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Preferred Drug List

Preferred Drug List

Kansas State Employee Second Generation cefprozil Health Plan NSAIDs axetil diclofenac sodium delayed-rel Preferred Drug List diflunisal Third Generation etodolac cefdinir 2021 ibuprofen cefixime (SUPRAX) meloxicam nabumetone Erythromycins/Macrolides naproxen sodium tabs azithromycin naproxen tabs clarithromycin oxaprozin clarithromycin ext-rel sulindac erythromycin delayed-rel erythromycin ethylsuccinate NSAIDs, COMBINATIONS erythromycin stearate diclofenac sodium delayed-rel/misoprostol fidaxomicin (DIFICID)

Effective 04/01/2021 NSAIDs, TOPICAL Fluoroquinolones diclofenac sodium 1% ciprofloxacin For questions or additional information, diclofenac sodium soln levofloxacin access the State of Kansas website at moxifloxacin http://www.kdheks.gov/hcf/sehp or call COX-2 INHIBITORS Penicillins the Kansas State Employees Prescription celecoxib Drug Program at 1-800-294-6324. amoxicillin/clavulanate The Preferred Drug List is subject to change. GOUT amoxicillin/clavulanate ext-rel To locate covered prescriptions online, allopurinol ampicillin access the State of Kansas website at colchicine tabs dicloxacillin http://www.kdheks.gov/hcf/sehp for the probenecid penicillin VK most current drug list. colchicine (MITIGARE) What is a Preferred Drug List? OPIOID ANALGESICS doxycycline hyclate A Preferred Drug List is a list of safe and buprenorphine transdermal minocycline cost-effective drugs, chosen by a committee codeine/acetaminophen of physicians and pharmacists. Drug lists fentanyl transdermal have been used in hospitals for many years fentanyl transmucosal lozenge to help ensure quality drug use. The Kansas ANTIFUNGALS hydrocodone ext-rel State Employees Preferred Drug List will be clotrimazole troches hydrocodone/acetaminophen continually revised to reflect the changing fluconazole hydromorphone drug market. griseofulvin ultramicrosize hydromorphone ext-rel itraconazole Should I ask my physician to switch my methadone nystatin current to a that morphine terbinafine tabs is on the Preferred Drug List? morphine ext-rel voriconazole Many of your medications will already be on morphine supp oxycodone caps 5 mg the Preferred Drug List. However, if you ANTIMALARIALS have a medication that is not, ask your oxycodone concentrate 20 mg/mL oxycodone soln 5 mg/5 mL atovaquone/proguanil physician to choose a similar Preferred Drug chloroquine List product for you to use. oxycodone tabs 5 mg, 15 mg, 30 mg oxycodone/acetaminophen 5/325 mefloquine

Should I use generics? tramadol * There are many medications on the market tramadol ext-rel ANTITUBERCULAR AGENTS that do not come in generic form. For those buprenorphine (BELBUCA) ethambutol drugs that do, your pharmacist should fentanyl sublingual spray (SUBSYS) isoniazid suggest safe and effective generic oxycodone ext-rel (XTAMPZA ER) pyrazinamide alternatives. tapentadol (NUCYNTA) rifampin tapentadol ext-rel (NUCYNTA ER) This document is subject to state-specific ANTIVIRALS regulations and rules, including, but not * Listing does not include NDC 52817019610. Drug products are identified by unique numerical product Cytomegalovirus Agents limited to, those regarding generic identifiers, called National Drug Codes (NDC), which substitution, controlled substance schedules, identify the manufacturer, strength, dosage form, valganciclovir preference for brands and mandatory formulation and package size. generics whenever applicable. Herpes Agents ANTI-INFECTIVES acyclovir caps, tabs Boldface type indicates generic availability; famciclovir boldface may not apply to every strength or ANTIBACTERIALS valacyclovir dosage form under the listed generic name. Cephalosporins First Generation Influenza Agents cefadroxil oseltamivir cephalexin (RELENZA)

1 MISCELLANEOUS perindopril flecainide clindamycin quinapril propafenone dapsone ramipril propafenone ext-rel ivermectin trandolapril sotalol linezolid dronedarone (MULTAQ) ACE INHIBITOR/CALCIUM CHANNEL nitrofurantoin ext-rel BLOCKER COMBINATIONS ANTILIPEMICS nitrofurantoin macrocrystals amlodipine/benazepril ACL Inhibitors/Combinations nitrofurantoin susp * trandolapril/ ext-rel bempedoic acid (NEXLETOL) pyrimethamine bempedoic acid/ezetimibe (NEXLIZET) sulfamethoxazole/trimethoprim sulfamethoxazole/trimethoprim DS ACE INHIBITOR/DIURETIC tinidazole COMBINATIONS Bile Acid Resins trimethoprim benazepril/hydrochlorothiazide cholestyramine vancomycin caps captopril/hydrochlorothiazide colesevelam mebendazole chewable (EMVERM) enalapril/hydrochlorothiazide colestipol 550 mg (XIFAXAN) fosinopril/hydrochlorothiazide lisinopril/hydrochlorothiazide Cholesterol Absorption Inhibitors * Listing does not include NDC 70408023932. Drug quinapril/hydrochlorothiazide ezetimibe products are identified by unique numerical product identifiers, called National Drug Codes (NDC), which identify the manufacturer, strength, dosage form, ADRENOLYTICS, CENTRAL Fibrates formulation and package size. fenofibrate * clonidine transdermal fenofibric acid delayed-rel ANTINEOPLASTIC AGENTS guanfacine gemfibrozil

ALKYLATING AGENTS * Listing does not include fenofibrate capsule 50 mg, 130 cyclophosphamide caps ALDOSTERONE RECEPTOR mg; fenofibrate tablet 40 mg, 120 mg. melphalan ANTAGONISTS busulfan (MYLERAN) eplerenone HMG-CoA Reductase chlorambucil (LEUKERAN) Inhibitors/Combinations atorvastatin ANTIMETABOLITES ALPHA BLOCKERS ezetimibe/simvastatin mercaptopurine doxazosin fluvastatin methotrexate (TREXALL) terazosin lovastatin thioguanine (TABLOID) pravastatin rosuvastatin ANGIOTENSIN II RECEPTOR simvastatin HORMONAL ANTINEOPLASTIC AGENTS ANTAGONISTS/DIURETIC COMBINATIONS Niacins candesartan niacin ext-rel flutamide candesartan/hydrochlorothiazide irbesartan Omega-3 Fatty Acids irbesartan/hydrochlorothiazide omega-3 acid ethyl esters tamoxifen losartan icosapent ethyl (VASCEPA) losartan/hydrochlorothiazide Aromatase Inhibitors olmesartan BETA-BLOCKERS anastrozole olmesartan/hydrochlorothiazide atenolol exemestane telmisartan bisoprolol letrozole telmisartan/hydrochlorothiazide valsartan carvedilol phosphate ext-rel valsartan/hydrochlorothiazide Progestins labetalol tabs metoprolol succinate ext-rel ANGIOTENSIN II RECEPTOR metoprolol tartrate MISCELLANEOUS ANTAGONIST/CALCIUM CHANNEL nadolol etoposide BLOCKER COMBINATIONS pindolol hydroxyurea amlodipine/olmesartan tretinoin caps amlodipine/telmisartan propranolol ext-rel (LYSODREN) amlodipine/valsartan nebivolol (BYSTOLIC) procarbazine (MATULANE) uridine triacetate (VISTOGARD) ANGIOTENSIN II RECEPTOR BETA-BLOCKER/DIURETIC COMBINATIONS CARDIOVASCULAR ANTAGONIST//DIURETIC COMBINATIONS atenolol/chlorthalidone bisoprolol/hydrochlorothiazide amlodipine/valsartan/hydrochlorothiazide ACE INHIBITORS metoprolol/hydrochlorothiazide olmesartan/amlodipine/hydrochlorothiazide benazepril captopril enalapril ANTIARRHYTHMICS CALCIUM CHANNEL BLOCKERS fosinopril amiodarone Dihydropyridines lisinopril disopyramide amlodipine

2 felodipine ext-rel Transdermal ANTIDEPRESSANTS nifedipine ext-rel nitroglycerin transdermal Monoamine Oxidase Inhibitors (MAOIs)

phenelzine Nondihydropyridines MISCELLANEOUS diltiazem ext-rel * hydralazine verapamil ext-rel methyldopa Selective Serotonin Reuptake Inhibitors midodrine * Listing does not include generics for CARDIZEM LA (SSRIs) ranolazine ext-rel citalopram

CALCIUM CHANNEL escitalopram CENTRAL NERVOUS SYSTEM fluoxetine * BLOCKER/ANTILIPEMIC COMBINATIONS HCl amlodipine/atorvastatin ANTIANXIETY paroxetine HCl ext-rel Benzodiazepines sertraline DIGITALIS GLYCOSIDES alprazolam vortioxetine (TRINTELLIX) 0.125 mg, 0.25 mg clonazepam digoxin ped elixir diazepam * Listing does not include fluoxetine tablet 60 mg, lorazepam fluoxetine tablet (generics for SARAFEM).

