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NCR-JOAUNIFIED FORMULARY Alphabetical Listing by Therapeutic Category

This document is current as of Aug. 23, 2021 The availability of formulary items is subject to change. ABORTIFACIENT

Abortifacient Ammonium Detoxicant ...... 23 ...... 20 ...... 24 Inhibitor ...... 25 AMPA Glutamate Antagonist ...... 29 ...... 27 Acetylcholinesterase Inhibitor (Central) Amylinomimetic ...... 12 Pramlintide ...... 28 ...... 16 ...... 30 Combination () Acetaminophen and ...... 2 Products Belladonna and Opium ...... 5 ...... 2 and Acetaminophen ...... 18 ...... 5 and Acetaminophen ...... 26 and Benzoyl Peroxide ...... 8 Analgesic, Nonopioid (Topical) ...... 13 Acetaminophen ...... 2 (Systemic) ...... 20 Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 ...... 30 ...... 4 (Topical) ...... 32 Butalbital, Acetaminophen, and ...... 6 ...... 32 ...... 7 (Topical) ...... 34 and ...... 11 Agent Diclofenac (Systemic) ...... 11 Oxymetazoline (Nasal) ...... 26 ...... 14 ...... 18 Agent, Ophthalmic Indomethacin ...... 19 and ...... 27 Ketorolac (Systemic) ...... 20 Aldehyde Dehydrogenase Inhibitor ...... 22 ...... 24 Disulfiram ...... 11 ...... 26 Alkalinizing Agent (Systemic) ...... 27 Bicarbonate ...... 31 ...... 32 Alkalinizing Agent, Oral Analgesic, Opioid Citrate ...... 28 Acetaminophen and Codeine ...... 2 Potassium Citrate and Citric Acid ...... 28 Belladonna and Opium ...... 5 Sodium Citrate and Citric Acid ...... 31 ...... 6 Buprenorphine and ...... 6 Alkylamine Derivative Codeine ...... 9 Chlorpheniramine ...... 7 ...... 15 Chlorpheniramine and Pseudoephedrine ...... 7 Hydrocodone and Acetaminophen ...... 18 ...... 18 Alpha1 Agonist Midodrine ...... 23 ...... 23 (Systemic) ...... 24 Alpha1 Blocker Opium Tincture ...... 26 Alfuzosin ...... 2 OxyCODONE ...... 26 ...... 12 Oxycodone and Acetaminophen ...... 26 ...... 27 ...... 32 ...... 28 ...... 33 Tamsulosin ...... 32 Analgesic, Opioid Terazosin ...... 32 Buprenorphine ...... 6 Alpha2-Adrenergic Agonist Buprenorphine and Naloxone ...... 6 ...... 8 Analgesic, Topical ...... 17 ...... 6 ...... 23 (Topical) ...... 21 TiZANidine ...... 33 Analgesic, Urinary Alpha Agonist, Ophthalmic 2 Sodium ...... 27 and ...... 5 ...... 27 Brimonidine (Ophthalmic) ...... 5 and Brimonidine ...... 5 ...... 9 Alpha-Adrenergic Agonist ...... 33 Phenylephrine (Ophthalmic) ...... 27 / Alpha/Beta Agonist Pramoxine and ...... 28 Chlorpheniramine and Pseudoephedrine ...... 7 EPINEPHrine (Systemic) ...... 13 Angiotensin II Receptor Blocker Guaifenesin and Pseudoephedrine ...... 17 Candesartan ...... 6 Pseudoephedrine ...... 29 Candesartan and ...... 6 Irbesartan ...... 20 5 Alpha-Reductase Inhibitor Irbesartan and Hydrochlorothiazide ...... 20 ...... 12 Losartan ...... 22 ...... 15 Losartan and Hydrochlorothiazide ...... 22 Amebicide Sacubitril and Valsartan ...... 30 (Systemic) ...... 23 Telmisartan ...... 32 Telmisartan and Hydrochlorothiazide ...... 32 Aminoquinoline (Antimalarial) Valsartan ...... 34 ...... 7 Valsartan and Hydrochlorothiazide ...... 34 ...... 18 ...... 28 Angiotensin-Converting (ACE) Inhibitor ...... 32 Amlodipine and Benazepril ...... 3 Benazepril ...... 5 5-Aminosalicylic Acid Derivative ...... 6 Balsalazide ...... 5 Enalapril ...... 12 Mesalamine ...... 22 Lisinopril ...... 21 Olsalazine ...... 25 Lisinopril and Hydrochlorothiazide ...... 21 ...... 32 Ramipril ...... 29 2 AGENT

Anilidopiperidine Opioid , Fluoroquinolone FentaNYL ...... 15 (Ophthalmic) ...... 8 Ciprofloxacin (Systemic) ...... 8 (Systemic) ...... 21 Aluminum Hydroxide ...... 3 (Ophthalmic) ...... 24 Aluminum Hydroxide, Hydroxide, and Simethicone ...... 3 Moxifloxacin (Systemic) ...... 24 Carbonate ...... 6 (Ophthalmic) ...... 25 ...... 22 ...... 31 Antibiotic, Lincosamide Clindamycin (Systemic) ...... 8 Clindamycin (Topical) ...... 8 Albendazole ...... 2 Praziquantel ...... 28 Antibiotic, Macrolide Pyrantel Pamoate ...... 29 Azithromycin (Ophthalmic) ...... 4 Azithromycin (Systemic) ...... 4 Clarithromycin ...... 8 Abiraterone ...... 2 Erythromycin (Ophthalmic) ...... 13 Erythromycin (Systemic) ...... 13 Agent Erythromycin (Topical) ...... 13 AmLODIPine ...... 3 Amlodipine and Benazepril ...... 3 Antibiotic, Miscellaneous ...... 4 (Systemic) ...... 9 ...... 11 Fosfomycin ...... 16 ...... 20 Methenamine ...... 23 ...... 20 MetroNIDAZOLE (Systemic) ...... 23 ...... 23 ...... 25 ...... 24 and ...... 32 Trimethoprim ...... 34 ...... 25 ...... 25 Antibiotic, Monobactam ...... 29 Aztreonam (Oral Inhalation) ...... 4 Ranolazine ...... 29 ...... 35 Antibiotic, Ophthalmic Azithromycin (Ophthalmic) ...... 4 Antianxiety Agent, Miscellaneous , Neomycin, and Polymyxin B (Ophthalmic) ...... 4 ...... 6 Bacitracin (Ophthalmic) ...... 4 Ciprofloxacin (Ophthalmic) ...... 8 , Class Ia Erythromycin (Ophthalmic) ...... 13 ...... 11 (Ophthalmic) ...... 17 ...... 29 Moxifloxacin (Ophthalmic) ...... 24 Antiarrhythmic Agent, Class Ib Neomycin, Polymyxin B, and ...... 24 Ofloxacin (Ophthalmic) ...... 25 ...... 23 Tobramycin (Ophthalmic) ...... 33 Antiarrhythmic Agent, Class Ic Trimethoprim and Polymyxin B ...... 34 ...... 15 Antibiotic, Oral Rinse ...... 29 Gluconate (Oral) ...... 7 Antiarrhythmic Agent, Class II Antibiotic, Otic Propranolol ...... 29 Ciprofloxacin and ...... 8 ...... 31 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 24 Antiarrhythmic Agent, Class III Antibiotic, Oxazolidinone ...... 3 Linezolid ...... 21 ...... 11 Tedizolid ...... 32 ...... 12 Sotalol ...... 31 Antibiotic, Amoxicillin ...... 3 Antiarrhythmic Agent, Class IV Amoxicillin and Clavulanate ...... 3 DilTIAZem ...... 11 Dicloxacillin ...... 11 Verapamil ...... 35 Penicillin V Potassium ...... 27 Penicillin G Benzathine ...... 27 Antiarrhythmic Agent, Miscellaneous ...... 11 Antibiotic, Respiratory Fluoroquinolone LevoFLOXacin (Systemic) ...... 21 Antibiotic, Moxifloxacin (Systemic) ...... 24 Gentamicin (Ophthalmic) ...... 17 Gentamicin (Topical) ...... 17 Antibiotic, Derivative Neomycin ...... 24 Sulfacetamide (Topical) ...... 32 Tobramycin (Ophthalmic) ...... 33 Sulfamethoxazole and Trimethoprim ...... 32 Tobramycin (Oral Inhalation) ...... 33 Antibiotic, Derivative Antibiotic, Cephalosporin (First Generation) ...... 10 Cefadroxil ...... 7 ...... 12 Cephalexin ...... 7 (Systemic) ...... 24 Tetracycline (Systemic) ...... 33 Antibiotic, Cephalosporin (Second Generation) Cefuroxime ...... 7 Antibiotic, Topical Bacitracin, Neomycin, and Polymyxin B (Topical) ...... 4 Antibiotic, Cephalosporin (Third Generation) Bacitracin (Topical) ...... 5 Cefdinir ...... 7 Chlorhexidine Gluconate (Topical) ...... 7 Cefixime ...... 7 Erythromycin (Topical) ...... 13 Cefpodoxime ...... 7 Gentamicin (Topical) ...... 17 MetroNIDAZOLE (Topical) ...... 23 Antibiotic/Corticosteroid, Ophthalmic ...... 24 and Tobramycin ...... 22 Silver ...... 31 Neomycin, Polymyxin B, and Dexamethasone ...... 24 Tobramycin and Dexamethasone ...... 33 Anticholinergic Agent Benztropine ...... 5 Antibiotic/Corticosteroid, Otic Dicyclomine ...... 11 Ciprofloxacin and Dexamethasone ...... 8 , Umeclidinium, and Vilanterol ...... 16 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 24 Glycopyrrolate (Systemic) ...... 17 3 ANTICHOLINERGIC AGENT

