New York Health and Recovery Plan (HARP)

Lista de medicamentos preferidos aprobada por Medicaid

En vigencia desde el 1 de febrero de 2020

Leyenda En cada categoría, los medicamentos se listan en orden alfabético por marca o nombre genérico. Medicamento de marca: letra mayúscula en negrita Medicamento genérico: letra minúscula en texto sin formato AL: restricción de límite de edad DO: programa de optimización de dosis GR: restricción de género OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización previa. La autorización previa es el proceso mediante el cual se obtiene la aprobación de los beneficios antes de que se puedan abastecer ciertas recetas. QL: límites de cantidad. Ciertos medicamentos recetados tienen límites de cantidad específicos, por receta o por mes. SP: farmacia de medicamentos especiales ST: requiere terapia escalonada. Es posible que necesite utilizar un medicamento antes de que los beneficios para el uso de otro medicamento puedan autorizarse. Nombre del medicamento Referencia Notas ADYUVANTES FARMACÉUTICOS cvs external CareAll Petroleum Jelly OTC RA Tugaboos Petroleum gnp petroleum jelly gel OTC Jelly RA Tugaboos Petroleum hm petroleum jelly gel OTC Jelly ORA-PLUS ORAL OTC petroleum jelly external gel CareAll Petroleum Jelly OTC petroleum jelly external ointment OTC RA Tugaboos Petroleum petroleum jelly gel OTC Jelly RA Tugaboos Petroleum ra petroleum jelly gel OTC Jelly RA TUGABOOS PETROLEUM JELLY GEL OTC RESOURCE THICKENUP ORAL PACKET OTC RESOURCE THICKENUP ORAL OTC SIMPLYTHICK EASY MIX ORAL GEL OTC SIMPLYTHICK ORAL GEL OTC RA Tugaboos Petroleum sm petroleum jelly gel OTC Jelly sterile for injection sterile water for injection intravenous solution SUSPENDOL-S LIQUID OTC SYRSPEND SF ORAL LIQUID OTC THICK NOW ORAL POWDER OTC THICK-IT #2 ORAL POWDER OTC THICK-IT ORAL POWDER OTC THIK & CLEAR ORAL POWDER OTC white petrolatum external ointment GRX White Petrolatum OTC white petroleum jelly external gel CareAll Petroleum Jelly OTC AGENTES ANORRECTALES COLOCORT RECTAL cvs hemorrhoidal rectal ointment Major-Prep Hemorrhoidal OTC eq hemorrhoidal rectal OTC gnp hemorrhoidal rectal suppository Medicone OTC hemorrhoidal rectal ointment Major-Prep Hemorrhoidal OTC hydrocortisone rectal Proctosol HC QL

2 Nombre del medicamento Referencia Notas hydrocortisone rectal enema Colocort MEDICONE RECTAL SUPPOSITORY OTC PROCTOSOL HC RECTAL CREAM QL PROCTOZONE-HC RECTAL CREAM QL px hemorrhoidal rectal ointment OTC px hemorrhoidal rectal suppository OTC qc hemorrhoidal rectal ointment Major-Prep Hemorrhoidal OTC qc hemorrhoidal rectal suppository Preparation H OTC ra hemorrhoid relief rectal suppository OTC ra hemorrhoidal rectal ointment OTC rectacaine rectal suppository Medicone OTC sb hemorrhoid rectal ointment OTC sm hemorrhoidal rectal suppository Medicone OTC tgt hemorrhoidal rectal suppository OTC TRONOLANE RECTAL SUPPOSITORY OTC AGENTES ANSIOLÍTICOS ALPRAZOLAM INTENSOL ORAL CONCENTRATE alprazolam oral Xanax alprazolam oral tablet dispersible buspirone hcl oral tablet chlordiazepoxide hcl oral clorazepate dipotassium oral tablet DIAZEPAM INTENSOL ORAL CONCENTRATE diazepam oral concentrate Diazepam Intensol diazepam oral solution diazepam oral tablet Valium hydroxyzine hcl oral hydroxyzine hcl oral tablet hydroxyzine pamoate oral capsule lorazepam oral tablet Ativan oxazepam oral capsule AGENTES ANTIANGINOSOS isosorbide dinitrate oral tablet isosorbide mononitrate er oral tablet extended release 24 hour isosorbide mononitrate oral tablet 3 Nombre del medicamento Referencia Notas NITRO-BID OINTMENT NITRO-DUR 24 HOUR nitroglycerin sublingual tablet sublingual Nitrostat nitroglycerin transdermal patch 24 hour Nitro-Dur AGENTES ANTIASMÁTICOS Y AGENTES BRONCODILATADORES albuterol sulfate er oral tablet extended release 12 hour albuterol sulfate hfa aerosol ProAir HFA QL solution albuterol sulfate inhalation nebulization QL solution albuterol sulfate oral syrup albuterol sulfate oral tablet ANORO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED ARNUITY ELLIPTA INHALATION AEROSOL POWDER BREATH QL ACTIVATED ATROVENT HFA INHALATION AEROSOL QL SOLUTION BREO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 100-25 QL MCG/INH BREO ELLIPTA INHALATION AEROSOL POWDER BREATH ACTIVATED 200-25 PA; QL MCG/INH budesonide inhalation Pulmicort PA; AL; QL COMBIVENT INHALATION AEROSOL SOLUTION cromolyn sodium inhalation nebulization solution FLOVENT DISKUS INHALATION AEROSOL POWDER BREATH QL ACTIVATED FLOVENT HFA INHALATION AEROSOL QL fluticasone-salmeterol inhalation aerosol Wixela Inhub QL powder breath activated ipratropium bromide inhalation solution QL ipratropium-albuterol inhalation solution

4 Nombre del medicamento Referencia Notas metaproterenol sulfate oral syrup montelukast sodium oral packet Singulair QL montelukast sodium oral tablet Singulair montelukast sodium oral tablet chewable Singulair SEREVENT DISKUS INHALATION AEROSOL POWDER BREATH QL ACTIVATED SPIRIVA RESPIMAT INHALATION QL AEROSOL SOLUTION STIOLTO RESPIMAT INHALATION QL AEROSOL SOLUTION terbutaline sulfate oral tablet THEO-24 ORAL CAPSULE EXTENDED QL RELEASE 24 HOUR theophylline er oral tablet extended release 12 hour theophylline er oral tablet extended release 24 hour theophylline oral solution WIXELA INHUB INHALATION AEROSOL QL POWDER BREATH ACTIVATED XOLAIR SUBCUTANEOUS SOLUTION PA; SP PREFILLED XOLAIR SUBCUTANEOUS SOLUTION PA; SP RECONSTITUTED zafirlukast oral tablet Accolate QL AGENTES ANTIINFECCIOSOS VARIOS clindamycin hcl oral capsule Cleocin clindamycin palmitate hcl oral solution Cleocin reconstituted dapsone oral tablet linezolid oral suspension reconstituted Zyvox PA; QL linezolid oral tablet Zyvox PA; QL metronidazole oral capsule Flagyl metronidazole oral tablet Flagyl sulfamethoxazole-trimethoprim oral Sulfatrim Pediatric suspension sulfamethoxazole-trimethoprim oral tablet Bactrim

5 Nombre del medicamento Referencia Notas SULFATRIM PEDIATRIC ORAL SUSPENSION tinidazole oral tablet QL trimethoprim oral tablet AGENTES ANTIMIASTÉNICOS/COLINÉRGICOS pyridostigmine bromide er oral tablet Mestinon extended release pyridostigmine bromide oral solution Mestinon pyridostigmine bromide oral tablet Mestinon AGENTES ANTIMIASTÉNICOS pyridostigmine bromide er oral tablet Mestinon extended release pyridostigmine bromide oral solution Mestinon pyridostigmine bromide oral tablet Mestinon AGENTES ANTIMICOBACTERIALES ethambutol hcl oral tablet Myambutol isoniazid oral syrup isoniazid oral tablet PRIFTIN ORAL TABLET pyrazinamide oral tablet rifabutin oral capsule Mycobutin rifampin oral capsule Rifadin RIFATER ORAL TABLET AGENTES ANTIPSICÓTICOS/ANTIMANÍACOS ABILIFY MAINTENA INTRAMUSCULAR PA; AL PREFILLED SYRINGE ABILIFY MAINTENA INTRAMUSCULAR PA; AL; QL SUSPENSION RECONSTITUTED ER aripiprazole oral tablet Abilify AL; QL ARISTADA INTRAMUSCULAR PA; AL PREFILLED SYRINGE chlorpromazine hcl oral tablet AL clozapine oral tablet Clozaril AL; QL CLOZARIL ORAL TABLET PA; AL; QL COMPRO RECTAL SUPPOSITORY fluphenazine decanoate injection solution AL fluphenazine hcl injection solution AL 6 Nombre del medicamento Referencia Notas fluphenazine hcl oral concentrate AL fluphenazine hcl oral elixir AL fluphenazine hcl oral tablet AL haloperidol decanoate intramuscular solution Haldol Decanoate AL; QL 100 mg/ml haloperidol decanoate intramuscular solution Haldol Decanoate AL 50 mg/ml haloperidol lactate injection solution Haldol AL haloperidol lactate oral concentrate AL haloperidol oral tablet AL INVEGA SUSTENNA INTRAMUSCULAR PA; AL; QL SUSPENSION PREFILLED SYRINGE INVEGA TRINZA INTRAMUSCULAR PA; AL; QL SUSPENSION PREFILLED SYRINGE lithium carbonate er oral tablet extended Lithobid release lithium carbonate oral capsule lithium carbonate oral tablet lithium oral solution AL loxapine succinate oral capsule AL olanzapine intramuscular solution ZyPREXA AL reconstituted olanzapine oral tablet ZyPREXA AL; QL paliperidone er oral tablet extended release Invega AL 24 hour perphenazine oral tablet AL prochlorperazine edisylate injection solution prochlorperazine maleate oral tablet prochlorperazine rectal suppository Compro quetiapine fumarate oral tablet SEROquel AL; QL RISPERDAL CONSTA INTRAMUSCULAR PA; AL; QL SUSPENSION RECONSTITUTED ER risperidone oral solution RisperDAL AL; QL risperidone oral tablet RisperDAL AL; QL thioridazine hcl oral tablet thiothixene oral capsule AL trifluoperazine hcl oral tablet AL ziprasidone hcl oral capsule Geodon AL; QL

7 Nombre del medicamento Referencia Notas ZYPREXA RELPREVV INTRAMUSCULAR PA; AL SUSPENSION RECONSTITUTED AGENTES CARDIOVASCULARES VARIOS ALYQ ORAL TABLET PA; SP; QL ambrisentan oral tablet Letairis PA; SP; QL sildenafil citrate oral tablet Revatio PA; SP; QL tadalafil (pah) oral tablet Alyq PA; SP; QL AGENTES DE INMUNIZACIÓN PASIVA GAMUNEX-C INJECTION SOLUTION PA; SP OCTAGAM INTRAVENOUS SOLUTION PA; SP SYNAGIS INTRAMUSCULAR SOLUTION PA; SP AGENTES DERMATOLÓGICOS acne foaming wash external liquid PanOxyl Foaming Wash OTC Clean & Clear Persa-Gel acne medication 10 external gel OTC; QL Max St acne medication 10 external OTC; QL acne medication 5 external gel OTC acne medication 5 external lotion OTC; QL acne treatment external bar OTC Clean & Clear Persa-Gel acne treatment external gel OTC; QL Max St ACTICOAT 7 EXTERNAL PAD ACTICOAT 7 EXTERNAL SHEET ACTICOAT ABSORBENT EXTERNAL PAD ACTICOAT ANTIMICROBIAL EXTERNAL PAD ACTICOAT EXTERNAL SHEET ACTICOAT FLEX 3 EXTERNAL SHEET ACTICOAT FLEX 7 EXTERNAL SHEET acyclovir external ointment Zovirax PA; QL advanced acne wash external liquid OTC extended release afterburn external gel OTC AL12 EXTERNAL LOTION OTC Cortaid Maximum ala-cort external cream PA; QL Strength alcohol wipes external OTC

8 Nombre del medicamento Referencia Notas alevazol external ointment OTC ALGICELL CALCIUM DRESS 3/4"X12 OTC EXTERNAL ALGICELL CALCIUM DRESSING 2"X2 OTC EXTERNAL ALGICELL CALCIUM DRESSING 4"X4 OTC EXTERNAL ALGICELL CALCIUM DRESSING 4"X8 OTC EXTERNAL ALGISITE M 2"X2" EXTERNAL OTC ALGISITE M 3/4"X12" EXTERNAL OTC ALGISITE M 4"X4" EXTERNAL OTC ALGISITE M 6"X8" EXTERNAL OTC alum sulfate-ca acetate external packet Domeboro OTC amcinonide external lotion amcinonide external ointment QL AMLACTIN EXTERNAL LOTION OTC ammonium lactate external cream Geri-Hydrolac 12 OTC; QL ammonium lactate external lotion AL12 OTC AMNESTEEM ORAL CAPSULE PA antifungal external cream Carrington Antifungal OTC anti-fungal external powder Odor Eaters Antifungal OTC Cortaid Maximum anti-itch maximum strength external cream OTC; QL Strength AQUACEL HYDROFIBER 0.39"X18" OTC EXTERNAL AQUACEL-AG EXTRA HYDROFIBER OTC EXTERNAL PAD AQUACEL-AG HYDROFIBER EXTERNAL OTC AQUACEL-AG SURGICAL HYDROFIBER OTC EXTERNAL PAD arthritis pain relieving external cream OTC ASPERCREME LIDOCAINE EXTERNAL OTC LIQUID ASPERCREME MAX STRENGTH OTC EXTERNAL AEROSOL athletes foot powder spray external aerosol LamISIL AF Defense OTC powder ATRAPRO DERMAL SPRAY EXTERNAL LIQUID

9 Nombre del medicamento Referencia Notas AVO CREAM EXTERNAL AVOGEL DRESSING 4"X4" EXTERNAL OTC AVOGEL DRESSING 6"X48" EXTERNAL OTC AVOGEL SHEET EXTERNAL OTC bacitracin external ointment Baciguent OTC; QL bacitracin zinc external ointment CareAll Bacitracin OTC; QL bedding spray lice treatment aerosol Licide OTC BENZEPRO EXTERNAL FOAM benzoyl peroxide cleanser external liquid OTC; QL benzoyl peroxide external foam BenzePrO OTC Clean & Clear Persa-Gel benzoyl peroxide external gel 10 % OTC; QL Max St benzoyl peroxide external gel 2.5 %, 5 % OTC benzoyl peroxide wash external liquid 10 % PanOxyl Foaming Wash OTC benzoyl peroxide wash external liquid 5 % Benzac AC Wash OTC; QL betamethasone dipropionate aug external Diprolene AF cream betamethasone dipropionate external lotion QL betamethasone valerate external cream QL betamethasone valerate external ointment QL BIAFINE EXTERNAL EMULSION BIOBRANE GLOVES PEDIATRIC OTC EXTERNAL BIOBRANE GLOVES SMALL EXTERNAL OTC Clean & Clear Persa-Gel bp gel external gel 10 % OTC; QL Max St bp gel external gel 5 % OTC bp wash external liquid 10 % PanOxyl Foaming Wash OTC bp wash external liquid 2.5 % PanOxyl bp wash external liquid 5 % Benzac AC Wash OTC; QL bp wash external liquid 7 % BenzePrO Creamy Wash BREEZEE MIST EXTERNAL AEROSOL OTC POWDER calcipotriene external cream Dovonex QL calcipotriene external ointment Calcitrene calcipotriene external solution QL CALCITRENE EXTERNAL OINTMENT CARRAGINATE EXTERNAL OTC

10 Nombre del medicamento Referencia Notas CARRASORB H EXTERNAL OTC CARRINGTON ANTIFUNGAL EXTERNAL OTC CREAM castellani paint modified external liquid OTC CAVILON EXTERNAL CREAM OTC CICA-CARE EXTERNAL SHEET OTC ciclopirox external solution Ciclodan QL ciclopirox olamine external cream Loprox QL ciclopirox olamine external suspension Loprox QL CLARAVIS ORAL CAPSULE PA CLEAN & CLEAR PERSA-GEL MAX ST OTC; QL EXTERNAL GEL CLINDACIN ETZ EXTERNAL SWAB QL CLINDACIN-P EXTERNAL SWAB QL clindamycin phos-benzoyl perox external gel Neuac QL clindamycin phosphate external gel Cleocin-T clindamycin phosphate external solution QL clindamycin phosphate external swab Clindacin ETZ QL clobetasol prop emollient base external QL cream clobetasol propionate e external cream QL clobetasol propionate external cream Temovate QL clobetasol propionate external gel clobetasol propionate external ointment Temovate QL clobetasol propionate external solution QL clotrimazole anti-fungal external cream Desenex OTC; QL clotrimazole external cream Desenex QL clotrimazole-betamethasone external cream Lotrisone QL clotrimazole-betamethasone external lotion QL COLEMAN BOTANICALS INSECT REP OTC EXTERNAL LIQUID COLEMAN INSECT REPEL HIGH&DRY OTC EXTERNAL AEROSOL COLEMAN INSECT REPEL SPORTSMEN OTC EXTERNAL AEROSOL COLEMAN SKINSMART INSECT REPEL OTC EXTERNAL AEROSOL COLEMAN SKINSMART INSECT REPEL OTC EXTERNAL LIQUID

11 Nombre del medicamento Referencia Notas CONFORMANT 2 WOUND VEIL OTC EXTERNAL COOLMAGIC EXTERNAL SHEET OTC COOLMAGIC TUBE SITE DRESSING OTC EXTERNAL SHEET CORTAID MAXIMUM STRENGTH OTC; QL EXTERNAL CREAM CUTTER BACKWOODS DRY EXTERNAL OTC AEROSOL CUTTER BACKWOODS EXTERNAL OTC AEROSOL CUTTER BACKWOODS EXTERNAL OTC LIQUID CUTTER LEMON EUCALYPTUS OTC EXTERNAL LIQUID CUTTER SKINSATIONS EXTERNAL OTC LIQUID cvs acne cleansing external bar OTC cvs acne control cleanser external cream Clean & Clear Continuous OTC cvs acne external cream Clean & Clear Continuous OTC cvs acne foaming face wash external liquid PanOxyl Foaming Wash OTC Clean & Clear Persa-Gel cvs acne treatment external gel OTC; QL Max St cvs bedding spray lice treat aerosol Licide OTC cvs creamy acne face wash external liquid PanOxyl Creamy Wash OTC cvs foaming acne face wash external liquid PanOxyl Foaming Wash OTC cvs hydrating skin treatment external lotion AL12 OTC Coleman Insect Repel cvs insect repellent external aerosol OTC High cvs isopropyl alcohol wipes external OTC cvs skin treatment external lotion AL12 OTC Coleman Insect Repel cvs total home insect repel external aerosol OTC High DERMAGAUZE HYDROGEL DRESSING OTC EXTERNAL DERMAGINATE DRESSING 12" OTC EXTERNAL DERMAGINATE DRESSING 4"X4" OTC EXTERNAL PAD DESENEX EXTERNAL CREAM OTC; QL

12 Nombre del medicamento Referencia Notas diclofenac sodium transdermal gel Voltaren PA; QL diclofenac sodium transdermal solution PA; QL DIFFERIN EXTERNAL GEL OTC; QL diflorasone diacetate external cream QL docosanol external cream Abreva OTC; QL DOLOGESIC PAIN RELIEF ROLL-ON OTC EXTERNAL LIQUID DRS CHOICE DIABETIC BANDAGES OTC EXTERNAL KIT DRS CHOICE SKIN CLOSURE EXTERNAL OTC KIT DRS CHOICE SLOW HEAL BANDAGES OTC EXTERNAL KIT DRS CHOICE ULTRA-FLEX EXTERNAL OTC DUODERM CGF BORDER EXTERNAL OTC DUODERM CGF DRESSING EXTERNAL OTC DUODERM CGF EXTRA THIN EXTERNAL OTC DUODERM CGF SPOTS EXTRA THIN OTC EXTERNAL DUODERM HYDROACTIVE EXTERNAL OTC DUODERM HYDROACTIVE EXTERNAL OTC DUODERM SIGNAL DRESSING OTC EXTERNAL DY-O-DERM VITILIGO STAIN EXTERNAL OTC SOLUTION Cortaid Maximum eq hydrocortisone external cream OTC; QL Strength eq lidocaine pain relieving external patch Lido King OTC Gold Bond Multi- eq pain relieving external cream OTC Symptom ery external pad QL erythromycin external solution QL EXU-DRY BOOT/FOOT CHILD EXTERNAL OTC EXU-DRY BURN JACKET 36"X40" OTC EXTERNAL EXU-DRY BURN VEST 26"X38" OTC EXTERNAL EXU-DRY BURN VEST CHILD 15X20" OTC EXTERNAL

13 Nombre del medicamento Referencia Notas EXU-DRY LEG 34"X37" EXTERNAL OTC EXU-DRY NON-PERMEABLE 36"X72" OTC EXTERNAL SHEET EXU-DRY QUILTED 36"X72" EXTERNAL OTC SHEET fluocinonide emulsified base external cream fluorouracil external cream Efudex QL fluorouracil external solution QL fluticasone propionate external cream QL fluticasone propionate external ointment QL foraxa external emulsion AVO Cream fungi-guard external cream CareAll Tolnaftate OTC gentamicin sulfate external cream gentamicin sulfate external ointment GERI-HYDROLAC 12 EXTERNAL CREAM OTC; QL GERI-HYDROLAC 12 EXTERNAL LOTION OTC gnp aloe vera/lidocaine external gel OTC gnp athletes foot external cream Desenex OTC; QL gnp bacitracin zinc external ointment CareAll Bacitracin OTC; QL gnp capsaicin external liquid Capzasin OTC gnp hydrocortisone max st external ointment Cortizone-10 OTC; QL Cortizone-10 Intensive gnp hydrocortisone/aloe external cream OTC; QL Healing gnp lice bedding aerosol Licide OTC gnp lice treatment external liquid Nix Creme Rinse OTC; QL gnp lice treatment external Licide OTC gnp lidocaine pain relief external patch Lido King OTC gnp terbinafine hydrochloride external cream LamISIL AT OTC gnp triple antibiotic external ointment CareAll Triple AntiBiotic OTC; QL gnp vitamin a & d external ointment CareAll Vitamin A & D OTC; QL GOLD BOND MULTI-SYMPTOM OTC EXTERNAL CREAM halobetasol propionate external cream QL halobetasol propionate external ointment QL hm bacitracin zinc external ointment CareAll Bacitracin OTC; QL Cortizone-10 Intensive hm hydrocortisone plus external cream OTC; QL Healing

14 Nombre del medicamento Referencia Notas hm hydrocortisone-aloe max st external Cortizone-10 Intensive OTC; QL cream Healing hm lice treatment external liquid Nix Creme Rinse OTC; QL horizontal drain/tube att dev OTC Cortaid Maximum hydrocortisone external cream QL Strength hydrocortisone external ointment QL Cortaid Maximum hydrocortisone max st external cream OTC; QL Strength hydrocortisone max st/12 moist external Cortaid Maximum OTC; QL cream Strength Cortaid Maximum hydrocortisone plus external cream OTC; QL Strength Cortizone-10 Intensive hydrocortisone-aloe external cream OTC; QL Healing HYPERCARE EXTERNAL SOLUTION OTC imiquimod external cream Aldara PA; QL isotretinoin oral capsule Amnesteem PA KALTOSTAT ROPE EXTERNAL OTC KENDALL CA ALGINATE 12" ROPE OTC EXTERNAL KENDALL CA ALGINATE 12"X24" OTC EXTERNAL KENDALL CA ALGINATE 2"X2" OTC EXTERNAL KENDALL CA ALGINATE 24" ROPE OTC EXTERNAL KENDALL CA ALGINATE 36" ROPE OTC EXTERNAL KENDALL CA ALGINATE 4"X4" OTC EXTERNAL KENDALL CA ALGINATE 4"X5-1/2" OTC EXTERNAL KENDALL CA ALGINATE 6"X10" OTC EXTERNAL KENDALL CA ALGINATE 8"X4" OTC EXTERNAL KENDALL CA ALGINATE PLUS 4"X4" OTC EXTERNAL KERICORT 10 EXTERNAL CREAM OTC; QL ketoconazole external cream QL

15 Nombre del medicamento Referencia Notas ketoconazole external shampoo Nizoral QL Clean & Clear Persa-Gel kp benzoyl peroxide external gel OTC; QL Max St kp benzoyl peroxide wash external liquid Benzac AC Wash OTC; QL LAMISIL AF DEFENSE EXTERNAL OTC AEROSOL POWDER lice killing external shampoo Licide OTC lice killing maximum strength external Licide OTC shampoo lice treatment external lotion OTC; QL LIDO KING EXTERNAL PATCH OTC lidocaine external cream AneCream OTC lidocaine external patch Lidoderm PA; QL lidocaine hcl external solution PA; QL lidocaine hcl urethral/mucosal external gel lidocaine pain relief external patch Lido King OTC lidocaine-prilocaine external cream QL LOTRIMIN AF JOCK ITCH EXTERNAL OTC; QL CREAM MASTISOL ADHESIVE EXTERNAL OTC LIQUID MAXORB EXTRA ROPE EXTERNAL OTC MEDFIX EZ EXTERNAL OTC Cortaid Maximum meijer hydrocortisone external cream OTC; QL Strength meijer zinc oxide external ointment CareAll Zinc Oxide OTC; QL metronidazole external cream Rosadan QL metronidazole external gel 0.75 % Rosadan metronidazole external gel 1 % Metrogel QL metronidazole external lotion MetroLotion micaderm external cream Carrington Antifungal OTC miconazole nitrate external cream Carrington Antifungal OTC MIRODERM BIOLOGIC WOUND MATRIX EXTERNAL SHEET mometasone furoate external cream Elocon QL mometasone furoate external ointment QL mometasone furoate external solution QL mupirocin external ointment Centany QL MYORISAN ORAL CAPSULE PA 16 Nombre del medicamento Referencia Notas NATRAPEL 12-HOUR TICK/INSECT OTC EXTERNAL AEROSOL NEUROMED7 EXTERNAL CREAM OTC NYAMYC EXTERNAL POWDER QL nystatin external cream QL nystatin external ointment QL nystatin external powder Nyamyc QL NYSTOP EXTERNAL POWDER QL OASIS ULTRA TRI-LAYER MATRIX EXTERNAL SHEET OASIS WOUND MATRIX FENESTRATED EXTERNAL SHEET ODOR EATERS ANTIFUNGAL EXTERNAL OTC POWDER ODOR EATERS FOOT/SNEAKER SPRAY OTC EXTERNAL AEROSOL POWDER OFF ACTIVE EXTERNAL AEROSOL OTC OFF DEEP WOODS EXTERNAL OTC AEROSOL OFF DEEP WOODS EXTERNAL LIQUID OTC OFF DEEP WOODS SPORTSMEN OTC EXTERNAL LIQUID OFF SMOOTH & DRY EXTERNAL OTC AEROSOL pain relief roll-on external liquid Aspercreme Lidocaine OTC pain relieving external cream Aspercreme/Aloe OTC pain relieving lidocaine external patch Lido King OTC pain relieving ultra st external patch Bengay Ultra Strength OTC PANOXYL CREAMY WASH EXTERNAL OTC LIQUID PANOXYL FOAMING WASH EXTERNAL OTC LIQUID PEDI-PRE TAPE SPRAY EXTERNAL OTC LIQUID permethrin external cream Elimite QL pimecrolimus external cream Elidel PA; AL; QL podactin external cream Carrington Antifungal OTC podofilox external solution PA prednicarbate external ointment QL pro-ex antifungal external cream Desenex OTC; QL 17 Nombre del medicamento Referencia Notas PRUTECT EXTERNAL EMULSION qc athletes foot external cream LamISIL AT OTC qc clotrimazole external cream Desenex OTC; QL qc lidocaine pain relief external patch Lido King OTC qc tolnaftate external cream CareAll Tolnaftate OTC ra acne treatment external cream Clean & Clear Continuous OTC ra antifungal external cream Carrington Antifungal OTC ra athletes foot (tolnaftate) external cream CareAll Tolnaftate OTC Cortaid Maximum ra hydrocortisone max st external cream OTC; QL Strength ra isopropyl alcohol wipes external OTC ra lice bedding aerosol Licide OTC ra lice treatment external lotion OTC; QL ra lidocaine pain relieving external patch Lido King OTC RA RENEWAL ACNE TREATMENT OTC; QL EXTERNAL GEL RADIADRES GEL SHEET EXTERNAL OTC SHEET REGENECARE EXTERNAL GEL REGRANEX EXTERNAL GEL RE-LIEVED MAXIMUM STRENGTH OTC EXTERNAL PATCH REPEL 100 EXTERNAL LIQUID OTC REPEL HUNTERS FORMULA EXTERNAL OTC AEROSOL REPEL LEMON EUCALYPTUS OTC EXTERNAL AEROSOL REPEL SPORTSMEN DRY EXTERNAL OTC AEROSOL REPEL SPORTSMEN EXTERNAL OTC AEROSOL REPEL SPORTSMEN MAX EXTERNAL OTC AEROSOL REPEL SPORTSMEN MAX EXTERNAL OTC LIQUID REPEL SPORTSMEN MAX EXTERNAL OTC LOTION RESTORE CALCICARE DRESSING OTC EXTERNAL

18 Nombre del medicamento Referencia Notas RESTORE SILVER DRESSING OTC EXTERNAL RESTORE SILVER DRESSING EXTERNAL PAD RIAX EXTERNAL FOAM ROSADAN EXTERNAL CREAM QL ROSADAN EXTERNAL GEL sb anti-fungal external cream CareAll Tolnaftate OTC sb bacitracin external ointment Baciguent OTC; QL sb clotrimazole foot external cream Desenex OTC; QL sb lice treatment external liquid Nix Creme Rinse OTC; QL selenium sulfide external lotion QL SHOPKO ATHLETES FOOT EXTERNAL OTC; QL CREAM SILVASORB EXTERNAL GEL silver sulfadiazine external cream SSD sm antibiotic external ointment CareAll Bacitracin OTC; QL sm antifungal clotrimazole external cream Desenex OTC; QL sm antifungal tolnaftate external cream CareAll Tolnaftate OTC sm athletes foot external cream LamISIL AT OTC sm bedding lice treatment aerosol Licide OTC Cortaid Maximum sm hydrocortisone external cream OTC; QL Strength sm hydrocortisone max st external ointment Cortizone-10 OTC; QL sm lice killing max strength external Licide OTC shampoo sm muscle rub external cream Arthritis Hot OTC SONAFINE EXTERNAL EMULSION SOOTHE & COOL INZO ANTIFUNGAL OTC EXTERNAL CREAM spinosad external suspension Natroba SSD EXTERNAL CREAM STIK-IT EXTERNAL LIQUID OTC suction tube attachment device OTC tacrolimus external ointment Protopic PA; AL; QL TEGADERM AG MESH EXTERNAL PAD TEGADERM HIGH GELLING ALGINATE OTC EXTERNAL

19 Nombre del medicamento Referencia Notas TEGADERM HIGH INTEG ALGINATE OTC EXTERNAL TEGADERM HYDROCOLLOID EXTERNAL OTC TEGADERM HYDROCOLLOID THIN OTC EXTERNAL terbinafine hcl external cream LamISIL AT OTC TEXACORT EXTERNAL SOLUTION Cortaid Maximum tgt anti-itch plus oatmeal external cream OTC; QL Strength theracare pain relief external patch Lido King OTC TINACTIN DEODORANT EXTERNAL OTC AEROSOL POWDER TINACTIN JOCK ITCH EXTERNAL OTC AEROSOL POWDER TINEACIDE EXTERNAL CREAM OTC tolnaftate external cream CareAll Tolnaftate OTC tolnaftate external powder Odor Eaters Antifungal OTC tretinoin (emollient) external cream Refissa PA; AL tretinoin external cream Retin-A PA tretinoin external gel Retin-A PA; QL tretinoin microsphere external gel Retin-A Micro PA; AL; QL triamcinolone acetonide external cream Triderm QL triamcinolone acetonide external ointment QL TRIANEX EXTERNAL OINTMENT QL TRIDERM EXTERNAL CREAM 0.1 % QL TRIDERM EXTERNAL CREAM 0.5 % PA; QL triple antibiotic external ointment CareAll Triple AntiBiotic OTC; QL triple antibiotic first aid external ointment CareAll Triple AntiBiotic OTC; QL Aquacel Hydrofiber triple helix collagen 12" rope external OTC 0.39"x18" ULTRATHON INSECT REPELLENT 8 OTC EXTERNAL AEROSOL universal catheter access port OTC UNNA-FLEX ELASTIC UNNA BOOT OTC EXTERNAL UNNA-FLEX PLUS VENOUS ULCER OTC EXTERNAL KIT urea external cream QL urea nail external gel Uramaxin

20 Nombre del medicamento Referencia Notas VANALICE EXTERNAL GEL OTC vertical drain/tube att device OTC wound drainage collector OTC XEROFORM OIL EMULSION 2"X2" EXTERNAL PAD XEROFORM OIL EMULSION GAUZE EXTERNAL PAD XEROFORM OIL EMULSION STRIP EXTERNAL XEROFORM OIL ROLL 4"X9' EXTERNAL XEROFORM PETROLAT GAUZE 1"X8" EXTERNAL XEROFORM PETROLAT GAUZE 5"X9" EXTERNAL XEROFORM PETROLAT PATCH 2"X2" EXTERNAL PAD XEROFORM PETROLAT PATCH 4"X4" EXTERNAL PAD XEROFORM PETROLATUM ROLL 4"X9' EXTERNAL ZENATANE ORAL CAPSULE PA zinc oxide external ointment CareAll Zinc Oxide OTC; QL AGENTES DIARRÉICOS/PROBIÓTICOS bismatrol oral suspension Kaopectate OTC; QL bismatrol oral tablet chewable Soothe OTC bismuth oral tablet chewable Soothe OTC bismuth subsalicylate oral tablet chewable Soothe OTC cvs anti-diarrheal oral suspension Kaopectate OTC; QL cvs bismuth oral tablet chewable Soothe OTC cvs stomach relief oral suspension Kaopectate OTC; QL cvs stomach relief oral tablet chewable Soothe OTC diarrhea oral suspension Kaopectate OTC; QL eq pink-bismuth oral tablet chewable Soothe OTC eq stomach relief oral suspension Kaopectate OTC; QL eq stomach relief oral tablet chewable Soothe OTC eql stomach relief oral suspension Kaopectate OTC; QL eql stomach relief oral tablet chewable Soothe OTC geri-pectate oral suspension Kaopectate OTC; QL

21 Nombre del medicamento Referencia Notas gnp k-pec oral suspension Kaopectate OTC; QL gnp pink bismuth oral tablet chewable Soothe OTC gnp stomach relief oral suspension Kaopectate OTC; QL goodsense stomach relief oral suspension Kaopectate OTC; QL goodsense stomach relief oral tablet Soothe OTC chewable hm stomach relief oral suspension Kaopectate OTC; QL hm stomach relief oral tablet chewable Soothe OTC KAOPECTATE ORAL SUSPENSION OTC; QL medi-bismuth oral tablet chewable Soothe OTC peptic relief oral tablet chewable Soothe OTC pink bismuth oral suspension Kaopectate OTC; QL px stomach relief oral suspension Kaopectate OTC; QL px stomach relief oral tablet chewable Soothe OTC qc diarrhea relief oral suspension Kaopectate OTC; QL qc pink bismuth oral tablet chewable Soothe OTC ra pink bismuth oral tablet chewable Soothe OTC ra stomach relief oral suspension Kaopectate OTC; QL ra stomach relief oral tablet chewable Soothe OTC sm stomach relief oral suspension Kaopectate OTC; QL sm stomach relief oral tablet chewable Soothe OTC SOOTHE ORAL SUSPENSION OTC; QL SOOTHE ORAL TABLET CHEWABLE OTC stomach relief oral suspension Kaopectate OTC; QL stomach relief oral tablet chewable Soothe OTC AGENTES ENDÓCRINOS Y METABÓLICOS VARIOS alendronate sodium oral solution QL alendronate sodium oral tablet QL cabergoline oral tablet QL calcitonin (salmon) nasal solution Miacalcin calcitriol oral capsule Rocaltrol PA calcitriol oral solution Rocaltrol PA clomiphene citrate oral tablet AL; QL DDAVP RHINAL TUBE NASAL SOLUTION desmopressin ace spray refrig nasal solution desmopressin acetate oral tablet DDAVP QL

22 Nombre del medicamento Referencia Notas desmopressin acetate spray nasal solution DDAVP levocarnitine oral tablet Carnitor octreotide acetate injection solution SandoSTATIN PA; SP raloxifene hcl oral tablet Evista sodium phenylbutyrate oral powder Buphenyl PA; SP; QL sodium phenylbutyrate oral tablet Buphenyl PA; SP; QL ZOMACTON SUBCUTANEOUS PA; SP; QL SOLUTION RECONSTITUTED AGENTES GASTROINTESTINALES VARIOS balsalazide disodium oral capsule Colazal QL calcium acetate (phos binder) oral capsule PhosLo calcium acetate (phos binder) oral tablet Calphron calcium acetate oral tablet Calphron cvs gas relief extra strength oral capsule Gas-X Extra Strength OTC cvs gas relief extra strength oral tablet Phazyme OTC chewable Little Remedies for cvs gas relief infants oral suspension OTC Tummys cvs gas relief oral capsule Gas-X Extra Strength OTC cvs gas relief oral tablet chewable Gas-X OTC cvs gas relief ultra strength oral capsule Gas-X Ultra Strength OTC Little Remedies for cvs infants gas relief oral suspension OTC Tummys drxchoice gas relief oral tablet chewable Gas-X OTC enulose oral solution QL eq gas relief extra strength oral tablet Phazyme OTC chewable eq gas relief oral capsule Gas-X Extra Strength OTC eq gas relief oral tablet chewable Phazyme OTC Little Remedies for eq infants gas relief oral suspension OTC Tummys eql gas gone oral tablet chewable Phazyme OTC eql gas relief oral capsule Gas-X Extra Strength OTC eql gas relief ultra strength oral capsule Gas-X Ultra Strength OTC Little Remedies for eql infants gas relief oral suspension OTC Tummys Little Remedies for gas relief drops infants oral suspension OTC Tummys

23 Nombre del medicamento Referencia Notas gas relief extra strength oral capsule Gas-X Extra Strength OTC gas relief extra strength oral tablet chewable Phazyme OTC Little Remedies for gas relief infants oral suspension OTC Tummys gas relief oral capsule Gas-X Ultra Strength OTC Little Remedies for gas relief oral suspension OTC Tummys gas relief oral tablet chewable Gas-X OTC gas relief ultra strength oral capsule Gas-X Ultra Strength OTC GAS-X EXTRA STRENGTH ORAL OTC CAPSULE GAS-X ULTRA STRENGTH ORAL OTC CAPSULE generlac oral solution QL gnp anti-gas oral capsule Gas-X Ultra Strength OTC gnp gas relief extra strength oral capsule Gas-X Extra Strength OTC gnp gas relief extra strength oral tablet Phazyme OTC chewable gnp gas relief max st oral tablet chewable Phazyme OTC gnp gas relief oral tablet chewable Gas-X OTC Little Remedies for gnp infants gas relief oral suspension OTC Tummys goodsense gas relief oral tablet chewable Phazyme OTC hm gas relief extra strength oral capsule Gas-X Extra Strength OTC Little Remedies for hm gas relief infants drops oral suspension OTC Tummys hm gas relief oral tablet chewable Phazyme OTC Little Remedies for infants gas relief oral suspension OTC Tummys Little Remedies for infants simethicone oral suspension OTC Tummys lactulose encephalopathy oral solution QL lanthanum carbonate oral tablet chewable Fosrenol LITTLE REMEDIES FOR TUMMYS ORAL OTC SUSPENSION mesalamine er oral capsule extended Apriso QL release 24 hour mesalamine rectal enema QL mesalamine-cleanser rectal kit Rowasa QL metoclopramide hcl oral solution 24 Nombre del medicamento Referencia Notas metoclopramide hcl oral tablet Reglan mi-acid gas relief oral tablet chewable Gas-X OTC PHAZYME ORAL TABLET CHEWABLE OTC px gas relief extra strength oral capsule Gas-X Extra Strength OTC Little Remedies for px gas relief infants oral suspension OTC Tummys px gas relief ultra strength oral capsule Gas-X Ultra Strength OTC qc anti-gas oral capsule Gas-X Ultra Strength OTC qc gas relief extra strength oral tablet Phazyme OTC chewable qc gas relief oral capsule Gas-X Extra Strength OTC qc gas relief oral tablet chewable Gas-X OTC ra gas relief extra strength oral capsule Gas-X Extra Strength OTC ra gas relief extra strength oral tablet Phazyme OTC chewable ra gas relief maximum strength oral tablet Phazyme OTC chewable ra gas relief oral capsule Gas-X Extra Strength OTC ra gas relief oral tablet chewable Gas-X OTC sb gas relief oral tablet chewable Phazyme OTC sevelamer carbonate oral packet Renvela sevelamer carbonate oral tablet Renvela QL simethicone extra strength oral capsule Gas-X Extra Strength OTC simethicone oral capsule Gas-X Ultra Strength OTC Little Remedies for simethicone oral suspension OTC Tummys simethicone oral tablet chewable Phazyme OTC sm gas relief antiflatuent oral capsule Gas-X Ultra Strength OTC sm gas relief extra strength oral capsule Gas-X Extra Strength OTC Little Remedies for sm gas relief infants drops oral suspension OTC Tummys Little Remedies for sm gas relief infants oral suspension OTC Tummys sm gas relief oral tablet chewable Gas-X OTC sulfasalazine oral tablet Azulfidine QL sulfasalazine oral tablet delayed release Azulfidine EN-tabs QL tgt gas relief extra strength oral capsule Gas-X Extra Strength OTC tgt gas relief extra strength oral tablet Phazyme OTC chewable

25 Nombre del medicamento Referencia Notas ursodiol oral capsule Actigall ursodiol oral tablet Urso 250 AGENTES GENITOURINARIOS VARIOS alfuzosin hcl er oral tablet extended release Uroxatral QL 24 hour ARGYLE STERILE SALINE IRRIGATION SOLUTION cytra k crystals oral packet Taron-Crystals cytra-2 oral solution OTC CYTRA-3 ORAL SYRUP OTC cytra-k oral solution OTC finasteride oral tablet Proscar QL PHENAZO ORAL TABLET potassium citrate er oral tablet extended Urocit-K 10 release potassium citrate-citric acid oral solution sod citrate-citric acid oral solution sodium chloride irrigation solution Argyle Sterile Saline tamsulosin hcl oral capsule Flomax QL TARON-CRYSTALS ORAL PACKET tricitrates oral solution AGENTES HEMATOLÓGICOS VARIOS anagrelide hcl oral capsule Agrylin BERINERT INTRAVENOUS KIT PA; SP; QL cilostazol oral tablet clopidogrel bisulfate oral tablet 300 mg clopidogrel bisulfate oral tablet 75 mg Plavix QL dipyridamole oral tablet HAEGARDA SUBCUTANEOUS PA; SP; QL SOLUTION RECONSTITUTED icatibant acetate subcutaneous solution Firazyr PA; SP; QL KALBITOR SUBCUTANEOUS SOLUTION PA; SP; QL pentoxifylline er oral tablet extended release RUCONEST INTRAVENOUS SOLUTION PA; SP; QL RECONSTITUTED AGENTES HEMATOPOYÉTICOS AIRAVITE ORAL TABLET

