Pharmacy Formulary

Applicable to: Medi-Cal Alliance Care IHSS Health Plans

This formulary and other plan-specific coverage documents are accessible online at: https://thealliance.health/for-providers/manage-care/ pharmacy-services/

Link to the Medi-Cal and Alliance Care IHSS members’ homepage: https://thealliance.health/for-members/

Notice: This formulary is subject to change and all previous versions of the formulary are no longer in effect.

October 1, 2021

www.thealliance.health Notice of non-discrimination Discrimination is against the law. Central California Alliance for Health (the Alliance) complies with applicable federal and State civil rights laws and does not discriminate (exclude or treat people differently) on the basis of race, color, national origin, creed, ancestry, religion, language, age, marital status, sex, sexual orientation, gender identity, health status, physical or mental disability, or identification with any other persons or groups defined in Penal Code 422.56, and the Alliance will provide all Covered Services in a culturally and linguistically appropriate manner. The Alliance: Provides free aids and services to people with disabilities to communicate effectively with us, such as: Qualified sign language interpreters Written information in other formats (braille, large print, audio, accessible electronic formats, and other formats) Provides free language services to people whose primary language is not English, such as: Qualified interpreters Information written in other languages If you need these services, contact Member Services. If you believe that the Alliance has failed to provide these services or discriminated in another way on the basis of race, color, national origin, creed, ancestry, religion, language, age, marital status, sex, sexual orientation, gender identity, health status, physical or mental disability, or identification with any other persons or groups defined in Penal Code 422.56, you can file a grievance with: Central California Alliance for Health Attn: Grievance Department 1600 Green Hills Road, Scotts Valley, CA 95066 800-700-3874 x5816 / (TTY: 1-800-735-2929)

Fax: 831-430-5579 Email: [email protected] You can file a grievance in person or by mail, fax or email. If you need help filing a grievance, Member Services or a Grievance Coordinator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019, 800-537-7697 (TDD) Complaint forms are available at https://www.hhs.gov/ocr/filing-with-ocr.

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ՈՒՇԱԴՐՈՒԹՅՈՒՆ՝ Եթե խո ս ո ւ մ եք հայ ե ր ե ն , ապա ձեզ ան վ ճ ար կար ո ղ են տր ամ ադ ր վ ե լ լե զ վ ակ ան աջ ակ ց ո ւ թ յ ան ծառ այ ո ւ թյ ո ւ ն ն ե ր : Զան գ ահ ար ե ք 800-700-3874 (TTY (հ ե ռ ատի պ)՝ 1-800-735-2929):

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注意事項：日本語を話される場合、無料の言語支援をご利用いただけます。800-700- 3874 (TTY: 1-800-735-2929）まで、お電話にてご連絡ください。

LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau [1-800-700-3874] (TTY: [1-800-735-2929]).

ਚ ਸਹਾਇਤਾ ਸੇ ਾ ਤੁਹਾਡੇ ਲਈ ਮੁਫਤ ਉਪਲਬਿ ਹੈ।ﹱ ਧਿਆਨ ਧਿਓ: ਜੇ ਤੁਸੀਂ ਪੰਜਾਬੀ ਬੋਲਿੇ ਹੋ, ਤਾਂ ਭਾਸ਼ਾ ਧ 800-700-3874 (TTY: 1-800-735-2929) 'ਤੇ ਕਾਲ ਕਰੋ।

فإن خدمات المساعدة اللغویة تتوافرﻚﻟ بالمجان. اتصل ﻢﻗﺮﺑ 800-700-3874 )رقم هاتف الصم والبكم :2929-735-800-1). ملحوظة: إذا كنت تتحدث اذكر اللغة،

उपलब्ध ℂ। 800-700- ﴂदी बोलते ℂ तो आपके ललए मुफ्त मᴂ भाषा स ायता सेवाएﴂ 鵍यान दᴂ: यदद आप द 3874 (TTY: 1-800-735-2929) पर कॉल करᴂ। เรียน: ถ้าคุณพูดภาษาไทยคุณสามารถใช้บริการช่วยเหลือทางภาษาได้ฟรี โทร 800-700-3874 (TTY: 1-800-735-2929).

ប្រយ័㿒ន៖ បរ ើសិនᾶ诒នកនិ架យ 徶羶ខ្មែ , ប ស玶ជំនួយខ្មែនក徶羶 រោយមិនគិ㿒⏒ន ួល គឺ讶ច掶នសំ殶រ់រំរ ើ诒នក។ ចូ ទូ ស័寒ទ 800-700-3874 (TTY: 1-800-735-2929)។

ໂປດຊາບ:ຖ້ າວ່ າ ທ່ ານເ ວ້ າພາສາ ລາວ,ການໍບິລການຊ່ ວຍເຫ ອດ້ ານພາສາ, ໂດຍໍ່ບເສັ ຽຄ່ າ, ແມ່ ນີມ ພ້ ອມໃຫ້ ທ່ ານ. ໂທຣ 800-700-3874 (TTY: 1-800-735-2929

Table of Contents

Informational Section ...... 2 Analgesic, Anti-Inflammatory Or Antipyretic - Drugs For Pain And Fever ...... 24 Anesthetics - Drugs For Pain And Fever ...... 32 Anorectal Preparations - Rectal Preparations ...... 32 Antidotes And Other Reversal Agents - Drugs For Overdose Or Poisoning ...... 33 Anti-Infective Agents - Drugs For Infections ...... 33 Antineoplastics - Drugs For Cancer ...... 41 Antiseptics And Disinfectants - Antiseptics And Disinfectants ...... 51 Biologicals - Biological Agents ...... 51 Cardiovascular Therapy Agents - Drugs For The Heart ...... 60 Central Nervous System Agents - Drugs For The Nervous System ...... 68 Chemical Dependency, Agents To Treat - Drugs For Addiction ...... 80 Chemicals-Pharmaceutical Adjuvants ...... 81 Cognitive Disorder Therapy - Drugs For The Nervous System ...... 83 Contraceptives - Drugs For Women ...... 83 Dermatological - Drugs For The Skin ...... 93 Eating Disorder Therapy - Drugs For Eating Disorders...... 106 Electrolyte Balance-Nutritional Products - Drugs For Nutrition ...... 106 Endocrine - Hormones ...... 127 Gastrointestinal Therapy Agents - Drugs For The Stomach ...... 136 Genitourinary Therapy - Drugs For The Urinary System ...... 152 Gout And Hyperuricemia Therapy - Drugs For Pain And Fever ...... 155 Hematological Agents - Drugs For The Blood ...... 155 Immunosuppressive Agents - Drugs For Organ Transplants ...... 159 Locomotor System - Drugs For Muscles, Ligaments, Tendons, And Bones ...... 159 Medical Supplies And Durable Medical Equipment (Dme) - Medical Supplies And Durable Medical Equipment ...... 160 Medical Supply, Fdb Superset ...... 173 Metabolic Modifiers - Drugs That Alter Metabolism ...... 184 Mouth-Throat-Dental - Preparations - Drugs For The Mouth And Throat ...... 184 Ophthalmic Agents - Drugs For The Eye ...... 186 Otic (Ear) - Drugs For The Ear ...... 194 Respiratory Therapy Agents - Drugs For The Lungs ...... 195 Vaginal Products - Drugs For Women ...... 214

TOC-1 Informational Section

2 Introduction

Alliance Member Services Contact Information

If you have any questions about this handbook, your benefits or how to get care, please call us at 1-800-700-3874 (TTY for the hearing-impaired at 1-800-735-2929). It is our job to help you understand your health plan and how to use it. Our Representatives speak English and Spanish. We use a telephone language line for members who speak other languages.

You can reach one of our Member Services Representatives Monday-Friday between 8:00 a.m. and 6:00 p.m. You can also visit our Web site, www.ccah-alliance.org.

Message from Alliance pharmacy department

Central California Alliance for Health (The Alliance), with direction from the Pharmacy & Therapeutics (P&T) Committee, has developed this formulary to be used by Alliance providers and Medi-Cal and Alliance Care IHSS members.

The P&T committee will continue to update and revise this formulary based on quality of care considerations and sound financial principles. The Alliance’s contract with the State of California requires mandatory generic substitution whenever an equivalent product is available. By Alliance policy, the only prescription drugs not requiring mandatory generic substitution are Coumadin, Dilantin, and Lanoxin. However, clinicians may prescribe a Brand Name drug with a “do not substitute” order when there is clinical justification for doing so. In the latter case, a Prior Authorization must be submitted to the Alliance for consideration prior to dispensing the drug to an Alliance member.

Over-the-counter (OTC) drugs are not a covered benefit for Alliance Care IHSS health plan, except for loratadine, cetirizine, fexofenadine, ketotifen, prenatal vitamins, nicotine patches and gum, OTC contraceptives and diabetic supplies. These OTC drugs are denoted in the Formulary with the “OTC” symbol. OTC drugs that are Medi-Cal benefits only are denoted with the symbol “OTC MediCal”. There is more information about symbols used in the formulary in the Informational section.

The formulary can be changed every month and changes are effective on the 1st of the month after quarterly P&T committee meetings. Formulary changes are published in the Alliance Member bulletins, provider bulletins and in this formulary guide. Changes to the formulary may include: adding or removing coverage requirements or limits, addition of/ or removal of prior authorization requirements. See the Informational section for more details on the formulary symbols and what they mean.

The Alliance will not make changes to the drug tiers as a result of P&T committee, that would result in a higher copayment amount, please see drug tier section for more information.

4 Definitions

Brand Name Drug A drug that is marketed under a proprietary, trademark protected name. The brand name drug shall be listed in all CAPITAL letters.

Coinsurance A percentage of the cost of a covered health care benefit that an enrollee pays after the enrollee has paid the deductible, if a deductible applies to the health care benefit, such as the prescription drug benefit.

Copayment A fixed dollar amount that an enrollee pays for a covered health care benefit after the enrollee has paid the deductible, if a deductible applies to the health care benefit, such as a prescription drug benefit. Coordination of Benefits Means that if you have more than one insurance carrier, there is a specific order as to which insurance will pay first and which will pay last. The one that is billed first is your primary insurance. The insurance that is billed next is your secondary insurance. Even if you have more than one insurance carrier, the provider cannot collect more than the rate set by the insurance carriers. If you have questions about which insurance is your primary, please call Member Services.

Deductible Is the amount an enrollee pays for covered health care benefits before the enrollee's health plan begins payment for all or part of the cost of the health care benefit under the terms of the policy.

Drug Tier Is a group of prescription drugs that corresponds to a specified cost sharing tier in the health plan's prescription drug coverage. The tier in which a prescription drug is placed determines the enrollee's 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 Is a request for coverage of a prescription drug. If an enrollee, his or her designee, or prescribing health care provider submits an exception request for coverage of a prescription drug, the health plan must cover the prescription drug when the drug is determined to be medically necessary to treat the enrollee's condition.

Exigent circumstances When an enrollee is suffering from a health condition that may seriously jeopardize the enrollee's life, health, or ability to regain maximum function, or when an enrollee is undergoing a current course of treatment using a nonformulary drug.

Formulary The complete list of drugs preferred for use and eligible for coverage under a health plan product, and includes all drugs covered under the outpatient prescription drug benefit of the health plan product. Formulary is also known as a prescription drug list.

Generic drug Is the same drug as its brand name equivalent in dosage, safety, strength, how it is taken, quality, performance, and intended use. A generic drug is listed in bold and italicized lowercase letters.

Medical Supplies The pharmacy department will review authorization requests for blood glucose meters, test strips, lancets, syringes, needles and sharps containers. All other requests for medical supplies will need to be sent to the Utilization Management department. The fax number for the Utilization Management department is (831) 430-5850.

Medically Necessary Those health care, mental health care and substance use disorder services or products that are (a) furnished in accordance with professionally recognized standards of practice; (b) determined by the treating provider to be consistent with the medical condition, mental illness or substance use disorder; and (c) furnished at the most appropriate type, supply and level of service that consider the potential risks, benefits and alternatives.

Member A person who becomes enrolled (enrollee) in Central California Alliance for Health to receive health care. In this formulary, a Member is also referred to as “you.”

Nonformulary drug A prescription drug that is not listed on the health plan's formulary.

Out-of-pocket cost Are copayments, coinsurance, and the applicable deductible, plus all costs for health care services that are not covered by the health plan.

Over the counter A medicine or product available for retail sale, but which can be considered for payment by the plan with a valid prescription.

6 Prescribing provider A health care provider authorized to write a prescription to treat a medical condition for a health plan enrollee.

Prescription Is an oral, written, or electronic order by a prescribing provider for a specific enrollee that contains the name of the prescription drug, the quantity of the prescribed drug, the date of issue, the name and contact information of the prescribing provider, the signature of the prescribing provider if the prescription is in writing, and if requested by the enrollee, the medical condition or purpose for which the drug is being prescribed.

Prescription drug A drug that is prescribed by the enrollee's prescribing provider and requires a prescription under applicable law.

Prior Authorization A health plan's requirement that the enrollee or the enrollee's prescribing provider obtain the health plan's authorization for a prescription drug before the health plan will cover the drug. The health plan shall grant a prior authorization when it is medically necessary for the enrollee to obtain the drug.

Step Therapy A process specifying the sequence in which different prescription drugs for a given medical condition and medically appropriate for a particular patient are prescribed. The health plan may require the enrollee to try one or more drugs to treat the enrollee's medical condition before the health plan will cover a particular drug for the condition pursuant to a step therapy request. If the enrollee's prescribing provider submits a request for step therapy exception, the health plans shall make exceptions to step therapy when the criteria is met.

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.

Using Your Health Plan Formulary

There are a few ways to look up a drug in the formulary: 1. You can find a drug by looking for the therapeutic category of the drug in the categorical list of prescription drugs. This is list is in the Table of contents. If you choose a therapeutic class in the Table of contents, you can double click on the name and it will take you to the drugs in the class listing.

a. If you are using an electronic version of the drug list, you can also use the PDF Search Function by pressing Ctrl + F on your computer keyboard. Type the name of the therapeutic class you are looking for in the search box.

b. If you are using a print version of the drug list, you can search for the name of the therapeutic class in the Table of contents or the Index at the end of this guide.

2. If you have the generic or brand name of the drugs, you can also use the Index of prescription drugs. You can find the Index in the Table of contents.

a. If you are using an electronic version of the drug list, you can use the PDF Search Function by pressing Ctrl + F on your computer keyboard. Type the generic or brand name of the drug you are looking for in the search box.

b. If you are using a print version of the drug list, you can search for the generic or brand name of the drug in the Index at the end of this guide.

c. If a generic equivalent of a brand name drug is not available or is not covered, the drug will not be listed separately by its generic name in the formulary.

3. You can call member services and ask them to help you find out if your drug is covered on the formulary. You can request a paper copy of the formulary by contacting member services.

4. You can ask your doctor to call our pharmacy department ask if a drug is covered or ask your doctor to look up the formulary document online. The Alliance formulary is located on the member services webpage but it is also available for providers on the provider webpage.

8 How drugs are listed in the categorical list of prescriptions drugs: 1. Drugs are listed alphabetically by its brand and generic names in the therapeutic category and class to which it belongs.

2. The generic name of a brand name drug is included after the brand name in parenthesis and all bold and italicized lowercase letters.

3. If a generic equivalent for a brand name drug is available, and both the brand name and generic equivalents are covered, the generic drug will be listed separately from the brand name drug in all bold and italicized lowercase letters.

4. In the event a generic drug is marketed under a proprietary, trademark protected brand name, the brand name will be listed in all CAPITAL letters after the generic name in parentheses and regular typeface with first letter of each word capitalized.

a. example: Wixela Inhub Inhaler

Drug Tiers (Alliance Care IHSS Health Plan only)

Tier copayment amounts apply: ▪ per prescription for a 30-day supply of generic drugs, per prescription for a 30-day supply of brand name drugs. ▪ per prescription for a 90-day supply of maintenance drugs of generic drugs, per prescription for a 90-day supply of brand name drugs. ▪ If the cost of drug is lower than the copayment, member will pay for the lower cost. ▪ No copayment for prescription drugs provided in an inpatient setting. No copayment for drugs administered in the doctor’s office or in an outpatient facility. ▪ Copayment may be less for a “partial fill”, please see “What your doctor can prescribe” section of more information on what “partial fill” means Tier Copayment Description Tier 1 $5.00 * Generic and Specialty generic drugs Tier 2 $15.00 * Brand and Specialty brand drugs *coinsurance amounts in accordance with Health and safety code 1367.656.

10 Formulary Symbols Key

Symbol Description and/or Coverage Requirements and Limits Age Age limits apply. We only pay for this drug or dosage form for certain age groups based on information about the drug’s safety, efficacy, and cost. CT Contraceptives, zero copay for Alliance Care IHSS health plan DD Diabetes Drugs/Devices IHSS Drugs that are covered benefits under the Alliance Care IHSS health plan. Zero copay for emtricitabine/tenofovir disoproxil fumarate oral tablet 200-300 mg and DESCOVY ORAL TABLET 200-25 MG.

Drugs that are carved-out benefits for the Medi-Cal health plan and State Fee for service Medi-Cal is responsible for payment. OCH Orally administered cancer drugs OTC Over-the-Counter drugs that are covered by Alliance Care IHSS health plan and Medi-Cal health plan OTC MediCal Over-the-Counter drugs that are covered on the drug list with a valid prescription from a provider for Medi-Cal health plan only.

Requires a prior authorization for coverage under Alliance Care IHSS health plan. PA Prior Authorization is required. We require advanced approval of coverage on some drugs before they will be paid for. If Prior Authorization is required for a drug or dosage form, providers must show you have a medically accepted use for the drug and other treatments have not worked or are not appropriate. Other requirements may apply depending on the drug. PA NSO Prior Authorization is required for a member who has been newly started on the drug. QL Quantity Limits apply. We will pay for a maximum daily amount based on information about the drug’s medically accepted use and cost. ST Step Therapy is required. If we have paid for you to have the required step therapy drug(s) in the past, this drug will be paid for at the pharmacy without need for a Prior Authorization or step therapy exception request. The drug list will show you which drugs are required first. SP Drug is a specialty drug and can only be dispensed by US Bioservices pharmacy (exceptions for medical necessity are considered on a case by case basis)

Getting Pharmacy Benefits

Drugs given in a doctor’s office or drugs covered under the medical benefit Your doctor will know what drugs these are. If your doctor prescribes these, your doctor can contact us for more information about obtaining these drugs for you. These drugs can be given to you in different ways, sometimes through an injection in your vein, skin or other body part. There are no coinsurance amounts for these drugs on the Alliance care IHSS health plan or the Medi-Cal health plan. Your doctor can ask about coverage restrictions or submit a prior authorization by calling Alliance provider services at 831-430-5504 or by calling Pharmacy prior authorizations at 831-430-5507. Your doctor can also fax a prior authorization to us, or use our online prior authorization portal. If you have questions about coverage for drugs given to you in a doctor’s office, you can call member services at (800) 700-3874. These drugs are not listed on the Formulary. What Your Doctor Can Prescribe Your PCP has a list of drugs that are approved by the Plan. This list is called a formulary. A group of doctors and pharmacists reviews and updates the formulary list every year to make sure that the drugs on it are safe and useful. If your doctor thinks that you need to take a drug that isn’t on this list, or if your doctor feels you need a drug that isn’t usually prescribed for the specific medical condition you have, your doctor can send us a request for prior authorization. The presence of a prescription drug on the formulary does not guarantee that it will be prescribed by your doctor for a particular medical condition. You or your doctor can request that the pharmacy fill only part of the prescription at one time. You would get the rest of the prescribed amount later. This is called a “partial fill” and applies only to what are called Schedule 2 drugs. These are drugs like opioids and stimulants. Your copayment on a partial fill will be prorated and will be less than the copayment stated in the drug tier section. Your pharmacy can call MedImpact to ask for a 5 day emergency supply override for you at any time. How to get prior authorization for a drug Drugs that require a prior authorization are noted with the symbol “PA” on the formulary guide. The request for prior authorization lets us know why you need that drug. Prior authorization means that both your doctor and the Plan or the Plan’s Contractor agree that the services you will receive are medically necessary. We will need to approve the request before covering that drug for you. When there is more than one drug that is

12 appropriate for the treatment of a medical condition, we may require your doctor to try the preferred drug first, before requesting authorization to prescribe any of the others. This is known as “step therapy.” Your provider may request an exception to the step therapy process for a prescription drug. When we get a request for prior authorization for a drug, we will reply to your doctor within 24-hours from the time the request was received. If we do not respond within 24- hours, the request is considered to be approved. Authorization requests for exigent circumstances will be given priority and a 72-hour supply of the covered outpatient drug will be dispensed until a determination has been made or the 24-hour period has expired. Please see the “Definitions” section of this document for an explanation of the term “exigent circumstances.” If we approve the request, then you can get the drug. If we deny the request, you have the right to file a complaint. As part of the grievance process, you, your personal representative or your provider may ask for an external exception review. This means we would send the authorization request and the information we received from your provider to an outside physician who would review our decision. For more information on how to file a complaint or asking for an external exception review, please call member services at 1-800-700-3874. The Alliance Care IHSS health plan and Medi-Cal member handbooks contain all of your appeal rights and procedures too. The Plan will not limit or exclude coverage for a drug you are taking if the drug had been previously approved for coverage by the Plan and your doctor continues to prescribe the drug, as long as the drug is appropriately prescribed and is considered safe and effective for treating your medical condition. This does not mean that your doctor cannot choose to prescribe a different drug or that a generic equivalent of the drug cannot be substituted. How to find a pharmacy If you are filling or refilling a prescription, you must get your prescribed drugs from a pharmacy that works with the Alliance. We contract with a company called MedImpact for pharmacy services and we use their network of pharmacies. You must go to one of these pharmacies for your prescription drugs. Some of the pharmacies have locations throughout California. You can find a list of pharmacies that work with the Alliance in the Alliance Provider Directory at http://www.ccah-alliance.org/aspnetforms/MedimpactLocator.aspx. You can also find a pharmacy near you by calling Member Services at 800-700-3874 (TTY 800-735-2929 or 711). Once you choose a pharmacy, take your prescription to the pharmacy. Give the pharmacy your prescription with your Alliance ID card. Make sure the pharmacy knows about all drugs you are taking and any allergies you have. If you have any questions about your prescription, make sure you ask the pharmacist.

