September 2021 California Advantage Large Group 3-Tier PPO Prescription Drug List – CDI Version

Pharmacy | PDL | California

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

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 All previous versions of this PDL are no longer in effect.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

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

Updated 7/13/2021

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

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

What are tiers? ...... 5

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

Utilization Management Programs ...... 6

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

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

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

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

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

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

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

Prescription Drug List ...... 12

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

3 We will provide coverage for a Prescription Drug Product which includes a medication that, due to its characteristics, is appropriate for self-administration or administration by a non-skilled caregiver. This definition includes: Inhalers (with spacers); Insulin; the following diabetic supplies: standard insulin syringes with needles; blood-testing strips - glucose; urine-testing strips - glucose; ketone-testing strips and tablets; lancets and lancet devices; and glucose meters (including continuous glucose monitors); disposable devices which are medically necessary for the administration of a covered outpatient Prescription Drug Product. Benefits also include FDA-approved contraceptive drugs, devices and products available over-the-counter when prescribed by a Network provider. Prior Authorization means a process by your health insurer to determine that a health care benefit is medically necessary for you. If a Prescription Drug Product is subject to prior authorization in this PDL, your prescribing provider must request approval from your health insurer to cover the drug. Your health insurer must grant a prior authorization request when it is medically necessary for you to take the drug. Step therapy means a specific sequence in which Prescription Drug Products for a particular medical condition must be tried. If a drug is subject to step therapy in this PDL, you may have to try 1 or more other drugs before your health insurance policy will cover that drug for your medical condition. If your prescribing provider submits a request for an exception to the step therapy requirement, your health insurer must grant the request when it is medically necessary for you to take the drug.

How do I use my PDL? When choosing a medication, you and your doctor should consult the PDL. It will help you and your doctor choose the most cost-effective prescription drugs. This guide tells you if special programs apply. Bring this list with you when you see your doctor. It is organized by therapeutic category and class. The therapeutic category and class are based on the American Hospital Formulary Service (AHFS) Pharmacologic-Therapeutic Classification. You may also find a drug by its brand or generic name in the alphabetical index. If a generic equivalent for a brand-name drug is not available on the market or is not covered, the drug will not be separately listed by its generic name. This is the way Prescription Drug Products appear in the PDL: 1. A drug is listed alphabetically by its brand and generic names in the therapeutic category and class to which it belongs; 2. The generic name for a brand-name drug is included after the brand-name in parentheses and all lowercase italicized letters; 3. If a generic equivalent for a brand-name drug is both available and covered, the generic drug will be listed separately from the brand-name drug in all lowercase italicized letters; and 4. If a generic drug is marketed under a proprietary, trademark-protected brand-name, the brand-name will be listed after the generic name in parentheses and regular typeface with the first letter of each word capitalized. Example:

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

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

Drug Tier 1 Your lowest cost medications H May be part of health care reform preventive Drug Tier 2 Your mid-range cost medications H-N May be part of health care reform preventive when used for appropriate Drug Tier 3 Your highest cost medications preventive purposes PA Prior authorization required SP Specialty medication SL Supply Limit CM Orally administered anti-cancer medication ST Step Therapy

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

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

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

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

Please note: If you have a high deductible plan, the tier cost levels may apply once you reach your deductible. Refer to your enrollment and plan materials on myuhc.com, or call the toll-free number on your health plan ID card for more information about your benefit plan.

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

5 Utilization Management Programs

Prior authorization required—Your doctor is required to provide additional information to us to determine coverage. For specific prior authorization requirements, please refer to your Evidence of Coverage.

Supply limit—Amount of medication covered per copayment or in a specific time period.

Step therapy—Requires you to try 1 or more other medications before the medication you are requesting may be covered. For specific step therapy requirements, please refer to your Evidence of Coverage.

Health Care Reform Preventive when used for appropriate preventive purposes—This medication is part of a health care reform preventive benefit and may be available at no cost to you when used for appropriate preventive purposes. For more information, please refer to the California Advantage and Essential HMO and PPO Prescription Drug List (PDL) PPACA $0 Cost-Share Preventive Care Medications list.

Designated specialty program—For certain Specialty Prescription Drug Products, we may direct you to a Designated Pharmacy with whom we have an arrangement to provide those Prescription Drug Products, which are identified in the Coverage Requirements and Limits column of the Prescription Drug List (PDL). If you choose not to obtain your Prescription Drug Product from the Designated Pharmacy, you may opt-out of the Designated Pharmacy program by contacting us at myuhc.com or the telephone number on your ID card.

To learn more about a pharmacy program or to find out if it applies to you, please visit myuhc.com or call the toll-free member phone number on your health plan ID card. If you are a pre-enrollee and you would like to learn more about your specific pharmacy benefit, please contact your employer. Drugs administered by a health care professional are generally covered under the medical benefit while drugs that are self- administered are covered under the pharmacy benefit. In order to obtain medical benefits for drugs that are administered by a health care professional, your provider may also be required to obtain a prior authorization. The provider may contact UnitedHealthcare for more information or uhcprovider.com.

Your Right to Request Access to a Non-formulary Drug This plan must cover all Medically Necessary Prescription Drug Products. When a Prescription Drug Product is not on our PDL, you or your representative may request an exception to gain access to that Prescription Drug Product. To make a request, contact us in writing or call the toll-free number on your ID card. We will notify you of our determination within 72 hours. If approved, we will cover the Prescription Drug Product for the duration of the prescription, including refills.

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

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

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

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

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

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

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

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

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

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

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

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

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

8 Nondiscrimination notice and access to communication services UnitedHealthcare Services, Inc. on behalf of itself and its affiliates does not discriminate on the basis of race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability. If you think you were treated unfairly for any of these reasons, you can send a complaint to: Online: [email protected] Mail: Civil Rights Coordinator UnitedHealthcare Civil Rights Grievance P.O. Box 30608 Salt Lake City, UT 84130 You must send the complaint within 60 days of when you found out about it. A decision will be sent to you within 30 days. If you disagree with the decision, you have 15 days to ask us to look at it again. If you need help with your complaint, please call the toll- free phone number listed on your ID card. If you think you were treated unfairly because of your race, color, national origin, ancestry, religion, sex, marital status, gender, gender identity, sexual orientation, age, or disability, you can also send a complaint to the California Department of Insurance: California Department of Insurance Consumer Communications Bureau 300 South Spring Street, South Tower Los Angeles, CA 90013 1-800-927-HELP (1-800-927-4357) 1-800-482-4833 (TTY) Internet Website: www.insurance.ca.gov If you think you were treated unfairly because of your sex, age, race, color, national origin, or disability, you can also file a complaint with the U.S. Dept. of Health and Human Services: Online: https://ocrportal.hhs.gov/ocr/portal/lobby.jsf Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html. Phone: Toll-free 1-800-368-1019, 1-800-537-7697 (TDD) Mail: U.S. Dept. of Health and Human Services 200 Independence Avenue SW Room 509F, HHH Building Washington, D.C. 20201

9 English IMPORTANT: You can get an interpreter at no cost to talk to your doctor or health insurance company. To get an interpreter or to ask about written information in your language, first call your insurance company’s phone number at 1-800-842-2656. Someone who speaks your language can help you. If you need more help, call the Department of Insurance Hotline at 1-800-927-4357.

Español IMPORTANTE: Puede obtener la ayuda de un intérprete sin costo alguno para hablar con su médico o con su compañía de seguros. Para obtener la ayuda de un intérprete o preguntar sobre información escrita en español, primero llame al número de teléfono de su compañía de seguros al 1-800-842-2656. Alguien que habla español puede ayudarle. Si necesita ayuda adicional, llame a la línea directa del Departamento de seguros al 1-800-927-4357. (Spanish)

中文

重要事項﹕您與您的醫生或醫療保險公司交談時，可獲得免費口譯服務。如欲請翻譯員提供口譯，或欲查詢中文書面資料，請先致電您的保險公司，電話號碼1-800-842-2656

說中文人士將為您提供協助。如需更多協助，請致電保險部熱線 1-800-927-4357 (Chinese)

10 11 Table of Contents of Prescription Drug List Informational Section...... 1 ANTIHISTAMINE DRUGS - Drugs for Allergy...... 12 ANTI-INFECTIVE AGENTS - Drugs for Infections...... 14 ANTINEOPLASTIC AGENTS - Drugs for Cancer ...... 31 ANTITOXINS,IMMUNE GLOB,TOXOIDS,VACCINES - DRUGS FOR THE IMMUNE SYSTEM...... 39 AUTONOMIC DRUGS - Drugs for the Nervous System ...... 41 BLOOD FORMATION, COAGULATION, THROMBOSIS - Drugs for the Blood ...... 50 CARDIOVASCULAR DRUGS - Drugs for the Heart...... 58 CENTRAL NERVOUS SYSTEM AGENTS - Drugs for the Nervous System ...... 75 DENTAL AGENTS - Oral Care ...... 107 DEVICES - Medical Supplies and Durable Medical Equipment...... 107 DIAGNOSTIC AGENTS...... 110 DISINFECTANTS (FOR NON-DERMATOLOGIC USE) - Disinfectants ...... 111 ELECTROLYTIC, CALORIC, AND WATER BALANCE ...... 111 ENZYMES...... 117 EYE, EAR, NOSE AND THROAT (EENT) PREPS...... 118 GASTROINTESTINAL DRUGS ...... 126 GASTROINTESTINAL DRUGS - Drugs for the Stomach ...... 126 GOLD COMPOUNDS...... 133 HEAVY METAL ANTAGONISTS - Drugs to Reduce Iron ...... 133 HORMONES AND SYNTHETIC SUBSTITUTES - Hormones ...... 133 LOCAL ANESTHETICS (PARENTERAL) - Drugs for Numbing ...... 163 MISCELLANEOUS THERAPEUTIC AGENTS ...... 163 NONHORMONAL CONTRACEPTIVES - Drugs for Women ...... 180 OXYTOCICS - Drugs for Women...... 180 PHARMACEUTICAL AIDS...... 181 RESPIRATORY TRACT AGENTS - Drugs for the Lungs ...... 181 SKIN AND MUCOUS MEMBRANE AGENTS - Drugs for the Skin ...... 187 SMOOTH MUSCLE RELAXANTS - Drugs to Relax Muscles ...... 204 VITAMINS...... 205

TOC-1 Coverage Requirements & Prescription Drug Name Drug Tier Limits ANTIHISTAMINE DRUGS - Drugs for Allergy ANTIHISTAMINE DRUGS - Drugs for Allergy promethazine hcl oral tablet 25 mg 1 ETHANOLAMINE DERIVATIVES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphenhydramine hcl oral elixir 12.5 mg/5ml 1 FIRST-MOUTHWASH BLM MOUTH/THROAT SUSPENSION 3 PA (dph-lido-alhydr-mghydr-simeth) FIRST GEN. ANTIHIST. DERIVATIVES, MISC. - Drugs for Allergy cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 FIRST GENERATION ANTIHISTAMINES - Drugs for Allergy carbinoxamine maleate oral solution 4 mg/5ml 1 carbinoxamine maleate oral tablet 4 mg 1 clemastine fumarate oral tablet 2.68 mg 1 cyproheptadine hcl oral syrup 2 mg/5ml 1 cyproheptadine hcl oral tablet 4 mg 1 DICOPANOL FUSEPAQ ORAL SUSPENSION 3 PA RECONSTITUTED 5 MG/ML (diphenhydramine hcl) diphenhydramine hcl oral elixir 12.5 mg/5ml 1 hydroxyzine hcl oral syrup 10 mg/5ml 1 hydroxyzine hcl oral tablet 10 mg, 25 mg, 50 mg 1 hydroxyzine pamoate oral capsule 100 mg, 25 mg, 50 mg 1 promethazine hcl oral syrup 6.25 mg/5ml 1 promethazine hcl oral tablet 12.5 mg, 50 mg 1 promethazine hcl rectal suppository 12.5 mg, 25 mg 1 promethegan rectal suppository 12.5 mg, 25 mg, 50 mg 1 VISTARIL ORAL CAPSULE 25 MG, 50 MG (hydroxyzine 3 pamoate) OTHER ANTIHISTAMINES - Drugs for Allergy cimetidine hcl oral solution 300 mg/5ml, 400 mg/6.67ml 1