26 Nombre del medicamento Referencia Notas ARANESP (ALBUMIN FREE) INJECTION PA; SP; QL SOLUTION ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE 10 MCG/0.4ML, 100 MCG/0.5ML, 200 PA; SP MCG/0.4ML, 25 MCG/0.42ML, 300 MCG/0.6ML, 40 MCG/0.4ML, 60 MCG/0.3ML ARANESP (ALBUMIN FREE) INJECTION SOLUTION PREFILLED SYRINGE 150 PA; SP; QL MCG/0.3ML, 500 MCG/ML bp vit 3 oral capsule Taliva CENTRATEX ORAL CAPSULE cyanocobalamin injection solution DROXIA ORAL CAPSULE EPOGEN INJECTION SOLUTION PA; SP eql b-12 oral tablet OTC fabb oral tablet Virt-Gard fa-vitamin b-6-vitamin b-12 oral tablet fe tabs oral tablet delayed release OTC FERATE ORAL TABLET OTC; QL FER-IN-SOL ORAL SOLUTION OTC FEROSUL ORAL TABLET OTC; QL ferraplus 90 oral tablet ferrotabs oral tablet Ferate OTC; QL ferrous fumarate oral tablet Hemocyte OTC ferrous gluconate oral tablet OTC ferrous sulfate oral elixir OTC ferrous sulfate oral solution Fer-In-Sol OTC ferrous sulfate oral tablet FeroSul OTC; QL ferrous sulfate oral tablet delayed release OTC; QL ferrousul oral tablet FeroSul OTC; QL folbee oral tablet Airavite folic acid injection solution folic acid oral tablet 1 mg folic acid oral tablet 400 mcg OTC FOLIVANE-F ORAL CAPSULE FOLIVANE-PLUS ORAL CAPSULE folplex 2.2 oral tablet

27 Nombre del medicamento Referencia Notas FULPHILA SUBCUTANEOUS SOLUTION PA; SP; QL PREFILLED SYRINGE gnp iron oral tablet FeroSul OTC; QL GOODSENSE IRON ORAL TABLET OTC; QL HEMATOGEN FA ORAL CAPSULE hemetab oral tablet HEMOCYTE ORAL TABLET OTC hydroxocobalamin acetate intramuscular solution iron supplement oral elixir OTC meijer ferrous sulfate oral tablet FeroSul OTC; QL MULTIGEN FOLIC ORAL TABLET MULTIGEN ORAL TABLET MULTIGEN PLUS ORAL TABLET na ferric gluc cplx in sucrose intravenous Ferrlecit solution nat-rul iron oral tablet FeroSul OTC; QL NEULASTA ONPRO SUBCUTANEOUS PA; SP; QL PREFILLED SYRINGE KIT NEULASTA SUBCUTANEOUS SOLUTION PA; SP; QL PREFILLED SYRINGE NUFOL ORAL TABLET polysaccharide iron complex oral capsule Nu-Iron OTC px folic acid oral tablet OTC qc ferrous sulfate oral tablet FeroSul OTC; QL qc vitamin b12 oral tablet OTC RETACRIT INJECTION SOLUTION PA; SP TALIVA ORAL CAPSULE taron forte oral capsule VIRT-GARD ORAL TABLET VITAMEZ ORAL CAPSULE vitamin b 12 oral tablet OTC vitamin b12 oral tablet OTC vitamin b-12 oral tablet OTC yl folic acid oral tablet OTC ZARXIO INJECTION SOLUTION PA; SP PREFILLED SYRINGE

28 Nombre del medicamento Referencia Notas AGENTES HEMOSTÁTICOS aminocaproic acid oral tablet Amicar QL tranexamic acid oral tablet Lysteda QL AGENTES LIBERADORES DE POTASIO sodium polystyrene sulfonate oral SPS suspension sodium polystyrene sulfonate rectal suspension SPS ORAL SUSPENSION AGENTES NASALES - SISTÉMICOS Y TÓPICOS 12 hour decongestant nasal solution QlearQuil OTC 12 hour nasal decongestant nasal solution QlearQuil OTC 12 hour nasal relief spray nasal solution QlearQuil OTC 12 hour nasal solution QlearQuil OTC AFRIN SALINE NASAL MIST NASAL AL; OTC; QL SOLUTION relief nasal suspension ClariSpray OTC; QL allergy spray 24 hour nasal aerosol Nasacort Allergy 24HR OTC; QL allergy spray 24 hour nasal suspension ClariSpray OTC; QL altamist spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL anefrin spray nasal solution QlearQuil OTC AYR NASAL SOLUTION AL; OTC; QL AYR SALINE NASAL DROPS NASAL OTC; QL SOLUTION azelastine hcl nasal solution QL BABY AYR SALINE NASAL SOLUTION AL; OTC; QL budesonide nasal suspension Rhinocort Allergy OTC; QL CLARISPRAY NASAL SUSPENSION OTC; QL cromolyn sodium nasal aerosol solution NasalCrom OTC cvs budesonide nasal suspension Rhinocort Allergy OTC; QL cvs fluticasone propionate nasal suspension ClariSpray OTC; QL cvs nasal allergy spray nasal aerosol Nasacort Allergy 24HR OTC; QL Shopko Nasal cvs nasal decongestant oral tablet AL; OTC Decongestant Max cvs nasal decongestant pe oral tablet Sudogest PE OTC cvs nasal mist nasal aerosol solution Simply Saline OTC

29 Nombre del medicamento Referencia Notas cvs nasal mist nasal solution QlearQuil OTC cvs nasal spray nasal solution QlearQuil OTC cvs saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL cvs sinus pe decongestant oral tablet Sudogest PE OTC Shopko Nasal decongestant oral tablet AL; OTC Decongestant Max deep sea nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL eq allergy relief nasal suspension ClariSpray OTC; QL eq budesonide nasal nasal suspension Rhinocort Allergy OTC; QL eq nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL eq nasal spray nasal solution QlearQuil OTC eq saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL Shopko Nasal eq suphedrine oral tablet AL; OTC Decongestant Max eql fluticasone childrens nasal suspension ClariSpray OTC; QL eql fluticasone propionate nasal suspension ClariSpray OTC; QL Shopko Nasal eql nasal decongestant oral tablet AL; OTC Decongestant Max eql nasal decongestant pe oral tablet Sudogest PE OTC eql nasal spray 12 hour nasal solution QlearQuil OTC eql nasal spray no drip nasal solution QlearQuil OTC eql saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL fluticasone propionate nasal suspension ClariSpray OTC; QL Shopko Nasal genaphed oral tablet AL; OTC Decongestant Max gnp 24 hour nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL gnp budesonide nasal spray nasal Rhinocort Allergy OTC; QL suspension gnp fluticasone propionate chl nasal ClariSpray OTC; QL suspension gnp fluticasone propionate nasal suspension ClariSpray OTC; QL Shopko Nasal gnp nasal decongestant oral tablet AL; OTC Decongestant Max gnp nasal decongestant pe oral tablet Sudogest PE OTC gnp nasal moisturizing nasal solution Afrin Saline Nasal Mist AL; OTC; QL gnp nasal spray extra moist nasal solution QlearQuil OTC gnp nasal spray nasal solution QlearQuil OTC gnp no drip nasal spray nasal solution QlearQuil OTC gnp suphedrin oral liquid Sudafed Childrens OTC 30 Nombre del medicamento Referencia Notas goodsense nasal allergy spray nasal aerosol Nasacort Allergy 24HR OTC; QL hm allergy relief nasal suspension ClariSpray OTC; QL Shopko Nasal hm nasal decongestant oral tablet AL; OTC Decongestant Max hm nasal decongestant pe oral tablet Sudogest PE OTC hm nasal spray nasal solution QlearQuil OTC hm saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL hm sinus nasal spray nasal solution QlearQuil OTC ipratropium bromide nasal solution KLS ALLER-FLO NASAL SUSPENSION OTC; QL kls nasal decongestant spray nasal solution QlearQuil OTC Shopko Nasal kp pseudoephedrine hcl oral tablet AL; OTC Decongestant Max LITTLE NOSES SALINE NASAL AL; OTC; QL SOLUTION LITTLE NOSES STUFFY NOSE KIT AL; OTC; QL NASAL SOLUTION Shopko Nasal meijer nasal decongestant oral tablet AL; OTC Decongestant Max meijer saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL nasal allergy 24 hour nasal aerosol Nasacort Allergy 24HR OTC; QL Shopko Nasal nasal decongestant max st oral tablet AL; OTC Decongestant Max Shopko Nasal nasal decongestant oral tablet AL; OTC Decongestant Max nasal decongestant pe max st oral tablet Sudogest PE OTC nasal decongestant pe oral tablet Sudogest PE OTC nasal decongestant spray nasal solution QlearQuil OTC NASAL MOIST NASAL SOLUTION AL; OTC; QL nasal moisturizing spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL nasal relief nasal solution QlearQuil OTC nasal spray 12 hour nasal solution QlearQuil OTC nasal spray extra moisturizing nasal solution QlearQuil OTC nasal spray nasal solution QlearQuil OTC nasal spray no drip nasal solution QlearQuil OTC nasal spray sinus nasal solution QlearQuil OTC no drip nasal spray nasal solution QlearQuil OTC non-pseudo sinus decongestant oral tablet Sudogest PE OTC OCEAN FOR KIDS NASAL SOLUTION AL; OTC; QL 31 Nombre del medicamento Referencia Notas OCEAN NASAL SPRAY NASAL AL; OTC; QL SOLUTION Shopko Nasal pseudoephedrine hcl oral tablet AL; OTC Decongestant Max Shopko Nasal px nasal decongestant oral tablet AL; OTC Decongestant Max px nasal decongestant pe oral tablet Sudogest PE OTC px nasal spray moisturizing nasal solution QlearQuil OTC px no drip nasal spray nasal solution QlearQuil OTC px original nasal spray nasal solution QlearQuil OTC px saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL qc allergy relief nasal suspension ClariSpray OTC; QL qc fluticasone propionate nasal suspension ClariSpray OTC; QL qc saline nasal relief nasal solution Afrin Saline Nasal Mist AL; OTC; QL Shopko Nasal qc suphedrine oral tablet AL; OTC Decongestant Max qc suphedrine pe oral tablet Sudogest PE OTC QLEARQUIL NASAL SOLUTION OTC ra 12 hour nasal spray nasal solution QlearQuil OTC ra budesonide nasal suspension Rhinocort Allergy OTC; QL ra nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL ra nasal decongestant pe oral tablet Sudogest PE OTC ra saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL ra sinus/congestion relief pe oral tablet Sudogest PE OTC ra sterile saline nasal mist nasal solution Simply Saline OTC Shopko Nasal ra suphedrine oral tablet AL; OTC Decongestant Max RHINOCORT ALLERGY NASAL OTC; QL SUSPENSION saline mist spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL sb 12hr nasal spray nasal solution QlearQuil OTC sb saline nose nasal solution Afrin Saline Nasal Mist AL; OTC; QL SHOPKO NASAL DECONGESTANT MAX AL; OTC ORAL TABLET sinus nasal spray nasal solution QlearQuil OTC sinus relief nasal solution QlearQuil OTC sm allergy relief nasal suspension ClariSpray OTC; QL

32 Nombre del medicamento Referencia Notas Shopko Nasal sm nasal decongestant max st oral tablet AL; OTC Decongestant Max sm nasal decongestant pe oral tablet Sudogest PE OTC sm nasal spray 12 hour nasal solution QlearQuil OTC sm nasal spray moisturizing nasal solution QlearQuil OTC sm nasal spray nasal solution QlearQuil OTC sm nasal spray saline nasal solution Afrin Saline Nasal Mist AL; OTC; QL sm nasal spray sinus nasal solution QlearQuil OTC SUDOGEST MAXIMUM STRENGTH ORAL AL; OTC TABLET SUDOGEST ORAL TABLET AL; OTC SUDOGEST PE ORAL TABLET OTC tgt nasal decongestant 12-hour nasal QlearQuil OTC solution tgt nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL tgt saline nasal spray nasal solution Afrin Saline Nasal Mist AL; OTC; QL triamcinolone acetonide nasal aerosol Nasacort Allergy 24HR OTC; QL WAL-PHED ORAL TABLET AL; OTC WAL-PHED PE ORAL TABLET OTC AGENTES NEUROMUSCULARES riluzole oral tablet Rilutek PA; SP AGENTES OFTÁLMICOS ak-poly-bac ophthalmic ointment Polycin AKWA TEARS OPHTHALMIC OINTMENT OTC ALAWAY CHILDRENS ALLERGY OTC; QL OPHTHALMIC SOLUTION ALAWAY OPHTHALMIC SOLUTION OTC; QL ALTAFRIN OPHTHALMIC SOLUTION apraclonidine hcl ophthalmic solution artificial tears ophthalmic solution Tears Again OTC atropine sulfate ophthalmic solution Isopto Atropine QL azelastine hcl ophthalmic solution QL bacitracin ophthalmic ointment QL bacitracin-polymyxin b ophthalmic ointment Polycin bacitra-neomycin-polymyxin-hc ophthalmic Neo-Polycin HC ointment betaxolol hcl ophthalmic solution brimonidine tartrate ophthalmic solution QL

33 Nombre del medicamento Referencia Notas carteolol hcl ophthalmic solution QL ciprofloxacin hcl ophthalmic solution Ciloxan CLARITIN EYE OPHTHALMIC SOLUTION OTC; QL cromolyn sodium ophthalmic solution QL dexamethasone sodium phosphate ophthalmic solution diclofenac sodium ophthalmic solution dorzolamide hcl ophthalmic solution Trusopt QL dorzolamide hcl-timolol mal ophthalmic Cosopt QL solution epinastine hcl ophthalmic solution QL erythromycin ophthalmic ointment eye itch relief ophthalmic solution Alaway OTC; QL fluorometholone ophthalmic suspension FML Liquifilm flurbiprofen sodium ophthalmic solution gatifloxacin ophthalmic solution Zymaxid GENTAK OPHTHALMIC OINTMENT QL gentamicin sulfate ophthalmic solution QL GENTEAL SEVERE OPHTHALMIC GEL OTC GENTEAL TEARS MODERATE PF OTC OPHTHALMIC SOLUTION GENTEAL TEARS OPHTHALMIC OTC SOLUTION GENTEAL TEARS PF OPHTHALMIC OTC SOLUTION gnp artificial tears ophthalmic solution Clear Eyes All Seasons OTC gnp eye drops ophthalmic solution Refresh Tears OTC gnp eye itch relief ophthalmic solution Alaway OTC; QL gnp itchy eye ophthalmic solution Alaway OTC; QL gnp lubricant pm ophthalmic ointment Puralube OTC gnp lubricating plus eye drops ophthalmic Refresh Plus OTC solution goodsense lubricating ophthalmic Refresh Plus OTC solution hm dry eye relief ophthalmic solution Visine Dry Eye OTC hm lubricating plus ophthalmic solution Refresh Plus OTC hm lubricating tears ophthalmic solution Systane OTC latanoprost ophthalmic solution Xalatan QL levobunolol hcl ophthalmic solution 34 Nombre del medicamento Referencia Notas levofloxacin ophthalmic solution liquitears ophthalmic solution Tears Again OTC lubricant eye drops ophthalmic solution Systane OTC lubricating eye drops ophthalmic solution Systane OTC lubricating plus eye drops ophthalmic Refresh Plus OTC solution lubrifresh p.m. ophthalmic ointment Puralube OTC moxifloxacin hcl ophthalmic solution Vigamox QL MURO 128 OPHTHALMIC OINTMENT OTC MURO 128 OPHTHALMIC SOLUTION OTC natural balance tears ophthalmic solution GenTeal Tears OTC neomycin-bacitracin zn-polymyx ophthalmic Neo-Polycin QL ointment neomycin-polymyxin-dexameth ophthalmic Maxitrol ointment neomycin-polymyxin-dexameth ophthalmic Maxitrol suspension neomycin-polymyxin-gramicidin ophthalmic QL solution neomycin-polymyxin-hc ophthalmic suspension NEO-POLYCIN HC OPHTHALMIC OINTMENT NEO-POLYCIN OPHTHALMIC OINTMENT QL ofloxacin ophthalmic solution Ocuflox QL phenylephrine hcl ophthalmic solution Altafrin pilocarpine hcl ophthalmic solution Isopto Carpine POLYCIN OPHTHALMIC OINTMENT polymyxin b-trimethoprim ophthalmic Polytrim QL solution polyvinyl alcohol ophthalmic solution Tears Again OTC prednisolone acetate ophthalmic suspension Pred Forte prednisolone sodium phosphate ophthalmic solution PURALUBE OPHTHALMIC OINTMENT OTC ra eye drops ophthalmic Alaway OTC; QL solution ra eye itch relief ophthalmic solution Alaway OTC; QL REFRESH CELLUVISC OPHTHALMIC OTC GEL 35 Nombre del medicamento Referencia Notas REFRESH LACRI-LUBE OPHTHALMIC OTC OINTMENT REFRESH OPHTHALMIC SOLUTION OTC REFRESH OPTIVE MEGA-3 OPHTHALMIC OTC SOLUTION REFRESH OPTIVE PF OPHTHALMIC OTC SOLUTION REFRESH P.M. OPHTHALMIC OINTMENT OTC REFRESH PLUS OPHTHALMIC OTC SOLUTION REFRESH RELIEVA OPHTHALMIC OTC SOLUTION REFRESH TEARS OPHTHALMIC OTC SOLUTION sm lubricant eye drops ophthalmic solution Systane OTC sm lubricating plus ophthalmic solution Refresh Plus OTC sodium chloride (hypertonic) ophthalmic Muro 128 OTC ointment sodium chloride (hypertonic) ophthalmic Muro 128 OTC solution sulfacetamide sodium ophthalmic ointment QL sulfacetamide sodium ophthalmic solution Bleph-10 QL sulfacetamide-prednisolone ophthalmic QL solution SYSTANE COMPLETE OPHTHALMIC OTC SOLUTION SYSTANE NIGHTTIME OPHTHALMIC OTC OINTMENT SYSTANE OPHTHALMIC SOLUTION OTC SYSTANE OVERNIGHT THERAPY OTC OPHTHALMIC GEL SYSTANE FREE OTC OPHTHALMIC SOLUTION SYSTANE ULTRA OPHTHALMIC OTC SOLUTION SYSTANE ULTRA PF OPHTHALMIC OTC SOLUTION TEARS AGAIN OPHTHALMIC SOLUTION OTC THERATEARS ALLERGY OPHTHALMIC OTC; QL SOLUTION THERATEARS OPHTHALMIC GEL OTC

36 Nombre del medicamento Referencia Notas THERATEARS OPHTHALMIC SOLUTION OTC timolol maleate ophthalmic gel forming Timoptic-XE QL solution timolol maleate ophthalmic solution Timoptic QL tobramycin ophthalmic solution Tobrex QL tobramycin-dexamethasone ophthalmic TobraDex QL suspension trifluridine ophthalmic solution QL ultra lubricating eye drops ophthalmic Systane OTC solution ZADITOR OPHTHALMIC SOLUTION OTC; QL AGENTES ÓTICOS acetic acid otic solution Clearcanal Earwax auraphene-b otic solution OTC Softener ciprofloxacin hcl otic solution Cetraxal QL CLEARCANAL EARWAX SOFTENER OTC OTIC SOLUTION CORTIC-ND OTIC SOLUTION Clearcanal Earwax cvs ear drops otic solution OTC Softener Clearcanal Earwax cvs ear wax removal system otic solution OTC Softener Clearcanal Earwax cvs earwax removal kit otic solution OTC Softener Clearcanal Earwax ear drops earwax aid otic solution OTC Softener Clearcanal Earwax ear drops otic solution OTC Softener Clearcanal Earwax ear wax removal drops otic solution OTC Softener Clearcanal Earwax ear wax removal kit otic solution OTC Softener Clearcanal Earwax ear wax removal system otic solution OTC Softener Clearcanal Earwax earwax removal kit otic solution OTC Softener Clearcanal Earwax earwax removal otic solution OTC Softener Clearcanal Earwax eq ear wax removal aid otic solution OTC Softener

37 Nombre del medicamento Referencia Notas exotic-hc otic solution Cortic-ND Clearcanal Earwax gnp ear drops otic solution OTC Softener Clearcanal Earwax gnp ear systems otic solution OTC Softener Clearcanal Earwax gnp earwax removal drops otic solution OTC Softener Clearcanal Earwax gnp earwax removal kit otic solution OTC Softener Clearcanal Earwax goodsense ear wax kit otic solution OTC Softener Clearcanal Earwax goodsense ear wax removal otic solution OTC Softener Clearcanal Earwax hm earwax removal aid otic solution OTC Softener Clearcanal Earwax hm earwax removal kit otic solution OTC Softener MURINE EAR WAX REMOVAL SYSTEM OTC OTIC SOLUTION neomycin-polymyxin-hc otic solution neomycin-polymyxin-hc otic suspension ofloxacin otic solution QL OTICIN HC NR OTIC SOLUTION OTIX OTIC SOLUTION OTC Clearcanal Earwax qc ear wax removal otic solution OTC Softener Clearcanal Earwax qc earwax removal otic solution OTC Softener Clearcanal Earwax ra ear drops otic solution OTC Softener Clearcanal Earwax ra earwax removal kit otic solution OTC Softener Clearcanal Earwax sm ear drops otic solution OTC Softener AGENTES PARA EL CUIDADO DE BOCA/GARGANTA/DIENTES CAVAREST DENTAL GEL chlorhexidine gluconate mouth/throat Paroex QL solution clotrimazole mouth/ QL clotrimazole mouth/throat troche QL 38 Nombre del medicamento Referencia Notas lidocaine hcl mouth/throat solution QL lidocaine viscous hcl mouth/throat solution QL neutral sodium fluoride mouth/throat solution PreviDent nystatin mouth/throat suspension ORALONE MOUTH/THROAT PASTE PAROEX MOUTH/THROAT SOLUTION QL PERIOGARD MOUTH/THROAT QL SOLUTION pilocarpine hcl oral tablet Salagen QL triamcinolone acetonide mouth/throat paste Oralone AGENTES PARA EL TRATAMIENTO OSTEOMUSCULAR baclofen oral tablet carisoprodol oral tablet Soma QL carisoprodol-aspirin oral tablet QL carisoprodol-aspirin- oral tablet AL; QL chlorzoxazone oral tablet cyclobenzaprine hcl oral tablet 10 mg QL cyclobenzaprine hcl oral tablet 5 mg dantrolene sodium oral capsule Dantrium EUFLEXXA INTRA-ARTICULAR PA; SP; QL SOLUTION PREFILLED SYRINGE GELSYN-3 INTRA-ARTICULAR PA; SP; QL SOLUTION PREFILLED SYRINGE methocarbamol oral tablet QL orphenadrine citrate er oral tablet extended QL release 12 hour SUPARTZ FX INTRA-ARTICULAR PA; SP; QL SOLUTION PREFILLED SYRINGE tizanidine hcl oral tablet QL AGENTES PARA LA GOTA allopurinol oral tablet Zyloprim colchicine-probenecid oral tablet probenecid oral tablet AGENTES PARA LA HEPATITIS C - COMBINACIONES MAVYRET ORAL TABLET PA; SP; QL sofosbuvir-velpatasvir oral tablet Epclusa PA; SP; QL

39 Nombre del medicamento Referencia Notas AGENTES PSICOTERAPÉUTICOS Y NEUROLÓGICOS VARIOS acamprosate calcium oral tablet delayed QL release AUBAGIO ORAL TABLET PA; SP; QL AVONEX PEN INTRAMUSCULAR AUTO- PA; SP; QL INJECTOR KIT AVONEX PREFILLED INTRAMUSCULAR PA; SP; QL PREFILLED SYRINGE KIT BETASERON SUBCUTANEOUS KIT PA; SP; QL bupropion hcl er ( det) oral tablet QL extended release 12 hour CHANTIX CONTINUING MONTH PAK AL; QL ORAL TABLET CHANTIX ORAL TABLET AL; QL CHANTIX STARTING MONTH PAK ORAL QL TABLET chlordiazepoxide-amitriptyline oral tablet cvs nicotine mouth/throat gum KLS Quit2 OTC; QL cvs nicotine mouth/throat lozenge KLS Quit2 OTC; QL cvs nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL cvs nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL cvs nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL disulfiram oral tablet Antabuse donepezil hcl oral tablet 10 mg, 5 mg Aricept QL donepezil hcl oral tablet 23 mg Aricept PA; QL donepezil hcl oral tablet dispersible QL eq nicotine mouth/throat gum KLS Quit4 OTC; QL eq nicotine mouth/throat lozenge KLS Quit4 OTC; QL eq nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL eq nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL eq nicotine step 3 transdermal patch 24 hour Nicoderm CQ OTC; QL eq nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL eql nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL eql nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL EXTAVIA SUBCUTANEOUS KIT PA; SP; QL fluoxetine hcl (pmdd) oral tablet Sarafem QL galantamine hydrobromide er oral capsule Razadyne ER extended release 24 hour

40 Nombre del medicamento Referencia Notas galantamine hydrobromide oral solution galantamine hydrobromide oral tablet Razadyne QL glatiramer acetate subcutaneous solution Glatopa PA; SP; QL prefilled syringe 20 mg/ml glatiramer acetate subcutaneous solution Glatopa PA; SP prefilled syringe 40 mg/ml GLATOPA SUBCUTANEOUS SOLUTION PA; SP; QL PREFILLED SYRINGE 20 MG/ML GLATOPA SUBCUTANEOUS SOLUTION PA; SP PREFILLED SYRINGE 40 MG/ML gnp nicotine mini mouth/throat lozenge KLS Quit2 OTC; QL gnp nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL gnp nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL gnp nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL goodsense nicotine mouth/throat gum KLS Quit4 OTC; QL goodsense nicotine mouth/throat lozenge KLS Quit4 OTC; QL hm nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL hm nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL hm nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL KLS QUIT2 MOUTH/THROAT GUM OTC; QL KLS QUIT2 MOUTH/THROAT LOZENGE OTC; QL KLS QUIT4 MOUTH/THROAT GUM OTC; QL KLS QUIT4 MOUTH/THROAT LOZENGE OTC; QL memantine hcl oral solution memantine hcl oral tablet Namenda QL NAMENDA TITRATION PAK ORAL QL TABLET NICODERM CQ TRANSDERMAL PATCH OTC; QL 24 HOUR NICORELIEF MOUTH/THROAT GUM OTC; QL NICORETTE MINI MOUTH/THROAT OTC; QL LOZENGE NICORETTE MOUTH/THROAT GUM OTC; QL NICORETTE MOUTH/THROAT LOZENGE OTC; QL NICORETTE STARTER KIT OTC; QL MOUTH/THROAT GUM nicotine mini mouth/throat lozenge KLS Quit2 OTC; QL nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

41 Nombre del medicamento Referencia Notas nicotine step 1 transdermal patch 24 hour Nicoderm CQ OTC; QL nicotine step 2 transdermal patch 24 hour Nicoderm CQ OTC; QL nicotine step 3 transdermal patch 24 hour Nicoderm CQ OTC; QL nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL NICOTROL INHALATION NICOTROL NS NASAL SOLUTION perphenazine-amitriptyline oral tablet pimozide oral tablet PA px stop smoking aid mouth/throat gum KLS Quit2 OTC; QL px stop smoking aid mouth/throat lozenge KLS Quit2 OTC; QL ra mini nicotine mouth/throat lozenge KLS Quit2 OTC; QL ra nicotine gum mouth/throat gum KLS Quit2 OTC; QL ra nicotine mouth/throat gum KLS Quit2 OTC; QL ra nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL ra nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL ra nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL REBIF REBIDOSE SUBCUTANEOUS PA; SP SOLUTION AUTO-INJECTOR REBIF REBIDOSE TITRATION PACK SUBCUTANEOUS SOLUTION AUTO- PA; SP INJECTOR REBIF SUBCUTANEOUS SOLUTION PA; SP PREFILLED SYRINGE REBIF TITRATION PACK SUBCUTANEOUS SOLUTION PREFILLED PA; SP SYRINGE rivastigmine tartrate oral capsule sm nicotine mouth/throat gum KLS Quit4 OTC; QL sm nicotine mouth/throat lozenge KLS Quit2 OTC; QL sm nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL sm nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL sm nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL sr nicotine mouth/throat gum KLS Quit2 OTC; QL tgt nicotine mouth/throat gum KLS Quit4 OTC; QL tgt nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL tgt nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL tgt nicotine step one transdermal patch 24 Nicoderm CQ OTC; QL hour

42 Nombre del medicamento Referencia Notas tgt nicotine step three transdermal patch 24 Nicoderm CQ OTC; QL hour tgt nicotine step two transdermal patch 24 Nicoderm CQ OTC; QL hour THRIVE MOUTH/THROAT GUM OTC; QL AGENTES RESPIRATORIOS VARIOS PULMOZYME INHALATION SOLUTION PA; SP; QL AGENTES TIROIDEOS EUTHYROX ORAL TABLET LEVO-T ORAL TABLET levothyroxine sodium oral tablet Euthyrox LEVOXYL ORAL TABLET liothyronine sodium oral tablet Cytomel methimazole oral tablet Tapazole propylthiouracil oral tablet SYNTHROID ORAL TABLET UNITHROID ORAL TABLET AMINOGLUCÓSIDOS neomycin sulfate oral tablet paromomycin sulfate oral capsule tobramycin inhalation nebulization solution Kitabis Pak SP; QL ANALGÉSICOS - ANTIINFLAMATORIOS ADDAPRIN ORAL TABLET OTC; QL childrens ibuprofen 100 oral suspension Childrens Medi-Profen OTC; QL childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL CHILDRENS MEDI-PROFEN ORAL OTC; QL SUSPENSION cvs childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL cvs ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL cvs ibuprofen infants oral suspension Medi-Profen OTC; QL cvs ibuprofen oral capsule Medi-Profen OTC cvs ibuprofen oral tablet Addaprin OTC; QL diclofenac potassium oral tablet diclofenac sodium er oral tablet extended PA release 24 hour diclofenac sodium oral tablet delayed release

43 Nombre del medicamento Referencia Notas dyspel oral tablet Addaprin OTC; QL ENBREL MINI SUBCUTANEOUS PA; SP; QL SOLUTION CARTRIDGE ENBREL SUBCUTANEOUS SOLUTION PA; SP; QL PREFILLED SYRINGE ENBREL SUBCUTANEOUS SOLUTION PA; SP; QL RECONSTITUTED ENBREL SURECLICK SUBCUTANEOUS PA; SP; QL SOLUTION AUTO-INJECTOR eq ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL eq ibuprofen infants oral suspension Medi-Profen OTC; QL eq ibuprofen oral capsule Medi-Profen OTC eq ibuprofen oral tablet Addaprin OTC; QL eql childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL eql ibuprofen infants oral suspension Medi-Profen OTC; QL eql ibuprofen oral capsule Medi-Profen OTC eql ibuprofen oral tablet Addaprin OTC; QL etodolac er oral tablet extended release 24 hour etodolac oral capsule etodolac oral tablet Lodine fenoprofen calcium oral capsule Nalfon fenoprofen calcium oral tablet Nalfon QL flurbiprofen oral tablet genpril oral tablet Addaprin OTC; QL gnp childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL gnp ibuprofen infants oral suspension Medi-Profen OTC; QL gnp ibuprofen oral capsule Medi-Profen OTC gnp ibuprofen oral tablet Addaprin OTC; QL goodsense ibuprofen childrens oral Childrens Medi-Profen OTC; QL suspension goodsense ibuprofen infants oral suspension Medi-Profen OTC; QL goodsense ibuprofen oral capsule Medi-Profen OTC goodsense ibuprofen oral tablet Addaprin OTC; QL hm ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL hm ibuprofen ib oral tablet Addaprin OTC; QL hm ibuprofen infants oral suspension Medi-Profen OTC; QL hm ibuprofen oral capsule Medi-Profen OTC

44 Nombre del medicamento Referencia Notas hm ibuprofen oral tablet Addaprin OTC; QL HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE PA; SP; QL KIT HUMIRA PEN SUBCUTANEOUS PEN- PA; SP; QL INJECTOR KIT HUMIRA PEN-CD/UC/HS STARTER PA; SP; QL SUBCUTANEOUS PEN-INJECTOR KIT HUMIRA PEN-PS/UV/ADOL HS START PA; SP; QL SUBCUTANEOUS PEN-INJECTOR KIT HUMIRA SUBCUTANEOUS PREFILLED PA; SP; QL SYRINGE KIT HYVEE IBUPROFEN CHILDRENS ORAL OTC; QL SUSPENSION IBU ORAL TABLET ibu-200 oral tablet Addaprin OTC; QL ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL ibuprofen infants drops oral suspension Medi-Profen OTC ibuprofen infants oral suspension Medi-Profen OTC; QL ibuprofen oral capsule Medi-Profen OTC ibuprofen oral suspension Childrens Medi-Profen QL ibuprofen oral tablet 200 mg Addaprin OTC; QL ibuprofen oral tablet 400 mg, 600 mg, 800 IBU mg indomethacin er oral capsule extended release indomethacin oral capsule infants ibuprofen oral suspension Medi-Profen OTC; QL ketoprofen er oral capsule extended release QL 24 hour ketoprofen oral capsule ketorolac tromethamine oral tablet QL kls ibuprofen oral tablet Addaprin OTC; QL ks ibuprofen oral capsule Medi-Profen OTC leflunomide oral tablet Arava meclofenamate sodium oral capsule QL MEDI-PROFEN ORAL CAPSULE OTC MEDI-PROFEN ORAL SUSPENSION OTC; QL MEDI-PROFEN ORAL TABLET OTC; QL

45 Nombre del medicamento Referencia Notas mefenamic acid oral capsule PA; QL meijer ibuprofen oral tablet Addaprin OTC; QL meloxicam oral tablet 15 mg Mobic meloxicam oral tablet 7.5 mg Mobic PA MOTRIN IB ORAL CAPSULE OTC MOTRIN IB ORAL TABLET OTC; QL nabumetone oral tablet naproxen oral suspension Naprosyn naproxen oral tablet naproxen sodium oral tablet Anaprox DS oxaprozin oral tablet Daypro piroxicam oral capsule Feldene PA PROVIL ORAL TABLET OTC; QL px childrens profen ib oral suspension Childrens Medi-Profen OTC; QL px ibuprofen oral tablet Addaprin OTC; QL px infants profen ib oral suspension Medi-Profen OTC; QL qc childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL qc ibuprofen ib oral tablet Addaprin OTC; QL qc ibuprofen infants oral suspension Medi-Profen OTC; QL qc ibuprofen oral tablet Addaprin OTC; QL ra ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL ra ibuprofen infants oral suspension Medi-Profen OTC; QL ra ibuprofen oral capsule Medi-Profen OTC ra ibuprofen oral suspension Childrens Medi-Profen OTC; QL ra ibuprofen oral tablet Addaprin OTC; QL ra pain relief ibuprofen oral tablet Addaprin OTC; QL RIDAURA ORAL CAPSULE sb ibuprofen oral tablet Addaprin OTC; QL sb infants ibuprofen oral suspension Medi-Profen OTC; QL sm childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL sm ibuprofen ib oral tablet Addaprin OTC; QL sm ibuprofen oral capsule Medi-Profen OTC sm ibuprofen oral tablet Addaprin OTC; QL sm infants ibuprofen oral suspension Medi-Profen OTC; QL sulindac oral tablet tgt childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL tgt ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

46 Nombre del medicamento Referencia Notas tgt ibuprofen oral capsule Medi-Profen OTC tgt ibuprofen oral tablet Addaprin OTC; QL tgt infants ibuprofen oral suspension Medi-Profen OTC; QL tolmetin sodium oral capsule tolmetin sodium oral tablet WAL-PROFEN ORAL CAPSULE OTC WAL-PROFEN ORAL TABLET OTC; QL ANALGÉSICOS - NO NARCÓTICOS 8 hour arthritis pain reliever oral tablet Midol OTC; QL extended release 8 hour pain reliever oral tablet extended Midol OTC; QL release 8hr muscle aches & pain oral tablet Midol OTC; QL extended release acetaminophen childrens oral solution OTC; QL acetaminophen childrens oral suspension PediaCare Children OTC; QL acetaminophen childrens oral tablet Mapap Childrens OTC chewable acetaminophen er oral tablet extended Midol OTC; QL release Healthy Mama Shake acetaminophen extra strength oral tablet OTC; QL That Ache acetaminophen infants oral suspension PediaCare Children OTC; QL acetaminophen oral liquid Little Remedies for Fever OTC; QL acetaminophen oral solution OTC; QL acetaminophen oral suspension PediaCare Children OTC; QL acetaminophen oral tablet 325 mg Pharbetol OTC Healthy Mama Shake acetaminophen oral tablet 500 mg OTC; QL That Ache acetaminophen oral tablet chewable 160 mg Mapap Childrens OTC acetaminophen oral tablet chewable 80 mg Childrens Medi-Tabs OTC; QL acetaminophen rectal suppository FeverAll Adults OTC adult aspirin regimen oral tablet delayed Aspir-Low OTC; QL release aminofen oral tablet Pharbetol OTC arthritis pain relief oral tablet extended Midol OTC; QL release arthritis pain reliever oral tablet extended Midol OTC; QL release

47 Nombre del medicamento Referencia Notas aspirin 81 oral tablet chewable Bayer Low Dose OTC; QL aspirin 81 oral tablet delayed release Aspir-Low OTC; QL aspirin adult low dose oral tablet delayed Aspir-Low OTC; QL release aspirin adult low strength oral tablet Bayer Low Dose OTC; QL chewable aspirin adult low strength oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin aspirin adult oral tablet OTC; QL Reg St aspirin childrens oral tablet chewable Bayer Low Dose OTC; QL aspirin ec adult low strength oral tablet Aspir-Low OTC; QL delayed release aspirin ec low dose oral tablet delayed Aspir-Low OTC; QL release aspirin ec low strength oral tablet delayed Aspir-Low OTC; QL release aspirin ec oral tablet delayed release Aspir-Low OTC; QL aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL aspirin low dose oral tablet delayed release Aspir-Low OTC; QL aspirin low strength oral tablet chewable Bayer Low Dose OTC; QL Bayer Advanced Aspirin aspirin oral tablet OTC; QL Reg St aspirin oral tablet chewable Bayer Low Dose OTC; QL aspirin oral tablet delayed release Aspir-Low OTC; QL aspirin rectal suppository OTC ASPIR-LOW ORAL TABLET DELAYED OTC; QL RELEASE aspirtab oral tablet delayed release Bayer Aspirin OTC; QL back & body extra strength oral tablet Bayer Back & Body OTC BAYER ADVANCED ASPIRIN REG ST OTC; QL ORAL TABLET BAYER ASPIRIN EC LOW DOSE ORAL OTC; QL TABLET DELAYED RELEASE BAYER ASPIRIN ORAL TABLET OTC; QL BAYER ASPIRIN ORAL TABLET OTC; QL DELAYED RELEASE BAYER LOW DOSE ORAL TABLET OTC; QL CHEWABLE

48 Nombre del medicamento Referencia Notas BAYER LOW DOSE ORAL TABLET OTC; QL DELAYED RELEASE BAYER MIGRAINE ORAL TABLET OTC betatemp childrens oral suspension PediaCare Children OTC; QL butalbital-acetaminophen oral capsule QL butalbital-acetaminophen oral tablet Tencon QL butalbital-apap-caffeine oral capsule Esgic QL butalbital-apap-caffeine oral tablet Esgic QL butalbital-aspirin-caffeine oral capsule Fiorinal QL butalbital-aspirin-caffeine oral tablet QL CAREALL ASPIRIN ORAL TABLET OTC; QL CHEWABLE childrens acetaminophen oral suspension PediaCare Children OTC; QL childrens apap oral tablet chewable Childrens Medi-Tabs OTC; QL childrens aspirin low strength oral tablet Bayer Low Dose OTC; QL chewable childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL CHILDRENS MEDI-TABS ORAL TABLET OTC; QL CHEWABLE childrens non-aspirin oral tablet chewable Childrens Medi-Tabs OTC; QL childrens pain reliever oral tablet chewable Childrens Medi-Tabs OTC; QL childrens silapap oral liquid Little Remedies for Fever OTC; QL childrens tactinal oral tablet chewable Childrens Medi-Tabs OTC; QL choline-mag trisalicylate oral liquid cvs 8hr arthritis pain relief oral tablet Midol OTC; QL extended release cvs 8hr muscle aches & pain oral tablet Midol OTC; QL extended release Healthy Mama Shake cvs acetaminophen ex st oral tablet OTC; QL That Ache cvs arthritis pain relief oral tablet extended Midol OTC; QL release cvs aspirin adult low dose oral tablet Bayer Low Dose OTC; QL chewable cvs aspirin adult low strength oral tablet Aspir-Low OTC; QL delayed release cvs aspirin ec oral tablet delayed release Aspir-Low OTC; QL cvs aspirin low dose oral tablet delayed Aspir-Low OTC; QL release

49 Nombre del medicamento Referencia Notas cvs aspirin low strength oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin cvs aspirin oral tablet OTC; QL Reg St cvs back & body extra strength oral tablet Bayer Back & Body OTC cvs buffered aspirin oral tablet Bufferin OTC cvs childs non-aspirin oral tablet chewable Childrens Medi-Tabs OTC; QL cvs fever reducing childrens rectal FeverAll Childrens OTC suppository cvs headache relief oral tablet Bayer Migraine OTC cvs infants pain relief drops oral suspension PediaCare Children OTC; QL cvs migraine relief oral tablet Bayer Migraine OTC cvs non-aspirin childrens oral tablet Childrens Medi-Tabs OTC; QL chewable Healthy Mama Shake cvs non-aspirin extra strength oral tablet OTC; QL That Ache cvs pain & fever childrens oral suspension PediaCare Children OTC; QL cvs pain & fever infants oral suspension PediaCare Children OTC; QL cvs pain relief childrens oral suspension PediaCare Children OTC; QL cvs pain relief childrens oral tablet chewable Mapap Childrens OTC Healthy Mama Shake cvs pain relief extra strength oral tablet OTC; QL That Ache Healthy Mama Shake cvs pain relief oral tablet OTC; QL That Ache cvs pain relief oral tablet extended release Midol OTC; QL cvs pain relief regular st oral tablet Pharbetol OTC diflunisal oral tablet ECOTRIN LOW STRENGTH ORAL OTC; QL TABLET DELAYED RELEASE ECOTRIN ORAL TABLET DELAYED OTC; QL RELEASE ECPIRIN ORAL TABLET DELAYED OTC; QL RELEASE ed-apap oral liquid Little Remedies for Fever OTC; QL eq 8hr arthritis pain relief oral tablet Midol OTC; QL extended release eq acetaminophen oral tablet 325 mg Pharbetol OTC Healthy Mama Shake eq acetaminophen oral tablet 500 mg OTC; QL That Ache eq arthritis pain oral tablet extended release Midol OTC; QL

