Anthem Blue Cross Prescription Formulary List

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National Drug List Drug list — Three Tier Drug Plan

Your prescription benefit comes with a drug list, which is also called a formulary. This list is made up of brand-name and generic prescription drugs approved by the U.S. Food & Drug Administration (FDA). We’re here to help. If you are a current Anthem member with questions about your pharmacy benefits, we're here to help. Just call us at the Member Services number on your ID card.

The plan names to which this formulary applies are shown below.

Solution PPO 1500/15/20 $5/$15/$50/$65/30% to $250 after deductible Solution PPO 2000/20/20 $5/$20/$30/$50/30% to $250 Solution PPO 2500/25/20 $5/$20/$40/$60/30% to $250 Solution PPO 3500/30/30 $5/$20/$40/$60/30% to $250 Rx ded $150 Solution PPO 4500/30/30 $5/$20/$40/$75/30% to $250 Solution PPO 5500/30/30 $5/$20/$40/$75/30% to $250 Rx ded $250 $5/$15/$25/$45/30% to $250 $5/$20/$50/$65/30% to $250 Rx ded $500 $5/$15/$30/$50/30% to $250 $5/$20/$50/$70/30% to $250 $5/$15/$40/$60/30% to $250 $5/$20/$50/$70/30% to $250 after deductible

Here are a few things to remember:

o You can view and search our current drug lists when you visit anthem.com/ca/pharmacyinformation. Please note: The formulary is subject to change and all previous versions of the formulary are no longer in effect.

o Additional tools and resources are available for current Anthem members to view the most up-to-date list of drugs for your plan - including drugs that have been added, generic drugs and more – by logging in at anthem.com/ca/pharmacyinformation.

o Your coverage has limitations and exclusions, which means there are certain rules about what's covered by your plan and what isn't. Already a member? You can view your Certificate/Evidence of Coverage or your Summary Plan Description by logging in at anthem.com/ca and go to My Plan ->Benefits-> Plan Documents.

o You and your doctor can use this list as a guide to choose drugs that are best for you. Drugs that aren’t on this list may not be covered by your plan and may cost you more out of pocket. To help you see how the drug list works with your drug benefit, we've included some frequently asked questions (FAQ) in this document about how the list is set up and what to do if a drug you take isn't on it.

Last Updated: August 1, 2019 LG

National Drug List Three-Tier

Table of Contents

INFORMATIONAL SECTION...... 3 ALTERNATIVE THERAPY - VITAMINS AND MINERALS...... 3 ANALGESIC, ANTI-INFLAMMATORY OR ANTIPYRETIC - DRUGS FOR PAIN AND FEVER...... 3 ANESTHETICS...... 20 ANESTHETICS - DRUGS FOR PAIN AND FEVER...... 17 ANORECTAL PREPARATIONS - RECTAL PREPARATIONS...... 21 ANTIDOTES AND OTHER REVERSAL AGENTS - DRUGS FOR OVERDOSE OR POISONING...... 21 ANTI-INFECTIVE AGENTS - DRUGS FOR INFECTIONS...... 23 ANTINEOPLASTICS - DRUGS FOR CANCER...... 43 ANTISEPTICS AND DISINFECTANTS - ANTISEPTICS AND DISINFECTANTS...... 59 BIOLOGICALS - BIOLOGICAL AGENTS...... 60 CARDIOVASCULAR THERAPY AGENTS - DRUGS FOR THE HEART...... 72 CENTRAL NERVOUS SYSTEM AGENTS - DRUGS FOR THE NERVOUS SYSTEM...... 94 CHEMICAL DEPENDENCY, AGENTS TO TREAT - DRUGS FOR ADDICTION...... 122 CHEMICALS-PHARMACEUTICAL ADJUVANTS...... 123 COGNITIVE DISORDER THERAPY - DRUGS FOR THE NERVOUS SYSTEM...... 124 CONTRACEPTIVES - DRUGS FOR WOMEN...... 125 DERMATOLOGICAL - DRUGS FOR THE SKIN...... 131 DIAGNOSTIC AGENTS...... 152 DRUGS TO TREAT ERECTILE DYSFUNCTION - DRUGS FOR THE URINARY SYSTEM...... 154 EATING DISORDER THERAPY - DRUGS FOR EATING DISORDERS...... 155 ELECTROLYTE BALANCE-NUTRITIONAL PRODUCTS - DRUGS FOR NUTRITION...... 156 ENDOCRINE - HORMONES...... 172 ENZYMES - VITAMINS AND MINERALS...... 189 FDB CLASS OBSOLETE-NOT USED...... 189 GASTROINTESTINAL THERAPY AGENTS - DRUGS FOR THE STOMACH...... 189 GENITOURINARY THERAPY - DRUGS FOR THE URINARY SYSTEM...... 198 GOUT AND HYPERURICEMIA THERAPY - DRUGS FOR PAIN AND FEVER...... 203 HEMATOLOGICAL AGENTS - DRUGS FOR THE BLOOD...... 203 HEPATOBILIARY SYSTEM TREATMENT AGENTS - DRUGS FOR THE LIVER...... 213 IMMUNOSUPPRESSIVE AGENTS - DRUGS FOR ORGAN TRANSPLANTS...... 213 LOCOMOTOR SYSTEM - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES...... 214 MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT (DME) - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT...... 218 MEDICAL SUPPLY, FDB SUPERSET...... 228 METABOLIC DISEASE ENZYME REPLACEMENT AGENTS - DRUGS FOR METABOLIC DISEASE...... 237 METABOLIC MODIFIERS - DRUGS THAT ALTER METABOLISM...... 238 MOUTH-THROAT-DENTAL - PREPARATIONS - DRUGS FOR THE MOUTH AND THROAT...... 240 MULTIPLE SCLEROSIS AGENTS - DRUGS FOR THE NERVOUS SYSTEM...... 242 OPHTHALMIC AGENTS - DRUGS FOR THE EYE...... 243 OTIC (EAR) - DRUGS FOR THE EAR...... 252 PROSTAGLANDINS - HORMONES...... 252 RENAL REPLACEMENT THERAPY - DRUGS FOR THE KIDNEYS...... 252 RESPIRATORY THERAPY AGENTS - DRUGS FOR THE LUNGS...... 254 VAGINAL PRODUCTS - DRUGS FOR WOMEN...... 264

TOC-2 National Drug List – Informational Section

Definitions

“$0” next to a drug means this is a preventive drug. For some members, this product may be covered at 100% with $0 cost share with a prescription from your provider if specified criteria are met.

“BRAND name drug” means a drug that is marketed under a proprietary, trademark-protected name. A BRAND name drug is listed in this formulary in all CAPITAL letters.

“Coinsurance” means a percentage of the cost of a covered health care benefit that you pay after you have paid the deductible, if a deductible applies to the health care benefit.

“Copayment” means a fixed dollar amount that you pay for a covered health care benefit after you have paid the deductible, if a deductible applies to the health care benefit.

“Deductible” means the amount you pay for covered health care benefits that are subject to the deductible before your health insurer begins to pay. If your health insurance policy has a deductible, it may have either one deductible or separate deductibles for medical benefits and prescription drug benefits. After you pay your deductible, you usually pay only a copayment or coinsurance for covered health care benefits. Your insurance company pays the rest.

“Dose Optimization (DO)” means dose optimization. Usually, this means you may have to switch from taking a drug twice a day to taking it once a day at a higher strength.

“Drug Tier” means a group of prescription drugs that correspond to a specified cost sharing tier in your health insurance policy. The drug tier in which a prescription drug is placed determines your portion of the cost for the drug.

“Exception request” means a request for coverage of a non-formulary drug. If you, your designee, or your prescribing health care provider submits a request for coverage of a non-formulary drug, your insurer must cover the non-formulary drug when it is medically necessary for you to take the drug.

“Exigent circumstances” means when you are suffering from a medical condition that may seriously jeopardize your life, health, or ability to regain maximum function, or when you are undergoing a current course of treatment using a non-formulary drug.

“Formulary” or “prescription drug list” means the list of drugs that is covered by your health insurance policy under the prescription drug benefit of the policy.

“Generic drug” means a drug that is the same as its BRAND name drug equivalent in dosage, strength, effect, how it is taken, quality, safety, and intended use. A generic drug is listed in this formulary in italicized lowercase letters.

“Limited Distribution (LD)” means limited distribution. These drugs are available only through certain pharmacies or wholesalers, depending on what the manufacturer decides.

“Medically Necessary” means health care benefits needed to diagnose, treat, or prevent a medical condition or its symptoms and that meet accepted standards of medicine. Health insurance usually does not cover health care benefits that are not medically necessary.

“Non-formulary drug” means a prescription drug that is not listed on this formulary.

“Oral Chemotherapy (OC)” Notwithstanding any deductible, the total amount of copayments and coinsurance an insured is required to pay shall not exceed two hundred dollars ($200) for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication covered by the policy.

“Out-of-pocket costs” means your expenses for health care benefits that aren't reimbursed by your health insurance. Out-of- pocket costs include deductibles, copayments, and coinsurance for covered health care benefits, plus all costs for health care benefits that are not covered.

“Prescribing provider” means a health care provider who can write a prescription for a drug to diagnose, treat, or prevent a medical condition.

“Prescription” means an oral, written, or electronic order from a prescribing provider authorizing a prescription drug to be provided to a specific individual.

“Prescription drug” means a drug that by law requires a prescription.

“Prior Authorization (PA)” means a decision by your health insurer that a health care benefit is medically necessary for you. If a prescription drug is subject to prior authorization in this formulary, your prescribing provider must request approval from your health insurer to cover the drug before you fill your prescription. Your health insurer must grant a prior authorization request when it is medically necessary for you to take the drug.

“Quantity limit (QL)” means a restriction on the number of doses of a prescription drug covered by a health insurance product during a specific time period, or any other limitation on the quantity of a drug that is covered.

“Specialty Drugs (SP)” means specialty drugs. Specialty drugs are used to treat difficult, long-term conditions. You may need to get this drug through a specialty pharmacy.

“Step therapy (ST)” means a specific sequence in which prescription drugs for a particular medical condition must be tried. If a drug is subject to step therapy in this formulary, you may have to try one or more other drugs before your health insurance policy will cover that drug for your medical condition. If your prescribing provider submits a request for an exception to the step therapy requirement, your health insurer must grant the request when it is medically necessary for you to take the drug.

Frequently Asked Questions

How do I know what drugs are covered under my benefits? This is a complete listing of all the drugs on the drug list. But, it’s possible a drug(s) on this list may not be covered, depending on your plan’s design.

Your pharmacy benefit covers prescription drugs, including Specialty Drugs, that may be administered to you as part of a doctor’s visit, home care visit, or at an outpatient Facility when they are Covered Services. Benefits that are administered to you in your provider’s office are typically covered under your medical benefit. This may include Drugs for infusion therapy, chemotherapy, blood products, certain injectables and any drug that must be administered by a Provider.

How can I find a drug on the list? (A) A prescription drug may be located by looking up the therapeutic category and class to which the drug belongs or the BRAND name or generic name of the drug in the alphabetical index; and (B) If a generic equivalent for a BRAND name drug is not available on the market or is not covered, the drug will not be separately listed by its generic name.

You can search the PDF drug list by:

o Drug name, using Ctrl + F on your keyboard, then type in the name of the drug you’re looking for. o Drug class, using the categories listed in alphabetical order.

How are drugs shown on the list? o A drug is listed alphabetically by its BRAND name and generic names in the therapeutic category and class to which it belongs; o The generic name for a BRAND name drug is included after the BRAND name in parentheses and all lowercase italicized letters;

o If a generic equivalent for a BRAND name drug is both available and covered, the generic drug will be listed separately from the BRAND name drug in all lowercase italicized letters; and

o If a generic drug is marketed under a proprietary, trademark-protected BRAND name, the BRAND name will be listed after the generic name in parentheses and regular typeface with the first letter of each word capitalized.

The “Under Coverage Requirements and Limits” section will indicate if you need preapproval before you can take the drug (called prior authorization or PA), or if you need to try other drugs first for your treatment (called step therapy or ST).

Note: The presence of a prescription drug on the formulary does not guarantee that your doctor will prescribe that prescription drug for a particular medical condition.

What are my options for getting my prescriptions? You have plenty of choices about how and where to get your prescription medicines, including local pharmacies in your plan, convenient home delivery or specialty pharmacies. Most plans include our home delivery program at no extra cost to you.

Current Anthem members can find out more by logging in at anthem.com/ca and choose Prescription Benefits or call 833-236-6196. For more details about your coverage, you can call the phone number on your member ID card. What if my drug isn’t on the list? We understand that only you and your doctor know what is best for you. If you want to take a drug that’s not on the drug list, you may have to pay the full cost for it. You can also talk to your doctor or pharmacist to see if there’s another drug covered by your plan that will work just as well, or if generic or OTC drugs are an option. Only you and your doctor can decide what drugs are right for you.

If a drug you’re taking isn’t covered, your doctor can ask us to review the coverage. This process is called preapproval or prior authorization.

Your doctor can get the process started by completing an electronic Prior Authorization, calling the Pharmacy Member Services number on the back of your member ID card or by downloading a prior authorization form from our website and submitting it. If your request is approved, the amount you pay for the drug will depend on your plan’s benefit.

There are a few options for your doctor to start the Prior Authorization (PA) process: 1. Submit an electronic PA request by going to https://www.covermymeds.com/main/partners/anthem. 2. Log in at anthem.com/ca and choose Pharmacy. o Go to Pharmacy Resources and Search Your Drug List for your medication. o Choose the correct medication strength and form. o Scroll down to Definition of Restrictions and locate the applicable Fax Form in the table. o Your doctor completes and faxes the form to us at 844-474-3347. 3. Calling Pharmacy Member Services number on the back of your member ID card.

Who decides what drugs are on the list? The drugs on the list are reviewed through our Pharmacy and Therapeutics (P&T) process. In this process, a group of independent doctors, pharmacists and other health care professionals decides which drugs we include on our lists. This group meets regularly to look at new and existing drugs and recommends drugs based on how safe they are, how well they work and the value they offer our members.

What is a specialty drug and how do I get them? If you’re taking a medicine that is considered a specialty drug, you may need to use a specialty pharmacy in order for your drug to be covered. Specialty drugs come in many forms like pills, liquids, injections (shots), infusions or inhalers and may need special storage and handling. Typically benefits for specialty drugs that are self-administered will be covered under the pharmacy benefit. Benefits for specialty drugs that are administered to you in your provider’s office are typically covered under your medical benefit. If you use pharmacies that are not in the network, your medicine may not be covered and you may have to pay the full cost. For more details about your coverage, you can call the phone number on your member ID card.

Does the drug list change, and how will I know if it does? Drugs on our list are reviewed and updated on a monthly basis. Sometimes, drugs are added, removed, change tiers or have updated requirements. The changes will usually go into effect the first day of the month. But don’t worry, we’ll let you know if a drug you take is taken off the list and, in some cases, if a drug you take is moved to a higher tier.

You can always check the drug list to make sure medicines you take are still on it. You’ll find the most up-to-date drug list when you log in at anthem.com/ca.

What kind of drugs can I find on the formulary? We cover FDA-approved preventive care drugs with zero cost share in compliance with the Affordable Care Act (ACA) and California state regulations. Your doctor may need to write a prescription for these preventive services to be covered by your plan, even if they are listed as over-the-counter. The availability or coverage of these medications without cost-sharing may be subject to criteria established by the health plan.

We cover FDA-approved equipment and supplies for the management and treatment of insulin-using diabetes, non-insulin-using diabetes and gestational diabetes as medically necessary. Medication encompasses insulin, insulin pumps, and oral hypoglycemic agents. Covered supplies and equipment are limited to glucose monitors, test strips, syringes and lancets. Covered benefits also include outpatient self-management and educational services used to treat diabetes if services are provided through a program authorized by the State's Diabetes Control Project within the Bureau of Health.

What drugs can I find in each tier? We place drugs on different tiers based on how well they work to improve health, whether there are over-the-counter (OTC) options and their costs compared to other drugs used for the same type of treatment. The lower the tier, the lower your share of the cost. Here’s a breakdown of the tiers in your plan:

 Tier 1 drugs have the lowest cost share for you. These are usually generic drugs that offer the best value compared to other drugs that treat the same conditions. Some plans split Tier 1 into Tier 1a and Tier 1b:

o Tier 1a drugs have the lowest cost share. These are often generic drugs that offer the greatest value compared to others that treat the same conditions. o Tier 1b drugs have a low cost share. These are typically generic drugs that offer the greatest value compared to others that treat the same conditions.

 Tier 2 drugs have a higher cost share than Tier 1. They may be preferred brand drugs, based on how well they work and their cost compared to other drugs used for the same type of treatment. Some are generic drugs that may cost more because they're newer to the market.

 Tier 3 drugs have the highest cost share. They often include non-preferred brand and generic drugs. They may cost more than drugs on lower tiers that are used to treat the same condition. Tier 3 may also include drugs that were recently approved by the FDA or specialty drugs that are used to treat serious, long-term health conditions and that may need special handling.

How will I know how much my drug will cost? Current Anthem members can go online and with the Price a Medication Tool, get pharmacy-specific pricing from a number of local retail pharmacies in your zip code.

Note: For oral chemotherapy drugs - Notwithstanding any deductible, the total amount of copayments and coinsurance an insured is required to pay shall not exceed two hundred dollars ($200) for an individual prescription of up to a 30- day supply of a prescribed orally administered anticancer medication covered by the policy.

How does Anthem promote safety? When you go to a pharmacy, the pharmacist will get an electronic message from Anthem if a drug needs prior authorization, requires step therapy or has a limit on the amount that can be given. Here’s a closer look at all of the programs we’ve put into place to help make sure you get the care you need, while helping to keep you safe.1

Our clinical edit programs are:  Prior authorization, which requires you to get approval before taking a medicine. This helps make sure a drug is used properly and focuses on drugs that may have: — Risk of side effects. — Risk of harmful effects when taken with other drugs. — Potential for incorrect use or abuse. — Rules for use with certain conditions.  Step therapy, which requires that other drugs be tried first. It focuses on whether a drug is right for your condition.  Dose optimization, which involves changing from taking a dose twice a day to once a day, when medically appropriate. Taking fewer doses may lower your costs; a single higher dose of a drug taken once a day may cost less than a lower dose taken twice a day.  Quantity Limits impose a limit on the amount in a prescription and how often it can be refilled. — If a refill request is submitted too soon or the doctor prescribes an amount that's higher than what is allowed, the drug won't be covered at that time. — If there are medical reasons to prescribe the drug as originally dosed, the doctor can ask for review by our Prior Authorization Center.

Also, If you’re taking a medicine that is considered a specialty drug, you may need to use a specialty pharmacy in order for your drug to be covered.

How does my doctor start the Prior Authorization process? If your drug is on our formulary but requires a PA or Step Therapy, there are a few options for your doctor to start the Prior Authorization (PA) process: 1. Submit an electronic PA request by going to https://www.covermymeds.com/main/partners/anthem. 2. Log in at anthem.com/ca and choose Pharmacy. o Go to Pharmacy Resources and Search Your Drug List for your medication. o Choose the correct medication strength and form. o Scroll down to Definition of Restrictions and locate the applicable Fax Form in the table. o Your doctor completes the form and faxes it to Anthem at 844-474-3347. 3. Calling Pharmacy Member Services number on the back of your member ID card.

What is Step Therapy? How does it work? Step therapy requires trying other drugs before certain medications may be covered. The pharmacy will let you know if step therapy is required and you must first try the drug or treatment included in the program. If the drug or treatment does not treat the condition well, the doctor can contact our Prior Authorization Center to ask that we approve the original drug.1

A few more notes about the exception process:

o If we fail to respond to a completed prior authorization or step therapy exception request within 72 hours of receiving a non- urgent request and 24 hours of receiving a request based on exigent circumstances, the request is deemed approved and we may not deny any subsequent requests for this medication.

o Don’t worry, if you’ve changed policies, we won’t ask you to repeat an approved step therapy request that is already being used to treat a medical condition provided that the drug is still appropriately prescribed and is considered safe and effective.

A note about opioid analgesics. The member cost share for certain abuse-deterrent opioid analgesics may be lower in some states because of laws in those states. Opioid analgesics are a type of painkiller. In response to the global opioid epidemic, the U.S. Food and Drug Administration (FDA) has encouraged drug manufacturers to develop opioids with properties that help deter their misuse and abuse.

Drug(s) may be excluded from the list based on your plan's benefit design.

1 If the Prior Authorization Center concludes the prescription claim should be denied, members and their doctors will get letters that explain the appeals and/or grievance process.

KEY Here are some terms and notes you’ll find on the drug list.

Brand name drugs are in UPPER CASE, bold type.

Generic drugs are in lower case, plain type.

$0 = preventive drugs. For some members, this product may be covered at 100% with $0 cost share ST = step therapy. You may need to use another with a prescription from your provider if specified recommended drug first before a prescribed drug is criteria are met. covered.

DO = dose optimization. Usually, this means you may Tier 1= drugs have the lowest cost share for you. have to switch from taking a drug twice a day to taking These are usually generic drugs that offer the best it once a day at a higher strength. value compared to other drugs that treat the same conditions.

LD = limited distribution. These drugs are available Tier 1a = drugs have the lowest cost share. These only through certain pharmacies or wholesalers, are often generic drugs that offer the greatest value depending on what the manufacturer decides. compared to others that treat the same conditions.

OC = oral chemotherapy. These drugs after deductible Tier 1b = drugs have a low cost share. These are shall not exceed $200 per an individual prescription for typically generic drugs that offer the greatest value compared to others that treat the same conditions. up to a 30 day supply.

Tier 2 = drugs have a higher cost share than Tier 1. PA = prior authorization. You may need to get benefits They may be preferred brand drugs, based on how approved before certain prescriptions can be filled. well they work and their cost compared to other drugs used for the same type of treatment. Some are QL = quantity limits. There are limits on the amount of generic drugs that may cost more because they’re medicine covered within a certain amount of time. newer to the market.

Tier 3 = drugs have the highest cost share. They SP = specialty drugs. Specialty drugs are used to treat often include non-preferred brand and generic drugs. difficult, long-term conditions. You may need to get They may cost more than drugs on lower tiers that this drug through a specialty pharmacy. are used to treat the same condition.

National Drug List

Three-Tier

CURRENT AS OF 8/15/2019

Coverage Requirements and Prescription Drug Name Drug Tier Limits ALTERNATIVE THERAPY - VITAMINS AND MINERALS ALTERNATIVE THERAPY - UNCLASSIFIED - VITAMINS AND MINERALS NUMOISYN MUCOUS MEMBRANE LIQUID (flaxseed) 3 ANALGESIC, ANTI-INFLAMMATORY OR ANTIPYRETIC - DRUGS FOR PAIN AND FEVER ANALGESIC - CENTRAL ALPHA-2 RECEPTOR AGONISTS - ARTHRITIS AND PAIN DRUGS clonidine (pf) epidural solution 1 or 1b* DURACLON (PF) EPIDURAL SOLUTION (clonidine) 3 ANALGESIC - NEURONAL (N)-TYPE CALCIUM CHANNEL BLOCKERS (NCCBS) - ARTHRITIS AND PAIN DRUGS PRIALT INTRATHECAL SOLUTION (ziconotide) 3 PA; LD ANALGESIC OPIOID AGONISTS - ARTHRITIS AND PAIN DRUGS ACTIQ BUCCAL LOZENGE ON A HANDLE (fentanyl) 3 PA; QL (4 lozenge per 1 day) ALFENTANIL INJECTION SOLUTION 3 ASTRAMORPH-PF INJECTION SOLUTION (morphine) 3 QL (6 mL per 1 day) CODEINE SULFATE ORAL TABLET 15 MG, 30 MG (codeine) 3 QL (6 tablets per 1 day) CODEINE SULFATE ORAL TABLET 60 MG (codeine) 3 QL (6 tablet per 1 day) CONZIP ORAL CAPSULE,ER BIPHASE 24 HR 17-83 (tramadol) 3 PA; QL (1 capsule per 1 day) CONZIP ORAL CAPSULE,ER BIPHASE 24 HR 25-75 (tramadol) 3 PA; QL (1 capsule per 1 day) DEMEROL (PF) INJECTION SOLUTION 100 MG/2 ML, 100 MG/ML, 3 QL (4 mL per 1 day) 50 MG/ML (meperidine) DEMEROL (PF) INJECTION SOLUTION 25 MG/0.5 ML, 75 MG/1.5 3 ML (meperidine) DEMEROL (PF) INJECTION SYRINGE (meperidine) 3 QL (4 mL per 1 day) DEMEROL INJECTION SOLUTION 100 MG/ML (meperidine) 3 QL (4 mL per 1 day) DEMEROL INJECTION SOLUTION 50 MG/ML (meperidine) 3 DEMEROL ORAL TABLET (meperidine) 3 QL (6 tablets per 1 day) DILAUDID (PF) INJECTION SYRINGE 0.5 MG/0.5 ML, 1 MG/ML, 2 3 QL (6 mL per 1 day) MG/ML (hydromorphone) DILAUDID (PF) INJECTION SYRINGE 4 MG/ML (hydromorphone) 3 QL (2 mL per 1 day) DILAUDID ORAL LIQUID (hydromorphone) 3 QL (24 mL per 1 day) DILAUDID ORAL TABLET (hydromorphone) 3 QL (6 tablets per 1 day) diskets oral tablet,soluble 1 or 1b* PA; QL (1 tablet per 1 day) DOLOPHINE ORAL TABLET 10 MG (methadone) 3 PA; QL (6 tablet per 1 day)

BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 40 Coverage Requirements and Prescription Drug Name Drug Tier Limits NAFCILLIN IN DEXTROSE ISO-OSM INTRAVENOUS PIGGYBACK 3 nafcillin injection recon soln 1 gram, 2 gram 1 or 1b* NAFCILLIN INJECTION RECON SOLN 10 GRAM 3 nafcillin intravenous recon soln 1 or 1b* OXACILLIN IN DEXTROSE(ISO-OSM) INTRAVENOUS PIGGYBACK 3 oxacillin injection recon soln 1 or 1b* oxacillin intravenous recon soln 1 or 1b* PENICILLIN ANTIBIOTIC, EXTENDED-SPECTRUM AND BETA- LACTAMASE INHIB COMB - ANTIBIOTICS PIPERACILLIN-TAZOBACTAM INTRAVENOUS RECON SOLN 13.5 3 GRAM (piperacillin) piperacillin-tazobactam intravenous recon soln 2.25 gram, 3.375 gram, 4.5 1 or 1b* gram, 40.5 gram ZOSYN IN DEXTROSE (ISO-OSM) INTRAVENOUS PIGGYBACK 3 (piperacillin) ZOSYN INTRAVENOUS RECON SOLN (piperacillin) 3 PENICILLIN NATURAL ANTIBIOTIC COMBINATIONS - EXTENDED RELEASE - ANTIBIOTICS BICILLIN C-R INTRAMUSCULAR SYRINGE (penicillin g) 3 POLYMYXINS AND DERIVATIVES - SINGLE AGENTS - ANTIBIOTICS bacitracin (Baciim Intramuscular Recon Soln) 1 or 1b* bacitracin intramuscular recon soln 1 or 1b* colistin (colistimethate na) injection recon soln 1 or 1b* COLY-MYCIN M PARENTERAL INJECTION RECON SOLN 3 (colistimethate) polymyxin b sulfate injection recon soln 1 or 1b* PROTEASE INHIBITORS (NON-PEPTIDIC) ANTIRETROVIRAL - DRUGS FOR VIRAL INFECTIONS APTIVUS ORAL CAPSULE (tipranavir) 2 APTIVUS ORAL SOLUTION (tipranavir) 2 PREZCOBIX ORAL TABLET (darunavir) 3 PREZISTA ORAL SUSPENSION (darunavir) 2 PREZISTA ORAL TABLET (darunavir) 2 PROTEASE INHIBITORS (PEPTIDIC) ANTIRETROVIRAL - DRUGS FOR VIRAL INFECTIONS atazanavir oral capsule 1 or 1b* CRIXIVAN ORAL CAPSULE (indinavir) 2 EVOTAZ ORAL TABLET (atazanavir) 3 fosamprenavir oral tablet 1 or 1b* INVIRASE ORAL TABLET (saquinavir) 2 LEXIVA ORAL SUSPENSION (fosamprenavir) 2 BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 41 Coverage Requirements and Prescription Drug Name Drug Tier Limits LEXIVA ORAL TABLET (fosamprenavir) 3 NORVIR ORAL CAPSULE (ritonavir) 2 NORVIR ORAL POWDER IN PACKET (ritonavir) 3 NORVIR ORAL SOLUTION (ritonavir) 2 NORVIR ORAL TABLET (ritonavir) 3 REYATAZ ORAL CAPSULE (atazanavir) 3 REYATAZ ORAL POWDER IN PACKET (atazanavir) 2 ritonavir oral tablet 1 or 1b* VIRACEPT ORAL TABLET (nelfinavir) 2 RESPIRATORY SYNCYTIAL VIRUS (RSV) ANTIVIRAL AGENTS - DRUGS FOR VIRAL INFECTIONS ribavirin inhalation recon soln 1 or 1b* VIRAZOLE INHALATION RECON SOLN (ribavirin) 3 RIFAMYCINS AND RELATED DERIVATIVE ANTIBIOTICS - ANTIBIOTICS AEMCOLO ORAL TABLET,DELAYED RELEASE (DR/EC) (rifamycin) 3 PA; QL (12 tablets per 30 days) MYCOBUTIN ORAL CAPSULE (rifabutin) 3 PRIFTIN ORAL TABLET (rifapentine) 2 rifabutin oral capsule 1 or 1b* RIFADIN INTRAVENOUS RECON SOLN (rifampin) 3 RIFADIN ORAL CAPSULE (rifampin) 3 rifampin intravenous recon soln 1 or 1b* rifampin oral capsule 1 or 1b* XIFAXAN ORAL TABLET 200 MG (rifaximin) 3 PA; QL (9 tablets per 30 days) XIFAXAN ORAL TABLET 550 MG (rifaximin) 3 PA; QL (126 tablet per 252 days) STREPTOGRAMIN ANTIBIOTICS - ANTIBIOTICS SYNERCID INTRAVENOUS RECON SOLN (quinupristin) 3 SULFONAMIDE ANTIBIOTIC - ANTIBIOTICS SULFADIAZINE ORAL TABLET 3 TETRACYCLINE ANTIBIOTICS - ANTIBIOTICS doxycycline monohydrate (Avidoxy Oral Tablet) 1 or 1b* minocycline (Coremino Oral Tablet Extended Release 24 Hr) 1 or 1b* demeclocycline oral tablet 1 or 1b* doxycycline hyclate (Doxy-100 Intravenous Recon Soln) 1 or 1b* doxycycline hyclate intravenous recon soln 1 or 1b* doxycycline hyclate oral capsule 1 or 1b* doxycycline hyclate oral tablet 100 mg, 50 mg 1 or 1b* doxycycline hyclate oral tablet 150 mg, 75 mg 1 or 1b* ST doxycycline hyclate oral tablet,delayed release (dr/ec) 1 or 1b* ST doxycycline monohydrate oral capsule 1 or 1b* BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 42 Coverage Requirements and Prescription Drug Name Drug Tier Limits doxycycline monohydrate oral suspension for reconstitution 1 or 1b* doxycycline monohydrate oral tablet 1 or 1b* MINOCIN INTRAVENOUS RECON SOLN (minocycline) 3 minocycline oral capsule 1 or 1b* minocycline oral tablet 1 or 1b* minocycline oral tablet extended release 24 hr 1 or 1b* ST doxycycline monohydrate (Mondoxyne Nl Oral Capsule) 1 or 1b* doxycycline hyclate (Morgidox Oral Capsule) 1 or 1b* NUZYRA (7 DAY WITH LOAD DOSE) ORAL TABLET (omadacycline) 3 PA; QL (30 tablets per 30 days) NUZYRA (7 DAY) ORAL TABLET (omadacycline) 3 PA; QL (30 tablets per 30 days) NUZYRA INTRAVENOUS RECON SOLN (omadacycline) 3 NUZYRA ORAL TABLET (omadacycline) 3 PA; QL (30 tablets per 30 days) doxycycline monohydrate (Okebo Oral Capsule) 1 or 1b* ORACEA ORAL CAPSULE,IR - DELAY REL,BIPHASE (doxycycline) 3 doxycycline hyclate (Soloxide Oral Tablet,Delayed Release (Dr/Ec)) 1 or 1b* ST TARGADOX ORAL TABLET (doxycycline) 3 ST tetracycline oral capsule 1 or 1b* TIGECYCLINE INTRAVENOUS RECON SOLN 3 TYGACIL INTRAVENOUS RECON SOLN (tigecycline) 3 VIBRAMYCIN ORAL CAPSULE (doxycycline) 3 VIBRAMYCIN ORAL SUSPENSION FOR RECONSTITUTION 3 (doxycycline) XERAVA INTRAVENOUS RECON SOLN (eravacycline) 3 ANTINEOPLASTICS - DRUGS FOR CANCER ANP - HUMAN VASCULAR ENDOTHELIAL GROWTH FACTOR INHIB REC-MC ANTIBODY - DRUGS FOR CANCER AVASTIN INTRAVENOUS SOLUTION (bevacizumab) 3 PA; SP MVASI INTRAVENOUS SOLUTION (bevacizumab-awwb) 3 PA; SP ANTINEOPLASIC-EPIDERM.GROWTH FACTOR-EGFR (ERBB1),HER-2 (ERBB2)R.INHIB - DRUGS FOR CANCER TYKERB ORAL TABLET (lapatinib) 2; OC PA; SP; QL (6 tablet per 1 day) ANTINEOPLASTIC - CYP17 (17 ALPHA-HYDROXYLASE/C17,20- LYASE) INHIBITOR - DRUGS FOR CANCER abiraterone oral tablet 1 or 1b*; OC PA; SP; QL (4 tablet per 1 day) YONSA ORAL TABLET (abiraterone) 3; OC PA; SP; QL (4 tablets per 1 day) ZYTIGA ORAL TABLET 250 MG (abiraterone) 3; OC PA; SP; QL (4 tablet per 1 day) ZYTIGA ORAL TABLET 500 MG (abiraterone) 2; OC PA; SP; QL (2 tablets per 1 day) ANTINEOPLASTIC - 1ST GENERATION EGFR TYROSINE KINASE INHIBITOR - DRUGS FOR CANCER erlotinib oral tablet 100 mg, 150 mg 1 or 1b*; OC PA; SP; QL (1 tablet per 1 day) erlotinib oral tablet 25 mg 1 or 1b*; OC PA; SP; QL (3 tablets per 1 day) BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 43 Coverage Requirements and Prescription Drug Name Drug Tier Limits IRESSA ORAL TABLET (gefitinib) 2; OC PA; LD; SP; QL (1 tablet per 1 day) TARCEVA ORAL TABLET 100 MG, 150 MG (erlotinib) 2; OC PA; SP; QL (1 tablet per 1 day) TARCEVA ORAL TABLET 25 MG (erlotinib) 2; OC PA; SP; QL (3 tablets per 1 day) ANTINEOPLASTIC - 2ND GENERATION EGFR TYROSINE KINASE INHIBITOR - DRUGS FOR CANCER GILOTRIF ORAL TABLET (afatinib) 3; OC PA; LD; SP; QL (1 tablet per 1 day) PA; LD; SP; QL (6 tablets per 1 NERLYNX ORAL TABLET (neratinib) 3; OC day) VIZIMPRO ORAL TABLET (dacomitinib) 3; OC PA; SP; QL (1 tablet per 1 day) ANTINEOPLASTIC - 3RD GENERATION EGFR TYROSINE KINASE INHIBITOR - DRUGS FOR CANCER PA; LD; SP; QL (2 tablets per 1 TAGRISSO ORAL TABLET 40 MG (osimertinib) 3; OC day) TAGRISSO ORAL TABLET 80 MG (osimertinib) 3; OC PA; LD; SP; QL (1 tablet per 1 day) ANTINEOPLASTIC - ALKYLATING AGENT - ALKYL SULFONATES - DRUGS FOR CANCER busulfan intravenous solution 1 or 1b* SP BUSULFEX INTRAVENOUS SOLUTION (busulfan) 3 SP MYLERAN ORAL TABLET (busulfan) 2; OC ANTINEOPLASTIC - ALKYLATING AGENT - ETHYLENIMINES AND METHYLMELAMINES - DRUGS FOR CANCER TEPADINA INJECTION RECON SOLN (thiotepa) 3 SP thiotepa injection recon soln 1 or 1b* SP ANTINEOPLASTIC - ALKYLATING AGENT - METHYLHYDRAZINES - DRUGS FOR CANCER MATULANE ORAL CAPSULE (procarbazine) 2; OC LD ANTINEOPLASTIC - ALKYLATING AGENT - NITROGEN MUSTARD WITH RESCUE AGENT - DRUGS FOR CANCER ifosfamide-mesna intravenous kit 1 or 1b* SP ANTINEOPLASTIC - ALKYLATING AGENT - NITROGEN MUSTARDS - DRUGS FOR CANCER ALKERAN (AS HCL) INTRAVENOUS RECON SOLN (melphalan) 3 SP ALKERAN ORAL TABLET (melphalan) 3; OC SP cyclophosphamide intravenous recon soln 1 or 1b* SP CYCLOPHOSPHAMIDE ORAL CAPSULE (cyclophosphamide) 3; OC SP EVOMELA INTRAVENOUS RECON SOLN (melphalan) 3 SP IFEX INTRAVENOUS RECON SOLN (ifosfamide) 3 SP ifosfamide intravenous recon soln 1 gram 1 or 1b* SP IFOSFAMIDE INTRAVENOUS RECON SOLN 3 GRAM 3 SP ifosfamide intravenous solution 1 or 1b* SP LEUKERAN ORAL TABLET (chlorambucil) 2; OC melphalan hcl intravenous recon soln 1 or 1b* SP BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 44 Coverage Requirements and Prescription Drug Name Drug Tier Limits melphalan oral tablet 1 or 1b*; OC SP ANTINEOPLASTIC - ALKYLATING AGENT - NITROSOUREAS - DRUGS FOR CANCER BICNU INTRAVENOUS RECON SOLN (carmustine) 3 SP carmustine intravenous recon soln 1 or 1b* SP GLEOSTINE ORAL CAPSULE (lomustine) 3; OC PA GLIADEL WAFER IMPLANT WAFER (carmustine) 3 ANTINEOPLASTIC - ALKYLATING AGENT - OTHER - DRUGS FOR CANCER BELRAPZO INTRAVENOUS SOLUTION (bendamustine) 3 PA; SP BENDAMUSTINE INTRAVENOUS SOLUTION 3 PA; SP BENDEKA INTRAVENOUS SOLUTION (bendamustine) 3 PA; SP TREANDA INTRAVENOUS RECON SOLN (bendamustine) 3 PA; SP ANTINEOPLASTIC - ALKYLATING AGENT - TETRAHYDROISOQUINOLINES - DRUGS FOR CANCER YONDELIS INTRAVENOUS RECON SOLN (trabectedin) 3 ANTINEOPLASTIC - ALKYLATING AGENT - TRIAZENES - DRUGS FOR CANCER dacarbazine intravenous recon soln 1 or 1b* SP TEMODAR INTRAVENOUS RECON SOLN (temozolomide) 2 PA; SP TEMODAR ORAL CAPSULE 100 MG, 140 MG, 180 MG, 250 MG 3; OC PA; SP; QL (2 capsules per 1 day) (temozolomide) TEMODAR ORAL CAPSULE 20 MG (temozolomide) 3; OC PA; SP; QL (4 capsule per 1 day) TEMODAR ORAL CAPSULE 5 MG (temozolomide) 3; OC PA; SP; QL (3 capsule per 1 day) temozolomide oral capsule 100 mg, 140 mg, 180 mg, 250 mg 1 or 1b*; OC PA; SP; QL (2 capsules per 1 day) temozolomide oral capsule 20 mg 1 or 1b*; OC PA; SP; QL (4 capsule per 1 day) temozolomide oral capsule 5 mg 1 or 1b*; OC PA; SP; QL (3 capsule per 1 day) ANTINEOPLASTIC - ANAPLASTIC LYMPHOMA KINASE (ALK) INHIBITORS - DRUGS FOR CANCER PA; LD; SP; QL (8 capsule per 1 ALECENSA ORAL CAPSULE (alectinib) 3; OC day) ALUNBRIG ORAL TABLET 180 MG (brigatinib) 3; OC PA; LD; SP; QL (1 tablet per 1 day) PA; LD; SP; QL (6 tablets per 1 ALUNBRIG ORAL TABLET 30 MG (brigatinib) 3; OC day) PA; LD; SP; QL (2 tablets per 1 ALUNBRIG ORAL TABLET 90 MG (brigatinib) 3; OC day) PA; LD; SP; QL (1 pack per 30 ALUNBRIG ORAL TABLETS,DOSE PACK (brigatinib) 3; OC days) LORBRENA ORAL TABLET 100 MG (lorlatinib) 3; OC PA; SP; QL (1 tablet per 1 day) LORBRENA ORAL TABLET 25 MG (lorlatinib) 3; OC PA; SP; QL (3 tablets per 1 day) XALKORI ORAL CAPSULE (crizotinib) 2; OC PA; SP; QL (2 capsules per 1 day) ZYKADIA ORAL CAPSULE (ceritinib) 3; OC PA; SP; QL (3 capsules per 1 day)

BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 213 Coverage Requirements and Prescription Drug Name Drug Tier Limits IMMUNOSUPPRESSIVE - INOSINE MONOPHOSPHATE DEHYDROGENASE INHIBITORS - DRUGS FOR ORGAN TRANSPLANTS CELLCEPT INTRAVENOUS INTRAVENOUS RECON SOLN 3 SP (mycophenolic acid) CELLCEPT ORAL CAPSULE (mycophenolic acid) 2 SP CELLCEPT ORAL SUSPENSION FOR RECONSTITUTION 2 SP (mycophenolic acid) CELLCEPT ORAL TABLET (mycophenolic acid) 2 SP mycophenolate mofetil hcl intravenous recon soln 1 or 1b* SP mycophenolate mofetil oral capsule 1 or 1b* SP mycophenolate mofetil oral suspension for reconstitution 1 or 1b* SP mycophenolate mofetil oral tablet 1 or 1b* SP mycophenolate sodium oral tablet,delayed release (dr/ec) 1 or 1b* SP MYFORTIC ORAL TABLET,DELAYED RELEASE (DR/EC) 3 SP (mycophenolic acid) IMMUNOSUPPRESSIVE - MAMMALIAN TARGET OF RAPAMYCIN (MTOR) INHIBITORS - DRUGS FOR ORGAN TRANSPLANTS RAPAMUNE ORAL SOLUTION (sirolimus) 3 SP RAPAMUNE ORAL TABLET (sirolimus) 2 SP sirolimus oral solution 1 or 1b* SP sirolimus oral tablet 1 or 1b* SP ZORTRESS ORAL TABLET (everolimus) 2 SP IMMUNOSUPPRESSIVE - MONOCLONAL ANTIBODIES - DRUGS FOR ORGAN TRANSPLANTS SIMULECT INTRAVENOUS RECON SOLN (basiliximab) 3 SP IMMUNOSUPPRESSIVE - MONOCLONAL ANTIBODY INHIB. T LYMPHOCYTE FUNCTION - DRUGS FOR ORGAN TRANSPLANTS SIMULECT INTRAVENOUS RECON SOLN (basiliximab) 3 SP IMMUNOSUPPRESSIVE - PURINE ANALOGS - DRUGS FOR ORGAN TRANSPLANTS AZASAN ORAL TABLET (azathioprine) 2 azathioprine oral tablet 1 or 1b* AZATHIOPRINE SODIUM INJECTION RECON SOLN 3 IMURAN ORAL TABLET (azathioprine) 3 IMMUNOSUPPRESSIVE - SELECTIVE T-CELL COSTIMULATION BLOCKER - DRUGS FOR ORGAN TRANSPLANTS NULOJIX INTRAVENOUS RECON SOLN (belatacept) 3 PA; SP LOCOMOTOR SYSTEM - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES AGENTS TO TREAT PERIODIC PARALYSIS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES KEVEYIS ORAL TABLET (dichlorphenamide) 3 PA; LD; QL (4 tablet per 1 day) BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 214 Coverage Requirements and Prescription Drug Name Drug Tier Limits ALS AGENT - BENZATHIAZOLES - DRUGS FOR NERVES AND MUSCLES RILUTEK ORAL TABLET (riluzole) 3 SP riluzole oral tablet 1 or 1b* SP TIGLUTIK ORAL SUSPENSION (riluzole) 3 SP ANTIMYASTHENIC AGENT - REVERSIBLE CHOLINESTERASE INHIBITORS - DRUGS FOR NERVES AND MUSCLES BLOXIVERZ INTRAVENOUS SOLUTION (neostigmine) 3 MESTINON ORAL SYRUP (pyridostigmine) 3 MESTINON ORAL TABLET (pyridostigmine) 3 MESTINON TIMESPAN ORAL TABLET EXTENDED RELEASE 3 (pyridostigmine) NEOSTIGMINE METHYLSULFATE INTRAVENOUS SOLUTION 3 NEOSTIGMINE METHYLSULFATE INTRAVENOUS SYRINGE 3 (neostigmine) pyridostigmine bromide oral syrup 1 or 1b* PYRIDOSTIGMINE BROMIDE ORAL TABLET 30 MG (pyridostigmine) 3 pyridostigmine bromide oral tablet 60 mg 1 or 1b* pyridostigmine bromide oral tablet extended release 1 or 1b* REGONOL INJECTION SOLUTION (pyridostigmine) 3 ANTIMYASTHENIC AGENTS OTHER - DRUGS FOR NERVES AND MUSCLES GUANIDINE ORAL TABLET (guanidine) 3 DUCHENNE MUSCULAR DYSTROPHY - EXON SKIPPING ANTISENSE OLIGONUCLEOTIDE - DRUGS FOR NERVES AND MUSCLES EXONDYS 51 INTRAVENOUS SOLUTION (eteplirsen) 3 PA; LD MUSCULOSKELETAL THERAPY AGENT - VISCOSUPPLEMENTS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES DUROLANE INTRA-ARTICULAR SYRINGE (hyaluronate sodium, 3 PA; SP stabilized) EUFLEXXA INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP GEL-ONE INTRA-ARTICULAR SYRINGE (hyaluronate sodium, cross- 3 PA; SP linked) GELSYN-3 INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP GENVISC 850 INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP HYALGAN INTRA-ARTICULAR SOLUTION (hyaluronic acid) 3 PA; SP HYALGAN INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP HYMOVIS INTRA-ARTICULAR SYRINGE (hyaluronate sodium, 3 PA; SP modified, non-crosslinked) MONOVISC INTRA-ARTICULAR SYRINGE (hyaluronate sodium, 3 PA; SP stabilized) ORTHOVISC INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 215 Coverage Requirements and Prescription Drug Name Drug Tier Limits SODIUM HYALURONATE (VISCOSUP) INTRA-ARTICULAR 3 PA; SP SYRINGE SUPARTZ FX INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP SYNVISC INTRA-ARTICULAR SYRINGE (hylan g-f 20) 3 PA; SP SYNVISC-ONE INTRA-ARTICULAR SYRINGE (hylan g-f 20) 3 PA; SP TRIVISC INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP VISCO-3 INTRA-ARTICULAR SYRINGE (hyaluronic acid) 3 PA; SP MUSCULOSKELETAL TX AGENT-JOINT CONTRACTURE THERAPY, COLLAGENASE ENZYME - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES XIAFLEX INJECTION RECON SOLN (collagenase clostridium 3 PA; LD histolyticum) NEUROMUSCULAR BLOCKER - DEPOLARIZING AGENTS - DRUGS FOR NERVES AND MUSCLES ANECTINE INJECTION SOLUTION (succinylcholine) 3 QUELICIN INJECTION SOLUTION (succinylcholine) 3 succinylcholine chloride injection solution 1 or 1b* SUCCINYLCHOLINE CHLORIDE INTRAVENOUS SYRINGE 3 (succinylcholine) SUCCINYLCHOLINE-SOD CL,ISO(PF) INTRAVENOUS SYRINGE 3 (succinylcholine) NEUROMUSCULAR BLOCKER - NEUROTOXINS - DRUGS FOR NERVES AND MUSCLES BOTOX COSMETIC INTRAMUSCULAR RECON SOLN 3 PA; SP (onabotulinumtoxina) BOTOX INJECTION RECON SOLN (onabotulinumtoxina) 3 PA; SP DYSPORT INTRAMUSCULAR RECON SOLN (abobotulinumtoxina) 3 PA; LD; SP MYOBLOC INTRAMUSCULAR SOLUTION (rimabotulinumtoxinb) 3 PA; SP XEOMIN INTRAMUSCULAR RECON SOLN (incobotulinumtoxina) 3 PA; SP NEUROMUSCULAR BLOCKER - NONDEPOLARIZING AGENTS - DRUGS FOR NERVES AND MUSCLES atracurium intravenous solution 1 or 1b* cisatracurium intravenous solution 1 or 1b* NIMBEX INTRAVENOUS SOLUTION (cisatracurium) 3 pancuronium intravenous solution 1 or 1b* rocuronium intravenous solution 1 or 1b* ROCURONIUM INTRAVENOUS SYRINGE (rocuronium) 3 vecuronium bromide intravenous recon soln 1 or 1b* VECURONIUM IN STERILE WATER INTRAVENOUS SYRINGE 3 (vecuronium) SELECTIVE RELAXANT BINDING AGENT - MODIFIED GAMMA- CYCLODEXTRIN - DRUGS FOR NERVES AND MUSCLES BRIDION INTRAVENOUS SOLUTION (sugammadex) 3 BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 216 Coverage Requirements and Prescription Drug Name Drug Tier Limits SKELETAL MUSCLE RELAXANT - ANALGESIC SALICYLATE COMBINATIONS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES carisoprodol-aspirin oral tablet 1 or 1b* orphenadrine-asa-caffeine oral tablet 1 or 1b* orphenadrine-asa-caffeine (Orphengesic Forte Oral Tablet) 1 or 1b* SKELETAL MUSCLE RELAXANT - CENTRAL MUSCLE RELAXANTS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES baclofen intrathecal solution 1 or 1b* baclofen oral tablet 10 mg, 20 mg 1 or 1b* BACLOFEN ORAL TABLET 5 MG (baclofen) 3 carisoprodol oral tablet 1 or 1b* CHLORZOXAZONE ORAL TABLET 250 MG 3 CHLORZOXAZONE ORAL TABLET 375 MG, 750 MG 3 ST chlorzoxazone oral tablet 500 mg 1 or 1b* cyclobenzaprine oral tablet 1 or 1b* CYCLOTENS REFILL COMBO PACK (cyclobenzaprine) 3 CYCLOTENS STARTER COMBO PACK (cyclobenzaprine) 3 FEXMID ORAL TABLET (cyclobenzaprine) 3 ST GABLOFEN INTRATHECAL SOLUTION (baclofen) 3 GABLOFEN INTRATHECAL SYRINGE (baclofen) 3 LIORESAL INTRATHECAL SOLUTION (baclofen) 3 LORZONE ORAL TABLET (chlorzoxazone) 3 ST metaxalone (Metaxall Oral Tablet) 1 or 1b* metaxalone oral tablet 1 or 1b* ST methocarbamol injection solution 1 or 1b* methocarbamol oral tablet 1 or 1b* orphenadrine citrate injection solution 1 or 1b* orphenadrine citrate oral tablet extended release 1 or 1b* ROBAXIN INJECTION SOLUTION (methocarbamol) 3 ST ROBAXIN-750 ORAL TABLET (methocarbamol) 3 ST SKELAXIN ORAL TABLET (metaxalone) 3 ST SOMA ORAL TABLET (carisoprodol) 3 ST tizanidine oral capsule 1 or 1b* tizanidine oral tablet 1 or 1b* ZANAFLEX ORAL CAPSULE (tizanidine) 3 ST ZANAFLEX ORAL TABLET (tizanidine) 3 ST SKELETAL MUSCLE RELAXANT - DIRECT MUSCLE RELAXANTS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES DANTRIUM INTRAVENOUS RECON SOLN (dantrolene) 3 BRAND=Brand drug generic=generic drug *Your plan may include Tiers 1a/1b. Refer to your pharmacy benefit summary for more information Tier 1 or 1a*=Drugs with the lowest cost share Tier 1 or 1b*=drugs with a low cost share Tier 2=Drugs with a higher cost share than Tier 1 Tier 3=Drugs with the highest cost share $0=Preventive Drug DO=Dose Optimization LD=Limited Distribution OC=Oral Chemotherapy PA=Prior Authorization QL=Quantity Limit SP=Specialty Pharmacy ST=Step Therapy Effective 7/1/19 217 Coverage Requirements and Prescription Drug Name Drug Tier Limits DANTRIUM ORAL CAPSULE (dantrolene) 3 dantrolene oral capsule 1 or 1b* dantrolene (Revonto Intravenous Recon Soln) 1 or 1b* RYANODEX INTRAVENOUS SUSPENSION FOR RECONSTITUTION 3 (dantrolene) SKELETAL MUSCLE RELAXANT - OPIOID ANALGESIC COMBINATIONS - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES carisoprodol-asa-codeine oral tablet 1 or 1b* SKELETAL MUSCLE RELAXANT, SALICYLATE, AND OPIOID ANALGESIC COMB. - DRUGS FOR MUSCLES, LIGAMENTS, TENDONS, AND BONES carisoprodol-asa-codeine oral tablet 1 or 1b* MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT (DME) - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT MEDICAL SUPPLIES AND DME - BLOOD GLUCOSE TESTS - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT ACCU-CHEK AVIVA PLUS TEST STRP STRIP (blood sugar diagnostic) 2 QL (204 strips per 30 days) ACCU-CHEK COMPACT PLUS TEST STRIP (blood sugar diagnostic, 2 QL (204 strips per 30 days) drum-type) ACCU-CHEK GUIDE STRIP (blood sugar diagnostic) 2 QL (204 strips per 30 days) ACCU-CHEK SMARTVIEW TEST STRIP STRIP (blood sugar 2 QL (204 strips per 30 days) diagnostic) ACCUTREND GLUCOSE STRIP (blood sugar diagnostic) 2 QL (204 strips per 30 days) ONETOUCH ULTRA BLUE TEST STRIP STRIP (blood sugar diagnostic) 2 QL (204 strips per 30 days) ONETOUCH VERIO STRIP (blood sugar diagnostic) 2 QL (204 strips per 30 days) MEDICAL SUPPLIES AND DME - CERVICAL CAPS - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT FEMCAP VAGINAL DEVICE (cervical cap) 2; $0 MEDICAL SUPPLIES AND DME - CONCEPTION ASSISTANCE SUPPLIES - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT CONCEPTION KIT (conception assistance supplies combination no.1) 3 MEDICAL SUPPLIES AND DME - DENTAL SUPPLIES OTHER - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT Q-CARE RX Q2 KIT (dental suction device) 3 Q-CARE RX Q4 KIT (dental suction device) 3 MEDICAL SUPPLIES AND DME - DIAPHRAGMS - MEDICAL SUPPLIES AND DURABLE MEDICAL EQUIPMENT CAYA CONTOURED VAGINAL DIAPHRAGM (diaphragms, contoured) 2; $0 WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM (diaphragms, 2; $0 wide seal)

