Maintenance Drug List

This list pertains to maintenance drugs that you must obtain a 90-day prescription for and must be filled at a Valley Pharmacy or EnvisionRx Mail Order pharmacy. If you have questions about this list or RX90, please contact the EnvisionRx Customer Service Help Desk at 800-361-4542 RX90 MAINTENANCE (available 24 hours a day, seven days a week to assist you) DRUG LISTING

ADHD/ANTI-NARCOLEPSY/ LEFLUNOMIDE ARCAPTA NEOHALER KEPPRA NARDIL ANTI-OBESITY/ANOREXIANTS - NonNarcotic BROVANA KEPPRA XR PARNATE ADHD Agent - Selective Alpha Salicylates LEVALBUTEROL LAMICTAL PHENELZINE SULFATE LEVALBUTEROL HCL LAMICTAL CHEWABLE DISPERS TRANYLCYPROMINE SULFATE HCL ER DISALCID LEVALBUTEROL TARTRATE HFA LAMICTAL ODT Selective Serotonin Reuptake ER METAPROTERENOL SULFATE LAMICTAL XR Inhibitors (SSRIs) INTUNIV PERFOROMIST CELEXA KAPVAY AGENTS PROAIR HFA LAMOTRIGINE ER CITALOPRAM HYDROBROMIDE ADHD Agent - Selective -Other PROAIR RESPICLICK LAMOTRIGINE ODT ESCITALOPRAM OXALATE Reuptake Inhibitor RANEXA PROVENTIL HFA DR STRATTERA Nitrates SEREVENT DISKUS LEVETIRACETAM ER FLUOXETINE HCL Anti-Obesity Agents DILATRATE SR STRIVERDI RESPIMAT MYSOLINE FLUVOXAMINE MALEATE SAXENDA GONITRO SULFATE NEURONTIN FLUVOXAMINE MALEATE ER ISORDIL TITRADOSE VENTOLIN HFA LEXAPRO ANALGESICS - ANTI- ISOSORBIDE DINITRATE VOSPIRE ER OXTELLAR XR PAROXETINE HCL INFLAMMATORY ISOSORBIDE DINITRATE ER XOPENEX PAROXETINE HCL ER Analgesics - Anti-Inflammatory ISOSORBIDE MONONITRATE XOPENEX CONCENTRATE QUDEXY XR PAXIL EQUAPAX//MINREX ISOSORBIDE MONONITRATE ER XOPENEX HFA ROWEEPRA PAXIL CR Antirheumatic Antimetabolites MINITRAN Bronchodilators - Anticholinergics SPRITAM PEXEVA OTREXUP NITRO-BID ATROVENT HFA TEGRETOL PROZAC RASUVO NITRO-DUR INCRUSE ELLIPTA TEGRETOL-XR PROZAC WEEKLY Cyclooxygenase 2 (COX-2) NITROGLYCERIN SPIRIVA HANDIHALER TOPAMAX SERTRALINE HCL Inhibitors NITROGLYCERIN ER SPIRIVA RESPIMAT TOPAMAX SPRINKLE ZOLOFT CELEBREX NITROGLYCERIN LINGUAL TUDORZA PRESSAIR CELEXA NITROGLYCERIN TRANSDERMAL Leukotriene Antagonists TOPIRAMATE ER CITALOPRAM HYDROBROMIDE Gold Compounds NITROLINGUAL PUMPSPRAY ACCOLATE TRILEPTAL ESCITALOPRAM OXALATE RIDAURA NITROMIST MONTELUKAST SODIUM TROKENDI XR FLUOXETINE DR Anti-inflammatory NITROSTAT SINGULAIR ZONEGRAN FLUOXETINE HCL Agent Combinations NITRO-TIME FLUVOXAMINE MALEATE ARTHROTEC 50 Selective Phosphodiesterase 4 Carbamates FLUVOXAMINE MALEATE ER ARTHROTEC 75 ANTIARRHYTHMICS (PDE4) Inhibitors FELBAMATE LEXAPRO SODIUM/MISOPRO Antiarrhythmics Type I-A DALIRESP FELBATOL PAROXETINE HCL DUEXIS PHOSPHATE Steroid Inhalants GABA Modulators PAROXETINE HCL ER VIMOVO NORPACE AEROSPAN GABITRIL PAXIL Nonsteroidal Anti-inflammatory NORPACE CR ALVESCO TIAGABINE HYDROCHLORIDE PAXIL CR Agents (NSAIDs) GLUCONATE CR ARNUITY ELLIPTA Hydantoins PEXEVA ANAPROX DS QUINIDINE GLUCONATE ER ASMANEX HFA DILANTIN PROZAC DAYPRO QUINIDINE SULFATE ASMANEX TWISTHALER 120 ME DILANTIN INFATABS PROZAC WEEKLY DICLOFENAC POTASSIUM Antiarrhythmics Type I-B ASMANEX TWISTHALER 14 MET DILANTIN-125 SERTRALINE HCL DICLOFENAC SODIUM DR HCL ASMANEX TWISTHALER 30 MET PEGANONE ZOLOFT DICLOFENAC SODIUM ER Antiarrhythmics Type I-C ASMANEX TWISTHALER 60 MET PHENYTEK Serotonin Modulators EC-NAPROSYN ACETATE ASMANEX TWISTHALER 7 METE HCL HCL BUDESONIDE PHENYTOIN INFATABS HCL