If you need to get a prescription filled at an out-of-area pharmacy because of an emergency or for treatment of an urgent medical condition, please ask the pharmacy to call us at 1-800-700-3874. We will explain to the pharmacy how they can bill us for the drug. Your pharmacy can also call MedImpact to get a 5 day emergency supply of drugs for you. If there is a State of emergency issued in your local area, your pharmacy can also call MedImpact to get an emergency override for your drugs. Some drugs are known as specialty drugs. These drugs may have special handling or storage requirements or you will need extra guidance from a care team at the pharmacy for that drug. The Alliance has a preferred Specialty pharmacy called US Bioservices pharmacy, which is also shown in our Alliance Provider directory. The specialty drugs which are required to be filled at US Bioservices are shown on the formulary with an “SP” symbol. You may request an exception to using US Bioservices pharmacy by calling member services. The Alliance may allow you to use a different specialty pharmacy besides US Bioservices pharmacy but not the retail pharmacy of your choice. This is because only specialty pharmacies carry these drugs and sometimes only one or two pharmacies have access to dispense that drug. The Alliance also offers a mail order pharmacy program. Did you know you can get a 90-day supply of most prescription drugs mailed to you through MedImpact Direct? Talk to your doctor about getting a 90-day supply with free standard delivery. To set-up mail order for your drugs, visit https://www.medimpact.com or call 855-873-8739.

14 Address

Santa Cruz County Main Monterey County Office Merced County Office Office 950 East Blanco Road, 530 West 16th Street, 1600 Green Hills Road, Suite 101 Suite B Suite 101 Salinas, CA 93901-3400 Merced, CA 95340-4710 Scotts Valley, CA 95066- (831) 755-6000 (209) 381-5300 4981 Hours: M-F, 8am-5pm Hours: M-F, 8am-5pm (831) 430-5500 Hours: M-F, 8am-5pm

Phone Directory

Automated System (831) 430-5501 Authorizations – Pharmacy (831) 430-5507 Authorizations – Non-Pharmacy (831) 430-5506 Status Requests for Non-Pharmacy (831) 430-5511 Care Management (831) 430-5512 Claims Inquiries (831) 430-5503 EDI Support Line (831) 430-5510 Health Education (831) 430-5580 Member Services (831) 430-5505 Provider Services (831) 430-5504

Department Fax Numbers

Administration (831) 430-5852 Claims (831) 430-5858 Finance (831) 430-5853 Health Services PA and RAFs (831) 430-5850 Member Services (831) 430-5856 Pharmacy Authorizations (831) 430-5851 Provider Services (831) 430-5857

Carve-out Drugs (applies to Medi-Cal health plan only)

The following drugs are carved out from the Alliance formulary for AIDS and Hep B indications. They are to be billed to State Medi-Cal via EDS, not the Alliance. Some of the drugs may require a TREATMENT AUTHORIZATION REQUEST (TAR) submitted to State Medi-Cal and approved prior to dispensing. These are denoted with the Formulary symbol “IHSS” as they are benefits for Alliance Care health plan.

AIDS Drugs ( and Hep B )Drugs TAR Required (Y/N) Abacavir/Lamivudine N Abacavir Sulfate N Abacavir Sulfate/Dolutegravir/Lamivudine (Triumeq) N Atazanavir Sulfate N Atazanavir/Cobicistat (Evotaz) N Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy) N Cabotegravir/Rilpivirine (Cabenuva) Y Cobicistat (Tybost) N Darunavir Ethanolate N Darunavir/Cobicistat (Prezcobix) N Darunavir/Cobicistat/Emtricitabine/Tenofovir Alafenamide N (Symtuza) Delavirdine Mesylate N Dolutegravir (Tivicay) N Dolutegravir (Tivicay PD) Y Dolutegravir/ Lamivudine (Dovato) N Dolutegravir/ Rilpivirine (Juluca) N Doravine (Pifeltro) N Doravirine/ Lamivudine/ Tenofovir disoproxil fumarate N (Delstrigo) Efavirenz N Efavirenz/Emtricitabine/Tenofovir Disoproxil Fumarate ( N Atripla) Efavirenz/Lamivudine/Tenofovir Disoproxil Fumarate ( Symfi N LO) Efavirenz/Lamivudine/Tenofovir Disoproxil Fumarate ( Symfi ) N Elvitegravir (Vitekta) N Elvitegravir/Cobicistat/Emtricitabine/Tenofovir Disoproxil N Fumarate (Stribild)

16 AIDS Drugs ( and Hep B )Drugs Continued TAR Required (Y/N) Elvitegravir/Cobicistat/Emtricitabine/Tenofovir alafenamide N (Genvoya) Emtricitabine/Rilpivirine/Tenofovir Alafenamide (Odefsey) N Emtricitabine/Rilpivirine/ Tenofovir Disoproxil Fumarate N (Complera) Emtricitabine/Tenofovir Alafenamide ( Descovy) N Emtricitabine N Enfuvirtide Y Etravirine N Fosamprenavir Calcium N Fostemsavir (Rukobia) Y Ibalizumab-uiyk ( Trogarzo ) N Indinavir Sulfate N Lamivudine N Lamivudine/ Tenofovir disoproxil fumarate ( Cimduo) N Lopinavir/Ritonavir N Maraviroc N Nelfinavir Mesylate N Nevirapine N Raltegravir Potassium N Rilpivirine Hydrochloride N Ritonavir N Saquinavir N Saquinavir Mesylate N Stavudine N Tenofovir Alafenamide (Vemlidy) N Tenofovir Disoproxil-Emtricitabine N Tenofovir Disoproxil Fumarate N Tipranavir N Zidovudine/Lamivudine N Zidovudine/Lamivudine/ Abacavir Sulfate N

Carve-out Drugs (applies to Medi-Cal health plan only) The following drugs are carved out from the Alliance formulary for Mental Health indications. They are to be billed to State Medi-Cal via EDS, not the Alliance. Some of the drugs may require a TREATMENT AUTHORIZATION REQUEST (TAR) submitted to State Medi-Cal and approved prior to dispensing. These are denoted with the Formulary symbol “IHSS” as they are benefits for Alliance Care health plan.

Psychiatric Drugs TAR Requirement (Y/N) Amantadine HCl N Amantadine HCl ER Y Aripiprazole Y(Age 0-17) Aripiprazole lauroxil (Aristada Initio) Y Asenapine (Saphris) Y(Age 0-17) Benztropine Mesylate N Brexpiprazole Y Cariprazine Y Chlorpromazine HCl Y(Age 0-17) Clozapine Y(Age 0-17) Fluphenazine Decanoate Y Fluphenazine HCl Y(Age 0-17) Haloperidol Y(Age 0-17) Haloperidol Decanoate Y(Age 0-17) Haloperidol Lactate Y(Age 0-17) Iloperidone (Fanapt) Y(Age 0-17) Isocarboxazid Y Lithium Carbonate N Lithium Citrate N Loxapine Aerosol Powder Breath Activated (Adasuve) Y Loxapine Succinate Y(Age 0-17) Lumateperone (Caplyta) Y Lurasidone Hydrochloride Y(Age 0-17) Molindone HCl Y(Age 0-17) Olanzapine Y(Age 0-17) Olanzapine Fluoxetine HCl Y Olanzapine Pamoate Monohydrate (Zyprexa Relprevv) Y

Psychiatric Drugs Continued TAR Requiremen t (Y/N) Paliperidone (Invega) Y Paliperidone Palmitate (Invega Sustenna) Y Paliperidone Palmitate (Invega Trinza) Y Perphenazine Y(Age 0-17) Phenelzine Sulfate Y Pimavanserin (Nuplazid) Y Pimozide Y Quetiapine Y(Age 0-17) Risperidone Y(Age 0-17) Risperidone ER injectable suspension (Perseris) Y Risperidone Microspheres Y Selegiline (transdermal only) Y Thioridazine HCl Y(Age 0-17) Thiothixene Y(Age 0-17) Thiothixene HCl Y(Age 0-17) Tranylcypromine Sulfate Y Trifluoperazine HCl Y(Age 0-17) Trihexyphenidyl N Ziprasidone HCl Y(Age 0-17) Ziprasidone Mesylate Y

Carve-out Drugs (applies to Medi-Cal health plan only)

The following drugs are carved out from the Alliance formulary for Opioid Detoxification indication. They are to be billed to State Medi-Cal via EDS, not the Alliance. Some of the drugs may require a TREATMENT AUTHORIZATION REQUEST (TAR) submitted to State Medi-Cal and approved prior to dispensing. These are denoted with the Formulary symbol “IHSS” as they are benefits for Alliance Care health plan.

Alcohol, Heroin Detoxification and Dependency TAR Requirement Treatment Drugs (Y/N) Acamprosate Calcium N Buprenorphine HCl ( Does not require a TAR, except for N the drugs below) Buprenorphine Extended-Release Inj (Sublocade) N Buprenorphine HCl (Belbuca) * Y Buprenorphine Implant (Probuphine) Y Buprenorphine/Naloxone HCl N Naloxone HCl N Naltrexone (oral) N Naltrexone Microsphere Injectable Suspension (Vivitrol) N Lofexidine Hydrochloride (Lucemyra) Y Disulfiram (Antabuse) N

20 Carve-out Drugs (applies to Medi-Cal health plan only)

The following drugs are carved out from the Alliance formulary for Blood and Coagulation Factors. They are to be billed to State Medi-Cal via EDS, not the Alliance. Some of the drugs may require a TREATMENT AUTHORIZATION REQUEST (TAR) submitted to State Medi-Cal prior to dispensing. These are denoted with the Formulary symbol “IHSS” as they are benefits for Alliance Care health plan.

Blood and Coagulation Factors Antihemophilic factor VIII/von Willebrand factor complex (human) Anti-inhibitor Coagulation factor X (human) Emicizumab (Hemlibra) Factor VIIa (antihemophilic factor, recombinant) Factor VIIa (antihemophilic factor, recombinant)-jncw (Sevenfact), per mcg Factor VIII (antihemophilic factor, human) Factor VIII (antihemophilic factor, recombinant) Factor VIII (antihemophilic factor, recombinant) (Afstyla), per IU Factor VIII (antihemophilic factor, recombinant) (Novoeight) Factor VIII (antihemophilic factor, recombinant) (Nuwiq), per IU Factor VIII (antihemophilic factor, recombinant) PEGylated, per IU Factor VIII (Recombinant), GlycoPEGylated-exei Factor VIII, antihemophilic factor (recombinant), glycopegylated-exei (Esperoct), per IU Factor IX (antihemophilic factor, purified, nonrecombinant) Factor IX (antihemophilic factor, recombinant) Factor IX (antihemophilic factor, recombinant) (Rixubis) Factor IX, albumin fusion protein, (recombinant), (Idelvion) per IU Factor IX complex Factor X (human), per IU Factor XIII (antihemophilic factor, human) Factor XIII A-Subunit (recombinant) Hemophilia clotting factor, not otherwise classified Injection, factor VIII (antihemophilic factor, recombinant) (Obizur) Injection, factor VIII, fc fusion protein (recombinant) Injection Factor IX, (antihemophilic factor, recombinant), glycopegylated, (Rebinyn), 1 IU Injection, factor IX fusion protein (recombinant)

Von Willebrand factor (recombinant) (Vonvendi), per IU Von Willebrand factor complex (human), Wilate Von Willebrand factor complex (Humate-P)

22 Nutritional Supplements (applies Medi-Cal health plan only) The Alliance covers oral nutritional supplements and enteral formulas for Medi-Cal health plan members when medically necessary.

A prior authorization will need to be submitted via the Alliance Portal or by fax to the Alliance Pharmacy Department at (831)430-5851.

Please include the following when submitting a Prior Authorization: • Copy of prescribing provider’s prescription • Completed Prior Authorization request form • Recent chart notes that address medical justification as to why the member is unable to meet his/her nutritional needs with standard or fortified foods • Growth charts for pediatric members or relevant weight history for adult members

Conditions that may necessitate oral nutritional supplements or enteral formulas include, but are not limited to: • Increased metabolic needs • Cow’s milk allergy/intolerance to standard formulas in infancy • Preterm birth • Cancer with significant weight loss • Decubitus ulcers • ESRD on HD or PD • Severe swallowing or chewing difficulty • Conditions impairing digestion and absorption • Failure to Thrive • Underweight status or unintended weight loss defined by the Medi-Cal guidelines

The Alliance will not authorize oral nutrition supplements when used for convenience or preference of the member or provider.

All requests will be reviewed for medical necessity by the Alliance’s Registered Dietitian (RD).

For a list of covered products, please see the Medi-Cal Enteral Formulary, available here.

The Alliance’s Enteral Nutrition policy can be accessed here.

Coverage Prescription Drug Name Drug Tier Requirements and Limits Analgesic, Anti-Inflammatory Or Antipyretic - Drugs For Pain And Fever Analgesic Opioid Agonists - Arthritis And Pain Drugs hydromorphone oral tablet 2 mg 1 QL (6 per 1 day) hydromorphone oral tablet 4 mg 1 QL (3 per 1 day) methadone oral tablet 10 mg, 5 mg 1 PA morphine oral solution 10 mg/5 ml 1 QL (25 per 1 day) MORPHINE ORAL TABLET 15 MG 1 QL (3 per 1 day) morphine oral tablet extended release 100 mg, 200 mg, PA NSO; QL (60 per 30 1 30 mg, 60 mg days) morphine oral tablet extended release 15 mg 1 QL (60 per 30 days) oxycodone oral solution 5 mg/5 ml 1 QL (30 per 1 day) oxycodone oral tablet 10 mg 1 QL (3 per 1 day) oxycodone oral tablet 5 mg 1 QL (6 per 1 day) tramadol oral tablet 100 mg 1 QL (6 per 1 day) tramadol oral tablet 50 mg 1 QL (6 per 1 day) Analgesic Opioid Codeine Combinations - Arthritis And Pain Drugs acetaminophen-codeine oral solution 120-12 mg/5 ml 2 QL (500 per 1 day) acetaminophen-codeine oral tablet 300-15 mg, 300-30 1 QL (5 per 1 day) mg, 300-60 mg Analgesic Opioid Hydrocodone And Non-Salicylate Combinations - Arthritis And Pain Drugs hydrocodone-acetaminophen oral solution 10-325 1 QL (65 per 1 day) mg/15 ml(15 ml) hydrocodone-acetaminophen oral solution 7.5-325 1 QL (65 per 1 day) mg/15 ml hydrocodone-acetaminophen oral tablet 10-325 mg, 7.5- 1 QL (5 per 1 day) 325 mg hydrocodone-acetaminophen oral tablet 2.5-325 mg 1 QL (10 per 1 day) hydrocodone-acetaminophen oral tablet 5-325 mg 1 QL (9 per 1 day) lorcet (hydrocodone) oral tablet 5-325 mg 1 QL (9 per 1 day) lorcet hd oral tablet 10-325 mg 1 QL (5 per 1 day) lorcet plus oral tablet 7.5-325 mg 1 QL (5 per 1 day)

Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 101 Coverage Prescription Drug Name Drug Tier Requirements and Limits triamcinolone acetonide topical cream 0.025 %, 0.1 %, 1 0.5 % triamcinolone acetonide topical lotion 0.025 %, 0.1 % 1 triamcinolone acetonide topical ointment 0.025 %, 0.05 1 %, 0.1 %, 0.5 % triderm topical cream 0.1 %, 0.5 % 1 vanicream hc topical cream 1 % 1 OTC Medical Dermatological - Glucocorticoid-Emollient Combinations - Drugs For The Skin anti-itch (hc) with aloe-vit e topical cream 1 % 1 OTC Medical anti-itch plus topical cream 1 % 1 OTC Medical cortisone with aloe topical cream 1 % 1 OTC Medical hydrocortisone plus topical cream 1 % 1 OTC Medical hydrocortisone-aloe vera topical cream 1 % 1 OTC Medical hydroskin with aloe topical cream 1 % 1 OTC Medical Dermatological - Glucocorticoid-Local Anesthetic Combinations - Drugs For The Skin hydrocortisone-pramoxine topical cream 2.5-1 % 1 QL (30 per 30 days) MEZPAROX-HC TOPICAL CREAM 2.5-1 % 1 QL (30 per 30 days) (hydrocortisone acetate/pramoxine hcl) Dermatological - Immunomodulator - Imidazoquinolinamines - Drugs For The Skin imiquimod topical cream in packet 5 % 1 Dermatological - Keratolytic-Antimitotic Single Agents - Drugs For The Skin podofilox topical solution 0.5 % 1 QL (500 per 1 day) OTC Medical; QL (500 per 1 psoriasis medicated topical shampoo 3 % 1 day) sal-plant topical gel 17 % 1 OTC Medical OTC Medical; QL (500 per 1 scalp relief topical liquid 3 % 1 day) wart remover topical liquid 17 % 1 OTC Medical Dermatological - Local Anesthetic Combinations - Drugs For The Skin hot and cold pain relief topical adhesive 1 OTC Medical patch,medicated 4-1 % Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 102 Coverage Prescription Drug Name Drug Tier Requirements and Limits lidocaine-prilocaine topical cream 2.5-2.5 % 1 QL (30 per 30 days) Dermatological - Lubricants - Drugs For The Skin lubricating jelly (chlorhexid) topical gel 1 OTC Medical maxilube topical gel 1 OTC Medical personal lubricating jelly topical gel 1 OTC Medical surgilube topical gel 1 OTC Medical Dermatological - Nsaid Single Agents - Drugs For The Skin diclofenac sodium topical gel 1 % 1 QL (500 per 30 days) Dermatological - Protectant Combinations - Drugs For The Skin OTC Medical; QL (500 per 1 calamine-zinc oxide topical lotion 8-8 % 1 day) vitamin a and d diaper rash topical ointment 1 OTC Medical Dermatological - Protectants - Drugs For The Skin boudreauxs butt paste topical ointment 16 % 1 OTC Medical BOUDREAUXS BUTT PASTE TOPICAL OINTMENT 40 % 2 OTC Medical (zinc oxide) DESITIN RAPID RELIEF TOPICAL CREAM 13 % (zinc 2 OTC Medical oxide) diaper rash topical ointment 40 % 1 OTC Medical dr. smith's diaper topical ointment 10 % 1 OTC Medical periguard topical ointment 1 OTC Medical PERISHIELD TOPICAL OINTMENT 3.8 % (zinc oxide) 2 OTC Medical pharmabase barrier topical ointment 9.38 % 2 OTC Medical TRIPLE PASTE TOPICAL OINTMENT 12.8 % (zinc oxide) 2 OTC Medical zinc oxide topical ointment , 25 % 1 OTC Medical zinc oxide topical ointment 20 % 1 OTC Medical Dermatological - Retinoids (Vitamin A Derivatives) - Topical Cosmetic - Drugs For The Skin tretinoin (emollient) topical cream 0.05 % 1 Dermatological - Rosacea Therapy, Topical - Drugs For The Skin metronidazole topical cream 0.75 % 1 metronidazole topical gel 0.75 %, 1 % 1 Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 103 Coverage Prescription Drug Name Drug Tier Requirements and Limits Dermatological - Topical Local Anesthetic Amides - Drugs For The Skin lido king topical adhesive patch,medicated 4 % 1 OTC lidocaine hcl mucous membrane jelly 2 % 1 lidocaine pain relief topical adhesive patch,medicated 4 1 OTC % lidocaine topical adhesive patch,medicated 5 % 1 QL (90 per 30 days) lidocaine topical ointment 5 % 1 QL (35.44 per 30 days) Dermatological - Topical Local Anesthetic Esters - Drugs For The Skin advocate pain relief topical liquid 10 % 1 OTC Medical Dermatological Irritants-Counter-Irritant Combinations - Drugs For The Skin cool heat (m-salicylate-menth) topical cream 30-10 % 2 OTC Medical cool 'n heat extra strength topical stick 30-10 % 2 OTC Medical icy hot topical cream 30-10 % 2 OTC Medical pain relief cream topical cream 4-30-10 % 2 OTC Medical pain relieving rub (camphor) topical cream 4-30-10 % 2 OTC Medical TIGER BALM (WITH CAPSICUM) TOPICAL ADHESIVE PATCH,MEDICATED 16-24-80 MG (capsicum 2 OTC Medical oleoresin/menthol/camphor) TIGER BALM TOPICAL ADHESIVE PATCH,MEDICATED 2 OTC Medical 230-70 MG (menthol/camphor) TIGER BALM TOPICAL CREAM 11-10 % 2 OTC Medical (menthol/camphor) TIGER BALM TOPICAL CREAM 11-11 % 2 OTC Medical (menthol/camphor/antiarthritic combination no.1) TIGER BALM TOPICAL CREAM 3-15-5 % (methyl 2 OTC Medical salicylate/menthol/camphor) tiger balm topical ointment , 11-11 % 2 OTC Medical Dermatological Irritants-Counter-Irritant Single Agents - Drugs For The Skin arthritis pain relief(capsaic) topical cream 0.075 %, 0.1 1 OTC Medical % BENGAY COLD THERAPY TOPICAL GEL 5 % (menthol) 2 OTC Medical BENGAY VANISHING SCENT TOPICAL GEL 2.5 % 2 OTC Medical (menthol) capsaicin topical adhesive patch,medicated 0.025 % 1 OTC Medical Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 104 Coverage Prescription Drug Name Drug Tier Requirements and Limits capsaicin topical cream 0.025 % 1 OTC Medical capsaicin topical liquid 0.15 % 1 OTC Medical capsicum topical adhesive patch,medicated 0.025 % 1 OTC Medical cool and heat topical adhesive patch,medicated 5 % 2 OTC Medical high potency capsaicin topical cream 0.1 % 1 OTC Medical ICY HOT (MENTHOL) TOPICAL AEROSOL,SPRAY 16 % 2 OTC Medical (menthol) ICY HOT ADVANCED RELIEF PATCH TOPICAL 2 OTC Medical ADHESIVE PATCH,MEDICATED 7.5 % (menthol) ICY HOT NO MESS TOPICAL LIQUID 16 % (menthol) 2 OTC Medical ICY HOT PAIN RELIEVING TOPICAL GEL 2.5 % 2 OTC Medical (menthol) medicated heat patch topical adhesive patch,medicated 1 OTC Medical 0.025 % ultracin m topical gel 5 % 2 OTC Medical zostrix topical cream 0.033 % 1 OTC Medical zostrix-hp topical cream 0.1 % 1 OTC Medical Scabicide And Pediculicide Combinations - Drugs For The Skin complete lice treatment topical kit 4-0.33-0.5 % 1 OTC Medical lice complete kit 1-2-3 topical kit 4-0.33-0.5 % 1 OTC Medical lice killing topical shampoo 0.33-4 % 1 OTC Medical lice pyrinyl shampoo topical shampoo 0.33-4 % 1 OTC Medical lice solution topical kit 4-0.33-0.5 % 1 OTC Medical rid complete lice elim kit topical kit 4-0.33-0.5 % 1 OTC Medical rid lice killing topical shampoo 0.33-4 % 1 OTC Medical Scabicide And Pediculicide Single Agents - Drugs For The Skin CROTAN TOPICAL LOTION 10 % (crotamiton) 2 EURAX TOPICAL CREAM 10 % (crotamiton) 2 EURAX TOPICAL LOTION 10 % (crotamiton) 2 home lice-bedbug-dust mite spr aerosol,spray 0.5 % 1 OTC Medical lice bedding spray aerosol,spray 0.5 % 1 OTC Medical OTC Medical; QL (500 per 1 lice treatment (permethrin) topical liquid 1 % 1 day) Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 105 Coverage Prescription Drug Name Drug Tier Requirements and Limits lice-bedbug-mite bedding aerosol,spray 0.5 % 1 OTC Medical; QL (500 per 1 NIX CREME RINSE TOPICAL LIQUID 1 % (permethrin) 1 day) permethrin topical cream 5 % 1 rid complete lice elim kit aerosol,spray 0.5 % 1 OTC Medical stop lice aerosol,spray 0.5 % 1 OTC Medical Wound Care - Dressings - Drugs For The Skin SILVASORB TOPICAL GEL,EXTENDED RELEASE 2 OTC Medical (silver) Eating Disorder Therapy - Drugs For Eating Disorders Anorexiants - Drugs For Eating Disorders lomaira oral tablet 8 mg 1 QL (1 per 1 day) phentermine oral capsule 15 mg, 30 mg, 37.5 mg 1 QL (1 per 1 day) phentermine oral tablet 37.5 mg 1 QL (1 per 1 day) Anti-Obesity - Fat Absorption Decreasing Agents - Drugs For Eating Disorders ALLI ORAL CAPSULE 60 MG (orlistat) 2 QL (6 per 1 day) Appetite Stimulants - Cannabinoids - Drugs For Eating Disorders dronabinol oral capsule 10 mg, 2.5 mg, 5 mg 1 PA Appetite Stimulants - Progestin Hormone Type - Drugs For Eating Disorders megestrol oral suspension 400 mg/10 ml (40 mg/ml) 1 PA; QL (500 per 1 day) Electrolyte Balance-Nutritional Products - Drugs For Nutrition B-Complex Vitamin Combinations - Drugs For Nutrition b complex-vitamin c-folic acid oral tablet 400 mcg 1 OTC Medical b-complex with vitamin c oral tablet 1 OTC Medical b-complex with vitamin c oral tablet extended release 1 OTC Medical DIALYVITE 800 WITH ZINC 15 ORAL TABLET 0.8-15 MG 2 OTC Medical (vitamin b complex with vitamin c/folic acid/zinc citrate) DIALYVITE 800 WITH ZINC 50 ORAL TABLET 0.8-50 MG 2 OTC Medical (vitamin b complex with vitamin c/folic acid/zinc citrate) dialyvite oral tablet 100-1 mg 1 full spectrum b-vitamin c oral tablet 0.8 mg 1 OTC Medical mynephrocaps oral capsule 1 mg 1 Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 106 Coverage Prescription Drug Name Drug Tier Requirements and Limits nephro-vite oral tablet 0.8 mg 1 OTC Medical renal caps oral capsule 1 mg 1 renal vitamin oral tablet 0.8 mg 1 OTC Medical renal-vite oral tablet 0.8 mg 1 OTC Medical rena-vite oral tablet 0.8 mg 1 OTC Medical reno caps oral capsule 1 mg 1 super b complex-vitamin c oral tablet 1 OTC Medical superplex-t oral tablet 1 OTC Medical triphrocaps oral capsule 1 mg 1 virt-caps oral capsule 1 mg 1 west-vite with folic acid oral tablet 0.8 mg 1 OTC Medical B-Complex Vitamins - Drugs For Nutrition vitamin b complex oral capsule 1 OTC Medical vitamins b complex oral capsule 1 OTC Medical B-Complex Vitamins And Combinations - Drugs For Nutrition dialyvite oral tablet 1-100-300-50 mg-mg-mcg-mg 1 nephplex rx oral tablet 1-60-300-12.5 mg-mg-mcg-mg 1 nephro-vite rx oral tablet 1-60-300 mg-mg-mcg 1 rena-vite rx oral tablet 1-60-300 mg-mg-mcg 1 vol-care rx oral tablet 1-60-300 mg-mg-mcg 1 vp-vite rx oral tablet 1-60-300 mg-mg-mcg 1 Bioflavonoid Combinations - Drugs For Nutrition ear health formula oral tablet , 200-100 mg 1 OTC Medical Dextrose And Lactated Ringer's Solutions - Drugs For Nutrition dextrose 5 %-lactated ringers intravenous parenteral 1 PA solution Dextrose And Sodium Chloride Solutions - Drugs For Nutrition d10 %-0.45 % sodium chloride intravenous parenteral 1 PA solution d2.5 %-0.45 % sodium chloride intravenous parenteral 1 PA solution

Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 197 Coverage Prescription Drug Name Drug Tier Requirements and Limits OTC Medical; QL (500 per 1 diphenhist oral liquid 12.5 mg/5 ml 1 day) diphenhist oral tablet 25 mg 1 OTC Medical diphenhydramine hcl injection solution 50 mg/ml 1 diphenhydramine hcl injection syringe 50 mg/ml 1 diphenhydramine hcl oral capsule 25 mg, 50 mg 1 OTC Medical diphenhydramine hcl oral elixir 12.5 mg/5 ml 1 OTC Medical; QL (500 per 1 diphenhydramine hcl oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 diphenhydramine hcl oral syrup 12.5 mg/5 ml 1 day) geri-dryl oral liquid 12.5 mg/5 ml 1 OTC Medical; QL (500 per 1 m-dryl oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 naramin oral liquid in packet 12.5 mg/5 ml 1 day) nytol oral tablet 25 mg 1 OTC Medical restfully sleep oral tablet 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 siladryl sa oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 silphen cough oral syrup 12.5 mg/5 ml 1 day) simply sleep oral tablet 25 mg 1 OTC Medical sleep tablet (diphenhydramine) oral tablet 25 mg 1 OTC Medical sominex oral tablet 25 mg 1 OTC Medical total allergy medicine oral tablet 25 mg 1 OTC Medical wal-dryl allergy oral capsule 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 wal-dryl allergy oral liquid 12.5 mg/5 ml 1 day) wal-dryl allergy oral tablet 25 mg 1 OTC Medical Antihistamine - 1St Generation - Phenothiazines - Drugs For Allergies phenadoz rectal suppository 12.5 mg, 25 mg 1 promethazine oral syrup 6.25 mg/5 ml 1 QL (500 per 1 day) promethazine oral tablet 12.5 mg, 25 mg, 50 mg 1 Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 198 Coverage Prescription Drug Name Drug Tier Requirements and Limits promethazine rectal suppository 12.5 mg, 25 mg, 50 mg 1 promethegan rectal suppository 12.5 mg, 25 mg, 50 mg 1 Antihistamine - 1St Generation - Piperidines - Drugs For Allergies cyproheptadine oral syrup 2 mg/5 ml 1 QL (500 per 1 day) cyproheptadine oral tablet 4 mg 1 Antihistamines - 1St Generation - Drugs For Allergies aler-cap oral capsule 25 mg 1 OTC Medical alka-seltzer plus allergy oral tablet 25 mg 1 OTC Medical aller-chlor oral tablet 4 mg 1 OTC Medical allergy (chlorpheniramine) oral tablet 4 mg 1 OTC Medical OTC Medical; QL (500 per 1 allergy (diphenhydramine) oral liquid 12.5 mg/5 ml 1 day) allergy medication oral capsule 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 allergy medicine oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 allergy relief(diphenhydramin) oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 banophen allergy oral liquid 12.5 mg/5 ml 1 day) banophen oral capsule 25 mg, 50 mg 1 OTC Medical banophen oral tablet 25 mg 1 OTC Medical BENADRYL ALLERGY ORAL LIQUID 12.5 MG/5 ML 1 OTC Medical (diphenhydramine hcl) BENADRYL ALLERGY ORAL TABLET 25 MG 1 OTC Medical (diphenhydramine hcl) OTC Medical; QL (500 per 1 children's allergy (diphenhyd) oral elixir 12.5 mg/5 ml 1 day) children's allergy (diphenhyd) oral tablet,chewable 12.5 1 OTC Medical mg children's aurodryl allergy oral liquid 12.5 mg/5 ml 1 OTC chlorhist oral tablet 4 mg 1 OTC Medical clemastine oral syrup 0.5 mg/5 ml 1 clemastine oral tablet 2.68 mg 1 compoz oral tablet 25 mg 1 OTC Medical Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 199 Coverage Prescription Drug Name Drug Tier Requirements and Limits cyproheptadine oral syrup 2 mg/5 ml 1 QL (500 per 1 day) cyproheptadine oral tablet 4 mg 1 dayhist allergy oral tablet 1.34 mg 1 OTC Medical diphenhist oral capsule 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 diphenhist oral liquid 12.5 mg/5 ml 1 day) diphenhist oral tablet 25 mg 1 OTC Medical diphenhydramine hcl injection syringe 50 mg/ml 1 diphenhydramine hcl oral capsule 25 mg, 50 mg 1 OTC Medical OTC Medical; QL (500 per 1 diphenhydramine hcl oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 diphenhydramine hcl oral syrup 12.5 mg/5 ml 1 day) geri-dryl oral liquid 12.5 mg/5 ml 1 OTC Medical; QL (500 per 1 m-dryl oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 naramin oral liquid in packet 12.5 mg/5 ml 1 day) nightime sleep oral capsule 50 mg 1 OTC Medical nighttime sleep aid (diphen) oral liquid 50 mg/30 ml 1 OTC Medical nytol oral tablet 25 mg 1 OTC Medical phenadoz rectal suppository 12.5 mg, 25 mg 1 promethazine oral syrup 6.25 mg/5 ml 1 QL (500 per 1 day) promethazine oral tablet 12.5 mg, 25 mg, 50 mg 1 promethazine rectal suppository 12.5 mg, 25 mg, 50 mg 1 promethegan rectal suppository 12.5 mg, 25 mg, 50 mg 1 restfully sleep oral tablet 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 siladryl sa oral liquid 12.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 silphen cough oral syrup 12.5 mg/5 ml 1 day) simply sleep oral tablet 25 mg 1 OTC Medical sleep aid (diphenhydramine) oral capsule 25 mg 1 OTC Medical sleep tablet (diphenhydramine) oral tablet 25 mg 1 OTC Medical Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 200 Coverage Prescription Drug Name Drug Tier Requirements and Limits sominex oral tablet 25 mg 1 OTC Medical total allergy medicine oral tablet 25 mg 1 OTC Medical unisom (diphenhydramine) oral liquid 50 mg/30 ml 1 OTC Medical unisom sleepgels oral capsule 50 mg 1 OTC Medical wal-dryl allergy oral capsule 25 mg 1 OTC Medical wal-dryl allergy oral tablet 25 mg 1 OTC Medical wal-finate oral tablet 4 mg 1 OTC Medical wal-sleep z oral capsule 25 mg 1 OTC Medical OTC Medical; QL (500 per 1 wal-sleep z oral liquid 50 mg/30 ml 1 day) z-sleep oral capsule 25 mg 1 OTC Medical z-sleep oral liquid 50 mg/30 ml 1 OTC Medical Antihistamines - 2Nd Generation - Drugs For Allergies alavert oral tablet,disintegrating 10 mg 1 OTC all day allergy (cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) ALLEGRA ALLERGY ORAL TABLET 60 MG (fexofenadine 1 PA NSO; OTC hcl) OTC Medical; QL (240 per 1 aller-ease oral suspension 30 mg/5 ml 1 day) allergy relief (cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) allergy relief (cetirizine) oral tablet 10 mg 1 OTC aller-tec oral tablet 10 mg 1 OTC cetirizine oral solution 1 mg/ml, 5 mg/5 ml 1 OTC; QL (500 per 1 day) cetirizine oral tablet 10 mg, 5 mg 1 OTC cetirizine oral tablet,chewable 10 mg, 5 mg 1 PA NSO; OTC child allergy relf(cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) child allergy relf(cetirizine) oral tablet,chewable 10 mg 1 PA NSO; OTC OTC Medical; QL (240 per 1 children's allegra allergy oral suspension 30 mg/5 ml 1 day) children's allergy complete oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) OTC Medical; QL (240 per 1 children's allergy relief(fex) oral suspension 30 mg/5 ml 1 day) children's allergy relief(lor) oral tablet,chewable 5 mg 1 OTC Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 201 Coverage Prescription Drug Name Drug Tier Requirements and Limits children's allergy(cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's cetirizine oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) OTC Medical; QL (240 per 1 children's wal-fex oral suspension 30 mg/5 ml 1 day) children's wal-zyr oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's wal-zyr oral tablet,chewable 10 mg 1 PA NSO; OTC CHILDREN'S ZYRTEC ALLERGY ORAL SOLUTION 1 1 OTC; QL (500 per 1 day) MG/ML (cetirizine hcl) child's all day allergy(cetir) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) CLARITIN REDITABS ORAL TABLET,DISINTEGRATING 5 2 OTC Medical MG (loratadine) OTC Medical; QL (240 per 1 fexofenadine oral suspension 30 mg/5 ml 1 day) fexofenadine oral tablet 180 mg 1 OTC; QL (1 per 1 day) fexofenadine oral tablet 60 mg 1 OTC; QL (2 per 1 day) loradamed oral tablet 10 mg 1 OTC loratadine oral solution 5 mg/5 ml 1 OTC; QL (500 per 1 day) loratadine oral tablet 10 mg 1 OTC loratadine oral tablet,disintegrating 10 mg 1 OTC wal-fex allergy oral tablet 180 mg 1 OTC; QL (1 per 1 day) wal-fex allergy oral tablet 60 mg 1 OTC; QL (2 per 1 day) wal-itin oral solution 5 mg/5 ml 1 OTC; QL (500 per 1 day) wal-itin oral tablet 10 mg 1 OTC wal-zyr (cetirizine) oral tablet 10 mg 1 OTC Antihistamines - 2Nd Generation - Piperazines - Drugs For Allergies allergy relief (cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) allergy relief (cetirizine) oral tablet 10 mg 1 OTC aller-tec oral tablet 10 mg 1 OTC cetirizine oral solution 5 mg/5 ml 1 OTC; QL (500 per 1 day) cetirizine oral tablet 10 mg, 5 mg 1 OTC cetirizine oral tablet,chewable 10 mg, 5 mg 1 PA NSO; OTC child allergy relf(cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) child allergy relf(cetirizine) oral tablet,chewable 10 mg 1 PA NSO; OTC Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 202 Coverage Prescription Drug Name Drug Tier Requirements and Limits children's allergy complete oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's allergy(cetirizine) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's cetirizine oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's wal-zyr oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) children's wal-zyr oral tablet,chewable 10 mg 1 PA NSO; OTC CHILDREN'S ZYRTEC ALLERGY ORAL SOLUTION 1 1 OTC; QL (500 per 1 day) MG/ML (cetirizine hcl) child's all day allergy(cetir) oral solution 1 mg/ml 1 OTC; QL (500 per 1 day) wal-zyr (cetirizine) oral tablet 10 mg 1 OTC Antihistamines - 2Nd Generation - Piperidines - Drugs For Allergies alavert oral tablet,disintegrating 10 mg 1 OTC ALLEGRA ALLERGY ORAL TABLET 60 MG (fexofenadine 1 PA NSO; OTC hcl) OTC Medical; QL (240 per 1 aller-ease oral suspension 30 mg/5 ml 1 day) OTC Medical; QL (240 per 1 children's allegra allergy oral suspension 30 mg/5 ml 1 day) OTC Medical; QL (240 per 1 children's allergy relief(fex) oral suspension 30 mg/5 ml 1 day) children's allergy relief(lor) oral tablet,chewable 5 mg 1 OTC OTC Medical; QL (240 per 1 children's wal-fex oral suspension 30 mg/5 ml 1 day) CLARITIN REDITABS ORAL TABLET,DISINTEGRATING 5 2 OTC Medical MG (loratadine) OTC Medical; QL (240 per 1 fexofenadine oral suspension 30 mg/5 ml 1 day) fexofenadine oral tablet 180 mg 1 OTC; QL (1 per 1 day) fexofenadine oral tablet 60 mg 1 OTC; QL (2 per 1 day) loradamed oral tablet 10 mg 1 OTC loratadine oral solution 5 mg/5 ml 1 OTC; QL (500 per 1 day) loratadine oral tablet 10 mg 1 OTC loratadine oral tablet,disintegrating 10 mg 1 OTC wal-fex allergy oral tablet 180 mg 1 OTC; QL (1 per 1 day) wal-fex allergy oral tablet 60 mg 1 OTC; QL (2 per 1 day) Age = Age Edit | PA = Prior Authorization Required | PA NSO = PA Required New Starts Only | QL = Quantity Limit | ST = Step Therapy | SP = Specialty | IHSS = IHSS Only | OTC MediCal = Over The Counter, MediCal Only | OTC = Over The Counter | DD = Diabetes Drug or Device | CT = Contraceptives | OCH = Orally Administered Anti-Cancer Drug 203 Coverage Prescription Drug Name Drug Tier Requirements and Limits wal-itin oral solution 5 mg/5 ml 1 OTC; QL (500 per 1 day) wal-itin oral tablet 10 mg 1 OTC Antitussives - Non-Opioid - Drugs For Allergies benzonatate oral capsule 100 mg, 200 mg 1 OTC Medical; QL (500 per 1 day-time cough oral syrup 5 mg/5 ml 1 day) dextromethorphan polistirex oral suspension,extended 1 OTC Medical rel 12 hr 30 mg/5 ml OTC Medical; QL (500 per 1 robitussin pediatric oral syrup 7.5 mg/5 ml 1 day) OTC Medical; QL (500 per 1 tussin cough (dm only) oral liquid 15 mg/5 ml 1 day) OTC Medical; QL (500 per 1 vicks dayquil cough oral syrup 5 mg/5 ml 1 day) Asthma Therapy - Alpha/Beta Adrenergic Agents - Drugs For Asthma/Copd epinephrine injection syringe 0.1 mg/ml 1 QL (4 per 365 days) Asthma Therapy - Inhaled Corticosteroids (Glucocorticoids) - Drugs For Asthma/Copd AEROSPAN INHALATION HFA AEROSOL INHALER 80 2 MCG/ACTUATION (flunisolide) ARMONAIR RESPICLICK INHALATION AEROSOL POWDR BREATH ACTIVATED 113 MCG/ACTUATION, 2 232 MCG/ACTUATION, 55 MCG/ACTUATION (fluticasone propionate) ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE 100 MCG/ACTUATION, 200 MCG/ACTUATION, 50 2 MCG/ACTUATION (fluticasone furoate) ASMANEX HFA INHALATION HFA AEROSOL INHALER 100 MCG/ACTUATION, 200 MCG/ACTUATION, 50 2 MCG/ACTUATION (mometasone furoate) ASMANEX TWISTHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 110 MCG/ ACTUATION (30), 110 MCG/ ACTUATION (7), 220 MCG/ ACTUATION 2 (120), 220 MCG/ ACTUATION (14), 220 MCG/ ACTUATION (30), 220 MCG/ ACTUATION (60) (mometasone furoate)