50 Nombre del medicamento Referencia Notas eq aspirin adult low dose oral tablet delayed Aspir-Low OTC; QL release eq aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL Bayer Advanced Aspirin eq aspirin oral tablet OTC; QL Reg St eq aspirin oral tablet delayed release 325 Bayer Aspirin OTC; QL mg eq aspirin oral tablet delayed release 500 Ecotrin Maximum OTC mg Strength eq buffered aspirin oral tablet Bufferin OTC eq childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL eq childrens pain reliever oral tablet Childrens Medi-Tabs OTC; QL chewable eq pain & fever childrens oral suspension PediaCare Children OTC; QL eq pain & fever childrens oral tablet Mapap Childrens OTC chewable eq pain & fever infants oral suspension PediaCare Children OTC; QL eq pain reliever oral tablet 325 mg Pharbetol OTC Healthy Mama Shake eq pain reliever oral tablet 500 mg OTC; QL That Ache eql acetaminophen childrens oral PediaCare Children OTC; QL suspension Healthy Mama Shake eql acetaminophen ex st oral tablet OTC; QL That Ache eql acetaminophen infants oral suspension PediaCare Children OTC; QL eql acetaminophen oral tablet Pharbetol OTC eql arthritis pain relief oral tablet extended Midol OTC; QL release eql aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL eql aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL eql aspirin low dose oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin eql aspirin oral tablet OTC; QL Reg St eql headache relief ex str oral tablet Bayer Migraine OTC eql migraine formula oral tablet Bayer Migraine OTC extraprin oral tablet Bayer Migraine OTC fever reducer childrens rectal suppository FeverAll Childrens OTC FEVERALL ADULTS RECTAL OTC SUPPOSITORY

51 Nombre del medicamento Referencia Notas FEVERALL CHILDRENS RECTAL OTC SUPPOSITORY FEVERALL INFANTS RECTAL OTC SUPPOSITORY FEVERALL JUNIOR STRENGTH RECTAL OTC SUPPOSITORY gnp 8 hour pain reliever oral tablet extended Midol OTC; QL release gnp acetaminophen ex st oral capsule OTC; QL gnp acetaminophen oral tablet Pharbetol OTC gnp adult aspirin low strength oral tablet Bayer Low Dose OTC; QL chewable gnp arthritis pain relief oral tablet extended Midol OTC; QL release gnp aspirin low dose oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin gnp aspirin oral tablet OTC; QL Reg St gnp aspirin oral tablet delayed release Bayer Aspirin OTC; QL gnp headache relief extra str oral tablet Bayer Migraine OTC gnp infants pain relief oral suspension PediaCare Children OTC; QL gnp infants pain/fever oral suspension PediaCare Children OTC; QL gnp migraine relief oral tablet Bayer Migraine OTC gnp pain & fever childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake gnp pain relief extra strength oral tablet OTC; QL That Ache gnp pain relief oral tablet Pharbetol OTC goodsense arthritis pain oral tablet extended Midol OTC; QL release goodsense aspirin adult low st oral tablet Bayer Low Dose OTC; QL chewable goodsense aspirin low dose oral tablet Aspir-Low OTC; QL delayed release Bayer Advanced Aspirin goodsense aspirin oral tablet OTC; QL Reg St goodsense aspirin oral tablet chewable Bayer Low Dose OTC; QL goodsense aspirin oral tablet delayed Bayer Aspirin OTC; QL release goodsense migraine formula oral tablet Bayer Migraine OTC goodsense pain & fever child oral PediaCare Children OTC; QL suspension 52 Nombre del medicamento Referencia Notas goodsense pain & fever infants oral PediaCare Children OTC; QL suspension Healthy Mama Shake goodsense pain relief extra st oral tablet OTC; QL That Ache goodsense pain relief oral tablet extended Midol OTC; QL release headache relief oral tablet Bayer Migraine OTC HEALTHY MAMA SHAKE THAT ACHE OTC; QL ORAL TABLET hm acetaminophen childrens oral tablet Mapap Childrens OTC chewable hm arthritis pain relief oral tablet extended Midol OTC; QL release hm aspirin ec low dose oral tablet delayed Aspir-Low OTC; QL release hm aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL Bayer Advanced Aspirin hm aspirin oral tablet OTC; QL Reg St hm aspirin oral tablet chewable Bayer Low Dose OTC; QL hm aspirin oral tablet delayed release Bayer Aspirin OTC; QL hm migraine relief oral tablet Bayer Migraine OTC hm pain & fever childrens oral suspension PediaCare Children OTC; QL hm pain & fever infants oral suspension PediaCare Children OTC; QL Healthy Mama Shake hm pain relief extra strength oral tablet OTC; QL That Ache hm pain reliever oral tablet Pharbetol OTC infants pain & fever oral suspension PediaCare Children OTC; QL Healthy Mama Shake kls acetaminophen ex st oral tablet OTC; QL That Ache kls aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL kls aspirin low dose oral tablet delayed Aspir-Low OTC; QL release Healthy Mama Shake kls rapid release pain oral tablet OTC; QL That Ache kp aspirin oral tablet delayed release Aspir-Low OTC; QL liquid pain relief oral liquid Little Remedies for Fever OTC; QL LITTLE REMEDIES FOR FEVER ORAL OTC; QL LIQUID mapap arthritis pain oral tablet extended Midol OTC; QL release

53 Nombre del medicamento Referencia Notas MAPAP CHILDRENS ORAL TABLET OTC CHEWABLE mapap oral capsule OTC; QL mapap oral liquid Little Remedies for Fever OTC; QL mapap oral tablet Pharbetol OTC mapap oral tablet chewable Childrens Medi-Tabs OTC; QL MEDIQUE ASPIRIN ORAL TABLET OTC; QL meijer aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL meijer aspirin free oral tablet Pharbetol OTC migraine formula oral tablet Bayer Migraine OTC migraine relief oral tablet Bayer Migraine OTC Bayer Advanced Aspirin mm aspirin oral tablet OTC; QL Reg St m-pap oral liquid Little Remedies for Fever OTC non-aspirin childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake non-aspirin extra strength oral tablet OTC; QL That Ache non-aspirin oral tablet Pharbetol OTC non-aspirin pain relief oral tablet Pharbetol OTC NORWICH ASPIRIN ORAL TABLET OTC; QL pain & fever childrens oral suspension PediaCare Children OTC; QL pain & fever infants oral suspension PediaCare Children OTC; QL pain & fever oral tablet Pharbetol OTC pain relief childrens oral suspension PediaCare Children OTC; QL pain relief extra strength oral capsule OTC Healthy Mama Shake pain relief extra strength oral tablet OTC; QL That Ache pain relief oral tablet Pharbetol OTC pain relief regular strength oral tablet Pharbetol OTC Healthy Mama Shake pain reliever extra strength oral tablet OTC; QL That Ache pain reliever oral tablet 325 mg Pharbetol OTC Healthy Mama Shake pain reliever oral tablet 500 mg OTC; QL That Ache pain reliever plus oral tablet Bayer Migraine OTC pain reliever/fever reducer rectal suppository FeverAll Childrens OTC pain-off oral tablet Bayer Migraine OTC PAMPRIN MAX ORAL TABLET OTC

54 Nombre del medicamento Referencia Notas PEDIACARE CHILDREN ORAL OTC; QL SUSPENSION PHARBETOL EXTRA STRENGTH ORAL OTC; QL TABLET PHARBETOL ORAL TABLET OTC px arthritis pain relief oral tablet extended Midol OTC; QL release Bayer Advanced Aspirin px aspirin oral tablet OTC; QL Reg St px aspirin oral tablet chewable Bayer Low Dose OTC; QL px childrens pain relief oral suspension PediaCare Children OTC; QL px enteric aspirin oral tablet delayed release Bayer Aspirin OTC; QL px migraine relief oral tablet Bayer Migraine OTC Healthy Mama Shake px pain relief extra strength oral tablet OTC; QL That Ache qc acetaminophen 8 hours oral tablet Midol OTC; QL extended release qc arthritis pain relief oral tablet extended Midol OTC; QL release qc aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL qc aspirin low dose oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin qc aspirin oral tablet OTC; QL Reg St qc aspirin oral tablet delayed release Bayer Aspirin OTC; QL qc enteric aspirin oral tablet delayed release Bayer Aspirin OTC; QL qc headache relief oral tablet Bayer Migraine OTC qc non-aspirin childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake qc non-aspirin extra strength oral tablet OTC; QL That Ache qc pain relief childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake qc pain relief extra strength oral tablet OTC; QL That Ache qc pain relief infants oral suspension PediaCare Children OTC; QL qc pain relief oral tablet Pharbetol OTC ra 8 hour pain relief oral tablet extended Midol OTC; QL release ra acetaminophen childrens oral tablet Mapap Childrens OTC chewable

55 Nombre del medicamento Referencia Notas Healthy Mama Shake ra acetaminophen ex st oral tablet OTC; QL That Ache ra acetaminophen oral tablet Pharbetol OTC ra acetaminophen oral tablet extended Midol OTC; QL release ra arthritis pain relief oral tablet extended Midol OTC; QL release ra aspirin adult low dose oral tablet Bayer Low Dose OTC; QL chewable ra aspirin adult low strength oral tablet Bayer Low Dose OTC; QL chewable ra aspirin childrens oral tablet chewable Bayer Low Dose OTC; QL ra aspirin ec adult low st oral tablet delayed Aspir-Low OTC; QL release ra aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL Bayer Advanced Aspirin ra aspirin oral tablet OTC; QL Reg St ra back & body pain relief oral tablet Bayer Back & Body OTC ra fever reducer/pain reliever oral PediaCare Children OTC; QL suspension ra migraine relief oral tablet Bayer Migraine OTC ra pain relief acetaminophen oral tablet 325 Pharbetol OTC mg ra pain relief acetaminophen oral tablet 500 Healthy Mama Shake OTC; QL mg That Ache Bayer Advanced Aspirin ra pain relief aspirin oral tablet OTC; QL Reg St ra pain reliever ex st oral tablet Bayer Migraine OTC Excedrin Tension ra tension headache oral tablet OTC Headache ra tri-buffered aspirin oral tablet Bufferin OTC sb aspirin adult low strength oral tablet Aspir-Low OTC; QL delayed release sb aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL Bayer Advanced Aspirin sb aspirin oral tablet OTC; QL Reg St sb aspirin oral tablet delayed release Aspir-Low OTC; QL sb childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL sb low dose asa ec oral tablet delayed Aspir-Low OTC; QL release

56 Nombre del medicamento Referencia Notas Healthy Mama Shake sb non-aspirin extra strength oral tablet OTC; QL That Ache sb non-aspirin oral tablet Pharbetol OTC sb non-aspirin oral tablet chewable Childrens Medi-Tabs OTC; QL sb pain relief x-str oral tablet Bayer Migraine OTC sb pain reliever childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake sb pain reliever ex st oral tablet OTC; QL That Ache sm 8 hour pain relief oral tablet extended Midol OTC; QL release sm arthritis pain relief oral tablet extended Midol OTC; QL release sm arthritis pain reliever oral tablet extended Midol OTC; QL release sm aspirin adult low strength oral tablet Bayer Low Dose OTC; QL chewable sm aspirin adult low strength oral tablet Aspir-Low OTC; QL delayed release sm aspirin ec low strength oral tablet Aspir-Low OTC; QL delayed release sm aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL sm aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL Bayer Advanced Aspirin sm aspirin oral tablet OTC; QL Reg St sm aspirin tri-buffered oral tablet Bufferin OTC sm childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL sm migraine relief oral tablet Bayer Migraine OTC sm pain & fever childrens oral suspension PediaCare Children OTC; QL sm pain & fever infants oral suspension PediaCare Children OTC; QL Healthy Mama Shake sm pain relief extra strength oral tablet OTC; QL That Ache Healthy Mama Shake sm pain reliever ex st oral tablet OTC; QL That Ache sm pain reliever ex st oral tablet extended Midol OTC; QL release sm pain reliever oral capsule OTC; QL sm pain reliever oral tablet Pharbetol OTC ST JOSEPH LOW DOSE ORAL TABLET OTC; QL CHEWABLE

57 Nombre del medicamento Referencia Notas ST JOSEPH LOW DOSE ORAL TABLET OTC DELAYED RELEASE Healthy Mama Shake tactinal extra strength oral tablet OTC; QL That Ache tactinal oral tablet Pharbetol OTC TENCON ORAL TABLET QL Excedrin Tension tension headache oral tablet OTC Headache tgt acetaminophen childrens oral suspension PediaCare Children OTC; QL Healthy Mama Shake tgt acetaminophen ex st oral tablet OTC; QL That Ache tgt arthritis pain relief oral tablet extended Midol OTC; QL release tgt aspirin ec oral tablet delayed release Bayer Aspirin OTC; QL tgt aspirin low dose oral tablet delayed Aspir-Low OTC; QL release Bayer Advanced Aspirin tgt aspirin oral tablet OTC; QL Reg St tgt aspirin oral tablet chewable Bayer Low Dose OTC; QL tgt aspirin oral tablet delayed release Aspir-Low OTC; QL tgt childrens acetaminophen oral suspension PediaCare Children OTC; QL tgt childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL tgt migraine relief oral tablet Bayer Migraine OTC tri-buffered aspirin oral tablet Bufferin OTC ANALGÉSICOS - OPIOIDES acetaminophen-codeine #2 oral tablet AL; QL acetaminophen-codeine #3 oral tablet Tylenol with Codeine #3 PA; AL; QL acetaminophen-codeine #4 oral tablet Tylenol with Codeine #4 PA; AL; QL acetaminophen-codeine oral solution PA; AL; QL acetaminophen-codeine oral tablet 300-15 AL; QL mg acetaminophen-codeine oral tablet 300-30 Tylenol with Codeine #3 PA; AL; QL mg acetaminophen-codeine oral tablet 300-60 Tylenol with Codeine #4 PA; AL; QL mg ASCOMP-CODEINE ORAL CAPSULE PA; AL; QL buprenorphine hcl sublingual tablet QL sublingual buprenorphine hcl-naloxone hcl sublingual Suboxone QL film

58 Nombre del medicamento Referencia Notas buprenorphine hcl-naloxone hcl sublingual QL tablet sublingual butalbital-apap-caff-cod oral capsule PA; AL; QL butalbital-asa-caff-codeine oral capsule Ascomp-Codeine PA; AL; QL butorphanol tartrate nasal solution PA; QL codeine sulfate oral tablet PA; AL; QL ENDOCET ORAL TABLET PA; QL fentanyl citrate buccal lozenge on a handle Actiq PA; QL fentanyl transdermal patch 72 hour Duragesic-50 PA; QL hydrocodone-acetaminophen oral solution PA; QL hydrocodone-acetaminophen oral tablet Lorcet PA; QL hydrocodone-ibuprofen oral tablet PA; QL hydromorphone hcl oral liquid Dilaudid PA; QL hydromorphone hcl oral tablet Dilaudid PA; QL meperidine hcl oral solution PA; QL meperidine hcl oral tablet PA; QL METHADONE HCL INTENSOL ORAL PA; QL CONCENTRATE methadone hcl oral concentrate Methadone HCl Intensol PA; QL methadone hcl oral solution PA; QL methadone hcl oral tablet Dolophine PA; QL methadone hcl oral tablet soluble Methadose PA; QL METHADOSE ORAL CONCENTRATE PA; QL METHADOSE ORAL TABLET SOLUBLE PA; QL METHADOSE -FREE ORAL PA; QL CONCENTRATE morphine sulfate (concentrate) oral solution PA; QL morphine sulfate er oral tablet extended MS Contin PA; QL release morphine sulfate oral solution PA; QL morphine sulfate oral tablet QL oxycodone hcl oral capsule PA; QL oxycodone hcl oral concentrate PA; QL oxycodone hcl oral solution PA; QL oxycodone hcl oral tablet Roxicodone PA; QL oxycodone-acetaminophen oral tablet Endocet PA; QL oxycodone-aspirin oral tablet PA; QL pentazocine-naloxone hcl oral tablet PA; QL

59 Nombre del medicamento Referencia Notas tramadol hcl oral tablet Ultram PA; AL; QL tramadol-acetaminophen oral tablet Ultracet PA; AL; QL VICODIN HP ORAL TABLET PA; QL ANDRÓGENOS-ANABÓLICOS testosterone cypionate intramuscular Depo-Testosterone PA solution testosterone enanthate intramuscular PA solution testosterone transdermal gel AndroGel PA; QL ANTAGONISTA DEL ANTÍGENO 1 ASOCIADO CON LA FUNCIÓN LINFOCITA (LFA-1) XIIDRA OPHTHALMIC SOLUTION PA; QL ANTIÁCIDOS ACID GONE ORAL SUSPENSION OTC ACID GONE ORAL TABLET CHEWABLE OTC ALMACONE DOUBLE STRENGTH ORAL OTC SUSPENSION ALMACONE ORAL SUSPENSION OTC aluminum hydroxide gel oral suspension OTC Almacone Double antacid advanced oral suspension OTC Strength antacid anti-gas max strength oral Almacone Double OTC suspension Strength antacid anti-gas oral suspension Almacone OTC antacid anti-gas reg strength oral Almacone OTC suspension antacid calcium extra strength oral tablet Antacid Chews OTC chewable antacid calcium oral tablet chewable Cal-Gest Antacid OTC; QL Almacone Double antacid extra strength oral suspension OTC Strength antacid extra strength oral tablet chewable Antacid Flavor Chews OTC antacid fast relief oral suspension Almacone OTC ANTACID FLAVOR CHEWS ORAL OTC TABLET CHEWABLE Almacone Double antacid iii oral suspension OTC Strength antacid liquid oral suspension Almacone OTC antacid m oral suspension Almacone OTC 60 Nombre del medicamento Referencia Notas antacid maximum oral tablet chewable Tums Ultra 1000 OTC; QL Almacone Double antacid maximum strength oral suspension OTC Strength antacid oral suspension Almacone OTC antacid oral tablet chewable Cal-Gest Antacid OTC; QL antacid plus anti-gas fast act oral Almacone OTC suspension Almacone Double antacid plus anti-gas relief oral suspension OTC Strength antacid regular strength oral tablet chewable Cal-Gest Antacid OTC; QL antacid ultra strength oral tablet chewable Tums Ultra 1000 OTC; QL Almacone Double antacid/simethicone ds oral suspension OTC Strength calcium antacid extra strength oral tablet Antacid Flavor Chews OTC chewable calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL calcium antacid ultra max st oral tablet Tums Ultra 1000 OTC; QL chewable calcium antacid ultra strength oral tablet Tums Ultra 1000 OTC; QL chewable calcium carbonate antacid oral suspension OTC calcium carbonate antacid oral tablet OTC calcium carbonate antacid oral tablet Cal-Gest Antacid OTC; QL chewable 500 mg calcium carbonate antacid oral tablet Antacid Flavor Chews OTC chewable 750 mg calcium carbonate oral tablet chewable Cal-Gest Antacid OTC; QL CAL-GEST ANTACID ORAL TABLET OTC; QL CHEWABLE comfort gel antacid & anti-gas oral Almacone OTC suspension Almacone Double comfort gel antacid anti-gas oral suspension OTC Strength cvs antacid extra oral tablet chewable Antacid Flavor Chews OTC cvs antacid extra strength oral tablet Antacid Flavor Chews OTC chewable cvs antacid kids oral tablet chewable Antacid Flavor Chews OTC cvs antacid maximum strength oral tablet Tums Ultra 1000 OTC; QL chewable Almacone Double cvs antacid plus antigas oral suspension OTC Strength 61 Nombre del medicamento Referencia Notas cvs antacid ultra strength oral tablet Tums Ultra 1000 OTC; QL chewable Almacone Double cvs antacid/anti-gas oral suspension OTC Strength CVS CHEWY NOT CHALKY FLAVOR OTC ORAL TABLET CHEWABLE Gaviscon Extra Relief cvs heartburn relief ex st oral suspension OTC Formula cvs heartburn relief oral tablet chewable Acid Gone OTC cvs smooth antacid extra st oral tablet Antacid Flavor Chews OTC chewable eq antacid extra strength oral tablet Antacid Flavor Chews OTC chewable eq antacid maximum strength oral Almacone Double OTC suspension Strength eq antacid oral suspension Almacone OTC eq antacid ultra strength oral tablet Tums Ultra 1000 OTC; QL chewable eq antacid/anti-gas oral suspension Almacone OTC eql antacid advanced max st oral Almacone Double OTC suspension Strength eql antacid oral tablet chewable Cal-Gest Antacid OTC; QL eql antacid ultra strength oral tablet Tums Ultra 1000 OTC; QL chewable eql antacid/anti-gas oral suspension Almacone OTC Almacone Double fast acting antacid/anti-gas oral suspension OTC Strength gavis-care oral suspension Acid Gone OTC GAVISCON EXTRA RELIEF FORMULA OTC ORAL SUSPENSION GAVISCON ORAL TABLET CHEWABLE OTC geri-lanta oral suspension Almacone OTC geri-mox oral suspension Almacone OTC Almacone Double gnp antacid & anti-gas oral suspension OTC Strength gnp antacid anti-gas oral suspension Almacone OTC gnp antacid extra strength oral tablet Antacid Flavor Chews OTC chewable gnp antacid oral tablet chewable Cal-Gest Antacid OTC; QL gnp antacid regular strength oral suspension Almacone OTC

62 Nombre del medicamento Referencia Notas gnp antacid ultra strength oral tablet Tums Ultra 1000 OTC; QL chewable gnp foaming antacid oral suspension Acid Gone OTC goodsense antacid oral tablet chewable Tums Ultra 1000 OTC; QL 1000 mg goodsense antacid oral tablet chewable 500 Cal-Gest Antacid OTC; QL mg goodsense antacid oral tablet chewable 750 Antacid Flavor Chews OTC mg HEALTHY MAMA TAME THE FLAME OTC; QL ORAL TABLET CHEWABLE heartburn antacid ex st oral tablet chewable Acid Gone OTC Gaviscon Extra Relief heartburn relief ex st oral suspension OTC Formula hm advanced antacid max st oral Almacone Double OTC suspension Strength Almacone Double hm antacid anti-gas ex st oral suspension OTC Strength hm antacid oral suspension Almacone OTC hm antacid/antigas oral suspension Almacone OTC hm calcium antacid ex st oral tablet Antacid Flavor Chews OTC chewable hm calcium antacid oral tablet chewable 500 Cal-Gest Antacid OTC; QL mg hm calcium antacid oral tablet chewable 750 Antacid Flavor Chews OTC mg hm calcium antacid ultra st oral tablet Tums Ultra 1000 OTC; QL chewable hm magnesium oral tablet OTC; QL MAALOX MAX ORAL SUSPENSION OTC MAALOX MULTI SYMPTOM MAX ST OTC ORAL SUSPENSION mag-al plus oral liquid Almacone OTC Almacone Double mag-al plus xs oral liquid OTC Strength magnesium oxide oral tablet Maox OTC MAOX ORAL TABLET OTC Almacone Double meijer antacid oral suspension OTC Strength Almacone Double mi-acid maximum strength oral suspension OTC Strength

63 Nombre del medicamento Referencia Notas MI-ACID ORAL SUSPENSION OTC Almacone Double milantex extra strength oral suspension OTC Strength Almacone Double mintox maximum strength oral suspension OTC Strength MINTOX ORAL SUSPENSION OTC MINTOX PLUS ORAL TABLET OTC CHEWABLE MINTOX REGULAR STRENGTH ORAL OTC SUSPENSION MYLANTA MAXIMUM STRENGTH ORAL OTC SUSPENSION px antacid extra strength oral tablet Antacid Flavor Chews OTC chewable px antacid maximum strength oral Almacone Double OTC suspension Strength px antacid maximum strength oral tablet Tums Ultra 1000 OTC; QL chewable px antacid regular strength oral suspension Almacone OTC px calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL qc antacid extra strength oral tablet Antacid Flavor Chews OTC chewable qc antacid oral suspension Almacone OTC qc antacid oral tablet chewable Cal-Gest Antacid OTC; QL qc antacid/anti-gas oral suspension Almacone OTC qc heartburn antacid oral tablet chewable Acid Gone OTC ra antacid extra strength oral tablet Antacid Flavor Chews OTC chewable ra antacid oral tablet chewable Cal-Gest Antacid OTC; QL ra antacid ultra strength oral tablet chewable Tums Ultra 1000 OTC; QL Almacone Double ra antacid/anti-gas max st oral suspension OTC Strength ra antacid/anti-gas oral suspension Almacone OTC Almacone Double ra antacid/gas relief max st oral suspension OTC Strength ra smooth antacid ex st oral tablet chewable Antacid Flavor Chews OTC sb antacid anti-gas oral suspension Almacone OTC sb antacid extra strength oral tablet Antacid Flavor Chews OTC chewable sb antacid oral tablet chewable Cal-Gest Antacid OTC; QL

64 Nombre del medicamento Referencia Notas sm antacid advanced max st oral Almacone Double OTC suspension Strength sm antacid advanced oral suspension Almacone OTC sm antacid anti-gas oral suspension Almacone OTC sm antacid maximum strength oral Almacone Double OTC suspension Strength sm antacid/antigas oral suspension Almacone OTC sm calcium antacid ex st oral tablet Antacid Flavor Chews OTC chewable sm calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL sm smooth antacid ex st oral tablet Antacid Flavor Chews OTC chewable sodium bicarbonate oral tablet OTC tgt antacid anti-gas oral suspension Almacone OTC tgt antacid extra strength oral tablet Antacid Flavor Chews OTC chewable tgt antacid oral tablet chewable Tums Ultra 1000 OTC; QL TITRALAC ORAL TABLET CHEWABLE OTC TUMS CHEWY BITES ORAL TABLET OTC CHEWABLE TUMS ORAL TABLET CHEWABLE OTC; QL TUMS SMOOTHIES ORAL TABLET OTC CHEWABLE ANTIARRÍTMICOS amiodarone hcl oral tablet 200 mg Pacerone QL amiodarone hcl oral tablet 400 mg Pacerone disopyramide phosphate oral capsule Norpace flecainide acetate oral tablet QL mexiletine hcl oral capsule PACERONE ORAL TABLET 200 MG QL PACERONE ORAL TABLET 400 MG propafenone hcl er oral capsule extended Rythmol SR release 12 hour propafenone hcl oral tablet quinidine gluconate er oral tablet extended release quinidine sulfate oral tablet ANTICOAGULANTES COUMADIN ORAL TABLET

65 Nombre del medicamento Referencia Notas ELIQUIS DVT/PE STARTER PACK ORAL QL TABLET ELIQUIS ORAL TABLET 2.5 MG ELIQUIS ORAL TABLET 5 MG QL enoxaparin sodium injection solution Lovenox SP; QL enoxaparin sodium subcutaneous solution Lovenox SP; QL heparin sodium (porcine) injection solution heparin sodium (porcine) pf injection solution JANTOVEN ORAL TABLET warfarin sodium oral tablet Coumadin warfarin sodium powder ANTICONCEPTIVOS AFIRMELLE ORAL TABLET AL; QL AFTERA ORAL TABLET OTC; QL ALTAVERA ORAL TABLET AL; QL alyacen 1/35 oral tablet Cyclafem 1/35 AL alyacen 7/7/7 oral tablet Cyclafem 7/7/7 AL AMETHIA LO ORAL TABLET AL; QL AMETHIA ORAL TABLET AL; QL AMETHYST ORAL TABLET AL APRI ORAL TABLET AL ARANELLE ORAL TABLET AL ASHLYNA ORAL TABLET AL; QL AUBRA EQ ORAL TABLET AL AUBRA ORAL TABLET AL AUROVELA 1.5/30 ORAL TABLET AL AUROVELA 1/20 ORAL TABLET AL AUROVELA 24 FE ORAL TABLET AL AUROVELA FE 1.5/30 ORAL TABLET AL; QL AUROVELA FE 1/20 ORAL TABLET AL AVIANE ORAL TABLET AL AYUNA ORAL TABLET AL; QL AZURETTE ORAL TABLET AL; QL BALZIVA ORAL TABLET AL BEKYREE ORAL TABLET AL; QL BLISOVI 24 FE ORAL TABLET AL BLISOVI FE 1.5/30 ORAL TABLET AL

66 Nombre del medicamento Referencia Notas BLISOVI FE 1/20 ORAL TABLET AL briellyn oral tablet Balziva AL CAMILA ORAL TABLET AL CAMRESE LO ORAL TABLET AL; QL CAMRESE ORAL TABLET AL; QL CAZIANT ORAL TABLET AL CHATEAL EQ ORAL TABLET AL; QL CHATEAL ORAL TABLET AL; QL CRYSELLE-28 ORAL TABLET AL CYCLAFEM 1/35 ORAL TABLET AL CYCLAFEM 7/7/7 ORAL TABLET AL CYRED EQ ORAL TABLET AL CYRED ORAL TABLET AL DASETTA 1/35 ORAL TABLET AL DASETTA 7/7/7 ORAL TABLET AL DAYSEE ORAL TABLET AL; QL DEBLITANE ORAL TABLET AL DELYLA ORAL TABLET AL desogestrel-ethinyl estradiol oral tablet 0.15- Azurette AL; QL 0.02/0.01 mg (21/5) desogestrel-ethinyl estradiol oral tablet 0.15- Apri AL 30 mg-mcg drospiren-eth estrad-levomefol oral tablet Beyaz AL drospirenone-ethinyl estradiol oral tablet Ocella AL ECONTRA EZ ORAL TABLET OTC; QL ECONTRA ONE-STEP ORAL TABLET OTC; QL ELINEST ORAL TABLET AL ELLA ORAL TABLET QL ELURYNG VAGINAL RING AL; QL EMOQUETTE ORAL TABLET AL ENPRESSE-28 ORAL TABLET AL ENSKYCE ORAL TABLET AL ERRIN ORAL TABLET AL ESTARYLLA ORAL TABLET AL ethynodiol diac-eth estradiol oral tablet Kelnor 1/35 AL etonogestrel-ethinyl estradiol vaginal ring EluRyng AL; QL FALMINA ORAL TABLET AL

67 Nombre del medicamento Referencia Notas FAYOSIM ORAL TABLET AL; QL FEMYNOR ORAL TABLET AL GIANVI ORAL TABLET AL HAILEY 1.5/30 ORAL TABLET DO HAILEY 24 FE ORAL TABLET AL; QL HEATHER ORAL TABLET AL INCASSIA ORAL TABLET AL INTROVALE ORAL TABLET AL; QL ISIBLOOM ORAL TABLET AL JAIMIESS ORAL TABLET AL; QL JASMIEL ORAL TABLET AL; QL JENCYCLA ORAL TABLET AL JOLESSA ORAL TABLET AL; QL JULEBER ORAL TABLET AL JUNEL 1.5/30 ORAL TABLET AL JUNEL 1/20 ORAL TABLET AL JUNEL FE 1.5/30 ORAL TABLET AL JUNEL FE 1/20 ORAL TABLET AL JUNEL FE 24 ORAL TABLET AL KAITLIB FE ORAL TABLET CHEWABLE AL KALLIGA ORAL TABLET AL KARIVA ORAL TABLET AL; QL KELNOR 1/35 ORAL TABLET AL KELNOR 1/50 ORAL TABLET AL KURVELO ORAL TABLET AL; QL LARIN 1.5/30 ORAL TABLET AL LARIN 1/20 ORAL TABLET AL LARIN 24 FE ORAL TABLET AL LARIN FE 1.5/30 ORAL TABLET AL LARIN FE 1/20 ORAL TABLET AL LARISSIA ORAL TABLET AL LAYOLIS FE ORAL TABLET CHEWABLE AL LEENA ORAL TABLET AL LESSINA ORAL TABLET AL LEVONEST ORAL TABLET AL levonorgest-eth est & eth est oral tablet Fayosim AL; QL levonorgest-eth estrad 91-day oral tablet Introvale AL; QL

68 Nombre del medicamento Referencia Notas levonorgestrel oral tablet Aftera OTC; QL levonorgestrel-ethinyl estrad oral tablet 0.1- Afirmelle AL 20 mg-mcg levonorgestrel-ethinyl estrad oral tablet 0.15- Altavera AL; QL 30 mg-mcg levonorgestrel-ethinyl estrad oral tablet 90- Amethyst AL 20 mcg levonorg-eth estrad triphasic oral tablet Enpresse-28 AL LEVORA 0.15/30 (28) ORAL TABLET AL; QL LILLOW ORAL TABLET AL; QL LOJAIMIESS ORAL TABLET AL; QL LORYNA ORAL TABLET AL LOW-OGESTREL ORAL TABLET AL LO-ZUMANDIMINE ORAL TABLET AL; QL LUTERA ORAL TABLET AL LYZA ORAL TABLET AL marlissa oral tablet Altavera AL; QL medroxyprogesterone acetate intramuscular Depo-Provera AL; QL suspension medroxyprogesterone acetate intramuscular Depo-Provera AL; QL suspension prefilled syringe MELODETTA 24 FE ORAL TABLET AL CHEWABLE MIBELAS 24 FE ORAL TABLET AL CHEWABLE MICROGESTIN 1.5/30 ORAL TABLET AL MICROGESTIN 1/20 ORAL TABLET AL MICROGESTIN FE 1.5/30 ORAL TABLET AL MICROGESTIN FE 1/20 ORAL TABLET AL MILI ORAL TABLET AL MONO-LINYAH ORAL TABLET AL MONONESSA ORAL TABLET AL MY CHOICE ORAL TABLET OTC; QL MY WAY ORAL TABLET OTC; QL NECON 0.5/35 (28) ORAL TABLET AL NEW DAY ORAL TABLET OTC; QL NIKKI ORAL TABLET AL NORA-BE ORAL TABLET AL

69 Nombre del medicamento Referencia Notas norethin ace-eth estrad-fe oral tablet 1.5-30 Aurovela Fe 1.5/30 AL; QL mg-mcg norethin ace-eth estrad-fe oral tablet 1-20 Aurovela FE 1/20 AL mg-mcg norethin ace-eth estrad-fe oral tablet 1-20 Aurovela 24 FE AL mg-mcg(24) norethin ace-eth estrad-fe oral tablet Melodetta 24 Fe AL chewable norethindrone acet-ethinyl est oral tablet Aurovela 1/20 AL norethindrone oral tablet Camila AL norethin-eth estradiol-fe oral tablet chewable Wymzya Fe AL norgestimate-eth estradiol oral tablet Estarylla AL norgestim-eth estrad triphasic oral tablet Tri-Lo-Estarylla AL; QL 0.18/0.215/0.25 mg-25 mcg norgestim-eth estrad triphasic oral tablet Tri Femynor AL 0.18/0.215/0.25 mg-35 mcg NORLYDA ORAL TABLET AL NORLYROC ORAL TABLET AL NORTREL 0.5/35 (28) ORAL TABLET AL NORTREL 1/35 (21) ORAL TABLET AL NORTREL 1/35 (28) ORAL TABLET AL NORTREL 7/7/7 ORAL TABLET AL OCELLA ORAL TABLET AL OGESTREL ORAL TABLET AL OPCICON ONE-STEP ORAL TABLET OTC; QL OPTION 2 ORAL TABLET OTC; QL ORSYTHIA ORAL TABLET AL PHILITH ORAL TABLET AL PIMTREA ORAL TABLET AL; QL PIRMELLA 1/35 ORAL TABLET AL PIRMELLA 7/7/7 ORAL TABLET AL PORTIA-28 ORAL TABLET AL; QL PREVENTEZA ORAL TABLET OTC; QL PREVIFEM ORAL TABLET AL REACT ORAL TABLET OTC; QL RECLIPSEN ORAL TABLET AL RIVELSA ORAL TABLET AL; QL SETLAKIN ORAL TABLET AL; QL

70 Nombre del medicamento Referencia Notas SHAROBEL ORAL TABLET AL SIMLIYA ORAL TABLET AL; QL SIMPESSE ORAL TABLET AL; QL SPRINTEC 28 ORAL TABLET AL SRONYX ORAL TABLET AL SYEDA ORAL TABLET AL TAKE ACTION ORAL TABLET OTC; QL TARINA 24 FE ORAL TABLET AL TARINA FE 1/20 EQ ORAL TABLET AL TARINA FE 1/20 ORAL TABLET AL TILIA FE ORAL TABLET AL; QL TRI FEMYNOR ORAL TABLET AL TRI-ESTARYLLA ORAL TABLET AL TRI-LEGEST FE ORAL TABLET AL; QL TRI-LINYAH ORAL TABLET AL TRI-LO-ESTARYLLA ORAL TABLET AL; QL TRI-LO-MARZIA ORAL TABLET AL; QL TRI-LO-MILI ORAL TABLET AL; QL TRI-LO-SPRINTEC ORAL TABLET AL; QL TRI-MILI ORAL TABLET AL TRINESSA (28) ORAL TABLET AL TRI-PREVIFEM ORAL TABLET AL TRI-SPRINTEC ORAL TABLET AL TRIVORA (28) ORAL TABLET AL TRI-VYLIBRA LO ORAL TABLET AL; QL TRI-VYLIBRA ORAL TABLET AL TULANA ORAL TABLET AL TYDEMY ORAL TABLET AL VELIVET ORAL TABLET AL VIENVA ORAL TABLET AL viorele oral tablet Azurette AL; QL VOLNEA ORAL TABLET AL; QL VYFEMLA ORAL TABLET AL VYLIBRA ORAL TABLET AL WERA ORAL TABLET AL WYMZYA FE ORAL TABLET CHEWABLE AL

71 Nombre del medicamento Referencia Notas XULANE TRANSDERMAL PATCH AL; QL WEEKLY ZARAH ORAL TABLET AL ZOVIA 1/35E (28) ORAL TABLET AL ZUMANDIMINE ORAL TABLET AL; QL ANTICONVULSIVOS carbamazepine er oral capsule extended Carbatrol QL release 12 hour carbamazepine er oral tablet extended TEGretol-XR release 12 hour carbamazepine oral suspension TEGretol carbamazepine oral tablet Epitol carbamazepine oral tablet chewable clonazepam oral tablet KlonoPIN clonazepam oral tablet dispersible diazepam rectal gel Diastat Pediatric QL DILANTIN INFATABS ORAL TABLET CHEWABLE DILANTIN ORAL CAPSULE DILANTIN ORAL SUSPENSION divalproex sodium er oral tablet extended Depakote ER QL release 24 hour divalproex sodium oral capsule delayed Depakote Sprinkles QL release sprinkle divalproex sodium oral tablet delayed Depakote QL release 125 mg, 250 mg divalproex sodium oral tablet delayed Depakote release 500 mg EPITOL ORAL TABLET ethosuximide oral capsule Zarontin ethosuximide oral solution Zarontin felbamate oral suspension Felbatol felbamate oral tablet Felbatol gabapentin oral capsule Neurontin QL gabapentin oral solution Neurontin QL gabapentin oral tablet Neurontin QL lamotrigine er oral tablet extended release LaMICtal XR 24 hour

72 Nombre del medicamento Referencia Notas lamotrigine oral tablet 100 mg, 150 mg, 200 Subvenite mg lamotrigine oral tablet 25 mg Subvenite QL lamotrigine oral tablet chewable LaMICtal lamotrigine oral tablet dispersible 100 mg, LaMICtal ODT QL 50 mg lamotrigine oral tablet dispersible 200 mg, LaMICtal ODT 25 mg lamotrigine starter kit-blue oral kit Subvenite Starter Kit-Blue Subvenite Starter Kit- lamotrigine starter kit-green oral kit Green Subvenite Starter Kit- lamotrigine starter kit-orange oral kit Orange levetiracetam er oral tablet extended release Roweepra XR QL 24 hour levetiracetam oral solution Keppra levetiracetam oral tablet Roweepra QL oxcarbazepine oral suspension Trileptal oxcarbazepine oral tablet Trileptal PHENYTOIN INFATABS ORAL TABLET CHEWABLE phenytoin oral suspension Dilantin phenytoin oral tablet chewable Dilantin Infatabs phenytoin sodium extended oral capsule Phenytek pregabalin oral capsule Lyrica QL pregabalin oral solution Lyrica QL primidone oral tablet Mysoline ROWEEPRA ORAL TABLET QL ROWEEPRA XR ORAL TABLET QL EXTENDED RELEASE 24 HOUR SUBVENITE ORAL TABLET 100 MG, 150 MG, 200 MG SUBVENITE ORAL TABLET 25 MG QL SUBVENITE STARTER KIT-BLUE ORAL KIT SUBVENITE STARTER KIT-GREEN ORAL KIT SUBVENITE STARTER KIT-ORANGE ORAL KIT TEGRETOL ORAL SUSPENSION

73 Nombre del medicamento Referencia Notas TEGRETOL ORAL TABLET TEGRETOL-XR ORAL TABLET EXTENDED RELEASE 12 HOUR tiagabine hcl oral tablet Gabitril topiramate oral capsule sprinkle Topamax Sprinkle topiramate oral tablet Topamax valproic acid oral capsule QL valproic acid oral solution ZARONTIN ORAL CAPSULE PA ZARONTIN ORAL SOLUTION PA zonisamide oral capsule Zonegran QL ANTIDEPRESIVOS amitriptyline hcl oral tablet amoxapine oral tablet bupropion hcl er (sr) oral tablet extended Wellbutrin SR release 12 hour bupropion hcl er (xl) oral tablet extended Wellbutrin XL QL release 24 hour bupropion hcl oral tablet citalopram hydrobromide oral solution QL citalopram hydrobromide oral tablet 10 mg, CeleXA 40 mg citalopram hydrobromide oral tablet 20 mg CeleXA QL clomipramine hcl oral capsule Anafranil desipramine hcl oral tablet Norpramin doxepin hcl oral capsule doxepin hcl oral concentrate escitalopram oxalate oral solution escitalopram oxalate oral tablet Lexapro QL fluoxetine hcl oral capsule PROzac QL fluoxetine hcl oral capsule delayed release fluoxetine hcl oral solution fluoxetine hcl oral tablet QL fluvoxamine maleate oral tablet imipramine hcl oral tablet imipramine pamoate oral capsule maprotiline hcl oral tablet mirtazapine oral tablet Remeron

74 Nombre del medicamento Referencia Notas mirtazapine oral tablet dispersible Remeron SolTab nefazodone hcl oral tablet nortriptyline hcl oral capsule Pamelor nortriptyline hcl oral solution paroxetine hcl er oral tablet extended Paxil CR release 24 hour 12.5 mg, 37.5 mg paroxetine hcl er oral tablet extended Paxil CR QL release 24 hour 25 mg paroxetine hcl oral tablet Paxil QL phenelzine sulfate oral tablet Nardil protriptyline hcl oral tablet sertraline hcl oral concentrate Zoloft QL sertraline hcl oral tablet Zoloft QL tranylcypromine sulfate oral tablet Parnate trazodone hcl oral tablet trimipramine maleate oral capsule venlafaxine hcl er oral capsule extended Effexor XR QL release 24 hour venlafaxine hcl er oral tablet extended QL release 24 hour venlafaxine hcl oral tablet QL ANTIDIABÉTICOS acarbose oral tablet 100 mg Precose acarbose oral tablet 25 mg, 50 mg Precose QL ADMELOG SOLOSTAR SUBCUTANEOUS QL SOLUTION PEN-INJECTOR ADMELOG SUBCUTANEOUS SOLUTION QL BASAGLAR KWIKPEN SUBCUTANEOUS AL; QL SOLUTION PEN-INJECTOR cvs glucose bits oral tablet chewable OTC cvs glucose oral gel Gluco Burst OTC Dex4 Quick Dissolve cvs glucose oral tablet chewable OTC Glucose Dex4 Quick Dissolve cvs soft glucose oral tablet chewable OTC Glucose DEX4 GLUCOSE ORAL TABLET OTC CHEWABLE DEX4 NATURALS ORAL TABLET OTC CHEWABLE

