Maintenance Drugs
Maintenance drugs are used on a continuing basis for the treatment of chronic conditions. Select health plans require that pharmacy benefit maintenance drugs are filled at Kaiser Permanente Washington Mail Order or Kaiser Permanente Clinic Pharmacies for ongoing health plan coverage. Please consult your Evidence of Coverage or call Member Services at 1-888-901-4636 if you have questions about your drug coverage.
Non-maintenance drugs are generally used for episodic treatment, are considered narrow therapeutic index by Kaiser Permanente Washington, or are schedule 2 controlled substances. Non-maintenance products include: opioids, opioid reversal agents, opioid dependence agents, benzodiazepines, skeletal muscle relaxants, schedule 2 stimulants, vaccines, oral antibiotics, antiemetics, cough/cold/allergy products, emergency contraception, epinephrine pens, bowel preparations, smoking cessation, prednisone, enoxaparin, cyclosporine, digoxin, dofetilide, everolimus, lithium, mycophenolate, sirolimus, sotalol, tacrolimus, theophylline, and warfarin.
The maintenance drug list below is not comprehensive and is subject to change without prior notification. Coverage is provided by Kaiser Permanente Health Plan of Washington and Kaiser Permanente Health Plan of Washington Options, Inc.
MAINTENANCE DRUG LIST:
ADHD/ANTI-NARCOLEPSY AGENTS DICLOFENAC NALFON ARMODAFINIL DICLOFENAC POTASSIUM NAPRELAN ATOMOXETINE DICLOFENAC SODIUM DR NAPROSYN CLONIDINE HCL ER DICLOFENAC SODIUM ER NAPROXEN GUANFACINE ER DICLOFENAC SODIUM/MISOPROSTOL NAPROXEN DR INTUNIV DUEXIS NAPROXEN SODIUM CR KAPVAY EC-NAPROSYN NAPROXEN SODIUM ER MODAFINIL EC-NAPROXEN NAPROXEN/ESOMEPRAZOLE MAGNESIUM NUVIGIL ENBREL OLUMIANT PROVIGIL ENBREL MINI ORENCIA STRATTERA ENBREL SURECLICK ORENCIA CLICKJECT SUNOSI ETODOLAC OTEZLA ETODOLAC ER OTREXUP ALLERGENIC EXTRACTS FELDENE OXAPROZIN ODACTRA FENOPROFEN CALCIUM PIROXICAM FENORTHO PROFENO AMINOGLYCOSIDES FLURBIPROFEN QMIIZ ODT BETHKIS HUMIRA RASUVO KITABIS PAK IBUPROFEN RELAFEN DS TOBI INDOCIN RINVOQ TOBI PODHALER INDOMETHACIN SIMPONI TOBRAMYCIN INDOMETHACIN ER SULINDAC KETOPROFEN TOLMETIN SODIUM ANALGESICS - ANTI-INFLAMMATORY KETOPROFEN ER VIMOVO ACTEMRA KEVZARA VIVLODEX ACTEMRA ACTPEN LEFLUNOMIDE XELJANZ ANAPROX DS LODINE XELJANZ XR ARAVA MECLOFENAMATE SODIUM ZORVOLEX ARTHROTEC MEFENAMIC ACID CELEBREX MELOXICAM ANALGESICS - NONNARCOTIC CELECOXIB MOBIC DIFLUNISAL DAYPRO NABUMETONE SALSALATE
page 1 ANDROGENS-ANABOLIC QUINIDINE SULFATE PULMICORT FLEXHALER ANDRODERM RYTHMOL SR QVAR REDIHALER ANDROGEL SEEBRI NEOHALER ANDROGEL PUMP ANTIASTHMATIC AND BRONCHODILATOR SEREVENT DISKUS FORTESTA AGENTS SINGULAIR JATENZO ACCOLATE SPIRIVA HANDIHALER METHITEST ADVAIR DISKUS SPIRIVA RESPIMAT METHYLTESTOSTERONE ADVAIR HFA STIOLTO RESPIMAT NATESTO AIRDUO DIGIHALER STRIVERDI RESPIMAT STRIANT AIRDUO RESPICLICK SYMBICORT TESTIM ALBUTEROL SULFATE TERBUTALINE SULFATE TESTOSTERONE ALBUTEROL SULFATE ER TRELEGY ELLIPTA TESTOSTERONE PUMP ALBUTEROL SULFATE HFA TUDORZA PRESSAIR TESTOSTERONE TOPICAL SOLUTION