MO HealthNet December 2011 Meeting

Transcription

1 ACELLA ESOCOR P OTC (ORAL) COUGH AND COLD, NON-NARCOTIC ACTAVIS BETAMETHASONE DIPROPIONATE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH ACTAVIS PROMETHAZINE VC SYRUP (ACTAVIS) (ORAL) COUGH AND COLD, COLD ACTAVIS PROMETHAZINE VC/CODEINE SYRUP (ACTAVIS) (ORAL) COUGH AND COLD, NARCOTIC ALLEGIS ENDACON LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC AMBI 10PEH-4CPM-20DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC AMBI 20DM-4CPM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC AMBI 40PSE-400GFN-20DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC AMBI 60PSE-4CPM-20DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC AMER. REGENT SPRIX (NASAL) NSAIDS ARBOR PEDIADERM HC (TOPICAL) STEROIDS, TOPICAL LOW ARBOR PEDIADERM TA (TOPICAL) STEROIDS, TOPICAL LOW ASTRAZENECA BRILINTA (ORAL) PLATELET AGGREGATION INHIBITORS ASTRAZENECA VIMOVO (ORAL) NSAIDS ATLEY PHARM. ZONATUSS (ORAL) COUGH AND COLD, NON-NARCOTIC B.F ASCHER & CO BENZEDREX OTC (NASAL) COUGH AND COLD, COLD B.F ASCHER & CO HOLD 4 HOUR LOZENGE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC B.F ASCHER & CO ORNEX MAX-STRENGTH OTC (ORAL) COUGH AND COLD, COLD B.F ASCHER & CO ORNEX OTC (ORAL) COUGH AND COLD, COLD BAYER NEO-SYNEPHRINE SPRAY OTC (NASAL) COUGH AND COLD, COLD BERGEN BRUNSWIG ALLERGY & SINUS HEADACHE CAPLET OTC (ORAL) COUGH AND COLD, COLD BERGEN BRUNSWIG ALLERGY PLUS-SINUS HEADACHE OTC (ORAL) COUGH AND COLD, COLD BERGEN BRUNSWIG COLD MULTI-SYMPTOM DAYTIME OTC (ORAL) COUGH AND COLD, NON-NARCOTIC BERGEN BRUNSWIG DAYTIME MUCUS RELIEF DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC BERGEN BRUNSWIG DAYTIME SINUS RELIEF (ORAL) COUGH AND COLD, COLD BERGEN BRUNSWIG GUAIFENESIN DM TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC BERGEN BRUNSWIG NIGHT-TIME SINUS SOFTGEL OTC (ORAL) COUGH AND COLD, COLD BERGEN BRUNSWIG PV ALLERGY & SINUS CAPLET OTC (ORAL) COUGH AND COLD, COLD BERGEN BRUNSWIG SINUS CONGESTION & PAIN OTC (ORAL) COUGH AND COLD, COLD BMS PRIMARYCARE ORENCIA (SUB-Q) CYTOKINE AND CAM ANTAGONISTS BOCA PHARMACAL GUAIFENESIN/CODEINE SYRUP (ORAL) COUGH AND COLD, NARCOTIC BOEHRINGER MIRAPEX ER (ORAL) ANTIPARKINSON'S AGENTS BOEHRINGER MOBIC SUSPENSION (ORAL) NSAIDS BRECKENRIDGE BROMPHENEX DM SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC BUREL PHARMACEU RELCOF C (ORAL) COUGH AND COLD, NARCOTIC CAPELLON CERTUSS-D TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPELLON LIQUIBID D-R OTC (ORAL) COUGH AND COLD, COLD CAPELLON LIQUIBID PD-R OTC (ORAL) COUGH AND COLD, COLD CAPELLON RESCON-DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAPELLON RESCON-GG LIQUID OTC (ORAL) COUGH AND COLD, COLD CAPELLON RESCON-JR. (ORAL) COUGH AND COLD, COLD CAPELLON TEKRAL (ORAL) COUGH AND COLD, COLD CAPELLON TREXBROM (ORAL) COUGH AND COLD, NON-NARCOTIC CAPITAL CAPCOF (ORAL) COUGH AND COLD, NARCOTIC CAPITAL CAPMIST DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CAROLINA MED. HYDROCORTISONE / MIN OIL / PET OINT. (TOPICAL) STEROIDS, TOPICAL LOW CARWIN ASSOCIAT RU-HIST FORTE (ORAL) COUGH AND COLD, COLD CARWIN ASSOCIAT RU-HIST-D OTC (ORAL) COUGH AND COLD, COLD CENTRIX CLOFERA OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTRIX DICEL CD OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTRIX DICEL DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTRIX DICEL OTC (ORAL) COUGH AND COLD, COLD CENTURION LABS CENTERGY (ORAL) COUGH AND COLD, COLD CENTURION LABS LUSAIR (ORAL) COUGH AND COLD, COLD CENTURION LABS RYDEX DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTURION LABS RYDEX G OTC (ORAL) COUGH AND COLD, COLD CENTURION LABS RYDEX OTC (ORAL) COUGH AND COLD, NARCOTIC CENTURION