2021 California Advantage Large Group 3-Tier HMO and PPO Prescription Drug List

Pharmacy | PDL | California

Please note: This Prescription Drug List (PDL) is accurate as of September 1, 2021 and is subject to change after this date. All previous versions of this PDL are no longer in effect. Your estimated coverage and copay/coinsurance may vary based on the benefit plan you choose and the effective date of the plan.

This PDL can also be accessed online at myuhc.com > Pharmacy Information > Prescription Drug Lists > California plans > Large Group - Advantage. Plan-specific coverage documents may be accessed online at uhc.com/statedruglists > Large Group Plans > California. If you are a UnitedHealthcare member, please register or log on to myuhc.com, or call the toll-free number on your health plan ID card to find pharmacy information specific to your benefit plan. This PDL is applicable to the following health insurance products offered by UnitedHealthcare: • Navigate • Options PPO • Navigate Plus • Non-Differential PPO • Choice • SignatureValue • Choice Plus • SignatureValue Advantage • Select • SignatureValue Alliance • Select Plus • SignatureValue Focus • Core • SignatureValue Harmony • Core Essential • Doctors Plan

Please refer to your ID card for plan type (HMO or PPO).

Updated 7/13/2021

At UnitedHealthcare, we want to help you better understand your medication options...... 3

How do I use my PDL? ...... 4

What are tiers? ...... 5

When does the PDL change? ...... 5

Utilization Management Programs ...... 6

Your Right to Request Access to a Non-formulary Drug ...... 6

Requesting a Prior Authorization or Step Therapy Exception ...... 7

How do I locate and fill a prescription through a retail network pharmacy? ...... 7

How do I locate and fill a prescription through the mail order pharmacy? ...... 7

How do I locate and fill a prescription at a specialty pharmacy? ...... 8

How do I get updated information about my pharmacy benefit? ...... 8

Nondiscrimination notice and access to communication services ...... 9

Prescription Drug List ...... 13

2 At UnitedHealthcare, we want to help you better understand your medication options. Your pharmacy benefit offers flexibility and choice in determining the right medication for you. To help you get the most out of your pharmacy benefit, we’ve included some of the most commonly used terms and their definitions as well as frequently asked questions: Brand-name drug means a Prescription Drug Product (1) which is manufactured and marketed under a trademark or name by a specific drug manufacturer; or (2) that we identify as a brand-name product, based on available data resources. This includes data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “brand-name” by the manufacturer, pharmacy, or your Physician will be classified as brand-name by us. A brand- name drug is listed in this PDL in all CAPITAL letters. Coinsurance means a percentage of the cost of a covered health care benefit that you pay after you have paid the deductible, if a deductible applies to the health care benefit. Copayment means a fixed dollar amount that you pay for a covered health care benefit after you have paid the deductible, if a deductible applies to the health care benefit. Deductible means the amount you pay for covered health care benefits that are subject to the deductible before your health insurer begins to pay. If your health insurance policy has a deductible, it may have either 1 deductible or separate deductibles for medical benefits and prescription drug benefits. After you pay your deductible, you usually pay only a copayment or coinsurance for covered health care benefits. Your insurance company pays the rest. Drug Tier means a group of Prescription Drug Products that correspond to a specified cost sharing tier in your health insurance policy. The drug tier in which a Prescription Drug Product is placed determines your portion of the cost for the drug. Enrollee is a person enrolled in a health plan who is entitled to receive services from the plan. All references to enrollees in this formulary template shall also include subscribers as defined in this section below. Exception request means a request for coverage of a non-formulary drug. If you, your designee, or your prescribing health care provider submits a request for coverage of a non-formulary drug, your insurer must cover the non-formulary drug when it is medically necessary for you to take the drug. Exigent circumstances means when you are suffering from a medical condition that may seriously jeopardize your life, health, or ability to regain maximum function, or when you are undergoing a current course of treatment using a non-formulary drug. Formulary or Prescription Drug List (PDL) means a list that categorizes into tiers medications or products that have been approved by the U.S. Food and Drug Administration (FDA). This list is subject to our periodic review and modification (generally quarterly, but no more than 6 times per calendar year). Generic drug means a Prescription Drug Product: (1) that is chemically equivalent to a brand-name drug; or (2) that we identify as a generic product based on available data resources. This includes data sources such as Medi-Span, that classify drugs as either brand or generic based on a number of factors. Not all products identified as a “generic” by the manufacturer, pharmacy or your Physician will be classified as a generic by us. A generic drug is listed in this PDL in bold and italicized lowercase letters. Non-formulary drug means a Prescription Drug Product that is not listed on this PDL. Out-of-pocket costs means your expenses for health care benefits that aren’t reimbursed by your health insurance. Out-of- pocket costs include deductibles, copayments and coinsurance for covered health care benefits, plus all costs for health care benefits that are not covered. Prescribing provider means a health care provider who can write a prescription for a drug to diagnose, treat, or prevent a medical condition. Prescription means an oral, written, or electronic order from a prescribing provider authorizing a Prescription Drug Product to be provided to a specific individual. Prescription Drug Product means a medication or product that has been approved by the U.S. Food and Drug Administration (FDA) and that can, under federal or state law, be dispensed only according to a Prescription Order or Refill. A Prescription Drug Product includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. We will provide coverage for a Prescription Drug Product which includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. This definition includes: Inhalers (with spacers);

3 Insulin; the following diabetic supplies: standard insulin syringes with needles; blood-testing strips - glucose; urine-testing strips - glucose; ketone-testing strips and tablets; lancets and lancet devices; and glucose meters (including continuous glucose monitors [applies to PPO plans only]); disposable devices which are medically necessary for the administration of a covered outpatient Prescription Drug Product. Benefits also include FDA-approved contraceptive drugs, devices and products available over-the-counter when prescribed by a Network provider. Prior Authorization means a process by your health insurer to determine that a health care benefit is medically necessary for you. If a Prescription Drug Product is subject to prior authorization in this PDL, your prescribing provider must request approval from your health insurer to cover the drug. Your health insurer must grant a prior authorization request when it is medically necessary for you to take the drug. Step therapy means a specific sequence in which Prescription Drug Products for a particular medical condition must be tried. If a drug is subject to step therapy in this PDL, you may have to try 1 or more other drugs before your health insurance policy will cover that drug for your medical condition. If your prescribing provider submits a request for an exception to the step therapy requirement, your health insurer must grant the request when it is medically necessary for you to take the drug. Subscriber means the person who is responsible for payment to a plan or whose employment or other status, except for family dependency, is the basis for eligibility for membership in the plan. How do I use my PDL? When choosing a medication, you and your doctor should consult the PDL. It will help you and your doctor choose the most cost-effective prescription drugs. This guide tells you if special programs apply. Bring this list with you when you see your doctor. It is organized by therapeutic category and class. The therapeutic category and class are based on the American Hospital Formulary Service (AHFS) Pharmacologic-Therapeutic Classification. You may also find a drug by its brand or generic name in the alphabetical index. If a generic equivalent for a brand-name drug is not available on the market or is not covered, the drug will not be separately listed by its generic name. This is the way Prescription Drug Products appear in the PDL: 1. A drug is listed alphabetically by its brand and generic names in the therapeutic category and class to which it belongs; 2. The generic name for a brand-name drug is included after the brand-name in parentheses and all lowercase bold and italicized letters; 3. If a generic equivalent for a brand-name drug is both available and covered, the generic drug will be listed separately from the brand-name drug in all lowercase bold and italicized letters; and 4. If a generic drug is marketed under a proprietary, trademark-protected brand-name, the brand-name will be listed after the generic name in parentheses and regular typeface with the first letter of each word capitalized. Example:

Prescription Drug Name Drug Tier Coverage Requirements & Limits AVAPRO ORAL TABLET 150 MG, 300 MG, 75 MG (irbesartan) 3 irbesartan oral tablet 150 mg, 300 mg, 75 mg 1

If your medication is not listed in this document, please visit myuhc.com or call the toll-free member phone number on your health plan ID card. Below is a list of drug tier numbers, abbreviations and designations used in the PDL as well as an explanation for each.

Drug Tier 1 Your lowest cost medications H-N May be part of health care reform preventive when used for appropriate Drug Tier 2 Your mid-range cost medications preventive purposes Drug Tier 3 Your highest cost medications SP Specialty medication PA Prior authorization required CM Orally administered anti-cancer medication SL Supply Limit M May be covered under the medical benefit with prior authorization for HMO plans ST Step Therapy SMCS Specialty medication cost share may apply H May be part of health care reform preventive (for HMO plans, does not apply to injectables covered under the medical benefit)

4 What are tiers? Tiers are the different cost levels you pay for a medication. Each tier is assigned a cost, which is determined by your employer or health plan. This is how much you will pay when you fill a prescription. Tier 1 medications are your lowest-cost options. If your medication is placed in Tier 2, 3 or 4, look to see if there is a Tier 1 option available. Discuss these options with your doctor. For orally administered anti-cancer medications on any Tier, the total amount of copayments and/or coinsurance shall not exceed $250 for an individual prescription of up to a 30-day supply. For high deductible health plans, the $250 maximum only applies once the deductible has been met. Check your benefit plan documents to find out your specific pharmacy plan costs, including any maximum dollar amount of cost sharing that may apply to a drug. Preferred medications are found in Tier 1, Tier 2 or Tier 3 and may vary depending on the medication and the condition it treats.

$ Drug Tier Includes Helpful Tips Tier 1 Medications that provide the highest Use Tier 1 drugs for the lowest out-of- $ Your lowest cost overall value. Mostly generic drugs. Some pocket costs. brand-name drugs may also be included.

Tier 2 Medications that provide good overall Use Tier 2 drugs instead of Tier 3 to $$ Your mid-range cost value. A mix of brand-name and help reduce your out-of-pocket costs. generic drugs.

Tier 3 Medications that provide the lowest Many Tier 3 drugs have lower-cost $$$ Your highest cost overall value. Mostly brand-name drugs, options in Tier 1 or 2. Ask your doctor as well as some generics. if they could work for you.

Please note: If you have a high deductible plan, the tier cost levels may apply once you reach your deductible. Refer to your enrollment and plan materials on myuhc.com, or call the toll-free number on your health plan ID card for more information about your benefit plan. For HMO plans, please reference your Schedule of Benefits for costs associated with medications covered under the medical benefit. For information related to specialty medication cost share, please refer to the Specialty Medication Cost Share (SMCS) section below.

When does the PDL change? This PDL is required to be updated on a monthly basis. • Medications may move to a lower tier at any time. • Medications may move to a higher tier when a generic becomes available. • Medications may move to a higher tier or become non-formulary most often on Jan. 1, May 1, or Sept. 1. • Medications may become subject to new or revised utilization management procedures, such as prior authorization, step therapy or supply limits, at any time but most often upon FDA approval of the medication or its generic, Jan. 1, May 1, or Sept. 1. When a medication changes tiers, you may have to pay a different amount for that medication. The presence of a Prescription Drug Product on the PDL does not guarantee that you will be prescribed that Prescription Drug Product by your provider for a particular medical condition.

5 Utilization Management Programs

Prior authorization required—Your doctor is required to provide additional information to us to determine coverage. For specific prior authorization requirements, please refer to your Evidence of Coverage. Supply limit—Amount of medication covered per copayment or in a specific time period. Step therapy—Requires you to try 1 or more other medications before the medication you are requesting may be covered. For specific step therapy requirements, please refer to your Evidence of Coverage. Health Care Reform Preventive when used for appropriate preventive purposes—This medication is part of a health care reform preventive benefit and may be available at no cost to you when used for appropriate preventive purposes. For more information, please refer to the California Advantage and Essential HMO and PPO Prescription Drug List (PDL) PPACA $0 Cost-Share Preventive Care Medications list. Designated specialty program—For certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Prescription Drug Products, which are identified in the Coverage Requirements and Limits column of the Prescription Drug List (PDL). If you choose not to obtain your Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program by contacting us at myuhc.com or the telephone number on your ID card. Specialty Medication Cost Share (SMCS)—Specialty medication cost share may apply. Please refer to the Pharmacy Schedule of Benefits for specific cost share. For HMO plans, does not apply to injectable medications covered under the medical benefit.

To learn more about a pharmacy program or to find out if it applies to you, please visit myuhc.com or call the toll-free member phone number on your health plan ID card. If you are a pre-enrollee and you would like to learn more about your specific pharmacy benefit, please contact your employer. Drugs administered by a health care professional are generally covered under the medical benefit while drugs that are self- administered are covered under the pharmacy benefit. In order to obtain medical benefits for drugs that are administered by a health care professional, your provider may also be required to obtain a prior authorization. The provider may contact UnitedHealthcare for more information or uhcprovider.com. Your Right to Request Access to a Non-formulary Drug This plan must cover all Medically Necessary Prescription Drug Products. When a Prescription Drug Product is not on our PDL, you or your representative may request an exception to gain access to that Prescription Drug Product. To make a request, contact us in writing or call the toll-free number on your ID card. We will notify you of our determination within 72 hours. If approved, we will cover the Prescription Drug Product for the duration of the prescription, including refills.

Urgent Requests If your request requires immediate action and a delay could significantly increase the risk to your health, or the ability to regain maximum function, call us as soon as possible. We will provide a written or electronic determination within 24 hours. If approved, we will cover the Prescription Drug Product for the duration of the exigency.

External Review If you are not satisfied with our determination of your exception request, you may be entitled to request an external review. You or your representative may request an external review by sending a written request to us to the address set out in the determination letter or by calling the toll-free number on your ID card. The Independent Review Organization (IRO) will notify you of its determination within 72 hours.

Expedited External Review If you are not satisfied with our determination of your exception request and it involves an urgent situation, you or your representative may request an expedited external review by calling the toll-free number on your ID card or by sending a written request to the address set out in the determination letter. The IRO will notify you of our determination within 24 hours. If we deny your exception request, you may appeal. Please refer to your Evidence of Coverage for details. The complaint and appeals process, including independent review, is described under Section 6: Questions, Complaints and Appeals. You may also call the telephone number listed on your identification (ID) card.

