Formulary Drug List. For Federal Employee Health Benefits Program Employees

Transcription

1 Formulary Drug List For Federal Employee Health Benefits Program Employees MMPDF7 Lists Updated 0/206 GlobalHealth, Inc. 70 NE 0th Street, Suite 00 Oklahoma City, OK

2 HELPFUL NUMBERS Plan Issuer: GlobalHealth, Inc. PO Box 29 Oklahoma City, OK GlobalHealth Customer Care, Language Assistance, and Disease Management: (toll-free) 7 (TTY) Monday Friday, 9 am 5 pm Central 24/7 Nurse Help Line: Information Line (toll-free) Behavioral Health: CommercialAnswers@globalhealth.com (toll-free) 7 (TTY) Monday Friday, 9 am 5 pm Central Pharmacy Benefits Manager: Express Scripts Holding Company (toll-free) (TTY) gh.pharmacy@globalhealth.com Mail Claims to: Express Scripts Attn: Commercial Claims PO Box 47 Lexington, KY Mail Order Pharmacy: Express Scripts Customer Service Center (toll-free) (TTY) 24 hours/7 days a week *Specialty Pharmacy: Accredo Specialty Pharmacy GlobalHealth Compliance Officer: (toll-free) compliance@globalhealth.com GlobalHealth Privacy Officer: privacy@globalhealth.com Medication Prior Authorizations: *Accredo Specialty Pharmacy is not the exclusive Specialty Drug Pharmacy. You have the option to use other pharmacies. 2

3 TABLE OF CONTENTS Helpful Numbers... 2 Table of Contents... Important Information... Member Materials... Preferred Drugs... 4 Preventive Care Index... 5 Therapeutic Class Index... 6 Alphabetical Listing Index Notice about Non-discrimination... 4 IMPORTANT INFORMATION This formulary applies to members who enrolled through an employer in any of the following Plan: Federal Employees Health Benefits Program Member Materials Please read this Drug Formulary and your other member materials carefully. See your FEHB Brochure for how your plan works, including: o How to access your prescription drug benefits o Exclusions and limitations o Deductible, copayments, coinsurance, and maximum out-of-pocket o Prescription drug tiers o Diabetic supplies This Formulary Drug List for the Federal Employees Health Benefits Program ( Drug Formulary ) lists drugs we cover. It explains what tier a drug is in and any restrictions for each drug. In addition to using this list, you are encouraged to ask your doctor to prescribe generic drugs whenever appropriate. See your Physician and Health Providers Directory ( Provider Directory ) for lists of physicians, facilities, and pharmacies. Member materials are available on our website. Contact Customer Care for printed copies at no charge. But, be aware that the most current Drug Formulary and Provider Directory lists are on the website. This is an important legal document. Please keep it in a safe place. When this document says we, us, or our, it means GlobalHealth, Inc. For specific questions about your coverage, please call the phone number printed on your member ID card.

4 Preferred Drugs Preferred drugs are listed in this Drug Formulary. Drugs on the list are selected based on quality (effectiveness and safety) as well as cost-effectiveness. Doctors and pharmacists have worked together to develop the formulary, which includes generics and brand name drugs that are approved by the U. S. Food and Drug Administration ( FDA ). For the Member: Generic drugs contain the same active ingredients in the same amounts as brand name products. However, they may be a different color, shape, or size. For the physician: Please prescribe preferred products and allow generic substitutions when medically appropriate. Thank you. THIS DOCUMENT LIST IS EFFECTIVE AS OF THE DATE ON THE COVER. THIS LIST IS SUBJECT TO CHANGE. You may find the most current list, including any utilization management requirements, on our website. Contact Customer Care for printed copies. Key ACA: Affordable Care Act. Those drugs and products available at no Cost-share to the Member with certain criteria because they are part of Preventive Care. Otherwise, you will pay the Cost-share for the Tier shown. DME: Durable medical equipment that may be purchased at a pharmacy. You pay the durable medical equipment cost-share shown in your FEHB Brochure. DS: Diabetic Supplies. Diabetic supplies that may be purchased at a pharmacy. You pay the diabetic supplies cost-share shown in your FEHB Brochure. : Low Cost Generic. Generic drugs available at the lowest cost. Please note the specific strengths and dosage forms; other strengths and/or dosage forms of these products would be subject to the standard generic cost-share. PA: Prior Authorization. GlobalHealth requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval before you fill your prescriptions. If you don t get approval, we may not cover the drug. QLL: Quantity Limit. For certain drugs, GlobalHealth limits the amount of the drug that we will cover. ST: Step Therapy. In some cases, GlobalHealth requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug A and Drug B both treat your medical condition, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B. 4

5 *Indicates single source brand product. **Indicates multi-source brand product. PREVENTIVE CARE INDEX These drugs are available with no cost-share to you. Drugs listed are based on the recommendations of the U.S. Preventive Services Task Force ( USPSTF ) in conjunction with the recommendations of the Advisory Committee on Immunization Practices ( ACIP ) of the Centers for Disease Control and Prevention ( CDC ) and the Health Resources and Services Administration ( HRSA ). Recommendations, ages, and populations may vary. The following list of preventive drugs should be used as a guide. A comprehensive listing of drugs is in the Therapeutic List on page 8. Coverage of any of the listed drugs, including overthe-counter ( OTC ) drugs and products requires a prescription from a licensed healthcare provider. The availability or coverage of these drugs without cost sharing may be subject to limitations and exclusions. This list is subject to change as ACA guidelines are updated or modified. Immunizations Covered immunizations include those that are routine vaccines recommended by ACIP and that meet the FDA approved indications for age and/or gender limitations. Coverage also includes non-routine immunizations as designated by the ACIP. Contraceptive Methods Preferred Product Offering: Covered products include OTC contraceptive methods (spermicides, female condom, sponge), barrier methods (cervical cap and diaphragm), generic hormonal contraceptives (oral, patch and injectable), Nuvaring, generic emergency contraceptives and ella, Nexplanon, and the intrauterine devices, Mirena and Paragard. Expanded Product Offering: Covered products are all contraceptive methods and include OTC contraceptive methods (spermicides, female condom, sponge, etc.), oral contraceptives (including emergency contraception), and contraceptive devices (diaphragms, cervical cap, skin patch systems, injectable contraception, vaginal ring, intrauterine systems, and implants). In this product offering, brand name contraceptives that have a generic equivalent are available at a zero costshare only when the prescriber indicates that the brand product must be dispensed. Drug Name Aspirin products ASPIRIN 8 MG and 25 MG Bowel preps (limit of 2 prescriptions per year) BISACODYL MAGNESIUM CITRATE MILK OF MAGNESIA PEG 50-ELECTROLYTE Drug Name Fluoride products FLUORIDE CHEWABLE TABLET 0.25 MG and 0.5 MG FLUORIDE DROPS 0.25, 0.25 MG and 0.5 MG MULTIVITAMIN W/ FLUORIDE 0.25 MG and 0.5 MG CHEWABLE, DROPS and SUSPENSION 5

6 Drug Name Folic acid products FOLIC ACID TABLET 0.4 MG and 0.8 MG PRENATAL and MULTI VITAMINS W/ FOLIC ACID (0.4 MG and 0.8 MG) Iron supplements IRON (various strengths) DROPS, LIQUID, SUSPENSION, GRANULES MULTIVITAMIN WITH IRON DROPS, LIQUID, SUSPENSION Primary prevention of breast cancer (women without a diagnosis of breast cancer who are high risk) Drug Name RALOXIFENE SOLTAMOX (LIQUID TAMOXIFEN) TAMOXIFEN Smoking cessation products ALL NICOTINE PRODUCTS (Rx and OTC; Brand and Generic) CHANTIX ZYBAN (Brand and Generic) Vitamin D supplements CALCIUM WITH VITAMIN D VITAMIN D,000 UNITS OR LESS PER DOSE UNIT THERAPEUTIC CLASS INDEX ANTI - INFECTIVES ANTIFUNGAL AGENTS ABELCET 2 AMBISOME 2 amphotericin b ANCOBON PA CANCIDAS 2 CASPOFUNGIN clotrimazole mucous membrane CRESEMBA 2 DIFLUCAN ORAL SUSPENSION FOR RECONSTITUTION DIFLUCAN ORAL TABLET 00 MG, 200 MG, 50 MG PA PA DIFLUCAN ORAL TABLET 50 MG QL ERAXIS(WATER DILUENT) 2 fluconazole in dextrose(iso-o) fluconazole in nacl (iso-osm) intravenous piggyback 200 mg/00 ml, 400 mg/200 ml fluconazole oral suspension for reconstitution fluconazole oral tablet 00 mg, 200 mg, 50 mg fluconazole oral tablet 50 mg QL flucytosine PA griseofulvin microsize griseofulvin ultramicrosize GRIS-PEG (ULTRAMICROSIZE) itraconazole QL ketoconazole oral LAMISIL ORAL TABLET PA MYCAMINE 2 NOXAFIL 2 PA nystatin oral powder 50 million unit, 500 million unit nystatin oral suspension nystatin oral tablet ONMEL PA; QL ORAVIG SPORANOX ORAL SOLUTION 2 PA; QL SPORANOX PULSEPAK QL terbinafine hcl oral VFEND PA 6

7 VFEND IV PA voriconazole PA ANTIVIRALS abacavir 4 abacavir-lamivudine 4 abacavir-lamivudine-zidovudine 4 acyclovir oral capsule acyclovir oral suspension 200 mg/5 ml acyclovir oral tablet acyclovir sodium intravenous solution adefovir amantadine hcl APTIVUS 4 ATRIPLA 4 BARACLUDE ORAL SOLUTION 2 PA BARACLUDE ORAL TABLET PA cidofovir COMBIVIR 5 COMPLERA 4 CRIXIVAN ORAL CAPSULE 200 MG, 400 MG CYTOVENE DESCOVY 4 didanosine 4 EDURANT 4 EMTRIVA 4 entecavir PA EPIVIR 5 EPIVIR HBV ORAL SOLUTION 4 EPIVIR HBV ORAL TABLET 5 EPZICOM 5 EVOTAZ 5 famciclovir QL FLUMADINE ORAL TABLET foscarnet 4 FOSCAVIR FUZEON SUBCUTANEOUS RECON SOLN GANCICLOVIR INTRAVENOUS 5 ganciclovir sodium GENVOYA 4 HARVONI 4 ST HEPSERA INTELENCE 4 INVIRASE 4 ISENTRESS 4 ISENTRESS HD 4 KALETRA ORAL SOLUTION 5 KALETRA ORAL TABLET 4 lamivudine 4 lamivudine-zidovudine 4 LEXIVA 4 lopinavir-ritonavir 4 MAVYRET 5 PA nevirapine 4 NORVIR 4 ODEFSEY 4 oseltamivir QL PREZCOBIX 5 PREZISTA ORAL SUSPENSION 4 PREZISTA ORAL TABLET 50 MG, 600 MG, 75 MG, 800 MG RAPIVAB 2 RELENZA DISKHALER 2 QL RESCRIPTOR 4 RETROVIR ORAL CAPSULE 5 RETROVIR ORAL SYRUP 5 REYATAZ ORAL CAPSULE 50 MG, 200 MG, 00 MG REYATAZ ORAL POWDER IN PACKET 4 ribavirin inhalation PA

8 rimantadine SELZENTRY 4 SITAVIG PA stavudine 4 STRIBILD 4 SUSTIVA 4 SYNAGIS 4 PA TAMIFLU ORAL CAPSULE QL TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION 2 QL TECHNIVIE 4 PA TIVICAY 4 TRIUMEQ 4 TRIZIVIR 5 CEPHALOSPORINS AVYCAZ 2 CEDAX cefaclor oral capsule cefaclor oral suspension for reconstitution 25 mg/5 ml, 250 mg/5 ml, 75 mg/5 ml cefaclor oral tablet extended release 2 hr cefadroxil oral capsule cefadroxil oral suspension for reconstitution 250 mg/5 ml, 500 mg/5 ml cefadroxil oral tablet cefazolin TRUVADA 4 TYBOST 5 valacyclovir QL VALCYTE PA valganciclovir PA VALTREX QL VEMLIDY 2 VIDEX 2 GRAM PEDIATRIC 4 CEFAZOLIN IN 0.9% SOD CHLORIDE INTRAVENOUS SYRINGE GRAM/0 ML cefazolin in dextrose (iso-os) intravenous piggyback gram/50 ml, 2 gram/50 ml CEFAZOLIN IN DEXTROSE (ISO-OS) INTRAVENOUS PIGGYBACK 2 GRAM/00 ML CEFAZOLIN IN DEXTROSE 5 % INTRAVENOUS SOLUTION VIDEX EC 5 VIEKIRA PAK 4 PA VIEKIRA XR 4 PA VIRACEPT ORAL TABLET 4 VIRAMUNE 5 VIRAMUNE XR 5 VIREAD 4 VOSEVI 5 PA ZERIT 5 ZIAGEN ORAL SOLUTION 4 ZIAGEN ORAL TABLET 5 zidovudine 4 ZOVIRAX ORAL PA CEFAZOLIN IN STERILE WATER INTRAVENOUS SYRINGE 2 GRAM/20 ML cefdinir cefditoren pivoxil cefepime CEFEPIME IN DEXTROSE 5 % cefepime in dextrose,iso-osm cefixime cefotaxime cefotetan CEFOTETAN IN DEXTROSE, ISO-OSM cefoxitin cefoxitin in dextrose, iso-osm 8

9 cefpodoxime cefprozil ceftazidime CEFTAZIDIME IN D5W 2 ceftibuten CEFTIN ORAL SUSPENSION FOR RECONSTITUTION ceftriaxone in dextrose,iso-os ceftriaxone injection recon soln gram, 0 gram, 2 gram, 250 mg, 500 mg CEFTRIAXONE INJECTION RECON SOLN 00 GRAM ceftriaxone intravenous cefuroxime axetil oral tablet cefuroxime sodium injection recon soln 750 mg cefuroxime sodium intravenous cephalexin CLAFORAN INJECTION RECON SOLN GRAM, 2 GRAM DAXBIA PA FORTAZ FORTAZ IN DEXTROSE 5 % 2 KEFLEX ORAL CAPSULE MAXIPIME SPECTRACEF ORAL TABLET 400 MG SUPRAX ORAL CAPSULE SUPRAX ORAL SUSPENSION FOR RECONSTITUTION SUPRAX ORAL TABLET,CHEWABLE TAZICEF TEFLARO 2 ZERBAXA 2 ZINACEF IN STERILE WATER ZINACEF INJECTION RECON SOLN 750 MG ZINACEF INTRAVENOUS ERYTHROMYCINS & OTHER MACROLIDES azithromycin clarithromycin DIFICID e.e.s. 400 oral tablet E.E.S. GRANULES ERYPED 200 ERYPED 400 ery-tab oral tablet,delayed release (dr/ec) 250 mg, mg ERY-TAB ORAL TABLET,DELAYED RELEASE (DR/EC) 500 MG erythrocin (as stearate) oral tablet 250 mg ERYTHROCIN INTRAVENOUS RECON SOLN 500 MG erythromycin ethylsuccinate oral suspension for reconstitution erythromycin ethylsuccinate oral tablet erythromycin oral capsule,delayed release(dr/ec) erythromycin oral tablet PCE ZITHROMAX ZITHROMAX TRI-PAK ZITHROMAX Z-PAK ZMAX MISCELLANEOUS ANTIINFECTIVES ALBENZA 2 PA ALINIA 2 amikacin injection solution,000 mg/4 ml, 500 mg/2 ml atovaquone ST atovaquone-proguanil AZACTAM AZACTAM IN DEXTROSE (ISO-OSM) 2 2 9

10 aztreonam baciim bacitracin intramuscular gentamicin in nacl (iso-osm) intravenous piggyback 00 mg/00 ml, 60 mg/50 ml, 70 mg/50 ml, 80 mg/00 ml, 80 mg/50 ml, 90 mg/00 ml BETHKIS 4 BILTRICIDE 2 CAPASTAT 2 CAYSTON 4 PA; QL chloramphenicol sod succinate chloroquine phosphate CLEOCIN HCL CLEOCIN IN 5 % DEXTROSE CLEOCIN INJECTION CLEOCIN INTRAVENOUS SOLUTION 600 MG/4 ML, 900 MG/6 ML CLEOCIN PEDIATRIC CLIN SINGLE USE clindamycin hcl CLINDAMYCIN IN 0.9 % SOD CHLOR clindamycin in 5 % dextrose clindamycin palmitate hcl clindamycin pediatric clindamycin phosphate injection clindamycin phosphate intravenous solution 600 mg/4 ml, 900 mg/6 ml COARTEM 2 colistin (colistimethate na) COLY-MYCIN M PARENTERAL CYCLOSERINE DALVANCE 2 dapsone DARAPRIM 4 PA EMVERM 2 QL ethambutol FLAGYL GENTAMICIN IN NACL (ISO-OSM) INTRAVENOUS PIGGYBACK 00 MG/50 ML GENTAMICIN IN NACL (ISO-OSM) INTRAVENOUS PIGGYBACK 20 MG/00 ML gentamicin injection gentamicin sulfate (ped) (pf) gentamicin sulfate (pf) intravenous solution 00 mg/0 ml GENTAMICIN SULFATE (PF) INTRAVENOUS SOLUTION 60 MG/6 ML hydroxychloroquine imipenem-cilastatin IMPAVIDO 2 PA INVANZ 2 isoniazid ivermectin KITABIS PAK 4 LINCOCIN lincomycin linezolid intravenous linezolid oral PA linezolid-0.9% sodium chloride MALARONE MALARONE PEDIATRIC mefloquine MEPRON ST meropenem MEROPENEM-0.9% SODIUM CHLORIDE MERREM metro i.v. 2 2 metronidazole in nacl (iso-os) metronidazole oral 0

11 MYAMBUTOL ORAL TABLET 400 MG MYCOBUTIN NEBUPENT 2 QL neomycin ORBACTIV 2 paromomycin PASER PENTAM PLAQUENIL polymyxin b sulfate PRIFTIN 2 PRIMAQUINE 2 PRIMAXIN IV INTRAVENOUS RECON SOLN 500 MG pyrazinamide QUALAQUIN quinine sulfate rifabutin RIFADIN RIFAMATE rifampin RIFATER SIRTURO 2 SIVEXTRO INTRAVENOUS 2 SIVEXTRO ORAL PA STROMECTOL SYNERCID 2 TINDAMAX ORAL TABLET 500 MG tinidazole TOBI 5 PA; QL TRECATOR XIFAXAN 2 PA ZYVOX INTRAVENOUS PARENTERAL SOLUTION 200 MG/00 ML ZYVOX INTRAVENOUS PARENTERAL SOLUTION 600 MG/00 ML ZYVOX ORAL PA PENICILLINS amoxicillin oral capsule 250 mg 2 amoxicillin oral capsule 500 mg amoxicillin oral suspension for reconstitution 25 mg/5 ml, 400 mg/5 ml amoxicillin oral suspension for reconstitution 200 mg/5 ml, 250 mg/5 ml amoxicillin oral tablet 500 mg amoxicillin oral tablet 875 mg amoxicillin oral tablet,chewable 25 mg, 250 mg amoxicillin-pot clavulanate oral suspension for reconstitution amoxicillin-pot clavulanate oral tablet amoxicillin-pot clavulanate oral tablet extended release 2 hr amoxicillin-pot clavulanate oral tablet,chewable ampicillin oral capsule ampicillin sodium ampicillin-sulbactam injection ampicillin-sulbactam intravenous recon soln.5 gram AUGMENTIN ES-600 TOBI PODHALER 4 PA tobramycin in % nacl 4 PA; QL tobramycin in 0.9 % nacl intravenous piggyback 60 mg/50 ml tobramycin sulfate TOBRAMYCIN WITH NEBULIZER 5 AUGMENTIN ORAL SUSPENSION FOR RECONSTITUTION MG/5 ML AUGMENTIN ORAL SUSPENSION FOR RECONSTITUTION MG/5 ML AUGMENTIN ORAL TABLET MG, MG AUGMENTIN XR 2

12 dicloxacillin oral capsule 250 mg ciprofloxacin hcl oral tablet 500 mg dicloxacillin oral capsule 500 mg ciprofloxacin in 5 % dextrose MOXATAG nafcillin nafcillin in dextrose iso-osm oxacillin in dextrose(iso-osm) oxacillin injection oxacillin intravenous recon soln 2 gram PENICILLIN G POT IN DEXTROSE 2 penicillin g procaine penicillin g sodium penicillin v potassium oral recon soln 25 mg/5 ml penicillin v potassium oral recon soln 250 mg/5 ml penicillin v potassium oral tablet PIPERACILLIN-TAZOBACTAM INTRAVENOUS RECON SOLN.5 GRAM piperacillin-tazobactam intravenous recon soln 2.25 gram,.75 gram, 4.5 gram, 40.5 gram UNASYN INJECTION ZOSYN ZOSYN IN DEXTROSE (ISO-OSM) 2 QUINOLONES AVELOX AVELOX IN NACL (ISO-OSMOTIC) 2 CIPRO IN D5W INTRAVENOUS PIGGYBACK 400 MG/200 ML CIPRO ORAL SUSPENSION,MICROCAPSULE RECON CIPRO ORAL TABLET 250 MG, 500 MG CIPRO XR ciprofloxacin ciprofloxacin (mixture) ciprofloxacin hcl oral tablet 00 mg, 250 mg, 750 mg ciprofloxacin lactate FACTIVE QL LEVAQUIN ORAL TABLET levofloxacin in d5w levofloxacin intravenous levofloxacin oral moxifloxacin oral ofloxacin oral tablet 00 mg, 400 mg SULFA'S & RELATED AGENTS BACTRIM BACTRIM DS sulfadiazine sulfamethoxazole-trimethoprim intravenous sulfamethoxazole-trimethoprim oral suspension sulfamethoxazole-trimethoprim oral tablet mg sulfamethoxazole-trimethoprim oral tablet mg sulfatrim TETRACYCLINES ACTICLATE PA avidoxy AVIDOXY DK PA BENZODOX 0 BENZODOX 60 demeclocycline DORYX MPC PA DORYX ORAL TABLET,DELAYED RELEASE (DR/EC) 200 MG, 50 MG doxy-00 doxycycline hyclate oral capsule doxycycline hyclate oral tablet PA 2

13 doxycycline hyclate oral tablet,delayed release (dr/ec) doxycycline monohydrate oral capsule doxycycline monohydrate oral suspension for reconstitution doxycycline monohydrate oral tablet MINOCIN INTRAVENOUS 2 PA; ST MINOCIN ORAL PA minocycline oral capsule minocycline oral tablet minocycline oral tablet extended release 24 hr mondoxyne nl PA; ST MONODOX PA MORGIDOX X 50 PA MORGIDOX 2X00 PA morgidox oral capsule 00 mg ORACEA 2 PA SOLODYN ORAL TABLET EXTENDED RELEASE 24 HR 05 MG, 5 MG, 55 MG, 65 MG, 80 MG 2 PA TARGADOX PA tetracycline VIBRAMYCIN ORAL CAPSULE 00 MG PA VIBRAMYCIN ORAL SUSPENSION FOR RECONSTITUTION VIBRAMYCIN ORAL SYRUP URINARY TRACT AGENTS FURADANTIN HIPREX MACROBID MACRODANTIN methenamine hippurate methenamine mandelate MONUROL nitrofurantoin nitrofurantoin macrocrystal nitrofurantoin monohyd/m-cryst PRIMSOL trimethoprim VANCOMYCIN VANCOCIN PA VANCOMYCIN IN DEXTROSE 5 % INTRAVENOUS PIGGYBACK VANCOMYCIN IN DEXTROSE 5 % INTRAVENOUS SOLUTION GRAM/00 ML, GRAM/250 ML,.25 GRAM/250 ML VANCOMYCIN INJECTION vancomycin intravenous vancomycin oral capsule PA VIBATIV INTRAVENOUS RECON SOLN 750 MG ANTINEOPLASTIC & IMMUNOSUPPRESSANT DRUGS ADJUNCTIVE AGENTS amifostine crystalline 4 dexrazoxane hcl 4 ELITEK 4 ETHYOL 5 leucovorin calcium oral mesna 4 MESNEX INTRAVENOUS 5 MESNEX ORAL 2 TOTECT INTRAVENOUS RECON SOLN 500 MG VISTOGARD 4 VORAXAZE 2 XGEVA 4 PA ZINECARD (AS HCL) 5 ANTINEOPLASTIC & IMMUNOSUPPRESSANT DRUGS adriamycin intravenous solution

14 adrucil 4 AFINITOR 4 PA AFINITOR DISPERZ 4 PA ALECENSA 4 PA ALIMTA 4 ALKERAN INTRAVENOUS 5 ALKERAN ORAL ALUNBRIG 5 PA anastrozole ARIMIDEX AROMASIN ASTAGRAF XL 5 PA AZASAN 4 azathioprine 4 BAVENCIO 4 PA BESPONSA 5 bexarotene bicalutamide BICNU 4 bleo 5k bleomycin 4 BOSULIF 4 CABOMETYX 5 PA capecitabine 4 PA CAPRELSA 4 PA carboplatin intravenous solution 4 CASODEX CELLCEPT 5 cisplatin 4 cladribine 4 clofarabine CLOLAR 4 COMETRIQ 5 PA COSMEGEN 5 COTELLIC 4 PA cyclophosphamide intravenous 4 CYCLOPHOSPHAMIDE ORAL CAPSULE 2 cyclosporine modified 4 cyclosporine oral capsule 4 cytarabine 4 cytarabine (pf) injection solution 4 dacarbazine 4 daunorubicin 4 DOCEFREZ 4 docetaxel intravenous solution 60 mg/6 ml (0 mg/ml), 60 mg/8 ml (20 mg/ml), 20 mg/2 ml (0 mg/ml), 20 mg/ml ( ml), 80 mg/4 ml (20 mg/ml), 80 mg/8 ml (0 mg/ml) DOCETAXEL INTRAVENOUS SOLUTION 20 MG/ML DOXIL 5 doxorubicin 4 doxorubicin, peg-liposomal DROXIA 2 ELIGARD 4 PA ELIGARD ( MONTH) 4 PA; QL ELIGARD (4 MONTH) 4 PA ELIGARD (6 MONTH) 4 PA ELLENCE 5 EMCYT 2 EMPLICITI 5 ENVARSUS XR 5 PA epirubicin intravenous recon soln 200 mg epirubicin intravenous solution 4 ERIVEDGE 4 ERWINAZE 5 ETOPOPHOS 4 etoposide intravenous 4 etoposide oral EVOMELA

15 exemestane FARESTON 2 FARYDAK 5 PA FASLODEX 4 FEMARA FIRMAGON KIT W DILUENT SYRINGE 4 floxuridine 4 fludarabine 4 fluorouracil intravenous 4 flutamide gemcitabine 4 GEMZAR 5 gengraf 4 GILOTRIF 4 GLEEVEC 5 PA GLEOSTINE 2 PA GLIADEL WAFER HEXALEN 2 HYCAMTIN ORAL 4 HYDREA hydroxyurea IBRANCE 4 PA IODOPEN 2 IRESSA 4 PA JAKAFI 4 KISQALI 5 PA KISQALI FEMARA CO-PACK 5 PA LENVIMA 4 PA letrozole LEUKERAN 2 leuprolide subcutaneous kit 4 PA lipodox 4 LONSURF 4 PA LUPRON DEPOT 4 PA LUPRON DEPOT ( MONTH) 4 PA; QL LUPRON DEPOT (4 MONTH) 4 PA LUPRON DEPOT (6 MONTH) 4 PA LUPRON DEPOT-PED 4 PA LUPRON DEPOT-PED ( MONTH) 4 PA; QL LYNPARZA ORAL CAPSULE 4 LYNPARZA ORAL TABLET 5 LYSODREN 2 MATULANE 4 MEGACE ES PA ICLUSIG 4 IDAMYCIN PFS 5 idarubicin 4 IDHIFA 5 PA IFEX 5 ifosfamide 4 ifosfamide-mesna 4 imatinib 4 PA IMBRUVICA 4 PA IMFINZI 5 IMLYGIC 5 IMURAN 5 INLYTA 4 PA megestrol oral suspension 400 mg/0 ml (40 mg/ml), 625 mg/5 ml megestrol oral tablet MEKINIST 4 melphalan melphalan hcl 4 mercaptopurine methotrexate sodium (pf) 4 methotrexate sodium injection 4 methotrexate sodium oral mitomycin 4 MUSTARGEN 4 mycophenolate mofetil 4 mycophenolate sodium 4 PA 5

16 MYFORTIC 5 PA MYLERAN 2 NAVELBINE 5 NEORAL 5 PA NERLYNX 5 PA NEXAVAR 4 PA NILANDRON PA nilutamide PA NINLARO 4 PA NIPENT 5 octreotide acetate 4 PA ODOMZO 5 PA ONCASPAR 4 oxaliplatin 4 paclitaxel 4 PHOTOFRIN 4 PORTRAZZA 5 PROGRAF ORAL 5 PA PURIXAN 4 RAPAMUNE ORAL SOLUTION 4 PA RAPAMUNE ORAL TABLET 5 PA RITUXAN HYCELA 4 PA RUBRACA 4 PA RYDAPT 4 PA SANDIMMUNE ORAL CAPSULE 5 PA SANDIMMUNE ORAL SOLUTION 4 PA SANDOSTATIN 5 PA SANDOSTATIN LAR DEPOT INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON SIGNIFOR 4 sirolimus 4 4 PA SOLTAMOX ACA SOMATULINE DEPOT 4 SPRYCEL 4 PA STIVARGA 4 PA SUTENT 4 PA SYNRIBO 4 TABLOID 2 PA tacrolimus oral 4 TAFINLAR 4 TAGRISSO 4 PA tamoxifen ACA TARCEVA 4 PA TARGRETIN ORAL TARGRETIN TOPICAL 2 TASIGNA 4 PA TAXOTERE INTRAVENOUS SOLUTION 20 MG/ML ( ML), 80 MG/4 ML (20 MG/ML) TEMODAR ORAL 5 PA temozolomide 4 PA TENIPOSIDE 2 TEPADINA THALOMID 4 PA thiotepa 4 toposar 4 tretinoin (chemotherapy) TREXALL 2 TRISENOX 4 TYKERB 4 PA VENCLEXTA ORAL TABLET 00 MG 4 PA vinblastine intravenous solution 4 vincasar pfs 4 vincristine 4 vinorelbine 4 VOTRIENT 4 PA VYXEOS 5 XALKORI 4 XATMEP PA XELODA 5 PA XERMELO 4 PA 5 6

17 XTANDI 4 PA ZANOSAR 4 ZEJULA 4 PA ZELBORAF 4 ZEVALIN (Y-90) 4 ZOLADEX SUBCUTANEOUS IMPLANT 0.8 MG ZOLADEX SUBCUTANEOUS IMPLANT.6 MG ZOLINZA 4 4 PA; QL 4 PA ZORTRESS 4 PA ZYDELIG 4 ZYKADIA 4 DEPAKOTE ER PA DEPAKOTE SPRINKLES PA DIASTAT DIASTAT ACUDIAL diazepam rectal DILANTIN 2 DILANTIN EXTENDED DILANTIN INFATABS DILANTIN-25 divalproex oral capsule, delayed rel sprinkle divalproex oral tablet extended release 24 hr ZYTIGA 4 PA AUTONOMIC & CNS DRUGS, NEUROLOGY & PSYCH ANTICONVULSANTS ACTIVE-PAC APTIOM PA BANZEL 2 PA BRIVIACT ORAL PA carbamazepine oral capsule, er multiphase 2 hr carbamazepine oral suspension 00 mg/5 ml carbamazepine oral tablet carbamazepine oral tablet extended release 2 hr carbamazepine oral tablet,chewable CARBATROL CELONTIN ORAL CAPSULE 00 MG 2 CEREBYX clonazepam DEPACON DEPAKENE DEPAKOTE PA divalproex oral tablet,delayed release (dr/ec) epitol EQUETRO ethosuximide felbamate FELBATOL fosphenytoin FYCOMPA ORAL SUSPENSION 2 PA FYCOMPA ORAL TABLET 2 PA gabapentin oral capsule gabapentin oral solution 250 mg/5 ml gabapentin oral tablet 600 mg, 800 mg GABITRIL ORAL TABLET 2 MG, 6 MG 2 GABITRIL ORAL TABLET 2 MG, 4 MG GRALISE 2 PA GRALISE 0-DAY STARTER PACK 2 PA KEPPRA PA KEPPRA XR PA KLONOPIN LAMICTAL ODT PA LAMICTAL ODT STARTER (BLUE) PA LAMICTAL ODT STARTER (GREEN) PA 7