75 Nombre del medicamento Referencia Notas DEX4 ORAL TABLET CHEWABLE OTC DEX4 POUCH PACK ORAL TABLET OTC CHEWABLE DEX4 QUICK DISSOLVE GLUCOSE ORAL OTC TABLET CHEWABLE glimepiride oral tablet Amaryl PA glipizide er oral tablet extended release 24 Glucotrol XL PA hour glipizide oral tablet Glucotrol PA glipizide xl oral tablet extended release 24 Glucotrol XL PA hour glipizide-metformin hcl oral tablet PA GLUCAGEN HYPOKIT INJECTION QL SOLUTION RECONSTITUTED GLUCAGON EMERGENCY INJECTION QL KIT GLUCO BURST ORAL GEL OTC glucose instant energy oral tablet chewable Dex4 OTC glucose oral gel Gluco Burst OTC Dex4 Quick Dissolve glucose oral tablet chewable OTC Glucose glucose-vitamin c oral tablet chewable Dex4 OTC glyburide micronized oral tablet Glynase PA glyburide oral tablet PA glyburide-metformin oral tablet PA Dex4 Quick Dissolve gnp glucose oral tablet chewable OTC Glucose gnp quick dissolve glucose oral tablet Dex4 Quick Dissolve OTC chewable Glucose goodsense glucose oral tablet chewable Dex4 OTC hm glucose oral tablet chewable Dex4 OTC HUMALOG MIX 50/50 KWIKPEN SUBCUTANEOUS SUSPENSION PEN- QL INJECTOR HUMALOG MIX 50/50 SUBCUTANEOUS QL SUSPENSION HUMALOG MIX 75/25 KWIKPEN SUBCUTANEOUS SUSPENSION PEN- QL INJECTOR HUMALOG MIX 75/25 SUBCUTANEOUS QL SUSPENSION 76 Nombre del medicamento Referencia Notas HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN- OTC; QL INJECTOR HUMULIN 70/30 SUBCUTANEOUS OTC; QL SUSPENSION HUMULIN N KWIKPEN SUBCUTANEOUS OTC; QL SUSPENSION PEN-INJECTOR HUMULIN N SUBCUTANEOUS OTC; QL SUSPENSION HUMULIN R INJECTION SOLUTION OTC; QL HUMULIN R U-500 (CONCENTRATED) PA; QL SUBCUTANEOUS SOLUTION HUMULIN R U-500 KWIKPEN SUBCUTANEOUS SOLUTION PEN- PA; QL INJECTOR hy-vee glucose oral tablet chewable Dex4 OTC insulin asp prot & asp flexpen subcutaneous NovoLOG Mix 70/30 QL suspension pen-injector FlexPen insulin aspart prot & aspart subcutaneous NovoLOG Mix 70/30 QL suspension insulin lispro (1 unit dial) subcutaneous Admelog SoloStar PA; QL solution pen-injector insulin lispro subcutaneous solution Admelog QL JANUMET ORAL TABLET PA; QL JANUMET XR ORAL TABLET EXTENDED PA; QL RELEASE 24 HOUR JANUVIA ORAL TABLET PA; QL JARDIANCE ORAL TABLET PA; QL kroger glucose oral tablet chewable Dex4 OTC leader glucose oral tablet chewable Dex4 OTC leader quick dissolve glucose oral tablet Dex4 Quick Dissolve OTC chewable Glucose longs glucose oral tablet chewable Dex4 OTC meijer glucose oral tablet chewable Dex4 OTC metformin hcl er oral tablet extended release Glucophage XR 24 hour metformin hcl oral tablet Glucophage nateglinide oral tablet Starlix PA; QL NOVOLIN 70/30 FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN- OTC; QL INJECTOR

77 Nombre del medicamento Referencia Notas NOVOLIN 70/30 FLEXPEN SUBCUTANEOUS SUSPENSION PEN- OTC; QL INJECTOR NOVOLIN 70/30 RELION OTC; QL SUBCUTANEOUS SUSPENSION NOVOLIN 70/30 SUBCUTANEOUS OTC; QL SUSPENSION NOVOLIN N FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN- OTC; QL INJECTOR NOVOLIN N FLEXPEN SUBCUTANEOUS OTC; QL SUSPENSION PEN-INJECTOR NOVOLIN N RELION SUBCUTANEOUS OTC; QL SUSPENSION NOVOLIN N SUBCUTANEOUS OTC; QL SUSPENSION NOVOLIN R FLEXPEN INJECTION OTC; QL SOLUTION PEN-INJECTOR NOVOLIN R FLEXPEN RELION OTC; QL INJECTION SOLUTION PEN-INJECTOR NOVOLIN R INJECTION SOLUTION OTC; QL NOVOLIN R RELION INJECTION OTC; QL SOLUTION NOVOLOG MIX 70/30 FLEXPEN SUBCUTANEOUS SUSPENSION PEN- QL INJECTOR NOVOLOG MIX 70/30 SUBCUTANEOUS QL SUSPENSION OZEMPIC (0.25 OR 0.5 MG/DOSE) SUBCUTANEOUS SOLUTION PEN- PA; QL INJECTOR OZEMPIC (1 MG/DOSE) SUBCUTANEOUS PA; QL SOLUTION PEN-INJECTOR pioglitazone hcl oral tablet Actos PA; QL pioglitazone hcl-glimepiride oral tablet Duetact PA pioglitazone hcl-metformin hcl oral tablet Actoplus Met PA preferred plus glucose oral tablet chewable Dex4 OTC px glucose oral tablet chewable Dex4 OTC ra glucose oral tablet chewable Dex4 OTC RELION GLUCOSE ORAL GEL OTC RELION GLUCOSE ORAL TABLET OTC CHEWABLE 78 Nombre del medicamento Referencia Notas repaglinide oral tablet PA Dex4 Quick Dissolve sm glucose oral tablet chewable OTC Glucose SMART SENSE GLUCOSE ORAL TABLET OTC CHEWABLE SYMLINPEN 120 SUBCUTANEOUS PA; QL SOLUTION PEN-INJECTOR SYMLINPEN 60 SUBCUTANEOUS PA; QL SOLUTION PEN-INJECTOR tgt glucose oral tablet chewable Dex4 OTC up & up glucose oral tablet chewable Dex4 OTC value plus glucose oral gel Gluco Burst OTC value plus glucose oral tablet chewable Dex4 OTC VICTOZA SUBCUTANEOUS SOLUTION PA; QL PEN-INJECTOR Dex4 Quick Dissolve walgreens glucose oral tablet chewable OTC Glucose ANTIDIARRÉICOS anti-diarrheal oral capsule Imodium A-D OTC; QL anti-diarrheal oral liquid 1 mg/5ml OTC; QL anti-diarrheal oral liquid 1 mg/7.5ml Imodium A-D OTC anti-diarrheal oral tablet Imodium A-D OTC; QL bismatrol oral suspension Kaopectate OTC; QL bismatrol oral tablet chewable Soothe OTC bismuth oral tablet chewable Soothe OTC bismuth subsalicylate oral tablet chewable Soothe OTC cvs anti-diarrheal oral capsule Imodium A-D OTC; QL cvs anti-diarrheal oral suspension Kaopectate OTC; QL cvs anti-diarrheal oral tablet Imodium A-D OTC; QL cvs bismuth oral tablet chewable Soothe OTC cvs loperamide hcl oral liquid Imodium A-D OTC; QL cvs stomach relief oral suspension Kaopectate OTC; QL cvs stomach relief oral tablet chewable Soothe OTC diamode oral tablet Imodium A-D OTC; QL diarrhea oral suspension Kaopectate OTC; QL diphenoxylate-atropine oral liquid diphenoxylate-atropine oral tablet Lomotil eq anti-diarrheal oral capsule Imodium A-D OTC; QL

79 Nombre del medicamento Referencia Notas eq anti-diarrheal oral liquid OTC; QL eq anti-diarrheal oral tablet Imodium A-D OTC; QL eq loperamide hcl oral suspension Imodium A-D OTC; QL eq pink-bismuth oral tablet chewable Soothe OTC eq stomach relief oral suspension Kaopectate OTC; QL eq stomach relief oral tablet chewable Soothe OTC eql anti-diarrheal oral tablet Imodium A-D OTC; QL eql loperamide hcl oral suspension Imodium A-D OTC; QL eql stomach relief oral suspension Kaopectate OTC; QL eql stomach relief oral tablet chewable Soothe OTC geri-pectate oral suspension Kaopectate OTC; QL gnp anti-diarrheal oral capsule Imodium A-D OTC; QL gnp anti-diarrheal oral tablet Imodium A-D OTC; QL gnp k-pec oral suspension Kaopectate OTC; QL gnp loperamide hcl oral suspension Imodium A-D OTC gnp pink bismuth oral tablet chewable Soothe OTC gnp stomach relief oral suspension Kaopectate OTC; QL goodsense stomach relief oral suspension Kaopectate OTC; QL goodsense stomach relief oral tablet Soothe OTC chewable hm anti-diarrheal oral capsule Imodium A-D OTC; QL hm anti-diarrheal oral liquid Imodium A-D OTC; QL hm anti-diarrheal oral tablet Imodium A-D OTC; QL hm loperamide hcl oral capsule Imodium A-D OTC; QL hm loperamide hcl oral liquid Imodium A-D OTC hm loperamide hcl oral suspension Imodium A-D OTC hm stomach relief oral suspension Kaopectate OTC; QL hm stomach relief oral tablet chewable Soothe OTC KAOPECTATE ORAL SUSPENSION OTC; QL kls anti-diarrheal oral tablet Imodium A-D OTC; QL loperamide hcl oral capsule Imodium A-D QL loperamide hcl oral liquid 1 mg/5ml OTC; QL loperamide hcl oral liquid 1 mg/7.5ml Imodium A-D OTC loperamide hcl oral suspension Imodium A-D OTC loperamide hcl oral tablet Imodium A-D OTC; QL medi-bismuth oral tablet chewable Soothe OTC meijer anti-diarrheal oral tablet Imodium A-D OTC; QL

80 Nombre del medicamento Referencia Notas mm anti-diarrheal oral tablet Imodium A-D OTC; QL peptic relief oral tablet chewable Soothe OTC pink bismuth oral suspension Kaopectate OTC; QL px anti-diarrheal oral tablet Imodium A-D OTC; QL px stomach relief oral suspension Kaopectate OTC; QL px stomach relief oral tablet chewable Soothe OTC qc anti-diarrheal oral capsule Imodium A-D OTC; QL qc anti-diarrheal oral tablet Imodium A-D OTC; QL qc diarrhea relief oral suspension Kaopectate OTC; QL qc pink bismuth oral tablet chewable Soothe OTC ra anti-diarrheal oral capsule Imodium A-D OTC; QL ra anti-diarrheal oral liquid OTC; QL ra anti-diarrheal oral tablet Imodium A-D OTC; QL ra loperamide hcl oral suspension Imodium A-D OTC; QL ra pink bismuth oral tablet chewable Soothe OTC ra stomach relief oral suspension Kaopectate OTC; QL ra stomach relief oral tablet chewable Soothe OTC sb anti-diarrhea oral tablet Imodium A-D OTC; QL sm anti-diarrheal oral capsule Imodium A-D OTC; QL sm anti-diarrheal oral liquid Imodium A-D OTC sm anti-diarrheal oral tablet Imodium A-D OTC; QL sm loperamide hcl oral suspension Imodium A-D OTC sm stomach relief oral suspension Kaopectate OTC; QL sm stomach relief oral tablet chewable Soothe OTC SOOTHE ORAL SUSPENSION OTC; QL SOOTHE ORAL TABLET CHEWABLE OTC stomach relief oral suspension Kaopectate OTC; QL stomach relief oral tablet chewable Soothe OTC tgt anti-diarrheal oral tablet Imodium A-D OTC; QL tgt loperamide hcl oral capsule Imodium A-D OTC; QL ANTÍDOTOS Y ANTAGONISTAS ESPECÍFICOS deferoxamine mesylate injection solution SP reconstituted ANTÍDOTOS deferoxamine mesylate injection solution SP reconstituted

81 Nombre del medicamento Referencia Notas EVZIO INJECTION SOLUTION AUTO- PA; QL INJECTOR naloxone hcl injection solution QL naloxone hcl injection solution cartridge QL naloxone hcl injection solution prefilled QL syringe naltrexone hcl oral tablet NARCAN NASAL LIQUID QL ANTIEMÉTICOS cvs motion sickness ii oral tablet Dramamine Less Drowsy OTC cvs motion sickness oral tablet Driminate OTC cvs motion sickness relief oral tablet Bonine OTC chewable dimenhydrinate oral tablet Driminate OTC DRAMAMINE LESS DROWSY ORAL OTC TABLET DRIMINATE ORAL TABLET OTC eq motion sickness relief oral tablet Dramamine Less Drowsy OTC eql motion sickness relief oral tablet Dramamine Less Drowsy OTC gnp motion sickness relief oral tablet Dramamine Less Drowsy OTC goodsense motion sickness oral tablet Driminate OTC hm motion relief oral tablet Dramamine Less Drowsy OTC hm motion sickness relief oral tablet Dramamine Less Drowsy OTC meclizine hcl oral tablet meclizine hcl oral tablet chewable Bonine OTC motion sickness relief oral tablet Driminate OTC motion sickness relief oral tablet chewable Bonine OTC motion-time oral tablet chewable Bonine OTC ondansetron oral tablet dispersible QL ra motion sickness relief oral tablet Driminate OTC ra motion sickness relief oral tablet Bonine OTC chewable sb motion sickness oral tablet Driminate OTC sm motion sickness oral tablet Dramamine Less Drowsy OTC sm motion sickness relief oral tablet Driminate OTC travel sickness oral tablet Driminate OTC travel sickness oral tablet chewable Bonine OTC TRAVEL-EASE ORAL TABLET OTC

82 Nombre del medicamento Referencia Notas trimethobenzamide hcl oral capsule Tigan WAL-DRAM II ORAL TABLET OTC WAL-DRAM ORAL TABLET OTC ANTIESPASMÓDICOS URINARIOS bethanechol chloride oral tablet QL darifenacin hydrobromide er oral tablet Enablex extended release 24 hour flavoxate hcl oral tablet QL oxybutynin chloride er oral tablet extended QL release 24 hour oxybutynin chloride oral syrup QL oxybutynin chloride oral tablet OXYTROL FOR WOMEN TRANSDERMAL OTC PATCH TWICE WEEKLY tolterodine tartrate er oral capsule extended Detrol LA release 24 hour tolterodine tartrate oral tablet Detrol trospium chloride er oral capsule extended release 24 hour trospium chloride oral tablet ANTIHELMÍNTICOS ivermectin oral tablet Stromectol praziquantel oral tablet Biltricide reeses pinworm medicine oral suspension OTC ANTIHIPERLIPIDÉMICOS atorvastatin calcium oral tablet 10 mg, 20 Lipitor DO; QL mg, 40 mg atorvastatin calcium oral tablet 80 mg Lipitor QL cholestyramine light oral packet Prevalite cholestyramine light oral powder Prevalite cholestyramine oral packet Questran cholestyramine oral powder Questran colestipol hcl oral granules Colestid colestipol hcl oral packet Colestid colestipol hcl oral tablet Colestid fenofibrate micronized oral capsule 134 mg fenofibrate micronized oral capsule 200 mg, QL 43 mg

83 Nombre del medicamento Referencia Notas fenofibrate micronized oral capsule 67 mg PA; QL fenofibrate oral capsule 134 mg fenofibrate oral capsule 200 mg QL fenofibrate oral capsule 67 mg PA; QL fenofibrate oral tablet Triglide QL fenofibric acid oral capsule delayed release Trilipix PA; QL gemfibrozil oral tablet Lopid lovastatin oral tablet 10 mg, 20 mg DO; QL lovastatin oral tablet 40 mg QL pravastatin sodium oral tablet Pravachol QL PREVALITE ORAL PACKET PREVALITE ORAL POWDER simvastatin oral tablet 10 mg, 20 mg, 40 mg, Zocor DO; QL 5 mg simvastatin oral tablet 80 mg Zocor PA; QL ANTIHIPERTENSIVOS amlodipine besy-benazepril hcl oral capsule QL atenolol-chlorthalidone oral tablet Tenoretic 100 benazepril hcl oral tablet QL benazepril-hydrochlorothiazide oral tablet QL bisoprolol-hydrochlorothiazide oral tablet Ziac candesartan cilexetil oral tablet Atacand candesartan cilexetil-hctz oral tablet 16-12.5 Atacand HCT mg candesartan cilexetil-hctz oral tablet 32-12.5 Atacand HCT QL mg, 32-25 mg captopril oral tablet QL captopril-hydrochlorothiazide oral tablet QL clonidine hcl oral tablet Catapres doxazosin mesylate oral tablet Cardura QL enalapril maleate oral tablet Vasotec QL enalapril-hydrochlorothiazide oral tablet QL fosinopril sodium oral tablet QL fosinopril sodium-hctz oral tablet QL guanfacine hcl oral tablet hydralazine hcl oral tablet irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL irbesartan oral tablet 300 mg Avapro QL 84 Nombre del medicamento Referencia Notas irbesartan-hydrochlorothiazide oral tablet Avalide QL lisinopril oral tablet 10 mg, 20 mg, 5 mg Prinivil DO; QL lisinopril oral tablet 2.5 mg Zestril DO; QL lisinopril oral tablet 30 mg, 40 mg Zestril QL lisinopril-hydrochlorothiazide oral tablet 10- Zestoretic DO; QL 12.5 mg lisinopril-hydrochlorothiazide oral tablet 20- Zestoretic QL 12.5 mg, 20-25 mg losartan potassium oral tablet Cozaar QL losartan potassium-hctz oral tablet 100-12.5 Hyzaar QL mg, 100-25 mg losartan potassium-hctz oral tablet 50-12.5 Hyzaar DO; QL mg methyldopa oral tablet methyldopa-hydrochlorothiazide oral tablet metoprolol-hydrochlorothiazide oral tablet Lopressor HCT QL minoxidil oral tablet moexipril hcl oral tablet perindopril erbumine oral tablet QL prazosin hcl oral capsule Minipress propranolol-hctz oral tablet quinapril hcl oral tablet Accupril QL quinapril-hydrochlorothiazide oral tablet Accuretic QL ramipril oral capsule Altace QL terazosin hcl oral capsule QL trandolapril oral tablet Mavik valsartan oral tablet Diovan QL valsartan-hydrochlorothiazide oral tablet Diovan HCT QL ANTIHISTAMÍNICOS 24hr allergy relief oral tablet KLS Aller-Fex PA; OTC; QL ALAVERT ORAL TABLET DISPERSIBLE OTC; QL aler-cap oral capsule Banophen OTC; QL alertab oral tablet Alka-Seltzer Plus Allergy OTC; QL ALKA-SELTZER PLUS ALLERGY ORAL OTC; QL TABLET Wal-Zyr All Day Allergy all day allergy childrens oral solution OTC; QL Child all day allergy oral tablet KLS Aller-Tec OTC; QL

85 Nombre del medicamento Referencia Notas Wal-Zyr All Day Allergy all-day allergy childrens oral solution OTC; QL Child ALLEGRA ALLERGY CHILDRENS ORAL PA; OTC TABLET DISPERSIBLE aller-chlor oral tablet Wal-finate OTC aller-ease oral tablet Wal-Fex Allergy PA; OTC; QL allergy 24hour indoor/outdoor oral tablet KLS Aller-Tec PA; OTC; QL allergy 24-hr oral tablet KLS Aller-Fex PA; OTC; QL allergy childrens oral liquid Banophen OTC; QL allergy childrens oral syrup Wal-itin OTC; QL allergy oral capsule Banophen OTC; QL allergy oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL allergy oral tablet 4 mg Wal-finate OTC allergy relief cetirizine oral tablet KLS Aller-Tec PA; OTC; QL allergy relief child oral syrup Wal-itin OTC; QL allergy relief childrens oral liquid Banophen OTC; QL allergy relief childrens oral syrup Wal-itin OTC; QL allergy relief loratadine oral tablet KLS AllerClear OTC; QL allergy relief oral capsule Banophen OTC; QL allergy relief oral tablet 10 mg KLS AllerClear OTC; QL allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL allergy relief oral tablet 4 mg Wal-finate OTC allergy relief oral tablet 5 mg Xyzal Allergy 24HR OTC allergy relief oral tablet 60 mg Wal-Fex Allergy PA; OTC; QL allergy relief oral tablet dispersible Alavert OTC; QL allergy relief/indoor/outdoor oral tablet KLS Aller-Tec OTC; QL allergy-time oral tablet Wal-finate OTC anti-hist allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL aurodryl allergy childrens oral liquid Banophen OTC; QL BANOPHEN ORAL CAPSULE 25 MG OTC; QL BANOPHEN ORAL CAPSULE 50 MG OTC BANOPHEN ORAL LIQUID OTC; QL BANOPHEN ORAL TABLET OTC; QL carbinoxamine maleate oral solution carbinoxamine maleate oral tablet Wal-Zyr All Day Allergy cetirizine hcl allergy child oral solution OTC; QL Child 86 Nombre del medicamento Referencia Notas Wal-Zyr All Day Allergy cetirizine hcl childrens alrgy oral solution OTC; QL Child cetirizine hcl childrens oral tablet chewable Wal-Zyr Childrens OTC; QL 10 mg cetirizine hcl childrens oral tablet chewable 5 Wal-Zyr Childrens PA; OTC; QL mg Wal-Zyr All Day Allergy cetirizine hcl hives relief oral solution PA; OTC; QL Child cetirizine hcl oral tablet KLS Aller-Tec OTC; QL cetirizine hcl oral tablet chewable 10 mg Wal-Zyr Childrens OTC; QL cetirizine hcl oral tablet chewable 5 mg Wal-Zyr Childrens PA; OTC; QL childrens loratadine oral solution Wal-itin OTC; QL childrens loratadine oral syrup Wal-itin OTC; QL chlorhist oral tablet Wal-finate OTC chlorpheniramine maleate oral tablet Wal-finate OTC complete allergy medicine oral capsule Banophen OTC; QL complete allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC; QL cvs allergy oral capsule Banophen OTC; QL cvs allergy relief adult oral liquid Banophen OTC; QL cvs allergy relief childrens oral liquid Banophen OTC; QL Wal-Zyr All Day Allergy cvs allergy relief childrens oral solution PA; OTC; QL Child cvs allergy relief childrens oral suspension Allegra Allergy Childrens OTC; QL cvs allergy relief childrens oral syrup Wal-itin OTC; QL cvs allergy relief oral capsule Banophen OTC; QL cvs allergy relief oral liquid Banophen OTC; QL cvs allergy relief oral tablet 10 mg KLS AllerClear OTC; QL cvs allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL cvs allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL cvs allergy relief oral tablet 4 mg Wal-finate OTC cvs allergy relief oral tablet 5 mg Xyzal Allergy 24HR OTC cvs allergy relief oral tablet 60 mg Wal-Fex Allergy PA; OTC; QL cvs allergy relief oral tablet dispersible Alavert OTC; QL cvs childrens allergy oral liquid Banophen OTC; QL cvs indoor/outdoor allergy rlf oral tablet KLS Aller-Tec PA; OTC; QL cvs indoor/outdoor allergy rlf oral tablet Wal-Zyr Childrens PA; OTC; QL chewable cyproheptadine hcl oral syrup

87 Nombre del medicamento Referencia Notas cyproheptadine hcl oral tablet diphen oral elixir QL diphen oral tablet Alka-Seltzer Plus Allergy OTC; QL diphenhist oral capsule Banophen OTC; QL hcl oral capsule 25 mg Banophen OTC; QL diphenhydramine hcl oral capsule 50 mg Banophen OTC diphenhydramine hcl oral elixir QL diphenhydramine hcl oral liquid 12.5 mg/5ml Banophen OTC; QL PediaClear Cough diphenhydramine hcl oral liquid 6.25 mg/ml OTC Childrens diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC; QL dye-free allergy relief oral liquid Banophen OTC; QL eq allergy childrens oral syrup Wal-itin OTC; QL eq allergy oral capsule Banophen OTC; QL Wal-Zyr All Day Allergy eq allergy relief (cetirizine) oral solution PA; OTC; QL Child eq allergy relief (cetirizine) oral tablet KLS Aller-Tec PA; OTC; QL eq allergy relief childrens oral liquid Banophen OTC; QL Wal-Zyr All Day Allergy eq allergy relief childrens oral solution PA; OTC; QL Child eq allergy relief childrens oral syrup Wal-itin OTC; QL eq allergy relief oral capsule Banophen OTC; QL eq allergy relief oral tablet 10 mg KLS AllerClear OTC; QL eq allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL eq allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL eq childrens loratadine oral syrup Wal-itin OTC; QL eq chlortabs oral tablet Wal-finate OTC eq loratadine oral tablet KLS AllerClear OTC; QL eq loratadine oral tablet dispersible Alavert OTC; QL Wal-Zyr All Day Allergy eql all day allergy childrens oral solution PA; OTC; QL Child eql all day allergy oral tablet KLS Aller-Tec PA; OTC; QL eql aller-ease oral tablet KLS Aller-Fex PA; OTC; QL eql allergy oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL eql allergy oral tablet 4 mg Wal-finate OTC eql allergy relief oral capsule Banophen OTC; QL eql allergy relief oral tablet KLS AllerClear OTC; QL eql childrens allergy oral liquid Banophen OTC; QL

88 Nombre del medicamento Referencia Notas fexofenadine hcl oral tablet Wal-Fex Allergy PA; OTC; QL genahist oral capsule Banophen OTC; QL geri-dryl oral capsule Banophen OTC; QL geri-dryl oral liquid Banophen OTC; QL geri-dryl oral tablet Alka-Seltzer Plus Allergy OTC; QL Wal-Zyr All Day Allergy gnp all day allergy childrens oral solution OTC; QL Child gnp all day allergy oral tablet KLS Aller-Tec OTC; QL gnp allergy antihistamine oral liquid Banophen OTC; QL gnp allergy oral capsule Banophen OTC; QL gnp allergy oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL gnp allergy oral tablet 4 mg Wal-finate OTC gnp allergy relief oral capsule Banophen OTC; QL gnp allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL gnp allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL gnp allergy relief oral tablet dispersible Alavert OTC; QL gnp childrens allergy oral liquid Banophen OTC; QL gnp loratadine childrens oral solution Wal-itin OTC; QL gnp loratadine oral syrup Wal-itin OTC; QL gnp loratadine oral tablet KLS AllerClear OTC; QL gnp loratadine oral tablet dispersible Alavert OTC; QL Wal-Zyr All Day Allergy goodsense all day allergy oral solution OTC; QL Child goodsense all day allergy oral tablet KLS Aller-Tec OTC; QL goodsense aller-ease oral tablet KLS Aller-Fex PA; OTC; QL goodsense allergy relief oral capsule Claritin OTC Wal-Zyr All Day Allergy hm all day allergy childrens oral solution OTC; QL Child Wal-Zyr All Day Allergy hm all day allergy oral solution PA; OTC; QL Child hm all day allergy oral tablet KLS Aller-Tec OTC; QL hm allergy multi symptom oral capsule Banophen OTC; QL hm allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL hm allergy relief childrens oral liquid Banophen OTC; QL hm allergy relief oral capsule Banophen OTC; QL hm allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL hm allergy relief oral tablet 4 mg Wal-finate OTC hm allergy relief oral tablet dispersible Alavert OTC; QL

89 Nombre del medicamento Referencia Notas Wal-Zyr All Day Allergy hm cetirizine hcl childrens oral solution OTC; QL Child hm cetirizine hcl oral tablet KLS Aller-Tec OTC; QL hm fexofenadine hcl oral tablet Wal-Fex Allergy PA; OTC; QL hm loratadine childrens oral syrup Wal-itin OTC; QL hm loratadine oral tablet KLS AllerClear OTC; QL KLS ALLERCLEAR ORAL TABLET OTC; QL KLS ALLER-FEX ORAL TABLET PA; OTC; QL kls allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC; QL KLS ALLER-TEC ORAL TABLET PA; OTC; QL kp diphenhydramine hcl oral capsule Banophen OTC kp fexofenadine hcl oral tablet KLS Aller-Fex PA; OTC; QL kp loratadine oral tablet KLS AllerClear OTC; QL levocetirizine dihydrochloride oral tablet Xyzal Allergy 24HR OTC loradamed oral tablet KLS AllerClear OTC; QL loratadine childrens oral syrup Wal-itin OTC; QL loratadine oral capsule Claritin OTC loratadine oral tablet KLS AllerClear OTC; QL m-dryl oral liquid Banophen OTC MEDI-PHEDRYL ORAL CAPSULE OTC; QL meijer allergy relief oral tablet KLS AllerClear OTC; QL meijer allergy relief oral tablet dispersible Alavert OTC; QL meijer antihistamine allergy oral capsule Banophen OTC; QL meijer loratadine oral syrup Wal-itin OTC; QL mm cetirizine hcl oral tablet KLS Aller-Tec PA; OTC; QL NARAMIN ORAL LIQUID OTC; QL PEDIACARE CHILDRENS ALLERGY OTC; QL ORAL LIQUID PEDIACLEAR COUGH CHILDRENS ORAL OTC LIQUID pharbechlor oral tablet Wal-finate OTC pharbedryl oral capsule 25 mg Banophen OTC; QL pharbedryl oral capsule 50 mg Banophen OTC PHENADOZ RECTAL SUPPOSITORY AL promethazine hcl oral solution AL promethazine hcl oral syrup AL promethazine hcl oral tablet 12.5 mg, 50 mg AL promethazine hcl oral tablet 25 mg AL; QL 90 Nombre del medicamento Referencia Notas promethazine hcl rectal suppository Phenadoz AL PROMETHEGAN RECTAL SUPPOSITORY AL px allergy oral capsule Banophen OTC; QL px allergy oral liquid Banophen OTC; QL px allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL px allergy relief cetirizine oral tablet KLS Aller-Tec PA; OTC; QL px allergy relief loratadine oral tablet KLS AllerClear OTC; QL px allergy relief oral tablet KLS Aller-Fex PA; OTC; QL px allergy relief oral tablet dispersible Alavert OTC; QL Wal-Zyr All Day Allergy px childrens allergy oral solution PA; OTC; QL Child qc all day allergy oral tablet KLS Aller-Tec PA; OTC; QL qc allergy relief childrens oral syrup Wal-itin OTC; QL qc allergy relief oral tablet dispersible Alavert OTC; QL Wal-Zyr All Day Allergy qc childrens allergy oral solution OTC; QL Child qc chlor-pheniramine oral tablet Wal-finate OTC qc complete allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC; QL qc fexofenadine hydrochloride oral tablet KLS Aller-Fex PA; OTC; QL qc loratadine allergy relief oral tablet KLS AllerClear OTC; QL ra allergy medication oral capsule Banophen OTC; QL ra allergy medication oral liquid Banophen OTC; QL ra allergy medication oral tablet Alka-Seltzer Plus Allergy OTC; QL ra allergy oral liquid Banophen OTC; QL ra allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL ra allergy relief childrens oral liquid Banophen OTC; QL Wal-Zyr All Day Allergy ra allergy relief childrens oral solution PA; OTC; QL Child Wal-Zyr All Day Allergy ra allergy relief childrens oral syrup PA; OTC; QL Child ra allergy relief oral capsule Banophen OTC; QL ra allergy relief oral tablet 10 mg KLS Aller-Tec OTC; QL ra allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL ra allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL ra allergy relief oral tablet 4 mg Wal-finate OTC ra allergy relief oral tablet dispersible Alavert OTC; QL ra cetirizine childrens oral tablet chewable Wal-Zyr Childrens PA; OTC; QL

91 Nombre del medicamento Referencia Notas Wal-Zyr All Day Allergy ra cetirizine hcl child allrgy oral solution PA; OTC; QL Child ra cetirizine oral tablet KLS Aller-Tec PA; OTC; QL ra chlorpheniramine maleate oral tablet Wal-finate OTC ra complete allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL RA DIPHEDRYL ALLERGY ORAL LIQUID OTC; QL ra loratadine childrens oral syrup Wal-itin OTC; QL ra loratadine oral syrup Wal-itin OTC; QL ra loratadine oral tablet KLS AllerClear OTC; QL ra loratadine oral tablet dispersible Alavert OTC; QL sb allergy medicine oral liquid Banophen OTC; QL sb allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC; QL sb allergy oral capsule Banophen OTC; QL sb allergy oral tablet KLS Aller-Tec PA; OTC; QL sb allergy relief oral tablet dispersible Alavert OTC; QL sb chlorpheniramine oral tablet Wal-finate OTC sb loratadine allergy relief oral tablet KLS AllerClear OTC; QL sb loratadine oral syrup Wal-itin OTC; QL sb loratadine oral tablet KLS AllerClear OTC; QL siladryl allergy oral liquid Banophen OTC; QL Wal-Zyr All Day Allergy sm all day allergy childrens oral solution OTC; QL Child sm all day allergy oral tablet KLS Aller-Tec OTC; QL sm allergy 4 hour oral tablet Wal-finate OTC sm allergy childrens oral syrup Wal-itin OTC; QL sm allergy relief childrens oral liquid Banophen OTC; QL sm allergy relief oral capsule Banophen OTC; QL sm allergy relief oral liquid Banophen OTC; QL sm allergy relief oral tablet Alka-Seltzer Plus Allergy OTC; QL sm allergy relief oral tablet dispersible Alavert OTC; QL sm childrens loratadine oral syrup Wal-itin OTC; QL sm fexofenadine hcl oral tablet KLS Aller-Fex PA; OTC; QL sm loratadine allergy relief oral tablet Alavert OTC; QL dispersible sm loratadine oral syrup Wal-itin OTC; QL sm loratadine oral tablet KLS AllerClear OTC; QL Wal-Zyr All Day Allergy tgt all day allergy childrens oral solution PA; OTC; QL Child

92 Nombre del medicamento Referencia Notas tgt all day allergy relief oral tablet KLS Aller-Tec PA; OTC; QL tgt allergy relief childrens oral liquid Banophen OTC; QL tgt allergy relief oral capsule Banophen OTC; QL tgt allergy relief oral tablet 10 mg KLS AllerClear OTC; QL tgt allergy relief oral tablet 180 mg KLS Aller-Fex PA; OTC; QL tgt allergy relief oral tablet 25 mg Alka-Seltzer Plus Allergy OTC; QL tgt allergy relief oral tablet dispersible Alavert OTC; QL tgt loratadine childrens oral syrup Wal-itin OTC; QL TOTAL ALLERGY MEDICINE ORAL OTC; QL LIQUID total allergy oral tablet Alka-Seltzer Plus Allergy OTC; QL TRIAMINIC ALLERCHEWS ORAL TABLET OTC; QL DISPERSIBLE WAL-DRYL ALLERGY CHILDRENS ORAL OTC; QL LIQUID WAL-DRYL ALLERGY ORAL CAPSULE OTC; QL WAL-DRYL ALLERGY ORAL LIQUID OTC; QL WAL-DRYL ALLERGY ORAL TABLET OTC; QL WAL-FEX ALLERGY ORAL TABLET PA; OTC; QL WAL-FEX ORAL TABLET PA; OTC; QL WAL-FINATE ORAL TABLET OTC WAL-ITIN ALLERGY REDITABS ORAL OTC; QL TABLET DISPERSIBLE WAL-ITIN ALLER-MELTS ORAL TABLET OTC; QL DISPERSIBLE WAL-ITIN CHILDRENS ORAL SOLUTION OTC; QL WAL-ITIN ORAL SYRUP OTC; QL WAL-ITIN ORAL TABLET OTC; QL WAL-ITIN ORAL TABLET DISPERSIBLE OTC; QL WAL-VERT ORAL TABLET DISPERSIBLE OTC; QL WAL-ZYR ALL DAY ALLERGY CHILD PA; OTC; QL ORAL SOLUTION WAL-ZYR CHILDRENS ORAL SOLUTION PA; OTC; QL WAL-ZYR CHILDRENS ORAL TABLET PA; OTC; QL CHEWABLE WAL-ZYR ORAL TABLET PA; OTC; QL ANTIINFECCIOSOS URINARIOS methenamine hippurate oral tablet Hiprex nitrofurantoin macrocrystal oral capsule Macrodantin 93 Nombre del medicamento Referencia Notas nitrofurantoin monohyd macro oral capsule Macrobid ANTIMICÓTICOS bio-statin oral powder fluconazole oral suspension reconstituted Diflucan QL fluconazole oral tablet Diflucan QL flucytosine oral capsule Ancobon PA griseofulvin microsize oral suspension griseofulvin ultramicrosize oral tablet itraconazole oral capsule Sporanox PA ketoconazole oral tablet QL nystatin oral tablet terbinafine hcl oral tablet LamISIL QL voriconazole intravenous solution Vfend IV PA reconstituted voriconazole oral suspension reconstituted Vfend PA voriconazole oral tablet 200 mg Vfend PA; QL voriconazole oral tablet 50 mg Vfend PA ANTINEOPLÁSICOS Y TERAPIAS COMPLEMENTARIAS anastrozole oral tablet Arimidex QL bicalutamide oral tablet Casodex cyclophosphamide oral capsule SP EMCYT ORAL CAPSULE PA; SP etoposide oral capsule SP exemestane oral tablet Aromasin QL flutamide oral capsule hydroxyprogesterone caproate intramuscular PA; SP; QL solution hydroxyurea oral capsule Hydrea imatinib mesylate oral tablet Gleevec PA; SP; QL IRESSA ORAL TABLET PA; SP; QL letrozole oral tablet Femara QL leucovorin calcium injection solution reconstituted leucovorin calcium oral tablet LEUKERAN ORAL TABLET megestrol acetate oral suspension PA megestrol acetate oral tablet PA

94 Nombre del medicamento Referencia Notas mercaptopurine oral tablet MESNEX ORAL TABLET PA methotrexate oral tablet methotrexate sodium (pf) injection solution methotrexate sodium injection solution methotrexate sodium injection solution reconstituted methotrexate sodium oral tablet MYLERAN ORAL TABLET SP TABLOID ORAL TABLET tamoxifen citrate oral tablet tretinoin oral capsule TREXALL ORAL TABLET VANTAS SUBCUTANEOUS KIT PA; SP VELCADE INJECTION SOLUTION PA; SP RECONSTITUTED ANTIPALÚDICOS atovaquone-proguanil hcl oral tablet Malarone chloroquine phosphate oral tablet hydroxychloroquine sulfate oral tablet Plaquenil mefloquine hcl oral tablet QL primaquine phosphate oral tablet ANTIPARKINSONIANOS amantadine hcl oral capsule QL amantadine hcl oral syrup amantadine hcl oral tablet benztropine mesylate oral tablet bromocriptine mesylate oral capsule Parlodel bromocriptine mesylate oral tablet Parlodel carbidopa-levodopa er oral tablet extended Sinemet CR release carbidopa-levodopa oral tablet Sinemet carbidopa-levodopa oral tablet dispersible carbidopa-levodopa-entacapone oral tablet Stalevo 50 QL entacapone oral tablet Comtan pramipexole dihydrochloride oral tablet Mirapex QL ropinirole hcl oral tablet selegiline hcl oral capsule 95 Nombre del medicamento Referencia Notas selegiline hcl oral tablet trihexyphenidyl hcl oral solution trihexyphenidyl hcl oral tablet ANTIRRETROVIRALES - INHIBIDOR POSUNIÓN DIRIGIDO A CD4 TROGARZO INTRAVENOUS SOLUTION PA; SP; QL ANTIRRETROVIRALES COMPLEMENTARIOS TYBOST ORAL TABLET SP; QL ANTISÉPTICOS Y DESINFECTANTES BETADINE EXTERNAL SOLUTION OTC cvs hydrogen peroxide external solution OTC eq hydrogen peroxide external solution OTC eql hydrogen peroxide external solution OTC gnp hydrogen peroxide external solution OTC goodsense hydrogen peroxide external OTC solution hm hydrogen peroxide external solution OTC hydrogen peroxide external solution OTC hydrogen peroxide solution meijer hydrogen peroxide external solution OTC px hydrogen peroxide external solution OTC qc hydrogen peroxide external solution OTC ra hydrogen peroxide external solution OTC sm hydrogen peroxide external solution OTC tgt hydrogen peroxide external solution OTC ANTIVIRALES abacavir sulfate oral solution Ziagen SP; QL abacavir sulfate oral tablet Ziagen SP; QL abacavir sulfate-lamivudine oral tablet Epzicom SP; QL abacavir-lamivudine-zidovudine oral tablet Trizivir SP; QL acyclovir oral capsule acyclovir oral suspension Zovirax acyclovir oral tablet Zovirax adefovir dipivoxil oral tablet Hepsera PA; SP; QL APTIVUS ORAL CAPSULE SP; QL APTIVUS ORAL SOLUTION SP; QL

96 Nombre del medicamento Referencia Notas atazanavir sulfate oral capsule Reyataz SP; QL BARACLUDE ORAL SOLUTION PA; SP; QL BIKTARVY ORAL TABLET SP; QL CIMDUO ORAL TABLET SP; QL DESCOVY ORAL TABLET SP; QL didanosine oral capsule delayed release SP; QL EDURANT ORAL TABLET SP; QL EMTRIVA ORAL CAPSULE SP; QL EMTRIVA ORAL SOLUTION SP; QL entecavir oral tablet Baraclude PA; SP; QL EPIVIR HBV ORAL SOLUTION PA; SP; QL EVOTAZ ORAL TABLET SP; QL famciclovir oral tablet QL FUZEON SUBCUTANEOUS SOLUTION PA; SP; QL RECONSTITUTED GENVOYA ORAL TABLET SP; QL INTELENCE ORAL TABLET PA; SP; AL; QL ISENTRESS HD ORAL TABLET SP; QL ISENTRESS ORAL PACKET SP; QL ISENTRESS ORAL TABLET SP; QL ISENTRESS ORAL TABLET CHEWABLE SP; QL JULUCA ORAL TABLET PA; SP; QL lamivudine oral solution Epivir SP; AL; QL lamivudine oral tablet 100 mg Epivir HBV PA; SP; QL lamivudine oral tablet 150 mg, 300 mg Epivir SP; QL lamivudine-zidovudine oral tablet Combivir SP; QL lopinavir-ritonavir oral solution Kaletra SP; QL nevirapine er oral tablet extended release 24 Viramune XR SP; QL hour nevirapine oral suspension Viramune SP; QL nevirapine oral tablet Viramune SP; QL NORVIR ORAL SOLUTION SP; QL oseltamivir phosphate oral capsule Tamiflu QL oseltamivir phosphate oral suspension Tamiflu QL reconstituted PEGASYS PROCLICK SUBCUTANEOUS SP SOLUTION

97 Nombre del medicamento Referencia Notas PEGASYS SUBCUTANEOUS SOLUTION SP 180 MCG/0.5ML PEGASYS SUBCUTANEOUS SOLUTION SP; QL 180 MCG/ML PEGINTRON SUBCUTANEOUS KIT SP PREZCOBIX ORAL TABLET SP; QL PREZISTA ORAL SUSPENSION SP; QL PREZISTA ORAL TABLET SP; QL RELENZA DISKHALER INHALATION AEROSOL POWDER BREATH QL ACTIVATED RETROVIR INTRAVENOUS SOLUTION SP REYATAZ ORAL PACKET SP; QL ribavirin oral capsule SP; QL ribavirin oral tablet SP; QL rimantadine hcl oral tablet ritonavir oral tablet Norvir SP; QL SELZENTRY ORAL SOLUTION SP; QL SELZENTRY ORAL TABLET SP; QL stavudine oral capsule SP; QL STRIBILD ORAL TABLET SP; QL TEMIXYS ORAL TABLET SP tenofovir disoproxil fumarate oral tablet Viread PA; SP; QL TIVICAY ORAL TABLET SP; QL TRIUMEQ ORAL TABLET SP; QL TRUVADA ORAL TABLET SP; QL valacyclovir hcl oral tablet Valtrex QL valganciclovir hcl oral solution reconstituted Valcyte SP valganciclovir hcl oral tablet Valcyte SP VIDEX EC ORAL CAPSULE DELAYED SP; QL RELEASE VIREAD ORAL POWDER PA; SP; QL VIREAD ORAL TABLET PA; SP; QL zidovudine oral capsule Retrovir SP; QL zidovudine oral syrup Retrovir SP; QL zidovudine oral tablet SP BETABLOQUEADORES acebutolol hcl oral capsule