LABS TRYMINE CD OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CENTURION LABS TRYMINE CG OTC (ORAL) COUGH AND COLD, NARCOTIC CENTURION LABS TRYMINE D OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG CHILD PLUS COUGH-RUNNY NOSE (ORAL) COUGH AND COLD, NON-NARCOTIC CHAIN DRUG COLD RELIEF PLUS OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG COMPLETE SINUS RELIEF OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG DAYTIME SINUS (ORAL) COUGH AND COLD, COLD CHAIN DRUG DAYTIME SINUS RELIEF SOFTGELS OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG INTENSE COLD & FLU OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG MEDIFIN EXPECTORANT TABLET OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG NON ASPIRIN SINUS (ORAL) COUGH AND COLD, COLD CHAIN DRUG PV COLD & COUGH SOFTGEL OTC (ORAL) COUGH AND COLD, NON-NARCOTIC /Provider Synergies, L.L.C. Page 1 of 7

2 CHAIN DRUG PV NIGHT-TIME SINUS SOFTGEL OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG SINUS NIGHTTIME OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG TRIACTIN OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG TUSSIN CF SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CHAIN DRUG TUSSIN COLD SEVERE CONGESTION OTC (ORAL) COUGH AND COLD, COLD CHAIN DRUG TUSSIN COLD-CONGESTION OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CHAIN DRUG TUSSIN DM SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CHAIN DRUG VAPOR INHALER OTC (NASAL) COUGH AND COLD, COLD CODADOSE INC. ZODRYL AC OTC (ORAL) COUGH AND COLD, NARCOTIC CODADOSE INC. ZODRYL DAC OTC (ORAL) COUGH AND COLD, NARCOTIC CODADOSE INC. ZODRYL DEC OTC (ORAL) COUGH AND COLD, NARCOTIC CONTRACT PHARM COLD, ALLERGY & SINUS OTC (ORAL) COUGH AND COLD, COLD CONTRACT PHARM MULTI-SYMPTOM COLD-COUGH (ORAL) COUGH AND COLD, NON-NARCOTIC CREEKWOOD PHARM DIMETANE-DX LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CYPRESS PHARM. DE-CHLOR DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC CYPRESS PHARM. DEX-TUSS OTC (ORAL) COUGH AND COLD, NARCOTIC CYPRESS PHARM. HYDROCORTISONE / ALOE GEL (TOPICAL) STEROIDS, TOPICAL LOW CYPRESS PHARM. NEUTRAHIST DROPS OTC (ORAL) COUGH AND COLD, COLD CYPRESS PHARM. NEUTRAHIST PDX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC DEPOMED, INC. GRALISE (ORAL) ANTICONVULSANTS DERMIK LABS. DERMATOP CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM DERMIK LABS. DERMATOP OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM EDWARDS PHARMAC ED A-HIST LIQUID OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED A-HIST TABLET OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC ED CHLORPED D OTC (ORAL) COUGH AND COLD, COLD EDWARDS PHARMAC RYMED OTC (ORAL) COUGH AND COLD, COLD ENDO VOLTAREN (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL FOUGERA AMCINONIDE LOTION (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA AMCINONIDE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA BETAMETHASONE VALERATE LOTION (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA FLUOCINOLONE ACETONIDE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA FLUOCINOLONE ACETONIDE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA FLUOCINOLONE ACETONIDE SOLUTION (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA PREDNICARBATE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM G.M. PHARM CARBATUSS-12 (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM NASOPEN OTC (ORAL) COUGH AND COLD, COLD G.M. PHARM NASOPEN-CH OTC (ORAL) COUGH AND COLD, COLD G.M. PHARM PHENA-PLUS (ORAL) COUGH AND COLD, COLD G.M. PHARM PHENA-S (ORAL) COUGH AND COLD, COLD G.M. PHARM PHENA-S 12 (ORAL) COUGH AND COLD, COLD G.M. PHARM VANACOF CD (ORAL) COUGH AND COLD, NARCOTIC G.M. PHARM