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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 .  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 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

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

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 HCL Edarbyclor mesylate Hypertensolol eplerenone Hyzaar fenoldopam mesylate Lopressor HCT HCL Lotensin HCT hydralazine HCL Lotrel Lytensopril minoxidil Lytensopril-90 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

HCL Lofibra

dobutamine HCL/D5W Lopid

dobutamine/dextrose 5% Mevacor

HCL Niacor

dopamine HCL-dextrose 5% Pravachol

dopamine HCL/dextrose 5% Questran

dopamine/D5W Questran Light

ephedrine sulfate Tricor

HCL Trilipix

norepinephrine bitartrate Zocor

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

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 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

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 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 HCL

triamcinolone IN orabase bupropion HCL

NON PREFERRED bupropion HCL ER

Aphthasol bupropion HCL SR

Aquoral bupropion HCL XL

Caphosol citalopram hydrobromide

Debacterol HCL

Evoxac desipramine HCL

First-bxn Mouthwash 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 pamoate

Lta 360 Kit imipramine HCL

Mucotrol mirtazapine

Nafrinse Daily/Acidulated mirtazapine odt

Nafrinse Daily/Neutral 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 maleate

venlafaxine HCL

venlafaxine HCL ER NEUROLOGY, CNS, PSYCH PREFERRED ANTIANXIETY AGENTS Cymbalta GENERIC

Paxil alprazolam Pristiq alprazolam odt Viibryd alprazolam ER NON PREFERRED HCL chlordiazepoxide HCL Anafranil clorazepate dipotassium Aplenzin diazepam Appbutamone 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 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

HCL PREFERRED

Chloral Hydrate

HCL Lunesta

Silenor

NON PREFERRED

haloperidol lactate Ambien

lithium carbonate Ambien CR

lithium carbonate ER Amytal Sodium

Butisol Sodium

loxapine succinate Doral

Edluar

olanzapine odt Gabazolpidem-5

Halcion

prochlorperazine Intermezzo

prochlorperazine maleate Luminal

fumarate Nembutal

Nembutal Sodium

risperidone odt Phenobarbital

HCL Phenobarbital Sodium

thiothixene Precedex

HCL Quazepam

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

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 HCL fosphenytoin sodium benztropine mesylate gabapentin 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 dihydrochloride phenytoin sodium extended 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 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 -DM clemastine fumarate promethazine/codeine 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 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