<<

Formulary

Manufacturer: : Manufacturer: Medication: ABBVIE Androgel Cambria ABBVIE Creon ASSERTIO THERAPEUTICS Gralise ABBVIE Humira ASSERTIO THERAPEUTICS Nucynta ER ADAPT PHARMA Narcan ASSERTIO THERAPEUTICS Zipsor AKORN Azasite ASTELLAS Myrbetriq AKORN Cosopt ASTELLAS Vesicare ALFASIGMA USA Cerefolin ASTRAZENECA Bevespi ALFASIGMA USA Deplin ASTRAZENECA Byduron ALFASIGMA USA Metanx ASTRAZENECA Daliresp Acuvail ASTRAZENECA Farxiga ALLERGAN Alphagam ASTRAZENECA Movantik ALLERGAN Androderm ASTRAZENECA Tudorza ALLERGAN Bystolic ASTRAZENECA LP Brilanta ALLERGAN Combigan ASTRAZENECA LP Pulmicort ALLERGAN Delzicol ASTRAZENECA LP Symbicort ALLERGAN Fetzima AVANIR PHARMACEUTICALS, LLC Nuedexta ALLERGAN Gelnique AVANIR PHARMACEUTICALS, LLC Onzetra ALLERGAN Lastacaft Alrex ALLERGAN Linzess BAUSCH HEALTH Aplenzin ALLERGAN Lumigan BAUSCH HEALTH Ativan ALLERGAN Namenda XR BAUSCH HEALTH Besivance ALLERGAN Namzaric BAUSCH HEALTH Elidel ALLERGAN Pylera BAUSCH HEALTH Istalol ALLERGAN Rapaflo BAUSCH HEALTH Lotemax ALLERGAN Savella BAUSCH HEALTH Luzu ALLERGAN Viberzi BAUSCH HEALTH Prolenza ALLERGAN Viibyrd BAUSCH HEALTH Relistor ALMATICA Napelan BAUSCH HEALTH Trulance AMARIN PHARMA Vascepa BAUSCH HEALTH Wellbutrin XL Corlanor BIODELIVERY SCIENCES Belbuca AMGEN Repatha BIODELIVERY SCIENCES Bunavil AMNEAL SPECIALTY Zomig BIOVENTUS Supartz ANTARES PHARMA Otrexup B-M SQUIBB U.S. (PRIMARY CARE) Coumadin ARBOR PHARMACEUTICALS Edarbi B-M SQUIBB U.S. (PRIMARY CARE) Eliquis ARBOR PHARMACEUTICALS Edarbyclor Combent ARBOR PHARMACEUTICALS Eveko BOEHRINGER INGELHEIM Jardiance ARBOR PHARMACEUTICALS Horizant BOEHRINGER INGELHEIM Pradaxa

