Brand Name PA Status Generic Name Strength Form Therapeutic Class 8

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Brand Name PA Status Generic Name Strength Form Therapeutic Class 8-MOP METHOXSALEN 10MG CAPSULE Antipsoriatic Agents, Systemic ABILIFY ARIPIPRAZOLE 10MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 15MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 20MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 30MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 5MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 2MG TABLET Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABILIFY ARIPIPRAZOLE 5MG/5ML SOLUTION Antipsycotic, Atyp,D2 Agonist/5HT Mixed ABLETEX PSE GUAIFENESIN/P-EPHED HCL 600-120MG TAB.SR 12H Expectorants ACCOLATE ZAFIRLUKAST 10MG TABLET Leukotriene Receptor Antagonists ACCOLATE ZAFIRLUKAST 20MG TABLET Leukotriene Receptor Antagonists ACCUPRIL QUINAPRIL HCL/MAG CARB 10MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 20MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 40MG TABLET Hypotensives, ACE Blocking Agents ACCUPRIL QUINAPRIL HCL/MAG CARB 5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 10-12.5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-12.5MG TABLET Hypotensives, ACE Blocking Agents ACCURETIC QUINAPRIL/HCTZ/MAG CARB 20-25MG TABLET Hypotensives, ACE Blocking Agents ACCUTANE ISOTRETINOIN 10MG CAPSULE Acne Agents, Systemic ACCUTANE ISOTRETINOIN 20MG CAPSULE Acne Agents, Systemic ACCUTANE ISOTRETINOIN 40MG CAPSULE Acne Agents, Systemic ACETOHEXAMIDE ACETOHEXAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas ACETYLCYSTEINE ACETYLCYSTEINE 200MG/ML VIAL Mucolytics ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% CREAM(GM) Topical Antiinflammatory Preparations ACLOVATE ALCLOMETASONE DIPROPIONAT 0.05% OINT.(GM) Topical Antiinflammatory Preparations ACTIFED WITH CODEINE P-EPHED HCL/COD PHOS/TRIP 30-10-1.25 SYRUP Cough and Cold Preparations ACTIGALL URSODIOL 300MG CAPSULE Bile Salts PA ACTIQ Required FENTANYL CITRATE 1200MCG LOLLIPOP Analgesics, Narcotics PA ACTIQ Required FENTANYL CITRATE 1600MCG LOLLIPOP Analgesics, Narcotics PA ACTIQ Required FENTANYL CITRATE 200MCG LOLLIPOP Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class PA ACTIQ Required FENTANYL CITRATE 400MCG LOLLIPOP Analgesics, Narcotics PA ACTIQ Required FENTANYL CITRATE 600MCG LOLLIPOP Analgesics, Narcotics PA ACTIQ Required FENTANYL CITRATE 800MCG LOLLIPOP Analgesics, Narcotics ACTIVELLA ESTRADIOL/NORETH AC 0.5-1.0mg TABLET Miotics/Other Intraocular Pressure Reducers ACTONEL RISEDRONATE SODIUM 30MG TABLET Bone Ossification Suppression Agents ACTONEL RISEDRONATE SODIUM 35MG TABLET Bone Ossification Suppression Agents ACTONEL RISEDRONATE SODIUM 5MG TABLET Bone Ossification Suppression Agents ACTONEL RISEDRONATE SODIUM 75mg TABLET Bone Ossification Suppression Agents Actonel RISEDRONATE SODIUM 150mg Tablet Bone Ossification Suppression Agents ACTOS PIOGLITAZONE HCL 15MG TABLET Hypoglycemics, Insulin-Response Enhancer ACTOS PIOGLITAZONE HCL 30MG TABLET Hypoglycemics, Insulin-Response Enhancer ACTOS PIOGLITAZONE HCL 45MG TABLET Hypoglycemics, Insulin-Response Enhancer ACULAR KETOROLAC TROMETHAMINE 0.50% DROPS Eye Antiinflammatory Agents ACULAR LS KETOROLAC TROMETHAMINE 0.40% DROPS Eye Antiinflammatory Agents ACULAR PF KETOROLAC TROMETHAMINE 0.50% DROPERETTE Eye Antiinflammatory Agents ADALAT CC NIFEDIPINE 30MG TABLET SA Calcium Channel Blocking Agents ADALAT CC NIFEDIPINE 60MG TABLET SA Calcium Channel Blocking Agents ADALAT CC NIFEDIPINE 90MG TABLET SA Calcium Channel Blocking Agents ADAPIN DOXEPIN HCL 100MG CAPSULE Antidepressants ADAPIN DOXEPIN HCL 100MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ADAPIN DOXEPIN HCL 150MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ADAPIN DOXEPIN HCL 75MG CAPSULE Antidepressants ADAPIN DOXEPIN HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ADDERALL AMPHET ASP/AMPHET/D-AMPHE 10MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 12.5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 15MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 20MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 30MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL AMPHET ASP/AMPHET/D-AMPHE 7.5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 10MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine Brand Name PA Status Generic Name Strength Form Therapeutic Class ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 15MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 20MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 25MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 30MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine ADDERALL XR AMPHET ASP/AMPHET/D-AMPHE 5MG CAP.SR 24H Adrenergic Agents, Aromatic, Non-Catecholamine ADRENALIN CHLORIDE EPINEPHRINE SOLUTION General Bronchodilator Agents ADRENALIN CHLORIDE EPINEPHRINE 1MG/ML VIAL Adrenergic Agents, Catecholamines ADRENALIN CHLORIDE NASAL EPINEPHRINE SOLUTION Nose Preparations, Vasoconstrictors ADSORBOCARPINE PILOCARPINE HCL 1% DROPS Miotics/Other Intraocular Pressure Reducers ADVAIR DISKUS FLUTICASONE/SALMETEROL 100-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination ADVAIR DISKUS FLUTICASONE/SALMETEROL 250-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination ADVAIR DISKUS FLUTICASONE/SALMETEROL 500-50MCG DISK W/DEV Beta-Adrenergic and Glucocorticoids Combination ADVAIR HFA FLUTICASONE/SALMETEROL 45-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination ADVAIR HFA FLUTICASONE/SALMETEROL 115-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination ADVAIR HFA FLUTICASONE/SALMETEROL 230-21MCG AER W/ADAP Beta-Adrenergic and Glucocorticoids Combination ADVICOR NIACIN/LOVASTATIN 1000-20MG TAB MPHASE Lipotropics ADVICOR NIACIN/LOVASTATIN 500-20MG TAB MPHASE Lipotropics ADVICOR NIACIN/LOVASTATIN 750-20MG TAB MPHASE Lipotropics ADVICOR NIACIN/LOVASTATIN 1000-40MG TAB MPHASE Lipotropics AEROBID FLUNISOLIDE 250MCG AER W/ADAP Glucocorticoids, Topical AEROBID-M FLUNISOLIDE/MENTHOL 250MCG AER W/ADAP Glucocorticoids, Topical AEROKID PHENYLEPHRINE/CHLOR-MAL/S 10-4-1.25 SYRUP Cough and Cold Preparations AEROLATE 111 THEOPHYLLINE ANHYDROUS 65MG CAP.SR 12H Xanthines AEROLATE JR THEOPHYLLINE ANHYDROUS 130MG CAP.SR 12H Xanthines AGENERASE AMPRENAVIR/VITAMIN E 150MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors AGENERASE AMPRENAVIR/VITAMIN E 50MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors AGENERASE AMPRENAVIR/VITAMIN E/PROP 15MG/ML SOLUTION Antivirals, HIV-Specific, Protease Inhibitors AGRYLIN ANAGRELIDE HCL 0.5MG CAPSULE Platelet Reducing Agents AGRYLIN ANAGRELIDE HCL 1MG CAPSULE Platelet Reducing Agents AIRET ALBUTEROL SULFATE 0.83MG/ML SOLUTION Beta-Adrenergic Agents AKINETON BIPERIDEN HCL 2MG TABLET Antiparkinsonism Drugs, Anticholinergic AK-TRACIN BACITRACIN 500 UNIT/G OINT.(GM) Eye Antibiotics ALA-CORT HYDROCORTISONE 1% CREAM(GM) Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class ALAMAST PEMIROLAST POTASSIUM 0.10% DROPS Ophthalmic Mast Cell Stabilizers ALA-TET TETRACYCLINE HCL 250MG CAPSULE Tetracyclines ALDACTONE SPIRONOLACTONE 100MG TABLET Potassium Sparing Diuretics ALDACTONE SPIRONOLACTONE 25MG TABLET Potassium Sparing Diuretics ALDACTONE SPIRONOLACTONE 50MG TABLET Potassium Sparing Diuretics ALDARA IMIQUIMOD 5% PACKET Immunomodulators ALDOMET METHYLDOPA 125MG TABLET Hypotensives, Sympatholitic ALDOMET METHYLDOPA 250MG TABLET Hypotensives, Sympatholitic ALDOMET METHYLDOPA 250MG/5ML ORAL SUSP Hypotensives, Sympatholitic ALKERAN MELPHALAN 2MG TABLET Alkylating Agents ALKERAN MELPHALAN HCL 50MG VIAL Alkylating Agents ALLEGRA FEXOFENADINE HCL 180MG TABLET Antihistamines, Cont 5 ALLEGRA FEXOFENADINE HCL 30MG TABLET Antihistamines, Cont 2 ALLEGRA FEXOFENADINE HCL 60MG CAPSULE Antihistamines, Cont 3 ALLEGRA FEXOFENADINE HCL 60MG TABLET Antihistamines, Cont 4 ALLEGRA-D P-EPHED HCL/FEXOFENADINE 120-60MG TAB.SR 12H Antihistamines ALLERGIA-C DIPHENHYDRAMINE HCL 25MG CAPSULE Antihistamines ALOCRIL NEDOCROMIL SODIUM 2% DROPS Ophthalmic Mast Cell Stabilizers ALOMIDE LODOXAMIDE TROMETHAMINE 0.10% DROPS Eye Antiinflammatory Agents ALOMIDE LODOXAMIDE TROMETHAMINE 0.10% DROPS Ophthalmic Mast Cell Stabilizers ALPHAGAN BRIMONIDINE TARTRATE 0.20% DROPS Miotics/Other Intraocular Pressure Reducers ALPHAGAN P BRIMONIDINE TARTRATE 0.15% DROPS Miotics/Other Intraocular Pressure Reducers ALPHAGAN P BRIMONIDINE TARTRATE 0.10% DROPS Miotics/Other Intraocular Pressure Reducers ALPHATREX BETAMETHASONE DIPROPIONAT 0.05% LOTION Topical Antiinflammatory Preparations ALPRAZOLAM INTENSOL ALPRAZOLAM 1MG/ML ORAL CONC. Anti-Anxiety Drugs Alrex Loteprednol etabonate 0.20% Drops Eye Antiinflammatory Agents ALTACE RAMIPRIL 1.25MG CAPSULE Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 10MG CAPSULE Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 2.5MG CAPSULE Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 5MG CAPSULE Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 1.25MG TABLET Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 2.5MG TABLET Hypotensives, ACE Blocking Agents ALTACE RAMIPRIL 5MG TABLET Hypotensives, ACE Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class ALTACE RAMIPRIL 10MG TABLET Hypotensives, ACE Blocking Agents ALUPENT METAPROTERENOL SULFATE 10MG TABLET Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 10MG/5ML SYRUP Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 20MG TABLET Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 4MG/ML SOLUTION Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 50MG/ML SOLUTION Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 650MCG AER W/ADAP Beta-Adrenergic Agents ALUPENT METAPROTERENOL SULFATE 6MG/ML SOLUTION Beta-Adrenergic Agents ALUSTRA VITAMIN A/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents AMARYL GLIMEPIRIDE 1MG TABLET Oral Hypoglycemics, Sulfonylureas AMARYL GLIMEPIRIDE 2MG TABLET Oral Hypoglycemics, Sulfonylureas AMARYL GLIMEPIRIDE 4MG TABLET Oral Hypoglycemics, Sulfonylureas AMBIEN ZOLPIDEM TARTRATE 10MG TABLET Non-Barbiturate, Sedative-Hypnotic AMBIEN ZOLPIDEM TARTRATE 5MG TABLET Non-Barbiturate, Sedative-Hypnotic Step Edit Required- Must Try 6.25MG Ambien AMBIEN CR First ZOLPIDEM TARTRATE TABLET Non-Barbiturate, Sedative-Hypnotic Step Edit Required- Must Try 12.5MG Ambien AMBIEN CR First ZOLPIDEM TARTRATE TABLET Non-Barbiturate, Sedative-Hypnotic AMINOPHYLLIN AMINOPHYLLINE 100MG TABLET Xanthines AMINOPHYLLIN AMINOPHYLLINE 200MG TABLET Xanthines AMINOPHYLLINE AMINOPHYLLINE 200MG TABLET EC Xanthines AMITRIPTYLINE W/PERPHENAZ AMITRIPTYLINE HCL/PERPHEN 10-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns AMITRIPTYLINE W/PERPHENAZ AMITRIPTYLINE HCL/PERPHEN 50-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns AMOXAPINE AMOXAPINE 100MG TABLET Antidepressants AMOXAPINE AMOXAPINE 150MG TABLET Antidepressants AMOXAPINE AMOXAPINE 25MG TABLET Antidepressants AMOXAPINE AMOXAPINE 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib AMOXAPINE AMOXAPINE 50MG TABLET Antidepressants AMOXICILLIN AMOXICILLIN TRIHYDRATE 250MG CAPSULE Penicillins Brand Name PA Status Generic Name Strength Form Therapeutic Class AMOXIL AMOXICILLIN TRIHYDRATE 125MG TAB CHEW Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 200MG TAB CHEW Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 200MG/5ML SUSP RECON Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 250MG TAB CHEW Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 400MG TAB CHEW Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 400MG/5ML SUSP RECON Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 500MG CAPSULE Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 500MG TABLET Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 50MG/ML DROP RECON Penicillins AMOXIL AMOXICILLIN TRIHYDRATE 875MG TABLET Penicillins AMPICILLIN TRIHYDRATE AMPICILLIN TRIHYDRATE 250MG CAPSULE Penicillins AMPICILLIN TRIHYDRATE AMPICILLIN TRIHYDRATE 500MG CAPSULE Penicillins ANAFRANIL CLOMIPRAMINE HCL 25MG CAPSULE Antidepressants ANAFRANIL CLOMIPRAMINE HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ANAFRANIL CLOMIPRAMINE HCL 50MG CAPSULE Antidepressants ANAFRANIL CLOMIPRAMINE HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ANAFRANIL CLOMIPRAMINE HCL 75MG CAPSULE Antidepressants ANAFRANIL CLOMIPRAMINE HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ANA-GUARD EPINEPHRINE 1MG/ML DISP SYRIN Anaphylaxis therapy agent ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 1-1% CREAM(GM) Hemorrhoidal Preparations ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 2.5-1% LOTION Hemorrhoidal Preparations ANALPRAM-HC HC ACETATE/PRAMOXINE HCL 2.5-1% CREAM(GM) Hemorrhoidal Preparations ANAPROX NAPROXEN SODIUM 275MG TABLET Anti-inflammatory Agents ANAPROX DS NAPROXEN SODIUM 550MG TABLET Anti-inflammatory Agents ANDROID METHYLTESTOSTERONE 10MG CAPSULE Androgenic Agents ANEXSIA HYDROCODONE BIT/ACETAMINO 10-660MG TABLET Analgesics, Narcotics ANSAID FLURBIPROFEN 100MG TABLET Anti-inflammatory Agents ANSAID FLURBIPROFEN 50MG TABLET Anti-inflammatory Agents ANTABUSE DISULFIRAM 250MG TABLET Antialcoholic Preparations ANTARA FENOFIBRATE,MICRONIZED 43MG CAPSULE Lipotropics ANTARA FENOFIBRATE,MICRONIZED 130MG CAPSULE Lipotropics ANTIMINTH PYRANTEL PAMOATE 144MG/ML ORAL SUSP Anthelmintics ANTIVERT MECLIZINE HCL 50MG TABLET Anti-Emetics Brand Name PA Status Generic Name Strength Form Therapeutic Class ANTURANE SULFINPYRAZONE 200MG CAPSULE Uricosuric Agents ANUSOL-HC HC/BISMUTH SUBGAL/ZNOX/RE CREAM Hemorrhoidal Preparations ANUSOL-HC HC/RESOR/BISMUTH SUBGAL/Z SUPP.RECT Hemorrhoidal Preparations ANUSOL-HC HYDROCORTISONE 2.50% CREAM(GM) Rectal Preparations ANUSOL-HC HYDROCORTISONE ACETATE 1% OINT.(GM) Rectal Preparations ANUSOL-HC HYDROCORTISONE ACETATE 25MG SUPP.RECT Rectal Preparations PA ANZEMET Required DOLASETRON MESYLATE 100MG TABLET Anti-Emetics PA ANZEMET Required DOLASETRON MESYLATE 12.5/0.625 AMPUL Anti-Emetics PA ANZEMET Required DOLASETRON MESYLATE 20MG/ML VIAL Anti-Emetics PA ANZEMET Required DOLASETRON MESYLATE 50MG TABLET Anti-Emetics APIDRA INSULIN GLULISINE 100 U/ML VIAL Insulins APIDRA INSULIN GLULISINE 101 U/ML CARTRIDGE Insulins APRESOLINE HYDRALAZINE HCL 100MG TABLET Hypotensives, Vasodilators APRESOLINE HYDRALAZINE HCL 10MG TABLET Hypotensives, Vasodilators APRESOLINE HYDRALAZINE HCL 25MG TABLET Hypotensives, Vasodilators APRESOLINE HYDRALAZINE HCL 50MG TABLET Hypotensives, Vasodilators APTIVUS TIPRANAVIR 250MG CAPSULE Antiretroviral Agents AQUASOL A VITAMIN A 50MU CAPSULE Vitamin A Preparations AQUASOL A DROPS VITAMIN A 5MU/0.1ML DROPS Vitamin A Preparations ARALEN HCL CHLOROQUINE HCL 50MG/ML AMPUL Antimalarial Drugs ARALEN PHOSPHATE CHLOROQUINE PHOSPHATE 500MG TABLET Antimalarial Drugs ARALEN W/PRIMAQUINE CHLOROQUINE/PRIMAQUIN TABLET Antimalarial Drugs PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 100MCG/0.5 DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 100MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 150MCG/.75 VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 150MCG/0.3 DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 200MCG/0.4 DISP SYRIN Hematinics, Other Brand Name PA Status Generic Name Strength Form Therapeutic Class PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 200MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 25MCG/0.42 DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 25MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 300MCG/0.6 DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 300MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 40MCG/0.4 DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 40MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 500MCG/ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 60MCG/.3ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN ALBUM 60MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 40MCG/0.4ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 60MCG/0.3ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 100MCG/0.5ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 200MCG/0.4ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 250MCG/0.42ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 300MCG/0.6ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 300MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 25MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 40MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 60MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 1000MCG/ML VIAL Hematinics, Other Brand Name PA Status Generic Name Strength Form Therapeutic Class PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 200MCG/ML VIAL Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 150MCG/0.3ML DISP SYRIN Hematinics, Other PA ARANESP Required DARBEPOETIN ALFA IN POLYSORBAT 150MCG/0.75ML VIAL Hematinics, Other ARAVA LEFLUNOMIDE 100MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor ARAVA LEFLUNOMIDE 10MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor ARAVA LEFLUNOMIDE 20MG TABLET Anti-inflammatory, Pyrimidine Synthesis Inhibitor ARICEPT DONEPEZIL HCL 10MG TABLET Cholinesterase Inhibitors ARICEPT DONEPEZIL HCL 5MG TABLET Cholinesterase Inhibitors ARIMIDEX ANASTROZOLE 1MG TABLET Antineoplastics, Misc ARISTOCORT TRIAMCINOLONE 1MG TABLET Glucocorticoids, Topical ARISTOCORT TRIAMCINOLONE 2MG TABLET Glucocorticoids, Topical ARISTOCORT TRIAMCINOLONE 4MG TABLET Glucocorticoids, Topical ARISTOCORT TRIAMCINOLONE 8MG TABLET Glucocorticoids, Topical ARISTOCORT TRIAMCINOLONE ACETONIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations ARISTOCORT TRIAMCINOLONE DIACETATE 2MG/5ML SYRUP Glucocorticoids, Topical ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.03% CREAM(GM) Topical Antiinflammatory Preparations ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.10% CREAM(GM) Topical Antiinflammatory Preparations ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.10% OINT.(GM) Topical Antiinflammatory Preparations ARISTOCORT A TRIAMCINOLONE ACETONIDE/L 0.50% CREAM(GM) Topical Antiinflammatory Preparations ARISTOCORT HP TRIAMCINOLONE ACETONIDE 0.50% OINT.(GM) Topical Antiinflammatory Preparations ARISTO-PAK TRIAMCINOLONE 4MG TAB DS PK Glucocorticoids, Topical ARIXTRA FONDAPARINUX SODIUM 10MG/0.8ML DISP SYRIN Heparin Preparations ARIXTRA FONDAPARINUX SODIUM 2.5MG/0.5 DISP SYRIN Heparin Preparations ARIXTRA FONDAPARINUX SODIUM 5MG/0.4ML DISP SYRIN Heparin Preparations ARIXTRA FONDAPARINUX SODIUM 7.5MG/0.6 DISP SYRIN Heparin Preparations ARMOUR THYROID THYROID 120MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 15MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 180MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 240MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 300MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 30MG TABLET Thyroid Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class ARMOUR THYROID THYROID 60MG TABLET Thyroid Hormones ARMOUR THYROID THYROID 90MG TABLET Thyroid Hormones AROMASIN EXEMESTANE 25MG TABLET Antineoplastics, Misc, cont ARTANE TRIHEXYPHENIDYL HCL 2MG TABLET Antiparkinsonism Drugs, Anticholinergic ARTANE TRIHEXYPHENIDYL HCL 2MG/5ML ELIXIR Antiparkinsonism Drugs, Anticholinergic ARTANE TRIHEXYPHENIDYL HCL 5MG TABLET Antiparkinsonism Drugs, Anticholinergic ARTANE SEQUEL TRIHEXYPHENIDYL HCL 5MG CAPSULE SA Antiparkinsonism Drugs, Anticholinergic ASACOL MESALAMINE 400MG TABLET DR Drug TX-Chronic Inflam. Colon DX ASCRIPTIN ASA/CALCIUM CARB/MAG/AL H 325MG TABLET Analgesics, Salicylates ASCRIPTIN MAXIMUM STRENGT ASA/CALCIUM CARB/MAG/AL H 500MG TABLET Analgesics, Salicylates ASENDIN AMOXAPINE 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ASENDIN AMOXAPINE 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ASENDIN AMOXAPINE 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ASMANEX MOMETASONE FUROATE 220MCG AERO POWD Glucocorticoids, Topical ASPIRIN ASPIRIN 81MG TAB CHEW Analgesics, Salicylates ASPIRIN W/CODEINE CODEINE PHOSPHATE/ASPIRIN 15-325MG TABLET Analgesics, Narcotics ASPIR-TRIN ASPIRIN 650MG TABLET DR Analgesics, Salicylates ASTELIN AZELASTINE HCL 137MCG SPRAY/PUMP Nose Preparations, Vasoconstrictors ATABRINE HCL QUINACRINE HCL 100MG TABLET Antimalarial Drugs ATARAX HYDROXYZINE HCL 100MG TABLET Antihistamines, Cont 7 ATARAX HYDROXYZINE HCL 10MG/5ML SYRUP Antihistamines, Cont 6 ATIVAN LORAZEPAM 0.5MG TABLET Anti-Anxiety Drugs ATIVAN LORAZEPAM 1MG TABLET Anti-Anxiety Drugs ATIVAN LORAZEPAM 2MG TABLET Anti-Anxiety Drugs ARTV CMB Nucleoside, Nucleotide, & non-Nucleoside ATRIPLA EMTRICITABINE/TENOFOVIR/EFAVIR 200-300-600 TABLET RTI ATROPINE SULFATE ATROPINE SULFATE 1% OINTMENT Mydriatics ATROVENT IPRATROPIUM BROMIDE 18MCG AER W/ADAP General Bronchodilator Agents ATROVENT IPRATROPIUM BROMIDE 21MCG SPRAY Nose Preparations, Miscellaneous (RX) ATROVENT IPRATROPIUM BROMIDE 42MCG SPRAY Nose Preparations, Miscellaneous (RX) ATROVENT HFA IPRATROPIUM BROMIDE 17MCG AER W/ADAP Nose Preparations, Miscellaneous (RX) AUGMENTIN AMOX TR/POTASSIUM CLAVULA 125-31.25 SUSP RECON Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 125-31.25 TAB CHEW Penicillins Brand Name PA Status Generic Name Strength Form Therapeutic Class AUGMENTIN AMOX TR/POTASSIUM CLAVULA 200-28.5/5 SUSP RECON Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 200-28.5MG TAB CHEW Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 250-62.5/5 SUSP RECON Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 400-57MG TAB CHEW Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 400-57MG/5 SUSP RECON Penicillins AUGMENTIN AMOX TR/POTASSIUM CLAVULA 875-125MG TABLET Penicillins AUGMENTIN 250 AMOX TR/POTASSIUM CLAVULA 250-125MG TABLET Penicillins AUGMENTIN 250 AMOX TR/POTASSIUM CLAVULA 250-62.5MG TAB CHEW Penicillins AUGMENTIN 500 AMOX TR/POTASSIUM CLAVULA 500-125MG TABLET Penicillins AUGMENTIN ES-600 AMOX TR/POTASSIUM CLAVULA 600-42.9/5 SUSP RECON Penicillins AUGMENTIN XR AMOX TR/POTASSIUM CLAVULA 1000-62.5 TAB.SR 12H Penicillins AVALIDE IRBESARTAN/HYDROCHLOROTHI 150-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVALIDE IRBESARTAN/HYDROCHLOROTHI 300-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVALIDE IRBESARTAN/HYDROCHLOROTHI 300-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVANDAMET ROSIGLITAZONE/METFORMIN H 1-500MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDAMET ROSIGLITAZONE/METFORMIN H 2-1000MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDAMET ROSIGLITAZONE/METFORMIN H 2-500MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDAMET ROSIGLITAZONE/METFORMIN H 4-1000MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDAMET ROSIGLITAZONE/METFORMIN H 4-500MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDIA ROSIGLITAZONE MALEATE 2MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDIA ROSIGLITAZONE MALEATE 4MG TABLET Hypoglycemics, Insulin-Response Enhancer AVANDIA ROSIGLITAZONE MALEATE 8MG TABLET Hypoglycemics, Insulin-Response Enhancer AVAPRO IRBESARTAN 150MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVAPRO IRBESARTAN 300MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVAPRO IRBESARTAN 75MG TABLET Hypotensives, Angiotensin Receptor Antagonist AVC SULFANILAMIDE 15% CREAM/APPL Vaginal Sulfonamides AVELOX MOXIFLOXACIN HCL 400MG TABLET Quinolones AVODART DUTASTERIDE 0.5MG CAPSULE BPH/Micturition Agents AVONEX INTERFERON BETA-1A 30MCG/.5ML KIT Agents to treat Multiple Sclerosis AVONEX ADMINISTRATION PAC INTERFERON BETA-1A/ALBUMI 30MCG KIT Agents to treat Multiple Sclerosis AXERT ALMOTRIPTAN MALATE 12.5MG TABLET Imitrex Oral Drugs AXERT ALMOTRIPTAN MALATE 6.25MG TABLET Antimigraine Preparations AXID NIZATIDINE 150MG CAPSULE Gastric Acid Secretion Reducers Brand Name PA Status Generic Name Strength Form Therapeutic Class AXID NIZATIDINE 150MG/10ML SOLUTION Gastric Acid Secretion Reducers AXID NIZATIDINE 300MG CAPSULE Gastric Acid Secretion Reducers AYGESTIN NORETHINDRONE ACETATE 5MG TABLET Progestational Agents AZASAN AZATHIOPRINE 100MG TABLET Immunosuppresives AZASAN AZATHIOPRINE 75MG TABLET Immunosuppresives AZILECT RASAGILINE 0.5MG TABLET Antiparkinsonism Drugs, Other AZILECT RASAGILINE 1MG TABLET Antiparkinsonism Drugs, Other AZILECT RASAGILINE MESYLATE 0.5mg TABLET Antiparkinsonism Drugs, Other AZILECT RASAGILINE MESYLATE 1mg TABLET Antiparkinsonism Drugs, Other AZMACORT TRIAMCINOLONE ACETONIDE 100MCG AER W/ADAP Glucocorticoids, Topical AZOPT BRINZOLAMIDE 1% DROPS SUSP Miotics/Other Intraocular Pressure Reducers AZULFIDINE SULFASALAZINE 250MG/5ML ORAL SUSP Absorbable Sulfonamides AZULFIDINE SULFASALAZINE 500MG TABLET Absorbable Sulfonamides AZULFIDINE SULFASALAZINE 500MG TABLET DR Absorbable Sulfonamides B-12 CYANOCOBALAMIN 1000MCG TABLET Vitamin B-12 Preparations BACTRIM DS SULFAMETHOXAZOLE/TRIMETHO 800-160MG TABLET Absorbable Sulfonamides BACTROBAN MUPIROCIN CALCIUM 2% CREAM(GM) Topical Antibiotics BACTROBAN NASAL MUPIROCIN CALCIUM 2% OINT.(GM) Nose Preparations, Antibiotics BALAGAN ANTIPYRINE/BENZOCAINE/GLY 5.4-1.4% DROPS Ear Preparations, Local Anesthetics BALAMINE DM DM HB/P-EPHED HCL/CARBINO 4-25-2/ML DROPS Cough and Cold Preparations BALTUSSIN HC PHENYLEPHRINE/HYDROCODONE 5-2.5-2 SYRUP Cough and Cold Preparations BANCAP HC HYDROCODONE BIT/ACETAMINO 5-500MG CAPSULE Analgesics, Narcotics BANOPHEN PLUS P-EPHED HCL/DP-HYDRAM HCL CAPSULE Cough and Cold Preparations BAN-SMOKE BENZOCAINE 6MG GUM Smoking Deterrents, other BARACLUDE ENTECAVIR 0.5MG TABLET Hepatitis B Treatment Agents BARACLUDE ENTECAVIR 1MG TABLET Hepatitis B Treatment Agents BARACLUDE ENTECAVIR 0.05MG/ML SOLUTION Hepatitis B Treatment Agents BAYER EXTRA STRENGTH ASPIRIN 500MG TABLET Analgesics, Salicylates BECONASE BECLOMETHASONE DIPROPIONA 42MCG AER W/ADAP Nose Preparations, Antiinflammatory BECONASE AQ BECLOMETHASONE DIPROPIONA 42MCG SPRAY Nose Preparations, Antiinflammatory BELLERGAL-S ERGOTAMINE/BELLAD ALK/PB 0.6-0.2-40 TABLET Antispasmodic Agents BENADRYL ALLERGY DIPHENHYDRAMINE HCL 25MG TABLET Antihistamines BENEMID PROBENECID 500MG TABLET Uricosuric Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class BENICAR OLMESARTAN MEDOXOMIL 20MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENICAR OLMESARTAN MEDOXOMIL 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENICAR OLMESARTAN MEDOXOMIL 5MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 20-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 40-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENICAR HCT OLMESARTN/HYDROCHLOROTHIA 40-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist BENTYL DICYCLOMINE HCL 10MG CAPSULE Anticholinergics, Antispasmodics BENTYL DICYCLOMINE HCL 10MG/5ML SYRUP Anticholinergics, Antispasmodics BENTYL DICYCLOMINE HCL 20MG TABLET Anticholinergics, Antispasmodics BENZAC AC BENZOYL PEROXIDE 5% GEL Keratolytics BENZAC W 2.5 BENZOYL PEROXIDE 2.50% GEL Keratolytics BENZAC W WASH BENZOYL PEROXIDE 10% LIQUID Keratolytics BENZACLIN CLINDAMYCIN PHOSPHATE/BEN 1-5% GEL Acne Agents, Topical BENZAMYCIN ERYTHROMYCIN BASE/BENZ PE 3-5% GEL Topical Antibiotics BENZAMYCINPAK ERYTHROMYCIN BASE/BENZ PE 3-5% GEL Topical Antibiotics BENZONATATE BENZONATATE 100MG CAPSULE Antitussives, Non-Narcotic BENZONATATE BENZONATATE 200MG CAPSULE Antitussives, Non-Narcotic BENZTROPINE MESYLATE BENZTROPINE MESYLATE 2MG TABLET Antiparkinsonism Drugs, Anticholinergic BETA HC HYDROCORTISONE 0.25% CREAM(GM) Topical Antiinflammatory Preparations BETAGAN LEVOBUNOLOL HCL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers BETAGAN LEVOBUNOLOL HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers BETAPACE SOTALOL HCL 120MG TABLET Beta-Adrenergic Blocking Agents BETAPACE SOTALOL HCL 240MG TABLET Beta-Adrenergic Blocking Agents BETAPACE AF SOTALOL HCL 160MG TABLET Beta-Adrenergic Blocking Agents BETAPACE AF SOTALOL HCL 80MG TABLET Beta-Adrenergic Blocking Agents BETASERON INTERFERON BETA-1B 0.3MG VIAL Agents to treat Multiple Sclerosis BETATREX BETAMETHASONE VALERATE 0.10% OINT.(GM) Topical Antiinflammatory Preparations BETATREX BETAMETHASONE VALERATE 0.10% LOTION Topical Antiinflammatory Preparations BETIMOL TIMOLOL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers BETIMOL TIMOLOL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers BETOPTIC BETAXOLOL HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers BETOPTIC S BETAXOLOL HCL 0.25% DROPS SUSP Miotics/Other Intraocular Pressure Reducers BIAXIN CLARITHROMYCIN 125MG/5ML SUSP RECON Macrolides Brand Name PA Status Generic Name Strength Form Therapeutic Class BIAXIN CLARITHROMYCIN 250MG TABLET Macrolides BIAXIN CLARITHROMYCIN 250MG/5ML SUSP RECON Macrolides BIAXIN CLARITHROMYCIN 500MG TABLET Macrolides BILTRICIDE PRAZIQUANTEL 600MG TABLET Anthelmintics BIODEC P-EPHED HCL/CARBINOX MAL 25-2MG/ML DROPS Antihistamines BLEPH-10 SULFACETAMIDE SODIUM 10% DROPS Eye Sulfonamides BLEPHAMIDE NA SULFACETM/PREDNISOL AC 10-0.2% DROPS SUSP Eye Sulfonamides BLEPHAMIDE S.O.P. NA SULFACETM/PREDNISOL AC 10-0.2% OINT.(GM) Eye Sulfonamides BLOCADREN TIMOLOL MALEATE 10MG TABLET Beta-Adrenergic Blocking Agents BLOCADREN TIMOLOL MALEATE 20MG TABLET Beta-Adrenergic Blocking Agents BLOCADREN TIMOLOL MALEATE 5MG TABLET Beta-Adrenergic Blocking Agents BLOOD GLUCOSE BLOOD-GLUCOSE METER KIT Diabetic Supplies BRETHINE TERBUTALINE SULFATE 2.5MG TABLET Beta-Adrenergic Agents BRETHINE TERBUTALINE SULFATE 5MG TABLET Beta-Adrenergic Agents BREVOXYL-4 BENZOYL PEROXIDE 4% LIQUID Keratolytics BROFED P-EPHED HCL/BROMPHENIRAMI 30-4MG/5ML SYRUP Antihistamines BROMFED P-EPHED HCL/BROMPHENIRAMI 120-12MG CAPSULE SA Antihistamines BROMFED P-EPHED HCL/BROMPHENIRAMI 60-4MG TABLET Antihistamines BROMFED-PD P-EPHED HCL/BROMPHENIRAMI 60-6MG CAPSULE SA Antihistamines BROMPHENIRAMINE/PHENYLPRO PPA HCL/BROMPHENIRAMIN 75-12MG TAB.SR 12H Cough and Cold Preparations BUMEX BUMETANIDE 0.5MG TABLET Loop Diuretics BUMEX BUMETANIDE 1MG TABLET Loop Diuretics BUMEX BUMETANIDE 2MG TABLET Loop Diuretics BUSPAR BUSPIRONE HCL 10MG TABLET Anti-Anxiety Drugs BUSPAR BUSPIRONE HCL 15MG TABLET Anti-Anxiety Drugs BUSPAR BUSPIRONE HCL 30MG TABLET Anti-Anxiety Drugs BUSPAR BUSPIRONE HCL 5MG TABLET Anti-Anxiety Drugs BUTALBITAL-CAFF-APAP-CODE CODEINE/APAP/CAFFEIN/BUTA 30MG CAPSULE Analgesics, Narcotics BUTISOL SODIUM BUTABARBITAL SODIUM 100MG TABLET Barbiturates BUTISOL SODIUM BUTABARBITAL SODIUM 15MG TABLET Barbiturates BUTISOL SODIUM BUTABARBITAL SODIUM 30MG TABLET Barbiturates BUTISOL SODIUM BUTABARBITAL SODIUM 30MG/5ML ELIXIR Barbiturates BUTISOL SODIUM BUTABARBITAL SODIUM 50MG TABLET Barbiturates Brand Name PA Status Generic Name Strength Form Therapeutic Class BYETTA EXENATIDE 5MCG/0.02ML PEN INJ GLP-Recep Agonist BYETTA EXENATIDE 10MCG/0.04ML PEN INJ GLP-Recep Agonist CAFATINE PB ERGOT TT/CAFF/BELL ALK/P- TABLET Antimigraine Preparations CAFERGOT ERGOTAMINE TARTRATE/CAFFE 1-100MG TABLET Antimigraine Preparations CAFERGOT ERGOTAMINE TARTRATE/CAFFE 2-100MG SUPP.RECT Antimigraine Preparations CALAN VERAPAMIL HCL 120MG TABLET Calcium Channel Blocking Agents CALAN VERAPAMIL HCL 40MG TABLET Calcium Channel Blocking Agents CALAN VERAPAMIL HCL 80MG TABLET Calcium Channel Blocking Agents CALAN SR VERAPAMIL HCL 120MG TABLET SA Calcium Channel Blocking Agents CALAN SR VERAPAMIL HCL 180MG TABLET SA Calcium Channel Blocking Agents CALAN SR VERAPAMIL HCL 240MG TABLET SA Calcium Channel Blocking Agents CALDEROL CALCIFEDIOL 20MCG CAPSULE Vitamin D Preparations CALDEROL CALCIFEDIOL 50MCG CAPSULE Vitamin D Preparations CANASA MESALAMINE 500MG SUPP.RECT Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX CANASA MESALAMINE 1000MG SUPP.RECT Drug TX-Chronic Inflam. Colon DX CAPITAL W-CODEINE CODEINE PHOS/ACETAMINOPHE 12-120MG/5 ORAL SUSP Analgesics, Narcotics CAPOTEN CAPTOPRIL 100MG TABLET Hypotensives, ACE Blocking Agents CAPOTEN CAPTOPRIL 12.5MG TABLET Hypotensives, ACE Blocking Agents CAPOTEN CAPTOPRIL 25MG TABLET Hypotensives, ACE Blocking Agents CAPOTEN CAPTOPRIL 50MG TABLET Hypotensives, ACE Blocking Agents CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 25MG-15MG TABLET Hypotensives, ACE Blocking Agents CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 25MG-25MG TABLET Hypotensives, ACE Blocking Agents CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 50MG-15MG TABLET Hypotensives, ACE Blocking Agents CAPOZIDE CAPTOPRIL/HYDROCHLOROTHIA 50MG-25MG TABLET Hypotensives, ACE Blocking Agents CARAFATE SUCRALFATE 1G TABLET Antiulcer Preparations CARAFATE SUCRALFATE 1G/10ML ORAL SUSP Antiulcer Preparations CARBATROL CARBAMAZEPINE 100MG CAP.SR 12H Anticonvulsants CARBATROL CARBAMAZEPINE 200MG CAP.SR 12H Anticonvulsants CARBATROL CARBAMAZEPINE 300MG CAP.SR 12H Anticonvulsants CARBEX SELEGILINE HCL 5MG TABLET Antiparkinsonism Drugs, Other CARDENE SR NICARDIPINE HCL 30MG CAPSULE SA Calcium Channel Blocking Agents CARDENE SR NICARDIPINE HCL 45MG CAPSULE SA Calcium Channel Blocking Agents CARDENE SR NICARDIPINE HCL 60MG CAPSULE SA Calcium Channel Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class CARDIZEM DILTIAZEM HCL 120MG TABLET Calcium Channel Blocking Agents CARDIZEM DILTIAZEM HCL 30MG TABLET Calcium Channel Blocking Agents CARDIZEM DILTIAZEM HCL 60MG TABLET Calcium Channel Blocking Agents CARDIZEM DILTIAZEM HCL 90MG TABLET Calcium Channel Blocking Agents CARDIZEM CD DILTIAZEM HCL 120MG CAP.SR 24H Calcium Channel Blocking Agents CARDIZEM CD DILTIAZEM HCL 180MG CAP.SR 24H Calcium Channel Blocking Agents CARDIZEM CD DILTIAZEM HCL 240MG CAP.SR 24H Calcium Channel Blocking Agents CARDIZEM CD DILTIAZEM HCL 300MG CAP.SR 24H Calcium Channel Blocking Agents CARDIZEM CD DILTIAZEM HCL 360MG CAP.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 120MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 180MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 240MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 300MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 360MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM LA DILTIAZEM HCL 420MG TAB.SR 24H Calcium Channel Blocking Agents CARDIZEM SR DILTIAZEM HCL 120MG CAP.SR 12H Calcium Channel Blocking Agents CARDIZEM SR DILTIAZEM HCL 60MG CAP.SR 12H Calcium Channel Blocking Agents CARDIZEM SR DILTIAZEM HCL 90MG CAP.SR 12H Calcium Channel Blocking Agents CARDURA DOXAZOSIN MESYLATE 1MG TABLET Alpha-Adrenergic Blocking Agents CARDURA DOXAZOSIN MESYLATE 2MG TABLET Alpha-Adrenergic Blocking Agents CARDURA DOXAZOSIN MESYLATE 4MG TABLET Alpha-Adrenergic Blocking Agents CARDURA DOXAZOSIN MESYLATE 8MG TABLET Alpha-Adrenergic Blocking Agents CASODEX BICALUTAMIDE 50MG TABLET Antiandrogenic Agents CATAPRES CLONIDINE HCL 0.1MG TABLET Hypotensives, Sympatholitic CATAPRES CLONIDINE HCL 0.2MG TABLET Hypotensives, Sympatholitic CATAPRES CLONIDINE HCL 0.3MG TABLET Hypotensives, Sympatholitic CATAPRES-TTS 1 CLONIDINE HCL 0.1MG/24HR PATCH TDWK Hypotensives, Sympatholitic CATAPRES-TTS 2 CLONIDINE HCL 0.2MG/24HR PATCH TDWK Hypotensives, Sympatholitic CATAPRES-TTS 3 CLONIDINE HCL 0.3MG/24HR PATCH TDWK Hypotensives, Sympatholitic CEBERCLON CLONAZEPAM 1MG TABLET Anticonvulsants CECLOR CEFACLOR 125MG/5ML SUSP RECON Cephalosporins-2nd Generation CECLOR CEFACLOR 187MG/5ML SUSP RECON Cephalosporins-2nd Generation CECLOR CEFACLOR 250MG CAPSULE Cephalosporins-2nd Generation Brand Name PA Status Generic Name Strength Form Therapeutic Class CECLOR CEFACLOR 250MG/5ML SUSP RECON Cephalosporins-2nd Generation CECLOR CEFACLOR 375MG/5ML SUSP RECON Cephalosporins-2nd Generation CECLOR CEFACLOR 500MG CAPSULE Cephalosporins-2nd Generation CECLOR CD CEFACLOR 375MG TAB.SR 12H Cephalosporins-2nd Generation CECLOR CD CEFACLOR 500MG TAB.SR 12H Cephalosporins-2nd Generation CEENU LOMUSTINE 100MG CAPSULE Alkylating Agents CEENU LOMUSTINE 10-40-100 CAPSULE Alkylating Agents CEENU LOMUSTINE 10MG CAPSULE Alkylating Agents CEENU LOMUSTINE 40MG CAPSULE Alkylating Agents CEFTIN CEFUROXIME AXETIL 125MG TABLET Cephalosporins-2nd Generation CEFTIN CEFUROXIME AXETIL 125MG/5ML SUSP RECON Cephalosporins-2nd Generation CEFTIN CEFUROXIME AXETIL 250MG TABLET Cephalosporins-2nd Generation CEFTIN CEFUROXIME AXETIL 250MG/5ML SUSP RECON Cephalosporins-2nd Generation CEFTIN CEFUROXIME AXETIL 500MG TABLET Cephalosporins-2nd Generation CEFZIL CEFPROZIL 125MG/5ML SUSP RECON Cephalosporins-2nd Generation CEFZIL CEFPROZIL 250MG TABLET Cephalosporins-2nd Generation CEFZIL CEFPROZIL 250MG/5ML SUSP RECON Cephalosporins-2nd Generation CEFZIL CEFPROZIL 500MG TABLET Cephalosporins-2nd Generation CELESTONE BETAMETHASONE 0.6MG TABLET Glucocorticoids, Topical CELESTONE BETAMETHASONE 0.6MG/5ML SYRUP Glucocorticoids, Systemic, Cont. CELEXA CITALOPRAM HYDROBROMIDE 10MG TABLET Antidepressants I.e. Prozac Weekly CELEXA CITALOPRAM HYDROBROMIDE 10MG/5ML SOLUTION Antidepressants I.e. Prozac Weekly CELEXA CITALOPRAM HYDROBROMIDE 20MG TABLET Antidepressants I.e. Prozac Weekly CELEXA CITALOPRAM HYDROBROMIDE 40MG TABLET Antidepressants I.e. Prozac Weekly CELLCEPT MYCOPHENOLATE MOFETIL 200MG/ML SUSP RECON Immunosuppresives CELLCEPT MYCOPHENOLATE MOFETIL 250MG CAPSULE Immunosuppresives CELLCEPT MYCOPHENOLATE MOFETIL 500MG TABLET Immunosuppresives CELONTIN METHSUXIMIDE 150MG CAPSULE Anticonvulsants CELONTIN METHSUXIMIDE 300MG CAPSULE Anticonvulsants CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.3MG TABLET Estrogenic Agents CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.45MG TABLET Estrogenic Agents CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.625MG TABLET Estrogenic Agents CENESTIN ESTROGENS,CONJ.,SYNTHETIC 0.9MG TABLET Estrogenic Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class CENESTIN ESTROGENS,CONJ.,SYNTHETIC 1.25MG TABLET Estrogenic Agents CENTANY MUPIROCIN 2% OINT.(GM) Topical Antibiotics CENTANY MUCIPIROCIN 2% KIT Topical Antibiotics CEPHALEXIN CEPHALEXIN MONOHYDRATE 500MG TABLET Cephalosporins CEPHULAC LACTULOSE 10G/15ML SYRUP Ammonia Inhibitors CERUMENEX TRIETHANOLAMINE 10% DROPS Ear Preparations, Ear Wax Removers CETACORT HYDROCORTISONE 0.25% LOTION Topical Antiinflammatory Preparations CETACORT HYDROCORTISONE 0.50% LOTION Topical Antiinflammatory Preparations CETACORT HYDROCORTISONE 1% LOTION Topical Antiinflammatory Preparations CETAMIDE SULFACETAMIDE SODIUM 10% OINT.(GM) Eye Sulfonamides Cetirizine Cetirizine HCL 5mg Chew Tab Antihistimines-2nd Gen Cetirizine Cetirizine HCL 10mg Chew Tab Antihistimines-2nd Gen