ETODOLAC ER PROPAFENONE HCL ER FLOVENT DISKUS PHENYTOIN SODIUM EXTENDED TRINTELLIX FELDENE RYTHMOL SR FLOVENT HFA Succinimides VIIBRYD CALCIUM FLECAINIDE ACETATE PULMICORT CELONTIN Serotonin-Norepinephrine Reuptake FENORTHO PROPAFENONE HCL PULMICORT FLEXHALER Inhibitors (SNRIs) PROPAFENONE HCL ER QVAR ZARONTIN CYMBALTA IBUPROFEN RYTHMOL SR Xanthines Valproic Acid DESVENLAFAXINE ER INDOCIN Antiarrhythmics Type III ELIXOPHYLLIN DEPAKENE HCL INDOMETHACIN HCL THEO-24 DEPAKOTE EFFEXOR XR INDOMETHACIN ER THEOCHRON DEPAKOTE ER FETZIMA MULTAQ THEOPHYLLINE DEPAKOTE SPRINKLES KHEDEZLA KETOPROFEN ER PACERONE THEOPHYLLINE CR DIVALPROEX SODIUM PRISTIQ LODINE TIKOSYN THEOPHYLLINE ER DIVALPROEX SODIUM DR VENLAFAXINE HCL MECLOFENAMATE SODIUM DIVALPROEX SODIUM ER VENLAFAXINE HCL ER ANTIASTHMATIC AND ANTICOAGULANTS SSRIs-Nutritional Supplement BRONCHODILATOR AGENTS Coumarin Anticoagulants ANTIDEPRESSANTS Combinations MOBIC 5-Lipoxygenase Inhibitors COUMADIN Alpha-2 Receptor Antagonists PRAMLYTE ZYFLO JANTOVEN (Tetracyclics) Tricyclic Agents NALFON ZYFLO CR WARFARIN SODIUM HCL NAPRELAN Adrenergic Combinations Direct Factor Xa Inhibitors MIRTAZAPINE ODT NAPROSYN ADVAIR DISKUS ELIQUIS REMERON ANAFRANIL ADVAIR HFA SAVAYSA REMERON SOLTAB HCL NAPROXEN DR ANORO ELLIPTA XARELTO Antidepressants - Misc. HCL NAPROXEN SODIUM BEVESPI Thrombin Inhibitors - Selective APLENZIN HCL NAPROXEN SODIUM CR BREO ELLIPTA Direct & Reversible HCL ELAVIL NAPROXEN SODIUM ER COMBIVENT RESPIMAT PRADAXA BUPROPION HCL ER HCL DULERA BUPROPION HCL SR IMIPRAMINE PAMOATE IPRATROPIUM BROMIDE/ALBUT BUPROPION HCL XL NORPRAMIN PONSTEL STIOLTO RESPIMAT Anticonvulsants - Misc. FORFIVO XL HCL SYMBICORT APTIOM HCL PAMELOR SODIUM Anti-Inflammatory Agents BANZEL WELLBUTRIN SR HCL VIVLODEX CROMOLYN SODIUM WELLBUTRIN XL SURMONTIL ZORVOLEX Beta CARBAMAZEPINE ER Monoamine Oxidase Inhibitors TOFRANIL ALBUTEROL CARBATROL (MAOIs) MALEATE Pyrimidine Synthesis Inhibitors ALBUTEROL SULFATE EPITOL EMSAM ARAVA ALBUTEROL SULFATE ER MARPLAN

© 2018 EnvisionRx 18-2368 envisionrx.com | 800-361-4542 As of 4/1/2017. Information subject to change.

ANTIDIABETICS QUESTRAN ACE Inhibitors & / Antihypertensives - Misc. Alpha-Glucosidase Inhibitors STARLIX QUESTRAN LIGHT Thiazide-Like VECAMYL ACARBOSE Meglitinide-Biguanide Combinations WELCHOL ACCURETIC & GLYSET REPAGLINIDE/METFORMIN HYD Fibric Acid Derivatives BENAZEPRIL HCL/HYDROCHLOR Combinations MIGLITOL Receptor Antagonists ANTARA CAPTOPRIL/HYDROCHLOROTHIA /CHLORTHALIDONE PRECOSE KORLYM FENOFIBRATE ENALAPRIL MALEATE/HYDROCH BISOPROLOL FUMARATE/HYDRO Antidiabetic - Amylin Analogs SGLT2 Inhibitor - DPP-4 Inhibitor FENOFIBRATE MICRONIZED FOSINOPRIL SODIUM/HYDROCH CORZIDE SYMLINPEN 120 Combinations FENOFIBRIC ACID LISINOPRIL/HYDROCHLOROTHI DUTOPROL SYMLINPEN 60 GLYXAMBI FENOFIBRIC ACID DR LOTENSIN HCT LOPRESSOR HCT Antidiabetics, Other Sodium-Glucose Co-Transporter 2 FENOGLIDE MOEXIPRIL/HYDROCHLOROTHIA SUCCINATE ER/H SOLIQUA 100/33 (SGLT2) Inhibitors FIBRICOR QUINAPRIL/HYDROCHLOROTHIA METOPROLOL/HYDROCHLOROTHI Biguanides FARXIGA GEMFIBROZIL VASERETIC /BENDROFLUMETHIAZI FORTAMET INVOKANA LIPOFEN ZESTORETIC /HYDROCHLOROTH GLUCOPHAGE JARDIANCE LOFIBRA Adrenolytics-Central & TENORETIC 100 GLUCOPHAGE XR Sodium-Glucose Co-Transporter 2 LOPID Thiazide/Thiazide-Like Comb TENORETIC 