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 86 Coverage Requirements & Prescription Drug Name Drug Tier Limits ATYPICAL ANTIPSYCHOTICS - Drugs for Depression & Psychosis aripiprazole oral solution 1 mg/ml 3 aripiprazole oral tablet 10 mg, 15 mg, 20 mg, 30 mg 2 SL (1 tablet per day) aripiprazole oral tablet 2 mg 2 SL (2 tablets per day.) aripiprazole oral tablet 5 mg 2 SL (1.5 tablets per day.) aripiprazole oral tablet dispersible 10 mg, 15 mg 2 SL (1 tablet per day.) clozapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg 1 clozapine oral tablet dispersible 100 mg, 12.5 mg, 150 mg, 200 1 mg, 25 mg FANAPT ORAL TABLET 1 MG ( iloperidone) 3 SL (86 tablets per year.) FANAPT ORAL TABLET 10 MG, 12 MG, 4 MG, 6 MG, 8 MG 3 SL (2 tablets per day) (iloperidone) FANAPT ORAL TABLET 2 MG ( iloperidone) 3 SL (56 tablets per year.) FANAPT TITRATION PACK ORAL TABLET 1 & 2 & 4 & 6 MG SL (8 tablets (1 pack) per 3 (iloperidone) 365 days.) LATUDA ORAL TABLET 120 MG, 20 MG, 60 MG (lurasidone 3 SL (1 tablet per day.) hcl) LATUDA ORAL TABLET 40 MG (lurasidone hcl) 3 SL (1 tablet per day) LATUDA ORAL TABLET 80 MG (lurasidone hcl) 3 SL (2 tablets per day.) NUPLAZID ORAL CAPSULE 34 MG (pimavanserin tartrate) 3 PA NUPLAZID ORAL TABLET 10 MG (pimavanserin tartrate) 3 PA olanzapine oral tablet 10 mg, 15 mg, 20 mg, 7.5 mg 1 SL (1 tablet per day) olanzapine oral tablet 2.5 mg 1 SL (2 tablets per day.) olanzapine oral tablet 5 mg 1 SL (3 tablets per day) olanzapine oral tablet dispersible 10 mg, 15 mg, 20 mg 2 SL (1 tablet per day) olanzapine oral tablet dispersible 5 mg 2 SL (3 tablets per day) olanzapine-fluoxetine hcl oral capsule 12-25 mg, 12-50 mg, 3- 2 SL (1 capsule per day) 25 mg, 6-25 mg, 6-50 mg paliperidone er oral tablet extended release 24 hour 1.5 mg, 3 3 SL (1 tablet per day) mg, 9 mg paliperidone er oral tablet extended release 24 hour 6 mg 3 SL (2 tablets per day) quetiapine fumarate er oral tablet extended release 24 hour 150 3 SL (31 tablets per 31 days.) mg quetiapine fumarate er oral tablet extended release 24 hour 200 3 SL (1 tablet per day.) mg quetiapine fumarate er oral tablet extended release 24 hour 300 3 SL (62 tablets per 31 days.) mg, 400 mg Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 87 Coverage Requirements & Prescription Drug Name Drug Tier Limits SL (13 tablets per year for quetiapine fumarate er oral tablet extended release 24 hour 50 3 initial fill 3 tablets per day for mg maintenance fill.) quetiapine fumarate oral tablet 100 mg, 200 mg, 25 mg, 300 1 mg, 400 mg, 50 mg REXULTI ORAL TABLET 0.25 MG, 0.5 MG, 1 MG, 2 MG, 3 3 PA; ST; SL (1 tablet per day.) MG, 4 MG (brexpiprazole) risperidone oral solution 1 mg/ml 1 risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg 1 risperidone oral tablet dispersible 0.25 mg, 0.5 mg, 1 mg, 2 mg, 1 3 mg, 4 mg SAPHRIS SUBLINGUAL TABLET SUBLINGUAL 10 MG, 5 MG 3 SL (2 tablets per day) (asenapine maleate) SAPHRIS SUBLINGUAL TABLET SUBLINGUAL 2.5 MG 3 SL (2 tablets per day.) (asenapine maleate) SYMBYAX ORAL CAPSULE 3-25 MG, 6-25 MG (olanzapine- 3 SL (1 capsule per day) fluoxetine hcl) VRAYLAR ORAL CAPSULE 1.5 MG, 3 MG, 4.5 MG, 6 MG 3 ST; SL (1 capsule per day.) (cariprazine hcl) VRAYLAR ORAL CAPSULE THERAPY PACK 1.5 & 3 MG 3 ST; SL (7 capsules per year.) (cariprazine hcl) SL (62 capsules per 31 ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg 2 days.) BARBITURATES (ANTICONVULSANTS) - Drugs for Seizures MYSOLINE ORAL TABLET 250 MG, 50 MG (primidone) 2 PA; ST phenobarbital oral elixir 20 mg/5ml 1 phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 1 mg, 60 mg, 64.8 mg, 97.2 mg primidone oral tablet 250 mg, 50 mg 1 BARBITURATES (ANXIOLYTIC, SEDATIVE/HYP) - Drugs for Anxiety & Sleep Disorder ascomp-codeine oral capsule 50-325-40-30 mg 1 bac oral tablet 50-325-40 mg 1 SL (6 tablets per day) BUPAP ORAL TABLET 50-300 MG (butalbital-acetaminophen) 3 butalbital-acetaminophen oral tablet 50-300 mg 3 butalbital-acetaminophen oral tablet 50-325 mg 1 butalbital-apap-caff-cod oral capsule 50-325-40-30 mg 1 SL (6 capsules per day.) butalbital-apap-caffeine oral capsule 50-300-40 mg 3 SL (6 capsules per day.) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 88 Coverage Requirements & Prescription Drug Name Drug Tier Limits butalbital-apap-caffeine oral capsule 50-325-40 mg 1 SL (6 capsules per day) butalbital-apap-caffeine oral tablet 50-325-40 mg 1 SL (6 tablets per day) butalbital-asa-caff-codeine oral capsule 50-325-40-30 mg 1 butalbital-aspirin-caffeine oral capsule 50-325-40 mg 1 FIORICET ORAL CAPSULE 50-300-40 MG (butalbital-apap- 3 SL (6 capsules per day.) caffeine) phenobarbital oral elixir 20 mg/5ml 1 phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 1 mg, 60 mg, 64.8 mg, 97.2 mg TENCON ORAL TABLET 50-325 MG ( butalbital- 3 acetaminophen) BENZODIAZEPINES (ANTICONVULSANTS) - Drugs for Seizures clobazam oral suspension 2.5 mg/ml 3 PA clobazam oral tablet 10 mg, 20 mg 2 PA clonazepam oral tablet 0.5 mg, 1 mg, 2 mg 1 clonazepam oral tablet dispersible 0.125 mg, 0.25 mg, 0.5 mg, 1 1 mg, 2 mg clorazepate dipotassium oral tablet 15 mg, 3.75 mg, 7.5 mg 1 SL (1 box (2 doses/box) per DIASTAT ACUDIAL RECTAL GEL 10 MG, 20 MG (diazepam) 3 prescription) SL (1 box (2 doses/box) per DIASTAT PEDIATRIC RECTAL GEL 2.5 MG (diazepam) 2 prescription) diazepam intensol oral concentrate 5 mg/ml 1 diazepam oral concentrate 5 mg/ml 1 diazepam oral solution 5 mg/5ml 1 diazepam oral tablet 10 mg, 2 mg, 5 mg 1 lorazepam intensol oral concentrate 2 mg/ml 1 lorazepam oral concentrate 2 mg/ml 1 lorazepam oral tablet 0.5 mg, 1 mg, 2 mg 1 NAYZILAM NASAL SOLUTION 5 MG/0.1ML (midazolam PA; SL (1 box per 3 (anticonvulsant)) prescription.) ONFI ORAL SUSPENSION 2.5 MG/ML (clobazam) 3 PA; ST ONFI ORAL TABLET 10 MG, 20 MG (clobazam) 3 PA; ST TRANXENE-T ORAL TABLET 7.5 MG ( clorazepate 3 dipotassium)

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 169 Coverage Requirements & Prescription Drug Name Drug Tier Limits ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (0.15mg/ml per 3 INJECTOR 50 MG/ML (etanercept) day.); SP gengraf oral capsule 100 mg, 25 mg 1 gengraf oral solution 100 mg/ml 1 HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) year.); SP HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (2 kits per year.); SP (adalimumab) HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month.); 2 MG/0.4ML, 80 MG/0.8ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month.); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year.); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (3 pens per year.); 2 INJECTOR KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN-PEDIATRIC UC START SUBCUTANEOUS PA; SL (3 pens per year.); 2 PEN-INJECTOR KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year.); SP HUMIRA PEN-PSOR/UVEIT STARTER SUBCUTANEOUS PA; SL (3 pens per year.); PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per 2 MG/0.1ML, 20 MG/0.2ML, 40 MG/0.4ML (adalimumab) month.); SP HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month.) hydroxychloroquine sulfate oral tablet 200 mg 1 KEVZARA SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; ST; SL (2.28 ml per 3 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month.); SP KEVZARA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (2.28 ml per 3 SYRINGE 150 MG/1.14ML, 200 MG/1.14ML (sarilumab) month.); SP KINERET SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.67 ml (1 syringe) 3 SYRINGE 100 MG/0.67ML (anakinra) per day.); SP leflunomide oral tablet 10 mg, 20 mg 1 methotrexate oral tablet 2.5 mg 1 methotrexate sodium (pf) injection solution 1 gm/40ml, 250 1 mg/10ml, 50 mg/2ml methotrexate sodium injection solution 250 mg/10ml, 50 mg/2ml 1 Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 170 Coverage Requirements & Prescription Drug Name Drug Tier Limits methotrexate sodium injection solution reconstituted 1 gm 1 methotrexate sodium oral tablet 2.5 mg 1 OLUMIANT ORAL TABLET 1 MG (baricitinib) 2 PA; SL (1 tablet per day.) PA; SL (1 tablet per day.); OLUMIANT ORAL TABLET 2 MG (baricitinib) 2 SP ORENCIA CLICKJECT SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (4 auto-injectors 3 INJECTOR 125 MG/ML (abatacept) per month.); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (4 syringes per 3 SYRINGE 125 MG/ML (abatacept) month); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.06 ml per 3 SYRINGE 50 MG/0.4ML (abatacept) day.); SP ORENCIA SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.1 ml per day.); 3 SYRINGE 87.5 MG/0.7ML (abatacept) SP PA; SL (2 tablets per day.); OTEZLA ORAL TABLET 30 MG (apremilast) 2 SP OTEZLA ORAL TABLET THERAPY PACK 10 & 20 & 30 MG PA; SL (55 tablets (one 2 (apremilast) starter pack) per year.); SP penicillamine oral capsule 250 mg 3 SP penicillamine oral tablet 250 mg 2 SP RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 10 SL (0.8 ml (4 auto-injectors) 2 MG/0.2ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR SL (1 ml (4 auto-injectors) 2 12.5 MG/0.25ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 15 SL (1.2 ml (4 auto-injectors) 2 MG/0.3ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR SL (1.4 ml (4 auto-injectors) 2 17.5 MG/0.35ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 20 SL (1.6 ml (4 auto-injectors) 2 MG/0.4ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR SL (1.8 ml (4 auto-injectors) 2 22.5 MG/0.45ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 25 SL (2 ml (4 auto-injectors) 2 MG/0.5ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 30 SL (2.4 ml (4 auto-injectors) 2 MG/0.6ML (methotrexate (anti-rheumatic)) per month.) RASUVO SUBCUTANEOUS SOLUTION AUTO-INJECTOR 7.5 SL (0.6 ml (4 auto-injectors) 2 MG/0.15ML (methotrexate (anti-rheumatic)) per month.) RIDAURA ORAL CAPSULE 3 MG (auranofin) 3 SP

Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 172 Coverage Requirements & Prescription Drug Name Drug Tier Limits azathioprine oral tablet 50 mg 1 AZULFIDINE EN-TABS ORAL TABLET DELAYED RELEASE 3 500 MG (sulfasalazine) AZULFIDINE ORAL TABLET 500 MG (sulfasalazine) 3 BETASERON SUBCUTANEOUS KIT 0.3 MG (interferon beta- 2 PA; SL (15 vials per month) 1b) CIMZIA PREFILLED KIT SUBCUTANEOUS KIT 2 X 200 PA; SL (1 kit per 21 days.); 2 MG/ML (certolizumab pegol) SP CIMZIA STARTER KIT SUBCUTANEOUS KIT 6 X 200 MG/ML PA; SL (6 mL per 365 days.); 2 (certolizumab pegol) SP cyclosporine modified oral capsule 100 mg, 25 mg, 50 mg 1 cyclosporine modified oral solution 100 mg/ml 1 cyclosporine oral capsule 100 mg, 25 mg 1 PA; SL (56 capsules per dimethyl fumarate oral capsule delayed release 120 mg 2 year.) dimethyl fumarate oral capsule delayed release 240 mg 2 PA; SL (2 capsules per day.) PA; SL (60 capsules (1 dimethyl fumarate starter pack oral 120 & 240 mg 2 starter pack) per 365 days.) ENBREL MINI SUBCUTANEOUS SOLUTION CARTRIDGE 50 PA; ST; SL (0.15mg/ml per 3 MG/ML (etanercept) day.); SP ENBREL SUBCUTANEOUS SOLUTION 25 MG/0.5ML 3 PA; ST; SL (0.15 ml per day.) (etanercept) ENBREL SUBCUTANEOUS SOLUTION PREFILLED PA; ST; SL (0.15mg/ml per 3 SYRINGE 25 MG/0.5ML, 50 MG/ML (etanercept) day.); SP ENBREL SUBCUTANEOUS SOLUTION RECONSTITUTED 25 PA; ST; SL (0.29mg per 3 MG (etanercept) day.); SP ENBREL SURECLICK SUBCUTANEOUS SOLUTION AUTO- PA; ST; SL (0.15mg/ml per 3 INJECTOR 50 MG/ML (etanercept) day.); SP ENSPRYNG SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.04 ml per day.); 3 SYRINGE 120 MG/ML (satralizumab-mwge) SP gengraf oral capsule 100 mg, 25 mg 1 gengraf oral solution 100 mg/ml 1 GILENYA ORAL CAPSULE 0.25 MG (fingolimod hcl) 3 PA; SL (1 capsule per day.) GILENYA ORAL CAPSULE 0.5 MG (fingolimod hcl) 3 PA; SL (1 capsule per day) glatiramer acetate subcutaneous solution prefilled syringe 20 2 PA; SL (30 ml per month.) mg/ml glatiramer acetate subcutaneous solution prefilled syringe 40 2 PA; SL (12 ml per 21 days.) mg/ml glatopa subcutaneous solution prefilled syringe 20 mg/ml 2 PA; SL (30 ml per month.) Drug Tier 1: Your lowest cost medications; Drug Tier 2: Your mid-range cost medications; Drug Tier 3: Your highest cost medications; PA: Prior authorization required; SL: Supply Limit; ST: Step Therapy; H: May be part of health care reform preventive; H-N: May be part of health care reform preventive when used for appropriate preventive purposes; SP: Specialty medication; CM: Orally administered anticancer medication. 173 Coverage Requirements & Prescription Drug Name Drug Tier Limits glatopa subcutaneous solution prefilled syringe 40 mg/ml 2 PA; SL (12 ml per 21 days.) HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PA; SL (3 syringes per 2 PREFILLED SYRINGE KIT 80 MG/0.8ML (adalimumab) year.); SP HUMIRA PEDIATRIC CROHNS START SUBCUTANEOUS PREFILLED SYRINGE KIT 80 MG/0.8ML & 40MG/0.4ML 2 PA; SL (2 kits per year.); SP (adalimumab) HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 pens per month.); 2 MG/0.4ML, 80 MG/0.8ML (adalimumab) SP HUMIRA PEN SUBCUTANEOUS PEN-INJECTOR KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month.); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (6 pens (1 kit) per 2 INJECTOR KIT 40 MG/0.8ML (adalimumab) year.); SP HUMIRA PEN-CD/UC/HS STARTER SUBCUTANEOUS PEN- PA; SL (3 pens per year.); 2 INJECTOR KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN-PEDIATRIC UC START SUBCUTANEOUS PA; SL (3 pens per year.); 2 PEN-INJECTOR KIT 80 MG/0.8ML (adalimumab) SP HUMIRA PEN-PS/UV/ADOL HS START SUBCUTANEOUS PA; SL (4 pens (1 kit) per 2 PEN-INJECTOR KIT 40 MG/0.8ML (adalimumab) year.); SP HUMIRA PEN-PSOR/UVEIT STARTER SUBCUTANEOUS PA; SL (3 pens per year.); PEN-INJECTOR KIT 80 MG/0.8ML & 40MG/0.4ML 2 SP (adalimumab) HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 10 PA; SL (2 syringes per 2 MG/0.1ML, 20 MG/0.2ML, 40 MG/0.4ML (adalimumab) month.); SP HUMIRA SUBCUTANEOUS PREFILLED SYRINGE KIT 40 PA; SL (2 syringes per 2 MG/0.8ML (adalimumab) month.) hydroxychloroquine sulfate oral tablet 200 mg 1 INTRON A INJECTION SOLUTION 10000000 UNIT/ML, 3 PA; SP 6000000 UNIT/ML (interferon alfa-2b) INTRON A INJECTION SOLUTION RECONSTITUTED 10000000 UNIT, 18000000 UNIT, 50000000 UNIT (interferon 3 PA; SP alfa-2b) KESIMPTA SUBCUTANEOUS SOLUTION AUTO-INJECTOR PA; SL (0.02 ml per day.); 2 20 MG/0.4ML (ofatumumab) SP KINERET SUBCUTANEOUS SOLUTION PREFILLED PA; SL (0.67 ml (1 syringe) 3 SYRINGE 100 MG/0.67ML (anakinra) per day.); SP leflunomide oral tablet 10 mg, 20 mg 1 MAYZENT ORAL TABLET 0.25 MG ( siponimod fumarate) 3 PA; SL (4 tablets per day.) MAYZENT ORAL TABLET 2 MG ( siponimod fumarate) 3 PA; SL (1 tablet per day.) methotrexate oral tablet 2.5 mg 1