98 Nombre del medicamento Referencia Notas atenolol oral tablet Tenormin betaxolol hcl oral tablet bisoprolol fumarate oral tablet carvedilol oral tablet Coreg QL labetalol hcl oral tablet metoprolol succinate er oral tablet extended Toprol XL release 24 hour metoprolol tartrate oral tablet 100 mg, 50 mg Lopressor QL metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg nadolol oral tablet Corgard pindolol oral tablet propranolol hcl er oral capsule extended Inderal LA release 24 hour propranolol hcl oral solution propranolol hcl oral tablet SORINE ORAL TABLET QL sotalol hcl (af) oral tablet Betapace AF QL sotalol hcl oral tablet Sorine QL sotalol hydrochloride oral tablet Betapace AF QL timolol maleate oral tablet BLOQUEADORES DE CANALES DE CALCIO AFEDITAB CR ORAL TABLET EXTENDED DO; QL RELEASE 24 HOUR 30 MG AFEDITAB CR ORAL TABLET EXTENDED QL RELEASE 24 HOUR 60 MG amlodipine besylate oral tablet 10 mg Norvasc QL amlodipine besylate oral tablet 2.5 mg, 5 mg Norvasc DO; QL CARTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 120 MG, 180 MG, 240 DO; QL MG CARTIA XT ORAL CAPSULE EXTENDED QL RELEASE 24 HOUR 300 MG diltiazem hcl er beads oral capsule extended Taztia XT DO; QL release 24 hour 120 mg, 180 mg diltiazem hcl er beads oral capsule extended Taztia XT QL release 24 hour 240 mg, 300 mg, 360 mg diltiazem hcl er beads oral capsule extended Tiadylt ER QL release 24 hour 420 mg

99 Nombre del medicamento Referencia Notas diltiazem hcl er coated beads oral capsule extended release 24 hour 120 mg, 180 mg, Cartia XT DO; QL 240 mg diltiazem hcl er coated beads oral capsule Cartia XT QL extended release 24 hour 300 mg diltiazem hcl er coated beads oral capsule Cardizem CD QL extended release 24 hour 360 mg diltiazem hcl er coated beads oral tablet Matzim LA DO; QL extended release 24 hour 180 mg, 240 mg diltiazem hcl er coated beads oral tablet extended release 24 hour 300 mg, 360 mg, Matzim LA QL 420 mg diltiazem hcl er oral capsule extended QL release 12 hour diltiazem hcl er oral capsule extended DO; QL release 24 hour diltiazem hcl oral tablet Cardizem QL dilt-xr oral capsule extended release 24 hour DO; QL 120 mg, 180 mg dilt-xr oral capsule extended release 24 hour QL 240 mg felodipine er oral tablet extended release 24 QL hour 10 mg felodipine er oral tablet extended release 24 DO; QL hour 2.5 mg, 5 mg isradipine oral capsule QL MATZIM LA ORAL TABLET EXTENDED DO; QL RELEASE 24 HOUR 180 MG, 240 MG MATZIM LA ORAL TABLET EXTENDED RELEASE 24 HOUR 300 MG, 360 MG, 420 QL MG nicardipine hcl oral capsule QL nifedipine er oral tablet extended release 24 Afeditab CR DO; QL hour 30 mg nifedipine er oral tablet extended release 24 Afeditab CR QL hour 60 mg nifedipine er oral tablet extended release 24 Adalat CC QL hour 90 mg nifedipine er osmotic release oral tablet Procardia XL DO; QL extended release 24 hour 30 mg nifedipine er osmotic release oral tablet Nifedical XL QL extended release 24 hour 60 mg

100 Nombre del medicamento Referencia Notas nifedipine er osmotic release oral tablet Procardia XL QL extended release 24 hour 90 mg nifedipine oral capsule QL TAZTIA XT ORAL CAPSULE EXTENDED DO; QL RELEASE 24 HOUR 120 MG, 180 MG TAZTIA XT ORAL CAPSULE EXTENDED RELEASE 24 HOUR 240 MG, 300 MG, 360 QL MG TIADYLT ER ORAL CAPSULE EXTENDED DO; QL RELEASE 24 HOUR 120 MG, 180 MG TIADYLT ER ORAL CAPSULE EXTENDED RELEASE 24 HOUR 240 MG, 300 MG, 360 QL MG, 420 MG verapamil hcl er oral capsule extended Verelan PM DO; QL release 24 hour 100 mg, 200 mg, 300 mg verapamil hcl er oral capsule extended Verelan DO; QL release 24 hour 120 mg, 180 mg verapamil hcl er oral capsule extended Verelan QL release 24 hour 240 mg, 360 mg verapamil hcl er oral tablet extended release Calan SR QL verapamil hcl oral tablet QL CARDIOTÓNICOS DIGITEK ORAL TABLET DIGOX ORAL TABLET digoxin injection solution Lanoxin digoxin oral solution digoxin oral tablet Digitek LANOXIN INJECTION SOLUTION LANOXIN ORAL TABLET CEFALOSPORINAS cefaclor er oral tablet extended release 12 hour cefaclor oral capsule cefaclor oral suspension reconstituted cefadroxil oral capsule cefadroxil oral suspension reconstituted cefadroxil oral tablet cefdinir oral capsule QL cefdinir oral suspension reconstituted QL

101 Nombre del medicamento Referencia Notas cefpodoxime proxetil oral suspension reconstituted cefpodoxime proxetil oral tablet cefprozil oral suspension reconstituted cefprozil oral tablet ceftriaxone sodium injection solution QL reconstituted ceftriaxone sodium intravenous solution reconstituted cefuroxime axetil oral tablet cephalexin oral capsule Keflex cephalexin oral suspension reconstituted cephalexin oral tablet CLASES VARIADAS ARGYLE STERILE WATER IRRIGATION SOLUTION azathioprine oral tablet Imuran CLOVIQUE ORAL CAPSULE PA; SP; QL cyclosporine modified oral capsule Gengraf SP cyclosporine modified oral solution Gengraf SP cyclosporine oral capsule SandIMMUNE SP GENGRAF ORAL CAPSULE SP GENGRAF ORAL SOLUTION SP mycophenolate mofetil oral capsule CellCept SP mycophenolate mofetil oral suspension CellCept SP reconstituted mycophenolate mofetil oral tablet CellCept SP mycophenolate sodium oral tablet delayed Myfortic SP release penicillamine oral tablet Depen Titratabs PA PHYSIOLYTE IRRIGATION SOLUTION PHYSIOSOL IRRIGATION IRRIGATION SOLUTION SANDIMMUNE ORAL SOLUTION SP sirolimus oral solution Rapamune SP sirolimus oral tablet Rapamune SP sodium polystyrene sulfonate oral SPS suspension

102 Nombre del medicamento Referencia Notas sodium polystyrene sulfonate rectal suspension SPS ORAL SUSPENSION sterile water for irrigation irrigation solution Argyle Sterile Water tacrolimus oral capsule Prograf SP trientine hcl oral capsule Clovique PA; SP; QL water for irrigation, sterile irrigation solution Argyle Sterile Water CORTICOESTEROIDES betamethasone sod phos & acet injection Celestone Soluspan suspension budesonide oral capsule delayed release Entocort EC QL particles cortisone acetate oral tablet DECADRON ORAL TABLET DEXAMETHASONE INTENSOL ORAL CONCENTRATE dexamethasone oral elixir dexamethasone oral solution dexamethasone oral tablet Decadron dexamethasone oral tablet therapy pack DexPak 6 Day dexamethasone sod phosphate pf injection solution dexamethasone sodium phosphate injection solution DEXPAK 10 DAY ORAL TABLET THERAPY PACK DEXPAK 13 DAY ORAL TABLET THERAPY PACK DEXPAK 6 DAY ORAL TABLET THERAPY PACK fludrocortisone acetate oral tablet hydrocortisone oral tablet Cortef methylprednisolone acetate injection Depo-Medrol suspension methylprednisolone oral tablet Medrol methylprednisolone oral tablet therapy pack Medrol methylprednisolone sodium succ injection Solu-MEDROL solution reconstituted MILLIPRED ORAL TABLET prednisolone oral solution 103 Nombre del medicamento Referencia Notas prednisolone oral syrup prednisolone sodium phosphate oral solution prednisolone sodium phosphate oral tablet Orapred ODT QL dispersible PREDNISONE INTENSOL ORAL CONCENTRATE prednisone oral solution prednisone oral tablet prednisone oral tablet therapy pack TAPERDEX 12-DAY ORAL TABLET THERAPY PACK TAPERDEX 6-DAY ORAL TABLET THERAPY PACK TAPERDEX 7-DAY ORAL TABLET THERAPY PACK triamcinolone acetonide injection suspension Kenalog DISPOSITIVOS MÉDICOS AgaMatrix Ultra-Thin 1st tier unilet comfortouch OTC; QL Lancets ACCU-CHEK AVIVA IN VITRO SOLUTION OTC ACCU-CHEK COMPACT PLUS CONTROL OTC IN VITRO SOLUTION ACCU-CHEK GUIDE CONTROL IN VITRO OTC LIQUID ACCU-CHEK RAPID-D INFUSION SET ACCU-CHEK SMARTVIEW CONTROL IN OTC VITRO LIQUID ACCU-CHEK SPIRIT ADAPTER KIT OTC ACCU-CHEK SPIRIT BATTERY KIT ACCU-CHEK TENDER 1 INFUSION KIT ACCU-CHEK TENDER I SET 24" ACCU-CHEK TENDER I SET 31" ACCU-CHEK TENDER I SET 43" ACCU-CHEK TENDER II SET 24" ACCU-CHEK TENDER II SET 31" ACCU-CHEK TENDER II SET 43" ACCU-CHEK ULTRAFLEX INF SET ACCUTREND GLUCOSE CONTROL IN OTC VITRO SOLUTION

104 Nombre del medicamento Referencia Notas adjustable lancing device Advocate Lancing Device OTC; QL ADVANCE INTUITION CONTROL IN OTC VITRO LIQUID ADVANCE MICRO-DRAW CONTROL IN OTC VITRO LIQUID ADVANCE MICRO-DRAW NORMAL IN OTC VITRO LIQUID ADVOCATE CONTROL SOLUTION IN OTC VITRO LIQUID ADVOCATE LANCING DEVICE OTC; QL ADVOCATE RAPID-SAFE LANCING OTC; QL ADVOCATE REDI-CODE+ CONTROL IN OTC VITRO SOLUTION AGAMATRIX CONTROL IN VITRO OTC SOLUTION AGAMATRIX CONTROL LEVEL 2 IN OTC VITRO SOLUTION AGAMATRIX CONTROL LEVEL 4 IN OTC VITRO SOLUTION AGAMATRIX ULTRA-THIN LANCETS OTC; QL BD Swabs Single Use alcohol prep pad OTC Butterfly alternate site lancing device Advocate Lancing Device OTC; QL AMIELLE VAGINAL TRAINER OTC aqua lance adjustable lancing device Advocate Lancing Device OTC; QL ARGYLE TRACHEOSTOMY CARE TRAY KIT ASSURE 3 CONTROL IN VITRO LIQUID OTC ASSURE 4 CONTROL LEVEL 1 & 2 IN OTC VITRO LIQUID ASSURE DOSE CONTROL IN VITRO OTC SOLUTION ASSURE DOSE NORM/HIGH CONTROL OTC IN VITRO SOLUTION ASSURE HAEMOLANCE PLUS HIGH OTC; QL ASSURE HAEMOLANCE PLUS LOW OTC; QL ASSURE HAEMOLANCE PLUS MICRO OTC; QL ASSURE HAEMOLANCE PLUS NORMAL OTC; QL ASSURE HAEMOLANCE PLUS PED OTC; QL ASSURE II CONTROL IN VITRO LIQUID OTC

105 Nombre del medicamento Referencia Notas ASSURE II CONTROL LEVEL 1 & 2 IN OTC VITRO LIQUID ASSURE LANCE LANCETS OTC; QL ASSURE LANCE LANCETS 21G OTC; QL ASSURE LANCE PLUS SAFETY 25G OTC; QL ASSURE LANCE PLUS SAFETY 30G OTC; QL ASSURE PRISM CONTROL LEVEL 1&2 IN OTC VITRO SOLUTION ASSURE PRO CONTROL LEVEL 1 & 2 IN OTC VITRO LIQUID AUTO-LANCET MINI OTC; QL AUTOLET PLUS OTC; QL BD ASSURE BPM/AUTO WRIST CUFF OTC BD ASSURE BPM/DELUXE ARM CUFF OTC BD AUTOSHIELD OTC; QL BD AUTOSHIELD DUO OTC; QL BD INSULIN SYR ULTRAFINE II QL BD INSULIN SYRINGE QL BD INSULIN SYRINGE MICROFINE QL BD INSULIN SYRINGE U/F QL BD INSULIN SYRINGE U/F 1/2UNIT QL BD INSULIN SYRINGE U-500 QL BD INSULIN SYRINGE ULTRAFINE QL BD PEN NEEDLE MICRO U/F OTC; QL BD PEN NEEDLE MINI U/F OTC; QL BD PEN NEEDLE NANO 2ND GEN OTC; QL BD PEN NEEDLE NANO U/F OTC; QL BD PEN NEEDLE ORIGINAL U/F OTC; QL BD PEN NEEDLE SHORT U/F OTC; QL BD SAFE CLIP NEEDLE CLIPPER OTC BD SAFE-CLIP BY MAIL OTC BD SAFETYGLIDE INSULIN SYRINGE QL BD SWABS SINGLE USE BUTTERFLY OTC PAD BD VEO INSULIN SYRINGE U/F QL careone advanced lancing dev Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin careone lancet thin 23g OTC; QL Lancets

106 Nombre del medicamento Referencia Notas AgaMatrix Ultra-Thin careone lancet ultra thin 28g OTC; QL Lancets CARESENS CONTROL A IN VITRO OTC SOLUTION CARETOUCH LANCING/EJECTOR OTC; QL CARETOUCH TWIST LANCETS 28G OTC; QL CARETOUCH TWIST LANCETS 30G OTC; QL CARETOUCH TWIST LANCETS 33G OTC; QL CLEVER CHOICE GLUCOSE CONTROL OTC IN VITRO LIQUID AgaMatrix Ultra-Thin comfort assured lancets 28g OTC; QL Lancets AgaMatrix Ultra-Thin comfort assured lancets 33g OTC; QL Lancets AgaMatrix Ultra-Thin comfort lancets OTC; QL Lancets COMPAT ENTERAL FEEDING PUMP OTC COMPAT SELECT FLO BAGGLE CASE OTC COMPAT SELECT FLO PUMP OTC COMPAT SELECT TRANSPORT CASE OTC COMPAT YSET OTC CONTOUR CONTROL IN VITRO LIQUID OTC CONTOUR MONITOR DEVICE PA; OTC CONTOUR NEXT CONTROL IN VITRO OTC SOLUTION CONTOUR NEXT ONE KIT PA; OTC control in vitro solution Advance Intuition Control OTC COOL CONTROL A IN VITRO SOLUTION OTC COOL CONTROL B IN VITRO SOLUTION OTC CURITY ALCOHOL PREPS PAD OTC CURITY BURN DRESSING PAD OTC BD Swabs Single Use cvs alcohol prep pads pad OTC Butterfly cvs alkaline batteries size aa Amielle Vaginal Trainer OTC SoftHeat Heating Wrap cvs arthritis heatwraps OTC Ultra Duracell Hearing Aid cvs hearing aid batteries OTC Batteries SoftHeat Heating Wrap cvs heat therapy/back OTC Ultra 107 Nombre del medicamento Referencia Notas SoftHeat Heating Wrap cvs heatwraps OTC Ultra SoftHeat Heating Wrap cvs heatwraps/back/hip OTC Ultra AgaMatrix Ultra-Thin cvs lancets 21g OTC; QL Lancets AgaMatrix Ultra-Thin cvs lancets micro thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin cvs lancets thin 26g OTC; QL Lancets AgaMatrix Ultra-Thin cvs lancets ultra thin 30g OTC; QL Lancets AgaMatrix Ultra-Thin cvs lancets ultra-thin 30g OTC; QL Lancets Duracell Hearing Aid cvs max hearing aid batteries OTC Batteries SoftHeat Heating Wrap cvs moist heat pain relief OTC Ultra BD Swabs Single Use cvs prep pad OTC Butterfly AgaMatrix Ultra-Thin cvs ultra thin lancets OTC; QL Lancets DELTEC COZMO CLEO SET 24" 6MM DELTEC COZMO CLEO SET 24" 9MM DELTEC COZMO CLEO SET 31" 6MM DELTEC COZMO CLEO SET 31" 9MM DELTEC COZMO CLEO SET 42" 9MM DESENEX FOOT/SNEAKER SPRAY OTC EXTERNAL AEROSOL diathrive glucose control soln in vitro liquid Accu-Chek Aviva OTC AgaMatrix Ultra-Thin diathrive lancet ultra thin 30 OTC; QL Lancets diatrue control level 1 in vitro solution Advocate Control Solution OTC diatrue control level 2 in vitro solution Advance Intuition Control OTC diatrue control level 3 in vitro solution Advocate Control Solution OTC DROPLET LANCING DEVICE OTC; QL AgaMatrix Ultra-Thin drug mart lancets thin 26g OTC; QL Lancets DRUG MART LANCING DEVICE OTC; QL DRUG MART ON-THE-GO LANCET 30G OTC; QL

108 Nombre del medicamento Referencia Notas DRUG MART UNILET LANCETS 28G OTC; QL DRUG MART UNILET LANCETS 30G OTC; QL DRUG MART UNILET LANCETS 33G OTC; QL DUO-CARE CONTROL SOLUTION IN OTC VITRO LIQUID DURACELL HEARING AID BATTERIES OTC easy mini eject lancing device Advocate Lancing Device OTC; QL easy mini lancing device Advocate Lancing Device OTC; QL easy plus ii control in vitro solution Advocate Control Solution OTC EASY STEP CONTROL IN VITRO OTC SOLUTION easy talk control in vitro solution Advocate Control Solution OTC EASY TOUCH ALCOHOL PREP MEDIUM OTC PAD EASY TOUCH CONTROL HIGH & LOW IN OTC VITRO SOLUTION EASY TOUCH LANCETS 21G OTC; QL EASY TOUCH LANCETS 23G OTC; QL EASY TOUCH LANCETS 26G OTC; QL EASY TOUCH LANCETS 28G OTC; QL EASY TOUCH LANCETS 28G/TWIST OTC; QL EASY TOUCH LANCETS 30G OTC; QL EASY TOUCH LANCETS 32G OTC; QL EASY TOUCH LANCETS 32G/TWIST OTC; QL EASY TOUCH LANCING DEVICE OTC; QL EASY TOUCH SAFETY LANCETS 21G OTC; QL EASY TOUCH SAFETY LANCETS 23G OTC; QL EASY TOUCH SAFETY LANCETS 26G OTC; QL EASY TOUCH SAFETY LANCETS 28G OTC; QL easy trak control in vitro solution Advance Intuition Control OTC EASYGLUCO CONTROL IN VITRO OTC SOLUTION EASYGLUCO PLUS LEVEL 1 IN VITRO OTC SOLUTION EASYMAX 15 LEVEL 1 CONTROL IN OTC VITRO SOLUTION EASYMAX 15 LEVEL 1-2 CONTROL IN OTC VITRO SOLUTION

109 Nombre del medicamento Referencia Notas EASYMAX 15 LEVEL 2 CONTROL IN OTC VITRO SOLUTION EASYMAX CONTROL IN VITRO OTC SOLUTION EASYMAX CONTROL NORMAL/LOW IN OTC VITRO SOLUTION element compact control 2 in vitro solution Accu-Chek Aviva OTC element compact control 3 in vitro solution Accu-Chek Aviva OTC ELEMENT CONTROL IN VITRO LIQUID OTC EMBRACE CONTROL IN VITRO OTC SOLUTION EMBRACE EVO CONTROL LEVEL 1 IN OTC VITRO LIQUID EMBRACE EVO CONTROL LEVEL 2 IN OTC VITRO LIQUID EMBRACE GLUCOSE CONTROL IN OTC VITRO LIQUID EMBRACE PRO GLUCOSE CONTROL IN OTC VITRO LIQUID EMBRACE TALK GLUCOSE CONTROL IN OTC VITRO SOLUTION ENLITE SERTER AgaMatrix Ultra-Thin eql color lancets 21g OTC; QL Lancets AgaMatrix Ultra-Thin eql color lancets micro 33g OTC; QL Lancets SoftHeat Heating Wrap eql heat wraps OTC Ultra SoftHeat Heating Wrap eql heat wraps back/hip OTC Ultra AgaMatrix Ultra-Thin eql super thin lancets 30g OTC; QL Lancets AgaMatrix Ultra-Thin eql thin lancets 26g OTC; QL Lancets EVENCARE CONTROL LOW/HIGH IN OTC VITRO LIQUID EVENCARE G2 LOW/HIGH CONTROL IN OTC VITRO SOLUTION EVENCARE G3 LOW/HIGH CONTROL IN OTC VITRO SOLUTION EVENCARE MINI CONTROL IN VITRO OTC SOLUTION 110 Nombre del medicamento Referencia Notas EVOLUTION CONTROL IN VITRO OTC SOLUTION E-Z JECT LANCET MICRO-THIN 33G OTC; QL E-Z JECT LANCET SUPER THIN 30G OTC; QL E-Z JECT LANCETS OTC; QL E-Z JECT LANCETS 21G OTC; QL E-Z JECT LANCETS THIN 26G OTC; QL EZ SMART BLOOD GLUCOSE LANCETS OTC; QL face mask resp n-100 part CPR Microshield QL face mask respirator r-95 part CPR Microshield QL FIFTY50 ALCOHOL PREP PAD OTC FINE 30 OTC; QL folding paddle walker Amielle Vaginal Trainer OTC FORA CONTROL IN VITRO SOLUTION OTC FORA LANCETS OTC; QL FORA LANCING DEVICE OTC; QL FORACARE GDH CONTROL IN VITRO OTC SOLUTION FORTISCARE CONTROL IN VITRO OTC SOLUTION freds pharmacy autolet lancing Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin freds pharmacy unilet lanc 28g OTC; QL Lancets AgaMatrix Ultra-Thin freds pharmacy unilet lanc 30g OTC; QL Lancets FREESTYLE CONTROL SOLUTION IN OTC VITRO LIQUID FREESTYLE FREEDOM LITE KIT PA; OTC FREESTYLE LITE DEVICE PA; OTC FRESHNET LIQUID OTC ge100 control in vitro solution Advance Intuition Control OTC global lancing device Advocate Lancing Device OTC; QL GLUCOCARD 01 CONTROL IN VITRO OTC LIQUID GLUCOCARD 01 CONTROL IN VITRO OTC SOLUTION GLUCOCARD EXPRESSION CONTROL IN OTC VITRO SOLUTION

111 Nombre del medicamento Referencia Notas GLUCOCARD SHINE CONTROL IN VITRO OTC SOLUTION GLUCOCARD X-SENSOR CONTROL IN OTC VITRO SOLUTION GLUCOCOM CONTROL IN VITRO LIQUID OTC GLUCOCOM LANCETS 28G OTC; QL GLUCOCOM LANCETS 30G OTC; QL GLUCOCOM LANCETS 33G OTC; QL glucose control in vitro solution Accu-Chek Aviva OTC BD Swabs Single Use gnp alcohol swabs pad OTC Butterfly GNP EASY TOUCH CONT HIGH/LOW IN OTC VITRO SOLUTION SoftHeat Heating Wrap gnp heatwraps OTC Ultra AgaMatrix Ultra-Thin gnp lancets OTC; QL Lancets AgaMatrix Ultra-Thin gnp lancets 21g OTC; QL Lancets AgaMatrix Ultra-Thin gnp lancets micro thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin gnp lancets super thin 30g OTC; QL Lancets AgaMatrix Ultra-Thin gnp lancets thin OTC; QL Lancets AgaMatrix Ultra-Thin gnp lancets thin 26g OTC; QL Lancets AgaMatrix Ultra-Thin gnp micro thin lancets 33g OTC; QL Lancets AgaMatrix Ultra-Thin gnp super thin lancets 30g OTC; QL Lancets GOJJI CONTROL IN VITRO SOLUTION OTC AgaMatrix Ultra-Thin goodsense color lancets 33g OTC; QL Lancets AgaMatrix Ultra-Thin goodsense lancets 26g univ OTC; QL Lancets AgaMatrix Ultra-Thin goodsense lancets 30g OTC; QL Lancets AgaMatrix Ultra-Thin goodsense lancets 30g univ OTC; QL Lancets

112 Nombre del medicamento Referencia Notas AgaMatrix Ultra-Thin goodsense lancets 33g OTC; QL Lancets AgaMatrix Ultra-Thin goodsense lancets 33g univ OTC; QL Lancets healthy accents lancing device Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin healthy accents unilet lancets OTC; QL Lancets Duracell Hearing Aid hearing aid batteries OTC Batteries Duracell Hearing Aid hearing aid battery OTC Batteries SoftHeat Heating Wrap heat therapy patches OTC Ultra SoftHeat Heating Wrap heat wraps back/hip OTC Ultra SoftHeat Heating Wrap heatwraps back/hip OTC Ultra SoftHeat Heating Wrap heatwraps neck/shoulder/wrist OTC Ultra h-e-b incontrol adv lancing Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin h-e-b incontrol lancets 28g OTC; QL Lancets AgaMatrix Ultra-Thin h-e-b incontrol lancets 30g OTC; QL Lancets AgaMatrix Ultra-Thin h-e-b incontrol lancets 33g OTC; QL Lancets SoftHeat Heating Wrap hm heat wraps OTC Ultra SoftHeat Heating Wrap hm heat wraps back/hip OTC Ultra BD Swabs Single Use hm sterile alcohol prep pad OTC Butterfly HYPOLANCE AST LANCING KIT OTC IN TOUCH GLUCOSE CONTROL IN OTC VITRO SOLUTION INFINITY CONTROL IN VITRO SOLUTION OTC INFINITY VOICE IN VITRO LIQUID OTC JOHNSONS FOOT SPRAY EXTERNAL OTC AEROSOL AgaMatrix Ultra-Thin kinney lancets OTC; QL Lancets

113 Nombre del medicamento Referencia Notas AgaMatrix Ultra-Thin kinney thin lancets OTC; QL Lancets KROGER HEALTHPRO CONTROL HI/LO OTC IN VITRO LIQUID KROGER HEALTHPRO LANCET 26G OTC; QL KROGER HEALTHPRO LANCET 30G OTC; QL KROGER HEALTHPRO LANCET 33G OTC; QL AgaMatrix Ultra-Thin kroger lancets 21g OTC; QL Lancets AgaMatrix Ultra-Thin kroger lancets micro thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin kroger lancets thin 26g OTC; QL Lancets AgaMatrix Ultra-Thin kroger lancets ultrathin 30g OTC; QL Lancets lancet device with ejector Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin lancets 30g OTC; QL Lancets AgaMatrix Ultra-Thin lancets micro thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin lancets thin OTC; QL Lancets LANCETS ULTRA THIN OTC; QL lancing device Advocate Lancing Device OTC; QL LANZO OTC; QL leader advanced lancing device Advocate Lancing Device OTC; QL LIBERTY GLUCOSE CONTROL IN VITRO OTC LIQUID LIBERTY GLUCOSE CONTROL IN VITRO OTC SOLUTION LIBERTY GLUCOSE CONTROL MID IN OTC VITRO SOLUTION LITE TOUCH LANCING PEN OTC; QL live better adv lancing device Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin live better lancet super thin OTC; QL Lancets AgaMatrix Ultra-Thin live better lancet ultra thin OTC; QL Lancets AgaMatrix Ultra-Thin longs lancets standard OTC; QL Lancets

114 Nombre del medicamento Referencia Notas AgaMatrix Ultra-Thin longs lancets thin OTC; QL Lancets AgaMatrix Ultra-Thin longs lancets ultra thin OTC; QL Lancets M9 ODOR ELIMINATOR LIQUID OTC MEDISENSE GLUCOSE KETONE CONTR OTC IN VITRO LIQUID MEDISENSE HI/MID/LOW CONTROL IN OTC VITRO LIQUID MEDISENSE HIGH/LOW CONTROL IN OTC VITRO LIQUID MEDISENSE MID CONTROL IN VITRO OTC LIQUID MEDLANCE LITE 25G OTC; QL MEDLANCE PLUS LANCETS OTC; QL MEDLANCE UNIVERSAL 21G OTC; QL MEIJER LANCETS OTC; QL MEIJER LANCETS THIN OTC; QL MEIJER LANCETS UNIVERSAL 33G OTC; QL MEIJER SUPER THIN LANCETS OTC; QL MICRODOT CONTROL HIGH/LOW IN OTC VITRO SOLUTION MICROLET NEXT LANCING DEVICE OTC; QL mini lancing device Advocate Lancing Device OTC; QL MINILINK REAL-TIME REPLACEMENT PA KIT MINILINK REAL-TIME TRANSMITTER MINILINK-REAL-TIME STARTER KIT PA MINIMED PUMP RESERVOIR 3ML MINIMED RESERVOIR 3ML MIO INFUSION SET 18" 6MM MIO INFUSION SET 23" 6MM MIO INFUSION SET 32" 6MM MIO INFUSION SET 32" 9MM MM LANCING DEVICE OTC; QL MM TWIST LANCETS OTC; QL MONOJECT LIFESHIELD CANNULA MULTI-LANCET DEVICE 2 KIT OTC

115 Nombre del medicamento Referencia Notas MYGLUCOHEALTH CONTROL IN VITRO OTC SOLUTION MYGLUCOHEALTH LANCETS 30G OTC; QL NEUTEK 2TEK CONTROL IN VITRO OTC SOLUTION NOVA MAX PLUS GLU/KET CONTROL IN OTC VITRO LIQUID NOVA SUREFLEX LANCING DEVICE OTC; QL odor eliminator liquid FreshNet OTC ON CALL EXPRESS GLUCOSE CONTR IN OTC VITRO SOLUTION ON CALL LANCING DEVICE OTC; QL ON CALL PLUS GLUCOSE CONTROL IN OTC VITRO SOLUTION ON CALL PLUS LANCING DEVICE OTC; QL ON CALL VIVID GLUCOSE CONTROL IN OTC VITRO SOLUTION ONETOUCH ULTRA CONTROL IN VITRO OTC SOLUTION ONETOUCH VERIO IN VITRO SOLUTION OTC OPTUMRX GLUCOSE CONTROL IN OTC VITRO SOLUTION PARADIGM POLYFIN QR/WINGS 24" PARADIGM POLYFIN QR/WINGS 42" PARADIGM PUMP REMOTE PROGRAM PA; OTC PARADIGM PUMP RESERVOIR 1.8ML PARADIGM PUMP RESERVOIR 3ML PARADIGM QUICK-SET 18" 6MM PARADIGM QUICK-SET 23" 6MM PARADIGM QUICK-SET 23" 9MM PARADIGM QUICK-SET 32" 6MM PARADIGM QUICK-SET 32" 9MM PARADIGM QUICK-SET 43" 6MM PARADIGM QUICK-SET 43" 9MM PARADIGM SILHOUETTE 18" 13MM PARADIGM SILHOUETTE 32" 13MM OTC PARADIGM SILHOUETTE 32" 17MM PARADIGM SILHOUETTE FULL 23" PARADIGM SILHOUETTE FULL 43"

116 Nombre del medicamento Referencia Notas PARADIGM SOF-SET MICRO QR 24" PARADIGM SOF-SET MICRO QR 42" PARADIGM SOF-SET ULT QR 24" PARADIGM SOF-SET ULT QR 42" PARADIGM SURE-T 23" 8MM AgaMatrix Ultra-Thin pc lancets super thin 30g OTC; QL Lancets PHASEAL PROTECTOR 28 PHASEAL PROTECTOR 50 POCKETCHEM EZ CONTROL IN VITRO OTC SOLUTION POLYFIN QR INFUSION SET 24" PRECISION GLUCOSE CONTROL IN OTC VITRO LIQUID PRECISION GLUCOSE CONTROL SOLN OTC IN VITRO SOLUTION PRECISION GLUCOSE KETONE CONTR OTC IN VITRO LIQUID PRECISION GLUCOSE/KETONE CONTR OTC IN VITRO LIQUID PRECISION XTRA DEVICE PA; OTC AgaMatrix Ultra-Thin preferred plus lancets colored OTC; QL Lancets AgaMatrix Ultra-Thin preferred plus lancets thin OTC; QL Lancets Duracell Hearing Aid premium hearing aid batteries OTC Batteries PRODIGY CONTROL SOLUTION IN OTC VITRO SOLUTION PRODIGY LANCING DEVICE OTC; QL Accu-Chek Spirit Battery pump remote programmer PA; OTC Kit px advanced lancing device Advocate Lancing Device OTC; QL SoftHeat Heating Wrap px heatwraps back/hip OTC Ultra AgaMatrix Ultra-Thin px lancets ultra thin OTC; QL Lancets AgaMatrix Ultra-Thin px lancets ultra thin 28g OTC; QL Lancets BD Swabs Single Use qc alcohol swabs pad OTC Butterfly 117 Nombre del medicamento Referencia Notas AgaMatrix Ultra-Thin qc lancets super thin 30g OTC; QL Lancets AgaMatrix Ultra-Thin qc unilet lancets 28g OTC; QL Lancets AgaMatrix Ultra-Thin qc unilet lancets micro thin OTC; QL Lancets QUICK-SERTER INSERTION DEVICE OTC QUICK-SET INFUSION 23" 6MM QUICK-SET INFUSION 23" 9MM QUICK-SET INFUSION 43" 6MM QUICK-SET INFUSION 43" 9MM QUICKTEK CONTROL SOLUTION IN OTC VITRO LIQUID QUINTET CONTROL HIGH/NORMAL IN OTC VITRO SOLUTION RA E-ZJECT LANCETS 28G OTC; QL RA E-ZJECT LANCETS THIN 26G OTC; QL RA E-ZJECT LANCETS THIN 28G OTC; QL RA E-ZJECT LANCETS ULTRA THIN OTC; QL Duracell Hearing Aid ra hearing aid batteries s 312 OTC Batteries Duracell Hearing Aid ra hearing aid batteries sz 10 OTC Batteries Duracell Hearing Aid ra hearing aid batteries sz 13 OTC Batteries SoftHeat Heating Wrap ra heat therapy patches/back OTC Ultra SoftHeat Heating Wrap ra heatwraps OTC Ultra SoftHeat Heating Wrap ra heatwraps back/hip OTC Ultra SoftHeat Heating Wrap ra instant heat therapy/back OTC Ultra SoftHeat Heating Wrap ra instant heat therapy/neck OTC Ultra SoftHeat Heating Wrap ra pin point heat therapy OTC Ultra REFUAH PLUS GLUCOSE CONTROL IN OTC VITRO SOLUTION RELION ALCOHOL SWABS PAD OTC RELION LANCETS THIN 26G OTC; QL 118 Nombre del medicamento Referencia Notas RELION LANCETS ULTRA-THIN 30G OTC; QL RELION ULTRA THIN LANCETS 30G OTC; QL RELION ULTRA THIN PLUS LANCETS OTC; QL REXALL LANCETS ULTRA THIN 30G OTC; QL RIGHTEST GC300 CONTROL IN VITRO OTC LIQUID RIGHTEST GD500 LANCING DEVICE OTC; QL RIGHTEST GL300 LANCETS OTC; QL SAFETY LANCETS 21G OTC; QL SEN-SERTER OTC SHOPKO AUTOLET LANCING DEVICE OTC; QL SHOPKO ON-THE-GO LANCETS 30G OTC; QL SHOPKO UNILET LANCETS 28G OTC; QL SHOPKO UNILET LANCETS 30G OTC; QL SILHOUETTE 13MM SILHOUETTE 17MM SIL-SERTER INSERTION DEVICE OTC SIMPLE DIAGNOSTICS LANCING DEV OTC; QL BD Swabs Single Use sm alcohol prep pad OTC Butterfly SoftHeat Heating Wrap sm heatwraps back/hip pad OTC Ultra AgaMatrix Ultra-Thin sm lancets 33g OTC; QL Lancets SMART DIABETES VANTAGE LANCING OTC; QL SMART SENSE COLOR LANCETS 33G OTC; QL SMART SENSE STANDARD LANCETS OTC; QL SMART SENSE SUPER THIN LANCETS OTC; QL SMART SENSE THIN LANCETS 26G OTC; QL SMARTEST CONTROL MEDIUM IN VITRO OTC SOLUTION SOF-SERTER INSERTION DEVICE OTC SOF-SET MICRO QR INFUSION 24" SOF-SET MICRO QR INFUSION 42" SOF-SET ULTIMATE QR 24" SOF-SET ULTIMATE QR 42" SOFTHEAT HEATING WRAP ULTRA OTC

119 Nombre del medicamento Referencia Notas SOLARTEK GLUCOSE CONTROL IN OTC VITRO LIQUID SOLUS V2 CONTROL IN VITRO OTC SOLUTION STERILANCE PA OTC STERILANCE TL OTC; QL supreme ii high/low control in vitro liquid Accu-Chek Aviva OTC sure comfort lancing pen Advocate Lancing Device OTC; QL SURESTEP GLUCOSE CONTROL IN OTC VITRO SOLUTION SURESTEP PRO HIGH GLUCOSE IN OTC VITRO LIQUID SURESTEP PRO LOW GLUCOSE IN OTC VITRO LIQUID SURESTEP PRO NORMAL GLUCOSE IN OTC VITRO LIQUID SURE-T INFUSION SET 18" SURE-T INFUSION SET 23" SURE-T INFUSION SET 32" SURE-T INFUSION SET 6MM SURE-T INFUSION SET 8MM T.E.D. BELTED THIGH/XL-REGULAR T.E.D. BELTED THIGH/XS-LONG T.E.D. BELTED THIGH/XS-REGULAR T.E.D. KNEE LENGTH/L-LONG T.E.D. KNEE LENGTH/L-REGULAR T.E.D. KNEE LENGTH/M-LONG T.E.D. KNEE LENGTH/M-REGULAR T.E.D. KNEE LENGTH/S-LONG T.E.D. KNEE LENGTH/S-REGULAR T.E.D. KNEE LENGTH/XL-LONG T.E.D. KNEE LENGTH/XL-REGULAR T.E.D. THIGH LENGTH/L-LONG T.E.D. THIGH LENGTH/L-REGULAR T.E.D. THIGH LENGTH/L-SHORT T.E.D. THIGH LENGTH/M-LONG T.E.D. THIGH LENGTH/M-REGULAR T.E.D. THIGH LENGTH/M-SHORT

120 Nombre del medicamento Referencia Notas T.E.D. THIGH LENGTH/S-LONG T.E.D. THIGH LENGTH/S-REGULAR T:SLIM T:LOCK INSULIN CART 3ML TAI DOC CONTROL IN VITRO SOLUTION OTC TECHLITE LANCETS OTC; QL TECHLITE LANCETS 30G OTC; QL TELCARE GLUCOSE CONTROL IN VITRO OTC SOLUTION tens therapy replace back pads Cefaly Electrode OTC tens therapy replace body pads Cefaly Electrode OTC BD Swabs Single Use tgt alcohol swabs pad OTC Butterfly AgaMatrix Ultra-Thin tgt lancet micro thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin tgt lancet thin 26g OTC; QL Lancets AgaMatrix Ultra-Thin tgt lancet ultra thin 30g OTC; QL Lancets THERMACARE OTC THERMACARE ARTHRITIS HAND OTC THERMACARE ARTHRITIS KNEE/ELBW OTC THERMACARE ARTHRITIS NECK OTC THERMACARE BACK/HIP OTC THERMACARE JOINT PAIN THERAPY OTC THERMACARE KNEE/ELBOW OTC THERMACARE MENSTRUAL OTC THERMACARE MUSCLE/JOINT OTC todays health lancing device Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin todays health thin lancets 28g OTC; QL Lancets AgaMatrix Ultra-Thin todays health thin lancets 30g OTC; QL Lancets AgaMatrix Ultra-Thin topcare lancets micro-thin 33g OTC; QL Lancets AgaMatrix Ultra-Thin travel lancets OTC; QL Lancets TRAVEL LANCETS ADVANCED 28G OTC; QL BD Swabs Single Use true comfort alcohol prep pads pad OTC Butterfly

121 Nombre del medicamento Referencia Notas TRUE METRIX AIR GLUCOSE METER KIT OTC TRUE METRIX LEVEL 1 IN VITRO OTC SOLUTION TRUE METRIX LEVEL 2 IN VITRO OTC SOLUTION TRUE METRIX LEVEL 3 IN VITRO OTC SOLUTION TRUECONTROL GLUCOSE CONT LEV 0 OTC IN VITRO LIQUID TRUECONTROL GLUCOSE CONT LEV 1 OTC IN VITRO LIQUID TRUEDRAW LANCING DEVICE OTC; QL TRUEPLUS LANCETS 26G OTC; QL TRUEPLUS LANCETS 28G OTC; QL TRUEPLUS LANCETS 30G OTC; QL TRUEPLUS LANCETS 33G OTC; QL TRUEPLUS SAFETY LANCETS 28G OTC; QL ULTICARE ALCOHOL SWABS PAD OTC ULTI-LANCE AUTOMATIC OTC; QL AgaMatrix Ultra-Thin ultra thin lancets 31g OTC; QL Lancets AgaMatrix Ultra-Thin ultra-care lancets 30g OTC; QL Lancets ULTRATRAK PRO CONTROL IN VITRO OTC SOLUTION ULTRATRAK ULTIMATE CONTROL IN OTC VITRO SOLUTION UNILET GP 28 ULTRA THIN OTC; QL UNILET MICRO-THIN 33G OTC; QL UNILET SUPER-THIN 30G OTC; QL UNILET ULTRA-THIN 28G OTC; QL UNISTIK 2 NORMAL OTC UNISTIK 2 SUPER OTC UNISTIK 3 COMFORT OTC UNISTIK 3 EXTRA OTC UNISTIK 3 GENTLE OTC; QL UNISTIK 3 NEONATAL OTC UNISTIK 3 NORMAL OTC UNISTIK CZT COMFORT OTC

