A list of medications that may lower your patients’ costs
INTRODUCTION
KPP utilizes a Pharmacy and Therapeutics Committee (P & T Committee), made up of practicing physicians, pharmacists, and nurses to help ensure that our formulary is medically sound and that it supports patient health. This committee reviews and evaluates medications on the formulary based on safety and efficacy to help maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
There are numerous formulary designs that can be used by a pharmacy benefits administrator. KPP has chosen a formulary structure which is open and incentive based.
Open Formulary: features uniform co-payments for medications that are preferred and non-preferred brands, plus lower co-payments for generic drugs. Incentive Based: features different co-payments for medications that are on or off the formulary. In this type of formulary, the patient cost structure may be either a two-tier or three-tier design.
USING THIS FORMULARY REFERENCE GUIDE TO HELP CONTAIN COSTS
Many benefit sponsors use the KPP formulary to help manage the overall cost of providing prescription drug benefits. This formulary offers a wide range of medications from which to choose. We realize that this formulary reference guide may not include every drug from every manufacturer. However, choosing a preferred drug when it is appropriate can provide access to the necessary medications to stay healthy, at a cost that is more affordable.
KNOWING HOW THE FORMULARY INFORMATION IS ORGANIZED
The following formulary reference guide is designed so that generic products are listed first in each drug category. The preferred brand name products are listed next, and non-preferred brand products are listed last.
PLEASE NOTE: If a generic product is listed in the “generics” section and its corresponding brand-name product is not listed in the “preferred brand-name” section, then only the generic product is on the formulary. If a brand name product is listed in the “preferred brand- name” section and its corresponding generic product is not listed in the “generics” section, then a generic version of the medication is not available.
CONSIDERING PREFERRED ALTERNATIVES
KPP realizes that the medications on the formulary may not always be appropriate for all patients. However, by referring to this formulary reference guide, one can help ensure the full advantage of the coverage provided by the prescription drug plan. Possible preferred alternatives are listed for commonly prescribed non-preferred medications.
Pharmacies cannot substitute a preferred brand-name drug without the prescriber’s approval. Therefore, a pharmacist may contact the prescriber to obtain authorization to dispense an alternative preferred product when a non-preferred product is prescribed.
SAVING ON OUT-OF-POCKET COSTS
The prescription drug plan determines the cost for generic, preferred brand-name, and on- preferred brand-name medications. Benefit providers often design prescription drug plans to encourage the use of generic and preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts) or not receiving coverage at all. Patients may also pay less for generic drugs, or they may be asked to pay the cost difference between brand-name drugs and their generic alternatives, which are preferred by the plan.
CONSULTING THE PRESCRIBER’S OFFICE WHEN APPROPRIATE
When employers and other benefit sponsors design their prescription drug plans, they may choose to provide coverage only for certain medications or for particular uses, time periods, doses, or quantities (e.g. they may exclude coverage for medications for unapproved, unproven, or cosmetic indications, as well as over-the-counter medications). When coverage for medications is provided based on use or quantity, KPP may contact your prescriber’s office for additional information to determine whether coverage is available under your plan. Patients who are unsure whether these coverage rules apply for a particular medication can consult their prescription drug benefit manual or contact a KPP Member Services representative to determine specific coverage requirements.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management activities of KPP. The presence of a medication on this formulary list does not guarantee coverage.
Table of Contents
ANTI-INFECTIVES ...... 1
PENICILLINS ...... 1
CEPHALOSPORIN ...... 1
FIRST GENERATION ...... 1
SECOND GENERATION ...... 1
THIRD GENERATION ...... 1
FOURTH GENERATION ...... 1
MACROLIDES ...... 1
TETRACYCLINES ...... 2
QUINOLONES ...... 2
AMINOGLYCOSIDES ...... 2
SULFONAMIDES ...... 2
ANTIMYCOBACTERIAL AGENTS ...... 2
ANTIFUNGALS ...... 2
ANTIVIRALS ...... 2
ANTIMALARIALS ...... 3
AMEBICIDES ...... 3
ANTHELMINTICS ...... 3
MISC. ANTI-INFECTIVES ...... 3
ANTINEOPLASTICS, ETC ...... 4
ALKYLATING AGENTS ...... 4
ANTIBIOTICS ...... 4
ANTINEOPLASTIC ENZYMES ...... 4
ANTIMETABOLITES ...... 4
ANGIOGENESIS INHIBITORS ...... 4
ANTIBODIES ...... 5
HORMONAL AGENTS ...... 5
IMMUNOMODULATORS ...... 5
MITOTIC INHIBITORS ...... 5
ENZYME INHIBITORS ...... 5
TOPOISOMERASE I INHIBITOR ...... 6
RADIOPHARMACEUTICALS ...... 6
CELLULAR IMMUNOTHERAPY ...... 6
ANTINEOPLASTICS MISC...... 6
CHEMOTHERAPY RESCUE ...... 6
CHEMOTHERAPY ADJUNCTS ...... 6
ANTINEOPLASTIC COMBO ...... 6
CARDIOVASCULAR DRUGS ...... 6
PHOSPHODIESTERASE INHBTR ...... 6
CARDIAC GLYCOSIDES ...... 6
ANTIANGINAL AGENTS ...... 6
BETA BLOCKERS ...... 6
CALCIUM CHANNEL BLOCKERS ...... 7
ANTIARRHYTHMICS ...... 7
ACE INHIBITORS ...... 7
ANGIOTENSIN RCPTR BLOCKER ...... 7
DIRECT RENIN INHIBITORS ...... 8
ANTIHYPERTENSIVES MISC...... 8
ANTIHYPERTENSIVE COMBO ...... 8
DIURETICS ...... 8
VASOPRESSORS ...... 9
ANTIHYPERLIPIDEMICS ...... 9
CARDIOVASCULAR - MISC...... 9
DERMATOLOGICALS ...... 9
ACNE PRODUCTS ...... 9
ROSACEA AGENTS ...... 10
ANTIBIOTICS - TOPICAL ...... 10
ANTIFUNGALS - TOPICAL ...... 10
ANTIVIRALS - TOPICAL ...... 11
ANTI-INFLAMMATORY AGENTS ...... 11
ANTIPRURITICS ...... 11
ANTIPSORIATICS ...... 11
ANTISEBORRHEIC AGENTS ...... 11
CORTICOSTEROIDS - TOPICAL ...... 11
IMMUNOMODULATING AGENTS ...... 12
DERMATOLOGICALS - MISC...... 12
ENDOCRINE AND METABOLIC ...... 13
CORTICOSTEROIDS ...... 13
ANDROGENS-ANABOLIC ...... 13
ESTROGENS ...... 13
CONTRACEPTIVES ...... 14
PROGESTINS ...... 14
ANTIDIABETIC AGENTS ...... 14
INSULIN ...... 14
AMYLIN ANALOGS ...... 14
INCRETIN MIMETIC AGENTS ...... 14
SULFONYLUREAS ...... 14
BIGUANIDES ...... 15
MEGLITINIDE ANALOGUES ...... 15
DIABETIC OTHER ...... 15
ALPHA-GLUCOSIDASE INHIBIT ...... 15
DPP-4 INHIBITORS ...... 15
INSULIN SENSITIZING AGENT ...... 15
ANTIDIABETIC COMBINATIONS ...... 15
BISPHOSPHONATES ...... 15
CALCITONINS ...... 15
PARATHYROID HORMONE ...... 15
RANK LIGAND INHIBITORS ...... 15
CALCIUM REGULATORS - MISC ...... 15
HORMONE RECEPTOR MDLTR ...... 15
FERTILITY REGULATORS ...... 15
LHRH/GNRH AGONIST ...... 16
GNRH/LHRH ANTAGONISTS ...... 16
GROWTH HORMONES ...... 16
GHRH ...... 16
SOMATOMEDINS ...... 16
SOMATOSTATIC AGENTS ...... 16
GH RECEPTOR ANTAGONISTS ...... 16
POSTERIOR PITUITARY ...... 16
CORTICOTROPIN ...... 16
PROLACTIN INHIBITORS ...... 16
VASOPRESSIN ANTAGONISTS ...... 16
PROGESTERONE ANTAGONISTS ...... 16
METABOLIC MODIFIERS ...... 16
THYROID AGENTS ...... 16
GASTROINTESTINAL ...... 17
LAXATIVES ...... 17
ANTIDIARRHEALS ...... 17
ANTACIDS ...... 17
ULCER DRUGS ...... 17
ANTIEMETICS ...... 17
DIGESTIVE AIDS ...... 18
GASTROINTESTINAL - MISC...... 18
GENITOURINARY ...... 18
URINARY ANTI-INFECTIVES ...... 18
URINARY ANTISPASMODICS ...... 18
VAGINAL PRODUCTS ...... 19
GENITOURINARY - MISC...... 19
HEMATOLOGICAL ...... 19
HEMATOPOIETIC AGENTS ...... 19
ANTICOAGULANTS ...... 20
HEMOSTATICS ...... 20
HEMATOLOGICAL - MISC...... 20
MOUTH/THROAT/DENTAL AGENT ...... 20
NEUROLOGY, CNS, PSYCH ...... 21
ANTIANXIETY AGENTS ...... 21
ANTIDEPRESSANTS ...... 21
ANTIPSYCHOTICS ...... 22
HYPNOTICS ...... 22
ADHD, NARCOLEPSY, ETC...... 22
ANTICONVULSANTS ...... 23
ANTIPARKINSON AGENTS ...... 23
NEUROLOGY, PSYCH - MISC...... 24
NEUROMUSCULAR AGENTS ...... 24
MUSCULOSKELETAL AGENTS ...... 24
ANTIMYASTHENIC AGENTS ...... 24
OPHTHALMOLOGY AND OTIC ...... 25
ANTI-INFECTIVES ...... 25
ARTIFICIAL TEAR/LUBRICANT ...... 25
BETA-BLOCKERS ...... 25
OPHTHALMIC STEROIDS ...... 25
PROSTAGLANDINS ...... 25
CYCLOPLEGIC MYDRIATICS ...... 25
DECONGESTANTS ...... 26
MIOTICS ...... 26
ADRENERGIC AGENTS ...... 26
IMMUNOMODULATORS ...... 26
LOCAL ANESTHETICS ...... 26
OPHTHALMICS - MISC...... 26
OTIC AGENTS ...... 26
OXYTOCICS ...... 26
PAIN MANAGEMENT ...... 26
ANALGESICS - NONNARCOTIC ...... 26
ANALGESICS - OPIOID ...... 27
ANTI-INFLAMMATORY ...... 28
MIGRAINE PRODUCTS ...... 28
GOUT AGENTS ...... 28
LOCAL ANESTHETICS-INJ ...... 29
RESPIRATORY, ALLERGY, ETC ...... 29
ANTIHISTAMINES ...... 29
NASAL AGENTS ...... 29
COUGH/COLD/ALLERGY ...... 29
ANTIASTHMATIC/COPD AGENTS ...... 30
RESPIRATORY AGENTS - MISC ...... 31
TOXOIDS ...... 31
VACCINES ...... 31
VITAMINS ...... 31
VITAMINS ...... 31
MULTIVITAMINS ...... 31
MEDICAL DEVICES ...... 33
DIABETIC SUPPLIES ...... 33
MEDICAL DEVICES - MISC ...... 37
MISCELLANEOUS ...... 37
NON PREFERRED
Cefaclor
Cefaclor ER
Cefotetan
October 2013 Cefotetan/Dextrose
Cefoxitin Sodium
Ceftin ANTI-INFECTIVES Cefuroxime Sodium PENICILLINS Cefuroxime/Dextrose GENERIC
Mefoxin amoxicillin Zinacef amoxicillin/clavulanate potassium Zinacef IN Iso-osmotic Dextrose amoxicillin/clavulanate potassium ER Zinacef IN Iso-osmotic Diluent amoxicillin/potassium clavulanate THIRD GENERATION ampicillin GENERIC ampicillin sodium cefdinir ampicillin-sulbactam cefotaxime sodium dicloxacillin sodium cefpodoxime proxetil nafcillin sodium ceftazidime oxacillin sodium ceftriaxone sodium penicillin v potassium NON PREFERRED penicillin G potassium Cedax piperacillin sodium/ tazobactam sodium Cefditoren Pivoxil piperacillin sodium/tazobactam sodium Ceftazidime piperacillin/tazobactam Ceftazidime/Dextrose NON PREFERRED
Ceftriaxone IN Iso-osmotic Dextrose Amoxicillin Ceftriaxone/Dextrose Ampicillin Claforan Ampicillin Sodium Claforan/D5W Ampicillin-sulbactam Fortaz Augmentin Rocephin Augmentin ES-600 Spectracef Augmentin XR Suprax Bactocill IN Dextrose Tazicef Bicillin C-R FOURTH GENERATION Bicillin L-a GENERIC Moxatag cefepime Nafcillin Sodium NON PREFERRED Nallpen Iso-osmotic IN Dextrose Cefepime Nallpen/Dextrose Maxipime Penicillin G Potassium IN Iso-osmotic Dextrose
Penicillin G Procaine MACROLIDES Penicillin G Sodium GENERIC Pfizerpen-G azithromycin Timentin clarithromycin Unasyn clarithromycin ER Unasyn Bulk Pack erythromycin Zosyn PREFERRED
Dificid CEPHALOSPORIN NON PREFERRED FIRST GENERATION
Azithromycin GENERIC
Biaxin cefadroxil Biaxin XL cefazolin sodium Biaxin XL PAC cephalexin E.e.s. Granules NON PREFERRED
E.e.s. 400 Ancef Ery-TAB Cefazolin Sodium Eryped 200 Cefazolin Sodium/Dextrose Eryped 400 Cephalexin Erythrocin Lactobionate Keflex Erythrocin Stearate SECOND GENERATION Erythromycin Base GENERIC
Erythromycin Ethylsuccinate cefaclor PCE cefoxitin sodium Zithromax cefprozil Zithromax Tri-PAK cefuroxime axetil Zithromax Z-PAK cefuroxime sodium Zmax
Effective October 1, 2013
1
Tobramycin Sulfate/Sodium Chloride TETRACYCLINES
GENERIC
demeclocycline HCL SULFONAMIDES
doxycycline PREFERRED
doxycycline hyclate Sulfisoxizole
doxycycline hyclate DR NON PREFERRED
doxycycline monohydrate Sulfadiazine
minocycline HCL
minocycline HCL ER ANTIMYCOBACTERIAL AGENTS
NON PREFERRED GENERIC
Adoxa ethambutol HCL
Adoxa PAK 1/100 isoniazid
Adoxa PAK 1/150 pyrazinamide
Adoxa PAK 2/100 rifampin
Alodox Convenience Kit PREFERRED
Avidoxy DK Cycloserine
Doryx Mycobutin
Doxycycline Hyclate Seromycin
Dynacin Sirturo
Minocin NON PREFERRED
Minocin Kit Capastat Sulfate
Monodox Isoniazid
Morgidox 1X100MG Myambutol
Morgidox 2X100MG Paser
Nutridox Priftin
Ocudox Rifadin
Oraxyl Rifamate
Solodyn Rifater
Tetracycline HCL Trecator
Vibramycin
ANTIFUNGALS
QUINOLONES GENERIC
GENERIC fluconazole
ciprofloxacin fluconazole IN dextrose
ciprofloxacin ER fluconazole IN NACL
ciprofloxacin HCL flucytosine
ciprofloxacin I.V.-IN D5W griseofulvin microsize
levofloxacin griseofulvin ultramicrosize
levofloxacin IN D5W itraconazole
ofloxacin ketoconazole
PREFERRED nystatin
Avelox terbinafine HCL
Avelox Abc Pack voriconazole
NON PREFERRED PREFERRED
Cipro Noxafil
Cipro I.V.-IN D5W NON PREFERRED
Cipro XR Abelcet
Factive Ambisome
Levaquin Amphotec
Noroxin Amphotericin B
Ancobon
AMINOGLYCOSIDES Cancidas
GENERIC Diflucan
amikacin sulfate Eraxis
gentamicin sulfate Fluconazole IN NACL
gentamicin sulfate/sodium chloride Grifulvin V
gentamicin sulfate/0.9% sodium chloride Gris-peg
isotonic gentamicin Lamisil
neomycin sulfate Mycamine
paromomycin sulfate Onmel
tobramycin sulfate Sporanox
PREFERRED Sporanox Pulsepak
Tobi Terbinex
Tobi Podhaler Vfend
NON PREFERRED Vfend IV
Gentamicin Sulfate/0.9% Sodium Chloride
Isotonic Gentamicin ANTIVIRALS
Kanamycin Sulfate GENERIC
Streptomycin Sulfate abacavir
Effective October 1, 2013
2
acyclovir Ribapak
acyclovir sodium Ribasphere
adefovir dipivoxil Ribatab
cidofovir Rimantalist
didanosine Tivicay
famciclovir Tyzeka
ganciclovir Valtrex
lamivudine Videx EC
lamivudine/zidovudine Viramune
nevirapine Virazole
ribavirin Vistide
rimantadine HCL Zerit
stavudine Ziagen
valacyclovir HCL Zovirax
zidovudine
PREFERRED ANTIMALARIALS
Aptivus GENERIC
Atripla atovaquone/proguanil HCL
Baraclude chloroquine phosphate
Complera hydroxychloroquine sulfate
Crixivan mefloquine HCL
Edurant quinine sulfate
Emtriva PREFERRED
Epivir HBV Coartem
Epzicom Daraprim
Fuzeon Primaquine Phosphate
Incivek NON PREFERRED
Intelence Aralen
Invirase Atovaquone/Proguanil HCL
Isentress Malarone
Kaletra Plaquenil
Lexiva Qualaquin
Nevirapine
Norvir AMEBICIDES Peg-intron PREFERRED
Peg-intron Redipen Yodoxin Peg-intron Redipen PAK 4
Pegasys ANTHELMINTICS Pegasys Proclick PREFERRED
Prezista Albenza Relenza Diskhaler Biltricide Rescriptor Stromectol Retrovir IV Infusion
Reyataz MISC. ANTI-INFECTIVES Selzentry GENERIC
Stribild aztreonam Sustiva bacitracin Tamiflu clindamycin palmitate HCL Trizivir clindamycin phosphate Truvada clindamycin phosphate add-vantage Valcyte clindamycin phosphate pharmacy bulk package Victrelis clindamycin phosphate IN D5W Videx Pediatric clindamycin HCL Viracept colistimethate sodium Viramune XR erythromycin/sulfisoxazole Viread imipenem/cilastatin NON PREFERRED meropenem Acyclovir Sodium metronidazole Combivir metronidazole IN NACL 0.79% Copegus polymyxin b sulfate Cytovene sulfamethoxazole/trimethoprim Epivir sulfamethoxazole/trimethoprim DS Famvir tinidazole Flumadine trimethoprim Foscarnet Sodium vancomycin HCL Foscavir PREFERRED
Hepsera Alinia Infergen Cayston Rebetol Dapsone
Retrovir
Effective October 1, 2013
3
Mepron Temodar
Nebupent Thiotepa
Xifaxan
Zyvox ANTIBIOTICS
NON PREFERRED GENERIC
Azactam bleomycin sulfate
Azactam IN Iso-osmotic Dextrose dactinomycin
Bacitracin daunorubicin HCL
Bactrim doxorubicin HCL
Bactrim DS doxorubicin HCL liposome
Chloramphenicol Sodium Succinate epirubicin HCL
Cleocin idarubicin HCL
Cleocin IN D5W mitomycin
Cleocin Pediatric Granules mitoxantrone HCL
Cleocin Phosphate PREFERRED
Clindamycin Phosphate Daunoxome
Coly-mycin M Valstar
Cubicin NON PREFERRED
Doribax Adriamycin
Flagyl Cerubidine
Flagyl ER Cosmegen
Invanz Doxil
Ketek Ellence
Lincocin Epirubicin HCL
Merrem Idamycin PFS
Metro IV
Neutrexin ANTINEOPLASTIC ENZYMES Pentam 300 PREFERRED
Primaxin IV Elspar Primaxin IV Add-vantage Erwinaze Primsol Oncaspar Sulfamethoxazole/Trimethoprim
Synercid ANTIMETABOLITES Tindamax GENERIC
Tygacil azacitidine Vancocin HCL cladribine Vancomycin HCL cytarabine Vancomycin HCL IN Dextrose cytarabine aqueous Vibativ decitabine
floxuridine
ANTINEOPLASTICS, ETC fludarabine phosphate
ALKYLATING AGENTS fluorouracil
GENERIC gemcitabine HCL
carboplatin mercaptopurine
cisplatin methotrexate
ifosfamide methotrexate sodium
melphalan hydrochloride PREFERRED
oxaliplatin Alimta
temozolomide Arranon
PREFERRED Clolar
Alkeran Depocyt
Bicnu Folotyn
Busulfex Tabloid
Gliadel Wafer Trexall
Hexalen Xeloda
Leukeran NON PREFERRED
Lomustine Cytarabine
Mustargen Dacogen
Myleran Fludara
Treanda Fludarabine Phosphate
Zanosar Gemcitabine
NON PREFERRED Gemzar
Carboplatin Purinethol
Ceenu Vidaza
Cisplatin
Cyclophosphamide ANGIOGENESIS INHIBITORS
Eloxatin PREFERRED
Ifex Avastin
Ifosfamide Zaltrap
Effective October 1, 2013
4
Atgam ANTIBODIES
PREFERRED Azathioprine Sodium
Adcetris Cellcept
Arzerra Cellcept Intravenous
Bexxar Cyclosporine Modified
Campath Imuran
Erbitux Myfortic
Herceptin Neoral
Kadcyla Nulojix
Perjeta Prograf
Rituxan Sandimmune
Vectibix Simulect
Yervoy Thymoglobulin
Zevalin IN-111 Zortress
Zevalin Y-90
MITOTIC INHIBITORS
GENERIC HORMONAL AGENTS
GENERIC etoposide
anastrozole paclitaxel
bicalutamide vincristine sulfate
exemestane vinorelbine tartrate
flutamide PREFERRED
letrozole Abraxane
leuprolide acetate Docefrez
megestrol acetate Etopophos
tamoxifen citrate Halaven
PREFERRED Ixempra Kit
Depo-provera Jevtana
Eligard Taxotere
Emcyt Teniposide
Fareston Vumon
Faslodex NON PREFERRED
Firmagon Docetaxel
Lupron Depot Etoposide
Lysodren Marqibo
Megestrol Acetate Navelbine
Nilandron Paclitaxel
Soltamox Vinblastine Sulfate
Trelstar Depot
Trelstar Depot Mixject ENZYME INHIBITORS
Trelstar LA PREFERRED
Trelstar LA Mixject Afinitor
Trelstar Mixject Afinitor Disperz
Vantas Bosulif
Xtandi Caprelsa
Zoladex Cometriq
Zytiga Gleevec
NON PREFERRED Iclusig
Arimidex Inlyta
Aromasin Istodax
Casodex Jakafi
Femara Kyprolis
Megace Oral Mekinist
Nexavar
Sprycel IMMUNOMODULATORS
GENERIC Stivarga
azathioprine Sutent
cyclosporine Tafinlar
cyclosporine modified Tarceva
mycophenolate mofetil Tasigna
tacrolimus Torisel
PREFERRED Tykerb
Azasan Vandetanib
Pomalyst Velcade
Rapamune Votrient
Revlimid Xalkori
Thalomid Zelboraf
NON PREFERRED Zolinza
Astagraf XL
Effective October 1, 2013
5
NON PREFERRED PREFERRED
Gilotrif Elitek
Kepivance
TOPOISOMERASE I INHIBITOR
GENERIC ANTINEOPLASTIC COMBO
irinotecan NON PREFERRED
topotecan HCL Ifosfamide/Mesna
NON PREFERRED
Camptosar CARDIOVASCULAR DRUGS Hycamtin PHOSPHODIESTERASE INHBTR Topotecan HCL GENERIC
milrinone lactate RADIOPHARMACEUTICALS milrinone IN dextrose PREFERRED
Bexxar 131 Iodine CARDIAC GLYCOSIDES Metastron GENERIC
Quadramet digoxin NON PREFERRED NON PREFERRED
Xofigo Digoxin
Lanoxin CELLULAR IMMUNOTHERAPY Lanoxin Pediatric PREFERRED
Provenge ANTIANGINAL AGENTS
GENERIC
ANTINEOPLASTICS MISC. isosorbide dinitrate GENERIC isosorbide dinitrate ER dacarbazine isosorbide mononitrate hydroxyurea isosorbide mononitrate ER pentostatin nitroglycerin tretinoin nitroglycerin transdermal PREFERRED nitroglycerin IN dextrose 5% Actimmune nitroglycerin IN 5% dextrose Alferon N PREFERRED
Intron-a Dilatrate SR Intron-a W/Diluent Nitro-bid Matulane Nitro-dur Photofrin Nitrolingual Pumpspray Proleukin Nitrostat Sylatron Ranexa Synribo NON PREFERRED
Targretin Imdur Theracys Isordil Titradose Tice Bcg Isosorbide Dinitrate Trisenox Monoket Uvadex Nitroglycerin NON PREFERRED Nitroglycerin IN Dextrose 5% Dacarbazine Nitroglycerin Lingual Hydrea Nitromist Nipent
BETA BLOCKERS CHEMOTHERAPY RESCUE GENERIC
GENERIC acebutolol HCL amifostine atenolol dexrazoxane betaxolol HCL leucovorin calcium bisoprolol fumarate mesna carvedilol PREFERRED esmolol HCL Fusilev labetalol HCL Totect metoprolol succinate ER Voraxaze metoprolol tartrate NON PREFERRED nadolol Calcium Folinate propranolol HCL Ethyol propranolol HCL ER Leucovorin Calcium sotalol HCL Mesnex sotalol HCL (AF) Zinecard PREFERRED
Bystolic
CHEMOTHERAPY ADJUNCTS Coreg CR
Effective October 1, 2013
6
NON PREFERRED ANTIARRHYTHMICS
Betapace GENERIC
Betapace AF adenosine
Brevibloc amiodarone HCL
Coreg disopyramide phosphate
Corgard flecainide acetate
Hypertenevide-12.5 ibutilide fumarate
Inderal LA lidocaine HCL
Innopran XL lidocaine HCL IN D5W
Kerlone lidocaine HCL/dextrose
Levatol mexiletine HCL
Lopressor propafenone HCL
Pindolol propafenone HCL ER
Propranolol HCL quinidine gluconate CR
Sectral quinidine gluconate ER
Sotalol Hydrochloride quinidine sulfate
Tenormin PREFERRED
Timolol Maleate Tikosyn
Toprol XL NON PREFERRED
Trandate Adenocard
Zebeta Amiodarone HCL
Cordarone
CALCIUM CHANNEL BLOCKERS Corvert
GENERIC Lidocaine HCL
amlodipine besylate Multaq
diltiazem CD Nexterone
diltiazem HCL Norpace
diltiazem HCL ER Norpace CR
felodipine ER Procainamide HCL
nicardipine HCL Quinidine Gluconate
nifedipine Quinidine Sulfate ER
nifedipine ER Rythmol
nimodipine Rythmol SR
nisoldipine Tambocor
verapamil HCL Xylocaine
verapamil HCL ER
verapamil HCL SR ACE INHIBITORS
PREFERRED GENERIC
Cardizem LA benazepril HCL
NON PREFERRED captopril
Adalat CC enalapril maleate
Calan enalaprilat
Calan SR fosinopril sodium
Cardene I.v. lisinopril
Cardene IV moexipril HCL
Cardene SR perindopril erbumine
Cardizem quinapril HCL
Cardizem CD ramipril
Cleviprex trandolapril
Covera-HS NON PREFERRED
Dilacor XR Accupril
Diltiazem HCL Aceon
Dynacirc CR Altace
Hypertenipine-2.5 Epaned
Isoptin SR Lotensin
Isradipine Mavik
Nisoldipine Prinivil
Nisoldipine ER Univasc
Norvasc Vasotec
Nymalize Zestril
Procardia
Procardia XL ANGIOTENSIN RCPTR BLOCKER Sular GENERIC
Tiazac candesartan cilexetil Verapamil HCL eprosartan mesylate Verelan irbesartan Verelan PM losartan potassium
PREFERRED
Benicar
Effective October 1, 2013
7
Diovan Micardis HCT
Micardis Tarka
NON PREFERRED Tekamlo
Atacand Tekturna HCT
Avapro Tribenzor
Cozaar Twynsta
Edarbi Valturna
Teveten NON PREFERRED
Accuretic
Atacand HCT DIRECT RENIN INHIBITORS
PREFERRED Avalide
Tekturna Captopril/Hydrochlorothiazide
Clorpres
Corzide ANTIHYPERTENSIVES MISC. Diovan HCT GENERIC
Dutoprol clonidine HCL Edarbyclor doxazosin mesylate Hypertensolol eplerenone Hyzaar fenoldopam mesylate Lopressor HCT guanfacine HCL Lotensin HCT hydralazine HCL Lotrel methyldopa Lytensopril minoxidil Lytensopril-90 prazosin HCL Methyldopa/Hydrochlorothiazide terazosin HCL Prinzide PREFERRED
Propranolol/Hydrochlorothiazide Demser Tenoretic 100 Dibenzyline Tenoretic 50 NON PREFERRED
Teveten HCT Cardura Uniretic Catapres Vaseretic Catapres-tts-1 Zestoretic Catapres-tts-2 Ziac Catapres-tts-3
Corlopam
Inspra DIURETICS
Methyldopate HCL GENERIC
Minipress acetazolamide
Nexiclon XR acetazolamide sodium
Nitropress acetazolamide ER
Phentolamine Mesylate amiloride HCL
Reserpine amiloride/hydrochlorothiazide
Tenex bumetanide
Vecamyl chlorothiazide
chlorothiazide sodium
furosemide ANTIHYPERTENSIVE COMBO hydrochlorothiazide GENERIC
indapamide amlodipine besylate/benazepril hydrochloride mannitol amlodipine besylate/benazepril HCL methazolamide atenolol/chlorthalidone metolazone benazepril HCL/hydrochlorothiazide spironolactone bisoprolol fumarate/hydrochlorothiazide spironolactone/hydrochlorothiazide candesartan cilexetil/hydrochlorothiazide torsemide enalapril maleate/hydrochlorothiazide triamterene/hydrochlorothiazide fosinopril sodium/hydrochlorothiazide NON PREFERRED irbesartan/hydrochlorothiazide Acetazolamide lisinopril/hydrochlorothiazide Aldactazide losartan potassium/hydrochlorothiazide Aldactone metoprolol/hydrochlorothiazide Chlorthalidone moexipril/hydrochlorothiazide Demadex nadolol/bendroflumethiazide Diamox quinapril/hydrochlorothiazide Diuril valsartan/hydrochlorothiazide Dyazide PREFERRED
Dyrenium Amturnide Edecrin Azor Furosemide Benicar HCT Introl Exforge Lasix Exforge HCT
Effective October 1, 2013
8
Maxzide NON PREFERRED
Maxzide-25 Advicor
Methyclothiazide Antara
Microzide Colestid
Neptazane Colestid Flavored
Sodium Diuril Fenofibric Acid
Sodium Edecrin Fibricor
Thalitone Kynamro
Torsemide Lescol
Zaroxolyn Lescol XL
Lipitor
Liptruzet VASOPRESSORS
GENERIC Livalo
dobutamine HCL Lofibra
dobutamine HCL/D5W Lopid
dobutamine/dextrose 5% Mevacor
dopamine HCL Niacor
dopamine HCL-dextrose 5% Pravachol
dopamine HCL/dextrose 5% Questran
dopamine/D5W Questran Light
ephedrine sulfate Tricor
midodrine HCL Trilipix
norepinephrine bitartrate Zocor
phenylephrine HCL
PREFERRED CARDIOVASCULAR - MISC.
