Amerigroup District of Columbia, Inc. ተመራጭ የመድሃኒ ዝርዝርን (PDL) እንዴት መጠቀም እንደሚቻል

Transcription

1 Amerigroup District of Columbia, Inc. ተመራጭ የመድሃኒ ዝርዝርን (PDL) እንዴት መጠቀም እንደሚቻል Amerigroup District of Columbia, Inc. ሃኪምዎ ሊመርጣቸው የሚችሉ በብዛት የሚታዘዙ መድሃኒቶች ዝርዝር አለው ተመራጭ የመድኅኒት ዝርዝር /preferred drug list (PDL)/ በመባል ይታወቃል እርሱም ስለ ጥራታቸው እና ውጤታማነታቸው [Amerigroup] የመረጣቸው መድሃኒቶች ይገኙበታል አንዳንድ ጊዜ [Amerigroup] በዝርዝሩ (PDL) ላይ ለውጦቻን ሊያደርግ ይችላል የቅርብ ጊዜውን ዝርዝር በ ላይ ያግኙ ቅድሚያ ፈቃድ ማግኛ አንዳንድ መድኅኒቶች ዳግመኛ ከመሰጠታቸው በፊት የእርስዎ ዶክተር በቅድሚያ ከእኛ ፈቃድ ማግኘት ይኖርበት ይሆናል ይህ ቅድሚያ ፈቃድ ማግኛ በመባል ይታወቃል የእርስዎ ዶክተር ጥያቄ ለምን አንድ መድኅኒት እንደሚያስፈልግ እና ምን ያክል እንደሚያስፈልግ ማካተት አለበት Amerigroup በFDA ይተፈቀዱ የአወሳሰድ መመሪያዎችን ይከተላል የእርስዎ ዶክተር በ FDA ከተቀመጠው ገደብ በላይ እርስዎ መድኅኒት መውሰድ አለብዎት ብሎ የሚያስብ ከሆነ ከእኛ በቅድሚያ ፈቃድ ማግኘት አለበት ተመሳስሎ በብዛት የተሠራ /ጀነሪክ/ መድኅኒት ካለ የመድን ሽፋን ይኖረዋል ተመሳስለው በብዛት የተሠሩ /ጀነሪክ/ መድኅኒቶች በ FDA በተፈቀደው መሠረት ከአዲስ /ብራንድ/ ስም መድኅኒቶች ጋር እኩል ናቸው ተመሳስለው በብዛት የተሠሩ /ጀነሪክ/ መድኅኒቶች እያሉ አዲስ /ብራንድ/ ስም መድኅኒቶች እንዲሰጡ የሚቀርቡ ጥያቄዎች እንዲሁ በተጨማሪ የቅድሚያ ፈቃድ ያስፈልጋቸዋል በ PDL ላይ ያሉ አንዳንድ መድኅኒቶች በቅድሚያ ፈቃድ ማግኘት ያስፈልጋቸው ይሆናል ሐኪምዎ የጥያቄ ቅጽ በመሙላት ወደ Amerigroup መላክ ይችላል የእርስዎ ዶክተር ወደዚህ እንዲደውሉ ያድርጉ የአገልግሎት አቅራቢ አገልግሎቶች በስልክ ቊጥር ወይም ቅጹን ወደ በፋስክ ይላኩ ጥያቄዎች? ስለ PDL ወይም ስለ የእርስዎ የመድኅኒት የመድን ጥቅማ ጥቅሞች ጥያቄዎች ካልዎት የእኛ የአባል አገልግሎቶች ቡድን በአንድ የስልክ ጥሪ ርቀት ላይ ይገኛል እኛን በስልክ ቊጥር (TTY 711) ከሰኞ እስከ ዓርብ ከጠዋቱ 8 a.m. እስከ ምሽቱ 6 p.m. ይደውሉልን WEBMDC This program is funded in part by the Government of the District of Columbia Department of Health Care Finance

2 Medicaid-የተፈቀደ ተመራጭ የመድኅኒት ዝርዝር ከኦገስት ጀምሮ ተፈጻሚ የሚሆን መፍቻ በእያንዳንዱ ክፍል ውስጥ መድኅኒቶች በምርት ስማቸው (ብራንድ ኔም) ወይም ተመሳስሎ በብዛት የተሠራ /ጀነሪክ/ መድኅኒት ስም በፊደል ተራ ተዘርዝረዋል የምርት ስም (ብራንድ) መድኅኒት ዓቢይ ሆሄ በደማቅ ዓይነት ተመሳስሎ በብዛት የተሠራ /ጀነሪክ/ መድኅኒት ንዑስ ሆሄ በዝርግ ዓይነት የዕድሜ ገደብ ክልከላዎች DO የመድኅኒት አሰጣጥ ከፍ ማድረጊያ ፕሮግራም GR የጾታ ክልከላ ከሐኪም መድኅኒት ማዘዣ ጋር በቀጥታ ከመድኅኒት መደብር መውሰድ የሚቻሉ መድኅኒቶች (መድኅኒት ማዘዣ ሰጪዎች እባካችሁ በመድኅኒት ማዘዣው ላይ የሚል ምልክት አድርጉ) PA የቅድሚያ ፈቃድ ያስፈልጋል የቅድሚያ ፈቃድ አንዳንድ የተወሰኑ መድኅኒት ማዘዣዎች ከመሰጠታቸው በፊት የመድን ሽፋን ለማግኘት ፈቃድ መጠየቂያ ሂደት ነው የብዛት ገደብ አንዳንድ የተወሰኑ የመድኅኒት ማዘዣ መድኅኒቶች የተወሰነ በመድኅኒት ማዘዣ ወይም በወር የተገደበ የብዛት ገደብ አላቸው SP ልዩ የመድኅኒት መደብር ST ስቴፕ ቴራፒ ያስፈልጋል ሌላ መድኅኒት ለመጠቀም ፈቃድ ከመሰጠቱ በፊት የመድን ሽፋን ጥቅማጥቅሞችን ለማግኘት አንድ መድኅኒትን መጠቀም ይኖርብዎት ይሆናል

3 ንዑስ ሆሄ = ተመሳስለው በብዛት የተሠሩ /ጀነሪክ/ መድኅኒቶች ዓቢይ ሆሄ ደማቅ = አዲስ (ብራንድ) ስም ያላቸው መድኅኒቶች Notes መድሃኒት ዋቢ ዋቢ አማራጭ ቴራፒ አማራጭ ቴራፒ - አንቲኦክሲዳንት /ANTIOXIDANT/ antioxidant a/c/e/selenium oral capsule antioxidant vitamins oral tablet e-400 c-500 and beta carotene oral tablet eye health plus lutein oral tablet healthy eyes oral tablet healthy eyes supervision oral capsule ICAPS AREDS OR CAPSULE i-vite oral tablet i-vite protect oral tablet MACUVITE WITH LUTEIN OR TABLET multi-betic oral tablet OCUVITE LUTEIN AND ZEAXANTHIN OR CAPSULE OCUVITE OR CAPSULE OCUVITE WITH LUTEIN OR TABLET opti-vitamins oral tablet PRESERVISION AREDS OR CAPSULE PRESERVISION AREDS OR TABLET prosight oral tablet SAVISION OR TABLET super antioxidant oral capsule ultra antioxidant formula oral tablet vision formula (with lutein) oral tablet vision-vite + zinc oral tablet አማራጭ ቴራፒ - ያልተመደበ ; ; ; ; ; ; ; ; ; ; ; ; ; CHEW Q OR TABLET,CHEWABLE CHEW Q OR WAFER co q-10 (with vit e) oral capsule co q-10 oral capsule 1

4 coenzyme q10 oral capsule coenzyme q10 oral liquid coenzyme q10 oral tablet coenzyme q10-vitamin e oral capsule Co Q-10 (with Vit E) coq-10 oral capsule echinacea angust-purpr root xt oral capsule echinacea herb oral capsule echinacea oral capsule echinacea purp leaf-ang rt ext oral capsule echinacea purpurea aerial oral capsule effervescent formula oral tablet, effervescent goldenseal root oral capsule h2q oral capsule healthy heart complex oral tablet melatonin (with b6) oral tablet ; melatonin-pyridoxine (vit b6) oral tablet Melatonin (with B6) ; mg-plus-protein oral tablet q-gel forte oral capsule q-gel mega oral capsule q-gel oral capsule q-gel ultra oral capsule q-sorb co q-10 oral capsule q-up oral liquid SYSTANE VITAMIN OR CAPSULE ኤስስትሮጀኒክ ኤጀንትስ /ESTROGENIC AGENTS/ MENOPAUSE SUPPORT OR TABLET አናልጄሲክ አንቲ ኢንፍላማቶሪ ወይም አንቲፒሬቲክ /ANGESIC, ANTI-INFLAMMATORY OR ANTIPYRETIC/ አናልጄስክ/አንቲፒሬቲክ ሳሊኪላትስ /ANGESIC/ANTIPYRETICS, SICYLATES/ added strength headache relief oral tablet adult low dose aspirin oral tablet,delayed release (dr/ec) antacid and pain relief oral tablet, effervescent ; 2