DIRECT RENIN INHIBITORS/DIURETIC oxazepam Serotonin Norepinephrine Reuptake COMBINATIONS Miscellaneous Inhibitors (SNRIs) aliskiren buspirone desvenlafaxine ext-rel aliskiren/hydrochlorothiazide (TEKTURNA HCT) clomipramine duloxetine delayed-rel

fluvoxamine venlafaxine DIURETICS venlafaxine ext-rel Carbonic Anhydrase Inhibitors Tricyclic Antidepressants (TCAs) acetazolamide acetazolamide ext-rel carbamazepine ext-rel desipramine methazolamide clobazam doxepin diazepam rectal gel HCl Loop Diuretics divalproex sodium delayed-rel bumetanide divalproex sodium ext-rel furosemide ethosuximide torsemide gabapentin Miscellaneous Agents Potassium-sparing Diuretics lamotrigine ext-rel bupropion ext-rel mirtazapine amiloride lamotrigine orally disintegrating tabs trazodone triamterene levetiracetam

levetiracetam ext-rel and -like Diuretics ANTIPARKINSONIAN AGENTS chlorthalidone phenobarbital amantadine hydrochlorothiazide phenytoin benztropine indapamide phenytoin sodium extended metolazone primidone carbidopa/levodopa rufinamide carbidopa/levodopa ext-rel tiagabine Diuretic Combinations carbidopa/levodopa orally disintegrating tabs carbidopa/levodopa/entacapone amiloride/hydrochlorothiazide topiramate ext-rel * entacapone spironolactone/hydrochlorothiazide valproic acid pramipexole triamterene/hydrochlorothiazide zonisamide pramipexole ext-rel

cenobamate (XCOPRI) rasagiline HEART FAILURE diazepam (VALTOCO) isosorbide dinitrate/hydralazine (BIDIL) lacosamide (VIMPAT) ropinirole ext-rel ivabradine (CORLANOR) midazolam nasal spray (NAYZILAM) selegiline /valsartan (ENTRESTO) oxcarbazepine ext-rel (OXTELLAR XR) trihexyphenidyl perampanel (FYCOMPA) rotigotine transdermal (NEUPRO) NITRATES topiramate ext-rel (TROKENDI XR)

Oral * Listing does not include topiramate ext-rel capsule ANTIPSYCHOTICS isosorbide dinitrate * (generics for QUDEXY XR). Atypicals isosorbide mononitrate aripiprazole isosorbide mononitrate ext-rel ANTIDEMENTIA clozapine donepezil olanzapine * Listing does not include isosorbide dinitrate 40 mg. galantamine quetiapine

galantamine ext-rel quetiapine ext-rel Sublingual/Translingual memantine nitroglycerin lingual spray memantine ext-rel ziprasidone nitroglycerin sublingual rivastigmine aripiprazole ext-rel injection (ABILIFY MAINTENA) rivastigmine transdermal cariprazine (VRAYLAR) memantine/donepezil (NAMZARIC)

3 lurasidone (LATUDA) Miscellaneous Smoking Deterrents risperidone ext-rel inj (PERSERIS) (REYVOW) bupropion ext-rel (NURTEC ODT) Miscellaneous (UBRELVY) ENDOCRINE AND METABOLIC chlorpromazine fluphenazine Preventive Agents haloperidol Monoclonal Antibodies testosterone cypionate perphenazine -aooe (AIMOVIG) testosterone enanthate thiothixene -vfrm (AJOVY) testosterone gel * trifluoperazine -gnlm (EMGALITY) testosterone soln testosterone transdermal (ANDRODERM) ATTENTION DEFICIT HYPERACTIVITY MOOD STABILIZERS * Listing does not include the authorized generics for DISORDER lithium carbonate TESTIM and VOGELXO. amphetamine/ mixed salts lithium carbonate ext-rel amphetamine/dextroamphetamine mixed salts ANTIDIABETICS ext-rel ^ MUSCULOSKELETAL THERAPY AGENTS atomoxetine Alpha-glucosidase Inhibitors baclofen acarbose dexmethylphenidate carisoprodol dexmethylphenidate ext-rel chlorzoxazone 500 mg * Analogs dextroamphetamine cyclobenzaprine ** (SYMLINPEN) dextroamphetamine ext-rel dantrolene guanfacine ext-rel metaxalone 800 mg methylphenidate methocarbamol *** Biguanides methylphenidate ext-rel ^ tizanidine tabs metformin amphetamine/dextroamphetamine mixed salts ext- metformin ext-rel * rel (MYDAYIS) * Listing does not include NDC 73007001303. Drug lisdexamfetamine (VYVANSE) products are identified by unique numerical product * Listing does not include generics for FORTAMET and identifiers, called National Drug Codes (NDC), which GLUMETZA. ^ Listing does not include certain NDCs. Drug products identify the manufacturer, strength, dosage form, are identified by unique numerical product identifiers, formulation and package size. Biguanide/ Combinations called National Drug Codes (NDC), which identify the manufacturer, strength, dosage form, formulation and ** Listing does not include cyclobenzaprine tablet 7.5 mg. glipizide/metformin package size. *** Listing does not include NDCs 69036091010, 69036093090 and 70868090190. Drug products are Dipeptidyl Peptidase-4 (DPP-4) Inhibitors FIBROMYALGIA identified by unique numerical product identifiers, called sitagliptin phosphate (JANUVIA) National Drug Codes (NDC), which identify the pregabalin manufacturer, strength, dosage form, formulation and package size. Dipeptidyl Peptidase-4 (DPP-4) HYPNOTICS Inhibitor/Biguanide Combinations Benzodiazepines MYASTHENIA GRAVIS sitagliptin/metformin (JANUMET) temazepam pyridostigmine sitagliptin/metformin ext-rel (JANUMET XR) pyridostigmine ext-rel Nonbenzodiazepines Incretin Mimetic Agents eszopiclone NARCOLEPSY (TRULICITY) ramelteon armodafinil (VICTOZA) zolpidem solriamfetol (SUNOSI) (OZEMPIC) zolpidem ext-rel semaglutide (RYBELSUS) zolpidem sublingual POSTHERPETIC NEURALGIA (PHN) Incretin Mimetic Agent/ (BELSOMRA) gabapentin ext-rel (GRALISE) Combinations Tricyclics liraglutide/ (XULTOPHY) doxepin PSYCHOTHERAPEUTIC- / (SOLIQUA) MISCELLANEOUS MIGRAINE Alcohol Deterrents acamprosate calcium (FIASP) Acute Migraine Agents disulfiram insulin aspart (NOVOLOG) Derivatives insulin aspart protamine 70%/insulin aspart 30% inj Opioid Antagonists (NOVOLOG MIX 70/30)

naloxone inj insulin degludec (TRESIBA) naltrexone (LEVEMIR) naloxone nasal spray (NARCAN) insulin glargine (BASAGLAR) insulin glargine (TOUJEO) Partial Opioid /Opioid Antagonist insulin human (HUMULIN R U-500) insulin human (NOVOLIN R) sumatriptan inj Combinations insulin isophane human (NOVOLIN N) sumatriptan nasal spray buprenorphine/naloxone sublingual insulin isophane human 70%/regular 30% buprenorphine/naloxone sublingual tabs (ZUBSOLV) (NOVOLIN 70/30) sumatriptan inj (ZEMBRACE SYMTOUCH) sumatriptan nasal powder (ONZETRA XSAIL) Pseudobulbar Affect Agents Insulin Sensitizers zolmitriptan nasal spray (ZOMIG) dextromethorphan/quinidine (NUEDEXTA) pioglitazone