Hyoscyamine ...... 18 , /- Inhibitor , , , and ...... 18 ...... 6 Ipratropium and Albuterol ...... 19 Ipratropium (Nasal) ...... 19 Antidepressant, Monoamine Oxidase Inhibitor Ipratropium (Oral Inhalation) ...... 20 ...... 27 Scopolamine ...... 30 ...... 30 ...... 31 Antidepressant, Selective Tiotropium ...... 33 ...... 8 Tiotropium and Olodaterol ...... 33 ...... 13 ...... 33 ...... 16 ...... 34 ...... 16 Umeclidinium ...... 34 ...... 26 Umeclidinium and Vilanterol ...... 34 ...... 31 Anticholinergic Agent, Long-Acting Antidepressant, Serotonin/Norepinephrine Reuptake Inhibitor Fluticasone, Umeclidinium, and Vilanterol ...... 16 Desvenlafaxine ...... 10 Tiotropium ...... 33 ...... 12 Tiotropium and Olodaterol ...... 33 ...... 35 Umeclidinium ...... 34 Umeclidinium and Vilanterol ...... 34 Antidepressant, Serotonin Reuptake Inhibitor/Antagonist ...... 34 Anticholinergic Agent, Ophthalmic Atropine (Ophthalmic) ...... 4 Antidepressant, Tricyclic (Secondary Amine) ...... 9 ...... 10 ...... 17 ...... 25 Antidepressant, Tricyclic (Tertiary Amine) Apixaban ...... 4 ...... 3 Dabigatran Etexilate ...... 9 ...... 8 Dalteparin ...... 9 (Systemic) ...... 12 Enoxaparin ...... 12 ...... 18 Fondaparinux ...... 16 Antidiabetic Agent ...... 17 Pramlintide ...... 28 Rivaroxaban ...... 30 Warfarin ...... 35 Antidiabetic Agent, Alpha-Glucosidase Inhibitor Acarbose ...... 2 Anticoagulant, Direct Thrombin Inhibitor Dabigatran Etexilate ...... 9 Antidiabetic Agent, Empagliflozin and Metformin ...... 12 Anticoagulant, Factor Xa Inhibitor Glyburide and Metformin ...... 17 Apixaban ...... 4 MetFORMIN ...... 23 Fondaparinux ...... 16 Pioglitazone and Metformin ...... 27 Rivaroxaban ...... 30 Sitagliptin and Metformin ...... 31 Anticoagulant, Low Molecular Weight Heparin Antidiabetic Agent, Dipeptidyl Peptidase 4 (DPP-4) Inhibitor Dalteparin ...... 9 LinaGLIPtin ...... 21 Enoxaparin ...... 12 SITagliptin ...... 31 Anticoagulant, K Antagonist Sitagliptin and Metformin ...... 31 Warfarin ...... 35 Antidiabetic Agent, , ...... 5 PHENobarbital ...... 27 Antidiabetic Agent, Glucagon-Like -1 (GLP-1) Receptor Anticonvulsant, Agonist CloBAZam ...... 8 Dulaglutide ...... 12 ...... 8 ...... 15 Clorazepate ...... 9 Antidiabetic Agent, Meglitinide Analog ...... 11 Repaglinide ...... 29 LORazepam ...... 22 ...... 23 Antidiabetic Agent, Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Anticonvulsant, Empagliflozin ...... 12 Fosphenytoin ...... 16 Empagliflozin and Metformin ...... 12 ...... 27 Antidiabetic Agent, Sulfonylurea Anticonvulsant, Miscellaneous ...... 17 ...... 2 GlipiZIDE ...... 17 ...... 6 GlyBURIDE ...... 17 Eslicarbazepine ...... 13 Glyburide and Metformin ...... 17 ...... 15 ...... 16 Antidiabetic Agent, Thiazolidinedione ...... 20 Pioglitazone ...... 27 ...... 20 Pioglitazone and Metformin ...... 27 LevETIRAcetam ...... 21 Antidiarrheal ...... 26 Bismuth Subsalicylate ...... 5 Perampanel ...... 27 Diphenoxylate and Atropine ...... 11 ...... 28 ...... 22 ...... 28 ...... 25 ...... 33 Opium Tincture ...... 26 Valproic Acid and Derivatives ...... 34 Polycarbophil ...... 27 Zonisamide ...... 35 ...... 28 Anticonvulsant, ...... 29 Ethosuximide ...... 14 Anticonvulsant, Derivative Aluminum Hydroxide ...... 3 Rufinamide ...... 30 Calcitonin ...... 6 Calcium Carbonate ...... 6 Antidepressant, Alpha-2 Antagonist Charcoal, Activated ...... 7 ...... 24 Glucagon ...... 17 4 ANTIHYPERTENSIVE