122 Nombre del medicamento Referencia Notas UNISTIK CZT NORMAL OTC UNISTIK PRO SAFETY LANCET OTC; QL UNISTIK SAFETY LANCETS 28G OTC; QL UNISTIK SAFETY LANCETS 30G OTC; QL UNISTIK TOUCH SAFETY LANC 21G OTC; QL UNISTIK TOUCH SAFETY LANC 23G OTC; QL UNISTIK TOUCH SAFETY LANC 28G OTC; QL UNISTIK TOUCH SAFETY LANC 30G OTC; QL UNISTRIP CONTROL IN VITRO OTC SOLUTION UNIVERSAL 1 LANCETS THIN 26G OTC; QL UNIVERSAL 1 LANCETS ULTRA THIN OTC; QL AgaMatrix Ultra-Thin value plus lancet standard 21g OTC; QL Lancets value plus lancing device Advocate Lancing Device OTC; QL AgaMatrix Ultra-Thin valumark lancet super thin 30g OTC; QL Lancets AgaMatrix Ultra-Thin valumark lancet ultra thin 28g OTC; QL Lancets verasens glucose control in vitro liquid Accu-Chek Aviva OTC VICTORY CONTROL LEVEL 1/2 IN VITRO OTC SOLUTION VIDA MIA AUTOLET LANCING DEV OTC; QL VIDA MIA UNILET LANCETS 28G OTC; QL VIDA MIA UNILET LANCETS 30G OTC; QL VIVAGUARD INO CONTROL SOLUTION OTC IN VITRO LIQUID AgaMatrix Ultra-Thin walgreens adv travel lancets OTC; QL Lancets WALGREENS LANCETS OTC; QL AgaMatrix Ultra-Thin walgreens lancets micro thin OTC; QL Lancets AgaMatrix Ultra-Thin walgreens lancets super thin OTC; QL Lancets WALGREENS THIN LANCETS OTC; QL WALGREENS ULTRA THIN LANCETS OTC; QL WEBCOL ALCOHOL PREP LARGE PAD OTC WEBCOL ALCOHOL PREP MEDIUM PAD OTC

123 Nombre del medicamento Referencia Notas WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 65 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 70 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 75 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 80 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 85 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 90 VAGINAL DIAPHRAGM WIDE-SEAL DIAPHRAGM 95 VAGINAL DIAPHRAGM DIURÉTICOS acetazolamide er oral capsule extended release 12 hour acetazolamide oral tablet amiloride hcl oral tablet amiloride-hydrochlorothiazide oral tablet bumetanide oral tablet Bumex chlorothiazide oral tablet chlorthalidone oral tablet furosemide oral solution furosemide oral tablet Lasix hydrochlorothiazide oral capsule QL hydrochlorothiazide oral tablet 12.5 mg QL hydrochlorothiazide oral tablet 25 mg, 50 mg indapamide oral tablet methazolamide oral tablet metolazone oral tablet spironolactone oral tablet Aldactone spironolactone-hctz oral tablet Aldactazide torsemide oral tablet triamterene-hctz oral capsule Dyazide triamterene-hctz oral tablet Maxzide

124 Nombre del medicamento Referencia Notas ESTEROIDES - BOCA/GARGANTA/DENTAL ORALONE MOUTH/THROAT PASTE triamcinolone acetonide mouth/throat paste Oralone ESTRÓGENOS AMABELZ ORAL TABLET estradiol oral tablet Estrace estradiol transdermal patch weekly Climara QL estradiol-norethindrone acet oral tablet Amabelz FYAVOLV ORAL TABLET JINTELI ORAL TABLET LOPREEZA ORAL TABLET MIMVEY ORAL TABLET norethindrone-eth estradiol oral tablet Fyavolv PREMARIN ORAL TABLET QL PREMPHASE ORAL TABLET PREMPRO ORAL TABLET FLUOROQUINOLONAS ciprofloxacin hcl oral tablet QL levofloxacin oral solution QL levofloxacin oral tablet Levaquin QL ofloxacin oral tablet QL GLUCOPÉPTIDOS vancomycin hcl oral capsule Vancocin HCl PA HIPNÓTICOS compoz oral capsule Unisom Sleepgels OTC compoz oral tablet Nytol Maximum Strength OTC cvs sleep aid nighttime oral capsule Unisom Sleepgels OTC cvs sleep aid nighttime oral tablet Nytol OTC cvs sleep aid oral tablet Nytol OTC cvs sleep-aid nighttime oral capsule Wal-Sleep Z OTC cvs ultra sleep oral tablet Unisom SleepTabs OTC diphenhydramine hcl (sleep) oral tablet Nytol Maximum Strength OTC eq nighttime sleep aid max st oral capsule Unisom Sleepgels OTC eq nighttime sleep aid oral tablet Nytol OTC eql nighttime sleep aid oral tablet Nytol OTC eql sleep aid oral capsule Unisom Sleepgels OTC

125 Nombre del medicamento Referencia Notas eql sleep aid oral tablet Unisom SleepTabs OTC estazolam oral tablet flurazepam hcl oral capsule QL gnp nighttime sleep aid oral tablet Nytol OTC gnp sleep aid oral tablet Unisom SleepTabs OTC goodsense sleeptime oral capsule Wal-Sleep Z OTC hm nighttime sleep aid oral tablet Nytol OTC hm sleep aid oral tablet Unisom SleepTabs OTC hm z-sleep oral capsule Wal-Sleep Z OTC kls sleep aid oral tablet Unisom SleepTabs OTC night time sleep aid oral tablet Nytol OTC nighttime sleep aid oral tablet Nytol OTC NYTOL ORAL TABLET OTC ormir oral capsule Unisom Sleepgels OTC phenobarbital oral elixir phenobarbital oral solution phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 60 mg, 64.8 mg, 97.2 mg phenobarbital oral tablet 30 mg, 32.4 mg QL qc rest simply oral tablet Nytol OTC qc sleep aid max st oral capsule Unisom Sleepgels OTC ra nighttime sleep aid oral tablet Nytol OTC ra sleep aid (diphenhydramine) oral tablet Nytol OTC ra sleep aid oral capsule Unisom Sleepgels OTC ra sleep aid oral tablet Unisom SleepTabs OTC ra sleep-aid nighttime oral capsule Wal-Sleep Z OTC sb sleep oral tablet Nytol OTC SIMPLY SLEEP ORAL TABLET OTC sleep aid (diphenhydramine) oral tablet Nytol OTC sleep aid oral capsule Wal-Sleep Z OTC sleep aid oral tablet Unisom SleepTabs OTC sleep ii oral tablet Nytol OTC sleep tabs oral tablet Nytol OTC sleep-tabs oral tablet Nytol OTC sm nighttime sleep aid oral tablet Nytol OTC sm sleep aid oral tablet Unisom SleepTabs OTC sm z-sleep oral capsule Wal-Sleep Z OTC

126 Nombre del medicamento Referencia Notas temazepam oral capsule Restoril QL tetra-formula nighttime sleep oral tablet Nytol Maximum Strength OTC tgt nighttime sleep aid oral tablet Nytol OTC tgt sleep aid max strength oral capsule Unisom Sleepgels OTC triazolam oral tablet Halcion QL WAL-SLEEP Z ORAL CAPSULE OTC wal-som maximum strength oral capsule Unisom Sleepgels OTC zaleplon oral capsule QL zolpidem tartrate oral tablet Ambien QL INHIBIDOR DE COTRANSPORTADOR DE SODIO-GLUCOSA TIPO 2 - COMBINACIÓN DE BIGUANIDA SYNJARDY ORAL TABLET PA; QL SYNJARDY XR ORAL TABLET PA; QL EXTENDED RELEASE 24 HOUR INHIBIDORES DE CALICREÍNA PLASMÁTICA - ANTICUERPOS MONOCLONALES TAKHZYRO SUBCUTANEOUS SOLUTION PA; SP; QL INHIBIDORES DE ENDONUCLEASAS PA XOFLUZA ORAL TABLET THERAPY QL PACK INHIBIDORES DE PCSK9 REPATHA PUSHTRONEX SYSTEM SUBCUTANEOUS SOLUTION PA; QL CARTRIDGE REPATHA SUBCUTANEOUS SOLUTION PA; QL PREFILLED SYRINGE REPATHA SURECLICK SUBCUTANEOUS PA; QL SOLUTION AUTO-INJECTOR LAXANTES ALOPHEN ORAL TABLET DELAYED OTC; QL RELEASE bisacodyl ec oral tablet delayed release Alophen OTC; QL bisacodyl laxative rectal suppository The Magic Bullet OTC bisacodyl rectal suppository The Magic Bullet OTC calcium polycarbophil oral tablet FiberCon OTC; QL citrate of magnesia oral solution Citroma OTC

127 Nombre del medicamento Referencia Notas CITROMA ORAL SOLUTION OTC CITRUCEL ORAL POWDER OTC CITRUCEL ORAL TABLET OTC CLEARLAX ORAL POWDER OTC COLACE 2-IN-1 ORAL TABLET OTC constulose oral solution QL correct oral tablet delayed release Alophen OTC; QL CORRECTOL ORAL TABLET DELAYED OTC; QL RELEASE cvs bisacodyl oral tablet delayed release Alophen OTC; QL cvs bisacodyl rectal suppository The Magic Bullet OTC cvs citrate of magnesia oral solution Citroma OTC cvs c-lax laxative oral tablet delayed release Alophen OTC; QL cvs enema disposable rectal enema Pure & Gentle Enema OTC cvs enema ready-to-use rectal enema Pure & Gentle Enema OTC cvs fiber laxative oral tablet FiberCon OTC; QL cvs gentle laxative oral tablet delayed Alophen OTC; QL release cvs gentle laxative rectal suppository The Magic Bullet OTC cvs gentle laxative womens oral tablet Alophen OTC; QL delayed release cvs glycerin child rectal suppository Pedia-Lax OTC cvs laxative pills oral tablet OTC; QL cvs magnesium citrate oral solution Citroma OTC cvs milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC cvs mineral oil oral oil OTC CVS PURELAX ORAL PACKET OTC; QL CVS PURELAX ORAL POWDER OTC Dr Edwards Olive cvs senna oral tablet OTC Laxative cvs senna plus oral tablet Colace 2-IN-1 OTC cvs soluble fiber therapy oral tablet Citrucel OTC cvs stool softener oral capsule 100 mg Docusil OTC; QL cvs stool softener oral capsule 240 mg Kao-Tin OTC cvs stool softener oral capsule 250 mg DOK OTC cvs stool softener/laxative oral tablet Colace 2-IN-1 OTC diocto oral liquid OTC diocto oral syrup OTC

128 Nombre del medicamento Referencia Notas docqlace oral capsule Docusil OTC; QL DOC-Q-LAX ORAL TABLET OTC docu oral liquid OTC docu soft oral capsule Docusil OTC; QL docuprene oral tablet DOK OTC docusate calcium oral capsule Kao-Tin OTC docusate sodium oral capsule 100 mg Docusil OTC; QL docusate sodium oral capsule 250 mg DOK OTC docusate sodium oral liquid OTC docusate sodium oral syrup OTC docusate sodium oral tablet DOK OTC DOCUSIL ORAL CAPSULE OTC; QL DOCUSOL MINI RECTAL ENEMA OTC DOCUSOL PLUS MINI-ENEMA RECTAL OTC ENEMA docuzen oral tablet Colace 2-IN-1 OTC DOK ORAL CAPSULE 100 MG OTC; QL DOK ORAL CAPSULE 250 MG OTC DOK ORAL TABLET OTC DOK PLUS ORAL TABLET OTC DOVER ENEMA BAG AND TUBE 24FR OTC RECTAL KIT DR EDWARDS OLIVE LAXATIVE ORAL OTC TABLET dss oral capsule 100 mg Docusil OTC; QL dss oral capsule 250 mg DOK OTC ducodyl oral tablet delayed release Alophen OTC; QL DULCOLAX MILK OF MAGNESIA ORAL OTC SUSPENSION DULCOLAX STOOL SOFTENER ORAL OTC; QL CAPSULE easy-lax oral capsule Docusil OTC; QL easy-lax plus oral tablet Colace 2-IN-1 OTC enema disposable rectal enema Pure & Gentle Enema OTC enema pediatric rectal enema Fleet Pediatric OTC enema ready-to-use rectal enema Pure & Gentle Enema OTC enema rectal enema Pure & Gentle Enema OTC ENEMEEZ MINI RECTAL ENEMA OTC

129 Nombre del medicamento Referencia Notas ENEMEEZ PLUS RECTAL ENEMA OTC EQ CLEARLAX ORAL POWDER OTC eq enema rectal enema Pure & Gentle Enema OTC eq fiber therapy oral tablet 500 mg Citrucel OTC eq fiber therapy oral tablet 625 mg FiberCon OTC; QL eq gentle laxative oral tablet delayed release Alophen OTC; QL eq laxative maximum strength oral tablet OTC; QL eq magnesium citrate oral solution Citroma OTC eq mineral oil oral oil OTC Dr Edwards Olive eq natural laxative oral tablet OTC Laxative Dr Edwards Olive eq natural vegetable laxative oral tablet OTC Laxative eq senna-s oral tablet Colace 2-IN-1 OTC eq stool softener oral capsule 100 mg Docusil OTC; QL eq stool softener oral capsule 250 mg DOK OTC eq stool softener/laxative oral tablet Colace 2-IN-1 OTC Dr Edwards Olive eq vegetable laxative oral tablet OTC Laxative eq womens laxative oral tablet delayed Alophen OTC; QL release EQL CLEARLAX ORAL POWDER OTC eql fiber therapy oral tablet Citrucel OTC eql gentle laxative oral tablet delayed Alophen OTC; QL release eql laxative maximum strength oral tablet OTC; QL eql laxative oral tablet OTC; QL eql laxative oral tablet delayed release Alophen OTC; QL eql magnesium citrate oral solution Citroma OTC eql milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC eql ready-to-use enema rectal enema Pure & Gentle Enema OTC Dr Edwards Olive eql senna laxative oral tablet OTC Laxative eql senna-s oral tablet Colace 2-IN-1 OTC eql stool softener oral capsule Docusil OTC; QL eql stool softener/stimulant oral tablet Colace 2-IN-1 OTC EVAC-U-GEN ORAL TABLET OTC EX-LAX ULTRA ORAL TABLET DELAYED OTC; QL RELEASE 130 Nombre del medicamento Referencia Notas FEENAMINT ORAL TABLET DELAYED OTC; QL RELEASE fiber laxative oral tablet FiberCon OTC; QL fiber oral tablet FiberCon OTC; QL fiber therapy oral tablet Citrucel OTC fiber-lax oral tablet FiberCon OTC; QL FLEET BISACODYL RECTAL ENEMA OTC FLEET PEDIATRIC RECTAL ENEMA OTC gavilax oral powder ClearLax OTC GAVILYTE-C ORAL SOLUTION QL RECONSTITUTED GAVILYTE-G ORAL SOLUTION QL RECONSTITUTED GAVILYTE-N WITH FLAVOR PACK ORAL QL SOLUTION RECONSTITUTED gentle laxative oral tablet delayed release Alophen OTC; QL gentle laxative rectal suppository The Magic Bullet OTC gentlelax oral powder ClearLax OTC Dr Edwards Olive geri-kot oral tablet OTC Laxative glycerin (infants & children) rectal Pedia-Lax OTC suppository glycerin (pediatric) rectal suppository Pedia-Lax OTC glycerin childrens rectal suppository Pedia-Lax OTC GLYCOLAX ORAL POWDER OTC GNP BISA-LAX ORAL TABLET DELAYED OTC; QL RELEASE GNP CLEARLAX ORAL PACKET OTC; QL GNP CLEARLAX ORAL POWDER OTC gnp enema rectal enema Pure & Gentle Enema OTC gnp fiber therapy oral tablet Citrucel OTC gnp fiber-caps oral tablet FiberCon OTC; QL gnp gentle laxative oral tablet delayed Alophen OTC; QL release gnp gentle laxative rectal suppository The Magic Bullet OTC gnp laxative oral tablet delayed release Alophen OTC; QL gnp laxative pills oral tablet OTC; QL gnp laxative rectal suppository The Magic Bullet OTC gnp magnesium citrate oral solution Citroma OTC

131 Nombre del medicamento Referencia Notas gnp milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC gnp natural fiber oral powder Metamucil OTC Dr Edwards Olive gnp senna lax oral tablet OTC Laxative gnp senna plus oral tablet Colace 2-IN-1 OTC Dr Edwards Olive gnp senna-lax oral tablet OTC Laxative gnp stool softener oral capsule 100 mg Docusil OTC; QL gnp stool softener oral capsule 250 mg DOK OTC gnp stool softener oral liquid OTC gnp stool softener oral syrup OTC gnp stool softener/laxative oral tablet Colace 2-IN-1 OTC gnp womens gentle laxative oral tablet Alophen OTC; QL delayed release gnp womens laxative oral tablet delayed Alophen OTC; QL release goodsense bisacodyl ec oral tablet delayed Alophen OTC; QL release GOODSENSE CLEARLAX ORAL OTC POWDER goodsense enema rectal enema Pure & Gentle Enema OTC goodsense fiber oral tablet Citrucel OTC goodsense laxative pills oral tablet OTC; QL goodsense magnesium citrate oral solution Citroma OTC goodsense mineral oil oral oil OTC Dr Edwards Olive goodsense senna laxative oral tablet OTC Laxative goodsense stimulant laxative oral tablet Colace 2-IN-1 OTC goodsense womens laxative oral tablet Alophen OTC delayed release HEALTHY MAMA MOVE IT ALONG ORAL OTC TABLET HEALTHYLAX ORAL PACKET OTC; QL HM CLEARLAX ORAL PACKET OTC; QL HM CLEARLAX ORAL POWDER OTC hm enema rectal enema Pure & Gentle Enema OTC hm fiber oral powder Reguloid OTC hm fiber oral tablet Citrucel OTC hm laxative oral tablet delayed release Alophen OTC; QL

132 Nombre del medicamento Referencia Notas hm laxative rectal suppository The Magic Bullet OTC hm magnesium citrate oral solution Citroma OTC hm milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC hm mineral oil oral oil OTC Dr Edwards Olive hm senna oral tablet OTC Laxative hm senna-s oral tablet Colace 2-IN-1 OTC hm stool softener oral capsule 100 mg Docusil OTC; QL hm stool softener oral capsule 250 mg DOK OTC hm stool softener oral tablet DOK OTC hm stool softener/laxative oral tablet Colace 2-IN-1 OTC KAO-TIN ORAL CAPSULE OTC kls fiber-tabs oral tablet FiberCon OTC; QL KLS LAXACLEAR ORAL POWDER OTC konsyl daily fiber oral powder Evac OTC KONSYL-D ORAL POWDER OTC kp bisacodyl oral tablet delayed release Alophen OTC; QL Dr Edwards Olive kp senna oral tablet OTC Laxative ks stool softener oral capsule Docusil OTC; QL lactulose oral solution QL laxa basic oral capsule Docusil OTC; QL laxacin oral tablet Colace 2-IN-1 OTC laxative max str oral tablet OTC; QL laxative oral tablet delayed release Alophen OTC; QL laxative pills oral tablet OTC; QL laxative rectal suppository The Magic Bullet OTC magnesium citrate oral solution Citroma OTC Dr Edwards Olive medi-natural oral tablet OTC Laxative medi-natural plus oral tablet Colace 2-IN-1 OTC METAMUCIL ORAL POWDER OTC METAMUCIL SMOOTH TEXTURE ORAL OTC POWDER milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC mineral oil oral oil OTC natural fiber laxative oral powder Reguloid OTC natural fiber therapy oral powder Reguloid OTC

133 Nombre del medicamento Referencia Notas Dr Edwards Olive natural senna laxative oral tablet OTC Laxative PEDIA-LAX RECTAL SUPPOSITORY OTC peg 3350 oral packet CVS Purelax OTC; QL peg 3350 oral powder ClearLax OTC peg 3350-kcl-na bicarb-nacl oral solution GaviLyte-N with Flavor QL reconstituted Pack peg-3350/electrolytes oral solution GaviLyte-G QL reconstituted PHILLIPS MILK OF MAGNESIA ORAL OTC SUSPENSION PHILLIPS STOOL SOFTENER ORAL OTC; QL CAPSULE polyethylene glycol 3350 oral packet CVS Purelax OTC; QL polyethylene glycol 3350 oral powder ClearLax OTC PROMOLAXIN ORAL TABLET OTC PURE & GENTLE ENEMA RECTAL OTC ENEMA px docusate sodium oral capsule Docusil OTC; QL px fiber oral tablet FiberCon OTC; QL px laxative oral tablet delayed release Alophen OTC; QL px milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC Dr Edwards Olive px vegetable laxative oral tablet OTC Laxative qc enema rectal enema Pure & Gentle Enema OTC qc fiber therapy oral tablet Citrucel OTC qc gentle laxative oral tablet delayed release Alophen OTC; QL qc gentle laxative rectal suppository The Magic Bullet OTC qc laxative oral tablet OTC; QL qc magnesium citrate oral solution Citroma OTC qc milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC qc mineral oil heavy oral oil OTC Dr Edwards Olive qc natural vegetable laxative oral tablet OTC Laxative qc natura-lax oral powder ClearLax OTC Dr Edwards Olive qc senna oral tablet OTC Laxative qc senna-s oral tablet Colace 2-IN-1 OTC qc stool softener pls laxative oral tablet Colace 2-IN-1 OTC

134 Nombre del medicamento Referencia Notas ra col-rite oral capsule 100 mg Docusil OTC; QL ra col-rite oral capsule 250 mg DOK OTC ra enema rectal enema Pure & Gentle Enema OTC ra fast relief laxative rectal suppository The Magic Bullet OTC ra fiber laxative oral powder Reguloid OTC Metamucil Smooth ra fiber oral powder OTC Texture ra fiber supplement oral powder Metamucil OTC ra laxative & stool softener oral tablet Colace 2-IN-1 OTC ra laxative maximum strength oral tablet OTC; QL ra laxative oral packet CVS Purelax OTC; QL ra laxative oral powder ClearLax OTC ra laxative oral tablet OTC; QL ra laxative oral tablet delayed release Alophen OTC; QL ra magnesium citrate oral solution Citroma OTC ra milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC ra mineral oil oral oil OTC ra p col-rite oral tablet Colace 2-IN-1 OTC ra saline enema rectal enema Pure & Gentle Enema OTC Dr Edwards Olive ra senna oral tablet OTC Laxative ra senna plus oral tablet Colace 2-IN-1 OTC ra soluble fiber oral tablet Citrucel OTC ra stimulant laxative rectal suppository The Magic Bullet OTC ra stool softener oral capsule Docusil OTC; QL ra womens laxative oral tablet delayed Alophen OTC; QL release REGULOID ORAL POWDER OTC sb bisacodyl laxative ec oral tablet delayed Alophen OTC; QL release sb docusate sodium oral capsule Docusil OTC; QL sb docusate sodium/senna oral tablet Colace 2-IN-1 OTC sb gentle lax-women oral tablet delayed Alophen OTC; QL release sb laxative rectal suppository The Magic Bullet OTC sb magnesium citrate oral solution Citroma OTC sb milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC

135 Nombre del medicamento Referencia Notas Dr Edwards Olive sb senna-lax oral tablet OTC Laxative SENEXON-S ORAL TABLET OTC Dr Edwards Olive senna lax oral tablet OTC Laxative senna laxative oral tablet 25 mg OTC; QL Dr Edwards Olive senna laxative oral tablet 8.6 mg OTC Laxative Dr Edwards Olive senna oral tablet OTC Laxative senna plus oral tablet Colace 2-IN-1 OTC senna s oral tablet Colace 2-IN-1 OTC senna-docusate sodium oral tablet Colace 2-IN-1 OTC Dr Edwards Olive senna-lax oral tablet OTC Laxative senna-plus oral tablet Colace 2-IN-1 OTC senna-s oral tablet Colace 2-IN-1 OTC Dr Edwards Olive senna-tabs oral tablet OTC Laxative Dr Edwards Olive senna-time oral tablet OTC Laxative senna-time s oral tablet Colace 2-IN-1 OTC SENNO ORAL TABLET OTC sennosides-docusate sodium oral tablet Colace 2-IN-1 OTC SENOKOT ORAL TABLET OTC silace oral liquid OTC silace oral syrup OTC SM CLEARLAX ORAL POWDER OTC sm docusate calcium oral capsule Kao-Tin OTC sm enema rectal enema Pure & Gentle Enema OTC sm fiber laxative oral tablet Citrucel OTC Metamucil Smooth sm fiber oral powder OTC Texture sm fiber oral tablet FiberCon OTC; QL sm gentle laxative oral tablet delayed Alophen OTC; QL release sm laxative maximum strength oral tablet OTC; QL sm laxative rectal suppository The Magic Bullet OTC sm magnesium citrate oral solution Citroma OTC

136 Nombre del medicamento Referencia Notas sm milk of magnesia oral suspension Dulcolax Milk of Magnesia OTC sm mineral oil oral oil OTC sm natural laxative/stool soft oral tablet Colace 2-IN-1 OTC Dr Edwards Olive sm senna laxative oral tablet OTC Laxative sm senna-s oral tablet Colace 2-IN-1 OTC sm stool softener oral capsule 100 mg Docusil OTC; QL sm stool softener oral capsule 240 mg Kao-Tin OTC sm stool softener oral capsule 250 mg DOK OTC sm stool softener oral tablet Colace 2-IN-1 OTC sm stool softener/laxative oral tablet Colace 2-IN-1 OTC SMOOTH LAX ORAL PACKET OTC; QL SMOOTH LAX ORAL POWDER OTC SOLUBLE FIBER THERAPY ORAL OTC POWDER stimulant laxative oral tablet Colace 2-IN-1 OTC stimulant laxative oral tablet delayed release Alophen OTC; QL stool softener laxative oral capsule 100 mg Docusil OTC; QL stool softener laxative oral capsule 250 mg DOK OTC stool softener laxative oral tablet Colace 2-IN-1 OTC stool softener oral capsule 100 mg Docusil OTC; QL stool softener oral capsule 240 mg Kao-Tin OTC stool softener oral capsule 250 mg DOK OTC stool softener oral liquid OTC stool softener oral tablet DOK OTC stool softener plus laxative oral tablet Colace 2-IN-1 OTC stool softener/laxative oral tablet Colace 2-IN-1 OTC SURFAK ORAL CAPSULE OTC Metamucil Smooth tgt fiber therapy oral powder OTC Texture tgt gentle laxative oral tablet delayed release Alophen OTC; QL tgt laxative pills max st oral tablet OTC; QL tgt natural laxative pills oral tablet OTC; QL TGT POWDERLAX ORAL PACKET OTC; QL TGT POWDERLAX ORAL POWDER OTC tgt saline laxative rectal enema Pure & Gentle Enema OTC Dr Edwards Olive tgt senna laxative oral tablet OTC Laxative

137 Nombre del medicamento Referencia Notas Dr Edwards Olive tgt senna oral tablet OTC Laxative tgt stool softener & stimulant oral tablet Colace 2-IN-1 OTC tgt womens laxative oral tablet delayed Alophen OTC; QL release THE MAGIC BULLET RECTAL OTC SUPPOSITORY TRILYTE ORAL SOLUTION QL RECONSTITUTED vegetable lax+stool softener oral tablet Colace 2-IN-1 OTC veracolate oral tablet delayed release Alophen OTC; QL WAL-MUCIL ORAL POWDER OTC womans laxative oral tablet delayed release Alophen OTC; QL womens laxative oral tablet delayed release Alophen OTC; QL MACRÓLIDOS azithromycin oral packet Zithromax QL azithromycin oral suspension reconstituted Zithromax QL azithromycin oral tablet Zithromax QL clarithromycin er oral tablet extended release 24 hour clarithromycin oral suspension reconstituted clarithromycin oral tablet E.E.S. 400 ORAL TABLET ERY-TAB ORAL TABLET DELAYED RELEASE ERYTHROCIN STEARATE ORAL TABLET erythromycin base oral capsule delayed release particles erythromycin base oral tablet erythromycin base oral tablet delayed Ery-Tab release erythromycin ethylsuccinate oral tablet E.E.S. 400 erythromycin oral tablet delayed release Ery-Tab MEDICAMENTOS PARA LA TOS/EL RESFRÍO/LA ALERGIA acetylcysteine inhalation solution ALAVERT ALLERGY/SINUS ORAL OTC; QL TABLET EXTENDED RELEASE 12 HOUR

138 Nombre del medicamento Referencia Notas ALKA-SELTZER PLS SINUS & COUGH OTC ORAL CAPSULE ALKA-SELTZER PLUS DAY COLD/FLU OTC ORAL CAPSULE all day allergy d oral tablet extended release KLS Aller-Tec D PA; AL; OTC; QL 12 hour all day allergy d-12 oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour all day allergy-d oral tablet extended release KLS Aller-Tec D PA; AL; OTC; QL 12 hour allergy relief d oral tablet extended release KLS AllerClear D-24HR OTC; QL 24 hour allergy relief d-24 oral tablet extended KLS AllerClear D-24HR OTC; QL release 24 hour allergy relief/nasal decongest oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour allergy relief-d oral tablet extended release Alavert Allergy/Sinus OTC; QL 12 hour allergy relief-d oral tablet extended release KLS AllerClear D-24HR OTC; QL 24 hour allergy/congestion relief oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour altarussin oral syrup Diabetic Tussin EX OTC ambi 10peh/4cpm oral tablet Ed A-Hist OTC antihistamine & nasal deconges oral tablet Wal-Fex D Allergy & OTC; QL extended release 12 hour Congestion APRODINE ORAL TABLET OTC benzonatate oral capsule biocotron oral liquid Diabetic Tussin DM OTC; QL cetirizine-pseudoephedrine er oral tablet KLS Aller-Tec D PA; AL; OTC; QL extended release 12 hour cheratussin ac oral syrup AL; QL chest congestion childrens oral liquid Diabetic Tussin OTC chest congestion relief oral tablet Fenesin IR OTC childrens cold & allergy oral elixir Dimetapp Cold/Allergy OTC; QL Delsym Cgh/Chest Cong childrens cough oral liquid AL; OTC DM Child Delsym Cgh/Chest Cong childrens mucus relief cough oral liquid AL; OTC DM Child childrens mucus relief expect oral liquid Diabetic Tussin OTC cold & allergy childrens oral elixir Dimetapp Cold/Allergy OTC; QL 139 Nombre del medicamento Referencia Notas cold & cough childrens oral liquid EndaCof-DM OTC cold/allergy childrens oral elixir Dimetapp Cold/Allergy OTC; QL Dimaphen DM cold/cough childrens oral elixir OTC Cold/Cough Dimaphen DM cold/cough dm childrens oral elixir OTC Cold/Cough Delsym Cgh/Chest Cong cough & chest congestion dm oral liquid AL; OTC DM Child Coricidin HBP cough & cold oral tablet OTC Cough/Cold cough dm childrens oral suspension Robitussin 12 Hour AL; OTC extended release Cough Robitussin 12 Hour cough dm oral suspension extended release AL; OTC Cough cough/chest congestion dm oral syrup Robafen DM Cough Clear OTC; QL coughtab oral tablet AL; OTC cvs allergy relief d oral tablet extended Wal-Fex D Allergy & OTC; QL release 12 hour Congestion cvs allergy relief-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour cvs allergy relief-d oral tablet extended KLS AllerClear D-24HR OTC; QL release 24 hour cvs allergy relief-d12 oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour Delsym Cgh/Chest Cong cvs chest congest/cough child oral liquid AL; OTC DM Child cvs chest congestion relief dm oral tablet Fenesin DM IR AL; OTC cvs chest congestion relief oral tablet Fenesin IR OTC cvs chest congestion relief pe oral tablet Fenesin PE IR OTC cvs cold & cough childrens oral liquid EndaCof-DM OTC cvs cold/flu nighttime oral capsule Vicks NyQuil Cold & Flu OTC Delsym Cgh/Chest Cong cvs cough & chest congestion oral liquid AL; OTC DM Child Coricidin HBP cvs cough & cold hbp oral tablet OTC Cough/Cold cvs cough dm childrens oral suspension Robitussin 12 Hour AL; OTC extended release Cough cvs cough dm oral suspension extended Robitussin 12 Hour AL; OTC release Cough Delsym Cgh/Chest Cong cvs cough/chest dm childrens oral liquid AL; OTC DM Child

140 Nombre del medicamento Referencia Notas Delsym Cgh/Chest Cong cvs dm maximum adult oral liquid AL; OTC DM Child cvs mucus d extended release oral tablet Mucinex D AL; OTC; QL extended release 12 hour cvs mucus extended release oral tablet EQ Mucus ER AL; OTC extended release 12 hour cvs tussin adult chest congest oral liquid Diabetic Tussin OTC cvs tussin dm oral liquid Diabetic Tussin DM OTC; QL Alka-Seltzer Pls Sinus & daytime cold & flu relief oral capsule OTC Cough DELSYM CGH/CHEST CONG DM CHILD AL; OTC ORAL LIQUID DESGEN DM ORAL LIQUID OTC despec dm oral syrup OTC despec dm-g oral syrup OTC dextromethorphan polistirex er oral Robitussin 12 Hour AL; OTC suspension extended release Cough dextromethorphan-guaifenesin oral liquid Diabetic Tussin DM OTC; QL dextromethorphan-guaifenesin oral syrup Robafen DM Cough Clear OTC; QL dextromethorphan-guaifenesin oral tablet Fenesin DM IR AL; OTC diabetic siltussin-dm max st oral liquid Diabetic Tussin Max St OTC diabetic siltussin-dm oral liquid Diabetic Tussin DM OTC; QL DIABETIC TUSSIN DM ORAL LIQUID OTC; QL DIABETIC TUSSIN EX ORAL SYRUP OTC DIABETIC TUSSIN FOR CHILDREN ORAL OTC; QL LIQUID DIABETIC TUSSIN ORAL LIQUID OTC dimaphen childrens oral elixir Dimetapp Cold/Allergy OTC; QL DIMAPHEN DM COLD/COUGH ORAL OTC ELIXIR dm-guaifenesin er oral tablet extended Mucinex DM Maximum AL; OTC release 12 hour Strength ED A-HIST ORAL TABLET OTC ENDACOF-DM ORAL LIQUID OTC eq allergy relief d 24 hour oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour Dimaphen DM eq cold/cough dm childrens oral elixir OTC Cold/Cough Delsym Cgh/Chest Cong eq cough childrens oral liquid AL; OTC DM Child

141 Nombre del medicamento Referencia Notas eq cough dm oral suspension extended Robitussin 12 Hour AL; OTC release Cough Alka-Seltzer Pls Sinus & eq daytime cold/flu ms relief oral capsule OTC Cough EQ MUCUS ER ORAL TABLET AL; OTC EXTENDED RELEASE 12 HOUR 1200 MG EQ MUCUS ER ORAL TABLET OTC; QL EXTENDED RELEASE 12 HOUR 600 MG eq mucus relief dm oral tablet extended Mucinex DM OTC release 12 hour eq suphedrine pe oral tablet Ed A-Hist OTC eq tussin cf cough & cold oral liquid Desgen DM OTC eq tussin dm cough/chest oral syrup Robafen DM Cough Clear OTC; QL eq tussin dm max oral liquid Diabetic Tussin Max St OTC eql all day allergy-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour eql allergy/congestion relief oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour eql cold/cough oral liquid EndaCof-DM OTC eql mucus-dm oral tablet extended release Mucinex DM OTC 12 hour eql nighttime cold/flu relief oral capsule Vicks NyQuil Cold & Flu AL; OTC eql sinus & allergy pe oral tablet Ed A-Hist OTC eql tussin cough/chest dm max oral liquid Diabetic Tussin Max St OTC eql tussin dm cough/chest cong oral syrup Robafen DM Cough Clear OTC; QL eql tussin mucus/chest congest oral liquid Diabetic Tussin OTC extra action cough oral syrup Robafen DM Cough Clear OTC; QL FENESIN DM IR ORAL TABLET AL; OTC FENESIN IR ORAL TABLET OTC FENESIN PE IR ORAL TABLET OTC fexofenadine-pseudoephed er oral tablet Wal-Fex D Allergy & OTC; QL extended release 12 hour Congestion fexofenadine-pseudoephed er oral tablet Wal-Fex D Allergy & OTC; QL extended release 24 hour Congestion g tussin ac oral solution AL; OTC; QL geri-tussin oral syrup Diabetic Tussin EX OTC GILTUSS COUGH & CHEST CHILDREN OTC; QL ORAL LIQUID GILTUSS COUGH & CHEST ORAL LIQUID OTC; QL

142 Nombre del medicamento Referencia Notas GILTUSS DIABETIC COUGH & COLD OTC; QL ORAL LIQUID gnp all day allergy-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour gnp allergy & congestion oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour gnp allergy/congestion relief oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour gnp allergy-d allergy & conges oral tablet Wal-Fex D Allergy & OTC; QL extended release 12 hour Congestion gnp cold & allergy oral tablet Ed A-Hist OTC gnp cold/allergy childrens oral elixir Dimetapp Cold/Allergy OTC; QL Dimaphen DM gnp cold/cough childrens oral elixir OTC Cold/Cough gnp cough dm er oral suspension extended Robitussin 12 Hour AL; OTC release Cough Alka-Seltzer Pls Sinus & gnp day time cold/flu oral capsule OTC Cough gnp fexofenadine/pse er oral tablet extended Wal-Fex D Allergy & OTC; QL release 12 hour Congestion gnp mucus dm max strength oral tablet Mucinex DM Maximum AL; OTC extended release 12 hour Strength gnp mucus er oral tablet extended release EQ Mucus ER AL; OTC 12 hour 1200 mg gnp mucus er oral tablet extended release EQ Mucus ER OTC; QL 12 hour 600 mg Delsym Cgh/Chest Cong gnp mucus relief cough child oral liquid AL; OTC DM Child Delsym Cgh/Chest Cong gnp mucus relief dm max oral liquid AL; OTC DM Child gnp mucus relief dm oral tablet Fenesin DM IR OTC gnp mucus relief oral tablet Fenesin IR OTC gnp mucus relief pe oral tablet Fenesin PE IR OTC gnp night time cold & flu oral capsule Vicks NyQuil Cold & Flu AL; OTC gnp night time cold-flu oral capsule Vicks NyQuil Cold & Flu AL; OTC gnp sinus & allergy pe oral tablet Ed A-Hist AL; OTC gnp tab tussin dm oral tablet Fenesin DM IR AL; OTC gnp tab tussin oral tablet Fenesin IR OTC gnp tussin cf cough & cold oral syrup OTC gnp tussin dm cough oral liquid Diabetic Tussin DM OTC; QL

143 Nombre del medicamento Referencia Notas gnp tussin dm max oral liquid Diabetic Tussin Max St OTC gnp tussin mucus & chest cong oral liquid Diabetic Tussin OTC goodsense cough dm childrens oral Robitussin 12 Hour AL; OTC suspension extended release Cough goodsense cough dm oral suspension Robitussin 12 Hour AL; OTC extended release Cough Alka-Seltzer Pls Sinus & goodsense day time cold & flu oral capsule OTC Cough goodsense mucus relief dm oral tablet Fenesin DM IR AL; OTC goodsense mucus relief oral tablet Fenesin IR OTC goodsense nighttime cold & flu oral capsule Vicks NyQuil Cold & Flu OTC goodsense tussin cf oral liquid Desgen DM OTC guaiasorb dm oral liquid Diabetic Tussin DM OTC; QL guaiatussin ac oral syrup AL; QL guaicon dms oral syrup Robafen DM Cough Clear OTC; QL guaifenesin ac oral syrup AL; OTC; QL guaifenesin dac oral solution AL; OTC guaifenesin er oral tablet extended release EQ Mucus ER AL; OTC 12 hour guaifenesin oral liquid Diabetic Tussin OTC guaifenesin oral solution Diabetic Tussin OTC guaifenesin oral syrup Diabetic Tussin EX OTC guaifenesin oral tablet 200 mg AL; OTC guaifenesin oral tablet 400 mg Fenesin IR OTC guaifenesin-codeine oral solution AL; OTC; QL guaifenesin-dm oral syrup Robafen DM Cough Clear OTC; QL hm allergy & congestion oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour hm allergy complete-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour hm allergy relief/nasal decong oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour hm chest congestion relief dm oral tablet Fenesin DM IR AL; OTC hm chest congestion relief oral tablet Fenesin IR OTC hm cold & allergy childrens oral elixir Dimetapp Cold/Allergy OTC; QL Dimaphen DM hm cold & cough childrens oral elixir OTC Cold/Cough hm cough dm oral suspension extended Robitussin 12 Hour AL; OTC release Cough

144 Nombre del medicamento Referencia Notas Alka-Seltzer Pls Sinus & hm day time oral capsule OTC Cough hm mucus er oral tablet extended release 12 EQ Mucus ER AL; OTC hour hm mucus relief d oral tablet extended Mucinex D AL; OTC; QL release 12 hour hm night time cold & flu oral capsule Vicks NyQuil Cold & Flu AL; OTC hm night time ms cold & flu oral capsule Vicks NyQuil Cold & Flu AL; OTC hm tussin adult dm oral liquid 100-10 Diabetic Tussin DM OTC; QL mg/5ml hm tussin adult dm oral liquid 10-200 Diabetic Tussin Max St OTC mg/5ml hm tussin adult multi-symptom oral liquid Desgen DM OTC hm tussin adult oral liquid Diabetic Tussin OTC hydrocodone-homatropine oral syrup AL hydrocodone-homatropine oral tablet AL hydromet oral syrup AL KLS ALLERCLEAR D-12HR ORAL OTC; QL TABLET EXTENDED RELEASE 12 HOUR KLS ALLERCLEAR D-24HR ORAL OTC; QL TABLET EXTENDED RELEASE 24 HOUR KLS ALLER-TEC D ORAL TABLET PA; AL; OTC; QL EXTENDED RELEASE 12 HOUR kls mucus relief chest oral tablet Fenesin IR OTC loratadine-d 12hr oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour loratadine-d 24hr oral tablet extended KLS AllerClear D-24HR OTC; QL release 24 hour m-clear wc oral solution AL; OTC meijer allergy relief-d oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour mm loratadine-d 24 hour oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour MUCINEX COUGH CHILDRENS ORAL AL; OTC LIQUID MUCINEX DM ORAL TABLET EXTENDED OTC RELEASE 12 HOUR MUCINEX FAST-MAX CONG HEADACHE OTC ORAL CAPSULE MUCINEX FAST-MAX DM MAX ORAL AL; OTC LIQUID

145 Nombre del medicamento Referencia Notas mucosa dm oral tablet Fenesin DM IR AL; OTC mucosa oral tablet Fenesin IR OTC mucus & chest congestion oral liquid Diabetic Tussin OTC Delsym Cgh/Chest Cong mucus & cough relief childrens oral liquid AL; OTC DM Child mucus d oral tablet extended release 12 Mucinex D AL; OTC; QL hour mucus dm oral tablet extended release 12 Mucinex DM AL; OTC hour mucus relief chest congestion oral tablet 200 AL; OTC mg mucus relief chest congestion oral tablet 400 Fenesin IR OTC mg Delsym Cgh/Chest Cong mucus relief cough childrens oral liquid AL; OTC DM Child mucus relief d oral tablet extended release Mucinex D AL; OTC; QL 12 hour mucus relief dm cough oral tablet Fenesin DM IR AL; OTC Delsym Cgh/Chest Cong mucus relief dm max oral liquid AL; OTC DM Child mucus relief dm max oral tablet extended Mucinex DM Maximum AL; OTC release 12 hour Strength Delsym Cgh/Chest Cong mucus relief dm oral liquid AL; OTC DM Child mucus relief dm oral tablet Fenesin DM IR OTC mucus relief dm oral tablet extended release Mucinex DM OTC 12 hour mucus relief er oral tablet extended release EQ Mucus ER AL; OTC 12 hour 1200 mg mucus relief er oral tablet extended release EQ Mucus ER OTC; QL 12 hour 600 mg mucus relief max st oral tablet extended EQ Mucus ER AL; OTC release 12 hour mucus relief oral tablet Fenesin IR OTC mucus relief oral tablet extended release 12 EQ Mucus ER OTC; QL hour mucus relief pe oral tablet Fenesin PE IR OTC mucus relief pe sinus oral tablet Fenesin PE IR OTC mucus-dm max oral tablet extended release Mucinex DM Maximum AL; OTC 12 hour Strength