267 ALLERGENIC EXTRACT-FOOD- ALTAFLUOR BENOX...... 248 ammonium lactate...... 141 CORN...... 153 Altavera (28)...... 126 AMMONUL...... 239 ALLERGENIC EXTRACT-FOOD- ALTERNATE SITE LANCET. 219, 229 Amnesteem...... 131 CRAB...... 153 ALTOPREV...... 80 amoxapine...... 104 ALLERGENIC EXTRACT-FOOD- ALTRENO...... 134 amoxicil-clarithromy-lansopraz...... 198 EGG...... 153 ALUNBRIG...... 45 amoxicillin...... 24 ALLERGENIC EXTRACT-FOOD- Alyacen 1/35 (28)...... 126 amoxicillin-pot clavulanate...... 24 OATS...... 153 alyacen 7/7/7 (28)...... 130 AMPHADASE...... 189 ALLERGENIC EXTRACT-FOOD- Alyq...... 93 amphetamine sulfate...... 109, 115, 120 ORANGE...... 153 ALZAIR...... 262 amphotericin b...... 26 ALLERGENIC EXTRACT-FOOD- Amabelz...... 179 ampicillin...... 24 PEANUT...... 154 amantadine hcl...... 105 ampicillin sodium...... 24 ALLERGENIC EXTRACT-FOOD- AMARYL...... 175 ampicillin-sulbactam...... 24 PECAN...... 154 AMBIEN...... 121 AMPYRA...... 243 ALLERGENIC EXTRACT-FOOD- AMBIEN CR...... 121 AMVISC...... 249 PORK...... 154 AMBISOME...... 26 AMVISC PLUS...... 249 ALLERGENIC EXTRACT-FOOD- ambrisentan...... 93 AMYTAL...... 120 RICE...... 154 amcinonide...... 142 ANADROL-50...... 173 ALLERGENIC EXTRACT-FOOD- AMELUZ...... 148 ANAFRANIL...... 104 SHRIMP...... 154 AMERGE...... 117 anagrelide...... 211 ALLERGENIC EXTRACT- Amethia...... 126 ANALPRAM-HC...... 21, 145 MOSQUITO...... 60 amethia lo...... 126 ANAPROX DS...... 15 ALLERGENIC EXTRACT- Amethyst (28)...... 126 ANASCORP...... 65 PISTACHIO...... 154 AMICAR...... 206, 207 ANASPAZ...... 194, 202 ALLERGENIC EXTRACT- AMIDATE...... 18 anastrozole...... 48 SESAME SEED...... 154 amifostine crystalline...... 59 ANAVIP...... 65 ALLERGENIC EXTRACT- amikacin...... 23 ANCOBON...... 27 STRAWBERRY...... 154 amiloride...... 90 ANDEXXA...... 21 ALLERGENIC EXT-RHIZOPUS amiloride-hydrochlorothiazide...... 90 ANDRODERM...... 173 ORYZAE...... 62 aminocaproic acid...... 207 ANDROGEL...... 173 ALLERGENIC XT-EPICOCCUM aminophylline...... 257 ANDROID...... 173 NIGRUM...... 62 AMINOPHYLLINE...... 257 ANECTINE...... 216 ALLERGENIC XT-MOUSE AMINOPROTECT...... 162 ANESTHESIA S/I-40 (PROPOFOL). 18 EPITHELIUM...... 63 AMINOSYN 10 %...... 163 ANESTHESIA S/I-40A ALLERGEN-WEED- AMINOSYN 7 % WITH (PROPOFOL)...... 18 LAMBSQUARTERS...... 63 ELECTROLYTES...... 163 ANESTHESIA S/I-40H ALLERGN EXT-MOUNT.CEDAR AMINOSYN 8.5 %...... 163 (PROPOFOL)...... 18 POLLEN...... 65 AMINOSYN 8.5 %- ANESTHESIA S/I-40S ALLERGN XT-RED MULBERRY ELECTROLYTES...... 163 (PROPOFOL)...... 18 POLLEN...... 65 AMINOSYN II 10 %...... 163 ANGELIQ...... 179 ALLERGN XT-WHT MULBERRY AMINOSYN II 15 %...... 163 ANGIOMAX...... 212 POLLEN...... 65 AMINOSYN II 7 %...... 163 ANNOVERA...... 131 allopurinol...... 203 AMINOSYN II 8.5 %...... 163 ANORO ELLIPTA...... 259 allopurinol sodium...... 203 AMINOSYN II 8.5 %- ANTABUSE...... 123 ALLZITAL...... 10 ELECTROLYTES...... 163 ANTICOAG CITRATE PHOS almotriptan malate...... 117 AMINOSYN M 3.5 %...... 163 DEXTROSE...... 203 ALOCRIL...... 248 AMINOSYN-HBC 7%...... 163 ANTIVENIN LATRODECTUS ALOGLIPTIN-PIOGLITAZONE....176 AMINOSYN-PF 10 %...... 163 MACTANS...... 65 ALOMIDE...... 248 AMINOSYN-PF 7 % (SULFITE- ANTIVENIN, MICRURUS ALOPRIM...... 203 FREE)...... 163 FULVIUS...... 65 ALORA...... 179 AMINOSYN-RF 5.2 %...... 163 Anusol-Hc...... 21, 142 alosetron...... 195, 197 amiodarone...... 78 APADAZ...... 8 ALOXI...... 191 AMIODARONE IN DEXTROSE 5 apexicon e...... 142 ALPHAGAN P...... 251 %...... 78 APLENZIN...... 103 ALPHANATE...... 205 AMITIZA...... 195, 197 APLIGRAF...... 152 ALPHANINE SD...... 205 amitriptyline...... 103 APLISOL...... 152 alprazolam...... 94, 111 amitriptyline-chlordiazepoxide.... 103, 111 APOKYN...... 105 ALPRAZOLAM INTENSOL..... 94, 111 amlodipine...... 85 apraclonidine...... 251 ALPROLIX...... 205 amlodipine-atorvastatin...... 81 aprepitant...... 191 alprostadil...... 91 amlodipine-benazepril...... 72 Apri...... 126 ALREX...... 245 amlodipine-olmesartan...... 74 APRISO...... 195 ALTABAX...... 135 amlodipine-valsartan...... 74 APTENSIO XR...... 109 ALTACE...... 73 amlodipine-valsartan-hcthiazid...... 74 APTIOM...... 97 268 APTIVUS...... 41 atenolol...... 82 AZATHIOPRINE SODIUM...... 13, 214 aqua care sodium chloride...... 157 atenolol-chlorthalidone...... 86 AZEDRA DOSIMETRIC...... 55 aqua care sterile water...... 157 ATGAM...... 68 AZEDRA THERAPEUTIC...... 55 AQUASOL A...... 171 ATIVAN...... 94, 111, 121 azelaic acid...... 132, 149 AQUORAL...... 241 atomoxetine...... 111 azelastine...... 245, 261 ARAKODA...... 27 ATOPADERM...... 140 AZELEX...... 132, 149 ARALAST NP...... 261 ATOPICLAIR...... 140 AZILECT...... 105 aranelle (28)...... 130 atorvastatin...... 80 azithromycin...... 39 ARANESP (IN POLYSORBATE)....204 atovaquone...... 28 AZOPT...... 247 ARAVA...... 14 atovaquone-proguanil...... 27 AZOR...... 74 ARCALYST...... 11 atracurium...... 216 aztreonam...... 40 ARCAPTA NEOHALER...... 258 ATRALIN...... 134 AZULFIDINE...... 14, 195 ARGATROBAN...... 212 ATRAPRO DERMAL SPRAY...... 152 AZULFIDINE EN-TABS...... 13, 195 ARGATROBAN IN 0.9 % SOD ATRIPLA...... 31 Azurette (28)...... 126 CHLOR...... 212 ATROPEN...... 91 Baciim...... 41 ARGATROBAN IN NACL (ISO- atropine...... 91, 194 bacitracin...... 41, 250 OS)...... 212 ATROPINE...... 194, 245 bacitracin-polymyxin b...... 249 ARGININE-LYSINE IN 0.9 % ATROPINE IN 0.9 % SOD baclofen...... 217 NACL...... 162 CHLORIDE...... 91, 245 BACLOFEN...... 217 ARICEPT...... 124 ATROVENT HFA...... 258 BACTERIOSTATIC ARIKAYCE...... 23 AUBAGIO...... 243 WATER(PARABENS)...... 124 ARIMIDEX...... 48 Aubra...... 126 BACTRIM...... 25 aripiprazole...... 109, 113 Aubra Eq...... 126 BACTRIM DS...... 25 ARISTADA...... 109 AUGMENTIN...... 24 BAL IN OIL...... 23 ARISTADA INITIO...... 109 AUGMENTIN ES-600...... 24 Balanced Salt...... 248 ARISTOSPAN INTRA- AUGMENTIN XR...... 25 BAL-CARE DHA...... 166 ARTICULAR...... 181 aurovela 1.5/30 (21)...... 126 BAL-CARE DHA ESSENTIAL...... 165 ARISTOSPAN INTRALESIONAL..181 Aurovela 1/20 (21)...... 126 BALCOLTRA...... 127 ARIXTRA...... 209 Aurovela 24 Fe...... 126 balsalazide...... 195 armodafinil...... 119 aurovela fe 1.5/30 (28)...... 127 BALSAM PERU-CASTOR OIL...... 152 ARMOUR THYROID...... 188 Aurovela Fe 1-20 (28)...... 127 BALVERSA...... 49 ARNUITY ELLIPTA...... 256 AURYXIA...... 159, 199, 200 balziva (28)...... 127 AROMASIN...... 48 AUSTEDO...... 118, 119 BANZEL...... 100 ARRANON...... 47 AUTOLET IMPRESSION LANC BAQSIMI...... 173 ARSENIC TRIOXIDE...... 48 DEV...... 219, 229 BARACLUDE...... 36 ARTHROTEC 50...... 14 AVAGE...... 148 BAVENCIO...... 57 ARTHROTEC 75...... 14 AVALIDE...... 75 BAXDELA...... 35 ARTICADENT DENTAL...... 20, 240 AVANDIA...... 185 BCG VACCINE, LIVE (PF)...... 68, 70 ARTISS...... 149 AVAPRO...... 75, 76 BD AUTOSHIELD DUO PEN ARZERRA...... 48 AVASTIN...... 43 NEEDLE...... 223, 229 ASACOL HD...... 195 AVC VAGINAL...... 264 BD ECLIPSE LUER-LOK...... 223, 229 ASCLERA...... 93 AVEED...... 173 BD INSULIN SYRINGE...... 223, 229 Ascomp With Codeine...... 7 AVELOX IN NACL (ISO- BD INSULIN SYRINGE HALF ASCOR...... 172 OSMOTIC)...... 35 UNIT...... 223, 229 ascorbic acid (vitamin c)...... 172 AVENOVA...... 141 BD INSULIN SYRINGE MICRO- Ashlyna...... 126 Aviane...... 127 FINE...... 223, 229 aspirin-dipyridamole...... 211 Avidoxy...... 42 BD INSULIN SYRINGE SAFETY- ASPIRIN-OMEPRAZOLE...... 211 avita...... 134 LOK...... 223, 229 ASSURE HAEMOLANCE PLUS AVITA...... 134 BD INSULIN SYRINGE SLIP TIP ...... 219, 229 AVITENE...... 207 ...... 223, 229 ASSURE ID INSULIN SAFETY AVITENE FLOUR...... 207 BD INSULIN SYRINGE U-500 223, 229 ...... 223, 229 AVO CREAM...... 140 BD INSULIN SYRINGE ULTRA- ASSURE ID PEN NEEDLE...... 223, 229 AVODART...... 200 FINE...... 223, 229 ASSURE LANCE...... 219, 229 AVONEX...... 242 BD LO-DOSE MICRO-FINE IV ASSURE LANCE PLUS...... 219, 229 AVONEX (WITH ALBUMIN)...... 242 ...... 223, 229 ASTAGRAF XL...... 213 AVYCAZ...... 32 BD LO-DOSE ULTRA-FINE....224, 229 ASTEPRO...... 261 AYGESTIN...... 187 BD MICROTAINER LANCET 219, 229 ASTERO...... 147, 148 Ayuna...... 127 BD NANO 2ND GEN PEN NEEDLE ASTRAMORPH-PF...... 3 azacitidine...... 47 ...... 224, 229 ATACAND...... 75 AZACTAM...... 40 bd posiflush normal saline 0.9..... 170, 171 ATACAND HCT...... 75 AZASAN...... 13, 214 bd pre-filled normal saline...... 170, 171 atazanavir...... 41 AZASITE...... 250 bd pre-filled saline blunt can...... 170, 171 ATELVIA...... 178 azathioprine...... 13, 214 269 BD SAFETYGLIDE INSULIN BETAPACE...... 78, 83 BREVITAL...... 17 SYRINGE...... 224, 229 BETAPACE AF...... 78, 83 BRIDION...... 216 BD SAFETYGLIDE SYRINGE224, 229 BETASERON...... 242 briellyn...... 127 BD ULTRA FINE LANCETS...219, 229 betaxolol...... 82, 247 BRILINTA...... 210 BD ULTRA-FINE II LANCETS bethanechol chloride...... 202 brimonidine...... 251 ...... 219, 229 BETHKIS...... 260 BRIMONIDINE-DORZOLAMIDE BD ULTRA-FINE MICRO PEN BETIMOL...... 247 (PF)...... 244 NEEDLE...... 224, 229 BETOPTIC S...... 247 BRISDELLE...... 186 BD ULTRA-FINE MINI PEN BEVACIZUMAB...... 248, 252 BRIVIACT...... 99 NEEDLE...... 224, 229 BEVESPI AEROSPHERE...... 259 Bromfed Dm...... 262 BD ULTRA-FINE NANO PEN BEVYXXA...... 204 bromfenac...... 246 NEEDLE...... 224, 229 bexarotene...... 55 bromocriptine...... 105 BD ULTRA-FINE ORIG PEN BEXSERO...... 70 brompheniramine-pseudoeph-dm...... 262 NEEDLE...... 224, 229 BEYAZ...... 127 BROMSITE...... 246 BD ULTRA-FINE SHORT PEN BIAFINE EMULSION...... 140 BROVANA...... 258 NEEDLE...... 224, 230 bicalutamide...... 46 BRYHALI...... 138, 142 BD VEO INSULIN SYR HALF BICILLIN C-R...... 41 BSS...... 248 UNIT...... 224, 230 BICILLIN L-A...... 40 BSS PLUS...... 248 BD VEO INSULIN SYRINGE UF BICNU...... 45 budesonide...... 196, 256 ...... 224, 230 BIDIL...... 94 BUFFERED LIDOCAINE...... 18 BEAU RX...... 148 BIJUVA...... 179 BULLSEYE MINI SAFETY BECONASE AQ...... 261 BIKTARVY...... 30 LANCETS...... 219, 230 Bekyree (28)...... 126 BILTRICIDE...... 25 bumetanide...... 89 BELBUCA...... 10 bimatoprost...... 151, 251 buminate 25 %...... 209 BELEODAQ...... 50 BINOSTO...... 178 buminate 5 %...... 209 BELRAPZO...... 45 BIOLON...... 249 BUNAVAIL...... 122 BELSOMRA...... 121 BIONECT...... 148 Bupap...... 10 BELVIQ...... 155 BIOTHRAX...... 70 BUPHENYL...... 239 BELVIQ XR...... 155 bisoprolol fumarate...... 82 bupivacaine...... 18 benazepril...... 73 bisoprolol-hydrochlorothiazide...... 86 bupivacaine (pf)...... 18 benazepril-hydrochlorothiazide...... 73 BIVALIRUDIN...... 212 BUPIVACAINE IN NACL(PF)...... 18 BENDAMUSTINE...... 45 BIVALIRUDIN-0.9 % SODIUM bupivacaine-dextrose-water(pf)...... 18 BENDEKA...... 45 CHLOR...... 212 bupivacaine-epinephrine...... 20 BENEFIX...... 205 BIVIGAM...... 66 bupivacaine-epinephrine (pf)...... 20 BENICAR...... 76 blanche...... 140 BUPIVACAINE-EPINEPHRINE BENICAR HCT...... 75 bleomycin...... 57 BITART...... 240 BENLYSTA...... 14 BLEPH-10...... 251 BUPIVACAINE-KETOROLAC- BENTYL...... 194 BLEPHAMIDE...... 244 KETAMINE...... 20 BENZACLIN...... 133 BLEPHAMIDE S.O.P...... 244 BUPRENEX...... 10 BENZACLIN PUMP...... 133 BLINCYTO...... 58 buprenorphine...... 10 BENZAMYCIN...... 133 Blisovi 24 Fe...... 127 BUPRENORPHINE...... 10 BENZHYDROCODONE- blisovi fe 1.5/30 (28)...... 127 buprenorphine hcl...... 10, 122 ACETAMINOPHEN...... 8 Blisovi Fe 1/20 (28)...... 127 buprenorphine-naloxone...... 122 BENZNIDAZOLE...... 28 BLOXIVERZ...... 215 bupropion hcl...... 103, 123 benzonatate...... 256 BOCASAL...... 241 BUPROPION HCL...... 103 benzphetamine...... 155 BONIVA...... 178 bupropion hcl (smoking deter)...... 123 benztropine...... 105 BONJESTA...... 190 buspirone...... 95 BERINERT...... 204 BOOSTRIX TDAP...... 69 busulfan...... 44 Beser...... 142 BORTEZOMIB...... 54 BUSULFEX...... 44 BESER KIT...... 145 bosentan...... 93 butalbital compound w/codeine...... 7 BESIVANCE...... 250 BOSULIF...... 54 butalbital-acetaminop-caf-cod...... 7 BESPONSA...... 46, 57 BOTOX...... 216 BUTALBITAL- BETADINE OPHTHALMIC PREP 251 BOTOX COSMETIC...... 216 ACETAMINOPHEN...... 10 BETAMETH AC,SOD PHOS(PF)- bp 10-1...... 133 butalbital-acetaminophen...... 10 WATER...... 181 BPCO...... 152 butalbital-acetaminophen-caff...... 10 BETAMETHASONE ACE,SOD BPO...... 133 butalbital-aspirin-caffeine...... 16 PHOS-WTR...... 181 BRAFTOVI...... 48 BUTALBITAL-ASPIRIN- betamethasone acet,sod phos...... 181 BRAVELLE...... 180 CAFFEINE...... 16 betamethasone dipropionate...... 142 BREO ELLIPTA...... 259 BUTISOL...... 121 BETAMETHASONE SOD BREVIBLOC...... 78, 82 butorphanol tartrate...... 10 PHOSPH-WATER...... 181 BREVIBLOC IN NACL (ISO-OSM) BUTRANS...... 10 betamethasone valerate...... 142 ...... 78, 82 BUTYLATED betamethasone, augmented...... 142 BREVICON (28)...... 127 HYDROXYTOLUENE...... 124 270 BYDUREON...... 176 carboplatin...... 53 cefoxitin...... 33 BYDUREON BCISE...... 176 CARBOPROST TROMETHAMINE CEFOXITIN IN DEXTROSE, ISO- BYETTA...... 176 ...... 172 OSM...... 33 BYSTOLIC...... 82 CARDENE IV...... 85 cefpodoxime...... 33 cabergoline...... 187 CARDENE IV IN DEXTROSE...... 85 cefprozil...... 33 CABLIVI...... 203 CARDENE IV IN SODIUM ceftazidime...... 34 CABOMETYX...... 52 CHLORIDE...... 85 CEFTAZIDIME IN D5W...... 33 CADEAU DHA...... 166 CARDIZEM...... 84 ceftriaxone...... 34 CADUET...... 81 CARDIZEM CD...... 83 CEFTRIAXONE...... 34 CAFCIT...... 115 CARDIZEM LA...... 83, 84 CEFTRIAXONE IN CAFERGOT...... 117 CARDURA...... 91 DEXTROSE,ISO-OS...... 34 caffeine citrate...... 115 CARDURA XL...... 92 CEFUROXIME (PF) IN 0.9% CALAN...... 79, 86 CAREFINE PEN NEEDLE...... 224, 230 NACL...... 250 CALAN SR...... 86 CAREONE ULTRA THIN cefuroxime axetil...... 33 calcipotriene...... 138, 139 LANCET...... 219, 230 cefuroxime sodium...... 33 calcipotriene-betamethasone...... 134 CARETOUCH PEN NEEDLE..224, 230 CELEBREX...... 14 calcitonin (salmon)...... 179 CARETOUCH TWIST LANCET celecoxib...... 14 Calcitrene...... 139 ...... 219, 230 CELESTONE SOLUSPAN...... 181 calcitriol...... 139, 172, 238 carisoprodol...... 217 CELEXA...... 100 calcium acetate...... 158, 199 carisoprodol-asa-codeine...... 218 CELLCEPT...... 13, 214 calcium chloride...... 158 carisoprodol-aspirin...... 217 CELLCEPT INTRAVENOUS....13, 214 CALCIUM CHLORIDE...... 158 carmustine...... 45 CELLUGEL...... 249 CALCIUM DISODIUM CARNITOR...... 239 CELLULOSE (BULK)...... 124 VERSENATE...... 23 CARNITOR (SUGAR-FREE)...... 238 CELONTIN...... 99 CALCIUM GLUC IN NACL, ISO- CAROSPIR...... 89 CENTANY...... 135 OSM...... 158 carteolol...... 247 CENTANY AT...... 135 calcium gluconate...... 158 Cartia Xt...... 84 centergy...... 254 CALCIUM GLUCONATE IN 0.9% carvedilol...... 74 centergy dm...... 262 NACL...... 158 carvedilol phosphate...... 74 cephalexin...... 33 CALCIUM GLUCONATE IN CASODEX...... 46 CEPROTIN (BLUE BAR)...... 212 WATER...... 158 CASPOFUNGIN...... 26 CEPROTIN (GREEN BAR)...... 212 CALCIUM PNV...... 166 CAT HAIR STD ALLERGENIC CERAMAX...... 140 CALDOLOR...... 15 EXT...... 60 CERDELGA...... 239 CALQUENCE...... 48, 54 CATAPRES...... 88 CEREBYX...... 97 CAMBIA...... 15, 16, 117 CATAPRES-TTS-1...... 88 CEREZYME...... 237 Camila...... 130 CATAPRES-TTS-2...... 88 CERVIDIL...... 173 CAMPTOSAR...... 56 CATAPRES-TTS-3...... 88 CESAMET...... 114, 190 camrese...... 126 CATHFLO ACTIVASE...... 212 cetirizine...... 255 camrese lo...... 126 CAVERJECT...... 154 CETRAXAL...... 252 CANASA...... 195 CAVERJECT IMPULSE...... 154 CETROTIDE...... 186 CANCIDAS...... 26 CAYA CONTOURED...... 218, 230 cevimeline...... 242 candesartan...... 76 CAYSTON...... 260 CHANTIX...... 123 candesartan-hydrochlorothiazid...... 75 caziant (28)...... 130 CHANTIX CONTINUING MONTH CANDIN...... 60 cefaclor...... 33 BOX...... 123 CAPASTAT...... 31 CEFACLOR...... 33 CHANTIX STARTING MONTH CAPCOF...... 263 cefadroxil...... 32, 33 BOX...... 123 capecitabine...... 47 cefazolin...... 33 Chateal (28)...... 127 CAPEX...... 142 CEFAZOLIN...... 33 Chateal Eq (28)...... 127 CAPHOSOL...... 241 CEFAZOLIN IN DEXTROSE (ISO- CHEMET...... 23 CAPRELSA...... 54 OS)...... 33 CHENODAL...... 192 captopril...... 73 CEFAZOLIN IN STERILE WATER 33 chloramphenicol sod succinate...... 34 captopril-hydrochlorothiazide...... 73 cefdinir...... 33 chlordiazepoxide hcl...... 94, 111 CARAC...... 138 cefditoren pivoxil...... 33 chlordiazepoxide-clidinium...... 111, 194 CARAFATE...... 198 cefepime...... 34 chlorhexidine gluconate...... 241 CARBAGLU...... 239 CEFEPIME IN DEXTROSE 5 %...... 34 chloroprocaine (pf)...... 20 carbamazepine...... 97, 112 CEFEPIME IN DEXTROSE,ISO- chloroquine phosphate...... 27 CARBATROL...... 97, 112 OSM...... 34 chlorothiazide...... 90 carbidopa...... 105 cefixime...... 33 chlorothiazide sodium...... 90 carbidopa-levodopa...... 104 CEFOTAN...... 33 CHLORPROMAZINE...... 107 carbidopa-levodopa-entacapone...... 104 cefotaxime...... 33 chlorpromazine...... 107 carbinoxamine maleate...... 254, 255 cefotetan...... 33 chlorpropamide...... 175 CARBOCAINE...... 19 CEFOTETAN IN DEXTROSE, ISO- chlorthalidone...... 90 CARBOCAINE (PF)...... 19 OSM...... 33 CHLORZOXAZONE...... 217 271 chlorzoxazone...... 217 CLIMARA PRO...... 179 CLOROTEKAL...... 20 CHOLBAM...... 192 clindamycin hcl...... 38 clotrimazole...... 137, 240 cholestyramine (with sugar)...... 79 CLINDAMYCIN IN 0.9 % SOD clotrimazole-betamethasone...... 137 cholestyramine light...... 79 CHLOR...... 38 clozapine...... 107 CHORIONIC GONADOTROPIN, clindamycin in 5 % dextrose...... 38 CLOZAPINE...... 107 HUMAN...... 183 clindamycin palmitate hcl...... 38 CLOZARIL...... 107 chromium chloride...... 162 Clindamycin Pediatric...... 38 C-NATE DHA...... 166 CIALIS...... 154, 200 clindamycin phosphate...... 38, 132, 264 COAGADEX...... 206 ciclopirox...... 136 clindamycin-benzoyl peroxide...... 133 COAGUCHEK LANCETS...... 220, 230 cidofovir...... 35 clindamycin-tretinoin...... 133 COAL TAR...... 147 cilostazol...... 211 CLINDESSE...... 264 COARTEM...... 27 CILOXAN...... 250 CLINIMIX 5%/D15W SULFITE COCAINE...... 261 CIMDUO...... 29 FREE...... 162 CODEINE SULFATE...... 3 cimetidine...... 193 CLINIMIX 5%/D25W SULFITE- CODEINE-GUAIFENESIN...... 264 cimetidine hcl...... 193 FREE...... 162 CODITUSSIN AC...... 264 cinacalcet...... 178 CLINIMIX 4.25%/D10W SULF CODITUSSIN DAC...... 263 CINQAIR...... 257 FREE...... 162 COGENTIN...... 105 CINRYZE...... 204 CLINIMIX 4.25%/D5W SULFIT COLAZAL...... 195 CINVANTI...... 191 FREE...... 162 COLCHICINE...... 203 CIPRO...... 35 CLINIMIX 4.25%-D25W SULF- COLCRYS...... 203 CIPRO HC...... 252 FREE...... 163 colesevelam...... 79 CIPRO IN D5W...... 35 CLINIMIX 5%-D20W(SULFITE- COLESTID...... 79 CIPRO XR...... 35, 201 FREE)...... 163 COLESTID FLAVORED...... 79 CIPRODEX...... 252 CLINIMIX E 2.75%/D10W SUL colestipol...... 79 ciprofloxacin...... 35 FREE...... 163, 165 colistin (colistimethate na)...... 41 ciprofloxacin (mixture)...... 35, 201 CLINIMIX E 2.75%/D5W SULF COLLATYL...... 152 ciprofloxacin hcl...... 35, 250, 252 FREE...... 163, 165 COLOR LANCETS...... 220, 230 ciprofloxacin in 5 % dextrose...... 35 CLINIMIX E 4.25%/D10W SUL COLY-MYCIN M PARENTERAL....41 cisatracurium...... 216 FREE...... 164, 165 COLY-MYCIN S...... 252 CISPLATIN...... 53 CLINIMIX E 4.25%/D25W SUL COLYTE WITH FLAVOR PACKS 197 cisplatin...... 