Drugs Not Repackaged by Safecor Health The following tables list specific medications that are not repackaged by Safecor Health due to regulatory restrictions or specific manufacturer requirements. The items not repackaged are alphabetically listed below, both by brand name (table 1) and generic name (table 2). Please note: Safecor Health cannot repackage any beta lactam antibiotics (such as penicillins, amoxicillin and cephalosporins) or potent chemotherapeutic agents. Also, due to FDA restrictions, we cannot repackage half- or quarter-tabs, compounded or diluted drugs, powders, and ointments or creams. Safecor Health can repackage most hazardous drugs on the NIOSH list. Contact us for a complete list of hazardous drugs repackaged by Safecor Health. Table 1. Do Not Repackage Drugs Sorted Alphabetically by Brand Name Brand Name(s) Generic Name(s) Reason Item Cannot Be Repackaged Adrucil Fluorouracil Potent chemotherapy agent Aspirin and Extended-Release Specific manufacturer recommendations for very Aggrenox Dipyridamole limited expiration dating Albenza Albendazole Cost per dose prohibitive Alkeran Melphalan Potent chemotherapy agent Augmentin Amoxicillin and Clavulanate Potassium Safecor Health does not repackage this drug class Manufacturer states, "dispense in original container," Belsomra Suvorexant on the drug label Manufacturer states, "dispense in original container," Biktarvy Bictegravir, Emtricitabine and Tenofovir Alafenamide on the drug label Bion Tears Dextran, Hypromellose Ophthalmic Drops Sterile and unpreserved CeeNU Lomustine Potent chemotherapy agent Emtricitabine, Rilpivirine, Tenofovir Manufacturer states, "dispense in original container," Complera Disoproxil Fumarate on the drug label Manufacturer states, "dispense in original container," Crixivan Indinavir Sulfate on the drug label Culterelle GG Manufacturer states, "dispense in original container," Lactobacillus (cannot deblister; flag or overwrap service available) on the drug label Cuprimine, Depen Penicillamine Penicillin derivative Cytoxan Cyclophosphamide Potent chemotherapy agent Manufacturer states, "dispense in original container," Descovy Emtricitabine and Tenofovir Alafenamide Fumarate on the drug label Azilsartan Medoxomil and Manufacturer states, "dispense in original container," Edarbyclor Chlorthalidone on the drug label Chlorthalidone and Azilsartan Manufacturer states, "dispense in original container," Edarbyclor Medoxomil on the drug label Manufacturer states, "dispense in original container," Effient Prasugrel on the drug label Emcyt Estramustine Phosphate Sodium Potent chemotherapy agent Epculsa Sofosbuvir and Velpatasvir Cost per dose prohibitive safecorhealth.com 800.447.1006 [email protected] Updated 4.17.19 | Page 1 Table 1 (continued). Do Not Repackage Drugs Sorted Alphabetically by Brand Name Brand Name(s) Generic Name(s) Reason Item Cannot Be Repackaged Gastrografin, MD-Gastroview Diatrizoate Meglumine and Diatrizoate Sodium Contrast agent/unpreserved/single-use bulk bottle Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Manufacturer states, "dispense in original container," GENVOYA Alafenamide on the drug label Gleevec Imatinib Potent chemotherapy agent Harvoni Ledipasvir and Sofosbuvir Cost per dose prohibitive Manufacturer states, "dispense in original container," Hepsera Adefovir Dipivoxil on the drug label Hydrea, Droxia Hydroxyurea Potent chemotherapy agent Manufacturer states, "dispense in original container," Intelence Etravirine on the drug label Isentress Raltegravir Manufacturer states, "dispense in original container," (25 mg & 100 mg chewable tablets and liquid only) (25 mg & 100 mg chewable tablets and liquid only) on the drug label Isovue Iopamidol Sterile and unpreserved Manufacturer states, "dispense in original container," Kaletra liquid Lopinavir and Ritonavir on the drug label Specific manufacturer recommendations for very Kionex Sodium Polystyrene Sulfonate Suspension limited expiration dating Leukeran Chlorambucil Potent chemotherapy agent Manufacturer states, "dispense in original container," Linzess Linaclotide on the drug label Lysodren Mitotane Potent chemotherapy agent Mag 64, MagDelay, Slow-Mag, & GeriCare's Slow Magnesium Chloride Delayed-Release/Enteric-Coated Manufacturer states, "dispense in original container," Magnesium Chloride with Calcium Tablets on the drug label Matulane Procarbazine Potent chemotherapy agent Manufacturer states, "dispense in original container," Mestinon tablets Pyridostigmine tablets on the drug label Mineral Oil-Heavy Mineral Oil-Heavy For External Use Only (MFG: Medisca-NDC: 37877-0094-98 only) (MFG: Medisca-NDC: 37877-0094-98 only) Mineral Oil-LIGHT Mineral Oil-LIGHT For External Use Only Myleran Busulfan Potent chemotherapy agent Manufacturer