211 apraclonidine hcl...... 124 AYGESTIN...... 154 BESIVANCE...... 118 aprepitant...... 131 ayuna...... 139, 145, 154 BETADINE OPHTHALMIC apri...... 138, 145, 154 AZASAN...... 169, 172, 176 PREP...... 124 APRISO...... 127 AZASITE...... 118 betamethasone dipropionate.. 193 APTIOM...... 78 azathioprine...... 169, 173, 176 betamethasone dipropionate APTIVUS...... 25 azelaic acid...... 201 aug...... 193 aranelle...... 138, 145, 154 azelastine hcl...... 118, 185 betamethasone valerate...... 193 ARANESP (ALBUMIN FREE) AZELEX...... 201 BETASERON...... 173 ...... 50, 52 azithromycin...... 27, 28 betaxolol hcl.... 49, 61, 62, 67, 121 ARAVA...... 169, 172, 176 AZOPT...... 121 bethanechol chloride...... 47 aripiprazole...... 82, 87 AZSTARYS...... 102 BETOPTIC-S...... 121 armodafinil...... 107 AZULFIDINE..... 29, 127, 169, 173 BEVESPI AEROSPHERE...42, 48 ARMOUR THYROID...... 163 AZULFIDINE EN-TABS BEXSERO...... 40 ARNUITY ELLIPTA ...... 133, 185 ...... 29, 127, 169, 173 bicalutamide...... 32 ARTISS...... 201 azurette...... 139, 145, 154 BIDIL...... 70, 72 ARZOL SILVER NIT bac...... 76, 88, 102 BIJUVA...... 145, 154 APPLICATORS...... 124 bacitracin...... 118 BIKTARVY...... 22, 23, 24 ascomp-codeine..88, 96, 102, 103 bacitracin-polymyxin b...... 118 BILTRICIDE...... 16 aspirin-dipyridamole er...... 57, 103 bacitra-neomycin-polymyxin-hc bisoprolol fumarate. 49, 61, 62, 67 ASTRAZENECA COVID-19 ...... 118, 122 bisoprolol-hydrochlorothiazide VACCINE...... 40 baclofen...... 46 ...... 61, 115 ASTRINGYN...... 53 BACTRIM...... 17, 29, 30 BLEPH-10...... 118 ATABEX OB...... 56, 205, 207 BACTRIM DS...... 17, 29, 30 BLEPHAMIDE...... 118, 122 atazanavir sulfate...... 25 balsalazide disodium...... 127 BLEPHAMIDE S.O.P...... 119, 122 atenolol...... 49, 61, 62, 67 BALVERSA...... 32 BONIVA...... 165 ATENOLOL+SYRSPEND SF balziva...... 139, 145, 154 BOOSTRIX...... 39, 40 ...... 49, 61, 62, 67 BANZEL ...... 78 bosentan...... 186 atenolol-chlorthalidone...... 61, 116 BAQSIMI ONE PACK..... 151, 164 BOSULIF...... 32 atomoxetine hcl...... 92 BAQSIMI TWO PACK.....151, 164 bp 10-1...... 188, 198 atorvastatin calcium...... 71 BARACLUDE...... 27 bp cleansing wash...... 188, 198 atovaquone...... 17 BELBUCA...... 99 BREO ELLIPTA...... 48, 133, 134 atovaquone-proguanil hcl...... 16 belladonna alkaloids-opium 42, 96 BREZTRI AEROSPHERE atropine sulfate...... 125 BELSOMRA ...... 86 ...... 42, 48, 134 ATROVENT HFA ...... 42, 181 benazepril hcl...... 59, 60 BRILINTA ...... 57 AUBAGIO...... 172 benazepril-hydrochlorothiazide brimonidine tartrate...... 118 aubra...... 138, 145, 154 ...... 60, 115 brinzolamide...... 121 aubra eq...... 138, 145, 154 BENEFIX...... 53 BRIVIACT...... 78 aurovela 1.5/30...... 138, 145, 154 BENLYSTA ...... 176 bromocriptine mesylate...... 93 aurovela 1/20...... 138, 145, 154 BENZALKONIUM CHLORIDE 199 BROVANA...... 48 aurovela 24 fe...... 138, 145, 154 benzalkonium chloride...... 199 budesonide...... 134, 185 aurovela fe 1.5/30... 138, 145, 154 BENZAMYCIN ...... 188, 199 bumetanide...... 71, 112 aurovela fe 1/20...... 139, 145, 154 BENZHYDROCODONE- BUMEX...... 71, 112 AURYXIA...... 112 ACETAMINOPHEN...... 76, 96 BUNAVAIL...... 98, 99 AUTOLET LANCING DEVICE 108 BENZNIDAZOLE ...... 17 BUPAP...... 76, 88 AVAR CLEANSER...... 187, 198 BENZOIN...... 192 buprenorphine hcl...... 99 AVAR-E EMOLLIENT..... 187, 198 benzoin compound...... 192 buprenorphine hcl-naloxone AVAR-E GREEN...... 187, 198 benzonatate...... 182 hcl...... 98, 99 AVAR-E LS...... 187, 198 benzoyl peroxide-erythromycin bupropion hcl...... 82 aviane...... 139, 145, 154 ...... 188, 199 bupropion hcl er (smoking det). 82 avidoxy...... 16, 30 benzphetamine hcl...... 76 bupropion hcl er (sr)...... 82 AVIDOXY DK...... 30, 198, 204 benztropine mesylate...... 44, 78 bupropion hcl er (xl)...... 82 AVONEX PEN...... 172 BERINERT...... 169 buspirone hcl...... 86 AVONEX PREFILLED...... 172 beser...... 193 butalbital-acetaminophen....76, 88

212 butalbital-apap-caff-cod CARDURA XL...... 46, 58 cholestyramine...... 63 ...... 76, 88, 96, 102 carisoprodol...... 45 cholestyramine light...... 63 butalbital-apap-caffeine carisoprodol-aspirin-codeine ciclodan...... 197 ...... 76, 88, 89, 102 ...... 45, 96, 103 ciclopirox...... 198 butalbital-asa-caff-codeine CARNITOR...... 178 ciclopirox olamine...... 198 ...... 89, 96, 102, 103 CARNITOR SF...... 178 cilostazol...... 57, 72 butalbital-aspirin-caffeine CAROSPIR...... 71, 72, 73, 113 CILOXAN...... 119 ...... 89, 102, 103 carteolol hcl...... 121 CIMDUO...... 24 butorphanol tartrate...... 85, 100 cartia xt...... 64, 68, 74 cimetidine...... 13, 131 BYDUREON BCISE carvedilol.....46, 47, 58, 61, 62, 67 cimetidine hcl...... 12, 131 AUTOINJECTOR...... 152 cascara sagrada ...... 128 CIMZIA PREFILLED KIT BYETTA 10 MCG PEN ...... 152 CASODEX...... 32 ...... 130, 169, 173 BYETTA 5 MCG PEN ...... 152 cavarest...... 166 CIMZIA STARTER KIT cabergoline...... 93 CAVERJECT...... 74 ...... 130, 169, 173 CABLIVI...... 51 CAVERJECT IMPULSE...... 74 cinacalcet hcl...... 137 CABOMETYX ...... 32 CAYA...... 180 CIPRO...... 18, 29 CAFERGOT...... 46, 85, 102 CAYSTON...... 26 CIPRO HC...... 119, 122 caffeine citrate...... 85, 102 caziant...... 139, 145, 154 CIPRODEX...... 119, 122 CALAN SR...... 64, 68, 73 cefaclor...... 14 ciprofloxacin hcl...... 18, 29, 119 CALCIFOL...... 113, 207, 209 cefaclor er...... 14 citalopram hydrobromide...... 105 calcipotriene...... 201 cefadroxil...... 14 CITRANATAL BLOOM calcipotriene-betameth diprop cefdinir...... 14 ...... 56, 128, 207, 209 ...... 193, 201 cefixime...... 14 CITRANATAL ESSENCE calcitonin (salmon)...... 137, 165 cefpodoxime proxetil...... 14 ...... 56, 114, 178, 205, 207 CALCITRENE ...... 201 cefprozil...... 14 CITRANATAL MEDLEY calcitriol...... 201, 209 cefuroxime axetil...... 14 ...... 56, 178, 205, 207 calcium acetate...... 112, 114 celecoxib...... 92 claravis...... 202 calcium acetate (phos binder) CELONTIN...... 106 clarithromycin...... 18, 28, 128 ...... 112, 114 CENTANY ...... 188 clarithromycin er...... 18, 28, 128 calcium-folic acid plus d cephalexin...... 14 clemastine fumarate...... 12, 183 ...... 114, 207, 209 CERDELGA...... 178 CLENPIQ...... 128 CALQUENCE...... 32 cerovel...... 198 CLEOCIN...... 26, 188 camila...... 139, 154 CERVIDIL...... 180 CLEOCIN-T...... 188 camrese...... 139, 145, 154 CETRAXAL...... 119 CLIMARA PRO...... 145, 154 camrese lo...... 139, 145, 154 cevimeline hcl...... 47 clindacin etz...... 188 candesartan cilexetil...... 58, 59 CHANTIX...... 45 clindacin-p...... 188 candesartan cilexetil-hctz..59, 115 CHANTIX CONTINUING clindamycin hcl...... 26 capecitabine...... 32 MONTH PAK ...... 45 clindamycin palmitate hcl...... 26 CAPEX...... 193 CHANTIX STARTING MONTH clindamycin phos-benzoyl CAPRELSA...... 32 PAK...... 45 perox...... 188, 199 captopril...... 59, 60 chateal...... 139, 145, 154 clindamycin phosphate...... 188 CARAC...... 201 chateal eq...... 139, 145, 154 CLINDESSE...... 188 CARBAGLU...... 111 CHEMET...... 133, 164 CLINPRO 5000...... 167 carbamazepine...... 79, 82 chlordiazepoxide hcl...... 90 clobazam...... 89, 90 carbamazepine er...... 78, 82 chlordiazepoxide-amitriptyline clobetasol prop emollient base193 CARBATROL...... 79, 82 ...... 90, 106 clobetasol propionate...... 193, 194 carbidopa...... 92 chlordiazepoxide-clidinium..43, 90 clobetasol propionate e...... 193 carbidopa-levodopa...... 92, 93 chlorhexidine gluconate.. 124, 199 clocortolone pivalate...... 194 carbidopa-levodopa er...... 92 chloroquine phosphate...... 16 clomipramine hcl...... 106 carbidopa-levodopa- chlorpromazine hcl...... 101 clonazepam...... 89, 90 entacapone...... 91, 93 chlorthalidone...... 73, 116 clonidine...... 42, 66 carbinoxamine maleate.....12, 183 chlorzoxazone...... 45 clonidine hcl...... 42, 66 CARDURA...... 46, 58 CHOLBAM...... 130 clopidogrel bisulfate...... 57