1 ACCU-CHEK SAFE-T-PRO acne-clear ...... 93 ...... 161, 173 12 hour decongestant ..... 213 ACTHIB (PF) ...... 56 ACCU-CHEK SAFE-T-PRO 12 hour nasal decongest PLUS ...... 161, 173 ACTI-LANCE LANCETS 161, (pse) ...... 213 173 ACCU-CHEK SOFT DEV 1-day ...... 214 LANCETS ...... 161, 173 acyclovir ...... 39

1ST TIER UNILET ACCU-CHEK SOFTCLIX ADACEL(TDAP COMFORTOUCH 160, 173 LANCETS ...... 161, 173 ADOLESN/ADULT)(PF) . 54

2 acebutolol ...... 64 adapalene ...... 94

24 hour allergy relief ...... 209 acephen ...... 26 addaprin ...... 30

2-IN-1 LANCET DEVICE 160, acetaminophen ...... 26 ADJUSTABLE LANCING 173 DEVICE ...... 161, 173 acetaminophen-codeine .... 24 3 ADLYXIN ...... 129 acetazolamide ...... 67 3 day vaginal ...... 214 ADMELOG SOLOSTAR U- acetic acid ...... 152, 194 100 INSULIN...... 134 3-day vaginal ...... 214 acetylcysteine ...... 33, 209 ADMELOG U-100 INSULIN 8 LISPRO ...... 134 acid control (ranitidine) .... 142 8 hour pain reliever ...... 26 ADRENALIN ...... 211 acid controller ...... 142 A adriamycin ...... 49 acid gone antacid ...... 136 a and d (lan, pet) ...... 99 adrucil ...... 44 acid gone antacid e.strength abiraterone ...... 42, 44 ...... 136 adult aspirin regimen . 31, 158

ABREVA ...... 98 acid reducer (famotidine) . 142 adult nasal decongestant 213 acarbose ...... 128 acid reducer (ranitidine) ... 142 ADVAIR HFA ...... 207

ACCU-CHEK FASTCLIX acid-pep ...... 142 advanced exfoliating cleanser LANCET DRUM ... 160, 173 ...... 93 acne control cleanser ...... 93 ACCU-CHEK FASTCLIX ADVANCED EYE RELIEF LANCING DEV .... 161, 173 acne foaming wash ...... 93 ...... 186

ACCU-CHEK MULTICLIX acne medication ...... 93 ADVANCED LANCING LANCET ...... 161, 173 ACNE MEDICATION ...... 93 DEVICE ...... 161, 173

acne vanishing ...... 93

216 ADVANCED TRAVEL AFLURIA QD 2021-22(3YR all day allergy (cetirizine) . 201 LANCETS ...... 161, 173 UP)(PF) ...... 57 ALLEGRA ALLERGY ..... 201, ADVIL ...... 30 AFLURIA QD 2021-22(6- 203 35MO)(PF) ...... 57 ADVIL JUNIOR STRENGTH aller-chlor ...... 196, 199 ...... 30 AFLURIA QUAD 2021- 2022(6MO UP) ...... 57 allerclear d-12hr ...... 196 ADVOCATE LANCET .... 161, 173 after pill ...... 92 aller-cort ...... 209

ADVOCATE LANCING aftera ...... 92 aller-ease ...... 201, 203 DEVICE ...... 161, 173 AIRZONE PEAK FLOW aller-flo ...... 209 advocate pain relief ...... 104 METER ...... 170, 174 allergy (chlorpheniramine) AEROCHAMBER MINI .. 170, AKTEN (PF) ...... 192 ...... 196, 199 173 ala-cort ...... 99 allergy (diphenhydramine) AEROCHAMBER MV ..... 170, ...... 197, 199 alavert ...... 201, 203 173 allergy eye (naphazoline- AEROCHAMBER PLUS alavert d-12 allergy-sinus 196 phen) ...... 189 FLOW-VU ...... 170, 173 alaway ...... 189 allergy medication ... 197, 199

AEROCHAMBER PLUS albendazole ...... 34 allergy medicine ...... 197, 199 FLOW-VU,S MSK ...... 171 albuterol sulfate ...... 206, 207 allergy relief (cetirizine) .. 201, AEROCHAMBER PLUS Z 202 STAT LG MSK ..... 171, 174 alcaine ...... 192 allergy relief (fluticasone) 209 AEROCHAMBER PLUS Z alcalak ...... 137 STAT MD MSK .... 171, 174 allergy relief d12 ...... 196 alclometasone ...... 99 AEROCHAMBER PLUS Z allergy relief(diphenhydramin) ALCOHOL PREP PADS.... 51 STAT SM MSK .... 171, 174 ...... 197, 199 ALECENSA ...... 43 AEROCHAMBER WITH allergy relief-d (cetirizine) 196 FLOWSIGNAL ..... 171, 174 alendronate ...... 130 allergy relief-d(fexofenadine) AEROCHAMBER Z-STAT aler-cap ...... 197, 199 ...... 196 PLUS-FLW SG .... 171, 174 alfuzosin ...... 153 aller-tec ...... 201, 202 AEROSPAN ...... 204 ALIQOPA ...... 47 aller-tec d ...... 196 AEROTRACH PLUS 171, 174 alka-seltzer plus allergy .... 79, ALLI ...... 106 afeditab cr ...... 65 197, 199 allopurinol ...... 155 afirmelle ...... 85 ALKERAN ...... 43

217 almacone ...... 138 AMINOSYN 8.5 %- ANORO ELLIPTA ...... 207 ELECTROLYTES ...... 118 almacone-2 ...... 138 antacid (calcium carb-mag AMINOSYN II 10 % ...... 118 hyd) ...... 136 aloe vesta antifungal (micon) ...... 96 AMINOSYN II 15 % ...... 118 antacid anti-gas ...... 138 alogliptin ...... 128 AMINOSYN II 8.5 % ...... 118 antacid exst (ca carb-mag hyd) ...... 136 alogliptin-metformin ...... 130 AMINOSYN II 8.5 %- ELECTROLYTES ...... 118 antacid extra-strength ...... 137 alogliptin-pioglitazone ...... 130 AMINOSYN M 3.5 % ...... 118 antacid supreme ...... 136 alophen (bisacodyl) ...... 149 AMINOSYN-HBC 7% ...... 118 antacid ultra strength ...... 137 altamist ...... 210 AMINOSYN-PF 10 % ...... 119 antacid-antigas ...... 138 altavera (28) ...... 85 AMINOSYN-PF 7 % antibiotic plus (pramoxine) 95 ALTERNATE SITE LANCET (SULFITE-FREE) ...... 119 ...... 161, 174 anticoag citrate phos AMINOSYN-RF 5.2 % ..... 119 dextrose ...... 155 ALTERNATE SITE LANCING DEVICE ...... 161, 174 amiodarone ...... 62 anti-dandruff ...... 98 aluminum hydroxide gel .. 136 amitriptyline ...... 73 anti-dandruff with menthol . 98

ALUMINUM HYDROXIDE amitriptyline-chlordiazepoxide anti-diarrheal ...... 139 GEL (BULK) ...... 81, 136 ...... 73, 75 anti-diarrheal (loperamide) ALUNBRIG ...... 43 amlodipine ...... 65 ...... 139 alyacen 1/35 (28) ...... 85 amlodipine-benazepril ...... 60 anti-fungal ...... 96 alyacen 7/7/7 (28) ...... 90 amlodipine-valsartan ...... 61 antifungal (clotrimazole) .... 96 amethia ...... 84 amoxapine ...... 73 antifungal (terbinafine) ...... 95 amethia lo...... 84 amoxicillin ...... 33, 34 antifungal ringworm ...... 96 amethyst (28) ...... 85 amoxicillin-pot clavulanate 34 anti-gas maximum strength ...... 143 amiloride ...... 67 amphotericin b ...... 35 anti-gas ultra strength ...... 143 AMINOSYN 10 % ...... 118 ampicillin ...... 34 anti-itch (hc) ...... 99 AMINOSYN 7 % WITH anagrelide ...... 158 ELECTROLYTES ...... 118 anti-itch (hc) with aloe-vit e anastrozole ...... 45 ...... 102 AMINOSYN 8.5 % ...... 118 anbesol (benzocaine) ...... 185 anti-itch plus ...... 102

218 antitussive dm ...... 212 artificial tears(glycerin-peg) atorvastatin ...... 63 ...... 186 anucort-hc ...... 32 atovaquone ...... 36 artificial tears(pg-hypm-glyc) ANZEMET ...... 141 ...... 186 atropine ...... 189 aprepitant ...... 141 artificial tears(pvalch-povid) ATROVENT HFA ...... 206 apri ...... 85 ...... 186 aubra ...... 85

APRISO ...... 145 ARZERRA ...... 45 AUGMENTIN ...... 34 aprodine ...... 195 ashlyna ...... 84 auro eardrops ...... 194

AQUA LANCE LANCING ASMANEX HFA ...... 204 aurovela 1.5/30 (21) ...... 85 DEVICE ...... 161, 174 ASMANEX TWISTHALER aurovela 1/20 (21) ...... 85 AQUADEKS PEDIATRIC 121 ...... 204 aurovela 24 fe ...... 85 aquanil hc ...... 99 aspirin...... 31, 158 aurovela fe 1.5/30 (28) ...... 85 aquaphor itch relief ...... 99 aspirin low dose ...... 31 aurovela fe 1-20 (28) ...... 85 aranelle (28) ...... 90 aspir-low ...... 31, 158 AUTO-LANCET MINI ..... 161, ARCAPTA NEOHALER .. 206 aspir-trin ...... 31, 158 174 armodafinil...... 78 ASSURE HAEMOLANCE AUTOLET IMPRESSION PLUS ...... 161, 174 LANC DEV ...... 161, 174 ARMONAIR RESPICLICK ...... 204 ASSURE LANCE .... 161, 174 AUTOLET LANCING DEVICE ...... 161, 174 ARNUITY ELLIPTA ...... 204 ASSURE LANCE PLUS . 161, 174 AUTOLET PLUS LANCING ARRANON ...... 44 ASTHMA CHECK METER DEVICE ...... 161, 174 arthritis pain relief(capsaic) ...... 170, 174 AVASTIN ...... 41 ...... 104 atenolol ...... 64 AVC VAGINAL ...... 214 ARTIFICIAL TEARS (CMC) ...... 187 atenolol-chlorthalidone ...... 65 aviane ...... 85 artificial tears (petro/min) . 186 athenol ...... 26 avita ...... 94 artificial tears (pf) ...... 186 athlete's foot ...... 96 ayr saline ...... 210 artificial tears (polyvin alc) 187 athlete's foot (clotrimazole) 96 ayuna ...... 85 artificial tears(dext70-hypro) athletic foot cream ...... 96 azathioprine ...... 28, 159 ...... 186 atomoxetine ...... 75 azelastine ...... 189, 209

219 azithromycin ...... 39, 40 BCG VACCINE, LIVE (PF) BENGAY COLD THERAPY ...... 53, 57 ...... 104 azolen tincture ...... 96 b-complex with vitamin c . 106 BENGAY VANISHING AZULFIDINE ...... 29, 145 SCENT ...... 104 BD LUER-LOK SYRINGE azurette (28) ...... 84 ...... 169, 174 benzonatate ...... 204

B BD MICROTAINER LANCET benzoyl peroxide ...... 93 ...... 162, 174, 175 b complex-vitamin c-folic acid beta-hc ...... 99 ...... 106 bd posiflush normal saline 0.9...... 122 betamethasone dipropionate b-12 dots ...... 123 ...... 99 baby ddrops ...... 125 BD PRECISIONGLIDE NON- STERILE ...... 169, 175 betamethasone valerate ... 99, baby iron-multivitamin ..... 121 100 bd pre-filled normal saline 122 baby vitamin d3 ...... 125 betamethasone, augmented BD REGULAR BEVEL ...... 100 bacitracin ...... 95, 193 NEEDLES ...... 169, 175 betasept surgical scrub ..... 51 bacitracin zinc ...... 95 BD SAFETYGLIDE NEEDLE ...... 169, 175 betatemp ...... 26 bacitracin-polymyxin b ..... 192 BD ULTRA FINE LANCETS bethanechol chloride ...... 155 bacitraycin plus ...... 95 ...... 162, 175 BEVESPI AEROSPHERE207 baclofen ...... 160 BD ULTRA-FINE II BEXSERO ...... 57 balsalazide ...... 145 LANCETS ...... 162, 175 bicalutamide ...... 44 balziva (28)...... 85 BD ULTRA-FINE NANO PEN NEEDLE ...... 168, 175 bicarsim forte ...... 143 banophen ...... 197, 199 BD VEO INSULIN SYR BICILLIN C-R ...... 41 banophen allergy ..... 197, 199 (HALF UNIT) ...... 169, 175 BICILLIN L-A ...... 40 BAQSIMI ...... 127 BD VEO INSULIN SYRINGE BICNU ...... 43 UF ...... 169, 175 BASAGLAR KWIKPEN U- BIDIL ...... 68 100 INSULIN ...... 133 bekyree (28) ...... 84 bio-d-mulsion ...... 125 bayer advanced ...... 31, 158 BENADRYL ALLERGY .. 197, 199 BAYER CHEWABLE bio-d-mulsion forte ...... 125 ASPIRIN ...... 31, 158 benazepril ...... 60 bio-dtuss dmx ...... 211 bayer plus extra strength ... 32 benazepril- BIOTHRAX ...... 57 hydrochlorothiazide...... 60 baza antifungal ...... 96 bisac-evac ...... 149

220 bisacodyl ...... 150 BP WASH ...... 94 BUTTERFLY TOUCH LANCET ...... 162, 175 biscolax ...... 150 bpo ...... 94 BYDUREON ...... 129 bismatrol ...... 139 BREATHERITE VALVED MDI CHAMBER ... 171, 175 BYDUREON BCISE ...... 129 bismuth ...... 139 BREO ELLIPTA ...... 208 BYETTA ...... 129 bismuth maximum strength ...... 139 briellyn ...... 85 C

BISMUTH SUBCARBONATE BRILINTA ...... 158 cabergoline ...... 135 (BULK) ...... 81 brimonidine ...... 194 CABOMETYX ...... 47 BISMUTH SUBNITRATE (BULK) ...... 81 bromfenac ...... 190 CALAMINE (BULK) ...... 81

BISMUTH SUBSALICYLATE bromi-lotion ...... 98 calamine-zinc oxide ...... 103 (BULK) ...... 81, 139 brompheniramine- calci-chew ...... 109 pseudoeph-dm ...... 211 bisoprolol fumarate ...... 64 calcidol ...... 125 brotapp dm ...... 211 bisoprolol- calci-mix ...... 109 hydrochlorothiazide ...... 65 budesonide ...... 205, 209 calcipotriene ...... 98 bleomycin ...... 50 budesonide-formoterol .... 208 calcitonin (salmon) ...... 130 bleph-10 ...... 193 bufferin ...... 32 calcitriol ...... 125, 184 BLEPHAMIDE S.O.P...... 188 BULLSEYE MINI SAFETY calcium 500 + d ...... 110 blisovi 24 fe ...... 85 LANCETS ...... 162, 175 calcium 500 + d (d3) ...... 110 blisovi fe 1.5/30 (28) ...... 85 bumetanide ...... 67 calcium 600 ...... 109 blisovi fe 1/20 (28) ...... 85 bupropion hcl ...... 73 calcium 600 + d(3) ...... 110 blis-to-sol (tolnaftate) ...... 97 bupropion hcl (smoking deter) ...... 80 calcium 600 with vitamin d3 BOOSTRIX TDAP ...... 54, 55 buspirone ...... 68 ...... 110 boro-packs ...... 99 busulfan ...... 42 CALCIUM 600 WITH BOSULIF ...... 48 VITAMIN D3...... 110 BUSULFEX ...... 42 boudreauxs butt paste ..... 103 CALCIUM ACETATE ...... 109 butalbital-acetaminophen .. 27 BOUDREAUXS BUTT calcium acetate(phosphat PASTE ...... 103 butalbital-acetaminophen-caff bind) ...... 152 ...... 27 bp wash ...... 94 calcium antacid...... 137

