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Rx Knockout List IMPORTANT INFORMATION – FOR PRODUCERS WRITING OXFORD LIFE INSURANCE COMPANY®, LIFE INSURANCE PLANS. The Prescription Drug Indicator below is a guide to help you determine the probable underwriting actions that will be taken on an application for Insurance for an Oxford Life AssuranceTM, Assurance OneTM or Advance Wealth TransferTM Life Insurance policy. REMEMBER: The list is not comprehensive. Medications are always changing and/or frequently enter the market under new trade names. We will update the list often as we see new medications used for the treatment of the conditions specified in the health questions on the application(s). We will make every effort to keep this chart current, however, please be aware that there are medications not listed on the Knockout Drug list that may still cause your client to be declined. ➤ Knockout drugs listed will be an automatic decline if they appear ➤ Alert drugs will be evaluated and may or may not result on IntelliScript during the point-of-sale interview - NO EXCEPTIONS in a DECLINE. APRESOLINE BLEOMYCIN SULFATE A A-METHAPRED ATGAM A APTIVUS BLINCYTO AMIFOSTINE ATROVENT ABILIFY ARICEPT BROVANA ABBOKINASE AMILORIDE HCL ATROVENT HFA ABRAXANE ARICEPT ODT BUPRENEX ABILIFY AMIODARONE HCL ATROVENT INHALER ADCETRIS ARIMIDEX BUPRENORPHINE HCL ABILIFY DISCMELT HCL AUROTHIOGLUCOSE ADRIAMYCIN AROMASIN BUSULFEX ACCUPRIL AMLODIPINE BESYLATE AURYXIA ADRIAMYCIN PFS ARRANON ACTIVASE ANGIOMAX AZATHIOPRINE ADRIAMYCIN RDF C ADALAT CC ARZERRA ANZEMET B ADRUCIL ASTHMAHALER CAMPATH ADEMPAS APIDRA AFINITOR ASTHMANEFRIN CAMPRAL ADENOCARD APIDRA BACLOFEN BAYGAM AGENERASE ATAMET CAMPTOSAR ADENOSINE APIDRA SOLOSTAR BAYHEP B AGGRENOX ATGAM CAPOZIDE ADRENALIN APIDRA SOLOSTAR BELSOMRA A-HYDROCORT ATRIPLA CARBOPLATIN ADRENALIN CHLORIDE APOKYN BENADRYL ALLERGY FASTMELT ALBUMIN HUMAN AVASTIN CASODEX ADVAIR DISKUS ARALAST BENZTROPINE MESYLATE ALBUMINAR-25 AVONEX CEENU ADVAIR HFA ARALAST NP BETAPACE ALBUMINAR-5 AXITINIB CELLCEPT AF-DIPHEDRYL ARANESP BETHAMETHASONE SODIUM ALBUMIN-ZLB AZILECT CELLCEPT INTRAVENOUS AFEDITAB CR ARAVA BI-FILIN G ALBUNEX CERUBIDINE AGGRASTAT ARCALYST B BREO ELLIPTA ALBURX CISPLATIN AKINETON ARCAPTA NEOHALER BARACLUDE BRETYLIUM TOSYLATE ALBUTEIN CLADRIBINE ALBERTSON’S DIPHEDRYL AREDIA ALIMTA BELEODAQ CLOLAR ALBUTEROL BRETYLIUM