VANACOF DX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF G OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANACOF-PE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC G.M. PHARM VANATAB DX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC GALDERMA LABORA CAPEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA CLOBEX LOTION (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA CLOBEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA CLOBEX SPRAY (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA DESOWEN CREAM KIT (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA DESOWEN LOTION KIT (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA DESOWEN OINT. KIT (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA ORACEA (ORAL) TETRACYCLINES GAVIS PHARMACEU HYDROCODONE/HOMATROPINE TABLET (ORAL) COUGH AND COLD, NARCOTIC GLAXOSMITHKLINE CONTAC COLD + FLU CAPLET OTC (ORAL) COUGH AND COLD, COLD GLAXOSMITHKLINE CONTAC COLD-FLU (ORAL) COUGH AND COLD, COLD GLAXOSMITHKLINE CONTAC DAY & NIGHT TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC HAWTHORN PHARM NASOHIST DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC HAWTHORN PHARM NASOHIST DROPS OTC (ORAL) COUGH AND COLD, COLD HAWTHORN PHARM NASOTUSS OTC (ORAL) COUGH AND COLD, NARCOTIC HAWTHORN PHARM REZIRA (ORAL) COUGH AND COLD, NARCOTIC HAWTHORN PHARM ZUTRIPRO (ORAL) COUGH AND COLD, NARCOTIC HILL DERM DERMA-SMOOTHE-FS (TOPICAL) STEROIDS, TOPICAL LOW HORIZON PHARMA DUEXIS (ORAL) NSAIDS INTENDIS INC. DESONATE GEL TOPICAL) STEROIDS, TOPICAL LOW IROKO PHARMACEU INDOCIN (RECTAL) NSAIDS IROKO PHARMACEU INDOCIN SUSPENSION (ORAL) NSAIDS JANSSEN PHARM INC XARELTO (ORAL) ANTICOAGULANTS /Provider Synergies, L.L.C. Page 2 of 7

3 JAYMAC PHARMA J-COF DHC (ORAL) COUGH AND COLD, NARCOTIC JAYMAC PHARMA J-MAX DHC (ORAL) COUGH AND COLD, NARCOTIC JAYMAC PHARMA J-TAN D PD OTC (ORAL) COUGH AND COLD, COLD JHP PHARMACEUTI ADRENALIN CHLORIDE (NASAL) COUGH AND COLD, COLD JSJ PHARMACEUTI HALONATE (TOPICAL) STEROIDS, TOPICAL VERY HIGH JSJ PHARMACEUTI MOMEXIN (TOPICAL) STEROIDS, TOPICAL MEDIUM KENWOOD LAB. TYZINE DROPS (NASAL) COUGH AND COLD, COLD KENWOOD LAB. TYZINE SPRAY (NASAL) COUGH AND COLD, COLD LARKEN LABS ENDACOF OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS ENDACOF-C (ORAL) COUGH AND COLD, NARCOTIC LARKEN LABS ENDACOF-DC OTC (ORAL) COUGH AND COLD, NARCOTIC LARKEN LABS EXEFIN IR TABLET OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST 12D (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST DROPS OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST-D OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST-DM SYRUP (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS LOHIST-PEB OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS LOHIST-PSB OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS MYHIST-DM (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS MYHIST-PD (ORAL) COUGH AND COLD, COLD LARKEN LABS NOHIST-DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS NOHIST-LQ LIQUID OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS PE-HIST DM SYRUP (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS SUDATEX G OTC (ORAL) COUGH AND COLD, COLD LARKEN LABS SUDATEX-DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LARKEN LABS Y-COF DMX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LASER DALLERGY DM (ORAL) COUGH AND COLD, NON-NARCOTIC LASER DALLERGY DROPS OTC (ORAL) COUGH AND COLD, COLD LASER DONATUSS DC (ORAL) COUGH AND COLD, NARCOTIC LASER DONATUSSIN DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LASER DONATUSSIN OTC (ORAL) COUGH AND COLD, COLD LASER NEO AC OTC (ORAL) COUGH AND COLD, NARCOTIC LASER NEO DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LASER RESPAIRE-30 (ORAL) COUGH AND COLD, COLD LEADER CHEST CONGESTION & PAIN RELIEF (ORAL) COUGH AND COLD, COLD LEADER CHEST CONGESTION-PAIN RLF PE (ORAL) COUGH AND COLD, COLD LEE PHARM CHERACOL D OTC (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM CONEX SOLUTION OTC (ORAL) COUGH AND COLD, COLD LLORENS PHARM CONEX TABLET OTC (ORAL) COUGH AND COLD, COLD LLORENS PHARM TUSNEL C (ORAL) COUGH AND COLD, NARCOTIC LLORENS PHARM TUSNEL CAPSULE (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM TUSNEL LIQUID (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM TUSNEL PED-C (ORAL) COUGH AND COLD, NARCOTIC LLORENS PHARM TUSNEL PEDIATRIC DROPS (ORAL) COUGH AND COLD, COLD LLORENS PHARM TUSNEL PEDIATRIC LIQUID (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM TUSNEL SOLUTION (ORAL) COUGH AND COLD, NON-NARCOTIC LLORENS PHARM TUSNEL-DM DROPS (ORAL) COUGH AND COLD, NON-NARCOTIC LUNSCO, INC. PROTID (ORAL) COUGH AND COLD, COLD MACOVEN PHARMAC BP 8 COUGH OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MACOVEN PHARMAC CARDEC DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MACOVEN PHARMAC CARDEC OTC (ORAL) COUGH AND COLD, COLD MACOVEN PHARMAC PYRIL D (ORAL) COUGH AND COLD, COLD MACOVEN PHARMAC PYRIL DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MACOVEN PHARMAC TRIP-PSE OTC (ORAL) COUGH AND COLD, COLD MAGNA PHARM Z-TUSS AC OTC (ORAL) COUGH AND COLD, NARCOTIC MAGNA PHARM Z-TUSS E OTC (ORAL) COUGH AND COLD, NARCOTIC MAJOR PHARMACEU APRODINE TABLET OTC (ORAL) COUGH AND COLD, COLD MAJOR PHARMACEU CHILDREN'S MAPAP COUGH-SINUS (ORAL) COUGH AND COLD, NON-NARCOTIC MAJOR PHARMACEU COUGH & COLD TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MAJOR PHARMACEU ROBAFEN AC (ORAL) COUGH AND COLD, NARCOTIC MALLINCKRODT BR PENNSAID (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL MALLINCKRODT BR TUSSICAPS (ORAL) COUGH AND COLD, NARCOTIC MARNEL PHARM. MAR-COF BP (ORAL) COUGH AND COLD, NARCOTIC MARNEL PHARM. MAR-COF CG (ORAL) COUGH AND COLD, NARCOTIC MCNEIL CONSUMER TYLENOL ALLERGY MULTI-SYMPTOM OTC (ORAL) COUGH AND COLD, COLD MCNEIL CONSUMER TYLENOL COLD SEVERE CONGESTION OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MCNEIL CONSUMER TYLENOL SINUS CAPLET OTC (ORAL) COUGH AND COLD, COLD MCR/AMERICAN PH ALLFEN CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH ALLFEN CDX (ORAL) COUGH AND COLD, NARCOTIC /Provider Synergies, L.L.C. Page 3 of 7

4 MCR/AMERICAN PH ALLFEN DM (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH ALLFEN TABLET OTC (ORAL) COUGH AND COLD, COLD MCR/AMERICAN PH AMBIFED CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH AMBIFED CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH AMBIFED-G CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH AMBIFED-G CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH BROVEX PEB (ORAL) COUGH AND COLD, COLD MCR/AMERICAN PH BROVEX PEB DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH BROVEX PSB (ORAL) COUGH AND COLD, COLD MCR/AMERICAN PH BROVEX PSB DM (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH COTAB A (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH COTAB AX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH COTABFLU (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFED CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFED CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFED DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH MAXIFED-G CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFED-G CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFLU CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIFLU CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIPHEN (ORAL) COUGH AND COLD, COLD MCR/AMERICAN PH MAXIPHEN CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIPHEN CDX (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH MAXIPHEN DM (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH MAXIPHEN DMX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MCR/AMERICAN PH PHENFLU CD (ORAL) COUGH AND COLD, NARCOTIC MCR/AMERICAN PH PHENFLU CDX (ORAL) COUGH AND COLD, NARCOTIC MEDICINE SHOP COUGH & SORE THROAT LOZENGE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MEDICINE SHOP INTENSE COUGH RELIEVER LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MEDICIS DERM SOLODYN (ORAL) TETRACYCLINES MEDICIS DERM VANOS (TOPICAL) STEROIDS, TOPICAL HIGH MEDIMETRIKS PHA MORGIDOX KIT (MISCELL) TETRACYCLINES MERCK AFRIN SPRAY OTC (NASAL) COUGH AND COLD, COLD MERCK CORICIDIN HBP TABLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC MORTON GROVE PH BROMFED DM SYRUP (ORAL) COUGH AND COLD, NON-NARCOTIC MORTON GROVE PH MYTUSSIN DAC OTC (ORAL) COUGH AND COLD, NARCOTIC MYLAN DOXYCYCLINE HYCLATE TABLET DR (ORAL) TETRACYCLINES MYLAN FENOPROFEN (ORAL) NSAIDS MYLAN KETOPROFEN ER (ORAL) NSAIDS MYLAN MECLOFENAMATE (ORAL) NSAIDS NOVARTIS ARCAPTA NEOHALER (INHALATION) BRONCHODILATORS, BETA AGONIST NOVARTIS CHILDREN'S TRIAMINIC OTC (NASAL) COUGH AND COLD, COLD NOVARTIS COMTREX CAPLET OTC (ORAL) COUGH AND COLD, COLD NOVARTIS COMTREX COLD & COUGH OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS COMTREX DEEP CHEST COLD (ORAL) COUGH AND COLD, COLD NOVARTIS TAVIST OTC (ORAL) COUGH AND COLD, COLD NOVARTIS THERAFLU COLD & COUGH MED OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU COLD & COUGH POWD PACK OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU COLD & COUGH STRIP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU COLD AND COUGH POWER OTC (ORAL) COUGH AND COLD, COLD NOVARTIS THERAFLU FLU & SORE THROAT OTC (ORAL) COUGH AND COLD, COLD NOVARTIS THERAFLU FLU-COLD-COUGH MED OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU MAX-D COLD-FLU PACKET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU MAX-STRENGTH CAPLET OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU MULTI-SYMPTOM COLD OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU NIGHTTIME FORMULA OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU NIGHTTTIME MEDICINE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS THERAFLU OTC (ORAL) COUGH AND COLD, COLD NOVARTIS THERAFLU PACKET OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC CHEST-NASAL CONG LIQ OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC COLD & ALLERGY SYRUP OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC COLD & COUGH OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC COLD & COUGH STRIP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC COLD-ALLERGY PE OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC COLD-COUGH STRIP OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC COLD-COUGH-FEVER LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC COUGH LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC COUGH-COLD CHEW OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC COUGH-NASAL CONG LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC /Provider Synergies, L.L.C. Page 4 of 7