ALVESCO UTIBRON NEOHALER VOGELXO ANORO ELLIPTA VENTOLIN HFA VOGELXO PUMP ARCAPTA NEOHALER WIXELA INHUB XYOSTED ARMONAIR DIGIHALER XOPENEX ANTIANGINAL AGENTS ARMONAIR RESPICLICK XOPENEX CONCENTRATE DILATRATE SR ARNUITY ELLIPTA XOPENEX HFA GONITRO ASMANEX HFA YUPELRI ISORDIL TITRADOSE ASMANEX TWISTHALER ZAFIRLUKAST ISOSORBIDE DINITRATE ATROVENT HFA ZILEUTON ER ISOSORBIDE DINITRATE ER BEVESPI AEROSPHERE ZYFLO ISOSORBIDE MONONITRATE BREO ELLIPTA ZYFLO CR ISOSORBIDE MONONITRATE ER BREZTRI AEROSPHERE MINITRAN BROVANA ANTICOAGULANTS NITRO-BID BUDESONIDE ELIQUIS NITRO-DUR BUDESONIDE/FORMOTEROL FUMARATE PRADAXA DIHYDRATE NITROGLYCERIN SAVAYSA COMBIVENT RESPIMAT NITROGLYCERIN ER XARELTO CROMOLYN SODIUM NITROGLYCERIN LINGUAL DALIRESP NITROGLYCERIN TRANSDERMAL ANTICONVULSANTS DUAKLIR PRESSAIR NITROLINGUAL PUMPSPRAY APTIOM DULERA NITROMIST BANZEL FASENRA PEN NITROSTAT BRIVIACT FLOVENT DISKUS NITRO-TIME CARBAMAZEPINE FLOVENT HFA RANEXA CARBAMAZEPINE ER FLUTICASONE PROPIONATE/SALMETEROL RANOLAZINE ER CARBATROL INCRUSE ELLIPTA CELONTIN IPRATROPIUM BROMIDE/ALBUTEROL ANTIARRHYTHMICS CLOBAZAM LEVALBUTEROL AMIODARONE HCL DEPAKENE LEVALBUTEROL HCL DISOPYRAMIDE PHOSPHATE DEPAKOTE LEVALBUTEROL TARTRATE HFA FLECAINIDE ACETATE DEPAKOTE ER LONHALA MAGNAIR MEXILETINE HCL DEPAKOTE SPRINKLES METAPROTERENOL SULFATE MULTAQ DILANTIN MONTELUKAST SODIUM NORPACE DILANTIN INFATABS NUCALA NORPACE CR DILANTIN-125 PERFOROMIST PACERONE DIVALPROEX SODIUM PROAIR DIGIHALER PROPAFENONE HCL DIVALPROEX SODIUM DR PROAIR HFA PROPAFENONE HYDROCHLORIDE ER DIVALPROEX SODIUM ER PROAIR RESPICLICK QUINIDINE GLUCONATE CR EPITOL PROVENTIL HFA QUINIDINE GLUCONATE ER ETHOSUXIMIDE PULMICORT
page 2 FELBAMATE ANTIDEPRESSANTS SERTRALINE HCL FELBATOL AMITRIPTYLINE HCL SURMONTIL FYCOMPA AMITRIPTYLINE HYDROCHLORIDE TOFRANIL GABAPENTIN AMOXAPINE TRANYLCYPROMINE SULFATE GABITRIL ANAFRANIL TRAZODONE HYDROCHLORIDE KEPPRA APLENZIN TRIMIPRAMINE MALEATE KEPPRA XR BUPROPION HCL TRINTELLIX LAMICTAL BUPROPION HYDROCHLORIDE ER (SR) VENLAFAXINE HCL LAMICTAL CHEWABLE DISPERSIBLE BUPROPION HYDROCHLORIDE ER (XL) VENLAFAXINE HCL ER LAMICTAL ODT CELEXA VIIBRYD LAMICTAL XR CITALOPRAM WELLBUTRIN SR LAMOTRIGINE CITALOPRAM HYDROBROMIDE WELLBUTRIN XL LAMOTRIGINE ER CLOMIPRAMINE HCL ZOLOFT LAMOTRIGINE ODT CYMBALTA LEVETIRACETAM DESIPRAMINE HCL ANTIDIABETICS LEVETIRACETAM ER DESVENLAFAXINE ER ACARBOSE LYRICA DOXEPIN HCL ACTOPLUS MET MYSOLINE DRIZALMA SPRINKLE ACTOPLUS MET XR NEURONTIN DULOXETINE HCL ACTOS ONFI EFFEXOR XR ADLYXIN OXCARBAZEPINE EMSAM ADMELOG OXTELLAR XR ESCITALOPRAM OXALATE ADMELOG SOLOSTAR PEGANONE FETZIMA AFREZZA PHENYTEK FLUOXETINE DR ALOGLIPTIN PHENYTOIN FLUOXETINE HCL ALOGLIPTIN/METFORMIN HCL PHENYTOIN INFATABS FLUVOXAMINE MALEATE ALOGLIPTIN/PIOGLITAZONE PHENYTOIN SODIUM EXTENDED FLUVOXAMINE MALEATE ER AMARYL PREGABALIN FORFIVO XL APIDRA PRIMIDONE IMIPRAMINE HCL APIDRA SOLOSTAR QUDEXY XR IMIPRAMINE PAMOATE AVANDIA ROWEEPRA KHEDEZLA BASAGLAR KWIKPEN ROWEEPRA XR LEXAPRO BYDUREON RUFINAMIDE MAPROTILINE HCL BYDUREON BCISE SPRITAM MARPLAN BYDUREON PEN SUBVENITE