TOSYLATE/D5W BENLYSTA ARGATROBAN BRILINTA ALKERAN ALER-CAP ARISTOCORT AMILORIDE HCL DIHYDRATE BETASERON CLOZARIL ALER-DRYL BRINTELLIX BEXXAR ARISTOCORT FORTE AMINOPHYLLINE COGNEX ALER-TAB MESYLATE BEXXAR 131 IODINE ARISTOSPAN AMINOPHYLLINE ANHYDROUS COMBIVIR ALKERAN BRONCAP BICNU ARISTOSPAN INTRALESIONAL AMPYRA COMPLERA ALOXI BRONCHIAL MIST BICNU W/DILUENT ABSOLUTE ASTHMAHALER AMYL NITRITE COMTAN ALPROSTADIL BRONCODUR BIDIL ASTHMANEFRIN BRONCOMAR-1 ANASTROZOLE COPAXONE BLENOXANE ATAMET ANTABUSE BRONDIL LI100P8 FOR PRODUCER USE ONLY. NOT INTENDED FOR PUBLIC DISTRIBUTION. Rev. 9-2015 ©OLIC 2015 Rx Knockout List Continued ➤ Knockout drugs listed will be an automatic decline if they appear ➤ Alert drugs will be evaluated and may or may not result on IntelliScript during the point-of-sale interview - NO EXCEPTIONS in a DECLINE. COPEGUS ELOXATIN GALANTAMINE HYDROBROMIDE DEXAMETHASONE ACETATE CORLANOR ELSPAR GAZYVA BUMEX CASTIVA WARMING DEXAMETHASONE ACETATE ANH COSMEGEN EMCYT GEMCITABINE BUMINATE CATHFLO ACTIVASE DEXAMETHASONE BASE CRIXIVAN EMINASE GEMCITABINE HC BUPROBAN CELESTONE DEXAMETHASONE INTENSOL CYCLOPHOSPHAMIDE EMTRIVA GEMZAR BUPROPION HCL SR CELONTIN DEXAMETHASONE SODIUM PHOSPHATE EPIRUBICIN HCL GENGRAF BUTRANS CEREBYX DG 200 CYCLOSPORINE EPIVIR GEODON BYETTA CEREBYX D-G LIQUID CYCLOSPORINE A EPIVIR HBV GILENYA C CHLORDIAZEPOXIDE HC DIAZEPAM CYRAMZA EPZICOM GILOTRIF CLEARSTAR PUMP CYTARABINE EQUETRO GLEEVEC CALAN COGENTIN DIBENZYLINE CYTOSAR-U ERBITUX GLIADEL WAFER CALAN SR COMBIVENT DIDRONEL CAPOTEN D MESYLATES GLUCARPIDASE COPD DIDRONEL IV ERWINAZE CAPRELSA CORDARONE DIFIL-G DACARBAZINE ESBRIET H CAPREX CORDARONE I.V. DIFIL-G 400 DACOGEN ESKALITH HALAVEN CAPREX + COREG DIFIL-G FORTE DALIRESP ESKALITH CR HARVONI CAPSAGEL COREG CR DIGITEK DAUNORUBICIN HCL ETIDRONATE DISODIUM HEPSERA CAPSAICIN CORTEF DIGOXIN DAUNOXOME ETOPOPHOS HERCEPTIN CAPSICUM EXTRACT CORTINSONE ACETATE DILACOR XR DEPADE ETOPOSIDE HEXALEN CAPSIN CORTISONE DILANTIN DEPO-PROVERA EULEXIN HIVID CAPTOPRIL CORVERT DILANTIN INFATABS DEXPAK 10 DAY EXELON HYBOLIN IMPROVED CAPTOPRIL/HYDROCHLOROTHIA COVERA-HS DILANTIN-125 DEXPAK 13 DAY EXEMESTANE HYCAMTIN CAPZASIN CURITY TRACHEOSTOMY CARE DILEX-G DEXPAK 6 DAY HYDERGINE CAPZASIN BACK & BODY PATC F CVS CAPSAICIN HP DILEX-G 200 DEXRAZOXANE HYDERGINE LC CAPZASIN-HP DILEX-G 400 DIDANOSINE FANAPT HYDREA CAPZASIN-P