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Some drugs are excluded from Medicare Part D, but are covered by your Medicaid benefits under the HealthPartners® MSHO Plan (HMO). These drugs include some over‐the‐counter (OTC) items, vitamins, and cough and cold medicines. If covered, these drugs will have no copay and will not count toward your total drug cost.

For questions, please call Member Services at 952‐967‐7029 or 1‐888‐820‐4285. TTY members should call 952‐883‐6060 or 1‐800‐443‐0156.

From October 1 through February 14, we take calls from 8 a.m. to 8 p.m., seven days a week. You’ll speak with a representative.

From February 15 to September 30, call us 8 a.m. to 8 p.m. Monday through Friday to speak with a representative. On Saturdays, Sundays and holidays, you can leave a message and we’ll get back to you within one business day.

Drug Description Strength 3 DAY VAGINAL 4% 5‐HYDROXYTRYPTOPHAN 50 MG ABSORBASE ACETAMINOPHEN 500 MG ACETAMINOPHEN 120MG ACETAMINOPHEN 325 MG ACETAMINOPHEN 650MG ACETAMINOPHEN 80 MG ACETAMINOPHEN 650 MG ACETAMINOPHEN 160 MG/5ML ACETAMINOPHEN 500 MG/5ML ACETAMINOPHEN 160 MG/5ML ACETAMINOPHEN 500MG/15ML ACETAMINOPHEN 100 MG/ML ACETAMINOPHEN 500 MG ACETAMINOPHEN 325 MG ACETAMINOPHEN 500 MG ACETAMINOPHEN 80 MG ACETAMINOPHEN 100.00% ACETAMINOPHEN 80 MG ACETAMINOPHEN 160 MG ACETAMINOPHEN 80MG/0.8ML ACETAMINOPHEN‐BUTALBITAL 50MG‐325MG ACNE CLEANSING PADS 2% ACNE TREATMENT,EXTRA STRENGTH 10% ACT ANTI‐CAVITY MOUTH RINSE 0.05%

Updated 12/01/2012

ACTICAL ACTIDOSE‐AQUA 50G/240ML ACTIDOSE‐AQUA 15G/72ML ACTIDOSE‐AQUA 25G/120ML ACTIVATED 25 G ADEKS 7.5 MG ADULT GLYCERIN ADULT ADULT WAL‐TUSSIN DM MAX 200‐10MG/5 AFRIN 0.05% AKWA TEARS RENEWED 0.1%‐0.3% ALAMAG 150‐300MG ALA‐SEB 2 %‐2 % ALCALAK 168(420)MG ALKA‐AID 180‐360MG ALL DAY ALLERGY 5 MG ALL DAY ALLERGY 10 MG ALLER‐CHLOR 2 MG/5 ML ALLERGY 25 MG ALLERGY 25 MG ALLERGY & CONGESTION 5 MG‐120MG ALLERGY COMPLETE‐D 5 MG‐120MG ALLERGY RELIEF 10 MG ALLERGY RELIEF 10 MG ALLERGY RELIEF‐NASAL DECONGEST 10MG‐240MG ALLFEN‐DM 1000‐55MG ALOE VESTA 2% ALOE VESTA ALOE VESTA SKIN CONDITIONER 2 3% ALTACHLORE 5% ALTALUBE ALTARUSSIN PE 100‐30MG/5 ALUMINUM HYDROXIDE 320MG/5ML ALUMINUM HYDROXIDE 600MG/5ML AMBI 60‐580 580MG‐60MG AMBI 80/780 780MG‐80MG AMERICIN AMERIGEL PREVENTIVE BARRIER AMERIGEL PREVENTIVE CARE AMITEX PSE 600‐120MG AMLACTIN 12% AMMONIUM LACTATE 5.00%

Updated 12/1/2012 2

AMMONIUM LACTATE 12% AMMONIUM LACTATE 12%‐12% 200(500)MG ANTACID 200‐200‐20 ANTACID PLUS EXTRA STRENGTH 450‐500‐40 ANTACID‐ANTIGAS 400‐400‐40 ANTI‐DIARRHEAL 1 MG/5 ML ANTI‐FUNGAL 2% ANTI‐ITCH 1% ANTIOXIDANT ANTIOXIDANT ANTIOXIDANT ULTRA FORMULA ANTISEPTIC BIO‐HAND 66.50% ANTISEPTIC GEL 62% ANUSERT HC‐1 1% AQUABASE AQUADEKS 0.1MG‐10MG AQUAPHILIC WITH CARBAMIDE AQUASOL E 50 UNIT/ML AQUATAB DM 835MG‐28MG AQUORAL ARTIFICIAL TEARS LUBRICATION G N/A ASCORBIC 100% ASCORBIC ACID ASCORBIC ACID 100.00% ASCORBIC ACID 100MG ASCORBIC ACID 250 MG ASCORBIC ACID 500MG ASCRIPTIN 325 MG ASCRIPTIN MAXIMUM STRENGTH 500 MG 81 MG ASPIRIN 600 MG ASPIRIN 300 MG ASPIRIN 325 MG ASPIRIN 500 MG ASPIRIN 81 MG ASPIRIN 500MG ASPIRIN BUFFERED 325 MG ASPIRIN EC 81 MG ASPIRIN EC 325 MG ASPIRIN/ /MAG 500 MG

