Texas Medicaid July 2015

Transcription

1 Texas Medicaid ACELLA PHARMACE INFANATE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PNV-DHA (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE BALANCE (ORAL) PRENATAL VITAMINS ACELLA PHARMACE PRENAISSANCE NEXT-B (ORAL) PRENATAL VITAMINS ACTAVIS PHARMA CANASA (RECTAL) ULCERATIVE COLITIS AGENTS ACTAVIS PHARMA DELZICOL (ORAL) ULCERATIVE COLITIS AGENTS ACTAVIS PHARMA NAMENDA SOLUTION (ORAL) ALZHEIMER'S AGENTS ACTAVIS PHARMA NAMENDA TABLET (ORAL) ALZHEIMER'S AGENTS ACTAVIS PHARMA NAMENDA TABLET DOSE PACK (ORAL) ALZHEIMER'S AGENTS ACTAVIS PHARMA NAMENDA XR (ORAL) ALZHEIMER'S AGENTS ACTAVIS PHARMA NUVESSA (VAGINAL) ANTIBIOTICS, VAGINAL ACTIENT PHARMAC SEMPREX-D (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING AKORN INC. AZASITE (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS AKORN INC. COSOPT PF (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS AKORN INC. ZIOPTAN (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. MAXIDEX (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. ALOMIDE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. AZOPT (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. BETOPTIC S (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. CILOXAN OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. CIPRO HC (OTIC) OTIC ANTIBIOTICS ALCON LABS. CIPRODEX (OTIC) OTIC ANTIBIOTICS ALCON LABS. DUREZOL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. EMADINE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. FLAREX (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. ILEVRO (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. MOXEZA (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. NATACYN (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. NEVANAC (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. PATADAY (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. PATANOL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. PAZEO (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON LABS. SIMBRINZA (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. TOBRADEX OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALCON LABS. TOBRADEX ST (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALCON LABS. TOBREX OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. TRAVATAN Z 2.5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. TRAVATAN Z 5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON LABS. VEXOL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALCON LABS. VIGAMOX (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON LABS. TRIESENCE (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES ALIMERA SCIENCE ILUVIEN (INTRAOCULAR) OPHTHALMICS, ANTI-INFLAMMATORIES ALLEGIS PHARMAC OTOZIN (OTIC) OTIC ANTI-INFECTIVES & ANESTHETICS ALLERGAN INC. ACUVAIL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. ALOCRIL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN INC. ALPHAGAN P 