5 aspir-81 oral tablet,delayed release (dr/ec) aspirin childrens oral tablet,chewable aspirin low dose oral tablet,delayed release (dr/ec) ; ; ; aspirin oral tablet Lite Coat Aspirin ; aspirin oral tablet,chewable Aspirin Childrens ; aspirin oral tablet,delayed release (dr/ec) 325 mg aspirin oral tablet,delayed release (dr/ec) 500 mg, 650 mg aspirin oral tablet,delayed release (dr/ec) 81 mg aspirin rectal suppository E.C. Prin St. Joseph Aspirin aspirin, buffered oral tablet Buffered Aspirin aspir-low oral tablet,delayed release (dr/ec) aspir-trin oral tablet,delayed release (dr/ec) back and body pain reliever oral tablet bayer advanced oral tablet bayer aspirin oral tablet bufferin oral tablet butalbital-aspirin-caffeine oral capsule Fiorinal child aspirin oral tablet,chewable children's aspirin oral tablet,chewable choline,magnesium salicylate oral liquid diflunisal oral tablet e.c. prin oral tablet,delayed release (dr/ec) efferves pain relief antacid oral tablet, effervescent enteric coated aspirin oral tablet,delayed release (dr/ec) headache relief (asa-acet-caf) oral tablet lite coat aspirin oral tablet lo-dose aspirin oral tablet,delayed release (dr/ec) migraine formula oral tablet migraine relief oral tablet pain relief (acetamin-asp-caf) oral tablet ; ; ; ; ; ; ; ; ; ; ; 3

6 pain reliever (acetam-aspirin) oral tablet pain reliever plus oral tablet pain-off oral tablet pamprin max oral tablet salsalate oral tablet Disalcid super pain relief oral tablet tri-buffered aspirin oral tablet አናልጄሲክስ ናርኮቲክስ /ANGESICS, NARCOTICS/ acetaminophen-codeine oral solution 120 mg-12 mg /5 ml (5 ml), mg/5 ml acetaminophen-codeine oral solution 240 mg-24 mg /10 ml (10 ml), 300 mg-30 mg /12.5 ml acetaminophen-codeine oral tablet mg acetaminophen-codeine oral tablet mg acetaminophen-codeine oral tablet mg ascomp with codeine oral capsule aspirin-caffeine-dihydrocodein oral capsule butalbital compound w/codeine oral capsule butalbital compound-codeine oral capsule butalbital-acetaminop-caf-cod oral capsule butorphanol tartrate nasal spray,nonaerosol codeine sulfate oral tablet 15 mg, 30 mg, 60 mg Tylenol-Codeine #3 Tylenol-Codeine #4 Synalgos-DC codeine-butalbital-asa-caff oral capsule Ascomp with Codeine diskets oral tablet,soluble endocet oral tablet fentanyl citrate buccal lozenge on a handle Actiq PA; PA; fentanyl transdermal patch 72 hour Duragesic PA; hydrocodone-acetaminophen oral solution mg/7.5ml(7.5ml) hydrocodone-acetaminophen oral solution mg/15 ml Hycet 4

7 hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-ibuprofen oral tablet Xodol 10/300 Lorcet HD Verdrocet Xodol 5/300 Norco Xodol 7.5/300 Lorcet Plus hydromorphone oral liquid Dilaudid hydromorphone oral tablet 2 mg, 4 mg, 8 mg hydromorphone rectal suppository meperidine oral solution Dilaudid meperidine oral tablet 100 mg Demerol meperidine oral tablet 50 mg methadone intensol oral concentrate PA; methadone oral concentrate Methadose PA; methadone oral solution 10 mg/5 ml, 5 mg/5 ml PA; methadone oral tablet 10 mg, 5 mg Dolophine PA; methadone oral tablet,soluble Diskets PA; methadose oral concentrate methadose oral tablet,soluble morphine concentrate oral solution morphine oral solution 10 mg/5 ml, 20 mg/5 ml (4 mg/ml) morphine oral tablet 15 mg, 30 mg morphine oral tablet extended release 100 mg, 15 mg, 200 mg, 30 mg, 60 mg morphine rectal suppository oxycodone oral capsule oxycodone oral concentrate oxycodone oral solution MS Contin PA; PA; PA; 5

8 oxycodone oral tablet 10 mg, 20 mg oxycodone oral tablet 15 mg, 30 mg, 5 mg Roxicodone oxycodone-acetaminophen oral tablet Endocet oxycodone-aspirin oral tablet pentazocine-naloxone oral tablet tramadol oral tablet Ultram tramadol-acetaminophen oral tablet Ultracet vicodin es oral tablet vicodin hp oral tablet vicodin oral tablet zamicet oral solution አናልጄሲክስ ናርኮቲክስ ያልሆኑ /ANGESICS, NON-NARCOTIC/ 8 hour pain reliever oral tablet extended release acephen rectal suppository acetaminophen extra strength oral tablet ; ; acetaminophen oral drops,suspension Mapap (acetaminophen) ; acetaminophen oral elixir Non-Aspirin acetaminophen oral liquid Children's Silapap acetaminophen oral solution Mapap (acetaminophen) acetaminophen oral suspension BetaTemp ; acetaminophen oral tablet 325 mg Non-Aspirin Pain Relief acetaminophen oral tablet 500 mg acetaminophen oral tablet extended release Acetaminophen Extra Strength ; 8 HOUR PAIN RELIEVER ; acetaminophen oral tablet,chewable Mapap (acetaminophen) ; acetaminophen oral tablet,disintegrating Children's Mapap acetaminophen pain relief oral tablet acetaminophen rectal suppository Acephen arthritis pain relief (acetam) oral tablet extended release arthritis pain reliever oral tablet extended release athenol oral tablet betatemp oral suspension butalbital-acetaminophen oral tablet Tencon butalbital-acetaminophen-caff oral capsule Esgic ; ; ; ; 6

9 butalbital-acetaminophen-caff oral tablet Esgic capacet oral capsule child pain rel-fever reducer rectal suppository children's acetaminophen oral suspension children's acetaminophen oral tablet,chewable children's acetaminophen oral tablet,disintegrating children's easy-melts oral tablet,disintegrating children's fever reducing rectal suppository children's mapap oral tablet,disintegrating children's non-aspirin oral suspension children's non-aspirin oral tablet,chewable children's non-aspirin pain oral tablet,chewable children's pain relief oral suspension children's pain reliever oral suspension children's pain reliever oral tablet,disintegrating children's pain-fever relief oral liquid children's pain-fever relief oral suspension children's pain-fever relief oral tablet,chewable children's pain-fever relief oral tablet,disintegrating children's q-pap oral suspension children's silapap oral liquid children's tactinal oral tablet,chewable ed-apap oral liquid fever reducer an pain reliever oral suspension fever reducer rectal suppository feverall rectal suppository infant fever reducer-pain relf oral suspension infant pain reliever oral suspension infant's non-aspirin oral drops,suspension ; ; ; ; ; ; ; ; ; ; ; ; ; ; 7

10 infants' pain and fever oral suspension infant's pain relief oral drops,suspension infants' pain relief oral suspension infant's pain relief oral suspension infant's pain reliever oral drops,suspension jr. acetaminophen oral tablet,disintegrating jr. str non-aspirin pain oral tablet,disintegrating jr. strength pain reliever oral tablet,disintegrating junior mapap oral tablet,disintegrating little remedies fever and pain oral liquid mapap (acetaminophen) oral capsule mapap (acetaminophen) oral drops,suspension mapap (acetaminophen) oral liquid mapap (acetaminophen) oral suspension mapap (acetaminophen) oral tablet mapap (acetaminophen) oral tablet,chewable mapap arthritis pain oral tablet extended release mapap extra strength oral tablet marten-tab oral tablet masophen oral tablet 325 mg masophen oral tablet 500 mg non-aspirin childrens oral drops non-aspirin children's oral tablet,chewable non-aspirin extra strength oral liquid non-aspirin extra strength oral tablet non-aspirin jr strength oral tablet,chewable non-aspirin oral elixir non-aspirin oral suspension non-aspirin oral tablet non-aspirin oral tablet,chewable non-aspirin pain relief oral tablet 325 mg ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; 8