Updated 12/1/2012 3

ATRAC‐TAIN 5% AYR AYR 2.65% AYR SALINE BABY AYR SALINE 0.65% BACITRACIN 500 UNIT/G BACITRACIN 500 UNIT/G BACITRACIN 500 UNIT/G BACITRACIN ZINC 500 UNIT/G BACMIN 27 MG‐1 MG BAYER WITH CALCIUM 81MG‐300MG BAZA PROTECT BENEFIBER 1 G BENZAC AC 5% BENZAC AC 10% BENZASHAVE 5% BENZONATATE 100 MG BENZOYL PEROXIDE 10% BENZOYL PEROXIDE 10% BENZOYL PEROXIDE 5% BETA‐CAROTENE 10000 UNIT BETA‐CAROTENE 25000 UNIT BETA‐CAROTENE(A) W‐C & E BETA‐CAROTENE(A) W‐C & E/ZN/CU 7160‐113 BETA‐CAROTENE(A) W‐C & E/ZN/SE BETADINE 7.50% BETADINE 5% BETADINE 7.50% BETADINE 5% BETAMIDE BIDEX‐A 600‐25MG BION TEARS 0.1%‐0.3% BIOSPEC DMX 25‐15MG/5 BIOTENE ORALBALANCE BIOTENE ORALBALANCE 10 MG BISACODYL 10MG/30ML BOUDREAUXS 25% BROFED 30‐4MG/5ML BROMHIST‐NR 12.5‐1MG/1 BROVEX SR 90 MG‐9 MG

Updated 12/1/2012 4

BUFFERED 287‐180‐15 BUTALBITAL COMPOUND 50‐325‐40 BUTALBITAL‐ACETAMINOPHEN‐CAFFE 50‐325‐40 CAL GLUCONATE/CAL LACTATE/GUM 300MG‐3G/7 CALAGESIC 1 %‐8 % CALAMINE CALAMINE 8 %‐8 % CALCET 200 MG‐250 CALCI‐MIX 500(1250) CALCIO DEL MAR 500 MG CALCIONATE 115MG/5ML CALCITRATE 200(950)MG CALCITRATE + VIT D 315 MG‐250 CALCIUM 600 MG CALCIUM 600 MG CALCIUM 300MG CALCIUM + VIT D 400‐133.3 CALCIUM 500 + VIT D 500 MG‐200 CALCIUM 500 + VIT D 500 MG‐400 CALCIUM 600 + VIT D 600 MG‐400 CALCIUM 600 + VIT D 600 MG‐400 500(1250) CALCIUM CARBONATE 648 MG CALCIUM CARBONATE 500(1250) CALCIUM CARBONATE 500 MG/5ML CALCIUM CARBONATE/VITAMIN D3 600MG‐500 CALCIUM CARBONATE/VITAMIN D3 500 MG‐400 CALCIUM CARBONATE/VITAMIN D3 600MG‐125 1040MG CALCIUM CITRATE +VIT D3 200 MG‐250 CALCIUM CITRATE W/VIT D 600MG CALCIUM CITRATE‐VIT D 315MG‐200 CALCIUM CITRATE‐VITAMIN D 200MG‐125 CALCIUM CITRATE‐VITAMIN D 250MG‐200 61(648) MG CALCIUM GLUCONATE 60(648) MG CALCIUM GLUCONATE 61(648) MG (blank) CALCIUM LACTATE 84 MG(648) CALCIUM WITH BORON 500‐1.5MG CALCIUM WITH VITAMIN D 600 MG‐200

Updated 12/1/2012 5

CALCIUM WITH VITAMIN D 600 MG‐200 CALCIUM WITH VITAMIN D 500 MG‐100 CALCIUM‐ 300‐300MG CALDYPHEN 1 %‐8 % CALICYLIC 10% CALLUS REMOVER 40% CAPHOSOL CAPSAICIN CAPSAICIN 0.03% CAPSAICIN 0.03% CARMOL 10% CAVILON CECON 90 MG/ML CENTRAL VITE 18MG‐0.4MG CENTRAL‐VITE SELECT CENTRAVITES 0.4‐162‐18 CENTRAVITES 50 PLUS CENTURY .4‐300‐250 CERTA PLUS 0.4‐18‐250 CERTAVITE 9 MG/15 ML CETIRIZINE HCL 5 MG CHARCOAL, ACTIVATED CHARCOAL, ACTIVATED 260 MG CHARCOAL/ SOLUTION 50G/240ML CHARCOAL/SORBITOL SOLUTION 25G/120ML CHEST CONGESTION RELIEF 400 MG CHEST CONGESTION RELIEF DM 400MG‐20MG CHEWABLE CALCIUM 500 MG CHILDREN'S ALLERGY 12.5MG/5ML CHILDREN'S CETIRIZINE HCL 1 MG/ML CHILDREN'S CHEST CONGESTION 100 MG/5ML CHILDREN'S CLARITIN 5 MG CHILDREN'S COLD & ALLERGY 15‐1MG/5ML CHILDREN'S COLD & COUGH 1‐2.5‐5/5 CHILDREN'S IBUPROFEN 100 MG/5ML CHILDREN'S LORATADINE 5 MG/5 ML CHILDREN'S MUCINEX 100‐5 MG/5 CHILDREN'S MULTIVITAMIN‐ CHILDREN'S PAIN RELIEF 160 MG/5ML CHILDREN'S PEPTO 400 MG CHILDREN'S WAL‐TAP 15‐1MG/5ML