0.1% (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. BLEPHAMIDE (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALLERGAN INC. BLEPHAMIDE S.O.P. (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALLERGAN INC. COMBIGAN (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. FML FORTE (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. FML S.O.P. (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. LASTACAFT (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN INC. LUMIGAN 2.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. LUMIGAN 5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. LUMIGAN 7.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN INC. OZURDEX (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. PRED MILD (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES ALLERGAN INC. PRED-G DROPS SUSP (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALLERGAN INC. PRED-G OINT. (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS ALLERGAN INC. ZYMAXID (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALMATICA PHARMA NAPRELAN (ORAL) NSAIDS AMER. REGENT SPRIX (NASAL) NSAIDS ARBOR PHARMACEU EVEKEO (ORAL) STIMULANTS AND RELATED AGENTS ARBOR PHARMACEU NYMALIZE (ORAL) CALCIUM CHANNEL BLOCKERS ARBOR PHARMACEU PEDIADERM HC (TOPICAL) STEROIDS, TOPICAL LOW ARBOR PHARMACEU PEDIADERM TA (TOPICAL) STEROIDS, TOPICAL LOW ARBOR PHARMACEU SOTYLIZE (ORAL) BETA-BLOCKERS

2 Texas Medicaid ASTELLAS PHARMA ASTAGRAF XL (ORAL) IMMUNOSUPPRESSIVES, ORAL ASTELLAS PHARMA CRESEMBA (ORAL) ANTIFUNGALS, ORAL ASTRAZENECA MOVANTIK (ORAL) IRRITABLE BOWEL SYNDROME AVION PHARMACEU FERIVA 21-7 (ORAL) IRON, ORAL AVION PHARMACEU FERIVA FA CAPSULE (ORAL) IRON, ORAL AVION PHARMACEU PRENATE AM (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE CHEWABLE (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE DHA (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE ELITE (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE ENHANCE (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE ESSENTIAL (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE MINI (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE PIXIE (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE RESTORE (ORAL) PRENATAL VITAMINS AVION PHARMACEU PRENATE STAR (ORAL) PRENATAL VITAMINS BAUSCH & LOMB ALREX (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS BAUSCH & LOMB BEPREVE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS BAUSCH & LOMB BESIVANCE (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS BAUSCH & LOMB ISTALOL (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS BAUSCH & LOMB LOTEMAX DROPS (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH & LOMB LOTEMAX GEL (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH & LOMB LOTEMAX OINTMENT (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH & LOMB PROLENSA (OPHTHALMIC) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH & LOMB RETISERT (INTRAOCULR) OPHTHALMICS, ANTI-INFLAMMATORIES