18 LAMICTAL ODT STARTER (ORANGE) PA LAMICTAL ORAL TABLET PA LAMICTAL ORAL TABLET, CHEWABLE DISPERSIBLE 25 MG, 5 MG PA LAMICTAL STARTER (BLUE) KIT PA LAMICTAL STARTER (GREEN) KIT PA LAMICTAL STARTER (ORANGE) KIT PA LAMICTAL XR PA LAMICTAL XR STARTER (BLUE) 2 PA LAMICTAL XR STARTER (GREEN) 2 PA LAMICTAL XR STARTER (ORANGE) 2 PA lamotrigine oral tablet lamotrigine oral tablet disintegrating, dose pk lamotrigine oral tablet extended release 24hr lamotrigine oral tablet, chewable dispersible PA PA PA lamotrigine oral tablet,disintegrating PA roweepra PA SABRIL 4 PA SMARTRX GABAKIT SMARTRX GABA-V KIT TEGRETOL ORAL SUSPENSION TEGRETOL ORAL TABLET TEGRETOL XR tiagabine TOPAMAX PA; ST topiramate oral capsule, sprinkle 5 mg topiramate oral capsule, sprinkle 25 mg TOPIRAMATE ORAL CAPSULE,SPRINKLE,ER 24HR topiramate oral tablet PA TRILEPTAL PA TROKENDI XR PA valproate sodium valproic acid levetiracetam LYRICA ORAL CAPSULE 2 PA; QL LYRICA ORAL SOLUTION 2 MYSOLINE NEURONTIN ONFI ORAL SUSPENSION 2 PA ONFI ORAL TABLET 0 MG, 20 MG 2 PA oxcarbazepine OXTELLAR XR PA PEGANONE 2 phenobarbital PHENYTEK phenytoin oral suspension 25 mg/5 ml phenytoin oral tablet,chewable phenytoin sodium phenytoin sodium extended primidone QUDEXY XR 2 PA valproic acid (as sodium salt) oral solution 250 mg/5 ml vigabatrin PA VIMPAT INTRAVENOUS 2 VIMPAT ORAL SOLUTION 2 PA VIMPAT ORAL TABLET 2 PA ZARONTIN ZONEGRAN ORAL CAPSULE 00 MG, 25 MG zonisamide oral capsule 00 mg, 25 mg zonisamide oral capsule 50 mg ANTIPARKINSONISM AGENTS 8 ST APOKYN 4 AZILECT PA benztropine bromocriptine carbidopa carbidopa-levodopa

19 carbidopa-levodopa-entacapone COGENTIN COMTAN DUOPA 5 ELDEPRYL entacapone LODOSYN MIRAPEX MIRAPEX ER PA NEUPRO PA PARLODEL pramipexole oral tablet pramipexole oral tablet extended release 24 hr rasagiline REQUIP REQUIP XL ropinirole RYTARY selegiline hcl SINEMET SINEMET CR STALEVO 00 STALEVO 25 STALEVO 50 STALEVO 200 STALEVO 50 STALEVO 75 TASMAR ORAL TABLET 00 MG tolcapone trihexyphenidyl PA almotriptan malate QL ALSUMA QL AMERGE QL AXERT QL CAFERGOT D.H.E.45 dihydroergotamine injection dihydroergotamine nasal PA; QL eletriptan hbr QL ERGOMAR ergotamine-caffeine frovatriptan QL IMITREX QL IMITREX STATDOSE KIT REFILL QL IMITREX STATDOSE PEN QL isometh-dichloral-acetaminophn QL isomethepten-caf-acetaminophen oral tablet mg QL MAXALT QL MAXALT-MLT QL migergot MIGRANAL PA; QL MIGRANOW naratriptan QL nodolor QL ONZETRA XSAIL PA PRODRIN ORAL TABLET MG QL RELPAX QL rizatriptan QL sumatriptan QL sumatriptan succinate oral QL XADAGO PA ZELAPAR MIGRAINE & CLUSTER HEADACHE THERAPY sumatriptan succinate subcutaneous cartridge sumatriptan succinate subcutaneous pen injector sumatriptan succinate subcutaneous solution QL QL QL 9

20 sumatriptan succinate subcutaneous syringe 6 mg/0.5 ml TREXIMET ORAL TABLET 0-60 MG ST TREXIMET ORAL TABLET MG ST; QL ZEMBRACE SYMTOUCH PA zolmitriptan oral tablet QL zolmitriptan oral tablet,disintegrating QL ZOMIG NASAL SPRAY,NON-AEROSOL 2.5 MG ZOMIG NASAL SPRAY,NON-AEROSOL 5 MG 2 2 QL ZOMIG ORAL QL ZOMIG ZMT QL MISCELLANEOUS NEUROLOGICAL THERAPY AMPYRA 4 PA RAZADYNE ER RAZADYNE ORAL TABLET rivastigmine rivastigmine tartrate tetrabenazine 4 PA XENAZINE 5 PA MUSCLE RELAXANTS & ANTISPASMODIC THERAPY AMRIX ST baclofen BRIDION carisoprodol carisoprodol-asa-codeine carisoprodol-aspirin chlorzoxazone oral tablet 500 mg ARICEPT cyclobenzaprine oral tablet 0 mg AUSTEDO 5 PA donepezil EXELON TRANSDERMAL galantamine oral capsule,ext rel. pellets 24 hr galantamine oral solution galantamine oral tablet HORIZANT PA INGREZZA 5 PA KEVEYIS 5 memantine oral solution memantine oral tablet MEMANTINE ORAL TABLETS,DOSE PACK ST NAMENDA ORAL TABLET ST NAMENDA TITRATION PAK ST NAMENDA XR 2 ST NAMZARIC 2 ST NUEDEXTA 2 PA cyclobenzaprine oral tablet 5 mg, 7.5 mg DANTRIUM INTRAVENOUS DANTRIUM ORAL CAPSULE 25 MG, 50 MG dantrolene FEXMID LORZONE PA meprobamate MESTINON ORAL SYRUP 2 MESTINON ORAL TABLET MESTINON TIMESPAN metaxall ST metaxalone ST methocarbamol orphenadrine citrate PARAFON FORTE DSC pyridostigmine bromide regonol RADICAVA 4 revonto 20

21 ROBAXIN ROBAXIN-750 RYANODEX CAPITAL WITH CODEINE codeine sulfate oral tablet codeine-butalbital-asa-caff SKELAXIN PA SOMA tizanidine ZANAFLEX DEMEROL (PF) INJECTION SOLUTION 00 MG/2 ML, 25 MG/0.5 ML, 75 MG/.5 ML demerol (pf) injection solution 00 mg/ml NARCOTIC ANALGESICS acetaminophen-caff-dihydrocod oral capsule ACETAMINOPHEN-CAFF- DIHYDROCOD ORAL TABLET MG acetaminophen-codeine oral solution 20-2 mg/5 ml acetaminophen-codeine oral tablet ACTIQ ST; QL DEMEROL (PF) INJECTION SYRINGE DEMEROL INJECTION DEMEROL ORAL TABLET 00 MG DILAUDID INJECTION DILAUDID ORAL ST diskets ST DOLOPHINE ORAL ST DURAGESIC PA; ST; QL duramorph (pf) ALLZITAL ARYMO ER PA; ST ascomp with codeine aspirin-caffeine-dihydrocodein ASTRAMORPH-PF INJECTION SOLUTION 0.5 MG/ML astramorph-pf injection solution mg/ml BELBUCA PA; ST; QL BUPAP ORAL TABLET MG BUPRENEX buprenorphine hcl butalbital compound w/codeine butalbital-acetaminop-caf-cod butalbital-acetaminophen butalbital-acetaminophen-caff oral capsule butalbital-acetaminophen-caff oral tablet mg butalbital-aspirin-caffeine capacet EMBEDA ORAL CAPSULE,ORAL ONLY,EXT.REL PELL endocet oral tablet 0-25 mg, mg, 5-25 mg, mg ESGIC ST EXALGO ER ST fentanyl citrate ST; QL fentanyl citrate (pf) intravenous syringe 00 mcg/2 ml (50 mcg/ml) FENTANYL CITRATE-0.9%NACL (PF) INTRAVENOUS SOLUTION 20 MCG/ML fentanyl transdermal patch 72 hour 00 mcg/hr, 2 mcg/hr, 25 mcg/hr, 50 mcg/hr, 75 mcg/hr FENTANYL TRANSDERMAL PATCH 72 HOUR 7.5 MCG/HOUR, 62.5 MCG/HOUR, 87.5 MCG/HOUR FENTANYL-ROPIVACAINE-NACL (PF) INJECTION SOLUTION MCG/ML- % FIORICET ORAL CAPSULE FIORINAL FIORINAL-CODEINE # 2 ST; QL PA; ST; QL

22 hydrocodone-acetaminophen oral solution mg/5 ml hydromorphone oral tablet extended release 24 hr PA; ST hydrocodone-acetaminophen oral tablet 0-00 mg, 0-25 mg, mg, 5-00 mg, 5-25 mg, mg, mg hydromorphone rectal HYSINGLA ER 2 ST IBUDONE hydrocodone-ibuprofen oral tablet mg, mg, mg hydromorphone (pf) HYDROMORPHONE (PF)-0.9% NACL INTRAVENOUS SYRINGE 2 MG/0 ML (0.2 MG/ML) HYDROMORPHONE IN 0.9 % NACL INJECTION PT CONTROLLED ANALGESIA SYRING 55 MG/55 ML ( MG/ML) HYDROMORPHONE IN 0.9 % NACL INTRAVENOUS PATIENT CONTROL.ANALGESIA SOLN 5 MG/0 ML (0.5 MG/ML) HYDROMORPHONE IN 0.9 % NACL INTRAVENOUS PREFILLED PUMP RESERVOIR 00 MG/50 ML (2 MG/ML), 250 MG/250 ML ( MG/ML) hydromorphone in 0.9 % nacl intravenous pt controlled analgesia syring 5 mg/0 ml (0.5 mg/ml) HYDROMORPHONE IN 0.9 % NACL INTRAVENOUS PT CONTROLLED ANALGESIA SYRING 5 MG/25 ML (0.2 MG/ML), 6 MG/0 ML (0.2 MG/ML) HYDROMORPHONE IN 0.9 % NACL INTRAVENOUS SOLUTION 0.2 MG/ML, 2 MG/ML HYDROMORPHONE IN 0.9 % NACL INTRAVENOUS SYRINGE 0.5 MG/ML, MG/ML ( ML), 2 MG/0 ML (0.2 MG/ML) hydromorphone injection solution HYDROMORPHONE INJECTION SYRINGE 0.5 MG/0.5 ML hydromorphone injection syringe mg/ml, 2 mg/ml, 4 mg/ml hydromorphone oral liquid hydromorphone oral tablet ibuprofen-oxycodone INFUMORPH P/F 2 IONSYS KADIAN ORAL CAPSULE,EXTEND.RELEASE PELLETS 0 MG, 00 MG, 20 MG, 200 MG, 0 MG, 40 MG, 50 MG, 60 MG, 80 MG ST; QL LAZANDA 2 ST levorphanol tartrate PA lorcet (hydrocodone) lorcet hd lorcet plus oral tablet mg LORTAB ELIXIR ORAL SOLUTION 0-00 MG/5 ML marten-tab meperidine (pf) injection solution 00 mg/ml, 25 mg/ml, 50 mg/ml meperidine injection cartridge meperidine oral methadone injection solution methadone oral concentrate ST methadone oral solution ST methadone oral tablet ST methadone oral tablet,soluble ST methadose oral concentrate ST methadose oral tablet,soluble ST MORPHABOND ER PA; ST MORPHINE (PF) IN 0.9 % NACL INTRAVENOUS SOLUTION 5 MG/ML morphine (pf) in 0.9 % nacl intravenous syringe 0.5 mg/ml, 2 mg/2 ml ( mg/ml) morphine (pf) injection solution 0.5 mg/ml, mg/ml 22

23 morphine (pf) intravenous patient control.analgesia soln morphine concentrate oral solution MORPHINE IN 0.9 % NACL INTRAVENOUS PT CONTROLLED ANALGESIA SYRING 275 MG/55 ML (5 MG/ML) oxycodone oral capsule oxycodone oral concentrate oxycodone oral solution oxycodone oral tablet OXYCODONE ORAL TABLET,ORAL ONLY,EXT.REL.2 HR ST; QL MORPHINE IN 0.9 % NACL INTRAVENOUS SOLUTION 0 MG/ML oxycodone-acetaminophen oral solution morphine injection solution 5 mg/ml, 8 mg/ml morphine injection syringe 0 mg/ml, 2 mg/ml, 4 mg/ml, 5 mg/ml, 8 mg/ml oxycodone-acetaminophen oral tablet 0-25 mg, mg, 5-25 mg, mg oxycodone-aspirin MORPHINE INTRAMUSCULAR morphine intravenous cartridge 0 mg/ml, 2 mg/ml, 4 mg/ml OXYCONTIN ORAL TABLET,ORAL ONLY,EXT.REL.2 HR oxymorphone oral tablet 2 ST; QL MORPHINE INTRAVENOUS CARTRIDGE 8 MG/ML oxymorphone oral tablet extended release 2 hr ST morphine intravenous pt controlled analgesia syring PERCOCET ORAL TABLET 0-25 MG, MG, 5-25 MG, MG PA morphine intravenous solution 0 mg/ml, 00 mg/4 ml, 25 mg/ml, 250 mg/0 ml, 50 mg/ml MORPHINE INTRAVENOUS SOLUTION 4 MG/ML, 8 MG/ML MORPHINE INTRAVENOUS SYRINGE 0 MG/ML, 8 MG/ML morphine intravenous syringe 2 mg/ml, 4 mg/ml morphine oral capsule, er multiphase 24 hr morphine oral capsule,extend.release pellets morphine oral solution ST; QL ST; QL morphine oral tablet QL morphine oral tablet extended release ST; QL morphine rectal MS CONTIN ST; QL NORCO OPANA OXAYDO PA PRIMLEV ROXICODONE SYNALGOS-DC tencon oral tablet mg TREZIX ORAL CAPSULE MG TYLENOL-CODEINE # TYLENOL-CODEINE #4 VANATOL LQ verdrocet vicodin vicodin es vicodin hp XODOL 0/00 XODOL 5/00 XODOL 7.5/00 XTAMPZA ER PA; ST xylon 0 zamicet 2

24 zebutal oral capsule mg DICLOZOR ZOHYDRO ER ORAL CAPSULE, ORAL ONLY, ER 2HR NON-NARCOTIC ANALGESICS ST diflunisal DISALCID DS PREP PAK ANAPROX DS ST ARTHROTEC 50 ST ARTHROTEC 75 ST aspir-8 ACA; OTC aspirin low dose ACA; OTC aspirin oral tablet ACA; OTC aspirin oral tablet,chewable ACA; OTC aspirin oral tablet,delayed release (dr/ec) 25 mg, 8 mg ACA; OTC aspir-low ACA; OTC aspir-trin ACA; OTC bayer aspirin ACA; OTC BUNAVAIL PA buprenorphine-naloxone PA; QL butorphanol tartrate injection butorphanol tartrate nasal QL CALDOLOR INTRAVENOUS RECON SOLN 800 MG/8 ML (00 MG/ML) CAMBIA ST; QL CELEBREX PA celecoxib children's aspirin ACA; OTC choline,magnesium salicylate 2 DUEXIS ST DYLOJECT e.c. prin ACA; OTC EC-NAPROSYN ST ecotrin ACA; OTC ecotrin low strength ACA; OTC etodolac FELDENE ST FENOPROFEN ORAL CAPSULE ST fenoprofen oral tablet FENORTHO ST FLECTOR 2 ST; QL flurbiprofen FROTEK ibuprofen oral tablet 400 mg, 600 mg, 800 mg INDOCIN ORAL ST INDOCIN RECTAL indomethacin oral capsule 25 mg indomethacin oral capsule 50 mg indomethacin oral capsule, extended release INFLAMMA-K CONZIP QL ketoprofen oral capsule 50 mg DAYPRO ST DERMACINRX LEXITRAL diclofenac potassium diclofenac sodium oral diclofenac sodium topical drops PA diclofenac sodium topical gel % PA; ST diclofenac-misoprostol DICLOTRAL ketoprofen oral capsule 75 mg ketoprofen oral capsule,ext rel. pellets 24 hr 200 mg ketorolac injection cartridge 5 mg/ml ketorolac injection cartridge 0 mg/ml ketorolac injection solution 5 mg/ml, 0 mg/ml ketorolac injection solution 0 mg/ml ( ml) ST 24

25 ketorolac injection syringe ketorolac intramuscular solution ketorolac intramuscular syringe ketorolac oral QL LIDOXIB lite coat aspirin ACA; OTC LODINE ORAL TABLET ST meclofenamate mefenamic acid meloxicam oral suspension meloxicam oral tablet 5 mg meloxicam oral tablet 7.5 mg QL MOBIC ORAL TABLET 5 MG ST MOBIC ORAL TABLET 7.5 MG ST; QL nabumetone nalbuphine NALFON ORAL CAPSULE 400 MG ST naloxone naltrexone NAPRELAN CR PA; ST NAPROSYN ORAL SUSPENSION ST NAPROSYN ORAL TABLET 500 MG ST naproxen oral suspension naproxen oral tablet 250 mg naproxen oral tablet 75 mg, 500 mg naproxen oral tablet,delayed release (dr/ec) naproxen sodium oral tablet 275 mg, 550 mg naproxen sodium oral tablet, er multiphase 24 hr PA PENNSAID TOPICAL SOLUTION IN METERED-DOSE PUMP pentazocine-naloxone piroxicam ST PONSTEL ST REVIA salsalate SPRIX 5 ST; QL SUBOXONE 2 PA; QL sulindac SURE RESULT DSS PREMIUM PACK TALWIN TIVORBEX ST tolmetin TORONOVA II SUIK TORONOVA SUIK TRAMADOL ORAL CAPSULE,ER BIPHASE 24 HR 7-8 TRAMADOL ORAL CAPSULE,ER BIPHASE 24 HR QL QL tramadol oral tablet QL tramadol oral tablet extended release 24 hr tramadol oral tablet, er multiphase 24 hr QL tramadol-acetaminophen QL ULTRACET QL ULTRAM QL ULTRAM ER ORAL TABLET EXTENDED RELEASE 24 HR 00 MG QL VIMOVO ST VIVLODEX PA; ST NARCAN NASAL SPRAY,NON-AEROSOL 4 MG/ACTUATION NUCYNTA 2 QL NUCYNTA ER 2 ST NUDICLO SOLUPAK oxaprozin 2 VOLTAREN TOPICAL ST VOLTAREN-XR ST VOPAC MDS XELITRAL ZIPSOR ST 25

26 ZORVOLEX 2 ST ZUBSOLV 2 PA chlorpromazine injection chlorpromazine oral PSYCHOTHERAPEUTIC DRUGS ABILIFY ORAL TABLET PA; QL ADASUVE ADDERALL ADDERALL XR ST ADDYI PA ADZENYS XR-ODT PA; ST alprazolam alprazolam intensol AMBIEN QL AMBIEN CR QL amitriptyline amitriptyline-chlordiazepoxide amoxapine ANAFRANIL APLENZIN ST; QL APTENSIO XR ST aripiprazole oral solution PA aripiprazole oral tablet PA; QL aripiprazole oral tablet,disintegrating PA; QL armodafinil PA ATIVAN ORAL atomoxetine BELSOMRA PA BRISDELLE 2 PA bupropion hcl oral tablet bupropion hcl oral tablet extended release 2 hr bupropion hcl oral tablet extended release 24 hr buspirone BUTISOL ORAL TABLET 0 MG QL QL CELEXA ORAL TABLET QL chlordiazepoxide hcl citalopram oral solution citalopram oral tablet QL clomipramine clonidine hcl oral tablet extended release 2 hr clorazepate dipotassium clozapine oral tablet clozapine oral tablet,disintegrating 00 mg, 2.5 mg, 25 mg CLOZAPINE ORAL TABLET,DISINTEGRATING 50 MG, 200 MG CLOZARIL CONCERTA ST COTEMPLA XR-ODT ST CYMBALTA ST; QL DAYTRANA 2 ST desipramine DESOXYN DESVENLAFAXINE ST DESVENLAFAXINE FUMARATE ST desvenlafaxine succinate oral tablet extended release 24 hr 00 mg, 50 mg desvenlafaxine succinate oral tablet extended release 24 hr 25 mg 26 QL DEXEDRINE SPANSULE ST dexmethylphenidate oral capsule,er biphasic dexmethylphenidate oral tablet dextroamphetamine dextroamphetamine-amphetamine oral tablet diazepam injection diazepam intensol diazepam oral solution 5 mg/5 ml ( mg/ml)

27 diazepam oral tablet DORAL doxepin oral capsule 0 mg, 00 mg, 25 mg, 50 mg doxepin oral capsule 50 mg, 75 mg doxepin oral concentrate duloxetine oral capsule,delayed release(dr/ec) 20 mg, 0 mg duloxetine oral capsule,delayed release(dr/ec) 40 mg, 60 mg QL DYANAVEL XR PA; ST EDLUAR PA; QL EFFEXOR XR ST; QL EMSAM ergoloid escitalopram oxalate oral solution escitalopram oxalate oral tablet QL estazolam eszopiclone QL EVEKEO 2 PA FANAPT QL FAZACLO FETZIMA 2 ST flumazenil fluoxetine oral capsule 0 mg, 20 mg QL fluoxetine oral capsule 40 mg QL fluoxetine oral capsule,delayed release(dr/ec) fluoxetine oral solution QL fluoxetine oral tablet 0 mg QL fluoxetine oral tablet 20 mg FLUOXETINE ORAL TABLET 60 MG fluphenazine decanoate fluphenazine hcl flurazepam fluvoxamine oral capsule,extended release 24hr ST; QL fluvoxamine oral tablet QL FOCALIN FOCALIN XR ST FORFIVO XL ST GEODON INTRAMUSCULAR GEODON ORAL PA; QL guanfacine oral tablet extended release 24 hr guanidine HALCION ORAL TABLET 0.25 MG HALDOL HALDOL DECANOATE haloperidol decanoate haloperidol lactate haloperidol oral tablet 0.5 mg, 0 mg, 2 mg, 20 mg, 5 mg haloperidol oral tablet mg HETLIOZ 5 imipramine hcl imipramine pamoate PA INTERMEZZO PA; QL INTUNIV ER ST INVEGA PA; QL IRENKA ST KAPVAY ST KHEDEZLA ST LATUDA ORAL TABLET 20 MG, 60 MG 2 PA LATUDA ORAL TABLET 20 MG, 40 MG, 80 MG 2 PA; QL LEXAPRO ORAL TABLET PA; QL lithium carbonate lithium citrate oral solution 8 meq/5 ml LITHOBID lorazepam intensol lorazepam oral loxapine succinate 27

28 LUNESTA QL maprotiline MARPLAN oxazepam paliperidone PA; QL PAMELOR metadate er PARNATE methamphetamine METHYLIN ORAL SOLUTION paroxetine hcl oral tablet 0 mg, 20 mg QL paroxetine hcl oral tablet 0 mg, 40 mg QL methylphenidate hcl oral capsule, er biphasic 0-70 paroxetine hcl oral tablet extended release 24 hr QL methylphenidate hcl oral capsule,er biphasic mg, 0 mg, 40 mg methylphenidate hcl oral capsule,er biphasic mg methylphenidate hcl oral solution methylphenidate hcl oral tablet 0 mg, 5 mg methylphenidate hcl oral tablet 20 mg PAXIL CR QL PAXIL ORAL SUSPENSION PAXIL ORAL TABLET QL perphenazine perphenazine-amitriptyline PEXEVA QL phenelzine methylphenidate hcl oral tablet extended release methylphenidate hcl oral tablet extended release 24hr 27 mg, 6 mg, 54 mg methylphenidate hcl oral tablet,chewable mirtazapine modafinil PA; QL MYDAYIS 2 PA; ST NARDIL nefazodone NORPRAMIN ORAL TABLET 0 MG, 25 MG nortriptyline NUPLAZID 5 PA NUVIGIL PA olanzapine intramuscular olanzapine oral tablet QL olanzapine oral tablet,disintegrating PA; QL olanzapine-fluoxetine PA ORAP pimozide PRISTIQ ORAL TABLET EXTENDED RELEASE 24 HR 00 MG, 50 MG PRISTIQ ORAL TABLET EXTENDED RELEASE 24 HR 25 MG ST; QL ST procentra PA protriptyline PROVIGIL PA; QL PROZAC ORAL CAPSULE 0 MG, 40 MG PA; QL PROZAC ORAL CAPSULE 20 MG PA quazepam quetiapine oral tablet QL quetiapine oral tablet extended release 24 hr PA; QL QUILLICHEW ER 2 ST QUILLIVANT XR 2 ST REMERON REMERON SOLTAB RESTORIL REXULTI PA RISPERDAL CONSTA 2 RISPERDAL M-TAB QL 28

29 RISPERDAL ORAL SOLUTION RISPERDAL ORAL TABLET QL risperidone oral solution risperidone oral tablet QL risperidone oral tablet,disintegrating QL RITALIN RITALIN LA ORAL CAPSULE,ER BIPHASIC MG, 20 MG, 0 MG, 40 MG ST ROZEREM 2 PA; QL SAPHRIS (BLACK CHERRY) SUBLINGUAL TABLET 2.5 MG PA trimipramine TRINTELLIX ST VALIUM ST venlafaxine oral capsule,extended release 24hr venlafaxine oral tablet 00 mg, 7.5 mg, 50 mg, 75 mg QL QL venlafaxine oral tablet 25 mg QL venlafaxine oral tablet extended release 24hr VERSACLOZ QL VIIBRYD ORAL TABLET 2 QL SAPHRIS (BLACK CHERRY) SUBLINGUAL TABLET 5 MG PA; QL VIIBRYD ORAL TABLETS,DOSE PACK 0 MG (7)- 20 MG (2) 2 SARAFEM ORAL TABLET 0 MG, 20 MG QL seconal sodium SEROQUEL PA; QL SEROQUEL XR ORAL TABLET EXTENDED RELEASE 24 HR sertraline oral concentrate PA; QL sertraline oral tablet QL SILENOR PA; QL SONATA QL STRATTERA ST SURMONTIL SYMBYAX temazepam thioridazine thiothixene TOFRANIL TRANXENE T-TAB ORAL TABLET 7.5 MG tranylcypromine trazodone oral tablet 00 mg, 50 mg, 50 mg trazodone oral tablet 00 mg VRAYLAR PA VYVANSE 2 ST WELLBUTRIN SR ST; QL WELLBUTRIN XL ST; QL XANAX XANAX XR XYREM 4 zaleplon QL zenzedi oral tablet 0 mg, 5 mg ZENZEDI ORAL TABLET 5 MG, 2.5 MG, 20 MG, 0 MG, 7.5 MG ziprasidone hcl QL ZOLOFT ORAL CONCENTRATE ZOLOFT ORAL TABLET QL zolpidem oral QL zolpidem sublingual PA; QL ZOLPIMIST PA; QL ZYPREXA INTRAMUSCULAR ZYPREXA ORAL QL ZYPREXA RELPREVV ZYPREXA ZYDIS QL triazolam trifluoperazine 29

30 CARDIOVASCULAR, HYPERTENSION & LIPIDS ANTIARRHYTHMIC AGENTS amiodarone oral BETAPACE BETAPACE AF disopyramide phosphate oral capsule dofetilide flecainide mexiletine MULTAQ PA NORPACE NORPACE CR pacerone oral tablet 00 mg, 200 mg, 400 mg procainamide injection propafenone oral capsule,extended release 2 hr propafenone oral tablet quinidine gluconate quinidine sulfate oral tablet PA RYTHMOL SR PA sotalol af SOTALOL INTRAVENOUS 2 sotalol oral SOTYLIZE 2 TIKOSYN ANTIHYPERTENSIVE THERAPY ACCUPRIL ACCURETIC acebutolol ADALAT CC ST afeditab cr ALDACTAZIDE ALTACE amiloride amiloride-hydrochlorothiazide amlodipine amlodipine-benazepril amlodipine-olmesartan ST amlodipine-valsartan amlodipine-valsartan-hcthiazid ST ATACAND ATACAND HCT atenolol oral tablet 00 mg, 50 mg atenolol oral tablet 25 mg atenolol-chlorthalidone AVALIDE AVAPRO AZOR ST benazepril benazepril-hydrochlorothiazide BENICAR ST BENICAR HCT ST betaxolol oral BIDIL bisoprolol fumarate bisoprolol-hydrochlorothiazide BREVIBLOC IN NACL (ISO-OSM) BREVIBLOC INTRAVENOUS SOLUTION 00 MG/0 ML (0 MG/ML) bumetanide BYSTOLIC 2 ST BYVALSON 2 PA CALAN CALAN SR candesartan candesartan-hydrochlorothiazid captopril ALDACTONE captopril-hydrochlorothiazide 0

31 CARDENE IV CARDENE IV IN DEXTROSE CARDENE IV IN SODIUM CHLORIDE CARDIZEM CD CARDIZEM LA CARDIZEM ORAL TABLET 20 MG, 0 MG, 60 MG diltiazem hcl oral capsule,extended release 24 hr 240 mg, 420 mg diltiazem hcl oral capsule,extended release 24hr diltiazem hcl oral tablet diltiazem hcl oral tablet extended release 24 hr 80 mg, 240 mg, 00 mg, 60 mg CARDURA ST; QL CARDURA XL ST; QL cartia xt carvedilol CATAPRES CATAPRES-TTS- QL CATAPRES-TTS-2 QL CATAPRES-TTS- QL chlorothiazide chlorothiazide sodium chlorthalidone oral tablet 25 mg, 50 mg CLEVIPREX clonidine QL clonidine hcl oral tablet clorpres oral tablet 0.-5 mg, mg CLORPRES ORAL TABLET 0.-5 MG COREG COREG CR 2 CORGARD CORLOPAM CORZIDE COZAAR DEMADEX ORAL TABLET 0 MG, 20 MG DEMSER 2 DIBENZYLINE diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg diltiazem hcl oral capsule,extended release 2 hr DILTIAZEM IN DEXTROSE 5 % INTRAVENOUS SOLUTION 25 MG/25 ML ( MG/ML), 250 MG/250 ML ( MG/ML) dilt-xr DIOVAN ST DIOVAN HCT ST DIURIL DIURIL IV doxazosin QL DUTOPROL DYAZIDE DYRENIUM EDARBI 2 EDARBYCLOR 2 EDECRIN enalapril maleate enalaprilat intravenous solution enalapril-hydrochlorothiazide EPANED ORAL SOLUTION eplerenone eprosartan esmolol intravenous solution ethacrynate sodium ethacrynic acid EXFORGE ST EXFORGE HCT ST felodipine fosinopril fosinopril-hydrochlorothiazide

32 furosemide injection LOTENSIN HCT furosemide oral solution 0 mg/ml, 40 mg/5 ml (8 mg/ml) LOTENSIN ORAL TABLET 20 MG, 40 MG furosemide oral tablet guanfacine oral tablet HEMANGEOL 5 hydralazine hydrochlorothiazide oral capsule hydrochlorothiazide oral tablet 2.5 mg, 50 mg LOTREL ORAL CAPSULE 0-20 MG, 0-40 MG, 5-0 MG, 5-20 MG matzim la MAXZIDE MAXZIDE-25MG methyclothiazide methyldopa hydrochlorothiazide oral tablet 25 mg methyldopa-hydrochlorothiazide HYZAAR indapamide INDERAL LA INDERAL XL INNOPRAN XL INSPRA irbesartan irbesartan-hydrochlorothiazide isradipine labetalol intravenous solution labetalol intravenous syringe 20 mg/4 ml (5 mg/ml) labetalol oral LASIX LEVATOL lisinopril oral tablet 0 mg, 2.5 mg, 20 mg methyldopate metolazone metoprolol succinate METOPROLOL SU- HYDROCHLOROTHIAZ metoprolol ta-hydrochlorothiaz metoprolol tartrate intravenous metoprolol tartrate oral tablet 00 mg, 25 mg, 7.5 mg, 75 mg metoprolol tartrate oral tablet 50 mg MICARDIS MICARDIS HCT MICROZIDE MINIPRESS minoxidil oral moexipril moexipril-hydrochlorothiazide lisinopril oral tablet 0 mg, 40 mg, 5 mg lisinopril-hydrochlorothiazide oral tablet mg, mg lisinopril-hydrochlorothiazide oral tablet mg nadolol nadolol-bendroflumethiazide nicardipine intravenous solution PA nicardipine oral PA nifedipine LOPRESSOR HCT LOPRESSOR ORAL nimodipine nisoldipine PA losartan NORVASC ST losartan-hydrochlorothiazide NYMALIZE 2

33 olmesartan ST olmesartan-amlodipin-hcthiazid olmesartan-hydrochlorothiazide ST ORENITRAM 5 papaverine injection solution perindopril erbumine phenoxybenzamine phentolamine injection recon soln pindolol prazosin PRESTALIA ST terazosin QL TIAZAC timolol maleate oral TOPROL XL torsemide oral trandolapril trandolapril-verapamil triamterene-hydrochlorothiazid TRIBENZOR PA TWYNSTA UPTRAVI 4 PRINIVIL ORAL TABLET 0 MG, 20 MG, 5 MG PROCARDIA ST PROCARDIA XL ST propranolol propranolol-hydrochlorothiazid QBRELIS PA quinapril quinapril-hydrochlorothiazide ramipril SODIUM EDECRIN spironolactone spironolacton-hydrochlorothiaz SULAR ORAL TABLET EXTENDED RELEASE 24 HR 7 MG, 4 MG, 8.5 MG TARKA taztia xt TEKTURNA 2 TEKTURNA HCT 2 telmisartan telmisartan-amlodipine ST telmisartan-hydrochlorothiazid ST TENORETIC 00 TENORETIC 50 TENORMIN valsartan valsartan-hydrochlorothiazide VASERETIC VASOTEC verapamil VERELAN VERELAN PM ZESTORETIC ZESTRIL ZIAC CARDIAC GLYCOSIDES digitek digox digoxin injection digoxin oral solution 50 mcg/ml digoxin oral tablet LANOXIN LANOXIN PEDIATRIC 2 COAGULATION THERAPY ADVATE 4 PA AGGRENOX ST AMICAR 2 aminocaproic acid intravenous ANGIOMAX