11 non-aspirin pain relief oral tablet 500 mg nortemp oral drops nortemp oral suspension pain and fever oral tablet 325 mg pain and fever oral tablet 500 mg pain relief adult oral liquid pain relief extra strength oral tablet pain relief oral liquid pain relief oral tablet pain relief oral tablet extended release pain relief regular strength oral tablet pain reliever extra strength oral tablet pain reliever jr strength oral tablet,chewable pain reliever oral capsule pain reliever oral tablet 325 mg pain reliever oral tablet 500 mg pediacare fever reducer oral suspension pharbetol oral tablet 325 mg pharbetol oral tablet 500 mg pms maximum strength oral tablet pre-menstrual relief oral tablet premsyn pms oral tablet q-pap extra strength oral tablet q-pap oral drops q-pap oral liquid q-pap oral tablet 325 mg q-pap oral tablet 500 mg tactinal extra strength oral tablet tactinal oral tablet tencon oral tablet tylophen oral capsule አንቲ-አርተርቲክ ፎሌት አናታጎኒስት ኤጀንትስ /ANTI- ARTHRITIC, FOLATE ANTAGONIST AGENTS/ methotrexate sodium oral tablet TREXL OR TABLET ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; ; 9

12 አንቲ-ኢንፍላማቶሪ ቲዩመር ኔክሮሲስ ፋክተር ኢንሂቢተር /ANTI- INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR/ ENBREL SUBCUTANEOUS RECON SOLN PA; ENBREL SUBCUTANEOUS SYRINGE 25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML) ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT HUMIRA SUBCUTANEOUS SYRINGE KIT PA; PA; PA; PA; PA; PA; PA; አንቲ-ኢንፍላማቶሪ ፒሪሚዲን ሴንቴሲስ ኢንሂቢተር /ANTI- INFLAMMATORY, PYRIMIDINE SYNTHESIS INHIBITOR/ leflunomide oral tablet RIDAURA OR CAPSULE ቺላቲንግ ኤጀንትስ /CHELATING AGENTS/ CUPRIMINE OR CAPSULE DEPEN TITRATABS OR TABLET minocycline oral capsule minocycline oral tablet Arava Minocin sulfasalazine oral tablet Azulfidine sulfasalazine oral tablet,delayed release (dr/ec) ኢሙኖሱፐርሳንትስ /IMMUNOSUPRESSANTS/ cyclophosphamide intravenous recon soln CYCLOPHOSPHAMIDE OR CAPSULE cyclosporine modified oral capsule cyclosporine modified oral solution cyclosporine oral capsule gengraf oral capsule gengraf oral solution Azulfidine EN-tabs Neoral Gengraf Sandimmune 10

13 mycophenolate mofetil oral suspension for reconstitution SANDIMMUNE OR SOLUTION ኤንኤስኤድስ /NSAIDS/ advil oral tablet advil oral tablet,chewable all day pain relief oral tablet all day relief oral tablet child ibuprofen oral suspension children's advil oral suspension children's ibuprofen oral suspension children's profen ib oral suspension diclofenac potassium oral tablet diclofenac sodium oral tablet extended release 24 hr diclofenac sodium oral tablet,delayed release (dr/ec) etodolac oral capsule etodolac oral tablet etodolac oral tablet extended release 24 hr CellCept Voltaren-XR Lodine ; ; ; ; ; ; ; PA fenoprofen oral tablet flanax (naproxen) oral tablet flurbiprofen oral tablet ibu-drops oral drops,suspension ibuprofen ib oral tablet ibuprofen ib oral tablet,chewable ibuprofen jr strength oral tablet,chewable ; ; ; ; ibuprofen oral capsule Advil Liqui-Gel PA; ibuprofen oral drops,suspension Ibu-Drops ; ibuprofen oral suspension Children's Motrin ; ibuprofen oral tablet 100 mg Advil ibuprofen oral tablet 200 mg I-Prin ; ibuprofen oral tablet 400 mg, 600 mg, 800 mg ibuprofen pm oral tablet ibuprofen-diphenhydramine cit oral tablet Motrin PM indomethacin oral capsule 11

14 indomethacin oral capsule, extended release infants ibu-drops oral drops,suspension infant's ibuprofen oral drops,suspension infants profenib oral drops,suspension i-prin oral tablet ketoprofen oral capsule ketoprofen oral capsule,ext rel. pellets 24 hr ketorolac oral tablet meclofenamate oral capsule 100 mg, 50 mg ; ; ; ; mediproxen oral tablet meloxicam oral suspension meloxicam oral tablet 15 mg Mobic meloxicam oral tablet 7.5 mg Mobic PA motrin pm oral tablet nabumetone oral tablet naproxen oral suspension Naprosyn PA naproxen oral tablet naproxen oral tablet,delayed release (dr/ec) EC-Naprosyn naproxen sodium oral capsule Aleve ; naproxen sodium oral tablet 220 mg Flanax (naproxen) ; naproxen sodium oral tablet 275 mg naproxen sodium oral tablet 550 mg Anaprox DS PA oxaprozin oral tablet Daypro piroxicam oral capsule Feldene PA provil oral tablet sulindac oral tablet tolmetin oral capsule tolmetin oral tablet wal-profen oral capsule wal-profen oral tablet wal-proxen oral tablet አኔስተቲክስ /ANESTHETICS/ ቶፒካል አኔስተቲክስ /TOPIC ANESTHETICS/ lidocaine hcl laryngotracheal solution LTA Pre-Attached PA ; PA; ; ; 12

15 lidocaine topical ointment አኖሬክታል ዝግጅቶች /ANORECT PREPARATIONS/ ሂሞሮይዳል ዝግጅቶች /HEMORRHOID PREPARATIONS/ anu-med rectal suppository hemorrhoid rectal ointment hemorrhoidal (phenyleph-cocoa) rectal suppository hemorrhoidal rectal ointment hemorrhoidal rectal suppository hemorrhoidal suppository rectal suppository hydrocortisone topical cream with perineal applicator proctosol hc topical cream with perineal applicator proctozone-hc topical cream with perineal applicator አንቲዶትስ /ANTIDOTES/ እና ሌሎች ገልባጭ ኤጀንቶች ቺላቲንግ ኤጀንትስ /CHELATING AGENTS/ CHEMET OR CAPSULE CUPRIMINE OR CAPSULE deferoxamine injection recon soln DEPEN TITRATABS OR TABLET SYPRINE OR CAPSULE ናርኮቲክ አንታጎኒስትስ /NARCOTIC ANTAGONISTS/ naloxone injection solution naloxone injection syringe naltrexone oral tablet Proctozone-HC Desferal Revia NARCAN NAS SPRAY,NON- AEROSOL አንቲ-ኢንፌቲቭ ኤጀንቶች /ANTI-INFECTIVE AGENTS/ አብዞርባብል ሱልፎናሚድስ /ABSORBABLE SULFONAMIDES/ sulfamethoxazole-trimethoprim oral suspension sulfamethoxazole-trimethoprim oral tablet trimethoprim oral tablet Sulfatrim Bactrim PA 13

16 አሜቢሲድስ /AMEBICIDES/ paromomycin oral capsule አሚኖግሊኮሲድስ /AMINOGLYCOSIDES/ neomycin oral tablet አናኤሮቢክ አንቲፕሮቶዞአል አንቲባክቴሪያል ኤጀንትስ /ANAEROBIC ANTIPROTOZO ANTIBACTERI AGENTS/ metronidazole oral capsule metronidazole oral tablet tinidazole oral tablet 250 mg Flagyl Flagyl tinidazole oral tablet 500 mg Tindamax አንቴልሚንቲክስ /ANTHELMINTICS/ BENZA OR TABLET BILTRICIDE OR TABLET ivermectin oral tablet Stromectol pin-x oral suspension pin-x oral tablet,chewable reese's pinworm medicine oral suspension ጸረ ፈንገስ አንቲባዮቲክስ /ANTIFUNG ANTIBIOTICS/ fluconazole oral suspension for reconstitution 10 mg/ml, 40 mg/ml fluconazole oral tablet 100 mg, 150 mg, 200 mg, 50 mg flucytosine oral capsule griseofulvin microsize oral suspension griseofulvin ultramicrosize oral tablet Diflucan Diflucan Ancobon Gris-PEG (ultramicrosize) itraconazole oral capsule Sporanox Pulsepak PA ketoconazole oral tablet nystatin oral powder nystatin oral tablet terbinafine hcl oral tablet Lamisil voriconazole intravenous solution Vfend IV PA voriconazole oral suspension for reconstitution Vfend voriconazole oral tablet 200 mg Vfend PA; voriconazole oral tablet 50 mg Vfend PA አንቲሚይኮባክትሪየም ኤጀንትስ /ANTIMYCOBACTERIUM AGENTS/ PA ethambutol oral tablet Myambutol 14