BAUSCH & LOMB ZYLET (OPHTHALMIC) OPHTHALMIC ANTIBIOTIC-STEROID COMBINATIONS BAYER,PHARM DIV CIPRO SUSPENSION (ORAL) FLUOROQUINOLONES, ORAL BAYER,PHARM DIV DESONATE GEL (TOPICAL) STEROIDS, TOPICAL LOW BOCA PHARMACAL FE C (ORAL) PRENATAL VITAMINS BOEHRINGER ING. GLYXAMBI (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS BRECKENRIDGE VINATE DHA RF (ORAL) PRENATAL VITAMINS BUREL PHARMACEU RELNATE DHA (ORAL) PRENATAL VITAMINS CENTRIX PHARMAC PAIRE OB PLUS DHA (ORAL) PRENATAL VITAMINS CHIESI CARDENE SR (ORAL) CALCIUM CHANNEL BLOCKERS CHIESI ZYFLO (ORAL) LEUKOTRIENE MODIFIERS CHIESI ZYFLO CR (ORAL) LEUKOTRIENE MODIFIERS CONCORDIA PHARM ORAPRED ODT (ORAL) GLUCOCORTICOIDS, ORAL DEPOMED, INC. ZIPSOR (ORAL) NSAIDS DR.REDDY'S LAB AUGMENTIN 125 SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS ECR PHARM. DEXPAK (ORAL) GLUCOCORTICOIDS, ORAL EISAI INC. ARICEPT 23 MG (ORAL) ALZHEIMER'S AGENTS ENDO PHARM INC. NATESTO (NASAL) ANDROGENIC AGENTS ENDO PHARM INC. VOLTAREN (TOPICAL) NSAIDS EVERETT SELECT-OB (ORAL) PRENATAL VITAMINS EVERETT SELECT-OB + DHA (ORAL) PRENATAL VITAMINS EVERETT SELECT-OB TAB CHEW (ORAL) PRENATAL VITAMINS EVERETT STUART ONE OTC (ORAL) PRENATAL VITAMINS EVERETT VITAFOL NANO (ORAL) PRENATAL VITAMINS EVERETT VITAFOL TABLET (ORAL) IRON, ORAL EVERETT VITAFOL ULTRA (ORAL) PRENATAL VITAMINS EVERETT VITAFOL-OB (ORAL) PRENATAL VITAMINS EVERETT VITAFOL-OB+DHA (ORAL) PRENATAL VITAMINS EVERETT VITAFOL-ONE (ORAL) PRENATAL VITAMINS FOREST PHARMACE NAMZARIC (ORAL) ALZHEIMER'S AGENTS G.M. PHARM ACTIVE FE TABLET (ORAL) IRON, ORAL G.M. PHARM ACTIVE OB (ORAL) PRENATAL VITAMINS GALDERMA LABORA CAPEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA CLOBEX SPRAY (TOPICAL) STEROIDS, TOPICAL VERY HIGH GENENTECH, INC. CELLCEPT SUSPENSION (ORAL) IMMUNOSUPPRESSIVES, ORAL GENENTECH, INC. TAMIFLU SUSPENSION (ORAL) ANTIVIRALS, ORAL GENSAVIS PHARMA NOVAFERRUM 125 LIQUID OTC (ORAL) IRON, ORAL GENSAVIS PHARMA NOVAFERRUM 50 CAPSULE OTC (ORAL) IRON, ORAL GENSAVIS PHARMA NOVAFERRUM DROPS OTC (ORAL) IRON, ORAL GLAXOSMITHKLINE RELENZA (INHALATION) ANTIVIRALS, ORAL HAWTHORN PHARM ICAR-C PLUS (ORAL) PRENATAL VITAMINS HILL DERM DERMA-SMOOTHE-FS (TOPICAL) STEROIDS, TOPICAL LOW HILLESTAD PHARM FERRIMIN 150 TABLET OTC (ORAL) IRON, ORAL HORIZON PHARMA DUEXIS (ORAL) NSAIDS

3 Texas Medicaid HORIZON PHARMA PENNSAID PUMP (TOPICAL) NSAIDS HORIZON PHARMA RAYOS TABLET DR (ORAL) GLUCOCORTICOIDS, ORAL HORIZON PHARMA VIMOVO (ORAL) NSAIDS IMPAX PHARMACEU RYTARY (ORAL) ANTIPARKINSON'S AGENTS INNOCUTIS HOLDI SITAVIG (BUCCAL) ANTIVIRALS, ORAL IROKO PHARMACEU INDOCIN SUSPENSION (ORAL) NSAIDS IROKO PHARMACEU ZORVOLEX (ORAL) NSAIDS JHP PHARMACEUTI COLY-MYCIN S (OTIC) OTIC ANTIBIOTICS JHP PHARMACEUTI CORTISPORIN-TC (OTIC) OTIC ANTIBIOTICS LARKEN LABS OTO-END 10 (OTIC) OTIC ANTI-INFECTIVES & ANESTHETICS LARKEN LABS PINNACAINE (OTIC) OTIC ANTI-INFECTIVES & ANESTHETICS LLORENS PHARM NATALVIT (ORAL) PRENATAL VITAMINS LUPIN PHARMA SUPRAX CAPSULE (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS LUPIN PHARMA SUPRAX SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS LUPIN PHARMA SUPRAX TAB CHEW (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS MALLINCKRODT BR PENNSAID SOLUTION (TOPICAL) NSAIDS MANCHESTER PHAR CHOLBAM (ORAL) BILE SALTS MARNEL PHARM. MARNATAL-F (ORAL) PRENATAL VITAMINS MEDA PHARMACEUT DIPENTUM (ORAL) ULCERATIVE COLITIS AGENTS MEDA PHARMACEUT NATELLE ONE (ORAL) PRENATAL VITAMINS MEDA PHARMACEUT PREFERA OB (ORAL) PRENATAL VITAMINS MEDA PHARMACEUT PREFERA-OB ONE (ORAL) PRENATAL VITAMINS MEDA PHARMACEUT PREFERA-OB PLUS DHA (ORAL) PRENATAL VITAMINS MEDA PHARMACEUT ROWASA (RECTAL) ULCERATIVE COLITIS AGENTS MEDA PHARMACEUT SFROWASA (RECTAL) ULCERATIVE COLITIS AGENTS MEDECOR PHARMA TRICARE (ORAL) PRENATAL VITAMINS MEDECOR PHARMA TRICARE DHA (ORAL) PRENATAL VITAMINS MEDICIS DERM VANOS (TOPICAL) STEROIDS, TOPICAL HIGH MEDIMETRIKS PHA CLODAN KIT (TOPICAL) STEROIDS, TOPICAL VERY HIGH MEDIMETRIKS PHA SYNALAR CREAM KIT (TOPICAL) STEROIDS, TOPICAL MEDIUM MEDIMETRIKS PHA SYNALAR OINTMENT KIT (TOPICAL) STEROIDS, TOPICAL MEDIUM MEDIMETRIKS PHA SYNALAR TS KIT (TOPICAL) STEROIDS, TOPICAL MEDIUM MERCK SHARP & D AVELOX (ORAL) FLUOROQUINOLONES, ORAL MERCK SHARP & D CLARINEX SYRUP (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK SHARP & D CLARINEX-D 12 HOUR (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERZ AQUA GLYCOLIC HC (TOPICAL) STEROIDS, TOPICAL LOW MISSION PHARM. CITRANATAL 90 DHA (ORAL) PRENATAL VITAMINS MISSION PHARM. CITRANATAL ASSURE (ORAL) PRENATAL VITAMINS MISSION PHARM. CITRANATAL B-CALM (ORAL) PRENATAL VITAMINS MISSION PHARM. CITRANATAL DHA (ORAL) PRENATAL VITAMINS MISSION PHARM. CITRANATAL HARMONY (ORAL) PRENATAL VITAMINS MISSION PHARM. CITRANATAL RX (ORAL) PRENATAL VITAMINS MISSION PHARM. FERRALET 90 DUAL-IRON TABLET (ORAL) IRON, ORAL MISSION PHARM. TEXACORT (TOPICAL) STEROIDS, TOPICAL LOW MJ NUTRITIONAL EXPECTA PRENATAL OTC (ORAL) PRENATAL VITAMINS MYLAN CLORPRES (ORAL) ANTIHYPERTENSIVES, SYMPATHOLYTICS NEPHRO-TECH NEPHRON FA TABLET (ORAL) IRON, ORAL NIVAGEN PHARMAC NIVA-PLUS (ORAL) PRENATAL VITAMINS NNODUM CORP HEMATOGEN CAPSULE (ORAL) IRON, ORAL NNODUM CORP HEMATOGEN FA CAPSULE (ORAL) IRON, ORAL NOVARTIS COSENTYX PEN INJECTER (SUBCUTANE.) CYTOKINE AND CAM ANTAGONISTS NOVARTIS COSENTYX SYRINGE (SUBCUTANE.) CYTOKINE AND CAM ANTAGONISTS NOVARTIS EXELON (TRANSDERM.) ALZHEIMER'S AGENTS NOVARTIS MYFORTIC (ORAL) IMMUNOSUPPRESSIVES, ORAL NOVARTIS ZORTRESS (ORAL) IMMUNOSUPPRESSIVES, ORAL PALMETTO PHARMA NAPROXEN SUSPENSION (ORAL) NSAIDS PERNIX THERAPEU CEDAX CAPSULE (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS PERNIX THERAPEU CEDAX SUSPENSION (ORAL) CEPHALOSPORINS AND RELATED ANTIBIOTICS PFIZER US PHARM CELEBREX (ORAL) NSAIDS PFIZER US PHARM FLECTOR (TOPICAL) NSAIDS PHARMADERM PANDEL (TOPICAL) STEROIDS, TOPICAL MEDIUM PHARMICS O-CAL FA (ORAL) PRENATAL VITAMINS PHARMICS O-CAL PRENATAL (ORAL) PRENATAL VITAMINS PLUS PHARMA,INC PRENATAL VITAMIN OTC (ORAL) PRENATAL VITAMINS PRESTIUM PHARMA LUXIQ (TOPICAL) STEROIDS, TOPICAL MEDIUM PROMIUS PHARMA CLODERM (TOPICAL) STEROIDS, TOPICAL MEDIUM PRUGEN PHARMACE BAL-CARE DHA ESSENTIAL (ORAL) PRENATAL VITAMINS