MIRTAZAPINE BYETTA SYMPAZAN MIRTAZAPINE ODT CHLORPROPAMIDE TEGRETOL NARDIL CYCLOSET TEGRETOL-XR NEFAZODONE HCL DIAZOXIDE TIAGABINE HYDROCHLORIDE NORPRAMIN DUETACT TOPAMAX NORTRIPTYLINE HCL FARXIGA TOPAMAX SPRINKLE PAMELOR FIASP TOPIRAMATE PARNATE FIASP FLEXTOUCH TOPIRAMATE ER PAROXETINE HCL FORTAMET TRILEPTAL PAROXETINE HCL ER GLIMEPIRIDE TROKENDI XR PAXIL GLIPIZIDE VALPROIC ACID PAXIL CR GLIPIZIDE ER VIMPAT PEXEVA GLIPIZIDE XL XCOPRI PHENELZINE SULFATE GLIPIZIDE/METFORMIN HCL ZARONTIN PRISTIQ GLUCOPHAGE ZONEGRAN PROTRIPTYLINE HCL GLUCOPHAGE XR ZONISAMIDE PROZAC GLUCOTROL REMERON GLUCOTROL XL REMERON SOLTAB GLUMETZA
page 3 GLYBURIDE NESINA ANTIDOTES AND SPECIFIC ANTAGONISTS GLYBURIDE MICRONIZED NOVOLIN 70/30 DEFERASIROX GLYBURIDE/METFORMIN HCL NOVOLIN 70/30 RELION DEFERIPRONE GLYNASE NOVOLIN N EXJADE GLYSET NOVOLIN N RELION FERRIPROX GLYXAMBI NOVOLIN R JADENU HUMALOG NOVOLIN R RELION JADENU SPRINKLE HUMALOG JUNIOR KWIKPEN NOVOLOG ANTIFUNGALS HUMALOG KWIKPEN NOVOLOG FLEXPEN NOXAFIL HUMALOG MIX 50/50 NOVOLOG MIX 70/30 POSACONAZOLE DR HUMALOG MIX 50/50 KWIKPEN NOVOLOG MIX 70/30 PREFILLED FLEXPEN HUMALOG MIX 75/25 NOVOLOG PENFILL ANTIHYPERLIPIDEMICS HUMALOG MIX 75/25 KWIKPEN ONGLYZA ALTOPREV HUMULIN 70/30 OSENI ANTARA HUMULIN 70/30 KWIKPEN OZEMPIC ATORVASTATIN CALCIUM HUMULIN N PIOGLITAZONE HCL CHOLESTYRAMINE HUMULIN N KWIKPEN PIOGLITAZONE HCL/METFORMIN HCL CHOLESTYRAMINE LIGHT HUMULIN R PIOGLITAZONE HCL/GLIMEPIRIDE COLESEVELAM HYDROCHLORIDE HUMULIN R U-500 (CONCENTRATED) PRANDIN COLESTID HUMULIN R U-500 KWIKPEN PRECOSE COLESTID FLAVORED INSULIN ASPART PROGLYCEM COLESTIPOL HCL INSULIN ASPART FLEXPEN QTERN CRESTOR INSULIN ASPART PENFILL REPAGLINIDE EZALLOR SPRINKLE INSULIN ASPART PROTAMINE/INSULIN REPAGLINIDE/METFORMIN HCL EZETIMIBE ASPART RIOMET EZETIMIBE/SIMVASTATIN INSULIN ASPART PROTAMINE/INSULIN RIOMET ER FENOFIBRATE ASPART FLEXPEN RYBELSUS FENOFIBRATE MICRONIZED INSULIN LISPRO SEGLUROMET FENOFIBRIC ACID INSULIN LISPRO JUNIOR KWIKPEN SEMGLEE FENOFIBRIC ACID DR INSULIN LISPRO KWIKPEN SOLIQUA 100/33 FENOGLIDE INSULIN LISPRO PROTAMINE/INSULIN LISPRO KWIKPEN STARLIX FIBRICOR INVOKAMET STEGLATRO FLOLIPID INVOKAMET XR STEGLUJAN FLUVASTATIN INVOKANA SYMLINPEN FLUVASTATIN SODIUM ER JANUMET SYNJARDY GEMFIBROZIL JANUMET XR SYNJARDY XR ICOSAPENT ETHYL JANUVIA TOLAZAMIDE LESCOL XL JARDIANCE TOLBUTAMIDE LIPITOR JENTADUETO TOUJEO MAX SOLOSTAR LIPOFEN JENTADUETO XR TOUJEO SOLOSTAR LIVALO KAZANO TRADJENTA LOPID KOMBIGLYZE XR TRESIBA LOVASTATIN LANTUS TRESIBA FLEXTOUCH LOVAZA LANTUS SOLOSTAR TRIJARDY XR NEXLETOL LEVEMIR TRULICITY NEXLIZET LEVEMIR FLEXTOUCH VICTOZA NIACIN ER LYUMJEV XIGDUO XR NIASPAN LYUMJEV KWIKPEN XULTOPHY 100/3.6 OMEGA-3-ACID ETHYL ESTERS METFORMIN HYDROCHLORIDE PRALUENT METFORMIN HYDROCHLORIDE ER ANTIDIARRHEAL PRAVACHOL MIGLITOL MYTESI PRAVASTATIN SODIUM NATEGLINIDE PREVALITE