17 isoniazid oral solution isoniazid oral tablet PRIFTIN OR TABLET pyrazinamide oral tablet rifabutin oral capsule rifampin oral capsule RIFATER OR TABLET sulfadiazine oral tablet ጸረ ቫይረስ አጠቃላይ /ANTIVIRS, GENER/ Mycobutin Rifadin acyclovir oral capsule acyclovir oral suspension acyclovir oral tablet famciclovir oral tablet oseltamivir oral capsule 30 mg, 45 mg, 75 mg Zovirax Zovirax Zovirax Tamiflu RELENZA DISKHER INHATION BLISTER WITH DEVICE rimantadine oral tablet TAMIFLU OR SUSPENSION FOR RECONSTITUTION Flumadine valacyclovir oral tablet Valtrex valganciclovir oral recon soln Valcyte valganciclovir oral tablet Valcyte ጸረ ቫይረስ ኤችአይቪ ላይ ያተኮረ /ANTIVIRS, HIV SPECIFIC/ SELZENTRY OR SOLUTION ሴፓሎስፖሪንስ /CEPHOSPORINS/ cefaclor oral capsule cefaclor oral suspension for reconstitution cefaclor oral tablet extended release 12 hr cefadroxil oral capsule cefadroxil oral suspension for reconstitution cefadroxil oral tablet cefdinir oral capsule cefdinir oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml cefpodoxime oral suspension for reconstitution 15

18 cefpodoxime oral tablet cefprozil oral suspension for reconstitution cefprozil oral tablet CEFTIN OR SUSPENSION FOR RECONSTITUTION ceftriaxone injection recon soln 1 gram, 2 gram, 250 mg, 500 mg ceftriaxone injection recon soln 10 gram cefuroxime axetil oral tablet cephalexin oral capsule cephalexin oral suspension for reconstitution cephalexin oral tablet Keflex ኬሞቴራፑቲክስ አንቲባክቴሪያል የተለያዩ /CHEMOTHERAPEUTICS, ANTIBACTERI, MISCELLANEOUS/ dapsone oral tablet ሳይክሊክ ሊፖፔፕቲድ አንቲባዮቲክስ /CYCLIC LIPOPEPTIDE ANTIBIOTICS/ CUBICIN INTRAVENOUS RECON SOLN CUBICIN RF INTRAVENOUS RECON SOLN የሄፐታይተስ ቢ ሕክምና ኤጀንቶች /HEPATITIS B TREATMENT AGENTS/ adefovir oral tablet Hepsera PA; BARACLUDE OR SOLUTION PA; entecavir oral tablet Baraclude PA; EPIVIR HBV OR SOLUTION PA; lamivudine oral tablet Epivir HBV PA; የሄፐታይተስ ሲ ሕክምና ኤጀንቶች /HEPATITIS C TREATMENT AGENTS/ EPCLUSA OR TABLET PEGASYS PROCLICK SUBCUTANEOUS PEN INJECTOR PEGASYS SUBCUTANEOUS SOLUTION PEGASYS SUBCUTANEOUS SYRINGE PEGINTRON REDIPEN SUBCUTANEOUS PEN INJECTOR KIT PEGINTRON SUBCUTANEOUS KIT PA; PA PA; ribavirin oral capsule Ribasphere PA; ribavirin oral tablet Moderiba PA; SOVDI OR TABLET PA PA PA PA; 16

19 ZEPATIER OR TABLET ሊንኮሳሚድስ /LINCOSAMIDES/ PA; clindamycin hcl oral capsule clindamycin palmitate hcl oral recon soln clindamycin pediatric oral recon soln ማክሮሊድስ /MACROLIDES/ Cleocin HCl Cleocin Pediatric azithromycin oral packet Zithromax azithromycin oral suspension for reconstitution Zithromax azithromycin oral tablet 250 mg Zithromax Z-Pak azithromycin oral tablet 500 mg, 600 mg Zithromax clarithromycin oral suspension for reconstitution clarithromycin oral tablet clarithromycin oral tablet extended release 24 hr e.e.s. 400 oral tablet ery-tab oral tablet,delayed release (dr/ec) erythrocin (as stearate) oral tablet erythromycin ethylsuccinate oral tablet E.E.S. 400 erythromycin oral capsule,delayed release(dr/ec) erythromycin oral tablet ፔንስሊኖች /PENICILLINS/ amoxicillin oral capsule amoxicillin oral suspension for reconstitution amoxicillin oral tablet amoxicillin oral tablet,chewable amoxicillin-pot clavulanate oral suspension for reconstitution amoxicillin-pot clavulanate oral tablet amoxicillin-pot clavulanate oral tablet extended release 12 hr amoxicillin-pot clavulanate oral tablet,chewable ampicillin oral capsule ampicillin oral suspension for reconstitution Augmentin ES-600 Augmentin XR 17

20 dicloxacillin oral capsule penicillin v potassium oral recon soln penicillin v potassium oral tablet ፕላስሞዲስ /PLASMOCIDES/ atovaquone-proguanil oral tablet chloroquine phosphate oral tablet hydroxychloroquine oral tablet mefloquine oral tablet PRIMAQUINE OR TABLET ኲዊኖሎንስ /QUINOLONES/ ciprofloxacin hcl oral tablet levofloxacin oral solution levofloxacin oral tablet ofloxacin oral tablet 300 mg, 400 mg ቴትራሳይክሎኖች /TETRACYCLINES/ demeclocycline oral tablet doxycycline monohydrate oral capsule 100 mg, 50 mg doxycycline monohydrate oral capsule 150 mg doxycycline monohydrate oral capsule 75 mg Malarone Pediatric Plaquenil Levaquin Monodox Monodox doxycycline monohydrate oral suspension for reconstitution minocycline oral capsule minocycline oral tablet Vibramycin Minocin tetracycline oral capsule ቫንኮማይሲን እና ዴሪቫቲቭስ /VANCOMYCIN AND DERIVATIVES/ linezolid oral suspension for reconstitution Zyvox PA; linezolid oral tablet Zyvox PA; vancomycin oral capsule Vancocin PA አንቲኖፕላስቲክስ /ANTINEOPLASTICS/ አንቲኖፕላስቲክስ - አንቴንድሮጂኒክ ኤጀንቶች /ANTINEOPLASTIC - ANTIANDROGENIC AGENTS/ bicalutamide oral tablet flutamide oral capsule Casodex 18

21 አንቲኖፕላስቲክ/ኢሚዩኖስፐርሳንት መድኅኒቶች /ANTINEOPLASTIC/IMMUNOSUPPRE SSANT DRUGS/ adriamycin intravenous solution adrucil intravenous solution anastrozole oral tablet Arimidex bleo 15k injection recon soln bleomycin injection recon soln carboplatin intravenous recon soln carboplatin intravenous solution cisplatin intravenous solution cyclophosphamide intravenous recon soln CYCLOPHOSPHAMIDE OR CAPSULE cytarabine (pf) injection solution dacarbazine intravenous recon soln decitabine intravenous recon soln doxorubicin intravenous recon soln doxorubicin intravenous solution EMCYT OR CAPSULE etoposide intravenous solution etoposide oral capsule Bleo 15K Dacogen Adriamycin Toposar exemestane oral tablet Aromasin fludarabine intravenous recon soln fludarabine intravenous solution fluorouracil intravenous solution gemcitabine intravenous recon soln gemcitabine intravenous solution HEXEN OR CAPSULE hydroxyurea oral capsule Adrucil Gemzar Hydrea imatinib oral tablet 100 mg, 400 mg Gleevec PA; IRESSA OR TABLET irinotecan intravenous solution Camptosar letrozole oral tablet Femara leucovorin calcium injection recon soln leucovorin calcium oral tablet LEUKERAN OR TABLET megestrol oral tablet PA PA PA; 19

