2017 HEALTH CHOICE ARIZONA FORMULARIO

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1 2017 HEALTH CHOICE ARIZONA FORMULARIO ARIZONA Preguntas? Póngase en contacto con los Servicios a Farmacias de Health Choice Arizona al Welcome to Our Family! ienvenidos a Nuestra Familia!

2 Qué es el formulario/listado de medicamentos de preferidos (PDL, por sus siglas en inglés) de Health Choice Arizona? Un formulario/listado de medicamentos preferidos (PDL) es una lista de medicamentos elegidos por Health Choice Arizona y un equipo de médicos y farmacéuticos. Health Choice cubrirá los medicamentos enumerados en nuestra PDL siempre que sean necesarios y adecuados desde el punto de vista médico. Todos los medicamentos recetados de miembros de Health Choice deben ser obtenidos en farmacias de la red de Health Choice y deben cumplirse otras reglas del plan. Qué pasa si un medicamento no está en el formulario/pdl? Si el medicamento que desea recetar a su paciente no está en este formulario/pdl, el médico podrá: Recetar un medicamento similar incluido en el formulario/pdl o Solicitar a Health Choice una excepción y cubrir el medicamento necesario desde el punto de vista médico, no incluido en el formulario, mediante un proceso de autorización previa. Puede cambiar el formulario/pdl? Sí, Health Choice podría agregar o quitar medicamentos durante el año. Para obtener la información más reciente sobre medicamentos cubiertos, visite nuestro sitio Web o llame a Servicios para afiliados de Health Choice al o (fuera del condado de Maricopa). Criterios de selección de productos El Comité de farmacia y terapéutica de Health Choice evaluará y hará recomendaciones a Health Choice sobre medicamentos nuevos en el mercado y revisará y evaluará continuamente los medicamentos existentes en el mercado para su inclusión en el formulario/pdl. La evaluación del comité incluye la revisión de la bibliografía actual. También podrá obtenerse la opinión de expertos externos. Se preparan revisiones formales, que generalmente incluyen la siguiente información: Seguridad Eficacia Estudios de comparación Indicaciones aprobadas Efectos adversos Contraindicaciones, advertencias y precauciones Farmacocinética Relación costo-beneficio Administración a pacientes y consideraciones de cumplimiento Cuando se considere un nuevo medicamento para su inclusión en el formulario, se hará el intento de examinar el medicamento en relación con otros medicamentos similares ya incluidos en el formulario. Además periódicamente se revisan clases terapéuticas completas. El proceso de revisión de clase podría generar la eliminación de uno o más medicamentos de una clase terapéutica en particular para continuar promoviendo los agentes más útiles y con mejor relación costo-beneficio. El formulario/pdl completo es revisado y aprobado cada año. Se requiere autorización previa (PA) para dos grupos de medicamentos y para dos condiciones de anulación de formulario/pdl: i

3 rupos de medicamentos Medicamentos con la anotación PA en el formulario/pdl. Todos los medicamentos que no figuran en la lista Condiciones clínicas de anulación Para anular una modificación de terapia escalonada (ST) Para anular una modificación de límite de cantidad (QL) Health Choice anticipa que las solicitudes de medicamentos no incluidos en la lista serán poco frecuentes y los proveedores podrán recetar los medicamentos del formulario/pdl para la amplia mayoría de las necesidades terapéuticas. Se anima a los proveedores a utilizar este formulario/pdl al recetar medicamentos a miembros de Health Choice para evitar retrasos innecesarios en el tratamiento. La lista de mínimo de medicamentos de venta con receta requeridos por AHCCCS se incluye en el formulario de Health Choice Arizona. Podrán autorizarse medicamentos para usos diferentes a los indicados en su etiqueta cuando se haya demostrado que son el estándar en la comunidad. Health Choice Arizona emplea un proceso de anulación de 4 (las cuatro) días para asegurarse de que los miembros puedan acceder de inmediato a los medicamentos necesarios que no están incluidos en el formulario o para los que se requiera autorización previa. La farmacia de la red de Health Choice puede cancelar un requisito de autorización previa para ofrecer al miembro el medicamento necesario de inmediato, como por ejemplo, un antibiótico o u otro medicamento de emergencia. Los proveedores de Health Choice pueden solicitar formalmente al Comité de Farmacia y Terapéutica de Health Choice que consideren un medicamento para su inclusión en el formulario/pdl. Las instrucciones y formularios de presentación necesarios, que indican cómo presentar una solicitud de consideración de medicamento para el formulario/pdl se detallan en el manual de proveedores de Health Choice. Las instrucciones y materiales están además disponibles en el sitio Web de Health Choice. Toda la información sobre el formulario de Health Choice se proporciona como referencia para la selección de tratamientos farmacológicos. La elección de los medicamentos específicos para cada paciente es exclusivamente de quien los recete. Descripciones de productos del formulario Para colaborar con la comprensión de las concentraciones y formas de dosificación de los medicamentos del formulario, se incluyen ejemplos a continuación. Los principios generales presentados en los ejemplos pueden aplicarse en general a otras entradas del libro. Las excepciones se incluyen en la lista de medicamentos. También podría haber una declaración vinculada a una lista de medicamentos que aporte información adicional sobre los productos y formas de dosificación incluidos en el formulario. Los medicamentos genéricos están identificados con minúsculas, en tanto los medicamentos de marca se identifican mediante el uso de mayúsculas. alopurinol es un medicamento genérico ULORIC es un medicamento de marca ii