221 calcium carbonate ... 109, 137 carbidopa-levodopa- cefpodoxime ...... 37 entacapone ...... 73 calcium carbonate-vit d3-min cefprozil ...... 37 ...... 110 carboplatin ...... 47 cefuroxime axetil ...... 37 calcium carbonate-vitamin d3 CARELANCE ULT LANCING ...... 110, 111 DEVICE ...... 162, 175 celecoxib ...... 29 calcium citrate ...... 109 CAREONE LANCING CELONTIN ...... 71 DEVICE ...... 162, 175 CALCIUM CITRATE ...... 109 cephalexin ...... 37 CAREONE ULTRA THIN CERALYTE 90 ...... 114 calcium citrate-vitamin d2 111 LANCET ...... 162, 175 ceralyte-70 ...... 114 calcium citrate-vitamin d3 111 CARESENS LANCETS .. 162, calcium gluconate ...... 110 175 CERALYTE-70 ...... 114 calcium lactate ...... 110 CARESENS PREM certain dri ...... 98 LANCING DEVICE ..... 162, cetiri-d ...... 196 cal-gest antacid ...... 137 175 cetirizine ...... 201, 202 CALQUENCE ...... 45, 48 CARETOUCH LANCING DEVICE ...... 162, 175 CALTRATE 600 PLUS D 111 cevimeline ...... 186 CARETOUCH SAFETY camila ...... 89 CHANTIX ...... 81 LANCETS ...... 162, 175 camrese ...... 84 CHANTIX CONTINUING CARETOUCH TWIST MONTH BOX ...... 81 camrese lo...... 84 LANCET ...... 162, 175 CHANTIX STARTING cank-oxide ...... 185 CAROSPIR ...... 61, 67 MONTH BOX ...... 81 capecitabine ...... 44 cartia xt ...... 64 charlotte 24 fe ...... 86

CAPRELSA ...... 48 carvedilol ...... 61 chateal (28) ...... 86 capsaicin ...... 104, 105 castor oil ...... 150 CHEMET ...... 33

CAPSAICIN (BULK) ...... 81 CASTOR OIL ...... 82 cheratussin ac ...... 213 capsicum ...... 105 CATHFLO ACTIVASE ..... 159 chest congestion relief ..... 208 captopril ...... 60 caziant (28) ...... 90 chest congestion relief dm ...... 212 carbamazepine ...... 70, 76 cefaclor ...... 37 child allergy relf(cetirizine) cefadroxil ...... 37 CARBAMIDE PEROXIDE ...... 201, 202 (BULK) ...... 51, 81 cefdinir ...... 37 child dometuss-da ...... 195 carbidopa-levodopa ...... 74 cefixime ...... 37

222 childrens 24 hr allergy relief children's tactinal ...... 26 cimetidine hcl ...... 142 ...... 210 children's tylenol ...... 26 cinacalcet ...... 130 CHILDREN'S ADVIL ...... 30 children's wal-fex ..... 202, 203 CIPRO ...... 38 children's allegra allergy . 201, 203 children's wal-zyr ..... 202, 203 CIPRO HC ...... 194 children's allergy (diphenhyd) CHILDREN'S ZYRTEC ciprofloxacin ...... 38 ALLERGY ...... 202, 203 ...... 197, 199 ciprofloxacin hcl . 38, 193, 194 children's allergy complete child's all day allergy(cetir) ...... 202, 203 ciprofloxacin-dexamethasone ...... 201, 203 ...... 194 chloramphenicol sod children's allergy relief(fex) cisplatin ...... 47 ...... 201, 203 succinate ...... 38 citalopram ...... 71, 72 children's allergy relief(lor) chlordiazepoxide hcl .... 68, 75 ...... 201, 203 chlorhexidine gluconate.... 51, CITRACAL-D3 SLOW RELEASE ...... 111 children's allergy(cetirizine) 185 ...... 202, 203 chlorhist ...... 196, 199 citrate of magnesia ...... 148 children's antacid ...... 137 chloroquine phosphate ...... 35 citroma ...... 148 children's aurodryl allergy chlorthalidone ...... 67 citrus calcium-vitamin d3 . 111 ...... 197, 199 chocolate laxative ...... 150 cladribine ...... 44 children's cetirizine .. 202, 203 CHOLECALCIFEROL (VIT clarispray ...... 210 children's chest congestion D3)(BULK) ...... 81, 125 clarithromycin ...... 40 ...... 208 cholecalciferol (vitamin d3) CLARITIN REDITABS .... 202, children's dibromm cold- ...... 125, 126 203 allerg ...... 195 CHOLECALCIFEROL clean-clear continuous children's ibuprofen ...... 30 (VITAMIN D3) ...... 125 control ...... 94 children's mapap ...... 26 cholestyramine (with sugar) clearasil daily clear(benzoyl) children's pain relief...... 26 ...... 63 ...... 94 children's pain-fever relief . 26 cholestyramine light ...... 63 clearasil ultra ...... 94 children's pepto ...... 137 ciclopirox ...... 96 clearlax ...... 148 children's profen ib ...... 30 cilostazol ...... 158 clemastine ...... 197, 199 children's soothe ...... 137 CILOXAN ...... 193 CLEOCIN ...... 214

CHILDREN'S SUDAFED . 213 cimetidine ...... 142

223 CLEVER CHEK LANCETS CLINIMIX E 2.75%/D10W clotrimazole-betamethasone ...... 162, 175 SUL FREE ...... 120 ...... 97

CLEVER CHOICE PEAK CLINIMIX E 2.75%/D5W COAGUCHEK LANCETS FLOW METER ..... 170, 176 SULF FREE ...... 120 ...... 162, 176 clindamycin hcl ...... 39 CLINIMIX E 4.25%/D10W codeine-guaifenesin ...... 213 SUL FREE ...... 120 clindamycin pediatric ...... 39 coditussin ac ...... 213 CLINIMIX E 4.25%/D25W clindamycin phosphate ..... 93, SUL FREE ...... 120 COLACE ...... 151 214 CLINIMIX E 4.25%/D5W COLACE 2-IN-1...... 150 CLINIMIX 5%/D15W SULF FREE ...... 120 SULFITE FREE ...... 117 COLACE CLEAR...... 151 CLINIMIX E 5%/D15W colchicine ...... 155 CLINIMIX 5%/D25W SULFIT FREE ...... 120 SULFITE-FREE ...... 117 cold and allergy (bromphen- CLINIMIX E 5%/D20W pe) ...... 195 CLINIMIX 2.75%/D5W SULFIT FREE ...... 121 SULFIT FREE ...... 117 cold multi-symptom nighttime CLINIMIX E 5%/D25W ...... 211 CLINIMIX 4.25%/D10W SULFIT FREE ...... 121 SULF FREE ...... 117 cold-allergy-sinus ...... 195 CLINIMIX E 8%-D10W CLINIMIX 4.25%/D5W SULFITEFREE ...... 121 cold-flu relief ...... 211 SULFIT FREE ...... 117 CLINIMIX E 8%-D14W colestipol ...... 63 CLINIMIX 4.25%-D20W SULFITEFREE ...... 121 SULF-FREE ...... 117 collyrium ...... 191 CLINISOL SF 15 % ...... 119 CLINIMIX 4.25%-D25W colocort ...... 145 SULF-FREE ...... 117 clobetasol ...... 100 COLOR LANCETS .. 162, 176 CLINIMIX 5%- clobetasol-emollient ...... 100 colox ...... 145 D20W(SULFITE-FREE) clonazepam ..... 68, 69, 75, 76 ...... 117 COMBIVENT RESPIMAT 207 clonidine ...... 66 CLINIMIX 6%-D5W COMETRIQ ...... 47 (SULFITE-FREE) ...... 117 clonidine hcl ...... 66 COMFORT EZ LANCETS CLINIMIX 8%- clopidogrel ...... 159 ...... 162, 176 D10W(SULFITE-FREE) ...... 117 clotrimazole ...... 96, 185, 214 comfort gel ...... 138

CLINIMIX 8%- clotrimazole af ...... 96 comfort gel extra strength 138 D14W(SULFITE-FREE) clotrimazole-7 ...... 214 COMFORT LANCETS .... 162, ...... 118 176

224 COMFORT PAC- cough-sore throat night ... 211 D CYCLOBENZAPRINE . 160 COUMADIN ...... 155 d10 %-0.45 % sodium COMFORT TOUCH PLUS chloride ...... 107 SAFETY LANC .... 162, 176 creamy acne face ...... 94 d2.5 %-0.45 % sodium COMFORT TOUCH ULT CREON ...... 142 chloride ...... 107 THIN LANCETS ... 162, 176 critic-aid clear af(miconazol) d3 dots ...... 126 complete lice treatment ... 105 ...... 96 d5 % and 0.9 % sodium compoz ...... 79, 197, 199 cromolyn .... 46, 192, 205, 210 chloride ...... 108 compro ...... 141 CROTAN ...... 105 d5 %-0.45 % sodium chloride ...... 108 CONCEPTROL ...... 93 cryselle (28) ...... 86 dacarbazine ...... 43 CONDOMS-PREM CUPRIMINE ...... 29, 33 LUBRICATED ...... 169, 176 cyanocobalamin (vitamin b- daily fiber ...... 146 congest-eze...... 208 12) ...... 123, 124 daily fiber (psyllium-aspart) ...... 146 constulose ...... 148 CYANOCOBALAMIN (VITAMIN B-12) ...... 123 daily fiber (psyllium-sucrose) cool and heat...... 105 cyclafem 1/35 (28) ...... 86 ...... 146 cool heat (m-salicylate- DALIRESP ...... 206 menth) ...... 104 cyclafem 7/7/7 (28) ...... 90 cyclobenzaprine ...... 160 dallergy (chlorpheniramine- cool 'n heat extra strength 104 pe) ...... 195 cyclopentolate ...... 189 coral calcium ...... 110 dandruff shampoo cormax ...... 100 cyclophosphamide ...... 28, 43 (pyrithione) ...... 98 cortaid ...... 100 CYCLOPHOSPHAMIDE .. 28, dantrolene ...... 160 43 cortisone ...... 131 dapsone ...... 35 cycloserine ...... 36 cortisone (hydrocortisone) DAPTACEL (DTAP ...... 100 cyclosporine modified 28, 159 PEDIATRIC) (PF) ...... 55 cortisone with aloe ...... 102 cyproheptadine ...... 199, 200 dasetta 1/35 (28) ...... 86 cortizone-10 ...... 100 cyred ...... 86 dasetta 7/7/7 (28) ...... 90 cough control dm ...... 212 cytra k crystals ...... 153 daunorubicin ...... 49

COUGH FORMULA DM .. 212 cytra-k ...... 153 dayhist allergy ...... 197, 200 cough syrup dm ...... 212 daylogic acne treatment .... 94

225 daysee ...... 84 desoximetasone ...... 100 dextrose 5 % in water (d5w) ...... 108 day-time cough ...... 204 despec-dm (phenyleph-dm- guaif) ...... 211 dextrose 5 %-lactated ringers ddrops ...... 126 ...... 107 desvenlafaxine succinate .. 72 deblitane ...... 90 dextrose 5%-0.2 % sod dexamethasone ...... 131 debrox ...... 194 chloride ...... 108 DEXAMETHASONE decara ...... 126 dextrose 5%-0.3 % INTENSOL ...... 131 sod.chloride ...... 108 DECARA ...... 126 dexamethasone sodium phos dextrose 50 % in water deep sea nasal ...... 210 (pf) ...... 131, 132 (d50w) ...... 108, 109 delta d3 ...... 126 dexamethasone sodium dextrose 70 % in water phosphate ...... 132, 190 (d70w) ...... 108 deltasone ...... 131 dexmethylphenidate ...... 74 diabetic tussin dm ...... 212 DELTUSS DMX (DEXCHLORPHEN) .... 211 dextroamphetamine ... 74, 75, diabetic tussin ex ...... 208 77, 78 delyla (28) ...... 86 dialyvite ...... 106, 107 dextroamphetamine- DEPEN TITRATABS ... 29, 33 amphetamine ..... 75, 77, 79 DIALYVITE 800 WITH ZINC 15 ...... 106 DEPO-SUBQ PROVERA 104 dextromethorphan polistirex ...... 84 ...... 204 DIALYVITE 800 WITH ZINC 50 ...... 106 dermafungal ...... 96 dextromethorphan- guaifenesin ...... 212 dialyvite vitamin d ...... 126 DERMA-SMOOTHE/FS BODY OIL ...... 100 dextrose 10 % and 0.2 % DIALYVITE VITAMIN D3 nacl ...... 108 MAX ...... 126 DESCOVY...... 36 dextrose 10 % in water diamode ...... 139 desenex ...... 96 (d10w) ...... 108 diaper rash ...... 103 desipramine...... 73 dextrose 20 % in water diazepam ...... 68, 69, 76 DESITIN RAPID RELIEF 103 (d20w) ...... 108 diazepam intensol ...... 68, 76 desmopressin ...... 128 dextrose 25 % in water (d25w) ...... 108 diclofenac potassium ...... 29 desog-e.estradiol/e.estradiol ...... 84 dextrose 30 % in water diclofenac sodium..... 29, 103, (d30w) ...... 108 190 desogestrel-ethinyl estradiol ...... 86 dextrose 40 % in water dicloxacillin ...... 41 (d40w) ...... 108, 109 desonide ...... 100 dicyclomine ...... 145

226 didanosine ...... 36 DOCUSATE SODIUM drospirenone-ethinyl estradiol (BULK) ...... 81, 151 ...... 86 digitek ...... 66 docusol ...... 151 DRYSOL DAB-O-MATIC ... 98 digox ...... 66 dok ...... 151 dulcoease ...... 151 digoxin ...... 66 dolishale ...... 86 dulcolax (magnesium DIGOXIN ...... 66 hydroxide) ...... 148 DOMEBORO ...... 99 DILANTIN EXTENDED ..... 70 DULCOLAX (MAGNESIUM donepezil ...... 83 DILANTIN INFATABS ...... 70 HYDROXIDE) ...... 148 dorzolamide ...... 190 DILANTIN-125 ...... 70 dulcolax stool softener (dss) dorzolamide-timolol ...... 190 ...... 151 DILATRATE-SR ...... 62 double antibiotic (b.tracn zn) duloxetine ...... 72, 77 diltiazem hcl ...... 62, 63, 64 ...... 95 DUREX AVANTI BARE diltiazem in dextrose 5 % .. 65 doxazosin ...... 68 REAL FEEL ...... 169, 176 dilt-xr ...... 65 doxepin ...... 73 dutasteride ...... 153 dimaphen dm ...... 211 doxercalciferol ...... 184 d-vi-sol ...... 126 diotame instydose ...... 140 doxorubicin ...... 50 dyna-hex ...... 51 diphedryl ...... 197 doxycycline hyclate ... 41, 186 E diphenhist ...... 197, 198, 200 doxycycline monohydrate .. 41 e.c. prin ...... 31, 158 diphenhydramine hcl 79, 198, d-penamine ...... 29, 33 e.e.s. 400 ...... 40 200 dr. smith's diaper ...... 103 ear drops (carbamide diphenoxylate-atropine .... 140 peroxide) ...... 194 dramamine less drowsy ... 140 dipyridamole ...... 159 ear drops otc ...... 195 dronabinol ...... 77, 106, 141 disopyramide phosphate ... 62 ear health formula ...... 107 DROPLET GENTEEL DIURIL ...... 67 LANCING DEVICE ..... 162, ear wax removal system .. 195 divalproex ...... 69, 76, 77, 78 176 EASIVENT HOLDING CHAMBER ...... 171, 176 docosanol ...... 98 DROPLET LANCETS ..... 162, 176 EASIVENT MASK LARGE doc-q-lace ...... 151 DROPLET LANCING ...... 171, 176 docu ...... 151 DEVICE ...... 162, 176 EASIVENT MASK MEDIUM docusate sodium ...... 151 ...... 171, 176

227 EASIVENT MASK SMALL ELIQUIS DVT-PE TREAT enulose ...... 141 ...... 171, 176 30D START ...... 156 EPANED ...... 60 EASY CLICK LANCING elixophyllin ...... 205 DEVICE ...... 162, 176 epinephrine ...... 66, 204 ELLA ...... 92 EASY COMFORT LANCETS epinephrine hcl (pf) ...... 66 ELMIRON ...... 152 ...... 162, 176 EPIPEN 2-PAK ...... 66 eluryng ...... 92 EASY MINI EJECT EPIPEN JR 2-PAK ...... 66 LANCING DEVICE ..... 162, EMBRACE LANCING 176 DEVICE ...... 163, 177 epirubicin ...... 50

EASY TOUCH LANCING EMCYT ...... 46 epitol ...... 70, 77 DEVICE ...... 163, 176 emoquette ...... 86 eq gentle ...... 187 EASY TOUCH SAFETY ERBITUX ...... 50 LANCETS ...... 163, 176 emtricitabine-tenofovir (tdf) 36 ergocalciferol (vitamin d2) 126 EASY TOUCH TWIST enalapril maleate ...... 60 LANCETS ...... 163, 176 enalapril-hydrochlorothiazide ergoloid ...... 83 EASY TWIST AND CAP ...... 60 erlotinib ...... 42 LANCETS ...... 163, 176 endocet ...... 25 errin ...... 90 econazole ...... 96 endur-acin ...... 124 ertapenem ...... 37 econtra ez ...... 92 enema ...... 149 ery-tab ...... 40 ecotrin ...... 31, 158 enema disposable ...... 149 erythrocin (as stearate) ..... 40 ed a-hist ...... 195 enemeez ...... 151 erythromycin ...... 40, 193 ED CHLORPED D ...... 195 ENFAMIL WATER ...... 82 erythromycin ethylsuccinate EDECRIN ...... 67 ENGERIX-B (PF) ...... 52 ...... 40 ed-spaz ...... 144, 154 ENGERIX-B PEDIATRIC erythromycin with ethanol .. 93 effer-k ...... 116 (PF) ...... 52 escitalopram oxalate ...... 72 effervescent pain relief ...... 31 enoxaparin ...... 158 estarylla ...... 86 electrolyte-48 in d5w ...... 112 enpresse ...... 90 estazolam ...... 76, 80 elinest ...... 86 enskyce ...... 86 estradiol ...... 131, 215 eliphos ...... 152 entacapone ...... 74 eszopiclone ...... 80

ELIQUIS ...... 156 entecavir ...... 38 ethambutol ...... 37

228 ethosuximide ...... 71 EZ SMART LANCETS.... 163, FERROUS SULFATE, 177 DRIED (BULK) ...... 81, 113 ethynodiol diac-eth estradiol ...... 86 ezetimibe ...... 63 feverall ...... 26 etodolac ...... 31 EZ-LETS ...... 163, 177 FEVERALL ...... 26 etonogestrel-ethinyl estradiol F fexofenadine ...... 202, 203 ...... 92 fa-8 ...... 127 fexofenadine- etoposide ...... 46 pseudoephedrine ...... 196 fallback solo ...... 92 EURAX ...... 105 fiber (psyllium husk) ...... 146 falmina (28) ...... 86 euthyrox ...... 136 fiber (psyllium husk-sugar) famotidine ...... 142, 143 ...... 146 EVAC ...... 146 famotidine (pf) ...... 142 fiber laxative (psyllium husk) evac-u-gen (sennosides) . 150 fayosim ...... 90 ...... 146 EXCEDRIN MIGRAINE ..... 31 FC2 FEMALE CONDOM 160, fiber smooth ...... 146 exemestane...... 45 177 fiber therapy (m-cell/sugar) ex-lax (sennosides) ...... 150 felodipine ...... 65 ...... 146

EX-LAX (SENNOSIDES) 150 femynor ...... 86 fiber therapy (psyllium-sucro) ...... 146 EX-LAX MAXIMUM fenofibrate ...... 63 STRENGTH ...... 150 fiber therapy(psyl seed- fenofibrate micronized ...... 63 sugar) ...... 146 expectorant ...... 208 fenofibrate nanocrystallized FIFTY50 SAFETY SEAL expectorant dm ...... 212 ...... 63 LANCETS ...... 163, 177 eye allergy itch relief ...... 189 feosol...... 112 finasteride ...... 153 eye allergy relief ...... 189 FEOSOL ...... 112 FINE 30 UNIVERSAL LANCETS ...... 163, 177 EYE IRRIGATING ferate ...... 112 SOLUTION ...... 192 FINGERSTIX LANCETS 163, ferocon ...... 113 177 eye wash (boric acid) ...... 192 ferosul ...... 112 first aid antibiotic...... 95 eye wash sterile ...... 192 ferrocite ...... 112 FIRVANQ ...... 38 E-Z JECT LANCETS 163, 177 ferrous fumarate ...... 112 FLAREX ...... 190 E-Z JECT THIN LANCETS ferrous gluconate ...... 112 ...... 163, 177 flavor chews antacid ...... 137 ferrous sulfate ...... 112, 113 flecainide ...... 62