53 FREE...... 164, 165 COMBIGAN...... 247 citalopram...... 100 CLINIMIX E 4.25%/D5W SULF COMBIPATCH...... 179 CITANEST FORTE DENTAL... 20, 240 FREE...... 164, 165 COMBIVENT RESPIMAT...... 259 CITANEST PLAIN DENTAL.... 19, 240 CLINIMIX E 5%/D15W SULFIT COMBIVIR...... 31 CITRANATAL (DUAL-IRON)...... 166 FREE...... 164, 165 COMETRIQ...... 52 CITRANATAL 90 DHA (ALGAL CLINIMIX E 5%/D20W SULFIT COMFORT EZ INSULIN OIL)...... 166 FREE...... 164, 165 SYRINGE...... 224, 230 CITRANATAL ASSURE...... 166 CLINIMIX E 5%/D25W SULFIT COMFORT EZ LANCETS...... 220, 230 CITRANATAL B-CALM (FE FREE...... 164, 165 COMFORT EZ PEN NEEDLES GLUC)...... 166 CLINIMIX N14G30E 4.25%-D15W ...... 224, 230 CITRANATAL BLOOM...... 159 SF...... 165 COMFORT LANCETS...... 220, 230 CITRANATAL DHA (ALGAL OIL) CLINIMIX N9G15E 2.75%-D7.5W COMPAZINE...... 107, 190 ...... 166 SF...... 165 COMPLERA...... 31 CITRANATAL HARMONY (IRON CLINIMIX N9G20E 2.75%- COMPLETE NATAL DHA...... 166 FUM)...... 166 D10W(SF)...... 164, 165 COMPLETENATE...... 166 cladribine...... 47 CLINISOL SF 15 %...... 164 Compro...... 190 CLAFORAN...... 34 clobazam...... 95, 111 COMTAN...... 105 Claravis...... 132 clobetasol...... 142 CONCEPT DHA...... 166 CLARINEX...... 255, 256 clobetasol-emollient...... 142 CONCEPT OB...... 166 CLARINEX-D 12 HOUR...... 254 CLOBEX...... 142 CONCEPTION...... 218, 230 clarithromycin...... 39 CLOCORTOLONE PIVALATE...... 143 CONCERTA...... 109 cleansing wash...... 133, 149 Clodan...... 143 CONDYLOX...... 146 clemastine...... 254, 255 CLODERM...... 143 Constulose...... 197 CLENPIQ...... 198 clofarabine...... 47 CONTRAVE...... 155 CLEOCIN...... 38, 264 CLOLAR...... 47 CONZIP...... 3 Cleocin...... 38 clomiphene citrate...... 180 COPAXONE...... 242 CLEOCIN HCL...... 38 clomipramine...... 104 COPIKTRA...... 53 CLEOCIN PEDIATRIC...... 38 clonazepam...... 94, 95, 111 copper chloride...... 162 CLEOCIN T...... 132 clonidine...... 88 CORDRAN...... 143 CLEVER CHEK LANCETS.....219, 230 clonidine (pf)...... 3 CORDRAN TAPE LARGE ROLL.. 143 CLEVIPREX...... 85 clonidine hcl...... 88, 109 COREG...... 74 CLICKFINE PEN NEEDLE.....224, 230 clopidogrel...... 211 COREG CR...... 74 CLIMARA...... 179 clorazepate dipotassium...... 94, 111 Coremino...... 42, 132 272 CORGARD...... 83 CYKLOKAPRON...... 207 DELSTRIGO...... 31 CORIFACT...... 206 CYMBALTA...... 102, 116 Deltasone...... 181 CORLANOR...... 91 CYPROHEPTADINE...... 255 DELUO...... 59, 152 CORLOPAM...... 91 cyproheptadine...... 255 Delyla (28)...... 127 Cormax...... 143 CYRAMZA...... 56 DELZICOL...... 195 CORTEF...... 181 Cyred...... 127 DEMADEX...... 89 CORTENEMA...... 196 Cyred Eq...... 127 demeclocycline...... 42 CORTIFOAM...... 196 CYSTADANE...... 239 DEMEROL...... 3 cortisone...... 181 CYSTAGON...... 199 DEMEROL (PF)...... 3 CORTISPORIN...... 136 CYSTARAN...... 247 DEMSER...... 92 CORTISPORIN-TC...... 252 cysteine (l-cysteine)...... 164 DENAVIR...... 139 CORTROSYN...... 153 cytarabine...... 47 dentagel...... 240 CORVERT...... 78 cytarabine (pf)...... 47 DEPACON...... 96 COSENTYX...... 135 CYTOGAM...... 66 DEPAKENE...... 96, 112 COSENTYX (2 SYRINGES)...... 135 CYTOMEL...... 189 DEPAKOTE...... 96, 113 COSENTYX PEN...... 135 CYTOTEC...... 193 DEPAKOTE ER...... 96, 112, 117 COSENTYX PEN (2 PENS)...... 135 CYTOVENE...... 34 DEPAKOTE SPRINKLES...... 96, 113 COSMEGEN...... 56 D.H.E.45...... 117 DEPEN TITRATABS...... 14, 22 COSOPT...... 247 d10 %-0.45 % sodium chloride...... 156 DEPO-ESTRADIOL...... 179 COSOPT (PF)...... 247 d2.5 %-0.45 % sodium chloride...... 156 DEPO-MEDROL...... 181 cosyntropin...... 153 d5 % and 0.9 % sodium chloride...... 156 DEPO-PROVERA...... 54, 125 COTELLIC...... 52 d5 %-0.45 % sodium chloride...... 156 DEPO-SUBQ PROVERA 104...... 125 COTEMPLA XR-ODT...... 109 dacarbazine...... 45 DEPO-TESTOSTERONE...... 174 COUMADIN...... 203 DACOGEN...... 47 DERMAGRAFT...... 152 COZAAR...... 76 dactinomycin...... 56 DERMA-SMOOTHE/FS BODY OIL CREON...... 192 dalfampridine...... 243 ...... 143 CRESEMBA...... 26 DALIRESP...... 258 DERMA-SMOOTHE/FS SCALP CRESTOR...... 80 DALVANCE...... 38 OIL...... 143 CRINONE...... 180, 265 danazol...... 183 DERMATOP...... 143 CRIXIVAN...... 41 DANTRIUM...... 217, 218 DERMOTIC OIL...... 252 CROFAB...... 65 dantrolene...... 218 DERMULCERA...... 152 cromolyn...... 51, 248, 257 dapsone...... 27, 132 DESCOVY...... 29 crotan...... 151 DAPTACEL (DTAP PEDIATRIC) DESFERAL...... 22 CRYOSERV...... 123 (PF)...... 69 desflurane...... 17 Cryselle (28)...... 127 DAPTOMYCIN...... 35 desipramine...... 104 CRYSVITA...... 180 daptomycin...... 35 desloratadine...... 255, 256 CUBICIN...... 35 DARAPRIM...... 28 desmopressin...... 174 CUBICIN RF...... 35 darifenacin...... 202 desog-e.estradiol/e.estradiol...... 126 CUPRIMINE...... 14, 22 DARZALEX...... 49 desogestrel-ethinyl estradiol...... 127 CUROSURF...... 261 Dasetta 1/35 (28)...... 127 desonide...... 143 CUTAQUIG...... 67 dasetta 7/7/7 (28)...... 130 DESOWEN...... 143 CUTIVATE...... 143 daunorubicin...... 57 desoximetasone...... 143 CUVITRU...... 67 DAUNORUBICIN...... 57 DESOXYN...... 109, 115 CUVPOSA...... 242 DAURISMO...... 50 DESVENLAFAXINE...... 102 cyanocobalamin (vitamin b-12)...... 172 DAYPRO...... 15 desvenlafaxine succinate...... 102 CYANOKIT...... 22 Daysee...... 126 DETROL...... 202 Cyclafem 1/35 (28)...... 127 DAYTRANA...... 109 DETROL LA...... 202 cyclafem 7/7/7 (28)...... 130 DDAVP...... 174 dexamethasone...... 181 CYCLESSA (28)...... 130 DEBACTEROL...... 240 DEXAMETHASONE AC, SOD PH- cyclobenzaprine...... 217 Deblitane...... 130 WATER...... 181 CYCLOGYL...... 245 Decadron...... 181 DEXAMETHASONE ACE- CYCLOMYDRIL...... 243 decitabine...... 47 NACL,ISO-OSM...... 181 cyclopentolate...... 245 deferasirox...... 22 DEXAMETHASONE IN 0.9 % SOD CYCLOPEN-TROPIC- deferoxamine...... 22 CHL...... 181 PHENYLEPH-WATR...... 243 DEFITELIO...... 212 DEXAMETHASONE INTENSOL...181 cyclophosphamide...... 13, 44 DELESTROGEN...... 179 dexamethasone sodium phos (pf)...... 181 CYCLOPHOSPHAMIDE...... 13, 44 DELFLEX WITH 2.5 % dexamethasone sodium phosphate182, 245 CYCLOSERINE...... 31 DEXTROSE...... 253 dexchlorpheniramine maleate...... 254, 255 CYCLOSET...... 175 DELFLEX-LC/1.5% DEXTROSE... 253 DEXEDRINE SPANSULE 110, 115, 120 cyclosporine...... 13, 213 DELFLEX-LC/2.5% DEXTROSE... 253 DEXERYL...... 140 cyclosporine modified...... 13, 213 DELFLEX-LC/4.25% DEXTROSE. 253 DEXMEDETOMIDINE...... 122 CYCLOTENS REFILL...... 217 DELFLEX-SM WITH 1.5% DEXMEDETOMIDINE IN 0.9 % CYCLOTENS STARTER...... 217 DEXTROSE...... 253 NACL...... 122 273 dexmedetomidine in 0.9 % nacl...... 122 didanosine...... 30 DORZOLAMIDE (PF)...... 247 DEXMEDETOMIDINE IN diethylpropion...... 155 dorzolamide-timolol...... 247 DEXTROSE 5%...... 122 DIFFERIN...... 134 dorzolamide-timolol (pf)...... 247 dexmethylphenidate...... 110 DIFICID...... 39 DORZOLAMIDE-TIMOLOL (PF). 247 DEXONTO...... 182 diflorasone...... 143 Dotti...... 179 DEXPAK 10 DAY...... 182 DIFLUCAN...... 26 DOVATO...... 29 DEXPAK 13 DAY...... 182 diflunisal...... 16 DOVONEX...... 139 DEXPAK 6 DAY...... 182 DIGIFAB...... 22 doxapram...... 115 dexrazoxane hcl...... 58 Digitek...... 88 doxazosin...... 92 DEXTENZA...... 245 Digox...... 88 doxepin...... 104, 150 dextroamphetamine...... 110, 115, 120 digoxin...... 88 doxercalciferol...... 238 dextroamphetamine-amphetamine dihydroergotamine...... 117 DOXIL...... 57 ...... 110, 115, 120 DILANTIN...... 97 doxorubicin...... 57 DEXTROSE 10 % AND 0.2 % Dilantin Extended...... 97 doxorubicin, peg-liposomal...... 57 NACL...... 156 DILANTIN INFATABS...... 97 Doxy-100...... 42 dextrose 10 % in water (d10w)...... 156 DILANTIN-125...... 97 doxycycline hyclate...... 42, 242 DEXTROSE 20 % IN WATER DILATRATE-SR...... 76 doxycycline monohydrate...... 42, 43 (D20W)...... 156 DILAUDID...... 3 doxylamine-pyridoxine (vit b6)...... 190 dextrose 25 % in water (d25w)...... 156 DILAUDID (PF)...... 3 D-PENAMINE...... 14, 22 dextrose 30 % in water (d30w)...... 156 DILTIAZEM HCL...... 79, 84 DRISDOL...... 172 DEXTROSE 40 % IN WATER diltiazem hcl...... 79, 84 dronabinol...... 114, 155, 190 (D40W)...... 156, 157 DILTIAZEM HCL IN 0.9% NACL... 84 droperidol...... 18 dextrose 5 % in ringer's...... 158 DILTIAZEM IN DEXTROSE 5 %.... 84 DROPLET INSULIN SYR HALF DEXTROSE 5 % IN WATER Dilt-Xr...... 84 UNIT...... 224, 230 (D5W)...... 156 DILUENT FOR DROPLET INSULIN SYRINGE dextrose 5 % in water (d5w)...... 156 EPOPROSTENOL/FLOLA...... 124 ...... 224, 230 dextrose 5 %-lactated ringers...... 156 DILUENT FOR TREPROSTINIL DROPLET LANCETS...... 220, 230 dextrose 5%-0.2 % sod chloride...... 156 (GLY)...... 124 DROPLET PEN NEEDLE...... 224, 230 DEXTROSE 5%-0.3 % DIMENHYDRINATE...... 190 DROPSAFE PEN NEEDLE...... 224, 230 SOD.CHLORIDE...... 156 DIOVAN...... 76 drospirenone-e.estradiol-lm.fa...... 127 dextrose 50 % in water (d50w).....156, 157 DIOVAN HCT...... 75 drospirenone-ethinyl estradiol...... 127 dextrose 70 % in water (d70w).....156, 157 DIPENTUM...... 195 DROXIA...... 212 DEXYCU (PF)...... 245 diphenhydramine hcl...... 120, 254, 255 DSUVIA...... 4 DIACOMIT...... 100 diphenoxylate-atropine...... 190 DUAC...... 133 DIANEAL LOW CALCIUM/1.5% DIPRIVAN...... 18 DUAVEE...... 179 DEX...... 253 DIPROLENE...... 143 DUET DHA BALANCED...... 166 DIANEAL LOW CALCIUM/4.25% dipyridamole...... 212 DUET DHA WITH OMEGA-3...... 166 DEX...... 253 DISALCID...... 16 DUETACT...... 176 DIANEAL PD-2 WITH 2.5 % DEX. 253 DISCOVISC...... 249 DULERA...... 260 DIANEAL PD-2 WITH 4.25 % DEX diskets...... 3 duloxetine...... 102, 116 ...... 253 disopyramide phosphate...... 77 DUOBRII...... 134 DIANEAL PD-2/1.5% DEXTROSE.253 disulfiram...... 123 DUODOTE...... 22 DIANEAL WITH 1.5% DEXTROSE DITROPAN XL...... 202 DUOPA...... 104 ...... 253 DIURIL...... 90 DUOVISC VISCO ELASTIC...... 249 DIANEAL WITH 2.5 % DIURIL IV...... 90 DUPIXENT...... 135, 256 DEXTROSE...... 253 divalproex...... 96, 113, 117 DURACLON (PF)...... 3 DIANEAL WITH 4.25 % DIVIGEL...... 179 DURAGESIC...... 4 DEXTROSE...... 253 dobutamine...... 87 duramorph (pf)...... 4 DIASTAT...... 95, 111 dobutamine in d5w...... 87 DUREZOL...... 245 DIASTAT ACUDIAL...... 95, 111 DOCEFREZ...... 55 DURLAZA...... 16, 211 diazepam...... 94, 95, 111 DOCETAXEL...... 55 DUROLANE...... 215 DIAZEPAM...... 94, 111 dofetilide...... 78 dutasteride...... 200 diazepam intensol...... 94, 111 DOLOPHINE...... 3, 4 dutasteride-tamsulosin...... 198 DIBENZYLINE...... 92 DOLOTRANZ...... 147 DUTOPROL...... 86 DICLEGIS...... 190 donepezil...... 124 Dvorah...... 7, 8 diclofenac potassium...... 15 dopamine...... 87 DXEVO...... 182 diclofenac sodium...... 15, 138, 147, 246 dopamine in 5 % dextrose...... 87 DYANAVEL XR...... 110, 115 diclofenac-misoprostol...... 14 DOPRAM...... 115 DYAZIDE...... 90 DICLOSAICIN...... 147 DOPTELET (10 TAB PACK)...... 212 DYMISTA...... 261 DICLOVIX...... 147 DOPTELET (15 TAB PACK)...... 213 DYRENIUM...... 90 dicloxacillin...... 40 DOPTELET (30 TAB PACK)...... 213 DYSPORT...... 216 DICLOZOR...... 147 DORAL...... 111, 121 e.e.s. 400...... 39 dicyclomine...... 194 dorzolamide...... 247 E.E.S. GRANULES...... 39 274 EASY COMFORT INSULIN ELLIOTTS B (PF)...... 158 EPINEPHRINE HCL IN 0.9 % SYRINGE...... 224, 230 ELMIRON...... 199 NACL...... 87 EASY COMFORT LANCETS..220, 230 ELOCON...... 143 EPINEPHRINE HCL IN 5% EASY COMFORT PEN NEEDLES ELOCTATE...... 205 DEXTROSE...... 87 ...... 224, 230 ELZONRIS...... 57 EPINEPHRINE IN SOD EASY GLIDE PEN NEEDLE...224, 230 EMBRACE LANCETS...... 220, 231 CHLOR,ISO...... 87 EASY TOUCH...... 225, 231 EMCYT...... 49 epirubicin...... 57 EASY TOUCH FLIPLOCK EMEND...... 192 EPISIL...... 241 INSULIN...... 224, 230 EMEND (FOSAPREPITANT)...... 192 Epitol...... 97, 113 EASY TOUCH INSULIN SAFETY EMFLAZA...... 182 EPIVIR...... 30 SYR...... 224, 231 EMGALITY PEN...... 116, 117 EPIVIR HBV...... 36 EASY TOUCH INSULIN SYRINGE EMGALITY SYRINGE...... 94, 116, 117 eplerenone...... 74, 89 ...... 225, 231 Emoquette...... 127 EPOGEN...... 204 EASY TOUCH LANCETS...... 220, 231 EMPLICITI...... 47 epoprostenol (glycine)...... 92 EASY TOUCH LUER LOCK EMSAM...... 100 eprosartan...... 76 INSULIN...... 225, 231 EMTRIVA...... 30 eptifibatide...... 211 EASY TOUCH PEN NEEDLE. 225, 231 EMULSION SB...... 140 EPTIFIBATIDE...... 211 EASY TOUCH SAFETY LANCETS EMVERM...... 25 EPZICOM...... 31 ...... 220, 231 ENABLEX...... 202 EQUETRO...... 97, 113 EASY TOUCH SHEATHLOCK enalapril maleate...... 73 ERAXIS(WATER DILUENT)...... 26 INSULIN...... 225, 231 enalaprilat...... 73 ERBITUX...... 58 EASY TOUCH TWIST LANCETS enalapril-hydrochlorothiazide...... 73 ergocalciferol (vitamin d2)...... 172 ...... 220, 231 ENBRACE HR...... 166 ergoloid...... 125 EASY TOUCH UNI-SLIP...... 225, 231 ENBREL...... 11, 12 ERGOMAR...... 117 EASY TWIST AND CAP LANCETS ENBREL MINI...... 11, 12 ergotamine-caffeine...... 117 ...... 220, 231 ENBREL SURECLICK...... 11, 12 ERIVEDGE...... 50 EC-NAPROSYN...... 16 ENDARI...... 156, 162, 198, 212 ERLEADA...... 46 EC-NAPROXEN...... 16 ENDO AVITENE...... 207 erlotinib...... 43 econazole...... 137 Endocet...... 9 Errin...... 130 ECOZA...... 137 ENDOFORM...... 151 ERTACZO...... 137 EDARBI...... 76 ENDOFORM FENESTRATED...... 151 ertapenem...... 32 EDARBYCLOR...... 75 ENDOMETRIN...... 180 ERWINAZE...... 48 EDECRIN...... 89 ENGERIX-B (PF)...... 66 Ery Pads...... 132 EDEX...... 154 ENGERIX-B PEDIATRIC (PF)...... 66 ERYGEL...... 132 EDLUAR...... 121 enoxaparin...... 210 ERYPED 200...... 39 EDURANT...... 29 Enpresse...... 130 ERYPED 400...... 39 efavirenz...... 29 Enskyce...... 127 ery-tab...... 39 EFFER-K...... 161 ENSTILAR...... 134 ERY-TAB...... 39 effer-k...... 161 entacapone...... 105 ERYTHROCIN...... 39 EFFEXOR XR...... 102 entecavir...... 36 erythrocin (as stearate)...... 39 EFFIENT...... 211 ENTEREG...... 23 erythromycin...... 39, 250 EFUDEX...... 138 ENTOCORT EC...... 196 erythromycin ethylsuccinate...... 39 EGRIFTA...... 183 ENTRESTO...... 75 erythromycin with ethanol...... 132 ELAPRASE...... 238 ENTTY...... 140 erythromycin-benzoyl peroxide...... 133 ELCYS...... 164 ENTYVIO...... 196 ESBRIET...... 264 ELECTROLYTE-48 IN D5W...... 158 Enulose...... 192 escitalopram oxalate...... 100 ELELYSO...... 237 ENVARSUS XR...... 213 ESGIC...... 10 ELESTRIN...... 179 EPANED...... 73 ESKATA...... 139 ELETONE...... 140 EPCLUSA...... 37 esmolol...... 78, 82 eletriptan...... 117 EPHEDRINE SULFATE...... 87 esmolol in nacl (iso-osm)...... 78, 82 ELIDEL...... 140 EPHEDRINE SULFATE- ESMOLOL IN STERILE WATER ELIGARD...... 51 0.9%NACL(PF)...... 87 ...... 78, 82 ELIGARD (3 MONTH)...... 51 EPICERAM...... 140 esomeprazole sodium...... 193 ELIGARD (4 MONTH)...... 51 EPICYN...... 152 Estarylla...... 127 ELIGARD (6 MONTH)...... 51 EPIDIOLEX...... 95 estazolam...... 111, 121 ELIMITE...... 151 EPIDUO...... 133 ESTRACE...... 179, 265 Elinest...... 127 EPIDUO FORTE...... 133 estradiol...... 179, 265 ELIQUIS...... 204 EPIFIX AMNIOTIC MEMBRANE.151 estradiol valerate...... 180 ELITEK...... 203 EPIFOAM...... 145 estradiol-norethindrone acet...... 179 elite-ob...... 159, 166 epinastine...... 245 ESTRING...... 265 ELIXOPHYLLIN...... 257 EPINEPHRINE...... 87 ESTROGEL...... 180 ELLA...... 131 epinephrine...... 87, 256 ESTROSTEP FE-28...... 130 ELLENCE...... 57 EPINEPHRINE HCL (PF)...... 87 eszopiclone...... 121 275 ethacrynate sodium...... 89 Fayosim...... 130 FLOMAX...... 200 ethacrynic acid...... 89 FAZACLO...... 107 FLOVENT DISKUS...... 256 ethambutol...... 32 febuxostat...... 203 FLOVENT HFA...... 256 ETHAMOLIN...... 93 FEIBA NF...... 204 floxuridine...... 47 ethosuximide...... 99 felbamate...... 95, 96 FLUAD 2019-2020 (65 YR UP)(PF)....71 ETHYL ACETATE...... 124 FELBATOL...... 96 FLUARIX QUAD 2019-2020 (PF)...... 71 ETHYL CHLORIDE...... 147 FELDENE...... 15 FLUBLOK QUAD 2019-2020 (PF).....71 ethynodiol diac-eth estradiol...... 127 felodipine...... 85 FLUCELVAX QUAD 2019-2020...... 71 ETHYOL...... 59 FEMARA...... 48 FLUCELVAX QUAD 2019-2020 etidronate disodium...... 178 FEMCAP...... 218, 231 (PF)...... 71 etodolac...... 16 FEMHRT LOW DOSE...... 179 fluconazole...... 26 etomidate...... 18 FEMRING...... 265 fluconazole in dextrose(iso-o)...... 26 ETOPOPHOS...... 49 Femynor...... 127 FLUCONAZOLE IN NACL (ISO- etoposide...... 49 fenofibrate...... 80 OSM)...... 26 EUCALYPTUS FLAVOR...... 124 fenofibrate micronized...... 79 fluconazole in nacl (iso-osm)...... 26 EUCRISA...... 135 fenofibrate nanocrystallized...... 80 flucytosine...... 27 EUFLEXXA...... 215 fenofibric acid...... 80 fludarabine...... 47 EURAX...... 151 fenofibric acid (choline)...... 80 fludrocortisone...... 187 EUTHYROX...... 189 FENOGLIDE...... 80 FLULAVAL QUAD 2019-2020...... 71 EVAMIST...... 180 fenoprofen...... 16 FLULAVAL QUAD 2019-2020 (PF).. 71 EVEKEO...... 110, 115, 120 fentanyl...... 4 FLUMADINE...... 38 EVEKEO ODT...... 110, 115 FENTANYL (PF)-BUPIVACAINE- flumazenil...... 22 EVENITY...... 177 NACL...... 8 FLUMIST QUAD 2019-2020...... 68, 71 EVICEL...... 208 fentanyl citrate...... 4 flunisolide...... 261 EVISTA...... 188 FENTANYL CITRATE...... 4 fluocinolone...... 143 EVOCLIN...... 132 FENTANYL CITRATE (PF)...... 4, 18 fluocinolone acetonide oil...... 252 EVOMELA...... 44 FENTANYL CITRATE (PF)- fluocinolone and shower cap...... 143 EVOTAZ...... 30, 41 0.9%NACL...... 4 fluocinonide...... 143 EVOXAC...... 242 FENTANYL-ROPIVACAINE- Fluocinonide-E...... 143 EXEL INSULIN...... 225, 231 NACL (PF)...... 8 fluocinonide-emollient...... 143 EXELDERM...... 137 FENTORA...... 4 fluorometholone...... 245 EXELON...... 124 FERAHEME...... 159 FLUOROPLEX...... 138 exemestane...... 48 FERRIPROX...... 22 fluorouracil...... 47, 138 EXFORGE...... 74 FERRLECIT...... 159 FLUOROURACIL...... 138 EXFORGE HCT...... 74 FETZIMA...... 102 FLUOVIX...... 143 EXJADE...... 22 FEXMID...... 217 fluoxetine...... 100, 101 EXODERM...... 136 FIBRICOR...... 80 FLUOXETINE...... 101 EXONDYS 51...... 215 FIBRYGA...... 207 fluphenazine decanoate...... 107 EXPAREL (PF)...... 19 FIFTY50 SAFETY SEAL fluphenazine hcl...... 107 EXTINA...... 137 LANCETS...... 220, 231 flurandrenolide...... 144 EXTRANEAL 7.5 %...... 253 FINACEA...... 132, 149 flurazepam...... 111, 121 EXTRA-VIRT PLUS DHA...... 166 finasteride...... 151, 200 flurbiprofen...... 16 EYLEA...... 248, 252 FINE 30 UNIVERSAL LANCETS flurbiprofen sodium...... 246 E-Z JECT LANCETS...... 220, 231 ...... 220, 231 flutamide...... 46 E-Z JECT THIN LANCETS.....220, 231 FINGERSTIX LANCETS...... 220, 231 fluticasone propionate...... 144 EZ SMART LANCETS...... 220, 231 Fioricet...... 10 FLUTICASONE PROPION- EZALLOR SPRINKLE...... 80 FIORINAL...... 16 SALMETEROL...... 260 ezetimibe...... 81 FIORINAL-CODEINE #3...... 7 fluticasone propion-salmeterol...... 260 ezetimibe-simvastatin...... 81 FIRAZYR...... 83 fluvastatin...... 80 FABIOR...... 134 FIRDAPSE...... 243 fluvoxamine...... 101 FABRAZYME...... 237 FIRMAGON KIT W DILUENT FLUZONE HIGH-DOSE 2019-20 FACTIVE...... 35 SYRINGE...... 51 (PF)...... 71 Falmina (28)...... 127 FIRVANQ...... 36 FLUZONE QUAD 2019-2020...... 71 famciclovir...... 38 Flac Otic Oil...... 252 FLUZONE QUAD 2019-2020 (PF).....71 famotidine...... 193 FLAGYL...... 28 FLUZONE QUAD PEDI 2019-20 famotidine (pf)...... 193 FLAREX...... 