213 clorazepate dipotassium..... 89, 90 COSOPT...... 121 DELESTROGEN...... 146, 165 clotrimazole...... 191 cosyntropin...... 110 DELSTRIGO...... 23, 24 clotrimazole-betamethasone COVARYX...... 136, 145 delyla...... 139, 146, 155 ...... 191, 194 COVARYX HS...... 136, 145 demeclocycline hcl...... 30 clovique...... 133 CREON...... 117, 129 DEMSER...... 178 clozapine...... 87 CRESEMBA...... 19 DENTA 5000 PLUS...... 167 COAGADEX...... 53 CRINONE...... 154 DENTAGEL...... 167 COAL TAR...... 199 CRIXIVAN...... 25 DEPAKOTE...... 79, 83, 85 COARTEM...... 16 cromolyn sodium.....118, 124, 184 DEPAKOTE ER...... 79, 83, 85 codeine sulfate...... 96, 182 crotan...... 201 DEPAKOTE SPRINKLES colchicine-probenecid..... 116, 165 cryselle-28...... 139, 145, 154 ...... 79, 83, 85 COLESTID...... 63 CUTIVATE...... 194 DEPEN TITRATABS ...... 133, 169 COLESTID FLAVORED...... 63 CUVPOSA...... 43 DEPO-ESTRADIOL...... 146, 165 colestipol hcl...... 63 cyanocobalamin...... 57, 207 DEPO-PROVERA...... 139, 155 colistimethate sodium (cba)...... 28 cyclafem 1/35...... 139, 145, 155 DEPO-SUBQ PROVERA 104 COLY-MYCIN M...... 28 cyclafem 7/7/7...... 139, 145, 155 ...... 139, 155 COMBIGAN...... 118, 121 cyclobenzaprine hcl ...... 45 DEPO-TESTOSTERONE...... 136 COMBIVENT RESPIMAT CYCLOGYL...... 125 DESCOVY...... 24 ...... 43, 48, 181 CYCLOMYDRIL...... 125, 126 desipramine hcl...... 106 COMBIVIR...... 24 cyclopentolate hcl...... 125 desmopressin ace spray refrig COMETRIQ...... 32 cyclophosphamide...... 32, 176 ...... 53, 153 COMPLERA...... 23, 24 CYCLOPHOSPHAMIDE... 32, 176 desmopressin acetate...... 53, 153 compro...... 101, 127 cycloserine ...... 18 desmopressin acetate pf...53, 153 COMTAN ...... 91 CYCLOSET...... 136 desmopressin acetate spray CONCERTA ...... 102 cyclosporine ...... 169, 173, 177 ...... 53, 153 CONDYLOX ...... 202 cyclosporine modified desogestrel-ethinyl estradiol constulose...... 111 ...... 169, 173, 177 ...... 139, 146, 155 CONTOUR CONTROL ...... 108 cyproheptadine hcl...... 12, 183 DESONATE...... 194 CONTOUR NEXT CONTROL .108 cyred...... 139, 145, 155 desonide...... 194 CONTOUR NEXT EZ ...... 108 cyred eq...... 139, 145, 155 DESOWEN...... 194 CONTOUR NEXT LINK ...... 108 CYSTADANE ...... 178 desoximetasone...... 194 CONTOUR NEXT MONITOR . 108 CYSTADROPS...... 124 desrx...... 195 CONTOUR NEXT ONE ...... 108 CYSTAGON...... 178 desvenlafaxine succinate er....103 CONTOUR NEXT TEST ...... 110 CYSTARAN...... 124 dexamethasone...... 134 CONTRAVE ...... 78 CYTOTEC...... 132 dexamethasone intensol...... 134 COPASIL...... 202 cytra k crystals ...... 111 dexamethasone sodium CORDRAN...... 194 dalfampridine er...... 178 phosphate...... 122 CORGARD...... 46, 61, 62 DALIRESP...... 185 DEXILANT...... 132 CORIFACT...... 53 danazol...... 136 dexmethylphenidate hcl...... 102 CORLANOR...... 65, 74 DANTRIUM...... 45 dexmethylphenidate hcl er...... 102 CORTANE-B ...... 190, 194, 199 dantrolene sodium...... 45 dextroamphetamine sulfate...... 76 CORTEF...... 134 dapsone...... 17, 18 dextroamphetamine sulfate er.. 76 CORTENEMA ...... 194 DAPTACEL...... 39, 40 DIASTAT ACUDIAL...... 89, 90 cortic-nd...... 122, 124, 125 dasetta 1/35...... 139, 146, 155 DIASTAT PEDIATRIC...... 89, 90 CORTIFOAM...... 194 dasetta 7/7/7...... 139, 146, 155 diazepam...... 89, 90 CORTISPORIN-TC...... 119, 122 DAURISMO...... 32, 33 diazepam intensol...... 89, 90 CORTROSYN...... 110 DAYPRO...... 100 diazoxide...... 137 COSENTYX (300 MG DOSE).202 DAYVIGO...... 86 diclofenac potassium...... 100 COSENTYX 150 MG/ML ...... 202 DEBACTEROL...... 124, 199 diclofenac sodium... 100, 125, 200 COSENTYX SENSOREADY deblitane...... 139, 155 diclofenac sodium er...... 100 (300 MG)...... 202 deferasirox...... 133 diclofenac-misoprostol.... 100, 132 COSENTYX SENSOREADY deferasirox granules...... 133 dicloxacillin sodium...... 28 PEN...... 202 deferiprone...... 133

214 DICOPANOL FUSEPAQ doxycycline monohydrate ELIQUIS DVT/PE STARTER ...... 12, 44, 78, 86, 182, 184 ...... 16, 17, 30 PACK...... 51 dicyclomine hcl...... 43 DRISDOL...... 209 ELITE-OB...... 56, 205, 207 diethylpropion hcl...... 75 DRIZALMA SPRINKLE...... 103 ELLA...... 139, 155 diethylpropion hcl er...... 75 dronabinol...... 126 ELMIRON...... 178 DIFICID...... 28 drospiren-eth estrad-levomefol EMCYT...... 33 diflorasone diacetate...... 195 ...... 139, 146, 155, 207 EMEND...... 132 DIFLUCAN...... 19 drospirenone-ethinyl estradiol EMEND TRI-PACK...... 132 diflunisal...... 100 ...... 139, 146, 155 EMGALITY...... 91 digitek...... 61, 66 DROXIA...... 33 EMGALITY (300 MG DOSE).... 91 digox...... 61, 66 droxidopa...... 42 emoquette...... 139, 146, 155 digoxin...... 61, 66 DRYSOL...... 191 EMSAM...... 94, 95 dihydroergotamine mesylate DUAVEE...... 144, 146 emtricitabine-tenofovir df...... 24 ...... 47, 85 DUETACT...... 162 EMTRIVA...... 24 DILANTIN...... 67, 94 duloxetine hcl...... 93, 103 EMVERM...... 16 DILANTIN INFATABS ...... 66, 94 DUOPA...... 93 enalapril maleate...... 59, 60 DILATRATE-SR...... 72 DUPIXENT...... 184, 202 enalapril-hydrochlorothiazide DILAUDID...... 96 DUREZOL...... 122 ...... 60, 115 diltiazem hcl...... 64, 65, 68, 74 dutasteride...... 163 ENBRACE HR.. 56, 178, 205, 207 diltiazem hcl er...... 64, 65, 68, 74 DYRENIUM...... 73, 113 ENBREL...... 169, 173 diltiazem hcl er beads E.E.S. GRANULES...... 20 ENBREL MINI ...... 169, 173 ...... 64, 65, 68, 74 EASIVENT...... 108 ENBREL SURECLICK.... 170, 173 diltiazem hcl er coated beads easygel...... 167 ENDARI...... 178 ...... 64, 65, 68, 74 EASYMAX 15 LEVEL 2-3 endocet...... 76, 96 dilt-xr...... 64, 65, 68, 74 CONTROL...... 108 ENDOMETRIN...... 155 dimethyl fumarate...... 173 EASYMAX CONTROL...... 108 ENGERIX-B...... 40 dimethyl fumarate starter pack 173 EASYMAX CONTROL enoxaparin sodium...... 55 DIPENTUM...... 127 NORMAL/HIGH...... 108 enpresse-28...... 140, 146, 155 diphenhydramine hcl econazole nitrate...... 191 ENSPRYNG...... 173 ...... 12, 44, 78, 86, 182, 184 EDARBI...... 58, 59 ENSTILAR...... 195, 202 diphenoxylate-atropine...... 43, 126 EDARBYCLOR...... 59, 115 entacapone...... 91 DIPROLENE...... 195 EDECRIN...... 71, 112 entecavir...... 27 DIPROLENE AF...... 195 EDEX...... 74 ENTEREG ...... 130 dipyridamole...... 57, 74 ED-SPAZ...... 43 ENTRESTO ...... 59, 73 disopyramide phosphate...... 66 EDURANT...... 23 enulose...... 111 disulfiram...... 164 EEMT...... 136, 146 EPANED...... 59, 60 DITROPAN XL...... 204 EEMT HS ...... 136, 146 EPCLUSA...... 21, 22 DIURIL...... 73, 115 efavirenz...... 23 EPIFOAM...... 190, 195 divalproex sodium...... 79, 83, 85 efavirenz-emtricitab-tenofovir epinephrine...... 42, 181 divalproex sodium er.....79, 83, 85 ...... 23, 24 epitol...... 79, 83 DIVIGEL...... 146, 165 efavirenz-lamivudine-tenofovir EPIVIR...... 24 dofetilide...... 68 ...... 23, 24 EPIVIR HBV...... 24 dolishale...... 139, 146, 155 EFFER-K...... 114 eplerenone...... 72, 73, 113 donepezil hcl...... 47 effer-k...... 114 EQUETRO...... 79, 83 dorzolamide hcl...... 121 EFUDEX...... 202 ergocalciferol...... 209 dorzolamide hcl-timolol mal.... 121 EGATEN...... 16 ergoloid mesylates...... 47 DOUBLE PM...... 119, 122 EGRIFTA SV...... 161 ergotamine-caffeine.... 47, 85, 102 DOVATO...... 22, 24 ELESTRIN...... 146, 165 ERIVEDGE...... 33 DOVONEX...... 202 eletriptan hydrobromide...... 104 ERLEADA...... 33 doxazosin mesylate...... 46, 58 ELIGARD...... 33, 151 erlotinib hcl...... 33 doxepin hcl...... 106, 190 elinest...... 139, 146, 155 errin...... 140, 155 doxercalciferol ...... 209 ELIQUIS...... 51 ery...... 188 doxycycline hyclate ...... 16, 30 ERYGEL...... 188

215 ERYPED 200...... 20 FEIBA...... 53 fluocinolone acetonide.... 122, 195 ERYPED 400...... 20 felbamate...... 79 fluocinolone acetonide body... 195 ERY-TAB...... 20 FELBATOL ...... 79 fluocinolone acetonide scalp...195 ERYTHROCIN STEARATE ...... 20 FELDENE...... 100 fluocinonide...... 195 erythromycin ...... 20, 119, 188 felodipine er...... 69, 70 fluocinonide emulsified base...195 erythromycin base ...... 20 FEM PH...... 199, 202 FLUORIDEX...... 167 erythromycin ethylsuccinate ...... 20 FEMHRT...... 147, 155 fluoridex daily renewal...... 167 ESBRIET...... 181 fenofibrate...... 70 FLUORIDEX ENHANCED escitalopram oxalate...... 105 fentanyl...... 96 WHITENING...... 167 est estrogens-methyltest .136, 146 fentanyl citrate...... 96 FLUORIDEX SENSITIVITY est estrogens-methyltest ds FERRIPROX...... 133 RELIEF...... 107, 167 ...... 136, 146 FETZIMA ...... 103 fluoritab...... 167 est estrogens-methyltest hs FETZIMA TITRATION ...... 104 fluorometholone...... 122 ...... 136, 146 FINACEA...... 202 FLUOROPLEX...... 202 estazolam...... 90 finasteride...... 163 FLUOROURACIL...... 202 estradiol...... 146, 165, 166 FINTEPLA ...... 79 fluorouracil...... 202 estradiol valerate...... 146, 166 FIORICET...... 77, 89, 102 fluoxetine hcl...... 105 estradiol-norethindrone acet FIRAZYR...... 169 fluphenazine hcl...... 101 ...... 147, 155 FIRMAGON...... 33, 137 flurandrenolide...... 195 ESTRING...... 147, 166 FIRMAGON (240 MG DOSE) flurazepam hcl...... 90 ESTROGEL...... 147, 166 ...... 33, 137 flurbiprofen...... 100 ESTROSTEP FE.....140, 147, 155 FIRST-BACLOFEN...... 46 flutamide...... 33 eszopiclone...... 86 FIRST-LANSOPRAZOLE...... 132 fluticasone propionate ethacrynic acid...... 71, 112 FIRST-METRONIDAZOLE ...... 122, 134, 184, 195 ethambutol hcl...... 18 ...... 15, 18, 128 FLUTICASONE- ethosuximide...... 106 FIRST-MOUTHWASH BLM SALMETEROL...... 48, 134 ethynodiol diac-eth estradiol ...... 12, 125, 126, 127, 128, 190 fluvastatin sodium...... 71 ...... 140, 147, 155 FIRST-OMEPRAZOLE...... 132 fluvastatin sodium er...... 71 etodolac...... 100 FIRST-PROGESTERONE fluvoxamine maleate...... 105 etodolac er...... 100 VGS...... 155 fluvoxamine maleate er...... 105 etoposide...... 33 FIRVANQ...... 20 FLUZONE HIGH-DOSE etravirine...... 23 flac...... 122 QUADRIVALENT...... 40 EUCRISA...... 190 FLAGYL...... 15, 18, 128 FLUZONE QUADRIVALENT.... 40 EVAMIST...... 147, 166 FLAREX...... 122 FML...... 122 everolimus...... 33, 177 flavoxate hcl...... 204 FML FORTE ...... 122 EVOCLIN...... 188 flecainide acetate...... 67 FML LIQUIFILM...... 122 EVOTAZ...... 25, 178 FLEXICHAMBER ADULT FOCALIN...... 102 EVRYSDI...... 178 MASK/SMALL...... 108 folic acid...... 207 exemestane...... 33, 136 FLEXICHAMBER CHILD fondaparinux sodium...... 50, 51 EXTINA...... 191 MASK/LARGE...... 108 FORANE...... 94 EZALLOR SPRINKLE ...... 71 FLEXICHAMBER CHILD formaldehyde...... 111 ezetimibe...... 66 MASK/SMALL...... 108 FORMALDEHYDE...... 111 ezetimibe-simvastatin...... 66, 71 FLOLIPID...... 71 FORTISCARE CONTROL...... 108 falmina...... 140, 147, 155 FLORIVA...... 167, 209 FOSAMAX...... 166 famciclovir...... 27 FLORIVA PLUS...... 167, 205 FOSAMAX PLUS D...... 166, 209 famotidine...... 13, 131 FLOVENT DISKUS...... 134, 185 fosamprenavir calcium...... 25 FANAPT...... 87 FLOVENT HFA ...... 134, 185 fosinopril sodium...... 59, 60 FANAPT TITRATION PACK ..... 87 FLUARIX QUADRIVALENT...... 40 fosinopril sodium-hctz...... 60, 115 FANATREX FUSEPAQ...... 76, 79 fluconazole...... 19 FOSRENOL...... 112, 164 FARYDAK...... 33 flucytosine...... 29 FRAGMIN...... 55 FASENRA PEN...... 184 fludrocortisone acetate...... 134 FREESTYLE LIBRE 14 DAY FBL KIT...... 46, 190, 200, 202 FLULAVAL QUADRIVALENT... 40 READER...... 108 febuxostat...... 165 flunisolide...... 122, 134, 184

