCTZ TAB 20-25MG 07/01/2007 12/31/2029 NO NO QUINARETIC TAB 10-12.5 07/01/2007 12/31/2029 NO NO QUINARETIC TAB 20-12.5 07/01/2007 12/31/2029 NO NO QUINARETIC TAB 20-25MG 07/01/2007 12/31/2029 NO NO Ramipril ALTACE CAP 1.25MG 07/01/2007 12/31/2029 NO YES ALTACE CAP 10MG 07/01/2007 12/31/2029 NO YES ALTACE CAP 2.5MG 07/01/2007 12/31/2029 NO YES ALTACE CAP 5MG 07/01/2007 12/31/2029 NO YES ALTACE TAB 1.25MG 07/01/2007 12/31/2029 NO YES ALTACE TAB 10MG 07/01/2007 12/31/2029 NO YES ALTACE TAB 2.5MG 07/01/2007 12/31/2029 NO YES ALTACE TAB 5MG 07/01/2007 12/31/2029 NO YES RAMIPRIL CAP 1.25MG 07/01/2007 12/31/2029 NO NO RAMIPRIL CAP 10MG 07/01/2007 12/31/2029 NO NO RAMIPRIL CAP 2.5MG 07/01/2007 12/31/2029 NO NO RAMIPRIL CAP 5MG 07/01/2007 12/31/2029 NO NO Rauwolfia Serpentina HIWOLFIA TAB 100MG 07/01/2007 12/31/2029 NO NO HIWOLFIA TAB 50MG 07/01/2007 12/31/2029 NO NO RAUDIXIN TAB 100MG 07/01/2007 12/31/2029 NO YES RAUDIXIN TAB 50MG 07/01/2007 12/31/2029 NO YES RAUVAL TAB 100MG 07/01/2007 12/31/2029 NO NO RAUVAL TAB 50MG 07/01/2007 12/31/2029 NO NO RAUVERID TAB 50MG 07/01/2007 12/31/2029 NO NO RAUWOLFIA TAB 100MG 07/01/2007 12/31/2029 NO NO RAUWOLFIA TAB 50MG 07/01/2007 12/31/2029 NO NO WOLFINA TAB 100MG 07/01/2007 12/31/2029 NO NO Rescinnamine MODERIL TAB 0.25MG 07/01/2007 12/31/2029 NO YES MODERIL TAB 0.5MG 07/01/2007 12/31/2029 NO YES Reserpine RESERPINE CRY USP 07/01/2007 12/31/2029 NO YES RESERPINE POW 07/01/2007 12/31/2029 NO YES RESERPINE TAB 0.1MG 07/01/2007 12/31/2029 NO YES RESERPINE TAB 0.25MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Reserpine SERPALAN TAB 0.1MG 07/01/2007 12/31/2029 NO NO SERPALAN TAB 0.25MG 07/01/2007 12/31/2029 NO NO SERPASIL TAB 0.1MG 07/01/2007 12/31/2029 NO YES SERPASIL TAB 0.25MG 07/01/2007 12/31/2029 NO YES SERPATABS TAB 0.25MG 07/01/2007 12/31/2029 NO NO Reserpine & Chlorothiazide CHLORO/RESER TAB 250/.125 07/01/2007 12/31/2029 NO NO CHLORO/RESER TAB 500/.125 07/01/2007 12/31/2029 NO NO CHLORO-RES TAB 500/.125 07/01/2007 12/31/2029 NO NO CHLOROSERPIN TAB 250/.125 07/01/2007 12/31/2029 NO NO CHLOROSERPIN TAB 500/.125 07/01/2007 12/31/2029 NO NO DIUPRES-250 TAB 07/01/2007 12/31/2029 NO YES DIUPRES-250 TAB 250/.125 07/01/2007 12/31/2029 NO YES DIUPRES-500 TAB 07/01/2007 12/31/2029 NO YES DIURIGEN/RES TAB 250/.125 07/01/2007 12/31/2029 NO NO DIURIGEN/RES TAB 500/.125 07/01/2007 12/31/2029 NO NO RESER/CHLORO TAB .125/250 07/01/2007 12/31/2029 NO NO RESER/CHLORO TAB .125/500 07/01/2007 12/31/2029 NO NO THIASERP 250 TAB 07/01/2007 12/31/2029 NO NO Reserpine & Chlorthalidone CHLORT/RESER TAB 25/0.125 07/01/2007 12/31/2029 NO NO DEMI-REGROT TAB 07/01/2007 12/31/2029 NO YES REGROTON TAB 07/01/2007 12/31/2029 NO YES Reserpine & Hydrochlorothiazide AQUAPRES R TAB 50 07/01/2007 12/31/2029 NO NO HCTZ/RESERP TAB 25/0.125 07/01/2007 12/31/2029 NO NO HCTZ/RESERP TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDRO SERP TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDRO SERP TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROPINE-50 TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROPLUS-50 TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROPRES TAB 25/0.125 07/01/2007 12/31/2029 NO YES HYDROPRES TAB 25MG 07/01/2007 12/31/2029 NO YES HYDROPRES TAB 50-0.125 07/01/2007 12/31/2029 NO YES HYDROPRIN TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDROPRIN TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDRO-RESERP TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDRO-RESERP TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROSERP TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDROSERP TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROSERP #1 TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDROSERP #2 TAB 50/0.1 07/01/2007 12/31/2029 NO NO HYDROSERP #2 TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROSERPALA TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDROSERPALA TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROSERPINE TAB #1 07/01/2007 12/31/2029 NO NO HYDROSERPINE TAB 50-0.125 07/01/2007 12/31/2029 NO NO HYDROTENSIN TAB 50-0.125 07/01/2007 12/31/2029 NO NO MALLOPRESS TAB 25/0.125 07/01/2007 12/31/2029 NO NO RESERP/HCTZ TAB 0.125/25 07/01/2007 12/31/2029 NO NO RESERP/HCTZ TAB 0.125-50 07/01/2007 12/31/2029 NO NO SERP-ESIDRIX TAB #1 07/01/2007 12/31/2029 NO YES SERP-ESIDRIX TAB #2 07/01/2007 12/31/2029 NO YES Reserpine & Hydroflumethiazide HYDROFLU/RES TAB 25/0.125 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Reserpine & Hydroflumethiazide HYDROFLU/RES TAB 50/0.125 07/01/2007 12/31/2029 NO NO HYDRO-FLUSER TAB 50/0.125 07/01/2007 12/31/2029 NO NO HYDROPINE TAB 25/0.125 07/01/2007 12/31/2029 NO NO HYDROPINE HP TAB 50/0.125 07/01/2007 12/31/2029 NO NO RES/HYDROFLU TAB 0.125/50 07/01/2007 12/31/2029 NO NO SALUTENSIN TAB 07/01/2007 12/31/2029 NO YES SALUTENSIN TAB DEMI 07/01/2007 12/31/2029 NO YES Reserpine & Methyclothiazide DIUTENSEN-R TAB 2.5/0.1 07/01/2007 12/31/2029 NO YES METHYLCL/RES TAB 2.5/0.1 07/01/2007 12/31/2029 NO NO Reserpine & Polythiazide RENESE-R TAB 2.5/0.2 07/01/2007 12/31/2029 NO YES Reserpine & Quinethazone HYDROMOX R TAB 07/01/2007 12/31/2029 NO YES Reserpine & Trichlormethiazide BI-PRESS TAB 0.1/4 07/01/2007 12/31/2029 NO NO DIURESE-R TAB 0.1/4 07/01/2007 12/31/2029 NO NO METATENSIN TAB #4 07/01/2007 12/31/2029 NO YES METATENSIN TAB 2MG 07/01/2007 12/31/2029 NO YES NAQUAVIL TAB 0.1/4 07/01/2007 12/31/2029 NO NO ROPRES TAB 0.1/4 07/01/2007 12/31/2029 NO NO TRICHLOR/RES TAB 4/0.1 07/01/2007 12/31/2029 NO NO TRICHLORTENS TAB 0.1/4 07/01/2007 12/31/2029 NO NO Telmisartan MICARDIS TAB 20MG 07/01/2007 12/31/2029 NO YES MICARDIS TAB 40MG 07/01/2007 12/31/2029 NO YES MICARDIS TAB 80MG 07/01/2007 12/31/2029 NO YES TELMISARTAN TAB 20MG 07/01/2007 12/31/2029 NO NO TELMISARTAN TAB 40MG 07/01/2007 12/31/2029 NO NO TELMISARTAN TAB 80MG 07/01/2007 12/31/2029 NO NO Telmisartan-Amlodipine TELMIS/AMLOD TAB 40-10MG 07/01/2007 12/31/2029 NO NO TELMIS/AMLOD TAB 40-5MG 07/01/2007 12/31/2029 NO NO TELMIS/AMLOD TAB 80-10MG 07/01/2007 12/31/2029 NO NO TELMIS/AMLOD TAB 80-5MG 07/01/2007 12/31/2029 NO NO TWYNSTA TAB 40-10MG 07/01/2007 12/31/2029 NO YES TWYNSTA TAB 40-5MG 07/01/2007 12/31/2029 NO YES TWYNSTA TAB 80-10MG 07/01/2007 12/31/2029 NO YES TWYNSTA TAB 80-5MG 07/01/2007 12/31/2029 NO YES Telmisartan-Hydrochlorothiazide MICARDIS HCT TAB 40/12.5 07/01/2007 12/31/2029 NO YES MICARDIS HCT TAB 80/12.5 07/01/2007 12/31/2029 NO YES MICARDIS HCT TAB 80/25MG 07/01/2007 12/31/2029 NO YES MICARDIS HCT TAB 80-25MG 07/01/2007 12/31/2029 NO YES TELMISA/HCTZ TAB 40-12.5 07/01/2007 12/31/2029 NO NO TELMISA/HCTZ TAB 80-12.5 07/01/2007 12/31/2029 NO NO TELMISA/HCTZ TAB 80-25MG 07/01/2007 12/31/2029 NO NO Terazosin HCl HYTRIN CAP 10MG 07/01/2007 12/31/2029 NO YES HYTRIN CAP 1MG 07/01/2007 12/31/2029 NO YES HYTRIN CAP 2MG 07/01/2007 12/31/2029 NO YES HYTRIN CAP 5MG 07/01/2007 12/31/2029 NO YES HYTRIN TAB 10MG 07/01/2007 12/31/2029 NO YES HYTRIN TAB 1MG 07/01/2007 12/31/2029 NO YES HYTRIN TAB 2MG 07/01/2007 12/31/2029 NO YES HYTRIN TAB 5MG 07/01/2007 12/31/2029 NO YES TERAZOSIN CAP 10MG 07/01/2007 12/31/2029 NO NO TERAZOSIN CAP 1MG 07/01/2007 12/31/2029 NO NO TERAZOSIN CAP 2MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIHYPERTENSIVES* Terazosin HCl TERAZOSIN CAP 5MG 07/01/2007 12/31/2029 NO NO TERAZOSIN TAB 10MG 07/01/2007 12/31/2029 NO YES TERAZOSIN TAB 1MG 07/01/2007 12/31/2029 NO YES TERAZOSIN TAB 2MG 07/01/2007 12/31/2029 NO YES TERAZOSIN TAB 5MG 07/01/2007 12/31/2029 NO YES Timolol & Hydrochlorothiazide TIMOLIDE TAB 10/25 07/01/2007 12/31/2029 NO YES Tolazoline HCl PRISCOLINE INJ 25MG/ML 07/01/2007 12/31/2029 NO YES Trandolapril MAVIK TAB 1MG 07/01/2007 12/31/2029 NO YES MAVIK TAB 2MG 07/01/2007 12/31/2029 NO YES MAVIK TAB 4MG 07/01/2007 12/31/2029 NO YES TRANDOLAPRIL TAB 1MG 07/01/2007 12/31/2029 NO NO TRANDOLAPRIL TAB 2MG 07/01/2007 12/31/2029 NO NO TRANDOLAPRIL TAB 4MG 07/01/2007 12/31/2029 NO NO Trandolapril-Verapamil HCl TARKA TAB 1-240 CR 07/01/2007 12/31/2029 NO YES TARKA TAB 2-180 CR 07/01/2007 12/31/2029 NO YES TARKA TAB 2-240 CR 07/01/2007 12/31/2029 NO YES TARKA TAB 4-240 CR 07/01/2007 12/31/2029 NO YES TRANDO/VERAP TAB 1-240 CR 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 1-240 ER 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 2-180 CR 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 2-180 ER 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 2-240 CR 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 2-240 ER 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 4-240 CR 07/01/2007 12/31/2029 NO NO TRANDO/VERAP TAB 4-240 ER 07/01/2007 12/31/2029 NO NO Trimethaphan Camsylate ARFONAD INJ 500MG 07/01/2007 12/31/2029 NO YES Valsartan DIOVAN CAP 160MG 07/01/2007 12/31/2029 NO YES DIOVAN CAP 80MG 07/01/2007 12/31/2029 NO YES DIOVAN TAB 160MG 07/01/2007 12/31/2029 NO YES DIOVAN TAB 320MG 07/01/2007 12/31/2029 NO YES DIOVAN TAB 40MG 07/01/2007 12/31/2029 NO YES DIOVAN TAB 80MG 07/01/2007 12/31/2029 NO YES VALSARTAN TAB 160MG 07/01/2007 12/31/2029 NO NO VALSARTAN TAB 320MG 07/01/2007 12/31/2029 NO NO VALSARTAN TAB 40MG 07/01/2007 12/31/2029 NO NO VALSARTAN TAB 80MG 07/01/2007 12/31/2029 NO NO Valsartan-Hydrochlorothiazide DIOVAN HCT TAB 160/12.5 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 160/25MG 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 160-12.5 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 160-25MG 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 320-12.5 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 320-25MG 07/01/2007 12/31/2029 NO YES DIOVAN HCT TAB 80/12.5 07/01/2007 12/31/2029 NO YES VALSART/HCTZ TAB 160-12.5 07/01/2007 12/31/2029 NO NO VALSART/HCTZ TAB 160-25MG 07/01/2007 12/31/2029 NO NO VALSART/HCTZ TAB 320-12.5 07/01/2007 12/31/2029 NO NO VALSART/HCTZ TAB 320-25MG 07/01/2007 12/31/2029 NO NO VALSART/HCTZ TAB 80-12.5 07/01/2007 12/31/2029 NO NO Veratrum Viride & Sod Nitrite OXYNIT/VERAT TAB 07/01/2007 12/31/2029 NO YES *ANTI-INFECTIVE AGENTS - MISC.* Atovaquone ATOVAQUONE SUS 750/5ML 07/01/2006 12/31/2029 NO NO MEPRON SUS 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Atovaquone MEPRON TAB 250MG 07/01/2007 12/31/2029 NO YES Aztreonam AZACTAM INJ 1GM 07/01/2007 12/31/2029 NO YES AZACTAM INJ 2GM 07/01/2007 12/31/2029 NO YES AZACTAM INJ 500MG 07/01/2007 12/31/2029 NO YES AZTREONAM INJ 1GM 07/01/2007 12/31/2029 NO NO AZTREONAM INJ 2GM 07/01/2007 12/31/2029 NO NO Aztreonam in Dextrose AZACTAM/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES AZACTAM/DEX INJ 2GM 07/01/2007 12/31/2029 NO YES Aztreonam Lysine CAYSTON INH 75MG 07/01/2007 12/31/2029 NO YES Bacitracin BACIIM INJ 50000UNT 07/01/2007 12/31/2029 NO NO BACI-IM INJ 50000U 07/01/2007 12/31/2029 NO NO BACITRACIN INJ 10000U 07/01/2007 12/31/2029 NO NO BACITRACIN INJ 50000U 07/01/2007 12/31/2029 NO NO BACITRACIN INJ 50000UNT 07/01/2007 12/31/2029 NO NO Chloramphenicol CHLORACOL CAP 250MG 07/01/2007 12/31/2029 NO NO CHLORAMPHEN CAP 250MG 07/01/2007 12/31/2029 NO NO CHLORAMPHEN POW 07/01/2007 12/31/2029 NO YES CHLORAMPHEN POW USP 07/01/2007 12/31/2029 NO YES CHLOROMYCET CAP 250MG 07/01/2007 12/31/2029 NO YES MYCHEL CAP 250MG 07/01/2007 12/31/2029 NO NO Chloramphenicol Palmitate CHLOROMYCET SUS 07/01/2007 12/31/2029 NO YES Chloramphenicol Sodium Succinate CHLORAMPHEN INJ 1GM 07/01/2007 12/31/2029 NO NO CHLORAMPHEN INJ 65MG 07/01/2007 12/31/2029 NO YES CHLOROMYCET INJ 1GM 07/01/2007 12/31/2029 NO YES MYCHEL-S INJ 1GM 07/01/2007 12/31/2029 NO NO Clindamycin HCl CLEOCIN CAP 150MG 07/01/2006 12/31/2029 NO YES CLEOCIN CAP 300MG 07/01/2006 12/31/2029 NO YES CLEOCIN CAP 75MG 07/01/2006 12/31/2029 NO YES CLINDAMYCIN CAP 150MG 07/01/2006 12/31/2029 NO NO CLINDAMYCIN CAP 300MG 07/01/2006 12/31/2029 NO NO CLINDAMYCIN CAP 75MG 07/01/2006 12/31/2029 NO NO Clindamycin Palmitate Hydrochloride CLEOCIN PED SOL 75MG/5ML 07/01/2006 12/31/2029 NO YES CLINDAMYCIN SOL 75MG/5ML 07/01/2006 12/31/2029 NO NO Clindamycin Phosphate CLEOCIN PHOS INJ 150MG/ML 07/01/2007 12/31/2029 NO YES CLEOCIN PHOS INJ 300/2ML 07/01/2007 12/31/2029 NO YES CLEOCIN PHOS INJ 300MG 07/01/2007 12/31/2029 NO YES CLEOCIN PHOS INJ 600MG 07/01/2007 12/31/2029 NO YES CLEOCIN PHOS INJ 900MG 07/01/2007 12/31/2029 NO YES CLEOCIN PHOS INJ 9GM/60ML 07/01/2007 12/31/2029 NO YES CLIN SINGLE KIT USE 07/01/2007 12/31/2029 NO YES CLINDAMYCIN INJ 150MG/ML 07/01/2006 12/31/2029 NO NO CLINDAMYCIN INJ 15GM/100 07/01/2006 12/31/2029 NO NO CLINDAMYCIN INJ 300/2ML 07/01/2007 12/31/2029 NO NO CLINDAMYCIN INJ 600/4ML 07/01/2007 12/31/2029 NO NO CLINDAMYCIN INJ 900/6ML 07/01/2007 12/31/2029 NO NO CLINDAMYCIN INJ 9000/60 07/01/2007 12/31/2029 NO NO CLINDAMYCIN INJ 9GM/60ML 07/01/2006 12/31/2029 NO NO Clindamycin Phosphate in D5W CLEOCIN/D5W INJ 300MG 07/01/2006 12/31/2029 NO YES CLEOCIN/D5W INJ 600MG 07/01/2006 12/31/2029 NO YES CLEOCIN/D5W INJ 900MG 07/01/2006 12/31/2029 NO YES CLINDAMYCIN INJ 300MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Clindamycin Phosphate in D5W CLINDAMYCIN INJ 600MG 07/01/2006 12/31/2029 NO NO CLINDAMYCIN INJ 900MG 07/01/2006 12/31/2029 NO NO CLINDAMYCIN INJ IN D5W 07/01/2006 12/31/2029 NO NO Clindamycin Phosphate in NaCl CLINDMYC/NAC INJ 300/50ML 07/01/2007 12/31/2029 NO YES CLINDMYC/NAC INJ 600/50ML 07/01/2007 12/31/2029 NO YES CLINDMYC/NAC INJ 900/50ML 07/01/2007 12/31/2029 NO YES Clindamycin-Lidocaine-Epinephrine-Sodium Bicarbonate CLIN-LIDO KIT 07/01/2007 12/31/2029 NO YES Clofazimine LAMPRENE CAP 100MG 07/01/2007 12/31/2029 NO YES LAMPRENE CAP 50MG 07/01/2007 12/31/2029 NO YES Colistimethate Sodium COLISTIMETH INJ 150MG 07/01/2007 12/31/2029 NO NO COLY-MYCIN M INJ 150MG 07/01/2007 12/31/2029 NO YES COLY-MYCIN-M INJ 150MG 07/01/2007 12/31/2029 NO YES Colistin Sulfate COLY-MYCIN-S SUS 300MG 07/01/2007 12/31/2029 NO YES Dalbavancin HCl DALVANCE SOL 500MG 07/01/2007 12/31/2029 NO YES Dapsone DAPSONE TAB 100MG 07/01/2006 12/31/2029 NO NO DAPSONE TAB 25MG 07/01/2006 12/31/2029 NO NO Daptomycin CUBICIN SOL 500MG 07/01/2007 12/31/2029 NO YES CUBICIN RF SOL 500MG 07/01/2007 12/31/2029 NO YES DAPTOMYCIN INJ 500MG 07/01/2007 12/31/2029 NO NO Doripenem DORIBAX INJ 250MG 07/01/2007 12/31/2029 NO YES DORIBAX INJ 500MG 07/01/2007 12/31/2029 NO YES DORIPENEM INJ 250MG 07/01/2007 12/31/2029 NO YES DORIPENEM INJ 500MG 07/01/2007 12/31/2029 NO YES Drotrecogin alfa (Activated) XIGRIS INJ 20MG 07/01/2007 12/31/2029 NO YES XIGRIS INJ 5MG 07/01/2007 12/31/2029 NO YES Empty Level PRIMAXIN IV INJ 250MG 07/01/2007 12/31/2029 NO YES PRIMAXIN IV INJ 500MG 07/01/2007 12/31/2029 NO YES Ertapenem Sodium INVANZ INJ 1GM 07/01/2007 12/31/2029 NO YES Erythromycin-Sulfisoxazole E.S.P. SUS 200-600 07/01/2006 12/31/2029 NO NO EES/SULFISOX SUS 200-600 07/01/2006 12/31/2029 NO NO ERYTHRO-SUL SUS 200/600 07/01/2006 12/31/2029 NO NO ERYTHRO-SUL SUS 200-600 07/01/2006 12/31/2029 NO NO ERYZOLE SUS 200/600 07/01/2006 12/31/2029 NO NO PEDIAGEN SUS 200-600 07/01/2006 12/31/2029 NO NO PEDIAZOLE SUS 200/600 07/01/2006 12/31/2029 NO YES SULFIMYCIN SUS 200/600 07/01/2006 12/31/2029 NO NO Furazolidone FUROXONE LIQ 16.7/5ML 07/01/2007 12/31/2029 NO YES FUROXONE LIQ 50/15ML 07/01/2007 12/31/2029 NO YES FUROXONE TAB 100MG 07/01/2007 12/31/2029 NO YES Imipenem-Cilastatin IMIPENEM/CIL INJ 250MG 07/01/2007 12/31/2029 NO NO IMIPENEM/CIL INJ 500MG 07/01/2007 12/31/2029 NO NO PRIMAXIN IM INJ 500MG 07/01/2007 12/31/2029 NO YES PRIMAXIN IM INJ 750MG 07/01/2007 12/31/2029 NO YES PRIMAXIN IV INJ 250MG 07/01/2007 12/31/2029 NO YES PRIMAXIN IV INJ 500MG 07/01/2007 12/31/2029 NO YES Lincomycin HCl LINCOCIN INJ 300MG/ML 07/01/2007 12/31/2029 NO YES LINCOMYCIN INJ 300MG/ML 07/01/2007 12/31/2029 NO NO Lincomycin HCl-Lidocaine HCl LINCOMYCIN INJ LIDOCAIN 07/01/2007 12/31/2029 NO YES Linezolid LINEZOLID INJ 2MG/ML 07/01/2007 12/31/2029 NO NO LINEZOLID SUS 100/5ML 07/01/2007 12/31/2029 NO NO LINEZOLID TAB 600MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Linezolid ZYVOX SOL 2MG/ML 07/01/2007 12/31/2029 NO YES ZYVOX SUS 100MG/5M 07/01/2007 12/31/2029 NO YES ZYVOX TAB 600MG 07/01/2007 12/31/2029 NO YES Linezolid in Sodium Chloride LINEZOLID INJ 2MG/ML 07/01/2007 12/31/2029 NO YES Loracarbef LORABID CAP 200MG 07/01/2007 12/31/2029 NO YES LORABID CAP 400MG 07/01/2007 12/31/2029 NO YES LORABID SUS 100/5ML 07/01/2007 12/31/2029 NO YES LORABID SUS 200/5ML 07/01/2007 12/31/2029 NO YES Meropenem MEROPENEM INJ 1GM 07/01/2007 12/31/2029 NO NO MEROPENEM INJ 500MG 07/01/2007 12/31/2029 NO NO MERREM INJ 1GM 07/01/2007 12/31/2029 NO YES MERREM INJ 500MG 07/01/2007 12/31/2029 NO YES Meropenem % Sodium Chloride MEROP/NACL INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES MEROP/NACL INJ 500/50ML 07/01/2007 12/31/2029 NO YES Metronidazole FLAGYL CAP 375MG 07/01/2007 12/31/2029 NO YES FLAGYL TAB 250MG 07/01/2007 12/31/2029 NO YES FLAGYL TAB 500MG 07/01/2007 12/31/2029 NO YES FLAGYL ER TAB 750MG 07/01/2007 12/31/2029 NO YES FLAGYL I.V. INJ 500MG 07/01/2007 12/31/2029 NO YES FLAGYL IV INJ 5MG/ML 07/01/2007 12/31/2029 NO YES METIZOL TAB 250MG 07/01/2007 12/31/2029 NO NO METRIC 21 TAB 250MG 07/01/2007 12/31/2029 NO NO METRO IV INJ 5MG/ML 07/01/2007 12/31/2029 NO NO METRONIDAZOL CAP 375MG 07/01/2007 12/31/2029 NO NO METRONIDAZOL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO METRONIDAZOL TAB 250MG 07/01/2007 12/31/2029 NO NO METRONIDAZOL TAB 500MG 07/01/2007 12/31/2029 NO NO METRONIDAZOL TAB 750MG 07/01/2007 12/31/2029 NO NO METRYL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO METRYL TAB 250MG 07/01/2007 12/31/2029 NO NO METRYL TAB 500MG 07/01/2007 12/31/2029 NO NO PROTOSTAT TAB 250MG 07/01/2007 12/31/2029 NO NO PROTOSTAT TAB 500MG 07/01/2007 12/31/2029 NO NO Metronidazole Benzoate FIRST-METRON SUS 100MG/ML 07/01/2007 12/31/2029 NO YES FIRST-METRON SUS 50MG/ML 07/01/2007 12/31/2029 NO YES METRONIDAZOL SUS 50MG/ML 07/01/2007 12/31/2029 NO YES Metronidazole HCl FLAGYL I.V. INJ 500MG 07/01/2007 12/31/2029 NO YES Metronidazole in NaCl FLAGYL I.V. INJ 5MG/ML 07/01/2007 12/31/2029 NO YES METRO IV INJ 5MG/ML 07/01/2007 12/31/2029 NO YES METRON/NACL INJ 500MG 07/01/2007 12/31/2029 NO NO Miltefosine IMPAVIDO CAP 50MG 07/01/2007 12/31/2029 NO YES Nitazoxanide ALINIA SUS 100/5ML 07/01/2007 12/31/2029 NO YES ALINIA TAB 500MG 07/01/2007 12/31/2029 NO YES Novobiocin Sodium ALBAMYCIN CAP 250MG 07/01/2007 12/31/2029 NO YES Oritavancin Diphosphate ORBACTIV SOL 400MG 07/01/2007 12/31/2029 NO YES Pentamidine Isethionate NEBUPENT INH 300MG 07/01/2006 12/31/2029 NO YES PENTACARINAT INJ 300MG 07/01/2006 12/31/2029 NO NO PENTAM 300 INJ 300MG 07/01/2006 12/31/2029 NO YES PENTAMIDINE INJ 300MG 07/01/2006 12/31/2029 NO NO Polymyxin B Sulfate AEROSPORIN INJ 500000U 07/01/2007 12/31/2029 NO YES POLYMYXIN B INJ 500000 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Polymyxin B Sulfate POLYMYXIN B INJ 500000U 07/01/2007 12/31/2029 NO YES POLYMYXIN B POW 07/01/2007 12/31/2029 NO NO POLYMYXIN B POW 100MU 07/01/2007 12/31/2029 NO YES POLYMYXIN B POW MICRONIZ 07/01/2007 12/31/2029 NO YES POLYMYXIN B POW SULFATE 07/01/2007 12/31/2029 NO YES POLY-RX POW 07/01/2007 12/31/2029 NO YES Quinupristin-Dalfopristin SYNERCID INJ 500MG 07/01/2007 12/31/2029 NO YES SYNERCID INJ 600MG 07/01/2007 12/31/2029 NO YES Rifaximin XIFAXAN TAB 200MG 07/01/2007 12/31/2029 NO YES XIFAXAN TAB 550MG 07/01/2007 12/31/2029 NO YES Spectinomycin HCl TROBICIN INJ 2GM 07/01/2007 12/31/2029 NO YES TROBICIN INJ 4GM 07/01/2007 12/31/2029 NO YES Sulfamethoxazole-Trimethoprim BACTRIM SUS 200-40/5 07/01/2006 12/31/2029 NO YES BACTRIM TAB 400-80MG 07/01/2006 12/31/2029 NO YES BACTRIM DS TAB 800-160 07/01/2006 12/31/2029 NO YES BACTRIM IV INJ 400-80/5 07/01/2007 12/31/2029 NO YES CHERAGAN TAB 400-80MG 07/01/2006 12/31/2029 NO NO COTRIM SUS 200-40/5 07/01/2006 12/31/2029 NO NO COTRIM TAB 400-80MG 07/01/2006 12/31/2029 NO NO COTRIM DS TAB 800-160 07/01/2006 12/31/2029 NO NO COTRIM IV INJ 400-80/5 07/01/2007 12/31/2029 NO NO SEPTRA SUS 200-40/5 07/01/2006 12/31/2029 NO YES SEPTRA TAB 400-80MG 07/01/2006 12/31/2029 NO YES SEPTRA DS TAB 800-160 07/01/2006 12/31/2029 NO YES SEPTRA IV INJ 400-80/5 07/01/2007 12/31/2029 NO YES SMZ/TMP DS TAB 800-160 07/01/2006 12/31/2029 NO YES SMZ-TMP INJ 400-80/5 07/01/2007 12/31/2029 NO NO SMZ-TMP SUS 07/01/2006 12/31/2029 NO NO SMZ-TMP SUS 200-40/5 07/01/2006 12/31/2029 NO NO SMZ-TMP TAB 400-80MG 07/01/2006 12/31/2029 NO NO SMZ-TMP DS TAB 800-160 07/01/2006 12/31/2029 NO NO SMZ-TMP PED SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFAMAR SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFAMAR DS TAB 800-160 07/01/2006 12/31/2029 NO NO SULFAMETH DS TAB 800-160 07/01/2006 12/31/2029 NO NO SULFAPRIM SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFAPRIM TAB 400-80MG 07/01/2006 12/31/2029 NO NO SULFAPRIM DS TAB 800-160 07/01/2006 12/31/2029 NO NO SULFAPRIM PD SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFATRIM SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFATRIM TAB 400-80MG 07/01/2006 12/31/2029 NO NO SULFATRIM DS TAB 800-160 07/01/2006 12/31/2029 NO NO SULFATRIM PD SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULFOXAPRIM TAB 400-80MG 07/01/2006 12/31/2029 NO NO SULFOXAPRIM TAB 800-160 07/01/2006 12/31/2029 NO NO SULMEPRIM SUS 200-40/5 07/01/2006 12/31/2029 NO NO SULMEPRIM PD SUS 200-40/5 07/01/2006 12/31/2029 NO NO THSC SMZ/TMP TAB 800-160 07/01/2006 12/31/2029 NO NO TMP/SMZ DS TAB 160-800 07/01/2006 12/31/2029 NO NO TMP-SMZ SUS 40-200/5 07/01/2006 12/31/2029 NO NO TMP-SMZ TAB 80-400MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Sulfamethoxazole-Trimethoprim TRIAZOLE TAB 400-80MG 07/01/2006 12/31/2029 NO NO TRISULFAM PD SUS 200-40/5 07/01/2006 12/31/2029 NO NO UROPLUS TAB 400-80MG 07/01/2006 12/31/2029 NO NO UROPLUS DS TAB 800-160 07/01/2006 12/31/2029 NO NO UROPLUS SS TAB 400-80MG 07/01/2006 12/31/2029 NO NO UROSEPTIC II TAB 800-160 07/01/2006 12/31/2029 NO NO Tedizolid Phosphate SIVEXTRO INJ 200MG 07/01/2007 12/31/2029 NO YES SIVEXTRO TAB 200MG 07/01/2007 12/31/2029 NO YES Telavancin HCl VIBATIV INJ 250MG 07/01/2007 12/31/2029 NO YES VIBATIV INJ 750MG 07/01/2007 12/31/2029 NO YES Telithromycin KETEK TAB 300MG 07/01/2007 12/31/2029 NO YES KETEK TAB 400MG 07/01/2007 12/31/2029 NO YES KETEK PAK TAB 400MG 07/01/2007 12/31/2029 NO YES Tigecycline TIGECYCLINE INJ 50MG 07/01/2007 12/31/2029 NO YES TYGACIL INJ 50MG 07/01/2007 12/31/2029 NO YES Tinidazole TINDAMAX TAB 250MG 07/01/2007 12/31/2029 NO YES TINDAMAX TAB 500MG 07/01/2007 12/31/2029 NO YES TINIDAZOLE TAB 250MG 07/01/2007 12/31/2029 NO NO TINIDAZOLE TAB 500MG 07/01/2007 12/31/2029 NO NO Trimethoprim PROLOPRIM TAB 100MG 07/01/2006 12/31/2029 NO YES PROLOPRIM TAB 200MG 07/01/2006 12/31/2029 NO YES TRIMETHOPRIM POW 07/01/2006 12/31/2029 NO YES TRIMETHOPRIM TAB 100MG 07/01/2006 12/31/2029 NO NO TRIMETHOPRIM TAB 200MG 07/01/2006 12/31/2029 NO NO TRIMPEX TAB 100MG 07/01/2006 12/31/2029 NO YES Trimethoprim HCl PRIMSOL SOL 50MG/5ML 07/01/2007 12/31/2029 NO YES Trimetrexate Glucuronate NEUTREXIN INJ 200MG 07/01/2007 12/31/2029 NO YES NEUTREXIN INJ 25MG 07/01/2007 12/31/2029 NO YES Vancomycin HCl VANCOCIN HCL CAP 125MG 07/01/2007 12/31/2029 NO YES VANCOCIN HCL CAP 250MG 07/01/2007 12/31/2029 NO YES VANCOCIN HCL INJ 10GM 07/01/2007 12/31/2029 NO YES VANCOCIN HCL INJ 1GM 07/01/2007 12/31/2029 NO YES VANCOCIN HCL INJ 500MG 07/01/2007 12/31/2029 NO YES VANCOCIN HCL SOL 250/5ML 07/01/2007 12/31/2029 NO YES VANCOCIN HCL SOL 500/6ML 07/01/2007 12/31/2029 NO YES VANCOLED INJ 1000MG 07/01/2007 12/31/2029 NO NO VANCOLED INJ 500MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN CAP 125MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN CAP 250MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 1 GM 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 1000MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 10GM 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 5000MG 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 500MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 5GM 07/01/2007 12/31/2029 NO NO VANCOMYCIN INJ 750MG 07/01/2007 12/31/2029 NO NO VANCOMYCIN POW 07/01/2007 12/31/2029 NO YES VANCOMYCIN SOL 250/5ML 07/01/2007 12/31/2029 NO NO VANCOMYCIN SUS +SYRSPEN 07/01/2007 12/31/2029 NO YES VANCOMYCN 25 SOL 25MG/ML 07/01/2007 12/31/2029 NO YES VANCOMYCN 50 SOL 50MG/ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTI-INFECTIVE AGENTS - MISC.* Vancomycin HCl VANCOR INJ 1GM 07/01/2007 12/31/2029 NO NO VANCOR INJ 500MG 07/01/2007 12/31/2029 NO NO Vancomycin HCl in Dextrose VANCOCIN/DEX INJ 500MG 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W INJ 1.25/250 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W INJ 1.75/500 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W INJ 1/100ML 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W INJ 1G/250ML 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W INJ 750/150 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W SOL 1.5/250 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W SOL 1.5/500 07/01/2007 12/31/2029 NO YES VANCOMYC/D5W SOL 2G/500ML 07/01/2007 12/31/2029 NO YES VANCOMYC/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES VANCOMYC/DEX INJ 500MG 07/01/2007 12/31/2029 NO YES VANCOMYC/DEX INJ 750MG 07/01/2007 12/31/2029 NO YES Vancomycin HCl in Sodium Chloride VANCOMY/HCL INJ 2/250ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.25/250 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.5/150 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.5/500 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.75/250 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.75/300 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1.75/500 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1/250ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1G/150ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 1G/250ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 2.5/500 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 2/250ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 2/500ML 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 750/150 07/01/2007 12/31/2029 NO YES VANCOMY/NACL INJ 750/250 07/01/2007 12/31/2029 NO YES VANCOMY/NACL SOL 1.5/250 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 1 GM 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 1.75/500 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 500/50 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 500MG 07/01/2007 12/31/2029 NO YES VANCOMYCIN INJ 750MG 07/01/2007 12/31/2029 NO YES *ANTIMALARIALS* Primaquine Phosphate PRIMAQUINE POW PHOSPHAT 07/01/2006 12/31/2029 NO YES PRIMAQUINE TAB 26.3MG 07/01/2006 12/31/2029 NO YES Pyrimethamine DARAPRIM TAB 25MG 07/01/2006 12/31/2029 NO YES *ANTIMYCOBACTERIAL AGENTS* Ethambutol HCl ETHAMBUTOL POW 07/01/2006 12/31/2029 NO YES ETHAMBUTOL POW HCL 07/01/2006 12/31/2029 NO YES ETHAMBUTOL POW HCL USP 07/01/2006 12/31/2029 NO YES ETHAMBUTOL TAB 100MG 07/01/2006 12/31/2029 NO NO ETHAMBUTOL TAB 400MG 07/01/2006 12/31/2029 NO NO MYAMBUTOL TAB 100MG 07/01/2006 12/31/2029 NO YES MYAMBUTOL TAB 400MG 07/01/2006 12/31/2029 NO YES Isoniazid ISONIAZID INJ 100MG/ML 07/01/2006 12/31/2029 NO YES ISONIAZID POW 07/01/2006 12/31/2029 NO YES ISONIAZID POW USP 07/01/2006 12/31/2029 NO YES ISONIAZID SYP 50MG/5ML 07/01/2006 12/31/2029 NO NO ISONIAZID TAB 100MG 07/01/2006 12/31/2029 NO NO ISONIAZID TAB 300MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIMYCOBACTERIAL AGENTS* Isoniazid ISONICOTINIC TAB 100MG 07/01/2006 12/31/2029 NO NO ISONICOTINIC TAB 300MG 07/01/2006 12/31/2029 NO NO LANIAZID SYP 50MG/5ML 07/01/2006 12/31/2029 NO NO LANIAZID TAB 100MG 07/01/2006 12/31/2029 NO NO LANIAZID TAB 50MG 07/01/2006 12/31/2029 NO NO NYDRAZID INJ 100MG/ML 07/01/2006 12/31/2029 NO YES NYDRAZID TAB 100MG 07/01/2006 12/31/2029 NO NO TEEBACONIN TAB 100MG 07/01/2006 12/31/2029 NO YES TEEBACONIN TAB 300MG 07/01/2006 12/31/2029 NO NO TEEBACONIN TAB 50MG 07/01/2006 12/31/2029 NO YES TUBIZID TAB 100MG 07/01/2006 12/31/2029 NO NO TUBIZID TAB 300MG 07/01/2006 12/31/2029 NO NO Pyrazinamide PYRAZINAMIDE TAB 500MG 07/01/2006 12/31/2029 NO NO Rifabutin MYCOBUTIN CAP 150MG 07/01/2006 12/31/2029 NO YES RIFABUTIN CAP 150MG 07/01/2006 12/31/2029 NO NO Rifampin RIFADIN CAP 150MG 07/01/2006 12/31/2029 NO YES RIFADIN CAP 300MG 07/01/2006 12/31/2029 NO YES RIFADIN INJ 600 MG 07/01/2006 12/31/2029 NO YES RIFAMPICIN CRY 07/01/2006 12/31/2029 NO YES RIFAMPIN CAP 150MG 07/01/2006 12/31/2029 NO NO RIFAMPIN CAP 300MG 07/01/2006 12/31/2029 NO NO RIFAMPIN INJ 600 MG 07/01/2006 12/31/2029 NO NO RIFAMPIN POW 07/01/2006 12/31/2029 NO YES RIMACTANE CAP 300MG 07/01/2006 12/31/2029 NO NO Rifapentine PRIFTIN TAB 150MG 07/01/2006 12/31/2029 NO YES *ANTINEOPLASTICS AND Leucovorin Calcium LEUCOVOR CA INJ 100MG 07/01/2006 12/31/2029 NO NO ADJUNCTIVE THERAPIES* LEUCOVOR CA INJ 10MG/ML 07/01/2006 12/31/2029 NO YES LEUCOVOR CA INJ 1MG/ML 07/01/2006 12/31/2029 NO YES LEUCOVOR CA INJ 200MG 07/01/2006 12/31/2029 NO NO LEUCOVOR CA INJ 350MG 07/01/2006 12/31/2029 NO YES LEUCOVOR CA INJ 3MG/ML 07/01/2006 12/31/2029 NO YES LEUCOVOR CA INJ 50MG 07/01/2006 12/31/2029 NO YES LEUCOVOR CA INJ 5MG/ML 07/01/2006 12/31/2029 NO NO LEUCOVOR CA TAB 10MG 07/01/2006 12/31/2029 NO YES LEUCOVOR CA TAB 15MG 07/01/2006 12/31/2029 NO YES LEUCOVOR CA TAB 25MG 07/01/2006 12/31/2029 NO NO LEUCOVOR CA TAB 5MG 07/01/2006 12/31/2029 NO YES LEUCOVORIN INJ 200MG 07/01/2006 12/31/2029 NO NO LEUCOVORIN INJ 350MG 07/01/2006 12/31/2029 NO YES LEUCOVORIN INJ CALCIUM 07/01/2006 12/31/2029 NO YES WELLCOVORIN INJ 100MG 07/01/2006 12/31/2029 NO YES WELLCOVORIN INJ 50MG 07/01/2006 12/31/2029 NO NO WELLCOVORIN TAB 25MG 07/01/2006 12/31/2029 NO YES WELLCOVORIN TAB 5MG 07/01/2006 12/31/2029 NO YES *ANTIPARKINSON AGENTS* Amantadine HCl AMANTADINE CAP 100MG 07/01/2006 12/31/2029 NO NO AMANTADINE SYP 50MG/5ML 07/01/2006 12/31/2029 NO NO AMANTADINE TAB 100MG 07/01/2006 12/31/2029 NO YES SYMADINE CAP 100MG 07/01/2006 12/31/2029 NO NO SYMMETREL CAP 100MG 07/01/2006 12/31/2029 NO YES SYMMETREL SYP 50MG/5ML 07/01/2006 12/31/2029 NO YES SYMMETREL TAB 100MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Acetophenazine Maleate TINDAL TAB 20MG 07/01/2007 12/31/2029 NO YES AGENTS* Aripiprazole ABILIFY INJ 9.75MG 07/01/2007 12/31/2029 NO YES ABILIFY SOL 1MG/ML 07/01/2007 12/31/2029 NO YES ABILIFY TAB 10MG 07/01/2007 12/31/2029 NO YES ABILIFY TAB 15MG 07/01/2007 12/31/2029 NO YES ABILIFY TAB 20MG 07/01/2007 12/31/2029 NO YES ABILIFY TAB 2MG 07/01/2007 12/31/2029 NO YES ABILIFY TAB 30MG 07/01/2007 12/31/2029 NO YES ABILIFY TAB 5MG 07/01/2007 12/31/2029 NO YES ABILIFY DISC TAB 10MG 07/01/2007 12/31/2029 NO YES ABILIFY DISC TAB 15MG 07/01/2007 12/31/2029 NO YES ABILIFY MAIN INJ 300MG 07/01/2007 12/31/2029 NO YES ABILIFY MAIN INJ 400MG 07/01/2007 12/31/2029 NO YES ARIPIPRAZOLE SOL 1MG/ML 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 10MG 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 10MG ODT 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 15MG 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 15MG ODT 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 20MG 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 2MG 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 30MG 07/01/2007 12/31/2029 NO NO ARIPIPRAZOLE TAB 5MG 07/01/2007 12/31/2029 NO NO Aripiprazole Lauroxil ARISTADA INJ 1064MG 07/01/2007 12/31/2029 NO YES ARISTADA INJ 441MG/1. 07/01/2007 12/31/2029 NO YES ARISTADA INJ 662MG/2 07/01/2007 12/31/2029 NO YES ARISTADA INJ 882MG/3 07/01/2007 12/31/2029 NO YES Asenapine Maleate SAPHRIS SUB 10MG 07/01/2007 12/31/2029 NO YES SAPHRIS SUB 2.5MG 07/01/2007 12/31/2029 NO YES SAPHRIS SUB 5MG 07/01/2007 12/31/2029 NO YES Brexpiprazole REXULTI TAB 0.25MG 07/01/2007 12/31/2029 NO YES REXULTI TAB 0.5MG 07/01/2007 12/31/2029 NO YES REXULTI TAB 1MG 07/01/2007 12/31/2029 NO YES REXULTI TAB 2MG 07/01/2007 12/31/2029 NO YES REXULTI TAB 3MG 07/01/2007 12/31/2029 NO YES REXULTI TAB 4MG 07/01/2007 12/31/2029 NO YES Carbamazepine (Antipsychotic) EQUETRO CAP 100MG 07/01/2007 12/31/2029 NO YES EQUETRO CAP 200MG 07/01/2007 12/31/2029 NO YES EQUETRO CAP 300MG 07/01/2007 12/31/2029 NO YES Cariprazine HCl VRAYLAR CAP 1.5-3MG 07/01/2007 12/31/2029 NO YES VRAYLAR CAP 1.5MG 07/01/2007 12/31/2029 NO YES VRAYLAR CAP 3MG 07/01/2007 12/31/2029 NO YES VRAYLAR CAP 4.5MG 07/01/2007 12/31/2029 NO YES VRAYLAR CAP 6MG 07/01/2007 12/31/2029 NO YES Chlorpromazine THORAZINE SUP 100MG 07/01/2007 12/31/2029 NO YES THORAZINE SUP 25MG 07/01/2007 12/31/2029 NO YES Chlorpromazine HCl CALMTROL INJ 25MG/ML 07/01/2007 12/31/2029 NO NO CHLORPROMAZ CON 100MG/ML 07/01/2007 12/31/2029 NO NO CHLORPROMAZ CON 30MG/ML 07/01/2007 12/31/2029 NO YES CHLORPROMAZ CRY 07/01/2007 12/31/2029 NO YES CHLORPROMAZ INJ 25MG/ML 07/01/2007 12/31/2029 NO NO CHLORPROMAZ INJ 50MG/2ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Chlorpromazine HCl CHLORPROMAZ POW 07/01/2007 12/31/2029 NO YES AGENTS* CHLORPROMAZ POW HCL 07/01/2007 12/31/2029 NO YES CHLORPROMAZ SYP 10MG/5ML 07/01/2007 12/31/2029 NO NO CHLORPROMAZ TAB 100MG 07/01/2007 12/31/2029 NO NO CHLORPROMAZ TAB 10MG 07/01/2007 12/31/2029 NO NO CHLORPROMAZ TAB 200MG 07/01/2007 12/31/2029 NO NO CHLORPROMAZ TAB 25MG 07/01/2007 12/31/2029 NO NO CHLORPROMAZ TAB 50MG 07/01/2007 12/31/2029 NO NO COTRANZINE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO ORMAZINE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO PROMAZ INJ 25MG/ML 07/01/2007 12/31/2029 NO NO THORADOL TAB 100MG 07/01/2007 12/31/2029 NO NO THORADOL TAB 10MG 07/01/2007 12/31/2029 NO NO THORADOL TAB 25MG 07/01/2007 12/31/2029 NO NO THORADOL TAB 50MG 07/01/2007 12/31/2029 NO NO THORAREX INJ 25MG/ML 07/01/2007 12/31/2029 NO NO THORAZINE CAP 150MG CR 07/01/2007 12/31/2029 NO YES THORAZINE CAP 200MG CR 07/01/2007 12/31/2029 NO YES THORAZINE CAP 300MG CR 07/01/2007 12/31/2029 NO YES THORAZINE CAP 30MG CR 07/01/2007 12/31/2029 NO YES THORAZINE CAP 75MG CR 07/01/2007 12/31/2029 NO YES THORAZINE CON 100MG/ML 07/01/2007 12/31/2029 NO YES THORAZINE CON 30MG/ML 07/01/2007 12/31/2029 NO YES THORAZINE INJ 25MG/ML 07/01/2007 12/31/2029 NO YES THORAZINE SYP 10MG/5ML 07/01/2007 12/31/2029 NO YES THORAZINE TAB 100MG 07/01/2007 12/31/2029 NO YES THORAZINE TAB 10MG 07/01/2007 12/31/2029 NO YES THORAZINE TAB 200MG 07/01/2007 12/31/2029 NO YES THORAZINE TAB 25MG 07/01/2007 12/31/2029 NO YES THORAZINE TAB 50MG 07/01/2007 12/31/2029 NO YES Chlorprothixene TARACTAN TAB 100MG 07/01/2007 12/31/2029 NO YES TARACTAN TAB 10MG 07/01/2007 12/31/2029 NO YES TARACTAN TAB 25MG 07/01/2007 12/31/2029 NO YES TARACTAN TAB 50MG 07/01/2007 12/31/2029 NO YES Chlorprothixene HCl TARACTAN INJ 25MG/2ML 07/01/2007 12/31/2029 NO YES Chlorprothixene Lactate HCl TARACTAN CON 100/5ML 07/01/2007 12/31/2029 NO YES Clozapine CLOZAPINE TAB 100/ODT 07/01/2007 12/31/2029 NO NO CLOZAPINE TAB 100MG 07/01/2007 12/31/2029 NO NO CLOZAPINE TAB 12.5 07/01/2007 12/31/2029 NO YES CLOZAPINE TAB 12.5/ODT 07/01/2007 12/31/2029 NO YES CLOZAPINE TAB 150/ODT 07/01/2007 12/31/2029 NO YES CLOZAPINE TAB 200/ODT 07/01/2007 12/31/2029 NO YES CLOZAPINE TAB 200MG 07/01/2007 12/31/2029 NO YES CLOZAPINE TAB 25MG 07/01/2007 12/31/2029 NO NO CLOZAPINE TAB 25MG ODT 07/01/2007 12/31/2029 NO NO CLOZAPINE TAB 50MG 07/01/2007 12/31/2029 NO NO CLOZARIL TAB 100MG 07/01/2007 12/31/2029 NO YES CLOZARIL TAB 25MG 07/01/2007 12/31/2029 NO YES FAZACLO TAB 100 ODT 07/01/2007 12/31/2029 NO YES FAZACLO TAB 100MG 07/01/2007 12/31/2029 NO YES FAZACLO TAB 12.5 ODT 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Clozapine FAZACLO TAB 12.5MG 07/01/2007 12/31/2029 NO YES AGENTS* FAZACLO TAB 150 ODT 07/01/2007 12/31/2029 NO YES FAZACLO TAB 200 ODT 07/01/2007 12/31/2029 NO YES FAZACLO TAB 25MG 07/01/2007 12/31/2029 NO YES FAZACLO TAB 25MG ODT 07/01/2007 12/31/2029 NO YES VERSACLOZ SUS 50MG/ML 07/01/2007 12/31/2029 NO YES Empty Level CLOZARIL MIS 150MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 200MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 250MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 300MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 400MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 500MG 07/01/2007 12/31/2029 NO YES CLOZARIL MIS 600MG 07/01/2007 12/31/2029 NO YES CLOZARIL TAB 100MG 07/01/2007 12/31/2029 NO YES CLOZARIL TAB 25MG 07/01/2007 12/31/2029 NO YES LOXAPINE CAP 10MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 25MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 50MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 5MG 07/01/2007 12/31/2029 NO NO LOXITANE CAP 10MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 25MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 50MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 5MG 07/01/2007 12/31/2029 NO YES LOXITANE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES LOXITANE-C CON 25MG/ML 07/01/2007 12/31/2029 NO YES MOBAN SOL 20MG/ML 07/01/2007 12/31/2029 NO YES MOBAN TAB 100MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 10MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 25MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 50MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 5MG 07/01/2007 12/31/2029 NO YES Fluphenazine Decanoate FLUPHENAZ DE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO PROLIXIN-DEC INJ 25MG/ML 07/01/2007 12/31/2029 NO YES Fluphenazine Enanthate PROLIXIN-ENA INJ 25MG/ML 07/01/2007 12/31/2029 NO YES Fluphenazine HCl FLUPHENAZINE CON 5MG/ML 07/01/2007 12/31/2029 NO NO FLUPHENAZINE ELX 2.5/5ML 07/01/2007 12/31/2029 NO NO FLUPHENAZINE INJ 2.5MG/ML 07/01/2007 12/31/2029 NO YES FLUPHENAZINE TAB 10MG 07/01/2007 12/31/2029 NO NO FLUPHENAZINE TAB 1MG 07/01/2007 12/31/2029 NO NO FLUPHENAZINE TAB 2.5MG 07/01/2007 12/31/2029 NO NO FLUPHENAZINE TAB 5MG 07/01/2007 12/31/2029 NO NO PERMITIL CON 5MG/ML 07/01/2007 12/31/2029 NO NO PERMITIL TAB 10MG 07/01/2007 12/31/2029 NO NO PERMITIL TAB 2.5MG 07/01/2007 12/31/2029 NO NO PERMITIL TAB 5MG 07/01/2007 12/31/2029 NO NO PROLIXIN CON 5MG/ML 07/01/2007 12/31/2029 NO YES PROLIXIN ELX 2.5/5ML 07/01/2007 12/31/2029 NO YES PROLIXIN INJ 2.5MG/ML 07/01/2007 12/31/2029 NO YES PROLIXIN TAB 10MG 07/01/2007 12/31/2029 NO YES PROLIXIN TAB 1MG 07/01/2007 12/31/2029 NO YES PROLIXIN TAB 2.5MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Fluphenazine HCl PROLIXIN TAB 5MG 07/01/2007 12/31/2029 NO YES AGENTS* Haloperidol HALDOL TAB 0.5MG 07/01/2007 12/31/2029 NO YES HALDOL TAB 10MG 07/01/2007 12/31/2029 NO YES HALDOL TAB 1MG 07/01/2007 12/31/2029 NO YES HALDOL TAB 20MG 07/01/2007 12/31/2029 NO YES HALDOL TAB 2MG 07/01/2007 12/31/2029 NO YES HALDOL TAB 5MG 07/01/2007 12/31/2029 NO YES HALOPERIDOL POW 07/01/2007 12/31/2029 NO YES HALOPERIDOL POW USP 07/01/2007 12/31/2029 NO YES HALOPERIDOL TAB 0.5MG 07/01/2007 12/31/2029 NO NO HALOPERIDOL TAB 10MG 07/01/2007 12/31/2029 NO NO HALOPERIDOL TAB 1MG 07/01/2007 12/31/2029 NO NO HALOPERIDOL TAB 20MG 07/01/2007 12/31/2029 NO NO HALOPERIDOL TAB 2MG 07/01/2007 12/31/2029 NO NO HALOPERIDOL TAB 5MG 07/01/2007 12/31/2029 NO NO HALPERON TAB 0.5MG 07/01/2007 12/31/2029 NO NO HALPERON TAB 1MG 07/01/2007 12/31/2029 NO NO HALPERON TAB 2MG 07/01/2007 12/31/2029 NO NO HALPERON TAB 5MG 07/01/2007 12/31/2029 NO NO Haloperidol Decanoate HALDOL DECAN INJ 100MG/ML 07/01/2007 12/31/2029 NO YES HALDOL DECAN INJ 50MG/ML 07/01/2007 12/31/2029 NO YES HALOPER DEC INJ 100MG/ML 07/01/2007 12/31/2029 NO NO HALOPER DEC INJ 50MG/ML 07/01/2007 12/31/2029 NO NO Haloperidol Lactate HALDOL CON 2MG/ML 07/01/2007 12/31/2029 NO YES HALDOL INJ 5MG/ML 07/01/2007 12/31/2029 NO YES HALOPER LAC INJ 5MG/ML 07/01/2007 12/31/2029 NO NO HALOPERIDOL CON 2MG/ML 07/01/2007 12/31/2029 NO NO HALOPERIDOL INJ 50/10ML 07/01/2007 12/31/2029 NO NO HALOPERIDOL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO HALOPERIDOL SOL 10MG/10 07/01/2007 12/31/2029 NO YES HALOPERIDOL SOL 15MG/15 07/01/2007 12/31/2029 NO YES HALOPERIDOL SOL 20MG/20 07/01/2007 12/31/2029 NO YES HALOPERIDOL SOL 5MG/5ML 07/01/2007 12/31/2029 NO YES Iloperidone FANAPT PAK 07/01/2007 12/31/2029 NO YES FANAPT TAB 10MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 12MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 1MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 2MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 4MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 6MG 07/01/2007 12/31/2029 NO YES FANAPT TAB 8MG 07/01/2007 12/31/2029 NO YES Lithium LITHIUM SOL 8MEQ/5ML 07/01/2007 12/31/2029 NO YES Lithium Carbonate ESKALITH CAP 300MG 07/01/2007 12/31/2029 NO YES ESKALITH TAB 300MG 07/01/2007 12/31/2029 NO YES ESKALITH CR TAB 450MG 07/01/2007 12/31/2029 NO YES LITHANE TAB 300MG 07/01/2007 12/31/2029 NO YES LITHIUM CARB CAP 150MG 07/01/2007 12/31/2029 NO NO LITHIUM CARB CAP 300MG 07/01/2007 12/31/2029 NO NO LITHIUM CARB CAP 600MG 07/01/2007 12/31/2029 NO YES LITHIUM CARB POW 07/01/2007 12/31/2029 NO YES LITHIUM CARB TAB 300MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Lithium Carbonate LITHIUM CARB TAB 300MG ER 07/01/2007 12/31/2029 NO NO AGENTS* LITHIUM CARB TAB 450MG ER 07/01/2007 12/31/2029 NO NO LITHOBID TAB 300MG CR 07/01/2007 12/31/2029 NO YES LITHOBID TAB 300MG SR 07/01/2007 12/31/2029 NO YES LITHONATE CAP 300MG 07/01/2007 12/31/2029 NO NO LITHOTABS TAB 300MG 07/01/2007 12/31/2029 NO NO Lithium Citrate CIBALITH-S SYP 8MEQ/5ML 07/01/2007 12/31/2029 NO YES LITHIUM CITR SYP 8MEQ/5ML 07/01/2007 12/31/2029 NO NO Loxapine ADASUVE INH 10MG 07/01/2007 12/31/2029 NO YES Loxapine HCl LOXITANE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES LOXITANE-C CON 25MG/ML 07/01/2007 12/31/2029 NO YES Loxapine Succinate LOXAPINE CAP 10MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 25MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 50MG 07/01/2007 12/31/2029 NO NO LOXAPINE CAP 5MG 07/01/2007 12/31/2029 NO NO LOXITANE CAP 10MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 25MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 50MG 07/01/2007 12/31/2029 NO YES LOXITANE CAP 5MG 07/01/2007 12/31/2029 NO YES Lurasidone HCl LATUDA TAB 120MG 07/01/2007 12/31/2029 NO YES LATUDA TAB 20MG 07/01/2007 12/31/2029 NO YES LATUDA TAB 40MG 07/01/2007 12/31/2029 NO YES LATUDA TAB 60MG 07/01/2007 12/31/2029 NO YES LATUDA TAB 80MG 07/01/2007 12/31/2029 NO YES Mesoridazine Besylate SERENTIL CON 25MG/ML 07/01/2007 12/31/2029 NO YES SERENTIL INJ 25MG/ML 07/01/2007 12/31/2029 NO YES SERENTIL TAB 100MG 07/01/2007 12/31/2029 NO YES SERENTIL TAB 10MG 07/01/2007 12/31/2029 NO YES SERENTIL TAB 25MG 07/01/2007 12/31/2029 NO YES SERENTIL TAB 50MG 07/01/2007 12/31/2029 NO YES Molindone HCl MOBAN SOL 20MG/ML 07/01/2007 12/31/2029 NO YES MOBAN TAB 100MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 10MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 25MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 50MG 07/01/2007 12/31/2029 NO YES MOBAN TAB 5MG 07/01/2007 12/31/2029 NO YES MOLINDONE TAB HCL 10MG 07/01/2007 12/31/2029 NO YES MOLINDONE TAB HCL 25MG 07/01/2007 12/31/2029 NO YES MOLINDONE TAB HCL 5MG 07/01/2007 12/31/2029 NO YES Olanzapine OLANZAPINE INJ 10MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 10MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 10MG ODT 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 15MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 15MG ODT 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 2.5MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 20MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 20MG ODT 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 5MG 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 5MG ODT 07/01/2007 12/31/2029 NO NO OLANZAPINE TAB 7.5MG 07/01/2007 12/31/2029 NO NO ZYPREXA INJ 10MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Olanzapine ZYPREXA TAB 10MG 07/01/2007 12/31/2029 NO YES AGENTS* ZYPREXA TAB 15MG 07/01/2007 12/31/2029 NO YES ZYPREXA TAB 2.5MG 07/01/2007 12/31/2029 NO YES ZYPREXA TAB 20MG 07/01/2007 12/31/2029 NO YES ZYPREXA TAB 5MG 07/01/2007 12/31/2029 NO YES ZYPREXA TAB 7.5MG 07/01/2007 12/31/2029 NO YES ZYPREXA ZYDI TAB 10MG 07/01/2007 12/31/2029 NO YES ZYPREXA ZYDI TAB 15MG 07/01/2007 12/31/2029 NO YES ZYPREXA ZYDI TAB 20MG 07/01/2007 12/31/2029 NO YES ZYPREXA ZYDI TAB 5MG 07/01/2007 12/31/2029 NO YES Olanzapine Pamoate ZYPREXA RELP INJ 210MG 07/01/2007 12/31/2029 NO YES ZYPREXA RELP INJ 300MG 07/01/2007 12/31/2029 NO YES ZYPREXA RELP INJ 405MG 07/01/2007 12/31/2029 NO YES Paliperidone INVEGA TAB 1.5MG 07/01/2007 12/31/2029 NO YES INVEGA TAB 3MG 07/01/2007 12/31/2029 NO YES INVEGA TAB 6MG 07/01/2007 12/31/2029 NO YES INVEGA TAB 9MG 07/01/2007 12/31/2029 NO YES PALIPERIDONE TAB ER 1.5MG 07/01/2007 12/31/2029 NO NO PALIPERIDONE TAB ER 3MG 07/01/2007 12/31/2029 NO NO PALIPERIDONE TAB ER 6MG 07/01/2007 12/31/2029 NO NO PALIPERIDONE TAB ER 9MG 07/01/2007 12/31/2029 NO NO Paliperidone Palmitate INVEGA SUST INJ 117/0.75 07/01/2007 12/31/2029 NO YES INVEGA SUST INJ 156MG/ML 07/01/2007 12/31/2029 NO YES INVEGA SUST INJ 234/1.5 07/01/2007 12/31/2029 NO YES INVEGA SUST INJ 39/0.25 07/01/2007 12/31/2029 NO YES INVEGA SUST INJ 78/0.5ML 07/01/2007 12/31/2029 NO YES INVEGA TRINZ INJ 273MG 07/01/2007 12/31/2029 NO YES INVEGA TRINZ INJ 410MG 07/01/2007 12/31/2029 NO YES INVEGA TRINZ INJ 546MG 07/01/2007 12/31/2029 NO YES INVEGA TRINZ INJ 819MG 07/01/2007 12/31/2029 NO YES Perphenazine PERPHENAZINE CON 16MG/5ML 07/01/2007 12/31/2029 NO YES PERPHENAZINE TAB 16MG 07/01/2007 12/31/2029 NO NO PERPHENAZINE TAB 2MG 07/01/2007 12/31/2029 NO NO PERPHENAZINE TAB 4MG 07/01/2007 12/31/2029 NO NO PERPHENAZINE TAB 8MG 07/01/2007 12/31/2029 NO NO TRILAFON CON 16MG/5ML 07/01/2007 12/31/2029 NO YES TRILAFON INJ 5MG/ML 07/01/2007 12/31/2029 NO YES TRILAFON TAB 16MG 07/01/2007 12/31/2029 NO YES TRILAFON TAB 2MG 07/01/2007 12/31/2029 NO YES TRILAFON TAB 4MG 07/01/2007 12/31/2029 NO YES TRILAFON TAB 8MG 07/01/2007 12/31/2029 NO YES Pimavanserin Tartrate NUPLAZID TAB 17MG 07/01/2007 12/31/2029 NO YES Prochlorperazine COMPAZINE SUP 2.5MG 07/01/2007 12/31/2029 NO YES COMPAZINE SUP 25MG 07/01/2007 12/31/2029 NO NO COMPAZINE SUP 5MG 07/01/2007 12/31/2029 NO YES COMPRO SUP 25MG 07/01/2007 12/31/2029 NO NO PROCHLORPER SUP 2.5MG 07/01/2007 12/31/2029 NO YES PROCHLORPER SUP 25MG 07/01/2007 12/31/2029 NO NO PROCHLORPER SUP 5MG 07/01/2007 12/31/2029 NO YES Prochlorperazine Edisylate COMPA-Z INJ 5MG/ML 07/01/2007 12/31/2029 NO NO COMPAZINE INJ 10MG/2ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Prochlorperazine Edisylate COMPAZINE INJ 5MG/ML 07/01/2007 12/31/2029 NO YES AGENTS* COMPAZINE SYP 5MG/5ML 07/01/2007 12/31/2029 NO YES PROCHLORPER INJ 10MG/2ML 07/01/2007 12/31/2029 NO NO PROCHLORPER INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Prochlorperazine Maleate COMPAZINE CAP 10MG CR 07/01/2007 12/31/2029 NO YES COMPAZINE CAP 15MG CR 07/01/2007 12/31/2029 NO YES COMPAZINE CAP 30MG CR 07/01/2007 12/31/2029 NO YES COMPAZINE PAK 5MG 07/01/2007 12/31/2029 NO YES COMPAZINE TAB 10MG 07/01/2007 12/31/2029 NO YES COMPAZINE TAB 25MG 07/01/2007 12/31/2029 NO YES COMPAZINE TAB 5MG 07/01/2007 12/31/2029 NO YES PROCHLORPER POW MALEATE 07/01/2007 12/31/2029 NO YES PROCHLORPER TAB 10MG 07/01/2007 12/31/2029 NO NO PROCHLORPER TAB 25MG 07/01/2007 12/31/2029 NO NO PROCHLORPER TAB 5MG 07/01/2007 12/31/2029 NO NO Promazine HCl PROMAZINE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO PROMAZINE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PROMAZONE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PRO-MED INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PROZINE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO SPARINE INJ 100/2ML 07/01/2007 12/31/2029 NO YES SPARINE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES SPARINE TAB 100MG 07/01/2007 12/31/2029 NO YES SPARINE TAB 25MG 07/01/2007 12/31/2029 NO YES SPARINE TAB 50MG 07/01/2007 12/31/2029 NO YES Quetiapine Fumarate QUETIAPINE TAB 100MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 150MG ER 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 200MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 200MG ER 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 25MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 300MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 300MG ER 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 400MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 400MG ER 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 50MG 07/01/2007 12/31/2029 NO NO QUETIAPINE TAB 50MG ER 07/01/2007 12/31/2029 NO NO SEROQUEL TAB 100MG 07/01/2007 12/31/2029 NO YES SEROQUEL TAB 200MG 07/01/2007 12/31/2029 NO YES SEROQUEL TAB 25MG 07/01/2007 12/31/2029 NO YES SEROQUEL TAB 300MG 07/01/2007 12/31/2029 NO YES SEROQUEL TAB 400MG 07/01/2007 12/31/2029 NO YES SEROQUEL TAB 50MG 07/01/2007 12/31/2029 NO YES SEROQUEL XR TAB 150MG 07/01/2007 12/31/2029 NO YES SEROQUEL XR TAB 200MG 07/01/2007 12/31/2029 NO YES SEROQUEL XR TAB 300MG 07/01/2007 12/31/2029 NO YES SEROQUEL XR TAB 400MG 07/01/2007 12/31/2029 NO YES SEROQUEL XR TAB 50MG 07/01/2007 12/31/2029 NO YES Risperidone RISPERDAL SOL 1MG/ML 07/01/2007 12/31/2029 NO YES RISPERDAL TAB 0.25MG 07/01/2007 12/31/2029 NO YES RISPERDAL TAB 0.5MG 07/01/2007 12/31/2029 NO YES RISPERDAL TAB 1MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Risperidone RISPERDAL TAB 2MG 07/01/2007 12/31/2029 NO YES AGENTS* RISPERDAL TAB 3MG 07/01/2007 12/31/2029 NO YES RISPERDAL TAB 4MG 07/01/2007 12/31/2029 NO YES RISPERDAL M TAB 0.5MG 07/01/2007 12/31/2029 NO YES RISPERDAL M TAB 1MG 07/01/2007 12/31/2029 NO YES RISPERDAL M TAB 2MG 07/01/2007 12/31/2029 NO YES RISPERDAL M TAB 3MG 07/01/2007 12/31/2029 NO YES RISPERDAL M TAB 4MG 07/01/2007 12/31/2029 NO YES RISPERIDONE SOL 1MG/ML 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 0.25 ODT 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 0.25MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 0.5MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 0.5MG OD 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 1 MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 1MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 1MG ODT 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 2MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 2MG ODT 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 3MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 3MG ODT 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 4MG 07/01/2007 12/31/2029 NO NO RISPERIDONE TAB 4MG ODT 07/01/2007 12/31/2029 NO NO Risperidone Microspheres RISPERDAL INJ 12.5MG 07/01/2007 12/31/2029 NO YES RISPERDAL INJ 25MG 07/01/2007 12/31/2029 NO YES RISPERDAL INJ 37.5MG 07/01/2007 12/31/2029 NO YES RISPERDAL INJ 50MG 07/01/2007 12/31/2029 NO YES Thioridazine HCl MELACEN TAB 10MG 07/01/2007 12/31/2029 NO NO MELACEN TAB 25MG 07/01/2007 12/31/2029 NO NO MELACEN TAB 50MG 07/01/2007 12/31/2029 NO NO MELLARIL CON 100MG/ML 07/01/2007 12/31/2029 NO YES MELLARIL CON 30MG/ML 07/01/2007 12/31/2029 NO YES MELLARIL TAB 100MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 10MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 150MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 15MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 200MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 25MG 07/01/2007 12/31/2029 NO YES MELLARIL TAB 50MG 07/01/2007 12/31/2029 NO YES MELLARIL-S SUS 100/5ML 07/01/2007 12/31/2029 NO YES MELLARIL-S SUS 25MG/5ML 07/01/2007 12/31/2029 NO YES THIORIDAZINE CON 100MG/ML 07/01/2007 12/31/2029 NO NO THIORIDAZINE CON 30MG/ML 07/01/2007 12/31/2029 NO YES THIORIDAZINE TAB 100MG 07/01/2007 12/31/2029 NO NO THIORIDAZINE TAB 10MG 07/01/2007 12/31/2029 NO NO THIORIDAZINE TAB 150MG 07/01/2007 12/31/2029 NO YES THIORIDAZINE TAB 15MG 07/01/2007 12/31/2029 NO NO THIORIDAZINE TAB 200MG 07/01/2007 12/31/2029 NO NO THIORIDAZINE TAB 25MG 07/01/2007 12/31/2029 NO NO THIORIDAZINE TAB 50MG 07/01/2007 12/31/2029 NO NO Thiothixene NAVANE CAP 10MG 07/01/2007 12/31/2029 NO YES NAVANE CAP 1MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIPSYCHOTICS/ANTIMANIC Thiothixene NAVANE CAP 20MG 07/01/2007 12/31/2029 NO YES AGENTS* NAVANE CAP 2MG 07/01/2007 12/31/2029 NO YES NAVANE CAP 5MG 07/01/2007 12/31/2029 NO YES THIOTHIXENE CAP 10MG 07/01/2007 12/31/2029 NO NO THIOTHIXENE CAP 1MG 07/01/2007 12/31/2029 NO NO THIOTHIXENE CAP 20MG 07/01/2007 12/31/2029 NO NO THIOTHIXENE CAP 2MG 07/01/2007 12/31/2029 NO NO THIOTHIXENE CAP 5MG 07/01/2007 12/31/2029 NO NO Thiothixene HCl NAVANE CON 5MG/ML 07/01/2007 12/31/2029 NO YES NAVANE INJ 5MG/ML 07/01/2007 12/31/2029 NO YES NAVANE IM INJ 2MG/ML 07/01/2007 12/31/2029 NO YES THIOTHIXENE CON 5MG/ML 07/01/2007 12/31/2029 NO YES THIOTHIXENE INJ 2MG/ML 07/01/2007 12/31/2029 NO NO Trifluoperazine HCl STELAPRIN TAB 10MG 07/01/2007 12/31/2029 NO NO STELAPRIN TAB 1MG 07/01/2007 12/31/2029 NO NO STELAPRIN TAB 2MG 07/01/2007 12/31/2029 NO NO STELAPRIN TAB 5MG 07/01/2007 12/31/2029 NO NO STELAZINE CON 10MG/ML 07/01/2007 12/31/2029 NO YES STELAZINE INJ 2MG/ML 07/01/2007 12/31/2029 NO YES STELAZINE TAB 10MG 07/01/2007 12/31/2029 NO YES STELAZINE TAB 1MG 07/01/2007 12/31/2029 NO YES STELAZINE TAB 2MG 07/01/2007 12/31/2029 NO YES STELAZINE TAB 5MG 07/01/2007 12/31/2029 NO YES TRIFLUOPERAZ CON 10MG/ML 07/01/2007 12/31/2029 NO NO TRIFLUOPERAZ INJ 2MG/ML 07/01/2007 12/31/2029 NO NO TRIFLUOPERAZ POW 07/01/2007 12/31/2029 NO YES TRIFLUOPERAZ POW HCL 07/01/2007 12/31/2029 NO YES TRIFLUOPERAZ TAB 10MG 07/01/2007 12/31/2029 NO NO TRIFLUOPERAZ TAB 1MG 07/01/2007 12/31/2029 NO NO TRIFLUOPERAZ TAB 2MG 07/01/2007 12/31/2029 NO NO TRIFLUOPERAZ TAB 5MG 07/01/2007 12/31/2029 NO NO Triflupromazine HCl VESPRIN INJ 10MG/ML 07/01/2007 12/31/2029 NO YES VESPRIN INJ 20MG/ML 07/01/2007 12/31/2029 NO YES Ziprasidone HCl GEODON CAP 20MG 07/01/2007 12/31/2029 NO YES GEODON CAP 40MG 07/01/2007 12/31/2029 NO YES GEODON CAP 60MG 07/01/2007 12/31/2029 NO YES GEODON CAP 80MG 07/01/2007 12/31/2029 NO YES ZIPRASIDONE CAP 20MG 07/01/2007 12/31/2029 NO NO ZIPRASIDONE CAP 40MG 07/01/2007 12/31/2029 NO NO ZIPRASIDONE CAP 60MG 07/01/2007 12/31/2029 NO NO ZIPRASIDONE CAP 80MG 07/01/2007 12/31/2029 NO NO Ziprasidone Mesylate GEODON INJ 20MG 07/01/2007 12/31/2029 NO YES *ANTIVIRALS* Abacavir Sulfate ABACAVIR TAB 300MG 12/30/2014 12/31/2029 NO NO ZIAGEN SOL 20MG/ML 12/30/2014 12/31/2029 NO YES ZIAGEN TAB 300MG 12/30/2014 12/31/2029 NO YES Abacavir Sulfate-Lamivudine ABACA/LAMIVU TAB 600-300 12/30/2014 12/31/2029 NO NO EPZICOM TAB 12/30/2014 12/31/2029 NO YES EPZICOM TAB 600-300 12/30/2014 12/31/2029 NO YES Abacavir Sulfate-Lamivudine-Zidovudine ABACAV/LAMIV TAB /ZIDOVUD 07/01/2006 12/31/2029 NO NO TRIZIVIR TAB 07/01/2006 12/31/2029 NO YES Abacavir-Dolutegravir-Lamivudine TRIUMEQ TAB 12/30/2014 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Acyclovir ACYCLOVIR CAP 200MG 07/01/2006 12/31/2029 NO NO ACYCLOVIR SUS 200/5ML 07/01/2006 12/31/2029 NO NO ACYCLOVIR TAB 200MG 07/01/2006 12/31/2029 NO NO ACYCLOVIR TAB 400MG 07/01/2006 12/31/2029 NO NO ACYCLOVIR TAB 800MG 07/01/2006 12/31/2029 NO NO SITAVIG TAB 50MG 07/01/2007 12/31/2029 NO YES ZOVIRAX CAP 200MG 07/01/2006 12/31/2029 NO YES ZOVIRAX SUS 200/5ML 07/01/2006 12/31/2029 NO YES ZOVIRAX TAB 400MG 07/01/2006 12/31/2029 NO YES ZOVIRAX TAB 800MG 07/01/2006 12/31/2029 NO YES Acyclovir Sodium ACYCLOVIR NA INJ 1000MG 07/01/2007 12/31/2029 NO NO ACYCLOVIR NA INJ 1GM 07/01/2007 12/31/2029 NO NO ACYCLOVIR NA INJ 500MG 07/01/2007 12/31/2029 NO NO ACYCLOVIR NA INJ 50MG/ML 07/01/2007 12/31/2029 NO NO ACYCLOVIR NA SOL 1000/40 07/01/2007 12/31/2029 NO YES ACYCLOVIR NA SOL 500MG/20 07/01/2007 12/31/2029 NO YES ZOVIRAX INJ 1000MG 07/01/2007 12/31/2029 NO YES ZOVIRAX INJ 500MG 07/01/2007 12/31/2029 NO YES Adefovir Dipivoxil ADEFOV DIPIV TAB 10MG 07/01/2007 12/31/2029 NO NO HEPSERA TAB 10MG 07/01/2007 12/31/2029 NO YES Amprenavir AGENERASE CAP 150MG 07/01/2006 12/31/2029 NO YES AGENERASE CAP 50MG 07/01/2006 12/31/2029 NO YES AGENERASE SOL 15MG/ML 07/01/2006 12/31/2029 NO YES Atazanavir Sulfate REYATAZ CAP 100MG 07/01/2006 12/31/2029 NO YES REYATAZ CAP 150MG 07/01/2006 12/31/2029 NO YES REYATAZ CAP 200MG 07/01/2006 12/31/2029 NO YES REYATAZ CAP 300MG 07/01/2006 12/31/2029 NO YES REYATAZ POW 50MG 07/01/2007 12/31/2029 NO YES Atazanavir Sulfate-Cobicistat EVOTAZ TAB 300-150 04/01/2015 12/31/2029 NO YES Boceprevir VICTRELIS CAP 200MG 07/01/2007 12/31/2029 NO YES Cidofovir CIDOFOVIR INJ 75MG/ML 07/01/2006 12/31/2029 NO NO VISTIDE INJ 75MG/ML 07/01/2006 12/31/2029 NO YES Cobicistat TYBOST TAB 150MG 01/01/2015 12/31/2029 NO YES Daclatasvir Dihydrochloride DAKLINZA TAB 30MG 07/01/2007 12/31/2029 NO YES DAKLINZA TAB 60MG 07/01/2007 12/31/2029 NO YES DAKLINZA TAB 90MG 07/01/2007 12/31/2029 NO YES Darunavir Ethanolate PREZISTA SUS 100MG/ML 07/01/2007 12/31/2029 NO YES PREZISTA TAB 150MG 07/01/2007 12/31/2029 NO YES PREZISTA TAB 300MG 07/01/2007 12/31/2029 NO YES PREZISTA TAB 400MG 07/01/2007 12/31/2029 NO YES PREZISTA TAB 600MG 07/01/2007 12/31/2029 NO YES PREZISTA TAB 75MG 07/01/2007 12/31/2029 NO YES PREZISTA TAB 800MG 07/01/2007 12/31/2029 NO YES Darunavir-Cobicistat PREZCOBIX TAB 800-150 01/30/2015 12/31/2029 NO YES Delavirdine Mesylate RESCRIPTOR TAB 100 MG 07/01/2006 12/31/2029 NO YES RESCRIPTOR TAB 100MG 07/01/2006 12/31/2029 NO YES RESCRIPTOR TAB 200MG 07/01/2006 12/31/2029 NO YES Didanosine DIDANOSINE CAP 125MG 07/01/2006 12/31/2029 NO NO DIDANOSINE CAP 200MG 07/01/2006 12/31/2029 NO NO DIDANOSINE CAP 250MG 07/01/2006 12/31/2029 NO NO DIDANOSINE CAP 400MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Didanosine VIDEX CHW 100MG 07/01/2006 12/31/2029 NO YES VIDEX CHW 150MG 07/01/2006 12/31/2029 NO YES VIDEX CHW 25MG 07/01/2006 12/31/2029 NO YES VIDEX CHW 50MG 07/01/2006 12/31/2029 NO YES VIDEX POW 100MG 07/01/2007 12/31/2029 NO YES VIDEX POW 167MG 07/01/2007 12/31/2029 NO YES VIDEX POW 250MG 07/01/2007 12/31/2029 NO YES VIDEX POW 375MG 07/01/2006 12/31/2029 NO YES VIDEX SOL 2GM 07/01/2006 12/31/2029 NO YES VIDEX SOL 4GM 07/01/2006 12/31/2029 NO YES VIDEX BUFFER CHW 100MG 07/01/2006 12/31/2029 NO YES VIDEX BUFFER CHW 150MG 07/01/2006 12/31/2029 NO YES VIDEX BUFFER CHW 200MG 07/01/2006 12/31/2029 NO YES VIDEX BUFFER CHW 25MG 07/01/2006 12/31/2029 NO YES VIDEX BUFFER CHW 50MG 07/01/2006 12/31/2029 NO YES VIDEX EC CAP 125MG 07/01/2006 12/31/2029 NO YES VIDEX EC CAP 200MG 07/01/2006 12/31/2029 NO YES VIDEX EC CAP 250MG 07/01/2006 12/31/2029 NO YES VIDEX EC CAP 400MG 07/01/2006 12/31/2029 NO YES Dolutegravir Sodium TIVICAY TAB 10MG 07/01/2007 12/31/2029 NO YES TIVICAY TAB 25MG 07/01/2007 12/31/2029 NO YES TIVICAY TAB 50MG 07/01/2007 12/31/2029 NO YES Efavirenz SUSTIVA CAP 100MG 07/01/2006 12/31/2029 NO YES SUSTIVA CAP 200MG 07/01/2006 12/31/2029 NO YES SUSTIVA CAP 50MG 07/01/2006 12/31/2029 NO YES SUSTIVA TAB 600MG 07/01/2006 12/31/2029 NO YES Efavirenz-Emtricitabine-Tenofovir Disoproxil Fumarate ATRIPLA TAB 08/01/2006 12/31/2029 NO YES Elbasvir-Grazoprevir ZEPATIER TAB 50-100MG 07/01/2007 12/31/2029 NO YES Elvitegravir VITEKTA TAB 150MG 10/01/2015 12/31/2029 NO YES VITEKTA TAB 85MG 10/01/2015 12/31/2029 NO YES Elvitegravir-Cobicistat-Emtricitabine-Tenofovir Alafenamide GENVOYA TAB 11/20/2015 12/31/2029 NO YES Elvitegravir-Cobicistat-Emtricitabine-Tenofovir DF STRIBILD TAB 07/01/2007 12/31/2029 NO YES Emtricitabine EMTRIVA CAP 200MG 07/01/2006 12/31/2029 NO YES EMTRIVA SOL 10MG/ML 07/01/2006 12/31/2029 NO YES Emtricitabine-Rilpivirine-Tenofovir Alafenamide Fumarate ODEFSEY TAB 07/01/2007 12/31/2029 NO YES Emtricitabine-Rilpivirine-Tenofovir Disoproxil Fumarate COMPLERA TAB 12/17/2014 12/31/2029 YES YES Emtricitabine-Tenofovir Alafenamide Fumarate DESCOVY TAB 200/25 05/01/2016 12/31/2029 NO YES Emtricitabine-Tenofovir Disoproxil Fumarate TRUVADA TAB 12/19/2014 12/31/2029 NO YES TRUVADA TAB 100-150 07/01/2007 12/31/2029 NO YES TRUVADA TAB 133-200 07/01/2007 12/31/2029 NO YES TRUVADA TAB 167-250 07/01/2007 12/31/2029 NO YES TRUVADA TAB 200-300 12/19/2014 12/31/2029 NO YES Enfuvirtide FUZEON INJ 90MG 07/01/2007 12/31/2029 NO YES FUZEON KIT 07/01/2006 12/31/2029 NO YES Entecavir BARACLUDE SOL .05MG/ML 07/01/2007 12/31/2029 NO YES BARACLUDE TAB 0.5MG 07/01/2007 12/31/2029 NO YES BARACLUDE TAB 1MG 07/01/2007 12/31/2029 NO YES ENTECAVIR TAB 0.5MG 07/01/2007 12/31/2029 NO NO ENTECAVIR TAB 1MG 07/01/2007 12/31/2029 NO NO Etravirine INTELENCE TAB 100MG 07/01/2007 12/31/2029 NO YES INTELENCE TAB 200MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Etravirine INTELENCE TAB 25MG 07/01/2007 12/31/2029 NO YES Famciclovir FAMCICLOVIR TAB 125MG 07/01/2006 12/31/2029 NO NO FAMCICLOVIR TAB 250MG 07/01/2006 12/31/2029 NO NO FAMCICLOVIR TAB 500MG 07/01/2006 12/31/2029 NO NO FAMVIR TAB 125MG 07/01/2006 12/31/2029 NO YES FAMVIR TAB 250MG 07/01/2006 12/31/2029 NO YES FAMVIR TAB 500MG 07/01/2006 12/31/2029 NO YES Fosamprenavir Calcium LEXIVA SUS 50MG/ML 07/01/2007 12/31/2029 NO YES LEXIVA TAB 700MG 07/01/2006 12/31/2029 NO YES Foscarnet Sodium FOSCARNET INJ 07/01/2006 12/31/2029 NO YES FOSCAVIR INJ 24MG/ML 07/01/2006 12/31/2029 NO YES Ganciclovir CYTOVENE CAP 250MG 07/01/2006 12/31/2029 NO YES CYTOVENE CAP 500MG 07/01/2006 12/31/2029 NO YES GANCICLOVIR CAP 250MG 07/01/2006 12/31/2029 NO YES GANCICLOVIR CAP 500MG 07/01/2006 12/31/2029 NO YES GANCICLOVIR INJ 500/250 07/01/2007 12/31/2029 NO YES Ganciclovir Sodium CYTOVENE INJ 500MG 07/01/2007 12/31/2029 NO YES GANCICLOVIR INJ 500MG 07/01/2007 12/31/2029 NO NO Indinavir Sulfate CRIXIVAN CAP 100MG 07/01/2006 12/31/2029 NO YES CRIXIVAN CAP 200MG 07/01/2006 12/31/2029 NO YES CRIXIVAN CAP 333MG 07/01/2006 12/31/2029 NO YES CRIXIVAN CAP 400MG 07/01/2006 12/31/2029 NO YES Interferon alfacon-1 INFERGEN INJ 15MCG 07/01/2007 12/31/2029 NO YES INFERGEN INJ 9MCG 07/01/2007 12/31/2029 NO YES Lamivudine EPIVIR SOL 10MG/ML 07/01/2006 12/31/2029 NO YES EPIVIR TAB 150MG 07/01/2006 12/31/2029 NO YES EPIVIR TAB 300MG 07/01/2006 12/31/2029 NO YES EPIVIR HBV TAB 100MG 07/01/2006 12/31/2029 NO YES LAMIVUDINE SOL 10MG/ML 07/01/2006 12/31/2029 NO NO LAMIVUDINE TAB 150MG 07/01/2006 12/31/2029 NO NO LAMIVUDINE TAB 300MG 07/01/2006 12/31/2029 NO NO Lamivudine (HBV) EPIVIR HBV SOL 5MG/ML 07/01/2007 12/31/2029 NO YES LAMIVUDINE TAB 100MG 07/01/2007 12/31/2029 NO NO Lamivudine-Zidovudine COMBIVIR TAB 07/01/2006 12/31/2029 NO YES COMBIVIR TAB 150/300 07/01/2006 12/31/2029 NO YES COMBIVIR TAB 150-300 07/01/2006 12/31/2029 NO YES LAMIVUD/ZIDO TAB 150-300 07/01/2006 12/31/2029 NO NO Ledipasvir-Sofosbuvir HARVONI TAB 90-400MG 06/01/2015 12/31/2029 YES YES Lopinavir-Ritonavir KALETRA CAP 07/01/2006 12/31/2029 NO YES KALETRA SOL 07/01/2006 12/31/2029 NO YES KALETRA TAB 100-25MG 07/01/2007 12/31/2029 NO YES KALETRA TAB 200-50MG 07/01/2006 12/31/2029 NO YES LOPIN/RITON SOL 80-20/ML 07/01/2006 12/31/2029 NO NO Maraviroc SELZENTRY SOL 20MG/ML 07/01/2007 12/31/2029 NO YES SELZENTRY TAB 150MG 05/05/2008 12/31/2029 YES YES SELZENTRY TAB 25MG 07/01/2007 12/31/2029 NO YES SELZENTRY TAB 300MG 05/05/2008 12/31/2029 YES YES SELZENTRY TAB 75MG 07/01/2007 12/31/2029 NO YES Nelfinavir Mesylate VIRACEPT POW 50MG/GM 07/01/2006 12/31/2029 NO YES VIRACEPT TAB 250MG 07/01/2006 12/31/2029 NO YES VIRACEPT TAB 625MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Nevirapine NEVIRAPINE SUS 50MG/5ML 07/01/2006 12/31/2029 NO YES NEVIRAPINE TAB 100MG 07/01/2007 12/31/2029 NO NO NEVIRAPINE TAB 200MG 07/01/2006 12/31/2029 NO NO NEVIRAPINE TAB 400MG ER 07/01/2007 12/31/2029 NO NO VIRAMUNE SUS 50MG/5ML 07/01/2006 12/31/2029 NO YES VIRAMUNE TAB 200MG 07/01/2006 12/31/2029 NO YES VIRAMUNE XR TAB 100MG 07/01/2007 12/31/2029 NO YES VIRAMUNE XR TAB 400MG 07/01/2007 12/31/2029 NO YES Ombitasvir-Paritaprevir-Ritonavir TECHNIVIE TAB 07/01/2007 12/31/2029 NO YES Ombitasvir-Paritaprevir-Ritonavir-Dasabuvir VIEKIRA PAK TAB 06/01/2015 12/31/2029 YES YES VIEKIRA XR TAB 07/01/2007 12/31/2029 NO YES Oseltamivir Phosphate OSELTAMIVIR CAP 30MG 07/01/2007 12/31/2029 NO NO OSELTAMIVIR CAP 45MG 07/01/2007 12/31/2029 NO NO OSELTAMIVIR CAP 75MG 07/01/2006 12/31/2029 NO NO TAMIFLU CAP 30MG 07/01/2007 12/31/2029 NO YES TAMIFLU CAP 45MG 07/01/2007 12/31/2029 NO YES TAMIFLU CAP 75MG 07/01/2006 12/31/2029 NO YES TAMIFLU SUS 12MG/ML 07/01/2006 12/31/2029 NO YES TAMIFLU SUS 6MG/ML 07/01/2007 12/31/2029 NO YES Peginterferon alfa-2a PEGASYS INJ 07/01/2007 12/31/2029 NO YES PEGASYS INJ 180MCG/M 07/01/2007 12/31/2029 NO YES PEGASYS INJ PROCLICK 07/01/2007 12/31/2029 NO YES PEGASYS KIT 07/01/2007 12/31/2029 NO YES PEGASYS KIT 180MCG/M 07/01/2007 12/31/2029 NO YES Peginterferon alfa-2b PEGINTRON KIT 120MCG 07/01/2007 12/31/2029 NO YES PEGINTRON KIT 150MCG 07/01/2007 12/31/2029 NO YES PEGINTRON KIT 50MCG 07/01/2007 12/31/2029 NO YES PEGINTRON KIT 80MCG 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 120 RP 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 120MCG 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 150 RP 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 150MCG 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 50MCG 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 50MCG RP 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 80MCG 07/01/2007 12/31/2029 NO YES PEG-INTRON KIT 80MCG RP 07/01/2007 12/31/2029 NO YES Peramivir RAPIVAB INJ 200MG/20 07/01/2007 12/31/2029 NO YES Raltegravir Potassium ISENTRESS CHW 100MG 07/01/2007 12/31/2029 NO YES ISENTRESS CHW 25MG 07/01/2007 12/31/2029 NO YES ISENTRESS POW 100MG 07/01/2007 12/31/2029 NO YES ISENTRESS TAB 400MG 07/01/2007 12/31/2029 NO YES ISENTRESS HD TAB 600MG 07/01/2007 12/31/2029 NO YES Ribavirin RIBAVIRIN INH 6GM 07/01/2007 12/31/2029 NO NO VIRAZOLE INH 6GM 07/01/2007 12/31/2029 NO YES Ribavirin (Hepatitis C) COPEGUS TAB 200MG 07/01/2007 12/31/2029 NO YES MODERIBA PAK 1000/DAY 07/01/2007 12/31/2029 NO YES MODERIBA PAK 1200/DAY 07/01/2007 12/31/2029 NO YES MODERIBA PAK 600/DAY 07/01/2007 12/31/2029 NO YES MODERIBA PAK 800/DAY 07/01/2007 12/31/2029 NO YES MODERIBA TAB 200MG 07/01/2007 12/31/2029 NO NO REBETOL CAP 200MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Ribavirin (Hepatitis C) REBETOL SOL 40MG/ML 07/01/2007 12/31/2029 NO YES RIBAPAK PAK 1000/DAY 07/01/2007 12/31/2029 NO YES RIBAPAK PAK 1200/DAY 07/01/2007 12/31/2029 NO NO RIBAPAK PAK 600/DAY 07/01/2007 12/31/2029 NO YES RIBAPAK PAK 800/DAY 07/01/2007 12/31/2029 NO YES RIBASPHERE CAP 200MG 07/01/2007 12/31/2029 NO NO RIBASPHERE TAB 200MG 07/01/2007 12/31/2029 NO NO RIBASPHERE TAB 400MG 07/01/2007 12/31/2029 NO YES RIBASPHERE TAB 600MG 07/01/2007 12/31/2029 NO YES RIBATAB PAK 1000/DAY 07/01/2007 12/31/2029 NO YES RIBATAB TAB 1200/DAY 07/01/2007 12/31/2029 NO YES RIBATAB TAB 400MG 07/01/2007 12/31/2029 NO NO RIBATAB TAB 600MG 07/01/2007 12/31/2029 NO NO RIBATAB TAB 800/DAY 07/01/2007 12/31/2029 NO YES RIBAVIRIN CAP 200MG 07/01/2007 12/31/2029 NO NO RIBAVIRIN TAB 200MG 07/01/2007 12/31/2029 NO NO RIBAVIRIN TAB 400MG 07/01/2007 12/31/2029 NO NO RIBAVIRIN TAB 500MG 07/01/2007 12/31/2029 NO YES RIBAVIRIN TAB 600MG 07/01/2007 12/31/2029 NO NO Ribavirin-Interferon Alfa-2B REBETRON KIT 1000/MDV 07/01/2007 12/31/2029 NO YES REBETRON KIT 1000/PEN 07/01/2007 12/31/2029 NO YES REBETRON KIT 1000/PK3 07/01/2007 12/31/2029 NO YES REBETRON KIT 1200/MDV 07/01/2007 12/31/2029 NO YES REBETRON KIT 1200/PEN 07/01/2007 12/31/2029 NO YES REBETRON KIT 1200/PK3 07/01/2007 12/31/2029 NO YES REBETRON KIT 600/MDV 07/01/2007 12/31/2029 NO YES REBETRON KIT 600/PEN 07/01/2007 12/31/2029 NO YES REBETRON KIT 600/PK3 07/01/2007 12/31/2029 NO YES Rilpivirine HCl EDURANT TAB 25MG 07/01/2007 12/31/2029 NO YES Rimantadine HCl-Dietary Management Product RIMANTALIST PAK 07/01/2007 12/31/2029 NO YES Rimantadine Hydrochloride FLUMADINE SYP 50MG/5ML 07/01/2006 12/31/2029 NO YES FLUMADINE TAB 100MG 07/01/2006 12/31/2029 NO YES RIMANTADINE TAB 100MG 07/01/2006 12/31/2029 NO NO Ritonavir NORVIR CAP 100MG 07/01/2006 12/31/2029 NO YES NORVIR SOL 80MG/ML 07/01/2006 12/31/2029 NO YES NORVIR TAB 100MG 07/01/2007 12/31/2029 NO YES Saquinavir FORTOVASE CAP 200MG 07/01/2006 12/31/2029 NO YES Saquinavir Mesylate INVIRASE CAP 200MG 07/01/2006 12/31/2029 NO YES INVIRASE TAB 500MG 07/01/2006 12/31/2029 NO YES Simeprevir Sodium OLYSIO CAP 150MG 06/01/2015 12/31/2029 YES YES Sofosbuvir SOVALDI TAB 400MG 06/01/2015 12/31/2029 YES YES Sofosbuvir-Velpatasvir EPCLUSA TAB 400-100 07/01/2007 12/31/2029 NO YES Stavudine STAVUDINE CAP 15MG 07/01/2006 12/31/2029 NO NO STAVUDINE CAP 20MG 07/01/2006 12/31/2029 NO NO STAVUDINE CAP 30MG 07/01/2006 12/31/2029 NO NO STAVUDINE CAP 40MG 07/01/2006 12/31/2029 NO NO STAVUDINE SOL 1MG/ML 07/01/2006 12/31/2029 NO NO ZERIT CAP 07/01/2006 12/31/2029 NO YES ZERIT CAP 15MG 07/01/2006 12/31/2029 NO YES ZERIT CAP 20MG 07/01/2006 12/31/2029 NO YES ZERIT CAP 30MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ANTIVIRALS* Stavudine ZERIT CAP 40MG 07/01/2006 12/31/2029 NO YES ZERIT SOL 1MG/ML 07/01/2006 12/31/2029 NO YES Telaprevir INCIVEK TAB 375MG 07/01/2007 12/31/2029 NO YES Telbivudine TYZEKA TAB 600MG 07/01/2007 12/31/2029 NO YES Tenofovir Alafenamide Fumarate VEMLIDY TAB 25MG 07/01/2007 12/31/2029 NO YES Tenofovir Disoproxil Fumarate VIREAD POW 40MG/GM 07/01/2007 12/31/2029 NO YES VIREAD TAB 150MG 07/01/2007 12/31/2029 NO YES VIREAD TAB 200MG 07/01/2007 12/31/2029 NO YES VIREAD TAB 250MG 07/01/2007 12/31/2029 NO YES VIREAD TAB 300MG 07/01/2006 12/31/2029 NO YES Tipranavir APTIVUS CAP 250MG 07/01/2006 12/31/2029 NO YES APTIVUS SOL 07/01/2007 12/31/2029 NO YES Valacyclovir HCl VALACYCLOVIR TAB 1GM 07/01/2006 12/31/2029 NO NO VALACYCLOVIR TAB 500MG 07/01/2006 12/31/2029 NO NO VALTREX TAB 1GM 07/01/2006 12/31/2029 NO YES VALTREX TAB 500MG 07/01/2006 12/31/2029 NO YES Valganciclovir HCl VALCYTE SOL 50MG/ML 07/01/2007 12/31/2029 NO YES VALCYTE TAB 450MG 07/01/2006 12/31/2029 NO YES VALGANCICLOV SOL 50MG/ML 