6 Requesting a Prior Authorization or Step Therapy Exception Before certain Prescription Drug Products are dispensed to you, your prescribing provider or your pharmacist is required to obtain prior authorization or step therapy exception from us. Your prescribing provider can submit a request by phone to OptumRx or electronically by contacting us at uhcprovider.com. The Prior Authorization staff of qualified pharmacists and technicians is available Monday – Friday from 5 a.m. – 10 p.m. PST and Saturday from 6 a.m. – 3 p.m. PST to assist licensed physicians. Most authorizations are completed within 24 hours. The most common reason for delay in the authorization process is insuﬃcient information. Your licensed physician may need to provide information on diagnosis and medication history and/or evidence in the form of documents, records or lab tests which establish that the use of the requested Prescription Drug Product meets plan criteria. You may determine whether a particular Prescription Drug Product is subject to prior authorization or step therapy requirements by going online at myuhc.com or by calling at the toll-free phone number on the back of your health plan ID card. If you are changing policies, we will not require you to repeat step therapy when you are already being treated for a medical condition by a Prescription Drug Product provided the Prescription Drug Product is appropriately prescribed and considered safe and effective for your medical condition. However, we may impose a prior authorization requirement for the continued coverage of a Prescription Drug Product prescribed pursuant to step therapy requirements imposed by the former policy. Your prescribing provider may also prescribe another Prescription Drug Product covered under your policy that is medically appropriate for your medical condition. If you are currently taking a Prescription Drug Product which was approved by UnitedHealthcare for a specific medical condition and that drug is removed from the Prescription Drug List (PDL) and the prescribing provider continues to prescribe the Prescription Drug Product for your medical condition, we will continue to cover the Prescription Drug Product provided that the drug is appropriately prescribed and is considered safe and effective for treating your medical condition. In the case of a standard prior authorization or step therapy exception request, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 72 hours following receipt of the request. In the case of an expedited prior authorization or step therapy exception request based on exigent circumstances, we will notify you, your designee, or your prescribing provider of the Benefit determination no later than 24 hours following receipt of the request. If we fail to respond to you, your designee, or your prescribing provider within the prescribed time limits, the request is deemed approved and we may not deny the request thereafter. If you disagree with a determination, you can request an appeal. The complaint and appeals process, including independent medical review, is described in the Evidence of Coverage under Section 6: Questions, Complaints and Appeals. You may also call at the telephone number on your ID card.

How do I locate and fill a prescription through a retail network pharmacy? UnitedHealthcare has a well-established network of pharmacies including most major pharmacy and supermarket chains as well as many independent pharmacies. For a listing of network pharmacies, call the toll-free phone number on your health plan ID card to help locate a network pharmacy near you or visit our website at myuhc.com for an up-to-date list.

How do I locate and fill a prescription through the mail order pharmacy? UnitedHealthcare offers a Mail Order Pharmacy Program through OptumRx®. Here’s how to fill prescriptions through the Mail Order Pharmacy Program. 1. Call your prescribing provider to obtain a new prescription for each medication. When you call, ask the Physician to write the prescription for a 90-day supply which represents 3 prescription units with up to 3 additional refills. The doctor will tell you when to pick up the written prescription. (Note: OptumRx must have a new prescription to process any new Mail Order request.)

7 2. After picking up the prescription, complete the Mail Order Form included in your enrollment materials. (To obtain additional forms or for assistance in completing the form, contact UnitedHealthcare’s Customer Service Department by calling the telephone number on the back of your ID card. You can also find the form atoptumrx.com .) 3. Enclose the prescription and appropriate copayment via check, money order, or credit card. Your Pharmacy Schedule of Benefits will have the applicable copayment for the Mail Order Pharmacy Program. Make the check or money order payable to OptumRx. No cash please. Important Tip: If you are starting a new Prescription Drug Product, please request 2 prescriptions from your physician. Have 1 filled immediately at a network pharmacy while mailing the second prescription to UnitedHealthcare’s Mail Order Pharmacy. Once you receive your medication through the Mail Order Pharmacy Program, you should stop filling the prescription at the network pharmacy.

How do I locate and fill a prescription at a specialty pharmacy? Call the phone number on the back of your health plan ID card or visit specialty.optumrx.com to locate a designated specialty pharmacy for your medication.

Designated Pharmacies If you require certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Specialty Prescription Drug Products. There are both retail and mail pharmacies in the Designated Pharmacy network. Note that not all contracted retail pharmacies are in the Designated Pharmacy network. Only retail pharmacies that are in the Designated Pharmacy network will provide access to these Specialty Prescription Drug Products. If you choose not to obtain your Specialty Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program through the Internet at myuhc.com or by calling the telephone number on your ID card. If you want to opt-out of the program and fill your Specialty Prescription Drug Product at a non-Designated Pharmacy but do not inform us, you will be responsible for the entire cost of the Specialty Prescription Drug Product and no Benefits will be paid. In urgent or emergent circumstances, you may contact Customer Service by calling the telephone number on the back of your ID card. This will allow you access to the retail network override process and allow the urgent or emergent prescription claim to pay at your local pharmacy for same day access if they have the Prescription Drug Product available.

How do I get updated information about my pharmacy benefit? Since the PDL may change during your plan year, we encourage you to visit myuhc.com or call the toll-free member phone number on your health plan ID card for more current information.

Log in to myuhc.com for the following pharmacy information and tools: • Pharmacy benefit and coverage information • Possible lower-cost medication options • Medication interactions and side effects • Participating retail pharmacies by ZIP code • Your prescription history

And, if mail order services are included in your pharmacy benefit, you can also: • Refill prescriptions • Check the status of your order • Set up reminders for refills • Manage your account

Learn more Call the toll-free member phone number on your health plan ID card, or visit myuhc.com.

8 Nondiscrimination notice and access to communication services UnitedHealthcare Services, Inc. on behalf of itself and its affiliates does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. If you think you were treated unfairly for any of these reasons, you can send a complaint to: Online: [email protected] Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UT 84130 You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll- free phone number listed on your ID card. If you think you were treated unfairly because of your race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can also send a complaint to the California Department of Managed Health Care: DMHC California Help Center 980 9th Street, Suite 500 Sacramento, CA 95814-2725 1-888-HMO-2219 (1-888-466-2219) 1-800-735-2929 or 1-888-877-5378 (TTY) Internet Website: www.hmohelp.ca.gov If you think you were treated unfairly because of your sex, age, race, color, national origin, or disability, you can also file a complaint with the U.S. Dept. of Health and Human Services: Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

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Chinese 重要語言資訊：您可能有資格享有下列權利並取得下列服務。您可以免費獲取口譯員或翻譯服務。部分語言亦備有免費書面資訊。如需取得您語言的協助，請撥打下列電話與您的健保計畫聯絡： UnitedHealthcare of California 1-800-624-8822 / 聽力語言殘障服務專線 (TTY)：711。若您需要更多協助，請撥打 HMO 協助專線 1-888-466-2219。

Armenian ԿԱՐԵՎՈՐ ԼԵԶՎԱԿԱՆ ՏԵՂԵԿՈՒԹՅՈՒՆ՝ Հավանական է, որ Ձեզ հասանելի լինեն հետևյալ իրավունքներն ու ծառայությունները: Կարող եք ստանալ բանավոր թարգմանչի կամ թարգմանության անվճար ծառայություններ: Հնարավոր է, որ մի շարք լեզուներով նաև առկա լինի անվճար գրավոր տեղեկություն: Ձեր լեզվով օգնություն ստանալու համար խնդրում ենք զանգահարել Ձեր առողջապահական ծրագիր՝ UnitedHealthcare of California 1-800-624-8822 / TTY 711 համարով: Հավելյալ օգնության կարիքի դեպքում, զանգահարեք HMO-ի Օգնության հեռախոսագիծ 1-888-466-2219 համարով:

10 Hmong COV NTAUB NTAWV LUS TSEEM CEEB: Tej zaum koj yuav muaj cai rau cov cai pab cuam hauv qab no. Koj tuaj yeem tau txais ib tug kws txhais lus los sis txhais ntawv pub dawb. Cov ntaub ntawv sau no muaj sau ua qee yam ntaub ntawv pub dawb rau sawd daws. Yuav tau txais kev cov ntaub ntawv sau ua koj lus, thov hu rau qhov chaw npaj kho mob rau ntawm: UnitedHealthcare of California 1-800-624-8822 / TTY: 711. Yog koj xav tau kev pab ntxiv, hu rau HMO Help Line ntawm tus xov tooj 1-888-466-2219.

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11 Russian :

12 Table of Contents of Prescription Drug List Informational Section...... 1 ANTIHISTAMINE DRUGS - Drugs for Allergy...... 13 ANTI-INFECTIVE AGENTS - Drugs for Infections...... 15 ANTINEOPLASTIC AGENTS - Drugs for Cancer ...... 35 ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES - DRUGS FOR THE IMMUNE SYSTEM...... 43 AUTONOMIC DRUGS - Drugs for the Nervous System ...... 46 BLOOD FORMATION, COAGULATION, THROMBOSIS - Drugs for the Blood ...... 55 CARDIOVASCULAR DRUGS - Drugs for the Heart...... 64 CENTRAL NERVOUS SYSTEM AGENTS - Drugs for the Nervous System ...... 83 DENTAL AGENTS - Oral Care ...... 118 DEVICES - Medical Supplies and Durable Medical Equipment...... 119 DIAGNOSTIC AGENTS...... 122 DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants ...... 123 ELECTROLYTIC, CALORIC, AND WATER BALANCE ...... 123 ENZYMES...... 129 EYE, EAR, NOSE AND THROAT (EENT) PREPS...... 130 GASTROINTESTINAL DRUGS ...... 140 GASTROINTESTINAL DRUGS - Drugs for the Stomach ...... 140 GOLD COMPOUNDS...... 147 HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron ...... 147 HORMONES AND SYNTHETIC SUBSTITUTES - Hormones ...... 148 LOCAL ANESTHETICS (PARENTERAL) - Drugs for Numbing ...... 181 MISCELLANEOUS THERAPEUTIC AGENTS ...... 181 NONHORMONAL CONTRACEPTIVES - Drugs for Women ...... 200 OXYTOCICS - Drugs for Women...... 201 PHARMACEUTICAL AIDS...... 201 RESPIRATORY TRACT AGENTS - Drugs for the Lungs ...... 201 SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin ...... 208 SMOOTH MUSCLE RELAXANTS - Drugs to Relax Muscles ...... 227 VITAMINS...... 228

TOC-1 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIHISTAMINE DRUGS - Drugs for Allergy ANTIHISTAMINE DRUGS - Drugs for Allergy promethazine hcl oral tablet 25 mg 1 ETHANOLAMINE DERIVATIVES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphenhydramine hcl oral elixir 12.5 mg/5ml 1 FIRST-MOUTHWASH BLM MOUTH/THROAT SUSPENSION 3 PA (dph-lido-alhydr-mghydr-simeth) FIRST GEN. ANTIHIST. DERIVATIVES, MISC. - Drugs for Allergy cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 FIRST GENERATION ANTIHISTAMINES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphenhydramine hcl oral elixir 12.5 mg/5ml 1 hydroxyzine hcl oral syrup 10 mg/5ml 1 hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg 1 hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 50 mg 1 promethazine hcl rectal suppository 12.5 mg, 25 mg 1 promethegan rectal suppository 12.5 mg, 25 mg, 50 mg 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication; M: May be covered under the medical benefit with prior authorization for HMO plans; SMCS: Specialty medication cost share may apply (for HMO plans, does not apply to injectables covered under the medical benefit). 233 Index of Drugs A.A.G.C. KIT IN TERODERM. 224 adc/f (0.5mg/ml) alprazolam intensol ...... 99 abacavir sulfate...... 26 ...... 185, 228, 230, 232 alprazolam xr...... 99 abacavir sulfate-lamivudine ...26 ADDERALL XR...... 84 ALREX...... 135 abacavir-lamivudine- ADDYI...... 102 ALTABAX ...... 208 zidovudine ...... 26 adefovir dipivoxil...... 30 ALTACAINE ...... 138 abiraterone acetate...... 35 ADEMPAS...... 207 altafrin...... 139 acamprosate calcium...... 102 ADIPEX-P...... 83 ALUNBRIG...... 35 acarbose...... 150 ADLYXIN...... 168 alvimopan...... 144 ACCOLATE...... 204 ADLYXIN STARTER PACK.... 168 alyq...... 80, 207 ACCU-CHEK AVIVA...... 119 ADRENALIN...... 46, 139, 201 amantadine hcl...... 16, 83 ACCU-CHEK COMPACT ADVAIR DISKUS...... 53, 148 AMARYL...... 180 PLUS CONTROL...... 119 ADVAIR HFA...... 53, 148 ambrisentan...... 207 ACCU-CHEK FASTCLIX ADVATE...... 59 amcinonide ...... 214 LANCET KIT...... 119 ADYNOVATE...... 59 amethia...... 153, 160, 170 ACCU-CHEK GUIDE...... 119, 122 AFINITOR...... 35 amethyst...... 153, 160, 170 ACCU-CHEK GUIDE AFINITOR DISPERZ...... 35 amiloride hcl...... 81, 125 CONTROL ...... 119 afirmelle...... 153, 160, 170 amiloride- ACCU-CHEK SMARTVIEW AFLURIA QUADRIVALENT...... 44 hydrochlorothiazide ...... 125, 127 CONTROL ...... 119 AFTERPILL...... 153, 170 aminocaproic acid...... 59 ACCU-CHEK SOFTCLIX AGRYLIN...... 64 amiodarone hcl ...... 75 LANCET DEVICE KIT...... 119 aif #2 drug preparation kit AMITIZA...... 144 ACCUPRIL...... 66 .... 50, 87, 111, 148, 211, 222, 224 amitriptyline hcl...... 117 ACCURETIC...... 66, 127 AIF #3 DRUG PREPARATION AMLODIPINE ACD-A NOCLOT-50...... 56 KIT...... 50, 51, 111, 211, 223, 224 BES+SYRSPEND SF... 76, 77, 81 acebutolol hcl ...... 55, 68, 69, 74 AIMOVIG...... 101 amlodipine besylate....76, 77, 81 acetaminophen-codeine .84, 106 ak-poly-bac ...... 131 amlodipine besylate- acetaminophen-codeine #2 AKTEN...... 138 benazepril hcl...... 66, 76 ...... 84, 105 ala-cort...... 214 amlodipine besylate- acetaminophen-codeine #3 albendazole ...... 17 valsartan...... 65, 76 ...... 84, 106 ALBENZA ...... 17 amnesteem...... 224 acetaminophen-codeine #4 albuterol sulfate...... 53, 206 amoxapine...... 117 ...... 84, 106 albuterol sulfate hfa ...... 53, 206 amoxicillin...... 17, 142 acetazolamide ... 72, 87, 124, 135 ALCAINE...... 138 amoxicillin-potassium acetazolamide er alclometasone dipropionate 214 clavulanate...... 17 ...... 72, 87, 124, 135 ALCOHOL PREP PADS...... 119 AMPHETAMINE ER...... 84 acetic acid...... 138 ALDACTAZIDE...... 79, 127 amphetamine- acetylcysteine...... 182, 205 ALECENSA...... 35 dextroamphetamine ...... 84 acitretin...... 224 alendronate sodium ...... 183 ampicillin...... 17 ACTEMRA ...... 187, 191 ALFERON N ...... 29, 35, 191 anagrelide hcl...... 64 ACTEMRA ACTPEN ...... 187, 191 alfuzosin hcl er ...... 53 ANALPRAM HC ...... 211, 214 ACTHAR...... 122, 170 ALINIA...... 19 ANALPRAM HC SINGLES ACTHIB...... 44 aliskiren fumarate...... 81 ...... 211, 214 ACTIVELLA...... 160, 170 ALKERAN...... 35 ANALPRAM-HC...... 211, 214 ACTOPLUS MET...... 152, 180 allopurinol...... 183 ANASPAZ...... 47 ACULAR...... 138 almotriptan malate ...... 115 anastrozole ...... 35, 151 ACULAR LS...... 138 ALOCRIL...... 131, 205 ANCOBON...... 32 acyclovir...... 30, 212 ALOMIDE...... 15, 131 ANDRODERM...... 150 ACZONE...... 208, 224 ALORA...... 160, 183 ANGELIQ...... 160, 171 ADACEL...... 44 alosetron hcl...... 141 ANNOVERA...... 153, 160, 171 ADASUVE...... 95 ALPHAGAN P...... 130 ANORO ELLIPTA ...... 47, 54 alprazolam...... 99 ANTICOAGULANT SODIUM alprazolam er...... 99 CITRATE ...... 56