PA Required 0.5mg for greater than 24 CHANTIX weeks VARENICLINE TARTRATE TABLET Smoking Deterrent-Nicotinic Recep. Partial Agonist

PA Required 1mg for greater than 24 CHANTIX weeks VARENICLINE TARTRATE TABLET Smoking Deterrent-Nicotinic Recep. Partial Agonist CHERACOL GUAIFENESIN/CODEINE PHOS 100-10MG/5 SYRUP Expectorants CHERACOL GUAIFENESIN/CODEINE PHOS SYRUP Expectorants CHERACOL D GUAIFENESIN/D-METHORPHAN 100-10/5ML LIQUID Expectorants CHLORAL HYDRATE CHLORAL HYDRATE 500MG SUPP.RECT Non-Barbiturate, Sedative-Hypnotic CHLORAL HYDRATE CHLORAL HYDRATE 500MG/5ML SYRUP Non-Barbiturate, Sedative-Hypnotic CHLORAMPHENICOL CHLORAMPHENICOL 1% OINT.(GM) Eye Antibiotics CHLORAMPHENICOL CHLORAMPHENICOL 250MG CAPSULE Chloramphenicol and Derivatives CHLOROMYCETIN CHLORAMPHENICOL 1% CREAM(GM) Topical Antibiotics CHLOROMYCETIN CHLORAMPHENICOL 25MG DROPS Eye Antibiotics CHLOROMYCETIN CHLORAMPHENICOL PALMITATE 150MG/5ML ORAL SUSP Chloramphenicol and Derivatives CHLOROMYCETIN W/HYDROCORT CHLORAMPHENICOL/HC ACETAT DROPS SUSP Eye Antibiotic-Corticoid Combinations CHLOROPTIC CHLORAMPHENICOL 0.50% DROPS Eye Antibiotics Brand Name PA Status Generic Name Strength Form Therapeutic Class CHLOROQUINE PHOSPHATE CHLOROQUINE PHOSPHATE 250MG TABLET Antimalarial Drugs CHLORPROMAZINE HCL CHLORPROMAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 2MG/5ML SYRUP Antihistamines CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 4MG TABLET Antihistamines CHLOR-TRIMETON CHLORPHENIRAMINE MALEATE 8MG TABLET SA Antihistamines CHLOR-TRIMETON PPA HCL/ACETAMINOPHN/CP 2-12.5-500 TABLET Cough and Cold Preparations CHLOR-TRIMETON PSEUDOEPHEDRINE SULFATE 60MG TABLET Sympathomimetic Agents CHLOR-TRIMETON ALLERGY RE CHLORPHENIRAMINE MALEATE 12MG TABLET SA Antihistamines CHLOR-TRIMETON D PSEUDOEPHEDRINE HCL/CHLOR 60-4MG TABLET Cough and Cold Preparations CHLOR-TRIMETON DECONGESTA PSEUDOEPHEDRINE HCL/CHLOR 120-8MG TAB.SR 12H Cough and Cold Preparations CHOLOXIN DEXTROTHYROXINE SODIUM 2MG TABLET Lipotropics CHOLOXIN DEXTROTHYROXINE SODIUM 4MG TABLET Lipotropics CHROMAGEN OB PV MIN,W-O A/FE FUMARATE/ 28-1MG CAPSULE Prenatal Vitamin Preparations CHROMAGEN OB PV W-O VIT A/FE FUM/DOSS/ 28-1MG CAPSULE Prenatal Vitamin Preparations CHRONULAC LACTULOSE 10G/15ML SYRUP Laxatives and Cathartics CIBALITH-S LITHIUM CITRATE 8MEQ/5ML SYRUP Anti-Psychotic, Non-Phenothiazines CILOXAN CIPROFLOXACIN HCL 0.30% OINT.(GM) Eye Antibiotics CILOXAN CIPROFLOXACIN HCL 0.30% DROPS Eye Antibiotics CIPRO CIPROFLOXACIN HCL 100MG TABLET Quinolones CIPRO CIPROFLOXACIN HCL 250MG TABLET Quinolones CIPRO CIPROFLOXACIN HCL 500MG TABLET Quinolones CIPRO CIPROFLOXACIN HCL 750MG TABLET Quinolones CIPRO HC CIPROFLOXACIN HCL/HC 0.2-1% DROPS SUSP Otic Prep, Anti-Inflammatory-Antibiotics CIPRO XR CIPROFLOXACIN HCL-BETAINE 1000MG TAB.SR 24H Quinolones CIPRO XR CIPROFLOXACIN HCL-BETAINE 500MG TAB.SR 24H Quinolones CIPROFLOXACIN CIPROFLOXACIN 250MG/5ML SUS MC REC Quinolones CIPROFLOXACIN CIPROFLOXACIN 500MG/5ML SUS MC REC Quinolones CLARITIN LORATADINE 10MG TAB RAPDIS Antihistamines, Cont CLARITIN LORATADINE 10MG TABLET Antihistamines, Cont CLARITIN LORATADINE 5MG/5ML SYRUP Antihistamines, Cont CLARITIN-D 12 HOUR P-EPHED SUL/LORATADINE 120-5MG TAB.SR 12H Antihistamines CLARITIN-D 24 HOUR P-EPHED SUL/LORATADINE 240-10MG TAB.SR 24H Antihistamines CLEOCIN HCL CLINDAMYCIN HCL 150MG CAPSULE Lincosamides Brand Name PA Status Generic Name Strength Form Therapeutic Class CLEOCIN HCL CLINDAMYCIN HCL 300MG CAPSULE Lincosamides CLEOCIN HCL CLINDAMYCIN HCL 75MG CAPSULE Lincosamides CLEOCIN PALMITATE CLINDAMYCIN PALMITATE 75MG/5ML SOLN RECON Lincosamides CLEOCIN T CLINDAMYCIN PHOSPHATE 1% SOLUTION Topical Antibiotics CLEOCIN T CLINDAMYCIN PHOSPHATE 1% LOTION Topical Antibiotics CLEOCIN T CLINDAMYCIN PHOSPHATE 1% GEL Topical Antibiotics CLEOCIN T CLINDAMYCIN PHOSPHATE 1% MED. SWAB Topical Antibiotics CLIMARA ESTRADIOL .025MG/24H PATCH TDWK Estrogenic Agents CLIMARA ESTRADIOL .0375MG/24 PATCH TDWK Estrogenic Agents CLIMARA ESTRADIOL .075MG/24H PATCH TDWK Estrogenic Agents CLIMARA ESTRADIOL 0.05MG/24H PATCH TDWK Estrogenic Agents CLIMARA ESTRADIOL 0.06MG/24H PATCH TDWK Estrogenic Agents CLIMARA ESTRADIOL 0.1MG/24HR PATCH TDWK Estrogenic Agents CLINORIL SULINDAC 150MG TABLET Anti-inflammatory Agents CLINORIL SULINDAC 200MG TABLET Anti-inflammatory Agents CLOBEX CLOBETASOL PROPIONATE 0.05% SHAMPOO Topical Antiinflammatory Preparations CLOBEX CLOBETASOL PROPIONATE 0.05% LOTION Topical Antiinflammatory Preparations CLOBEX CLOBETASOL PROPIONATE 0.05% SPRAY Topical Antiinflammatory Preparations CLODERM CLOCORTOLONE PIVALATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations CLOFIBRATE CLOFIBRATE 500MG CAPSULE Lipotropics CLOMID CLOMIPHENE CITRATE 50MG TABLET Fertility Preparations

CLOZAPINE CLOZAPINE 12.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZAPINE CLOZAPINE 50MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZAPINE CLOZAPINE 200MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZARIL CLOZAPINE 100MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

CLOZARIL CLOZAPINE 25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag CODEINE COUGH SYRUP PHENYLEPHRINE/COD/CHLORPH SYRUP Cough and Cold Preparations CODEINE PHOSPHATE CODEINE PHOS 15MG/5ML SOLUTION Analgesics, Narcotics CODEINE PHOSPHATE CODEINE PHOS 30MG TABLET SOL Analgesics, Narcotics CODEINE PHOSPHATE CODEINE PHOS 60MG TABLET SOL Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class CODEINE PHOSPHATE CODEINE PHOSPHATE 15MG TABLET SOL Analgesics, Narcotics CODEINE SULFATE CODEINE SULF 15MG TABLET Analgesics, Narcotics CODEINE SULFATE CODEINE SULF 60MG TABLET Analgesics, Narcotics CODEINE SULFATE CODEINE SULFATE 30MG TABLET SOL Analgesics, Narcotics COGENTIN BENZTROPINE MESYLATE 0.5MG TABLET Antiparkinsonism Drugs, Anticholinergic COGENTIN BENZTROPINE MESYLATE 1MG TABLET Antiparkinsonism Drugs, Anticholinergic COLAZAL BALSALAZIDE DISODIUM 750MG CAPSULE Drug TX-Chronic Inflam. Colon DX COL-BENEMID COLCHICINE/PROBENECID TABLET Colchicine COLCHICINE COLCHICINE 0.5MG TABLET Colchicine COLCHICINE COLCHICINE 0.6MG TABLET Colchicine COLY-MYCIN S NEOMYCIN SULFATE/COLIST S DROPS SUSP Ear Preparations, Antibiotics COMBIPATCH ESTRADIOL/NORETH AC .05-.14/24 PATCH TDBW Estrogenic Agents COMBIPATCH ESTRADIOL/NORETH AC .05-.25/24 PATCH TDBW Estrogenic Agents COMBIVENT ALBUTEROL SULFATE/IPRATRO 103-18MCG AER W/ADAP Beta-Adrenergic Agents

COMBIVIR LAMIVUDINE/ZIDOVUDINE 150-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb COMMIT NICOTINE POLACRILEX 2MG LOZENGE Ganglionic Stimulants COMMIT NICOTINE POLACRILEX 4MG LOZENGE Ganglionic Stimulants COMPAZINE PROCHLORPERAZINE EDISYLAT 5MG/5ML SYRUP Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 10MG CAPSULE SA Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 10MG TABLET Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 15MG CAPSULE SA Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 2.5MG SUPP.RECT Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 25MG SUPP.RECT Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 25MG TABLET Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 5MG SUPP.RECT Anti-Emetics COMPAZINE PROCHLORPERAZINE MALEATE 5MG TABLET Anti-Emetics COMPOUND W SALICYLIC ACID 17% GEL Keratolytics COMPOUND W SALICYLIC ACID 40% ADH. PATCH Keratolytics COMTAN ENTACAPONE 200MG TABLET Antiparkinsonism Drugs, Other CONCERTA METHYLPHENIDATE HCL 18MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents CONCERTA METHYLPHENIDATE HCL 27MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents CONCERTA METHYLPHENIDATE HCL 36MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class CONCERTA METHYLPHENIDATE HCL 54MG TAB SA OSM Anti-narcolepsy/Anti-Hyperkinesis Agents CONDYLOX PODOFILOX 0.50% GEL Keratolytics CONDYLOX PODOFILOX 0.50% SOLUTION Keratolytics COPAXONE GLATIRAMER ACETATE 20MG KIT Agents to treat Multiple Sclerosis PA COPEGUS Required RIBAVIRIN 200MG TABLET Hepatitis C Treatment Agents CORDARONE AMIODARONE HCL 200MG TABLET Antiarrhythmics CORDRAN FLURANDRENOLIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations CORDRAN FLURANDRENOLIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations CORDRAN FLURANDRENOLIDE 0.05% LOTION Topical Antiinflammatory Preparations CORDRAN FLURANDRENOLIDE 4MCG/SQ CM MED. TAPE Topical Antiinflammatory Preparations CORDRAN SP FLURANDRENOLIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations CORDRAN SP FLURANDRENOLIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations CORDRAN TAPE PATCH FLURANDRENOLIDE 4MCG/SQ CM ADH. PATCH Topical Antiinflammatory Preparations COREG CARVEDILOL 12.5MG TABLET Adrenergic Inhibitors COREG CARVEDILOL 25MG TABLET Adrenergic Inhibitors COREG CARVEDILOL 3.125MG TABLET Adrenergic Inhibitors COREG CARVEDILOL 6.25MG TABLET Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 10MG TABLET Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 20MG TABLET Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 40MG TABLET Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 80MG TABLET Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 10mg CPMP 24Hr Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 20mg CPMP 24Hr Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 40mg CPMP 24Hr Adrenergic Inhibitors COREG CR CARVEDILOL PHOSPHATE 80mg CPMP 24Hr Adrenergic Inhibitors CORGARD NADOLOL 120MG TABLET Beta-Adrenergic Blocking Agents CORGARD NADOLOL 160MG TABLET Beta-Adrenergic Blocking Agents CORGARD NADOLOL 20MG TABLET Beta-Adrenergic Blocking Agents CORGARD NADOLOL 40MG TABLET Beta-Adrenergic Blocking Agents CORGARD NADOLOL 80MG TABLET Beta-Adrenergic Blocking Agents CORICIDIN D PPA HCL/ACETAMINOPHN/CP 2-12.5-325 TABLET Cough and Cold Preparations CORMAX CLOBETASOL PROPIONATE 0.05% SOLUTION Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class CORTAID HYDROCORTISONE ACETATE 1% OINT.(GM) Topical Antiinflammatory Preparations CORTEF HYDROCORTISONE 10MG TABLET Glucocorticoids, Systemic CORTEF HYDROCORTISONE 20MG TABLET Glucocorticoids, Systemic CORTEF HYDROCORTISONE 5MG TABLET Glucocorticoids, Systemic CORTEF HYDROCORTISONE CYPIONATE 10MG/5ML ORAL SUSP Glucocorticoids, Systemic CORTENEMA HYDROCORTISONE 100MG/60ML ENEMA Recta/Lower Bowel Prep, Glucocort CORTIFOAM HYDROCORTISONE ACETATE 10% FOAM Recta/Lower Bowel Prep, Glucocort CORTISONE ACETATE CORTISONE ACETATE 10MG TABLET Glucocorticoids, Systemic CORTISONE ACETATE CORTISONE ACETATE 25MG TABLET Glucocorticoids, Systemic CORTISONE ACETATE CORTISONE ACETATE 5MG TABLET Glucocorticoids, Systemic CORTISPORIN NEOMY SULF/BACITRAC ZN/PO 3.5-10K-1 OINT.(GM) Eye Antibiotic-Corticoid Combinations CORTISPORIN NEOMY SULF/POLYMYX B SULF 0.50% CREAM(GM) Topical Antibiotics/Antiinflammatory,Steroidal CORTISPORIN NEOMY SULF/POLYMYX B SULF 3.5-10K-1 SOLUTION Ear Preparations, Antibiotics CORTISPORIN NEOMY SULF/POLYMYX B SULF 3.5-10K-1 DROPS SUSP Ear Preparations, Antibiotics CORTISPORIN NEOMY SULF/POLYMYX B SULF DROPS SUSP Eye Antibiotic-Corticoid Combinations CORTISPORIN NEOMYCIN/BACITRA/POLYMYXI 1% OINT.(GM) Topical Antibiotics/Antiinflammatory,Steroidal CORTISPORIN-TC NEOMY SULF/COLIST SUL/HC/ 3.3-3-10/1 DROPS SUSP Ear Preparations, Antibiotics CORTIZONE-10 HYDROCORTISONE 1% OINT.(GM) Topical Antiinflammatory Preparations CORTIZONE-5 HYDROCORTISONE 0.50% OINT.(GM) Topical Antiinflammatory Preparations COSOPT TIMOLOL MALEATE/DORZOLAM 0.5-2% DROPS Miotics/Other Intraocular Pressure Reducers COTAZYM-S AMYLASE/LIPASE/PROTEASE 20-5-20 CAPSULE DR Pancreatic Enzymes COUMADIN WARFARIN SODIUM 10MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 1MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 2.5MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 2MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 3MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 4MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 5MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 6MG TABLET Oral Anticoagulants, Coumarin Type COUMADIN WARFARIN SODIUM 7.5MG TABLET Oral Anticoagulants, Coumarin Type COZAAR LOSARTAN POTASSIUM 100MG TABLET Hypotensives, Angiotensin Receptor Antagonist COZAAR LOSARTAN POTASSIUM 25MG TABLET Hypotensives, Angiotensin Receptor Antagonist COZAAR LOSARTAN POTASSIUM 50MG TABLET Hypotensives, Angiotensin Receptor Antagonist Brand Name PA Status Generic Name Strength Form Therapeutic Class CREON AMYLASE/LIPASE/PROTE/PANC CAPSULE EC Pancreatic Enzymes CREON 10 AMYLASE/LIPASE/PROTEASE 33.2-10-38 CAPSULE DR Pancreatic Enzymes CREON 20 AMYLASE/LIPASE/PROTEASE 66.4-20-75 CAPSULE DR Pancreatic Enzymes CREON 5 AMYLASE/LIPASE/PROTEASE 16.6-5-19 CAPSULE DR Pancreatic Enzymes CRESTOR ROSUVASTATIN 5MG TABLET Lipotropics CRESTOR ROSUVASTATIN 10MG TABLET Lipotropics CRESTOR ROSUVASTATIN 20MG TABLET Lipotropics CRESTOR ROSUVASTATIN 40MG TABLET Lipotropics CRESTOR ROSUVASTATIN 5mg TABLET Lipotropics, cont CRESTOR ROSUVASTATIN 10mg TABLET Lipotropics, cont CRESTOR ROSUVASTATIN 20mg TABLET Lipotropics, cont CRESTOR ROSUVASTATIN 40mg TABLET Lipotropics, cont CRIXIVAN INDINAVIR SULFATE 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors CRIXIVAN INDINAVIR SULFATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors CRIXIVAN INDINAVIR SULFATE 333MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors CRIXIVAN INDINAVIR SULFATE 400MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors CUPRIMINE PENICILLAMINE 125MG CAPSULE Metallic Poison Antidotes CUPRIMINE PENICILLAMINE 250MG CAPSULE Metallic Poison Antidotes CUTIVATE FLUTICASONE PROPIONATE 0.01% OINT.(GM) Topical Antiinflammatory Preparations CUTIVATE FLUTICASONE PROPIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations CUTIVATE FLUTICASONE PROPIONATE 0.05% LOTION Topical Antiinflammatory Preparations CYCLESSA DESOGESTREL-ETHINYL ESTRA 7 DAYS X 3 TABLET Contraceptives, Oral CYCLOCORT AMCINONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations CYCLOCORT AMCINONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations CYCLOCORT AMCINONIDE 0.10% LOTION Topical Antiinflammatory Preparations CYCLOGYL CYCLOPENTOLATE HCL 0.50% DROPS Mydriatics CYCLOGYL CYCLOPENTOLATE HCL 1% DROPS Mydriatics CYCLOGYL CYCLOPENTOLATE HCL 2% DROPS Mydriatics CYLERT PEMOLINE 18.75MG TABLET CNS Stimulants CYLERT PEMOLINE 37.5MG TABLET CNS Stimulants CYLERT PEMOLINE 37.5MG TAB CHEW CNS Stimulants CYLERT PEMOLINE 75MG TABLET CNS Stimulants CYMBALTA DULOXETINE HCL 20MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) Brand Name PA Status Generic Name Strength Form Therapeutic Class CYMBALTA DULOXETINE HCL 30MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) CYMBALTA DULOXETINE HCL 60MG CAPSULE DR Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) CYTADREN AMINOGLUTETHIMIDE 250MG TABLET Adrenal Steroid Inhibitors CYTOMEL LIOTHYRONINE SODIUM 25MCG TABLET Thyroid Hormones CYTOMEL LIOTHYRONINE SODIUM 50MCG TABLET Thyroid Hormones CYTOMEL LIOTHYRONINE SODIUM 5MCG TABLET Thyroid Hormones CYTOTEC MISOPROSTOL 100MCG TABLET Antiulcer Preparations CYTOTEC MISOPROSTOL 200MCG TABLET Antiulcer Preparations CYTOVENE GANCICLOVIR 250MG CAPSULE Antivirals, General CYTOVENE GANCICLOVIR 500MG CAPSULE Antivirals, General CYTOXAN CYCLOPHOSPHAMIDE 25MG TABLET Alkylating Agents CYTOXAN CYCLOPHOSPHAMIDE 50MG TABLET Alkylating Agents D.H.E.45 DIHYDROERGOTAMINE MESYLAT 1MG/ML AMPUL Antimigraine Preparations DALMANE FLURAZEPAM HCL 15MG CAPSULE Non-Barbiturate, Sedative-Hypnotic DALMANE FLURAZEPAM HCL 30MG CAPSULE Non-Barbiturate, Sedative-Hypnotic DANOCRINE DANAZOL 100MG CAPSULE Pituitary Suppressive Agents DANOCRINE DANAZOL 200MG CAPSULE Pituitary Suppressive Agents DANOCRINE DANAZOL 50MG CAPSULE Pituitary Suppressive Agents DANTRIUM DANTROLENE SODIUM 100MG CAPSULE Skeletal Muscle Relaxants DANTRIUM DANTROLENE SODIUM 25MG CAPSULE Skeletal Muscle Relaxants DANTRIUM DANTROLENE SODIUM 50MG CAPSULE Skeletal Muscle Relaxants DAPSONE DAPSONE 100MG TABLET Antileprotics DAPSONE DAPSONE 25MG TABLET Antileprotics DARAPRIM PYRIMETHAMINE 25MG TABLET Antimalarial Drugs DARVOCET A500 PROPOXYPHENE/ACETAMINOPHE 100-500MG TABLET Analgesics, Narcotics DARVOCET-N 100 PROPOXYPHENE/ACETAMINOPHE 100-650MG TABLET Analgesics, Narcotics DARVOCET-N 50 PROPOXYPHENE/ACETAMINOPHE 50-325MG TABLET Analgesics, Narcotics DARVON PROPOXYPHENE HCL 32MG CAPSULE Analgesics, Narcotics DARVON PROPOXYPHENE HCL 65MG CAPSULE Analgesics, Narcotics DARVON COMPOUND 32 PROPOXYPHENE HCL/ASA/CAFF 32-389-32 CAPSULE Analgesics, Narcotics DARVON COMPOUND-65 PROPOXYPHENE HCL/ASA/CAFF 65-389 CAPSULE Analgesics, Narcotics DARVON-N PROPOXYPHENE NAPSYL 100MG TABLET Analgesics, Narcotics DARVON-N PROPOXYPHENE NAPSYLATE 50MG/5ML ORAL SUSP Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class DDAVP DESMOPRESSIN 0.1MG/ML SPRAY/PUMP Antidiuretic and Vasopressor Hormones DDAVP DESMOPRESSIN ACETATE 0.1MG TABLET Antidiuretic and Vasopressor Hormones DDAVP DESMOPRESSIN ACETATE 0.1MG/ML SOLUTION Antidiuretic and Vasopressor Hormones DDAVP DESMOPRESSIN ACETATE 0.2MG TABLET Antidiuretic and Vasopressor Hormones DECADRON DEXAMETHASONE SOD PHOSPHA 0.05% OINT.(GM) Eye Antiinflammatory Agents DECADRON DEXAMETHASONE SOD PHOSPHA 0.10% DROPS Eye Antiinflammatory Agents DECONAMINE PSEUDOEPHEDRINE HCL/CHLOR 15-1MG TAB CHEW Cough and Cold Preparations DECONAMINE PSEUDOEPHEDRINE HCL/CHLOR 30-2MG/5ML SYRUP Cough and Cold Preparations DEL-MYCIN ERYTHROMYCIN BASE 2% SOLUTION Topical Antibiotics DEMEROL MEPERIDINE HCL 100MG TABLET Analgesics, Narcotics DEMEROL MEPERIDINE HCL 50MG TABLET Analgesics, Narcotics DEMEROL MEPERIDINE HCL 50MG/5ML SYRUP Analgesics, Narcotics DEMULEN 1/35-28 ETHYNODIOL D-ETHINYL ESTR 1-0.035MG TABLET Contraceptives, Oral DEMULEN 1/50-21 ETHYNODIOL D-ETHINYL ESTR 1-0.05MG TABLET Contraceptives, Oral DEPAKENE VALPROATE SODIUM 250MG/5ML SYRUP Anticonvulsants DEPAKENE VALPROIC ACID 250MG CAPSULE Anticonvulsants DEPAKOTE DIVALPROEX SODIUM 125MG TABLET DR Anticonvulsants DEPAKOTE DIVALPROEX SODIUM 250MG TABLET DR Anticonvulsants DEPAKOTE DIVALPROEX SODIUM 500MG TABLET DR Anticonvulsants DEPAKOTE ER DIVALPROEX SODIUM 250MG TAB.SR 24H Anticonvulsants DEPAKOTE ER DIVALPROEX SODIUM 500MG TAB.SR 24H Anticonvulsants DEPAKOTE SPRINKLE DIVALPROEX SODIUM 125MG CAP SPRINK Anticonvulsants DEPEN PENICILLAMINE 250MG TABLET Metallic Poison Antidotes DEPO-PROVERA MEDROXYPROGESTERONE ACET 150MG/ML VIAL Contraceptives, Injectable DEPO-PROVERA MEDROXYPROGESTERONE ACET 150MG/ML DISP SYRIN Contraceptives, Injectable DEPO-TESTOSTERONE TESTOSTERONE CYPIONATE 200MG/ML VIAL Androgenic Agents DERMAREST DRICORT HYDROCORTISONE ACETATE 1% CREAM(GM) Topical Antiinflammatory Preparations DERMOLATE ANTI-ITCH HYDROCORTISONE 0.50% CREAM(GM) Topical Antiinflammatory Preparations DESENEX MICONAZOLE NITRATE 2% SPRAY Topical Antifungals DESIPRAMINE HCL DESIPRAMINE HCL 100MG TABLET Antidepressants DESIPRAMINE HCL DESIPRAMINE HCL 150MG TABLET Antidepressants DESIPRAMINE HCL DESIPRAMINE HCL 75MG TABLET Antidepressants DESOWEN DESONIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class DESOWEN DESONIDE 0.05% LOTION Topical Antiinflammatory Preparations DESOXYN METHAMPHETAMINE HCL 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine DESQUAM-X BENZOYL PEROXIDE 5% LIQUID Keratolytics DESYREL TRAZODONE HCL 100MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors DESYREL TRAZODONE HCL 150MG TABLET Antidepressants DESYREL TRAZODONE HCL 150MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors DESYREL TRAZODONE HCL 300MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors DESYREL TRAZODONE HCL 50MG TABLET Antidepressants DESYREL TRAZODONE HCL 50MG TABLET Serotonin-2 Antagonist/Reuptake Inhibitors DETROL TOLTERODINE TARTRATE 1MG TABLET Urinary Tract Antispasmodic Agents DETROL TOLTERODINE TARTRATE 2MG TABLET Urinary Tract Antispasmodic Agents DETROL LA TOLTERODINE TARTRATE 2MG CAP.SR 24H Urinary Tract Antispasmodic Agents DETROL LA TOLTERODINE TARTRATE 4MG CAP.SR 24H Urinary Tract Antispasmodic Agents DEXCHLORPHENIRAMINE MALEA DEXCHLORPHENIRAMINE MALEA 6MG TABLET SA Antihistamines DEXEDRINE D-AMPHETAMINE SULFATE 10MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine DEXEDRINE D-AMPHETAMINE SULFATE 15MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine DEXEDRINE D-AMPHETAMINE SULFATE 5MG CAPSULE SA Adrenergic Agents, Aromatic, Non-Catecholamine DEXEDRINE D-AMPHETAMINE SULFATE 5MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine DEXEDRINE D-AMPHETAMINE SULFATE 5MG/5ML ELIXIR Adrenergic Agents, Aromatic, Non-Catecholamine DEXTROSTAT D-AMPHETAMINE SULFATE 10MG TABLET Adrenergic Agents, Aromatic, Non-Catecholamine DHT DIHYDROTACHYSTEROL 0.125MG TABLET Vitamin D Preparations DHT DIHYDROTACHYSTEROL 0.2MG TABLET Vitamin D Preparations DHT DIHYDROTACHYSTEROL 0.4MG TABLET Vitamin D Preparations DHT DIHYDROTACHYSTEROL 200MCG/ML SOLUTION Vitamin D Preparations DIABETIC TUSSIN C GUAIFENESIN/CODEINE PHOS 200-10MG/5 LIQUID Expectorants DIABINESE CHLORPROPAMIDE 100MG TABLET Oral Hypoglycemics, Sulfonylureas DIABINESE CHLORPROPAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas DIAMOX ACETAZOLAMIDE 125MG TABLET Carbonic Anhydrase Inhibitors DIAMOX ACETAZOLAMIDE 250MG TABLET Carbonic Anhydrase Inhibitors DIAMOX SEQUELS ACETAZOLAMIDE 500MG CAPSULE SA Carbonic Anhydrase Inhibitors DIAZEPAM DIAZEPAM 5MG/5ML SOLUTION Anti-Anxiety Drugs DIAZEPAM DIAZEPAM 5MG/ML VIAL Anti-Anxiety Drugs DIAZEPAM DIAZEPAM 5MG/ML ORAL CONC. Anti-Anxiety Drugs Brand Name PA Status Generic Name Strength Form Therapeutic Class DIBENZYLINE PHENOXYBENZAMINE HCL 10MG CAPSULE Alpha-Adrenergic Blocking Agents DICLOXACILLIN SODIUM DICLOXACILLIN SODIUM 250MG CAPSULE Penicillins DICUMAROL DICUMAROL 25MG TABLET Oral Anticoagulants, Coumarin Type DICUMAROL DICUMAROL 50MG TABLET Oral Anticoagulants, Coumarin Type DIDRONEL ETIDRONATE DISODIUM 200MG TABLET Bone Ossification Suppression Agents DIDRONEL ETIDRONATE DISODIUM 400MG TABLET Bone Ossification Suppression Agents DIETHYLSTILBESTROL DIETHYLSTILBESTROL 1MG TABLET Estrogenic Agents DIETHYLSTILBESTROL DIETHYLSTILBESTROL 5MG TABLET Estrogenic Agents DIETHYLSTILBESTROL DIETHYLSTILBESTROL 5MG TABLET EC Estrogenic Agents PA Required 0.10% DIFFERIN >age 30 ADAPALENE GEL Vitamin A Derivatives PA Required 0.30% DIFFERIN >age 31 ADAPALENE GEL Vitamin A Derivatives PA Required 0.10% DIFFERIN >age 30 ADAPALENE CREAM(GM) Vitamin A Derivatives PA Required 0.10% DIFFERIN >age 30 ADAPALENE SOLUTION Vitamin A Derivatives PA Required 0.10% DIFFERIN >age 30 ADAPALENE MED. SWAB Vitamin A Derivatives DIFLUCAN FLUCONAZOLE 100MG TABLET Antifungal Agents, Cont DIFLUCAN FLUCONAZOLE 10MG/ML SUSP RECON Antifungal Agents, Cont DIFLUCAN FLUCONAZOLE 150MG TABLET Antifungal Agents, Cont DIFLUCAN FLUCONAZOLE 200MG TABLET Antifungal Agents, Cont DIFLUCAN FLUCONAZOLE 40MG/ML SUSP RECON Antifungal Agents, Cont DIFLUCAN FLUCONAZOLE 50MG TABLET Antifungal Agents, Cont DIHYDROERGOTAMINE MESYLAT DIHYDROERGOTAMINE MESYLAT 1MG/ML VIAL Antimigraine Preparations DILACOR XR DILTIAZEM HCL 120MG CAPSULE CR Calcium Channel Blocking Agents DILACOR XR DILTIAZEM HCL 180MG CAPSULE CR Calcium Channel Blocking Agents DILACOR XR DILTIAZEM HCL 240MG CAPSULE CR Calcium Channel Blocking Agents DILANTIN PHENYTOIN 50MG TAB CHEW Anticonvulsants DILANTIN PHENYTOIN SODIUM EXTENDED 100MG CAPSULE Anticonvulsants Brand Name PA Status Generic Name Strength Form Therapeutic Class DILANTIN PHENYTOIN SODIUM EXTENDED 30MG CAPSULE Anticonvulsants DILANTIN W/PB PHENYTOIN SODIUM/PHENOBAR 100-15MG CAPSULE Anticonvulsants DILANTIN W/PB PHENYTOIN SODIUM/PHENOBAR 100-30MG CAPSULE Anticonvulsants DILANTIN-125 PHENYTOIN 100MG/4ML ORAL SUSP Anticonvulsants DILANTIN-30 PHENYTOIN 30MG/5ML ORAL SUSP Anticonvulsants DILATRATE-SR ISOSORBIDE DINITRATE 40MG CAPSULE SA Vasodilator, Coronary DILAUDID HYDROMORPHONE HCL 1MG TABLET Analgesics, Narcotics DILAUDID HYDROMORPHONE HCL 2MG TABLET Analgesics, Narcotics DILAUDID HYDROMORPHONE HCL 3MG SUPP.RECT Analgesics, Narcotics DILAUDID HYDROMORPHONE HCL 3MG TABLET Analgesics, Narcotics DILAUDID HYDROMORPHONE HCL 4MG TABLET Analgesics, Narcotics DILAUDID HYDROMORPHONE HCL 8MG TABLET Analgesics, Narcotics DILAUDID-5 HYDROMORPHONE HCL 1MG/ML LIQUID Analgesics, Narcotics DIMETAPP P-EPHED HCL/BROMPHENIRAMI 15-1MG/5ML ELIXIR Cough and Cold Preparations DIMETAPP PPA HCL/BROMPHENIRAMIN 25-4MG TABLET Cough and Cold Preparations DIMETAPP PPA HCL/BROMPHENIRAMIN 25-4MG CAPSULE Cough and Cold Preparations DIOVAN VALSARTAN 160MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN VALSARTAN 160MG CAPSULE Hypotensives, Angiotensin Receptor Antagonist DIOVAN VALSARTAN 320MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN VALSARTAN 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN VALSARTAN 80MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN VALSARTAN 80MG CAPSULE Hypotensives, Angiotensin Receptor Antagonist DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 160-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 160-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 80-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 320-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIOVAN HCT VALSARTAN/HYDROCHLOROTHIA 320-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist DIPENTUM OLSALAZINE SODIUM 250MG CAPSULE Drug TX-Chronic Inflam. Colon DX DIPHENHYDRAMINE HCL DIPHENHYDRAMINE HCL 50MG CAPSULE Antihistamines DIPROLENE BETAMET DIPROP/PROP GLY 0.05% LOTION Topical Antiinflammatory Preparations DIPROLENE BETAMET DIPROP/PROP GLY 0.05% OINT.(GM) Topical Antiinflammatory Preparations DIPROLENE BETAMETHASONE DIPROPIONAT 0.05% GEL Topical Antiinflammatory Preparations DIPROLENE AF BETAMET DIPROP/PROP GLY 0.05% CREAM(GM) Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class DIPROSONE BETAMETHASONE DIPROPIONAT 0.05% CREAM(GM) Topical Antiinflammatory Preparations DIPROSONE BETAMETHASONE DIPROPIONAT 0.10% AEROSOL Topical Antiinflammatory Preparations DISALCID SALSALATE 500MG CAPSULE Analgesics, Salicylates DISALCID SALSALATE 500MG TABLET Analgesics, Salicylates DISALCID SALSALATE 750MG TABLET Analgesics, Salicylates DISPERMOX AMOXICILLIN TRIHYDRATE 600MG TAB DISPER Penicillins DISULFIRAM DISULFIRAM 500MG TABLET Antialcoholic Preparations DITROPAN OXYBUTYNIN CHLORIDE 5MG TABLET Urinary Tract Antispasmodic Agents DITROPAN OXYBUTYNIN CHLORIDE 5MG/5ML SYRUP Urinary Tract Antispasmodic Agents DITROPAN XL OXYBUTYNIN CHLORIDE 10MG TAB SR OSM Urinary Tract Antispasmodic Agents DITROPAN XL OXYBUTYNIN CHLORIDE 15MG TAB SR OSM Urinary Tract Antispasmodic Agents DITROPAN XL OXYBUTYNIN CHLORIDE 5MG TAB SR OSM Urinary Tract Antispasmodic Agents DOLOBID DIFLUNISAL 250MG TABLET Analgesics, Salicylates DOLOBID DIFLUNISAL 500MG TABLET Analgesics, Salicylates DOLOPHINE HCL METHADONE HCL 10MG/ML VIAL Analgesics, Narcotics DOMEBORO ACETIC ACID/ALUMINUM ACET 2% DROPS Ear Preparations, Misc. Anti-infectives DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG CAPSULE Belladonna Alkaloids DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG TABLET Belladonna Alkaloids DONNATAL BELLADONNA ALKALOIDS/PHEN 16.2MG/5ML ELIXIR Belladonna Alkaloids DONNATAL BELLADONNA ALKALOIDS/PHEN 48.6MG TABLET SA Belladonna Alkaloids DONNATAL NO.2 BELLADONNA ALKALOIDS/PHEN 32.4MG TABLET Belladonna Alkaloids DONNAZYME AMYLASE/LIPASE/PROTE/PANC 500MG TABLET Pancreatic Enzymes DOPAR LEVODOPA 100MG CAPSULE Antiparkinsonism Drugs, Other DOPAR LEVODOPA 250MG CAPSULE Antiparkinsonism Drugs, Other DOPAR LEVODOPA 500MG CAPSULE Antiparkinsonism Drugs, Other DOSTINEX CABERGOLINE 0.5MG TABLET Pituitary Suppressive Agents DOVONEX CALCIPOTRIENE 0.01% OINT.(GM) Antipsoriatic Agents DOVONEX CALCIPOTRIENE 0.01% CREAM Antipsoriatic Agents DOVONEX CALCIPOTRIENE 0.01% SOLUTION Antipsoriatic Agents DOXEPIN HCL DOXEPIN HCL 150MG CAPSULE Antidepressants DRISDOL ERGOCALCIFEROL 50000 UNIT CAPSULE Vitamin D Preparations DRISDOL ERGOCALCIFEROL 8000 U/ML DROPS Vitamin D Preparations DRITHOCREME ANTHRALIN 0.10% CREAM(GM) Antipsoriatic Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class DRITHOCREME ANTHRALIN 0.25% CREAM(GM) Antipsoriatic Agents DRITHOCREME ANTHRALIN 0.50% CREAM(GM) Antipsoriatic Agents DRITHO-SCALP ANTHRALIN 0.25% CREAM/APPL Antipsoriatic Agents DRITHO-SCALP ANTHRALIN 0.50% CREAM/APPL Antipsoriatic Agents DRIZE PPA HCL/CHLOR-MAL 75-12MG CAPSULE SA Cough and Cold Preparations DRYSOL DAB-O-MATIC ALUMINUM CHLORIDE 20% SOLUTION Antiperspirants DUETACT PIOGLITAZONE/GLIMEPIRIDE 30-2MG TABLET Hypoglycemics DUETACT PIOGLITAZONE/GLIMEPIRIDE 30-4MG TABLET Hypoglycemics DUOFILM SALICYLIC ACID 17% LIQUID Keratolytics DUOPLANT SALICYLIC ACID 27% GEL Keratolytics DURAGESIC FENTANYL 100MCG/HR PATCH TD72 Analgesics, Narcotics DURAGESIC FENTANYL 25MCG/HR PATCH TD72 Analgesics, Narcotics DURAGESIC FENTANYL 50MCG/HR PATCH TD72 Analgesics, Narcotics DURAGESIC FENTANYL 75MCG/HR PATCH TD72 Analgesics, Narcotics DURAGESIC FENTANYL 12MCG/HR PATCH TD73 Analgesics, Narcotics DURA-GEST GUAIFEN/PHENYLEPHRINE/PPA CAPSULE Expectorants DURICEF CEFADROXIL HYDRATE 125MG/5ML SUSP RECON Cephalosporins DURICEF CEFADROXIL HYDRATE 1G TABLET Cephalosporins DURICEF CEFADROXIL HYDRATE 250MG/5ML SUSP RECON Cephalosporins DURICEF CEFADROXIL HYDRATE 500MG/5ML SUSP RECON Cephalosporins DURICEF CEFADROXIL HYDRATE 500MG/5ML SUSP RECON Cephalosporins DURICEF CEFADROXIL MONOHYDRATE 500MG CAPSULE Cephalosporins DYAZIDE TRIAMTERENE/HYDROCHLOROTH 25-50MG CAPSULE Potassium Sparing Diuretics in Combination DYAZIDE TRIAMTERENE/HYDROCHLOROTH 37.5-25MG CAPSULE Potassium Sparing Diuretics in Combination DYMELOR ACETOHEXAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas DYNACIN MINOCYCLINE HCL 100MG TABLET Tetracyclines DYNACIN MINOCYCLINE HCL 50MG CAPSULE Tetracyclines DYNACIN MINOCYCLINE HCL 75MG TABLET Tetracyclines DYNACIN MINOCYCLINE HCL 75MG CAPSULE Tetracyclines DYNACIRC ISRADIPINE 2.5MG CAPSULE Calcium Channel Blocking Agents DYNACIRC ISRADIPINE 5MG CAPSULE Calcium Channel Blocking Agents DYNACIRC CR ISRADIPINE 10MG TAB SA OSM Calcium Channel Blocking Agents DYNACIRC CR ISRADIPINE 5MG TAB SA OSM Calcium Channel Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class DYNAPEN DICLOXACILLIN SODIUM 125MG CAPSULE Penicillins DYNAPEN DICLOXACILLIN SODIUM 62.5MG/5ML SUSP RECON Penicillins DYRENIUM TRIAMTERENE 100MG CAPSULE Potassium Sparing Diuretics DYRENIUM TRIAMTERENE 50MG CAPSULE Potassium Sparing Diuretics EASPRIN ASPIRIN 975MG TABLET DR Analgesics, Salicylates EC-NAPROSYN NAPROXEN 375MG TABLET DR Anti-inflammatory Agents EC-NAPROSYN NAPROXEN 500MG TABLET DR Anti-inflammatory Agents ECONOPRED PREDNISOLONE ACETATE 0.13% DROPS SUSP Eye Antiinflammatory Agents ECOTRIN ASPIRIN 325MG TABLET EC Analgesics, Salicylates ECOTRIN ASPIRIN 500MG TABLET DR Analgesics, Salicylates ECOTRIN ASPIRIN 81MG TABLET DR Analgesics, Salicylates ED A-CEPH CEPHALEXIN MONOHYDRATE 250MG/5ML SUSP RECON Cephalosporins EFFEXOR VENLAFAXINE HCL 100MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR VENLAFAXINE HCL 25MG TABLET Antidepressants, Cont. EFFEXOR VENLAFAXINE HCL 25MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR VENLAFAXINE HCL 37.5MG TABLET Antidepressants, Cont. EFFEXOR VENLAFAXINE HCL 37.5MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR VENLAFAXINE HCL 50MG TABLET Antidepressants, Cont. EFFEXOR VENLAFAXINE HCL 50MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR VENLAFAXINE HCL 75MG TABLET Antidepressants, Cont. EFFEXOR VENLAFAXINE HCL 75MG TABLET Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR XR VENLAFAXINE HCL 150MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR XR VENLAFAXINE HCL 37.5MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFFEXOR XR VENLAFAXINE HCL 75MG CAP.SR 24H Serotonin-Norepinephrine Reuptake-Inhib (SNRIS) EFUDEX FLUOROURACIL 2% SOLUTION Topical Antineoplastics EFUDEX FLUOROURACIL 5% CREAM(GM) Topical Antineoplastics EFUDEX FLUOROURACIL 5% SOLUTION Topical Antineoplastics ELAVIL AMITRIPTYLINE HCL 100MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ELAVIL AMITRIPTYLINE HCL 10MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ELAVIL AMITRIPTYLINE HCL 150MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib Brand Name PA Status Generic Name Strength Form Therapeutic Class ELAVIL AMITRIPTYLINE HCL 25MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ELAVIL AMITRIPTYLINE HCL 50MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ELAVIL AMITRIPTYLINE HCL 75MG TABLET Antidepressants ELAVIL AMITRIPTYLINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib ELDOPAQUE SUNSCREEN/HYDROQUINONE 2% CREAM(GM) Antimelamin Agents ELIDEL PIMECROLIMUS 1% CREAM(GM) Topical Immunosuppressive Agents ELIGARD LEUPROLIDE ACETATE 22.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant ELIGARD LEUPROLIDE ACETATE 30MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant ELIGARD LEUPROLIDE ACETATE 7.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant ELIMITE PERMETHRIN 5% CREAM(GM) Topical Antiparasitics ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 100MG CAPSULE Xanthines ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 200MG CAPSULE Xanthines ELIXOPHYLLIN THEOPHYLLINE ANHYDROUS 80MG/15ML ELIXIR Xanthines ELMIRON PENTOSAN POLYSULFATE SODI 100MG CAPSULE Urinary Tract Analgesic Agents ELOCON MOMETASONE FUROATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations ELOCON MOMETASONE FUROATE 0.10% LOTION Topical Antiinflammatory Preparations ELOCON MOMETASONE FUROATE 0.10% OINT.(GM) Topical Antiinflammatory Preparations EMCYT ESTRAMUSTINE PHOSPHATE SO 140MG CAPSULE Steroid Antineoplastics EMPIRIN W/CODEINE CODEINE PHOS/ASPIRIN 30-325MG TABLET Analgesics, Narcotics EMPIRIN W/CODEINE CODEINE PHOS/ASPIRIN 60-325MG TABLET Analgesics, Narcotics EMTRIVA EMTRICITABINE 200MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI EMTRIVA EMTRICITABINE 10MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI E-MYCIN E ERYTHROMYCIN ETHYLSUCCINA 400MG/5ML ORAL SUSP Macrolides ENABLEX DARIFENACIN HYDROBROMIDE 7.5MG SR TABLET Urinary Tract Antispasmodic, M(3) Sele ENABLEX DARIFENACIN HYDROBROMIDE 15MG SR TABLET Urinary Tract Antispasmodic, M(3) Sele PA ENBREL Required ETANERCEPT 25MG KIT Anti-Inflammatory Tumor Necrosis Factor Inhibitors PA ENBREL Required ETANERCEPT 50MG/ML DISP SYRIN Anti-Inflammatory Tumor Necrosis Factor Inhibitors PA ENBREL Required ETANERCEPT 25MG/0.5ML DISP SYRIN Anti-Inflammatory Tumor Necrosis Factor Inhibitors ENDAL GUAIFENESIN/PHENYLEPHRINE 300-20MG TABLET SA Expectorants Brand Name PA Status Generic Name Strength Form Therapeutic Class ENOVID MESTRANOL/NORETHYNODREL 0.075-5MG TABLET Estrogenic Agents ENOVID MESTRANOL/NORETHYNODREL 0.15-9.85 TABLET Estrogenic Agents ENTEX GUAIFEN/PHENYLEPHRINE/PPA LIQUID Expectorants ENTEX LA GUAIFENESIN/PHENYLEPHRINE 400MG-30MG CAP.SR 12H Expectorants ENTEX LA GUAIFENESIN/PHENYLEPHRINE 600-30MG TAB.SR 12H Expectorants ENTEX PSE GUAIFENESIN/P-EPHED HCL 400-120MG CAP.SR 12H Expectorants ENTOCORT EC BUDESONIDE 3MG CAP.SR 24H Glucocorticoids, Topical ENTUSS-D P-EPHED HCL/HYDROCODONE B 30-5MG/5ML LIQUID Cough and Cold Preparations EPHEDRINE HCL EPHEDRINE HCL POWDER Bulk Chemicals EPHEDRINE SULFATE EPHEDRINE SULFATE 50MG/ML AMPUL Sympathomimetic Agents EPHEDRINE SULFATE EPHEDRINE SULFATE POWDER Bulk Chemicals EPIFOAM HC ACETATE/PRAMOXINE HCL 1-1% FOAM Topical Local Anesthetics EPIFRIN EPINEPHRINE 0.25% DROPS Mydriatics EPIFRIN EPINEPHRINE 0.50% DROPS Mydriatics EPIFRIN EPINEPHRINE 1% DROPS Mydriatics EPIFRIN EPINEPHRINE 2% DROPS Mydriatics EPINAL EPINEPHRYL BORATE 0.50% DROPS Miotics/Other Intraocular Pressure Reducers EPINAL EPINEPHRYL BORATE 1% DROPS Miotics/Other Intraocular Pressure Reducers EPINEPHRINE EPINEPHRINE 1MG/ML AMPUL Adrenergic Agents, Catecholamines EPIPEN EPINEPHRINE 0.3MG DISP SYRIN Anaphylaxis therapy agent EPIPEN JR. EPINEPHRINE 0.15MG DISP SYRIN Anaphylaxis therapy agent EPIVIR LAMIVUDINE 10MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI EPIVIR LAMIVUDINE 150MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI EPIVIR LAMIVUDINE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI EPIVIR HBV LAMIVUDINE 100MG TABLET Hepatitis B Treatment Agents EPIVIR HBV LAMIVUDINE 25MG/5ML SOLUTION Hepatitis B Treatment Agents EPOGEN EPOETIN ALFA 20000 U/ML VIAL Hematinics, Other EPOGEN EPOETIN ALFA 3000 U/ML VIAL Hematinics, Other EPOGEN EPOETIN ALFA 40000 U/ML VIAL Hematinics, Other EPPY/N EPINEPHRYL BORATE 2% DROPS Miotics/Other Intraocular Pressure Reducers