07/01/2007 12/31/2029 NO NO VALGANCICLOV TAB 450MG 07/01/2006 12/31/2029 NO NO Vidarabine VIRA-A INJ 200MG/ML 07/01/2007 12/31/2029 NO YES Zalcitabine HIVID TAB 0.375MG 07/01/2006 12/31/2029 NO YES HIVID TAB 0.75MG 07/01/2006 12/31/2029 NO YES Zanamivir RELENZA AER DISKHALE 07/01/2007 12/31/2029 NO YES RELENZA MIS DISKHALE 07/01/2007 12/31/2029 NO YES Zidovudine RETROVIR CAP 100MG 07/01/2006 12/31/2029 NO YES RETROVIR INJ 10MG/ML 07/01/2006 12/31/2029 NO YES RETROVIR SYP 10MG/ML 07/01/2006 12/31/2029 NO YES RETROVIR SYP 50MG/5ML 07/01/2006 12/31/2029 NO YES RETROVIR TAB 300MG 07/01/2006 12/31/2029 NO YES ZIDOVUDINE CAP 100MG 07/01/2006 12/31/2029 NO NO ZIDOVUDINE SYP 10MG/ML 07/01/2006 12/31/2029 NO YES ZIDOVUDINE SYP 50MG/5ML 07/01/2006 12/31/2029 NO NO ZIDOVUDINE TAB 300MG 07/01/2006 12/31/2029 NO NO *BETA BLOCKERS* Acebutolol HCl ACEBUTOLOL CAP 200MG 07/01/2007 12/31/2029 NO NO ACEBUTOLOL CAP 400MG 07/01/2007 12/31/2029 NO NO ACEBUTOLOL POW 07/01/2007 12/31/2029 NO YES SECTRAL CAP 200MG 07/01/2007 12/31/2029 NO YES SECTRAL CAP 400MG 07/01/2007 12/31/2029 NO YES Atenolol ATENOLOL POW 07/01/2007 12/31/2029 NO YES ATENOLOL SUS 1GM/ML 07/01/2007 12/31/2029 NO YES ATENOLOL TAB 100MG 07/01/2007 12/31/2029 NO NO ATENOLOL TAB 25MG 07/01/2007 12/31/2029 NO NO ATENOLOL TAB 50MG 07/01/2007 12/31/2029 NO NO SENORMIN TAB 50MG 07/01/2007 12/31/2029 NO NO TENORMIN INJ 5MG/10ML 07/01/2007 12/31/2029 NO YES TENORMIN TAB 100MG 07/01/2007 12/31/2029 NO YES TENORMIN TAB 25MG 07/01/2007 12/31/2029 NO YES TENORMIN TAB 50MG 07/01/2007 12/31/2029 NO YES THSC ATENOLO TAB 100MG 07/01/2007 12/31/2029 NO NO THSC ATENOLO TAB 50MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *BETA BLOCKERS* Betaxolol HCl BETAXOLOL TAB 10MG 07/01/2007 12/31/2029 NO NO BETAXOLOL TAB 20MG 07/01/2007 12/31/2029 NO NO KERLONE TAB 10MG 07/01/2007 12/31/2029 NO YES KERLONE TAB 20MG 07/01/2007 12/31/2029 NO YES Bisoprolol Fumarate BISOPROL FUM TAB 10MG 07/01/2007 12/31/2029 NO NO BISOPROL FUM TAB 5MG 07/01/2007 12/31/2029 NO NO ZEBETA TAB 10MG 07/01/2007 12/31/2029 NO YES ZEBETA TAB 5MG 07/01/2007 12/31/2029 NO YES Carteolol HCl CARTROL TAB 2.5MG 07/01/2007 12/31/2029 NO YES CARTROL TAB 5MG 07/01/2007 12/31/2029 NO YES Carvedilol CARVEDILOL TAB 12.5MG 07/01/2007 12/31/2029 NO NO CARVEDILOL TAB 25MG 07/01/2007 12/31/2029 NO NO CARVEDILOL TAB 3.125MG 07/01/2007 12/31/2029 NO NO CARVEDILOL TAB 6.25MG 07/01/2007 12/31/2029 NO NO COREG TAB 12.5MG 07/01/2007 12/31/2029 NO YES COREG TAB 25MG 07/01/2007 12/31/2029 NO YES COREG TAB 3.125MG 07/01/2007 12/31/2029 NO YES COREG TAB 6.25MG 07/01/2007 12/31/2029 NO YES Carvedilol & Dietary Management Product HYPERTENEVID PAK 12.5MG 07/01/2007 12/31/2029 NO YES Carvedilol Phosphate COREG CR CAP 10MG 07/01/2007 12/31/2029 NO YES COREG CR CAP 20MG 07/01/2007 12/31/2029 NO YES COREG CR CAP 40MG 07/01/2007 12/31/2029 NO YES COREG CR CAP 80MG 07/01/2007 12/31/2029 NO YES Esmolol HCl BREVIBLOC INJ 10MG/ML 07/01/2007 12/31/2029 NO YES BREVIBLOC INJ 20MG/ML 07/01/2007 12/31/2029 NO YES BREVIBLOC INJ 250MG/ML 07/01/2007 12/31/2029 NO YES ESMOLOL HCL INJ 100/10ML 07/01/2007 12/31/2029 NO YES ESMOLOL HCL INJ 100MG/10 07/01/2007 12/31/2029 NO NO ESMOLOL HCL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO Esmolol HCl-Sodium Chloride BREVIBLOC SOL 07/01/2007 12/31/2029 NO YES BREVIBLOC SOL 10MG/ML 07/01/2007 12/31/2029 NO YES Labetalol HCl LABETALOL INJ 5MG/ML 07/01/2007 12/31/2029 NO NO LABETALOL TAB 100MG 07/01/2007 12/31/2029 NO NO LABETALOL TAB 200MG 07/01/2007 12/31/2029 NO NO LABETALOL TAB 300MG 07/01/2007 12/31/2029 NO NO NORMODYNE INJ 5MG/ML 07/01/2007 12/31/2029 NO YES NORMODYNE TAB 100MG 07/01/2007 12/31/2029 NO YES NORMODYNE TAB 200MG 07/01/2007 12/31/2029 NO YES NORMODYNE TAB 300MG 07/01/2007 12/31/2029 NO YES TRANDATE TAB 100MG 07/01/2007 12/31/2029 NO YES TRANDATE TAB 200MG 07/01/2007 12/31/2029 NO YES TRANDATE TAB 300MG 07/01/2007 12/31/2029 NO YES TRANDATE IV INJ 5MG/ML 07/01/2007 12/31/2029 NO YES Metoprolol Succinate METOPROLOL TAB 100MG ER 07/01/2007 12/31/2029 NO NO METOPROLOL TAB 200MG ER 07/01/2007 12/31/2029 NO NO METOPROLOL TAB 25MG ER 07/01/2007 12/31/2029 NO NO METOPROLOL TAB 50MG ER 07/01/2007 12/31/2029 NO NO TOPROL XL TAB 100MG 07/01/2007 12/31/2029 NO YES TOPROL XL TAB 200MG 07/01/2007 12/31/2029 NO YES TOPROL XL TAB 25MG 07/01/2007 12/31/2029 NO YES TOPROL XL TAB 50MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *BETA BLOCKERS* Metoprolol Tartrate LOPRESSOR INJ 5MG/5ML 07/01/2007 12/31/2029 NO YES LOPRESSOR TAB 100MG 07/01/2007 12/31/2029 NO YES LOPRESSOR TAB 100MG PP 07/01/2007 12/31/2029 NO YES LOPRESSOR TAB 50MG 07/01/2007 12/31/2029 NO YES LOPRESSOR TAB 50MG PP 07/01/2007 12/31/2029 NO YES METOPROL TAR TAB 100MG 07/01/2007 12/31/2029 NO NO METOPROL TAR TAB 25MG 07/01/2007 12/31/2029 NO NO METOPROL TAR TAB 50MG 07/01/2007 12/31/2029 NO NO METOPROLOL INJ 1MG/ML 07/01/2007 12/31/2029 NO YES METOPROLOL INJ 5MG/5ML 07/01/2007 12/31/2029 NO YES METOPROLOL POW TARTRATE 07/01/2007 12/31/2029 NO YES METOPROLOL TAB 100MG 07/01/2007 12/31/2029 NO NO METOPROLOL TAB 37.5MG 07/01/2007 12/31/2029 NO YES METOPROLOL TAB 50MG 07/01/2007 12/31/2029 NO NO METOPROLOL TAB 75MG 07/01/2007 12/31/2029 NO YES THSC METOPRL TAB 100MG 07/01/2007 12/31/2029 NO NO THSC METOPRL TAB 50MG 07/01/2007 12/31/2029 NO NO Nadolol CORGARD TAB 120MG 07/01/2007 12/31/2029 NO YES CORGARD TAB 160MG 07/01/2007 12/31/2029 NO YES CORGARD TAB 20MG 07/01/2007 12/31/2029 NO YES CORGARD TAB 40MG 07/01/2007 12/31/2029 NO YES CORGARD TAB 80MG 07/01/2007 12/31/2029 NO YES NADOLOL POW 07/01/2007 12/31/2029 NO YES NADOLOL TAB 120MG 07/01/2007 12/31/2029 NO NO NADOLOL TAB 160MG 07/01/2007 12/31/2029 NO YES NADOLOL TAB 20MG 07/01/2007 12/31/2029 NO NO NADOLOL TAB 40MG 07/01/2007 12/31/2029 NO NO NADOLOL TAB 80MG 07/01/2007 12/31/2029 NO NO Nebivolol HCl BYSTOLIC TAB 10MG 07/01/2007 12/31/2029 NO YES BYSTOLIC TAB 2.5MG 07/01/2007 12/31/2029 NO YES BYSTOLIC TAB 20MG 07/01/2007 12/31/2029 NO YES BYSTOLIC TAB 5MG 07/01/2007 12/31/2029 NO YES Penbutolol Sulfate LEVATOL TAB 20MG 07/01/2007 12/31/2029 NO YES Pindolol PINDOLOL POW 07/01/2007 12/31/2029 NO YES PINDOLOL POW USP/NF 07/01/2007 12/31/2029 NO YES PINDOLOL TAB 10MG 07/01/2007 12/31/2029 NO NO PINDOLOL TAB 5MG 07/01/2007 12/31/2029 NO NO VISKEN TAB 10MG 07/01/2007 12/31/2029 NO YES VISKEN TAB 5MG 07/01/2007 12/31/2029 NO YES Propranolol HCl HEMANGEOL SOL 4.28/ML 07/01/2007 12/31/2029 NO YES INDERAL INJ 1MG/ML 07/01/2007 12/31/2029 NO YES INDERAL TAB 10MG 07/01/2007 12/31/2029 NO YES INDERAL TAB 20MG 07/01/2007 12/31/2029 NO YES INDERAL TAB 40MG 07/01/2007 12/31/2029 NO YES INDERAL TAB 60MG 07/01/2007 12/31/2029 NO YES INDERAL TAB 80MG 07/01/2007 12/31/2029 NO YES INDERAL TAB 90MG 07/01/2007 12/31/2029 NO YES INDERAL LA CAP 120MG 07/01/2007 12/31/2029 NO YES INDERAL LA CAP 160MG 07/01/2007 12/31/2029 NO YES INDERAL LA CAP 60MG 07/01/2007 12/31/2029 NO YES INDERAL LA CAP 80MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *BETA BLOCKERS* Propranolol HCl PROCARD TAB 10MG 07/01/2007 12/31/2029 NO NO PROCARD TAB 20MG 07/01/2007 12/31/2029 NO NO PROCARD TAB 40MG 07/01/2007 12/31/2029 NO NO PRONOL TAB 10MG 07/01/2007 12/31/2029 NO NO PRONOL TAB 20MG 07/01/2007 12/31/2029 NO NO PRONOL TAB 40MG 07/01/2007 12/31/2029 NO NO PRONOL TAB 80MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 120MG CR 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 120MG ER 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 120MG LA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 120MG SA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 160MG CR 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 160MG ER 07/01/2007 12/31/2029 NO YES PROPRANOLOL CAP 160MG LA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 60MG CR 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 60MG ER 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 60MG LA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 60MG SA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 80MG CR 07/01/2007 12/31/2029 NO NO PROPRANOLOL CAP 80MG ER 07/01/2007 12/31/2029 NO YES PROPRANOLOL CAP 80MG LA 07/01/2007 12/31/2029 NO NO PROPRANOLOL CON 80MG/ML 07/01/2007 12/31/2029 NO YES PROPRANOLOL INJ 1MG/ML 07/01/2007 12/31/2029 NO YES PROPRANOLOL POW 07/01/2007 12/31/2029 NO YES PROPRANOLOL POW HCL 07/01/2007 12/31/2029 NO YES PROPRANOLOL SOL 20MG/5ML 07/01/2007 12/31/2029 NO YES PROPRANOLOL SOL 40MG/5ML 07/01/2007 12/31/2029 NO YES PROPRANOLOL TAB 10MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL TAB 20MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL TAB 40MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL TAB 60MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL TAB 80MG 07/01/2007 12/31/2029 NO NO PROPRANOLOL TAB 90MG 07/01/2007 12/31/2029 NO YES THSC PROPRAN TAB 10MG 07/01/2007 12/31/2029 NO NO THSC PROPRAN TAB 20MG 07/01/2007 12/31/2029 NO NO THSC PROPRAN TAB 40MG 07/01/2007 12/31/2029 NO NO THSC PROPRAN TAB 80MG 07/01/2007 12/31/2029 NO NO Propranolol HCl Sustained-Release Beads INDERAL XL CAP 120MG 07/01/2007 12/31/2029 NO YES INDERAL XL CAP 80MG 07/01/2007 12/31/2029 NO YES INNOPRAN XL CAP 120MG 07/01/2007 12/31/2029 NO YES INNOPRAN XL CAP 80MG 07/01/2007 12/31/2029 NO YES Sotalol HCl BETAPACE TAB 120MG 07/01/2007 12/31/2029 NO YES BETAPACE TAB 160MG 07/01/2007 12/31/2029 NO YES BETAPACE TAB 240MG 07/01/2007 12/31/2029 NO YES BETAPACE TAB 80MG 07/01/2007 12/31/2029 NO YES SORINE TAB 120MG 07/01/2007 12/31/2029 NO NO SORINE TAB 160MG 07/01/2007 12/31/2029 NO NO SORINE TAB 240MG 07/01/2007 12/31/2029 NO NO SORINE TAB 80MG 07/01/2007 12/31/2029 NO NO SOTALOL HCL INJ 150/10ML 07/01/2007 12/31/2029 NO YES SOTALOL HCL TAB 120MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *BETA BLOCKERS* Sotalol HCl SOTALOL HCL TAB 160MG 07/01/2007 12/31/2029 NO NO SOTALOL HCL TAB 240MG 07/01/2007 12/31/2029 NO NO SOTALOL HCL TAB 80MG 07/01/2007 12/31/2029 NO NO SOTYLIZE SOL 5MG/ML 07/01/2007 12/31/2029 NO YES Sotalol HCl (AFIB/AFL) BETAPACE AF TAB 120MG 07/01/2007 12/31/2029 NO YES BETAPACE AF TAB 160MG 07/01/2007 12/31/2029 NO YES BETAPACE AF TAB 80MG 07/01/2007 12/31/2029 NO YES SOTALOL AF TAB 120MG 07/01/2007 12/31/2029 NO NO SOTALOL AF TAB 160MG 07/01/2007 12/31/2029 NO NO SOTALOL AF TAB 80MG 07/01/2007 12/31/2029 NO NO Timolol Maleate BLOCADREN TAB 10MG 07/01/2007 12/31/2029 NO YES BLOCADREN TAB 20MG 07/01/2007 12/31/2029 NO YES BLOCADREN TAB 5MG 07/01/2007 12/31/2029 NO YES TIMOLOL POW MALEATE 07/01/2007 12/31/2029 NO YES TIMOLOL MAL TAB 10MG 07/01/2007 12/31/2029 NO NO TIMOLOL MAL TAB 20MG 07/01/2007 12/31/2029 NO YES TIMOLOL MAL TAB 5MG 07/01/2007 12/31/2029 NO YES *CALCIUM CHANNEL BLOCKERS* Amlodipine & Dietary Management Product HYPERTENIPIN PAK 2.5MG 07/01/2007 12/31/2029 NO YES Amlodipine Besylate AMLODIPINE SUS 1MG/ML 07/01/2007 12/31/2029 NO YES AMLODIPINE TAB 10MG 07/01/2007 12/31/2029 NO NO AMLODIPINE TAB 2.5MG 07/01/2007 12/31/2029 NO NO AMLODIPINE TAB 5MG 07/01/2007 12/31/2029 NO NO NORVASC TAB 10MG 07/01/2007 12/31/2029 NO YES NORVASC TAB 2.5MG 07/01/2007 12/31/2029 NO YES NORVASC TAB 5MG 07/01/2007 12/31/2029 NO YES Bepridil HCl VASCOR TAB 200MG 07/01/2007 12/31/2029 NO YES VASCOR TAB 300MG 07/01/2007 12/31/2029 NO YES VASCOR TAB 400MG 07/01/2007 12/31/2029 NO YES Clevidipine Butyrate CLEVIPREX EMU 0.5MG/ML 07/01/2007 12/31/2029 NO YES Diltiazem HCl CARDIZEM CAP 120MG SR 07/01/2007 12/31/2029 NO YES CARDIZEM CAP 60MG SR 07/01/2007 12/31/2029 NO YES CARDIZEM CAP 90MG SR 07/01/2007 12/31/2029 NO YES CARDIZEM INJ 5MG/ML 07/01/2007 12/31/2029 NO YES CARDIZEM INJ MONOVIAL 07/01/2007 12/31/2029 NO YES CARDIZEM TAB 120MG 07/01/2007 12/31/2029 NO YES CARDIZEM TAB 30MG 07/01/2007 12/31/2029 NO YES CARDIZEM TAB 60MG 07/01/2007 12/31/2029 NO YES CARDIZEM TAB 90MG 07/01/2007 12/31/2029 NO YES DILACOR XR CAP 120MG/24 07/01/2007 12/31/2029 NO YES DILACOR XR CAP 180MG/24 07/01/2007 12/31/2029 NO YES DILACOR XR CAP 240MG/24 07/01/2007 12/31/2029 NO YES DILTIA XT CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTIA XT CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTIA XT CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG SR 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG XR 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 60MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 60MG SR 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CALCIUM CHANNEL BLOCKERS* Diltiazem HCl DILTIAZEM CAP 90MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 90MG SR 07/01/2007 12/31/2029 NO NO DILTIAZEM INJ 100MG 07/01/2007 12/31/2029 NO YES DILTIAZEM INJ 125/25ML 07/01/2007 12/31/2029 NO NO DILTIAZEM INJ 25MG/5ML 07/01/2007 12/31/2029 NO NO DILTIAZEM INJ 50/10ML 07/01/2007 12/31/2029 NO NO DILTIAZEM INJ 5MG/ML 07/01/2007 12/31/2029 NO NO DILTIAZEM TAB 120MG 07/01/2007 12/31/2029 NO NO DILTIAZEM TAB 30MG 07/01/2007 12/31/2029 NO NO DILTIAZEM TAB 60MG 07/01/2007 12/31/2029 NO NO DILTIAZEM TAB 90MG 07/01/2007 12/31/2029 NO NO DILTIAZEM XR CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM XR CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM XR CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILT-XR CAP 120MG 07/01/2007 12/31/2029 NO NO DILT-XR CAP 180MG 07/01/2007 12/31/2029 NO NO DILT-XR CAP 240MG 07/01/2007 12/31/2029 NO NO Diltiazem HCl Coated Beads CARDIZEM CD CAP 120MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM CD CAP 180MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM CD CAP 240MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM CD CAP 300MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM CD CAP 360MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 120MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 180MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 240MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 300MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 300MG/24 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 360MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 420MG 07/01/2007 12/31/2029 NO YES CARDIZEM LA TAB 420MG/24 07/01/2007 12/31/2029 NO YES CARTIA XT CAP 120/24HR 07/01/2007 12/31/2029 NO NO CARTIA XT CAP 180/24HR 07/01/2007 12/31/2029 NO NO CARTIA XT CAP 240/24HR 07/01/2007 12/31/2029 NO NO CARTIA XT CAP 300/24HR 07/01/2007 12/31/2029 NO NO DILT-CD CAP 120MG 07/01/2007 12/31/2029 NO NO DILT-CD CAP 180MG 07/01/2007 12/31/2029 NO NO DILT-CD CAP 240MG 07/01/2007 12/31/2029 NO NO DILT-CD CAP 300MG 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG CD 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG SR 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG XT 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG CD 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG XR 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG XT 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG CD 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG XR 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG XT 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 300MG CD 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CALCIUM CHANNEL BLOCKERS* Diltiazem HCl Coated Beads DILTIAZEM CAP 300MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 300MG XT 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 360MG CD 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 360MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CD CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CD CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CD CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CD CAP 300MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM ER CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM ER CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM ER CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM ER CAP 300MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM ER TAB 180MG 07/01/2007 12/31/2029 NO NO DILTIAZEM ER TAB 240MG 07/01/2007 12/31/2029 NO NO DILTIAZEM ER TAB 300MG 07/01/2007 12/31/2029 NO NO DILTIAZEM ER TAB 360MG 07/01/2007 12/31/2029 NO NO DILTIAZEM ER TAB 420MG 07/01/2007 12/31/2029 NO NO MATZIM LA TAB 180MG/24 07/01/2007 12/31/2029 NO NO MATZIM LA TAB 240MG/24 07/01/2007 12/31/2029 NO NO MATZIM LA TAB 300MG/24 07/01/2007 12/31/2029 NO NO MATZIM LA TAB 360MG/24 07/01/2007 12/31/2029 NO NO MATZIM LA TAB 420MG/24 07/01/2007 12/31/2029 NO NO Diltiazem HCl Extended Release Beads DILTIAZEM CAP 120MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 300MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 360MG ER 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 360MG/24 07/01/2007 12/31/2029 NO NO DILTIAZEM CAP 420MG/24 07/01/2007 12/31/2029 NO NO DILTZAC CAP 120MG/24 07/01/2007 12/31/2029 NO NO DILTZAC CAP 180MG/24 07/01/2007 12/31/2029 NO NO DILTZAC CAP 240MG/24 07/01/2007 12/31/2029 NO NO DILTZAC CAP 300MG/24 07/01/2007 12/31/2029 NO NO DILTZAC CAP 360MG/24 07/01/2007 12/31/2029 NO NO TAZTIA XT CAP 120MG/24 07/01/2007 12/31/2029 NO NO TAZTIA XT CAP 180MG/24 07/01/2007 12/31/2029 NO NO TAZTIA XT CAP 240MG/24 07/01/2007 12/31/2029 NO NO TAZTIA XT CAP 300MG/24 07/01/2007 12/31/2029 NO NO TAZTIA XT CAP 360MG/24 07/01/2007 12/31/2029 NO NO TIAZAC CAP 120MG/24 07/01/2007 12/31/2029 NO YES TIAZAC CAP 180MG/24 07/01/2007 12/31/2029 NO YES TIAZAC CAP 240MG/24 07/01/2007 12/31/2029 NO YES TIAZAC CAP 300MG/24 07/01/2007 12/31/2029 NO YES TIAZAC CAP 360MG/24 07/01/2007 12/31/2029 NO YES TIAZAC CAP 420MG/24 07/01/2007 12/31/2029 NO YES Diltiazem HCl in Dextrose DILTIAZM/D5W INJ 100/100 07/01/2007 12/31/2029 NO YES DILTIAZM/D5W INJ 250/250 07/01/2007 12/31/2029 NO YES DILTIAZM/D5W SOL 125/125 07/01/2007 12/31/2029 NO YES Diltiazem HCl in Sodium Chloride DILTIAZ/NACL INJ 100/100 07/01/2007 12/31/2029 NO YES DILTIAZ/NACL INJ 125/125 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CALCIUM CHANNEL BLOCKERS* Diltiazem Malate TIAMATE TAB 120MG/24 07/01/2007 12/31/2029 NO YES TIAMATE TAB 180MG/24 07/01/2007 12/31/2029 NO YES TIAMATE TAB 240MG/24 07/01/2007 12/31/2029 NO YES Felodipine FELODIPINE TAB 10MG ER 07/01/2007 12/31/2029 NO NO FELODIPINE TAB 2.5MG ER 07/01/2007 12/31/2029 NO NO FELODIPINE TAB 5MG ER 07/01/2007 12/31/2029 NO NO PLENDIL TAB 10MG CR 07/01/2007 12/31/2029 NO YES PLENDIL TAB 2.5MG CR 07/01/2007 12/31/2029 NO YES PLENDIL TAB 5MG CR 07/01/2007 12/31/2029 NO YES Isradipine DYNACIRC CAP 2.5MG 07/01/2007 12/31/2029 NO YES DYNACIRC CAP 5MG 07/01/2007 12/31/2029 NO YES DYNACIRC CR TAB 10MG 07/01/2007 12/31/2029 NO YES DYNACIRC CR TAB 5MG 07/01/2007 12/31/2029 NO YES ISRADIPINE CAP 2.5MG 07/01/2007 12/31/2029 NO NO ISRADIPINE CAP 5MG 07/01/2007 12/31/2029 NO NO Mibefradil Dihydrochloride POSICOR TAB 100MG 07/01/2007 12/31/2029 NO YES POSICOR TAB 50MG 07/01/2007 12/31/2029 NO YES Nicardipine HCl CARDENE CAP 20MG 07/01/2007 12/31/2029 NO YES CARDENE CAP 30MG 07/01/2007 12/31/2029 NO YES CARDENE I.V. INJ 2.5MG/ML 07/01/2007 12/31/2029 NO YES CARDENE SR CAP 30MG 07/01/2007 12/31/2029 NO YES CARDENE SR CAP 45MG 07/01/2007 12/31/2029 NO YES CARDENE SR CAP 60MG 07/01/2007 12/31/2029 NO YES NICARDIPINE CAP 20MG 07/01/2007 12/31/2029 NO NO NICARDIPINE CAP 30MG 07/01/2007 12/31/2029 NO NO NICARDIPINE INJ 2.5MG/ML 07/01/2007 12/31/2029 NO NO NICARDIPINE INJ 25/10ML 07/01/2007 12/31/2029 NO NO Nicardipine HCl in Dextrose CARDENE IV INJ 40/200ML 07/01/2007 12/31/2029 NO YES CARDENE IV SOL 20/200ML 07/01/2007 12/31/2029 NO YES Nicardipine HCl in Sodium Chloride CARDENE IV INJ 40/200ML 07/01/2007 12/31/2029 NO YES CARDENE IV SOL 20/200ML 07/01/2007 12/31/2029 NO YES NICARDI/NACL INJ 50/250ML 07/01/2007 12/31/2029 NO YES Nifedipine ADALAT CAP 10MG 07/01/2007 12/31/2029 NO NO ADALAT CAP 20MG 07/01/2007 12/31/2029 NO NO ADALAT CC TAB 30MG ER 07/01/2007 12/31/2029 NO YES ADALAT CC TAB 60MG ER 07/01/2007 12/31/2029 NO YES ADALAT CC TAB 90MG ER 07/01/2007 12/31/2029 NO YES AFEDITAB TAB 30MG CR 07/01/2007 12/31/2029 NO NO AFEDITAB TAB 60MG CR 07/01/2007 12/31/2029 NO NO NIFEDIAC CC TAB 30MG ER 07/01/2007 12/31/2029 NO NO NIFEDIAC CC TAB 60MG ER 07/01/2007 12/31/2029 NO NO NIFEDIAC CC TAB 90MG ER 07/01/2007 12/31/2029 NO NO NIFEDICAL XL TAB 30MG 07/01/2007 12/31/2029 NO NO NIFEDICAL XL TAB 60MG 07/01/2007 12/31/2029 NO NO NIFEDIPINE CAP 10MG 07/01/2007 12/31/2029 NO NO NIFEDIPINE CAP 20MG 07/01/2007 12/31/2029 NO NO NIFEDIPINE POW 07/01/2007 12/31/2029 NO YES NIFEDIPINE TAB 30MG CR 07/01/2007 12/31/2029 NO NO NIFEDIPINE TAB 30MG ER 07/01/2007 12/31/2029 NO NO NIFEDIPINE TAB 60MG CR 07/01/2007 12/31/2029 NO NO NIFEDIPINE TAB 60MG ER 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CALCIUM CHANNEL BLOCKERS* Nifedipine NIFEDIPINE TAB 90MG CR 07/01/2007 12/31/2029 NO NO NIFEDIPINE TAB 90MG ER 07/01/2007 12/31/2029 NO NO PROCARDIA CAP 10MG 07/01/2007 12/31/2029 NO YES PROCARDIA CAP 20MG 07/01/2007 12/31/2029 NO YES PROCARDIA XL TAB 30MG CR 07/01/2007 12/31/2029 NO YES PROCARDIA XL TAB 60MG CR 07/01/2007 12/31/2029 NO YES PROCARDIA XL TAB 90MG CR 07/01/2007 12/31/2029 NO YES THSC NIFEDIP CAP 10MG 07/01/2007 12/31/2029 NO NO Nimodipine NIMODIPINE CAP 30MG 07/01/2007 12/31/2029 NO NO NIMOTOP CAP 30MG 07/01/2007 12/31/2029 NO YES NYMALIZE SOL 60/20ML 07/01/2007 12/31/2029 NO YES Nisoldipine NISOLDIPINE TAB 17MG ER 07/01/2007 12/31/2029 NO NO NISOLDIPINE TAB 20MG ER 07/01/2007 12/31/2029 NO YES NISOLDIPINE TAB 25.5MG 07/01/2007 12/31/2029 NO NO NISOLDIPINE TAB 30MG ER 07/01/2007 12/31/2029 NO YES NISOLDIPINE TAB 34MG ER 07/01/2007 12/31/2029 NO NO NISOLDIPINE TAB 40MG ER 07/01/2007 12/31/2029 NO YES NISOLDIPINE TAB 8.5MG ER 07/01/2007 12/31/2029 NO NO SULAR TAB 10MG CR 07/01/2007 12/31/2029 NO YES SULAR TAB 17MG 07/01/2007 12/31/2029 NO YES SULAR TAB 20MG CR 07/01/2007 12/31/2029 NO YES SULAR TAB 25.5MG 07/01/2007 12/31/2029 NO YES SULAR TAB 30MG CR 07/01/2007 12/31/2029 NO YES SULAR TAB 34MG 07/01/2007 12/31/2029 NO YES SULAR TAB 40MG CR 07/01/2007 12/31/2029 NO YES SULAR TAB 8.5MG 07/01/2007 12/31/2029 NO YES Verapamil HCl CALAN TAB 120MG 07/01/2007 12/31/2029 NO YES CALAN TAB 40MG 07/01/2007 12/31/2029 NO YES CALAN TAB 80MG 07/01/2007 12/31/2029 NO YES CALAN IV INJ 5MG/2ML 07/01/2007 12/31/2029 NO YES CALAN SR TAB 120MG 07/01/2007 12/31/2029 NO YES CALAN SR TAB 180MG 07/01/2007 12/31/2029 NO YES CALAN SR TAB 240MG 07/01/2007 12/31/2029 NO YES COVERA-HS TAB 180MG 07/01/2007 12/31/2029 NO YES COVERA-HS TAB 240MG 07/01/2007 12/31/2029 NO YES ISOPTIN INJ 2.5MG/ML 07/01/2007 12/31/2029 NO YES ISOPTIN TAB 120MG 07/01/2007 12/31/2029 NO YES ISOPTIN TAB 40MG 07/01/2007 12/31/2029 NO YES ISOPTIN TAB 80MG 07/01/2007 12/31/2029 NO YES ISOPTIN IV INJ 5MG/2ML 07/01/2007 12/31/2029 NO YES ISOPTIN SR TAB 120MG 07/01/2007 12/31/2029 NO YES ISOPTIN SR TAB 180MG 07/01/2007 12/31/2029 NO YES ISOPTIN SR TAB 240MG 07/01/2007 12/31/2029 NO YES THSC VERAPAM TAB 240MG CR 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 100MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 120MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 120MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 180MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 180MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 200MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 240MG ER 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CALCIUM CHANNEL BLOCKERS* Verapamil HCl VERAPAMIL CAP 240MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 300MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL CAP 360MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL INJ 2.5MG/ML 07/01/2007 12/31/2029 NO NO VERAPAMIL POW 07/01/2007 12/31/2029 NO YES VERAPAMIL POW HCL USP 07/01/2007 12/31/2029 NO YES VERAPAMIL TAB 120MG 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 120MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 120MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 180MG CR 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 180MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 180MG SA 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 180MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 240MG CR 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 240MG ER 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 240MG SA 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 240MG SR 07/01/2007 12/31/2029 NO NO VERAPAMIL TAB 40MG 07/01/2007 12/31/2029 NO YES VERAPAMIL TAB 80MG 07/01/2007 12/31/2029 NO NO VERELAN CAP 120MG SR 07/01/2007 12/31/2029 NO YES VERELAN CAP 180MG 07/01/2007 12/31/2029 NO YES VERELAN CAP 180MG SR 07/01/2007 12/31/2029 NO YES VERELAN CAP 240MG SR 07/01/2007 12/31/2029 NO YES VERELAN CAP 360MG SR 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 100MG 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 100MG ER 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 200MG 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 200MG ER 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 300MG 07/01/2007 12/31/2029 NO YES VERELAN PM CAP 300MG ER 07/01/2007 12/31/2029 NO YES *CARDIOTONICS* Deslanoside CEDILANID INJ .2MG/ML 07/01/2007 12/31/2029 NO YES Digitoxin CRYSTODIGIN TAB 0.05MG 07/01/2007 12/31/2029 NO YES CRYSTODIGIN TAB 0.15MG 07/01/2007 12/31/2029 NO YES CRYSTODIGIN TAB 0.1MG 07/01/2007 12/31/2029 NO YES DIGITOXIN TAB 0.1MG 07/01/2007 12/31/2029 NO NO DIGITOXIN TAB 0.2MG 07/01/2007 12/31/2029 NO YES Digoxin DIGITEK TAB 0.125MG 07/01/2007 12/31/2029 NO NO DIGITEK TAB 0.25MG 07/01/2007 12/31/2029 NO NO DIGOX TAB 0.125MG 07/01/2007 12/31/2029 NO NO DIGOX TAB 0.25MG 07/01/2007 12/31/2029 NO NO DIGOXIN INJ .25MG/ML 07/01/2007 12/31/2029 NO NO DIGOXIN INJ 0.1MG/ML 07/01/2007 12/31/2029 NO NO DIGOXIN INJ 0.25MG/1 07/01/2007 12/31/2029 NO NO DIGOXIN SOL 07/01/2007 12/31/2029 NO YES DIGOXIN SOL 50MCG/ML 07/01/2007 12/31/2029 NO YES DIGOXIN TAB 0.125MG 07/01/2007 12/31/2029 NO NO DIGOXIN TAB 0.25MG 07/01/2007 12/31/2029 NO NO DIGOXIN TAB 0.5MG 07/01/2007 12/31/2029 NO YES DIGOXIN PED DRO 0.05/ML 07/01/2007 12/31/2029 NO NO DIGOXIN PED ELX 0.05/ML 07/01/2007 12/31/2029 NO NO DIGOXIN-TAB TAB 0.5MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CARDIOTONICS* Digoxin LANOXICAPS CAP 0.05MG 07/01/2007 12/31/2029 NO YES LANOXICAPS CAP 0.1MG 07/01/2007 12/31/2029 NO YES LANOXICAPS CAP 0.2MG 07/01/2007 12/31/2029 NO YES LANOXIN INJ .1MG/ML 07/01/2007 12/31/2029 NO YES LANOXIN INJ .25MG/ML 07/01/2007 12/31/2029 NO YES LANOXIN INJ 0.25MG/1 07/01/2007 12/31/2029 NO YES LANOXIN TAB 0.0625MG 07/01/2007 12/31/2029 NO YES LANOXIN TAB 0.125MG 07/01/2007 12/31/2029 NO YES LANOXIN TAB 0.1875MG 07/01/2007 12/31/2029 NO YES LANOXIN TAB 0.25MG 07/01/2007 12/31/2029 NO YES LANOXIN TAB 0.5MG 07/01/2007 12/31/2029 NO YES LANOXIN PED DRO 0.05/ML 07/01/2007 12/31/2029 NO YES LANOXIN PED ELX 0.05/ML 07/01/2007 12/31/2029 NO YES LANOXIN PED INJ 0.1MG/ML 07/01/2007 12/31/2029 NO YES THSC DIGOXIN TAB 0.125MG 07/01/2007 12/31/2029 NO YES THSC DIGOXIN TAB 0.25MG 07/01/2007 12/31/2029 NO YES *CEPHALOSPORINS* Cefaclor CECLOR CAP 250MG 07/01/2007 12/31/2029 NO YES CECLOR CAP 500MG 07/01/2007 12/31/2029 NO YES CECLOR SUS 125/5ML 07/01/2007 12/31/2029 NO YES CECLOR SUS 187/5ML 07/01/2007 12/31/2029 NO YES CECLOR SUS 250/5ML 07/01/2007 12/31/2029 NO YES CECLOR SUS 375/5ML 07/01/2007 12/31/2029 NO YES CEFACLOR CAP 250MG 07/01/2007 12/31/2029 NO NO CEFACLOR CAP 500MG 07/01/2007 12/31/2029 NO NO CEFACLOR SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEFACLOR SUS 187/5ML 07/01/2007 12/31/2029 NO YES CEFACLOR SUS 250/5ML 07/01/2007 12/31/2029 NO YES CEFACLOR SUS 375/5ML 07/01/2007 12/31/2029 NO YES RANICLOR CHW 125MG 07/01/2007 12/31/2029 NO YES RANICLOR CHW 187MG 07/01/2007 12/31/2029 NO YES RANICLOR CHW 250MG 07/01/2007 12/31/2029 NO YES RANICLOR CHW 375MG 07/01/2007 12/31/2029 NO YES Cefaclor Monohydrate CECLOR CD TAB 375MG 07/01/2007 12/31/2029 NO YES CECLOR CD TAB 500MG 07/01/2007 12/31/2029 NO YES CEFACLOR POW MONOHYDR 07/01/2007 12/31/2029 NO YES CEFACLOR POW USP 07/01/2007 12/31/2029 NO YES CEFACLOR ER TAB 07/01/2007 12/31/2029 NO YES CEFACLOR ER TAB 500MG 07/01/2007 12/31/2029 NO YES Cefadroxil CEFADROXIL CAP 500MG 07/01/2007 12/31/2029 NO NO CEFADROXIL POW MONOHYDR 07/01/2007 12/31/2029 NO YES CEFADROXIL SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEFADROXIL SUS 250/5ML 07/01/2007 12/31/2029 NO NO CEFADROXIL SUS 500/5ML 07/01/2007 12/31/2029 NO NO CEFADROXIL TAB 1000MG 07/01/2007 12/31/2029 NO NO CEFADROXIL TAB 1GM 07/01/2007 12/31/2029 NO NO DURICEF CAP 500MG 07/01/2007 12/31/2029 NO YES DURICEF SUS 125/5ML 07/01/2007 12/31/2029 NO YES DURICEF SUS 250/5ML 07/01/2007 12/31/2029 NO YES DURICEF SUS 500/5ML 07/01/2007 12/31/2029 NO YES DURICEF TAB 1GM 07/01/2007 12/31/2029 NO YES ULTRACEF CAP 500MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Cefadroxil ULTRACEF SUS 125/5ML 07/01/2007 12/31/2029 NO YES ULTRACEF SUS 250/5ML 07/01/2007 12/31/2029 NO YES ULTRACEF TAB 1GM 07/01/2007 12/31/2029 NO YES Cefamandole Nafate MANDOL INJ 10GM 07/01/2007 12/31/2029 NO YES MANDOL INJ 1GM 07/01/2007 12/31/2029 NO YES MANDOL INJ 2GM 07/01/2007 12/31/2029 NO YES MANDOL INJ 500MG 07/01/2007 12/31/2029 NO YES Cefamandole Nafate in D5W MANDOL/D5W INJ 1GM 07/01/2007 12/31/2029 NO YES Cefazolin in D5W ANCEF/D5W INJ 1GM 07/01/2007 12/31/2029 NO YES ANCEF/D5W INJ 500MG 07/01/2007 12/31/2029 NO YES CEFAZOL/D5W INJ 2/100ML 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 500MG 07/01/2007 12/31/2029 NO YES CEFAZOLN/D5W INJ 3G/100ML 07/01/2007 12/31/2029 NO YES Cefazolin Sodium ANCEF INJ 10GM 07/01/2007 12/31/2029 NO YES ANCEF INJ 1GM 07/01/2007 12/31/2029 NO YES ANCEF INJ 1GM PBK 07/01/2007 12/31/2029 NO YES ANCEF INJ 250MG 07/01/2007 12/31/2029 NO YES ANCEF INJ 500MG 07/01/2007 12/31/2029 NO YES ANCEF INJ 5GM 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 100GM 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 10GM 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 1GM 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 1GM PB 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 1GM PBK 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 20GM 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 250MG 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 2GM/20ML 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 300GM 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 500MG 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 500MG PB 07/01/2007 12/31/2029 NO NO CEFAZOLIN INJ 5GM 07/01/2007 12/31/2029 NO NO KEFZOL INJ 10GM 07/01/2007 12/31/2029 NO YES KEFZOL INJ 1GM 07/01/2007 12/31/2029 NO YES KEFZOL INJ 20GM 07/01/2007 12/31/2029 NO YES KEFZOL INJ 250MG 07/01/2007 12/31/2029 NO YES KEFZOL INJ 500MG 07/01/2007 12/31/2029 NO YES Cefazolin Sodium and Dextrose CEFAZOL/D5W INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES CEFAZOL/DEX SOL 1GM 07/01/2007 12/31/2029 NO YES CEFAZOL/DEX SOL 2GM 07/01/2007 12/31/2029 NO YES CEFAZOLIN INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES CEFAZOLIN SOL 07/01/2007 12/31/2029 NO YES Cefazolin Sodium in Sodium Chloride CEFAZLN/NACL SOL 3G/100ML 07/01/2007 12/31/2029 NO YES CEFAZOL/NACL INJ 1GM/10ML 07/01/2007 12/31/2029 NO YES CEFAZOL/NACL SOL 2GM/100 07/01/2007 12/31/2029 NO YES CEFAZOL/NACL SOL 2GM/50ML 07/01/2007 12/31/2029 NO YES Cefdinir CEFDINIR CAP 300MG 07/01/2007 12/31/2029 NO NO CEFDINIR SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEFDINIR SUS 250/5ML 07/01/2007 12/31/2029 NO NO OMNICEF CAP 300MG 07/01/2007 12/31/2029 NO YES OMNICEF SUS 125/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Cefdinir OMNICEF SUS 125MG/5 07/01/2007 12/31/2029 NO YES OMNICEF SUS 250/5ML 07/01/2007 12/31/2029 NO YES OMNI-PAC CAP 300MG 07/01/2007 12/31/2029 NO YES Cefditoren Pivoxil CEFDITOREN TAB 200MG 07/01/2007 12/31/2029 NO YES CEFDITOREN TAB 400MG 07/01/2007 12/31/2029 NO YES SPECTRACEF TAB 200MG 07/01/2007 12/31/2029 NO YES SPECTRACEF TAB 400MG 07/01/2007 12/31/2029 NO YES Cefepime HCl CEFEPIME INJ 1GM 07/01/2007 12/31/2029 NO YES CEFEPIME INJ 2GM 07/01/2007 12/31/2029 NO YES MAXIPIME INJ 1GM 07/01/2007 12/31/2029 NO YES MAXIPIME INJ 2GM 07/01/2007 12/31/2029 NO YES MAXIPIME INJ 500MG 07/01/2007 12/31/2029 NO YES Cefepime HCl and Dextrose CEFEPIME/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES CEFEPIME/DEX INJ 2GM 07/01/2007 12/31/2029 NO YES Cefixime CEFIXIME SUS 100/5ML 07/01/2007 12/31/2029 NO NO CEFIXIME SUS 200/5ML 07/01/2007 12/31/2029 NO NO SUPRAX CAP 400MG 07/01/2007 12/31/2029 NO YES SUPRAX CHW 100MG 07/01/2007 12/31/2029 NO YES SUPRAX CHW 200MG 07/01/2007 12/31/2029 NO YES SUPRAX SUS 100/5ML 07/01/2007 12/31/2029 NO YES SUPRAX SUS 200/5ML 07/01/2007 12/31/2029 NO YES SUPRAX SUS 500/5ML 07/01/2007 12/31/2029 NO YES SUPRAX TAB 200MG 07/01/2007 12/31/2029 NO YES SUPRAX TAB 400MG 07/01/2007 12/31/2029 NO YES Cefmetazole Sodium ZEFAZONE INJ 1 GM 07/01/2007 12/31/2029 NO YES ZEFAZONE INJ 2 GM 07/01/2007 12/31/2029 NO YES Cefmetazole Sodium in Dextrose ZEFAZONE IV SOL 1GM DEX 07/01/2007 12/31/2029 NO YES ZEFAZONE IV SOL 2GM DEX 07/01/2007 12/31/2029 NO YES Cefonicid Sodium MONOCID INJ 10GM 07/01/2007 12/31/2029 NO YES MONOCID INJ 1GM 07/01/2007 12/31/2029 NO YES MONOCID INJ 1GM PBK 07/01/2007 12/31/2029 NO YES MONOCID INJ 500MG 07/01/2007 12/31/2029 NO YES Cefoperazone Sod in Dextrose CEFOBID/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES CEFOBID/DEX INJ 2GM 07/01/2007 12/31/2029 NO YES Cefoperazone Sodium CEFOBID INJ 10GM 07/01/2007 12/31/2029 NO YES CEFOBID INJ 1GM 07/01/2007 12/31/2029 NO YES CEFOBID INJ 1GM PBK 07/01/2007 12/31/2029 NO YES CEFOBID INJ 2GM 07/01/2007 12/31/2029 NO YES CEFOBID INJ 2GM PBK 07/01/2007 12/31/2029 NO YES Ceforanide PRECEF INJ 10GM 07/01/2007 12/31/2029 NO YES PRECEF INJ 1GM 07/01/2007 12/31/2029 NO YES PRECEF INJ 500MG 07/01/2007 12/31/2029 NO YES Cefotaxime Sodium CEFOTAXIME INJ 10GM 07/01/2006 12/31/2029 NO NO CEFOTAXIME INJ 1GM 07/01/2006 12/31/2029 NO NO CEFOTAXIME INJ 20GM 07/01/2006 12/31/2029 NO YES CEFOTAXIME INJ 2GM 07/01/2006 12/31/2029 NO YES CEFOTAXIME INJ 500MG 07/01/2006 12/31/2029 NO NO CLAFORAN INJ 10GM 07/01/2006 12/31/2029 NO YES CLAFORAN INJ 1GM 07/01/2006 12/31/2029 NO YES CLAFORAN INJ 2GM 07/01/2006 12/31/2029 NO YES CLAFORAN INJ 500MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Cefotaxime Sodium in D5W CLAFORAN/D5W INJ 1GM 07/01/2006 12/31/2029 NO YES CLAFORAN/D5W INJ 2GM 07/01/2006 12/31/2029 NO YES Cefotetan Disodium CEFOTAN INJ 10G/100M 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 1GM/100M 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 1GM/10ML 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 1GM/15ML 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 2GM 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 2GM/100M 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 2GM/15ML 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 2GM/20ML 07/01/2007 12/31/2029 NO YES CEFOTETAN INJ 10G 07/01/2007 12/31/2029 NO YES CEFOTETAN INJ 1GM/10ML 07/01/2007 12/31/2029 NO NO CEFOTETAN INJ 2GM/20ML 07/01/2007 12/31/2029 NO NO Cefotetan Disodium and Dextrose CEFOTET/DEX INJ 1-3.58% 07/01/2007 12/31/2029 NO YES CEFOTET/DEX INJ 2-2.08% 07/01/2007 12/31/2029 NO YES Cefotetan Disodium in Dextrose CEFOTAN INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES CEFOTAN INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES Cefoxitin Sodium CEFOXITIN INJ 100GM 07/01/2007 12/31/2029 NO YES CEFOXITIN INJ 10GM 07/01/2007 12/31/2029 NO NO CEFOXITIN INJ 1GM 07/01/2007 12/31/2029 NO NO CEFOXITIN INJ 2GM 07/01/2007 12/31/2029 NO NO MEFOXIN INJ 10GM 07/01/2007 12/31/2029 NO YES MEFOXIN INJ 1GM 07/01/2007 12/31/2029 NO YES MEFOXIN INJ 2GM 07/01/2007 12/31/2029 NO YES Cefoxitin Sodium and Dextrose CEFOXITIN INJ 1GM 07/01/2007 12/31/2029 NO YES CEFOXITIN INJ 2GM 07/01/2007 12/31/2029 NO YES Cefoxitin Sodium in D5W MEFOXIN/D5W INJ 1GM 07/01/2007 12/31/2029 NO YES MEFOXIN/D5W INJ 2GM 07/01/2007 12/31/2029 NO YES Cefoxitin Sodium in Dextrose MEFOXIN INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES MEFOXIN INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES MEFOXIN/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES MEFOXIN/DEX INJ 2GM 07/01/2007 12/31/2029 NO YES Cefpodoxime Proxetil CEFPODO PROX SUS 100/5ML 07/01/2007 12/31/2029 NO NO CEFPODO PROX SUS 50MG/5ML 07/01/2007 12/31/2029 NO NO CEFPODOXIME TAB 100MG 07/01/2007 12/31/2029 NO NO CEFPODOXIME TAB 200MG 07/01/2007 12/31/2029 NO NO VANTIN SUS 100/5ML 07/01/2007 12/31/2029 NO YES VANTIN SUS 50MG/5ML 07/01/2007 12/31/2029 NO YES VANTIN TAB 100MG 07/01/2007 12/31/2029 NO YES VANTIN TAB 200MG 07/01/2007 12/31/2029 NO YES Cefprozil CEFPROZIL SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEFPROZIL SUS 250/5ML 07/01/2007 12/31/2029 NO NO CEFPROZIL TAB 250MG 07/01/2007 12/31/2029 NO NO CEFPROZIL TAB 500MG 07/01/2007 12/31/2029 NO NO CEFZIL SUS 125/5ML 07/01/2007 12/31/2029 NO YES CEFZIL SUS 250/5ML 07/01/2007 12/31/2029 NO YES CEFZIL TAB 250MG 07/01/2007 12/31/2029 NO YES CEFZIL TAB 250MG FC 07/01/2007 12/31/2029 NO YES CEFZIL TAB 500MG 07/01/2007 12/31/2029 NO YES CEFZIL TAB 500MG FC 07/01/2007 12/31/2029 NO YES Ceftaroline Fosamil TEFLARO INJ 400MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Ceftaroline Fosamil TEFLARO INJ 600MG 07/01/2007 12/31/2029 NO YES Ceftazidime CEFTAZIDIME INJ 100GM 07/01/2007 12/31/2029 NO YES CEFTAZIDIME INJ 1GM 07/01/2007 12/31/2029 NO NO CEFTAZIDIME INJ 2GM 07/01/2007 12/31/2029 NO NO CEFTAZIDIME INJ 500MG 07/01/2007 12/31/2029 NO NO CEFTAZIDIME INJ 6GM 07/01/2007 12/31/2029 NO NO CEPTAZ INJ 10GM 07/01/2007 12/31/2029 NO YES CEPTAZ INJ 1GM 07/01/2007 12/31/2029 NO YES CEPTAZ INJ 2GM 07/01/2007 12/31/2029 NO YES FORTAZ INJ 1GM 07/01/2007 12/31/2029 NO YES FORTAZ INJ 2GM 07/01/2007 12/31/2029 NO YES FORTAZ INJ 500MG 07/01/2007 12/31/2029 NO YES FORTAZ INJ 6GM 07/01/2007 12/31/2029 NO YES TAZICEF INJ 1GM 07/01/2007 12/31/2029 NO NO TAZICEF INJ 1GM PBK 07/01/2007 12/31/2029 NO NO TAZICEF INJ 2GM 07/01/2007 12/31/2029 NO NO TAZICEF INJ 2GM PBK 07/01/2007 12/31/2029 NO NO TAZICEF INJ 6GM 07/01/2007 12/31/2029 NO NO TAZIDIME INJ 1GM 07/01/2007 12/31/2029 NO NO TAZIDIME INJ 2GM 07/01/2007 12/31/2029 NO NO TAZIDIME INJ 500MG 07/01/2007 12/31/2029 NO NO TAZIDIME INJ 6GM 07/01/2007 12/31/2029 NO NO Ceftazidime and Dextrose CEFTAZIDIME/ SOL D5W 1GM 07/01/2007 12/31/2029 NO YES CEFTAZIDIME/ SOL D5W 2GM 07/01/2007 12/31/2029 NO YES Ceftazidime Sodium in D5W FORTAZ INJ 1GM 07/01/2007 12/31/2029 NO YES FORTAZ INJ 2GM 07/01/2007 12/31/2029 NO YES Ceftazidime Sodium in Dextrose TAZICEF INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES TAZICEF INJ 2GM/50ML 07/01/2007 12/31/2029 NO YES Ceftazidime-Avibactam Sodium AVYCAZ INJ 2-0.5GM 07/01/2007 12/31/2029 NO YES Ceftibuten CEDAX CAP 400MG 07/01/2007 12/31/2029 NO YES CEDAX SUS 180/5ML 07/01/2007 12/31/2029 NO YES CEDAX SUS 90MG/5ML 07/01/2007 12/31/2029 NO YES CEFTIBUTEN CAP 400MG 07/01/2007 12/31/2029 NO YES CEFTIBUTEN SUS 180/5ML 07/01/2007 12/31/2029 NO YES Ceftizoxime in D5W CEFIZOX INJ 1GM 07/01/2007 12/31/2029 NO YES CEFIZOX INJ 2GM 07/01/2007 12/31/2029 NO YES CEFIZOX/D5W INJ 1GM 07/01/2007 12/31/2029 NO YES CEFIZOX/D5W INJ 2GM 07/01/2007 12/31/2029 NO YES Ceftizoxime Sodium CEFIZOX INJ 10GM 07/01/2007 12/31/2029 NO YES CEFIZOX INJ 1GM 07/01/2007 12/31/2029 NO YES CEFIZOX INJ 2GM 07/01/2007 12/31/2029 NO YES CEFIZOX INJ 500MG 07/01/2007 12/31/2029 NO YES Ceftolozane Sulfate-Tazobactam Sodium ZERBAXA INJ 1.5GM 07/01/2007 12/31/2029 NO YES Ceftriaxone Sodium CEFTRIAXONE INJ 100GM 07/01/2007 12/31/2029 NO YES CEFTRIAXONE INJ 10GM 07/01/2006 12/31/2029 NO NO CEFTRIAXONE INJ 1GM 07/01/2006 12/31/2029 NO NO CEFTRIAXONE INJ 250MG 07/01/2006 12/31/2029 NO NO CEFTRIAXONE INJ 2GM 07/01/2006 12/31/2029 NO NO CEFTRIAXONE INJ 500MG 07/01/2006 12/31/2029 NO NO ROCEPHIN INJ 10GM 07/01/2006 12/31/2029 NO YES ROCEPHIN INJ 1GM 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Ceftriaxone Sodium ROCEPHIN INJ 250MG 07/01/2006 12/31/2029 NO YES ROCEPHIN INJ 2GM 07/01/2006 12/31/2029 NO YES ROCEPHIN INJ 500MG 07/01/2006 12/31/2029 NO YES Ceftriaxone Sodium and Dextrose CEFTRIAX/DEX INJ 1GM 07/01/2006 12/31/2029 NO YES CEFTRIAX/DEX INJ 2GM 07/01/2006 12/31/2029 NO YES Ceftriaxone Sodium in Dextrose CEFTRIAXONE/ INJ DEX 1GM 07/01/2006 12/31/2029 NO YES CEFTRIAXONE/ INJ DEX 2GM 07/01/2006 12/31/2029 NO YES ROCEPHIN/DEX INJ 1GM 07/01/2006 12/31/2029 NO YES ROCEPHIN/DEX INJ 2GM 07/01/2006 12/31/2029 NO YES Ceftriaxone Sodium w/ Lidocaine ROCEPHIN IM INJ 1GM 07/01/2007 12/31/2029 NO YES ROCEPHIN IM INJ 500MG 07/01/2007 12/31/2029 NO YES Cefuroxime Axetil CEFTIN SUS 125/5ML 07/01/2007 12/31/2029 NO YES CEFTIN SUS 250/5ML 07/01/2007 12/31/2029 NO YES CEFTIN TAB 125MG 07/01/2007 12/31/2029 NO YES CEFTIN TAB 250MG 07/01/2007 12/31/2029 NO YES CEFTIN TAB 500MG 07/01/2007 12/31/2029 NO YES CEFUROXIME SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEFUROXIME SUS 250/5ML 07/01/2007 12/31/2029 NO NO CEFUROXIME TAB 250MG 07/01/2007 12/31/2029 NO NO CEFUROXIME TAB 500MG 07/01/2007 12/31/2029 NO NO Cefuroxime in Sterile Water ZINACEF/H20 INJ 1.5GM PB 07/01/2007 12/31/2029 NO YES Cefuroxime Sodium CEFUROXIME INJ 1.5GM 07/01/2007 12/31/2029 NO NO CEFUROXIME INJ 225GM 07/01/2007 12/31/2029 NO YES CEFUROXIME INJ 7.5GM 07/01/2007 12/31/2029 NO NO CEFUROXIME INJ 750MG 07/01/2007 12/31/2029 NO NO CEFUROXIME INJ 75GM 07/01/2007 12/31/2029 NO YES KEFUROX INJ 1.5GM 07/01/2007 12/31/2029 NO YES KEFUROX INJ 7.5GM 07/01/2007 12/31/2029 NO YES KEFUROX INJ 750MG 07/01/2007 12/31/2029 NO NO ZINACEF INJ 1.5GM 07/01/2007 12/31/2029 NO YES ZINACEF INJ 7.5GM 07/01/2007 12/31/2029 NO YES ZINACEF INJ 750MG 07/01/2007 12/31/2029 NO YES Cefuroxime Sodium and Dextrose CEFUROX/DEXT INJ 1.5GM 07/01/2007 12/31/2029 NO YES CEFUROX/DEXT INJ 750MG 07/01/2007 12/31/2029 NO YES Cefuroxime Sodium in D5W ZINACEF/D5W INJ 1.5GM 07/01/2007 12/31/2029 NO YES ZINACEF/D5W INJ 750MG PB 07/01/2007 12/31/2029 NO YES Cephalexin BIOCEF CAP 500MG 07/01/2007 12/31/2029 NO NO BIOCEF SUS 125/5ML 07/01/2007 12/31/2029 NO NO BIOCEF SUS 250/5ML 07/01/2007 12/31/2029 NO NO CEFANEX CAP 250MG 07/01/2007 12/31/2029 NO NO CEFANEX CAP 500MG 07/01/2007 12/31/2029 NO NO CEPHALEXIN CAP 250MG 07/01/2007 12/31/2029 NO NO CEPHALEXIN CAP 500MG 07/01/2007 12/31/2029 NO NO CEPHALEXIN CAP 750MG 07/01/2007 12/31/2029 NO NO CEPHALEXIN POW MONOHYDR 07/01/2007 12/31/2029 NO YES CEPHALEXIN POW USP 07/01/2007 12/31/2029 NO YES CEPHALEXIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO CEPHALEXIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO CEPHALEXIN TAB 1GM 07/01/2007 12/31/2029 NO NO CEPHALEXIN TAB 250MG 07/01/2007 12/31/2029 NO YES CEPHALEXIN TAB 500MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Cephalexin C-LEXIN CAP 250MG 07/01/2007 12/31/2029 NO NO C-LEXIN CAP 500MG 07/01/2007 12/31/2029 NO NO DAXBIA CAP 333MG 07/01/2007 12/31/2029 NO YES ED A-CEPH SUS 125/5ML 07/01/2007 12/31/2029 NO NO ED A-CEPH SUS 250/5ML 07/01/2007 12/31/2029 NO NO ENTACEPH CAP 250MG 07/01/2007 12/31/2029 NO NO KEFLET TAB 250MG 07/01/2007 12/31/2029 NO YES KEFLET TAB 500MG 07/01/2007 12/31/2029 NO YES KEFLEX CAP 250MG 07/01/2007 12/31/2029 NO YES KEFLEX CAP 500MG 07/01/2007 12/31/2029 NO YES KEFLEX CAP 750MG 07/01/2007 12/31/2029 NO YES KEFLEX DRO 100MG/ML 07/01/2007 12/31/2029 NO YES KEFLEX SUS 125/5ML 07/01/2007 12/31/2029 NO YES KEFLEX SUS 250/5ML 07/01/2007 12/31/2029 NO NO KEFLEX TAB 1GM 07/01/2007 12/31/2029 NO YES PANIXINE TAB 125MG 07/01/2007 12/31/2029 NO YES PANIXINE TAB 250MG 07/01/2007 12/31/2029 NO YES THSC CEPHALX CAP 250MG 07/01/2007 12/31/2029 NO NO THSC CEPHALX CAP 500MG 07/01/2007 12/31/2029 NO NO ZARTAN CAP 500MG 07/01/2007 12/31/2029 NO NO Cephalexin HCl KEFTAB TAB 250MG 07/01/2007 12/31/2029 NO YES KEFTAB TAB 500MG 07/01/2007 12/31/2029 NO YES Cephalothin in D5W CEPHALOTHIN INJ 500MG 07/01/2007 12/31/2029 NO YES CEPHALOTHIN SOL 1GM 07/01/2007 12/31/2029 NO YES CEPHALOTHIN SOL 2GM 07/01/2007 12/31/2029 NO YES Cephalothin Sodium CEPHALOTHIN INJ 1GM 07/01/2007 12/31/2029 NO NO CEPHALOTHIN INJ 2GM 07/01/2007 12/31/2029 NO NO KEFLIN INJ 1GM 07/01/2007 12/31/2029 NO YES KEFLIN INJ 20GM 07/01/2007 12/31/2029 NO YES KEFLIN INJ 2GM 07/01/2007 12/31/2029 NO YES KEFLIN INJ 4GM 07/01/2007 12/31/2029 NO YES SEFFIN INJ 10GM 07/01/2007 12/31/2029 NO YES SEFFIN INJ 1GM 07/01/2007 12/31/2029 NO NO SEFFIN INJ 2GM 07/01/2007 12/31/2029 NO NO Cephapirin Sodium CEFADYL INJ 0.5GM 07/01/2007 12/31/2029 NO YES CEFADYL INJ 1GM 07/01/2007 12/31/2029 NO YES CEFADYL INJ 20GM 07/01/2007 12/31/2029 NO YES CEFADYL INJ 2GM 07/01/2007 12/31/2029 NO YES CEFADYL INJ 4GM 07/01/2007 12/31/2029 NO YES CEPHAPIRIN INJ 0.5GM 07/01/2007 12/31/2029 NO NO CEPHAPIRIN INJ 1GM 07/01/2007 12/31/2029 NO NO CEPHAPIRIN INJ 20GM 07/01/2007 12/31/2029 NO NO CEPHAPIRIN INJ 2GM 07/01/2007 12/31/2029 NO NO CEPHAPIRIN INJ 4GM 07/01/2007 12/31/2029 NO NO Cephradine ANSPOR CAP 250MG 07/01/2007 12/31/2029 NO YES ANSPOR CAP 500MG 07/01/2007 12/31/2029 NO YES ANSPOR SUS 125/5ML 07/01/2007 12/31/2029 NO YES ANSPOR SUS 250/5ML 07/01/2007 12/31/2029 NO YES CEPHRADINE CAP 250MG 07/01/2007 12/31/2029 NO YES CEPHRADINE CAP 500MG 07/01/2007 12/31/2029 NO NO CEPHRADINE SUS 125/5ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CEPHALOSPORINS* Cephradine CEPHRADINE SUS 250/5ML 07/01/2007 12/31/2029 NO NO VELOSEF CAP 250MG 07/01/2007 12/31/2029 NO YES VELOSEF CAP 500MG 07/01/2007 12/31/2029 NO YES VELOSEF INJ 1GM 07/01/2007 12/31/2029 NO YES VELOSEF INJ 250MG 07/01/2007 12/31/2029 NO YES VELOSEF INJ 2GM 07/01/2007 12/31/2029 NO YES VELOSEF INJ 500MG 07/01/2007 12/31/2029 NO YES VELOSEF SUS 125/5ML 07/01/2007 12/31/2029 NO YES VELOSEF SUS 250/5ML 07/01/2007 12/31/2029 NO YES Moxalactam Disodium MOXAM INJ 10GM 07/01/2007 12/31/2029 NO YES MOXAM INJ 1GM 07/01/2007 12/31/2029 NO YES MOXAM INJ 2GM 07/01/2007 12/31/2029 NO YES *CHEMICALS* Amantadine HCl (Bulk) AMANTADINE POW HCL 07/01/2006 12/31/2029 NO YES Amikacin AMIKACIN POW 07/01/2006 12/31/2029 NO YES Ceftriaxone Sodium (Bulk) CEFTRIAXONE POW SODIUM 07/01/2006 12/31/2029 NO YES CEFTRIAXONE POW USP 07/01/2006 12/31/2029 NO YES Clindamycin HCl (Bulk) CLINDAMYCIN POW HCL 07/01/2006 12/31/2029 NO YES CLINDAMYCIN POW HCL MONO 07/01/2006 12/31/2029 NO YES CLINDAMYCIN POW HCL USP 07/01/2006 12/31/2029 NO YES Clindamycin Phosphate (Bulk) CLINDAMYCIN CRY PHOSPHAT 07/01/2006 12/31/2029 NO YES CLINDAMYCIN POW PHOSPHAT 07/01/2006 12/31/2029 NO YES Dapsone (Bulk) DAPSONE POW 07/01/2006 12/31/2029 NO YES Erythromycin Estolate (Bulk) ERYTHROMYCIN POW ESTOLATE 07/01/2006 12/31/2029 NO YES Estradiol (Bulk) ESTRADIOL POW 07/01/2007 12/31/2029 NO YES Estradiol Micronized (Bulk) ESTRADIOL POW 07/01/2007 12/31/2029 NO YES ESTRADIOL POW MICRONIZ 07/01/2007 12/31/2029 NO YES Estriol Micronized (Bulk) ESTRIOL POW 07/01/2007 12/31/2029 NO YES ESTRIOL POW MICRONIZ 07/01/2007 12/31/2029 NO YES ESTRIOL ULT POW MICRONIZ 07/01/2007 12/31/2029 NO YES Estrone (Bulk) ESTRONE CRY 07/01/2007 12/31/2029 NO YES ESTRONE POW 07/01/2007 12/31/2029 NO YES Glycopyrrolate (Bulk) GLYCOPYRROL POW 03/23/2015 12/31/2029 NO YES Ketoconazole (bulk) KETOCONAZOLE POW 07/01/2006 12/31/2029 NO YES Leucovorin Calcium (Bulk) CALCIUM POW FOLINATE 07/01/2006 12/31/2029 NO YES LEUCOVORIN POW CALCIUM 07/01/2006 12/31/2029 NO YES Nandrolone Decanoate (Bulk) NANDROLONE POW DECANOAT 06/11/2010 12/31/2029 NO YES Nystatin (Bulk) NYSTATIN POW 07/01/2006 12/31/2029 NO YES NYSTATIN POW 10BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 150MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 1BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 2BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 500MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 50MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 5BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW DOMESTIC 07/01/2006 12/31/2029 NO YES Testosterone (Bulk) TESTOSTERONE POW 06/11/2010 12/31/2029 NO YES TESTOSTERONE POW SOY 06/11/2010 12/31/2029 NO YES TESTOSTERONE POW YAM 06/11/2010 12/31/2029 NO YES Tetracycline (Bulk) TETRACYCLINE POW 07/01/2006 12/31/2029 NO YES *CONTRACEPTIVES* Copper (IUD) PARAGARD IUD T380A 07/01/2007 12/31/2029 NO YES Desogestrel & Ethinyl Estradiol APRI TAB 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Desogestrel & Ethinyl Estradiol CYRED TAB 07/01/2007 12/31/2029 NO NO DESO/ETHINYL TAB EST-28 07/01/2007 12/31/2029 NO NO DESO/ETHINYL TAB ESTRADIO 07/01/2007 12/31/2029 NO NO DESOGEN TAB 07/01/2007 12/31/2029 NO YES DESOGEN-28 TAB 07/01/2007 12/31/2029 NO YES EMOQUETTE TAB 07/01/2007 12/31/2029 NO NO ENSKYCE TAB 07/01/2007 12/31/2029 NO NO JULEBER TAB 07/01/2007 12/31/2029 NO NO KARIVA TAB 28 DAY 07/01/2007 12/31/2029 NO NO MIRCETTE TAB 28 DAY 07/01/2007 12/31/2029 NO YES ORTHO-CEPT TAB 21 07/01/2007 12/31/2029 NO YES ORTHO-CEPT TAB 28 07/01/2007 12/31/2029 NO YES RECLIPSEN TAB 07/01/2007 12/31/2029 NO NO SOLIA TAB 07/01/2007 12/31/2029 NO NO Desogestrel-Ethinyl Estradiol (Biphasic) AZURETTE TAB 28 DAY 07/01/2007 12/31/2029 NO NO BEKYREE TAB 07/01/2007 12/31/2029 NO NO DESO/ETHINYL TAB ESTRADIO 07/01/2007 12/31/2029 NO NO KARIVA TAB 28 DAY 07/01/2007 12/31/2029 NO NO KIMIDESS TAB 07/01/2007 12/31/2029 NO NO MIRCETTE TAB 28 DAY 07/01/2007 12/31/2029 NO YES PIMTREA TAB 07/01/2007 12/31/2029 NO NO VIORELE TAB 07/01/2007 12/31/2029 NO NO Desogestrel-Ethinyl Estradiol (Triphasic) CAZIANT PAK 07/01/2007 12/31/2029 NO NO CESIA PAK 07/01/2007 12/31/2029 NO NO CYCLESSA PAK 07/01/2007 12/31/2029 NO YES VELIVET PAK 07/01/2007 12/31/2029 NO NO Drospirenone-Ethinyl Estradiol DROSPIR/ETHI TAB 3-0.03MG 07/01/2007 12/31/2029 NO NO DROSPIRENONE TAB ETHY EST 07/01/2007 12/31/2029 NO NO GIANVI TAB 3-0.02MG 07/01/2007 12/31/2029 NO NO LORYNA TAB 3-0.02MG 07/01/2007 12/31/2029 NO NO NIKKI TAB 3-0.02MG 07/01/2007 12/31/2029 NO NO OCELLA TAB 3-0.03MG 07/01/2007 12/31/2029 NO NO SYEDA TAB 3-0.03MG 07/01/2007 12/31/2029 NO NO VESTURA TAB 3-0.02MG 07/01/2007 12/31/2029 NO NO YASMIN 28 TAB 3-0.03MG 07/01/2007 12/31/2029 NO YES YAZ TAB 3-0.02MG 07/01/2007 12/31/2029 NO YES ZARAH TAB 3-0.03MG 07/01/2007 12/31/2029 NO NO Drospirenone-Ethinyl Estradiol-Levomefolate Calcium BEYAZ TAB 07/01/2007 12/31/2029 NO YES DROSPIRE/ETH TAB ESTR/LEV 07/01/2007 12/31/2029 NO NO RAJANI TAB 07/01/2007 12/31/2029 NO NO SAFYRAL TAB 07/01/2007 12/31/2029 NO YES Estradiol Valerate-Dienogest NATAZIA TAB 07/01/2007 12/31/2029 NO YES Ethynodiol Diacet & Eth Estrad DEMULEN TAB 1/35-21 07/01/2007 12/31/2029 NO YES DEMULEN TAB 1/35-28 07/01/2007 12/31/2029 NO YES DEMULEN TAB 1/50-21 07/01/2007 12/31/2029 NO YES DEMULEN TAB 1/50-28 07/01/2007 12/31/2029 NO YES ETHYNODIOL TAB 1-50 07/01/2007 12/31/2029 NO NO KELNOR TAB 1/35 07/01/2007 12/31/2029 NO NO ZOVIA 1/35E TAB 07/01/2007 12/31/2029 NO NO ZOVIA 1/50E TAB 07/01/2007 12/31/2029 NO YES Ethynodiol Diacet & Mestranol OVULEN-21 TAB 1-0.1 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Etonogestrel IMPLANON IMP 68MG 07/01/2007 12/31/2029 NO YES NEXPLANON IMP 68MG 07/01/2007 12/31/2029 NO YES Etonogestrel-Ethinyl Estradiol NUVARING MIS 07/01/2007 12/31/2029 NO YES Levonorgestrel NORPLANT SYS KIT 216MG 07/01/2007 12/31/2029 NO YES Levonorgestrel & Eth Estradiol ALESSE TAB -21 07/01/2007 12/31/2029 NO YES ALESSE TAB -28 07/01/2007 12/31/2029 NO YES ALTAVERA TAB 07/01/2007 12/31/2029 NO NO AUBRA TAB 0.1-0.02 07/01/2007 12/31/2029 NO NO AVIANE TAB 07/01/2007 12/31/2029 NO NO CHATEAL TAB 0.15/30 07/01/2007 12/31/2029 NO NO DELYLA TAB 0.1-0.02 07/01/2007 12/31/2029 NO NO FALMINA TAB 07/01/2007 12/31/2029 NO NO KURVELO TAB 0.15/30 07/01/2007 12/31/2029 NO NO LARISSIA TAB 07/01/2007 12/31/2029 NO NO LESSINA TAB 07/01/2007 12/31/2029 NO NO LESSINA-28 TAB 07/01/2007 12/31/2029 NO NO LEVLEN TAB 07/01/2007 12/31/2029 NO NO LEVLEN TAB CONTR PK 07/01/2007 12/31/2029 NO YES LEVLEN-21 TAB 07/01/2007 12/31/2029 NO YES LEVLEN-28 TAB 07/01/2007 12/31/2029 NO YES LEVLITE TAB -21 07/01/2007 12/31/2029 NO YES LEVLITE TAB -28 07/01/2007 12/31/2029 NO NO LEVONOR/ETHI TAB 0.1-0.02 07/01/2007 12/31/2029 NO NO LEVONOR/ETHI TAB ESTRADIO 07/01/2007 12/31/2029 NO NO LEVORA-21 TAB 0.15/30 07/01/2007 12/31/2029 NO NO LEVORA-28 TAB 0.15/30 07/01/2007 12/31/2029 NO NO LUTERA TAB 07/01/2007 12/31/2029 NO NO MARLISSA TAB 0.15/30 07/01/2007 12/31/2029 NO NO NORDETTE TAB 07/01/2007 12/31/2029 NO YES NORDETTE-21 TAB 07/01/2007 12/31/2029 NO YES NORDETTE-28 TAB 07/01/2007 12/31/2029 NO YES ORSYTHIA TAB 07/01/2007 12/31/2029 NO NO PORTIA-28 TAB 07/01/2007 12/31/2029 NO NO SRONYX TAB 07/01/2007 12/31/2029 NO NO VIENVA TAB 0.1-20 07/01/2007 12/31/2029 NO NO Levonorgestrel (Emergency OC) AFTERA TAB 1.5MG 07/01/2007 12/31/2029 NO NO ECONTRA EZ TAB 1.5MG 07/01/2007 12/31/2029 NO NO FALLBACK TAB 1.5MG 07/01/2007 12/31/2029 NO NO LEVONORGESTR TAB 0.75MG 07/01/2007 12/31/2029 NO YES LEVONORGESTR TAB 1.5MG 07/01/2007 12/31/2029 NO NO MY WAY TAB 1.5MG 07/01/2007 12/31/2029 NO NO NEXT CHOICE TAB 0.75MG 07/01/2007 12/31/2029 NO NO NEXT CHOICE TAB 1.5MG 07/01/2007 12/31/2029 NO NO OPCICON TAB 1.5MG 07/01/2007 12/31/2029 NO NO OPTION 2 TAB 1.5MG 07/01/2007 12/31/2029 NO NO PLAN B TAB 0.75MG 07/01/2007 12/31/2029 NO YES PLAN B TAB 1.5MG 07/01/2007 12/31/2029 NO YES REACT TAB 1.5MG 07/01/2007 12/31/2029 NO NO TAKE ACTION TAB 1.5MG 07/01/2007 12/31/2029 NO NO Levonorgestrel (IUD) KYLEENA IUD 19.5MG 07/01/2007 12/31/2029 NO YES LILETTA IUD 52MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Levonorgestrel (IUD) MIRENA IUD SYSTEM 07/01/2007 12/31/2029 NO YES SKYLA IUD 13.5MG 07/01/2007 12/31/2029 NO YES Levonorgestrel-Eth Estradiol (Triphasic) ENPRESSE-28 TAB 07/01/2007 12/31/2029 NO NO LEVONEST TAB 07/01/2007 12/31/2029 NO NO LEVONOR/ETHI TAB 07/01/2007 12/31/2029 NO NO MYZILRA TAB 07/01/2007 12/31/2029 NO NO TRI-LEVLEN TAB 21 07/01/2007 12/31/2029 NO YES TRI-LEVLEN TAB 28 07/01/2007 12/31/2029 NO YES TRI-LEVLEN TAB CONTR PK 07/01/2007 12/31/2029 NO YES TRIPHASIL TAB 07/01/2007 12/31/2029 NO YES TRIPHASIL 21 TAB 07/01/2007 12/31/2029 NO YES TRIPHASIL 21 TAB REFILL 07/01/2007 12/31/2029 NO YES TRIPHASIL 28 TAB 07/01/2007 12/31/2029 NO YES TRIVORA-28 TAB 07/01/2007 12/31/2029 NO NO Levonorgestrel-Ethinyl Estradiol & Folic Acid FALESSA KIT 07/01/2007 12/31/2029 NO YES Levonorgestrel-Ethinyl Estradiol (91-Day) AMETHIA TAB 07/01/2007 12/31/2029 NO NO AMETHIA LO TAB 07/01/2007 12/31/2029 NO NO ASHLYNA TAB 07/01/2007 12/31/2029 NO NO CAMRESE TAB 07/01/2007 12/31/2029 NO NO CAMRESE LO TAB 07/01/2007 12/31/2029 NO NO DAYSEE TAB 07/01/2007 12/31/2029 NO NO FAYOSIM TAB 07/01/2007 12/31/2029 NO NO INTROVALE TAB 07/01/2007 12/31/2029 NO NO JOLESSA TAB 07/01/2007 12/31/2029 NO NO LEVONOR/ETHI TAB ESTRADIO 07/01/2007 12/31/2029 NO NO LOSEASONIQUE TAB 07/01/2007 12/31/2029 NO YES QUARTETTE TAB 07/01/2007 12/31/2029 NO YES QUASENSE TAB 07/01/2007 12/31/2029 NO NO RIVELSA TAB 07/01/2007 12/31/2029 NO NO SEASONALE TAB 07/01/2007 12/31/2029 NO YES SEASONIQUE TAB 07/01/2007 12/31/2029 NO YES SETLAKIN TAB 07/01/2007 12/31/2029 NO NO Levonorgestrel-Ethinyl Estradiol (Continuous) AMETHYST TAB 90-20MCG 07/01/2007 12/31/2029 NO NO LEVO-ETH EST TAB 90-20MCG 07/01/2007 12/31/2029 NO YES LYBREL TAB 90-20MCG 07/01/2007 12/31/2029 NO YES Levonorgestrel-Ethinyl Estradiol w/ Pregnancy Test PREVEN EMERG KIT CONTRCPT 07/01/2007 12/31/2029 NO YES Medroxyprogesterone Acetate (Contraceptive) DEPO-PROVERA INJ 150MG/ML 07/01/2007 12/31/2029 NO YES DEPO-SQ PROV INJ 104 07/01/2007 12/31/2029 NO YES MEDROXYPR AC INJ 150MG/ML 07/01/2007 12/31/2029 NO NO Medroxyprogesterone Acetate-Estradiol Cypionate LUNELLE INJ 07/01/2007 12/31/2029 NO YES Norelgestromin-Ethinyl Estradiol ORTHO EVRA DIS WEEK 07/01/2007 12/31/2029 NO YES XULANE DIS 150-35 07/01/2007 12/31/2029 NO YES Norethin Acet & Estrad-Fe BLISOVI 24 TAB FE 1/20 07/01/2007 12/31/2029 NO NO BLISOVI FE TAB 1.5/30 07/01/2007 12/31/2029 NO NO BLISOVI FE TAB 1/20 07/01/2007 12/31/2029 NO NO GILDESS 24 TAB FE 1/20 07/01/2007 12/31/2029 NO NO GILDESS FE TAB 1.5/30 07/01/2007 12/31/2029 NO NO GILDESS FE TAB 1/20 07/01/2007 12/31/2029 NO NO JUNEL FE TAB 1.5/30 07/01/2007 12/31/2029 NO NO JUNEL FE TAB 1/20 07/01/2007 12/31/2029 NO NO JUNEL FE 24 TAB 1/20 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Norethin Acet & Estrad-Fe LARIN 24 TAB FE 1/20 07/01/2007 12/31/2029 NO NO LARIN FE TAB 1.5/30 07/01/2007 12/31/2029 NO NO LARIN FE TAB 1/20 07/01/2007 12/31/2029 NO NO LOESTRIN 24 TAB FE 07/01/2007 12/31/2029 NO YES LOESTRIN FE TAB 1.5/30 07/01/2007 12/31/2029 NO YES LOESTRIN FE TAB 1/20 07/01/2007 12/31/2029 NO YES LOMEDIA 24 TAB FE 07/01/2007 12/31/2029 NO NO MIBELAS 24 CHW FE 07/01/2007 12/31/2029 NO NO MICRGSTIN 24 TAB FE 1/20 07/01/2007 12/31/2029 NO NO MICROGESTIN TAB FE 1/20 07/01/2007 12/31/2029 NO NO MICROGESTIN TAB FE1.5/30 07/01/2007 12/31/2029 NO NO MINASTRIN 24 CHW FE 07/01/2007 12/31/2029 NO YES NORETH/ETHIN CHW FE 1/20 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB FE 1/20 07/01/2007 12/31/2029 NO NO NORLEST FE TAB 1/50-28 07/01/2007 12/31/2029 NO YES NORLEST FE TAB 2.5 -28 07/01/2007 12/31/2029 NO YES TARINA FE TAB 1/20 07/01/2007 12/31/2029 NO NO TAYTULLA CAP 07/01/2007 12/31/2029 NO YES Norethindrone & Eth Estradiol ALYACEN TAB 1/35 07/01/2007 12/31/2029 NO NO BALZIVA TAB 07/01/2007 12/31/2029 NO NO BREVICON TAB .5/35-21 07/01/2007 12/31/2029 NO YES BREVICON TAB .5/35-28 07/01/2007 12/31/2029 NO YES BREVICON TAB 0.5/35 07/01/2007 12/31/2029 NO YES BRIELLYN TAB 07/01/2007 12/31/2029 NO NO CYCLAFEM TAB 1/35 07/01/2007 12/31/2029 NO NO DASETTA TAB 1/35 07/01/2007 12/31/2029 NO NO GENORA TAB .5/35-28 07/01/2007 12/31/2029 NO NO GENORA TAB 1/35-21 07/01/2007 12/31/2029 NO NO GENORA TAB 1/35-28 07/01/2007 12/31/2029 NO NO GILDAGIA TAB 0.4-35 07/01/2007 12/31/2029 NO NO MODICON TAB .5/35-21 07/01/2007 12/31/2029 NO YES MODICON TAB .5/35-28 07/01/2007 12/31/2029 NO YES MODICON TAB 0.5/35 07/01/2007 12/31/2029 NO YES N.E.E. TAB 1/35-21 07/01/2007 12/31/2029 NO NO N.E.E. TAB 1/35-28 07/01/2007 12/31/2029 NO NO NECON TAB 0.5/35 07/01/2007 12/31/2029 NO NO NECON TAB 1/35 07/01/2007 12/31/2029 NO NO NECON TAB 1/35-21 07/01/2007 12/31/2029 NO NO NELOVA TAB .5/35-21 07/01/2007 12/31/2029 NO NO NELOVA TAB .5/35-28 07/01/2007 12/31/2029 NO NO NELOVA TAB 1/35-21 07/01/2007 12/31/2029 NO NO NELOVA TAB 1/35-28 07/01/2007 12/31/2029 NO NO NORCEPT-E TAB 1/35-21 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB .5/35-21 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB .5/35-28 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB 1/35-21 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB 1/35-28 07/01/2007 12/31/2029 NO NO NORETHIN TAB 1/35-21 07/01/2007 12/31/2029 NO NO NORETHIN TAB 1/35-28 07/01/2007 12/31/2029 NO NO NORETHIN TAB 1/35E-28 07/01/2007 12/31/2029 NO NO NORINYL TAB 1/35 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Norethindrone & Eth Estradiol NORINYL TAB 1/35-21 07/01/2007 12/31/2029 NO YES NORINYL TAB 1+35-21 07/01/2007 12/31/2029 NO YES NORINYL TAB 1+35-28 07/01/2007 12/31/2029 NO YES NORINYL TAB 1+35-28R 07/01/2007 12/31/2029 NO YES NORTREL TAB 0.5/35 07/01/2007 12/31/2029 NO NO NORTREL TAB 1/35 07/01/2007 12/31/2029 NO NO NORTREL (28) TAB 1/35 07/01/2007 12/31/2029 NO NO ORTHO-NOVUM TAB 1/35 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/35-21 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/35-28 07/01/2007 12/31/2029 NO YES OVCON 50 TAB 21 07/01/2007 12/31/2029 NO YES OVCON 50 TAB 28 07/01/2007 12/31/2029 NO YES OVCON-35 TAB 07/01/2007 12/31/2029 NO YES OVCON-35 21 TAB 07/01/2007 12/31/2029 NO YES OVCON-35 28 TAB 07/01/2007 12/31/2029 NO YES PHILITH TAB 0.4-35 07/01/2007 12/31/2029 NO NO PIRMELLA TAB 1/35 07/01/2007 12/31/2029 NO NO VYFEMLA TAB 0.4-35 07/01/2007 12/31/2029 NO NO WERA TAB 0.5/35 07/01/2007 12/31/2029 NO NO ZENCHENT TAB 07/01/2007 12/31/2029 NO NO Norethindrone & Ethinyl Estradiol-Fe FEMCON FE CHW 07/01/2007 12/31/2029 NO YES GENERESS FE CHW 07/01/2007 12/31/2029 NO YES KAITLIB FE CHW 07/01/2007 12/31/2029 NO NO LAYOLIS FE CHW 07/01/2007 12/31/2029 NO NO NORE/ETH/FER CHW 0.4MG-35 07/01/2007 12/31/2029 NO NO NORETH/ETHIN CHW FE 07/01/2007 12/31/2029 NO NO OVCON FE CHW 07/01/2007 12/31/2029 NO YES WYMZYA FE CHW 0.4MG-35 07/01/2007 12/31/2029 NO NO ZENCHENT FE CHW 07/01/2007 12/31/2029 NO NO ZENCHENT FE CHW 0.4MG-35 07/01/2007 12/31/2029 NO NO ZEOSA CHW 07/01/2007 12/31/2029 NO NO Norethindrone & Mestranol GENORA TAB 1/50-21 07/01/2007 12/31/2029 NO NO GENORA TAB 1/50-28 07/01/2007 12/31/2029 NO NO N.E.E. TAB 1/50M-21 07/01/2007 12/31/2029 NO NO N.E.E. TAB 1/50M-28 07/01/2007 12/31/2029 NO NO NECON TAB 1/50-21 07/01/2007 12/31/2029 NO NO NECON TAB 1/50-28 07/01/2007 12/31/2029 NO YES NELOVA TAB 1/50M-21 07/01/2007 12/31/2029 NO NO NELOVA TAB 1/50M-28 07/01/2007 12/31/2029 NO NO NORETH/MESTR TAB 1/50-21 07/01/2007 12/31/2029 NO NO NORETH/MESTR TAB 1/50-28 07/01/2007 12/31/2029 NO NO NORETHIN TAB 1/50-21 07/01/2007 12/31/2029 NO NO NORETHIN TAB 1/50-28 07/01/2007 12/31/2029 NO NO NORINYL TAB 1+50-21 07/01/2007 12/31/2029 NO YES NORINYL TAB 1+50-21R 07/01/2007 12/31/2029 NO YES NORINYL TAB 1+50-28 07/01/2007 12/31/2029 NO YES NORINYL TAB 2MG 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/50-21 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/50-28 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/80-21 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 1/80-28 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Norethindrone & Mestranol ORTHO-NOVUM TAB 2MG 07/01/2007 12/31/2029 NO YES Norethindrone (Contraceptive) CAMILA TAB 0.35MG 07/01/2007 12/31/2029 NO NO DEBLITANE TAB 0.35MG 07/01/2007 12/31/2029 NO NO ERRIN TAB 0.35MG 07/01/2007 12/31/2029 NO NO HEATHER TAB 0.35MG 07/01/2007 12/31/2029 NO NO JENCYCLA TAB 0.35MG 07/01/2007 12/31/2029 NO NO JOLIVETTE TAB 0.35MG 07/01/2007 12/31/2029 NO NO LYZA TAB 0.35MG 07/01/2007 12/31/2029 NO NO NORA-BE TAB 0.35MG 07/01/2007 12/31/2029 NO NO NORETHINDRON TAB 0.35MG 07/01/2007 12/31/2029 NO NO NORLYDA TAB 0.35MG 07/01/2007 12/31/2029 NO NO NORLYROC TAB 0.35MG 07/01/2007 12/31/2029 NO NO NOR-QD TAB 0.35MG 07/01/2007 12/31/2029 NO YES NOR-Q-D TAB 0.35MG 07/01/2007 12/31/2029 NO YES ORTHO MICRON TAB 0.35MG 07/01/2007 12/31/2029 NO YES ORTHO MICRON TAB DIALPAK 07/01/2007 12/31/2029 NO YES SHAROBEL TAB 0.35MG 07/01/2007 12/31/2029 NO NO Norethindrone Acet & Eth Estra GILDESS TAB 1.5/30 07/01/2007 12/31/2029 NO NO GILDESS TAB 1/20 07/01/2007 12/31/2029 NO NO JUNEL 1.5/30 TAB 07/01/2007 12/31/2029 NO NO JUNEL 1/20 TAB 07/01/2007 12/31/2029 NO NO LARIN TAB 1.5/30 07/01/2007 12/31/2029 NO NO LARIN TAB 1/20 07/01/2007 12/31/2029 NO NO LOESTRIN TAB 1/20-21 07/01/2007 12/31/2029 NO YES LOESTRIN 21 TAB 1.5/30 07/01/2007 12/31/2029 NO YES MICROGESTIN TAB 1.5/30 07/01/2007 12/31/2029 NO NO MICROGESTIN TAB 1/20 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB 1/20 07/01/2007 12/31/2029 NO NO NORLESTRIN TAB 1/50-21 07/01/2007 12/31/2029 NO YES NORLESTRIN TAB 1/50-28 07/01/2007 12/31/2029 NO YES NORLESTRIN21 TAB 2.5/50 07/01/2007 12/31/2029 NO YES Norethindrone Acetate-Ethinyl Estradiol-Fe ESTROSTEP FE TAB 07/01/2007 12/31/2029 NO YES TILIA FE TAB 07/01/2007 12/31/2029 NO NO TRI-LEGEST TAB FE 07/01/2007 12/31/2029 NO NO Norethindrone Acetate-Ethinyl Estradiol-Fe Fum (Biphasic) LO LOESTRIN TAB 07/01/2007 12/31/2029 NO YES LO MINASTRIN PAK FE 07/01/2007 12/31/2029 NO YES Norethindrone-Eth Estradiol (Biphasic) JENEST-28 TAB 07/01/2007 12/31/2029 NO YES NECON TAB 10/11-21 07/01/2007 12/31/2029 NO NO NECON TAB 10/11-28 07/01/2007 12/31/2029 NO YES NELOVA TAB 10/11-21 07/01/2007 12/31/2029 NO NO NELOVA TAB 10/11-28 07/01/2007 12/31/2029 NO NO ORTHO-NOVUM TAB 10/11-21 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 10/11-28 07/01/2007 12/31/2029 NO YES Norethindrone-Eth Estradiol (Triphasic) ALYACEN TAB 7/7/7 07/01/2007 12/31/2029 NO NO ARANELLE TAB 07/01/2007 12/31/2029 NO NO CYCLAFEM TAB 7/7/7 07/01/2007 12/31/2029 NO NO DASETTA TAB 7/7/7 07/01/2007 12/31/2029 NO NO LEENA TAB 07/01/2007 12/31/2029 NO NO NECON TAB 7/7/7 07/01/2007 12/31/2029 NO NO NORTREL TAB 7/7/7 07/01/2007 12/31/2029 NO NO ORTHO-NOVUM TAB 7/7/7 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CONTRACEPTIVES* Norethindrone-Eth Estradiol (Triphasic) ORTHO-NOVUM TAB 7/7/7-21 07/01/2007 12/31/2029 NO YES ORTHO-NOVUM TAB 7/7/7-28 07/01/2007 12/31/2029 NO YES PIRMELLA TAB 7/7/7 07/01/2007 12/31/2029 NO NO TRI-NORINYL TAB 21 07/01/2007 12/31/2029 NO YES TRI-NORINYL TAB 28 07/01/2007 12/31/2029 NO YES TRI-NORINYL TAB 28 REF 07/01/2007 12/31/2029 NO YES Norethynodrel & Mestranol ENOVID TAB 10MG 07/01/2007 12/31/2029 NO YES ENOVID TAB 5MG 07/01/2007 12/31/2029 NO YES Norgestimate-Ethinyl Estradiol ESTARYLLA TAB 0.25-35 07/01/2007 12/31/2029 NO NO FEMYNOR TAB 0.25-35 07/01/2007 12/31/2029 NO NO MONO-LINYAH TAB 0.25-35 07/01/2007 12/31/2029 NO NO MONONESSA TAB 07/01/2007 12/31/2029 NO NO NORGEST/ETHI TAB 0.25/35 07/01/2007 12/31/2029 NO NO ORTHO-CYCLEN TAB 0.25/35 07/01/2007 12/31/2029 NO YES PREVIFEM TAB 07/01/2007 12/31/2029 NO NO SPRINTEC 28 TAB 28 DAY 07/01/2007 12/31/2029 NO NO Norgestimate-Ethinyl Estradiol (Triphasic) NORGEST/ETHI TAB ESTRADIO 07/01/2007 12/31/2029 NO NO ORTHO TRI- TAB CYCLEN 07/01/2007 12/31/2029 NO YES ORTHO TRI- TAB CYCLN LO 07/01/2007 12/31/2029 NO YES ORTHO TRI-CY TAB LO 07/01/2007 12/31/2029 NO YES TRI FEMYNOR TAB 07/01/2007 12/31/2029 NO NO TRI-ESTARYLL TAB 07/01/2007 12/31/2029 NO NO TRI-LINYAH TAB 07/01/2007 12/31/2029 NO NO TRI-LO TAB ESTARYLL 07/01/2007 12/31/2029 NO NO TRI-LO- TAB MARZIA 07/01/2007 12/31/2029 NO NO TRI-LO- TAB SPRINTEC 07/01/2007 12/31/2029 NO NO TRINESSA TAB 07/01/2007 12/31/2029 NO NO TRINESSA LO TAB 07/01/2007 12/31/2029 NO NO TRI-PREVIFEM TAB 07/01/2007 12/31/2029 NO NO TRI-SPRINTEC TAB 07/01/2007 12/31/2029 NO NO Norgestrel OVRETTE 28 TAB 0.075MG 07/01/2007 12/31/2029 NO YES Norgestrel & Ethinyl Estradiol CRYSELLE-28 TAB 07/01/2007 12/31/2029 NO NO CRYSELLE-28 TAB 28 TABS 07/01/2007 12/31/2029 NO NO ELINEST TAB 07/01/2007 12/31/2029 NO NO LO/OVRAL TAB 07/01/2007 12/31/2029 NO YES LO/OVRAL TAB -21 07/01/2007 12/31/2029 NO YES LO/OVRAL TAB -28 07/01/2007 12/31/2029 NO YES LO/OVRAL-28 TAB 07/01/2007 12/31/2029 NO YES LOW-OGESTREL TAB 07/01/2007 12/31/2029 NO NO NORGEST/ETH TAB ESTRAD 07/01/2007 12/31/2029 NO NO OGESTREL TAB 07/01/2007 12/31/2029 NO YES OVRAL TAB 07/01/2007 12/31/2029 NO YES OVRAL TAB -21 07/01/2007 12/31/2029 NO YES OVRAL TAB -28 07/01/2007 12/31/2029 NO YES Progesterone (Contraceptive) PROGESTASERT IUD 07/01/2007 12/31/2029 NO YES Ulipristal Acetate ELLA TAB 30MG 07/01/2007 12/31/2029 NO YES *CORTICOSTEROIDS* Betamethasone CELESTONE SOL 0.6MG/5 07/01/2007 12/31/2029 NO YES CELESTONE TAB 0.6MG 07/01/2007 12/31/2029 NO YES Betamethasone Sod Phosphate & Ace & Bupivacaine & Lidocaine ACTIVE INJEC KIT BLM-1 07/01/2007 12/31/2029 NO YES MARBETA-L KIT 07/01/2007 12/31/2029 NO YES POD-CARE 100 KIT CMX 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Betamethasone Sod Phosphate & Ace & Bupivacaine & Lidocaine READYSHARP + KIT BETAMETH 07/01/2007 12/31/2029 NO YES Betamethasone Sod Phosphate & Acetate BETA 1 KIT KIT 30MG/5ML 07/01/2007 12/31/2029 NO YES BETAMETH COM INJ 7MG/ML 07/01/2007 12/31/2029 NO YES BETAMETH PF INJ 12MG/2ML 07/01/2007 12/31/2029 NO YES BETA-PHOS/AC INJ 3-3MG/ML 07/01/2007 12/31/2029 NO NO BETA-PHOS/AC INJ SOLUSPAN 07/01/2007 12/31/2029 NO NO CELESTONE INJ SOLUSPAN 07/01/2007 12/31/2029 NO YES POD-CARE100C INJ 30MG/5ML 07/01/2007 12/31/2029 NO YES READY BETAME KIT 30MG/5ML 07/01/2007 12/31/2029 NO YES SOLUJECT INJ SOLUSPAN 07/01/2007 12/31/2029 NO NO Betamethasone Sod Phosphate & Acetate & Anesthetic BETALOAN SUI INJ 3-3MG/ML 07/01/2007 12/31/2029 NO YES POD-CARE 100 KIT 30MG/5ML 07/01/2007 12/31/2029 NO YES Betamethasone Sod Phosphate & Acetate & Bupivacaine HCl ACTIVE INJEC KIT BM 07/01/2007 12/31/2029 NO YES MARBETA-25 KIT 07/01/2007 12/31/2029 NO YES Betamethasone Sod Phosphate & Acetate & Lidocaine HCl BETA INJECT KIT 07/01/2007 12/31/2029 NO YES BETALIDO KIT 07/01/2007 12/31/2029 NO YES Betamethasone Sodium Phosphate ADBEON INJ 4MG/ML 07/01/2007 12/31/2029 NO NO BETA SOD PHO INJ 4MG/ML 07/01/2007 12/31/2029 NO NO BETAMETH SP INJ 24MG/2ML 07/01/2007 12/31/2029 NO YES BETAMETHASON POW SOD PHOS 07/01/2007 12/31/2029 NO YES BETASONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO CELESTONE INJ 4MG/ML 07/01/2007 12/31/2029 NO YES CEL-U-JEC INJ 4MG/ML 07/01/2007 12/31/2029 NO NO SELESTOJECT INJ 4MG/ML 07/01/2007 12/31/2029 NO NO STORZ-BETA INJ 4MG/ML 07/01/2007 12/31/2029 NO NO Budesonide BUDESONIDE CAP 3MG DR 07/01/2007 12/31/2029 NO NO ENTOCORT EC CAP 3MG DR 07/01/2007 12/31/2029 NO YES ENTOCORT EC CAP 3MG/24HR 07/01/2007 12/31/2029 NO YES UCERIS TAB 9MG 07/01/2007 12/31/2029 NO YES Cortisone Acetate CORTISONE POW 07/01/2007 12/31/2029 NO YES CORTISONE AC INJ 25MG/ML 07/01/2007 12/31/2029 NO NO CORTISONE AC INJ 50MG/ML 07/01/2007 12/31/2029 NO NO CORTISONE AC POW 07/01/2007 12/31/2029 NO YES CORTISONE AC POW MICRO 07/01/2007 12/31/2029 NO YES CORTISONE AC POW MICRONIZ 07/01/2007 12/31/2029 NO YES CORTISONE AC POW USP 07/01/2007 12/31/2029 NO YES CORTISONE AC TAB 10MG 07/01/2007 12/31/2029 NO YES CORTISONE AC TAB 25MG 07/01/2007 12/31/2029 NO NO CORTISONE AC TAB 5MG 07/01/2007 12/31/2029 NO YES CORTONE ACET INJ 25MG/ML 07/01/2007 12/31/2029 NO YES CORTONE ACET INJ 50MG/ML 07/01/2007 12/31/2029 NO YES CORTONE ACET TAB 25MG 07/01/2007 12/31/2029 NO YES Deflazacort EMFLAZA SUS 22.75/ML 07/01/2007 12/31/2029 NO YES EMFLAZA TAB 18MG 07/01/2007 12/31/2029 NO YES EMFLAZA TAB 30MG 07/01/2007 12/31/2029 NO YES EMFLAZA TAB 36MG 07/01/2007 12/31/2029 NO YES EMFLAZA TAB 6MG 07/01/2007 12/31/2029 NO YES Desoxycorticosterone Acetate PERCORTEN AC MIS 125MG 07/01/2007 12/31/2029 NO YES Desoxycorticosterone Pivalate PERCORTEN PI INJ 25MG/ML 07/01/2007 12/31/2029 