CYCLOSPORINE MODIFIED DILOR-G FARESTON DILACOR XR I CARAC CYLERT DILT-CD DILATRATE SR FASLODEX CARBAMAZEPINE DILTIA XT IDAMYCIN PFS DIPRADAM FAZACLO CARBAMAZEPINE ER D DILTIAZEM HCL IDARUBICIN HCL DOCEFREZ FEMARA CARBATROL DALALONE DP DILTIAZEM HCL ER DOCETAXEL FLEXBUMIN IFEX CARBIDOPA/LEVODOPA DECADRON DILTIAZEM HCL SR DOLOPHINE FLOXURIDINE IFEX/MESNEX COMBO PACK CARBIDOPA/LEVODOPA CR DEGARELIX DILTIAZEM XR DOLOPHINE HCL FLUDARA IFOSFAMIDE CARBIDOPA/LEVODOPA ER DEKASOL DILT-XR DONEPEZIL HCL FLUDARABINE PHOSPHATE IFOSFAMIDE/MESNA CARBIDOPA/LEVODOPA SR DEKASOL - LA DILTZAC DOXIL FLUOROURACIL IMBRUVICA CARDENE DEKASOL -10 DIOVAN DOXORUBICIN HCL DECANOATE IMDUR CARDENE IV DELTASONE DIPHENHYDRAMIRE HCL DTIC-DOME FLUPHENAZINE HCL INAMRINONE CARDENE SR DEMSER DIPYRIDAMOLE INCIVEK E FLUTAMIDE CARDIO CHEK DEPACON DISOPYRAMIDE PHOSPHATE FOLOTYN INFERGEN CARDIO CHEK PA DEPAKENE DISOPYRAMIDE PHOSPHATE ER EDECRIN FORTOVASE INLYTA CARDIZEM DEPAKOTE DIVALPROEX SODIUM EDURANT FOSPHENYTOIN SODIUM INLYTA CARDIZEM CD DEPAKOTE ER HCL ELDEPRYL FUDR INTELENCE CARDIZEM LA DEPAKOTE SPRINKLES DOBUTAMINE HCL/D5W ELIGARD FUSILEV INTRON-A CARDIZEM MONOVIAL DEPO-MEDROL DOBUTREX ELITEK FUZEON INTRON-A W/DILUENT CARDIZEM SR DESYREL HCL ELLENCE INVEGA G CARTIA XT DEXAMETHASONE DOPAMINE HCL-DEXTROSE 5% LI100P8 FOR PRODUCER USE ONLY. NOT INTENDED FOR PUBLIC DISTRIBUTION. Rev. 9-2015 ©OLIC 2015 Rx Knockout List Continued ➤ Knockout drugs listed will be an automatic decline if they appear ➤ Alert drugs will be evaluated and may or may not result on IntelliScript during the point-of-sale interview - NO EXCEPTIONS in a DECLINE. INVIRASE LUPRON DEPOT NAVANE DOPAMINE/D5W SULFATE HUMALOG IONSYS LUPRON DEPOT-PED NAVELBINE DOVER PISTON FEEDING IRRI EPINEPHRINE HUMAN ALBUMIN GRIFOLS IRESSA LYNPARZA NEORAL HCL EPINEPHRINE BITARTRATE HUMIRA IRINOTECAN LYSODREN NEOSAR DRONABINOL EPINEPHRINE BITRATE HUMIRA PEN ISENTRESS M NEXAVAR DROXIA EPINEPHRINE HCL HUMIRA PEN-CROHNS DISEASE ISMO NILANDRON DUAL PORT GASTROSTOMY TUB EPINEPHRINE MIST HUMIRA PEN-PSORIASIS STAR ISOCHRON MANNITOL NILANDRON DURA-G GASTROSTOMY TUBE 1 EPITOL HYDRALAZINE HCL ISOPROTERENOL HCL MARINOL NIPENT DURA-G GASTROSTOMY TUBE 2 EPLERENONE HYDROCORTISONE ISOPROTERENOL SULFATE MARQIBO NITREK DYFILIN-GG ETHMOZINE HYDROCORTISONE SODIUM PHO ISORDIL MATULANE NITRO-BID DYFLEX-G ETHOSUXIMIDE HYDROCORTONE ISORDIL