4 Los productos de marca que se muestran son únicamente para referencia; podría dispensarse una marca diferente o una versión genérica. simvastatina ZOCOR Los productos de liberación prolongada y de liberación retardada requieren su propia entrada. Identificados a continuación, propranolol y propranolol SR están incluidos en el formulario. propranolol propranolol SR INDERAL INDERAL LA Las formas de dosificación del formulario deberán coincidir con la categoría y uso enumerados. Identificados a continuación del grupo ótico, la solución ótica y ungüento oftálmico están incluidos en el formulario y los productos oftálmicos y crema tópica no se puede asumir que lo estén a menos que estén incluidos en las secciones de OFTALMOLOÍA y DERMATOLOÍA del formulario. neomicina / polimixina / hidrocortisona CORTISPORIN Sustitución por genérico Los planes de salud de AHCCCS están obligados a aplicar una política de sustitución por medicamentos genéricos obligatoria. La sustitución por genéricos es una acción de la farmacia por la cual se dispensa una versión genérica de un medicamento, en lugar del producto de nombre recetado. Una importante consideración de la sustitución genérica es el conocimiento de que todas las aprobaciones de medicamentos genéricos por parte de la FDA desde 1984, y muchas aprobaciones de genéricos antes de esa fecha, han demostrado bioequivalencia entre las versiones genéricas y el producto de marca de referencia. Para obtener la aprobación de la FDA: 1. El medicamento genérico debe contener los mismos ingredientes activos, la misma concentración y la misma dosificación que el producto de marca. 2. La FDA ha dado al genérico una calificación de A en comparación con el producto de marca que indica bioequivalencia y ha determinado que el genérico es equivalente desde el punto de vista terapéutico al producto de marca de referencia. Las calificaciones de los medicamentos genéricos están disponibles consultando la referencia de la FDA, Approved Drug Products with Therapeutic Equivalence Evaluations (productos farmacológicos aprobados con evaluaciones de equivalencia terapéutica) (Orange ook). Cuando se cumplen los dos criterios anteriores, el genérico se puede sustituir con la total expectativa de que el producto sustituto produzca el mismo efecto clínico y tenga el mismo perfil de seguridad que el producto recetado. Los productos farmacológicos con índice terapéutico estrecho (NTI, por sus siglas en inglés) también pueden guiarse por estos principios. No es necesario que el médico trate a ninguna de las clases terapéuticas de productos farmacológicos (como por ejemplo medicamentos NTI) de forma diferente a los de ninguna otra clase, cuando se ha determinado la equivalencia terapéutica por parte de la FDA para los productos farmacológicos en consideración. Tampoco es necesario que el médico lleve a cabo pruebas o exámenes clínicos adicionales al sustituir un producto farmacológico genérico de equivalencia terapéutica en lugar del producto de marca. Se recomienda que el farmacéutico no lleve a cabo la sustitución genérica con productos de orígenes múltiples que figuren en el Orange ook y tengan una calificación de ", indicando que estos iii