PO Box 338, Methuen, MA 01844-0338 | 888-321-7945 | www.IWPharmacy.com

Revised August 2019

Drug Formulary

Manufacturer: Medication: Manufacturer: Medication: BOEHRINGER INGELHEIM Spiriva LILLY Cialis BOEHRINGER INGELHEIM Stiolto LILLY Forteo BOEHRINGER INGELHEIM Tradjenta LILLY Humalog BRAINTREE LAB Suprep LILLY Humulin COLLEGIUM PHARMACEUTICALS Nucynta LILLY Trulicity COLLEGIUM PHARMACEUTICALS Xtampza MERCK SHARP & DOHME Asmanex CROWN LABORATORIES Ala Scalp MERCK SHARP & DOHME Belsmora CUMBERLAND PHARMACEUTICALS Kristalose MERCK SHARP & DOHME Dulera DEPUY MITEK Monovisc MERCK SHARP & DOHME Janumet DEPUY MITEK Orthovisc MERCK SHARP & DOHME Januvia EGALET US Arymo SPECIALTY L.P. Dymista EGALET US Oxaydo MYLAN SPECIALTY L.P. Epipen ENDO PHARMACEUTICALS Nascobal MYLAN SPECIALTY L.P. Muse FERRING Eufelexxa MYLAN SPECIALTY L.P. Performomist GALDERMA Mirvaso NEOS THERAPEUTICS BRANDS Adzenys GALDERMA Oracea NEOS THERAPEUTICS BRANDS Cotempla Descovy NODEN PHARMA USA Tekturna GILEAD SCIENCES Genvoya NODEN PHARMA USA Tekturn HCT GILEAD SCIENCES Ranexa NOVARTIS Ciprodex GLAXO SMITH KLINE Advair NOVARTIS Diovan GLAXO SMITH KLINE Anoro NOVARTIS Entresto GLAXO SMITH KLINE Arunity NOVARTIS Ilevro GLAXO SMITH KLINE Flovent NOVARTIS Pazeo GLAXO SMITH KLINE Incruse NOVARTIS Tobradex GLAXO SMITH KLINE Serevent NOVARTIS Travatan GLAXO SMITH KLINE Trelegy NOVO NORDISK Levemir GLAXO SMITH KLINE Ventolin HFA NOVO NORDISK Novofine INDIVIOR INC Suboxone NOVO NORDISK Novolog IRONWOOD PHARMACEUTICALS Zurampic NOVO NORDISK Novotwist JANSSEN Duragesic NOVO NORDISK Saxenda JANSSEN Invokaka NOVO NORDISK Tresiba JANSSEN Xarelto NOVO NORDISK Victoza JANSSEN PRODUCTS Procrit OREXO US Zubsolv KOWA PHARMACEUTICALS AMERICA Livalo OTSUKA AMERICA Rexulti LIFESCAN INC One Touch Test Strips P & G HEALTH Prilosec OTC LIFESCAN INC One Touch Lancets PERNIX THERAPEUTICS Silenor LILLY Adcirca PERNIX THERAPEUTICS Treximet

PO Box 338, Methuen, MA 01844-0338 | 888-321-7945 | www.IWPharmacy.com

Revised August 2019

Drug Formulary

Manufacturer: Medication: Manufacturer: Medication: CONSUMER HEALTHCARE Nexium PHARMACEUTICALS Praluent PFIZER U.S. Celebrex SANOFI PHARMACEUTICALS Toujeo PFIZER U.S. Dilantin SANOFI-AVENTIS U.S. Lantus PFIZER U.S. Embeda SHIRE US INC. Vyvanse PFIZER U.S. Flector SPECGX Restoril PFIZER U.S. Genotropin SUN PHARMACEUTICALS Bromsite PFIZER U.S. Lipitor SUNOVION PHARMACEUTICALS Latuda PFIZER U.S. Lyrica SUNOVION PHARMACEUTICALS Seebri PFIZER U.S. Norvasc SUPERNUS PHARMACEUTICALS Oxtellar PFIZER U.S. Premarin SUPERNUS PHARMACEUTICALS Trokendi PFIZER U.S. Toviaz TAKEDA PHARMACEUTICALS Amitizia PFIZER U.S. Xeljanz TAKEDA PHARMACEUTICALS Dexilant PROMIUS PHARMA Zembrace TAKEDA PHARMACEUTICALS Trintellix L.P. Butrans TEVA RESPIRATORY Proair PURDUE PHARMA L.P. Hysingla TEVA RESPIRATORY Qnasal PURDUE PHARMA L.P. Oxycontin TEVA RESPIRATORY Qvar PURDUE PHARMA L.P. Symproic UCB PHARMA Briviact ROCHE DIAGNOSTICS Softclix UCB PHARMA Neupro SANKYO Morphabond UCB PHARMA Vimpat SANKYO Welchol UPSHER-SMITH Qudexy

PO Box 338, Methuen, MA 01844-0338 | 888-321-7945 | www.IWPharmacy.com

Revised August 2019