page 4 QUESTRAN DIOVAN HCT QBRELIS QUESTRAN LIGHT DOXAZOSIN QUINAPRIL HCL REPATHA DOXAZOSIN MESYLATE QUINAPRIL/HYDROCHLOROTHIAZIDE REPATHA PUSHTRONEX SYSTEM DUTOPROL RAMIPRIL REPATHA SURECLICK EDARBI TARKA ROSUVASTATIN CALCIUM EDARBYCLOR TEKTURNA SIMVASTATIN ENALAPRIL MALEATE TEKTURNA HCT TRICOR ENALAPRIL MALEATE/ TELMISARTAN TRIGLIDE HYDROCHLOROTHIAZIDE TELMISARTAN/AMLODIPINE TRILIPIX EPANED TELMISARTAN/HYDROCHLOROTHIAZIDE VASCEPA EPLERENONE TENORETIC VYTORIN EPROSARTAN MESYLATE TERAZOSIN HCL WELCHOL EXFORGE TRANDOLAPRIL ZETIA EXFORGE HCT TRANDOLAPRIL/VERAPAMIL HCL ER ZOCOR FOSINOPRIL SODIUM TRIBENZOR ZYPITAMAG FOSINOPRIL SODIUM/ TWYNSTA HYDROCHLOROTHIAZIDE VALSARTAN GUANFACINE HCL ANTIHYPERTENSIVES VALSARTAN/HYDROCHLOROTHIAZIDE HYDRALAZINE HCL ACCUPRIL VASERETIC HYZAAR ACCURETIC VASOTEC INSPRA ALISKIREN VECAMYL IRBESARTAN ALTACE ZESTORETIC IRBESARTAN/HYDROCHLOROTHIAZIDE AMLODIPINE BESYLATE/BENAZEPRIL HCL ZESTRIL LISINOPRIL AMLODIPINE BESYLATE/VALSARTAN ZIAC LISINOPRIL/HYDROCHLOROTHIAZIDE AMLODIPINE/OLMESARTAN MEDOXOMIL LOPRESSOR HCT AMLODIPINE/VALSARTAN/HCTZ ANTI-INFECTIVE AGENTS LOSARTAN POTASSIUM ATACAND MISCELLANEOUS LOSARTAN POTASSIUM/ DAPSONE ATACAND HCT HYDROCHLOROTHIAZIDE XIFAXAN ATENOLOL/CHLORTHALIDONE LOTENSIN
AVALIDE LOTENSIN HCT ANTIMALARIALS AVAPRO LOTREL CHLOROQUINE PHOSPHATE AZOR METHYLDOPA HYDROXYCHLOROQUINE SULFATE BENAZEPRIL HCL METHYLDOPA/HYDROCHLOROTHIAZIDE MEFLOQUINE HCL BENAZEPRIL HCL/HYDROCHLOROTHIAZIDE METOPROLOL SUCCINATE ER/ BENICAR HYDROCHLOROTHIAZIDE PLAQUENIL BENICAR HCT METOPROLOL/HYDROCHLOROTHIAZIDE ANTIMYCOBACTERIAL AGENTS BISOPROLOL FUMARATE/ MICARDIS ISONIAZID HYDROCHLOROTHIAZIDE MICARDIS HCT BYVALSON MINIPRESS ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES CANDESARTAN CILEXETIL MINOXIDIL ANASTROZOLE CANDESARTAN CILEXETIL/ MOEXIPRIL HCL HYDROCHLOROTHIAZIDE ARIMIDEX NADOLOL/BENDROFLUMETHIAZIDE CAPTOPRIL AROMASIN OLMESARTAN MEDOXOMIL CAPTOPRIL/HYDROCHLOROTHIAZIDE EXEMESTANE OLMESARTAN MEDOXOMIL/AMLODIPINE/ CARDURA HYDROCHLOROTHIAZIDE FARESTON CATAPRES OLMESARTAN MEDOXOMIL/ FEMARA CATAPRES-TTS HYDROCHLOROTHIAZIDE INTRON A CLONIDINE HCL PERINDOPRIL ERBUMINE LETROZOLE CLONIDINE HYDROCHLORIDE PRAZOSIN HCL SOLTAMOX CORZIDE PRESTALIA SYLATRON COZAAR PRINIVIL TAMOXIFEN CITRATE DIOVAN PROPRANOLOL/HYDROCHLOROTHIAZIDE TOREMIFENE CITRATE
page 5 ANTIPARKINSON AND RELATED FLUPHENAZINE HCL DIDANOSINE THERAPY AGENTS GEODON DOVATO AMANTADINE HCL HALOPERIDOL EDURANT AZILECT INVEGA EFAVIRENZ BENZTROPINE MESYLATE LATUDA EFAVIRENZ/EMTRICITABINE/TENOFOVIR BROMOCRIPTINE MESYLATE LOXAPINE DISOPROXIL FUMARATE CARBIDOPA LOXAPINE SUCCINATE EFAVIRENZ/LAMIVUDINE/TENOFOVIR DISOPROXIL FUMARATE CARBIDOPA/LEVODOPA MOLINDONE HYDROCHLORIDE EMTRICITABINE CARBIDOPA/LEVODOPA ER NUPLAZID CARBIDOPA/LEVODOPA ODT EMTRICITABINE/TENOFOVIR DISOPROXIL OLANZAPINE FUMARATE CARBIDOPA/LEVODOPA/ENTACAPONE OLANZAPINE ODT EMTRIVA COMTAN PALIPERIDONE ER ENTECAVIR DUOPA PERPHENAZINE EPIVIR ENTACAPONE PERSERIS EPIVIR HBV GOCOVRI PROCHLORPERAZINE MALEATE EPZICOM INBRIJA QUETIAPINE FUMARATE EVOTAZ LODOSYN QUETIAPINE FUMARATE ER FOSAMPRENAVIR CALCIUM MIRAPEX REXULTI FUZEON MIRAPEX ER RISPERDAL GENVOYA NEUPRO RISPERIDONE HEPSERA NOURIANZ RISPERIDONE M-TAB INTELENCE ONGENTYS RISPERIDONE ODT INVIRASE OSMOLEX ER SAPHRIS