NO YES Dexamethasone BAYCADRON ELX 0.5/5ML 07/01/2007 12/31/2029 NO NO CONCEDEX SOL 1MG/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Dexamethasone DECADRON ELX 0.5/5ML 07/01/2007 12/31/2029 NO YES DECADRON PAK 0.75MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 0.25MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 0.5MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 0.75MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 1.5MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 4MG 07/01/2007 12/31/2029 NO YES DECADRON TAB 6MG 07/01/2007 12/31/2029 NO YES DECAREX ELX 0.5/5ML 07/01/2007 12/31/2029 NO NO DEXAMETHASON CON 1MG/ML 07/01/2007 12/31/2029 NO YES DEXAMETHASON ELX 0.5/5ML 07/01/2007 12/31/2029 NO NO DEXAMETHASON PAK 0.75MG 07/01/2007 12/31/2029 NO NO DEXAMETHASON POW 07/01/2007 12/31/2029 NO YES DEXAMETHASON POW MICRONIZ 07/01/2007 12/31/2029 NO YES DEXAMETHASON SOL 0.5/5ML 07/01/2007 12/31/2029 NO YES DEXAMETHASON TAB 0.25MG 07/01/2007 12/31/2029 NO YES DEXAMETHASON TAB 0.5MG 07/01/2007 12/31/2029 NO NO DEXAMETHASON TAB 0.75MG 07/01/2007 12/31/2029 NO NO DEXAMETHASON TAB 1.5MG 07/01/2007 12/31/2029 NO NO DEXAMETHASON TAB 1MG 07/01/2007 12/31/2029 NO YES DEXAMETHASON TAB 2MG 07/01/2007 12/31/2029 NO YES DEXAMETHASON TAB 4MG 07/01/2007 12/31/2029 NO NO DEXAMETHASON TAB 6MG 07/01/2007 12/31/2029 NO NO DEXONE TAB 0.5MG 07/01/2007 12/31/2029 NO NO DEXONE TAB 0.75MG 07/01/2007 12/31/2029 NO NO DEXONE TAB 1.5MG 07/01/2007 12/31/2029 NO NO DEXONE TAB 4MG 07/01/2007 12/31/2029 NO NO DEXPAK PAK 10 DAY 07/01/2007 12/31/2029 NO YES DEXPAK PAK 13 DAY 07/01/2007 12/31/2029 NO YES DEXPAK PAK 6 DAY 07/01/2007 12/31/2029 NO YES HEXADROL ELX 0.5/5ML 07/01/2007 12/31/2029 NO YES HEXADROL PAK THERAP 07/01/2007 12/31/2029 NO YES HEXADROL TAB 0.5MG 07/01/2007 12/31/2029 NO YES HEXADROL TAB 0.75MG 07/01/2007 12/31/2029 NO YES HEXADROL TAB 1.5MG 07/01/2007 12/31/2029 NO YES HEXADROL TAB 4MG 07/01/2007 12/31/2029 NO YES LOCORT PAK 11-DAY 07/01/2007 12/31/2029 NO YES LOCORT PAK 7-DAY 07/01/2007 12/31/2029 NO YES MYMETHASONE ELX 0.5/5ML 07/01/2007 12/31/2029 NO NO ZEMA-PAK PAK 10 DAY 07/01/2007 12/31/2029 NO NO ZEMA-PAK PAK 13 DAY 07/01/2007 12/31/2029 NO NO ZEMA-PAK PAK 6 DAY 07/01/2007 12/31/2029 NO NO ZONACORT PAK 11 DAY 07/01/2007 12/31/2029 NO YES ZONACORT PAK 7 DAY 07/01/2007 12/31/2029 NO YES Dexamethasone Acetate ADRENOCOT LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DALALONE SUS 16MG/5ML 07/01/2007 12/31/2029 NO YES DALALONE DP INJ 16MG/ML 07/01/2007 12/31/2029 NO YES DALALONE LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DECA/LA/8 INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DECADRON-LA INJ 8MG/ML 07/01/2007 12/31/2029 NO YES DECAJECT INJ 8MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Dexamethasone Acetate DECAREX INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DECASONE RP INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEKASOL LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DE-SONE LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEX 8 INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEX LA 16 INJ 16MG/ML 07/01/2007 12/31/2029 NO YES DEX LA 8 INJ 8MG/ML 07/01/2007 12/31/2029 NO YES DEXACEN LA-8 INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEXACORT-LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETH AC POW 07/01/2007 12/31/2029 NO YES DEXAMETH AC POW USP 07/01/2007 12/31/2029 NO YES DEXAMETH ACE INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETHASON POW ACETATE 07/01/2007 12/31/2029 NO YES DEXASONE LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEXIM LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEXONE LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO DEZONE LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO MEDIDEX LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO OR-DEX LA INJ 8MG/ML 07/01/2007 12/31/2029 NO NO SOLUREX LA INJ 8MG/ML 07/01/2007 12/31/2029 NO YES Dexamethasone Acetate & Sod Phosphate DEX COMBO INJ 8-4MG/ML 07/01/2007 12/31/2029 NO YES Dexamethasone Sod Phos & Bupivacaine HCl & Lidocaine HCl ACTIVE INJEC KIT DLM 07/01/2007 12/31/2029 NO YES DEXLIDO-M KIT 07/01/2007 12/31/2029 NO YES READYSHARP + KIT DEXAMETH 07/01/2007 12/31/2029 NO YES Dexamethasone Sodium Phosphate ACTIVE INJEC KIT D 07/01/2007 12/31/2029 NO YES ADRENOCOT INJ 4MG/ML 07/01/2007 12/31/2029 NO NO AK-DEX INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DALALONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DECA/4 INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DECADROL INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DECADRON INJ 24MG/ML 07/01/2007 12/31/2029 NO YES DECADRON INJ 4MG/ML 07/01/2007 12/31/2029 NO YES DECAJECT INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DECAREX INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DECASONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEKASOL INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEKASOL-10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DE-SONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEX 4 INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXACEN-4 INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXACORTEN INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETH PHO INJ 10MG/ML 07/01/2007 12/31/2029 NO YES DEXAMETH PHO INJ 120MG/30 07/01/2007 12/31/2029 NO NO DEXAMETH PHO INJ 20MG/5ML 07/01/2007 12/31/2029 NO NO DEXAMETH PHO INJ 20MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETH PHO INJ 24MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETH PHO INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXAMETH SOD POW PHOSPHAT 07/01/2007 12/31/2029 NO YES DEXASONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXIM INJ 4MG/ML 07/01/2007 12/31/2029 NO NO DEXONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Dexamethasone Sodium Phosphate DOUBLEDEX KIT 07/01/2007 12/31/2029 NO YES HEXADROL INJ 10MG/ML 07/01/2007 12/31/2029 NO YES HEXADROL INJ 20MG/ML 07/01/2007 12/31/2029 NO YES HEXADROL INJ 4MG/ML 07/01/2007 12/31/2029 NO YES MEDIDEX INJ 4MG/ML 07/01/2007 12/31/2029 NO NO PRIMETHASONE INJ 4MG/ML 07/01/2007 12/31/2029 NO NO READY DEXAME KIT 10MG/ML 07/01/2007 12/31/2029 NO YES SOLUREX INJ 4MG/ML 07/01/2007 12/31/2029 NO NO SPECTRO-DEX INJ 4MG/ML 07/01/2007 12/31/2029 NO NO STORZ-DEXA INJ 4MG/ML 07/01/2007 12/31/2029 NO NO Dexamethasone Sodium Phosphate & Anesthetic DMT SUIK KIT 10MG/ML 07/01/2007 12/31/2029 NO YES Dexamethasone Sodium Phosphate & Bupivacaine HCl ACTIVE INJEC INJ M-1 07/01/2007 12/31/2029 NO YES MARDEX-25 KIT 07/01/2007 12/31/2029 NO YES Dexamethasone Sodium Phosphate & Lidocaine HCl ACTIVE INJEC INJ DL 07/01/2007 12/31/2029 NO YES DECADRON INJ W/XYLO 07/01/2007 12/31/2029 NO YES DEXLIDO KIT 07/01/2007 12/31/2029 NO YES LIDOCIDEX I INJ 5-10MG 07/01/2007 12/31/2029 NO YES Dexamethasone Sodium Phosphate-Sodium Chloride DEXAMET/NACL INJ 12/50ML 07/01/2007 12/31/2029 NO YES DEXAMET/NACL INJ 20/50ML 07/01/2007 12/31/2029 NO YES DEXAMET/NACL INJ 8MG/50ML 07/01/2007 12/31/2029 NO YES DEXAMTH/NACL INJ 20/50ML 07/01/2007 12/31/2029 NO YES Fludrocortisone Acetate FLORINEF TAB 0.1MG 07/01/2007 12/31/2029 NO YES FLUDROCORT POW ACETATE 07/01/2007 12/31/2029 NO YES FLUDROCORT TAB 0.1MG 07/01/2007 12/31/2029 NO NO Hydrocortisone CORTEF TAB 10MG 07/01/2007 12/31/2029 NO YES CORTEF TAB 20MG 07/01/2007 12/31/2029 NO YES CORTEF TAB 5MG 07/01/2007 12/31/2029 NO YES HYDROCORT INJ 25MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORT TAB 10MG 07/01/2007 12/31/2029 NO NO HYDROCORT TAB 20MG 07/01/2007 12/31/2029 NO NO HYDROCORT TAB 5MG 07/01/2007 12/31/2029 NO NO HYDROCORTONE TAB 10MG 07/01/2007 12/31/2029 NO YES HYDROCORTONE TAB 20MG 07/01/2007 12/31/2029 NO YES Hydrocortisone Acetate HYDROCORT INJ 25MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORT/AQ INJ 50MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORTONE INJ 25MG/ML 07/01/2007 12/31/2029 NO YES HYDROCORTONE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES Hydrocortisone Cypionate CORTEF SUS 10MG/5ML 07/01/2007 12/31/2029 NO YES Hydrocortisone Sod Phosphate HYDROCORT POW SOD PHOS 07/01/2007 12/31/2029 NO YES HYDROCORT PH INJ 50MG/ML 07/01/2007 12/31/2029 NO NO HYDROCORTONE INJ 50MG/ML 07/01/2007 12/31/2029 NO YES Hydrocortisone Sod Succinate A-HYDROCORT INJ 1000MG 07/01/2007 12/31/2029 NO NO A-HYDROCORT INJ 100MG 07/01/2007 12/31/2029 NO NO A-HYDROCORT INJ 250MG 07/01/2007 12/31/2029 NO NO A-HYDROCORT INJ 500MG 07/01/2007 12/31/2029 NO NO HYDROCORT SS INJ 1000MG 07/01/2007 12/31/2029 NO NO HYDROCORT SS INJ 100MG 07/01/2007 12/31/2029 NO NO HYDROCORT SS INJ 250MG 07/01/2007 12/31/2029 NO NO HYDROCORT SS INJ 500MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Hydrocortisone Sod Succinate SOLU-CORTEF INJ 1000MG 07/01/2007 12/31/2029 NO YES SOLU-CORTEF INJ 100MG 07/01/2007 12/31/2029 NO YES SOLU-CORTEF INJ 250MG 07/01/2007 12/31/2029 NO YES SOLU-CORTEF INJ 500MG 07/01/2007 12/31/2029 NO YES Methylprednisolone MEDLONE PAK 4MG 07/01/2006 12/31/2029 NO NO MEDROL PAK 16MG 07/01/2006 12/31/2029 NO YES MEDROL PAK 4MG 07/01/2006 12/31/2029 NO YES MEDROL TAB 16MG 07/01/2006 12/31/2029 NO YES MEDROL TAB 24MG 07/01/2007 12/31/2029 NO YES MEDROL TAB 2MG 07/01/2006 12/31/2029 NO YES MEDROL TAB 32MG 07/01/2006 12/31/2029 NO YES MEDROL TAB 4MG 07/01/2006 12/31/2029 NO YES MEDROL TAB 8MG 07/01/2006 12/31/2029 NO YES METHYLPRED PAK 4MG 07/01/2006 12/31/2029 NO NO METHYLPRED POW 07/01/2006 12/31/2029 NO YES METHYLPRED POW MICRONIZ 07/01/2006 12/31/2029 NO YES METHYLPRED TAB 16MG 07/01/2006 12/31/2029 NO NO METHYLPRED TAB 32MG 07/01/2006 12/31/2029 NO NO METHYLPRED TAB 4MG 07/01/2006 12/31/2029 NO NO METHYLPRED TAB 8MG 07/01/2006 12/31/2029 NO NO METROCORT PAK 4MG 07/01/2006 12/31/2029 NO NO Methylprednisolone & Bupivacaine HCl & Lidocaine HCl ACTIVE INJEC KIT LM-DEP-1 07/01/2007 12/31/2029 NO YES DYURAL-40 KIT 07/01/2007 12/31/2029 NO YES DYURAL-80 KIT 07/01/2007 12/31/2029 NO YES DYURAL-LM KIT 07/01/2007 12/31/2029 NO YES P-CARE D40MX KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE D80MX KIT 07/01/2007 12/31/2029 NO YES READYSHARP- KIT P40 07/01/2007 12/31/2029 NO YES READYSHARP- KIT P80 07/01/2007 12/31/2029 NO YES READYSHARP + KIT METHYLPR 07/01/2007 12/31/2029 NO YES Methylprednisolone Acetate ADLONE-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ADLONE-80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DEPAPRED 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DEPAPRED 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DEPMEDALONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DEPMEDALONE INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DEPOJECT-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DEPOJECT-80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DEPOLONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DEPOLONE 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DEPO-MEDROL INJ 20MG/ML 07/01/2007 12/31/2029 NO YES DEPO-MEDROL INJ 40MG/ML 07/01/2007 12/31/2029 NO YES DEPO-MEDROL INJ 80MG/ML 07/01/2007 12/31/2029 NO YES DEPOPRED 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DEPOPRED 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO D-MED INJ 80MG/ML 07/01/2007 12/31/2029 NO NO DURALONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DURALONE INJ 80MG/ML 07/01/2007 12/31/2029 NO NO MEDIPRED INJ 40MG/ML 07/01/2007 12/31/2029 NO NO MEDIPRED INJ 80MG/ML 07/01/2007 12/31/2029 NO NO MEDRALONE INJ 80MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Methylprednisolone Acetate MEDRALONE 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO MEDRALONE 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO MEDREX-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO MEDREX-80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO MEP 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLCOTOL INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLONE 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLONE 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO METHYLPR ACE INJ 20MG/ML 07/01/2007 12/31/2029 NO NO METHYLPR ACE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLPR ACE INJ 80MG/ML 07/01/2007 12/31/2029 NO NO METHYLPRD PF INJ 160/2ML 07/01/2007 12/31/2029 NO YES METHYLPRD PF INJ 40MG/ML 07/01/2007 12/31/2029 NO YES METHYLPRD PF INJ 80MG/ML 07/01/2007 12/31/2029 NO YES METHYLPRED POW ACETATE 07/01/2007 12/31/2029 NO YES METHYLPRED40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO METHYLPRED80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO METHYLPREDNI INJ 100MG/ML 07/01/2007 12/31/2029 NO YES M-PREDNISOL INJ 80MG/ML 07/01/2007 12/31/2029 NO NO P-CARE D40 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE D80 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES PRE DEP 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO PRE DEP 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO PREDACORTEN INJ 80MG/ML 07/01/2007 12/31/2029 NO NO READY METHYL KIT 80MG/ML 07/01/2007 12/31/2029 NO YES REP-PRED 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO REP-PRED 80 INJ 80MG/ML 07/01/2007 12/31/2029 NO NO Methylprednisolone Acetate & Anesthetic MEDROLOAN KIT 40MG/ML 07/01/2007 12/31/2029 NO YES MEDROLOAN II KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE D40G KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE D80G KIT 40MG/ML 07/01/2007 12/31/2029 NO YES Methylprednisolone Acetate & Bupivacaine HCl PHYS EZ USE KIT M-PRED 07/01/2007 12/31/2029 NO YES Methylprednisolone Acetate w/ Lidocaine ACTIVE KIT INJECT L 07/01/2007 12/31/2029 NO YES DYURAL-L KIT 07/01/2007 12/31/2029 NO YES METHYLP/LIDO INJ 40-10/ML 07/01/2007 12/31/2029 NO YES METHYLP/LIDO INJ 80-10/ML 07/01/2007 12/31/2029 NO YES MULTI- KIT SPECIALT 07/01/2007 12/31/2029 NO YES Methylprednisolone Sod Succ A-METHAPRED INJ 1000MG 07/01/2007 12/31/2029 NO NO A-METHAPRED INJ 125MG 07/01/2007 12/31/2029 NO NO A-METHAPRED INJ 40MG 07/01/2007 12/31/2029 NO NO A-METHAPRED INJ 500MG 07/01/2007 12/31/2029 NO NO METHYLPR SS INJ 1000MG 07/01/2007 12/31/2029 NO NO METHYLPR SS INJ 125MG 07/01/2007 12/31/2029 NO NO METHYLPR SS INJ 1GM 07/01/2007 12/31/2029 NO NO METHYLPR SS INJ 40MG 07/01/2007 12/31/2029 NO NO METHYLPR SS INJ 500MG 07/01/2007 12/31/2029 NO NO METHYLPRED INJ 40MG 07/01/2007 12/31/2029 NO NO SOLU-MEDROL INJ 1000MG 07/01/2007 12/31/2029 NO YES SOLU-MEDROL INJ 125MG 07/01/2007 12/31/2029 NO YES SOLU-MEDROL INJ 1GM 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Methylprednisolone Sod Succ SOLU-MEDROL INJ 2GM 07/01/2007 12/31/2029 NO YES SOLU-MEDROL INJ 40MG 07/01/2007 12/31/2029 NO YES SOLU-MEDROL INJ 500MG 07/01/2007 12/31/2029 NO YES Paramethasone Acetate HALDRONE TAB 1MG 07/01/2007 12/31/2029 NO YES HALDRONE TAB 2MG 07/01/2007 12/31/2029 NO YES Prednisolone DELTA-CORTEF TAB 5MG 07/01/2007 12/31/2029 NO YES MILLIPRED TAB 5MG 07/01/2007 12/31/2029 NO YES MILLIPRED DP PAK 5MG 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW ANHYDROU 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW HYDROUS 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW USP NF 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW USP/NF 07/01/2007 12/31/2029 NO YES PREDNISOLONE SOL 15MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE SYP 15MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE SYP 5MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE TAB 5MG 07/01/2007 12/31/2029 NO NO PRELONE SYP 15MG/5ML 07/01/2007 12/31/2029 NO YES PRELONE SYP 5MG/5ML 07/01/2007 12/31/2029 NO YES Prednisolone Acetate AQUALONE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO ARTICULOSE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO COTOLONE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO COTOLONE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO DEPALONE INJ 50MG/ML 07/01/2007 12/31/2029 NO NO FLO-PRED SUS 07/01/2007 12/31/2029 NO YES KEY-PRED INJ 100MG/ML 07/01/2007 12/31/2029 NO NO KEY-PRED INJ 25MG/ML 07/01/2007 12/31/2029 NO YES KEY-PRED INJ 50MG/ML 07/01/2007 12/31/2029 NO NO MEDICORT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO OR-CORT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDAJECT-50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDALONE 50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDASONE 50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDCOR INJ 25MG/ML 07/01/2007 12/31/2029 NO NO PREDCOR INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDICORT-50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOL AC INJ 100MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOL AC INJ 25MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOL AC INJ 50MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOL AC POW 07/01/2007 12/31/2029 NO NO PREDNISOL AC POW MICRONIZ 07/01/2007 12/31/2029 NO YES PREDNISOL AC POW USP 07/01/2007 12/31/2029 NO YES PREDNISOLONE POW ACETATE 07/01/2007 12/31/2029 NO YES PRI-CORTIN50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO RU-CORT INJ 50MG/ML 07/01/2007 12/31/2029 NO NO SHOLONE 25 INJ 25MG/ML 07/01/2007 12/31/2029 NO NO SHOLONE 50 INJ 50MG/ML 07/01/2007 12/31/2029 NO NO UAD PRED INJ 50MG/ML 07/01/2007 12/31/2029 NO NO Prednisolone Acetate & Phosphate PRED AC/PHOS INJ 80-20/ML 07/01/2007 12/31/2029 NO YES Prednisolone Sodium Phosphate ASMALPRED SOL 15MG/5ML 07/01/2007 12/31/2029 NO NO ASMALPRED SOL PLUS 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Prednisolone Sodium Phosphate HYDELTRASOL INJ 20MG/ML 07/01/2007 12/31/2029 NO YES KEY-PRED INJ 20MG/ML 07/01/2007 12/31/2029 NO NO MILLIPRED SOL 10MG/5ML 07/01/2007 12/31/2029 NO YES ORAPRED SOL 15MG/5ML 07/01/2007 12/31/2029 NO YES ORAPRED ODT TAB 10MG 07/01/2007 12/31/2029 NO YES ORAPRED ODT TAB 15MG 07/01/2007 12/31/2029 NO YES ORAPRED ODT TAB 30MG 07/01/2007 12/31/2029 NO YES PEDIAPRED LIQ 6.7/5ML 07/01/2007 12/31/2029 NO YES PEDIAPRED SOL 6.7/5ML 07/01/2007 12/31/2029 NO YES PRED SOD PHO INJ 20MG/ML 07/01/2007 12/31/2029 NO NO PRED SOD PHO LIQ 6.7/5ML 07/01/2007 12/31/2029 NO NO PRED SOD PHO SOL 5MG/5ML 07/01/2007 12/31/2029 NO NO PRED SOD PHO SOL 6.7/5ML 07/01/2007 12/31/2029 NO NO PREDICORT RP INJ 20MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE POW SOD PHOS 07/01/2007 12/31/2029 NO YES PREDNISOLONE SOL 10MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE SOL 15MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE SOL 20MG/5ML 07/01/2007 12/31/2029 NO NO PREDNISOLONE SOL 25MG/5ML 07/01/2007 12/31/2029 NO YES PREDNISOLONE SOL SOD PHOS 07/01/2007 12/31/2029 NO NO PREDNISOLONE TAB 10MG ODT 07/01/2007 12/31/2029 NO NO PREDNISOLONE TAB 15MG ODT 07/01/2007 12/31/2029 NO NO PREDNISOLONE TAB 30MG ODT 07/01/2007 12/31/2029 NO NO RU-A-DRON INJ 20MG/ML 07/01/2007 12/31/2029 NO NO VERIPRED 20 SOL 20MG/5ML 07/01/2007 12/31/2029 NO YES Prednisolone Sodium Succinate PRED SOD SUC INJ 100MG 07/01/2007 12/31/2029 NO YES Prednisolone Tebutate HYDELTRA TBA INJ 20MG/ML 07/01/2007 12/31/2029 NO YES PREDALONE TB INJ 20MG/ML 07/01/2007 12/31/2029 NO NO PREDCOR TBA INJ 20MG/ML 07/01/2007 12/31/2029 NO NO PREDNISOL TB INJ 20MG/ML 07/01/2007 12/31/2029 NO NO TBA-PRED INJ 20MG/ML 07/01/2007 12/31/2029 NO NO Prednisone DELTASONE PAK 5MG 07/01/2006 12/31/2029 NO YES DELTASONE TAB 10MG 07/01/2006 12/31/2029 NO NO DELTASONE TAB 2.5MG 07/01/2006 12/31/2029 NO NO DELTASONE TAB 20MG 07/01/2006 12/31/2029 NO NO DELTASONE TAB 50MG 07/01/2006 12/31/2029 NO NO DELTASONE TAB 5MG 07/01/2006 12/31/2029 NO NO LIQUID PRED SYP 5MG/5ML 07/01/2007 12/31/2029 NO YES METICORTEN PAK 10MG 07/01/2006 12/31/2029 NO YES METICORTEN PAK 5MG 07/01/2006 12/31/2029 NO NO METICORTEN TAB 10MG 07/01/2006 12/31/2029 NO NO METICORTEN TAB 1MG 07/01/2006 12/31/2029 NO YES ORASONE TAB 10MG 07/01/2006 12/31/2029 NO NO ORASONE TAB 1MG 07/01/2006 12/31/2029 NO NO ORASONE TAB 20MG 07/01/2006 12/31/2029 NO NO ORASONE TAB 50MG 07/01/2006 12/31/2029 NO NO ORASONE TAB 5MG 07/01/2006 12/31/2029 NO NO PANASOL TAB 5MG 07/01/2006 12/31/2029 NO NO PANASOL S TAB 1MG 07/01/2006 12/31/2029 NO NO PRED TAB 5MG 07/01/2006 12/31/2029 NO NO PREDNICEN-M PAK 5MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Prednisone PREDNICEN-M TAB 5MG 07/01/2006 12/31/2029 NO NO PREDNISONE CON 5MG/ML 07/01/2006 12/31/2029 NO YES PREDNISONE PAK 10MG 07/01/2006 12/31/2029 NO YES PREDNISONE PAK 5MG 07/01/2006 12/31/2029 NO NO PREDNISONE POW 07/01/2006 12/31/2029 NO YES PREDNISONE POW MICRONIZ 07/01/2006 12/31/2029 NO YES PREDNISONE POW USP 07/01/2006 12/31/2029 NO YES PREDNISONE SOL 10/10ML 07/01/2006 12/31/2029 NO YES PREDNISONE SOL 20/20ML 07/01/2006 12/31/2029 NO YES PREDNISONE SOL 5MG/5ML 07/01/2006 12/31/2029 NO YES PREDNISONE TAB 10MG 07/01/2006 12/31/2029 NO NO PREDNISONE TAB 1MG 07/01/2006 12/31/2029 NO NO PREDNISONE TAB 2.5MG 07/01/2006 12/31/2029 NO NO PREDNISONE TAB 20MG 07/01/2006 12/31/2029 NO NO PREDNISONE TAB 25MG 07/01/2006 12/31/2029 NO NO PREDNISONE TAB 50MG 07/01/2006 12/31/2029 NO YES PREDNISONE TAB 5MG 07/01/2006 12/31/2029 NO NO PRONAX TAB 5MG 07/01/2006 12/31/2029 NO NO RAYOS TAB 1MG 07/01/2007 12/31/2029 NO YES RAYOS TAB 2MG 07/01/2007 12/31/2029 NO YES RAYOS TAB 5MG 07/01/2007 12/31/2029 NO YES STERAPRED PAK 5MG 07/01/2006 12/31/2029 NO YES STERAPRED PAK 5MG 12DY 07/01/2006 12/31/2029 NO YES STERAPRED DS PAK 10MG 07/01/2006 12/31/2029 NO YES STERAPRED DS PAK 10MG 12D 07/01/2006 12/31/2029 NO YES Prednisone-Diphenhydramine HCl CONTR ALLRGY KIT PREMD PK 07/01/2007 12/31/2029 NO YES Triamcinolone ARISTOCORT TAB 1MG 07/01/2007 12/31/2029 NO YES ARISTOCORT TAB 2MG 07/01/2007 12/31/2029 NO YES ARISTOCORT TAB 4MG 07/01/2007 12/31/2029 NO YES ARISTOCORT TAB 8MG 07/01/2007 12/31/2029 NO YES ARISTO-PAK PAK 4MG 07/01/2007 12/31/2029 NO YES KENACORT TAB 4MG 07/01/2007 12/31/2029 NO YES KENACORT TAB 8MG 07/01/2007 12/31/2029 NO YES TRIAMCINOLON PAK 4MG 07/01/2007 12/31/2029 NO NO TRIAMCINOLON TAB 4MG 07/01/2007 12/31/2029 NO NO Triamcinolone Acetonide ACETOCOT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ARZE-JECT-A KIT 07/01/2007 12/31/2029 NO YES CENOCORT A40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO CORT-K INJ 40MG/ML 07/01/2007 12/31/2029 NO NO KENAJECT-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO KENALOG-10 INJ 10MG/ML 07/01/2007 12/31/2029 NO YES KENALOG-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO YES KENALONE INJ AC/40 07/01/2007 12/31/2029 NO NO K-LONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO P-CARE K40 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE K80 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES POD-CARE 100 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES PRO-C-DURE 5 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES PRO-C-DURE 6 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES READY TRIAMC KIT 40MG/ML 07/01/2007 12/31/2029 NO YES SHOLOG K INJ 40MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Triamcinolone Acetonide TAC-3 INJ 3MG/ML 07/01/2007 12/31/2029 NO YES TAC-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRAMACORT 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAM-A INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAMCIN ACE INJ 10MG/ML 07/01/2007 12/31/2029 NO NO TRIAMCIN ACE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAMCINOLON INJ 100/2ML 07/01/2007 12/31/2029 NO YES TRIAMCINOLON INJ 50MG/ML 07/01/2007 12/31/2029 NO YES TRIAMONIDE40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIANIDE-40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRI-KORT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRILOG INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRYLONE A INJ 40MG/ML 07/01/2007 12/31/2029 NO NO Triamcinolone Acetonide & Anesthetic P-CARE K40G KIT 40MG/ML 07/01/2007 12/31/2029 NO YES P-CARE K80G KIT 40MG/ML 07/01/2007 12/31/2029 NO YES POD-CARE 100 KIT 40MG/ML 07/01/2007 12/31/2029 NO YES TRILOAN II KIT 40MG/ML 07/01/2007 12/31/2029 NO YES TRILOAN SUIK KIT 40MG/ML 07/01/2007 12/31/2029 NO YES Triamcinolone Acetonide & Bupivacaine HCl ACTIVE INJEC KIT KM 07/01/2007 12/31/2029 NO YES BT INJECTION KIT 40-0.5% 07/01/2007 12/31/2029 NO YES BUPIVILOG KIT 07/01/2007 12/31/2029 NO YES Triamcinolone Acetonide & Bupivacaine HCl & Lidocaine HCl MLK F1 KIT 07/01/2007 12/31/2029 NO YES MLK F2 KIT 07/01/2007 12/31/2029 NO YES MLK F3 KIT 07/01/2007 12/31/2029 NO YES MLK F4 KIT 07/01/2007 12/31/2029 NO YES MLP A-1 KIT 07/01/2007 12/31/2029 NO YES MLP A-2 KIT 07/01/2007 12/31/2029 NO YES P-CARE K40MX KIT 07/01/2007 12/31/2029 NO YES P-CARE K80MX KIT 07/01/2007 12/31/2029 NO YES POD-CARE 100 KIT KMX 07/01/2007 12/31/2029 NO YES PRO-C-DURE 1 KIT 07/01/2007 12/31/2029 NO YES PRO-C-DURE 2 KIT 07/01/2007 12/31/2029 NO YES PRO-C-DURE 3 KIT 07/01/2007 12/31/2029 NO YES PRO-C-DURE 4 KIT 07/01/2007 12/31/2029 NO YES READYSHARP-K KIT 07/01/2007 12/31/2029 NO YES Triamcinolone Acetonide & Lidocaine HCl K10-LIDO KIT 07/01/2007 12/31/2029 NO YES K40-LIDO KIT 07/01/2007 12/31/2029 NO YES LIDOCILONE I INJ 20-20MG 07/01/2007 12/31/2029 NO YES LIDOLOG KIT 07/01/2007 12/31/2029 NO YES LT INJECTION KIT 07/01/2007 12/31/2029 NO YES TRIAMCN/LIDO INJ 40MG-1% 07/01/2007 12/31/2029 NO YES Triamcinolone Acetonide & Lidocaine HCl & Ammonia ACTIVE INJEC KIT KL-3 07/01/2007 12/31/2029 NO YES INTERARTICUL KIT JOINT 07/01/2007 12/31/2029 NO YES JNT/TUNNEL/ KIT TRIGGER 07/01/2007 12/31/2029 NO YES JTT PHYSICNS KIT 07/01/2007 12/31/2029 NO YES Triamcinolone Acetonide-Lidocaine-Prilocaine DERMACINRX PAK CINLONE 07/01/2007 12/31/2029 NO YES Triamcinolone Diacetate AMCORT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ARISTO FORTE INJ 40MG/ML 07/01/2007 12/31/2029 NO YES ARISTOCORT INJ 25MG/ML 07/01/2007 12/31/2029 NO YES ARISTOCORT INJ 40MG/ML 07/01/2007 12/31/2029 NO YES ARISTOCORT SYP 2MG/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *CORTICOSTEROIDS* Triamcinolone Diacetate ARTICULOS LA INJ 40MG/ML 07/01/2007 12/31/2029 NO NO CENOCORT FOR INJ 40MG/ML 07/01/2007 12/31/2029 NO NO CINALONE/ INJ DA/40 07/01/2007 12/31/2029 NO NO CINO 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO KENACORT SYP 4MG/5ML 07/01/2007 12/31/2029 NO YES SHOLOG A INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRAMACORT-D INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAM FORTE INJ 40GM/ML 07/01/2007 12/31/2029 NO YES TRIAMCIN DIA INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAMCINOLON INJ 40MG/ML 07/01/2007 12/31/2029 NO YES TRIAMCINOLON INJ 80MG/2ML 07/01/2007 12/31/2029 NO YES TRIAMCINOLON INJ 80MG/ML 07/01/2007 12/31/2029 NO YES TRIAMCOT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRIAMOLONE40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRILONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRI-MED INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRISTOJECT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO TRYLONE D INJ 40MG/ML 07/01/2007 12/31/2029 NO NO U-TRI-LONE INJ 40MG/ML 07/01/2007 12/31/2029 NO NO VARICORT INJ 40MG/ML 07/01/2007 12/31/2029 NO NO Triamcinolone Diacetate Micronized TRIAMCINOLON POW DIACETAT 07/01/2007 12/31/2029 NO YES Triamcinolone Hexacetonide ARISTOSPAN INJ 20MG/ML 07/01/2007 12/31/2029 NO YES ARISTOSPAN INJ 5MG/ML 07/01/2007 12/31/2029 NO YES *DERMATOLOGICALS* Acyclovir Topical ACYCLOVIR OIN 5% 07/01/2007 12/31/2029 NO NO ZOVIRAX CRE 5% 07/01/2007 12/31/2029 NO YES ZOVIRAX OIN 5% 07/01/2007 12/31/2029 NO YES Acyclovir-Hydrocortisone XERESE CRE 5-1% 07/01/2007 12/31/2029 NO YES Acyclovir-Lidocaine HCl LIDOVIR OIN 4-4% 07/01/2007 12/31/2029 NO YES Bacitracin (Topical) BACIGUENT OIN 500/GM 07/01/2007 12/31/2029 NO YES BACIGUENT OIN 500U/GM 07/01/2007 12/31/2029 NO YES BACI-RX POW 5MU 07/01/2007 12/31/2029 NO YES BACITRACIN OIN 500/GM 07/01/2007 12/31/2029 NO NO BACITRACIN OIN 500U/GM 07/01/2007 12/31/2029 NO NO BACITRACIN POW 07/01/2007 12/31/2029 NO YES BACITRACIN POW 5MU 07/01/2007 12/31/2029 NO YES BACITRAYCIN OIN 500/GM 07/01/2007 12/31/2029 NO NO BACTERICIN OIN 500/GM 07/01/2007 12/31/2029 NO NO FV BACITRACN OIN 500U/GM 07/01/2007 12/31/2029 NO NO MDL BACITRAC OIN 500U/GM 07/01/2007 12/31/2029 NO NO Bacitracin Zinc BACITR ZINC OIN 500/GM 07/01/2007 12/31/2029 NO NO BACITR ZINC OIN 500U/GM 07/01/2007 12/31/2029 NO NO BACITRACIN OIN 500/GM 07/01/2007 12/31/2029 NO NO BACITRACIN POW ZINC USP 07/01/2007 12/31/2029 NO YES SM ANTIBIOTI OIN 500/GM 07/01/2007 12/31/2029 NO NO ZIBA-RX POW 500000U 07/01/2007 12/31/2029 NO YES Bacitracin-Polymyxin B ADHESIVE PLS PAD NEOSPORI 07/01/2007 12/31/2029 NO YES BACIT/POLYMY OIN 07/01/2007 12/31/2029 NO NO BAND-AID PLS PAD ANTIBIOT 07/01/2007 12/31/2029 NO YES BETADINE OIN ANTI/MST 07/01/2007 12/31/2029 NO NO DOUBLE ANTIB OIN 07/01/2007 12/31/2029 NO NO DUOSPORE OIN 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DERMATOLOGICALS* Bacitracin-Polymyxin B ECK POLYMYXI OIN 07/01/2007 12/31/2029 NO NO FIRST AID AER 07/01/2007 12/31/2029 NO NO MULTI-ANTIBI OIN 07/01/2007 12/31/2029 NO NO POLY BACITRA OIN 07/01/2007 12/31/2029 NO NO POLYMY/BACIT OIN 07/01/2007 12/31/2029 NO NO POLYSPORIN AER 07/01/2007 12/31/2029 NO YES POLYSPORIN OIN 07/01/2007 12/31/2029 NO YES POLYSPORIN POW 07/01/2007 12/31/2029 NO YES POLYTRACIN OIN 07/01/2007 12/31/2029 NO NO RA DOUBLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO WAL-SPORIN OIN 07/01/2007 12/31/2029 NO NO Bacitracin-Polymyxin w/ Pramoxine BETADINE OIN PLUS 07/01/2007 12/31/2029 NO YES Bacitracin-Polymyxin-Neomycin HC CORTISPORIN OIN 07/01/2007 12/31/2029 NO YES CORTISPORIN OIN 1% 07/01/2007 12/31/2029 NO YES HY-N.B.P. OIN 07/01/2007 12/31/2029 NO NO Bacitracin-Pramoxine HCl BACITRAYCIN OIN 500-10 07/01/2007 12/31/2029 NO YES Chloramphenicol (Topical) CHLOROMYCET CRE 1% 07/01/2007 12/31/2029 NO YES Chlortetracycline HCl (Topical) AUREOMYCIN OIN 3% 07/01/2007 12/31/2029 NO YES Docosanol ABREVA CRE 10% 07/01/2007 12/31/2029 NO YES Econazole Nitrate ECONAZOLE CRE 1% 07/01/2006 12/31/2029 NO NO ECONAZOLE POW NITRATE 07/01/2006 12/31/2029 NO YES SPECTAZOLE CRE 1% 07/01/2006 12/31/2029 NO YES Erythromycin AKNE-MYCIN OIN 2% 07/01/2007 12/31/2029 NO YES Gentamicin Sulfate (Topical) ED-MYCIN OIN 0.1% 07/01/2007 12/31/2029 NO NO GARAMYCIN CRE 0.1% 07/01/2007 12/31/2029 NO YES GARAMYCIN OIN 0.1% 07/01/2007 12/31/2029 NO YES GENTAMICIN CRE 0.1% 07/01/2007 12/31/2029 NO YES GENTAMICIN OIN 0.1% 07/01/2007 12/31/2029 NO YES GENTAMICIN POW SULF MIC 07/01/2007 12/31/2029 NO YES GENTAMICIN POW SULFATE 07/01/2007 12/31/2029 NO YES G-MYTICIN CRE 0.1% 07/01/2007 12/31/2029 NO NO G-MYTICIN OIN 0.1% 07/01/2007 12/31/2029 NO NO Ketoconazole (Topical) KETOCONAZOLE CRE 2% 07/01/2006 12/31/2029 NO NO KETOCONAZOLE SHA 2% 07/01/2006 12/31/2029 NO NO KURIC CRE 2% 07/01/2006 12/31/2029 NO NO NIZORAL CRE 2% 07/01/2006 12/31/2029 NO YES NIZORAL SHA 2% 07/01/2006 12/31/2029 NO YES NIZORAL A-D SHA 1% 07/01/2006 12/31/2029 NO YES Mupirocin BACTROBAN OIN 2% 07/01/2007 12/31/2029 NO YES CENTANY KIT 2% 07/01/2007 12/31/2029 NO YES CENTANY OIN 2% 07/01/2007 12/31/2029 NO NO CENTANY AT KIT 2% 07/01/2007 12/31/2029 NO YES MUPIROCIN OIN 2% 07/01/2007 12/31/2029 NO NO Mupirocin Calcium (Topical) BACTROBAN CRE 2% 07/01/2007 12/31/2029 NO YES MUPIROCIN CRE 2% 07/01/2007 12/31/2029 NO NO MUPIROCIN CA CRE 2% 07/01/2007 12/31/2029 NO NO Naftifine HCl NAFTIFINE CRE HCL 1% 07/01/2006 12/31/2029 NO NO NAFTIN CRE 1% 07/01/2006 12/31/2029 NO YES NAFTIN GEL 1% 07/01/2006 12/31/2029 NO YES NAFTIN-MP CRE 1% 07/01/2006 12/31/2029 NO YES Neomycin Sulfate (Topical) MYCIGUENT CRE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DERMATOLOGICALS* Neomycin Sulfate (Topical) MYCIGUENT CRE 0.5% 07/01/2007 12/31/2029 NO YES MYCIGUENT OIN 0.5% 07/01/2007 12/31/2029 NO YES NEOMYCIN POW SULFATE 07/01/2007 12/31/2029 NO YES NEOMYCIN SUL OIN 0.5% 07/01/2007 12/31/2029 NO NO NEOMYCIN SUL POW 07/01/2007 12/31/2029 NO YES NEOMYCIN SUL POW MICRONIZ 07/01/2007 12/31/2029 NO YES NEOMYCIN SUL POW USP 07/01/2007 12/31/2029 NO YES NEO-RX POW 07/01/2007 12/31/2029 NO YES Neomycin Sulfate-Fluocinolone Acetonide NEO-SYNALAR CRE 07/01/2007 12/31/2029 NO YES NEO-SYNALAR CRE 0.025% 07/01/2007 12/31/2029 NO YES Neomycin-Bacitracin-Polymyxin ALBA-3 OIN 07/01/2007 12/31/2029 NO NO ANTIBIOTIC OIN 07/01/2007 12/31/2029 NO NO BAC/NEO/POLY OIN 07/01/2007 12/31/2029 NO NO BACTINE OIN 07/01/2007 12/31/2029 NO NO CVS TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO ECK TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO EQ TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO EQL FIRSTAID OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO FIRST AID CRE ANTIBIOT 07/01/2007 12/31/2029 NO YES FIRST AID OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO FV TRIPLE OIN ANITBIOT 07/01/2007 12/31/2029 NO NO GNP FIRST OIN AID ANTI 07/01/2007 12/31/2029 NO NO GNP TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO HCA TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO HM TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO LANABIOTIC OIN 07/01/2007 12/31/2029 NO NO MDL TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO MEDI-QUIK OIN 07/01/2007 12/31/2029 NO NO MP TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO MYCITRACIN OIN 07/01/2007 12/31/2029 NO YES N.B.P. OIN 07/01/2007 12/31/2029 NO NO NEO/BAC/POLY OIN 07/01/2007 12/31/2029 NO NO NEO/POLY/BAC OIN 07/01/2007 12/31/2029 NO NO NEOMIXIN OIN 07/01/2007 12/31/2029 NO NO NEOPORACIN OIN 07/01/2007 12/31/2029 NO NO NEOSPORIN OIN 07/01/2007 12/31/2029 NO YES NEOSPORIN OIN ORIGINAL 07/01/2007 12/31/2029 NO YES NEOTHRYCEX OIN 07/01/2007 12/31/2029 NO NO OSCO TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO PX TRIPLE OIN 07/01/2007 12/31/2029 NO NO RA TRIPLE AER ANTIBIOT 07/01/2007 12/31/2029 NO YES RA TRIPLE OIN ANITBIOT 07/01/2007 12/31/2029 NO NO RA TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO SB TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO SEPTA OIN 07/01/2007 12/31/2029 NO NO SM TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO TGT ANTIBIOT OIN 07/01/2007 12/31/2029 NO NO TH TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO THSC TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO TOPISPORIN OIN 07/01/2007 12/31/2029 NO NO TOPISPORIN OIN TOPICAL 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DERMATOLOGICALS* Neomycin-Bacitracin-Polymyxin TRIAMYCIN OIN 07/01/2007 12/31/2029 NO NO TRIBIOTIC OIN 07/01/2007 12/31/2029 NO NO TRI-BIOTIC OIN 07/01/2007 12/31/2029 NO NO TRIMYCIN OIN 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN FRST AID 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN MAX-ST 07/01/2007 12/31/2029 NO NO TRISPORIC OIN 07/01/2007 12/31/2029 NO NO TRPL A-BIOTC OIN 07/01/2007 12/31/2029 NO NO Neomycin-Bacitracin-Polymyxin w/ Diperodon EPIMYCIN-A OIN 1% 07/01/2007 12/31/2029 NO NO TRI-BIOZENE OIN 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN /DIP 1% 07/01/2007 12/31/2029 NO NO Neomycin-Bacitracin-Polymyxin w/ Lidocaine ANTIBIOTIC OIN PLUS 07/01/2007 12/31/2029 NO NO CAMPHO-PHENI OIN 07/01/2007 12/31/2029 NO NO CLOMYCIN TRI OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO FIRST AID OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO FIRST AID OIN LIDOCAIN 07/01/2007 12/31/2029 NO NO FST AID/LIDO OIN 4% 07/01/2007 12/31/2029 NO NO MYCITRACIN OIN PLUS 07/01/2007 12/31/2029 NO YES NEOSPORIN OIN PLUS MS 07/01/2007 12/31/2029 NO YES NEOSPORIN PL OIN MX-STR 07/01/2007 12/31/2029 NO NO PROCOMYCIN CRE 07/01/2007 12/31/2029 NO YES PROCOMYCIN OIN 07/01/2007 12/31/2029 NO NO SB TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO SPECTROCIN OIN PLUS 07/01/2007 12/31/2029 NO NO TRIBIOTIC OIN PLUS 07/01/2007 12/31/2029 NO NO TRI-BIOZENE OIN NEW FORM 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN /LIDO 4% 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN /LIDOCAI 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN EXTRA 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN MAX-STR 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN PLUS 07/01/2007 12/31/2029 NO NO Neomycin-Bacitracin-Polymyxin-Pramoxine ANTIBIOTIC OIN PAIN RLF 07/01/2007 12/31/2029 NO NO CVS TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO ECK TRIPLE OIN ANTIBIOT 07/01/2007 12/31/2029 NO NO HCA TRIP ANT OIN PLUS 07/01/2007 12/31/2029 NO NO NEOSPORIN OIN 07/01/2007 12/31/2029 NO NO NEOSPORIN+PN OIN RELF MAX 07/01/2007 12/31/2029 NO NO NEOSPORIN+PN OIN TO GO 07/01/2007 12/31/2029 NO NO QC TRIPLE OIN ANTIOBIO 07/01/2007 12/31/2029 NO NO SPECTROCIN OIN PLUS 07/01/2007 12/31/2029 NO NO TRI-BIOZENE OIN 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN MAX ST 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN PAIN RLF 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN PLUS 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN PLUS MAX 07/01/2007 12/31/2029 NO NO TRIPLE ANTIB OIN PRAMOXI 07/01/2007 12/31/2029 NO NO Neomycin-Dexamethasone Phos NEO-DECADRON CRE 07/01/2007 12/31/2029 NO YES Neomycin-Fluocinolone & Emollient NEO-SYNALAR KIT 07/01/2007 12/31/2029 NO YES Neomycin-Flurandrenolide CORDRAN-N CRE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DERMATOLOGICALS* Neomycin-Flurandrenolide CORDRAN-N OIN 07/01/2007 12/31/2029 NO YES Neomycin-Gramicidin SPECTROCIN OIN 07/01/2007 12/31/2029 NO YES Neomycin-Gramicidin-Nystatin-Triamcinolone AMBILOG CRE 07/01/2007 12/31/2029 NO NO AMBILOG OIN 07/01/2007 12/31/2029 NO NO MYCO TRIACET CRE 07/01/2007 12/31/2029 NO NO MYCO-ARICIN OIN 07/01/2007 12/31/2029 NO YES MYCONEL CRE 07/01/2007 12/31/2029 NO NO NYS/NEO/GRAM CRE /TRIAM 07/01/2007 12/31/2029 NO NO NYS/NEO/GRAM OIN /TRIAM 07/01/2007 12/31/2029 NO NO REGAL-LOG OIN 07/01/2007 12/31/2029 NO NO TRIAMCINOLON CRE NNG 07/01/2007 12/31/2029 NO NO TRI-STATIN CRE 07/01/2007 12/31/2029 NO NO TRI-STATIN OIN 07/01/2007 12/31/2029 NO NO Neomycin-HC HC AC/NEOMYC OIN 1% 07/01/2007 12/31/2029 NO NO Neomycin-HC Acetate HC AC/NEOMYC OIN 1% 07/01/2007 12/31/2029 NO NO NEO-CORT-DOM CRE 1/2% 07/01/2007 12/31/2029 NO YES NEO-CORTEF CRE 1% 07/01/2007 12/31/2029 NO YES NEO-CORTEF OIN 0.5% 07/01/2007 12/31/2029 NO YES NEO-CORTEF OIN 1% 07/01/2007 12/31/2029 NO YES NEO-CORTEF OIN 2.5% 07/01/2007 12/31/2029 NO YES NEOMYC/HC AC OIN 1% 07/01/2007 12/31/2029 NO NO Neomycin-Methylprednisolone Acetate NEO-MEDROL OIN 0.25% 07/01/2007 12/31/2029 NO YES NEO-MEDROL OIN 1% 07/01/2007 12/31/2029 NO YES Neomycin-Polymyxin ANTIBIOTIC CRE 07/01/2007 12/31/2029 NO NO DOUBLE ANTIB CRE TOPICAL 07/01/2007 12/31/2029 NO NO DUO ANTIBIOT CRE 07/01/2007 12/31/2029 NO NO FV DOUBLE CRE ANTIBIOT 07/01/2007 12/31/2029 NO NO MULTI-ANTIBI CRE 07/01/2007 12/31/2029 NO NO NEOSPORIN CRE 07/01/2007 12/31/2029 NO YES Neomycin-Polymyxin w/ Lidocaine ANTIBIOTIC CRE /LIDOCAN 07/01/2007 12/31/2029 NO NO ANTIBIOTIC CRE PLUS 07/01/2007 12/31/2029 NO NO NEOSPORIN CRE PLUS 07/01/2007 12/31/2029 NO YES PROMEND GEL 07/01/2007 12/31/2029 NO YES Neomycin-Polymyxin w/ Pramoxine ANTIB + PAIN CRE RELIEF 07/01/2007 12/31/2029 NO NO ANTIB + PAIN CRE RLF 1% 07/01/2007 12/31/2029 NO NO ANTIBIOTIC CRE 07/01/2007 12/31/2029 NO NO ANTIBIOTIC CRE PLUS 07/01/2007 12/31/2029 NO NO ANTIBIOTIC + CRE PAIN RLF 07/01/2007 12/31/2029 NO NO CVS ANTIBIO CRE PLUS 07/01/2007 12/31/2029 NO NO DOUBLE ANTIB CRE + PAIN 07/01/2007 12/31/2029 NO NO DOUBLE ANTIB CRE PLUS 07/01/2007 12/31/2029 NO NO FIRST AID CRE ANTIBIOT 07/01/2007 12/31/2029 NO NO GNP ANTIBIO CRE PLUS 07/01/2007 12/31/2029 NO NO MULTI ANTIBI CRE PLUS 07/01/2007 12/31/2029 NO NO NEOSPORIN CRE PLUS 07/01/2007 12/31/2029 NO YES RA ANTIBIOTI CRE PLUS 07/01/2007 12/31/2029 NO NO SM ANTIBIOTI CRE PLUS 07/01/2007 12/31/2029 NO NO Neomycin-Polymyxin-HC CORTISPORIN CRE 07/01/2007 12/31/2029 NO YES CORTISPORIN CRE 0.5% 07/01/2007 12/31/2029 NO YES Neomycin-Prednisolone NEO-DELTA-CO OIN 0.500% 07/01/2007 12/31/2029 NO YES Nystatin (Topical) MYCO CRE 100000U 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DERMATOLOGICALS* Nystatin (Topical) MYCO OIN 100000U 07/01/2006 12/31/2029 NO NO MYCOSTATIN CRE 100000 07/01/2006 12/31/2029 NO YES MYCOSTATIN CRE 100000U 07/01/2006 12/31/2029 NO YES MYCOSTATIN OIN 100000U 07/01/2006 12/31/2029 NO YES MYCOSTATIN POW 100000 07/01/2006 12/31/2029 NO YES MYCOSTATIN POW 100000U 07/01/2006 12/31/2029 NO YES MYCOSTATIN POW TOPICAL 07/01/2006 12/31/2029 NO YES NILSTAT CRE 100000U 07/01/2006 12/31/2029 NO YES NILSTAT OIN 100000U 07/01/2006 12/31/2029 NO YES NYAMYC POW 100000 07/01/2006 12/31/2029 NO NO NYATA POW 100000 07/01/2006 12/31/2029 NO NO NYSTATIN CRE 100000 07/01/2006 12/31/2029 NO NO NYSTATIN CRE 100000U 07/01/2006 12/31/2029 NO NO NYSTATIN OIN 100000 07/01/2006 12/31/2029 NO NO NYSTATIN OIN 100000U 07/01/2006 12/31/2029 NO NO NYSTATIN POW 07/01/2006 12/31/2029 NO YES NYSTATIN POW 100000 07/01/2006 12/31/2029 NO NO NYSTATIN POW 150MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 1BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 250MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 2BU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 500MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW 50MU 07/01/2006 12/31/2029 NO YES NYSTATIN POW DOMESTIC 07/01/2006 12/31/2029 NO YES NYSTATIN POW FOREIGN 07/01/2006 12/31/2029 NO YES NYSTAT-RX POW 150MU 07/01/2006 12/31/2029 NO YES NYSTAT-RX POW 1BU 07/01/2006 12/31/2029 NO YES NYSTAT-RX POW 2BU 07/01/2006 12/31/2029 NO YES NYSTAT-RX POW 500MU 07/01/2006 12/31/2029 NO YES NYSTAT-RX POW 50MU 07/01/2006 12/31/2029 NO YES NYSTEX CRE 100000 07/01/2006 12/31/2029 NO NO NYSTEX OIN 100000 07/01/2006 12/31/2029 NO NO NYSTOP POW 100000 07/01/2006 12/31/2029 NO NO PEDI-DRI POW 100000 07/01/2006 12/31/2029 NO NO PEDI-DRI POW 100000U 07/01/2006 12/31/2029 NO NO PEDI-DRI POW NAIL KIT 07/01/2006 12/31/2029 NO NO Oxiconazole Nitrate OXICONAZOLE CRE NITRATE 07/01/2006 12/31/2029 NO NO OXISTAT CRE 1% 07/01/2006 12/31/2029 NO YES OXISTAT LOT 1% 07/01/2006 12/31/2029 NO YES Oxytetracycline-Polymyxin B TERRAMYCIN OIN 07/01/2007 12/31/2029 NO YES TERRAMYCIN POW 07/01/2007 12/31/2029 NO YES Penciclovir DENAVIR CRE 1% 07/01/2007 12/31/2029 NO YES Retapamulin ALTABAX OIN 1% 07/01/2007 12/31/2029 NO YES Sertaconazole Nitrate ERTACZO CRE 2% 07/01/2006 12/31/2029 NO YES Sulconazole Nitrate EXELDERM CRE 1% 07/01/2006 12/31/2029 NO YES EXELDERM SOL 1% 07/01/2006 12/31/2029 NO YES Tetracycline HCl (Topical) ACHROMYCIN OIN 3% 07/01/2007 12/31/2029 NO YES *DIAGNOSTIC PRODUCTS* Glucose Blood ACCU-CHECK TES COMFORT 07/01/2007 12/31/2029 NO YES ACCU-CHEK MIS GUIDE 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES ACTIVE 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES ADV H 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood ACCU-CHEK TES ADVANTAG 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES AVIVA 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES AVIVA PL 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES COMFORT 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES COMPACT 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES DRUM 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES INST GLC 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES INST PLS 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES SIMPLICI 07/01/2007 12/31/2029 NO YES ACCU-CHEK TES SMART 07/01/2007 12/31/2029 NO YES ACCU-CHEK EZ TES STRIPS 07/01/2007 12/31/2029 NO YES ACCUTREND TES GLUCOSE 07/01/2007 12/31/2029 NO YES ACTIVE TES 07/01/2007 12/31/2029 NO YES ACURA TES BLD GLUC 07/01/2007 12/31/2029 NO YES ADVANCE TES INTUITIO 07/01/2007 12/31/2029 NO YES ADVANCE TES MICRO-DW 07/01/2007 12/31/2029 NO YES ADVOCATE TES 07/01/2007 12/31/2029 NO YES ADVOCATE TES REDI-COD 07/01/2007 12/31/2029 NO YES ADVOCATE TES REDICODE 07/01/2007 12/31/2029 NO YES AGAMATRIX TES AMP 07/01/2007 12/31/2029 NO YES AGAMATRIX TES JAZZ 07/01/2007 12/31/2029 NO YES AGAMATRIX TES KEYNOTE 07/01/2007 12/31/2029 NO YES AGAMATRIX TES PRESTO 07/01/2007 12/31/2029 NO YES ALBERTSONS TES 07/01/2007 12/31/2029 NO YES ANSWER BLOOD KIT MONITOR 07/01/2007 12/31/2029 NO NO ANSWER BLOOD TES 07/01/2007 12/31/2029 NO YES ASCENSIA MIS AUTODISC 07/01/2007 12/31/2029 NO YES ASCENSIA TES ELITE 07/01/2007 12/31/2029 NO YES ASSURE TES 07/01/2007 12/31/2029 NO YES ASSURE TES PLATINUM 07/01/2007 12/31/2029 NO YES ASSURE 3 TES 07/01/2007 12/31/2029 NO YES ASSURE 4 TES 07/01/2007 12/31/2029 NO YES ASSURE CHECK TES 07/01/2007 12/31/2029 NO YES ASSURE II TES 07/01/2007 12/31/2029 NO YES ASSURE II TES CHECK 07/01/2007 12/31/2029 NO YES ASSURE II TES STRIP 07/01/2007 12/31/2029 NO YES ASSURE PRISM TES MULTI 07/01/2007 12/31/2029 NO YES ASSURE PRO TES 07/01/2007 12/31/2029 NO YES AT LAST TES 07/01/2007 12/31/2029 NO YES AUTOCODE TES BLD GLUC 07/01/2007 12/31/2029 NO YES BAYER BREEZE MIS 2 TEST 07/01/2007 12/31/2029 NO YES BD TEST MIS 07/01/2007 12/31/2029 NO YES BG STAR TES BLD GLUC 07/01/2007 12/31/2029 NO YES BIOSCANNER TES GLUCOSE 07/01/2007 12/31/2029 NO YES BL TEST MIS 07/01/2007 12/31/2029 NO YES BL TEST MIS PACK 07/01/2007 12/31/2029 NO YES BLOOD GLUCOS TES 07/01/2007 12/31/2029 NO YES BLOOD GLUCOS TES PREMIUM 07/01/2007 12/31/2029 NO YES BLOOD GLUCOS TES STRIPS 07/01/2007 12/31/2029 NO YES CARESENS N TES 07/01/2007 12/31/2029 NO YES CHECKMATE TES 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood CHECKMATE TES STRIPS 07/01/2007 12/31/2029 NO YES CHECKMATE PL TES 07/01/2007 12/31/2029 NO YES CHEMSTRIP BG TES 07/01/2007 12/31/2029 NO YES CHEMSTRIP BG TES KIT 07/01/2007 12/31/2029 NO YES CHEMSTRIP BG TES STRIPS 07/01/2007 12/31/2029 NO YES CHEMSTRIP BG TES VIS/ACCU 07/01/2007 12/31/2029 NO YES CHEMSTRIP BG TES VISL STR 07/01/2007 12/31/2029 NO YES CHOICE DM TES FORA G20 07/01/2007 12/31/2029 NO YES CLEVER CHEK TES 07/01/2007 12/31/2029 NO YES CLEVER CHEK TES AUTO CD 07/01/2007 12/31/2029 NO YES CLEVER CHEK TES VOICE 07/01/2007 12/31/2029 NO YES CLEVER CHOIC TES MICRO 07/01/2007 12/31/2029 NO YES CLEVR CHOICE TES AUTO-CD 07/01/2007 12/31/2029 NO YES COMPACT TES 07/01/2007 12/31/2029 NO YES CONFIRM/MICR TES GLUCOSE 07/01/2007 12/31/2029 NO YES CONTOUR TES BLD GLUC 07/01/2007 12/31/2029 NO YES CONTOUR TES NEXT 07/01/2007 12/31/2029 NO YES CONTROL TES 07/01/2007 12/31/2029 NO YES CONTROL AST TES 07/01/2007 12/31/2029 NO YES COOL BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES CVS ADVANCED TES GLUCOSE 07/01/2007 12/31/2029 NO YES CVS BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES CVS TT TES 07/01/2007 12/31/2029 NO YES DCA 2000 KIT HBA1C 07/01/2007 12/31/2029 NO YES DCA 2000 KIT MICROALB 07/01/2007 12/31/2029 NO YES D-CARE BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES DEXTROSTIX MIS REAGENT 07/01/2007 12/31/2029 NO YES DEXTROSTIX TES STRIPS 07/01/2007 12/31/2029 NO YES DIABETIC.COM TES 07/01/2007 12/31/2029 NO YES DIASCAN DUAL TES 07/01/2007 12/31/2029 NO YES DIASCAN DUAL TES STRIPS 07/01/2007 12/31/2029 NO YES DIASCAN-S TES STANDARD 07/01/2007 12/31/2029 NO YES DIATRUE PLUS TES STRIPS 07/01/2007 12/31/2029 NO YES DISCOUNT DRG TES BLD GLUC 07/01/2007 12/31/2029 NO YES DRG EMPORIUM TES 07/01/2007 12/31/2029 NO YES DUANE READE TES 07/01/2007 12/31/2029 NO YES DUET GLUCOSE TES 07/01/2007 12/31/2029 NO YES DUO-CARE TES 07/01/2007 12/31/2029 NO YES EASY CHECK TES GLUCOSE 07/01/2007 12/31/2029 NO YES EASY PLUS TES BLD GLUC 07/01/2007 12/31/2029 NO YES EASY PLUS II TES BLD GLUC 07/01/2007 12/31/2029 NO YES EASY STEP TES 07/01/2007 12/31/2029 NO YES EASY TALK TES BLD GLUC 07/01/2007 12/31/2029 NO YES EASY TOUCH TES GLUCOSE 07/01/2007 12/31/2029 NO YES EASY TOUCH TES STRIPS 07/01/2007 12/31/2029 NO YES EASY TRAK TES BLD GLUC 07/01/2007 12/31/2029 NO YES EASYGLUCO TES 07/01/2007 12/31/2029 NO YES EASYGLUCO TES PLUS 07/01/2007 12/31/2029 NO YES EASYMAX TES 07/01/2007 12/31/2029 NO YES EASYMAX 15 TES 07/01/2007 12/31/2029 NO YES EASYPLUS TES BLD GLUC 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood EASYPRO TES BLD GLUC 07/01/2007 12/31/2029 NO YES EASYPRO PLUS TES 07/01/2007 12/31/2029 NO YES ECLIPSE TES 07/01/2007 12/31/2029 NO YES ELEMENT TES 07/01/2007 12/31/2029 NO YES ELEMENT PLUS TES STRIPS 07/01/2007 12/31/2029 NO YES ELEMNT COMPA TES STRIPS 07/01/2007 12/31/2029 NO YES EMBRACE TES BLD GLUC 07/01/2007 12/31/2029 NO YES EMBRACE EVO TES 07/01/2007 12/31/2029 NO YES EMBRACE PRO TES 07/01/2007 12/31/2029 NO YES ENVISION TES AUTOCODE 07/01/2007 12/31/2029 NO YES EQL TRUETEST TES BLD GLUC 07/01/2007 12/31/2029 NO YES EVENCARE TES BLD GLUC 07/01/2007 12/31/2029 NO YES EVENCARE TES MINI 07/01/2007 12/31/2029 NO YES EVENCARE + TES BLD GLUC 07/01/2007 12/31/2029 NO YES EVENCARE G2 TES 07/01/2007 12/31/2029 NO YES EVENCARE G3 TES 07/01/2007 12/31/2029 NO YES EVOLUTION TES AUTOCODE 07/01/2007 12/31/2029 NO YES EXAC TECH KIT GLU CONT 07/01/2007 12/31/2029 NO YES EXAC TECH TES STRIPS 07/01/2007 12/31/2029 NO YES EXACTECH TES 07/01/2007 12/31/2029 NO YES EXACTECH TES R-S-G 07/01/2007 12/31/2029 NO YES EXACTECH RSG MIS SENSOR 07/01/2007 12/31/2029 NO YES EXACTECH RSG TES STRIPS 07/01/2007 12/31/2029 NO YES EXCEL G TES 07/01/2007 12/31/2029 NO YES EXCEL G TES STRIPS 07/01/2007 12/31/2029 NO YES EXCEL GE TES STRIPS 07/01/2007 12/31/2029 NO YES EXP MED TES STP PACK 07/01/2007 12/31/2029 NO YES EXPRESSVIEW TES GLUCOSE 07/01/2007 12/31/2029 NO YES EYETONE TES 07/01/2007 12/31/2029 NO YES EZ SMART TES BLD GLUC 07/01/2007 12/31/2029 NO YES EZ SMART PLS TES BLD GLUC 07/01/2007 12/31/2029 NO YES FASTTAKE TES 07/01/2007 12/31/2029 NO YES FC DIASCAN TES STRIPS 07/01/2007 12/31/2029 NO NO FC GLUCO 2 TES STRIPS 07/01/2007 12/31/2029 NO NO FC GLUCO 3 TES STRIP 07/01/2007 12/31/2029 NO NO FC GLUCO 3 TES STRIP 3 07/01/2007 12/31/2029 NO NO FC ONE TOUCH TES STRIPS 07/01/2007 12/31/2029 NO NO FIFTY50 GLUC TES 2.0 07/01/2007 12/31/2029 NO YES FIRST CHOICE TES STRIPS 07/01/2007 12/31/2029 NO NO FORA BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES FORA D15C TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA D15G TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA D15Z TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA D20 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA D40/G31 TES GLUCOSE 07/01/2007 12/31/2029 NO YES FORA G20 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA G30A TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA G71A TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA G90 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA GD20 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA GD50 TES 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood FORA TEST N' TES GO 07/01/2007 12/31/2029 NO YES FORA TN'G TES TN'G VOI 07/01/2007 12/31/2029 NO YES FORA V10 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA V12 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA V20 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA V22 TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORA V30A TES BLD GLUC 07/01/2007 12/31/2029 NO YES FORACARE TES GD40 07/01/2007 12/31/2029 NO YES FORACARE TES PREM V10 07/01/2007 12/31/2029 NO YES FORACARE TES TST N GO 07/01/2007 12/31/2029 NO YES FORTISCARE TES BLD GLUC 07/01/2007 12/31/2029 NO YES FP BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES FREESTYLE TES 07/01/2007 12/31/2029 NO YES FREESTYLE TES INSULINX 07/01/2007 12/31/2029 NO YES FREESTYLE TES LITE 07/01/2007 12/31/2029 NO YES FREESTYLE TES PREC NEO 07/01/2007 12/31/2029 NO YES FV BLOOD GLU TES STRIPS 07/01/2007 12/31/2029 NO NO GE100 BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES GENSTRIP 50 TES 07/01/2007 12/31/2029 NO YES GENULTIMATE TES 07/01/2007 12/31/2029 NO YES GHT TEST TES STRIPS 07/01/2007 12/31/2029 NO YES GIANT EAGLE TES PHARMACY 07/01/2007 12/31/2029 NO YES GLUCO DEX TES SENSORS 07/01/2007 12/31/2029 NO YES GLUCO ELITE TES 07/01/2007 12/31/2029 NO YES GLUCO PERFEC TES 3 07/01/2007 12/31/2029 NO YES GLUCOCARD TES EXPRESSI 07/01/2007 12/31/2029 NO YES GLUCOCARD TES SHINE 07/01/2007 12/31/2029 NO YES GLUCOCARD TES VITAL 07/01/2007 12/31/2029 NO YES GLUCOCARD TES X-SENSOR 07/01/2007 12/31/2029 NO YES GLUCOCARD 01 TES PLUS 07/01/2007 12/31/2029 NO YES GLUCOCARD 01 TES SENSOR 07/01/2007 12/31/2029 NO YES GLUCOCOM TES 07/01/2007 12/31/2029 NO YES GLUCOFILM TES 07/01/2007 12/31/2029 NO YES GLUCOFILM TES STRIPS 07/01/2007 12/31/2029 NO YES GLUCOLAB TES 07/01/2007 12/31/2029 NO YES GLUCOMETER TES ENCORE 07/01/2007 12/31/2029 NO YES GLUCONAVII TES STRIPS 07/01/2007 12/31/2029 NO YES GLUCOPROTEIN TES 07/01/2007 12/31/2029 NO YES GLUCOS ALERT TES STRIPS 07/01/2007 12/31/2029 NO NO GLUCOSCAN TES 07/01/2007 12/31/2029 NO YES GLUCOSE TES REAGENT 07/01/2007 12/31/2029 NO YES GLUCOSE TES STRIPS 07/01/2007 12/31/2029 NO YES GLUCOSTIX TES 07/01/2007 12/31/2029 NO YES GMATE BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES GNP TEST MIS 07/01/2007 12/31/2029 NO YES GNP TRUEREAD TES 07/01/2007 12/31/2029 NO YES GNP TRUETRAC TES SMRT SYS 07/01/2007 12/31/2029 NO YES HCA TEST TES 07/01/2007 12/31/2029 NO YES HEALTHPRO TES STRIPS 07/01/2007 12/31/2029 NO YES HI-VALUE 3 TES GLUCOM 3 07/01/2007 12/31/2029 NO YES HI-VALUE V TES VISUAL 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood HLTH ALLIANC TES 07/01/2007 12/31/2029 NO YES HM BLOOD GLU TES STRIP 3 07/01/2007 12/31/2029 NO NO IN TOUCH TES BLOOD 07/01/2007 12/31/2029 NO YES INFINITY TES BLD GLUC 07/01/2007 12/31/2029 NO YES KERR DRUG TES STP PACK 07/01/2007 12/31/2029 NO YES KINRAY TES 07/01/2007 12/31/2029 NO YES KROGER TES 07/01/2007 12/31/2029 NO YES KROGER BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES LIBERTY TES 07/01/2007 12/31/2029 NO YES LIBERTY NEXT TES GEN 07/01/2007 12/31/2029 NO YES LIFE MEDICAL TES 07/01/2007 12/31/2029 NO YES LONG TES 07/01/2007 12/31/2029 NO YES MAXIMA BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES MEDISENSE 2 TES STRIPS 07/01/2007 12/31/2029 NO YES MEIJER TES 07/01/2007 12/31/2029 NO YES MEIJER TES TRUETEST 07/01/2007 12/31/2029 NO YES MEIJER TES TRUETRAC 07/01/2007 12/31/2029 NO YES MEIJER BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES MICRODOT TES 07/01/2007 12/31/2029 NO YES MYGLUCOHEALT TES BLD GLUC 07/01/2007 12/31/2029 NO YES NAVARRO TES BLD GLUC 07/01/2007 12/31/2029 NO YES NEUTEK 2TEK TES STRIPS 07/01/2007 12/31/2029 NO YES NEXGEN TES 07/01/2007 12/31/2029 NO YES NO CODING TES BLD GLUC 07/01/2007 12/31/2029 NO YES NOVA MAX TES GLUCOSE 07/01/2007 12/31/2029 NO YES ON CALL TES EXPRESS 07/01/2007 12/31/2029 NO YES ON CALL PLUS TES BLD GLUC 07/01/2007 12/31/2029 NO YES ON CALL VIVD TES BLD GLUC 07/01/2007 12/31/2029 NO YES ONE TOUCH TES 07/01/2007 12/31/2029 NO YES ONE TOUCH TES FOIL WRA 07/01/2007 12/31/2029 NO YES ONE TOUCH TES HOSPITAL 07/01/2007 12/31/2029 NO YES ONE TOUCH TES STRIPS 07/01/2007 12/31/2029 NO YES ONE TOUCH/II KIT STARTER 07/01/2007 12/31/2029 NO YES ONETOUCH TES 07/01/2007 12/31/2029 NO YES ONETOUCH TES ULTRA BL 07/01/2007 12/31/2029 NO YES ONETOUCH TES VERIO 07/01/2007 12/31/2029 NO YES OPTIUM TES 07/01/2007 12/31/2029 NO YES OPTIUMEZ TES 07/01/2007 12/31/2029 NO YES OPTUMRX TES BLD GLUC 07/01/2007 12/31/2029 NO YES PEN2/COMPAN2 TES 07/01/2007 12/31/2029 NO YES POCKETCHEM TES EZ 07/01/2007 12/31/2029 NO YES PRECISION TES PCX 07/01/2007 12/31/2029 NO YES PRECISION TES PCX PLUS 07/01/2007 12/31/2029 NO YES PRECISION TES QID 07/01/2007 12/31/2029 NO YES PRECISION TES SOF-TACT 07/01/2007 12/31/2029 NO YES PRECISION TES XTRA 07/01/2007 12/31/2029 NO YES PRECISION G TES STRIPS 07/01/2007 12/31/2029 NO YES PRECISION PT TES OF CARE 07/01/2007 12/31/2029 NO YES PRECISION XT TES GLUCOSE 07/01/2007 12/31/2029 NO YES PRECISION XT TES STRIPS 07/01/2007 12/31/2029 NO YES PRESTIGE TES 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood PRESTIGE TES SMRT SYS 07/01/2007 12/31/2029 NO YES PRESTIGE VAL MIS PACK 07/01/2007 12/31/2029 NO YES PRODIGY TES BLD GLUC 07/01/2007 12/31/2029 NO YES PRODIGY AUTO TES BLD GLUC 07/01/2007 12/31/2029 NO YES PRODIGY EJCT TES BLD GLUC 07/01/2007 12/31/2029 NO YES PRODIGY NO TES CODING 07/01/2007 12/31/2029 NO YES PRODIGY VOIC TES BLD GLUC 07/01/2007 12/31/2029 NO YES PTS PANELS TES GLUCOSE 07/01/2007 12/31/2029 NO YES QUICK-CHECK TES II STRIP 07/01/2007 12/31/2029 NO YES QUICK-CHECK TES STRIPS 07/01/2007 12/31/2029 NO YES QUICKTEK TES 07/01/2007 12/31/2029 NO YES QUINTET TES BLD GLUC 07/01/2007 12/31/2029 NO YES QUINTET AC TES BLD GLUC 07/01/2007 12/31/2029 NO YES RA BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES RA TRUETEST TES 07/01/2007 12/31/2029 NO YES REAGENT TES STRIPS 07/01/2007 12/31/2029 NO YES REFUAH PLUS TES BLD GLUC 07/01/2007 12/31/2029 NO YES RELION TES ULTIMA 07/01/2007 12/31/2029 NO YES RELION BLOOD TES GLUCOSE 07/01/2007 12/31/2029 NO YES RELION PRIME TES 07/01/2007 12/31/2029 NO YES RELION PRIME TES GLUCOSE 07/01/2007 12/31/2029 NO YES REPORT PAPER MIS CHEMSTRP 07/01/2007 12/31/2029 NO YES REVEAL TES BLD GLUC 07/01/2007 12/31/2029 NO YES RIGHTEST TES GS100 07/01/2007 12/31/2029 NO YES RIGHTEST TES GS300 07/01/2007 12/31/2029 NO YES RIGHTEST TES GS550 07/01/2007 12/31/2029 NO YES SELECT GT TES 07/01/2007 12/31/2029 NO YES SENTRY TES 07/01/2007 12/31/2029 NO YES SERALYZER TES GLUC STR 07/01/2007 12/31/2029 NO YES SERALYZER CK TES 07/01/2007 12/31/2029 NO YES SHOPRITE TES 07/01/2007 12/31/2029 NO YES SM GLUCOSE TES 07/01/2007 12/31/2029 NO YES SMART SENSE TES TEST 07/01/2007 12/31/2029 NO YES SMARTEST TES BLD GLUC 07/01/2007 12/31/2029 NO YES SOLUS V2 TES AUDIBLE 07/01/2007 12/31/2029 NO YES STAT TEK TES GLUCOSE 07/01/2007 12/31/2029 NO YES SUPREME TES 07/01/2007 12/31/2029 NO YES SUPREME TES STRIPS 07/01/2007 12/31/2029 NO YES SUPREME CON TES STRIPS 07/01/2007 12/31/2029 NO YES SURE EDGE TES 07/01/2007 12/31/2029 NO YES SURECHEK TES BLD GLUC 07/01/2007 12/31/2029 NO YES SURESTEP TES 07/01/2007 12/31/2029 NO YES SURESTEP PRO TES 07/01/2007 12/31/2029 NO YES SURE-TEST TES EASYPLUS 07/01/2007 12/31/2029 NO YES TELCARE TES BLD GLUC 07/01/2007 12/31/2029 NO YES TRACER BG TES 07/01/2007 12/31/2029 NO YES TRACKEASE TES 07/01/2007 12/31/2029 NO YES TRENDSTRIP TES SLIM PAK 07/01/2007 12/31/2029 NO YES TRENDSTRIP TES STRIPS 07/01/2007 12/31/2029 NO YES TRUE CARE TES STP PACK 07/01/2007 12/31/2029 NO YES TRUE METRIX TES GLUCOSE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIAGNOSTIC PRODUCTS* Glucose Blood TRUETEST TES 07/01/2007 12/31/2029 NO YES TRUETEST TES BLD GLUC 07/01/2007 12/31/2029 NO YES TRUETRACK TES 07/01/2007 12/31/2029 NO YES TRUETRACK TES BLD GLUC 07/01/2007 12/31/2029 NO YES ULTIMA TES 07/01/2007 12/31/2029 NO YES ULTRA TES 07/01/2007 12/31/2029 NO YES ULTRA STAND TES 07/01/2007 12/31/2029 NO YES ULTRATRAK TES ULTIMATE 07/01/2007 12/31/2029 NO YES ULTRATRK PRO TES 07/01/2007 12/31/2029 NO YES UNI-CHECK TES 07/01/2007 12/31/2029 NO YES UNISTRIP1 TES GENERIC 07/01/2007 12/31/2029 NO YES VICTORY TES AGM-4000 07/01/2007 12/31/2029 NO YES VOCAL POINT TES BLD GLUC 07/01/2007 12/31/2029 NO YES V-R BLOOD TES STRIPS 07/01/2007 12/31/2029 NO YES WAVESENSE TES PRESTO 07/01/2007 12/31/2029 NO YES WINN DIXIE TES MEDIC 07/01/2007 12/31/2029 NO YES XPRESS TES BLD GLUC 07/01/2007 12/31/2029 NO YES Glucose Urine Test-(Copper Sulfate) CLINITEST KIT 2DRP SET 07/01/2007 12/31/2029 NO YES CLINITEST TAB 2 DROP 07/01/2007 12/31/2029 NO YES CLINITEST TAB CHID RES 07/01/2007 12/31/2029 NO YES CLINITEST TAB CHLD RES 07/01/2007 12/31/2029 NO YES Urine Glucose-Ketones Test CHEMSTRIP TES UGK 07/01/2007 12/31/2029 NO YES CVS KETONE TES CARE 07/01/2007 12/31/2029 NO YES GLUCOSE/KETO TES 07/01/2007 12/31/2029 NO NO KETO-DIASTIX TES 07/01/2007 12/31/2029 NO YES *DIGESTIVE AIDS* Amylase-Bile-Dehydrochol-Lipase-Pepsin-Protease-Simethicone DIGESTOL TAB 07/01/2007 12/31/2029 NO YES Amylase-Lipase-Prot w/Ca Carb COTAZYM CAP 07/01/2007 12/31/2029 NO YES Amylase-Lipase-Protease COTAZYM-S CAP EC 07/01/2007 12/31/2029 NO YES CREON CAP EC 07/01/2007 12/31/2029 NO YES CREON 10 CAP EC 07/01/2007 12/31/2029 NO YES CREON 20 CAP 07/01/2007 12/31/2029 NO YES CREON 25 CAP EC 07/01/2007 12/31/2029 NO YES CREON 5 CAP 07/01/2007 12/31/2029 NO YES DIGEST ENZYM CHW 07/01/2007 12/31/2029 NO YES DIGESTIVE CHW ENZYMES 07/01/2007 12/31/2029 NO YES DYGASE CAP 07/01/2007 12/31/2029 NO YES ENCRON 10 CAP EC 07/01/2007 12/31/2029 NO NO ENTOLASE CAP 07/01/2007 12/31/2029 NO NO ENTOLASE -HP CAP 07/01/2007 12/31/2029 NO YES ENZYCAP CAP 07/01/2007 12/31/2029 NO YES ENZYMAX TAB 07/01/2007 12/31/2029 NO YES ILOZYME TAB 07/01/2007 12/31/2029 NO YES KUTRASE CAP 07/01/2007 12/31/2029 NO YES KU-ZYME CAP 07/01/2007 12/31/2029 NO YES KU-ZYME-HP CAP 07/01/2007 12/31/2029 NO YES LAPASE CAP 07/01/2007 12/31/2029 NO YES LIP/AMY/PROT CAP 07/01/2007 12/31/2029 NO NO LIP/AMY/PROT CAP EC 07/01/2007 12/31/2029 NO NO LIPRAM 10000 CAP EC 07/01/2007 12/31/2029 NO NO LIPRAM 4500 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-CR10 CAP 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Amylase-Lipase-Protease LIPRAM-CR20 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-CR5 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-PN10 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-PN16 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-PN20 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-UL12 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-UL18 CAP 07/01/2007 12/31/2029 NO YES LIPRAM-UL20 CAP 07/01/2007 12/31/2029 NO YES PALCAPS 10 CAP 07/01/2007 12/31/2029 NO YES PALCAPS 20 CAP 07/01/2007 12/31/2029 NO YES PALIPASE CAP EC 07/01/2007 12/31/2029 NO YES PALIPASE MT CAP 16 07/01/2007 12/31/2029 NO YES PALIPASE MT CAP 20 07/01/2007 12/31/2029 NO YES PALPEON DR CAP 10 07/01/2007 12/31/2029 NO YES PALPEON DR CAP 20 07/01/2007 12/31/2029 NO YES PALPEON MT CAP 20 07/01/2007 12/31/2029 NO YES PALTRASE V8 TAB 30-8-30 07/01/2007 12/31/2029 NO YES PANASE CAP EC 07/01/2007 12/31/2029 NO NO PANCOTE CAP 07/01/2007 12/31/2029 NO NO PANCREASE CAP EC 07/01/2007 12/31/2029 NO YES PANCREASE MT CAP 10 07/01/2007 12/31/2029 NO YES PANCREASE MT CAP 16 07/01/2007 12/31/2029 NO YES PANCREASE MT CAP 20 07/01/2007 12/31/2029 NO YES PANCREASE MT CAP 4 07/01/2007 12/31/2029 NO YES PANCREAT 10 CAP EC 07/01/2007 12/31/2029 NO NO PANCREATIC CAP ENZYM EC 07/01/2007 12/31/2029 NO NO PANCREATIN TAB 4X 07/01/2007 12/31/2029 NO YES PANCREATIN TAB 8X 07/01/2007 12/31/2029 NO YES PANCRECARB CAP MS-16 07/01/2007 12/31/2029 NO YES PANCRECARB CAP MS-4 07/01/2007 12/31/2029 NO YES PANCRECARB CAP MS-8 07/01/2007 12/31/2029 NO YES PANCRELIPASE CAP 07/01/2007 12/31/2029 NO YES PANCRELIPASE CAP 10000 07/01/2007 12/31/2029 NO YES PANCRELIPASE CAP 16000 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP 20000 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP 4500 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP 4500UNIT 07/01/2007 12/31/2029 NO YES PANCRELIPASE CAP EC 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP MST-16 07/01/2007 12/31/2029 NO YES PANCRELIPASE TAB 07/01/2007 12/31/2029 NO YES PANCREZYME TAB 4X 07/01/2007 12/31/2029 NO YES PANCRON 10 CAP EC 07/01/2007 12/31/2029 NO YES PANCRON 20 CAP 07/01/2007 12/31/2029 NO YES PANGES CN 10 CAP 07/01/2007 12/31/2029 NO YES PANGES CN 20 CAP 07/01/2007 12/31/2029 NO YES PANGES MT 16 CAP 07/01/2007 12/31/2029 NO YES PANGES UL 12 CAP 07/01/2007 12/31/2029 NO YES PANGES UL 18 CAP 07/01/2007 12/31/2029 NO YES PANGES UL 20 CAP 07/01/2007 12/31/2029 NO YES PANGESTYM EC CAP 07/01/2007 12/31/2029 NO YES PANOCAPS CAP 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Amylase-Lipase-Protease PANOCAPS CAP MT 16 07/01/2007 12/31/2029 NO YES PANOCAPS CAP MT 20 07/01/2007 12/31/2029 NO YES PANOKASE TAB 07/01/2007 12/31/2029 NO NO PANOKASE-16 TAB 07/01/2007 12/31/2029 NO YES PLARETASE TAB 8000 07/01/2007 12/31/2029 NO YES PROTILASE CAP MT-16 07/01/2007 12/31/2029 NO NO PROTILASE EC CAP 07/01/2007 12/31/2029 NO NO TRI-PASE 16 TAB 07/01/2007 12/31/2029 NO YES TRI-PASE 8 TAB 07/01/2007 12/31/2029 NO YES ULTRACAPS CAP MT 20 07/01/2007 12/31/2029 NO YES ULTRASE CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT 6 CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT12 CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT18 CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT20 CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT24 CAP 07/01/2007 12/31/2029 NO YES ULTRASE MT30 CAP 07/01/2007 12/31/2029 NO YES VIOKASE POW 07/01/2007 12/31/2029 NO YES VIOKASE TAB 07/01/2007 12/31/2029 NO YES VIOKASE 16 TAB 07/01/2007 12/31/2029 NO YES VIOKASE 8 TAB 07/01/2007 12/31/2029 NO YES VIO-MOORE TAB 07/01/2007 12/31/2029 NO NO ZYMASE CAP EC 07/01/2007 12/31/2029 NO YES Belladonna-Dehydrocholic Ac-Bile-Pancreatin-Pepsin RO-BILE TAB CR 07/01/2007 12/31/2029 NO YES Betaine HCl (Digestive Aid) BETAINE HCL TAB 300MG 07/01/2007 12/31/2029 NO YES Bile Salts BILEZYME TAB 325MG 07/01/2007 12/31/2029 NO NO BILRON CAP 300MG 07/01/2007 12/31/2029 NO YES TAXOL TAB 325MG 07/01/2007 12/31/2029 NO NO Bile Salts-Capsicum-Cascara-Phenolphthalein VERACOLATE TAB 07/01/2007 12/31/2029 NO YES Cellulase-Glutamic Ac-Bile-Pancreatin-Pepsin KANULASE TAB 07/01/2007 12/31/2029 NO YES Dehydrocholic Acid ATROCHOLIN TAB 130MG 07/01/2007 12/31/2029 NO NO CHOLAN-DH TAB 250MG 07/01/2007 12/31/2029 NO YES CHOLOREX TAB 120MG 07/01/2007 12/31/2029 NO NO DECHOLIN TAB 250MG 07/01/2007 12/31/2029 NO NO DEHYDROCHOL TAB 250MG 07/01/2007 12/31/2029 NO NO Dehydrocholic Acid w/ Homatropine & PB CHOLAN-HMB TAB 07/01/2007 12/31/2029 NO YES G.B.S. TAB 07/01/2007 12/31/2029 NO YES Digestive Aids Mixture DIGESPLEN TAB PLUS 07/01/2007 12/31/2029 NO NO DIGESPLEN-PL TAB EC 07/01/2007 12/31/2029 NO NO DIGESTION GB CAP 07/01/2007 12/31/2029 NO YES KARBOZYME TAB EC 07/01/2007 12/31/2029 NO YES PAPAYA ENZYM TAB EC 07/01/2007 12/31/2029 NO YES PROTEO ENZYM TAB EC 07/01/2007 12/31/2029 NO YES Digestive Enzymes ABATRACE CAP 07/01/2007 12/31/2029 NO YES ACID-EASE CAP 07/01/2007 12/31/2029 NO NO ACIDOLL CAP 07/01/2007 12/31/2029 NO NO ACIGEST TAB 07/01/2007 12/31/2029 NO YES ACIGEST II TAB 07/01/2007 12/31/2029 NO NO AMYLASE CONC CAP 07/01/2007 12/31/2029 NO NO ARCO-LASE TAB 07/01/2007 12/31/2029 NO YES ARCO-LASE TAB PLUS 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Digestive Enzymes BEAN/VEGI CAP ENZYME 07/01/2007 12/31/2029 NO NO BETAINE HCL CAP 07/01/2007 12/31/2029 NO NO BETAINE HCL CAP 10GR 07/01/2007 12/31/2029 NO NO BIO-ZYME TAB 07/01/2007 12/31/2029 NO NO BV-SIMILASE CAP 07/01/2007 12/31/2029 NO NO CARBO-SIMILA CAP 07/01/2007 12/31/2029 NO NO CHILD DIGEST CAP 07/01/2007 12/31/2029 NO NO CHILD PARA- CAP RELIEF 07/01/2007 12/31/2029 NO NO CHOLESTEROL CAP ENZYME 07/01/2007 12/31/2029 NO NO CONVERZYME CAP 07/01/2007 12/31/2029 NO YES CVS PAPAYA CHW ENZYME 07/01/2007 12/31/2029 NO NO DAIRY ENZYME CAP FORMULA 07/01/2007 12/31/2029 NO NO DIGAZ CAP 07/01/2007 12/31/2029 NO YES DIGEST 13 CAP 07/01/2007 12/31/2029 NO NO DIGEST ENZY TAB 07/01/2007 12/31/2029 NO NO DIGEST ENZYM TAB 07/01/2007 12/31/2029 NO YES DIGEST II CAP 07/01/2007 12/31/2029 NO YES DIGEST III CAP 07/01/2007 12/31/2029 NO YES DIGEST III TAB 07/01/2007 12/31/2029 NO YES DIGEST LPC TAB 07/01/2007 12/31/2029 NO YES DIGESTEX TAB 07/01/2007 12/31/2029 NO YES DIGESTIVE CAP ENZYME 07/01/2007 12/31/2029 NO NO DIGESTIVE CAP ENZYMES 07/01/2007 12/31/2029 NO NO DIGESTIVE CAP SUPPORT 07/01/2007 12/31/2029 NO YES DIGESTIVE TAB ENZYMES 07/01/2007 12/31/2029 NO YES DIGESTIVE EZ CAP ULTRA 07/01/2007 12/31/2029 NO NO DIGESTOL TAB 07/01/2007 12/31/2029 NO NO DIGESTOZYME TAB 07/01/2007 12/31/2029 NO YES DUODENUM TAB 650MG 07/01/2007 12/31/2029 NO NO ENZOBILE TAB 07/01/2007 12/31/2029 NO YES ENZYM DIGEST TAB DUAL ACT 07/01/2007 12/31/2029 NO YES ENZYMATIC TAB DIGESTAN 07/01/2007 12/31/2029 NO YES ENZYME DIGES CAP 07/01/2007 12/31/2029 NO NO ENZYME-DIGES TAB 07/01/2007 12/31/2029 NO NO FAT ENZYME CAP FORMULA 07/01/2007 12/31/2029 NO NO FESTAL II TAB 07/01/2007 12/31/2029 NO YES FIBER ENZYME CAP FORMULA 07/01/2007 12/31/2029 NO NO FIBERZYME CAP CONC-HP 07/01/2007 12/31/2029 NO NO GASTRACE DIG CAP SUPPORT 07/01/2007 12/31/2029 NO YES GS-SIMILASE CAP 07/01/2007 12/31/2029 NO NO GUSTASE TAB 07/01/2007 12/31/2029 NO NO HEPATITIS PAK SUPPORT 07/01/2007 12/31/2029 NO YES KU-ZYME CAP 07/01/2007 12/31/2029 NO YES LACTASE CONC CAP -HP 07/01/2007 12/31/2029 NO NO LIPASE CON CAP HP 07/01/2007 12/31/2029 NO YES LIPASE CONC- CAP HP 07/01/2007 12/31/2029 NO NO LIPO-SIMILAS CAP 07/01/2007 12/31/2029 NO NO MENO-FEM CAP 07/01/2007 12/31/2029 NO NO MILCO-ZYME TAB 07/01/2007 12/31/2029 NO YES MIL-V-ZYME TAB 07/01/2007 12/31/2029 NO YES MM-ZYME TAB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Digestive Enzymes MULTI-DIGEST TAB ENZYMES 07/01/2007 12/31/2029 NO NO MULTI-ENZYME TAB 07/01/2007 12/31/2029 NO NO OMNIGEST EZ TAB 07/01/2007 12/31/2029 NO YES PANCREAT 8X TAB 900MG 07/01/2007 12/31/2029 NO NO PANPLEX TAB 2-PHASE 07/01/2007 12/31/2029 NO NO PANPLEX 8 TAB 07/01/2007 12/31/2029 NO NO PAPAYA ENZYM CHW 07/01/2007 12/31/2029 NO NO PAPAYA ENZYM TAB 07/01/2007 12/31/2029 NO YES PAPAYA/ENZYM CHW 07/01/2007 12/31/2029 NO NO PAPAYA/PINE CHW ENZYMES 07/01/2007 12/31/2029 NO NO PARVENZYME TAB DIGESTIV 07/01/2007 12/31/2029 NO NO PEPSIN/PANCR TAB CPD 07/01/2007 12/31/2029 NO YES PHAZYME-PB TAB 07/01/2007 12/31/2029 NO YES PROTEASE CAP CONC-HP 07/01/2007 12/31/2029 NO NO PROTEO-SIMIL CAP 07/01/2007 12/31/2029 NO NO SIMILASE CAP 07/01/2007 12/31/2029 NO NO SIMILASE CAP SENSITIV 07/01/2007 12/31/2029 NO NO SIMILASE JR CAP 07/01/2007 12/31/2029 NO NO SINEASE CAP 07/01/2007 12/31/2029 NO NO STO-ZYME TAB 07/01/2007 12/31/2029 NO YES SUPER PAPAYA CHW PLUS 07/01/2007 12/31/2029 NO NO TRI-ZYME CAP 07/01/2007 12/31/2029 NO NO VITASE DIGES CAP FORMULA 07/01/2007 12/31/2029 NO NO Digestive Enzymes w/ Anticholinergics CONVERSPAZ CAP 07/01/2007 12/31/2029 NO YES DIGEX CAP 07/01/2007 12/31/2029 NO NO GASTRINEX CAP 07/01/2007 12/31/2029 NO YES GUSTASE-PLUS TAB 07/01/2007 12/31/2029 NO NO KUTRASE CAP 07/01/2007 12/31/2029 NO YES Glutamic Acid HCl ACIDULIN CAP 340MG 