Leucovorin Calcium ...... 21 Antigout Agent Naloxone ...... 24 ...... 3 ...... 24 ...... 9 Octreotide ...... 25 Patiromer ...... 26 Antihemophilic Agent Phenoxybenzamine ...... 27 Aminocaproic Acid ...... 3 ...... 28 Antihemophilic Factor (Recombinant) ...... 3 Succimer ...... 32 Antihemophilic Factor/von Willebrand Factor Complex (Human) ...... 3 Desmopressin ...... 10 Antidote, Extravasation Tranexamic Acid ...... 33 Nitroglycerin ...... 25 Antihemorrhoidal Agent Antidote, Hypoglycemia Dibucaine ...... 11 Dextrose ...... 10 Hydrocortisone (Topical) ...... 18 Glucagon ...... 17 Witch Hazel ...... 35 Oxide ...... 35 ...... 4 Antihepaciviral, NS5A Inhibitor DexAMETHasone (Systemic) ...... 10 Ledipasvir and Sofosbuvir ...... 21 ...... 12 ...... 17 Antihepaciviral, (Anti-HCV) ...... 18 (Systemic) ...... 29 ...... 22 Antihepaciviral, Polymerase Inhibitor (Anti-HCV) ...... 23 Ledipasvir and Sofosbuvir ...... 21 ...... 26 Sofosbuvir ...... 31 Perphenazine ...... 27 ...... 29 Antihepadnaviral, Reverse Transcriptase Inhibitor, Nucleoside ...... 29 (Anti-HBV) ...... 13 Agent ...... 20 Aminocaproic Acid ...... 3 Tranexamic Acid ...... 33 Antihepadnaviral, Reverse Transcriptase Inhibitor, (Anti-HBV) Antiflatulent ...... 2 Aluminum Hydroxide, Magnesium Hydroxide, and Simethicone ...... 3 ...... 32 Simethicone ...... 31 Fumarate ...... 32 Agent, Derivative Antihypertensive Sulfate ...... 20 AMILoride ...... 3 ...... 20 AmLODIPine ...... 3 ...... 28 Amlodipine and Benazepril ...... 3 ...... 32 Atenolol ...... 4 ...... 35 Benazepril ...... 5 Antifungal Agent, Derivative ...... 5 (Oral) ...... 9 ...... 6 Clotrimazole (Topical) ...... 9 Candesartan ...... 6 (Topical) ...... 20 Candesartan and Hydrochlorothiazide ...... 6 (Topical) ...... 23 Captopril ...... 6 ...... 7 Antifungal Agent, Ophthalmic Chlorothiazide ...... 7 ...... 24 Chlorthalidone ...... 7 CloNIDine ...... 8 Antifungal Agent, Oral DilTIAZem ...... 11 ...... 15 Doxazosin ...... 12 ...... 17 Enalapril ...... 12 Isavuconazonium Sulfate ...... 20 ...... 13 Itraconazole ...... 20 Felodipine ...... 15 Posaconazole ...... 28 ...... 16 (Systemic) ...... 32 GuanFACINE ...... 17 Voriconazole ...... 35 HydrALAZINE ...... 18 Antifungal Agent, Oral Nonabsorbed HydroCHLOROthiazide ...... 18 Clotrimazole (Oral) ...... 9 Hydrochlorothiazide and ...... 18 Hydrochlorothiazide and Triamterene ...... 18 Antifungal Agent, Oral Nonabsorbed/Partially Absorbed Indapamide ...... 19 Clotrimazole (Topical) ...... 9 Irbesartan ...... 20 Miconazole (Topical) ...... 23 Irbesartan and Hydrochlorothiazide ...... 20 (Oral) ...... 25 Isosorbide Dinitrate and Hydralazine ...... 20 ...... 20 Antifungal Agent, Parenteral Lisinopril ...... 21 Fluconazole ...... 15 Lisinopril and Hydrochlorothiazide ...... 21 Isavuconazonium Sulfate ...... 20 Losartan ...... 22 Voriconazole ...... 35 Losartan and Hydrochlorothiazide ...... 22 Antifungal Agent, Topical Methyldopa ...... 23 and Clotrimazole ...... 5 Metoprolol ...... 23 ...... 8 (Systemic) ...... 24 Clotrimazole (Topical) ...... 9 Nadolol ...... 24 Ketoconazole (Topical) ...... 20 NIFEdipine ...... 25 Miconazole (Topical) ...... 23 Prazosin ...... 28 ...... 24 Propranolol ...... 29 Nystatin and ...... 25 Ramipril ...... 29 Nystatin (Topical) ...... 25 Spironolactone ...... 32 Terbinafine (Topical) ...... 32 Telmisartan ...... 32 ...... 33 Telmisartan and Hydrochlorothiazide ...... 32 Terazosin ...... 32 Antifungal Agent, Vaginal Torsemide ...... 33 Clotrimazole (Topical) ...... 9 Valsartan ...... 34 Miconazole (Topical) ...... 23 Valsartan and Hydrochlorothiazide ...... 34 Terconazole ...... 32 Verapamil ...... 35 5 ANTI-INFLAMMATORY AGENT

Anti-inflammatory Agent (Liposomal) ...... 9 Balsalazide ...... 5 (Systemic) ...... 16 DexAMETHasone (Systemic) ...... 10 Fluorouracil (Topical) ...... 16 ...... 22 Anti-inflammatory Agent, Ophthalmic ...... 26 DexAMETHasone (Ophthalmic) ...... 10 Antineoplastic Agent, () Anti-inflammatory, Locally Applied ...... 23 Carbamide Peroxide ...... 6 PEMEtrexed ...... 26 Antilipemic Agent, 2-Azetidinone Antineoplastic Agent, Antimetabolite ( Analog) Ezetimibe ...... 15 Mercaptopurine ...... 22 Antilipemic Agent, Antineoplastic Agent, Antimetabolite ( Analog) Cholestyramine Resin ...... 8 ...... 6 Colestipol ...... 9 Cytarabine (Liposomal) ...... 9 Antilipemic Agent, Fibric Acid Fluorouracil (Systemic) ...... 16 Fenofibrate and Derivatives ...... 15 Fluorouracil (Topical) ...... 16 Gemfibrozil ...... 17 Antineoplastic Agent, Aromatase Inhibitor Antilipemic Agent, HMG-CoA Reductase Inhibitor ...... 3 AtorvaSTATin ...... 4 ...... 15 Pravastatin ...... 28 Letrozole ...... 21 ...... 30 Antineoplastic Agent, BCL-2 Inhibitor Simvastatin ...... 31 ...... 34 Antilipemic Agent, Miscellaneous Antineoplastic Agent, BCR-ABL Kinase Inhibitor ...... 25 Dasatinib ...... 10 Antilipemic Agent, Omega-3 Fatty Acids Imatinib ...... 18 Omega-3 Fatty Acids ...... 26 Nilotinib ...... 25 Antimalarial Agent Antineoplastic Agent, Biological Response Modulator and ...... 4 Aldesleukin ...... 2 and ...... 4 Alfa-2b ...... 19 Chloroquine ...... 7 Antineoplastic Agent, BRAF Kinase Inhibitor Hydroxychloroquine ...... 18 Dabrafenib ...... 9 Primaquine ...... 28 QuiNIDine ...... 29 Antineoplastic Agent, Bruton Tyrosine Kinase Inhibitor Tafenoquine ...... 32 Ibrutinib ...... 18 Antimanic Agent Antineoplastic Agent, ...... 7 ...... 33 Lithium ...... 21 Antineoplastic Agent, Epidermal Growth Factor Receptor (EGFR) ...... 25 Inhibitor ...... 30 Valproic Acid and Derivatives ...... 34 Afatinib ...... 2 Erlotinib ...... 13 Antimigraine Agent ...... 17 ...... 11 Lapatinib ...... 20 ...... 12 Antineoplastic Agent, ...... 13 ...... 32 Rizatriptan ...... 30 ...... 33 ...... 32 ...... 35 Antineoplastic Agent, Gonadotropin-Releasing Agonist Antineoplastic Agent ...... 17 Leuprolide ...... 21 Ibrutinib ...... 18 Venetoclax ...... 34 Antineoplastic Agent, Histone Deacetylase (HDAC) Inhibitor Antineoplastic Agent, Alkylating Agent ...... 35 ...... 7 Antineoplastic Agent, Hormone ...... 7 ...... 22 ...... 8 ...... 9 Antineoplastic Agent, Janus Associated Kinase Inhibitor ...... 22 Ruxolitinib ...... 30 Antineoplastic Agent, Alkylating Agent () Antineoplastic Agent, MEK Inhibitor Chlorambucil ...... 7 Trametinib ...... 33 Cyclophosphamide ...... 9 Antineoplastic Agent, Miscellaneous Melphalan ...... 22 Aldesleukin ...... 2 Antineoplastic Agent, Alkylating Agent (Triazene) Hydroxyurea ...... 18 ...... 32 Antineoplastic Agent, Monoclonal Antineoplastic Agent, Anaplastic Lymphoma Kinase Inhibitor Bevacizumab ...... 5 Alectinib ...... 2 Trastuzumab ...... 34 Ceritinib ...... 7 Antineoplastic Agent, mTOR Kinase Inhibitor Crizotinib ...... 9 ...... 15 Antineoplastic Agent, Antiandrogen Antineoplastic Agent, Phosphatidylinositol 3-Kinase Inhibitor Abiraterone Acetate ...... 2 ...... 18 ...... 5 ...... 16 Antineoplastic Agent, Platinum Analog ...... 25 CARBOplatin ...... 7 CISplatin ...... 8 Antineoplastic Agent, Anti-HER2 Lapatinib ...... 20 Antineoplastic Agent, Derivative Trastuzumab ...... 34 ...... 14 Antineoplastic Agent, Antimetabolite Antineoplastic Agent, Retinoic Acid Derivative Capecitabine ...... 6 (Systemic) ...... 5 6