Epipen 2-PAK GENERIC
Epipen-JR 2-PAK epoprostenol sodium
NON PREFERRED papaverine HCL
Adrenaclick sildenafil citrate
Adrenalin PREFERRED
Auvi-q Adcirca
Dobutamine/Dextrose 5% Bidil
Dopamine HCL Caverject
Epinephrine Caverject Impulse
Levophed Cialis
Neo-synephrine Edex
Phenylephrine HCL Letairis
Twinject Muse
Remodulin
Revatio ANTIHYPERLIPIDEMICS
GENERIC Tracleer
atorvastatin calcium Tyvaso
cholestyramine Tyvaso Refill
cholestyramine light Tyvaso Starter
colestipol HCL Veletri
colestipol HCL for oral suspension Ventavis
fenofibrate Viagra
fenofibrate micronized NON PREFERRED
fenofibric acid DR Amlodipine Besylate/Atorvastatin Calcium
fluvastatin Caduet
gemfibrozil Flolan
lovastatin Levitra
pravastatin sodium Natrecor
simvastatin Staxyn
PREFERRED
Altoprev DERMATOLOGICALS Crestor ACNE PRODUCTS Fenoglide GENERIC
Juxtapid adapalene Lipofen benzoyl peroxide Lovaza benzoyl peroxide SHORT contact Niaspan clindamycin phosphate Simcor clindamycin/benzoyl peroxide Triglide erythromycin Vascepa erythromycin/benzoyl peroxide Vytorin sodium sulfacetamide Welchol sodium sulfacetamide/sulfur Zetia sodium sulfacetamide/sulfur cleanser
sodium sulfacetamide/sulfur cleansing cloths
Effective October 1, 2013
9
sodium sulfacetamide/sulfur green Zacare 8% Kit
sodium sulfacetamide/sulfur wash Ziana
sulfacetamide sodium
sulfacetamide sodium/sulfur cleanser ROSACEA AGENTS
tretinoin GENERIC
tretinoin microsphere metronidazole
tretinoin microsphere P.M. PREFERRED
PREFERRED Finacea
Acanya Oracea
Atralin NON PREFERRED
Azelex Finacea Plus
Epiduo Metrocream
Veltin Metrogel
NON PREFERRED Metrolotion
Absorica Mirvaso
Aczone Noritate
Akne-mycin Rosadan Kit
Avar LS Cleanser
Avar-e LS ANTIBIOTICS - TOPICAL Benzac Ac Wash GENERIC
Benzac W Wash mupirocin Benzaclin mupirocin calcium Benzaclin With P.M. NON PREFERRED
Benzamycin Altabax Benzamycinpak Bactroban Benzefoam Centany Benzefoamultra Centany AT Benziq Cortisporin Benziq LS Gentamicin Sulfate Claravis
Clarifoam EF ANTIFUNGALS - TOPICAL Cleocin-t GENERIC
Clindacin Etz ciclopirox Clindacin PAC ciclopirox nail lacquer Clindagel ciclopirox olamine Clindareach clotrimazole Delos clotrimazole/betamethasone dipropionate Differin econazole nitrate Duac ketoconazole Erythromycin nystatin Evoclin nystatin/triamcinolone Fabior PREFERRED
Inova Exelderm Inova 4/1 Acne Control Therapy Lotrimin Ultra Inova 8/2 Acne Control Therapy Mentax Klaron Nystatin Lavoclen-4 Creamy Wash Nystatin Domestic Lavoclen-8 Creamy Wash Nystatin Foreign Nuox NON PREFERRED
Retin-a Ciclodan Cream Kit Retin-a Micro Ciclodan Solution Kit Retin-a Micro P.M. Ciclopirox Topical Solution Kit Riax Cnl8 Nail Kit Rosanil Ertaczo Sodium Sulfacetamide/Sulfur Extina Sodium Sulfacetamide/Sulfur Cleanser IN Urea Halotin Sodium Sulfacetamide/Sulfur IN Urea Ketodan Kit Sulfoam Lamisil Spray Sumadan Kit Loprox Sumadan Wash Loprox Shampoo Sumaxin Lotrisone Sumaxin CP Kit Naftin Sumaxin Ts Nizoral Sumaxin Wash Nystatin/Triamcinolone Tretin-x Oxistat Tretinoin Microsphere Pediaderm AF Complete Kit Tretinoin Microsphere P.M. Pedipirox-4 Nail Vanoxide HC Penlac Nail Lacquer Vanoxide-HC Vusion
Zacare 4% Kit
Effective October 1, 2013
10
Xolegel CORTICOSTEROIDS - TOPICAL
Xolegel Corepak GENERIC
Xolegel Duo/Head & Shoulders alclometasone dipropionate
Xolegel Duo/Xolex amcinonide
augmented betamethasone dipropionate
ANTIVIRALS - TOPICAL betamethasone dipropionate
GENERIC betamethasone valerate
acyclovir clobetasol propionate
NON PREFERRED clobetasol propionate emollient
Denavir desonide
Lidovir desoximetasone
Xerese diflorasone diacetate
Zovirax fluocinolone acetonide
fluocinonide
fluocinonide emollient base ANTI-INFLAMMATORY AGENTS
PREFERRED fluocinonide-e
Flector fluticasone propionate
Voltaren halobetasol propionate
NON PREFERRED hydrocortisone
Lidoprofen hydrocortisone acetate/aloe
Pennsaid hydrocortisone butyrate
hydrocortisone valerate
hydrocortisone IN absorbase ANTIPRURITICS mometasone furoate NON PREFERRED
prednicarbate Prudoxin triamcinolone acetonide Zonalon PREFERRED
Capex ANTIPSORIATICS Cordran Tape GENERIC
Halog acitretin Hydrocortisone Butyrate (lipid) calcipotriene Kenalog PREFERRED
Locoid Lipocream Dritho-scalp Pramosone E Oxsoralen Ultra Taclonex Tazorac NON PREFERRED NON PREFERRED
Aclovate Amevive Ala Scalp Calcitriol Amcinonide Dovonex Apexicon E Dritho-creme HP Aqua Glycolic HC Scalp & Body Soriatane Carmol-HC Sorilux Clobex Stelara Cloderm Vectical Cloderm P.M. Zithranol Cordran Zithranol-rr Cordran SP 8-mop Cutivate
Derma-smoothe/FS Body ANTISEBORRHEIC AGENTS Derma-smoothe/FS Body Oil GENERIC
Derma-smoothe/FS Scalp selenium sulfide Derma-smoothe/FS Scalp Oil sodium sulfacetamide Dermatop sodium sulfacetamide wash Desonate NON PREFERRED
Desowen Glycolic Acid Desowen Cream/Cetaphil Lotion Glycolic Acid 70% High Purity Desowen Lotion/Cetaphil Cream Ovace Plus Desowen Ointment/Cetaphil Lotion Ovace Plus Wash Desoximetasone Ovace Wash Diflorasone Diacetate Promiseb Diprolene Promiseb Complete Diprolene AF Seb-prev Elocon Selenium Sulfide Epifoam Selrx First-hydrocortisone Selsun Shampoo Halonate Sodium Sulfacetamide/Urea Locoid Tersi Foam Luxiq TL Triseb Momexin
Effective October 1, 2013
11
Nucort Anacaine
Nuzon Arnica Flower
Olux Atopiclair
Olux-e Aurstat
Pandel Aurstat Anti-itch Hydrogel
Pediaderm HC Aurstat Anti-itch Hydrogel Kit
Pediaderm Ta Benzoin Compound Tincture
Pramosone Benzoin Tincture
Scalacort DK Boric Acid
Synalar Cem-urea
Synalar Cream Kit Coal TAR
Synalar Ointment Kit Coal TAR Base
Synalar Ts Cocaine HCL
Temovate Drysol
Temovate E Eletone
Texacort Elimite
Topicort Emla
Triamcinolone Acetonide Emulsion SB
Trianex Epiceram
Ultravate Ethyl Chloride
Ultravate PAC Ethyl Chloride/Fine Pinpoint
Ultravate X Ethyl Chloride/Fine Stream
Vanos Ethyl Chloride/Medium Jet Stream
Verdeso Ethyl Chloride/Medium Stream
Westcort Ethyl Chloride/Mist
Gebauers Pain Ease
Gebauers Spray And Stretch IMMUNOMODULATING AGENTS
GENERIC Genadur
imiquimod Genadur Kit
PREFERRED Gordofilm
Elidel Gordons Urea
Protopic Green Soap
NON PREFERRED Hydro 35
Aldara Hydro 40 Foam
Zyclara Hylatopic
Zyclara P.M. Hylatopic Plus
Hylatopic Plus/Aurstat
Hylira DERMATOLOGICALS - MISC. HPR GENERIC
HPR Plus ammonium lactate HPR Plus/Mb Hydrogel episone CRE Kerafoam lactic acid Kerafoam 42 lactic acid e Keralyt lactic acid w/vitamin e Keralyt Scalp lidocaine Lac-hydrin lidocaine HCL Latrix XM lidocaine HCL jelly Lidocaine HCL lidocaine/prilocaine Lidocaine/Prilocaine lindane Lidoderm malathion Lycelle permethrin Mb Hydrogel podofilox Mimyx salicylic acid Natroba salicylic acid cream Neosalus salicylic acid lotion Neosalus CP sodium hyaluronate Nuvail urea Ovide urea topical Pliaglis urea IN zinc undecylenate/lactic acid vehicle Pontocaine urea 40% nail film Pr Cream PREFERRED
Presera Condylox Pruclair Eurax Prumyx Methoxsalen Pyrogallic Acid Oxsoralen Qutenza Ulesfia Radigel NON PREFERRED
Rinnovi Nail System Aluminum Acetate Salex Aluvea
Salex Cream
Effective October 1, 2013
12
Salex Lotion Orapred Odt
Salicylic Acid Pediapred
Salicylic Acid IN Ammonium Lactate Vehicle Prednisolone Sodium Phosphate
Salkera Prednisone
Salvax Prednisone Intensol
Salvax Duo Plus Prelone
Sklice Rayos
Spinosad Solu-cortef
Sulfurated Lime Solu-medrol
Synera Veripred 20
Tetrix
Tropazone ANDROGENS-ANABOLIC
TL-cermide GENERIC
Umecta danazol
Umecta Nail Film oxandrolone
Umecta PD testosterone cypionate
Uramaxin testosterone enanthate
Uramaxin GT PREFERRED
Uramaxin GT Kit Androderm
Utopic Androgel
Veregen Androgel P.M.
Virasal Androxy
Witch Hazel Axiron
Xclair Fortesta
Xerac Ac NON PREFERRED
Xylocaine Anadrol-50
Android
Delatestryl ENDOCRINE AND METABOLIC Depo-testosterone CORTICOSTEROIDS First-testosterone GENERIC
First-testosterone Mc Compounding Kit betamethasone sodium phosphate/betamethasone acetate Oxandrin
budesonide Striant
dexamethasone Testim
dexamethasone sodium phosphate Testopel
fludrocortisone acetate Testred
hydrocortisone
methylprednisolone ESTROGENS
methylprednisolone acetate GENERIC
methylprednisolone dose pack estradiol
methylprednisolone sodiumsuccinate estradiol valerate
prednisolone estradiol/norethindrone acetate
prednisolone sodium phosphate estropipate
prednisone PREFERRED
PREFERRED Cenestin
Uceris Combipatch
NON PREFERRED Enjuvia
Aristospan Intra-articular Evamist
Aristospan Intralesional Premphase
Celestone Prempro
Celestone-soluspan Vivelle-dot
Cortef NON PREFERRED
Cortisone Acetate Activella
Depo-medrol Alora
Dexamethasone Angeliq
Dexamethasone Intensol Climara
Dexamethasone Sodium Phosphate Climara Pro
Dexpak 10 Day Delestrogen
Dexpak 13 Day Depo-estradiol
Dexpak 6 Day Divigel
Entocort EC Elestrin
FLO-pred Estrace
Kenalog-10 Estrasorb
Kenalog-40 Estrogel
Medrol Estropipate
Medrol Dosepak Femhrt Low Dose
Millipred Femhrt 1/5
Millipred DP Femtrace
Orapred Jinteli
Effective October 1, 2013
13
Menest GENERIC
Menostar medroxyprogesterone acetate
Minivelle norethindrone acetate
Prefest progesterone
Premarin PREFERRED
Makena
NON PREFERRED CONTRACEPTIVES
GENERIC Aygestin
drospirenone/ethinyl estradiol Megace ES
levonorgestrel Prometrium
levonorgestrel and ethinyl estradiol Provera
levonorgestrel/ethinyl estradiol
norethindrone ANTIDIABETIC AGENTS
norgestimate/ethinyl estradiol INSULIN
norgestrel/ethinyl estradiol PREFERRED
PREFERRED Apidra
Beyaz Apidra Solostar
Ella Humalog
Loestrin 24 FE Humalog Kwikpen
LO Loestrin FE Humalog Mix 50/50
Natazia Humalog Mix 50/50 Kwikpen
Safyral Humalog Mix 75/25
NON PREFERRED Humalog Mix 75/25 Kwikpen
Amethyst Humulin N
Brevicon-28 Humulin N U-100 Pen
Cyclessa Humulin R
Desogen Humulin R U-500 (concentrated)
Estrostep FE Humulin 70/30
Femcon FE Humulin 70/30 Pen
Generess FE Lantus
Loestrin FE 1.5/30 Lantus Solostar
Loestrin FE 1/20 Levemir
Loestrin 1.5/30-21 Levemir Flexpen
Loestrin 1/20-21 Novolog
Loseasonique Novolog Flexpen
LO Minastrin FE Novolog Mix 70/30
LO/Ovral-28 Novolog Mix 70/30 Prefilled Flexpen
Minastrin 24 FE Novolog Penfill
Mircette NON PREFERRED
Modicon Novolin N
Necon 1/50-28 Novolin N Relion
Necon 10/11-28 Novolin R
Nor-QD Novolin R Relion
Nordette-28 Novolin 70/30
Norinyl 1+35 Novolin 70/30 Relion
Norinyl 1+50 Relion N
Ogestrel Relion N Innolet
Ortho Evra Relion R
Ortho Micronor Relion 70/30
Ortho Tri-cyclen Relion 70/30 Innolet
Ortho Tri-cyclen LO AMYLIN ANALOGS
Ortho-cept PREFERRED
Ortho-cyclen Symlinpen 120
Ortho-novum 1/35 Symlinpen 60
Ortho-novum 7/7/7 INCRETIN MIMETIC AGENTS
Ovcon-35 PREFERRED
Ovcon-50 28 Bydureon
Plan B Byetta
Plan B One-step Victoza
Quartette SULFONYLUREAS
Seasonale GENERIC
Seasonique glimepiride
Tri-norinyl 28 glipizide
Yasmin 28 glipizide ER
Yaz glyburide
Zovia 1/50e glyburide micronized
tolazamide
NON PREFERRED PROGESTINS Amaryl
Chlorpropamide
Effective October 1, 2013
14
Diabeta Avandamet
Glucotrol Avandaryl
Glucotrol XL Duetact
Glyburide Glucovance
Glynase Kazano
Tolazamide Metaglip
Tolbutamide Oseni
BIGUANIDES
GENERIC BISPHOSPHONATES
metformin HCL GENERIC
metformin HCL ER alendronate sodium
PREFERRED ibandronate sodium
Riomet pamidronate disodium
NON PREFERRED zoledronic acid
Fortamet PREFERRED
Glucophage Actonel
Glucophage XR Atelvia
Glumetza NON PREFERRED
MEGLITINIDE ANALOGUES Alendronate Sodium
GENERIC Binosto
nateglinide Boniva
repaglinide Didronel
NON PREFERRED Etidronate Disodium
Prandin Fosamax
Starlix Fosamax Plus D
DIABETIC OTHER Pamidronate Disodium
PREFERRED Reclast
Glucagon Emergency Kit Skelid
NON PREFERRED Zoledronic Acid
Glucagen Zometa
Glucagen Hypokit
Korlym CALCITONINS Proglycem GENERIC
ALPHA-GLUCOSIDASE INHIBIT calcitonin salmon GENERIC calcitonin-salmon acarbose NON PREFERRED
NON PREFERRED Fortical Glyset Miacalcin Precose
DPP-4 INHIBITORS PARATHYROID HORMONE PREFERRED PREFERRED
Januvia Forteo Onglyza
Tradjenta RANK LIGAND INHIBITORS NON PREFERRED PREFERRED
Nesina Xgeva INSULIN SENSITIZING AGENT NON PREFERRED
GENERIC Prolia pioglitazone HCL
NON PREFERRED CALCIUM REGULATORS - MISC Actos NON PREFERRED Avandia Ganite ANTIDIABETIC COMBINATIONS
GENERIC
HORMONE RECEPTOR MDLTR glipizide/metformin HCL PREFERRED glyburide/metformin HCL Evista pioglitazone HCL-glimepiride NON PREFERRED pioglitazone HCL/metformin HCL Osphena PREFERRED
Actoplus Met XR FERTILITY REGULATORS Janumet GENERIC Janumet XR chorionic gonadotropin Jentadueto clomiphene citrate Juvisync PREFERRED Kombiglyze XR Bravelle Prandimet Follistim AQ NON PREFERRED
Menopur Actoplus Met Ovidrel Appformin Repronex
Appformin-d
Effective October 1, 2013
15
NON PREFERRED NON PREFERRED
Clomid Ddavp
Gonal-f Pitressin Synthetic
Gonal-f RFF
Gonal-f RFF Pen CORTICOTROPIN
Luveris PREFERRED
Acthar HP
LHRH/GNRH AGONIST
PREFERRED PROLACTIN INHIBITORS
Lupron Depot-PED GENERIC
Supprelin LA cabergoline
Synarel
VASOPRESSIN ANTAGONISTS
GNRH/LHRH ANTAGONISTS PREFERRED
PREFERRED Samsca
Cetrotide NON PREFERRED
Ganirelix Acetate Vaprisol
GROWTH HORMONES PROGESTERONE ANTAGONISTS
PREFERRED NON PREFERRED
Norditropin Cartridge Mifeprex
Norditropin Flexpro
Norditropin Nordiflex Pen METABOLIC MODIFIERS Nutropin GENERIC
Nutropin AQ calcitriol Nutropin AQ Nuspin 10 levocarnitine Nutropin AQ Nuspin 20 sodium phenylbutyrate Nutropin AQ Nuspin 5 PREFERRED
Nutropin AQ Pen Aldurazyme NON PREFERRED Carbaglu Genotropin Cystadane Genotropin Miniquick Elaprase Humatrope Fabrazyme Humatrope Combo Pack Hectorol Omnitrope Kuvan Saizen Lumizyme Saizen Click.easy Myozyme Serostim Naglazyme Tev-tropin Orfadin Zorbtive Sensipar
NON PREFERRED
GHRH Ammonul
NON PREFERRED Buphenyl
Egrifta Carnitor
Carnitor SF
SOMATOMEDINS Ravicti
NON PREFERRED Rocaltrol
Increlex Zemplar
SOMATOSTATIC AGENTS THYROID AGENTS
GENERIC GENERIC
octreotide acetate levothyroxine sodium
PREFERRED liothyronine sodium
Sandostatin Lar Depot methimazole
Signifor propylthiouracil
Somatuline Depot NON PREFERRED
NON PREFERRED Armour Thyroid
Sandostatin Cytomel
Levothyroxine Sodium
Nature-throid GH RECEPTOR ANTAGONISTS
PREFERRED Nature-throid Nt-2.5
Somavert Synthroid
Tapazole
Thyrolar-1 POSTERIOR PITUITARY Thyrolar-1/2 GENERIC
Thyrolar-1/4 desmopressin acetate Thyrolar-2 vasopressin Thyrolar-3 PREFERRED
Tirosint Stimate
Effective October 1, 2013
16
Triostat omeprazole
Westhroid omeprazole/sodium bicarbonate
Westhroid-p pantoprazole sodium
Wp Thyroid ranitidine HCL
sucralfate
PREFERRED GASTROINTESTINAL Carafate LAXATIVES Nexium GENERIC
Pylera lactulose NON PREFERRED peg 3350/electrolytes Aciphex peg-3350/electrolytes Anaspaz peg-3350/NACL/NA bicarbonate/KCL Atropen polyethylene glycol 3350 Atropine Sulfate PREFERRED
Axid Halflytely Bowel Prep/Flavor Packs Belladonna & Opium Kristalose Belladonna Alkaloids Moviprep Belladonna Alkaloids & Opium Suprep Bowel Prep Bentyl NON PREFERRED
Cantil Cascara Sagrada Cuvposa Cascara Sagrada Aromatic Cytotec Colyte-flavor Packs Dexilant Golytely Dicyclomine HCL Mineral Oil Heavy Digex NF Nulytely/Flavor Packs Esomeprazole Strontium Osmoprep Famotidine Premixed Prepopik First-lansoprazole Senna First-omeprazole Senna Leaves Gabitidine Suclear Helidac Visicol Levbid
Levsin ANTIDIARRHEALS Levsin/SL GENERIC
Nexium I.v. diphenoxylate/atropine Omeclamox-PAK loperamide HCL Omeprazole + Syrspend SF Alka opium Pamine PREFERRED
Pamine Forte Motofen Pamine FQ NON PREFERRED
Pepcid Diphenoxylate/Atropine Prevacid Fulyzaq Prevacid Solutab Lomotil Prevpac Paregoric Prilosec Rezyst IM Propantheline Bromide Rezyst SB Protonix Vsl#3 DS Robinul
Robinul Forte ANTACIDS Scopolamine Hydrobromide NON PREFERRED Sentradine Sodium Bicarbonate Symax Duotab
Zantac ULCER DRUGS Zegerid GENERIC
atropine sulfate ANTIEMETICS cimetidine GENERIC cimetidine HCL dronabinol dicyclomine HCL granisetron HCL famotidine meclizine HCL glycopyrrolate ondansetron odt hyoscyamine sulfate ondansetron HCL hyoscyamine sulfate odt ondansetron HCL/dextrose hyoscyamine sulfate ER trimethobenzamide HCL hyoscyamine sulfate SR PREFERRED lansoprazole Anzemet lansoprazole/amoxicillin/clarithromycin Emend methscopolamine bromide Sancuso misoprostol Transderm-scop nizatidine
Effective October 1, 2013
17
NON PREFERRED Dexpanthenol
Aloxi Dipentum
Antivert Eliphos
Cesamet Entereg
Coca Cola Syurp Gastrocrom
Diclegis Gattex
Dimenhydrinate Giazo
Granisol Lialda
Marinol Lidocaine HCL-hydrocortisone Acetate With Aloe
Ondansetron HCL Lidocaine HCL/Hydrocortisone Acetate
Tigan Metozolv Odt
Zofran Phoslo
Zofran Odt Phoslyra
Zuplenz Procort
Proctocort
Rectiv DIGESTIVE AIDS
PREFERRED Reglan
Creon Remicade
Pancrelipase Renagel
Zenpep Rowasa
NON PREFERRED Sfrowasa
Pancreaze Urso Forte
Pertzye Urso 250
Sucraid Z-pram
Ultresa
Viokace GENITOURINARY
URINARY ANTI-INFECTIVES
GASTROINTESTINAL - MISC. GENERIC
GENERIC methenamine hippurate
balsalazide disodium methenamine mandelate
calcium acetate nitrofurantoin
cromolyn sodium nitrofurantoin macrocrystal
hydrocort ene 100MG nitrofurantoin macrocrystalline
hydrocortisone nitrofurantoin macrocrystals
hydrocortisone acetate/pramoxine nitrofurantoin monohydrate
lactulose nitrofurantoin monohydrate/macrocrystals
lidocaine HCL/hydrocortisone acetate NON PREFERRED
mesalamine Furadantin
metoclopramide HCL Hiprex
sulfasalazine Macrobid
ursodiol Macrodantin
PREFERRED Methenamine Mandelate
Amitiza Monurol
Analpram Advanced Prosed/DS
Apriso Urelle
Asacol Uretron D/S
Asacol HD Urex
Canasa Uribel
Cortifoam Urimar-t
Fosrenol Urogesic-blue
Linzess Uroqid #2
Lotronex
Pentasa URINARY ANTISPASMODICS Proctofoam HC GENERIC
Relistor bethanechol chloride Renvela flavoxate HCL NON PREFERRED oxybutynin chloride Actigall oxybutynin chloride ER Analpram-HC tolterodine tartrate Analpram-HC Singles trospium chloride Anusol-HC trospium chloride ER Azulfidine PREFERRED
Azulfidine EN-TABS Detrol LA Chenodal Enablex Cimzia Gelnique Cimzia Starter Kit Oxytrol Colazal Oxytrol For Women Cortenema Toviaz Delzicol Vesicare
Effective October 1, 2013
18
NON PREFERRED Tricitrates
Detrol Urocit-k 10
Ditropan XL Urocit-k 5
Myrbetriq Uroxatral
Sanctura
Sanctura XR HEMATOLOGICAL Urecholine HEMATOPOIETIC AGENTS
GENERIC
VAGINAL PRODUCTS cyanocobalamin GENERIC folic acid clindamycin phosphate folic acid/vitamin b-6/vitamin b-12 metronidazole vaginal sodium ferric gluconate complex/sucrose terconazole PREFERRED
PREFERRED Aranesp Albumin Free Avc Cerezyme Clindesse Cyanocobalamin Crinone Droxia Endometrin Elelyso Estrace Ferrex 150 Forte Plus Estring Ferrex 28 Gynazole-1 Folic + B12 Vagifem Foltrate NON PREFERRED Leukine Cleocin Mozobil Fem PH Mtx Support Femring Neulasta First-progesterone VGS 100 Compounding Kit Neumega First-progesterone VGS 200 Compounding Kit Neupogen First-progesterone VGS 25 Compounding Kit Nplate First-progesterone VGS 400 Compounding Kit Procrit First-progesterone VGS 50 Compounding Kit Promacta Metrogel-vaginal Vitamin B12/Folic Acid Nystatin Vaginal Vpriv Premarin NON PREFERRED
Relagard Albafort Terazol 3 Animi-3 Terazol 7 Animi-3/Vitamin D
B-6 Folic Acid
GENITOURINARY - MISC. Biferarx
GENERIC Cenfol
alfuzosin HCL ER Centratex
citric acid/sodium citrate Corvite 150
finasteride Divista
hydrochloric acid Ed Cyte F
phenazopyridine HCL Epogen
potassium citrate/citric acid Feraheme
tamsulosin HCL Feriva
PREFERRED Ferralet 90
Cystagon Ferrlecit
Elmiron Ferro-plex Hematinic
Procysbi Ferrotrin
Rapaflo Fetrin
Urocit-k 15 Folgard RX
NON PREFERRED Folic Acid
Avodart Folivane-f
Cardura XL Folivane-plus
Citrolith Folpace RX
Cytra-3 Fusion Plus
Flomax Hematogen Fa
Jalyn Hematron-AF
K-phos NO 2 Hemocyte Plus
Lithostat Hemocyte-f
Oracit Hydroxocobalamin
Potassium Citrate Icar-c Plus
Proscar Injectafer
Pyridium Integra F
Shohls Solution Modified Integra Plus
Sodium Citrate Iron
Thiola Irospan 24/6
Effective October 1, 2013
19
Maxaron Forte Thrombin-jmi Epistaxis
Multigen Thrombin-jmi Syringe Spray Kit
Multigen Folic Thrombin-jmi W/Dil Spray P.M. Actuator
Multigen Plus Thrombogen
Nascobal Tisseel
Natalvirt Flt Trasylol
Nephron Fa
Novaferrum HEMATOLOGICAL - MISC.