216 FREESTYLE LIBRE 14 DAY GLYNASE...... 162 HUMIRA PEN-CD/UC/HS SENSOR...... 108 GLYXAMBI...... 143, 161 STARTER ...... 130, 170, 174 FREESTYLE LIBRE 2 GOLYTELY ...... 129 HUMIRA PEN-PEDIATRIC UC READER...... 108 goodsense nicotine...... 45 START...... 130, 170, 174 FREESTYLE LIBRE 2 GORDOFILM...... 192, 198 HUMIRA PEN-PS/UV/ADOL SENSOR...... 108 GRALISE...... 77, 79 HS START...... 130, 170, 174 FREESTYLE LIBRE READER 108 granisetron hcl...... 126 HUMIRA PEN-PSOR/UVEIT FREESTYLE LIBRE SENSOR GRASTEK...... 39 STARTER ...... 130, 170, 174 SYSTEM...... 109 griseofulvin microsize...... 16 HUMULIN 70/30 KWIKPEN frovatriptan succinate...... 104 griseofulvin ultramicrosize...... 16 ...... 152, 160 furosemide...... 71, 112 guaiatussin ac...... 182, 183 HUMULIN 70/30 VIAL.....152, 161 FUZEON...... 22 guaifenesin ac...... 182, 183 HUMULIN N KWIKPEN...... 152 FYCOMPA...... 79 guanfacine hcl...... 66, 92 HUMULIN N VIAL...... 152 gabapentin...... 77, 79 guanfacine hcl er...... 92 HUMULIN R U-500 KWIKPEN161 GABITRIL...... 79 GYNAZOLE-1...... 191 HUMULIN R U-500 VIAL...... 161 galantamine hydrobromide...... 47 habitrol...... 45 HUMULIN R VIAL...... 161 galantamine hydrobromide er... 47 HAEGARDA...... 169 HYCAMTIN...... 33 GALZIN...... 114 halcinonide...... 195 hydralazine hcl...... 70 GARDASIL 9...... 40 HALCION...... 90 HYDREA...... 34 gatifloxacin...... 119 halobetasol propionate...... 195 HYDRO 40...... 198 gavilyte-c...... 128 HALOG...... 196 hydrochlorothiazide...... 73, 115 gavilyte-g...... 128 haloperidol...... 91 hydrocodone bitartrate er...... 96 gavilyte-n with flavor pack...... 128 haloperidol lactate...... 91 hydrocodone polst-chlorphen GAVRETO...... 33 HARVONI...... 21, 22 polst er susp...... 13, 182 GELFILM...... 53 HAVRIX...... 40 hydrocodone-acetaminophen gemfibrozil...... 70 hematinic/folic acid...... 56, 207 ...... 77, 96 generlac...... 111 HEMLIBRA...... 53 hydrocodone-homatropine 43, 182 gengraf...... 170, 173, 177 hemocyte-f...... 56, 207 hydrocodone-ibuprofen..... 96, 100 gentak...... 119 HEMOFIL M...... 53 hydrocortisone...... 134, 196 gentamicin sulfate...... 119, 188 heparin lock flush...... 55 hydrocortisone (perianal)...... 196 GENVOYA...... 22, 24 heparin sodium (porcine)...... 56 hydrocortisone ace-pramoxine GILENYA...... 173 heparin sodium (porcine) pf...... 56 ...... 190, 196 GILOTRIF...... 33 heparin sodium lock flush...... 56 hydrocortisone acetate...... 196 GILPHEX TR...... 42, 183 HEPLISAV-B...... 40 hydrocortisone butyrate ...... 196 glatiramer acetate...... 173 HETLIOZ...... 86 hydrocortisone valerate...... 196 glatopa...... 173, 174 HIBERIX...... 40 hydrocortisone-acetic acid GLEOSTINE...... 33 HIPREX...... 30 ...... 122, 124 glimepiride...... 162 homatropaire...... 125 hydrocortisone-iodoquinol glipizide...... 162 HUMALOG...... 160 ...... 196, 199 glipizide er...... 162 HUMALOG KWIKPEN...... 160 hydrocort-pramoxine (perianal) glipizide xl...... 162 HUMALOG MIX 50/50 ...... 190, 196 glipizide-metformin hcl.... 137, 162 KWIKPEN...... 160 hydromet...... 43, 182 GLUCAGEN HYPOKIT... 151, 164 HUMALOG MIX 50/50 VIAL....160 hydromorphone hcl...... 96 glucagon emergency kit .. 151, 164 HUMALOG MIX 75/25 hydromorphone hcl er...... 96 GLUCAGON EMERGENCY KWIKPEN...... 160 hydroxychloroquine sulfate KIT...... 151, 164 HUMALOG MIX 75/25 VIAL....160 ...... 17, 170, 174 GLUCOTROL XL...... 162 HUMALOG U-100 JUNIOR hydroxyurea ...... 34 GLUTARALDEHYDE...... 111 KWIKPEN...... 160 hydroxyzine hcl ...... 12, 13, 86 glyburide...... 162 HUMATE-P...... 53 hydroxyzine pamoate ....12, 13, 86 glyburide micronized...... 162 HUMIRA...... 130, 170, 174 HYOPHEN...... 30, 43, 77 glyburide-metformin...... 137, 162 HUMIRA PEDIATRIC hyoscyamine sulfate...... 43 glycopyrrolate...... 43 CROHNS START....130, 170, 174 hyoscyamine sulfate er...... 43 glydo...... 190 HUMIRA PEN...... 130, 170, 174 hyosyne...... 43

217 HYPOCYN...... 202 isosorbide mononitrate er...... 72 KINERET...... 170, 174 ibandronate sodium...... 166 isotretinoin...... 202 KISQALI...... 35 IBRANCE...... 34 isoxsuprine hcl...... 74 KISQALI FEMARA...... 35, 137 ibuprofen...... 85, 100 isradipine...... 69, 70 KLARON...... 188 iclevia...... 140, 147, 156 ISTALOL...... 121 klor-con...... 114 ICLUSIG...... 34 ISTURISA...... 178 klor-con 10...... 114 IDHIFA...... 34 itraconazole...... 19 klor-con m10...... 114 imatinib mesylate...... 34 ivermectin...... 16, 201 klor-con m15...... 114 IMBRUVICA...... 34 JAKAFI...... 34 klor-con m20...... 114 imipramine hcl...... 106 JANSSEN COVID-19 klor-con/ef...... 114 imipramine pamoate...... 106 VACCINE...... 41 KOGENATE FS...... 54 imiquimod...... 202 jantoven...... 51 KOMBIGLYZE XR...... 138, 144 IMITREX...... 104 JARDIANCE...... 161 KOSELUGO...... 35 IMVEXXY MAINTENANCE jasmiel...... 140, 147, 156 KOVALTRY...... 54 PACK...... 147 JENTADUETO ...... 137, 144 K-PHOS...... 114 IMVEXXY STARTER PACK... 147 JENTADUETO XR...... 137, 144 K-PHOS NO 2...... 111 INBRIJA...... 93 jinteli...... 147, 156 K-PHOS-NEUTRAL...... 114 incassia...... 140, 156 JIVI...... 54 k-prime...... 114 INCRELEX...... 161 jolessa...... 140, 147, 156 KRINTAFEL...... 17 indapamide...... 73, 116 JUBLIA...... 191 KRISTALOSE...... 111 indomethacin...... 101, 165 juleber...... 140, 147, 156 K-TAB...... 114 indomethacin er...... 100, 165 JULUCA...... 23 KYNMOBI...... 95 INFANRIX...... 39, 40, 41 junel 1.5/30...... 140, 147, 156 KYNMOBI TITRATION KIT ...... 95 INLYTA ...... 34 junel 1/20...... 140, 147, 156 labetalol hcl. 46, 47, 58, 61, 62, 67 INQOVI...... 34 junel fe 1.5/30...... 140, 147, 156 LACRISERT...... 124 INREBIC...... 34 junel fe 1/20...... 140, 147, 156 lactulose...... 111 INSPIREASE RESERVOIR junel fe 24...... 140, 147, 156 lactulose encephalopathy...... 111 BAGS...... 109 JYNARQUE...... 116 LAMICTAL...... 80, 83 INSULIN PEN NEEDLES ...... 109 K.B.G.L IN TERODERM LAMICTAL ODT ...... 80, 83 INSULIN SYRINGES...... 109 ...... 46, 101, 190, 200, 202 LAMICTAL STARTER ...... 80, 83 INTELENCE ...... 23 KALETRA...... 25 LAMICTAL XR...... 80, 83 INTRAROSA...... 134 kalliga...... 140, 147, 156 lamivudine...... 24 INTRON A ...... 26, 34, 174 KALYDECO...... 183 lamivudine-zidovudine...... 24 INVIRASE...... 25 KAPSPARGO SPRINKLE lamotrigine...... 80, 83 IODINE STRONG...... 183 ...... 49, 61, 62, 67 lamotrigine er...... 80, 83 iodine tincture...... 199 kariva...... 140, 147, 156 LAMPIT...... 18 IOPIDINE...... 124 KATERZIA...... 69, 70, 74 LANOXIN...... 61, 66 IPOL...... 41 KAZANO...... 138, 144 lansoprazole...... 132 ipratropium bromide...... 43, 181 KEFLEX...... 14 lanthanum carbonate...... 113, 164 ipratropium-albuterol... 43, 48, 181 kelnor 1/35...... 140, 147, 156 LANTUS SOLOSTAR ...... 152 irbesartan...... 58, 59 kelnor 1/50...... 140, 147, 156 LANTUS U-100 VIAL...... 153 irbesartan-hydrochlorothiazide KEPPRA...... 79, 80 lapatinib ditosylate...... 35 ...... 59, 115 KEPPRA XR...... 80 larin 1.5/30...... 140, 147, 156 IRESSA...... 34 KERYDIN...... 200 larin 1/20...... 140, 147, 156 ISENTRESS...... 22, 23 KESIMPTA...... 174 larin 24 fe...... 140, 147, 156 ISENTRESS HD...... 22 ketoconazole...... 19, 191 larin fe 1.5/30...... 140, 147, 156 isoflurane...... 94 ketodan...... 191 larin fe 1/20...... 140, 148, 156 isoniazid...... 18, 19 KETONE TEST ...... 110 LASIX...... 71, 112 ISOPTO ATROPINE...... 125 KETOROLAC LASTACAFT...... 13, 118 ISOPTO CARPINE...... 125 TROMETHAMINE ...... 101 latanoprost...... 126 ISORDIL TITRADOSE...... 72 ketorolac tromethamine.. 101, 125 LATUDA...... 87 isosorbide dinitrate...... 72 KETOSTIX...... 110 layolis fe...... 140, 148, 156 isosorbide mononitrate...... 72 KEVZARA...... 170 L-CYSTINE...... 112