ISENTRESS PARLODEL SECUADO ISENTRESS HD PRAMIPEXOLE DIHYDROCHLORIDE SEROQUEL JULUCA PRAMIPEXOLE DIHYDROCHLORIDE ER SEROQUEL XR KALETRA RASAGILINE MESYLATE THIORIDAZINE HCL LAMIVUDINE REQUIP THIOTHIXENE LAMIVUDINE/ZIDOVUDINE REQUIP XL TRIFLUOPERAZINE HCL LEXIVA ROPINIROLE ER VRAYLAR LOPINAVIR/RITONAVIR ROPINIROLE HCL ZIPRASIDONE HCL NEVIRAPINE RYTARY ZYPREXA NEVIRAPINE ER SELEGILINE HCL ZYPREXA ZYDIS NORVIR SINEMET ANTIVIRALS ODEFSEY SINEMET CR ABACAVIR PIFELTRO STALEVO ABACAVIR SULFATE PREVYMIS TASMAR ABACAVIR SULFATE/LAMIVUDINE PREZCOBIX TOLCAPONE ABACAVIR SULFATE/LAMIVUDINE/ PREZISTA TRIHEXYPHENIDYL HCL ZIDOVUDINE RESCRIPTOR XADAGO ADEFOVIR DIPIVOXIL RETROVIR ZELAPAR APTIVUS REYATAZ ATAZANAVIR RITONAVIR ANTIPSYCHOTICS/ANTIMANIC AGENTS ATAZANAVIR SULFATE RUKOBIA ABILIFY ATRIPLA SELZENTRY ABILIFY MAINTENA BARACLUDE STAVUDINE ABILIFY MYCITE BIKTARVY STRIBILD ARIPIPRAZOLE CIMDUO SUSTIVA ARIPIPRAZOLE ODT COMBIVIR SYMFI ARISTADA COMPLERA SYMFI LO CAPLYTA CRIXIVAN SYMTUZA CHLORPROMAZINE HCL DELSTRIGO TEMIXYS EQUETRO DESCOVY TENOFOVIR DISOPROXIL FUMARATE
page 6 TIVICAY CALAN SR CONTRACEPTIVES TIVICAY PD CARDIZEM AFIRMELLE TRIUMEQ CARDIZEM CD ALTAVERA TRIZIVIR CARDIZEM LA ALYACEN 1/35 TRUVADA CARTIA XT ALYACEN 7/7/7 TYBOST CONJUPRI AMETHIA VALCYTE CONSENSI AMETHIA LO VALGANCICLOVIR DILTIAZEM HCL AMETHYST VALGANCICLOVIR HYDROCHLORDE DILTIAZEM HCL CD ANNOVERA VEMLIDY DILTIAZEM HCL ER APRI VIDEX PEDIATRIC DILT-XR ARANELLE VIDEX EC FELODIPINE ER ASHLYNA VIRACEPT ISRADIPINE AUBRA VIRAMUNE KATERZIA AUBRA EQ VIRAMUNE XR MATZIM LA AUROVELA 1.5/30 VIREAD NICARDIPINE HCL AUROVELA 1/20 ZERIT NIFEDIPINE AUROVELA 24 FE ZIAGEN NIFEDIPINE ER AUROVELA FE 1.5/30 ZIDOVUDINE NISOLDIPINE ER AUROVELA FE 1/20 NORVASC AVIANE BETA BLOCKERS PROCARDIA AYUNA ACEBUTOLOL HCL PROCARDIA XL AZURETTE ATENOLOL SULAR BALCOLTRA BETAXOLOL HCL TAZTIA XT BALZIVA BISOPROLOL FUMARATE TIADYLT ER BEKYREE BYSTOLIC TIAZAC BEYAZ CARVEDILOL VERAPAMIL HCL BLISOVI 24 FE CARVEDILOL PHOSPHATE VERAPAMIL HCL ER BLISOVI FE 1.5/30 COREG VERAPAMIL HCL SR BLISOVI FE 1/20 COREG CR VERELAN BRIELLYN CORGARD VERELAN PM CAMILA HEMANGEOL CAMRESE INDERAL LA CARDIOVASCULAR AGENTS - CAMRESE LO INDERAL XL MISCELLANEOUS CAZIANT INNOPRAN XL ADCIRCA CHARLOTTE 24 FE KAPSPARGO SPRINKLE ALYQ CHATEAL LABETALOL HYDROCHLORIDE AMBRISENTAN CHATEAL EQ LOPRESSOR AMLODIPINE BESYLATE/ATORVASTATIN CRYSELLE-28 CALCIUM METOPROLOL SUCCINATE ER CYCLAFEM 1/35 BIDIL METOPROLOL TARTRATE CYCLAFEM 7/7/7 BOSENTAN NADOLOL CYRED CADUET PINDOLOL CYRED EQ CIALIS PROPRANOLOL HCL DASETTA 1/35 CORLANOR PROPRANOLOL HCL ER DASETTA 7/7/7 ENTRESTO TENORMIN DAYSEE REVATIO TIMOLOL MALEATE DEBLITANE SILDENAFIL CITRATE TOPROL XL DELYLA TADALAFIL DESOGESTREL/ETHINYL ESTRADIOL VYNDAMAX CALCIUM CHANNEL BLOCKERS DROSPIRENONE/ETHINYL ESTRADIOL VYNDAQEL ADALAT CC DROSPIRENONE/ETHINYL ESTRADIOL/
AMLODIPINE BESYLATE LEVOMEFOLATE CALCIUM
CALAN ELINEST