07/01/2007 12/31/2029 NO YES GLUTAMIC ACD CAP 340MG 07/01/2007 12/31/2029 NO NO GLUTAMIC ACD POW 07/01/2007 12/31/2029 NO YES GLUTAMIC ACD TAB 500MG 07/01/2007 12/31/2029 NO NO GLUTAMIC-500 TAB 500MG 07/01/2007 12/31/2029 NO NO L-GLUTAM ACD TAB 500MG 07/01/2007 12/31/2029 NO NO L-GLUTAMIC POW ACID HCL 07/01/2007 12/31/2029 NO YES Lactase CVS LACTASE TAB 3000UNIT 07/01/2007 12/31/2029 NO NO DAIRY AID LIQ 3300U 07/01/2007 12/31/2029 NO NO DAIRY AID TAB 3000UNIT 07/01/2007 12/31/2029 NO NO DAIRY AID TAB 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGES CHW 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGEST CHW 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGEST CHW ULTRA 07/01/2007 12/31/2029 NO NO DAIRY DIGEST TAB 3000U 07/01/2007 12/31/2029 NO NO DAIRY DIGEST TAB 3000UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGEST TAB 4500UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGEST TAB 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY DIGEST TAB EX STR 07/01/2007 12/31/2029 NO NO DAIRY EASE CHW 3000U 07/01/2007 12/31/2029 NO YES DAIRY EASE DRO 3300U 07/01/2007 12/31/2029 NO NO DAIRY EASE TAB 3000U 07/01/2007 12/31/2029 NO NO DAIRY RELIEF CHW 4500UNIT 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Lactase DAIRY RELIEF CHW 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY RELIEF TAB 3000UNIT 07/01/2007 12/31/2029 NO NO DAIRY RELIEF TAB 4500UNIT 07/01/2007 12/31/2029 NO NO DAIRY RELIEF TAB 9000UNIT 07/01/2007 12/31/2029 NO NO DAIRY-RELIEF CHW 3000UNIT 07/01/2007 12/31/2029 NO NO DAIRY-RELIEF TAB 3000UNIT 07/01/2007 12/31/2029 NO NO DIGEST-IT CAP 125MG 07/01/2007 12/31/2029 NO YES FP DAIRY-REL TAB 3000UNIT 07/01/2007 12/31/2029 NO NO FV DAIRY-AID TAB 3000U 07/01/2007 12/31/2029 NO NO GNP DAIRY TAB 3000UNIT 07/01/2007 12/31/2029 NO NO HCA DAIRY TAB RELIEF 07/01/2007 12/31/2029 NO NO HM DAIRY-AID TAB 3000U 07/01/2007 12/31/2029 NO NO HM GAS ENZYM TAB 3000U 07/01/2007 12/31/2029 NO NO LAC-DOSE CAP 260MG 07/01/2007 12/31/2029 NO YES LAC-DOSE TAB 3000UNIT 07/01/2007 12/31/2029 NO NO LACT INTOLER CAP 125MG 07/01/2007 12/31/2029 NO YES LACTAID CHW 4500 ES 07/01/2007 12/31/2029 NO YES LACTAID CHW ES 4500 07/01/2007 12/31/2029 NO YES LACTAID LIQ 3300U 07/01/2007 12/31/2029 NO YES LACTAID TAB 3000U 07/01/2007 12/31/2029 NO YES LACTAID TAB 3000UNIT 07/01/2007 12/31/2029 NO YES LACTAID TAB 4500UNIT 07/01/2007 12/31/2029 NO YES LACTAID FAST CHW 9000UNIT 07/01/2007 12/31/2029 NO YES LACTAID FAST TAB 9000UNIT 07/01/2007 12/31/2029 NO YES LACTAID ULTR CHW 9000U 07/01/2007 12/31/2029 NO YES LACTAID ULTR CHW 9000UNIT 07/01/2007 12/31/2029 NO YES LACTAID ULTR TAB 9000UNIT 07/01/2007 12/31/2029 NO YES LACTASE TAB 3300U 07/01/2007 12/31/2029 NO YES LACTASE TAB 9000UNIT 07/01/2007 12/31/2029 NO NO LACTASE ENZ TAB 3000U 07/01/2007 12/31/2029 NO NO LACTASE ENZ TAB 3000UNIT 07/01/2007 12/31/2029 NO NO LACTASE ENZ TAB 3300U 07/01/2007 12/31/2029 NO NO LACTASE ENZY CHW 3000U 07/01/2007 12/31/2029 NO NO LACTASE ENZY CHW 3300U 07/01/2007 12/31/2029 NO YES LACT-ASSIST TAB 3000U 07/01/2007 12/31/2029 NO NO LACTOGEST CAP 125MG 07/01/2007 12/31/2029 NO YES LACTOSE CHW FAST ACT 07/01/2007 12/31/2029 NO NO LACTOSE FAST TAB 9000UNIT 07/01/2007 12/31/2029 NO NO LACTOSE SUPL CHW 3000U 07/01/2007 12/31/2029 NO NO LACTRASE CAP 125MG 07/01/2007 12/31/2029 NO YES LACTRASE CAP 250MG 07/01/2007 12/31/2029 NO YES LACTROL CAP 125MG 07/01/2007 12/31/2029 NO NO RA DAIRY AID CHW 3000UNIT 07/01/2007 12/31/2029 NO YES RA DAIRY AID TAB 3000UNIT 07/01/2007 12/31/2029 NO NO SAV-ON DAIRY TAB RELIEF 07/01/2007 12/31/2029 NO NO SB LACTASE TAB 3300UNIT 07/01/2007 12/31/2029 NO NO SURELAC TAB 3000U 07/01/2007 12/31/2029 NO NO SURELAC TAB 3000UNIT 07/01/2007 12/31/2029 NO NO ULTRA DAIRY TAB 9000UNIT 07/01/2007 12/31/2029 NO NO V-R LACT ENZ TAB 3000U 07/01/2007 12/31/2029 NO NO Lactase-Lactobacillus DAIRYCARE CAP 15-190MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Lactase-Rennet MILK DIGESTA TAB 25-2MG 07/01/2007 12/31/2029 NO YES Lactic Acid-Papain-Pepsin-Rennin DIGESTOL ELX 07/01/2007 12/31/2029 NO YES Ox Bile Extract OX BILE EXTR TAB 194MG 07/01/2007 12/31/2029 NO YES OX BILE EXTR TAB 325MG 07/01/2007 12/31/2029 NO YES Pancreatin DIZYMES TAB 250MG 07/01/2007 12/31/2029 NO YES DONNAZYME TAB 500MG EC 07/01/2007 12/31/2029 NO YES ENTOZYME TAB 300MG EC 07/01/2007 12/31/2029 NO YES PAN-2400 CAP 2400MG 07/01/2007 12/31/2029 NO YES PANCREATIN CAP 500MG 07/01/2007 12/31/2029 NO YES PANCREATIN TAB 1000MG 07/01/2007 12/31/2029 NO YES PANCREATIN TAB 1400MG 07/01/2007 12/31/2029 NO YES PANCREATIN TAB 325MG 07/01/2007 12/31/2029 NO YES Pancreatin-Bile-Charcoal KARBOKOFF TAB 07/01/2007 12/31/2029 NO YES Pancreatin-Pepsin DIGESTOZYME TAB 07/01/2007 12/31/2029 NO NO Pancreatin-Pepsin-Bile Salts DIGEPEPSIN TAB 07/01/2007 12/31/2029 NO YES DIGESTANT II TAB 07/01/2007 12/31/2029 NO NO DIGESTIN TAB 07/01/2007 12/31/2029 NO NO ENTOZYME TAB 07/01/2007 12/31/2029 NO YES ENZYMATIC DI TAB 07/01/2007 12/31/2029 NO NO ENZYME TAB 07/01/2007 12/31/2029 NO YES Pancreatin-Pepsin-Dehydrocholic Acid DIGESTOZYME TAB 07/01/2007 12/31/2029 NO NO Pancrelipase ENZAMASE-16 CAP 16000U 07/01/2007 12/31/2029 NO NO ENZYMASE 16 CAP 16000U 07/01/2007 12/31/2029 NO NO ENZYMASE-16 CAP 16000U 07/01/2007 12/31/2029 NO NO FESTAL II TAB -EC 07/01/2007 12/31/2029 NO YES PANASE CAP EC 07/01/2007 12/31/2029 NO NO PANCOTE CAP EC 07/01/2007 12/31/2029 NO NO PANCREASE MT CAP 25000U 07/01/2007 12/31/2029 NO YES PANCREASE MT CAP 32000U 07/01/2007 12/31/2029 NO YES PANCREAT ENZ CAP EC 07/01/2007 12/31/2029 NO NO PANCREATIC CAP 4000U EC 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP #1 EC 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP 16000U 07/01/2007 12/31/2029 NO NO PANCRELIPASE CAP EC 07/01/2007 12/31/2029 NO NO PANCRELIPASE TAB 400MG 07/01/2007 12/31/2029 NO NO PROTILASE CAP EC 07/01/2007 12/31/2029 NO NO Pancrelipase (Lipase-Protease-Amylase) CREON CAP 12000UNT 07/01/2007 12/31/2029 NO YES CREON CAP 24000UNT 07/01/2007 12/31/2029 NO YES CREON CAP 3000UNIT 07/01/2007 12/31/2029 NO YES CREON CAP 36000UNT 07/01/2007 12/31/2029 NO YES CREON CAP 6000UNIT 07/01/2007 12/31/2029 NO YES PANCREAZE CAP 07/01/2007 12/31/2029 NO YES PANCREAZE CAP 10500UNT 07/01/2007 12/31/2029 NO YES PANCREAZE CAP 16800UNT 07/01/2007 12/31/2029 NO YES PANCREAZE CAP 21000UNT 07/01/2007 12/31/2029 NO YES PANCREAZE CAP 4200UNIT 07/01/2007 12/31/2029 NO YES PANCRELIPASE CAP 5000UNIT 07/01/2007 12/31/2029 NO YES PERTZYE CAP 07/01/2007 12/31/2029 NO YES ULTRESA CAP 13800UNT 07/01/2007 12/31/2029 NO YES ULTRESA CAP 20700UNT 07/01/2007 12/31/2029 NO YES ULTRESA CAP 23000UNT 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIGESTIVE AIDS* Pancrelipase (Lipase-Protease-Amylase) VIOKACE TAB 07/01/2007 12/31/2029 NO YES VIOKACE TAB 20880 07/01/2007 12/31/2029 NO YES ZENPEP CAP 10000UNT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 15000UNT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 20000UNT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 25000UNT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 3000UNIT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 40000UNT 07/01/2007 12/31/2029 NO YES ZENPEP CAP 5000UNIT 07/01/2007 12/31/2029 NO YES Pepsin PEPSIN ELX 07/01/2007 12/31/2029 NO NO PEPSIN POW 07/01/2007 12/31/2029 NO YES PEPSIN POW 1:10000 07/01/2007 12/31/2029 NO YES Pepsin-Cellulase-Lactase-Simethicone-Ox Bile-Pancreatin DIGESPLEN CAP PLUS 07/01/2007 12/31/2029 NO YES Pepsin-Rennin DIGESTOL ELX 07/01/2007 12/31/2029 NO YES Protease-Betaine HCl BETAZYME TAB 07/01/2007 12/31/2029 NO YES Sacrosidase SUCRAID SOL 8500/ML 07/01/2007 12/31/2029 NO YES *DIURETICS* Acetazolamide ACETAZOLAMID CAP 500MG ER 07/01/2007 12/31/2029 NO NO ACETAZOLAMID POW 07/01/2007 12/31/2029 NO YES ACETAZOLAMID TAB 125MG 07/01/2007 12/31/2029 NO YES ACETAZOLAMID TAB 250MG 07/01/2007 12/31/2029 NO NO AK-ZOL TAB 250MG 07/01/2007 12/31/2029 NO NO DIAMOX CAP 500MG CR 07/01/2007 12/31/2029 NO YES DIAMOX TAB 125MG 07/01/2007 12/31/2029 NO YES DIAMOX TAB 250MG 07/01/2007 12/31/2029 NO YES DIAMOX SEQUE CAP 500MG CR 07/01/2007 12/31/2029 NO YES STORZOLAMIDE TAB 250MG 07/01/2007 12/31/2029 NO NO Acetazolamide Sodium ACETAZOLAMID INJ 500MG 07/01/2007 12/31/2029 NO NO DIAMOX INJ 500MG 07/01/2007 12/31/2029 NO YES Amiloride & Hydrochlorothiazide AMILOR/HCTZ TAB 5-50 07/01/2007 12/31/2029 NO NO HYDRO-RIDE TAB 5-50 07/01/2007 12/31/2029 NO NO MODURETIC TAB 5-50 07/01/2007 12/31/2029 NO YES Amiloride HCl AMILORIDE POW DIHYDRAT 07/01/2007 12/31/2029 NO YES AMILORIDE POW HCL 07/01/2007 12/31/2029 NO YES AMILORIDE TAB 5MG 07/01/2007 12/31/2029 NO NO MIDAMOR TAB 5MG 07/01/2007 12/31/2029 NO YES Ammonium Cl-Caffeine-Ferrous Sulfate AQUA-BAN TAB PLUS 07/01/2007 12/31/2029 NO YES Bendroflumethiazide BENDROFLUMET POW 07/01/2007 12/31/2029 NO YES NATURETIN TAB 10MG 07/01/2007 12/31/2029 NO YES NATURETIN TAB 5MG 07/01/2007 12/31/2029 NO YES Bendroflumethiazide w/ KCl NATURETIN-K TAB 2.5/500 07/01/2007 12/31/2029 NO YES Benzthiazide AQUATAG TAB 50MG 07/01/2007 12/31/2029 NO NO BENZTHIAZIDE TAB 50MG 07/01/2007 12/31/2029 NO NO EXNA TAB 50MG 07/01/2007 12/31/2029 NO YES PROAQUA TAB 50MG 07/01/2007 12/31/2029 NO NO Buchu Oil DUIRETIC TAB 07/01/2007 12/31/2029 NO NO Buchu-Alf-Asparagus-K Gluc-Couch Gr-Parsley-Uva Ursi-Juniper NAT DIURETIC TAB POTASS 07/01/2007 12/31/2029 NO YES WATER PILLS TAB 07/01/2007 12/31/2029 NO YES Buchu-Caffeine-Cornsilk-Juniper-Uva Ursi DEHYDRI TAB 07/01/2007 12/31/2029 NO YES X-S DIURETIC TAB 07/01/2007 12/31/2029 NO YES Buchu-Caff-Mag Tris-Methylene Blue-K Sal-Salicyl-Uva Ursi DIUREX CAP LA 07/01/2007 12/31/2029 NO YES Buchu-Caf-Mg Tris-M Blue-K Sal-Sal-Uva Ursi-Juniper DIUREX TAB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIURETICS* Buchu-Caf-Mg Tris-M Blue-K Sal-Sal-Uva Ursi-Juniper-Fe DIUREX-2 TAB 07/01/2007 12/31/2029 NO YES Buchu-Cornsilk-Couch Grass-Hydrangea A-NURIC DIUR TAB 07/01/2007 12/31/2029 NO YES AQUA RID TAB 07/01/2007 12/31/2029 NO NO DIURETIC TAB 07/01/2007 12/31/2029 NO NO HYDRO-TABS TAB 07/01/2007 12/31/2029 NO NO NAT HEB DIU TAB 07/01/2007 12/31/2029 NO NO WASSER TAB 07/01/2007 12/31/2029 NO YES WATER TAB 07/01/2007 12/31/2029 NO NO Buchu-Cornsilk-Couch Grass-Hydrangea-Calcium NATURAL HERB TAB DIURETIC 07/01/2007 12/31/2029 NO YES TH DIURETIC TAB 07/01/2007 12/31/2029 NO YES Buchu-Cornsilk-Couch Grass-Hydrangea-Potassium Sulfate NAT HERBAL TAB DIURETIC 07/01/2007 12/31/2029 NO YES Buchu-Juniper-K Gluc-Parsley-Uva Ursi WATER PILL TAB /POTASS 07/01/2007 12/31/2029 NO YES Buchu-Juniper-Uva Ursi DIURETIC TAB 07/01/2007 12/31/2029 NO NO Buchu-Juniper-Uva Ursi-Parsley HERB WATER TAB NATURAL 07/01/2007 12/31/2029 NO YES NAT DIURETIC TAB 07/01/2007 12/31/2029 NO YES Bumetanide BUMETANIDE INJ 0.25/ML 07/01/2007 12/31/2029 NO NO BUMETANIDE POW 07/01/2007 12/31/2029 NO YES BUMETANIDE POW USP/NF 07/01/2007 12/31/2029 NO YES BUMETANIDE TAB 0.5MG 07/01/2007 12/31/2029 NO NO BUMETANIDE TAB 1MG 07/01/2007 12/31/2029 NO NO BUMETANIDE TAB 2MG 07/01/2007 12/31/2029 NO NO BUMEX INJ 0.25/ML 07/01/2007 12/31/2029 NO YES BUMEX TAB 0.5MG 07/01/2007 12/31/2029 NO YES BUMEX TAB 1MG 07/01/2007 12/31/2029 NO YES BUMEX TAB 2MG 07/01/2007 12/31/2029 NO YES Caffeine-Magnesium Salicylate DIUREX TAB 50-162.5 07/01/2007 12/31/2029 NO YES Caffeine-Potassium Salicylate-Salicylamide TRIM-ELIM TAB 07/01/2007 12/31/2029 NO YES Chlorothiazide CHLOROTHIAZ TAB 250MG 07/01/2007 12/31/2029 NO YES CHLOROTHIAZ TAB 500MG 07/01/2007 12/31/2029 NO NO DITHIREX TAB 250MG 07/01/2007 12/31/2029 NO NO DITHIREX TAB 500MG 07/01/2007 12/31/2029 NO NO DIURIGEN TAB 250MG 07/01/2007 12/31/2029 NO NO DIURIL SUS 250/5ML 07/01/2007 12/31/2029 NO YES DIURIL TAB 250MG 07/01/2007 12/31/2029 NO YES DIURIL TAB 500MG 07/01/2007 12/31/2029 NO YES Chlorothiazide Sodium CHLOROTHIAZ INJ 500MG 07/01/2007 12/31/2029 NO NO DIURIL IV INJ 500MG 07/01/2007 12/31/2029 NO YES SOD DIURIL INJ 500MG 07/01/2007 12/31/2029 NO YES Chlorthalidone AQUA-TAB TAB 50MG 07/01/2007 12/31/2029 NO NO BIOGROTON TAB 100MG 07/01/2007 12/31/2029 NO NO BIOGROTON TAB 25MG 07/01/2007 12/31/2029 NO NO BIOGROTON TAB 50MG 07/01/2007 12/31/2029 NO NO CHLORTHALID TAB 100MG 07/01/2007 12/31/2029 NO YES CHLORTHALID TAB 25MG 07/01/2007 12/31/2029 NO NO CHLORTHALID TAB 50MG 07/01/2007 12/31/2029 NO NO HYDONE TAB 25MG 07/01/2007 12/31/2029 NO NO HYDONE TAB 50MG 07/01/2007 12/31/2029 NO NO HYGROTON TAB 100MG 07/01/2007 12/31/2029 NO YES HYGROTON TAB 25MG 07/01/2007 12/31/2029 NO YES HYGROTON TAB 50MG 07/01/2007 12/31/2029 NO YES THALITONE TAB 15MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIURETICS* Chlorthalidone THALITONE TAB 25MG 07/01/2007 12/31/2029 NO NO Cyclothiazide ANHYDRON TAB 2MG 07/01/2007 12/31/2029 NO YES Dichlorphenamide DARANIDE TAB 50MG 07/01/2007 12/31/2029 NO YES KEVEYIS TAB 50MG 07/01/2007 12/31/2029 NO YES Ethacrynate Sodium EDECRIN IV INJ 50MG 07/01/2007 12/31/2029 NO YES ETHACRYNATE INJ 50MG 07/01/2007 12/31/2029 NO NO SOD EDECRIN INJ 50MG 07/01/2007 12/31/2029 NO YES Ethacrynic Acid EDECRIN TAB 25MG 07/01/2007 12/31/2029 NO YES EDECRIN TAB 50MG 07/01/2007 12/31/2029 NO YES ETHACRYNIC TAB ACD 25MG 07/01/2007 12/31/2029 NO NO Furosemide DIAQUA-2 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DIJEC-10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DIUFLUSH INJ 10MG/ML 07/01/2007 12/31/2029 NO NO FUMIDE TAB 40MG 07/01/2007 12/31/2029 NO NO FUMIDE TAB 80MG 07/01/2007 12/31/2029 NO NO FUROSEMIDE INJ 100/10ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE INJ 10MG/ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE INJ 20MG/2ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE INJ 40MG/4ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE POW 07/01/2007 12/31/2029 NO YES FUROSEMIDE SOL 10MG/ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE SOL 40MG/4ML 07/01/2007 12/31/2029 NO NO FUROSEMIDE SOL 8MG/ML 07/01/2007 12/31/2029 NO YES FUROSEMIDE TAB 20MG 07/01/2007 12/31/2029 NO NO FUROSEMIDE TAB 40MG 07/01/2007 12/31/2029 NO NO FUROSEMIDE TAB 80MG 07/01/2007 12/31/2029 NO NO LAQUA TAB 40MG 07/01/2007 12/31/2029 NO NO LASAJECT INJ 10MG/ML 07/01/2007 12/31/2029 NO NO LASAJECT-10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO LASAMIDE TAB 20MG 07/01/2007 12/31/2029 NO NO LASAMIDE TAB 40MG 07/01/2007 12/31/2029 NO NO LASIX INJ 10MG/ML 07/01/2007 12/31/2029 NO YES LASIX SOL 10MG/ML 07/01/2007 12/31/2029 NO YES LASIX TAB 20MG 07/01/2007 12/31/2029 NO YES LASIX TAB 40MG 07/01/2007 12/31/2029 NO YES LASIX TAB 80MG 07/01/2007 12/31/2029 NO YES LO-AQUA TAB 40MG 07/01/2007 12/31/2029 NO NO MYROSEMIDE SOL 10MG/ML 07/01/2007 12/31/2029 NO NO ROSE-40 TAB 40MG 07/01/2007 12/31/2029 NO NO THSC FUROSEM TAB 40MG 07/01/2007 12/31/2029 NO NO Glycerin GLYCITROL SOL 75% 07/01/2007 12/31/2029 NO YES GLYROL SOL 75% 07/01/2007 12/31/2029 NO YES INTROL SOL 75% 07/01/2007 12/31/2029 NO YES OSMOGLYN SOL 50% 07/01/2007 12/31/2029 NO YES Hydrochlorothiazide CAROZIDE TAB 50MG 07/01/2007 12/31/2029 NO NO DIAQUA TAB 50MG 07/01/2007 12/31/2029 NO NO ESIDRIX TAB 100MG 07/01/2007 12/31/2029 NO YES ESIDRIX TAB 25MG 07/01/2007 12/31/2029 NO YES ESIDRIX TAB 50MG 07/01/2007 12/31/2029 NO YES EZIDE TAB 50MG 07/01/2007 12/31/2029 NO NO HCTZ POW 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIURETICS* Hydrochlorothiazide HYCHLOR TAB 50MG 07/01/2007 12/31/2029 NO NO HYDORIL TAB 25MG 07/01/2007 12/31/2029 NO NO HYDORIL TAB 50MG 07/01/2007 12/31/2029 NO NO HYDROCHLORO TAB 25MG 07/01/2007 12/31/2029 NO NO HYDROCHLOROT CAP 12.5MG 07/01/2007 12/31/2029 NO NO HYDROCHLOROT POW 07/01/2007 12/31/2029 NO YES HYDROCHLOROT SOL 100MG/ML 07/01/2007 12/31/2029 NO YES HYDROCHLOROT SOL 50MG/5ML 07/01/2007 12/31/2029 NO NO HYDROCHLOROT TAB 100MG 07/01/2007 12/31/2029 NO YES HYDROCHLOROT TAB 12.5MG 07/01/2007 12/31/2029 NO NO HYDROCHLOROT TAB 25MG 07/01/2007 12/31/2029 NO NO HYDROCHLOROT TAB 50MG 07/01/2007 12/31/2029 NO NO HYDROCHLORUL TAB 25MG 07/01/2007 12/31/2029 NO NO HYDROCHLORUL TAB 50MG 07/01/2007 12/31/2029 NO NO HYDRODIURIL TAB 100MG 07/01/2007 12/31/2029 NO YES HYDRODIURIL TAB 25MG 07/01/2007 12/31/2029 NO YES HYDRODIURIL TAB 50MG 07/01/2007 12/31/2029 NO YES HYDROMAL TAB 50MG 07/01/2007 12/31/2029 NO NO HYDRO-PAR TAB 25MG 07/01/2007 12/31/2029 NO NO HYDRO-PAR TAB 50MG 07/01/2007 12/31/2029 NO NO HYDROREX TAB 25MG 07/01/2007 12/31/2029 NO NO HYDROREX TAB 50MG 07/01/2007 12/31/2029 NO NO HYDRO-Z TAB 50MG 07/01/2007 12/31/2029 NO NO LOQUA TAB 50MG 07/01/2007 12/31/2029 NO NO MICROZIDE CAP 07/01/2007 12/31/2029 NO YES MICROZIDE CAP 12.5MG 07/01/2007 12/31/2029 NO YES M-ZIDE TAB 25MG 07/01/2007 12/31/2029 NO NO M-ZIDE TAB 50MG 07/01/2007 12/31/2029 NO NO ORETIC TAB 25MG 07/01/2007 12/31/2029 NO NO ORETIC TAB 50MG 07/01/2007 12/31/2029 NO NO THSC HCTZ TAB 25MG 07/01/2007 12/31/2029 NO NO THSC HCTZ TAB 50MG 07/01/2007 12/31/2029 NO NO ZIDE-50 TAB 50MG 07/01/2007 12/31/2029 NO NO Hydroflumethiazide DIUCARDIN TAB 50MG 07/01/2007 12/31/2029 NO YES HYDROFLUMETH TAB 50MG 07/01/2007 12/31/2029 NO NO SALURON TAB 50MG 07/01/2007 12/31/2029 NO YES Indapamide INDAPAMIDE POW 07/01/2007 12/31/2029 NO YES INDAPAMIDE POW USP/NF 07/01/2007 12/31/2029 NO YES INDAPAMIDE TAB 1.25MG 07/01/2007 12/31/2029 NO NO INDAPAMIDE TAB 2.5MG 07/01/2007 12/31/2029 NO NO LOZOL TAB 1.25MG 07/01/2007 12/31/2029 NO YES LOZOL TAB 2.5MG 07/01/2007 12/31/2029 NO YES Isosorbide ISMOTIC SOL 100GM 07/01/2007 12/31/2029 NO YES Mannitol MANNITOL INJ 10% 07/01/2007 12/31/2029 NO NO MANNITOL INJ 15% 07/01/2007 12/31/2029 NO NO MANNITOL INJ 20% 07/01/2007 12/31/2029 NO NO MANNITOL INJ 25% 07/01/2007 12/31/2029 NO NO MANNITOL INJ 5% 07/01/2007 12/31/2029 NO NO OSMITROL INJ 10% 07/01/2007 12/31/2029 NO YES OSMITROL INJ 15% 07/01/2007 12/31/2029 NO YES OSMITROL INJ 20% 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIURETICS* Mannitol OSMITROL INJ 5% 07/01/2007 12/31/2029 NO YES OSMITROL VFX INJ 20% 07/01/2007 12/31/2029 NO NO SPARKIT INJ 25% 07/01/2007 12/31/2029 NO NO Mersalyl & Theophylline DIURETTE INJ 100-50MG 07/01/2007 12/31/2029 NO NO MERSAL/THEOP INJ 100-50MG 07/01/2007 12/31/2029 NO NO Methazolamide GLAUCTABS TAB 25MG 07/01/2007 12/31/2029 NO NO GLAUCTABS TAB 50MG 07/01/2007 12/31/2029 NO NO METHAZOLAMID POW 07/01/2007 12/31/2029 NO YES METHAZOLAMID TAB 25MG 07/01/2007 12/31/2029 NO NO METHAZOLAMID TAB 50MG 07/01/2007 12/31/2029 NO NO MZM TAB 25MG 07/01/2007 12/31/2029 NO NO MZM TAB 50MG 07/01/2007 12/31/2029 NO NO NEPTAZANE TAB 25MG 07/01/2007 12/31/2029 NO YES NEPTAZANE TAB 50MG 07/01/2007 12/31/2029 NO YES Methyclothiazide AQUATENSEN TAB 5MG 07/01/2007 12/31/2029 NO YES ENDURON TAB 2.5MG 07/01/2007 12/31/2029 NO YES ENDURON TAB 5MG 07/01/2007 12/31/2029 NO YES METHYCLOTHIA POW 07/01/2007 12/31/2029 NO YES METHYCLOTHIA TAB 2.5MG 07/01/2007 12/31/2029 NO NO METHYCLOTHIA TAB 5MG 07/01/2007 12/31/2029 NO NO Metolazone DIULO TAB 10MG 07/01/2007 12/31/2029 NO YES DIULO TAB 2.5MG 07/01/2007 12/31/2029 NO YES DIULO TAB 5MG 07/01/2007 12/31/2029 NO YES METOLAZONE TAB 10MG 07/01/2007 12/31/2029 NO NO METOLAZONE TAB 2.5MG 07/01/2007 12/31/2029 NO NO METOLAZONE TAB 5MG 07/01/2007 12/31/2029 NO NO MYKROX TAB 0.5MG 07/01/2007 12/31/2029 NO YES ZAROXOLYN TAB 10MG 07/01/2007 12/31/2029 NO YES ZAROXOLYN TAB 2.5MG 07/01/2007 12/31/2029 NO YES ZAROXOLYN TAB 5MG 07/01/2007 12/31/2029 NO YES Pamabrom AQUA BAN M/S TAB 07/01/2007 12/31/2029 NO NO AQUA-BAN W/ TAB PAMABROM 07/01/2007 12/31/2029 NO YES CVS DIURETIC CAP 50MG 07/01/2007 12/31/2029 NO YES ODRINIL TAB 25MG 07/01/2007 12/31/2029 NO YES Polythiazide RENESE TAB 1MG 07/01/2007 12/31/2029 NO YES RENESE TAB 2MG 07/01/2007 12/31/2029 NO YES RENESE TAB 4MG 07/01/2007 12/31/2029 NO YES Quinethazone HYDROMOX TAB 50MG 07/01/2007 12/31/2029 NO YES Spironolactone ALDACTONE TAB 100MG 07/01/2007 12/31/2029 NO YES ALDACTONE TAB 25MG 07/01/2007 12/31/2029 NO YES ALDACTONE TAB 50MG 07/01/2007 12/31/2029 NO YES ALTEX TAB 25MG 07/01/2007 12/31/2029 NO NO SPIRONOLACT POW 07/01/2007 12/31/2029 NO YES SPIRONOLACT TAB 100MG 07/01/2007 12/31/2029 NO NO SPIRONOLACT TAB 25MG 07/01/2007 12/31/2029 NO NO SPIRONOLACT TAB 50MG 07/01/2007 12/31/2029 NO NO SPIROZONE TAB 25MG 07/01/2007 12/31/2029 NO NO Spironolactone & Hydrochlorothiazide ALDACTAZIDE TAB 25/25 07/01/2007 12/31/2029 NO YES ALDACTAZIDE TAB 50/50 07/01/2007 12/31/2029 NO YES ALDAREX PLUS TAB 25/25 07/01/2007 12/31/2029 NO NO ALTEXIDE TAB 25/25 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *DIURETICS* Spironolactone & Hydrochlorothiazide SPIROCHLOR TAB 25/25 07/01/2007 12/31/2029 NO NO SPIRONAZIDE TAB 25/25 07/01/2007 12/31/2029 NO NO SPIRONO PLUS TAB 25/25 07/01/2007 12/31/2029 NO NO SPIRONO/HCTZ TAB 25/25 07/01/2007 12/31/2029 NO NO SPIROZIDE TAB 25/25 07/01/2007 12/31/2029 NO NO Torsemide DEMADEX INJ 10MG/ML 07/01/2007 12/31/2029 NO YES DEMADEX INJ 20MG/2ML 07/01/2007 12/31/2029 NO YES DEMADEX INJ 50MG/5ML 07/01/2007 12/31/2029 NO YES DEMADEX TAB 100MG 07/01/2007 12/31/2029 NO YES DEMADEX TAB 10MG 07/01/2007 12/31/2029 NO YES DEMADEX TAB 20MG 07/01/2007 12/31/2029 NO YES DEMADEX TAB 5MG 07/01/2007 12/31/2029 NO YES TORSEMIDE INJ 20MG/2ML 07/01/2007 12/31/2029 NO YES TORSEMIDE INJ 50MG/5ML 07/01/2007 12/31/2029 NO YES TORSEMIDE TAB 100MG 07/01/2007 12/31/2029 NO NO TORSEMIDE TAB 10MG 07/01/2007 12/31/2029 NO NO TORSEMIDE TAB 20MG 07/01/2007 12/31/2029 NO NO TORSEMIDE TAB 5MG 07/01/2007 12/31/2029 NO NO Triamterene DYRENIUM CAP 100MG 07/01/2007 12/31/2029 NO YES DYRENIUM CAP 50MG 07/01/2007 12/31/2029 NO YES TRIAMTERENE CAP 100MG 07/01/2007 12/31/2029 NO NO TRIAMTERENE POW 07/01/2007 12/31/2029 NO YES Triamterene & Hydrochlorothiazide AQUAZIDE TAB 75-50 07/01/2007 12/31/2029 NO NO DYAZIDE CAP 37.5-25 07/01/2007 12/31/2029 NO YES DYAZIDE CAP 50/25 07/01/2007 12/31/2029 NO YES DYAZIDE CAP 50-25MG 07/01/2007 12/31/2029 NO YES HCTZ/TRIAMT CAP 25-50MG 07/01/2007 12/31/2029 NO NO MAXZIDE TAB 75-50 07/01/2007 12/31/2029 NO YES MAXZIDE-25 TAB 07/01/2007 12/31/2029 NO YES MAXZIDE-25MG TAB 07/01/2007 12/31/2029 NO YES TRIAM/HCTZ CAP 37.5-25 07/01/2007 12/31/2029 NO NO TRIAMT/HCTZ CAP 37.5-25 07/01/2007 12/31/2029 NO NO TRIAMT/HCTZ CAP 50-25MG 07/01/2007 12/31/2029 NO NO TRIAMT/HCTZ TAB 37.5-25 07/01/2007 12/31/2029 NO NO TRIAMT/HCTZ TAB 50-25MG 07/01/2007 12/31/2029 NO NO TRIAMT/HCTZ TAB 75-50MG 07/01/2007 12/31/2029 NO NO Trichlormethiazide DIURESE TAB 4MG 07/01/2007 12/31/2029 NO NO METAHYDRIN TAB 2MG 07/01/2007 12/31/2029 NO YES METAHYDRIN TAB 4MG 07/01/2007 12/31/2029 NO NO MONO-PRESS TAB 4MG 07/01/2007 12/31/2029 NO NO NAQUA TAB 2MG 07/01/2007 12/31/2029 NO NO NAQUA TAB 4MG 07/01/2007 12/31/2029 NO YES SPENZIDE TAB 4MG 07/01/2007 12/31/2029 NO NO TRICHLOREX TAB 4MG 07/01/2007 12/31/2029 NO NO TRICHLORMETH TAB 2MG 07/01/2007 12/31/2029 NO NO TRICHLORMETH TAB 4MG 07/01/2007 12/31/2029 NO NO Urea (Diuretic) UREAPHIL SOL 40GM 07/01/2007 12/31/2029 NO YES *ENDOCRINE AND METABOLIC Abaloparatide TYMLOS INJ 07/01/2007 12/31/2029 NO YES AGENTS - MISC.* Alendronate Sodium ALENDRONATE SOL 70/75ML 07/01/2007 12/31/2029 NO YES ALENDRONATE TAB 10MG 07/01/2007 12/31/2029 NO NO ALENDRONATE TAB 35MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ENDOCRINE AND METABOLIC Alendronate Sodium ALENDRONATE TAB 40MG 07/01/2007 12/31/2029 NO YES AGENTS - MISC.* ALENDRONATE TAB 5MG 07/01/2007 12/31/2029 NO NO ALENDRONATE TAB 70MG 07/01/2007 12/31/2029 NO NO BINOSTO TAB 70MG 07/01/2007 12/31/2029 NO YES FOSAMAX SOL 07/01/2007 12/31/2029 NO YES FOSAMAX TAB 10MG 07/01/2007 12/31/2029 NO YES FOSAMAX TAB 35MG 07/01/2007 12/31/2029 NO YES FOSAMAX TAB 40MG 07/01/2007 12/31/2029 NO YES FOSAMAX TAB 5MG 07/01/2007 12/31/2029 NO YES FOSAMAX TAB 70MG 07/01/2007 12/31/2029 NO YES Alendronate Sodium-Cholecalciferol FOSAMAX + D TAB 70-2800 07/01/2007 12/31/2029 NO YES FOSAMAX + D TAB 70-5600 07/01/2007 12/31/2029 NO YES Aminoglutethimide CYTADREN TAB 250MG 07/01/2007 12/31/2029 NO YES Calcitonin (Human) CIBACALCIN INJ 0.5MG 07/01/2007 12/31/2029 NO YES Calcitonin (Salmon) CALCIMAR INJ 200IU/ML 07/01/2007 12/31/2029 NO YES CALCITONIN INJ 200IU/ML 07/01/2007 12/31/2029 NO NO CALCITONIN SPR 200/ACT 07/01/2007 12/31/2029 NO NO FORTICAL SPR 200/ACT 07/01/2007 12/31/2029 NO YES MIACALCIN INJ 200/ML 07/01/2007 12/31/2029 NO YES MIACALCIN SPR 200/ACT 07/01/2007 12/31/2029 NO YES MIACALCIN SPR 200IU/AC 07/01/2007 12/31/2029 NO YES Denosumab PROLIA SOL 60MG/ML 07/01/2007 12/31/2029 NO YES XGEVA INJ 07/01/2007 12/31/2029 NO YES Etidronate Disodium DIDRONEL TAB 200MG 07/01/2007 12/31/2029 NO YES DIDRONEL TAB 400MG 07/01/2007 12/31/2029 NO YES DIDRONEL IV INJ 300/6ML 07/01/2007 12/31/2029 NO YES DIDRONEL IV INJ 50MG/ML 07/01/2007 12/31/2029 NO YES ETIDRON DISD TAB 200MG 07/01/2007 12/31/2029 NO YES ETIDRON DISD TAB 400MG 07/01/2007 12/31/2029 NO YES Gallium Nitrate GANITE INJ 25MG/ML 07/01/2007 12/31/2029 NO YES Ibandronate Sodium BONIVA INJ 3MG/3ML 07/01/2007 12/31/2029 NO YES BONIVA TAB 150MG 07/01/2007 12/31/2029 NO YES BONIVA TAB 2.5MG 07/01/2007 12/31/2029 NO YES IBANDRONATE INJ 3MG/3ML 07/01/2007 12/31/2029 NO NO IBANDRONATE TAB 150MG 07/01/2007 12/31/2029 NO NO Pamidronate Disodium AREDIA INJ 30MG 07/01/2007 12/31/2029 NO YES AREDIA INJ 60MG 07/01/2007 12/31/2029 NO YES AREDIA INJ 90MG 07/01/2007 12/31/2029 NO YES PAMIDRONATE INJ 30/10ML 07/01/2007 12/31/2029 NO YES PAMIDRONATE INJ 30MG 07/01/2007 12/31/2029 NO NO PAMIDRONATE INJ 6MG/ML 07/01/2007 12/31/2029 NO YES PAMIDRONATE INJ 90/10ML 07/01/2007 12/31/2029 NO YES PAMIDRONATE INJ 90MG 07/01/2007 12/31/2029 NO NO Parathyroid Hormone (Recombinant) NATPARA INJ 100MCG 07/01/2007 12/31/2029 NO YES NATPARA INJ 25MCG 07/01/2007 12/31/2029 NO YES NATPARA INJ 50MCG 07/01/2007 12/31/2029 NO YES NATPARA INJ 75MCG 07/01/2007 12/31/2029 NO YES Risedronate Sodium ACTONEL TAB 150MG 07/01/2007 12/31/2029 NO YES ACTONEL TAB 30MG 07/01/2007 12/31/2029 NO YES ACTONEL TAB 35MG 07/01/2007 12/31/2029 NO YES ACTONEL TAB 5MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ENDOCRINE AND METABOLIC Risedronate Sodium ACTONEL TAB 75MG 07/01/2007 12/31/2029 NO YES AGENTS - MISC.* ATELVIA TAB 07/01/2007 12/31/2029 NO YES RISEDRON SOD TAB 35MG DR 07/01/2007 12/31/2029 NO NO RISEDRONATE TAB 150MG 07/01/2007 12/31/2029 NO NO RISEDRONATE TAB 30MG 07/01/2007 12/31/2029 NO NO RISEDRONATE TAB 35MG 07/01/2007 12/31/2029 NO NO RISEDRONATE TAB 5MG 07/01/2007 12/31/2029 NO NO Risedronate Sodium with Calcium Carbonate ACTONEL WITH TAB CALCIUM 07/01/2007 12/31/2029 NO YES Teriparatide (Recombinant) FORTEO SOL 600/2.4 07/01/2007 12/31/2029 NO YES FORTEO SOL 750/3ML 07/01/2007 12/31/2029 NO YES Tiludronate Disodium SKELID TAB 200MG 07/01/2007 12/31/2029 NO YES Trilostane MODRASTANE CAP 30MG 07/01/2007 12/31/2029 NO YES MODRASTANE CAP 60MG 07/01/2007 12/31/2029 NO YES Zoledronic Acid RECLAST INJ 5/100ML 07/01/2007 12/31/2029 NO YES ZOLEDRONIC INJ 4MG 07/01/2007 12/31/2029 NO YES ZOLEDRONIC INJ 4MG/100 07/01/2007 12/31/2029 NO YES ZOLEDRONIC INJ 4MG/5ML 07/01/2007 12/31/2029 NO NO ZOLEDRONIC INJ 5/100ML 07/01/2007 12/31/2029 NO NO ZOMETA INJ 4MG/100 07/01/2007 12/31/2029 NO YES ZOMETA INJ 4MG/5ML 07/01/2007 12/31/2029 NO YES ZOMETA SOL 4MG 07/01/2007 12/31/2029 NO YES *ESTROGENS* Chlorotrianisene TACE CAP 12MG 07/01/2007 12/31/2029 NO YES TACE CAP 25MG 07/01/2007 12/31/2029 NO YES TACE CAP 72MG 07/01/2007 12/31/2029 NO YES Conjugated Estrogens & Methyltestosterone PREMARIN/MT TAB .625/5MG 07/01/2007 12/31/2029 NO YES PREMARIN/MT TAB 1.25/10 07/01/2007 12/31/2029 NO YES Conjugated Estrogens-Bazedoxifene DUAVEE TAB 0.45-20 07/01/2007 12/31/2029 NO YES Conjugated Estrogens-Medroxyprogesterone Acetate PREMPHASE TAB 07/01/2007 12/31/2029 NO YES PREMPRO TAB 07/01/2007 12/31/2029 NO YES PREMPRO TAB .625-2.5 07/01/2007 12/31/2029 NO YES PREMPRO TAB 0.3-1.5 07/01/2007 12/31/2029 NO YES PREMPRO TAB 0.45-1.5 07/01/2007 12/31/2029 NO YES PREMPRO TAB 0.625-5 07/01/2007 12/31/2029 NO YES DES & Methyltestosterone TYLOSTERONE TAB 07/01/2007 12/31/2029 NO YES Diethylstilbestrol DIETHYLSTILB TAB 1MG 07/01/2007 12/31/2029 NO NO DIETHYLSTILB TAB 1MG EC 07/01/2007 12/31/2029 NO YES DIETHYLSTILB TAB 5MG 07/01/2007 12/31/2029 NO YES DIETHYLSTILB TAB 5MG EC 07/01/2007 12/31/2029 NO NO STILBESTROL TAB 0.5MG EC 07/01/2007 12/31/2029 NO YES STILBESTROL TAB 1MG 07/01/2007 12/31/2029 NO NO STILBESTROL TAB 5MG EC 07/01/2007 12/31/2029 NO YES Drospirenone-Estradiol ANGELIQ TAB 0.25-0.5 07/01/2007 12/31/2029 NO YES ANGELIQ TAB 0.5-1MG 07/01/2007 12/31/2029 NO YES Esterified Estrogens ESTRATAB TAB 0.3MG 07/01/2007 12/31/2029 NO YES ESTRATAB TAB 0.625MG 07/01/2007 12/31/2029 NO YES ESTRATAB TAB 1.25MG 07/01/2007 12/31/2029 NO YES ESTRATAB TAB 2.5MG 07/01/2007 12/31/2029 NO YES LANOGEN TAB 0.625MG 07/01/2007 12/31/2029 NO NO LANOGEN TAB 1.25MG 07/01/2007 12/31/2029 NO NO MENEST TAB 0.3MG 07/01/2007 12/31/2029 NO NO MENEST TAB 0.625MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Esterified Estrogens MENEST TAB 1.25MG 07/01/2007 12/31/2029 NO YES MENEST TAB 2.5MG 07/01/2007 12/31/2029 NO NO Esterified Estrogens & Methyltestosterone COVARYX TAB 1.25-2.5 07/01/2007 12/31/2029 NO NO COVARYX HS TAB 07/01/2007 12/31/2029 NO NO EEMT TAB 1.25-2.5 07/01/2007 12/31/2029 NO NO EEMT HS TAB 07/01/2007 12/31/2029 NO NO ESSIAN TAB 07/01/2007 12/31/2029 NO NO ESSIAN H.S. TAB 07/01/2007 12/31/2029 NO NO EST ESTROGEN TAB MTEST 07/01/2007 12/31/2029 NO NO EST ESTROGEN TAB MTEST DS 07/01/2007 12/31/2029 NO NO EST ESTROGEN TAB MTEST HS 07/01/2007 12/31/2029 NO NO ESTRATEST TAB 07/01/2007 12/31/2029 NO YES ESTRATEST HS TAB 07/01/2007 12/31/2029 NO YES ESTROG/MTEST TAB 1.25-2.5 07/01/2007 12/31/2029 NO NO MENOGEN TAB 07/01/2007 12/31/2029 NO NO MENOGEN H.S. TAB 07/01/2007 12/31/2029 NO NO MTEST HS/EST TAB ESTROGEN 07/01/2007 12/31/2029 NO NO MTEST/EST TAB ESTROGEN 07/01/2007 12/31/2029 NO NO SYNTEST D.S. TAB 07/01/2007 12/31/2029 NO NO SYNTEST H.S. TAB 07/01/2007 12/31/2029 NO NO Estradiol ALORA DIS 0.025MG 07/01/2007 12/31/2029 NO YES ALORA DIS 0.05MG 07/01/2007 12/31/2029 NO YES ALORA DIS 0.075MG 07/01/2007 12/31/2029 NO YES ALORA DIS 0.1MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.025MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.0375MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.05MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.06MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.075MG 07/01/2007 12/31/2029 NO YES CLIMARA DIS 0.1MG 07/01/2007 12/31/2029 NO YES DIVIGEL GEL 0.25MG 07/01/2007 12/31/2029 NO YES DIVIGEL GEL 0.5MG 07/01/2007 12/31/2029 NO YES DIVIGEL GEL 1MG/GM 07/01/2007 12/31/2029 NO YES ELESTRIN GEL 07/01/2007 12/31/2029 NO YES ELESTRIN GEL 0.06% 07/01/2007 12/31/2029 NO YES ESCLIM DIS 0.025MG 07/01/2007 12/31/2029 NO YES ESCLIM DIS 0.0375MG 07/01/2007 12/31/2029 NO YES ESCLIM DIS 0.05MG 07/01/2007 12/31/2029 NO YES ESCLIM DIS 0.075MG 07/01/2007 12/31/2029 NO YES ESCLIM DIS 0.1MG 07/01/2007 12/31/2029 NO YES ESTRACE TAB 0.5MG 07/01/2007 12/31/2029 NO YES ESTRACE TAB 1MG 07/01/2007 12/31/2029 NO YES ESTRACE TAB 2MG 07/01/2007 12/31/2029 NO YES ESTRADERM DIS 0.05MG 07/01/2007 12/31/2029 NO YES ESTRADERM DIS 0.1MG 07/01/2007 12/31/2029 NO YES ESTRADIOL DIS 0.025MG 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.0375MG 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.05/24H 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.05MG 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.06MG 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.075MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Estradiol ESTRADIOL DIS 0.1MG 07/01/2007 12/31/2029 NO NO ESTRADIOL DIS 0.1MG/24 07/01/2007 12/31/2029 NO NO ESTRADIOL MIS 10MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 12.5MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 18MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 20MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 25MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 31MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 37.5MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 50MG 07/01/2007 12/31/2029 NO YES ESTRADIOL MIS 6MG 07/01/2007 12/31/2029 NO YES ESTRADIOL TAB 0.5MG 07/01/2007 12/31/2029 NO NO ESTRADIOL TAB 1MG 07/01/2007 12/31/2029 NO NO ESTRADIOL TAB 2MG 07/01/2007 12/31/2029 NO NO ESTRASORB EMU 07/01/2007 12/31/2029 NO YES ESTROGEL GEL 07/01/2007 12/31/2029 NO YES EVAMIST SPR 1.53MG 07/01/2007 12/31/2029 NO YES FEMPATCH DIS 0.025MG 07/01/2007 12/31/2029 NO YES GYNODIOL TAB 0.5MG 07/01/2007 12/31/2029 NO NO GYNODIOL TAB 1.5MG 07/01/2007 12/31/2029 NO YES GYNODIOL TAB 1MG 07/01/2007 12/31/2029 NO NO GYNODIOL TAB 2MG 07/01/2007 12/31/2029 NO NO MENOSTAR DIS 14MCG 07/01/2007 12/31/2029 NO YES MINIVELLE DIS 0.025MG 07/01/2007 12/31/2029 NO YES MINIVELLE DIS 0.0375MG 07/01/2007 12/31/2029 NO YES MINIVELLE DIS 0.05MG 07/01/2007 12/31/2029 NO YES MINIVELLE DIS 0.075MG 07/01/2007 12/31/2029 NO YES MINIVELLE DIS 0.1MG 07/01/2007 12/31/2029 NO YES VIVELLE DIS 0.025MG 07/01/2007 12/31/2029 NO YES VIVELLE DIS 0.0375MG 07/01/2007 12/31/2029 NO YES VIVELLE DIS 0.05MG 07/01/2007 12/31/2029 NO YES VIVELLE DIS 0.075MG 07/01/2007 12/31/2029 NO YES VIVELLE DIS 0.1MG 07/01/2007 12/31/2029 NO YES VIVELLE-DOT DIS 0.025MG 07/01/2007 12/31/2029 NO YES VIVELLE-DOT DIS 0.0375MG 07/01/2007 12/31/2029 NO YES VIVELLE-DOT DIS 0.05MG 07/01/2007 12/31/2029 NO YES VIVELLE-DOT DIS 0.075MG 07/01/2007 12/31/2029 NO YES VIVELLE-DOT DIS 0.1MG 07/01/2007 12/31/2029 NO YES Estradiol & Estrone GYNOGEN INJ 0.1-2/ML 07/01/2007 12/31/2029 NO YES Estradiol & Norethindrone Acetate ACTIVELLA TAB 0.5-0.1 07/01/2007 12/31/2029 NO YES ACTIVELLA TAB 1-0.5MG 07/01/2007 12/31/2029 NO YES AMABELZ TAB 0.5-0.1 07/01/2007 12/31/2029 NO NO AMABELZ TAB 1-0.5MG 07/01/2007 12/31/2029 NO NO COMBIPATCH DIS .05/.14 07/01/2007 12/31/2029 NO YES COMBIPATCH DIS .05/.25 07/01/2007 12/31/2029 NO YES ESTRA/NORETH TAB 0.5-0.1 07/01/2007 12/31/2029 NO NO ESTRA/NORETH TAB 1-0.5MG 07/01/2007 12/31/2029 NO NO LOPREEZA TAB 0.5-0.1 07/01/2007 12/31/2029 NO NO LOPREEZA TAB 1-0.5MG 07/01/2007 12/31/2029 NO NO MIMVEY TAB 1-0.5MG 07/01/2007 12/31/2029 NO NO MIMVEY LO TAB 0.5-0.1 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Estradiol & Testosterone Cypionates DEPANDROGYN INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO DEPO-TESTAD INJ 50MG-2MG 07/01/2007 12/31/2029 NO YES DEPOTESTOGEN INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO DUO-CYP INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO DURATESTRIN INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO E.T. CYP INJ 50/2 07/01/2007 12/31/2029 NO NO MENOJECT LA INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO PAN ESTRA INJ TEST 07/01/2007 12/31/2029 NO NO TECOMBIN D INJ 50MG-2MG 07/01/2007 12/31/2029 NO NO TES EST CYP INJ 50-2MG 07/01/2007 12/31/2029 NO NO TEST/EST CYP INJ 50MG-2MG 07/01/2007 12/31/2029 NO YES Estradiol Acetate FEMTRACE TAB 0.45MG 07/01/2007 12/31/2029 NO YES FEMTRACE TAB 0.9MG 07/01/2007 12/31/2029 NO YES FEMTRACE TAB 1.8MG 07/01/2007 12/31/2029 NO YES Estradiol Cypionate DEPANATE INJ 5MG/ML 07/01/2007 12/31/2029 NO NO DEPGYNOGEN INJ 5MG/ML 07/01/2007 12/31/2029 NO NO DEPO-ESTRADI INJ 1MG/ML 07/01/2007 12/31/2029 NO YES DEPO-ESTRADI INJ 5MG/ML 07/01/2007 12/31/2029 NO YES DEPOGEN INJ 5MG/ML 07/01/2007 12/31/2029 NO NO D-EST 5 INJ 5MG/ML 07/01/2007 12/31/2029 NO NO DURA-ESTRIN INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESDINATE INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRA D INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRA/CYP/5 INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRA-C INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRAD CYP INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRO SPAN C INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRO-CYP INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTROJECT LA INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRONOL LA INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Estradiol Micronized EC-RX ESTRAD CRE 0.4% 07/01/2007 12/31/2029 NO YES EC-RX ESTRAD CRE 0.6% 07/01/2007 12/31/2029 NO YES Estradiol Val & Testosterone Enanthate ANDRO-ESTRO INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO ANDROGYN LA INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO DELADUMONE INJ 180-8MG 07/01/2007 12/31/2029 NO YES DELADUMONE INJ 90MG-4MG 07/01/2007 12/31/2029 NO YES DELATESTADIO INJ 180-8MG 07/01/2007 12/31/2029 NO NO DITATE DS INJ 180-8MG 07/01/2007 12/31/2029 NO NO DUOVAL PA INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO DURA NEUTRON INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO DURA-DUMONE INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO EST VAL/TEST INJ 4MG-90MG 07/01/2007 12/31/2029 NO NO ESTRA/TEST INJ 90/4 07/01/2007 12/31/2029 NO NO OB INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO SPENDUO INJ 180-8MG 07/01/2007 12/31/2029 NO NO TEEV INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO TELAGREN INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO TEST/EST VAL INJ 180-8MG 07/01/2007 12/31/2029 NO NO TEST/EST VAL INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO TESTRADIOL INJ 180-8MG 07/01/2007 12/31/2029 NO NO TESTRADIOL INJ 90MG-4MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Estradiol Val & Testosterone Enanthate VALERTEST #1 INJ 90MG-4MG 07/01/2007 12/31/2029 NO YES VALERTEST #2 INJ 180-8MG 07/01/2007 12/31/2029 NO NO Estradiol Valerate DELADIOL 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DELESTROGEN INJ 10MG/ML 07/01/2007 12/31/2029 NO YES DELESTROGEN INJ 20MG/ML 07/01/2007 12/31/2029 NO YES DELESTROGEN INJ 40MG/ML 07/01/2007 12/31/2029 NO YES DIOVAL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DIOVAL 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO DIOVAL XX INJ 20MG/ML 07/01/2007 12/31/2029 NO NO DURA ESTRADI INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DURAGEN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DURAGEN INJ 20MG/ML 07/01/2007 12/31/2029 NO NO DURAGEN INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESDIVAL 10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO ESDIVAL 20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO ESDIVAL 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTONE LA INJ 20MG/ML 07/01/2007 12/31/2029 NO NO ESTONE LA INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTRA/VAL/10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO ESTRA/VAL/20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO ESTRA/VAL/40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTRAD VAL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO ESTRAD VAL INJ 200MG/5 07/01/2007 12/31/2029 NO NO ESTRAD VAL INJ 20MG/ML 07/01/2007 12/31/2029 NO NO ESTRAD VAL INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTRA-V 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTRAVAL 2X INJ 20MG/ML 07/01/2007 12/31/2029 NO NO ESTRAVAL 4X INJ 40MG/ML 07/01/2007 12/31/2029 NO NO ESTRAVAL PA INJ 10MG/ML 07/01/2007 12/31/2029 NO NO ESTRO-SPAN10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO ESTRO-SPAN40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO E-V 20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO FEMINATE 20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO FEMINATE 40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO GYNOGEN LA10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO GYNOGEN LA20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO GYNOGEN LA40 INJ 40MG/ML 07/01/2007 12/31/2029 NO NO LAE 20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO MEDIDIOL 10 INJ 10MG/ML 07/01/2007 12/31/2029 NO NO MENAVAL 20 INJ 20MG/ML 07/01/2007 12/31/2029 NO NO PAN ESTRA LA INJ 40MG/ML 07/01/2007 12/31/2029 NO NO REPESTROGEN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO REPOS HORMON INJ 20MG/ML 07/01/2007 12/31/2029 NO NO RU-EST-SPAN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO RU-EST-SPAN INJ 20MG/ML 07/01/2007 12/31/2029 NO NO RU-EST-SPAN INJ 40MG/ML 07/01/2007 12/31/2029 NO NO VALERGEN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO VALERGEN INJ 20MG/ML 07/01/2007 12/31/2029 NO NO VALERGEN INJ 40MG/ML 07/01/2007 12/31/2029 NO NO VALESCO INJ 10MG/ML 07/01/2007 12/31/2029 NO NO VALESCO INJ 20MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Estradiol Valerate VALESCO INJ 40MG/ML 07/01/2007 12/31/2029 NO NO Estradiol-Estriol-Progesterone Micronized BIEST/PROGES CRE 07/01/2007 12/31/2029 NO YES Estradiol-Levonorgestrel CLIMARA PRO DIS WEEKLY 07/01/2007 12/31/2029 NO YES Estradiol-Norgestimate ORTHO-PREFES TAB 07/01/2007 12/31/2029 NO YES PREFEST TAB 07/01/2007 12/31/2029 NO YES Estrogen Conjugated-Methyltestosterone-Methamphetamine MEDIATRIC SYP 07/01/2007 12/31/2029 NO YES Estrogen Esterified w/ Chlordiazepoxide MENRIUM TAB 10-4 07/01/2007 12/31/2029 NO YES MENRIUM TAB 5-2 07/01/2007 12/31/2029 NO YES MENRIUM TAB 5-4 07/01/2007 12/31/2029 NO YES Estrogenic Substance AQUAGEN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTROGENIC INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTROGENS INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTROJECT 2 INJ 2MG/ML 07/01/2007 12/31/2029 NO NO GENOSTRIN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO KESTRIN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO LANESTRIN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO WEHGEN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO Estrogens Conjugated w/ Meprobamate MILPREM TAB 200MG 07/01/2007 12/31/2029 NO YES MILPREM TAB 400MG 07/01/2007 12/31/2029 NO YES PMB 200 TAB 200MG 07/01/2007 12/31/2029 NO YES PMB 400 TAB 400MG 07/01/2007 12/31/2029 NO YES Estrogens, Conjugated CONGENS TAB 0.625MG 07/01/2007 12/31/2029 NO NO CONGENS TAB 1.25MG 07/01/2007 12/31/2029 NO NO CONJ ESTROGN INJ 25MG 07/01/2007 12/31/2029 NO NO CONJ ESTROGN TAB 0.3MG 07/01/2007 12/31/2029 NO NO CONJ ESTROGN TAB 0.625MG 07/01/2007 12/31/2029 NO NO CONJ ESTROGN TAB 1.25MG 07/01/2007 12/31/2029 NO NO CONJ ESTROGN TAB 2.5MG 07/01/2007 12/31/2029 NO NO ESTROGENS POW CONJUGAT 07/01/2007 12/31/2029 NO YES PREMARIN INJ 25MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 0.3MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 0.45MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 0.625MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 0.9MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 1.25MG 07/01/2007 12/31/2029 NO YES PREMARIN TAB 2.5MG 07/01/2007 12/31/2029 NO YES THSC CON EST TAB 0.625MG 07/01/2007 12/31/2029 NO YES Estrogens, Conjugated Synthetic A CENESTIN TAB 0.3MG 07/01/2007 12/31/2029 NO YES CENESTIN TAB 0.45MG 07/01/2007 12/31/2029 NO YES CENESTIN TAB 0.625MG 07/01/2007 12/31/2029 NO YES CENESTIN TAB 0.9MG 07/01/2007 12/31/2029 NO YES CENESTIN TAB 1.25MG 07/01/2007 12/31/2029 NO YES Estrogens, Conjugated Synthetic B ENJUVIA TAB 0.3MG 07/01/2007 12/31/2029 NO YES ENJUVIA TAB 0.45MG 07/01/2007 12/31/2029 NO YES ENJUVIA TAB 0.625MG 07/01/2007 12/31/2029 NO YES ENJUVIA TAB 0.9MG 07/01/2007 12/31/2029 NO YES ENJUVIA TAB 1.25MG 07/01/2007 12/31/2029 NO YES Estrone AQUEST INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTRA/AQ/5 INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRO-5 INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTROGENS INJ 2MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ESTROGENS* Estrone ESTRON AQ INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTRONE CRY USP 07/01/2007 12/31/2029 NO YES ESTRONE INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTRONE INJ 5MG/ML 07/01/2007 12/31/2029 NO NO ESTRONE POW USP 07/01/2007 12/31/2029 NO YES ESTRONE AQ INJ 2MG/ML 07/01/2007 12/31/2029 NO NO ESTRONOL INJ 2MG/ML 07/01/2007 12/31/2029 NO NO KESTRONE 5 INJ 5MG/ML 07/01/2007 12/31/2029 NO NO PRIMESTRIN INJ 2MG/ML 07/01/2007 12/31/2029 NO NO RU-EST INJ 2MG/ML 07/01/2007 12/31/2029 NO NO THEELIN INJ 2MG/ML 07/01/2007 12/31/2029 NO YES WEHGEN V INJ 5MG/ML 07/01/2007 12/31/2029 NO NO Estropipate ESTROPIPATE TAB 0.75MG 07/01/2007 12/31/2029 NO NO ESTROPIPATE TAB 1.5MG 07/01/2007 12/31/2029 NO NO ESTROPIPATE TAB 3MG 07/01/2007 12/31/2029 NO NO OGEN TAB 0.625 07/01/2007 12/31/2029 NO YES OGEN TAB 0.625MG 07/01/2007 12/31/2029 NO YES OGEN TAB 1.25 07/01/2007 12/31/2029 NO YES OGEN TAB 1.25MG 07/01/2007 12/31/2029 NO YES OGEN TAB 2.5 07/01/2007 12/31/2029 NO YES OGEN TAB 2.5MG 07/01/2007 12/31/2029 NO YES OGEN TAB 5MG 07/01/2007 12/31/2029 NO YES ORTHO-EST TAB 0.625 07/01/2007 12/31/2029 NO NO ORTHO-EST TAB 1.25 07/01/2007 12/31/2029 NO NO Ethinyl Estradiol ESTINYL TAB 0.02MG 07/01/2007 12/31/2029 NO YES ESTINYL TAB 0.05MG 07/01/2007 12/31/2029 NO YES ESTINYL TAB 0.5MG 07/01/2007 12/31/2029 NO YES ETHINYL POW ESTRADIO 07/01/2007 12/31/2029 NO YES ETHINYL ESTR TAB 0.02MG 07/01/2007 12/31/2029 NO NO FEMINONE TAB 0.05MG 07/01/2007 12/31/2029 NO NO Ethinyl Estradiol & Fluoxymesterone HALODRIN TAB 07/01/2007 12/31/2029 NO YES Norethindrone Acetate-Ethinyl Estradiol FEMHRT TAB 0.5-2.5 07/01/2007 12/31/2029 NO YES FEMHRT 1/5 TAB 07/01/2007 12/31/2029 NO YES FYAVOLV TAB 0.5-2.5 07/01/2007 12/31/2029 NO NO FYAVOLV TAB 1-5 07/01/2007 12/31/2029 NO NO JEVANTIQUE TAB 1MG-5MCG 07/01/2007 12/31/2029 NO NO JEVANTIQUE L TAB 0.5-2.5 07/01/2007 12/31/2029 NO NO JINTELI TAB 1MG-5MCG 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB 0.5-2.5 07/01/2007 12/31/2029 NO NO NORETH/ETHIN TAB 1MG-5MCG 07/01/2007 12/31/2029 NO NO Potassium Estrone Sulfate POTASS EST INJ 10MG/ML 07/01/2007 12/31/2029 NO YES Quinestrol ESTROVIS TAB 100MCG 07/01/2007 12/31/2029 NO YES *FLUOROQUINOLONES* Ciprofloxacin CIPRO SUS 10GM/100 07/01/2006 12/31/2029 NO YES CIPRO SUS 5G/100ML 07/01/2006 12/31/2029 NO YES CIPRO (10%) SUS 500MG/5 07/01/2006 12/31/2029 NO YES CIPRO (5%) SUS 250MG/5 07/01/2006 12/31/2029 NO YES CIPRO I.V. INJ 1200MG 07/01/2006 12/31/2029 NO YES CIPRO I.V. INJ 200MG 07/01/2006 12/31/2029 NO YES CIPRO I.V. INJ 400/1% 07/01/2006 12/31/2029 NO YES CIPRO I.V. INJ 400MG 07/01/2006 12/31/2029 NO YES CIPROFLOXACN SUS 10% 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *FLUOROQUINOLONES* Ciprofloxacin CIPROFLOXACN SUS 250MG/5 07/01/2006 12/31/2029 NO NO CIPROFLOXACN SUS 5% 07/01/2006 12/31/2029 NO YES CIPROFLOXACN SUS 500MG/5 07/01/2006 12/31/2029 NO NO Ciprofloxacin HCl CIPRO TAB 250MG 05/02/2008 12/31/2029 NO YES CIPRO TAB 500MG 05/02/2008 12/31/2029 NO YES CIPRO TAB 750MG 05/02/2008 12/31/2029 NO YES CIPRO CYSTIT TAB 100MG 05/02/2008 12/31/2029 NO YES CIPROFLOXACN TAB 100MG 05/02/2008 12/31/2029 NO NO CIPROFLOXACN TAB 250MG 05/02/2008 12/31/2029 NO NO CIPROFLOXACN TAB 500MG 05/02/2008 12/31/2029 NO NO CIPROFLOXACN TAB 750MG 05/02/2008 12/31/2029 NO NO Ciprofloxacin in D5W CIPRO I.V. SOL 200MG 05/02/2008 12/31/2029 NO YES CIPRO I.V. SOL 400MG 05/02/2008 12/31/2029 NO YES Ciprofloxacin-Ciprofloxacin HCl CIPRO XR TAB 1000MG 05/02/2008 12/31/2029 NO YES CIPRO XR TAB 500MG 05/02/2008 12/31/2029 NO YES CIPROFLOXACN TAB 1000MG 05/02/2008 12/31/2029 NO NO CIPROFLOXACN TAB 500MG ER 05/02/2008 12/31/2029 NO NO CIPROFLOXACN TAB ER 500MG 05/02/2008 12/31/2029 NO NO Gatifloxacin TEQUIN INJ 10MG/ML 07/01/2006 12/31/2029 NO YES TEQUIN TAB 200MG 07/01/2006 12/31/2029 NO YES TEQUIN TAB 400MG 07/01/2006 12/31/2029 NO YES Levofloxacin LEVAQUIN INJ 25MG/ML 07/01/2006 12/31/2029 NO YES LEVAQUIN SOL 25MG/ML 07/01/2006 12/31/2029 NO YES LEVAQUIN TAB 250MG 07/01/2006 12/31/2029 NO YES LEVAQUIN TAB 500MG 07/01/2006 12/31/2029 NO YES LEVAQUIN TAB 750MG 07/01/2006 12/31/2029 NO YES LEVAQUIN TAB LEVA-PAK 07/01/2006 12/31/2029 NO YES LEVOFLOXACIN INJ 25MG/ML 07/01/2006 12/31/2029 NO NO LEVOFLOXACIN SOL 25MG/ML 07/01/2006 12/31/2029 NO YES LEVOFLOXACIN TAB 250MG 07/01/2006 12/31/2029 NO NO LEVOFLOXACIN TAB 500MG 07/01/2006 12/31/2029 NO NO LEVOFLOXACIN TAB 750MG 07/01/2006 12/31/2029 NO NO Moxifloxacin HCl AVELOX TAB 400MG 07/01/2006 12/31/2029 NO YES AVELOX ABC TAB 400MG 07/01/2006 12/31/2029 NO YES MOXIFLOXACIN TAB 400MG 07/01/2006 12/31/2029 NO NO Moxifloxacin HCl in Sodium Chloride AVELOX INJ 07/01/2006 12/31/2029 NO YES *GASTROINTESTINAL AGENTS - Alosetron HCl ALOSETRON TAB 0.5MG 07/01/2007 12/31/2029 NO NO MISC.* ALOSETRON TAB 1MG 07/01/2007 12/31/2029 NO NO LOTRONEX TAB 0.5MG 07/01/2007 12/31/2029 NO YES LOTRONEX TAB 1MG 07/01/2007 12/31/2029 NO YES Alpha-D-Galactosidase ANTI-GAS CAP 07/01/2007 12/31/2029 NO NO BEANO LIQ DROPS 07/01/2007 12/31/2029 NO YES BEANO TAB 07/01/2007 12/31/2029 NO YES BEANO TAB MELTAWAY 07/01/2007 12/31/2029 NO YES BEANO TO GO TAB 07/01/2007 12/31/2029 NO YES FOOD ENZYME TAB 07/01/2007 12/31/2029 NO NO GAS ENZYME TAB SUPPLMNT 07/01/2007 12/31/2029 NO NO GAS PREVENT CAP EQL 07/01/2007 12/31/2029 NO NO GAS-X CAP PREVENT 07/01/2007 12/31/2029 NO YES RA ANTI-GAS CAP 07/01/2007 12/31/2029 NO NO RA DIGEST AI TAB 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Alpha-D-Galactosidase RA DIGESTIVE TAB AID 07/01/2007 12/31/2029 NO NO MISC.* V-R GAS TAB ENZYME 07/01/2007 12/31/2029 NO NO Alvimopan ENTEREG CAP 12MG 07/01/2007 12/31/2029 NO YES Asafoetida ASAFETIDA TIN 07/01/2007 12/31/2029 NO NO Asafoetida-Cascara Sagrada FLATULANCE TAB 07/01/2007 12/31/2029 NO YES Balsalazide Disodium BALSALAZIDE CAP 750MG 07/01/2007 12/31/2029 NO NO COLAZAL CAP 750MG 07/01/2007 12/31/2029 NO YES GIAZO TAB 1.1GM 07/01/2007 12/31/2029 NO YES Calcium Acetate (Phosphate Binder) CALC ACETATE CAP 667MG 07/01/2007 12/31/2029 NO NO CALC ACETATE TAB 667MG 07/01/2007 12/31/2029 NO NO CALPHRON TAB 667MG 07/01/2007 12/31/2029 NO NO ELIPHOS TAB 667MG 07/01/2007 12/31/2029 NO YES PHOSLO CAP 667MG 07/01/2007 12/31/2029 NO YES PHOSLO TAB 667MG 07/01/2007 12/31/2029 NO YES PHOSLYRA SOL 07/01/2007 12/31/2029 NO YES Certolizumab Pegol CIMZIA KIT 07/01/2007 12/31/2029 NO YES CIMZIA KIT STARTER 07/01/2007 12/31/2029 NO YES CIMZIA PREFL KIT 200MG/ML 07/01/2007 12/31/2029 NO YES Chenodiol CHENIX TAB 250MG 07/01/2007 12/31/2029 NO YES CHENODAL TAB 250MG 07/01/2007 12/31/2029 NO YES Cholic Acid CHOLBAM CAP 250MG 07/01/2007 12/31/2029 NO YES CHOLBAM CAP 50MG 07/01/2007 12/31/2029 NO YES Cisapride PROPULSID SUS 1MG/ML 07/01/2007 12/31/2029 NO YES PROPULSID TAB 10MG 07/01/2007 12/31/2029 NO YES PROPULSID TAB 20MG 07/01/2007 12/31/2029 NO YES Cromolyn Sodium (Mastocytosis) CROMOLYN SOD CON 100/5ML 07/01/2007 12/31/2029 NO NO GASTROCROM CON 100/5ML 07/01/2007 12/31/2029 NO YES Dexpanthenol DEXPANTHENOL INJ 250MG/ML 07/01/2007 12/31/2029 NO YES D-PAN INJ 250MG/ML 07/01/2007 12/31/2029 NO NO ILOPAN INJ 250MG/ML 07/01/2007 12/31/2029 NO YES Dexpanthenol-Choline Bitartrate ILOPAN CHOL TAB 07/01/2007 12/31/2029 NO YES Eluxadoline VIBERZI TAB 100MG 07/01/2007 12/31/2029 NO YES VIBERZI TAB 75MG 07/01/2007 12/31/2029 NO YES Ferric Citrate AURYXIA TAB 210MG 07/01/2007 12/31/2029 NO YES Infliximab REMICADE INJ 100MG 07/01/2007 12/31/2029 NO YES Infliximab-dyyb INFLECTRA INJ 100MG 07/01/2007 12/31/2029 NO YES Lactulose (Encephalopathy) CALULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO CEPHULAC SYP 10GM/15 07/01/2007 12/31/2029 NO YES CHOLAC SYP 10GM/15 07/01/2007 12/31/2029 NO NO ENULOSE SOL 10GM/15 07/01/2007 12/31/2029 NO NO ENULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO GENERLAC SOL 10GM/15 07/01/2007 12/31/2029 NO NO GENERLAC SYP 10GM/15 07/01/2007 12/31/2029 NO NO HEPTALAC SYP 10GM/15 07/01/2007 12/31/2029 NO NO LACTULOSE SOL 10GM/15 07/01/2007 12/31/2029 NO NO LACTULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO R-O-LACTULOS SYP 10GM/15 07/01/2007 12/31/2029 NO NO Lanthanum Carbonate FOSRENOL CHW 1000MG 07/01/2007 12/31/2029 NO YES FOSRENOL CHW 250MG 07/01/2007 12/31/2029 NO YES FOSRENOL CHW 500MG 07/01/2007 12/31/2029 NO YES FOSRENOL CHW 750MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Lanthanum Carbonate FOSRENOL POW 1000MG 07/01/2007 12/31/2029 NO YES MISC.* FOSRENOL POW 750MG 07/01/2007 12/31/2029 NO YES Linaclotide LINZESS CAP 145MCG 07/01/2007 12/31/2029 NO YES LINZESS CAP 290MCG 07/01/2007 12/31/2029 NO YES LINZESS CAP 72MCG 07/01/2007 12/31/2029 NO YES Lubiprostone AMITIZA CAP 24MCG 07/01/2007 12/31/2029 NO YES AMITIZA CAP 8MCG 07/01/2007 12/31/2029 NO YES Mesalamine 5-AMINOSALIC POW ACID 07/01/2007 12/31/2029 NO YES APRISO CAP 0.375GM 07/01/2007 12/31/2029 NO YES ASACOL TAB 400MG DR 07/01/2007 12/31/2029 NO YES ASACOL TAB 400MG EC 07/01/2007 12/31/2029 NO YES ASACOL HD TAB 800MG 07/01/2007 12/31/2029 NO YES CANASA SUP 1000MG 07/01/2007 12/31/2029 NO YES CANASA SUP 500MG 07/01/2007 12/31/2029 NO YES DELZICOL CAP 400MG 07/01/2007 12/31/2029 NO YES FIV-ASA SUP 500MG 07/01/2007 12/31/2029 NO YES LIALDA TAB 1.2GM 07/01/2007 12/31/2029 NO YES MESALAMINE ENE 4GM 07/01/2007 12/31/2029 NO NO MESALAMINE POW 07/01/2007 12/31/2029 NO YES MESALAMINE TAB 800MG DR 07/01/2007 12/31/2029 NO YES PENTASA CAP 250MG CR 07/01/2007 12/31/2029 NO YES PENTASA CAP 500MG CR 07/01/2007 12/31/2029 NO YES ROWASA ENE 4GM 07/01/2007 12/31/2029 NO YES ROWASA SUP 500MG 07/01/2007 12/31/2029 NO YES SFROWASA ENE 4GM 07/01/2007 12/31/2029 NO YES Mesalamine w/ Cleanser MESALAMINE KIT 4GM 07/01/2007 12/31/2029 NO NO ROWASA KIT 4GM 07/01/2007 12/31/2029 NO YES Methylnaltrexone Bromide RELISTOR INJ 12/0.6ML 07/01/2007 12/31/2029 NO YES RELISTOR INJ 8/0.4ML 07/01/2007 12/31/2029 NO YES RELISTOR KIT 12/0.6ML 07/01/2007 12/31/2029 NO YES RELISTOR TAB 150MG 07/01/2007 12/31/2029 NO YES Metoclopramide HCl CLOPRA TAB 10MG 07/01/2007 12/31/2029 NO NO MAXOLON TAB 10MG 07/01/2007 12/31/2029 NO NO METOCLOPRAM CON 10MG/ML 07/01/2007 12/31/2029 NO YES METOCLOPRAM INJ 10MG/2ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM INJ 10MG/ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM INJ 5MG/ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM SOL 10/10ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM SOL 1MG/1ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM SOL 5MG/5ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM SYP 5MG/5ML 07/01/2007 12/31/2029 NO NO METOCLOPRAM TAB 10MG 07/01/2007 12/31/2029 NO NO METOCLOPRAM TAB 5MG 07/01/2007 12/31/2029 NO NO METOCLOPRAM TAB 5MG ODT 07/01/2007 12/31/2029 NO YES METOCLOPRAMI POW HCL USP 07/01/2007 12/31/2029 NO YES METOCLOPRAMI TAB 10MG ODT 07/01/2007 12/31/2029 NO YES METOZOLV ODT TAB 10MG 07/01/2007 12/31/2029 NO YES METOZOLV ODT TAB 5MG 07/01/2007 12/31/2029 NO YES MYCLOPRAMIDE SYP 5MG/5ML 07/01/2007 12/31/2029 NO NO OCTAMIDE INJ 5MG/ML 07/01/2007 12/31/2029 NO NO OCTAMIDE TAB 10MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Metoclopramide HCl REGLAN INJ 10MG/2ML 07/01/2007 12/31/2029 NO YES MISC.* REGLAN INJ 10MG/ML 07/01/2007 12/31/2029 NO YES REGLAN INJ 5MG/ML 07/01/2007 12/31/2029 NO YES REGLAN SYP 5MG/5ML 07/01/2007 12/31/2029 NO YES REGLAN TAB 10MG 07/01/2007 12/31/2029 NO YES REGLAN TAB 5MG 07/01/2007 12/31/2029 NO YES Metoclopramide HCl Monohydrate METOCLOPRAM POW MONOHYDR 07/01/2007 12/31/2029 NO YES Monoctanoin MOCTANIN SOL 100% 07/01/2007 12/31/2029 NO YES Monooctanoin MOCTANIN SOL 80% 07/01/2007 12/31/2029 NO YES Naloxegol Oxalate MOVANTIK TAB 12.5MG 07/01/2007 12/31/2029 NO YES MOVANTIK TAB 25MG 07/01/2007 12/31/2029 NO YES Obeticholic Acid OCALIVA TAB 10MG 07/01/2007 12/31/2029 NO YES OCALIVA TAB 5MG 07/01/2007 12/31/2029 NO YES Olsalazine Sodium DIPENTUM CAP 250MG 07/01/2007 12/31/2029 NO YES Plecanatide TRULANCE TAB 3MG 07/01/2007 12/31/2029 NO YES Sevelamer Carbonate RENVELA PAK 0.8GM 07/01/2007 12/31/2029 NO YES RENVELA PAK 2.4GM 07/01/2007 12/31/2029 NO YES RENVELA TAB 800MG 07/01/2007 12/31/2029 NO YES SEVELAMER POW 0.8GM 07/01/2007 12/31/2029 NO NO SEVELAMER POW 2.4GM 07/01/2007 12/31/2029 NO NO SEVELAMER TAB 800MG 07/01/2007 12/31/2029 NO YES Sevelamer HCl RENAGEL CAP 403MG 07/01/2007 12/31/2029 NO YES RENAGEL TAB 400MG 07/01/2007 12/31/2029 NO YES RENAGEL TAB 800MG 07/01/2007 12/31/2029 NO YES Simethicone ALKA-SELTZER CAP 125MG 07/01/2007 12/31/2029 NO NO ALKA-SELTZER CAP ANTI-GAS 07/01/2007 12/31/2029 NO NO ANTACID CHW 80MG 07/01/2007 12/31/2029 NO NO ANTI GAS CAP 166MG 07/01/2007 12/31/2029 NO NO ANTI-GAS CAP 07/01/2007 12/31/2029 NO NO ANTI-GAS CAP 125MG 07/01/2007 12/31/2029 NO NO ANTI-GAS CAP 166MG 07/01/2007 12/31/2029 NO NO ANTI-GAS CAP 180MG 07/01/2007 12/31/2029 NO NO ANTI-GAS CHW 80MG 07/01/2007 12/31/2029 NO NO ANTI-GAS/80 CHW 80MG 07/01/2007 12/31/2029 NO NO BABY GAS DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO BABY GASZ DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO BICARSIM TAB 125MG 07/01/2007 12/31/2029 NO YES BICARSIM TAB 80MG 07/01/2007 12/31/2029 NO YES BIOMETHICON CHW 80MG 07/01/2007 12/31/2029 NO NO BL ANTI-GAS CAP 166MG 07/01/2007 12/31/2029 NO NO COLIC DROPS DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO COLICON DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO CVS GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO CVS GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO CVS GAS RELF DRO EX ST 07/01/2007 12/31/2029 NO NO DEGACON CHW 80MG 07/01/2007 12/31/2029 NO NO DEGAS CHW 80MG 07/01/2007 12/31/2029 NO NO ECK ANTI-GAS DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO ECK GAS RELF CAP 125MG 07/01/2007 12/31/2029 NO NO EQL GAS GONE CHW 125MG 07/01/2007 12/31/2029 NO NO EQL GAS RLF CAP 180MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Simethicone FLATULEX DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO MISC.* FV SIMETHICO DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO GAS DISTRESS CHW 40MG 07/01/2007 12/31/2029 NO NO GAS FREE CAP 125MG 07/01/2007 12/31/2029 NO NO GAS RELIEF CAP 125MG 07/01/2007 12/31/2029 NO NO GAS RELIEF CAP 166MG MS 07/01/2007 12/31/2029 NO NO GAS RELIEF CAP 180MG 07/01/2007 12/31/2029 NO NO GAS RELIEF CHW 125MG 07/01/2007 12/31/2029 NO NO GAS RELIEF CHW 80MG 07/01/2007 12/31/2029 NO NO GAS RELIEF DRO 07/01/2007 12/31/2029 NO NO GAS RELIEF DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO GAS RELIEF DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO GAS RELIEF DRO INFANTS 07/01/2007 12/31/2029 NO NO GAS RELIEF LIQ INFANTS 07/01/2007 12/31/2029 NO NO GASAID CAP 125MG 07/01/2007 12/31/2029 NO NO GAS-X CAP 125MG 07/01/2007 12/31/2029 NO NO GAS-X CAP 180MG 07/01/2007 12/31/2029 NO NO GAS-X CAP MAX STR 07/01/2007 12/31/2029 NO NO GAS-X CHW 80MG 07/01/2007 12/31/2029 NO YES GAS-X CHILD MIS 40MG 07/01/2007 12/31/2029 NO YES GAS-X EX ST CAP 125MG 07/01/2007 12/31/2029 NO NO GAS-X EX ST LIQ 50MG/5ML 07/01/2007 12/31/2029 NO YES GAS-X EX STR CAP 125MG 07/01/2007 12/31/2029 NO NO GAS-X EX-STR CHW 125MG 07/01/2007 12/31/2029 NO YES GAS-X EX-STR MIS 62.5MG 07/01/2007 12/31/2029 NO YES GAS-X INFANT DRO 07/01/2007 12/31/2029 NO NO GENASYME CHW 80MG 07/01/2007 12/31/2029 NO NO GENASYME DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO GNP ANTI-GAS CAP 166MG 07/01/2007 12/31/2029 NO NO GNP ANTI-GAS CAP 180MG 07/01/2007 12/31/2029 NO NO GNP GAS RELF CAP 125MG 07/01/2007 12/31/2029 NO NO GNP GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO GNP GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO HCA GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO HCA GAS RELI CHW MAX ST 07/01/2007 12/31/2029 NO NO HCA INFANTS DRO GAS RELI 07/01/2007 12/31/2029 NO NO HM ANTI-GAS CAP 125MG 07/01/2007 12/31/2029 NO NO HM GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO HM GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO HM GAS RELIE CHW 125MG 07/01/2007 12/31/2029 NO NO HM SIMETHIC DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO INFANTS GAS DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO LITTLE REMED SUS 20/.03ML 07/01/2007 12/31/2029 NO NO LITTLE TUMMY DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO MAALOX ANTI- CHW GAS 150 07/01/2007 12/31/2029 NO NO MAALOX ANTI- CHW GAS 80MG 07/01/2007 12/31/2029 NO NO MAJORCON CHW 80MG 07/01/2007 12/31/2029 NO NO MAJORCON DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO MI-ACID GAS CHW 80MG 07/01/2007 12/31/2029 NO NO MICON-80 CHW 80MG 07/01/2007 12/31/2029 NO NO MY BABY GAS DRO RELIEF 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Simethicone MYLANTA GAS CAP 125 MG 07/01/2007 12/31/2029 NO YES MISC.* MYLANTA GAS CAP 125MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS CAP 62.5MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS CHW 125MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS CHW 40MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS CHW 41.667MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS CHW 80MG 07/01/2007 12/31/2029 NO YES MYLANTA GAS TAB MAX ST 07/01/2007 12/31/2029 NO YES MYLANTA GAS TAB MAX STRG 07/01/2007 12/31/2029 NO YES MYLATRON CHW 80MG 07/01/2007 12/31/2029 NO NO MYLA-TRON CHW 80MG 07/01/2007 12/31/2029 NO NO MYLAVAL DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO MYLICON CHW 40MG 07/01/2007 12/31/2029 NO YES MYLICON DRO 40/0.6ML 07/01/2007 12/31/2029 NO YES MYLICON INFA DRO 20/0.3ML 07/01/2007 12/31/2029 NO YES MYLICON-125 CHW 07/01/2007 12/31/2029 NO NO MYLICON-80 CHW 80MG 07/01/2007 12/31/2029 NO YES MYTAB GAS CHW 125MG 07/01/2007 12/31/2029 NO NO MYTAB GAS CHW 80MG 07/01/2007 12/31/2029 NO NO OSCO GAS-GON CHW 80MG 07/01/2007 12/31/2029 NO NO OSCO SIMETH DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO PEDIACARE DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO PHAZYME CAP 125MG 07/01/2007 12/31/2029 NO YES PHAZYME CAP 180MG 07/01/2007 12/31/2029 NO YES PHAZYME CAP 250MG 07/01/2007 12/31/2029 NO YES PHAZYME CHW 125MG 07/01/2007 12/31/2029 NO NO PHAZYME DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO PHAZYME TAB 60MG EC 07/01/2007 12/31/2029 NO YES PHAZYME MS CAP 166MG 07/01/2007 12/31/2029 NO YES PHAZYME MS CHW 166MG 07/01/2007 12/31/2029 NO YES PHAZYME ULTR CAP 180MG 07/01/2007 12/31/2029 NO YES PHAZYME-125 CAP 07/01/2007 12/31/2029 NO YES PHAZYME-95 TAB EC 07/01/2007 12/31/2029 NO YES PX GAS RELF CAP EX ST 07/01/2007 12/31/2029 NO NO QC GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO QC GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO RA GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO RA GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO SAV-ON GAS CHW -GONE 07/01/2007 12/31/2029 NO NO SAV-ON SIMET DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO SB ANTI-GAS CAP 166MG 07/01/2007 12/31/2029 NO NO SB GAS RELF CHW 125MG 07/01/2007 12/31/2029 NO NO SB GAS RELIE CHW 80MG 07/01/2007 12/31/2029 NO NO SILAIN TAB 50MG 07/01/2007 12/31/2029 NO YES SIMEPED DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO SIMETHICONE CAP 125MG 07/01/2007 12/31/2029 NO NO SIMETHICONE CAP 180MG 07/01/2007 12/31/2029 NO NO SIMETHICONE CHW 125MG 07/01/2007 12/31/2029 NO NO SIMETHICONE CHW 80MG 07/01/2007 12/31/2029 NO NO SIMETHICONE DRO 20/0.3ML 07/01/2007 12/31/2029 NO NO SIMETHICONE DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *GASTROINTESTINAL AGENTS - Simethicone SIMETHICONE LIQ 07/01/2007 12/31/2029 NO YES MISC.