34 ARGATROBAN IN 0.9 % SOD CHLOR 2 ARGATROBAN IN NACL (ISO-OS) 2 ARIXTRA 5 PA; QL aspirin-dipyridamole ST bivalirudin BRILINTA 2 PA cilostazol heparin, porcine (pf) injection heparin, porcine (pf) intravenous solution 00 unit/ml ( ml) heparin, porcine (pf) intravenous syringe IPRIVASK 5 jantoven oral tablet mg, 2.5 mg, mg, 4 mg, 5 mg clopidogrel COUMADIN ORAL CYKLOKAPRON dipyridamole oral DURLAZA PA EFFIENT PA ELIQUIS 2 ST enoxaparin subcutaneous solution 4 enoxaparin subcutaneous syringe 4 QL fondaparinux 4 QL FRAGMIN SUBCUTANEOUS SOLUTION 4 FRAGMIN SUBCUTANEOUS SYRINGE 4 HELIXATE FS 4 hep flush-0 (pf) heparin (porcine) in 5 % dex heparin (porcine) injection cartridge heparin (porcine) injection solution heparin (porcine) injection syringe 5,000 unit/ml heparin flush(porcine)-0.9nacl heparin lock flush heparin lock flush (porcine) intravenous solution 00 unit/ml heparin lockflush(porcine)(pf) HEPARIN(PORCINE) IN 0.45% NACL INTRAVENOUS PARENTERAL SOLUTION 2,500 UNIT/250 ML heparin(porcine) in 0.45% nacl intravenous parenteral solution 25,000 unit/250 ml, 25,000 unit/500 ml jantoven oral tablet 0 mg, 2 mg, 6 mg, 7.5 mg KCENTRA KOGENATE FS 4 KOVALTRY 4 LOVENOX SUBCUTANEOUS SOLUTION 5 LOVENOX SUBCUTANEOUS SYRINGE 5 QL MEPHYTON 2 NUWIQ INTRAVENOUS RECON SOLN 000 (+/-) UNIT, 2,000 (+/-) UNIT, 250 (+/-) UNIT, 500 (+/-) UNIT pentoxifylline PHYTONADIONE (VITAMIN K) INJECTION PLAVIX PRADAXA ORAL CAPSULE 50 MG, 75 MG PRAXBIND PA PROMACTA 4 PA protamine SAVAYSA PA ticlopidine tranexamic acid intravenous vitamin k vitamin k injection VONVENDI 4 warfarin oral tablet mg, 2.5 mg, mg, 4 mg, 5 mg warfarin oral tablet 0 mg, 2 mg, 6 mg, 7.5 mg XARELTO 2 ST

35 XYNTHA 4 PA XYNTHA SOLOFUSE 4 PA ZONTIVITY 2 PA LIPOFEN 2 LIVALO 2 ST; QL LOPID LIPID/CHOLESTEROL LOWERING AGENTS ALTOPREV ST; QL amlodipine-atorvastatin PA; QL ANTARA ORAL CAPSULE 0 MG, 90 MG PA atorvastatin QL CADUET ORAL TABLET 0-0 MG, 0-20 MG, 0-40 MG, 0-80 MG, 5-0 MG, 5-20 MG, 5-40 MG, 5-80 MG cholestyramine (with sugar) cholestyramine light COLESTID COLESTID FLAVORED ORAL PACKET colestipol PA; ST; QL CRESTOR ST; QL ezetimibe ezetimibe-simvastatin QL fenofibrate micronized fenofibrate nanocrystallized FENOFIBRATE ORAL CAPSULE fenofibrate oral tablet fenofibric acid fenofibric acid (choline) FENOGLIDE FIBRICOR FLOLIPID ST fluvastatin QL gemfibrozil JUXTAPID 4 PA KYNAMRO 5 PA LESCOL ST; QL LESCOL XL ST; QL LIPITOR ST; QL lovastatin QL LOVAZA PA niacin oral tablet extended release 24 hr NIASPAN EXTENDED-RELEASE omega- acid ethyl esters PA PRALUENT PEN 4 PA PRAVACHOL ORAL TABLET 20 MG, 40 MG, 80 MG pravastatin oral tablet 0 mg, 20 mg, 40 mg 5 ST; QL QL pravastatin oral tablet 80 mg QL prevalite QUESTRAN QUESTRAN LIGHT ORAL POWDER REPATHA PUSHTRONEX 4 PA REPATHA SURECLICK 4 PA REPATHA SYRINGE 4 PA rosuvastatin QL simvastatin oral tablet 0 mg, 20 mg, 40 mg, 5 mg QL simvastatin oral tablet 80 mg QL TRICOR TRIGLIDE ORAL TABLET 60 MG triklo PA TRILIPIX VASCEPA 2 PA VYTORIN 0-0 ST; QL VYTORIN 0-20 ST; QL VYTORIN 0-40 ST; QL VYTORIN 0-80 ST; QL WELCHOL 2 ST ZETIA ZOCOR ST; QL

36 MISCELLANEOUS CARDIOVASCULAR AGENTS CORLANOR 2 PA ENTRESTO 2 PA NATRECOR 2 NIPRIDE RTU RANEXA 2 PA VECAMYL PA NITRATES DILATRATE-SR 2 GONITRO ISOCHRON ISORDIL ISORDIL TITRADOSE ORAL TABLET 5 MG isosorbide dinitrate oral isosorbide mononitrate MINITRAN nitro-bid NITRO-DUR TRANSDERMAL PATCH 24 HOUR 0.2 MG/HR, 0. MG/HR, 0.4 MG/HR, 0.6 MG/HR, 0.8 MG/HR nitroglycerin in 5 % dextrose nitroglycerin intravenous nitroglycerin oral nitroglycerin sublingual nitroglycerin transdermal patch 24 hour nitroglycerin translingual NITROLINGUAL NITROMIST NITROSTAT nitro-time DERMATOLOGICALS/TOPICAL THERAPY ANTIPSORIATIC / ANTISEBORRHEIC acitretin ST ANALPRAM-HC TOPICAL calcipotriene scalp calcipotriene topical calcipotriene-betamethasone PA calcitrene calcitriol topical COAL TAR 2 COSENTYX 4 ST COSENTYX (2 SYRINGES) 4 ST COSENTYX PEN 4 ST COSENTYX PEN (2 PENS) 4 ST DOVONEX TOPICAL drithocreme hp ENSTILAR 2 PA EPIFOAM hydrocortisone-pramoxine topical OVACE PA OVACE PLUS PA OVACE PLUS SHAMPOO PA OVACE PLUS WASH PA PRAMOSONE PRAMOSONE E PROMISEB COMPLETE seb-prev selenium sulfide topical lotion selenium sulfide topical shampoo 2.25 % SELRX SORIATANE ORAL CAPSULE 0 MG, 7.5 MG, 25 MG SORILUX ST STELARA INTRAVENOUS 5 PA; ST STELARA SUBCUTANEOUS 4 PA; ST sulfacetamide sodium topical cleanser 6

37 sulfacetamide sodium topical cleanser, gel salicylic acid topical lotion,extended release sulfacetamide sodium topical shampoo TACLONEX TOPICAL OINTMENT PA TACLONEX TOPICAL SUSPENSION 2 PA TERSI FOAM TREMFYA 5 PA; ST VECTICAL ZITHRANOL BURN THERAPY SILVADENE silver sulfadiazine ssd thermazene KERATOLYTICS BENSAL HP TOPICAL OINTMENT % INOVA 4- INOVA 8-2 KERALYT RX KERALYT SCALP COMPLETE PODOCON PA POTASSIUM HYDROXIDE SALEX salicylic acid er-ceramides topical kit,cleanser and cream er salicylic acid topical cream salicylic acid topical cream,extended release salicylic acid topical film forming liquid w/appl salicylic acid topical film-forming soln er w/ appl salicylic acid topical foam salicylic acid topical gel salicylic acid topical liquid 26 % salicylic acid topical lotion PA salicylic acid topical shampoo SALKERA salvax SALVAX DUO PLUS ULTRASAL-ER PA VIRASAL MISCELLANEOUS DERMATOLOGICALS ALEVICYN ANTIPRURITIC ALEVICYN ANTIPRURITIC SG ALEVICYN PLUS AMELUZ PA ATOPICLAIR ATRAPRO CP ATRAPRO HYDROGEL avo cream BIAFINE EMULSION bp-50% urea CARAC 2 PA cem-urea CERAMAX CONDYLOX TOPICAL GEL 2 CORTANE-B TOPICAL diclofenac sodium topical gel % PA doxepin topical PA DUPIXENT 4 PA EFUDEX TOPICAL CREAM eletone ELIDEL 2 ST emulsion sb ENTTY EPICERAM EUCRISA PA; ST 7

38 FLUOROPLEX fluorouracil topical cream 5 % fluorouracil topical solution GORDONS UREA TOPICAL OINTMENT 40 % hpr QL hpr plus QL hpr plus hydrogel QL HPR PLUS-MB HYDROGEL QL HYDRO 5 HYDRO 40 HYLATOPIC QL HYLATOPICPLUS TOPICAL CREAM QL HYLATOPICPLUS TOPICAL FOAM QL HYLATOPICPLUS TOPICAL LOTION IODOFLEX IODOSORB KERAFOAM KERALAC LEVULAN LOUTREX luxamend mb hydrogel QL mb hydrogel (cyclomethicone) QL methoxsalen NEOSALUS nivatopic plus QL OXSORALEN ULTRA PANRETIN 5 PHLAG SPRAY PICATO 2 podofilox PRESERA prudoxin PA prumyx prutect rea lo 9 rea lo 40 topical lotion REGRANEX 2 PA; QL RYNODERM SEBUDERM silver nitrate silver nitrate applicators SOLARAZE PA sonafine sp antipruritic SYNERDERM tacrolimus topical ST TOLAK umecta topical foam URAMAXIN TOPICAL FOAM URAMAXIN TOPICAL GEL urea nail stick urea topical cream 9 %, 40 %, 45 %, 47 %, 50 % urea topical foam urea topical gel 45 % urea topical lotion 40 %, 45 % ure-k UREVAZ PA UTOPIC UVADEX 2 VALCHLOR 4 VEREGEN PA XCLAIR ZONALON PA PROMISEB PROTOPIC ST pruclair THERAPY FOR ACNE ABSORICA 2 PA 8

39 ACANYA TOPICAL GEL WITH PUMP 2 ACZONE TOPICAL GEL ST; QL ACZONE TOPICAL GEL WITH PUMP PA; QL adapalene topical cream adapalene topical gel 0. % adapalene topical gel with pump ADAPALENE TOPICAL LOTION adapalene-benzoyl peroxide ST amnesteem PA ATRALIN PA AVAR LS PA avar topical cleanser PA AVAR TOPICAL FOAM PA AVAR TOPICAL PADS, MEDICATED PA AVAR-E GREEN AVAR-E LS PA avita topical cream AVITA TOPICAL GEL AZELEX BENZACLIN BENZACLIN PUMP BENZAMYCIN BENZEFOAM BENZEFOAM ULTRA benzepro topical towelette bp 0- bpo topical gel bpo topical towelette 6 % claravis PA cleansing wash topical cleanser CLEOCIN T CLINDACIN ETZ TOPICAL KIT clindacin p CLINDACIN PAC CLINDAGEL PA clindamycin phosphate topical clindamycin-benzoyl peroxide topical gel clindamycin-benzoyl peroxide topical gel with pump clindamycin-tretinoin PA DIFFERIN TOPICAL CREAM DIFFERIN TOPICAL GEL 0. % DIFFERIN TOPICAL GEL WITH PUMP DIFFERIN TOPICAL LOTION DUAC EPIDUO FORTE 2 ST EPIDUO TOPICAL GEL WITH PUMP 2 ST ery pads erygel erythromycin with ethanol erythromycin-benzoyl peroxide EVOCLIN FABIOR PA; QL FINACEA 2 PA INOVA METROCREAM METROGEL TOPICAL GEL % METROGEL TOPICAL GEL WITH PUMP METROLOTION metronidazole topical MIRVASO 2 PA neuac NEUAC KIT NORITATE PA NUOX ONEXTON TOPICAL GEL WITH PUMP 2 PA PLEXION PLEXION CLEANSING CLOTHS RETIN-A RETIN-A MICRO ST 9

40 RETIN-A MICRO PUMP ST RHOFADE PA rosadan topical cream rosadan topical gel ROSADAN TOPICAL KIT, CLEANSER AND GEL ROSADAN TOPICAL KIT,CLEANSER AND CREAM ROSANIL ROSULA rosula cleansing cloths SOOLANTRA 2 PA sss 0-5 sulfacetamide sodium-sulfur topical cleanser sulfacetamide sodium-sulfur topical cream sulfacetamide sodium-sulfur topical lotion sulfacetamide sodium-sulfur topical pads, medicated 0-4 % sulfacetamide sodium-sulfur topical suspension sulfacetamide sod-sulfur-urea topical cleanser sulfacetamide-sulfur-cleansr2 sulfacleanse 8-4 sulfact na-sul-avobnz-otn-ocsa SUMADAN SUMADAN XLT SUMAXIN SUMAXIN CP SUMAXIN TS tazarotene PA; QL TAZORAC TOPICAL CREAM 0.05 % 2 PA; QL TAZORAC TOPICAL CREAM 0. % PA; QL TAZORAC TOPICAL GEL 2 PA; QL tretinoin microspheres ST tretinoin topical cream tretinoin topical gel 0.0 %, % tretinoin topical gel 0.05 % PA TRETIN-X CREAM KIT PA TRETIN-X TOPICAL CREAM % VANOXIDE-HC zenatane PA ZIANA PA TOPICAL ANESTHETICS ANASTIA ASTERO BUCALSEP cidaleaze ethyl chloride glydo LDO PLUS lidocaine (pf) injection solution 0 mg/ml ( %), 20 mg/ml (2 %), 5 mg/ml (0.5 %) lidocaine hcl injection solution lidocaine hcl injection syringe 0 mg/ml ( %) lidocaine hcl laryngotracheal lidocaine hcl mucous membrane jelly lidocaine hcl mucous membrane jelly in applicator lidocaine hcl mucous membrane solution 4 % (40 mg/ml) lidocaine hcl topical cream % lidocaine hcl topical lotion lidocaine hcl-hydrocortison ac topical lidocaine topical adhesive patch,medicated lidocaine viscous lidocaine-epinephrine PA lidocaine-prilocaine topical cream QL LIDOCAINE-TETRACAINE 40

41 LIDODERM PA lido-k LIDOPAC lidopin topical cream % LIDOPIN TOPICAL CREAM.25 % LIDORX LIDOTRAL LIDOVEX LIDTOPIC MAX lta pre-attached NUMBONEX PLIAGLIS SYNERA PA TRANZAREL XYLOCAINE INJECTION XYLOCAINE-EPINEPHRINE XYLOCAINE-MPF INJECTION SOLUTION 0 MG/ML ( %), 20 MG/ML (2 %), 5 MG/ML (0.5 %) ZINGO SILVRSTAT sulfacetamide sodium (acne) QL SULFAMYLON 2 VYTONE PA TOPICAL ANTIFUNGALS ALA-QUIN ciclodan CICLODAN KIT ciclopirox ciclopirox-ure-camph-menth-euc clotrimazole-betamethasone DERMACINRX THERAZOLE PAK econazole ECOZA ERTACZO EXELDERM EXODERM EXTINA JUBLIA PA TOPICAL ANTIBACTERIALS ALTABAX BACTROBAN TOPICAL CREAM CENTANY CENTANY AT CORTISPORIN TOPICAL DERMASORB AF COMPLETE KIT gentamicin topical hydrocortisone-iodoquinol-aloe PA iodoquinol-hc KLARON QL lugols topical mupirocin mupirocin calcium NEO-SYNALAR NEO-SYNALAR KIT KERYDIN PA ketoconazole topical LOPROX (AS OLAMINE) LOPROX KIT TOPICAL KIT, SUSPENSION AND CLEANSER LOPROX TOPICAL SHAMPOO LOTRISONE TOPICAL CREAM LUZU naftifine NAFTIN TOPICAL CREAM 2 % NAFTIN TOPICAL GEL NIZORAL TOPICAL SHAMPOO nyamyc nyata nystatin topical nystatin-triamcinolone 4

42 nystop oxiconazole PA OXISTAT PA PENLAC TRIACETIN 2 TRIPLE DYE VUSION XOLEGEL PA clobetasol-emollient topical foam QL CLOBEX ST CLOCORTOLONE PIVALATE clodan CLODAN KIT CLODERM CORDRAN TAPE LARGE ROLL QL CORDRAN TOPICAL CREAM PA TOPICAL ANTIVIRALS acyclovir topical QL DENAVIR PA XERESE PA ZOVIRAX TOPICAL CREAM 2 PA; QL ZOVIRAX TOPICAL OINTMENT PA; QL TOPICAL CORTICOSTEROIDS ADVANCED ALLERGY COLLECT KIT ala-cort topical cream 2.5 % ALA-SCALP alclometasone amcinonide apexicon e AQUA GLYCOLIC HC betamethasone dipropionate betamethasone valerate betamethasone, augmented CAPEX clobetasol scalp clobetasol topical cream clobetasol topical foam PA; QL clobetasol topical gel clobetasol topical lotion clobetasol topical ointment clobetasol topical shampoo clobetasol topical spray,non-aerosol clobetasol-emollient topical cream CORDRAN TOPICAL LOTION CORDRAN TOPICAL OINTMENT cormax scalp CUTIVATE TOPICAL CREAM CUTIVATE TOPICAL LOTION DERMACINRX SILAPAK DERMA-SMOOTHE/FS BODY OIL DERMA-SMOOTHE/FS SCALP OIL DERMASORB HC COMPLETE KIT DERMASORB TA COMPLETE KIT DERMATOP DERMAWERX SDS DESONATE desonide DESOWEN desoximetasone PA diflorasone DIPROLENE TOPICAL OINTMENT ELLZIA PAK ELOCON TOPICAL CREAM ELOCON TOPICAL OINTMENT fluocinolone and shower cap fluocinolone topical cream fluocinolone topical oil fluocinolone topical ointment fluocinolone topical solution fluocinonide topical cream 0.05 % 42

43 fluocinonide topical cream 0. % PA fluocinonide topical gel fluocinonide topical ointment fluocinonide topical solution fluocinonide-e fluocinonide-emollient flurandrenolide topical cream PA flurandrenolide topical lotion flurandrenolide topical ointment fluticasone topical halobetasol propionate HALOG PA hydrocortisone butyrate hydrocortisone butyr-emollient hydrocortisone topical cream 2.5 % hydrocortisone topical lotion 2.5 % hydrocortisone topical ointment 2.5 % hydrocortisone valerate hydrocortisone-min oil-wht pet KENALOG TOPICAL LOCOID PA LOCOID LIPOCREAM PA LUXIQ mometasone topical nolix NOXIPAK NUCORT PA NUTRIARX OLUX PA; ST; QL OLUX-E QL PANDEL prednicarbate PSORCON SANADERMRX scalacort SCALACORT DK SERNIVO PA SURE RESULT TAC PAK SYNALAR SYNALAR CREAM KIT SYNALAR OINTMENT KIT SYNALAR TS TEMOVATE TOPICAL CREAM ST TEMOVATE TOPICAL OINTMENT ST TEXACORT TOPICORT PA triamcinolone acetonide topical aerosol triamcinolone acetonide topical cream triamcinolone acetonide topical lotion triamcinolone acetonide topical ointment %, 0. %, 0.5 % trianex PA triderm topical cream TRIDESILON TRI-SILA ULTRAVATE TOPICAL CREAM ULTRAVATE TOPICAL LOTION PA ULTRAVATE TOPICAL OINTMENT ULTRAVATE X PA VANOS ST VERDESO WHYTEDERM TDPAK WHYTEDERM TRILASIL PAK XILAPAK TOPICAL ENZYMES SANTYL 2 TOPICAL SCABICIDES / PEDICULICIDES ELIMITE EURAX 4

44 lindane topical shampoo malathion NATROBA OVIDE permethrin topical cream SKLICE spinosad ULESFIA PA DIAGNOSTICS & MISCELLANEOUS AGENTS ANOREXIANTS ADIPEX-P BELVIQ PA BELVIQ XR PA benzphetamine CONTRAVE PA diethylpropion LOMAIRA phendimetrazine tartrate phentermine REGIMEX SAXENDA PA XENICAL PA ANTIDOTES ATROPEN INTRAMUSCULAR PEN INJECTOR 0.5 MG/0.7 ML, MG/0.7 ML, 2 MG/0.7 ML DUODOTE IRRIGATING SOLUTIONS lactated ringers irrigation neomycin-polymyxin b gu NEOSPORIN GU IRRIGANT PHYSIOLYTE PHYSIOSOL IRRIGATION ringer's irrigation SORBITOL IRRIGATION SORBITOL-MANNITOL tis-u-sol pentalyte VASHE WOUND THERAPY MISCELLANEOUS AGENTS acamprosate acetic acid irrigation ACTONEL ORAL TABLET 0 MG QL AGRYLIN alendronate oral tablet 40 mg QL AMPHADASE anagrelide ANTABUSE ARALAST NP 4 PA BUPHENYL ORAL POWDER BUPHENYL ORAL TABLET 2 caffeine citrate oral CARBAGLU 4 CARNITOR CARNITOR (SUGAR-FREE) cevimeline CHEMET 2 disulfiram etidronate disodium EVOXAC EXJADE 4 PA FERRIPROX ORAL SOLUTION 2 FERRIPROX ORAL TABLET 4 FERRLECIT GLASSIA 5 PA HYLENEX ic green indocyanine green INFASURF 44

45 JADENU 4 PA JADENU SPRINKLE 4 PA KIT PREP OF TC-99M-MEBROFENIN levocarnitine (with sugar) levocarnitine oral tablet LIPOCHOL PLUS LITHOSTAT METOPIRONE midodrine NITYR 5 NORTHERA 5 PA NUTRESTORE ORFADIN 4 PA pilocarpine hcl oral tablet 5 mg PROLASTIN-C 4 PA RADIOGARDASE RAVICTI 4 RILUTEK riluzole risedronate oral tablet 0 mg QL SALAGEN (PILOCARPINE) ORAL TABLET 5 MG SINOGRAFIN sodium chlor 0.9% bacteriostat sodium chloride 0.9 % injection solution sodium chloride 0.9 % injection syringe sodium chloride 0.9 % intravenous sodium chloride irrigation sodium ferric gluconat-sucrose sodium phenylbutyrate SURVANTA SYPRINE THIOLA 5 PA water for irrigation, sterile XURIDEN 4 PA NEUTRACEUTICALS complete premium vitamin OTC SMOKING DETERRENTS bupropion hcl (smoking deter) ACA; QL CHANTIX 2 ACA; QL CHANTIX CONTINUING MONTH BOX 2 ACA; QL CHANTIX STARTING MONTH BOX 2 ACA; QL NICODERM CQ 2 ACA; OTC; QL nicorelief ACA; OTC; QL NICORETTE BUCCAL GUM 2 MG 2 ACA; OTC; QL nicorette buccal gum 4 mg ACA; OTC; QL NICORETTE BUCCAL LOZENGE 2 ACA; OTC; QL NICORETTE BUCCAL MINI LOZENGE 2 ACA; OTC; QL nicotine (polacrilex) ACA; OTC; QL nicotine transdermal patch 24 hour 4 mg/24 hr, 7 mg/24 hr nicotine transdermal patch, td daily, sequential ACA; OTC; QL ACA; OTC; QL NICOTROL ACA; QL NICOTROL NS ACA; QL nts step ACA; OTC; QL quit 2 buccal gum ACA; OTC; QL QUIT 2 BUCCAL LOZENGE 2 ACA; OTC; QL quit 4 buccal gum ACA; OTC; QL QUIT 4 BUCCAL LOZENGE 2 ACA; OTC; QL stop smoking aid ACA; OTC; QL ZYBAN ACA; QL EAR, NOSE & THROAT MEDICATIONS MISCELLANEOUS AGENTS ALZAIR ASTEPRO NASAL SPRAY,NON- AEROSOL QL azelastine nasal QL ZEMAIRA 4 PA BACTROBAN NASAL 45

46 chlorhexidine gluconate mucous membrane DEBACTEROL EPISIL GELCLAIR GELX ipratropium bromide nasal QL MUGARD DME olopatadine nasal QL oralone ORAMAGICRX paroex oral rinse PATANASE QL PERIDEX periogard pilocarpine hcl oral tablet 7.5 mg Q-CARE RX Q4 SALAGEN (PILOCARPINE) ORAL TABLET 7.5 MG triamcinolone acetonide dental TYZINE NASAL DROPS 0. % TYZINE NASAL SPRAY,NON-AEROSOL MISCELLANEOUS OTIC PREPARATIONS acetic acid otic (ear) ciprofloxacin hcl otic (ear) DERMOTIC OIL floxin otic (ear) drops fluocinolone acetonide oil hydrocortisone-acetic acid ofloxacin otic (ear) OTIPRIO COLY-MYCIN S neomycin-polymyxin-hc otic (ear) OTOVEL 2 ENDOCRINE/DIABETES ADRENAL HORMONES ACTHAR H.P. 4 PA ARZE-JECT-A betamethasone acet,sod phos CELESTONE SOLUSPAN CORTEF cortisone CUSHINGS SYNDROME DIAGNOSTIC deltasone oral tablet 20 mg DEPO-MEDROL dexamethasone dexamethasone intensol dexamethasone sodium phos (pf) dexamethasone sodium phosphate injection DEXPAK 0 DAY DEXPAK DAY DEXPAK 6 DAY fludrocortisone hydrocortisone oral KENALOG INJECTION LIDOCIDEX-I MEDROL MEDROL (PAK) methylprednisolone methylprednisolone acetate millipred dp OTIC STEROID / ANTIBIOTIC CIPRO HC CIPRODEX 2 MILLIPRED ORAL SOLUTION millipred oral tablet ORAPRED ODT P-CARE K40 46

47 P-CARE K80 AEROVENT PLUS 2 PEDIAPRED BREATHERITE WITH MASK, SMALL DME POD-CARE 00K prednisolone oral solution 5 mg/5 ml prednisolone sodium phosphate oral solution 0 mg/5 ml, 5 mg/5 ml ( mg/ml), 20 mg/5 ml (4 mg/ml), 25 mg/5 ml (5 mg/ml), 5 mg base/5 ml (6.7 mg/5 ml) prednisolone sodium phosphate oral tablet,disintegrating prednisone prednisone intensol PRO-C-DURE 5 PRO-C-DURE 6 CLEVER CHOICE CHAMBER-SM MASK 2 COMPACT SPACE CHAMBER-LRG MASK EASIVENT HOLDING CHAMBER E-Z SPACER 2 DME DME FLEXICHAMBER 2 GLUCAGEN DIAGNOSTIC KIT 2 GLUCAGON HCL INSPIRACHAMBER WITH MASK-LARGE 2 INSULIN SYRINGE-NEEDLE U-00 SYRINGE 0.5 ML 29 GAUGE X /2" LITEAIRE MDI CHAMBER 2 DS RAYOS triamcinolone acetonide injection TRIESENCE (PF) veripred 20 MICROCHAMBER MICROSPACER OPTICHAMBER DIAMOND LG MASK POCKET CHAMBER DME DME DME DME ANTITHYROID AGENTS methimazole oral tablet 0 mg, 5 mg propylthiouracil SSKI TAPAZOLE BLOOD GLUCOSE MONITORING DEVICES & SUPPLIES EASY TOUCH TEST STRIP DS OTC; QL ONETOUCH ULTRA TEST DS OTC; QL ONETOUCH VERIO DS OTC; QL DIABETES, SUPPLIES, & DURABLE MEDICAL EQUIPMENT ACE AEROSOL CLOUD ENHANCER AEROCHAMBER MINI AEROCHAMBER PLUS FLOW-VU AEROCHAMBER PLUS Z STAT SM MSK AEROTRACH PLUS DME DME DME DME DME PRIMEAIRE PROCHAMBER RITEFLO AEROCHAMBER VORTEX HOLDING CHAMBER CHILD VORTEX VHC FROG MASK-CHILD DME DME DME DME DME VORTEX VHC LADYBUG MASK-TODDLR DME GLUCOSE ELEVATING AGENTS GLUCAGEN HYPOKIT 2 GLUCAGON EMERGENCY KIT (HUMAN) 2 PROGLYCEM 2 INSULIN SYRINGES/MISCELLANEOUS DURABLE MEDICAL EQU ACCU-CHEK GUIDE L-L2 CTRL SOL DS OTC AT HOME AC DS OTC AUTOJECT 2 INJECTION DEVICE DME OTC; QL AUTOPEN TO 2 UNITS DS OTC; QL CARTRIDGE STAMPED IR 200 DS OTC 47

48 CLEO 90 INFUSION SET 24" COMFORT INFUSION SET 4" COMFORT SHORT INSULIN PUMP 2" CONTACT DETACH INFUS SET 2" DS DS DS DS AFREZZA PA; QL BASAGLAR KWIKPEN 2 QL HUMALOG 2 QL HUMALOG JUNIOR KWIKPEN QL DEXCOM G5 RECEIVER DS QL HUMAPEN LUXURA HD DS QL HUMALOG KWIKPEN 2 QL HUMALOG MIX QL INSET 0 INFUSION SET 2" INSET INFUSION SET 2" DS DS HUMALOG MIX KWIKPEN 2 ST; QL HUMALOG MIX QL LANCETS GAUGE DS OTC LANCING DEVICE DS OTC; QL HUMALOG MIX KWIKPEN 2 QL HUMULIN 70/0 2 QL MINIMED INFUSION SET-MMT 90 MIO INFUSION SET DS DS HUMULIN 70/0 KWIKPEN 2 QL HUMULIN N 2 QL NOVOPEN ECHO DS QL HUMULIN N KWIKPEN 2 QL OMNIPOD INSULIN REFILL DS HUMULIN R U-00 2 QL ONETOUCH ULTRA CONTROL DS OTC ONETOUCH ULTRA2 DS OTC; QL ONETOUCH ULTRAMINI DS OTC; QL ONETOUCH VERIO FLEX DS OTC; QL ONETOUCH VERIO IQ METER DS OTC; QL ONETOUCH VERIO SYNC DS OTC; QL ONETOUCH VERIO SYSTEM DS OTC; QL PEN NEEDLE NEEDLE GAUGE X /4" DS OTC HUMULIN R U-500 (CONC) KWIKPEN 2 QL HUMULIN R U-500 (CONCENTRATED) 2 PA; QL LANTUS 2 QL LANTUS SOLOSTAR 2 QL LEVEMIR 2 QL LEVEMIR FLEXTOUCH 2 QL SOLIQUA 00/ 2 PA TOUJEO SOLOSTAR 2 QL QUICK-SET PARADIGM DS TRESIBA FLEXTOUCH U-00 2 QL SAFE-CLIP BY MAIL DS OTC TRESIBA FLEXTOUCH U QL SNAP INSULIN PUMP CONTROLLER DS XULTOPHY 00/.6 2 PA SNAP INSULIN PUMP-INFUSION SET DS SURE-T PARADIGM DS T:0 INFUSION SET DS T:90 INFUSION SET 2" DS T:SLIM DS T:SLIM G4 DS VGO 20 DS VGO 0 DS MISCELLANEOUS HORMONES ANADROL-50 ANDRODERM 2 PA ANDROGEL TRANSDERMAL GEL IN METERED-DOSE PUMP MG/.25 GRAM (.62 %) ANDROGEL TRANSDERMAL GEL IN PACKET % (25 MG/2.5GRAM), % (50 MG/5 GRAM) 2 PA PA VGO 40 INSULIN THERAPY DS ANDROGEL TRANSDERMAL GEL IN PACKET.62 % (20.25 MG/.25 GRAM),.62 % (40.5 MG/2.5 GRAM) 2 PA 48

49 AXIRON PA BRINEURA INTRAVENTRICULAR KIT 4 cabergoline QL calcitonin (salmon) calcitriol intravenous solution mcg/ml calcitriol oral CERDELGA 4 danazol DDAVP NASAL SOLUTION PA DDAVP ORAL PA DEPO-TESTOSTERONE desmopressin nasal solution PA desmopressin nasal spray,non-aerosol PA desmopressin oral PA doxercalciferol HECTOROL INTRAVENOUS SOLUTION 2 MCG/ML ( ML) HECTOROL INTRAVENOUS SOLUTION 4 MCG/2 ML HECTOROL ORAL KORLYM 5 KUVAN ORAL POWDER IN PACKET 500 MG 2 4 PA KUVAN ORAL TABLET,SOLUBLE 4 PA MIACALCIN INJECTION 2 MYALEPT 4 NATPARA 4 PA OXANDRIN oxandrolone pamidronate 4 paricalcitol oral RAYALDEE ROCALTROL SAMSCA 4 QL SENSIPAR 2 PA SOMAVERT 4 STIMATE 4 PA STRENSIQ 4 SYNAREL 2 TESTONE CIK testosterone cypionate testosterone enanthate testosterone transdermal solution in metered pump w/app VAPRISOL vasopressin in 0.9 % nacl intravenous solution 60 unit/00 ml (0.6 unit/ml) VASOSTRICT ZAVESCA 4 ZEMPLAR ORAL CAPSULE MCG, 2 MCG NON-INSULIN HYPOGLYCEMIC AGENTS acarbose PA ACTOPLUS MET ST; QL ACTOPLUS MET XR 2 ST; QL ACTOS ST; QL ALOGLIPTIN-PIOGLITAZONE PA; QL AMARYL AVANDIA ORAL TABLET 2 MG, 4 MG ST; QL BYDUREON SUBCUTANEOUS PEN INJECTOR BYDUREON SUBCUTANEOUS SUSPENSION,EXTENDED REL RECON 2 PA 2 PA; QL BYETTA 2 PA; QL chlorpropamide CYCLOSET DM2 DUETACT ST; QL FARXIGA 2 PA FORTAMET ST glimepiride glipizide 49