234 anucort-hc ...... 215 AVAR-E GREEN...... 209, 220 benzoin compound ...... 214 ANUSOL-HC...... 215 AVAR-E LS...... 209, 220 benzonatate ...... 202 apap-caff-dihydrocodeine aviane...... 154, 161, 171 benzoyl peroxide- ...... 84, 106, 112 avidoxy...... 18, 33 erythromycin...... 209, 221 APEXICON E...... 215 AVIDOXY DK...... 33, 220, 227 benzphetamine hcl ...... 84 APOKYN...... 105 AVONEX PEN...... 191 benztropine mesylate ...... 50, 86 apraclonidine hcl...... 138 AVONEX PREFILLED...... 192 BERINERT...... 187 aprepitant...... 146 AYGESTIN...... 171 beser...... 215 apri...... 153, 160, 171 ayuna...... 154, 161, 171 BESIVANCE...... 131 APRISO...... 141 AZASAN...... 188, 192, 196 BETADINE OPHTHALMIC APTIOM...... 87 AZASITE...... 131 PREP...... 137 APTIVUS...... 28 azathioprine...... 188, 192, 196 betamethasone dipropionate aranelle...... 153, 160, 171 azelaic acid...... 224 ...... 215 ARANESP (ALBUMIN FREE) azelastine hcl...... 131, 206 betamethasone dipropionate ...... 55, 56, 57, 58 AZELEX...... 224 aug...... 215 ARAVA...... 187, 191, 196 azithromycin...... 31 betamethasone valerate ...... 215 aripiprazole...... 91, 96 AZOPT...... 135 BETASERON...... 192 armodafinil...... 118 AZSTARYS...... 112 betaxolol hcl.. 55, 68, 69, 74, 134 ARMOUR THYROID...... 181 AZULFIDINE..... 32, 141, 188, 192 bethanechol chloride ...... 52 ARNUITY ELLIPTA ...... 148, 205 AZULFIDINE EN-TABS BETOPTIC-S...... 134 ARTISS...... 224 ...... 32, 141, 188, 192 BEVESPI AEROSPHERE...47, 54 ARZOL SILVER NIT azurette...... 154, 161, 171 BEXSERO...... 44 APPLICATORS...... 137 bac...... 84, 98, 112 bicalutamide...... 35 ascomp-codeine bacitracin...... 131 BIDIL...... 78, 80 ...... 98, 106, 112, 114 bacitracin-polymyxin b ...... 131 BIJUVA...... 161, 171 aspirin-dipyridamole er .. 64, 114 bacitra-neomycin- BIKTARVY...... 25, 26 ASTRAZENECA COVID-19 polymyxin-hc...... 131, 135 BILTRICIDE...... 17 VACCINE...... 44 baclofen...... 51 bisoprolol fumarate ASTRINGYN...... 59 BACTRIM...... 19, 33, 34 ...... 55, 68, 69, 74 ATABEX OB...... 62, 228, 230 BACTRIM DS...... 19, 33, 34 bisoprolol- atazanavir sulfate ...... 28 balsalazide disodium ...... 141 hydrochlorothiazide ...... 68, 128 atenolol...... 55, 68, 69, 74 BALVERSA...... 35 BLEPH-10...... 131 ATENOLOL+SYRSPEND SF balziva...... 154, 161, 171 BLEPHAMIDE...... 131, 135 ...... 55, 68, 69, 74 BANZEL ...... 87 BLEPHAMIDE S.O.P...... 131, 135 atenolol-chlorthalidone .. 68, 129 BAQSIMI ONE PACK..... 167, 182 BONIVA...... 183 atomoxetine hcl ...... 102 BAQSIMI TWO PACK.....167, 182 BOOSTRIX...... 44 atorvastatin calcium ...... 78 BARACLUDE...... 30 bosentan...... 207 atovaquone ...... 19 BELBUCA...... 110 BOSULIF...... 35, 36 atovaquone-proguanil hcl ...... 18 belladonna alkaloids-opium bp 10-1...... 209, 220 atropine sulfate ...... 139 ...... 47, 106 bp cleansing wash...... 209, 220 ATROVENT HFA ...... 47, 201 BELSOMRA ...... 95 BREO ELLIPTA...... 54, 148 AUBAGIO...... 191 benazepril hcl...... 66, 67 BREZTRI AEROSPHERE aubra...... 153, 160, 171 benazepril- ...... 47, 54, 148 aubra eq...... 153, 160, 171 hydrochlorothiazide ...... 67, 127 BRILINTA ...... 64 aurovela 1.5/30...... 153, 160, 171 BENEFIX...... 59 brimonidine tartrate ...... 130 aurovela 1/20...... 154, 161, 171 BENLYSTA ...... 196 brinzolamide...... 135 aurovela 24 fe...... 154, 161, 171 BENZALKONIUM CHLORIDE 221 BRIVIACT...... 87 aurovela fe 1.5/30.. 154, 161, 171 benzalkonium chloride ...... 221 bromocriptine mesylate ...... 103 aurovela fe 1/20..... 154, 161, 171 BENZAMYCIN ...... 209, 221 BROVANA...... 54 AURYXIA...... 124 BENZHYDROCODONE- budesonide...... 148, 205, 206 AUTOLET LANCING DEVICE 119 ACETAMINOPHEN...... 84, 106 bumetanide...... 79, 124 AVAR CLEANSER...... 208, 220 BENZNIDAZOLE ...... 19 BUMEX...... 79, 124 AVAR-E EMOLLIENT..... 208, 220 BENZOIN...... 214 BUNAVAIL...... 109, 110

235 BUPAP...... 85, 98 CARAC...... 224 chateal eq...... 154, 161, 171 buprenorphine hcl ...... 110 CARBAGLU...... 123 CHEMET...... 147, 182 buprenorphine hcl-naloxone carbamazepine...... 87, 91 chlordiazepoxide hcl ...... 99 hcl...... 109, 110 carbamazepine er...... 87, 91 chlordiazepoxide- bupropion hcl ...... 91 CARBATROL...... 87, 91 amitriptyline...... 99, 117 bupropion hcl er (smoking carbidopa...... 102 chlordiazepoxide-clidinium det)...... 90 carbidopa-levodopa ...... 102 ...... 48, 99 bupropion hcl er (sr) ...... 91 carbidopa-levodopa er ...... 102 chlorhexidine gluconate bupropion hcl er (xl) ...... 91 carbidopa-levodopa- ...... 137, 221 buspirone hcl ...... 95 entacapone ...... 101, 103 chloroquine phosphate ...... 18 butalbital-acetaminophen 85, 98 carbinoxamine maleate .. 13, 204 chlorpromazine hcl ...... 112 butalbital-apap-caff-cod CARDURA...... 52, 64 chlorthalidone ...... 81, 129 ...... 85, 98, 106, 112 CARDURA XL...... 52, 64 chlorzoxazone ...... 50 butalbital-apap-caffeine carisoprodol...... 50 CHOLBAM...... 144 ...... 85, 98, 112, 113 carisoprodol-aspirin-codeine cholestyramine...... 70 butalbital-asa-caff-codeine ...... 50, 106, 114 cholestyramine light...... 70 ...... 98, 106, 113, 114 CARNITOR...... 198 ciclodan...... 220 butalbital-aspirin-caffeine CARNITOR SF...... 198 ciclopirox...... 220 ...... 98, 113, 114 CAROSPIR...... 79, 81, 125 ciclopirox olamine...... 220 butorphanol tartrate ...... 94, 110 carteolol hcl...... 134 cilostazol...... 64, 80 BYDUREON BCISE cartia xt...... 71, 72, 75, 82 CILOXAN...... 131 AUTOINJECTOR...... 168 carvedilol... 51, 53, 64, 68, 69, 74 CIMDUO...... 26 BYETTA 10 MCG PEN ...... 168 cascara sagrada...... 142 cimetidine...... 14, 145 BYETTA 5 MCG PEN ...... 168 CASODEX...... 36 cimetidine hcl...... 14, 145 cabergoline...... 103 cavarest...... 185 CIMZIA PREFILLED KIT CABLIVI...... 57 CAVERJECT...... 82 ...... 144, 188, 192 CABOMETYX ...... 36 CAVERJECT IMPULSE...... 82 CIMZIA STARTER KIT CAFERGOT...... 52, 94, 113 CAYA...... 200 ...... 144, 188, 192 caffeine citrate...... 94, 113 CAYSTON...... 29 cinacalcet hcl...... 152 CALAN SR...... 71, 75, 81 caziant...... 154, 161, 171 CIPRO...... 20, 32 CALCIFOL...... 126, 230, 232 cefaclor...... 15 CIPRO HC...... 132, 135 calcipotriene...... 224 cefaclor er...... 15 CIPRODEX...... 132, 135 calcipotriene-betameth cefadroxil...... 15 ciprofloxacin hcl...... 20, 32, 132 diprop...... 215, 224 cefdinir...... 15, 16 citalopram hydrobromide .....116 calcitonin (salmon) ...... 152, 183 cefixime...... 16 CITRANATAL BLOOM CALCITRENE ...... 224 cefpodoxime proxetil ...... 16 ...... 62, 142, 230, 232 calcitriol...... 224, 233 cefprozil...... 15 CITRANATAL ESSENCE calcium acetate...... 125, 126 cefuroxime axetil...... 15 ...... 62, 126, 198, 228, 230 calcium acetate (phos celecoxib...... 102 CITRANATAL MEDLEY binder)...... 124, 125, 126 CELONTIN...... 117 ...... 62, 198, 228, 231 calcium-folic acid plus d CENTANY ...... 209 claravis...... 224 ...... 126, 230, 233 cephalexin...... 15 clarithromycin...... 20, 31, 142 CALQUENCE...... 36 CERDELGA...... 198 clarithromycin er...... 20, 31, 142 camila...... 154, 171 cerovel...... 220 clemastine fumarate...... 13, 204 camrese...... 154, 161, 171 CERVIDIL...... 201 CLENPIQ...... 142 camrese lo...... 154, 161, 171 CETRAXAL...... 131 CLEOCIN...... 29, 209 candesartan cilexetil...... 65 cevimeline hcl...... 52 CLEOCIN-T...... 209 candesartan cilexetil-hctz CHANTIX...... 50 CLIMARA PRO...... 161, 171 ...... 65, 128 CHANTIX CONTINUING clindacin etz...... 209 capecitabine...... 36 MONTH PAK ...... 50 clindacin-p...... 209 CAPEX...... 215 CHANTIX STARTING MONTH clindamycin hcl...... 29 CAPRELSA...... 36 PAK...... 50 clindamycin palmitate hcl ...... 29 captopril...... 66, 67 chateal...... 154, 161, 171