50 GLUMETZA Inhibitor-Biguanide Comb TRICOR CLORPRES ZIAC METFORMIN HCL INVOKAMET TRIGLIDE /HYDROCHLOROTHI Direct Renin Inhibitors METFORMIN HCL ER INVOKAMET XR TRILIPIX Angiotensin II Receptor Antag & TEKTURNA METFORMIN HCL ER (OSMOTIC) SYNJARDY HMG CoA Reductase Inhibitor Beta Blocker Comb Direct Renin Inhibitors & RIOMET XIGDUO XR Combinations BYVALSON Thiazide/Thiazide-Like Comb Diabetic Other Sulfonylurea-Biguanide EQUAPAX/ATORVASTATIN CALC Angiotensin II Receptor Antag & Ca TEKTURNA HCT PROGLYCEM Combinations HMG CoA Reductase Inhibitors Comb Selective Aldosterone Receptor Dipeptidyl Peptidase-4 (DPP-4) /METFORMIN HCL ALTOPREV BESYLATE/VALSA Antagonists (SARAs) Inhibitors GLUCOVANCE ATORVASTATIN CALCIUM AMLODIPINE/OLMESARTAN MED ALOGLIPTIN GLYBURIDE/METFORMIN HCL CRESTOR AZOR INSPRA JANUVIA Sulfonylureas FLUVASTATIN EXFORGE Vasodilators NESINA AMARYL FLUVASTATIN SODIUM ER /AMLODIPINE HYDRALAZINE HCL ONGLYZA LESCOL XL TWYNSTA TRADJENTA LIPITOR Angiotensin II Receptor Antag & Dipeptidyl Peptidase-4 Inhibitor- GLIPIZIDE LIVALO Thiazide/Thiazide-Like ANTI-INFECTIVE AGENTS - MISC. Biguanide Combinations GLIPIZIDE ER ATACAND HCT XIFAXAN ALOGLIPTIN/METFORMIN HCL GLIPIZIDE XL MEVACOR AVALIDE Leprostatics JANUMET GLUCOTROL PRAVACHOL BENICAR HCT DAPSONE JANUMET XR GLUCOTROL XL PRAVASTATIN SODIUM CANDESARTAN CILEXETIL/HYD JENTADUETO GLYBURIDE ROSUVASTATIN CALCIUM DIOVAN HCT ANTIMALARIALS JENTADUETO XR GLYBURIDE MICRONIZED EDARBYCLOR CHLOROQUINE PHOSPHATE KAZANO GLYNASE ZOCOR HYZAAR HYDROXYCHLOROQUINE SULFAT KOMBIGLYZE XR Intest Cholest Absorp Inhib-HMG IRBESARTAN/HYDROCHLOROTHI HCL Dopamine Receptor Agonists - Ergot CoA Reductase Inhib Comb LOSARTAN POTASSIUM/HYDROC PLAQUENIL Derivatives Sulfonylurea-Thiazolidinedione VYTORIN MICARDIS HCT CYCLOSET Combinations Intestinal Absorption OLMESARTAN MEDOXOMIL/HYDR ANTIMYCOBACTERIAL AGENTS DPP-4 Inhibitor-Thiazolidinedione DUETACT Inhibitors TELMISARTAN/HYDROCHLOROTH ISONIAZID Combinations PIOGLITAZONE HCL-GLIMEPIR EZETIMIBE VALSARTAN/HYDROCHLOROTHIA ALOGLIPTIN/PIOGLITAZONE Thiazolidinedione-Biguanide ZETIA Angiotensin II Receptor Antagonists ANTINEOPLASTICS AND OSENI Combinations Microsomal Triglyceride Transfer ATACAND ADJUNCTIVE THERAPIES Human Insulin ACTOPLUS MET Protein Inhibitors AVAPRO Antiestrogens AFREZZA ACTOPLUS MET XR JUXTAPID BENICAR SOLTAMOX APIDRA PIOGLITAZONE HCL/METFORMI Nicotinic Acid Derivatives CANDESARTAN CILEXETIL TAMOXIFEN CITRATE APIDRA SOLOSTAR Thiazolidinediones NIACIN ER COZAAR Aromatase Inhibitors BASAGLAR KWIKPEN ACTOS NIASPAN DIOVAN ANASTROZOLE HUMALOG AVANDIA EDARBI ARIMIDEX HUMALOG KWIKPEN PIOGLITAZONE HCL ANTIHYPERTENSIVES EPROSARTAN MESYLATE AROMASIN HUMALOG MIX 50/50 ACE Inhibitor & IRBESARTAN EXEMESTANE HUMALOG MIX 50/50 KWIKPEN ANTIDIARRHEALS Blocker Combinations LOSARTAN POTASSIUM FEMARA HUMALOG MIX 75/25 Antidiarrheal - AMLODIPINE BESYLATE/BENAZ MICARDIS LETROZOLE HUMALOG MIX 75/25 KWIKPEN Antagonists LOTREL OLMESARTAN MEDOXOMIL HUMULIN R U-500 (CONCENTR) MYTESI PRESTALIA TELMISARTAN ANTIPARKINSON AGENTS HUMULIN R U-500 KWIKPEN TARKA VALSARTAN Antiparkinson Anticholinergics LANTUS ANTIDOTES TRANDOLAPRIL/ HC Angiotensin II Receptor Ant-Ca BENZTROPINE MESYLATE LANTUS SOLOSTAR Antidotes - Chelating Agents ACE Inhibitors Channel Blocker- TRIHEXYPHENIDYL HCL