states, "dispense in original container," Neoral Cyclosporine on the drug label Nitrostat Nitroglycerin SL Manufacturer states, "dispense in original container," (overwrap service available for unopened bottle) (overwrap service available for unopened bottle) on the drug label Norvir Ritonavir Manufacturer states, "dispense in original container," (capsules & liquid only; we can repackage tablets) (capsules & liquid only; we can repackage tablets) on the drug label Emtricitabine, Rilpivirine Hydrochloride, and Manufacturer states, "dispense in original container," ODEFSEY Tenofovir Alafenamide Fumarate on the drug label Omnipaque Iohexol Sterile and unpreserved Otovel (unit-dose ear drops) Sterile and unpreserved Pancreaze Manufacturer states, "dispense in original container," Pancrelipase (can repackage Creon) on the drug label Pertzye Manufacturer states, "dispense in original container," Pancrelipase (can repackage Creon) on the drug label Manufacturer states, "dispense in original container," Pradaxa Dabigatran Etexilate Mesylate on the drug label Manufacturer states, "store in original package until Prevymis tablets Letermovir tablets use" safecorhealth.com 800.447.1006 [email protected] | Page 2 Table 1 (continued). Do Not Repackage Drugs Sorted Alphabetically by Brand Name Brand Name(s) Generic Name(s) Reason Item Cannot Be Repackaged Purinethol Mercaptopurine Potent chemotherapy agent Manufacturer states, "dispense in original container," Saphris sublingual tablet Asenapine sublingual tablet on the drug label Sprycel Dasatinib Potent chemotherapy agent Cobicistat, Elvitegravir, Emtricitabine, Tenofovir Manufacturer states, "dispense in original container," Stribild Disoproxil Fumarate on the drug label Syprine Trientine Cost per dose prohibitive Tabloid Thioguanine Potent chemotherapy agent Temodar Temozolomide Potent chemotherapy agent Tivicay Dolutegravir Manufacturer states, "dispense in original container," (10 mg tablet only) (10 mg tablet only) on the drug label Trexall, Rheumatrex Methotrexate Potent chemotherapy agent Manufacturer states, "Do not repackage; dispense Treximet Sumatriptan and Naproxen Sodium tablets and store in original container" Manufacturer states, "dispense in original container," Triumeq Abacavir Sulfate, Dolutegravir Sodium, Lamivudine on the drug label Manufacturer states, "dispense in original container," Tybost Cobicistat on the drug label Viokace Manufacturer states, "dispense in original container," Pancrelipase (can repackage Creon) on the drug label Manufacturer states, "dispense in original container," Viracept Nelfinavir Mesylate on the drug label Manufacturer states, "dispense in original container," Xeljanz Tofacitinib Citrate on the drug label Xeloda Capecitabine Potent chemotherapy agent Zenpep Manufacturer states, "dispense in original container," Pancrelipase (can repackage Creon) on the drug label Manufacturer states, "dispense in original container," Zontivity Vorapaxar on the drug label Table 2. Do Not Repackage Drugs Sorted Alphabetically by Generic Name Generic Name(s) Brand Name(s) Reason Item Cannot Be Repackaged Manufacturer states, "dispense in original container," Abacavir Sulfate, Dolutegravir Sodium, Lamivudine Triumeq on the drug label Acetic Acid Manufacturer states, "dispense in original container," Acetylcysteine Solution on the drug label; Sterile and unpreserved Manufacturer states, "dispense in original container," Adefovir Dipivoxil Hepsera on the drug label Albendazole Albenza Cost per dose prohibitive Albuterol Sulfate Inhalation Solution 0.5%: sterile Manufacturer states, "dispense in original container," multiple dose (NDC: 50383-741-20) on the drug label Amoxicillin and Clavulanate Potassium Augmentin Safecor Health does not repackage this drug class Manufacturer states, "dispense in original container," Asenapine sublingual tablet Saphris sublingual tablet on the drug label safecorhealth.com 800.447.1006 [email protected] | Page 3 Table 2. Do Not Repackage Drugs Sorted Alphabetically by Generic Name Generic Name(s) Brand Name(s) Reason Item Cannot Be Repackaged Specific manufacturer recommendations for very Aspirin and Extended-Release Dipyridamole Aggrenox limited expiration dating Manufacturer states, "dispense in original container," Azilsartan Medoxomil and Chlorthalidone Edarbyclor on the drug label Manufacturer states, "dispense in original container," Bictegravir, Emtricitabine and Tenofovir Alafenamide Biktarvy on the drug label Busulfan Myleran Potent chemotherapy agent Manufacturer states, "dispense in original container," Caffeine Citrate Oral Solution on the drug label; Sterile and unpreserved Capecitabine Xeloda Potent chemotherapy agent CEPHALOSPORINS Safecor Health does not repackage this drug class (such as