TITRADOSE MEGACE ORAL NITRO-DUR DY-G ETHYOL HYPERHEP B S/D ISOSORBIDE DINITRATE MEGESTROL ACETATE NITROGARD DYLINE-GG HYPERSTAT IV ISOSORBIDE DINITRATE ER MEKINIST NITROGLYCERIN DYLIX F HYQVIA ISOSORBIDE DINITRATE SA MELLARIL NITROGLYCERIN CR DYNACIRC FELBATOL ISOSORBIDE DINITRATE SR MELLARIL CONCENTRATE NITROGLYCERIN ER DYNACIRC - CR FELODIPINE - ER I ISOSORBIDE DINITRATE TR MERCAPTOPURINE NITROGLYCERIN IN 5% DEXTR DYPHYL-G FETZIMA ICY HOT ARTHRITIS THERAPY ISOSORBIDE MONONITRATE HCL NITROGLYCERIN IN DEXTROSE DYPHYLLINE GG ES FIRMAGON ILETIN I LENTE ISOSORBIDE MONONITRATE ER METHADONE HCL DISKETS NITROGLYCERIN SA DYPHYLLINE-GG FIRST -TESTOSTERONE ILETIN I NPH METHADONE HCL INTENSOL ISTODAX NITROGLYCERIN SR DYPHYLLIN-GG FIRST -TESTOSTERONE MELOM ILETIN I REG METHADOSE NITROGLYCERIN TD DYPHYSIN FLECAINIDE ACETATE ILETIN II LENTE/PORK METHADOSE SUGAR-FREE K NITROGLYCERIN TRANSDERMAL DYRENIUM FLUMAZENIL ILETIN II NPH/PORK KALETRA MILRINONE IN DEXTROSE NITROGLYCERIN/IN 5% DEXTR FLUROPLEX ILETIN II REGULAR/PORK KALYDECO MILRINONE LACTATE NITROL E FORADIL AEROLIZER IMMUNE GLOBULIN KEMADRIN MINITRAN NITROLINGUAL PUMPSPRAY EASY-FEED BAG FOSINOPRIL SODIUM INCRUSE ELLIPTA KEYTRUDA MITHRACIN NITROLINGUAL PUMPSPRAY DU ECK NICOTINE FOSPHENYTOIN SODIUM INDERAL MITOMYCIN L NITROQUICK EFFIENT FOSRENOL INDERAL LA MITOXANTRONE HCL NITROSTAT EFUDEX INVOKAMET LATUDA MOBAN NITROTAB EFUDEXBUSULFEX INSPRA LETROZOLE MONOKET G NITRO-TIME ELAVIL INTEGRILIN LEUCOVORIN CALCIUM MUSTARGEN NOLVADEX ELAVIL GABAPENTIN INVERSINE LEUKERAN MUTAMYCIN NORVIR ELIXOPHYLLIN-GG GABARONE INVERTA-PEG GAS KIT/OVER- LEUKINE MYFORTIC NOVANTRONE GABITRIL EMBRACE AMBULATORY ENTERA IPRATROPIUM BROMIDE LEUPROLIDE ACETATE MYLERAN NULOJIX GAMASTAN S/D EMBRACE ENTERAL PUMP SET/ ISOPTIN SR LEUSTATIN MYLOCEL GOLD SODIUM THIOMALATE O EMBRACE NAP AMBULATORY BA ISOXSUPRINE HCL LEVAMISOLE HCL MYLOTARG EMBRACE PUMP SET-PIERCING GRANISETRON HCL OFORTA ISRADIPINE LEXIVA EMBRACE TOPFILL 1000ML BA GRANISOL N OLYSIO ISUPREL LITHIUM EMEND NALOXONE HCL ONCASPAR H LITHIUM CARBONATE EMINASE J NALOXONE HCL NEONATAL ONTAK LITHIUM CARBONATE ER EMSAM HALDO DECANOTE NALTREXONE HCL ONXOL JARDIANCE LITHIUM CITRATE ENALAPRIL MALEATE HALDOL NAMENDA OPDIVO JAY-PHYL LITHOBID ENALAPRIL MALEATE/HYDROCH NAMENDA TITRATION PAK OPEV JEVTANA SUCCINATE ENBREL NAMZARIC ORAP LUPRON 2 WEEK SUPPLY ENBREL SURECLICK HALOPERIDOL