Updated 12/1/2012 6

CHLORHEXIDINE GLUCONATE 4% GLUCONATE 2% CHLORHEXIDINE GLUCONATE 20% CHLORMATE SA 12MG CHLORPHENIRAMINE MALEATE 8MG CHLORPHENIRAMINE MALEATE 4 MG CHLOR‐TRIMETON ALLERGY 12 MG CHOLECALCIFEROL 1000 UNIT CHOLECALCIFEROL 400/ML CHOLECALCIFEROL 5000 UNIT CITRACAL CREAMY BITES 500 MG‐200 CITRACAL LIQUITAB 500MG CITRADERM CITRUS CALCIUM‐VITAMIN D 200 MG‐250 CLARITIN 10 MG CLEARLAX 17G/DOSE CLEMASTINE FUMARATE 1.34 MG CLOTRIMAZOLE 1% CLOTRIMAZOLE 1% CLOTRIMAZOLE 1% CLOTRIMAZOLE‐3 2% COAL TAR 2.00% COAL TAR COAL TAR 0.50% COAL TAR 2.00% COAL TAR 2.50% COLACE 200 MG/5ML COLD SORE 2% COMFORT SHIELD 3% COMPLETE 27MG‐0.4MG COMPOZ 50 MG CONGESTAC 400MG‐60MG CONPEC L.A. 500‐120MG CALCIUM 185 MG CORN‐CALLUS REMOVER COROMEGA 650MG‐1000 CORTAID 1% CREATINE MONOHYDRATE CRITIC‐AID 20%‐51% CRUEX 2% CYANOCOBALAMIN 1000MCG/ML

Updated 12/1/2012 7

DAIRY DIGEST ULTRA 4500 UNIT DAIRY RELIEF 9000 UNIT DECUBITENE DELSYM 30 MG/5 ML DERMA CIDOL 2000 0.50% DERMADROX 0.45% DERMADROX DERMAFIX DESENEX 2% DESSICATED LIVER DEX4 4 G DEXTROMETHORPHAN HBR 15 MG/5 ML DEXTROMETHORPHAN HBR 5 MG/5 ML DEXTROMETHORPHAN HBR 7.5 MG/5ML DIARRHEA RELIEF 262MG/15ML DIASTAT ACUDIAL 5‐7.5‐10MG DIASTAT ACUDIAL 12.5‐15‐20 DIAZEPAM 5 MG/ML DIAZEPAM 5MG/5ML DIAZEPAM 2.5 MG DI‐GON II 600 MG DIMETHICONE 2% DIMETHICONE/ 5%‐5% DIOCTYL 60 MG/15ML DIPHENHIST 50 MG DIPHENHYDRAMINE HCL 12.5 MG DIPHENHYDRAMINE HCL 25 MG DIPHENHYDRAMINE HCL 12.5MG/5ML W/CASANTHRANOL 30‐100MG DOCUSIL 100 MG DUOFILM 17% DURADEX 1200‐20MG DURADEX FORTE 1200‐45MG DYNAHEX 4% DY‐O‐DERM E‐400 C‐500 & BETA CAROTENE EAR WAX REMOVAL 6.50% EASYGEL 0.40% EFFERVESCENT 325‐1916MG EFFERVESCENT PAIN RELIEF 324 MG ELDERCAPS 1 MG

Updated 12/1/2012 8

ELDERTONIC ELEMENTAL ZINC 30 MG ENDIT 19G‐7G/118 ENEMEEZ 283 MG/5ML ENTEX PSE 525MG‐50MG ENVIRO STRESS ERGOCALCIFEROL 8000/ML EUCERIN EUCERIN PLUS INTENSIVE REPAIR EYE ALLERGY RELIEF 0.025‐0.3% EYE CARE NUTRITIONAL SUPPLEMEN NA EYE HEALTH EYE ITCH RELIEF 0.03% FAMOTIDINE 10 MG FEOSTAT 300(100)/5 FERATAB 300(60)MG FERGON 240(27)MG FERREX 150 PLUS 150‐50‐50 FERRIMIN 150 456(150)MG FERRO‐PLEX HEMATINIC 115‐1MG FERROUS FUMARATE 90(29.5)MG FERROUS FUMARATE/FE PS CMPLX 106 MG FERROUS GLUCONATE 325 MG FERROUS SULFATE 220(44)/5 FERROUS SULFATE 300 MG/5ML FERROUS SULFATE 15MG/0.6ML FERROUS SULFATE 325(65) MG FERROUS SULFATE 325(65) MG FERROUS SULFATE 15MG/1.5ML FETRIN 200‐60MG‐5 FIBER FIBER‐LAX 625 MG FIRST‐HYDROCORTISONE 10% FLEET PREP KIT #2 FLETCHER'S CASTORIA 6.50% FLINTSTONES COMPLETE FLINTSTONES WITH EXTRA C FOAM INCONTINENCE KIT FOAMICON 237.5‐254 FOAMING ANTACID 358‐95/15