EPZICOM ABACAVIR SULFATE/LAMIVUDI 600-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb ERGAMISOL LEVAMISOLE HCL 50MG TABLET Immunomodulators Brand Name PA Status Generic Name Strength Form Therapeutic Class ERGOCAFF-PB ERGOT TT/CAFF/BELL ALK/P- SUPP.RECT Antimigraine Preparations ERGOMAR ERGOTAMINE TARTRATE 2MG TAB SUBL Antimigraine Preparations ERGOTRATE MALEATE ERGONOVINE MALEATE 0.2MG TABLET Oxytocics ERYC ERYTHROMYCIN BASE 125MG CAPSULE EC Macrolides ERYC ERYTHROMYCIN BASE 250MG CAPSULE DR Macrolides ERYGEL ERYTHROMYCIN BASE/ETHANOL 2% GEL Topical Antibiotics ERYPED ERYTHROMYCIN ETHYLSUCCINA 200MG TAB CHEW Macrolides ERYPED ERYTHROMYCIN ETHYLSUCCINA 40MG/ML DROPS Macrolides ERYPED 200 ERYTHROMYCIN ETHYLSUCCINA 200MG/5ML SUSP RECON Macrolides ERYPED 400 ERYTHROMYCIN ETHYLSUCCINA 400MG/5ML SUSP RECON Macrolides ERY-TAB ERYTHROMYCIN BASE 250MG TABLET DR Macrolides ERY-TAB ERYTHROMYCIN BASE 333MG TABLET DR Macrolides ERY-TAB ERYTHROMYCIN BASE 500MG TABLET DR Macrolides ERYTHROMYCIN BASE ERYTHROMYCIN BASE 250MG TABLET Macrolides ERYTHROMYCIN BASE ERYTHROMYCIN BASE 500MG TABLET Macrolides ERYTHROMYCIN ESTOLATE ERYTHROMYCIN ESTOLATE 250MG/5ML ORAL SUSP Macrolides ERYTHROMYCIN ETHYLSUCCINA ERYTHROMYCIN ETHYLSUCCINA 400MG TABLET Macrolides ERYTHROMYCIN STEARATE ERYTHROMYCIN STEARATE 500MG TABLET Macrolides ESCLIM ESTRADIOL .0375MG/24 PATCH TDBW Estrogenic Agents ESCLIM ESTRADIOL .075MG/24H PATCH TDBW Estrogenic Agents ESCLIM ESTRADIOL 0.05MG/24H PATCH TDBW Estrogenic Agents ESGIC ACETAMINOPHEN/CAFFEINE/BU 325-40-50 CAPSULE Analgesics, Antipyretics, Non-Salicylate ESGIC ACETAMINOPHEN/CAFFEINE/BU 325-40-50 TABLET Analgesics, Antipyretics, Non-Salicylate ESGIC PLUS ACETAMINOPHEN/CAFFEINE/BU 500-40-50 CAPSULE Analgesics, Antipyretics, Non-Salicylate ESGIC-PLUS ACETAMINOPHEN/CAFFEINE/BU 500-40-50 TABLET Analgesics, Antipyretics, Non-Salicylate ESKALITH LITHIUM CARBONATE 300MG CAPSULE Anti-Mania Drugs ESKALITH CR LITHIUM CARBONATE 450MG TABLET SA Anti-Mania Drugs ESTINYL ETHINYL ESTRADIOL 0.02MG TABLET Estrogenic Agents ESTINYL ETHINYL ESTRADIOL 0.05MG TABLET Estrogenic Agents ESTINYL ETHINYL ESTRADIOL 0.5MG TABLET Estrogenic Agents ESTRACE ESTRADIOL 0.01% CREAM/APPL Vaginal Estrogen Preparations ESTRACE ESTRADIOL 0.5MG TABLET Estrogenic Agents ESTRACE ESTRADIOL 1MG TABLET Estrogenic Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class ESTRACE ESTRADIOL 2MG TABLET Estrogenic Agents ESTRATEST ME-TESTOSTERONE/ESTROGEN, 2.5-1.25MG TABLET Estrogen/Androgen Combinations ESTRATEST H.S. ME-TESTOSTERONE/ESTROGEN, 1.25-0.625 TABLET Estrogen/Androgen Combinations ESTRING ESTRADIOL 2MG VAG RING Vaginal Estrogen Preparations ESTROSTEP FE NORETH A-ET ESTRA/FE FUMA 5-7-9-7 TABLET Contraceptives, Oral ETHMOZINE MORICIZINE HCL 200MG TABLET Antiarrhythmics ETHMOZINE MORICIZINE HCL 250MG TABLET Antiarrhythmics ETHMOZINE MORICIZINE HCL 300MG TABLET Antiarrhythmics ETHRIL 250 ERYTHROMYCIN STEARATE 250MG TABLET Macrolides EULEXIN FLUTAMIDE 125MG CAPSULE Antiandrogenic Agents EURAX CROTAMITON 10% CREAM(GM) Topical Antiparasitics EURAX CROTAMITON 10% LOTION Topical Antiparasitics EVISTA RALOXIFENE HCL 60MG TABLET Bone Ossification Suppression Agents EVOXAC CEVIMELINE HCL 30MG CAPSULE Parasympathetic Agents EXELDERM SULCONAZOLE NITRATE 1% SOLUTION Topical Antifungals EXELDERM SULCONAZOLE NITRATE 1% CREAM(GM) Topical Antifungals EXELON RIVASTIGMINE TARTRATE 1.5MG CAPSULE Cholinesterase Inhibitors EXELON RIVASTIGMINE TARTRATE 2MG/ML SOLUTION Cholinesterase Inhibitors EXELON RIVASTIGMINE TARTRATE 3MG CAPSULE Cholinesterase Inhibitors EXELON RIVASTIGMINE TARTRATE 4.5MG CAPSULE Cholinesterase Inhibitors EXELON RIVASTIGMINE TARTRATE 6MG CAPSULE Cholinesterase Inhibitors PA EXUBERA Required INSULIN REG HUMAN REC/RLSE 1-3MG(90) COMBO PKG Insulins PA EXUBERA Required INSULIN REG HUMAN REC/RLSE 1-3MG(180) COMBO PKG Insulins

EXUBERA INSULIN REGULAR HUMAN REC/RLSE 1mg INH Insulins

EXUBERA INSULIN REGULAR HUMAN REC/RLSE 3mg INH Insulins FA-8 FOLIC ACID 0.8MG TABLET Folic Acid Preparations FAMVIR FAMCICLOVIR 125MG TABLET Antivirals, General FAMVIR FAMCICLOVIR 250MG TABLET Antivirals, General FAMVIR FAMCICLOVIR 500MG TABLET Antivirals, General FANSIDAR PYRIMETHAMINE/SULFADOXINE 25-500MG TABLET Antimalarial Drugs Brand Name PA Status Generic Name Strength Form Therapeutic Class FARESTON TOREMIFENE CITRATE 60MG TABLET Nolvadex, Faslodex, only FELDENE PIROXICAM 10MG CAPSULE Anti-inflammatory Agents FELDENE PIROXICAM 20MG CAPSULE Anti-inflammatory Agents FEMARA LETROZOLE 2.5MG TABLET Antineoplastics, Misc, cont FEMHRT ETHINYL ESTRADIOL/NORETH 0.005-1MG TABLET Estrogenic Agents FEMRING ESTRADIOL ACETATE 0.05MG/24H VAG RING Vaginal Estrogen Preparations FEMRING ESTRADIOL ACETATE 0.1MG/24HR VAG RING Vaginal Estrogen Preparations FEMSTAT 3 BUTOCONAZOLE NITRATE 2% CRM/PF APP Vaginal Antifungals FIORINAL ASPIRIN/CAFFEINE/BUTALBIT 325-40-50 CAPSULE Analgesics, Salicylates FIORINAL ASPIRIN/CAFFEINE/BUTALBIT 325-40-50 TABLET Analgesics, Salicylates FIORINAL W/CODEINE #1 CODEINE PHOS/ASA/CAFFEIN/ 7.5MG CAPSULE Analgesics, Narcotics FIORINAL W/CODEINE #2 CODEINE PHOS/ASA/CAFFEIN/ 15MG CAPSULE Analgesics, Narcotics FIORINAL W/CODEINE #3 CODEINE/ASA/CAFFEINE/BUTA 30MG CAPSULE Analgesics, Narcotics FLAGYL METRONIDAZOLE 250MG TABLET Trichomonacides FLAGYL METRONIDAZOLE 500MG TABLET Trichomonacides FLAGYL 375 METRONIDAZOLE 375MG CAPSULE Trichomonacides FLAGYL ER METRONIDAZOLE 750MG TABLET SA Trichomonacides FLAREX FLUOROMETHOLONE ACETATE 0.10% DROPS SUSP Eye Antiinflammatory Agents FLEXERIL CYCLOBENZAPRINE HCL 10MG TABLET Skeletal Muscle Relaxants FLOMAX TAMSULOSIN HCL 0.4MG CAP.SR 24H BPH/Micturition Agents FLONASE FLUTICASONE PROPIONATE 50MCG SPRAY Nose Preparations, Antiinflammatory FLORINEF ACETATE FLUDROCORTISONE ACETATE 0.1MG TABLET Mineralcorticoids FLOVENT FLUTICASONE PROPIONATE 110MCG AER W/ADAP Glucocorticoids, Topical FLOVENT FLUTICASONE PROPIONATE 220MCG AER W/ADAP Glucocorticoids, Topical FLOVENT FLUTICASONE PROPIONATE 44MCG AER W/ADAP Glucocorticoids, Topical FLOVENT ROTADISK FLUTICASONE PROPIONATE 100MCG DISK W/DEV Glucocorticoids, Topical FLOVENT ROTADISK FLUTICASONE PROPIONATE 250MCG DISK W/DEV Glucocorticoids, Topical FLOVENT ROTADISK FLUTICASONE PROPIONATE 50MCG DISK W/DEV Glucocorticoids, Topical FLOXIN OFLOXACIN 0.30% DROPS Ear Preparations, Antibiotics FLOXIN OFLOXACIN 200MG TABLET Quinolones FLOXIN OFLOXACIN 300MG TABLET Quinolones FLOXIN OFLOXACIN 400MG TABLET Quinolones FLUMADINE RIMANTADINE HCL 100MG TABLET Antivirals, General Brand Name PA Status Generic Name Strength Form Therapeutic Class FLUMADINE RIMANTADINE HCL 50MG/5ML SYRUP Antivirals, General FLUPHENAZINE HCL FLUPHENAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines FLURA-DROPS SODIUM FLUORIDE 0.25MG/DRP DROPS Fluoride Preparations FML FLUOROMETHOLONE 0.10% DROPS SUSP Eye Antiinflammatory Agents FML FORTE FLUOROMETHOLONE 0.25% DROPS SUSP Eye Antiinflammatory Agents FML S.O.P. FLUOROMETHOLONE 0.10% OINT.(GM) Eye Antiinflammatory Agents FML-S NA SULFACETM/FLUOROMETHOL 10-0.1% DROPS SUSP Eye Preparations, Misc FOLIC ACID FOLIC ACID 0.4MG TABLET Folic Acid Preparations FOLIC ACID FOLIC ACID 1MG TABLET Folic Acid Preparations FORADIL FORMOTEROL FUMARATE 12MCG CAP W/DEV Beta-Adrenergic Agents PA FORTEO Required TERIPARATIDE 750MCG/3ML DISP SYRIN Forteo, only FORTOVASE SAQUINAVIR 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors FOSAMAX ALENDRONATE SODIUM 10MG TABLET Bone Ossification Suppression Agents FOSAMAX ALENDRONATE SODIUM 35MG TABLET Bone Ossification Suppression Agents FOSAMAX ALENDRONATE SODIUM 40MG TABLET Bone Ossification Suppression Agents FOSAMAX ALENDRONATE SODIUM 5MG TABLET Bone Ossification Suppression Agents FOSAMAX ALENDRONATE SODIUM 70MG TABLET Bone Ossification Suppression Agents FOSAMAX ALENDRONATE SODIUM 70MG/75ML SOLUTION Bone Ossification Suppression Agents FOSAMAX PLUS D ALENDRONATE SODIUM/VIT D3 70MG/2800MG TABLET Bone Ossification Suppression Agents FOSAMAX PLUS D ALENDRONATE SODIUM/VIT D4 70MG/5600MG TABLET Bone Ossification Suppression Agents FOSTEX BENZOYL PEROXIDE 10% BAR Keratolytics FRAGMIN DALTEPARIN SODIUM,PORCINE 10000 U/ML VIAL Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 10000 U/ML DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 2500 U/0.2 DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 25000 U/ML VIAL Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 5000 U/0.2 DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 7500 U/0.3 DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 12500/0.5 DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 15000/0.6 DISP SYRIN Heparin Preparations FRAGMIN DALTEPARIN SODIUM,PORCINE 18000/0.72 DISP SYRIN Heparin Preparations FULVICIN P/G GRISEOFULVIN ULTRAMICROSI 165MG TABLET Antifungal Antibiotics FULVICIN P/G GRISEOFULVIN ULTRAMICROSI 330MG TABLET Antifungal Antibiotics Brand Name PA Status Generic Name Strength Form Therapeutic Class FULVICIN U/F GRISEOFULVIN,MICROSIZE 250MG TABLET Antifungal Antibiotics FURADANTIN NITROFURANTOIN 100MG TABLET Nitrofuran Derivatives FURADANTIN NITROFURANTOIN 25MG/5ML ORAL SUSP Nitrofuran Derivatives FURADANTIN NITROFURANTOIN 50MG TABLET Nitrofuran Derivatives FUROSEMIDE FUROSEMIDE 40MG/5ML SOLUTION Loop Diuretics FUROXONE FURAZOLIDONE 100MG TABLET Nitrofuran Derivatives FUROXONE FURAZOLIDONE 50MG/15ML ORAL SUSP Nitrofuran Derivatives GABARONE GABAPENTIN 100MG TABLET Anticonvulsants GABARONE GABAPENTIN 300MG TABLET Anticonvulsants GABARONE GABAPENTIN 400MG TABLET Anticonvulsants GABITRIL TIAGABINE HCL 12MG TABLET Anticonvulsants, cont GABITRIL TIAGABINE HCL 16MG TABLET Anticonvulsants, cont GABITRIL TIAGABINE HCL 20MG TABLET Anticonvulsants, cont GABITRIL TIAGABINE HCL 2MG TABLET Anticonvulsants, cont GABITRIL TIAGABINE HCL 4MG TABLET Anticonvulsants, cont GANTRISIN SULFISOXAZOLE 500MG TABLET Absorbable Sulfonamides GANTRISIN SULFISOXAZOLE ACETYL 500MG/5ML ORAL SUSP Absorbable Sulfonamides GANTRISIN SULFISOXAZOLE ACETYL 500MG/5ML SYRUP Absorbable Sulfonamides GANTRISIN SULFISOXAZOLE DIOLAMINE 4% OINT.(GM) Eye Sulfonamides GANTRISIN SULFISOXAZOLE DIOLAMINE 4% DROPS Eye Sulfonamides GARAMYCIN GENTAMICIN SULFATE 0.30% OINT.(GM) Eye Antibiotics GELPIRIN ASPIRIN/ACETAMINOPHEN/CAF 240-125-32 TABLET Analgesics, Salicylates GENOPTIC GENTAMICIN SULFATE 0.30% DROPS Eye Antibiotics PA GENOTROPIN Required SOMATROPIN 0.2MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 0.4MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 0.6MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 0.8MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 1.2MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 1.4MG CARTRIDGE Growth Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class PA GENOTROPIN Required SOMATROPIN 1.6MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 1.8MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 15 UNIT CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 1MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 2MG CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 36 UNIT CARTRIDGE Growth Hormones PA GENOTROPIN Required SOMATROPIN 4 UNIT CARTRIDGE Growth Hormones GENTAMICIN SULFATE GENTAMICIN SULFATE 0.10% CREAM(GM) Topical Antibiotics GENTAMICIN SULFATE GENTAMICIN SULFATE 0.10% OINT.(GM) Topical Antibiotics GENTAPP PPA HCL/BROMPHENIRAMIN ELIXIR Cough and Cold Preparations

GEODON ZIPRASIDONE MESYLATE 20MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 40MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 60MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag

GEODON ZIPRASIDONE MESYLATE 80MG CAPSULE Antipsychotics,Atypical, Dopamine & Serotonin Antag GLEEVEC IMATINIB MESYLATE 100MG CAPSULE Antineoplastic Systemic Enzyme Inhibitors GLEEVEC IMATINIB MESYLATE 100MG TABLET Antineoplastic Systemic Enzyme Inhibitors GLEEVEC IMATINIB MESYLATE 400MG TABLET Antineoplastic Systemic Enzyme Inhibitors GLUCAGON GLUCAGON 10MG VIAL Hyperglycemics GLUCAGON GLUCAGON 1MG VIAL Hyperglycemics GLUCAGON EMERGENCY KIT GLUCAGON 1MG KIT Hyperglycemics GLUCAGON EMERGENCY KIT GLUCAGON,HUMAN RECOMBINAN 1MG KIT Hyperglycemics GLUCOLET ENDCAPS DIABETIC SUPPLIES,MISCELL EACH Diabetic Supplies GLUCOPHAGE METFORMIN HCL 1000MG TABLET Oral Hypoglycemics, Non-Sulfonylureas GLUCOPHAGE METFORMIN HCL 500MG TABLET Oral Hypoglycemics, Non-Sulfonylureas GLUCOPHAGE METFORMIN HCL 850MG TABLET Oral Hypoglycemics, Non-Sulfonylureas GLUCOPHAGE XR METFORMIN HCL 500MG TAB.SR 24H Oral Hypoglycemics, Non-Sulfonylureas GLUCOPHAGE XR METFORMIN HCL 750MG TAB.SR 24H Oral Hypoglycemics, Non-Sulfonylureas Brand Name PA Status Generic Name Strength Form Therapeutic Class GLUCOTROL GLIPIZIDE 10MG TABLET Oral Hypoglycemics, Sulfonylureas GLUCOTROL GLIPIZIDE 5MG TABLET Oral Hypoglycemics, Sulfonylureas GLUCOTROL XL GLIPIZIDE 10MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas GLUCOTROL XL GLIPIZIDE 2.5MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas GLUCOTROL XL GLIPIZIDE 5MG TAB SA OSM Oral Hypoglycemics, Sulfonylureas GLUCOVANCE GLYBURIDE/METFORMIN HCL 1.25-250MG TABLET Oral Hypoglycemics, Sulfonylureas GLUCOVANCE GLYBURIDE/METFORMIN HCL 2.5-500MG TABLET Oral Hypoglycemics, Sulfonylureas GLUCOVANCE GLYBURIDE/METFORMIN HCL 5-500MG TABLET Oral Hypoglycemics, Sulfonylureas GLYNASE GLYBURIDE,MICRONIZED 1.5MG TABLET Oral Hypoglycemics, Sulfonylureas GLYNASE GLYBURIDE,MICRONIZED 3MG TABLET Oral Hypoglycemics, Sulfonylureas GLYNASE GLYBURIDE,MICRONIZED 6MG TABLET Oral Hypoglycemics, Sulfonylureas GOLD SODIUM THIOMALATE GOLD SODIUM THIOMALATE 50MG/ML AMPUL Gold Salts GOLYTELY SOD SULF/SOD/NAHCO3/KCL/P SOLN RECON Laxatives and Cathartics GOLYTELY SOD SULF/SOD/NAHCO3/KCL/P PACKET Laxatives and Cathartics GORDOFILM SALICYLIC ACID/LA/COLLODI 16.7-16.7% SOLUTION Keratolytics GRIFULVIN V GRISEOFULVIN,MICROSIZE 500MG TABLET Antifungal Antibiotics GRISACTIN GRISEOFULVIN,MICROSIZE 125MG CAPSULE Antifungal Antibiotics GRISACTIN GRISEOFULVIN,MICROSIZE 250MG CAPSULE Antifungal Antibiotics GRIS-PEG GRISEOFULVIN ULTRAMICROSI 125MG TABLET Antifungal Antibiotics GRIS-PEG GRISEOFULVIN ULTRAMICROSI 250MG TABLET Antifungal Antibiotics GUAIFED GUAIFENESIN/P-EPHED HCL 200-30/5ML SYRUP Expectorants GUAIFED GUAIFENESIN/P-EPHED HCL 250-120MG CAPSULE SA Expectorants GUAIFED GUAIFENESIN/PHENYLEPHRINE 400-15MG CAP.SR 12H Expectorants GUAIFED-PD GUAIFENESIN/PHENYLEPHRINE 200-7.5MG CAP.SR 12H Expectorants GUAIFENESIN/PHENYLPROP GUAIFENESIN/PPA HCL 400-75MG TABLET SA Expectorants GYNAZOLE-1 BUTOCONAZOLE NITRATE 2% CRM SR(GM) Vaginal Antifungals GYNE-LOTRIMIN CLOTRIMAZOLE 100MG TABLET Vaginal Antifungals GYNODIOL ESTRADIOL 1.5MG TABLET Estrogenic Agents HALCION TRIAZOLAM 0.125MG TABLET Non-Barbiturate, Sedative-Hypnotic HALCION TRIAZOLAM 0.25MG TABLET Non-Barbiturate, Sedative-Hypnotic

HALDOL HALOPERIDOL 0.5MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 10MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones Brand Name PA Status Generic Name Strength Form Therapeutic Class

HALDOL HALOPERIDOL 1MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 20MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL 2MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones

HALDOL HALOPERIDOL LACTATE 2MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonists, Butyrophenones HALOG HALCINONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations HALOG HALCINONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations HALOG HALCINONIDE 0.10% SOLUTION Topical Antiinflammatory Preparations HALOG-E HALCINONIDE/EMOLLIENT 0.10% CREAM(GM) Topical Antiinflammatory Preparations