LACTATE K NARCAN ORAPRED LUPRON 6-PACK H-BIG KANTREX NATRECOR EPHEDRINE HCL LI100P8 FOR PRODUCER USE ONLY. NOT INTENDED FOR PUBLIC DISTRIBUTION. Rev. 9-2015 ©OLIC 2015 Rx Knockout List Continued ➤ Knockout drugs listed will be an automatic decline if they appear ➤ Alert drugs will be evaluated and may or may not result on IntelliScript during the point-of-sale interview - NO EXCEPTIONS in a DECLINE. ORTHOCLONE OKT3 REBIF TITRATION PACK SUBUTEX KENALOG-10 MEBARAL NEUPRO OSMITROL RECLAST SUSTIVA KENALOG-10 MDV MEDI-GEN NEURONTIN OSMITROL VIAFLEX REMINYL SUTENT KENALOG-40 MEDROL NICARDIPINE HCL P RESCRIPTOR SYLVANT KEPPRA MEDROL DOSEPAK NIFEDIAC CC RETROVIR KEPPRA XR MEGACE ORAL NIFEDICAL XL PACLITAXEL RETROVIR IV INFUSION T KEY-PRED MEGESTROL ACETATE NIFEDIPINE PAMIDRONATE DISODIUM REVIA TABLOID KIE MEPHOBARBITAL NIFEDIPINE ER PARAPLATIN REYATAZ TAFINLAR KINERET MESNA NIMODIPINE PARA-TIME RIBAPAK TAMOXIFEN CITRATE KINLYTIC MESNEX NIMOTOP PARCOPA RIBASPHERE TARCEVA KYTRIL METHOTREXATE BITARTRATE PEDIAPRED RIBATAB TARGRETIN METHOTREXATE SODIUM NORPACE PEGASYS RIBAVIRIN TASIGNA L METHOTREXATE SODIUM LPF NORPACE CR PEG-INTRON RILUTEK TASMAR LAMICTAL METHYLDOPATE HCL NORTHERA PEG-INTRON REDIPEN RISPERDAL TAXOL LANOXICAPS METHYLPRED 40 NORVASC PEG-INTRON REDIPEN PAK 4 RISPERDAL CONSTA TAXOTERE LANOXIN METHYLPREDNISOLONE NOVAPLUS NABI-HB PENTOSTATIN RISPERDAL M-TAB TECFIDERA LANTUS METHYLPREDNISOLONE ACETAT NOVOLIN 70/30 PERFOROMIST TEMODAR LANTUS FOR OPTICLIK METHYLPREDNISOLONE DOSE P NOVOLIN 70/30 INNOLET MESYLATE RISPERIDONE M-TAB TESLAC LANTUS SOLOSTAR METHYLPREDNISOLONE SODIUM NOVOLIN 70/30 PENFILL PERMAX RISPERIDONE ODT THERACYS LARODOPA SUCCINATE ER NOVOLIN L RITUXAN THIOPLEX LEMTRADA METOPROLOL TARTRATE NOVOLIN L U-100 PERTUZUMAB RIVASTIGMINE TARTRATE HCL LEVEMIR MEXILETINE HCL NOVOLIN N MESYLATE ROFERON-A THIORIDAZINE HCL INTENSOL LEVEMIR FLEXPEN MEXITIL NOVOLIN N INNOLET PHOTOFRIN RUBEX THIOTEPA LEVETIRACETAM MICRONEFRIN NOVOLIN N U-100 PLASBUMIN-20 THIOTHIXENE LEVODOPA MIDAMOR NOVOLIN N U-100 PENFILL PLASBUMIN-25 S THIOTHIXENE HCL LEVOPHED MILLIPRED NOVOLIN R PLASBUMIN-5 SANDIMMUNE THYMOGLOBULIN LIBRIUM MILLIPRED DP NOVOLIN R INNOLET PLATINOL AQ SAPHRIS TICE BCG LIDOCAINE HCL MIRAPEX NOVOLIN R U-100 PLENAXIX SCLEROSOL INTRAPLEURAL TIVICAY LIDOCAINE HCL IN D5W MIRCERA NOVOLIN R U-100 PENFILL PREZISTA SELEGILINE HCL TOPOTECAN