Updated 12/1/2012 9

FOLBEE 1‐2.5‐25MG FOLBEE PLUS 5 MG FOLGARD 115‐0.8‐10 FOLGARD RX 1‐2.2‐25MG FOLIC ACID 1 MG FOLIC ACID 0.4 MG FOLIC ACID 0.8 MG FOLIC ACID 100.00% FOLIC ACID/MULTIVITS‐MIN/LUT 500‐250MCG FOLIC ACID/MV,FE,OTHER MIN 0.4MG‐18MG FOLIC ACID/MV,FE,OTHER MIN .4‐18‐3500 FOLIC ACID/MV,FE,OTHER MIN 0.4MG‐18MG FOLTX 2‐2.5‐25MG FOSFREE 175.5‐14.5 FUNGOID TINCTURE 2% FUNGOID TINCTURE 2% GAS RELIEF 80 MG GAS RELIEF 125 MG GAS‐X 62.5 MG GAVISCON 14.2‐80MG GENTEAL 0.25%‐0.3% GENTEAL MILD 0.20% GENTEAL PM 15%‐85% GENTEAL SEVERE 0.30% GERI PROTECT GERITOL COMPLETE 16‐0.38 MG GFN 1200/DM 60 1200‐60MG GFN 550/PSE 60 550‐60MG GLUCOTEN 375‐300MG GLUTOSE 45 40% GLYCERIN 2.8G/2.7ML GLYCERIN/HYALURONATE SODIUM (blank) GORDO‐ 22% GORDO‐UREA 40% GRX DYNE 7.50% GUAI 800/DM 30 800MG‐30MG GUAIFENESIN 100 MG/5ML GUAIFENESIN 200 MG GUAIFENESIN 1200 MG GUAIFENESIN 1200 MG GUAIFENESIN/D‐METHORPHAN HB 100MG‐5MG

Updated 12/1/2012 10

GUAIFENESIN/P‐EPHED HCL 400MG‐45MG GUAIFENESIN/PHENYLEPHRINE HCL 100‐5 MG/5 GUAIFENESIN/PHENYLEPHRINE HCL 100‐2.5/5 GUAIFENESIN/PHENYLEPHRINE HCL 380MG‐10MG GUAIFENESIN‐CODEINE 100‐10MG/5 GUAIFENEX PSE 80 800‐80MG HEARTBURN ANTACID 105‐160MG HEMATOGEN 200‐250‐10 HEMOCYTE 324(106)MG HEMOCYTE‐F 100‐25‐1/5 HEXAVITAMIN HIGH POTENCY IRON 134MG HIGH POTENCY VITAMIN‐ HI‐POTENCY VITAMIN‐MINERALS HISTALET X 400‐120MG HISTEX SR 120MG‐10MG HOMOCYSTEINE FORMULA 100‐0.8‐50 HOUSEHOLD LICE CONTROL HYDRISALIC 6% HYDRO 40 40% HYDROCODONE COMPOUND 5‐1.5MG/5 HYDROCORTISONE 0.50% HYDROCORTISONE 1% HYDROCORTISONE ACETATE 0.50% HYDROCORTISONE ACETATE 1% HYDROCORTISONE‐ALOE 1% HYDROGEN PEROXIDE 30% HYDROGEN PEROXIDE 3% HYPOTEARS 1% HYPOTEARS 1 %‐1 % HYPOTEARS‐PF 1% I.L.X. B‐12 102‐10/15 IBUPROFEN 200 MG IBUPROFEN 50 MG/1.25 IBUPROFEN 100 MG/5ML IBUPROFEN CHEW 100 MG ICAPS ICAPS MV 1.66‐0.83 ICY HOT 7.50% IMODIUM ADVANCED 2‐125MG INFANTS' IBUPROFEN 50 MG/1.25