HALOPERIDOL HALOPERIDOL 5MG TABLET Antipsychotics,Dopamine Antagonists, Butyrophenones HALOPERIDOL HALOPERIDOL LACTATE 1MG/ML SOLUTION Anti-Psychotic, Non-Phenothiazines HALOTESTIN FLUOXYMESTERONE 10MG TABLET Androgenic Agents HALOTESTIN FLUOXYMESTERONE 2MG TABLET Androgenic Agents HALOTESTIN FLUOXYMESTERONE 5MG TABLET Androgenic Agents HELIDAC TETRACYC HCL/BIS SS/METRO COMBO. PKG Anti-Ulcer Preps-E.pylori agents HEPARIN LOCK FLUSH HEPARIN SODIUM,PORCINE 100 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1000 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 10000 U/ML DISP SYRIN Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 10000 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1MU/ML AMPUL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 1MU/ML DISP SYRIN Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 20000 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 20MU/ML DISP SYRIN Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 2500 U/ML DISP SYRIN Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 40000 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 5000 U/ML DISP SYRIN Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 5000 U/ML VIAL Heparin Preparations HEPARIN SODIUM HEPARIN SODIUM,PORCINE 7500 U/ML DISP SYRIN Heparin Preparations HEP-LOCK HEPARIN SODIUM,PORCINE 10 UNIT/ML VIAL Heparin Preparations PA HEPSERA Required ADEFOVIR DIPIVOXIL 10MG TABLET Hepatitis B Treatment Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class HERPLEX IDOXURIDINE 0.10% DROPS Eye Antivirals HEXALEN ALTRETAMINE 50MG CAPSULE Alkylating Agents HISTAFED-LA PSEUDOEPHEDRINE HCL/CHLOR 120-8MG CAPSULE SA Cough and Cold Preparations HIVID ZALCITABINE 0.375MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI HIVID ZALCITABINE 0.750MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI HMS MEDRYSONE 1% DROPS SUSP Eye Antiinflammatory Agents HUMALOG INSULIN LISPRO,HUMAN REC. 100 U/ML CARTRIDGE Insulins HUMALOG INSULIN LISPRO,HUMAN REC. 100 U/ML VIAL Insulins HUMALOG INSULIN LISPRO,HUMAN REC. 300 U/3ML DISP SYRIN Insulins HUMALOG MIX 50/50 INSULIN NPL/INSULIN LISPR 50-50 U/ML PEN INJ Insulins HUMALOG MIX 75/25 INSULIN NPL/INSULIN LISPR 75-25 U/ML VIAL Insulins HUMALOG MIX 75/25 INSULIN NPL/INSULIN LISPR 75-25 U/ML DISP SYRIN Insulins HUMATIN PAROMOMYCIN SULFATE 250MG CAPSULE Amebacides PA HUMATROPE Required SOMATROPIN 18 UNIT CARTRIDGE Growth Hormones PA HUMATROPE Required SOMATROPIN 36 UNIT CARTRIDGE Growth Hormones PA HUMATROPE Required SOMATROPIN 5MG VIAL Growth Hormones PA HUMATROPE Required SOMATROPIN 72 UNIT CARTRIDGE Growth Hormones HUMIBID L.A. GUAIFENESIN 600MG TABLET SA Expectorants PA HUMIRA Required ADALIMUMAB 40MG/0.8ML KIT Anti-Inflammatory Tumor Necrosis Factor Inhibitors PA PEN HUMIRA Required ADALIMUMAB 40MG/0.8ML INJECTOR Anti-Inflammatory Tumor Necrosis Factor Inhibitors Humira PA Req Adalimumab 20mg/0.4ml Kit Anti-Inflammatory Tumor Necrosis Factor Inhibitors HUMORSOL DEMECARIUM BROMIDE 0.13% DROPS Miotics/Other Intraocular Pressure Reducers HUMORSOL DEMECARIUM BROMIDE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers HUMULIN 50/50 INSULIN NPH S-S/REG INSUL 50-50 U/ML VIAL Insulins HUMULIN 70/30 INSULIN/INSUL NPH HUM S-S 100U/ML VIAL Insulins HUMULIN L INSULIN ZINC HUMAN REC 100 U/ML VIAL Insulins HUMULIN N INSULIN NPH HUMAN RECOM 300 U/3ML DISP SYRIN Insulins HUMULIN R INSULIN REGULAR HUMAN REC 100 U/ML VIAL Insulins HUMULIN R INSULIN REGULAR HUMAN REC 500 U/ML VIAL Insulins Brand Name PA Status Generic Name Strength Form Therapeutic Class HUMULIN U INSULIN ZINC EXTEND HUMAN 100 U/ML VIAL Insulins HYCET HYDROCODONE BIT/ACETAMINO 2.5-108/5 SOLUTION Analgesics, Narcotics HYCOMINE PPA HCL/HYDROCODONE BIT 25-5 SYRUP Cough and Cold Preparations HYDREA HYDROXYUREA 500MG CAPSULE Alkylating Agents HYDRISALIC SALICYLIC ACID/ALC/PROP G 6% GEL Keratolytics HYDROCHLORIAZIDE HYDROCHLOROTHIAZIED 12.5mg TABLET Thiazide Diuretics and Related Agents HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 25MG TABLET Thiazide Diuretics and Related Agents HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 50MG TABLET Thiazide Diuretics and Related Agents HYDROCHLOROTHIAZIDE HYDROCHLOROTHIAZIDE 50MG/5ML SOLUTION Thiazide Diuretics and Related Agents HYDROCODONE PA PPA HCL/HYDROCODONE BIT 12.5-2.5 SYRUP Cough and Cold Preparations HYDROCORTISONE HYDROCORTISONE 100MG/60ML ENEMA Recta/Lower Bowel Prep, Glucocort HYDROCORTISONE ACETATE HYDROCORTISONE ACETATE 1% PACKET Topical Antiinflammatory Preparations HYDROCORTISONEACETATE HYDROCORTISONE ACETATE 2.50% CREAM/APPL Rectal Preparations HYDRODIURIL HYDROCHLOROTHIAZIDE 100MG TABLET Thiazide Diuretics and Related Agents HYDROXYZINE HCL HYDROXYZINE HCL 10MG TABLET Antihistamines, Cont 8 HYDROXYZINE HCL HYDROXYZINE HCL 25MG TABLET Antihistamines, Cont 9 HYDROXYZINE HCL HYDROXYZINE HCL 50MG TABLET Antihistamines, Cont 10 HYGROTON CHLORTHALIDONE 100MG TABLET Thiazide Diuretics and Related Agents HYGROTON CHLORTHALIDONE 50MG TABLET Thiazide Diuretics and Related Agents HYTAKEROL DIHYDROTACHYSTEROL 0.125MG CAPSULE Vitamin D Preparations HYTONE HYDROCORTISONE 2.50% CREAM(GM) Topical Antiinflammatory Preparations HYTONE HYDROCORTISONE 2.50% OINT.(GM) Topical Antiinflammatory Preparations HYTRIN TERAZOSIN HCL 10MG TABLET Hypotensives, Vasodilators HYTRIN TERAZOSIN HCL 10MG CAPSULE Alpha-Adrenergic Blocking Agents HYTRIN TERAZOSIN HCL 1MG TABLET Hypotensives, Vasodilators HYTRIN TERAZOSIN HCL 1MG CAPSULE Alpha-Adrenergic Blocking Agents HYTRIN TERAZOSIN HCL 2MG TABLET Hypotensives, Vasodilators HYTRIN TERAZOSIN HCL 2MG CAPSULE Alpha-Adrenergic Blocking Agents HYTRIN TERAZOSIN HCL 5MG TABLET Hypotensives, Vasodilators HYTRIN TERAZOSIN HCL 5MG CAPSULE Alpha-Adrenergic Blocking Agents HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 100-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 50-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist HYZAAR LOSARTAN/HYDROCHLOROTHIAZ 100-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist Brand Name PA Status Generic Name Strength Form Therapeutic Class ILETIN I LENTE INSULIN ZINC,BEEF-PORK 100 U/ML VIAL Insulins ILETIN I LENTE INSULIN ZINC,BEEF-PORK 40U/ML VIAL Insulins ILETIN I NPH INSULIN ISOPHANE NPH,BF-P 100 U/ML VIAL Insulins ILETIN I NPH INSULIN ISOPHANE NPH,BF-P 40U/ML VIAL Insulins ILETIN I PROTAMINE,ZINC INSULIN PROTAMINE ZN,BF-P 100U/ML VIAL Insulins ILETIN I REGULAR INSULIN REGULAR,BEEF-PORK 100 U/ML VIAL Insulins ILETIN I REGULAR INSULIN REGULAR,BEEF-PORK 40U/ML VIAL Insulins ILETIN I SEMILENTE INSULIN ZINC PROMPT,BF-PK 100U/ML VIAL Insulins ILETIN I ULTRALENTE INSULIN ZINC EXTENDED,BF- 100U/ML VIAL Insulins ILETIN I ULTRALENTE INSULIN ZINC EXTENDED,BF- 40U/ML VIAL Insulins ILETIN II LENTE(BEEF) INSULIN ZINC,BEEF PURIFIE 100U/ML VIAL Insulins ILETIN II LENTE(PORK) INSULIN ZINC,PORK PURIFIE 100 U/ML VIAL Insulins ILETIN II NPH(BEEF) INSULIN ISOPHANE,BEEF PUR 100U/ML VIAL Insulins ILETIN II NPH(PORK) INSULIN ISOPHANE,PORK PUR 100 U/ML VIAL Insulins ILETIN II REGULAR(BEEF) INSULIN,BEEF 100U/ML VIAL Insulins ILETIN II REGULAR(PORK) INSULIN,PORK PURIFIED 100 U/ML VIAL Insulins ILETIN II REGULAR(PORK)CO INSULIN,PORK REG. CONCENT 500U/ML VIAL Insulins ILOSONE ERYTHROMYCIN ESTOLATE 125MG/5ML ORAL SUSP Macrolides IMDUR ISOSORBIDE MONONITRATE 120MG TAB.SR 24H Vasodilator, Coronary IMDUR ISOSORBIDE MONONITRATE 30MG TAB.SR 24H Vasodilator, Coronary IMDUR ISOSORBIDE MONONITRATE 60MG TAB.SR 24H Vasodilator, Coronary IMITREX SUMATRIPTAN 20MG SPRAY Antimigraine Preparations IMITREX SUMATRIPTAN 5MG SPRAY Antimigraine Preparations IMITREX SUMATRIPTAN SUCCINATE 100MG TABLET Imitrex Oral Drugs IMITREX SUMATRIPTAN SUCCINATE 25MG TABLET Imitrex Oral Drugs IMITREX SUMATRIPTAN SUCCINATE 50MG TABLET Imitrex Oral Drugs IMITREX SUMATRIPTAN SUCCINATE 6MG/0.5ML KIT,REFILL Antimigraine Preparations IMITREX SUMATRIPTAN SUCCINATE 6MG/0.5ML VIAL Antimigraine Preparations IMITREX SUMATRIPTAN SUCCINATE 4MG/0.5ML PEN INJ Antimigraine Preparations IMITREX SUMATRIPTAN SUCCINATE 4MG/0.5ML CARTRIDGE Antimigraine Preparations IMURAN AZATHIOPRINE 50MG TABLET Immunosuppresives INATAL GT PRENATAL VIT/IRON,CARB/DO 90-1MG TABLET Prenatal Vitamin Preparations INDERAL PROPRANOLOL HCL 10MG TABLET Beta-Adrenergic Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class INDERAL PROPRANOLOL HCL 20MG TABLET Beta-Adrenergic Blocking Agents INDERAL PROPRANOLOL HCL 40MG TABLET Beta-Adrenergic Blocking Agents INDERAL PROPRANOLOL HCL 60MG TABLET Beta-Adrenergic Blocking Agents INDERAL PROPRANOLOL HCL 90MG TABLET Beta-Adrenergic Blocking Agents INDERAL LA PROPRANOLOL HCL 120MG CAP.SA 24H Beta-Adrenergic Blocking Agents INDERAL LA PROPRANOLOL HCL 160MG CAP.SA 24H Beta-Adrenergic Blocking Agents INDERAL LA PROPRANOLOL HCL 60MG CAP.SA 24H Beta-Adrenergic Blocking Agents INDERAL LA PROPRANOLOL HCL 80MG CAP.SA 24H Beta-Adrenergic Blocking Agents INDOCIN INDOMETHACIN 25MG CAPSULE Anti-inflammatory Agents INDOCIN INDOMETHACIN 25MG/5ML ORAL SUSP Anti-inflammatory Agents INDOCIN INDOMETHACIN 50MG SUPP.RECT Anti-inflammatory Agents INDOCIN INDOMETHACIN 50MG CAPSULE Anti-inflammatory Agents INDOCIN SR INDOMETHACIN 75MG CAPSULE SA Anti-inflammatory Agents PA INFERGEN Required INTERFERON ALFACON-1 15MCG/.5ML DISP SYRIN Hepatitis C Treatment Agents PA INFERGEN Required INTERFERON ALFACON-1 15MCG/.5ML VIAL Hepatitis C Treatment Agents PA INFERGEN Required INTERFERON ALFACON-1 9MCG/0.3ML DISP SYRIN Hepatitis C Treatment Agents PA INFERGEN Required INTERFERON ALFACON-1 9MCG/0.3ML VIAL Hepatitis C Treatment Agents INFLAMASE FORTE PREDNISOLONE SOD PHOSPHAT 1% DROPS Eye Antiinflammatory Agents INFLAMASE MILD PREDNISOLONE SOD PHOSPHAT 0.13% DROPS Eye Antiinflammatory Agents INNOHEP TINZAPARIN SODIUM,PORCINE 20000 U/ML VIAL Heparin Preparations INNOPRAN XL PROPRANOLOL HCL 120MG CAP.SR 24H Beta-Adrenergic Blocking Agents INNOPRAN XL PROPRANOLOL HCL 80MG CAP.SR 24H Beta-Adrenergic Blocking Agents PA INSPRA Required EPLERENONE 25MG TABLET Potassium Sparing Diuretics PA INSPRA Required EPLERENONE 50MG TABLET Potassium Sparing Diuretics INSULATARD HUMAN N INSULIN NPH HUMAN SEMI-SY 100U/ML VIAL Insulins INSULIN LENTE BEEF INSULIN ZINC BEEF 100U/ML VIAL Insulins INSULIN NPH BEEF INSULIN ISOPHANE,BEEF 100U/ML VIAL Insulins INSULIN REGULAR PORK INSULIN,PORK 100U/ML VIAL Insulins INSULIN SEMILENTE BEEF INSULIN ZINC PROMPT,BEEF 100U/ML VIAL Insulins Brand Name PA Status Generic Name Strength Form Therapeutic Class INSULIN U PURIFIED BEEF INSULIN ZINC EXT,BEEF (P) 100U/ML VIAL Insulins INSULIN ULTRALENTE BEEF INSULIN ZINC EXTENDED,BEE 100U/ML VIAL Insulins INTAL CROMOLYN SODIUM 20MG CAPSULE Mast Cell Stablizers INTAL CROMOLYN SODIUM 20MG/2ML AMPUL-NEB. Mast Cell Stablizers INTAL CROMOLYN SODIUM 800MCG AEROSOL Mast Cell Stablizers Intelence Etravirine 100mg Tablet Antivirals, HIV-Specific, Non-Nucleoside, RTI PA INTRON A Required INTERFERON ALFA-2B,RECOMB 10MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 10MMU/.2ML DISP SYRIN Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 10MMU/ML VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 10MMU/ML KIT Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 18MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 25MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 3MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 3MMU/0.2ML DISP SYRIN Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 3MMU/0.5ML VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 3MMU/0.5ML KIT Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 50MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 5MMU VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 5MMU/0.2ML DISP SYRIN Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 5MMU/0.5ML VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 5MMU/0.5ML KIT Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 5MMU/ML VIAL Immunomodulators PA INTRON A Required INTERFERON ALFA-2B,RECOMB 6MMU/ML VIAL Immunomodulators Brand Name PA Status Generic Name Strength Form Therapeutic Class INVIRASE SAQUINAVIR MESYLATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors INVIRASE SAQUINAVIR MESYLATE 500MG TABLET Antivirals, HIV-Specific, Protease Inhibitors IPRATROPIUM BROMIDE IPRATROPIUM BROMIDE 0.2MG/ML SOLUTION General Bronchodilator Agents ISENTRESS RALTEGRAVIR POTASSIUM 400MG TABLET Antivirals, HIV-1 Integrase Strand Transfer Inhibitor ISMELIN GUANETHIDINE SULFATE 10MG TABLET Hypotensives, Sympatholitic ISMELIN GUANETHIDINE SULFATE 25MG TABLET Hypotensives, Sympatholitic ISOCHRON ISOSORBIDE DINITRATE 40MG TABLET SA Vasodilator, Coronary ISOETHARINE HCL ISOETHARINE HCL 10MG/ML SOLUTION Adrenergic Agents, Catecholamines ISONIAZID ISONIAZID 300MG TABLET Antimycobacterium Agents ISONIAZID ISONIAZID 50MG/5ML SYRUP Antimycobacterium Agents ISOPTO ATROPINE ATROPINE SULFATE 0.50% DROPS Mydriatics ISOPTO ATROPINE ATROPINE SULFATE 1% DROPS Mydriatics ISOPTO ATROPINE ATROPINE SULFATE 3% DROPS Mydriatics ISOPTO CARBACHOL CARBACHOL 0.75% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARBACHOL CARBACHOL 1.50% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARBACHOL CARBACHOL 2.25% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARBACHOL CARBACHOL 3% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARPINE PILOCARPINE HCL 0.25% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARPINE PILOCARPINE HCL 3% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARPINE PILOCARPINE HCL 4% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARPINE PILOCARPINE HCL 8% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CARPINE PILOCARPINE HCL 10% DROPS Miotics/Other Intraocular Pressure Reducers ISOPTO CETAMIDE SULFACETAMIDE SODIUM 15% DROPS Eye Sulfonamides ISOPTO HOMATROPINE HOMATROPINE HBR 2% DROPS Mydriatics ISOPTO HOMATROPINE HOMATROPINE HBR 5% DROPS Mydriatics ISORDIL ISOSORBIDE DINITRATE 10MG TABLET Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 10MG TAB SUBL Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 2.5MG TAB SUBL Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 20MG TABLET Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 30MG TABLET Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 40MG TABLET Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 5MG TABLET Vasodilator, Coronary ISORDIL ISOSORBIDE DINITRATE 5MG TAB SUBL Vasodilator, Coronary Brand Name PA Status Generic Name Strength Form Therapeutic Class ISTALOL TIMOLOL MALEATE 0.50% DROPS Miotics/Other Intraocular Pressure Reducers Antihyperglycemic, (DPP-4) Enzyme Inhibitor & JANUMET SITAGLIPTIN PHOS/METFORMIN HCL 50-1000mg TABLET Biguanide Type (non-sulfonylureas) Antihyperglycemic, (DPP-4) Enzyme Inhibitor & JANUMET SITAGLIPTIN PHOS/METFORMIN HCL 50-500mg TABLET Biguanide Type (non-sulfonylureas) JANUVIA SITAGLIPTIN PHOSPHATE 25mg TABLET Antihyperglycemic JANUVIA SITAGLIPTIN PHOSPHATE 50mg TABLET Antihyperglycemic JANUVIA SITAGLIPTIN PHOSPHATE 100mg TABLET Antihyperglycemic KALETRA RITONAVIR/LOPINAVIR 100-400/5 SOLUTION Antivirals, HIV-Specific, Protease Inhibitor Comb KALETRA RITONAVIR/LOPINAVIR 33.3-133.3 CAPSULE Antivirals, HIV-Specific, Protease Inhibitor Comb KALETRA RITONAVIR/LOVINAVIR 25-100MG TABLET Antivirals, HIV-Specific, Protease Inhibitor Comb KAOCHLOR-EFF POTASSIUM CHLORIDE/POT BI 20MEQ TABLET EFF Potassium Replacement KAOPECTATE BISMUTH SUBSALICYLATE 87MG/5ML ORAL SUSP Antidiarrheals KAY CIEL POTASSIUM CHLORIDE 20MEQ/15ML LIQUID Potassium Replacement KAYEXALATE SODIUM POLYSTYRENE SULFON POWDER Electrolyte Depleters K-DUR POTASSIUM CHLORIDE 10MEQ TAB PRT SR Potassium Replacement K-DUR POTASSIUM CHLORIDE 20MEQ TAB PRT SR Potassium Replacement KEFLET CEPHALEXIN MH 250MG TABLET Cephalosporins KEFLEX CEPHALEXIN MH 100MG/ML SUSP RECON Cephalosporins KEFLEX CEPHALEXIN MH 1G TABLET Cephalosporins KEFLEX CEPHALEXIN MONOHYDRATE 125MG/5ML SUSP RECON Cephalosporins KEFLEX CEPHALEXIN MONOHYDRATE 250MG CAPSULE Cephalosporins KEFLEX CEPHALEXIN MONOHYDRATE 500MG CAPSULE Cephalosporins KEFLEX CEPHALEXIN MONOHYDRATE 750MG CAPSULE Cephalosporins KEMADRIN PROCYCLIDINE HCL 5MG TABLET Antiparkinsonism Drugs, Anticholinergic KENALOG TRIAMCINOLONE ACETONIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE 0.03% LOTION Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE 0.10% CREAM(GM) Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE 0.10% OINT.(GM) Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE 0.10% LOTION Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE 0.50% CREAM(GM) Topical Antiinflammatory Preparations KENALOG TRIAMCINOLONE ACETONIDE AEROSOL Topical Antiinflammatory Preparations KENALOG IN ORABASE TRIAMCINOLONE ACETONIDE 0.10% PASTE Dental Aids and Preparations KEPPRA LEVETIRACETAM 100MG/ML SOLUTION Anticonvulsants, cont Brand Name PA Status Generic Name Strength Form Therapeutic Class KEPPRA LEVETIRACETAM 250MG TABLET Anticonvulsants, cont KEPPRA LEVETIRACETAM 500MG TABLET Anticonvulsants, cont KEPPRA LEVETIRACETAM 750MG TABLET Anticonvulsants, cont KEPPRA LEVETIRACETAM 1000MG TABLET Anticonvulsants, cont KERLONE BETAXOLOL HCL 10MG TABLET Beta-Adrenergic Blocking Agents KETEK TELITHROMYCIN 400MG TABLET Ketolides KETEK TELITHROMYCIN 300MG TABLET Ketolides KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 15MG/ML DISP SYRIN Anti-inflammatory Agents KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 30MG/ML DISP SYRIN Anti-inflammatory Agents KETOROLAC TROMETHAMINE KETOROLAC TROMETHAMINE 60MG/2ML DISP SYRIN Anti-inflammatory Agents PA KINERET Required ANAKINRA 100MG/0.67 DISP SYRIN Anti-Flam. Interleukin-1 Receptor Antagonist KLARON SULFACETAMIDE SODIUM 10% LOTION Acne Agents, Topical KLONOPIN CLONAZEPAM 0.5MG TABLET Anticonvulsants KLONOPIN CLONAZEPAM 2MG TABLET Anticonvulsants K-LOR POTASSIUM CHLORIDE 15MEQ PACKET Potassium Replacement K-LOR POTASSIUM CHLORIDE 20MEQ PACKET Potassium Replacement KLOR-CON/25 POTASSIUM CHLORIDE 25MEQ PACKET Potassium Replacement KLORVESS POTASSIUM CHLORIDE/POT BI 20MEQ PACKET Potassium Replacement KLOTRIX POTASSIUM CHLORIDE 10MEQ TABLET SA Potassium Replacement K-LYTE POTASSIUM BICARBONATE/CIT 25MEQ TABLET EFF Potassium Replacement K-LYTE DS POT BICARB/POTASSIUM CIT/ 50MEQ TABLET EFF Potassium Replacement K-LYTE/CL POT CHLORIDE/POT BICARB/C 25MEQ TABLET EFF Potassium Replacement K-LYTE/CL POT CHLORIDE/POT BICARB/C 50MEQ TABLET EFF Potassium Replacement K-LYTE/CL POTASSIUM CHLORIDE 25MEQ POWDER Potassium Replacement KUTRASE AMYLASE/LIPASE/PROTEASE 30-2.4-30 CAPSULE Pancreatic Enzymes KU-ZYME AMYLASE/LIPASE/PROTEASE 15-1.2-15 CAPSULE Pancreatic Enzymes KU-ZYME HP AMYLASE/LIPASE/PROTEASE 30K-8K-30K CAPSULE Pancreatic Enzymes KWELL LINDANE 1% CREAM(GM) Topical Antiparasitics KWELL LINDANE 1% SHAMPOO Topical Antiparasitics PA KYTRIL Required GRANISETRON HCL 0.1MG/ML VIAL Anti-Emetics PA KYTRIL Required GRANISETRON HCL 1MG TABLET Anti-Emetics Brand Name PA Status Generic Name Strength Form Therapeutic Class PA KYTRIL Required GRANISETRON HCL 1MG/5ML SOLUTION Anti-Emetics PA KYTRIL Required GRANISETRON HCL 1MG/ML VIAL Anti-Emetics LAC-HYDRIN AMMONIUM LACTATE 12% LOTION Protectives LAC-HYDRIN AMMONIUM LACTATE 12% CREAM(GM) Protectives LAC-HYDRIN 5 AMMONIUM LACTATE 5% LOTION Protectives LACTICARE-HC HYDROCORTISONE 2.50% LOTION Topical Antiinflammatory Preparations LAMICTAL LAMOTRIGINE 100MG TABLET Anticonvulsants LAMICTAL LAMOTRIGINE 150MG TABLET Anticonvulsants LAMICTAL LAMOTRIGINE 200MG TABLET Anticonvulsants LAMICTAL LAMOTRIGINE 25MG TABLET Anticonvulsants LAMISIL TERBINAFINE HCL 1% SPRAY Topical Antifungals PA LAMISIL Required TERBINAFINE HCL 250MG TABLET Antifungal Agents, Cont LAMISIL AT TERBINAFINE HCL 1% CREAM(GM) Topical Antifungals LAMPRENE CLOFAZIMINE 100MG CAPSULE Antileprotics LAMPRENE CLOFAZIMINE 50MG CAPSULE Antileprotics LANCETS LANCETS EACH Durable Medical Equipment, Misc (Group 1) LANOXICAPS DIGOXIN 100MCG CAPSULE Digitalis Glycosides LANOXICAPS DIGOXIN 200MCG CAPSULE Digitalis Glycosides LANOXICAPS DIGOXIN 50MCG CAPSULE Digitalis Glycosides LANOXIN DIGOXIN 0.125MG TABLET Digitalis Glycosides LANOXIN DIGOXIN 0.25MG TABLET Digitalis Glycosides LANOXIN DIGOXIN 500MCG TABLET Digitalis Glycosides LANOXIN DIGOXIN 50MCG/ML ELIXIR Digitalis Glycosides LANTUS INSULIN GLARGINE,HUM.REC. 100 U/ML VIAL Insulins LANTUS INSULIN GLARGINE,HUM.REC. 100 U/ML CARTRIDGE Insulins LARIAM MEFLOQUINE HCL 250MG TABLET Antimalarial Drugs LARODOPA LEVODOPA 100MG TABLET Antiparkinsonism Drugs, Other LARODOPA LEVODOPA 250MG TABLET Antiparkinsonism Drugs, Other LARODOPA LEVODOPA 500MG TABLET Antiparkinsonism Drugs, Other LASIX FUROSEMIDE 10MG/ML SOLUTION Loop Diuretics LASIX FUROSEMIDE 20MG TABLET Loop Diuretics Brand Name PA Status Generic Name Strength Form Therapeutic Class LASIX FUROSEMIDE 40MG TABLET Loop Diuretics LASIX FUROSEMIDE 80MG TABLET Loop Diuretics Letairis Ambrisentan 5mg Tablet Pulmonary Anti-HTN, Endo Receptor Antagonist Letairis Ambrisentan 10mg Tablet Pulmonary Anti-HTN, Endo Receptor Antagonist LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 10MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 10MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 15MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 15MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 25MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 25MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 50MG VIAL Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 5MG TABLET Chemotherapy Rescue/Antidote Agents LEUCOVORIN CALCIUM LEUCOVORIN CALCIUM 5MG TABLET Chemotherapy Rescue/Antidote Agents LEUKERAN CHLORAMBUCIL 2MG TABLET Alkylating Agents LEUKINE SARGRAMOSTIM 250MCG VIAL Leukocyte Stimulants LEUKINE SARGRAMOSTIM 500MCG VIAL Leukocyte Stimulants LEUKINE SARGRAMOSTIM 500MCG/ML VIAL Leukocyte Stimulants LEVAQUIN LEVOFLOXACIN 250MG TABLET Quinolones LEVAQUIN LEVOFLOXACIN 250MG/10ML SOLUTION Quinolones LEVAQUIN LEVOFLOXACIN 500MG TABLET Quinolones LEVAQUIN LEVOFLOXACIN 750MG TABLET Quinolones LEVBID HYOSCYAMINE SULFATE 0.375MG TAB.SR 12H Belladonna Alkaloids LEVEMIR INSULIN DETEMIR 100 U/ML PEN INJ Insulins LEVEMIR INSULIN DETEMIR 101 U/ML VIAL Insulins LEVSIN HYOSCYAMINE SULFATE 0.125MG TABLET Belladonna Alkaloids LEVSIN HYOSCYAMINE SULFATE 0.125MG/ML DROPS Belladonna Alkaloids LEVSIN HYOSCYAMINE SULFATE 125MCG/5ML ELIXIR Belladonna Alkaloids LEVSIN/SL HYOSCYAMINE SULFATE 0.125MG TAB SUBL Belladonna Alkaloids LEVSINEX HYOSCYAMINE SULFATE 0.375MG CAP.SR 12H Belladonna Alkaloids LEXAPRO ESCITALOPRAM 5MG TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 10MG TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 20MG TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 5MG/5ML TABLET Antidepressants I.e. Prozac Weekly Brand Name PA Status Generic Name Strength Form Therapeutic Class LEXAPRO ESCITALOPRAM 5mg TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 10mg TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 20mg TABLET Antidepressants I.e. Prozac Weekly LEXAPRO ESCITALOPRAM 5mg/5ml TABLET Antidepressants I.e. Prozac Weekly LEXAPRO FEXOFENADINE 30mg/5ml SUSP Antihistamines, 2nd generation LEXIVA FOSAMPRENAVIR CALCIUM 700MG TABLET Antivirals, HIV-Specific, Protease Inhibitors LEXIVA FOSAMPRENAVIR CALCIUM 50MG/ML TABLET Antivirals, HIV-Specific, Protease Inhibitors LIALDA MESALAMINE 1.2Gm TABLET Drug TX-Chronic Inflam. Colon DX LIBRAX CLIDINIUM BR/CHLORDIAZEPO 2.5-5MG CAPSULE Anticholinergics, Quarternary LIBRIUM CHLORDIAZEPOXIDE HCL 10MG CAPSULE Anti-Anxiety Drugs LIBRIUM CHLORDIAZEPOXIDE HCL 25MG CAPSULE Anti-Anxiety Drugs LIBRIUM CHLORDIAZEPOXIDE HCL 5MG CAPSULE Anti-Anxiety Drugs LIDEX FLUOCINONIDE 0.05% GEL Topical Antiinflammatory Preparations LIDEX FLUOCINONIDE 0.05% CREAM(GM) Topical Antiinflammatory Preparations LIDEX FLUOCINONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations LIDEX FLUOCINONIDE 0.05% SOLUTION Topical Antiinflammatory Preparations LIDEX-E FLUOCINONIDE/EMOLLIENT 0.05% CREAM(GM) Topical Antiinflammatory Preparations LINDANE LINDANE 1% LOTION Topical Antiparasitics LIORESAL BACLOFEN 10MG TABLET Skeletal Muscle Relaxants LIORESAL BACLOFEN 20MG TABLET Skeletal Muscle Relaxants LITHIUM CARBONATE LITHIUM CARBONATE 150MG CAPSULE Anti-Mania Drugs LITHIUM CARBONATE LITHIUM CARBONATE 600MG CAPSULE Anti-Mania Drugs LITHOBID LITHIUM CARBONATE 300MG TABLET SA Anti-Mania Drugs LITHOTABS LITHIUM CARBONATE 300MG TABLET Anti-Mania Drugs LIVOSTIN LEVOCABASTINE HCL 0.05% DROPS SUSP Eye Antihistamines LO/OVRAL-28 NORGESTREL-ETHINYL ESTRAD 0.3-0.03MG TABLET Contraceptives, Oral LOCOID HYDROCORTISONE BUTYRATE/E 0.10% CREAM(GM) Topical Antiinflammatory Preparations LOCOID HYDROCORTISONE BUTYRATE/E 0.10% SOLUTION Topical Antiinflammatory Preparations LODINE ETODOLAC 200MG CAPSULE Anti-inflammatory Agents LODINE ETODOLAC 300MG CAPSULE Anti-inflammatory Agents LODINE ETODOLAC 400MG TABLET Anti-inflammatory Agents LODINE ETODOLAC 500MG TABLET Anti-inflammatory Agents LODINE XL ETODOLAC 400MG TAB.SR 24H Anti-inflammatory Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class LODINE XL ETODOLAC 500MG TAB.SR 24H Anti-inflammatory Agents LODINE XL ETODOLAC 600MG TAB.SR 24H Anti-inflammatory Agents LODOSYN CARBIDOPA 25MG TABLET Decarboxylase Inhibitors LOESTRIN NORETHINDRONE A-E ESTRADI 1.5-0.03MG TABLET Contraceptives, Oral LOESTRIN NORETHINDRONE A-E ESTRADI 1-0.02MG TABLET Contraceptives, Oral LOESTRIN 24 FE NORETH A-ET ESTRA/FE FUMA 1MG-20(24) TABLET Contraceptives, Oral LOESTRIN FE NORETH A-ET ESTRA/FE FUMA 1.5-0.03MG TABLET Contraceptives, Oral LOESTRIN FE NORETH A-ET ESTRA/FE FUMA 1-0.02MG TABLET Contraceptives, Oral LOFIBRA FENOFIBRATE,MICRONIZED 134MG CAPSULE Lipotropics LOFIBRA FENOFIBRATE,MICRONIZED 200MG CAPSULE Lipotropics LOFIBRA FENOFIBRATE,MICRONIZED 67MG CAPSULE Lipotropics LOMOTIL DIPHENOXYLATE HCL/ATROP S 2.5-.025/5 LIQUID Antidiarrheals LOMOTIL DIPHENOXYLATE HCL/ATROP S 2.5-.025MG TABLET Antidiarrheals LONITEN MINOXIDIL 10MG TABLET Hypotensives, Vasodilators LONITEN MINOXIDIL 2.5MG TABLET Hypotensives, Vasodilators LOPERAMIDE HCL LOPERAMIDE HCL 2MG CAPSULE Antidiarrheals LOPID GEMFIBROZIL 300MG CAPSULE Lipotropics LOPID GEMFIBROZIL 600MG TABLET Lipotropics LOPRESSOR METOPROLOL TARTRATE 100MG TABLET Beta-Adrenergic Blocking Agents LOPRESSOR METOPROLOL TARTRATE 50MG TABLET Beta-Adrenergic Blocking Agents LOPROX CICLOPIROX 0.77% GEL Topical Antifungals LOPROX CICLOPIROX 0.77% CREAM(GM) Topical Antifungals LOPROX CICLOPIROX 0.77% LOTION Topical Antifungals LOPROX CICLOPIROX 1% SHAMPOO Topical Antifungals LOPROX CICLOPIROX OLAMINE 1% CREAM(GM) Topical Antifungals LOPROX CICLOPIROX OLAMINE 1% LOTION Topical Antifungals LORABID LORACARBEF 100MG/5ML SUSP RECON Cephalosporins-2nd Generation LORABID LORACARBEF 200MG CAPSULE Cephalosporins-2nd Generation LORABID LORACARBEF 200MG/5ML SUSP RECON Cephalosporins-2nd Generation LORABID LORACARBEF 400MG CAPSULE Cephalosporins-2nd Generation LORAZEPAM INTENSOL LORAZEPAM 2MG/ML ORAL CONC. Anti-Anxiety Drugs LORCET 10/650 HYDROCODONE BIT/ACETAMINO 10-650MG TABLET Analgesics, Narcotics LORCET PLUS HYDROCODONE BIT/ACETAMINO 7.5-650MG TABLET Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class LORELCO PROBUCOL 250MG TABLET Lipotropics LORELCO PROBUCOL 500MG TABLET Lipotropics LORTAB HYDROCODONE BIT/ACETAMINO 10-500MG TABLET Analgesics, Narcotics LORTAB HYDROCODONE BIT/ACETAMINO 2.5-167/5 SOLUTION Analgesics, Narcotics LORTAB HYDROCODONE BIT/ACETAMINO 2.5-500MG TABLET Analgesics, Narcotics LORTAB HYDROCODONE BIT/ACETAMINO 7.5-500MG TABLET Analgesics, Narcotics Lotemax Loteprednol etabonate 0.50% Drops Eye Antiinflammatory Agents LOTENSIN BENAZEPRIL HCL 10MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN BENAZEPRIL HCL 20MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN BENAZEPRIL HCL 40MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN BENAZEPRIL HCL 5MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 10-12.5MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 20-12.5MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 20-25MG TABLET Hypotensives, ACE Blocking Agents LOTENSIN HCT BENAZEPRIL/HYDROCHLOROTHI 5-6.25MG TABLET Hypotensives, ACE Blocking Agents LOTREL AMLODIPINE BESYLATE/BENAZ 10-20MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTREL AMLODIPINE BESYLATE/BENAZ 2.5-10MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTREL AMLODIPINE BESYLATE/BENAZ 5-10MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTREL AMLODIPINE BESYLATE/BENAZ 5-20MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTREL AMLODIPINE BESYLATE/BENAZ 5-40MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTREL AMLODIPINE BESYLATE/BENAZ 10-40MG CAPSULE ACE Inhibitor/Calcium Channel Blocker Combination LOTRIMIN AF CLOTRIMAZOLE 1% LOTION Topical Antifungals LOTRIMIN AF CLOTRIMAZOLE 1% SOLUTION Topical Antifungals LOTRIMIN AF MICONAZOLE NITRATE 2% POWDER Topical Antifungals LOTRISONE CLOTRIMAZOLE/BETAMET DIPR 1-0.05 CREAM(GM) Topical Antifungals LOTRISONE CLOTRIMAZOLE/BETAMET DIPR 1-0.05% LOTION Topical Antifungals LOTRISONE CLOTRIMAZOLE/BETAMET DIPR CREAM(GM) Topical Antifungals PA LOTRONEX Required ALOSETRON HCL 0.5MG TABLET Irritable Bowel Synd Agent, 5HT-3 Antagonist Type PA LOTRONEX Required ALOSETRON HCL 1MG TABLET Irritable Bowel Synd Agent, 5HT-3 Antagonist Type LOVENOX ENOXAPARIN SODIUM 100MG/ML DISP SYRIN Heparin Preparations LOVENOX ENOXAPARIN SODIUM 120MG/.8ML DISP SYRIN Heparin Preparations LOVENOX ENOXAPARIN SODIUM 150MG/ML DISP SYRIN Heparin Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class LOVENOX ENOXAPARIN SODIUM 30MG/0.3ML DISP SYRIN Heparin Preparations LOVENOX ENOXAPARIN SODIUM 30MG/0.3ML AMPUL Heparin Preparations LOVENOX ENOXAPARIN SODIUM 40MG/0.4ML DISP SYRIN Heparin Preparations LOVENOX ENOXAPARIN SODIUM 60MG/0.6ML DISP SYRIN Heparin Preparations LOVENOX ENOXAPARIN SODIUM 80MG/0.8ML DISP SYRIN Heparin Preparations LOXAPINE SUCCINATE LOXAPINE SUCCINATE 50MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists LOXAPINE SUCCINATE LOXAPINE SUCCINATE 5MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists LOXITANE LOXAPINE SUCCINATE 10MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists LOXITANE LOXAPINE SUCCINATE 25MG CAPSULE Antipsychotics, Dopamine & Serotonin Antagonists LOXITANE C LOXAPINE HCL 25MG/ML ORAL CONC. Antipsychotics, Dopamine & Serotonin Antagonists LOZOL INDAPAMIDE 1.25MG TABLET Thiazide Diuretics and Related Agents LOZOL INDAPAMIDE 2.5MG TABLET Thiazide Diuretics and Related Agents LUDIOMIL MAPROTILINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib LUDIOMIL MAPROTILINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib LUDIOMIL MAPROTILINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib LUMIGAN BIMATOPROST 0.03% DROPS Miotics/Other Intraocular Pressure Reducers LUMITENE BETA-CAROTENE 30MG CAPSULE Vitamin A Preparations LUNESTA ESCOPICLONE 1MG TABLET Non-Barbiturate, Sedative-Hypnotic LUNESTA ESCOPICLONE 2MG TABLET Non-Barbiturate, Sedative-Hypnotic LUNESTA ESCOPICLONE 3MG TABLET Non-Barbiturate, Sedative-Hypnotic PA LUPRON Required LEUPROLIDE ACETATE 1MG/0.2ML KIT Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON Required LEUPROLIDE ACETATE 1MG/0.2ML KIT Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON Required LEUPROLIDE ACETATE 1MG/0.2ML VIAL Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON DEPOT Required LEUPROLIDE ACETATE 22.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant PA LHRH (GNRH) Agnst Pit. Sup-Central Precocious LUPRON DEPOT Required LEUPROLIDE ACETATE 3.75MG VIAL Puberty PA LUPRON DEPOT Required LEUPROLIDE ACETATE 3.75MG VIAL LHRH/GNRH Agonist Analog Pituitary Suppressants PA LUPRON DEPOT Required LEUPROLIDE ACETATE 3.75MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants PA LUPRON DEPOT Required LEUPROLIDE ACETATE 3.75MG KIT Antineoplastic LHRH Agonist, Pituitary Suppressant Brand Name PA Status Generic Name Strength Form Therapeutic Class PA LUPRON DEPOT Required LEUPROLIDE ACETATE 30MG KIT Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON DEPOT Required LEUPROLIDE ACETATE 7.5MG VIAL Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON DEPOT Required LEUPROLIDE ACETATE 7.5MG DISP SYRIN Antineoplastic LHRH Agonist, Pituitary Suppressant PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 11.25MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 11.25MG KIT Luteinizing Hormones PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 15MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 15MG KIT Luteinizing Hormones PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 7.5MG KIT LHRH/GNRH Agonist Analog Pituitary Suppressants PA LUPRON DEPOT-PED Required LEUPROLIDE ACETATE 7.5MG KIT Luteinizing Hormones LURIDE SODIUM FLUORIDE 0.25MG TAB CHEW Fluoride Preparations LURIDE SODIUM FLUORIDE 0.5MG TAB CHEW Fluoride Preparations LURIDE SODIUM FLUORIDE 1MG TAB CHEW Fluoride Preparations LURIDE SODIUM FLUORIDE 2.2MG/ML DROPS Fluoride Preparations LUSTRA HYDROQUINONE 4% CREAM(GM) Antimelamin Agents LUSTRA-AF OCTINOXATE/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents LUVOX FLUVOXAMINE MALEATE 100MG TABLET Antidepressants I.e. Prozac Weekly LUVOX FLUVOXAMINE MALEATE 25MG TABLET Antidepressants I.e. Prozac Weekly LUVOX FLUVOXAMINE MALEATE 50MG TABLET Antidepressants I.e. Prozac Weekly QUANTITY LIMIT OF 25MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 50MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 75MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 100MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont Brand Name PA Status Generic Name Strength Form Therapeutic Class QUANTITY LIMIT OF 150MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 200MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 225MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont QUANTITY LIMIT OF 300MG LYRICA 3/DAY PREGABALIN CAPSULE Anticonfulsants, Cont LYSODREN MITOTANE 500MG TABLET Antineoplastics, Misc MACROBID NITROFURANTOIN/NITROFURAN 100MG CAPSULE Nitrofuran Derivatives MACRODANTIN NITROFURANTOIN MACROCRYST 100MG CAPSULE Nitrofuran Derivatives MACRODANTIN NITROFURANTOIN MACROCRYST 25MG CAPSULE Nitrofuran Derivatives MACRODANTIN NITROFURANTOIN MACROCRYST 50MG CAPSULE Nitrofuran Derivatives MAPROTILINE HCL MAPROTILINE HCL 25MG TABLET Antidepressants MAPROTILINE HCL MAPROTILINE HCL 50MG TABLET Antidepressants MAPROTILINE HCL MAPROTILINE HCL 75MG TABLET Antidepressants MARPLAN ISOCARBOXAZID 10MG TABLET MAOIS-Non-Selective & Irreversible MATULANE PROCARBAZINE HCL 50MG CAPSULE Antineoplastics, Misc MAVIK TRANDOLAPRIL 1MG TABLET Hypotensives, ACE Blocking Agents MAVIK TRANDOLAPRIL 2MG TABLET Hypotensives, ACE Blocking Agents MAVIK TRANDOLAPRIL 4MG TABLET Hypotensives, ACE Blocking Agents MAXAIR PIRBUTEROL ACETATE 0.2MG AER W/ADAP Beta-Adrenergic Agents MAXAIR AUTOHALER PIRBUTEROL ACETATE 0.2MG AER BR.ACT Beta-Adrenergic Agents MAXALT RIZATRIPTAN BENZOATE 10MG TABLET Antimigraine Preparations MAXALT RIZATRIPTAN BENZOATE 5MG TABLET Antimigraine Preparations MAXALT MLT RIZATRIPTAN BENZOATE 10MG TAB RAPDIS Antimigraine Preparations MAXALT MLT RIZATRIPTAN BENZOATE 5MG TAB RAPDIS Antimigraine Preparations MAXIDONE HYDROCODONE BIT/ACETAMINO 10-750MG TABLET Analgesics, Narcotics MAXIFED GUAIFENESIN/P-EPHED HCL 400MG TABLET Decongestant-Expectorant Combinations