LEVEMIR FERRIPROX ACCUPRIL AMLODIPINE/VALSARTAN/HCTZ LEVEMIR FLEXTOUCH ACEON EXFORGE HCT Antiparkinson Dopaminergics NOVOLOG ALTACE OLMESARTAN MEDOXOMIL/AMLO AMANTADINE HCL NOVOLOG FLEXPEN Triazoles BENAZEPRIL HCL TRIBENZOR MESYLATE NOVOLOG MIX 70/30 NOXAFIL CAPTOPRIL Antiadrenergics - Centrally Acting PARLODEL NOVOLOG MIX 70/30 PREFILL ENALAPRIL MALEATE CATAPRES Antiparkinson Monoamine Oxidase NOVOLOG PENFILL ANTIHYPERLIPIDEMICS EPANED CATAPRES-TTS-1 Inhibitors TOUJEO SOLOSTAR OMEGA-3/D-3 WELLNESS PACK FOSINOPRIL SODIUM CATAPRES-TTS-2 AZILECT TRESIBA FLEXTOUCH SURE RESULT O3D3 SYSTEM LISINOPRIL CATAPRES-TTS-3 ELDEPRYL Incretin Mimetic Agents (GLP-1 Antihyperlipidemics - Misc. LOTENSIN CLONIDINE HCL RASAGILINE MESYLATE Receptor Agonists) KYNAMRO MAVIK GUANFACINE HCL SELEGILINE HCL ADLYXIN LOVAZA MOEXIPRIL HCL METHYLDOPA ZELAPAR BYDUREON OMEGA-3-ACID ETHYL ESTERS PERINDOPRIL ERBUMINE TENEX Central/Peripheral COMT Inhibitors BYDUREON PEN VASCEPA PRINIVIL Antiadrenergics - Peripherally TASMAR BYETTA Sequestrants QBRELIS Acting TOLCAPONE TANZEUM CHOLESTYRAMINE QUINAPRIL HCL CARDURA Decarboxylase Inhibitors TRULICITY CHOLESTYRAMINE LIGHT RAMIPRIL CARBIDOPA VICTOZA COLESTID TRANDOLAPRIL DOXAZOSIN MESYLATE LODOSYN Meglitinide Analogues COLESTID FLAVORED VASOTEC MINIPRESS Levodopa Combinations COLESTIPOL HCL ZESTRIL HCL CARBIDOPA/LEVODOPA PRANDIN PREVALITE HCL CARBIDOPA/LEVODOPA ER

© 2018 EnvisionRx 18-2368 envisionrx.com | 800-361-4542 As of 4/1/2017. Information subject to change.

CARBIDOPA/LEVODOPA ODT CALCIUM CHANNEL BLOCKERS AUBRA PHILITH CARBIDOPA/LEVODOPA/ENTACA THIOTHIXENE ADALAT CC AVIANE PIRMELLA 1/35 RYTARY AFEDITAB CR BALZIVA PORTIA-28 SINEMET ANTIVIRALS AMLODIPINE BESYLATE BEYAZ PREVIFEM SINEMET CR CMV Agents CALAN BLISOVI 24 FE RAJANI STALEVO 100 VALCYTE CALAN SR BLISOVI FE 1.5/30 RECLIPSEN STALEVO 125 VALGANCICLOVIR CARDIZEM BLISOVI FE 1/20 SAFYRAL STALEVO 150 VALGANCICLOVIR HYDROCHLOR CARDIZEM CD BREVICON-28 SPRINTEC 28 STALEVO 200 Hepatitis B Agents CARDIZEM LA BRIELLYN SRONYX STALEVO 50 VEMLIDY CARTIA XT CHATEAL SYEDA STALEVO 75 CD CYCLAFEM 1/35 TARINA FE 1/20 Nonergoline Dopamine Receptor ASSORTED CLASSES DILTIAZEM HCL CYRED TAYTULLA Agonists Cyclosporine Analogs DILTIAZEM HCL CD DASETTA 1/35 VESTURA MIRAPEX CYCLOSPORINE DILTIAZEM HCL ER DELYLA VIENVA MIRAPEX ER CYCLOSPORINE MODIFIED DILT-XR DESOGEN VYFEMLA NEUPRO GENGRAF ER DESOGESTREL/ETHINYL ESTRA WERA PRAMIPEXOLE DIHYDROCHLORI NEORAL DROSPIRENONE/ETHINYL ESTR WYMZYA FE REQUIP SANDIMMUNE MATZIM LA ELINEST YASMIN 28 REQUIP XL Inosine Monophosphate HCL EMOQUETTE YAZ ROPINIROLE ER Dehydrogenase Inhibitors ENSKYCE ZARAH ROPINIROLE HCL CELLCEPT NIFEDIPINE ER ESTARYLLA ZENCHENT Peripheral COMT Inhibitors MYCOPHENOLATE MOFETIL ETHYNODIOL DIACETATE/ETHI ZENCHENT FE COMTAN MYCOPHENOLIC ACID DR FALESSA ZOVIA 1/35E ENTACAPONE MYFORTIC NISOLDIPINE ER FALMINA ZOVIA 1/50E Macrolide Immunosuppressants NORVASC FEMCON FE Combination Contraceptives - ANTIPSYCHOTICS/ANTIMANIC ASTAGRAF XL NYMALIZE FEMYNOR Transdermal AGENTS ENVARSUS XR PROCARDIA GENERESS FE XULANE Antimanic Agents PROGRAF PROCARDIA XL GIANVI Combination Contraceptives - LITHIUM RAPAMUNE SULAR GILDAGIA Vaginal TAZTIA XT JULEBER NUVARING LITHIUM CARBONATE ER TIAZAC JUNEL 1.5/30 Continuous Contraceptives – LITHOBID Purine