HCL LIDOCAINE HCL PTV NOVOLOG PRIMACOR SELZENTRY TORISEL LIDOCAINE HCL/DEXTROSE MIRTAZAPINE ODT NOVOLOG FLEXPEN PRINZIDE SERENTIL TREANDA LIFECARE 5000 ENTERAL INF MONOPRIL NOVOLOG MIX 70/30 PROGRAF SEROQUEL TRELSTAR DEPOT LIORESAL INTRATHECAL MOZOBIL NOVOLOG MIX 70/30 PENFILL PROLEUKIN SEROQUEL XR TRELSTAR DEPOT MIXJECT LIQUID PRED MUSCLE RELIEF NOVOLOG MIX 70/30 PREFILL PROLIXIN SIMULECT TRELSTAR LA LISINOPRIL MYCOPHENOLATE MOFETIL NOVOLOG PENFILL PROLIXIN DECANOATE SINEMET TRELSTAR LA MIXJECT LISINOPRIL/HYDROCHLOROTHI MYSOLINE NPLATE R SINEMET CR TRETINOIN LODOSYN NUTRIMIX MACRO VENTED ADA SOLTAMOX TREXALL LOPRESSOR N RANEXA SOVALDI TRISENOX LORAZEPAM NABI-HB O RAPAMUNE SPRYCEL TRIUMEQ LOXAPINE SUCCINATE HCL ONDANSETRON HCL RAZADYNE STAVUDINE TRIZIVIR LOXITANE NEO-FRADIN ONDANSETRON HCL/DEXTROSE RAZADYNE ER STELAZINE TRUVADA LUFYLLIN-GG SULFATE ONDANSETRON ODT REBETOL STERILE TALC POWDER TYBOST LUMINAL NEULASTA OPSUMIT REBETRON STILPHOSTROL TYKERB NEUMEGA ORAP REBIF SUBOXONE TYZEKA M NEUPOGEN ORBACTIV LI100P8 FOR PRODUCER USE ONLY. NOT INTENDED FOR PUBLIC DISTRIBUTION. Rev. 9-2015 ©OLIC 2015 Rx Knockout List Continued ➤ Knockout drugs ➤ Alert drugs will be evaluated and may or may not result in a DECLINE. listed will be an automatic ORAPRED ODT PRELONE RA CAPSAICIN STALEVO TRIXAICIN HP decline if they appear on ORENCIA PRIMATENE MIST RELION 70/30 STAVZOR TRULICITY IntelliScript during the OSCO BRONCHIAL MIST PRIMIDONE RELION 70/30 INNOLET STERAPRED TYSABRI point-of-sale interview - OTREXUP PRINIVIL RELION N STERAPRED 12 DAY V STERAPRED DS OXAZEPAM PROAIR HFA RELION N INNOLET VALPROATE SODIUM STERAPRED DS 12 DAY NO EXCEPTIONS OXCARBAZEPINE PROCAINAMIDE HCL RELION R VALPROIC ACID STREPTASE U PROCAINAMIDE HCL ER RELISTOR VANATRIP P STRIVERDI RESPIMAT VANDETANIB UVADEX PROCAINAMIDE HCL MDV REMERON PACERONE SURFAXIN VASCOR PROCAINAMIDE HCL SR REMERON SOLTAB SYMBICORT V PANFIL-G VASERETIC PROCANBID RENAGEL SYMBYAX VASODILAN VALSTAR PANRETIN VANTAS PROCARDIA RENVELA SYMLIN VASOTEC VECTIBIX PAPAVERINE HCL PROCARDIA XL REOPRO SYMLINPEN 120 VELOSULIN BR VELCADE PARLODEL PROCRIT REQUIP SYMLINPEN 60 VERAPAMIL HCL VEPESID PAROXETINE HCL PROLASTIN REQUIP XL SYMMETREL VERAPAMIL HCL CR VERIPRED 20 PAROXETINE HCL ER PROMACTA RETAVASE VERAPAMIL HCL ER VESANOID T VERAPAMIL HCL SA VESPRIN PATROL PUMP SET/40MM SCRE PRONESTYL REVATIO VIADUR