5 NOVARTIS TRIAMINIC COUGH-SORE THROAT LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC LONG ACTING COUGH SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC NIGHT TIME/CHILD TRIAMINIC-D COLD LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINIC SOFTCHEWS OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC SOFTCHEWS TABLET OTC (ORAL) COUGH AND COLD, COLD NOVARTIS TRIAMINIC SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC NOVARTIS TRIAMINICIN OTC (ORAL) COUGH AND COLD, COLD PAR DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE (ORAL) TETRACYCLINES PAR DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE (ORAL) TETRACYCLINES PEDINOL PHARM. NALFON (ORAL) NSAIDS PERNIX THERAPEU ALDEX GS DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PERNIX THERAPEU ALDEX GS OTC (ORAL) COUGH AND COLD, COLD PERNIX THERAPEU PEDIATEX TDM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PERNIX THERAPEU Z-COF I OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PERRIGO CO. HYDROCORTISONE ACETATE OINT. OTC (TOPICAL) STEROIDS, TOPICAL LOW PFIZER ADULT ROBITUSSIN COUGH SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ADULT ROBITUSSIN COUGH-COLD D OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ARTHROTEC (ORAL) NSAIDS PFIZER CHILDREN'S DIMETAPP COLD-FLU OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER DIMETAPP COLD & ALLERGY ELIXIR OTC (ORAL) COUGH AND COLD, COLD PFIZER DIMETAPP COLD & COUGH LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER DIMETAPP COLD-ALLERGY TAB CHEW OTC (ORAL) COUGH AND COLD, COLD PFIZER DIMETAPP DM COLD & COUGH ELIXIR OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER DIMETAPP LONG-ACTING COUGH LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER DRISTAN COLD MULTI-SYMP TABLET OTC (ORAL) COUGH AND COLD, COLD PFIZER DRISTAN OTC (NASAL) COUGH AND COLD, COLD PFIZER FLECTOR (TOPICAL) ANALGESICS/ANESTHETICS, TOPICAL PFIZER GUAIFENESIN/DM/PHENYLEPHRINE SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER PRIMATENE ASTHMA OTC (ORAL) COUGH AND COLD, COLD PFIZER ROBITUSSIN COUGH & COLD CF LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ROBITUSSIN COUGH-COLD LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ROBITUSSIN COUGHGELS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ROBITUSSIN DM TO GO OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ROBITUSSIN LONG-ACTING LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER ROBITUSSIN PEDIATRIC COUGH SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER TESSALON PERLE (ORAL) COUGH AND COLD, NON-NARCOTIC PFIZER TUSSIGON (ORAL) COUGH AND COLD, NARCOTIC PFIZER VIBRAMYCIN SUSPENSION (ORAL) TETRACYCLINES PFIZER VIBRAMYCIN SYRUP (ORAL) TETRACYCLINES PHARMADERM APEXICON E (TOPICAL) STEROIDS, TOPICAL VERY HIGH PHARMADERM CUTIVATE LOTION (TOPICAL) STEROIDS, TOPICAL MEDIUM PHARMADERM PANDEL (TOPICAL) STEROIDS, TOPICAL MEDIUM POLY PHARM. ALA-HIST AC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. ALAHIST DHC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. ALA-HIST DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. ALA-HIST PE OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. DECONEX DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. DECONEX DMX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. DECONEX IR OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. DECONEX OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. LORTUSS DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. LORTUSS EX OTC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. LORTUSS LQ OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. POLY HIST DHC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLY HIST NC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLY-TUSSIN AC OTC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLY-TUSSIN DHC (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLY-TUSSIN EX (ORAL) COUGH AND COLD, NARCOTIC POLY PHARM. POLY-VENT DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC POLY PHARM. POLY-VENT IR OTC (ORAL) COUGH AND COLD, COLD POLY PHARM. POLY-VENT PLUS (ORAL) COUGH AND COLD, COLD PRASCO LABS