page 7 ELURYNG LEVORA 0.15/30-28 ORTHO-NOVUM 7/7/7 EMOQUETTE LILLOW PHILITH ENPRESSE-28 LO LOESTRIN FE PIMTREA ENSKYCE LOESTRIN 1.5/30-21 PIRMELLA 1/35 ERRIN LOESTRIN 1/20-21 PIRMELLA 7/7/7 ESTARYLLA LOESTRIN FE 1.5/30 PORTIA-28 ESTROSTEP FE LOESTRIN FE 1/20 PREVIFEM ETHYNODIOL DIACETATE/ETHINYL ESTRA- LOJAIMIESS QUARTETTE DIOL LORYNA QUASENSE ETONOGESTREL/ETHINYL ESTRADIOL LOSEASONIQUE RAJANI FALMINA LOW-OGESTREL RECLIPSEN FAYOSIM LO-ZUMANDIMINE RIVELSA FEMYNOR LUTERA SAFYRAL GEMMILY LYZA SEASONIQUE GENERESS FE MARLISSA SETLAKIN GIANVI MELODETTA 24 FE SHAROBEL HAILEY 1.5/30 MIBELAS 24 FE SIMLIYA HAILEY 24 FE MICROGESTIN 1.5/30 SIMPESSE HAILEY FE 1.5/30 MICROGESTIN 1/20 SLYND HAILEY FE 1/20 MICROGESTIN 24 FE SPRINTEC 28 HEATHER MICROGESTIN FE 1.5/30 SRONYX INCASSIA MICROGESTIN FE 1/20 SYEDA INTROVALE MILI TARINA 24 FE ISIBLOOM MINASTRIN 24 FE TARINA FE 1/20 JAIMIESS MIRCETTE TARINA FE 1/20 EQ JASMIEL MONO-LINYAH TAYTULLA JENCYCLA MONONESSA TILIA FE JOLESSA MYZILRA TRI FEMYNOR JOLIVETTE NATAZIA TRI-ESTARYLLA JULEBER NECON 0.5/35-28 TRI-LEGEST FE JUNEL 1.5/30 NIKKI TRI-LINYAH JUNEL 1/20 NORA-BE TRI-LO-ESTARYLLA JUNEL FE 1.5/30 NORETHINDRONE TRI-LO-MARZIA JUNEL FE 1/20 NORETHINDRONE & ETHINYL ESTRADIOL TRI-LO-MILI JUNEL FE 24 FERROUS FUMARATE TRI-LO-SPRINTEC KAITLIB FE NORETHINDRONE/ETHINYL ESTRADIOL/ TRI-MILI FERROUS FUMARATE KALLIGA TRI-NORINYL 28 NORGESTIMATE/ETHINYL ESTRADIOL KARIVA TRI-PREVIFEM NORLYDA KELNOR 1/35 TRI-SPRINTEC NORLYROC KELNOR 1/50 TRIVORA-28 NORTREL 0.5/35 (28) KURVELO TRI-VYLIBRA NORTREL 1/35 LARIN 1.5/30 TRI-VYLIBRA LO NORTREL 7/7/7 LARIN 1/20 TULANA NUVARING LARIN 24 FE TWIRLA OCELLA LARIN FE 1.5/30 TYBLUME OGESTREL LARIN FE 1/20 TYDEMY ORSYTHIA LARISSIA VELIVET ORTHO MICRONOR LAYOLIS FE VIENVA ORTHO TRI-CYCLEN LEENA VIORELE ORTHO TRI-CYCLEN LO LESSINA VOLNEA ORTHO-CYCLEN LEVONEST VYFEMLA ORTHO-NOVUM 1/35 LEVONORGESTREL/ETHINYL ESTRADIOL VYLIBRA
page 8 WERA MAXZIDE SAIZEN WYMZYA FE MAXZIDE-25 SAIZENPREP RECONSTITUTIONKIT XULANE METHAZOLAMIDE SANDOSTATIN YASMIN 28 METHYCLOTHIAZIDE SAPROPTERIN DIHYDROCHLORIDE YAZ METOLAZONE SENSIPAR ZARAH MICROZIDE SEROSTIM ZOVIA 1/35 SPIRONOLACTONE SOMAVERT ZOVIA 1/35E SPIRONOLACTONE/ TERIPARATIDE ZUMANDIMINE HYDROCHLOROTHIAZIDE TYMLOS TORSEMIDE ZEMPLAR CORTICOSTEROIDS TRIAMTERENE ZOMACTON ALKINDI SPRINKLE TRIAMTERENE/HYDROCHLOROTHIAZIDE ZORBTIVE
FLUDROCORTISONE ACETATE ESTROGENS ENDOCRINE AND METABOLIC AGENTS - ACTIVELLA DERMATOLOGICALS MISCELLANEOUS ALORA COSENTYX ACTONEL AMABELZ COSENTYX SENSOREADY PEN ALENDRONATE SODIUM ANGELIQ DUPIXENT ATELVIA BIJUVA SILIQ BINOSTO CLIMARA SKYRIZI BONIVA CLIMARA PRO STELARA BYNFEZIA PEN COMBIPATCH TALTZ CALCITONIN SALMON COVARYX TREMFYA CALCITRIOL CARNITOR COVARYX HS DIGESTIVE AIDS CARNITOR SF DIVIGEL CREON CINACALCET HYDROCHLORIDE DOTTI PANCREAZE DDAVP DUAVEE PERTZYE DESMOPRESSIN ACETATE EEMT VIOKACE DOXERCALCIFEROL EEMT HS ZENPEP EVISTA ELESTRIN FORTEO ESTERIFIED ESTROGENS/ METHYLTESTOSTERONE DIURETICS FOSAMAX ACETAZOLAMIDE ESTERIFIED ESTROGENS/ FOSAMAX PLUS D METHYLTESTOSTERONE DS ACETAZOLAMIDE ER GENOTROPIN ESTERIFIED ESTROGENS/ ALDACTAZIDE GENOTROPIN MINIQUICK METHYLTESTOSTERONE HS ALDACTONE HUMATROPE ESTRACE AMILORIDE HCL IBANDRONATE SODIUM ESTRADIOL