ISOtretinoin (Systemic) ...... 20 Antipsoriatic Agent Tretinoin (Systemic) ...... 34 ...... 17 Antineoplastic Agent, Topoisomerase I Inhibitor Antiretroviral, Integrase Inhibitor (Anti-HIV) Topotecan ...... 33 Abacavir, Dolutegravir, and Lamivudine ...... 2 Antineoplastic Agent, Topoisomerase II Inhibitor Dolutegravir ...... 11 Dolutegravir and Lamivudine ...... 12 Etoposide ...... 14 Dolutegravir and Rilpivirine ...... 12 Antineoplastic Agent, Tyrosine Kinase Inhibitor Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 12 Afatinib ...... 2 Raltegravir ...... 29 Alectinib ...... 2 Antiretroviral, Protease Inhibitor (Anti-HIV) Ceritinib ...... 7 Atazanavir ...... 4 Crizotinib ...... 9 Atazanavir and Cobicistat ...... 4 Dasatinib ...... 10 Darunavir ...... 10 Erlotinib ...... 13 Gefitinib ...... 17 Darunavir and Cobicistat ...... 10 Ibrutinib ...... 18 Darunavir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 10 Imatinib ...... 18 Fosamprenavir ...... 16 Lapatinib ...... 20 Indinavir ...... 19 Nilotinib ...... 25 Lopinavir and ...... 22 PAZOPanib ...... 26 Nelfinavir ...... 24 Regorafenib ...... 29 Ritonavir ...... 30 Ruxolitinib ...... 30 Antiretroviral, Reverse Transcriptase Inhibitor, Non-nucleoside SORAfenib ...... 31 (Anti-HIV) SUNItinib ...... 32 Dolutegravir and Rilpivirine ...... 12 Antineoplastic Agent, Vascular Endothelial Growth Factor (VEGF) ...... 12 Inhibitor Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 12 Bevacizumab ...... 5 Etravirine ...... 15 PAZOPanib ...... 26 Nevirapine ...... 25 Regorafenib ...... 29 Rilpivirine ...... 30 SORAfenib ...... 31 Antiretroviral, Reverse Transcriptase Inhibitor, Nucleoside (Anti- SUNItinib ...... 32 HIV) Agent, Topical Abacavir ...... 2 Permethrin ...... 27 Abacavir and Lamivudine ...... 2 Abacavir, Dolutegravir, and Lamivudine ...... 2 Anti-Parkinson Agent, Anticholinergic Abacavir, Lamivudine, and Zidovudine ...... 2 Benztropine ...... 5 Darunavir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 10 Trihexyphenidyl ...... 34 Dolutegravir and Lamivudine ...... 12 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 12 Anti-Parkinson Agent, COMT Inhibitor Emtricitabine and Tenofovir Alafenamide ...... 12 Entacapone ...... 13 Emtricitabine and Tenofovir Disoproxil Fumarate ...... 12 Levodopa, Carbidopa, and Entacapone ...... 21 Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 12 Anti-Parkinson Agent, Decarboxylase Inhibitor LamiVUDine ...... 20 Carbidopa ...... 7 Lamivudine and Zidovudine ...... 20 Carbidopa and Levodopa ...... 7 Zidovudine ...... 35 Levodopa, Carbidopa, and Entacapone ...... 21 Antiretroviral, Reverse Transcriptase Inhibitor, Nucleotide (Anti- Anti-Parkinson Agent, Dopamine Agonist HIV) ...... 3 Darunavir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 10 Bromocriptine ...... 5 Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 12 ...... 28 Emtricitabine and Tenofovir Alafenamide ...... 12 ...... 30 Emtricitabine and Tenofovir Disoproxil Fumarate ...... 12 Emtricitabine, Rilpivirine, and Tenofovir Alafenamide ...... 12 Anti-Parkinson Agent, Dopamine Precursor Tenofovir Disoproxil Fumarate ...... 32 Carbidopa and Levodopa ...... 7 Levodopa, Carbidopa, and Entacapone ...... 21 Antirheumatic, Disease Modifying ...... 2 Anti-Parkinson Agent, MAO Type B Inhibitor Golimumab ...... 17 Selegiline ...... 30 ...... 21 Anti-Parkinson's Agent, Dopamine Agonist Methotrexate ...... 23 ...... 30 Antirheumatic Miscellaneous Antiplatelet Agent Cyclophosphamide ...... 9 ...... 3 Antiseborrheic Agent, Topical Aspirin ...... 4 Sulfide ...... 30 Aspirin and ...... 4 ...... 8 , Ophthalmic ...... 8 Povidone- (Ophthalmic) ...... 28 Dipyridamole ...... 11 ...... 28 Antiseptic, Topical ...... 33 (Isopropyl) ...... 2 Potassium Iodide and Iodine ...... 28 Antiplatelet Agent, Non-thienopyridine Povidone-Iodine (Topical) ...... 28 Ticagrelor ...... 33 Antiseptic, Vaginal Antiplatelet Agent, Thienopyridine Povidone-Iodine (Topical) ...... 28 Clopidogrel ...... 8 Prasugrel ...... 28 Agent, Gastrointestinal Hyoscyamine, Atropine, Scopolamine, and Phenobarbital ...... 18 Antiprogestin MiFEPRIStone ...... 23 Antispasmodic Agent, Urinary Belladonna and Opium ...... 5 ...... 15 Atovaquone ...... 4 ...... 26 ...... 25 Antithyroid Agent Antiprotozoal, MethIMAzole ...... 23 MetroNIDAZOLE (Systemic) ...... 23 Potassium Iodide ...... 28 7 ANTITHYROID AGENT