Omontys GENERIC
Pre-folic anagrelide hydrochloride
Proferrin-forte cilostazol
Protectiron clopidogrel
Tandem F dipyridamole
Tandem Plus hetastarch 6%/NACL
Venofer pentoxifylline ER
Zavesca ticlopidine HCL
PREFERRED
ANTICOAGULANTS Advate
GENERIC Aggrenox
argatroban Alphanate/Von Willebrand Factor Complex/Human
enoxaparin sodium Alphanine SD
fondaparinux sodium Benefix
heparin lock Berinert
heparin lock flush Brilinta
heparin lock flush for flushing vascular access devices Corifact
heparin lock flush/NACL for flushing vascular access Effient devices Helixate FS heparin sodium Hemofil M heparin sodium dcu Humate-p heparin sodium lock flush Koate-dvi heparin sodium/sodium chloride 0.9% premix Kogenate FS heparin sodium/D5W Kogenate FS Bio-set heparin sodium/NACL 0.9% Monoclate-p warfarin sodium Mononine PREFERRED Novoseven Eliquis Novoseven Rt Pradaxa Recombinate Xarelto Soliris NON PREFERRED Wilate Angiomax Xyntha Argatroban Xyntha Solofuse Arixtra NON PREFERRED
Coumadin Activase Fragmin Aggrastat Heparin Lock Flush Agrylin Heparin Sodium Cathflo Activase Heparin Sodium/D5W Dextran 70 Heparin Sodium/NACL 0.45% Firazyr Heparin Sodium/Sodium Chloride 0.9% Hespan Iprivask Hextend Lovenox Integrilin Refludan Kalbitor
Kinlytic
HEMOSTATICS LMD 10% Dextrose 5%
GENERIC LMD 10% Sodium Chloride 0.9%
aminocaproic acid Persantine
tranexamic acid Plavix
NON PREFERRED Pletal
Amicar Protamine Sulfate
Aminocaproic Acid Reopro
Artiss Retavase
Astringyn Retavase Half-kit
Cyklokapron Tnkase
Evicel Trental
Evithrom Voluven
Lysteda
Recothrom MOUTH/THROAT/DENTAL AGENT Recothrom Spray Kit
Thrombin-jmi Diluent
Effective October 1, 2013
20
GENERIC Hydroxyzine Pamoate
cevimeline HCL Lorazepam Intensol
chlorhexadine gluconate oral rinse Niravam
chlorhexidine gluconate Sentrazolam AM 0.25
chlorhexidine gluconate oral rinse Tranxene T
clotrimazole Valium
lidocaine viscous Vistaril
lidocaine HCL Xanax
nystatin Xanax XR
pilocarpine hydrochloride
pilocarpine HCL ANTIDEPRESSANTS
stannous fluoride oral rinse GENERIC
triamcinolone acetonide amitriptyline HCL
triamcinolone IN orabase bupropion HCL
NON PREFERRED bupropion HCL ER
Aphthasol bupropion HCL SR
Aquoral bupropion HCL XL
Caphosol citalopram hydrobromide
Debacterol clomipramine HCL
Evoxac desipramine HCL
First-bxn Mouthwash doxepin HCL
First-dukes Mouthwash escitalopram oxalate
First-marys Mouthwash fluoxetine DR
First-mouthwash Blm fluoxetine HCL
Gel-kam Oral Care Rinse fluvoxamine maleate
Gelclair fluvoxamine maleate ER
Gelx imipramine pamoate
Lta 360 Kit imipramine HCL
Mucotrol mirtazapine
Nafrinse Daily/Acidulated mirtazapine odt
Nafrinse Daily/Neutral nefazodone HCL
Nafrinse Weekly nortriptyline HCL
Neutrasal paroxetine HCL
Numoisyn paroxetine HCL ER
Oramagicrx phenelzine sulfate
Oravig protriptyline HCL
Peridex sertraline HCL
Prevident tranylcypromine sulfate
Salagen trazodone HCL
Salicept trimipramine maleate
venlafaxine HCL
venlafaxine HCL ER NEUROLOGY, CNS, PSYCH PREFERRED ANTIANXIETY AGENTS Cymbalta GENERIC
Paxil alprazolam Pristiq alprazolam odt Viibryd alprazolam ER NON PREFERRED buspirone HCL Amoxapine chlordiazepoxide HCL Anafranil clorazepate dipotassium Aplenzin diazepam Appbutamone droperidol Appbutamone-d gene-xene TAB 15MG Celexa gene-xene TAB 3.75MG Desvenlafaxine ER gene-xene TAB 7.5MG Doxepin HCL hydroxyzine pamoate Effexor XR hydroxyzine HCL Emsam lorazepam Fluoxetine HCL meprobamate Forfivo XL oxazepam Gaboxetine NON PREFERRED
Lexapro Alprazolam Intensol Luvox CR Ativan Maprotiline HCL Diazepam Marplan Diazepam Intensol Nardil Gabavale-5 Nefazodone HCL Gabazolamine Norpramin Gabazolamine-0.5 Nortriptyline HCL Hydroxyzine HCL
Effective October 1, 2013
21
Oleptro Invega Sustenna
Pamelor Lithium Carbonate
Parnate Lithium Citrate
Paxil CR Lithobid
Pexeva Loxitane
Prozac Prochlorperazine Edisylate
Prozac Weekly Risperdal
Remeron Risperdal Consta
Remeron Soltab Risperdal M-TAB
Sentraflox AM-10 Saphris
Sentralopram AM-10 Seroquel
Sentravil PM-25 Zyprexa
Sentroxatine Zyprexa Relprevv
Surmontil Zyprexa Zydis
Tofranil
Tofranil-PM HYPNOTICS
Trazamine GENERIC
Venlafaxine HCL ER estazolam
Vivactil flurazepam HCL
Wellbutrin phenobarbital
Wellbutrin SR phenobarbital sodium
Wellbutrin XL temazepam
Zoloft triazolam
zaleplon
ANTIPSYCHOTICS zolpidem tartrate
GENERIC zolpidem tartrate ER
chlorpromazine HCL PREFERRED
clozapine Chloral Hydrate
fluphenazine HCL Lunesta
haloperidol Silenor
haloperidol decanoate NON PREFERRED
haloperidol lactate Ambien
lithium carbonate Ambien CR
lithium carbonate ER Amytal Sodium
loxapine Butisol Sodium
loxapine succinate Doral
olanzapine Edluar
olanzapine odt Gabazolpidem-5
perphenazine Halcion
prochlorperazine Intermezzo
prochlorperazine maleate Luminal
quetiapine fumarate Nembutal
risperidone Nembutal Sodium
risperidone odt Phenobarbital
thioridazine HCL Phenobarbital Sodium
thiothixene Precedex
trifluoperazine HCL Quazepam
ziprasidone HCL Restoril
PREFERRED Rozerem
Abilify Seconal
Abilify Discmelt Sentrazolpidem PM-5
Abilify Maintena Somnote
Latuda Sonata
Seroquel XR Strazepam
NON PREFERRED Zolpimist
Chlorpromazine HCL
Clozapine Odt ADHD, NARCOLEPSY, ETC.
Clozaril GENERIC
Equetro amphetamine/dextroamphetamine
Fanapt caffeine citrate
Fanapt Titration Pack dexmethylphenidate HCL
Fazaclo dextroamphetamine sulfate
Fluphenazine Decanoate dextroamphetamine sulfate ER
Fluphenazine HCL doxapram HCL
Geodon methamphetamine HCL
Haldol methylphenidate hydrochloride
Haldol Decanoate 100 methylphenidate HCL
Haldol Decanoate 50 methylphenidate HCL CD
Invega methylphenidate HCL ER
Effective October 1, 2013
22
methylphenidate HCL SR Tegretol-XR
modafinil NON PREFERRED
PREFERRED Carbatrol
Daytrana Depacon
Intuniv Depakene
Strattera Depakote
Vyvanse Depakote ER
NON PREFERRED Depakote Sprinkles
Adderall Diastat Acudial
Adderall XR Dilantin
Cafcit Dilantin Infatabs
Caffeine/Sodium Benzoate Felbatol
Concerta Gabitril
Desoxyn Keppra
Dexedrine Keppra XR
Dopram Klonopin
Focalin Lamictal
Focalin XR Lamictal Chewable Dispersible
Kapvay Lamictal Starter/Not Taking Carbamazepine
Kapvay Dose Pack Lamictal Starter/Taking Carbamazepine/Not Taking Valproate Metadate CD Lamictal Starter/Taking Valproate Methylin Lamictal XR Methylphenidate HCL ER Levetiracetam Nuvigil Mysoline Procentra Neurontin Provigil Onfi Quillivant XR Oxtellar XR Ritalin Phenytek Ritalin LA Sabril Ritalin SR Stavzor Sentramodafin AM-100 Tegretol Zenzedi Therapentin-60
Therapentin-90 ANTICONVULSANTS Topamax GENERIC
Topamax Sprinkle carbamazepine Trileptal carbamazepine ER Trokendi XR clonazepam Vimpat clonazepam odt Zarontin divalproex sodium Zonegran divalproex sodium DR
divalproex sodium ER ANTIPARKINSON AGENTS ethosuximide GENERIC felbamate amantadine HCL fosphenytoin sodium benztropine mesylate gabapentin bromocriptine mesylate lamotrigine carbidopa/levodopa lamotrigine ER carbidopa/levodopa odt levetiracetam carbidopa/levodopa CR levetiracetam ER carbidopa/levodopa ER oxcarbazepine carbidopa/levodopa SR phenytoin entacapone phenytoin sodium pramipexole dihydrochloride phenytoin sodium extended ropinirole ER primidone ropinirole HCL tiagabine hydrochloride selegiline HCL topiramate trihexyphenidyl HCL valproate sodium PREFERRED valproic acid Apokyn zonisamide Azilect PREFERRED
Lodosyn Banzel Mirapex ER Celontin NON PREFERRED Diastat Pediatric Amantadine HCL Diazepam Carbidopa/Levodopa/Entacapone Lamictal Odt Cogentin Lyrica Comtan Peganone Eldepryl Potiga
Effective October 1, 2013
23
Mirapex Tysabri
Neupro
Parcopa NEUROMUSCULAR AGENTS
Parlodel GENERIC
Requip atracurium besylate
Requip XL cisatracurium besylate
Sinemet pancuronium bromide
Sinemet CR riluzole
Stalevo 100 rocuronium bromide
Stalevo 125 vecuronium bromide
Stalevo 150 NON PREFERRED
Stalevo 200 Anectine
Stalevo 50 Botox
Stalevo 75 Dysport
Tasmar Myobloc
Zelapar Nimbex
Quelicin
NEUROLOGY, PSYCH - MISC. Quelicin 1000
GENERIC Rilutek
acamprosate calcium DR Xeomin
disulfiram Zemuron
donepezil HCL
fluoxetine MUSCULOSKELETAL AGENTS
galantamine GENERIC
galantamine hydrobromide baclofen
olanzapine/fluoxetine carisoprodol
rivastigmine tartrate carisoprodol/aspirin
PREFERRED carisoprodol/aspirin/codeine
Ampyra chlorzoxazone
Avonex cyclobenzaprine HCL
Avonex Pen dantrolene sodium
Copaxone metaxalone
Namenda methocarbamol
Namenda Titration PAK orphenadrine citrate
Namenda XR orphenadrine citrate ER
Namenda XR Titration Pack orphenadrine/asa/caffeine
Nuedexta tizanidine HCL
Orap PREFERRED
Rebif Euflexxa
Rebif Rebidose Hyalgan
Rebif Rebidose Titration Pack Orthovisc
Rebif Titration Pack NON PREFERRED
Savella Amrix
Tecfidera Carisoprodol
Tecfidera Starter Pack Cyclobenzaprine Comfort PAC
Xenazine Dantrium
Xyrem Dantrium IV
NON PREFERRED Fexmid
Antabuse Flexeril
Aricept Lorzone
Aricept Odt Norflex
Aubagio Parafon Forte DSC
Betaseron Prazolamine
Brisdelle Robaxin
Campral Robaxin-750
Chlordiazepoxide/Amitriptyline Skelaxin
Ergoloid Mesylates Soma
Exelon Therabenzaprine-60
Extavia Therabenzaprine-90
Gilenya Therabenzaprine-90-5
Gralise Tizanidine Comfort PAC
Gralise Starter Zanaflex
Horizant
Perphenazine/Amitriptyline ANTIMYASTHENIC AGENTS Razadyne GENERIC
Razadyne ER neostigmine methylsulfate Sarafem pyridostigmine bromide Savella Titration Pack PREFERRED
Symbyax Mestinon Timespan
Effective October 1, 2013
24
Prostigmin Cosopt
NON PREFERRED Cosopt PF
Bloxiverz Istalol
Enlon Levobunolol HCL
Enlon-plus Optipranolol
Guanidine HCL Timoptic
Mestinon Timoptic Ocudose
Mytelase Timoptic-xe
Regonol
OPHTHALMIC STEROIDS
GENERIC OPHTHALMOLOGY AND OTIC dexamethasone sodium phosphate ANTI-INFECTIVES fluorometholone GENERIC
neomycin/polymyxin/bacitracin/hydrocortisone bacitracin/polymyxin b neomycin/polymyxin/dexamethasone ciprofloxacin HCL prednisolone acetate erythromycin sulfacetamide sodium/prednisolone sodium phosphate gentamicin sulfate tobramycin/dexamethasone levofloxacin PREFERRED neomycin/bacitracin/polymyxin Alrex neomycin/polymyxin/bacitracin zinc Blephamide S.o.p. neomycin/polymyxin/gramicidin Durezol ofloxacin FML polymyxin b sulfate/trimethoprim sulfate Lotemax sodium sulfacetamide Ozurdex sulfacetamide sodium Pred Mild tobramycin sulfate Retisert trifluridine Tobradex ST trimethoprim sulfate/polymyxin b sulfate Zylet PREFERRED
NON PREFERRED Besivance Blephamide Ciloxan Flarex Moxeza FML Forte Natacyn FML Liquifilm Vigamox Maxidex Zymaxid Maxitrol NON PREFERRED
Neomycin/Polymyxin/Hydrocortisone Azasite Omnipred Bacitracin Pred Forte Betadine Ophthalmic Prep Pred-G Bleph-10 Pred-G S.o.p. Garamycin Prednisolone Sodium Phosphate Mitosol Tobradex Neosporin Vexol Ocuflox
Polytrim
Sulfacetamide Sodium PROSTAGLANDINS
Tobrex GENERIC
Viroptic latanoprost
Zirgan PREFERRED
Lumigan
Travatan Z ARTIFICIAL TEAR/LUBRICANT Travoprost PREFERRED
NON PREFERRED Lacrisert Rescula
Xalatan BETA-BLOCKERS Zioptan GENERIC
betaxolol HCL CYCLOPLEGIC MYDRIATICS carteolol HCL GENERIC dorzolamide HCL/timolol maleate atropine sulfate levobunolol HCL cyclopentolate HCL metipranolol homatropine HBR timolol maleate NON PREFERRED timolol maleate ophthalmic gel forming Atropine Sulfate PREFERRED
Cyclogyl Betoptic-s Cyclomydril Combigan Isopto Atropine NON PREFERRED
Isopto Homatropine Betagan Isopto Hyoscine Betimol
Effective October 1, 2013
25
Optivar DECONGESTANTS
GENERIC Trusopt
phenylephrine HCL Voltaren
NON PREFERRED
Mydfrin OTIC AGENTS
Naphazoline HCL GENERIC
acetic acid
antipyrine/benzocaine MIOTICS
GENERIC fluocinolone acetonide
pilocarpine HCL fluocinolone acetonide ear drops
PREFERRED hydrocortisone/acetic acid
Isopto Carbachol neomycin/polymyxin/hydrocortisone
Phospholine Iodide neomycin/polymyxin/HC
Pilopine HS ofloxacin
NON PREFERRED PREFERRED
Isopto Carpine Ciprodex
NON PREFERRED
Acetic Acid/Aluminum Acetate ADRENERGIC AGENTS Auralgan GENERIC
Cetraxal apraclonidine Cipro HC brimonidine tartrate Ciprofloxacin NON PREFERRED
Coly-mycin S Alphagan P Cortisporin Iopidine Cortisporin-tc Simbrinza Cresylate
Dermotic IMMUNOMODULATORS Myoxin PREFERRED
Otozin Restasis Pramotic
Vosol HC LOCAL ANESTHETICS
GENERIC
OXYTOCICS proparacaine HCL
tetracaine HCL GENERIC NON PREFERRED
methylergonovine maleate Akten oxytocin Alcaine NON PREFERRED
Cervidil OPHTHALMICS - MISC. Hemabate GENERIC
Methergine azelastine HCL Pitocin cromolyn sodium Prepidil diclofenac sodium Prostin E2 dorzolamide HCL
epinastine HCL
flurbiprofen sodium PAIN MANAGEMENT
ketorolac tromethamine ANALGESICS - NONNARCOTIC
PREFERRED GENERIC
Acuvail butal/asa/caff
Azopt butalbital/acetaminophen
Bromday butalbital/acetaminophen/caffeine
Bromfenac butalbital/asa/caffeine
Cystaran choline magnesium trisalicylate
Jetrea diflunisal
Nevanac salsalate
Pataday PREFERRED
Patanol Halfprin
Prolensa NON PREFERRED
NON PREFERRED Alagesic LQ
Acular Anabar
Acular LS Bupap
Alocril Butalbital/Aspirin/Caffeine
Alomide Dolgic Plus
Bepreve Dologesic
Elestat Equagesic
Emadine Esgic
Ilevro Esgic-plus
Lastacaft Fioricet
Ocufen Fiorinal
Effective October 1, 2013
26
Frenadol Demerol
Levacet Dilaudid
Mst 600 Dilaudid-HP
Ofirmev Dilaudid-5
Orbivan Dolophine
Orbivan CF Dolophine HCL
Phrenilin Forte Duragesic
Rhinoflex-650 Exalgo
Sedapap Fioricet/Codeine
Staflex Fiorinal/Codeine #3
Tencon Hycet
Hydrocodone Bitartrate/Acetaminophen
Hydrocodone/Acetaminophen ANALGESICS - OPIOID
GENERIC Hydromorphone HCL
acetaminophen/codeine Hydromorphone HCL Dosette
acetaminophen/codeine #2 Ibudone
acetaminophen/codeine #3 Infumorph 200
acetaminophen/codeine #4 Infumorph 500
acetaminophen/codeine phosphate Kadian
alfentanil Lazanda
buprenorphine HCL Levorphanol Tartrate
buprenorphine HCL/naloxone HCL Liquicet
butalbital/acetaminophen/caffeine/codeine Lorcet Plus
butalbital/aspirin/caffeine/codeine Lorcet 10/650
butorphanol tartrate Lortab
fentanyl Magnacet
fentanyl citrate oral transmucosal Maxidone
hydrocodone bitartrate/acetaminophen Meperidine HCL
hydrocodone/acetaminophen Methadone HCL
hydrocodone/ibuprofen Methadose
hydromorphone HCL Methadose Sugar-free
meperidine HCL Morphine Sulfate
methadone HCL Morphine Sulfate Add-vantage
morphine sulfate Morphine Sulfate IN Dextrose 5%
morphine sulfate ER MS Contin
nalbuphine HCL Norco
oxycodone HCL Onsolis
oxycodone/acetaminophen Opana
oxycodone/aspirin Oxecta
oxycodone/ibuprofen Oxycodone HCL
oxymorphone hydrochloride Percocet
oxymorphone hydrochloride ER Percodan
pentazocine/acetaminophen Primlev
pentazocine/naloxone HCL Reprexain
tramadol hydrochloride/acetaminophen Roxicet
tramadol HCL Roxicodone
tramadol HCL ER Rybix Odt
PREFERRED Ryzolt
Abstral Subsys
Avinza Synalgos-dc
Butrans Talwin
Fentora Theracodeine-300
Nucynta Theracodophen-low-90
Nucynta ER Theracodophen-325
Opana ER (crush Resistant) Theracodophen-650
Oxycontin Theracodophen-750
Suboxone Theratramadol-60
NON PREFERRED Theratramadol-90
Acetaminophen/Caffeine/Dihydrocodeine Bitartrate Tramadol HCL ER
Actiq Trezix
Alfenta Tylenol/Codeine #3
Aspirin-caffeine-dihydrocodeine Tylenol/Codeine #4
Buprenex Tylox
Capital/Codeine Ultiva
Cocet Ultracet
Cocet Plus Ultram
Codeine Phosphate Ultram ER
Codeine Sulfate Vicodin
Conzip Vicodin ES
Vicoprofen
Effective October 1, 2013
27
Xodol Meclofenamate Sodium
Xolox Meloxicam
Zamicet Meloxicam Comfort PAC
Zolvit Mobic
Zubsolv Nalfon
Zydone Naprelan
Naprosyn
Naproxen Comfort PAC ANTI-INFLAMMATORY
GENERIC Neoprofen
diclofenac potassium Orencia
diclofenac sodium DR Ponstel
diclofenac sodium ER Rheumatrex
diclofenac sodium XR Simponi
diclofenac sodium/misoprostol Simponi Aria
etodolac Sprix
etodolac ER Therafeldamine
flurbiprofen Theraprofen-60
ibuprofen Theraprofen-800
indomethacin Theraprofen-90
indomethacin sodium Theraproxen-500
indomethacin ER Theraproxen-60
ketoprofen Theraproxen-90
ketorolac tromethamine Tolmetin Sodium
leflunomide Trepadiclofen-25
mefenamic acid Trepoxen-250
meloxicam Trepoxicam-7.5
nabumetone Voltaren-XR
naproxen Xeljanz
naproxen sodium Zipsor
oxaprozin
piroxicam MIGRAINE PRODUCTS
sulindac GENERIC
tolmetin sodium dihydroergotamine mesylate
PREFERRED naratriptan HCL
Arcalyst rizatriptan benzoate
Celebrex rizatriptan benzoate odt
Enbrel sumatriptan succinate
Enbrel Sureclick sumatriptan succinate refill
Humira zolmitriptan
Humira Pen zolmitriptan odt
Humira Pen-crohns Diseasestarter PREFERRED
Humira Pen-psoriasis Starter Cafergot
Ridaura Dihydroergotamine Mesylate
Vimovo Ergomar
NON PREFERRED Relpax
Actemra Treximet
Anaprox Zomig
Anaprox DS NON PREFERRED
Arava Alsuma
Arthrotec 50 Amerge
Arthrotec 75 Axert
Caldolor Cambia
Cataflam D.h.e. 45
Clinoril Frova
Daypro Imitrex
Duexis Imitrex Statdose Refill
EC-naprosyn Imitrex Statdose System
Feldene Maxalt
Fenoprofen Calcium Maxalt-MLT
Ibuprofen Comfort PAC Migergot
Ilaris Migral
Indocin Migranal
Indocin IV Sumatriptan
Indomethacin Sumavel Dosepro
IC 400 Zomig ZMT
IC 800
Ketoprofen ER GOUT AGENTS
Ketorolac Tromethamine GENERIC
Kineret allopurinol
Effective October 1, 2013
28
allopurinol sodium PREFERRED
probenecid Allegra Allergy Childrens
probenecid/colchicine NON PREFERRED
PREFERRED Aerohist
Colcrys Ahist
Krystexxa Brompheniramine Tannate
Uloric Clarinex
NON PREFERRED Clarinex Reditabs
Aloprim Clemastine Fumarate
Zyloprim Dexchlorpheniramine Maleate
Doxytex
Ed Chlorped LOCAL ANESTHETICS-INJ
GENERIC Ed-chlor-tan
bupivacaine HCL Palgic
bupivacaine/epinephrine Phenergan
chloroprocaine HCL Promethegan
lidocaine HCL Respa-BR
lidocaine/epinephrine Vazol
tetracaine HCL Xyzal
NON PREFERRED
BD Pudendal/Local Block Tray 1% Lidocaine NASAL AGENTS
Carbocaine GENERIC
Duocaine azelastine HCL
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close flunisolide
CATH fluticasone propionate
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open ipratropium bromide CATH triamcinolone acetonide
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close PREFERRED CATH
Astepro Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open Nasonex CATH
Phenylephrine HCL Exparel Qnasl Lidocaine HCL/Dextrose Rhinocort Aqua Marcaine Veramyst Marcaine W/O Epi NON PREFERRED Marcaine/Epinephrine Adrenalin Mepivacaine HCL Astelin Monoject Bone Marrow Aspiration Tray/Rosenthal Needle 16GX2" Atrovent
Monoject Bone Marrow Biopsy Prepping Tray Bactroban Nasal
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle Beconase AQ 11GX4" Dymista
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle Flonase 8GX4" Flunisolide Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle Lusonal 16G
Nasacort AQ Naropin Omnaris Nesacaine Patanase Nesacaine-mpf Tyzine Pontocaine Tyzine Pediatric Nasal Drops Pontocaine Niphanoid Zetonna Sensorcaine-mpf/Epinephrine
Turkel Paracentesis Procedure Tray/8french COUGH/COLD/ALLERGY Xylocaine GENERIC Xylocaine-mpf acetylcysteine Xylocaine-mpf/Epinephrine benzonatate Xylocaine/Epinephrine dextromethorphan HBR/chlorpheniramine/phenylephrine HCL
RESPIRATORY, ALLERGY, ETC hydrocodone bitartrate/homatropine methylbromide ANTIHISTAMINES hydrocodone polistirex/chlorpheniramine polistirex GENERIC hydrocodone/homatropine carbinoxamine maleate phenylephrine/guaifenesin cetirizine HCL promethazine-DM clemastine fumarate promethazine/codeine cyproheptadine HCL promethazine/dextromethorphan desloratadine sodium chloride desloratadine odt PREFERRED
diphenhydramine HCL Clarinex-d 12 HOUR levocetirizine dihydrochloride Clarinex-d 24 HOUR promethazine HCL Rezira promethazine HCL plain
Effective October 1, 2013
29
Tussicaps aminophylline
Zutripro budesonide
NON PREFERRED cromolyn sodium
Alahist Ac epinephrine HCL
Alahist DHC ipratropium bromide
Allfen CD ipratropium bromide/albuterol sulfate
Allfen CDX levalbuterol
Ambifed CD levalbuterol HCL
Ambifed CDX montelukast sodium
Ambifed-G CD terbutaline sulfate
Ambifed-G CDX theophylline
Carbaphen 12 theophylline CR
Carbaphen 12 PED theophylline ER
Cgu Wc theophylline/D5W
Cotab A zafirlukast
Cotab AX PREFERRED
Cotabflu Advair Diskus
Cpb Wc Advair HFA
Decon-a Alvesco
Donatuss Dc Asmanex 120 Metered Doses
Exactuss Asmanex 14 Metered Doses
Gilphex TR Asmanex 30 Metered Doses
Giltuss Asmanex 60 Metered Doses
Giltuss Pediatric Asmanex 7 Metered Doses
Giltuss PED-c Atrovent HFA
Giltuss TR Combivent
Hyper-sal Combivent Respimat
Hypersal Daliresp
J-cof DHC Dulera
J-max DHC Elixophyllin
Maxifed CD Foradil Aerolizer
Maxifed CDX Perforomist
Maxifed-G CD Proair HFA
Maxifed-G CDX Pulmicort Flexhaler
Maxiflu CD Qvar
Maxiflu CDX Serevent Diskus
Maxiphen CD Spiriva Handihaler
Maxiphen CDX Symbicort
Nebusal Tudorza Pressair
Neotuss Plus Ventolin HFA
Panatuss Dxp NON PREFERRED
Pediatex TD Accolate
Pediatex TDM Accuneb
Phenflu CD Adrenalin
Phenflu CDX Aminophylline
Poly H.S. DHC Arcapta Neohaler
Poly H.S. Nc Breo Ellipta
Poly-tussin DHC Brondil
Poly-tussin EX Brovana
Relhist Duoneb
Rescon Flovent Diskus
Rescon-JR Flovent HFA
Rescon-MX Isuprel
Semprex-d Lufyllin
Suttar-SF Maxair Autohaler
Suttar-2 Metaproterenol Sulfate
Tessalon Proventil HFA
Tessalon Perles Pulmicort
Tussafed EX Pulmophylline
Tussionex Pennkinetic Extended Release Senophylline
Vituz Singulair
Z-cof I Theo-24
Zonatuss Theophylline/D5W
Vospire ER
Xolair ANTIASTHMATIC/COPD AGENTS
GENERIC Xopenex
albuterol sulfate Xopenex Concentrate
albuterol sulfate ER Xopenex HFA
albuterol TAB 4MG Zyflo
Zyflo CR
Effective October 1, 2013
30
Fluzone Intradermal
Fluzone Pediatric PF 2011-2012 RESPIRATORY AGENTS - MISC
PREFERRED Fluzone Pediatric PF 2012-2013
Kalydeco Fluzone Pediatric PF 2013-2014
Prolastin Fluzone PF 2011-2012
Prolastin-c Fluzone PF 2012-2013
Pulmozyme Fluzone PF 2013-2014
Zemaira Fluzone Quadrivalent 2013-2014
NON PREFERRED Fluzone Split 2011-2012
Aralast NP Fluzone Split 2012-2013
Curosurf Fluzone Split 2013-2014
Glassia Gardasil
Infasurf Havrix
Survanta Intratracheal Hiberix
Imovax Rabies (h.d.c.v.)