50 glipizide-metformin GLUCOPHAGE ST GLUCOPHAGE XR ST GLUCOTROL GLUCOTROL XL GLUCOVANCE PRANDIN ORAL TABLET MG, 2 MG PRECOSE repaglinide repaglinide-metformin QL RIOMET ST STARLIX glyburide glyburide micronized SYMLINPEN 20 2 QL SYMLINPEN 60 2 QL glyburide-metformin oral tablet mg glyburide-metformin oral tablet mg, mg GLYNASE GLYSET GLYXAMBI 2 PA INVOKAMET 2 PA INVOKAMET XR 2 PA SYNJARDY 2 PA SYNJARDY XR 2 PA tolazamide tolbutamide TRADJENTA 2 PA; QL TRULICITY 2 PA XIGDUO XR 2 PA THYROID HORMONES INVOKANA 2 PA JANUMET 2 PA; QL JANUMET XR 2 PA; QL JANUVIA 2 PA; QL JARDIANCE 2 PA JENTADUETO 2 PA; QL JENTADUETO XR 2 PA metformin oral tablet metformin oral tablet extended release 24 hr 500 mg metformin oral tablet extended release 24 hr 750 mg metformin oral tablet extended release 24hr miglitol nateglinide OSENI PA; QL pioglitazone QL pioglitazone-glimepiride QL pioglitazone-metformin QL ARMOUR THYROID 2 CYTOMEL LEVO-T LEVOTHYROXINE INTRAVENOUS RECON SOLN 00 MCG levothyroxine intravenous recon soln 200 mcg, 500 mcg levothyroxine oral tablet 00 mcg, 50 mcg levothyroxine oral tablet 2 mcg, 25 mcg, 7 mcg, 50 mcg, 75 mcg, 200 mcg, 25 mcg, 00 mcg, 75 mcg, 88 mcg levoxyl oral tablet 00 mcg, 50 mcg levoxyl oral tablet 2 mcg, 25 mcg, 7 mcg, 50 mcg, 75 mcg, 200 mcg, 25 mcg, 75 mcg, 88 mcg 50 2 liothyronine nature-throid np thyroid SYNTHROID THYROLAR-

51 THYROLAR-/2 THYROLAR-/4 THYROLAR-2 THYROLAR- TIROSINT TRIOSTAT hyoscyamine sulfate hyosyne LEVBID LEVSIN INJECTION 2 LEVSIN ORAL LEVSIN/SL unithroid oral tablet 00 mcg, 50 mcg unithroid oral tablet 2 mcg, 25 mcg, 7 mcg, 50 mcg, 75 mcg, 200 mcg, 25 mcg, 00 mcg, 75 mcg, 88 mcg westhroid oral tablet 0 mg, 95 mg, 2.5 mg, 65 mg, 97.5 mg LIBRAX (WITH CLIDINIUM) LOMOTIL methscopolamine MOTOFEN MYTESI PA WP THYROID NULEV GASTROENTEROLOGY ANTIDIARRHEALS & ANTISPASMODICS anaspaz atropine injection solution atropine injection syringe 0.05 mg/ml, 0. mg/ml belladonna alkaloids-opium belladonna-opium BENTYL ORAL CAPSULE chlordiazepoxide-clidinium CUVPOSA dicyclomine oral capsule dicyclomine oral solution dicyclomine oral tablet diphenoxylate-atropine DONNATAL ORAL ELIXIR MG/5 ML DONNATAL ORAL TABLET ed-spaz glycopyrrolate injection GLYCOPYRROLATE INTRAVENOUS SYRINGE 0.6 MG/ ML (0.2 MG/ML) glycopyrrolate oral tablet mg, 2 mg opium tincture oscimin oscimin sl oscimin sr paregoric phenobarb-hyoscy-atropine-scop oral tablet phenohytro propantheline ROBINUL ROBINUL FORTE SYMAX DUOTAB symax fastabs symax-sl symax-sr MISCELLANEOUS GASTROINTESTINAL AGENTS ACTIGALL AKYNZEO 2 alophen ACA; OTC alosetron PA ALOXI 2 QL AMITIZA 2 PA 5

52 ANA-LEX KIT ANALPRAM-HC RECTAL CREAM ANALPRAM-HC SINGLES RECTAL CREAM 2.5- % (4G) anucort-hc QL ANUSOL-HC RECTAL SUPPOSITORY QL ANUSOL-HC TOPICAL CREAM WITH PERINEAL APPLICATOR ANZEMET ORAL QL aprepitant QL APRISO 2 ST AURYXIA AZULFIDINE AZULFIDINE EN-TABS balsalazide bisacodyl oral ACA; OTC bisa-lax ACA; OTC budesonide oral ST calcium acetate oral capsule calcium acetate oral tablet 667 mg CANASA 2 ST CESAMET QL CHENODAL 4 CHOLBAM 4 PA citrate of magnesia ACA; OTC citroma ACA; OTC COLAZAL colocort COLYTE WITH FLAVOR PACKS ORAL RECON SOLN GRAM COMPAZINE compro constulose CORTENEMA cromolyn oral CYSTADANE 4 DICLEGIS dimenhydrinate injection solution dronabinol PA droperidol injection solution ducodyl ACA; OTC eliphos EMEND INTRAVENOUS 2 QL EMEND ORAL CAPSULE 25 MG, 40 MG 2 QL EMEND ORAL CAPSULE 80 MG QL EMEND ORAL CAPSULE,DOSE PACK QL EMEND ORAL SUSPENSION FOR RECONSTITUTION ENTOCORT EC ST enulose fleet laxative ACA; OTC FOSRENOL 2 ST GASTROCROM GATTEX 0-VIAL 5 gavilyte-c ACA gavilyte-g ACA gavilyte-n ACA generlac gentle laxative oral ACA; OTC GIAZO GOLYTELY ORAL POWDER IN PACKET ACA GOLYTELY ORAL RECON SOLN granisetron (pf) granisetron hcl intravenous granisetron hcl oral QL hemmorex-hc QL hydrocortisone acetate rectal QL hydrocortisone rectal 2 CORTIFOAM 2 CREON 2 PA hydrocortisone topical cream with perineal applicator 52

53 hydrocortisone-pramoxine rectal kionex kionex (with sorbitol) KRISTALOSE lactulose oral solution 0 gram/5 ml laxative (bisacodyl) oral ACA; OTC laxative feminine ACA; OTC LIALDA ST LIDOCAINE HCL-HYDROCORTISON AC RECTAL CREAM %- % (7 GRAM) lidocaine hcl-hydrocortison ac rectal cream -0.5 % LIDOCAINE HCL-HYDROCORTISON AC RECTAL GEL lidocaine hcl-hydrocortison ac rectal kit lidocaine-hydrocortisone-aloe LINZESS 2 PA; QL LOTRONEX MAGNEBIND 400 magnesium citrate oral solution ACA; OTC MARINOL PA mesalamine oral tablet,delayed release (dr/ec).2 gram mesalamine rectal mesalamine with cleansing wipe metoclopramide hcl injection solution metoclopramide hcl injection syringe metoclopramide hcl oral solution metoclopramide hcl oral tablet metoclopramide hcl oral tablet,disintegrating MICORT-HC milk of magnesia ACA; OTC milk of magnesia concentrated ACA; OTC MOVANTIK 2 PA MOVIPREP ACA NULYTELY WITH FLAVOR PACKS OCALIVA 4 PA ondansetron QL ondansetron hcl (pf) ondansetron hcl intravenous ondansetron hcl oral QL ONDANSETRON IN 0.9 % SOD CHLOR INTRAVENOUS PIGGYBACK 8 MG/50 ML oral saline laxative oral liquid ACA; OTC OSMOPREP ACA peg 50-electrolytes ACA peg-electrolyte soln ACA peg-prep ACA PENTASA 2 ST PHOSLYRA phosphate laxative oral liquid ACA; OTC pramcort PREPOPIK 2 ACA prochlorperazine prochlorperazine edisylate prochlorperazine maleate PROCORT PROCTOCORT RECTAL QL PROCTOFOAM HC 2 procto-med hc proctosol hc topical proctozone-hc RECTIV 2 REGLAN ORAL RELISTOR ORAL RELISTOR SUBCUTANEOUS SOLUTION 2 RELISTOR SUBCUTANEOUS SYRINGE 2 REMICADE 4 PA; ST RENAGEL RENFLEXIS 5 RENVELA ORAL POWDER IN PACKET ST 5

54 RENVELA ORAL TABLET 2 ST ROWASA SANCUSO 2 PA; QL scopolamine base sevelamer carbonate ST SFROWASA ST sodium polystyrene sulfonate oral sodium polystyrene sulfonate rectal enema 0 gram/20 ml SODIUM POLYSTYRENE SULFONATE RECTAL ENEMA 50 GRAM/200 ML sps (with sorbitol) SUCRAID 4 sulfasalazine SUPREP BOWEL PREP KIT 2 ACA SUSTOL PA SYNDROS PA TIGAN INTRAMUSCULAR women's laxative (bisacodyl) oral tablet ACA; OTC ZENPEP 2 PA ZOFRAN (AS HYDROCHLORIDE) INTRAVENOUS ZOFRAN (AS HYDROCHLORIDE) ORAL QL ZOFRAN ODT QL ZUPLENZ QL ULCER THERAPY ACIPHEX PA ACIPHEX SPRINKLE PA amoxicil-clarithromy-lansopraz PA; QL CARAFATE ORAL SUSPENSION 2 CARAFATE ORAL TABLET cimetidine hcl oral cimetidine oral tablet 00 mg, 400 mg, 800 mg CYTOTEC TIGAN ORAL CAPSULE 00 MG TRANSDERM-SCOP trilyte with flavor packets ACA trimethobenzamide oral TRULANCE PA DEXILANT ORAL CAPSULE,BIPHASE DELAYED RELEAS 0 MG DEXILANT ORAL CAPSULE,BIPHASE DELAYED RELEAS 60 MG esomeprazole magnesium oral capsule,delayed release(dr/ec) 40 mg PA; QL PA PA UCERIS ORAL 2 ST UCERIS RECTAL ST URSO 250 URSO FORTE ursodiol VARUBI 2 PA VELPHORO VELTASSA 4 VIBERZI 2 PA VIOKACE 2 PA woman's laxative oral tablet,delayed release (dr/ec) ACA; OTC women's gentle laxative(bisac) ACA; OTC esomeprazole sodium ESOMEPRAZOLE STRONTIUM famotidine (pf) famotidine (pf)-nacl (iso-os) famotidine intravenous famotidine oral suspension famotidine oral tablet 40 mg lansoprazole oral capsule,delayed release(dr/ec) 0 mg misoprostol NEXIUM IV INTRAVENOUS RECON SOLN 40 MG NEXIUM ORAL CAPSULE,DELAYED RELEASE(DR/EC) 40 MG PA 54

55 NEXIUM PACKET ORAL GRANULES DR FOR SUSP IN PACKET 0 MG, 2.5 MG, 20 MG, 5 MG NEXIUM PACKET ORAL GRANULES DR FOR SUSP IN PACKET 40 MG 2 PA; QL 2 PA rabeprazole ranitidine hcl injection ranitidine hcl oral capsule 00 mg ranitidine hcl oral tablet 00 mg nizatidine OMECLAMOX-PAK PA; QL omeppi oral capsule 40-. mg-gram PA sucralfate oral tablet ZANTAC INJECTION ZANTAC ORAL TABLET 00 MG omeprazole oral capsule,delayed release(dr/ec) 0 mg QL ZEGERID ORAL CAPSULE 40-. MG- GRAM PA omeprazole oral capsule,delayed release(dr/ec) 40 mg omeprazole-sodium bicarbonate oral capsule 40-. mg-gram omeprazole-sodium bicarbonate oral packet 20-,680 mg omeprazole-sodium bicarbonate oral packet 40-,680 mg pantoprazole intravenous pantoprazole oral tablet,delayed release (dr/ec) 20 mg pantoprazole oral tablet,delayed release (dr/ec) 40 mg PA PA; QL PA PEPCID ORAL SUSPENSION PEPCID ORAL TABLET 40 MG PREVACID ORAL CAPSULE,DELAYED RELEASE(DR/EC) 0 MG PREVACID SOLUTAB ORAL TABLET,DISINTEGRAT, DELAY REL 0 MG QL PA PA PREVPAC QL PRILOSEC ORAL SUSP,DELAYED RELEASE FOR RECON PROTONIX INTRAVENOUS PROTONIX ORAL GRANULES DR FOR SUSP IN PACKET PROTONIX ORAL TABLET,DELAYED RELEASE (DR/EC) 20 MG PROTONIX ORAL TABLET,DELAYED RELEASE (DR/EC) 40 MG PA; QL PA PA; QL PA PYLERA 2 PA ZEGERID ORAL PACKET 20-,680 MG PA; QL ZEGERID ORAL PACKET 40-,680 MG PA IMMUNOLOGY, VACCINES & BIOTECHNOLOGY BIOTECHNOLOGY DRUGS GRANIX 4 PA NEULASTA SUBCUTANEOUS SYRINGE 4 PA; QL NEULASTA SUBCUTANEOUS SYRINGE, W/ WEARABLE INJECTOR 4 PA NEUPOGEN 4 PA PROCRIT 4 PA ZARXIO 4 PA GROWTH HORMONES EGRIFTA SUBCUTANEOUS RECON SOLN MG 4 PA GENOTROPIN 4 PA GENOTROPIN MINIQUICK 4 PA HUMATROPE 4 PA NORDITROPIN FLEXPRO 4 PA SEROSTIM SUBCUTANEOUS RECON SOLN 4 MG, 5 MG, 6 MG 4 PA ZORBTIVE 5 PA INTERFERONS AUBAGIO 5 PA AVONEX (WITH ALBUMIN) 4 PA; QL 55

56 AVONEX INTRAMUSCULAR PEN INJECTOR KIT AVONEX INTRAMUSCULAR SYRINGE KIT 4 PA; QL 4 PA; QL BETASERON SUBCUTANEOUS KIT 4 PA; QL COPAXONE SUBCUTANEOUS SYRINGE 20 MG/ML COPAXONE SUBCUTANEOUS SYRINGE 40 MG/ML COPEGUS 5 5 PA; QL 4 PA EXTAVIA SUBCUTANEOUS KIT 4 PA; QL EXTAVIA SUBCUTANEOUS RECON SOLN 4 PA GILENYA 4 PA glatopa 4 PA; QL moderiba 4 moderiba dose pack 4 OCREVUS 4 PA PEGASYS 4 PA; QL PEGASYS PROCLICK 4 PA; QL PEGINTRON SUBCUTANEOUS KIT 50 MCG/0.5 ML 5 PA; QL PLEGRIDY 4 PA POMALYST 4 REBETOL ORAL SOLUTION 5 PA REBIF (WITH ALBUMIN) 4 PA; QL REBIF REBIDOSE 4 PA; QL REBIF TITRATION PACK 4 PA; QL REVLIMID 4 PA ribavirin oral capsule 4 PA ribavirin oral tablet 200 mg 4 SYLATRON 4 PA TECFIDERA 4 PA ZINBRYTA 5 PA INTERLEUKINS ACTIMMUNE 4 ALDARA ST ALFERON N 4 ARCALYST 4 PA ILARIS (PF) 4 PA imiquimod INTRON A INJECTION 4 VACCINES & MISCELLANEOUS IMMUNOLOGICALS ATGAM 4 BOTOX 4 PA DYSPORT 5 PA GAMMAPLEX 5 PA HEPAGAM B 4 HIZENTRA 4 PA HYPERHEP B S/D 4 HYPERHEP B S-D NEONATAL 4 HYPERRAB S/D (PF) 2 PA HYPERTET S/D (PF) 2 HYQVIA 5 PA IMOGAM RABIES-HT (PF) 4 PA NABI-HB 5 ROTARIX ACA ROTATEQ VACCINE 2 ACA VARIZIG 2 ACA VIVOTIF 2 ACA VIVOTIF BERNA VACCINE 2 ACA MUSCULOSKELETAL & RHEUMATOLOGY GOUT THERAPY allopurinol allopurinol sodium aloprim COLCRYS 2 MITIGARE 2 probenecid 56

57 probenecid-colchicine ULORIC 2 ST ZURAMPIC PA; ST ZYLOPRIM OSTEOPOROSIS THERAPY ACTONEL ORAL TABLET 50 MG, 5 MG, 5 MG alendronate oral solution alendronate oral tablet 0 mg, 5 mg, 5 mg, 70 mg QL QL ATELVIA QL BINOSTO QL BONIVA ORAL QL EVISTA FORTEO 4 PA; QL FOSAMAX ORAL TABLET 70 MG QL FOSAMAX PLUS D QL ibandronate oral QL PROLIA 5 PA raloxifene ACA risedronate oral tablet 50 mg, 5 mg, 5 mg risedronate oral tablet,delayed release (dr/ec) QL QL TYMLOS 4 PA OTHER RHEUMATOLOGICALS ACTEMRA 4 PA; ST ARAVA QL CUPRIMINE PA DEPEN TITRATABS 2 ENBREL 4 PA; ST; QL ENBREL SURECLICK 4 PA; ST; QL HUMIRA 4 PA; ST; QL HUMIRA PEDIATRIC CROHN'S START 4 PA; ST HUMIRA PEN CROHN'S-UC-HS START 4 PA; ST HUMIRA PEN PSORIASIS-UVEITIS 4 PA; ST KEVZARA 5 PA; ST leflunomide QL OTEZLA 4 PA; ST OTEZLA STARTER 4 PA; ST OTREXUP (PF) SUBCUTANEOUS AUTO- INJECTOR 0 MG/0.4 ML, 2.5 MG/0.4 ML, 5 MG/0.4 ML, 7.5 MG/0.4 ML, 20 MG/0.4 ML, 22.5 MG/0.4 ML, 25 MG/0.4 ML RASUVO (PF) SUBCUTANEOUS AUTO- INJECTOR 0 MG/0.2 ML, 2.5 MG/0.25 ML, 5 MG/0. ML, 7.5 MG/0.5 ML, 20 MG/0.4 ML, 22.5 MG/0.45 ML, 25 MG/0.5 ML, 0 MG/0.6 ML, 7.5 MG/0.5 ML RIDAURA 2 2 PA SAVELLA 2 ST; QL XELJANZ 4 PA; ST XELJANZ XR 4 PA; ST OBSTETRICS & GYNECOLOGY DIAPHRAGMS AND OTHER NON- ORAL CONTRACEPTIVES CAYA CONTOURED ACA; QL FC2 FEMALE CONDOM 2 ACA; OTC FEMCAP VAGINAL DEVICE 22 MM 2 ACA; QL WIDE-SEAL DIAPHRAGM ACA ESTROGENS & PROGESTINS ACTIVELLA ALORA QL amabelz ANGELIQ AYGESTIN camila ACA; QL CLIMARA QL CLIMARA PRO QL COMBIPATCH 2 covaryx 2 57

58 covaryx h.s. CRINONE VAGINAL GEL 4 % 2 deblitane ACA; QL DELESTROGEN DEPO-ESTRADIOL 2 DEPO-PROVERA INTRAMUSCULAR SOLUTION DEPO-PROVERA INTRAMUSCULAR SUSPENSION DEPO-PROVERA INTRAMUSCULAR SYRINGE 2 ACA; QL ACA; QL DEPO-SUBQ PROVERA 04 ACA; QL DIVIGEL 2 QL DUAVEE 2 eemt eemt hs ELESTRIN QL errin ACA; QL ESTRACE ORAL ESTRACE VAGINAL 2 estradiol oral tablet 0.5 mg, 2 mg estradiol oral tablet mg estradiol transdermal QL estradiol vaginal estradiol valerate intramuscular oil 20 mg/ml, 40 mg/ml estradiol-norethindrone acet ESTRING QL estrogens-methyltestosterone jevantique lo jinteli jolivette ACA; QL lopreeza lyza ACA; QL MAKENA 4 PA medroxyprogesterone intramuscular suspension medroxyprogesterone intramuscular syringe medroxyprogesterone oral MENEST ORAL TABLET 0. MG, MG,.25 MG ACA; QL ACA; QL MENOSTAR QL mimvey mimvey lo MINIVELLE 2 QL nora-be ACA; QL norethindrone (contraceptive) ACA; QL norethindrone acetate norethindrone ac-eth estradiol oral tablet mg-mcg, -5 mg-mcg norlyda ACA; QL norlyroc ACA; QL ORTHO MICRONOR ACA; QL PREFEST PREMARIN 2 PREMPHASE 2 PREMPRO 2 estropipate progesterone micronized EVAMIST QL FEMHRT LOW DOSE FEMRING QL fyavolv heather ACA; QL hydroxyprogesterone caproate PROMETRIUM PROVERA sharobel ACA; QL VAGIFEM VIVELLE-DOT QL yuvafem jencycla ACA; QL 58

59 MISCELLANEOUS OB/GYN AVC VAGINAL CERVIDIL CLEOCIN VAGINAL clindamycin phosphate vaginal CLINDESSE CONCEPTROL 2 ACA; OTC fem ph GYNAZOLE- gynol ii ACA; OTC isoxsuprine LUPANETA PACK ( MONTH) 5 PA; QL LUPANETA PACK ( MONTH) 5 PA; QL LYSTEDA METROGEL VAGINAL metronidazole vaginal NUVARING 2 ACA; QL NUVESSA OSPHENA PREPIDIL PROSTIN E2 RELAGARD TERAZOL 7 QL terconazole QL TODAY CONTRACEPTIVE SPONGE 2 ACA; OTC tranexamic acid oral vaginal contraceptive foam ACA; OTC vandazole VCF CONTRACEPTIVE FILM 2 ACA; OTC VCF CONTRACEPTIVE GEL 2 ACA; OTC xulane ACA; QL ORAL CONTRACEPTIVES & RELATED AGENTS AFTERA ACA; OTC; QL altavera (28) ACA; QL alyacen /5 (28) ACA; QL alyacen 7/7/7 (28) ACA; QL amethia ACA; QL amethia lo ACA; QL amethyst ACA; QL apri ACA; QL aranelle (28) ACA; QL ashlyna ACA; QL aubra ACA; QL aviane ACA; QL azurette (28) ACA; QL balziva (28) ACA; QL bekyree (28) ACA; QL BEYAZ ACA; QL blisovi 24 fe ACA; QL blisovi fe.5/0 (28) ACA; QL blisovi fe /20 (28) ACA; QL BREVICON (28) ACA; QL briellyn ACA; QL camrese ACA; QL camrese lo ACA; QL caziant (28) ACA; QL chateal ACA; QL cryselle (28) ACA; QL cyclafem /5 (28) ACA; QL cyclafem 7/7/7 (28) ACA; QL CYCLESSA (28) ACA; QL cyred ACA; QL dasetta /5 (28) ACA; QL dasetta 7/7/7 (28) ACA; QL daysee ACA; QL delyla (28) ACA; QL desog-e.estradiol/e.estradiol ACA; QL desogestrel-ethinyl estradiol ACA; QL drospirenone-e.estradiol-lm.fa ACA; QL 59

60 drospirenone-ethinyl estradiol ACA; QL econtra ez ACA; OTC; QL elinest ACA; QL ELLA ACA; QL emoquette ACA; QL enpresse ACA; QL enskyce ACA; QL estarylla ACA; QL ESTROSTEP FE-28 ACA; QL ethynodiol diac-eth estradiol ACA fallback solo ACA; OTC; QL falmina (28) ACA; QL fayosim ACA; QL femynor ACA; QL GENERESS FE ACA; QL gianvi (28) ACA; QL gildagia ACA; QL introvale ACA; QL isibloom ACA; QL jolessa ACA; QL juleber ACA; QL junel.5/0 (2) ACA; QL junel /20 (2) ACA; QL junel fe.5/0 (28) ACA; QL junel fe /20 (28) ACA; QL junel fe 24 ACA; QL kaitlib fe ACA; QL kariva (28) ACA; QL kelnor /5 (28) ACA; QL kimidess (28) ACA; QL kurvelo ACA; QL l norgest/e.estradiol-e.estrad ACA; QL larin.5/0 (2) ACA; QL larin /20 (2) ACA; QL larin 24 fe ACA; QL larin fe.5/0 (28) ACA; QL larin fe /20 (28) ACA; QL larissia ACA; QL layolis fe ACA; QL leena 28 ACA; QL lessina ACA; QL levonest (28) ACA; QL levonorgestrel-ethinyl estrad ACA; QL levonorg-eth estrad triphasic ACA; QL levora-28 ACA; QL lillow ACA; QL LO LOESTRIN FE 2 ACA; QL LOESTRIN.5/0 (2) ACA; QL LOESTRIN /20 (2) ACA; QL LOESTRIN FE.5/0 (28-DAY) ACA; QL LOESTRIN FE /20 (28-DAY) ACA; QL lomedia 24 fe ACA; QL loryna (28) ACA; QL LOSEASONIQUE ACA; QL low-ogestrel (28) ACA; QL lutera (28) ACA; QL marlissa ACA; QL mibelas 24 fe ACA; QL microgestin.5/0 (2) ACA; QL microgestin /20 (2) ACA; QL MICROGESTIN 24 FE ACA; QL microgestin fe.5/0 (28) ACA; QL microgestin fe /20 (28) ACA; QL MINASTRIN 24 FE ACA; QL MIRCETTE (28) ACA; QL mono-linyah ACA; QL mononessa (28) ACA; QL my way ACA; OTC; QL myzilra ACA; QL NATAZIA 2 ACA; QL 60

61 necon 0.5/5 (28) ACA; QL necon /50 (28) ACA; QL necon 7/7/7 (28) ACA; QL next choice one dose ACA; OTC; QL nikki (28) ACA; QL noreth-ethinyl estradiol-iron ACA; QL SAFYRAL 2 ACA; QL SEASONIQUE ACA; QL setlakin ACA; QL sprintec (28) ACA; QL sronyx ACA; QL syeda ACA; QL norethindrone ac-eth estradiol oral tablet -20 mg-mcg ACA; QL norethindrone-e.estradiol-iron ACA; QL norgestimate-ethinyl estradiol ACA; QL nortrel 0.5/5 (28) ACA; QL nortrel /5 (2) ACA; QL nortrel /5 (28) ACA; QL nortrel 7/7/7 (28) ACA; QL ocella ACA; QL ogestrel (28) ACA; QL opcicon one-step ACA; OTC; QL option-2 ACA; OTC; QL orsythia ACA; QL ORTHO TRI-CYCLEN (28) ACA; QL ORTHO TRI-CYCLEN LO (28) ACA; QL ORTHO-CYCLEN (28) ACA; QL ORTHO-NOVUM /5 (28) ACA; QL ORTHO-NOVUM 7/7/7 (28) ACA; QL OVCON-5 (28) ACA; QL philith ACA; QL pimtrea (28) ACA; QL pirmella ACA; QL PLAN B ONE-STEP ACA; OTC; QL portia ACA; QL previfem ACA; QL QUARTETTE ACA; QL quasense ACA; QL rajani ACA; QL reclipsen (28) ACA; QL rivelsa ACA; QL TAKE ACTION ACA; OTC; QL tarina fe /20 (28) ACA; QL TAYTULLA 2 ACA; QL tilia fe ACA; QL tri femynor ACA; QL tri-estarylla ACA; QL tri-legest fe ACA; QL tri-linyah ACA; QL tri-lo-estarylla ACA; QL tri-lo-marzia ACA; QL tri-lo-sprintec ACA; QL trinessa (28) ACA; QL trinessa lo ACA; QL TRI-NORINYL (28) ACA; QL tri-previfem (28) ACA; QL tri-sprintec (28) ACA; QL trivora (28) ACA; QL velivet triphasic regimen (28) ACA; QL vestura (28) ACA; QL vienva ACA; QL viorele (28) ACA; QL vyfemla (28) ACA; QL wera (28) ACA; QL wymzya fe ACA; QL YASMIN (28) ACA; QL YAZ (28) ACA; QL zarah ACA; QL zenchent (28) ACA; QL zenchent fe ACA; QL 6

62 zovia /5e (28) ACA; QL zovia /50e (28) ACA; QL OXYTOCICS methergine OPHTHALMOLOGY ANTIBIOTICS AZASITE 2 bacitracin ophthalmic (eye) bacitracin-polymyxin b ophthalmic (eye) BESIVANCE BETADINE OPHTHALMIC PREP CILOXAN ciprofloxacin hcl ophthalmic (eye) erythromycin ophthalmic (eye) gatifloxacin gentak ophthalmic (eye) ointment gentamicin ophthalmic (eye) levofloxacin ophthalmic (eye) MOXEZA 2 MOXIFLOXACIN (PF)-BSS NO.2 INTRAVITREAL SOLUTION ZYMAXID ANTIVIRALS trifluridine VIROPTIC ZIRGAN BETA-BLOCKERS BETAGAN OPHTHALMIC (EYE) DROPS 0.5 % betaxolol ophthalmic (eye) BETIMOL BETOPTIC S carteolol levobunolol ophthalmic (eye) drops 0.5 % metipranolol timolol maleate ophthalmic (eye) TIMOPTIC TIMOPTIC OCUDOSE (PF) OPHTHALMIC (EYE) DROPPERETTE 0.5 % TIMOPTIC-XE CHOLINESTERASE INHIBITOR MIOTICS moxifloxacin ophthalmic (eye) NATACYN 2 neomycin-bacitracin-polymyxin neomycin-polymyxin-gramicidin neo-polycin OCUFLOX ofloxacin ophthalmic (eye) polycin polymyxin b sulf-trimethoprim POLYTRIM tobramycin TOBREX VIGAMOX PHOSPHOLINE IODIDE 2 CYCLOPLEGIC MYDRIATICS atropine ophthalmic (eye) CYCLOGYL cyclopentolate homatropaire homatropine hbr MYDRIACYL PAREMYD tropicamide DIRECT ACTING MIOTICS ISOPTO CARPINE 62

63 MIOCHOL-E pilocarpine hcl ophthalmic (eye) drops %, 2 %, 4 % MISCELLANEOUS OPHTHALMOLOGICS acuicyn AKTEN (PF) ALOCRIL ALOMIDE altacaine altafluor AVENOVA azelastine ophthalmic (eye) BEPREVE 2 QL cromolyn ophthalmic (eye) CYSTARAN 4 ELESTAT EMADINE epinastine flucaine fluorescein-proparacaine flurox LACRISERT LASTACAFT olopatadine ophthalmic (eye) drops 0. % olopatadine ophthalmic (eye) drops 0.2 % OMIDRIA ST PATADAY ST PATANOL PAZEO 2 ST proparacaine RESTASIS 2 PA; QL RESTASIS MULTIDOSE 2 PA tetcaine tetracaine hcl tetracaine hcl (pf) ophthalmic (eye) TETRAVISC TETRAVISC FORTE OPHTHALMIC (EYE) DROPS,HYPERVISCOUS VITRASE XIIDRA 2 PA NON-STEROIDAL ANTI- INFLAMMATORY AGENTS ACULAR ACULAR LS bromfenac BROMSITE diclofenac sodium ophthalmic (eye) flurbiprofen sodium ILEVRO 2 ketorolac ophthalmic (eye) NEVANAC 2 OCUFEN PROLENSA 2 ORAL DRUGS FOR GLAUCOMA acetazolamide oral capsule, extended release acetazolamide oral tablet acetazolamide sodium DIAMOX SEQUELS methazolamide NEPTAZANE OTHER GLAUCOMA DRUGS AZOPT bimatoprost ophthalmic (eye) COMBIGAN 2 COSOPT COSOPT (PF) dorzolamide 6