4 Texas Medicaid PRUGEN PHARMACE PR NATAL 400 (ORAL) PRENATAL VITAMINS PRUGEN PHARMACE PR NATAL 400 EC (ORAL) PRENATAL VITAMINS PRUGEN PHARMACE PR NATAL 430 (ORAL) PRENATAL VITAMINS PRUGEN PHARMACE PR NATAL 430 EC (ORAL) PRENATAL VITAMINS PURETEK CORPORA PNV OB+DHA (ORAL) PRENATAL VITAMINS PURETEK CORPORA PUREFE OB PLUS (ORAL) PRENATAL VITAMINS PURETEK CORPORA PUREFE PLUS (ORAL) PRENATAL VITAMINS RANBAXY LABORAT HALOG CREAM (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY LABORAT HALOG OINTMENT (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY LABORAT KENALOG AEROSOL (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY LABORAT ULTRAVATE X PAC CREAM (TOPICAL) STEROIDS, TOPICAL VERY HIGH RANBAXY LABORAT ULTRAVATE X PAC OINTMENT (TOPICAL) STEROIDS, TOPICAL VERY HIGH ROCHE LABS. NAPROSYN SUSPENSION (ORAL) NSAIDS ROCHE LABS. TAMIFLU CAPSULE (ORAL) ANTIVIRALS, ORAL ROXANE LABS. DEXAMETHASONE INTENSOL (ORAL) GLUCOCORTICOIDS, ORAL SALIX PHARMACEU APRISO (ORAL) ULCERATIVE COLITIS AGENTS SALIX PHARMACEU AZASAN (ORAL) IMMUNOSUPPRESSIVES, ORAL SALIX PHARMACEU GIAZO (ORAL) ULCERATIVE COLITIS AGENTS SALIX PHARMACEU UCERIS (RECTAL) ULCERATIVE COLITIS AGENTS SANCILIO & COMP PRENATA (ORAL) PRENATAL VITAMINS SANDOZ APEXICON E (TOPICAL) STEROIDS, TOPICAL VERY HIGH SANOFI-AVENTIS TOUJEO SOLOSTAR PEN (SUBCUTANE.) HYPOGLYCEMICS, INSULIN AND RELATED AGENTS SANTARUS INC. UCERIS (ORAL) ULCERATIVE COLITIS AGENTS SETON PHARMACEU SE-NATAL 19 TAB CHEW (ORAL) PRENATAL VITAMINS SETON PHARMACEU SE-NATAL 19 TABLET (ORAL) PRENATAL VITAMINS SETON PHARMACEU SE-TAN DHA (ORAL) PRENATAL VITAMINS SHIRE US INC. LIALDA (ORAL) ULCERATIVE COLITIS AGENTS SHIRE US INC. PENTASA (ORAL) ULCERATIVE COLITIS AGENTS SUCAMPO PHARMA RESCULA (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS TARO PHARM USA FLO-PRED (ORAL) GLUCOCORTICOIDS, ORAL TARO PHARM USA TOPICORT SPRAY (TOPICAL) STEROIDS, TOPICAL HIGH TEVA PHARMACEUTICALS PROAIR RESPICLICK (INHALATION) BRONCHODILATORS, BETA AGONIST TRIGEN LABORATO COMPLETE NATAL DHA (ORAL) PRENATAL VITAMINS TRIGEN LABORATO COMPLETENATE (ORAL) PRENATAL VITAMINS TRIGEN LABORATO CORVITA 150 TABLET (ORAL) IRON, ORAL TRIGEN LABORATO ELITE-OB (ORAL) PRENATAL VITAMINS TRIGEN LABORATO FERRAPLUS 90 TABLET (ORAL) IRON, ORAL TRIGEN LABORATO FOLIVANE-F CAPSULE (ORAL) IRON, ORAL TRIGEN LABORATO FOLIVANE-OB (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TARON FORTE CAPSULE (ORAL) IRON, ORAL TRIGEN LABORATO TARON-BC (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TARON-C DHA (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TARON-PREX PRENATAL (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TL FOLATE (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TL-HEM 150 TABLET ER 24H (ORAL) IRON, ORAL TRIGEN LABORATO TRINATAL GT (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TRIVEEN-DUO DHA (ORAL) PRENATAL VITAMINS TRIGEN LABORATO TRIVEEN-PRX RNF (ORAL) PRENATAL VITAMINS TRIGEN LABORATO ULTIMATECARE ONE NF (ORAL) PRENATAL VITAMINS TRIGEN LABORATO VOL-NATE (ORAL) PRENATAL VITAMINS TRIGEN LABORATO VOL-TAB RX (ORAL) PRENATAL VITAMINS TRIGEN LABORATO ZATEAN-CH (ORAL) PRENATAL VITAMINS TRIGEN LABORATO ZATEAN-PN DHA (ORAL) PRENATAL VITAMINS UCB PHARMA XYZAL SOLUTION (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING US PHARMACEUTIC CONCEPT DHA (ORAL) PRENATAL VITAMINS US PHARMACEUTIC CONCEPT OB (ORAL) PRENATAL VITAMINS US PHARMACEUTIC FUSION OTC (ORAL) IRON, ORAL US PHARMACEUTIC FUSION PLUS CAPSULE (ORAL) IRON, ORAL US PHARMACEUTIC HEMOCYTE PLUS CAPSULE (ORAL) IRON, ORAL US PHARMACEUTIC HEMOCYTE-F TABLET (ORAL) IRON, ORAL US PHARMACEUTIC INTEGRA CAPSULE OTC (ORAL) IRON, ORAL US PHARMACEUTIC INTEGRA F CAPSULE (ORAL) IRON, ORAL US PHARMACEUTIC INTEGRA PLUS CAPSULE (ORAL) IRON, ORAL US PHARMACEUTIC PROVIDA OB (ORAL) PRENATAL VITAMINS US PHARMACEUTIC TANDEM DUAL ACTION CAPSULE OTC (ORAL) IRON, ORAL US PHARMACEUTIC TANDEM PLUS CAPSULE (ORAL) IRON, ORAL VERTICAL PHARM CORVITE 150 TABLET (ORAL) IRON, ORAL

5 Texas Medicaid VERTICAL PHARM CORVITE FE TABLET (ORAL) IRON, ORAL VERTICAL PHARM LORZONE (ORAL) SKELETAL MUSCLE RELAXANTS VERTICAL PHARM NEXA PLUS (ORAL) PRENATAL VITAMINS VERTICAL PHARM OB COMPLETE ONE (ORAL) PRENATAL VITAMINS VERTICAL PHARM OB COMPLETE PETITE (ORAL) PRENATAL VITAMINS VERTICAL PHARM OB COMPLETE PREMIER (ORAL) PRENATAL VITAMINS VERTICAL PHARM OB COMPLETE TABLET (ORAL) PRENATAL VITAMINS VERTICAL PHARM OB COMPLETE WITH DHA (ORAL) PRENATAL VITAMINS VIRTUS PHARMACE PNV-VP-U (ORAL) PRENATAL VITAMINS VIRTUS PHARMACE PREPLUS (ORAL) PRENATAL VITAMINS VIRTUS PHARMACE VIRT-BAL DHA (ORAL) PRENATAL VITAMINS VIRTUS PHARMACE VP CH ULTRA (ORAL) PRENATAL VITAMINS VIRTUS PHARMACE VP-PNV-DHA (ORAL) PRENATAL VITAMINS WATSON PHARMA CORDRAN TAPE (TOPICAL) STEROIDS, TOPICAL MEDIUM WATSON PHARMA PREQUE 10 (ORAL) PRENATAL VITAMINS WC PROF PRODS ASACOL HD (ORAL) ULCERATIVE COLITIS AGENTS WEST-WARD,INC. CORTISONE (ORAL) GLUCOCORTICOIDS, ORAL WH NUTRITIONALS HEMENATAL OB (ORAL) PRENATAL VITAMINS WH NUTRITIONALS HEMENATAL OB + DHA (ORAL) PRENATAL VITAMINS WOMEN'S CHOICE IROSPAN TABLET (ORAL) IRON, ORAL WOMEN'S CHOICE NESTABS (ORAL) PRENATAL VITAMINS WOMEN'S CHOICE NESTABS ABC (ORAL) PRENATAL VITAMINS WOMEN'S CHOICE NESTABS DHA (ORAL) PRENATAL VITAMINS WYETH PHARM CENTRUM SPECIALIST PRENATAL OTC (ORALPRENATAL VITAMINS WYETH PHARM PHOSPHOLINE IODIDE (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS WYETH PHARM RAPAMUNE SOLUTION (ORAL) IMMUNOSUPPRESSIVES, ORAL WYETH PHARM RAPAMUNE TABLET (ORAL) IMMUNOSUPPRESSIVES, ORAL XSPIRE PHARMA NALFON (ORAL) NSAIDS ZYLERA MILLIPRED DP TAB DS PK (ORAL) GLUCOCORTICOIDS, ORAL ZYLERA MILLIPRED SOLUTION (ORAL) GLUCOCORTICOIDS, ORAL ZYLERA MILLIPRED TABLET (ORAL) GLUCOCORTICOIDS, ORAL ZYLERA VERIPRED 20 (ORAL) GLUCOCORTICOIDS, ORAL