146 Nombre del medicamento Referencia Notas mucus-dm maximum strength oral tablet Mucinex DM Maximum AL; OTC extended release 12 hour Strength mucus-dm oral tablet extended release 12 Mucinex DM AL; OTC hour mucus-er max oral tablet extended release EQ Mucus ER AL; OTC 12 hour mucusrelief dm cough oral tablet Fenesin DM IR OTC mucusrelief sinus oral tablet Fenesin PE IR OTC multi symptom flu/severe cold oral packet Theraflu Severe Cold OTC NEBUSAL INHALATION NEBULIZATION SOLUTION night time cold/flu relief oral capsule Vicks NyQuil Cold & Flu AL; OTC nighttime cold/flu relief oral capsule Vicks NyQuil Cold & Flu AL; OTC pediatric cough/cold oral liquid OTC pediatric formula cough/congst oral liquid Diabetic Tussin DM OTC; QL promethazine vc/codeine oral syrup AL; QL promethazine-codeine oral solution AL; QL promethazine-codeine oral syrup AL; QL promethazine-dm oral syrup AL; QL promethazine-phenyleph-codeine oral syrup AL; QL promethazine-phenylephrine oral syrup AL; QL pseudoephedrine-guaifenesin er oral tablet Mucinex D AL; OTC; QL extended release 12 hour PULMOSAL INHALATION NEBULIZATION SOLUTION px allergy relief d (loratid) oral tablet Alavert Allergy/Sinus OTC; QL extended release 12 hour px allergy relief d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour px allergy relief d oral tablet extended KLS AllerClear D-24HR OTC; QL release 24 hour px dibromm cold/allergy child oral elixir Dimetapp Cold/Allergy OTC; QL Dimaphen DM px dibromm dm cold/cough child oral elixir OTC Cold/Cough px tussin cf oral liquid Desgen DM OTC px tussin dm oral liquid Diabetic Tussin DM OTC; QL px tussin oral solution Diabetic Tussin OTC qc loratadine-d oral tablet extended release KLS AllerClear D-24HR OTC; QL 24 hour qc medifin 400 oral tablet Fenesin IR OTC 147 Nombre del medicamento Referencia Notas qc medifin dm oral tablet Fenesin DM IR OTC qc mucus relief er oral tablet extended EQ Mucus ER AL; OTC release 12 hour qc mucus relief oral tablet extended release EQ Mucus ER OTC; QL 12 hour qc tussin cf oral liquid Desgen DM OTC qc tussin dm cough/congestion oral liquid Diabetic Tussin DM OTC; QL qc tussin mucus/congestion oral liquid Diabetic Tussin OTC ra allergy relief-d oral tablet extended Wal-Fex D Allergy & OTC; QL release 12 hour Congestion ra allergy/congestion oral tablet extended Wal-Fex D Allergy & OTC; QL release 12 hour Congestion ra allergy/congestion relief oral tablet Alavert Allergy/Sinus OTC; QL extended release 12 hour ra cetiri-d oral tablet extended release 12 KLS Aller-Tec D PA; AL; OTC; QL hour Dimaphen DM ra cold & cough childrens oral elixir OTC Cold/Cough Alka-Seltzer Pls Sinus & ra cold/flu relief daytime oral capsule OTC Cough ra cold/flu relief nighttime oral capsule Vicks NyQuil Cold & Flu AL; OTC ra cough dm oral suspension extended Robitussin 12 Hour AL; OTC release Cough ra lorata-d oral tablet extended release 24 KLS AllerClear D-24HR OTC; QL hour ra mucus relief d oral tablet extended Mucinex D AL; OTC; QL release 12 hour ra mucus relief dm oral tablet extended Mucinex DM OTC release 12 hour ra mucus relief max st oral tablet extended EQ Mucus ER AL; OTC release 12 hour ra mucus relief oral tablet Fenesin IR OTC ra suphedrine pe oral tablet Ed A-Hist OTC ra tussin cf oral liquid Desgen DM OTC ra tussin cgh/chest congest dm oral liquid Diabetic Tussin DM OTC; QL ra tussin chest congestion oral liquid Diabetic Tussin OTC ra tussin chest congestion oral syrup Diabetic Tussin EX OTC ra tussin cough oral liquid Diabetic Tussin DM OTC; QL ra tussin dm oral liquid Diabetic Tussin DM OTC; QL ra tussin oral syrup Diabetic Tussin EX OTC

148 Nombre del medicamento Referencia Notas refenesen 400 oral tablet Fenesin IR OTC refenesen dm oral tablet Fenesin DM IR AL; OTC refenesen oral tablet AL; OTC refenesen pe oral tablet Fenesin PE IR OTC robafen cf multi-symptom cold oral liquid Desgen DM OTC ROBAFEN DM CGH/CHEST CONGEST OTC; QL ORAL LIQUID ROBAFEN DM COUGH CLEAR ORAL OTC; QL SYRUP ROBAFEN DM COUGH ORAL LIQUID OTC; QL robafen dm oral syrup Robafen DM Cough Clear OTC; QL ROBAFEN DM PEAK COLD CGH/CONG OTC; QL ORAL LIQUID ROBAFEN MUCUS/CHEST CONGESTION OTC ORAL LIQUID robafen oral syrup Diabetic Tussin EX OTC ROBITUSSIN 12 HOUR COUGH ORAL AL; OTC SUSPENSION EXTENDED RELEASE ROBITUSSIN COLD COUGH+ CHEST OTC; QL ORAL LIQUID ROBITUSSIN COUGH+CHEST CONG DM AL; OTC ORAL LIQUID rynex dm oral liquid EndaCof-DM OTC rynex pe oral elixir Dimetapp Cold/Allergy OTC; QL SAFE TUSSIN DM ORAL LIQUID OTC; QL sb allerfed cold & allergy oral tablet Ed A-Hist OTC sb allergy relief/nasal decong oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour sb cough control oral syrup Diabetic Tussin EX OTC sb coughtab oral tablet AL; OTC sb mucus relief dm oral tablet Fenesin DM IR AL; OTC sb mucus relief pe oral tablet Fenesin PE IR OTC sb sinus & allergy max st oral tablet Ed A-Hist OTC SB TAB TUSSIN DM ORAL TABLET AL; OTC scot-tussin expectorant oral liquid Diabetic Tussin OTC SHOPKO ALLERGY RELIEF-D (LORA) ORAL TABLET EXTENDED RELEASE 12 OTC; QL HOUR siltussin dm das oral liquid Diabetic Tussin DM OTC; QL

149 Nombre del medicamento Referencia Notas siltussin sa oral syrup Diabetic Tussin EX OTC siltussin-dm alcohol free oral syrup Robafen DM Cough Clear OTC; QL sm all day allergy-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour sm chest congestion relief dm oral tablet Fenesin DM IR OTC sm chest congestion relief oral tablet Fenesin IR OTC sm chest congestion relief pe oral tablet Fenesin PE IR OTC sm cold & allergy childrens oral elixir Dimetapp Cold/Allergy OTC; QL sm cold & allergy pe oral tablet Ed A-Hist OTC Dimaphen DM sm cold & cough dm childrens oral elixir OTC Cold/Cough Alka-Seltzer Pls Sinus & sm day time non drowsy oral capsule OTC Cough Alka-Seltzer Pls Sinus & sm day time pe cold/flu relief oral capsule OTC Cough Alka-Seltzer Pls Sinus & sm daytime liquid oral capsule OTC Cough sm loratadine d 12hr oral tablet extended Alavert Allergy/Sinus OTC; QL release 12 hour sm lorata-dine d oral tablet extended release KLS AllerClear D-24HR OTC; QL 24 hour Delsym Cgh/Chest Cong sm mucus relief cough children oral liquid AL; OTC DM Child sm mucus relief d oral tablet extended Mucinex D AL; OTC; QL release 12 hour sm mucus relief max strength oral tablet EQ Mucus ER AL; OTC extended release 12 hour sm mucus relief oral tablet extended release EQ Mucus ER OTC; QL 12 hour sm night time cold & flu oral capsule Vicks NyQuil Cold & Flu AL; OTC sm tussin cf oral liquid Desgen DM OTC sm tussin cough/chest congest oral syrup Robafen DM Cough Clear OTC; QL sm tussin dm max oral liquid 10-200 mg/5ml Diabetic Tussin Max St OTC sm tussin dm max oral liquid 20-400 Delsym Cgh/Chest Cong AL; OTC mg/20ml DM Child sm tussin dm oral syrup Robafen DM Cough Clear OTC; QL sm tussin mucus+chest congest oral liquid Diabetic Tussin OTC sodium chloride inhalation nebulization Nebusal solution SORBUGEN NR ORAL LIQUID OTC; QL

150 Nombre del medicamento Referencia Notas SUDOGEST SINUS/ALLERGY ORAL OTC TABLET sw allergy relief-d oral tablet extended KLS Aller-Tec D PA; AL; OTC; QL release 12 hour tgt allergy/congestion relief oral tablet KLS AllerClear D-24HR OTC; QL extended release 24 hour tgt allergy+ congestion relief oral tablet Wal-Fex D Allergy & OTC; QL extended release 12 hour Congestion tgt cough formula dm oral liquid Diabetic Tussin DM OTC; QL tgt mucus/cough relief oral tablet Fenesin DM IR AL; OTC trymine cg oral liquid Mar-Cof CG Expectorant AL; OTC TUSNEL C ORAL SYRUP AL; OTC tusnel diabetic oral liquid Diabetic Tussin DM OTC; QL tussin cf cough & cold oral liquid Desgen DM OTC tussin cf oral liquid Desgen DM OTC tussin dm cough + chest oral liquid Diabetic Tussin DM OTC; QL tussin dm max adult oral liquid 10-200 Diabetic Tussin Max St OTC mg/5ml Delsym Cgh/Chest Cong tussin dm max adult oral liquid 5-100 mg/5ml AL; OTC DM Child tussin dm max oral liquid Diabetic Tussin Max St OTC tussin dm oral liquid Diabetic Tussin DM OTC; QL tussin dm oral syrup Robafen DM Cough Clear OTC; QL tussin mucus & chest congest oral liquid Diabetic Tussin OTC tussin mucus+chest congestion oral liquid Diabetic Tussin OTC tussin mucus+chest congestion oral syrup Diabetic Tussin EX OTC tussin multi-symptom cold cf oral liquid Desgen DM OTC tussin oral syrup Diabetic Tussin EX OTC VANATAB DM ORAL TABLET OTC VICKS DAYQUIL COLD & FLU ORAL OTC CAPSULE VICKS NYQUIL COLD & FLU NIGHT AL; OTC ORAL CAPSULE VICKS NYQUIL COLD & FLU ORAL AL; OTC CAPSULE virtussin a/c oral solution AL; OTC; QL virtussin ac w/alc oral liquid AL; OTC; QL WAL-ACT ORAL TABLET OTC

151 Nombre del medicamento Referencia Notas WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 12 OTC; QL HOUR WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 24 OTC; QL HOUR WAL-ITIN D 24 HOUR ORAL TABLET OTC; QL EXTENDED RELEASE 24 HOUR WAL-ITIN D ORAL TABLET EXTENDED OTC; QL RELEASE 12 HOUR WAL-PHED PE SINUS/ALLERGY ORAL OTC TABLET WAL-TUSSIN CHEST CONGESTION OTC ORAL LIQUID WAL-TUSSIN COUGH/CHEST DM ORAL OTC; QL SYRUP WAL-TUSSIN DM CGH/CHEST CONG OTC; QL ORAL LIQUID wal-tussin oral syrup Diabetic Tussin EX OTC WAL-ZYR D ORAL TABLET EXTENDED PA; AL; OTC; QL RELEASE 12 HOUR MEDICAMENTOS PARA ÚLCERAS Wal-Zan 150 Maximum acid control maximum strength oral tablet OTC; QL Strength acid controller max st oral tablet Pepcid OTC; QL acid controller oral tablet Pepcid AC OTC; QL acid reducer maximum strength oral tablet Pepcid OTC; QL acid reducer oral capsule delayed release OTC; QL acid reducer oral tablet Pepcid AC OTC; QL cimetidine 200 oral tablet Tagamet HB OTC cvs acid controller max st oral tablet Pepcid OTC; QL cvs acid controller oral tablet Pepcid AC OTC; QL Wal-Zan 150 Maximum cvs acid reducer max st oral tablet OTC; QL Strength cvs acid reducer oral tablet Wal-Zan 75 OTC; QL cvs esomeprazole magnesium oral capsule GoodSense OTC; QL delayed release Esomeprazole cvs heartburn relief oral tablet Tagamet HB OTC cvs lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release

152 Nombre del medicamento Referencia Notas cvs omeprazole oral capsule delayed OTC; QL release cvs omeprazole oral tablet delayed release OTC; QL cvs omeprazole oral tablet delayed release OTC dispersible cvs omeprazole-sod bicarbonate oral Zegerid OTC OTC; QL capsule cvs ranitidine oral tablet Wal-Zan 75 OTC; QL dicyclomine hcl oral capsule dicyclomine hcl oral solution dicyclomine hcl oral tablet eq acid reducer max st oral tablet Pepcid OTC; QL eq acid reducer oral tablet 10 mg Pepcid AC OTC; QL Wal-Zan 150 Maximum eq acid reducer oral tablet 150 mg OTC; QL Strength eq acid reducer oral tablet 200 mg Tagamet HB OTC eq acid reducer oral tablet 75 mg Wal-Zan 75 OTC; QL eq lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release eq omeprazole magnesium oral capsule OTC; QL delayed release eq omeprazole oral tablet delayed release OTC; QL eq omeprazole oral tablet delayed release OTC dispersible eq ranitidine oral tablet Wal-Zan 75 OTC; QL Wal-Zan 150 Maximum eql acid reducer oral tablet OTC; QL Strength eql heartburn prevention oral tablet Pepcid AC OTC; QL Wal-Zan 150 Maximum eql heartburn relief max st oral tablet OTC; QL Strength eql lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release eql omeprazole oral tablet delayed release OTC; QL esomeprazole magnesium capsule delayed GoodSense OTC release 20 mg oral (otc) Esomeprazole esomeprazole magnesium capsule delayed GoodSense OTC; QL release 20 mg oral (otc) Esomeprazole famotidine intravenous solution famotidine oral suspension reconstituted PA famotidine oral tablet 10 mg Pepcid AC OTC; QL

153 Nombre del medicamento Referencia Notas famotidine oral tablet 20 mg, 40 mg Pepcid QL glycopyrrolate oral tablet 1 mg, 2 mg glycopyrrolate oral tablet 1.5 mg Glycate PA Wal-Zan 150 Maximum gnp acid control 150 max st oral tablet OTC; QL Strength gnp acid reducer max st oral tablet Pepcid OTC; QL gnp acid reducer oral tablet Pepcid AC OTC; QL gnp esomeprazole magnesium oral capsule GoodSense OTC; QL delayed release Esomeprazole gnp heartburn relief oral tablet Tagamet HB OTC gnp lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release gnp omeprazole oral tablet delayed release OTC; QL gnp omeprazole oral tablet delayed release OTC dispersible goodsense acid reducer oral tablet Wal-Zan 75 OTC; QL GOODSENSE ESOMEPRAZOLE ORAL OTC; QL CAPSULE DELAYED RELEASE goodsense lansoprazole oral capsule Prevacid 24HR OTC; QL delayed release Wal-Zan 150 Maximum heartburn relief 150 max st oral tablet OTC; QL Strength heartburn relief max st oral tablet Pepcid OTC; QL heartburn relief oral tablet 10 mg Pepcid AC OTC; QL heartburn relief oral tablet 200 mg Tagamet HB OTC heartburn treatment 24 hour oral capsule Prevacid 24HR OTC; QL delayed release Wal-Zan 150 Maximum hm acid reducer max strength oral tablet OTC; QL Strength hm acid reducer oral tablet Wal-Zan 75 OTC; QL hm esomeprazole magnesium dr oral GoodSense OTC; QL capsule delayed release Esomeprazole hm famotidine oral tablet Pepcid AC OTC; QL hm lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release hm omeprazole oral tablet delayed release OTC; QL hyosyne oral elixir hyosyne oral solution kls acid controller max st oral tablet Pepcid OTC; QL

154 Nombre del medicamento Referencia Notas Wal-Zan 150 Maximum kls acid reducer max st oral tablet OTC; QL Strength kls acid reducer oral tablet Wal-Zan 75 OTC; QL kls esomeprazole magnesium oral capsule GoodSense OTC; QL delayed release Esomeprazole kls lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release kls omeprazole oral tablet delayed release OTC; QL kp omeprazole magnesium oral capsule OTC; QL delayed release lansoprazole oral capsule delayed release Prevacid 24HR OTC; QL misoprostol oral tablet Cytotec NEXIUM 24HR ORAL TABLET DELAYED OTC; QL RELEASE nizatidine oral capsule nizatidine oral solution PA omeprazole magnesium oral capsule OTC; QL delayed release PA; Preferred for Members less than 6 years of age. PA omeprazole oral capsule delayed release required for members greater than 6.; QL omeprazole oral tablet delayed release OTC; QL omeprazole oral tablet delayed release OTC dispersible omeprazole-sodium bicarbonate oral Zegerid OTC PA; OTC; QL capsule PREVACID 24HR ORAL CAPSULE OTC; QL DELAYED RELEASE PRILOSEC OTC ORAL TABLET OTC; QL DELAYED RELEASE propantheline bromide oral tablet Wal-Zan 150 Maximum px acid reducer max st oral tablet OTC; QL Strength px acid reducer oral tablet Pepcid AC OTC; QL px omeprazole oral tablet delayed release OTC; QL px ranitidine oral tablet Wal-Zan 75 OTC; QL qc acid controller max st oral tablet Pepcid OTC; QL qc acid controller oral tablet Pepcid AC OTC; QL qc omeprazole magnesium oral capsule OTC; QL delayed release 155 Nombre del medicamento Referencia Notas ra acid reducer max st oral tablet Pepcid OTC; QL ra acid reducer oral tablet Pepcid AC OTC; QL ra esomeprazole magnesium oral capsule GoodSense OTC; QL delayed release Esomeprazole ra lansoprazole oral capsule delayed release Prevacid 24HR OTC; QL ra omeprazole oral tablet delayed release OTC; QL ra omeprazole-sodium bicarb oral capsule Zegerid OTC OTC; QL ranitidine acid reducer oral tablet Wal-Zan 75 OTC; QL ranitidine hcl oral capsule 150 mg ranitidine hcl oral capsule 300 mg QL ranitidine hcl oral syrup Wal-Zan 150 Maximum ranitidine hcl oral tablet 150 mg QL Strength ranitidine hcl oral tablet 300 mg QL ranitidine hcl oral tablet 75 mg Wal-Zan 75 OTC; QL sb acid controller max st oral tablet Pepcid OTC; QL sb acid controller oral tablet Pepcid AC OTC; QL sb acid reducer oral tablet Pepcid AC OTC; QL sb acid reducer ranitidine oral tablet Wal-Zan 75 OTC; QL sb omeprazole oral tablet delayed release OTC; QL sm acid reducer max st oral tablet Pepcid OTC; QL sm acid reducer oral tablet 10 mg Pepcid AC OTC; QL sm acid reducer oral tablet 200 mg Tagamet HB OTC sm acid reducer oral tablet 75 mg Wal-Zan 75 OTC; QL sm esomeprazole magnesium oral capsule GoodSense OTC; QL delayed release Esomeprazole sm lansoprazole oral capsule delayed Prevacid 24HR OTC; QL release sm omeprazole oral tablet delayed release OTC; QL sucralfate oral suspension Carafate sucralfate oral tablet Carafate tgt acid reducer oral tablet Wal-Zan 75 OTC; QL tgt omeprazole oral tablet delayed release OTC; QL WAL-ZAN 150 MAXIMUM STRENGTH OTC; QL ORAL TABLET WAL-ZAN 75 ORAL TABLET OTC; QL ZEGERID OTC ORAL CAPSULE OTC; QL

156 Nombre del medicamento Referencia Notas MINERALES Y ELECTROLITOS CALCITRATE ORAL TABLET OTC calcium + vitamin d3 oral tablet chewable OTC calcium 500 + d oral tablet Os-Cal Calcium + D3 OTC calcium 500 + d3 oral tablet Os-Cal Calcium + D3 OTC calcium 500 +d oral tablet Oystercal-D OTC calcium 500/d oral tablet RA Hi Cal OTC calcium 500/d oral tablet chewable OTC calcium 500+d oral tablet Oystercal-D OTC calcium 500+d3 oral tablet Oystercal-D OTC calcium 600 + d oral tablet OTC calcium 600 oral tablet Caltrate 600 OTC calcium 600/vitamin d oral tablet OTC calcium 600+d3 oral tablet OTC calcium 600-d oral tablet OTC calcium carbonate oral tablet 1250 (500 ca) OTC; QL mg calcium carbonate oral tablet 1500 (600 ca) Caltrate 600 OTC mg calcium citrate + d oral tablet Calcitrate OTC calcium citrate + d3 maximum oral tablet Calcitrate OTC calcium citrate oral tablet OTC calcium citrate+d3 oral tablet Calcitrate OTC calcium citrate-vitamin d oral tablet Calcitrate OTC calcium citrate-vitamin d3 oral tablet Calcitrate OTC calcium extra d3 oral tablet Os-Cal Extra D3 OTC calcium oral tablet chewable OTC calcium oyster shell oral tablet OTC; QL calcium-folic acid plus d oral wafer calcium-vitamin d oral tablet Os-Cal Calcium + D3 OTC calcium-vitamin d3 oral tablet Oystercal-D OTC CALTRATE 600 ORAL TABLET OTC cvs calcium carbonate oral tablet OTC; QL cvs calcium citrate +d oral tablet Calcitrate OTC cvs magnesium oral tablet OTC eq calcium 500+d oral tablet Os-Cal Calcium + D3 OTC eq calcium citrate+d oral tablet Calcitrate OTC

157 Nombre del medicamento Referencia Notas eql calcium citrate/vitamin d oral tablet Calcitrate OTC eql calcium citrate/vitamin d3 oral tablet Calcitrate OTC eql calcium/vitamin d oral tablet OTC fluoritab oral solution NaFrinse Drops fluoritab oral tablet chewable Ludent FLURA-DROPS ORAL SOLUTION gnp calcium 500 +d3 oral tablet Os-Cal Extra D3 OTC gnp calcium 500/d oral tablet RA Hi Cal OTC gnp calcium citrate +d3 oral tablet Calcitrate OTC hm calcium citrate+vitamin d oral tablet Calcitrate OTC hm calcium-vitamin d oral tablet Os-Cal Calcium + D3 OTC KLOR-CON 10 ORAL TABLET EXTENDED RELEASE KLOR-CON M10 ORAL TABLET EXTENDED RELEASE KLOR-CON M15 ORAL TABLET EXTENDED RELEASE KLOR-CON M20 ORAL TABLET EXTENDED RELEASE KLOR-CON ORAL PACKET KLOR-CON ORAL TABLET EXTENDED RELEASE kp calcium citrate+d oral tablet Calcitrate OTC K-PRIME ORAL TABLET EFFERVESCENT K-TAB ORAL TABLET EXTENDED RELEASE LUDENT ORAL TABLET CHEWABLE MAG64 ORAL TABLET DELAYED OTC RELEASE MAGDELAY ORAL TABLET DELAYED OTC RELEASE MAGNEBIND 300 ORAL TABLET OTC magnesium oral tablet OTC magnesium oxide oral tablet 400 (240 mg) OTC; QL mg magnesium oxide oral tablet 500 mg OTC NAFRINSE DROPS ORAL SOLUTION NAFRINSE ORAL TABLET CHEWABLE

158 Nombre del medicamento Referencia Notas NU-MAG ORAL TABLET DELAYED OTC RELEASE oral electrolyte freezer pops oral solution Pedialyte OTC; QL oral electrolytes oral solution Pedialyte OTC; QL oscal 500/200 d-3 oral tablet RA Hi Cal OTC OS-CAL CALCIUM + D3 ORAL TABLET OTC OS-CAL EXTRA D3 ORAL TABLET OTC OYSCO 500 ORAL TABLET OTC; QL OYSCO 500+D ORAL TABLET OTC oyster calcium/d3 oral tablet Os-Cal Calcium + D3 OTC oyster shell calcium + d oral tablet Os-Cal Calcium + D3 OTC oyster shell calcium + d3 oral tablet Oystercal-D OTC oyster shell calcium 500+d oral tablet OTC chewable oyster shell calcium oral tablet 500 mg Oysco 500 OTC; QL oyster shell calcium oral tablet 500-400 mg- Oystercal-D OTC unit oyster shell calcium plus d oral tablet Os-Cal Calcium + D3 OTC oyster shell calcium/d oral tablet RA Hi Cal OTC oyster shell calcium/vitamin d oral tablet Os-Cal Calcium + D3 OTC OYSTERCAL ORAL TABLET OTC; QL OYSTERCAL-D ORAL TABLET OTC pa oyster shell calcium oral tablet RA Hi Cal OTC PEDIALYTE FREEZER POPS ORAL OTC; QL SOLUTION PEDIALYTE ORAL SOLUTION OTC; QL PEDIALYTE SINGLES ORAL SOLUTION OTC; QL pot bicarb-pot chloride oral tablet effervescent potassium bicarbonate oral tablet K-Prime effervescent potassium chloride crys er oral tablet Klor-Con M20 extended release potassium chloride er oral capsule extended Klor-Con Sprinkle release potassium chloride er oral tablet extended Klor-Con 10 release potassium chloride oral packet Klor-Con potassium chloride oral solution

159 Nombre del medicamento Referencia Notas ra calcium 600/vitamin d-3 oral tablet OTC ra calcium cit plus vit d-3 oral tablet Calcitrate OTC RA HI CAL ORAL TABLET OTC RA HI-CAL ORAL TABLET OTC; QL RA HI-CAL PLUS VITAMIN D ORAL OTC TABLET ra oyster shell calcium oral tablet Oysco 500 OTC; QL ra oyster shell calcium/d oral tablet RA Hi Cal OTC REHYDRALYTE ORAL SOLUTION OTC; QL sb oyster shell calcium oral tablet Oysco 500 OTC; QL sb pediatric electrolyte oral solution Pedialyte OTC; QL SLOW-MAG ORAL TABLET DELAYED OTC RELEASE sm calcium citrate w/vit d3 oral tablet Calcitrate OTC sm calcium citrate+/vit d3 oral tablet Calcitrate OTC sm calcium/vitamin d oral tablet Os-Cal Calcium + D3 OTC sm calcium-vitamin d oral tablet OTC sm oyster shell calcium/vit d3 oral tablet Oystercal-D OTC sm pediatric electrolyte oral solution Pedialyte OTC; QL sodium fluoride oral solution QL sodium fluoride oral tablet chewable Ludent MODULADORES DE SEROTONINA nefazodone hcl oral tablet trazodone hcl oral tablet MULTIVITAMINAS 50+ adult eye health oral capsule VIC-Forte OTC; QL a thru z advanced oral tablet Vitacel OTC; QL a thru z select 50+ advanced oral tablet Vitacel OTC; QL a thru z select 50+ mens oral tablet Vitacel OTC; QL a thru z select advanced oral tablet Vitacel OTC; QL a thru z select oral tablet Vitacel OTC; QL a thru z select ultimate women oral tablet Vitacel OTC; QL a thru z ultimate mens oral tablet Vitacel OTC; QL ABC PLUS SENIOR ADULTS 50+ ORAL OTC; QL TABLET actical oral capsule VIC-Forte OTC; QL adult one daily gummies oral tablet Advanced Multi EA OTC chewable

160 Nombre del medicamento Referencia Notas ADVANCED MULTI EA ORAL TABLET OTC CHEWABLE advanced stress formula/zinc oral tablet OTC; QL AIRBORNE GUMMIES ORAL TABLET OTC CHEWABLE AIRBORNE ORAL TABLET CHEWABLE OTC ALIVE GUMMIES FOR CHILDREN ORAL OTC TABLET CHEWABLE ALIVE MULTI-VITAMIN CHILDRENS OTC; QL ORAL TABLET CHEWABLE ALIVE ONCE DAILY WOMENS 50+ ORAL OTC; QL TABLET ALIVE PRENATAL ORAL TABLET AL; OTC CHEWABLE ALIVE WOMENS ENERGY ORAL TABLET OTC; QL ALIVE WOMENS GUMMY ORAL TABLET OTC CHEWABLE animal chews oral tablet chewable Animal Shapes OTC ANIMAL SHAPES ORAL TABLET OTC CHEWABLE animal shapes/iron oral tablet chewable OTC antioxidant a/c/e/selenium oral tablet Vitacel OTC; QL antioxidant formula oral tablet Vitacel OTC; QL antioxidant oral capsule VIC-Forte OTC; QL anti-oxidant oral tablet One Daily Essential OTC; QL AQUADEKS ORAL LIQUID OTC AQUADEKS ORAL TABLET CHEWABLE OTC ATABEX ORAL TABLET CHEWABLE OTC b complex formula 1 oral tablet OTC b complex oral capsule OTC b complex oral tablet OTC b complex vitamins oral capsule OTC b complex-b12 oral tablet OTC b complex-c oral tablet Allbee/C OTC; QL b complex-c-folic acid oral tablet OTC; QL b complex-vitamin c oral capsule OTC; QL balance b-100 oral tablet CVS Balanced B50 AL; OTC; QL balanced b complex cr oral tablet extended OTC; QL release

161 Nombre del medicamento Referencia Notas balanced b-50 complex oral tablet CVS Balanced B50 AL; OTC; QL b-complex balanced oral tablet OTC; QL b-complex/b-12 oral tablet OTC b-complex/vitamin c oral tablet OTC; QL b-complex-c oral tablet Allbee/C OTC; QL benfotiamine multi-b oral capsule OTC BIO-35 GLUTEN-FREE ORAL CAPSULE OTC; QL biocal oral capsule VIC-Forte OTC; QL biosupp oral liquid Biotect Plus OTC; QL BIOTECT PLUS ORAL LIQUID OTC; QL biotin plus/calcium/vit d3 oral tablet Vitacel OTC; QL biovol oral syrup OTC; QL body/hair/skin/nails oral capsule VIC-Forte OTC; QL BPROTECTED PEDIA POLY-VITE ORAL OTC SOLUTION BPROTECTED PEDIA POLY-VITE/FE OTC ORAL SOLUTION BPROTECTED PEDIA TRI-VITE ORAL OTC SOLUTION BRAINSTRONG PRENATAL ORAL OTC; QL cadeau dha oral capsule OTC; QL calna oral tablet OTC centamin oral liquid Biotect Plus OTC; QL centravites 50 plus oral tablet Vitacel OTC; QL centravites adults oral tablet Vitacel OTC; QL centravites oral tablet Vitacel OTC; QL CENTRUM FLAVOR BURST ADULT OTC ORAL TABLET CHEWABLE CENTRUM FLAVOR BURST KIDS ORAL OTC TABLET CHEWABLE CENTRUM MEN ORAL TABLET OTC; QL CENTRUM MULTIGUMMIES ORAL OTC TABLET CHEWABLE CENTRUM ORAL TABLET CHEWABLE OTC CENTRUM SILVER ORAL TABLET OTC CHEWABLE CENTRUM SILVER ULTRA WOMENS OTC; QL ORAL TABLET

162 Nombre del medicamento Referencia Notas CENTRUM SPECIALIST HEART ORAL OTC; QL TABLET CENTRUM SPECIALIST PRENATAL OTC ORAL CEROVITE ADVANCED FORMULA ORAL OTC; QL TABLET CEROVITE JR ORAL TABLET OTC; QL CHEWABLE CEROVITE SENIOR ORAL TABLET OTC; QL certa plus oral tablet Vitacel OTC; QL CERTAVITE SENIOR/ANTIOXIDANT OTC; QL ORAL TABLET CERTAVITE/ANTIOXIDANTS ORAL OTC; QL TABLET chewable vite childrens oral tablet chewable Animal Shapes OTC child chewable vitamins/iron oral tablet Flintstones Plus Iron OTC chewable childrens animal shapes oral tablet Alive Gummies for OTC; QL chewable Children childrens chewable vitamins oral tablet Animal Shapes OTC chewable Alive Gummies for childrens gummies oral tablet chewable OTC Children Alive Gummies for childrens multivitamin oral tablet chewable OTC; QL Children CHLOROCAPS ORAL CAPSULE OTC classic prenatal oral tablet AL; OTC; QL CLINICAL NUTRIENTS PRENATAL ORAL OTC TABLET cod liver oil w/vit a, c & d oral tablet OTC chewable companion oral tablet Vitacel OTC; QL COMPETE ORAL TABLET OTC; QL Alive Gummies for complete multi-vitamin oral tablet chewable OTC Children complete oral tablet Vitacel OTC; QL complete senior oral tablet Vitacel OTC; QL CORVITA ORAL TABLET CVS AIRSHIELD IMMUNITY SUPPORT OTC ORAL TABLET CHEWABLE cvs b complex plus c oral tablet Allbee/C OTC; QL 163 Nombre del medicamento Referencia Notas CVS BALANCED B50 ORAL TABLET AL; OTC; QL cvs chewable childrens vitamin oral tablet Alive Gummies for OTC chewable Children Alive Gummies for cvs childrens complete oral tablet chewable OTC; QL Children cvs daily gummies oral tablet chewable Advanced Multi EA OTC cvs daily multiple for men oral tablet Vitacel OTC; QL cvs daily multiple women 50+ oral tablet Vitacel OTC; QL cvs eye health & lutein oral tablet Vitacel OTC; QL Alive Gummies for cvs gummy dinos oral tablet chewable OTC Children cvs gummy multivitamin kids oral tablet Alive Gummies for OTC chewable Children cvs hair/skin/nails oral tablet Allerwell Allergy Formula OTC; QL cvs inner ear plus oral tablet CVS Balanced B50 AL; OTC; QL cvs mens daily gummies oral tablet Advanced Multi EA OTC chewable cvs one daily essential oral tablet Vitacel OTC; QL cvs one daily mens 50+ adv oral tablet Vitacel OTC; QL cvs one daily womens formula oral tablet Vitacel OTC; QL cvs prenatal gummy oral tablet chewable OTC 0.4-113.5 mg cvs prenatal gummy oral tablet chewable Alive Prenatal AL; OTC 0.4-25 mg cvs prenatal multi+dha oral capsule OTC cvs prenatal oral tablet NeoNatal Vitamin AL; OTC; QL cvs spectravite adult 50+ oral tablet Advanced Multi EA OTC chewable cvs spectravite advanced oral tablet Vitacel OTC; QL cvs spectravite senior oral tablet Vitacel OTC; QL cvs spectravite ultra men 50+ oral tablet Vitacel OTC; QL cvs spectravite ultra mens oral tablet Vitacel OTC; QL cvs spectravite ultra women oral tablet Vitacel OTC; QL cvs spectravite womens senior oral tablet Vitacel OTC; QL cvs super b complex/c oral tablet Allbee/C OTC; QL cvs womens active daily oral tablet Vitacel OTC; QL cvs womens daily gummies oral tablet Advanced Multi EA OTC chewable cvs womens prenatal+dha oral AL; OTC; QL

164 Nombre del medicamento Referencia Notas daily combo multi vitamins oral tablet Vitacel OTC; QL daily multiple vitamins oral tablet One Daily Essential OTC; QL daily multivitamin oral capsule VIC-Forte OTC; QL daily value multivitamin oral tablet One Daily Essential OTC; QL daily vitamin formula+iron oral tablet OTC; QL daily vitamin formula+minerals oral tablet Vitacel OTC; QL daily vitamin oral tablet One Daily Essential OTC; QL daily vitamins oral tablet One Daily Essential OTC; QL daily vite multivitamin/iron oral tablet OTC; QL daily vite oral tablet One Daily Essential OTC; QL daily vites oral tablet One Daily Essential OTC; QL daily-vitamin oral tablet One Daily Essential OTC; QL daily-vite oral tablet One Daily Essential OTC; QL daily-vite/iron/beta-carotene oral tablet OTC; QL DECUBI-VITE ORAL CAPSULE OTC; QL dekas bariatric oral tablet chewable Advanced Multi EA OTC dekas essential oral capsule Chlorocaps OTC Mommy's Bliss MV dekas essential oral liquid OTC Organic Drops dekas plus oral capsule VIC-Forte OTC; QL dekas plus oral liquid OTC dekas plus oral tablet chewable Advanced Multi EA OTC diabetes health formula oral tablet Vitacel OTC; QL dialyvite 800/ultra d oral tablet Vitacel OTC; QL DIALYVITE/ZINC ORAL TABLET DINO-LIFE ORAL TABLET CHEWABLE OTC DINO-LIFE W/EXTRA C ORAL TABLET OTC CHEWABLE DINO-LIFE W/IRON-ZINC ORAL TABLET OTC; QL CHEWABLE Alive Gummies for disney cars gummies oral tablet chewable OTC Children disney princess gummies oral tablet Alive Gummies for OTC chewable Children DRY EYE FORMULA ORAL CAPSULE OTC; QL ear health formula oral tablet CVS Balanced B50 AL; OTC; QL ear health plus oral tablet CVS Balanced B50 AL; OTC; QL ELDERTONIC ORAL LIQUID OTC; QL

165 Nombre del medicamento Referencia Notas EMERGEN-C VITAMIN C ORAL TABLET OTC CHEWABLE ENFAMIL EXPECTA ORAL OTC eq complete multivit adult 50+ oral tablet Vitacel OTC; QL eq complete multivitamin child oral tablet Alive Gummies for OTC; QL chewable Children eq complete multivitamin-adult oral tablet Vitacel OTC; QL eq multivitamin gummies oral tablet Alive Gummies for OTC chewable Children eq multivitamins gummy child oral tablet Alive Gummies for OTC chewable Children eq one daily mens health oral tablet Vitacel OTC; QL eq one daily womens health oral tablet Vitacel OTC; QL EQ ONE DAILY WOMENS PRO-ACTIVE OTC; QL ORAL TABLET eql century mature adults 50+ oral tablet Vitacel OTC; QL eql century mature oral tablet Vitacel OTC; QL eql century mens oral tablet Vitacel OTC; QL eql century oral tablet Vitacel OTC; QL eql child multivit/minerals oral tablet Alive Gummies for OTC; QL chewable Children Alive Gummies for eql gummies childrens oral tablet chewable OTC Children eql one daily mens 50+ advance oral tablet Vitacel OTC; QL eql one daily mens health oral tablet Vitacel OTC; QL eql one daily womens 50+ adv oral tablet Vitacel OTC; QL HM Vita-Mini Multi eql one daily womens oral tablet OTC; QL Complete eql prenatal formula oral tablet AL; OTC; QL eql stress b-complex c/zinc oral tablet OTC; QL eql super b complex/vitamin c oral tablet OTC; QL eql vision formula oral tablet Vitacel OTC; QL ESSENTIA ORAL TABLET OTC; QL essential balance oral tablet Vitacel OTC; QL eyeprotect oral tablet Vitacel OTC; QL ezfe forte oral capsule OTC FLINTSTONES COMPLETE ORAL OTC; QL TABLET CHEWABLE

166 Nombre del medicamento Referencia Notas FLINTSTONES GUMMIES BONE BUILD OTC; QL ORAL TABLET CHEWABLE FOLBEE PLUS CZ ORAL TABLET folbee plus oral tablet Dexifol freedavite oral tablet Vitacel OTC; QL geriaton oral liquid Eldertonic OTC; QL glucoten oral capsule VIC-Forte OTC; QL gnp b-complex plus vitamin c oral tablet OTC gnp century adults 50+ senior oral tablet Vitacel OTC; QL gnp century cardio health oral tablet Vitacel OTC; QL gnp century mature oral tablet Vitacel OTC; QL gnp century oral tablet Vitacel OTC; QL gnp century ultimate mens oral tablet Vitacel OTC; QL gnp century ultimate womens oral tablet Vitacel OTC; QL gnp childrens chewables/ex c oral tablet Dino-Life w/Extra C OTC chewable gnp childrens chewables/iron oral tablet Flintstones Plus Iron OTC chewable One-A-Day Womens gnp daily prenatal oral AL; OTC; QL Prenatal gnp diabetic support formula oral tablet Vitacel OTC; QL gnp essential one daily oral tablet One Daily Essential OTC; QL gnp hair/skin/nails oral tablet Vitacel OTC; QL gnp healthy eyes oral tablet Vitacel OTC; QL gnp healthy eyes supervision oral capsule VIC-Forte OTC; QL gnp little ones childrens oral tablet chewable Animal Shapes OTC gnp mega multi for men oral tablet Vitacel OTC; QL gnp mega multi for women oral tablet Vitacel OTC; QL gnp one daily maximum oral tablet Vitacel OTC; QL gnp one daily mens health 50+ oral tablet Vitacel OTC; QL gnp one daily mens/lycopene oral tablet Vitacel OTC; QL gnp one daily plus iron oral tablet OTC; QL gnp one daily womens 50+ oral tablet Vitacel OTC; QL HM Vita-Mini Multi gnp one daily womens health oral tablet OTC; QL Complete gnp one daily womens oral tablet Vitacel OTC; QL gnp prenatal oral tablet AL; OTC; QL gnp therapeutic-m oral tablet Vitacel OTC; QL

167 Nombre del medicamento Referencia Notas gnp zoochews gummies oral tablet Alive Gummies for OTC chewable Children goodsense prenatal vitamins oral tablet AL; OTC; QL GUMMI BEAR MULTIVITAMIN/MIN ORAL OTC TABLET CHEWABLE hair formula extra strength oral tablet Vitacel OTC; QL hair skin & nails advanced oral tablet Vitacel OTC; QL hair/skin/nails oral capsule VIC-Forte OTC; QL hair/skin/nails/biotin oral tablet Vitacel OTC; QL healthy eyes oral tablet Vitacel OTC; QL healthy eyes/lutein oral tablet Vitacel OTC; QL healthy hair/skin/nails oral tablet One Daily Essential OTC; QL HEALTHY KIDS OVERALL HEALTH OTC ORAL TABLET CHEWABLE HEALTHY MAMA BE WELL ROUNDED OTC ORAL THERAPY PACK Alive Gummies for hm animal shapes oral tablet chewable OTC; QL Children hm antioxidant vitamins oral tablet Vitacel OTC; QL hm complete 50+ mens ultimate oral tablet Vitacel OTC; QL hm complete 50+ oral tablet Vitacel OTC; QL hm complete 50+ women ultimate oral tablet Vitacel OTC; QL hm complete men oral tablet Vitacel OTC; QL hm complete oral tablet Vitacel OTC; QL hm complete women oral tablet Vitacel OTC; QL hm hair/skin/nails oral tablet Vitacel OTC; QL hm mens 50+ advanced one daily oral tablet Vitacel OTC; QL HM Vita-Mini Multi hm one daily essential oral tablet OTC; QL Complete hm one daily mens oral tablet Vitacel OTC; QL One-A-Day Womens hm one daily prenatal oral AL; OTC; QL Prenatal hm one daily womens oral tablet Vitacel OTC; QL hm one daily/iron oral tablet OTC; QL hm prenatal oral tablet AL; OTC; QL hm super vitamin b complex/c oral tablet OTC; QL hm vitamin b complex/vitamin c oral tablet OTC; QL hm womens 50+ advanced daily oral tablet Vitacel OTC; QL