Influenza A (h1n1) Monovalent 2009 TOXOIDS Ipol Inactivated IPV
Ixiaro PREFERRED
Je-vax Adacel M-m-r II W/Diluent 10 Dose Boostrix Menactra Daptacel Menhibrix Decavac Menomune-a/C/Y/W-135 Diphtheria/Tetanus Toxoid Pediatric Menveo Diphtheria/Tetanus Toxoids Adsorbed Pediatric Pedvax HIB Infanrix Pneumovax 23/1 Dose Kinrix Pneumovax 23/5 Dose Pediarix Prevnar 13 Pentacel Proquad Tenivac Rabavert Tetanus Toxoid Adsorbed Recombivax HB Tetanus/Diphtheria Toxoids-adsorbed Adult Rotarix Tripedia Rotateq
Twinrix VACCINES Typhim VI
Vaqta PREFERRED Varivax Acthib Vivotif Berna Afluria PF 2011-2012 Yf-vax Afluria PF 2012-2013 Zostavax Afluria PF 2013-2014 NON PREFERRED Afluria 2011-2012 Bcg Vaccine Afluria 2012-2013
Afluria 2013-2014 VITAMINS Biothrax VITAMINS Cervarix GENERIC Comvax ascorbic acid Engerix-b ergocalciferol Fluarix Quadrivalent 2013-2014 phytonadione Fluarix 2011-2012 thiamine HCL Fluarix 2012-2013 vitamin c 222MG Fluarix 2013-2014 vitamin d Flucelvax 2012-2013 vitamin k1 Flucelvax 2013-2014 PREFERRED Flulaval Quadrivalent 2013-2014 Mephyton Flulaval 2011-2012 NON PREFERRED Flulaval 2012-2013 Aquasol A Parenteral Flulaval 2013-2014 Ascorbic Acid Flumist Nasal Vaccine 2011-2012 Decara Flumist Nasal Vaccine 2012-2013 Drisdol Flumist Quadrivalent Niacin Fluvirin PF 2011-2012 Pyridoxine HCL Fluvirin PF 2012-2013 Vitamin K1 Fluvirin PF 2013-2014 Wheat Germ Fluvirin 2011-2012
Fluvirin 2012-2013
Fluvirin 2013-2014 MULTIVITAMINS
Fluzone High-dose PF 2011-2012 GENERIC
Fluzone High-dose PF 2012-2013 b-complex
Fluzone High-dose PF 2013-2014 b-complex 100
Effective October 1, 2013
31
nicotinamide w/zinc oxide/cupric oxide/folic acid Moms Choice RX
nicotinamide/zinc oxide/cupric oxide/folic acid Mykidz Iron Fl
nicotinamide/zinc/copper/fa Mynatal
PREFERRED Mynatal Advance
Neevo Mynatal Ultracaplet
Neevo DHA Natachew
Prefera OB Natafort
Prefera OB + DHA Natalvirt CA
Preferaob One Natalvirt 90 DHA
NON PREFERRED Natalvit
Adrenal C Formula Natelle One
Albafort Natelle-EZ
Atabex EC Nephplex RX
Atabex Prenatal Nephro-vite RX
B-nexa Nephrocaps
Bacmin Nephrocaps QT
Bal-care DHA Nestabs
Bal-care DHA Essential Nestabs Abc
Caromega Nestabs DHA
Cavan-alpha Kit Nexa Plus
Citranatal Assure Nexa Select
Citranatal B-calm Nicazel
Citranatal DHA Nicomide
Citranatal Harmony Nutricap
Citranatal RX Nutrivit
Citranatal 90 DHA O-CAL Fa
Cod Liver Oil O-CAL Prenatal
Concept DHA Obstetrix DHA
Concept OB Obstetrix EC
Corvite OB Complete
Crnatal OB Complete One
CO-natal Fa OB Complete Petite
Dialyvite Supreme D OB Complete Premier
Dialyvite 3000 OB Complete 400
Dialyvite 5000 OB Complete/DHA
Dialyvite/Zinc OB-natal One
Diatx ZN Paire OB
Duet DHA Poly-VI-flor
Duet DHA Balanced Poly-VI-flor/Iron
Duet DHA EC Pr Natal 400
Duet DHA 400 Pr Natal 400 EC
Duet DHA 400EC Pr Natal 430
Duet DHA 430 Pr Natal 430 EC
Duet DHA 430EC Prenata
Elite OB With DHA Prenatabs RX
Elite-OB Prenatal Ad
Elite-OB 400 Prenatal-u
Escavite Prenate
Escavite LQ Prenate AM
Folbecal Prenate DHA
Folcaps Omega 3 Prenate Elite
Folgard OS Prenate Enhance
Folivane-prx DHA NF Prenate Essential
Folivane-EC Calcium DHA NF Prenate Mini
Folivane-OB Prenate Restore
Fortavit Prenexa
Gesticare DHA Preque 10
Inatal Advance Promar
Inatal GT Protect Cardio
Inatal Ultra Protect Plus
Lactocal-f Protect Plus NR
Levomefolate PNV Protectbone
M.v.i. Adult Protectnatal
M.v.i. Pediatric Provida OB
M.v.i.-12 Without Vitamin K Renatabs
M-vit Renatabs With Iron
Macnatal CN DHA Renax
Marnatal-f Req 49+
Marnatal-f Plus Duo Pack Select-ob+dha
Maxinate Select-OB
Effective October 1, 2013
32
Senetonic DIABETIC SUPPLIES
Siderol PREFERRED
Strovite Accu-chek Active Glucose Control Solution
Strovite Advance Accu-chek Active Strips
Strovite Forte Accu-chek Aviva
Strovite One Accu-chek Aviva Plus
Supervite Accu-chek Comfort Curve Control Solution (2 Levels)
Supervite EC Accu-chek Comfort Curve Linearity Solution
Support-500 Accu-chek Comfort Curve Test Strips
Synagex Accu-chek Compact Blue Control Solution (2 Levels)
Synatek Accu-chek Compact Plus Care Kit
Tandem DHA Accu-chek Compact Strips
Tandem OB Accu-chek Compact Test Drum
Taron EC Calcium Accu-chek Fastclix Lancetdevice Kit
Taron-bc Accu-chek Fastclix Lancets
Taron-c DHA Accu-chek Instant Glucosecontrol Solution (2 Levels)
Taron-duo EC Accu-chek Multiclix Lanc Et Device Kit
Taron-prex Accu-chek Multiclix Lancets
Taron-EC CAL Accu-chek Nano Smartview
Tri RX Accu-chek Safe-t-pro Lancets
Tri-VI-flor Accu-chek Safe-t-pro Pluslancets
Tricare Accu-chek Smartview Control
Tricare DHA 301 Accu-chek Smartview Strips
Tricare Prenatal Compleat Accu-chek Soft Touch Lancets
Tricare Prenatal DHA One Accu-chek Softclix Lancetdevice Kit
Trinate Accu-chek Softclix Lancets
Triveen-duo DHA Accu-chek Voicemate
Triveen-one Advocate Lancets
Triveen-prx RNF Advocate Safety Lancets
Triveen-ten Agamatrix Ultra-thin Lancets 33G
Triveen-u Assure Haemolance Plus High Flow 18G
TL G-FOL OS Assure Haemolance Plus Low Flow 25G
Udamin Assure Haemolance Plus Micro Flow 28G
Udamin SP Assure Haemolance Plus Normal Flow 21G
Vemavite-prx 2 Assure Haemolance Plus Pediatric Blade
Vinacal Assure Lance Lancets
Vinate AZ Assure Lancets
Vinate AZ Extra Aurora Lancet Super Thin 30G
Vinate C Aurora Lancet Thin 23G
Vinate Calcium AF Lancets Super Thin
Vinate Care AT Last Lancets
Vinate DHA Bayer Microlet Lancets
Vinate GT Bullseye Safety Lancets
Vinate IC BD Insulin Syringe LUER-LOK/U-100/1ML
Vinate II BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2"
Vinate M BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2"
Vinate One BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8"
Vinate Pn Care BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2"
Vita-pren BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2"
Vitafol BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2"
Vitafol Ultra BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8"
Vitafol-ob+dha BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2"
Vitafol-one BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16"
Vitafol-plus BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2"
Vitafol-pn BD Insulin Syringe Safetyglide/1ML/29G X 1/2"
Vitafol-OB BD Insulin Syringe Slip Tip/U-100/1ML
Vital-d RX BD Insulin Syringe U-40/1ML/25G X 5/8"
Vitamedmd One RX/Quatrefolic BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16"
Vitamedmd Plus RX/Quatre Folic BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16"
Vitamedmd Redichew RX/Quatrefolic BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16"
Vitaroca Plus BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2"
Viva CT Prenatal BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2"
Viva DHA BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2"
Zatean-pn BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2"
Zatean-pn DHA BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2"
Zatean-pn Plus BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16"
Zatean-CH BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2"
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16"
BD Insulin Syringe Ultrafine/1ML/30G X 1/2" MEDICAL DEVICES
Effective October 1, 2013
33
BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Gentle-let Lancets General Purpose Style/Medium Point
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X Gentle-let Lancets Safety Style/Fine Point 1" Gentle-let Lancets Safety Style/Medium Point
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X Glucocom Lancets 28G 5/8" Glucocom Lancets 30G BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X Glucocom Lancets 33G 1/2"
Glucosource Lancets BD Insulin Syringe/U-100/0.5ML/30G X 1/2" H&h Thinlet Lancets 26G BD Insulin Syringe/U-100/1ML/27G X 1/2" H&h Thinlet Super Thin Lancets 30G BD Insulin Syringe/U-100/1ML/28G X 1/2" Haemolance BD Insulin Syringe/U-100/2ML/27.5G X 5/8" Haemolance Low Flow Lancets BD Insulin Syringe/U-100/2ML/29G X 1/2" Haemolance Plus BD Lancet Ultrafine 30G Haemolance Plus High Flow BD Lancet Ultrafine 33G Haemolance Plus Low Flow BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X Haemolance Plus Max Flow 1/2"
Haemolance Plus Pediatric Flow BD Microtainer Lancets Hy-vee Lancets BD Pen Needle/Mini/Ultrafine/31G X 3/16" Lancets BD Pen Needle/Nano/Ultra Fine/32G X 4MM Lancets Bullseye Safety BD Pen Needle/SHORT/Ultrafine/31G X 5/16" Lancets Safety Seal 21G BD Pen Needle/Ultrafine/29G X 12.7MM Lancets Safety Seal 26G BD Pen Needle/Ultrafine/29GX1/2" 12.7MM Lancets Safety Seal 28G BD Pen Needles SHORT/Ultrafine/31G X 5/16" Lancets Safety Seal 30G Careone Lancet Thin Lancets Thin Careone Lancet Ultra Thin Lancets Twist Top Cleanlet Lancets 28G Lancets Ultra Fine Clever Chek Lancets Ultrathin Lancets Ultra Thin Clever Chek Lancets Ultrathin 30G Lancets 26G Twist Top Coaguchek Lancets Lancets 28G Comfort Lancets Lancets 30G Diastar Easy Test II Lancets 30G Lancets 30G Twist Top Diastar Easy Test Lancets30G Lancets 31G Twist Top Droplet Lancets Ultra Thin 30G Lifescan Unistik II Lancets Drug Mart Unilet Lancets Super Thin 30G Lifescan Unistik 2 Deep Penetration Drug Mart Unilet Lancets Ultra Thin 28G Litetouch Lancets Micro Thin 33G E-z Ject Lancets Live Better Lancet Super Thin 30G E-z Ject Lancets Color Live Better Lancet Ultra Thin 28G E-z Ject Lancets Super Thin Medisense Thin Lancets E-z Ject Lancets Super Thin 30G Medlance Plus Extra Lancets 21G E-z Ject Lancets Thin 26G Medlance Plus Lancets E-z Ject Lancets 21G Medlance Plus Lancets Lite 25G E-ZJECT Lancets Micro-thin 33G Medlance Plus Lite Lancets 25G Easy Touch Lancets 28G/Twist Medlance Plus Special Lancets 0.8MM Easy Touch Lancets 30G/Twist Medlance Plus Superlite 30G Easy Touch Lancets 32G/Twist Medlance Plus Superlite 30G/Comfort Max Easy Touch Lancets 33G/Twist Medlance Plus Universal Lancets 21G Easy Touch Safety Lancets21G/Pressure Activated Medlance Plus/Lite 25G Easy Touch Safety Lancets23G/Pressure Activated Medlance/Extra Easy Touch Safety Lancets26G/Button Activated Medlance/Lite Easy Touch Safety Lancets26G/Pressure Activated Medlance/Universal Easy Touch Safety Lancets28G/Button Activated Meijer Super Thin Lancets Easy Touch Safety Lancets28G/Pressure Activated Microlet Lancets Easy Twist & CAP Lancets Microtainer Safety Flow Lancet/Sterile/Single-use Easytest II Lancets Monolet Lancets Easytest Lancets Monolet Opd Lancets EZ Smart Blood Glucose Lancets Monolettor Safety Lancets EZ-lets Lancets 21G Myglucohealth Mgh Softlance Lancets 30G EZ-lets Lancets 23G Netgroup Lancets EZ-lets Lancets 26G Super-soft Nova Safety Lancets 23G EZ-lets Lancets 28G Ultra-soft Nova Safety Lancets 28G EZ-lets Lancets 30G Nova Sureflex Lancets Fasttake Test Strips Novofine Autocover 30GX8MM Fifty50 Safety Seal Lancets 30G Novofine 30GX8MM Fifty50 Safety Seal Lancets 32G Novofine 32GX6MM Fine 30 Novotwist 30GX8MM Fingerstix Lancets Novotwist 32GX5MM Fora Lancets On Call Lancets Freestyle Lancets On Call Plus Lancets Freestyle Unistick II Lancets Onetouch Basic System Gentle-let GP Lancets Onetouch Basic/Profile Test Strips Gentle-let Lancets General Purpose Style/Fine Point
Effective October 1, 2013
34
Onetouch Club Lancets Fine Point Safety Let Lancets
Onetouch Combo Pack Safety Seal Lancets 28G
Onetouch Delica Lancets Safety Seal Lancets 30G
Onetouch Delica Lancets Fine 30G Single-let
Onetouch Delica Lancing Device Smart Diabetes Vantage Universal Lancets 30G
Onetouch Finepoint Lancets Smart Sense Color Lancets Universal 33G
Onetouch Lancets Smart Sense Standard Lancets Universal 21G
Onetouch Ping Meter Remote Smart Sense Super Thin Lancets Universal 30G
Onetouch Profile System Smart Sense Thin Lancets Universal 26G
Onetouch Suresoft Lancing Device/18G Smartest Lancets 28G
Onetouch Suresoft Lancing Device/21G Solus V2 Pressure Activated Safety Lancets 28G
Onetouch Suresoft Lancing Device/28G Solus V2 Twist Lancets 30G
Onetouch Ultra Blue Sterilance TL
Onetouch Ultra Control Sure-lance Flat Lancets
Onetouch Ultra Mini Sure-lance Lancets 26G
Onetouch Ultra System Kit Sure-lance Thin Lancets 28G
Onetouch Ultra 2 Sure-lance Ultra Thin Lancets
Onetouch Ultralink System (hex) Sure-touch Lancets Universal
Onetouch Ultralink System (DEC) Surelite Lancets
Onetouch Ultrasmart Surestep Pro Test Strips
Onetouch Ultrasoft Lancets Surestep Test Strips
Onetouch Verio Control Solution High Techlite AST Lancets
Onetouch Verio IQ Blood Glucose Monitoring System Techlite Lancets
Onetouch Verio IQ Test Strips Techlite Lancets 30G
Onetouch Verio Mid Control Solution Thinlets GP Lancets
Onetouch Verio Test Strips Thinlets Lancet
Pen Needles 29G X 12MM Trueplus Lancets 26G
Pen Needles 29GX1/2" Trueplus Lancets 28G
Pen Needles 30GX5/16" Trueplus Lancets 28G Super Thin
Pen Needles 31G X 1/4" SHORT Trueplus Lancets 30G
Pen Needles 31G X 3/16" Trueplus Lancets 30G Ultra Thin
Pen Needles 31G X 6MM Trueplus Lancets 33G
Pen Needles 31GX5/16" Trueplus Lancets 33G Micro Thin
Perfect Lancets 30G Trueplus Safety Lancets 28G
Perfect Pressure Activated Safety Lancets 28G Ulticare Thin Lancets 30G
Pharmacy Counter Lancets Ultilet Basic Lancets 30G
Precision Thin Lancets Ultilet Classic Lancets
Precision Thins GP Lancet Ultilet Lancets
Precision Ultra Lancet Ultilet Lancets 33G
Prodigy Pressure Activated Safety Lancets Ultilet Safety Lancets 23G
Prodigy Safety Lancets Ultra-thin II Auto Lancet
Prodigy Twist Top Lancets Ultra-thin II Lancets 28G
Pss Select GP Lancets Ultra-thin II Lancets 30G
Pss Select Safety Lancets Ultra-thin II Lancets/28G X 1/8"
Px Lancets Ultra Thin Ultra-thin II Lancets/30G X 1/8"
Qc Lancets Super Thin Ultra-thin II Safety Autolancets 26G
Qc Lancets Ultra Thin Unilet Comfortouch Lancet
Relion Lancets Unilet Excelite
Relion Lancets Standard 21G Unilet Excelite II
Relion Lancets Thin 26G Unilet G.p. Lancet
Relion Lancets Ultra-thin30G Unilet G.p. Superlite Lancet
Relion Thin Lancets Unilet GP 28 Ultra Thin
Relion Ultra Thin Lancets Unilet Lancet
Relion Ultra Thin Lancets30G Unilet Superlite Lancet
Relion Ultra Thin Plus Lancets 32G Universal 1 Lancets Thin 26G
Relion Ultra Thin Plus Lancets 33G Universal 1 Lancets Ultra Thin 30G
Renew Advanced Lancing Cartridge Refills Valumark Lancet Super Thin 30G
Rexall Lancets Ultra Thin Valumark Lancet Ultra Thin 28G
Rightest Gl300 Lancets Vida Mia Unilet Lancets Super Thin 30G
Safe-t-lance Low Flow 25G Vida Mia Unilet Lancets Ultra Thin 28G
Safe-t-lance Normal Flow 21G Vitalet Pro Lancets
Safe-t-lance Plus Safety Lancet High Flow Vitalet Pro Plus Lancets
Safe-t-lance Plus Safety Lancet Low Flow W&f Lancets Colored 21G
Safe-t-lance Plus Safety Lancet Normal Flow W&f Lancets 26G
Safety Lancet 2MM Walgreens Lancets
Safety Lancet 21G/Pressure Activated Walgreens Thin Lancets
Safety Lancet 28G/Pressure Activated Walgreens Ultra Thin Lancets
Safety Lancets 1ST Choice Lancets Super Thin
Safety Lancets 21G 1ST Choice Lancets Thin
Safety Lancets 28G 1ST Choice Lancets Ultra Thin
Effective October 1, 2013
35
NON PREFERRED Fora G90 Blood Glucose Test Strips
Accutrend Glucose Fora V10 Blood Glucose Test Strips
Acura Blood Glucose Test Strips Fora V12 Blood Glucose Test Strips
Advance Intuition Test Strips Fora V20 Blood Glucose Test Strips
Advance Micro-draw Test Strips Fora V22 Blood Glucose Test Strips
Advocate Redi-code Fora V30a Blood Glucose Test Strips
Advocate Redi-code+ Test Strips Foracare GD40
Advocate Test Strips Foracare Premium V10 Teststrips
Agamatrix Amp NO Code Test Strips Foracare Test N Go Test Strips
Agamatrix Jazz Test Strips Freestyle Insulinx Blood Glucose Test
Agamatrix Keynote Test Strips Freestyle Insulinx Blood Glucose Test Strips
Agamatrix Presto Test Strips Freestyle Lite Test Strips
Assure II Freestyle Test Strips
Assure II Check Strip Gluco Perfect 3 Test Strips
Assure II Test Strips Glucocard Expression Blood Glucose Test Strips
Assure Platinum Test Strips Glucocard Vital Test Strips
Assure Pro Test Strips Glucocard X-sensor
Assure 3 Test Strips Glucocard 01 Sensor
Assure 4 Test Strips Glucocard 01 Test Strips
AT Last Test Strips Glucocom Test Strips
Bayer Contour Blood Glucose Test Strips Glucolab Test Strips
Bayer Contour Next Blood Glucose Test Gluconavii Blood Glucose Test Strips
Bg Star Blood Glucose Test Infinity Blood Glucose Test Strips
Bioscanner Glucose Test Strips Insulin Syringe/0.5ML/30G X 5/16"
Blood Glucose Test Strips Liberty Next Generation Blood Glucose Test Strips
Blood Glucose Test Strips Premium Maxima Blood Glucose Teststrips
Careone Blood Glucose Test Strips/Premium Microdot Test Strips
Careone Blood Glucose Test Strips/Value Myglucohealth Blood Glucose Test
Caresens N Blood Glucose Test Strips Neutek 2tek Test Strips
Choice DM Fora G20 Test Strips Nexgen Test Strips
Clever Chek Auto-code Test Strips Nova Max Glucose Test Strips
Clever Chek Auto-code Voice Test Strips On Call Plus Blood Glucose Test
Clever Chek Test Strips On Call Vivid Blood Glucose Test
Clever Choice Auto-code Pro Test Strips Optium Test Strips
Clever Choice Micro Test Strips Optiumez Test Strips
Control AST Optumrx Blood Glucose Test
Control Test Strips Pharmacist Choice Autocode Blood Glucose Test Strips
Duo-care Test Strips Pocketchem EZ Blood Glucose Test Strips
Easy Step Test Strips Precision Point Of Care Test Strips
Easy Touch Glucose Test Strips Precision PCX
Easygluco Precision PCX Plus Test Strips
Easymax Test Strips Precision QID Test Strips
Easymax 15 Test Strips Precision Sof-tact Test Strips
Easypro Blood Glucose Test Strips Precision XTRA Blood Glucose Test Strips
Easypro Plus Prestige Test Strips
Eclipse Test Strips Prodigy Autocode Blood Glucose Test Strips
Element Plus Test Strips Prodigy NO Coding Blood Glucose Test Strips
Element Test Strips Pts Panels Glucose Test
Embrace Blood Glucose Test Strips Quicktek Test Strips
Envision Autocode Test Strips Quintet Ac Blood Glucose Test Strips
Eql Truetrack Test Quintet Blood Glucose Test Strips
Evencare + Blood Glucose Test Strip Refuah Plus Blood Glucosetest Strips
Evencare Blood Glucose Test Strip Relion Blood Glucose Teststrips
Evencare G2 Test Strips Relion Confirm/Micro Test Strips
Evencare G3 Test Strips Relion Insulin Syringe/U-100/0.5ML/29G X 1/2"
Evolution Autocode Relion Prime Blood Glucose Test Strips
Exactech R-s-G Test Strips Relion Ultima Blood Glucose Test Strips
Exactech Test Strips Relion Ultima Test Strips
EZ Smart Blood Glucose Test Strips Reveal Blood Glucose Test
EZ Smart Plus Blood Glucose Test Strips Rexall Blood Glucose Test Strips
Fifty50 Glucose Test Strip 2.0 Rightest GS100 Blood Glucose Test Strips
Fora D10 Blood Glucose Test Strips Rightest GS300 Blood Glucose Test Strips
Fora D15c Blood Glucose Test Strips Rightest GS550 Blood Glucose Test Strips
Fora D15z Blood Glucose Test Strips Smart Diabetes Xpres Blood Glucose Test Strips
Fora D15G Blood Glucose Test Strips Smartest Blood Glucose Test Strips
Fora D20 Blood Glucose Test Strips Solus V2 Audible Test
Fora GD20 Test Strips Supreme Test Strips
Fora G20 Blood Glucose Test Strips Sure Edge Blood Glucose Test Strips
Fora G30a Blood Glucose Test Strips Sure-test Easyplus Mini Blood Glucose Test Strips
Fora G71a Blood Glucose Test Strips Surechek Blood Glucose Test Strips
Effective October 1, 2013
36
Telcare Blood Glucose Test Strips Panda Mask Medium
Truetest Blood Glucose T Est Panda Mask Small
Truetest Strips Pediatric Panda Mask
Truetrack Blood Glucose Test Pocket Chamber
Truetrack Test Pocket Spacer
Ultima Test Strips Riteflo
Ultratrak Pro Test Strips Vortex Valved Holding Chamber
Ultratrak Ultimate Test Strips Watchhaler
Victory Agm-4000 Test Strips
Vocal Point Blood Glucose Test Strips MISCELLANEOUS Wavesense Presto Test Strips
PREFERRED
MEDICAL DEVICES - MISC Chemet
PREFERRED Exjade
Aerochamber Max Valved Holding Chamber W/Comfortseal NON PREFERRED
Mask Ferriprox Aerochamber Mini Aerosol Chamber Pentetate Calcium Trisodium Aerochamber MV Pentetate Zinc Trisodium Aerochamber Plus Flow VU
Aerochamber Plus Flow-VU
Aerochamber Plus Flow-VU/Large Mask
Aerochamber Plus Flow-VU/Mask
Aerochamber Plus Flow-VU/Small Mask
Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU
Aerochamber Z-stat Plus/Flowsignal
Aerochamber Z-stat Plus/Large Mask
Aerochamber Z-stat Plus/Medium Mask
Aerochamber Z-stat Plus/Small Mask
Aerochamber/Flowsignal
Arial Chamber
Breatherite
Breatherite Collapsible Adult Spacer W/Mask
Breatherite Collapsible Child Spacer W/Mask
Breatherite Collapsible Infant Spacer W/Mask
Breatherite Collapsible Small Child Spacer W/Mask
Breatherite Collapsible Spacer W/ Neonate Mask
Breatherite Rigid Spacer W/Mask
Breatherite W/Large Mask
Breatherite W/Medium Mask
Breatherite W/Small Mask
E-z Spacer
E-z Spacer The Body Guards Pack
Easivent
Easivent/Mask-large
Easivent/Mask-medium
Easivent/Mask-small
Inspirease Bags
Inspirease Drug Delivery System
Inspirease Mouthpiece
Inspirease Replacement Mouthpiece
Inspirease Reservoir Bags
Liteaire
Mask Vortex/Baby Whirl Duckling
Mask Vortex/Child/Frog
Mask Vortex/Spinner The Duck
Mask Vortex/Toddler/Lady Bug
Microchamber
Microspacer
Nessi Spacer/Large Mask
Nessi Spacer/Mouthpiece
Nessi Spacer/Small/MED Mask
Optichamber Advantage
Optichamber Diamond
Optichamber Diamond/Largeface Mask
Optichamber Diamond/Medium Face Mask