Updated 12/1/2012 11

INFANTS' MYLICON 40MG/0.6ML INFANTS PAIN RELIEVER COLD 5‐15‐160MG INSTACORT‐10 1% INTENSE COUGH RELIEVER 200‐30MG/5 IOPHEN‐C NR 100‐10MG/5 IROFOL 100‐1MG/5 IROFOL 150‐1MG IRON 27MG(IRON) IRON POLYSACCHARIDES COMPLEX 180 MG IRON/VITAMINS A, C, AND D3 10MG‐400/2 IRON/VITAMINS A,C,AND D ISOPROPYL ALCOHOL 70% ISOPROPYL ALCOHOL 91% ISOPROPYL ALCOHOL 99% ISOPROPYL ALCOHOL 50% ISOPROPYL‐WINTERGREEN ISOPTO TEARS 0.50% JOHNSON'S BODY CARE J‐TAN D PD 7.5‐1MG/ML KAOPECTATE 750MG/15ML KAOPECTATE 262 MG KERAFOAM 30% KERALAC 35% KERALYT 6% KERALYT 3% KIMONO MICROTHIN KOLA‐PECTIN 150MG/15ML KONDREMUL 2.5ML/5ML KONSYL‐D KONSYL‐D LACTAID EXTRA STRENGTH 4500 UNIT LACTASE 3000 UNIT LACTASE/RENNET 25‐2MG LACTICARE LACTOSE FAST ACTING 9000 UNIT LACTRASE 250 MG LAMISIL 1% LAMISIL AT 1% LANSOPRAZOLE 15 MG LANTISEPTIC 5 MG

Updated 12/1/2012 12

LICE BEDDING 0.50% LICE KILLING 4%‐0.33% LICE KILLING 4%‐0.33% LICE SOLUTION LICE TREATMENT 4‐.33‐.5% LICE TREATMENT 3‐0.3% LICE TREATMENT 4‐.33‐.5% LICE TREATMENT 1% LICE TREATMENT CALCIUM 600‐VIT D3 600 MG‐400 LIQUI‐DOSS LIVER WITH IRON LODRANE 24D 90 MG‐12MG LONG ACTING NASAL SPRAY 0.05% LOPERAMIDE 2 MG LOPERAMIDE 1MG/7.5ML LOPERAMIDE HCL 2 MG LOROXIDE 5.50% LO‐SO PREP KIT LOTRIMIN AF 1% LUBRIFRESH PM 15 %‐83 % LYSIPLEX PLUS MAALOX QUICK DISSOLVE 600 MG MACUVITE WITH LUTEIN 5K‐60‐30‐2 MAG DELAY 64 MG MAG‐AL 200‐200/5 MAG‐CAPS 140 MG MAGNEBIND 200 400‐200MG MAGNEBIND 300 250‐300MG MAGNESIUM 250 MG MAGNESIUM 64 MG (blank) MAGNESIUM CITRATE NA 27.5 (500) MAGNESIUM GLUCONATE 54 MG/5 ML 400 MG MAGNESIUM OXIDE 420MG MAGNESIUM OXIDE 500 MG MAGNESIUM OXIDE MAGNESIUM OXIDE 100.00% 100.00%

Updated 12/1/2012 13

MAR‐ZINC 220 MG MAXIMUM DAILY GREEN 5MG‐133MCG MECLIZINE HCL 12.5 MG MECLIZINE HCL 25 MG MEDI‐LYTE 40‐18‐9MG MEDI‐NATURAL 8.6 MG MEN‐PHOR 0.5%‐0.5% MEN'S DAILY MULTIVIT‐ 0.4MG‐600 MEPHYTON 5 MG METAMUCIL METAMUCIL METAMUCIL METAMUCIL METHYLCELLULOSE (blank) MI‐ACID 200‐200‐20 MICONAZOLE 3 200 MG MICONAZOLE 3 200 MG‐2 % MICONAZOLE 7 2% MICONAZOLE NITRATE 100 MG MICONAZOLE NITRATE 2% MIGRAINE RELIEF 250‐250‐65 MIL‐A‐MULSION 15000‐10 U MINERAL OIL MINERAL OIL MINERAL OIL MINTOX PLUS 200‐200‐25 MOISTURIZING LOTION MONISTAT 6.50% MONISTAT 3 4% MONISTAT 7 2% MONISTAT 7 100MG‐2% MOTRIN 50 MG MOUTHKOTE MUCINEX 600 MG MUCINEX 50 MG MUCINEX 100 MG MUCINEX D 1200‐120MG MUCINEX DM 600MG‐30MG MULTIPLE MINERALS MULTIPLE VITAMINS