236 clindamycin phos-benzoyl CORGARD...... 51, 68, 69 DALIRESP...... 206 perox...... 209, 222 CORIFACT...... 59 danazol...... 151 clindamycin phosphate ...... 209 CORLANOR...... 73, 82 DANTRIUM...... 51 CLINDESSE...... 209 CORTANE-B...... 211, 216, 222 dantrolene sodium...... 51 CLINPRO 5000...... 185 CORTEF...... 148 dapsone...... 19 clobazam...... 98, 99, 100 CORTENEMA ...... 216 DAPTACEL...... 44, 45 clobetasol prop emollient cortic-nd...... 135, 137, 138 dasetta 1/35...... 154, 161, 172 base...... 215 CORTIFOAM...... 216 dasetta 7/7/7...... 154, 161, 172 clobetasol propionate ...... 215 CORTISPORIN-TC...... 132, 135 DAURISMO...... 36 clobetasol propionate e ...... 215 CORTROSYN...... 122 DAYPRO...... 111 clocortolone pivalate ...... 215 COSENTYX (300 MG DOSE).224 DAYVIGO...... 95 clomipramine hcl...... 117 COSENTYX 150 MG/ML ...... 224 DEBACTEROL...... 138, 222 clonazepam ...... 98, 99, 100 COSENTYX SENSOREADY deblitane...... 154, 172 clonidine...... 47, 73 (300 MG)...... 225 deferasirox...... 147 clonidine hcl...... 47, 73 COSENTYX SENSOREADY deferasirox granules...... 147 clopidogrel bisulfate ...... 64 PEN...... 225 deferiprone...... 147 clorazepate dipotassium 99, 100 COSOPT...... 134, 135 DELESTROGEN...... 161, 183 clotrimazole...... 213 cosyntropin ...... 122 DELSTRIGO...... 25, 27 clotrimazole-betamethasone COVARYX...... 150, 161 delyla...... 154, 161, 172 ...... 213, 216 COVARYX HS...... 150, 161 demeclocycline hcl...... 33 clovique...... 147 CREON...... 129, 143 DEMSER...... 198 clozapine...... 96 CRESEMBA...... 21 DENTA 5000 PLUS...... 185 COAGADEX...... 59 CRINONE...... 171 DENTAGEL...... 185 COAL TAR...... 221 CRIXIVAN...... 28 DEPAKOTE...... 87, 91, 94 COARTEM...... 18 cromolyn sodium .. 131, 138, 205 DEPAKOTE ER...... 87, 91, 94 codeine sulfate ...... 106, 202 crotan...... 223 DEPAKOTE SPRINKLES colchicine-probenecid ..129, 183 cryselle-28...... 154, 161, 171 ...... 87, 91, 94 COLESTID...... 70 CUTIVATE...... 216 DEPEN TITRATABS ...... 147, 188 COLESTID FLAVORED...... 70 CUVPOSA...... 48 DEPO-ESTRADIOL...... 161, 184 colestipol hcl...... 70 cyanocobalamin ...... 63, 231 DEPO-PROVERA...... 154, 172 colistimethate sodium (cba) .. 32 cyclafem 1/35...... 154, 161, 171 DEPO-SUBQ PROVERA 104 COLY-MYCIN M...... 32 cyclafem 7/7/7...... 154, 161, 171 ...... 154, 172 COMBIGAN...... 130, 134 cyclobenzaprine hcl...... 50 DEPO-TESTOSTERONE...... 151 COMBIVENT RESPIMAT CYCLOGYL...... 139 DESCOVY...... 27 ...... 48, 54, 201 CYCLOMYDRIL...... 139, 140 desipramine hcl...... 117 COMBIVIR...... 26 cyclopentolate hcl ...... 139 desmopressin ace spray COMETRIQ...... 36 cyclophosphamide ...... 36, 196 refrig...... 59, 170 COMPLERA...... 25, 26 CYCLOPHOSPHAMIDE... 36, 196 desmopressin acetate.... 59, 170 compro...... 112, 141 cycloserine...... 20 desmopressin acetate pf 59, 170 COMTAN ...... 101 CYCLOSET...... 151 desmopressin acetate spray CONCERTA ...... 113 cyclosporine...... 188, 192, 196 ...... 59, 170 CONDYLOX ...... 224 cyclosporine modified desogestrel-ethinyl estradiol constulose ...... 123 ...... 188, 192, 196 ...... 154, 161, 162, 172 CONTOUR CONTROL ...... 119 cyproheptadine hcl ...... 13, 204 DESONATE...... 216 CONTOUR NEXT CONTROL .119 cyred...... 154, 161, 171 desonide...... 216 CONTOUR NEXT EZ ...... 119 cyred eq...... 154, 161, 171 DESOWEN...... 216 CONTOUR NEXT LINK ...... 119 CYSTADANE ...... 198 desoximetasone...... 216 CONTOUR NEXT MONITOR . 119 CYSTADROPS...... 138 desrx...... 216 CONTOUR NEXT ONE ...... 119 CYSTAGON...... 198 desvenlafaxine succinate er 114 CONTOUR NEXT TEST ...... 122 CYSTARAN...... 138 dexamethasone...... 148 CONTRAVE ...... 86 CYTOTEC...... 146 dexamethasone intensol ...... 148 COPASIL...... 224 cytra k crystals...... 123 dexamethasone sodium CORDRAN...... 216 dalfampridine er...... 198 phosphate ...... 135

237 DEXILANT...... 146 DITROPAN XL...... 227 EEMT HS...... 151, 162 dexmethylphenidate hcl ...... 113 DIURIL...... 81, 128 efavirenz...... 26 dexmethylphenidate hcl er ...113 divalproex sodium...... 87, 92, 94 efavirenz-emtricitab- dextroamphetamine sulfate ... 84 divalproex sodium er ..87, 92, 94 tenofovir ...... 26, 27 dextroamphetamine sulfate DIVIGEL...... 162, 184 efavirenz-lamivudine- er...... 84 dofetilide ...... 75 tenofovir ...... 26, 27 DIASTAT ACUDIAL...... 99, 100 dolishale...... 155, 162, 172 EFFER-K...... 126 DIASTAT PEDIATRIC...... 99, 100 donepezil hcl ...... 52 effer-k...... 126 diazepam...... 99, 100 dorzolamide hcl ...... 135 EFUDEX...... 225 diazepam intensol ...... 99, 100 dorzolamide hcl-timolol mal EGATEN...... 17 diazoxide...... 152 ...... 134, 135 EGRIFTA SV...... 179 diclofenac potassium ...... 111 DOUBLE PM...... 132, 135 ELESTRIN...... 162, 184 diclofenac sodium 111, 138, 223 DOVATO...... 25, 27 eletriptan hydrobromide ...... 115 diclofenac sodium er ...... 111 DOVONEX...... 225 ELIGARD...... 36, 37, 168 diclofenac-misoprostol 111, 146 doxazosin mesylate ...... 52, 64 elinest...... 155, 162, 172 dicloxacillin sodium ...... 31 doxepin hcl ...... 117, 211 ELIQUIS...... 57 DICOPANOL FUSEPAQ doxercalciferol...... 233 ELIQUIS DVT/PE STARTER ...... 13, 50, 86, 95, 202, 204 doxycycline hyclate...... 18, 33 PACK...... 57 dicyclomine hcl...... 48 doxycycline monohydrate 18, 33 ELITE-OB...... 62, 228, 231 diethylpropion hcl ...... 83 DRISDOL...... 233 ELLA...... 155, 172 diethylpropion hcl er ...... 83 DRIZALMA SPRINKLE...... 114 ELMIRON...... 198 DIFICID...... 31 dronabinol...... 140 EMCYT...... 37 diflorasone diacetate ...... 217 drospiren-eth estrad- EMEND...... 146 DIFLUCAN...... 21 levomefol...... 155, 162, 172, 231 EMEND TRI-PACK...... 146 diflunisal...... 111 drospirenone-ethinyl EMGALITY...... 101 digitek...... 67, 73 estradiol...... 155, 162, 172 EMGALITY (300 MG DOSE).. 101 digox...... 67, 73 DROXIA...... 36 emoquette ...... 155, 162, 172 digoxin...... 67, 73 droxidopa...... 46 EMSAM...... 104, 105 dihydroergotamine mesylate DRYSOL...... 213 emtricitabine-tenofovir df ...... 27 ...... 52, 94 DUAVEE...... 160, 162 EMTRIVA...... 27 DILANTIN...... 74, 104 DUETACT...... 180 EMVERM...... 17 DILANTIN INFATABS ...... 74, 104 duloxetine hcl...... 103, 114 enalapril maleate...... 66, 67 DILATRATE-SR...... 80 DUOPA...... 103 enalapril- DILAUDID...... 106 DUPIXENT...... 204, 225 hydrochlorothiazide ...... 67, 128 diltiazem hcl ...... 71, 72, 76, 82 DUREZOL...... 135 ENBRACE HR.. 62, 198, 228, 231 diltiazem hcl er...... 71, 72, 76, 82 dutasteride...... 181 ENBREL...... 188, 192 diltiazem hcl er beads DYRENIUM...... 81, 125 ENBREL MINI ...... 188, 192 ...... 71, 72, 76, 82 E.E.S. GRANULES...... 22 ENBREL SURECLICK.... 188, 192 diltiazem hcl er coated EASIVENT...... 119 ENDARI...... 198 beads...... 71, 72, 76, 82 easygel...... 185 endocet...... 85, 106 dilt-xr...... 71, 72, 76, 82 EASYMAX 15 LEVEL 2-3 ENDOMETRIN...... 172 dimethyl fumarate ...... 192 CONTROL...... 120 ENGERIX-B...... 45 dimethyl fumarate starter EASYMAX CONTROL...... 120 enoxaparin sodium ...... 61 pack...... 192 EASYMAX CONTROL enpresse-28...... 155, 162, 172 DIPENTUM...... 141 NORMAL/HIGH...... 120 ENSPRYNG...... 192 diphenhydramine hcl econazole nitrate ...... 213 ENSTILAR...... 217, 225 ...... 13, 50, 86, 95, 202, 204 EDARBI...... 65 entacapone ...... 101 diphenoxylate-atropine .. 48, 140 EDARBYCLOR...... 65, 128 entecavir...... 30 DIPROLENE...... 217 EDECRIN...... 79, 124 ENTEREG ...... 144 DIPROLENE AF...... 217 EDEX...... 82 ENTRESTO ...... 65, 81 dipyridamole...... 64, 82 ED-SPAZ...... 48 enulose...... 123 disopyramide phosphate ...... 73 EDURANT...... 25 EPANED...... 66, 67 disulfiram...... 182 EEMT...... 151, 162 EPCLUSA...... 23, 24

238 EPIFOAM...... 211, 217 EVOTAZ...... 28, 198 FLEXICHAMBER ADULT epinephrine...... 47, 201 EVRYSDI...... 198 MASK/SMALL...... 120 epitol...... 88, 92 exemestane...... 37, 151 FLEXICHAMBER CHILD EPIVIR...... 27 EXTINA...... 213 MASK/LARGE...... 120 EPIVIR HBV...... 27 EZALLOR SPRINKLE ...... 78 FLEXICHAMBER CHILD eplerenone...... 79, 81, 125 ezetimibe...... 73 MASK/SMALL...... 120 EQUETRO...... 88, 92 ezetimibe-simvastatin ...... 73, 78 FLOLIPID...... 78 ergocalciferol...... 233 falmina...... 155, 163, 172 FLORIVA...... 185, 233 ergoloid mesylates...... 52 famciclovir...... 30 FLORIVA PLUS...... 185, 228 ergotamine-caffeine ..52, 94, 113 famotidine...... 14, 145 FLOVENT DISKUS...... 149, 206 ERIVEDGE...... 37 FANAPT...... 96 FLOVENT HFA ...... 149, 206 ERLEADA...... 37 FANAPT TITRATION PACK ..... 96 FLUARIX QUADRIVALENT...... 45 erlotinib hcl...... 37 FANATREX FUSEPAQ...... 85, 88 fluconazole ...... 21 errin...... 155, 172 FARYDAK...... 37 flucytosine...... 32 ery...... 209 FASENRA PEN...... 204 fludrocortisone acetate ...... 149 ERYGEL...... 209 FBL KIT...... 51, 212, 223, 225 FLULAVAL QUADRIVALENT... 45 ERYPED 200...... 22 febuxostat...... 183 flunisolide...... 136, 149, 205 ERYPED 400...... 22 FEIBA...... 59 fluocinolone acetonide .136, 217 ERY-TAB...... 22 felbamate...... 88 fluocinolone acetonide body217 ERYTHROCIN STEARATE ...... 22 FELBATOL ...... 88 fluocinolone acetonide scalp erythromycin...... 22, 132, 209 FELDENE...... 111 ...... 217 erythromycin base...... 22 felodipine er...... 77 fluocinonide ...... 217 erythromycin ethylsuccinate . 22 FEM PH...... 222, 225 fluocinonide emulsified base ESBRIET...... 202 FEMHRT...... 163, 172 ...... 217 escitalopram oxalate...... 116 fenofibrate...... 78 FLUORIDEX...... 185 est estrogens-methyltest fentanyl...... 106 fluoridex daily renewal...... 185 ...... 151, 162 fentanyl citrate ...... 106 FLUORIDEX ENHANCED est estrogens-methyltest ds FERRIPROX...... 147 WHITENING...... 185 ...... 151, 162 FETZIMA ...... 115 FLUORIDEX SENSITIVITY est estrogens-methyltest hs FETZIMA TITRATION ...... 115 RELIEF...... 118, 185 ...... 151, 162 FINACEA...... 225 fluoritab...... 185 estazolam...... 100 finasteride...... 181 fluorometholone ...... 136 estradiol...... 162, 184 FINTEPLA ...... 88 FLUOROPLEX...... 225 estradiol valerate...... 162, 184 FIORICET...... 85, 98, 113 FLUOROURACIL...... 225 estradiol-norethindrone acet FIRAZYR...... 187 fluorouracil...... 225 ...... 162, 172 FIRMAGON...... 37, 152 fluoxetine hcl...... 116 ESTRING...... 162, 184 FIRMAGON (240 MG DOSE) fluphenazine hcl ...... 112 ESTROGEL...... 163, 184 ...... 37, 151 flurandrenolide...... 217 ESTROSTEP FE.....155, 163, 172 FIRST-BACLOFEN...... 51 flurazepam hcl...... 100 eszopiclone ...... 95 FIRST-LANSOPRAZOLE...... 147 flurbiprofen...... 111 ethacrynic acid...... 79, 124 FIRST-METRONIDAZOLE flutamide...... 37 ethambutol hcl ...... 20 ...... 16, 19, 142 fluticasone propionate ethosuximide ...... 117 FIRST-MOUTHWASH BLM ...... 136, 149, 205, 217 ethynodiol diac-eth estradiol ...... 13, 139, 140, 141, 142, 212 FLUTICASONE- ...... 155, 163, 172 FIRST-OMEPRAZOLE...... 147 SALMETEROL...... 54, 149 etodolac...... 111 FIRST-PROGESTERONE fluvastatin sodium ...... 78 etodolac er ...... 111 VGS...... 173 fluvastatin sodium er ...... 78 etoposide ...... 37 FIRVANQ...... 23 fluvoxamine maleate...... 116 etravirine...... 26 flac...... 135 fluvoxamine maleate er...... 116 EUCRISA...... 211 FLAGYL...... 16, 19, 142 FLUZONE HIGH-DOSE EVAMIST...... 163, 184 FLAREX...... 136 QUADRIVALENT...... 45 everolimus...... 37, 196 flavoxate hcl...... 227 FLUZONE QUADRIVALENT.... 45 EVOCLIN...... 209 flecainide acetate...... 74 FML...... 136