229 FLEET BISACODYL ...... 150 fluorouracil ...... 44, 45, 98 FREAMINE HBC 6.9 % ... 119

FLEET ENEMA EXTRA .. 149 fluoxetine ...... 72 FREAMINE III 10 % ...... 119 fleet glycerin (child) ...... 148 flurazepam ...... 76, 80 FREESTYLE LANCETS . 163, 177 FLEET MINERAL OIL ..... 147 flurbiprofen sodium ...... 190 FREESTYLE UNISTIK 2 163, FLONASE ALLERGY flutamide ...... 44 177 RELIEF ...... 210 fluticasone propionate .... 101, full spectrum b-vitamin c .. 106 FLONASE SENSIMIST ... 210 210 fungi cure ...... 97 FLOVENT DISKUS ...... 205 fluticasone propion- salmeterol ...... 208 FUNGOID TINCTURE ...... 97 FLOVENT HFA ...... 205 fluvoxamine ...... 72 fungoid-d ...... 97 floxuridine ...... 44 FLUZONE HIGHDOSE furosemide ...... 67 FLUAD QUAD 2021-22(65Y QUAD 21-22 PF ...... 58 UP)(PF) ...... 58 fyavolv ...... 130 FLUZONE QUAD 2021-2022 FLUARIX QUAD 2021-2022 ...... 58 G (PF) ...... 58 FLUZONE QUAD 2021-2022 gabapentin ...... 69 flucaine ...... 191 (PF) ...... 58 GAMIFANT ...... 159 fluconazole ...... 35 FML S.O.P...... 190 GARDASIL 9 (PF) ...... 57 flucytosine ...... 35 foaming acne face wash.... 94 gas relief (simethicone) ... 144 fludrocortisone ...... 134 foaming antacid ...... 136 gas relief 80 (simethicone) FLULAVAL QUAD 2021- folic acid ...... 127 ...... 144 2022 (PF)...... 58 FOLIC ACID ...... 127 gas relief extra strength ... 144 FLUMIST QUAD 2021-2022 ...... 54, 58 FOLIC ACID (BULK) ...... 127 gas-x extra strength ...... 144 flunisolide ...... 210 FORA LANCING DEVICE GAS-X EXTRA STRENGTH ...... 163, 177 ...... 144 fluocinolone ...... 100 FORACARE LANCETS .. 163, gas-x ultra-strength ...... 144 fluocinonide ...... 100 177 GAVILAX ...... 148 fluocinonide-e ...... 101 formula 3 ...... 97 gavilyte-c ...... 149 fluorescein-proparacaine . 191 fosinopril ...... 60 gavilyte-g ...... 149 fluoride (sodium) ...... 185 fosinopril-hydrochlorothiazide gavilyte-n ...... 149 fluorometholone ...... 190 ...... 60

230 GAVISCON ...... 136 glipizide ...... 129 griseofulvin ultramicrosize . 35

GAVISCON EXTRA GLUCAGEN HYPOKIT ... 127 g-tron ...... 212 STRENGTH ...... 137 GLUCAGON EMERGENCY guaifenesin ...... 208, 209 GAZYVA ...... 45 KIT (HUMAN) ...... 127 guanfacine ...... 66, 74 gelusil antacid and anti-gas GLUCOCOM LANCETS . 163, ...... 138 177 GVOKE HYPOPEN 1-PACK ...... 128 gemcitabine ...... 45 glucose ...... 127 GVOKE PFS 1-PACK gemfibrozil ...... 63 glyburide ...... 129 SYRINGE ...... 128 gemmily ...... 86 glyburide micronized ...... 129 GYNOL II ...... 93

GEMZAR ...... 45 glyburide-metformin ...... 129 H generlac ...... 141 glycerin ...... 99 hailey ...... 86 gentak ...... 192 glycerin (adult) ...... 148 hailey 24 fe ...... 86 gentamicin ...... 95, 193 GLYCERIN (BULK) ...... 82 hailey fe 1.5/30 (28) ...... 86 genteal tears mild ...... 186 glycerin (child) ...... 148 hailey fe 1/20 (28)...... 86

GENTEAL TEARS glycerin and rose water ..... 99 halobetasol propionate .... 101 MODERATE ...... 186 glycolax ...... 148 HAVRIX (PF) ...... 52 GENTEAL TEARS SEVERE GEL ...... 187 glycopyrrolate ...... 145 HEALTHY ACCENTS AUTOLET ...... 163, 177 gentlelax ...... 148 GOJJI LANCETS .... 163, 177 HEALTHY ACCENTS GERBER GOOD START GOJJI LANCING DEVICE UNILET LANCET . 163, 177 WATER...... 82 ...... 163, 177 healthylax ...... 148 geri-dryl ...... 198, 200 GOLYTELY ...... 149 heartburn antacid ...... 137 geri-lanta ...... 138 gonak ...... 187, 191 heartburn prevention ...... 143 gianvi (28) ...... 86 goniosoft ...... 187, 191 heartburn relief ...... 137 gildagia ...... 86 goniotaire ...... 187, 191 heartburn relief (famotidine) GILOTRIF...... 42 goniovisc ...... 187, 191 ...... 143

GLEEVEC ...... 48 goody's migraine relief ...... 31 heartburn relief (ranitidine) ...... 143 glenmax peb...... 195 granisetron hcl ...... 141 glimepiride ...... 129 griseofulvin microsize ...... 35

231 heartburn treatment 24 hour homatropine hbr ...... 189 hydrocortisone acetate ..... 32, ...... 143 101 home lice-bedbug-dust mite heather ...... 90 spr...... 105 hydrocortisone plus . 101, 102 hemorrhoidal ...... 32 hot and cold pain relief .... 102 hydrocortisone-acetic acid ...... 194 hemorrhoidal suppository .. 33 HUMALOG MIX 50-50 INSULN U-100 ...... 133 hydrocortisone-aloe vera . 102 hep flush-10 (pf) ...... 156, 157 HUMALOG MIX 75-25(U- hydrocortisone-pramoxine 32, HEPAGAM B ...... 53 100)INSULN ...... 133 101, 102 heparin (porcine) ...... 157 HUMALOG U-100 INSULIN hydrocream ...... 101 ...... 134 heparin (porcine) in 0.9% hydromorphone ...... 24 nacl ...... 156, 157 HUMULIN 70/30 U-100 hydroskin ...... 101 heparin lock ...... 157 INSULIN ...... 132 hydroskin with aloe ...... 102 heparin lock flush ...... 157 HUMULIN N NPH U-100 INSULIN ...... 133 hydroxychloroquine ..... 28, 36 heparin lock flush (porcine) ...... 156, 157 HUMULIN R REGULAR U- hydroxyprogest(pf)(preg 100 INSULN ...... 133 presv) ...... 131, 135 heparin lockflush(porcine)(pf) ...... 157 HUMULIN R U-500 (CONC) hydroxyprogesterone INSULIN ...... 133 cap(ppres) ...... 131, 135 heparin, porcine (pf) 157, 158 HUMULIN R U-500 (CONC) hydroxyurea ...... 45 HEPATAMINE 8% ...... 119 KWIKPEN ...... 133 hydroxyzine hcl...... 68 HEPLISAV-B (PF) ...... 52 HYCAMTIN ...... 49 hydroxyzine pamoate ...... 68 HERCEPTIN ...... 51 hydralazine ...... 67 hyoscyamine sulfate 144, 154 HERCEPTIN HYLECTA .... 50 hydrochlorothiazide ..... 67, 68 hyosyne ...... 144, 154 HEXALEN ...... 42 HYDROCHLOROTHIAZIDE (BULK) ...... 67, 81 hypercare ...... 98 HIBERIX (PF) ...... 56 HYDROCIL INSTANT ..... 146 HYPERHEP B ...... 53 HIBICLENS ...... 51 hydrocodone-acetaminophen HYPERHEP B NEONATAL hi-cal plus vit d ...... 111 ...... 24, 25 ...... 53 high potency capsaicin .... 105 hydrocodone-ibuprofen ..... 25 HYPERLYTE CR ...... 115 high potency iron ...... 113 hydrocortisone . 101, 132, 145 HYPERRAB (PF) ...... 53 homatropaire ...... 189 HYPERRAB S/D (PF) ...... 53

232 HYPER-SAL ...... 82 imipramine hcl ...... 73 insulin asp prt-insulin aspart ...... 133 HYPERTET S/D (PF) ...... 53 imiquimod ...... 102 insulin lispro ...... 134 HYPOLANCE AST LANCING IMOGAM RABIES-HT (PF) 53 ...... 163, 177 INTRALIPID ...... 120 IMOVAX RABIES VACCINE HYPROMELLOSE ...... 83 (PF) ...... 59 INTRAROSA ...... 134

HYPROMELLOSE (BULK) incassia ...... 90 introvale ...... 86 ...... 81, 83 IN-CHECK NASAL WITH INVACARE LANCETS ... 163, HYQVIA IG COMPONENT 53 MASK ...... 170, 177 177

I IN-CHECK ORAL FLOW inzo antifungal ...... 97 METER ...... 170, 177 ibandronate ...... 130 IONOSOL-B IN D5W ...... 112 INCONTROL LANCING IBRANCE ...... 46 DEVICE ...... 163, 177 IONOSOL-MB IN D5W .... 112 ibu ...... 30 INCONTROL SUPER THIN IPOL ...... 59 ibu-drops ...... 30 LANCETS ...... 163, 177 ipratropium bromide 206, 209 ibuprofen ...... 30 INCONTROL ULTRA THIN ipratropium-albuterol ...... 207 LANCETS ...... 163, 177 ibuprofen jr strength ...... 30 irbesartan ...... 61 INCRUSE ELLIPTA ...... 206 iclevia ...... 86 irbesartan- indapamide ...... 68 hydrochlorothiazide ...... 61 ICLUSIG ...... 47 indomethacin ...... 31 IRESSA ...... 42 icy hot ...... 104 INFANRIX (DTAP) (PF) ..... 55 irinotecan ...... 49 ICY HOT (MENTHOL) ..... 105 infant's advil...... 30 iron (dried) ...... 113 ICY HOT ADVANCED RELIEF PATCH ...... 105 infants gas relief ...... 144 ISENTRESS ...... 36

ICY HOT NO MESS ...... 105 infant's ibuprofen ...... 30 isibloom ...... 86

ICY HOT PAIN RELIEVING INFANT'S MOTRIN ...... 30 ISOLYTE-P IN 5 % ...... 105 infant's pain reliever ...... 26 DEXTROSE ...... 112 ifosfamide ...... 43 INFED ...... 113 ISOLYTE-S ...... 115 ifosfamide-mesna ...... 43 INJECT EASE LANCETS isoniazid ...... 36 imatinib ...... 48 ...... 163, 177 isopto tears ...... 187

IMBRUVICA ...... 45, 48 INLYTA ...... 48 ISORDIL ...... 62

233 isosorbide dinitrate ...... 62 kaopectate (bismuth klor-con m15 ...... 116 subsalicy) ...... 140 isosorbide mononitrate ...... 62 klor-con m20 ...... 116 kaopectate ex str (bismuth isradipine ...... 65 ss) ...... 140 klor-con sprinkle ...... 116 itraconazole ...... 35 kariva (28) ...... 84 KLOXXADO ...... 33 ivermectin ...... 34 KATERZIA ...... 65 konsyl (sugar) ...... 146

IXIARO (PF) ...... 58 KEDRAB (PF) ...... 53 KONSYL DAILY FIBER (STEVIA) ...... 146 J k-effervescent ...... 116 KONSYL EASY MIX ...... 146 jaimiess ...... 84 kelnor 1/35 (28) ...... 87 KONSYL SUGAR-FREE . 146 jantoven ...... 155 kelnor 1-50 (28) ...... 87 KONSYL SUGAR-FREE jasmiel (28)...... 87 ketoconazole ...... 35, 97 (ASPARTAME) ...... 146 jencycla ...... 90 KETONE CARE ...... 172, 177 K-PHOS NO 2 ...... 153 jinteli ...... 130 KETONE URINE TEST .. 172, K-PHOS ORIGINAL ...... 153 178 jock itch (clotrimazole) ...... 97 kurvelo (28) ...... 87 jolessa ...... 87 ketoprofen ...... 30 L ketorolac ...... 190 jolivette ...... 90 l norgest/e.estradiol-e.estrad jr. acetaminophen ...... 26 KETOSTIX ...... 173, 178 ...... 84 juleber ...... 87 ketotifen fumarate ...... 189 labetalol ...... 61 junel 1.5/30 (21) ...... 87 KEYTRUDA ...... 50 LACTATED RINGERS ... 109, 122 junel 1/20 (21) ...... 87 kids first vitamin d3 ...... 126 lactulose ...... 142, 148 junel fe 1.5/30 (28) ...... 87 kids mini enema ...... 151 LAMISIL AT ...... 96 junel fe 1/20 (28) ...... 87 KIDS VITAMIN D3 ...... 126 lamotrigine ...... 71 junel fe 24 ...... 87 kimidess (28) ...... 84 LANCETS ...... 164, 178 K KINRIX (PF) ...... 55 LANCETS, SUPER THIN 164, K1-1000 ...... 127 kionex ...... 109 178

KABIVEN ...... 120 kionex (with sorbitol)...... 109 LANCETS,THIN ...... 164, 178 kalliga ...... 87 KISQALI ...... 46 LANCETS,ULTRA THIN . 164, klor-con m10 ...... 116 178

234 LANCING DEVICE .. 164, 178 leena 28 ...... 90 lice treatment (permethrin) ...... 105 LANCING DEVICE WITH leflunomide ...... 29 LANCETS ...... 164, 178 lice-bedbug-mite bedding 106 lemon glycerin ...... 186 LANCING SYSTEM 164, 178 LIDO BDK ...... 173 LENVIMA ...... 48 LANOXIN ...... 66 lido king ...... 104 lessina ...... 87 lansoprazole ...... 143 lidocaine ...... 32, 104 letrozole ...... 45 LANTUS SOLOSTAR U-100 lidocaine hcl ...... 104, 185 INSULIN ...... 133 leucovorin calcium ...... 51 lidocaine pain relief ...... 104 LANTUS U-100 INSULIN 134 LEUKERAN ...... 43 lidocaine viscous ...... 185 LANZO LANCING DEVICE levalbuterol tartrate ...... 207 lidocaine-prilocaine ...... 103 ...... 164, 178 levetiracetam ...... 71 lillow (28) ...... 87 lapatinib ...... 41 levobunolol ...... 191 liothyronine ...... 135, 136 larin 1.5/30 (21) ...... 87 levocarnitine ...... 184 liquid antacid ...... 138 larin 1/20 (21) ...... 87 levocarnitine (with sugar) 184 larin 24 fe ...... 87 liquid calcium with vitamin d levofloxacin ...... 38, 193 ...... 111 larin fe 1.5/30 (28) ...... 87 levonest (28) ...... 90 lisinopril ...... 61 larin fe 1/20 (28) ...... 87 levonorgestrel ...... 92 lisinopril-hydrochlorothiazide larissia ...... 87 levonorgestrel-ethinyl estrad ...... 60 latanoprost ...... 194 ...... 87 LITE TOUCH LANCETS 164, 178 laxacin ...... 151 levonorg-eth estrad triphasic ...... 90 LITE TOUCH LANCING laxaclear ...... 148 levora-28 ...... 87 DEVICE ...... 164, 178 laxative (bisacodyl) ...... 150 levothyroxine ...... 136 LITE TOUCH-MEDIUM laxative (sennosides) ...... 150 MASK ...... 171, 178 lice bedding spray ...... 105 laxative dietary supplement LITEAIRE MDI CHAMBER ...... 113 lice complete kit 1-2-3 ..... 105 ...... 171, 178 laxative peg 3350 ...... 148 lice killing ...... 105 little noses ...... 211 laxative pills regular ...... 150 lice pyrinyl shampoo ...... 105 little remedies ...... 210 ledipasvir-sofosbuvir ...... 39 lice solution ...... 105 little remedies fever and pain ...... 26

235 little remedies saline mist 210 lubricant eye (cmc-glycerin) magnesium citrate ...... 148 ...... 186 little tummys gas relief ..... 144 MAGNESIUM CITRATE lubricant eye (pg-peg 400) (BULK) ...... 148 LO LOESTRIN FE ...... 85 ...... 186 MAGNESIUM HYDROXIDE lo-dose aspirin ...... 31, 158 lubricant eye drops ...... 187 (BULK) ...... 81

LODRANE D ...... 195 lubricating jelly (chlorhexid) magnesium oxide ... 113, 114, lohist - d ...... 195 ...... 103 138 lojaimiess ...... 85 lubricating plus ...... 187 MAGNESIUM OXIDE ...... 113 lomaira ...... 106 lugols ...... 51 magnesium sulfate in 0.9 %nacl ...... 114 lomedia 24 fe ...... 87 LUPRON DEPOT ...... 46, 134 magnesium sulfate in d5w loperamide ...... 139 LUPRON DEPOT (3 ...... 114 MONTH) ...... 46, 134 lopreeza ...... 131 magnesium sulfate in lr ... 114 LUPRON DEPOT (4 loradamed ...... 202, 203 MONTH) ...... 46 MAGOX ...... 114 loratadine ...... 202, 203 LUPRON DEPOT (6 MAKENA ...... 131, 135 MONTH) ...... 46 lorazepam ...... 68, 76, 80 MAKENA (PF) ...... 131, 135 lutera (28) ...... 87 lorcet (hydrocodone) ... 24, 25 mapap (acetaminophen) .. 26, lyleq ...... 90 27 lorcet hd ...... 24, 25 LYNPARZA ...... 48 mapap arthritis pain ...... 27 lorcet plus ...... 24, 25 LYSODREN ...... 44 mapap extra strength ...... 27 loryna (28) ...... 87 lyza ...... 90 maprotiline ...... 73 losartan ...... 61 M marlissa (28) ...... 88 losartan-hydrochlorothiazide ...... 61 maalox advanced ...... 138 marten-tab ...... 27 lotrimin af...... 97 MAALOX ADVANCED .... 139 masophen ...... 27 lovastatin ...... 63 MAALOX MAXIMUM MATULANE ...... 42 STRENGTH ...... 139 low-ogestrel (28) ...... 87 MAVYRET ...... 39 MAG-AL ...... 137 lo-zumandimine (28) ...... 87 MAXIDEX ...... 190 mag-g ...... 113 lubricant dry eye relief ..... 187 MAXIFED TR ...... 195 magnesium ...... 113 lubricant eye ...... 187 maxilube ...... 103

236 maxi-tuss pe ...... 195 META APPETITE CTRL methylprednisolone acetate (ASPARTAME) ...... 146 ...... 132 maxi-tuss tr...... 195 METAMUCIL ...... 147 metipranolol ...... 191 m-dryl ...... 198, 200 METAMUCIL (WITH metoclopramide hcl ...... 144 meclizine ...... 140 SUGAR) ...... 147 metolazone ...... 68 medicated heat patch ...... 105 METAMUCIL FIBER metoprolol succinate ...... 64 medi-first anti-fungal ...... 97 SINGLES ...... 147 metoprolol ta- medi-meclizine ...... 140 METAMUCIL FIBER THIN ...... 147 hydrochlorothiaz ...... 66 MEDISENSE THIN metoprolol tartrate ...... 64 LANCETS ...... 164, 178 METAMUCIL FREE...... 147 metronidazole .... 36, 103, 215 MEDLANCE PLUS metamucil plus calcium ... 147 LANCETS ...... 164, 178 metaproterenol ...... 207 mexiletine ...... 62 medroxyprogesterone 84, 135 metformin ...... 134 MEZPAROX-HC ...... 102 megestrol ...... 48, 106 methadone ...... 24 mgo ...... 114