218 leena...... 140, 148, 156 LOESTRIN 1/20 (21) MAXZIDE...... 113, 116 leflunomide...... 170, 174, 177 ...... 141, 148, 157 MAXZIDE-25...... 113, 116 LENVIMA...... 35 LOESTRIN FE 1.5/30 MAYZENT...... 174 lessina...... 140, 148, 156 ...... 141, 148, 157 me/naphos/mb/hyo1... 30, 43, 178 letrozole...... 35, 137 LOKELMA ...... 113 meclofenamate sodium...... 101 lets...... 42, 163 LOMAIRA...... 75 MEDERMA SPF 30...... 203 leucovorin calcium...... 164, 207 LOMOTIL...... 43, 126 MEDROL...... 134, 135 leuprolide acetate...... 35, 151 LONSURF...... 35 medroxyprogesterone acetate levalbuterol hcl...... 48, 186 LOPID...... 71 ...... 141, 157 LEVALBUTEROL HFA ...... 49, 186 lopinavir-ritonavir...... 26 mefenamic acid...... 101 levetiracetam...... 80 LOPRESSOR...... 49, 61, 62, 67 mefloquine hcl...... 17 levetiracetam er...... 80 lorazepam...... 89, 90 megestrol acetate...... 35, 157 levobunolol hcl...... 121 lorazepam intensol...... 89, 90 MEKINIST...... 35, 36 levocarnitine...... 178 LORBRENA ...... 35 meloxicam...... 101 levocetirizine dihydrochloride....14 LORTAB ...... 77, 97 melphalan...... 36 levofloxacin...... 19, 29, 119 losartan potassium...... 58, 59 memantine hcl...... 92 levonest...... 140, 148, 156 losartan potassium-hctz.... 59, 115 MENACTRA ...... 41 levonorgest-eth est & eth est LOSEASONIQUE... 141, 148, 157 MENEST...... 148, 166 ...... 140, 148, 156 LOTEMAX ...... 122 MENOSTAR ...... 148, 166 levonorgest-eth estrad 91-day LOTEMAX SM ...... 123 MENQUADFI...... 41 ...... 140, 148, 156 LOTENSIN...... 59, 60 MENTAX ...... 192 levonorgestrel...... 140, 156 LOTENSIN HCT ...... 60, 116 MENVEO...... 41 levonorgestrel-ethinyl estrad loteprednol etabonate...... 123 meperidine hcl...... 97 ...... 141, 148, 156 lovastatin...... 71 MEPHYTON...... 164, 210 levora 0.15/30 (28)..141, 148, 156 low-ogestrel...... 141, 148, 157 meprobamate...... 86 levorphanol tartrate...... 97 loxapine succinate...... 86 mercaptopurine...... 36, 177 levo-t...... 163 lo-zumandimine...... 141, 148, 157 mesalamine...... 127 levothyroxine sodium...... 163 LUBIPROSTONE...... 131 mesalamine-cleanser...... 127 levoxyl...... 163 LUGOLS STRONG IODINE....199 MESNEX...... 180 LEVULAN KERASTICK...... 203 LUMAKRAS...... 35 MESTINON...... 47 LEXIVA...... 25 LUMIGAN...... 126 metaxalone...... 45 LIALDA...... 127 lutera...... 141, 148, 157 metformin hcl...... 138 lidocaine...... 190 lyleq...... 141, 157 metformin hcl er...... 138 lidocaine hcl...... 190 LYNPARZA ...... 35 methadone hcl...... 97 lidocaine hcl urethral/mucosal.190 LYRICA...... 80, 93 methadone hcl intensol...... 97 lidocaine viscous hcl...... 125 LYSTEDA...... 54 methadose...... 97 lidocaine-prilocaine...... 190 LYUMJEV KWIKPEN...... 160 methadose sugar-free...... 97 lindane...... 201 LYUMJEV VIAL...... 160 methamphetamine hcl...... 76 linezolid...... 28 lyza...... 141, 157 methazolamide...... 65, 122 LINZESS...... 130 MACROBID...... 30 methenamine hippurate...... 30 liothyronine sodium...... 163 MACRODANTIN...... 30 methenamine mandelate...... 31 lisinopril...... 59, 60 mafenide acetate...... 199 methergine...... 180 lisinopril-hydrochlorothiazide MALARONE ...... 17 methimazole...... 137 ...... 60, 115 malathion...... 201 METHITEST ...... 136 L-ISOLEUCINE...... 112 MARINOL...... 127 methocarbamol...... 45 lithium carbonate...... 83, 84 MARPLAN...... 95 methotrexate..... 36, 170, 174, 177 lithium carbonate er...... 83 MATULANE ...... 35 methotrexate sodium LITHOBID...... 84 matzim la...... 64, 65, 68, 74 ...... 36, 170, 171, 175, 177 LITHOSTAT...... 111 MAVENCLAD ...... 177 methotrexate sodium (pf) LO LOESTRIN FE ...141, 148, 156 MAVYRET...... 21, 22 ...... 36, 170, 175, 177 LOESTRIN 1.5/30 (21) MAXIDEX...... 123 methoxsalen rapid...... 200 ...... 141, 148, 156 MAXITROL...... 119, 123 methscopolamine bromide...... 43 maxi-tuss ac...... 182, 183 methyl salicylate...... 192

219 methyldopa...... 42, 66 M-M-R II...... 41 NARDIL...... 95 methylergonovine maleate...... 180 M-NATAL PLUS ...... 56, 205, 207 NASCOBAL...... 57, 207 METHYLIN...... 102 MOBIC...... 101 NATACYN...... 120 methylphenidate hcl...... 103 modafinil...... 107 NATAZIA...... 141, 149, 157 methylphenidate hcl er...... 102 moexipril hcl...... 60 nateglinide...... 153 methylphenidate hcl er (cd).....102 molindone hcl...... 86 NATURE-THROID...... 163 methylphenidate hcl er (la)...... 102 mometasone furoate...... 196 NAYZILAM...... 89 methylprednisolone...... 135 mono-linyah...... 141, 149, 157 NEBUPENT...... 18 methyltestosterone...... 136 MONONINE ...... 54 necon 0.5/35 (28)....141, 149, 157 metoclopramide hcl...... 132 monsels ferric subsulfate ...... 54 nefazodone hcl...... 105 metolazone...... 73, 116 montelukast sodium...... 184 neomycin sulfate...... 15 metoprolol succinate er MONUROL...... 31 neomycin-bacitracin zn- ...... 49, 62, 63, 67 morgidox...... 17, 30 polymyx...... 119 metoprolol tartrate...49, 62, 63, 67 morphine sulfate...... 97 neomycin-polymyxin-dexameth metoprolol-hydrochlorothiazide morphine sulfate (concentrate). 97 ...... 119, 123 ...... 62, 116 morphine sulfate er...... 97 neomycin-polymyxin- METROCREAM...... 188 morphine sulfate er beads...... 97 gramicidin...... 119 METROLOTION ...... 188 MOTEGRITY...... 131 neomycin-polymyxin-hc metronidazole..... 15, 18, 128, 189 MOVIPREP...... 129, 209 ...... 119, 120, 123 METRONIDAZOLE MOXEZA...... 119 neo-polycin...... 120 BENZO+SYRSPEND ..15, 18, 128 moxifloxacin hcl...... 19, 29, 119 neo-polycin hc...... 120, 123 metyrosine...... 178 moxifloxacin hcl (2x day)...... 119 NESINA...... 144 mexiletine hcl...... 67 MOZOBIL...... 52 NESTABS ...... 56, 205, 208 MIACALCIN...... 137, 166 MS CONTIN...... 97 neuac...... 189, 199 miconazole 3...... 191 MULPLETA ...... 52 NEULASTA...... 52 microgestin 1.5/30...141, 148, 157 MULTAQ ...... 68 NEUPRO...... 95 microgestin 1/20...... 141, 148, 157 multi-vit/iron/fluoride..56, 167, 205 NEURONTIN...... 77, 80, 81 microgestin 24 fe.....141, 148, 157 multivitamin/fluoride...... 167, 205 NEVANAC...... 125 microgestin fe 1.5/30 multi-vitamin/fluoride...... 167, 205 nevirapine...... 23 ...... 141, 148, 157 multi-vitamin/fluoride/iron NEXAVAR...... 36 microgestin fe 1/20..141, 148, 157 ...... 56, 167, 205 NEXIUM...... 132 MICROLET NEXT LANCING mupirocin...... 189 NEXTSTELLIS ...... 141, 149, 157 DEVICE...... 109 mupirocin calcium...... 189 niacin er (antihyperlipidemic).... 61 midazolam hcl...... 90 MUSE...... 74 NIASPAN...... 61 MIDAZOLAM+SYRSPEND SF. 90 MYCOBUTIN...... 19, 29 nicardipine hcl...... 69, 70, 74 midodrine hcl...... 42 mycophenolate mofetil...... 177 NICORETTE ...... 45 MIGERGOT...... 47, 85, 103 mycophenolate sodium...... 177 nicotine polacrilex...... 45 miglitol...... 135 myorisan...... 203 nicotine step 1...... 45 miglustat...... 178 MYSOLINE...... 88 nicotine step 2...... 45 mili...... 141, 148, 157 nabumetone...... 101 nicotine step 3...... 45 MILLIPRED...... 135 nadolol...... 46, 62, 63 NICOTROL...... 45 mimvey...... 148, 157 nafrinse...... 167 NICOTROL NS ...... 45 mineral oil heavy...... 129 NAFRINSE DAILY nifedipine...... 69, 70, 74 MINIPRESS...... 46, 58 ACIDULATED...... 107, 167 nifedipine er...... 69, 70, 74 minocycline hcl...... 17, 30 NAFRINSE DAILY/NEUTRAL .167 nifedipine er osmotic release minoxidil...... 70 nafrinse drops...... 167 ...... 69, 70, 74 MIRAPEX...... 95 NAFRINSE WEEKLY...... 167 NILANDRON...... 36 MIRCETTE ...... 141, 148, 157 naloxone hcl...... 99, 164 nilutamide...... 36 mirtazapine...... 82 naltrexone hcl...... 99, 164 nimodipine...... 69, 70, 74 MIRVASO...... 203 NAMENDA TITRATION PAK ....92 NINLARO...... 36 misoprostol...... 132 naproxen...... 85, 101, 165 nisoldipine er...... 69, 70 MITIGARE...... 165 naproxen sodium...... 85, 101, 165 nitazoxanide...... 18 MITOSOL...... 119 naratriptan hcl...... 104 NITRO-BID...... 72

220 NITRO-DUR...... 72 NUCYNTA ...... 98 ONETOUCH VERIO nitrofurantoin...... 31 NUCYNTA ER ...... 97, 98 REFLECT...... 110 nitrofurantoin macrocrystal ...... 31 NUEDEXTA...... 92 ONETOUCH VERIO SYNC nitrofurantoin monohydrate NULYTELY LEMON-LIME ...... 129 SYSTEM KIT W/DEVICE...... 110 macrocrystals ...... 31 NUPLAZID...... 87 ONFI...... 89, 90 nitroglycerin...... 72 NUTRIDOX...... 30, 178, 210 ONGLYZA...... 144 NITROSTAT ...... 72 NUTROPIN AQ NUSPIN 10 ONUREG...... 36 NITRO-TIME ...... 72 ...... 153, 161 opium...... 126 nizatidine...... 13, 131 NUTROPIN AQ NUSPIN 20 OPSUMIT...... 186 NOCDURNA...... 54, 153 ...... 153, 162 ORACIT...... 111 nolix...... 196 NUTROPIN AQ NUSPIN 5 ORALAIR...... 39 nora-be...... 141, 157 ...... 153, 162 ORALAIR ADULT STARTER norethin ace-eth estrad-fe NUVARING...... 142, 149, 158 PACK...... 39 ...... 141, 142, 149, 157, 158 nyamyc...... 200 ORALAIR CHILDRENS norethindrone...... 142, 158 nylia 7/7/7...... 142, 149, 158 STARTER PACK...... 39 norethindrone acetate...... 158 NYMALIZE ...... 69, 70, 74 oralone...... 196 norethindrone acet-ethinyl est nymyo...... 142, 149, 158 ORAPRED ODT...... 135 ...... 142, 149, 158 nystatin...... 28, 200 ORENCIA...... 171, 175 norethin-eth estradiol-fe nystop...... 201 ORENCIA CLICKJECT... 171, 175 ...... 142, 149, 158 ocella...... 142, 149, 158 ORENITRAM...... 186 norgestimate-eth estradiol octreotide acetate...... 131, 161 ORFADIN...... 178 ...... 142, 149, 158 OCUFLOX...... 120 ORIAHNN...... 137, 149, 158 norgestimate-ethinyl estradiol ODACTRA...... 39 ORILISSA...... 137 triphasic...... 142, 149, 158 ODEFSEY...... 23, 24 ORKAMBI...... 182, 183 norlyroc...... 142, 158 ODOMZO...... 36 orphenadrine citrate er...... 49, 78 NORPACE...... 66 OFEV...... 181 orsythia...... 142, 149, 158 NORPACE CR...... 66 ofloxacin...... 29, 120 oscimin...... 43, 44 NORPRAMIN...... 106 olanzapine...... 84, 87 oscimin sr...... 44 nortrel 0.5/35 (28)... 142, 149, 158 olanzapine-fluoxetine hcl.. 87, 105 oseltamivir phosphate...... 27 nortrel 1/35 (21)...... 142, 149, 158 olmesartan medoxomil...... 58, 59 OSENI...... 144, 163 nortrel 1/35 (28)...... 142, 149, 158 olmesartan medoxomil-hctz OSMOLEX ER...... 15, 75 nortrel 7/7/7...... 142, 149, 158 ...... 59, 116 OSPHENA...... 144 nortriptyline hcl...... 106 olopatadine hcl...... 13, 118 OTEZLA...... 171, 175, 203 NORVIR...... 26 OLUMIANT...... 171 OVACE PLUS...... 189 NOURIANZ...... 92 OMECLAMOX-PAK.... 16, 28, 132 OVACE PLUS WASH...... 189 NOVOEIGHT...... 54 omega-3-acid ethyl esters...... 61 OVACE WASH...... 189 NOVOFINE AUTOCOVER omeprazole...... 132 OVIDE...... 201 PEN NEEDLE ...... 109 OMEPRAZOLE+SYRSPEND oxandrolone...... 136 NOVOFINE PEN NEEDLE ..... 109 SF ALKA...... 133 oxaprozin...... 101 NOVOFINE PLUS PEN ondansetron hcl...... 126 oxazepam...... 91 NEEDLE ...... 109 ondansetron odt...... 126 oxcarbazepine...... 81 NOVOPEN ECHO...... 109 ONETOUCH DELICA oxiconazole nitrate...... 192 NOVOSEVEN RT...... 54 LANCING DEVICE...... 109 OXISTAT...... 192 NOVOTWIST PEN NEEDLE .. 109 ONETOUCH DELICA PLUS oxybutynin chloride...... 204 NOXAFIL...... 19 LANCING DEVICE...... 109 oxybutynin chloride er...... 204 NP #2 DRUG PREPARATION ONETOUCH ULTRA ...... 110 oxycodone hcl ...... 98 KIT ONETOUCH ULTRA 2...... 109 oxycodone-acetaminophen.77, 98 42, 66, 77, 97, 101, 106, 191, 200, ONETOUCH ULTRA MINI ...... 109 oxymorphone hcl...... 98 203 ONETOUCH VERIO...... 109, 110 oxymorphone hcl er...... 98 np thyroid...... 163 ONETOUCH VERIO FLEX OZEMPIC...... 152 NUBEQA...... 36 SYSTEM KIT W/DEVICE...... 109 PACERONE...... 68 NUCALA...... 181, 182 ONETOUCH VERIO IQ paliperidone er...... 87 NUCORT...... 196 SYSTEM...... 109 PALYNZIQ...... 117