64 dorzolamide-timolol latanoprost LUMIGAN OPHTHALMIC (EYE) DROPS 0.0 % miostat MITOSOL SIMBRINZA TRAVATAN Z 2 TRUSOPT XALATAN STEROID-ANTIBIOTIC COMBINATIONS MAXITROL neomycin-bacitracin-poly-hc neomycin-polymyxin b-dexameth neomycin-polymyxin-hc ophthalmic (eye) neo-polycin hc PRED-G PRED-G S.O.P. TOBRADEX OPHTHALMIC (EYE) DROPS,SUSPENSION TOBRADEX OPHTHALMIC (EYE) OINTMENT TOBRADEX ST 2 tobramycin-dexamethasone ZYLET FML S.O.P. 2 LOTEMAX OPHTHALMIC (EYE) DROPS,GEL LOTEMAX OPHTHALMIC (EYE) DROPS,SUSPENSION LOTEMAX OPHTHALMIC (EYE) OINTMENT MAXIDEX OMNIPRED PRED FORTE PRED MILD 2 prednisolone acetate prednisolone sodium phosphate ophthalmic (eye) STEROID-SULFONAMIDE COMBINATIONS BLEPHAMIDE BLEPHAMIDE S.O.P. sulfacetamide-prednisolone SULFONAMIDES BLEPH-0 sulfacetamide sodium ophthalmic (eye) SYMPATHOMIMETICS ALPHAGAN P OPHTHALMIC (EYE) DROPS 0. % ALPHAGAN P OPHTHALMIC (EYE) DROPS 0.5 % 2 QL 2 QL 2 2 STEROIDS ALREX 2 QL dexamethasone sodium phosphate ophthalmic (eye) DUREZOL FLAREX fluorometholone FML FORTE FML LIQUIFILM apraclonidine brimonidine IOPIDINE VASOCONSTRICTOR DECONGESTANTS CYCLOMYDRIL phenylephrine hcl ophthalmic (eye) RESPIRATORY, ALLERGY, COUGH & COLD 64

65 ANTIHISTAMINE & ANTIALLERGENIC AGENTS adrenalin injection ADYPHREN ADYPHREN AMP ADYPHREN AMP II ADYPHREN II carbinoxamine maleate CLARINEX ORAL SYRUP CLARINEX ORAL TABLET QL clemastine oral tablet 2.68 mg cyproheptadine desloratadine QL diphenhydramine hcl injection solution 50 mg/ml diphenhydramine hcl injection syringe EPINEPHRINE HCL (PF) EPINEPHRINE INJECTION AUTO- INJECTOR 0.5 MG/0.5 ML EPINEPHRINE INJECTION AUTO- INJECTOR 0.5 MG/0. ML EPINEPHRINE INJECTION AUTO- INJECTOR 0. MG/0. ML epinephrine injection solution epinephrine injection syringe 0. mg/ml EPINEPHRINESNAP-V EPISNAP hydroxyzine hcl intramuscular hydroxyzine hcl oral solution 0 mg/5 ml hydroxyzine hcl oral tablet hydroxyzine pamoate KARBINAL ER 2 QL QL phenadoz QL PHENERGAN INJECTION phenergan rectal QL promethazine injection solution promethazine oral syrup promethazine oral tablet 2.5 mg, 50 mg promethazine oral tablet 25 mg promethazine rectal QL promethegan QL RYVENT PA VISTARIL COUGH & COLD THERAPY benzonatate BROMFED DM brompheniramine-pseudoeph-dm oral syrup CAPCOF centergy cheratussin ac CLARINEX-D 2 HOUR QL codeine-guaifenesin CODITUSSIN AC CODITUSSIN DAC FLOWTUSS g tussin ac guaiatussin ac guaifenesin ac guaifenesin dac HISTEX-AC HYCOFENIX hydrocodone-chlorpheniramine hydrocodone-cpm-pseudoephed hydrocodone-homatropine oral syrup 5-.5 mg/5 ml hydrocodone-homatropine oral tablet hydromet lortuss ex oral syrup MAR-COF BP MAR-COF CG 65

66 m-clear wc M-END PE NINJACOF-XG OBREDON POLY-TUSSIN AC ORAL LIQUID MG/5 ML promethazine vc-codeine promethazine-codeine promethazine-dm promethazine-phenyleph-codeine promethazine-phenylephrine PRO-RED AC (W/ DEXCHLORPHENIR) relcof c RESPA-AR REZIRA rydex SEMPREX-D PA TESSALON PERLES tusnel c TUSNEL PEDIATRIC ORAL LIQUID TUSSICAPS 2 tussigon TUSSIONEX PENNKINETIC ER TUZISTRA XR virtussin ac virtussin dac VITUZ ZODRYL AC 25 ZODRYL AC 0 ZODRYL AC 5 ZODRYL AC 40 2 ZODRYL AC 50 ZODRYL AC 60 ZODRYL AC 80 ZODRYL DAC 25 ZODRYL DAC 5 ZODRYL DAC 40 ZODRYL DAC 50 ZODRYL DAC 60 ZODRYL DAC 80 ZODRYL DEC 25 ZODRYL DEC 0 2 ZODRYL DEC 5 ZODRYL DEC 40 ZODRYL DEC 50 ZODRYL DEC 60 ZODRYL DEC 80 Z-TUSS AC ZUTRIPRO PULMONARY AGENTS ACCOLATE acetylcysteine ADCIRCA 4 PA; QL ADEMPAS 4 ADRENALIN NASAL ADVAIR DISKUS 2 ST; QL ADVAIR HFA 2 ST; QL AEROSPAN AIRDUO RESPICLICK ST albuterol sulfate inhalation solution for nebulization 0.6 mg/ ml,.25 mg/ ml albuterol sulfate inhalation solution for nebulization 2.5 mg / ml (0.08 %), 2.5 mg/0.5 ml, 5 mg/ml albuterol sulfate oral syrup albuterol sulfate oral tablet albuterol sulfate oral tablet extended release 2 hr ANORO ELLIPTA 2 ARCAPTA NEOHALER 2 QL ZODRYL DAC 0 ARMONAIR RESPICLICK 2 66

67 ARNUITY ELLIPTA 2 ASMANEX HFA 2 ASMANEX TWISTHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 0 MCG (0 DOSES), 220 MCG (20 DOSES), 220 MCG (0 DOSES), 220 MCG (60 DOSES) ASMANEX TWISTHALER INHALATION AEROSOL POWDR BREATH ACTIVATED 0 MCG (7 DOSES), 220 MCG (4 DOSES) 2 QL ATROVENT HFA 2 QL BERINERT INTRAVENOUS KIT 4 PA BEVESPI AEROSPHERE 2 BREO ELLIPTA 2 ST BROVANA PA; QL budesonide inhalation QL budesonide nasal QL CINRYZE 4 PA COMBIVENT RESPIMAT 2 PA; QL cromolyn inhalation CUROSURF DALIRESP 2 DULERA 2 ST; QL DYMISTA 2 ST; QL ELIXOPHYLLIN ORAL ELIXIR 80 MG/5 ML ESBRIET 4 PA FIRAZYR 4 PA FLOVENT DISKUS 2 QL FLOVENT HFA 2 QL flunisolide nasal spray,non-aerosol 25 mcg (0.025 %) 2 QL FLUTICASONE-SALMETEROL 2 ST HAEGARDA 5 PA HYPER-SAL INCRUSE ELLIPTA 2 ipratropium bromide inhalation ipratropium-albuterol QL KALBITOR 4 KALYDECO 4 LETAIRIS 4 PA levalbuterol hcl metaproterenol mometasone nasal PA; QL montelukast NASONEX ST; QL nebusal inhalation solution for nebulization % NEBUSAL INHALATION SOLUTION FOR NEBULIZATION 6 % NUCALA 4 PA OFEV 4 OPSUMIT 4 PA ORKAMBI 4 PA PERFOROMIST 2 QL PROAIR HFA 2 QL PROAIR RESPICLICK 2 PULMICORT QL PULMICORT FLEXHALER 2 QL pulmosal PULMOZYME 4 PA QNASL NASAL HFA AEROSOL INHALER 40 MCG/ACTUATION QNASL NASAL HFA AEROSOL INHALER 80 MCG/ACTUATION 2 ST 2 ST; QL QVAR 2 QL REVATIO ORAL SUSPENSION FOR RECONSTITUTION 5 PA REVATIO ORAL TABLET 5 PA; QL RUCONEST 5 SEEBRI NEOHALER SEREVENT DISKUS 2 QL sildenafil oral 4 PA; QL SINGULAIR 67

68 sodium chloride inhalation solution for nebulization 0 %, %, 7 % SPIRIVA RESPIMAT 2 SPIRIVA WITH HANDIHALER 2 QL STIOLTO RESPIMAT 2 STRIVERDI RESPIMAT 2 SURFAXIN SYMBICORT 2 ST; QL terbutaline oral terbutaline subcutaneous THEO-24 theochron theophylline oral elixir theophylline oral solution theophylline oral tablet extended release 2 hr theophylline oral tablet extended release 24 hr TICALAST TICANASE TICASPRAY TRACLEER 4 PA TUDORZA PRESSAIR 2 QL TYVASO 4 ST TYVASO REFILL KIT 4 ST TYVASO STARTER KIT 4 ST UTIBRON NEOHALER VENTAVIS 4 ST VENTOLIN HFA 2 QL XOLAIR 4 PA; QL XOPENEX XOPENEX CONCENTRATE zafirlukast zileuton PA ZYFLO PA ZYFLO CR PA UROLOGICALS ANTICHOLINERGICS & ANTISPASMODICS darifenacin PA DETROL DETROL LA DITROPAN XL ORAL TABLET EXTENDED RELEASE 24HR 0 MG, 5 MG DITROPAN XL ORAL TABLET EXTENDED RELEASE 24HR 5 MG QL ENABLEX PA flavoxate GELNIQUE TRANSDERMAL GEL IN METERED-DOSE PUMP 00 MG/GRAM (0 %) GELNIQUE TRANSDERMAL GEL IN PACKET 2 PA 2 PA; QL MYRBETRIQ 2 ST oxybutynin chloride oral syrup oxybutynin chloride oral tablet oxybutynin chloride oral tablet extended release 24hr 0 mg, 5 mg oxybutynin chloride oral tablet extended release 24hr 5 mg QL OXYTROL QL tolterodine oral capsule,extended release 24hr tolterodine oral tablet TOVIAZ 2 ST trospium VESICARE 2 ST BENIGN PROSTATIC HYPERPLASIA (BPH) THERAPY alfuzosin AVODART ST CIALIS ORAL TABLET 2.5 MG, 5 MG 2 QL dutasteride ST 68

69 dutasteride-tamsulosin ST finasteride oral tablet 5 mg FLOMAX ST JALYN ST PROSCAR ST RAPAFLO 2 ST tamsulosin UROXATRAL ST CHOLINERGIC STIMULANTS bethanechol chloride URECHOLINE MISCELLANEOUS UROLOGICALS alprostadil azuphen mb CAVERJECT 2 QL CAVERJECT IMPULSE 2 QL CIALIS ORAL TABLET 0 MG, 20 MG 2 QL CYSTAGON 4 cytra k crystals cytra-2 cytra- cytra-k EDEX QL ELMIRON 2 PA hyolev mb hyophen INDIOMIN MB K-PHOS NO 2 K-PHOS ORIGINAL 2 methen-sod phos-meth blue-hyos MUSE 2 QL ORACIT phosphasal potassium citrate-citric acid PROCYSBI 5 PROSTIN VR PEDIATRIC SHOHL'S MODIFIED sodium citrate-citric acid tricitrates ur n-c uramit mb URELLE uretron d-s oral tablet mg URIBEL urimar-t urin ds uro-458 UROCIT-K 0 UROCIT-K 5 UROCIT-K 5 urogesic-blue uro-mp urophen mb UROQID-ACID NO.2 uryl ustell UTA utira-c VIAGRA 2 QL virtrate-2 virtrate- virtrate-k URINARY ANESTHETICS phenazopyridine oral tablet 00 mg, 200 mg PYRIDIUM pot,sodium citrate-citric acid potassium citrate 69

70 VITAMINS, HEMATINICS & ELECTROLYTES ELECTROLYTES calcium d oral tablet 500 mg(,250mg) -200 unit ACA; OTC calcium d oral tablet,chewable ACA; OTC calcium 500 with d ACA; OTC calcium d() oral capsule ACA; OTC calcium d() oral tablet 600 mg(,500mg) -200 unit, 600 mg(,500mg) -400 unit calcium 600 with vitamin d oral capsule calcium 600 with vitamin d oral tablet,chewable ACA; OTC ACA; OTC ACA; OTC calcium carb and citrate-vitd ACA; OTC calcium carbonate-vitamin d oral capsule 600 mg(,500mg) -400 unit calcium carbonate-vitamin d oral tablet 500 mg(,250mg) -25 unit, 500 mg(,250mg) -200 unit, 500 mg(,250mg) -400 unit, 500mg (,250mg) -600 unit, 600 mg(,500mg) -200 unit, 600 mg(,500mg) -400 unit, 600 mg(,500mg) -800 unit calcium carbonate-vitamin d oral tablet,chewable mg-unit ACA; OTC ACA; OTC ACA; OTC calcium citrate + d ACA; OTC calcium citrate-vitamin d2 ACA; OTC calcium citrate-vitamin d ACA; OTC CALCIUM GLUCONATE IN D5W INTRAVENOUS SOLUTION GRAM/00 ML, 2 GRAM/00 ML, 4 GRAM/250 ML citrus calcium ACA; OTC EFFER-K ORAL TABLET, EFFERVESCENT 0 MEQ, 20 MEQ effer-k oral tablet, effervescent 25 meq GALZIN GLYCOPHOS 2 hi-cal plus vit d ACA; OTC k-effervescent klor-con klor-con 0 klor-con 8 klor-con m0 klor-con m5 klor-con m20 klor-con sprinkle KLOR-CON/25 klor-con/ef k-phos-neutral K-TAB ORAL TABLET EXTENDED RELEASE 0 MEQ, 20 MEQ k-tab oral tablet extended release 8 meq lugols oral NORMOSOL-R oysco 500/d oral tablet ACA; OTC oyster shell + d ACA; OTC oyster shell calcium-vit d ACA; OTC oystercal-d ACA; OTC phospha 250 neutral POTABA ORAL CAPSULE potassium acetate intravenous solution 2 meq/ml potassium bicarb and chloride potassium bicarb-citric acid potassium chlorid-d5-0.45%nacl potassium chloride potassium chloride in 0.9%nacl intravenous parenteral solution 20 meq/l, 40 meq/l potassium chloride in 5 % dex intravenous parenteral solution 20 meq/l, 0 meq/l, 40 meq/l potassium chloride in lr-d5 potassium chloride-0.45 % nacl potassium chloride-d5-0.2%nacl 70

71 potassium chloride-d5-0.%nacl intravenous parenteral solution 20 meq/l potassium chloride-d5-0.9%nacl POTASSIUM CL-LIDO-0.9 % NACL POTASSIUM PHOS IN 0.9 % NACL INTRAVENOUS PIGGYBACK POTASSIUM PHOS IN 0.9 % NACL INTRAVENOUS SOLUTION 5 MMOL/250 ML potassium phosphate m-/d-basic sodium chloride 0.45 % intravenous sodium chloride % sodium chloride 5 % sodium chloride intravenous sodium phosphate strong iodine oral virt-phos 250 neutral MISCELLANEOUS VITAMINS, HEMATINICS, & ELECTROLYTES biotect plus OTC CEREFOLIN NAC (ALGAL OIL) OTC ELON MATRIX COMPLETE OTC ISOLYTE S PH ISOLYTE-S 2 NORMOSOL-R PH PLASMA-LYTE 48 2 PLASMA-LYTE A 2 VITAMINS & HEMATINICS A THRU Z MEN'S ULTIMATE 2 OTC a thru z select women's OTC actical OTC ACTIVE FE ADVANCED MULTI EA OTC ALIVE WOMEN'S ENERGY OTC ALIVE WOMEN'S GUMMY VITAMINS OTC ANIMAL SHAPES COMPLETE ORAL TABLET,CHEWABLE 8 MG IRON ANIMI- WITH VITAMIN D OTC APETEX 2 OTC APETIGEN 2 OTC apetigen plus oral liquid OTC APETIGEN PLUS ORAL TABLET 2 OTC AQUADEKS ORAL TABLET,CHEWABLE 2 OTC AQUADEKS PEDIATRIC 2 OTC ARKALIOX OTC ATABEX EC b complex-vitamin b2 ACA; OTC b complex-vitamin c-folic acid ACA; OTC B-2 COMPLIANCE BABY IRON-MULTIVITAMIN OTC balanced b-00 complex oral tablet extended release 00 mg ACA; OTC balanced b-00 oral tablet 0.4 mg ACA; OTC balanced b-00 oral tablet 00 mg OTC balanced b-50 oral tablet ACA; OTC bal-care dha BAL-CARE DHA ESSENTIAL B-COMPLEX WITH B-2 OTC b-complex with vitamin c oral tablet ACA; OTC B-COMPLEX WITH VITAMIN C ORAL TABLET EXTENDED RELEASE 400 MCG 2 OTC BEROCCA (FA-GUARANA-CAFF) OTC BIFERA RX BIOTIN ORAL TABLET,CHEWABLE OTC BIOTIN ORAL TABLET,DISINTEGRATING OTC B-STRESS OTC CADEAU DHA calcium pnv calcium-folic acid-vitamin d CENTRAM-CARE OTC centravites OTC 7

72 CENTRUM COMPLETE 2 OTC CENTRUM FLAVOR BURST ADULT OTC CENTRUM FLAVOR BURST KIDS OTC CENTRUM KIDS OTC CENTRUM MEN 2 OTC CENTRUM ORAL LIQUID 2 OTC CENTRUM ORAL TABLET,CHEWABLE 2 OTC CENTRUM SILVER ORAL TABLET OTC CENTRUM SPECIALIST ENERGY OTC CENTRUM SPECIALIST HEART 2 OTC CENTRUM ULTRA MEN'S 2 OTC CENTURY MATURE ORAL TABLET MCG OTC CENTURY MEN'S OTC CENTURY ULTIMATE MEN'S ORAL TABLET 8 MG IRON- 200 MCG-600 MCG 2 OTC certa plus OTC CHILD COMPLETE MULTIVITAMIN OTC CHILD MULTIVITAMIN PLUS IRON OTC child vitamin with minerals OTC CHILDREN MULTIVITAMIN OTC CHILDREN'S MULTI-VIT GUMMIES OTC CHILDREN'S MULTIVITAMIN OTC child's chewable vitamins/iron oral tablet,chewable CHILD'S CHEWABLE VITAMINS/IRON ORAL TABLET,CHEWABLE 5 MG cholecalciferol (vitamin d) oral capsule,000 unit OTC OTC ACA; OTC CIFRAZOL OTC CITRANATAL (DUAL-IRON) CITRANATAL 90 DHA (ALGAL OIL) CITRANATAL ASSURE ORAL COMBO PACK 5 MG IRON- MG -50 MG-00 MG CITRANATAL B-CALM (FE GLUC) CITRANATAL DHA (ALGAL OIL) CITRANATAL HARMONY (IRON FUM) classic prenatal ACA; OTC c-nate dha cod liver oil oral oil OTC complete multi OTC complete multivitamin oral tablet OTC complete natal dha completenate complex b-00 oral tablet extended release CONCEPT DHA CONCEPT OB corvita 50 CORVITE 50 ORAL TABLET 50 MG IRON- MG CORVITE FE ORAL TABLET 50 MG IRON- MG cyanocobalamin (vitamin b-2) injection ACA; OTC CYFOLEX OTC CYTO B7 OTC DAILY MULTIPLE FOR WOMEN 2 OTC CHOLECALCIFEROL (VITAMIN D) ORAL DROPS 400 UNIT/0.2 ML cholecalciferol (vitamin d) oral drops 400 unit/ml cholecalciferol (vitamin d) oral tablet,000 unit, 400 unit cholecalciferol (vitamin d) oral tablet,chewable,000 unit OTC ACA; OTC ACA; OTC ACA; OTC DAILY MULTIVITAMIN OTC daily multivitamin with iron OTC daily multivitamin-minerals OTC DDROPS ORAL DROPS,000 UNIT/DROP OTC DEKAS ESSENTIAL OTC DEKAS PLUS (FOLIC ACID) OTC ciferex DEKAS PLUS LIQUID OTC 72

73 delta d ACA; OTC DEPLIN (ALGAL OIL) OTC DERMACINRX PUREFOLIX dialyvite 800 ACA; OTC DIALYVITE 800 PLUS D OTC DIALYVITE 800 WITH ZINC 5 OTC DIALYVITE 800 WITH ZINC 50 OTC DIALYVITE 800-ULTRA D 2 OTC dothelle dha DUET DHA BALANCED ORAL COMBO PACK 25 MG IRON- MG -267 MG-2 MG DUET DHA WITH OMEGA- ORAL COMBO PACK 25 MG IRON- MG -400 MG DURACHOL d-vi-sol ACA; OTC ELON MATRIX 5000 COMPLETE OTC EMERGEN-C KIDZ OTC ENBRACE HR ergocalciferol (vitamin d2) oral capsule ergocalciferol (vitamin d2) oral tablet 400 unit ESCAVITE ESCAVITE D ESCAVITE LQ ACA; OTC ESSENTIAL BALANCE WITH LUTEIN 2 OTC ESSENTIAL WOMAN 50+ OTC EXTRA-VIRT PLUS DHA FERAHEME 2 FERIVA 2-7 TABLET ferocon FERRALET 90 DUAL-IRON DELIVERY ferraplus 90 FLINTSTONES COMPLETE OTC FLINTSTONES COMPLETE (IRON) 2 OTC FLINTSTONES GUMMIES 2 OTC FLINTSTONES GUMMIES OMEGA- OTC FLINTSTONES MULTI-VIT GUMMIES 2 OTC FLINTSTONES MULTIVITAMIN ORAL TABLET,CHEWABLE 2 OTC FLINTSTONES PLUS CALCIUM 2 OTC FLINTSTONES SOUR GUMMIES OTC FLINTSTONES TAB CHEW 2 OTC FLINTSTONES WITH IRON OTC FLINTSTONES/EXTRA C ORAL TABLET,CHEWABLE FLINTSTONES/EXTRA C ORAL TABLET,CHEWABLE 00 MCG FLORIVA FLORIVA (FLUORIDE-VITAMIN D) FLORIVA PLUS FLUORABON FLUOR-A-DAY fluor-a-day (with xylitol) oral tablet,chewable 0.25 mg f (0.55 mg) mg fluor-a-day (with xylitol) oral tablet,chewable mg f (2.2 mg) mg 2 OTC OTC ACA fluoride (sodium) oral drops ACA fluoride (sodium) oral tablet,chewable 0.25 mg(0.55 mg sod. fluoride), 0.5 mg (. mg sodium fluorid) fluoride (sodium) oral tablet,chewable mg (2.2 mg sod. fluoride) fluoritab oral tablet,chewable 0.5 mg (. mg sodium fluorid) fluoritab oral tablet,chewable mg (2.2 mg sod. fluoride) FLURA-DROPS focalgin 90 dha focalgin ca focalgin dss folbee FOLET ONE ACA ACA 7

74 FOLGARD 2 OTC FOLGARD RX folic acid injection folic acid oral tablet mg folic acid oral tablet 400 mcg, 800 mcg ACA; OTC FOLIC ACID-VIT B6-VIT B2 (CA) OTC folic acid-vit b6-vit b2 oral tablet mg folivane-f folivane-ob folivane-plus FOLIXAPURE folplex 2.2 foltabs 800 ACA; OTC FOLTRATE FOLTX OTC fosfree OTC full spectrum b-vitamin c ACA; OTC FUSION PLUS FUSION SPRINKLES GUMMIES CHILDREN MULTIVITAMIN OTC GUMMY DINOS ORAL TABLET,CHEWABLE gummy dinos oral tablet,chewable 200 mcg OTC OTC HAIR FORMULA OTC HAIR, SKIN AND NAILS-ARGAN OIL OTC HAIR,SKIN AND NAILS ORAL TABLET MG IRON-66.7 MCG-,000 MCG OTC HAIR,SKIN AND NAILS(FA-BIOTIN) OTC hematinic/folic acid hematogen hematogen fa hematogen forte HEMATRON-AF hemenatal ob hemetab HEMOCYTE-F hydroxocobalamin ICAPS 2 OTC ICAPS MV 2 OTC ICAR-C PLUS infed INJECTAFER INTEGRA F INTEGRA PLUS IROSPAN 24/6 K2 PLUS D OTC KIDS' GUMMY OTC KIDS MULTIVITAMIN-MINERALS 2 OTC kobee ACA; OTC KOSHER PRENATAL PLUS IRON K-PAX IMMUNE SUPPORT 2 OTC K-PAX ORAL CAPSULE 2 OTC kpn oral tablet ACA; OTC levomefolate dha LITTLE ANIMALS-IRON ORAL TABLET,CHEWABLE 5 MG IRON ludent fluoride oral tablet,chewable 0.25 mg(0.55 mg sod. fluoride), 0.5 mg (. mg sodium fluorid) ludent fluoride oral tablet,chewable mg (2.2 mg sod. fluoride) MARNATAL-F MAXFE (FOLATE-DOCUSATE) OTC ACA MEN 50 PLUS ADVANCED ONE DAILY OTC MEN'S 50 PLUS DAILY FORMULA OTC men's daily multivit-mineral OTC METANX (ALGAL OIL) OTC MULTI FOR HER 50 PLUS OTC multi for her oral tablet OTC MULTI-DAY PLUS MINERALS OTC hemenatal ob + dha multi-delyn with iron OTC 74

75 multigen folic multigen plus multi-vit with fluoride-iron multi-vitamin with fluoride oral drops ACA multi-vitamin with fluoride oral tablet,chewable 0.25 mg, 0.5 mg multi-vitamin with fluoride oral tablet,chewable mg ACA MULTIVITAMIN-A,B,D,E,K,ZN OTC multivitamins with fluoride oral tablet,chewable 0.25 mg, 0.5 mg ACA nephronex OTC NEPHRO-VITE 2 OTC NESTABS NESTABS ABC NESTABS DHA NEURIN-SL newgen NEXA PLUS NEXAVIR NIVA-PLUS multivitamins with fluoride oral tablet,chewable mg mvc-fluoride oral tablet,chewable 0.25 mg, 0.5 mg mvc-fluoride oral tablet,chewable mg ACA MV-MIN-FOLIC ACID-LUTEIN OTC MVW COMPLETE FORMUL MULTIVIT OTC MVW COMPLETE FORMUL PEDIATRIC OTC MVW COMPLETE FORMULATION D000 MVW COMPLETE FORMULATION D5000 mynatal mynatal advance mynatal plus mynatal-z mynate 90 plus OTC OTC NANO VM - ORAL POWDER 2 OTC NANO VM 4-8 ORAL POWDER 2 OTC NANOVM 9-8 OTC NANOVM T/F OTC NASCOBAL 2 PA NATACHEW (FE BIS-GLYCINATE) NATELLE ONE natural b-00 complex ACA; OTC NEEVODHA (WITH ALGAL OIL) NEPHRON FA NOVAFERRUM PEDIATRIC OTC NOXIFOL-D NUTRIVIT 2 OTC OB COMPLETE GOLD OB COMPLETE ONE OB COMPLETE PETITE OB COMPLETE PREMIER OB COMPLETE WITH DHA obstetrix dha OBSTETRIX EC OBSTETRIX ONE OBTREX DHA O-CAL FA O-CAL PRENATAL ocutabs OTC ONCOVITE 2 OTC ONE DAILY FOR MEN OTC one daily for women OTC ONE DAILY HEALTHY WEIGHT OTC ONE DAILY MENS 50 PLUS ADV OTC one daily men's 50+ oral tablet mcg-mcg-mg OTC ONE DAILY MULTIVITAMIN-IRON OTC one daily prenatal oral combo pack mg-mcg-mg ACA; OTC ONE DAILY WOMEN 50 PLUS(VIT K) OTC 75

76 one daily womens 50 plus OTC one daily women's health OTC ONE-A-DAY CHOLESTEROL PLUS OTC ONE-A-DAY KID'S OTC ONE-A-DAY MEN 50 PLUS (GINKGO) 2 OTC ONE-A-DAY MEN'S 50 PLUS 2 OTC ONE-A-DAY TEEN HER VITACRAVES OTC ONE-A-DAY TEEN HIM VITACRAVES OTC ONE-A-DAY VITACRAVES OMEGA- OTC ONE-A-DAY WEIGHTSMART 2 OTC POLY-VI-FLOR WITH IRON POLY-VI-SOL OTC POLY-VI-SOL WITH IRON OTC pr natal 400 pr natal 400 ec pr natal 40 pr natal 40 ec PREFERA-OB PREFERA-OB ONE PREFERA-OB PLUS DHA ONE-A-DAY WOMEN'S 50 PLUS ORAL TABLET MCG ONE-A-DAY WOMENS FORMULA ORAL TABLET 8 MG IRON-400 MCG- 500 MG OTC OTC prena chew prena pearl prena true prenaissance ONE-A-DAY WOMENS FORMULA ORAL TABLET 8 MG IRON-400 MCG- 500 MG CA 2 OTC ONE-A-DAY WOMEN'S PETITES OTC OPTIMAL D M OTC OPTISOURCE OTC OPURITY MULTIVITAMIN OTC ortho d oyster shell calcium-vit d2 oral tablet 250 (625)-25 mg-unit ACA; OTC perry prenatal ACA; OTC PHYSICIANS EZ USE B-2 pnv 29- pnv ob+dha oral combo pack mg pnv-dha pnv-dha + docusate pnv-ferrous fumarate-docu-fa pnv-omega pnv-select pnv-vp-u PODIAPN OTC prenaissance plus PRENATA prenatabs fa prenatabs rx prenatal complete ACA; OTC prenatal formula oral tablet 28 mg iron- 800 mcg ACA; OTC prenatal multi-dha (algal oil) ACA; OTC prenatal one daily ACA; OTC prenatal oral tablet 28 mg iron- 800 mcg prenatal plus prenatal plus (calcium carb) PRENATAL PLUS DHA ORAL COMBO PACK prenatal vitamin oral tablet, 27 mg iron- 0.8 mg prenatal vitamin plus low iron ACA; OTC ACA; OTC prenatal vitamin with minerals ACA; OTC prenatal vits96-iron fum-folic ACA; OTC prenatal-u PRENATE AM POLY-VI-FLOR PRENATE CHEWABLE 76

77 PRENATE DHA (FERR ASP GLYCIN) PRENATE ELITE (IRON ASP GLYC) PRENATE ENHANCE PRENATE ESSENTIAL(IRON-ASP-GL) PRENATE MINI (FERR ASP GLYCIN) PRENATE PIXIE PRENATE RESTORE PRENATE STAR preplus pretab PRIMACARE PROCERV HP OTC PROFERRIN-FORTE PRORENAL 2 OTC prosight OTC PROTECT CARDIO AF OTC PROTECT PLUS NF OTC PROTECT PLUS SO OTC PROVIDA DHA PROVIDA OB PURALOR CI PUREFE OB PLUS PUREFE PLUS purevit dualfe plus QUFLORA FE QUFLORA FE (FERROUS SULFATE) QUFLORA PEDIATRIC QUFLORA PEDIATRIC DROPS QUIN B STRONG OTC relnate dha RENAL VITAMIN OTC RENAL-VITE OTC rena-vite ACA; OTC REPLESTA NX 2 OTC REVESTA RIBOZEL OTC risacal-d ACA; OTC R-NATAL OB ROXIFOL-D SCOOBY-DOO ONE A DAY 2 OTC SCOOBY-DOO ONE A DAY KIDS OTC SELECT-OB SELECT-OB (FOLIC ACID) SELECT-OB + DHA se-natal 9 se-natal 9 (with docusate) se-tan plus SIDEROL ORAL TABLET OTC SOLO OTC stress b plus zinc OTC stress b with zinc OTC STRESS B-COMPLEX ORAL TABLET 500 MG-400 MCG- 24 MG- MG OTC stress formula ACA; OTC stress formula plus iron OTC stress formula with iron ACA; OTC stress formula with iron(sulf) ACA; OTC STRESS FORMULA WITH ZINC OTC sunvite OTC super b complex-vitamin c ACA; OTC super b maxi complex ACA; OTC super b-50 complex plus ACA; OTC SUPER DAILY D ORAL DROPS,000 UNIT/DROP OTC SUPER MULTIPLE - LOW IRON OTC super quints ACA; OTC super quints b-50 ACA; OTC superplex-t ACA; OTC SUPPORT-500 OTC TANDEM PLUS taron forte 77

78 taron-c dha taron-prex prenatal-dha TEXAVITE LQ THERANATAL ORAL COMBO PACK OTC therapeutic-m vitamin/minerals OTC THEREMS-H 2 OTC THRIVITE RX thrivite-9 tl gard rx tl icon tl-hem 50 total b/c ACA; OTC TRICARE TRICARE PRENATAL TRICARE PRENATAL DHA ONE tricon VENOFER 2 vinate care VINATE DHA RF vinate ii vinate m vinate one vinate ultra virt-advance virt-c dha virt-gard virt-nate virt-nate dha virt-pn virt-pn dha virt-pn plus VIRTPREX TRIFERIC HEMODIALYSIS POWDER IN PACKET trigels-f forte trinatal gt trinatal rx trinate TRISTART DHA tri-tabs dha triveen-duo dha TRI-VI-FLOR TRI-VI-SOL OTC tri-vit with fluoride and iron tri-vitamin with fluoride ACA TROPICAL LIQUID NUTRITION OTC TRUEPLUS DIABETIC MULTIVITAMIN OTC trust natal dha ultimatecare one ultimatecare one nf ultra b-00 complex oral tablet ACA; OTC vemavite-prx-2 virt-select virt-vite virt-vite gt VIRT-VITE PLUS vit vit b complex-folic acid oral tablet ACA; OTC VITA-BEE WITH C OTC VITAFOL FE+ (WITH DOCUSATE) VITAFOL GUMMIES VITAFOL NANO VITAFOL ULTRA VITAFOL-OB 2 VITAFOL-OB+DHA VITAFOL-ONE vitajoy daily d ACA; OTC vitalets oral tablet,chewable 0 mg iron OTC VITAMED MD ONE RX VITAMEDMD REDICHEW RX vitamin b complex oral tablet ACA; OTC 78