Potassium Iodide and Iodine ...... 28 Propranolol ...... 29 ...... 29 Sotalol ...... 31 Antitubercular Agent Beta-Blocker, Beta-1 Selective ...... 14 Atenolol ...... 4 ...... 20 Bisoprolol ...... 5 ...... 29 Metoprolol ...... 23 ...... 29 RifAMPin ...... 30 Beta-Blocker, Nonselective ...... 30 Brimonidine and Timolol ...... 5 Nadolol ...... 24 Antitussive Timolol (Ophthalmic) ...... 33 ...... 5 Codeine ...... 9 Beta-Blocker With Alpha-Blocking Activity ...... 10 Carvedilol ...... 7 Guaifenesin and Codeine ...... 17 Labetalol ...... 20 Guaifenesin and Dextromethorphan ...... 17 Biological, Miscellaneous Antiviral Agent Glatiramer Acetate ...... 17 Acyclovir (Systemic) ...... 2 Biological Response Modulator Amantadine ...... 3 Interferon Alfa-2b ...... 19 Baloxavir Marboxil ...... 5 ...... 15 Derivative Oseltamivir ...... 26 Alendronate ...... 2 ...... 30 Etidronate ...... 14 ValACYclovir ...... 34 Ibandronate ...... 18 ...... 34 Product Derivative Antiviral Agent, Adamantane Antihemophilic Factor/von Willebrand Factor Complex (Human) ...... 3 Amantadine ...... 3 Immune Globulin ...... 18 RiMANTAdine ...... 30 Rho(D) Immune Globulin ...... 29 Antiviral Agent, Ophthalmic Blood Viscosity Reducer Agent (Ophthalmic) ...... 17 ...... 27 ...... 34 -Modifying Agent Antiviral Agent, Oral Denosumab ...... 10 ValACYclovir ...... 34 Calcimimetic Appetite Cinacalcet ...... 8 Dronabinol ...... 12 Calcineurin Inhibitor Megestrol ...... 22 CycloSPORINE (Ophthalmic) ...... 9 Astringent CycloSPORINE (Systemic) ...... 9 Witch Hazel ...... 35 ...... 27 (Systemic) ...... 32 Barbiturate Tacrolimus (Topical) ...... 32 Butalbital, Acetaminophen, and Caffeine ...... 6 Butalbital, Aspirin, and Caffeine ...... 6 Calcitonin Gene-Related Peptide (CGRP) Receptor Antagonist PHENobarbital ...... 27 Erenumab ...... 13 Primidone ...... 28 Calcium Benzodiazepine AmLODIPine ...... 3 ALPRAZolam ...... 3 Amlodipine and Benazepril ...... 3 ChlordiazePOXIDE ...... 7 DilTIAZem ...... 11 CloBAZam ...... 8 Felodipine ...... 15 ClonazePAM ...... 8 NIFEdipine ...... 25 Clorazepate ...... 9 NiMODipine ...... 25 DiazePAM ...... 11 Verapamil ...... 35 LORazepam ...... 22 , Dihydropyridine Midazolam ...... 23 AmLODIPine ...... 3 Oxazepam ...... 26 Amlodipine and Benazepril ...... 3 Temazepam ...... 32 Felodipine ...... 15 Triazolam ...... 34 NIFEdipine ...... 25

Beta2-Adrenergic Agonist NiMODipine ...... 25 Fluticasone, Umeclidinium, and Vilanterol ...... 16 Calcium Channel Blocker, Nondihydropyridine Ipratropium and Albuterol ...... 19 DilTIAZem ...... 11

Beta2-Adrenergic Agonist, Long-Acting Verapamil ...... 35 Fluticasone and Salmeterol ...... 16 Calcium Salt Salmeterol ...... 30 Calcium and Vitamin D ...... 6 Umeclidinium and Vilanterol ...... 34 Calcium Carbonate ...... 6

Beta2 Agonist Calcium Citrate ...... 6 Albuterol ...... 2 Fluticasone and Salmeterol ...... 16 Dronabinol ...... 12 Fluticasone, Umeclidinium, and Vilanterol ...... 16 Levalbuterol ...... 21 Carbonic Anhydrase Inhibitor Salmeterol ...... 30 AcetaZOLAMIDE ...... 2 Tiotropium and Olodaterol ...... 33 ...... 23 Umeclidinium and Vilanterol ...... 34 Carbonic Anhydrase Inhibitor (Ophthalmic) Beta2 Agonist, Long-Acting Brinzolamide and Brimonidine ...... 5 Tiotropium and Olodaterol ...... 33 ...... 12 Dorzolamide and Timolol ...... 12 Beta3 Agonist ...... 24 Cardiac Digoxin ...... 11 Beta-Adrenergic Blocker, Nonselective Dorzolamide and Timolol ...... 12 Cardiovascular Agent, Miscellaneous ...... 21 Ranolazine ...... 29 8 SUPPLEMENT, ORAL

Cathartic (Topical) ...... 15 ...... 31 ...... 15 Flurandrenolide ...... 16 Central Stimulant Hydrocortisone (Topical) ...... 18 Armodafinil ...... 4 Nystatin and Triamcinolone ...... 25 Caffeine ...... 6 Triamcinolone (Topical) ...... 34 Dextroamphetamine ...... 10 Dextroamphetamine and Amphetamine ...... 10 Receptor Blocker ...... 23 MiFEPRIStone ...... 23 ...... 24 Cystic Fibrosis Transmembrane Conductance Regulator Corrector Chelating Agent Lumacaftor and Ivacaftor ...... 22 Deferasirox ...... 10 Cystic Fibrosis Transmembrane Conductance Regulator ...... 26 Potentiator Modulating Agent Lumacaftor and Ivacaftor ...... 22 Leucovorin Calcium ...... 21 Cytochrome P-450 Inhibitor Chloride Channel Activator Atazanavir and Cobicistat ...... 4 ...... 22 Darunavir and Cobicistat ...... 10 Darunavir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 10 Agonist Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide ...... 12 ...... 5 Cevimeline ...... 7 (Systemic) ...... 27 Chlorpheniramine and Pseudoephedrine ...... 7 Oxymetazoline (Nasal) ...... 26 Colony Stimulating Factor Pseudoephedrine ...... 29 Darbepoetin Alfa ...... 9 Epoetin Alfa ...... 13 Depigmenting Agent Filgrastim ...... 15 Fluocinolone, , and Tretinoin ...... 15 Pegfilgrastim ...... 26 Hydroquinone ...... 18 Contraceptive Diagnostic Agent Ethinyl and ...... 14 ...... 16 Ethinyl Estradiol and ...... 14 Glucagon ...... 17 Ethinyl Estradiol and Ethynodiol Diacetate ...... 14 Ethinyl Estradiol and ...... 14 Diagnostic Agent, Ophthalmic Ethinyl Estradiol and ...... 14 Hydroxypropyl Methylcellulose ...... 18 Ethinyl Estradiol and ...... 14 Dietary Supplement Ethinyl Estradiol and Norethindrone ...... 14 Lactobacillus ...... 20 Ethinyl Estradiol and ...... 14 LevOCARNitine ...... 21 Ethinyl Estradiol and ...... 14 Etonogestrel ...... 14 Direct Oral Anticoagulant (DOAC) Levonorgestrel (Systemic) ...... 21 Apixaban ...... 4 ...... 22 Dabigatran Etexilate ...... 9 Norethindrone ...... 25 Rivaroxaban ...... 30 Acetate and Ethinyl Estradiol ...... 30 Disinfectant, Antibacterial (Topical) Ulipristal ...... 34 Sodium Hypochlorite ...... 31 , Carbonic Anhydrase Inhibitor ...... 19 AcetaZOLAMIDE ...... 2 Corticosteroid, Inhalant (Oral) MethazolAMIDE ...... 23 (Oral Inhalation) ...... 5 Diuretic, Loop Fluticasone and Salmeterol ...... 16 Fluticasone (Oral Inhalation) ...... 16 Bumetanide ...... 6 Fluticasone, Umeclidinium, and Vilanterol ...... 16 Ethacrynic Acid ...... 14 Furosemide ...... 16 Corticosteroid, Nasal Torsemide ...... 33 (Nasal) ...... 15 Fluticasone (Nasal) ...... 16 Diuretic, Potassium-Sparing AMILoride ...... 3 Corticosteroid, Ophthalmic Eplerenone ...... 13 DexAMETHasone (Ophthalmic) ...... 10 Hydrochlorothiazide and Triamterene ...... 18 ...... 11 Spironolactone ...... 32 ...... 16 Loteprednol ...... 22 Diuretic, Thiazide (Ophthalmic) ...... 28 Candesartan and Hydrochlorothiazide ...... 6 Chlorothiazide ...... 7 Corticosteroid, Otic HydroCHLOROthiazide ...... 18 Ciprofloxacin and Dexamethasone ...... 8 Hydrochlorothiazide and Spironolactone ...... 18 DexAMETHasone (Ophthalmic) ...... 10 Hydrochlorothiazide and Triamterene ...... 18 Neomycin, Polymyxin B, and Hydrocortisone (Otic) ...... 24 Irbesartan and Hydrochlorothiazide ...... 20 Lisinopril and Hydrochlorothiazide ...... 21 Corticosteroid, Rectal Losartan and Hydrochlorothiazide ...... 22 Hydrocortisone (Topical) ...... 18 Telmisartan and Hydrochlorothiazide ...... 32 Corticosteroid, Systemic Valsartan and Hydrochlorothiazide ...... 34 Budesonide (Systemic) ...... 6 Diuretic, Thiazide-Related DexAMETHasone (Systemic) ...... 10 Chlorthalidone ...... 7 ...... 15 Indapamide ...... 19 Hydrocortisone (Systemic) ...... 18 metOLazone ...... 23 ...... 23 PrednisoLONE (Systemic) ...... 28 ...... 28 Metoclopramide ...... 23 Corticosteroid, Topical Electrolyte Supplement, Oral Betamethasone and Clotrimazole ...... 5 Calcium and Vitamin D ...... 6 Betamethasone (Topical) ...... 5 Calcium Carbonate ...... 6 ...... 8 Magnesium Chloride ...... 22 ...... 10 ...... 22 Fluocinolone, Hydroquinone, and Tretinoin ...... 15 ...... 28 9 ELECTROLYTE SUPPLEMENT, ORAL