245 (PF)...... 71 famotidine (pf)-nacl (iso-os)...... 193 flavoxate...... 202 FML FORTE...... 245 FAMOTIDINE IN 0.9 % NACL...... 193 FLEBOGAMMA DIF...... 67 FML LIQUIFILM...... 245 FANAPT...... 106 flecainide...... 78 FML S.O.P...... 245 FARESTON...... 55 FLEXBUMIN 25 %...... 209 FOCALIN...... 110 FARYDAK...... 50 FLEXBUMIN 5 %...... 209 FOCALIN XR...... 110 FASENRA...... 257 FLOLAN...... 92 FOLET ONE...... 166 FASLODEX...... 49 FLOLIPID...... 80 folic acid...... 172 276 FOLIVANE-OB...... 166 GATTEX 30-VIAL...... 198 GLUCOPHAGE...... 185 FOLOTYN...... 46 GATTEX ONE-VIAL...... 198 GLUCOPHAGE XR...... 185 fomepizole...... 21 Gavilyte-C...... 197 GLUCOTROL...... 176 fondaparinux...... 210 Gavilyte-G...... 197 GLUCOTROL XL...... 176 FORA V10-V12-D10-D20 STRP- Gavilyte-N...... 197 GLUTARALDEHYDE...... 60 LNCT...... 220, 231 GAZYVA...... 49 glyburide...... 176 FORACARE LANCETS...... 220, 231 GELCLAIR...... 241 glyburide micronized...... 176 FORANE...... 17 GELFILM...... 249 glyburide-metformin...... 175 FORFIVO XL...... 103 GEL-FLOW...... 207 GLYCATE...... 194 FORTAMET...... 185 GEL-FLOW NT...... 207 glycine urologic...... 199 FORTAZ...... 34 GELFOAM...... 207 glycine urologic solution...... 199 FORTEO...... 177 GELFOAM COMPRESSED SIZE GLYCOPHOS...... 160 FOSAMAX...... 178 100...... 207 glycopyrrolate...... 194 FOSAMAX PLUS D...... 177 GELFOAM JMI POWDER...... 207 GLYCOPYRROLATE...... 194 fosamprenavir...... 41 GELFOAM JMI SPONGE...... 207 GLYCOPYRROLATE (PF) IN FOSCAVIR...... 34 GELFOAM SPONGE SIZE 100...... 207 WATER...... 194 fosinopril...... 73 GELFOAM SPONGE SIZE 12- Glydo...... 149 fosinopril-hydrochlorothiazide...... 73 7MM...... 207 GLYNASE...... 176 fosphenytoin...... 97 GELFOAM SPONGE SIZE 200...... 207 GLYRX-PF...... 194 FOSRENOL...... 199 GELFOAM SPONGE SIZE 50...... 207 GLYSET...... 175 FRAGMIN...... 210 GELNIQUE...... 202 GOCOVRI...... 105, 106 FREAMINE HBC 6.9 %...... 164 GEL-ONE...... 215 GOLYTELY...... 197 FREAMINE III 10 %...... 164 GELSYN-3...... 215 GONAL-F...... 180 FREESTYLE LANCETS...... 220, 231 GELX...... 241, 242 GONAL-F RFF...... 180 FREESTYLE PRECISION...... 225, 231 gemcitabine...... 47 GONAL-F RFF REDI-JECT...... 180 FREESTYLE UNISTIK 2...... 220, 231 GEMCITABINE...... 47 GONITRO...... 76 FROTEK...... 147 gemfibrozil...... 80 GOPRELTO...... 261 FROVA...... 117 GENADUR...... 151 GORDONS UREA...... 141 frovatriptan...... 117 GENERESS FE...... 127 GRAFIX CORE...... 151 FULPHILA...... 206 Generlac...... 192 GRAFIX PRIME...... 151 fulvestrant...... 49 Gengraf...... 13, 213 GRAFIX XC...... 151 FURADANTIN...... 25, 201 Gentak...... 250 GRALISE...... 120 furosemide...... 89 gentamicin...... 24, 135, 250 GRALISE 30-DAY STARTER FUROSEMIDE IN 0.9 % NACL...... 89 gentamicin in nacl (iso-osm)...... 23 PACK...... 120 FUSILEV...... 59 GENTAMICIN IN NACL (ISO- granisetron (pf)...... 191 FUZEON...... 29 OSM)...... 23 granisetron hcl...... 191 Fyavolv...... 179 gentamicin sulfate (ped) (pf)...... 24 GRANIX...... 206 FYCOMPA...... 95 gentamicin sulfate (pf)...... 24 GRASTEK...... 61 g tussin ac...... 264 GENTAMICIN SULFATE (PF)...... 24 griseofulvin microsize...... 27 gabapentin...... 96 GENTAMICIN-SODIUM griseofulvin ultramicrosize...... 27 GABITRIL...... 97 CITRATE...... 32 GUAIACOL...... 123 GABLOFEN...... 217 GENTEEL VACUUM LANCING guaiatussin ac...... 264 GALAFOLD...... 240 DEVICE...... 220, 231 guaifenesin ac...... 264 galantamine...... 124 GENVISC 850...... 215 guaifenesin dac...... 263 GALZIN...... 22 GENVOYA...... 30 guanfacine...... 88, 109 GAMASTAN...... 67 GEODON...... 106, 114 GUANIDINE...... 215 GAMASTAN S/D...... 67 gianvi (28)...... 127 GYNAZOLE-1...... 265 GAMIFANT...... 213 GIAPREZA...... 188 HAEGARDA...... 204 GAMMAGARD LIQUID...... 67 GILENYA...... 243 Hailey 24 Fe...... 127 GAMMAGARD S-D (IGA < 1 GILOTRIF...... 44 HALAVEN...... 50 MCG/ML) ...... 67 GLASSIA...... 261 HALCION...... 111, 121 GAMMAKED...... 67 glatiramer...... 242 HALDOL...... 107 GAMMAPLEX...... 67 Glatopa...... 242 HALDOL DECANOATE...... 107 GAMMAPLEX (WITH GLEEVEC...... 54 HALOBETASOL PROPIONATE SORBITOL)...... 67 GLEOSTINE...... 45 ...... 139, 144 GAMUNEX-C...... 67 GLIADEL WAFER...... 45 halobetasol propionate...... 144 GANCICLOVIR...... 34 glimepiride...... 176 HALOG...... 144 ganciclovir sodium...... 34 glipizide...... 176 haloperidol...... 107 GANCICLOVIR SODIUM...... 34 glipizide-metformin...... 175 haloperidol decanoate...... 107 GANIRELIX...... 186 GLUCAGEN HYPOKIT...... 173 haloperidol lactate...... 107 GARDASIL 9 (PF)...... 70 GLUCAGON EMERGENCY KIT HARVONI...... 37 GASTROCROM...... 51 (HUMAN)...... 173 HAVRIX (PF)...... 66 gatifloxacin...... 250 GLUCOCOM LANCETS...... 220, 231 HEALON...... 249 277 HEALON GV...... 249 HUMALOG MIX 75-25 KWIKPEN 184 HYDROMORPHONE (PF) IN HEALON5...... 249 HUMALOG MIX 75-25(U- WATER...... 4 HEALTHWISE INSULIN 100)INSULN...... 184 HYDROMORPHONE (PF)-0.9 % SYRINGE...... 225, 231 HUMALOG U-100 INSULIN...... 185 NACL...... 4 HEALTHWISE PEN NEEDLE 225, 231 HUMATE-P...... 205 HYDROMORPHONE IN 0.9 % HEALTHY ACCENTS UNIFINE HUMATROPE...... 183 NACL...... 4, 5 PENTIP...... 225, 231 HUMIRA...... 11, 12, 196 hydroxocobalamin...... 172 HEALTHY ACCENTS UNILET HUMIRA PEDIATRIC CROHNS hydroxychloroquine...... 12, 28 LANCET...... 220, 231 START...... 11, 12, 196 hydroxyprogest(pf)(preg presv)....180, 187 Heather...... 130 HUMIRA PEN...... 11, 12, 196 hydroxyprogesterone cap(ppres)..180, 187 HECTOROL...... 238 HUMIRA PEN CROHNS-UC-HS hydroxyprogesterone caproate...... 187 HELIXATE FS...... 205 START...... 11, 12, 196 hydroxyurea...... 47 HEMABATE...... 173 HUMIRA PEN PSOR-UVEITS- hydroxyzine hcl...... 94 HEMANGEOL...... 83 ADOL HS...... 11, 12, 196 HYDROXYZINE HCL...... 94 HEMENATAL OB...... 166 HUMIRA(CF)...... 11, 12, 197 hydroxyzine pamoate...... 94 HEMENATAL OB + DHA...... 166 HUMIRA(CF) PEDI CROHNS HYGEL...... 148 HEMLIBRA...... 206 STARTER...... 11, 12, 196 HYLATOPIC...... 141 HEMOFIL M HIGH...... 205 HUMIRA(CF) PEN...... 11, 12, 197 HYLATOPICPLUS...... 141 HEMOFIL M LOW...... 205 HUMIRA(CF) PEN CROHNS-UC- HYLENEX...... 189 HEMOFIL M MID...... 205 HS...... 11, 12, 196 HYMOVIS...... 215 HEMOFIL M SUPER HIGH...... 205 HUMIRA(CF) PEN PSOR-UV- hyoscyamine sulfate...... 194, 202 hep flush-10 (pf)...... 208 ADOL HS...... 11, 12, 197 HYPERHEP B S/D...... 67 HEPAGAM B...... 67 HUMULIN 70/30 U-100 INSULIN... 184 HYPERHEP B S-D NEONATAL...... 67 heparin (porcine)...... 208 HUMULIN 70/30 U-100 KWIKPEN 184 HYPERLYTE CR...... 160 HEPARIN (PORCINE) IN 0.9% HUMULIN N NPH INSULIN HYPERRAB (PF)...... 67 NACL...... 208 KWIKPEN...... 184 HYPERRAB S/D (PF)...... 68 heparin (porcine) in 5 % dex...... 208 HUMULIN N NPH U-100 INSULIN 184 HYPERRHO S/D...... 68 HEPARIN (PORCINE) IN 5 % DEX HUMULIN R REGULAR U-100 HYPER-SAL...... 124 ...... 208 INSULN...... 184 HYPERTET S/D (PF)...... 68 HEPARIN (PORCINE) IN NACL HUMULIN R U-500 (CONC) HYPOCYN...... 142 (PF)...... 208 INSULIN...... 184 HYPOLANCE AST LANCING 220, 231 heparin flush(porcine)-0.9nacl...... 208 HUMULIN R U-500 (CONC) HYPROMELLOSE...... 124 heparin lock flush...... 208, 209 KWIKPEN...... 184 HYQVIA...... 67 heparin lock flush (porcine)...... 208 HYALGAN...... 215 HYZAAR...... 75 heparin lockflush(porcine)(pf)..... 208, 209 HYALURONIDASE(PF)- ibandronate...... 178 HEPARIN(PORCINE) IN 0.45% SODCHLOR,ISO...... 247 IBRANCE...... 49 NACL...... 209 HYCAMTIN...... 56 Ibu...... 16 heparin, porcine (pf)...... 208, 209 HYCLODEX...... 59, 152 Ibudone...... 8, 9 HEPARIN, PORCINE (PF)...... 209 hydralazine...... 88 ibuprofen...... 16 HEPATAMINE 8%...... 164 HYDREA...... 47 ibuprofen lysine (pf)...... 91 HEPLISAV-B (PF)...... 66 HYDRO 40...... 146 ibuprofen-oxycodone...... 9 HEPSERA...... 36 hydrochlorothiazide...... 90 ibutilide fumarate...... 78 HERCEPTIN...... 58 HYDROCODONE- icatibant...... 83 HERCEPTIN HYLECTA...... 58 ACETAMINOPHEN...... 8 ICLUSIG...... 52 HESPAN 6 % IN NS...... 210 hydrocodone-acetaminophen...... 8 IDAMYCIN PFS...... 57 hetastarch 6 % in 0.9 % nacl...... 210 hydrocodone-chlorpheniramine...... 262 idarubicin...... 57 HETLIOZ...... 116 hydrocodone-homatropine...... 263 IDELVION...... 205 HEXTEND...... 210 HYDROCODONE- IDHIFA...... 52 HIBERIX (PF)...... 70 HOMATROPINE...... 263 IFEX...... 44 HIPREX...... 40, 201 hydrocodone-ibuprofen...... 8 ifosfamide...... 44 HISTEX-AC...... 263 hydrocortisone...... 21, 144, 182, 196 IFOSFAMIDE...... 44 HIZENTRA...... 67 hydrocortisone butyrate...... 144 ifosfamide-mesna...... 44 HORIZANT...... 119 hydrocortisone butyr-emollient...... 144 ILARIS (PF)...... 11 HPR...... 141 hydrocortisone valerate...... 144 ILEVRO...... 246 HPR PLUS...... 140 hydrocortisone-acetic acid...... 252 ILUVIEN...... 245 HPR PLUS HYDROGEL...... 140 hydrocortisone-iodoquinol...... 137 imatinib...... 54 HPR PLUS-MB HYDROGEL...... 140 hydrocortisone-pramoxine...... 21 IMBRUVICA...... 48, 54 HUMALOG JUNIOR KWIKPEN hydrogen peroxide...... 60 IMFINZI...... 57 U-100...... 185 Hydromet...... 263 imipenem-cilastatin...... 32 HUMALOG KWIKPEN INSULIN..185 hydromorphone...... 5 imipramine hcl...... 104 HUMALOG MIX 50-50 INSULN U- HYDROMORPHONE...... 5 imipramine pamoate...... 104 100...... 184 HYDROMORPHONE (PF)...... 4 IMIQUIMOD...... 146 HUMALOG MIX 50-50 KWIKPEN 184 imiquimod...... 146 278 IMITREX...... 117, 118 INVACARE LANCETS...... 220, 232 JEVTANA...... 55 IMITREX STATDOSE PEN...... 118 INVANZ...... 32 Jinteli...... 179 IMITREX STATDOSE REFILL...... 118 INVEGA...... 106 JIVI...... 205 IMLYGIC...... 50, 68 INVEGA SUSTENNA...... 106 jolessa...... 127 IMOGAM RABIES-HT (PF)...... 68 INVEGA TRINZA...... 106 JORNAY PM...... 110 IMOVAX RABIES VACCINE (PF)...72 INVELTYS...... 246 JUBLIA...... 137 IMPAVIDO...... 28 INVIRASE...... 41 Juleber...... 127 IMPOYZ...... 139, 144 IODINE-SODIUM IODIDE...... 59 JULUCA...... 29 IMURAN...... 13, 214 IODOFLEX...... 59 junel 1.5/30 (21)...... 127 IMVEXXY MAINTENANCE PACK IODOPEN...... 159 Junel 1/20 (21)...... 128 ...... 186 IODOSORB...... 59 junel fe 1.5/30 (28)...... 128 IMVEXXY STARTER PACK...... 187 IONOSOL-B IN D5W...... 158 Junel Fe 1/20 (28)...... 128 INBRIJA...... 105 IONOSOL-MB IN D5W...... 158 Junel Fe 24...... 128 Incassia...... 130 IOPIDINE...... 251 JUXTAPID...... 82 INCONTROL PEN NEEDLE...225, 231 IPOL...... 72 JYNARQUE...... 90, 189, 200 INCONTROL SUPER THIN ipratropium bromide...... 258, 261 KABIVEN...... 165 LANCETS...... 220, 232 ipratropium-albuterol...... 259 KADCYLA...... 46, 58 INCONTROL ULTRA THIN irbesartan...... 76 Kaitlib Fe...... 128 LANCETS...... 220, 232 irbesartan-hydrochlorothiazide...... 75 KALBITOR...... 92 INCRELEX...... 185 IRESSA...... 44 KALETRA...... 30 INCRUSE ELLIPTA...... 258 irinotecan...... 56 Kalliga...... 128 indapamide...... 90 ISENTRESS...... 29 KALYDECO...... 260 INDERAL LA...... 83 ISENTRESS HD...... 29 KAMDOY...... 147 INDERAL XL...... 83 Isibloom...... 127 KANJINTI...... 58 indomethacin...... 16 Isochron...... 76 KANUMA...... 238 indomethacin sodium...... 91 isoflurane...... 17 KAPSPARGO SPRINKLE...... 82 INFANRIX (DTAP) (PF)...... 69 ISOLYTE S PH 7.4...... 160 KAPVAY...... 109 INFASURF...... 261 ISOLYTE-P IN 5 % DEXTROSE....158 KARBINAL ER...... 254, 255 INFED...... 159 ISOLYTE-S...... 160 Kariva (28)...... 126 INFLATHERM...... 14 isoniazid...... 31 KATERZIA...... 85 INFUGEM...... 47 ISOPROPYL ALCOHOL...... 123 KCENTRA...... 205 INFUMORPH P/F...... 5 isopropyl alcohol...... 123 KEDBUMIN...... 209 INFUVITE ADULT...... 162 isoproterenol hcl...... 87 KEDRAB (PF)...... 68 INFUVITE PEDIATRIC...... 165 ISOPTO ATROPINE...... 245 KEFLEX...... 33 INGREZZA...... 119 ISOPTO CARPINE...... 243 Kelnor 1/35 (28)...... 128 INGREZZA INITIATION PACK ISORDIL...... 76 Kelnor 1-50...... 128 ...... 118, 119 ISORDIL TITRADOSE...... 76 KENALOG...... 144, 182 INJECT EASE LANCETS...... 220, 232 isosorbide dinitrate...... 76 KENALOG-80...... 182 INJECTAFER...... 159 isosorbide mononitrate...... 76 KENGREAL...... 210 INLYTA...... 54 isotretinoin...... 132 KEPIVANCE...... 197 INNOPRAN XL...... 83 isradipine...... 85 KEPPRA...... 99 INSPRA...... 74, 89 ISTALOL...... 247 KEPPRA XR...... 99 INSULIN LISPRO...... 185 ISTODAX...... 50 KERAFOAM...... 146 INSULIN SYR/NDL U100 HALF ISUPREL...... 87 KERAMATRIX...... 151 MARK...... 225, 232 itraconazole...... 26 KERYDIN...... 137 INSULIN SYRINGE...... 225, 232 ivermectin...... 25 KETALAR...... 17 INSULIN SYRINGE MICROFINE IXEMPRA...... 49 KETAMINE...... 17 ...... 225, 232 IXIARO (PF)...... 71 ketamine...... 17 INSULIN SYRINGE NEEDLELESS IXINITY...... 205 KETAMINE IN 0.9 % SOD ...... 225, 232 JADENU...... 23 CHLORIDE...... 17 INSULIN SYRINGE-NEEDLE U- JADENU SPRINKLE...... 23 KETAMINE IN NACL, ISO- 100...... 225, 232 JAKAFI...... 50, 51 OSMOTIC...... 17 insulin syringe-needle u-100...... 225, 232 JALYN...... 198 KETAMINE IN STERILE WATER..17 INSUPEN...... 225, 232 Jantoven...... 203 ketoconazole...... 26, 137 INTEGRILIN...... 211 JANUMET...... 177 ketoprofen...... 16 INTELENCE...... 29 JANUMET XR...... 177 ketorolac...... 15, 246 INTERMEZZO...... 121 JANUVIA...... 175 KEVEYIS...... 214 intralipid...... 165 JARDIANCE...... 175 KEYTRUDA...... 57 INTRALIPID...... 165 Jasmiel (28)...... 127 KHAPZORY...... 59 INTRAROSA...... 187 Jencycla...... 130 KINERET...... 13 INTRON A...... 50 JENTADUETO...... 177 KINEVAC...... 153 Introvale...... 127 JENTADUETO XR...... 177 KINRIX (PF)...... 69 INTUNIV ER...... 109 JETREA (PF)...... 249 KISQALI...... 49 279 KISQALI FEMARA CO-PACK...... 51 LANCING DEVICE WITH LEVO-T...... 189 KITABIS PAK...... 260 LANCETS...... 220, 232 levothyroxine...... 189 KLARITY-A (AZITHRO- LANOXIN...... 88 LEVOTHYROXINE...... 189 CHONDR)(PF)...... 251 LANOXIN PEDIATRIC...... 88 levoxyl...... 189 KLARITY-L (LOTEPRED- lanthanum...... 199 LEVULAN...... 148 CHOND)(PF)...... 246 LANTUS SOLOSTAR U-100 LEXAPRO...... 101 KLARON...... 132 INSULIN...... 185 LEXIVA...... 41, 42 KLONOPIN...... 94, 95, 111 LANTUS U-100 INSULIN...... 185 LIALDA...... 195 Klor-Con...... 161 LANZO LANCING DEVICE... 220, 232 LIBRAX (WITH CLIDINIUM) 111, 194 klor-con 10...... 161 larin 1.5/30 (21)...... 128 LIBTAYO...... 57 klor-con 8...... 161 Larin 1/20 (21)...... 128 lidocaine...... 19, 150 Klor-Con M10...... 161 Larin 24 Fe...... 128 LIDOCAINE (PF) IN D7.5W...... 19 klor-con m15...... 161 larin fe 1.5/30 (28)...... 128 lidocaine (pf)...... 19, 77 Klor-Con M20...... 161 Larin Fe 1/20 (28)...... 128 LIDOCAINE (PF)...... 19, 77 Klor-Con Sprinkle...... 161 Larissia...... 128 lidocaine hcl...... 19, 150, 241 klor-con/ef...... 161 LASIX...... 89 LIDOCAINE HCL...... 19 KOATE...... 205 LASTACAFT...... 245 LIDOCAINE HCL(PF) IN 0.9% KOGENATE FS...... 205 latanoprost...... 251 NACL...... 19 KORLYM...... 175 LATANOPROST (PF)...... 251 LIDOCAINE IN 5 % DEXTROSE KOSHER PRENATAL PLUS IRON166 LATISSE...... 151 (PF)...... 77 KOVALTRY...... 206 LATUDA...... 106 lidocaine in 5 % dextrose (pf)...... 77 KRINTAFEL...... 28 layolis fe...... 128 LIDOCAINE IN NACL,ISO- KRISTALOSE...... 197 LDO PLUS...... 147, 148 OSMO(PF)...... 19, 77 KRYSTEXXA...... 203 LEDIPASVIR-SOFOSBUVIR...... 37 Lidocaine Viscous...... 241 K-TAB...... 161 leena 28...... 130 lidocaine-epinephrine...... 20 Kurvelo (28)...... 128 leflunomide...... 14 LIDOCAINE-EPINEPHRINE BIT KUVAN...... 240 LEMTRADA...... 242 ...... 20, 240 KYLEENA...... 126 LENVIMA...... 54 lidocaine-prilocaine...... 147 KYPROLIS...... 54 LESCOL...... 80 LIDOCAINE-RACEPINEP- l norgest/e.estradiol-e.estrad...... 126, 130 LESCOL XL...... 80 TETRACAINE...... 150 L.E.T. (LIDO-EPINEPH-TETRA)...149 Lessina...... 128 LIDOCAINE-TETRACAINE...... 150 labetalol...... 74 LETAIRIS...... 93 LIDOCAN-PHENYLEPH-BSS LABETALOL...... 74 letrozole...... 48 NO.2(PF)...... 244 lactated ringers...... 157, 170 leucovorin calcium...... 59 LIDOCIDEX-I...... 181 lactulose...... 192, 197 LEUKERAN...... 44 LIDOCILONE I...... 181 LAMICTAL...... 98 LEUKINE...... 206 LIDODERM...... 150 LAMICTAL ODT...... 98, 113 leuprolide...... 51 LIDOPURE PATCH...... 150 LAMICTAL ODT STARTER levalbuterol hcl...... 258 lido-sorb...... 150 (BLUE)...... 98, 113 LEVALBUTEROL TARTRATE..... 259 LIDOTREX...... 150 LAMICTAL ODT STARTER LEVAQUIN...... 35 LIDOTREX (WITH VITAMIN E)...150 (GREEN)...... 98, 113 LEVEMIR FLEXTOUCH U-100 LIDTOPIC MAX...... 150 LAMICTAL ODT STARTER INSULN...... 185 LILETTA...... 126 (ORANGE)...... 98, 113 LEVEMIR U-100 INSULIN...... 185 Lillow (28)...... 128 LAMICTAL STARTER (BLUE) levetiracetam...... 99 LINCOCIN...... 38 KIT...... 98, 113 LEVETIRACETAM IN NACL lincomycin...... 38 LAMICTAL STARTER (GREEN) (ISO-OS)...... 99 lindane...... 151 KIT...... 98, 113 LEVICYN ANTIPRURITIC.....150, 152 linezolid...... 40 LAMICTAL STARTER (ORANGE) LEVICYN ANTIPRURITIC SG...... 141 linezolid in dextrose 5%...... 40 KIT...... 98, 113 LEVICYN DERMAL...... 152 linezolid-0.9% sodium chloride...... 40 LAMICTAL XR...... 98 levobunolol...... 247 LINZESS...... 192, 195, 197 LAMICTAL XR STARTER (BLUE).98 levocarnitine...... 156, 239 LIORESAL...... 217 LAMICTAL XR STARTER levocarnitine (with sugar)...... 239 liothyronine...... 189 (GREEN)...... 98 levocetirizine...... 255 LIPOCHOL PLUS...... 81 LAMICTAL XR STARTER levofloxacin...... 35, 250 lipodox...... 57 (ORANGE)...... 99 levofloxacin in d5w...... 35 lipodox 50...... 57 lamivudine...... 30, 36 levoleucovorin calcium...... 59 LIPOFEN...... 80 lamivudine-zidovudine...... 31 Levonest (28)...... 130 LIQUIVIDA HYDRATION KIT...... 171 lamotrigine...... 99, 113 levonorgestrel-ethinyl estrad...... 128 lisinopril...... 73 LANCETS...... 220, 232 levonorg-eth estrad triphasic...... 130 lisinopril-hydrochlorothiazide...... 73 LANCETS, SUPER THIN...... 220, 232 LEVOPHED (BITARTRATE)...... 87 LITE TOUCH INSULIN PEN LANCETS,THIN...... 220, 232 Levora-28...... 128 NEEDLES...... 225, 232 LANCETS,ULTRA THIN...... 220, 232 levorphanol tartrate...... 5 LEVORPHANOL TARTRATE...... 5 280 LITE TOUCH INSULIN SYRINGE lugols...... 59, 159 MAR-COF CG...... 264 ...... 225, 232 LULICONAZOLE...... 137 MARINOL...... 114, 155, 190 LITE TOUCH LANCETS...... 220, 232 LUMIGAN...... 251 Marlissa (28)...... 128 lithium carbonate...... 114 LUMIZYME...... 238 MARNATAL-F...... 166 LITHIUM CITRATE...... 114 LUMOXITI...... 49, 50 MARPLAN...... 100 LITHOBID...... 114 LUNESTA...... 121 MARQIBO...... 56 LITHOSTAT...... 201 LUPANETA PACK (1 MONTH)..... 186 MATULANE...... 44 LIVALO...... 80 LUPANETA PACK (3 MONTH)..... 186 Matzim La...... 84 lmd 10 % in 0.9 % sodium chlor...... 210 LUPRON DEPOT...... 51, 186 MAVENCLAD (10 TABLET PACK) lmd 10 % in 5 % dextrose...... 210 LUPRON DEPOT (3 MONTH).. 51, 186 ...... 243 LO LOESTRIN FE...... 126 LUPRON DEPOT (4 MONTH)...... 51 MAVENCLAD (4 TABLET PACK) 243 LOCOID...... 144 LUPRON DEPOT (6 MONTH)...... 51 MAVENCLAD (5 TABLET PACK) 243 LOCOID LIPOCREAM...... 144 LUPRON DEPOT-PED...... 186 MAVENCLAD (6 TABLET PACK) 243 LODINE...... 16 LUPRON DEPOT-PED (3 MONTH) MAVENCLAD (7 TABLET PACK) 243 LODOSYN...... 105 ...... 186 MAVENCLAD (8 TABLET PACK) 243 LOESTRIN 1.5/30 (21)...... 128 LUTATHERA...... 53, 55 MAVENCLAD (9 TABLET PACK) 243 Loestrin 1/20 (21)...... 128 Lutera (28)...... 128 MAVYRET...... 37 LOESTRIN FE 1.5/30 (28-DAY)...... 