239 FML FORTE ...... 136 glatiramer acetate...... 193 HEPLISAV-B...... 45 FML LIQUIFILM...... 136 glatopa...... 193 HETLIOZ...... 95 FOCALIN...... 113 GLEOSTINE...... 37 HIBERIX...... 45 folic acid...... 231 glimepiride...... 180 HIPREX...... 34 fondaparinux sodium ...... 56 glipizide...... 180 homatropaire...... 139 FORANE...... 104 glipizide er...... 180 HUMALOG...... 178 formaldehyde ...... 123 glipizide xl...... 180 HUMALOG KWIKPEN...... 177 FORMALDEHYDE...... 123 glipizide-metformin hcl .152, 180 HUMALOG MIX 50/50 FORTISCARE CONTROL ...... 120 GLUCAGEN HYPOKIT... 167, 182 KWIKPEN...... 177 FOSAMAX...... 184 glucagon emergency kit HUMALOG MIX 50/50 VIAL....177 FOSAMAX PLUS D...... 184, 233 ...... 167, 182 HUMALOG MIX 75/25 fosamprenavir calcium...... 28 GLUCAGON EMERGENCY KWIKPEN...... 178 fosinopril sodium ...... 66, 67 KIT...... 168, 182 HUMALOG MIX 75/25 VIAL....178 fosinopril sodium-hctz ... 67, 128 GLUCOTROL XL...... 180 HUMALOG U-100 JUNIOR FOSRENOL...... 125, 182 GLUTARALDEHYDE...... 123 KWIKPEN...... 178 FRAGMIN...... 61, 62 glyburide...... 180 HUMATE-P...... 60 FREESTYLE LIBRE 14 DAY glyburide micronized ...... 180 HUMIRA...... 145, 189, 193 READER...... 120 glyburide-metformin ..... 152, 180 HUMIRA PEDIATRIC FREESTYLE LIBRE 14 DAY glycopyrrolate...... 48 CROHNS START....144, 188, 193 SENSOR...... 120 glydo...... 212 HUMIRA PEN...... 144, 188, 193 FREESTYLE LIBRE 2 GLYNASE...... 180 HUMIRA PEN-CD/UC/HS READER...... 120 GLYXAMBI...... 159, 178 STARTER ...... 144, 188, 189, 193 FREESTYLE LIBRE 2 GOLYTELY ...... 143 HUMIRA PEN-PEDIATRIC UC SENSOR...... 120 goodsense nicotine ...... 50 START...... 144, 189, 193 FREESTYLE LIBRE READER 120 GORDOFILM...... 214, 220 HUMIRA PEN-PS/UV/ADOL FREESTYLE LIBRE SENSOR GRALISE...... 85, 88 HS START...... 144, 189, 193 SYSTEM...... 120 granisetron hcl...... 140 HUMIRA PEN-PSOR/UVEIT frovatriptan succinate ...... 115 GRASTEK...... 43 STARTER ...... 145, 189, 193 furosemide...... 79, 124 griseofulvin microsize ...... 18 HUMULIN 70/30 KWIKPEN FUZEON...... 24 griseofulvin ultramicrosize .... 18 ...... 169, 178 FYCOMPA...... 88 guaiatussin ac...... 202, 204 HUMULIN 70/30 VIAL.....169, 178 gabapentin ...... 85, 88 guaifenesin ac...... 202, 204 HUMULIN N KWIKPEN...... 169 GABITRIL...... 88 guanfacine hcl ...... 73, 102 HUMULIN N VIAL...... 169 galantamine hydrobromide ....52 guanfacine hcl er ...... 102 HUMULIN R U-500 KWIKPEN178 galantamine hydrobromide GYNAZOLE-1...... 213 HUMULIN R U-500 VIAL...... 178 er...... 52 habitrol...... 50 HUMULIN R VIAL...... 178 GALZIN...... 126 HAEGARDA...... 187 HYCAMTIN...... 37 GARDASIL 9...... 45 halcinonide ...... 217 hydralazine hcl...... 78 gatifloxacin...... 132 HALCION...... 100 HYDREA...... 37 gavilyte-c...... 142 halobetasol propionate 217, 218 HYDRO 40...... 220 gavilyte-g...... 142 HALOG...... 218 hydrochlorothiazide ...... 81, 128 gavilyte-n with flavor pack ... 142 haloperidol...... 101 hydrocodone bitartrate er .... 106 GAVRETO...... 37 haloperidol lactate...... 100 hydrocodone polst- GELFILM...... 59 HARVONI...... 23, 24 chlorphen polst er susp. 14, 202 gemfibrozil ...... 78 HAVRIX...... 45 hydrocodone- generlac...... 123 hematinic/folic acid...... 62, 231 acetaminophen...... 85, 106 gengraf...... 188, 192, 193, 197 HEMLIBRA...... 59 hydrocodone-homatropine gentak...... 132 hemocyte-f...... 62, 231 ...... 48, 202 gentamicin sulfate ...... 132, 210 HEMOFIL M...... 59 hydrocodone-ibuprofen 106, 111 GENVOYA...... 25, 27 heparin lock flush...... 62 hydrocortisone...... 149, 218 GILENYA...... 193 heparin sodium (porcine) ...... 62 hydrocortisone (perianal) .....218 GILOTRIF...... 37 heparin sodium (porcine) pf .. 62 hydrocortisone ace- GILPHEX TR...... 47, 204 heparin sodium lock flush ..... 62 pramoxine...... 212, 218

240 hydrocortisone acetate ...... 218 INTRON A ...... 29, 38, 194 KALYDECO...... 203 hydrocortisone butyrate ...... 218 INVIRASE...... 28 KAPSPARGO SPRINKLE hydrocortisone valerate ...... 218 IODINE STRONG...... 204 ...... 55, 68, 69, 74 hydrocortisone-acetic acid iodine tincture ...... 222 kariva...... 155, 163, 173 ...... 136, 138 IOPIDINE...... 138 KATERZIA...... 77, 82 hydrocortisone-iodoquinol IPOL...... 45 KAZANO...... 152, 159 ...... 218, 222 ipratropium bromide ...... 48, 201 KEFLEX...... 15 hydrocort-pramoxine ipratropium-albuterol 48, 54, 201 kelnor 1/35...... 155, 163, 173 (perianal)...... 212, 218 irbesartan...... 65 kelnor 1/50...... 155, 163, 173 hydromet...... 48, 202 irbesartan- KEPPRA...... 88 hydromorphone hcl ...... 107 hydrochlorothiazide ...... 65, 128 KEPPRA XR...... 88 hydromorphone hcl er ..106, 107 IRESSA...... 38 KERYDIN...... 223 hydroxychloroquine sulfate ISENTRESS...... 25 KESIMPTA...... 194 ...... 18, 189, 194 ISENTRESS HD...... 25 ketoconazole ...... 21, 213 hydroxyurea...... 37 isoflurane...... 104 ketodan...... 213 hydroxyzine hcl ...... 13, 14, 95 isoniazid...... 20 KETONE TEST ...... 122 hydroxyzine pamoate . 13, 14, 95 ISOPTO ATROPINE...... 139 KETOROLAC HYOPHEN...... 34, 48, 85 ISOPTO CARPINE...... 139 TROMETHAMINE ...... 111 hyoscyamine sulfate ...... 48 ISORDIL TITRADOSE...... 80 ketorolac tromethamine111, 138 hyoscyamine sulfate er ...... 48 isosorbide dinitrate ...... 80 KETOSTIX...... 122 hyosyne...... 48 isosorbide mononitrate ...... 80 KEVZARA...... 189 HYPOCYN...... 225 isosorbide mononitrate er ...... 80 KINERET...... 189, 194 ibandronate sodium ...... 184 isotretinoin ...... 225 KISQALI...... 39 IBRANCE...... 38 isoxsuprine hcl...... 82 KISQALI FEMARA...... 39, 151 ibuprofen ...... 94, 111 isradipine...... 77 KLARON...... 210 iclevia...... 155, 163, 173 ISTALOL...... 134 klor-con...... 126 ICLUSIG...... 38 ISTURISA...... 198 klor-con 10...... 126 IDHIFA...... 38 itraconazole...... 21 klor-con m10...... 126 imatinib mesylate ...... 38 ivermectin...... 17, 223 klor-con m15...... 126 IMBRUVICA...... 38 JAKAFI...... 38 klor-con m20...... 126 imipramine hcl...... 117 JANSSEN COVID-19 klor-con/ef...... 126 imipramine pamoate ...... 118 VACCINE...... 45 KOGENATE FS...... 60 imiquimod...... 225 jantoven...... 57 KOMBIGLYZE XR...... 153, 159 IMITREX...... 115 JARDIANCE...... 178 KOSELUGO...... 39 IMVEXXY MAINTENANCE jasmiel...... 155, 163, 173 KOVALTRY...... 60 PACK...... 163 JENTADUETO ...... 152, 159 K-PHOS...... 126 IMVEXXY STARTER PACK... 163 JENTADUETO XR...... 152, 159 K-PHOS NO 2...... 123 INBRIJA...... 103 jinteli...... 163, 173 K-PHOS-NEUTRAL...... 126 incassia...... 155, 173 JIVI...... 60 k-prime...... 126 INCRELEX...... 179 jolessa...... 155, 163, 173 KRINTAFEL...... 18 indapamide ...... 81, 129 JUBLIA...... 213 KRISTALOSE...... 123 indomethacin ...... 111, 183 juleber...... 155, 163, 173 K-TAB...... 126 indomethacin er ...... 111, 183 JULUCA...... 25, 26 KYNMOBI...... 105 INFANRIX...... 44, 45 junel 1.5/30...... 155, 163, 173 KYNMOBI TITRATION KIT .....105 INLYTA ...... 38 junel 1/20...... 155, 163, 173 labetalol hcl INQOVI...... 38 junel fe 1.5/30...... 155, 163, 173 ...... 51, 53, 64, 65, 68, 69, 75 INREBIC...... 38 junel fe 1/20...... 155, 163, 173 LACRISERT...... 138 INSPIREASE RESERVOIR junel fe 24...... 155, 163, 173 lactulose...... 123 BAGS...... 120 JYNARQUE...... 129 lactulose encephalopathy .... 123 INSULIN PEN NEEDLES ...... 120 K.B.G.L IN TERODERM LAMICTAL...... 88, 92 INSULIN SYRINGES...... 121 ...... 51, 111, 212, 223, 225 LAMICTAL ODT ...... 88, 92 INTELENCE ...... 26 KALETRA...... 28 LAMICTAL STARTER ...... 88, 92 INTRAROSA...... 149 kalliga...... 155, 163, 173 LAMICTAL XR...... 89, 92