Analogs VERAPAMIL HCL JUNEL 1/20 Oral Antipsychotics - Misc. AZASAN VERAPAMIL HCL ER JUNEL FE 1.5/30 AMETHYST EQUETRO AZATHIOPRINE VERAPAMIL HCL SR JUNEL FE 1/20 Extended-Cycle Contraceptives - GEODON IMURAN VERELAN JUNEL FE 24 Oral LATUDA VERELAN PM KAITLIB FE AMETHIA NUPLAZID BETA BLOCKERS KELNOR 1/35 AMETHIA LO VRAYLAR Alpha-Beta Blockers CARDIOTONICS KURVELO ASHLYNA HCL Cardiac Glycosides LARIN 1.5/30 CAMRESE Benzisoxazoles COREG DIGITEK LARIN 1/20 CAMRESE LO INVEGA COREG CR DIGOX LARIN 24 FE DAYSEE INVEGA TRINZA HCL LARIN FE 1.5/30 INTROVALE ER Beta Blockers Cardio-Selective LANOXIN LARIN FE 1/20 JOLESSA RISPERDAL HCL LARISSIA LEVONORGESTREL AND ETHINY RISPERDAL M-TAB ATENOLOL CARDIOVASCULAR AGENTS - MISC. LAYOLIS FE LOSEASONIQUE BETAXOLOL HCL & HMG LESSINA QUARTETTE RISPERIDONE M-TAB BISOPROLOL FUMARATE CoA Reductase Inhibit Comb LEVONORGESTREL/ETHINYL ES QUASENSE RISPERIDONE ODT BYSTOLIC AMLODIPINE BESYLATE/ATORV LEVORA 0.15/30-28 SEASONIQUE Butyrophenones LOPRESSOR CADUET LOESTRIN 1.5/30-21 SETLAKIN METOPROLOL SUCCINATE ER CARDIOVASCULAR AGENTS - MISC. LOESTRIN 1/20-21 Four Phase Contraceptives - Oral Dibenzo-oxepino Pyrroles METOPROLOL TARTRATE UPTRAVI LOESTRIN FE 1.5/30 NATAZIA SAPHRIS SECTRAL MISCELLANEOUS ANTIANGINAL LOESTRIN FE 1/20 Progestin Contraceptives - Oral Dibenzothiazepines TENORMIN AGENTS LOMEDIA 24 FE CAMILA FUMARATE TOPROL XL CORLANOR LORYNA DEBLITANE QUETIAPINE FUMARATE ER ZEBETA ENTRESTO LOW-OGESTREL HEATHER SEROQUEL Beta Blockers Non-Selective Nitrate & Vasodilator Combinations LUTERA JENCYCLA SEROQUEL XR BETAPACE BIDIL MARLISSA JOLIVETTE Dibenzoxazepines BETAPACE AF Peripheral Vasodilators MICROGESTIN 1.5/30 LYZA CORGARD HCL MICROGESTIN 1/20 NORA-BE LOXAPINE SUCCINATE HEMANGEOL Prostaglandin Vasodilators MICROGESTIN 24 FE NORETHINDRONE Dihydroindolones INDERAL LA ORENITRAM MICROGESTIN FE NORLYROC MOLINDONE HYDROCHLORIDE INDERAL XL Pulmonary - MICROGESTIN FE 1.5/30 ORTHO MICRONOR INNOPRAN XL Phosphodiesterase Inhibitors MINASTRIN 24 FE SHAROBEL HCL NADOLOL REVATIO MONO-LINYAH Triphasic Contraceptives - Oral FLUPHENAZINE HCL Selective cGMP Phosphodiesterase MONONESSA ALYACEN 7/7/7 PROPRANOLOL HCL Type 5 Inhibitors NECON 0.5/35-28 ARANELLE MALEATE PROPRANOLOL HCL ER CIALIS NECON 1/35 CAZIANT HCL SORINE NECON 1/50-28 CYCLAFEM 7/7/7 HCL HCL CONTRACEPTIVES NIKKI CYCLESSA Quinolinone Derivatives SOTALOL HCL (AF) Biphasic Contraceptives - Oral NORETHINDRONE & ETHINYL E DASETTA 7/7/7 ABILIFY SOTYLIZE AZURETTE NORETHINDRONE/ETHINYL EST ENPRESSE-28 ABILIFY MAINTENA TIMOLOL MALEATE BEKYREE NORGESTIMATE/ETHINYL ESTR ESTROSTEP FE KIMIDESS NORINYL 1+35 LEENA ARIPIPRAZOLE ODT BIOLOGICALS MISC LO LOESTRIN FE NORTREL 0.5/35 (28) LEVONEST ARISTADA Allergenic Extracts MIRCETTE NORTREL 1/35 MYZILRA REXULTI RAGWITEK NECON 10/11-28 OCELLA NECON 7/7/7 Thienbenzodiazepines Mixed Allergenic Extracts PIMTREA OGESTREL NORTREL 7/7/7 ORALAIR VIORELE ORSYTHIA ORTHO TRI-CYCLEN OLANZAPINE ODT ORALAIR ADULT SAMPLE KIT Combination Contraceptives - Oral ORTHO-CYCLEN ORTHO TRI-CYCLEN LO ZYPREXA ORALAIR ADULT STARTER PAC ALTAVERA ORTHO-NOVUM 1/35 ORTHO-NOVUM 7/7/7 ZYPREXA ZYDIS ORALAIR CHILDREN/ADOLESCE ALYACEN 1/35 OVCON-35 PIRMELLA 7/7/7

© 2018 EnvisionRx 18-2368 envisionrx.com | 800-361-4542 As of 4/1/2017. Information subject to change.