MAXIFED DM GUAIFEN/DM HB/P-EPHEDINRE 400-20-40 TABLET Non-Narcotic Antituss-Decongestant-Expectorant CMB Brand Name PA Status Generic Name Strength Form Therapeutic Class

MAXIFED DMX GUAIFEN/DM HB/P-EPHEDINRE 400-40-80 TABLET Non-Narcotic Antituss-Decongestant-Expectorant CMB MAXIFED-G GUAIFENESIN/P-EPHED HCL 580-60MG TABLET Expectorants MAXIFED-G GUAIFENESIN/P-EPHED HCL 400-40 TABLET Decongestant-Expectorant Combinations MAXIFED-G CD GUAIFENESIN/P-EPHED HCL/COD 400-40-10 TABLET Narcotic Antituss-Decongestant-Expectorant Comb MAXITROL NEO/POLYMYX B SULF/DEXAME 0.10% OINT.(GM) Eye Antibiotic-Corticoid Combinations MAXITROL NEO/POLYMYX B SULF/DEXAME 0.10% DROPS SUSP Eye Antibiotic-Corticoid Combinations MAXIVATE BETAMETHASONE DIPROPIONAT 0.05% OINT.(GM) Topical Antiinflammatory Preparations MAXZIDE TRIAMTERENE/HYDROCHLOROTH 75-50MG TABLET Potassium Sparing Diuretics in Combination MAXZIDE-25MG TRIAMTERENE/HYDROCHLOROTH 37.5-25MG TABLET Potassium Sparing Diuretics in Combination MEBARAL MEPHOBARBITAL 100MG TABLET Anticonvulsants MEBARAL MEPHOBARBITAL 32MG TABLET Anticonvulsants MEBARAL MEPHOBARBITAL 50MG TABLET Anticonvulsants MECLOMEN MECLOFENAMATE SODIUM 100MG CAPSULE Anti-inflammatory Agents MECLOMEN MECLOFENAMATE SODIUM 50MG CAPSULE Anti-inflammatory Agents MEDROL METHYLPREDNISOLONE 16MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 24MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 2MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 32MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 4MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 4MG TAB DS PK Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE 8MG TABLET Glucocorticoids, Systemic MEDROL METHYLPREDNISOLONE ACETAT 0.25% OINT.(GM) Topical Antiinflammatory Preparations MEDROL METHYLPREDNISOLONE ACETAT 1% OINT.(GM) Topical Antiinflammatory Preparations MEGACE MEGESTROL ACETATE 20MG TABLET Steroid Antineoplastics MEGACE MEGESTROL ACETATE 40MG TABLET Steroid Antineoplastics MEGACE MEGESTROL ACETATE 40MG/ML ORAL SUSP Steroid Antineoplastics MEGACE MEGESTROL ACETATE 625MG/5ML ORAL SUSP Appetite Stimulants MELLARIL THIORIDAZINE HCL 100MG TABLET Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 100MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 150MG TABLET Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 15MG TABLET Anti-Psychotics, Phenothiazines Brand Name PA Status Generic Name Strength Form Therapeutic Class MELLARIL THIORIDAZINE HCL 200MG TABLET Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 25MG TABLET Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines MELLARIL THIORIDAZINE HCL 50MG TABLET Anti-Psychotics, Phenothiazines MELLARIL-S THIORIDAZINE HCL 100MG/5ML ORAL SUSP Anti-Psychotics, Phenothiazines MELLARIL-S THIORIDAZINE HCL 25MG/5ML ORAL SUSP Anti-Psychotics, Phenothiazines MENEST ESTROGENS,ESTERIFIED 0.3MG TABLET Estrogenic Agents MENEST ESTROGENS,ESTERIFIED 0.625MG TABLET Estrogenic Agents MENEST ESTROGENS,ESTERIFIED 1.25MG TABLET Estrogenic Agents MENEST ESTROGENS,ESTERIFIED 2.5MG TABLET Estrogenic Agents MEPHYTON PHYTONADIONE 5MG TABLET Vitamin K Preparations MESANTOIN MEPHENYTOIN 100MG TABLET Anticonvulsants MESTINON PYRIDOSTIGMINE BROMIDE 180MG TABLET SA Cholinesterase Inhibitors MESTINON PYRIDOSTIGMINE BROMIDE 60MG TABLET Cholinesterase Inhibitors MESTINON PYRIDOSTIGMINE BROMIDE 60MG/5ML SYRUP Cholinesterase Inhibitors METADATE CD METHYLPHENIDATE HCL 10MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents METADATE CD METHYLPHENIDATE HCL 40MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents METADATE CD METHYLPHENIDATE HCL 50MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents METADATE CD METHYLPHENIDATE HCL 60MG CAPSULE Anti-narcolepsy/Anti-Hyperkinesis Agents METADATE ER METHYLPHENIDATE HCL 10MG TABLET SA Anti-narcolepsy/Anti-Hyperkinesis Agents METAGLIP GLIPIZIDE/METFORMIN HCL 2.5-250MG TABLET Oral Hypoglycemics, Sulfonylureas METAGLIP GLIPIZIDE/METFORMIN HCL 2.5-500MG TABLET Oral Hypoglycemics, Sulfonylureas METAGLIP GLIPIZIDE/METFORMIN HCL 5-500MG TABLET Oral Hypoglycemics, Sulfonylureas METANDREN METHYLTESTOSTERONE 5MG TAB SUBL Androgenic Agents METAPREL METAPROTERENOL SULFATE 650MCG AER W/ADAP Beta-Adrenergic Agents METHADONE HCL METHADONE HCL 10MG TABLET Analgesics, Narcotics METHADONE HCL METHADONE HCL 5MG TABLET Analgesics, Narcotics METHERGINE METHYLERGONOVINE MALEATE 0.2MG TABLET Oxytocics METHIMAZOLE METHIMAZOLE 20MG TABLET Antithyroid Preparations METHITEST METHYLTESTOSTERONE 10MG TABLET Androgenic Agents METHITEST METHYLTESTOSTERONE 25MG TABLET Androgenic Agents METHOTREXATE METHOTREXATE 2.5MG TABLET Antimetabolites METHOTREXATE METHOTREXATE SODIUM 2.5MG TABLET Antimetabolites Brand Name PA Status Generic Name Strength Form Therapeutic Class METHYLDOPA METHYLDOPA 500MG TABLET Hypotensives, Sympatholitic METHYLIN METHYLPHENIDATE HCL 10MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents METHYLIN METHYLPHENIDATE HCL 10MG/5ML SOLUTION Anti-narcolepsy/Anti-Hyperkinesis Agents METHYLIN METHYLPHENIDATE HCL 2.5MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents METHYLIN METHYLPHENIDATE HCL 5MG TAB CHEW Anti-narcolepsy/Anti-Hyperkinesis Agents METHYLIN METHYLPHENIDATE HCL 5MG/5ML SOLUTION Anti-narcolepsy/Anti-Hyperkinesis Agents METHYLTESTOSTERONE METHYLTESTOSTERONE 10MG TAB SUBL Androgenic Agents METICORTEN PREDNISONE 1MG TABLET Glucocorticoids, Systemic METIMYD NA SULFACETM/PREDNISOL AC 10-0.5% OINT.(GM) Eye Sulfonamides METIMYD NA SULFACETM/PREDNISOL AC 10-0.5% DROPS SUSP Eye Sulfonamides METOCLOPRAMIDE HCL INTENS METOCLOPRAMIDE HCL 10MG/ML ORAL CONC. Intestinal Motility Stimulants METOPROLOL TARTRATE METOPROLOL TARTRATE 25MG TABLET Beta-Adrenergic Blocking Agents METROCREAM METRONIDAZOLE 0.75% CREAM Rosacea Agents METROGEL-VAGINAL METRONIDAZOLE 0.75% GEL W/APPL Vaginal Antibiotics METROLOTION METRONIDAZOLE 0.75% LOTION Rosacea Agents MEVACOR LOVASTATIN 20MG TABLET Lipotropics MEVACOR LOVASTATIN 40MG TABLET Lipotropics MEVACOR 10MG LOVASTATIN 10MG TABLET Lipotropics MEXITIL MEXILETINE HCL 150MG CAPSULE Antiarrhythmics MEXITIL MEXILETINE HCL 200MG CAPSULE Antiarrhythmics MEXITIL MEXILETINE HCL 250MG CAPSULE Antiarrhythmics MIACALCIN CALCITONIN,SALMON,SYNTHET 200 U/DOSE SPRAY/PUMP Bone Ossification Suppression Agents MICARDIS TELMISARTAN 20MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICARDIS TELMISARTAN 40MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICARDIS TELMISARTAN 80MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 40-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 80-12.5MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICARDIS HCT TELMISARTAN/HYDROCHLOROTH 80-25MG TABLET Hypotensives, Angiotensin Receptor Antagonist MICATIN MICONAZOLE NITRATE 2% AERO POWD Topical Antifungals MICATIN MICONAZOLE NITRATE 2% CREAM(GM) Topical Antifungals MICRO-K POTASSIUM CHLORIDE 8MEQ CAPSULE SA Potassium Replacement MICRO-K 10 POTASSIUM CHLORIDE 10MEQ CAPSULE SA Potassium Replacement MICRONASE GLYBURIDE 1.25MG TABLET Oral Hypoglycemics, Sulfonylureas Brand Name PA Status Generic Name Strength Form Therapeutic Class MICRONASE GLYBURIDE 2.5MG TABLET Oral Hypoglycemics, Sulfonylureas MICRONASE GLYBURIDE 5MG TABLET Oral Hypoglycemics, Sulfonylureas MICROZIDE HYDROCHLOROTHIAZIDE 12.5MG CAPSULE Thiazide Diuretics and Related Agents MIDRIN ISOMETHEPTENE/APAP/DICHLP 65-325-100 CAPSULE Antimigraine Preparations MIGRANAL DIHYDROERGOTAMINE MESYLAT 4MG/ML AMP W/DEV. Antimigraine Preparations

MIGRANAL DIHYDROERGOTAMINE MESYLAT 0.5MG NASAL SPRAY Antimigraine Preparations MILONTIN PHENSUXIMIDE 500MG CAPSULE Anticonvulsants MILTOWN MEPROBAMATE 200MG TABLET Anti-Anxiety Drugs MILTOWN MEPROBAMATE 400MG TABLET Anti-Anxiety Drugs MINIPRESS PRAZOSIN HCL 1MG CAPSULE Alpha-Adrenergic Blocking Agents MINIPRESS PRAZOSIN HCL 2MG CAPSULE Alpha-Adrenergic Blocking Agents MINIPRESS PRAZOSIN HCL 5MG CAPSULE Alpha-Adrenergic Blocking Agents MINOCIN MINOCYCLINE HCL 100MG CAPSULE Tetracyclines MINOCIN MINOCYCLINE HCL 50MG/5ML ORAL SUSP Tetracyclines MINTEZOL THIABENDAZOLE 500MG TAB CHEW Anthelmintics MINTEZOL THIABENDAZOLE 500MG/5ML ORAL SUSP Anthelmintics MIRALAX POLYETHYLENE GLYCOL 3350 PACKET Laxatives and Cathartics MIRALAX POLYETHYLENE GLYCOL 3350 POWDER Laxatives and Cathartics MIRAPEX PRAMIPEXOLE DI-HCL 0.125MG TABLET Antiparkinsonism Drugs, Other MIRAPEX PRAMIPEXOLE DI-HCL 0.25MG TABLET Antiparkinsonism Drugs, Other MIRAPEX PRAMIPEXOLE DI-HCL 0.5MG TABLET Antiparkinsonism Drugs, Other MIRAPEX PRAMIPEXOLE DI-HCL 1.5MG TABLET Antiparkinsonism Drugs, Other MIRAPEX PRAMIPEXOLE DI-HCL 1MG TABLET Antiparkinsonism Drugs, Other MIRAPEX PRAMIPEXOLE DI-HCL 0.75MG TABLET Antiparkinsonism Drugs, Other MIRCETTE DESOG-ET ESTRA/ETHIN ESTR 21-5 TABLET Contraceptives, Oral MIRTAZAPINE MIRTAZAPINE 7.5MG TABLET Alpha-2 Receptor Antagonist Antidepressants MIXTARD 70/30 INSUL,PK PURE/INSUL NPH,P 100U/ML VIAL Insulins MIXTARD HUMAN 70/30 INSUL NPH HU S-S/INS RG H 70-30U/ML VIAL Insulins

MOBAN MOLINDONE HCL 100MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 10MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones Brand Name PA Status Generic Name Strength Form Therapeutic Class

MOBAN MOLINDONE HCL 20MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 25MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 50MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones

MOBAN MOLINDONE HCL 5MG TABLET Antipsychotics,Dopamine Antagonst, Dihydroindolones MODICON NORETHINDRONE-ETHINYL EST 0.5-0.035 TABLET Contraceptives, Oral MONISTAT 3 MICONAZOLE NITRATE 200MG SUPP.VAG Vaginal Antifungals MONISTAT 3 MICONAZOLE NITRATE 200MG-2% COMBO. PKG Vaginal Antifungals MONISTAT 5 MICONAZOLE NITRATE 100MG TAMPON Vaginal Antifungals MONISTAT 7 MICONAZOLE NITRATE 2% CREAM/APPL Vaginal Antifungals MONISTAT 7 MICONAZOLE NITRATE 100MG SUPP.VAG Vaginal Antifungals MONISTAT 7 MICONAZOLE NITRATE 100MG-2% COMBO. PKG Vaginal Antifungals MONOKET ISOSORBIDE MONONITRATE 10MG TABLET Vasodilator, Coronary MONOKET ISOSORBIDE MONONITRATE 20MG TABLET Vasodilator, Coronary MONOPRIL FOSINOPRIL SODIUM 10MG TABLET Hypotensives, ACE Blocking Agents MONOPRIL FOSINOPRIL SODIUM 20MG TABLET Hypotensives, ACE Blocking Agents MONOPRIL FOSINOPRIL SODIUM 40MG TABLET Hypotensives, ACE Blocking Agents MORPHINE SULFATE MORPHINE SULFATE 10MG TABLET SOL Analgesics, Narcotics MORPHINE SULFATE MORPHINE SULFATE 10MG/5ML SOLUTION Analgesics, Narcotics MORPHINE SULFATE MORPHINE SULFATE 15MG TABLET Analgesics, Narcotics MORPHINE SULFATE MORPHINE SULFATE 15MG TABLET SOL Analgesics, Narcotics MORPHINE SULFATE MORPHINE SULFATE 30MG TABLET Analgesics, Narcotics MORPHINE SULFATE MORPHINE SULFATE 30MG TABLET SOL Analgesics, Narcotics MOTRIN IBUPROFEN 100MG/5ML ORAL SUSP Anti-inflammatory Agents MOTRIN IBUPROFEN 300MG TABLET Anti-inflammatory Agents MOTRIN IBUPROFEN 400MG TABLET Anti-inflammatory Agents MOTRIN IBUPROFEN 40MG/ML DROPS SUSP Anti-inflammatory Agents MOTRIN IBUPROFEN 600MG TABLET Anti-inflammatory Agents MOTRIN IBUPROFEN 800MG TABLET Anti-inflammatory Agents MOTRIN IB IBUPROFEN 200MG TABLET Anti-inflammatory Agents MS CONTIN MORPHINE SULFATE 100MG TABLET SA Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class MS CONTIN MORPHINE SULFATE 15MG TABLET SA Analgesics, Narcotics MS CONTIN MORPHINE SULFATE 200MG TABLET SA Analgesics, Narcotics MS CONTIN MORPHINE SULFATE 30MG TABLET SA Analgesics, Narcotics MS CONTIN MORPHINE SULFATE 60MG TABLET SA Analgesics, Narcotics MSIR MORPHINE SULFATE 15MG CAPSULE Analgesics, Narcotics MSIR MORPHINE SULFATE 20MG/5ML SOLUTION Analgesics, Narcotics MSIR MORPHINE SULFATE 30MG CAPSULE Analgesics, Narcotics MUCOMYST-10 ACETYLCYSTEINE 100MG/ML VIAL Mucolytics MYAMBUTOL ETHAMBUTOL HCL 100MG TABLET Antimycobacterium Agents MYAMBUTOL ETHAMBUTOL HCL 400MG TABLET Antimycobacterium Agents MYCELEX CLOTRIMAZOLE 1% CREAM(GM) Topical Antifungals MYCELEX CLOTRIMAZOLE 10MG TROCHE Antifungal Agents MYCELEX-3 BUTOCONAZOLE NITRATE 2% CREAM/APPL Vaginal Antifungals MYCELEX-7 CLOTRIMAZOLE 1% CREAM/APPL Vaginal Antifungals MYCELEX-7 CLOTRIMAZOLE 100MG-1% COMBO. PKG Vaginal Antifungals MYCELEX-G CLOTRIMAZOLE 500MG TABLET Vaginal Antifungals MYCOLOG II NYSTATIN/TRIAMCIN 100000-0.1 OINT.(GM) Topical Antifungals MYCOSTATIN NYSTATIN 100000 U/G CREAM(GM) Topical Antifungals MYCOSTATIN NYSTATIN 100K U/ML ORAL SUSP Antifungal Antibiotics MYCOSTATIN NYSTATIN 200000 U LOZENGE Antifungal Antibiotics MYCOSTATIN NYSTATIN 500000 U TABLET Antifungal Antibiotics MYDRIACYL TROPICAMIDE 0.50% DROPS Mydriatics MYDRIACYL TROPICAMIDE 1% DROPS Mydriatics MYFORTIC MYCOPHENOLATE SODIUM 180MG TABLET DR Immunosuppresives MYFORTIC MYCOPHENOLATE SODIUM 360MG TABLET DR Immunosuppresives MYLERAN BUSULFAN 2MG TABLET Alkylating Agents MYLOCEL HYDROXYUREA 1000MG TABLET Alkylating Agents MYOCHRYSINE GOLD SODIUM THIOMALATE 50MG/ML VIAL Gold Salts MYSOLINE PRIMIDONE 250MG TABLET Anticonvulsants MYSOLINE PRIMIDONE 250MG/5ML ORAL SUSP Anticonvulsants MYSOLINE PRIMIDONE 50MG TABLET Anticonvulsants MYTREX NYSTATIN/TRIAMCIN 100000-0.1 CREAM(GM) Topical Antifungals NAFTIN NAFTIFINE HCL 1% CREAM(GM) Topical Antifungals Brand Name PA Status Generic Name Strength Form Therapeutic Class NAFTIN NAFTIFINE HCL 1% GEL Topical Antifungals NALDECON PHENYLEPHRINE/PP HCL/P-TL TABLET SA Cough and Cold Preparations NALEX DH PHENYLEPHRINE HCL/HYDROCO 5-2.5MG/5 LIQUID Cough and Cold Preparations NALFON FENOPROFEN CALCIUM 200MG CAPSULE Anti-inflammatory Agents NALFON FENOPROFEN CALCIUM 300MG CAPSULE Anti-inflammatory Agents NALFON FENOPROFEN CALCIUM 600MG TABLET Anti-inflammatory Agents PA NAMENDA Required MEMANTINE HCL 10MG TABLET NMDA Receptor Antagonists PA NAMENDA Required MEMANTINE HCL 5-10MG TAB DS PK NMDA Receptor Antagonists PA NAMENDA Required MEMANTINE HCL 5MG TABLET NMDA Receptor Antagonists PA NAMENDA Required MEMANTINE HCL 10MG/5ML SOLUTION NMDA Receptor Antagonists NAPHCON-A NAPHAZOLINE HCL/PHENIR MA 0.025-0.3% DROPS Eye Vasoconstrictors NAPROSYN NAPROXEN 125MG/5ML ORAL SUSP Anti-inflammatory Agents NAPROSYN NAPROXEN 250MG TABLET Anti-inflammatory Agents NAPROSYN NAPROXEN 375MG TABLET Anti-inflammatory Agents NAPROSYN NAPROXEN 500MG TABLET Anti-inflammatory Agents NARDIL PHENELZINE SULFATE 15MG TABLET MAOIS-Non-Selective & Irreversible NARIZ GUAIFENESIN/PHENYLEPHRINE HCL 200-7.5/5 LIQUID Decongestant-Expectorant Combinations GUAIFENESIN/PHENYLEPHRINE/HCO NARIZ D 200-7.5-2.5/5 LIQUID Narcotic Antituss-decongestant-Expectorant Comb NASACORT TRIAMCINOLONE ACETONIDE 55MCG AER W/ADAP Nose Preparations, Antiinflammatory NASACORT AQ TRIAMCINOLONE ACETONIDE 55MCG SPRAY Nose Preparations, Antiinflammatory NASAREL FLUNISOLIDE 29MCG SPRAY Nose Preparations, Antiinflammatory NASONEX MOMETASONE FUROATE 50MCG SPRAY Nose Preparations, Antiinflammatory

NAVANE THIOTHIXENE 10MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 1MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 20MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 2MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines

NAVANE THIOTHIXENE 5MG CAPSULE Antipsychotics,Dopamine Antagonists, Thioxanthines Brand Name PA Status Generic Name Strength Form Therapeutic Class

NAVANE THIOTHIXENE HCL 5MG/ML ORAL CONC. Antipsychotics,Dopamine Antagonists, Thioxanthines NEBUPENT PENTAMIDINE ISETHIONATE 300MG VIAL Antiprotozoal Drugs, Misc NEMBUTAL SODIUM PENTOBARBITAL SODIUM 100MG CAPSULE Barbiturates NEMBUTAL SODIUM PENTOBARBITAL SODIUM 50MG CAPSULE Barbiturates NEODECADRON NEOMYCIN SULFATE/DEX NA P 0.35-.05% OINT.(GM) Eye Antibiotic-Corticoid Combinations NEODECADRON NEOMYCIN SULFATE/DEX NA P 0.35-0.1% DROPS Eye Antibiotic-Corticoid Combinations NEO-FRADIN NEOMYCIN SULFATE 125MG/5ML SOLUTION Aminoglycosides NEOMYCIN SULFATE NEOMYCIN SULFATE 500MG TABLET Aminoglycosides NEORAL CYCLOSPORINE, MODIFIED 100MG CAPSULE Immunosuppresives NEORAL CYCLOSPORINE, MODIFIED 100MG/ML SOLUTION Immunosuppresives NEORAL CYCLOSPORINE, MODIFIED 25MG CAPSULE Immunosuppresives NEOSPORIN NEOMY SULF/BACITRA/POLYMY 3.5MG-400 OINT.(GM) Eye Antibiotics NEOSPORIN NEOMY SULF/GRAMICID D/POL DROPS Eye Antibiotics NEPTAZANE METHAZOLAMIDE 25MG TABLET Carbonic Anhydrase Inhibitors NEPTAZANE METHAZOLAMIDE 50MG TABLET Carbonic Anhydrase Inhibitors PA NEULASTA Required PEGFILGRASTIM 6MG/0.6ML DISP SYRIN Leukocyte Stimulants PA NEUPOGEN Required FILGRASTIM 300MCG/0.5 DISP SYRIN Leukocyte Stimulants PA NEUPOGEN Required FILGRASTIM 300MCG/ML VIAL Leukocyte Stimulants PA NEUPOGEN Required FILGRASTIM 480MCG/0.8 DISP SYRIN Leukocyte Stimulants PA NEUPOGEN Required FILGRASTIM 480MCG/1.6 VIAL Leukocyte Stimulants NEUPRO Step Edit Rotigotine 2mg Patch Antiparkinsonism Drugs, Other NEUPRO Step Edit Rotigotine 4mg Patch Antiparkinsonism Drugs, Other NEUPRO Step Edit Rotigotine 6mg Patch Antiparkinsonism Drugs, Other NEURONTIN GABAPENTIN 100MG CAPSULE Anticonvulsants NEURONTIN GABAPENTIN 250MG/5ML SOLUTION Anticonvulsants NEURONTIN GABAPENTIN 300MG CAPSULE Anticonvulsants NEURONTIN GABAPENTIN 400MG CAPSULE Anticonvulsants NEURONTIN GABAPENTIN 600MG TABLET Anticonvulsants NEURONTIN GABAPENTIN 800MG TABLET Anticonvulsants Brand Name PA Status Generic Name Strength Form Therapeutic Class Nevanac Nepafenac 0.10% Drops Eye Antiinflammatory Agents

PA Required 20MG Except Mail NEXIUM Order Only ESOMEPRAZOLE MAG TRIHYDRA CAPSULE DR Gastric Acid Secretion Reducers

PA Required 40MG Except Mail NEXIUM Order Only ESOMEPRAZOLE MAG TRIHYDRA CAPSULE DR Gastric Acid Secretion Reducers PA NEXIUM Required ESOMEPRAZOLE 20mg SUSPDRREC Gastric Acid Secretion Reducers PA NEXIUM Required ESOMEPRAZOLE 40mg SUSPDRREC Gastric Acid Secretion Reducers NIACIN NIACIN 100MG TABLET Niacin Preparations NIASPAN NIACIN 7/7/2007 TAB SA SEQ Lipotropics NIASPAN NIACIN 1000MG TABLET SA Lipotropics NIASPAN NIACIN 500MG TABLET SA Lipotropics NIASPAN NIACIN 750MG TABLET SA Lipotropics NICLOCIDE NICLOSAMIDE 500MG TAB CHEW Anthelmintics NICOBID NIACIN 125MG CAPSULE SA Niacin Preparations NICOBID NIACIN 250MG CAPSULE SA Niacin Preparations NICOBID NIACIN 500MG CAPSULE SA Niacin Preparations NICODERM CQ NICOTINE 7MG/24HR PATCH TD24 Ganglionic Stimulants NICORETTE NICOTINE POLACRILEX 2MG GUM Ganglionic Stimulants NICORETTE NICOTINE POLACRILEX 4MG GUM Ganglionic Stimulants NICOTINE NICOTINE 11MG/24HR PATCH TD24 Ganglionic Stimulants NICOTINE NICOTINE 14MG/24HR PATCH TD24 Ganglionic Stimulants NICOTINE NICOTINE 21MG/24HR PATCH TD24 Ganglionic Stimulants NICOTINE NICOTINE 22MG/24HR PATCH TD24 Ganglionic Stimulants NICOTINE TRANSDERMAL NICOTINE 21-14-7MG PATCH DYSQ Ganglionic Stimulants NICOTROL NICOTINE 10MG CARTRIDGE Ganglionic Stimulants NICOTROL NICOTINE 10MG/16HR PATCH TD24 Ganglionic Stimulants NICOTROL NICOTINE 15MG/16HR PATCH TD24 Ganglionic Stimulants NICOTROL NICOTINE 5MG/16HR PATCH TD24 Ganglionic Stimulants Brand Name PA Status Generic Name Strength Form Therapeutic Class NICOTROL NS NICOTINE 10MG/ML SPRAY Ganglionic Stimulants NILANDRON NILUTAMIDE 150MG TABLET Antiandrogenic Agents NILANDRON NILUTAMIDE 50MG TABLET Antiandrogenic Agents NIMOTOP NIMODIPINE 30MG CAPSULE Calcium Channel Blocking Agents NITRO-BID NITROGLYCERIN 2% OINT.(GM) Vasodilator, Coronary NITRO-BID NITROGLYCERIN 2.5MG CAPSULE SA Vasodilator, Coronary NITRO-BID NITROGLYCERIN 6.5MG CAPSULE SA Vasodilator, Coronary NITRO-BID NITROGLYCERIN 9MG CAPSULE SA Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.1MG/HR PATCH TD24 Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.2MG/HR PATCH TD24 Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.3MG/HR PATCH TD24 Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.4MG/HR PATCH TD24 Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.6MG/HR PATCH TD24 Vasodilator, Coronary NITRO-DUR NITROGLYCERIN 0.8MG/HR PATCH TD24 Vasodilator, Coronary NITROLINGUAL NITROGLYCERIN 0.4MG/DOSE AEROSOL Vasodilator, Coronary NITROLINGUAL NITROGLYCERIN 0.4MG/DOSE SPRAY Vasodilator, Coronary NITROSTAT NITROGLYCERIN 0.15MG TAB SUBL Vasodilator, Coronary NITROSTAT NITROGLYCERIN 0.3MG TAB SUBL Vasodilator, Coronary NITROSTAT NITROGLYCERIN 0.4MG TAB SUBL Vasodilator, Coronary NITROSTAT NITROGLYCERIN 0.6MG TAB SUBL Vasodilator, Coronary NIX PERMETHRIN 1% LIQUID Topical Antiparasitics NIZORAL KETOCONAZOLE 2% SHAMPOO Topical Antifungals NIZORAL KETOCONAZOLE 2% CREAM(GM) Topical Antifungals NIZORAL KETOCONAZOLE 200MG TABLET Antifungal Agents NOCTEC CHLORAL HYDRATE 250MG CAPSULE Non-Barbiturate, Sedative-Hypnotic NOLVADEX TAMOXIFEN CITRATE 10MG TABLET Nolvadex, Faslodex, only NOLVADEX TAMOXIFEN CITRATE 20MG TABLET Nolvadex, Faslodex, only NORCO HYDROCODONE BIT/ACETAMINO 10-325MG TABLET Analgesics, Narcotics NORCO HYDROCODONE BIT/ACETAMINO 5-325MG TABLET Analgesics, Narcotics NORCO HYDROCODONE BIT/ACETAMINO 7.5-325MG TABLET Analgesics, Narcotics NORDETTE-21 LEVONORGESTREL-ETH ESTRA 0.15-0.03 TABLET Contraceptives, Oral PA NORDITROPIN Required SOMATROPIN 15MG/1.5ML CARTRIDGE Growth Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class PA NORDITROPIN Required SOMATROPIN 5MG/1.5ML CARTRIDGE Growth Hormones PA NORDITROPIN Required SOMATROPIN 8MG VIAL Growth Hormones PA NORDITROPIN NORDIFLEX Required SOMATROPIN 15MG/1.5ML PEN INJ Growth Hormones PA NORDITROPIN NORDIFLEX Required SOMATROPIN 10MG/1.5ML PEN INJ Growth Hormones PA NORDITROPIN NORDIFLEX Required SOMATROPIN 5MG/1.5ML CARTRIDGE Growth Hormones NORFLEX ORPHENADRINE CITRATE 100MG TABLET SA Skeletal Muscle Relaxants NORFLEX ORPHENADRINE CITRATE 30MG/ML AMPUL Skeletal Muscle Relaxants NORGESIC ORPHENADRINE/ASPIRIN/CAFF 25-385-30 TABLET Skeletal Muscle Relaxants NORGESIC FORTE ORPHENADRINE/ASPIRIN/CAFF 50-770-60 TABLET Skeletal Muscle Relaxants NORLESTRIN NORETHINDRONE A-E ESTRADI 1-0.05MG TABLET Contraceptives, Oral NORLESTRIN NORETHINDRONE A-E ESTRADI 2.5-0.05MG TABLET Contraceptives, Oral NOROXIN NORFLOXACIN 400MG TABLET Quinolones NORPACE DISOPYRAMIDE PHOSPHATE 100MG CAPSULE Antiarrhythmics NORPACE DISOPYRAMIDE PHOSPHATE 150MG CAPSULE Antiarrhythmics NORPACE CR DISOPYRAMIDE PHOSPHATE 100MG CAPSULE SA Antiarrhythmics NORPACE CR DISOPYRAMIDE PHOSPHATE 150MG CAPSULE SA Antiarrhythmics NORPRAMIN DESIPRAMINE HCL 100MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HCL 150MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HCL 25MG TABLET Antidepressants NORPRAMIN DESIPRAMINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HCL 50MG TABLET Antidepressants NORPRAMIN DESIPRAMINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HCL 75MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib NORPRAMIN DESIPRAMINE HYDROCHLORIDE 10MG TABLET Antidepressants NOR-Q-D NORETHINDRONE 0.35MG TABLET Contraceptives, Oral NORTRIPTYLINE HCL NORTRIPTYLINE HCL 50MG CAPSULE Antidepressants NORTRIPTYLINE HCL NORTRIPTYLINE HCL 75MG CAPSULE Antidepressants NORVASC AMLODIPINE BESYLATE 10MG TABLET Calcium Channel Blocking Agents NORVASC AMLODIPINE BESYLATE 2.5MG TABLET Calcium Channel Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class NORVASC AMLODIPINE BESYLATE 5MG TABLET Calcium Channel Blocking Agents NORVIR RITONAVIR 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors NORVIR RITONAVIR 80MG/ML SOLUTION Antivirals, HIV-Specific, Protease Inhibitors NOVAHISTINE DH P-EPHED HCL/COD/CHLORPHEN 30-10-2/5 LIQUID Cough and Cold Preparations NOVAHISTINE DH PHENYLEPRINE/DHCOD BT/CP 5-7.25-2/5 LIQUID Narcotic Antituss-Decongestant-Expectorant Comb NOVAHISTINE DH PHENYLEPHRINE/DHCODEINE BT/CP 5-7.25-2/5 LIQUID Narcotic Antituss-decongestant-Expectorant Comb NOVOLIN 70/30 HUM INSULIN NPH/REG INSUL 70-30 U/ML CARTRIDGE Insulins NOVOLIN 70/30 INSUL NPH HU S-S/INS RG H 70-30U/ML CARTRIDGE Insulins NOVOLIN L INSULIN ZINC HUMAN SEMI-S 100U/ML VIAL Insulins NOVOLIN N INSULIN NPH HUMAN RECOM 100 U/ML CARTRIDGE Insulins NOVOLIN N INSULIN NPH HUMAN RECOM 100 U/ML VIAL Insulins NOVOLIN N INSULIN NPH HUMAN SEMI-SY 100U/ML CARTRIDGE Insulins NOVOLIN R INSULIN REG HUMAN SEMI-SY 100U/ML CARTRIDGE Insulins NOVOLIN R INSULIN REGULAR HUMAN REC 100 U/ML CARTRIDGE Insulins NOVOLIN R INSULIN REGULAR HUMAN REC 150 U/1.5 DISP SYRIN Insulins NOVOLIN R INSULIN REGULAR HUMAN REC 300 U/3ML DISP SYRIN Insulins NOVOLOG INSULIN ASPART 100 U/ML VIAL Insulins NOVOLOG INSULIN ASPART 100 U/ML DISP SYRIN Insulins NOVOLOG INSULIN ASPART 100 U/ML CARTRIDGE Insulins NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML CARTRIDGE Insulins NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML DISP SYRIN Insulins NOVOLOG MIX 70/30 INSULN ASP PRT/INSULIN AS 70-30 U/ML VIAL Insulins NULEV HYOSCYAMINE SULFATE 0.125MG TAB RAPDIS Belladonna Alkaloids NULYTELY SOD CHLORIDE/NAHCO3/KCL/P 420G SOLN RECON Laxatives and Cathartics PA NUTROPIN Required SOMATROPIN 10MG VIAL Growth Hormones PA NUTROPIN AQ Required SOMATROPIN 10MG/2ML CARTRIDGE Growth Hormones PA NUTROPIN AQ Required SOMATROPIN 10MG/2ML VIAL Growth Hormones Nutropin AQ PA Req Somatropin 20mg/2ml Cartridge Growth Hormones PA NUTROPIN DEPOT Required SOMATROPIN 13.5MG KIT Growth Hormones PA NUTROPIN DEPOT Required SOMATROPIN 18MG KIT Growth Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class PA NUTROPIN DEPOT Required SOMATROPIN 22.5MG KIT Growth Hormones NUVARING ETONOGESTREL/ETHINYL ESTR 0.12-0.015 VAG RING Nuvaring, only NYDRAZID ISONIAZID 100MG TABLET Antimycobacterium Agents NYSTATIN NYSTATIN 100000 U TABLET Vaginal Antifungals NYSTATIN NYSTATIN 150MMU POWDER Antifungal Antibiotics NYSTATIN NYSTATIN 2B UNIT POWDER Antifungal Antibiotics NYSTATIN NYSTATIN 500MMU POWDER Antifungal Antibiotics NYSTATIN NYSTATIN 50MMU POWDER Antifungal Antibiotics NYSTATIN NYSTATIN 5B UNIT POWDER Antifungal Antibiotics NYSTEX NYSTATIN 100000 U/G OINT.(GM) Topical Antifungals NYSTOP NYSTATIN 100000 U/G POWDER Topical Antifungals OCUFEN FLURBIPROFEN SODIUM 0.03% DROPS Eye Antiinflammatory Agents OCUFLOX OFLOXACIN 0.30% DROPS Eye Antibiotics OCUPRESS CARTEOLOL HCL 1% DROPS Miotics/Other Intraocular Pressure Reducers OGEN ESTROPIPATE 1.5MG/G CREAM(GM) Vaginal Estrogen Preparations OGEN ESTROPIPATE 3MG TABLET Estrogenic Agents OGEN ESTROPIPATE 6MG TABLET Estrogenic Agents OMNICEF CEFDINIR 125MG/5ML SUSP RECON Cephalosporins-3rd Generation OMNICEF CEFDINIR 250MG/5ML SUSP RECON Cephalosporins-3rd Generation OMNICEF CEFDINIR 300MG CAPSULE Cephalosporins-3rd Generation PA OMNITROPE Required SOMATROPIN 5.8mg VIAL Growth Hormones ONE TOUCH BLOOD SUGAR DIAGNOSTIC STRIP Blood Sugar Diagnostics OPTICROM CROMOLYN SODIUM 4% DROPS Ophthalmic Mast Cell Stabilizers OPTICROM CROMOLYN SODIUM 4% DROPS Ophthalmic Mast Cell Stabilizers OPTIPRANOLOL METIPRANOLOL 0.30% DROPS Miotics/Other Intraocular Pressure Reducers OPTIVAR AZELASTINE HCL 0.05% DROPS Eye Antihistamines ORABASE HCA HYDROCORTISONE ACETATE 0.50% PASTE Dental Aids and Preparations ORAMORPH SR MORPHINE SULFATE 100MG TABLET SA Analgesics, Narcotics ORAMORPH SR MORPHINE SULFATE 15MG TABLET SA Analgesics, Narcotics ORAMORPH SR MORPHINE SULFATE 30MG TABLET SA Analgesics, Narcotics ORAMORPH SR MORPHINE SULFATE 60MG TABLET SA Analgesics, Narcotics Brand Name PA Status Generic Name Strength Form Therapeutic Class