4 Insulin Sensitizer/Biguanide Monophasic GLUCOSE ELEVATING AGENTS Combinations 20 mcg nasal powder (BAQSIMI) pioglitazone/metformin /EE 3/20 glucagon subcutaneous soln (GVOKE) drospirenone/EE/levomefolate 3/20 and glucagon, human recombinant (GLUCAGEN Insulin Sensitizer/Sulfonylurea levomefolate HYPOKIT) glucagon, human recombinant (GLUCAGON Combinations /EE 0.1/20 - Lessina norethindrone acetate/EE 1/20 EMERGENCY KIT) pioglitazone/glimepiride norethindrone acetate/EE 1/20 and iron

norethindrone acetate/EE 1/20 and iron chewable Meglitinides HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS nateglinide 30 mcg Estrogen repaglinide calcitriol (1,25-D3) /EE 0.15/30 doxercalciferol drospirenone/EE 3/30 Sodium-Glucose Co-Transporter 2 paricalcitol drospirenone/EE/levomefolate 3/30 and (SGLT2) Inhibitors levomefolate dapagliflozin (FARXIGA) levonorgestrel/EE 0.15/30 - Levora MENOPAUSAL SYMPTOM AGENTS empagliflozin (JARDIANCE) norethindrone acetate/EE 1.5/30 Oral norethindrone acetate/EE 1.5/30 and iron EE/norethindrone acetate - Jinteli Sodium-Glucose Co-Transporter 2 /EE 0.3/30 - Low-Ogestrel (SGLT2) Inhibitor/Biguanide estradiol/norethindrone 35 mcg Estrogen , conjugated/bazedoxifene (DUAVEE) Combinations ethynodiol diacetate/EE 1/35 - Zovia 1/35 estrogens, conjugated/ dapagliflozin/metformin ext-rel (XIGDUO XR) norethindrone/EE 0.5/35 (PREMPHASE) empagliflozin/metformin (SYNJARDY) norethindrone/EE 1/35 estrogens, conjugated/medroxyprogesterone empagliflozin/metformin ext-rel (SYNJARDY XR) /EE 0.25/35 (PREMPRO)

Sodium-Glucose Co-Transporter 2 Biphasic Transdermal (SGLT2) Inhibitor/Dipeptidyl Peptidase-4 desogestrel/EE estradiol (DPP-4) Inhibitor Combinations norethindrone acetate/EE 1/10 and EE 10 and iron estradiol (DIVIGEL) empagliflozin/linagliptin (GLYXAMBI) (LO LOESTRIN FE) estradiol (EVAMIST) estradiol/levonorgestrel (CLIMARA PRO) Sodium-glucose Co-transporter 2 (Sglt2) Triphasic estradiol/norethindrone acetate (COMBIPATCH) Inhibitor / Dipeptidyl Peptidase-4 (Dpp-4) desogestrel/EE Vaginal Inhibitor / Biguanide Combinations levonorgestrel/EE - Trivora norethindrone/EE estradiol vaginal crm empagliflozin/linagliptin/metformin ext-rel norgestimate/EE estradiol vaginal inserts (IMVEXXY) (TRIJARDY XR) estradiol vaginal tabs (VAGIFEM)

Extended Cycle levonorgestrel/EE 0.1/20 and EE 10 glimepiride PHOSPHATE BINDER AGENTS levonorgestrel/EE 0.15/30 glipizide calcium acetate levonorgestrel/EE 0.15/30 and EE 10 glipizide ext-rel sevelamer carbonate

calcium acetate (PHOSLYRA) Progestin Only sucroferric oxyhydroxide (VELPHORO) Supplies norethindrone BD ULTRAFINE insulin syringes and needles lancets POTASSIUM-REMOVING AGENTS ONETOUCH ULTRA kits and test strips Injectable patiromer sorbitex (VELTASSA) ONETOUCH VERIO kits and test strips medroxyprogesterone acetate 150 mg/mL sodium zirconium cyclosilicate (LOKELMA)

ANTIOBESITY Transdermal PROGESTINS /EE liraglutide (SAXENDA) Oral

medroxyprogesterone acetate Vaginal CALCIUM REGULATORS susp /EE ring norethindrone acetate Bisphosphonates acetate/EE ring (ANNOVERA) , micronized alendronate ibandronate risedronate SELECTIVE risedronate delayed-rel MODULATORS elagolix (ORILISSA) raloxifene

Calcitonins -salmon spray THYROID AGENTS Antithyroid Agents CARNITINE DEFICIENCY AGENTS methimazole levocarnitine propylthiouracil CONTRACEPTIVES Thyroid Supplements EE = ethinyl estradiol levothyroxine levothyroxine (SYNTHROID)

5 levothyroxine - Levoxyl IRRITABLE BOWEL SYNDROME tolterodine liothyronine Irritable Bowel Syndrome with tolterodine ext-rel trospium Constipation trospium ext-rel UTERINE FIBROIDS linaclotide (LINZESS) elagolix sodium/estradiol/norethindrone acetate fesoterodine ext-rel (TOVIAZ) mirabegron ext-rel (MYRBETRIQ) (ORIAHNN) Irritable Bowel Syndrome with Diarrhea

alosetron VAGINAL ANTI-INFECTIVES VASOPRESSINS eluxadoline (VIBERZI) clindamycin crm desmopressin spray, tabs metronidazole LAXATIVES terconazole MISCELLANEOUS lactulose soln peg 3350/electrolytes MISCELLANEOUS sodium picosulfate/magnesium oxide/citric acid bethanechol (CLENPIQ) GASTROINTESTINAL potassium citrate ext-rel

ANTIDIARRHEALS OPIOID-INDUCED CONSTIPATION HEMATOLOGIC diphenoxylate/atropine naldemedine (SYMPROIC) loperamide naloxegol (MOVANTIK) ANTICOAGULANTS Injectable ANTIEMETICS PANCREATIC ENZYMES enoxaparin aprepitant pancrelipase (VIOKACE) doxylamine/pyridoxine delayed-rel pancrelipase delayed-rel (CREON) dronabinol Oral pancrelipase delayed-rel (ZENPEP) warfarin granisetron meclizine apixaban (ELIQUIS) PROSTAGLANDINS rivaroxaban (XARELTO) misoprostol prochlorperazine Synthetic Heparinoid-like Agents promethazine PROTON PUMP INHIBITORS scopolamine transdermal esomeprazole delayed-rel trimethobenzamide lansoprazole delayed-rel PLATELET AGGREGATION INHIBITORS granisetron transdermal (SANCUSO) omeprazole delayed-rel clopidogrel pantoprazole delayed-rel tabs dipyridamole ANTISPASMODICS dexlansoprazole delayed-rel (DEXILANT) dipyridamole ext-rel/aspirin dicyclomine prasugrel SALIVA STIMULANTS ticagrelor (BRILINTA) CHOLELITHOLYTICS cevimeline ursodiol pilocarpine tabs PLATELET SYNTHESIS INHIBITORS anagrelide

H2 RECEPTOR ANTAGONISTS , RECTAL hydrocortisone crm MISCELLANEOUS famotidine /pramoxine foam cilostazol (PROCTOFOAM-HC)

INFLAMMATORY BOWEL DISEASE IMMUNOLOGIC AGENTS ULCER THERAPY COMBINATIONS Oral Agents ALLERGENIC EXTRACTS balsalazide lansoprazole + amoxicillin + clarithromycin A) ragweed pollen extract (RAGWITEK) delayed-rel caps bismuth/metronidazole/tetracycline (PYLER timothy grass pollen allergen extract (GRASTEK) budesonide ext-rel mesalamine delayed-rel caps MISCELLANEOUS mesalamine delayed-rel tabs * sucralfate tablet DISEASE-MODIFYING ANTIRHEUMATIC mesalamine ext-rel caps DRUGS (DMARDs) sulfasalazine GENITOURINARY hydroxychloroquine sulfasalazine delayed-rel leflunomide mesalamine delayed-rel tabs (ASACOL HD) BENIGN PROSTATIC HYPERPLASIA methotrexate mesalamine ext-rel caps (PENTASA) alfuzosin ext-rel IMMUNOSUPPRESSANTS * Listing does not include mesalamine delayed-rel tablet dutasteride/tamsulosin 800 mg. Antimetabolites finasteride azathioprine silodosin azathioprine (AZASAN) Rectal Agents tamsulosin hydrocortisone enema mesalamine susp NUTRITIONAL/SUPPLEMENTS hydrocortisone acetate foam (CORTIFOAM) URINARY ANTISPASMODICS darifenacin ext-rel ELECTROLYTES oxybutynin Potassium oxybutynin ext-rel potassium chloride ext-rel solifenacin potassium chloride liquid