5 productos no se pueden considerar equivalentes terapéuticos a otros productos en el grupo. También se recomienda que la sustitución por genéricos no sea utilizada para ningún producto de fuentes múltiples sin calificación que se pueda considerar como de índice terapéutico estrecho o medicamentos de mantenimiento cuando se sepa que los productos no calificados de diferentes productores no son bioequivalentes. Las leyes y reglamentaciones estatales podrían indicar la capacidad para poner en práctica una sustitución por genéricos para productos o categorías de productos farmacológicos seleccionados. Medicamentos de implementación de estudios de eficacia de medicamentos Los medicamentos lanzados al mercado entre 1938 y 1962 fueron aprobados como seguros pero no se requirió prueba de su eficacia para la aprobación por parte de la FDA. Desde 1962, todos los medicamentos nuevos deben ser tanto seguros como eficaces para poder ser lanzados al mercado. Esta legislación se aplicó además en forma retroactiva a todos los medicamentos aprobados como seguros entre 1938 y El programa de Implementación de estudios de eficacia de los medicamentos (DESI, por sus siglas en inglés) fue establecido por la FDA para revisar la eficacia de estos medicamentos anteriores a 1962 para su uso indicado y para la mayoría de estos productos se estableció su eficacia total y siguen en el mercado. Algunos productos DESI siguen clasificados como menos que totalmente eficaces a la espera de una disposición administrativa final. Además, están clasificados como DESI muchos productos listados como idénticos, similares o relacionados a productos DESI. AHCCCS y Health Choice no pagan por productos farmacológicos de clasificación DESI menos que totalmente eficaces. Exclusiones del plan Las siguientes categorías de medicamentos están excluidas de la cobertura del beneficio de farmacia para pacientes ambulatorios y no forman parte del formulario /PDL Agentes antiobesidad Medicamentos experimentales/de investigación Medicamentos cosméticos Medicamentos cosméticos para el crecimiento capilar Complementos nutricionales/dietarios Productos sanguíneos y productos de plasma sanguíneo Productos para promover la fertilidad Medicamentos para la disfunción eréctil Medicamentos de fabricantes que no participen en el programa de reembolso de medicamentos FFS de Medicaid Productos de diagnóstico Suministros médicos excepto: o Jeringas o Agujas o Lancetas o Hisopos con alcohol o Espaciadores o Medidores de glucosa en sangre y tiras de prueba Dispositivos intrauterinos iv

6 Administrador de beneficios de farmacia (PM) Health Choice Arizona utiliza a EnvisionRx Options para procesar nuestros reclamos de medicamentos recetados REFERENCIA Negrita PA QL ST Indica disponibilidad genérica De venta libre Se requiere autorización previa Limitaciones de nivel de cantidad Se requiere tratamiento escalonado con el medicamento requerido previamente Editor Animamos que nos haga comentarios y sugerencias sobre el formulario de Health Choice. Sus aportes son fundamentales para la continuidad del éxito del formulario clínico. Todas las respuestas serán evaluadas y tenidas en cuenta. Envíe sus comentarios a: Pharmacy Services Department (Departamento de servicios farmacológicos) Health Choice Arizona 410 N 44 th Street, Suite 405 Phoenix, AZ Aviso La información contenida en este documento es confidencial. No está permitido copiar toda o parte de la información sin el consentimiento previo por escrito de Health Choice Arizona. Copyright Todos los derechos reservados. Los nombres de medicamentos enumerados aquí son marcas comerciales registradas o no registradas de compañías farmacéuticas independientes, sin relación o afiliación a Health Choice. Estas marcas se incluyen únicamente con fines informativos y no se pretende implicar ni sugerir una afiliación entre Health Choice y dichas compañías farmacéuticas. v

7 Health Choice Arizona Formulary Effective October 1, 2017 Product Reference rand- eneric *Adhd/Anti-Narcolepsy/Anti- Obesity/Anorexiants* ADDERALL XR PA Required for <6 years old; QL (30 EA per 30 rand Only amphetamine-dextroamphetamine Adderall PA Required for <6 years old; QL (60 EA per 30 APTENSIO XR PA Required for <6 years old; QL (30 EA per 30 rand Only clonidine hcl Catapres PA Required for <6 years old clonidine hcl transdermal patch Catapres Patch PA Required for <6 years old; QL (4 EA per 28 DAYTRANA PA Required for <6 years old; QL (30 EA per 30 rand Only dextroamphetamine sulfate er Dexedrine dextroamphetamine sulfate oral tablet Dexedrine PA Required for <6 years old; QL (60 EA per 30 PA Required for <6 years old; QL (60 EA per 30 FOCALIN FOCALIN XR PA Required for <6 years old; QL (60 EA per 30 rand Only PA Required for <6 years old; QL (60 EA per 30 rand Only guanfacine hcl Tenex PA Required for <6 years old guanfacine hcl er Intuniv PA Required for <6 years old; QL (30 EA per 30 KAPVAY ORAL TALET EXTENDED RELEASE 12 HOUR PA Required for <6 years old; QL (120 EA per 30 rand Only 1