221 PANCREAZE...... 117, 129 PIFELTRO...... 23 prednisone...... 135 PANDEL...... 196 pilocarpine hcl...... 47, 125 prednisone intensol...... 135 PANRETIN...... 203 pimecrolimus...... 177, 203 PREFEST...... 149, 158 pantoprazole sodium...... 133 pimozide...... 86 pregabalin...... 81, 93, 94 paricalcitol...... 209 pimtrea...... 142, 149, 158 PREMARIN...... 150, 166 PARNATE ...... 95 pindolol...... 46, 62, 63, 67 PREMPHASE...... 150, 158 paromomycin sulfate...... 15 pioglitazone hcl...... 163 PREMPRO...... 150, 158 paroxetine hcl...... 105 pioglitazone hcl-glimepiride PRENAISSANCE paroxetine hcl er...... 105 ...... 162, 163 ...... 56, 129, 179, 206, 208 PASER...... 19 pioglitazone hcl-metformin hcl prenatal...... 56, 206, 208 PATANASE...... 13, 118 ...... 138, 163 prenatal plus iron...... 56, 206, 208 PAXIL...... 105 PIQRAY...... 36 prenatal vitamin plus low iron PEDVAX HIB...... 41 piroxicam...... 101 ...... 56, 206, 208 peg 3350-kcl-na bicarb-nacl ....129 PLEGRIDY...... 175 PREPIDIL...... 180 peg-3350/electrolytes...... 129 PLEGRIDY STARTER PACK. 175 PRETOMANID...... 19 PEGASYS...... 26 PLENVU...... 129, 209 prevalite...... 63 peg-kcl-nacl-nasulf-na asc-c PNEUMOVAX 23...... 41 PREVIDENT...... 168 ...... 129, 209 podocon...... 203 PREVIDENT 5000 BOOSTER PEMAZYRE...... 36 podofilox...... 203 PLUS...... 168 penicillamine...... 133, 171 polycin...... 120 PREVIDENT 5000 DRY penicillin v potassium...... 27 polymyxin b-trimethoprim...... 120 MOUTH...... 168 pentamidine isethionate...... 18 POLYTRIM...... 120 PREVIDENT 5000 ENAMEL pentazocine-naloxone hcl. 99, 100 POLY-VI-FLOR...... 167, 205 PROTECT...... 107, 168 pentoxifylline er...... 53 POLY-VI-FLOR/IRON PREVIDENT 5000 ORTHO PERFOROMIST...... 49, 186 ...... 56, 167, 206 DEFENSE...... 168 PERIDEX...... 124, 199 POMALYST...... 36, 175 PREVIDENT 5000 PLUS...... 168 perindopril erbumine...... 60 portia-28...... 142, 149, 158 PREVIDENT 5000 SENSITIVE periogard...... 124, 199 posaconazole...... 19 ...... 107, 168 permethrin...... 201 POTABA...... 208 previfem...... 142, 150, 158 perphenazine...... 101 potassium chloride...... 114 PREVNAR 13...... 41 perphenazine-amitriptyline potassium chloride crys er ...... 114 PREVYMIS...... 19 ...... 101, 106 potassium chloride er...... 114 PREZCOBIX...... 26, 179 PERTZYE...... 117, 129 potassium citrate er...... 111 PREZISTA...... 26 PFIZER-BIONTECH COVID- potassium citrate-citric acid .....111 PRIFTIN...... 19, 29 19 VACC...... 41 PRADAXA...... 51 primaquine phosphate...... 17 phenazo...... 191 pramipexole dihydrochloride..... 95 primidone...... 88 phenazopyridine hcl...... 191 pramosone...... 191, 196 PRINIVIL...... 60 phendimetrazine tartrate...... 75 PRAMOSONE...... 191, 196 probenecid...... 116, 165 phenelzine sulfate...... 95 PRAMOTIC...... 124, 125 PROCENTRA...... 76 phenobarbital...... 88, 89 pramox...... 191 prochlorperazine...... 101, 127 phenoxybenzamine hcl...... 47, 71 prasugrel hcl...... 57 prochlorperazine maleate101, 127 phentermine hcl...... 75 pravastatin sodium...... 71 PROCTOFOAM HC...... 191, 196 phenylephrine hcl...... 125, 126 praziquantel...... 16 procto-pak...... 197 PHENYTEK...... 67, 94 prazosin hcl...... 46, 58 proctozone-hc...... 197 phenytoin...... 67, 94 PRECOSE...... 135 progesterone...... 159 phenytoin infatabs...... 67, 94 PRED MILD...... 123 PROGESTERONE phenytoin sodium extended 67, 94 PRED-G...... 120, 123 MICRONIZED...... 159 philith...... 142, 149, 158 PRED-G S.O.P...... 120, 123 PROGRAF...... 177 PHOSLYRA...... 113, 114 prednicarbate...... 196 PROMACTA...... 52 PHOSPHA 250 NEUTRAL...... 114 prednisolone...... 135 promethazine hcl PHOSPHASAL...... 31, 44, 77, 179 prednisolone acetate...... 123 ...... 12, 13, 86, 127, 184 phospho-trin 250 neutral...... 114 prednisolone sodium promethazine vc...... 13, 42 phytonadione...... 164, 210 phosphate...... 123, 135

222 promethazine vc/codeine ramelteon...... 86 rizatriptan benzoate...... 104 ...... 13, 42, 182 ramipril...... 60, 61 ROCALTROL...... 209 promethazine-codeine...... 13, 182 ranolazine er...... 66 ropinirole hcl...... 95 promethazine-dm...... 13, 182 RAPAMUNE...... 177 rosadan...... 189 promethazine-phenyleph- rasagiline mesylate...... 94, 95 rosuvastatin calcium...... 71 codeine...... 13, 42, 182 RASUVO...... 171 ROWASA...... 127 promethazine-phenylephrine RAZADYNE ER...... 47 ROZLYTREK...... 37 ...... 13, 42 REBIF...... 175 RUCONEST...... 169 promethegan.12, 13, 86, 127, 184 REBIF REBIDOSE...... 175 rufinamide...... 81 PROMISEB...... 198 REBIF REBIDOSE RUKOBIA...... 22 propafenone hcl...... 67 TITRATION PACK...... 175 RUZURGI...... 179 propafenone hcl er...... 67 REBIF TITRATION PACK...... 175 RYBELSUS...... 152 proparacaine hcl...... 125 reclipsen...... 142, 150, 159 RYDAPT...... 37 propranolol hcl.. 46, 62, 63, 68, 85 RECOMBINATE ...... 54 SABRIL...... 81 propranolol hcl er RECOMBIVAX HB...... 41 SALAGEN...... 47 ...... 46, 62, 63, 67, 85 RECOTHROM...... 54 salicylic acid...... 198 propylthiouracil...... 137 RECOTHROM SPRAY KIT...... 54 salsalate...... 103 PROSCAR...... 163 RECTIV...... 203 SALVAX DUO PLUS...... 192, 198 PROSTIN E2...... 181 REGLAN...... 132 SAMSCA...... 116 protriptyline hcl...... 106 REGRANEX...... 203 SANDIMMUNE...... 172, 176, 177 PROVERA...... 159 RELENZA DISKHALER...... 27 SANTYL...... 117, 203 pseudoephedrine-bromphen- RELISTOR...... 99, 131 SAPHRIS...... 84, 88 dm...... 13, 42, 182 RELNATE DHA .56, 179, 206, 208 sapropterin dihydrochloride.....179 PSORCON...... 197 REMERON...... 82 SAVAYSA...... 51 PULMICORT FLEXHALER REMERON SOLTAB ...... 82 SAVELLA...... 94, 104 ...... 135, 185 RENAGEL...... 113, 164 SAVELLA TITRATION PACK PULMOZYME...... 117, 184 RENVELA...... 113, 164 ...... 94, 104 PURIXAN...... 36, 177 repaglinide...... 153 SAXENDA...... 152 PYLERA...... 16, 18, 30, 126, 128 RESTASIS...... 124 SCALACORT DK...... 197, 198 pyrazinamide...... 19 RESTORIL...... 91 SCARCIN...... 203 PYRIDIUM...... 191 RETACRIT...... 50, 52 scopolamine...... 44, 127 pyridostigmine bromide...... 47 RETEVMO...... 36 SELECT-OB...... 56, 206, 208 pyridostigmine bromide er...... 47 RETROVIR...... 24, 25 selegiline hcl...... 94, 95 pyrimethamine...... 17 REVLIMID...... 36, 176 selenium sulfide...... 198, 199 PYROGALLIC ACID181, 198, 203 REXULTI...... 88 SELZENTRY ...... 22 QBRELIS...... 60 REYATAZ...... 26 SEREVENT DISKUS...... 49, 186 QSYMIA...... 78 REYVOW...... 104 SEROSTIM...... 153, 162 QUALAQUIN...... 17 ribavirin...... 27 sertraline hcl...... 105 QUESTRAN...... 63 RIDAURA...... 133, 171, 176 setlakin...... 142, 150, 159 QUESTRAN LIGHT...... 63 rifabutin...... 19, 29 sevelamer carbonate...... 113, 164 quetiapine fumarate...... 84, 88 rifampin...... 19, 29 sevelamer hcl...... 113, 165 quetiapine fumarate er.. 84, 87, 88 RIFAMPIN+SYRSPEND SF19, 29 sevoflurane...... 94 QUFLORA PEDIATRIC.. 168, 206 riluzole...... 92 sf...... 168 quinapril hcl...... 60 rimantadine hcl...... 15 sf 5000 plus...... 168 quinapril-hydrochlorothiazide RINVOQ...... 172 SFROWASA...... 127 ...... 60, 116 risedronate sodium...... 166 sharobel...... 142, 159 quinidine gluconate er...... 17, 66 risperidone...... 84, 88 SHARPS CONTAINER...... 110 quinidine sulfate...... 17, 66 RITALIN...... 103 SHINGRIX...... 41 quinine sulfate...... 17 ritonavir...... 26 SIGNIFOR...... 161 rabeprazole sodium...... 133 rivastigmine...... 47 sildenafil citrate... 72, 73, 186, 205 RADIOGARDASE...... 112, 164 rivastigmine tartrate...... 47 silodosin...... 47 RAGWITEK...... 39 rivelsa...... 142, 150, 159 SILVADENE...... 200 raloxifene hcl...... 144, 166 RIXUBIS...... 54 silver nitrate...... 124

223 silver sulfadiazine...... 200 sps...... 113, 165 SYMAX-SL...... 44 simliya...... 142, 150, 159 sronyx...... 143, 150, 159 SYMAX-SR...... 44 simpesse...... 142, 150, 159 ssd...... 200 SYMBICORT...... 49, 135 SIMPONI...... 131, 172, 176 sss 10-5...... 189, 198 SYMBYAX...... 88, 105 simvastatin...... 71 STALEVO 100...... 91, 93 SYMDEKO...... 182, 183 SINEMET...... 93 STALEVO 125...... 91, 93 SYMFI...... 23, 25 SINGULAIR...... 184 STALEVO 150...... 91, 93 SYMFI LO...... 23, 25 sirolimus...... 177 STALEVO 200...... 91, 93 SYMLINPEN 120...... 136 SIRTURO...... 19 STALEVO 50...... 92, 93 SYMLINPEN 60...... 136 SIVEXTRO...... 28 STALEVO 75...... 92, 93 SYMPROIC...... 131 SKYRIZI...... 203 stavudine...... 25 SYMTUZA...... 25, 26, 179 SKYRIZI (150 MG DOSE)...... 203 STELARA...... 203 SYNAPRYN FUSEPAQ...... 98 SKYRIZI PEN...... 203 STIMATE...... 54, 153 SYNAREL...... 151 SLYND ...... 142, 159 STIVARGA...... 37 SYNDROS...... 127 sod citrate-citric acid ...... 111 STRENSIQ...... 117 SYNJARDY...... 138, 161 SODIUM BICARBONATE STRIBILD...... 23, 25, 179 SYNJARDY XR...... 138, 161 ...... 126, 128 STRIVERDI RESPIMAT... 49, 186 SYNRIBO...... 37 sodium chloride...... 184 STROMECTOL ...... 16 TABRADOL FUSEPAQ...... 45 sodium fluoride...... 168 SUBOXONE...... 99, 100 TABRECTA ...... 37 sodium fluoride 5000 enamel SUCRAID...... 117 TACLONEX ...... 197, 203 ...... 107, 168 sucralfate...... 132 tacrolimus...... 177, 204 sodium fluoride 5000 plus...... 168 sulfacetamide sodium..... 120, 189 tadalafil...... 73 sodium fluoride 5000 ppm...... 168 sulfacetamide sodium (acne).. 189 tadalafil (pah)...... 73, 186 sodium fluoride 5000 sensitive sulfacetamide sodium-sulfur TAFINLAR ...... 37 ...... 107, 168 ...... 189, 198, 199 TAGRISSO...... 37 sodium phenylbutyrate...... 112 sulfacetamide-prednisolone TAKHZYRO...... 169 sodium polystyrene sulfonate ...... 120, 123 TALZENNA ...... 37 ...... 113, 165 sulfacetamide-sulfur in urea tamoxifen citrate...... 37, 144 sodium sulfacetamide...... 189 ...... 190, 199 tamsulosin hcl...... 47 sodium sulfacetamide wash....189 sulfadiazine...... 29 TAPAZOLE...... 137 SODIUM SULFACETAMIDE- sulfamethoxazole-trimethoprim TAPERDEX 12-DAY...... 135 BAKUCHIOL...... 179, 189 ...... 18, 29, 31 TAPERDEX 6-DAY...... 135 solifenacin succinate...... 204 SULFAMYLON...... 200 TAPERDEX 7-DAY...... 135 SOLIQUA...... 152, 153 sulfasalazine..... 29, 127, 172, 176 TARGRETIN...... 37, 204 SOLOSEC...... 18 sulfatrim pediatric...... 18, 29, 31 tarina 24 fe...... 143, 150, 159 SOMATULINE DEPOT...... 161 SULFURATED LIME...... 201 tarina fe 1/20...... 143, 150, 159 SOMAVERT...... 162 sulindac...... 101 tarina fe 1/20 eq...... 143, 150, 159 SOOLANTRA ...... 201 sumatriptan...... 104 TARKA...... 61, 65 sotalol hcl...... 46, 62, 63, 68 sumatriptan succinate...... 104 TASIGNA...... 37 sotalol hcl (af)...... 46, 62, 63, 68 sumatriptan succinate refill..... 104 tavaborole...... 200 SOTYLIZE...... 46, 62, 63, 68 SUMAXIN...... 190, 199 tazarotene...... 204 SOVALDI...... 21 SUPRAX...... 14 TAZORAC...... 204 spinosad...... 201 SUPREP BOWEL PREP KIT..129 taztia xt...... 64, 65, 68, 74 SPIRIVA HANDIHALER....44, 181 SURESTEP PRO HIGH TEGRETOL...... 81, 84 SPIRIVA RESPIMAT...... 44, 181 GLUCOSE...... 110 TEGRETOL-XR...... 81, 84 spironolactone...... 72, 73, 113 SURESTEP PRO LOW telmisartan...... 58, 59 spironolactone-hctz...... 72, 116 GLUCOSE...... 110 telmisartan-hctz...... 59, 116 SPORANOX...... 20 SURESTEP PRO NORMAL temazepam...... 91 SPORANOX PULSEPAK...... 20 GLUCOSE...... 110 TEMOVATE ...... 197 SPRAVATO (56 MG DOSE)..... 82 SUSTIVA...... 23 temozolomide...... 37 SPRAVATO (84 MG DOSE)..... 82 SUTAB...... 129 TENCON...... 77, 89 sprintec 28...... 142, 150, 159 SUTENT...... 37 TENIVAC...... 39 SPRYCEL...... 37 SYMAX DUOTAB...... 44 tenofovir disoproxil fumarate.....25