79 vitamin d oral capsule,000 unit, 400 unit vitamin d oral tablet,000 unit, 400 unit ACA; OTC ACA; OTC vitamin d oral tablet,chewable ACA; OTC vitamins a and d OTC vitamins a,c,d and fluoride ACA VITAPEARL VITA-RESPA VITATRUE VITRUM SENIOR ORAL TABLET MCG vol-nate vol-plus vol-tab rx vp-ch plus vp-ch-pnv vp-ggr-b6 2 OTC WELLESSE MULTI VITAMIN PLUS OTC WOMEN'S 50 PLUS DAILY FORMULA OTC WOMEN'S DAILY FORMULA ORAL TABLET 8 MG IRON-400 MCG-500 MG WOMEN'S DAILY FORMULA ORAL TABLET 8 MG IRON-400 MCG-500 MG CA OTC 2 OTC WOMEN'S ONE DAILY 2 OTC XAQUIL XR OTC zatean-ch zatean-pn dha zatean-pn plus zavara zingiber ZOO FRIENDS COMPLETE ORAL TABLET,CHEWABLE 9 MG IRON ZOO FRIENDS ORAL TABLET,CHEWABLE OTC OTC vp-heme ob vp-heme one VP-PNV-DHA ALPHABETICAL LISTING INDEX A THRU Z MEN'S ULTIMATE... 7 a thru z select women's.. 7 abacavir... 7 abacavir-lamivudine... 7 abacavir-lamivudinezidovudine... 7 ABELCET... 5, 6 ABILIFY ABSORICA... 8 acamprosate ACANYA... 9 acarbose ACCOLATE ACCU-CHEK GUIDE L- L2 CTRL SOL ACCUPRIL... 0 ACCURETIC... 0 ACE AEROSOL CLOUD ENHANCER acebutolol... 0 acetaminophen-caffdihydrocod... 2 ACETAMINOPHEN- CAFF-DIHYDROCOD... 2 acetaminophen-codeine 2 acetazolamide... 6 acetazolamide sodium... 6 acetic acid... 44, 46 acetylcysteine ACIPHEX ACIPHEX SPRINKLE acitretin... 6 ACTEMRA ACTHAR H.P actical... 7 ACTICLATE... 2 ACTIGALL... 5 ACTIMMUNE ACTIQ... 2 ACTIVE FE... 7 ACTIVELLA ACTIVE-PAC... 7 ACTONEL... 44, 57 ACTOPLUS MET ACTOPLUS MET XR ACTOS

80 acuicyn... 6 ACULAR... 6 ACULAR LS... 6 acyclovir... 7, 42 acyclovir sodium... 7 ACZONE... 9 ADALAT CC... 0 adapalene... 9 ADAPALENE... 9 adapalene-benzoyl peroxide... 9 ADASUVE ADCIRCA ADDERALL ADDERALL XR ADDYI adefovir... 7 ADEMPAS ADIPEX-P adrenalin ADRENALIN adriamycin... adrucil... 4 ADVAIR DISKUS ADVAIR HFA ADVANCED ALLERGY COLLECT KIT ADVANCED MULTI EA... 7 ADVATE... ADYPHREN ADYPHREN AMP ADYPHREN AMP II ADYPHREN II ADZENYS XR-ODT AEROCHAMBER MINI 47 AEROCHAMBER PLUS FLOW-VU AEROCHAMBER PLUS Z STAT SM MSK AEROSPAN AEROTRACH PLUS AEROVENT PLUS afeditab cr... 0 AFINITOR... 4 AFINITOR DISPERZ... 4 AFREZZA AFTERA AGGRENOX... AGRYLIN AIRDUO RESPICLICK 66 AKTEN (PF)... 6 AKYNZEO... 5 ala-cort ALA-QUIN... 4 ALA-SCALP ALBENZA... 9 albuterol sulfate alclometasone ALDACTAZIDE... 0 ALDACTONE... 0 ALDARA ALECENSA... 4 alendronate... 44, 57 ALEVICYN ANTIPRURITIC... 7 ALEVICYN ANTIPRURITIC SG. 7 ALEVICYN PLUS... 7 ALFERON N alfuzosin ALIMTA... 4 ALINIA... 9 ALIVE WOMEN'S ENERGY... 7 ALIVE WOMEN'S GUMMY VITAMINS 7 ALKERAN... 4 allopurinol allopurinol sodium ALLZITAL... 2 almotriptan malate... 9 ALOCRIL... 6 ALOGLIPTIN- PIOGLITAZONE ALOMIDE... 6 alophen... 5 aloprim ALORA alosetron... 5 ALOXI... 5 ALPHAGAN P alprazolam alprazolam intensol alprostadil ALREX ALSUMA... 9 ALTABAX... 4 altacaine... 6 ALTACE... 0 altafluor... 6 altavera (28) ALTOPREV... 5 ALUNBRIG... 4 alyacen /5 (28) alyacen 7/7/7 (28) ALZAIR amabelz amantadine hcl... 7 AMARYL AMBIEN AMBIEN CR AMBISOME... 6 amcinonide AMELUZ... 7 AMERGE... 9 amethia amethia lo amethyst AMICAR... amifostine crystalline... amikacin... 9 amiloride... 0 amiloridehydrochlorothiazide... 0 aminocaproic acid... amiodarone... 0 AMITIZA... 5 amitriptyline amitriptylinechlordiazepoxide amlodipine... 0 amlodipine-atorvastatin. 5 amlodipine-benazepril... 0 amlodipine-olmesartan.. 0 amlodipine-valsartan... 0 amlodipine-valsartanhcthiazid

81 amnesteem... 9 amoxapine amoxicil-clarithromylansopraz amoxicillin... amoxicillin-pot clavulanate... AMPHADASE amphotericin b... 5, 6 ampicillin... ampicillin sodium... ampicillin-sulbactam... AMPYRA AMRIX ANADROL ANAFRANIL anagrelide ANA-LEX KIT ANALPRAM-HC... 6, 52 ANALPRAM-HC SINGLES ANAPROX DS anaspaz... 5 ANASTIA anastrozole... 4 ANCOBON... 5, 6 ANDRODERM ANDROGEL ANGELIQ ANGIOMAX... ANIMAL SHAPES COMPLETE... 7 ANIMI- WITH VITAMIN D... 7 ANORO ELLIPTA ANTABUSE ANTARA... 5 anucort-hc ANUSOL-HC ANZEMET APETEX... 7 APETIGEN... 7 apetigen plus... 7 APETIGEN PLUS... 7 apexicon e APLENZIN APOKYN... 8 apraclonidine aprepitant apri APRISO APTENSIO XR APTIOM... 7 APTIVUS... 7 AQUA GLYCOLIC HC 42 AQUADEKS... 7 AQUADEKS PEDIATRIC... 7 ARALAST NP aranelle (28) ARAVA ARCALYST ARCAPTA NEOHALER 66 ARGATROBAN IN 0.9 % SOD CHLOR... 4 ARGATROBAN IN NACL (ISO-OS)... 4 ARICEPT ARIMIDEX... 4 aripiprazole ARIXTRA... 4 ARKALIOX... 7 armodafinil ARMONAIR RESPICLICK ARMOUR THYROID ARNUITY ELLIPTA AROMASIN... 4 ARTHROTEC ARTHROTEC ARYMO ER... 2 ARZE-JECT-A ascomp with codeine... 2 ashlyna ASMANEX HFA ASMANEX TWISTHALER aspir aspirin aspirin low dose aspirin-caffeinedihydrocodein... 2 aspirin-dipyridamole... 4 aspir-low aspir-trin ASTAGRAF XL... 4 ASTEPRO ASTERO astramorph-pf... 2 ASTRAMORPH-PF... 2 AT HOME AC ATABEX EC... 7 ATACAND... 0 ATACAND HCT... 0 ATELVIA atenolol... 0 atenolol-chlorthalidone.. 0 ATGAM ATIVAN atomoxetine ATOPICLAIR... 7 atorvastatin... 5 atovaquone... 9 atovaquone-proguanil... 9 ATRALIN... 9 ATRAPRO CP... 7 ATRAPRO HYDROGEL... 7 ATRIPLA... 7 ATROPEN atropine... 5, 62 ATROVENT HFA AUBAGIO aubra AUGMENTIN... AUGMENTIN ES AUGMENTIN XR... AURYXIA AUSTEDO AUTOJECT 2 INJECTION DEVICE AUTOPEN TO 2 UNITS AVALIDE... 0 AVANDIA AVAPRO... 0 avar

82 AVAR... 9 AVAR LS... 9 AVAR-E GREEN... 9 AVAR-E LS... 9 AVC VAGINAL AVELOX... 2 AVELOX IN NACL (ISO- OSMOTIC)... 2 AVENOVA... 6 aviane avidoxy... 2 AVIDOXY DK... 2 avita... 9 AVITA... 9 avo cream... 7 AVODART AVONEX AVONEX (WITH ALBUMIN) AVYCAZ... 8 AXERT... 9 AXIRON AYGESTIN AZACTAM... 9 AZACTAM IN DEXTROSE (ISO-OSM)... 9 AZASAN... 4 AZASITE azathioprine... 4 azelastine... 45, 6 AZELEX... 9 AZILECT... 8 azithromycin... 9 AZOPT... 6 AZOR... 0 aztreonam... 0 AZULFIDINE AZULFIDINE EN-TABS azuphen mb azurette (28) b complex-vitamin b2.. 7 b complex-vitamin c-folic acid... 7 B-2 COMPLIANCE... 7 BABY IRON- MULTIVITAMIN... 7 baciim... 0 bacitracin... 0, 62 bacitracin-polymyxin b.. 62 baclofen BACTRIM... 2 BACTRIM DS... 2 BACTROBAN... 4 BACTROBAN NASAL.. 45 balanced b balanced b-00 complex 7 balanced b bal-care dha... 7 BAL-CARE DHA ESSENTIAL... 7 balsalazide balziva (28) BANZEL... 7 BARACLUDE... 7 BASAGLAR KWIKPEN 48 BAVENCIO... 4 bayer aspirin B-COMPLEX WITH B b-complex with vitamin c... 7 B-COMPLEX WITH VITAMIN C... 7 bekyree (28) BELBUCA... 2 belladonna alkaloidsopium... 5 belladonna-opium... 5 BELSOMRA BELVIQ BELVIQ XR benazepril... 0 benazeprilhydrochlorothiazide.. 0 BENICAR... 0 BENICAR HCT... 0 BENSAL HP... 7 BENTYL... 5 BENZACLIN... 9 BENZACLIN PUMP... 9 BENZAMYCIN... 9 BENZEFOAM... 9 BENZEFOAM ULTRA.. 9 benzepro... 9 BENZODOX BENZODOX benzonatate benzphetamine benztropine... 8 BEPREVE... 6 BERINERT BEROCCA (FA- GUARANA-CAFF)... 7 BESIVANCE BESPONSA... 4 BETADINE OPHTHALMIC PREP BETAGAN betamethasone acet,sod phos betamethasone dipropionate betamethasone valerate. 42 betamethasone, augmented BETAPACE... 0 BETAPACE AF... 0 BETASERON betaxolol... 0, 62 bethanechol chloride BETHKIS... 0 BETIMOL BETOPTIC S BEVESPI AEROSPHERE bexarotene... 4 BEYAZ BIAFINE EMULSION.. 7 bicalutamide... 4 BICNU... 4 BIDIL... 0 BIFERA RX... 7 BILTRICIDE... 0 bimatoprost... 6 BINOSTO

83 biotect plus... 7 BIOTIN... 7 bisacodyl bisa-lax bisoprolol fumarate... 0 bisoprololhydrochlorothiazide... 0 bivalirudin... 4 bleo 5k... 4 bleomycin... 4 BLEPH BLEPHAMIDE BLEPHAMIDE S.O.P blisovi 24 fe blisovi fe.5/0 (28) blisovi fe /20 (28) BONIVA BOSULIF... 4 BOTOX bp bp-50% urea... 7 bpo... 9 BREATHERITE WITH MASK, SMALL BREO ELLIPTA BREVIBLOC... 0 BREVIBLOC IN NACL (ISO-OSM)... 0 BREVICON (28) BRIDION briellyn BRILINTA... 4 brimonidine BRINEURA BRISDELLE BRIVIACT... 7 BROMFED DM bromfenac... 6 bromocriptine... 8 brompheniraminepseudoeph-dm BROMSITE... 6 BROVANA B-STRESS... 7 BUCALSEP budesonide... 52, 67 bumetanide... 0 BUNAVAIL BUPAP... 2 BUPHENYL BUPRENEX... 2 buprenorphine hcl... 2 buprenorphine-naloxone bupropion hcl bupropion hcl (smoking deter) buspirone butalbital compound w/codeine... 2 butalbital-acetaminop-cafcod... 2 butalbital-acetaminophen... 2 butalbital-acetaminophencaff... 2 butalbital-aspirin-caffeine... 2 BUTISOL butorphanol tartrate BYDUREON BYETTA BYSTOLIC... 0 BYVALSON... 0 cabergoline CABOMETYX... 4 CADEAU DHA... 7 CADUET... 5 CAFERGOT... 9 caffeine citrate CALAN... 0 CALAN SR... 0 calcipotriene... 6 calcipotrienebetamethasone... 6 calcitonin (salmon) calcitrene... 6 calcitriol... 6, 49 calcium d calcium 500 with d calcium d() calcium 600 with vitamin d calcium acetate calcium carb and citratevitd calcium carbonate-vitamin d calcium citrate + d calcium citrate-vitamin d calcium citrate-vitamin d CALCIUM GLUCONATE IN D5W calcium pnv... 7 calcium-folic acid-vitamin d... 7 CALDOLOR CAMBIA camila camrese camrese lo CANASA CANCIDAS... 5, 6 candesartan... 0 candesartanhydrochlorothiazid... 0 capacet... 2 CAPASTAT... 0 CAPCOF capecitabine... 4 CAPEX CAPITAL WITH CODEINE... 2 CAPRELSA... 4 captopril... 0 captoprilhydrochlorothiazide... 0 CARAC... 7 CARAFATE CARBAGLU carbamazepine... 7 CARBATROL... 7 carbidopa... 8 carbidopa-levodopa

84 carbidopa-levodopaentacapone... 9 carbinoxamine maleate. 65 carboplatin... 4 CARDENE IV... CARDENE IV IN DEXTROSE... CARDENE IV IN SODIUM CHLORIDE... CARDIZEM... CARDIZEM CD... CARDIZEM LA... CARDURA... CARDURA XL... carisoprodol carisoprodol-asa-codeine carisoprodol-aspirin CARNITOR CARNITOR (SUGAR- FREE) carteolol cartia xt... CARTRIDGE STAMPED IR carvedilol... CASODEX... 4 CASPOFUNGIN... 6 CATAPRES... CATAPRES-TTS-... CATAPRES-TTS-2... CATAPRES-TTS-... CAVERJECT CAVERJECT IMPULSE 69 CAYA CONTOURED CAYSTON... 0 caziant (28) CEDAX... 8 cefaclor... 8 cefadroxil... 8 cefazolin... 8 CEFAZOLIN IN 0.9% SOD CHLORIDE... 8 cefazolin in dextrose (isoos)... 8 CEFAZOLIN IN DEXTROSE (ISO-OS) 8 CEFAZOLIN IN DEXTROSE 5 %... 8 CEFAZOLIN IN STERILE WATER... 8 cefdinir... 8 cefditoren pivoxil... 8 cefepime... 8 CEFEPIME IN DEXTROSE 5 %... 8 cefepime in dextrose,isoosm... 8 cefixime... 8 cefotaxime... 8 cefotetan... 8 CEFOTETAN IN DEXTROSE, ISO-OSM... 8 cefoxitin... 8 cefoxitin in dextrose, isoosm... 8 cefpodoxime... 9 cefprozil... 9 ceftazidime... 9 CEFTAZIDIME IN D5W 9 ceftibuten... 9 CEFTIN... 9 ceftriaxone... 9 CEFTRIAXONE... 9 ceftriaxone in dextrose,isoos... 9 cefuroxime axetil... 9 cefuroxime sodium... 9 CELEBREX celecoxib CELESTONE SOLUSPAN CELEXA CELLCEPT... 4 CELONTIN... 7 cem-urea... 7 CENTANY... 4 CENTANY AT... 4 centergy CENTRAM-CARE... 7 centravites... 7 CENTRUM CENTRUM COMPLETE CENTRUM FLAVOR BURST ADULT CENTRUM FLAVOR BURST KIDS CENTRUM KIDS CENTRUM MEN CENTRUM SILVER CENTRUM SPECIALIST ENERGY CENTRUM SPECIALIST HEART CENTRUM ULTRA MEN'S CENTURY MATURE CENTURY MEN'S CENTURY ULTIMATE MEN'S cephalexin... 9 CERAMAX... 7 CERDELGA CEREBYX... 7 CEREFOLIN NAC (ALGAL OIL)... 7 certa plus CERVIDIL CESAMET cevimeline CHANTIX CHANTIX CONTINUING MONTH BOX CHANTIX STARTING MONTH BOX chateal CHEMET CHENODAL cheratussin ac CHILD COMPLETE MULTIVITAMIN CHILD MULTIVITAMIN PLUS IRON

85 child vitamin with minerals CHILDREN MULTIVITAMIN children's aspirin CHILDREN'S MULTI- VIT GUMMIES CHILDREN'S MULTIVITAMIN child's chewable vitamins/iron CHILD'S CHEWABLE VITAMINS/IRON chloramphenicol sod succinate... 0 chlordiazepoxide hcl chlordiazepoxideclidinium... 5 chlorhexidine gluconate 46 chloroquine phosphate.. 0 chlorothiazide... chlorothiazide sodium... chlorpromazine chlorpropamide chlorthalidone... chlorzoxazone CHOLBAM cholecalciferol (vitamin d) CHOLECALCIFEROL (VITAMIN D) cholestyramine (with sugar)... 5 cholestyramine light... 5 choline,magnesium salicylate CIALIS... 68, 69 ciclodan... 4 CICLODAN KIT... 4 ciclopirox... 4 ciclopirox-ure-camphmenth-euc... 4 cidaleaze cidofovir... 7 ciferex CIFRAZOL cilostazol... 4 CILOXAN cimetidine cimetidine hcl CINRYZE CIPRO... 2 CIPRO HC CIPRO IN D5W... 2 CIPRO XR... 2 CIPRODEX ciprofloxacin... 2 ciprofloxacin (mixture). 2 ciprofloxacin hcl 2, 46, 62 ciprofloxacin in 5 % dextrose... 2 ciprofloxacin lactate... 2 cisplatin... 4 citalopram CITRANATAL (DUAL- IRON) CITRANATAL 90 DHA (ALGAL OIL) CITRANATAL ASSURE 72 CITRANATAL B-CALM (FE GLUC) CITRANATAL DHA (ALGAL OIL) CITRANATAL HARMONY (IRON FUM) citrate of magnesia citroma citrus calcium cladribine... 4 CLAFORAN... 9 claravis... 9 CLARINEX CLARINEX-D 2 HOUR clarithromycin... 9 classic prenatal cleansing wash... 9 clemastine CLEO 90 INFUSION SET CLEOCIN... 0, 59 CLEOCIN HCL... 0 CLEOCIN IN 5 % DEXTROSE... 0 CLEOCIN PEDIATRIC 0 CLEOCIN T... 9 CLEVER CHOICE CHAMBER-SM MASK CLEVIPREX... CLIMARA CLIMARA PRO CLIN SINGLE USE... 0 CLINDACIN ETZ... 9 clindacin p... 9 CLINDACIN PAC... 9 CLINDAGEL... 9 clindamycin hcl... 0 CLINDAMYCIN IN 0.9 % SOD CHLOR... 0 clindamycin in 5 % dextrose... 0 clindamycin palmitate hcl... 0 clindamycin pediatric... 0 clindamycin phosphate. 0, 9, 59 clindamycin-benzoyl peroxide... 9 clindamycin-tretinoin... 9 CLINDESSE clobetasol clobetasol-emollient CLOBEX CLOCORTOLONE PIVALATE clodan CLODAN KIT CLODERM clofarabine... 4 CLOLAR... 4 clomipramine clonazepam... 7 clonidine... clonidine hcl... 26, clopidogrel... 4 clorazepate dipotassium

86 clorpres... CLORPRES... clotrimazole... 6 clotrimazolebetamethasone... 4 clozapine CLOZAPINE CLOZARIL c-nate dha COAL TAR... 6 COARTEM... 0 cod liver oil codeine sulfate... 2 codeine-butalbital-asa-caff... 2 codeine-guaifenesin CODITUSSIN AC CODITUSSIN DAC COGENTIN... 9 COLAZAL COLCRYS COLESTID... 5 COLESTID FLAVORED... 5 colestipol... 5 colistin (colistimethate na)... 0 colocort COLY-MYCIN M PARENTERAL... 0 COLY-MYCIN S COLYTE WITH FLAVOR PACKS COMBIGAN... 6 COMBIPATCH COMBIVENT RESPIMAT COMBIVIR... 7 COMETRIQ... 4 COMFORT INFUSION SET COMFORT SHORT INSULIN PUMP COMPACT SPACE CHAMBER-LRG MASK COMPAZINE COMPLERA... 7 complete multi complete multivitamin.. 72 complete natal dha complete premium vitamin completenate complex b compro COMTAN... 9 CONCEPT DHA CONCEPT OB CONCEPTROL CONCERTA CONDYLOX... 7 constulose CONTACT DETACH INFUS SET CONTRAVE CONZIP COPAXONE COPEGUS CORDRAN CORDRAN TAPE LARGE ROLL COREG... COREG CR... CORGARD... CORLANOR... 6 CORLOPAM... cormax CORTANE-B... 7 CORTEF CORTENEMA CORTIFOAM cortisone CORTISPORIN... 4 corvita CORVITE CORVITE FE CORZIDE... COSENTYX... 6 COSENTYX (2 SYRINGES)... 6 COSENTYX PEN... 6 COSENTYX PEN (2 PENS)... 6 COSMEGEN... 4 COSOPT... 6 COSOPT (PF)... 6 COTELLIC... 4 COTEMPLA XR-ODT COUMADIN... 4 covaryx covaryx h.s COZAAR... CREON CRESEMBA... 6 CRESTOR... 5 CRINONE CRIXIVAN... 7 cromolyn... 52, 6, 67 cryselle (28) CUPRIMINE CUROSURF CUSHINGS SYNDROME DIAGNOSTIC CUTIVATE CUVPOSA... 5 cyanocobalamin (vitamin b-2) cyclafem /5 (28) cyclafem 7/7/7 (28) CYCLESSA (28) cyclobenzaprine CYCLOGYL CYCLOMYDRIL cyclopentolate cyclophosphamide... 4 CYCLOPHOSPHAMIDE... 4 CYCLOSERINE... 0 CYCLOSET cyclosporine... 4 cyclosporine modified... 4 CYFOLEX CYKLOKAPRON... 4 CYMBALTA cyproheptadine cyred CYSTADANE

87 CYSTAGON CYSTARAN... 6 cytarabine... 4 cytarabine (pf)... 4 CYTO B CYTOMEL CYTOTEC CYTOVENE... 7 cytra k crystals cytra cytra cytra-k D.H.E dacarbazine... 4 DAILY MULTIPLE FOR WOMEN DAILY MULTIVITAMIN daily multivitamin with iron daily multivitaminminerals DALIRESP DALVANCE... 0 danazol DANTRIUM dantrolene dapsone... 0 DARAPRIM... 0 darifenacin dasetta /5 (28) dasetta 7/7/7 (28) daunorubicin... 4 DAXBIA... 9 DAYPRO daysee DAYTRANA DDAVP DDROPS DEBACTEROL deblitane DEKAS ESSENTIAL DEKAS PLUS (FOLIC ACID) DEKAS PLUS LIQUID. 72 DELESTROGEN delta d... 7 deltasone delyla (28) DEMADEX... demeclocycline... 2 DEMEROL... 2 demerol (pf)... 2 DEMEROL (PF)... 2 DEMSER... DENAVIR DEPACON... 7 DEPAKENE... 7 DEPAKOTE... 7 DEPAKOTE ER... 7 DEPAKOTE SPRINKLES... 7 DEPEN TITRATABS DEPLIN (ALGAL OIL). 7 DEPO-ESTRADIOL DEPO-MEDROL DEPO-PROVERA DEPO-SUBQ PROVERA DEPO-TESTOSTERONE DERMACINRX LEXITRAL DERMACINRX PUREFOLIX... 7 DERMACINRX SILAPAK DERMACINRX THERAZOLE PAK... 4 DERMA-SMOOTHE/FS BODY OIL DERMA-SMOOTHE/FS SCALP OIL DERMASORB AF COMPLETE KIT... 4 DERMASORB HC COMPLETE KIT DERMASORB TA COMPLETE KIT DERMATOP DERMAWERX SDS DERMOTIC OIL DESCOVY... 7 desipramine desloratadine desmopressin desoge.estradiol/e.estradiol. 59 desogestrel-ethinyl estradiol DESONATE desonide DESOWEN desoximetasone DESOXYN DESVENLAFAXINE DESVENLAFAXINE FUMARATE desvenlafaxine succinate 26 DETROL DETROL LA dexamethasone dexamethasone intensol 46 dexamethasone sodium phos (pf) dexamethasone sodium phosphate... 46, 64 DEXCOM G5 RECEIVER DEXEDRINE SPANSULE DEXILANT dexmethylphenidate DEXPAK 0 DAY DEXPAK DAY DEXPAK 6 DAY dexrazoxane hcl... dextroamphetamine dextroamphetamineamphetamine dialyvite DIALYVITE 800 PLUS D... 7 DIALYVITE 800 WITH ZINC DIALYVITE 800 WITH ZINC

88 DIALYVITE 800-ULTRA D... 7 DIAMOX SEQUELS... 6 DIASTAT... 7 DIASTAT ACUDIAL... 7 diazepam... 7, 26, 27 diazepam intensol DIBENZYLINE... DICLEGIS diclofenac potassium diclofenac sodium... 24, 7, 6 diclofenac-misoprostol DICLOTRAL dicloxacillin... 2 DICLOZOR dicyclomine... 5 didanosine... 7 diethylpropion DIFFERIN... 9 DIFICID... 9 diflorasone DIFLUCAN... 6 diflunisal digitek... digox... digoxin... dihydroergotamine... 9 DILANTIN... 7 DILANTIN EXTENDED... 7 DILANTIN INFATABS 7 DILANTIN DILATRATE-SR... 6 DILAUDID... 2 diltiazem... DILTIAZEM IN DEXTROSE 5 %... dilt-xr... dimenhydrinate DIOVAN... DIOVAN HCT... diphenhydramine hcl diphenoxylate-atropine. 5 DIPROLENE dipyridamole... 4 DISALCID diskets... 2 disopyramide phosphate0 disulfiram DITROPAN XL DIURIL... DIURIL IV... divalproex... 7 DIVIGEL DM DOCEFREZ... 4 docetaxel... 4 DOCETAXEL... 4 dofetilide... 0 DOLOPHINE... 2 donepezil DONNATAL... 5 DORAL DORYX... 2 DORYX MPC... 2 dorzolamide... 6 dorzolamide-timolol dothelle dha... 7 DOVONEX... 6 doxazosin... doxepin... 27, 7 doxercalciferol DOXIL... 4 doxorubicin... 4 doxorubicin, pegliposomal... 4 doxy doxycycline hyclate.. 2, doxycycline monohydrate... drithocreme hp... 6 dronabinol droperidol drospirenone-e.estradiollm.fa drospirenone-ethinyl estradiol DROXIA... 4 DS PREP PAK DUAC... 9 DUAVEE ducodyl DUET DHA BALANCED... 7 DUET DHA WITH OMEGA DUETACT DUEXIS DULERA duloxetine DUODOTE DUOPA... 9 DUPIXENT... 7 DURACHOL... 7 DURAGESIC... 2 duramorph (pf)... 2 DUREZOL DURLAZA... 4 dutasteride dutasteride-tamsulosin DUTOPROL... d-vi-sol... 7 DYANAVEL XR DYAZIDE... DYLOJECT DYMISTA DYRENIUM... DYSPORT e.c. prin e.e.s E.E.S. GRANULES... 9 EASIVENT HOLDING CHAMBER EASY TOUCH TEST STRIP EC-NAPROSYN econazole... 4 econtra ez ecotrin ecotrin low strength ECOZA... 4 EDARBI... EDARBYCLOR... EDECRIN... EDEX EDLUAR ed-spaz

89 EDURANT... 7 eemt eemt hs effer-k EFFER-K EFFEXOR XR EFFIENT... 4 EFUDEX... 7 EGRIFTA ELDEPRYL... 9 ELESTAT... 6 ELESTRIN eletone... 7 eletriptan hbr... 9 ELIDEL... 7 ELIGARD... 4 ELIGARD ( MONTH). 4 ELIGARD (4 MONTH). 4 ELIGARD (6 MONTH). 4 ELIMITE... 4 elinest eliphos ELIQUIS... 4 ELITEK... ELIXOPHYLLIN ELLA ELLENCE... 4 ELLZIA PAK ELMIRON ELOCON ELON MATRIX 5000 COMPLETE... 7 ELON MATRIX COMPLETE... 7 EMADINE... 6 EMBEDA... 2 EMCYT... 4 EMEND EMERGEN-C KIDZ... 7 emoquette EMPLICITI... 4 EMSAM EMTRIVA... 7 emulsion sb... 7 EMVERM... 0 ENABLEX enalapril maleate... enalaprilat... enalaprilhydrochlorothiazide.. ENBRACE HR... 7 ENBREL ENBREL SURECLICK. 57 endocet... 2 enoxaparin... 4 enpresse enskyce ENSTILAR... 6 entacapone... 9 entecavir... 7 ENTOCORT EC ENTRESTO... 6 ENTTY... 7 enulose ENVARSUS XR... 4 EPANED... EPICERAM... 7 EPIDUO... 9 EPIDUO FORTE... 9 EPIFOAM... 6 epinastine... 6 epinephrine EPINEPHRINE EPINEPHRINE HCL (PF) EPINEPHRINESNAP-V 65 epirubicin... 4 EPISIL EPISNAP epitol... 7 EPIVIR... 7 EPIVIR HBV... 7 eplerenone... eprosartan... EPZICOM... 7 EQUETRO... 7 ERAXIS(WATER DILUENT) 6 ergocalciferol (vitamin d2)... 7 ergoloid ERGOMAR... 9 ergotamine-caffeine... 9 ERIVEDGE... 4 errin ERTACZO... 4 ERWINAZE... 4 ery pads... 9 erygel... 9 ERYPED ERYPED ery-tab... 9 ERY-TAB... 9 ERYTHROCIN... 9 erythrocin (as stearate)... 9 erythromycin... 9, 62 erythromycin ethylsuccinate... 9 erythromycin with ethanol... 9 erythromycin-benzoyl peroxide... 9 ESBRIET ESCAVITE... 7 ESCAVITE D... 7 ESCAVITE LQ... 7 escitalopram oxalate ESGIC... 2 esmolol... esomeprazole magnesium esomeprazole sodium ESOMEPRAZOLE STRONTIUM ESSENTIAL BALANCE WITH LUTEIN... 7 ESSENTIAL WOMAN estarylla estazolam ESTRACE estradiol estradiol valerate estradiol-norethindrone acet ESTRING estrogensmethyltestosterone estropipate

90 ESTROSTEP FE eszopiclone ethacrynate sodium... ethacrynic acid... ethambutol... 0 ethosuximide... 7 ethyl chloride ethynodiol diac-eth estradiol ETHYOL... etidronate disodium etodolac ETOPOPHOS... 4 etoposide... 4 EUCRISA... 7 EURAX... 4 EVAMIST EVEKEO EVISTA EVOCLIN... 9 EVOMELA... 4 EVOTAZ... 7 EVOXAC EXALGO ER... 2 EXELDERM... 4 EXELON exemestane... 5 EXFORGE... EXFORGE HCT... EXJADE EXODERM... 4 EXTAVIA EXTINA... 4 EXTRA-VIRT PLUS DHA... 7 E-Z SPACER ezetimibe... 5 ezetimibe-simvastatin... 5 FABIOR... 9 FACTIVE... 2 fallback solo falmina (28) famciclovir... 7 famotidine famotidine (pf) famotidine (pf)-nacl (isoos) FANAPT FARESTON... 5 FARXIGA FARYDAK... 5 FASLODEX... 5 fayosim FAZACLO FC2 FEMALE CONDOM felbamate... 7 FELBATOL... 7 FELDENE felodipine... fem ph FEMARA... 5 FEMCAP FEMHRT LOW DOSE. 58 FEMRING femynor fenofibrate... 5 FENOFIBRATE... 5 fenofibrate micronized.. 5 fenofibrate nanocrystallized... 5 fenofibric acid... 5 fenofibric acid (choline). 5 FENOGLIDE... 5 fenoprofen FENOPROFEN FENORTHO fentanyl... 2 FENTANYL... 2 fentanyl citrate... 2 fentanyl citrate (pf)... 2 FENTANYL CITRATE- 0.9%NACL (PF)... 2 FENTANYL- ROPIVACAINE-NACL (PF)... 2 FERAHEME... 7 FERIVA 2-7 TABLET. 7 ferocon... 7 FERRALET 90 DUAL- IRON DELIVERY... 7 ferraplus FERRIPROX FERRLECIT FETZIMA FEXMID FIBRICOR... 5 FINACEA... 9 finasteride FIORICET... 2 FIORINAL... 2 FIORINAL-CODEINE #... 2 FIRAZYR FIRMAGON KIT W DILUENT SYRINGE 5 FLAGYL... 0 FLAREX flavoxate flecainide... 0 FLECTOR fleet laxative FLEXICHAMBER FLINTSTONES COMPLETE... 7 FLINTSTONES COMPLETE (IRON). 7 FLINTSTONES GUMMIES... 7 FLINTSTONES GUMMIES OMEGA FLINTSTONES MULTI- VIT GUMMIES... 7 FLINTSTONES MULTIVITAMIN... 7 FLINTSTONES PLUS CALCIUM... 7 FLINTSTONES SOUR GUMMIES... 7 FLINTSTONES TAB CHEW... 7 FLINTSTONES WITH IRON... 7 FLINTSTONES/EXTRA C... 7 FLOLIPID