128 LUXAMEND...... 141 MAXALT...... 118 Loestrin Fe 1/20 (28-Day)...... 128 LUXIQ...... 144 MAXALT-MLT...... 118 LOKELMA...... 157 LUZU...... 137 MAXICOMFORT II PEN NEEDLE LOMAIRA...... 155 LYNPARZA...... 53 ...... 225, 232 LOMOTIL...... 190 LYRICA...... 96, 116 MAXICOMFORT INSULIN LONHALA MAGNAIR REFILL.....258 LYRICA CR...... 115, 120 SYRINGE...... 226, 232 LONHALA MAGNAIR STARTER.258 LYSODREN...... 46 MAXI-COMFORT INSULIN LONSURF...... 47 LYSTEDA...... 207 SYRINGE...... 226, 232 loperamide...... 189 Lyza...... 130 MAXICOMFORT SAFETY PEN LOPID...... 80 M.V.I. ADULT...... 162 NEEDLE...... 226, 232 lopinavir-ritonavir...... 30 M.V.I. PEDIATRIC...... 165 MAXIDEX...... 246 lopreeza...... 179 M.V.I.-12 (WITHOUT VITAMIN K) MAXIPIME...... 34 LOPRESSOR...... 82 ...... 162 MAXITROL...... 244 LOPRESSOR HCT...... 86 MACROBID...... 25, 201 MAXI-TUSS CD...... 263 LOPROX...... 136 MACRODANTIN...... 25, 201 MAXZIDE...... 90 LOPROX (AS OLAMINE)...... 136 MACUGEN...... 248, 251 MAXZIDE-25MG...... 90 lorazepam...... 94, 111, 112, 121 mafenide acetate...... 139 MAYZENT...... 243 lorazepam intensol...... 94, 112 MAGELLAN INSULIN SAFETY M-CLEAR WC...... 264 LORBRENA...... 45 SYRNG...... 225, 232 meclizine...... 190 Lorcet (Hydrocodone)...... 8, 9 MAGELLAN SYRINGE...... 225, 232 meclofenamate...... 15 Lorcet Hd...... 8, 9 magnesium chloride...... 159 MEDIHONEY (HONEY)...... 152 Lorcet Plus...... 8, 9 magnesium sulfate...... 160 MEDISENSE THIN LANCETS220, 232 LORTAB ELIXIR...... 8, 9 MAGNESIUM SULFATE IN 0.9 MEDLANCE PLUS LANCETS220, 233 LORTUSS EX...... 263 %NACL...... 159 MEDLANCE PLUS SPECIAL Loryna (28)...... 128 MAGNESIUM SULFATE IN D5W. 159 BLADE...... 221, 233 LORZONE...... 217 MAGNESIUM SULFATE IN LR.....159 MEDROL...... 182 losartan...... 76 MAGNESIUM SULFATE IN MEDROL (PAK)...... 182 losartan-hydrochlorothiazide...... 75 WATER...... 159, 160 medroxyprogesterone...... 125, 187 LOSEASONIQUE...... 126 MAKENA...... 180, 187 mefenamic acid...... 15 LOTEMAX...... 246 MAKENA (PF)...... 180, 187 mefloquine...... 28 LOTEMAX SM...... 246 MALARONE...... 27 megestrol...... 54, 155 LOTENSIN...... 73 MALARONE PEDIATRIC...... 27 MEKINIST...... 52 LOTENSIN HCT...... 73 malathion...... 151 MEKTOVI...... 52 loteprednol etabonate...... 246 manganese chloride...... 160 Melodetta 24 Fe...... 128 LOTREL...... 72 manganese sulfate...... 160 meloxicam...... 15 LOTRISONE...... 137 mannitol 10 %...... 89 melphalan...... 45 LOTRONEX...... 195, 197 mannitol 20 %...... 89 melphalan hcl...... 44 LOUTREX...... 139, 141 mannitol 25 %...... 89 memantine...... 125 lovastatin...... 80 mannitol 5 %...... 90 MEMANTINE...... 125 LOVENOX...... 210 maprotiline...... 104 MEMBRANEBLUE...... 249 Low-Ogestrel (28)...... 128 MARCAINE...... 19 MENACTRA (PF)...... 70 loxapine succinate...... 107 MARCAINE (PF)...... 19 M-END PE...... 263 LOYON...... 141 MARCAINE SPINAL (PF)...... 19 MENEST...... 180 Lo-Zumandimine (28)...... 128 MARCAINE-EPINEPHRINE...... 20 MENOPUR...... 180 LUCEMYRA...... 122 MARCAINE-EPINEPHRINE (PF)....20 MENOSTAR...... 180 LUCENTIS...... 248, 252 MAR-COF BP...... 263 MENTAX...... 136 281 MENVEO A-C-Y-W-135-DIP (PF).... 70 methylprednisolone acetate...... 182 milrinone...... 86 meperidine...... 5 METHYLPREDNISOLONE ACET- milrinone in 5 % dextrose...... 86 meperidine (pf)...... 5 WATER...... 182 Mimvey...... 179 MEPHYTON...... 172 methylprednisolone sodium succ...... 182 Mimvey Lo...... 179 MEPIVACAINE (PF)...... 19, 240 methyltestosterone...... 174 MIMYX...... 141 meprobamate...... 95 metipranolol...... 248 MINASTRIN 24 FE...... 129 MEPRON...... 28 metoclopramide hcl...... 193, 194 MINI ULTRA-THIN II...... 226, 233 MEPSEVII...... 238 METOCLOPRAMIDE HCL...... 193 MINIPRESS...... 92 mercaptopurine...... 47 metolazone...... 90 Minitran...... 77 meropenem...... 32 metoprolol succinate...... 82 MINIVELLE...... 180 MEROPENEM-0.9% SODIUM METOPROLOL SU- MINOCIN...... 43 CHLORIDE...... 32 HYDROCHLOROTHIAZ...... 86 minocycline...... 14, 43, 132 MERREM...... 32 metoprolol ta-hydrochlorothiaz...... 86 minoxidil...... 88 mesalamine...... 195, 196 metoprolol tartrate...... 82 MIOCHOL-E...... 243 mesalamine with cleansing wipe...... 196 METRO I.V...... 28 MIOSTAT...... 243 mesna...... 59 METROCREAM...... 132 MIRAPEX...... 106 MESNEX...... 59 METROGEL...... 149 MIRAPEX ER...... 106 MESTINON...... 215 METROGEL VAGINAL...... 265 MIRCERA...... 204 MESTINON TIMESPAN...... 215 METROLOTION...... 132 Mircette (28)...... 126 Metadate Er...... 110 metronidazole...... 28, 132, 149, 265 MIRENA...... 126 metaproterenol...... 259 METRONIDAZOLE IN NACL mirtazapine...... 100 METASTRON...... 55 (ISO-OS)...... 28 MIRVASO...... 149 Metaxall...... 217 mexiletine...... 77 misoprostol...... 193 metaxalone...... 217 MIACALCIN...... 179 MITIGARE...... 203 METFORMIN...... 185 Mibelas 24 Fe...... 128 MITIGO (PF)...... 5 metformin...... 185 MICARDIS...... 76 mitomycin...... 57 METHADONE...... 5 MICARDIS HCT...... 75 MITOMYCIN...... 57 methadone...... 5 MICONAZOLE NITRATE-ZINC MITOSOL...... 245 Methadone Intensol...... 5 OX-PET...... 137 mitoxantrone...... 57 METHADOSE...... 5 miconazole-3...... 265 MKO (MIDAZOLAM-KETAMINE- Methadose...... 5 MICORT-HC...... 21, 144 ONDAN)...... 17, 122 methamphetamine...... 110, 115 MICRHOGAM ULTRA- M-M-R II (PF)...... 68, 71, 72 methazolamide...... 89 FILTERED PLUS...... 68 MOBIC...... 15 methenamine hippurate...... 40, 201 MICRO THIN LANCETS...... 221, 233 modafinil...... 119 methenamine mandelate...... 40, 201 MICROCYN...... 59, 152 Moderiba...... 37 Methergine...... 187 microgestin 1.5/30 (21)...... 128 moexipril...... 73 methimazole...... 177 microgestin 1/20 (21)...... 128 molindone...... 107 METHITEST...... 174 MICROGESTIN 24 FE...... 128 mometasone...... 144, 261 methocarbamol...... 217 microgestin fe 1.5/30 (28)...... 128 Mondoxyne Nl...... 43 METHOCEL E 4 M...... 124 microgestin fe 1/20 (28)...... 128 monoject 0.9% sodium chloride... 170, 171 METHOHEXITAL IN WATER MICROLET 2 LANCING DEVICE MONOJECT INSULIN SAFETY (PF)...... 17 ...... 221, 233 SYRING...... 226, 233 METHOTREXATE SODIUM...... 12, 46 MICROLET LANCET...... 221, 233 MONOJECT INSULIN SYRINGE methotrexate sodium...... 46 MICROLET NEXT LANCING ...... 226, 233 methotrexate sodium (pf)...... 46 DEVICE...... 221, 233 monoject prefill advanced ns...... 170, 171 methoxsalen...... 138 MICROZIDE...... 90 MONOJECT SYRINGE...... 226, 233 methscopolamine...... 194 midazolam...... 18, 112, 121 MONOJECT ULTRA COMFORT methyclothiazide...... 90 midazolam (pf)...... 17, 112 INSULIN...... 226, 233 METHYL SALICYLATE...... 150 MIDAZOLAM (PF)...... 17, 112 MONOLET LANCETS...... 221, 233 methyldopa...... 88 MIDAZOLAM (PF) IN 0.9 % NACL MONOLET THIN LANCETS..221, 233 methyldopa-hydrochlorothiazide...... 88 ...... 17, 112 Mono-Linyah...... 129 methyldopate...... 88 MIDAZOLAM IN 0.9 % SOD MONONINE...... 205 methylene blue (antidote)...... 22 CHLORID...... 17, 18, 112 MONOVISC...... 215 METHYLERGONOVINE...... 187 midodrine...... 87 montelukast...... 257 methylergonovine...... 187 MIFEPREX...... 173 MONUROL...... 25, 201 METHYLIN...... 110, 119 mifepristone...... 173 Morgidox...... 43 methylphenidate hcl...... 110, 119, 120 migergot...... 117 MORPHINE...... 6 METHYLPHENIDATE HCL...... 110 miglitol...... 175 morphine...... 6 METHYLPRED AC(PF)- miglustat...... 239 morphine (pf)...... 5, 6 NACL,ISO-OSM...... 182 MIGRANAL...... 117 MORPHINE (PF)...... 6 METHYLPREDNISOL AC- Mili...... 128 MORPHINE (PF) IN 0.9 % NACL...... 5 BUPIVAC-WAT...... 181 MILLIPRED...... 182 morphine concentrate...... 6 methylprednisolone...... 182 MILLIPRED DP...... 182 282 MORPHINE IN 0.9 % SODIUM NAFCILLIN...... 41 NESTABS ABC...... 167 CHLOR...... 6 NAFCILLIN IN DEXTROSE ISO- NESTABS DHA...... 167 MOTOFEN...... 190 OSM...... 41 NESTABS ONE...... 167 MOVANTIK...... 23 naftifine...... 136 Neuac...... 133 MOVIPREP...... 197 NAFTIN...... 136 NEULASTA...... 206 MOXATAG...... 24 NAGLAZYME...... 238 NEUPOGEN...... 206 MOXEZA...... 250 nalbuphine...... 10 NEUPRO...... 106 moxifloxacin...... 35, 250 NALOCET...... 9 NEURONTIN...... 96 MOXIFLOXACIN (PF)-BSS NO.2.. 250 naloxone...... 23 NEUT...... 158 MOXIFLOXACIN-SOD naltrexone...... 23 NEUTRASAL...... 241 CHLOR,ISO(PF)...... 250 NAMENDA...... 125 NEVANAC...... 247 MOXIFLOXACIN-SOD.ACE,SUL- NAMENDA TITRATION PAK...... 125 nevirapine...... 29 WATER...... 36 NAMENDA XR...... 125 NEXA PLUS...... 167 moxifloxacin-sod.chloride(iso)...... 36 NAMZARIC...... 125 NEXAVAR...... 52 MOZOBIL...... 204 NANDROLONE DECANOATE...... 173 NEXAVIR...... 147 MS CONTIN...... 6 NAPRELAN CR...... 16 NEXIUM IV...... 193 MUGARD...... 241, 242 NAPROSYN...... 16 NEXPLANON...... 125 MULPLETA...... 213 naproxen...... 16 NEXTERONE...... 78 MULTAQ...... 78 naproxen sodium...... 16 niacin...... 81, 172 MULTI-LANCET DEVICE 2...221, 233 naratriptan...... 118 Niacor...... 81 MULTITRACE-4...... 162 NARCAN...... 23 NIASPAN EXTENDED-RELEASE...81 MULTITRACE-4 CONCENTRATE NARDIL...... 100 nicardipine...... 85 ...... 161 NAROPIN (PF)...... 19 NICARDIPINE IN 0.9 % NACL...... 85 MULTITRACE-4 NEONATAL...... 162 NASCOBAL...... 172 NICOTROL...... 123 MULTITRACE-4 PEDIATRIC...... 162 NATACHEW (FE BIS- NICOTROL NS...... 123 MULTITRACE-5...... 162 GLYCINATE)...... 167 nifedipine...... 85 MULTITRACE-5 CONCENTRATE NATACYN...... 251 Nikki (28)...... 129 ...... 162 NATAZIA...... 130 NILANDRON...... 46 mupirocin...... 135 nateglinide...... 175 nilutamide...... 46 mupirocin calcium...... 135 NATPARA...... 187 NIMBEX...... 216 MURI-LUBE...... 123 NATROBA...... 151 nimodipine...... 84 MUSE...... 154 NATURE-THROID...... 188 NINJACOF-XG...... 264 MUTAMYCIN...... 57 NAVELBINE...... 56 NINLARO...... 54 MVASI...... 43 NEBUPENT...... 40 NIPENT...... 47 MYALEPT...... 186 nebusal...... 124 NIPRIDE RTU...... 88 MYAMBUTOL...... 32 NEBUSAL...... 124 nisoldipine...... 85 MYCAMINE...... 26 necon 0.5/35 (28)...... 129 NITHIODOTE...... 22 MYCOBUTIN...... 32, 42 NEEVODHA (WITH ALGAL OIL) 167 NITRO-BID...... 77 mycophenolate mofetil...... 13, 214 nefazodone...... 101 NITRO-DUR...... 77 mycophenolate mofetil hcl...... 13, 214 NEMBUTAL SODIUM...... 121 nitrofurantoin...... 25, 201 mycophenolate sodium...... 214 NEOCERA...... 141 nitrofurantoin macrocrystal...... 25, 201 MYDAYIS...... 110, 115 neomycin...... 24 nitrofurantoin monohyd/m-cryst.....25, 201 MYDRIACYL...... 245 neomycin-bacitracin-poly-hc...... 244 NITROGLYCERIN...... 77 MYFORTIC...... 214 neomycin-bacitracin-polymyxin...... 249 nitroglycerin...... 77 MYGLUCOHEALTH LANCETS neomycin-polymyxin b gu...... 199 nitroglycerin in 5 % dextrose...... 77 ...... 221, 233 neomycin-polymyxin b-dexameth...... 244 NITROLINGUAL...... 77 MYLERAN...... 44 neomycin-polymyxin-gramicidin...... 249 NITROMIST...... 77 MYLOTARG...... 46, 58 neomycin-polymyxin-hc...... 244, 252 NITROPRESS...... 89 MYNATAL...... 166 Neo-Polycin...... 249 NITROSTAT...... 77 MYNATAL ADVANCE...... 166 Neo-Polycin Hc...... 244 Nitro-Time...... 77 MYNATAL PLUS...... 166 NEOPROFEN (IBUPROFEN NITYR...... 239 MYNATAL-Z...... 166 LYSN)(PF)...... 91 NIVATOPIC PLUS...... 141 MYNATE 90 PLUS...... 167 NEORAL...... 13, 213 NIVESTYM...... 206 MYOBLOC...... 216 NEOSALUS...... 141 nizatidine...... 193 Myorisan...... 132 NEOSTIGMINE NIZORAL...... 137 MYRBETRIQ...... 199 METHYLSULFATE...... 215 NOCDURNA (MEN)...... 174 MYSOLINE...... 95 NEO-SYNALAR...... 136 NOCDURNA (WOMEN)...... 174 MYTESI...... 189 NEO-SYNALAR KIT...... 136 NOCTIVA...... 174 NABI-HB...... 67 NEPHRAMINE 5.4 %...... 164 Nolix...... 144 nabumetone...... 15 NERLYNX...... 44 nora-be...... 130 nadolol...... 83 NESACAINE...... 20 NORCO...... 8, 9 nadolol-bendroflumethiazide...... 91 NESACAINE-MPF...... 20 norepinephrine bitartrate...... 87 nafcillin...... 41 NESTABS...... 167 283 NOREPINEPHRINE NUWIQ...... 206 ONETOUCH DELICA LANCETS BITARTRATE-D5W...... 87 NUZYRA...... 24, 43 ...... 221, 233 NOREPINEPHRINE NUZYRA (7 DAY WITH LOAD ONETOUCH DELICA PLUS LANC BITARTRATE-NACL...... 87, 88 DOSE)...... 24, 43 DEV...... 221, 233 noreth-ethinyl estradiol-iron...... 129 NUZYRA (7 DAY)...... 24, 43 ONETOUCH DELICA PLUS norethindrone (contraceptive)...... 130 Nyamyc...... 136 LANCET...... 221, 233 norethindrone acetate...... 187 NYMALIZE...... 84 ONETOUCH SURESOFT norethindrone ac-eth estradiol.....129, 179 nystatin...... 26, 136, 240 LANCING DEV...... 221, 233 norethindrone-e.estradiol-iron...... 129 nystatin-triamcinolone...... 137 ONETOUCH ULTRA BLUE TEST norgestimate-ethinyl estradiol...... 129, 130 Nystop...... 136 STRIP...... 218, 233 NORITATE...... 132 OB COMPLETE...... 159, 167 ONETOUCH ULTRASOFT Norlyda...... 130 OB COMPLETE ONE...... 167 LANCETS...... 221, 233 Norlyroc...... 130 OB COMPLETE PETITE...... 167 ONETOUCH VERIO...... 218, 233 normal saline flush...... 170, 171 OB COMPLETE PREMIER...... 159 ONEXTON...... 133 NORMOSOL-M IN 5 % OB COMPLETE WITH DHA...... 167 ONFI...... 95, 112 DEXTROSE...... 158 OBIZUR...... 206 ONIVYDE...... 56 NORMOSOL-R...... 160 OBREDON...... 264 ONMEL...... 27 NORMOSOL-R IN 5 % OBSTETRIX DHA...... 167 ONPATTRO...... 173 DEXTROSE...... 159 OBSTETRIX EC...... 167 ON-THE-GO LANCETS...... 221, 233 NORMOSOL-R PH 7.4...... 160 OBSTETRIX ONE...... 167 ONZETRA XSAIL...... 118 NORPACE...... 77 OBTREX DHA...... 167 OPANA...... 6 NORPACE CR...... 77 O-CAL PRENATAL...... 167 OPDIVO...... 57 NORPRAMIN...... 104 OCALIVA...... 213 OPSUMIT...... 93 NORTHERA...... 88 ocella...... 129 ORACEA...... 43, 149 nortrel 0.5/35 (28)...... 129 OCTAGAM...... 67 ORALAIR...... 61 nortrel 1/35 (21)...... 129 OCTAPLAS (BLOOD GROUP A)...210 Oralone...... 241 Nortrel 1/35 (28)...... 129 OCTAPLAS (BLOOD GROUP AB) 210 ORAMAGICRX...... 241 nortrel 7/7/7 (28)...... 131 OCTAPLAS (BLOOD GROUP B)...210 ORAP...... 107 nortriptyline...... 104 OCTAPLAS (BLOOD GROUP O)...210 ORAPRED ODT...... 182 NORVASC...... 85 octreotide acetate...... 188, 198 ORAVIG...... 26 NORVIR...... 42 ocucoat...... 249 ORBACTIV...... 38 NOVA SAFETY LANCETS...... 221, 233 OCUFLOX...... 250 ORENITRAM...... 92 NOVA SUREFLEX LANCETS 221, 233 ODACTRA...... 62 ORFADIN...... 239 NOVAREL...... 183 ODEFSEY...... 31 ORILISSA...... 186 NOVOEIGHT...... 206 ODOMZO...... 50 ORKAMBI...... 260 NOVOFINE 32...... 226, 233 OFEV...... 54, 264 orphenadrine citrate...... 217 NOVOFINE AUTOCOVER..... 226, 233 OFIRMEV...... 10 orphenadrine-asa-caffeine...... 217 NOVOFINE PLUS...... 226, 233 ofloxacin...... 36, 250, 252 Orphengesic Forte...... 217 NOVOSEVEN RT...... 205 ogestrel (28)...... 129 Orsythia...... 129 NOVOTWIST...... 226, 233 Okebo...... 43 ORTHO-NOVUM 1/35 (28)...... 129 NOXAFIL...... 26, 27 olanzapine...... 108, 114 ORTHOVISC...... 215 np thyroid...... 188 olanzapine-fluoxetine...... 103, 108, 114 oseltamivir...... 38 NPLATE...... 213 olmesartan...... 76 OSENI...... 176 NUBEQA...... 46 olmesartan-amlodipin-hcthiazid...... 74 OSMITROL 10 %...... 90 NUCALA...... 257, 258 olmesartan-hydrochlorothiazide...... 75 osmitrol 15 %...... 90 NUCYNTA...... 6 olopatadine...... 245, 261 osmitrol 20 %...... 90 NUEDEXTA...... 120 OLUMIANT...... 13 OSMITROL 5 %...... 90 NULOJIX...... 214 OLUX...... 144 OSMOLEX ER...... 106 NULYTELY WITH FLAVOR OLUX-E...... 144 OSMOPREP...... 197 PACKS...... 197 OMEGAVEN...... 165 OSPHENA...... 186 NUMOISYN...... 3, 241 omeprazole...... 193 OTEZLA...... 14, 139 NUPLAZID...... 108 OMIDRIA...... 248 OTEZLA STARTER...... 14, 139 NUSURGEPAK SURGICAL PREP 152 OMNARIS...... 261 OTIPRIO...... 252 NUTRASEB...... 141 ON CALL LANCET...... 221, 233 OTOVEL...... 252 NUTRILIPID...... 165 ON CALL PLUS LANCET...... 221, 233 OTREXUP (PF)...... 12 nutrilyte...... 160 ONCASPAR...... 48 OVACE...... 139 NUTRIPORT BALLOON...... 228, 233 ondansetron...... 191 Ovide...... 151 NUTROPIN AQ NUSPIN...... 183 ondansetron hcl...... 191 OVIDREL...... 183 NUVAIL...... 148 ondansetron hcl (pf)...... 191 oxacillin...... 41 NUVAKAAN...... 147, 228 ONETOUCH DELICA LANC OXACILLIN IN DEXTROSE(ISO- NUVARING...... 131 DEVICE...... 221, 233 OSM)...... 41 NUVESSA...... 265 oxaliplatin...... 53 NUVIGIL...... 119 OXANDRIN...... 173 284 oxandrolone...... 173 PAXIL...... 101 phenoxybenzamine...... 92 oxaprozin...... 16 PAXIL CR...... 101 phentermine...... 155 OXAYDO...... 6 PEDIARIX (PF)...... 66, 69 phentolamine...... 92 oxazepam...... 94, 112 PEDITRACE...... 162 PHENYLEPHRINE HCL...... 88 oxcarbazepine...... 97, 98 PEDVAX HIB (PF)...... 70 phenylephrine hcl...... 247 OXERVATE...... 247 peg 3350-electrolytes...... 197 PHENYLEPHRINE HCL IN 0.9% oxiconazole...... 137 PEGANONE...... 97 NACL...... 88 OXISTAT...... 137 PEGASYS...... 37 PHENYLEPHRINE HCL IN D5W.... 88 OXSORALEN ULTRA...... 138 PEGASYS PROCLICK...... 36 PHENYTEK...... 97 OXTELLAR XR...... 98 peg-electrolyte soln...... 197 phenytoin...... 97 oxybutynin chloride...... 202 PEGINTRON...... 37 phenytoin sodium...... 77, 78, 97 oxycodone...... 6, 7 peg-prep...... 198 phenytoin sodium extended...... 97 OXYCODONE...... 7 PEN NEEDLE...... 226, 233 philith...... 129 oxycodone-acetaminophen...... 9 PEN NEEDLE, DIABETIC...... 226, 233 PHLAG SPRAY...... 141 oxycodone-aspirin...... 9 penicillamine...... 14, 22 PHOSLYRA...... 199, 200 OXYCONTIN...... 7 PENICILLIN G POT IN PHOSPHOLINE IODIDE...... 243 oxymorphone...... 7 DEXTROSE...... 40 PHOTOFRIN...... 53 oxytocin...... 187 penicillin g potassium...... 40 PHOTREXA CROSS-LINKING OXYTOCIN IN 0.9 % SOD PENICILLIN G PROCAINE...... 40 KIT...... 244 CHLORIDE...... 187 penicillin g sodium...... 40 PHOTREXA VISCOUS...... 244 OXYTOCIN IN DEXTROSE 5 %....187 penicillin v potassium...... 40 PHOXILLUM B22K...... 252 OXYTOCIN IN LACTATED PENLAC...... 136 PHOXILLUM BK...... 252 RINGERS...... 187 PENLEN...... 141 Phrenilin Forte(With Caffeine)...... 10 OXYTROL...... 202 PENTACEL (PF)...... 70 PHYSIOLYTE...... 157 OZEMPIC...... 176 PENTACEL ACTHIB PHYSIOSOL IRRIGATION...... 157 OZURDEX...... 246 COMPONENT (PF)...... 70 phytonadione (vitamin k1)...... 172 Pacerone...... 78 PENTAM...... 40 PHYTONADIONE (VITAMIN K1).172 paclitaxel...... 55 pentamidine...... 40 PICATO...... 138 PAIN EASE MEDIUM STREAM PENTASA...... 196 PIFELTRO...... 29 SPRAY...... 147 pentazocine-naloxone...... 10 pilocarpine hcl...... 242, 243 PAIN EASE MIST SPRAY...... 147 PENTETATE CALCIUM pimecrolimus...... 140 paliperidone...... 106 TRISODIUM...... 23 pimozide...... 107 PALONOSETRON...... 191 PENTETATE ZINC TRISODIUM.... 23 Pimtrea (28)...... 126 palonosetron...... 191 PENTIPS...... 226, 233 pindolol...... 83 PALYNZIQ...... 240 pentobarbital sodium...... 121 pioglitazone...... 185 PAMELOR...... 104 pentoxifylline...... 206 pioglitazone-glimepiride...... 176 pamidronate...... 178 Pepcid...... 193 pioglitazone-metformin...... 176 PAMIDRONATE...... 178 PERCOCET...... 9 PIPERACILLIN-TAZOBACTAM.... 41 PANCREAZE...... 192 PERFOROMIST...... 258 piperacillin-tazobactam...... 41 pancuronium...... 216 PERIDEX...... 241 PIQRAY...... 53 PANDEL...... 144 PERIKABIVEN...... 165 Pirmella...... 129 PANHEMATIN...... 204 perindopril erbumine...... 73 pirmella...... 131 PANRETIN...... 138 Periogard...... 241 piroxicam...... 15 pantoprazole...... 193 PERJETA...... 58 PITOCIN...... 187 PANZYGA...... 67 permethrin...... 151 PLAQUENIL...... 