Potassium Phosphate and Sodium Phosphate ...... 28 Mucosal Coating Agent ...... 24 Sodium Bicarbonate ...... 31 Sucralfate ...... 32 Electrolyte Supplement, Parenteral Gastrointestinal Agent, Prokinetic Magnesium Chloride ...... 22 Metoclopramide ...... 23 Potassium Chloride ...... 28 Sodium Bicarbonate ...... 31 Gastrointestinal Agents ...... 31 Probiotic ...... 28 Sodium Phosphates ...... 31 General Anesthetic Endonuclease Inhibitor ...... 14 Baloxavir Marboxil ...... 5 FentaNYL ...... 15 ...... 20 Enzyme Pancrelipase ...... 26 Genitourinary Irrigant Acetic Acid (Topical) ...... 2 Enzyme, Topical Debridement Sodium Chloride ...... 31 Collagenase (Topical) ...... 9 ...... 31 Ergot Derivative Glutamate Inhibitor Bromocriptine ...... 5 ...... 30 ...... 6 Dihydroergotamine ...... 11 Glycopeptide Methylergonovine ...... 23 Vancomycin ...... 34 Erythropoiesis-Stimulating Agent (ESA) Gonadotropin Releasing Hormone Agonist Darbepoetin Alfa ...... 9 Goserelin ...... 17 Epoetin Alfa ...... 13 Leuprolide ...... 21 Estrogen and Progestin Combination Estradiol and Levonorgestrel ...... 13 Somatropin ...... 31 (Conjugated/Equine) and Medroxyprogesterone ...... 13 Ethinyl Estradiol and Desogestrel ...... 14 -C (GC-C) Agonist Ethinyl Estradiol and Drospirenone ...... 14 ...... 21 Ethinyl Estradiol and Ethynodiol Diacetate ...... 14 Hematopoietic Agent Ethinyl Estradiol and Etonogestrel ...... 14 Darbepoetin Alfa ...... 9 Ethinyl Estradiol and Levonorgestrel ...... 14 Epoetin Alfa ...... 13 Ethinyl Estradiol and Norelgestromin ...... 14 Filgrastim ...... 15 Ethinyl Estradiol and Norethindrone ...... 14 Pegfilgrastim ...... 26 Ethinyl Estradiol and Norgestimate ...... 14 Ethinyl Estradiol and Norgestrel ...... 14 Hemostatic Agent and Ethinyl Estradiol ...... 30 Aluminum Chloride Hexahydrate ...... 3 Estrogen Derivative Aminocaproic Acid ...... 3 Desmopressin ...... 10 Estradiol (Systemic) ...... 13 Ferric Subsulfate ...... 15 Estradiol (Topical) ...... 13 Estrogens (Conjugated/Equine) and ...... 13 Tranexamic Acid ...... 33 Estrogens (Conjugated/Equine, Systemic) ...... 13 Estrogens (Conjugated/Equine, Topical) ...... 13 (Nasal) ...... 4 Ethanolamine Derivative (Systemic) ...... 7 ...... 11 Chlorpheniramine ...... 7 (Systemic) ...... 11 Chlorpheniramine and Pseudoephedrine ...... 7 ...... 12 ...... 9 DimenhyDRINATE ...... 11 Expectorant DiphenhydrAMINE (Systemic) ...... 11 GuaiFENesin ...... 17 Doxylamine ...... 12 Guaifenesin and Codeine ...... 17 Fexofenadine ...... 15 Guaifenesin and Dextromethorphan ...... 17 HydrOXYzine ...... 18 Guaifenesin and Pseudoephedrine ...... 17 Loratadine ...... 22 Potassium Iodide ...... 28 Meclizine ...... 22 Fiber Supplement (Ophthalmic) ...... 25 Polycarbophil ...... 27 Promethazine ...... 29 Psyllium ...... 29 Histamine H1 Antagonist, First Generation First Generation (Typical) Chlorpheniramine ...... 7 ChlorproMAZINE ...... 7 Chlorpheniramine and Pseudoephedrine ...... 7 ...... 17 Cyproheptadine ...... 9 Perphenazine ...... 27 DimenhyDRINATE ...... 11 Prochlorperazine ...... 29 DiphenhydrAMINE (Systemic) ...... 11 Doxylamine ...... 12 Fumaric Acid Derivative HydrOXYzine ...... 18 ...... 11 Meclizine ...... 22 GABA Agonist/Glutamate Antagonist Promethazine ...... 29 Acamprosate ...... 2 Histamine H1 Antagonist, Second Generation GABA Analog Azelastine (Nasal) ...... 4 Gabapentin ...... 16 Cetirizine (Systemic) ...... 7 Pregabalin ...... 28 Fexofenadine ...... 15 Loratadine ...... 22 -Containing Contrast Agent Olopatadine (Ophthalmic) ...... 25 Gadofosveset ...... 16 Histamine Gallstone Dissolution Agent Famotidine ...... 15 Ursodiol ...... 34 RaNITIdine (Withdrawn From US Market) ...... 29 Gastrointestinal Agent, Miscellaneous Histone Deacetylase Inhibitor Adalimumab ...... 2 Valproic Acid and Derivatives ...... 34 LinaCLOtide ...... 21 Lubiprostone ...... 22 Hormone ...... 23 Calcitonin ...... 6 10 ANTI-INFLAMMATORY (NSAID), COX-2 SELECTIVE