TILIA FE BONIVA Estrogen-Selective Estrogen HEMATOLOGICAL AGENTS - MISC. MICRO-K TRI-ESTARYLLA FOSAMAX Receptor Modulator Comb ZONTIVITY POTASSIUM CHLORIDE TRI-LEGEST FE FOSAMAX PLUS D DUAVEE Hematorheologic Agents POTASSIUM CHLORIDE CR TRI-LINYAH IBANDRONATE SODIUM PENTOXIFYLLINE ER POTASSIUM CHLORIDE ER TRI-LO-ESTARYLLA RISEDRONATE SODIUM GASTROINTESTINAL AGENTS - Phosphodiesterase III Inhibitors POTASSIUM CHLORIDE SR TRI-LO-MARZIA RISEDRONATE SODIUM DR MISC. CILOSTAZOL Potassium Combinations TRI-LO-SPRINTEC Calcitonins Gallstone Solubilizing Agents Platelet Aggregation Inhibitor EFFERVESCENT POT CHLORIDE TRINESSA CALCITONIN SALMON ACTIGALL Combinations EFFERVESCENT POTASSIUM/CH TRINESSA LO MIACALCIN URSO 250 AGGRENOX TRI-NORINYL 28 Carnitine Replenisher - Agents URSO FORTE /DIPYRIDAMOLE MOUTH/THROAT/DENTAL AGENTS TRI-PREVIFEM CARNITOR URSODIOL YOSPRALA Fluoride Dental Products TRIVORA-28 CARNITOR SF Gastrointestinal Antiallergy Agents Platelet Aggregation Inhibitors CAVAREST VELIVET LEVOCARNITINE GASTROCROM DIPYRIDAMOLE CLINPRO 5000 Gastrointestinal Chloride Channel DURLAZA DENTA 5000 PLUS CORTICOSTEROIDS ENDOCRINE AND METABOLIC Activators Quinazoline Agents DENTAGEL Mineralocorticoids AGENTS - MISC. AMITIZA AGRYLIN FLUORIDEX DAILY DEFENSE FLUDROCORTISONE ACETATE XURIDEN Gastrointestinal Stimulants ANAGRELIDE HYDROCHLORIDE FLUORIDEX DAILY DEFENSE E Growth Hormone Releasing METOCLOPRAMIDE HCL Thienopyridine Derivatives GEL-KAM ORAL CARE RINSE DIETARY PRODUCTS/DIETARY Hormones (GHRH) IBS Agent - Guanylate Cyclase-C CLOPIDOGREL KARIGEL MANAGEMENT PRODUCTS EGRIFTA (GC-C) Agonists EFFIENT KARIGEL-N Dietary Management Products Homocystinuria Treatment - Agents LINZESS PLAVIX NAFRINSE DAILY/NEUTRAL AVAILNEX CYSTADANE IBS Agent - Selective 5-HT3 NAFRINSE WEEKLY ENTERAGAM Hyperparathyroid Treatment - Receptor Antagonists HEMATOPOIETIC AGENTS NEUTRAGARD ADVANCED VASCAZEN Vitamin D Analogs ALOSETRON HYDROCHLORIDE Cobalamins NEUTRAL SODIUM FLUORIDE CALCITRIOL LOTRONEX NASCOBAL PHOS-FLUR DIGESTIVE AIDS DOXERCALCIFEROL Inflammatory Bowel Agents Cytotoxic Agents PREVIDENT 5000 BOOSTER Digestive Enzymes HECTOROL APRISO DROXIA PREVIDENT 5000 BOOSTER PL CREON PARICALCITOL AZULFIDINE Folic Acid/Folates PREVIDENT 5000 DRY MOUTH PANCREAZE ROCALTROL AZULFIDINE EN-TABS FOLIC ACID PREVIDENT 5000 PLUS PERTZYE ZEMPLAR DELZICOL PREVIDENT FLUORIDE SUCRAID Selective Estrogen Receptor DIPENTUM HYPNOTICS PREVIDENT RINSE VIOKACE Modulators (SERMs) PENTASA Hypnotics - Tricyclic Agents SF 5000 PLUS ZENPEP EVISTA SULFASALAZINE SILENOR THERA-FLUR-N OSPHENA Intestinal Acidifiers Selective Melatonin Receptor Saliva Stimulants RALOXIFENE HYDROCHLORIDE ENULOSE Agonists CEVIMELINE HCL Carbonic Anhydrase Inhibitors Somatostatic Agents GENERLAC ROZEREM EVOXAC SIGNIFOR Phosphate Binder Agents