22 mercaptopurine oral tablet MESNEX OR TABLET methotrexate sodium (pf) injection recon soln methotrexate sodium (pf) injection solution methotrexate sodium injection solution methotrexate sodium oral tablet mitomycin intravenous recon soln mitoxantrone intravenous concentrate MYLERAN OR TABLET oxaliplatin intravenous recon soln oxaliplatin intravenous solution paclitaxel intravenous concentrate PROLEUKIN INTRAVENOUS RECON SOLN PA TABLOID OR TABLET tamoxifen oral tablet toposar intravenous solution tretinoin (chemotherapy) oral capsule TREXL OR TABLET VSTAR INTRAVESIC SOLUTION VANTAS IMPLANT KIT vinblastine intravenous solution vincasar pfs intravenous solution vincristine intravenous solution Vincasar PFS ኤፒደርማል የዕድገት ሁኔታ ሪሴፕት አጋጅ /EPIDERM GROWTH FACTOR RECEPT BLOCKER/ (ኧር-2 ዓይነት /HER-2 TYPE) ሬክ ኤምሲ አንቲቦዲ /REC-MC ANTIBODY/ HERCEPTIN INTRAVENOUS RECON SOLN PA አንቲሴፕቲክስ እና ዲስኢንፌክታንትስ /ANTISEPTICS AND DISINFECTANTS/ አንቲሴፕቲክ አጠቃላይ /ANTISEPTICS, GENER/ alcohol pads topical pads, medicated alcohol prep pads topical pads, medicated alcohol prep swabs topical pads, medicated alcohol swabs topical pads, medicated Curity Alcohol Swabs alcohol wipes topical pads, medicated 20

23 alcoh-wipe towelette antiseptic skin clnsr(chlorhe) topical liquid betasept surgical scrub topical liquid chlorhexidine gluconate topical liquid Hand Wash curity alcohol swabs topical pads, medicated easy touch alcohol prep pads topical pads, medicated hibiclens topical liquid hydrogen peroxide solution sure comfort alcohol prep pads topical pads, medicated webcol topical pads, medicated ባዮሎጂካሎች /BIOLOGICS/ ኤሚዩን ግሎቡሊንስ /IMMUNE GLOBULINS/ GAMUNEX-C INJECTION SOLUTION HYPERRHO S/D INTRAMUSCULAR SYRINGE MICRHOGAM ULTRA-FILTERED PLUS INTRAMUSCULAR SYRINGE OCTAGAM INTRAVENOUS SOLUTION RHOGAM ULTRA-FILTERED PLUS INTRAMUSCULAR SYRINGE RHOPHYLAC INJECTION SYRINGE WINRHO SDF INJECTION SOLUTION ኢሚዩኖሎጂካሎች ክትባት /IMMUNOLOGICS VACCINES/ AFLURIA (PF) INTRAMUSCULAR SYRINGE AFLURIA INTRAMUSCULAR SUSPENSION AFLURIA QUAD (PF) INTRAMUSCULAR SYRINGE BCG VACCINE, LIVE (PF) PERCUTANEOUS SUSPENSION FOR RECONSTITUTION EZ FLU (AFLURIA) (PF) INTRAMUSCULAR SYRINGE KIT EZ FLU (FLUVIRIN) (PF) INTRAMUSCULAR SYRINGE KIT ; ; ; PA PA 21

24 EZ FLU16-17(FLUZON QD PED)(PF) INTRAMUSCULAR SYRINGE KIT FLUAD (65 YR UP)(PF) INTRAMUSCULAR SYRINGE FLUARIX QUAD (PF) INTRAMUSCULAR SYRINGE FLUBLOK (PF) INTRAMUSCULAR SOLUTION FLUCELVAX QUAD (PF) INTRAMUSCULAR SYRINGE FLULAV QUAD (PF) INTRAMUSCULAR SYRINGE FLULAV QUAD INTRAMUSCULAR SUSPENSION FLUVIRIN (PF) INTRAMUSCULAR SYRINGE FLUVIRIN INTRAMUSCULAR SUSPENSION FLUZONE HIGH-DOSE (PF) INTRAMUSCULAR SYRINGE FLUZONE INTRADERM QUAD INTRADERM SYRINGE FLUZONE QUAD (PF) INTRAMUSCULAR SUSPENSION FLUZONE QUAD (PF) INTRAMUSCULAR SYRINGE FLUZONE QUAD INTRAMUSCULAR SUSPENSION FLUZONE QUAD PEDI (PF) INTRAMUSCULAR SYRINGE SYNAGIS INTRAMUSCULAR SOLUTION ክትባት ባክቴሪያ - ግራም ፖዘቲቪ ኮቺ /VACCINE BACTERI - GRAM POSITIVE COCCI/ PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE ክትባብት ባክቴሪያ /VACCINE BACTERI/ - ሌላ PA BCG VACCINE, LIVE (PF) PERCUTANEOUS SUSPENSION FOR RECONSTITUTION 22

25 ካርዲዮቫስኩላር ቴራፒ ኤጀንቶች /CARDIOVASCULAR THERAPY AGENTS/ ሃይፖተንሲቮች ሲፓቶሊቲክ /HYPOTENSIVES, SYMPATHOLYTIC/ methyldopa-hydrochlorothiazide oral tablet ኤስ ኢንሂቢቶር/ካልሲየም ቻናል ብሎክ ኮምቢኔሽን /ACE INHIBITOR/CCIUM CHANNEL BLOCK COMBINATION/ amlodipine-benazepril oral capsule አደርኢነርጂክ ቫሶፕሬሰር /ADRENERGIC VASOPRESSOR/ midodrine oral tablet አልዶስቴሮን ሬሰፕተር አንታጎኒስትስ /DOSTERONE RECEPTOR ANTAGONISTS/ spironolactone oral tablet Aldactone አልፋ/ቤታ አደርኢነርጂክ ብሎኪንግ ኤጀንትስ /PHA/BETA-ADRENERGIC BLOCKING AGENTS/ carvedilol oral tablet 12.5 mg, 25 mg, mg, 6.25 mg labetalol oral tablet አልፋ-አደርኢነርጂክ ብሎኪንግ ኤጀንትስ /PHA- ADRENERGIC BLOCKING AGENTS/ doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg prazosin oral capsule Coreg Cardura Minipress terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg አናፋይላክሲስ ቴራፒ ኤጀንትስ /ANAPHYLAXIS THERAPY AGENTS/ epinephrine injection auto-injector 0.15 mg/0.15 ml epinephrine injection auto-injector 0.15 mg/0.3 ml epinephrine injection auto-injector 0.3 mg/0.3 ml epinephrine injection solution አንቲአርይቲሚክስ /ANTIARRHYTHMICS/ Adrenaclick EpiPen Jr EpiPen 2-Pak Adrenalin amiodarone oral tablet 200 mg Pacerone amiodarone oral tablet 400 mg disopyramide phosphate oral capsule flecainide oral tablet 100 mg, 150 mg, 50 mg Pacerone Norpace PA; 23

26 mexiletine oral capsule pacerone oral tablet 200 mg pacerone oral tablet 400 mg propafenone oral capsule,extended release 12 hr propafenone oral tablet quinidine gluconate oral tablet extended release quinidine sulfate oral tablet sorine oral tablet sotalol af oral tablet Rythmol SR sotalol oral tablet Betapace AF verapamil oral tablet 120 mg, 80 mg Calan verapamil oral tablet 40 mg ቤታ-አደርኢነርጂክ ብሎኪንግ ኤጀንትስ /PHA/BETA- ADRENERGIC BLOCKING AGENTS/ acebutolol oral capsule atenolol oral tablet betaxolol oral tablet bisoprolol fumarate oral tablet metoprolol succinate oral tablet extended release 24 hr metoprolol tartrate oral tablet nadolol oral tablet 20 mg, 40 mg Tenormin Toprol XL Lopressor Corgard nadolol oral tablet 80 mg Corgard PA pindolol oral tablet propranolol oral capsule,extended release 24 hr propranolol oral solution propranolol oral tablet sorine oral tablet sotalol af oral tablet Inderal LA sotalol oral tablet Betapace AF timolol maleate oral tablet ካልሲየም ቻናል ብሎኪንግ ኤጀንትስ /CCIUM CHANNEL BLOCKING AGENTS/ afeditab cr oral tablet extended release 30 mg DO; 24