Updated 12/1/2012 14

MULTIVITAMIN AND FLUORIDE 0.5 MG/ML MULTIVITAMINS MULTIVITAMINS W‐CALCIUM‐IRON MULTIVITAMINS W‐IRON MULTIVITAMINS W‐MINERALS MULTIVITAMINS W‐MINERALS MULTIVITAMINS,THERAPEUTIC MULTIVITAMINS/IRON/FOLIC ACID 18MG‐0.4MG MULTIVITS W‐FE,OTHER MIN (blank) MULTIVITS,THERAP W‐FE,HEMATIN 30‐0.8MG MURO‐128 2% MUROCEL 1% MUSCLE RELIEF 0.08% MYCELEX‐7 100 MG MYFERON 150 150 MG MYLANTA 700‐300MG MYTAB GAS MAXIMUM STRENGTH 125 MG MYVITALIFE NAFRINSE DAILY‐NEUTRAL 0.05% NALEX JR 300MG‐60MG NAPH,MB‐DB/K PH,MBDB 280‐250MG NAPROXEN SODIUM 220 MG NASAL ALLERGY SPRAY 5.2 MG NASAL DECONGESTANT 30 MG NASAL DECONGESTANT 120 MG NASAL SPRAY 0.05% NASAL SPRAY 0.05% NASCOBAL 500 MCG NASCOBAL 500MCG/0.1 NATURAL BALANCE TEARS 0.40% NATURAL FIBER NATURAL VEGETABLE LAXATIVE NEPHROCAPS 1 MG NIACIN 400 MG NIACIN 500 MG NIACIN 250 MG NIACIN 125 MG NIACIN 100 MG NIACIN 50 MG NIACIN 1000 MG NIACINAMIDE 100 MG

Updated 12/1/2012 15

NIACOR 500 MG NICORETTE 4 MG NICOTINE GUM 2 MG NICOTINE LOZENGE 4 MG NICOTINE LOZENGE 2 MG NICOTINE PATCH 7MG/24HR NICOTINE PATCH 14MG/24HR NICOTINE PATCH 21 MG/24HR NICOTINE PATCH 11MG/24HR NICOTINE PATCH 22 MG/24HR NIFEREX 100 MG/5ML NIGHTTIME SLEEP AID 50 MG NO STING BARRIER FILM NOMUC‐PE 200MG‐60MG NON‐ASPIRIN 100 MG/ML NORTUSS‐EX 200‐20MG/5 NUMOISYN NUMOISYN 0.3G NUTRAPLUS 10% NUTRAPLUS 10% NUTR‐E‐SOL 400/15ML OCUVITE EXTRA OMEPRAZOLE 20 MG ONE DAILY 18‐0.4‐27 ONE DAILY 18‐0.4‐32 ONE DAILY ONE DAILY PLUS IRON ORAL SALINE LAXATIVE ORAL SALINE LAXATIVE KIT 7.2‐2.7/15 ORAZINC 110 MG OXIPLEN OXSORALEN 1% SHELL + D 250 MG‐125 OYSTER SHELL CALCIUM W‐VIT D 500 MG‐200 OYSTER SHELL CALCIUM W‐VIT D 250 MG‐125 OYSTER SHELL CALCIUM W‐VIT D 500MG‐375 OYSTER SHELL CALCIUM‐MAGNESIUM 250‐155 MG OYSTER SHELL CALCIUM‐VITAMIN D 500 MG‐400 P & S 2% PANOXYL 10 10% PANOXYL 5 5%

Updated 12/1/2012 16

PEDIA‐LAX PEDIATRIC PEDIA‐LAX STOOL SOFTENER 50 MG/15ML PEDIATRIC PELEVERUS GOLD 0.90% PEPCID RPD 20 MG PEPTO‐BISMOL 262 MG PERIDEX 0.12% PERISHIELD PERMETHRIN 5% PHARBEDRYL 50 MG PHARMABASE COSMETIC CREAM N/A PHENOBARBITAL 16.2 MG PHENOL 100.00% PHENYLEPHRINE HCL/CHLOR‐MAL 10MG‐4MG PHENYLEPHRINE HCL/CHLOR‐MAL 2.5‐1MG/5 PHENYLHISTINE DH 30‐10‐2/5 PHILLIPS' OF MAGNESIA 400 MG/5ML PHILLIPS' MILK OF MAGNESIA 800MG/5ML PHILLIPS' MILK OF MAGNESIA 311MG PIC 200 200 MG PINK BISMUTH 262 MG PINK BISMUTH 262MG/15ML PINK BISMUTH 525MG/15ML POLY‐VENT 650‐90MG POLY‐VITA WITH IRON POLY‐VITAMIN IODIDE 325MG/5ML POVIDONE‐ 7.50% POVIDONE‐IODINE 10% POVIDONE‐IODINE 10% POVIDONE‐IODINE 10% POVIDONE‐IODINE 10% PRENATAL 28MG‐0.8MG PRENATAL VIT/FE GLUCONATE/FA 30‐0.8MG PRENATAL VITAMIN PREP KIT #3 PRESERVISION 226‐200‐5 PREVACARE 60% PREVENT PREVENT‐X PRILOSEC OTC 20 MG