PILOCARPINE HYDROCHLORIDE ACETAZOLAMIDE ER Cycle Disorder - Agents AURYXIA LAXATIVES SALAGEN DIAMOX BUPHENYL CALCIUM ACETATE Laxatives – Misc. METHAZOLAMIDE SODIUM PHENYLBUTYRATE ELIPHOS CONSTULOSE MUSCULOSKELETAL THERAPY NEPTAZANE Vasopressin FOSRENOL KRISTALOSE AGENTS Diuretic Combinations DDAVP PHOSLYRA LACTULOSE Central Muscle Relaxants ALDACTAZIDE DESMOPRESSIN ACETATE RENAGEL /HYDROCHLOROTHIA RENVELA MINERALS & ELECTROLYTES FIRST-BACLOFEN 1 DYAZIDE ESTROGENS VELPHORO Fluoride FIRST-BACLOFEN 5 MAXZIDE ALORA FLUORABON HCL MAXZIDE-25 CLIMARA GENITOURINARY AGENTS – MISC. FLUOR-A-DAY ZANAFLEX /HYDROCHLOR DIVIGEL 5-Alpha Reductase Inhibitors FLUORIDE /HYDROCHLOROTH EC-RX ESTRADIOL 0.4% AVODART FLUORITAB NASAL AGENTS - SYSTEMIC AND Loop Diuretics EC-RX ESTRADIOL 0.6% DUTASTERIDE FLURA-DROPS TOPICAL ELESTRIN FINASTERIDE KARIDIUM Nasal Anticholinergics BUMEX ESTRACE PROSCAR LOZI-FLUR IPRATROPIUM BROMIDE DEMADEX ESTRADIOL Alpha 1-Adrenoceptor Antagonists LUDENT EDECRIN ESTROGEL HCL ER LURIDE NEUROMUSCULAR AGENTS ETHACRYNIC ACID ESTROPIPATE CARDURA XL NAFRINSE Benzathiazoles EVAMIST FLOMAX NAFRINSE DROPS RILUTEK LASIX MENEST RAPAFLO SODIUM FLUORIDE TORSEMIDE MENOSTAR HCL Iodine Products SPINRAZA Potassium Sparing Diuretics MINIVELLE UROXATRAL SSKI ALDACTONE PREMARIN Cystinosis Agents Phosphate OPHTHALMIC AGENTS AMILORIDE HCL VIVELLE-DOT CYSTAGON AV-PHOS 250 NEUTRAL Alpha Adrenergic & DYRENIUM Estrogen & Androgen Prostatic Hypertrophy Agent K-PHOS Carbonic Anhydrase Inhib Comb SPIRONOLACTONE ESTERIFIED ESTROGENS/METH Combinations K-PHOS NEUTRAL SIMBRINZA Thiazides and Thiazide-Like Estrogen & Progestin DUTASTERIDE/TAMSULOSIN HC PHOSPHA 250 NEUTRAL Beta-blockers - Ophthalmic Diuretics ACTIVELLA DUTASTERIDE/TAMSULOSIN HY VIRT-PHOS 250 NEUTRAL BETAGAN AMABELZ JALYN Potassium BETIMOL CHLORTHALIDONE ANGELIQ EFFER-K BETOPTIC-S DIURIL CLIMARA PRO GOUT AGENTS EFFERVESCENT POTASSIUM HCL COMBIPATCH Gout Agent Combinations K-EFFERVESCENT ISTALOL ESTRADIOL/NORETHINDRONE A PROBENECID/COLCHICINE KLOR-CON HCL METHYCLOTHIAZIDE FEMHRT LOW DOSE Gout Agents KLOR-CON 10 FYAVOLV ALLOPURINOL KLOR-CON 8 TIMOLOL MALEATE OPHTHALMI MICROZIDE JEVANTIQUE LO ULORIC KLOR-CON M10 TIMOPTIC JINTELI ZURAMPIC KLOR-CON M15 TIMOPTIC OCUDOSE ENDOCRINE AND METABOLIC MIMVEY ZYLOPRIM KLOR-CON M20 TIMOPTIC-XE AGENTS - MISC. MIMVEY LO Uricosurics KLOR-CON SPRINKLE Beta-blockers - Ophthalmic Bisphosphonates NORETHINDRONE ACETATE/ETH PROBENECID KLOR-CON/25 Combinations ACTONEL PREFEST HEMATOLOGICAL AGENTS - MISC. KLOR-CON/EF COMBIGAN ALENDRONATE SODIUM PREMPHASE Cyclopentyltriazolopyrimidine K-PRIME COSOPT ATELVIA PREMPRO (CPTP) Derivatives K-TAB COSOPT PF BINOSTO BRILINTA K-VESCENT DORZOLAMIDE HCL/TIMOLOL M

© 2018 EnvisionRx 18-2368 envisionrx.com | 800-361-4542 As of 4/1/2017. Information subject to change.