8 Product Reference rand- eneric METHYLIN ORAL SOLUTION METHYLIN ORAL TALET CHEWALE PA Required for <6 years old; QL (300 ML per 30 rand Only PA Required for <6 years old; QL (90 EA per 30 methylphenidate hcl er (CD) oral capsule extended release 24 hour Metadate CD PA Required for <6 years old; QL (30 EA per 30 methylphenidate hcl er (la) oral capsule extended release 24 hour 20 mg, 30 mg, 40 mg Ritalin LA METHYLPHENIDATE HCL ER ORAL TALET EXTENDED RELEASE 18 M, 27 M, 36 M, 54 M methylphenidate hcl er oral tablet extended release 24 hour Concerta methylphenidate hcl oral tablet Ritalin modafinil Provigil PA QUILLICHEW ER QUILLIVANT XR RITALIN LA ORAL CAPSULE EXTENDED RELEASE 24 HOUR 10 M PA Required for <6 years old; QL (30 EA per 30 PA Required for <6 years old; QL (60 EA per 30 PA Required for<6 years old; QL (60 EA per 30 PA Required for <6 years old; QL (90 EA per 30 PA Required for <6 years old; QL (30 EA per 30 rand Only PA Required for <6 years old; QL (150 ML per 30 rand Only PA Required for <6 years old; QL (30 EA per 30 rand Only STRATTERA VYVANSE ORAL CAPSULE *Aminoglycosides* PA Required for <6 years old; QL (30 EA per 30 rand Only PA Required for <6 years old; QL (30 EA per 30 rand Only ETHKIS PA KITAIS PAK PA; SP neomycin sulfate oral paromomycin sulfate oral *Analgesics - Anti-Inflammatory* celecoxib oral CeleREX PA childrens ibuprofen 100 Childrens Advil 2

9 Product Reference rand- eneric diclofenac potassium diclofenac sodium er diclofenac sodium oral ENREL SUCUTANEOUS SOLUTION PREFILLED SYRINE 25 M/0.5ML ENREL SUCUTANEOUS SOLUTION PREFILLED SYRINE 50 M/ML ENREL SUCUTANEOUS SOLUTION RECONSTITUTED ENREL SURECLICK SUCUTANEOUS SOLUTION AUTO-INJECTOR etodolac er etodolac oral fenoprofen calcium oral tablet flurbiprofen oral HUMIRA PEN SUCUTANEOUS PEN- INJECTOR KIT HUMIRA SUCUTANEOUS PREFILLED SYRINE KIT ibuprofen junior strength oral tablet chewable Advil Junior Strength ibuprofen oral capsule Midol ibuprofen oral tablet 200 mg Provil ibuprofen oral tablet 400 mg, 600 mg, 800 mg INDOCIN ORAL INDOCIN RECTAL indomethacin er indomethacin oral infants ibuprofen Medi-Profen ketoprofen oral 3 PA; SP; QL (4.08 ML per 28 PA; SP; QL (3.92 ML per 28 PA; SP; QL (8 EA per 28 PA; SP; QL (3.92 ML per 28 PA; SP; QL (2 EA per 30 PA; SP; QL (2 EA per 30 ketorolac tromethamine oral QL (20 EA per 30 leflunomide oral Arava meloxicam oral tablet Mobic nabumetone oral naproxen dr EC-Naprosyn naproxen oral Naprosyn naproxen sodium oral tablet 220 mg Aleve naproxen sodium oral tablet 275 mg naproxen sodium oral tablet 550 mg Anaprox DS oxaprozin Daypro piroxicam oral Feldene RIDAURA sm ibuprofen jr Advil Junior Strength sulindac oral