6 VITAMINS AND MINERALS ANTITUSSIVES / (BREO ELLIPTA) ^ Folic Acid/Combinations benzonatate * ^ Listing does not include certain NDCs. Drug products folic acid are identified by unique numerical product identifiers, * Listing does not include NDCs 69336012615 and called National Drug Codes (NDC), which identify the folic acid/vitamin B6/vitamin B12 69499032915. Drug products are identified by unique manufacturer, strength, dosage form, formulation and numerical product identifiers, called National Drug Codes package size. Prenatal Vitamins (NDC), which identify the manufacturer, strength, dosage form, formulation and package size. prenatal vitamins prenatal vitamins/DHA/docusate/folic acid INHALANTS (CITRANATAL 90 DHA) ANTITUSSIVE COMBINATIONS budesonide inhalation susp prenatal vitamins/DHA/docusate/folic acid Opioid beclomethasone breath-activated aerosol (QVAR (CITRANATAL DHA) codeine/guaifenesin liquid REDIHALER) prenatal vitamins/DHA/docusate/folic acid codeine/guaifenesin/ budesonide (PULMICORT FLEXHALER) (CITRANATAL HARMONY) codeine/promethazine fluticasone (ARNUITY ELLIPTA) prenatal vitamins/docusate/folic acid (CITRANATAL codeine/promethazine/ fluticasone (FLOVENT DISKUS) RX) hydrocodone/homatropine fluticasone, CFC-free aerosol (FLOVENT HFA) prenatal vitamins/docusate/folic acid + DHA (CITRANATAL ASSURE) Non-opioid prenatal vitamins/folic acid + pyridoxine dextromethorphan/brompheniramine/pseudoeph ext-rel tabs (CITRANATAL B-CALM) edrine dextromethorphan/promethazine MISCELLANEOUS Miscellaneous ipratropium spray cyanocobalamin inj BETA fluoride drops, tabs Inhalants TOPICAL multivitamins/fluoride drops, tabs Short Acting multivitamins/fluoride/iron drops, tabs DERMATOLOGY vitamin ADC/fluoride drops albuterol soln vitamin ADC/fluoride/iron drops albuterol sulfate CFC-free aerosol Acne levalbuterol tartrate, CFC-free aerosol Oral RESPIRATORY isotretinoin Long Acting TREATMENT AGENTS Hand-held Active Inhalation Topical , CFC-free aerosol (STRIVERDI epinephrine auto-injector adapalene RESPIMAT) epinephrine auto-injector (EPIPEN) adapalene/benzoyl peroxide (EPIDUO) xinafoate (SEREVENT) epinephrine auto-injector (EPIPEN JR.) benzoyl peroxide epinephrine (SYMJEPI) clindamycin gel, lotion, soln * Nebulized Passive Inhalation clindamycin/benzoyl peroxide inhalation soln (PERFOROMIST) erythromycin gel 2% erythromycin soln ipratropium soln Oral Agents erythromycin/benzoyl peroxide inhalation solution (YUPELRI) albuterol sulfacetamide lotion 10% tiotropium (SPIRIVA) albuterol ext-rel tazarotene tretinoin /BETA AGONIST tretinoin - Avita COMBINATIONS MODULATORS tretinoin gel microsphere adapalene/benzoyl peroxide (EPIDUO FORTE) Short Acting clindamycin/benzoyl peroxide (ONEXTON) ipratropium/albuterol soln

* Listing does not include NDC 68682046275. Drug Long Acting STABILIZERS products are identified by unique numerical product cromolyn soln identifiers, called National Drug Codes (NDC), which tiotropium/olodaterol (STIOLTO RESPIMAT) identify the manufacturer, strength, dosage form, umeclidinium/vilanterol (ANORO ELLIPTA) formulation and package size. NASAL ANTICHOLINERGIC/BETA spray Actinic Keratosis AGONIST/STEROID INHALANT spray fluorouracil crm 5%, soln 5%, soln 2% COMBINATIONS (ZYCLARA) fluorouracil cream 4% (TOLAK) budesonide/glycopyrrolate/formoterol (BREZTRI NASAL /STEROID (PICATO) AEROSPHERE) COMBINATIONS fluticasone/umeclidinium/vilanterol (TRELEGY azelastine/fluticasone spray (DYMISTA) ELLIPTA) PHOSPHODIESTERASE-4 INHIBITORS oint ANTIHISTAMINES, SEDATING (DALIRESP) clemastine 2.68 mg cyproheptadine Antifungals hydroxyzine HCl STEROID/BETA AGONIST ciclopirox COMBINATIONS budesonide/formoterol (SYMBICORT) clotrimazole fluticasone/salmeterol (ADVAIR DISKUS) econazole fluticasone/salmeterol, CFC-free aerosol (ADVAIR crm 2% HFA) ^ luliconazole

7 naftifine (NAFTIN) Rosacea ketorolac nystatin azelaic acid gel ketorolac tromethamine (ACUVAIL) metronidazole crm, gel, lotion 0.75% nepafenac (ILEVRO) Antipsoriatics metronidazole gel 1% nepafenac (NEVANAC) Oral azelaic acid foam (FINACEA FOAM) acitretin doxycycline monohydrate delayed-rel caps Steroidal methoxsalen oral (ORACEA) dexamethasone sodium phosphate ivermectin (SOOLANTRA) Topical calcipotriene oint, soln 0.005% Scabicides and Pediculicides 1% malathion dexamethasone (MAXIDEX) permethrin 5% (DUREZOL) Antiseborrheics fluorometholone (FML FORTE) ketoconazole shampoo 2% fluorometholone (FML S.O.P.) selenium sulfide lotion 2.5% Miscellaneous Skin and Mucous prednisolone acetate (PRED MILD)

Membrane Atopic imiquimod Antivirals podofilox Topical trifluridine pimecrolimus tacrolimus MOUTH/THROAT/DENTAL AGENTS Beta-blockers crisaborole (EUCRISA) Anesthetics - Topical Oral Nonselective lidocaine viscous levobunolol maleate Low Steroids - Mouth/Throat timolol maleate gel crm, oint 0.05% paste timolol hemihydrate (BETIMOL) crm, lotion, oint 0.05% acetonide soln 0.01% Selective hydrocortisone crm 2.5% OPHTHALMIC betaxolol (BETOPTIC S) hydrocortisone lotion 1% Antiallergics azelastine Medium Potency cromolyn sodium Carbonic Anhydrase Inhibitors valerate crm, lotion, oint 0.1% olopatadine OTC Topical crm 0.05% alcaftadine (LASTACAFT) dorzolamide crm, oint 0.025% olopatadine (PAZEO) brinzolamide (AZOPT) crm, lotion 0.05%, oint 0.005% Anti-infectives Carbonic Anhydrase Inhibitor/Beta- crm, oint, soln 0.1% blocker Combinations crm, oint 0.2% ciprofloxacin soln dorzolamide/timolol maleate crm, lotion, oint 0.1% erythromycin crm, lotion 0.025% gentamicin Carbonic Anhydrase triamcinolone acetonide crm, lotion, oint 0.1% levofloxacin Inhibitor/Sympathomimetic Combinations

moxifloxacin brinzolamide/brimonidine (SIMBRINZA) High Potency /polymyxin B/gramicidin betamethasone dipropionate augmented crm, ofloxacin lotion 0.05% polymyxin B/bacitracin Dry Eye Disease betamethasone dipropionate crm, lotion, oint polymyxin B/trimethoprim cyclosporine, emulsion (RESTASIS) 0.05% sulfacetamide oint, soln 10% (XIIDRA) desoximetasone crm, oint 0.25%, gel 0.05% tobramycin crm, gel, oint, soln 0.05% besifloxacin (BESIVANCE) Prostaglandins triamcinolone acetonide crm 0.5% ciprofloxacin oint (CILOXAN) latanoprost halobetasol propionate lotion 0.01% (BRYHALI) travoprost Anti-infective/Anti-inflammatory bimatoprost 0.01% (LUMIGAN) Very High Potency tafluprost (ZIOPTAN) Combinations betamethasone dipropionate augmented gel, oint neomycin/polymyxin B/bacitracin/hydrocortisone 0.05% oint Rho Kinase Inhibitors propionate crm, foam, gel, lotion, oint, neomycin/polymyxin B/dexamethasone netarsudil (RHOPRESSA) shampoo, soln neomycin/polymyxin B/hydrocortisone susp halobetasol propionate crm, oint 0.05% sulfacetamide/prednisolone phosphate Rho Kinase Inhibitor / Prostaglandin 10%/0.25% Combinations Emollients tobramycin/dexamethasone susp 0.3%/0.1% netarsudil/latanoprost (ROCKLATAN) ammonium lactate 12% tobramycin/dexamethasone oint 0.3%/0.1% (TOBRADEX) Sympathomimetics Local Analgesics tobramycin/dexamethasone susp 0.3%/0.05% brimonidine (ALPHAGAN P) lidocaine patch (TOBRADEX ST) brimonidine 0.2%