Optichamber Diamond/Smallface Mask
Optihaler
Optihaler MDI Drug Delivery System
Panda Mask Large
Effective October 1, 2013
37
Index
acitretin, 11 Aerochamber Z-stat Plus/Large Mask, 37 A Aclovate, 11 Aerochamber Z-stat Plus/Medium Mask, abacavir, 2 Actemra, 28 37 Abelcet, 2 Acthar HP, 16 Aerochamber Z-stat Plus/Small Mask, 37 Abilify, 22 Acthib, 31 Aerochamber/Flowsignal, 37
Abilify Discmelt, 22 Actigall, 18 Aerohist, 29 Abilify Maintena, 22 Actimmune, 6 AF Lancets Super Thin, 33 Abraxane, 5 Actiq, 27 Afinitor, 5
Absorica, 10 Activase, 20 Afinitor Disperz, 5 Abstral, 27 Activella, 13 Afluria 2011-2012, 31 acamprosate calcium DR, 24 Actonel, 15 Afluria 2012-2013, 31
Acanya, 10 Actoplus Met, 15 Afluria 2013-2014, 31 acarbose, 15 Actoplus Met XR, 15 Afluria PF 2011-2012, 31 Accolate, 30 Actos, 15 Afluria PF 2012-2013, 31
Accu-chek Active Glucose Control Acular, 26 Afluria PF 2013-2014, 31
Solution, 33 Acular LS, 26 Agamatrix Amp NO Code Test Strips, 36 Accu-chek Active Strips, 33 Acura Blood Glucose Test Strips, 36 Agamatrix Jazz Test Strips, 36
Accu-chek Aviva, 33 Acuvail, 26 Agamatrix Keynote Test Strips, 36 Accu-chek Aviva Plus, 33 acyclovir, 3, 11 Agamatrix Presto Test Strips, 36 Accu-chek Comfort Curve Control acyclovir sodium, 3 Agamatrix Ultra-thin Lancets 33G, 33
Solution (2 Levels), 33 Acyclovir Sodium, 3 Aggrastat, 20 Accu-chek Comfort Curve Linearity Aczone, 10 Aggrenox, 20
Solution, 33 Adacel, 31 Agrylin, 20
Accu-chek Comfort Curve Test Strips, 33 Adalat CC, 7 Ahist, 29 Accu-chek Compact Blue Control adapalene, 9 Akne-mycin, 10
Solution (2 Levels), 33 Adcetris, 5 Akten, 26
Accu-chek Compact Plus Care Kit, 33 Adcirca, 9 Ala Scalp, 11 Accu-chek Compact Strips, 33 Adderall, 23 Alagesic LQ, 26 Accu-chek Compact Test Drum, 33 Adderall XR, 23 Alahist Ac, 30
Accu-chek Fastclix Lancetdevice Kit, 33 adefovir dipivoxil, 3 Alahist DHC, 30 Accu-chek Fastclix Lancets, 33 Adenocard, 7 Albafort, 19, 32 Accu-chek Instant Glucosecontrol adenosine, 7 Albenza, 3
Solution (2 Levels), 33 Adoxa, 2 albuterol sulfate, 30 Accu-chek Multiclix Lanc Et Device Kit, Adoxa PAK 1/100, 2 albuterol sulfate ER, 30
33 Adoxa PAK 1/150, 2 albuterol TAB 4MG, 30 Accu-chek Multiclix Lancets, 33 Adoxa PAK 2/100, 2 Alcaine, 26 Accu-chek Nano Smartview, 33 Adrenaclick, 9 alclometasone dipropionate, 11 Accu-chek Safe-t-pro Lancets, 33 Adrenal C Formula, 32 Aldactazide, 8
Accu-chek Safe-t-pro Pluslancets, 33 Adrenalin, 9, 29, 30 Aldactone, 8 Accu-chek Smartview Control, 33 Adriamycin, 4 Aldara, 12 Accu-chek Smartview Strips, 33 Advair Diskus, 30 Aldurazyme, 16
Accu-chek Soft Touch Lancets, 33 Advair HFA, 30 alendronate sodium, 15 Accu-chek Softclix Lancetdevice Kit, 33 Advance Intuition Test Strips, 36 Alendronate Sodium, 15 Accu-chek Softclix Lancets, 33 Advance Micro-draw Test Strips, 36 Alfenta, 27
Accu-chek Voicemate, 33 Advate, 20 alfentanil, 27 Accuneb, 30 Advicor, 9 Alferon N, 6 Accupril, 7 Advocate Lancets, 33 alfuzosin HCL ER, 19
Accuretic, 8 Advocate Redi-code, 36 Alimta, 4 Accutrend Glucose, 36 Advocate Redi-code+ Test Strips, 36 Alinia, 3 acebutolol HCL, 6 Advocate Safety Lancets, 33 Alkeran, 4
Aceon, 7 Advocate Test Strips, 36 Allegra Allergy Childrens, 29 Acetaminophen/Caffeine/Dihydrocodeine Aerochamber Max Valved Holding Allfen CD, 30
Bitartrate, 27 Allfen CDX, 30 Chamber W/Comfortseal Mask, 37 acetaminophen/codeine, 27 Aerochamber Mini Aerosol Chamber, 37 allopurinol, 28 acetaminophen/codeine #2, 27 Aerochamber MV, 37 allopurinol sodium, 29 acetaminophen/codeine #3, 27 Aerochamber Plus Flow VU, 37 Alocril, 26 acetaminophen/codeine #4, 27 Aerochamber Plus Flow-VU, 37 Alodox Convenience Kit, 2 acetaminophen/codeine phosphate, 27 Aerochamber Plus Flow-VU/Large Mask, Alomide, 26 acetazolamide, 8 Aloprim, 29 37 Acetazolamide, 8 Aerochamber Plus Flow-VU/Mask, 37 Alora, 13 acetazolamide ER, 8 Aerochamber Plus Flow-VU/Small Mask, Aloxi, 18 acetazolamide sodium, 8 Alphagan P, 26 37 acetic acid, 26 Aerochamber Z-stat Plus Valved Holding Alphanate/Von Willebrand Factor Acetic Acid/Aluminum Acetate, 26
Chamber W/Flow VU, 37 Complex/Human, 20 acetylcysteine, 29 Aerochamber Z-stat Plus/Flowsignal, 37 Alphanine SD, 20
Aciphex, 17
alprazolam, 21 Anacaine, 12 Asacol, 18 alprazolam ER, 21 Anadrol-50, 13 Asacol HD, 18
Alprazolam Intensol, 21 Anafranil, 21 ascorbic acid, 31 alprazolam odt, 21 anagrelide hydrochloride, 20 Ascorbic Acid, 31
Alrex, 25 Analpram Advanced, 18 Asmanex 120 Metered Doses, 30
Alsuma, 28 Analpram-HC, 18 Asmanex 14 Metered Doses, 30
Altabax, 10 Analpram-HC Singles, 18 Asmanex 30 Metered Doses, 30
Altace, 7 Anaprox, 28 Asmanex 60 Metered Doses, 30
Altoprev, 9 Anaprox DS, 28 Asmanex 7 Metered Doses, 30
Aluminum Acetate, 12 Anaspaz, 17 Aspirin-caffeine-dihydrocodeine, 27
Aluvea, 12 anastrozole, 5 Assure 3 Test Strips, 36
Alvesco, 30 Ancef, 1 Assure 4 Test Strips, 36 amantadine HCL, 23 Ancobon, 2 Assure Haemolance Plus High Flow 18G,
Amantadine HCL, 23 Androderm, 13 33 Amaryl, 14 Androgel, 13 Assure Haemolance Plus Low Flow 25G,
Ambien, 22 Androgel P.M., 13 33 Ambien CR, 22 Android, 13 Assure Haemolance Plus Micro Flow
Ambifed CD, 30 Androxy, 13 28G, 33 Ambifed CDX, 30 Anectine, 24 Assure Haemolance Plus Normal Flow
Ambifed-G CD, 30 Angeliq, 13 21G, 33 Ambifed-G CDX, 30 Angiomax, 20 Assure Haemolance Plus Pediatric Blade,
Ambisome, 2 Animi-3, 19 33 amcinonide, 11 Animi-3/Vitamin D, 19 Assure II, 36
Amcinonide, 11 Antabuse, 24 Assure II Check Strip, 36
Amerge, 28 Antara, 9 Assure II Test Strips, 36
Amethyst, 14 antipyrine/benzocaine, 26 Assure Lance Lancets, 33
Amevive, 11 Antivert, 18 Assure Lancets, 33
Amicar, 20 Anusol-HC, 18 Assure Platinum Test Strips, 36 amifostine, 6 Anzemet, 17 Assure Pro Test Strips, 36 amikacin sulfate, 2 Apexicon E, 11 Astagraf XL, 5 amiloride HCL, 8 Aphthasol, 21 Astelin, 29 amiloride/hydrochlorothiazide, 8 Apidra, 14 Astepro, 29 aminocaproic acid, 20 Apidra Solostar, 14 Astringyn, 20
Aminocaproic Acid, 20 Aplenzin, 21 AT Last Lancets, 33 aminophylline, 30 Apokyn, 23 AT Last Test Strips, 36
Aminophylline, 30 Appbutamone, 21 Atabex EC, 32 amiodarone HCL, 7 Appbutamone-d, 21 Atabex Prenatal, 32
Amiodarone HCL, 7 Appformin, 15 Atacand, 8
Amitiza, 18 Appformin-d, 15 Atacand HCT, 8 amitriptyline HCL, 21 apraclonidine, 26 Atelvia, 15 amlodipine besylate, 7 Apriso, 18 atenolol, 6
Amlodipine Besylate/Atorvastatin Aptivus, 3 atenolol/chlorthalidone, 8
Aqua Glycolic HC Scalp & Body, 11 Atgam, 5 Calcium, 9 amlodipine besylate/benazepril HCL, 8 Aquasol A Parenteral, 31 Ativan, 21 amlodipine besylate/benazepril Aquoral, 21 Atopiclair, 12
Aralast NP, 31 atorvastatin calcium, 9 hydrochloride, 8 ammonium lactate, 12 Aralen, 3 atovaquone/proguanil HCL, 3
Ammonul, 16 Aranesp Albumin Free, 19 Atovaquone/Proguanil HCL, 3
Amoxapine, 21 Arava, 28 atracurium besylate, 24 amoxicillin, 1 Arcalyst, 28 Atralin, 10
Amoxicillin, 1 Arcapta Neohaler, 30 Atripla, 3 amoxicillin/clavulanate potassium, 1 argatroban, 20 Atropen, 17 amoxicillin/clavulanate potassium ER, 1 Argatroban, 20 atropine sulfate, 17, 25 amoxicillin/potassium clavulanate, 1 Arial Chamber, 37 Atropine Sulfate, 17, 25 amphetamine/dextroamphetamine, 22 Aricept, 24 Atrovent, 29
Amphotec, 2 Aricept Odt, 24 Atrovent HFA, 30
Amphotericin B, 2 Arimidex, 5 Aubagio, 24 ampicillin, 1 Aristospan Intra-articular, 13 augmented betamethasone dipropionate,
Ampicillin, 1 Aristospan Intralesional, 13 11 ampicillin sodium, 1 Arixtra, 20 Augmentin, 1
Ampicillin Sodium, 1 Armour Thyroid, 16 Augmentin ES-600, 1 ampicillin-sulbactam, 1 Arnica Flower, 12 Augmentin XR, 1
Ampicillin-sulbactam, 1 Aromasin, 5 Auralgan, 26
Ampyra, 24 Arranon, 4 Aurora Lancet Super Thin 30G, 33
Amrix, 24 Arthrotec 50, 28 Aurora Lancet Thin 23G, 33
Amturnide, 8 Arthrotec 75, 28 Aurstat, 12
Amytal Sodium, 22 Artiss, 20 Aurstat Anti-itch Hydrogel, 12
Anabar, 26 Arzerra, 5 Aurstat Anti-itch Hydrogel Kit, 12
Auvi-q, 9 BD Insulin Syringe Microfine IV/U- BD LO-dose Insulin Syringe Microfine
Avalide, 8 100/0.5ML/28G X 1/2", 33 IV/0.5ML/28G X 1/2", 34 Avandamet, 15 BD Insulin Syringe Microfine IV/U- BD Microtainer Lancets, 34
Avandaryl, 15 BD Pen Needle/Mini/Ultrafine/31G X 100/1ML/27G X 5/8", 33 Avandia, 15 BD Insulin Syringe Microfine IV/U- 3/16", 34 Avapro, 8 BD Pen Needle/Nano/Ultra Fine/32G X 100/1ML/28G X 1/2", 33 Avar LS Cleanser, 10 BD Insulin Syringe Microfine/U- 4MM, 34 Avar-e LS, 10 BD Pen Needle/SHORT/Ultrafine/31G X 100/0.3ML/28G X 1/2", 33 Avastin, 4 BD Insulin Syringe Microfine/U- 5/16", 34 Avc, 19 BD Pen Needle/Ultrafine/29G X 12.7MM, 100/0.5ML/28G X 1/2", 33 Avelox, 2 BD Insulin Syringe Microfine/U- 34 Avelox Abc Pack, 2 BD Pen Needle/Ultrafine/29GX1/2" 100/1ML/27G X 5/8", 33 Avidoxy DK, 2 BD Insulin Syringe Microfine/U- 12.7MM, 34 Avinza, 27 BD Pen Needles SHORT/Ultrafine/31G X 100/1ML/28G X 1/2", 33 Avodart, 19 BD Insulin Syringe 5/16", 34 Avonex, 24 BD Pudendal/Local Block Tray 1% Safetyglide/0.5ML/29G X 1/2", 33 Avonex Pen, 24 BD Insulin Syringe Safetyglide/1ML/29G Lidocaine, 29 Axert, 28 Beconase AQ, 29 X 1/2", 33 Axid, 17 BD Insulin Syringe Safetyglide/U- Belladonna & Opium, 17
Axiron, 13 Belladonna Alkaloids, 17 100/0.3ML/31G X 5/16", 33 Aygestin, 14 BD Insulin Syringe Slip Tip/U-100/1ML, Belladonna Alkaloids & Opium, 17 azacitidine, 4 benazepril HCL, 7 33 Azactam, 4 BD Insulin Syringe U-40/1ML/25G X 5/8", benazepril HCL/hydrochlorothiazide, 8
Azactam IN Iso-osmotic Dextrose, 4 Benefix, 20 33 Azasan, 5 BD Insulin Syringe Ultrafine Half- Benicar, 7
Azasite, 25 Benicar HCT, 8 unit/0.3ML/31G X 5/16", 33 azathioprine, 5 BD Insulin Syringe Ultrafine Bentyl, 17
Azathioprine Sodium, 5 Benzac Ac Wash, 10 II/SHORT/0.5ML/31G X 5/16", 33 azelastine HCL, 26, 29 BD Insulin Syringe Ultrafine Benzac W Wash, 10
Azelex, 10 Benzaclin, 10 II/SHORT/1ML/31G X 5/16", 33 Azilect, 23 BD Insulin Syringe Ultrafine/0.3ML/30G X Benzaclin With P.M., 10 azithromycin, 1 Benzamycin, 10 1/2", 33 Azithromycin, 1 BD Insulin Syringe Ultrafine/0.3ML/31G X Benzamycinpak, 10
Azopt, 26 Benzefoam, 10 5/16", 33 Azor, 8 BD Insulin Syringe Ultrafine/0.5ML/30G X Benzefoamultra, 10 aztreonam, 3 Benziq, 10 1/2", 33 Azulfidine, 18 BD Insulin Syringe Ultrafine/0.5ML/31G X Benziq LS, 10
Azulfidine EN-TABS, 18 Benzoin Compound Tincture, 12 5/16", 33 BD Insulin Syringe Ultrafine/1ML/30G X Benzoin Tincture, 12 B benzonatate, 29 1/2", 33 B-6 Folic Acid, 19 BD Insulin Syringe Ultrafine/1ML/31G X benzoyl peroxide, 9 b-complex, 31 benzoyl peroxide SHORT contact, 9 5/16", 34 b-complex 100, 31 BD Insulin Syringe Ultrafine/U- benztropine mesylate, 23 B-nexa, 32 Bepreve, 26 100/0.3ML/29G X 1/2", 33 bacitracin, 3 BD Insulin Syringe Ultrafine/U- Berinert, 20 Bacitracin, 4, 25 Besivance, 25 100/0.5ML/29G X 1/2", 33 bacitracin/polymyxin b, 25 BD Insulin Syringe Ultrafine/U- Betadine Ophthalmic Prep, 25 baclofen, 24 Betagan, 25 100/1ML/29G X 1/2", 33 Bacmin, 32 BD Insulin Syringe Ultrafine/U- betamethasone dipropionate, 11 Bactocill IN Dextrose, 1 betamethasone sodium 100/1ML/30G X 1/2", 33 Bactrim, 4 BD Insulin Syringe/Detachable Needle/U- phosphate/betamethasone acetate, 13 Bactrim DS, 4 betamethasone valerate, 11 100/1ML/25G X 1", 34 Bactroban, 10 BD Insulin Syringe/Detachable Needle/U- Betapace, 7
Bactroban Nasal, 29 Betapace AF, 7 100/1ML/25G X 5/8", 34 Bal-care DHA, 32 BD Insulin Syringe/Detachable Needle/U- Betaseron, 24 Bal-care DHA Essential, 32 betaxolol HCL, 6, 25 100/1ML/26G X 1/2", 34 balsalazide disodium, 18 BD Insulin Syringe/U-100/0.5ML/30G X bethanechol chloride, 18 Banzel, 23 Betimol, 25 1/2", 34 Baraclude, 3 BD Insulin Syringe/U-100/1ML/27G X Betoptic-s, 25
Bayer Contour Blood Glucose Test Strips, Bexxar, 5 1/2", 34 36 BD Insulin Syringe/U-100/1ML/28G X Bexxar 131 Iodine, 6 Bayer Contour Next Blood Glucose Test, Beyaz, 14 1/2", 34 36 BD Insulin Syringe/U-100/2ML/27.5G X Bg Star Blood Glucose Test, 36 Bayer Microlet Lancets, 33 Biaxin, 1 5/8", 34 Bcg Vaccine, 31 BD Insulin Syringe/U-100/2ML/29G X Biaxin XL, 1
BD Insulin Syringe LUER-LOK/U- Biaxin XL PAC, 1 1/2", 34 100/1ML, 33 BD Lancet Ultrafine 30G, 34 bicalutamide, 5 BD Insulin Syringe Microfine IV/U- BD Lancet Ultrafine 33G, 34 Bicillin C-R, 1
100/0.3ML/28G X 1/2", 33
Bicillin L-a, 1 butalbital/acetaminophen, 26 Cardizem CD, 7
Bicnu, 4 butalbital/acetaminophen/caffeine, 26 Cardizem LA, 7
Bidil, 9 butalbital/acetaminophen/caffeine/codein Cardura, 8
Biferarx, 19 Cardura XL, 19 e, 27 Biltricide, 3 butalbital/asa/caffeine, 26 Careone Blood Glucose Test
Binosto, 15 Butalbital/Aspirin/Caffeine, 26 Strips/Premium, 36 Bioscanner Glucose Test Strips, 36 butalbital/aspirin/caffeine/codeine, 27 Careone Blood Glucose Test
Biothrax, 31 Butisol Sodium, 22 Strips/Value, 36 bisoprolol fumarate, 6 butorphanol tartrate, 27 Careone Lancet Thin, 34 bisoprolol fumarate/hydrochlorothiazide, Butrans, 27 Careone Lancet Ultra Thin, 34
Bydureon, 14 Caresens N Blood Glucose Test Strips, 8 bleomycin sulfate, 4 Byetta, 14 36 Bleph-10, 25 Bystolic, 6 carisoprodol, 24
Blephamide, 25 Carisoprodol, 24 C Blephamide S.o.p., 25 carisoprodol/aspirin, 24 cabergoline, 16 Blood Glucose Test Strips, 36 carisoprodol/aspirin/codeine, 24 Caduet, 9 Blood Glucose Test Strips Premium, 36 Carmol-HC, 11
Cafcit, 23 Bloxiverz, 25 Carnitor, 16 Cafergot, 28 Boniva, 15 Carnitor SF, 16 caffeine citrate, 22 Boostrix, 31 Caromega, 32
Caffeine/Sodium Benzoate, 23 Boric Acid, 12 carteolol HCL, 25 Calan, 7 Bosulif, 5 carvedilol, 6 Calan SR, 7 Botox, 24 Cascara Sagrada, 17
calcipotriene, 11 Bravelle, 15 Cascara Sagrada Aromatic, 17 calcitonin salmon, 15 Breatherite, 37 Casodex, 5 calcitonin-salmon, 15 Breatherite Collapsible Adult Spacer Cataflam, 28
Calcitriol, 11 Catapres, 8 W/Mask, 37 calcitriol, 16 Breatherite Collapsible Child Spacer Catapres-tts-1, 8 calcium acetate, 18 Catapres-tts-2, 8 W/Mask, 37 Calcium Folinate, 6 Breatherite Collapsible Infant Spacer Catapres-tts-3, 8 Caldolor, 28 Cathflo Activase, 20 W/Mask, 37 Cambia, 28 Breatherite Collapsible Small Child Cavan-alpha Kit, 32
Campath, 5 Caverject, 9 Spacer W/Mask, 37 Campral, 24 Breatherite Collapsible Spacer W/ Caverject Impulse, 9 Camptosar, 6 Cayston, 3 Neonate Mask, 37 Canasa, 18 Breatherite Rigid Spacer W/Mask, 37 Cedax, 1 Cancidas, 2 Breatherite W/Large Mask, 37 Ceenu, 4 candesartan cilexetil, 7 Breatherite W/Medium Mask, 37 cefaclor, 1
Breatherite W/Small Mask, 37 candesartan cilexetil/hydrochlorothiazide, Cefaclor, 1
Breo Ellipta, 30 8 Cefaclor ER, 1 Cantil, 17 Brevibloc, 7 cefadroxil, 1
Capastat Sulfate, 2 Brevicon-28, 14 cefazolin sodium, 1 Capex, 11 Brilinta, 20 Cefazolin Sodium, 1 Caphosol, 21 brimonidine tartrate, 26 Cefazolin Sodium/Dextrose, 1
Capital/Codeine, 27 Brisdelle, 24 cefdinir, 1 Caprelsa, 5 Bromday, 26 Cefditoren Pivoxil, 1 captopril, 7 Bromfenac, 26 cefepime, 1
Captopril/Hydrochlorothiazide, 8 bromocriptine mesylate, 23 Cefepime, 1 Carafate, 17 Brompheniramine Tannate, 29 cefotaxime sodium, 1 Carbaglu, 16 Brondil, 30 Cefotetan, 1
carbamazepine, 23 Brovana, 30 Cefotetan/Dextrose, 1 carbamazepine ER, 23 budesonide, 13, 30 cefoxitin sodium, 1 Carbaphen 12, 30 Bullseye Safety Lancets, 33 Cefoxitin Sodium, 1
Carbaphen 12 PED, 30 bumetanide, 8 cefpodoxime proxetil, 1 Carbatrol, 23 Bupap, 26 cefprozil, 1 carbidopa/levodopa, 23 Buphenyl, 16 ceftazidime, 1
carbidopa/levodopa CR, 23 bupivacaine HCL, 29 Ceftazidime, 1 carbidopa/levodopa ER, 23 bupivacaine/epinephrine, 29 Ceftazidime/Dextrose, 1 carbidopa/levodopa odt, 23 Buprenex, 27 Ceftin, 1
carbidopa/levodopa SR, 23 buprenorphine HCL, 27 Ceftriaxone IN Iso-osmotic Dextrose, 1 Carbidopa/Levodopa/Entacapone, 23 buprenorphine HCL/naloxone HCL, 27 ceftriaxone sodium, 1 carbinoxamine maleate, 29 bupropion HCL, 21 Ceftriaxone/Dextrose, 1
Carbocaine, 29 bupropion HCL ER, 21 cefuroxime axetil, 1 carboplatin, 4 bupropion HCL SR, 21 cefuroxime sodium, 1 Carboplatin, 4 bupropion HCL XL, 21 Cefuroxime Sodium, 1
Cardene I.v., 7 buspirone HCL, 21 Cefuroxime/Dextrose, 1 Cardene IV, 7 Busulfex, 4 Celebrex, 28 Cardene SR, 7 butal/asa/caff, 26 Celestone, 13
Cardizem, 7
Celestone-soluspan, 13 ciprofloxacin HCL, 2, 25 clomipramine HCL, 21
Celexa, 21 ciprofloxacin I.V.-IN D5W, 2 clonazepam, 23
Cellcept, 5 cisatracurium besylate, 24 clonazepam odt, 23
Cellcept Intravenous, 5 cisplatin, 4 clonidine HCL, 8
Celontin, 23 Cisplatin, 4 clopidogrel, 20
Cem-urea, 12 citalopram hydrobromide, 21 clorazepate dipotassium, 21
Cenestin, 13 Citranatal 90 DHA, 32 Clorpres, 8
Cenfol, 19 Citranatal Assure, 32 clotrimazole, 10, 21
Centany, 10 Citranatal B-calm, 32 clotrimazole/betamethasone dipropionate,
Centany AT, 10 Citranatal DHA, 32 10 Centratex, 19 Citranatal Harmony, 32 clozapine, 22 cephalexin, 1 Citranatal RX, 32 Clozapine Odt, 22
Cephalexin, 1 citric acid/sodium citrate, 19 Clozaril, 22
Cerezyme, 19 Citrolith, 19 Cnl8 Nail Kit, 10
Cerubidine, 4 cladribine, 4 CO-natal Fa, 32
Cervarix, 31 Claforan, 1 Coaguchek Lancets, 34
Cervidil, 26 Claforan/D5W, 1 Coal TAR, 12
Cesamet, 18 Claravis, 10 Coal TAR Base, 12 cetirizine HCL, 29 Clarifoam EF, 10 Coartem, 3
Cetraxal, 26 Clarinex, 29 Coca Cola Syurp, 18
Cetrotide, 16 Clarinex Reditabs, 29 Cocaine HCL, 12 cevimeline HCL, 21 Clarinex-d 12 HOUR, 29 Cocet, 27
Cgu Wc, 30 Clarinex-d 24 HOUR, 29 Cocet Plus, 27
Chemet, 37 clarithromycin, 1 Cod Liver Oil, 32
Chenodal, 18 clarithromycin ER, 1 Codeine Phosphate, 27
Chloral Hydrate, 22 Cleanlet Lancets 28G, 34 Codeine Sulfate, 27
Chloramphenicol Sodium Succinate, 4 clemastine fumarate, 29 Cogentin, 23 chlordiazepoxide HCL, 21 Clemastine Fumarate, 29 Colazal, 18
Chlordiazepoxide/Amitriptyline, 24 Cleocin, 4, 19 Colcrys, 29 chlorhexadine gluconate oral rinse, 21 Cleocin IN D5W, 4 Colestid, 9 chlorhexidine gluconate, 21 Cleocin Pediatric Granules, 4 Colestid Flavored, 9 chlorhexidine gluconate oral rinse, 21 Cleocin Phosphate, 4 colestipol HCL, 9 chloroprocaine HCL, 29 Cleocin-t, 10 colestipol HCL for oral suspension, 9 chloroquine phosphate, 3 Clever Chek Auto-code Test Strips, 36 colistimethate sodium, 3 chlorothiazide, 8 Clever Chek Auto-code Voice Test Strips, Coly-mycin M, 4 chlorothiazide sodium, 8 Coly-mycin S, 26 36 chlorpromazine HCL, 22 Clever Chek Lancets Ultrathin, 34 Colyte-flavor Packs, 17
Chlorpromazine HCL, 22 Clever Chek Lancets Ultrathin 30G, 34 Combigan, 25
Chlorpropamide, 14 Clever Chek Test Strips, 36 Combipatch, 13
Chlorthalidone, 8 Clever Choice Auto-code Pro Test Strips, Combivent, 30 chlorzoxazone, 24 Combivent Respimat, 30 36 Choice DM Fora G20 Test Strips, 36 Clever Choice Micro Test Strips, 36 Combivir, 3 cholestyramine, 9 Cleviprex, 7 Cometriq, 5 cholestyramine light, 9 Climara, 13 Comfort Lancets, 34 choline magnesium trisalicylate, 26 Climara Pro, 13 Complera, 3 chorionic gonadotropin, 15 Clindacin Etz, 10 Comtan, 23
Cialis, 9 Clindacin PAC, 10 Comvax, 31
Ciclodan Cream Kit, 10 Clindagel, 10 Concept DHA, 32
Ciclodan Solution Kit, 10 clindamycin HCL, 3 Concept OB, 32 ciclopirox, 10 clindamycin palmitate HCL, 3 Concerta, 23 ciclopirox nail lacquer, 10 clindamycin phosphate, 3, 9, 19 Condylox, 12 ciclopirox olamine, 10 Clindamycin Phosphate, 4 Control AST, 36
Ciclopirox Topical Solution Kit, 10 clindamycin phosphate add-vantage, 3 Control Test Strips, 36 cidofovir, 3 clindamycin phosphate IN D5W, 3 Conzip, 27 cilostazol, 20 clindamycin phosphate pharmacy bulk Copaxone, 24
Ciloxan, 25 Copegus, 3 package, 3 cimetidine, 17 clindamycin/benzoyl peroxide, 9 Cordarone, 7 cimetidine HCL, 17 Clindareach, 10 Cordran, 11
Cimzia, 18 Clindesse, 19 Cordran SP, 11
Cimzia Starter Kit, 18 Clinoril, 28 Cordran Tape, 11
Cipro, 2 clobetasol propionate, 11 Coreg, 7
Cipro HC, 26 clobetasol propionate emollient, 11 Coreg CR, 6
Cipro I.V.-IN D5W, 2 Clobex, 11 Corgard, 7
Cipro XR, 2 Cloderm, 11 Corifact, 20
Ciprodex, 26 Cloderm P.M., 11 Corlopam, 8 ciprofloxacin, 2 Clolar, 4 Cortef, 13
Ciprofloxacin, 26 Clomid, 16 Cortenema, 18 ciprofloxacin ER, 2 clomiphene citrate, 15 Cortifoam, 18
Cortisone Acetate, 13 daunorubicin HCL, 4 dextroamphetamine sulfate, 22
Cortisporin, 10, 26 Daunoxome, 4 dextroamphetamine sulfate ER, 22
Cortisporin-tc, 26 Daypro, 28 dextromethorphan
Corvert, 7 Daytrana, 23 HBR/chlorpheniramine/phenylephrine Corvite, 32 Ddavp, 16 HCL, 29
Corvite 150, 19 Debacterol, 21 Diabeta, 15
Corzide, 8 Decara, 31 Dialyvite 3000, 32
Cosmegen, 4 Decavac, 31 Dialyvite 5000, 32
Cosopt, 25 decitabine, 4 Dialyvite Supreme D, 32
Cosopt PF, 25 Decon-a, 30 Dialyvite/Zinc, 32
Cotab A, 30 Delatestryl, 13 Diamox, 8
Cotab AX, 30 Delestrogen, 13 Diastar Easy Test II Lancets 30G, 34
Cotabflu, 30 Delos, 10 Diastar Easy Test Lancets30G, 34
Coumadin, 20 Delzicol, 18 Diastat Acudial, 23
Covera-HS, 7 Demadex, 8 Diastat Pediatric, 23
Cozaar, 8 demeclocycline HCL, 2 Diatx ZN, 32
Cpb Wc, 30 Demerol, 27 diazepam, 21
Creon, 18 Demser, 8 Diazepam, 21, 23
Crestor, 9 Denavir, 11 Diazepam Intensol, 21
Cresylate, 26 Depacon, 23 Dibenzyline, 8
Crinone, 19 Depakene, 23 Diclegis, 18
Crixivan, 3 Depakote, 23 diclofenac potassium, 28
Crnatal, 32 Depakote ER, 23 diclofenac sodium, 26 cromolyn sodium, 18, 26, 30 Depakote Sprinkles, 23 diclofenac sodium DR, 28
Cubicin, 4 Depo-estradiol, 13 diclofenac sodium ER, 28
Curosurf, 31 Depo-medrol, 13 diclofenac sodium XR, 28
Cutivate, 11 Depo-provera, 5 diclofenac sodium/misoprostol, 28