241 lamivudine...... 27 LEXIVA...... 28 LUMIGAN...... 139 lamivudine-zidovudine ...... 27 LIALDA...... 141 lutera...... 156, 164, 174 lamotrigine...... 89, 92 lidocaine...... 212 lyleq...... 156, 174 lamotrigine er...... 89, 92 lidocaine hcl...... 212 LYNPARZA...... 39 LAMPIT...... 19 lidocaine hcl LYRICA...... 89, 103 LANOXIN...... 68, 73 urethral/mucosal...... 212 LYSTEDA...... 60 lansoprazole...... 147 lidocaine viscous hcl...... 139 LYUMJEV KWIKPEN...... 178 lanthanum carbonate ....125, 182 lidocaine-prilocaine ...... 212 LYUMJEV VIAL...... 178 LANTUS SOLOSTAR ...... 169 lindane...... 223 lyza...... 156, 174 LANTUS U-100 VIAL...... 169 linezolid...... 31 MACROBID...... 34 lapatinib ditosylate ...... 39 LINZESS...... 145 MACRODANTIN...... 34 larin 1.5/30...... 155, 163, 173 liothyronine sodium ...... 181 mafenide acetate...... 222 larin 1/20...... 155, 163, 173 lisinopril...... 66, 67 MALARONE...... 18 larin 24 fe...... 155, 163, 173 lisinopril- malathion...... 223 larin fe 1.5/30...... 155, 164, 173 hydrochlorothiazide ...... 67, 128 MARINOL...... 140 larin fe 1/20...... 156, 164, 173 L-ISOLEUCINE...... 124 MARPLAN...... 105 LASIX...... 79, 124 lithium carbonate ...... 92 MATULANE ...... 39 LASTACAFT...... 14, 131 lithium carbonate er ...... 92 matzim la...... 71, 72, 76, 82 latanoprost ...... 139 LITHOBID...... 93 MAVENCLAD ...... 197 LATUDA...... 96 LITHOSTAT...... 124 MAVYRET...... 24 layolis fe...... 156, 164, 173 LO LOESTRIN FE ...156, 164, 174 MAXIDEX...... 136 L-CYSTINE...... 124 LOESTRIN 1.5/30 (21) MAXITROL...... 132, 136 leena...... 156, 164, 173 ...... 156, 164, 174 maxi-tuss ac...... 202, 204 leflunomide ...... 189, 194, 197 LOESTRIN 1/20 (21) MAXZIDE...... 125, 128 LENVIMA...... 39 ...... 156, 164, 174 MAXZIDE-25...... 125, 128 lessina...... 156, 164, 173 LOESTRIN FE 1.5/30 MAYZENT...... 194 letrozole...... 39, 151 ...... 156, 164, 174 me/naphos/mb/hyo1 . 34, 49, 198 lets...... 47, 181 LOKELMA ...... 125 meclofenamate sodium ...... 111 leucovorin calcium...... 182, 231 LOMAIRA...... 83 MEDERMA SPF 30...... 225 leuprolide acetate...... 39, 168 LOMOTIL...... 48, 140 MEDROL...... 149 levalbuterol hcl...... 54, 207 LONSURF...... 39 medroxyprogesterone LEVALBUTEROL HFA ...... 54, 207 LOPID...... 78 acetate...... 156, 174 levetiracetam...... 89 lopinavir-ritonavir ...... 28 mefenamic acid...... 111 levetiracetam er...... 89 LOPRESSOR...... 55, 68, 69, 75 mefloquine hcl ...... 18 levobunolol hcl ...... 134 lorazepam...... 99, 100 megestrol acetate...... 39, 174 levocarnitine...... 198 lorazepam intensol ...... 99, 100 MEKINIST...... 40 levocetirizine LORBRENA ...... 39 meloxicam...... 111 dihydrochloride ...... 15 LORTAB ...... 85, 107 melphalan...... 40 levofloxacin...... 20, 32, 132 losartan potassium ...... 65 memantine hcl...... 102 levonest...... 156, 164, 173 losartan potassium-hctz .65, 128 MENACTRA ...... 45 levonorgest-eth est & eth est LOSEASONIQUE... 156, 164, 174 MENEST...... 164, 184 ...... 156, 164, 173 LOTEMAX ...... 136 MENOSTAR ...... 164, 184 levonorgest-eth estrad 91- LOTEMAX SM ...... 136 MENQUADFI...... 46 day...... 156, 164, 173 LOTENSIN...... 66, 67 MENTAX ...... 214 levonorgestrel...... 156, 173 LOTENSIN HCT ...... 67, 128 MENVEO...... 46 levonorgestrel-ethinyl estrad loteprednol etabonate ...... 136 meperidine hcl...... 107 ...... 156, 164, 173 lovastatin...... 78 MEPHYTON...... 182, 233 levora 0.15/30 (28). 156, 164, 174 low-ogestrel...... 156, 164, 174 meprobamate...... 95 levorphanol tartrate ...... 107 loxapine succinate ...... 95 mercaptopurine...... 40, 197 levo-t...... 181 lo-zumandimine .....156, 164, 174 mesalamine...... 141 levothyroxine sodium ...... 181 LUBIPROSTONE...... 145 mesalamine-cleanser...... 141 levoxyl...... 181 LUGOLS STRONG IODINE....222 MESNEX...... 200 LEVULAN KERASTICK...... 225 LUMAKRAS...... 39 MESTINON...... 52

242 metaxalone...... 50 microgestin fe 1.5/30 multi-vit/iron/fluoride metformin hcl ...... 153 ...... 157, 164, 174 ...... 62, 185, 228 metformin hcl er ...... 153 microgestin fe 1/20157, 165, 174 multivitamin/fluoride methadone hcl ...... 107 MICROLET NEXT LANCING ...... 185, 228, 229 methadone hcl intensol ...... 107 DEVICE...... 121 multi-vitamin/fluoride ... 185, 228 methadose ...... 107 midazolam hcl...... 100 multi-vitamin/fluoride/iron methadose sugar-free ...... 107 MIDAZOLAM+SYRSPEND SF ...... 62, 185, 229 methamphetamine hcl ...... 84 ...... 100 mupirocin...... 210 methazolamide ...... 73, 135 midodrine hcl ...... 47 mupirocin calcium...... 210 methenamine hippurate ...... 34 MIGERGOT...... 52, 94, 114 MUSE...... 82 methenamine mandelate ...... 34 miglitol...... 150 MYCOBUTIN...... 21, 32 methergine...... 201 miglustat...... 198 mycophenolate mofetil ...... 197 methimazole ...... 152 mili...... 157, 165, 174 mycophenolate sodium ...... 197 METHITEST ...... 151 MILLIPRED...... 149 myorisan...... 226 methocarbamol ...... 51 mimvey...... 165, 174 MYSOLINE...... 98 methotrexate ... 40, 189, 194, 197 mineral oil heavy...... 143 nabumetone ...... 111 methotrexate sodium MINIPRESS...... 52, 64, 65 nadolol...... 51, 69 ...... 40, 189, 194, 197 minocycline hcl...... 18, 33 nafrinse...... 186 methotrexate sodium (pf) minoxidil...... 78 NAFRINSE DAILY ...... 40, 189, 194, 197 MIRAPEX...... 105 ACIDULATED...... 118, 185 methoxsalen rapid ...... 223 MIRCETTE ...... 157, 165, 174 NAFRINSE DAILY/NEUTRAL.186 methscopolamine bromide .... 49 mirtazapine ...... 91 nafrinse drops...... 186 methyl salicylate...... 214 MIRVASO...... 226 NAFRINSE WEEKLY...... 186 methyldopa ...... 47, 73 misoprostol ...... 146 naloxone hcl...... 109, 182 methylergonovine maleate ...201 MITIGARE...... 183 naltrexone hcl...... 109, 182 METHYLIN...... 113 MITOSOL...... 132 NAMENDA TITRATION PAK ..102 methylphenidate hcl ..... 113, 114 M-M-R II...... 46 naproxen...... 94, 112, 183 methylphenidate hcl er ...... 113 M-NATAL PLUS ...... 62, 228, 231 naproxen sodium .... 94, 112, 183 methylphenidate hcl er (cd) . 113 MOBIC...... 111 naratriptan hcl...... 115 methylphenidate hcl er (la) .. 113 modafinil ...... 118 NARDIL...... 105 methylprednisolone ...... 149 moexipril hcl...... 66, 67 NASCOBAL...... 63, 231 methyltestosterone ...... 151 molindone hcl ...... 95 NATACYN...... 134 metoclopramide hcl ...... 146 mometasone furoate ...... 218 NATAZIA...... 157, 165, 175 metolazone ...... 81, 129 mono-linyah ...... 157, 165, 175 nateglinide...... 169 metoprolol succinate er MONONINE ...... 60 NATURE-THROID...... 181 ...... 55, 68, 69, 75 monsels ferric subsulfate ...... 60 NAYZILAM...... 99 metoprolol tartrate 55, 68, 69, 75 montelukast sodium ...... 205 NEBUPENT...... 20 metoprolol- MONUROL...... 34 necon 0.5/35 (28)... 157, 165, 175 hydrochlorothiazide ...... 68, 128 morgidox...... 18, 33 nefazodone hcl ...... 117 METROCREAM...... 210 morphine sulfate ...... 108 neomycin sulfate ...... 17 METROLOTION ...... 210 morphine sulfate neomycin-bacitracin zn- metronidazole ....16, 20, 142, 210 (concentrate)...... 107 polymyx...... 132 METRONIDAZOLE morphine sulfate er ...... 107 neomycin-polymyxin- BENZO+SYRSPEND ..16, 19, 142 morphine sulfate er beads ... 107 dexameth...... 132, 136 metyrosine...... 198 MOTEGRITY...... 145 neomycin-polymyxin- mexiletine hcl...... 74 MOVIPREP...... 143, 232 gramicidin...... 132 MIACALCIN...... 152, 184 MOXEZA...... 132 neomycin-polymyxin-hc miconazole 3 ...... 213 moxifloxacin hcl ...... 21, 32, 132 ...... 132, 136 microgestin 1.5/30.156, 164, 174 moxifloxacin hcl (2x day) ..... 132 neo-polycin...... 133 microgestin 1/20....156, 164, 174 MOZOBIL...... 58 neo-polycin hc ...... 133, 136 microgestin 24 fe.. 157, 164, 174 MS CONTIN...... 108 NESINA...... 159 MULPLETA ...... 58 NESTABS ...... 63, 229, 231 MULTAQ ...... 75 neuac...... 210, 222

243 NEULASTA ...... 58 norgestimate-ethinyl ODACTRA...... 43 NEUPRO...... 105 estradiol triphasic. 157, 165, 175 ODEFSEY...... 26, 27 NEURONTIN...... 85, 89 norlyroc...... 157, 175 ODOMZO...... 40 NEVANAC...... 138 NORPACE...... 74 OFEV...... 202 nevirapine...... 26 NORPACE CR...... 73 ofloxacin...... 32, 133 NEXAVAR...... 40 NORPRAMIN...... 118 olanzapine...... 93, 96, 97 NEXIUM...... 147 nortrel 0.5/35 (28).. 157, 165, 175 olanzapine-fluoxetine hcl NEXTSTELLIS ...... 157, 165, 175 nortrel 1/35 (21)..... 157, 165, 175 ...... 97, 116 niacin er nortrel 1/35 (28)..... 157, 165, 175 olmesartan medoxomil ...... 65 (antihyperlipidemic) ...... 68 nortrel 7/7/7...... 157, 165, 175 olmesartan medoxomil-hctz NIASPAN...... 68 nortriptyline hcl...... 118 ...... 66, 128 nicardipine hcl...... 77, 82 NORVIR...... 28 olopatadine hcl ...... 14, 131 NICORETTE ...... 50 NOURIANZ...... 102 OLUMIANT...... 189 nicotine polacrilex...... 50 NOVOEIGHT...... 60 OMECLAMOX-PAK.... 17, 31, 147 nicotine step 1 ...... 50 NOVOFINE AUTOCOVER omega-3-acid ethyl esters ...... 68 nicotine step 2 ...... 50 PEN NEEDLE ...... 121 omeprazole ...... 147 nicotine step 3 ...... 50 NOVOFINE PEN NEEDLE ..... 121 OMEPRAZOLE+SYRSPEND NICOTROL...... 50 NOVOFINE PLUS PEN SF ALKA...... 147 NICOTROL NS ...... 50 NEEDLE ...... 121 ondansetron hcl ...... 140 nifedipine ...... 77, 82 NOVOPEN ECHO...... 121 ondansetron odt ...... 140 nifedipine er...... 77, 82 NOVOSEVEN RT...... 60 ONETOUCH DELICA nifedipine er osmotic release NOVOTWIST PEN NEEDLE .. 121 LANCING DEVICE...... 121 ...... 77, 82 NOXAFIL...... 21 ONETOUCH DELICA PLUS NILANDRON ...... 40 NP #2 DRUG PREPARATION LANCING DEVICE...... 121 nilutamide ...... 40 KIT ONETOUCH ULTRA ...... 122 nimodipine ...... 77, 82 47, 73, 85, 108, 112, 118, 212, ONETOUCH ULTRA 2...... 121 NINLARO ...... 40 223, 226 ONETOUCH ULTRA MINI ...... 121 nisoldipine er...... 77 np thyroid...... 181 ONETOUCH VERIO...... 121, 122 nitazoxanide ...... 20 NUBEQA...... 40 ONETOUCH VERIO FLEX NITRO-BID...... 80 NUCALA...... 202 SYSTEM KIT W/DEVICE...... 121 NITRO-DUR...... 80 NUCORT...... 218 ONETOUCH VERIO IQ nitrofurantoin ...... 34 NUCYNTA ...... 108 SYSTEM...... 121 nitrofurantoin macrocrystal ... 34 NUCYNTA ER ...... 108 ONETOUCH VERIO nitrofurantoin monohydrate NUEDEXTA...... 102 REFLECT...... 121 macrocrystals...... 34 NULYTELY LEMON-LIME ...... 143 ONETOUCH VERIO SYNC nitroglycerin...... 80 NUPLAZID...... 96 SYSTEM KIT W/DEVICE...... 121 NITROSTAT ...... 80 NUTRIDOX...... 33, 199, 233 ONFI...... 99, 100 NITRO-TIME ...... 80 NUTROPIN AQ NUSPIN 10 ONGLYZA...... 159 nizatidine ...... 14, 146 ...... 170, 179 ONUREG...... 40 NOCDURNA...... 60, 170 NUTROPIN AQ NUSPIN 20 opium...... 140 nolix...... 218 ...... 170, 179 OPSUMIT...... 207 nora-be...... 157, 175 NUTROPIN AQ NUSPIN 5 ORACIT...... 123 norethin ace-eth estrad-fe ...... 170, 179 ORALAIR...... 44 ...... 157, 165, 175 NUVARING...... 157, 165, 175 ORALAIR ADULT STARTER norethindrone ...... 157, 175 nyamyc...... 223 PACK...... 43 norethindrone acetate ...... 175 nylia 7/7/7...... 158, 165, 175 ORALAIR CHILDRENS norethindrone acet-ethinyl NYMALIZE ...... 77, 83 STARTER PACK...... 44 est...... 157, 165, 175 nymyo...... 158, 165, 175 oralone...... 218 norethin-eth estradiol-fe nystatin...... 31, 32, 223 ORAPRED ODT...... 149 ...... 157, 165, 175 nystop...... 223 ORENCIA...... 190, 194 norgestimate-eth estradiol ocella...... 158, 165, 175 ORENCIA CLICKJECT... 189, 194 ...... 157, 165, 175 octreotide acetate...... 145, 179 ORENITRAM...... 207 OCUFLOX...... 133 ORFADIN...... 199