PREDNICARBATE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM PROCTER&GAMBLE VICKS 44D COUGH & HEAD LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PROCTER&GAMBLE VICKS CHILDREN'S NYQUIL LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PROCTER&GAMBLE VICKS DAYQUIL COUGH SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PROCTER&GAMBLE VICKS DAYQUIL LIQUICAPS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PROCTER&GAMBLE VICKS INHALER OTC (NASAL) COUGH AND COLD, COLD PROCTER&GAMBLE VICKS NYQUIL LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC PROCTER&GAMBLE VICKS PEDIATRIC 44M LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC /Provider Synergies, L.L.C. Page 5 of 7

6 PROCTER&GAMBLE VICKS SINEX MIST OTC (NASAL) COUGH AND COLD, COLD PROCTER&GAMBLE VICKS SINEX SPRAY OTC (NASAL) COUGH AND COLD, COLD PROMIUS PHARMA CLODERM (TOPICAL) STEROIDS, TOPICAL MEDIUM PRO-PHARMA LLC PRO-CLEAR AC OTC (ORAL) COUGH AND COLD, NARCOTIC PRO-PHARMA LLC PRO-CLEAR CAPS OTC (ORAL) COUGH AND COLD, NARCOTIC PRO-PHARMA LLC PRO-RED AC OTC (ORAL) COUGH AND COLD, NARCOTIC QUALITEST CHERATUSSIN DAC OTC (ORAL) COUGH AND COLD, NARCOTIC QUALITEST CODITUSS DM SYRUP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC QUALITEST PHENYLHISTINE DH OTC (ORAL) COUGH AND COLD, NARCOTIC QUALITEST PROMETHAZINE VC SYRUP (QUALITEST) (ORAL) COUGH AND COLD, COLD QUALITEST PROMETHAZINE VC/CODEINE SYRUP (QUALITEST) (ORAL) COUGH AND COLD, NARCOTIC R.A.MC NEIL CO. CHLO TUSS OTC (ORAL) COUGH AND COLD, NON-NARCOTIC R.A.MC NEIL CO. M-CLEAR (ORAL) COUGH AND COLD, NARCOTIC R.A.MC NEIL CO. M-CLEAR WC (ORAL) COUGH AND COLD, NARCOTIC R.A.MC NEIL CO. M-END PE (ORAL) COUGH AND COLD, NARCOTIC R.A.MC NEIL CO. M-END WC (ORAL) COUGH AND COLD, NARCOTIC RANBAXY DOXYCYCLINE MONOHYDRATE 75 MG CAPSULE (ORAL) TETRACYCLINES RANBAXY HALOG CREAM (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY HALOG OINT. (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY KENALOG AEROSOL (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY ULTRAVATE PAC CREAM (TOPICAL) STEROIDS, TOPICAL VERY HIGH RECKITT BENCKIS CHILD DELSYM COUGH-COLD NIGHT OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS CHILDREN'S MUCINEX COUGH OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS CHILDREN'S MUCINEX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS CHILD'S MUCINEX OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS DELSYM COUGH & COLD (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS DELSYM MULTI-SYMPTOM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS DELSYM SUS ER 12H OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS KID'S MUCINEX MINI-MELTS OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX COLD & SINUS OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX COLD LIQUID OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX COLD-FLU & SORE THROAT OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX COUGH OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX D (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX D OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX DM OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX ER TABLET OTC (ORAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX FAST-MAX DM MAX OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RECKITT BENCKIS MUCINEX OTC (NASAL) COUGH AND COLD, COLD RECKITT BENCKIS MUCINEX SEVERE CONGEST-COUGH OTC (ORAL) COUGH AND COLD, NON-NARCOTIC RIVER'S EDGE PH GUAIFENESIN/PHENYLEPHRINE SYRUP OTC (ORAL) COUGH AND COLD, COLD ROCHE LABS. NAPROSYN SUSPENSION (ORAL) NSAIDS ROUSES POINT PH HYDROCORTISONE BUTYRATE CREAM BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROUSES POINT PH