MEKINIST ...... 47 methenamine hippurate.... 40, mi-acid ...... 139 melodetta 24 fe ...... 88 153 mi-acid gas relief(simethicon) ...... 144 meloxicam ...... 29 methenamine mandelate .. 40, 154 mi-acid(calcium carb-mag melphalan...... 43 methimazole ...... 130 hydr) ...... 137 memantine ...... 83 methocarbamol ...... 160 mibelas 24 fe ...... 88 MENACTRA (PF) ...... 56 METHOCEL E 4 M ...... 83 micatin ...... 97 MENQUADFI (PF) ...... 56 METHOCEL K 100 M .. 82, 83 miconazole nitrate ..... 97, 214 MENVEO A-C-Y-W-135-DIP miconazole-3 ...... 214 (PF) ...... 56 methotrexate sodium ... 28, 44 methotrexate sodium (pf) .. 28 miconazole-3 MENVEO MENA prefil,cream,wipe ...... 214 COMPONENT (PF) ...... 56 methyldopa ...... 66 miconazole-7 ...... 214 MENVEO MENCYW-135 methylergonovine ...... 135 COMPNT (PF) ...... 56 miconazole-skin clnsr17 .. 214 methylphenidate hcl .... 75, 78 MEPHYTON ...... 127 MICRO THIN LANCETS . 164 methylprednisolone ...... 132 mercaptopurine ...... 44 MICROCHAMBER .. 171, 178 mesalamine ...... 145 microgestin 1.5/30 (21) ...... 88

237 microgestin 1/20 (21) ...... 88 MIRALAX ...... 148 morphine ...... 24 microgestin fe 1.5/30 (28) . 88 MIRENA ...... 84 MORPHINE ...... 24 microgestin fe 1/20 (28) .... 88 mirtazapine ...... 71 motion relief (meclizine) .. 140 micro-guard ...... 97 misoprostol ...... 143 motion sickness (meclizine) ...... 140 MICROLET 2 LANCING mitomycin ...... 50 DEVICE ...... 164, 178 motion sickness ii ...... 140 M-M-R II (PF) .. 54, 58, 59, 60 MICROLET LANCET ...... 164 motion sickness relief(mecliz) modafinil ...... 78 ...... 140 MICROLIFE PEAK FLOW METER ...... 170, 178 MOISTURE DROPS...... 187 MOUTHPIECE ...... 171, 179

MICROSPACER ..... 171, 178 mometasone ...... 101 moxifloxacin ...... 193 midazolam ...... 32, 76 MONISTAT 1 COMBO PACK mucilin sf ...... 147 ...... 215 midazolam (pf) ...... 32, 76 mucinex fast-max chest- MONISTAT 3 ...... 215 congest ...... 209 midodrine ...... 66 monistat 7 ...... 215 mucus relief cough ...... 212 migraine formula ...... 31 MONISTAT 7 ...... 215 mucus relief d mili ...... 88 MONOJECT 0.9% SODIUM (pseudoephed)...... 208 milk of magnesia ...... 148 CHLORIDE ...... 122 mucus relief dm ...... 212 milk of magnesia MONOJECT HYPODERMIC mucus relief er ...... 209 concentrated ...... 148 NEEDLES ...... 169, 178 multi antibiotic plus ...... 95 MILLIPRED ...... 132 MONOJECT HYPODERMIC POLYPROPYL .... 169, 178 MULTI-LANCET DEVICE 2 MINI LANCING DEVICE 164, ...... 164, 179 178 MONOJECT PREFILL ADVANCED NS ...... 122 multi-vit with fluoride-iron . 122 MINI WRIGHT PEAK FLOW METER ...... 170, 178 MONOLET LANCETS .... 164, multivit-fluor (vit e acetate) 179 ...... 122 minitran ...... 62 MONOLET THIN LANCETS mupirocin ...... 95 minocycline ...... 29, 41 ...... 164, 179 murine ear wax removal minoxidil ...... 67 mono-linyah ...... 88 system ...... 195 mintox ...... 139 mononessa (28) ...... 88 muro 128 ...... 191 mintox maximum strength 139 montelukast ...... 205 mutamycin ...... 50 mintox plus ...... 139

238 my choice ...... 92 nasal mist ...... 210 neomycin-polymyxin- gramicidin ...... 192 my way ...... 92 NASALCROM ...... 210 neomycin-polymyxin-hc .. 189, mycophenolate mofetil ..... 28, NATACYN ...... 193 194 159 natural calcium ...... 110 neo-polycin ...... 192 mycozyl ac ...... 97 natural daily fiber ...... 147 neo-polycin hc ...... 189 MYGLUCOHEALTH LANCETS ...... 164, 179 natural fiber laxative ...... 147 neosporin (neo-bac-polym) 95

MYLERAN ...... 42 natural fiber supplement .. 147 neosporin plus pain relief .. 95 mynephrocaps ...... 106 NATURAL FIBER neo-tuss ...... 212 SUPPLEMNT(ASPRT) 147 mytab gas (simethicone) . 144 nephplex rx ...... 107 natural tears (pf) ...... 187 mytab gas maximum strength NEPHRAMINE 5.4 % ...... 119 ...... 144 natural vegetable ...... 147 nephro-vite ...... 107 myzilra ...... 90 nature-throid ...... 135 nephro-vite rx ...... 107 NAVELBINE ...... 49 N NEUTROGENA ON THE NABI-HB ...... 53 NAYZILAM ...... 69, 76 SPOT ...... 94 nabumetone ...... 29 NEBUPENT ...... 40 new day ...... 92 nadolol ...... 64 nebusal ...... 82 NEXAVAR ...... 47 naloxone ...... 33 NEBUSAL ...... 82 NEXPLANON ...... 83

NAPHCON-A ...... 189 necon 0.5/35 (28) ...... 88 next choice one dose ...... 92 naproxen ...... 30 necon 1/50 (28) ...... 88 niacin ...... 63, 124 naproxen sodium ...... 30 necon 7/7/7 (28) ...... 90 niacin (inositol niacinate) . 124 naramin ...... 198, 200 nefazodone ...... 72 NIACIN (INOSITOL NIACINATE) ...... 124 NARCAN ...... 33 neomycin ...... 33 niacin (niacinamide) ...... 124 NASACORT ...... 210 neomycin-bacitracin-poly-hc ...... 188 niacor ...... 63 nasal allergy ...... 210 neomycin-bacitracin- NIAVASC ...... 124 nasal decongestant (pe) .. 213 polymyxin ...... 192 NIAVASC 750 ...... 124 nasal decongestant neomycin-polymyxin b- (pseudoeph) ...... 213 dexameth ...... 188 NICODERM CQ ...... 80

239 nicorelief ...... 80 non-aspirin pain relief ...... 27 NOVOLIN 70/30 U-100 INSULIN ...... 132 NICORETTE ...... 80 nora-be ...... 90 NOVOLIN N NPH U-100 nicotine ...... 80 norethindrone (contraceptive) INSULIN ...... 133 ...... 90 NICOTINE ...... 80 NOVOLIN R REGULAR U- norethindrone acetate ..... 135 nicotine (polacrilex) ...... 80 100 INSULN...... 133 norethindrone ac-eth nifedipine ...... 65 NOVOLOG MIX 70-30 U-100 estradiol ...... 88, 131 INSULN ...... 133 nightime sleep ...... 79, 200 norethindrone-e.estradiol-iron np thyroid ...... 135 nighttime sleep aid (diphen) ...... 88 NUTRILIPID ...... 120 ...... 79, 200 norgestimate-ethinyl estradiol nighttime sleep-aid ...... 88, 91 nyamyc ...... 96 (doxylamn) ...... 79 norlyda ...... 90 nylia 7/7/7 (28) ...... 91 nikki (28) ...... 88 norlyroc ...... 90 nymyo ...... 88 ninjacof-xg ...... 213 normal saline flush ...... 122 nystatin ...... 35, 96, 185

NINLARO ...... 48 NORMOSOL-M IN 5 % NYSTATIN (BULK) ...... 35, 82 DEXTROSE ...... 112 NIPENT ...... 44 nystatin-triamcinolone . 97, 98 NITRO-BID ...... 62 NORMOSOL-R IN 5 % DEXTROSE ...... 112 nystop ...... 96 nitrofurantoin ...... 35, 154 NORMOSOL-R PH 7.4 .... 115 nytol ...... 79, 198, 200 nitrofurantoin macrocrystal35, O 154 nortemp ...... 27 obagi nu-derm tolereen ... 101 nitrofurantoin monohyd/m- nortrel 0.5/35 (28) ...... 88 cryst ...... 35, 154 nortrel 1/35 (21) ...... 88 ocean nasal ...... 210 nitroglycerin ...... 62 nortrel 1/35 (28) ...... 88 ocella ...... 88

NIVESTYM ...... 156 nortrel 7/7/7 (28) ...... 91 OCUSOFT IRRIGATING OPHTH SOLN ...... 192 NIX CREME RINSE ...... 106 nortriptyline ...... 73 ofloxacin ...... 38, 193, 194 NIZORAL A-D ...... 97 NOVA SAFETY LANCETS ogestrel (28) ...... 88 non-aspirin ...... 27 ...... 164, 179 okebo ...... 41 non-aspirin childrens ...... 27 NOVA SUREFLEX LANCETS ...... 164, 179 olopatadine ...... 189 non-aspirin extra strength . 27 OLUMIANT ...... 29

240 omega-3 acid ethyl esters . 63 ONETOUCH VERIO TEST oxycodone ...... 24 STRIPS ...... 160, 179 omeprazole ...... 143 oxycodone-acetaminophen 25 ON-THE-GO LANCETS . 165, ON CALL LANCET .. 164, 179 179 OXYTROL ...... 154

ON CALL LANCING DEVICE onxol...... 49 OXYTROL FOR WOMEN 154 ...... 164, 179 opcicon one-step ...... 92 oysco 500/d ...... 111 ON CALL PLUS LANCET ...... 164, 179 OPCON-A ...... 189 oysco-500 ...... 110

ON CALL PLUS LANCING OPDIVO ...... 50 oyster shell calcium-vit d2 111 DEVICE ...... 164, 179 OPTICHAMBER ADULT oyster shell calcium-vit d3 111 ondansetron ...... 141 MASK-LARGE ..... 171, 180 oystercal-d ...... 111 ondansetron hcl ...... 141 OPTICHAMBER DIAMOND OZEMPIC ...... 129 LG MASK ...... 172, 180 ONE WAY VALVED P MOUTHPIECE ..... 171, 179 OPTICHAMBER DIAMOND VHC ...... 172, 180 pacerone ...... 62 ONETOUCH DELICA LANC DEVICE ...... 164, 179 OPTICHAMBER DIAMOND- paclitaxel ...... 49 MED MSK ...... 172, 180 ONETOUCH DELICA pain relief 8hr ...... 27 LANCETS ...... 165, 179 OPTICHAMBER DIAMOND- pain relief cream ...... 104 SML MASK ...... 172, 180 ONETOUCH DELICA PLUS pain reliever LANC DEV ...... 165, 179 option-2 ...... 92 (acetaminophen) ...... 27 ONETOUCH DELICA PLUS oralone ...... 185 pain reliever jr strength ...... 27 LANCET ...... 165, 179 oralyte ...... 114 pain reliever plus ...... 31 ONETOUCH SURESOFT ORASEP ...... 185 LANCING DEV .... 165, 179 pain relieving rub (camphor) ...... 104 ONETOUCH ULTRASOFT orsythia ...... 89 LANCETS ...... 165, 179 oscimin ...... 144, 145, 154 PANCREAZE ...... 142

ONETOUCH VERIO FLEX oscimin sl ...... 145, 154 PANDA MASK ...... 172, 180 START ...... 165, 179 oseltamivir ...... 39 panoxyl ...... 94 ONETOUCH VERIO HIGH CONTROL ...... 165, 179 oxaliplatin ...... 47 panoxyl-4 ...... 94

ONETOUCH VERIO MID oxcarbazepine ...... 70 pantoprazole ...... 143 CONTROL ...... 165, 179 oxybutynin chloride ...... 154 PARAGARD T 380A ...... 84

paroex oral rinse...... 185

241 paromomycin ...... 33 peg 3350-electrolytes ...... 149 PHAZYME ...... 144 paroxetine hcl ...... 72 PEGANONE ...... 70 phenadoz ...... 141, 198, 200

PARVA-CAL 500 ...... 111 PEGASYS ...... 38 PHENAGIL ...... 196 p-col rite ...... 151 PEGASYS PROCLICK ...... 38 phenazopyridine ...... 153

PEAK AIR PEAK FLOW peg-electrolyte soln ...... 149 phenobarbital ...... 69, 79, 80 METER ...... 170, 180 PEGINTRON ...... 38 phentermine ...... 106 pedi multivit no.194-iron sulf ...... 121 penicillamine ...... 29, 33 phenylephrine hcl ...... 191 pedia tri-vite...... 121 penicillin v potassium ...... 40 PHENYTEK ...... 70 pediacare fever reducer .... 27 PENTACEL (PF) ...... 55 phenytoin ...... 70

PEDIA-LAX ...... 149 PENTACEL DTAP-IPV phenytoin sodium extended COMPNT (PF) ...... 55 ...... 70 pedia-lax stool softener ... 152 pentobarbital sodium ...... 79 philith ...... 89 PEDIARIX (PF) ...... 52, 55 pentoxifylline ...... 156 phillips ...... 114 pediatric d-vite ...... 126 peptic relief ...... 140 phillips' liqui-gels ...... 152 pediatric electrolyte ...... 114 perdiem overnight relief ... 150 PHILLIPS MILK OF pediatric fe-vite ...... 113 MAGNESIA ...... 138, 149 periguard ...... 103 pediatric freezer pops ...... 114 PHOSLYRA ...... 152 PERIKABIVEN ...... 120 pediatric multivitamin no.171 phospha 250 neutral 115, 153 ...... 121 perindopril erbumine ...... 61 PHOSPHOLINE IODIDE . 188 PEDIATRIC PANDA MASK periogard ...... 185 ...... 172, 180 phospho-trin 250 neutral 115, PERISHIELD ...... 103 153 pediatric poly-vite ...... 121 PERJETA ...... 50 PHYSICIANS EZ USE B-12 pediatric poly-vite with iron permethrin ...... 106 ...... 124 ...... 121 persa-gel ...... 94 phytonadione (vitamin k1) 127 PEDIATRIC SMALL MASK ...... 172, 180 PERSONAL BEST FULL PHYTONADIONE (VITAMIN RANGE ...... 170, 180 K1) ...... 127 pediatric tri-vite ...... 121 personal lubricating jelly .. 103 PIKO 1 ...... 170, 180 pedi-boro soak ...... 99 pharbetol ...... 27 pilocarpine hcl ...... 186, 188 PEDVAX HIB (PF) ...... 56 pharmabase barrier ...... 103 pimtrea (28) ...... 85

242 pink bismuth ...... 140 POLY-VI-SOL WITH IRON pramipexole ...... 74 ...... 122 pinworm treatment ...... 34 prasugrel ...... 159 portia 28 ...... 89 pin-x ...... 34 pravastatin ...... 63 PORTRAZZA ...... 50 PIN-X ...... 34 prazosin ...... 68 potassium bicarb and pioglitazone ...... 134 chloride ...... 115 PRED MILD ...... 190

PIP LANCET ...... 165, 180 potassium bicarb-citric acid prednicarbate ...... 101 pirmella ...... 89, 91 ...... 116 prednisolone acetate ...... 190 piroxicam ...... 29 potassium chlorid-d5- prednisolone acetate (pf) . 190 0.45%nacl ...... 115 PLASMA-LYTE 148 ...... 115 prednisolone sodium potassium chloride ...... 116 phosphate ...... 132, 190 PLASMA-LYTE A ...... 115 potassium chloride in prednisone ...... 132 PLENAMINE ...... 119 0.9%nacl ...... 115 PREDNISONE INTENSOL PNEUMOVAX-23 ...... 56, 57 potassium chloride in 5 % ...... 132 dex ...... 115 POCKET CHAMBER ..... 172, pregabalin ...... 70, 77 180 potassium chloride in lr-d5 ...... 115 PREMARIN ...... 215 POCKET PEAK FLOW METER ...... 170, 180 potassium chloride in water PREMASOL 10 % ...... 119 ...... 115, 116 podofilox ...... 102 PREMASOL 6 % ...... 119 potassium chloride-0.45 % polycin ...... 192 prenatal ...... 122 nacl ...... 116 polyethylene glycol 3350 . 149 prenatal vitamin ...... 122 potassium chloride-d5- POLYETHYLENE GLYCOL 0.2%nacl ...... 116 prenatal vits96-iron fum-folic 3350(BULK) ...... 82 ...... 122 potassium chloride-d5- polymyxin b sulf-trimethoprim 0.3%nacl ...... 116 preparation h hydrocortisone ...... 192 ...... 101 potassium chloride-d5- POLYSPORIN ...... 95 0.9%nacl ...... 116 PRESSURE ACTIVATED LANCETS ...... 165, 180 polysporin (bacitracin zinc) 95 potassium citrate ...... 153 PREVAIL BLADDER potassium citrate-citric acid POLYVINYL ALCOHOL CONTROL PAD ... 168, 180 (BULK) ...... 82, 83 ...... 153 prevalite ...... 63 POLY-VI-SOL ...... 121 potassium hydroxide ...... 94 previfem ...... 89 powderlax ...... 149

243 PREVNAR 13 (PF) ...... 57 promethazine-phenylephrine PURECOMFORT PEAK ...... 196 FLOW METER ..... 170, 181 PREZISTA...... 41 promethegan ... 141, 199, 200 purelax ...... 149 PRIFTIN ...... 37, 41 promolaxin ...... 152 PURIXAN ...... 44 PRIMAQUINE ...... 36 propafenone ...... 62 PUSH BUTTON SAFETY PRIMEAIRE ...... 172, 180 LANCETS ...... 165, 181 propantheline ...... 145 primidone ...... 69 pyrazinamide ...... 36 proparacaine ...... 192 PRO COMFORT LANCET pyridostigmine bromide .. 159, ...... 165, 180 propranolol ...... 64 160

PROAIR RESPICLICK .... 207 propylthiouracil ...... 130 pyridoxine (vitamin b6) .... 124 probenecid ...... 155 PROQUAD (PF) ... 54, 58, 59, pyrimethamine ...... 36 60 probenecid-colchicine ..... 155 Q PROSOL 20 % ...... 119 PROCHAMBER ...... 172, 180 QBRELIS ...... 61 protriptyline ...... 73 prochlorperazine ...... 141 QINLOCK ...... 48 pseudoephedrine hcl ...... 213 prochlorperazine maleate . 74, QUADRACEL (PF) ...... 55 141 pseudoephedrine-guaifenesin ...... 208 quasense ...... 89 procto-med hc ...... 32, 101 psoriasis medicated ...... 102 quinapril ...... 61 proctosol hc ...... 32, 101 psyllium husk ...... 147 quinidine sulfate ...... 62 proctozone-hc ...... 32 PSYLLIUM HUSK ...... 147 quinine sulfate ...... 36 PRODIGY LANCETS ..... 165, 180 PSYLLIUM HUSK (BULK) 82, QVAR ...... 205 147 PRODIGY LANCING QVAR REDIHALER ...... 205 DEVICE ...... 165, 180 PULMICORT FLEXHALER ...... 205 R PRODIGY TWIST TOP LANCET ...... 165, 180 PULMOSAL ...... 82 RABAVERT (PF) ...... 59 progesterone micronized . 135 pure and gentle eye ...... 188 raloxifene ...... 135 promethazine . 141, 198, 199, PURE COMFORT LANCETS ramipril ...... 61 200 ...... 165, 181 ranitidine hcl ...... 143 promethazine-dm ...... 211 PURE COMFORT SAFETY READYLANCE SAFETY LANCETS ...... 165, 181 LANCETS ...... 165, 181

244 reclipsen (28) ...... 89 RENFLEXIS ...... 28, 145 ringer's...... 109, 122

RECOMBIVAX HB (PF) .... 52 reno caps ...... 107 ritonavir ...... 41 reese's pinworm medicine . 34 repaglinide ...... 128 RITUXAN ...... 45 refenesen ...... 209 REPLESTA ...... 126 RITUXAN HYCELA ...... 45