* SIMETHICONE LIQ USP 100% 07/01/2007 12/31/2029 NO YES SIMETHICONE TAB 80MG 07/01/2007 12/31/2029 NO NO SM GAS REL CHW 125MG 07/01/2007 12/31/2029 NO NO SM GAS RELF CHW 80MG 07/01/2007 12/31/2029 NO NO SM GAS RELIE CHW 80MG 07/01/2007 12/31/2029 NO NO V-R GAS RELF DRO 40/0.6ML 07/01/2007 12/31/2029 NO NO Simethicone w/ Charcoal, Activated BICARSIM TAB 07/01/2007 12/31/2029 NO YES BICARSIM TAB FORTE 07/01/2007 12/31/2029 NO YES CHARCOAL PLU TAB 07/01/2007 12/31/2029 NO YES CHARCOAL/SIM TAB 500/80 07/01/2007 12/31/2029 NO NO FLATULEX TAB 07/01/2007 12/31/2029 NO YES FLATULEX TAB MAX-STR 07/01/2007 12/31/2029 NO YES Sucroferric Oxyhydroxide VELPHORO CHW 500MG 07/01/2007 12/31/2029 NO YES Sulfasalazine AZULFIDINE SUS 250/5ML 07/01/2007 12/31/2029 NO YES AZULFIDINE TAB 500MG 07/01/2007 12/31/2029 NO YES AZULFIDINE TAB 500MG EN 07/01/2007 12/31/2029 NO YES S.A.S. TAB 500MG 07/01/2007 12/31/2029 NO NO SULFASALAZIN POW 07/01/2007 12/31/2029 NO YES SULFASALAZIN TAB 500MG 07/01/2007 12/31/2029 NO NO SULFASALAZIN TAB 500MG DR 07/01/2007 12/31/2029 NO NO SULFASALAZIN TAB 500MG EC 07/01/2007 12/31/2029 NO NO SULFAZINE TAB 500MG 07/01/2007 12/31/2029 NO NO Tegaserod Maleate ZELNORM TAB 2MG 07/01/2007 12/31/2029 NO YES ZELNORM TAB 6MG 07/01/2007 12/31/2029 NO YES Telotristat Etiprate XERMELO TAB 250MG 07/01/2007 12/31/2029 NO YES Ursodiol ACTIGALL CAP 300MG 07/01/2007 12/31/2029 NO YES URSO TAB 250MG 07/01/2007 12/31/2029 NO YES URSO 250 TAB 250MG 07/01/2007 12/31/2029 NO YES URSO FORTE TAB 500MG 07/01/2007 12/31/2029 NO YES URSODIOL CAP 300MG 07/01/2007 12/31/2029 NO NO URSODIOL SUS 30MG/ML 07/01/2007 12/31/2029 NO YES URSODIOL TAB 250MG 07/01/2007 12/31/2029 NO NO URSODIOL TAB 500MG 07/01/2007 12/31/2029 NO NO Ustekinumab (IV) STELARA INJ 5MG/ML 07/01/2007 12/31/2029 NO YES Vedolizumab ENTYVIO INJ 300MG 07/01/2007 12/31/2029 NO YES *HYPNOTICS/SEDATIVES/SLEEP Estazolam ESTAZOLAM TAB 1MG 07/01/2007 12/31/2029 NO NO DISORDER AGENTS* ESTAZOLAM TAB 2MG 07/01/2007 12/31/2029 NO NO PROSOM TAB 1MG 07/01/2007 12/31/2029 NO YES PROSOM TAB 2MG 07/01/2007 12/31/2029 NO YES Flurazepam HCl DALMANE CAP 15MG 07/01/2007 12/31/2029 NO YES DALMANE CAP 30MG 07/01/2007 12/31/2029 NO YES FLURAZEPAM CAP 15MG 07/01/2007 12/31/2029 NO YES FLURAZEPAM CAP 30MG 07/01/2007 12/31/2029 NO NO Midazolam MIDAZOLAM SUS 1MG/ML 07/01/2007 12/31/2029 NO YES Midazolam HCl MIDAZOLAM INJ 10/10ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 10MG/2ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 1MG/ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 25MG/5ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 2MG/2ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 50/10ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *HYPNOTICS/SEDATIVES/SLEEP Midazolam HCl MIDAZOLAM INJ 50MG/10 07/01/2007 12/31/2029 NO NO DISORDER AGENTS* MIDAZOLAM INJ 5MG/5ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM INJ 5MG/ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM SOL 1MG/ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM SOL 5MG/ML 07/01/2007 12/31/2029 NO NO MIDAZOLAM SYP 2MG/ML 07/01/2007 12/31/2029 NO NO VERSED INJ 1MG/ML 07/01/2007 12/31/2029 NO YES VERSED INJ 5MG/ML 07/01/2007 12/31/2029 NO YES VERSED SOL 1MG/ML 07/01/2007 12/31/2029 NO YES VERSED SYP 2MG/ML 07/01/2007 12/31/2029 NO YES Midazolam HCl-Sodium Chloride MIDAZOL/NACL INJ 2MG/2ML 07/01/2007 12/31/2029 NO YES MIDAZOL/NACL SOL 100/100 07/01/2007 12/31/2029 NO YES MIDAZOL/NACL SOL 25/100ML 07/01/2007 12/31/2029 NO YES MIDAZOL/NACL SOL 50/100ML 07/01/2007 12/31/2029 NO YES MIDAZOLAM HY INJ 4MG/2ML 07/01/2007 12/31/2029 NO YES MIDAZOLAM/ INJ NACL 07/01/2007 12/31/2029 NO YES Quazepam DORAL TAB 15MG 07/01/2007 12/31/2029 NO YES DORAL TAB 7.5MG 07/01/2007 12/31/2029 NO YES DORMALIN TAB 15MG 07/01/2007 12/31/2029 NO YES QUAZEPAM TAB 15MG 07/01/2007 12/31/2029 NO YES Temazepam RESTORIL CAP 15MG 07/01/2007 12/31/2029 NO YES RESTORIL CAP 22.5MG 07/01/2007 12/31/2029 NO YES RESTORIL CAP 30MG 07/01/2007 12/31/2029 NO YES RESTORIL CAP 7.5MG 07/01/2007 12/31/2029 NO YES TEMAZEPAM CAP 15MG 07/01/2007 12/31/2029 NO NO TEMAZEPAM CAP 22.5MG 07/01/2007 12/31/2029 NO NO TEMAZEPAM CAP 30MG 07/01/2007 12/31/2029 NO NO TEMAZEPAM CAP 7.5MG 07/01/2007 12/31/2029 NO NO Triazolam HALCION TAB 0.125MG 07/01/2007 12/31/2029 NO YES HALCION TAB 0.25MG 07/01/2007 12/31/2029 NO YES HALCION TAB 0.5MG 07/01/2007 12/31/2029 NO YES TRIAZOLAM TAB 0.125MG 07/01/2007 12/31/2029 NO YES TRIAZOLAM TAB 0.25MG 07/01/2007 12/31/2029 NO NO *LAXATIVES* Aloe ALOE VERA LIQ JUICE DR 07/01/2007 12/31/2029 NO YES COATS ALOE LIQ JUICE DR 07/01/2007 12/31/2029 NO YES Benzocaine-Docusate Sodium DOCUSOL PLUS ENE 20-283 07/01/2007 12/31/2029 NO YES ENEMEEZ PLUS CAP ENEMA 07/01/2007 12/31/2029 NO YES ENEMEEZ PLUS ENE 20-283 07/01/2007 12/31/2029 NO YES THEREVAC CAP 07/01/2007 12/31/2029 NO YES THEREVAC CAP PLUS 07/01/2007 12/31/2029 NO YES VACUANT PLUS ENE 20-283 07/01/2007 12/31/2029 NO NO Bisacodyl ALOPHEN TAB 5MG EC 07/01/2007 12/31/2029 NO NO BICODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISAC-EVAC SUP 10MG 07/01/2007 12/31/2029 NO NO BISAC-EVAC TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISACODYL KIT 07/01/2007 12/31/2029 NO NO BISACODYL POW 07/01/2007 12/31/2029 NO YES BISACODYL SUP 10MG 07/01/2007 12/31/2029 NO NO BISACODYL SUP 5MG 07/01/2007 12/31/2029 NO NO BISACODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISACOLAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Bisacodyl BISA-LAX SUP 10MG 07/01/2007 12/31/2029 NO NO BISA-PLEX SUP 10MG 07/01/2007 12/31/2029 NO NO BISATROL TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISCOLAX SUP 10MG 07/01/2007 12/31/2029 NO NO BISCOLAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISCO-LAX SUP 10MG 07/01/2007 12/31/2029 NO NO BISCO-LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO BISOLAX SUP 10MG 07/01/2007 12/31/2029 NO NO BISOLAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO BL BISA-LAX SUP 10MG 07/01/2007 12/31/2029 NO NO BL BISA-LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO CARTERS TAB 5MG EC 07/01/2007 12/31/2029 NO NO COLAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO CORRECT TAB 5MG EC 07/01/2007 12/31/2029 NO NO CORRECTIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO CORRECTOL TAB 5MG EC 07/01/2007 12/31/2029 NO NO CWMN LAXATIV TAB 5MG EC 07/01/2007 12/31/2029 NO NO DOXIDAN TAB 5MG EC 07/01/2007 12/31/2029 NO NO DUCODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO DULCAGEN SUP 10MG 07/01/2007 12/31/2029 NO NO DULCAGEN TAB 5MG EC 07/01/2007 12/31/2029 NO NO DULCOLAX KIT BOWEL 07/01/2007 12/31/2029 NO YES DULCOLAX SUP 10MG 07/01/2007 12/31/2029 NO YES DULCOLAX TAB 5MG EC 07/01/2007 12/31/2029 NO YES ECK LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO EQL GENTLE TAB LAXATIVE 07/01/2007 12/31/2029 NO NO EQL LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO EQL LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO EX-LAX ULTRA TAB 5MG EC 07/01/2007 12/31/2029 NO NO FAST RELIEF SUP 10MG 07/01/2007 12/31/2029 NO NO FEENAMINT TAB 5MG EC 07/01/2007 12/31/2029 NO NO FEMATROL TAB 5MG EC 07/01/2007 12/31/2029 NO NO FEMILAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO FEMININE TAB 5MG EC 07/01/2007 12/31/2029 NO NO FEMININE LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO FEMITROL TAB 5MG EC 07/01/2007 12/31/2029 NO NO FLEET BAG KIT BISACOD 07/01/2007 12/31/2029 NO YES FLEET BISACO ENE 10/30ML 07/01/2007 12/31/2029 NO YES FLEET BISACO KIT PREP 07/01/2007 12/31/2029 NO YES FLEET LAXATI SUP 10MG 07/01/2007 12/31/2029 NO NO FLEET LAXATI TAB 5MG EC 07/01/2007 12/31/2029 NO NO FV LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO GEN LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO GENTLAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO GENTLE LAXAT SUP 10MG 07/01/2007 12/31/2029 NO NO GENTLE LAXAT TAB 5MG EC 07/01/2007 12/31/2029 NO NO GNP BISA-LAX SUP 10MG 07/01/2007 12/31/2029 NO NO GNP BISA-LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO GNP LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO GNP LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO HCA BISACODY SUP 10MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Bisacodyl HCA BISACODY TAB 5MG EC 07/01/2007 12/31/2029 NO NO HCA CORR LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO HM LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO HM LAXATIVE TAB 5MG 07/01/2007 12/31/2029 NO NO HM LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO KP BISACODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO MAGIC BULLET SUP 10MG 07/01/2007 12/31/2029 NO NO MDL GENTLE SUP 10MG 07/01/2007 12/31/2029 NO NO MDL GENTLE TAB 5MG EC 07/01/2007 12/31/2029 NO NO MODANE TAB 5MG EC 07/01/2007 12/31/2029 NO NO MP BISACODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO MP DYLAXOL TAB 5MG EC 07/01/2007 12/31/2029 NO NO MP LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO OSCO GEN LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO QC LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO QC LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO RA BISACODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO RA LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO RA LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO RELIABLE GEN SUP 10MG 07/01/2007 12/31/2029 NO NO RELIABLE GEN TAB 5MG EC 07/01/2007 12/31/2029 NO NO SAV-ON LAX TAB 5MG EC 07/01/2007 12/31/2029 NO NO SB BISACODYL TAB 5MG EC 07/01/2007 12/31/2029 NO NO SB GEN LAX TAB WOMEN 07/01/2007 12/31/2029 NO NO SB LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO SM GENTLE TAB LAXATIVE 07/01/2007 12/31/2029 NO NO SM LAXATIVE SUP 10MG 07/01/2007 12/31/2029 NO NO SM LAXATIVE TAB 5MG EC 07/01/2007 12/31/2029 NO NO STIM LAXAT TAB 5MG EC 07/01/2007 12/31/2029 NO NO THERALAX SUP 10MG 07/01/2007 12/31/2029 NO NO VERCOLATE TAB 5MG EC 07/01/2007 12/31/2029 NO NO WOMANS LAXAT TAB 5MG EC 07/01/2007 12/31/2029 NO NO WOMEN GENTLE TAB LAXATIVE 07/01/2007 12/31/2029 NO NO WOMENS LAXAT TAB 5MG 07/01/2007 12/31/2029 NO NO WOMENS LAXAT TAB 5MG EC 07/01/2007 12/31/2029 NO NO Bisacodyl Tannex CLYSODRAST ENE 07/01/2007 12/31/2029 NO YES Bisacodyl-Castor Oil FLEET PREP KIT #4 07/01/2007 12/31/2029 NO YES FLEET PREP KIT #5 07/01/2007 12/31/2029 NO YES FLEET PREP KIT #6 07/01/2007 12/31/2029 NO YES Bisacodyl-Mag Citrate BCS KIT 07/01/2007 12/31/2029 NO NO LO-SO PREP KIT 07/01/2007 12/31/2029 NO YES TRIDRATE KIT 07/01/2007 12/31/2029 NO YES TRIDRATE DRY KIT 07/01/2007 12/31/2029 NO YES Bisacodyl-Mag Citrate-Phenolphthalein EVAC-Q-KWIK KIT 07/01/2007 12/31/2029 NO YES Bisacodyl-PEG 3350-Pot Chloride-Sod Bicarb-Sod Chloride GAVILYTE-H KIT 07/01/2007 12/31/2029 NO NO HALFLYTELY KIT BWL-PREP 07/01/2007 12/31/2029 NO YES HALFLYTELY KIT FLAV PKS 07/01/2007 12/31/2029 NO YES PEG-3350 BWL KIT PREP 07/01/2007 12/31/2029 NO YES PEG-PREP KIT 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Bisacodyl-Sod Biphos/Sod Phos FLEET PREP KIT #1 07/01/2007 12/31/2029 NO YES FLEET PREP KIT #2 07/01/2007 12/31/2029 NO YES FLEET PREP KIT #3 07/01/2007 12/31/2029 NO YES Bran BRAN CHW 500MG 07/01/2007 12/31/2029 NO YES BRAN TAB 1000MG 07/01/2007 12/31/2029 NO YES BRAN TAB 500MG 07/01/2007 12/31/2029 NO NO BRAN FIBER TAB 500MG 07/01/2007 12/31/2029 NO NO BRAN WAFERS WAF W/HONEY 07/01/2007 12/31/2029 NO YES OAT BRAN TAB 500MG 07/01/2007 12/31/2029 NO NO OAT BRAN WAF 1000MG 07/01/2007 12/31/2029 NO YES OAT BRAN HON WAF 750MG 07/01/2007 12/31/2029 NO YES RAISIN BRAN CHW 500MG 07/01/2007 12/31/2029 NO NO WHEAT BRAN TAB 500MG 07/01/2007 12/31/2029 NO NO Calcium Polycarbophil CALC POLYCAR TAB 625MG 07/01/2007 12/31/2029 NO NO CONC FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO CVS FIBER LA TAB 625MG 07/01/2007 12/31/2029 NO NO CVS FIBR LAX TAB 625MG 07/01/2007 12/31/2029 NO NO ECK FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO EQ FIBER LAX TAB 625MG 07/01/2007 12/31/2029 NO NO EQL FIBER LA TAB 625MG 07/01/2007 12/31/2029 NO NO EQUALACTIN CHW 500MG 07/01/2007 12/31/2029 NO YES EQUALACTIN CHW 625MG 07/01/2007 12/31/2029 NO YES EQUALACTIN TAB 500MG 07/01/2007 12/31/2029 NO NO FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO FIBER CON TAB 625MG 07/01/2007 12/31/2029 NO YES FIBER LAX TAB 625MG 07/01/2007 12/31/2029 NO NO FIBER LAXATI TAB 625MG 07/01/2007 12/31/2029 NO NO FIBER LAXATV TAB 625MG 07/01/2007 12/31/2029 NO NO FIBER TABS TAB 500MG 07/01/2007 12/31/2029 NO NO FIBER THERAP TAB 625MG 07/01/2007 12/31/2029 NO NO FIBERALL CHW 1250MG 07/01/2007 12/31/2029 NO YES FIBER-CAPS TAB 625MG 07/01/2007 12/31/2029 NO NO FIBERCON TAB 625MG 07/01/2007 12/31/2029 NO YES FIBERGEN TAB 625MG 07/01/2007 12/31/2029 NO NO FIBER-LAX TAB 625MG 07/01/2007 12/31/2029 NO NO FIBERNORM TAB 625MG 07/01/2007 12/31/2029 NO NO FIBERTAB TAB 625MG 07/01/2007 12/31/2029 NO NO FV FIBER LAX TAB 625MG 07/01/2007 12/31/2029 NO NO GNP FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO HCA FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO KLS FIBER TB TAB 625MG 07/01/2007 12/31/2029 NO NO KONSYL FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO MITROLAN CHW 07/01/2007 12/31/2029 NO YES MP FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO MP FIBER LAX TAB 625MG 07/01/2007 12/31/2029 NO NO OSCO FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO POLYCARB TAB 625MG 07/01/2007 12/31/2029 NO NO PX FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO RA FIBER-CAP TAB 625MG 07/01/2007 12/31/2029 NO NO RA FIBER-TAB TAB 625MG 07/01/2007 12/31/2029 NO NO SAV-ON FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Calcium Polycarbophil SB FIBER LAX TAB 625MG 07/01/2007 12/31/2029 NO NO SM FIBER TAB 625MG 07/01/2007 12/31/2029 NO NO Carboxymethylcellulose-DSS DISOPLEX CAP 07/01/2007 12/31/2029 NO YES Casanthranol BLK DRAUGHT SYP 90/15ML 07/01/2007 12/31/2029 NO YES LANE'S PILLS TAB 45MG 07/01/2007 12/31/2029 NO YES Casanthranol-Carboxymethylcellulose DICASOL CAP 07/01/2007 12/31/2029 NO YES Casanthranol-Carboxymethyl-DSS DIOCTO PLUS CAP 07/01/2007 12/31/2029 NO NO DISOLAN CAP 07/01/2007 12/31/2029 NO NO TRI-SOF CAP 07/01/2007 12/31/2029 NO YES Casanthranol-Doc Potassium AQUALOSE PL CAP 100-30 07/01/2007 12/31/2029 NO NO BIOLOSE + K TAB 100-30 07/01/2007 12/31/2029 NO YES D.L. PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DIALOSE PLUS CAP 100-30 07/01/2007 12/31/2029 NO YES DIALOSE PLUS CAP 30-100 07/01/2007 12/31/2029 NO YES DIOCTO CPD CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTO-C CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTO-C PLS CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTO-K PLU CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTOLOSE CAP PLUS K 07/01/2007 12/31/2029 NO NO DOC POT/CAS CAP 100-30 07/01/2007 12/31/2029 NO NO DOC POT/CAS CAP 30-100MG 07/01/2007 12/31/2029 NO NO DOKTOSE PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DSMC CPD PL CAP 100-30 07/01/2007 12/31/2029 NO NO Casanthranol-Docusate Sodium AGORAL SYP 60-30/15 07/01/2007 12/31/2029 NO NO AQUALAX SYP 60-30/15 07/01/2007 12/31/2029 NO NO AQUALAX FORT CAP 100-30 07/01/2007 12/31/2029 NO NO AQUALAX FORT SYP 60-30/15 07/01/2007 12/31/2029 NO NO BIO-PERI-LAC CAP 100-30 07/01/2007 12/31/2029 NO NO CASA DICOLE CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTANOL CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTO-C CAP 100-30 07/01/2007 12/31/2029 NO NO DIOCTO-C SYP 60-30/15 07/01/2007 12/31/2029 NO NO DIONEX SYP 100-30 07/01/2007 12/31/2029 NO YES DIOSUCCIN C CAP 100-30 07/01/2007 12/31/2029 NO NO DISANTHROL CAP 100-30 07/01/2007 12/31/2029 NO NO DISOSUL TAB FORTE 07/01/2007 12/31/2029 NO NO DOC SOD/CAS CAP 100-30 07/01/2007 12/31/2029 NO NO DOC SOD/CAS SYP 100-30 07/01/2007 12/31/2029 NO NO DOC SOD/CAS SYP 60-30/15 07/01/2007 12/31/2029 NO NO DOC SOD/CAS TAB 100/30 07/01/2007 12/31/2029 NO NO DOC-Q-LAX CAP 100-30 07/01/2007 12/31/2029 NO NO DOC-Q-LAX SYP 60-30/15 07/01/2007 12/31/2029 NO NO DOCU SOFT PL CAP 100-30 07/01/2007 12/31/2029 NO NO DOCULAX PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DOCUSATE PLU CAP 100-30 07/01/2007 12/31/2029 NO NO DOCUSATE SOD CAP PLUS 07/01/2007 12/31/2029 NO NO DOCUSIL PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DOCUSOFT S+ CAP 100-30 07/01/2007 12/31/2029 NO NO DOK PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DOK PLUS SYP 60-30/15 07/01/2007 12/31/2029 NO NO DOSS PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Casanthranol-Docusate Sodium DOSS/CASANTH SYP 60-30/15 07/01/2007 12/31/2029 NO NO DOXIDAN CAP 100-30 07/01/2007 12/31/2029 NO NO DSS 100 PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO DSS CASANTHR CAP 100-30 07/01/2007 12/31/2029 NO NO DSS PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO EASY LAX PLU CAP 100-30 07/01/2007 12/31/2029 NO NO ECK LAX/STL CAP SOFTENER 07/01/2007 12/31/2029 NO NO E-Z LAX PLUS CAP 100-30 07/01/2007 12/31/2029 NO NO FAM-PERICOLS CAP 100-30 07/01/2007 12/31/2029 NO NO FV LAXATIVE/ CAP SOFTENER 07/01/2007 12/31/2029 NO NO GENASOFT PL CAP 100-30 07/01/2007 12/31/2029 NO NO HM LAXATIVE/ CAP SOFTENER 07/01/2007 12/31/2029 NO NO LAX/SOFTENER CAP 07/01/2007 12/31/2029 NO NO LAX/SOFTENER CAP 100-30 07/01/2007 12/31/2029 NO NO LAXA BASIC CAP PLUS 07/01/2007 12/31/2029 NO NO LAXATIVE CAP 100-30 07/01/2007 12/31/2029 NO NO LAXATIVE PLS CAP 100-30 07/01/2007 12/31/2029 NO NO LAXATIVE+STO CAP 100-30 07/01/2007 12/31/2029 NO NO LAXATV/STOOL SYP 60-30/15 07/01/2007 12/31/2029 NO NO LAXI-SOFT CAP PLUS 07/01/2007 12/31/2029 NO NO MDL STL SOFT CAP 100-30 07/01/2007 12/31/2029 NO NO MP REGULACE CAP 100-30 07/01/2007 12/31/2029 NO NO OSCO ST SOFT CAP LAXATIVE 07/01/2007 12/31/2029 NO NO PERESTAN CAP 100-30 07/01/2007 12/31/2029 NO NO PEREX CAP 100-30 07/01/2007 12/31/2029 NO NO PERI-COLACE CAP 100-30 07/01/2007 12/31/2029 NO NO PERI-COLACE SYP 60-30/15 07/01/2007 12/31/2029 NO NO PERI-CONATE SYP 60-30/15 07/01/2007 12/31/2029 NO NO PERI-D.O.S. CAP 100-30 07/01/2007 12/31/2029 NO NO PERI-D.O.S. SYP 60-30/15 07/01/2007 12/31/2029 NO NO PERI-DOCU SYP 60-30/15 07/01/2007 12/31/2029 NO NO PERI-DOSS CAP 100-30 07/01/2007 12/31/2029 NO NO PERI-DS CAP 100-30 07/01/2007 12/31/2029 NO NO RA P-COLRITE CAP 100-30 07/01/2007 12/31/2029 NO NO SAV-ON STOOL CAP SOFT/LAX 07/01/2007 12/31/2029 NO NO SB DOC SOD CAP LAXATIVE 07/01/2007 12/31/2029 NO NO SG LAX/STOOL CAP SOFTENER 07/01/2007 12/31/2029 NO NO SILACE-C SYP 60-30/15 07/01/2007 12/31/2029 NO NO STL SOFT/LAX CAP 100-30 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP /LAXATIV 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP 100-30 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP PLUS 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP LAXATIVE 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP STIM LAX 07/01/2007 12/31/2029 NO NO STOOL/LAX CAP 100-30 07/01/2007 12/31/2029 NO NO STRONG CAP 100-30 07/01/2007 12/31/2029 NO NO UNI-EASE CAP PLUS 07/01/2007 12/31/2029 NO NO Casc Sagrada-Phenolphthalein CAROID LAXAT TAB 100/100 07/01/2007 12/31/2029 NO YES CAROID LAXAT TAB 50/32MG 07/01/2007 12/31/2029 NO YES Cascara Sagrada AROM CASCARA EXT 325/5ML 07/01/2007 12/31/2029 NO NO CASCARA EXT SAGRADA 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Cascara Sagrada CASCARA AROM EXT 325/5ML 07/01/2007 12/31/2029 NO YES CASCARA SAGR CAP 425MG 07/01/2007 12/31/2029 NO NO CASCARA SAGR CAP 450MG 07/01/2007 12/31/2029 NO YES CASCARA SAGR CAP 500MG 07/01/2007 12/31/2029 NO YES CASCARA SAGR CAP ADVANCED 07/01/2007 12/31/2029 NO NO CASCARA SAGR EXT 07/01/2007 12/31/2029 NO YES CASCARA SAGR EXT 325/5ML 07/01/2007 12/31/2029 NO YES CASCARA SAGR EXT AROMATIC 07/01/2007 12/31/2029 NO YES CASCARA SAGR LIQ 07/01/2007 12/31/2029 NO NO CASCARA SAGR LIQ 50MG/15M 07/01/2007 12/31/2029 NO YES CASCARA SAGR TAB 324MG 07/01/2007 12/31/2029 NO YES CASCARA SAGR TAB 325MG 07/01/2007 12/31/2029 NO NO MDL CASCARA EXT 325/5ML 07/01/2007 12/31/2029 NO NO Cascara Sagrada in Mineral Oil KONDREMUL EMU CASCARA 07/01/2007 12/31/2029 NO YES Cascara Sagrada-Aloe NATURE'S REM TAB NAT VEG 07/01/2007 12/31/2029 NO YES Cascara Sagrada-Magnesium Hydroxide MILK OF MAGN SUS CASCARA 07/01/2007 12/31/2029 NO NO Cascara Sagrada-Phenolphthalein-Bile TAUROPHYLLIN TAB 07/01/2007 12/31/2029 NO YES Cascara-Aloin-Podophyllin-Belladonna Alk CASCARA CPD TAB 07/01/2007 12/31/2029 NO YES HINKLES TAB 07/01/2007 12/31/2029 NO NO Castor Oil CASTOR OIL 100% 07/01/2007 12/31/2029 NO YES CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO CASTOR LAXAT OIL 100% 07/01/2007 12/31/2029 NO NO CASTOR OIL EMU 36.4% 07/01/2007 12/31/2029 NO NO CVS CASTOR OIL 100% 07/01/2007 12/31/2029 NO NO EMULSOIL EMU 95% 07/01/2007 12/31/2029 NO NO EQL CASTOR OIL 100% 07/01/2007 12/31/2029 NO NO FLEET FLAVOR EMU 67% 07/01/2007 12/31/2029 NO YES FV CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO GNP CASTOR OIL 100% 07/01/2007 12/31/2029 NO NO GNP CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO HM CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO MDL CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO NEOLOID EMU 36.4% 07/01/2007 12/31/2029 NO NO PURGE OIL 95% 07/01/2007 12/31/2029 NO NO SM CASTOR OIL 100% 07/01/2007 12/31/2029 NO NO SM CASTOR OIL 95% 07/01/2007 12/31/2029 NO NO Cellulose FIBER GUARD TAB 07/01/2007 12/31/2029 NO NO FIBERALL TAB 07/01/2007 12/31/2029 NO YES FIBERFULL TAB 07/01/2007 12/31/2029 NO YES UNIFIBER POW 07/01/2007 12/31/2029 NO YES CO2-Releasing CEO-TWO SUP 07/01/2007 12/31/2029 NO YES Corn Dextrin EASY FIBER PAK 07/01/2007 12/31/2029 NO YES EASY FIBER POW 07/01/2007 12/31/2029 NO NO EQL FIBER POW SUPPLEMN 07/01/2007 12/31/2029 NO NO FIBER POWDER POW 07/01/2007 12/31/2029 NO NO Danthron DANTHRON POW 07/01/2007 12/31/2029 NO YES DANTHRON TAB 75MG 07/01/2007 12/31/2029 NO NO Danthron-Carboxymethylcellulose-Poloxamer EVACTOL CAP 07/01/2007 12/31/2029 NO YES Danthron-Docusate Calcium BIODOXI CAP 50-60MG 07/01/2007 12/31/2029 NO NO DOC CA/DANT CAP 50-60MG 07/01/2007 12/31/2029 NO YES Dehydrocholic Acid-DSS BILAX CAP 100-50 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Dehydrocholic Acid-DSS NULAX TAB 240-50 07/01/2007 12/31/2029 NO YES Dehydrocholic Ac-Phenolph-DSS SAROLAX CAP 07/01/2007 12/31/2029 NO YES TRILAX CAP 07/01/2007 12/31/2029 NO YES Docusate Calcium BIOFAK CAP 240MG 07/01/2007 12/31/2029 NO NO CA STOOL SOF CAP 240MG 07/01/2007 12/31/2029 NO NO CALFAX CAP 240MG 07/01/2007 12/31/2029 NO NO CALUBE CAP 240MG 07/01/2007 12/31/2029 NO NO DC CAP 240MG 07/01/2007 12/31/2029 NO NO DC 240 CAP 240MG 07/01/2007 12/31/2029 NO NO DC-240 CAP 240MG 07/01/2007 12/31/2029 NO NO DIOCTO CALC CAP 240MG 07/01/2007 12/31/2029 NO NO DIOCTYL CAL CAP 240MG 07/01/2007 12/31/2029 NO NO DIONEX-CAL CAP 240MG 07/01/2007 12/31/2029 NO NO DOCUCAL CAP 240MG 07/01/2007 12/31/2029 NO NO DOCUSATE CAL CAP 240MG 07/01/2007 12/31/2029 NO NO KAOPECTATE CAP 240MG 07/01/2007 12/31/2029 NO NO KAO-TIN CAP 240MG 07/01/2007 12/31/2029 NO NO SHURE LAX CAP 240MG 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP 240MG 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP 240MG 07/01/2007 12/31/2029 NO NO SULFOLAX CAP 240MG 07/01/2007 12/31/2029 NO NO SURFAK CAP 240MG 07/01/2007 12/31/2029 NO NO SURFAK CAP 50MG 07/01/2007 12/31/2029 NO YES SUR-Q-LAX CAP 240MG 07/01/2007 12/31/2029 NO NO Docusate Potassium AQUALOSE CAP 100MG 07/01/2007 12/31/2029 NO NO DIALOSE CAP 100MG 07/01/2007 12/31/2029 NO YES DIOCTO-K CAP 100MG 07/01/2007 12/31/2029 NO NO DIOCTOLOSE CAP 100MG 07/01/2007 12/31/2029 NO NO DOCUSATE POT CAP 100MG 07/01/2007 12/31/2029 NO NO DSMC CAP 100MG 07/01/2007 12/31/2029 NO NO KASOF CAP 240MG 07/01/2007 12/31/2029 NO YES Docusate Sodium AFKO LUBE CAP 250MG 07/01/2007 12/31/2029 NO NO AFKO LUBE SYP 60/15ML 07/01/2007 12/31/2029 NO NO AQUALAX CAP 100MG 07/01/2007 12/31/2029 NO NO AQUALAX CAP 250MG 07/01/2007 12/31/2029 NO NO BIOLACE CAP 100MG 07/01/2007 12/31/2029 NO NO BIONATE CAP 250MG 07/01/2007 12/31/2029 NO NO COLACE CAP 100MG 07/01/2007 12/31/2029 NO YES COLACE CAP 50MG 07/01/2007 12/31/2029 NO YES COLACE ENE 200/5ML 07/01/2007 12/31/2029 NO YES COLACE LIQ 150/15ML 07/01/2007 12/31/2029 NO YES COLACE SYP 60/15ML 07/01/2007 12/31/2029 NO YES COLACE CLEAR CAP 50 MG 07/01/2007 12/31/2029 NO YES COLACE CLEAR CAP 50MG 07/01/2007 12/31/2029 NO YES CONATE SYP 60/15ML 07/01/2007 12/31/2029 NO NO CONATE DDS CAP 250MG 07/01/2007 12/31/2029 NO NO CORRECTOL CAP 100MG 07/01/2007 12/31/2029 NO NO D.O.S. CAP 100MG 07/01/2007 12/31/2029 NO NO D.O.S. CAP 250MG 07/01/2007 12/31/2029 NO NO DIALOSE TAB 100MG 07/01/2007 12/31/2029 NO NO DICOLE CAP 100MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Docusate Sodium DICOLE SYP 60/15ML 07/01/2007 12/31/2029 NO NO DIOCTO CAP 100MG 07/01/2007 12/31/2029 NO NO DIOCTO CAP 250MG 07/01/2007 12/31/2029 NO NO DIOCTO LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DIOCTO LIQ 50MG/5ML 07/01/2007 12/31/2029 NO NO DIOCTO LIQ 60/15ML 07/01/2007 12/31/2029 NO NO DIOCTO SYP 60/15ML 07/01/2007 12/31/2029 NO NO DIOCTO NATUR SYP 60/15ML 07/01/2007 12/31/2029 NO NO DIOCTOCAL CAP 240MG 07/01/2007 12/31/2029 NO NO DIOCTOSOFTEZ CAP 100MG 07/01/2007 12/31/2029 NO NO DIOCTOSOFTEZ CAP 250MG 07/01/2007 12/31/2029 NO NO DIOCTOSOFTEZ TAB 100MG 07/01/2007 12/31/2029 NO NO DIOCTYL SYP 60/15ML 07/01/2007 12/31/2029 NO NO DIOCTYL S.S CAP 100MG 07/01/2007 12/31/2029 NO NO DIOCTYL SOD CAP 250MG 07/01/2007 12/31/2029 NO NO DIOCTYN CAP 100MG 07/01/2007 12/31/2029 NO NO DIOEZE CAP 250MG 07/01/2007 12/31/2029 NO NO DIONEX CAP 100MG 07/01/2007 12/31/2029 NO NO DIONEX CAP 250MG 07/01/2007 12/31/2029 NO NO DIOSUL CAP 100MG 07/01/2007 12/31/2029 NO NO DISONATE CAP 100MG 07/01/2007 12/31/2029 NO NO DISONATE CAP 240MG 07/01/2007 12/31/2029 NO YES DISONATE LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DISONATE SYP 60/15ML 07/01/2007 12/31/2029 NO NO DISOSUL TAB 50MG 07/01/2007 12/31/2029 NO YES DOCQLACE CAP 100MG 07/01/2007 12/31/2029 NO NO DOC-Q-LACE CAP 100MG 07/01/2007 12/31/2029 NO NO DOC-Q-LACE LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DOC-Q-LACE SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOCU LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DOCU LIQ 50MG/5ML 07/01/2007 12/31/2029 NO NO DOCU SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOCU SOFT CAP 100MG 07/01/2007 12/31/2029 NO NO DOCULASE CAP 50MG 07/01/2007 12/31/2029 NO NO DOCULAX CAP 100MG 07/01/2007 12/31/2029 NO NO DOCUPRENE TAB 100MG 07/01/2007 12/31/2029 NO NO DOCUSATE POW SODIUM 07/01/2007 12/31/2029 NO YES DOCUSATE SOD CAP 100MG 07/01/2007 12/31/2029 NO NO DOCUSATE SOD CAP 250MG 07/01/2007 12/31/2029 NO NO DOCUSATE SOD CAP 50MG 07/01/2007 12/31/2029 NO YES DOCUSATE SOD LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DOCUSATE SOD LIQ 50MG/5ML 07/01/2007 12/31/2029 NO NO DOCUSATE SOD POW 07/01/2007 12/31/2029 NO YES DOCUSATE SOD SYP 20MG/5ML 07/01/2007 12/31/2029 NO NO DOCUSATE SOD SYP 50/15ML 07/01/2007 12/31/2029 NO NO DOCUSATE SOD SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOCUSATE SOD TAB 100MG 07/01/2007 12/31/2029 NO NO DOCUSIL CAP 100MG 07/01/2007 12/31/2029 NO NO DOCUSOFT-S CAP 100MG 07/01/2007 12/31/2029 NO NO DOCUSOL KIDS ENE 100MG/5M 07/01/2007 12/31/2029 NO YES DOCUSOL MINI ENE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Docusate Sodium DOK CAP 100MG 07/01/2007 12/31/2029 NO NO DOK CAP 250MG 07/01/2007 12/31/2029 NO NO DOK TAB 100MG 07/01/2007 12/31/2029 NO NO DOSS CAP 100MG 07/01/2007 12/31/2029 NO NO DOSS SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOSS 300 CAP 300MG 07/01/2007 12/31/2029 NO YES DOSS-100 CAP 100MG 07/01/2007 12/31/2029 NO NO DOSSITOL SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOSS-RELIEF LIQ 150/15ML 07/01/2007 12/31/2029 NO NO DOSS-RELIEF SYP 60/15ML 07/01/2007 12/31/2029 NO NO DOXINATE CAP 240MG 07/01/2007 12/31/2029 NO NO DOXINATE SOL 5% 07/01/2007 12/31/2029 NO YES D-S CAPS CAP 100MG 07/01/2007 12/31/2029 NO NO DSS CAP 100MG 07/01/2007 12/31/2029 NO NO DSS CAP 250MG 07/01/2007 12/31/2029 NO NO DULCOLAX SS CAP 100MG 07/01/2007 12/31/2029 NO NO EASY LAX CAP 100MG 07/01/2007 12/31/2029 NO NO EASY-LAX CAP 100MG 07/01/2007 12/31/2029 NO NO ENEMEEZ MINI ENE 07/01/2007 12/31/2029 NO YES EQ STOOL CAP SOFTENER 07/01/2007 12/31/2029 NO NO EX-LAX STOOL TAB 100MG 07/01/2007 12/31/2029 NO NO E-Z LAX CAP 100MG 07/01/2007 12/31/2029 NO NO FAM-COLSOF CAP 100MG 07/01/2007 12/31/2029 NO NO FEMILAX CAP 100MG 07/01/2007 12/31/2029 NO NO FV STOOL SOF CAP 100MG 07/01/2007 12/31/2029 NO NO GENASOFT CAP 100MG 07/01/2007 12/31/2029 NO NO GENTLE CAP 100MG 07/01/2007 12/31/2029 NO NO LAXA BASIC CAP 100MG 07/01/2007 12/31/2029 NO NO LAXA BASIC CAP 250MG 07/01/2007 12/31/2029 NO NO LAXI CAL CAP 240MG 07/01/2007 12/31/2029 NO NO LAXINATE CAP 100MG 07/01/2007 12/31/2029 NO NO LAXI-SOFT CAP 100MG 07/01/2007 12/31/2029 NO NO MDL STL SOFT CAP 100MG 07/01/2007 12/31/2029 NO NO MINI ENEMA ENE 100/5ML 07/01/2007 12/31/2029 NO NO MODANE CAP 100MG 07/01/2007 12/31/2029 NO NO MOVE ALONG TAB 100MG 07/01/2007 12/31/2029 NO NO OCTYCINE-100 CAP 100MG 07/01/2007 12/31/2029 NO NO OCTYCINE-250 CAP 250MG 07/01/2007 12/31/2029 NO NO PEDIA-LAX LIQ 50MG 07/01/2007 12/31/2029 NO YES PHILLIPS CAP 100MG 07/01/2007 12/31/2029 NO NO PHILLIPS CAP LIQ-GEL 07/01/2007 12/31/2029 NO NO PROMOLAXIN TAB 100MG 07/01/2007 12/31/2029 NO NO PURID CAP 100MG 07/01/2007 12/31/2029 NO NO PURID FUERTE CAP 250MG 07/01/2007 12/31/2029 NO NO RA COL-RITE CAP 100MG 07/01/2007 12/31/2029 NO NO RA COL-RITE CAP 250MG 07/01/2007 12/31/2029 NO NO RA COL-RITE CAP 50MG 07/01/2007 12/31/2029 NO NO REGULAX SS CAP 100MG 07/01/2007 12/31/2029 NO NO REGUTOL TAB 100MG 07/01/2007 12/31/2029 NO NO SAV-ON STOOL CAP SOFTENER 07/01/2007 12/31/2029 NO NO SILACE LIQ 10MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Docusate Sodium SILACE SYP 60/15ML 07/01/2007 12/31/2029 NO NO SOF-LAX CAP 100MG 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP 100MG 07/01/2007 12/31/2029 NO NO STOOL SOFTEN CAP 250MG 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP 100MG 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP 250MG 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP 250MG XS 07/01/2007 12/31/2029 NO NO STOOL SOFTNR CAP 50MG 07/01/2007 12/31/2029 NO NO STOOL SOFTNR SYP 60/15ML 07/01/2007 12/31/2029 NO NO STOOL SOFTNR TAB 100MG 07/01/2007 12/31/2029 NO NO STULEX TAB 100MG 07/01/2007 12/31/2029 NO NO THEREVAC SB ENE 283MG 07/01/2007 12/31/2029 NO YES UNI-EASE CAP 100MG 07/01/2007 12/31/2029 NO NO VACUANT MINI ENE 283MG 07/01/2007 12/31/2029 NO NO DSS-Fructose-B6 SOFTENEX SOL 07/01/2007 12/31/2029 NO YES Empty Level CO-LAV SOL 07/01/2007 12/31/2029 NO NO COLOVAGE SOL 07/01/2007 12/31/2029 NO NO COLYTE SOL 07/01/2007 12/31/2029 NO NO COLYTE SOL PINEAPPL 07/01/2007 12/31/2029 NO NO COLYTE-FLAV SOL 07/01/2007 12/31/2029 NO NO GO-EVAC SOL 07/01/2007 12/31/2029 NO NO GOLYTELY SOL 07/01/2007 12/31/2029 NO YES GOLYTELY SOL UNFLAVOR 07/01/2007 12/31/2029 NO YES PEG 3350 SOL ELECTROL 07/01/2007 12/31/2029 NO NO PEG-LYTE SOL 07/01/2007 12/31/2029 NO NO Fiber ADVANC FIBER CAP COMPLEX 07/01/2007 12/31/2029 NO YES CVS FIBER CHW GUMMIES 07/01/2007 12/31/2029 NO NO EQ FIBER CHW SUPPLMNT 07/01/2007 12/31/2029 NO NO FIBER CHW GUMMIES 07/01/2007 12/31/2029 NO NO FIBER POW 07/01/2007 12/31/2029 NO NO FIBER TAB 600MG 07/01/2007 12/31/2029 NO NO FIBER TAB COMPLETE 07/01/2007 12/31/2029 NO YES FIBER DIET TAB 07/01/2007 12/31/2029 NO YES FIBER DIET TAB 600MG 07/01/2007 12/31/2029 NO YES FIBER FORMUL CAP 07/01/2007 12/31/2029 NO YES FIBER POWDER POW 07/01/2007 12/31/2029 NO YES FIBER SELECT CHW GUMMIES 07/01/2007 12/31/2029 NO NO FIBEREX F15 LIQ 15/30ML 07/01/2007 12/31/2029 NO YES FIBERMED MIS FRUIT 07/01/2007 12/31/2029 NO YES FIBERMED MIS ORIGINAL 07/01/2007 12/31/2029 NO YES HM FIBER TAB 600MG 07/01/2007 12/31/2029 NO NO HM FIBER LAX TAB 600MG 07/01/2007 12/31/2029 NO NO HM TRUEPLUS CHW FIBER 07/01/2007 12/31/2029 NO NO HYFIBER WITH LIQ FOS 07/01/2007 12/31/2029 NO YES LIQUAFIBER LIQ 5GM/15ML 07/01/2007 12/31/2029 NO YES PEDIALAX FBR CHW GUMMIES 07/01/2007 12/31/2029 NO NO SOLFIBER POW 07/01/2007 12/31/2029 NO NO YOGURT+FIBER CHW GUMMIES 07/01/2007 12/31/2029 NO NO Fiber w/ C & Calcium FIBER W/C TAB CALCIUM 07/01/2007 12/31/2029 NO YES Fiber w/ Calcium FIB TR/CAL TAB 07/01/2007 12/31/2029 NO YES Fiber w/ Vitamins & Minerals FIBERALL POW 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Glycerin (Laxative) ADULT SUPPOS SUP 3GM 07/01/2007 12/31/2029 NO NO COLACE SUP 2.1GM 07/01/2007 12/31/2029 NO NO COLACE ADULT SUP GLYCERIN 07/01/2007 12/31/2029 NO NO COLACE PED SUP 1.2GM 07/01/2007 12/31/2029 NO NO CVS GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO ECK GLYCERIN SUP 1.5GM 07/01/2007 12/31/2029 NO NO ECK GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO EQL GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO FLEET ENE BABYLAX 07/01/2007 12/31/2029 NO YES FLEET LIQUID ENE GLYCERIN 07/01/2007 12/31/2029 NO YES FV GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO FV INFANT SUP 1.5GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 1.2GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 1.5GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 1GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 2GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO GLYCERIN SUP 80.7% 07/01/2007 12/31/2029 NO NO GLYCERIN SUP LAXATIVE 07/01/2007 12/31/2029 NO NO GLYCERIN PED SUP 1.2GM 07/01/2007 12/31/2029 NO NO GLYCERIN PED SUP 1GM 07/01/2007 12/31/2029 NO NO GLYCERN CHLD SUP 1.2GM 07/01/2007 12/31/2029 NO NO GNP GLYCERIN SUP 1.2GM 07/01/2007 12/31/2029 NO NO GNP GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO GNP GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO HCA GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO HCA GLYCERIN SUP PEDS 07/01/2007 12/31/2029 NO NO HM GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO HM INFANT SUP 1.5GM 07/01/2007 12/31/2029 NO NO MDL GLYCERIN SUP 1.5GM 07/01/2007 12/31/2029 NO NO MDL GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO OSCO GLYCER SUP 3GM 07/01/2007 12/31/2029 NO NO PEDIA-LAX SUP 1GM 07/01/2007 12/31/2029 NO YES PEDIA-LAX SUP 2.8GM 07/01/2007 12/31/2029 NO YES PX GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO RA GLYCERIN SUP 1.5GM 07/01/2007 12/31/2029 NO NO RA GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO RA GLYCERIN SUP 80.7% 07/01/2007 12/31/2029 NO NO SANI-SUPP SUP ADULT 07/01/2007 12/31/2029 NO NO SANI-SUPP SUP PEDIATRI 07/01/2007 12/31/2029 NO NO SAV-ON GLYCR SUP 1.5GM 07/01/2007 12/31/2029 NO NO SAV-ON GLYCR SUP 3GM 07/01/2007 12/31/2029 NO NO SB GLYCERIN SUP 1.2GM 07/01/2007 12/31/2029 NO NO SB GLYCERIN SUP 1.5GM 07/01/2007 12/31/2029 NO NO SB GLYCERIN SUP 2.1GM 07/01/2007 12/31/2029 NO NO SB GLYCERIN SUP 3GM 07/01/2007 12/31/2029 NO NO SM GLYCERIN SUP 80.7% 07/01/2007 12/31/2029 NO NO Guar Gum BENEFIBER CHW 07/01/2007 12/31/2029 NO YES BENEFIBER PAK 07/01/2007 12/31/2029 NO YES BENEFIBER POW 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Guar Gum BENEFIBER TAB 07/01/2007 12/31/2029 NO YES FIBER CHW 07/01/2007 12/31/2029 NO YES NUTRISOURCE PAK FIBER 07/01/2007 12/31/2029 NO YES NUTRISOURCE POW FIBER 07/01/2007 12/31/2029 NO YES RA BESTFIBER POW 07/01/2007 12/31/2029 NO NO Guar Gum-Calcium BENEFIBER CHW /CALCIUM 07/01/2007 12/31/2029 NO YES Guar Gum-Maltodextrin FIBER POW 07/01/2007 12/31/2029 NO YES Hard Soap (Castile) CASTILE SOAP ENE 07/01/2007 12/31/2029 NO YES ENEMA BAG KIT TUBE/24F 07/01/2007 12/31/2029 NO YES Inulin CVS FIBER CHW 2GM 07/01/2007 12/31/2029 NO NO FIBER CHOICE CHW 1.5GM 07/01/2007 12/31/2029 NO YES FIBERCHOICE CHW 2GM 07/01/2007 12/31/2029 NO YES INULIN FIBER CAP 833.25MG 07/01/2007 12/31/2029 NO YES METAMUCIL POW CLEAR 07/01/2007 12/31/2029 NO YES PHILLIPS CHW FIBER 07/01/2007 12/31/2029 NO YES Inulin w/ Calcium-Vitamin D FIBERCHOICE CHW /CALCIUM 07/01/2007 12/31/2029 NO YES Inulin-Cholecalciferol FIBER/D3 CHW 2.5-500 07/01/2007 12/31/2029 NO YES Lactulose CALULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO C-CHRONULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO CHRONULAC SYP 10GM/15 07/01/2007 12/31/2029 NO YES CONSTI LACTU SYP 10GM/15 07/01/2007 12/31/2029 NO NO CONSTILAC SYP 10GM/15 07/01/2007 12/31/2029 NO NO CONSTULOSE SOL 10GM/15 07/01/2007 12/31/2029 NO NO CONSTULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO CONTULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO DUPHALAC SOL 10GM/15 07/01/2007 12/31/2029 NO NO DUPHALAC SYP 10GM/15 07/01/2007 12/31/2029 NO NO EVALOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO KRISTALOSE PAK 10GM 07/01/2007 12/31/2029 NO YES KRISTALOSE PAK 20GM 07/01/2007 12/31/2029 NO YES LACTULOSE SOL 10GM/15 07/01/2007 12/31/2029 NO NO LACTULOSE SOL 20GM/30 07/01/2007 12/31/2029 NO NO LACTULOSE SYP 10GM/15 07/01/2007 12/31/2029 NO NO Mag Cit-Bisacodyl-Petrolat-PEG 3350-Metoclopramide-Electrol PCP 100 KIT 07/01/2007 12/31/2029 NO YES Mag Citrate-Phenolphthalein EVAC-Q-KIT KIT 07/01/2007 12/31/2029 NO YES Magnesium Citrate BL MAG CITR SOL CHERRY 07/01/2007 12/31/2029 NO NO BL MAG CITR SOL LEMON 07/01/2007 12/31/2029 NO NO CITROMA SOL CHERRY 07/01/2007 12/31/2029 NO NO CITROMA SOL LEMON 07/01/2007 12/31/2029 NO NO FV CITR MAGN SOL 07/01/2007 12/31/2029 NO NO FV CITR MAGN SOL CHERRY 07/01/2007 12/31/2029 NO NO FV CITR MAGN SOL LEMON 07/01/2007 12/31/2029 NO NO GNP MAG CITR SOL CHERRY 07/01/2007 12/31/2029 NO NO GNP MAG CITR SOL LEMON 07/01/2007 12/31/2029 NO NO HCA MAG CITR SOL LEMON 07/01/2007 12/31/2029 NO NO HM CITR MAGN SOL 07/01/2007 12/31/2029 NO NO LIQUIPREP SOL 07/01/2007 12/31/2029 NO NO MAG CITRATE SOL 07/01/2007 12/31/2029 NO NO MAG CITRATE SOL CHERRY 07/01/2007 12/31/2029 NO NO MAG CITRATE SOL GRAPE 07/01/2007 12/31/2029 NO NO MAG CITRATE SOL LEMON 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Magnesium Citrate MAG CITRATE SOL UNFLAVOR 07/01/2007 12/31/2029 NO NO MAGN CITRATE SOL 07/01/2007 12/31/2029 NO NO MAGN CITRATE SOL CHERRY 07/01/2007 12/31/2029 NO NO MAGN CITRATE SOL LEMON 07/01/2007 12/31/2029 NO NO MDL MAG CITR SOL CHERRY 07/01/2007 12/31/2029 NO NO MDL MAG CITR SOL LEMON 07/01/2007 12/31/2029 NO NO OSCO MAGNES SOL CITRATE 07/01/2007 12/31/2029 NO NO RA MAGN CITR SOL 07/01/2007 12/31/2029 NO NO SAV-ON MAG SOL CITRATE 07/01/2007 12/31/2029 NO NO Magnesium Hydroxide DULCOLAX MOM SUS MINT 07/01/2007 12/31/2029 NO NO DULCOLAX MOM SUS ORIGINAL 07/01/2007 12/31/2029 NO NO ECK MILK OF CHW MAGNESIA 07/01/2007 12/31/2029 NO NO EX-LAX MILK SUS OF MAGNE 07/01/2007 12/31/2029 NO NO FREEDOM LAXA TAB 07/01/2007 12/31/2029 NO YES FV MILK MAGN SUS 07/01/2007 12/31/2029 NO NO FV MILK MAGN SUS MINT 07/01/2007 12/31/2029 NO NO GNP MILK MAG SUS 07/01/2007 12/31/2029 NO NO HM MILK MAGN SUS 07/01/2007 12/31/2029 NO NO HM MILK MAGN SUS MINT 07/01/2007 12/31/2029 NO NO MAGNESIA CHW 311MG 07/01/2007 12/31/2029 NO NO MDL MILK MAG SUS 07/01/2007 12/31/2029 NO NO MDL MILK MAG SUS MINT 07/01/2007 12/31/2029 NO NO MEDI-MILK OF SUS MAGNESIA 07/01/2007 12/31/2029 NO NO MILK OF MAGN CHW 311MG 07/01/2007 12/31/2029 NO YES MILK OF MAGN CHW 325MG 07/01/2007 12/31/2029 NO NO MILK OF MAGN CON 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 1200/15 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 2400MG 07/01/2007 12/31/2029 NO YES MILK OF MAGN SUS 400/5ML 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 405/5ML 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 7.75% 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS 800/5ML 07/01/2007 12/31/2029 NO YES MILK OF MAGN SUS CHERRY 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS FRSH MNT 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS MINT 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS REGULAR 07/01/2007 12/31/2029 NO NO OSCO MILK SUS MAGNESIA 07/01/2007 12/31/2029 NO NO PEDIA-LAX CHW 400MG 07/01/2007 12/31/2029 NO YES PH MILK MAGN SUS CHERRY 07/01/2007 12/31/2029 NO NO PH MILK MAGN SUS MINT 07/01/2007 12/31/2029 NO NO PHILLIPS CHW 311MG 07/01/2007 12/31/2029 NO NO PHILLIPS MOM CHW 311MG 07/01/2007 12/31/2029 NO YES PHILLIPS MOM SUS 800/5ML 07/01/2007 12/31/2029 NO NO RA MAGNESIA CHW 311MG 07/01/2007 12/31/2029 NO NO RA MILK MAGN SUS 400/5ML 07/01/2007 12/31/2029 NO NO SAV-ON MILK SUS MAGNESIA 07/01/2007 12/31/2029 NO NO SB MILK MAGN SUS 07/01/2007 12/31/2029 NO NO SB MILK MAGN SUS MINT 07/01/2007 12/31/2029 NO NO SM MILK MAGN SUS CHERRY 07/01/2007 12/31/2029 NO NO SM MILK MAGN SUS MINT 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Magnesium Hydroxide SM MILK MAGN SUS ORIGINAL 07/01/2007 12/31/2029 NO NO Magnesium Hydroxide in Min Oil HALEYS M-O SUS FLAVORED 07/01/2007 12/31/2029 NO NO HALEYS M-O SUS REGULAR 07/01/2007 12/31/2029 NO NO HALEY'S M-O SUS FLAVORED 07/01/2007 12/31/2029 NO NO HALEY'S M-O SUS REGULAR 07/01/2007 12/31/2029 NO NO MILK OF MAG SUS /MIN OIL 07/01/2007 12/31/2029 NO NO MILK OF MAGN SUS /MIN OIL 07/01/2007 12/31/2029 NO NO Magnesium Oxide (Laxative) LAX DIET SUP TAB 500MG 07/01/2007 12/31/2029 NO NO PHILLIPS TAB 500MG 07/01/2007 12/31/2029 NO YES Magnesium Sulfate (Laxative) ADLERIKA LAX LIQ 07/01/2007 12/31/2029 NO YES BL EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO CVS EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO ECK EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO EPSOM SALT GRA 07/01/2007 12/31/2029 NO NO EPSOM SALT GRA LAVENDER 07/01/2007 12/31/2029 NO YES EPSOM SALT POW 07/01/2007 12/31/2029 NO YES FV EPSOM GRA SALT 07/01/2007 12/31/2029 NO YES GNP EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO HCA EPSOM GRA SALTS 07/01/2007 12/31/2029 NO YES HM EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO MAGN SULFATE GRA 07/01/2007 12/31/2029 NO YES MAGN SULFATE POW 07/01/2007 12/31/2029 NO YES MAGN SULFATE POW ANHYDROU 07/01/2007 12/31/2029 NO YES MAGN SULFATE POW HEPTAHYD 07/01/2007 12/31/2029 NO YES MAGN SULFATE POW USP/NF 07/01/2007 12/31/2029 NO YES MDL EPSOM GRA SALT 07/01/2007 12/31/2029 NO YES OSCO EPSOM GRA SALT 07/01/2007 12/31/2029 NO YES QC EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO RA EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO RA EPSOM GRA SALT/LVN 07/01/2007 12/31/2029 NO YES SAV-ON EPSOM GRA SALT 07/01/2007 12/31/2029 NO YES SM EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO TH EPSOM GRA SALT 07/01/2007 12/31/2029 NO NO Magnesium Sulfate-Peptone BIOCLASINE GRA 07/01/2007 12/31/2029 NO YES COLEFILAXE GRA 07/01/2007 12/31/2029 NO YES Malt Extract MALTSUPEX LIQ 07/01/2007 12/31/2029 NO YES MALTSUPEX LIQ 16GM/15 07/01/2007 12/31/2029 NO YES MALTSUPEX POW 07/01/2007 12/31/2029 NO YES MALTSUPEX TAB 750MG 07/01/2007 12/31/2029 NO YES Methylcellulose (Laxative) CELLOTHYL TAB 500MG 07/01/2007 12/31/2029 NO YES CITRUCEL POW CLR/MIX 07/01/2007 12/31/2029 NO YES CITRUCEL POW CLR-MIX 07/01/2007 12/31/2029 NO YES CITRUCEL POW FIBERSHK 07/01/2007 12/31/2029 NO YES CITRUCEL POW ORANGE 07/01/2007 12/31/2029 NO YES CITRUCEL POW SF ORANG 07/01/2007 12/31/2029 NO YES CITRUCEL TAB 500MG 07/01/2007 12/31/2029 NO YES CITRUCEL FIB POW LAXATIVE 07/01/2007 12/31/2029 NO YES COLOGEL LIQ 450/5ML 07/01/2007 12/31/2029 NO YES ECK SOLUBLE POW FIBER 07/01/2007 12/31/2029 NO NO ECK SOLUBLE POW LAXATIVE 07/01/2007 12/31/2029 NO NO FIBER TAB 500MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Methylcellulose (Laxative) FIBER THERAP POW LAXATIVE 07/01/2007 12/31/2029 NO NO FIBER THERAP TAB 500MG 07/01/2007 12/31/2029 NO NO HM FIBER TAB 500MG 07/01/2007 12/31/2029 NO NO METHYLCELLUL CAP 500MG 07/01/2007 12/31/2029 NO YES METHYLCELLUL TAB 450MG 07/01/2007 12/31/2029 NO YES METHYLCELLUL TAB 475MG 07/01/2007 12/31/2029 NO YES MIRAFIBER TAB 07/01/2007 12/31/2029 NO NO RA FIBER TAB 500MG 07/01/2007 12/31/2029 NO NO SM FIBER LAX TAB 500MG 07/01/2007 12/31/2029 NO NO SOL FIBER POW THERAPY 07/01/2007 12/31/2029 NO NO SOLUBLE FIB POW 07/01/2007 12/31/2029 NO NO SOLUBLE FIB POW THERAPY 07/01/2007 12/31/2029 NO NO SOLUBLE FIB TAB THERAPY 07/01/2007 12/31/2029 NO NO SOLUBLE FIBE POW 07/01/2007 12/31/2029 NO NO Mineral Oil AGORAL EMU 07/01/2007 12/31/2029 NO NO BL MINERAL ENE OIL 07/01/2007 12/31/2029 NO NO CVS MINERAL OIL 07/01/2007 12/31/2029 NO NO EQ MINERAL OIL 07/01/2007 12/31/2029 NO NO FLEET MO ENE 07/01/2007 12/31/2029 NO YES FLEET OIL ENE 07/01/2007 12/31/2029 NO YES FV MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO YES GNP MINERAL ENE 07/01/2007 12/31/2029 NO NO GNP MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO YES GOODSENSE OIL MINERAL 07/01/2007 12/31/2029 NO NO HM MINERAL OIL 07/01/2007 12/31/2029 NO NO HM MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO YES KONDREMUL EMU 50% 07/01/2007 12/31/2029 NO YES KONDREMUL EMU 55% 07/01/2007 12/31/2029 NO YES LIQUI-DOSS EMU 07/01/2007 12/31/2029 NO YES MDL MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO YES MILKINOL EMU 07/01/2007 12/31/2029 NO YES MINERAL OIL 07/01/2007 12/31/2029 NO NO MINERAL OIL EX HEAVY 07/01/2007 12/31/2029 NO YES MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO NO MINERAL OIL MED VISC 07/01/2007 12/31/2029 NO YES MINERAL OIL MEDIUM 07/01/2007 12/31/2029 NO NO MINERAL OIL EMU 55% 07/01/2007 12/31/2029 NO NO MINERAL OIL ENE 07/01/2007 12/31/2029 NO NO MINERAL OIL OIL 07/01/2007 12/31/2029 NO NO MURI-LUBE OIL 07/01/2007 12/31/2029 NO NO NATURE'S REM ENE MIN OIL 07/01/2007 12/31/2029 NO NO NEO-CULTOL EMU 55% 07/01/2007 12/31/2029 NO NO NUJOL EMU 55% 07/01/2007 12/31/2029 NO NO OSCO MINERAL OIL EX HEAVY 07/01/2007 12/31/2029 NO YES PURE&GENTLE ENE MIN OIL 07/01/2007 12/31/2029 NO NO QC MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO NO RA MINERAL OIL 07/01/2007 12/31/2029 NO NO SAV-ON MINER OIL EX HEAVY 07/01/2007 12/31/2029 NO YES SG MINERAL OIL HEAVY 07/01/2007 12/31/2029 NO YES SM ENEMA ENE 07/01/2007 12/31/2029 NO NO SM MINERAL OIL 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Mineral Oil TH MINERAL OIL 07/01/2007 12/31/2029 NO YES Mineral Oil Light MINERAL OIL 55% 07/01/2007 12/31/2029 NO YES MINERAL OIL LIGHT 07/01/2007 12/31/2029 NO YES MURI-LUBE OIL 07/01/2007 12/31/2029 NO YES Na Sulfate-K Sulfate-Mg Sulfate & PEG3350-NaCl-Na Bicarb-KCl SUCLEAR KIT 07/01/2007 12/31/2029 NO YES PEG 3350-KCl-NaCl-Na Sulfate-Na Ascorbate-Ascorbic Acid MOVIPREP SOL 07/01/2007 12/31/2029 NO YES PEG 3350-KCl-Sod Bicarb-Sod Chloride-Sod Sulfate COLYTE SOL 07/01/2007 12/31/2029 NO YES COLYTE/FLAVR SOL PACKS 07/01/2007 12/31/2029 NO YES COLYTE-FLAV SOL 07/01/2007 12/31/2029 NO YES GAVILYTE-C SOL 07/01/2007 12/31/2029 NO NO GAVILYTE-G SOL 07/01/2007 12/31/2029 NO NO GOLYTELY SOL 07/01/2007 12/31/2029 NO YES GOLYTELY SOL PINEAPPL 07/01/2007 12/31/2029 NO YES OCL SOL 07/01/2007 12/31/2029 NO YES PEG 3350 SOL ELECTROL 07/01/2007 12/31/2029 NO NO PEG-3350 SOL ELECTROL 07/01/2007 12/31/2029 NO NO PEG 3350-Potassium Chloride-Sod Bicarbonate-Sod Chloride GAVILYTE-N SOL FLAV PK 07/01/2007 12/31/2029 NO NO NULYTELY SOL 07/01/2007 12/31/2029 NO YES NULYTELY SOL CHERRY 07/01/2007 12/31/2029 NO YES NULYTELY SOL FLAV PKS 07/01/2007 12/31/2029 NO YES NULYTELY SOL LMN/LIME 07/01/2007 12/31/2029 NO YES NULYTELY SOL ORANGE 07/01/2007 12/31/2029 NO YES PEG-3350/KCL SOL /SODIUM 07/01/2007 12/31/2029 NO NO TRILYTE SOL 07/01/2007 12/31/2029 NO NO Phenolphthalein ALOPHEN TAB 60MG 07/01/2007 12/31/2029 NO YES CONFETTO FAL CHW 100MG 07/01/2007 12/31/2029 NO YES HERBAL LAXAT TAB 60MG 07/01/2007 12/31/2029 NO YES LAXATIV PLUS TAB 90MG 07/01/2007 12/31/2029 NO YES LAXATIVE TAB 60MG 07/01/2007 12/31/2029 NO NO LAXATIVE PIL TAB 60MG 07/01/2007 12/31/2029 NO NO MEDILAX TAB 120MG 07/01/2007 12/31/2029 NO YES MODANE LIQ 60MG/5ML 07/01/2007 12/31/2029 NO YES MODANE TAB 130MG 07/01/2007 12/31/2029 NO YES MODANE MILD TAB 60MG 07/01/2007 12/31/2029 NO YES PHENOLAX WAF 64.8MG 07/01/2007 12/31/2029 NO YES PRULET CHW 60MG 07/01/2007 12/31/2029 NO YES Phenolphthalein in Mineral Oil AGORAL EMU MARSHMLW 07/01/2007 12/31/2029 NO YES AGORAL EMU RASPBRY 07/01/2007 12/31/2029 NO YES KONDREMUL/ EMU PHENOLPH 07/01/2007 12/31/2029 NO YES Phenolphthalein, Yellow CHOC LAXATIV CHW 90MG 07/01/2007 12/31/2029 NO NO CHOCOLAXED TAB 90MG 07/01/2007 12/31/2029 NO NO CORRECTOL LIQ 65MG/5ML 07/01/2007 12/31/2029 NO YES ESPOTABS CHW 97.2MG 07/01/2007 12/31/2029 NO YES EVAC-U-GEN TAB 97.2MG 07/01/2007 12/31/2029 NO YES EVAC-U-LAX WAF 80MG 07/01/2007 12/31/2029 NO YES EX-LAX CHW 90MG 07/01/2007 12/31/2029 NO YES EX-LAX TAB 90MG 07/01/2007 12/31/2029 NO YES EX-LAX MAXIM TAB 135MG 07/01/2007 12/31/2029 NO YES FEEN-A-MINT CHW 97.2MG 07/01/2007 12/31/2029 NO YES FEEN-A-MINT TAB 97.2MG 07/01/2007 12/31/2029 NO YES FLETCHER'S LIQ 15MG/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Phenolphthalein, Yellow FV CHOC LAX CHW 90MG 07/01/2007 12/31/2029 NO NO FV LAXATIVE TAB 90MG 07/01/2007 12/31/2029 NO NO HM CHOC LAX CHW 90MG 07/01/2007 12/31/2029 NO NO HM LAXATIVE TAB 90MG 07/01/2007 12/31/2029 NO NO LAX-AID PILL CHW 90MG 07/01/2007 12/31/2029 NO NO LAXATIVE CHW 90MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 80MG 07/01/2007 12/31/2029 NO YES LAXATIVE TAB 90MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB CHOCOLAT 07/01/2007 12/31/2029 NO NO LAXATIVE PIL CHW 90MG 07/01/2007 12/31/2029 NO NO LAXATIVE PIL TAB 90MG 07/01/2007 12/31/2029 NO NO LAX-PILLS CHW 90MG 07/01/2007 12/31/2029 NO NO MDL CHOC LAX CHW 90MG 07/01/2007 12/31/2029 NO NO MEDI-LAX TAB 90MG 07/01/2007 12/31/2029 NO NO OSCO LAXATIV CHW CHOC 07/01/2007 12/31/2029 NO NO OSCO LAXATIV TAB 90MG 07/01/2007 12/31/2029 NO NO PHEN-LAX TAB 90MG 07/01/2007 12/31/2029 NO NO Q-LAX TAB 90MG 07/01/2007 12/31/2029 NO NO SAV-ON LAXAT CHW CHOC 07/01/2007 12/31/2029 NO NO SAV-ON LAXAT TAB 90MG 07/01/2007 12/31/2029 NO NO V-R CHOC LAX CHW 90MG 07/01/2007 12/31/2029 NO NO V-R LAXATIVE TAB PILLS 07/01/2007 12/31/2029 NO NO XTRA-LAX TAB 90MG 07/01/2007 12/31/2029 NO NO Phenolphthalein-Doc Calcium DC PLUS CAP 60-65 07/01/2007 12/31/2029 NO NO DOC CA/PHPHT CAP 60-65 07/01/2007 12/31/2029 NO NO DOCAL CAP 60-65 07/01/2007 12/31/2029 NO YES DOCUCAL PLUS CAP 60-65 07/01/2007 12/31/2029 NO NO DOCUCAL-P CAP 60-65 07/01/2007 12/31/2029 NO NO DOKSAKE CAP 60-65 07/01/2007 12/31/2029 NO NO DOXIDAN CAP 60-65 07/01/2007 12/31/2029 NO YES LAXI-DAN CAP 60-65 07/01/2007 12/31/2029 NO NO OSCO LAXATIV CAP STL SOFT 07/01/2007 12/31/2029 NO NO SAV-ON LAX/ CAP STL SOFT 07/01/2007 12/31/2029 NO NO VIDAN-DC CAP 60-65 07/01/2007 12/31/2029 NO NO Phenolphthalein-DSS COLAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO CORRECT TAB 65-100MG 07/01/2007 12/31/2029 NO NO CORRECTIVE TAB 100-65MG 07/01/2007 12/31/2029 NO NO CORRECTOL TAB 100-65MG 07/01/2007 12/31/2029 NO YES DIALOSE PLUS TAB 100-65MG 07/01/2007 12/31/2029 NO NO DISOLAN CAP 100-65 07/01/2007 12/31/2029 NO YES DOCUSATE SOD TAB /PHPHT 07/01/2007 12/31/2029 NO NO EX-LAX TAB 07/01/2007 12/31/2029 NO YES FEMATROL TAB 100-65MG 07/01/2007 12/31/2029 NO NO FEMILAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO FEMININE LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO FEMINTROL TAB 100-65MG 07/01/2007 12/31/2029 NO NO FEM-LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO FEMTAB TAB 100-65MG 07/01/2007 12/31/2029 NO NO FV LAXATIVE TAB 100-65MG 07/01/2007 12/31/2029 NO NO GENALAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO GENTLE LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Phenolphthalein-DSS HM LAXATIVE TAB 100-65MG 07/01/2007 12/31/2029 NO NO LADY-LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO LAXADAN TAB 100-65MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 100-65MG 07/01/2007 12/31/2029 NO NO LAXATIVE FOR TAB WOMEN 07/01/2007 12/31/2029 NO NO LAXATIVE PIL TAB 100-65MG 07/01/2007 12/31/2029 NO NO MDL WOMAN'S TAB LAXATIVE 07/01/2007 12/31/2029 NO NO MODANE PLUS TAB 100-65MG 07/01/2007 12/31/2029 NO YES PHARM-A-LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO PHILLIPS GEL CAP 07/01/2007 12/31/2029 NO YES PHILLIPS LAX CAP 83-90MG 07/01/2007 12/31/2029 NO YES RA WOMAN'S TAB LAXATIVE 07/01/2007 12/31/2029 NO NO SAV-ON FEM TAB LAXATIVE 07/01/2007 12/31/2029 NO NO UNI-FEMLAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO UNILAX CAP 07/01/2007 12/31/2029 NO YES V-R WOMEN'S TAB LAXATIVE 07/01/2007 12/31/2029 NO NO WOMANS LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMAN'S LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMEN'S TAB LAXATIVE 07/01/2007 12/31/2029 NO NO WOMEN'S GEN TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMEN'S GENT TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMENS LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMEN'S LAX TAB 100-65MG 07/01/2007 12/31/2029 NO NO WOMEN'S LAXA TAB 100-65MG 07/01/2007 12/31/2029 NO NO Poloxamer 188 ALAXIN CAP 07/01/2007 12/31/2029 NO YES Polyethylene Glycol 3350 CLEARLAX POW 07/01/2007 12/31/2029 NO NO CVS PURELAX PAK 07/01/2007 12/31/2029 NO NO CVS PURELAX POW 07/01/2007 12/31/2029 NO NO CVS PURELAX POW 3350 07/01/2007 12/31/2029 NO NO CVS PURELAX POW 3350 NF 07/01/2007 12/31/2029 NO NO DULCOLAX POW BALANCE 07/01/2007 12/31/2029 NO NO EQ CLEARLAX POW 07/01/2007 12/31/2029 NO NO EQL CLEARLAX POW 07/01/2007 12/31/2029 NO NO GAVILAX POW 07/01/2007 12/31/2029 NO NO GENTLELAX POW 07/01/2007 12/31/2029 NO NO GIALAX KIT 07/01/2007 12/31/2029 NO YES GLYCOLAX POW 3350 NF 07/01/2007 12/31/2029 NO NO GNP CLEARLAX POW 07/01/2007 12/31/2029 NO NO HEALTHYLAX POW 07/01/2007 12/31/2029 NO NO HM CLEARLAX POW 07/01/2007 12/31/2029 NO NO LAXACLEAR POW 07/01/2007 12/31/2029 NO NO LAXATIVE POL POW GLYCOL 07/01/2007 12/31/2029 NO NO MIRALAX POW 07/01/2007 12/31/2029 NO YES MIRALAX POW 3350 NF 07/01/2007 12/31/2029 NO YES NATURA-LAX POW 3350 NF 07/01/2007 12/31/2029 NO NO PEG 3350 POW 07/01/2007 12/31/2029 NO NO PEG3350 POW 07/01/2007 12/31/2029 NO NO PEGYLAX POW 07/01/2007 12/31/2029 NO NO POLYETH GLYC POW 3350 NF 07/01/2007 12/31/2029 NO NO POLYETH GLYC POW 3350-GRX 07/01/2007 12/31/2029 NO NO POWDERLAX POW 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Polyethylene Glycol 3350 RA LAXATIVE POW 07/01/2007 12/31/2029 NO NO SM CLEARLAX POW 07/01/2007 12/31/2029 NO NO SMOOTH LAX POW 07/01/2007 12/31/2029 NO NO SMOOTH LAX POW 3350 NF 07/01/2007 12/31/2029 NO NO SW CLEARLAX POW 07/01/2007 12/31/2029 NO NO Psyllium BL NAT FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO CILIUM POW 68% ORAN 07/01/2007 12/31/2029 NO NO CILIUM POW 68% REG 07/01/2007 12/31/2029 NO NO CILIUM POW NATURAL 07/01/2007 12/31/2029 NO NO CILIUM POW ORANGE 07/01/2007 12/31/2029 NO NO CVS FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO CVS FIBER POW LAXATIVE 07/01/2007 12/31/2029 NO NO CVS NAT FIBE POW LAXATIVE 07/01/2007 12/31/2029 NO NO CVS NATURAL POW FIBER 07/01/2007 12/31/2029 NO NO DAILY FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO DIETARY POW FIBER LX 07/01/2007 12/31/2029 NO NO EQL FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO EQL NATURAL POW FIBER 07/01/2007 12/31/2029 NO NO EVAC POW 07/01/2007 12/31/2029 NO YES FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO FIBER POW 58.6% 07/01/2007 12/31/2029 NO NO FIBER LAX POW 07/01/2007 12/31/2029 NO NO FIBER LAX POW 95% 07/01/2007 12/31/2029 NO NO FIBER LAXTIV CAP 0.52GM 07/01/2007 12/31/2029 NO NO FIBER THERAP CAP 0.52GM 07/01/2007 12/31/2029 NO NO FIBER THERAP POW 28.3% 07/01/2007 12/31/2029 NO NO FIBER THERAP POW 48.57% 07/01/2007 12/31/2029 NO NO FIBER THERAP POW 58.6% 07/01/2007 12/31/2029 NO NO FIBER THERAP POW SF ORANG 07/01/2007 12/31/2029 NO NO FIBER-EZE POW 28% CIT 07/01/2007 12/31/2029 NO NO FIBER-EZE POW 28% ORAN 07/01/2007 12/31/2029 NO NO FIBER-EZE POW 48.57% 07/01/2007 12/31/2029 NO NO FIBER-EZE POW 65% ORAN 07/01/2007 12/31/2029 NO NO FIBER-EZE POW 92% 07/01/2007 12/31/2029 NO NO FIBER-EZE POW CITRUS 07/01/2007 12/31/2029 NO NO FIBER-EZE POW ORANGE 07/01/2007 12/31/2029 NO NO FIBRACIL POW 50% 07/01/2007 12/31/2029 NO NO FV LAX VEG POW NAT SF 07/01/2007 12/31/2029 NO NO FV VEG LAXAT POW 30.9% 07/01/2007 12/31/2029 NO NO FV VEG LAXAT POW 48.57% 07/01/2007 12/31/2029 NO NO FV VEG LAXAT POW 58.6% 07/01/2007 12/31/2029 NO NO GENFIBER CAP 520MG 07/01/2007 12/31/2029 NO NO GENFIBER POW 07/01/2007 12/31/2029 NO NO GENFIBER POW 50% 07/01/2007 12/31/2029 NO NO GENFIBER POW ORANGE 07/01/2007 12/31/2029 NO NO GENFIBER POW STRAW 07/01/2007 12/31/2029 NO NO GERI-MUCIL POW 68% 07/01/2007 12/31/2029 NO NO GNP FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO HCA NAT VEG POW FIBER 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium HCA NATURAL POW ORIGINAL 07/01/2007 12/31/2029 NO NO HCA NATURAL POW SMOOTH 07/01/2007 12/31/2029 NO NO HM FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO HM FIBER CAP 400MG 07/01/2007 12/31/2029 NO NO HM FIBER POW 07/01/2007 12/31/2029 NO YES HM FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO HM FIBER POW 30.9% 07/01/2007 12/31/2029 NO NO HM FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO HM FIBER POW 51.7% 07/01/2007 12/31/2029 NO YES HM FIBER POW 58.6% 07/01/2007 12/31/2029 NO NO HM NAT FIBER POW 30.9% OR 07/01/2007 12/31/2029 NO NO HM NAT FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO HM NAT FIBER POW 58.6 CIT 07/01/2007 12/31/2029 NO NO HM NAT FIBER POW SMTH ORA 07/01/2007 12/31/2029 NO NO HM NAT FIBER POW SMTH SF 07/01/2007 12/31/2029 NO NO HYDROCIL POW 95% 07/01/2007 12/31/2029 NO YES HYDROCIL INS POW 95% 07/01/2007 12/31/2029 NO YES KONSYL CAP 520MG 07/01/2007 12/31/2029 NO NO KONSYL POW 100% 07/01/2007 12/31/2029 NO YES KONSYL POW 28.3% 07/01/2007 12/31/2029 NO YES KONSYL POW 30.9% 07/01/2007 12/31/2029 NO NO KONSYL POW 60.3% 07/01/2007 12/31/2029 NO YES KONSYL POW 71.67% 07/01/2007 12/31/2029 NO YES KONSYL POW 95% 07/01/2007 12/31/2029 NO NO KONSYL POW SF ORANG 07/01/2007 12/31/2029 NO YES KONSYL KIDS POW 28% 07/01/2007 12/31/2029 NO YES KONSYL-D POW 07/01/2007 12/31/2029 NO YES KONSYL-D POW 50% 07/01/2007 12/31/2029 NO YES KONSYL-D POW 52.3% 07/01/2007 12/31/2029 NO YES LAXATIVE VEG POW 30.9% 07/01/2007 12/31/2029 NO NO LAXMAR POW 50% 07/01/2007 12/31/2029 NO NO LAXMAR POW ORANGE 07/01/2007 12/31/2029 NO NO LAXMAR VEG POW LAXATIVE 07/01/2007 12/31/2029 NO NO MAALOX DAILY POW 28.3 CIT 07/01/2007 12/31/2029 NO NO MAALOX DAILY POW 28.3% OR 07/01/2007 12/31/2029 NO NO MAALOX DAILY POW 58.6 CIT 07/01/2007 12/31/2029 NO NO MAALOX DAILY POW 58.6% OR 07/01/2007 12/31/2029 NO NO MDL NAT VEG POW 50% ORG 07/01/2007 12/31/2029 NO NO MDL NAT VEG POW 50% REG 07/01/2007 12/31/2029 NO NO MEDI-MUCIL CAP 0.52GM 07/01/2007 12/31/2029 NO NO METAFIBER POW 30.9% 07/01/2007 12/31/2029 NO NO METAFIBER POW 48.57% 07/01/2007 12/31/2029 NO NO METAFIBER POW 58.6% 07/01/2007 12/31/2029 NO NO METAFIBER POW REGULAR 07/01/2007 12/31/2029 NO NO METAMUCIL CAP 0.52GM 07/01/2007 12/31/2029 NO YES METAMUCIL PAK 51.7% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 28% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 28% CIT 07/01/2007 12/31/2029 NO YES METAMUCIL POW 28% ORNG 07/01/2007 12/31/2029 NO YES METAMUCIL POW 28.3%CIT 07/01/2007 12/31/2029 NO NO METAMUCIL POW 28.3%ORG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium METAMUCIL POW 30.9% 07/01/2007 12/31/2029 NO NO METAMUCIL POW 30.9% OR 07/01/2007 12/31/2029 NO NO METAMUCIL POW 43% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 48.57% 07/01/2007 12/31/2029 NO NO METAMUCIL POW 50% 07/01/2007 12/31/2029 NO NO METAMUCIL POW 55.46% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 58.12% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 58.6 CIT 07/01/2007 12/31/2029 NO YES METAMUCIL POW 58.6% 07/01/2007 12/31/2029 NO NO METAMUCIL POW 58.6% OR 07/01/2007 12/31/2029 NO NO METAMUCIL POW 58.6% SF 07/01/2007 12/31/2029 NO NO METAMUCIL POW 58.6%CIT 07/01/2007 12/31/2029 NO NO METAMUCIL POW 58.6%ORG 07/01/2007 12/31/2029 NO NO METAMUCIL POW 63% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 92% 07/01/2007 12/31/2029 NO YES METAMUCIL POW 92% RGSF 07/01/2007 12/31/2029 NO YES METAMUCIL POW ORANGE 07/01/2007 12/31/2029 NO YES METAMUCIL POW REGULAR 07/01/2007 12/31/2029 NO NO METAMUCIL POW SF ORAN 07/01/2007 12/31/2029 NO YES METAMUCIL POW SF REG 07/01/2007 12/31/2029 NO YES METAMUCIL POW SINGLE 07/01/2007 12/31/2029 NO NO METAMUCIL POW STRAW 07/01/2007 12/31/2029 NO YES METAMUCIL WAF 07/01/2007 12/31/2029 NO YES METAMUCIL WAF 1.7GM 07/01/2007 12/31/2029 NO YES MODANE POW 07/01/2007 12/31/2029 NO NO MODANE POW 50% 07/01/2007 12/31/2029 NO NO MUCILAX POW 50% 07/01/2007 12/31/2029 NO NO MUCI-LAX POW 50% 07/01/2007 12/31/2029 NO NO MUCILGEN POW 50% 07/01/2007 12/31/2029 NO NO MUCILGEN POW ORANGE 07/01/2007 12/31/2029 NO NO MUCILLOID POW ORAN SF 07/01/2007 12/31/2029 NO NO MUCILLOID POW ORANGE 07/01/2007 12/31/2029 NO NO MUCILLOID POW REG SF 07/01/2007 12/31/2029 NO NO MUCILLOID POW REGULAR 07/01/2007 12/31/2029 NO NO MUCILLOID POW SF REG 07/01/2007 12/31/2029 NO NO MUCILOID POW STRWBERR 07/01/2007 12/31/2029 NO NO MUCOLAX POW 30% 07/01/2007 12/31/2029 NO NO MUCOLAX POW ORANGE 07/01/2007 12/31/2029 NO NO MULTIHEALTH POW FIBER 07/01/2007 12/31/2029 NO NO MYLANTA POW ORANGE 07/01/2007 12/31/2029 NO NO MYLANTA POW SF ORANG 07/01/2007 12/31/2029 NO NO N.V.P POW 30% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 07/01/2007 12/31/2029 NO NO NAT FIBER POW 28% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 30.9% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 50% 07/01/2007 12/31/2029 NO NO NAT FIBER POW 53.8% 07/01/2007 12/31/2029 NO YES NAT FIBER POW 58.6% 07/01/2007 12/31/2029 NO YES NAT FIBER POW LAXATIVE 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium NAT FIBER POW THER SF 07/01/2007 12/31/2029 NO NO NAT FIBER POW THERAPY 07/01/2007 12/31/2029 NO NO NAT FIBER LX POW 28.3% 07/01/2007 12/31/2029 NO NO NAT FIBER LX POW 58.6 CIT 07/01/2007 12/31/2029 NO NO NAT PSYLLIUM POW FIBER 07/01/2007 12/31/2029 NO NO NAT VEG FIBE POW 48.57% 07/01/2007 12/31/2029 NO NO NAT VEG FIBR POW 07/01/2007 12/31/2029 NO NO NAT VEG FIBR POW ORANGE 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 100% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 28% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 28.3 CIT 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 28.3 ORG 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 28.3% OR 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 30.9% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 30.9% OR 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 48.57% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 50% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW 58.6% 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW ORANGE 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW REG FLAV 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW SF REG 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW SF/SMTH 07/01/2007 12/31/2029 NO NO NAT VEG LAX POW SMTH TEX 07/01/2007 12/31/2029 NO NO NAT VEGETABL POW 28.3 CIT 07/01/2007 12/31/2029 NO NO NAT VEGETABL POW 33% ORAN 07/01/2007 12/31/2029 NO NO NAT VEGETABL POW ORANGE 07/01/2007 12/31/2029 NO NO NAT VEGETABL POW UNFLAVOR 07/01/2007 12/31/2029 NO NO NATRL FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO NATRL FIBER POW 28% 07/01/2007 12/31/2029 NO NO NATRUL COLON POW CARE 07/01/2007 12/31/2029 NO NO NATURACIL CHW 3.4GM 07/01/2007 12/31/2029 NO YES NATURAL POW FIBER 07/01/2007 12/31/2029 NO NO NATURAL FIB POW THER SF 07/01/2007 12/31/2029 NO NO NATURAL FIBE POW LAXATIVE 07/01/2007 12/31/2029 NO NO NATURAL FIBE POW SF ORAN 07/01/2007 12/31/2029 NO NO NATURAL FIBR POW 28.3 CIT 07/01/2007 12/31/2029 NO NO NATURAL FIBR POW 28.3% 07/01/2007 12/31/2029 NO NO NATURAL FIBR POW 92% SF 07/01/2007 12/31/2029 NO NO NATURAL FIBR POW SF CITRS 07/01/2007 12/31/2029 NO NO NATURAL FIBR POW SF ORAN 07/01/2007 12/31/2029 NO NO NATURAL LAX POW ORANGE 07/01/2007 12/31/2029 NO NO NATURAL LAX POW REGULAR 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 28% 07/01/2007 12/31/2029 NO YES NATURAL VEG POW 28.3 CIT 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 28.3% OR 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 30% 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 30.9% 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 33% 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 33% ORAN 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 33% SF 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium NATURAL VEG POW 48.57% 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 58.6 CIT 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 58.6 ORG 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 58.6% 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 58.6% OR 07/01/2007 12/31/2029 NO NO NATURAL VEG POW 68% SF 07/01/2007 12/31/2029 NO NO NATURAL VEG POW ORANGE 07/01/2007 12/31/2029 NO NO NATURAL VEGE POW ORANGE 07/01/2007 12/31/2029 NO NO NATURAL VEGE POW REGULAR 07/01/2007 12/31/2029 NO NO NATURL FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO NATURL FIBER POW 30.9% 07/01/2007 12/31/2029 NO NO NATURL FIBER POW 58.6% 07/01/2007 12/31/2029 NO NO NATURL FIBER POW 68% 07/01/2007 12/31/2029 NO NO NATURL FIBER POW THERAPY 07/01/2007 12/31/2029 NO NO NATURLAX POW 28% CIT 07/01/2007 12/31/2029 NO NO NATURLAX POW 28% ORAN 07/01/2007 12/31/2029 NO NO NATURLAX POW 47% REG 07/01/2007 12/31/2029 NO NO NATURLAX POW 66% ORAN 07/01/2007 12/31/2029 NO NO NATURLAX POW SF CIT 07/01/2007 12/31/2029 NO NO NATURLAX POW SF ORAN 07/01/2007 12/31/2029 NO NO NATURLAX POW SF REG 07/01/2007 12/31/2029 NO YES NVP POW 92% 07/01/2007 12/31/2029 NO NO NVP REG - SF POW 92% 07/01/2007 12/31/2029 NO NO NVP SMOOTH POW 58.6%ORG 07/01/2007 12/31/2029 NO NO ORANGE NVP POW 30.9% OR 07/01/2007 12/31/2029 NO NO OSCO FIBER POW LAXATIVE 07/01/2007 12/31/2029 NO NO OSCO NAT FIB PAK LAX CITR 07/01/2007 12/31/2029 NO NO OSCO NAT FIB PAK LAX ORNG 07/01/2007 12/31/2029 NO NO OSCO NAT FIB POW LAXATIVE 07/01/2007 12/31/2029 NO NO OSCO NAT FIB POW SMTH/CIT 07/01/2007 12/31/2029 NO NO OSCO NAT FIB POW SMTH/ORG 07/01/2007 12/31/2029 NO NO PERDIEM FIBR GRA 07/01/2007 12/31/2029 NO YES PRO-LAX NATU POW VEG 07/01/2007 12/31/2029 NO NO PSYLDEX POW 30% 07/01/2007 12/31/2029 NO NO PSYLLIUM CAP 400MG 07/01/2007 12/31/2029 NO NO PSYLLIUM CAP 500MG 07/01/2007 12/31/2029 NO YES PSYLLIUM CAP SEED 07/01/2007 12/31/2029 NO YES PSYLLIUM POW 100% 07/01/2007 12/31/2029 NO NO PSYLLIUM POW 33% 07/01/2007 12/31/2029 NO NO PSYLLIUM POW 58.6% 07/01/2007 12/31/2029 NO NO PSYLLIUM LAX POW 28.3 CIT 07/01/2007 12/31/2029 NO NO PSYLLIUM LAX POW 28.3% 07/01/2007 12/31/2029 NO NO PSYLLIUM LAX POW 58.6% 07/01/2007 12/31/2029 NO NO PSYLLIUM LAX POW ORANGE 07/01/2007 12/31/2029 NO NO PSYLLIUM MUC POW ORANGE 07/01/2007 12/31/2029 NO NO PSYLLIUM SEE POW 100% 07/01/2007 12/31/2029 NO NO PX FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO QC NATURAL POW VEGETABL 07/01/2007 12/31/2029 NO NO RA FIB LAX POW 48.57% 07/01/2007 12/31/2029 NO NO RA FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO RA FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium RA FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO RA FIBER POW 58.6% 07/01/2007 12/31/2029 NO NO RA FIBER SPL POW 28% 07/01/2007 12/31/2029 NO NO RA FIBER SPL POW 48.57% 07/01/2007 12/31/2029 NO NO REGACILIUM POW 48.57% 07/01/2007 12/31/2029 NO NO REGACILIUM POW 50% 07/01/2007 12/31/2029 NO NO REGULAR NVP POW 48.57% 07/01/2007 12/31/2029 NO NO REGULOID CAP 0.52GM 07/01/2007 12/31/2029 NO NO REGULOID CAP 400MG 07/01/2007 12/31/2029 NO NO REGULOID POW 100% 07/01/2007 12/31/2029 NO NO REGULOID POW 28.3% 07/01/2007 12/31/2029 NO NO REGULOID POW 48.57% 07/01/2007 12/31/2029 NO NO REGULOID POW 50% 07/01/2007 12/31/2029 NO NO REGULOID POW 58.6% 07/01/2007 12/31/2029 NO NO REGULOID POW 68% REG 07/01/2007 12/31/2029 NO NO REGULOID POW ORANGE 07/01/2007 12/31/2029 NO NO REGULOID SM POW NATURAL 07/01/2007 12/31/2029 NO NO REGULOID SM POW ORANGE 07/01/2007 12/31/2029 NO NO REGULOID SM POW SF ORNG 07/01/2007 12/31/2029 NO NO REGULOID SM POW SF REG 07/01/2007 12/31/2029 NO NO SAV-ON FIBER PAK LAX ORNG 07/01/2007 12/31/2029 NO NO SAV-ON FIBER PAK SMTH/ORG 07/01/2007 12/31/2029 NO NO SAV-ON FIBER POW CIT S/F 07/01/2007 12/31/2029 NO NO SAV-ON FIBER POW CITRUS 07/01/2007 12/31/2029 NO NO SAV-ON FIBER POW LAXATIVE 07/01/2007 12/31/2029 NO NO SAV-ON FIBER POW ORG S/F 07/01/2007 12/31/2029 NO NO SB FIB LAX POW 30% 07/01/2007 12/31/2029 NO NO SB FIB LAX POW 33% 07/01/2007 12/31/2029 NO NO SB FIB LAX POW 48.57% 07/01/2007 12/31/2029 NO NO SB NAT FIBER POW 49% 07/01/2007 12/31/2029 NO NO SERUTAN GRA 39% 07/01/2007 12/31/2029 NO YES SERUTAN POW 45% 07/01/2007 12/31/2029 NO YES SIBLIN POW 50% 07/01/2007 12/31/2029 NO NO SM FIBER CAP 07/01/2007 12/31/2029 NO NO SM FIBER POW 07/01/2007 12/31/2029 NO YES SM FIBER POW 28.3% 07/01/2007 12/31/2029 NO NO SM FIBER POW 48.57% 07/01/2007 12/31/2029 NO NO SM FIBER POW 51.7% 07/01/2007 12/31/2029 NO YES SM FIBER POW 58.6% 07/01/2007 12/31/2029 NO NO SM FIBER LAX CAP 0.52GM 07/01/2007 12/31/2029 NO NO SORBULAX POW 100% 07/01/2007 12/31/2029 NO NO SYLLACT POW 50% 07/01/2007 12/31/2029 NO NO TGT PSYLLIUM CAP 0.52GM 07/01/2007 12/31/2029 NO NO TH FIBER CAP 0.52GM 07/01/2007 12/31/2029 NO NO UNI-LAXATIVE POW 07/01/2007 12/31/2029 NO NO UNI-LAXATIVE POW 48.57% 07/01/2007 12/31/2029 NO NO UNI-LAXATIVE POW 50% 07/01/2007 12/31/2029 NO NO VEG FIBER POW 30.9% 07/01/2007 12/31/2029 NO NO VEG FIBER POW 63% 07/01/2007 12/31/2029 NO NO VEG LAXATIVE POW 68% 07/01/2007 12/31/2029 NO NO VEG LAXATIVE POW 68% SF 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Psyllium VEG LAXATIVE POW SF ORAN 07/01/2007 12/31/2029 NO NO VEGETABLE POW 30% ORNG 07/01/2007 12/31/2029 NO NO VEGETABLE POW 43% REG 07/01/2007 12/31/2029 NO YES VEGETABLE LA POW 30% 07/01/2007 12/31/2029 NO NO V-LAX POW 50% 07/01/2007 12/31/2029 NO NO V-R NAT VEG POW 28.3% 07/01/2007 12/31/2029 NO NO V-R NAT VEG POW 48.57% 07/01/2007 12/31/2029 NO NO WAL-MUCIL CAP 0.52GM 07/01/2007 12/31/2029 NO NO WAL-MUCIL POW 100% 07/01/2007 12/31/2029 NO NO WAL-MUCIL POW 28.3% 07/01/2007 12/31/2029 NO NO WAL-MUCIL POW 48.57% 07/01/2007 12/31/2029 NO NO WAL-MUCIL POW 58.6% 07/01/2007 12/31/2029 NO NO Psyllium (effervescent) ALRAMUCIL POW 43% 07/01/2007 12/31/2029 NO NO ALRAMUCIL POW 43% ORAN 07/01/2007 12/31/2029 NO NO EFFERSYLLIUM POW 43% 07/01/2007 12/31/2029 NO NO METAMUCIL POW 63% EF 07/01/2007 12/31/2029 NO YES METAMUCIL POW EFF ORNG 07/01/2007 12/31/2029 NO YES NATURAL VEG POW 07/01/2007 12/31/2029 NO YES NATURAL VEG POW ORANGE 07/01/2007 12/31/2029 NO YES Psyllium w/ Bentonite-Whey INTEST CLEAN CAP 07/01/2007 12/31/2029 NO YES Psyllium w/ Bran CORRECTOL POW APPLE 07/01/2007 12/31/2029 NO NO CORRECTOL POW NATURAL 07/01/2007 12/31/2029 NO NO CORRECTOL POW ORANGE 07/01/2007 12/31/2029 NO NO FIBERALL POW 07/01/2007 12/31/2029 NO YES FIBERALL POW NATURAL 07/01/2007 12/31/2029 NO YES FIBERALL POW ORANGE 07/01/2007 12/31/2029 NO YES FIBERALL WAF FRUIT/NT 07/01/2007 12/31/2029 NO YES FIBERALL WAF OAT/RAIS 07/01/2007 12/31/2029 NO YES MODANE VERSA GRA BRAN 07/01/2007 12/31/2029 NO YES Psyllium w/ Calcium FIBER PLUS CAP CALCIUM 07/01/2007 12/31/2029 NO NO METACMUCIL CAP PLUS CA 07/01/2007 12/31/2029 NO YES WAL-MUCIL CAP PLUS CA 07/01/2007 12/31/2029 NO NO Psyllium-Malt Soup SYLLAMALT POW 07/01/2007 12/31/2029 NO YES Rhubarb & Soda RHUBARB&SODA LIQ 07/01/2007 12/31/2029 NO NO Senna BLK DRAUGHT GRA 1.65 GM 07/01/2007 12/31/2029 NO YES BLK DRAUGHT TAB 600 MG 07/01/2007 12/31/2029 NO YES CONSTIPATION TAB 187MG 07/01/2007 12/31/2029 NO NO CORRECTOL MIS HERBAL 07/01/2007 12/31/2029 NO YES DOSAFLEX SYP 218/5ML 07/01/2007 12/31/2029 NO NO DR. CALDWELL LIQ 135MG/ML 07/01/2007 12/31/2029 NO YES DR. CALDWELL LIQ SENNA 07/01/2007 12/31/2029 NO YES FLETCHERS LIQ CASTORIA 07/01/2007 12/31/2029 NO YES FLETCHER'S C LIQ 135MG/ML 07/01/2007 12/31/2029 NO YES FP SENNA TAB PLUS 07/01/2007 12/31/2029 NO NO GARFIELD LAX POW TEA 07/01/2007 12/31/2029 NO YES GENNA TAB 187MG 07/01/2007 12/31/2029 NO NO GENTLAX POW 07/01/2007 12/31/2029 NO YES HERBAL BLEND LIQ 244MG/ML 07/01/2007 12/31/2029 NO YES HM SENNA NAT TAB 187MG 07/01/2007 12/31/2029 NO NO INNERCLEAN SUP 30MG 07/01/2007 12/31/2029 NO YES INNERCLEAN TAB 500MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Senna LAX PREPARE EXT 07/01/2007 12/31/2029 NO NO LAXATIVE TAB NATURAL 07/01/2007 12/31/2029 NO NO LAXSENNA TAB 07/01/2007 12/31/2029 NO NO NAT FIBER TAB 187MG 07/01/2007 12/31/2029 NO NO NAT VEG LAX TAB 07/01/2007 12/31/2029 NO NO NAT VEGETABL TAB LAXATIVE 07/01/2007 12/31/2029 NO NO OSCO LAXATIV TAB 07/01/2007 12/31/2029 NO NO RA SENNA-LAX TAB 217MG 07/01/2007 12/31/2029 NO YES SAV-ON LAXAT TAB 07/01/2007 12/31/2029 NO NO SENEXON TAB 187MG 07/01/2007 12/31/2029 NO NO SENNA POW 07/01/2007 12/31/2029 NO YES SENNA SYP 07/01/2007 12/31/2029 NO YES SENNA TAB 100MG 07/01/2007 12/31/2029 NO NO SENNA TAB 187MG 07/01/2007 12/31/2029 NO NO SENNA TAB 217MG 07/01/2007 12/31/2029 NO YES SENNA CONC TAB 07/01/2007 12/31/2029 NO NO SENNA CONC TAB 187MG 07/01/2007 12/31/2029 NO NO SENNA CONCEN TAB 217MG 07/01/2007 12/31/2029 NO YES SENNA LEAVES MIS 07/01/2007 12/31/2029 NO NO SENNA LEAVES POW USP NF 07/01/2007 12/31/2029 NO YES SENNA-GEN TAB 187MG 07/01/2007 12/31/2029 NO NO SENNA-GEN NF TAB 187MG 07/01/2007 12/31/2029 NO NO SENNA-RELIEF SYP 218/5ML 07/01/2007 12/31/2029 NO NO SENNATURAL TAB 187MG 07/01/2007 12/31/2029 NO NO SENNOGEN TAB 187MG 07/01/2007 12/31/2029 NO NO SENNOSIDES TAB 187MG 07/01/2007 12/31/2029 NO NO SENNTAB TAB 187MG 07/01/2007 12/31/2029 NO NO SENOKOT SUP 652MG 07/01/2007 12/31/2029 NO YES SENOKOT TAB 187MG 07/01/2007 12/31/2029 NO YES SENOLAX TAB 187MG 07/01/2007 12/31/2029 NO NO SEN-O-TABS TAB 187MG 07/01/2007 12/31/2029 NO NO UNI-CENNA TAB 187MG 07/01/2007 12/31/2029 NO NO VEGETABLE TAB LAXATIVE 07/01/2007 12/31/2029 NO NO X-PREP EXT 07/01/2007 12/31/2029 NO YES X-PREP LIQ 07/01/2007 12/31/2029 NO YES X-PREP BOWEL KIT 07/01/2007 12/31/2029 NO YES X-PREP BOWEL KIT 187MG 07/01/2007 12/31/2029 NO YES X-PREP BOWEL KIT -2 07/01/2007 12/31/2029 NO YES Senna w/ Natural Laxatives HERBAL LAX TAB 07/01/2007 12/31/2029 NO YES LAXAGEL CAP 07/01/2007 12/31/2029 NO YES Senna-DSS GENTLAX S TAB 07/01/2007 12/31/2029 NO NO SENOKAPS DSS CAP 163-50 07/01/2007 12/31/2029 NO YES Senna-Fennel NATURAL VEG TAB LAXATIVE 07/01/2007 12/31/2029 NO YES Senna-Guar Gum GENTLAX B GRA 07/01/2007 12/31/2029 NO YES Senna-Psyllium PERDIEM GRA 07/01/2007 12/31/2029 NO YES RA SENNA GRA PLUS 07/01/2007 12/31/2029 NO NO Sennosides AGORAL LIQ MAX ST 07/01/2007 12/31/2029 NO YES BL LAXATIVE TAB 15MG 07/01/2007 12/31/2029 NO NO BL LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO BLACK DRAUGH GRA TEA 07/01/2007 12/31/2029 NO YES BLACK DRAUGH TAB 6MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Sennosides BLK DRAUGHT CHW 10MG 07/01/2007 12/31/2029 NO YES CHOC LAXATIV CHW 15MG 07/01/2007 12/31/2029 NO NO CVS LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO CVS LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO CVS SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO CVS SENNA-C TAB 8.6MG 07/01/2007 12/31/2029 NO NO DR EDWARDS TAB 8.6MG 07/01/2007 12/31/2029 NO NO ECK LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO EQ LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO EQ LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO EQ LAXATIVE TAB 8.6MG 07/01/2007 12/31/2029 NO NO EQL LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO EQL LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO EQL LAXATIVE TAB MAX ST 07/01/2007 12/31/2029 NO NO EVAC-U-GEN CHW 10MG 07/01/2007 12/31/2029 NO YES EVAC-U-GEN TAB 8.6MG 07/01/2007 12/31/2029 NO NO EVACUOL TAB 8.5MG 07/01/2007 12/31/2029 NO NO EX-LAX CHW 15MG 07/01/2007 12/31/2029 NO YES EX-LAX TAB 15MG 07/01/2007 12/31/2029 NO YES EX-LAX TAB MAX ST 07/01/2007 12/31/2029 NO YES GERI-KOT TAB 8.6MG 07/01/2007 12/31/2029 NO NO GNP LAXATIVE TAB 15MG 07/01/2007 12/31/2029 NO NO GNP LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO GNP SENNA CAP 8.6MG 07/01/2007 12/31/2029 NO NO GNP SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO HCA LAX-X TAB 15MG 07/01/2007 12/31/2029 NO NO HCA LAX-X TAB 25MG 07/01/2007 12/31/2029 NO NO HM SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO KP SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO LAX-AID TAB REG STR 07/01/2007 12/31/2029 NO NO LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 15MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB 8.6MG 07/01/2007 12/31/2029 NO NO LAXATIVE TAB CHOCOLAT 07/01/2007 12/31/2029 NO NO LAXATIVE TAB MAX STR 07/01/2007 12/31/2029 NO NO LAXATIVE TAB MAX-STR 07/01/2007 12/31/2029 NO NO LAXATIVE TAB PILLS 07/01/2007 12/31/2029 NO NO LAXATIVE TAB REG-STR 07/01/2007 12/31/2029 NO NO LAXATIVE TAB W/SENNA 07/01/2007 12/31/2029 NO NO LAX-EASE TAB 15MG 07/01/2007 12/31/2029 NO NO LAX-EASE TAB 25MG 07/01/2007 12/31/2029 NO NO LAX-PILLS TAB 15MG 07/01/2007 12/31/2029 