Cycloplegic Mydriatic Combinations Premenstrual Dysphoric Disorder H-2 Antagonists CYCLOMYDRIL (PMDD) Agents - SSRIs CIMETIDINE Cycloplegic Mydriatics FLUOXETINE CIMETIDINE HCL SULFATE SARAFEM DEPRIZINE FUSEPAQ CYCLOGYL Pseudobulbar Affect Agent DEPRIZINE RAPIDPAQ CYCLOPENTOLATE HCL Combinations FAMOTIDINE CYCLOPENTOLATE HYDROCHLOR NUEDEXTA NIZATIDINE HOMATROPAIRE PEPCID HOMATROPINE HBR PSYCHOTHERAPEUTIC AND RANITIDINE HCL MYDRIACYL NEUROLOGICAL AGENTS - MISC. ZANTAC TROPICAMIDE ACTIVE-PAC/GABAPENTIN Misc. Anti-Ulcer Miotics - Cholinesterase Inhibitors ADDYI CARAFATE PHOSPHOLINE IODIDE MESYLATES SUCRALFATE Miotics - Direct Acting NAMZARIC Proton Pump Inhibitor-Antacid ISOPTO CARPINE ORAP Combinations PILOCARPINE HCL /SODIUM BICARBO Opthalmic Agents SMARTRX GABA KIT ZEGERID XIIDRA SMARTRX GABA-V KIT Proton Pump Inhibitors Ophthalmic Carbonic Anhydrase Restless Leg Syndrome (RLS) ACIPHEX Inhibitors Agents ACIPHEX SPRINKLE AZOPT HORIZANT DEXILANT DORZOLAMIDE HCL Thienbenzodiazepines & SSRIs ESOMEPRAZOLE TRUSOPT OLANZAPINE/FLUOXETINE ESOMEPRAZOLE STRONTIUM Ophthalmic Immunomodulators SYMBYAX FIRST-LANSOPRAZOLE RESTASIS Vasomotor Symptom Agents - SSRIs FIRST-OMEPRAZOLE RESTASIS MULTIDOSE BRISDELLE LANSOPRAZOLE Ophthalmic Selective Alpha NEXIUM Adrenergic Agonists RESPIRATORY AGENTS - MISC. OMEPRAZOLE ALPHAGAN P OFEV OMEPRAZOLE + SYRSPEND SF TARTRATE PANTOPRAZOLE SODIUM Ophthalmics - Cystinosis Agents THYROID AGENTS PREVACID CYSTARAN Antithyroid Agents PREVACID SOLUTAB Prostaglandins - Ophthalmic METHIMAZOLE PRILOSEC BIMATOPROST PROPYLTHIOURACIL PROTONIX LATANOPROST TAPAZOLE RABEPRAZOLE SODIUM LUMIGAN Thyroid Hormones Quaternary Anticholinergics RESCULA ARMOUR THYROID CUVPOSA TRAVATAN Z CYTOMEL Ulcer Drugs - Prostaglandins XALATAN LEVO-T CYTOTEC ZIOPTAN SODIUM MISOPROSTOL LEVOXYL PROGESTINS LIOTHYRONINE SODIUM URINARY ANTISPASMODICS AYGESTIN NATURE-THROID Urinary Antispasmodic - MEDROXYPROGESTERONE ACETA NATURE-THROID NT-2.5 Antimuscarinic (Anticholinergic) MEGACE ES NP THYROID 15 HYDROBROMIDE MEGESTROL ACETATE NP THYROID 30 DETROL NORETHINDRONE ACETATE NP THYROID 60 DETROL LA PROGESTERONE NP THYROID 90 DITROPAN XL PROMETRIUM SYNTHROID ENABLEX PROVERA THYROLAR-1 GELNIQUE PSYCHOTHERAPEUTIC AND THYROLAR-1/2 OXYBUTYNIN CHLORIDE NEUROLOGICAL AGENTS - MISC. THYROLAR-1/4 OXYBUTYNIN CHLORIDE ER Deterrents THYROLAR-2 OXYTROL ACAMPROSATE CALCIUM DR THYROLAR-3 TARTRATE ANTABUSE TIROSINT TOLTERODINE TARTRATE ER DISULFIRAM UNITHROID TOVIAZ Cholinomimetics - ACHE Inhibitors UNITHROID DIRECT TROSPIUM CHLORIDE ARICEPT WESTHROID TROSPIUM CHLORIDE ER DONEPEZIL HCL WP THYROID VESICARE EXELON Urinary Antispasmodics - Beta-3 GALANTAMINE HYDROBROMIDE ULCER DRUGS Adrenergic Agonists RAZADYNE Belladonna Alkaloids MYRBETRIQ RAZADYNE ER ANASPAZ Urinary Antispasmodics - Direct RIVASTIGMINE TARTRATE ED-SPAZ Muscle Relaxants RIVASTIGMINE TRANSDERMAL HYOSCYAMINE SULFATE FLAVOXATE HCL Agent - SNRIs HYOSCYAMINE SULFATE ER SAVELLA HYOSCYAMINE SULFATE ODT VAGINAL PRODUCTS N-Methyl-D-Aspartate (NMDA) HYOSCYAMINE SULFATE SR Vaginal Estrogens Receptor Antagonists HYOSYNE ESTRING MEMANTINE HCL LEVBID FEMRING MEMANTINE HYDROCHLORIDE LEVSIN VAGIFEM NAMENDA LEVSIN/SL YUVAFEM NAMENDA XR NULEV Phenothiazines & Tricyclic Agents OSCIMIN VITAMINS PERPHENAZINE/AMITRIPTYLIN OSCIMIN SR PABA Postherpetic Neuralgia (PHN) SYMAX DUOTAB AMINOBENZOATE POTASSIUM Agents SYMAX-SL POTABA GRALISE SYMAX-SR Vitamin D RAYALDEE VITAMIN D

© 2018 EnvisionRx 18-2368 envisionrx.com | 800-361-4542 As of 4/1/2017. Information subject to change.