REFRESH CELLUVISC .. 188 RESPAIRE-30 ...... 208 rivastigmine tartrate ...... 83

REFRESH CONTACTS .. 188 restfully sleep .... 79, 198, 200 rivelsa ...... 90

REFRESH OPTIVE ...... 187 restore tears ...... 188 rizatriptan ...... 78

REFRESH P.M...... 187 RETACRIT ...... 156 robafen ...... 209 reguloid (aspartame) ...... 147 retaine nacl ...... 191 robafen ac ...... 213 reguloid (psyllium husk) .. 147 RHOPRESSA ...... 194 robitussin pediatric ...... 204 relcof c ...... 213 ribasphere ...... 39 ropinirole ...... 74

RELENZA DISKHALER .... 39 ribavirin ...... 39 rosuvastatin ...... 63

RELIAMED LANCET ...... 165, rid complete lice elim kit . 105, ROTARIX ...... 54, 59 181 106 ROTATEQ VACCINE .. 54, 59 RELIAMED MINI LANCING rid lice killing ...... 105 DEVICE ...... 165, 181 RYBELSUS ...... 129 RIDAURA ...... 28 RELIAMED SAFETY SEAL RYDAPT ...... 48 rifampin ...... 37, 41 LANCETS ...... 165, 181 rynex pse ...... 196 ri-gel ...... 139 RELION THIN LANCETS166, S 181 RIGHTEST GD500 SAFETY LANCETS . 166, 181 RELION ULTRA THIN PLUS LANCING DEVICE ..... 166, LANCETS ...... 166, 181 181 SAFETY SEAL LANCETS ...... 166, 181 remedy phytoplex antifungal RIGHTEST GL300 ...... 97 LANCETS ...... 166, 181 SAFETY-LET LANCETS 166, 181 renal caps...... 107 riluzole ...... 159 saline mist ...... 210 renal vitamin ...... 107 ri-mag ...... 138 saline nasal ...... 210 renal-vite ...... 107 ri-mag plus ...... 139 saline nose ...... 210 rena-vite ...... 107 ri-mox ...... 139 sal-plant ...... 102 rena-vite rx ...... 107 ri-mox plus ...... 139 SANTYL ...... 99

245 scalp relief ...... 101, 102 SEREVENT DISKUS...... 206 sinus pressure-cong relief pe ...... 213 scalpicin anti-itch ...... 101 sertraline ...... 72 sleep aid (diphenhydramine) scopolamine base ...... 140 setlakin ...... 89 ...... 79, 200 scot-tussin expectorant ... 209 sevelamer carbonate ...... 152, sleep tablet 153 SCOT-TUSSIN SENIOR . 212 (diphenhydramine) 79, 198, sharobel ...... 90 200 SCRUB CARE EXIDINE ... 51 SHARPS CONTAINER ... 169 SLO-NIACIN ...... 124 SEGLUROMET ...... 128 SHINGRIX (PF) ...... 59 slow release iron ...... 113 selegiline hcl...... 74 SIDESTREAM PEDIATRIC SLOW RELEASE IRON .. 113 selenium ...... 116 FACE MASK ...... 172, 181 SMART SENSE LANCETS selenium sulfide ...... 98 silace ...... 152 ...... 166, 181 selenomax ...... 117 siladryl sa ...... 198, 200 SMARTDIABETES VANTAGE ...... 166, 181 SELENOMETHIONINE ... 117 silapap ...... 27 SMARTEST LANCET ..... 166, selsun blue ...... 98 SILICONE MASK - 181 SEMGLEE PEN U-100 PEDIATRIC ...... 172, 181 smoflipid ...... 120 INSULIN ...... 134 silphen cough ...... 198, 200 smoothlax ...... 149 SEMGLEE U-100 INSULIN siltussin sa ...... 209 ...... 134 sochlor ...... 191 SILVASORB ...... 106 senexon ...... 150 sodium bicarbonate ...... 137 silver sulfadiazine ...... 99 senexon-s...... 151 sodium chloride . 82, 109, 191 SIMETHICONE (BULK) .... 82, senna ...... 150 144 sodium chloride 0.45 % ... 123

SENNA ...... 150 SIMILAC STERILIZED sodium chloride 0.9 % .... 109, 123 senna-extra ...... 150 WATER ...... 83 sodium chloride 0.9 % (flush) sennosides-docusate sodium simliya (28) ...... 85 ...... 123 ...... 151 simpesse ...... 85 sodium chloride 3 % ...... 123 SENOKOT...... 150 simply sleep ...... 79, 198, 200 sodium chloride 5 % ...... 123 SENOKOT EXTRA simvastatin ...... 63 STRENGTH ...... 150 sodium citrate-citric acid .. 153 SINGLE-LET ...... 166, 181 senokot-s ...... 151 sodium polystyrene (sorb free) ...... 109

246 sodium polystyrene sulfonate ssd ...... 99 sulfacetamide sodium (acne) ...... 109 ...... 93 sski ...... 112 sofosbuvir-velpatasvir ...... 39 sulfacetamide-prednisolone st joseph aspirin ...... 31, 158 ...... 189 SOF-SERTER INSERTION DEVICE ...... 166, 181 st. joseph aspirin ...... 32, 158 sulfamethoxazole- trimethoprim ...... 34 SOFT TOUCH LANCETS STEGLATRO ...... 128 ...... 166, 181 STEGLUJAN ...... 128 sulfasalazine ...... 29, 145 solifenacin ...... 154 STERILANCE TL .... 166, 182 sulfatrim ...... 34

SOLU-CORTEF ACT-O-VIAL sterile eye wash ...... 192 sulindac ...... 29 (PF) ...... 132 STERILE LUBRICANT .... 188 sumatriptan ...... 78 SOLUS V2 LANCETS .... 166, 182 STIOLTO RESPIMAT...... 207 sumatriptan succinate ...... 78

SOLUS V2 LANCING STIVARGA ...... 47 sunitinib ...... 48 DEVICE ...... 166, 182 stomach relief ...... 140 super b complex-vitamin c sominex ...... 79, 198, 201 ...... 107 stool softener ...... 152 soothing care super calcium ...... 110 stool softener-laxative ..... 151 (hydrocortisone) ...... 101 super daily d3 ...... 126 stool softener-stimulant laxat sore throat ...... 185 ...... 151 SUPER DAILY D3 ...... 126 sore throat (phenol) ...... 185 stop lice ...... 106 SUPER THIN LANCETS 166, sorine ...... 62, 64 182 stop smoking aid ...... 80 sotalol ...... 62, 64 superplex-t ...... 107 STRIVERDI RESPIMAT .. 206 sotalol af ...... 62, 64 suphedrin ...... 214 strong iodine ...... 112 spironolactone ...... 61, 67 suphedrine 12 hour ...... 214 sucralfate ...... 152 spironolacton- suphedrine pe cold and SUDAFED ...... 214 hydrochlorothiaz ...... 67 allergy ...... 196 sudafed 12 hour ...... 213 sprintec (28) ...... 89 SURE COMFORT INS. SYR. U-100 ...... 169, 182 SUDAFED 24 HOUR...... 213 SPRITAM ...... 71 SURE COMFORT LANCETS sudogest ...... 214 SPRYCEL ...... 48 ...... 166, 182 sudogest 12-hour ...... 214 sps (with sorbitol) ...... 109 SURE COMFORT LANCING sulfacetamide sodium 98, 193 PEN ...... 166, 182 sronyx ...... 89

247 SUREFLEX DEVICE WITH TAGRISSO ...... 42 tencon ...... 28 LANCETS ...... 166, 182 take action ...... 92, 93 teniposide ...... 46 SUREFLEX LANCING DEVICE ...... 166, 182 TALTZ AUTOINJECTOR .. 94 TENIVAC (PF) ...... 55, 56

SURE-LANCE ...... 166, 182 TALTZ SYRINGE ...... 94 terazosin ...... 68

SURE-LANCE ULTRA THIN TALTZ SYRINGE (2 PACK) terbinafine hcl ...... 35, 96 ...... 94 ...... 166, 182 terconazole ...... 215 SURE-PEN LANCING TALTZ SYRINGE (3 PACK) ...... 94 TETANUS,DIPHTHERIA DEVICE ...... 166, 182 TOX PED(PF) ...... 56 tamoxifen ...... 49 SURE-TOUCH LANCET 166, tetracycline ...... 41 182 tamsulosin ...... 153 the magic bullet ...... 150 surgilube ...... 103 TANZEUM ...... 130 theochron ...... 205 SURGUARD2 SAFETY .. 170, TARCEVA ...... 42 182 theophylline ...... 205, 206 targeted acne spot treatment SUTENT ...... 49 ...... 94 thera-d ...... 126 syeda ...... 89 tarina 24 fe ...... 89 THERA-D 4000 ...... 126

SYLATRON ...... 46 tarina fe 1/20 (28) ...... 89 THERATEARS ...... 188

SYMJEPI ...... 66 TASIGNA ...... 49 thiamine hcl (vitamin b1) . 123

SYMLINPEN 120 ...... 129 taysofy ...... 89 THIN LANCETS ...... 167, 182

SYMLINPEN 60 ...... 129 taztia xt ...... 65 thiotepa ...... 42

SYSTANE GEL ...... 188 TDVAX ...... 55 tiadylt er ...... 65

SYSTANE ULTRA ...... 187 tears again (pva) ...... 188 tiagabine ...... 70

T TECHLITE LANCETS .... 166, TICE BCG ...... 47, 54 tab tussin ...... 209 182 tiger balm ...... 104

TABLOID ...... 44 TELCARE LANCETS ..... 167, TIGER BALM ...... 104 182 tacrolimus ...... 159 TIGER BALM (WITH telmisartan ...... 61 CAPSICUM)...... 104 tactinal ...... 27 temazepam ...... 76, 80 tilia fe ...... 91 tactinal extra strength ...... 27 TEMODAR ...... 43 timolol maleate ...... 64, 191 TAFINLAR ...... 45 temozolomide ...... 43 TINACTIN ...... 97

248 tioconazole-1 ...... 215 TRAVASOL 10 % ...... 119 trinessa (28) ...... 91

TIVICAY ...... 36 travel-ease (meclizine) .... 140 trinessa lo ...... 91 tizanidine ...... 160 trazodone ...... 72 TRINTELLIX ...... 73 tl icon ...... 113 TRECATOR ...... 37 tri-nymyo ...... 91

TOBRADEX ...... 189 TRELEGY ELLIPTA ...... 208 triphrocaps ...... 107 tobramycin...... 193 tretinoin ...... 94 triple antibiotic ...... 95 tobramycin-dexamethasone tretinoin (antineoplastic) .... 49 TRIPLE PASTE ...... 103 ...... 189 tretinoin (emollient) ...... 103 triple paste af ...... 97 TOBREX ...... 193 tri femynor ...... 91 tri-previfem (28) ...... 91 TODAY CONTRACEPTIVE SPONGE ...... 93 triamcinolone acetonide . 102, TRISPEC DMX ...... 212 185, 210 tolcylen ...... 97 tri-sprintec (28) ...... 91 triamterene- tolnaftate ...... 97 hydrochlorothiazid ...... 67 TRITON X-100 ...... 83 tolterodine ...... 155 tri-buffered aspirin ...... 32 TRI-VI-SOL ...... 121

TOPCARE UNIVERSAL1 tricon ...... 113 tri-vite with fluoride ...... 122 LANCET ...... 167, 182 triderm ...... 102 trivora (28) ...... 91 topiramate ...... 71 tri-estarylla ...... 91 tri-vylibra ...... 91 toposar ...... 46 trifluridine ...... 193 tri-vylibra lo ...... 91 topotecan ...... 49 tri-legest fe ...... 91 TROPHAMINE 10 % ...... 119 torsemide ...... 67 tri-linyah ...... 91 TROPHAMINE 6% ...... 120 total allergy medicine ..... 198, tropicamide ...... 189 201 tri-lo-estarylla ...... 91 trospium ...... 155 TOVIAZ ...... 155 tri-lo-marzia ...... 91 tri-lo-mili ...... 91 TRUE COMFORT LANCET TPN ELECTROLYTES II . 115 ...... 167, 182 tri-lo-sprintec ...... 91 tramadol ...... 24 TRUEDRAW LANCING tramadol-acetaminophen .. 26 trilyte with flavor packets . 149 DEVICE ...... 167, 182 trandolapril ...... 61 trimethoprim ...... 34 trueplus glucose ...... 128

TRANSDERM-SCOP ...... 140 tri-mili...... 91 TRUEPLUS KETONE ..... 182 trimipramine ...... 73

249 TRUEPLUS LANCETS .. 167, ULTILET LANCETS 167, 183 UNILET SUPER THIN 182 LANCETS ...... 168, 183 ULTILET SAFETY LANCETS TRULICITY...... 130 ...... 167, 183 unisom (diphenhydramine) ...... 79, 201 TRUMENBA ...... 57 ULTRA FINE LANCETS . 167, 183 UNISOM (DOXYLAMINE) . 79 TRUZONE PEAK FLOW METER ...... 170, 182 ultra sleep (doxylamine succ) unisom sleepgels...... 79, 201 ...... 79 TUDORZA PRESSAIR .... 206 UNISTIK 2 DEVICE ...... 168 ultra strength antacid ...... 138 tulana ...... 90 UNISTIK 2 EXTRA .. 168, 183 ULTRA THIN II LANCETS TUMS ...... 138 ...... 167, 183 UNISTIK 2 NORMAL LANCET,DEVICE ...... 168 TUMS EXTRA STRENGTH ULTRA THIN LANCETS . 167, SMOOTHIES ...... 138 183 UNISTIK 3 ...... 168, 183 tums ultra ...... 138 ULTRA THIN PLUS UNISTIK 3 COMFORT DEVICE ...... 168, 183 tussin chest congestion ... 209 LANCETS ...... 167, 183 UNISTIK 3 COMFORT tussin cough (dm only) .... 204 ULTRA TLC LANCETS .. 167, 183 LANCET ...... 168, 183 tussin cough-chest UNISTIK 3 EXTRA LANCET congestion ...... 212 ULTRA-CARE LANCETS ...... 167, 183 ...... 168, 183 tussin dm ...... 212 ultracin m ...... 105 UNISTIK 3 GENTLE 168, 183 tussin dm max ...... 212 ULTRALANCE LANCETS UNISTIK 3 LANCETS ..... 168, TWINRIX (PF) ...... 51 ...... 167, 183 183

TWIST LANCETS ... 167, 182 ULTRA-THIN II LANCETS UNISTIK 3 NEONATAL ...... 167, 183 DEVICE ...... 168, 183 tyblume ...... 89 UNILET COMFORTOUCH UNISTIK 3 NORMAL TYKERB ...... 42 LANCET ...... 167, 183 LANCET ...... 168, 184 tylophen ...... 27 UNILET EXCELITE II UNISTIK CZT LANCET .. 168, 184 U LANCET ...... 167, 183 UNISTIK NORMAL ULTI-LANCE ... 167, 182, 183 UNILET EXCELITE LANCET ...... 167, 183 LANCETS ...... 168, 184 ULTILET BASIC LANCETS UNISTIK PRO LANCET . 168, ...... 167, 183 UNILET GP LANCET ..... 167, 183 184 ULTILET CLASSIC UNISTIK SAFETY ... 168, 184 LANCETS ...... 167, 183 UNILET LANCET .... 167, 183

250 UNISTIK TOUCH LANCETS VARIVAX (PF) ...... 54, 60 vitamin b-1 (mononitrate) 123 ...... 168, 184 vcf contraceptive gel ...... 93 vitamin b-6 ...... 124 UNITHROID ...... 136 VELCADE ...... 48 vitamin d3 ...... 127 UNIVERSAL 1 LANCETS ...... 168, 184 velivet triphasic regimen (28) VITAMIN D3 ...... 126 ...... 91 URO-MAG ...... 114 vitamin e ...... 127 venlafaxine ...... 72 UROQID-ACID NO.2 . 40, 154 vitamin e (dl, acetate) ...... 127 verapamil ...... 63, 65 ursodiol ...... 142 vitamin e mixed ...... 127 verticalm ...... 141 UTIBRON NEOHALER ... 207 vitamins b complex ...... 107 VERZENIO ...... 46 vits a and d-white pet-lanolin V vestura (28) ...... 89 ...... 99 VAGINAL CONTRACEPTIVE FILM ...... 93 vicks dayquil cough ...... 204 VIVAGUARD LANCET ... 168, 184 vaginal contraceptive foam 93 VICKS DAYQUIL MUCUS CONTROL DM ...... 212 VIVAGUARD LANCING valacyclovir...... 39 DEVICE ...... 168, 184 VICTOZA ...... 130 valproic acid ...... 69, 77 vol-care rx ...... 107 vienva ...... 89 valproic acid (as sodium salt) volnea (28) ...... 85 ...... 69, 77 vinblastine ...... 49 VORTEX ADULT MASK . 172, valsartan ...... 61 vincasar pfs ...... 49 184 valsartan-hydrochlorothiazide vinorelbine ...... 49 VORTEX FROG MASK- ...... 61 viorele (28) ...... 85 CHILD ...... 172, 184

VALTOCO ...... 69, 76 virt-caps ...... 107 VORTEX HOLDING CHAMBER ...... 172, 184 valu-tapp decongestant ... 214 virt-phos 250 neutral 115, 153 VORTEX LADYBUG MASK- vancomycin ...... 38 vista gel ...... 188 TODDLER ...... 172, 184 vancomycin in 0.9 % sodium vit a palmitate-vit c-vit d3 . 121 VORTEX VHC LADYBUG chl ...... 38 MASK-TODDLR ... 172, 184 vitamin a and d ...... 99 vanicream hc ...... 102 VOTRIENT ...... 49 vitamin a and d diaper rash vanquish ...... 31 ...... 103 vp-vite rx ...... 107

VAQTA (PF) ...... 52 vitamin b complex ...... 107 vyfemla (28) ...... 89 varenicline ...... 81 vitamin b-1 ...... 123 vylibra ...... 89

251 W wal-zyr (ketotifen) ...... 190 zafemy ...... 91 wal-act d cold and allergy 196 warfarin ...... 155 zaleplon ...... 80 wal-dram 2 ...... 141 wart remover ...... 102 ZANOSAR ...... 50 wal-dryl allergy ...... 198, 201 WATER (BULK) ...... 82 ZANTAC ...... 143 wal-fex allergy ...... 202, 203 weekly-d ...... 127 ZANTAC MAXIMUM STRENGTH ...... 143 wal-finate ...... 196, 201 wera (28) ...... 89 zantac-360 (famotidine) ... 143 wal-itin ...... 202, 204 westhroid ...... 135 zarah ...... 89 wal-itin d 12 hour ...... 196 west-vite with folic acid .... 107 ZARXIO ...... 156 wal-mucil fiber ...... 147 wixela inhub ...... 208 zeasorb af ...... 97 WAL-MUCIL FIBER wp thyroid ...... 135 (ASPARTAME) ...... 147 ZEJULA ...... 48 wymzya fe ...... 89 wal-mucil with calcium ..... 147 zenchent (28) ...... 89 X wal-phed ...... 214 zenchent fe ...... 89 XALKORI ...... 43 wal-phed d...... 214 ZENPEP ...... 142 XARELTO ...... 156 wal-profen ...... 30 zenzedi ...... 75, 77, 79 XARELTO DVT-PE TREAT wal-sleep z ...... 79, 201 30D START ...... 156 zephrex-d ...... 214 wal-som (diphenhydramine) XATMEP ...... 28, 44 zidovudine ...... 36 ...... 79 XERAC AC ...... 98 zinc oxide ...... 103 wal-som (doxylamine) ...... 79 XOFLUZA ...... 39 zolpidem ...... 80 wal-sporin ...... 95 XOLAIR ...... 205 zonisamide ...... 71 wal-tap ...... 196 XTANDI ...... 44 ZOSTAVAX (PF) ...... 54, 60 wal-tussin ...... 209 xulane...... 91 zostrix ...... 105 wal-tussin cough and cold cf ...... 211 Y zostrix-hp ...... 105 wal-tussin dm clear ...... 213 YF-VAX (PF) ...... 54 zovia 1/35e (28)...... 89 wal-zan 150 ...... 143 yuvafem ...... 215 zovia 1/50e (28)...... 89 wal-zan 75 ...... 143 Z z-sleep ...... 79, 201 wal-zyr (cetirizine) ... 202, 203 ZADITOR ...... 190 zumandimine (28) ...... 89

252 ZYDELIG ...... 47 zyncof ...... 213

ZYKADIA ...... 44 ZYTIGA ...... 42, 44

253