27 afeditab cr oral tablet extended release 60 mg amlodipine oral tablet 10 mg Norvasc amlodipine oral tablet 2.5 mg, 5 mg Norvasc DO; cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg cartia xt oral capsule,extended release 24hr 300 mg diltiazem hcl oral capsule,ext.rel 24h degradable 120 mg, 180 mg diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg diltiazem hcl oral capsule,extended release 12 hr diltiazem hcl oral capsule,extended release 24 hr 120 mg, 180 mg diltiazem hcl oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg, 420 mg diltiazem hcl oral capsule,extended release 24hr 120 mg diltiazem hcl oral capsule,extended release 24hr 180 mg, 240 mg diltiazem hcl oral capsule,extended release 24hr 300 mg, 360 mg DILT-XR DILT-XR Tiazac Tiazac Cardizem CD Cartia XT Cardizem CD DO; DO; DO; DO; DO; diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg Cardizem diltiazem hcl oral tablet 90 mg diltiazem hcl oral tablet extended release 24 hr 180 mg, 240 mg diltiazem hcl oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg dilt-xr oral capsule,ext.rel 24h degradable 240 mg felodipine oral tablet extended release 24 hr 10 mg felodipine oral tablet extended release 24 hr 2.5 mg, 5 mg isradipine oral capsule 2.5 mg, 5 mg Matzim LA Matzim LA DO; DO; DO; 25

28 matzim la oral tablet extended release 24 hr 180 mg, 240 mg matzim la oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg nicardipine oral capsule 20 mg, 30 mg nifedipine oral capsule nifedipine oral tablet extended release 24hr 30 mg nifedipine oral tablet extended release 24hr 60 mg, 90 mg nifedipine oral tablet extended release 30 mg nifedipine oral tablet extended release 60 mg, 90 mg taztia xt oral capsule,extended release 24 hr 120 mg, 180 mg taztia xt oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg Procardia XL Procardia XL Afeditab CR Adalat CC DO; DO; DO; DO; verapamil oral capsule, 24 hr er pellet ct Verelan PM DO; verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg verapamil oral capsule,ext rel. pellets 24 hr 240 mg, 360 mg Verelan Verelan verapamil oral tablet 120 mg, 80 mg Calan verapamil oral tablet 40 mg verapamil oral tablet extended release Calan SR ዲጂታልስ ግላይኮሲድስ /DIGITIS GLYCOSIDES/ digox oral tablet digoxin oral solution digoxin oral tablet Digox ዲዩሬቲክ - ካርቦኒክ አንሃይድሬስ ኢንሄቢቴርስ /DIURETIC - CARBONIC ANHYDRASE INHIBITORS/ acetazolamide oral capsule, extended release acetazolamide oral tablet methazolamide oral tablet Diamox Sequels Neptazane ሃይፖቴንሲቭስ ኤስ ኢንሄቢቶርስ ውህዶች /HYPOTENSIVES, ACE INHIBITORS, COMBINATIONS/ benazepril oral tablet benazepril-hydrochlorothiazide oral tablet DO; 26

29 captopril oral tablet captopril-hydrochlorothiazide oral tablet enalapril maleate oral tablet Vasotec enalapril-hydrochlorothiazide oral tablet fosinopril oral tablet fosinopril-hydrochlorothiazide oral tablet lisinopril oral tablet 10 mg, 2.5 mg, 20 mg Zestril DO; lisinopril oral tablet 30 mg, 40 mg Zestril lisinopril oral tablet 5 mg Prinivil DO; lisinopril-hydrochlorothiazide oral tablet mg lisinopril-hydrochlorothiazide oral tablet mg, mg moexipril oral tablet moexipril-hydrochlorothiazide oral tablet perindopril erbumine oral tablet Zestoretic Zestoretic quinapril oral tablet Accupril quinapril-hydrochlorothiazide oral tablet Accuretic ramipril oral capsule Altace trandolapril oral tablet ሃይፖቴንሲቭስ አንጂዮቴንሽን ረሲፕተር አንታጎኒስት /HYPOTENSIVES, ANGIOTENSIN RECEPTOR ANTAGONIST/ candesartan oral tablet candesartan-hydrochlorothiazid oral tablet Atacand Atacand HCT DO; irbesartan oral tablet 150 mg, 75 mg Avapro DO; irbesartan oral tablet 300 mg Avapro irbesartan-hydrochlorothiazide oral tablet mg, mg Avalide losartan oral tablet Cozaar losartan-hydrochlorothiazide oral tablet mg, mg losartan-hydrochlorothiazide oral tablet mg Hyzaar Hyzaar valsartan oral tablet Diovan valsartan-hydrochlorothiazide oral tablet Diovan HCT ሃይፖቴንሲቭስ የተለያዩ /HYPOTENSIVES, MISCELLANEOUS/ atenolol-chlorthalidone oral tablet Tenoretic 100 DO; bisoprolol-hydrochlorothiazide oral tablet Ziac 27

30 metoprolol ta-hydrochlorothiaz oral tablet mg, mg metoprolol ta-hydrochlorothiaz oral tablet mg Lopressor HCT nadolol-bendroflumethiazide oral tablet Corzide propranolol-hydrochlorothiazid oral tablet ሃይፖተንሲቮች ሲፓቶሊቲክ /HYPOTENSIVES, SYMPATHOLYTIC/ clonidine hcl oral tablet guanfacine oral tablet Catapres methyldopa oral tablet ሃይፖቴንሲቭስ ቫሶዲሌተርስ /HYPOTENSIVES, VASODILATORS/ hydralazine oral tablet minoxidil oral tablet ሊፖትሮፒክስ /LIPOTROPICS/ G-900 DHA OR CAPSULE atorvastatin oral tablet 10 mg, 20 mg, 40 mg Lipitor atorvastatin oral tablet 80 mg Lipitor cholestyramine (with sugar) oral powder cholestyramine (with sugar) oral powder in packet cholestyramine light oral powder cholestyramine light oral powder in packet colestipol oral granules colestipol oral packet colestipol oral tablet DHA G-900 OR CAPSULE fenofibrate micronized oral capsule 130 mg, 200 mg, 43 mg fenofibrate micronized oral capsule 134 mg fenofibrate micronized oral capsule 67 mg Questran Questran Colestid Flavored Colestid Colestid fenofibrate nanocrystallized oral tablet Tricor fenofibrate oral tablet fenofibric acid (choline) oral capsule,delayed release(dr/ec) 135 mg fenofibric acid (choline) oral capsule,delayed release(dr/ec) 45 mg Trilipix Trilipix ; DO; ; PA; PA; fenofibric acid oral tablet Fibricor PA; 28

31 fish oil concentrate oral capsule fish oil oral capsule 1,000 mg (120 mg- 180 mg), ,000 mg, mg, ,000 mg, 300 mg, 300-1,000 mg, mg, 340-1,000 mg fish oil oral capsule 360-1,200 mg fish oil oral capsule,delayed release(dr/ec) mg, 300-1,000 mg, mg, mg, 900 ( ) mg, 900-1,400 mg fish oil oral capsule,delayed release(dr/ec) 360-1,200 mg fish oil-dha-epa oral capsule gemfibrozil oral tablet GRAM-O-LECI OR TABLET,CHEWABLE inositol oral tablet lecithin oral capsule lecithin, soy oral capsule lovastatin oral tablet maxepa oral capsule Lopid niacin oral tablet Niacor omega 3-dha-epa-fish oil oral capsule omega-3 (with dpa) oral capsule omega oral capsule omega-3 fatty acids oral capsule Fish Oil Concentrate omega-3 fatty acids oral tablet,chewable omega-3 fatty acids-fish oil oral capsule 300-1,000 mg omega-3 fatty acids-fish oil oral capsule 360-1,200 mg omega-3 fatty acids-fish oil oral capsule mg omega-3 fish oil oral capsule omega-3s-dha-epa-fish oil oral capsule,delayed release(dr/ec) one-per-day omega-3 oral capsule,delayed release(dr/ec) pravastatin oral tablet prevalite oral powder Fish Oil Fish Oil Pravachol ; ; ; PA; ; ; ; 29