Hormone, Posterior Pituitary , Osmotic Desmopressin ...... 10 Glycerin ...... 17 Lactulose ...... 20 , Miscellaneous 3350 ...... 27 Eszopiclone ...... 13 Polyethylene Glycol-Electrolyte Solution ...... 27 Zaleplon ...... 35 , Potassium Sulfate, and ...... 31 Zolpidem ...... 35 Sorbitol ...... 31 Imidazoline Derivative Laxative, Oxymetazoline (Nasal) ...... 26 ...... 22 Immune Globulin Laxative, Stimulant Immune Globulin ...... 18 ...... 5 Rh (D) Immune Globulin ...... 29 o ...... 30 Immunosuppressant Agent -Receptor Antagonist ...... 4 ...... 24 Cyclophosphamide ...... 9 CycloSPORINE (Ophthalmic) ...... 9 Linear Gadolinium-Based Contrast Agent CycloSPORINE (Systemic) ...... 9 Gadofosveset ...... 16 Everolimus ...... 15 Mercaptopurine ...... 22 , , and ...... 5 Methotrexate ...... 23 (Topical) ...... 9 Mycophenolate ...... 24 Dibucaine ...... 11 Pimecrolimus ...... 27 Lidocaine and ...... 21 ...... 31 Lidocaine (Topical) ...... 21 Tacrolimus (Systemic) ...... 32 Tetracaine (Ophthalmic) ...... 33 Tacrolimus (Topical) ...... 32 Inhalation, Miscellaneous Local Anesthetic, Ophthalmic Proparacaine ...... 29 Inhalation Devices ...... 19 Tetracaine (Ophthalmic) ...... 33 , Combination Lubricant, Ocular Insulin Aspart Protamine and Insulin Aspart ...... 19 Hydroxypropyl Methylcellulose ...... 18 Insulin NPH and Insulin Regular ...... 19 Sodium Chloride ...... 31 Insulin, Intermediate-Acting Analog Insulin NPH ...... 19 Aminocaproic Acid ...... 3 Insulin, Long-Acting Tranexamic Acid ...... 33 Insulin Detemir ...... 19 Magnesium Salt Insulin Glargine ...... 19 Magnesium Chloride ...... 22 Insulin, Rapid-Acting Magnesium Citrate ...... 22 Insulin Aspart ...... 19 Magnesium Hydroxide ...... 22 Insulin Lispro ...... 19 Magnesium Oxide ...... 22 Insulin, Short-Acting Mast Cell Stabilizer Insulin Regular ...... 19 Cromolyn (Systemic) ...... 9 Interferon (Aldosterone) Receptor Antagonists Interferon Alfa-2b ...... 19 Eplerenone ...... 13 Interferon Beta-1a ...... 19 Hydrochlorothiazide and Spironolactone ...... 18 Interferon Beta-1b ...... 19 Spironolactone ...... 32 Peginterferon Alfa-2a ...... 26 Miscellaneous Product Intravenous Nutritional Therapy Diabetic Supplies ...... 10 Dextrose ...... 10 Syringe ...... 32 Media Iohexol ...... 19 Adalimumab ...... 2 Denosumab ...... 10 Iron Preparations Golimumab ...... 17 Ferrous Sulfate ...... 15 Palivizumab ...... 26 Iron Sucrose ...... 20 Polysaccharide-Iron Complex ...... 27 Monoclonal Antibody, CGRP Antagonist Erenumab ...... 13 Irrigant Sodium Chloride ...... 31 mTOR Kinase Inhibitor Everolimus ...... 15 Janus Associated Kinase Inhibitor Sirolimus ...... 31 Ruxolitinib ...... 30 Neprilysin Inhibitor Keratolytic Agent Sacubitril and Valsartan ...... 30 Podofilox ...... 27 Resin ...... 27 Neuraminidase Inhibitor Salicylic Acid ...... 30 Oseltamivir ...... 26 Tazarotene ...... 32 Neuromuscular Blocker Agent, (Topical) ...... 34 IncobotulinumtoxinA ...... 19 Laxative N-Methyl-D-Aspartate (NMDA) Receptor Antagonist Magnesium Hydroxide ...... 22 Dextromethorphan ...... 10 Laxative, Bowel Evacuant ...... 22 Sodium Phosphates ...... 31 Nonsteroidal Anti-inflammatory Drug (NSAID) Laxative, Bulk-Producing Diclofenac (Ophthalmic) ...... 11 Polycarbophil ...... 27 Diclofenac (Systemic) ...... 11 Psyllium ...... 29 Diclofenac (Topical) ...... 11 Laxative, Lubricant Nonsteroidal Anti-inflammatory Drug (NSAID), COX-2 Selective Oil ...... 24 Celecoxib ...... 7 11 NONSTEROIDAL ANTI-INFLAMMATORY DRUG (NSAID), OPHTHALMIC

Nonsteroidal Anti-inflammatory Drug (NSAID), Ophthalmic Antagonist Diclofenac (Ophthalmic) ...... 11 Clopidogrel ...... 8 (Ophthalmic) ...... 16 Prasugrel ...... 28 Ketorolac (Ophthalmic) ...... 20 Ticagrelor ...... 33 Nepafenac ...... 25 Phenylephrine and Ketorolac ...... 27 Analog Teriparatide ...... 33 Nonsteroidal Anti-inflammatory Drug (NSAID), Oral Aspirin ...... 4 Partial Agonist Diclofenac and Misoprostol ...... 11 ...... 34 Diclofenac (Systemic) ...... 11 Pediculocide Etodolac ...... 14 Permethrin ...... 27 Ibuprofen ...... 18 Indomethacin ...... 19 Pentasaccharide, Synthetic Ketorolac (Systemic) ...... 20 Fondaparinux ...... 16 Meloxicam ...... 22 Pharmaceutical Aid Naproxen ...... 24 ...... 22 Oxaprozin ...... 26 White Petrolatum ...... 35 Piroxicam (Systemic) ...... 27 Sulindac ...... 32 Derivative ChlorproMAZINE ...... 7 Nonsteroidal Anti-inflammatory Drug (NSAID), Parenteral Perphenazine ...... 27 Ibuprofen ...... 18 Prochlorperazine ...... 29 Indomethacin ...... 19 Promethazine ...... 29 Ketorolac (Systemic) ...... 20 Meloxicam ...... 22 Phosphate Binder Calcium Carbonate ...... 6 Nonsteroidal Anti-inflammatory Drug (NSAID), Topical Lanthanum ...... 20 Diclofenac (Topical) ...... 11 Sevelamer ...... 31 Norepinephrine Reuptake Inhibitor, Selective Phosphodiesterase-3 ...... 4 Anagrelide ...... 3 NS5A Inhibitor Cilostazol ...... 8 Ledipasvir and Sofosbuvir ...... 21 Phosphodiesterase-4 Enzyme Inhibitor NS5B RNA Polymerase Inhibitor Roflumilast ...... 30 Ledipasvir and Sofosbuvir ...... 21 Phosphodiesterase-5 Enzyme Inhibitor Sofosbuvir ...... 31 ...... 31 Nutritional Supplement Phosphodiesterase Enzyme Inhibitor, Nonselective Fluoride ...... 16 Caffeine ...... 6 Ophthalmic Agent ...... 33 Brolucizumab ...... 5 Derivative Ophthalmic Agent, Antiglaucoma Cetirizine (Systemic) ...... 7 AcetaZOLAMIDE ...... 2 HydrOXYzine ...... 18 (Ophthalmic) ...... 5 Meclizine ...... 22 ...... 5 Piperidine Derivative Brimonidine and Timolol ...... 5 Cyproheptadine ...... 9 Brimonidine (Ophthalmic) ...... 5 Fexofenadine ...... 15 Brinzolamide and Brimonidine ...... 5 Loratadine ...... 22 Dorzolamide ...... 12 Olopatadine (Ophthalmic) ...... 25 Dorzolamide and Timolol ...... 12 ...... 20 Potassium Binder Levobunolol ...... 21 Patiromer ...... 26 MethazolAMIDE ...... 23 and Latanoprost ...... 25 Potassium Channel Blocker Pilocarpine (Ophthalmic) ...... 27 Dalfampridine ...... 9 Timolol (Ophthalmic) ...... 33 Probiotic Ophthalmic Agent, Miotic Lactobacillus ...... 20 Pilocarpine (Ophthalmic) ...... 27 Progestin Ophthalmic Agent, Miscellaneous Etonogestrel ...... 14 Artificial Tears ...... 4 HYDROXYprogesterone Caproate ...... 18 Carboxymethylcellulose ...... 7 Levonorgestrel (Systemic) ...... 21 MedroxyPROGESTERone ...... 22 Ophthalmic Agent, Mydriatic Megestrol ...... 22 Atropine (Ophthalmic) ...... 4 Norethindrone ...... 25 Cyclopentolate and Phenylephrine ...... 9 ...... 29 Homatropine ...... 17 Phenylephrine and Ketorolac ...... 27 Progestin Phenylephrine (Ophthalmic) ...... 27 Ulipristal ...... 34 ...... 34 Ophthalmic Agent, Toxin Alprostadil ...... 3 IncobotulinumtoxinA ...... 19 Diclofenac and Misoprostol ...... 11 MiSOPROStol ...... 24 Naloxone ...... 24 Prostaglandin, Ophthalmic Naltrexone ...... 24 Bimatoprost ...... 5 Latanoprost ...... 20 Opioid Antagonist, Peripherally-Acting Netarsudil and Latanoprost ...... 25 Methylnaltrexone ...... 23 Protectant, Topical Otic Agent, Anti-infective Aluminum Hydroxide ...... 3 Acetic Acid (Otic) ...... 2 Menthol and Zinc Oxide (Topical) ...... 22 Otic Agent, Cerumenolytic Proton Pump Inhibitor Carbamide Peroxide ...... 6 ...... 26 12 TRANSIENT RECEPTOR POTENTIAL VANILLOID 1 (TRPV1) AGONIST