91 FLOMAX FLORIVA... 7 FLORIVA (FLUORIDE- VITAMIN D)... 7 FLORIVA PLUS... 7 FLOVENT DISKUS FLOVENT HFA FLOWTUSS floxin floxuridine... 5 flucaine... 6 fluconazole... 6 fluconazole in dextrose(iso-o)... 6 fluconazole in nacl (isoosm)... 6 flucytosine... 6 fludarabine... 5 fludrocortisone FLUMADINE... 7 flumazenil flunisolide fluocinolone fluocinolone acetonide oil fluocinolone and shower cap fluocinonide... 42, 4 fluocinonide-e... 4 fluocinonide-emollient.. 4 FLUORABON... 7 FLUOR-A-DAY... 7 fluor-a-day (with xylitol) 7 fluorescein-proparacaine... 6 fluoride (sodium)... 7 fluoritab... 7 fluorometholone FLUOROPLEX... 8 fluorouracil... 5, 8 fluoxetine FLUOXETINE fluphenazine decanoate. 27 fluphenazine hcl FLURA-DROPS... 7 flurandrenolide... 4 flurazepam flurbiprofen flurbiprofen sodium... 6 flurox... 6 flutamide... 5 fluticasone... 4 FLUTICASONE- SALMETEROL fluvastatin... 5 fluvoxamine FML FORTE FML LIQUIFILM FML S.O.P focalgin 90 dha... 7 focalgin ca... 7 focalgin dss... 7 FOCALIN FOCALIN XR folbee... 7 FOLET ONE... 7 FOLGARD FOLGARD RX folic acid folic acid-vit b6-vit b FOLIC ACID-VIT B6-VIT B2 (CA) folivane-f folivane-ob folivane-plus FOLIXAPURE folplex foltabs FOLTRATE FOLTX fondaparinux... 4 FORFIVO XL FORTAMET FORTAZ... 9 FORTAZ IN DEXTROSE 5 %... 9 FORTEO FOSAMAX FOSAMAX PLUS D foscarnet... 7 FOSCAVIR... 7 fosfree fosinopril... fosinoprilhydrochlorothiazide... fosphenytoin... 7 FOSRENOL FRAGMIN... 4 FROTEK frovatriptan... 9 full spectrum b-vitamin c FURADANTIN... furosemide... 2 FUSION PLUS FUSION SPRINKLES FUZEON... 7 fyavolv FYCOMPA... 7 g tussin ac gabapentin... 7 GABITRIL... 7 galantamine GALZIN GAMMAPLEX GANCICLOVIR... 7 ganciclovir sodium... 7 GASTROCROM gatifloxacin GATTEX 0-VIAL gavilyte-c gavilyte-g gavilyte-n GELCLAIR GELNIQUE GELX gemcitabine... 5 gemfibrozil... 5 GEMZAR... 5 GENERESS FE generlac gengraf... 5 GENOTROPIN GENOTROPIN MINIQUICK gentak gentamicin... 0, 4, 62 9

92 gentamicin in nacl (isoosm)... 0 GENTAMICIN IN NACL (ISO-OSM)... 0 gentamicin sulfate (ped) (pf)... 0 gentamicin sulfate (pf)... 0 GENTAMICIN SULFATE (PF)... 0 gentle laxative GENVOYA... 7 GEODON gianvi (28) GIAZO gildagia GILENYA GILOTRIF... 5 GLASSIA glatopa GLEEVEC... 5 GLEOSTINE... 5 GLIADEL WAFER... 5 glimepiride glipizide glipizide-metformin GLUCAGEN DIAGNOSTIC KIT GLUCAGEN HYPOKIT GLUCAGON EMERGENCY KIT (HUMAN) GLUCAGON HCL GLUCOPHAGE GLUCOPHAGE XR GLUCOTROL GLUCOTROL XL GLUCOVANCE glyburide glyburide micronized glyburide-metformin GLYCOPHOS glycopyrrolate... 5 GLYCOPYRROLATE... 5 glydo GLYNASE GLYSET GLYXAMBI GOLYTELY GONITRO... 6 GORDONS UREA... 8 GRALISE... 7 GRALISE 0-DAY STARTER PACK... 7 granisetron (pf) granisetron hcl GRANIX griseofulvin microsize... 6 griseofulvin ultramicrosize... 6 GRIS-PEG (ULTRAMICROSIZE) 6 guaiatussin ac guaifenesin ac guaifenesin dac guanfacine... 27, 2 guanidine GUMMIES CHILDREN MULTIVITAMIN gummy dinos GUMMY DINOS GYNAZOLE gynol ii HAEGARDA HAIR FORMULA HAIR, SKIN AND NAILS- ARGAN OIL HAIR,SKIN AND NAILS HAIR,SKIN AND NAILS(FA-BIOTIN). 74 HALCION HALDOL HALDOL DECANOATE halobetasol propionate.. 4 HALOG... 4 haloperidol haloperidol decanoate haloperidol lactate HARVONI... 7 heather HECTOROL HELIXATE FS... 4 HEMANGEOL... 2 hematinic/folic acid hematogen hematogen fa hematogen forte HEMATRON-AF hemenatal ob hemenatal ob + dha hemetab hemmorex-hc HEMOCYTE-F hep flush-0 (pf)... 4 HEPAGAM B heparin (porcine)... 4 heparin (porcine) in 5 % dex... 4 heparin flush(porcine)- 0.9nacl... 4 heparin lock flush... 4 heparin lock flush (porcine)... 4 heparin lockflush(porcine)(pf). 4 heparin(porcine) in 0.45% nacl... 4 HEPARIN(PORCINE) IN 0.45% NACL... 4 heparin, porcine (pf)... 4 HEPSERA... 7 HETLIOZ HEXALEN... 5 hi-cal plus vit d HIPREX... HISTEX-AC HIZENTRA homatropaire homatropine hbr HORIZANT hpr... 8 hpr plus... 8 hpr plus hydrogel... 8 HPR PLUS-MB HYDROGEL... 8 HUMALOG

93 HUMALOG JUNIOR KWIKPEN HUMALOG KWIKPEN 48 HUMALOG MIX HUMALOG MIX KWIKPEN HUMALOG MIX HUMALOG MIX KWIKPEN HUMAPEN LUXURA HD HUMATROPE HUMIRA HUMIRA PEDIATRIC CROHN'S START HUMIRA PEN CROHN'S- UC-HS START HUMIRA PEN PSORIASIS-UVEITIS57 HUMULIN 70/ HUMULIN 70/0 KWIKPEN HUMULIN N HUMULIN N KWIKPEN HUMULIN R U HUMULIN R U-500 (CONC) KWIKPEN HUMULIN R U-500 (CONCENTRATED). 48 HYCAMTIN... 5 HYCOFENIX hydralazine... 2 HYDREA... 5 HYDRO HYDRO hydrochlorothiazide... 2 hydrocodoneacetaminophen hydrocodonechlorpheniramine hydrocodone-cpmpseudoephed hydrocodone-homatropine hydrocodone-ibuprofen 22 hydrocortisone... 4, 46, 52 hydrocortisone acetate.. 52 hydrocortisone butyrate 4 hydrocortisone butyremollient... 4 hydrocortisone valerate. 4 hydrocortisone-acetic acid hydrocortisoneiodoquinol-aloe... 4 hydrocortisone-min oilwht pet... 4 hydrocortisone-pramoxine... 6, 5 hydromet hydromorphone HYDROMORPHONE.. 22 hydromorphone (pf) HYDROMORPHONE (PF)-0.9% NACL hydromorphone in 0.9 % nacl HYDROMORPHONE IN 0.9 % NACL hydroxocobalamin hydroxychloroquine... 0 hydroxyprogesterone caproate hydroxyurea... 5 hydroxyzine hcl hydroxyzine pamoate HYLATOPIC... 8 HYLATOPICPLUS... 8 HYLENEX hyolev mb hyophen hyoscyamine sulfate... 5 hyosyne... 5 HYPERHEP B S/D HYPERHEP B S-D NEONATAL HYPERRAB S/D (PF) HYPER-SAL HYPERTET S/D (PF) HYQVIA HYSINGLA ER HYZAAR... 2 ibandronate IBRANCE... 5 IBUDONE ibuprofen ibuprofen-oxycodone ic green ICAPS ICAPS MV ICAR-C PLUS ICLUSIG... 5 IDAMYCIN PFS... 5 idarubicin... 5 IDHIFA... 5 IFEX... 5 ifosfamide... 5 ifosfamide-mesna... 5 ILARIS (PF) ILEVRO... 6 imatinib... 5 IMBRUVICA... 5 IMFINZI... 5 imipenem-cilastatin... 0 imipramine hcl imipramine pamoate imiquimod IMITREX... 9 IMITREX STATDOSE KIT REFILL... 9 IMITREX STATDOSE PEN... 9 IMLYGIC... 5 IMOGAM RABIES-HT (PF) IMPAVIDO... 0 IMURAN... 5 INCRUSE ELLIPTA indapamide... 2 INDERAL LA... 2 INDERAL XL... 2 INDIOMIN MB INDOCIN indocyanine green indomethacin INFASURF infed

94 INFLAMMA-K INFUMORPH P/F INGREZZA INJECTAFER INLYTA... 5 INNOPRAN XL... 2 INOVA... 9 INOVA INOVA INSET 0 INFUSION SET INSET INFUSION SET INSPIRACHAMBER WITH MASK-LARGE 47 INSPRA... 2 INSULIN SYRINGE- NEEDLE U INTEGRA F INTEGRA PLUS INTELENCE... 7 INTERMEZZO INTRON A introvale INTUNIV ER INVANZ... 0 INVEGA INVIRASE... 7 INVOKAMET INVOKAMET XR INVOKANA IODOFLEX... 8 IODOPEN... 5 iodoquinol-hc... 4 IODOSORB... 8 IONSYS IOPIDINE ipratropium bromide... 46, 67 ipratropium-albuterol IPRIVASK... 4 irbesartan... 2 irbesartanhydrochlorothiazide... 2 IRENKA IRESSA... 5 IROSPAN 24/ ISENTRESS... 7 ISENTRESS HD... 7 isibloom ISOCHRON... 6 ISOLYTE S PH ISOLYTE-S... 7 isometh-dichloralacetaminophn... 9 isomethepten-cafacetaminophen... 9 isoniazid... 0 ISOPTO CARPINE ISORDIL... 6 ISORDIL TITRADOSE 6 isosorbide dinitrate... 6 isosorbide mononitrate. 6 isoxsuprine isradipine... 2 itraconazole... 6 ivermectin... 0 JADENU JADENU SPRINKLE JAKAFI... 5 JALYN jantoven... 4 JANUMET JANUMET XR JANUVIA JARDIANCE jencycla JENTADUETO JENTADUETO XR jevantique lo jinteli jolessa jolivette JUBLIA... 4 juleber junel.5/0 (2) junel /20 (2) junel fe.5/0 (28) junel fe /20 (28) junel fe JUXTAPID... 5 K2 PLUS D KADIAN kaitlib fe KALBITOR KALETRA... 7 KALYDECO KAPVAY KARBINAL ER kariva (28) KCENTRA... 4 k-effervescent KEFLEX... 9 kelnor /5 (28) KENALOG... 4, 46 KEPPRA... 7 KEPPRA XR... 7 KERAFOAM... 8 KERALAC... 8 KERALYT RX... 7 KERALYT SCALP COMPLETE... 7 KERYDIN... 4 ketoconazole... 6, 4 ketoprofen ketorolac... 24, 25, 6 KEVEYIS KEVZARA KHEDEZLA KIDS' GUMMY KIDS MULTIVITAMIN- MINERALS kimidess (28) kionex... 5 kionex (with sorbitol)... 5 KISQALI... 5 KISQALI FEMARA CO- PACK... 5 KIT PREP OF TC-99M- MEBROFENIN KITABIS PAK... 0 KLARON... 4 KLONOPIN... 7 klor-con klor-con klor-con klor-con m klor-con m

95 klor-con m klor-con sprinkle KLOR-CON/ klor-con/ef kobee KOGENATE FS... 4 KORLYM KOSHER PRENATAL PLUS IRON KOVALTRY... 4 K-PAX K-PAX IMMUNE SUPPORT K-PHOS NO K-PHOS ORIGINAL k-phos-neutral kpn KRISTALOSE... 5 k-tab K-TAB kurvelo KUVAN KYNAMRO... 5 l norgest/e.estradiole.estrad labetalol... 2 LACRISERT... 6 lactated ringers lactulose... 5 LAMICTAL... 8 LAMICTAL ODT... 7 LAMICTAL ODT STARTER (BLUE)... 7 LAMICTAL ODT STARTER (GREEN).. 7 LAMICTAL ODT STARTER (ORANGE)... 8 LAMICTAL STARTER (BLUE) KIT... 8 LAMICTAL STARTER (GREEN) KIT... 8 LAMICTAL STARTER (ORANGE) KIT... 8 LAMICTAL XR... 8 LAMICTAL XR STARTER (BLUE)... 8 LAMICTAL XR STARTER (GREEN). 8 LAMICTAL XR STARTER (ORANGE)... 8 LAMISIL... 6 lamivudine... 7 lamivudine-zidovudine... 7 lamotrigine... 8 LANCETS LANCING DEVICE LANOXIN... LANOXIN PEDIATRIC lansoprazole LANTUS LANTUS SOLOSTAR larin.5/0 (2) larin /20 (2) larin 24 fe larin fe.5/0 (28) larin fe /20 (28) larissia LASIX... 2 LASTACAFT... 6 latanoprost LATUDA laxative (bisacodyl)... 5 laxative feminine... 5 layolis fe LAZANDA LDO PLUS leena leflunomide LENVIMA... 5 LESCOL... 5 LESCOL XL... 5 lessina LETAIRIS letrozole... 5 leucovorin calcium... LEUKERAN... 5 leuprolide... 5 levalbuterol hcl LEVAQUIN... 2 LEVATOL... 2 LEVBID... 5 LEVEMIR LEVEMIR FLEXTOUCH levetiracetam... 8 levobunolol levocarnitine levocarnitine (with sugar) levofloxacin... 2, 62 levofloxacin in d5w... 2 levomefolate dha levonest (28) levonorgestrel-ethinyl estrad levonorg-eth estrad triphasic levora levorphanol tartrate LEVO-T levothyroxine LEVOTHYROXINE levoxyl LEVSIN... 5 LEVSIN/SL... 5 LEVULAN... 8 LEXAPRO LEXIVA... 7 LIALDA... 5 LIBRAX (WITH CLIDINIUM)... 5 lidocaine lidocaine (pf) lidocaine hcl lidocaine hclhydrocortison ac... 40, 5 LIDOCAINE HCL- HYDROCORTISON AC... 5 lidocaine viscous lidocaine-epinephrine lidocaine-hydrocortisonealoe... 5 lidocaine-prilocaine

96 LIDOCAINE- TETRACAINE LIDOCIDEX-I LIDODERM... 4 lido-k... 4 LIDOPAC... 4 lidopin... 4 LIDOPIN... 4 LIDORX... 4 LIDOTRAL... 4 LIDOVEX... 4 LIDOXIB LIDTOPIC MAX... 4 lillow LINCOCIN... 0 lincomycin... 0 lindane linezolid... 0 linezolid-0.9% sodium chloride... 0 LINZESS... 5 liothyronine LIPITOR... 5 LIPOCHOL PLUS lipodox... 5 LIPOFEN... 5 lisinopril... 2 lisinoprilhydrochlorothiazide... 2 lite coat aspirin LITEAIRE MDI CHAMBER lithium carbonate lithium citrate LITHOBID LITHOSTAT LITTLE ANIMALS-IRON LIVALO... 5 LO LOESTRIN FE LOCOID... 4 LOCOID LIPOCREAM 4 LODINE LODOSYN... 9 LOESTRIN.5/0 (2). 60 LOESTRIN /20 (2) LOESTRIN FE.5/0 (28- DAY) LOESTRIN FE /20 (28- DAY) LOMAIRA lomedia 24 fe LOMOTIL... 5 LONSURF... 5 LOPID... 5 lopinavir-ritonavir... 7 lopreeza LOPRESSOR... 2 LOPRESSOR HCT... 2 LOPROX... 4 LOPROX (AS OLAMINE)... 4 LOPROX KIT... 4 lorazepam lorazepam intensol lorcet (hydrocodone) lorcet hd lorcet plus LORTAB ELIXIR lortuss ex loryna (28) LORZONE losartan... 2 losartanhydrochlorothiazide.. 2 LOSEASONIQUE LOTEMAX LOTENSIN... 2 LOTENSIN HCT... 2 LOTREL... 2 LOTRISONE... 4 LOTRONEX... 5 LOUTREX... 8 lovastatin... 5 LOVAZA... 5 LOVENOX... 4 low-ogestrel (28) loxapine succinate lta pre-attached... 4 ludent fluoride lugols... 4, 70 LUMIGAN LUNESTA LUPANETA PACK ( MONTH) LUPANETA PACK ( MONTH) LUPRON DEPOT... 5 LUPRON DEPOT ( MONTH)... 5 LUPRON DEPOT (4 MONTH)... 5 LUPRON DEPOT (6 MONTH)... 5 LUPRON DEPOT-PED. 5 LUPRON DEPOT-PED ( MONTH)... 5 lutera (28) luxamend... 8 LUXIQ... 4 LUZU... 4 LYNPARZA... 5 LYRICA... 8 LYSODREN... 5 LYSTEDA lyza MACROBID... MACRODANTIN... MAGNEBIND magnesium citrate... 5 MAKENA MALARONE... 0 MALARONE PEDIATRIC... 0 malathion maprotiline MAR-COF BP MAR-COF CG MARINOL... 5 marlissa MARNATAL-F MARPLAN marten-tab MATULANE... 5 matzim la... 2 MAVYRET... 7 MAXALT... 9 MAXALT-MLT

97 MAXFE (FOLATE- DOCUSATE) MAXIDEX MAXIPIME... 9 MAXITROL MAXZIDE... 2 MAXZIDE-25MG... 2 mb hydrogel... 8 mb hydrogel (cyclomethicone)... 8 m-clear wc meclofenamate MEDROL MEDROL (PAK) medroxyprogesterone mefenamic acid mefloquine... 0 MEGACE ES... 5 megestrol... 5 MEKINIST... 5 meloxicam melphalan... 5 melphalan hcl... 5 memantine MEMANTINE MEN 50 PLUS ADVANCED ONE DAILY M-END PE MENEST MENOSTAR MEN'S 50 PLUS DAILY FORMULA men's daily multivitmineral meperidine meperidine (pf) MEPHYTON... 4 meprobamate MEPRON... 0 mercaptopurine... 5 meropenem... 0 MEROPENEM-0.9% SODIUM CHLORIDE... 0 MERREM... 0 mesalamine... 5 mesalamine with cleansing wipe... 5 mesna... MESNEX... MESTINON MESTINON TIMESPAN metadate er METANX (ALGAL OIL) metaproterenol metaxall metaxalone metformin methadone methadose methamphetamine methazolamide... 6 methenamine hippurate methenamine mandelate... methen-sod phos-meth blue-hyos methergine methimazole methocarbamol methotrexate sodium... 5 methotrexate sodium (pf)... 5 methoxsalen... 8 methscopolamine... 5 methyclothiazide... 2 methyldopa... 2 methyldopahydrochlorothiazide.. 2 methyldopate... 2 METHYLIN methylphenidate hcl methylprednisolone methylprednisolone acetate metipranolol metoclopramide hcl... 5 metolazone... 2 METOPIRONE metoprolol succinate... 2 METOPROLOL SU- HYDROCHLOROTHI AZ... 2 metoprolol tahydrochlorothiaz... 2 metoprolol tartrate... 2 metro i.v METROCREAM... 9 METROGEL... 9 METROGEL VAGINAL 59 METROLOTION... 9 metronidazole... 0, 9, 59 metronidazole in nacl (isoos)... 0 mexiletine... 0 MIACALCIN mibelas 24 fe MICARDIS... 2 MICARDIS HCT... 2 MICORT-HC... 5 MICROCHAMBER microgestin.5/0 (2).. 60 microgestin /20 (2) MICROGESTIN 24 FE. 60 microgestin fe.5/0 (28) microgestin fe /20 (28). 60 MICROSPACER MICROZIDE... 2 midodrine migergot... 9 miglitol MIGRANAL... 9 MIGRANOW... 9 milk of magnesia... 5 milk of magnesia concentrated... 5 millipred MILLIPRED millipred dp mimvey mimvey lo MINASTRIN 24 FE MINIMED INFUSION SET-MMT

98 MINIPRESS... 2 MINITRAN... 6 MINIVELLE MINOCIN... minocycline... minoxidil... 2 MIO INFUSION SET MIOCHOL-E... 6 miostat MIRAPEX... 9 MIRAPEX ER... 9 MIRCETTE (28) mirtazapine MIRVASO... 9 misoprostol MITIGARE mitomycin... 5 MITOSOL MOBIC modafinil moderiba moderiba dose pack moexipril... 2 moexiprilhydrochlorothiazide... 2 mometasone... 4, 67 mondoxyne nl... MONODOX... mono-linyah mononessa (28) montelukast MONUROL... morgidox... MORGIDOX X MORGIDOX 2X00... MORPHABOND ER morphine... 2 MORPHINE... 2 morphine (pf)... 22, 2 morphine (pf) in 0.9 % nacl MORPHINE (PF) IN 0.9 % NACL morphine concentrate... 2 MORPHINE IN 0.9 % NACL... 2 MOTOFEN... 5 MOVANTIK... 5 MOVIPREP... 5 MOXATAG... 2 MOXEZA moxifloxacin... 2, 62 MOXIFLOXACIN (PF)- BSS NO MS CONTIN... 2 MUGARD MULTAQ... 0 multi for her MULTI FOR HER 50 PLUS MULTI-DAY PLUS MINERALS multi-delyn with iron multigen folic multigen plus multi-vit with fluoride-iron multi-vitamin with fluoride MULTIVITAMIN- A,B,D,E,K,ZN multivitamins with fluoride mupirocin... 4 mupirocin calcium... 4 MUSE MUSTARGEN... 5 mvc-fluoride MV-MIN-FOLIC ACID- LUTEIN MVW COMPLETE FORMUL MULTIVIT MVW COMPLETE FORMUL PEDIATRIC MVW COMPLETE FORMULATION D MVW COMPLETE FORMULATION D my way MYALEPT MYAMBUTOL... MYCAMINE... 6 MYCOBUTIN... mycophenolate mofetil.. 5 mycophenolate sodium.. 5 MYDAYIS MYDRIACYL MYFORTIC... 6 MYLERAN... 6 mynatal mynatal advance mynatal plus mynatal-z mynate 90 plus MYRBETRIQ MYSOLINE... 8 MYTESI... 5 myzilra NABI-HB nabumetone nadolol... 2 nadololbendroflumethiazide.. 2 nafcillin... 2 nafcillin in dextrose isoosm... 2 naftifine... 4 NAFTIN... 4 nalbuphine NALFON naloxone naltrexone NAMENDA NAMENDA TITRATION PAK NAMENDA XR NAMZARIC NANO VM NANO VM NANOVM NANOVM T/F NAPRELAN CR NAPROSYN naproxen

99 naproxen sodium naratriptan... 9 NARCAN NARDIL NASCOBAL NASONEX NATACHEW (FE BIS- GLYCINATE) NATACYN NATAZIA nateglinide NATELLE ONE NATPARA NATRECOR... 6 NATROBA natural b-00 complex.. 75 nature-throid NAVELBINE... 6 NEBUPENT... nebusal NEBUSAL necon 0.5/5 (28)... 6 necon /50 (28)... 6 necon 7/7/7 (28)... 6 NEEVODHA (WITH ALGAL OIL) nefazodone neomycin... neomycin-bacitracin-polyhc neomycin-bacitracinpolymyxin neomycin-polymyxin b gu neomycin-polymyxin b- dexameth neomycin-polymyxingramicidin neomycin-polymyxin-hc46, 64 neo-polycin neo-polycin hc NEORAL... 6 NEOSALUS... 8 NEOSPORIN GU IRRIGANT NEO-SYNALAR... 4 NEO-SYNALAR KIT... 4 NEPHRON FA nephronex NEPHRO-VITE NEPTAZANE... 6 NERLYNX... 6 NESTABS NESTABS ABC NESTABS DHA neuac... 9 NEUAC KIT... 9 NEULASTA NEUPOGEN NEUPRO... 9 NEURIN-SL NEURONTIN... 8 NEVANAC... 6 nevirapine... 7 newgen NEXA PLUS NEXAVAR... 6 NEXAVIR NEXIUM NEXIUM IV NEXIUM PACKET next choice one dose... 6 niacin... 5 NIASPAN EXTENDED- RELEASE... 5 nicardipine... 2 NICODERM CQ nicorelief nicorette NICORETTE nicotine nicotine (polacrilex) NICOTROL NICOTROL NS nifedipine... 2 nikki (28)... 6 NILANDRON... 6 nilutamide... 6 nimodipine... 2 NINJACOF-XG NINLARO... 6 NIPENT... 6 NIPRIDE RTU... 6 nisoldipine... 2 nitro-bid... 6 NITRO-DUR... 6 nitrofurantoin... nitrofurantoin macrocrystal... nitrofurantoin monohyd/m-cryst... nitroglycerin... 6 nitroglycerin in 5 % dextrose... 6 NITROLINGUAL... 6 NITROMIST... 6 NITROSTAT... 6 nitro-time... 6 NITYR NIVA-PLUS nivatopic plus... 8 nizatidine NIZORAL... 4 nodolor... 9 nolix... 4 nora-be NORCO... 2 NORDITROPIN FLEXPRO noreth-ethinyl estradioliron... 6 norethindrone (contraceptive) norethindrone acetate norethindrone ac-eth estradiol... 58, 6 norethindrone-e.estradioliron... 6 norgestimate-ethinyl estradiol... 6 NORITATE... 9 norlyda norlyroc NORMOSOL-R NORMOSOL-R PH NORPACE... 0 NORPACE CR

100 NORPRAMIN NORTHERA nortrel 0.5/5 (28)... 6 nortrel /5 (2)... 6 nortrel /5 (28)... 6 nortrel 7/7/7 (28)... 6 nortriptyline NORVASC... 2 NORVIR... 7 NOVAFERRUM PEDIATRIC NOVOPEN ECHO NOXAFIL... 6 NOXIFOL-D NOXIPAK... 4 np thyroid nts step NUCALA NUCORT... 4 NUCYNTA NUCYNTA ER NUDICLO SOLUPAK.. 25 NUEDEXTA NULEV... 5 NULYTELY WITH FLAVOR PACKS... 5 NUMBONEX... 4 NUOX... 9 NUPLAZID NUTRESTORE NUTRIARX... 4 NUTRIVIT NUVARING NUVESSA NUVIGIL NUWIQ... 4 nyamyc... 4 nyata... 4 NYMALIZE... 2 nystatin... 6, 4 nystatin-triamcinolone... 4 nystop OB COMPLETE GOLD 75 OB COMPLETE ONE.. 75 OB COMPLETE PETITE OB COMPLETE PREMIER OB COMPLETE WITH DHA OBREDON obstetrix dha OBSTETRIX EC OBSTETRIX ONE OBTREX DHA O-CAL FA O-CAL PRENATAL OCALIVA... 5 ocella... 6 OCREVUS octreotide acetate... 6 OCUFEN... 6 OCUFLOX ocutabs ODEFSEY... 7 ODOMZO... 6 OFEV ofloxacin... 2, 46, 62 ogestrel (28)... 6 olanzapine olanzapine-fluoxetine olmesartan... olmesartan-amlodipinhcthiazid... olmesartanhydrochlorothiazide.. olopatadine... 46, 6 OLUX... 4 OLUX-E... 4 OMECLAMOX-PAK omega- acid ethyl esters... 5 omeppi omeprazole omeprazole-sodium bicarbonate OMIDRIA... 6 OMNIPOD INSULIN REFILL OMNIPRED ONCASPAR... 6 ONCOVITE ondansetron... 5 ondansetron hcl... 5 ondansetron hcl (pf)... 5 ONDANSETRON IN 0.9 % SOD CHLOR... 5 ONE DAILY FOR MEN 75 one daily for women ONE DAILY HEALTHY WEIGHT ONE DAILY MENS 50 PLUS ADV one daily men's ONE DAILY MULTIVITAMIN- IRON one daily prenatal ONE DAILY WOMEN 50 PLUS(VIT K) one daily womens 50 plus one daily women's health ONE-A-DAY CHOLESTEROL PLUS ONE-A-DAY KID'S ONE-A-DAY MEN 50 PLUS (GINKGO) ONE-A-DAY MEN'S 50 PLUS ONE-A-DAY TEEN HER VITACRAVES ONE-A-DAY TEEN HIM VITACRAVES ONE-A-DAY VITACRAVES OMEGA ONE-A-DAY WEIGHTSMART ONE-A-DAY WOMEN'S 50 PLUS ONE-A-DAY WOMENS FORMULA ONE-A-DAY WOMEN'S PETITES

101 ONETOUCH ULTRA CONTROL ONETOUCH ULTRA TEST ONETOUCH ULTRA2 48 ONETOUCH ULTRAMINI ONETOUCH VERIO ONETOUCH VERIO FLEX ONETOUCH VERIO IQ METER ONETOUCH VERIO SYNC ONETOUCH VERIO SYSTEM ONEXTON... 9 ONFI... 8 ONMEL... 6 ONZETRA XSAIL... 9 OPANA... 2 opcicon one-step... 6 opium tincture... 5 OPSUMIT OPTICHAMBER DIAMOND LG MASK OPTIMAL D M option OPTISOURCE OPURITY MULTIVITAMIN ORACEA... ORACIT oral saline laxative... 5 oralone ORAMAGICRX ORAP ORAPRED ODT ORAVIG... 6 ORBACTIV... ORENITRAM... ORFADIN ORKAMBI orphenadrine citrate orsythia... 6 ortho d ORTHO MICRONOR.. 58 ORTHO TRI-CYCLEN (28)... 6 ORTHO TRI-CYCLEN LO (28)... 6 ORTHO-CYCLEN (28) 6 ORTHO-NOVUM /5 (28)... 6 ORTHO-NOVUM 7/7/7 (28)... 6 oscimin... 5 oscimin sl... 5 oscimin sr... 5 oseltamivir... 7 OSENI OSMOPREP... 5 OSPHENA OTEZLA OTEZLA STARTER OTIPRIO OTOVEL OTREXUP (PF) OVACE... 6 OVACE PLUS... 6 OVACE PLUS SHAMPOO... 6 OVACE PLUS WASH... 6 OVCON-5 (28)... 6 OVIDE oxacillin... 2 oxacillin in dextrose(isoosm)... 2 oxaliplatin... 6 OXANDRIN oxandrolone oxaprozin OXAYDO... 2 oxazepam oxcarbazepine... 8 oxiconazole OXISTAT OXSORALEN ULTRA. 8 OXTELLAR XR... 8 oxybutynin chloride oxycodone... 2 OXYCODONE... 2 oxycodone-acetaminophen... 2 oxycodone-aspirin... 2 OXYCONTIN... 2 oxymorphone... 2 OXYTROL oysco 500/d oyster shell + d oyster shell calcium-vit d oyster shell calcium-vit d oystercal-d pacerone... 0 paclitaxel... 6 paliperidone PAMELOR pamidronate PANDEL... 4 PANRETIN... 8 pantoprazole papaverine... PARAFON FORTE DSC 20 paregoric... 5 PAREMYD paricalcitol PARLODEL... 9 PARNATE paroex oral rinse paromomycin... paroxetine hcl PASER... PATADAY... 6 PATANASE PATANOL... 6 PAXIL PAXIL CR PAZEO... 6 P-CARE K P-CARE K PCE... 9 PEDIAPRED peg 50-electrolytes... 5 PEGANONE... 8 PEGASYS