Local Anesthetics Anti-inflammatories Sympathomimetic/Beta-blocker lidocaine/prilocaine Combinations

bromfenac sodium brimonidine/timolol (COMBIGAN) diclofenac sodium

8 OTIC Anti-infective/Anti-inflammatory Anti-infectives Combinations acetic acid ciprofloxacin/dexamethasone ofloxacin otic neomycin/polymyxin B/hydrocortisone

QUICK REFERENCE DRUG LIST

ARNUITY ELLIPTA, 7 bromfenac sodium, 8 A ASACOL HD, 6 bromocriptine, 3 ABILIFY MAINTENA, 3 atenolol, 2 BRYHALI, 8 acamprosate calcium, 4 atenolol/chlorthalidone, 2 budesonide, 7 acarbose, 4 atomoxetine, 4 budesonide delayed-rel caps, 6 acetazolamide, 3 atorvastatin, 2 budesonide ext-rel, 6 acetazolamide ext-rel, 3 atovaquone/proguanil, 1 budesonide inhalation susp, 7 acetic acid, 9 AZASAN, 6 budesonide/formoterol, 7 acitretin, 8 azathioprine, 6 budesonide/glycopyrrolate/formoterol, 7 ACUVAIL, 8 azelaic acid foam, 8 bumetanide, 3 acyclovir caps, tabs, 1 azelaic acid gel, 8 buprenorphine, 1 adapalene, 7 azelastine, 8 buprenorphine transdermal, 1 adapalene/benzoyl peroxide, 7 azelastine spray, 7 buprenorphine/naloxone sublingual, 4 ADVAIR DISKUS, 7 azelastine/fluticasone spray, 7 buprenorphine/naloxone sublingual tabs, 4 ADVAIR HFA, 7 azithromycin, 1 bupropion, 3 AIMOVIG, 4 AZOPT, 8 bupropion ext-rel, 3, 4 AJOVY, 4 buspirone, 3 albuterol, 7 B busulfan, 2 albuterol ext-rel, 7 bacitracin, 8 BYSTOLIC, 2 albuterol soln, 7 baclofen, 4 albuterol sulfate CFC-free aerosol, 7 balsalazide, 6 C alcaftadine, 8 BAQSIMI, 5 cabergoline, 6 alclometasone crm, oint 0.05%, 8 BASAGLAR, 4 calcipotriene oint, soln 0.005%, 8 alendronate, 5 BD ULTRAFINE insulin syringes and needles, 5 calcitonin-salmon spray, 5 alfuzosin ext-rel, 6 beclomethasone breath-activated aerosol, 7 calcitriol (1,25-D3), 5 aliskiren, 3 BELBUCA, 1 calcium acetate, 5 aliskiren/hydrochlorothiazide, 3 BELSOMRA, 4 candesartan, 2 allopurinol, 1 bempedoic acid, 2 candesartan/hydrochlorothiazide, 2 alosetron, 6 bempedoic acid/ezetimibe, 2 captopril, 2 ALPHAGAN P, 8 benazepril, 2 captopril/hydrochlorothiazide, 2 alprazolam, 3 benazepril/hydrochlorothiazide, 2 carbamazepine, 3 amantadine, 3 benzonatate, 7 carbamazepine ext-rel, 3 amiloride, 3 benzoyl peroxide, 7 carbidopa/levodopa, 3 amiloride/hydrochlorothiazide, 3 benztropine, 3 carbidopa/levodopa ext-rel, 3 amiodarone, 2 besifloxacin, 8 carbidopa/levodopa orally disintegrating amitriptyline, 3 BESIVANCE, 8 tabs, 3 amlodipine, 2 betamethasone dipropionate augmented crm, carbidopa/levodopa/entacapone, 3 amlodipine/atorvastatin, 3 lotion 0.05%, 8 cariprazine, 3 amlodipine/benazepril, 2 betamethasone dipropionate augmented gel, carisoprodol, 4 amlodipine/olmesartan, 2 oint 0.05%, 8 carvedilol, 2 amlodipine/telmisartan, 2 betamethasone dipropionate crm, lotion, oint carvedilol phosphate ext-rel, 2 amlodipine/valsartan, 2 0.05%, 8 cefadroxil, 1 amlodipine/valsartan/hydrochlorothiazide, 2 crm, lotion, oint cefdinir, 1 ammonium lactate 12%, 8 0.1%, 8 cefixime, 1 amoxicillin, 1 betaxolol, 8 cefprozil, 1 amoxicillin/clavulanate, 1 bethanechol, 6 cefuroxime axetil, 1 amoxicillin/clavulanate ext-rel, 1 BETIMOL, 8 celecoxib, 1 amphetamine/dextroamphetamine mixed BETOPTIC S, 8 cenobamate, 3 salts, 4 bicalutamide, 2 cephalexin, 1 amphetamine/dextroamphetamine mixed BIDIL, 3 cevimeline, 6 salts ext-rel, 4 bimatoprost 0.01%, 8 chlorambucil, 2 ampicillin, 1 bismuth/metronidazole/tetracycline, 6 chloroquine, 1 anagrelide, 6 bisoprolol, 2 chlorpromazine, 4 anastrozole, 2 bisoprolol/hydrochlorothiazide, 2 chlorthalidone, 3 ANDRODERM, 4 BREO ELLIPTA, 7 chlorzoxazone 500 mg, 4 ANNOVERA, 5 BREZTRI AEROSPHERE, 7 cholestyramine, 2 ANORO ELLIPTA, 7 BRILINTA, 6 ciclopirox, 7 apixaban, 6 brimonidine, 8 cilostazol, 6 aprepitant, 6 brimonidine 0.2%, 8 CILOXAN, 8 aripiprazole, 3 brimonidine/timolol, 8 cimetidine, 6 aripiprazole ext-rel injection, 3 brinzolamide, 8 ciprofloxacin, 1 armodafinil, 4 brinzolamide/brimonidine, 8 ciprofloxacin oint, 8