Updated 12/1/2012 17

PROBIOTIC WITH PREBIOTIC 1B‐250 MG PROFED 600MG‐60MG PROMETHAZINE VC‐CODEINE 5‐10‐6.25 PROMETHAZINE W/CODEINE 10‐6.25/5 PROMETHAZINE‐DM 15‐6.25/5 PROSHIELD GLOVE 1% PROSHIELD SKIN CARE PROTECT PLUS PSE BPM 60‐4MG/5ML PSEUDO MAX 700‐80MG PSEUDOEPHEDRINE HCL 30 MG/5 ML PSEUDOEPHEDRINE HCL 60MG PSEUDOEPHEDRINE‐GUAIFENESIN 500MG‐60MG PSEUDOVENT 250‐120MG PSEUDOVENT 400 400‐120MG HUSK 0.52G PSYLLIUM HUSK/ASPARTAME 3.4G/5.8G PSYLLIUM HUSK/ASPARTAME 3.5G PSYLLIUM HUSK/SUCROSE 3.4G/7G PSYLLIUM HUSK/SUCROSE 3.4G/11G PSYLLIUM SEED 3.4G/5.8G PURALUBE PURE & GENTLE EYE DROPS 0.30% PV W‐O CAL/FE GLUCONATE/FA 30‐0.8MG PYRETHRIN LICE TREATMENT 4%‐0.33% PYRI 500 500 MG PYRIDOXINE HCL 250 MG PYRIDOXINE HCL 500 MG PYRIDOXINE HCL 50 MG PYRIDOXINE HCL 25 MG Q‐DRYL 12.5MG/5ML REA‐LO 30% REA‐LO 15% REFRESH CELLUVISC 1% REFRESH CLASSIC 1.4 %‐0.6% REFRESH LIQUIGEL 1% RELACON LAX 835MG‐30MG REMEDY DIMETHICONE 5% REMEDY NUTRASHIELD 1% REMEVEN 50% RENAL MULTIVITAMIN W‐ZINC

Updated 12/1/2012 18

RESPA‐1ST 600‐58MG RESPA‐DM 600MG‐28MG RESPAHIST 60‐6MG RETAINE CMC 0.50% RI‐GEL 200‐200‐20 RI‐MOX PLUS 200‐225‐25 ROBITUSSIN DM 100‐5/2.5 ROBITUSSIN‐DM COUGH 100‐10MG/5 RUBBING ALCOHOL 70% RU‐TUSS 800 DM 800MG‐60MG RU‐TUSS JR. 600‐45MG SAFETUSSIN DM 100‐10MG/5 SALAC 2% SALACTIC FILM 17% SALACYN 6% SALACYN 6% SALEX 6% SALICYLIC ACID 15% SALICYLIC ACID 6% SALICYLIC ACID SALICYLIC ACID 3.00% SALICYLIC ACID 3.00% SALICYLIC ACID 2% SALICYLIC ACID/COLLODION 17.00% SALINE NASAL SPRAY 0.65% SALIVA SUBSTITUTE SAL‐PLANT 17% SBR‐LIPOCREAM SCALACORT 2% SCALP‐CORT 1% SCOT‐TUSSIN 100 MG/5ML SCOT‐TUSSIN SENIOR 200‐15MG/5 SEBEX 2 %‐2 % SEBEX 2 %‐2 % SENILEZOL 2.5‐6MG/30 SENNA 8.8MG/5ML SENNA 8.6 MG SENNA PLUS 8.6MG‐50MG SENNA‐S 8.6MG‐50MG SENNOSIDES 25 MG SENNOSIDES/PSYLLIUM 9MG‐500MG

Updated 12/1/2012 19

SENOKOTXTRA 17.2MG SENSI‐CARE 1 %‐30 % SEVERE DRY SIDEROL SILDEC 45‐4MG/5ML SIMETHICONE SIMETHICONE 180 MG SIMUC‐DM 225‐25MG/5 SLO‐NIACIN 750 MG SODIUM 325 MG 650 MG SODIUM CHLORIDE 1000 MG SODIUM CHLORIDE 5% SODIUM CHLORIDE SODIUM CL FOR INHALATION 0.90% SOFT CLOTH 3.5"X8" SOOTHE XP 1%‐4.5% SORBITOL 70% SOURCECF 0.2MG‐15MG SOURCECF 5 MG/ML SOURCECF 0.2MG‐15MG STERILE LUBRICANT 0.70% STERILE TWO‐FER NEEDLE 16GX1/2" STOOL SOFTENER 250 MG STOOL SOFTENER 50 MG STOOL SOFTENER 50 MG/5 ML STOOL SOFTENER 100 MG STOOL SOFTENER W/LAXATIVE 30‐100MG STRESS B WITH ZINC STRESS FORMULA STRESS FORMULA STRESS FORMULA STRESS FORMULA WITH IRON STROVITE FORTE 10 MG‐1 MG STUART PRENATAL 28MG‐0.8MG SUDAFED 24‐HOUR 240 MG SUDATEX‐G 580MG‐60MG SUDATUSS‐SF 30‐10‐100 SUPER ANTIOXIDANT SUPER ANTIOXIDANT