Pantoprazole ...... 26 Smoking Cessation Aid RABEprazole ...... 29 BuPROPion ...... 6 Psoralen Nicotine ...... 25 Varenicline ...... 34 Methoxsalen (Systemic) ...... 23 Radiological/Contrast Media, Nonionic (High Osmolality) Sodium-Glucose Cotransporter 2 (SGLT2) Inhibitor Empagliflozin ...... 12 Iohexol ...... 19 Empagliflozin and Metformin ...... 12 Radiological/Contrast Media, Nonionic (Low Osmolality) Sodium Salt Gadofosveset ...... 16 Sodium Chloride ...... 31 Iohexol ...... 19 Radiological/Contrast Media, Paramagnetic Agent Somatostatin Analog Octreotide ...... 25 Gadofosveset ...... 16 1-Phosphate (S1P) Receptor Modulator ...... 15 Aliskiren ...... 3 Rescue Agent (Chemotherapy) , Synthetic ...... 28 Leucovorin Calcium ...... 21 Retinoic Acid Derivative Stool Softener ...... 11 Adapalene ...... 2 Fluocinolone, Hydroquinone, and Tretinoin ...... 15 /Neurokinin 1 Receptor Antagonist ISOtretinoin (Systemic) ...... 20 Aprepitant ...... 4 Tazarotene ...... 32 Tretinoin (Systemic) ...... 34 Substituted Tretinoin (Topical) ...... 34 Omeprazole ...... 26 Pantoprazole ...... 26 -Like Compound RABEprazole ...... 29 Acitretin ...... 2 Sympathomimetic Rho Kinase Inhibitor Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 Netarsudil and Latanoprost ...... 25 MethIMAzole ...... 23 Rifabutin ...... 29 Propylthiouracil ...... 29 RifAMPin ...... 30 Rifapentine ...... 30 Product ...... 30 ...... 21 ...... 21 Salicylate Thyroid, Desiccated ...... 33 Aspirin ...... 4 ...... 30 Tissue-Selective Estrogen Complex (TSEC) Estrogens (Conjugated/Equine) and Bazedoxifene ...... 13 Scabicidal Agent Permethrin ...... 27 Topical Skin Product Aluminum Acetate ...... 3 Second Generation (Atypical) Antipsychotic Aluminum Chloride Hexahydrate ...... 3 ...... 4 Benzoyl Peroxide ...... 5 ...... 9 Calamine ...... 6 ...... 22 Calcipotriene ...... 6 OLANZapine ...... 25 Camphor and Menthol ...... 6 ...... 29 Capsaicin ...... 6 RisperiDONE ...... 30 Cleansing Lotion ...... 8 ...... 35 Clindamycin and Benzoyl Peroxide ...... 8 and Salicylic Acid ...... 9 Emollients ...... 12 Acetaminophen, Isometheptene, and Dichloralphenazone ...... 2 Erythromycin (Topical) ...... 13 Selective 5-HT3 Receptor Antagonist Fluorouracil (Topical) ...... 16 Granisetron ...... 17 ...... 18 Ondansetron ...... 26 and Ammonium Hydroxide ...... 20 Menthol and Zinc Oxide (Topical) ...... 22 Selective Modulator (SERM) Pimecrolimus ...... 27 Estrogens (Conjugated/Equine) and Bazedoxifene ...... 13 Podofilox ...... 27 ...... 29 Povidone-Iodine (Topical) ...... 28 Tamoxifen ...... 32 Selenium Sulfide ...... 30 Toremifene ...... 33 Tacrolimus (Topical) ...... 32 Urea (Topical) ...... 34 Serotonin 5-HT1B, 1D Receptor Agonist Eletriptan ...... 12 Vitamin A and Vitamin D (Topical) ...... 35 Rizatriptan ...... 30 White Petrolatum ...... 35 SUMAtriptan ...... 32 Zinc Oxide ...... 35 ZOLMitriptan ...... 35 Topical Skin Product, Acne Adapalene ...... 2 Serotonin 5-HT4 Receptor Agonist Metoclopramide ...... 23 ...... 4 Benzoyl Peroxide ...... 5 Skeletal Clindamycin and Benzoyl Peroxide ...... 8 ...... 5 Clindamycin (Topical) ...... 8 Chlorzoxazone ...... 8 Erythromycin (Topical) ...... 13 ...... 9 Salicylic Acid ...... 30 Dantrolene ...... 9 Sulfacetamide (Topical) ...... 32 Metaxalone ...... 23 Tazarotene ...... 32 Methocarbamol ...... 23 Tretinoin (Topical) ...... 34 Skin and Agent Trace Element Imiquimod ...... 18 Zinc Sulfate ...... 35 Skin and Mucous Membrane Agent, Miscellaneous Transient Receptor Potential Vanilloid 1 (TRPV1) Agonist Emollients ...... 12 Capsaicin ...... 6 13 TUMOR FACTOR (TNF) BLOCKING AGENT

Tumor Necrosis Factor (TNF) Blocking Agent Adalimumab ...... 2 Golimumab ...... 17 Uricosuric Agent Probenecid ...... 28 Urinary Tract Product ...... 33 Influenza Vaccine (Inactivated) ...... 19 Influenza Virus Vaccine (Live/Attenuated) ...... 19 Typhoid Vaccine ...... 34 Vaccine, Inactivated (Bacterial) Typhoid Vaccine ...... 34 Vaccine, Inactivated (Viral) Influenza Virus Vaccine (Inactivated) ...... 19 Vaccine, Live (Bacterial) Typhoid Vaccine ...... 34 Vaccine, Live (Viral) Influenza Virus Vaccine (Live/Attenuated) ...... 19 Vascular Endothelial Growth Factor (VEGF) Inhibitor Bevacizumab ...... 5 Brolucizumab ...... 5 SUNItinib ...... 32 Vasodilator Alprostadil ...... 3 Cilostazol ...... 8 Dipyridamole ...... 11 HydrALAZINE ...... 18 Isosorbide Dinitrate ...... 20 Isosorbide Dinitrate and Hydralazine ...... 20 Isosorbide Mononitrate ...... 20 Nitroglycerin ...... 25 Vasodilator, Direct-Acting Minoxidil (Systemic) ...... 24 Analog, Synthetic Desmopressin ...... 10 Vitamin Vitamin B Complex Combinations ...... 35 (Multiple/Oral) ...... 35 Vitamins (Multiple/Pediatric) ...... 35 Vitamins (Multiple/Prenatal) ...... 35 Vitamin D Analog Calcipotriene ...... 6 Calcitriol (Systemic) ...... 6 Cholecalciferol ...... 8 Ergocalciferol ...... 13 Vitamin, Fat Soluble Calcium and Vitamin D ...... 6 Phytonadione ...... 27 Vitamin A ...... 35 Vitamin, Water Soluble Ascorbic Acid ...... 4 Cyanocobalamin ...... 9 Folic Acid ...... 16 Leucovorin Calcium ...... 21 Niacin ...... 25 Pyridoxine ...... 29 Thiamine ...... 33 Oxidase Inhibitor Allopurinol ...... 3 14