12, 28 papaverine...... 92 perphenazine...... 108 plasbumin 25 %...... 209 PAPAV-PHENTOLAM-ALPROST- perphenazine-amitriptyline...... 103 plasbumin 5 %...... 209 WATER...... 154 PERSERIS...... 106 PLASMA-LYTE 148...... 160 PAPAV-PHENTOLAMINE IN PERTZYE...... 192 PLASMA-LYTE A...... 160 WATER...... 92, 154 PEXEVA...... 101 PLASMANATE...... 210 PARAGARD T 380A...... 125 Pfizerpen-G...... 40 PLAVIX...... 211 PAREMYD...... 244 PH 12 DILUENT FOR FLOLAN..... 124 PLEGRIDY...... 242 PARICALCITOL...... 238 PHARMABASE BARRIER...... 148 PLENAMINE...... 164 paricalcitol...... 238 Phenadoz...... 190, 254, 255 PLENVU...... 198 PARLODEL...... 105 phenazopyridine...... 201 PLIAGLIS...... 150 PARNATE...... 100 phendimetrazine tartrate...... 155 PNEUMOVAX 23...... 70 Paroex Oral Rinse...... 241 phenelzine...... 100 PNV 29-1...... 167 paromomycin...... 23 Phenergan...... 190, 254, 255 PNV OB+DHA...... 167 paroxetine hcl...... 101 phenobarb-hyoscy-atropine-scop...... 194 PNV-DHA + DOCUSATE...... 167 paroxetine mesylate(menop.sym)...... 186 phenobarbital...... 95, 121 PNV-FERROUS FUMARATE- PARSABIV...... 178 phenobarbital sodium...... 95, 121 DOCU-FA...... 167 PASER...... 31 PHENOBARBITAL SODIUM... 95, 121 PNV-OMEGA...... 167 PATANASE...... 261 PHENOL...... 60 PNV-VP-U...... 167 285 podofilox...... 146 PRED FORTE...... 246 PRENATE ENHANCE...... 168 POLIVY...... 46, 58 PRED MILD...... 246 PRENATE ESSENTIAL...... 168 polocaine...... 19 PRED-G...... 244 PRENATE ESSENTIAL(IRON- POLOCAINE...... 19 PRED-G S.O.P...... 244 ASP-GL)...... 168 polocaine-mpf...... 19 prednicarbate...... 144, 145 PRENATE MINI (FERR ASP Polycin...... 249 PREDNISOLN SP-MOXIFLOX- GLYCIN)...... 168 polymyxin b sulfate...... 41 BROMFEN...... 245 PRENATE PIXIE...... 169 polymyxin b sulf-trimethoprim...... 250 prednisolone...... 182 PRENATE RESTORE...... 169 POLYSORBATE 80...... 124 prednisolone acetate...... 246 PRENATE STAR...... 169 POLYTRIM...... 250 PREDNISOLONE ACETATE (PF). 246 PRE-PEN...... 154 POLY-TUSSIN AC...... 263 PREDNISOLONE ACETATE- PREPIDIL...... 173 POMALYST...... 56 NEPAFENAC...... 247 PREPLUS...... 169 PONTOCAINE...... 150 PREDNISOLONE SOD PH- PREPOPIK...... 198 Portia 28...... 129 MOXIFLOX...... 244 PRESERA...... 141 PORTRAZZA...... 58 prednisolone sodium phosphate...... 182 PRESSURE ACTIVATED POSACONAZOLE...... 27 PREDNISOLONE SODIUM LANCETS...... 221, 233 potassium acetate...... 160 PHOSPHATE...... 246 PRESTALIA...... 72, 73 potassium chlorid-d5-0.45%nacl...... 160 PREDNISOLONE-MOXIFLO- PRETAB...... 169 POTASSIUM CHLORIDE...... 161 NEPAFENAC...... 245 prevalite...... 79 potassium chloride...... 161 PREDNISOLONE- PREVIDENT...... 240 POTASSIUM CHLORIDE IN MOXIFLOXACIN HCL...... 244 PREVIDENT 5000 BOOSTER 0.9%NACL...... 160 PREDNISOLONE-MOXIFLOX- PLUS...... 240 potassium chloride in 0.9%nacl...... 160 BROMFEN...... 245 PREVIDENT 5000 ENAMEL potassium chloride in 5 % dex...... 161 prednisone...... 182 PROTECT...... 240 POTASSIUM CHLORIDE IN LR- PREDNISONE INTENSOL...... 182 Previfem...... 129 D5...... 161 PREFERA-OB...... 168 PREVNAR 13 (PF)...... 70 potassium chloride in water...... 161 PREFERA-OB ONE...... 168 PREVYMIS...... 35 POTASSIUM CHLORIDE IN PREFERA-OB PLUS DHA...... 168 PREZCOBIX...... 30, 41 WATER...... 161 PREFEST...... 179 PREZISTA...... 41 potassium chloride-0.45 % nacl...... 161 pregabalin...... 96, 116 PRIALT...... 3 potassium chloride-d5-0.2%nacl...... 161 PREGNYL...... 183 PRIFTIN...... 32, 42 POTASSIUM CHLORIDE-D5- PREMARIN...... 180, 265 PRILOVIX LITE PLUS...... 147 0.2%NACL...... 161 PREMASOL 10 %...... 164 PRILOVIX PLUS...... 147 potassium chloride-d5-0.3%nacl...... 161 PREMASOL 6 %...... 164 PRIMACARE...... 169 potassium chloride-d5-0.9%nacl...... 161 PREMPHASE...... 179 PRIMAQUINE...... 28 POTASSIUM CHLORIDE-D5- PREMPRO...... 179 PRIMAXIN IV...... 32 0.9%NACL...... 161 PRENA1 CHEW...... 168 primidone...... 95 potassium citrate...... 201 PRENA1 PEARL...... 168 PRIMLEV...... 9 POTASSIUM CL-LIDO-0.9 % PRENA1 TRUE...... 168 PRIMSOL...... 25 NACL...... 161 PRENAISSANCE...... 168 PRINIVIL...... 73 POTELIGEO...... 48 PRENAISSANCE PLUS...... 168 PRISMASOL B22GK...... 253 PR BENZOYL PEROXIDE...... 133 PRENATA...... 168 PRISMASOL BGK...... 253 PR CREAM...... 148 prenatabs fa...... 168 PRISMASOL BK...... 253 PR NATAL 400...... 167 prenatabs rx...... 168 PRISTIQ...... 102 PR NATAL 400 EC...... 167 PRENATAL 19...... 168 PRIVIGEN...... 67 PR NATAL 430...... 167 PRENATAL 19 (WITH PRIZOTRAL...... 147 PR NATAL 430 EC...... 167 DOCUSATE)...... 168 PRO COMFORT INSULIN PRADAXA...... 212 prenatal low iron...... 168 SYRINGE...... 226, 234 PRALIDOXIME...... 21 PRENATAL PLUS...... 168 PRO COMFORT LANCET...... 221, 234 PRALUENT PEN...... 82 PRENATAL PLUS (CALCIUM PRO COMFORT PEN NEEDLE pramipexole...... 106 CARB)...... 168 ...... 226, 234 PRAMOSONE...... 145 PRENATAL PLUS DHA...... 168 PROAIR HFA...... 259 PRANDIN...... 175 PRENATAL VITAMIN PLUS LOW PROAIR RESPICLICK...... 259 prasugrel...... 211 IRON...... 168 probenecid...... 203 PRAVACHOL...... 80 PRENATAL-U...... 168 probenecid-colchicine...... 203 pravastatin...... 81 PRENATE AM...... 168 PROBUPHINE...... 122 PRAXBIND...... 21 PRENATE CHEWABLE...... 168 procainamide...... 77 praziquantel...... 25 PRENATE DHA...... 168 PROCAINAMIDE...... 77 prazosin...... 92 PRENATE DHA (FERR ASP PROCALAMINE 3%...... 163, 164 PRECEDEX...... 122 GLYCIN)...... 168 PROCARDIA...... 85 PRECEDEX IN 0.9 % SODIUM PRENATE ELITE...... 168 PROCARDIA XL...... 85 CHLOR...... 122 PRENATE ELITE (IRON ASP Procentra...... 115 PRECOSE...... 175 GLYC)...... 168 prochlorperazine...... 191 286 prochlorperazine edisylate...... 191 PROZAC...... 101 REBINYN...... 205 prochlorperazine maleate...... 108, 191 PRUCLAIR...... 141 RECEDO...... 148 PROCRIT...... 204 PRUDOXIN...... 150 RECLAST...... 178 PROCTOCORT...... 21, 145 PRUMYX...... 141 Reclipsen (28)...... 129 PROCTOFOAM HC...... 21 PRUTECT...... 141 RECOMBINATE...... 206 Procto-Med Hc...... 21, 145 PSORCON...... 145 RECOMBIVAX HB (PF)...... 66 Procto-Pak...... 21, 145 PULMICORT...... 256 RECOTHROM...... 207 Proctosol Hc...... 21, 145 pulmosal...... 124 RECOTHROM SPRAY KIT...... 207 Proctozone-Hc...... 21, 145 PULMOZYME...... 261 RECTIV...... 21 PROCYSBI...... 199 PUREFE OB PLUS...... 169 refissa...... 148 PRODIGY INSULIN SYRINGE PURIXAN...... 47 REGENECARE...... 150 ...... 226, 234 PUSH BUTTON SAFETY REGENECARE WITH ALOE...... 150 PRODIGY LANCETS...... 221, 234 LANCETS...... 221, 234 REGLAN...... 194 PRODIGY TWIST TOP LANCET PYLERA...... 198 REGONOL...... 215 ...... 221, 234 pyrazinamide...... 32 REGRANEX...... 152 PROFILNINE...... 205 pyridostigmine bromide...... 215 RELENZA DISKHALER...... 38 progesterone...... 187 PYRIDOSTIGMINE BROMIDE..... 215 Relexxii...... 110 progesterone micronized...... 187 pyridoxine (vitamin b6)...... 172 RELIAMED LANCET...... 221, 234 PROGLYCEM...... 173 QBRELIS...... 73 RELIAMED SAFETY SEAL PROGRAF...... 213 QBREXZA...... 136 LANCETS...... 221, 234 PROLASTIN-C...... 261 Q-CARE RX Q2...... 218 RELION NEEDLES...... 226, 234 PROLENSA...... 247 Q-CARE RX Q4...... 218 RELION PEN NEEDLES...... 226, 234 PROLEUKIN...... 50 QSYMIA...... 155 RELION THIN LANCETS...... 221, 234 PROLIA...... 188 QUADRACEL (PF)...... 69 RELION ULTRA THIN PLUS PROMACTA...... 213 QUADRAMET...... 55 LANCETS...... 221, 234 promethazine...... 191, 254, 255 QUALAQUIN...... 28 RELISTOR...... 23 promethazine-codeine...... 262 QUARTETTE...... 130 RELPAX...... 118 promethazine-dm...... 262 QUAZEPAM...... 112, 121 REMERON...... 100 promethazine-phenyleph-codeine...... 263 QUDEXY XR...... 98 REMERON SOLTAB...... 100 promethazine-phenylephrine...... 254 QUELICIN...... 216 REMICADE...... 11, 197 Promethegan...... 191, 254, 255 Questran...... 79 remifentanil...... 18 PROMETRIUM...... 187 QUESTRAN LIGHT...... 79 REMODULIN...... 92 PROMISEB...... 139, 141 quetiapine...... 108, 114 RENACIDIN...... 199 propafenone...... 78 QUILLICHEW ER...... 110 RENAGEL...... 200 propantheline...... 194 QUILLIVANT XR...... 110 RENOVA...... 148 proparacaine...... 248 quinapril...... 73 RENVELA...... 200 PROPECIA...... 151 quinapril-hydrochlorothiazide...... 73 REOPRO...... 211 propofol...... 18 quinidine gluconate...... 77 repaglinide...... 175 propranolol...... 83 quinidine sulfate...... 77 repaglinide-metformin...... 175 propranolol-hydrochlorothiazid...... 91 quinine sulfate...... 28 REPATHA PUSHTRONEX...... 82 propylthiouracil...... 177 QVAR REDIHALER...... 256 REPATHA SURECLICK...... 82 PROQUAD (PF)...... 68, 71, 72 RABAVERT (PF)...... 72 REPATHA SYRINGE...... 82 PRO-RED AC (W/ RADIOGARDASE...... 22 REQUIP...... 106 DEXCHLORPHENIR)...... 263 RAGWITEK...... 63 REQUIP XL...... 106 PROSCAR...... 200 Rajani...... 129 RESCRIPTOR...... 29 PROSOL 20 %...... 164 raloxifene...... 188 RESECTISOL...... 199 PROSTIN E2...... 173 ramelteon...... 116 RESPA-AR...... 254 PROSTIN VR PEDIATRIC...... 91 ramipril...... 73 RESTASIS...... 246 protamine...... 23 RANEXA...... 77 RESTASIS MULTIDOSE...... 246 PROTHELIAL...... 242 ranitidine hcl...... 193 RESTORIL...... 112, 121 PROTONIX...... 193 ranolazine...... 77 RETACRIT...... 205 PROTOPAM CHLORIDE...... 21 RAPAFLO...... 200 RETAVASE...... 212 PROTOPIC...... 140 RAPAMUNE...... 214 RETIN-A...... 134 protriptyline...... 104 RAPIVAB (PF)...... 38 RETIN-A MICRO...... 134 PROTYL AG...... 152 rasagiline...... 105 RETIN-A MICRO PUMP...... 134 PROVAYBLUE...... 22 RASUVO (PF)...... 12 RETISERT...... 246 PROVENGE...... 50 RAVICTI...... 239 RETROVIR...... 30 PROVENTIL HFA...... 259 RAYALDEE...... 238 REVATIO...... 93 PROVERA...... 187 RAZADYNE...... 125 REVCOVI...... 238 PROVIDA DHA...... 169 RAZADYNE ER...... 125 REVLIMID...... 56 PROVIDA OB...... 169 READYLANCE SAFETY Revonto...... 218 PROVIGIL...... 119 LANCETS...... 221, 234 REXULTI...... 109 PROVISC...... 249 REBETOL...... 37 REYATAZ...... 42 287 RHOFADE...... 149 ROWASA...... 196 SE-NATAL 19...... 169 RHOGAM ULTRA-FILTERED Roweepra...... 99 SE-NATAL 19 (WITH DOCUSATE) PLUS...... 68 Roweepra Xr...... 99 ...... 169 RHOPHYLAC...... 68 ROXICODONE...... 7 SENSIPAR...... 178, 179 RHOPRESSA...... 251 ROXYBOND...... 7 SENSORCAINE...... 19 RIASTAP...... 207 ROZEREM...... 116 Sensorcaine...... 20 Ribasphere...... 37 RUBRACA...... 53 Sensorcaine/Epinephrine...... 20 ribasphere...... 37 RUCONEST...... 204 SENSORCAINE-MPF...... 20 RIBASPHERE RIBAPAK...... 37 RUZURGI...... 243 Sensorcaine-Mpf Spinal...... 20 ribavirin...... 37, 42 RYANODEX...... 218 SENSORCAINE- RIDAURA...... 13 RYCLORA...... 254, 255 MPF/EPINEPHRINE...... 20 rifabutin...... 32, 42 RYDAPT...... 54 SENSURA CLICK OSTOMY RIFADIN...... 32, 42 RYDEX...... 263 POUCH...... 228, 234 RIFAMATE...... 32 RYTARY...... 104 SENSURA OSTOMY BASE PLATE rifampin...... 32, 42 RYTHMOL SR...... 78 ...... 228, 234 RIFATER...... 32 RYVENT...... 254, 255 SEREVENT DISKUS...... 258 RIGHTEST GL300 LANCETS 221, 234 SABRIL...... 97 serophene...... 180 RILUTEK...... 215 SACCHARIN...... 157 SEROQUEL...... 108, 114 riluzole...... 215 SAF-CLENS AF DERMAL SEROQUEL XR...... 108, 114 rimantadine...... 38 WOUND...... 149 SEROSTIM...... 183 RIMSO-50...... 199 SAFESNAP INSULIN SYRINGE sertraline...... 101 ringer's...... 157, 170 ...... 226, 234 Setlakin...... 129 RIOMET...... 185 SAFETY LANCETS...... 221, 234 sevelamer carbonate...... 200 risedronate...... 178 SAFETY PEN NEEDLE...... 226, 234 sevelamer hcl...... 200 RISPERDAL...... 106, 114 SAFETY SEAL LANCETS...... 221, 234 sevoflurane...... 17 RISPERDAL CONSTA...... 106 SAFETY-LET LANCETS...... 221, 234 sf...... 240 risperidone...... 106, 114 SAFYRAL...... 129 SFROWASA...... 196 RITALIN...... 110, 120 SALAGEN (PILOCARPINE)...... 242 Sharobel...... 130 RITALIN LA...... 110 salicylic acid...... 146 SHINGRIX (PF)...... 72 ritonavir...... 42 SALIVAMAX...... 241 SHOHL'S MODIFIED...... 201 RITUXAN...... 12, 49 SALKERA...... 146 SIGNIFOR...... 188 RITUXAN HYCELA...... 49 SALVAX...... 146 SIGNIFOR LAR...... 188 rivastigmine...... 125 SALVAX DUO PLUS...... 146 SIKLOS...... 212 rivastigmine tartrate...... 125 SAMSCA...... 90, 189, 200 sildenafil...... 154 rivelsa...... 130 SANCUSO...... 191 sildenafil (antihypertensive)...... 93 RIXUBIS...... 205 SANDIMMUNE...... 13, 213 SILENOR...... 122 rizatriptan...... 118 SANDOSTATIN...... 188, 198 SILIPAC...... 148 R-NATAL OB...... 169 SANDOSTATIN LAR DEPOT.188, 198 SILIQ...... 135 robafen ac...... 264 SANTYL...... 141 silodosin...... 200 ROBAXIN...... 217 SAPHRIS...... 106, 114 SILVADENE...... 140 ROBAXIN-750...... 217 SARAFEM...... 101 SILVER NITRATE...... 135 ROCALTROL...... 172, 238 SAVAYSA...... 204 silver sulfadiazine...... 140 ROCKLATAN...... 249 SAVELLA...... 102, 116 SILVRSTAT...... 135 rocuronium...... 216 SAXENDA...... 155 SIMBRINZA...... 244 ROCURONIUM...... 216 scalacort...... 145 Simliya (28)...... 126 ROMIDEPSIN...... 50 SCARCIN GEL...... 148 Simpesse...... 126 ropinirole...... 106 SCARCIN ROLL-ON...... 148 SIMPONI...... 11, 12, 197 ropivacaine (pf)...... 19 SCARSILK GEL...... 148 SIMPONI ARIA...... 11, 12 ROPIVACAINE (PF)...... 19 SCLEROSOL INTRAPLEURAL.....264 SIMULECT...... 214 ROPIVACAINE (PF) IN 0.9 % scopolamine base...... 190 simvastatin...... 81 NACL...... 19 SEASONIQUE...... 126 SINEMET...... 104 ROPIVACAINE (PF)-NACL,ISO- SEBUDERM...... 141 SINEMET CR...... 104 OSM...... 19 SECONAL SODIUM...... 121 SINGLE-LET...... 221, 234 ROPIVACAINE-CLONIDIN- SEEBRI NEOHALER...... 258 SINGULAIR...... 257 KETOROLAC...... 20 SELECT-OB...... 169 SINUVA...... 260, 262 ROPIVACAINE-EPI-CLONID- SELECT-OB (FOLIC ACID)...... 169 sirolimus...... 214 KETOROL...... 20 SELECT-OB + DHA...... 169 SIRTURO...... 31 ROPIVACAINE-KETOROLAC- selegiline hcl...... 105 SIVEXTRO...... 40 KETAMINE...... 21 SELENIOUS ACID...... 162 SKELAXIN...... 217 Rosadan...... 132, 149 selenium...... 162 SKLICE...... 151 rosuvastatin...... 81 selenium sulfide...... 139 SKYLA...... 126 ROTARIX...... 68, 72 SELZENTRY...... 28 SLYND...... 130 ROTATEQ VACCINE...... 68, 72 SEMPREX-D...... 254 SMART SENSE LANCETS...... 221, 234 288 SMARTEST LANCET...... 221, 234 SOTALOL...... 78, 83 SUCCINYLCHOLINE-SOD SMOFLIPID...... 165 sotalol...... 78, 83 CL,ISO(PF)...... 216 SODIUM ACETATE...... 158 Sotalol Af...... 78, 83 SUCRAID...... 192 sodium acetate...... 158 SOTRADECOL...... 94 sucralfate...... 198 sodium benzoate-sod phenylacet...... 239 SOTYLIZE...... 78, 83 SUFENTANIL CITRATE...... 18 sodium bicarbonate...... 158 SOVALDI...... 37 SULAR...... 85, 86 SODIUM BICARBONATE IN D5W158 SP ANTIPRURITIC...... 150, 152 SULFACETAMIDE SODIUM...... 139 sodium chlor 0.9% bacteriostat....157, 170 SP SCAR MANAGEMENT...... 141, 228 sulfacetamide sodium...... 139, 251 sodium chloride...... 124, 157, 158, 171 SPECTRACEF...... 34 sulfacetamide sodium (acne)...... 132 sodium chloride 0.45 %...... 171 SPHERUSOL...... 152 sulfacetamide sodium-sulfur...... 133, 136 sodium chloride 0.9 %...... 157, 171 spinosad...... 151 SULFACETAMIDE SODIUM- sodium chloride 0.9 % (flush)...... 157, 171 SPIRIVA RESPIMAT...... 258 SULFUR...... 133 SODIUM CHLORIDE 0.9 % SPIRIVA WITH HANDIHALER.....258 SULFACETAMIDE SOD-SULFUR- (FLUSH)...... 157, 171 spironolactone...... 74, 89 UREA...... 133, 149 sodium chloride 3 %...... 171 spironolacton-hydrochlorothiaz...... 90 sulfacetamide-prednisolone...... 244 sodium chloride 5 %...... 171 SPORANOX...... 27 sulfacetamide-sulfur-cleansr23...... 133 SODIUM CITRATE...... 203 SPORANOX PULSEPAK...... 27 SULFADIAZINE...... 42 SODIUM CITRATE IN 0.9 % SPRAVATO...... 100 sulfamethoxazole-trimethoprim...... 25 NACL...... 203 SPRAY AND STRETCH...... 147 SULFAMYLON...... 140 SODIUM EDECRIN...... 89 Sprintec (28)...... 129 sulfasalazine...... 14, 196 sodium ferric gluconat-sucrose...... 159 SPRITAM...... 99 sulfatrim...... 25 SODIUM HYALURONATE SPRYCEL...... 54 sulindac...... 15 (VISCOSUP)...... 216 sps (with sorbitol)...... 157 sumatriptan...... 118 SODIUM LACTATE...... 158 Sronyx...... 129 sumatriptan succinate...... 118 SODIUM NITRITE...... 22 ssd...... 140 sumatriptan-naproxen...... 118 sodium nitroprusside...... 89 SSKI...... 159 SUMAVEL DOSEPRO...... 118 sodium phenylbutyrate...... 239 sss 10-5...... 133, 135 SUNOSI...... 119 sodium phosphate...... 160 STALEVO 100...... 104 SUPARTZ FX...... 216 SODIUM PHOSPHATE IN 0.9 % STALEVO 125...... 104 SUPER THIN LANCETS...... 222, 234 NACL...... 160 STALEVO 150...... 104 SUPPRELIN LA...... 186 SODIUM PHOSPHATE IN D5W.....160 STALEVO 200...... 104 SUPRANE...... 17 sodium polystyrene sulfonate...... 157 STALEVO 50...... 104 SUPRAX...... 34 SODIUM POLYSTYRENE STALEVO 75...... 104 SUPREP BOWEL PREP KIT...... 198 SULFONATE...... 157 STAMARIL (PF)...... 68, 72 SURE COMFORT INS. SYR. U-100 SODIUM SUCCINATE...... 124 STARLIX...... 175 ...... 226, 234 sodium thiosulfate...... 22 stavudine...... 30 SURE COMFORT INSULIN SOFOSBUVIR-VELPATASVIR...... 37 STD GRASS POLLEN-SWEET SYRINGE...... 226, 234 SOFT TOUCH LANCETS...... 221, 234 VERNAL...... 61 SURE COMFORT LANCETS..222, 234 SOLARAZE...... 138 STELARA...... 134, 195 SURE COMFORT PEN NEEDLE solifenacin...... 202 STERILANCE TL...... 222, 234 ...... 226, 234 SOLIQUA 100/33...... 177 STERILE TALC...... 264 SURE-FINE PEN NEEDLES....226, 234 SOLIRIS...... 209 Sterile Water For Injection...... 157 SUREFLEX DEVICE WITH SOLOSEC...... 28 STERITALC...... 264 LANCETS...... 222, 234 SOLOX GEL...... 135 STIMATE...... 174 SURE-JECT INSULIN SYRINGE Soloxide...... 43 STIOLTO RESPIMAT...... 259 ...... 226, 235 SOLTAMOX...... 55 STIVARGA...... 52 SURE-LANCE...... 222, 235 SOLU-CORTEF...... 182 STRATTERA...... 111 SURE-LANCE ULTRA THIN..222, 235 SOLU-CORTEF (PF)...... 182 STRAVIX...... 151 SURE-TOUCH LANCET...... 222, 235 SOLU-MEDROL...... 183 STRENSIQ...... 238 SURFAXIN...... 261 SOLU-MEDROL (PF)...... 182 STREPTOMYCIN...... 24 SURGIFOAM...... 207 SOLUS V2 LANCETS...... 221, 234 STRIANT...... 174 SURGISEAL STYLUS...... 149 SOLUS V2 LANCING DEVICE STRIBILD...... 30 SURGISEAL TEARDROP ...... 222, 234 STRIVERDI RESPIMAT...... 258 APPLICATOR...... 149 SOMA...... 217 STROMECTOL...... 25 SURGISEAL TWIST...... 149 SOMATULINE DEPOT...... 188 STRONG IODINE...... 60 SURVANTA...... 261 SOMAVERT...... 183 SUBLOCADE...... 122 SUSTIVA...... 29 SONAFINE...... 141 SUBOXONE...... 122, 123 SUSTOL...... 191 SOOLANTRA...... 149 Subvenite...... 99 SUTENT...... 54, 55 SORBITOL...... 124, 197, 199 Subvenite Starter (Blue) Kit...... 99, 113 SWABFLUSH...... 157, 171 SORBITOL-MANNITOL...... 199 Subvenite Starter (Green) Kit...... 99, 113 Syeda...... 129 SORIATANE...... 138 Subvenite Starter (Orange) Kit...... 99, 113 SYLATRON...... 50 SORILUX...... 139 succinylcholine chloride...... 216 SYLVANT...... 50 Sorine...... 78, 83 SUCCINYLCHOLINE CHLORIDE216 symax fastabs...... 194, 202 289 SYMBICORT...... 260 TAXOTERE...... 55 THEO-24...... 257 SYMBYAX...... 103, 108, 114 TAYTULLA...... 129 Theochron...... 257 SYMDEKO...... 261 tazarotene...... 139, 148 theophylline...... 257 SYMFI...... 31 Tazicef...... 34 theophylline in dextrose 5 %...... 257 SYMFI LO...... 31 tazicef...... 34 THEOPHYLLINE IN DEXTROSE SYMJEPI...... 87 TAZORAC...... 139 5 %...... 257 SYMLINPEN 120...... 176 Taztia Xt...... 84 THERAPEVO...... 148 SYMLINPEN 60...... 