102 PEGASYS PROCLICK.. 56 peg-electrolyte soln... 5 PEGINTRON peg-prep... 5 PEN NEEDLE PENICILLIN G POT IN DEXTROSE... 2 penicillin g procaine... 2 penicillin g sodium... 2 penicillin v potassium... 2 PENLAC PENNSAID PENTAM... PENTASA... 5 pentazocine-naloxone pentoxifylline... 4 PEPCID PERCOCET... 2 PERFOROMIST PERIDEX perindopril erbumine... periogard permethrin perphenazine perphenazineamitriptyline perry prenatal PEXEVA phenadoz phenazopyridine phendimetrazine tartrate phenelzine phenergan PHENERGAN phenobarb-hyoscyatropine-scop... 5 phenobarbital... 8 phenohytro... 5 phenoxybenzamine... phentermine phentolamine... phenylephrine hcl PHENYTEK... 8 phenytoin... 8 phenytoin sodium... 8 phenytoin sodium extended... 8 philith... 6 PHLAG SPRAY... 8 PHOSLYRA... 5 phospha 250 neutral phosphasal phosphate laxative... 5 PHOSPHOLINE IODIDE PHOTOFRIN... 6 PHYSICIANS EZ USE B PHYSIOLYTE PHYSIOSOL IRRIGATION PHYTONADIONE (VITAMIN K)... 4 PICATO... 8 pilocarpine hcl... 45, 46, 6 pimozide pimtrea (28)... 6 pindolol... pioglitazone pioglitazone-glimepiride 50 pioglitazone-metformin. 50 piperacillin-tazobactam. 2 PIPERACILLIN- TAZOBACTAM... 2 pirmella... 6 piroxicam PLAN B ONE-STEP... 6 PLAQUENIL... PLASMA-LYTE PLASMA-LYTE A... 7 PLAVIX... 4 PLEGRIDY PLEXION... 9 PLEXION CLEANSING CLOTHS... 9 PLIAGLIS... 4 pnv pnv ob+dha pnv-dha pnv-dha + docusate pnv-ferrous fumaratedocu-fa pnv-omega pnv-select pnv-vp-u POCKET CHAMBER POD-CARE 00K PODIAPN PODOCON... 7 podofilox... 8 polycin polymyxin b sulfate... polymyxin b sulftrimethoprim POLYTRIM POLY-TUSSIN AC POLY-VI-FLOR POLY-VI-FLOR WITH IRON POLY-VI-SOL POLY-VI-SOL WITH IRON POMALYST PONSTEL portia... 6 PORTRAZZA... 6 pot,sodium citrate-citric acid POTABA potassium acetate potassium bicarb and chloride potassium bicarb-citric acid potassium chlorid-d5-0.45%nacl potassium chloride potassium chloride in 0.9%nacl potassium chloride in 5 % dex potassium chloride in lr-d potassium chloride-0.45 % nacl

103 potassium chloride-d5-0.2%nacl potassium chloride-d5-0.%nacl... 7 potassium chloride-d5-0.9%nacl... 7 potassium citrate potassium citrate-citric acid POTASSIUM CL-LIDO- 0.9 % NACL... 7 POTASSIUM HYDROXIDE... 7 POTASSIUM PHOS IN 0.9 % NACL... 7 potassium phosphate m-/dbasic... 7 pr natal pr natal 400 ec pr natal pr natal 40 ec PRADAXA... 4 PRALUENT PEN... 5 pramcort... 5 pramipexole... 9 PRAMOSONE... 6 PRAMOSONE E... 6 PRANDIN PRAVACHOL... 5 pravastatin... 5 PRAXBIND... 4 prazosin... PRECOSE PRED FORTE PRED MILD PRED-G PRED-G S.O.P prednicarbate... 4 prednisolone prednisolone acetate prednisolone sodium phosphate... 47, 64 prednisone prednisone intensol PREFERA-OB PREFERA-OB ONE PREFERA-OB PLUS DHA PREFEST PREMARIN PREMPHASE PREMPRO prena chew prena pearl prena true prenaissance prenaissance plus PRENATA prenatabs fa prenatabs rx prenatal prenatal complete prenatal formula prenatal multi-dha (algal oil) prenatal one daily prenatal plus prenatal plus (calcium carb) PRENATAL PLUS DHA 76 prenatal vitamin prenatal vitamin plus low iron prenatal vitamin with minerals prenatal vits96-iron fumfolic prenatal-u PRENATE AM PRENATE CHEWABLE76 PRENATE DHA (FERR ASP GLYCIN) PRENATE ELITE (IRON ASP GLYC) PRENATE ENHANCE. 77 PRENATE ESSENTIAL(IRON- ASP-GL) PRENATE MINI (FERR ASP GLYCIN) PRENATE PIXIE PRENATE RESTORE PRENATE STAR PREPIDIL preplus PREPOPIK... 5 PRESERA... 8 PRESTALIA... pretab PREVACID PREVACID SOLUTAB. 55 prevalite... 5 previfem... 6 PREVPAC PREZCOBIX... 7 PREZISTA... 7 PRIFTIN... PRILOSEC PRIMACARE PRIMAQUINE... PRIMAXIN IV... PRIMEAIRE primidone... 8 PRIMLEV... 2 PRIMSOL... PRINIVIL... PRISTIQ PROAIR HFA PROAIR RESPICLICK.. 67 probenecid probenecid-colchicine procainamide... 0 PROCARDIA... PROCARDIA XL... PRO-C-DURE PRO-C-DURE procentra PROCERV HP PROCHAMBER prochlorperazine... 5 prochlorperazine edisylate... 5 prochlorperazine maleate... 5 PROCORT... 5 PROCRIT PROCTOCORT... 5 PROCTOFOAM HC

104 procto-med hc... 5 proctosol hc... 5 proctozone-hc... 5 PROCYSBI PRODRIN... 9 PROFERRIN-FORTE progesterone micronized PROGLYCEM PROGRAF... 6 PROLASTIN-C PROLENSA... 6 PROLIA PROMACTA... 4 promethazine promethazine vc-codeine promethazine-codeine promethazine-dm promethazine-phenylephcodeine promethazinephenylephrine promethegan PROMETRIUM PROMISEB... 8 PROMISEB COMPLETE... 6 propafenone... 0 propantheline... 5 proparacaine... 6 propranolol... propranololhydrochlorothiazid... propylthiouracil PRO-RED AC (W/ DEXCHLORPHENIR) PRORENAL PROSCAR prosight PROSTIN E PROSTIN VR PEDIATRIC protamine... 4 PROTECT CARDIO AF 77 PROTECT PLUS NF PROTECT PLUS SO PROTONIX PROTOPIC... 8 protriptyline PROVERA PROVIDA DHA PROVIDA OB PROVIGIL PROZAC pruclair... 8 prudoxin... 8 prumyx... 8 prutect... 8 PSORCON... 4 PULMICORT PULMICORT FLEXHALER pulmosal PULMOZYME PURALOR CI PUREFE OB PLUS PUREFE PLUS purevit dualfe plus PURIXAN... 6 PYLERA pyrazinamide... PYRIDIUM pyridostigmine bromide 20 QBRELIS... Q-CARE RX Q QNASL QUALAQUIN... QUARTETTE... 6 quasense... 6 quazepam QUDEXY XR... 8 QUESTRAN... 5 QUESTRAN LIGHT... 5 quetiapine QUFLORA FE QUFLORA FE (FERROUS SULFATE) QUFLORA PEDIATRIC QUFLORA PEDIATRIC DROPS QUICK-SET PARADIGM QUILLICHEW ER QUILLIVANT XR QUIN B STRONG quinapril... quinaprilhydrochlorothiazide... quinidine gluconate... 0 quinidine sulfate... 0 quinine sulfate... quit QUIT quit QUIT QVAR rabeprazole RADICAVA RADIOGARDASE rajani... 6 raloxifene ramipril... RANEXA... 6 ranitidine hcl RAPAFLO RAPAMUNE... 6 RAPIVAB... 7 rasagiline... 9 RASUVO (PF) RAVICTI RAYALDEE RAYOS RAZADYNE RAZADYNE ER rea lo rea lo REBETOL REBIF (WITH ALBUMIN) REBIF REBIDOSE REBIF TITRATION PACK reclipsen (28)... 6 RECTIV

105 REGIMEX REGLAN... 5 regonol REGRANEX... 8 RELAGARD relcof c RELENZA DISKHALER. 7 RELISTOR... 5 relnate dha RELPAX... 9 REMERON REMERON SOLTAB REMICADE... 5 RENAGEL... 5 RENAL VITAMIN RENAL-VITE rena-vite RENFLEXIS... 5 RENVELA... 5, 54 repaglinide repaglinide-metformin.. 50 REPATHA PUSHTRONEX... 5 REPATHA SURECLICK... 5 REPATHA SYRINGE... 5 REPLESTA NX REQUIP... 9 REQUIP XL... 9 RESCRIPTOR... 7 RESPA-AR RESTASIS... 6 RESTASIS MULTIDOSE... 6 RESTORIL RETIN-A... 9 RETIN-A MICRO... 9 RETIN-A MICRO PUMP RETROVIR... 7 REVATIO REVESTA REVIA REVLIMID revonto REXULTI REYATAZ... 7 REZIRA RHOFADE ribavirin... 7, 56 RIBOZEL RIDAURA rifabutin... RIFADIN... RIFAMATE... rifampin... RIFATER... RILUTEK riluzole rimantadine... 8 ringer's RIOMET risacal-d risedronate... 45, 57 RISPERDAL RISPERDAL CONSTA. 28 RISPERDAL M-TAB risperidone RITALIN RITALIN LA RITEFLO AEROCHAMBER RITUXAN HYCELA... 6 rivastigmine rivastigmine tartrate rivelsa... 6 rizatriptan... 9 R-NATAL OB ROBAXIN... 2 ROBAXIN ROBINUL... 5 ROBINUL FORTE... 5 ROCALTROL ropinirole... 9 rosadan ROSADAN ROSANIL ROSULA rosula cleansing cloths rosuvastatin... 5 ROTARIX ROTATEQ VACCINE.. 56 ROWASA roweepra... 8 ROXICODONE... 2 ROXIFOL-D ROZEREM RUBRACA... 6 RUCONEST RYANODEX... 2 RYDAPT... 6 rydex RYNODERM... 8 RYTARY... 9 RYTHMOL SR... 0 RYVENT SABRIL... 8 SAFE-CLIP BY MAIL SAFYRAL... 6 SALAGEN (PILOCARPINE).. 45, 46 SALEX... 7 salicylic acid... 7 salicylic acid er-ceramides... 7 SALKERA... 7 salsalate salvax... 7 SALVAX DUO PLUS... 7 SAMSCA SANADERMRX... 4 SANCUSO SANDIMMUNE... 6 SANDOSTATIN... 6 SANDOSTATIN LAR DEPOT... 6 SANTYL... 4 SAPHRIS (BLACK CHERRY) SARAFEM SAVAYSA... 4 SAVELLA SAXENDA scalacort... 4 SCALACORT DK... 4 SCOOBY-DOO ONE A DAY

106 SCOOBY-DOO ONE A DAY KIDS scopolamine base SEASONIQUE... 6 seb-prev... 6 SEBUDERM... 8 seconal sodium SEEBRI NEOHALER SELECT-OB SELECT-OB (FOLIC ACID) SELECT-OB + DHA selegiline hcl... 9 selenium sulfide... 6 SELRX... 6 SELZENTRY... 8 SEMPREX-D se-natal se-natal 9 (with docusate) SENSIPAR SEREVENT DISKUS SERNIVO... 4 SEROQUEL SEROQUEL XR SEROSTIM sertraline se-tan plus setlakin... 6 sevelamer carbonate SFROWASA sharobel SHOHL'S MODIFIED.. 69 SIDEROL SIGNIFOR... 6 sildenafil SILENOR SILVADENE... 7 silver nitrate... 8 silver nitrate applicators 8 silver sulfadiazine... 7 SILVRSTAT... 4 SIMBRINZA simvastatin... 5 SINEMET... 9 SINEMET CR... 9 SINGULAIR SINOGRAFIN sirolimus... 6 SIRTURO... SITAVIG... 8 SIVEXTRO... SKELAXIN... 2 SKLICE SMARTRX GABAKIT.. 8 SMARTRX GABA-V KIT... 8 SNAP INSULIN PUMP CONTROLLER SNAP INSULIN PUMP- INFUSION SET sodium chlor 0.9% bacteriostat sodium chloride. 45, 68, 7 sodium chloride 0.45 %. 7 sodium chloride 0.9 % sodium chloride %... 7 sodium chloride 5 %... 7 sodium citrate-citric acid 69 SODIUM EDECRIN... sodium ferric gluconatsucrose sodium phenylbutyrate. 45 sodium phosphate... 7 sodium polystyrene sulfonate SODIUM POLYSTYRENE SULFONATE SOLARAZE... 8 SOLIQUA 00/ SOLO SOLODYN... SOLTAMOX... 6 SOMA... 2 SOMATULINE DEPOT 6 SOMAVERT sonafine... 8 SONATA SOOLANTRA SORBITOL SORBITOL-MANNITOL SORIATANE... 6 SORILUX... 6 sotalol... 0 SOTALOL... 0 sotalol af... 0 SOTYLIZE... 0 sp antipruritic... 8 SPECTRACEF... 9 spinosad SPIRIVA RESPIMAT SPIRIVA WITH HANDIHALER spironolactone... spironolactonhydrochlorothiaz... SPORANOX... 6 SPORANOX PULSEPAK 6 sprintec (28)... 6 SPRIX SPRYCEL... 6 sps (with sorbitol) sronyx... 6 ssd... 7 SSKI sss STALEVO STALEVO STALEVO STALEVO STALEVO STALEVO STARLIX stavudine... 8 STELARA... 6 STIMATE STIOLTO RESPIMAT.. 68 STIVARGA... 6 stop smoking aid STRATTERA STRENSIQ stress b plus zinc stress b with zinc STRESS B-COMPLEX.. 77 stress formula

107 stress formula plus iron. 77 stress formula with iron. 77 stress formula with iron(sulf) STRESS FORMULA WITH ZINC STRIBILD... 8 STRIVERDI RESPIMAT STROMECTOL... strong iodine... 7 SUBOXONE SUCRAID sucralfate SULAR... sulfacetamide sodium... 6, 7, 64 sulfacetamide sodium (acne)... 4 sulfacetamide sodiumsulfur sulfacetamide sod-sulfururea sulfacetamideprednisolone sulfacetamide-sulfurcleansr sulfacleanse sulfact na-sul-avobnz-otnocsa sulfadiazine... 2 sulfamethoxazoletrimethoprim... 2 SULFAMYLON... 4 sulfasalazine sulfatrim... 2 sulindac SUMADAN SUMADAN XLT sumatriptan... 9 sumatriptan succinate... 9, 20 SUMAXIN SUMAXIN CP SUMAXIN TS sunvite super b complex-vitamin c super b maxi complex super b-50 complex plus 77 SUPER DAILY D SUPER MULTIPLE - LOW IRON super quints super quints b superplex-t SUPPORT SUPRAX... 9 SUPREP BOWEL PREP KIT SURE RESULT DSS PREMIUM PACK SURE RESULT TAC PAK... 4 SURE-T PARADIGM SURFAXIN SURMONTIL SURVANTA SUSTIVA... 8 SUSTOL SUTENT... 6 syeda... 6 SYLATRON SYMAX DUOTAB... 5 symax fastabs... 5 symax-sl... 5 symax-sr... 5 SYMBICORT SYMBYAX SYMLINPEN SYMLINPEN SYNAGIS... 8 SYNALAR... 4 SYNALAR CREAM KIT 4 SYNALAR OINTMENT KIT... 4 SYNALAR TS... 4 SYNALGOS-DC... 2 SYNAREL SYNDROS SYNERA... 4 SYNERCID... SYNERDERM... 8 SYNJARDY SYNJARDY XR SYNRIBO... 6 SYNTHROID SYPRINE T 0 INFUSION SET INFUSION SET SLIM SLIM G TABLOID... 6 TACLONEX... 7 tacrolimus... 6, 8 TAFINLAR... 6 TAGRISSO... 6 TAKE ACTION... 6 TALWIN TAMIFLU... 8 tamoxifen... 6 tamsulosin TANDEM PLUS TAPAZOLE TARCEVA... 6 TARGADOX... TARGRETIN... 6 tarina fe /20 (28)... 6 TARKA... taron forte taron-c dha taron-prex prenatal-dha 78 TASIGNA... 6 TASMAR... 9 TAXOTERE... 6 TAYTULLA... 6 tazarotene TAZICEF... 9 TAZORAC taztia xt... TECFIDERA TECHNIVIE... 8 TEFLARO... 9 TEGRETOL... 8 TEGRETOL XR... 8 TEKTURNA... TEKTURNA HCT... 07

108 telmisartan... telmisartan-amlodipine. telmisartanhydrochlorothiazid... temazepam TEMODAR... 6 TEMOVATE... 4 temozolomide... 6 tencon... 2 TENIPOSIDE... 6 TENORETIC TENORETIC TENORMIN... TEPADINA... 6 TERAZOL terazosin... terbinafine hcl... 6 terbutaline terconazole TERSI FOAM... 7 TESSALON PERLES TESTONE CIK testosterone testosterone cypionate testosterone enanthate tetcaine... 6 tetrabenazine tetracaine hcl... 6 tetracaine hcl (pf)... 6 tetracycline... TETRAVISC... 6 TETRAVISC FORTE... 6 TEXACORT... 4 TEXAVITE LQ THALOMID... 6 THEO theochron theophylline THERANATAL therapeutic-m vitamin/minerals THEREMS-H thermazene... 7 THIOLA thioridazine thiotepa... 6 thiothixene THRIVITE RX thrivite THYROLAR THYROLAR-/ THYROLAR-/ THYROLAR THYROLAR tiagabine... 8 TIAZAC... TICALAST TICANASE TICASPRAY ticlopidine... 4 TIGAN TIKOSYN... 0 tilia fe... 6 timolol maleate..., 62 TIMOPTIC TIMOPTIC OCUDOSE (PF) TIMOPTIC-XE TINDAMAX... tinidazole... TIROSINT... 5 tis-u-sol pentalyte TIVICAY... 8 TIVORBEX tizanidine... 2 tl gard rx tl icon tl-hem TOBI... TOBI PODHALER... TOBRADEX TOBRADEX ST tobramycin tobramycin in % nacl... tobramycin in 0.9 % nacl tobramycin sulfate... TOBRAMYCIN WITH NEBULIZER... tobramycindexamethasone TOBREX TODAY CONTRACEPTIVE SPONGE TOFRANIL TOLAK... 8 tolazamide tolbutamide tolcapone... 9 tolmetin tolterodine TOPAMAX... 8 TOPICORT... 4 topiramate... 8 TOPIRAMATE... 8 toposar... 6 TOPROL XL... TORONOVA II SUIK TORONOVA SUIK torsemide... total b/c TOTECT... TOUJEO SOLOSTAR TOVIAZ TRACLEER TRADJENTA tramadol TRAMADOL tramadol-acetaminophen trandolapril... trandolapril-verapamil... tranexamic acid... 4, 59 TRANSDERM-SCOP TRANXENE T-TAB tranylcypromine TRANZAREL... 4 TRAVATAN Z trazodone TRECATOR... TREMFYA... 7 TRESIBA FLEXTOUCH U TRESIBA FLEXTOUCH U tretinoin

109 tretinoin (chemotherapy)... 6 tretinoin microspheres.. 40 TRETIN-X TRETIN-X CREAM KIT TREXALL... 6 TREXIMET TREZIX... 2 tri femynor... 6 TRIACETIN triamcinolone acetonide 4, 46, 47 triamterenehydrochlorothiazid... trianex... 4 triazolam TRIBENZOR... TRICARE TRICARE PRENATAL. 78 TRICARE PRENATAL DHA ONE tricitrates tricon TRICOR... 5 triderm... 4 TRIDESILON... 4 TRIESENCE (PF) tri-estarylla... 6 TRIFERIC trifluoperazine trifluridine trigels-f forte TRIGLIDE... 5 trihexyphenidyl... 9 triklo... 5 tri-legest fe... 6 TRILEPTAL... 8 tri-linyah... 6 TRILIPIX... 5 tri-lo-estarylla... 6 tri-lo-marzia... 6 tri-lo-sprintec... 6 trilyte with flavor packets trimethobenzamide trimethoprim... trimipramine trinatal gt trinatal rx trinate trinessa (28)... 6 trinessa lo... 6 TRI-NORINYL (28)... 6 TRINTELLIX TRIOSTAT... 5 TRIPLE DYE tri-previfem (28)... 6 TRISENOX... 6 TRI-SILA... 4 tri-sprintec (28)... 6 TRISTART DHA tri-tabs dha TRIUMEQ... 8 triveen-duo dha TRI-VI-FLOR TRI-VI-SOL tri-vit with fluoride and iron tri-vitamin with fluoride 78 trivora (28)... 6 TRIZIVIR... 8 TROKENDI XR... 8 TROPICAL LIQUID NUTRITION tropicamide trospium TRUEPLUS DIABETIC MULTIVITAMIN TRULANCE TRULICITY TRUSOPT trust natal dha TRUVADA... 8 TUDORZA PRESSAIR.. 68 tusnel c TUSNEL PEDIATRIC.. 66 TUSSICAPS tussigon TUSSIONEX PENNKINETIC ER.. 66 TUZISTRA XR TWYNSTA... TYBOST... 8 TYKERB... 6 TYLENOL-CODEINE #... 2 TYLENOL-CODEINE # TYMLOS TYVASO TYVASO REFILL KIT.. 68 TYVASO STARTER KIT TYZINE UCERIS ULESFIA ULORIC ultimatecare one ultimatecare one nf ultra b-00 complex ULTRACET ULTRAM ULTRAM ER ULTRASAL-ER... 7 ULTRAVATE... 4 ULTRAVATE X... 4 umecta... 8 UNASYN... 2 unithroid... 5 UPTRAVI... ur n-c URAMAXIN... 8 uramit mb urea... 8 urea nail stick... 8 URECHOLINE ure-k... 8 URELLE uretron d-s UREVAZ... 8 URIBEL urimar-t urin ds uro UROCIT-K UROCIT-K UROCIT-K

110 urogesic-blue uro-mp urophen mb UROQID-ACID NO UROXATRAL URSO URSO FORTE ursodiol uryl ustell UTA UTIBRON NEOHALER utira-c UTOPIC... 8 UVADEX... 8 VAGIFEM vaginal contraceptive foam valacyclovir... 8 VALCHLOR... 8 VALCYTE... 8 valganciclovir... 8 VALIUM valproate sodium... 8 valproic acid... 8 valproic acid (as sodium salt)... 8 valsartan... valsartanhydrochlorothiazide... VALTREX... 8 VANATOL LQ... 2 VANCOCIN... vancomycin... VANCOMYCIN... VANCOMYCIN IN DEXTROSE 5 %... vandazole VANOS... 4 VANOXIDE-HC VAPRISOL VARIZIG VARUBI VASCEPA... 5 VASERETIC... VASHE WOUND THERAPY vasopressin in 0.9 % nacl VASOSTRICT VASOTEC... VCF CONTRACEPTIVE FILM VCF CONTRACEPTIVE GEL VECAMYL... 6 VECTICAL... 7 velivet triphasic regimen (28)... 6 VELPHORO VELTASSA vemavite-prx VEMLIDY... 8 VENCLEXTA... 6 venlafaxine VENOFER VENTAVIS VENTOLIN HFA verapamil... VERDESO... 4 verdrocet... 2 VEREGEN... 8 VERELAN... VERELAN PM... veripred VERSACLOZ VESICARE vestura (28)... 6 VFEND... 6 VFEND IV... 7 VGO VGO VGO VIAGRA VIBATIV... VIBERZI VIBRAMYCIN... vicodin... 2 vicodin es... 2 vicodin hp... 2 VIDEX 2 GRAM PEDIATRIC... 8 VIDEX EC... 8 VIEKIRA PAK... 8 VIEKIRA XR... 8 vienva... 6 vigabatrin... 8 VIGAMOX VIIBRYD VIMOVO VIMPAT... 8 vinate care VINATE DHA RF vinate ii vinate m vinate one vinate ultra vinblastine... 6 vincasar pfs... 6 vincristine... 6 vinorelbine... 6 VIOKACE viorele (28)... 6 VIRACEPT... 8 VIRAMUNE... 8 VIRAMUNE XR... 8 VIRASAL... 7 VIREAD... 8 VIROPTIC virt-advance virt-c dha virt-gard virt-nate virt-nate dha virt-phos 250 neutral... 7 virt-pn virt-pn dha virt-pn plus VIRTPREX virtrate virtrate virtrate-k virt-select virtussin ac virtussin dac virt-vite

111 virt-vite gt VIRT-VITE PLUS VISTARIL VISTOGARD... vit vit b complex-folic acid.. 78 VITA-BEE WITH C VITAFOL FE+ (WITH DOCUSATE) VITAFOL GUMMIES VITAFOL NANO VITAFOL ULTRA VITAFOL-OB VITAFOL-OB+DHA VITAFOL-ONE vitajoy daily d vitalets VITAMED MD ONE RX VITAMEDMD REDICHEW RX vitamin b complex vitamin d vitamin k... 4 vitamin k... 4 vitamins a and d vitamins a,c,d and fluoride VITAPEARL VITA-RESPA VITATRUE VITRASE... 6 VITRUM SENIOR VITUZ VIVELLE-DOT VIVLODEX VIVOTIF VIVOTIF BERNA VACCINE vol-nate vol-plus vol-tab rx VOLTAREN VOLTAREN-XR VONVENDI... 4 VOPAC MDS VORAXAZE... voriconazole... 7 VORTEX HOLDING CHAMBER CHILD VORTEX VHC FROG MASK-CHILD VORTEX VHC LADYBUG MASK- TODDLR VOSEVI... 8 VOTRIENT... 6 vp-ch plus vp-ch-pnv vp-ggr-b vp-heme ob vp-heme one VP-PNV-DHA VRAYLAR VUSION vyfemla (28)... 6 VYTONE... 4 VYTORIN VYTORIN VYTORIN VYTORIN VYVANSE VYXEOS... 6 warfarin... 4 water for irrigation, sterile WELCHOL... 5 WELLBUTRIN SR WELLBUTRIN XL WELLESSE MULTI VITAMIN PLUS wera (28)... 6 westhroid... 5 WHYTEDERM TDPAK 4 WHYTEDERM TRILASIL PAK... 4 WIDE-SEAL DIAPHRAGM woman's laxative WOMEN'S 50 PLUS DAILY FORMULA WOMEN'S DAILY FORMULA women's gentle laxative(bisac) women's laxative (bisacodyl) WOMEN'S ONE DAILY 79 WP THYROID... 5 wymzya fe... 6 XADAGO... 9 XALATAN XALKORI... 6 XANAX XANAX XR XAQUIL XR XARELTO... 4 XATMEP... 6 XCLAIR... 8 XELITRAL XELJANZ XELJANZ XR XELODA... 6 XENAZINE XENICAL XERESE XERMELO... 6 XGEVA... XIFAXAN... XIGDUO XR XIIDRA... 6 XILAPAK... 4 XODOL 0/ XODOL 5/ XODOL 7.5/ XOLAIR XOLEGEL XOPENEX XOPENEX CONCENTRATE XTAMPZA ER... 2 XTANDI... 7 xulane XULTOPHY 00/ XURIDEN XYLOCAINE... 4

112 XYLOCAINE- EPINEPHRINE... 4 XYLOCAINE-MPF... 4 xylon XYNTHA... 5 XYNTHA SOLOFUSE.. 5 XYREM YASMIN (28)... 6 YAZ (28)... 6 yuvafem zafirlukast zaleplon zamicet... 2 ZANAFLEX... 2 ZANOSAR... 7 ZANTAC zarah... 6 ZARONTIN... 8 ZARXIO zatean-ch zatean-pn dha zatean-pn plus zavara ZAVESCA zebutal ZEGERID ZEJULA... 7 ZELAPAR... 9 ZELBORAF... 7 ZEMAIRA ZEMBRACE SYMTOUCH ZEMPLAR zenatane zenchent (28)... 6 zenchent fe... 6 ZENPEP zenzedi ZENZEDI ZERBAXA... 9 ZERIT... 8 ZESTORETIC... ZESTRIL... ZETIA... 5 ZEVALIN (Y-90)... 7 ZIAC... ZIAGEN... 8 ZIANA zidovudine... 8 zileuton ZINACEF... 9 ZINACEF IN STERILE WATER... 9 ZINBRYTA ZINECARD (AS HCL).. zingiber ZINGO... 4 ziprasidone hcl ZIPSOR ZIRGAN ZITHRANOL... 7 ZITHROMAX... 9 ZITHROMAX TRI-PAK. 9 ZITHROMAX Z-PAK... 9 ZMAX... 9 ZOCOR... 5 ZODRYL AC ZODRYL AC ZODRYL AC ZODRYL AC ZODRYL AC ZODRYL AC ZODRYL AC ZODRYL DAC ZODRYL DAC ZODRYL DAC ZODRYL DAC ZODRYL DAC ZODRYL DAC ZODRYL DAC ZODRYL DEC ZODRYL DEC ZODRYL DEC ZODRYL DEC ZODRYL DEC ZODRYL DEC ZODRYL DEC ZOFRAN (AS HYDROCHLORIDE) 54 ZOFRAN ODT ZOHYDRO ER ZOLADEX... 7 ZOLINZA... 7 zolmitriptan ZOLOFT zolpidem ZOLPIMIST ZOMIG ZOMIG ZMT ZONALON... 8 ZONEGRAN... 8 zonisamide... 8 ZONTIVITY... 5 ZOO FRIENDS ZOO FRIENDS COMPLETE ZORBTIVE ZORTRESS... 7 ZORVOLEX ZOSYN... 2 ZOSYN IN DEXTROSE (ISO-OSM)... 2 zovia /5e (28) zovia /50e (28) ZOVIRAX... 8, 42 Z-TUSS AC ZUBSOLV ZUPLENZ ZURAMPIC ZUTRIPRO ZYBAN ZYDELIG... 7 ZYFLO ZYFLO CR ZYKADIA... 7 ZYLET ZYLOPRIM ZYMAXID ZYPREXA ZYPREXA RELPREVV. 29 ZYPREXA ZYDIS ZYTIGA... 7 ZYVOX... 2

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114 NOTICE ABOUT NON-DISCRIMINATION We don t discriminate based on race, ethnicity, national origin, color, religion, sex, gender, age, mental or physical disability, health status, claims experience, medical history, genetic information, evidence of insurability, or geographic location. All organizations that provide Medicare Advantage plans, like our plan, must obey Federal laws against discrimination, including Title VI of the Civil Rights Act of 964, the Rehabilitation Act of 97, the Age Discrimination Act of 975, the Americans with Disabilities Act, Section 557 of the Affordable Care Act, and all other laws that apply to organizations that get Federal funding, and any other laws and rules that apply for any other reason. GlobalHealth, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. GlobalHealth does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. GlobalHealth: Provides free aids and services to people with disabilities to communicate effectively with us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronic formats, other formats) Provides free language services to people whose primary language is not English, such as: o Qualified interpreters o Information written in other languages If you need these services, contact the Compliance Attorney. If you believe that GlobalHealth has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: ATTN: Compliance Attorney, 70 NE 0 th St, Ste. 00, Oklahoma City, OK , Fax: (405) , or compliance@globalhealth.com. You can file a grievance in person or by mail, fax, or . If you need help filing a grievance, the Compliance Attorney is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at: U.S. Department of Health and Human Services, 200 Independence Avenue SW., Room 509F, HHH Building, Washington, DC 2020, , (TDD). Complaint forms are available at Language Spanish Translation ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 7). 4

115 Language Translation Vietnamese CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 7). Chinese 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY: 7). Korean 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수 있습니다 OR (TTY: 7) 번으로전화해주십시오. German ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 7). Arabic.بالمجان لك تتوافر اللغویة المساعدة خدمات فإن اللغة اذكر تتحدث كنت إذا :ملحوظة (برقم والبكم الصم ھاتف 7).اتصل Burmese သတ ပ ရန - အကယ သင သည မန မ စက က ပ ပ က ဘ သ စက အက အည အခမ သင အတ က စ စဥ ဆ င ရ က ပ ပ မည ဖ န န ပ တ (TTY: 7) သ ႔ ခၚဆ ပ Hmong LUS CEEV: Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau (TTY: 7). Tagalog PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 7). French ATTENTION: Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS: 7). Laotian ໂປດຊາບ: ຖ າວ າ ທ ານເວ າພາສາ ລາວ, ການບ ລ ການຊ ວຍເຫ ອດ ານພາສາ, ໂດຍບ ເສ ຽຄ າ, ແມ ນມ ພ ອມໃຫ ທ ານ. ໂທຣ (TTY: 7). Thai เร ยน: ถ าค ณพ ดภาษาไทยค ณสามารถใช บร การช วยเหล อทางภาษาได ฟร โทร (TTY: 7). - کریں کال ہیں دستیاب میں مفت خدمات کی مدد کی زبان کو آپ تو ہیں بولتے اردو آپ اگر :خبردار Urdu (TTY: 7). Cherokee Hagsesda: iyuhno hyiwoniha [tsalagi gawonihisdi]. Call (TTY: 7). Persian شما برای رایگان بصورت زبانی تسھیالت کنید می گفتگو فارسی زبان بھ اگر :توجھ.بگیرید تماس با.باشد می فراھم (7 (TTY:

116 MPDF7 GlobalHealth, Inc. PO Box 29 Oklahoma City, OK Effective: 207 Lists Updated 0/207