168 Nombre del medicamento Referencia Notas HONEY BEARS ORAL TABLET OTC CHEWABLE HONEY BEARS W/IRON-ZINC ORAL OTC; QL TABLET CHEWABLE ICAPS AREDS FORMULA ORAL TABLET OTC; QL ICAPS LUTEIN & OMEGA-3 ORAL OTC; QL CAPSULE ICAPS MV ORAL TABLET OTC; QL ICAPS ORAL CAPSULE OTC; QL immune support oral tablet chewable Advanced Multi EA OTC i-vite oral tablet Vitacel OTC; QL i-vite protect oral tablet Vitacel OTC; QL kp adults 50+ daily formula oral tablet Vitacel OTC; QL kp adults daily formula oral tablet Vitacel OTC; QL kp b complex-c oral tablet OTC; QL kp mens 50+ daily formula oral tablet Vitacel OTC; QL kp mens daily formula oral tablet Vitacel OTC; QL kp prenatal multivitamins oral tablet AL; OTC; QL KP VISION FORMULA ORAL TABLET OTC; QL KP VISION FORMULA/LUTEIN ORAL OTC; QL TABLET kp womens 50+ daily formula oral tablet Vitacel OTC; QL kp womens daily formula oral tablet Vitacel OTC; QL K-PAX IMMUNE PROFESSIONAL ST OTC; QL ORAL TABLET kpn prenatal oral tablet AL; OTC; QL LIPOFLAVOVIT ORAL TABLET AL; OTC; QL LYSIPLEX PLUS ORAL LIQUID OTC; QL MACULAR HEALTH FORMULA ORAL OTC; QL CAPSULE MACUVITE EYE CARE ORAL TABLET OTC; QL MACUVITE/LUTEIN ORAL TABLET OTC; QL magnum-75 oral tablet extended release Endur-VM OTC; QL maximum daily green oral tablet Vitacel OTC; QL MEGA MULTI MEN ORAL TABLET OTC; QL mega multiple/chelated mineral oral tablet CVS Balanced B50 AL; OTC; QL mega multivitamin for men oral tablet Vitacel OTC; QL mega multivitamin for women oral tablet Vitacel OTC; QL

169 Nombre del medicamento Referencia Notas mega-marathon 100 tr oral tablet extended Endur-VM OTC; QL release megavite fruits & veggies oral tablet Vitacel OTC; QL megavite golden years 55+ oral tablet Vitacel OTC; QL mens daily formula/lycopene oral capsule VIC-Forte OTC; QL MILLTRIUM SENIOR ORAL TABLET OTC; QL multi + omega-3 adult gummies oral tablet Advanced Multi EA OTC chewable multi adult gummies oral tablet chewable Advanced Multi EA OTC multi complete/iron oral tablet Vitacel OTC; QL multi for her 50+ oral capsule VIC-Forte OTC; QL multi for her 50+ oral tablet Vitacel OTC; QL multi for her oral capsule VIC-Forte OTC; QL multi for her oral tablet Vitacel OTC; QL multi for him 50+ oral tablet Vitacel OTC; QL MULTI FOR HIM ORAL TABLET OTC; QL multi prenatal oral tablet NeoNatal Vitamin AL; OTC; QL multi vitamin daily oral tablet One Daily Essential OTC; QL multi vitamin mens oral tablet One Daily Essential OTC; QL multi vitamin/minerals oral tablet Vitacel OTC; QL multi-day oral tablet One Daily Essential OTC; QL multi-day plus iron oral tablet OTC; QL multi-day plus minerals oral tablet Vitacel OTC; QL NovaMV Pediatric Multi- multi-delyn oral liquid OTC Vitamin multi-delyn/iron oral liquid OTC multilex oral tablet Vitacel OTC; QL multilex-t&m oral tablet Vitacel OTC; QL multiple vit/minerals/no iron oral tablet Vitacel OTC; QL multiple vitamin-folic acid oral tablet One Daily Essential OTC; QL multiple vitamins essential oral tablet One Daily Essential OTC; QL multiple vitamins oral tablet One Daily Essential OTC; QL multiple vitamins/iron oral tablet OTC; QL multi-vit/iron/fluoride oral solution multivitamin & mineral oral liquid Biotect Plus OTC; QL multivitamin adult extra c oral tablet Advanced Multi EA OTC chewable multivitamin adult oral tablet Vitacel OTC; QL

170 Nombre del medicamento Referencia Notas multivitamin adult oral tablet chewable Advanced Multi EA OTC multivitamin adults 50+ oral tablet Vitacel OTC; QL multivitamin adults oral tablet Vitacel OTC; QL multi-vitamin daily oral tablet One Daily Essential OTC; QL multivitamin gummies adult oral tablet Advanced Multi EA OTC chewable multivitamin gummies mens oral tablet Advanced Multi EA OTC chewable multi-vitamin gummies oral tablet chewable Advanced Multi EA OTC multivitamin gummies womens oral tablet Advanced Multi EA OTC chewable multi-vitamin hp/minerals oral capsule OTC multivitamin iron-free oral tablet One Daily Essential OTC; QL multivitamin men 50+ oral tablet Vitacel OTC; QL multivitamin men oral tablet Vitacel OTC; QL multi-vitamin monocaps oral tablet Vitacel OTC; QL multi-vitamin oral tablet One Daily Essential OTC; QL multivitamin/extra vitamin d3 oral tablet Advanced Multi EA OTC chewable multivitamin/fluoride oral solution Floriva Plus multi-vitamin/fluoride oral solution Floriva Plus multivitamin/fluoride oral tablet chewable MVC-Fluoride multivitamin/fluoride/iron oral solution multi-vitamin/fluoride/iron oral solution multi-vitamin/minerals oral tablet Vitacel OTC; QL Mommy's Bliss MV multivitamin+ oral liquid OTC Organic Drops multivitamins oral capsule Chlorocaps OTC multi-vitamins oral tablet One Daily Essential OTC; QL multivitamins/fluoride oral tablet chewable MVC-Fluoride MVC-FLUORIDE ORAL TABLET CHEWABLE MVW COMPLETE FORMULATION D3000 OTC ORAL TABLET CHEWABLE MVW COMPLETE FORMULATION D5000 OTC ORAL TABLET CHEWABLE mynephrocaps oral capsule Mynephron MYNEPHRON ORAL CAPSULE my-vitalife oral capsule VIC-Forte OTC; QL

171 Nombre del medicamento Referencia Notas NEONATAL VITAMIN ORAL TABLET AL; OTC; QL NEPHPLEX RX ORAL TABLET NESTABS ORAL TABLET AL; QL no iron mult vitamin-minerals oral tablet Vitacel OTC; QL NOVAMV PEDIATRIC MULTI-VITAMIN OTC ORAL LIQUID OBTREX ORAL TABLET AL; OTC; QL ocutabs oral tablet Vitacel OTC; QL ocutabs-lutein oral tablet Vitacel OTC; QL OCUVITE ADULT 50+ ORAL CAPSULE OTC; QL OCUVITE EYE + MULTI ORAL TABLET OTC; QL OCUVITE EYE HEATLH GUMMIES ORAL OTC TABLET CHEWABLE OCUVITE-LUTEIN ORAL CAPSULE OTC; QL OCUVITE-LUTEIN ORAL TABLET OTC; QL once daily oral tablet One Daily Essential OTC; QL once daily/iron oral tablet OTC; QL ONCOVITE ORAL TABLET OTC; QL ONE A DAY PRENATAL ORAL TABLET AL; OTC CHEWABLE one daily calcium/iron oral tablet Vitacel OTC; QL one daily complete oral tablet Vitacel OTC; QL ONE DAILY ESSENTIAL ORAL TABLET OTC; QL one daily for men 50+ advanced oral tablet Vitacel OTC; QL one daily for men/lycopene oral tablet Vitacel OTC; QL one daily for women 50+ adv oral tablet Vitacel OTC; QL one daily for women oral tablet Vitacel OTC; QL one daily healthy weight adv oral tablet Vitacel OTC; QL one daily maximum oral tablet Vitacel OTC; QL one daily mens 50+ multivit oral tablet Vitacel OTC; QL one daily mens health oral tablet Vitacel OTC; QL one daily mens oral tablet Vitacel OTC; QL one daily multivitamin/iron oral tablet OTC; QL one daily oral tablet One Daily Essential OTC; QL ONE DAILY PLUS IRON ORAL TABLET OTC; QL one daily plus minerals oral tablet Vitacel OTC; QL one daily womens 50 plus oral tablet Vitacel OTC; QL one daily womens 50+ oral tablet Vitacel OTC; QL 172 Nombre del medicamento Referencia Notas one daily/minerals oral tablet Vitacel OTC; QL ONE-A-DAY ENERGY ORAL TABLET OTC; QL ONE-A-DAY MENOPAUSE FORMULA OTC; QL ORAL TABLET ONE-A-DAY MENS 50+ ADVANTAGE OTC; QL ORAL TABLET ONE-A-DAY MENS HEALTH FORMULA OTC; QL ORAL TABLET ONE-A-DAY MENS VITACRAVES ORAL OTC TABLET CHEWABLE ONE-A-DAY PROACTIVE 65+ ORAL OTC; QL TABLET ONE-A-DAY TEEN ADVANTAGE/HER OTC; QL ORAL TABLET ONE-A-DAY TEEN ADVANTAGE/HIM OTC; QL ORAL TABLET ONE-A-DAY VITACRAVES ADULT ORAL OTC TABLET CHEWABLE ONE-A-DAY VITACRAVES IMMUNITY OTC ORAL TABLET CHEWABLE ONE-A-DAY VITACRAVES ORAL TABLET OTC CHEWABLE ONE-A-DAY VITACRAVES SOUR ORAL OTC TABLET CHEWABLE ONE-A-DAY WOMENS PRENATAL 1 OTC ORAL CAPSULE ONE-A-DAY WOMENS PRENATAL ORAL OTC 28-0.8 & 223 MG ONE-A-DAY WOMENS PRENATAL ORAL AL; OTC; QL 28-0.8 & 440 MG ONE-A-DAY WOMENS VITACRAVES OTC ORAL TABLET CHEWABLE one-daily multi vitamins oral tablet One Daily Essential OTC; QL one-daily/iron oral tablet OTC; QL OPTISOURCE POST BARIATRIC SURG OTC ORAL TABLET CHEWABLE OPTIVITE P.M.T. ORAL TABLET OTC; QL OPURITY BYPASS OPTIMIZED ORAL OTC TABLET CHEWABLE pa b-complex with b-12 oral tablet OTC pa prenatal formula oral tablet OTC

173 Nombre del medicamento Referencia Notas parvlex oral tablet Vitacel OTC; QL PEDIAVIT ORAL LIQUID OTC PERRY PRENATAL ORAL CAPSULE AL; OTC; QL PHYTOMULTI ORAL TABLET OTC; QL poly vitamin oral tablet chewable Animal Shapes OTC POLY-VI-SOL ORAL SOLUTION OTC POLY-VI-SOL/IRON ORAL SOLUTION OTC BProtected Pedia Poly- polyvitamin oral solution OTC Vite Alive Gummies for polyvitamin/iron oral tablet chewable OTC; QL Children BProtected Pedia Poly- poly-vite pediatric oral solution OTC Vite prenatal + complete multi oral therapy pack OTC prenatal adult gummy/dha/fa oral tablet Alive Prenatal AL; OTC chewable prenatal complete oral tablet AL; OTC; QL prenatal formula a-free oral tablet OTC prenatal formula oral capsule OTC pre-natal formula oral tablet AL; OTC; QL prenatal forte oral tablet AL; OTC; QL prenatal gummies/dha & fa oral tablet OTC chewable prenatal low iron oral tablet NeoNatal Vitamin AL; OTC; QL prenatal multi +dha oral capsule OTC PRENATAL MULTIVITAMIN + DHA ORAL OTC prenatal multivitamin plus dha oral capsule OTC prenatal one daily oral tablet NeoNatal Vitamin AL; OTC; QL prenatal oral tablet 27-0.8 mg NeoNatal Vitamin AL; OTC; QL prenatal oral tablet 28-0.8 mg AL; OTC; QL prenatal oral tablet 6.75-0.2 mg OTC prenatal vitamin and mineral oral tablet AL; OTC; QL prenatal vitamin oral tablet NeoNatal Vitamin AL; OTC; QL prenatal vitamins oral tablet AL; OTC; QL prenatal/iron oral tablet AL; OTC; QL prenatal/omega-3/fa/iron oral capsule Your Life Multi Prenatal OTC prenatal+dha oral AL; OTC; QL

174 Nombre del medicamento Referencia Notas PRESERVISION AREDS 2 ORAL OTC; QL CAPSULE PRESERVISION AREDS ORAL CAPSULE OTC; QL PRESERVISION AREDS ORAL TABLET OTC; QL PRESERVISION/LUTEIN ORAL CAPSULE OTC; QL prevent oral capsule VIC-Forte OTC; QL PRO-CAL ORAL TABLET OTC; QL PROCERV HP ORAL TABLET OTC; QL PRORENAL + D ORAL TABLET OTC; QL PRORENAL + D W/ OMEGA-3 ORAL OTC; QL CAPSULE PROSIGHT ORAL CAPSULE OTC; QL PROSIGHT ORAL TABLET OTC; QL PROTECT CARDIO AF ORAL CAPSULE OTC; QL PROTECT PLUS SO ORAL CAPSULE OTC; QL PX CHILDRENS VITAMIN ORAL TABLET OTC; QL CHEWABLE px complete senior multivits oral tablet Vitacel OTC; QL px prenatal multivitamins oral tablet AL; OTC; QL qc b-complex/vitamin c oral tablet OTC Alive Gummies for qc childrens complete oral tablet chewable OTC; QL Children qc daily multivit/multimineral oral tablet Vitacel OTC; QL qc essentials oral tablet One Daily Essential OTC; QL qc prenatal oral tablet AL; OTC; QL quin b strong oral tablet Vitacel OTC; QL quintabs oral tablet One Daily Essential OTC; QL ra b-complex oral tablet OTC ra b-complex with b-12 oral tablet OTC ra b-complex/vitamin c cr oral tablet OTC; QL extended release ra central-vite energy oral tablet Vitacel OTC; QL RA CENTRAL-VITE ORAL TABLET OTC; QL ra central-vite performance oral tablet Allerwell Allergy Formula OTC; QL ra central-vite senior oral tablet Vitacel OTC; QL ra central-vite under 50 mens oral tablet Vitacel OTC; QL ra central-vite under 50 women oral tablet Vitacel OTC; QL ra central-vite womens mature oral tablet Vitacel OTC; QL

175 Nombre del medicamento Referencia Notas ra ear care oral tablet Allerwell Allergy Formula OTC; QL ra gummy vitamins & minerals oral tablet Alive Gummies for OTC chewable Children ra one daily energy formula oral tablet Vitacel OTC; QL ra one daily essential oral tablet One Daily Essential OTC; QL ra one daily gummy vites oral tablet Advanced Multi EA OTC chewable ra one daily maximum oral tablet Vitacel OTC; QL ra one daily mens 50+ w/vit d3 oral tablet Vitacel OTC; QL ra one daily mens/vit d-3 oral tablet Vitacel OTC; QL ra one daily multi-vit plus fe oral tablet OTC; QL ra one daily multi-vitamin oral tablet One Daily Essential OTC; QL One-A-Day Womens ra one daily oral AL; OTC; QL Prenatal ra one daily womens oral tablet Vitacel OTC; QL ra prenatal formula oral tablet AL; OTC; QL ra prenatal oral tablet AL; OTC; QL ra therapeutic m plus beta car oral tablet Vitacel OTC; QL ra vision vite plus zinc oral tablet Vitacel OTC; QL ra vitamins complete childrens oral tablet Alive Gummies for OTC; QL chewable Children RA WHOLE SOURCE DIETARY MATURE OTC; QL ORAL TABLET RA WHOLE SOURCE DIETARY ORAL OTC; QL TABLET RA WHOLE SOURCE FOR MEN ORAL OTC; QL TABLET RENAL ORAL CAPSULE RENAPLEX ORAL TABLET OTC; QL RENAPLEX-D ORAL TABLET OTC; QL RIGHT STEP PRENATAL ORAL TABLET AL; OTC; QL risanoid plus oral tablet CVS Balanced B50 AL; OTC; QL SAVISION ORAL TABLET OTC; QL SEA BUDDIES DAILY MULTIPLE ORAL OTC; QL TABLET CHEWABLE senior tabs oral tablet Vitacel OTC; QL sentry adult oral tablet Vitacel OTC; QL sentry oral tablet Vitacel OTC; QL sentry senior oral tablet Vitacel OTC; QL

176 Nombre del medicamento Referencia Notas SIGTAB ORAL TABLET OTC; QL SIMILAC PRENATAL EARLY SHIELD OTC ORAL sm animal shapes complete oral tablet Alive Gummies for OTC; QL chewable Children sm antioxidant vitamins oral tablet Vitacel OTC; QL sm b super vitamin complex oral tablet OTC; QL sm b-complex/vitamin c oral tablet OTC; QL sm complete 50+ oral tablet Vitacel OTC; QL sm complete 50+ ultimate mens oral tablet Vitacel OTC; QL sm complete 50+ ultimate women oral tablet Vitacel OTC; QL sm complete advanced formula oral tablet Vitacel OTC; QL sm complete oral tablet Vitacel OTC; QL sm complete senior formula oral tablet Vitacel OTC; QL sm hair/skin/nails oral tablet Vitacel OTC; QL sm multiple vitamins essential oral tablet One Daily Essential OTC; QL sm multiple vitamins/iron oral tablet OTC; QL sm one daily mens oral tablet Vitacel OTC; QL One-A-Day Womens sm one daily prenatal oral AL; OTC; QL Prenatal sm one daily womens oral tablet Vitacel OTC; QL sm opti-vitamins oral tablet Vitacel OTC; QL sm prenatal vitamins oral tablet AL; OTC; QL sm super b complex/c oral tablet Allbee/C OTC; QL SMARTY PANTS KIDS COMPLETE ORAL OTC TABLET CHEWABLE solo oral tablet Vitacel OTC; QL SPIDER-MAN COMPLETE MULTI-VIT OTC ORAL TABLET CHEWABLE SPONGEBOB SQUAREPANTS GUMMIES OTC ORAL TABLET CHEWABLE stress b/zinc oral tablet OTC; QL stress b-complex/vit c/zinc oral tablet OTC; QL stress formula oral tablet OTC; QL stress formula/iron oral tablet OTC; QL stress formula/zinc oral tablet OTC; QL STRESSTABS ADVANCED ORAL OTC; QL TABLET STRESSTABS ENERGY ORAL TABLET OTC; QL 177 Nombre del medicamento Referencia Notas STUART ONE ORAL CAPSULE OTC SUNVITE ADVANCED ORAL TABLET OTC; QL super antioxidant oral capsule VIC-Forte OTC; QL super b complex/fa/vit c oral tablet OTC; QL super b/c oral capsule OTC; QL super b-complex/vit c/fa oral tablet OTC; QL super multiple oral capsule VIC-Forte OTC; QL super multiple oral tablet Vitacel OTC; QL super natrul-100 oral tablet extended Endur-VM OTC; QL release super thera vite m oral tablet Vitacel OTC; QL superior 35 oral tablet extended release Endur-VM OTC; QL superplex-t oral tablet Allbee/C OTC; QL support oral liquid Biotect Plus QL TAB-A-VITE ORAL TABLET OTC; QL TAB-A-VITE/BETA CAROTENE ORAL OTC; QL TABLET tab-a-vite/iron oral tablet OTC; QL THERA M PLUS ORAL TABLET OTC; QL THERA ORAL TABLET OTC; QL THERAGRAN-M PREMIER 50 PLUS ORAL OTC; QL TABLET thera-m oral tablet Vitacel OTC; QL thera-mill oral tablet One Daily Essential OTC; QL THERANATAL COMPLETE ORAL OTC THERANATAL CORE NUTRITION ORAL AL; OTC; QL TABLET THERANATAL ONE ORAL CAPSULE OTC therapeutic oral tablet One Daily Essential OTC; QL therapeutic-m/lutein oral tablet Vitacel OTC; QL thera-tabs m oral tablet Vitacel OTC; QL thera-tabs oral tablet One Daily Essential OTC; QL THERATRUM COMPLETE 50 PLUS ORAL OTC; QL TABLET THERATRUM COMPLETE ORAL TABLET OTC; QL THEREMS ORAL TABLET OTC; QL THEREMS-M ORAL TABLET OTC; QL total b/c oral tablet Allbee/C OTC; QL

178 Nombre del medicamento Referencia Notas totalday multiple oral tablet extended release Endur-VM OTC; QL triphrocaps oral capsule Mynephron TRI-VI-SOL ORAL SOLUTION OTC tri-vitamin/fluoride oral solution tri-vite pediatric oral solution BProtected Pedia Tri-Vite OTC tri-vite/fluoride oral solution ULTRA CHOICE MULTIVITAMIN KIDS OTC ORAL TABLET CHEWABLE ultra freeda oral tablet Vitacel OTC; QL ultra freeda/iron oral tablet Vitacel OTC; QL ultra-mega oral tablet extended release Endur-VM OTC; QL unicomplex-m oral tablet Vitacel OTC; QL urosex oral tablet Allerwell Allergy Formula QL v-c forte oral capsule VIC-Forte QL VIC-FORTE ORAL CAPSULE QL VINATE CARE ORAL TABLET AL; OTC; QL CHEWABLE vision formula 2 oral capsule VIC-Forte OTC; QL vision formula eye health oral capsule VIC-Forte OTC; QL vision formula/lutein oral tablet Vitacel OTC; QL vision vitamins oral tablet Vitacel OTC; QL vit e-vit c-beta carotene oral tablet One Daily Essential OTC; QL vitabex plus oral capsule VIC-Forte OTC; QL VITACEL ORAL TABLET QL vitachew multiple vitamin oral tablet Alive Gummies for OTC chewable Children vitalee oral tablet One Daily Essential OTC; QL vitamin b complex oral tablet OTC vitamin b complex-c oral capsule OTC; QL vitamin b-complex oral tablet OTC vitamin d3 complete oral tablet Vitacel OTC; QL vitamin-b complex oral tablet OTC vitamins acd-fluoride oral solution vitamins a-d-e/selenium oral tablet Vitacel OTC; QL vitamins for hair oral tablet Allerwell Allergy Formula OTC; QL vitamins/minerals oral tablet Vitacel OTC; QL vitatrum oral tablet Vitacel OTC; QL vitrum 50+ senior multi oral tablet Vitacel OTC; QL 179 Nombre del medicamento Referencia Notas VITRUM SENIOR ORAL TABLET OTC; QL wegmans complete prenatal+dha oral AL; OTC; QL womens daily form/fa/ca/fe oral tablet Vitacel OTC; QL womens daily formula oral tablet Vitacel OTC; QL womens one daily oral tablet Vitacel OTC; QL YELETS TEENAGE FORMULA ORAL OTC; QL TABLET YOUR LIFE MULTI ADULT GUMMIES OTC ORAL TABLET CHEWABLE YOUR LIFE MULTI PRENATAL ORAL OTC CAPSULE Alive Gummies for zoo friends gummies oral tablet chewable OTC Children zoo friends gummies plus d oral tablet Alive Gummies for OTC chewable Children ZOO FRIENDS MULTI GUMMIES ORAL OTC TABLET CHEWABLE Alive Gummies for zoo friends oral tablet chewable OTC; QL Children zoo friends plus iron oral tablet chewable Flintstones Plus Iron OTC NUTRIENTES kelp-b6-lecithin-vinegar oral capsule OTC prenatal dha oral capsule OTC PROCEL 100 ORAL POWDER OTC protein oral powder OTC pyridoxine-kelp-lect-vinegar oral tablet OTC OXITÓCICOS methylergonovine maleate injection solution methylergonovine maleate oral tablet Methergine PENICILINAS amoxicillin oral capsule amoxicillin oral suspension reconstituted QL amoxicillin oral tablet amoxicillin oral tablet chewable amoxicillin-pot clavulanate er oral tablet QL extended release 12 hour amoxicillin-pot clavulanate oral suspension Augmentin ES-600 reconstituted amoxicillin-pot clavulanate oral tablet

180 Nombre del medicamento Referencia Notas amoxicillin-pot clavulanate oral tablet chewable ampicillin oral capsule dicloxacillin sodium oral capsule penicillin v potassium oral solution reconstituted penicillin v potassium oral tablet PRODUCTOS DE DIAGNÓSTICO AZO TEST IN VITRO STRIP OTC CHEMSTRIP 10 MD IN VITRO STRIP OTC CHEMSTRIP 10/SG IN VITRO STRIP OTC CHEMSTRIP 2 GP IN VITRO STRIP OTC CHEMSTRIP 5 OB IN VITRO STRIP OTC CHEMSTRIP 7 IN VITRO STRIP OTC CHEMSTRIP 9 IN VITRO STRIP OTC CHEMSTRIP K IN VITRO STRIP OTC; QL CONTOUR NEXT TEST IN VITRO STRIP PA; OTC; QL CONTOUR TEST IN VITRO STRIP PA; OTC; QL cosyntropin injection solution reconstituted Cortrosyn QL CVS KETONE CARE IN VITRO STRIP OTC; QL DIASTIX IN VITRO STRIP OTC; QL FORA GTEL BLOOD KETONE TEST IN OTC; QL VITRO STRIP FREESTYLE INSULINX TEST IN VITRO PA; OTC; QL STRIP FREESTYLE LITE TEST IN VITRO STRIP PA; OTC; QL FREESTYLE TEST IN VITRO STRIP PA; OTC; QL GLUCAGEN DIAGNOSTIC INJECTION QL SOLUTION RECONSTITUTED KETOSTIX IN VITRO STRIP OTC; QL NOVA MAX PLUS KETONE TEST IN OTC; QL VITRO STRIP ONETOUCH ULTRA BLUE IN VITRO PA; OTC; QL STRIP ONETOUCH VERIO IN VITRO STRIP PA; OTC; QL PRECISION XTRA BLOOD GLUCOSE IN PA; OTC; QL VITRO STRIP PRECISION XTRA KETONE IN VITRO OTC; QL STRIP

181 Nombre del medicamento Referencia Notas PTS PANELS KETONE TEST IN VITRO OTC; QL STRIP RELION KETONE IN VITRO STRIP OTC; QL RELION KETONE TEST IN VITRO STRIP OTC; QL TRUE METRIX BLOOD GLUCOSE TEST OTC; QL IN VITRO STRIP TRUETEST TEST IN VITRO STRIP OTC; QL urinary tract infection test in vitro strip Reveal Urinary Tract OTC PRODUCTOS DIETARIOS/PRODUCTOS DE CONTROL DIETARIO BRIGHT BEGINNINGS SOY ORAL LIQUID OTC ELFOLATE ORAL TABLET FOLBIC ORAL TABLET QL l-methylfolate calcium oral tablet Elfolate l-methylfolate oral tablet Elfolate PROSOURCE ORAL POWDER OTC SCANDICAL ORAL POWDER OTC SCANDISHAKE (ASPARTAME) ORAL OTC PACKET SCANDISHAKE ORAL POWDER OTC PRODUCTOS DIGESTIVOS CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 12000 UNIT, QL 24000-76000 UNIT, 6000 UNIT CREON ORAL CAPSULE DELAYED RELEASE PARTICLES 3000-9500 UNIT, 36000 UNIT PRODUCTOS PARA TRATAR LAS MIGRAÑAS ergotamine-caffeine oral tablet Cafergot MIGERGOT RECTAL SUPPOSITORY naratriptan hcl oral tablet Amerge QL sumatriptan nasal solution Imitrex PA; QL sumatriptan succinate oral tablet Imitrex QL sumatriptan succinate refill subcutaneous Imitrex STATdose Refill PA; QL solution cartridge sumatriptan succinate subcutaneous Imitrex PA; QL solution

182 Nombre del medicamento Referencia Notas sumatriptan succinate subcutaneous Imitrex STATdose System PA; QL solution auto-injector sumatriptan succinate subcutaneous QL solution prefilled syringe PRODUCTOS VAGINALES CLEOCIN VAGINAL SUPPOSITORY clindamycin phosphate vaginal cream Cleocin clotrimazole vaginal cream Gyne-Lotrimin OTC; QL clotrimazole-7 vaginal cream Gyne-Lotrimin OTC; QL cvs miconazole 7 vaginal cream Monistat 7 Simply Cure OTC eq miconazole 7 day treatment vaginal Monistat 7 Simply Cure OTC cream eq miconazole 7 vaginal cream Monistat 7 Simply Cure OTC eql miconazole 7 vaginal cream Monistat 7 Simply Cure OTC estradiol vaginal tablet Yuvafem gnp miconazole 7 vaginal cream Monistat 7 Simply Cure OTC metronidazole vaginal gel Vandazole miconazole 3 vaginal suppository miconazole 7 vaginal cream Monistat 7 Simply Cure OTC miconazole 7 vaginal suppository OTC miconazole nitrate vaginal cream Monistat 7 Simply Cure OTC PREMARIN VAGINAL CREAM PA qc miconazole 7 vaginal cream Monistat 7 Simply Cure OTC ra clotrimazole 7 vaginal cream Gyne-Lotrimin OTC; QL ra miconazole 7 vaginal cream Monistat 7 Simply Cure OTC sm clotrimazole vaginal vaginal cream Gyne-Lotrimin OTC; QL sm miconazole 7 vaginal cream Monistat 7 Simply Cure OTC sm miconazole 7 vaginal suppository OTC terconazole vaginal cream QL terconazole vaginal suppository QL tgt miconazole 7 vaginal cream Monistat 7 Simply Cure OTC VANDAZOLE VAGINAL GEL YUVAFEM VAGINAL TABLET PROGESTINAS hydroxyprogesterone caproate intramuscular Makena PA; SP; QL oil MAKENA SUBCUTANEOUS SOLUTION PA; SP; QL AUTO-INJECTOR

183 Nombre del medicamento Referencia Notas medroxyprogesterone acetate oral tablet Provera QL norethindrone acetate oral tablet Aygestin progesterone micronized oral capsule Prometrium QL QUÍMICOS cvs isopropyl alcohol solution OTC cvs rubbing alcohol solution OTC eql isopropyl alcohol solution OTC eql isopropyl rubbing alcohol solution OTC glycerin solution gnp isopropyl alcohol solution OTC goodsense isopropyl alcohol solution OTC hm isopropyl alcohol solution OTC isopropanol solution isopropyl alcohol (rubbing) solution OTC isopropyl alcohol solution OTC isopropyl alcohol, rubbing solution OTC meijer isopropyl alcohol solution OTC qc isopropyl rubbing alcohol solution OTC ra isopropyl alcohol solution OTC ra isopropyl rubbing alcohol solution OTC sm alcohol solution OTC sm isopropyl alcohol solution OTC SULFONAMIDAS sulfadiazine oral tablet TDAH/ANTINARCOLEPSIA/ANTIOBÉS ICOS/ANOREXÍGENOS amphetamine-dextroamphet er oral capsule Adderall XR AL; QL extended release 24 hour amphetamine-dextroamphetamine oral Adderall AL tablet atomoxetine hcl oral capsule Strattera AL; QL caffeine citrate intravenous solution Cafcit caffeine citrate oral solution clonidine hcl er oral tablet extended release Kapvay AL; QL 12 hour dexmethylphenidate hcl er oral capsule Focalin XR AL; QL extended release 24 hour dexmethylphenidate hcl oral tablet 10 mg Focalin AL; QL

184 Nombre del medicamento Referencia Notas dexmethylphenidate hcl oral tablet 2.5 mg Focalin AL dexmethylphenidate hcl oral tablet 5 mg Focalin PA; QL dextroamphetamine sulfate er oral capsule Dexedrine AL; QL extended release 24 hour dextroamphetamine sulfate oral tablet Zenzedi AL; QL METADATE ER ORAL TABLET AL; QL EXTENDED RELEASE methylphenidate hcl er (cd) oral capsule AL; QL extended release methylphenidate hcl er (la) oral capsule Ritalin LA AL; QL extended release 24 hour methylphenidate hcl er oral tablet extended AL release 10 mg methylphenidate hcl er oral tablet extended Concerta AL; QL release 18 mg, 27 mg, 36 mg, 54 mg methylphenidate hcl er oral tablet extended Metadate ER AL; QL release 20 mg methylphenidate hcl er oral tablet extended AL; QL release 24 hour methylphenidate hcl oral solution Methylin AL methylphenidate hcl oral tablet Ritalin AL TETRACICLINAS demeclocycline hcl oral tablet doxycycline monohydrate oral capsule 100 Mondoxyne NL QL mg doxycycline monohydrate oral capsule 150 mg doxycycline monohydrate oral capsule 50 QL mg doxycycline monohydrate oral capsule 75 Mondoxyne NL mg doxycycline monohydrate oral suspension Vibramycin reconstituted minocycline hcl oral capsule Minocin minocycline hcl oral tablet tetracycline hcl oral capsule VACUNAS AFLURIA QUADRIVALENT QL INTRAMUSCULAR SUSPENSION

185 Nombre del medicamento Referencia Notas AFLURIA QUADRIVALENT INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE FLUAD INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE FLUARIX QUADRIVALENT INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE FLUBLOK QUADRIVALENT INTRAMUSCULAR SOLUTION QL PREFILLED SYRINGE FLUCELVAX QUADRIVALENT QL INTRAMUSCULAR SUSPENSION FLUCELVAX QUADRIVALENT INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE FLULAVAL QUADRIVALENT QL INTRAMUSCULAR SUSPENSION FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE FLUMIST QUADRIVALENT NASAL QL SUSPENSION FLUZONE HIGH-DOSE INTRAMUSCULAR QL SUSPENSION PREFILLED SYRINGE FLUZONE QUADRIVALENT QL INTRAMUSCULAR SUSPENSION FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION QL PREFILLED SYRINGE PREVNAR 13 INTRAMUSCULAR SUSPENSION VASOPRESORES epinephrine injection solution auto-injector EpiPen Jr 2-Pak QL epinephrine pf injection solution prefilled syringe midodrine hcl oral tablet SYMJEPI INJECTION SOLUTION QL PREFILLED SYRINGE VITAMINAS PRENATALES ALIVE PRENATAL ORAL TABLET AL; OTC CHEWABLE

186 Nombre del medicamento Referencia Notas cvs prenatal gummy oral tablet chewable 0.4 OTC mg, 0.4-113.5 mg cvs prenatal gummy oral tablet chewable Alive Prenatal AL; OTC 0.4-25 mg ONE A DAY PRENATAL ORAL TABLET AL; OTC CHEWABLE prenatal + complete multi oral therapy pack OTC prenatal adult gummy/dha/fa oral tablet Alive Prenatal AL; OTC chewable prenatal gummies/dha & fa oral tablet OTC chewable THERANATAL OVAVITE ORAL THERAPY OTC PACK VITAMINAS a-10000 oral capsule OTC acerola c-500 oral tablet chewable Sunkist Vitamin C OTC; QL AQUA-E ORAL LIQUID OTC aqueous vitamin d oral liquid BProtected Pedia D-Vite OTC; QL ascorbic acid injection solution ascorbic acid oral tablet PureWay-C OTC; QL ascorbic acid oral tablet chewable OTC b-1 high potency oral tablet OTC b-1 oral tablet OTC b6 natural oral tablet OTC b-6 oral tablet OTC biotin 5000 oral capsule Meribin OTC biotin forte oral tablet OTC biotin maximum strength oral capsule Meribin OTC biotin oral capsule Meribin OTC biotin oral tablet OTC BPROTECTED PEDIA D-VITE ORAL OTC; QL LIQUID c 250 oral tablet OTC; QL c 250 oral tablet chewable OTC c 500 oral tablet PureWay-C OTC; QL c 500 oral tablet chewable Sunkist Vitamin C OTC; QL c 500/rose hips oral tablet PureWay-C OTC; QL c-250 oral tablet OTC; QL c-250 oral tablet chewable OTC 187 Nombre del medicamento Referencia Notas c-500 oral tablet PureWay-C OTC; QL c-500 oral tablet chewable Sunkist Vitamin C OTC; QL c-500/rose hips oral tablet PureWay-C OTC; QL CALCIDOL ORAL SOLUTION OTC CALCIFEROL ORAL SOLUTION OTC c-chewable oral tablet chewable Sunkist Vitamin C OTC; QL chew-c oral tablet chewable Sunkist Vitamin C OTC; QL cvs b-1 oral tablet OTC cvs b6 oral tablet OTC cvs biotin oral capsule Meribin OTC cvs d3 oral capsule OTC; QL cvs vitamin a oral capsule OTC cvs vitamin c oral tablet PureWay-C OTC; QL cvs vitamin c-rose hips oral tablet PureWay-C OTC; QL d 1000 oral tablet Vitamin D-1000 Max St OTC d-1000 extra strength oral tablet Vitamin D-1000 Max St OTC d-1000 oral tablet Vitamin D-1000 Max St OTC d-2000 maximum strength oral tablet Thera-D 2000 OTC d2000 ultra strength oral capsule OTC; QL d3 high potency oral capsule OTC; QL d3 super strength oral capsule OTC; QL d3 vitamin oral liquid BProtected Pedia D-Vite OTC d3-1000 oral tablet Vitamin D-1000 Max St OTC d-vite pediatric oral liquid BProtected Pedia D-Vite OTC; QL e600 oral capsule OTC ENDUR-ACIN ORAL TABLET EXTENDED OTC RELEASE eql b-6 oral tablet OTC eql vitamin c oral tablet PureWay-C OTC; QL eql vitamin c/rose hips oral tablet PureWay-C OTC; QL eql vitamin d3 oral capsule OTC; QL ergocalciferol oral capsule Drisdol ergocalciferol oral solution Calcidol OTC fruit c 500 oral tablet chewable Sunkist Vitamin C OTC; QL fruity c oral tablet chewable OTC gnp biotin oral capsule Meribin OTC gnp vitamin a oral capsule OTC

188 Nombre del medicamento Referencia Notas gnp vitamin b-1 oral tablet OTC gnp vitamin b-6 oral tablet OTC gnp vitamin c oral tablet PureWay-C OTC; QL gnp vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL gnp vitamin c w/rose hips oral tablet PureWay-C OTC; QL gnp vitamin d maximum strength oral tablet Thera-D 2000 OTC gnp vitamin d oral tablet Vitamin D-1000 Max St OTC gnp vitamin d3 extra strength oral tablet Vitamin D-1000 Max St OTC hm biotin oral capsule Meribin OTC hm vitamin b6 oral tablet OTC hm vitamin c oral tablet PureWay-C OTC; QL hm vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL hm vitamin c/rose hips oral tablet PureWay-C OTC; QL hm vitamin d oral tablet Vitamin D-1000 Max St OTC hm vitamin d3 oral capsule OTC; QL hm vitamin d3 oral tablet Vitamin D-1000 Max St OTC JUST D ORAL LIQUID OTC; QL kp niacin oral tablet OTC kp vitamin b-6 oral tablet OTC kp vitamin d3 oral capsule OTC; QL meijer c oral tablet PureWay-C OTC; QL MERIBIN ORAL CAPSULE OTC nat-rul vitamin d oral tablet Vitamin D-1000 Max St OTC natural c/rose hips oral tablet PureWay-C OTC; QL neuro-k-50 oral tablet OTC niacin er oral capsule extended release OTC; QL niacin er oral tablet extended release Endur-Acin OTC niacin oral tablet OTC niacinamide oral tablet OTC pa biotin oral capsule Meribin OTC pa vitamin d-3 oral capsule OTC; QL pa vitamin d-3 oral tablet Vitamin D-1000 Max St OTC phytonadione injection solution phytonadione oral tablet Mephyton plain niacin oral tablet OTC PUREWAY-C ORAL TABLET OTC; QL px vitamin a oral capsule OTC

189 Nombre del medicamento Referencia Notas px vitamin c oral tablet PureWay-C OTC; QL pyridoxine hcl injection solution pyridoxine hcl oral tablet OTC qc vitamin b1 oral tablet OTC qc vitamin b6 oral tablet OTC qc vitamin c oral tablet PureWay-C OTC; QL qc vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL qc vitamin c with rose hips oral tablet PureWay-C OTC; QL qc vitamin d3 oral capsule OTC qc vitamin d3 oral tablet Thera-D 2000 OTC ra niacin oral tablet OTC ra no flush niacin oral tablet OTC ra vitamin a oral capsule OTC ra vitamin b-6 oral tablet OTC ra vitamin c oral tablet PureWay-C OTC; QL ra vitamin c oral tablet chewable 250 mg OTC ra vitamin c oral tablet chewable 500 mg Sunkist Vitamin C OTC; QL ra vitamin c/acerola oral tablet chewable Sunkist Vitamin C OTC; QL ra vitamin c/rose hips oral tablet PureWay-C OTC; QL ra vitamin d-3 oral capsule OTC; QL ra vitamin d-3 oral tablet Vitamin D-1000 Max St OTC sb vitamin c oral tablet PureWay-C OTC; QL sm biotin oral capsule Meribin OTC sm biotin oral tablet OTC sm chewable c oral tablet chewable Sunkist Vitamin C OTC; QL sm chewable vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL sm vitamin b6 oral tablet OTC sm vitamin b-6 oral tablet OTC sm vitamin c oral tablet PureWay-C OTC; QL sm vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL sm vitamin c/rose hips oral tablet PureWay-C OTC; QL sm vitamin d3 oral capsule OTC; QL sm vitamin d3 oral tablet Vitamin D-1000 Max St OTC SUNKIST VITAMIN C ORAL TABLET OTC; QL CHEWABLE super biotin oral capsule Meribin OTC super biotin oral tablet OTC

190 Nombre del medicamento Referencia Notas THERA-D 2000 ORAL TABLET OTC THERA-D RAPID REPLETION ORAL OTC TABLET thiamine hcl injection solution thiamine hcl oral tablet OTC vitamin a oral capsule OTC vitamin b1 oral tablet OTC vitamin b-1 oral tablet OTC vitamin b6 oral tablet OTC vitamin b-6 oral tablet OTC vitamin c immune health oral tablet Sunkist Vitamin C OTC; QL chewable vitamin c oral tablet OTC; QL vitamin c oral tablet chewable 250 mg OTC vitamin c oral tablet chewable 500 mg Sunkist Vitamin C OTC; QL vitamin c plus wild rose hips oral tablet Sunkist Vitamin C OTC; QL chewable vitamin c/bioflavonoids/rosehp oral tablet PureWay-C OTC; QL vitamin c/rose hips oral tablet PureWay-C OTC; QL vitamin c-acerola oral tablet PureWay-C OTC; QL vitamin c-acerola oral tablet chewable Sunkist Vitamin C OTC; QL vitamin c-rose hips oral tablet PureWay-C OTC; QL vitamin c-rose hips oral tablet chewable Sunkist Vitamin C OTC; QL vitamin d (cholecalciferol) oral capsule OTC vitamin d (cholecalciferol) oral tablet Vitamin D-1000 Max St OTC vitamin d (ergocalciferol) oral capsule Drisdol vitamin d infant oral liquid BProtected Pedia D-Vite OTC; QL vitamin d oral capsule OTC; QL vitamin d oral liquid BProtected Pedia D-Vite OTC vitamin d oral tablet Thera-D 2000 OTC VITAMIN D-1000 MAX ST ORAL TABLET OTC vitamin d3 oral capsule OTC vitamin d3 oral liquid BProtected Pedia D-Vite OTC; QL vitamin d3 oral tablet Vitamin D-1000 Max St OTC vitamin d3 super strength oral tablet Thera-D 2000 OTC vitamin e oral capsule OTC vitamin k oral tablet OTC vitamin k1 injection solution 191 Nombre del medicamento Referencia Notas yl vitamin b-6 oral tablet OTC yl vitamin c oral tablet PureWay-C OTC; QL yl vitamin c-rose hips oral tablet PureWay-C OTC; QL

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