224 TEPMETKO ...... 37 tolbutamide...... 111, 162 trimethoprim...... 31 terazosin hcl ...... 46, 58 tolcapone...... 92 tri-mili...... 143, 150, 159 terbinafine hcl...... 15 TOLVAPTAN ...... 116 trimipramine maleate...... 106 terbutaline sulfate...... 49, 186 tolvaptan...... 117 TRINATE ...... 57, 206, 208 terconazole...... 192 TOPAMAX...... 81, 85 TRINTELLIX ...... 105 TERIPARATIDE TOPAMAX SPRINKLE...... 81, 85 tri-nymyo...... 143, 150, 159 (RECOMBINANT) ...... 153, 165 TOPICORT...... 197 TRIPLE PMB...... 120, 123, 125 terrell...... 94 topiramate...... 81, 85, 86 TRIPLE PMK...... 120, 123, 125 TESSALON PERLES ...... 182 toremifene citrate...... 37, 144 tri-previfem...... 143, 150, 159 TESTIM...... 136 torsemide...... 71, 112 tri-sprintec...... 143, 150, 159 testosterone cypionate...... 136 TOUJEO MAX SOLOSTAR.... 153 TRISTART DHA testosterone enanthate...... 136 TOUJEO SOLOSTAR...... 153 ...... 57, 115, 179, 206, 208 tetrabenazine...... 107 TOVIAZ...... 204 TRISTART FREE tetracaine hcl...... 125 TRACLEER...... 187 ...... 57, 115, 179, 206, 208 tetracycline hcl...... 17, 30, 128 TRADJENTA ...... 144 TRISTART ONE TETRIX...... 204 tramadol hcl...... 98 ...... 57, 115, 179, 206, 208 TEXACORT...... 197 tramadol hcl er...... 98 TRIUMEQ...... 23, 25 THALOMID ...... 176 tramadol-acetaminophen.... 77, 98 TRI-VI-FLOR THEO-24...70, 103, 112, 187, 205 trandolapril...... 60, 61 ...... 168, 206, 207, 208, 209 theophylline tranexamic acid...... 55 TRI-VI-FLORO ...... 70, 103, 112, 187, 205 TRANXENE-T ...... 89, 91 ...... 168, 206, 207, 208, 209 theophylline er tranylcypromine sulfate...... 95 tri-vite/fluoride. 168, 206, 207, 209 ...... 70, 103, 112, 187, 205 travoprost (bak free) ...... 126 trivora (28)...... 143, 150, 159 THIOLA...... 179 trazodone hcl...... 105 tri-vylibra...... 143, 150, 159 THIOLA EC...... 179 TRECATOR ...... 19 tri-vylibra lo...... 143, 150, 159 thioridazine hcl...... 101 TRELEGY ELLIPTA ....44, 49, 135 TRUE METRIX LEVEL 1 ...... 110 thiothixene...... 106 TREMFYA ...... 204 TRUE METRIX LEVEL 2 ...... 110 THROMBIN-JMI ...... 54 tretinoin...... 37, 192 TRUE METRIX LEVEL 3 ...... 110 THROMBIN-JMI EPISTAXIS.... 54 TRETTEN ...... 55 TRULANCE ...... 131 THROMBOGEN ...... 54 TREXALL ...... 37, 172, 176, 177 TRULICITY...... 152 tiagabine hcl...... 81 TREZIX...... 77, 98, 103 TRUMENBA ...... 41 TIAZAC...... 64, 65, 69, 75 triamcinolone acetonide...... 197 TRUSOPT...... 122 TIKOSYN...... 68 triamterene...... 73, 113 TRUVADA...... 25 tilia fe...... 143, 150, 159 triamterene-hctz...... 113, 116 TUKYSA...... 38 timolol maleate triazolam...... 91 tulana...... 143, 159 ...... 46, 62, 63, 68, 85, 121 TRICARE PRENATAL DHA TURALIO...... 38 timolol maleate ocudose...... 121 ONE...... 57, 129, 179, 206, 208 TURPENTINE ...... 192 timolol maleate pf...... 121 TRI-CHLOR...... 179 TUSSICAPS...... 13, 182 TIMOPTIC...... 121 TRICITRASOL...... 51 TWINRIX...... 41 TIMOPTIC OCUDOSE...... 121 tricitrates...... 111 tyblume...... 143, 150, 159 TIMOPTIC-XE...... 121 triderm...... 197 TYBOST...... 179 tinidazole...... 18 trientine hcl...... 133 TYKERB...... 38 tiopronin...... 179 trifluoperazine hcl...... 101 TYVASO...... 187 TISSEEL...... 204 trifluridine...... 120 TYVASO REFILL...... 187 TIVICAY...... 23 trihexyphenidyl hcl...... 44, 45, 78 TYVASO STARTER...... 187 TIVICAY PD...... 23 TRIJARDY XR...... 138, 144, 161 UBRELVY...... 91 tizanidine hcl...... 45 TRIKAFTA...... 183 UCERIS...... 135, 197 TOBI PODHALER...... 15 tri-legest fe...... 143, 150, 159 UDAMIN SP...... 115, 206, 208 TOBRADEX...... 120, 123 TRILEPTAL...... 81 ULTANE ...... 94 tobramycin...... 15, 120 tri-linyah...... 143, 150, 159 ULTRACET...... 77, 98 tobramycin-dexamethasone tri-lo-mili...... 143, 150, 159 unithroid...... 163 ...... 120, 123 tri-lo-sprintec...... 143, 150, 159 UPTRAVI...... 187 TOBREX...... 120 trimethobenzamide hcl...... 127 urea...... 199

225 urea nail...... 199 VICTOZA...... 152 XARELTO...... 51 URELLE...... 31, 44, 77, 179 VIEKIRA PAK...... 21, 22 XARELTO STARTER PACK .....51 URIBEL...... 31, 44, 77, 179 vigabatrin...... 81 XATMEP...... 38, 172, 176, 177 urin ds...... 31, 44, 77, 179 vigadrone...... 81 XELJANZ...... 172 URO-458...... 31, 44, 77, 179 VIIBRYD...... 106 XELJANZ XR...... 172 UROCIT-K 10...... 111 VIIBRYD STARTER PACK..... 106 XELPROS...... 126 UROCIT-K 15...... 111 VIMPAT...... 81, 82 XENICAL...... 131 UROCIT-K 5...... 111 VINATE ONE...... 57, 206, 208 XIFAXAN...... 29 UROGESIC-BLUE...... 31, 44, 180 VIRACEPT...... 26 XIIDRA...... 124 uro-mp...... 31, 44, 77, 180 VIRAMUNE...... 24 XOFLUZA (40 MG DOSE)...... 19 URSO 250...... 129 VIRAZOLE...... 27 XOFLUZA (80 MG DOSE)...... 19 URSO FORTE...... 129 VIREAD...... 25 XOLEGEL...... 192 ursodiol...... 129 VISTARIL...... 12, 13, 86 XOLEGEL COREPAK.....192, 197 URSODIOL+SYRSPEND SF..129 VITAFOL FE+ XOLEGEL DUO/HEAD & USTELL...... 31, 44, 78, 180 ...... 57, 115, 180, 206, 208 SHOULDERS...... 192, 200 UTIRA-C...... 31, 44, 78, 180 VITAFOL STRIPS...... 206 XOLEGEL DUO/XOLEX. 192, 200 valacyclovir hcl ...... 27 VITAFOL-NANO ...... 57, 206, 208 XOPENEX HFA...... 49, 186 valganciclovir hcl...... 27 VITAFOL-OB+DHA XOSPATA...... 38 valproic acid...... 81, 84, 86 ...... 57, 115, 180, 207, 208 XTAMPZA ER...... 98 valsartan...... 58, 59 vitamin d (ergocalciferol)...... 209 XTANDI ...... 38 valsartan-hydrochlorothiazide vitamins acd-fluoride xulane...... 143, 151, 160 ...... 59, 116 ...... 168, 207, 209 XYNTHA...... 55 VANCOCIN...... 21 VITATHELY WITH GINGER XYNTHA SOLOFUSE...... 55 VANCOCIN HCL...... 20 ...... 57, 207, 208 YASMIN 28...... 143, 151, 160 vancomycin hcl ...... 21 VITRAKVI...... 38 YAZ...... 143, 151, 160 VANCOMYCIN+SYRSPEND VIVELLE-DOT...... 150, 166 YUPELRI...... 44 SF...... 21 VIZIMPRO...... 38 yuvafem...... 151, 166 vandazole...... 15, 190 VONVENDI...... 55 ZACARE...... 192, 200 VAQTA...... 41 voriconazole...... 20 zaclir cleansing...... 200 vardenafil hcl...... 73 VOSEVI...... 21, 22 zafemy...... 143, 151, 160 VARIVAX...... 41 VOTRIENT...... 38 zafirlukast...... 184 velivet...... 143, 150, 159 VRAYLAR...... 88 zaleplon...... 86 VELPHORO...... 113 vylibra...... 143, 151, 159 zarah...... 143, 151, 160 VELTASSA...... 113 VYNDAMAX...... 66, 92 ZARONTIN...... 106 VEMLIDY...... 27 VYNDAQEL...... 66 ZARXIO...... 52 VENCLEXTA ...... 38 VYVANSE...... 76 ZELAPAR...... 94, 95 VENCLEXTA STARTING warfarin sodium...... 51 ZELBORAF...... 38 PACK...... 38 WEGOVY...... 152 ZELNORM...... 132 VENELEX...... 204 WELCHOL...... 63, 136 ZEMPLAR...... 209 venlafaxine hcl...... 104 wera...... 143, 151, 159 zenatane...... 204 venlafaxine hcl er...... 104 WESTHROID...... 163 ZENPEP...... 117, 130 VENTAVIS...... 187 WHEAT GERM OIL...... 210 ZEPATIER...... 21, 22 VENTRIXYL...... 115, 206, 208 WIDE-SEAL DIAPHRAGM 60 180 ZEPOSIA...... 176 verapamil hcl...... 64, 65, 69, 75 WIDE-SEAL DIAPHRAGM 65 180 ZEPOSIA 7-DAY STARTER verapamil hcl er...... 64, 65, 69, 75 WIDE-SEAL DIAPHRAGM 70 180 PACK...... 176 VEREGEN...... 204 WIDE-SEAL DIAPHRAGM 75 180 ZEPOSIA STARTER KIT...... 176 VERELAN...... 64, 65, 69, 75 WIDE-SEAL DIAPHRAGM 80 180 ZIAC...... 62, 116 VERELAN PM...... 64, 65, 69, 75 WIDE-SEAL DIAPHRAGM 85 180 ZIAGEN...... 25 VERZENIO...... 38 WIDE-SEAL DIAPHRAGM 90 180 zidovudine...... 25 vestura...... 143, 150, 159 WIDE-SEAL DIAPHRAGM 95 180 ZIEXTENZO...... 53 VFEND...... 20 WILZIN...... 115 zileuton er...... 184 VIBERZI...... 131 WP THYROID...... 163 ZIOPTAN...... 126 VIBRAMYCIN...... 17, 30 XALKORI...... 38 ziprasidone hcl...... 84, 88

226 ZIRGAN...... 121 ZITHROMAX ...... 28 ZITHROMAX TRI-PAK...... 28 ZITHROMAX Z-PAK...... 28 ZOLINZA...... 39 zolmitriptan...... 104, 105 zolpidem tartrate...... 86 zolpidem tartrate er...... 86 ZOMIG...... 105 ZONEGRAN...... 82 zonisamide...... 82 ZORBTIVE...... 153, 162 zovia 1/35 (28)...... 143, 151, 160 zovia 1/35e (28)...... 143, 151, 160 ZOVIRAX...... 27 ZUBSOLV...... 99, 100 zumandimine...... 143, 151, 160 ZYDELIG...... 39 ZYFLO ...... 184 ZYKADIA...... 39 ZYLET...... 120, 123 ZYMAXID...... 120 ZYVOX...... 28

227