9 ciprofloxacin soln, 8 desvenlafaxine ext-rel, 3 elagolix sodium/estradiol/norethindrone acetate, ciprofloxacin/dexamethasone, 9 dexamethasone, 5, 8 6 citalopram, 3 dexamethasone sodium phosphate, 8 eletriptan, 4 CITRANATAL 90 DHA, 7 DEXILANT, 6 ELIQUIS, 6 CITRANATAL ASSURE, 7 dexlansoprazole delayed-rel, 6 eluxadoline, 6 CITRANATAL B-CALM, 7 dexmethylphenidate, 4 EMGALITY, 4 CITRANATAL DHA, 7 dexmethylphenidate ext-rel, 4 empagliflozin, 5 CITRANATAL HARMONY, 7 dextroamphetamine, 4 empagliflozin/linagliptin, 5 CITRANATAL RX, 7 dextroamphetamine ext-rel, 4 empagliflozin/linagliptin/metformin ext-rel, 5 clarithromycin, 1 dextromethorphan/brompheniramine/pseudo empagliflozin/metformin, 5 clarithromycin ext-rel, 1 , 7 empagliflozin/metformin ext-rel, 5 clemastine 2.68 mg, 7 dextromethorphan/promethazine, 7 EMVERM, 2 CLENPIQ, 6 dextromethorphan/quinidine, 4 enalapril, 2 CLIMARA PRO, 5 diazepam, 3 enalapril/hydrochlorothiazide, 2 clindamycin, 2 diazepam nasal spray, 3 enoxaparin, 6 clindamycin crm, 6 diazepam rectal gel, 3 entacapone, 3 clindamycin gel, lotion, soln, 7 diclofenac sodium, 8 ENTRESTO, 3 clindamycin/benzoyl peroxide, 7 diclofenac sodium delayed-rel, 1 EPIDUO, 7 clobazam, 3 diclofenac sodium delayed-rel/misoprostol, 1 EPIDUO FORTE, 7 crm, foam, gel, lotion, diclofenac sodium gel 1%, 1 epinephrine, 7 oint, shampoo, soln, 8 diclofenac sodium soln, 1 epinephrine auto-injector, 7 clomipramine, 3 dicloxacillin, 1 EPIPEN, 7 clonazepam, 3 dicyclomine, 6 EPIPEN JR., 7 clonidine, 2 DIFICID, 1 eplerenone, 2 clonidine transdermal, 2 diflunisal, 1 erenumab-aooe, 4 clopidogrel, 6 difluprednate, 8 erythromycin, 8 clotrimazole, 7 digoxin 0.125 mg, 0.25 mg, 3 erythromycin delayed-rel, 1 clotrimazole troches, 1 digoxin ped elixir, 3 erythromycin ethylsuccinate, 1 clozapine, 3 dihydroergotamine inj, 4 erythromycin gel 2%, 7 codeine/acetaminophen, 1 diltiazem ext-rel, 3 erythromycin soln, 7 codeine/guaifenesin liquid, 7 diphenoxylate/atropine, 6 erythromycin stearate, 1 codeine/guaifenesin/pseudoephedrine, 7 dipyridamole, 6 erythromycin/benzoyl peroxide, 7 codeine/promethazine, 7 dipyridamole ext-rel/aspirin, 6 escitalopram, 3 codeine/promethazine/phenylephrine, 7 disopyramide, 2 esomeprazole delayed-rel, 6 colchicine, 1 disulfiram, 4 estradiol, 5 colchicine tabs, 1 divalproex sodium delayed-rel, 3 estradiol vaginal crm, 5 colesevelam, 2 divalproex sodium ext-rel, 3 estradiol vaginal inserts, 5 colestipol, 2 DIVIGEL, 5 estradiol vaginal tabs, 5 COMBIGAN, 8 donepezil, 3 estradiol/levonorgestrel, 5 COMBIPATCH, 5 dorzolamide, 8 estradiol/norethindrone, 5 CORLANOR, 3 dorzolamide/timolol maleate, 8 estradiol/norethindrone acetate, 5 CORTIFOAM, 6 doxazosin, 2 estrogens, conjugated/bazedoxifene, 5 CREON, 6 doxepin, 3, 4 estrogens, conjugated/medroxyprogesterone, 5 crisaborole, 8 doxercalciferol, 5 eszopiclone, 4 cromolyn sodium, 8 doxycycline hyclate, 1 ethambutol, 1 cromolyn soln, 7 doxycycline monohydrate delayed-rel caps, 8 ethosuximide, 3 cyanocobalamin inj, 7 doxylamine/pyridoxine delayed-rel, 6 ethynodiol diacetate/EE 1/35 - Zovia 1/35, 5 cyclobenzaprine, 4 dronabinol, 6 etodolac, 1 cyclophosphamide caps, 2 dronedarone, 2 etonogestrel/EE ring, 5 cyclosporine, emulsion, 8 drospirenone/EE 3/20, 5 etoposide, 2 cyproheptadine, 7 drospirenone/EE 3/30, 5 EUCRISA, 8 drospirenone/EE/levomefolate 3/20 and EVAMIST, 5 D levomefolate, 5 exemestane, 2 DALIRESP, 7 drospirenone/EE/levomefolate 3/30 and ezetimibe, 2 danazol, 5 levomefolate, 5 ezetimibe/simvastatin, 2 dantrolene, 4 DUAVEE, 5 dapagliflozin, 5 dulaglutide, 4 F dapagliflozin/metformin ext-rel, 5 duloxetine delayed-rel, 3 famciclovir, 1 dapsone, 2 DUREZOL, 8 famotidine, 6 darifenacin ext-rel, 6 dutasteride, 6 FARXIGA, 5 desipramine, 3 dutasteride/tamsulosin, 6 felodipine ext-rel, 3 desmopressin spray, tabs, 6 DYMISTA, 7 fenofibrate, 2 desogestrel/EE, 5 fenofibric acid delayed-rel, 2 desogestrel/EE 0.15/30, 5 E fentanyl sublingual spray, 1 desonide crm, lotion, oint 0.05%, 8 econazole, 7 fentanyl transdermal, 1 desoximetasone crm 0.05%, 8 EE/norethindrone acetate - Jinteli, 5 fentanyl transmucosal lozenge, 1 desoximetasone crm, oint 0.25%, gel 0.05%, 8 elagolix, 5 fesoterodine ext-rel, 6 10

FIASP, 4 H K fidaxomicin, 1 halobetasol propionate crm, oint 0.05%, 8 ketoconazole crm 2%, 7 FINACEA FOAM, 8 halobetasol propionate lotion 0.01%, 8 ketoconazole shampoo 2%, 8 finasteride, 6 haloperidol, 4 ketorolac, 8 flecainide, 2 HUMULIN R U-500, 4 ketorolac tromethamine, 8 FLOVENT DISKUS, 7 hydralazine, 3 FLOVENT HFA, 7 hydrochlorothiazide, 3 L fluconazole, 1 hydrocodone ext-rel, 1 labetalol, 2 fludrocortisone, 5 hydrocodone/acetaminophen, 1 lacosamide, 3 fluocinolone acetonide crm, oint 0.025%, 8 hydrocodone/homatropine, 7 lactulose soln, 6 fluocinolone acetonide soln 0.01%, 8 hydrocortisone, 5 lamotrigine, 3 fluocinonide crm, gel, oint, soln 0.05%, 8 hydrocortisone acetate foam, 6 lamotrigine ext-rel, 3 fluoride drops, tabs, 7 hydrocortisone acetate/pramoxine foam, 6 lamotrigine orally disintegrating tabs, 3 fluorometholone, 8 hydrocortisone butyrate crm, oint, soln 0.1%, lancets, 5 fluorouracil cream 4%, 7 8 lansoprazole + amoxicillin + clarithromycin, 6 fluorouracil crm 5%, soln 5%, soln 2%, 7 hydrocortisone crm, 6 lansoprazole delayed-rel, 6 fluoxetine, 3 hydrocortisone crm 2.5%, 8 lasmiditan, 4 fluphenazine, 4 hydrocortisone enema, 6 LASTACAFT, 8 flutamide, 2 hydrocortisone lotion 1%, 8 latanoprost, 8 fluticasone, 7 hydrocortisone valerate crm, oint 0.2%, 8 LATUDA, 4 fluticasone propionate crm, lotion 0.05%, oint hydromorphone, 1 leflunomide, 6 0.005%, 8 hydromorphone ext-rel, 1 letrozole, 2 fluticasone, CFC-free aerosol, 7 hydroxychloroquine, 6 LEUKERAN, 2 fluticasone/salmeterol, 7 hydroxyurea, 2 levalbuterol tartrate, CFC-free aerosol, 7 fluticasone/salmeterol, CFC-free aerosol, 7 hydroxyzine HCl, 7 LEVEMIR, 4 fluticasone/umeclidinium/vilanterol, 7 levetiracetam, 3 fluticasone/vilanterol, 7 I levetiracetam ext-rel, 3 fluvastatin, 2 ibandronate, 5 levobunolol, 8 fluvoxamine, 3 ibuprofen, 1 levocarnitine, 5 FML FORTE, 8 icosapent ethyl, 2 levofloxacin, 1, 8 FML S.O.P., 8 ILEVRO, 8 levonorgestrel/EE - Trivora, 5 folic acid, 7 imipramine HCl, 3 levonorgestrel/EE 0.1/20 - Lessina, 5 folic acid/vitamin B6/vitamin B12, 7 imiquimod, 7, 8 levonorgestrel/EE 0.1/20 and EE 10, 5 fondaparinux, 6 IMVEXXY, 5 levonorgestrel/EE 0.15/30, 5 formoterol inhalation soln, 7 indapamide, 3 levonorgestrel/EE 0.15/30 - Levora, 5 fosinopril, 2 ingenol mebutate, 7 levonorgestrel/EE 0.15/30 and EE 10, 5 fosinopril/hydrochlorothiazide, 2 insulin aspart, 4 levothyroxine, 5 fremanezumab-vfrm, 4 insulin aspart protamine 70%/insulin aspart 30%, levothyroxine - Levoxyl, 6 furosemide, 3 4 lidocaine patch, 8 FYCOMPA, 3 insulin degludec, 4 lidocaine viscous, 8 insulin detemir, 4 lidocaine/prilocaine, 8 G insulin glargine, 4 lifitegrast, 8 gabapentin, 3 insulin human, 4 linaclotide, 6 gabapentin ext-rel, 4 insulin isophane human, 4 linezolid, 2 galantamine, 3 insulin isophane human 70%/regular 30%, 4 LINZESS, 6 galantamine ext-rel, 3 ipratropium soln, 7 liothyronine, 6 galcanezumab-gnlm, 4 ipratropium spray, 7 liraglutide, 4, 5 gemfibrozil, 2 ipratropium/albuterol soln, 7 liraglutide/insulin degludec, 4 gentamicin, 7, 8 irbesartan, 2 lisdexamfetamine, 4 glimepiride, 5 irbesartan/hydrochlorothiazide, 2 lisinopril, 2 glipizide, 5 isoniazid, 1 lisinopril/hydrochlorothiazide, 2 glipizide ext-rel, 5 isosorbide dinitrate, 3 lithium carbonate, 4 glipizide/metformin, 4 isosorbide dinitrate/hydralazine, 3 lithium carbonate ext-rel, 4 GLUCAGEN HYPOKIT, 5 isosorbide mononitrate, 3 lixisenatide/insulin glargine, 4 GLUCAGON EMERGENCY KIT, 5 isosorbide mononitrate ext-rel, 3 LO LOESTRIN FE, 5 glucagon nasal powder, 5 isotretinoin, 7 LOKELMA, 5 glucagon subcutaneous soln, 5 itraconazole, 1 loperamide, 6 glucagon, human recombinant, 5 ivabradine, 3 lorazepam, 3 GLYXAMBI, 5 ivermectin, 2, 8 losartan, 2 GRALISE, 4 losartan/hydrochlorothiazide, 2 granisetron, 6 J loteprednol, 8 granisetron transdermal, 6 JANUMET, 4 lovastatin, 2 GRASTEK, 6 JANUMET XR, 4 luliconazole, 7 griseofulvin ultramicrosize, 1 JANUVIA, 4 LUMIGAN, 8 guanfacine, 2 JARDIANCE, 5 lurasidone, 4 guanfacine ext-rel, 4 LYSODREN, 2 GVOKE, 5 11