10 Product Reference rand- eneric *Analgesics - Nonnarcotic* 8 hour pain relief Tylenol 8 Hour acetaminophen extra strength oral liquid Chloraseptic Sore Throat acetaminophen extra strength oral tablet Medi-Tabs Extra Strength acetaminophen junior strength Junior Mapap acetaminophen oral elixir Medi-Tabs Childrens acetaminophen oral liquid Little Remedies for Fever acetaminophen oral solution 160 mg/5ml acetaminophen oral suspension 160 mg/5ml Mapap Childrens acetaminophen oral tablet 325 mg Tylenol acetaminophen rectal suppository 120 mg FeverAll Childrens aspirin adult low strength oral tablet delayed release Aspir-Low aspirin ec oral tablet delayed release 325 mg Ecotrin aspirin low strength ayer Low Dose aspirin oral tablet 325 mg Norwich Aspirin aspirin rectal suppository 300 mg, 600 mg buffered aspirin ufferin butalbital-acetaminophen oral tablet mg Tencon butalbital-apap-caffeine oral capsule Fioricet butalbital-apap-caffeine oral tablet mg Esgic butalbital-aspirin-caffeine oral capsule Fiorinal childrens acetaminophen oral tablet dispersible Mapap Childrens childrens non-aspirin oral tablet chewable Childrens Medi-Tabs choline & mag trisalicylate oral tablet 1000 mg choline-mag trisalicylate diflunisal oral extra strength acetaminophen feverall junior strength infants pain reliever migraine formula Pamprin Max non-aspirin jr strength oral tablet chewable Medi-Tabs Junior Strength pain relief 8 hour Tylenol 8 Hour q-pap infants ra aspirin oral tablet 500 mg ayer Aspirin Extra Strength salsalate oral Disalcid *Analgesics - Opioid* 4

11 Product Reference rand- eneric acetaminophen-codeine #2 acetaminophen-codeine #3 Tylenol with Codeine #3 acetaminophen-codeine #4 Tylenol with Codeine #4 acetaminophen-codeine oral solution butalbital-apap-caff-cod Fioricet/Codeine PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 UTRANS PA; QL codeine sulfate oral tablet 30 mg, 60 mg PA Required for Day Supply reater than 7; QL (180 EA per 30 EMEDA PA; QL fentanyl transdermal patch 72 hour 100 mcg/hr Duragesic-100 PA; QL fentanyl transdermal patch 72 hour 12 mcg/hr Duragesic-12 PA; QL fentanyl transdermal patch 72 hour 25 mcg/hr Duragesic-25 PA; QL fentanyl transdermal patch 72 hour 50 mcg/hr Duragesic-50 PA; QL fentanyl transdermal patch 72 hour 75 mcg/hr Duragesic-75 PA; QL hydrocodone-acetaminophen oral solution mg/15ml hydrocodone-acetaminophen oral solution mg/15ml hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg, mg, mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg hydrocodone-acetaminophen oral tablet mg Zamicet Hycet Vicodin HP Lortab Verdrocet Vicodin Xodol 5 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30

12 Product Reference rand- eneric hydrocodone-ibuprofen oral tablet mg Xylon hydrocodone-ibuprofen oral tablet mg Reprexain hydrocodone-ibuprofen oral tablet mg hydromorphone hcl oral tablet Dilaudid PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 HYSINLA ER PA; QL (30 EA per 30 rand Only meperidine hcl oral tablet Demerol morphine sulfate (concentrate) oral solution 100 mg/5ml morphine sulfate er oral tablet extended release 100 mg, 15 mg, 30 mg, 60 mg morphine sulfate er oral tablet extended release 200 mg morphine sulfate oral solution morphine sulfate oral tablet MORPHINE SULFATE RECTAL SUPPOSITORY 10 M, 20 M, 5 M morphine sulfate rectal suppository 30 mg oxycodone hcl oral capsule oxycodone hcl oral concentrate 100 mg/5ml oxycodone hcl oral solution oxycodone hcl oral tablet oxycodone-acetaminophen oral solution oxycodone-acetaminophen oral tablet mg, mg, mg PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 MS Contin PA; QL (90 EA per 30 MS Contin PA; QL Endocet PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 6