Cuvposa, 17 Depo-testosterone, 13 dicloxacillin sodium, 1 cyanocobalamin, 19 Depocyt, 4 dicyclomine HCL, 17
Cyanocobalamin, 19 Derma-smoothe/FS Body, 11 Dicyclomine HCL, 17
Cyclessa, 14 Derma-smoothe/FS Body Oil, 11 didanosine, 3
Cyclobenzaprine Comfort PAC, 24 Derma-smoothe/FS Scalp, 11 Didronel, 15 cyclobenzaprine HCL, 24 Derma-smoothe/FS Scalp Oil, 11 Differin, 10
Cyclogyl, 25 Dermatop, 11 Dificid, 1
Cyclomydril, 25 Dermotic, 26 diflorasone diacetate, 11 cyclopentolate HCL, 25 desipramine HCL, 21 Diflorasone Diacetate, 11
Cyclophosphamide, 4 desloratadine, 29 Diflucan, 2
Cycloserine, 2 desloratadine odt, 29 diflunisal, 26 cyclosporine, 5 desmopressin acetate, 16 Digex NF, 17 cyclosporine modified, 5 Desogen, 14 digoxin, 6
Cyclosporine Modified, 5 Desonate, 11 Digoxin, 6
Cyklokapron, 20 desonide, 11 dihydroergotamine mesylate, 28
Cymbalta, 21 Desowen, 11 Dihydroergotamine Mesylate, 28 cyproheptadine HCL, 29 Desowen Cream/Cetaphil Lotion, 11 Dilacor XR, 7
Cystadane, 16 Desowen Lotion/Cetaphil Cream, 11 Dilantin, 23
Cystagon, 19 Desowen Ointment/Cetaphil Lotion, 11 Dilantin Infatabs, 23
Cystaran, 26 desoximetasone, 11 Dilatrate SR, 6 cytarabine, 4 Desoximetasone, 11 Dilaudid, 27
Cytarabine, 4 Desoxyn, 23 Dilaudid-5, 27 cytarabine aqueous, 4 Desvenlafaxine ER, 21 Dilaudid-HP, 27
Cytomel, 16 Detrol, 19 diltiazem CD, 7
Cytotec, 17 Detrol LA, 18 diltiazem HCL, 7
Cytovene, 3 dexamethasone, 13 Diltiazem HCL, 7
Cytra-3, 19 Dexamethasone, 13 diltiazem HCL ER, 7
Dexamethasone Intensol, 13 Dimenhydrinate, 18 D dexamethasone sodium phosphate, 13, Diovan, 8 D.h.e. 45, 28
25 Diovan HCT, 8 dacarbazine, 6 Dexamethasone Sodium Phosphate, 13 Dipentum, 18 Dacarbazine, 6 Dexchlorpheniramine Maleate, 29 diphenhydramine HCL, 29 Dacogen, 4 Dexedrine, 23 diphenoxylate/atropine, 17 dactinomycin, 4 Dexilant, 17 Diphenoxylate/Atropine, 17 Daliresp, 30 dexmethylphenidate HCL, 22 Diphtheria/Tetanus Toxoid Pediatric, 31 danazol, 13 Dexpak 10 Day, 13 Dantrium, 24 Diphtheria/Tetanus Toxoids Adsorbed Dexpak 13 Day, 13
Dantrium IV, 24 Pediatric, 31 Dexpak 6 Day, 13 Diprolene, 11 dantrolene sodium, 24 Dexpanthenol, 18 Diprolene AF, 11 Dapsone, 3 dexrazoxane, 6 dipyridamole, 20 Daptacel, 31 Dextran 70, 20 disopyramide phosphate, 7 Daraprim, 3
disulfiram, 24 Dulera, 30 Ed-chlor-tan, 29
Ditropan XL, 19 Duo-care Test Strips, 36 Edarbi, 8
Diuril, 8 Duocaine, 29 Edarbyclor, 8 divalproex sodium, 23 Duoneb, 30 Edecrin, 8 divalproex sodium DR, 23 Duragesic, 27 Edex, 9 divalproex sodium ER, 23 Durasafe Spinal/Epidural Tray/1% Edluar, 22
Divigel, 13 Edurant, 3 Xylocaine/19GX36"close CATH, 29 Divista, 19 Durasafe Spinal/Epidural Tray/1% Effexor XR, 21 dobutamine HCL, 9 Effient, 20 Xylocaine/19GX36"open CATH, 29 dobutamine HCL/D5W, 9 Durasafe Spinal/Epidural Tray/1% Egrifta, 16 dobutamine/dextrose 5%, 9 Elaprase, 16 Xylocaine/20GX36"close CATH, 29 Dobutamine/Dextrose 5%, 9 Durasafe Spinal/Epidural Tray/1% Eldepryl, 23
Docefrez, 5 Elelyso, 19 Xylocaine/20GX36"open CATH, 29 Docetaxel, 5 Durezol, 25 Element Plus Test Strips, 36
Dolgic Plus, 26 Dutoprol, 8 Element Test Strips, 36
Dologesic, 26 Dyazide, 8 Elestat, 26
Dolophine, 27 Dymista, 29 Elestrin, 13
Dolophine HCL, 27 Dynacin, 2 Eletone, 12
Donatuss Dc, 30 Dynacirc CR, 7 Elidel, 12 donepezil HCL, 24 Dyrenium, 8 Eligard, 5 dopamine HCL, 9 Dysport, 24 Elimite, 12
Dopamine HCL, 9 Eliphos, 18 E dopamine HCL-dextrose 5%, 9 Eliquis, 20
E-z Ject Lancets, 34 dopamine HCL/dextrose 5%, 9 Elite OB With DHA, 32 E-z Ject Lancets 21G, 34 dopamine/D5W, 9 Elite-OB, 32 E-z Ject Lancets Color, 34 Dopram, 23 Elite-OB 400, 32
E-z Ject Lancets Super Thin, 34 Doral, 22 Elitek, 6 E-z Ject Lancets Super Thin 30G, 34 Doribax, 4 Elixophyllin, 30 E-z Ject Lancets Thin 26G, 34 Doryx, 2 Ella, 14
E-z Spacer, 37 dorzolamide HCL, 26 Ellence, 4 E-z Spacer The Body Guards Pack, 37 dorzolamide HCL/timolol maleate, 25 Elmiron, 19 E-ZJECT Lancets Micro-thin 33G, 34 Dovonex, 11 Elocon, 11
E.e.s. 400, 1 doxapram HCL, 22 Eloxatin, 4 E.e.s. Granules, 1 doxazosin mesylate, 8 Elspar, 4 Easivent, 37 doxepin HCL, 21 Emadine, 26
Easivent/Mask-large, 37 Doxepin HCL, 21 Embrace Blood Glucose Test Strips, 36 Easivent/Mask-medium, 37 Doxil, 4 Emcyt, 5 Easivent/Mask-small, 37 doxorubicin HCL, 4 Emend, 17
Easy Step Test Strips, 36 doxorubicin HCL liposome, 4 Emla, 12 Easy Touch Glucose Test Strips, 36 doxycycline, 2 Emsam, 21 Easy Touch Lancets 28G/Twist, 34 doxycycline hyclate, 2 Emtriva, 3
Easy Touch Lancets 30G/Twist, 34 Doxycycline Hyclate, 2 Emulsion SB, 12 Easy Touch Lancets 32G/Twist, 34 doxycycline hyclate DR, 2 Enablex, 18 Easy Touch Lancets 33G/Twist, 34 doxycycline monohydrate, 2 enalapril maleate, 7
Doxytex, 29 Easy Touch Safety Lancets21G/Pressure enalapril maleate/hydrochlorothiazide, 8
Drisdol, 31 Activated, 34 enalaprilat, 7 Easy Touch Safety Lancets23G/Pressure Dritho-creme HP, 11 Enbrel, 28
Dritho-scalp, 11 Activated, 34 Enbrel Sureclick, 28 Easy Touch Safety Lancets26G/Button dronabinol, 17 Endometrin, 19
droperidol, 21 Activated, 34 Engerix-b, 31
Droplet Lancets Ultra Thin 30G, 34 Easy Touch Safety Lancets26G/Pressure Enjuvia, 13
drospirenone/ethinyl estradiol, 14 Activated, 34 Enlon, 25 Easy Touch Safety Lancets28G/Button Droxia, 19 Enlon-plus, 25
Drug Mart Unilet Lancets Super Thin Activated, 34 enoxaparin sodium, 20 Easy Touch Safety Lancets28G/Pressure entacapone, 23 30G, 34 Drug Mart Unilet Lancets Ultra Thin 28G, Activated, 34 Entereg, 18
Easy Twist & CAP Lancets, 34 Entocort EC, 13 34 Easygluco, 36 Drysol, 12 Envision Autocode Test Strips, 36 Easymax 15 Test Strips, 36 Duac, 10 Epaned, 7
Easymax Test Strips, 36 Duet DHA, 32 ephedrine sulfate, 9 Easypro Blood Glucose Test Strips, 36 Duet DHA 400, 32 Epiceram, 12 Easypro Plus, 36 Duet DHA 400EC, 32 Epiduo, 10
Easytest II Lancets, 34 Duet DHA 430, 32 Epifoam, 11 Easytest Lancets, 34 Duet DHA 430EC, 32 epinastine HCL, 26 EC-naprosyn, 28 Duet DHA Balanced, 32 Epinephrine, 9
Eclipse Test Strips, 36 Duet DHA EC, 32 epinephrine HCL, 30 econazole nitrate, 10 Duetact, 15 Epipen 2-PAK, 9 Ed Chlorped, 29 Duexis, 28 Epipen-JR 2-PAK, 9
Ed Cyte F, 19
epirubicin HCL, 4 Evencare Blood Glucose Test Strip, 36 Ferralet 90, 19
Epirubicin HCL, 4 Evencare G2 Test Strips, 36 Ferrex 150 Forte Plus, 19 episone CRE, 12 Evencare G3 Test Strips, 36 Ferrex 28, 19
Epivir, 3 Evicel, 20 Ferriprox, 37
Epivir HBV, 3 Evista, 15 Ferrlecit, 19 eplerenone, 8 Evithrom, 20 Ferro-plex Hematinic, 19
Epogen, 19 Evoclin, 10 Ferrotrin, 19 epoprostenol sodium, 9 Evolution Autocode, 36 Fetrin, 19 eprosartan mesylate, 7 Evoxac, 21 Fexmid, 24
Epzicom, 3 Exactech R-s-G Test Strips, 36 Fibricor, 9
Eql Truetrack Test, 36 Exactech Test Strips, 36 Fifty50 Glucose Test Strip 2.0, 36
Equagesic, 26 Exactuss, 30 Fifty50 Safety Seal Lancets 30G, 34
Equetro, 22 Exalgo, 27 Fifty50 Safety Seal Lancets 32G, 34
Eraxis, 2 Exelderm, 10 Finacea, 10
Erbitux, 5 Exelon, 24 Finacea Plus, 10 ergocalciferol, 31 exemestane, 5 finasteride, 19
Ergoloid Mesylates, 24 Exforge, 8 Fine 30, 34
Ergomar, 28 Exforge HCT, 8 Fingerstix Lancets, 34
Ertaczo, 10 Exjade, 37 Fioricet, 26
Erwinaze, 4 Exparel, 29 Fioricet/Codeine, 27
Ery-TAB, 1 Extavia, 24 Fiorinal, 26
Eryped 200, 1 Extina, 10 Fiorinal/Codeine #3, 27
Eryped 400, 1 EZ Smart Blood Glucose Lancets, 34 Firazyr, 20
Erythrocin Lactobionate, 1 EZ Smart Blood Glucose Test Strips, 36 Firmagon, 5
Erythrocin Stearate, 1 EZ Smart Plus Blood Glucose Test Strips, First-bxn Mouthwash, 21 erythromycin, 1, 9, 25 First-dukes Mouthwash, 21 36 Erythromycin, 10 EZ-lets Lancets 21G, 34 First-hydrocortisone, 11
Erythromycin Base, 1 EZ-lets Lancets 23G, 34 First-lansoprazole, 17
Erythromycin Ethylsuccinate, 1 EZ-lets Lancets 26G Super-soft, 34 First-marys Mouthwash, 21 erythromycin/benzoyl peroxide, 9 EZ-lets Lancets 28G Ultra-soft, 34 First-mouthwash Blm, 21 erythromycin/sulfisoxazole, 3 EZ-lets Lancets 30G, 34 First-omeprazole, 17
Escavite, 32 First-progesterone VGS 100 F Escavite LQ, 32 Compounding Kit, 19 Fabior, 10 escitalopram oxalate, 21 First-progesterone VGS 200 Fabrazyme, 16 Esgic, 26 Compounding Kit, 19 Factive, 2 Esgic-plus, 26 First-progesterone VGS 25 Compounding famciclovir, 3 esmolol HCL, 6 Kit, 19 famotidine, 17 Esomeprazole Strontium, 17 First-progesterone VGS 400
Famotidine Premixed, 17 estazolam, 22 Compounding Kit, 19 Famvir, 3 Estrace, 13, 19 First-progesterone VGS 50 Compounding Fanapt, 22 estradiol, 13 Kit, 19 Fanapt Titration Pack, 22 estradiol valerate, 13 First-testosterone, 13 Fareston, 5 estradiol/norethindrone acetate, 13 First-testosterone Mc Compounding Kit, Faslodex, 5 Estrasorb, 13 13 Fasttake Test Strips, 34 Estring, 19 Flagyl, 4 Fazaclo, 22 Estrogel, 13 Flagyl ER, 4 felbamate, 23 estropipate, 13 Flarex, 25
Felbatol, 23 Estropipate, 13 flavoxate HCL, 18 Feldene, 28 Estrostep FE, 14 flecainide acetate, 7 felodipine ER, 7 ethambutol HCL, 2 Flector, 11
Fem PH, 19 ethosuximide, 23 Flexeril, 24 Femara, 5 Ethyl Chloride, 12 FLO-pred, 13 Femcon FE, 14 Ethyl Chloride/Fine Pinpoint, 12 Flolan, 9
Femhrt 1/5, 13 Ethyl Chloride/Fine Stream, 12 Flomax, 19 Femhrt Low Dose, 13 Ethyl Chloride/Medium Jet Stream, 12 Flonase, 29 Femring, 19 Ethyl Chloride/Medium Stream, 12 Flovent Diskus, 30
Femtrace, 13 Ethyl Chloride/Mist, 12 Flovent HFA, 30 fenofibrate, 9 Ethyol, 6 floxuridine, 4 fenofibrate micronized, 9 Etidronate Disodium, 15 Fluarix 2011-2012, 31
Fenofibric Acid, 9 etodolac, 28 Fluarix 2012-2013, 31 fenofibric acid DR, 9 etodolac ER, 28 Fluarix 2013-2014, 31 Fenoglide, 9 Etopophos, 5 Fluarix Quadrivalent 2013-2014, 31
fenoldopam mesylate, 8 etoposide, 5 Flucelvax 2012-2013, 31 Fenoprofen Calcium, 28 Etoposide, 5 Flucelvax 2013-2014, 31 fentanyl, 27 Euflexxa, 24 fluconazole, 2
fentanyl citrate oral transmucosal, 27 Eurax, 12 fluconazole IN dextrose, 2 Fentora, 27 Evamist, 13 fluconazole IN NACL, 2 Feraheme, 19 Evencare + Blood Glucose Test Strip, 36 Fluconazole IN NACL, 2
Feriva, 19
flucytosine, 2 Folic Acid, 19 G Fludara, 4 folic acid/vitamin b-6/vitamin b-12, 19
gabapentin, 23 fludarabine phosphate, 4 Folivane-EC Calcium DHA NF, 32 Gabavale-5, 21 Fludarabine Phosphate, 4 Folivane-f, 19 Gabazolamine, 21 fludrocortisone acetate, 13 Folivane-OB, 32
Gabazolamine-0.5, 21 Flulaval 2011-2012, 31 Folivane-plus, 19 Gabazolpidem-5, 22 Flulaval 2012-2013, 31 Folivane-prx DHA NF, 32 Gabitidine, 17 Flulaval 2013-2014, 31 Follistim AQ, 15
Gabitril, 23 Flulaval Quadrivalent 2013-2014, 31 Folotyn, 4 Gaboxetine, 21 Flumadine, 3 Folpace RX, 19 galantamine, 24 Flumist Nasal Vaccine 2011-2012, 31 Foltrate, 19
galantamine hydrobromide, 24 Flumist Nasal Vaccine 2012-2013, 31 fondaparinux sodium, 20 ganciclovir, 3 Flumist Quadrivalent, 31 Fora D10 Blood Glucose Test Strips, 36 Ganirelix Acetate, 16 flunisolide, 29 Fora D15c Blood Glucose Test Strips, 36
Ganite, 15 Flunisolide, 29 Fora D15G Blood Glucose Test Strips, Garamycin, 25 fluocinolone acetonide, 11, 26 36 Gardasil, 31 fluocinolone acetonide ear drops, 26 Fora D15z Blood Glucose Test Strips, 36
Gastrocrom, 18 fluocinonide, 11 Fora D20 Blood Glucose Test Strips, 36 Gattex, 18 fluocinonide emollient base, 11 Fora G20 Blood Glucose Test Strips, 36 Gebauers Pain Ease, 12 fluocinonide-e, 11 Fora G30a Blood Glucose Test Strips, 36
Gebauers Spray And Stretch, 12 fluorometholone, 25 Fora G71a Blood Glucose Test Strips, 36 Gel-kam Oral Care Rinse, 21 fluorouracil, 4 Fora G90 Blood Glucose Test Strips, 36 Gelclair, 21 fluoxetine, 24 Fora GD20 Test Strips, 36
Gelnique, 18 fluoxetine DR, 21 Fora Lancets, 34 Gelx, 21 fluoxetine HCL, 21 Fora V10 Blood Glucose Test Strips, 36 Gemcitabine, 4 Fluoxetine HCL, 21 Fora V12 Blood Glucose Test Strips, 36
gemcitabine HCL, 4 Fluphenazine Decanoate, 22 Fora V20 Blood Glucose Test Strips, 36 gemfibrozil, 9 fluphenazine HCL, 22 Fora V22 Blood Glucose Test Strips, 36 Gemzar, 4 Fluphenazine HCL, 22 Fora V30a Blood Glucose Test Strips, 36
Genadur, 12 flurazepam HCL, 22 Foracare GD40, 36 Genadur Kit, 12 flurbiprofen, 28 Foracare Premium V10 Teststrips, 36 gene-xene TAB 15MG, 21 flurbiprofen sodium, 26 Foracare Test N Go Test Strips, 36
gene-xene TAB 3.75MG, 21 flutamide, 5 Foradil Aerolizer, 30 gene-xene TAB 7.5MG, 21 fluticasone propionate, 11, 29 Forfivo XL, 21 Generess FE, 14 fluvastatin, 9 Fortamet, 15
Genotropin, 16 Fluvirin 2011-2012, 31 Fortavit, 32 Genotropin Miniquick, 16 Fluvirin 2012-2013, 31 Fortaz, 1 gentamicin sulfate, 2, 25 Fluvirin 2013-2014, 31 Forteo, 15
Gentamicin Sulfate, 10 Fluvirin PF 2011-2012, 31 Fortesta, 13 gentamicin sulfate/0.9% sodium chloride, Fluvirin PF 2012-2013, 31 Fortical, 15
Fluvirin PF 2013-2014, 31 Fosamax, 15 2 fluvoxamine maleate, 21 Fosamax Plus D, 15 Gentamicin Sulfate/0.9% Sodium
fluvoxamine maleate ER, 21 Foscarnet Sodium, 3 Chloride, 2 gentamicin sulfate/sodium chloride, 2 Fluzone High-dose PF 2011-2012, 31 Foscavir, 3
Gentle-let GP Lancets, 34 Fluzone High-dose PF 2012-2013, 31 fosinopril sodium, 7 Gentle-let Lancets General Purpose Fluzone High-dose PF 2013-2014, 31 fosinopril sodium/hydrochlorothiazide, 8
Fluzone Intradermal, 31 fosphenytoin sodium, 23 Style/Fine Point, 34
Fluzone Pediatric PF 2011-2012, 31 Fosrenol, 18 Gentle-let Lancets General Purpose
Fluzone Pediatric PF 2012-2013, 31 Fragmin, 20 Style/Medium Point, 34 Gentle-let Lancets Safety Style/Fine Fluzone Pediatric PF 2013-2014, 31 Freestyle Insulinx Blood Glucose Test,
Fluzone PF 2011-2012, 31 Point, 34 36 Gentle-let Lancets Safety Style/Medium Fluzone PF 2012-2013, 31 Freestyle Insulinx Blood Glucose Test
Fluzone PF 2013-2014, 31 Point, 34 Strips, 36 Geodon, 22 Fluzone Quadrivalent 2013-2014, 31 Freestyle Lancets, 34 Gesticare DHA, 32 Fluzone Split 2011-2012, 31 Freestyle Lite Test Strips, 36 Giazo, 18 Fluzone Split 2012-2013, 31 Freestyle Test Strips, 36
Gilenya, 24 Fluzone Split 2013-2014, 31 Freestyle Unistick II Lancets, 34 Gilotrif, 6 FML, 25 Frenadol, 27 Gilphex TR, 30 FML Forte, 25 Frova, 28
Giltuss, 30 FML Liquifilm, 25 Fulyzaq, 17 Giltuss PED-c, 30 Focalin, 23 Furadantin, 18 Giltuss Pediatric, 30 Focalin XR, 23 furosemide, 8
Giltuss TR, 30 Folbecal, 32 Furosemide, 8 Glassia, 31 Folcaps Omega 3, 32 Fusilev, 6 Gleevec, 5 Folgard OS, 32 Fusion Plus, 19
Gliadel Wafer, 4 Folgard RX, 19 Fuzeon, 3 glimepiride, 14 Folic + B12, 19 glipizide, 14 folic acid, 19
glipizide ER, 14
glipizide/metformin HCL, 15 halobetasol propionate, 11 Hy-vee Lancets, 34
Glucagen, 15 Halog, 11 Hyalgan, 24
Glucagen Hypokit, 15 Halonate, 11 Hycamtin, 6
Glucagon Emergency Kit, 15 haloperidol, 22 Hycet, 27
Gluco Perfect 3 Test Strips, 36 haloperidol decanoate, 22 hydralazine HCL, 8
Glucocard 01 Sensor, 36 haloperidol lactate, 22 Hydrea, 6
Glucocard 01 Test Strips, 36 Halotin, 10 Hydro 35, 12
Glucocard Expression Blood Glucose Havrix, 31 Hydro 40 Foam, 12
Hectorol, 16 hydrochloric acid, 19 Test Strips, 36 Glucocard Vital Test Strips, 36 Helidac, 17 hydrochlorothiazide, 8
Glucocard X-sensor, 36 Helixate FS, 20 hydrocodone bitartrate/acetaminophen,
Glucocom Lancets 28G, 34 Hemabate, 26 27 Glucocom Lancets 30G, 34 Hematogen Fa, 19 Hydrocodone Bitartrate/Acetaminophen,
Glucocom Lancets 33G, 34 Hematron-AF, 19 27 Glucocom Test Strips, 36 Hemocyte Plus, 19 hydrocodone bitartrate/homatropine
Glucolab Test Strips, 36 Hemocyte-f, 19 methylbromide, 29 Gluconavii Blood Glucose Test Strips, 36 Hemofil M, 20 hydrocodone polistirex/chlorpheniramine
Glucophage, 15 heparin lock, 20 polistirex, 29 Glucophage XR, 15 heparin lock flush, 20 hydrocodone/acetaminophen, 27
Glucosource Lancets, 34 Heparin Lock Flush, 20 Hydrocodone/Acetaminophen, 27
Glucotrol, 15 heparin lock flush for flushing vascular hydrocodone/homatropine, 29
Glucotrol XL, 15 hydrocodone/ibuprofen, 27 access devices, 20 Glucovance, 15 heparin lock flush/NACL for flushing hydrocort ene 100MG, 18
Glumetza, 15 hydrocortisone, 11, 13, 18 vascular access devices, 20 glyburide, 14 heparin sodium, 20 hydrocortisone acetate/aloe, 11
Glyburide, 15 Heparin Sodium, 20 hydrocortisone acetate/pramoxine, 18 glyburide micronized, 14 heparin sodium dcu, 20 hydrocortisone butyrate, 11 glyburide/metformin HCL, 15 heparin sodium lock flush, 20 Hydrocortisone Butyrate (lipid), 11
Glycolic Acid, 11 heparin sodium/D5W, 20 hydrocortisone IN absorbase, 11
Glycolic Acid 70% High Purity, 11 Heparin Sodium/D5W, 20 hydrocortisone valerate, 11 glycopyrrolate, 17 Heparin Sodium/NACL 0.45%, 20 hydrocortisone/acetic acid, 26
Glynase, 15 heparin sodium/NACL 0.9%, 20 hydromorphone HCL, 27
Glyset, 15 Heparin Sodium/Sodium Chloride 0.9%, Hydromorphone HCL, 27
Golytely, 17 Hydromorphone HCL Dosette, 27 20 Gonal-f, 16 heparin sodium/sodium chloride 0.9% Hydroxocobalamin, 19
Gonal-f RFF, 16 hydroxychloroquine sulfate, 3 premix, 20 Gonal-f RFF Pen, 16 Hepsera, 3 hydroxyurea, 6
Gordofilm, 12 Herceptin, 5 hydroxyzine HCL, 21
Gordons Urea, 12 Hespan, 20 Hydroxyzine HCL, 21
Gralise, 24 hetastarch 6%/NACL, 20 hydroxyzine pamoate, 21
Gralise Starter, 24 Hexalen, 4 Hydroxyzine Pamoate, 21 granisetron HCL, 17 Hextend, 20 Hylatopic, 12
Granisol, 18 Hiberix, 31 Hylatopic Plus, 12
Green Soap, 12 Hiprex, 18 Hylatopic Plus/Aurstat, 12
Grifulvin V, 2 homatropine HBR, 25 Hylira, 12
Gris-peg, 2 Horizant, 24 hyoscyamine sulfate, 17 griseofulvin microsize, 2 HPR, 12 hyoscyamine sulfate ER, 17 griseofulvin ultramicrosize, 2 HPR Plus, 12 hyoscyamine sulfate odt, 17 guanfacine HCL, 8 HPR Plus/Mb Hydrogel, 12 hyoscyamine sulfate SR, 17
Guanidine HCL, 25 Humalog, 14 Hyper-sal, 30
Gynazole-1, 19 Humalog Kwikpen, 14 Hypersal, 30
Humalog Mix 50/50, 14 Hypertenevide-12.5, 7 H Humalog Mix 50/50 Kwikpen, 14 Hypertenipine-2.5, 7
H&h Thinlet Lancets 26G, 34 Humalog Mix 75/25, 14 Hypertensolol, 8 H&h Thinlet Super Thin Lancets 30G, 34 Humalog Mix 75/25 Kwikpen, 14 Hyzaar, 8 Haemolance, 34 Humate-p, 20
Haemolance Low Flow Lancets, 34 I Humatrope, 16 Haemolance Plus, 34 ibandronate sodium, 15 Humatrope Combo Pack, 16 Haemolance Plus High Flow, 34 Ibudone, 27 Humira, 28
Haemolance Plus Low Flow, 34 ibuprofen, 28 Humira Pen, 28 Haemolance Plus Max Flow, 34 Ibuprofen Comfort PAC, 28 Humira Pen-crohns Diseasestarter, 28 Haemolance Plus Pediatric Flow, 34 ibutilide fumarate, 7 Humira Pen-psoriasis Starter, 28
Halaven, 5 IC 400, 28 Humulin 70/30, 14 Halcion, 22 IC 800, 28 Humulin 70/30 Pen, 14 Haldol, 22 Icar-c Plus, 19 Humulin N, 14
Haldol Decanoate 100, 22 Iclusig, 5 Humulin N U-100 Pen, 14 Haldol Decanoate 50, 22 Idamycin PFS, 4 Humulin R, 14 Halflytely Bowel Prep/Flavor Packs, 17 idarubicin HCL, 4 Humulin R U-500 (concentrated), 14
Halfprin, 26 Ifex, 4
ifosfamide, 4 irinotecan, 6 Ketodan Kit, 10
Ifosfamide, 4 Iron, 19 ketoprofen, 28
Ifosfamide/Mesna, 6 Irospan 24/6, 19 Ketoprofen ER, 28
Ilaris, 28 Isentress, 3 ketorolac tromethamine, 26, 28
Ilevro, 26 isoniazid, 2 Ketorolac Tromethamine, 28
Imdur, 6 Isoniazid, 2 Kineret, 28 imipenem/cilastatin, 3 Isoptin SR, 7 Kinlytic, 20 imipramine HCL, 21 Isopto Atropine, 25 Kinrix, 31 imipramine pamoate, 21 Isopto Carbachol, 26 Klaron, 10 imiquimod, 12 Isopto Carpine, 26 Klonopin, 23
Imitrex, 28 Isopto Homatropine, 25 Koate-dvi, 20
Imitrex Statdose Refill, 28 Isopto Hyoscine, 25 Kogenate FS, 20
Imitrex Statdose System, 28 Isordil Titradose, 6 Kogenate FS Bio-set, 20
Imovax Rabies (h.d.c.v.), 31 isosorbide dinitrate, 6 Kombiglyze XR, 15
Imuran, 5 Isosorbide Dinitrate, 6 Korlym, 15
Inatal Advance, 32 isosorbide dinitrate ER, 6 Kristalose, 17
Inatal GT, 32 isosorbide mononitrate, 6 Krystexxa, 29
Inatal Ultra, 32 isosorbide mononitrate ER, 6 Kuvan, 16
Incivek, 3 isotonic gentamicin, 2 Kynamro, 9
Increlex, 16 Isotonic Gentamicin, 2 Kyprolis, 5 indapamide, 8 Isradipine, 7 L Inderal LA, 7 Istalol, 25 labetalol HCL, 6 Indocin, 28 Istodax, 5
Lac-hydrin, 12 Indocin IV, 28 Isuprel, 30 Lacrisert, 25 indomethacin, 28 itraconazole, 2 lactic acid, 12 Indomethacin, 28 Ixempra Kit, 5
lactic acid e, 12 indomethacin ER, 28 Ixiaro, 31 lactic acid w/vitamin e, 12 indomethacin sodium, 28
J Lactocal-f, 32 Infanrix, 31
J-cof DHC, 30 lactulose, 17, 18 Infasurf, 31 J-max DHC, 30 Lamictal, 23 Infergen, 3 Jakafi, 5 Lamictal Chewable Dispersible, 23 Infinity Blood Glucose Test Strips, 36
Jalyn, 19 Lamictal Odt, 23 Influenza A (h1n1) Monovalent 2009, 31 Janumet, 15 Lamictal Starter/Not Taking Infumorph 200, 27 Janumet XR, 15 Infumorph 500, 27 Carbamazepine, 23
Januvia, 15 Lamictal Starter/Taking Injectafer, 19 Je-vax, 31 Inlyta, 5 Carbamazepine/Not Taking Valproate, Jentadueto, 15 23 Innopran XL, 7
Jetrea, 26 Lamictal Starter/Taking Valproate, 23 Inova, 10 Jevtana, 5 Lamictal XR, 23 Inova 4/1 Acne Control Therapy, 10 Jinteli, 13 Lamisil, 2 Inova 8/2 Acne Control Therapy, 10
Juvisync, 15 Lamisil Spray, 10 Inspirease Bags, 37 Juxtapid, 9 lamivudine, 3 Inspirease Drug Delivery System, 37 lamivudine/zidovudine, 3 Inspirease Mouthpiece, 37 K
lamotrigine, 23 Inspirease Replacement Mouthpiece, 37 K-phos NO 2, 19
lamotrigine ER, 23 Inspirease Reservoir Bags, 37 Kadcyla, 5 Lancets, 34 Inspra, 8 Kadian, 27 Lancets 26G Twist Top, 34 Insulin Syringe/0.5ML/30G X 5/16", 36 Kalbitor, 20
Lancets 28G, 34 Integra F, 19 Kaletra, 3 Lancets 30G, 34 Integra Plus, 19 Kalydeco, 31 Lancets 30G Twist Top, 34 Integrilin, 20 Kanamycin Sulfate, 2