M nadolol, 2 O malathion, 8 naftifine, 8 ofloxacin, 8 MATULANE, 2 NAFTIN, 8 ofloxacin otic, 9 MAXIDEX, 8 naldemedine, 6 olanzapine, 3 mebendazole chewable, 2 naloxegol, 6 olmesartan, 2 meclizine, 6 naloxone inj, 4 olmesartan/amlodipine/hydrochlorothiazide, medroxyprogesterone acetate, 5 naloxone nasal spray, 4 2 medroxyprogesterone acetate 150 mg/mL, 5 naltrexone, 4 olmesartan/hydrochlorothiazide, 2 mefloquine, 1 NAMZARIC, 3 olodaterol, CFC-free aerosol, 7 megestrol acetate susp, 5 naproxen sodium tabs, 1 olopatadine, 8 megestrol acetate tabs, 2 naproxen tabs, 1 olopatadine spray, 7 meloxicam, 1 naratriptan, 4 omega-3 acid ethyl esters, 2 melphalan, 2 NARCAN, 4 omeprazole delayed-rel, 6 memantine, 3 nateglinide, 5 ondansetron, 6 memantine ext-rel, 3 NAYZILAM, 3 ONETOUCH ULTRA kits and test strips, 5 memantine/donepezil, 3 nebivolol, 2 ONETOUCH VERIO kits and test strips, 5 mercaptopurine, 2 neomycin/polymyxin ONEXTON, 7 mesalamine delayed-rel caps, 6 B/bacitracin/hydrocortisone oint, 8 ONZETRA XSAIL, 4 mesalamine delayed-rel tabs, 6 neomycin/polymyxin B/dexamethasone, 8 ORACEA, 8 mesalamine ext-rel caps, 6 neomycin/polymyxin B/gramicidin, 8 ORIAHNN, 6 mesalamine susp, 6 neomycin/polymyxin B/hydrocortisone, 9 ORILISSA, 5 metaxalone 800 mg, 4 neomycin/polymyxin B/hydrocortisone susp, oseltamivir, 1 metformin, 4 8 oxaprozin, 1 metformin ext-rel, 4 nepafenac, 8 oxazepam, 3 methadone, 1 netarsudil, 8 oxcarbazepine, 3 methazolamide, 3 netarsudil/latanoprost, 8 oxcarbazepine ext-rel, 3 methimazole, 5 NEUPRO, 3 OXTELLAR XR, 3 methocarbamol, 4 NEVANAC, 8 oxybutynin, 6 methotrexate, 2, 6 NEXLETOL, 2 oxybutynin ext-rel, 6 methoxsalen oral, 8 NEXLIZET, 2 oxycodone caps 5 mg, 1 methyldopa, 3 niacin ext-rel, 2 oxycodone concentrate 20 mg/mL, 1 methylphenidate, 4 nifedipine ext-rel, 3 oxycodone ext-rel, 1 methylphenidate ext-rel, 4 nitrofurantoin ext-rel, 2 oxycodone soln 5 mg/5 mL, 1 methylprednisolone, 5 nitrofurantoin macrocrystals, 2 oxycodone tabs 5 mg, 15 mg, 30 mg, 1 metoclopramide, 6 nitrofurantoin susp, 2 oxycodone/acetaminophen 5/325, 1 metolazone, 3 nitroglycerin lingual spray, 3 OZEMPIC, 4 metoprolol succinate ext-rel, 2 nitroglycerin sublingual, 3 metoprolol tartrate, 2 nitroglycerin transdermal, 3 P metoprolol/hydrochlorothiazide, 2 norelgestromin/EE, 5 pancrelipase, 6 metronidazole, 2, 6 norethindrone, 5 pancrelipase delayed-rel, 6 metronidazole crm, gel, lotion 0.75%, 8 norethindrone acetate, 5 pantoprazole delayed-rel tabs, 6 metronidazole gel 1%, 8 norethindrone acetate/EE 1.5/30, 5 paricalcitol, 5 midazolam nasal spray, 3 norethindrone acetate/EE 1.5/30 and iron, 5 paroxetine HCl, 3 midodrine, 3 norethindrone acetate/EE 1/10 and EE 10 and paroxetine HCl ext-rel, 3 minocycline, 1 iron, 5 patiromer sorbitex, 5 mirabegron ext-rel, 6 norethindrone acetate/EE 1/20, 5 PAZEO, 8 mirtazapine, 3 norethindrone acetate/EE 1/20 and iron, 5 peg 3350/electrolytes, 6 misoprostol, 6 norethindrone acetate/EE 1/20 and iron penicillin VK, 1 MITIGARE, 1 chewable, 5 PENTASA, 6 mitotane, 2 norethindrone/EE, 5 perampanel, 3 mometasone crm, lotion, oint 0.1%, 8 norethindrone/EE 0.5/35, 5 PERFOROMIST, 7 montelukast, 7 norethindrone/EE 1/35, 5 perindopril, 2 morphine, 1 norgestimate/EE, 5 permethrin 5%, 8 morphine ext-rel, 1 norgestimate/EE 0.25/35, 5 perphenazine, 4 morphine supp, 1 norgestrel/EE 0.3/30 - Low-Ogestrel, 5 PERSERIS, 4 MOVANTIK, 6 nortriptyline, 3 phenelzine, 3 moxifloxacin, 1, 8 NOVOLIN 70/30, 4 phenobarbital, 3 MULTAQ, 2 NOVOLIN N, 4 phenytoin, 3 multivitamins/fluoride drops, tabs, 7 NOVOLIN R, 4 phenytoin sodium extended, 3 multivitamins/fluoride/iron drops, tabs, 7 NOVOLOG, 4 PHOSLYRA, 5 mupirocin oint, 7 NOVOLOG MIX 70/30, 4 PICATO, 7 MYDAYIS, 4 NUCYNTA, 1 pilocarpine tabs, 6 MYLERAN, 2 NUCYNTA ER, 1 pimecrolimus, 8 MYRBETRIQ, 6 NUEDEXTA, 4 pindolol, 2 NURTEC ODT, 4 pioglitazone, 4 N nystatin, 1, 8 pioglitazone/glimepiride, 5 nabumetone, 1 pioglitazone/metformin, 5 12 podofilox, 8 risedronate, 5 SUPRAX, 1 polymyxin B/bacitracin, 8 risedronate delayed-rel, 5 suvorexant, 4 polymyxin B/trimethoprim, 8 risperidone, 3 SYMBICORT, 7 potassium chloride ext-rel, 6 risperidone ext-rel inj, 4 SYMJEPI, 7 potassium chloride liquid, 6 rivaroxaban, 6 SYMLINPEN, 4 potassium citrate ext-rel, 6 rivastigmine, 3 SYMPROIC, 6 pramipexole, 3 rivastigmine transdermal, 3 SYNJARDY, 5 pramipexole ext-rel, 3 rizatriptan, 4 SYNJARDY XR, 5 pramlintide, 4 ROCKLATAN, 8 SYNTHROID, 5 prasugrel, 6 roflumilast, 7 pravastatin, 2 ropinirole, 3 T PRED MILD, 8 ropinirole ext-rel, 3 TABLOID, 2 prednisolone, 5 