NO NO LAX-PILLS TAB 25MG 07/01/2007 12/31/2029 NO NO LITTLE TUMMY DRO LAXATIVE 07/01/2007 12/31/2029 NO YES MEDI-LAX TAB 15MG 07/01/2007 12/31/2029 NO NO MEDI-NATURAL TAB 8.6MG 07/01/2007 12/31/2029 NO NO MP SENALAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO NAT SENNA LX TAB 8.6MG 07/01/2007 12/31/2029 NO NO NAT VEG LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO NATURAL LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Sennosides NYTILAX LAXA TAB 12MG 07/01/2007 12/31/2029 NO YES OSCO VEG TAB LAXATIVE 07/01/2007 12/31/2029 NO NO PEDIA-LAX MIS 8.6MG 07/01/2007 12/31/2029 NO YES PERDIEM OVER TAB 15MG 07/01/2007 12/31/2029 NO NO PRUNE SENNA TAB CONC 07/01/2007 12/31/2029 NO YES PX LAXATIVE TAB 8.6MG 07/01/2007 12/31/2029 NO NO QC SENNA CAP 8.6MG 07/01/2007 12/31/2029 NO NO QC SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO RA LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO RA LAXATIVE TAB 15MG 07/01/2007 12/31/2029 NO NO RA LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO RA LAXATIVE TAB EX ST 07/01/2007 12/31/2029 NO NO RA SENNA CAP 8.6MG 07/01/2007 12/31/2029 NO NO RA SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO SB SENNA-LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENEXON LIQ 8.8MG/5 07/01/2007 12/31/2029 NO NO SENEXON TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA CAP 8.6MG 07/01/2007 12/31/2029 NO NO SENNA SYP 07/01/2007 12/31/2029 NO NO SENNA SYP 8.8MG/5 07/01/2007 12/31/2029 NO NO SENNA TAB 15MG 07/01/2007 12/31/2029 NO NO SENNA TAB 25MG 07/01/2007 12/31/2029 NO NO SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA CONCEN TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA LAXATI TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA SMOOTH TAB 15MG 07/01/2007 12/31/2029 NO NO SENNACON TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA-EX TAB 15MG 07/01/2007 12/31/2029 NO NO SENNA-EXTRA TAB 17.2MG 07/01/2007 12/31/2029 NO NO SENNAGEN TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA-GEN TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA-GRX SYP 8.8MG/5 07/01/2007 12/31/2029 NO NO SENNA-LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNALEX SYP 07/01/2007 12/31/2029 NO NO SENNA-MAX TAB 25MG 07/01/2007 12/31/2029 NO NO SENNA-TABS TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA-TIME TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNATURAL TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNA-ULTRA TAB 17.2MG 07/01/2007 12/31/2029 NO NO SENNAZON SYP 8.8MG/5 07/01/2007 12/31/2029 NO NO SENNO TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENNOSIDES TAB 8.6MG 07/01/2007 12/31/2029 NO NO SENOKOT GRA 07/01/2007 12/31/2029 NO YES SENOKOT SYP 8.8MG/5M 07/01/2007 12/31/2029 NO YES SENOKOT SYP CHILDREN 07/01/2007 12/31/2029 NO YES SENOKOT TAB 8.6MG 07/01/2007 12/31/2029 NO YES SENOKOT 2GO TAB 8.6MG 07/01/2007 12/31/2029 NO YES SENOKOT EXTR TAB 17.2MG 07/01/2007 12/31/2029 NO NO SENOKOT XTRA TAB 17.2MG 07/01/2007 12/31/2029 NO YES SENOKOT XTRA TAB 17MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Sennosides SM LAXATIVE TAB 25MG 07/01/2007 12/31/2029 NO NO SM LAXATIVE TAB REGULAR 07/01/2007 12/31/2029 NO NO SM SENNA LAX TAB 8.6MG 07/01/2007 12/31/2029 NO NO SM SENNA LAX TAB MAX STR 07/01/2007 12/31/2029 NO NO TGT NATURAL TAB LAXATIVE 07/01/2007 12/31/2029 NO NO TGT SENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO UNI-CENNA SYP 07/01/2007 12/31/2029 NO NO UNI-CENNA TAB 8.6MG 07/01/2007 12/31/2029 NO NO V-R LAXATIVE CHW 15MG 07/01/2007 12/31/2029 NO NO Sennosides-Docusate Sodium COLACE 2IN1 TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO DOC-Q-LAX TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO DOK PLUS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO DOK PLUS TAB NEW FORM 07/01/2007 12/31/2029 NO NO DSS/SENNA TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO EASY-LAX PLS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO EQ SENNA-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO EQL STOOL TAB SOFTENER 07/01/2007 12/31/2029 NO NO EX-LAX GENTL TAB STRENGTH 07/01/2007 12/31/2029 NO YES FP STOOL SFT TAB LAXATIVE 07/01/2007 12/31/2029 NO NO GNP SENNA TAB PLUS 07/01/2007 12/31/2029 NO NO HM SENNA-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO LAX/STL SOFT TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO LAXACIN TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO LAXATIVE PLS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO MEDI-LAXX TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO MEDI-NATURAL TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO MEDI-NATURAL TAB W/SOFTNR 07/01/2007 12/31/2029 NO NO PERI-COLACE TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO RA P COL-RIT TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO RA P-COL RIT TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SB DOCUSATE TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENALAX SS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENEXON-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA PLUS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA SODIUM TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA/DSS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA-C PLUS TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA-DOCUSA TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNALAX-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENNA-TIME S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SENOKOT S TAB 8.6-50MG 07/01/2007 12/31/2029 NO YES SM SENNA-S TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO SM STOOL TAB SOFTENER 07/01/2007 12/31/2029 NO NO STOOL SOFTNR TAB 8.6-50MG 07/01/2007 12/31/2029 NO NO Sennosides-Psyllium SENNA PROMPT CAP 9-500MG 07/01/2007 12/31/2029 NO YES Sodium Phosphate Monobasic-Sodium Phosphate Dibasic OSMOPREP TAB 1.5GM 07/01/2007 12/31/2029 NO YES VISICOL TAB 1.5GM 07/01/2007 12/31/2029 NO YES Sodium Phosphate Monobasic-Sodium Phosphate Dibasic-MCC VISICOL TAB 1.5GM 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Sodium Phosphates CVS ENEMA ENE DISPOSAB 07/01/2007 12/31/2029 NO NO CVS ENEMA ENE RTU 07/01/2007 12/31/2029 NO NO CVS PREPARAT SOL CLEANSIN 07/01/2007 12/31/2029 NO NO DISPOSABLE ENE 07/01/2007 12/31/2029 NO NO DISPOSABLE ENE PHOSPHAT 07/01/2007 12/31/2029 NO NO DISPOSABLE ENE SINGLE 07/01/2007 12/31/2029 NO NO DISPOSABLE ENE TWIN PK 07/01/2007 12/31/2029 NO NO ECK ENEMA ENE 07/01/2007 12/31/2029 NO NO ENEMA ENE 07/01/2007 12/31/2029 NO NO ENEMA ENE DOUBLE 07/01/2007 12/31/2029 NO NO ENEMA ENE PHOSPHAT 07/01/2007 12/31/2029 NO NO ENEMA ENE SINGLE 07/01/2007 12/31/2029 NO NO ENEMA ENE TWIN PK 07/01/2007 12/31/2029 NO NO ENEMA ADULT ENE 07/01/2007 12/31/2029 NO NO ENEMA READY- ENE TO-USE 07/01/2007 12/31/2029 NO NO ENEMA READY- ENE -TO-USE 07/01/2007 12/31/2029 NO NO EQ ENEMA ENE DOUBLE 07/01/2007 12/31/2029 NO NO EQL ENEMA ENE RTU 07/01/2007 12/31/2029 NO NO E-Z PREP BCS SOL PHOS-SOD 07/01/2007 12/31/2029 NO NO FL PHOSPHO SOL GNGR-LEM 07/01/2007 12/31/2029 NO YES FL PHOSPHO SOL SODA 07/01/2007 12/31/2029 NO YES FL PHOSPHO SOL SODA-FLV 07/01/2007 12/31/2029 NO YES FL PHOSPHO SOL SODA-REG 07/01/2007 12/31/2029 NO YES FL PHOSPHO SOL UNFLAVOR 07/01/2007 12/31/2029 NO YES FLEET ENE 07/01/2007 12/31/2029 NO YES FLEET ENE ENEMA 07/01/2007 12/31/2029 NO YES FLEET ENE PED 07/01/2007 12/31/2029 NO YES FV DISPOSABL ENE 07/01/2007 12/31/2029 NO NO GENT-L-TIP ENE 07/01/2007 12/31/2029 NO NO GNP ENEMA ENE 07/01/2007 12/31/2029 NO NO GNP PREPARAT SOL CLEANSIN 07/01/2007 12/31/2029 NO NO HCA ENEMA ENE 07/01/2007 12/31/2029 NO NO HM DISPOSABL ENE 07/01/2007 12/31/2029 NO NO HM ENEMA ENE 07/01/2007 12/31/2029 NO NO HM ENEMA ENE R-T-U 07/01/2007 12/31/2029 NO NO LAXATIVE SOL SALINE 07/01/2007 12/31/2029 NO YES MDL ENEMA ENE RTU 07/01/2007 12/31/2029 NO NO NATURE'S REM ENE 07/01/2007 12/31/2029 NO NO ORAL SALINE SOL LAXATIVE 07/01/2007 12/31/2029 NO NO OSCO ENEMA ENE 07/01/2007 12/31/2029 NO NO PEDIATRIC ENE ENEMA 07/01/2007 12/31/2029 NO NO PHOSPHA-LAX SOL 07/01/2007 12/31/2029 NO NO PHOSPHATE SOL LAXATIVE 07/01/2007 12/31/2029 NO NO PREPARATION SOL CLEANSIN 07/01/2007 12/31/2029 NO NO PURE&GENTLE ENE 07/01/2007 12/31/2029 NO NO QC ENEMA ENE 07/01/2007 12/31/2029 NO NO RA ENEMA ENE 07/01/2007 12/31/2029 NO NO READY TO USE ENE 07/01/2007 12/31/2029 NO NO READY-TO-USE ENE COMPLETE 07/01/2007 12/31/2029 NO NO SALINE ENE LAXATIVE 07/01/2007 12/31/2029 NO NO SAV-ON ENEMA ENE 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *LAXATIVES* Sodium Phosphates SG ENEMA ENE RTU 07/01/2007 12/31/2029 NO NO SM ENEMA ENE 07/01/2007 12/31/2029 NO NO SODIUM PHOS SOL 07/01/2007 12/31/2029 NO NO SODIUM PHOSP SOL 07/01/2007 12/31/2029 NO NO V-R ENEMA ENE RTU 07/01/2007 12/31/2029 NO NO WAL-PHOSPHAT SOL 07/01/2007 12/31/2029 NO NO Sodium Phosphates-Pramoxine HCl-Glycerin FLEET ACCU KIT PREP 07/01/2007 12/31/2029 NO YES Sodium Picosulfate-Magnesium Oxide-Anhydrous Citric Acid PREPOPIK PAK 07/01/2007 12/31/2029 NO YES Sodium Sulfate-Potassium Sulfate-Magnesium Sulfate SUPREP BOWEL SOL PREP KIT 07/01/2007 12/31/2029 NO YES Sorbitol (Laxative) SORBITOL SOL 70% 07/01/2007 12/31/2029 NO YES Wheat Bran WHEAT BRAN POW 07/01/2007 12/31/2029 NO YES Wheat Dextrin BENEFIBER CHW 07/01/2007 12/31/2029 NO YES BENEFIBER POW 07/01/2007 12/31/2029 NO YES BENEFIBER POW CHILDREN 07/01/2007 12/31/2029 NO YES BENEFIBER POW DRINK MX 07/01/2007 12/31/2029 NO YES BENEFIBER POW ORANGE 07/01/2007 12/31/2029 NO YES BENEFIBER TAB 07/01/2007 12/31/2029 NO YES BENEFIBER ON POW THE GO 07/01/2007 12/31/2029 NO YES BEST FIBER POW 07/01/2007 12/31/2029 NO NO CLR SOLUBLE POW FIBER 07/01/2007 12/31/2029 NO NO EQ FIBER POW 07/01/2007 12/31/2029 NO NO GNP BEST POW FIBER 07/01/2007 12/31/2029 NO NO HM CLEAR POW FIBER 07/01/2007 12/31/2029 NO NO TOTAL FIBER POW 07/01/2007 12/31/2029 NO NO Wheat Dextrin-Calcium BENEFIBER CHW /CALCIUM 07/01/2007 12/31/2029 NO YES BENEFIBER POW CALCIUM 07/01/2007 12/31/2029 NO YES EASY FIBER/ CHW CALCIUM 07/01/2007 12/31/2029 NO NO Wheat Dextrin-Vitamin B6-Vitamin B12-Folic Acid BENEFIBER POW HEART 07/01/2007 12/31/2029 NO YES BENEFIBER TAB PLS B/FA 07/01/2007 12/31/2029 NO YES *MACROLIDES* Azithromycin AZITHROMYCIN INJ 500MG 07/01/2006 12/31/2029 NO NO AZITHROMYCIN POW 1GM PAK 07/01/2006 12/31/2029 NO YES AZITHROMYCIN SUS 100/5ML 07/01/2006 12/31/2029 NO NO AZITHROMYCIN SUS 200/5ML 07/01/2006 12/31/2029 NO NO AZITHROMYCIN TAB 250MG 07/01/2006 12/31/2029 NO NO AZITHROMYCIN TAB 500MG 07/01/2006 12/31/2029 NO NO AZITHROMYCIN TAB 600MG 07/01/2006 12/31/2029 NO NO ZITHROMAX CAP 250MG 07/01/2006 12/31/2029 NO YES ZITHROMAX CAP Z-PAK 07/01/2006 12/31/2029 NO YES ZITHROMAX INJ 500MG 07/01/2006 12/31/2029 NO YES ZITHROMAX POW 1GM PAK 07/01/2006 12/31/2029 NO YES ZITHROMAX SUS 100/5ML 07/01/2006 12/31/2029 NO YES ZITHROMAX SUS 200/5ML 07/01/2006 12/31/2029 NO YES ZITHROMAX TAB 250MG 07/01/2006 12/31/2029 NO YES ZITHROMAX TAB 500MG 07/01/2006 12/31/2029 NO YES ZITHROMAX TAB 600MG 07/01/2006 12/31/2029 NO YES ZITHROMAX TAB TRI-PAK 07/01/2006 12/31/2029 NO YES ZITHROMAX TAB Z-PAK 07/01/2006 12/31/2029 NO YES ZMAX SUS 2GM 07/01/2006 12/31/2029 NO YES ZMAX PEDIATR SUS 2GM 07/01/2006 12/31/2029 NO YES Clarithromycin BIAXIN SUS 125/5ML 07/01/2006 12/31/2029 NO YES BIAXIN SUS 250/5ML 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MACROLIDES* Clarithromycin BIAXIN TAB 250MG 07/01/2006 12/31/2029 NO YES BIAXIN TAB 500MG 07/01/2006 12/31/2029 NO YES BIAXIN XL TAB 500MG 07/01/2006 12/31/2029 NO YES BIAXIN XL TAB PAC 500 07/01/2006 12/31/2029 NO YES CLARITHROMYC SUS 125/5ML 07/01/2006 12/31/2029 NO NO CLARITHROMYC SUS 250/5ML 07/01/2006 12/31/2029 NO NO CLARITHROMYC TAB 250MG 07/01/2006 12/31/2029 NO NO CLARITHROMYC TAB 500MG 07/01/2006 12/31/2029 NO NO CLARITHROMYC TAB 500MG ER 07/01/2006 12/31/2029 NO NO Erythromycin Base E-BASE TAB 333MG EC 07/01/2006 12/31/2029 NO NO E-BASE TAB 500MG EC 07/01/2006 12/31/2029 NO NO E-MYCIN TAB 250MG EC 07/01/2006 12/31/2029 NO YES E-MYCIN TAB 333MG EC 07/01/2006 12/31/2029 NO YES ERYC CAP 125MG EC 07/01/2006 12/31/2029 NO YES ERYC CAP 250MG EC 07/01/2006 12/31/2029 NO YES ERY-TAB TAB 250MG EC 07/01/2006 12/31/2029 NO YES ERY-TAB TAB 333MG EC 07/01/2006 12/31/2029 NO NO ERY-TAB TAB 500MG EC 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN CAP 250MG DR 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN CAP 250MG EC 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN POW 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN POW BASE 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN POW MICRONIZ 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 250MG 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 250MG BS 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 250MG EC 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 333MG EC 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 500MG 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 500MG BS 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN TAB 500MG EC 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN TAB BS 250MG 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN TAB BS 500MG 07/01/2006 12/31/2029 NO YES ERYTHRO-RX POW 07/01/2006 12/31/2029 NO YES ILOTYCIN TAB 250MG EC 07/01/2006 12/31/2029 NO YES ROBIMYCIN TAB 250MG EC 07/01/2006 12/31/2029 NO NO Erythromycin Base (Coated) PCE TAB 333MG EC 07/01/2006 12/31/2029 NO YES PCE TAB 500MG EC 07/01/2006 12/31/2029 NO YES Erythromycin Estolate ERYTHROM EST CAP 250MG 07/01/2006 12/31/2029 NO NO ERYTHROM EST SUS 125/5ML 07/01/2006 12/31/2029 NO YES ERYTHROM EST SUS 250/5ML 07/01/2006 12/31/2029 NO YES ERYTHROM EST TAB 250MG 07/01/2006 12/31/2029 NO YES ERYTHROZONE CAP 250MG 07/01/2006 12/31/2029 NO NO ERYTHROZONE SUS 125/5ML 07/01/2006 12/31/2029 NO NO ERYTHROZONE SUS 250/5ML 07/01/2006 12/31/2029 NO NO ILOSONE CAP 250MG 07/01/2006 12/31/2029 NO YES ILOSONE CHW 125MG 07/01/2006 12/31/2029 NO YES ILOSONE CHW 250MG 07/01/2006 12/31/2029 NO YES ILOSONE DRO 100MG/ML 07/01/2006 12/31/2029 NO YES ILOSONE SUS 125/5ML 07/01/2006 12/31/2029 NO YES ILOSONE SUS 250/5ML 07/01/2006 12/31/2029 NO YES ILOSONE TAB 500MG 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MACROLIDES* Erythromycin Ethylsuccinate E.E.S. DRO 100/2.5 07/01/2006 12/31/2029 NO YES E.E.S. 200 CHW 200MG 07/01/2006 12/31/2029 NO YES E.E.S. 200 SUS 200/5ML 07/01/2006 12/31/2029 NO NO E.E.S. 400 SUS 400/5ML 07/01/2006 12/31/2029 NO NO E.E.S. 400 TAB 400MG 07/01/2006 12/31/2029 NO NO E.E.S. GRAN SUS 200/5ML 07/01/2006 12/31/2029 NO YES E-MYCIN-E SUS 200/5ML 07/01/2006 12/31/2029 NO NO E-MYCIN-E SUS 400/5ML 07/01/2006 12/31/2029 NO NO ERYPED CHW 200MG 07/01/2006 12/31/2029 NO YES ERYPED DRO 100/2.5 07/01/2006 12/31/2029 NO YES ERYPED SUS 200/5ML 07/01/2006 12/31/2029 NO YES ERYPED SUS 400/5ML 07/01/2006 12/31/2029 NO YES ERYPED 200 SUS 200/5ML 07/01/2006 12/31/2029 NO YES ERYPED 400 SUS 400/5ML 07/01/2006 12/31/2029 NO YES ERYTHRO E.S. SUS 200/5ML 07/01/2006 12/31/2029 NO NO ERYTHROM ETH SUS 200/5ML 07/01/2006 12/31/2029 NO NO ERYTHROM ETH SUS 400/5ML 07/01/2006 12/31/2029 NO NO ERYTHROM ETH TAB 400MG 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN POW ETHYLSUC 07/01/2006 12/31/2029 NO YES PEDIAMYCIN DRO 100/2.5 07/01/2006 12/31/2029 NO YES PEDIAMYCIN SUS 200/5ML 07/01/2006 12/31/2029 NO NO PEDIAMYCIN SUS 400/5ML 07/01/2006 12/31/2029 NO NO WYAMYCIN-E SUS 200/5ML 07/01/2006 12/31/2029 NO NO WYAMYCIN-E SUS 400/5ML 07/01/2006 12/31/2029 NO NO Erythromycin Lactobionate ERYTHROCIN INJ 1000MG 07/01/2006 12/31/2029 NO YES ERYTHROCIN INJ 500MG 07/01/2006 12/31/2029 NO YES ERYTHROM LAC INJ 1GM 07/01/2006 12/31/2029 NO NO ERYTHROM LAC INJ 500MG 07/01/2006 12/31/2029 NO YES Erythromycin Stearate ERYTHROCIN TAB 250MG 07/01/2006 12/31/2029 NO YES ERYTHROCIN TAB 500MG 07/01/2006 12/31/2029 NO NO ERYTHROCOT TAB 250MG 07/01/2006 12/31/2029 NO NO ERYTHROM ST TAB 250MG 07/01/2006 12/31/2029 NO YES ERYTHROM ST TAB 500MG 07/01/2006 12/31/2029 NO YES ERYTHROMYCIN POW STEARATE 07/01/2006 12/31/2029 NO YES ETHRIL TAB 250MG 07/01/2006 12/31/2029 NO NO ETHRIL TAB 500MG 07/01/2006 12/31/2029 NO NO MY-E TAB 250MG 07/01/2006 12/31/2029 NO NO PC-MYCIN TAB 250MG 07/01/2006 12/31/2029 NO NO WINTROCIN TAB 250MG 07/01/2006 12/31/2029 NO NO WYAMYCIN-S TAB 250MG 07/01/2006 12/31/2029 NO NO WYAMYCIN-S TAB 500MG 07/01/2006 12/31/2029 NO NO *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration ACCU-CHEK LIQ ACT/GLUC 07/01/2007 12/31/2029 NO YES ACCU-CHEK LIQ COMPACT 07/01/2007 12/31/2029 NO YES ACCU-CHEK LIQ CPT/GLUC 07/01/2007 12/31/2029 NO YES ACCU-CHEK LIQ GUIDE 07/01/2007 12/31/2029 NO YES ACCU-CHEK LIQ SMART 07/01/2007 12/31/2029 NO YES ACCU-CHEK SOL 07/01/2007 12/31/2029 NO YES ACCU-CHEK SOL COMFORT 07/01/2007 12/31/2029 NO YES ACCU-CHEK SOL COMPACT 07/01/2007 12/31/2029 NO YES ACCU-CHEK II SOL HIGH CON 07/01/2007 12/31/2029 NO YES ACCU-CHEK II SOL LOW CON 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration ACCU-CHEK IN LIQ CONTROL 07/01/2007 12/31/2029 NO YES ACCU-CHEK S SOL CONTROLS 07/01/2007 12/31/2029 NO YES ACCUTREND SOL GLUCOSE 07/01/2007 12/31/2029 NO YES ACURA CONTRL SOL HIGH 07/01/2007 12/31/2029 NO YES ACURA CONTRL SOL LOW 07/01/2007 12/31/2029 NO YES ACURA CONTRL SOL NORMAL 07/01/2007 12/31/2029 NO YES ADVANCE LIQ CONTROL 07/01/2007 12/31/2029 NO YES ADVANCE LIQ INTUITIO 07/01/2007 12/31/2029 NO YES ADVANCE NORM LIQ CONTROL 07/01/2007 12/31/2029 NO YES ADVANTAGE LIQ CONTROL 07/01/2007 12/31/2029 NO YES ADVOCATE LIQ HIGH 07/01/2007 12/31/2029 NO YES ADVOCATE LIQ LOW 07/01/2007 12/31/2029 NO YES ADVOCATE+ SOL REDI-COD 07/01/2007 12/31/2029 NO YES AGAMATRIX SOL HIGH 07/01/2007 12/31/2029 NO YES AGAMATRIX SOL NORM/HGH 07/01/2007 12/31/2029 NO YES AGAMATRIX SOL NORMAL 07/01/2007 12/31/2029 NO YES AMES GLUCO SOL HIGH CON 07/01/2007 12/31/2029 NO YES AMES GLUCO SOL LOW CON 07/01/2007 12/31/2029 NO YES AMES GLUCO SOL NORM CON 07/01/2007 12/31/2029 NO YES ANSWER BLOOD SOL GLUCOSE 07/01/2007 12/31/2029 NO YES ASCENSIA LIQ NORM CON 07/01/2007 12/31/2029 NO YES ASCENSIA SOL LOW/HIGH 07/01/2007 12/31/2029 NO YES ASCENSIA SOL NORM CON 07/01/2007 12/31/2029 NO YES ASSURE 3 LIQ CONTROL 07/01/2007 12/31/2029 NO YES ASSURE 4 LIQ LEVEL1/2 07/01/2007 12/31/2029 NO YES ASSURE CONTR LIQ LEVEL1-2 07/01/2007 12/31/2029 NO YES ASSURE DOSE SOL NORM/HGH 07/01/2007 12/31/2029 NO YES ASSURE DOSE SOL NORMAL 07/01/2007 12/31/2029 NO YES ASSURE II LIQ LEVEL 1 07/01/2007 12/31/2029 NO YES ASSURE II LIQ LEVEL1/2 07/01/2007 12/31/2029 NO YES ASSURE PRISM SOL LEVEL1/2 07/01/2007 12/31/2029 NO YES ASSURE PRO LIQ LEVEL1/2 07/01/2007 12/31/2029 NO YES AT LAST SOL CONTROL 07/01/2007 12/31/2029 NO YES AUTODISC LIQ LOW/HIGH 07/01/2007 12/31/2029 NO YES BAYER BREEZE LIQ HIGH CNT 07/01/2007 12/31/2029 NO YES BAYER BREEZE LIQ LOW CNTL 07/01/2007 12/31/2029 NO YES BAYER BREEZE LIQ NORM CNT 07/01/2007 12/31/2029 NO YES BD CONTROL SOL NORMAL 07/01/2007 12/31/2029 NO YES CARESENS SOL CONTROL 07/01/2007 12/31/2029 NO YES CHECKMATE SOL 07/01/2007 12/31/2029 NO YES CHECKMATE + LIQ HIGH/LOW 07/01/2007 12/31/2029 NO YES CLEVR CHOICE LIQ HIGH 07/01/2007 12/31/2029 NO YES CLEVR CHOICE LIQ LOW 07/01/2007 12/31/2029 NO YES CONTOUR LIQ HIGH CNT 07/01/2007 12/31/2029 NO YES CONTOUR LIQ LOW CNTL 07/01/2007 12/31/2029 NO YES CONTOUR LIQ NORM CNT 07/01/2007 12/31/2029 NO YES CONTOUR SOL NEXT 07/01/2007 12/31/2029 NO YES CONTROL SOL NORMAL 07/01/2007 12/31/2029 NO YES CONTROL HIGH SOL UNISTRIP 07/01/2007 12/31/2029 NO YES CONTROL LOW SOL UNISTRIP 07/01/2007 12/31/2029 NO YES CONTROL NORM SOL EASY STP 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration CONTROL SOL LIQ HI/MID/L 07/01/2007 12/31/2029 NO YES CONTROL SOL LIQ HIGH/LOW 07/01/2007 12/31/2029 NO YES CONTROL SOL LIQ MID 07/01/2007 12/31/2029 NO YES COOL CONTROL SOL A 07/01/2007 12/31/2029 NO YES COOL CONTROL SOL B 07/01/2007 12/31/2029 NO YES DCA 2000 LIQ ABNORMAL 07/01/2007 12/31/2029 NO YES DCA 2000 LIQ NORMAL 07/01/2007 12/31/2029 NO YES DEXTRO-CHEK SOL 07/01/2007 12/31/2029 NO YES DEXTRO-CHEK SOL HIGH CON 07/01/2007 12/31/2029 NO YES DEXTRO-CHEK SOL LOW CON 07/01/2007 12/31/2029 NO YES DEXTRO-CHEK SOL NORM CON 07/01/2007 12/31/2029 NO YES DIASCAN CON LIQ ELEV CON 07/01/2007 12/31/2029 NO YES DIASCAN CON LIQ HIGH CON 07/01/2007 12/31/2029 NO YES DIASCAN CON LIQ NORM CON 07/01/2007 12/31/2029 NO YES DIATRUE CONT SOL LEVEL 1 07/01/2007 12/31/2029 NO YES DIATRUE CONT SOL LEVEL 2 07/01/2007 12/31/2029 NO YES DIATRUE CONT SOL LEVEL 3 07/01/2007 12/31/2029 NO YES DUET GLUCOSE SOL CONTROL 07/01/2007 12/31/2029 NO YES DUO-CARE LIQ LEVEL1/2 07/01/2007 12/31/2029 NO YES EASY CHECK SOL HIGH 07/01/2007 12/31/2029 NO YES EASY CHECK SOL NORMAL 07/01/2007 12/31/2029 NO YES EASY PLUS LIQ NORMAL 07/01/2007 12/31/2029 NO YES EASY PLUS SOL HIGH 07/01/2007 12/31/2029 NO YES EASY PLUS SOL LOW 07/01/2007 12/31/2029 NO YES EASY PLUS II SOL HIGH 07/01/2007 12/31/2029 NO YES EASY PLUS II SOL LOW 07/01/2007 12/31/2029 NO YES EASY TALK SOL HIGH 07/01/2007 12/31/2029 NO YES EASY TALK SOL LOW 07/01/2007 12/31/2029 NO YES EASY TALK SOL NORMAL 07/01/2007 12/31/2029 NO YES EASY TOUCH SOL CONTROL 07/01/2007 12/31/2029 NO YES EASY TOUCH SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES EASY TRAK SOL HIGH 07/01/2007 12/31/2029 NO YES EASY TRAK SOL LOW 07/01/2007 12/31/2029 NO YES EASY TRAK SOL NORMAL 07/01/2007 12/31/2029 NO YES EASYGLUCO SOL HIGH 07/01/2007 12/31/2029 NO YES EASYGLUCO SOL LOW 07/01/2007 12/31/2029 NO YES EASYGLUCO SOL NORMAL 07/01/2007 12/31/2029 NO YES EASYGLUCO SOL PLUS 07/01/2007 12/31/2029 NO YES EASYMAX SOL HIGH 07/01/2007 12/31/2029 NO YES EASYMAX SOL LOW 07/01/2007 12/31/2029 NO YES EASYMAX SOL NORM/LOW 07/01/2007 12/31/2029 NO YES EASYMAX SOL NORMAL 07/01/2007 12/31/2029 NO YES EASYMAX 15 SOL LEVEL 1 07/01/2007 12/31/2029 NO YES EASYMAX 15 SOL LEVEL 2 07/01/2007 12/31/2029 NO YES EASYMAX 15 SOL LEVEL1-2 07/01/2007 12/31/2029 NO YES EASYSTEP HGH SOL CONTROL 07/01/2007 12/31/2029 NO YES EASYSTEP LOW SOL CONTROL 07/01/2007 12/31/2029 NO YES ECLIPSE LIQ HIGH 07/01/2007 12/31/2029 NO YES ECLIPSE LIQ LOW 07/01/2007 12/31/2029 NO YES ECLIPSE SOL NORMAL 07/01/2007 12/31/2029 NO YES ELEMENT LIQ HIGH 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration ELEMENT LIQ LOW 07/01/2007 12/31/2029 NO YES ELEMENT CONT LIQ NORMAL 07/01/2007 12/31/2029 NO YES ELEMENT PLUS SOL HIGH 07/01/2007 12/31/2029 NO YES ELEMENT PLUS SOL LOW 07/01/2007 12/31/2029 NO YES ELEMENT PLUS SOL NORMAL 07/01/2007 12/31/2029 NO YES ELEMNT COMPA SOL LEVEL 2 07/01/2007 12/31/2029 NO YES ELEMNT COMPA SOL LEVEL 3 07/01/2007 12/31/2029 NO YES ELITE LIQ LOW/HIGH 07/01/2007 12/31/2029 NO YES EMBRACE SOL LOW 07/01/2007 12/31/2029 NO YES EMBRACE CNTR LIQ HIGH 07/01/2007 12/31/2029 NO YES EMBRACE EVO LIQ LEVEL 1 07/01/2007 12/31/2029 NO YES EMBRACE EVO LIQ LEVEL 2 07/01/2007 12/31/2029 NO YES EMBRACE PRO LIQ GLUCOSE 07/01/2007 12/31/2029 NO YES ENVISION SOL HIGH 07/01/2007 12/31/2029 NO YES ENVISION SOL LOW 07/01/2007 12/31/2029 NO YES ENVISION SOL NORMAL 07/01/2007 12/31/2029 NO YES EVENCAR MINI SOL NORMAL 07/01/2007 12/31/2029 NO YES EVENCARE G2 SOL LOW/HIGH 07/01/2007 12/31/2029 NO YES EVENCARE G3 SOL LOW/HIGH 07/01/2007 12/31/2029 NO YES EVENCARE SOL LIQ LOW/HIGH 07/01/2007 12/31/2029 NO YES EVOLUTION SOL NORMAL 07/01/2007 12/31/2029 NO YES EXACTECH SOL CONTROLS 07/01/2007 12/31/2029 NO YES EXPRESSVIEW LIQ CONT SOL 07/01/2007 12/31/2029 NO YES FIFTY50 SOL 2.0 07/01/2007 12/31/2029 NO YES FORA CONTROL SOL HIGH 07/01/2007 12/31/2029 NO YES FORA CONTROL SOL LOW 07/01/2007 12/31/2029 NO YES FORA CONTROL SOL NORMAL 07/01/2007 12/31/2029 NO YES FORACARE GDH SOL HIGH 07/01/2007 12/31/2029 NO YES FORACARE GDH SOL LOW 07/01/2007 12/31/2029 NO YES FORACARE GDH SOL NORMAL 07/01/2007 12/31/2029 NO YES FORTISCARE SOL CNTL HI 07/01/2007 12/31/2029 NO YES FORTISCARE SOL CNTL LOW 07/01/2007 12/31/2029 NO YES FORTISCARE SOL CNTL NML 07/01/2007 12/31/2029 NO YES FREESTYLE LIQ CONTROL 07/01/2007 12/31/2029 NO YES GE100 CONTRL SOL NORMAL 07/01/2007 12/31/2029 NO YES GLUC CONTROL LIQ NORMAL 07/01/2007 12/31/2029 NO YES GLUC CONTROL SOL 07/01/2007 12/31/2029 NO YES GLUC CONTROL SOL LEVEL 1 07/01/2007 12/31/2029 NO YES GLUC CONTROL SOL LEVEL 2 07/01/2007 12/31/2029 NO YES GLUC CONTROL SOL MID 07/01/2007 12/31/2029 NO YES GLUC CONTROL SOL NORMAL 07/01/2007 12/31/2029 NO YES GLUCOCARD LIQ LEVEL 1 07/01/2007 12/31/2029 NO YES GLUCOCARD SOL NORMAL 07/01/2007 12/31/2029 NO YES GLUCOCARD SOL SHINE 07/01/2007 12/31/2029 NO YES GLUCOCARD 01 LIQ NORM/HGH 07/01/2007 12/31/2029 NO YES GLUCOCARD 01 SOL NORMAL 07/01/2007 12/31/2029 NO YES GLUCOCOM TES HIGH CON 07/01/2007 12/31/2029 NO YES GLUCOCOM TES NORM CON 07/01/2007 12/31/2029 NO YES GLUCOFILM TES HIGH CON 07/01/2007 12/31/2029 NO YES GLUCOFILM TES LOW CON 07/01/2007 12/31/2029 NO YES GLUCOFILM TES NORM CON 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration GLUCOLAB TES HIGH CON 07/01/2007 12/31/2029 NO YES GLUCOLAB TES LOW CON 07/01/2007 12/31/2029 NO YES GLUCOLAB TES NORM CON 07/01/2007 12/31/2029 NO YES GLUCOMETER LIQ DEX/HIGH 07/01/2007 12/31/2029 NO YES GLUCOMETER LIQ DEX/NORM 07/01/2007 12/31/2029 NO YES GLUCOMETER TES HIGH CON 07/01/2007 12/31/2029 NO YES GLUCOMETER TES LOW CON 07/01/2007 12/31/2029 NO YES GLUCOMETER TES NORM CON 07/01/2007 12/31/2029 NO YES GLUCOPROTEIN SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES GLUCOS ALERT SOL CONTROL 07/01/2007 12/31/2029 NO YES GLUCOSCAN SOL NORM CON 07/01/2007 12/31/2029 NO YES GLUCOSE CONT LIQ 07/01/2007 12/31/2029 NO YES GLUCOSE CONT LIQ HIGH/LOW 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL 2/2M/3 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL ACC-EASY 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL ACCU ADD 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL ADVANTAG 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL HIGH 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL NORMAL 07/01/2007 12/31/2029 NO YES GLUCOSE CONT SOL PRECISIO 07/01/2007 12/31/2029 NO YES GMATE CONTRO SOL LEVEL 2 07/01/2007 12/31/2029 NO YES HEALTHPRO SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES IN TOUCH SOL GLUCOSE 07/01/2007 12/31/2029 NO YES INFINITY SOL HIGH CON 07/01/2007 12/31/2029 NO YES INFINITY SOL LOW CON 07/01/2007 12/31/2029 NO YES INFINITY SOL NORM CON 07/01/2007 12/31/2029 NO YES MAXIMA SOL CONTROL 07/01/2007 12/31/2029 NO YES MEDISENSE LIQ GLUC/KET 07/01/2007 12/31/2029 NO YES MEDISENSE LIQ GLUC-KET 07/01/2007 12/31/2029 NO YES MEDISENSE SOL GLUC CON 07/01/2007 12/31/2029 NO YES MICRODOT CON SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES MICRODOT CON SOL NORMAL 07/01/2007 12/31/2029 NO YES MYGLUCOHEALT SOL LO/NL/HI 07/01/2007 12/31/2029 NO YES NEUTEK 2TEK SOL CONTROL 07/01/2007 12/31/2029 NO YES NEXGEN TES NORM CON 07/01/2007 12/31/2029 NO YES NOVA MAX TES NORM CON 07/01/2007 12/31/2029 NO YES NOVA MAX GLU LIQ /KET CON 07/01/2007 12/31/2029 NO YES ON CALL EXPR SOL GLUCOSE 07/01/2007 12/31/2029 NO YES ON CALL PLUS SOL CONTROL 07/01/2007 12/31/2029 NO YES ON CALL VIVD SOL CONTROL 07/01/2007 12/31/2029 NO YES ONE TOUCH LIQ GLU CONT 07/01/2007 12/31/2029 NO YES ONE TOUCH LIQ GLUC CON 07/01/2007 12/31/2029 NO YES ONETOUCH SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES ONETOUCH SOL NORM CON 07/01/2007 12/31/2029 NO YES ONETOUCH SOL ULT CONT 07/01/2007 12/31/2029 NO YES ONETOUCH SOL VERIO 07/01/2007 12/31/2029 NO YES ONETOUCH SOL VERIO-HI 07/01/2007 12/31/2029 NO YES ONETOUCH TES HIGH CON 07/01/2007 12/31/2029 NO YES ONETOUCH TES LOW CON 07/01/2007 12/31/2029 NO YES OPTUMRX CONT SOL LEVEL1/2 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration PEN2/COMPAN2 MIS 1HI/LO 07/01/2007 12/31/2029 NO YES POCKETCHEM SOL EZ 07/01/2007 12/31/2029 NO YES PRECISION LIQ CONTROL 07/01/2007 12/31/2029 NO YES PRECISION LIQ GLUC/KET 07/01/2007 12/31/2029 NO YES PRECISION LIQ NRML/MID 07/01/2007 12/31/2029 NO YES PRESTIGE GLU LIQ HIGH 07/01/2007 12/31/2029 NO YES PRESTIGE GLU LIQ LOW 07/01/2007 12/31/2029 NO YES PRESTIGE GLU LIQ LOW CON 07/01/2007 12/31/2029 NO YES PRODIGY SOL HIGH 07/01/2007 12/31/2029 NO YES PRODIGY SOL LOW 07/01/2007 12/31/2029 NO YES QUICKTEK LIQ SOLUTION 07/01/2007 12/31/2029 NO YES QUINTET CONT SOL HGH/NORM 07/01/2007 12/31/2029 NO YES REFUAH PLUS SOL CONTROL 07/01/2007 12/31/2029 NO YES RIGHTEST LIQ HIGH CON 07/01/2007 12/31/2029 NO YES RIGHTEST LIQ NORM CON 07/01/2007 12/31/2029 NO YES SELECT GT SOL NORM CON 07/01/2007 12/31/2029 NO YES SELECT GT SOL NORM/HGH 07/01/2007 12/31/2029 NO YES SMARTEST SOL CONTROL 07/01/2007 12/31/2029 NO YES SOLUS V2 SOL HIGH 07/01/2007 12/31/2029 NO YES SOLUS V2 SOL LOW 07/01/2007 12/31/2029 NO YES SUPREME GLUC LIQ LOW/HIGH 07/01/2007 12/31/2029 NO YES SUPREME GLUC LIQ NORMAL 07/01/2007 12/31/2029 NO YES SUPREME II LIQ HIGH/LOW 07/01/2007 12/31/2029 NO YES SURE EDGE SOL HIGH 07/01/2007 12/31/2029 NO YES SURE EDGE SOL LOW 07/01/2007 12/31/2029 NO YES SURE EDGE SOL NORMAL 07/01/2007 12/31/2029 NO YES SURECHEK LIQ HIGH 07/01/2007 12/31/2029 NO YES SURECHEK LIQ LOW 07/01/2007 12/31/2029 NO YES SURECHEK LIQ NORMAL 07/01/2007 12/31/2029 NO YES SURESTEP SOL CONTROL 07/01/2007 12/31/2029 NO YES SURESTEP GLU SOL 07/01/2007 12/31/2029 NO YES SURESTEP GLU SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES SURESTEP PRO TES HIGH CON 07/01/2007 12/31/2029 NO YES SURESTEP PRO TES LOW CON 07/01/2007 12/31/2029 NO YES SURESTEP PRO TES NORM CON 07/01/2007 12/31/2029 NO YES SURE-TEST SOL NORMAL 07/01/2007 12/31/2029 NO YES TAI DOC SOL NORM CON 07/01/2007 12/31/2029 NO YES TELCARE SOL LEVEL1/2 07/01/2007 12/31/2029 NO YES TRACKEASE LIQ GLUCOSE 07/01/2007 12/31/2029 NO YES TRACKEASE LIQ HIGH 07/01/2007 12/31/2029 NO YES TRACKEASE LIQ LOW 07/01/2007 12/31/2029 NO YES TRUE METRIX SOL LEVEL 1 07/01/2007 12/31/2029 NO YES TRUE METRIX SOL LEVEL 2 07/01/2007 12/31/2029 NO YES TRUE METRIX SOL LEVEL 3 07/01/2007 12/31/2029 NO YES TRUECONTROL LIQ LEVEL 0 07/01/2007 12/31/2029 NO YES TRUECONTROL LIQ LEVEL 1 07/01/2007 12/31/2029 NO YES TRUETEST LIQ LEVEL 1 07/01/2007 12/31/2029 NO YES TRUETEST LIQ LEVEL 2 07/01/2007 12/31/2029 NO YES TRUETEST LIQ LEVEL 3 07/01/2007 12/31/2029 NO YES TRUETRACK LIQ GLUCOSE 07/01/2007 12/31/2029 NO YES ULTRA CONTRO LIQ ELEV CON 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Blood Glucose Calibration ULTRATRK PRO SOL 07/01/2007 12/31/2029 NO YES ULTRATRK PRO SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES ULTRATRK ULT SOL HIGH/LOW 07/01/2007 12/31/2029 NO YES VICTORY SOL CONTROL 07/01/2007 12/31/2029 NO YES VOCAL POINT SOL CNT HIGH 07/01/2007 12/31/2029 NO YES VOCAL POINT SOL CONT LOW 07/01/2007 12/31/2029 NO YES XPRES CONTRL SOL NORMAL 07/01/2007 12/31/2029 NO YES Blood Glucose/Ketone Monitoring CARDIO CHEK MIS KIT 07/01/2007 12/31/2029 NO YES CARDIO CHEK MIS PA KIT 07/01/2007 12/31/2029 NO YES Insulin Inhaler & Components EXUBERA INH/ KIT CHAMBER 08/08/2007 12/31/2029 YES YES Insulin Inhaler Chamber EXUBERA MIS CHAMBER 08/08/2007 12/31/2029 YES YES Insulin Inhaler Release Unit EXUBERA RELS MIS UNIT 08/08/2007 12/31/2029 YES YES Lancet Devices ADJ LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES ADV LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES ADVOCATE MIS LANC DEV 07/01/2007 12/31/2029 NO YES ALTRNATE SIT MIS DEVICE 07/01/2007 12/31/2029 NO YES AQUA LANCE MIS LANC DEV 07/01/2007 12/31/2029 NO YES AUTOCLIX MIS DEVICE 07/01/2007 12/31/2029 NO YES AUTOJECT MIS 07/01/2007 12/31/2029 NO YES AUTO-LANCET MIS 07/01/2007 12/31/2029 NO YES AUTO-LANCET MIS MINI 07/01/2007 12/31/2029 NO YES AUTO-LANCETS MIS 07/01/2007 12/31/2029 NO YES AUTOLET IMPR MIS LANC DEV 07/01/2007 12/31/2029 NO YES AUTOLET LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES AUTOLET MINI MIS 07/01/2007 12/31/2029 NO YES AUTOLET PLUS MIS 07/01/2007 12/31/2029 NO YES AUTOLET PLUS MIS LANC DEV 07/01/2007 12/31/2029 NO YES BAYER MICRLT MIS LANC DVC 07/01/2007 12/31/2029 NO YES BD LANCET MIS DEVICE 07/01/2007 12/31/2029 NO YES BIOLITE-100 MIS 07/01/2007 12/31/2029 NO YES BIOLITE-200 MIS 07/01/2007 12/31/2029 NO YES BL LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES CARDIOCOM MIS LANCING 07/01/2007 12/31/2029 NO YES CAREONE ADV MIS LANCING 07/01/2007 12/31/2029 NO YES CARETOUCH MIS EJECTOR 07/01/2007 12/31/2029 NO YES CLOSERCARE MIS 07/01/2007 12/31/2029 NO YES CVS LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES DIABETIC MIS LANCE 07/01/2007 12/31/2029 NO YES DROPLET LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES EASY MINI MIS 07/01/2007 12/31/2029 NO YES EASY MINI MIS EJECT 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS 07/01/2007 12/31/2029 NO YES FIFTY50 MIS LANC DEV 07/01/2007 12/31/2029 NO YES FORA MIS LANCING 07/01/2007 12/31/2029 NO YES GENTLE-LET MIS PC 07/01/2007 12/31/2029 NO YES GENTLE-LET 1 MIS EXTRA 07/01/2007 12/31/2029 NO YES GENTLE-LET 1 MIS NORMAL 07/01/2007 12/31/2029 NO YES GLOBAL LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES GLUCOLET MIS LANCING 07/01/2007 12/31/2029 NO YES GLUCOLET 2 MIS LANCING 07/01/2007 12/31/2029 NO YES GLUCOSOURCE MIS LANC DEV 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancet Devices GMATE LANCIN MIS DEVICE 07/01/2007 12/31/2029 NO YES GNP LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES GOODSENSE MIS LANC DVC 07/01/2007 12/31/2029 NO YES HC LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES HCA LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES HYPOLET MIS 07/01/2007 12/31/2029 NO YES IN TOUCH LAN MIS DEVICE 07/01/2007 12/31/2029 NO YES INCONTROL MIS LANC DEV 07/01/2007 12/31/2029 NO YES LANCET AUTO MIS INJECTOR 07/01/2007 12/31/2029 NO YES LANCET DEVIC MIS 07/01/2007 12/31/2029 NO YES LANCET DEVIC MIS ADJUST 07/01/2007 12/31/2029 NO YES LANCET WITH MIS EJECTOR 07/01/2007 12/31/2029 NO YES LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES LANCING DEVI MIS 07/01/2007 12/31/2029 NO YES LANCING DEVI MIS 25G 07/01/2007 12/31/2029 NO YES LANCING DEVI MIS 30G 07/01/2007 12/31/2029 NO YES LANCING DEVI MIS ADJUST 07/01/2007 12/31/2029 NO YES LANCING PEN MIS 07/01/2007 12/31/2029 NO YES LANZO MIS LANCING 07/01/2007 12/31/2029 NO YES LASETTE MIS 07/01/2007 12/31/2029 NO YES LB LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES LITE TOUCH MIS LANC DEV 07/01/2007 12/31/2029 NO YES LITE TOUCH MIS LANC PEN 07/01/2007 12/31/2029 NO YES MICROLET MIS NEXT 07/01/2007 12/31/2029 NO YES MICROLET AUT MIS LNC DEVC 07/01/2007 12/31/2029 NO YES MICROLET DEV MIS VACULANC 07/01/2007 12/31/2029 NO YES MINI LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES MONOJECTOR MIS LANC DEV 07/01/2007 12/31/2029 NO YES MULTI-LANCET MIS DEVICE 07/01/2007 12/31/2029 NO YES NOVA SUREFLX MIS LANC DEV 07/01/2007 12/31/2029 NO YES ON CALL LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES ON CALL PLUS MIS LANC DEV 07/01/2007 12/31/2029 NO YES ONETOUCH MIS LANC DEV 07/01/2007 12/31/2029 NO YES PENLET II MIS REPL CAP 07/01/2007 12/31/2029 NO YES PENLET SAMPL MIS BLOOD 07/01/2007 12/31/2029 NO YES PRESTIGE LIT MIS TOUCH 07/01/2007 12/31/2029 NO YES PRODIGY MIS LANC DEV 07/01/2007 12/31/2029 NO YES QC LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES RAPID-SAFE MIS LANCING 07/01/2007 12/31/2029 NO YES RELION LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES RELION LANCI MIS DEVICE 07/01/2007 12/31/2029 NO YES RENEW ADV MIS DEVICE 07/01/2007 12/31/2029 NO YES RIGHTEST MIS GD500 07/01/2007 12/31/2029 NO YES SELECT-LITE MIS LANC DEV 07/01/2007 12/31/2029 NO YES SHOPKO LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES SIMPLE DIAG MIS LANCING 07/01/2007 12/31/2029 NO YES SOFT TOUCH MIS LAN DEVC 07/01/2007 12/31/2029 NO YES SOFT TOUCHII MIS DEVICE 07/01/2007 12/31/2029 NO YES SOFTCLIX LAN MIS DEVICE 07/01/2007 12/31/2029 NO YES SOLUS V2 MIS LANC DEV 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANC PEN 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancet Devices SURE-PEN MIS 07/01/2007 12/31/2029 NO YES TENDERLETT MIS ADULT 07/01/2007 12/31/2029 NO YES TENDERLETT MIS JUNIOR 07/01/2007 12/31/2029 NO YES TENDERLETT MIS TODDLER 07/01/2007 12/31/2029 NO YES TGT LANCING MIS ADV DEV 07/01/2007 12/31/2029 NO YES TGT LANCING MIS DEVICE 07/01/2007 12/31/2029 NO YES TRUEDRAW MIS LANC DEV 07/01/2007 12/31/2029 NO YES ULTI-LANCE MIS CLR TIP 07/01/2007 12/31/2029 NO YES ULTI-LANCE MIS DEVICE 07/01/2007 12/31/2029 NO YES ULTI-LANCE MIS MINI ADJ 07/01/2007 12/31/2029 NO YES ULTILET OPER MIS DEVICE 07/01/2007 12/31/2029 NO YES ULTRATLC KIT LAN-DEV 07/01/2007 12/31/2029 NO YES UNISTIK 1 MIS 2.4MM 07/01/2007 12/31/2029 NO YES UNISTIK II MIS 2.4MM 07/01/2007 12/31/2029 NO YES VANTAGE LANC MIS DEVICE 07/01/2007 12/31/2029 NO YES WALGREENS MIS LANCING 07/01/2007 12/31/2029 NO YES Lancets 1ST CHOICE MIS LANCETS 07/01/2007 12/31/2029 NO YES ACCU-CHEK MIS MLTICLIX 07/01/2007 12/31/2029 NO YES ACTI-LANCE MIS 28G 07/01/2007 12/31/2029 NO YES ACTI-LANCE MIS LITE 28G 07/01/2007 12/31/2029 NO YES ACTI-LANCE MIS SPEC 17G 07/01/2007 12/31/2029 NO YES ACTI-LANCE MIS UNIV 23G 07/01/2007 12/31/2029 NO YES ACTIVE 1ST MIS LANC 30G 07/01/2007 12/31/2029 NO YES ADV TRAVEL MIS LANC 28G 07/01/2007 12/31/2029 NO YES ADVCATE SAFE MIS LANC 26G 07/01/2007 12/31/2029 NO YES ADVOCATE MIS LANC 30G 07/01/2007 12/31/2029 NO YES ADVOCATE MIS LANCETS 07/01/2007 12/31/2029 NO YES AF LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES AGAMATRIX MIS 33G 07/01/2007 12/31/2029 NO YES AMES GLU SYS MIS 07/01/2007 12/31/2029 NO YES ASSURE MIS LANCETS 07/01/2007 12/31/2029 NO YES ASSURE CMFRT MIS 28G 07/01/2007 12/31/2029 NO YES ASSURE CMFRT MIS 30G 07/01/2007 12/31/2029 NO YES ASSURE LANCE MIS 21G 07/01/2007 12/31/2029 NO YES ASSURE LANCE MIS LOW FLOW 07/01/2007 12/31/2029 NO YES ASSURE LANCE MIS MICRO 07/01/2007 12/31/2029 NO YES ASSURE LANCE MIS SAFE 25G 07/01/2007 12/31/2029 NO YES ASSURE LANCE MIS SAFE 30G 07/01/2007 12/31/2029 NO YES ASSURE PLUS MIS HIGH 18G 07/01/2007 12/31/2029 NO YES ASSURE PLUS MIS LOW 25G 07/01/2007 12/31/2029 NO YES ASSURE PLUS MIS MCRO 28G 07/01/2007 12/31/2029 NO YES ASSURE PLUS MIS NORM 21G 07/01/2007 12/31/2029 NO YES ASSURE PLUS MIS PEDIATRI 07/01/2007 12/31/2029 NO YES AT LAST MIS LANCETS 07/01/2007 12/31/2029 NO YES AURORA MIS LANCETS 07/01/2007 12/31/2029 NO YES AURORA LANCE MIS 30G 07/01/2007 12/31/2029 NO YES AURORA LANCE MIS THIN 23G 07/01/2007 12/31/2029 NO YES AUTO LANCET MIS 07/01/2007 12/31/2029 NO YES AUTOCLIX MIS LANCETS 07/01/2007 12/31/2029 NO YES BAYER MICRLT MIS LANCETS 07/01/2007 12/31/2029 NO YES BD GENIE MIS LANCET 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets BD GENIE MIS LANCETS 07/01/2007 12/31/2029 NO YES BD LANCET UF MIS 30G 07/01/2007 12/31/2029 NO YES BD LANCET UF MIS 33G 07/01/2007 12/31/2029 NO YES B-D MICRO MIS LANCETS 07/01/2007 12/31/2029 NO YES BD MICROTAIN MIS LANCETS 07/01/2007 12/31/2029 NO YES BD ULT FINE MIS LANCETS 07/01/2007 12/31/2029 NO YES B-D ULTRA-FI MIS 33G 07/01/2007 12/31/2029 NO YES BL LANCETS MIS 07/01/2007 12/31/2029 NO YES BL LANCETS MIS COLOR 07/01/2007 12/31/2029 NO YES BL LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES BULLSEYE MIS LANCETS 07/01/2007 12/31/2029 NO YES BULLSEYE MIS MINI LNC 07/01/2007 12/31/2029 NO YES CAREONE LANC MIS 26G 07/01/2007 12/31/2029 NO YES CAREONE LANC MIS 28G 07/01/2007 12/31/2029 NO YES CAREONE LANC MIS 30G 07/01/2007 12/31/2029 NO YES CAREONE LANC MIS THIN 07/01/2007 12/31/2029 NO YES CAREONE LANC MIS THIN 23G 07/01/2007 12/31/2029 NO YES CARETOUCH MIS TWIST 30 07/01/2007 12/31/2029 NO YES CLEANLET 25G MIS LANCETS 07/01/2007 12/31/2029 NO YES CLEANLET 28G MIS LANCETS 07/01/2007 12/31/2029 NO YES CLEANLET KID MIS 25 GAUGE 07/01/2007 12/31/2029 NO YES CLEANLET XL MIS 23G 07/01/2007 12/31/2029 NO YES CLEVER CHECK MIS 07/01/2007 12/31/2029 NO YES CLEVER CHECK MIS 30G 07/01/2007 12/31/2029 NO YES COAGUCHEK MIS LANCETS 07/01/2007 12/31/2029 NO YES COLOR LANCET MIS 07/01/2007 12/31/2029 NO YES COMFORT MIS LANCETS 07/01/2007 12/31/2029 NO YES COMFORT ASSU MIS LANC 28G 07/01/2007 12/31/2029 NO YES COMFORT ASSU MIS LANC 33G 07/01/2007 12/31/2029 NO YES COMFORTOUCH MIS LANCET 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS 33G 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS ORIGINAL 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS THIN 26G 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS THIN 30G 07/01/2007 12/31/2029 NO YES CVS LANCETS MIS THIN 33G 07/01/2007 12/31/2029 NO YES DD LANCETS MIS 07/01/2007 12/31/2029 NO YES DD LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES DE LANCETS MIS 07/01/2007 12/31/2029 NO YES DE LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES DIABETES MIS LANCETS 07/01/2007 12/31/2029 NO YES DIABETIC MIS LANCETS 07/01/2007 12/31/2029 NO YES DIASTAR MIS LANCETS 07/01/2007 12/31/2029 NO YES DIASTAR EASY MIS LANCETS 07/01/2007 12/31/2029 NO YES DR LANCETS MIS COLORED 07/01/2007 12/31/2029 NO YES DR LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES DROPLET LANC MIS 30G 07/01/2007 12/31/2029 NO YES EASY COMFORT MIS 30G 07/01/2007 12/31/2029 NO YES EASY COMFORT MIS LANC/30G 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets EASY TOUCH MIS LANC/21G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/23G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/26G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/28G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/30G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/32G 07/01/2007 12/31/2029 NO YES EASY TOUCH MIS LANC/33G 07/01/2007 12/31/2029 NO YES EASYTEST MIS LANCETS 07/01/2007 12/31/2029 NO YES EASYTEST II MIS LANCETS 07/01/2007 12/31/2029 NO YES ECK LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES EMBRACE LANC MIS THIN 30G 07/01/2007 12/31/2029 NO YES EQL LANCETS MIS 21G COLR 07/01/2007 12/31/2029 NO YES EQL LANCETS MIS 33G COLR 07/01/2007 12/31/2029 NO YES EQL LANCETS MIS THIN 26G 07/01/2007 12/31/2029 NO YES EQL LANCETS MIS THIN 30G 07/01/2007 12/31/2029 NO YES EQUATE REG MIS LANCETS 07/01/2007 12/31/2029 NO YES EQUATE THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES E-Z JECT MIS 07/01/2007 12/31/2029 NO YES E-Z JECT MIS 21G 07/01/2007 12/31/2029 NO YES E-Z JECT MIS 21G COLR 07/01/2007 12/31/2029 NO YES E-Z JECT MIS 30G 07/01/2007 12/31/2029 NO YES E-Z JECT MIS 32G COLR 07/01/2007 12/31/2029 NO YES E-Z JECT MIS LANC 21G 07/01/2007 12/31/2029 NO YES E-Z JECT MIS LANCETS 07/01/2007 12/31/2029 NO YES E-Z JECT MIS THIN 26G 07/01/2007 12/31/2029 NO YES E-Z JECT JR MIS 07/01/2007 12/31/2029 NO YES E-Z JECT XL MIS 07/01/2007 12/31/2029 NO YES EZ SMART MIS LANCETS 07/01/2007 12/31/2029 NO YES E-ZJECT LANC MIS 33G 07/01/2007 12/31/2029 NO YES EZ-LETS MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS 21G MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS 23G MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS 26G MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS 28G MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS 30G MIS LANCETS 07/01/2007 12/31/2029 NO YES EZ-LETS II MIS LANCETS 07/01/2007 12/31/2029 NO YES FASTCLIX MIS LANCETS 07/01/2007 12/31/2029 NO YES FC LANCETS MIS COLORED 07/01/2007 12/31/2029 NO YES FC LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES FIFTY50 SAFE MIS LANCETS 07/01/2007 12/31/2029 NO YES FINE 30 MIS 07/01/2007 12/31/2029 NO YES FINGERSTIX MIS LANCETS 07/01/2007 12/31/2029 NO YES FORA MIS LANCETS 07/01/2007 12/31/2029 NO YES FORA LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES FP LANCETS MIS 07/01/2007 12/31/2029 NO YES FP LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES FREESTYLE MIS LANCETS 07/01/2007 12/31/2029 NO YES FREESTYLE MIS UNISTICK 07/01/2007 12/31/2029 NO YES FV LANCETS MIS 07/01/2007 12/31/2029 NO YES FV LANCETS MIS MONOLET 07/01/2007 12/31/2029 NO YES GENTLE-LET MIS 26G 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets GENTLE-LET MIS 28G 07/01/2007 12/31/2029 NO YES GENTLE-LET MIS LANCETS 07/01/2007 12/31/2029 NO YES GLOBAL 28G MIS LANCETS 07/01/2007 12/31/2029 NO YES GLOBAL 30G MIS LANCETS 07/01/2007 12/31/2029 NO YES GLUCOCOM MIS 28G 07/01/2007 12/31/2029 NO YES GLUCOCOM MIS 30G 07/01/2007 12/31/2029 NO YES GLUCOCOM MIS 33G 07/01/2007 12/31/2029 NO YES GLUCOSOURCE MIS LANCETS 07/01/2007 12/31/2029 NO YES GMATE LANCET MIS 30G 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS COLOR 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS MICRO 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS SUP THIN 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES GNP LANCETS MIS THIN 26G 07/01/2007 12/31/2029 NO YES GOODSENSE MIS LANC 30G 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS HIGH FLO 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS LANCETS 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS LOW FLOW 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS PLUS 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS PLUS LOW 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS PLUS MAX 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS PLUS PED 07/01/2007 12/31/2029 NO YES HAEMOLANCE MIS RETRACT 07/01/2007 12/31/2029 NO YES HCA LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES HCA ULT CMFT MIS LANCETS 07/01/2007 12/31/2029 NO YES HLTHY ACCNTS MIS LANC 30G 07/01/2007 12/31/2029 NO YES HM LANCETS MIS 07/01/2007 12/31/2029 NO YES HM LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES HM LANCETS MIS 33G 07/01/2007 12/31/2029 NO YES HM LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES IN TOUCH LAN MIS 30G 07/01/2007 12/31/2029 NO YES INCONTROL MIS LANC 28G 07/01/2007 12/31/2029 NO YES INCONTROL MIS LANC 30G 07/01/2007 12/31/2029 NO YES INCONTROL MIS LANC 33G 07/01/2007 12/31/2029 NO YES KINNEY MIS LANCETS 07/01/2007 12/31/2029 NO YES KINNEY THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES KROGER LANCE MIS 07/01/2007 12/31/2029 NO YES KROGER LANCE MIS THIN 07/01/2007 12/31/2029 NO YES KROGER LANCE MIS THIN 30G 07/01/2007 12/31/2029 NO YES LADY LITE MIS LANCETS 07/01/2007 12/31/2029 NO YES LANCET MIS 2MM 07/01/2007 12/31/2029 NO YES LANCET ALTER MIS SITE 26G 07/01/2007 12/31/2029 NO YES LANCET MICRO MIS THIN 33G 07/01/2007 12/31/2029 NO YES LANCET STAND MIS 21G 07/01/2007 12/31/2029 NO YES LANCET STAND MIS 23G 07/01/2007 12/31/2029 NO YES LANCET SUPER MIS THIN 07/01/2007 12/31/2029 NO YES LANCET SUPER MIS THIN 30G 07/01/2007 12/31/2029 NO YES LANCET ULTRA MIS 28G 07/01/2007 12/31/2029 NO YES LANCET ULTRA MIS FINE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets LANCET ULTRA MIS THIN 28G 07/01/2007 12/31/2029 NO YES LANCET ULTRA MIS THIN 30G 07/01/2007 12/31/2029 NO YES LANCETS MIS 07/01/2007 12/31/2029 NO YES LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES LANCETS MIS 21G COLR 07/01/2007 12/31/2029 NO YES LANCETS MIS 23G 07/01/2007 12/31/2029 NO YES LANCETS MIS 26G 07/01/2007 12/31/2029 NO YES LANCETS MIS 28G 07/01/2007 12/31/2029 NO YES LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES LANCETS MIS 31G 07/01/2007 12/31/2029 NO YES LANCETS MIS 33G 07/01/2007 12/31/2029 NO YES LANCETS MIS COLORED 07/01/2007 12/31/2029 NO YES LANCETS MIS FINE 28G 07/01/2007 12/31/2029 NO YES LANCETS MIS FUNCOLOR 07/01/2007 12/31/2029 NO YES LANCETS MIS ORANGE 07/01/2007 12/31/2029 NO YES LANCETS MIS ORIGINAL 07/01/2007 12/31/2029 NO YES LANCETS MIS REGULAR 07/01/2007 12/31/2029 NO YES LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES LANCETS MIS THIN 26G 07/01/2007 12/31/2029 NO YES LANCETS MIS THIN 30G 07/01/2007 12/31/2029 NO YES LANCETS MICR MIS THIN 33G 07/01/2007 12/31/2029 NO YES LANCETS SUPR MIS THIN 28G 07/01/2007 12/31/2029 NO YES LANCETS THIN MIS 07/01/2007 12/31/2029 NO YES LANCETS THIN MIS 23G 07/01/2007 12/31/2029 NO YES LANCETS THIN MIS 26G 07/01/2007 12/31/2029 NO YES LANCETS THIN MIS 28G 07/01/2007 12/31/2029 NO YES LANCETS THIN MIS 30G 07/01/2007 12/31/2029 NO YES LANCETS ULTR MIS THIN 07/01/2007 12/31/2029 NO YES LANCETS ULTR MIS THIN 28G 07/01/2007 12/31/2029 NO YES LANCETS ULTR MIS THIN 30G 07/01/2007 12/31/2029 NO YES LB LANCET MIS 28G 07/01/2007 12/31/2029 NO YES LIFESCAN MIS UNISTIK2 07/01/2007 12/31/2029 NO YES LITE TOUCH MIS LANCETS 07/01/2007 12/31/2029 NO YES LITETOUCH MIS LANCETS 07/01/2007 12/31/2029 NO YES LONGS LANCET MIS ADULT 07/01/2007 12/31/2029 NO YES LONGS LANCET MIS STANDARD 07/01/2007 12/31/2029 NO YES LONGS LANCET MIS THIN 07/01/2007 12/31/2029 NO YES LONGS LANCET MIS ULTRA TH 07/01/2007 12/31/2029 NO YES MAJOR COMFOR MIS LANCETS 07/01/2007 12/31/2029 NO YES MEDICHOICE MIS LANCET 07/01/2007 12/31/2029 NO YES MEDI-LANCE MIS LANCETS 07/01/2007 12/31/2029 NO YES MEDLANCE MIS 30G PLUS 07/01/2007 12/31/2029 NO YES MEDLANCE MIS EXTR 21G 07/01/2007 12/31/2029 NO YES MEDLANCE MIS LITE 25G 07/01/2007 12/31/2029 NO YES MEDLANCE MIS PLUS 07/01/2007 12/31/2029 NO YES MEDLANCE MIS PLUS 30G 07/01/2007 12/31/2029 NO YES MEDLANCE MIS UNV 21G 07/01/2007 12/31/2029 NO YES MEDLANCE PLS MIS 0.8MM 07/01/2007 12/31/2029 NO YES MEDLANCE PLS MIS EXTR 21G 07/01/2007 12/31/2029 NO YES MEDLANCE PLS MIS LITE 25G 07/01/2007 12/31/2029 NO YES MEDLANCE PLS MIS UNIV 21G 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets MEIJER MIS LANCETS 07/01/2007 12/31/2029 NO YES MEIJER LANCE MIS COLOR 07/01/2007 12/31/2029 NO YES MEIJER LANCE MIS UNIV 21G 07/01/2007 12/31/2029 NO YES MEIJER LANCE MIS UNIV 30G 07/01/2007 12/31/2029 NO YES MEIJER LANCE MIS UNIVERSA 07/01/2007 12/31/2029 NO YES MICRO THIN MIS LANC 33G 07/01/2007 12/31/2029 NO YES MICROLET MIS LANCETS 07/01/2007 12/31/2029 NO YES MICROTAINER MIS LANCET 07/01/2007 12/31/2029 NO YES MINILET LANC MIS THIN 07/01/2007 12/31/2029 NO YES MONOLET MIS LANCETS 07/01/2007 12/31/2029 NO YES MONOLET NEO MIS LANCETS 07/01/2007 12/31/2029 NO YES MONOLET OPD MIS LANCETS 07/01/2007 12/31/2029 NO YES MONOLET THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES MONOLETTOR MIS LANCETS 07/01/2007 12/31/2029 NO YES MYGLUCOHEALT MIS LANC 30G 07/01/2007 12/31/2029 NO YES NAVARRO MIS LANCETS 07/01/2007 12/31/2029 NO YES NOVA SAFETY MIS LANC 23G 07/01/2007 12/31/2029 NO YES NOVA SAFETY MIS LANC 28G 07/01/2007 12/31/2029 NO YES NOVA SURE MIS LANCETS 07/01/2007 12/31/2029 NO YES ON CALL MIS LANCETS 07/01/2007 12/31/2029 NO YES ON CALL PLUS MIS LANCETS 07/01/2007 12/31/2029 NO YES ONE TOUCH MIS LANCETS 07/01/2007 12/31/2029 NO YES ONETOUCH MIS 30G 07/01/2007 12/31/2029 NO YES ONETOUCH MIS COMBO 07/01/2007 12/31/2029 NO YES ONETOUCH MIS LANCETS 07/01/2007 12/31/2029 NO YES ONETOUCH FP MIS LANCETS 07/01/2007 12/31/2029 NO YES ONETOUCH US MIS LANCETS 07/01/2007 12/31/2029 NO YES ON-THE-GO MIS LANC 30G 07/01/2007 12/31/2029 NO YES OSCO LANCETS MIS STANDARD 07/01/2007 12/31/2029 NO YES OSCO LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES PC LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES PENLET CAPS MIS REPLACEM 07/01/2007 12/31/2029 NO YES PERFECT 28G MIS LANCETS 07/01/2007 12/31/2029 NO YES PERFECT 30G MIS LANCETS 07/01/2007 12/31/2029 NO YES PHARMACY COU MIS LANCETS 07/01/2007 12/31/2029 NO YES PRECISION MIS 28G 07/01/2007 12/31/2029 NO YES PRECISION MIS 28G(T) 07/01/2007 12/31/2029 NO YES PRES SMART MIS LANCETS 07/01/2007 12/31/2029 NO YES PRESSURE ACT MIS LANCET 07/01/2007 12/31/2029 NO YES PRESSURE ACT MIS LANCETS 07/01/2007 12/31/2029 NO YES PRO COMFORT MIS 31G 07/01/2007 12/31/2029 NO YES PRO COMFORT MIS LANCETS 07/01/2007 12/31/2029 NO YES PRODIGY MIS 21G 07/01/2007 12/31/2029 NO YES PRODIGY MIS 26G 07/01/2007 12/31/2029 NO YES PRODIGY MIS 28G 07/01/2007 12/31/2029 NO YES PSS SAFE LAN MIS 07/01/2007 12/31/2029 NO YES PSS SEL LANC MIS 07/01/2007 12/31/2029 NO YES PX LANCETS MIS 28G 07/01/2007 12/31/2029 NO YES PX LANCETS MIS ULT THIN 07/01/2007 12/31/2029 NO YES QC LANCETS MIS 07/01/2007 12/31/2029 NO YES QC LANCETS MIS 28G 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets QC LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES QC LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES QUICKLANCE MIS SYSTEM 07/01/2007 12/31/2029 NO YES RA E-ZJECT MIS 28G 07/01/2007 12/31/2029 NO YES RA E-ZJECT MIS 33G 07/01/2007 12/31/2029 NO YES RA E-ZJECT MIS THIN 26G 07/01/2007 12/31/2029 NO YES RA E-ZJECT MIS THIN 28G 07/01/2007 12/31/2029 NO YES RA E-ZJECT MIS ULT THIN 07/01/2007 12/31/2029 NO YES RA LANCETS MIS 07/01/2007 12/31/2029 NO YES RA LANCETS MIS ALTERNAT 07/01/2007 12/31/2029 NO YES RA LANCETS MIS COLORED 07/01/2007 12/31/2029 NO YES RA LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES READYLANCE MIS 30G 07/01/2007 12/31/2029 NO YES REALITY MIS LANCETS 07/01/2007 12/31/2029 NO YES REALITY TRIG MIS LANCETS 07/01/2007 12/31/2029 NO YES RELI ON STAN MIS LANCETS 07/01/2007 12/31/2029 NO YES RELI ON THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES RELION MIS LANCETS 07/01/2007 12/31/2029 NO YES RELION LANCE MIS STND 21G 07/01/2007 12/31/2029 NO YES RELION LANCE MIS THIN 26G 07/01/2007 12/31/2029 NO YES RELION LANCE MIS THIN 30G 07/01/2007 12/31/2029 NO YES RELION MICRO MIS THIN 33G 07/01/2007 12/31/2029 NO YES RELION STAND MIS LANCETS 07/01/2007 12/31/2029 NO YES RELION THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES RELION ULTRA MIS THIN 32G 07/01/2007 12/31/2029 NO YES RELION ULTRA MIS THIN PLS 07/01/2007 12/31/2029 NO YES RENEW ADV MIS REFILLS 07/01/2007 12/31/2029 NO YES RIGHTEST MIS GL300 07/01/2007 12/31/2029 NO YES SAFE LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES SAFE LANCETS MIS 26G 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS 21G 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS 25G 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS HI FLOW 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS LOW FLOW 07/01/2007 12/31/2029 NO YES SAFE-T-LANCE MIS NOR FLOW 07/01/2007 12/31/2029 NO YES SAFE-T-PRO MIS LANCETS 07/01/2007 12/31/2029 NO YES SAFE-T-PRO MIS PLUS 07/01/2007 12/31/2029 NO YES SAFETY MIS LANCETS 07/01/2007 12/31/2029 NO YES SAFETY 21G MIS LANCETS 07/01/2007 12/31/2029 NO YES SAFETY 28G MIS LANCETS 07/01/2007 12/31/2029 NO YES SAFETY LET MIS LANCETS 07/01/2007 12/31/2029 NO YES SAFETY SEAL MIS 28G 07/01/2007 12/31/2029 NO YES SAFETY SEAL MIS 30G 07/01/2007 12/31/2029 NO YES SAPS HEALTH MIS TWIST 07/01/2007 12/31/2029 NO YES SAPSCARE MIS TWIST 07/01/2007 12/31/2029 NO YES SAV-ON LANCE MIS STANDARD 07/01/2007 12/31/2029 NO YES SAV-ON LANCE MIS THIN 07/01/2007 12/31/2029 NO YES SB LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES SB LANCETS MIS ULTR THN 07/01/2007 12/31/2029 NO YES SIDE BUTTON MIS SAFETY 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets SINGLE-LET MIS 23G 07/01/2007 12/31/2029 NO YES SM LANCETS MIS 07/01/2007 12/31/2029 NO YES SM LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES SM LANCETS MIS 33G 07/01/2007 12/31/2029 NO YES SM LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES SM LANCETS MIS THIN 26G 07/01/2007 12/31/2029 NO YES SM LANCETS MIS THIN 30G 07/01/2007 12/31/2029 NO YES SMART SENSE MIS LANC 21G 07/01/2007 12/31/2029 NO YES SMART SENSE MIS LANC 26G 07/01/2007 12/31/2029 NO YES SMART SENSE MIS LANC 30G 07/01/2007 12/31/2029 NO YES SMART SENSE MIS LANC 33G 07/01/2007 12/31/2029 NO YES SMARTEST MIS LANCETS 07/01/2007 12/31/2029 NO YES SOBA LANCETS MIS COLORED 07/01/2007 12/31/2029 NO YES SOBA LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES SOFT TOUCH MIS BLUE 07/01/2007 12/31/2029 NO YES SOFT TOUCH MIS IVORY 07/01/2007 12/31/2029 NO YES SOFT TOUCH MIS LANCETS 07/01/2007 12/31/2029 NO YES SOFT TOUCHII MIS GREY TIP 07/01/2007 12/31/2029 NO YES SOFT TOUCHII MIS IVRY TIP 07/01/2007 12/31/2029 NO YES SOFTCLIX MIS LANCETS 07/01/2007 12/31/2029 NO YES SOLUS V2 MIS LANC 28G 07/01/2007 12/31/2029 NO YES SOLUS V2 MIS LANC 30G 07/01/2007 12/31/2029 NO YES STERILANCE MIS TL 28G 07/01/2007 12/31/2029 NO YES STERILANCE MIS TL 30G 07/01/2007 12/31/2029 NO YES STERILANCE MIS TL 32G 07/01/2007 12/31/2029 NO YES SUPER THIN MIS LANC 28G 07/01/2007 12/31/2029 NO YES SUPER THIN MIS LANCET 07/01/2007 12/31/2029 NO YES SUPER THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANC 18G 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANC 21G 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANC 23G 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANC 30G 07/01/2007 12/31/2029 NO YES SURE COMFORT MIS LANCETS 07/01/2007 12/31/2029 NO YES SUREFLEX MIS LANCETS 07/01/2007 12/31/2029 NO YES SURE-LANCE MIS 26G 07/01/2007 12/31/2029 NO YES SURE-LANCE MIS LANCETS 07/01/2007 12/31/2029 NO YES SURELITE MIS LANCETS 07/01/2007 12/31/2029 NO YES SURELITE XL MIS LANCETS 07/01/2007 12/31/2029 NO YES SURE-TOUCH MIS UNV LANC 07/01/2007 12/31/2029 NO YES SURGILANCE MIS LANCETS 07/01/2007 12/31/2029 NO YES TARGET LANCE MIS THIN 28G 07/01/2007 12/31/2029 NO YES TECHLITE MIS LANC 30G 07/01/2007 12/31/2029 NO YES TECHLITE MIS LANCETS 07/01/2007 12/31/2029 NO YES TECHLITE AST MIS LANCETS 07/01/2007 12/31/2029 NO YES TGT LANCET MIS 23G 07/01/2007 12/31/2029 NO YES TGT LANCET MIS 26G 07/01/2007 12/31/2029 NO YES TGT LANCET MIS 28G 07/01/2007 12/31/2029 NO YES TGT LANCET MIS 30G 07/01/2007 12/31/2029 NO YES TGT LANCET MIS 33G 07/01/2007 12/31/2029 NO YES TGT LANCET MIS ALTERNAT 07/01/2007 12/31/2029 NO YES THIN LANCETS MIS 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets THIN LANCETS MIS 26G 07/01/2007 12/31/2029 NO YES THIN LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES THIN LANCETS MIS ULTRA 07/01/2007 12/31/2029 NO YES THINLETS MIS 28G(T) 07/01/2007 12/31/2029 NO YES THINLETS GP MIS 26G 07/01/2007 12/31/2029 NO YES TOPCARE MIS LANC 33G 07/01/2007 12/31/2029 NO YES TRAVEL LANCE MIS 30G 07/01/2007 12/31/2029 NO YES TRAVEL LANCE MIS ADV 28G 07/01/2007 12/31/2029 NO YES TRENDSLANCET MIS 07/01/2007 12/31/2029 NO YES TRUPLUS LANC MIS 26G 07/01/2007 12/31/2029 NO YES TRUPLUS LANC MIS 28G 07/01/2007 12/31/2029 NO YES TRUPLUS LANC MIS 30G 07/01/2007 12/31/2029 NO YES TRUPLUS LANC MIS 33G 07/01/2007 12/31/2029 NO YES ULTILET MIS 26G 07/01/2007 12/31/2029 NO YES ULTILET MIS 28G 07/01/2007 12/31/2029 NO YES ULTILET MIS 30G 07/01/2007 12/31/2029 NO YES ULTILET MIS 33G 07/01/2007 12/31/2029 NO YES ULTILET MIS BASIC 07/01/2007 12/31/2029 NO YES ULTILET MIS LANCETS 07/01/2007 12/31/2029 NO YES ULTILET MIS SAFETY 07/01/2007 12/31/2029 NO YES ULTILET SAFE MIS 21G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS 28G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS 30G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS 31G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS 33G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS LANC 26G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS LANC 28G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS LANC 30G 07/01/2007 12/31/2029 NO YES ULTRA THIN MIS LANCETS 07/01/2007 12/31/2029 NO YES ULTRA TLC MIS LANCETS 07/01/2007 12/31/2029 NO YES ULTRA-THIN MIS 28G 07/01/2007 12/31/2029 NO YES ULTRA-THIN MIS 30G 07/01/2007 12/31/2029 NO YES ULTRATLC MIS 07/01/2007 12/31/2029 NO YES UNILET MIS 21G 07/01/2007 12/31/2029 NO YES UNILET MIS 23G 07/01/2007 12/31/2029 NO YES UNILET CMFR MIS TCH 28G 07/01/2007 12/31/2029 NO YES UNILET CMFR MIS TCH 30G 07/01/2007 12/31/2029 NO YES UNILET EX II MIS 28G 07/01/2007 12/31/2029 NO YES UNILET EXCEL MIS 23G 07/01/2007 12/31/2029 NO YES UNILET G.P MIS SUPR 23G 07/01/2007 12/31/2029 NO YES UNILET G.P. MIS 21G 07/01/2007 12/31/2029 NO YES UNILET G.P. MIS 23G 07/01/2007 12/31/2029 NO YES UNILET GP 28 MIS ULT THIN 07/01/2007 12/31/2029 NO YES UNILET LANC MIS 33G 07/01/2007 12/31/2029 NO YES UNILET LANCE MIS 21G 07/01/2007 12/31/2029 NO YES UNILET LANCE MIS 28G 07/01/2007 12/31/2029 NO YES UNILET LANCE MIS 33G 07/01/2007 12/31/2029 NO YES UNILET LANCT MIS 28G 07/01/2007 12/31/2029 NO YES UNILET LANCT MIS 30G 07/01/2007 12/31/2029 NO YES UNILET LANCT MIS 33G 07/01/2007 12/31/2029 NO YES UNILET SUPER MIS 23G 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *MEDICAL DEVICES AND SUPPLIES* Lancets UNILET SUPER MIS G.P. 23G 07/01/2007 12/31/2029 NO YES UNISTIK 2 MIS NEONATAL 07/01/2007 12/31/2029 NO YES UNISTIK 3 MIS GENT 30G 07/01/2007 12/31/2029 NO YES UNISTIK II MIS LANCETS 07/01/2007 12/31/2029 NO YES UNISTIK SAFE MIS LANC 28G 07/01/2007 12/31/2029 NO YES UNISTIK SAFE MIS LANC 30G 07/01/2007 12/31/2029 NO YES UNISTIK TOUC MIS LANC 21G 07/01/2007 12/31/2029 NO YES UNISTIK TOUC MIS LANC 23G 07/01/2007 12/31/2029 NO YES UNISTIK TOUC MIS LANC 28G 07/01/2007 12/31/2029 NO YES UNISTIK TOUC MIS LANC 30G 07/01/2007 12/31/2029 NO YES UNIVERSAL 1 MIS 33G 07/01/2007 12/31/2029 NO YES UNIVERSAL 1 MIS LANC 26G 07/01/2007 12/31/2029 NO YES UNIVERSAL 1 MIS LANC 30G 07/01/2007 12/31/2029 NO YES VALUE HEALTH MIS LANCETS 07/01/2007 12/31/2029 NO YES VALUE PLUS MIS LANCETS 07/01/2007 12/31/2029 NO YES VANTAGE LANC MIS UNIV 30G 07/01/2007 12/31/2029 NO YES VITALET PRO MIS 07/01/2007 12/31/2029 NO YES VITALET PRO MIS PLUS 07/01/2007 12/31/2029 NO YES W&F LANCETS MIS 21G 07/01/2007 12/31/2029 NO YES W&F LANCETS MIS 26G 07/01/2007 12/31/2029 NO YES W&F LANCETS MIS 30G 07/01/2007 12/31/2029 NO YES WD LANCETS MIS 07/01/2007 12/31/2029 NO YES WD LANCETS MIS THIN 07/01/2007 12/31/2029 NO YES Urine Glucose Monitoring Supplies CHEMSTRIP KIT MINI UA 07/01/2007 12/31/2029 NO YES CLINI-TEK MIS 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 1B 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 1G 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 1K 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 1K STRIP 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 2GK 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 2GP 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 4NL 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 4OBL 07/01/2007 12/31/2029 NO YES DIASCREEN MIS 4PH 07/01/2007 12/31/2029 NO YES DIASCREEN MIS BUN 07/01/2007 12/31/2029 NO YES DIASCREEN MIS CONTROL 07/01/2007 12/31/2029 NO YES DIASCREEN 10 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 3 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 5 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 6 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 7 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 8 MIS 07/01/2007 12/31/2029 NO YES DIASCREEN 9 MIS 07/01/2007 12/31/2029 NO YES SERALYZER MIS URIC ACD 07/01/2007 12/31/2029 NO YES URIN-TEK KIT 07/01/2007 12/31/2029 NO YES URIN-TEK MIS 07/01/2007 12/31/2029 NO YES *MOUTH/THROAT/DENTAL AGENTS* Clotrimazole CLOTRIMAZOLE LOZ 10MG 07/01/2006 12/31/2029 NO NO CLOTRIMAZOLE TRO 10MG 07/01/2006 12/31/2029 NO NO MYCELEX TRO 10MG 07/01/2006 12/31/2029 NO YES *OPHTHALMIC AGENTS* Azithromycin (Ophth) AZASITE SOL 1% 07/01/2007 12/31/2029 NO YES Bacitracin (Ophthalmic) AK-TRACIN OIN OP 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OPHTHALMIC AGENTS* Bacitracin (Ophthalmic) BACITRACIN OIN OP 07/01/2007 12/31/2029 NO YES BACTICIN OIN OP 07/01/2007 12/31/2029 NO NO SPECTRO-BACI OIN OP 07/01/2007 12/31/2029 NO NO Besifloxacin HCl BESIVANCE SUS 0.6% 07/01/2007 12/31/2029 NO YES Cefuroxime Sodium-Sodium Chloride CEFUROXIME INJ 10MG/ML 07/01/2007 12/31/2029 NO YES Chloramphenicol (Ophth) AK-CHLOR OIN 1% OP 07/01/2007 12/31/2029 NO NO AK-CHLOR SOL 0.5% OP 07/01/2007 12/31/2029 NO NO CHLORAMPHEN OIN 1% OP 07/01/2007 12/31/2029 NO NO CHLORAMPHEN SOL 0.5% OP 07/01/2007 12/31/2029 NO NO CHLOROFAIR OIN 1% OP 07/01/2007 12/31/2029 NO NO CHLOROFAIR SOL 0.5% OP 07/01/2007 12/31/2029 NO NO CHLOROMYCET OIN 1% OP 07/01/2007 12/31/2029 NO YES CHLOROMYCET SOL 25MG OP 07/01/2007 12/31/2029 NO YES CHLOROMYCETI SOL 25MG OP 07/01/2007 12/31/2029 NO YES CHLOROPTIC OIN S.O.P 1% 07/01/2007 12/31/2029 NO YES CHLOROPTIC SOL 0.5% OP 07/01/2007 12/31/2029 NO YES I-CHLOR SOL 0.5% OP 07/01/2007 12/31/2029 NO NO INFA-CHLOR OIN 1% OP 07/01/2007 12/31/2029 NO NO INFA-CHLOR SOL 0.5% OP 07/01/2007 12/31/2029 NO NO OPHTHOCHLOR SOL 0.5% OP 07/01/2007 12/31/2029 NO YES SPECTRO-CHLO OIN 1% OP 07/01/2007 12/31/2029 NO NO SPECTRO-CHLO SOL 0.5% OP 07/01/2007 12/31/2029 NO NO Chlortetracycline AUREOMYCIN OIN 1% OP 07/01/2007 12/31/2029 NO YES Ciprofloxacin HCl (Ophth) CILOXAN DRO 0.3% 07/01/2007 12/31/2029 NO YES CILOXAN OIN 0.3% 07/01/2007 12/31/2029 NO YES CILOXAN OIN 0.3% OP 07/01/2007 12/31/2029 NO YES CILOXAN SOL 0.3% OP 07/01/2007 12/31/2029 NO YES CIPROFLOXACN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO Erythromycin (Ophth) AK-MYCIN OIN OP 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN OIN 5MG/GM 07/01/2006 12/31/2029 NO NO ERYTHROMYCIN OIN OP 07/01/2006 12/31/2029 NO NO ILOTYCIN OIN OP 07/01/2006 12/31/2029 NO YES ROMYCIN OIN OP 07/01/2006 12/31/2029 NO NO SPECT-ERYTHR OIN OP 07/01/2006 12/31/2029 NO NO Gatifloxacin (Ophth) GATIFLOXACIN SOL 0.5% 07/01/2007 12/31/2029 NO NO ZYMAR DRO 0.3% 07/01/2007 12/31/2029 NO YES ZYMAXID SOL 0.5% 07/01/2007 12/31/2029 NO YES Gentamicin Sulfate (Ophth) GARAMYCIN OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GARAMYCIN SOL 0.3% OP 07/01/2007 12/31/2029 NO YES GENOPTIC OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENOPTIC OIN SOP 0.3% 07/01/2007 12/31/2029 NO NO GENOPTIC SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTACIDIN OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTACIDIN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTAFAIR OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTAFAIR SOL 0.3% OP 07/01/2007 12/31/2029 NO YES GENTA-GAROPH OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTA-GAROPH SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTAK OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTAK SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTAMICIN OIN 0.3% OP 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OPHTHALMIC AGENTS* Gentamicin Sulfate (Ophth) GENTAMICIN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTASOL OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTASOL SOL 0.3% OP 07/01/2007 12/31/2029 NO NO GENTRASUL OIN 0.3% OP 07/01/2007 12/31/2029 NO NO GENTRASUL SOL 0.3% OP 07/01/2007 12/31/2029 NO YES I-GENT SOL 0.3% OP 07/01/2007 12/31/2029 NO NO INFA-GEN OIN 0.3% OP 07/01/2007 12/31/2029 NO NO INFA-GEN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO QUALAMYCIN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO SPECTRO-GENT OIN 0.3% OP 07/01/2007 12/31/2029 NO NO SPECTRO-GENT SOL 0.3% OP 07/01/2007 12/31/2029 NO NO SPS GENTA-MI SOL 0.3% OP 07/01/2007 12/31/2029 NO NO STORZ-G SOL 0.3% OP 07/01/2007 12/31/2029 NO NO Levofloxacin (Ophth) IQUIX SOL 1.5% 07/01/2007 12/31/2029 NO YES LEVOFLOXACIN SOL 0.5% 07/01/2007 12/31/2029 NO NO QUIXIN SOL 0.5% 07/01/2007 12/31/2029 NO YES Mitomycin (Ophthalmic) MITOSOL KIT 0.2MG 07/01/2007 12/31/2029 NO YES Moxifloxacin HCl (Ophth) MOXEZA SOL 0.5% 07/01/2007 12/31/2029 NO YES VIGAMOX DRO 0.5% 07/01/2006 12/31/2029 NO YES Norfloxacin (Ophth) CHIBROXIN SOL 0.3% OP 07/01/2007 12/31/2029 NO YES Ofloxacin (Ophth) OCUFLOX DRO 0.3% OP 07/01/2007 12/31/2029 NO YES OCUFLOX SOL 0.3% OP 07/01/2007 12/31/2029 NO YES OFLOXACIN DRO 0.3% OP 07/01/2007 12/31/2029 NO NO Tetracycline ACHROMYCIN OIN 1% OP 07/01/2007 12/31/2029 NO YES ACHROMYCIN SUS 1% OP 07/01/2007 12/31/2029 NO YES Tobramycin (Ophth) TOBRALCON SOL 0.3% OP 07/01/2007 12/31/2029 NO NO TOBRAMYCIN SOL 0.3% OP 07/01/2007 12/31/2029 NO NO TOBRASOL SOL 0.3% OP 07/01/2007 12/31/2029 NO NO TOBREX OIN 0.3% OP 07/01/2007 12/31/2029 NO YES TOBREX SOL 0.3% OP 07/01/2007 12/31/2029 NO YES TOMYCINE SOL 0.3% OP 07/01/2007 12/31/2029 NO NO Trifluridine TRIFLURIDINE SOL 1% OP 07/01/2006 12/31/2029 NO NO VIROPTIC SOL 1% OP 07/01/2006 12/31/2029 NO YES *OTIC AGENTS* Acetic Acid (Otic) ACETASOL SOL 2% OTIC 07/01/2007 12/31/2029 NO NO ACETIC ACID SOL 2% OTIC 07/01/2007 12/31/2029 NO NO BIO-SOL SOL 2% OTIC 07/01/2007 12/31/2029 NO NO GLY-OTIC SOL 2% OTIC 07/01/2007 12/31/2029 NO NO VASOTATE SOL 2% OTIC 07/01/2007 12/31/2029 NO NO VOSOL SOL 2% OTIC 07/01/2007 12/31/2029 NO YES Acetic Acid-Aluminum Acetate ACE ACD/ALUM SOL 2% OTIC 07/01/2007 12/31/2029 NO NO BETABORO SOL 2% OTIC 07/01/2007 12/31/2029 NO NO BOROFAIR SOL 2% OTIC 07/01/2007 12/31/2029 NO NO BUROTIC SOL 2% OTIC 07/01/2007 12/31/2029 NO NO DOMEBORO SOL 2% OTIC 07/01/2007 12/31/2029 NO YES Acetic Acid-Aluminum Acetate-Boric Acid-Propylene Glycol OTOSPORIN SOL 07/01/2007 12/31/2029 NO YES STAR-OTIC DRO 07/01/2007 12/31/2029 NO YES Acetic Acid-Antipyrine-Benzocaine-Polycosanol ACETIC/ANTIP SOL /BNZ/PLY 07/01/2007 12/31/2029 NO YES PR OTIC SOL 07/01/2007 12/31/2029 NO YES Antipyrine-Benzocaine A/B SOL OTIC 07/01/2007 12/31/2029 NO NO A/B OTIC DRO 07/01/2007 12/31/2029 NO NO A/B OTIC SOL 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Antipyrine-Benzocaine ALGIOTIC SOL OTIC 07/01/2007 12/31/2029 NO NO ALLERGEN SOL OTIC 07/01/2007 12/31/2029 NO NO ANALGESIC DRO EAR 07/01/2007 12/31/2029 NO NO ANALGESIC SOL OTIC 07/01/2007 12/31/2029 NO NO ANITPY/BENZO SOL OTIC 07/01/2007 12/31/2029 NO NO ANTIBEN SOL OTIC 07/01/2007 12/31/2029 NO NO ANTIPY/BENZO SOL OTIC 07/01/2007 12/31/2029 NO NO AURAGEN SOL OTIC 07/01/2007 12/31/2029 NO NO AURALGAN SOL 5.5-1.4% 07/01/2007 12/31/2029 NO YES AURALGAN SOL OTIC 07/01/2007 12/31/2029 NO YES AURAX SOL 5.5-1.4% 07/01/2007 12/31/2029 NO NO AURINOL SOL OTIC 07/01/2007 12/31/2029 NO NO AURODEX SOL OTIC 07/01/2007 12/31/2029 NO NO AUROGUARD SOL OTIC 07/01/2007 12/31/2029 NO NO AUROMID SOL OTIC 07/01/2007 12/31/2029 NO NO AUROTO SOL OTIC 07/01/2007 12/31/2029 NO NO AUROTO EAR SOL OTIC 07/01/2007 12/31/2029 NO NO BALAGAN SOL 1.4-5.4% 07/01/2007 12/31/2029 NO NO BENZO/ANTIPY SOL OTIC 07/01/2007 12/31/2029 NO NO BENZOPIRIN SOL 1.4-5.4% 07/01/2007 12/31/2029 NO NO BENZOPYRINE SOL OTIC 07/01/2007 12/31/2029 NO NO BENZOTIC DRO OTIC 07/01/2007 12/31/2029 NO NO DEC-AGESIC SOL OTIC 07/01/2007 12/31/2029 NO NO DOLOTIC SOL OTIC 07/01/2007 12/31/2029 NO NO EAR DROPS SOL OTIC 07/01/2007 12/31/2029 NO NO EAR DROPS RX SOL OTIC 07/01/2007 