AMILORIDE/HYDROCHLOROTHIAZIDE KUVAN ESTRADIOL/NORETHINDRONE ACETATE BUMETANIDE LEVOCARNITINE ESTROGEL BUMEX LEVOCARNITINE SF EVAMIST CAROSPIR NOCDURNA FEMHRT LOW DOSE CHLOROTHIAZIDE NOCTIVA FYAVOLV CHLORTHALIDONE NORDITROPIN FLEXPRO JEVANTIQUE LO DEMADEX NUTROPIN AQ NUSPIN JINTELI DIURIL OCTREOTIDE ACETATE LOPREEZA DYAZIDE OMNITROPE LYLLANA DYRENIUM OSPHENA MENEST EDECRIN PARICALCITOL MENOSTAR ETHACRYNIC ACID RALOXIFENE HYDROCHLORIDE MIMVEY FUROSEMIDE RAYALDEE MIMVEY LO HYDROCHLOROTHIAZIDE RISEDRONATE SODIUM MINIVELLE INDAPAMIDE RISEDRONATE SODIUM DR NORETHINDRONE ACETATE/ETHINYL ES- LASIX ROCALTROL TRADIOL
page 9 PREFEST FINASTERIDE PREMARIN FLOMAX HYPNOTICS/SEDATIVES/SLEEP DISORDER PREMPHASE JALYN AGENTS PREMPRO LITHOSTAT PHENOBARBITAL
VIVELLE-DOT PROSCAR LAXATIVES RAPAFLO CONSTULOSE GASTROINTESTINAL AGENTS - SILODOSIN MISCELLANEOUS KRISTALOSE TAMSULOSIN HYDROCHLORIDE ACTIGALL LACTULOSE UROXATRAL ALOSETRON HYDROCHLORIDE MIGRAINE PRODUCTS AMITIZA GOUT AGENTS AIMOVIG APRISO ALLOPURINOL AJOVY AURYXIA DUZALLO EMGALITY AZULFIDINE FEBUXOSTAT AZULFIDINE EN-TABS PROBENECID MINERALS & ELECTROLYTES CALCIUM ACETATE PROBENECID/COLCHICINE EFFER-K CIMZIA ULORIC EFFERVESCENT POTASSIUM CHLORIDE CIMZIA STARTER KIT ZURAMPIC FLUORABON DELZICOL ZYLOPRIM FLUORIDE DIPENTUM FLUORITAB ENULOSE HEMATOLOGICAL AGENTS - FLURA-DROPS FOSRENOL MISCELLANEOUS K-EFFERVESCENT GASTROCROM AGGRENOX KLOR-CON GENERLAC AGRYLIN KLOR-CON 10 LANTHANUM CARBONATE ANAGRELIDE HYDROCHLORIDE KLOR-CON LIALDA ASPIRIN/DIPYRIDAMOLE KLOR-CON SPRINKLE LINZESS ASPIRIN/DIPYRIDAMOLE ER KLOR-CON/EF LOTRONEX ASPIRIN/OMEPRAZOLE K-PHOS MESALAMINE DR BRILINTA K-PRIME MESALAMINE ER CILOSTAZOL K-TAB MOTEGRITY CLOPIDOGREL K-VESCENT OCALIVA DIPYRIDAMOLE NAFRINSE PENTASA DURLAZA NAFRINSE DROPS PHOSLYRA EFFIENT PHOSPHA 250 NEUTRAL RENAGEL PENTOXIFYLLINE ER PHOSPHOROUS RENVELA PLAVIX PHOSPHO-TRIN 250 NEUTRAL SEVELAMER CARBONATE PRASUGREL POTASSIUM CHLORIDE SEVELAMER HYDROCHLORIDE TAKHZYRO POTASSIUM CHLORIDE CR SULFASALAZINE TAVALISSE POTASSIUM CHLORIDE ER TRULANCE YOSPRALA POTASSIUM CHLORIDE SR URSO 250 ZONTIVITY SODIUM FLUORIDE URSO FORTE HEMATOPOIETIC AGENTS VIRT-PHOS 250 NEUTRAL URSODIOL CVS FOLIC ACID VELPHORO DROXIA MISCELLANEOUS THERAPEUTIC CLASSES VIBERZI AZASAN FA-8 AZATHIOPRINE GENITOURINARY AGENTS - FOLIC ACID MISCELLANEOUS KP FOLIC ACID BENLYSTA ALFUZOSIN HCL ER OXBRYTA ENSPRYNG AVODART PROMACTA IMURAN CARDURA XL QC FOLIC ACID LOKELMA DUTASTERIDE RA FOLIC ACID THALOMID DUTASTERIDE/TAMSULOSIN HCL VELTASSA
page 10 TIMOLOL/LATANOPROST FLUOXETINE
MOUTH/THROAT AGENTS TIMOPTIC GALANTAMINE HYDROBROMIDE CEVIMELINE HYDROCHLORIDE TIMOPTIC OCUDOSE GALANTAMINE HYDROBROMIDE ER EVOXAC TIMOPTIC-XE GILENYA SALAGEN TRAVATAN Z GLATIRAMER ACETATE TRAVOPROST GLATOPA NASAL AGENTS - SYSTEMIC AND TOPICAL TROPICAMIDE/CYCLOPENTOLATE HYDRO- GRALISE IPRATROPIUM BROMIDE CHLORIDE/PHENYLEPHRINE HYDRO HORIZANT