32 prevalite oral powder in packet salmon oil-omega-3 fatty acids oral capsule sea-omega 30 oral capsule simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg Zocor ; DO; simvastatin oral tablet 80 mg Zocor PA; super omega-3 oral capsule super twin epa-dha oral capsule THEROMEGA OR CAPSULE vitamin e oral capsule ሉፕ ዲዮሬቲክስ /LOOP DIURETICS/ bumetanide oral tablet furosemide oral solution furosemide oral tablet Lasix torsemide oral tablet Demadex ፒሲኤስኬ-9 ኢንሂቢተርስ /PCSK-9 INHIBITORS/ REPATHA PUSHTRONEX SUBCUTANEOUS WEARABLE INJECTOR REPATHA SURECLICK SUBCUTANEOUS PEN INJECTOR REPATHA SYRINGE SUBCUTANEOUS SYRINGE ፖታሺየም ስፓሪንግ ዲዩሬቲክስ /POTASSIUM SPARING DIURETICS/ amiloride oral tablet amiloride-hydrochlorothiazide oral tablet spironolactone oral tablet spironolacton-hydrochlorothiaz oral tablet triamterene-hydrochlorothiazid oral capsule triamterene-hydrochlorothiazid oral tablet ፑሉሙናሪ አርቴራል ሃይፐርቴንሽን /PULMONARY ARTERI HYPERTENSION/ Aldactone Aldactazide Maxzide-25mg LETAIRIS OR TABLET 10 MG, 5 MG ሬስርፒን እና ዴሪቫቲቭስ /RESERPINE AND DERIVATIVES/ reserpine oral tablet PA; PA; PA; PA; 30

33 ታይዚድ እና ተዛማጅ ዲዩሬቲክስ /THIAZIDE AND RELATED DIURETICS/ chlorothiazide oral tablet chlorthalidone oral tablet hydrochlorothiazide oral capsule Microzide hydrochlorothiazide oral tablet 12.5 mg hydrochlorothiazide oral tablet 25 mg, 50 mg indapamide oral tablet metolazone oral tablet ቫዞዲሌትንግ መድኅኒቶች /VASODILATING DRUGS/ ADCIRCA OR TABLET sildenafil oral tablet Revatio PA; ቫዞዲሌተርስ የሬሳ ምርመራ /VASODILATORS, CORONARY/ isosorbide dinitrate oral tablet PA isosorbide dinitrate oral tablet extended release isosorbide mononitrate oral tablet isosorbide mononitrate oral tablet extended release 24 hr nitro-bid transdermal ointment NITRO-DUR TRANSDERM PATCH 24 HOUR ISOCHRON nitroglycerin oral capsule, extended release nitroglycerin sublingual tablet nitroglycerin transdermal patch 24 hour nitro-time oral capsule, extended release የማዕከላዊ ነርቭ ሥርዓት ኤጀንቶች Nitro-Time Nitrostat Minitran PHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS mirtazapine oral tablet mirtazapine oral tablet,disintegrating ጸረ ጭንቀት መድኅኒቶች alprazolam oral tablet alprazolam oral tablet,disintegrating buspirone oral tablet Remeron Remeron SolTab Xanax 31

34 chlordiazepoxide hcl oral capsule clonazepam oral tablet clonazepam oral tablet,disintegrating clorazepate dipotassium oral tablet diazepam intensol oral concentrate diazepam oral concentrate diazepam oral solution diazepam oral tablet hydroxyzine hcl oral solution hydroxyzine hcl oral tablet hydroxyzine pamoate oral capsule lorazepam oral tablet oxazepam oral capsule ጸረ የሚጥል በሽታ carbamazepine oral capsule, er multiphase 12 hr 100 mg, 200 mg, 300 mg carbamazepine oral suspension carbamazepine oral tablet carbamazepine oral tablet extended release 12 hr carbamazepine oral tablet,chewable clonazepam oral tablet clonazepam oral tablet,disintegrating Klonopin Diazepam Intensol Valium Ativan Carbatrol Tegretol Epitol Tegretol XR Klonopin diazepam rectal kit Diastat divalproex oral capsule, delayed rel sprinkle divalproex oral tablet extended release 24 hr 250 mg, 500 mg divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg divalproex oral tablet,delayed release (dr/ec) 500 mg epitol oral tablet ethosuximide oral capsule ethosuximide oral solution felbamate oral suspension felbamate oral tablet gabapentin oral capsule 100 mg, 300 mg, 400 mg Depakote Sprinkles Depakote ER Depakote Depakote Zarontin Zarontin Felbatol Felbatol Neurontin 32

35 gabapentin oral solution Neurontin gabapentin oral tablet 600 mg, 800 mg Neurontin lamotrigine oral tablet lamotrigine oral tablet disintegrating, dose pk lamotrigine oral tablet extended release 24hr lamotrigine oral tablet, chewable dispersible lamotrigine oral tablet,disintegrating 100 mg, 200 mg, 25 mg lamotrigine oral tablet,disintegrating 50 mg levetiracetam oral solution levetiracetam oral tablet 1,000 mg, 500 mg, 750 mg Lamictal Lamictal ODT Starter (Orange) Lamictal XR Lamictal Lamictal ODT Lamictal ODT Keppra Roweepra levetiracetam oral tablet 250 mg Keppra levetiracetam oral tablet extended release 24 hr 500 mg, 750 mg oxcarbazepine oral suspension oxcarbazepine oral tablet phenobarbital oral elixir phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg phenobarbital oral tablet 32.4 mg phenytoin oral suspension phenytoin oral tablet,chewable phenytoin sodium extended oral capsule primidone oral tablet ROWEEPRA OR TABLET 1,000 MG, 500 MG, 750 MG tiagabine oral tablet topiramate oral capsule, sprinkle topiramate oral tablet valproic acid (as sodium salt) oral solution Keppra XR Trileptal Trileptal Dilantin-125 Dilantin Infatabs Phenytek Mysoline Gabitril Topamax Topamax Depakene valproic acid oral capsule Depakene zonisamide oral capsule 100 mg Zonegran zonisamide oral capsule 25 mg Zonegran zonisamide oral capsule 50 mg 33

36 አንቲማኒያ መድኅኒቶች /ANTIMANIA DRUGS/ lithium carbonate oral capsule lithium carbonate oral tablet lithium carbonate oral tablet extended release Lithobid lithium citrate oral solution አንቲማይግሪን ዝግጅቶች /ANTIMIGRAINE PREPARATIONS/ divalproex oral tablet extended release 24 hr 250 mg, 500 mg ergotamine-caffeine oral tablet isometh-dichloral-acetaminophn oral capsule migergot rectal suppository Depakote ER Cafergot Nodolor naratriptan oral tablet Amerge nodolor oral capsule sumatriptan nasal spray,non-aerosol Imitrex PA; sumatriptan succinate oral tablet Imitrex sumatriptan succinate subcutaneous cartridge 4 mg/0.5 ml, 6 mg/0.5 ml sumatriptan succinate subcutaneous pen injector 4 mg/0.5 ml, 6 mg/0.5 ml sumatriptan succinate subcutaneous solution Imitrex STATdose Kit Refill Imitrex STATdose Pen Imitrex sumatriptan succinate subcutaneous syringe አንቲፓርኪንሰኒዝም መድኅኒቶች አንቲኮሊነርጂክ /ANTIPARKINSONISM DRUGS, ANTICHOLINERGIC/ benztropine oral tablet trihexyphenidyl oral elixir trihexyphenidyl oral tablet አንቲፓርኪንሰኒዝም መድኅኒቶች /ANTIPARKINSONISM DRUGS/ ሌሎች amantadine hcl oral capsule amantadine hcl oral solution amantadine hcl oral tablet bromocriptine oral capsule bromocriptine oral tablet carbidopa-levodopa oral tablet Parlodel Parlodel Sinemet PA; PA; PA; PA; 34

37 carbidopa-levodopa oral tablet extended release carbidopa-levodopa oral tablet,disintegrating carbidopa-levodopa-entacapone oral tablet mg carbidopa-levodopa-entacapone oral tablet mg carbidopa-levodopa-entacapone oral tablet mg carbidopa-levodopa-entacapone oral tablet mg carbidopa-levodopa-entacapone oral tablet mg carbidopa-levodopa-entacapone oral tablet mg entacapone oral tablet Sinemet CR Stalevo 50 Stalevo 75 Stalevo 100 Stalevo 125 Stalevo 150 Stalevo 200 Comtan pramipexole oral tablet Mirapex ropinirole oral tablet selegiline hcl oral capsule Requip selegiline hcl oral tablet አንቲሳይኮቲክስ አቲፒካል ዶፓሚን እና ሴርቶኒን አንታጎኒስትስ /ANTIPSYCHOTICS, ATYPIC DOPAMINE, AND SEROTONIN ANTAGONISTS/ ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING Eldepryl PA; ; PA; aripiprazole oral tablet Abilify PA; ; ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING PA; clozapine oral tablet Clozaril ; INVEGA SUSTENNA INTRAMUSCULAR SYRINGE 117 MG/0.75 ML, 156 MG/ML, 234 MG/1.5 ML, 39 MG/0.25 ML, 78 MG/0.5 ML INVEGA TRINZA INTRAMUSCULAR SYRINGE olanzapine intramuscular recon soln Zyprexa olanzapine oral tablet Zyprexa PA; ; PA; ; 35