12/31/2029 NO NO EAROCOL SOL OTIC 07/01/2007 12/31/2029 NO NO GOLDLINE EAR SOL OTIC 07/01/2007 12/31/2029 NO NO LANAURINE SOL OTIC 07/01/2007 12/31/2029 NO NO OTILAM NR SOL OTIC 07/01/2007 12/31/2029 NO YES OTIPYRIN SOL OTIC 07/01/2007 12/31/2029 NO NO OTOCALM SOL OTIC 07/01/2007 12/31/2029 NO NO OTO-CARE SOL OTIC 07/01/2007 12/31/2029 NO NO OTOGESIC SOL OTIC 07/01/2007 12/31/2029 NO NO OTOTGESIC DRO 07/01/2007 12/31/2029 NO NO OTRA NR SOL OTIC 07/01/2007 12/31/2029 NO NO PRO-OTIC SOL 1.4-5.4% 07/01/2007 12/31/2029 NO NO Antipyrine-Benzocaine-Glycerin-Zinc Acetate NEOTIC DRO 07/01/2007 12/31/2029 NO YES OTOZIN DRO 07/01/2007 12/31/2029 NO YES Antipyrine-Benzocaine-Polycosanol AURALGAN SOL 07/01/2007 12/31/2029 NO YES OTIC CARE DRO 07/01/2007 12/31/2029 NO NO OTIC EDGE SOL 07/01/2007 12/31/2029 NO YES TREAGAN OTIC DRO 07/01/2007 12/31/2029 NO YES Benzocaine (Otic) AMERICAINE SOL 20% OTIC 07/01/2007 12/31/2029 NO YES OMEDIA OTIC SOL 20% 07/01/2007 12/31/2029 NO NO OTICAINE SOL 20% OTIC 07/01/2007 12/31/2029 NO NO OTOCAIN SOL 20% OTIC 07/01/2007 12/31/2029 NO NO OTOGESIC SOL 20% OTIC 07/01/2007 12/31/2029 NO NO PINNACAINE DRO 20% OTIC 07/01/2007 12/31/2029 NO YES RE BENZOTIC DRO 20% OTIC 07/01/2007 12/31/2029 NO YES Benzocaine-Chloroxylenol-Hydrocortisone MYOXIN SUS OTIC 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Benzocaine-Chloroxylenol-Hydrocortisone OTO-CARE HC SOL 07/01/2007 12/31/2029 NO YES TRIOXIN SUS OTIC 07/01/2007 12/31/2029 NO YES Benzocaine-Phenylephrine-Antipyrine CHLORPHENYLC DRO OTIC 07/01/2007 12/31/2029 NO YES EAR-GESIC DRO OTIC 07/01/2007 12/31/2029 NO NO OTOGESIC DRO OTIC 07/01/2007 12/31/2029 NO NO T-OTIC SOL OTIC DRP 07/01/2007 12/31/2029 NO NO TYMPAGESIC SOL OTIC 07/01/2007 12/31/2029 NO YES Boric Acid in Isopropyl DRI-EAR SOL OTIC 07/01/2007 12/31/2029 NO NO EAR DRY SOL OTIC 07/01/2007 12/31/2029 NO NO FLENTS DROPS SOL OTIC 07/01/2007 12/31/2029 NO NO SWIM EAR SOL OTIC 07/01/2007 12/31/2029 NO NO SWIM-EAR SOL OTIC 07/01/2007 12/31/2029 NO NO Burrow's Solution AQUA-OTIC B SOL 2% OTIC 07/01/2007 12/31/2029 NO YES BURROWS OTIC SOL 2% OTIC 07/01/2007 12/31/2029 NO NO Carbamide Peroxide & Saline CLEARCANAL KIT EAR WAX 07/01/2007 12/31/2029 NO YES EAR WAX KIT CLEANSIN 07/01/2007 12/31/2029 NO YES EARWAX CLEAN KIT SYS 6.5% 07/01/2007 12/31/2029 NO YES RA EAR WAX KIT CLEANSIN 07/01/2007 12/31/2029 NO YES Carbamide Peroxide (Otic) AURAPHENE-B SOL 6.5% OT 07/01/2007 12/31/2029 NO NO AURO EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO AUROCAINE EA DRO 6.5% OT 07/01/2007 12/31/2029 NO NO AUROTO SOL 6.5% OT 07/01/2007 12/31/2029 NO NO CARBAMIDE SOL 6.5% OT 07/01/2007 12/31/2029 NO NO CARBAMOXIDE DRO 6.5% OT 07/01/2007 12/31/2029 NO NO CARBAMOXIDE SOL 6.5% OT 07/01/2007 12/31/2029 NO NO CVS EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO DEBROX SOL 6.5% OT 07/01/2007 12/31/2029 NO YES DENTS EAR WX SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EAR DROPS DRO 6.5% 07/01/2007 12/31/2029 NO NO EAR DROPS SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX DRO 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX SOL REMOVAL 07/01/2007 12/31/2029 NO NO EAR WAX DROP SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX KIT SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX REMO SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX REMV DRO 6.5% OT 07/01/2007 12/31/2029 NO NO EAR WAX REMV SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EARWAX SOL REMOVAL 07/01/2007 12/31/2029 NO NO EARWAX REMV SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EARWAX TRMNT DRO 6.5% OT 07/01/2007 12/31/2029 NO NO ECK DBX EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO EQ EAR WAX SOL REMOVAL 07/01/2007 12/31/2029 NO NO EQL EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO E-R-O EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO ERO EAR WAX SOL REMOVAL 07/01/2007 12/31/2029 NO NO GNP EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO GNP EAR DROP SOL 6.5% OT 07/01/2007 12/31/2029 NO NO GNP EAR SYS SOL 6.5% OT 07/01/2007 12/31/2029 NO NO H.E.A.R. SOL 6.5% OT 07/01/2007 12/31/2029 NO NO HCA EAR WAX SOL 6.5% OT 07/01/2007 12/31/2029 NO NO HYGIENIC EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Carbamide Peroxide (Otic) MDL EAR DROP SOL 6.5% OT 07/01/2007 12/31/2029 NO NO MOLLIFENE SOL 6.5% OT 07/01/2007 12/31/2029 NO NO MP AUROCAINE SOL EAR WASH 07/01/2007 12/31/2029 NO NO MURINE EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO MURINE EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO MURINE EAR SOL SYSTEM 07/01/2007 12/31/2029 NO NO MURINE EAR SOL WAX REMO 07/01/2007 12/31/2029 NO NO OSCO EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO OTIX SOL 6.5% OT 07/01/2007 12/31/2029 NO NO OXY-OTIC SOL 6.5% OT 07/01/2007 12/31/2029 NO NO RA EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO SAV-ON EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO SM EAR DRO 6.5% OT 07/01/2007 12/31/2029 NO NO THERA-EAR SOL 6.5% OT 07/01/2007 12/31/2029 NO NO V-R EAR DROP SOL 6.5% OT 07/01/2007 12/31/2029 NO NO V-R EAR DRPS SOL 6.5% OT 07/01/2007 12/31/2029 NO NO X-WAX EARWAX SOL REMOVER 07/01/2007 12/31/2029 NO NO Chloramphenicol (Otic) CHLORAMPHEN SOL 0.5% OT 07/01/2007 12/31/2029 NO NO CHLOROMYCET SOL 0.5% OT 07/01/2007 12/31/2029 NO YES Chloroxylenol-Glycerin-Pramoxine-Zinc Acetate ZINOTIC DRO 07/01/2007 12/31/2029 NO YES ZINOTIC ES DRO 07/01/2007 12/31/2029 NO YES Chloroxylenol-Pramoxine-Zinc Acetate CHLORPRAM Z DRO 07/01/2007 12/31/2029 NO NO Ciprofloxacin (Otic) OTIPRIO SUS 60MG/ML 07/01/2007 12/31/2029 NO YES Ciprofloxacin HCl (Otic) CETRAXAL SOL 0.2% 07/01/2007 12/31/2029 NO YES CIPROFLOXACN SOL 0.2% 07/01/2007 12/31/2029 NO YES Ciprofloxacin-Dexamethasone CIPRODEX SUS 0.3-0.1% 07/01/2007 12/31/2029 NO YES Ciprofloxacin-Fluocinolone Acetonide OTOVEL DRO 07/01/2007 12/31/2029 NO YES Ciprofloxacin-Hydrocortisone CIPRO HC SUS OTIC 07/01/2007 12/31/2029 NO YES Cresyl Acetate CRESYLATE SOL 25% OTIC 07/01/2007 12/31/2029 NO YES Desonide w/ Acetic Acid TRIDESILON SOL OTIC 07/01/2007 12/31/2029 NO YES Dexamethasone Sodium Phosphate (Otic) DEXOTIC SOL OTIC 07/01/2007 12/31/2029 NO YES Fluocinolone Acetonide (Otic) DERMOTIC OIL 0.01% 07/01/2007 12/31/2029 NO YES FLUOCIN ACET OIL 0.01% 07/01/2007 12/31/2029 NO NO FLUOCIN ACET OIL EAR0.01% 07/01/2007 12/31/2029 NO NO Glycerin (Otic) AURALYT DROP SOL OTIC 07/01/2007 12/31/2029 NO YES EAR DROPS SOL OTIC 07/01/2007 12/31/2029 NO NO E-R-O SOL OTIC 07/01/2007 12/31/2029 NO YES Hydrocortisone (Otic) EARSOL-HC SOL 1% OTIC 07/01/2007 12/31/2029 NO YES EARSOL-HC SOL OTIC 07/01/2007 12/31/2029 NO YES Hydrocortisone w/Acetic Acid ACETASOL HC SOL OTIC 07/01/2007 12/31/2029 NO NO ACETIC ACID SOL /HC OTIC 07/01/2007 12/31/2029 NO NO BIO-SOL HC SOL OTIC 07/01/2007 12/31/2029 NO NO GLY-OTIC HC SOL OTIC 07/01/2007 12/31/2029 NO NO HC/ACET ACID SOL OTIC 07/01/2007 12/31/2029 NO NO HC/ACETIC SOL ACID OT 07/01/2007 12/31/2029 NO NO OTOBALM HC SOL OTIC 07/01/2007 12/31/2029 NO NO OTOMYCET HC SOL OTIC 07/01/2007 12/31/2029 NO NO VASOTATE HC SOL OTIC 07/01/2007 12/31/2029 NO NO VOSOL HC SOL OTIC 07/01/2007 12/31/2029 NO YES VOSOL-HC SOL OTIC 07/01/2007 12/31/2029 NO YES Isopropyl Alcohol (Otic) AURO-DRI LIQ 95% OTIC 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Isopropyl Alcohol (Otic) EAR DRY LIQ 95% OTIC 07/01/2007 12/31/2029 NO NO INSTANT EAR LIQ DRY 95% 07/01/2007 12/31/2029 NO NO SM SWIMMERS DRO EAR 07/01/2007 12/31/2029 NO NO SWIM EAR LIQ 95% OTIC 07/01/2007 12/31/2029 NO YES SWIMMERS EAR DRO 07/01/2007 12/31/2029 NO NO Isopropyl Alcohol-Glycerin EAR DRYING DRO 95-5% 07/01/2007 12/31/2029 NO NO INST EAR-DRY DRO 95-5% 07/01/2007 12/31/2029 NO NO Mineral Oil-Oleth 5-Polysorbate 20 MIN-O-EAR DRO 07/01/2007 12/31/2029 NO YES Neomycin-Colistin-HC COLY-MYCIN S SUS OTIC 07/01/2007 12/31/2029 NO YES COLY-MYCIN-S SUS OTIC 07/01/2007 12/31/2029 NO YES Neomycin-Colistin-HC-Thonzonium COLY-MYCIN S SUS OTIC 07/01/2007 12/31/2029 NO YES CORTISPORIN SUS -TC OTIC 07/01/2007 12/31/2029 NO YES Neomycin-HC Acetate (Otic) HC/NEOMYCIN SUS OTIC 07/01/2007 12/31/2029 NO YES I-NEOCORT SUS OTIC 07/01/2007 12/31/2029 NO NO Neomycin-Polymyxin (Otic) ANTIBIOT EAR SOL OTIC 07/01/2007 12/31/2029 NO NO OTITRICIN SUS OTIC 07/01/2007 12/31/2029 NO NO QRP SOL OTIC 07/01/2007 12/31/2029 NO YES QRP SUS OTIC 07/01/2007 12/31/2029 NO NO Neomycin-Polymyxin-HC (Otic) AK-SPORE SUS 1% OTIC 07/01/2007 12/31/2029 NO NO AK-SPORE HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO ANTI EAR SOL 1% OTIC 07/01/2007 12/31/2029 NO NO ANTI EAR SUS 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIB EAR/HC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOT EAR SOL 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOT EAR SUS 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOT HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO ANTIBIOTIC SUS BUFF EAR 07/01/2007 12/31/2029 NO NO AURAL ACUTE SOL 1% OTIC 07/01/2007 12/31/2029 NO NO AUROBIOT-HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO BIO-COT SOL 1% OTIC 07/01/2007 12/31/2029 NO NO BIOTIS-D SOL 1% OTIC 07/01/2007 12/31/2029 NO NO BIOTIS-S SUS 1% OTIC 07/01/2007 12/31/2029 NO NO BIOTIS-S BUF SUS 1% OTIC 07/01/2007 12/31/2029 NO NO COBIOTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO COBIOTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO CORTATRIGEN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO CORTATRIGEN SUS 1% OTIC 07/01/2007 12/31/2029 NO NO CORTIOTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO CORTIOTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO CORTISPORIN SOL 1% OTIC 07/01/2007 12/31/2029 NO YES CORTISPORIN SUS 1% OTIC 07/01/2007 12/31/2029 NO YES CORTOMYCIN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO CORTOMYCIN SUS 1% OTIC 07/01/2007 12/31/2029 NO NO COTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO COTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO CPC OTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO CPC OTIC SUS 1% 07/01/2007 12/31/2029 NO NO DROTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO EAR-EZE SOL 1% OTIC 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Neomycin-Polymyxin-HC (Otic) HARBER CORT SOL 1% OTIC 07/01/2007 12/31/2029 NO NO HARBER CORT SUS 1% OTIC 07/01/2007 12/31/2029 NO NO HC/NEO/POLY SOL 1% OTIC 07/01/2007 12/31/2029 NO NO INFA-OTIC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO INFA-OTIC SUS 1% 07/01/2007 12/31/2029 NO NO LAZERSPORI-C SOL 1% OTIC 07/01/2007 12/31/2029 NO NO MASPORIN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO MASPORIN SUS 1% OTIC 07/01/2007 12/31/2029 NO NO MAYOTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO NEO/POLY/HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO NEO/POLY/HC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO NEO/POLY/HC SUS OTIC 07/01/2007 12/31/2029 NO NO OCTICAIR SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OCTICAIR SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OCTICORT SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OCTIGEN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OCTIGEN SUS 1% OTIC 07/01/2007 12/31/2029 NO NO ORTEGA OTIC SOL M 1% OT 07/01/2007 12/31/2029 NO NO ORTEGA OTIC SUS M 07/01/2007 12/31/2029 NO NO OTIC SOL 1% 07/01/2007 12/31/2029 NO NO OTICAIR-OTAS SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTICAIR-OTAS SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTIC-CARE SOL 1% 07/01/2007 12/31/2029 NO NO OTIC-CARE SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTICIN HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTICIN HC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTICORT SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTICREX SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTICREX SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTIMAR SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTIMAR SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTISAN SUS OTIC 07/01/2007 12/31/2029 NO NO OTISOL HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTISOL HC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTOCIDIN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTOCORT SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTOCORT SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTO-IC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO OTO-K-PLUS SOL 1% OTIC 07/01/2007 12/31/2029 NO NO OTOREID-HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO PEDIOTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO YES PHN-OTIC SUS 1% 07/01/2007 12/31/2029 NO NO POLY-B-NEO SOL HC 1% OT 07/01/2007 12/31/2029 NO NO POLY-OTIC SOL 1% 07/01/2007 12/31/2029 NO NO POLY-OTIC SUS 1% 07/01/2007 12/31/2029 NO NO TEX-SPORN-HC SOL 1% OTIC 07/01/2007 12/31/2029 NO NO TEX-SPORN-HC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO TRI-OTIC SOL 1% 07/01/2007 12/31/2029 NO NO TRI-OTIC SUS 1% OTIC 07/01/2007 12/31/2029 NO NO UAD SUS OTIC 07/01/2007 12/31/2029 NO YES VISPORIN SOL 1% OTIC 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Neomycin-Polymyxin-HC (Otic) VISPORIN SUS 1% OTIC 07/01/2007 12/31/2029 NO NO Ofloxacin (Otic) FLOXIN SOL 0.3% 07/01/2007 12/31/2029 NO YES FLOXIN OTIC DRO 0.3% 07/01/2007 12/31/2029 NO YES FLOXIN OTIC DRO SINGLES 07/01/2007 12/31/2029 NO YES FLOXIN OTIC SOL 0.3% 07/01/2007 12/31/2029 NO YES OFLOXACIN DRO 0.3%OTIC 07/01/2007 12/31/2029 NO NO Polymyxin B-HC OTOBIOTIC SOL OTIC 07/01/2007 12/31/2029 NO YES OTOCALM SOL OTIC 07/01/2007 12/31/2029 NO NO PYOCIDIN SOL OTIC 07/01/2007 12/31/2029 NO NO Pramoxine-Acetic Acid OTIC DROPS SOL 07/01/2007 12/31/2029 NO NO OTIX DROPS SOL 07/01/2007 12/31/2029 NO NO Pramoxine-Chloroxylenol OTICIN DRO 1-0.1% 07/01/2007 12/31/2029 NO NO PRAMOTIC DRO 1-0.1% 07/01/2007 12/31/2029 NO YES PRAMOXINE/ DRO CHLORXYL 07/01/2007 12/31/2029 NO NO UNI-OTIC DRO 1-0.1% 07/01/2007 12/31/2029 NO NO Pramoxine-Chloroxylenol-Benzalkonium Cl ALBA-3 LIQ 07/01/2007 12/31/2029 NO YES Pramoxine-HC w/ Acetic Acid EAR-EZE SOL OTIC 07/01/2007 12/31/2029 NO NO MOTIC SOL OTIC 07/01/2007 12/31/2029 NO NO OTIC HC SOL 07/01/2007 12/31/2029 NO NO OTOMYCIN-HPN SOL OTIC 07/01/2007 12/31/2029 NO YES TEGA OTIC SOL OTIC 07/01/2007 12/31/2029 NO NO Pramoxine-HC-Chloroxylenol AERO OTIC HC SOL 07/01/2007 12/31/2029 NO NO ALBA-3 HC DRO 07/01/2007 12/31/2029 NO NO CORTANE-B DRO OTIC 07/01/2007 12/31/2029 NO YES CORTIC SOL OTIC 07/01/2007 12/31/2029 NO NO CORTIC-ND DRO 07/01/2007 12/31/2029 NO NO CYOTIC DRO 07/01/2007 12/31/2029 NO NO EXOTIC-HC DRO OTIC 07/01/2007 12/31/2029 NO NO GENEXOTIC-HC DRO 07/01/2007 12/31/2029 NO NO GENEZOTO-HC DRO 07/01/2007 12/31/2029 NO NO HYDRO EAR DRO 07/01/2007 12/31/2029 NO NO MEDIOTIC-HC SOL 07/01/2007 12/31/2029 NO NO OT-AKE HC DRO 07/01/2007 12/31/2029 NO NO OTICIN HC DRO 07/01/2007 12/31/2029 NO YES OTICOL SOL OTIC 07/01/2007 12/31/2029 NO NO OTI-MED DRO OTIC 07/01/2007 12/31/2029 NO NO OTIRX DRO 07/01/2007 12/31/2029 NO NO OTO-END 10 SOL 07/01/2007 12/31/2029 NO NO OTOMAR SOL OTIC 07/01/2007 12/31/2029 NO NO OTOMAR HC SOL OTIC 07/01/2007 12/31/2029 NO NO OTOMAR-HC DRO 07/01/2007 12/31/2029 NO NO OTOMAX-HC DRO 07/01/2007 12/31/2029 NO NO OTOZONE SOL OTIC 07/01/2007 12/31/2029 NO NO PRAMOXINE-HC DRO OTIC 07/01/2007 12/31/2029 NO NO TRI-OTIC SOL 07/01/2007 12/31/2029 NO NO XOTIC-HC SOL OTIC 07/01/2007 12/31/2029 NO NO ZOLENE HC DRO 07/01/2007 12/31/2029 NO NO ZOTO-HC SOL OTIC 07/01/2007 12/31/2029 NO NO Pramoxine-HC-Chloroxylenol Aqueous CORTANE-B DRO AQ OTIC 07/01/2007 12/31/2029 NO YES PRAMOXINE-HC DRO AQ OTIC 07/01/2007 12/31/2029 NO NO ZOTANE HC DRO AQUEOUS 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *OTIC AGENTS* Propylene Glycol (Otic) PHICON SOL OTIC 07/01/2007 12/31/2029 NO NO Propylene Glycol in Alcohol (Otic) EARSOL SOL 07/01/2007 12/31/2029 NO YES Triethanolamine Oleate CERUMENEX SOL OTIC 07/01/2007 12/31/2029 NO YES Urea-Antipyrine-Benzocaine in Glycerin OTILAM EAR LIQ DROPS 07/01/2007 12/31/2029 NO YES *PASSIVE IMMUNIZING AND Varicella-Zoster Immune Globulin (Human) VARICELLA-ZO INJ 125U HU 07/01/2006 12/31/2029 NO YES TREATMENT AGENTS* VARICELLA-ZO INJ 125UNIT 07/01/2006 12/31/2029 NO YES VARICELLA-ZO INJ 625UNIT 07/01/2006 12/31/2029 NO YES *PENICILLINS* Amdinocillin COACTIN INJ 1GM 07/01/2007 12/31/2029 NO YES COACTIN INJ 500MG 07/01/2007 12/31/2029 NO YES Amoxicillin A-CILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO A-CILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO AMOXICILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO AMOXICILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO AMOXICILLIN CHW 125MG 07/01/2007 12/31/2029 NO YES AMOXICILLIN CHW 200MG 07/01/2007 12/31/2029 NO YES AMOXICILLIN CHW 250MG 07/01/2007 12/31/2029 NO YES AMOXICILLIN CHW 400MG 07/01/2007 12/31/2029 NO YES AMOXICILLIN DRO 50MG/ML 07/01/2007 12/31/2029 NO NO AMOXICILLIN POW 07/01/2007 12/31/2029 NO YES AMOXICILLIN POW TRIHYDRA 07/01/2007 12/31/2029 NO YES AMOXICILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO AMOXICILLIN SUS 200/5ML 07/01/2007 12/31/2029 NO NO AMOXICILLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO AMOXICILLIN SUS 250MG/5M 07/01/2007 12/31/2029 NO NO AMOXICILLIN SUS 400/5ML 07/01/2007 12/31/2029 NO NO AMOXICILLIN TAB 500MG 07/01/2007 12/31/2029 NO NO AMOXICILLIN TAB 775MG 07/01/2007 12/31/2029 NO YES AMOXICILLIN TAB 875MG 07/01/2007 12/31/2029 NO NO AMOXIL CAP 250MG 07/01/2007 12/31/2029 NO NO AMOXIL CAP 500MG 07/01/2007 12/31/2029 NO NO AMOXIL CHW 125MG 07/01/2007 12/31/2029 NO YES AMOXIL CHW 200MG 07/01/2007 12/31/2029 NO YES AMOXIL CHW 250MG 07/01/2007 12/31/2029 NO YES AMOXIL CHW 400MG 07/01/2007 12/31/2029 NO YES AMOXIL DRO 50MG/ML 07/01/2007 12/31/2029 NO YES AMOXIL SUS 125/5ML 07/01/2007 12/31/2029 NO NO AMOXIL SUS 200/5ML 07/01/2007 12/31/2029 NO YES AMOXIL SUS 250/5ML 07/01/2007 12/31/2029 NO NO AMOXIL SUS 400/5ML 07/01/2007 12/31/2029 NO YES AMOXIL TAB 500MG 07/01/2007 12/31/2029 NO YES AMOXIL TAB 875MG 07/01/2007 12/31/2029 NO YES BIOMOX CAP 250MG 07/01/2007 12/31/2029 NO NO BIOMOX CAP 500MG 07/01/2007 12/31/2029 NO NO BIOMOX SUS 250/5ML 07/01/2007 12/31/2029 NO NO DISPERMOX TAB 200MG 07/01/2007 12/31/2029 NO YES DISPERMOX TAB 400MG 07/01/2007 12/31/2029 NO YES DISPERMOX TAB 600MG 07/01/2007 12/31/2029 NO YES ENTAMOX CAP 250MG 07/01/2007 12/31/2029 NO NO LAROTID CAP 250MG 07/01/2007 12/31/2029 NO NO LAROTID CAP 500MG 07/01/2007 12/31/2029 NO NO LAROTID DRO 50MG/ML 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Amoxicillin LAROTID SUS 125/5ML 07/01/2007 12/31/2029 NO NO LAROTID SUS 250/5ML 07/01/2007 12/31/2029 NO NO MOXATAG TAB 775MG 07/01/2007 12/31/2029 NO YES POLYMOX CAP 250MG 07/01/2007 12/31/2029 NO NO POLYMOX CAP 500MG 07/01/2007 12/31/2029 NO NO POLYMOX DRO 50MG/ML 07/01/2007 12/31/2029 NO NO POLYMOX SUS 125/5ML 07/01/2007 12/31/2029 NO NO POLYMOX SUS 250/5ML 07/01/2007 12/31/2029 NO NO SENOX CAP 250MG 07/01/2007 12/31/2029 NO NO THSC AMOXICL CAP 250MG 07/01/2007 12/31/2029 NO NO THSC AMOXICL CAP 500MG 07/01/2007 12/31/2029 NO NO TRIMOX CAP 250MG 07/01/2007 12/31/2029 NO NO TRIMOX CAP 500MG 07/01/2007 12/31/2029 NO NO TRIMOX CHW 125MG 07/01/2007 12/31/2029 NO NO TRIMOX CHW 250MG 07/01/2007 12/31/2029 NO NO TRIMOX DRO 50MG/ML 07/01/2007 12/31/2029 NO NO TRIMOX SUS 125/5ML 07/01/2007 12/31/2029 NO NO TRIMOX SUS 250/5ML 07/01/2007 12/31/2029 NO NO WYMOX CAP 250MG 07/01/2007 12/31/2029 NO NO WYMOX CAP 500MG 07/01/2007 12/31/2029 NO NO WYMOX SUS 125/5ML 07/01/2007 12/31/2029 NO NO WYMOX SUS 250/5ML 07/01/2007 12/31/2029 NO NO Amoxicillin & Pot Clavulanate AMOX/K CLAV CHW 200MG 07/01/2007 12/31/2029 NO NO AMOX/K CLAV CHW 400MG 07/01/2007 12/31/2029 NO YES AMOX/K CLAV SUS 200/5ML 07/01/2007 12/31/2029 NO NO AMOX/K CLAV SUS 250/5ML 07/01/2007 12/31/2029 NO NO AMOX/K CLAV SUS 400/5ML 07/01/2007 12/31/2029 NO NO AMOX/K CLAV SUS 600/5ML 07/01/2007 12/31/2029 NO NO AMOX/K CLAV TAB 250-125 07/01/2007 12/31/2029 NO NO AMOX/K CLAV TAB 500-125 07/01/2007 12/31/2029 NO NO AMOX/K CLAV TAB 500MG 07/01/2007 12/31/2029 NO NO AMOX/K CLAV TAB 875-125 07/01/2007 12/31/2029 NO NO AMOX/K CLAV TAB 875MG 07/01/2007 12/31/2029 NO NO AMOX-POT CLA TAB ER 07/01/2007 12/31/2029 NO NO AUGMENTIN CHW 125MG 07/01/2007 12/31/2029 NO YES AUGMENTIN CHW 200MG 07/01/2007 12/31/2029 NO YES AUGMENTIN CHW 250MG 07/01/2007 12/31/2029 NO YES AUGMENTIN CHW 400MG 07/01/2007 12/31/2029 NO YES AUGMENTIN SUS 125/5ML 07/01/2007 12/31/2029 NO YES AUGMENTIN SUS 200/5ML 07/01/2007 12/31/2029 NO YES AUGMENTIN SUS 250/5ML 07/01/2007 12/31/2029 NO YES AUGMENTIN SUS 400/5ML 07/01/2007 12/31/2029 NO YES AUGMENTIN SUS ES-600 07/01/2007 12/31/2029 NO YES AUGMENTIN TAB 250MG 07/01/2007 12/31/2029 NO YES AUGMENTIN TAB 500MG 07/01/2007 12/31/2029 NO YES AUGMENTIN TAB 875MG 07/01/2007 12/31/2029 NO YES AUGMENTIN XR TAB 12HR 07/01/2007 12/31/2029 NO YES AUGMENTIN XR TAB SR 12HR 07/01/2007 12/31/2029 NO YES Ampicillin AMFICOT CAP 250MG 07/01/2007 12/31/2029 NO NO AMPHOCAPS CAP 250MG 07/01/2007 12/31/2029 NO NO AMPHOCAPS CAP 500MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Ampicillin AMPICILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO AMPICILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO AMPICILLIN DRO 100MG/ML 07/01/2007 12/31/2029 NO NO AMPICILLIN POW ANHYDR 07/01/2007 12/31/2029 NO YES AMPICILLIN POW MICRONIZ 07/01/2007 12/31/2029 NO YES AMPICILLIN POW TRIHYDRA 07/01/2007 12/31/2029 NO YES AMPICILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO YES AMPICILLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO AMPLIN CAP 250MG 07/01/2007 12/31/2029 NO NO AMPLIN CAP 500MG 07/01/2007 12/31/2029 NO NO AMPLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO AMPLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO D-AMP CAP 500MG 07/01/2007 12/31/2029 NO NO MARCILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO MARCILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO MARCILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO MARCILLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO OMNIPEN CAP 250MG 07/01/2007 12/31/2029 NO NO OMNIPEN CAP 500MG 07/01/2007 12/31/2029 NO NO OMNIPEN SUS 125/5ML 07/01/2007 12/31/2029 NO NO OMNIPEN SUS 250/5ML 07/01/2007 12/31/2029 NO NO PENAMP CAP 250MG 07/01/2007 12/31/2029 NO NO PENAMP CAP 500MG 07/01/2007 12/31/2029 NO NO POLYCILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO POLYCILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO POLYCILLIN DRO 100MG/ML 07/01/2007 12/31/2029 NO YES POLYCILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO POLYCILLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO POLYCILLIN SUS 500/5ML 07/01/2007 12/31/2029 NO YES PRINCIPEN CAP 250MG 07/01/2007 12/31/2029 NO NO PRINCIPEN CAP 500MG 07/01/2007 12/31/2029 NO NO PRINCIPEN SUS 125/5ML 07/01/2007 12/31/2029 NO NO PRINCIPEN SUS 250/5ML 07/01/2007 12/31/2029 NO NO TOTACILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO TOTACILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO TOTACILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO TOTACILLIN SUS 250/5ML 07/01/2007 12/31/2029 NO NO Ampicillin & Sulbactam Sodium AMPI/SULBACT INJ 1-0.5GM 07/01/2007 12/31/2029 NO NO AMPI/SULBACT INJ 10-5GM 07/01/2007 12/31/2029 NO NO AMPI/SULBACT INJ 2-1GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 1.5GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 1-0.5GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 10-5GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 15GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 2-1GM 07/01/2007 12/31/2029 NO NO AMP-SULBACTA INJ 3GM 07/01/2007 12/31/2029 NO YES UNASYN INJ 1.5GM 07/01/2007 12/31/2029 NO YES UNASYN INJ 1.5GM PB 07/01/2007 12/31/2029 NO YES UNASYN INJ 15GM 07/01/2007 12/31/2029 NO YES UNASYN INJ 3GM 07/01/2007 12/31/2029 NO YES UNASYN INJ 3GM PB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Ampicillin Sodium AMPICILLIN INJ 10GM 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 125MG 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 1GM 07/01/2007 12/31/2029 NO YES AMPICILLIN INJ 1GM PB 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 1GM PBK 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 250MG 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 2GM 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 2GM PB 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 2GM PBK 07/01/2007 12/31/2029 NO NO AMPICILLIN INJ 500MG 07/01/2007 12/31/2029 NO NO OMNIPEN-N INJ 10GM 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 125MG 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 1GM 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 1GM PBK 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 250MG 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 2GM 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 2GM PBK 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 500MG 07/01/2007 12/31/2029 NO YES OMNIPEN-N INJ 500MG PB 07/01/2007 12/31/2029 NO YES POLYCILLIN-N INJ 250MG 07/01/2007 12/31/2029 NO YES POLYCILLIN-N INJ 500MG 07/01/2007 12/31/2029 NO YES T0TACILLIN-N INJ 2GM 07/01/2007 12/31/2029 NO YES TOTACILLIN-N INJ 10GM 07/01/2007 12/31/2029 NO YES TOTACILLIN-N INJ 1GM 07/01/2007 12/31/2029 NO YES TOTACILLIN-N INJ 250MG 07/01/2007 12/31/2029 NO YES TOTACILLIN-N INJ 2GM 07/01/2007 12/31/2029 NO YES TOTACILLIN-N INJ 500MG 07/01/2007 12/31/2029 NO YES Ampicillin w/ Probenecid AMPICILLIN SUS /PROBEN 07/01/2007 12/31/2029 NO NO POLYCILLIN SUS -PRB 07/01/2007 12/31/2029 NO YES PRINCIPEN CAP /PROBEN 07/01/2007 12/31/2029 NO YES PROBAMPACIN SUS 07/01/2007 12/31/2029 NO NO PROBAMPACIN SUS -PRB 07/01/2007 12/31/2029 NO NO PROBENCILLIN SUS -PRB 07/01/2007 12/31/2029 NO NO Azlocillin Sodium AZLIN INJ 2GM 07/01/2007 12/31/2029 NO YES AZLIN INJ 3GM 07/01/2007 12/31/2029 NO YES AZLIN INJ 4GM PBK 07/01/2007 12/31/2029 NO YES Bacampicillin HCl SPECTROBID SUS 125/5ML 07/01/2007 12/31/2029 NO YES SPECTROBID TAB 400MG 07/01/2007 12/31/2029 NO YES Carbenicillin Disodium GEOPEN INJ 1GM 07/01/2007 12/31/2029 NO YES GEOPEN INJ 2GM 07/01/2007 12/31/2029 NO YES GEOPEN INJ 30GM 07/01/2007 12/31/2029 NO YES GEOPEN INJ 5GM 07/01/2007 12/31/2029 NO YES Carbenicillin Indanyl Sodium GEOCILLIN TAB 382MG 07/01/2007 12/31/2029 NO YES Cloxacillin Sodium CLOXACILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO CLOXACILLIN CAP 500MG 07/01/2007 12/31/2029 NO YES CLOXACILLIN SUS 125/5ML 07/01/2007 12/31/2029 NO NO CLOXAPEN CAP 250MG 07/01/2007 12/31/2029 NO NO CLOXAPEN CAP 500MG 07/01/2007 12/31/2029 NO NO TEGOPEN CAP 250MG 07/01/2007 12/31/2029 NO YES TEGOPEN CAP 500MG 07/01/2007 12/31/2029 NO YES TEGOPEN SUS 125/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Cyclacillin CYCLACILLIN TAB 250MG 07/01/2007 12/31/2029 NO NO CYCLACILLIN TAB 500MG 07/01/2007 12/31/2029 NO NO CYCLAPEN W SUS 125/5ML 07/01/2007 12/31/2029 NO YES CYCLAPEN W SUS 250/5ML 07/01/2007 12/31/2029 NO YES CYCLAPEN W TAB 250MG 07/01/2007 12/31/2029 NO YES CYCLAPEN W TAB 500MG 07/01/2007 12/31/2029 NO YES Dicloxacillin Sodium DICLOXACILL CAP 250MG 07/01/2007 12/31/2029 NO NO DICLOXACILL CAP 500MG 07/01/2007 12/31/2029 NO NO DICLOXACILL SUS 62.5/5ML 07/01/2007 12/31/2029 NO NO DYCILL CAP 250MG 07/01/2007 12/31/2029 NO NO DYCILL CAP 500MG 07/01/2007 12/31/2029 NO NO DYNAPEN CAP 125MG 07/01/2007 12/31/2029 NO YES DYNAPEN CAP 250MG 07/01/2007 12/31/2029 NO YES DYNAPEN CAP 500MG 07/01/2007 12/31/2029 NO YES DYNAPEN SUS 62.5/5ML 07/01/2007 12/31/2029 NO YES PATHOCIL CAP 250MG 07/01/2007 12/31/2029 NO YES PATHOCIL CAP 500MG 07/01/2007 12/31/2029 NO YES PATHOCIL SUS 62.5/5ML 07/01/2007 12/31/2029 NO YES Methicillin Sodium STAPHCILLIN INJ 10GM 07/01/2007 12/31/2029 NO YES STAPHCILLIN INJ 1GM 07/01/2007 12/31/2029 NO YES STAPHCILLIN INJ 4GM 07/01/2007 12/31/2029 NO YES STAPHCILLIN INJ 6GM 07/01/2007 12/31/2029 NO YES Mezlocillin Sodium MEZLIN INJ 1GM 07/01/2007 12/31/2029 NO YES MEZLIN INJ 20GM 07/01/2007 12/31/2029 NO YES MEZLIN INJ 2GM 07/01/2007 12/31/2029 NO YES MEZLIN INJ 3GM 07/01/2007 12/31/2029 NO YES MEZLIN INJ 4GM 07/01/2007 12/31/2029 NO YES Nafcillin Sodium NAFCILLIN INJ 10GM 07/01/2007 12/31/2029 NO NO NAFCILLIN INJ 1GM 07/01/2007 12/31/2029 NO YES NAFCILLIN INJ 1GM PBK 07/01/2007 12/31/2029 NO NO NAFCILLIN INJ 200GM 07/01/2007 12/31/2029 NO YES NAFCILLIN INJ 2GM 07/01/2007 12/31/2029 NO NO NAFCILLIN INJ 2GM PBK 07/01/2007 12/31/2029 NO NO NAFCILLIN INJ 500MG 07/01/2007 12/31/2029 NO NO NALLPEN INJ 10GM 07/01/2007 12/31/2029 NO NO NALLPEN INJ 1GM 07/01/2007 12/31/2029 NO NO NALLPEN INJ 2GM 07/01/2007 12/31/2029 NO NO NALLPEN INJ 500MG 07/01/2007 12/31/2029 NO YES UNIPEN CAP 250MG 07/01/2007 12/31/2029 NO YES UNIPEN INJ 10GM 07/01/2007 12/31/2029 NO YES UNIPEN INJ 1GM 07/01/2007 12/31/2029 NO YES UNIPEN INJ 2GM 07/01/2007 12/31/2029 NO YES UNIPEN SUS 250/5ML 07/01/2007 12/31/2029 NO YES UNIPEN TAB 500MG 07/01/2007 12/31/2029 NO YES Nafcillin Sodium in Dextrose NAFCILLIN INJ 1GM/50ML 07/01/2007 12/31/2029 NO YES NAFCILLIN INJ 2GM/100 07/01/2007 12/31/2029 NO YES NALLPEN/D5W INJ 2GM 07/01/2007 12/31/2029 NO YES NALLPEN/DEX INJ 1GM 07/01/2007 12/31/2029 NO YES NALLPEN/DEX INJ 2GM 07/01/2007 12/31/2029 NO YES Oxacillin Sodium BACTOCILL CAP 250MG 07/01/2007 12/31/2029 NO NO BACTOCILL CAP 500MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Oxacillin Sodium BACTOCILL INJ 10GM 07/01/2007 12/31/2029 NO NO BACTOCILL INJ 1GM 07/01/2007 12/31/2029 NO NO BACTOCILL INJ 2GM 07/01/2007 12/31/2029 NO NO BACTOCILL INJ 4GM 07/01/2007 12/31/2029 NO YES BACTOCILL INJ 500MG 07/01/2007 12/31/2029 NO NO OXACILLIN CAP 250MG 07/01/2007 12/31/2029 NO NO OXACILLIN CAP 500MG 07/01/2007 12/31/2029 NO NO OXACILLIN INJ 10GM 07/01/2007 12/31/2029 NO NO OXACILLIN INJ 1GM 07/01/2007 12/31/2029 NO YES OXACILLIN INJ 250MG 07/01/2007 12/31/2029 NO YES OXACILLIN INJ 2GM 07/01/2007 12/31/2029 NO NO OXACILLIN INJ 4GM 07/01/2007 12/31/2029 NO YES OXACILLIN INJ 500MG 07/01/2007 12/31/2029 NO YES OXACILLIN SOL 250/5ML 07/01/2007 12/31/2029 NO NO PROSTAPHLIN CAP 250MG 07/01/2007 12/31/2029 NO YES PROSTAPHLIN CAP 500MG 07/01/2007 12/31/2029 NO YES PROSTAPHLIN INJ 1GM 07/01/2007 12/31/2029 NO YES PROSTAPHLIN INJ 1GM PBK 07/01/2007 12/31/2029 NO YES PROSTAPHLIN INJ 2GM 07/01/2007 12/31/2029 NO YES PROSTAPHLIN INJ 2GM PBK 07/01/2007 12/31/2029 NO YES PROSTAPHLIN SOL 250/5ML 07/01/2007 12/31/2029 NO YES Oxacillin Sodium in Dextrose BACTOCILL INJ DEX 1GM 07/01/2007 12/31/2029 NO YES BACTOCILL INJ DEX 2GM 07/01/2007 12/31/2029 NO YES Penicillin G Benzathine BICILLIN TAB 200000U 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 1200000 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 1200000U 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 2400000 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 2400000U 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 300000 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 300000U 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 600000 07/01/2007 12/31/2029 NO YES BICILLIN L-A INJ 600000U 07/01/2007 12/31/2029 NO YES PERMAPEN INJ 1200000 07/01/2007 12/31/2029 NO YES Penicillin G Benzathine & Procaine BICILLIN C-R INJ 1200000 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 1200000U 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 2400000 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 2400000U 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 300000 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 300000U 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 600000 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 600000U 07/01/2007 12/31/2029 NO YES BICILLIN C-R INJ 900/300 07/01/2007 12/31/2029 NO YES PEN PRO/BENZ INJ 300000U 07/01/2007 12/31/2029 NO NO Penicillin G Pot in Dextrose PENICILL GK INJ 1MU/D5W 07/01/2007 12/31/2029 NO YES PENICILL GK INJ 2MU/D5W 07/01/2007 12/31/2029 NO YES PENICILL GK INJ 3MU/D5W 07/01/2007 12/31/2029 NO YES PENICILL GK/ INJ DEX 1MU 07/01/2007 12/31/2029 NO YES PENICILL GK/ INJ DEX 2MU 07/01/2007 12/31/2029 NO YES PENICILL GK/ INJ DEX 3MU 07/01/2007 12/31/2029 NO YES Penicillin G Potassium PENICILLN GK INJ 10MU 07/01/2007 12/31/2029 NO NO PENICILLN GK INJ 1MU 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Penicillin G Potassium PENICILLN GK INJ 200000U 07/01/2007 12/31/2029 NO YES PENICILLN GK INJ 20MU 07/01/2007 12/31/2029 NO NO PENICILLN GK INJ 500000U 07/01/2007 12/31/2029 NO YES PENICILLN GK INJ 5MU 07/01/2007 12/31/2029 NO NO PENICILLN GK SOL 250/5ML 07/01/2007 12/31/2029 NO NO PENICILLN GK SOL 250000/5 07/01/2007 12/31/2029 NO YES PENICILLN GK TAB 200000U 07/01/2007 12/31/2029 NO NO PENICILLN GK TAB 250000U 07/01/2007 12/31/2029 NO NO PENICILLN GK TAB 400000U 07/01/2007 12/31/2029 NO NO PENICILLN GK TAB 500000U 07/01/2007 12/31/2029 NO NO PENTIDS SOL 125/5ML 07/01/2007 12/31/2029 NO YES PENTIDS SOL 250/5ML 07/01/2007 12/31/2029 NO YES PENTIDS TAB 200000U 07/01/2007 12/31/2029 NO YES PENTIDS TAB 400000U 07/01/2007 12/31/2029 NO YES PENTIDS TAB 800000U 07/01/2007 12/31/2029 NO YES PFIZERPEN G INJ 1MU 07/01/2007 12/31/2029 NO NO PFIZERPEN G INJ 20MU 07/01/2007 12/31/2029 NO YES PFIZERPEN G INJ 5MU 07/01/2007 12/31/2029 NO NO PFIZERPEN-G INJ 20MU 07/01/2007 12/31/2029 NO YES PFIZERPEN-G INJ 5MU 07/01/2007 12/31/2029 NO YES TRUXCILLIN TAB 250000U 07/01/2007 12/31/2029 NO NO TRUXCILLIN TAB 400000U 07/01/2007 12/31/2029 NO NO Penicillin G Procaine CRYSTICIL AS INJ 300000U 07/01/2007 12/31/2029 NO YES CRYSTICILLIN INJ 300000U 07/01/2007 12/31/2029 NO YES CRYSTICILLIN INJ 600000U 07/01/2007 12/31/2029 NO YES DURACILL AS INJ 300000U 07/01/2007 12/31/2029 NO NO PEN G PROC INJ 300000U 07/01/2007 12/31/2029 NO NO PEN G PROC INJ 600000 07/01/2007 12/31/2029 NO YES PFIZERPEN AS INJ 300000U 07/01/2007 12/31/2029 NO YES WYCILLIN INJ 1200000 07/01/2007 12/31/2029 NO YES WYCILLIN INJ 1200000U 07/01/2007 12/31/2029 NO YES WYCILLIN INJ 2400000U 07/01/2007 12/31/2029 NO YES WYCILLIN INJ 600000 07/01/2007 12/31/2029 NO YES WYCILLIN INJ 600000U 07/01/2007 12/31/2029 NO YES Penicillin G Procaine w/ Probenecid WYCILLIN KIT 07/01/2007 12/31/2029 NO YES Penicillin G Sodium PEN G SOD INJ 5000000 07/01/2007 12/31/2029 NO YES PEN G SOD INJ 5000000U 07/01/2007 12/31/2029 NO NO Penicillin V PENICILLN V SOL 125/5ML 07/01/2007 12/31/2029 NO YES PENICILLN V SOL 250/5ML 07/01/2007 12/31/2029 NO YES PENICILLN V TAB 250MG 07/01/2007 12/31/2029 NO NO PENICILLN V TAB 500MG 07/01/2007 12/31/2029 NO NO Penicillin V Potassium BEEPEN-VK SOL 125/5ML 07/01/2007 12/31/2029 NO NO BEEPEN-VK SOL 250/5ML 07/01/2007 12/31/2029 NO NO BEEPEN-VK TAB 250MG 07/01/2007 12/31/2029 NO NO BEEPEN-VK TAB 500MG 07/01/2007 12/31/2029 NO NO BETAPEN-VK SOL 125/5ML 07/01/2007 12/31/2029 NO NO BETAPEN-VK SOL 250/5ML 07/01/2007 12/31/2029 NO NO BETAPEN-VK TAB 250MG 07/01/2007 12/31/2029 NO NO BETAPEN-VK TAB 500MG 07/01/2007 12/31/2029 NO NO CAROPEN VK TAB 250MG 07/01/2007 12/31/2029 NO NO COCILLIN VK TAB 250MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Penicillin V Potassium LANACILL VK TAB 250MG 07/01/2007 12/31/2029 NO NO LANACILL VK TAB 500MG 07/01/2007 12/31/2029 NO NO LEDERCILL VK SOL 125/5ML 07/01/2007 12/31/2029 NO NO LEDERCILL VK SOL 250/5ML 07/01/2007 12/31/2029 NO NO LEDERCILL VK TAB 250MG 07/01/2007 12/31/2029 NO NO LEDERCILL VK TAB 500MG 07/01/2007 12/31/2029 NO NO ORA VK TAB 250MG 07/01/2007 12/31/2029 NO NO PC PEN VK TAB 250MG 07/01/2007 12/31/2029 NO NO PC PEN VK TAB 500MG 07/01/2007 12/31/2029 NO NO PENICILLN VK SOL 125/5ML 07/01/2007 12/31/2029 NO NO PENICILLN VK SOL 250/5ML 07/01/2007 12/31/2029 NO NO PENICILLN VK TAB 250MG 07/01/2007 12/31/2029 NO NO PENICILLN VK TAB 250MG OV 07/01/2007 12/31/2029 NO NO PENICILLN VK TAB 250MG RD 07/01/2007 12/31/2029 NO NO PENICILLN VK TAB 500MG 07/01/2007 12/31/2029 NO NO PEN-VEE K SOL 125/5ML 07/01/2007 12/31/2029 NO NO PEN-VEE K SOL 250/5ML 07/01/2007 12/31/2029 NO NO PEN-VEE K TAB 250MG 07/01/2007 12/31/2029 NO NO PEN-VEE K TAB 500MG 07/01/2007 12/31/2029 NO NO PFIZERPEN VK TAB 250MG 07/01/2007 12/31/2029 NO NO PFIZERPEN VK TAB 500MG 07/01/2007 12/31/2029 NO NO ROBICILL VK TAB 250MG 07/01/2007 12/31/2029 NO NO ROBICILL VK TAB 500MG 07/01/2007 12/31/2029 NO NO SUSPEN SOL 250/5ML 07/01/2007 12/31/2029 NO NO THSC PENICIL TAB 500MG 07/01/2007 12/31/2029 NO NO UTICILLIN VK TAB 250MG 07/01/2007 12/31/2029 NO NO UTICILLIN VK TAB 500MG 07/01/2007 12/31/2029 NO NO V-CILLIN-K SOL 125/5ML 07/01/2007 12/31/2029 NO YES V-CILLIN-K SOL 250/5ML 07/01/2007 12/31/2029 NO YES V-CILLIN-K TAB 125MG 07/01/2007 12/31/2029 NO YES V-CILLIN-K TAB 250MG 07/01/2007 12/31/2029 NO NO V-CILLIN-K TAB 500MG 07/01/2007 12/31/2029 NO NO VEETIDS SOL 125/5ML 07/01/2007 12/31/2029 NO NO VEETIDS SOL 250/5ML 07/01/2007 12/31/2029 NO NO VEETIDS TAB 250MG 07/01/2007 12/31/2029 NO NO VEETIDS TAB 500MG 07/01/2007 12/31/2029 NO NO WINCILLIN-VK SOL 250/5ML 07/01/2007 12/31/2029 NO NO WINCILLIN-VK TAB 250MG 07/01/2007 12/31/2029 NO NO Piperacillin Sodium PIPERACILLIN INJ 2GM 07/01/2007 12/31/2029 NO YES PIPERACILLIN INJ 3GM 07/01/2007 12/31/2029 NO YES PIPERACILLIN INJ 40GM 07/01/2007 12/31/2029 NO YES PIPERACILLIN INJ 4GM 07/01/2007 12/31/2029 NO YES PIPRACIL INJ 2GM 07/01/2007 12/31/2029 NO YES PIPRACIL INJ 3GM 07/01/2007 12/31/2029 NO YES PIPRACIL INJ 40GM 07/01/2007 12/31/2029 NO YES PIPRACIL INJ 4GM 07/01/2007 12/31/2029 NO YES Piperacillin Sodium-D5W PIPRACIL/D5W INJ 2GM 07/01/2007 12/31/2029 NO YES PIPRACIL/D5W INJ 4GM 07/01/2007 12/31/2029 NO YES Piperacillin Sodium-Tazobactam Sodium PIPER/TAZOBA INJ 12-1.5GM 07/01/2007 12/31/2029 NO YES PIPER/TAZOBA INJ 2-0.25GM 07/01/2007 12/31/2029 NO NO PIPER/TAZOBA INJ 3-0.375G 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *PENICILLINS* Piperacillin Sodium-Tazobactam Sodium PIPER/TAZOBA INJ 36-4.5GM 07/01/2007 12/31/2029 NO NO PIPER/TAZOBA INJ 4-0.5GM 07/01/2007 12/31/2029 NO NO ZOSYN INJ 2-0.25GM 07/01/2007 12/31/2029 NO YES ZOSYN INJ 2G-0.25G 07/01/2007 12/31/2029 NO YES ZOSYN INJ 3-0.375G 07/01/2007 12/31/2029 NO YES ZOSYN INJ 36-4.5GM 07/01/2007 12/31/2029 NO YES ZOSYN INJ 4-0.5GM 07/01/2007 12/31/2029 NO YES ZOSYN INJ 4GM/0.5G 07/01/2007 12/31/2029 NO YES Piperacillin Sodium-Tazobactam Sodium in Dextrose ZOSYN SOL 2-0.25GM 07/01/2007 12/31/2029 NO YES ZOSYN SOL 3-0.375G 07/01/2007 12/31/2029 NO YES ZOSYN SOL 4-0.50GM 07/01/2007 12/31/2029 NO YES Ticarcillin & Pot Clavulanate TIMENTIN INJ 3.1GM 07/01/2007 12/31/2029 NO YES TIMENTIN INJ 31GM 07/01/2007 12/31/2029 NO YES Ticarcillin Disodium TICAR INJ 1GM 07/01/2007 12/31/2029 NO YES TICAR INJ 20GM 07/01/2007 12/31/2029 NO YES TICAR INJ 30GM 07/01/2007 12/31/2029 NO YES TICAR INJ 3GM 07/01/2007 12/31/2029 NO YES TICAR INJ 6GM 07/01/2007 12/31/2029 NO YES Ticarcillin Disodium-D5W TICAR INJ 2 GM 07/01/2007 12/31/2029 NO YES TICAR INJ 4 GM 07/01/2007 12/31/2029 NO YES *SULFONAMIDES* Sulfacytine RENOQUID TAB 250MG 07/01/2007 12/31/2029 NO YES Sulfadiazine MICROSULFON TAB 500MG 07/01/2006 12/31/2029 NO NO SULFADIAZINE POW 07/01/2006 12/31/2029 NO YES SULFADIAZINE TAB 500MG 07/01/2006 12/31/2029 NO NO Sulfadiazine Sodium SULFADIAZINE POW SODIUM 07/01/2007 12/31/2029 NO YES Sulfamethizole THIOSULFIL TAB FORTE 07/01/2007 12/31/2029 NO YES URIFON TAB 500MG 07/01/2007 12/31/2029 NO NO Sulfamethoxazole GANTANOL SUS 500/5ML 07/01/2006 12/31/2029 NO YES GANTANOL TAB 500MG 07/01/2006 12/31/2029 NO YES GANTANOL DS TAB 1GM 07/01/2006 12/31/2029 NO YES SULFAMETHOX POW 07/01/2006 12/31/2029 NO YES SULFAMETHOX POW MICRO 07/01/2006 12/31/2029 NO YES SULFAMETHOX TAB 500MG 07/01/2006 12/31/2029 NO NO UROBAK TAB 500MG 07/01/2006 12/31/2029 NO NO Sulfapyridine SULFAPYRIDIN POW 07/01/2007 12/31/2029 NO YES SULFAPYRIDIN TAB 500MG 07/01/2007 12/31/2029 NO YES Sulfathiazole SULFATHIAZOL POW 07/01/2007 12/31/2029 NO YES SULFATHIAZOL POW PURIFIED 07/01/2007 12/31/2029 NO NO Sulfisoxazole CHERAGAN TAB 500MG 07/01/2007 12/31/2029 NO NO GANTRISIN TAB 500MG 07/01/2007 12/31/2029 NO YES SULFAGAN TAB 500MG 07/01/2007 12/31/2029 NO NO SULFASOX TAB 500MG 07/01/2007 12/31/2029 NO NO SULFISOXAZOL POW 07/01/2007 12/31/2029 NO YES SULFISOXAZOL TAB 0.5GM 07/01/2007 12/31/2029 NO YES SULFISOXAZOL TAB 500MG 07/01/2007 12/31/2029 NO NO SULFISOXIZOL CRY 07/01/2007 12/31/2029 NO YES SULFISOXIZOL CRY USP NF 07/01/2007 12/31/2029 NO YES Sulfisoxazole Acetyl GANTRIS PED SUS 500/5ML 07/01/2007 12/31/2029 NO YES GANTRISIN SYP 500/5ML 07/01/2007 12/31/2029 NO YES Triple Sulfonamides NEOTRIZINE SUS 10GM/100 07/01/2007 12/31/2029 NO YES NEOTRIZINE TAB 500MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *SULFONAMIDES* Triple Sulfonamides TERFONYL SUS 500/5ML 07/01/2007 12/31/2029 NO YES TRIPLE SULFA SUS 500/5ML 07/01/2007 12/31/2029 NO NO TRIPLE SULFA TAB 500MG 07/01/2007 12/31/2029 NO NO TRIPLE SULFA TAB 500MG #2 07/01/2007 12/31/2029 NO NO *TETRACYCLINES* Doxycycline (Monohydrate) ADOXA TAB 100MG 07/01/2006 12/31/2029 NO YES ADOXA TAB 50MG 07/01/2006 12/31/2029 NO YES ADOXA TAB 75MG 07/01/2006 12/31/2029 NO YES ADOXA PAK 1/ TAB 100MG 07/01/2006 12/31/2029 NO YES ADOXA PAK 1/ TAB 150MG 07/01/2006 12/31/2029 NO YES ADOXA PAK 1/ TAB 75MG 07/01/2006 12/31/2029 NO YES ADOXA PAK 2/ TAB 100MG 07/01/2006 12/31/2029 NO YES AVIDOXY TAB 100MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO CAP 100MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO CAP 50MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO TAB 100MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO TAB 150MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO TAB 50MG 07/01/2006 12/31/2029 NO NO DOXYCYC MONO TAB 75MG 07/01/2006 12/31/2029 NO NO DOXYCYCLINE SUS 25MG/5ML 07/01/2006 12/31/2029 NO NO MONDOXYNE NL CAP 100MG 07/01/2006 12/31/2029 NO NO MONDOXYNE NL CAP 50MG 07/01/2006 12/31/2029 NO NO MONODOX CAP 100MG 07/01/2006 12/31/2029 NO YES MONODOX CAP 50MG 07/01/2006 12/31/2029 NO YES VIBRAMYCIN SUS 25MG/5ML 07/01/2006 12/31/2029 NO YES Doxycycline Calcium DOXYCYCL CAL SYP 50MG/5ML 07/01/2006 12/31/2029 NO NO VIBRAMYCIN SYP 50MG/5ML 07/01/2006 12/31/2029 NO YES Doxycycline Hyclate DORYX CAP 100MG EC 07/01/2006 12/31/2029 NO YES DORYX TAB 100MG 07/01/2006 12/31/2029 NO YES DORYX TAB 75MG 07/01/2006 12/31/2029 NO YES DOX-100 TAB 100MG 07/01/2006 12/31/2029 NO NO DOXI FILM TAB 100MG 07/01/2006 12/31/2029 NO NO DOXY CAP 100MG 07/01/2006 12/31/2029 NO NO DOXY TAB 100MG 07/01/2006 12/31/2029 NO NO DOXY 100 INJ 100MG 07/01/2006 12/31/2029 NO NO DOXY LEMMON CAP 100MG 07/01/2006 12/31/2029 NO NO DOXY LEMMON TAB 100MG 07/01/2006 12/31/2029 NO NO DOXY-200 INJ 200MG 07/01/2006 12/31/2029 NO NO DOXY-CAPS CAP 100MG 07/01/2006 12/31/2029 NO NO DOXYCHEL CAP 100MG 07/01/2006 12/31/2029 NO NO DOXYCHEL CAP 50MG 07/01/2006 12/31/2029 NO NO DOXYCLINE CAP 50MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC CAP 100MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC CAP 100MG EC 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC CAP 50MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC INJ 100MG 07/01/2006 12/31/2029 NO YES DOXYCYCL HYC INJ 200MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC TAB 100MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC TAB 100MG DR 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC TAB 50MG 07/01/2006 12/31/2029 NO NO DOXYCYCL HYC TAB 75MG DR 07/01/2006 12/31/2029 NO NO DOXYCYCLINE POW HYCLATE 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *TETRACYCLINES* Doxycycline Hyclate DOXYCYCLINE TAB 20MG 07/01/2006 12/31/2029 NO NO DOXY-D CAP 100MG 07/01/2006 12/31/2029 NO NO DOXY-D CAP 50MG 07/01/2006 12/31/2029 NO NO DOXYTABS TAB 100MG 07/01/2006 12/31/2029 NO NO DOXY-TABS TAB 100MG 07/01/2006 12/31/2029 NO NO DOXY-TABS TAB 50MG 07/01/2006 12/31/2029 NO NO MORGIDOX CAP 1X100MG 07/01/2006 12/31/2029 NO NO MORGIDOX CAP 1X50MG 07/01/2006 12/31/2029 NO NO MORGIDOX CAP 2X100MG 07/01/2006 12/31/2029 NO NO PERIOSTAT TAB 07/01/2006 12/31/2029 NO YES POLY-V TAB 100MG 07/01/2006 12/31/2029 NO NO TARGADOX TAB 50MG 07/01/2006 12/31/2029 NO YES T-VIBRA CAP 100MG 07/01/2006 12/31/2029 NO NO VIBRAMYCIN CAP 100MG 07/01/2006 12/31/2029 NO YES VIBRAMYCIN CAP 50MG 07/01/2006 12/31/2029 NO YES VIBRAMYCIN INJ 100MG 07/01/2006 12/31/2029 NO YES VIBRAMYCIN INJ 200MG 07/01/2006 12/31/2029 NO YES VIBRATAB TAB 100MG 07/01/2006 12/31/2029 NO YES VIVOX CAP 100MG 07/01/2006 12/31/2029 NO NO Minocycline HCl DYNACIN CAP 100MG 07/01/2006 12/31/2029 NO NO DYNACIN CAP 50MG 07/01/2006 12/31/2029 NO NO DYNACIN CAP 75MG 07/01/2006 12/31/2029 NO YES DYNACIN TAB 100MG 07/01/2006 12/31/2029 NO YES DYNACIN TAB 50MG 07/01/2006 12/31/2029 NO YES DYNACIN TAB 75MG 07/01/2006 12/31/2029 NO YES MINOCIN CAP 100MG 07/01/2006 12/31/2029 NO YES MINOCIN CAP 50MG 07/01/2006 12/31/2029 NO YES MINOCIN CAP 75MG 07/01/2006 12/31/2029 NO YES MINOCIN INJ 100MG 07/01/2006 12/31/2029 NO YES MINOCYCLINE CAP 100MG 07/01/2006 12/31/2029 NO NO MINOCYCLINE CAP 50MG 07/01/2006 12/31/2029 NO NO MINOCYCLINE CAP 75MG 07/01/2006 12/31/2029 NO NO MINOCYCLINE POW 07/01/2006 12/31/2029 NO YES MINOCYCLINE TAB 100MG 07/01/2006 12/31/2029 NO NO MINOCYCLINE TAB 135MG ER 07/01/2006 12/31/2029 NO NO MINOCYCLINE TAB 45MG ER 07/01/2006 12/31/2029 NO YES MINOCYCLINE TAB 50MG 07/01/2006 12/31/2029 NO YES MINOCYCLINE TAB 75MG 07/01/2006 12/31/2029 NO NO MINOCYCLINE TAB 90MG ER 07/01/2006 12/31/2029 NO NO SOLODYN TAB 135MG 07/01/2006 12/31/2029 NO YES SOLODYN TAB 45MG 07/01/2006 12/31/2029 NO YES SOLODYN TAB 90MG 07/01/2006 12/31/2029 NO YES VECTRIN CAP 100MG 07/01/2006 12/31/2029 NO NO VECTRIN CAP 50MG 07/01/2006 12/31/2029 NO NO Tetracycline HCl ACHROMYCIN INJ 250MG 07/01/2006 12/31/2029 NO YES ACHROMYCIN INJ 500MG 07/01/2006 12/31/2029 NO YES ACHROMYCIN V CAP 250MG 07/01/2006 12/31/2029 NO YES ACHROMYCIN V CAP 500MG 07/01/2006 12/31/2029 NO NO ACHROMYCIN V SYP 125/5ML 07/01/2006 12/31/2029 NO YES ALA-TET CAP 250MG 07/01/2006 12/31/2029 NO NO BRODSPEC CAP 250MG 07/01/2006 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *TETRACYCLINES* Tetracycline HCl BRODSPEC SYP 125/5ML 07/01/2006 12/31/2029 NO NO CYCLATET CAP 250MG 07/01/2006 12/31/2029 NO NO MARTET CAP 250MG 07/01/2006 12/31/2029 NO NO PANMYCIN CAP 250MG 07/01/2006 12/31/2029 NO NO PC TET CAP 250MG 07/01/2006 12/31/2029 NO NO PC TET CAP 500MG 07/01/2006 12/31/2029 NO NO ROBITET CAP 250MG 07/01/2006 12/31/2029 NO NO ROBITET CAP 500MG 07/01/2006 12/31/2029 NO NO SAROCYCLINE CAP 250MG 07/01/2006 12/31/2029 NO NO SUMYCIN CAP 250MG 07/01/2006 12/31/2029 NO NO SUMYCIN CAP 500MG 07/01/2006 12/31/2029 NO NO SUMYCIN SYP 125/5ML 07/01/2006 12/31/2029 NO YES SUMYCIN TAB 250MG 07/01/2006 12/31/2029 NO YES SUMYCIN TAB 500MG 07/01/2006 12/31/2029 NO YES TEGA-CYCLINE CAP 250MG 07/01/2006 12/31/2029 NO NO TEGA-CYCLINE CAP 500MG 07/01/2006 12/31/2029 NO NO TELINE CAP 250MG 07/01/2006 12/31/2029 NO NO TELINE CAP 500MG 07/01/2006 12/31/2029 NO NO TETRA CAP 250MG 07/01/2006 12/31/2029 NO NO TETRA CAP 500MG 07/01/2006 12/31/2029 NO NO TETRACAP CAP 250MG 07/01/2006 12/31/2029 NO NO TETRACON CAP 500MG 07/01/2006 12/31/2029 NO NO TETRACYCLINE CAP 100MG 07/01/2006 12/31/2029 NO YES TETRACYCLINE CAP 250MG 07/01/2006 12/31/2029 NO YES TETRACYCLINE CAP 500MG 07/01/2006 12/31/2029 NO YES TETRACYCLINE SYP 125/5ML 07/01/2006 12/31/2029 NO NO TETRACYN CAP 250MG 07/01/2006 12/31/2029 NO NO TETRACYN CAP 500MG 07/01/2006 12/31/2029 NO NO TETRACYREX CAP 250MG 07/01/2006 12/31/2029 NO NO TETRALAN CAP 250MG 07/01/2006 12/31/2029 NO NO TETRALAN CAP 500MG 07/01/2006 12/31/2029 NO NO TETRALAN SYP 125/5ML 07/01/2006 12/31/2029 NO NO TETRAM CAP 250MG 07/01/2006 12/31/2029 NO NO THSC TETRCYC CAP 250MG 07/01/2006 12/31/2029 NO NO *THYROID AGENTS* Levothyroxine Sodium ELTROXIN TAB 100MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 112MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 125MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 137MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 150MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 175MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 200MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 25MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 300MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 50MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 75MCG 07/01/2007 12/31/2029 NO NO ELTROXIN TAB 88MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 100MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 112MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 125MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 150MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 175MCG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Levothyroxine Sodium EUTHYROX TAB 200MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 25MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 300MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 50MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 75MCG 07/01/2007 12/31/2029 NO NO EUTHYROX TAB 88MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 112MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 137MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 175MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 200 MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 25MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 300 MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVO-T TAB 88MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 200MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 25MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 300MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVOTABS TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID INJ 200MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID INJ 500MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 112MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 137MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 175MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 200MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 25MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 300MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVOTHROID TAB 88MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN INJ 100MCG 07/01/2007 12/31/2029 NO YES LEVOTHYROXIN INJ 200MCG 07/01/2007 12/31/2029 NO YES LEVOTHYROXIN INJ 500MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 112MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 137MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 175MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 200MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 25MCG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Levothyroxine Sodium LEVOTHYROXIN TAB 300MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVOTHYROXIN TAB 88MCG 07/01/2007 12/31/2029 NO NO LEVOXINE INJ 200MCG 07/01/2007 12/31/2029 NO NO LEVOXINE INJ 500MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 112MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 12.5MCG 07/01/2007 12/31/2029 NO YES LEVOXINE TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 175MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 200MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 25MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 300MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVOXINE TAB 88MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 100MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 112MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 125MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 137MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 150MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 175MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 200MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 25MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 300MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 50MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 75MCG 07/01/2007 12/31/2029 NO NO LEVOXYL TAB 88MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE INJ 200MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 100MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 112MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 125MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 150MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 175MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 200MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 25MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 300MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 50MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 75MCG 07/01/2007 12/31/2029 NO NO L-THYROXINE TAB 88MCG 07/01/2007 12/31/2029 NO NO SYNTHROID INJ 200MCG 07/01/2007 12/31/2029 NO YES SYNTHROID INJ 500MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 100MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 112MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 125MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 137MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 150MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 175MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 200MCG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Levothyroxine Sodium SYNTHROID TAB 25MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 300MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 50MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 75MCG 07/01/2007 12/31/2029 NO YES SYNTHROID TAB 88MCG 07/01/2007 12/31/2029 NO YES THSC LEVOTHY TAB 100MCG 07/01/2007 12/31/2029 NO NO THSC LEVOTHY TAB 150MCG 07/01/2007 12/31/2029 NO NO THSC LEVOTHY TAB 50MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 100MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 112MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 125MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 150MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 175MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 200MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 25MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 300MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 50MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 75MCG 07/01/2007 12/31/2029 NO NO THYROX TAB 88MCG 07/01/2007 12/31/2029 NO NO TIROSINT CAP 100MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 112MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 125MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 137MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 13MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 150MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 25MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 50MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 75MCG 07/01/2007 12/31/2029 NO YES TIROSINT CAP 88MCG 07/01/2007 12/31/2029 NO YES UNITH DIRECT TAB 100MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 112MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 125MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 150MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 175MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 200MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 25MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 300MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 50MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 75MCG 07/01/2007 12/31/2029 NO NO UNITH DIRECT TAB 88MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 100MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 112MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 125MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 137MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 150MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 175MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 200MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 25MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 300MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 50MCG 07/01/2007 12/31/2029 NO NO UNITHROID TAB 75MCG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Levothyroxine Sodium UNITHROID TAB 88MCG 07/01/2007 12/31/2029 NO NO Liothyronine Sodium CYTOMEL TAB 25MCG 07/01/2007 12/31/2029 NO YES CYTOMEL TAB 50MCG 07/01/2007 12/31/2029 NO YES CYTOMEL TAB 5MCG 07/01/2007 12/31/2029 NO YES LIOTHYRONINE INJ 10MCG/ML 07/01/2007 12/31/2029 NO NO LIOTHYRONINE POW SODIUM 07/01/2007 12/31/2029 NO YES LIOTHYRONINE TAB 25MCG 07/01/2007 12/31/2029 NO NO LIOTHYRONINE TAB 50MCG 07/01/2007 12/31/2029 NO NO LIOTHYRONINE TAB 5MCG 07/01/2007 12/31/2029 NO NO L-THYRONINE POW SODIUM 07/01/2007 12/31/2029 NO YES T3 SODIUM POW DILUTION 07/01/2007 12/31/2029 NO YES TRIOSTAT INJ 10MCG/ML 07/01/2007 12/31/2029 NO YES Liotrix (T3-T4) EUTHROID TAB 120MG 07/01/2007 12/31/2029 NO YES EUTHROID TAB 30MG 07/01/2007 12/31/2029 NO YES EUTHROID-1 TAB 60MG 07/01/2007 12/31/2029 NO YES EUTHROID-2 TAB 120MG 07/01/2007 12/31/2029 NO YES EUTHROID-3 TAB 180MG 07/01/2007 12/31/2029 NO YES THYROLAR TAB 120MG 07/01/2007 12/31/2029 NO YES THYROLAR TAB 15MG 07/01/2007 12/31/2029 NO YES THYROLAR TAB 180MG 07/01/2007 12/31/2029 NO YES THYROLAR TAB 30MG 07/01/2007 12/31/2029 NO YES THYROLAR-1 TAB 60MG 07/01/2007 12/31/2029 NO YES THYROLAR-1/2 TAB 30MG 07/01/2007 12/31/2029 NO YES THYROLAR-1/4 TAB 15MG 07/01/2007 12/31/2029 NO YES THYROLAR-2 TAB 120MG 07/01/2007 12/31/2029 NO YES THYROLAR-3 TAB 180MG 07/01/2007 12/31/2029 NO YES Methimazole METHIMAZOLE POW 07/01/2007 12/31/2029 NO YES METHIMAZOLE TAB 10MG 07/01/2007 12/31/2029 NO NO METHIMAZOLE TAB 20MG 07/01/2007 12/31/2029 NO YES METHIMAZOLE TAB 5MG 07/01/2007 12/31/2029 NO NO NORTHYX TAB 10MG 07/01/2007 12/31/2029 NO NO NORTHYX TAB 15MG 07/01/2007 12/31/2029 NO YES NORTHYX TAB 20MG 07/01/2007 12/31/2029 NO YES NORTHYX TAB 5MG 07/01/2007 12/31/2029 NO NO TAPAZOLE TAB 10MG 07/01/2007 12/31/2029 NO YES TAPAZOLE TAB 5MG 07/01/2007 12/31/2029 NO YES Propylthiouracil PROPYLTHIOUR TAB 50MG 07/01/2007 12/31/2029 NO NO Thyroglobulin PROLOID TAB 100MG 07/01/2007 12/31/2029 NO YES PROLOID TAB 130MG 07/01/2007 12/31/2029 NO YES PROLOID TAB 200MG 07/01/2007 12/31/2029 NO YES PROLOID TAB 32MG 07/01/2007 12/31/2029 NO YES PROLOID TAB 65MG 07/01/2007 12/31/2029 NO YES Thyroid ARMOUR THYRO TAB 120MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 15MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 180MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 200MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 240MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 300MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 30MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 60MG 07/01/2007 12/31/2029 NO YES ARMOUR THYRO TAB 90MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Thyroid NAT THYROID TAB 130MG 07/01/2007 12/31/2029 NO NO NAT THYROID TAB 194.4MG 07/01/2007 12/31/2029 NO NO NAT THYROID TAB 30MG 07/01/2007 12/31/2029 NO NO NAT THYROID TAB 65MG 07/01/2007 12/31/2029 NO NO NAT THYROID TAB 97.2MG 07/01/2007 12/31/2029 NO NO NATURE THROI TAB 162.5MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 113.75MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 130MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 146.25MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 16.25MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 195MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 260MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 32.5MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 325MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 48.75MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 65MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 81.25MG 07/01/2007 12/31/2029 NO YES NATURE-THROI TAB 97.5MG 07/01/2007 12/31/2029 NO YES NP THYROID TAB 120MG 07/01/2007 12/31/2029 NO NO NP THYROID TAB 15MG 07/01/2007 12/31/2029 NO NO NP THYROID TAB 30MG 07/01/2007 12/31/2029 NO NO NP THYROID TAB 60MG 07/01/2007 12/31/2029 NO NO NP THYROID TAB 90MG 07/01/2007 12/31/2029 NO NO THYROID POW 07/01/2007 12/31/2029 NO YES THYROID POW 0.23% 07/01/2007 12/31/2029 NO YES THYROID POW BOVINE 07/01/2007 12/31/2029 NO YES THYROID POW PORCINE 07/01/2007 12/31/2029 NO YES THYROID POW USP 07/01/2007 12/31/2029 NO YES THYROID TAB 120MG 07/01/2007 12/31/2029 NO NO THYROID TAB 120MG EC 07/01/2007 12/31/2029 NO NO THYROID TAB 125MG 07/01/2007 12/31/2029 NO NO THYROID TAB 129.6MG 07/01/2007 12/31/2029 NO NO THYROID TAB 130MG 07/01/2007 12/31/2029 NO NO THYROID TAB 15MG 07/01/2007 12/31/2029 NO NO THYROID TAB 16.2MG 07/01/2007 12/31/2029 NO NO THYROID TAB 180MG 07/01/2007 12/31/2029 NO NO THYROID TAB 180MG EC 07/01/2007 12/31/2029 NO YES THYROID TAB 195MG 07/01/2007 12/31/2029 NO NO THYROID TAB 1GR 07/01/2007 12/31/2029 NO NO THYROID TAB 200MG 07/01/2007 12/31/2029 NO NO THYROID TAB 240MG 07/01/2007 12/31/2029 NO NO THYROID TAB 2GR 07/01/2007 12/31/2029 NO NO THYROID TAB 3 GR 07/01/2007 12/31/2029 NO YES THYROID TAB 300MG 07/01/2007 12/31/2029 NO NO THYROID TAB 30MG 07/01/2007 12/31/2029 NO NO THYROID TAB 30MG EC 07/01/2007 12/31/2029 NO YES THYROID TAB 32.4MG 07/01/2007 12/31/2029 NO NO THYROID TAB 32.5MG 07/01/2007 12/31/2029 NO NO THYROID TAB 60MG 07/01/2007 12/31/2029 NO NO THYROID TAB 60MG EC 07/01/2007 12/31/2029 NO YES THYROID TAB 64.8MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Thyroid THYROID TAB 65MG 07/01/2007 12/31/2029 NO NO THYROID TAB 90MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 113.75MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 120MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 130MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 146.25MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 15MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 16.25MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 162.50MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 180MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 195MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 200MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 240MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 260MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 300MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 30MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 32.5MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 325MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 48.75MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 60MG 07/01/2007 12/31/2029 NO NO WESTHROID TAB 65MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 81.25MG 07/01/2007 12/31/2029 NO YES WESTHROID TAB 97.5MG 07/01/2007 12/31/2029 NO YES WESTHROID-3 TAB 180MG 07/01/2007 12/31/2029 NO NO WESTHROID-P TAB 130MG 07/01/2007 12/31/2029 NO YES WESTHROID-P TAB 16.25MG 07/01/2007 12/31/2029 NO YES WESTHROID-P TAB 32.5MG 07/01/2007 12/31/2029 NO YES WESTHROID-P TAB 48.75MG 07/01/2007 12/31/2029 NO YES WESTHROID-P TAB 65MG 07/01/2007 12/31/2029 NO YES WESTHROID-P TAB 97.5MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 113.75MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 130MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 16.25MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 32.5MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 48.75MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 65MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 81.25MG 07/01/2007 12/31/2029 NO YES WP THYROID TAB 97.5MG 07/01/2007 12/31/2029 NO YES Thyroid (Beef) THYRAR TAB 120MG 07/01/2007 12/31/2029 NO YES THYRAR TAB 30MG 07/01/2007 12/31/2029 NO YES THYRAR TAB 60MG 07/01/2007 12/31/2029 NO YES Thyroid (Pork) BIO-THROID CAP 120MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 150MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 15MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 180MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 240MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 30MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 60MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 8MG 07/01/2007 12/31/2029 NO YES BIO-THROID CAP 90MG 07/01/2007 12/31/2029 NO YES S-P-T CAP 120MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *THYROID AGENTS* Thyroid (Pork) S-P-T CAP 180MG 07/01/2007 12/31/2029 NO YES S-P-T CAP 300MG 07/01/2007 12/31/2029 NO YES S-P-T CAP 60MG 07/01/2007 12/31/2029 NO YES Thyroid Strong THYROID STR TAB 120MG 07/01/2007 12/31/2029 NO YES THYROID STR TAB 180MG 07/01/2007 12/31/2029 NO YES THYROID STR TAB 30MG 07/01/2007 12/31/2029 NO YES THYROID STR TAB 60MG 07/01/2007 12/31/2029 NO YES *ULCER DRUGS* Amoxicillin-Clarithromycin w/ Lansoprazole LANSOPR/AMOX MIS /CLARITH 07/01/2007 12/31/2029 NO NO PREVPAC MIS 07/01/2007 12/31/2029 NO YES Amoxicillin-Clarithromycin w/ Omeprazole OMECLAMOX- MIS PAK 07/01/2007 12/31/2029 NO YES Anisotropine & PB ANISOTROP/PB TAB 50-15MG 07/01/2007 12/31/2029 NO YES Anisotropine Methylbromide ANISOTROPINE TAB 50MG 07/01/2007 12/31/2029 NO NO VALPIN-50 TAB 50MG 07/01/2007 12/31/2029 NO YES Atropine Sulfate ATREZA TAB 0.4MG 07/01/2007 12/31/2029 NO NO ATROPEN INJ 0.25MG 07/01/2007 12/31/2029 NO YES ATROPEN INJ 0.5MG 07/01/2007 12/31/2029 NO YES ATROPEN INJ 1MG 07/01/2007 12/31/2029 NO YES ATROPEN INJ 2MG 07/01/2007 12/31/2029 NO YES ATROPEN INJ AUTO INJ 07/01/2007 12/31/2029 NO YES ATROPINE POW SULFATE 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ .05MG/ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 0.05MG/1 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 0.1MG/ML 07/01/2007 12/31/2029 NO NO ATROPINE SUL INJ 0.3MG/ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 0.4/0.5 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 0.4MG/ML 07/01/2007 12/31/2029 NO NO ATROPINE SUL INJ 0.5MG/ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 0.8MG/ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 1/2.5ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 1MG/ML 07/01/2007 12/31/2029 NO NO ATROPINE SUL INJ 2MG/5ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL INJ 8MG/20ML 07/01/2007 12/31/2029 NO NO ATROPINE SUL POW 07/01/2007 12/31/2029 NO YES ATROPINE SUL POW USP 07/01/2007 12/31/2029 NO YES ATROPINE SUL SOL 0.8/2ML 07/01/2007 12/31/2029 NO YES ATROPINE SUL TAB 0.4MG 07/01/2007 12/31/2029 NO YES ATROPINE SUL TAB 0.6MG 07/01/2007 12/31/2029 NO YES DECO TUSS CAP 0.36MG 07/01/2007 12/31/2029 NO YES LYOPINE INJ 1MG/ML 07/01/2007 12/31/2029 NO NO SAL-TROPINE TAB 0.4MG 07/01/2007 12/31/2029 NO YES Atropine Sulfate Monohydrate ATROPINE POW SULFATE 07/01/2007 12/31/2029 NO YES ATROPINE SUL POW MONOHYDT 07/01/2007 12/31/2029 NO YES Atropine-Hyoscyamine-Scopolamine COLYTROL SUS 07/01/2007 12/31/2029 NO YES COLYTROL TAB 07/01/2007 12/31/2029 NO YES SPACOL LIQ 07/01/2007 12/31/2029 NO YES SPACOL TAB 07/01/2007 12/31/2029 NO YES Atropine-Hyoscyamine-Scopolamine-Simethicone SIMETYL ELX 07/01/2007 12/31/2029 NO YES SIMETYL TAB 07/01/2007 12/31/2029 NO YES Bella Alk-Bile-Pep-Pan-PB DONNAZYME TAB EC 07/01/2007 12/31/2029 NO YES Bella Alk-Pancreatin-Pepsin-PB PANZYME TAB 07/01/2007 12/31/2029 NO YES Belladonna & Phenobarbital w/ Kaolin KAOPHEN TAB 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Belladonna Alkaloids BELLADONNA EXT LEAVES 07/01/2007 12/31/2029 NO NO BELLADONNA TIN 30/100ML 07/01/2007 12/31/2029 NO NO BELLAFOLINE TAB 0.25MG 07/01/2007 12/31/2029 NO YES Belladonna Alkaloids & Opium B & O 15-A SUP SUPPRETT 07/01/2007 12/31/2029 NO YES B & O 16-A SUP SUPPRETT 07/01/2007 12/31/2029 NO YES BELLA/OPIUM SUP 07/01/2007 12/31/2029 NO NO BELLA/OPIUM SUP 16.2-30 07/01/2007 12/31/2029 NO YES BELLA/OPIUM SUP 16.2-60 07/01/2007 12/31/2029 NO YES OPIUM & BELL SUP 07/01/2007 12/31/2029 NO YES Belladonna Alkaloids-Phenobarbital ALKABEL-SR TAB 07/01/2007 12/31/2029 NO NO ANTI-SPAS ELX 07/01/2007 12/31/2029 NO NO ANTI-SPAS TAB 07/01/2007 12/31/2029 NO NO ANTISPASM TAB EXTENTAB 07/01/2007 12/31/2029 NO NO ANTISPASMAT CAP 07/01/2007 12/31/2029 NO NO ANTISPASMAT ELX 07/01/2007 12/31/2029 NO NO ANTISPASMATI TAB 07/01/2007 12/31/2029 NO NO ANTISPASMOD ELX 07/01/2007 12/31/2029 NO NO ANTISPASMOD ELX 16MG/5ML 07/01/2007 12/31/2029 NO NO ANTISPASMOD ELX CPD 07/01/2007 12/31/2029 NO NO ANTI-SPASMOD TAB 07/01/2007 12/31/2029 NO NO ANTISPASMODC ELX 07/01/2007 12/31/2029 NO NO ANTISPASMODI CAP 07/01/2007 12/31/2029 NO NO ANTISPASMODI ELX 07/01/2007 12/31/2029 NO NO ANTISPASMODI TAB 07/01/2007 12/31/2029 NO NO ATROTAL TAB 07/01/2007 12/31/2029 NO NO BARBELOID TAB 07/01/2007 12/31/2029 NO NO BARBIDONNA ELX 07/01/2007 12/31/2029 NO YES BARBIDONNA TAB 07/01/2007 12/31/2029 NO YES BARBIDONNA TAB #2 07/01/2007 12/31/2029 NO YES BAROPHEN ELX 07/01/2007 12/31/2029 NO NO BELAP TAB 07/01/2007 12/31/2029 NO NO BELATOL TAB 07/01/2007 12/31/2029 NO NO BELLA ALK/PB CAP 07/01/2007 12/31/2029 NO NO BELLA ALK/PB ELX 07/01/2007 12/31/2029 NO NO BELLA ALK/PB TAB 07/01/2007 12/31/2029 NO NO BELLA ALK/PB TAB 16.2MG 07/01/2007 12/31/2029 NO NO BELLA ALKA TAB PHENOBAR 07/01/2007 12/31/2029 NO NO BELLADENAL TAB 07/01/2007 12/31/2029 NO YES BELLADENAL-S TAB 07/01/2007 12/31/2029 NO YES BELLALPHEN TAB 07/01/2007 12/31/2029 NO NO BELLATAL TAB 07/01/2007 12/31/2029 NO NO BELLATAL TAB 16MG 07/01/2007 12/31/2029 NO NO BELLATAL ER TAB 07/01/2007 12/31/2029 NO NO BELLOPHEN TAB 07/01/2007 12/31/2029 NO NO DIXATAL TAB 07/01/2007 12/31/2029 NO NO DONNAPHEN TAB 07/01/2007 12/31/2029 NO NO DONNAPINE ELX 07/01/2007 12/31/2029 NO NO DONNAPINE TAB 07/01/2007 12/31/2029 NO NO DONNATAL CAP 07/01/2007 12/31/2029 NO YES DONNATAL ELX 07/01/2007 12/31/2029 NO YES DONNATAL ELX 16MG/5ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Belladonna Alkaloids-Phenobarbital DONNATAL TAB 07/01/2007 12/31/2029 NO YES DONNATAL TAB EXTENTAB 07/01/2007 12/31/2029 