rosuvastatin, 2 tacrolimus, 8 prednisolone acetate, 8 rotigotine transdermal, 3 tafluprost, 8 prednisolone acetate 1%, 8 rufinamide, 3 tamoxifen, 2 prednisone, 5 RYBELSUS, 4 tamsulosin, 6 pregabalin, 4 tapentadol, 1 PREMPHASE, 5 S tapentadol ext-rel, 1 PREMPRO, 5 sacubitril/valsartan, 3 tazarotene, 7 prenatal vitamins, 7 salmeterol xinafoate, 7 TEKTURNA HCT, 3 prenatal vitamins/DHA/docusate/folic acid, 7 SANCUSO, 6 telmisartan, 2 prenatal vitamins/docusate/folic acid, 7 SAXENDA, 5 telmisartan/hydrochlorothiazide, 2 prenatal vitamins/docusate/folic acid + DHA, 7 scopolamine transdermal, 6 temazepam, 4 prenatal vitamins/folic acid + pyridoxine, 7 /EE ring, 5 terazosin, 2 primidone, 3 selegiline, 3 terbinafine tabs, 1 probenecid, 1 selenium sulfide lotion 2.5%, 8 terbutaline, 7 procarbazine, 2 semaglutide, 4 terconazole, 6 prochlorperazine, 6 SEREVENT, 7 testosterone cypionate, 4 PROCTOFOAM-HC, 6 sertraline, 3 testosterone enanthate, 4 progesterone, micronized, 5 sevelamer carbonate, 5 testosterone gel, 4 promethazine, 6 silodosin, 6 testosterone soln, 4 propafenone, 2 silver sulfadiazine, 7 testosterone transdermal, 4 propafenone ext-rel, 2 SIMBRINZA, 8 tetracycline, 1 propranolol, 2 simvastatin, 2 theophylline ext-rel tabs, 7 propranolol ext-rel, 2 sitagliptin phosphate, 4 thioguanine, 2 propylthiouracil, 5 sitagliptin/metformin, 4 thiothixene, 4 PULMICORT FLEXHALER, 7 sitagliptin/metformin ext-rel, 4 tiagabine, 3 PYLERA, 6 sodium picosulfate/magnesium oxide/citric acid, ticagrelor, 6 pyrazinamide, 1 6 timolol hemihydrate, 8 pyridostigmine, 4 sodium zirconium cyclosilicate, 5 timolol maleate, 8 pyridostigmine ext-rel, 4 solifenacin, 6 timolol maleate gel, 8 pyrimethamine, 2 SOLIQUA, 4 timothy grass pollen allergen extract, 6 solriamfetol, 4 tinidazole, 2 Q SOOLANTRA, 8 tiotropium, 7 quetiapine, 3 sotalol, 2 tiotropium/olodaterol, 7 quetiapine ext-rel, 3 SPIRIVA, 7 tizanidine tabs, 4 quinapril, 2 spironolactone, 2 TOBRADEX, 8 quinapril/hydrochlorothiazide, 2 spironolactone/hydrochlorothiazide, 3 TOBRADEX ST, 8 QVAR REDIHALER, 7 STIOLTO RESPIMAT, 7 tobramycin, 8 STRIVERDI RESPIMAT, 7 tobramycin/dexamethasone oint 0.3%/0.1%, 8 R SUBSYS, 1 tobramycin/dexamethasone susp 0.3%/0.05%, 8 ragweed pollen allergen extract, 6 sucralfate tablet, 6 tobramycin/dexamethasone susp 0.3%/0.1%, RAGWITEK, 6 sucroferric oxyhydroxide, 5 8 raloxifene, 5 sulfacetamide lotion 10%, 7 TOLAK, 7 ramelteon, 4 sulfacetamide oint, soln 10%, 8 tolterodine, 6 ramipril, 2 sulfacetamide/prednisolone phosphate tolterodine ext-rel, 6 ranolazine ext-rel, 3 10%/0.25%, 8 topiramate, 3 rasagiline, 3 sulfamethoxazole/trimethoprim, 2 topiramate ext-rel, 3 RELENZA, 1 sulfamethoxazole/trimethoprim DS, 2 torsemide, 3 repaglinide, 5 sulfasalazine, 6 TOUJEO, 4 RESTASIS, 8 sulfasalazine delayed-rel, 6 TOVIAZ, 6 revefenacin inhalation solution, 7 sulindac, 1 tramadol, 1 REYVOW, 4 sumatriptan, 4 tramadol ext-rel, 1 RHOPRESSA, 8 sumatriptan inj, 4 trandolapril, 2 rifampin, 1 sumatriptan nasal powder, 4 trandolapril/verapamil ext-rel, 2 rifaximin 550 mg, 2 sumatriptan nasal spray, 4 tranylcypromine, 3 rimegepant, 4 SUNOSI, 4 travoprost, 8 13 trazodone, 3 uridine triacetate, 2 W TRELEGY ELLIPTA, 7 ursodiol, 6 warfarin, 6 TRESIBA, 4 tretinoin, 7 V X tretinoin - Avita, 7 VAGIFEM, 5 XARELTO, 6 tretinoin caps, 2 valacyclovir, 1 XCOPRI, 3 tretinoin gel microsphere, 7 valganciclovir, 1 XIFAXAN, 2 TREXALL, 2 valproic acid, 3 XIGDUO XR, 5 triamcinolone acetonide crm 0.5%, 8 valsartan, 2 XIIDRA, 8 triamcinolone acetonide crm, lotion 0.025%, 8 valsartan/hydrochlorothiazide, 2 XTAMPZA ER, 1 triamcinolone acetonide crm, lotion, oint VALTOCO, 3 XULTOPHY, 4 0.1%, 8 vancomycin caps, 2 triamcinolone paste, 8 VASCEPA, 2 Y triamterene, 3 VELPHORO, 5 YUPELRI, 7 triamterene/hydrochlorothiazide, 3 VELTASSA, 5 trifluoperazine, 4 venlafaxine, 3 Z trifluridine, 8 venlafaxine ext-rel, 3 zafirlukast, 7 trihexyphenidyl, 3 verapamil ext-rel, 3 zanamivir, 1 TRIJARDY XR, 5 VIBERZI, 6 ZEMBRACE SYMTOUCH, 4 trimethobenzamide, 6 VICTOZA, 4 ZENPEP, 6 trimethoprim, 2 VIMPAT, 3 ZIOPTAN, 8 TRINTELLIX, 3 VIOKACE, 6 ziprasidone, 3 TROKENDI XR, 3 VISTOGARD, 2 zolmitriptan, 4 trospium, 6 vitamin ADC/fluoride drops, 7 zolmitriptan nasal spray, 4 trospium ext-rel, 6 vitamin ADC/fluoride/iron drops, 7 zolpidem, 4 TRULICITY, 4 voriconazole, 1 zolpidem ext-rel, 4 vortioxetine, 3 zolpidem sublingual, 4 U VRAYLAR, 3 ZOMIG, 4 UBRELVY, 4 VYVANSE, 4 zonisamide, 3 ubrogepant, 4 ZUBSOLV, 4 umeclidinium/vilanterol, 7 ZYCLARA, 7

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