HYDROCORTISONE BUTYRATE OINT. BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROUSES POINT PH HYDROCORTISONE BUTYRATE SOLUTION BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROXANE LABS. MELOXICAM SUSPENSION (ORAL) NSAIDS ROXANE LABS. NAPROXEN SUSPENSION (ORAL) NSAIDS SHIONOGI NAPRELAN (ORAL) NSAIDS SHIONOGI PONSTEL (ORAL) NSAIDS SILARX PHARM BROTAPP DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC SILARX PHARM BROTAPP LIQUID OTC (ORAL) COUGH AND COLD, COLD SILARX PHARM SILAFED OTC (ORAL) COUGH AND COLD, COLD SJ PHARMACAL NOTUSS-NX (ORAL) COUGH AND COLD, NARCOTIC SJ PHARMACAL NOTUSS-NXD (ORAL) COUGH AND COLD, NARCOTIC STIEFEL LUXIQ (TOPICAL) STEROIDS, TOPICAL MEDIUM STIEFEL OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH STIEFEL VERDESO (TOPICAL) STEROIDS, TOPICAL LOW SUNMARK CHEST CONGESTION (ORAL) COUGH AND COLD, COLD SUNMARK COUGH & RUNNY NOSE LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC SUNMARK MUCUS ER TABLET OTC (ORAL) COUGH AND COLD, COLD SUNMARK SM NITE TIME LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC SUNMARK TRIACTING COLD AND ALLERGY OTC (ORAL) COUGH AND COLD, COLD SUNMARK TUSSIN HONEY OTC (ORAL) COUGH AND COLD, COLD SUNMARK V-R NON-ASPIRIN FLU GELCAP OTC (ORAL) COUGH AND COLD, NON-NARCOTIC TARO PHARM USA BETAMETHASONE DIPROPIONATE GEL (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA DESOXIMETASONE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA HYDROCORTISONE BUTYRATE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM TARO PHARM USA HYDROCORTISONE BUTYRATE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM TARO PHARM USA HYDROCORTISONE BUTYRATE SOLUTION (TOPICAL) STEROIDS, TOPICAL MEDIUM /Provider Synergies, L.L.C. Page 6 of 7

7 TARO PHARM USA TOPICORT GEL (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA TOPICORT LP CREAM (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA TOPICORT LP OINT. (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA TOPICORT OINT. (TOPICAL) STEROIDS, TOPICAL HIGH TEVA DIFLUNISAL (ORAL) NSAIDS TIBER PHARMACEU ACCUHIST DROPS OTC (ORAL) COUGH AND COLD, COLD TIBER PHARMACEU DESONIL + PLUS (TOPICAL) STEROIDS, TOPICAL LOW TIBER PHARMACEU ENDAL CD OTC (ORAL) COUGH AND COLD, NARCOTIC TIBER PHARMACEU TEXACORT (TOPICAL) STEROIDS, TOPICAL LOW TIBER PHARMACEU VIRAVAN-P OTC (ORAL) COUGH AND COLD, COLD TOPCO DAY TIME COUGH LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC TOPCO DAYTIME COLD & FLU RELIEF CAPSULE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC TOPCO FLU & SORE THROAT PACKET OTC (ORAL) COUGH AND COLD, COLD TRIGEN LABORATO MESEHIST WC (ORAL) COUGH AND COLD, NARCOTIC TRIGEN LABORATO TL-HIST CD (ORAL) COUGH AND COLD, NARCOTIC TRIGEN LABORATO TRI-DEX PE LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC UCB PHARMA TUSSIONEX (ORAL) COUGH AND COLD, NARCOTIC VERTICAL PHARM ZOTEX-C (ORAL) COUGH AND COLD, NARCOTIC WATSON CORDRAN TAPE (TOPICAL) STEROIDS, TOPICAL MEDIUM WATSON DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE BRAND (ORAL) TETRACYCLINES WATSON DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE BRAND (ORAL) TETRACYCLINES WC PROF PRODS DORYX (ORAL) TETRACYCLINES WEEKS & LEO CO. EXPECTORANT SYRUP OTC (ORAL) COUGH AND COLD, COLD WEEKS & LEO CO. SUPER TROCHE DM LOZENGE OTC (ORAL) COUGH AND COLD, NON-NARCOTIC WRASER PHARMA ENTEX LQ OTC (ORAL) COUGH AND COLD, COLD WRASER PHARMA ENTEX T OTC (ORAL) COUGH AND COLD, COLD WYETH CONSUMER ADVIL COLD & SINUS (ORAL) COUGH AND COLD, COLD WYETH CONSUMER ADVIL COLD & SINUS LIQUI-GELS OTC (ORAL) COUGH AND COLD, COLD WYETH CONSUMER GUAIFENESIN DM LIQUID OTC (ORAL) COUGH AND COLD, NON-NARCOTIC XANODYNE PHARM ZIPSOR (ORAL) NSAIDS /Provider Synergies, L.L.C. Page 7 of 7