TAMBOCOR VERAPAMIL HCL SR PAXIL PRONESTYL SR REVEX VICTRELIS TARGRETIN VERELAN VIDAZA PAXIL CR HCL REVLIMID TAZTIA XT VERELAN PM VIDEX PEGANONE HCL VIMPAT VIDEX EC RID-A-PAIN TEGRETOL PERITONEAL LAVAGE KIT VISKEN VIEKIRA PAK PROPRANOLOL HCL CR ROPINIROLE HCL TEGRETOL-XR VINBLASTINE SULFATE PERSANTINE PROPRANOLOL HCL ER RYTHMOL VIVONEX VINCASAR PFS TENORMIN PERSANTINE I.V. PROPRANOLOL HCL INTENSOL VLLBRYD VINCRISTINE SULFATE RYTHMOL SR TESTOSTERONE ENANTHATE V-R BRONCHIAL MIST VINORELBINE TARTRATE PROPRANOLOL HCL LA TESTOSTERONE PROPIONATE V-R BRONCHIAL MIST REFILL VIRACEPT S VIRAMUNE PHENOBARBITAL SODIUM PROSTIN VR PEDIATRIC THEOLATE V-R CAPSAICIN HP VIREAD PHENOBARBITAL SODIUM TUBE SALONPAS-HOT PROVENGE THEOMAR GG W VIVITROL PHENTOLAMINE MESYLATE SANCUSO THERAGEN VOTRIENT Q WARFARIN VUMON PHENURONE SAV-ON BRONCHIAL MIST THERAGEN HP X HCL QUADRAMET SB BRONCHIAL MIST THORAZINE X XALKORI PHENYTEK QUANTERRA SCREW CAP PUMP SET/40MM/F THYROGEN XARELTO XELODA QUIBRON SERTRALINE HCL TIAZAC XEMPRA KIT XOFIGO PHENYTOIN PHENYTOIN SODIUM QUIBRON 300 SERTRALINE HYDROCHLORIDE TIKOSYN XIGDUO XR Y XYLOCAINE PHENYTOIN SODIUM EXTENDED QUINAPRIL HCL SERZONE TNKASE YERVOY TONOCARD PHENYTOIN SODIUM PROMPT QUINIDEX SIMPONI Z Z TOPAMAX QUINIDEX EXTENTABS SINEQUAN ZARONTIN ZANOSAR TOPAMAX SPRINKLE ZELAPAR PLAVIX GLUCONATE SODIUM EDECRIN ZEMAIRA ZELBORAF QUINIDINE GLUCONATE CR ZESTORETIC ZENAPAX PLEGRIDY SOLU-CORTEF TOPROL XL QUINIDINE GLUCONATE ER ZESTRIL ZERIT PLENDIL SOLU-CORTEF MIX-O-VIAL TORSEMIDE ZINECARD ZEVALIN IN-111 QUINIDINE GLUCONATE SA ZEVALIN Y-90 PLUM LC 5000/40MM SCREW C SOLU-MEDROL TOTECT ZOFRAN ZIAGEN PREDNISOLONE QUINIDINE GLUCONATE SR SOLU-MEDROL ACT-O-VIAL HCL ZOFRAN ODT ZIDOVUDINE PREDNISOLONE ACETATE QUINIDINE SULFATE SOLUREX TRAZODONE HCL DIVIDOSE ZOLOFT HCL QUINIDINE SULFATE ER ZONEGRAN ZOLADEX PREDNISOLONE ANHYDROUS SOLUREX LA TRIAM FORTE ZONISAMIDE ZOLINZA PREDNISOLONE HYDROUS R SORINE TRIAMCINOLONE ACETONIDE ZOMETA TRIAMCINOLONE DIACETATE ZONTIVITY ZORTRESS PREDNISOLONE SODIUM PHOSPHATE HCL RA ARTHRITIS PAIN RELIEF TRIAMTERENE ZOSTRIX ZYDELIG PREDNISONE SPIRIVA HANDIHALER ZOSTRIX SPORTS ZYKADIA RA BRONCHIAL MIST TRIHEXYPHENIDYL HCL PREDNISONE INTENSOL SPIRONOLACTONE ZOSTRIX-HP ZYPREXA RA BRONCHIAL MIST REFILL TRILEPTAL ZYTIGA ZYBAN LI100P8 FOR PRODUCER USE ONLY. NOT INTENDED FOR PUBLIC DISTRIBUTION. Rev. 9-2015 ©OLIC 2015