Updated 12/1/2012 20

SUPER GINSENG MULTIVITAMIN SUPER NU‐THERA SUPER PAIN RELIEF 250‐250‐65 SUPER PROBIOTIC 20B CELL SUPER THERAVITE‐M SUPERIOR 35 SUPERIOR‐35 SUPPORT SURELAC 3000 UNIT SU‐TUSS DM 200‐20MG/5 SWEEN 24 6% SYMPT‐X PLUS SYST‐AMUNE TAB A VITE 18MG‐0.4MG TEARS AGAIN 1.50% TEARS AGAIN TENSION HEADACHE PAIN RELIEVER 500MG‐65MG TEXACORT 2.50% THERA THERA TEARS 0.25% THERA TEARS 1% THERAFLU 15 MG THERAFLU 25 MG THERA‐GESIC THERAPEUTIC HEMATINIC THERAPEUTIC M THERAPEUTIC VITAMIN & MINERAL THERATRUM COMPLETE THIAMINE HCL THIAMINE HCL 50 MG THIAMINE HCL 250MG THIAMINE HCL 500 MG TITRALAC 168(420)MG TOLNAFTATE 1.00% TOLNAFTATE 1.00% TOLNAFTATE 1.00% TOLNAFTATE 1.00% TOTAL FIBER 3 G/3.5 G TOURO ALLERGY 60‐5.75MG TOURO DM 575MG‐30MG TOURO LA 525‐120MG

Updated 12/1/2012 21

TRIAMINIC 7.5 MG TRI‐BUFFERED ASPIRIN 325 MG TRIDRATE TRIPLE ANTIBIOTIC TRIPLE ANTIBIOTIC 3.5‐400‐5K TRISPEC DMX 25‐15MG/5 TRI‐VI‐SOL 1500‐35/ML T‐SAL 3% TUCKS 1%‐12.5% TUMS 300MG(750) TUSNEL PEDIATRIC 50‐7.5MG/1 TUSSIN DM 100‐15MG/5 TUSSIN DM 100‐10MG/5 TUSSIN SEVERE 200MG‐30MG TUSSI‐ORGANIDIN DM NR 300‐10MG/5 ULTRA FRESH 0.50% ULTRA MIDE 25 25% ULTRA STRENGTH ANTACID 400(1000) ULTRABROM 120‐12MG UMECTA 40% UMECTA 40% UMECTA 40% UMECTA PD 40% UMECTA PD 40% UNIFIBER 80% UREA 50% UREA 50% UREA 50% UREA 42% UREACIN‐20 20% VAGINAL 3‐DAY 200 MG‐1 % VALU‐DRYL 12.5 MG VANICREAM LITE V‐C FORTE 1 MG VICKS 44E COUGH & CHEST 66.7‐6.7/5 VIMAR VITA‐CALCIUM VITACEL VITAMANIX ULTIMATE 3MG‐67MCG VITAMIN A 10000 UNIT VITAMIN A 25000 UNIT

Updated 12/1/2012 22

VITAMIN B COMPLEX VITAMIN B‐1 100 MG VITAMIN B‐12 50 MCG VITAMIN B‐12 100 MCG VITAMIN B‐12 250 MCG VITAMIN B‐12 500 MCG VITAMIN B‐12 1000 MCG VITAMIN B‐12 2000MCG VITAMIN B‐12 2500MCG VITAMIN B‐2 25 MG VITAMIN B‐2 50 MG VITAMIN B‐2 100 MG VITAMIN B‐6 100 MG VITAMIN B‐6 200 MG VITAMIN B‐6 200 MG VITAMIN B‐COMPLEX W/C VITAMIN C 500 MG VITAMIN C 100 MG VITAMIN C 250 MG VITAMIN C 1000 MG VITAMIN C 500 MG VITAMIN C 1000 MG VITAMIN C 1500 MG VITAMIN C 500 MG VITAMIN C 500 MG/5ML VITAMIN C COUGH DROPS 60 MG VITAMIN C WITH ROSE HIPS 1000 MG VITAMIN D 400 UNIT VITAMIN D 1000 UNIT VITAMIN D2 50000 UNIT VITAMIN D3 2000 UNIT VITAMIN E 100 UNIT VITAMIN E 400 UNIT VITAMIN E 200 UNIT VITAMIN E 100 UNIT VITAMIN E 200 UNIT VITAMIN E 400 UNIT VITAMIN E 600 UNIT VITAMIN E 800 UNIT VITAMINS A,C,AND D 1500 U‐35 VITA‐NUMONYL DM 250‐15MG/5

Updated 12/1/2012 23

VITA‐NUMONYL EX 250 MG/5ML VMS V‐R VITAMIN A 8000 UNIT WART REMOVER 40% WEBCOL WOMAN'S LAXATIVE 5 MG WOMEN'S BIOMULTIPLE X‐VIATE 40% ZEASORB‐AF 2% ZE‐PLUS ZINC 77 MG ZINC 10 MG ZINC 13.3MG 10 MG ZINC GLUCONATE 100 MG ZINC GLUCONATE 50 MG ZINC GLUCONATE 20 MG ZINC OXIDE 10.00% ZINC OXIDE ZINC OXIDE/PETROLATUM, 15%‐49% ZINC OXIDE/PETROLATUM,WHITE ZINC‐15 66 MG ZINC‐220 220(50)MG ZOTEX DMX 775‐57.5MG ZYRTEC 10 MG ZYRTEC 1 MG/ML

Updated 12/1/2012 24