244 ORIAHNN...... 152, 166, 175 penicillin v potassium ...... 30 polycin...... 133 ORILISSA...... 152 pentamidine isethionate ...... 20 polymyxin b-trimethoprim ....133 ORKAMBI...... 203 pentazocine-naloxone hcl POLYTRIM...... 133 orphenadrine citrate er .....55, 86 ...... 109, 110 POLY-VI-FLOR...... 186, 229 orsythia...... 158, 166, 176 pentoxifylline er ...... 59 POLY-VI-FLOR/IRON oscimin...... 49 PERFOROMIST...... 54, 207 ...... 63, 186, 229 oscimin sr...... 49 PERIDEX...... 137, 222 POMALYST...... 40, 195 oseltamivir phosphate ...... 30 perindopril erbumine ...... 66, 67 portia-28...... 158, 166, 176 OSENI...... 160, 180 periogard...... 137, 222 posaconazole ...... 22 OSMOLEX ER...... 16, 83 permethrin...... 223 POTABA...... 231 OSPHENA...... 160 perphenazine...... 112 potassium chloride ...... 127 OTEZLA ...... 190, 194, 226 perphenazine-amitriptyline potassium chloride crys er .. 127 OVACE PLUS...... 210 ...... 112, 118 potassium chloride er...... 127 OVACE PLUS WASH...... 210 PERTZYE...... 130, 144 potassium citrate er...... 123 OVACE WASH...... 210 PFIZER-BIONTECH COVID- potassium citrate-citric acid 123 OVIDE...... 223 19 VACC...... 46 PRADAXA...... 57 oxandrolone ...... 151 phenazo...... 212 pramipexole dihydrochloride oxaprozin...... 112 phenazopyridine hcl ...... 212 ...... 105 oxazepam...... 100 phendimetrazine tartrate ...... 83 pramosone...... 212, 218 oxcarbazepine...... 89 phenelzine sulfate ...... 105 PRAMOSONE...... 212, 218, 219 oxiconazole nitrate ...... 213 phenobarbital ...... 98 PRAMOTIC...... 137, 139 OXISTAT...... 213 phenoxybenzamine hcl .... 52, 79 pramox...... 212 oxybutynin chloride ...... 227 phentermine hcl...... 83 prasugrel hcl...... 64 oxybutynin chloride er ...... 227 phenylephrine hcl...... 139, 140 pravastatin sodium ...... 78 oxycodone hcl ...... 108 PHENYTEK...... 74, 104 praziquantel...... 17 oxycodone-acetaminophen phenytoin...... 74, 104 prazosin hcl...... 52, 64, 65 ...... 85, 108 phenytoin infatabs ...... 74, 104 PRECOSE...... 150 oxymorphone hcl ...... 108 phenytoin sodium extended PRED MILD...... 136 oxymorphone hcl er ...... 108 ...... 74, 104 PRED-G...... 133, 137 OZEMPIC...... 168 philith...... 158, 166, 176 PRED-G S.O.P...... 133, 137 PACERONE...... 75 PHOSLYRA...... 125, 126 prednicarbate...... 219 paliperidone er ...... 97 PHOSPHA 250 NEUTRAL...... 127 prednisolone...... 149 PALYNZIQ...... 129, 130 PHOSPHASAL...... 34, 49, 85, 199 prednisolone acetate ...... 137 PANCREAZE...... 130, 144 phospho-trin 250 neutral ...... 127 prednisolone sodium PANDEL...... 218 phytonadione ...... 182, 233 phosphate ...... 137, 149 PANRETIN...... 226 PIFELTRO...... 26 prednisone...... 149, 150 pantoprazole sodium ...... 147 pilocarpine hcl...... 53, 139 prednisone intensol ...... 149 paricalcitol...... 233 pimecrolimus...... 197, 226 PREFEST...... 166, 176 PARNATE ...... 105 pimozide...... 95 pregabalin...... 89, 104 paromomycin sulfate ...... 16, 17 pimtrea...... 158, 166, 176 PREMARIN...... 166, 184 paroxetine hcl...... 116 pindolol ...... 51, 69, 70, 75 PREMPHASE...... 166, 176 paroxetine hcl er...... 116 pioglitazone hcl ...... 180 PREMPRO...... 166, 176 PASER...... 21 pioglitazone hcl-glimepiride 180 PRENAISSANCE PATANASE...... 14, 131 pioglitazone hcl-metformin ...... 63, 143, 199, 229, 231 PAXIL...... 116 hcl...... 153, 181 prenatal...... 63, 229, 231 PEDVAX HIB...... 46 PIQRAY...... 40 prenatal plus iron....63, 229, 231 peg 3350-kcl-na bicarb-nacl .143 piroxicam...... 112 prenatal vitamin plus low peg-3350/electrolytes...... 143 PLEGRIDY...... 195 iron...... 63, 229, 231 PEGASYS...... 29 PLEGRIDY STARTER PACK. 195 PREPIDIL...... 201 peg-kcl-nacl-nasulf-na asc-c PLENVU...... 143, 232 PRETOMANID...... 21 ...... 143, 232 PNEUMOVAX 23...... 46 prevalite...... 70 PEMAZYRE...... 40 podocon...... 226 PREVIDENT...... 186 penicillamine...... 148, 190 podofilox ...... 226

245 PREVIDENT 5000 BOOSTER PROSCAR...... 181 RECTIV...... 226 PLUS...... 186 PROSTIN E2...... 201 REGLAN...... 146 PREVIDENT 5000 DRY protriptyline hcl...... 118 REGRANEX...... 226 MOUTH...... 186 PROVERA...... 176 RELENZA DISKHALER...... 30 PREVIDENT 5000 ENAMEL pseudoephedrine- RELISTOR...... 109, 145 PROTECT...... 118, 186 bromphen-dm ...... 15, 47, 203 RELNATE DHA .63, 199, 229, 231 PREVIDENT 5000 ORTHO PSORCON...... 219 REMERON...... 91 DEFENSE...... 186 PULMICORT FLEXHALER REMERON SOLTAB ...... 91 PREVIDENT 5000 PLUS...... 186 ...... 150, 206 RENAGEL...... 125, 182 PREVIDENT 5000 SENSITIVE PULMOZYME...... 130, 205 RENVELA...... 125, 183 ...... 118, 186 PURIXAN...... 41, 197 repaglinide...... 169 previfem...... 158, 166, 176 PYLERA...... 18, 20, 33, 140, 141 RESTASIS...... 137 PREVNAR 13...... 46 pyrazinamide...... 21 RESTORIL...... 100 PREVYMIS...... 21 PYRIDIUM...... 212 RETACRIT...... 56, 58 PREZCOBIX...... 28, 199 pyridostigmine bromide ...... 53 RETEVMO...... 41 PREZISTA...... 29 pyridostigmine bromide er .....53 RETROVIR...... 27 PRIFTIN...... 21, 32 pyrimethamine ...... 18 REVLIMID...... 41, 195 primaquine phosphate ...... 18 PYROGALLIC ACID201, 221, 226 REXULTI...... 97 primidone...... 98 QBRELIS...... 67 REYATAZ...... 29 PRINIVIL...... 66, 67 QSYMIA...... 86 REYVOW...... 115 probenecid...... 129, 183 QUALAQUIN...... 18 ribavirin...... 30 PROCENTRA ...... 84 QUESTRAN...... 70 RIDAURA...... 147, 190, 195 prochlorperazine ...... 112, 141 QUESTRAN LIGHT...... 70 rifabutin...... 21, 32 prochlorperazine maleate quetiapine fumarate ...... 93, 97 rifampin...... 21, 32 ...... 112, 141 quetiapine fumarate er ..... 93, 97 RIFAMPIN+SYRSPEND SF21, 32 PROCTOFOAM HC...... 212, 219 QUFLORA PEDIATRIC.. 186, 229 riluzole...... 102 procto-pak ...... 219 quinapril hcl...... 66, 67 rimantadine hcl ...... 16 proctozone-hc ...... 219 quinapril- RINVOQ...... 190 progesterone ...... 176 hydrochlorothiazide ...... 67, 128 risedronate sodium...... 185 PROGESTERONE quinidine gluconate er ...... 19, 74 risperidone...... 93, 97 MICRONIZED...... 176 quinidine sulfate ...... 19, 74 RITALIN...... 114 PROGRAF...... 197 quinine sulfate ...... 19 ritonavir...... 29 PROMACTA...... 58 rabeprazole sodium ...... 147 rivastigmine...... 53 promethazine hcl RADIOGARDASE...... 124, 182 rivastigmine tartrate...... 53 ...... 13, 14, 95, 140, 204 RAGWITEK...... 44 rivelsa...... 158, 166, 176 promethazine vc ...... 14, 47 raloxifene hcl...... 160, 184 RIXUBIS...... 60 promethazine vc/codeine ramelteon...... 96 rizatriptan benzoate ...... 115 ...... 14, 47, 202 ramipril...... 66, 67 ROCALTROL...... 233 promethazine-codeine ....14, 203 ranolazine er...... 73 ropinirole hcl...... 105 promethazine-dm ...... 14, 203 RAPAMUNE...... 197 rosadan...... 210 promethazine-phenyleph- rasagiline mesylate...... 104, 105 rosuvastatin calcium...... 78 codeine...... 14, 47, 203 RASUVO...... 190 ROWASA...... 141 promethazine-phenylephrine RAZADYNE ER...... 53 ROZLYTREK...... 41 ...... 14, 47 REBIF...... 195 RUCONEST...... 187 promethegan13, 14, 96, 140, 204 REBIF REBIDOSE...... 195 rufinamide...... 89 PROMISEB...... 221 REBIF REBIDOSE RUKOBIA...... 25 propafenone hcl ...... 74 TITRATION PACK...... 195 RUZURGI...... 199 propafenone hcl er ...... 74 REBIF TITRATION PACK...... 195 RYBELSUS...... 168 proparacaine hcl...... 139 reclipsen...... 158, 166, 176 RYDAPT...... 41 propranolol hcl 51, 69, 70, 75, 94 RECOMBINATE ...... 60 SABRIL...... 90 propranolol hcl er RECOMBIVAX HB...... 46 SALAGEN...... 53 ...... 51, 69, 70, 75, 94 RECOTHROM...... 60 salicylic acid...... 221 propylthiouracil ...... 152 RECOTHROM SPRAY KIT...... 60 salsalate...... 114

246 SALVAX DUO PLUS...... 214, 221 SODIUM BICARBONATE STRIBILD...... 25, 27, 199 SAMSCA...... 129 ...... 140, 142 STRIVERDI RESPIMAT... 54, 207 SANDIMMUNE ...... 190, 195, 197 sodium chloride...... 205 STROMECTOL ...... 18 SANTYL ...... 130, 226 sodium fluoride ...... 187 SUBOXONE...... 109, 110 SAPHRIS...... 93, 97 sodium fluoride 5000 enamel SUCRAID...... 130 sapropterin dihydrochloride 199 ...... 118, 186 sucralfate...... 146 SAVAYSA...... 57 sodium fluoride 5000 plus ....187 sulfacetamide sodium .. 133, 211 SAVELLA...... 104, 115 sodium fluoride 5000 ppm ... 187 sulfacetamide sodium (acne) SAVELLA TITRATION PACK sodium fluoride 5000 ...... 211 ...... 104, 115 sensitive...... 118, 187 sulfacetamide sodium-sulfur SAXENDA...... 168 sodium phenylbutyrate ...... 124 ...... 211, 221 SCALACORT DK...... 219, 221 sodium polystyrene sulfacetamide-prednisolone SCARCIN...... 226 sulfonate ...... 125, 183 ...... 133, 137 scopolamine...... 49, 140 sodium sulfacetamide ...... 210 sulfacetamide-sulfur in urea SELECT-OB...... 63, 229, 231 sodium sulfacetamide wash 210 ...... 211, 221 selegiline hcl...... 104, 105 SODIUM SULFACETAMIDE- sulfadiazine...... 33 selenium sulfide ...... 221, 222 BAKUCHIOL...... 199, 210 sulfamethoxazole- SELZENTRY ...... 25 solifenacin succinate...... 228 trimethoprim...... 20, 33, 34 SEREVENT DISKUS...... 54, 207 SOLIQUA...... 168, 169 SULFAMYLON...... 222 SEROSTIM...... 170, 179 SOLOSEC...... 20 sulfasalazine....33, 141, 191, 196 sertraline hcl...... 116 SOMATULINE DEPOT...... 179 sulfatrim pediatric...... 20, 33, 34 setlakin...... 158, 166, 176 SOMAVERT...... 180 SULFURATED LIME...... 224 sevelamer carbonate.... 125, 183 SOOLANTRA...... 223 sulindac...... 112 sevelamer hcl...... 125, 183 sotalol hcl...... 51, 69, 70, 75 sumatriptan...... 115 sevoflurane...... 104 sotalol hcl (af)...... 51, 69, 70, 75 sumatriptan succinate ..115, 116 sf...... 186 SOTYLIZE...... 51, 69, 70, 75 sumatriptan succinate refill . 115 sf 5000 plus...... 186 SOVALDI...... 23 SUMAXIN...... 211, 221 SFROWASA...... 141 spinosad...... 223 SUPRAX...... 16 sharobel...... 158, 176 SPIRIVA HANDIHALER....49, 201 SUPREP BOWEL PREP KIT..143 SHARPS CONTAINER...... 121 SPIRIVA RESPIMAT...... 49, 202 SURESTEP PRO HIGH SHINGRIX...... 46 spironolactone ...... 79, 81, 126 GLUCOSE...... 121 SIGNIFOR...... 179 spironolactone-hctz ...... 79, 128 SURESTEP PRO LOW sildenafil citrate...... 80, 207, 228 SPORANOX...... 22 GLUCOSE...... 122 silodosin...... 53 SPORANOX PULSEPAK...... 22 SURESTEP PRO NORMAL SILVADENE...... 222 SPRAVATO (56 MG DOSE)..... 91 GLUCOSE...... 122 silver nitrate...... 137 SPRAVATO (84 MG DOSE)..... 91 SUSTIVA...... 26 silver sulfadiazine...... 222 sprintec 28...... 158, 166, 176 SUTAB...... 143 simliya...... 158, 166, 176 SPRYCEL...... 41 SUTENT...... 41 simpesse...... 158, 166, 176 sps...... 125, 183 SYMAX DUOTAB...... 49 SIMPONI...... 145, 191, 195, 196 sronyx...... 158, 166, 176 SYMAX-SL...... 49 simvastatin...... 79 ssd...... 222 SYMAX-SR...... 49 SINEMET...... 103 sss 10-5...... 210, 211, 221 SYMBICORT...... 54, 150 SINGULAIR...... 205 STALEVO 100...... 101, 103 SYMBYAX...... 97, 117 sirolimus...... 197 STALEVO 125...... 101, 103 SYMDEKO...... 203, 204 SIRTURO...... 21 STALEVO 150...... 101, 103 SYMFI...... 26, 27 SIVEXTRO...... 31 STALEVO 200...... 101, 103 SYMFI LO...... 26, 27 SKYRIZI...... 226 STALEVO 50...... 101, 103 SYMLINPEN 120...... 150 SKYRIZI (150 MG DOSE)...... 226 STALEVO 75...... 101, 103 SYMLINPEN 60...... 150 SKYRIZI PEN...... 226 stavudine...... 27 SYMPROIC...... 145 SLYND ...... 158, 176 STELARA...... 226 SYMTUZA...... 27, 29, 199 sod citrate-citric acid...... 123 STIMATE...... 60, 170 SYNAPRYN FUSEPAQ...... 108 STIVARGA...... 41 SYNAREL...... 168 STRENSIQ...... 130 SYNDROS...... 140