176 TDVAX...... 69 thiamine hcl (vitamin b1)...... 171 SYMPAZAN...... 95, 112 TECENTRIQ...... 57 THIN LANCETS...... 222, 235 SYMPROIC...... 23 TECFIDERA...... 242, 243 thinpro insulin syringe...... 227, 235 SYMTUZA...... 31 TECHLITE INSULIN SYR HALF THINPRO INSULIN SYRINGE SYNAGIS...... 66 UNIT...... 226, 227, 235 ...... 227, 235 SYNALAR...... 145 TECHLITE INSULIN SYRINGE THIOLA...... 199 SYNALAR CREAM KIT...... 145 ...... 227, 235 THIOLA EC...... 199 SYNALAR OINTMENT KIT...... 145 TECHLITE LANCETS...... 222, 235 thioridazine...... 108 SYNAREL...... 186 TECHLITE PEN NEEDLE...... 227, 235 thiotepa...... 44 SYNDROS...... 114, 155, 190 TEFLARO...... 34 thiothixene...... 108 SYNERA...... 150 TEGRETOL...... 98, 113 THRIVITE RX...... 169 SYNERCID...... 42 TEGRETOL XR...... 98, 113 THROMBATE III...... 210 SYNJARDY...... 175 TEGSEDI...... 173 THROMBI-GEL...... 208 SYNJARDY XR...... 175 TEKTURNA...... 93 THROMBIN-JMI...... 208 SYNRIBO...... 57 TEKTURNA HCT...... 93 THROMBI-PAD...... 208 SYNTHAMIN 17 WITHOUT TELCARE LANCETS...... 222, 235 THYMOGLOBULIN...... 68 ELYTE...... 164 telmisartan...... 76 THYROGEN...... 153 SYNTHROID...... 189 telmisartan-amlodipine...... 74 thyroid (pork)...... 188 SYNVISC...... 216 telmisartan-hydrochlorothiazid...... 75 THYROLAR-1...... 188 SYNVISC-ONE...... 216 temazepam...... 112, 121 THYROLAR-1/2...... 188 SYPRINE...... 22 TEMODAR...... 45 THYROLAR-1/4...... 188 SYRINGE AVITENE...... 207 TEMOVATE...... 145 THYROLAR-2...... 188 TABLOID...... 47 temozolomide...... 45 THYROLAR-3...... 188 TACHOSIL...... 208 temsirolimus...... 52 tiagabine...... 97 TACLONEX...... 134 Tencon...... 10 TIAZAC...... 84 tacrolimus...... 140, 213 TENIPOSIDE...... 49 TIBSOVO...... 52 tadalafil...... 93, 154, 200 TENIVAC (PF)...... 69 TICE BCG...... 52, 68 tadalafil (antihypertensive)...... 93 tenofovir disoproxil fumarate...... 30 TIGAN...... 190 TAFINLAR...... 48 TENORETIC 100...... 86 TIGECYCLINE...... 36, 43 TAGRISSO...... 44 TENORETIC 50...... 86 TIGLUTIK...... 215 TAKHZYRO...... 92 TENORMIN...... 82 TIKOSYN...... 78 TALTZ AUTOINJECTOR...... 135 TEPADINA...... 44 tilia fe...... 131 TALTZ AUTOINJECTOR (2 terazosin...... 92 timolol maleate...... 83, 248 PACK)...... 135 terbinafine hcl...... 25 TIMOPTIC...... 248 TALTZ AUTOINJECTOR (3 terbutaline...... 259 TIMOPTIC OCUDOSE (PF)...... 248 PACK)...... 135 terconazole...... 265 TIMOPTIC-XE...... 248 TALTZ SYRINGE...... 135 Terrell...... 17 tinidazole...... 28 TALWIN...... 10 TERUMO INSULIN SYRINGE TIROSINT...... 189 TALZENNA...... 53 ...... 227, 235 TIROSINT-SOL...... 189 TAMIFLU...... 38 TESSALON PERLES...... 256 TISSEEL VHSD (APROTININ, tamoxifen...... 55 TESTOPEL...... 174 SYN)...... 149 tamsulosin...... 200 testosterone...... 174 tis-u-sol pentalyte...... 158 TAPAZOLE...... 177 testosterone cypionate...... 174 TIVICAY...... 29 Taperdex...... 183 TESTOSTERONE CYPIONATE.....174 tizanidine...... 217 TARCEVA...... 44 TESTOSTERONE ENANTHATE... 174 TNKASE...... 212 TARGADOX...... 43 TESTRED...... 174 TOBI...... 260 TARGRETIN...... 55, 138 TETANUS,DIPHTHERIA TOX TOBI PODHALER...... 260 Tarina 24 Fe...... 129 PED(PF)...... 69 TOBRADEX...... 244 Tarina Fe 1/20 (28)...... 129 tetcaine...... 248 TOBRADEX ST...... 244 Tarina Fe 1-20 Eq (28)...... 129 tetrabenazine...... 119 tobramycin...... 250 TARKA...... 73 TETRACAINE HCL (PF)...... 248 tobramycin in 0.225 % nacl...... 260 TARON-C DHA...... 169 tetracycline...... 43 tobramycin in 0.9 % nacl...... 24 TARON-PREX PRENATAL-DHA.. 169 TETRIX...... 148 tobramycin sulfate...... 24 TASIGNA...... 55 TEXACORT...... 145 TOBRAMYCIN WITH TASMAR...... 104 THALOMID...... 27, 56 NEBULIZER...... 260 TAVALISSE...... 204 THAM...... 158 tobramycin-dexamethasone...... 244 290 TOBREX...... 250 TRETIN-X...... 134 Trivora (28)...... 131 TOFRANIL...... 104 TRETTEN...... 206 Tri-Vylibra...... 131 TOLAK...... 138 TREXALL...... 12, 46 Tri-Vylibra Lo...... 131 tolazamide...... 176 TREXIMET...... 118 TRIZIVIR...... 31 tolbutamide...... 176 TREZIX...... 7, 8 TROGARZO...... 28 tolcapone...... 104 Tri Femynor...... 131 TROKENDI XR...... 98 tolmetin...... 15 TRIACETIN...... 138 TROPHAMINE 10 %...... 164 TOLSURA...... 27 TRIAMCINOL AC (PF) IN TROPHAMINE 6%...... 164 tolterodine...... 202 0.9%NACL...... 183 tropicamide...... 245 TOPAMAX...... 98 TRIAMCINOL ACE-BUPIV-0.9% trospium...... 202 TOPCARE CLICKFINE...... 227, 235 NACL...... 181 TRUE COMFORT INSULIN TOPCARE ULTRA COMFORT TRIAMCINOLONE ACETON- SYRINGE...... 227, 235 ...... 227, 235 0.9% NACL...... 183 TRUE COMFORT LANCET... 222, 235 TOPCARE UNIVERSAL1 LANCET triamcinolone acetonide...... 145, 183, 241 TRUE COMFORT PEN NEEDLE ...... 222, 235 TRIAMCINOLONE DIA(PF)- ...... 227, 235 TOPICORT...... 145 0.9%NACL...... 183 TRUEPLUS INSULIN...... 227, 235 topiramate...... 98 TRIAMCINOLONE DIACET-0.9% TRUEPLUS LANCETS...... 222, 235 TOPIRAMATE...... 98 NACL...... 183 TRUEPLUS PEN NEEDLE...... 227, 235 Toposar...... 49 triamterene-hydrochlorothiazid...... 90 TRULICITY...... 176 topotecan...... 56 Trianex...... 145 TRUMENBA...... 70 TOPOTECAN...... 56 triazolam...... 112, 121 TRUSKIN...... 151 TOPROL XL...... 82 TRIBENZOR...... 74 TRUSOPT...... 247 toremifene...... 55 TRICARE...... 169 trust natal dha...... 169 TORISEL...... 52 TRICARE PRENATAL DHA ONE.169 TRUVADA...... 29 torsemide...... 89 TRICHLOROACETIC ACID...... 146 TUBERSOL...... 153 TOTECT...... 59 TRICITRASOL...... 203 TUDORZA PRESSAIR...... 258 TOUJEO MAX U-300 SOLOSTAR.185 TRICOR...... 80 Tulana...... 130 TOUJEO SOLOSTAR U-300 Triderm...... 145 TUSNEL PEDIATRIC...... 262 INSULIN...... 185 trientine...... 22 TUSSICAPS...... 262 TOVIAZ...... 202 TRIESENCE (PF)...... 246 TUXARIN ER...... 262 TPN ELECTROLYTES...... 160 Tri-Estarylla...... 131 TUZISTRA XR...... 262 TPN ELECTROLYTES II...... 160 TRIFERIC...... 159 TWINRIX (PF)...... 66 TRACE ELEMENTS 4/PEDIATRIC trifluoperazine...... 108 TWIST LANCETS...... 222, 235 ...... 162 trifluridine...... 251 TWYNSTA...... 74 TRACLEER...... 93 trihexyphenidyl...... 105 TYBOST...... 239 TRADJENTA...... 175 tri-legest fe...... 131 Tydemy...... 129 TRAMADOL...... 7 TRILEPTAL...... 98 TYGACIL...... 36, 43 tramadol...... 7 Tri-Linyah...... 131 TYKERB...... 43 tramadol-acetaminophen...... 10 TRILIPIX...... 80 TYLENOL-CODEINE #3...... 7 trandolapril...... 73 Tri-Lo-Estarylla...... 131 TYLENOL-CODEINE #4...... 7 trandolapril-verapamil...... 73 Tri-Lo-Marzia...... 131 TYMLOS...... 177 tranexamic acid...... 207 Tri-Lo-Mili...... 131 TYPHIM VI...... 70 TRANSDERM-SCOP...... 190 Tri-Lo-Sprintec...... 131 TYSABRI...... 242 TRANXENE T-TAB...... 94, 112 TRI-LUMA...... 140 TYVASO...... 92 tranylcypromine...... 100 Trilyte With Flavor Packets...... 198 TYVASO INSTITUTIONAL TRAVASOL 10 %...... 164 trimethobenzamide...... 190 START KIT...... 92 TRAVATAN Z...... 251 trimethoprim...... 25 TYVASO REFILL KIT...... 92 trazodone...... 101 Tri-Mili...... 131 TYVASO STARTER KIT...... 92 TREANDA...... 45 trimipramine...... 104 TYZINE...... 262 TRECATOR...... 32 TRIMPEX...... 25 UCERIS...... 196 TREE POLLEN-ARIZONA TRINATAL RX 1...... 169 UDENYCA...... 206 CYPRESS...... 65 trinate...... 169 ULESFIA...... 151 TREE POLLEN-BALD CYPRESS....65 TRINTELLIX...... 103 ULORIC...... 203 TREE POLLEN-BLACK WILLOW. 65 TRIOSTAT...... 189 ULTANE...... 17 TREE POLLEN-PRIVET...... 65 TRIPLE DYE...... 137 ULTICARE...... 227, 236 TREE POLLEN-SWEET GUM...... 65 Tri-Previfem (28)...... 131 ULTICARE INSULIN SYR HALF TRELEGY ELLIPTA...... 260 TRIPTODUR...... 186 UNIT...... 227, 235 TRELSTAR...... 51 TRISENOX...... 48 ULTICARE INSULIN SYRINGE treprostinil sodium...... 92 Tri-Sprintec (28)...... 131 ...... 227, 235 tretinoin...... 134 TRISTART DHA...... 169 ULTICARE PEN NEEDLE...... 227, 235 tretinoin (chemotherapy)...... 55 TRIUMEQ...... 31 ULTI-LANCE...... 222, 236 tretinoin (emollient)...... 148 TRIVEEN-DUO DHA...... 169 ULTILET BASIC LANCETS... 222, 236 tretinoin microspheres...... 134 TRIVISC...... 216 291 ULTILET CLASSIC LANCETS UNISTIK 3 COMFORT LANCET VANIQA...... 148 ...... 222, 236 ...... 222, 237 VANISHPOINT SYRINGE...... 228, 237 ULTILET INSULIN SYRINGE227, 236 UNISTIK 3 EXTRA LANCET. 222, 237 VANOS...... 145 ULTILET LANCETS...... 222, 236 UNISTIK 3 GENTLE...... 223, 237 VANTAS...... 51 ULTILET PEN NEEDLE...... 227, 236 UNISTIK 3 LANCETS...... 223, 237 VAPRISOL IN 5 % DEXTROSE...... 89 ULTILET SAFETY LANCETS222, 236 UNISTIK 3 NEONATAL...... 223, 237 VAQTA (PF)...... 66 ULTIVA...... 18 UNISTIK 3 NEONATAL DEVICE vardenafil...... 155 ULTOMIRIS...... 209 ...... 223, 237 VARITHENA...... 94 ULTRA CMFT INS SYR HALF UNISTIK 3 NORMAL LANCET VARIVAX (PF)...... 69, 72 UNIT...... 227, 236 ...... 223, 237 VARIZIG...... 68 ULTRA COMFORT INSULIN UNISTIK CZT LANCET...... 223, 237 VARUBI...... 192 SYRINGE...... 227, 236 UNISTIK PRO LANCET...... 223, 237 VASELINE WHITE PETROLEUM 148 ULTRA THIN II LANCETS.....222, 236 UNISTIK SAFETY...... 223, 237 VASERETIC...... 73 ULTRA THIN LANCETS...... 222, 236 UNISTIK TOUCH LANCETS..223, 237 VASHE WOUND THERAPY...... 152 ULTRA THIN PLUS LANCETS unithroid...... 189 VASOPRESSIN IN 0.9 % SOD ...... 222, 236 UNITUXIN...... 46 CHLOR...... 174 ULTRA TLC LANCETS...... 222, 236 UNIVERSAL 1 LANCETS...... 223, 237 VASOPRESSIN IN DEXTROSE 5 ULTRABAG/DIANEAL PD-2/1.5% UPTRAVI...... 91 %...... 174 DEX...... 253 ur n-c...... 40, 201 VASOSTRICT...... 174 ULTRABAG/DIANEAL PD-2/2.5% urea...... 141, 146 VASOTEC...... 73 DEX...... 253 UREA...... 146 VAXCHORA VACCINE...... 69, 70 ULTRABAG/DIANEAL PD- UREA NAIL STICK...... 146 VAZCULEP...... 88 2/4.25%DEX...... 253 URECHOLINE...... 202 VECAMYL...... 91 ULTRABAG/DIANEAL/2.5% uretron d-s...... 40, 201 VECTIBIX...... 58 DEXTROSE...... 253 UROCIT-K 10...... 201 VECTICAL...... 139 ULTRACARE INSULIN SYRINGE UROCIT-K 15...... 201 vecuronium bromide...... 216 ...... 227, 236 UROCIT-K 5...... 201 VECURONIUM IN STERILE ULTRA-CARE LANCETS...... 222, 236 UROQID-ACID NO.2...... 40, 201 WATER...... 216 ULTRACARE PEN NEEDLE.. 227, 236 UROXATRAL...... 200 VELCADE...... 54 ULTRACET...... 10 URSO 250...... 192 VELETRI...... 93 ULTRAFOAM...... 208 URSO FORTE...... 192 velivet triphasic regimen (28)...... 131 ULTRALANCE LANCETS...... 222, 236 ursodiol...... 192 VELPHORO...... 200 ULTRAM...... 7 uryl...... 40, 202 VELTASSA...... 157 ULTRA-THIN II (SHORT) INS ustell...... 40, 202 VELTIN...... 133 SYR...... 227, 236 UTIBRON NEOHALER...... 259 VEMLIDY...... 36 ULTRA-THIN II (SHORT) PEN UVADEX...... 53 VENCLEXTA...... 48 NDL...... 227, 236 VABOMERE...... 32 VENCLEXTA STARTING PACK.....48 ULTRA-THIN II INS PEN VAGIFEM...... 265 venlafaxine...... 102 NEEDLES...... 227, 236 valacyclovir...... 37 VENOFER...... 159 ULTRA-THIN II INSULIN VALCHLOR...... 138 VENTAVIS...... 93 SYRINGE...... 227, 236 VALCYTE...... 34, 35 VENTOLIN HFA...... 259 ULTRA-THIN II LANCETS.... 222, 236 valganciclovir...... 35 verapamil...... 79, 86 ULTRAVATE...... 139, 145 VALIUM...... 95, 112 VEREGEN...... 146 UNASYN...... 25 valproate sodium...... 96 VERELAN...... 86 UNIFINE PENTIPS...... 228, 236 valproic acid...... 96, 113 VERELAN PM...... 86 UNIFINE PENTIPS PLUS...... 228, 236 valproic acid (as sodium salt)...... 96, 113 VERIPRED 20...... 183 UNILET COMFORTOUCH valrubicin...... 57 VERSACLOZ...... 107 LANCET...... 222, 236 valsartan...... 76 VERZENIO...... 49 UNILET EXCELITE II LANCET valsartan-hydrochlorothiazide...... 75 VESICARE...... 202 ...... 222, 236 VALSTAR...... 57 VFEND...... 27 UNILET EXCELITE LANCET222, 236 VALTREX...... 37 VFEND IV...... 27 UNILET GP LANCET...... 222, 236 VANATOL LQ...... 11 VIAGRA...... 155 UNILET LANCET...... 222, 236 VANATOL S...... 11 VIBATIV...... 39 UNILET LANCETS...... 222, 236 VANCOCIN...... 36 VIBERZI...... 195, 197 UNILET SUPER THIN LANCETS VANCOMYCIN...... 36 VIBRAMYCIN...... 43 ...... 222, 236 vancomycin...... 36 Vicodin...... 8, 9 UNISTIK 2 DEVICE...... 222, 236 VANCOMYCIN IN 0.9 % SODIUM Vicodin Es...... 8, 9 UNISTIK 2 NORMAL CHL...... 36 Vicodin Hp...... 8, 9 LANCET,DEVICE...... 222, 236 VANCOMYCIN IN DEXTROSE 5 VICTOZA 2-PAK...... 176 UNISTIK 3...... 223, 237 %...... 36 VICTOZA 3-PAK...... 176 UNISTIK 3 COMFORT DEVICE VANCOMYCIN-WATER INJECT VIDAZA...... 47 ...... 222, 236 (PEG)...... 36 VIDEX 2 GRAM PEDIATRIC...... 30 vandazole...... 265 VIDEX EC...... 30 292 VIEKIRA PAK...... 37 VOLUVEN 6 %...... 210 XEOMIN...... 216 Vienva...... 129 VONVENDI...... 207 XEPI...... 135 vigabatrin...... 97 VORAXAZE...... 58, 59 XERAVA...... 35, 43 Vigadrone...... 97 voriconazole...... 27 XERESE...... 139 VIGAMOX...... 250 VOSEVI...... 37 XERMELO...... 190 VIIBRYD...... 102, 103 VOTRIENT...... 55 XEROSTOMIA RELIEF...... 241 VIMIZIM...... 238 VP-CH PLUS...... 170 XGEVA...... 188 VIMPAT...... 96 VP-CH-PNV...... 170 XHANCE...... 262 VINATE CARE...... 169 VP-PNV-DHA...... 170 XIAFLEX...... 216 VINATE DHA RF...... 169 VPRIV...... 237 XIFAXAN...... 42 VINATE II...... 169 VRAYLAR...... 109, 114 XIIDRA...... 246 VINATE M...... 169 VUSION...... 137 XOFIGO...... 55 VINATE ONE...... 169 vyfemla (28)...... 129 XOFLUZA...... 38 vinblastine...... 56 Vylibra...... 129 XOLAIR...... 257 vincristine...... 56 VYNDAQEL...... 173 XOLEGEL...... 137 vinorelbine...... 56 VYTORIN 10-10...... 81 XOPENEX...... 259 VIOKACE...... 192 VYTORIN 10-20...... 81 XOPENEX CONCENTRATE...... 259 Viorele (28)...... 126 VYTORIN 10-40...... 82 XOPENEX HFA...... 259 VIRACEPT...... 42 VYTORIN 10-80...... 82 XOSPATA...... 50 VIRAMUNE...... 29 VYVANSE...... 110 XPOVIO...... 49, 55 VIRAMUNE XR...... 29 VYXEOS...... 46 XTANDI...... 46 VIRAZOLE...... 42 VYZULTA...... 251, 252 xulane...... 131 VIREAD...... 30 warfarin...... 204 XULTOPHY 100/3.6...... 177 VIRT-ADVANCE...... 169 water for inject, bacteriostat...... 157 XURIDEN...... 239 VIRT-C DHA...... 169 water for injection, sterile...... 157, 171 XYLOCAINE...... 20 VIRT-NATE DHA...... 169 water for irrigation, sterile...... 158 XYLOCAINE (CARDIAC) (PF)...... 78 VIRT-PN DHA...... 169 WEED POLLEN-SHORT Xylocaine Dental-Epinephrine...... 20, 240 VIRT-PN PLUS...... 170 RAGWEED...... 63 XYLOCAINE WITH VIRTPREX...... 170 WEED POLLEN-TRUE MARSH EPINEPHRINE...... 20 VIRT-SELECT...... 170 ELDER...... 64 XYLOCAINE-MPF...... 20 virtussin ac...... 264 WELCHOL...... 79 XYLOCAINE-MPF/EPINEPHRINE.20 virtussin dac...... 263 WELLBUTRIN SR...... 103 XYNTHA...... 206 VIRT-VITE GT...... 170 WELLBUTRIN XL...... 103 XYNTHA SOLOFUSE...... 206 VISCO-3...... 216 wera (28)...... 129 XYOSTED...... 174 VISCOAT...... 249 WESTHROID...... 188 XYREM...... 119 VISIONBLUE...... 249 WIDE-SEAL DIAPHRAGM 60218, 237 YASMIN (28)...... 129 VISTARIL...... 94 WIDE-SEAL DIAPHRAGM 65219, 237 YAZ (28)...... 129 VISTOGARD...... 58 WIDE-SEAL DIAPHRAGM 70219, 237 YELLOW JACKET VENOM...... 61 VISUDYNE...... 249 WIDE-SEAL DIAPHRAGM 75219, 237 YERVOY...... 49 VITAFOL FE+ (WITH WIDE-SEAL DIAPHRAGM 80219, 237 YF-VAX (PF)...... 69, 72 DOCUSATE)...... 170 WIDE-SEAL DIAPHRAGM 85219, 237 YONDELIS...... 45 VITAFOL GUMMIES...... 170 WIDE-SEAL DIAPHRAGM 90219, 237 YONSA...... 43, 46 VITAFOL NANO...... 170 WIDE-SEAL DIAPHRAGM 95219, 237 YOSPRALA...... 211 VITAFOL ULTRA...... 170 WILATE...... 206 YUPELRI...... 258 VITAFOL-OB...... 170 WINRHO SDF...... 68 YUTIQ...... 246 VITAFOL-OB+DHA...... 170 WINTERGREEN OIL...... 150 yuvafem...... 265 VITAFOL-ONE...... 170 Wixela Inhub...... 260 zafirlukast...... 257 VITAMED MD ONE RX...... 170 WP THYROID...... 188 zaleplon...... 121 VITAMEDMD REDICHEW RX...... 170 wymzya fe...... 129 ZALTRAP...... 58 Vitamin D2...... 172 XADAGO...... 105 ZANAFLEX...... 217 vitamin k...... 172 XALATAN...... 251 ZANOSAR...... 57 Vitamin K1...... 172 XALKORI...... 45 ZANTAC...... 193 VITAPEARL...... 170 XANAX...... 95, 112 Zarah...... 130 VITATRUE...... 170 XANAX XR...... 95, 112 ZARONTIN...... 99 VITRAKVI...... 56 XARELTO...... 204 ZARXIO...... 206 VITRASE...... 189 XATMEP...... 12, 46 ZATEAN-PN DHA...... 170 VIVAGUARD LANCET...... 223, 237 XCLAIR...... 141 ZATEAN-PN PLUS...... 170 VIVELLE-DOT...... 180 XELJANZ...... 13, 196 ZAVESCA...... 239 VIVITROL...... 123 XELJANZ XR...... 13 zebutal...... 11 VIVOTIF...... 69, 70 XELODA...... 47 ZEJULA...... 53 VIZIMPRO...... 44 XELPROS...... 251 ZELAPAR...... 105 VOLTAREN...... 147 XENAZINE...... 119 ZELBORAF...... 48 VOLTAREN-XR...... 15 XENICAL...... 155 ZELNORM...... 195, 197 293 ZEMAIRA...... 261 ZOLEDRONIC AC-MANNITOL- ZEMBRACE SYMTOUCH...... 118 0.9NACL...... 178 ZEMDRI...... 24, 201 ZOLINZA...... 50 ZEMPLAR...... 238 zolmitriptan...... 118 Zenatane...... 132 ZOLOFT...... 101 zenchent (28)...... 130 zolpidem...... 121 ZENPEP...... 192 ZOLPIMIST...... 121 Zenzedi...... 110, 115, 120 ZOMIG...... 118 ZENZEDI...... 111, 115, 120 ZOMIG ZMT...... 118 ZEPATIER...... 37 ZONALON...... 150 ZERBAXA...... 32 ZONEGRAN...... 99 ZESTORETIC...... 73 zonisamide...... 100 ZESTRIL...... 73 ZONTIVITY...... 212 ZETIA...... 81 ZORBTIVE...... 183, 198 ZETONNA...... 262 ZORTRESS...... 214 ZEVALIN (Y-90)...... 52 ZOSTAVAX (PF)...... 69, 72 ZIAC...... 87 ZOSYN...... 41 ZIAGEN...... 30 ZOSYN IN DEXTROSE (ISO-OSM).41 ZIANA...... 133 Zovia 1/35E (28)...... 130 zidovudine...... 30 ZOVIRAX...... 37, 38, 139 ZILACAINE PATCH...... 150, 228 ZTLIDO...... 150 zileuton...... 256 Z-TUSS AC...... 262 ZILRETTA...... 183 ZUBSOLV...... 123 zinc chloride...... 162 ZULRESSO...... 100 zinc oxide...... 148 Zumandimine (28)...... 130 ZINC OXIDE...... 148 ZUPLENZ...... 191 zinc sulfate...... 162 ZYCLARA...... 146 ZINECARD (AS HCL)...... 58 ZYDELIG...... 53 zingiber...... 170 ZYFLO...... 256 ZINGO...... 20 ZYKADIA...... 45, 46 ZINPLAVA...... 66 ZYLET...... 244 ZIOPTAN (PF)...... 251 ZYLOPRIM...... 203 ziprasidone hcl...... 106, 114 ZYMAXID...... 250 ZIRGAN...... 251 ZYPITAMAG...... 81 ZITHROMAX...... 39 ZYPREXA...... 108, 114 ZITHROMAX TRI-PAK...... 39 ZYPREXA RELPREVV...... 108 ZITHROMAX Z-PAK...... 39 ZYPREXA ZYDIS...... 108, 114 ZOCOR...... 81 ZYTIGA...... 43, 46 ZODRYL AC 25...... 262 ZYVOX...... 40 ZODRYL AC 30...... 262 ZODRYL AC 35...... 262 ZODRYL AC 40...... 262 ZODRYL AC 50...... 262 ZODRYL AC 60...... 262 ZODRYL AC 80...... 262 ZODRYL DAC 25...... 263 ZODRYL DAC 30...... 263 ZODRYL DAC 35...... 263 ZODRYL DAC 40...... 263 ZODRYL DAC 50...... 263 ZODRYL DAC 60...... 263 ZODRYL DAC 80...... 263 ZODRYL DEC 25...... 263 ZODRYL DEC 30...... 263 ZODRYL DEC 35...... 263 ZODRYL DEC 40...... 263 ZODRYL DEC 50...... 263 ZODRYL DEC 60...... 263 ZODRYL DEC 80...... 263 ZOFRAN...... 191 ZOLADEX...... 51 zoledronic acid...... 178 zoledronic acid-mannitol-water...... 178 294 Most plans include our home delivery program at no extra cost to you. Find out more by going online to anthem.com/ca or call 866-297-1013.

For information about your pharmacy benefit, log in at

anthem.com/ca.

You’ll find the most up-to-date drug list and details about your benefits. If you still have questions, we’re here. Just call the Member Services number on your ID card.

Speech and hearing impaired (TDD/TTY) users Call 1-800-221-6915, Monday through Friday, 8:30 a.m. to 5 p.m.ET.

Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

Express Scripts, Inc. is a separate company that manages the pharmacy benefit services for members of our health plans. Rev. 11/18