Lancets 31G Twist Top, 34 Intelence, 3 Kapvay, 23 Lancets Bullseye Safety, 34 Intermezzo, 22 Kapvay Dose Pack, 23 Lancets Safety Seal 21G, 34 Introl, 8 Kazano, 15
Lancets Safety Seal 26G, 34 Intron-a, 6 Keflex, 1 Lancets Safety Seal 28G, 34 Intron-a W/Diluent, 6 Kenalog, 11 Lancets Safety Seal 30G, 34 Intuniv, 23 Kenalog-10, 13
Lancets Thin, 34 Invanz, 4 Kenalog-40, 13 Lancets Twist Top, 34 Invega, 22 Kepivance, 6 Lancets Ultra Fine, 34 Invega Sustenna, 22 Keppra, 23
Lancets Ultra Thin, 34 Invirase, 3 Keppra XR, 23 Lanoxin, 6 Iopidine, 26 Kerafoam, 12 Lanoxin Pediatric, 6 Ipol Inactivated IPV, 31 Kerafoam 42, 12
lansoprazole, 17 ipratropium bromide, 29, 30 Keralyt, 12 ipratropium bromide/albuterol sulfate, 30 lansoprazole/amoxicillin/clarithromycin, Keralyt Scalp, 12
Iprivask, 20 17 Kerlone, 7
Lantus, 14 irbesartan, 7 Ketek, 4 Lantus Solostar, 14 irbesartan/hydrochlorothiazide, 8 ketoconazole, 2, 10 Lasix, 8
Lastacaft, 26 Lidovir, 11 Loxitane, 22 latanoprost, 25 Lifescan Unistik 2 Deep Penetration, 34 Lta 360 Kit, 21
Latrix XM, 12 Lifescan Unistik II Lancets, 34 Lufyllin, 30
Latuda, 22 Lincocin, 4 Lumigan, 25
Lavoclen-4 Creamy Wash, 10 lindane, 12 Luminal, 22
Lavoclen-8 Creamy Wash, 10 Linzess, 18 Lumizyme, 16
Lazanda, 27 liothyronine sodium, 16 Lunesta, 22 leflunomide, 28 Lipitor, 9 Lupron Depot, 5
Lescol, 9 Lipofen, 9 Lupron Depot-PED, 16
Lescol XL, 9 Liptruzet, 9 Lusonal, 29
Letairis, 9 Liquicet, 27 Luveris, 16 letrozole, 5 lisinopril, 7 Luvox CR, 21 leucovorin calcium, 6 lisinopril/hydrochlorothiazide, 8 Luxiq, 11
Leucovorin Calcium, 6 Liteaire, 37 Lycelle, 12
Leukeran, 4 Litetouch Lancets Micro Thin 33G, 34 Lyrica, 23
Leukine, 19 lithium carbonate, 22 Lysodren, 5 leuprolide acetate, 5 Lithium Carbonate, 22 Lysteda, 20
Levacet, 27 lithium carbonate ER, 22 Lytensopril, 8 levalbuterol, 30 Lithium Citrate, 22 Lytensopril-90, 8 levalbuterol HCL, 30 Lithobid, 22 M Levaquin, 2 Lithostat, 19 M-m-r II W/Diluent 10 Dose, 31 Levatol, 7 Livalo, 9 M-vit, 32 Levbid, 17 Live Better Lancet Super Thin 30G, 34
M.v.i. Adult, 32 Levemir, 14 Live Better Lancet Ultra Thin 28G, 34 M.v.i. Pediatric, 32 Levemir Flexpen, 14 LMD 10% Dextrose 5%, 20 M.v.i.-12 Without Vitamin K, 32 levetiracetam, 23 LMD 10% Sodium Chloride 0.9%, 20
Macnatal CN DHA, 32 Levetiracetam, 23 LO Loestrin FE, 14 Macrobid, 18 levetiracetam ER, 23 LO Minastrin FE, 14 Macrodantin, 18 Levitra, 9 LO/Ovral-28, 14
Magnacet, 27 levobunolol HCL, 25 Locoid, 11 Makena, 14 Levobunolol HCL, 25 Locoid Lipocream, 11 Malarone, 3 levocarnitine, 16 Lodosyn, 23
malathion, 12 levocetirizine dihydrochloride, 29 Loestrin 1.5/30-21, 14 mannitol, 8 levofloxacin, 2, 25 Loestrin 1/20-21, 14 Maprotiline HCL, 21 levofloxacin IN D5W, 2 Loestrin 24 FE, 14
Marcaine, 29 Levomefolate PNV, 32 Loestrin FE 1.5/30, 14 Marcaine W/O Epi, 29 levonorgestrel, 14 Loestrin FE 1/20, 14 Marcaine/Epinephrine, 29 levonorgestrel and ethinyl estradiol, 14 Lofibra, 9
Marinol, 18 levonorgestrel/ethinyl estradiol, 14 Lomotil, 17 Marnatal-f, 32 Levophed, 9 Lomustine, 4 Marnatal-f Plus Duo Pack, 32 Levorphanol Tartrate, 27 loperamide HCL, 17
Marplan, 21 levothyroxine sodium, 16 Lopid, 9 Marqibo, 5 Levothyroxine Sodium, 16 Lopressor, 7 Mask Vortex/Baby Whirl Duckling, 37 Levsin, 17 Lopressor HCT, 8
Mask Vortex/Child/Frog, 37 Levsin/SL, 17 Loprox, 10 Mask Vortex/Spinner The Duck, 37 Lexapro, 21 Loprox Shampoo, 10 Mask Vortex/Toddler/Lady Bug, 37 Lexiva, 3 lorazepam, 21
Matulane, 6 Lialda, 18 Lorazepam Intensol, 21 Mavik, 7 Liberty Next Generation Blood Glucose Lorcet 10/650, 27 Maxair Autohaler, 30 Lorcet Plus, 27 Test Strips, 36 Maxalt, 28 lidocaine, 12 Lortab, 27 Maxalt-MLT, 28 lidocaine HCL, 7, 12, 21, 29 Lorzone, 24 Maxaron Forte, 20 Lidocaine HCL, 7, 12 losartan potassium, 7
Maxidex, 25 lidocaine HCL IN D5W, 7 losartan potassium/hydrochlorothiazide, Maxidone, 27 lidocaine HCL jelly, 12 8 Maxifed CD, 30 Lidocaine HCL-hydrocortisone Acetate Loseasonique, 14
Maxifed CDX, 30 Lotemax, 25 With Aloe, 18 Maxifed-G CD, 30 lidocaine HCL/dextrose, 7 Lotensin, 7 Maxifed-G CDX, 30 Lidocaine HCL/Dextrose, 29 Lotensin HCT, 8
Maxiflu CD, 30 lidocaine HCL/hydrocortisone acetate, 18 Lotrel, 8 Maxiflu CDX, 30 Lidocaine HCL/Hydrocortisone Acetate, Lotrimin Ultra, 10 Maxima Blood Glucose Teststrips, 36 Lotrisone, 10 18 Maxinate, 32 lidocaine viscous, 21 Lotronex, 18 Maxiphen CD, 30 lidocaine/epinephrine, 29 lovastatin, 9 Maxiphen CDX, 30 lidocaine/prilocaine, 12 Lovaza, 9
Maxipime, 1 Lidocaine/Prilocaine, 12 Lovenox, 20 Maxitrol, 25 Lidoderm, 12 loxapine, 22 Maxzide, 9 Lidoprofen, 11 loxapine succinate, 22
Maxzide-25, 9
Mb Hydrogel, 12 methamphetamine HCL, 22 Minivelle, 14 meclizine HCL, 17 methazolamide, 8 Minocin, 2
Meclofenamate Sodium, 28 methenamine hippurate, 18 Minocin Kit, 2
Medisense Thin Lancets, 34 methenamine mandelate, 18 minocycline HCL, 2
Medlance Plus Extra Lancets 21G, 34 Methenamine Mandelate, 18 minocycline HCL ER, 2
Medlance Plus Lancets, 34 Methergine, 26 minoxidil, 8
Medlance Plus Lancets Lite 25G, 34 methimazole, 16 Mirapex, 24
Medlance Plus Lite Lancets 25G, 34 methocarbamol, 24 Mirapex ER, 23
Medlance Plus Special Lancets 0.8MM, methotrexate, 4 Mircette, 14
methotrexate sodium, 4 mirtazapine, 21 34 Medlance Plus Superlite 30G, 34 Methoxsalen, 12 mirtazapine odt, 21
Medlance Plus Superlite 30G/Comfort methscopolamine bromide, 17 Mirvaso, 10
Methyclothiazide, 9 misoprostol, 17 Max, 34 Medlance Plus Universal Lancets 21G, methyldopa, 8 mitomycin, 4
Methyldopa/Hydrochlorothiazide, 8 Mitosol, 25 34 Medlance Plus/Lite 25G, 34 Methyldopate HCL, 8 mitoxantrone HCL, 4
Medlance/Extra, 34 methylergonovine maleate, 26 Mobic, 28
Medlance/Lite, 34 Methylin, 23 modafinil, 23
Medlance/Universal, 34 methylphenidate HCL, 22 Modicon, 14
Medrol, 13 methylphenidate HCL CD, 22 moexipril HCL, 7
Medrol Dosepak, 13 methylphenidate HCL ER, 22 moexipril/hydrochlorothiazide, 8 medroxyprogesterone acetate, 14 Methylphenidate HCL ER, 23 mometasone furoate, 11 mefenamic acid, 28 methylphenidate HCL SR, 23 Momexin, 11 mefloquine HCL, 3 methylphenidate hydrochloride, 22 Moms Choice RX, 32
Mefoxin, 1 methylprednisolone, 13 Monoclate-p, 20
Megace ES, 14 methylprednisolone acetate, 13 Monodox, 2
Megace Oral, 5 methylprednisolone dose pack, 13 Monoject Bone Marrow Aspiration megestrol acetate, 5 methylprednisolone sodiumsuccinate, 13 Tray/Rosenthal Needle 16GX2", 29 Megestrol Acetate, 5 metipranolol, 25 Monoject Bone Marrow Biopsy Prepping
Meijer Super Thin Lancets, 34 metoclopramide HCL, 18 Tray, 29 Mekinist, 5 metolazone, 8 Monoject Bone Marrow Biopsy Tray/Biop meloxicam, 28 metoprolol succinate ER, 6 Aspir Needle 11GX4", 29 Meloxicam, 28 metoprolol tartrate, 6 Monoject Bone Marrow Biopsy Tray/Biop
Meloxicam Comfort PAC, 28 metoprolol/hydrochlorothiazide, 8 Aspir Needle 8GX4", 29 melphalan hydrochloride, 4 Metozolv Odt, 18 Monoject Bone Marrow Biopsy
Menactra, 31 Metro IV, 4 Tray/Sternal-iliac Needle 16G, 29 Menest, 14 Metrocream, 10 Monoket, 6
Menhibrix, 31 Metrogel, 10 Monolet Lancets, 34
Menomune-a/C/Y/W-135, 31 Metrogel-vaginal, 19 Monolet Opd Lancets, 34
Menopur, 15 Metrolotion, 10 Monolettor Safety Lancets, 34
Menostar, 14 metronidazole, 3, 10 Mononine, 20
Mentax, 10 metronidazole IN NACL 0.79%, 3 montelukast sodium, 30
Menveo, 31 metronidazole vaginal, 19 Monurol, 18 meperidine HCL, 27 Mevacor, 9 Morgidox 1X100MG, 2
Meperidine HCL, 27 mexiletine HCL, 7 Morgidox 2X100MG, 2
Mephyton, 31 Miacalcin, 15 morphine sulfate, 27
Mepivacaine HCL, 29 Micardis, 8 Morphine Sulfate, 27 meprobamate, 21 Micardis HCT, 8 Morphine Sulfate Add-vantage, 27
Mepron, 4 Microchamber, 37 morphine sulfate ER, 27 mercaptopurine, 4 Microdot Test Strips, 36 Morphine Sulfate IN Dextrose 5%, 27 meropenem, 3 Microlet Lancets, 34 Motofen, 17
Merrem, 4 Microspacer, 37 Moviprep, 17 mesalamine, 18 Microtainer Safety Flow Moxatag, 1 mesna, 6 Moxeza, 25 Lancet/Sterile/Single-use, 34 Mesnex, 6 Microzide, 9 Mozobil, 19
Mestinon, 25 midodrine HCL, 9 MS Contin, 27
Mestinon Timespan, 24 Mifeprex, 16 Mst 600, 27
Metadate CD, 23 Migergot, 28 Mtx Support, 19
Metaglip, 15 Migral, 28 Mucotrol, 21
Metaproterenol Sulfate, 30 Migranal, 28 Multaq, 7
Metastron, 6 Millipred, 13 Multigen, 20 metaxalone, 24 Millipred DP, 13 Multigen Folic, 20 metformin HCL, 15 milrinone IN dextrose, 6 Multigen Plus, 20 metformin HCL ER, 15 milrinone lactate, 6 mupirocin, 10 methadone HCL, 27 Mimyx, 12 mupirocin calcium, 10
Methadone HCL, 27 Minastrin 24 FE, 14 Muse, 9
Methadose, 27 Mineral Oil Heavy, 17 Mustargen, 4
Methadose Sugar-free, 27 Minipress, 8 Myambutol, 2
Mycamine, 2 Necon 1/50-28, 14 oxide/folic acid, 32
Mycobutin, 2 Necon 10/11-28, 14 nicotinamide/zinc oxide/cupric oxide/folic mycophenolate mofetil, 5 Neevo, 32 acid, 32 Mydfrin, 26 Neevo DHA, 32 nicotinamide/zinc/copper/fa, 32
Myfortic, 5 nefazodone HCL, 21 nifedipine, 7
Myglucohealth Blood Glucose Test, 36 Nefazodone HCL, 21 nifedipine ER, 7
Myglucohealth Mgh Softlance Lancets Nembutal, 22 Nilandron, 5
Nembutal Sodium, 22 Nimbex, 24 30G, 34 Mykidz Iron Fl, 32 Neo-synephrine, 9 nimodipine, 7
Myleran, 4 neomycin sulfate, 2 Nipent, 6
Mynatal, 32 neomycin/bacitracin/polymyxin, 25 Niravam, 21
Mynatal Advance, 32 neomycin/polymyxin/bacitracin zinc, 25 nisoldipine, 7
Mynatal Ultracaplet, 32 neomycin/polymyxin/bacitracin/hydrocorti Nisoldipine, 7
Myobloc, 24 Nisoldipine ER, 7 sone, 25 Myoxin, 26 neomycin/polymyxin/dexamethasone, 25 Nitro-bid, 6
Myozyme, 16 neomycin/polymyxin/gramicidin, 25 Nitro-dur, 6
Myrbetriq, 19 neomycin/polymyxin/HC, 26 nitrofurantoin, 18
Mysoline, 23 Neomycin/Polymyxin/Hydrocortisone, 25 nitrofurantoin macrocrystal, 18
Mytelase, 25 neomycin/polymyxin/hydrocortisone, 26 nitrofurantoin macrocrystalline, 18
Neoprofen, 28 nitrofurantoin macrocrystals, 18 N Neoral, 5 nitrofurantoin monohydrate, 18 nabumetone, 28 Neosalus, 12 nitrofurantoin nadolol, 6 Neosalus CP, 12 monohydrate/macrocrystals, 18 nadolol/bendroflumethiazide, 8 Neosporin, 25 nitroglycerin, 6 nafcillin sodium, 1 neostigmine methylsulfate, 24 Nitroglycerin, 6 Nafcillin Sodium, 1 Neotuss Plus, 30 nitroglycerin IN 5% dextrose, 6
Nafrinse Daily/Acidulated, 21 Nephplex RX, 32 nitroglycerin IN dextrose 5%, 6 Nafrinse Daily/Neutral, 21 Nephro-vite RX, 32 Nitroglycerin IN Dextrose 5%, 6 Nafrinse Weekly, 21 Nephrocaps, 32 Nitroglycerin Lingual, 6
Naftin, 10 Nephrocaps QT, 32 nitroglycerin transdermal, 6 Naglazyme, 16 Nephron Fa, 20 Nitrolingual Pumpspray, 6 nalbuphine HCL, 27 Neptazane, 9 Nitromist, 6
Nalfon, 28 Nesacaine, 29 Nitropress, 8 Nallpen Iso-osmotic IN Dextrose, 1 Nesacaine-mpf, 29 Nitrostat, 6 Nallpen/Dextrose, 1 Nesina, 15 nizatidine, 17
Namenda, 24 Nessi Spacer/Large Mask, 37 Nizoral, 10 Namenda Titration PAK, 24 Nessi Spacer/Mouthpiece, 37 Nor-QD, 14 Namenda XR, 24 Nessi Spacer/Small/MED Mask, 37 Norco, 27
Namenda XR Titration Pack, 24 Nestabs, 32 Nordette-28, 14 Naphazoline HCL, 26 Nestabs Abc, 32 Norditropin Cartridge, 16 Naprelan, 28 Nestabs DHA, 32 Norditropin Flexpro, 16
Naprosyn, 28 Netgroup Lancets, 34 Norditropin Nordiflex Pen, 16 naproxen, 28 Neulasta, 19 norepinephrine bitartrate, 9 Naproxen Comfort PAC, 28 Neumega, 19 norethindrone, 14 naproxen sodium, 28 Neupogen, 19 norethindrone acetate, 14 naratriptan HCL, 28 Neupro, 24 Norflex, 24 Nardil, 21 Neurontin, 23 norgestimate/ethinyl estradiol, 14
Naropin, 29 Neutek 2tek Test Strips, 36 norgestrel/ethinyl estradiol, 14 Nasacort AQ, 29 Neutrasal, 21 Norinyl 1+35, 14 Nascobal, 20 Neutrexin, 4 Norinyl 1+50, 14
Nasonex, 29 Nevanac, 26 Noritate, 10 Natachew, 32 nevirapine, 3 Noroxin, 2 Natacyn, 25 Nevirapine, 3 Norpace, 7
Natafort, 32 Nexa Plus, 32 Norpace CR, 7 Natalvirt 90 DHA, 32 Nexa Select, 32 Norpramin, 21 Natalvirt CA, 32 Nexavar, 5 nortriptyline HCL, 21
Natalvirt Flt, 20 Nexgen Test Strips, 36 Nortriptyline HCL, 21 Natalvit, 32 Nexiclon XR, 8 Norvasc, 7 Natazia, 14 Nexium, 17 Norvir, 3 nateglinide, 15 Nexium I.v., 17 Nova Max Glucose Test Strips, 36 Natelle One, 32 Nexterone, 7 Nova Safety Lancets 23G, 34 Natelle-EZ, 32 Niacin, 31 Nova Safety Lancets 28G, 34
Natrecor, 9 Niacor, 9 Nova Sureflex Lancets, 34 Natroba, 12 Niaspan, 9 Novaferrum, 20 Nature-throid, 16 nicardipine HCL, 7 Novofine 30GX8MM, 34
Nature-throid Nt-2.5, 16 Nicazel, 32 Novofine 32GX6MM, 34 Navelbine, 5 Nicomide, 32 Novofine Autocover 30GX8MM, 34 Nebupent, 4 nicotinamide w/zinc oxide/cupric Novolin 70/30, 14
Nebusal, 30
Novolin 70/30 Relion, 14 Olux-e, 12 Optipranolol, 25
Novolin N, 14 Omeclamox-PAK, 17 Optium Test Strips, 36
Novolin N Relion, 14 omeprazole, 17 Optiumez Test Strips, 36
Novolin R, 14 Omeprazole + Syrspend SF Alka, 17 Optivar, 26
Novolin R Relion, 14 omeprazole/sodium bicarbonate, 17 Optumrx Blood Glucose Test, 36
Novolog, 14 Omnaris, 29 Oracea, 10
Novolog Flexpen, 14 Omnipred, 25 Oracit, 19
Novolog Mix 70/30, 14 Omnitrope, 16 Oramagicrx, 21
Novolog Mix 70/30 Prefilled Flexpen, 14 Omontys, 20 Orap, 24
Novolog Penfill, 14 On Call Lancets, 34 Orapred, 13
Novoseven, 20 On Call Plus Blood Glucose Test, 36 Orapred Odt, 13
Novoseven Rt, 20 On Call Plus Lancets, 34 Oravig, 21
Novotwist 30GX8MM, 34 On Call Vivid Blood Glucose Test, 36 Oraxyl, 2
Novotwist 32GX5MM, 34 Oncaspar, 4 Orbivan, 27
Noxafil, 2 ondansetron HCL, 17 Orbivan CF, 27
Nplate, 19 Ondansetron HCL, 18 Orencia, 28
Nucort, 12 ondansetron HCL/dextrose, 17 Orfadin, 16
Nucynta, 27 ondansetron odt, 17 orphenadrine citrate, 24
Nucynta ER, 27 Onetouch Basic System, 34 orphenadrine citrate ER, 24
Nuedexta, 24 Onetouch Basic/Profile Test Strips, 34 orphenadrine/asa/caffeine, 24
Nulojix, 5 Onetouch Club Lancets Fine Point, 35 Ortho Evra, 14
Nulytely/Flavor Packs, 17 Onetouch Combo Pack, 35 Ortho Micronor, 14
Numoisyn, 21 Onetouch Delica Lancets, 35 Ortho Tri-cyclen, 14
Nuox, 10 Onetouch Delica Lancets Fine 30G, 35 Ortho Tri-cyclen LO, 14
Nutricap, 32 Onetouch Delica Lancing Device, 35 Ortho-cept, 14
Nutridox, 2 Onetouch Finepoint Lancets, 35 Ortho-cyclen, 14
Nutrivit, 32 Onetouch Lancets, 35 Ortho-novum 1/35, 14
Nutropin, 16 Onetouch Ping Meter Remote, 35 Ortho-novum 7/7/7, 14
Nutropin AQ, 16 Onetouch Profile System, 35 Orthovisc, 24
Nutropin AQ Nuspin 10, 16 Onetouch Suresoft Lancing Device/18G, Oseni, 15
Nutropin AQ Nuspin 20, 16 Osmoprep, 17 35 Nutropin AQ Nuspin 5, 16 Onetouch Suresoft Lancing Device/21G, Osphena, 15
Nutropin AQ Pen, 16 Otozin, 26 35 Nuvail, 12 Onetouch Suresoft Lancing Device/28G, Ovace Plus, 11
Nuvigil, 23 Ovace Plus Wash, 11 35 Nuzon, 12 Onetouch Ultra 2, 35 Ovace Wash, 11
Nymalize, 7 Onetouch Ultra Blue, 35 Ovcon-35, 14 nystatin, 2, 10, 21 Onetouch Ultra Control, 35 Ovcon-50 28, 14
Nystatin, 10 Onetouch Ultra Mini, 35 Ovide, 12
Nystatin Domestic, 10 Onetouch Ultra System Kit, 35 Ovidrel, 15
Nystatin Foreign, 10 Onetouch Ultralink System (DEC), 35 oxacillin sodium, 1
Nystatin Vaginal, 19 Onetouch Ultralink System (hex), 35 oxaliplatin, 4 nystatin/triamcinolone, 10 Onetouch Ultrasmart, 35 Oxandrin, 13
Nystatin/Triamcinolone, 10 Onetouch Ultrasoft Lancets, 35 oxandrolone, 13
Onetouch Verio Control Solution High, oxaprozin, 28 O oxazepam, 21 35 O-CAL Fa, 32 Onetouch Verio IQ Blood Glucose oxcarbazepine, 23
O-CAL Prenatal, 32 Oxecta, 27 Monitoring System, 35 OB Complete, 32 Onetouch Verio IQ Test Strips, 35 Oxistat, 10 OB Complete 400, 32 Onetouch Verio Mid Control Solution, 35 Oxsoralen, 12
OB Complete One, 32 Onetouch Verio Test Strips, 35 Oxsoralen Ultra, 11 OB Complete Petite, 32 Onfi, 23 Oxtellar XR, 23 OB Complete Premier, 32 Onglyza, 15 oxybutynin chloride, 18
OB Complete/DHA, 32 Onmel, 2 oxybutynin chloride ER, 18 OB-natal One, 32 Onsolis, 27 oxycodone HCL, 27 Obstetrix DHA, 32 Opana, 27 Oxycodone HCL, 27
Obstetrix EC, 32 Opana ER (crush Resistant), 27 oxycodone/acetaminophen, 27 octreotide acetate, 16 opium, 17 oxycodone/aspirin, 27 Ocudox, 2 Optichamber Advantage, 37 oxycodone/ibuprofen, 27
Ocufen, 26 Optichamber Diamond, 37 Oxycontin, 27 Ocuflox, 25 Optichamber Diamond/Largeface Mask, oxymorphone hydrochloride, 27 Ofirmev, 27 oxymorphone hydrochloride ER, 27 37 ofloxacin, 2, 25, 26 Optichamber Diamond/Medium Face oxytocin, 26 Ogestrel, 14 Oxytrol, 18 Mask, 37 olanzapine, 22 Optichamber Diamond/Smallface Mask, Oxytrol For Women, 18 olanzapine odt, 22 Ozurdex, 25 37 olanzapine/fluoxetine, 24 Optihaler, 37 Oleptro, 22 Optihaler MDI Drug Delivery System, 37
Olux, 12
Penlac Nail Lacquer, 10 Plan B, 14 P Pennsaid, 11 Plan B One-step, 14 paclitaxel, 5 Pentacel, 31 Plaquenil, 3 Paclitaxel, 5 Pentam 300, 4 Plavix, 20 Paire OB, 32 Pentasa, 18 Pletal, 20
Palgic, 29 pentazocine/acetaminophen, 27 Pliaglis, 12 Pamelor, 22 pentazocine/naloxone HCL, 27 Pneumovax 23/1 Dose, 31 pamidronate disodium, 15 Pentetate Calcium Trisodium, 37 Pneumovax 23/5 Dose, 31
Pamidronate Disodium, 15 Pentetate Zinc Trisodium, 37 Pocket Chamber, 37 Pamine, 17 pentostatin, 6 Pocket Spacer, 37 Pamine Forte, 17 pentoxifylline ER, 20 Pocketchem EZ Blood Glucose Test
Pamine FQ, 17 Pepcid, 17 Strips, 36 Panatuss Dxp, 30 Percocet, 27 podofilox, 12 Pancreaze, 18 Percodan, 27 Poly H.S. DHC, 30
Pancrelipase, 18 Perfect Lancets 30G, 35 Poly H.S. Nc, 30 pancuronium bromide, 24 Perfect Pressure Activated Safety Poly-tussin DHC, 30 Panda Mask Large, 37 Poly-tussin EX, 30 Lancets 28G, 35 Panda Mask Medium, 37 Perforomist, 30 Poly-VI-flor, 32 Panda Mask Small, 37 Peridex, 21 Poly-VI-flor/Iron, 32 Pandel, 12 perindopril erbumine, 7 polyethylene glycol 3350, 17 pantoprazole sodium, 17 Perjeta, 5 polymyxin b sulfate, 3 papaverine HCL, 9 permethrin, 12 polymyxin b sulfate/trimethoprim sulfate, Parafon Forte DSC, 24 perphenazine, 22 25 Parcopa, 24 Perphenazine/Amitriptyline, 24 Polytrim, 25 Paregoric, 17 Persantine, 20 Pomalyst, 5 Parlodel, 24 Pertzye, 18 Ponstel, 28
Parnate, 22 Pexeva, 22 Pontocaine, 12, 29 paromomycin sulfate, 2 Pfizerpen-G, 1 Pontocaine Niphanoid, 29 paroxetine HCL, 21 Pharmacist Choice Autocode Blood Potassium Citrate, 19 paroxetine HCL ER, 21 potassium citrate/citric acid, 19 Glucose Test Strips, 36 Paser, 2 Pharmacy Counter Lancets, 35 Potiga, 23 Pataday, 26 phenazopyridine HCL, 19 Pr Cream, 12
Patanase, 29 phenelzine sulfate, 21 Pr Natal 400, 32 Patanol, 26 Phenergan, 29 Pr Natal 400 EC, 32 Paxil, 21 Phenflu CD, 30 Pr Natal 430, 32
Paxil CR, 22 Phenflu CDX, 30 Pr Natal 430 EC, 32 PCE, 1 phenobarbital, 22 Pradaxa, 20 Pediaderm AF Complete Kit, 10 Phenobarbital, 22 pramipexole dihydrochloride, 23
Pediaderm HC, 12 phenobarbital sodium, 22 Pramosone, 12 Pediaderm Ta, 12 Phenobarbital Sodium, 22 Pramosone E, 11 Pediapred, 13 Phentolamine Mesylate, 8 Pramotic, 26
Pediarix, 31 phenylephrine HCL, 9, 26 Prandimet, 15 Pediatex TD, 30 Phenylephrine HCL, 9, 29 Prandin, 15 Pediatex TDM, 30 phenylephrine/guaifenesin, 29 Pravachol, 9
Pediatric Panda Mask, 37 Phenytek, 23 pravastatin sodium, 9 Pedipirox-4 Nail, 10 phenytoin, 23 Prazolamine, 24 Pedvax HIB, 31 phenytoin sodium, 23 prazosin HCL, 8 peg 3350/electrolytes, 17 phenytoin sodium extended, 23 Pre-folic, 20 peg-3350/electrolytes, 17 Phoslo, 18 Precedex, 22 peg-3350/NACL/NA bicarbonate/KCL, 17 Phoslyra, 18 Precision PCX, 36
Peg-intron, 3 Phospholine Iodide, 26 Precision PCX Plus Test Strips, 36 Peg-intron Redipen, 3 Photofrin, 6 Precision Point Of Care Test Strips, 36 Peg-intron Redipen PAK 4, 3 Phrenilin Forte, 27 Precision QID Test Strips, 36
Peganone, 23 phytonadione, 31 Precision Sof-tact Test Strips, 36 Pegasys, 3 pilocarpine HCL, 21, 26 Precision Thin Lancets, 35 Pegasys Proclick, 3 pilocarpine hydrochloride, 21 Precision Thins GP Lancet, 35
Pen Needles 29G X 12MM, 35 Pilopine HS, 26 Precision Ultra Lancet, 35 Pen Needles 29GX1/2", 35 Pindolol, 7 Precision XTRA Blood Glucose Test Pen Needles 30GX5/16", 35 pioglitazone HCL, 15 Strips, 36 Pen Needles 31G X 1/4" SHORT, 35 pioglitazone HCL-glimepiride, 15 Precose, 15 Pen Needles 31G X 3/16", 35 pioglitazone HCL/metformin HCL, 15 Pred Forte, 25 Pen Needles 31G X 6MM, 35 piperacillin sodium/ tazobactam sodium, Pred Mild, 25
Pen Needles 31GX5/16", 35 Pred-G, 25 1 penicillin G potassium, 1 piperacillin sodium/tazobactam sodium, 1 Pred-G S.o.p., 25 Penicillin G Potassium IN Iso-osmotic piperacillin/tazobactam, 1 prednicarbate, 11
Dextrose, 1 piroxicam, 28 prednisolone, 13 Penicillin G Procaine, 1 Pitocin, 26 prednisolone acetate, 25 Penicillin G Sodium, 1 Pitressin Synthetic, 16 prednisolone sodium phosphate, 13 penicillin v potassium, 1
Prednisolone Sodium Phosphate, 13, 25 Prodigy Safety Lancets, 35 pyridostigmine bromide, 24 prednisone, 13 Prodigy Twist Top Lancets, 35 Pyridoxine HCL, 31
Prednisone, 13 Proferrin-forte, 20 Pyrogallic Acid, 12
Prednisone Intensol, 13 progesterone, 14 Q Prefera OB, 32 Proglycem, 15
Qc Lancets Super Thin, 35 Prefera OB + DHA, 32 Prograf, 5 Qc Lancets Ultra Thin, 35 Preferaob One, 32 Prolastin, 31 Qnasl, 29 Prefest, 14 Prolastin-c, 31
Quadramet, 6 Prelone, 13 Prolensa, 26 Qualaquin, 3 Premarin, 14, 19 Proleukin, 6 Quartette, 14 Premphase, 13 Prolia, 15
Quazepam, 22 Prempro, 13 Promacta, 19 Quelicin, 24 Prenata, 32 Promar, 32 Quelicin 1000, 24 Prenatabs RX, 32 promethazine HCL, 29
Questran, 9 Prenatal Ad, 32 promethazine HCL plain, 29 Questran Light, 9 Prenatal-u, 32 promethazine-DM, 29 quetiapine fumarate, 22 Prenate, 32 promethazine/codeine, 29
Quicktek Test Strips, 36 Prenate AM, 32 promethazine/dextromethorphan, 29 Quillivant XR, 23 Prenate DHA, 32 Promethegan, 29 quinapril HCL, 7 Prenate Elite, 32 Prometrium, 14