ORAP PIMOZIDE 2MG TABLET Antipsych,Dopamine Antag.,Diphenylbutylpiperidenes ORAPRED PREDNISOLONE SOD PHOSPHAT 15MG/5ML SOLUTION Glucocorticoids, Systemic ORGANIDIN IODINATED GLYCEROL 60MG/5ML ELIXIR Expectorants ORINASE TOLBUTAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas ORINASE TOLBUTAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas ORTHO EVRA ETHINYL ESTRADIOL/NORELGE 20-150/24H PATCH TDWK Progesterone Receptors ORTHO TRI-CYCLEN NORGESTIMATE-ETHINYL ESTR 7 DAYS X 3 TABLET Contraceptives, Oral ORTHO TRI-CYCLEN LO NORGESTIMATE-ETHINYL ESTR 7DAYSX3 LO TABLET Contraceptives, Oral ORTHO-CEPT DESOGESTREL-ETHINYL ESTRA 0.15-0.03 TABLET Contraceptives, Oral ORTHO-CYCLEN NORGESTIMATE-ETHINYL ESTR 0.25-0.035 TABLET Contraceptives, Oral ORTHO-DIENESTROL DIENESTROL 0.01% CREAM/APPL Vaginal Estrogen Preparations ORTHO-EST ESTROPIPATE 0.75MG TABLET Estrogenic Agents ORTHO-EST ESTROPIPATE 1.5MG TABLET Estrogenic Agents ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 11-Oct TABLET Contraceptives, Oral ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 1-0.035MG TABLET Contraceptives, Oral ORTHO-NOVUM NORETHINDRONE-ETHINYL EST 7 DAYS X 3 TABLET Contraceptives, Oral ORTHO-NOVUM NORETHINDRONE-MESTRANOL 1-0.05MG TABLET Contraceptives, Oral ORUDIS KETOPROFEN 25MG CAPSULE Anti-inflammatory Agents ORUDIS KETOPROFEN 50MG CAPSULE Anti-inflammatory Agents ORUDIS KETOPROFEN 75MG CAPSULE Anti-inflammatory Agents ORUVAIL KETOPROFEN 100MG CAP24H PEL Anti-inflammatory Agents ORUVAIL KETOPROFEN 150MG CAP24H PEL Anti-inflammatory Agents ORUVAIL KETOPROFEN 200MG CAP24H PEL Anti-inflammatory Agents OSMOGLYN GLYCERIN 50% SOLUTION Osmotic Diuretics OTOBIOTIC POLYMYXIN B SULFATE/HC DROPS Ear Preparations, Antibiotics OVCON-35 NORETHINDRONE-ETHINYL EST 0.4-0.035 TABLET Contraceptives, Oral OVCON-35 NORETHINDRONE-ETHINYL EST 0.4-0.035 TAB CHEW Contraceptives, Oral OVCON-50 NORETHINDRONE-ETHINYL EST 1-0.05MG TABLET Contraceptives, Oral OVIDE MALATHION 0.50% LOTION Topical Antiparasitics OVRAL-28 NORGESTREL-ETHINYL ESTRAD 0.5-0.05MG TABLET Contraceptives, Oral OVRETTE NORGESTREL 75MCG TABLET Contraceptives, Oral OVULEN-28 ETHYNODIOL DIACETATE-MEST 1-0.1MG TABLET Contraceptives, Oral Brand Name PA Status Generic Name Strength Form Therapeutic Class OXAPROZIN OXAPROZIN 600MG TABLET NSAIDS, Cyclooxygenase Inhibitor-Type (Cont'd 1) OXAZEPAM OXAZEPAM 10MG TABLET Anti-Anxiety Drugs OXISTAT OXICONAZOLE NITRATE 1% LOTION Topical Antifungals OXISTAT OXICONAZOLE NITRATE 1% CREAM(GM) Topical Antifungals OXSORALEN METHOXSALEN 1% LOTION Topical Hyperpigmentation Agents OXSORALEN-ULTRA METHOXSALEN, RAPID 10MG CAPSULE Antipsoriatic Agents, Systemic OXYCODONE HCL OXYCODONE HCL 5MG TABLET Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 10MG TAB.SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 160MG TAB.SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 20MG TAB.SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 40MG TAB.SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 80MG TAB.SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 15MG TAB SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 30MG TAB SR 12H Analgesics, Narcotics OXYCONTIN OXYCODONE HCL 60MG TAB SR 12H Analgesics, Narcotics OXYFAST OXYCODONE HCL 20MG/ML ORAL CONC. Analgesics, Narcotics OXYIR OXYCODONE HCL 5MG CAPSULE Analgesics, Narcotics OXYTOCIN OXYTOCIN 10 UNIT/ML DISP SYRIN Oxytocics OXYTROL OXYBUTYNIN 3.9MG/24HR PATCH TDBW Urinary Tract Antispasmodic Agents P1E1 PILOCARPINE HCL/EPI BIT 1% DROPS Miotics/Other Intraocular Pressure Reducers P2E1 PILOCARPINE HCL/EPI BIT 2% DROPS Miotics/Other Intraocular Pressure Reducers P3E1 PILOCARPINE HCL/EPI BIT 3% DROPS Miotics/Other Intraocular Pressure Reducers P4E1 PILOCARPINE HCL/EPI BIT 4% DROPS Miotics/Other Intraocular Pressure Reducers P6E1 PILOCARPINE HCL/EPI BIT 6% DROPS Miotics/Other Intraocular Pressure Reducers PACERONE AMIODARONE HCL 100MG TABLET Antiarrhythmics PACERONE AMIODARONE HCL 300MG TABLET Antiarrhythmics PAMELOR NORTRIPTYLINE HCL 10MG CAPSULE Antidepressants PAMELOR NORTRIPTYLINE HCL 10MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib PAMELOR NORTRIPTYLINE HCL 10MG/5ML SOLUTION Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib PAMELOR NORTRIPTYLINE HCL 25MG CAPSULE Antidepressants PAMELOR NORTRIPTYLINE HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib PAMELOR NORTRIPTYLINE HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib PAMELOR NORTRIPTYLINE HCL 75MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib Brand Name PA Status Generic Name Strength Form Therapeutic Class PAN-2400 AMYLASE/LIPASE/PROTE/PANC 2400MG CAPSULE Pancreatic Enzymes PANCREASE AMYLASE/LIPASE/PROTEASE 20-4.5-25 CAPSULE DR Pancreatic Enzymes PANCREASE MT 10 AMYLASE/LIPASE/PROTEASE 30-10-30 CAPSULE DR Pancreatic Enzymes PANCREASE MT 16 AMYLASE/LIPASE/PROTEASE 48-16-48 CAPSULE DR Pancreatic Enzymes PANCREASE MT 20 AMYLASE/LIPASE/PROTEASE 56-20-44 CAPSULE DR Pancreatic Enzymes PANCREASE MT 25 AMYLASE/LIPASE/PROTEASE 70-25-55 CAPSULE EC Pancreatic Enzymes PANCREASE MT 32 AMYLASE/LIPASE/PROTEASE 90-32-70 CAPSULE EC Pancreatic Enzymes PANCREASE MT 4 AMYLASE/LIPASE/PROTEASE 12K-4K-12K CAPSULE DR Pancreatic Enzymes PANCREATIC ENZYME AMYLASE/LIPASE/PROTEASE 20-4-25 CAPSULE EC Pancreatic Enzymes PANCREATIN AMYLASE/LIPASE/PROTE/PANC 325MG TABLET Pancreatic Enzymes PANCREATIN 8X AMYLASE/LIPASE/PROTE/PANC 7200MG TABLET Pancreatic Enzymes PANCRECARB MS-16 AMYLASE/LIPASE/PROTEASE 52-16-52 CAPSULE DR Pancreatic Enzymes PANCRECARB MS-4 AMYLASE/LIPASE/PROTEASE 25K-4K-25K CAPSULE DR Pancreatic Enzymes PANCRECARB MS-8 AMYLASE/LIPASE/PROTEASE 40K-8K-45K CAPSULE DR Pancreatic Enzymes PANCREZYME 4X AMYLASE/LIPASE/PROTE/PANC 2400MG TABLET Pancreatic Enzymes PANIXINE CEPHALEXIN MONOHYDRATE 125MG TAB DISPER Cephalosporins PANIXINE CEPHALEXIN MONOHYDRATE 250MG TAB DISPER Cephalosporins PANLOR DC DHCODEINE BT/ACETAMINOPHN 16-356-30 CAPSULE Analgesics, Narcotics PANOXYL BENZOYL PEROXIDE 10% GEL Keratolytics PARAFLEX CHLORZOXAZONE 250MG TABLET Skeletal Muscle Relaxants PARAFON FORTE DSC CHLORZOXAZONE 500MG TABLET Skeletal Muscle Relaxants PARLODEL BROMOCRIPTINE MESYLATE 2.5MG TABLET Pituitary Suppressive Agents PARLODEL BROMOCRIPTINE MESYLATE 5MG CAPSULE Pituitary Suppressive Agents PARNATE TRANYLCYPROMINE SULFATE 10MG TABLET MAOIS-Non-Selective & Irreversible PATADAY OLAPATADINE 0.2% DROPS Eye Antihistamines PATANOL OLOPATADINE HCL 0.10% DROPS Eye Antihistamines PATHOCIL DICLOXACILLIN SODIUM 500MG CAPSULE Penicillins PAXIL PAROXETINE HCL 10MG TABLET Antidepressants I.e. Prozac Weekly PAXIL PAROXETINE HCL 10MG/5ML ORAL SUSP Antidepressants I.e. Prozac Weekly PAXIL PAROXETINE HCL 20MG TABLET Antidepressants PAXIL PAROXETINE HCL 20MG TABLET Antidepressants I.e. Prozac Weekly PAXIL PAROXETINE HCL 30MG TABLET Antidepressants PAXIL PAROXETINE HCL 30MG TABLET Antidepressants I.e. Prozac Weekly Brand Name PA Status Generic Name Strength Form Therapeutic Class PAXIL PAROXETINE HCL 40MG TABLET Antidepressants I.e. Prozac Weekly PCE ERYTHROMYCIN BASE 333MG TAB PART Macrolides PCE ERYTHROMYCIN BASE 500MG TAB PART Macrolides PEDIAFLOR SODIUM FLUORIDE 0.5MG/ML DROPS Fluoride Preparations PEDIAPRED PREDNISOLONE SOD PHOSPHAT 5MG/5ML SOLUTION Glucocorticoids, Systemic PEDIAPRED PREDNISOLONE SOD PHOSPHAT 6.7MG/5ML SOLUTION Glucocorticoids, Systemic PEDIAZOLE ERY E-SUCC/SULFISOXAZOLE 200-600/5 SUSP RECON Macrolides PA PEGASYS Required PEGINTERFERON ALFA-2A 180MCG/ML VIAL Hepatitis C Treatment Agents PA PEGASYS Required PEGINTERFERON ALFA-2A 180MCG/ML KIT Hepatitis C Treatment Agents PA PEG-INTRON REDIPEN Required PEGINTERFERON ALFA-2B 120MCG/0.5 KIT Hepatitis C Treatment Agents PA PEG-INTRON REDIPEN Required PEGINTERFERON ALFA-2B 150MCG/0.5 KIT Hepatitis C Treatment Agents PA PEG-INTRON REDIPEN Required PEGINTERFERON ALFA-2B 50MCG/0.5 KIT Hepatitis C Treatment Agents PA PEG-INTRON REDIPEN Required PEGINTERFERON ALFA-2B 80MCG/0.5 KIT Hepatitis C Treatment Agents PEN NEEDLES NEEDLES, INSULIN DISPOSAB 31GX0.312" DIS NEEDLE Needles/Needleless Devices PENICILLIN V POTASSIUM PENICILLIN V POTASSIUM 250MG TABLET Penicillins PENTASA MESALAMINE 250MG CAPSULE SA Drug TX-Chronic Inflam. Colon DX PENTASA MESALAMINE 500MG CAPSULE SA Drug TX-Chronic Inflam. Colon DX PEPCID FAMOTIDINE 20MG TABLET Gastric Acid Secretion Reducers PEPCID FAMOTIDINE 40MG TABLET Gastric Acid Secretion Reducers PEPCID FAMOTIDINE 40MG/5ML ORAL SUSP Gastric Acid Secretion Reducers PERCOCET OXYCODONE HCL/ACETAMINOPH 10-325MG TABLET Analgesics, Narcotics PERCOCET OXYCODONE HCL/ACETAMINOPH 10-650MG TABLET Analgesics, Narcotics PERCOCET OXYCODONE HCL/ACETAMINOPH 2.5-325MG TABLET Analgesics, Narcotics PERCOCET OXYCODONE HCL/ACETAMINOPH 5-325MG TABLET Analgesics, Narcotics PERCOCET OXYCODONE HCL/ACETAMINOPH 7.5-325MG TABLET Analgesics, Narcotics PERCOCET OXYCODONE HCL/ACETAMINOPH 7.5-500MG TABLET Analgesics, Narcotics PERCODAN OXYCODONE/ASPIRIN 4.88-325MG TABLET Analgesics, Narcotics PERCODAN DEMI OXYCODONE/ASPIRIN 2.44-325MG TABLET Analgesics, Narcotics PERIACTIN CYPROHEPTADINE HCL 2MG/5ML SYRUP Antihistamines, Cont 11 Brand Name PA Status Generic Name Strength Form Therapeutic Class PERIACTIN CYPROHEPTADINE HCL 4MG TABLET Antihistamines, Cont 12 PERIDEX CHLORHEXIDINE GLUCONATE 1.2MG/ML LIQUID Dental Aids and Preparations PERSANTINE DIPYRIDAMOLE 25MG TABLET Platelet Aggregation Inhibitors PERSANTINE DIPYRIDAMOLE 25MG TABLET Platelet Aggregation Inhibitors PERSANTINE DIPYRIDAMOLE 50MG TABLET Platelet Aggregation Inhibitors PERSANTINE DIPYRIDAMOLE 50MG TABLET Platelet Aggregation Inhibitors PERSANTINE DIPYRIDAMOLE 75MG TABLET Platelet Aggregation Inhibitors PERSANTINE DIPYRIDAMOLE 75MG TABLET Platelet Aggregation Inhibitors PHENACON PHENYLEPHRINE/CHLOR-MAL/S 20-8-2.5MG TAB.SR 12H Cough and Cold Preparations PHENA-PLUS PHENYLEPHRINE/PPA HCL/CP 10-10-2.5 TABLET Cough and Cold Preparations PHENATAN-S PHENYLEPHRINE/PYRIL TAN/C 5-12.5-2/5 ORAL SUSP Cough and Cold Preparations PHENERGAN PROMETHAZINE HCL 12.5MG SUPP.RECT Anti-Emetics PHENERGAN PROMETHAZINE HCL 12.5MG TABLET Antihistamines PHENERGAN PROMETHAZINE HCL 25MG SUPP.RECT Anti-Emetics PHENERGAN PROMETHAZINE HCL 25MG TABLET Antihistamines PHENERGAN PROMETHAZINE HCL 25MG/5ML SYRUP Antihistamines PHENERGAN PROMETHAZINE HCL 50MG SUPP.RECT Anti-Emetics PHENERGAN PROMETHAZINE HCL 50MG TABLET Antihistamines PHENERGAN PROMETHAZINE HCL 6.25MG/5ML SYRUP Antihistamines PHENERGAN VC W/CODEINE PHENYLEPHRINE HCL/COD/PRO SYRUP Cough and Cold Preparations PHENERGAN W/CODEINE CODEINE/PROMETHAZINE HCL 10-6.25/5 SYRUP Cough and Cold Preparations PHENERGAN W/DEXTROMETHORP D-METHORPHAN HB/PROMETH H SYRUP Cough and Cold Preparations PHENOBARBITAL PHENOBARBITAL 100MG TABLET Barbiturates PHENOBARBITAL PHENOBARBITAL 20MG/5ML ELIXIR Barbiturates PHENOBARBITAL PHENOBARBITAL 30MG TABLET Barbiturates PHENOBARBITAL PHENOBARBITAL 60MG TABLET Barbiturates PHENOBARBITAL PHENOBARBITAL 8MG TABLET Barbiturates PHEN-TUSS AD PHENYLEPHRINE HCL/PROMETH SYRUP Cough and Cold Preparations PHENYTEK PHENYTOIN SODIUM EXTENDED 200MG CAPSULE Anticonvulsants PHENYTEK PHENYTOIN SODIUM EXTENDED 300MG CAPSULE Anticonvulsants PHENYTOIN SODIUM PHENYTOIN SODIUM 100MG CAPSULE Anticonvulsants PHOSLO CALCIUM ACETATE 667MG CAPSULE Electrolyte Depleters PHOSLO CALCIUM ACETATE 667MG TABLET Electrolyte Depleters Brand Name PA Status Generic Name Strength Form Therapeutic Class PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.03% DROPS Miotics/Other Intraocular Pressure Reducers PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.06% DROPS Miotics/Other Intraocular Pressure Reducers PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.13% DROPS Miotics/Other Intraocular Pressure Reducers PHOSPHOLINE IODIDE ECHOTHIOPHATE IODIDE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers PHYSOSTIGMINE SULFATE PHYSOSTIGMINE SULFATE 0.25% OINT.(GM) Miotics/Other Intraocular Pressure Reducers PILOCAR PILOCARPINE HCL 0.50% DROPS Miotics/Other Intraocular Pressure Reducers PILOCAR PILOCARPINE HCL 2% DROPS Miotics/Other Intraocular Pressure Reducers PILOCAR PILOCARPINE HCL 6% DROPS Miotics/Other Intraocular Pressure Reducers PILOCARPINE HCL PILOCARPINE HCL 5% DROPS Miotics/Other Intraocular Pressure Reducers PITOCIN OXYTOCIN 10 UNIT/ML VIAL Oxytocics PLAQUENIL HYDROXYCHLOROQUINE SULFAT 200MG TABLET Antimalarial Drugs PLAVIX CLOPIDOGREL BISULFATE 75MG TABLET Platelet Aggregation Inhibitors Plavix Clopidogrel 300mg Tablet Platelet Aggregation Inhibitors PLENDIL FELODIPINE 10MG TAB.SR 24H Calcium Channel Blocking Agents PLENDIL FELODIPINE 2.5MG TAB.SR 24H Calcium Channel Blocking Agents PLENDIL FELODIPINE 5MG TAB.SR 24H Calcium Channel Blocking Agents PLETAL CILOSTAZOL 100MG TABLET Platelet Aggregation Inhibitors PLETAL CILOSTAZOL 50MG TABLET Platelet Aggregation Inhibitors POLARAMINE DEXCHLORPHENIRAMINE MALEA 2MG TABLET Antihistamines POLARAMINE DEXCHLORPHENIRAMINE MALEA 2MG/5ML SYRUP Antihistamines POLARAMINE DEXCHLORPHENIRAMINE MALEA 4MG TABLET SA Antihistamines POLARAMINE GUAIFEN/P-EPHED HCL/D-CP 100-20-2/5 EXPECT. Expectorants POLYCILLIN AMPICILLIN TRIHYDRATE 125MG/5ML SUSP RECON Penicillins POLYCILLIN AMPICILLIN TRIHYDRATE 250MG/5ML SUSP RECON Penicillins POLY-HISTINE CS PPA HCL/CODEINE/BR-PHENIR SYRUP Cough and Cold Preparations POLY-HISTINE DM D-METHORPHAN HB/PPA HCL/B 10-12.5-2 SYRUP Cough and Cold Preparations POLY-HISTINE-D PPA HCL/PYRIL MAL/P-TLOX/ ADULT CAPSULE SA Antihistamines POLY-HISTINE-D PPA HCL/PYRIL MAL/P-TLOX/ ELIXIR Antihistamines POLY-HISTINE-D PED PPA HCL/PYRIL MAL/P-TLOX/ PEDIATRIC CAPSULE SA Antihistamines POLYMOX AMOXICILLIN TRIHYDRATE 125MG/5ML SUSP RECON Penicillins POLYMOX AMOXICILLIN TRIHYDRATE 250MG/5ML SUSP RECON Penicillins POLY-PRED NEOMY SULF/POLYMYX B SULF 0.50% DROPS SUSP Eye Antibiotic-Corticoid Combinations POLYSPORIN BACITRACIN/POLYMYXIN B SU OINT.(GM) Eye Antibiotics Brand Name PA Status Generic Name Strength Form Therapeutic Class POLYTRIM POLYMYXIN B SULFATE/TMP 10K U-0.1% DROPS Eye Antibiotics POLY-VENT GUAIFENESIN/P-EPHED HCL 650-90MG TAB.SR 12H Expectorants POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.25MG TAB CHEW Pediatric Vitamin Preparations POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.25MG/ML DROPS Pediatric Vitamin Preparations POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.5MG TAB CHEW Pediatric Vitamin Preparations POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 0.5MG/ML DROPS Pediatric Vitamin Preparations POLY-VI-FLOR FLUORIDE ION/MULTIVITAMIN 1MG TAB CHEW Pediatric Vitamin Preparations POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.25MG TAB CHEW Pediatric Vitamin Preparations POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.25MG/ML DROPS Pediatric Vitamin Preparations POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.5MG TAB CHEW Pediatric Vitamin Preparations POLY-VI-FLOR W/IRON FLUORIDE ION/MULTIVITS W- 0.5MG/ML DROPS Pediatric Vitamin Preparations POTASSIUM CHLORIDE POTASSIUM CHLORIDE 8MEQ TABLET SA Potassium Replacement PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% CREAM(GM) Topical Local Anesthetics PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% OINT.(GM) Topical Local Anesthetics PRAMOSONE HYDROCORTISONE/PRAMOXINE 1% LOTION Topical Local Anesthetics PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% CREAM(GM) Topical Local Anesthetics PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% OINT.(GM) Topical Local Anesthetics PRAMOSONE HYDROCORTISONE/PRAMOXINE 2.50% LOTION Topical Local Anesthetics PRAMOTIC PRAMOXINE HCL/CHLOROXYLEN 1-0.1% DROPS Ear Preparations, Local Anesthetics PRANDIN REPAGLINIDE 0.5MG TABLET Oral Hypoglycemics, Sulfonylureas PRANDIN REPAGLINIDE 2MG TABLET Oral Hypoglycemics, Sulfonylureas PRECOSE ACARBOSE 100MG TABLET Hypoglycemics, Insulin-Response Enhancer PRECOSE ACARBOSE 25MG TABLET Hypoglycemics, Insulin-Response Enhancer PRECOSE ACARBOSE 50MG TABLET Hypoglycemics, Insulin-Response Enhancer PRED FORTE PREDNISOLONE ACETATE 1% DROPS SUSP Eye Antiinflammatory Agents PRED MILD PREDNISOLONE ACETATE 0.12% DROPS SUSP Eye Antiinflammatory Agents PRED-G GENTAMICIN/PREDNISOL AC 1% DROPS SUSP Eye Antibiotic-Corticoid Combinations PRED-G GENTAMICIN/PREDNISOL AC 0.3-0.6% OINT.(GM) Eye Antibiotic-Corticoid Combinations PREDNISOLONE PREDNISOLONE 5MG TABLET Glucocorticoids, Systemic PREDNISONE PREDNISONE 10MG TABLET Glucocorticoids, Systemic PREDNISONE PREDNISONE 2.5MG TABLET Glucocorticoids, Systemic PREDNISONE PREDNISONE 20MG TABLET Glucocorticoids, Systemic PREDNISONE PREDNISONE 50MG TABLET Glucocorticoids, Systemic Brand Name PA Status Generic Name Strength Form Therapeutic Class PREDNISONE PREDNISONE 5MG TABLET Glucocorticoids, Systemic PREDNISONE PREDNISONE 5MG/5ML SOLUTION Glucocorticoids, Systemic PREDNISONE INTENSOL PREDNISONE 5MG/ML ORAL CONC. Glucocorticoids, Systemic PRELONE PREDNISOLONE 15MG/5ML SYRUP Glucocorticoids, Systemic PRELONE PREDNISOLONE 5MG/5ML SYRUP Glucocorticoids, Systemic PREMARIN ESTROGENS,CONJUGATED 0.3MG TABLET Estrogenic Agents PREMARIN ESTROGENS,CONJUGATED 0.45MG TABLET Estrogenic Agents PREMARIN ESTROGENS,CONJUGATED 0.625MG TABLET Estrogenic Agents PREMARIN ESTROGENS,CONJUGATED 0.625MG/G CREAM/APPL Vaginal Estrogen Preparations PREMARIN ESTROGENS,CONJUGATED 0.9MG TABLET Estrogenic Agents PREMARIN ESTROGENS,CONJUGATED 1.25MG TABLET Estrogenic Agents PREMARIN ESTROGENS,CONJUGATED 2.5MG TABLET Estrogenic Agents PREMPHASE ESTROGEN,CON/M-PROGEST AC 0.625-5MG TABLET SEQ Estrogenic Agents PREMPRO ESTROGEN,CON/M-PROGEST AC 0.3-1.5MG TABLET Estrogenic Agents PREMPRO ESTROGEN,CON/M-PROGEST AC 0.45-1.5MG TABLET Estrogenic Agents PREMPRO ESTROGEN,CON/M-PROGEST AC 0.625-2.5 TABLET Estrogenic Agents PREMPRO ESTROGEN,CON/M-PROGEST AC 0.625-5MG TABLET Estrogenic Agents PRENATE-90 PRENATAL VIT/FE FUM/DOSS/ 90-1MG TABLET SA Prenatal Vitamin Preparations PREVACID LANSOPRAZOLE 15MG CAPSULE DR Gastric Acid Secretion Reducers PREVACID LANSOPRAZOLE 30MG CAPSULE DR Gastric Acid Secretion Reducers PREVEN L-NORGEST-ETH ESTR/PRG TS 0.25-0.05 KIT Contraceptives, Oral PREZISTA DARUNAVIR ETHANOLATE 300MG TABLET Antiretroviral Agents Prezista Darunavir Ethanolate 600mg Tablet Antiretroviaral Agents PRILOSEC OMEPRAZOLE 10MG CAPSULE DR Gastric Acid Secretion Reducers PRILOSEC OMEPRAZOLE 20MG CAPSULE DR Gastric Acid Secretion Reducers PRILOSEC OMEPRAZOLE 20MG CAPSULE DR Gastric Acid Secretion Reducers PRILOSEC OMEPRAZOLE 40MG CAPSULE DR Gastric Acid Secretion Reducers PRILOSEC OTC OMEPRAZOLE MAGNESIUM 20MG TABLET DR Gastric Acid Secretion Reducers PRIMAQUINE PRIMAQUINE PHOSPHATE 26.3MG TABLET Antimalarial Drugs PRIMSOL TRIMETHOPRIM 50MG/5ML SOLUTION Chemotherapeutics, Antibacterial, Misc. PRINIVIL LISINOPRIL 10MG TABLET Hypotensives, ACE Blocking Agents PRINIVIL LISINOPRIL 5MG TABLET Hypotensives, ACE Blocking Agents PRINZIDE LISINOPRIL/HYDROCHLOROTHI 10-12.5MG TABLET Hypotensives, ACE Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class PRINZIDE LISINOPRIL/HYDROCHLOROTHI 20-12.5MG TABLET Hypotensives, ACE Blocking Agents PRINZIDE LISINOPRIL/HYDROCHLOROTHI 20-25MG TABLET Hypotensives, ACE Blocking Agents PROAIR HFA ALBUTEROL SULFATE HFA 90MCG INHALER Beta-Adrenergic Agents PRO-BANTHINE PROPANTHELINE BROMIDE 15MG TABLET Anticholinergics, Quarternary PRO-BANTHINE PROPANTHELINE BROMIDE 7.5MG TABLET Anticholinergics, Quarternary PROCAINAMIDE HCL PROCAINAMIDE HCL 1000MG TABLET SA Antiarrhythmics PROCAINAMIDE HCL PROCAINAMIDE HCL 250MG TABLET SA Antiarrhythmics PROCAINAMIDE HCL PROCAINAMIDE HCL 500MG CAPSULE Antiarrhythmics PROCAN SR PROCAINAMIDE HCL 750MG TABLET SA Antiarrhythmics PROCANBID PROCAINAMIDE HCL 1000MG TAB.SR 12H Antiarrhythmics PROCANBID PROCAINAMIDE HCL 500MG TAB.SR 12H Antiarrhythmics PROCARDIA NIFEDIPINE 10MG CAPSULE Calcium Channel Blocking Agents PROCARDIA NIFEDIPINE 20MG CAPSULE Calcium Channel Blocking Agents PROCARDIA XL NIFEDIPINE 30MG TAB SA OSM Calcium Channel Blocking Agents PROCARDIA XL NIFEDIPINE 60MG TABLET SA Calcium Channel Blocking Agents PROCARDIA XL NIFEDIPINE 90MG TAB SA OSM Calcium Channel Blocking Agents PROCRIT EPOETIN ALFA 10000 U/ML VIAL Hematinics, Other PROCRIT EPOETIN ALFA 2000 U/ML VIAL Hematinics, Other PROCRIT EPOETIN ALFA 4000 U/ML VIAL Hematinics, Other PROCTOCORT HYDROCORTISONE 1% CREAM(GM) Rectal Preparations PROCTOCORT HYDROCORTISONE ACETATE 30MG SUPP.RECT Rectal Preparations PROCTOCREAM-HC PRAMOXINE HCL/HYDROCORTIS 1% CREAM(GM) Hemorrhoidal Preparations PROCTOFOAM PRAMOXINE HCL 1% FOAM/APPL. Hemorrhoidal Preparations PROCTOFOAM-HC HC ACETATE/PRAMOXINE HCL 1-1% FOAM Rectal Preparations PROCTOZONE H HYDROCORTISONE ACETATE 1% CREAM(GM) Rectal Preparations PROGRAF TACROLIMUS ANHYDROUS 0.5MG CAPSULE Immunosuppresives PROGRAF TACROLIMUS ANHYDROUS 1MG CAPSULE Immunosuppresives PROGRAF TACROLIMUS ANHYDROUS 5MG CAPSULE Immunosuppresives PROGRAF TACROLIMUS ANHYDROUS 5MG/ML AMPUL Immunosuppresives PROLEX DH POT GUAIACO/HYDROCODONE B 300-4.5/5 SYRUP Expectorants PROLIXIN FLUPHENAZINE HCL 1MG TABLET Anti-Psychotics, Phenothiazines PROLIXIN FLUPHENAZINE HCL 2.5MG TABLET Anti-Psychotics, Phenothiazines PROLIXIN FLUPHENAZINE HCL 2.5MG/5ML ELIXIR Anti-Psychotics, Phenothiazines Brand Name PA Status Generic Name Strength Form Therapeutic Class PROLIXIN FLUPHENAZINE HCL 5MG TABLET Anti-Psychotics, Phenothiazines PROLIXIN FLUPHENAZINE HCL 5MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines PROLOID THYROGLOBULIN 130MG TABLET Thyroid Hormones PROLOID THYROGLOBULIN 200MG TABLET Thyroid Hormones PROLOID THYROGLOBULIN 65MG TABLET Thyroid Hormones PROLOPRIM TRIMETHOPRIM 200MG TABLET Chemotherapeutics, Antibacterial, Misc. PROMETRIUM PROGESTERONE,MICRONIZED 100MG CAPSULE Progestational Agents PROMETRIUM PROGESTERONE,MICRONIZED 200MG CAPSULE Progestational Agents PRONESTYL PROCAINAMIDE HCL 250MG CAPSULE Antiarrhythmics PRONESTYL PROCAINAMIDE HCL 250MG TABLET Antiarrhythmics PRONESTYL PROCAINAMIDE HCL 375MG CAPSULE Antiarrhythmics PRONESTYL PROCAINAMIDE HCL 375MG TABLET Antiarrhythmics PRONESTYL PROCAINAMIDE HCL 500MG TABLET Antiarrhythmics PRONESTYL-SR PROCAINAMIDE HCL 500MG TABLET SA Antiarrhythmics PROPINE DIPIVEFRIN HCL 0.10% DROPS Mydriatics PROPRANOLOL HCL PROPRANOLOL HCL 20MG/5ML SOLUTION Beta-Adrenergic Blocking Agents PROPRANOLOL HCL PROPRANOLOL HCL 40MG/5ML SOLUTION Beta-Adrenergic Blocking Agents PROPRANOLOL HCL PROPRANOLOL HCL 80MG TABLET Beta-Adrenergic Blocking Agents PROPRANOLOL HCL PROPRANOLOL HCL 80MG/ML DROPS Beta-Adrenergic Blocking Agents PROPYLTHIOURACIL PROPYLTHIOURACIL 50MG CAPSULE Antithyroid Preparations PROPYLTHIOURACIL PROPYLTHIOURACIL 50MG TABLET Antithyroid Preparations PROSCAR FINASTERIDE 5MG TABLET BPH/Micturition Agents PROSED EC MTH/ME BLUE/BA/SALICY/ATP 81.6-0.06 TABLET DR Chemotherapeutics, Antibacterial, Misc. PROSED/DS MTH/ME BLUE/BA/SALICY/ATP 81.6-0.06 TABLET Chemotherapeutics, Antibacterial, Misc. PROSOM ESTAZOLAM 1MG TABLET Non-Barbiturate, Sedative-Hypnotic PROSOM ESTAZOLAM 2MG TABLET Non-Barbiturate, Sedative-Hypnotic PROSTIGMIN NEOSTIGMINE BROMIDE 15MG TABLET Cholinesterase Inhibitors PROTONIX PANTOPRAZOLE SOD SESQUIHY 40MG TABLET DR Gastric Acid Secretion Reducers PROTONIX PANTOPRAZOLE SODIUM 20MG TABLET DR Gastric Acid Secretion Reducers PROTOPIC TACROLIMUS 0.03% OINT.(GM) Topical Immunosuppressive Agents PROTOPIC TACROLIMUS 0.10% OINT.(GM) Topical Immunosuppressive Agents PA PROTROPIN Required SOMATREM 10MG VIAL Growth Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class PA PROTROPIN Required SOMATREM 5MG VIAL Growth Hormones PROVENTIL ALBUTEROL SULFATE 2MG TABLET Beta-Adrenergic Agents PROVENTIL ALBUTEROL SULFATE 4MG TABLET Beta-Adrenergic Agents PROVENTIL ALBUTEROL SULFATE 4MG TAB MPHASE Beta-Adrenergic Agents PROVENTIL ALBUTEROL SULFATE 5MG/ML SOLUTION Beta-Adrenergic Agents PROVENTIL HFA ALBUTEROL SULFATE 90MCG AER W/ADAP Beta-Adrenergic Agents PROVERA MEDROXYPROGESTERONE ACET 10MG TABLET Progestational Agents PROVERA MEDROXYPROGESTERONE ACET 2.5MG TABLET Progestational Agents PROVERA MEDROXYPROGESTERONE ACET 5MG TABLET Progestational Agents PROZAC FLUOXETINE HCL 10MG TABLET Antidepressants I.e. Prozac Weekly PROZAC FLUOXETINE HCL 20MG CAPSULE Antidepressants I.e. Prozac Weekly PROZAC FLUOXETINE HCL 20MG/5ML SOLUTION Antidepressants I.e. Prozac Weekly PROZAC FLUOXETINE HCL 40MG CAPSULE Antidepressants I.e. Prozac Weekly PROZAC FLUOXETINE HYDROCHLORIDE 10MG CAPSULE Antidepressants PROZAC FLUOXETINE HYDROCHLORIDE 20MG CAPSULE Antidepressants PROZAC FLUOXETINE HYDROCHLORIDE 20MG/5ML SOLUTION Antidepressants PSORCON DIFLORASONE DIACETATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations PSORCON DIFLORASONE DIACETATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations PSORCON E DIFLORASONE DIACETATE/EMO 0.05% CREAM(GM) Topical Antiinflammatory Preparations PSORCON E DIFLORASONE DIACETATE/EMO 0.05% OINT.(GM) Topical Antiinflammatory Preparations PSORIATEC ANTHRALIN 1% CREAM(GM) Antipsoriatic Agents PA Required 0.25MG/2ML PULMICORT >age 6 BUDESONIDE AMPUL-NEB. Glucocorticoids, Systemic PA Required 0.5MG/2ML PULMICORT >age 6 BUDESONIDE AMPUL-NEB. Glucocorticoids, Systemic PA Required 1MG/ML PULMICORT >age 6 BUDESONIDE AMPUL-NEB. Glucocorticoids, Systemic PULMICORT BUDESONIDE 200MCG AER POW BA Glucocorticoids, Systemic PULMICORT BUDESONIDE 90mcg AER POW Glucocorticoids, Systemic, Cont. PULMICORT BUDESONIDE 180mcg AER POW Glucocorticoids, Systemic, Cont. PA PULMOZYME Required DORNASE ALFA 1MG/ML SOLUTION Mucolytics Brand Name PA Status Generic Name Strength Form Therapeutic Class PURINETHOL MERCAPTOPURINE 50MG TABLET Antimetabolites P-V-TUSSIN GUAIFEN/HYDROCOD BIT/PHEN TABLET Expectorants P-V-TUSSIN P-EPHED HCL/HYDROCODONE/C 30-2.5-2/5 SYRUP Cough and Cold Preparations PYRAZINAMIDE PYRAZINAMIDE 500MG TABLET Antimycobacterium Agents PYRIDIUM PHENAZOPYRIDINE HCL 100MG TABLET Urinary Tract Anesthetic/Analgesic Agents PYRIDIUM PHENAZOPYRIDINE HCL 200MG TABLET Urinary Tract Anesthetic/Analgesic Agents PYRIDIUM PLUS PHENAZOPY HCL/HYOSCY/BUTA 150-0.3-15 TABLET Urinary Tract Anesthetic/Analgesic Agents QUESTRAN CHOLESTYRAMINE 1G TABLET Bile Salt Sequestrants QUESTRAN CHOLESTYRAMINE/SUCROSE 4G POWDER Bile Salt Sequestrants QUESTRAN CHOLESTYRAMINE/SUCROSE 4G PACKET Bile Salt Sequestrants QUESTRAN LIGHT CHOLESTYRAMINE/ASPARTAME 4G PACKET Bile Salt Sequestrants QUESTRAN LIGHT CHOLESTYRAMINE/ASPARTAME POWDER Bile Salt Sequestrants QUIBRON-T/SR THEOPHYLLINE ANHYDROUS 300MG TAB.SR 12H Xanthines QUINAGLUTE QUINIDINE GLUCONATE 324MG TABLET SA Antiarrhythmics QUINERVA QUININE SULFATE 260MG TABLET Antimalarial Drugs QUINIDEX QUINIDINE SULFATE 300MG TABLET SA Antiarrhythmics QUINIDINE SULFATE QUINIDINE SULFATE 100MG TABLET Antiarrhythmics QUINIDINE SULFATE QUINIDINE SULFATE 200MG CAPSULE Antiarrhythmics QUINIDINE SULFATE QUINIDINE SULFATE 200MG TABLET Antiarrhythmics QUINIDINE SULFATE QUINIDINE SULFATE 300MG TABLET Antiarrhythmics QUININE SULFATE QUININE SULFATE 200MG CAPSULE Antimalarial Drugs QUININE SULFATE QUININE SULFATE 300MG CAPSULE Antimalarial Drugs QUININE SULFATE QUININE SULFATE 325MG CAPSULE Antimalarial Drugs QUININE SULFATE QUININE SULFATE 325MG TABLET Antimalarial Drugs QUIXIN LEVOFLOXACIN 0.50% DROPS Eye Antibiotics QVAR BECLOMETHASONE DIPROPIONA 40MCG AER W/ADAP Glucocorticoids, Topical QVAR BECLOMETHASONE DIPROPIONA 80MCG AER W/ADAP Glucocorticoids, Topical PA RANEXA Required RANOLAZINE 500MG TABLET Antianginal & Anti-ischemic Agents PA RANEXA Required RANOLAZINE 1000MG TABLET Antianginal & Anti-ischemic Agents RAPAMUNE SIROLIMUS 1MG TABLET Immunosuppresives RAPAMUNE SIROLIMUS 1MG/ML SOLUTION Immunosuppresives RAPAMUNE SIROLIMUS 2MG TABLET Immunosuppresives Brand Name PA Status Generic Name Strength Form Therapeutic Class RAPIFLUX FLUOXETINE HCL 20MG TABLET Antidepressants I.e. Prozac Weekly PA REBETOL Required RIBAVIRIN 200MG CAPSULE Hepatitis C Treatment Agents PA REBETOL Required RIBAVIRIN 40MG/ML SOLUTION Hepatitis C Treatment Agents PA REBETRON 600 Required RIBAVIRIN/INTERFERON A-2B 600-3/.5ML KIT Hepatitis C Treatment Agents REBIF INTERFERON BETA-1A/ALBUMI 22MCG/.5ML DISP SYRIN Agents to treat Multiple Sclerosis REBIF INTERFERON BETA-1A/ALBUMI 44MCG/.5ML DISP SYRIN Agents to treat Multiple Sclerosis 8.8mcg/.5cc- REBIF TITRATION PACK INTERFERON BETA-1A/ALBUMI 22mcg/.5cc DISP SYRIN Agents to treat Multiple Sclerosis REGLAN METOCLOPRAMIDE HCL 10MG TABLET Intestinal Motility Stimulants REGLAN METOCLOPRAMIDE HCL 5MG TABLET Intestinal Motility Stimulants REGLAN METOCLOPRAMIDE HCL 5MG/5ML SOLUTION Intestinal Motility Stimulants PA REGRANEX Required BECAPLERMIN 0.01% GEL Diabetic Ulcer Preparations, Topical RELAFEN NABUMETONE 500MG TABLET Anti-inflammatory Agents RELAFEN NABUMETONE 750MG TABLET Anti-inflammatory Agents RELION 70/30 HUM INSULIN NPH/REG INSUL 70-30 U/ML VIAL Insulins RELION 70/30 INNOLET HUM INSULIN NPH/REG INSUL 70-30 U/ML DISP SYRIN Insulins RELPAX ELETRIPTAN HYDROBROMIDE 20MG TABLET Antimigraine Preparations RELPAX ELETRIPTAN HYDROBROMIDE 40MG TABLET Antimigraine Preparations REMERON MIRTAZAPINE 15MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants REMERON MIRTAZAPINE 15MG TABLET Alpha-2 Receptor Antagonist Antidepressants REMERON MIRTAZAPINE 30MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants REMERON MIRTAZAPINE 30MG TABLET Alpha-2 Receptor Antagonist Antidepressants REMERON MIRTAZAPINE 45MG TAB RAPDIS Alpha-2 Receptor Antagonist Antidepressants REMERON MIRTAZAPINE 45MG TABLET Alpha-2 Receptor Antagonist Antidepressants PA REMICADE Required INFLIXIMAB 100MG VIAL Drugs to TX Chronic Inflamm. Disease of Colon RENAGEL SEVELAMER HCL 400MG TABLET Electrolyte Depleters RENAGEL SEVELAMER HCL 403MG CAPSULE Electrolyte Depleters RENAGEL SEVELAMER HCL 800MG TABLET Electrolyte Depleters Renvela Sevelamer Carbonate 800mg Tablet Electrolyte Depleters REPAN-CF ACETAMINOPHEN/BUTALBITAL 650-50MG TABLET Analgesics, Antipyretics, Non-Salicylate Brand Name PA Status Generic Name Strength Form Therapeutic Class REQUIP ROPINIROLE HCL 0.25MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 0.5MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 1MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 2MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 3MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 4MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL 5MG TABLET Antiparkinsonism Drugs, Other REQUIP ROPINIROLE HCL .25-.5-1MG TABLET Antiparkinsonism Drugs, Other RESCRIPTOR DELAVIRDINE MESYLATE 100MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI RESCRIPTOR DELAVIRDINE MESYLATE 200MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI RESCULA UNOPROSTONE ISOPROPYL 0.15% DROPS Miotics/Other Intraocular Pressure Reducers RESERPINE RESERPINE 0.25MG TABLET Hypotensives, Sympatholitic PA RESTASIS Required CYCLOSPORINE 0.05% DROPERETTE EENT Preparations RESTORIL TEMAZEPAM 15MG CAPSULE Non-Barbiturate, Sedative-Hypnotic RESTORIL TEMAZEPAM 30MG CAPSULE Non-Barbiturate, Sedative-Hypnotic RESTORIL TEMAZEPAM 7.5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic RESTORIL TEMAZEPAM 22.5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic PA Required 0.01% RETIN-A >age 30 TRETINOIN GEL Vitamin A Derivatives PA Required 0.03% RETIN-A >age 30 TRETINOIN GEL Vitamin A Derivatives PA Required 0.03% RETIN-A >age 30 TRETINOIN CREAM(GM) Vitamin A Derivatives PA Required 0.05% RETIN-A >age 30 TRETINOIN CREAM(GM) Vitamin A Derivatives PA Required 0.05% RETIN-A >age 30 TRETINOIN LIQUID Vitamin A Derivatives PA Required 0.10% RETIN-A >age 30 TRETINOIN CREAM(GM) Vitamin A Derivatives Brand Name PA Status Generic Name Strength Form Therapeutic Class PA Required 0.04% RETIN-A MICRO >age 30 TRETINOIN GEL Vitamin A Derivatives PA Required 0.10% RETIN-A MICRO >age 30 TRETINOIN GEL Vitamin A Derivatives RETROVIR ZIDOVUDINE 100MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI RETROVIR ZIDOVUDINE 10MG/ML SYRUP Antivirals, HIV-Specific, Nucleoside Analog, RTI RETROVIR ZIDOVUDINE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI REVATIO SILDENAFIL CITRATE 20MG TABLET Phosphodiesterase Inhibitors REVIA NALTREXONE HCL 50MG TABLET Narcotic Antagonists REYATAZ ATAZANAVIR SULFATE 100MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 150MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 200MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 300MG CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 300mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 200mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors REYATAZ ATAZANAVIR SULFATE 100mg CAPSULE Antivirals, HIV-Specific, Protease Inhibitors RHEUMATREX METHOTREXATE SODIUM 2.5MG TAB DS PK Anti-arthritic, Folate Antagonis Agents RHINATATE PHENYLEPHRINE/PYRIL TAN/C 25-25-8MG TABLET Cough and Cold Preparations RHINOCORT BUDESONIDE 32MCG AER W/ADAP Nose Preparations, Antiinflammatory RHINOCORT AQUA BUDESONIDE 32MCG SPRAY Nose Preparations, Antiinflammatory RIDAURA AURANOFIN 3MG CAPSULE Gold Salts RIDIPRIN ASPIRIN 325MG TABLET Analgesics, Salicylates RIFADIN RIFAMPIN 150MG CAPSULE Antitubercular Antibiotics RIFADIN RIFAMPIN 300MG CAPSULE Antitubercular Antibiotics RIFAMATE RIFAMPIN/ISONIAZIDE 300/100MG CAPSULE Antitubercular Antibiotics RIFAMATE RIFAMPIN/ISONIAZIDE 300-150mg CAPSULE Antitubercular Antibiotics RIOMET METFORMIN HCL 500MG/5ML SOLUTION Oral Hypoglycemics, Non-Sulfonylureas