38 paliperidone oral tablet extended release 24hr quetiapine oral tablet 100 mg, 200 mg, 25 mg, 50 mg Invega Seroquel quetiapine oral tablet 300 mg, 400 mg Seroquel RISPERD CONSTA INTRAMUSCULAR SYRINGE ; PA; ; risperidone oral solution Risperdal ; risperidone oral tablet 0.25 mg, 1 mg, 2 mg, 3 mg, 4 mg Risperdal risperidone oral tablet 0.5 mg Risperdal ziprasidone hcl oral capsule 20 mg, 40 mg, 60 mg, 80 mg ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION Geodon አንቲሳይኮቲክ የተለመደ /ANTIPSYCHOTICS, TYPIC/ chlorpromazine oral tablet fluphenazine decanoate injection solution fluphenazine hcl injection solution fluphenazine hcl oral concentrate fluphenazine hcl oral elixir fluphenazine hcl oral tablet haloperidol decanoate intramuscular solution 100 mg/ml haloperidol decanoate intramuscular solution 50 mg/ml Haldol Decanoate Haldol Decanoate haloperidol lactate injection solution Haldol haloperidol lactate oral concentrate haloperidol oral tablet loxapine succinate oral capsule perphenazine oral tablet prochlorperazine maleate oral tablet thioridazine oral tablet thiothixene oral capsule trifluoperazine oral tablet Compazine ; PA; ; PA; ; 36

39 ትኩረት ማጣት - ሃይፐርአክቲቪቲ (ኤዲኤችዲ)/ናርኮሌፕሲ /ATTENTION DEFICIT - HYPERACTIVITY (ADHD)/NARCOLEPSY/ atomoxetine oral capsule 10 mg, 100 mg, 18 mg, 25 mg, 40 mg, 60 mg, 80 mg caffeine citrate intravenous solution caffeine citrate oral solution clonidine hcl oral tablet extended release 12 hr dexmethylphenidate oral tablet 10 mg, 2.5 mg Strattera Cafcit Kapvay Focalin PA; DO; PA; ; PA; dexmethylphenidate oral tablet 5 mg Focalin PA; ; dextroamphetamine oral capsule, extended release 10 mg, 15 mg, 5 mg dextroamphetamine oral tablet 10 mg, 5 mg dextroamphetamine-amphetamine oral capsule,extended release 24hr dextroamphetamine-amphetamine oral tablet metadate er oral tablet extended release methylphenidate hcl oral capsule, er biphasic mg, 20 mg, 30 mg, 40 mg, 50 mg, 60 mg methylphenidate hcl oral capsule,er biphasic mg, 30 mg, 40 mg methylphenidate hcl oral capsule,er biphasic mg Dexedrine Spansule Zenzedi Adderall XR Adderall Ritalin LA PA; ; PA; ; PA; ; PA; PA; ; PA; ; PA; ; PA; methylphenidate hcl oral solution Methylin PA; methylphenidate hcl oral tablet Ritalin PA; methylphenidate hcl oral tablet extended release 10 mg methylphenidate hcl oral tablet extended release 20 mg methylphenidate hcl oral tablet extended release 24hr 18 mg, 27 mg, 36 mg, 54 mg ቤንዞዲያዜፒንስ /BENZODIAZEPINES/ amitriptyline-chlordiazepoxide oral tablet diazepam intensol oral concentrate diazepam oral concentrate diazepam oral solution Metadate ER Concerta Diazepam Intensol PA; PA; ; PA; ; 37

40 diazepam oral tablet Valium diazepam rectal kit Diastat lorazepam oral tablet ማኦ ኢንሂቢቶርስ /MAO INHIBITORS/ phenelzine oral tablet tranylcypromine oral tablet Ativan Nardil Parnate ኖሬፒንፌሪን እና ዶፓሚን ሪአፕቴክ ኢንሂቢቶርስ (ኤንድሪስ) /NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIBITORS (NDRIS)/ bupropion hcl oral tablet bupropion hcl oral tablet extended release 12 hr bupropion hcl oral tablet extended release 24 hr ሴዳቲቭ-ሃይፕኖቲክ - አንቲስሚንስ /SEDATIVE- HYPNOTIC - ANTIHISTAMINES/ alka-seltzer plus allergy oral tablet Wellbutrin SR Wellbutrin XL diphenhydramine hcl oral capsule 25 mg Diphedryl ; diphenhydramine hcl oral capsule 50 mg Sleep Aid Max Str (diphenhydr) diphenhydramine hcl oral tablet Nytol ; nightime sleep oral capsule nighttime sleep aid (diphen) oral capsule nighttime sleep aid (diphen) oral tablet rest simply nighttime sleep oral tablet restfully sleep oral tablet sleep aid (diphenhydramine) oral capsule sleep aid (diphenhydramine) oral liquid sleep aid (diphenhydramine) oral tablet sleep aid (doxylamine) oral tablet sleep aid max str (diphenhydr) oral capsule sleep ii oral tablet sleep oral tablet sleep tablet (diphenhydramine) oral tablet sleep-tabs oral tablet ultra sleep (doxylamine succ) oral tablet UNISOM (DIPHENHYDRAMINE) OR LIQUID 38

41 UNISOM SLEEPGELS OR CAPSULE wal-sleep z oral liquid wal-som (diphenhydramine) oral capsule ZZZQUIL OR CAPSULE ZZZQUIL OR LIQUID ሴዳቲቭ-ሃይፕኖቲክ - በርቢቱራትስ /SEDATIVE- HYPNOTIC, BARBITURATES/ phenobarbital oral elixir phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg phenobarbital oral tablet 32.4 mg ሴዳቲቭ-ሃይፕኖቲክ - በርቢቱራትስ ያልሆነ /SEDATIVE- HYPNOTIC, NON- BARBITURATES/ estazolam oral tablet flurazepam oral capsule melatonin (with b6) oral tablet ; melatonin-pyridoxine (vit b6) oral tablet Melatonin (with B6) ; temazepam oral capsule 15 mg, 30 mg Restoril temazepam oral capsule 22.5 mg, 7.5 mg Restoril triazolam oral tablet Halcion zaleplon oral capsule Sonata zolpidem oral tablet Ambien ሴሌክቲቭ ሴርቶኒን ሪአፕቴክ ኢንሂቢተር /SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS)/ citalopram oral solution citalopram oral tablet escitalopram oxalate oral solution escitalopram oxalate oral tablet 10 mg, 20 mg, 5 mg fluoxetine oral capsule 10 mg, 20 mg, 40 mg fluoxetine oral capsule,delayed release(dr/ec) fluoxetine oral solution fluoxetine oral tablet fluvoxamine oral tablet Celexa Lexapro Prozac Prozac Weekly Sarafem paroxetine hcl oral tablet 10 mg, 20 mg Paxil paroxetine hcl oral tablet 30 mg, 40 mg Paxil 39

42 paroxetine hcl oral tablet extended release 24 hr 12.5 mg, 37.5 mg paroxetine hcl oral tablet extended release 24 hr 25 mg Paxil CR Paxil CR sertraline oral concentrate Zoloft sertraline oral tablet 100 mg Zoloft sertraline oral tablet 25 mg, 50 mg Zoloft ሴሮቶኒን-2 አንታጎኒስት ሪአፕቴክ ኢንሂበተርስ /SEROTONIN-2 ANTAGONIST REUPTAKE INHIBITORS (SARIS)/ nefazodone oral tablet trazodone oral tablet SEROTONIN-NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS) venlafaxine oral capsule,extended release 24hr 150 mg, 37.5 mg, 75 mg venlafaxine oral tablet venlafaxine oral tablet extended release 24hr TRICYCLIC ANTIDEPRESSANT/BENZODIAZEPI NE COMBINATIONS amitriptyline-chlordiazepoxide oral tablet TRICYCLIC ANTIDEPRESSANT/PHENOTHIAZIN E COMBINATIONS perphenazine-amitriptyline oral tablet TRICYCLIC ANTIDEPRESSANTS AND RELATED NON-SELECT REUPTAKE INHIBITORS amitriptyline oral tablet amoxapine oral tablet clomipramine oral capsule desipramine oral tablet doxepin oral capsule doxepin oral concentrate imipramine hcl oral tablet imipramine pamoate oral capsule maprotiline oral tablet nortriptyline oral capsule Effexor XR Anafranil Norpramin Tofranil Pamelor 40