247 SYNJARDY...... 153, 178 tetracycline hcl...... 19, 33, 142 TRADJENTA ...... 160 SYNJARDY XR...... 153, 179 TETRIX...... 227 tramadol hcl...... 108 SYNRIBO...... 41 TEXACORT...... 219 tramadol hcl er...... 108 TABRADOL FUSEPAQ...... 51 THALOMID...... 196 tramadol-acetaminophen86, 108 TABRECTA ...... 41 THEO-24...78, 114, 124, 208, 228 trandolapril...... 66, 67 TACLONEX ...... 219, 227 theophylline tranexamic acid...... 61 tacrolimus...... 197, 227 ...... 78, 114, 124, 208, 228 TRANXENE-T ...... 99, 100 tadalafil...... 80, 81 theophylline er tranylcypromine sulfate ...... 105 tadalafil (pah) ...... 80, 207 ...... 78, 114, 124, 208, 228 travoprost (bak free)...... 139 TAFINLAR ...... 41 THIOLA...... 199 trazodone hcl ...... 117 TAGRISSO...... 41 THIOLA EC...... 199 TRECATOR ...... 21 TAKHZYRO...... 187 thioridazine hcl ...... 112 TRELEGY ELLIPTA ....49, 54, 150 TALZENNA ...... 41, 42 thiothixene...... 117 TREMFYA ...... 227 tamoxifen citrate ...... 42, 160 THROMBIN-JMI ...... 61 tretinoin...... 42, 214 tamsulosin hcl ...... 53 THROMBIN-JMI EPISTAXIS.... 61 TRETTEN ...... 61 TAPAZOLE...... 152 THROMBOGEN...... 61 TREXALL...... 42, 191, 196, 197 TAPERDEX 12-DAY...... 150 tiagabine hcl...... 90 TREZIX...... 86, 109, 114 TAPERDEX 6-DAY...... 150 TIAZAC...... 71, 72, 76, 83 triamcinolone acetonide TAPERDEX 7-DAY...... 150 TIKOSYN...... 75 ...... 219, 220 TARGRETIN...... 42, 227 tilia fe...... 158, 166, 176 triamterene...... 81, 126 tarina 24 fe...... 158, 166, 176 timolol maleate triamterene-hctz ...... 126, 128 tarina fe 1/20...... 158, 166, 176 ...... 52, 69, 70, 75, 94, 134 triazolam...... 100 tarina fe 1/20 eq.....158, 166, 176 timolol maleate ocudose ...... 134 TRICARE PRENATAL DHA TARKA...... 67, 72 timolol maleate pf ...... 134 ONE...... 63, 143, 199, 229, 231 TASIGNA...... 42 TIMOPTIC...... 134 TRI-CHLOR...... 199 tavaborole...... 223 TIMOPTIC OCUDOSE...... 134 TRICITRASOL...... 56 tazarotene ...... 227 TIMOPTIC-XE...... 134 tricitrates...... 123 TAZORAC...... 227 tinidazole...... 20 triderm...... 220 taztia xt...... 71, 72, 76, 83 tiopronin...... 199 trientine hcl...... 148 TEGRETOL...... 90, 93 TISSEEL...... 227 trifluoperazine hcl ...... 112 TEGRETOL-XR...... 90, 93 TIVICAY...... 25 trifluridine...... 134 telmisartan...... 65, 66 TIVICAY PD...... 25 trihexyphenidyl hcl..... 50, 86, 87 telmisartan-hctz ...... 66, 128 tizanidine hcl ...... 51 TRIJARDY XR...... 153, 160, 179 temazepam ...... 100 TOBI PODHALER...... 17 TRIKAFTA...... 203, 204 TEMOVATE ...... 219 TOBRADEX...... 133, 137 tri-legest fe...... 158, 166, 176 temozolomide ...... 42 tobramycin...... 17, 133 TRILEPTAL...... 90 TENCON...... 86, 98 tobramycin-dexamethasone tri-linyah...... 158, 166, 176 TENIVAC...... 44 ...... 133, 137 tri-lo-mili...... 158, 166, 176 tenofovir disoproxil fumarate 28 TOBREX...... 133 tri-lo-sprintec...... 158, 166, 177 TEPMETKO ...... 42 tolbutamide ...... 122, 180 trimethobenzamide hcl ...... 141 terazosin hcl...... 52, 64, 65 tolcapone ...... 101 trimethoprim...... 34 terbinafine hcl ...... 16 TOLVAPTAN ...... 129 tri-mili...... 158, 166, 177 terbutaline sulfate ...... 54, 207 tolvaptan...... 129 trimipramine maleate...... 118 terconazole ...... 213 TOPAMAX...... 90, 95 TRINATE ...... 63, 229, 231 TERIPARATIDE TOPAMAX SPRINKLE...... 90, 95 TRINTELLIX ...... 117 (RECOMBINANT) ...... 170, 183 TOPICORT...... 219 tri-nymyo...... 158, 166, 177 terrell...... 104 topiramate...... 90, 95 TRIPLE PMB...... 133, 137, 138 TESSALON PERLES ...... 203 toremifene citrate ...... 42, 160 TRIPLE PMK...... 133, 137, 138 TESTIM...... 151 torsemide...... 79, 124 tri-previfem...... 158, 167, 177 testosterone cypionate ...... 151 TOUJEO MAX SOLOSTAR.... 169 tri-sprintec...... 158, 167, 177 testosterone enanthate ...... 151 TOUJEO SOLOSTAR...... 169 TRISTART DHA tetrabenazine ...... 118 TOVIAZ...... 228 ...... 63, 127, 199, 229, 231 tetracaine hcl...... 139 TRACLEER...... 208

248 TRISTART FREE URSO FORTE...... 143 VIREAD...... 28 ...... 63, 127, 199, 229, 231 ursodiol...... 143 VISTARIL...... 14, 96 TRISTART ONE URSODIOL+SYRSPEND SF..143 VITAFOL FE+ ...... 63, 127, 199, 229, 231 USTELL...... 35, 49, 86, 200 ...... 63, 127, 200, 230, 232 TRIUMEQ...... 25, 28 UTIRA-C...... 35, 49, 86, 200 VITAFOL STRIPS...... 230 TRI-VI-FLOR valacyclovir hcl...... 30 VITAFOL-NANO...... 63, 230, 232 ...... 187, 229, 230, 232, 233 valganciclovir hcl...... 30 VITAFOL-OB+DHA TRI-VI-FLORO valproic acid...... 90, 93, 95 ...... 63, 127, 200, 230, 232 ...... 187, 229, 230, 232, 233 valsartan...... 65, 66 vitamin d (ergocalciferol)..... 233 tri-vite/fluoride valsartan- vitamins acd-fluoride ...... 187, 230, 232, 233 hydrochlorothiazide ...... 66, 128 ...... 187, 230, 232, 233 trivora (28)...... 158, 167, 177 VANCOCIN...... 23 VITATHELY WITH GINGER tri-vylibra...... 158, 167, 177 VANCOCIN HCL...... 23 ...... 63, 230, 232 tri-vylibra lo...... 158, 167, 177 vancomycin hcl...... 23 VITRAKVI...... 42, 43 TRUE METRIX LEVEL 1 ...... 122 VANCOMYCIN+SYRSPEND VIVELLE-DOT...... 167, 185 TRUE METRIX LEVEL 2 ...... 122 SF...... 23 VIZIMPRO...... 43 TRUE METRIX LEVEL 3 ...... 122 vandazole...... 16, 211 VONVENDI...... 61 TRULANCE ...... 145 VAQTA...... 46 voriconazole...... 22 TRULICITY...... 169 vardenafil hcl...... 81 VOSEVI...... 23, 24 TRUMENBA ...... 46 VARIVAX...... 46 VOTRIENT...... 43 TRUSOPT...... 135 velivet...... 159, 167, 177 VRAYLAR...... 97 TRUVADA...... 28 VELPHORO...... 125 vylibra...... 159, 167, 177 TUKYSA...... 42 VELTASSA...... 125 VYNDAMAX...... 73, 102 tulana...... 159, 177 VEMLIDY...... 30 VYNDAQEL...... 73 TURALIO...... 42 VENCLEXTA ...... 42 VYVANSE...... 84 TURPENTINE ...... 214 VENCLEXTA STARTING warfarin sodium...... 57 TUSSICAPS...... 15, 203 PACK...... 42 WEGOVY...... 169 TWINRIX...... 46 VENELEX...... 227 WELCHOL...... 70, 151 tyblume...... 159, 167, 177 venlafaxine hcl...... 115 wera...... 159, 167, 177 TYBOST...... 200 venlafaxine hcl er...... 115 WESTHROID...... 181 TYKERB...... 42 VENTAVIS...... 208 WHEAT GERM OIL...... 233 TYVASO...... 208 VENTRIXYL...... 127, 230, 232 WIDE-SEAL DIAPHRAGM 60 200 TYVASO REFILL...... 208 verapamil hcl...... 71, 72, 76, 83 WIDE-SEAL DIAPHRAGM 65 200 TYVASO STARTER...... 208 verapamil hcl er.....71, 72, 76, 83 WIDE-SEAL DIAPHRAGM 70 200 UBRELVY...... 101 VEREGEN...... 227 WIDE-SEAL DIAPHRAGM 75 200 UCERIS...... 150, 220 VERELAN...... 71, 72, 76, 83 WIDE-SEAL DIAPHRAGM 80 200 UDAMIN SP...... 127, 230, 232 VERELAN PM...... 71, 72, 76, 83 WIDE-SEAL DIAPHRAGM 85 200 ULTANE ...... 104 VERZENIO...... 42 WIDE-SEAL DIAPHRAGM 90 201 ULTRACET...... 86, 109 vestura...... 159, 167, 177 WIDE-SEAL DIAPHRAGM 95 201 unithroid ...... 181 VFEND...... 22 WILZIN...... 127 UPTRAVI...... 208 VIBERZI...... 145 WP THYROID...... 181 urea...... 221 VIBRAMYCIN...... 19, 33, 34 XALKORI...... 43 urea nail...... 221 VICTOZA...... 169 XARELTO...... 57 URELLE...... 34, 49, 86, 200 VIEKIRA PAK...... 23, 24 XARELTO STARTER PACK .....57 URIBEL...... 34, 49, 86, 200 vigabatrin...... 90 XATMEP...... 43, 191, 196, 198 urin ds...... 35, 49, 86, 200 vigadrone...... 90 XELJANZ...... 191 URO-458...... 35, 49, 86, 200 VIIBRYD...... 117 XELJANZ XR...... 191 UROCIT-K 10...... 123 VIIBRYD STARTER PACK..... 117 XELPROS...... 139 UROCIT-K 15...... 123 VIMPAT...... 90 XENICAL...... 145 UROCIT-K 5...... 123 VINATE ONE...... 63, 230, 232 XIFAXAN...... 32 UROGESIC-BLUE...... 35, 49, 200 VIRACEPT...... 29 XIIDRA...... 138 uro-mp...... 35, 49, 86, 200 VIRAMUNE...... 26 XOFLUZA (40 MG DOSE)...... 21 URSO 250...... 143 VIRAZOLE...... 30 XOFLUZA (80 MG DOSE)...... 21

249 XOLEGEL...... 213 ZORBTIVE...... 170, 179 XOLEGEL COREPAK.....213, 220 zovia 1/35 (28)...... 159, 167, 177 XOLEGEL DUO/HEAD & zovia 1/35e (28)...... 159, 167, 177 SHOULDERS...... 213, 222 ZOVIRAX...... 31 XOLEGEL DUO/XOLEX. 213, 222 ZUBSOLV...... 109, 110 XOPENEX HFA...... 55, 207 zumandimine ...... 159, 167, 177 XOSPATA...... 43 ZYDELIG...... 43 XTAMPZA ER...... 109 ZYFLO...... 205 XTANDI ...... 43 ZYKADIA...... 43 xulane...... 159, 167, 177 ZYLET...... 133, 137 XYNTHA ...... 61 ZYMAXID...... 133 XYNTHA SOLOFUSE...... 61 ZYVOX...... 31 YASMIN 28...... 159, 167, 177 YAZ...... 159, 167, 177 YUPELRI...... 49 yuvafem...... 167, 185 ZACARE...... 214, 222 zaclir cleansing...... 222 zafemy...... 159, 167, 177 zafirlukast...... 205 zaleplon...... 96 zarah...... 159, 167, 177 ZARONTIN...... 117 ZARXIO...... 58 ZELAPAR...... 105 ZELBORAF...... 43 ZELNORM ...... 146 ZEMPLAR...... 233 zenatane...... 227 ZENPEP...... 130, 144 ZEPATIER...... 24 ZEPOSIA...... 196 ZEPOSIA 7-DAY STARTER PACK...... 196 ZEPOSIA STARTER KIT...... 196 ZIAC...... 69, 129 ZIAGEN...... 28 zidovudine ...... 28 ZIEXTENZO ...... 59 zileuton er ...... 205 ZIOPTAN...... 139 ziprasidone hcl ...... 93, 97 ZIRGAN...... 134 ZITHROMAX ...... 31 ZITHROMAX TRI-PAK...... 31 ZITHROMAX Z-PAK...... 31 ZOLINZA...... 43 zolmitriptan ...... 116 zolpidem tartrate ...... 96 zolpidem tartrate er ...... 96 ZOMIG...... 116 ZONEGRAN...... 90 zonisamide ...... 90

250