RISPERDAL RISPERIDONE 0.25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 0.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 1MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag Brand Name PA Status Generic Name Strength Form Therapeutic Class

RISPERDAL RISPERIDONE 1MG/ML SOLUTION Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 2MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 3MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

RISPERDAL RISPERIDONE 4MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag RITALIN METHYLPHENIDATE HCL 10MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN METHYLPHENIDATE HCL 20MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN METHYLPHENIDATE HCL 5MG TABLET Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN LA METHYLPHENIDATE HCL 10MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN LA METHYLPHENIDATE HCL 20MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN LA METHYLPHENIDATE HCL 30MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN LA METHYLPHENIDATE HCL 40MG CPMP 50-50 Anti-narcolepsy/Anti-Hyperkinesis Agents RITALIN-SR METHYLPHENIDATE HCL 20MG TABLET SA Anti-narcolepsy/Anti-Hyperkinesis Agents RITODRINE HCL RITODRINE HCL 10MG/ML VIAL Beta-Adrenergic Agents RITODRINE HCL RITODRINE HCL 15MG/ML VIAL Beta-Adrenergic Agents ROBAXIN METHOCARBAMOL 100MG/ML VIAL Skeletal Muscle Relaxants ROBAXIN METHOCARBAMOL 500MG TABLET Skeletal Muscle Relaxants ROBAXIN-750 METHOCARBAMOL 750MG TABLET Skeletal Muscle Relaxants ROBAXISAL METHOCARBAMOL/ASPIRIN 400-325MG TABLET Skeletal Muscle Relaxants ROCALTROL CALCITRIOL 0.25MCG CAPSULE Vitamin D Preparations ROCALTROL CALCITRIOL 0.5MCG CAPSULE Vitamin D Preparations ROCALTROL CALCITRIOL 1MCG/ML SOLUTION Vitamin D Preparations ROFERON-A INTERFERON ALFA-2A,RECOMB 18MMU VIAL Immunomodulators ROFERON-A INTERFERON ALFA-2A,RECOMB 36MMU/ML VIAL Immunomodulators ROFERON-A INTERFERON ALFA-2A,RECOMB 3MMU/ML VIAL Immunomodulators ROFERON-A INTERFERON ALFA-2A,RECOMB 6MMU/ML VIAL Immunomodulators ROFERON-A INTERFERON ALFA-2A,RECOMB 9MMU/0.9ML VIAL Immunomodulators ROMAZICON FLUMAZENIL 0.1MG/ML VIAL Benzodiazepine Antagonists ROMYCIN ERYTHROMYCIN BASE 5MG/G OINT.(GM) Eye Antibiotics RONDEC P-EPHED HCL/CARBINOX MAL 60-4MG/5ML SYRUP Antihistamines RONDEC P-EPHED HCL/CARBINOX MAL TABLET Antihistamines Brand Name PA Status Generic Name Strength Form Therapeutic Class RONDEC-DM DM HB/P-EPHED HCL/CARBINO 4-25-2/ML DROPS Cough and Cold Preparations RONDEC-DM DM HB/P-EPHED HCL/CARBINO SYRUP Cough and Cold Preparations RONDEC-DM DM HB/P-EPHED HCL/CCHLORPHEN 15-12.5-4/5ML SYRUP Cough and Cold Preparations RONDEC-DM DM HB/P-EPHED HCL/CCHLORPHEN 3-3.5-1/ML DROPS Cough and Cold Preparations RONDEC-TR P-EPHED HCL/CARBINOX MAL 120-8MG TAB.SR 12H Antihistamines ROWASA MESALAMINE 4G/60ML ENEMA Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX ROWASA MESALAMINE 500MG SUPP.RECT Chronic Inflam. Colon DX, 5-A Salicylat, Rectal TX ROXANOL MORPHINE SULFATE 20MG/ML SOLUTION Analgesics, Narcotics ROXICET OXYCODONE HCL/ACETAMINOPH 5-325/5ML SOLUTION Analgesics, Narcotics ROXICET OXYCODONE HCL/ACETAMINOPH 5-500MG TABLET Analgesics, Narcotics ROXICODONE OXYCODONE HCL 15MG TABLET Analgesics, Narcotics ROXICODONE OXYCODONE HCL 30MG TABLET Analgesics, Narcotics ROXICODONE OXYCODONE HCL 5MG/5ML SOLUTION Analgesics, Narcotics RYNA-CX GUAIFENESIN/P-EPHED HCL/C 100-30-10 SYRUP Expectorants RYNATAN PHENYLEPHRINE/CHLOR-TAN 25-9MG TABLET Cough and Cold Preparations RYNATAN PHENYLEPHRINE/CHLOR-TAN 5-4.5MG/5 ORAL SUSP Cough and Cold Preparations RYNATAN PHENYLEPHRINE/CHLOR-TAN 5-4.5MG CHEW TAB Cough and Cold Preparations RYTHMOL PROPAFENONE HCL 150MG TABLET Antiarrhythmics RYTHMOL PROPAFENONE HCL 225MG TABLET Antiarrhythmics RYTHMOL PROPAFENONE HCL 300MG TABLET Antiarrhythmics RYTHMOL SR PROPAFENONE HCL 225MG CAP.SR 12H Antiarrhythmics RYTHMOL SR PROPAFENONE HCL 325MG CAP.SR 12H Antiarrhythmics RYTHMOL SR PROPAFENONE HCL 425MG CAP.SR 12H Antiarrhythmics PA SAIZEN Required SOMATROPIN 8.8MG/1.5 CARTRIDGE Growth Hormones SALAGEN PILOCARPINE HCL 5MG TABLET Parasympathetic Agents SALAGEN PILOCARPINE HCL 7.5MG TABLET Parasympathetic Agents SANDIMMUNE CYCLOSPORINE 100MG CAPSULE Immunosuppresives SANDIMMUNE CYCLOSPORINE 100MG/ML SOLUTION Immunosuppresives SANDIMMUNE CYCLOSPORINE 25MG CAPSULE Immunosuppresives SANDIMMUNE CYCLOSPORINE 50MG CAPSULE Immunosuppresives SANDIMMUNE CYCLOSPORINE 50MG/ML AMPUL Immunosuppresives SANSERT METHYSERGIDE MALEATE 2MG TABLET Antimigraine Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class SARAFEM FLUOXETINE HCL 10MG CAPSULE Antidepressants I.e. Prozac Weekly SEASONALE LEVONORGESTREL-ETH ESTRA 0.15-0.03 TBDSPK 3MO Contraceptives, Oral SEASONIQUE LEVONORGESTREL-ETH ESTRA 150-30(84) TBDSPK 3MO Contraceptives, Oral SEBIZON SULFACETAMIDE SODIUM 10% LOTION Antiseborrheic Agents SECTRAL ACEBUTOLOL HCL 200MG CAPSULE Beta-Adrenergic Blocking Agents SECTRAL ACEBUTOLOL HCL 400MG CAPSULE Beta-Adrenergic Blocking Agents SELDANE TERFENADINE 60MG TABLET Antihistamines, Cont SELDANE-D P-EPHED HCL/TERFENADINE 120-60MG TABLET SA Antihistamines SELSUN RX SELENIUM SULFIDE 2.50% SHAMPOO Antiseborrheic Agents SELZENTRY MARAVIROX 150MG TABLET Antivirals, HIV-Specific, CCR5 Co-receptor antag SELZENTRY MARAVIROX 300MG TABLET Antivirals, HIV-Specific, CCR5 Co-receptor antag SEPTRA SULFAMETHOXAZOLE/TRIMETHO 200-40MG/5 ORAL SUSP Absorbable Sulfonamides SEPTRA SULFAMETHOXAZOLE/TRIMETHO 400-80MG TABLET Absorbable Sulfonamides SERAX OXAZEPAM 10MG CAPSULE Anti-Anxiety Drugs SERAX OXAZEPAM 15MG CAPSULE Anti-Anxiety Drugs SERAX OXAZEPAM 15MG TABLET Anti-Anxiety Drugs SERAX OXAZEPAM 30MG CAPSULE Anti-Anxiety Drugs SERENTIL MESORIDAZINE BESYLATE 100MG TABLET Anti-Psychotics, Phenothiazines SERENTIL MESORIDAZINE BESYLATE 10MG TABLET Anti-Psychotics, Phenothiazines SERENTIL MESORIDAZINE BESYLATE 25MG TABLET Anti-Psychotics, Phenothiazines SERENTIL MESORIDAZINE BESYLATE 25MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines SERENTIL MESORIDAZINE BESYLATE 50MG TABLET Anti-Psychotics, Phenothiazines SEREVENT SALMETEROL XINAFOATE 21MCG AER REFILL Beta-Adrenergic Agents SEREVENT DISKUS SALMETEROL XINAFOATE 50MCG DISK W/DEV Beta-Adrenergic Agents

SEROQUEL QUETIAPINE FUMARATE 100MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 200MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 25MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 50MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

SEROQUEL QUETIAPINE FUMARATE 300MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag Brand Name PA Status Generic Name Strength Form Therapeutic Class

SEROQUEL QUETIAPINE FUMARATE 400MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag PA SEROSTIM Required SOMATROPIN 4MG VIAL Growth Hormones PA SEROSTIM Required SOMATROPIN 5MG VIAL Growth Hormones PA SEROSTIM Required SOMATROPIN 6MG VIAL Growth Hormones SERPASIL RESERPINE 0.1MG TABLET Hypotensives, Sympatholitic SERZONE NEFAZODONE HCL 100MG TABLET Antidepressants, Cont. SERZONE NEFAZODONE HCL 150MG TABLET Antidepressants, Cont. SERZONE NEFAZODONE HCL 200MG TABLET Antidepressants, Cont. SERZONE 100MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors SERZONE 150MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors SERZONE 200MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors SERZONE 250MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors SERZONE 50MG NEFAZODONE HCL 0 Serotonin-2 Antagonist/Reuptake Inhibitors SILVADENE SILVER SULFADIAZINE 1% CREAM(GM) Topical Sulfonamides SINEMET CR CARBIDOPA/LEVODOPA 25-100MG TABLET SA Antiparkinsonism Drugs, Other SINEMET CR CARBIDOPA/LEVODOPA 50-200MG TABLET SA Antiparkinsonism Drugs, Other SINEMET-10/100 CARBIDOPA/LEVODOPA 10-100MG TABLET Antiparkinsonism Drugs, Other SINEMET-25/100 CARBIDOPA/LEVODOPA 25-100MG TABLET Antiparkinsonism Drugs, Other SINEMET-25/250 CARBIDOPA/LEVODOPA 25-250MG TABLET Antiparkinsonism Drugs, Other SINE-OFF PPA HCL/ACETAMINOPHN/CP TABLET Cough and Cold Preparations SINEQUAN DOXEPIN HCL 10MG CAPSULE Antidepressants SINEQUAN DOXEPIN HCL 10MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SINEQUAN DOXEPIN HCL 10MG/ML ORAL CONC. Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SINEQUAN DOXEPIN HCL 25MG CAPSULE Antidepressants SINEQUAN DOXEPIN HCL 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SINEQUAN DOXEPIN HCL 50MG CAPSULE Antidepressants SINEQUAN DOXEPIN HCL 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SINEQUAN DOXEPIN HYDROCHLORIDE 10MG/ML ORAL CONC. Antidepressants SINGULAIR MONTELUKAST SODIUM 10MG TABLET Leukotriene Receptor Antagonists SINGULAIR MONTELUKAST SODIUM 4MG GRAN PACK Leukotriene Receptor Antagonists Brand Name PA Status Generic Name Strength Form Therapeutic Class SINGULAIR MONTELUKAST SODIUM 4MG TAB CHEW Leukotriene Receptor Antagonists SINGULAIR MONTELUKAST SODIUM 5MG TAB CHEW Leukotriene Receptor Antagonists SINULIN PPA HCL/ACETAMINOPHN/CP 4-25-650MG TABLET Cough and Cold Preparations SKELAXIN METAXALONE 400MG TABLET Skeletal Muscle Relaxants SKELAXIN METAXALONE 800MG TABLET Skeletal Muscle Relaxants SKIN BLEACHING WITH SUNSC SUNSCREEN/HYDROQUINONE 4% CREAM(GM) Antimelamin Agents SLO-BID 100 THEOPHYLLINE ANHYDROUS 100MG CAP.SR 12H Xanthines SLO-BID 50 THEOPHYLLINE ANHYDROUS 50MG CAP.SR 12H Xanthines SLO-BID 75 THEOPHYLLINE ANHYDROUS 75MG CAP.SR 12H Xanthines SLO-NIACIN NIACIN 250MG TABLET SA Niacin Preparations SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 100MG TABLET Xanthines SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 200MG TABLET Xanthines SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 250MG CAP.SR 12H Xanthines SLO-PHYLLIN THEOPHYLLINE ANHYDROUS 60MG CAP.SR 12H Xanthines SLO-PHYLLIN 80 THEOPHYLLINE ANHYDROUS 80MG/15ML SYRUP Xanthines SODIUM FLUORIDE SODIUM FLUORIDE 0.5MG TABLET Fluoride Preparations SODIUM FLUORIDE SODIUM FLUORIDE 1MG TABLET Fluoride Preparations SODIUM SULAMYD SULFACETAMIDE SODIUM 30% DROPS Eye Sulfonamides SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% GEL Antimelamin Agents SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% CREAM(GM) Antimelamin Agents SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% CREAM(GM) Antimelamin Agents SOLAQUIN FORTE DIOXYBENZONE/PDO/HYDROQUI 3-5-4% GEL Antimelamin Agents SOLFOTON PHENOBARBITAL 15MG TABLET Barbiturates SOLGANAL SUSPENSION AUROTHIOGLUCOSE 50MG/ML VIAL Gold Salts SOMA CARISOPRODOL 350MG TABLET Skeletal Muscle Relaxants SOMA COMPOUND CARISOPRODOL/ASPIRIN 200-325MG TABLET Skeletal Muscle Relaxants SOMA COMPOUND W/CODEINE CODEINE PHOS/CARISOPRODOL 16-200-325 TABLET Analgesics, Narcotics SOMNOTE CHLORAL HYDRATE 500MG CAPSULE Non-Barbiturate, Sedative-Hypnotic SOMOPHYLLIN-DF AMINOPHYLLINE 105MG/5ML LIQUID Xanthines SONATA ZALEPLON 10MG CAPSULE Non-Barbiturate, Sedative-Hypnotic SONATA ZALEPLON 5MG CAPSULE Non-Barbiturate, Sedative-Hypnotic SORIATANE ACITRETIN 10MG CAPSULE Antipsoriatic Agents, Systemic SORIATANE ACITRETIN 25MG CAPSULE Antipsoriatic Agents, Systemic Brand Name PA Status Generic Name Strength Form Therapeutic Class Soriatane CK Acitretin/Emollient 25mg Kit Antipsoriatic Agents, Systemic SOTRET ISOTRETINOIN 30MG CAPSULE Acne Agents, Systemic SPARINE PROMAZINE HCL 30MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines SPIRIVA TIOTROPIUM BROMIDE 18MCG CAP W/DEV General Bronchodilator Agents PA SPORANOX Required ITRACONAZOLE 100MG CAPSULE Antifungal Agents, Cont PA SPORANOX Required ITRACONAZOLE 10MG/ML SOLUTION Antifungal Agents, Cont PA SPORANOX Required ITRACONAZOLE 250MG KIT Antifungal Agents, Cont SPRYCEL DASATINIB 20MG TABLET Antineoplastic Systemic Enzyme Inhibitors SPRYCEL DASATINIB 50MG TABLET Antineoplastic Systemic Enzyme Inhibitors SSKI POTASSIUM IODIDE 1G/ML SOLUTION Iodine Replacement STADOL NS BUTORPHANOL TARTRATE 10MG/ML SPRAY Analgesics, Narcotics (cont 1) STAGESIC-10 HYDROCODONE BIT/ACETAMINO 10-250MG TABLET Analgesics, Narcotics STALEVO 100 CARBIDOPA/LEVODOPA/ENTACA 25-100-200 TABLET Antiparkinsonism Drugs, Other STALEVO 150 CARBIDOPA/LEVODOPA/ENTACA 37.5-150MG TABLET Antiparkinsonism Drugs, Other CARBIDOPA/LEVODOPA/ENTACAPON STALEVO 200 E 50-200-200 TABLET Antiparkinsonism Drugs, Other STALEVO 50 CARBIDOPA/LEVODOPA/ENTACA 12.5-50MG TABLET Antiparkinsonism Drugs, Other STARLIX NATEGLINIDE 120MG TABLET Oral Hypoglycemics, Sulfonylureas STARLIX NATEGLINIDE 60MG TABLET Oral Hypoglycemics, Sulfonylureas STELAZINE TRIFLUOPERAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines STELAZINE TRIFLUOPERAZINE HCL 10MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines STELAZINE TRIFLUOPERAZINE HCL 1MG TABLET Anti-Psychotics, Phenothiazines STELAZINE TRIFLUOPERAZINE HCL 2MG TABLET Anti-Psychotics, Phenothiazines STELAZINE TRIFLUOPERAZINE HCL 5MG TABLET Anti-Psychotics, Phenothiazines STERAPRED PREDNISONE 5MG TAB DS PK Glucocorticoids, Systemic STERAPRED DS PREDNISONE 10MG TAB DS PK Glucocorticoids, Systemic STILPHOSTROL DIETHYLSTILBESTROL DIPHOS 50MG/ML AMPUL Estrogenic Agents STOP SMOKING AID SILVER ACETATE 2.5MG LOZENGE Smoking Deterrents, other STOXIL IDOXURIDINE 0.50% OINT.(GM) Eye Antivirals PA STRATTERA Required ATOMOXETINE HCL 10MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type Brand Name PA Status Generic Name Strength Form Therapeutic Class PA STRATTERA Required ATOMOXETINE HCL 18MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type PA STRATTERA Required ATOMOXETINE HCL 25MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type PA STRATTERA Required ATOMOXETINE HCL 40MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type PA STRATTERA Required ATOMOXETINE HCL 60MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type PA STRATTERA Required ATOMOXETINE HCL 100MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type PA STRATTERA Required ATOMOXETINE HCL 200MG CAPSULE TX for Attention Deficit-Hyperactivity(ADHD), NRI-Type STRONGSTART PRENATAL VIT/FE FUM/DOSS/ 29-1MG TABLET Prenatal Vitamin Preparations STRONGSTART PRENATAL VIT/FE FUM/DOSS/ 40-25-1MG TABLET Prenatal Vitamin Preparations STRONGSTART PRENATAL VIT/FE FUMARATE/ 29-1MG TAB CHEW Prenatal Vitamin Preparations STRONGSTART PRENATAL VIT/FE FUMARATE/ 35-1MG TAB CHEW Prenatal Vitamin Preparations SUBOXONE BUPRENORPHINE HCL/NALOXON 2MG-0.5MG TAB SUBL Analgesics, Narcotics SUBOXONE BUPRENORPHINE HCL/NALOXON 8MG-2MG TAB SUBL Analgesics, Narcotics SUBUTEX BUPRENORPHINE HCL 2MG TAB SUBL Analgesics, Narcotics SUBUTEX BUPRENORPHINE HCL 8MG TAB SUBL Analgesics, Narcotics SUDO GEST PSEUDOEPHEDRINE HCL 15MG/5ML SYRUP Sympathomimetic Agents SULAR NISOLDIPINE 10MG TAB.SR 24H Calcium Channel Blocking Agents SULAR NISOLDIPINE 20MG TAB.SR 24H Calcium Channel Blocking Agents SULAR NISOLDIPINE 30MG TAB.SR 24H Calcium Channel Blocking Agents SULAR NISOLDIPINE 40MG TAB.SR 24H Calcium Channel Blocking Agents Sular Nisoldipine 8.5mg SR Tablet Calcium Channel Blocking Agents Sular Nisoldipine 17mg SR Tablet Calcium Channel Blocking Agents Sular Nisoldipine 25.5mg SR Tablet Calcium Channel Blocking Agents Sular Nisoldipine 34mg SR Tablet Calcium Channel Blocking Agents SULFADIAZINE SULFADIAZINE 500MG TABLET Absorbable Sulfonamides SULFINPYRAZONE SULFINPYRAZONE 100MG TABLET Uricosuric Agents SULFOXYL REGULAR BENZOYL PEROXIDE/SULFUR 5-2% LOTION Keratolytics SULFOXYL STRONG BENZOYL PEROXIDE/SULFUR 10%-5% LOTION Keratolytics SULTRIN SULFATHIAZ/SULFACET/SULFA TABLET Vaginal Sulfonamides SUMYCIN TETRACYCLINE HCL 125MG/5ML ORAL SUSP Tetracyclines Brand Name PA Status Generic Name Strength Form Therapeutic Class SUMYCIN 250 TETRACYCLINE HCL 250MG TABLET Tetracyclines SUMYCIN 500 TETRACYCLINE HCL 500MG TABLET Tetracyclines SUPRAX CEFIXIME 100MG/5ML SUSP RECON Cephalosporins-3rd Generation SUPRAX CEFIXIME 200MG TABLET Cephalosporins SUPRAX CEFIXIME 400MG TABLET Cephalosporins-3rd Generation SUPRAX CEFIXIME 200MG/5ML SUSP RECON Cephalosporins-3rd Generation SURMONTIL TRIMIPRAMINE MALEATE 100MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SURMONTIL TRIMIPRAMINE MALEATE 25MG CAPSULE Antidepressants SURMONTIL TRIMIPRAMINE MALEATE 25MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SURMONTIL TRIMIPRAMINE MALEATE 50MG CAPSULE Antidepressants SURMONTIL TRIMIPRAMINE MALEATE 50MG CAPSULE Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib SUSTIVA EFAVIRENZ 100MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI SUSTIVA EFAVIRENZ 200MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI SUSTIVA EFAVIRENZ 50MG CAPSULE Antivirals, HIV-Specific, Non-Nucleoside, RTI SUSTIVA EFAVIRENZ 600MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI BUDESONIDE/FORMOTEROL SYMBICORT FUMARATE 160/4.5MCG INHALER Beta-Adrenergic and Glucocorticoids Combination BUDESONIDE/FORMOTEROL SYMBICORT FUMARATE 80/4.5mcg INHALER Beta-Adrenergic and Glucocorticoids Combination SYMLIN PRAMLINTIDE ACETATE 0.6MG/ML VIAL Antihyperglycemic, amylin analog-type Symlinpen 120 Pramlintide Acetate 1000mcg/ml Pen Injector Antihyperglycemic, amylin analog-type Symlinpen 60 Pramlintide Acetate 1000mcg/ml Pen Injector Antihyperglycemic, amylin analog-type SYMMETREL AMANTADINE HCL 100MG CAPSULE Antiparkinsonism Drugs, Other SYMMETREL AMANTADINE HCL 100MG TABLET Antiparkinsonism Drugs, Other SYMMETREL AMANTADINE HCL 50MG/5ML SYRUP Antiparkinsonism Drugs, Other SYNALAR FLUOCINOLONE ACETONIDE 0.01% CREAM(GM) Topical Antiinflammatory Preparations SYNALAR FLUOCINOLONE ACETONIDE 0.01% SOLUTION Topical Antiinflammatory Preparations SYNALAR FLUOCINOLONE ACETONIDE 0.03% CREAM(GM) Topical Antiinflammatory Preparations SYNALAR FLUOCINOLONE ACETONIDE 0.03% OINT.(GM) Topical Antiinflammatory Preparations SYNALAR-HP FLUOCINOLONE ACETONIDE 0.20% CREAM(GM) Topical Antiinflammatory Preparations SYNKAYVITE MENADIOL SODIUM DIPHOSPHA 5MG TABLET Vitamin K Preparations SYNTHROID LEVOTHYROXINE SODIUM 100MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 112MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 125MCG TABLET Thyroid Hormones Brand Name PA Status Generic Name Strength Form Therapeutic Class SYNTHROID LEVOTHYROXINE SODIUM 137MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 150MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 175MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 200MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 25MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 300MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 50MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 75MCG TABLET Thyroid Hormones SYNTHROID LEVOTHYROXINE SODIUM 88MCG TABLET Thyroid Hormones SYNTOCINON OXYTOCIN 10U/ML AMPUL Oxytocics TACE CHLOROTRIANISENE 12MG CAPSULE Estrogenic Agents TACE CHLOROTRIANISENE 25MG CAPSULE Estrogenic Agents TAGAMET CIMETIDINE 200MG TABLET Gastric Acid Secretion Reducers TAGAMET CIMETIDINE 300MG TABLET Gastric Acid Secretion Reducers TAGAMET CIMETIDINE 400MG TABLET Gastric Acid Secretion Reducers TAGAMET CIMETIDINE 800MG TABLET Gastric Acid Secretion Reducers TAGAMET CIMETIDINE HCL 300MG/5ML LIQUID Gastric Acid Secretion Reducers TALADINE RANITIDINE HCL 150MG CAPSULE Gastric Acid Secretion Reducers TALADINE RANITIDINE HCL 300MG CAPSULE Gastric Acid Secretion Reducers TAMBOCOR FLECAINIDE ACETATE 100MG TABLET Antiarrhythmics TAMBOCOR FLECAINIDE ACETATE 150MG TABLET Antiarrhythmics TAMBOCOR FLECAINIDE ACETATE 50MG TABLET Antiarrhythmics TAPAZOLE METHIMAZOLE 10MG TABLET Antithyroid Preparations TAPAZOLE METHIMAZOLE 5MG TABLET Antithyroid Preparations TARACTAN CHLORPROTHIXENE 100MG TABLET Anti-Psychotic, Non-Phenothiazines TARACTAN CHLORPROTHIXENE 10MG TABLET Anti-Psychotic, Non-Phenothiazines TARACTAN CHLORPROTHIXENE 25MG TABLET Anti-Psychotic, Non-Phenothiazines TARACTAN CHLORPROTHIXENE 50MG TABLET Anti-Psychotic, Non-Phenothiazines TARGRETIN BEXAROTENE 1% GEL Topical Antineoplastics TARGRETIN BEXAROTENE 75MG CAPSULE Selective Retinoid X Receptor Agonists (RXR) TASIGNA NILOTINIB HCL 200MG CAPSULE Antineoplastic Systemic Enzyme Inhibitors Brand Name PA Status Generic Name Strength Form Therapeutic Class PA Required 0.05% TAZORAC >age 30 TAZAROTENE GEL Antipsoriatic Agents PA Required 0.05% TAZORAC >age 30 TAZAROTENE CREAM(GM) Antipsoriatic Agents PA Required 0.10% TAZORAC >age 30 TAZAROTENE GEL Antipsoriatic Agents PA Required 0.10% TAZORAC >age 30 TAZAROTENE CREAM(GM) Antipsoriatic Agents TEGISON ETRETINATE 10MG CAPSULE Antipsoriatic Agents, Systemic TEGISON ETRETINATE 25MG CAPSULE Antipsoriatic Agents, Systemic TEGRETOL CARBAMAZEPINE 100MG TAB CHEW Anticonvulsants TEGRETOL CARBAMAZEPINE 100MG/5ML ORAL SUSP Anticonvulsants TEGRETOL CARBAMAZEPINE 200MG TABLET Anticonvulsants TEGRETOL XR CARBAMAZEPINE 100MG TAB.SR 12H Anticonvulsants TEGRETOL XR CARBAMAZEPINE 200MG TAB.SR 12H Anticonvulsants TEGRETOL XR CARBAMAZEPINE 400MG TAB.SR 12H Anticonvulsants TEKTURNA ALISKIREN 150MG TABLET Renin Inhibitor, direct TEKTURNA ALISKIREN 300MG TABLET Renin Inhibitor, direct Renin Inhibitor, direct/Thiazide Diuretic & Thiazide-Like Tekturna HCT Aliskiren/HCT 150/12.5mg Tablet Comb Renin Inhibitor, direct/Thiazide Diuretic & Thiazide-Like Tekturna HCT Aliskiren/HCT 150/25mg Tablet Comb TEMODAR TEMOZOLOMIDE 100MG CAPSULE Alkylating Agents TEMODAR TEMOZOLOMIDE 20MG CAPSULE Alkylating Agents TEMODAR TEMOZOLOMIDE 250MG CAPSULE Alkylating Agents TEMODAR TEMOZOLOMIDE 5MG CAPSULE Alkylating Agents TEMODAR TEMOZOLOMIDE 140mg CAPSULE Alkylating Agents TEMODAR TEMOZOLOMIDE 180mg CAPSULE Alkylating Agents TEMOVATE CLOBETASOL PROPIONATE 0.05% GEL Topical Antiinflammatory Preparations TEMOVATE CLOBETASOL PROPIONATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations TEMOVATE CLOBETASOL PROPIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations TEMOVATE EMOLLIENT CLOBETASOL PROPIONATE/EMO 0.05% CREAM(GM) Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class TENEX GUANFACINE HCL 1MG TABLET Hypotensives, Sympatholitic TENEX GUANFACINE HCL 2MG TABLET Hypotensives, Sympatholitic TENORETIC 100 ATENOLOL/CHLORTHALIDONE 100-25MG TABLET Hypotensives, Misc TENORETIC 50 ATENOLOL/CHLORTHALIDONE 50MG-25MG TABLET Hypotensives, Misc TENORMIN ATENOLOL 100MG TABLET Beta-Adrenergic Blocking Agents TENORMIN ATENOLOL 25MG TABLET Beta-Adrenergic Blocking Agents TENORMIN ATENOLOL 50MG TABLET Beta-Adrenergic Blocking Agents TEQUIN GATIFLOXACIN 10MG/ML VIAL Quinolones TEQUIN GATIFLOXACIN 200MG TABLET Quinolones TEQUIN GATIFLOXACIN 400MG TABLET Quinolones TERAZOL 7 TERCONAZOLE 0.40% CREAM/APPL Vaginal Antifungals TERPIN HYDRATE W/CODEINE TERPIN HYDRATE/CODEINE ELIXIR Expectorants TESLAC TESTOLACTONE 50MG TABLET Steroid Antineoplastics TETRACYCLINE HCL TETRACYCLINE HCL 500MG CAPSULE Tetracyclines PA TEV-TROPIN Required SOMATROPIN 5MG VIAL Growth Hormones THALITONE CHLORTHALIDONE 25MG TABLET Thiazide Diuretics and Related Agents THEO-24 THEOPHYLLINE ANHYDROUS 100MG CAP.SR 24H Xanthines THEO-24 THEOPHYLLINE ANHYDROUS 200MG CAP.SR 24H Xanthines THEO-24 THEOPHYLLINE ANHYDROUS 300MG CAP.SR 24H Xanthines THEO-24 THEOPHYLLINE ANHYDROUS 400MG CAP.SR 24H Xanthines THEOBID THEOPHYLLINE ANHYDROUS 260MG CAP.SR 12H Xanthines THEOCAP THEOPHYLLINE ANHYDROUS 125MG CAP.SR 12H Xanthines THEO-DUR THEOPHYLLINE ANHYDROUS 100MG TAB.SR 12H Xanthines THEO-DUR THEOPHYLLINE ANHYDROUS 450MG TAB.SR 12H Xanthines THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 125MG CAP SPRINK Xanthines THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 200MG CAP SPRINK Xanthines THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 50MG CAP SPRINK Xanthines THEO-DUR SPRINKLE THEOPHYLLINE ANHYDROUS 75MG CAP SPRINK Xanthines THEOLAIR THEOPHYLLINE ANHYDROUS 125MG TABLET Xanthines THEOLAIR THEOPHYLLINE ANHYDROUS 250MG TABLET Xanthines THEOLAIR-SR THEOPHYLLINE ANHYDROUS 250MG TAB.SR 12H Xanthines THEOLAIR-SR THEOPHYLLINE ANHYDROUS 500MG TAB.SR 12H Xanthines Brand Name PA Status Generic Name Strength Form Therapeutic Class THEOPHYLLINE THEOPHYLLINE ANHYDROUS 200MG CAP.SR 12H Xanthines THEOPHYLLINE THEOPHYLLINE ANHYDROUS 80MG/15ML SOLUTION Xanthines THEOPHYLLINE ANHYDROUS THEOPHYLLINE ANHYDROUS 200MG TAB.SR 12H Xanthines THEOPHYLLINE ANHYDROUS THEOPHYLLINE ANHYDROUS 300MG CAP.SR 12H Xanthines THERAMILL FORTE MULTIVITAMINS,THER W-MINE CAPSULE Multivitamin Preparations THERAPEUTIC SHAMPOO COAL TAR 2% SHAMPOO Irritants/Counter-irritants THIOGUANINE THIOGUANINE 40MG TABLET Antimetabolites THORAZINE CHLORPROMAZINE HCL 100MG SUPP.RECT Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 100MG TABLET Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 100MG/ML ORAL CONC. Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 10MG TABLET Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 10MG/5ML SYRUP Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 200MG TABLET Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 25MG SUPP.RECT Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 25MG TABLET Anti-Psychotics, Phenothiazines THORAZINE CHLORPROMAZINE HCL 50MG TABLET Anti-Psychotics, Phenothiazines THYROLAR-1 LIOTRIX 60MG TABLET Thyroid Hormones THYROLAR-1/2 LIOTRIX 30MG TABLET Thyroid Hormones THYROLAR-1/4 LIOTRIX 15MG TABLET Thyroid Hormones THYROLAR-2 LIOTRIX 120MG TABLET Thyroid Hormones THYROLAR-3 LIOTRIX 180MG TABLET Thyroid Hormones TIAZAC DILTIAZEM HCL 120MG CAPSULE SA Calcium Channel Blocking Agents TIAZAC DILTIAZEM HCL 180MG CAPSULE SA Calcium Channel Blocking Agents TIAZAC DILTIAZEM HCL 240MG CAPSULE SA Calcium Channel Blocking Agents TIAZAC DILTIAZEM HCL 300MG CAPSULE SA Calcium Channel Blocking Agents TIAZAC DILTIAZEM HCL 360MG CAPSULE SA Calcium Channel Blocking Agents TICLID TICLOPIDINE HCL 250MG TABLET Platelet Aggregation Inhibitors TIGAN TRIMETHOBENZAMIDE HCL 100MG CAPSULE Anti-Emetics TIGAN TRIMETHOBENZAMIDE HCL 100MG SUPP.RECT Anti-Emetics TIGAN TRIMETHOBENZAMIDE HCL 200MG SUPP.RECT Anti-Emetics TIGAN TRIMETHOBENZAMIDE HCL 250MG CAPSULE Anti-Emetics TIGAN TRIMETHOBENZAMIDE HCL 300MG CAPSULE Anti-Emetics TIGAN TRIMETHOBENZAMIDE HCL/B-C 100MG SUPP.RECT Anti-Emetics Brand Name PA Status Generic Name Strength Form Therapeutic Class TIGAN TRIMETHOBENZAMIDE HCL/B-C 200MG SUPP.RECT Anti-Emetics TIKOSYN DOFETILIDE 0.125MG CAPSULE Antiarrhythmics TIKOSYN DOFETILIDE 0.25MG CAPSULE Antiarrhythmics TIKOSYN DOFETILIDE 0.5MG CAPSULE Antiarrhythmics TILADE NEDOCROMIL SODIUM 1.75MG AER W/ADAP Mast Cell Stablizers TIMOPTIC TIMOLOL MALEATE 0.25% DROPS Miotics/Other Intraocular Pressure Reducers TIMOPTIC-XE TIMOLOL MALEATE 0.25% SOL-GEL Miotics/Other Intraocular Pressure Reducers TIMOPTIC-XE TIMOLOL MALEATE 0.50% SOL-GEL Miotics/Other Intraocular Pressure Reducers TINDAL ACETOPHENAZINE MALEATE 20MG TABLET Anti-Psychotics, Phenothiazines TOBI TOBRAMYCIN/0.25 NORMAL SA 300MG/5ML AMPUL-NEB. Aminoglycosides TOBRADEX TOBRAMYCIN SULFATE/DEXAME 0.3-0.1% OINT.(GM) Eye Antibiotic-Corticoid Combinations TOBRADEX TOBRAMYCIN SULFATE/DEXAME 0.3-0.1% DROPS SUSP Eye Antibiotic-Corticoid Combinations TOBREX TOBRAMYCIN SULFATE 0.30% OINT.(GM) Eye Antibiotics TOBREX TOBRAMYCIN SULFATE 0.30% DROPS Eye Antibiotics TOFRANIL IMIPRAMINE HCL 10MG TABLET Antidepressants TOFRANIL IMIPRAMINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib TOFRANIL IMIPRAMINE HCL 25MG TABLET Antidepressants TOFRANIL IMIPRAMINE HCL 25MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib TOFRANIL IMIPRAMINE HCL 50MG TABLET Antidepressants TOFRANIL IMIPRAMINE HCL 50MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib TOLINASE TOLAZAMIDE 100MG TABLET Oral Hypoglycemics, Sulfonylureas TOLINASE TOLAZAMIDE 250MG TABLET Oral Hypoglycemics, Sulfonylureas TOLINASE TOLAZAMIDE 500MG TABLET Oral Hypoglycemics, Sulfonylureas TONOCARD TOCAINIDE HCL 400MG TABLET Antiarrhythmics TONOCARD TOCAINIDE HCL 600MG TABLET Antiarrhythmics TOPAMAX TOPIRAMATE 100MG TABLET Anticonvulsants TOPAMAX TOPIRAMATE 15MG CAP SPRINK Anticonvulsants TOPAMAX TOPIRAMATE 200MG TABLET Anticonvulsants TOPAMAX TOPIRAMATE 25MG TABLET Anticonvulsants TOPAMAX TOPIRAMATE 25MG CAP SPRINK Anticonvulsants TOPAMAX TOPIRAMATE 50MG TABLET Anticonvulsants TOPICORT DESOXIMETASONE 0.05% GEL Topical Antiinflammatory Preparations TOPICORT DESOXIMETASONE 0.25% OINT.(GM) Topical Antiinflammatory Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class TOPICORT DESOXIMETASONE 0.25% CREAM(GM) Topical Antiinflammatory Preparations TOPICORT LP DESOXIMETASONE 0.05% CREAM(GM) Topical Antiinflammatory Preparations TOPROL XL METOPROLOL SUCCINATE 100MG TAB.SR 24H Beta-Adrenergic Blocking Agents TOPROL XL METOPROLOL SUCCINATE 200MG TAB.SR 24H Beta-Adrenergic Blocking Agents TOPROL XL METOPROLOL SUCCINATE 25MG TAB.SR 24H Beta-Adrenergic Blocking Agents TOPROL XL METOPROLOL SUCCINATE 50MG TAB.SR 24H Beta-Adrenergic Blocking Agents TORADOL KETOROLAC TROMETHAMINE 10MG TABLET Anti-inflammatory Agents TORECAN THIETHYLPERAZINE MALEATE 10MG TABLET Anti-Emetics TRAC 2X MTH/ME BLUE/BA/SALICY/ATP 120MG TABLET Chemotherapeutics, Antibacterial, Misc. TRACLEER BOSENTAN 125MG TABLET Pulmonary Anti-HTN, Endo Receptor Antagonist TRACLEER BOSENTAN 62.5MG TABLET Pulmonary Anti-HTN, Endo Receptor Antagonist TRANDATE LABETALOL HCL 100MG TABLET Adrenergic Inhibitors TRANDATE LABETALOL HCL 200MG TABLET Adrenergic Inhibitors TRANDATE LABETALOL HCL 300MG TABLET Adrenergic Inhibitors TRANXENE CLORAZEPATE DIPOTASSIUM 15MG CAPSULE Anti-Anxiety Drugs TRANXENE CLORAZEPATE DIPOTASSIUM 3.75MG CAPSULE Anti-Anxiety Drugs TRANXENE CLORAZEPATE DIPOTASSIUM 7.5MG CAPSULE Anti-Anxiety Drugs TRANXENE SD CLORAZEPATE DIPOTASSIUM 11.25MG TABLET SA Anti-Anxiety Drugs TRANXENE SD CLORAZEPATE DIPOTASSIUM 22.5MG TABLET SA Anti-Anxiety Drugs TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 15MG TABLET Anti-Anxiety Drugs TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 3.75MG TABLET Anti-Anxiety Drugs TRANXENE T-TAB CLORAZEPATE DIPOTASSIUM 7.5MG TABLET Anti-Anxiety Drugs TRAVATAN TRAVOPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers TRAVATAN Z TRAVOPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers TRAVATAN Z TRAVAPROST 0.004% DROPS Miotics/Other Intraocular Pressure Reducers TRAZODONE HCL TRAZODONE HCL 100MG TABLET Antidepressants TRENTAL PENTOXIFYLLINE 400MG TABLET SA Hemorrheologic Agents TREXALL METHOTREXATE SODIUM 10MG TABLET Antimetabolites TREXALL METHOTREXATE SODIUM 15MG TABLET Antimetabolites TREXALL METHOTREXATE SODIUM 5MG TABLET Antimetabolites TREXALL METHOTREXATE SODIUM 7.5MG TABLET Antimetabolites TRIAMCINOLONE ACETONIDE TRIAMCINOLONE ACETONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations TRIAVIL 10-2 AMITRIPTYLINE HCL/PERPHEN 10-2MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns Brand Name PA Status Generic Name Strength Form Therapeutic Class TRIAVIL 2-10 AMITRIPTYLINE HCL/PERPHEN 10-2MG TABLET Antidepressant Combinations TRIAVIL 2-25 AMITRIPTYLINE HCL/PERPHEN 25-2MG TABLET Antidepressant Combinations TRIAVIL 25-2 AMITRIPTYLINE HCL/PERPHEN 25-2MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns TRIAVIL 25-4 AMITRIPTYLINE HCL/PERPHEN 25-4MG TABLET Tricyclic Antidepressant/Phenothiazine Combinatns TRIAVIL 4-10 AMITRIPTYLINE HCL/PERPHEN 10-4MG TABLET Antidepressant Combinations TRIAVIL 4-25 AMITRIPTYLINE HCL/PERPHEN 25-4MG TABLET Antidepressant Combinations TRIAVIL 4-50 AMITRIPTYLINE HCL/PERPHEN 50-4MG TABLET Antidepressant Combinations TRIAZ BENZOYL PEROXIDE 3% GEL Keratolytics TRIAZ BENZOYL PEROXIDE 3% MED. PAD Keratolytics TRIAZ BENZOYL PEROXIDE 3% LOTION Keratolytics TRIAZ BENZOYL PEROXIDE 6% MED. PAD Keratolytics TRIAZ BENZOYL PEROXIDE 6% GEL Keratolytics TRIAZ BENZOYL PEROXIDE 6% LOTION Keratolytics TRIAZ BENZOYL PEROXIDE 9% GEL Keratolytics TRIAZ BENZOYL PEROXIDE 9% CLEANSER Keratolytics TRIAZ BENZOYL PEROXIDE 9% MED. PAD Keratolytics TRIAZ BENZOYL PEROXIDE 10% LOTION Keratolytics TRICOR FENOFIBRATE,MICRONIZED 145MG TABLET Lipotropics TRICOR FENOFIBRATE,MICRONIZED 160MG TABLET Lipotropics TRICOR FENOFIBRATE,MICRONIZED 48MG TABLET Lipotropics TRICOR FENOFIBRATE,MICRONIZED 54MG TABLET Lipotropics TRIDESILON DESONIDE 0.05% OINT.(GM) Topical Antiinflammatory Preparations TRIDIONE TRIMETHADIONE 150MG TAB CHEW Anticonvulsants TRIDIONE TRIMETHADIONE 300MG CAPSULE Anticonvulsants TRIGESIC ASPIRIN/ACETAMINOPHEN/CAF TABLET Analgesics, Salicylates TRILAFON PERPHENAZINE 16MG TABLET Anti-Psychotics, Phenothiazines TRILAFON PERPHENAZINE 16MG/5ML ORAL CONC. Anti-Psychotics, Phenothiazines TRILAFON PERPHENAZINE 2MG TABLET Anti-Psychotics, Phenothiazines TRILAFON PERPHENAZINE 4MG TABLET Anti-Psychotics, Phenothiazines TRILAFON PERPHENAZINE 8MG TABLET Anti-Psychotics, Phenothiazines TRILEPTAL OXCARBAZEPINE 150MG TABLET Anticonvulsants TRILEPTAL OXCARBAZEPINE 300MG TABLET Anticonvulsants TRILEPTAL OXCARBAZEPINE 300MG/5ML ORAL SUSP Anticonvulsants Brand Name PA Status Generic Name Strength Form Therapeutic Class TRILEPTAL OXCARBAZEPINE 600MG TABLET Anticonvulsants TRILISATE CHOL SAL/MAGNESIUM SALICY 500MG/5ML LIQUID Analgesics, Salicylates TRIMIPRAMINE MALEATE TRIMIPRAMINE MALEATE 100MG CAPSULE Antidepressants TRIMPEX TRIMETHOPRIM 100MG TABLET Chemotherapeutics, Antibacterial, Misc. TRINALIN PSEUDOEPHEDRINE SULFATE/A 120-1MG TABLET SA Antihistamines TRI-NASAL TRIAMCINOLONE ACETONIDE 50MCG SPRAY Nose Preparations, Antiinflammatory TRI-NORINYL NORETHINDRONE-ETHINYL EST 7/9/2005 TABLET Contraceptives, Oral TRIPHASIL-28 LEVONORGESTREL-ETH ESTRA 6/5/2010 TABLET Contraceptives, Oral TRISORALEN TRIOXSALEN 5MG TABLET Hyperpigmentation Agents, Systemic TRITEC RANITIDINE BISMUTH CITRAT 400MG TABLET Anti-Ulcer Preps-E.pylori agents TRITUSS-A D-METHORPHAN HB/PE/CARBIN 2-2-1MG/ML DROPS Cough and Cold Preparations TRI-VI-FLOR FLUORIDE ION/VIT A,C&D 0.5MG/ML DROPS Pediatric Vitamin Preparations TRI-VI-FLOR FLUORIDE ION/VIT A,C&D 1MG TAB CHEW Pediatric Vitamin Preparations