NO YES DONNATAL #2 TAB 07/01/2007 12/31/2029 NO YES DONPHEN TAB 07/01/2007 12/31/2029 NO NO D-TAL ELX 07/01/2007 12/31/2029 NO NO HAPONAL TAB 07/01/2007 12/31/2029 NO NO HYBEPHEN ELX 07/01/2007 12/31/2029 NO NO HYBEPHEN TAB 07/01/2007 12/31/2029 NO NO HYONATOL-PB TAB 07/01/2007 12/31/2029 NO NO HYOSCAMINE ELX 07/01/2007 12/31/2029 NO NO HYOSCYAMINE ELX 07/01/2007 12/31/2029 NO NO HYOSOPHEN CAP 07/01/2007 12/31/2029 NO NO HYOSOPHEN ELX 07/01/2007 12/31/2029 NO NO HYOSOPHEN TAB 07/01/2007 12/31/2029 NO NO HYOSOPHEN TAB ER 07/01/2007 12/31/2029 NO NO KINESED TAB 07/01/2007 12/31/2029 NO YES LAHEY MIXTUR ELX #3 07/01/2007 12/31/2029 NO NO MALATAL TAB 07/01/2007 12/31/2029 NO NO ME-PB-HYOS ELX 07/01/2007 12/31/2029 NO NO MYPHENTOL ELX 07/01/2007 12/31/2029 NO NO NEOQUESS TAB 07/01/2007 12/31/2029 NO NO PB/BELLA ALK ELX 07/01/2007 12/31/2029 NO NO PB/BELLA ALK TAB 07/01/2007 12/31/2029 NO NO PHENOBEL TAB 48MG CR 07/01/2007 12/31/2029 NO NO PHENOBELLA TAB 07/01/2007 12/31/2029 NO NO PYLORA TAB 07/01/2007 12/31/2029 NO NO RELAXADON TAB 07/01/2007 12/31/2029 NO NO SEDACORD TAB 07/01/2007 12/31/2029 NO NO SEDALIX ELX 07/01/2007 12/31/2029 NO NO SEDAPAR ELX 07/01/2007 12/31/2029 NO NO SEDAPAR SC TAB 07/01/2007 12/31/2029 NO NO SEDAREX #3 TAB 07/01/2007 12/31/2029 NO NO SEDS TAB 07/01/2007 12/31/2029 NO NO SERVIRA TAB 48MG 07/01/2007 12/31/2029 NO NO SETAMINE #1 TAB 07/01/2007 12/31/2029 NO NO SPASLIN TAB 07/01/2007 12/31/2029 NO NO SPASMOLIN CAP 07/01/2007 12/31/2029 NO NO SPASMOLIN TAB 07/01/2007 12/31/2029 NO NO SPASMOPHEN ELX 07/01/2007 12/31/2029 NO NO SPASMOPHEN TAB 07/01/2007 12/31/2029 NO NO SPASQUID ELX 07/01/2007 12/31/2029 NO NO SPASTEMMS TAB 07/01/2007 12/31/2029 NO NO SPASTOLATE ELX 07/01/2007 12/31/2029 NO NO SPASTOLATE TAB 07/01/2007 12/31/2029 NO NO THSC BEL ALK TAB /PB 07/01/2007 12/31/2029 NO NO Belladonna Alk-PB-Passiflora-Valarian NEVROTOSE TAB 07/01/2007 12/31/2029 NO YES Belladonna Alk-PB-Passiflora-Valerian w/B1 SEDATANS TAB 07/01/2007 12/31/2029 NO YES Bismuth Subcitrate Potassium-Metronidazole-Tetracycline PYLERA CAP 07/01/2007 12/31/2029 NO YES Butabarbital & Belladonna BUTIBEL ELX 07/01/2007 12/31/2029 NO YES BUTIBEL TAB 07/01/2007 12/31/2029 NO YES Chlordiazepoxide HCl-Clidinium Bromide CHLORD/CLIDI CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Chlordiazepoxide HCl-Clidinium Bromide CHLORDIAZ CAP PLUS 07/01/2007 12/31/2029 NO NO CHLORDINIUM CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO CHLOREX CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO CLIDI/CHLORD CAP 2.5-5MG 07/01/2007 12/31/2029 NO NO CLIDINIUM PL CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO CLINDEX CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO CLINIBRAX CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO CLINOXIDE CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO DUO SPAZ CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO H-TRAN PLUS CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO LIBRAX CAP 5-2.5MG 07/01/2007 12/31/2029 NO YES LIDOX CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO LIDOXIDE CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO SPAZMATE CAP PLUS 07/01/2007 12/31/2029 NO NO ZEBRAX CAP 5-2.5MG 07/01/2007 12/31/2029 NO NO Chlordiazepoxide HCl-Methscopolamine Nitrate LIBRAX CAP 5-2.5MG 07/01/2007 12/31/2029 NO YES Cimetidine ACID REDUCER TAB 07/01/2007 12/31/2029 NO YES ACID REDUCER TAB 200MG 07/01/2007 12/31/2029 NO NO ACID RELIEF TAB 200MG 07/01/2007 12/31/2029 NO NO CIMETIDINE POW 07/01/2007 12/31/2029 NO YES CIMETIDINE TAB 200MG 07/01/2007 12/31/2029 NO NO CIMETIDINE TAB 300MG 07/01/2007 12/31/2029 NO NO CIMETIDINE TAB 400MG 07/01/2007 12/31/2029 NO NO CIMETIDINE TAB 800MG 07/01/2007 12/31/2029 NO NO CVS CIMETID TAB 200MG 07/01/2007 12/31/2029 NO NO EQ HEARTBURN TAB RELIEF 07/01/2007 12/31/2029 NO NO HEARTBRN REL TAB 200MG 07/01/2007 12/31/2029 NO NO HEARTBURN TAB 200MG 07/01/2007 12/31/2029 NO NO HEARTBURN TAB RELIEF 07/01/2007 12/31/2029 NO NO HM HEARTBURN TAB 200MG 07/01/2007 12/31/2029 NO NO HM HEARTBURN TAB RELIEF 07/01/2007 12/31/2029 NO NO MP HEARTBURN TAB 200MG 07/01/2007 12/31/2029 NO NO QC HEARTBURN TAB 200MG 07/01/2007 12/31/2029 NO NO SM ACID REDU TAB 200MG 07/01/2007 12/31/2029 NO NO TAGAMET SUS 200/20ML 07/01/2007 12/31/2029 NO YES TAGAMET TAB 200MG 07/01/2007 12/31/2029 NO YES TAGAMET TAB 300MG 07/01/2007 12/31/2029 NO YES TAGAMET TAB 400MG 07/01/2007 12/31/2029 NO YES TAGAMET TAB 800MG 07/01/2007 12/31/2029 NO YES TAGAMET HB TAB 100MG 07/01/2007 12/31/2029 NO YES TAGAMET HB TAB 200MG 07/01/2007 12/31/2029 NO YES THSC CIMETID TAB 400MG 07/01/2007 12/31/2029 NO NO Cimetidine HCl CIMETIDINE INJ 150MG/ML 07/01/2007 12/31/2029 NO YES CIMETIDINE SOL 300/5ML 07/01/2007 12/31/2029 NO NO CIMETIDINE SOL 400/6.7 07/01/2007 12/31/2029 NO NO TAGAMET INJ 300/2ML 07/01/2007 12/31/2029 NO YES TAGAMET LIQ 300/5ML 07/01/2007 12/31/2029 NO YES TAGAMET LIQ 400/6.67 07/01/2007 12/31/2029 NO YES Cimetidine in Saline CIMETID/NACL INJ 0.9MG/ML 07/01/2007 12/31/2029 NO YES CIMETID/NACL INJ 1.2MG/ML 07/01/2007 12/31/2029 NO YES CIMETID/NACL INJ 1.8MG/ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Cimetidine in Saline CIMETID/NACL INJ 2.4MG/ML 07/01/2007 12/31/2029 NO YES CIMETID/NACL INJ 3.6MG/ML 07/01/2007 12/31/2029 NO YES CIMETID/NACL INJ 300/50ML 07/01/2007 12/31/2029 NO YES CIMETID/NACL INJ 4.8MG/ML 07/01/2007 12/31/2029 NO YES TAGAMET/NACL INJ 300/50ML 07/01/2007 12/31/2029 NO YES Clidinium Bromide QUARZAN CAP 2.5MG 07/01/2007 12/31/2029 NO YES QUARZAN CAP 5MG 07/01/2007 12/31/2029 NO YES Dexlansoprazole DEXILANT CAP 30MG DR 07/01/2007 12/31/2029 NO YES DEXILANT CAP 60MG DR 07/01/2007 12/31/2029 NO YES KAPIDEX CAP 30MG DR 07/01/2007 12/31/2029 NO YES KAPIDEX CAP 60MG DR 07/01/2007 12/31/2029 NO YES Dicyclomine & PB DICYCLO/PB CAP 10-15MG 07/01/2007 12/31/2029 NO YES DICYCLO/PB TAB 10-15MG 07/01/2007 12/31/2029 NO YES DICYCLO/PB TAB 20-15MG 07/01/2007 12/31/2029 NO NO Dicyclomine HCl ANTISPAS INJ 10MG/ML 07/01/2007 12/31/2029 NO NO A-SPAS INJ 10MG/ML 07/01/2007 12/31/2029 NO NO BEMOT CAP 10MG 07/01/2007 12/31/2029 NO NO BEMOT TAB 20MG 07/01/2007 12/31/2029 NO NO BENACOL CAP 10MG 07/01/2007 12/31/2029 NO NO BENACOL TAB 20MG 07/01/2007 12/31/2029 NO NO BENOMINE CAP 10MG 07/01/2007 12/31/2029 NO NO BENOMINE TAB 20MG 07/01/2007 12/31/2029 NO NO BENTYL CAP 10MG 07/01/2007 12/31/2029 NO YES BENTYL INJ 10MG/ML 07/01/2007 12/31/2029 NO YES BENTYL SYP 10MG/5ML 07/01/2007 12/31/2029 NO YES BENTYL TAB 20MG 07/01/2007 12/31/2029 NO YES CYCLONIL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DIBENT INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DICYCLOMINE CAP 10MG 07/01/2007 12/31/2029 NO NO DICYCLOMINE CAP 20MG 07/01/2007 12/31/2029 NO NO DICYCLOMINE INJ 10MG/ML 07/01/2007 12/31/2029 NO NO DICYCLOMINE SOL 10MG/5ML 07/01/2007 12/31/2029 NO NO DICYCLOMINE SYP 10MG/5ML 07/01/2007 12/31/2029 NO NO DICYCLOMINE TAB 20MG 07/01/2007 12/31/2029 NO NO LO SPAZ TAB 20MG 07/01/2007 12/31/2029 NO NO NEOQUESS INJ 10MG/ML 07/01/2007 12/31/2029 NO NO OR-TYL INJ 10MG/ML 07/01/2007 12/31/2029 NO NO PASMIN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO QUENTYL CAP 10MG 07/01/2007 12/31/2029 NO NO SHOBEN INJ 10MG/ML 07/01/2007 12/31/2029 NO NO SPASMOJECT INJ 10MG/ML 07/01/2007 12/31/2029 NO NO Esomeprazole Magnesium ESOMEPRA MAG CAP 20MG DR 07/01/2007 12/31/2029 NO NO ESOMEPRA MAG CAP 40MG DR 07/01/2007 12/31/2029 NO NO NEXIUM CAP 20MG 07/01/2007 12/31/2029 NO YES NEXIUM CAP 40MG 07/01/2007 12/31/2029 NO YES NEXIUM GRA 10MG DR 07/01/2007 12/31/2029 NO YES NEXIUM GRA 2.5MG DR 07/01/2007 12/31/2029 NO YES NEXIUM GRA 20MG DR 07/01/2007 12/31/2029 NO YES NEXIUM GRA 40MG DR 07/01/2007 12/31/2029 NO YES NEXIUM GRA 5MG DR 07/01/2007 12/31/2029 NO YES NEXIUM 24HR CAP 20MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Esomeprazole Magnesium NEXIUM 24HR TAB 20MG 07/01/2007 12/31/2029 NO YES Esomeprazole Sodium ESOMEPRAZOLE INJ 20MG 07/01/2007 12/31/2029 NO YES ESOMEPRAZOLE INJ 40MG 07/01/2007 12/31/2029 NO NO NEXIUM I.V. INJ 20MG 07/01/2007 12/31/2029 NO YES NEXIUM I.V. INJ 40MG 07/01/2007 12/31/2029 NO YES Esomeprazole Strontium ESOMEPRAZOLE CAP 24.65MG 07/01/2007 12/31/2029 NO YES ESOMEPRAZOLE CAP 49.3MG 07/01/2007 12/31/2029 NO YES Famotidine ACID CONTROL TAB 10MG 07/01/2007 12/31/2029 NO NO ACID CONTROL TAB 20MG 07/01/2007 12/31/2029 NO NO ACID REDUCER TAB 10MG 07/01/2007 12/31/2029 NO NO ACID REDUCER TAB 20MG 07/01/2007 12/31/2029 NO NO AF-FAMOTIDIN TAB 10MG 07/01/2007 12/31/2029 NO NO EQL HEARTBRN TAB 10MG 07/01/2007 12/31/2029 NO NO FAMOTIDINE INJ 10MG/ML 07/01/2007 12/31/2029 NO NO FAMOTIDINE INJ 200/20ML 07/01/2007 12/31/2029 NO NO FAMOTIDINE INJ 20MG/2ML 07/01/2007 12/31/2029 NO NO FAMOTIDINE INJ 40MG/4ML 07/01/2007 12/31/2029 NO NO FAMOTIDINE SUS 40MG/5ML 07/01/2007 12/31/2029 NO NO FAMOTIDINE TAB 10MG 07/01/2007 12/31/2029 NO NO FAMOTIDINE TAB 20MG 07/01/2007 12/31/2029 NO YES FAMOTIDINE TAB 40MG 07/01/2007 12/31/2029 NO NO HEARTBURN TAB 20MG 07/01/2007 12/31/2029 NO NO HEARTBURN TAB RELIEF 07/01/2007 12/31/2029 NO NO KS ACID CNTL TAB 20MG 07/01/2007 12/31/2029 NO NO MYLANTA AR TAB 10MG 07/01/2007 12/31/2029 NO NO PEPCID SUS 40MG/5ML 07/01/2007 12/31/2029 NO YES PEPCID TAB 20MG 07/01/2007 12/31/2029 NO YES PEPCID TAB 40MG 07/01/2007 12/31/2029 NO YES PEPCID AC CHW 10MG 07/01/2007 12/31/2029 NO YES PEPCID AC CHW MAX ST 07/01/2007 12/31/2029 NO YES PEPCID AC TAB 10MG 07/01/2007 12/31/2029 NO YES PEPCID AC TAB 20MG 07/01/2007 12/31/2029 NO YES PEPCID I.V. INJ 10MG/ML 07/01/2007 12/31/2029 NO YES PEPCID I.V. INJ 20MG/2ML 07/01/2007 12/31/2029 NO YES PEPCID RPD TAB 20MG 07/01/2007 12/31/2029 NO YES PEPCID RPD TAB 40MG 07/01/2007 12/31/2029 NO YES Famotidine in NaCl FAMOTIDINE INJ 20MG/50M 07/01/2007 12/31/2029 NO YES PEPCID PREMX SOL 20MG/50M 07/01/2007 12/31/2029 NO YES Famotidine-Calcium Carbonate-Magnesium Hydroxide ACID CONTROL CHW COMPLETE 07/01/2007 12/31/2029 NO NO ACID REDUCER CHW +ANTACID 07/01/2007 12/31/2029 NO NO ACID REDUCER CHW COMPLETE 07/01/2007 12/31/2029 NO NO COMPLETE CHW DUAL ACT 07/01/2007 12/31/2029 NO NO DUAL ACTION CHW 07/01/2007 12/31/2029 NO NO DUAL ACTION CHW COMPLETE 07/01/2007 12/31/2029 NO NO DUO FUSION CHW BERRY 07/01/2007 12/31/2029 NO NO DUO FUSION CHW MINT 07/01/2007 12/31/2029 NO NO PEPCID CHW COMPLETE 07/01/2007 12/31/2029 NO YES SM COMPLETE CHW DUAL ACT 07/01/2007 12/31/2029 NO NO TUMS DUAL CHW ACTION 07/01/2007 12/31/2029 NO NO Glycopyrrolate CUVPOSA SOL 1MG/5ML 07/01/2007 12/31/2029 NO YES GLYCATE TAB 1.5MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Glycopyrrolate GLYCOPYRROL INJ 0.2MG/ML 07/01/2007 12/31/2029 NO NO GLYCOPYRROL INJ 0.4/2ML 07/01/2007 12/31/2029 NO NO GLYCOPYRROL INJ 1MG/5ML 07/01/2007 12/31/2029 NO NO GLYCOPYRROL INJ 2MG/ML 07/01/2007 12/31/2029 NO YES GLYCOPYRROL INJ 4MG/20ML 07/01/2007 12/31/2029 NO NO GLYCOPYRROL TAB 1MG 07/01/2007 12/31/2029 NO NO GLYCOPYRROL TAB 2MG 07/01/2007 12/31/2029 NO NO GLYCOPYRROLA INJ 0.4/2ML 07/01/2007 12/31/2029 NO YES GLYCOPYRROLA INJ 0.6/3ML 07/01/2007 12/31/2029 NO YES GLYCOPYRROLA INJ 1MG/5ML 07/01/2007 12/31/2029 NO YES ROBINUL INJ 0.2MG/ML 07/01/2007 12/31/2029 NO YES ROBINUL INJ 0.4/2ML 07/01/2007 12/31/2029 NO YES ROBINUL INJ 1MG/5ML 07/01/2007 12/31/2029 NO YES ROBINUL INJ 4MG/20ML 07/01/2007 12/31/2029 NO YES ROBINUL TAB 1MG 07/01/2007 12/31/2029 NO YES ROBINUL FORT TAB 2MG 07/01/2007 12/31/2029 NO YES Hexocyclium Methylsulfate TRAL TAB 25MG 07/01/2007 12/31/2029 NO YES Homatropine Methylbromide HOMAPIN-10 TAB 10MG 07/01/2007 12/31/2029 NO YES HOMAPIN-5 TAB 5MG 07/01/2007 12/31/2029 NO YES LANTRO TAB 10MG 07/01/2007 12/31/2029 NO NO Homatropine-Butabarb-Secobarb-PB S.B.P. PLUS TAB 07/01/2007 12/31/2029 NO YES Hyoscyamine Sulfate ANASPAZ TAB 0.125MG 07/01/2007 12/31/2029 NO YES A-SPAS SUB 0.125MG 07/01/2007 12/31/2029 NO NO BELLASPAZ TAB 0.13MG 07/01/2007 12/31/2029 NO YES COLIDROPS DRO 0.125/ML 07/01/2007 12/31/2029 NO NO COLYTROL DRO PEDS 07/01/2007 12/31/2029 NO YES CYSTOSPAZ-M CAP 0.375 CR 07/01/2007 12/31/2029 NO YES DISPAS TAB 0.25MG 07/01/2007 12/31/2029 NO NO DONNAMAR TAB 0.125MG 07/01/2007 12/31/2029 NO NO ED-SPAZ TAB 0.125MG 07/01/2007 12/31/2029 NO NO GASTROSED DRO 0.125/ML 07/01/2007 12/31/2029 NO NO GASTROSED TAB 0.125MG 07/01/2007 12/31/2029 NO NO HYCO DRO 0.125/ML 07/01/2007 12/31/2029 NO NO HYCO ELX .125/5ML 07/01/2007 12/31/2029 NO NO HYOMAX TAB 0.125MG 07/01/2007 12/31/2029 NO NO HYOMAX-DT TAB 07/01/2007 12/31/2029 NO NO HYOMAX-FT TAB 0.125MG 07/01/2007 12/31/2029 NO NO HYOMAX-SL SUB 0.125MG 07/01/2007 12/31/2029 NO NO HYOMAX-SR TAB 0.375MG 07/01/2007 12/31/2029 NO NO HYOSC IR/SR TAB 0.375MG 07/01/2007 12/31/2029 NO NO HYOSCYAMINE CAP 0.375 CR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE CAP 0.375 ER 07/01/2007 12/31/2029 NO NO HYOSCYAMINE CAP 0.375 SR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE CAP 0.375 TR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE DRO 0.125/ML 07/01/2007 12/31/2029 NO NO HYOSCYAMINE ELX .125/5ML 07/01/2007 12/31/2029 NO NO HYOSCYAMINE ELX 0.125/5 07/01/2007 12/31/2029 NO NO HYOSCYAMINE POW 07/01/2007 12/31/2029 NO YES HYOSCYAMINE POW SULFATE 07/01/2007 12/31/2029 NO YES HYOSCYAMINE SUB 0.125MG 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB 0.125MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Hyoscyamine Sulfate HYOSCYAMINE TAB 0.375 CR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB 0.375 ER 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB 0.375 SR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB 0.375 TR 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB 0.375MG 07/01/2007 12/31/2029 NO NO HYOSCYAMINE TAB CR 07/01/2007 12/31/2029 NO NO HYOSOL/SL SUB 0.125MG 07/01/2007 12/31/2029 NO NO HYOSYNE DRO 0.125/ML 07/01/2007 12/31/2029 NO NO HYOSYNE ELX 0.125/5 07/01/2007 12/31/2029 NO NO IB-STAT SPR 0.125/ML 07/01/2007 12/31/2029 NO YES LEVBID TAB 0.375 ER 07/01/2007 12/31/2029 NO YES LEVSIN DRO 0.125/ML 07/01/2007 12/31/2029 NO YES LEVSIN ELX .125/5ML 07/01/2007 12/31/2029 NO YES LEVSIN ELX 0.125/5 07/01/2007 12/31/2029 NO YES LEVSIN INJ 0.5MG/ML 07/01/2007 12/31/2029 NO YES LEVSIN TAB 0.125MG 07/01/2007 12/31/2029 NO YES LEVSIN/SL SUB 0.125MG 07/01/2007 12/31/2029 NO YES LEVSINEX CAP 0.375 CR 07/01/2007 12/31/2029 NO YES LIQUI-SMOOTH DRO 0.125/ML 07/01/2007 12/31/2029 NO NO LIQUI-SOOTH DRO 0.125/ML 07/01/2007 12/31/2029 NO NO LIQUI-SOOTH ELX .125/5ML 07/01/2007 12/31/2029 NO NO MAR-SPAS TAB 0.25MG 07/01/2007 12/31/2029 NO YES MEDISPAZ TAB 0.125MG 07/01/2007 12/31/2029 NO NO NEOSOL TAB 07/01/2007 12/31/2029 NO NO NULEV TAB 0.125MG 07/01/2007 12/31/2029 NO NO OSCIMIN SUB 0.125MG 07/01/2007 12/31/2029 NO NO OSCIMIN TAB 0.125MG 07/01/2007 12/31/2029 NO NO OSCIMIN SR TAB 0.375MG 07/01/2007 12/31/2029 NO NO PASMEX DRO 0.125/ML 07/01/2007 12/31/2029 NO NO PRO-HYO TAB 0.25MG 07/01/2007 12/31/2029 NO NO SPACOL T/S TAB 0.375MG 07/01/2007 12/31/2029 NO NO SPASDEL DRO 0.125/ML 07/01/2007 12/31/2029 NO NO SPASDEL ELX .125/5ML 07/01/2007 12/31/2029 NO NO SPASDEL ELX 0.125/5 07/01/2007 12/31/2029 NO NO SPASDEL TAB 0.125MG 07/01/2007 12/31/2029 NO NO SYMAX DUOTAB TAB 07/01/2007 12/31/2029 NO YES SYMAX FASTAB TAB 0.125MG 07/01/2007 12/31/2029 NO NO SYMAX-SL SUB 0.125MG 07/01/2007 12/31/2029 NO NO SYMAX-SR TAB 0.375MG 07/01/2007 12/31/2029 NO NO Hyoscyamine-Phenyltoloxamine DIGEX NF CAP 07/01/2007 12/31/2029 NO YES GASTRINEX NF CAP 07/01/2007 12/31/2029 NO YES Isopropamide & Prochlorperazine BIOBID CAP 07/01/2007 12/31/2029 NO NO COM PAR TD CAP 07/01/2007 12/31/2029 NO NO COMBAGEN CAP 07/01/2007 12/31/2029 NO NO CO-PERAZINE CAP 07/01/2007 12/31/2029 NO NO ISOPERAZINE CAP 07/01/2007 12/31/2029 NO NO ISOPRO CAP 07/01/2007 12/31/2029 NO NO PROCH/ISOPRO CAP 07/01/2007 12/31/2029 NO NO PROCH/ISORPO CAP 07/01/2007 12/31/2029 NO NO PROCHLORBID CAP TR 07/01/2007 12/31/2029 NO NO PRO-ISO CAPS CAP 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Isopropamide Iodide DARBID TAB 5MG 07/01/2007 12/31/2029 NO YES ISOPROPAMIDE POW IODIDE 07/01/2007 12/31/2029 NO YES Lansoprazole HEARTBURN TR CAP 15MG 07/01/2007 12/31/2029 NO NO HRTBRN REL CAP 15MG DR 07/01/2007 12/31/2029 NO NO LANSOPRAZOLE CAP 15MG DR 07/01/2007 12/31/2029 NO NO LANSOPRAZOLE CAP 30MG DR 07/01/2007 12/31/2029 NO NO LANSOPRAZOLE SUS 3MG/ML 07/01/2007 12/31/2029 NO YES LANSOPRAZOLE TAB 15MG ODT 07/01/2007 12/31/2029 NO NO LANSOPRAZOLE TAB 30MG ODT 07/01/2007 12/31/2029 NO NO PREVACID CAP 15MG DR 07/01/2007 12/31/2029 NO YES PREVACID CAP 30MG DR 07/01/2007 12/31/2029 NO YES PREVACID GRA 15MG 07/01/2007 12/31/2029 NO YES PREVACID GRA 30MG 07/01/2007 12/31/2029 NO YES PREVACID TAB 15MG STB 07/01/2007 12/31/2029 NO YES PREVACID TAB 30MG STB 07/01/2007 12/31/2029 NO YES PREVACID 24H CAP 15MG DR 07/01/2007 12/31/2029 NO YES PREVACID I.V INJ 30MG 07/01/2007 12/31/2029 NO YES Mepenzolate Bromide CANTIL TAB 25MG 07/01/2007 12/31/2029 NO YES Methantheline Bromide BANTHINE TAB 50MG 07/01/2007 12/31/2029 NO YES Methscopolamine & Misc. Intestinal Flora Regulator PAMINE FQ KIT 07/01/2007 12/31/2029 NO YES Methscopolamine Bromide METHSCOPOLAM TAB 2.5MG 07/01/2007 12/31/2029 NO NO METHSCOPOLAM TAB 5MG 07/01/2007 12/31/2029 NO NO PAMINE TAB 2.5MG 07/01/2007 12/31/2029 NO YES PAMINE FORTE TAB 5MG 07/01/2007 12/31/2029 NO YES Methylatropine w/ Amylase-Lipase-Protease FESTALAN TAB EC 07/01/2007 12/31/2029 NO YES Metronidazole-Tetracycline w/ Bismuth Subsalicylate HELIDAC MIS 07/01/2007 12/31/2029 NO YES Misoprostol CYTOTEC TAB 100MCG 07/01/2007 12/31/2029 NO YES CYTOTEC TAB 200MCG 07/01/2007 12/31/2029 NO YES MISOPROSTOL TAB 100MCG 07/01/2007 12/31/2029 NO NO MISOPROSTOL TAB 200MCG 07/01/2007 12/31/2029 NO NO Nizatidine AXID CAP 150MG 07/01/2007 12/31/2029 NO YES AXID CAP 300MG 07/01/2007 12/31/2029 NO YES AXID SOL 15MG/ML 07/01/2007 12/31/2029 NO YES AXID AR TAB 75MG 07/01/2007 12/31/2029 NO YES NIZATIDINE CAP 150MG 07/01/2007 12/31/2029 NO NO NIZATIDINE CAP 300MG 07/01/2007 12/31/2029 NO NO NIZATIDINE SOL 15MG/ML 07/01/2007 12/31/2029 NO NO Omeprazole FIRST-OMEPRA SUS 2MG/ML 07/01/2007 12/31/2029 NO YES LOSEC CAP 20MG CR 07/01/2007 12/31/2029 NO YES OMEPRAZOLE CAP 10MG 07/01/2007 12/31/2029 NO NO OMEPRAZOLE CAP 20MG 07/01/2007 12/31/2029 NO NO OMEPRAZOLE CAP 40MG 07/01/2007 12/31/2029 NO NO OMEPRAZOLE TAB 20MG 07/01/2007 12/31/2029 NO YES OMEPRAZOLE + SUS SYRSPEND 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 10MG 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 10MG CR 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 20MG 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 20MG CR 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 40MG 07/01/2007 12/31/2029 NO YES PRILOSEC CAP 40MG CR 07/01/2007 12/31/2029 NO YES Omeprazole Magnesium OMEPRAZOLE CAP 20.6MGDR 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Omeprazole Magnesium PRILOSEC POW 10MG 07/01/2007 12/31/2029 NO YES PRILOSEC POW 2.5MG 07/01/2007 12/31/2029 NO YES PRILOSEC OTC TAB 20MG 07/01/2007 12/31/2029 NO YES Omeprazole-Sodium Bicarbonate OMEPRA/BICAR CAP 20-1100 07/01/2007 12/31/2029 NO NO OMEPRA/BICAR CAP 40-1100 07/01/2007 12/31/2029 NO NO OMEPRA/BICAR POW 20-1680 07/01/2007 12/31/2029 NO NO OMEPRA/BICAR POW 40-1680 07/01/2007 12/31/2029 NO NO ZEGERID CAP 20-1100 07/01/2007 12/31/2029 NO YES ZEGERID CAP 40-1100 07/01/2007 12/31/2029 NO YES ZEGERID POW 20-1680 07/01/2007 12/31/2029 NO YES ZEGERID POW 40-1680 07/01/2007 12/31/2029 NO YES ZEGERID OTC CAP 20-1100 07/01/2007 12/31/2029 NO YES Oxyphencyclimine HCl DARICON TAB 10MG 07/01/2007 12/31/2029 NO YES Pantoprazole Sodium PANTOPRAZOLE INJ 40MG 07/01/2007 12/31/2029 NO NO PANTOPRAZOLE INJ SOD 40MG 07/01/2007 12/31/2029 NO NO PANTOPRAZOLE TAB 20MG 07/01/2007 12/31/2029 NO NO PANTOPRAZOLE TAB 40MG 07/01/2007 12/31/2029 NO NO PROTONIX INJ 40MG 07/01/2007 12/31/2029 NO YES PROTONIX PAK 07/01/2007 12/31/2029 NO YES PROTONIX TAB 20MG 07/01/2007 12/31/2029 NO YES PROTONIX TAB 40MG 07/01/2007 12/31/2029 NO YES Phenobarbital & Atropine ANTROCOL CAP 16-.195 07/01/2007 12/31/2029 NO YES ANTROCOL ELX 16-.195 07/01/2007 12/31/2029 NO YES ANTROCOL TAB 16-.195 07/01/2007 12/31/2029 NO YES ATROPINE/PB TAB 16-.195 07/01/2007 12/31/2029 NO NO Phenobarbital & Belladonna Ext CHARDONNA-2 TAB 15-15MG 07/01/2007 12/31/2029 NO YES Phenobarbital & Hyoscyamine ANASPAZ-PB TAB 15-.125 07/01/2007 12/31/2029 NO YES LEVSINEX PB CAP TIMECAPS 07/01/2007 12/31/2029 NO YES LEVSIN-PB DRO 15-.125 07/01/2007 12/31/2029 NO YES LEVSIN-PB ELX 15-.125 07/01/2007 12/31/2029 NO YES LEVSIN-PB TAB 15-.125 07/01/2007 12/31/2029 NO YES Phenobarbital-Hyoscyamine-Atropine-Scopolamine B-DONNA TAB 16.2MG 07/01/2007 12/31/2029 NO NO BELLA ALK/PB TAB 16.2MG 07/01/2007 12/31/2029 NO NO DONNATAL ELX 07/01/2007 12/31/2029 NO YES DONNATAL ELX GRAPE 07/01/2007 12/31/2029 NO YES DONNATAL ELX MINT 07/01/2007 12/31/2029 NO YES DONNATAL TAB 07/01/2007 12/31/2029 NO YES DONNATAL TAB 16.2MG 07/01/2007 12/31/2029 NO YES DONNATAL TAB EXTENTAB 07/01/2007 12/31/2029 NO YES ME-PB-HYOS TAB 16.2MG 07/01/2007 12/31/2029 NO NO PB-HYOS ELX 07/01/2007 12/31/2029 NO NO PHENOHYTRO TAB 07/01/2007 12/31/2029 NO NO QUADRAPAX ELX 07/01/2007 12/31/2029 NO NO RE-PB HYOS ELX 07/01/2007 12/31/2029 NO NO SE-DONNA ELX PB HYOS 07/01/2007 12/31/2029 NO NO Propantheline Bromide PROBAMIDE TAB 15MG 07/01/2007 12/31/2029 NO NO PRO-BANTHINE TAB 15MG 07/01/2007 12/31/2029 NO YES PRO-BANTHINE TAB 7.5MG 07/01/2007 12/31/2029 NO YES PROPANTHELIN POW BROMIDE 07/01/2007 12/31/2029 NO YES PROPANTHELIN TAB 15MG 07/01/2007 12/31/2029 NO NO Rabeprazole Sodium ACIPHEX TAB 20MG 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Rabeprazole Sodium ACIPHEX SPR CAP 10MG 07/01/2007 12/31/2029 NO YES ACIPHEX SPR CAP 5MG 07/01/2007 12/31/2029 NO YES RABEPRAZOLE TAB 20MG 07/01/2007 12/31/2029 NO NO Ranitidine Bismuth Citrate TRITEC TAB 400MG 07/01/2007 12/31/2029 NO YES Ranitidine HCl ACID CONTROL TAB 150MG 07/01/2007 12/31/2029 NO NO ACID CONTROL TAB 75MG 07/01/2007 12/31/2029 NO NO ACID REDUCER TAB 150MG 07/01/2007 12/31/2029 NO NO ACID REDUCER TAB 75MG 07/01/2007 12/31/2029 NO NO DEPRIZINE SUS 22.4/ML 07/01/2007 12/31/2029 NO YES DEPRIZINE SUS RAPIDPAQ 07/01/2007 12/31/2029 NO YES EQL HEARTBUR TAB 150MG 07/01/2007 12/31/2029 NO NO HEARTBRN REL TAB 75MG 07/01/2007 12/31/2029 NO NO HEARTBURN TAB 150MG 07/01/2007 12/31/2029 NO NO RANITIDINE CAP 150MG 07/01/2007 12/31/2029 NO NO RANITIDINE CAP 300MG 07/01/2007 12/31/2029 NO NO RANITIDINE INJ 150/6ML 07/01/2007 12/31/2029 NO NO RANITIDINE INJ 25MG/ML 07/01/2007 12/31/2029 NO NO RANITIDINE INJ 50MG/2ML 07/01/2007 12/31/2029 NO NO RANITIDINE SYP 150/10ML 07/01/2007 12/31/2029 NO NO RANITIDINE SYP 15MG/ML 07/01/2007 12/31/2029 NO NO RANITIDINE SYP 75MG/5ML 07/01/2007 12/31/2029 NO NO RANITIDINE TAB 150MG 07/01/2007 12/31/2029 NO NO RANITIDINE TAB 300MG 07/01/2007 12/31/2029 NO NO RANITIDINE TAB 75MG 07/01/2007 12/31/2029 NO NO TALADINE CAP 150MG 07/01/2007 12/31/2029 NO YES TALADINE CAP 300MG 07/01/2007 12/31/2029 NO YES WAL-ZAN TAB 150MG 07/01/2007 12/31/2029 NO NO WAL-ZAN TAB 75MG 07/01/2007 12/31/2029 NO NO WAL-ZAN 75 TAB 07/01/2007 12/31/2029 NO NO ZANTAC CAP 150MG 07/01/2007 12/31/2029 NO YES ZANTAC CAP 300MG 07/01/2007 12/31/2029 NO YES ZANTAC GRA 150MG 07/01/2007 12/31/2029 NO YES ZANTAC INJ 25MG/ML 07/01/2007 12/31/2029 NO YES ZANTAC INJ 50MG/2ML 07/01/2007 12/31/2029 NO YES ZANTAC SYP 15MG/ML 07/01/2007 12/31/2029 NO YES ZANTAC SYP 75MG/5ML 07/01/2007 12/31/2029 NO YES ZANTAC TAB 150MG 07/01/2007 12/31/2029 NO YES ZANTAC TAB 150MG EF 07/01/2007 12/31/2029 NO YES ZANTAC TAB 25MG EF 07/01/2007 12/31/2029 NO YES ZANTAC TAB 300MG 07/01/2007 12/31/2029 NO YES ZANTAC TAB 75MG 07/01/2007 12/31/2029 NO YES ZANTAC 150 TAB MAX ST 07/01/2007 12/31/2029 NO YES ZANTAC 150 TAB MAX STR 07/01/2007 12/31/2029 NO NO ZANTAC 75 TAB 07/01/2007 12/31/2029 NO YES Ranitidine HCl in NaCl ZANTAC INJ 50/50ML 07/01/2007 12/31/2029 NO YES ZANTAC PB INJ 50/100ML 07/01/2007 12/31/2029 NO YES Ranitidine HCl-Dietary Management Product GABITIDINE PAK 07/01/2007 12/31/2029 NO YES GABITIDINE PAK 150MG 07/01/2007 12/31/2029 NO YES SENTRADINE PAK 07/01/2007 12/31/2029 NO YES Scopolamine HBr SCOPALAMINE CRY HBR 07/01/2007 12/31/2029 NO YES SCOPOLAMINE INJ 0.3MG/ML 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *ULCER DRUGS* Scopolamine HBr SCOPOLAMINE INJ 0.4MG/ML 07/01/2007 12/31/2029 NO NO SCOPOLAMINE INJ 0.86/ML 07/01/2007 12/31/2029 NO YES SCOPOLAMINE INJ 1MG/ML 07/01/2007 12/31/2029 NO NO SCOPOLAMINE POW HBR 07/01/2007 12/31/2029 NO YES TRIPTONE CAP 0.25MG 07/01/2007 12/31/2029 NO YES Sucralfate CARAFATE SUS 1GM/10ML 07/01/2007 12/31/2029 NO YES CARAFATE TAB 1GM 07/01/2007 12/31/2029 NO YES SUCRALFATE POW 07/01/2007 12/31/2029 NO YES SUCRALFATE SUS 1GM/10ML 07/01/2007 12/31/2029 NO YES SUCRALFATE TAB 1GM 07/01/2007 12/31/2029 NO NO Tridihexethyl & Meprobamate MEPROB/TRIDI TAB 400-25MG 07/01/2007 12/31/2029 NO NO MEPROBASE TAB 200 07/01/2007 12/31/2029 NO NO MEPROBASE TAB -400 07/01/2007 12/31/2029 NO NO MEPRO-BASE TAB 400 07/01/2007 12/31/2029 NO NO PREMATE TAB 200 07/01/2007 12/31/2029 NO NO PREMATE TAB 400 07/01/2007 12/31/2029 NO NO TCM TAB 200 07/01/2007 12/31/2029 NO NO TCM TAB 400 07/01/2007 12/31/2029 NO NO TRIBAMATE TAB 25-200MG 07/01/2007 12/31/2029 NO NO TRIBAMATE TAB 400-25MG 07/01/2007 12/31/2029 NO NO TRIMATE TAB 400 07/01/2007 12/31/2029 NO NO TRI-MEPRO TAB 400 07/01/2007 12/31/2029 NO NO Tridihexethyl Chloride PATHILON TAB 25MG 07/01/2007 12/31/2029 NO YES *URINARY ANTI-INFECTIVES* Azo-Oxytetracycline-Sulfamethizole UROBIOTIC CAP 250MG 07/01/2007 12/31/2029 NO YES Azo-Sulfamethizole THIOSULFIL TAB DUO-PAK 07/01/2007 12/31/2029 NO YES THIOSULFIL A TAB 07/01/2007 12/31/2029 NO YES THIOSULFIL A TAB FORTE 07/01/2007 12/31/2029 NO YES Azo-Sulfamethoxazole AZO-GANTANOL TAB 100-500 07/01/2007 12/31/2029 NO YES AZO-SULFAMET TAB 100-500 07/01/2007 12/31/2029 NO NO Azo-Sulfisoxazole AZO-GANTRISN TAB 50-500MG 07/01/2007 12/31/2029 NO YES AZO-SULFAGAN TAB 50-500MG 07/01/2007 12/31/2029 NO NO AZO-SULFISOX TAB 50-500MG 07/01/2007 12/31/2029 NO NO AZO-TRUXAZOL TAB 50-500MG 07/01/2007 12/31/2029 NO NO Cinoxacin CINOBAC CAP 250MG 07/01/2007 12/31/2029 NO YES CINOBAC CAP 500MG 07/01/2007 12/31/2029 NO YES CINOXACIN CAP 250MG 07/01/2007 12/31/2029 NO NO CINOXACIN CAP 500MG 07/01/2007 12/31/2029 NO NO Empty Level U-EZE TAB 07/01/2007 12/31/2029 NO NO UROCAR D/S TAB 07/01/2007 12/31/2029 NO NO Fosfomycin Tromethamine MONUROL PAK GRANULES 07/01/2007 12/31/2029 NO YES Meth-Bell-Meth Bl-Phenyl Sal ATROSEPT TAB 07/01/2007 12/31/2029 NO NO DOLSED TAB 07/01/2007 12/31/2029 NO NO HEXALOL TAB 07/01/2007 12/31/2029 NO NO MHP-A TAB 07/01/2007 12/31/2029 NO NO SEP-UR TAB 07/01/2007 12/31/2029 NO NO TRAC TAB 07/01/2007 12/31/2029 NO YES TRAC 2X TAB 07/01/2007 12/31/2029 NO YES TRAC-TABS 2X TAB 07/01/2007 12/31/2029 NO YES TY-METHATE TAB 07/01/2007 12/31/2029 NO NO UAA TAB 07/01/2007 12/31/2029 NO NO URETRON TAB 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *URINARY ANTI-INFECTIVES* Meth-Bell-Meth Bl-Phenyl Sal URETRON DS TAB 07/01/2007 12/31/2029 NO YES URIDON MODIF TAB 07/01/2007 12/31/2029 NO NO URIMED TAB 07/01/2007 12/31/2029 NO NO URINARY TAB ANTISEPT 07/01/2007 12/31/2029 NO NO URINARY ANTI TAB 07/01/2007 12/31/2029 NO NO URINARY ANTI TAB #2 07/01/2007 12/31/2029 NO NO URINARY ANTI TAB #3 07/01/2007 12/31/2029 NO NO URINARY ANTI TAB CPD 07/01/2007 12/31/2029 NO NO URINARY ANTI TAB -SEPTIC 07/01/2007 12/31/2029 NO NO URISED TAB 07/01/2007 12/31/2029 NO YES URI-SEP TAB 07/01/2007 12/31/2029 NO NO URI-SEP SC TAB 07/01/2007 12/31/2029 NO NO URISEPTIC TAB 07/01/2007 12/31/2029 NO NO URITIN TAB 07/01/2007 12/31/2029 NO NO URITIN FORMU TAB 07/01/2007 12/31/2029 NO NO URNRY ANTSPT TAB F.C. 07/01/2007 12/31/2029 NO NO URO-VES TAB 07/01/2007 12/31/2029 NO NO URSTAT TAB 07/01/2007 12/31/2029 NO NO USEPT TAB 07/01/2007 12/31/2029 NO NO Methenamine (Base) UROTROPINA TAB 325MG 07/01/2007 12/31/2029 NO YES Methenamine Hippurate HIPREX TAB 1GM 07/01/2007 12/31/2029 NO YES METHENAM HIP TAB 1GM 07/01/2007 12/31/2029 NO NO UREX TAB 1GM 07/01/2007 12/31/2029 NO YES Methenamine Mandelate DELTAMINE TAB 500MG 07/01/2007 12/31/2029 NO NO MANDAMETH SUS FORTE 07/01/2007 12/31/2029 NO NO MANDELAM FOR SUS 500/5ML 07/01/2007 12/31/2029 NO YES MANDELAMINE GRA 1GM 07/01/2007 12/31/2029 NO YES MANDELAMINE SUS 250/5ML 07/01/2007 12/31/2029 NO YES MANDELAMINE TAB 0.5GM 07/01/2007 12/31/2029 NO YES MANDELAMINE TAB 1GM 07/01/2007 12/31/2029 NO YES METHENAM MAN SUS 500/5ML 07/01/2007 12/31/2029 NO YES METHENAM MAN TAB 0.5GM 07/01/2007 12/31/2029 NO NO METHENAM MAN TAB 1000MG 07/01/2007 12/31/2029 NO NO METHENAM MAN TAB 1GM 07/01/2007 12/31/2029 NO NO METHENAM MAN TAB 500MG 07/01/2007 12/31/2029 NO YES METHENAMINE GRA 07/01/2007 12/31/2029 NO YES METHENAMINE SUS 500/5ML 07/01/2007 12/31/2029 NO NO METHENAMINE TAB 0.5GM EC 07/01/2007 12/31/2029 NO NO METHENAMINE TAB 1GM EC 07/01/2007 12/31/2029 NO NO METHENAMINE TAB 250MG 07/01/2007 12/31/2029 NO YES Methenamine Mandelate-Potassium Phosphate THIACIDE TAB 07/01/2007 12/31/2029 NO YES Methenamine Mandelate-Sodium Phosphate UROQID TAB 350MG 07/01/2007 12/31/2029 NO YES Methenamine Mandelate-Sodium Phosphate Monobasic UROQID #2 TAB 07/01/2007 12/31/2029 NO YES UTAC TAB 500-500 07/01/2007 12/31/2029 NO NO VISQID A/A TAB 07/01/2007 12/31/2029 NO NO Methenamine-Belladonna Alk LANASED TAB 07/01/2007 12/31/2029 NO YES Methenamine-Belladonna-Salicylamide MANDEX TAB 07/01/2007 12/31/2029 NO YES Methenamine-Hyoscamine-Methylene Blue-Sodium Phosphate INDIOMIN MB CAP 120MG 07/01/2007 12/31/2029 NO NO ME/NAPHOS/MB TAB HYO 1 07/01/2007 12/31/2029 NO NO URO-BLUE TAB 81.6MG 07/01/2007 12/31/2029 NO NO UROGESIC- TAB BLUE 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *URINARY ANTI-INFECTIVES* Methenamine-Hyoscamine-Methylene Blue-Sodium Phosphate UROLET MB TAB 07/01/2007 12/31/2029 NO NO URYL TAB 07/01/2007 12/31/2029 NO NO UTA CAP 120MG 07/01/2007 12/31/2029 NO NO Methenamine-Hyosc-Methylene Blue-Benzoic Acid-Phenyl Sal HYOPHEN TAB 07/01/2007 12/31/2029 NO NO METHYLPHEN TAB 81.6MG 07/01/2007 12/31/2029 NO NO PROSED/DS TAB 07/01/2007 12/31/2029 NO YES UROPHEN MB TAB 81.6MG 07/01/2007 12/31/2029 NO NO Methenamine-Hyosc-Methylene Blue-Sod Phos-Phenyl Sal AZUPHEN MB CAP 120MG 07/01/2007 12/31/2029 NO NO DARCALMA TAB 81.6MG 07/01/2007 12/31/2029 NO NO DARPAZ TAB 07/01/2007 12/31/2029 NO NO HYOLEV MB TAB 81MG 07/01/2007 12/31/2029 NO NO MSP-BLU TAB 07/01/2007 12/31/2029 NO NO PHOSENAMINE CAP 120MG 07/01/2007 12/31/2029 NO NO PHOSPHASAL TAB 07/01/2007 12/31/2029 NO NO UR N-C TAB 07/01/2007 12/31/2029 NO NO URAMIT MB CAP 118MG 07/01/2007 12/31/2029 NO NO URELLE TAB 07/01/2007 12/31/2029 NO NO URETRON D/S TAB 07/01/2007 12/31/2029 NO NO URIBEL CAP 118MG 07/01/2007 12/31/2029 NO NO URIMAR T TAB 07/01/2007 12/31/2029 NO NO URIMAR-T TAB 07/01/2007 12/31/2029 NO YES URIMAX TAB 07/01/2007 12/31/2029 NO YES URIN D/S TAB 07/01/2007 12/31/2029 NO NO URISYM CAP 07/01/2007 12/31/2029 NO YES URO BLUE TAB 07/01/2007 12/31/2029 NO NO URO-458 TAB 07/01/2007 12/31/2029 NO NO UROAV-81 TAB 07/01/2007 12/31/2029 NO NO UROAV-B CAP 07/01/2007 12/31/2029 NO NO URO-L TAB 81MG 07/01/2007 12/31/2029 NO NO URO-MP CAP 118MG 07/01/2007 12/31/2029 NO NO USTELL CAP 07/01/2007 12/31/2029 NO NO UTA CAP 120MG 07/01/2007 12/31/2029 NO NO UTICAP CAP 07/01/2007 12/31/2029 NO NO UTIRA TAB 81.6MG 07/01/2007 12/31/2029 NO NO UTIRA-C TAB 07/01/2007 12/31/2029 NO NO UTRONA TAB 07/01/2007 12/31/2029 NO NO UTRONA-C TAB 07/01/2007 12/31/2029 NO NO Methenamine-Hyoscyamine URISEDAMINE TAB 07/01/2007 12/31/2029 NO YES Methenamine-Methylene Blue-Benz Acd-Phenyl Sal-Atrop-Hyosc PROSED EC TAB 07/01/2007 12/31/2029 NO YES PROSED/DS TAB 07/01/2007 12/31/2029 NO YES URITACT DS TAB 07/01/2007 12/31/2029 NO YES URITACT-EC TAB 07/01/2007 12/31/2029 NO YES Methenamine-Sodium Phosphate URO-PHOSPHAT TAB 07/01/2007 12/31/2029 NO YES Methenamine-Sodium Salicylate AZO URINARY TAB TRACT 07/01/2007 12/31/2029 NO YES CYSTEX TAB 07/01/2007 12/31/2029 NO YES Methenamine-Sodium Salicylate-Salicylamide CYSTEX TAB 07/01/2007 12/31/2029 NO YES Methylene Blue UROLENE BLUE TAB 65MG 07/01/2007 12/31/2029 NO YES Nalidixic Acid NALIDIXIC POW ACID 07/01/2007 12/31/2029 NO YES NALIDIXIC AC TAB 1GM 07/01/2007 12/31/2029 NO NO NALIDIXIC AC TAB 250MG 07/01/2007 12/31/2029 NO NO NALIDIXIC AC TAB 500MG 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *URINARY ANTI-INFECTIVES* Nalidixic Acid NEGGRAM SUS 250/5ML 07/01/2007 12/31/2029 NO YES NEGGRAM TAB 1GM 07/01/2007 12/31/2029 NO YES NEGGRAM TAB 250MG 07/01/2007 12/31/2029 NO YES NEGGRAM TAB 500MG 07/01/2007 12/31/2029 NO YES Nitrofurantoin FURADANTIN CAP 50MG 07/01/2007 12/31/2029 NO NO FURADANTIN SUS 25MG/5ML 07/01/2007 12/31/2029 NO YES FURADANTIN TAB 100MG 07/01/2007 12/31/2029 NO YES FURADANTIN TAB 50MG 07/01/2007 12/31/2029 NO YES FURALAN TAB 100MG 07/01/2007 12/31/2029 NO NO FURALAN TAB 50MG 07/01/2007 12/31/2029 NO NO FURAN TAB 100MG 07/01/2007 12/31/2029 NO NO FURAN TAB 50MG 07/01/2007 12/31/2029 NO NO FURAREX CAP 100MG 07/01/2007 12/31/2029 NO NO FURAREX CAP 50MG 07/01/2007 12/31/2029 NO NO FURATON TAB 100MG 07/01/2007 12/31/2029 NO NO FURATON TAB 50MG 07/01/2007 12/31/2029 NO NO NITROFURANTN CAP 100MG 07/01/2007 12/31/2029 NO NO NITROFURANTN CAP 50MG 07/01/2007 12/31/2029 NO NO NITROFURANTN SUS 25MG/5ML 07/01/2007 12/31/2029 NO NO NITROFURANTN TAB 100MG 07/01/2007 12/31/2029 NO NO NITROFURANTN TAB 50MG 07/01/2007 12/31/2029 NO NO Nitrofurantoin Macrocrystal MACPAC PAK 50MG 07/01/2007 12/31/2029 NO YES MACRODANTIN CAP 100MG 07/01/2007 12/31/2029 NO YES MACRODANTIN CAP 25MG 07/01/2007 12/31/2029 NO YES MACRODANTIN CAP 50MG 07/01/2007 12/31/2029 NO YES NITRO MACRO CAP 25MG 07/01/2007 12/31/2029 NO NO NITROFUR MAC CAP 100MG 07/01/2007 12/31/2029 NO NO NITROFUR MAC CAP 25MG 07/01/2007 12/31/2029 NO NO NITROFUR MAC CAP 50MG 07/01/2007 12/31/2029 NO NO NITROFURAN POW ANHYDROU 07/01/2007 12/31/2029 NO YES NITROFURANTN CAP 100MG 07/01/2007 12/31/2029 NO NO NITROFURANTO CAP 100MG 07/01/2007 12/31/2029 NO NO Nitrofurantoin Monohyd Macro MACROBID CAP 100MG 07/01/2007 12/31/2029 NO YES NITROFURANTN CAP 100MG 07/01/2007 12/31/2029 NO NO *VACCINES* Haemophilus B Oligosaccharide Conjugate Vaccine HIBTITER INJ 08/01/2007 12/31/2029 NO YES Haemophilus B Polysac Conj Vac ACTHIB INJ 08/01/2007 12/31/2029 NO YES OMNIHIB INJ 08/01/2007 12/31/2029 NO NO PEDVAX HIB INJ 08/01/2007 12/31/2029 NO YES PROHIBIT INJ 08/01/2007 12/31/2029 NO YES Haemophilus B Polysac Conj-Hepatitis B (Recomb) Vaccines COMVAX INJ 08/01/2007 12/31/2029 NO YES Haemophilus B Polysac Vaccine B-CAPSA I INJ 08/01/2007 12/31/2029 NO NO HIB-IMUNE INJ 25MG 08/01/2007 12/31/2029 NO NO HIBVAX INJ 08/01/2007 12/31/2029 NO NO Hepatitis A (Inactivated)-Hepatitis B (Recombinant) Vaccines TWINRIX INJ 08/01/2007 12/31/2029 NO YES Hepatitis A Vaccine HAVRIX INJ 07/01/2006 12/31/2029 NO YES HAVRIX INJ 1440 U 07/01/2006 12/31/2029 NO YES HAVRIX INJ 360/.5ML 07/01/2006 12/31/2029 NO YES HAVRIX INJ 360/0.5 07/01/2006 12/31/2029 NO YES HAVRIX INJ 720U/0.5 07/01/2006 12/31/2029 NO YES HAVRIX INJ 720UNIT 07/01/2006 12/31/2029 NO YES VAQTA INJ 50UNT/ML 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VACCINES* Hepatitis B Vaccine HEPTAVAX-B INJ 20MCG/ML 08/01/2007 12/31/2029 NO YES Hepatitis B Vaccine (Recomb) ENGERIX-B INJ 10/0.5ML 07/01/2006 12/31/2029 NO YES ENGERIX-B INJ 10MCG/.5 07/01/2006 12/31/2029 NO YES ENGERIX-B INJ 20MCG/ML 07/01/2006 12/31/2029 NO YES RECOMBIVA HB INJ 10MCG/ML 07/01/2006 12/31/2029 NO YES RECOMBIVA HB INJ 5MCG/0.5 07/01/2006 12/31/2029 NO YES RECOMBIVA-HB INJ 10MCG/ML 07/01/2006 12/31/2029 NO YES RECOMBIVA-HB INJ 2.5/.5ML 07/01/2006 12/31/2029 NO YES RECOMBIVA-HB INJ 40MCG/ML 07/01/2006 12/31/2029 NO YES Human Papillomavirus (HPV) Quadrivalent Recombinant Vaccine GARDASIL INJ 08/01/2007 12/31/2029 NO YES Influenza Virus Vaccine Live FLUMIST NASA LIQ 2003-04 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2004-05 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2005-06 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2006-07 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2007-08 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2008-09 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2009-10 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2010-11 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2011-12 07/01/2006 12/31/2029 NO YES FLUMIST NASA LIQ 2012-13 07/01/2006 12/31/2029 NO YES Influenza Virus Vaccine Split AFLURIA INJ 2007-08 07/01/2006 12/31/2029 NO YES AFLURIA INJ 2008-09 07/01/2006 12/31/2029 NO YES AFLURIA INJ 2009-10 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2011-12 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2012-13 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2013-14 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2014-15 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2015-16 03/23/2015 12/31/2029 NO YES AFLURIA INJ 2016-17 03/23/2015 12/31/2029 NO YES FLU-IMUNE INJ SPLIT 07/01/2006 12/31/2029 NO YES FLULAVAL INJ 07/01/2006 12/31/2029 NO YES FLULAVAL INJ 2008-09 07/01/2006 12/31/2029 NO YES FLULAVAL INJ 2009-10 07/01/2006 12/31/2029 NO YES FLULAVAL INJ 2010-11 03/23/2015 12/31/2029 NO YES FLULAVAL INJ 2011-12 03/23/2015 12/31/2029 NO YES FLULAVAL INJ 2012-13 03/23/2015 12/31/2029 NO YES FLULAVAL INJ 2013-14 03/23/2015 12/31/2029 NO YES FLULAVAL INJ 2014-15 03/23/2015 12/31/2029 NO YES FLULAVAL INJ SPLIT 07/01/2006 12/31/2029 NO YES FLUOGEN INJ SPLIT 07/01/2006 12/31/2029 NO NO FLUOGEN SPLT INJ 1996-97 07/01/2006 12/31/2029 NO YES FLUOGEN SPLT INJ 1998-99 07/01/2006 12/31/2029 NO YES FLUOGEN SPLT INJ 99-00 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 1995-96 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 1996-97 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 1997-98 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 1998-99 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 2000-01 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 2001-02 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ 99-2000 07/01/2006 12/31/2029 NO YES FLUSHIELD INJ SPLIT 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VACCINES* Influenza Virus Vaccine Split FLU-SHIELD INJ SPLIT 07/01/2006 12/31/2029 NO YES FLUZONE INJ SPLIT 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 1996-97 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 1997-98 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 1998-99 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 1999-00 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2000-01 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2001-02 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2002-03 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2003-04 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2004-05 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2005-06 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2006-07 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2007-08 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2008-09 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2009-10 07/01/2006 12/31/2029 NO YES FLUZONE SPLT INJ 2010-11 03/23/2015 12/31/2029 NO YES FLUZONE SPLT INJ 2011-12 03/23/2015 12/31/2029 NO YES FLUZONE SPLT INJ 2012-13 03/23/2015 12/31/2029 NO YES FLUZONE SPLT INJ 2013-14 03/23/2015 12/31/2029 NO YES FLUZONE SPLT INJ 2014-15 03/23/2015 12/31/2029 NO YES FLUZONE SPLT INJ 2015-16 03/23/2015 12/31/2029 NO YES INFLUENZA INJ SPLIT 07/01/2006 12/31/2029 NO YES Influenza Virus Vaccine Split Preservative Free AFLURIA INJ PF 07-08 07/01/2006 12/31/2029 NO YES AFLURIA INJ PF 08-09 07/01/2006 12/31/2029 NO YES AFLURIA INJ PF 09-10 07/01/2006 12/31/2029 NO YES AFLURIA INJ PF 10-11 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 11-12 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 12-13 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 13-14 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 14-15 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 15-16 03/23/2015 12/31/2029 NO YES AFLURIA INJ PF 16-17 03/23/2015 12/31/2029 NO YES FLUARIX INJ PF 05-06 07/01/2006 12/31/2029 NO YES FLUARIX INJ PF 06-07 07/01/2006 12/31/2029 NO YES FLUARIX INJ PF 07-08 07/01/2006 12/31/2029 NO YES FLUARIX INJ PF 08-09 07/01/2006 12/31/2029 NO YES FLUARIX INJ PF 09-10 07/01/2006 12/31/2029 NO YES FLUARIX INJ PF 10-11 03/23/2015 12/31/2029 NO YES FLUARIX INJ PF 11-12 03/23/2015 12/31/2029 NO YES FLUARIX INJ PF 12-13 03/23/2015 12/31/2029 NO YES FLUARIX PF INJ 2013-14 03/23/2015 12/31/2029 NO YES FLUARIX PF INJ 2014-15 03/23/2015 12/31/2029 NO YES FLUZONE INJ PEDI 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 05-06 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 06-07 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 07-08 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 08-09 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 09-10 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 10-11 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 11-12 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VACCINES* Influenza Virus Vaccine Split Preservative Free FLUZONE INJ PF 12-13 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 13-14 07/01/2006 12/31/2029 NO YES FLUZONE INJ PF 14-15 03/23/2015 12/31/2029 NO YES FLUZONE PED/ INJ PF 03-04 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 04-05 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 05-06 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 06-07 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 07-08 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 08-09 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 09-10 07/01/2006 12/31/2029 NO YES FLUZONE PED/ INJ PF 10-11 03/23/2015 12/31/2029 NO YES FLUZONE PED/ INJ PF 11-12 03/23/2015 12/31/2029 NO YES FLUZONE PED/ INJ PF 12-13 03/23/2015 12/31/2029 NO YES FLUZONE PED/ INJ PF 13-14 03/23/2015 12/31/2029 NO YES Influenza Virus Vaccine Types A & B Surface Antigen FLUVIRIN INJ 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 1997-98 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 1998-99 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2000-01 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2001-02 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2002-03 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2003-04 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2004-05 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2005-06 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2006-07 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2007-08 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2008-09 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2009-10 07/01/2006 12/31/2029 NO YES FLUVIRIN INJ 2010-11 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2011-12 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2012-13 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2013-14 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2014-15 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2015-16 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 2016-17 03/23/2015 12/31/2029 NO YES FLUVIRIN INJ 99-2000 07/01/2006 12/31/2029 NO YES Influenza Virus Vaccine Whole FLUZONE INJ WHOLE 08/01/2007 12/31/2029 NO YES FLUZONE WHOL INJ 1996-97 08/01/2007 12/31/2029 NO YES FLUZONE WHOL INJ 1997-98 08/01/2007 12/31/2029 NO YES FLUZONE WHOL INJ 1998-99 08/01/2007 12/31/2029 NO YES FLUZONE WHOL INJ 1999-00 08/01/2007 12/31/2029 NO YES FLUZONE WHOL INJ 2000-01 08/01/2007 12/31/2029 NO YES Japanese Encephalitis Virus Vaccine JE-VAX INJ 08/01/2007 12/31/2029 NO YES Measles & Rubella Vaccines M-R-VAX II INJ 08/01/2007 12/31/2029 NO YES Measles Virus Vaccine ATTENUVAX INJ LIVE 08/01/2007 12/31/2029 NO YES Measles, Mumps & Rubella Virus Vaccines M-M-R II INJ 07/01/2006 12/31/2029 NO YES M-M-R II INJ LIVE 07/01/2006 12/31/2029 NO YES Meningococcal (A,C,Y&W-135) Polysaccharide Conjugate Vaccine MENACTRA INJ 08/01/2007 12/31/2029 NO YES Meningococcal Group B Vaccine (Recombinant) TRUMENBA INJ 11/24/2014 12/31/2029 NO YES Meningococcal Vac A,C,Y&W-135 MENOMUNE INJ A/C/Y/W 08/01/2007 12/31/2029 NO YES Mumps Virus Vaccine Live MUMPSVAX INJ LIVE 08/01/2007 12/31/2029 NO YES Pneumococcal 7-Valent Conjugate Vaccine PREVNAR INJ 08/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VACCINES* Pneumococcal Vac Polyvalent PNEUMOVAX 23 INJ 25/0.5 07/01/2006 12/31/2029 NO NO PNEUMOVAX 23 INJ 25MCG/.5 07/01/2006 12/31/2029 NO NO PNU-IMUNE INJ 25/0.5 07/01/2006 12/31/2029 NO NO PNU-IMUNE INJ 25MCG/.5 07/01/2006 12/31/2029 NO NO Poliovirus Vaccine, IPV IPOL INJ INACTIVE 08/01/2007 12/31/2029 NO YES POLIOVAX INJ INACTIVE 08/01/2007 12/31/2029 NO YES POLIOVIRUS INJ INACTIVE 08/01/2007 12/31/2029 NO YES Rabies Vaccine Adsorbed RABIES VAC INJ 2.5U ADS 08/01/2007 12/31/2029 NO YES Rabies Vaccine, PCEC RABAVERT INJ 08/01/2007 12/31/2029 NO YES Rabies Virus Vaccine, HDC IMOVAX I.D. INJ 2.5IU/ML 08/01/2007 12/31/2029 NO YES IMOVAX ID INJ 2.5IU 08/01/2007 12/31/2029 NO YES IMOVAX RABI INJ 2.5IU 08/01/2007 12/31/2029 NO YES IMOVAX RABIE INJ 2.5/ML 08/01/2007 12/31/2029 NO YES IMOVAX RABIE INJ 2.5IU/ML 08/01/2007 12/31/2029 NO YES Rubella & Mumps Virus Vaccines BIAVAX II INJ LIVE 08/01/2007 12/31/2029 NO YES Rubella Virus Vaccine MERUVAX II INJ LIVE 08/01/2007 12/31/2029 NO YES Typhoid VI Polysaccharide Vaccine TYPHIM VI INJ 08/01/2007 12/31/2029 NO YES TYPHOID VI SOL 08/01/2007 12/31/2029 NO YES *VAGINAL PRODUCTS* Acetic Acid Vaginal ACID JELLY GEL VAG/APPL 07/01/2007 12/31/2029 NO YES ACIDIC VAG GEL 07/01/2007 12/31/2029 NO NO ACI-JEL VAG GEL W/APP 07/01/2007 12/31/2029 NO YES BIDETTE SOL MEDICATD 07/01/2007 12/31/2029 NO NO BIDETTE SOL MEDICATE 07/01/2007 12/31/2029 NO NO BIDETTE SOL VIN&WATR 07/01/2007 12/31/2029 NO NO DISP DOUCHE SOL VIN&WATE 07/01/2007 12/31/2029 NO NO DOUCHE SOL VIN&WATE 07/01/2007 12/31/2029 NO NO DOUCHE SOL VIN&WATR 07/01/2007 12/31/2029 NO NO DOUCHE MILD SOL VIN&WATR 07/01/2007 12/31/2029 NO NO DOUCHE TW PK SOL VIN&WATR 07/01/2007 12/31/2029 NO NO DOUCHE X-CLN SOL VIN&WAT 07/01/2007 12/31/2029 NO NO DOUCHE X-MLD SOL VIN&WAT 07/01/2007 12/31/2029 NO NO EX CLEANSING SOL 07/01/2007 12/31/2029 NO NO EX CLEANSING SOL DOUCHE 07/01/2007 12/31/2029 NO NO FEMININE CAR SOL DOUCHE 07/01/2007 12/31/2029 NO NO FEMINIQUE SOL NATURAL 07/01/2007 12/31/2029 NO NO FV DOUCHE SOL VIN&WATR 07/01/2007 12/31/2029 NO NO HM DOUCHE SOL VIN&WATR 07/01/2007 12/31/2029 NO NO MASSENGILL SOL VIN&WATR 07/01/2007 12/31/2029 NO NO NEW FRESH SOL 07/01/2007 12/31/2029 NO NO NEW FRESH SOL CONC 07/01/2007 12/31/2029 NO NO OSCO DISP SOL VIN&WAT 07/01/2007 12/31/2029 NO NO RA DISPOSABL SOL DOUCHE 07/01/2007 12/31/2029 NO NO RA DOUCHE SOL VIN&WATE 07/01/2007 12/31/2029 NO NO SAV-ON DISP SOL VIN/WATR 07/01/2007 12/31/2029 NO NO SPECIFICS SOL VIN&WAT 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL EX CLEAN 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL VIN&WATR 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL VIN&WATR 07/01/2007 12/31/2029 NO NO Acetic Acid-Cetylpyridinium DISPOSABLE SOL DOUCHE 07/01/2007 12/31/2029 NO NO HM DOUCHE SOL VIN&WAT 07/01/2007 12/31/2029 NO NO MASSENGILL SOL VIN&WAT 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Acetic Acid-Cetylpyridinium SAV-ON DISP SOL DOUCHE 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL VIN&WAT 07/01/2007 12/31/2029 NO NO Acetic Acid-Oxyquinoline Vaginal FEM PH GEL 07/01/2007 12/31/2029 NO YES RELAGARD GEL 07/01/2007 12/31/2029 NO YES Allantoin Vaginal VAGIMAR S CRE 2% 07/01/2007 12/31/2029 NO YES Aminacrine Vaginal VAGISEC PLUS SUP 07/01/2007 12/31/2029 NO YES Amino Acid-Urea Vaginal AMINO ACID CRE CERVICAL 07/01/2007 12/31/2029 NO YES AMINO-CERV CRE 07/01/2007 12/31/2029 NO YES CERVICAL CRE AMINO AC 07/01/2007 12/31/2029 NO NO Benzocaine-Benalkonium Chloride MEDICATED CRE 5-0.13% 07/01/2007 12/31/2029 NO YES VAGICREAM CRE 5-0.13% 07/01/2007 12/31/2029 NO YES Benzocaine-Resorcinol Vaginal ANTI-ITCH CRE 5-2% 07/01/2007 12/31/2029 NO NO RA VAGICAINE CRE 5-2% 07/01/2007 12/31/2029 NO NO VAGICAINE CRE 07/01/2007 12/31/2029 NO NO VAGICAINE CRE 20-3% 07/01/2007 12/31/2029 NO NO VAGICAINE CRE ALOE 07/01/2007 12/31/2029 NO NO VAGICREAM CRE 5-2% 07/01/2007 12/31/2029 NO NO VAGISIL CRE 07/01/2007 12/31/2029 NO YES VAGISIL MS CRE 20-3% 07/01/2007 12/31/2029 NO YES V-R VAGINAL CRE ITCH 07/01/2007 12/31/2029 NO NO YEAST-GARD CRE MED SENS 07/01/2007 12/31/2029 NO NO Butoconazole Nitrate (One Dose) GYNAZOLE-1 CRE 2% 07/01/2006 12/31/2029 NO YES Butoconazole Nitrate Vaginal FEMSTAT 3 VA CRE 2% PREFL 07/01/2006 12/31/2029 NO YES FEMSTAT 3 VA CRE 2% W/APP 07/01/2006 12/31/2029 NO YES FEMSTAT VAG CRE 2% W/APP 07/01/2006 12/31/2029 NO YES FEMSTAT VAG CRE PREFILL 07/01/2006 12/31/2029 NO YES MYCELEX-3 CRE 2% W/APP 07/01/2006 12/31/2029 NO YES Clindamycin Phosphate (One Dose) CLINDESSE CRE 2% 07/01/2006 12/31/2029 NO YES Clindamycin Phosphate Vaginal CLEOCIN CRE 2% VAG 07/01/2006 12/31/2029 NO YES CLEOCIN SUP 100MG 07/01/2006 12/31/2029 NO YES CLEOCIN VAG CRE 2% 07/01/2006 12/31/2029 NO YES CLINDAMAX CRE 2% VAG 07/01/2006 12/31/2029 NO NO CLINDAMYCIN CRE 2% VAG 07/01/2006 12/31/2029 NO NO Clotrimazole Vaginal 3 DAY VAGINL CRE 2% 07/01/2007 12/31/2029 NO NO CLOTRIMAZ-7 CRE 1% VAG 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE CRE 1% 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE CRE 1% VAG 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE CRE 1% VAGIN 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE CRE 2% 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE CRE 3 DAY 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE TAB 100MG VA 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE TAB 500MG VA 07/01/2007 12/31/2029 NO NO CLOTRIMAZOLE TAB VAGINAL3 07/01/2007 12/31/2029 NO NO CVS 3-DAY CRE 07/01/2007 12/31/2029 NO NO FEMCARE CRE 1% VAG 07/01/2007 12/31/2029 NO NO FEMCARE TAB 100MG VA 07/01/2007 12/31/2029 NO YES FEMIZOL-7 CRE 1% VAG 07/01/2007 12/31/2029 NO NO FV CLOTRIM-7 CRE 1% VAG 07/01/2007 12/31/2029 NO NO GYNE-LOTRIM CRE 1% VAG 07/01/2007 12/31/2029 NO YES GYNE-LOTRIM KIT 3 07/01/2007 12/31/2029 NO YES GYNE-LOTRIM TAB 100MG VA 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Clotrimazole Vaginal GYNE-LOTRIM TAB 3 07/01/2007 12/31/2029 NO YES GYNE-LOTRIM TAB 500MG VA 07/01/2007 12/31/2029 NO YES GYNE-LOTRIMI CRE 3 07/01/2007 12/31/2029 NO YES GYNE-LOTRIMI KIT COMBO PK 07/01/2007 12/31/2029 NO YES HM CLOTRIM-7 CRE 1% VAG 07/01/2007 12/31/2029 NO NO MYCELEX-7 CRE 1% VAG 07/01/2007 12/31/2029 NO YES MYCELEX-7 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MYCELEX-7 TAB 100MG VA 07/01/2007 12/31/2029 NO YES MYCELEX-G CRE 1% VAG 07/01/2007 12/31/2029 NO YES MYCELEX-G KIT TWIN PK 07/01/2007 12/31/2029 NO YES MYCELEX-G TAB 100MG VA 07/01/2007 12/31/2029 NO YES MYCELEX-G TAB 500MG VA 07/01/2007 12/31/2029 NO YES OSCO CLOTRIM CRE 1% VAG 07/01/2007 12/31/2029 NO NO RA CLOTRIMAZ CRE 3 07/01/2007 12/31/2029 NO NO SB CLOTRIMAZ CRE 1% VAG 07/01/2007 12/31/2029 NO NO VAGINAL 3DAY KIT COMBO 07/01/2007 12/31/2029 NO NO V-R CLOTRIMA TAB INSERTS 07/01/2007 12/31/2029 NO NO Dienestrol Vaginal DV VAGINAL CRE 0.01% 07/01/2007 12/31/2029 NO NO ORTHO-DIENES CRE 0.01% 07/01/2007 12/31/2029 NO YES ORTHO-DIENES CRE 0.01%APL 07/01/2007 12/31/2029 NO YES Douche Products BIDETTE SOL FLORAL 07/01/2007 12/31/2029 NO NO CLINIDINE SOL 07/01/2007 12/31/2029 NO NO CLINIDINE SOL CONC-MED 07/01/2007 12/31/2029 NO NO DISP DOUCHE SOL SPR FLO 07/01/2007 12/31/2029 NO NO DOUCHE SOL HERBAL 07/01/2007 12/31/2029 NO NO DOUCHE X-MLD SOL VIN&WATR 07/01/2007 12/31/2029 NO NO EQ FEMININE SOL DOUCHE 07/01/2007 12/31/2029 NO NO FEMINIQUE MIS TOWELETT 07/01/2007 12/31/2029 NO NO FEMINIQUE SOL DEOD MIS 07/01/2007 12/31/2029 NO NO FEMINIQUE SOL GENTLE 07/01/2007 12/31/2029 NO NO FEMINIQUE SOL REGULAR 07/01/2007 12/31/2029 NO NO FEMINIQUE SOL XTR-CLNS 07/01/2007 12/31/2029 NO NO FRESH SCENT SOL DOUCHE 07/01/2007 12/31/2029 NO NO FV DOUCHE SOL MEDICATE 07/01/2007 12/31/2029 NO NO HM DOUCHE SOL MEDICATE 07/01/2007 12/31/2029 NO NO MASSENGILL DCH POWDER 07/01/2007 12/31/2029 NO NO MASSENGILL SOL 07/01/2007 12/31/2029 NO NO MASSENGILL SOL CONC 07/01/2007 12/31/2029 NO NO MASSENGILL SOL CONC MED 07/01/2007 12/31/2029 NO NO OCEAN BREEZE SOL DOUCHE 07/01/2007 12/31/2029 NO NO OSCO DISP SOL SPR FLOW 07/01/2007 12/31/2029 NO NO RA DISPOSABL SOL DOUCHE 07/01/2007 12/31/2029 NO NO ROMANTIC MST SOL DOUCHE 07/01/2007 12/31/2029 NO NO SAV-ON DISP SOL DOUCHE 07/01/2007 12/31/2029 NO NO SPECIFICS SOL ALOE VER 07/01/2007 12/31/2029 NO NO SPECIFICS SOL CHAMOMIL 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL FRESH 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL ISLAND 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL POST MEN 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL TROPICAL 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Douche Products SUMMERS EVE SOL ULTRA 07/01/2007 12/31/2029 NO NO SUMMER'S EVE SOL MUSK 07/01/2007 12/31/2029 NO NO SUMMER'S EVE SOL POST-MEN 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL MUSK 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL SPR FLOW 07/01/2007 12/31/2029 NO NO TRICHOTINE DCH 07/01/2007 12/31/2029 NO YES TRICHOTINE SOL DCHS CON 07/01/2007 12/31/2029 NO YES TRIPLE CLEAN SOL DOUCHE 07/01/2007 12/31/2029 NO NO VAGISEC SOL CONC 07/01/2007 12/31/2029 NO NO YEAST-GARD SOL MED DISP 07/01/2007 12/31/2029 NO NO ZONITE SOL 07/01/2007 12/31/2029 NO NO Estradiol Acetate Vaginal FEMRING MIS 0.05/24H 07/01/2007 12/31/2029 NO YES FEMRING MIS 0.1MG/24 07/01/2007 12/31/2029 NO YES Estradiol Vaginal ESTRACE VAG CRE 0.1MG/GM 07/01/2007 12/31/2029 NO YES ESTRING MIS 2MG 07/01/2007 12/31/2029 NO YES VAGIFEM TAB 10MCG 07/01/2007 12/31/2029 NO YES VAGIFEM TAB 25MCG 07/01/2007 12/31/2029 NO YES YUVAFEM TAB 10MCG 07/01/2007 12/31/2029 NO NO Estrogens, Conjugated Vaginal PREMARIN VAG CRE 0.625MG 07/01/2007 12/31/2029 NO YES PREMARIN VAG CRE REFILL 07/01/2007 12/31/2029 NO YES Estropipate Vaginal OGEN CRE 1.5MG/GM 07/01/2007 12/31/2029 NO YES OGEN VAGINAL CRE 1.5MG/GM 07/01/2007 12/31/2029 NO YES Fertility Enhancers PRO-CEPTION MIS 07/01/2007 12/31/2029 NO YES PRO-CEPTION SOL 07/01/2007 12/31/2029 NO YES Gentian Violet Vaginal GENAPAX TAM 5MG 07/01/2007 12/31/2029 NO YES Hydrocortisone Vaginal MASSENGILL PAD MED CLTH 07/01/2007 12/31/2029 NO YES Metronidazole Vaginal METROGEL VAG GEL 0.75% 07/01/2007 12/31/2029 NO YES METROGEL-VAG GEL 0.75% 07/01/2007 12/31/2029 NO YES METRONIDAZOL GEL 0.75%VAG 07/01/2007 12/31/2029 NO NO NUVESSA GEL 1.3% 07/01/2007 12/31/2029 NO YES VANDAZOLE GEL 0.75% 07/01/2007 12/31/2029 NO NO Miconazole Nitrate Vaginal 3 DAY VAGNAL CRE 4% 07/01/2007 12/31/2029 NO NO AF-MICONAZOL CRE 7 DAY 07/01/2007 12/31/2029 NO NO BL MICONAZOL KIT COMBO PK 07/01/2007 12/31/2029 NO NO FEMIZOL-M CRE 2% 07/01/2007 12/31/2029 NO NO FV MICONAZ 7 CRE 2% 07/01/2007 12/31/2029 NO NO GNP MICONAZO KIT COMBO PK 07/01/2007 12/31/2029 NO NO HCA M-ZOLE 3 KIT 07/01/2007 12/31/2029 NO NO HM MICONAZ 7 CRE 2% 07/01/2007 12/31/2029 NO NO MDL MICONAZO CRE 2% 07/01/2007 12/31/2029 NO NO MICONAZOLE CRE 2% 07/01/2007 12/31/2029 NO NO MICONAZOLE CRE TUBE/KIT 07/01/2007 12/31/2029 NO NO MICONAZOLE KIT 200MG/2% 07/01/2007 12/31/2029 NO NO MICONAZOLE KIT COMBO 07/01/2007 12/31/2029 NO NO MICONAZOLE SUP 100MG 07/01/2007 12/31/2029 NO NO MICONAZOLE SUP 7 100MG 07/01/2007 12/31/2029 NO NO MICONAZOLE 1 KIT 07/01/2007 12/31/2029 NO NO MICONAZOLE 1 KIT 1200-2% 07/01/2007 12/31/2029 NO NO MICONAZOLE 1 KIT 1200MG2% 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 CRE 4% 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 KIT 200MG/2% 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Miconazole Nitrate Vaginal MICONAZOLE 3 KIT 4% 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 KIT COMBINAT 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 KIT COMBO 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 KIT COMBO PK 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 PAK COMBO PK 07/01/2007 12/31/2029 NO NO MICONAZOLE 3 SUP 200MG 07/01/2007 12/31/2029 NO YES MICONAZOLE 7 CRE 07/01/2007 12/31/2029 NO NO MICONAZOLE 7 CRE 2% 07/01/2007 12/31/2029 NO NO MICONAZOLE 7 CRE 2% W/APP 07/01/2007 12/31/2029 NO NO MICONAZOLE 7 CRE TUBE/KIT 07/01/2007 12/31/2029 NO NO MICONAZOLE 7 SUP 100MG 07/01/2007 12/31/2029 NO NO MONISTAT KIT DUAL-PAK 07/01/2007 12/31/2029 NO YES MONISTAT 1 KIT 1200/2% 07/01/2007 12/31/2029 NO YES MONISTAT 1 KIT 1200MG2% 07/01/2007 12/31/2029 NO YES MONISTAT 1 KIT DAY/NGHT 07/01/2007 12/31/2029 NO YES MONISTAT 3 CRE 4% 07/01/2007 12/31/2029 NO YES MONISTAT 3 KIT 200MG/2% 07/01/2007 12/31/2029 NO YES MONISTAT 3 KIT COMBINAT 07/01/2007 12/31/2029 NO YES MONISTAT 3 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MONISTAT 3 SUP 200MG 07/01/2007 12/31/2029 NO YES MONISTAT 5 TAM 100MG 07/01/2007 12/31/2029 NO YES MONISTAT 7 CRE 2% 07/01/2007 12/31/2029 NO YES MONISTAT 7 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MONISTAT 7 SUP 100MG 07/01/2007 12/31/2029 NO YES M-ZOLE 3 KIT COMBO PK 07/01/2007 12/31/2029 NO NO M-ZOLE 7 KIT DUAL PK 07/01/2007 12/31/2029 NO NO QC M-ZOLE 3 KIT COMBINAT 07/01/2007 12/31/2029 NO NO RA MICONAZOL CRE 2% 07/01/2007 12/31/2029 NO NO SAV-ON MICON CRE 7 07/01/2007 12/31/2029 NO NO SAV-ON MICON SUP 7 100MG 07/01/2007 12/31/2029 NO NO SB MICONAZOL SUP 7 100MG 07/01/2007 12/31/2029 NO NO SM MICON 7 SUP 100MG 07/01/2007 12/31/2029 NO NO VAGISTAT-3 KIT 200MG/2% 07/01/2007 12/31/2029 NO NO VAGISTAT-3 KIT COMBO PK 07/01/2007 12/31/2029 NO NO YEAST-X INT CRE 2% 07/01/2007 12/31/2029 NO NO Miconazole Nitrate Vaginal & Wipes MICONAZOLE 1 KIT COMBO 07/01/2007 12/31/2029 NO YES MONISTAT 1 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MONISTAT 3 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MONISTAT 3 KIT TRIPLE 07/01/2007 12/31/2029 NO YES MONISTAT 7 KIT COMBO PK 07/01/2007 12/31/2029 NO YES MONISTAT 7 KIT COMPLETE 07/01/2007 12/31/2029 NO YES Miscellaneous Vaginal Products FEMICINE SUP 07/01/2007 12/31/2029 NO YES REPHRESH KIT BALANCE 07/01/2007 12/31/2029 NO YES VAGINEX CARE SUP YEAST 07/01/2007 12/31/2029 NO YES VAGISIL YEAS SUP CONTROL 07/01/2007 12/31/2029 NO YES YEAST-GARD SUP 07/01/2007 12/31/2029 NO YES YEAST-X SUP 07/01/2007 12/31/2029 NO YES Nonoxynol-9 ADVANTAGE 24 GEL CNTRACEP 07/01/2007 12/31/2029 NO YES ADVANTAGE-S GEL 07/01/2007 12/31/2029 NO YES BECAUSE AER 8% 07/01/2007 12/31/2029 NO YES CONCEPTROL CRE 5% 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Nonoxynol-9 CONCEPTROL GEL 4% 07/01/2007 12/31/2029 NO YES CONCEPTROL SUP 150MG 07/01/2007 12/31/2029 NO YES DELFEN AER 07/01/2007 12/31/2029 NO YES DELFEN AER STARTER 07/01/2007 12/31/2029 NO YES DELFEN AER VAG FOAM 07/01/2007 12/31/2029 NO YES EMKO AER 8% 07/01/2007 12/31/2029 NO YES ENCARE GEL 4% 07/01/2007 12/31/2029 NO NO ENCARE SUP 100MG 07/01/2007 12/31/2029 NO YES ENCARE SUP 2.27% 07/01/2007 12/31/2029 NO YES GYNOL II GEL 2% 07/01/2007 12/31/2029 NO YES GYNOL II GEL 3% 07/01/2007 12/31/2029 NO YES GYNOL II GEL 3% X-STR 07/01/2007 12/31/2029 NO YES INTERCEPT SUP VAG 07/01/2007 12/31/2029 NO YES KOROMEX AER 07/01/2007 12/31/2029 NO YES KOROMEX GEL 2% 07/01/2007 12/31/2029 NO YES KOROMEX GEL 3% 07/01/2007 12/31/2029 NO YES KOROMEX SUP 125 MG 07/01/2007 12/31/2029 NO YES KY PLUS GEL SPERMICI 07/01/2007 12/31/2029 NO YES NONOXYNOL-9 SUP VAG 07/01/2007 12/31/2029 NO NO PREPAIR GEL 4% 07/01/2007 12/31/2029 NO NO RAMSES CRYST GEL 3% 07/01/2007 12/31/2029 NO YES RAMSES/SPERM GEL 3% 07/01/2007 12/31/2029 NO YES SEMICID CONT SUP VAG 07/01/2007 12/31/2029 NO YES SHUR-SEAL GEL 2% 07/01/2007 12/31/2029 NO YES TODAY SPONGE MIS 07/01/2007 12/31/2029 NO YES VAGINAL CONT MIS FILM 07/01/2007 12/31/2029 NO YES VCF VAGINAL AER CONTRACP 07/01/2007 12/31/2029 NO YES VCF VAGINAL GEL CONTRACE 07/01/2007 12/31/2029 NO NO VCF VAGINAL MIS CONTRACP 07/01/2007 12/31/2029 NO YES Nystatin Vaginal KOROSTATIN TAB 100000U 07/01/2007 12/31/2029 NO NO MYCOSTATIN TAB 100000U 07/01/2007 12/31/2029 NO YES NILSTAT TAB 100000U 07/01/2007 12/31/2029 NO YES NYSTATIN TAB 100000 07/01/2007 12/31/2029 NO YES NYSTATIN TAB 100000U 07/01/2007 12/31/2029 NO NO NYSTATIN VAG TAB 100000 07/01/2007 12/31/2029 NO YES Octoxynol KOROMEX CRE 3% 07/01/2007 12/31/2029 NO YES KOROMEX GEL 3% 07/01/2007 12/31/2029 NO YES ORTHO-GYNOL GEL 1% 07/01/2007 12/31/2029 NO YES ORTHO-GYNOL GEL 1% REF 07/01/2007 12/31/2029 NO YES Octoxynol-Sodium Lactate-Lactic Acid-Cetylpyridinium Cl DISP DOUCHE SOL BELLE FL 07/01/2007 12/31/2029 NO NO DISP DOUCHE SOL MOUN SPR 07/01/2007 12/31/2029 NO NO DISP DOUCHE SOL SPR RAIN 07/01/2007 12/31/2029 NO NO DISPOSABLE SOL DOUCHE 07/01/2007 12/31/2029 NO NO DOUCHE SOL BELLEFLR 07/01/2007 12/31/2029 NO NO DOUCHE TW PK SOL BELLE FL 07/01/2007 12/31/2029 NO NO MASSENGILL SOL 07/01/2007 12/31/2029 NO NO MASSENGILL SOL BABY POW 07/01/2007 12/31/2029 NO YES MASSENGILL SOL BELL MAI 07/01/2007 12/31/2029 NO NO MASSENGILL SOL C FLOWER 07/01/2007 12/31/2029 NO YES MASSENGILL SOL MOUN BRZ 07/01/2007 12/31/2029 NO NO MASSENGILL SOL SPR RAIN 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Octoxynol-Sodium Lactate-Lactic Acid-Cetylpyridinium Cl SWEET'NFRESH SOL BELLE FL 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL MOUNTAIN 07/01/2007 12/31/2029 NO NO Oxyquinolone Sulfate Vaginal TRIMO-SAN GEL 07/01/2007 12/31/2029 NO YES Oxytetracycline & Polymyxin B Sulfate Vag TERRAMYCIN TAB VAGINAL 07/01/2007 12/31/2029 NO YES Potassium Sorbate-Sod Lactate-Lactic Acid-Cetylpyridinium Cl MASSENGILL PAD CLOTH BP 07/01/2007 12/31/2029 NO YES Povidone-Iodine Vaginal BETADINE GEL 10% 07/01/2007 12/31/2029 NO YES BETADINE SUP 10% 07/01/2007 12/31/2029 NO YES BETADINE PKT SOL 0.3% 07/01/2007 12/31/2029 NO YES BETADINE RTU KIT 0.3% 07/01/2007 12/31/2029 NO YES BETADINE RTU SOL 0.3% 07/01/2007 12/31/2029 NO YES BETADINE RTU SOL 10% 07/01/2007 12/31/2029 NO YES BETADINE RTU SOL DCH 0.3% 07/01/2007 12/31/2029 NO YES DISP DOUCHE SOL 0.3% MED 07/01/2007 12/31/2029 NO NO DOUCHE MED SOL 0.3% 07/01/2007 12/31/2029 NO NO DOUCHE MED SOL TWIN PK 07/01/2007 12/31/2029 NO NO MASSENGILL SOL 0.3% MED 07/01/2007 12/31/2029 NO NO MED DOUCHE SOL 0.3% 07/01/2007 12/31/2029 NO NO MED DOUCHE SOL 10% 07/01/2007 12/31/2029 NO NO OPERAND SOL 10% 07/01/2007 12/31/2029 NO NO PHARMADINE SOL 0.3% DCH 07/01/2007 12/31/2029 NO NO POVIDEX DOUC SOL 10% 07/01/2007 12/31/2029 NO NO POVIDINE SOL 0.25% 07/01/2007 12/31/2029 NO NO POVIDINE SOL 0.3% 07/01/2007 12/31/2029 NO NO POVIDINE MED SOL 10% 07/01/2007 12/31/2029 NO NO POVIDONE SOL 0.3% DCH 07/01/2007 12/31/2029 NO NO POVIDONE/IOD SOL 10% 07/01/2007 12/31/2029 NO YES POVIDONE-IOD SOL 0.25% 07/01/2007 12/31/2029 NO NO POVIDONE-IOD SOL 0.3% 07/01/2007 12/31/2029 NO NO POVIDONE-IOD SOL 10% 07/01/2007 12/31/2029 NO NO POVI-DOUCHE SOL 0.3% 07/01/2007 12/31/2029 NO NO PROVIDINE SOL 0.25% 07/01/2007 12/31/2029 NO NO SAV-ON DOUCH SOL 0.3% MED 07/01/2007 12/31/2029 NO NO SUMMERS EVE SOL 0.3% 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL 0.30% 07/01/2007 12/31/2029 NO NO VAGINEX SOL 0.25% 07/01/2007 12/31/2029 NO NO YEAST-GARD SOL 0.3% 07/01/2007 12/31/2029 NO NO YEAST-GARD SOL 10% CONC 07/01/2007 12/31/2029 NO NO Prasterone Vaginal INTRAROSA SUP 6.5MG 07/01/2007 12/31/2029 NO YES Prebiotic Vaginal Products VH VAGINAL SUP PREBIOTI 07/01/2007 12/31/2029 NO YES Progesterone (Vaginal) CRINONE GEL 4% VAG 07/01/2007 12/31/2029 NO YES CRINONE GEL 8% VAG 07/01/2007 12/31/2029 NO YES ENDOMETRIN SUP 100MG 07/01/2007 12/31/2029 NO YES PROCHIEVE GEL 4% 07/01/2007 12/31/2029 NO YES PROCHIEVE GEL 8% VAG 07/01/2007 12/31/2029 NO YES PROGESTERONE SUP VGS 100 07/01/2007 12/31/2029 NO YES PROGESTERONE SUP VGS 200 07/01/2007 12/31/2029 NO YES PROGESTERONE SUP VGS 25 07/01/2007 12/31/2029 NO YES PROGESTERONE SUP VGS 400 07/01/2007 12/31/2029 NO YES PROGESTERONE SUP VGS 50 07/01/2007 12/31/2029 NO YES Sodium Bicarbonate Vaginal MASSENGILL SOL BAK SODA 07/01/2007 12/31/2029 NO NO SWEET'NFRESH SOL BAK SODA 07/01/2007 12/31/2029 NO NO

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Sodium Perborate-Sodium Lauryl Sulfate Vaginal TRICHOTINE POW POWD VAG 07/01/2007 12/31/2029 NO YES TRICHOTINE POW VAG DUCH 07/01/2007 12/31/2029 NO YES Sulfanilamide Vaginal A-VAGINAL CRE 15% 07/01/2007 12/31/2029 NO NO AVC CRE 15% 07/01/2007 12/31/2029 NO YES AVC SUP 1.05GM 07/01/2007 12/31/2029 NO YES AVITROL-VAG CRE 15% 07/01/2007 12/31/2029 NO NO SULFANILAMID CRE 15% 07/01/2007 12/31/2029 NO NO VAGINAL SULF CRE 15% 07/01/2007 12/31/2029 NO NO VAGITROL CRE 15% 07/01/2007 12/31/2029 NO YES Sulfanilamide-Allan-Aminacrine Vag A-VAGINAL CRE SULFA 07/01/2007 12/31/2029 NO NO AVITROL CRE VAG 07/01/2007 12/31/2029 NO NO CERVEX CRE VAG 07/01/2007 12/31/2029 NO NO DELTAVAC CRE VAG 07/01/2007 12/31/2029 NO NO DITI CRE VAG 07/01/2007 12/31/2029 NO NO FEMGUARD CRE VAG 07/01/2007 12/31/2029 NO NO NIL VAGINAL CRE 07/01/2007 12/31/2029 NO NO PAR CREAM CRE VAG 07/01/2007 12/31/2029 NO NO PAR VAG SUP 07/01/2007 12/31/2029 NO NO SULFA VAGIN SUP 07/01/2007 12/31/2029 NO NO SULFA/AM/ALL CRE VAG 07/01/2007 12/31/2029 NO NO SULNAC CRE VAG 07/01/2007 12/31/2029 NO NO TRICHOLAN CRE VAG 07/01/2007 12/31/2029 NO NO TRICHOLAN SUP 07/01/2007 12/31/2029 NO NO VAGACREME CRE 07/01/2007 12/31/2029 NO NO VAGAMIDE CRE 07/01/2007 12/31/2029 NO NO VAGINAL CRE 07/01/2007 12/31/2029 NO NO VAGINAL ANTI CRE BACTERIA 07/01/2007 12/31/2029 NO NO VAGINAL SULF CRE 07/01/2007 12/31/2029 NO NO VAGINAL-SULF SUP 07/01/2007 12/31/2029 NO NO VAGIREX CRE 07/01/2007 12/31/2029 NO NO Sulfisoxazole-Allan-Aminacrine Vag CANTRI VAGIN CRE 07/01/2007 12/31/2029 NO NO VAGILIA CRE 07/01/2007 12/31/2029 NO YES Terconazole Vaginal TERAZOL 3 CRE 0.8% 07/01/2007 12/31/2029 NO YES TERAZOL 3 SUP 80MG 07/01/2007 12/31/2029 NO YES TERAZOL 7 CRE 0.4% 07/01/2007 12/31/2029 NO YES TERCONAZOLE CRE 0.4% 07/01/2007 12/31/2029 NO NO TERCONAZOLE CRE 0.8% 07/01/2007 12/31/2029 NO NO TERCONAZOLE SUP 80MG 07/01/2007 12/31/2029 NO NO ZAZOLE CRE 0.4% 07/01/2007 12/31/2029 NO NO ZAZOLE CRE 0.8% 07/01/2007 12/31/2029 NO NO ZAZOLE SUP 80MG 07/01/2007 12/31/2029 NO NO Thymol-Alum-Eucalyptus-Methyl Salicylate-Menthol-Phenol MASSENGILL PAK 07/01/2007 12/31/2029 NO YES MASSENGILL POW 07/01/2007 12/31/2029 NO YES MASSENGILL POW POWDER 07/01/2007 12/31/2029 NO NO Tioconazole Vaginal 1-DAY 6.5% OIN MONISTAT 07/01/2006 12/31/2029 NO NO MONISTAT 1 OIN 6.5% VAG 07/01/2006 12/31/2029 NO YES TIOCONAZOLE OIN 1 07/01/2006 12/31/2029 NO NO TIOCONAZOLE OIN -1 07/01/2006 12/31/2029 NO NO TIOCONAZOLE OIN 6.5% VAG 07/01/2006 12/31/2029 NO NO VAGISTAT OIN 6.5% VAG 07/01/2006 12/31/2029 NO YES VAGISTAT-1 OIN 6.5% 07/01/2006 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Tioconazole Vaginal VAGISTAT-1 OIN 6.5% VAG 07/01/2006 12/31/2029 NO YES Tripelennamine HCl Vaginal VAGINEX CRE 07/01/2007 12/31/2029 NO YES Triple Sulfas Vaginal ALBA GYN CRE VAG 07/01/2007 12/31/2029 NO NO DITI #3 CRE VAG 07/01/2007 12/31/2029 NO NO GYNE SULF CRE VAG 07/01/2007 12/31/2029 NO NO SULFA-GYN CRE VAG 07/01/2007 12/31/2029 NO NO SULTRIN CRE VAG 07/01/2007 12/31/2029 NO YES SULTRIN TAB VAG 07/01/2007 12/31/2029 NO YES TRIPLE SULFA CRE VAG 07/01/2007 12/31/2029 NO YES TRIPLE SULFA TAB VAG 07/01/2007 12/31/2029 NO YES TRIPLE VAG CRE 07/01/2007 12/31/2029 NO NO TRYSUL CRE VAG 07/01/2007 12/31/2029 NO NO VAGILIA CRE VAG 07/01/2007 12/31/2029 NO NO VAGINAL SULF CRE 07/01/2007 12/31/2029 NO NO Triple Sulfas-Urea DAYTON SULFA CRE VAG 07/01/2007 12/31/2029 NO YES V.V.S. CRE 07/01/2007 12/31/2029 NO NO Vaginal Cleanser CLEANSING LIQ WASH 07/01/2007 12/31/2029 NO NO FEMININE WSH LIQ NORMAL 07/01/2007 12/31/2029 NO NO FEMININE WSH LIQ SENSITIV 07/01/2007 12/31/2029 NO NO LUVENA DAILY LIQ WASH 07/01/2007 12/31/2029 NO YES LUVENA RESTR LIQ VAG RINS 07/01/2007 12/31/2029 NO YES MASSENGILL LIQ FEM WASH 07/01/2007 12/31/2029 NO NO SAUGELLA LIQ WASH 07/01/2007 12/31/2029 NO YES SUMMERS EVE LIQ MIST 07/01/2007 12/31/2029 NO YES SUMMERS EVE LIQ WASH 07/01/2007 12/31/2029 NO YES VAGINEX WASH LIQ 07/01/2007 12/31/2029 NO YES VAGISIL LIQ FEM WASH 07/01/2007 12/31/2029 NO YES Vaginal Lubricant ALOE VER VAG GEL LUBRICAT 07/01/2007 12/31/2029 NO YES CONDOM-MATE SUP 07/01/2007 12/31/2029 NO YES CVS VAGINAL GEL MOISTURI 07/01/2007 12/31/2029 NO NO DURALGINA SUP 07/01/2007 12/31/2029 NO NO FEMI FORMS SUP VAG 07/01/2007 12/31/2029 NO NO FEMINEASE CRE 07/01/2007 12/31/2029 NO YES FEMININE SUP FLOWER 07/01/2007 12/31/2029 NO NO LUBRIN SUP 07/01/2007 12/31/2029 NO YES LUBRIN DUO KIT 07/01/2007 12/31/2029 NO YES NORFORMS SUP 07/01/2007 12/31/2029 NO NO NORFORMS SUP HERBAL 07/01/2007 12/31/2029 NO NO NORFORMS SUP UNSC 07/01/2007 12/31/2029 NO NO NORFORMS FEM SUP 07/01/2007 12/31/2029 NO YES PERSONAL LUB OIN 07/01/2007 12/31/2029 NO NO REPHRESH GEL 07/01/2007 12/31/2029 NO NO REPLENS GEL 07/01/2007 12/31/2029 NO YES REPLENS GEL VAG 07/01/2007 12/31/2029 NO YES SUMMER'S EVE SUP 3% 07/01/2007 12/31/2029 NO YES TODAY PERSON OIN LUBR 07/01/2007 12/31/2029 NO YES TRANSI-LUBE OIN 6000U 07/01/2007 12/31/2029 NO NO Vaginal Moisturizer K-Y LIQUIBDS SUP 07/01/2007 12/31/2029 NO YES K-Y LONG CRE LASTING 07/01/2007 12/31/2029 NO YES K-Y SILK-E GEL 07/01/2007 12/31/2029 NO YES LUVENA SOL LUBRICAN 07/01/2007 12/31/2029 NO YES

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DRUG CLASS DRUG NAME PRODUCT DESCRIPTION EFF DATE TERM DATE PA RQRD BRAND *VAGINAL PRODUCTS* Vaginal Moisturizer LUVENA MOIST GEL LUBRICAN 07/01/2007 12/31/2029 NO YES RA LUBRICAT GEL MOISTURZ 07/01/2007 12/31/2029 NO YES VAGINAL GEL MOISTER 07/01/2007 12/31/2029 NO YES VAGISIL FEM LOT MOISTURI 07/01/2007 12/31/2029 NO YES

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