TROPICAMIDE/CYCLOPENTOLATE/ KESIMPTA NEUROMUSCULAR AGENTS PHENYLEPHRINE LYRICA CR RILUTEK TROPICAMIDE/PHENYLEPHRINE MAYZENT RILUZOLE TROPICAMIDE/PROPARACAINE/ PHENYLEPHRINE/KETOROLAC MEMANTINE HYDROCHLORIDE OPHTHALMIC AGENTS TRUSOPT MEMANTINE HYDROCHLORIDE ER ALPHAGAN P UPNEEQ NAMENDA ATROPINE SULFATE VYZULTA NAMENDA XR ATROPINE SULFATE MONOHYDRATE XALATAN NAMZARIC AZOPT XELPROS NUEDEXTA BETAGAN XIIDRA OLANZAPINE/FLUOXETINE BETIMOL ZIOPTAN ORAP BETOPTIC-S PAROXETINE BIMATOPROST PROGESTINS PERPHENAZINE/AMITRIPTYLINE BRIMONIDE/DORZOLAMIDE P-F AYGESTIN PIMOZIDE BRIMONIDINE TARTRATE MEDROXYPROGESTERONE ACETATE PLEGRIDY CARTEOLOL HCL MEGACE ES RAZADYNE COMBIGAN MEGESTROL ACETATE RAZADYNE ER COSOPT NORETHINDRONE ACETATE REBIF COSOPT PF PROGESTERONE REBIF REBIDOSE CYCLOGYL PROMETRIUM REBIF REBIDOSE TITRATION PACK CYCLOMYDRIL PROVERA REBIF TITRATION PACK
CYCLOPENTOLATE HCL RIVASTIGMINE TARTRATE PSYCHOTHERAPEUTIC AND CYCLOSPORINE IN KLARITY RIVASTIGMINE TRANSDERMAL SYSTEM NEUROLOGICAL AGENTS - SARAFEM DORZOLAMIDE HCL MISCELLANEOUS SAVELLA DORZOLAMIDE HCL/TIMOLOL MALEATE ACAMPROSATE CALCIUM DR SYMBYAX DORZOLAMIDE HYDROCHLORIDE/ ANTABUSE TECFIDERA TIMOLOL MALEATE PF ARICEPT TEGSEDI HOMATROPAIRE AUBAGIO TETRABENAZINE HOMATROPINE HBR AUSTEDO VUMERITY ISOPTO ATROPINE AVONEX ISOPTO CARPINE ZEPOSIA AVONEX PEN ISTALOL BETASERON LATANOPROST RESPIRATORY AGENTS - BRISDELLE MISCELLANEOUS LEVOBUNOLOL HCL CHLORDIAZEPOXIDE/AMITRIPTYLINE ESBRIET LUMIGAN COPAXONE OFEV METIPRANOLOL DALFAMPRIDINE ER PULMOZYME PHOSPHOLINE IODIDE DIMETHYL FUMARATE PILOCARPINE HCL DISULFIRAM THYROID AGENTS RESTASIS DONEPEZIL HCL ARMOUR THYROID RESTASIS MULTIDOSE DONEPEZIL HYDROCHLORIDE ODT CYTOMEL RHOPRESSA ERGOLOID MESYLATES EUTHYROX ROCKLATAN EXELON LEVO-T SIMBRINZA EXTAVIA LEVOTHYROXINE SODIUM TIMOLOL MALEATE OPHTHALMIC GEL LEVOTHYROXINE/LIOTHYRONINE
page 11 LEVOXYL PREVACID SOLUTAB LIOTHYRONINE SODIUM PRILOSEC METHIMAZOLE PROTONIX NATURE-THROID RABEPRAZOLE SODIUM NATURE-THROID NT-2.5 RABEPRAZOLE SODIUM DR SPRINKLE NP THYROID SUCRALFATE PROPYLTHIOURACIL SYMAX DUOTAB SYNTHROID SYMAX-SL TAPAZOLE SYMAX-SR TIROSINT ZEGERID TIROSINT-SOL UNITHROID URINARY ANTISPASMODICS WESTHROID DARIFENACIN HYDROBROMIDE ER WP THYROID DETROL DETROL LA ULCER DRUGS/ANTISPASMODICS/ DITROPAN XL ANTICHOLINERGICS ENABLEX ACIPHEX FLAVOXATE HCL ACIPHEX SPRINKLE GELNIQUE CARAFATE GELNIQUE PUMP CIMETIDINE MYRBETRIQ CIMETIDINE HCL OXYBUTYNIN CHLORIDE CUVPOSA OXYBUTYNIN CHLORIDE ER CYTOTEC OXYTROL DEXILANT SOLIFENACIN SUCCINATE ED-SPAZ TOLTERODINE TARTRATE ESOMEPRAZOLE MAGNESIUM TOLTERODINE TARTRATE ER ESOMEPRAZOLE STRONTIUM TOVIAZ FAMOTIDINE TROSPIUM CHLORIDE FIRST-LANSOPRAZOLE TROSPIUM CHLORIDE ER FIRST-OMEPRAZOLE VESICARE HYOSCYAMINE SULFATE HYOSCYAMINE SULFATE ER VAGINAL AND RELATED PRODUCTS HYOSCYAMINE SULFATE ODT ESTRING HYOSCYAMINE SULFATE SR FEMRING HYOSYNE IMVEXXY MAINTENANCE PACK LANSOPRAZOLE IMVEXXY STARTER PACK LANSOPRAZOLE ODT INTRAROSA MISOPROSTOL VAGIFEM NEXIUM YUVAFEM NIZATIDINE NULEV VITAMINS OMEPRAZOLE DRISDOL OMEPRAZOLE + SYRSPEND SF ALKA VITAMIN D OMEPRAZOLE DR OMEPRAZOLE/SODIUM BICARBONATE OSCIMIN OSCIMIN SR PANTOPRAZOLE SODIUM PANTOPRAZOLE SODIUM DR PEPCID PREVACID
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