TRIZIVIR ABACAVIR/LAMIVUDINE/ZIDOV 150-300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI Comb TROVAN TROVAFLOXACIN MESYLATE 100MG TABLET Quinolones TROVAN TROVAFLOXACIN MESYLATE 200MG TABLET Quinolones TROVAN I.V. ALATROFLOXACIN MESYLATE 5MG/ML VIAL Quinolones TRUSOPT DORZOLAMIDE HCL 2% DROPS Miotics/Other Intraocular Pressure Reducers TRUVADA EMTRICITABINE/TENOFOVIR 200-300MG TABLET Antivirals, HIV-Spec, Nucleoside-Nucleotide Analog TRYSUL SULFATHIAZ/SULFACET/SULFA CREAM/APPL Vaginal Sulfonamides TUSSAFED DM HB/P-EPHED HCL/CARBINO 15-60-4/5 SYRUP Cough and Cold Preparations TUSSAFED-HCG GUAIFENESIN/PHENYLEPHRINE 150-6-2.5 SYRUP Narcotic Antituss-decongestant-Expectorant Comb TUSSID DM GUAIFENESIN/D-METHORPHAN 100-10/5ML SYRUP Expectorants TUSSIN PEDIATRIC GUAIFENESIN 100MG/5ML SYRUP Expectorants TUSSIONEX HYDROCOD PSX/CHLOR-POLI SUS.12H SR Cough and Cold Preparations TUSSIONEX HYDROCODONE/CHLORPHEN POL 10-8MG/5ML SUS.12H SR Cough and Cold Preparations TUSSI-ORGANIDIN DM D-METHORPHAN HB/IOD GLYCE LIQUID Antitussives, Non-Narcotic TUSSI-ORGANIDIN DM NR GUAIFENESIN/D-METHORPHAN HB 300-10MG/5 LIQUID Non-Narcotic Antitussive & Expectorant Comb TUSSI-ORGANIDIN NR GUAIFENESIN/D-CODEINE PHOS 300-10MG/5 LIQUID Narcotic Antitussive & Expectorant Comb TUSSI-ORGANIDIN-S CODEINE/IODINATED GLYCERO LIQUID Cough and Cold Preparations TUSSI-ORGANIDIN-S NR GUAIFENESIN/CODEINE PHOS 100-10MG/5 LIQUID Expectorants TUSSOGEST CARAMIPHEN/PPA HCL CAPSULE SA Antitussives, Non-Narcotic Brand Name PA Status Generic Name Strength Form Therapeutic Class TUSS-ORNADE CARAMIPHEN/PPA HCL LIQUID Antitussives, Non-Narcotic TYKERB LAPATINIB DITOSYLATE 250mg. TABLET Antineoplastic Systemic Enzyme Inhibitors TYLENOL W/CODEINE CODEINE PHOS/ACETAMINOPHE 12-120MG/5 ELIXIR Analgesics, Narcotics TYLENOL W/CODEINE CODEINE PHOSPHATE/APAP ELIXIR Analgesics, Narcotics TYLENOL W/CODEINE NO.2 CODEINE PHOS/ACETAMINOPHE 15-300MG TABLET Analgesics, Narcotics TYLENOL W/CODEINE NO.3 CODEINE PHOS/ACETAMINOPHE 30-300MG TABLET Analgesics, Narcotics TYLENOL W/CODEINE NO.4 CODEINE PHOS/ACETAMINOPHE 60-300MG TABLET Analgesics, Narcotics TYLOX OXYCODONE HCL/ACETAMINOPH 5-500MG CAPSULE Analgesics, Narcotics TYZEKA TELBIVUDINE 600MG TABLET Hepatitis B Treatment Agents ULTRAM TRAMADOL HCL 50MG TABLET Analgesics, Narcotics (cont 1) ULTRASE AMYLASE/LIPASE/PROTEASE 250MG TABLET Pancreatic Enzymes ULTRASE MT 12 AMYLASE/LIPASE/PROTEASE 39-12-39 CAPSULE DR Pancreatic Enzymes ULTRASE MT 18 AMYLASE/LIPASE/PROTEASE 59-18-59 CAPSULE DR Pancreatic Enzymes ULTRASE MT 20 AMYLASE/LIPASE/PROTEASE 65-20-65 CAPSULE DR Pancreatic Enzymes ULTRASE MT 6 AMYLASE/LIPASE/PROTEASE 20K-6K-20K CAPSULE DR Pancreatic Enzymes ULTRAVATE HALOBETASOL PROPRIONATE 0.05% CREAM(GM) Topical Antiinflammatory Preparations ULTRAVATE HALOBETASOL PROPRIONATE 0.05% OINT.(GM) Topical Antiinflammatory Preparations UNI-DUR THEOPHYLLINE ANHYDROUS 400MG TAB.SR 24H Xanthines UNI-DUR THEOPHYLLINE ANHYDROUS 600MG TAB.SR 24H Xanthines UNIPHYL THEOPHYLLINE ANHYDROUS 400MG TABLET SA Xanthines UNIPHYL THEOPHYLLINE ANHYDROUS 600MG TABLET SA Xanthines UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 15-12.5MG TABLET Hypotensives, ACE Blocking Agents UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 15-25MG TABLET Hypotensives, ACE Blocking Agents UNIRETIC MOEXIPRIL/HYDROCHLOROTHIA 7.5-12.5MG TABLET Hypotensives, ACE Blocking Agents UNIVASC MOEXIPRIL HCL 15MG TABLET Hypotensives, ACE Blocking Agents UNIVASC MOEXIPRIL HCL 7.5MG TABLET Hypotensives, ACE Blocking Agents URACIL MUSTARD URACIL MUSTARD 1MG CAPSULE Alkylating Agents URECHOLINE BETHANECHOL CHLORIDE 10MG TABLET Parasympathetic Agents URECHOLINE BETHANECHOL CHLORIDE 25MG TABLET Parasympathetic Agents URECHOLINE BETHANECHOL CHLORIDE 50MG TABLET Parasympathetic Agents URECHOLINE BETHANECHOL CHLORIDE 5MG TABLET Parasympathetic Agents URISED MTH/ME BLUE/BA/SALICY/ATP TABLET Chemotherapeutics, Antibacterial, Misc. URISPAS FLAVOXATE HCL 100MG TABLET Urinary Tract Antispasmodic Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class URSO URSODIOL 250MG TABLET Bile Salts URSO FORTE URSODIOL 500MG TABLET Bile Salts VAGISTAT-1 TIOCONAZOLE 6.50% OIN/PF APP Vaginal Antifungals VALISONE BETAMETHASONE VALERATE 0.01% CREAM(GM) Topical Antiinflammatory Preparations VALISONE BETAMETHASONE VALERATE 0.10% CREAM(GM) Topical Antiinflammatory Preparations VALIUM DIAZEPAM 10MG TABLET Anti-Anxiety Drugs VALIUM DIAZEPAM 2MG TABLET Anti-Anxiety Drugs VALIUM DIAZEPAM 5MG TABLET Anti-Anxiety Drugs VALIUM DIAZEPAM 5MG/ML AMPUL Anti-Anxiety Drugs VALIUM DIAZEPAM 5MG/ML DISP SYRIN Anti-Anxiety Drugs VALTREX VALACYCLOVIR HCL 1000MG TABLET Antivirals, General VALTREX VALACYCLOVIR HCL 500MG TABLET Antivirals, General VANCENASE AQ BECLOMETHASONE DIPROPIONA 84MCG SPRAY Nose Preparations, Antiinflammatory VANCERIL BECLOMETHASONE DIPROPIONA 42MCG AER W/ADAP Glucocorticoids, Topical VANCERIL DOUBLE STRENGTH BECLOMETHASONE DIPROPIONA 84MCG AER W/ADAP Glucocorticoids, Topical VANCOCIN HCL VANCOMYCIN HCL 125MG CAPSULE Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL 1G VIAL Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL 250MG CAPSULE Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL 250MG/5ML SOLN RECON Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL 500MG/6ML SOLN RECON Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL/D5W 1G/200ML FROZ.PIGGY Vancomycin and Derivatives VANCOCIN HCL VANCOMYCIN HCL/D5W 500MG/0.1L FROZ.PIGGY Vancomycin and Derivatives VANCOMYCIN HCL VANCOMYCIN HCL 10G VIAL Vancomycin and Derivatives VANCOMYCIN HCL VANCOMYCIN HCL 500MG VIAL Vancomycin and Derivatives VANEX GUAIFENESIN/P-EPHED HCL/H 100-30-2.5 EXPECT. Expectorants VANEX HD PHENYLEPHRINE/HYDROCODONE 5-1.67-2 SYRUP Cough and Cold Preparations VANSPAR BUSPIRONE HCL 7.5MG TABLET Anti-Anxiety Drugs VASERETIC ENALAPRIL/HYDROCHLOROTHIA 10-25MG TABLET Hypotensives, ACE Blocking Agents VASERETIC ENALAPRIL/HYDROCHLOROTHIA 5-12.5MG TABLET Hypotensives, ACE Blocking Agents VASOCIDIN NA SULFACETM/PREDNIS SP 10-0.25% DROPS Eye Sulfonamides VASODILAN ISOXSUPRINE HCL 10MG TABLET Vasodilator, Peripheral VASODILAN ISOXSUPRINE HCL 20MG TABLET Vasodilator, Peripheral VASOTEC ENALAPRIL MALEATE 10MG TABLET Hypotensives, ACE Blocking Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class VASOTEC ENALAPRIL MALEATE 2.5MG TABLET Hypotensives, ACE Blocking Agents VASOTEC ENALAPRIL MALEATE 20MG TABLET Hypotensives, ACE Blocking Agents VASOTEC ENALAPRIL MALEATE 5MG TABLET Hypotensives, ACE Blocking Agents V-CILLIN K PENICILLIN V POTASSIUM 125MG/5ML SUSP RECON Penicillins V-CILLIN K PENICILLIN V POTASSIUM 250MG/5ML SUSP RECON Penicillins V-CILLIN K PENICILLIN V POTASSIUM 500MG TABLET Penicillins VELOSULIN HUMAN BR INSULIN REG, HUM S-S BUFF 100U/ML VIAL Insulins VELOSULIN HUMAN BR INSULIN REG,HUM REC BUFF 100 U/ML VIAL Insulins VELOSULIN HUMAN R INSULIN REG, HUM S-S BUFF 100U/ML VIAL Insulins VENTOLIN ALBUTEROL 90MCG AEROSOL Beta-Adrenergic Agents VENTOLIN ALBUTEROL SULFATE 2MG/5ML SYRUP Beta-Adrenergic Agents VEPESID ETOPOSIDE 50MG CAPSULE Antineoplastics, Misc

VERAMYST FLUTICASONE FUROATE 27.5MCG NASAL SPRAY Nose Preparations, Antiinflammatory VERELAN VERAPAMIL HCL 120MG CAP24H PEL Calcium Channel Blocking Agents VERELAN VERAPAMIL HCL 180MG CAP24H PEL Calcium Channel Blocking Agents VERELAN VERAPAMIL HCL 240MG CAP24H PEL Calcium Channel Blocking Agents VERELAN VERAPAMIL HCL 360MG CAP24H PEL Calcium Channel Blocking Agents VERELAN PM VERAPAMIL HCL 100MG CAP24H PEL Calcium Channel Blocking Agents VERELAN PM VERAPAMIL HCL 200MG CAP24H PEL Calcium Channel Blocking Agents VERELAN PM VERAPAMIL HCL 300MG CAP24H PEL Calcium Channel Blocking Agents VERMOX MEBENDAZOLE 100MG TAB CHEW Anthelmintics VERSACAPS GUAIFENESIN/P-EPHED HCL 300-60MG CAPSULE SA Expectorants PA Required 10MG VESANOID >age 30 TRETINOIN CAPSULE Antineoplastics, Misc VIBRAMYCIN DOXYCYCLINE CALCIUM 50MG/5ML SYRUP Tetracyclines VIBRAMYCIN DOXYCYCLINE HYCLATE 100MG CAPSULE Tetracyclines VIBRAMYCIN DOXYCYCLINE HYCLATE 50MG CAPSULE Tetracyclines VIBRAMYCIN DOXYCYCLINE MONOHYDRATE 25MG/5ML SUSP RECON Tetracyclines VIBRA-TABS DOXYCYCLINE HYCLATE 100MG TABLET Tetracyclines VICODIN HYDROCODONE BIT/ACETAMINO 5-500MG TABLET Analgesics, Narcotics VICODIN ES HYDROCODONE BIT/ACETAMINO 7.5-750MG TABLET Analgesics, Narcotics VICON FORTE FOLIC ACID/MU-VITS-MIN TH CAPSULE Folic Acid Preparations Brand Name PA Status Generic Name Strength Form Therapeutic Class VI-DAYLIN F ADC FLUORIDE ION/VIT A,C&D 0.25MG/ML DROPS Pediatric Vitamin Preparations VI-DAYLIN/F + IRON FLUORIDE ION/MULTIVITS W- 1MG TAB CHEW Pediatric Vitamin Preparations VI-DAYLIN/F ADC PLUS IRON FLUORIDE ION/IRON/VIT A,C 0.25MG/ML DROPS Pediatric Vitamin Preparations VIDEX DIDAN/MAG SALT/AL NACB/SO 100MG TAB CHEW Antivirals, HIV-Specific VIDEX DIDAN/MAG SALT/AL NACB/SO 150MG TAB CHEW Antivirals, HIV-Specific VIDEX DIDAN/MAG SALT/AL NACB/SO 25MG TAB CHEW Antivirals, HIV-Specific VIDEX DIDAN/MAG SALT/AL NACB/SO 50MG TAB CHEW Antivirals, HIV-Specific VIDEX DIDANOSINE FNL10MG/ML SOLN RECON Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/CALCIUM CARB/M 100MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/CALCIUM CARB/M 150MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/CALCIUM CARB/M 200MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/CALCIUM CARB/M 25MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/CALCIUM CARB/M 50MG TAB CHEW Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/SODIUM CITRATE 100MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/SODIUM CITRATE 167MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX DIDANOSINE/SODIUM CITRATE 250MG PACKET Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX EC DIDANOSINE 125MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX EC DIDANOSINE 200MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX EC DIDANOSINE 250MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI VIDEX EC DIDANOSINE 400MG CAPSULE DR Antivirals, HIV-Specific, Nucleoside Analog, RTI VIGAMOX MOXIFLOXACIN HCL 0.50% DROPS Eye Antibiotics VIOKASE AMYLASE/LIPASE/PROTEASE 30K-8K-30K TABLET Pancreatic Enzymes VIOKASE AMYLASE/LIPASE/PROTEASE 60-16-60 TABLET Pancreatic Enzymes VIOKASE AMYLASE/LIPASE/PROTEASE 70-16.8-70 POWDER Pancreatic Enzymes VIOKASE AMYLASE/LIPASE/PROTEASE 468MG TABLET Pancreatic Enzymes VIOKASE AMYLASE/LIPASE/PROTEASE 935MG TABLET Pancreatic Enzymes VIQUIN FORTE OXYBENZONE/PDO/HYDROQUINO 4% CREAM(GM) Antimelamin Agents VIRA-A VIDARABINE 3% OINT.(GM) Eye Antivirals VIRACEPT NELFINAVIR MESYLATE 250MG TABLET Antivirals, HIV-Specific, Protease Inhibitors VIRACEPT NELFINAVIR MESYLATE 50MG/G POWDER Antivirals, HIV-Specific, Protease Inhibitors VIRACEPT NELFINAVIR MESYLATE 625MG TABLET Antivirals, HIV-Specific, Protease Inhibitors VIRAMUNE NEVIRAPINE 200MG TABLET Antivirals, HIV-Specific, Non-Nucleoside, RTI VIRAMUNE NEVIRAPINE 50MG/5ML ORAL SUSP Antivirals, HIV-Specific, Non-Nucleoside, RTI Brand Name PA Status Generic Name Strength Form Therapeutic Class VIRAVAN DM D-METHORP TAN/PE/PYRIL 25-12.5-30 ORAL SUSP Cough and Cold Preparations VIRAZOLE RIBAVIRIN 6G VIAL Antivirals, General VIREAD TENOFOVIR DISOPROXIL FUMA 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI VIROPTIC TRIFLURIDINE 1% DROPS Eye Antivirals VISKEN PINDOLOL 10MG TABLET Beta-Adrenergic Blocking Agents VISKEN PINDOLOL 5MG TABLET Beta-Adrenergic Blocking Agents VISTARIL HYDROXYZINE PAMOATE 100MG CAPSULE Antihistamines, Cont 13 VISTARIL HYDROXYZINE PAMOATE 25MG CAPSULE Antihistamines, Cont 14 VISTARIL HYDROXYZINE PAMOATE 25MG/5ML ORAL SUSP Antihistamines, Cont 16 VISTARIL HYDROXYZINE PAMOATE 50MG CAPSULE Antihistamines, Cont 15 VITAFOL-PN PRENATAL VIT/FE FUMARATE/ 65-1MG TABLET Prenatal Vitamin Preparations VITAMIN A VITAMIN A 25000 UNIT CAPSULE Vitamin A Preparations VITAMIN B12 CYANOCOBALAMIN 1000MCG TABLET SA Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 100MCG TABLET Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 2000MCG TABLET SA Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 250MCG TABLET Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 25MCG TABLET Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 500MCG TABLET Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 500MCG TABLET SA Vitamin B-12 Preparations VITAMIN B-12 CYANOCOBALAMIN 50MCG TABLET Vitamin B-12 Preparations VIVACTIL PROTRIPTYLINE HCL 10MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib VIVACTIL PROTRIPTYLINE HCL 5MG TABLET Tricyclic Antidepressants & Rel. Bib-Sel. RU-Inhib VIVELLE ESTRADIOL 0.1MG/24HR PATCH TDBW Estrogenic Agents VIVELLE-DOT ESTRADIOL .025MG/24H PATCH TDBW Estrogenic Agents VOLTAREN DICLOFENAC SODIUM 0.10% DROPS Eye Antiinflammatory Agents VOLTAREN DICLOFENAC SODIUM 25MG TABLET DR Anti-inflammatory Agents VOLTAREN DICLOFENAC SODIUM 50MG TABLET DR Anti-inflammatory Agents VOLTAREN DICLOFENAC SODIUM 75MG TABLET DR Anti-inflammatory Agents VOLTAREN-XR DICLOFENAC SODIUM 100MG TAB.SR 24H Anti-inflammatory Agents VOSOL ACETIC ACID 2% SOLUTION Ear Preparations, Misc. Anti-infectives VOSOL HC ACETIC ACID/HYDROCORTISON 2-1% DROPS Ear Preparations, Misc. Anti-infectives VOSPIRE ER ALBUTEROL SULFATE 4MG TAB.SR 12H Beta-Adrenergic Agents VOSPIRE ER ALBUTEROL SULFATE 8MG TAB.SR 12H Beta-Adrenergic Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class VYTORIN EZETIMIBE/SIMVASTATIN 10MG/10MG TABLET Lipotropics, cont VYTORIN EZETIMIBE/SIMVASTATIN 10MG/20MG TABLET Lipotropics, cont VYTORIN EZETIMIBE/SIMVASTATIN 10MG/40MG TABLET Lipotropics, cont VYTORIN EZETIMIBE/SIMVASTATIN 10MG/80MG TABLET Lipotropics, cont Quantity Limit 1/d, 30MG VYVANSE Age 6-12 LISEDEXAMFETAMINE CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine Quantity Limit 1/d, 50MG VYVANSE Age 6-12 LISEDEXAMFETAMINE CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine Quantity Limit 1/d, 70MG VYVANSE Age 6-12 LISEDEXAMFETAMINE CAPSULE Adrenergic Agents, Aromatic, Non-Catecholamine Qty Limit 1/d, Age 6- 20mg Vyvanse 12 Lisdexamfetamine Dimesylate Capsule Adrenergic Agents, Aromatic, Non-Catecholamine Qty Limit 1/d, Age 6- 40mg Vyvanse 12 Lisdexamfetamine Dimesylate Capsule Adrenergic Agents, Aromatic, Non-Catecholamine Qty Limit 1/d, Age 6- 60mg Vyvanse 12 Lisdexamfetamine Dimesylate Capsule Adrenergic Agents, Aromatic, Non-Catecholamine WELCHOL COLESEVELAM HCL 625MG TABLET Bile Salt Sequestrants WELLBUTRIN BUPROPION HCL 100MG TABLET Norepinephrine and Dopamine Reuptake Inhib WELLBUTRIN BUPROPION HCL 75MG TABLET Norepinephrine and Dopamine Reuptake Inhib WELLBUTRIN BUPROPION HYDROCHLORIDE 100MG TABLET Antidepressants WELLBUTRIN BUPROPION HYDROCHLORIDE 75MG TABLET Antidepressants WELLBUTRIN SR BUPROPION HCL 100MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib WELLBUTRIN SR BUPROPION HCL 150MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib WELLBUTRIN SR BUPROPION HCL 200MG TABLET SA Norepinephrine and Dopamine Reuptake Inhib WESTCORT HYDROCORTISONE VALERATE 0.20% OINT.(GM) Topical Antiinflammatory Preparations WESTCORT HYDROCORTISONE VALERATE 0.20% CREAM(GM) Topical Antiinflammatory Preparations WYAMYCIN E ERYTHROMYCIN ETHYLSUCCINA 200MG/5ML ORAL SUSP Macrolides WYGESIC PROPOXYPHENE HCL/ACETAMIN 65-650MG TABLET Analgesics, Narcotics XALATAN LATANOPROST 0.01% DROPS Miotics/Other Intraocular Pressure Reducers XANAX ALPRAZOLAM 0.25MG TABLET Anti-Anxiety Drugs XANAX ALPRAZOLAM 0.5MG TABLET Anti-Anxiety Drugs Brand Name PA Status Generic Name Strength Form Therapeutic Class XANAX ALPRAZOLAM 1MG TABLET Anti-Anxiety Drugs XANAX ALPRAZOLAM 2MG TABLET Anti-Anxiety Drugs XELODA CAPECITABINE 150MG TABLET Antimetabolites XELODA CAPECITABINE 500MG TABLET Antimetabolites PA XOLAIR Required OMALIZUMAB 150MG VIAL Monoclonal Antibodies to Imunoglobulin E(IGE) PA XOLAIR Required OMALIZUMAB 75MG VIAL Monoclonal Antibodies to Imunoglobulin E(IGE) XYLOCAINE LIDOCAINE HCL 2% JEL Local Anesthetics XYLOCAINE LIDOCAINE HCL 2.50% OINT.(GM) Topical Local Anesthetics XYLOCAINE LIDOCAINE HCL 5% OINT.(GM) Local Anesthetics XYLOCAINE LIDOCAINE HCL 5% OINT.(GM) Topical Local Anesthetics XYLOCAINE LIDOCAINE HCL 10% SPRAY Local Anesthetics XYLOCAINE LIDOCAINE HCL 40MG/ML SOLUTION Local Anesthetics XYLOCAINE LIDOCAINE HCL 50MG/ML SOLUTION Local Anesthetics XYLOCAINE VISCOUS LIDOCAINE HCL 20MG/ML SOLUTION Local Anesthetics YASMIN 28 ETHINYL ESTRADIOL/DROSPIR 0.03-3MG TABLET Contraceptives, Oral YAZ ETHINYL ESTRADIOL/DROSPIR 0.02-3MG(24) TABLET Contraceptives, Oral YOCON YOHIMBINE HCL 5.4MG TABLET Drugs to treat Impotency YODOXIN IODOQUINOL 210MG TABLET Amebacides YODOXIN IODOQUINOL 650MG TABLET Amebacides YUTOPAR RITODRINE HCL 10MG TABLET Beta-Adrenergic Agents YUTOPAR RITODRINE HCL 10MG/ML AMPUL Beta-Adrenergic Agents YUTOPAR RITODRINE HCL 15MG/ML DISP SYRIN Beta-Adrenergic Agents ZADITOR KETOTIFEN FUMARATE 0.03% DROPS Eye Antihistamines ZANAFLEX TIZANIDINE HCL 2MG TABLET Skeletal Muscle Relaxants ZANAFLEX TIZANIDINE HCL 4MG TABLET Skeletal Muscle Relaxants ZANTAC RANITIDINE HCL 150MG TABLET Gastric Acid Secretion Reducers ZANTAC RANITIDINE HCL 15MG/ML SYRUP Gastric Acid Secretion Reducers ZANTAC RANITIDINE HCL 25MG/ML VIAL Gastric Acid Secretion Reducers ZANTAC RANITIDINE HCL 300MG TABLET Gastric Acid Secretion Reducers ZARONTIN ETHOSUXIMIDE 250MG CAPSULE Anticonvulsants ZARONTIN ETHOSUXIMIDE 250MG/5ML SYRUP Anticonvulsants ZAROXOLYN METOLAZONE 10MG TABLET Thiazide Diuretics and Related Agents Brand Name PA Status Generic Name Strength Form Therapeutic Class ZAROXOLYN METOLAZONE 2.5MG TABLET Thiazide Diuretics and Related Agents ZAROXOLYN METOLAZONE 5MG TABLET Thiazide Diuretics and Related Agents ZEBETA BISOPROLOL FUMARATE 10MG TABLET Beta-Adrenergic Blocking Agents ZEBETA BISOPROLOL FUMARATE 5MG TABLET Beta-Adrenergic Blocking Agents ZELNORM TEGASEROD HYDROGEN MALEAT 2MG TABLET Irritable Bowel Synd Agent, 5HT-4 Partial Agonist ZELNORM TEGASEROD HYDROGEN MALEAT 6MG TABLET Irritable Bowel Synd Agent, 5HT-4 Partial Agonist ZERIT STAVUDINE 15MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI ZERIT STAVUDINE 1MG/ML SOLN RECON Antivirals, HIV-Specific, Nucleoside Analog, RTI ZERIT STAVUDINE 20MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI ZERIT STAVUDINE 30MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI ZERIT STAVUDINE 40MG CAPSULE Antivirals, HIV-Specific, Nucleoside Analog, RTI ZESTRIL LISINOPRIL 2.5MG TABLET Hypotensives, ACE Blocking Agents ZESTRIL LISINOPRIL 20MG TABLET Hypotensives, ACE Blocking Agents ZESTRIL LISINOPRIL 30MG TABLET Hypotensives, ACE Blocking Agents ZESTRIL LISINOPRIL 40MG TABLET Hypotensives, ACE Blocking Agents ZETIA EZETIMIBE 10MG TABLET Lipotropics, cont ZIAC BISOPROL/HYDROCHLOROTHIAZ 10-6.25MG TABLET Hypotensives, Misc ZIAC BISOPROL/HYDROCHLOROTHIAZ 2.5-6.25MG TABLET Hypotensives, Misc ZIAC BISOPROL/HYDROCHLOROTHIAZ 5-6.25MG TABLET Hypotensives, Misc ZIAGEN ABACAVIR SULFATE 20MG/ML SOLUTION Antivirals, HIV-Specific, Nucleoside Analog, RTI ZIAGEN ABACAVIR SULFATE 300MG TABLET Antivirals, HIV-Specific, Nucleoside Analog, RTI ZITHROMAX AZITHROMYCIN 100MG/5ML SUSP RECON Macrolides ZITHROMAX AZITHROMYCIN 1G PACKET Macrolides ZITHROMAX AZITHROMYCIN 200MG/5ML SUSP RECON Macrolides ZITHROMAX AZITHROMYCIN 250MG CAPSULE Macrolides ZITHROMAX AZITHROMYCIN 250MG TABLET Macrolides ZITHROMAX AZITHROMYCIN 500MG TABLET Macrolides ZITHROMAX AZITHROMYCIN 600MG TABLET Macrolides ZOCOR SIMVASTATIN 10MG TABLET Lipotropics ZOCOR SIMVASTATIN 20MG TABLET Lipotropics ZOCOR SIMVASTATIN 40MG TABLET Lipotropics ZOCOR SIMVASTATIN 5MG TABLET Lipotropics ZOCOR SIMVASTATIN 80MG TABLET Lipotropics Brand Name PA Status Generic Name Strength Form Therapeutic Class ZOFRAN ONDANSETRON HCL 24MG TABLET Anti-Emetics ZOFRAN ONDANSETRON HCL 2MG/ML VIAL Anti-Emetics ZOFRAN ONDANSETRON HCL 4MG TABLET Anti-Emetics ZOFRAN ONDANSETRON HCL 4MG/5ML SOLUTION Anti-Emetics ZOFRAN ONDANSETRON HCL 8MG TABLET Anti-Emetics ZOFRAN ODT ONDANSETRON 4MG TAB RAPDIS Anti-Emetics ZOFRAN ODT ONDANSETRON 8MG TAB RAPDIS Anti-Emetics PA ZOLADEX Required GOSERELIN ACETATE 10.8MG IMPLANT Antineoplastic LHRH Agonist, Pituitary Suppressant PA LHRH (GNRH) Agnst Pit. Sup-Central Precocious ZOLADEX Required GOSERELIN ACETATE 3.6MG IMPLANT Puberty PA ZOLADEX Required GOSERELIN ACETATE 3.6MG IMPLANT Antineoplastic LHRH Agonist, Pituitary Suppressant ZOLOFT SERTRALINE HCL 100MG TABLET Antidepressants I.e. Prozac Weekly PA ZOLOFT Required SERTRALINE HCL 20MG/ML ORAL CONC. Antidepressants I.e. Prozac Weekly PA ZOLOFT Required SERTRALINE HCL 25MG TABLET Antidepressants I.e. Prozac Weekly PA ZOLOFT Required SERTRALINE HCL 50MG TABLET Antidepressants I.e. Prozac Weekly ZOMIG ZOLMITRIPTAN 2.5MG TABLET Imitrex Oral Drugs ZOMIG ZOLMITRIPTAN 5MG SPRAY Antimigraine Preparations ZOMIG ZOLMITRIPTAN 5MG TABLET Antimigraine Preparations ZOMIG ZMT ZOLMITRIPTAN 2.5 TAB RAPDIS Antimigraine Preparations ZOMIG ZMT ZOLMITRIPTAN 5 TAB RAPDIS Antimigraine Preparations ZONEGRAN ZONISAMIDE 100MG CAPSULE Anticonvulsants, cont ZONEGRAN ZONISAMIDE 25MG CAPSULE Anticonvulsants, cont ZONEGRAN ZONISAMIDE 50MG CAPSULE Anticonvulsants, cont PA ZORBTIVE Required SOMATROPIN 8.8MG VIAL Growth Hormones ZORPRIN ASPIRIN 800MG TABLET SA Analgesics, Salicylates ZOVIRAX ACYCLOVIR 5% OINTMENT Topical Antivirals ZOVIRAX ACYCLOVIR 5% CREAM(GM) Topical Antivirals ZOVIRAX ACYCLOVIR 200MG CAPSULE Antivirals, General ZOVIRAX ACYCLOVIR 200MG/5ML ORAL SUSP Antivirals, General ZOVIRAX ACYCLOVIR 400MG TABLET Antivirals, General Brand Name PA Status Generic Name Strength Form Therapeutic Class ZOVIRAX ACYCLOVIR 800MG TABLET Antivirals, General ZTUSS GUAIFENESIN/P-EPHED HCL/H 300-30-5 TABLET Expectorants

Z-TUSS 2 GUAIFEN/P-EPHED HCL/HCOD/CP 30-2.5-2/5 LIQUID Narcotic Antituss-1st Gen Antihist-Decondst-Expect ZYBAN BUPROPION HCL 150MG TABLET SA Smoking Deterrents, other ZYDONE HYDROCODONE BIT/ACETAMINO 10-400MG TABLET Analgesics, Narcotics ZYDONE HYDROCODONE BIT/ACETAMINO 5-400MG TABLET Analgesics, Narcotics ZYDONE HYDROCODONE BIT/ACETAMINO 7.5-400MG TABLET Analgesics, Narcotics Zylet Tobramycin sulfate/lotepred etab 0.3/0.5% Drops Eye Antibiotic-Corticoid Combinations ZYLOPRIM ALLOPURINOL 100MG TABLET Purine Inhibitors ZYLOPRIM ALLOPURINOL 300MG TABLET Purine Inhibitors ZYMAR GATIFLOXACIN 0.30% DROPS Eye Antibiotics

ZYPREXA OLANZAPINE 10MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 15MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 2.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 20MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag

ZYPREXA OLANZAPINE 7.5MG TABLET Antipsychotics, Atypical,Dopamine & Serotonin Antag ZYRTEC CETIRIZINE HCL 10MG TAB CHEW Antihistamines, Cont ZYRTEC CETIRIZINE HCL 10MG TABLET Antihistamines, Cont ZYRTEC CETIRIZINE HCL 1MG/ML SYRUP Antihistamines, Cont ZYRTEC CETIRIZINE HCL 5MG TAB CHEW Antihistamines, Cont ZYRTEC CETIRIZINE HCL 5MG TABLET Antihistamines, Cont ZYRTEC-D P-EPHED HCL/CETIRIZINE HC 120-5MG TAB.SR 12H Antihistamines ZYVOX LINEZOLID 100MG/5ML SUSP RECON Oxazolidinones ZYVOX LINEZOLID 600MG TABLET Oxazolidinones 6/10/2008