quinapril/hydrochlorothiazide, 8 Prenate Enhance, 32 Promiseb, 11 Quinidine Gluconate, 7 Prenate Essential, 32 Promiseb Complete, 11 quinidine gluconate CR, 7 Prenate Mini, 32 propafenone HCL, 7
quinidine gluconate ER, 7 Prenate Restore, 32 propafenone HCL ER, 7 quinidine sulfate, 7 Prenexa, 32 Propantheline Bromide, 17 Quinidine Sulfate ER, 7 Prepidil, 26 proparacaine HCL, 26
quinine sulfate, 3 Prepopik, 17 propranolol HCL, 6 Quintet Ac Blood Glucose Test Strips, 36 Preque 10, 32 Propranolol HCL, 7 Quintet Blood Glucose Test Strips, 36 Presera, 12 propranolol HCL ER, 6
Qutenza, 12 Prestige Test Strips, 36 Propranolol/Hydrochlorothiazide, 8 Qvar, 30 Prevacid, 17 propylthiouracil, 16
Prevacid Solutab, 17 Proquad, 31 R
Prevident, 21 Proscar, 19 Rabavert, 31
Prevnar 13, 31 Prosed/DS, 18 Radigel, 12
Prevpac, 17 Prostigmin, 25 ramipril, 7
Prezista, 3 Prostin E2, 26 Ranexa, 6
Priftin, 2 Protamine Sulfate, 20 ranitidine HCL, 17
Prilosec, 17 Protect Cardio, 32 Rapaflo, 19
Primaquine Phosphate, 3 Protect Plus, 32 Rapamune, 5
Primaxin IV, 4 Protect Plus NR, 32 Ravicti, 16
Primaxin IV Add-vantage, 4 Protectbone, 32 Rayos, 13 primidone, 23 Protectiron, 20 Razadyne, 24
Primlev, 27 Protectnatal, 32 Razadyne ER, 24
Primsol, 4 Protonix, 17 Rebetol, 3
Prinivil, 7 Protopic, 12 Rebif, 24
Prinzide, 8 protriptyline HCL, 21 Rebif Rebidose, 24
Pristiq, 21 Provenge, 6 Rebif Rebidose Titration Pack, 24
Proair HFA, 30 Proventil HFA, 30 Rebif Titration Pack, 24 probenecid, 29 Provera, 14 Reclast, 15 probenecid/colchicine, 29 Provida OB, 32 Recombinate, 20
Procainamide HCL, 7 Provigil, 23 Recombivax HB, 31
Procardia, 7 Prozac, 22 Recothrom, 20
Procardia XL, 7 Prozac Weekly, 22 Recothrom Spray Kit, 20
Procentra, 23 Pruclair, 12 Rectiv, 18 prochlorperazine, 22 Prudoxin, 11 Refludan, 20
Prochlorperazine Edisylate, 22 Prumyx, 12 Refuah Plus Blood Glucosetest Strips, prochlorperazine maleate, 22 Pss Select GP Lancets, 35
36 Procort, 18 Pss Select Safety Lancets, 35 Reglan, 18
Procrit, 19 Pts Panels Glucose Test, 36 Regonol, 25
Proctocort, 18 Pulmicort, 30 Relagard, 19
Proctofoam HC, 18 Pulmicort Flexhaler, 30 Relenza Diskhaler, 3
Procysbi, 19 Pulmophylline, 30 Relhist, 30
Prodigy Autocode Blood Glucose Test Pulmozyme, 31 Relion 70/30, 14
Purinethol, 4 Strips, 36 Relion 70/30 Innolet, 14
Prodigy NO Coding Blood Glucose Test Px Lancets Ultra Thin, 35 Relion Blood Glucose Teststrips, 36
Pylera, 17 Strips, 36 Relion Confirm/Micro Test Strips, 36
Prodigy Pressure Activated Safety pyrazinamide, 2 Relion Insulin Syringe/U-100/0.5ML/29G Pyridium, 19 Lancets, 35 X 1/2", 36
Relion Lancets, 35 Ribasphere, 3 35
Relion Lancets Standard 21G, 35 Ribatab, 3 Safety Lancet 2MM, 35
Relion Lancets Thin 26G, 35 ribavirin, 3 Safety Lancets, 35
Relion Lancets Ultra-thin30G, 35 Ridaura, 28 Safety Lancets 21G, 35
Relion N, 14 Rifadin, 2 Safety Lancets 28G, 35
Relion N Innolet, 14 Rifamate, 2 Safety Let Lancets, 35
Relion Prime Blood Glucose Test Strips, rifampin, 2 Safety Seal Lancets 28G, 35
Rifater, 2 Safety Seal Lancets 30G, 35 36 Relion R, 14 Rightest Gl300 Lancets, 35 Safyral, 14
Relion Thin Lancets, 35 Rightest GS100 Blood Glucose Test Saizen, 16
Relion Ultima Blood Glucose Test Strips, Saizen Click.easy, 16 Strips, 36 Rightest GS300 Blood Glucose Test Salagen, 21 36 Relion Ultima Test Strips, 36 Salex, 12 Strips, 36 Relion Ultra Thin Lancets, 35 Rightest GS550 Blood Glucose Test Salex Cream, 12
Relion Ultra Thin Lancets30G, 35 Salex Lotion, 13 Strips, 36 Relion Ultra Thin Plus Lancets 32G, 35 Rilutek, 24 Salicept, 21
Relion Ultra Thin Plus Lancets 33G, 35 riluzole, 24 salicylic acid, 12
Relistor, 18 rimantadine HCL, 3 Salicylic Acid, 13
Relpax, 28 Rimantalist, 3 salicylic acid cream, 12
Remeron, 22 Rinnovi Nail System, 12 Salicylic Acid IN Ammonium Lactate
Remeron Soltab, 22 Riomet, 15 Vehicle, 13 Remicade, 18 Risperdal, 22 salicylic acid lotion, 12
Remodulin, 9 Risperdal Consta, 22 Salkera, 13
Renagel, 18 Risperdal M-TAB, 22 salsalate, 26
Renatabs, 32 risperidone, 22 Salvax, 13
Renatabs With Iron, 32 risperidone odt, 22 Salvax Duo Plus, 13
Renax, 32 Ritalin, 23 Samsca, 16
Renew Advanced Lancing Cartridge Ritalin LA, 23 Sanctura, 19
Ritalin SR, 23 Sanctura XR, 19 Refills, 35 Renvela, 18 Riteflo, 37 Sancuso, 17
Reopro, 20 Rituxan, 5 Sandimmune, 5 repaglinide, 15 rivastigmine tartrate, 24 Sandostatin, 16
Reprexain, 27 rizatriptan benzoate, 28 Sandostatin Lar Depot, 16
Repronex, 15 rizatriptan benzoate odt, 28 Saphris, 22
Req 49+, 32 Robaxin, 24 Sarafem, 24
Requip, 24 Robaxin-750, 24 Savella, 24
Requip XL, 24 Robinul, 17 Savella Titration Pack, 24
Rescon, 30 Robinul Forte, 17 Scalacort DK, 12
Rescon-JR, 30 Rocaltrol, 16 Scopolamine Hydrobromide, 17
Rescon-MX, 30 Rocephin, 1 Seasonale, 14
Rescriptor, 3 rocuronium bromide, 24 Seasonique, 14
Rescula, 25 ropinirole ER, 23 Seb-prev, 11
Reserpine, 8 ropinirole HCL, 23 Seconal, 22
Respa-BR, 29 Rosadan Kit, 10 Sectral, 7
Restasis, 26 Rosanil, 10 Sedapap, 27
Restoril, 22 Rotarix, 31 Select-OB, 32
Retavase, 20 Rotateq, 31 Select-ob+dha, 32
Retavase Half-kit, 20 Rowasa, 18 selegiline HCL, 23
Retin-a, 10 Roxicet, 27 selenium sulfide, 11
Retin-a Micro, 10 Roxicodone, 27 Selenium Sulfide, 11
Retin-a Micro P.M., 10 Rozerem, 22 Selrx, 11
Retisert, 25 Rybix Odt, 27 Selsun Shampoo, 11
Retrovir, 3 Rythmol, 7 Selzentry, 3
Retrovir IV Infusion, 3 Rythmol SR, 7 Semprex-d, 30
Revatio, 9 Ryzolt, 27 Senetonic, 33
Reveal Blood Glucose Test, 36 Senna, 17 S Revlimid, 5 Senna Leaves, 17 Sabril, 23 Rexall Blood Glucose Test Strips, 36 Senophylline, 30 Safe-t-lance Low Flow 25G, 35 Rexall Lancets Ultra Thin, 35 Sensipar, 16
Safe-t-lance Normal Flow 21G, 35 Reyataz, 3 Sensorcaine-mpf/Epinephrine, 29 Safe-t-lance Plus Safety Lancet High Rezira, 29 Sentradine, 17
Rezyst IM, 17 Flow, 35 Sentraflox AM-10, 22
Rezyst SB, 17 Safe-t-lance Plus Safety Lancet Low Sentralopram AM-10, 22
Rheumatrex, 28 Flow, 35 Sentramodafin AM-100, 23 Safe-t-lance Plus Safety Lancet Normal Rhinocort Aqua, 29 Sentravil PM-25, 22
Rhinoflex-650, 27 Flow, 35 Sentrazolam AM 0.25, 21 Safety Lancet 21G/Pressure Activated, Riax, 10 Sentrazolpidem PM-5, 22
Ribapak, 3 35 Sentroxatine, 22
Safety Lancet 28G/Pressure Activated,
Serevent Diskus, 30 Solus V2 Pressure Activated Safety Sumadan Kit, 10
Seromycin, 2 Sumadan Wash, 10 Lancets 28G, 35 Seroquel, 22 Solus V2 Twist Lancets 30G, 35 Sumatriptan, 28
Seroquel XR, 22 Soma, 24 sumatriptan succinate, 28
Serostim, 16 Somatuline Depot, 16 sumatriptan succinate refill, 28 sertraline HCL, 21 Somavert, 16 Sumavel Dosepro, 28
Sfrowasa, 18 Somnote, 22 Sumaxin, 10
Shohls Solution Modified, 19 Sonata, 22 Sumaxin CP Kit, 10
Siderol, 33 Soriatane, 11 Sumaxin Ts, 10
Signifor, 16 Sorilux, 11 Sumaxin Wash, 10 sildenafil citrate, 9 sotalol HCL, 6 Supervite, 33
Silenor, 22 sotalol HCL (AF), 6 Supervite EC, 33
Simbrinza, 26 Sotalol Hydrochloride, 7 Support-500, 33
Simcor, 9 Spectracef, 1 Supprelin LA, 16
Simponi, 28 Spinosad, 13 Suprax, 1
Simponi Aria, 28 Spiriva Handihaler, 30 Supreme Test Strips, 36
Simulect, 5 spironolactone, 8 Suprep Bowel Prep, 17 simvastatin, 9 spironolactone/hydrochlorothiazide, 8 Sure Edge Blood Glucose Test Strips, 36
Sinemet, 24 Sporanox, 2 Sure-lance Flat Lancets, 35
Sinemet CR, 24 Sporanox Pulsepak, 2 Sure-lance Lancets 26G, 35
Single-let, 35 Sprix, 28 Sure-lance Thin Lancets 28G, 35
Singulair, 30 Sprycel, 5 Sure-lance Ultra Thin Lancets, 35
Sirturo, 2 Staflex, 27 Sure-test Easyplus Mini Blood Glucose
Skelaxin, 24 Stalevo 100, 24 Test Strips, 36 Skelid, 15 Stalevo 125, 24 Sure-touch Lancets Universal, 35
Sklice, 13 Stalevo 150, 24 Surechek Blood Glucose Test Strips, 36
Smart Diabetes Vantage Universal Stalevo 200, 24 Surelite Lancets, 35
Stalevo 50, 24 Surestep Pro Test Strips, 35 Lancets 30G, 35 Smart Diabetes Xpres Blood Glucose Stalevo 75, 24 Surestep Test Strips, 35
stannous fluoride oral rinse, 21 Surmontil, 22 Test Strips, 36 Smart Sense Color Lancets Universal Starlix, 15 Survanta Intratracheal, 31
stavudine, 3 Sustiva, 3 33G, 35 Smart Sense Standard Lancets Universal Stavzor, 23 Sutent, 5
Staxyn, 9 Suttar-2, 30 21G, 35 Smart Sense Super Thin Lancets Stelara, 11 Suttar-SF, 30
Sterilance TL, 35 Sylatron, 6 Universal 30G, 35 Smart Sense Thin Lancets Universal Stimate, 16 Symax Duotab, 17
Stivarga, 5 Symbicort, 30 26G, 35 Smartest Blood Glucose Test Strips, 36 Strattera, 23 Symbyax, 24
Smartest Lancets 28G, 35 Strazepam, 22 Symlinpen 120, 14
Sodium Bicarbonate, 17 Streptomycin Sulfate, 2 Symlinpen 60, 14 sodium chloride, 29 Striant, 13 Synagex, 33
Sodium Citrate, 19 Stribild, 3 Synalar, 12
Sodium Diuril, 9 Stromectol, 3 Synalar Cream Kit, 12
Sodium Edecrin, 9 Strovite, 33 Synalar Ointment Kit, 12 sodium ferric gluconate complex/sucrose, Strovite Advance, 33 Synalar Ts, 12
Strovite Forte, 33 Synalgos-dc, 27 19 sodium hyaluronate, 12 Strovite One, 33 Synarel, 16 sodium phenylbutyrate, 16 Suboxone, 27 Synatek, 33 sodium sulfacetamide, 9, 11, 25 Subsys, 27 Synera, 13 sodium sulfacetamide wash, 11 Suclear, 17 Synercid, 4 sodium sulfacetamide/sulfur, 9 Sucraid, 18 Synribo, 6
Sodium Sulfacetamide/Sulfur, 10 sucralfate, 17 Synthroid, 16 sodium sulfacetamide/sulfur cleanser, 9 Sular, 7 T Sodium Sulfacetamide/Sulfur Cleanser IN sulfacetamide sodium, 10, 25 Tabloid, 4 Sulfacetamide Sodium, 25 Urea, 10 Taclonex, 11 sodium sulfacetamide/sulfur cleansing sulfacetamide sodium/prednisolone tacrolimus, 5
cloths, 9 sodium phosphate, 25 Tafinlar, 5 sodium sulfacetamide/sulfur green, 10 sulfacetamide sodium/sulfur cleanser, 10
Talwin, 27 Sodium Sulfacetamide/Sulfur IN Urea, 10 Sulfadiazine, 2 Tambocor, 7 sodium sulfacetamide/sulfur wash, 10 sulfamethoxazole/trimethoprim, 3 Tamiflu, 3 Sodium Sulfacetamide/Urea, 11 Sulfamethoxazole/Trimethoprim, 4
tamoxifen citrate, 5 Soliris, 20 sulfamethoxazole/trimethoprim DS, 3 tamsulosin HCL, 19 Solodyn, 2 sulfasalazine, 18 Tandem DHA, 33 Soltamox, 5 Sulfisoxizole, 2
Tandem F, 20 Solu-cortef, 13 Sulfoam, 10 Tandem OB, 33 Solu-medrol, 13 Sulfurated Lime, 13 Tandem Plus, 20 Solus V2 Audible Test, 36 sulindac, 28
Tapazole, 16
Tarceva, 5 theophylline/D5W, 30 Tobradex, 25
Targretin, 6 Theophylline/D5W, 30 Tobradex ST, 25
Tarka, 8 Therabenzaprine-60, 24 tobramycin sulfate, 2, 25
Taron EC Calcium, 33 Therabenzaprine-90, 24 Tobramycin Sulfate/Sodium Chloride, 2
Taron-bc, 33 Therabenzaprine-90-5, 24 tobramycin/dexamethasone, 25
Taron-c DHA, 33 Theracodeine-300, 27 Tobrex, 25
Taron-duo EC, 33 Theracodophen-325, 27 Tofranil, 22
Taron-EC CAL, 33 Theracodophen-650, 27 Tofranil-PM, 22
Taron-prex, 33 Theracodophen-750, 27 tolazamide, 14
Tasigna, 5 Theracodophen-low-90, 27 Tolazamide, 15
Tasmar, 24 Theracys, 6 Tolbutamide, 15
Taxotere, 5 Therafeldamine, 28 tolmetin sodium, 28
Tazicef, 1 Therapentin-60, 23 Tolmetin Sodium, 28
Tazorac, 11 Therapentin-90, 23 tolterodine tartrate, 18
Tecfidera, 24 Theraprofen-60, 28 Topamax, 23
Tecfidera Starter Pack, 24 Theraprofen-800, 28 Topamax Sprinkle, 23
Techlite AST Lancets, 35 Theraprofen-90, 28 Topicort, 12
Techlite Lancets, 35 Theraproxen-500, 28 topiramate, 23
Techlite Lancets 30G, 35 Theraproxen-60, 28 topotecan HCL, 6
Tegretol, 23 Theraproxen-90, 28 Topotecan HCL, 6
Tegretol-XR, 23 Theratramadol-60, 27 Toprol XL, 7
Tekamlo, 8 Theratramadol-90, 27 Torisel, 5
Tekturna, 8 thiamine HCL, 31 torsemide, 8
Tekturna HCT, 8 Thinlets GP Lancets, 35 Torsemide, 9
Telcare Blood Glucose Test Strips, 37 Thinlets Lancet, 35 Totect, 6 temazepam, 22 Thiola, 19 Toviaz, 18
Temodar, 4 thioridazine HCL, 22 Tracleer, 9
Temovate, 12 Thiotepa, 4 Tradjenta, 15
Temovate E, 12 thiothixene, 22 tramadol HCL, 27 temozolomide, 4 Thrombin-jmi Diluent, 20 tramadol HCL ER, 27
Tencon, 27 Thrombin-jmi Epistaxis, 20 Tramadol HCL ER, 27
Tenex, 8 Thrombin-jmi Syringe Spray Kit, 20 tramadol hydrochloride/acetaminophen,
Teniposide, 5 Thrombin-jmi W/Dil Spray P.M. Actuator, 27 Tenivac, 31 Trandate, 7 20 Tenoretic 100, 8 Thrombogen, 20 trandolapril, 7
Tenoretic 50, 8 Thymoglobulin, 5 tranexamic acid, 20
Tenormin, 7 Thyrolar-1, 16 Transderm-scop, 17
Terazol 3, 19 Thyrolar-1/2, 16 Tranxene T, 21
Terazol 7, 19 Thyrolar-1/4, 16 tranylcypromine sulfate, 21 terazosin HCL, 8 Thyrolar-2, 16 Trasylol, 20 terbinafine HCL, 2 Thyrolar-3, 16 Travatan Z, 25
Terbinex, 2 tiagabine hydrochloride, 23 Travoprost, 25 terbutaline sulfate, 30 Tiazac, 7 Trazamine, 22 terconazole, 19 Tice Bcg, 6 trazodone HCL, 21
Tersi Foam, 11 ticlopidine HCL, 20 Treanda, 4
Tessalon, 30 Tigan, 18 Trecator, 2
Tessalon Perles, 30 Tikosyn, 7 Trelstar Depot, 5
Testim, 13 Timentin, 1 Trelstar Depot Mixject, 5
Testopel, 13 Timolol Maleate, 7 Trelstar LA, 5 testosterone cypionate, 13 timolol maleate, 25 Trelstar LA Mixject, 5 testosterone enanthate, 13 timolol maleate ophthalmic gel forming, Trelstar Mixject, 5
Testred, 13 Trental, 20 25 Tetanus Toxoid Adsorbed, 31 Timoptic, 25 Trepadiclofen-25, 28
Tetanus/Diphtheria Toxoids-adsorbed Timoptic Ocudose, 25 Trepoxen-250, 28
Timoptic-xe, 25 Trepoxicam-7.5, 28 Adult, 31 tetracaine HCL, 26, 29 Tindamax, 4 Tretin-x, 10
Tetracycline HCL, 2 tinidazole, 3 tretinoin, 6, 10
Tetrix, 13 Tirosint, 16 tretinoin microsphere, 10
Tev-tropin, 16 Tisseel, 20 Tretinoin Microsphere, 10
Teveten, 8 Tivicay, 3 tretinoin microsphere P.M., 10
Teveten HCT, 8 Tizanidine Comfort PAC, 24 Tretinoin Microsphere P.M., 10
Texacort, 12 tizanidine HCL, 24 Trexall, 4
Thalitone, 9 TL G-FOL OS, 33 Treximet, 28
Thalomid, 5 TL Triseb, 11 Trezix, 27
Theo-24, 30 TL-cermide, 13 Tri RX, 33 theophylline, 30 Tnkase, 20 Tri-norinyl 28, 14 theophylline CR, 30 Tobi, 2 Tri-VI-flor, 33 theophylline ER, 30 Tobi Podhaler, 2 triamcinolone acetonide, 11, 21, 29
Triamcinolone Acetonide, 12 Tyvaso, 9 Urocit-k 5, 19 triamcinolone IN orabase, 21 Tyvaso Refill, 9 Urogesic-blue, 18 triamterene/hydrochlorothiazide, 8 Tyvaso Starter, 9 Uroqid #2, 18
Trianex, 12 Tyzeka, 3 Uroxatral, 19 triazolam, 22 Tyzine, 29 Urso 250, 18
Tribenzor, 8 Tyzine Pediatric Nasal Drops, 29 Urso Forte, 18
Tricare, 33 ursodiol, 18 U Tricare DHA 301, 33 Utopic, 13
Uceris, 13 Tricare Prenatal Compleat, 33 Uvadex, 6 Udamin, 33 Tricare Prenatal DHA One, 33
Udamin SP, 33 V Tricitrates, 19
Ulesfia, 12 Vagifem, 19 Tricor, 9 Uloric, 29 valacyclovir HCL, 3 trifluoperazine HCL, 22 Ulticare Thin Lancets 30G, 35 Valcyte, 3 trifluridine, 25
Ultilet Basic Lancets 30G, 35 Valium, 21 Triglide, 9 Ultilet Classic Lancets, 35 valproate sodium, 23 trihexyphenidyl HCL, 23 Ultilet Lancets, 35 valproic acid, 23 Trileptal, 23
Ultilet Lancets 33G, 35 valsartan/hydrochlorothiazide, 8 Trilipix, 9 Ultilet Safety Lancets 23G, 35 Valstar, 4 trimethobenzamide HCL, 17 Ultima Test Strips, 37 Valtrex, 3 trimethoprim, 3
Ultiva, 27 Valturna, 8 trimethoprim sulfate/polymyxin b sulfate, Ultra-thin II Auto Lancet, 35 Valumark Lancet Super Thin 30G, 35
25 Ultra-thin II Lancets 28G, 35 Valumark Lancet Ultra Thin 28G, 35 trimipramine maleate, 21
Ultra-thin II Lancets 30G, 35 Vancocin HCL, 4 Trinate, 33 Ultra-thin II Lancets/28G X 1/8", 35 vancomycin HCL, 3 Triostat, 17 Ultra-thin II Lancets/30G X 1/8", 35 Vancomycin HCL, 4 Tripedia, 31
Ultra-thin II Safety Autolancets 26G, 35 Vancomycin HCL IN Dextrose, 4 Trisenox, 6 Ultracet, 27 Vandetanib, 5 Triveen-duo DHA, 33 Ultram, 27 Vanos, 12 Triveen-one, 33
Ultram ER, 27 Vanoxide HC, 10 Triveen-prx RNF, 33 Ultratrak Pro Test Strips, 37 Vanoxide-HC, 10 Triveen-ten, 33 Ultratrak Ultimate Test Strips, 37 Vantas, 5 Triveen-u, 33
Ultravate, 12 Vaprisol, 16 Trizivir, 3 Ultravate PAC, 12 Vaqta, 31 Trokendi XR, 23 Ultravate X, 12 Varivax, 31 Tropazone, 13
Ultresa, 18 Vascepa, 9 trospium chloride, 18 Umecta, 13 Vaseretic, 8 trospium chloride ER, 18 Umecta Nail Film, 13 vasopressin, 16 Trueplus Lancets 26G, 35
Umecta PD, 13 Vasotec, 7 Trueplus Lancets 28G, 35 Unasyn, 1 Vazol, 29 Trueplus Lancets 28G Super Thin, 35 Unasyn Bulk Pack, 1 Vecamyl, 8 Trueplus Lancets 30G, 35
Unilet Comfortouch Lancet, 35 Vectibix, 5 Trueplus Lancets 30G Ultra Thin, 35 Unilet Excelite, 35 Vectical, 11 Trueplus Lancets 33G, 35 Unilet Excelite II, 35 vecuronium bromide, 24 Trueplus Lancets 33G Micro Thin, 35
Unilet G.p. Lancet, 35 Velcade, 5 Trueplus Safety Lancets 28G, 35 Unilet G.p. Superlite Lancet, 35 Veletri, 9 Truetest Blood Glucose T Est, 37 Unilet GP 28 Ultra Thin, 35 Veltin, 10 Truetest Strips, 37
Unilet Lancet, 35 Vemavite-prx 2, 33 Truetrack Blood Glucose Test, 37 Unilet Superlite Lancet, 35 venlafaxine HCL, 21 Truetrack Test, 37 Uniretic, 8 venlafaxine HCL ER, 21 Trusopt, 26
Univasc, 7 Venlafaxine HCL ER, 22 Truvada, 3 Universal 1 Lancets Thin 26G, 35 Venofer, 20 Tudorza Pressair, 30 Universal 1 Lancets Ultra Thin 30G, 35 Ventavis, 9 Turkel Paracentesis Procedure Uramaxin, 13 Ventolin HFA, 30
Tray/8french, 29 Uramaxin GT, 13 Veramyst, 29 Tussafed EX, 30 Uramaxin GT Kit, 13 verapamil HCL, 7 Tussicaps, 30
urea, 12 Verapamil HCL, 7 Tussionex Pennkinetic Extended urea 40% nail film, 12 verapamil HCL ER, 7
Release, 30 urea IN zinc undecylenate/lactic acid verapamil HCL SR, 7 Twinject, 9
Verdeso, 12 Twinrix, 31 vehicle, 12 urea topical, 12 Veregen, 13 Twynsta, 8 Urecholine, 19 Verelan, 7 Tygacil, 4
Urelle, 18 Verelan PM, 7 Tykerb, 5 Uretron D/S, 18 Veripred 20, 13 Tylenol/Codeine #3, 27 Urex, 18 Vesicare, 18 Tylenol/Codeine #4, 27
Uribel, 18 Vexol, 25 Tylox, 27 Urimar-t, 18 Vfend, 2 Typhim VI, 31 Urocit-k 10, 19 Vfend IV, 2 Tysabri, 24
Urocit-k 15, 19 Viagra, 9
Vibativ, 4 Viva DHA, 33 Xtandi, 5
Vibramycin, 2 Vivactil, 22 Xylocaine, 7, 13, 29
Vicodin, 27 Vivelle-dot, 13 Xylocaine-mpf, 29
Vicodin ES, 27 Vivotif Berna, 31 Xylocaine-mpf/Epinephrine, 29
Vicoprofen, 27 Vocal Point Blood Glucose Test Strips, Xylocaine/Epinephrine, 29
Victory Agm-4000 Test Strips, 37 Xyntha, 20 37 Victoza, 14 Voltaren, 11, 26 Xyntha Solofuse, 20
Victrelis, 3 Voltaren-XR, 28 Xyrem, 24
Vida Mia Unilet Lancets Super Thin 30G, Voluven, 20 Xyzal, 29
Voraxaze, 6 35 Y Vida Mia Unilet Lancets Ultra Thin 28G, voriconazole, 2
Yasmin 28, 14 Vortex Valved Holding Chamber, 37 35 Yaz, 14 Vidaza, 4 Vosol HC, 26 Yervoy, 5 Videx EC, 3 Vospire ER, 30
Yf-vax, 31 Videx Pediatric, 3 Votrient, 5 Yodoxin, 3 Vigamox, 25 Vpriv, 19
Viibryd, 21 Vsl#3 DS, 17 Z
Vimovo, 28 Vumon, 5 Z-cof I, 30
Vimpat, 23 Vusion, 10 Z-pram, 18
Vinacal, 33 Vytorin, 9 Zacare 4% Kit, 10
Vinate AZ, 33 Vyvanse, 23 Zacare 8% Kit, 10
Vinate AZ Extra, 33 zafirlukast, 30 W Vinate C, 33 zaleplon, 22 W&f Lancets 26G, 35 Vinate Calcium, 33 Zaltrap, 4 W&f Lancets Colored 21G, 35 Vinate Care, 33 Zamicet, 28 Walgreens Lancets, 35 Vinate DHA, 33 Zanaflex, 24 Walgreens Thin Lancets, 35 Vinate GT, 33 Zanosar, 4 Walgreens Ultra Thin Lancets, 35 Vinate IC, 33 Zantac, 17 warfarin sodium, 20 Vinate II, 33 Zarontin, 23 Watchhaler, 37 Vinate M, 33 Zaroxolyn, 9 Wavesense Presto Test Strips, 37 Vinate One, 33 Zatean-CH, 33 Welchol, 9 Vinate Pn Care, 33 Zatean-pn, 33 Wellbutrin, 22 Vinblastine Sulfate, 5 Zatean-pn DHA, 33 Wellbutrin SR, 22 vincristine sulfate, 5 Zatean-pn Plus, 33 Wellbutrin XL, 22 vinorelbine tartrate, 5 Zavesca, 20 Westcort, 12 Viokace, 18 Zebeta, 7 Westhroid, 17 Viracept, 3 Zegerid, 17 Westhroid-p, 17 Viramune, 3 Zelapar, 24 Wheat Germ, 31 Viramune XR, 3 Zelboraf, 5 Wilate, 20 Virasal, 13 Zemaira, 31 Witch Hazel, 13 Virazole, 3 Zemplar, 16 Wp Thyroid, 17 Viread, 3 Zemuron, 24
Viroptic, 25 X Zenpep, 18
Visicol, 17 Xalatan, 25 Zenzedi, 23
Vistaril, 21 Xalkori, 5 Zerit, 3
Vistide, 3 Xanax, 21 Zestoretic, 8
Vita-pren, 33 Xanax XR, 21 Zestril, 7
Vitafol, 33 Xarelto, 20 Zetia, 9
Vitafol Ultra, 33 Xclair, 13 Zetonna, 29
Vitafol-OB, 33 Xeljanz, 28 Zevalin IN-111, 5
Vitafol-ob+dha, 33 Xeloda, 4 Zevalin Y-90, 5
Vitafol-one, 33 Xenazine, 24 Ziac, 8
Vitafol-plus, 33 Xeomin, 24 Ziagen, 3
Vitafol-pn, 33 Xerac Ac, 13 Ziana, 10
Vital-d RX, 33 Xerese, 11 zidovudine, 3
Vitalet Pro Lancets, 35 Xgeva, 15 Zinacef, 1
Vitalet Pro Plus Lancets, 35 Xifaxan, 4 Zinacef IN Iso-osmotic Dextrose, 1
Vitamedmd One RX/Quatrefolic, 33 Xodol, 28 Zinacef IN Iso-osmotic Diluent, 1
Vitamedmd Plus RX/Quatre Folic, 33 Xofigo, 6 Zinecard, 6
Vitamedmd Redichew RX/Quatrefolic, 33 Xolair, 30 Zioptan, 25
Vitamin B12/Folic Acid, 19 Xolegel, 11 ziprasidone HCL, 22 vitamin c 222MG, 31 Xolegel Corepak, 11 Zipsor, 28 vitamin d, 31 Xolegel Duo/Head & Shoulders, 11 Zirgan, 25 vitamin k1, 31 Xolegel Duo/Xolex, 11 Zithranol, 11
Vitamin K1, 31 Xolox, 28 Zithranol-rr, 11
Vitaroca Plus, 33 Xopenex, 30 Zithromax, 1
Vituz, 30 Xopenex Concentrate, 30 Zithromax Tri-PAK, 1
Viva CT Prenatal, 33 Xopenex HFA, 30 Zithromax Z-PAK, 1
Zmax, 1
Zocor, 9
Zofran, 18
Zofran Odt, 18
Zoladex, 5 zoledronic acid, 15
Zoledronic Acid, 15
Zolinza, 5 zolmitriptan, 28 zolmitriptan odt, 28
Zoloft, 22 zolpidem tartrate, 22 zolpidem tartrate ER, 22
Zolpimist, 22
Zolvit, 28
Zometa, 15
Zomig, 28
Zomig ZMT, 28
Zonalon, 11
Zonatuss, 30
Zonegran, 23 zonisamide, 23
Zorbtive, 16
Zortress, 5
Zostavax, 31
Zosyn, 1
Zovia 1/50e, 14
Zovirax, 3, 11
Zubsolv, 28
Zuplenz, 18
Zutripro, 30
Zyclara, 12
Zyclara P.M., 12
Zydone, 28
Zyflo, 30
Zyflo CR, 30
Zylet, 25
Zyloprim, 29
Zymaxid, 25
Zyprexa, 22
Zyprexa Relprevv, 22
Zyprexa Zydis, 22
Zytiga, 5
Zyvox, 4
1
1ST Choice Lancets Super Thin, 35
1ST Choice Lancets Thin, 35
1ST Choice Lancets Ultra Thin, 35
8
8-mop, 11