13 Product Reference rand- eneric oxycodone-acetaminophen oral tablet mg oxycodone-aspirin oral tablet mg OXYCONTIN ORAL TALET ER 12 HOUR AUSE- DETERRENT 10 M, 15 M, 20 M, 30 M, 40 M OXYCONTIN ORAL TALET ER 12 HOUR AUSE-DETERRENT 60 M, 80 M Percocet hydrocortisone rectal enema Colocort 7 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7; QL (180 EA per 30 PA; QL (90 EA per 30 rand Only PA; QL (60 EA per 30 rand Only oxymorphone hcl Opana PA Required for Day Supply reater than 7; QL (180 EA per 30 tramadol hcl oral Ultram tramadol-acetaminophen Ultracet *Androgens-Anabolic* ANDRODERM TRANSDERMAL PATCH 24 HOUR ANDROEL PUMP TRANSDERMAL EL 12.5 M/ACT (1%) ANDROEL PUMP TRANSDERMAL EL M/ACT (1.62%) ANDROEL TRANSDERMAL EL M/1.25M (1.62%), 40.5 M/2.5M (1.62%) ANDROEL TRANSDERMAL EL 50 M/5M (1%) ANDROXY PA danazol oral FORTESTA PA testosterone cypionate intramuscular solution 100 mg/ml, 200 mg/ml PA Required for Day Supply reater than 7; QL (180 EA per 30 PA Required for Day Supply reater than 7 PA PA PA PA PA Depo-Testosterone PA testosterone enanthate intramuscular solution PA testosterone transdermal gel 10 mg/act (2%) Fortesta PA testosterone transdermal gel 12.5 mg/act (1%) Vogelxo Pump PA testosterone transdermal gel 25 mg/2.5gm (1%), 50 mg/5gm (1%) Androel PA VOELXO PUMP PA *Anorectal Agents* CORTIFOAM hydrocortisone ace-pramoxine rectal cream 1-1 % Analpram-HC

14 Product Reference rand- eneric lidocaine-hydrocortisone ace rectal cream LidaZone HC lidocaine-hydrocortisone ace rectal kit 2-2 % Ana-Lex pramoxine hcl rectal Proctofoam PROCORT PROCTOFOAM HC procto-med hc procto-pak *Antacids* acid gone oral suspension almacone oral tablet chewable mg aluminum hydroxide gel oral suspension 320 mg/5ml antacid & antigas oral suspension mg/5ml antacid extra strength oral tablet chewable mg ANTACID ORAL TALET CHEWALE 1177 M 8 Maalox Max Tums Chewy Delights antacid oral tablet chewable 420 mg Titralac antacid oral tablet chewable mg Rolaids calcium antacid Cal-est Antacid calcium antacid extra strength CVS Chewy Not Chalky Flavor calcium antacid ultra max st Tums Ultra 1000 childrens pepto Childrens Soothe geri-lanta supreme heartburn antacid ex st Acid one magnesium oxide oral tablet 250 mg, 400 mg magnesium oxide oral tablet 420 mg Maox mi-acid oral tablet chewable sm foaming antacid sodium bicarbonate oral tablet 325 mg, 650 mg *Anthelmintics* ALENZA ILTRICIDE ivermectin oral Stromectol pin-x oral suspension *Antianginal Agents* isosorbide dinitrate er isosorbide dinitrate oral isosorbide mononitrate isosorbide mononitrate er

15 Product Reference rand- eneric NITRO-ID nitroglycerin transdermal patch 24 hour Nitro-Dur nitroglycerin sublingual Nitrostat RANEXA PA *Antianxiety Agents* alprazolam er Xanax XR QL (30 EA per 30 ALPRAZOLAM INTENSOL PA Required for < 6 years of old; QL (60 ML per 15 alprazolam oral tablet 0.25 mg, 0.5 mg, 1 mg Xanax PA Required for < 6 years of old; QL (120 EA per 30 alprazolam oral tablet 2 mg Xanax PA Required for < 6 years of old; QL (60 EA per 30 alprazolam oral tablet dispersible 0.25 mg, 0.5 mg, 1 mg PA Required for < 6 years of old; QL (120 EA per 30 alprazolam oral tablet dispersible 2 mg PA Required for < 6 years of old; QL (60 EA per 30 alprazolam oral tablet 24hr 1 mg, 2 mg, 3 mg buspirone hcl oral tablet 10 mg, 15 mg, 5 mg, 7.5 mg PA Required for < 6 years of old; QL (30 EA per 30 PA Required for <6 years old; QL (120 EA per 30 buspirone hcl oral tablet 30 mg PA Required for < 6 years old; QL (60 EA per 30 chlordiazepoxide hcl PA Required for < 6 years old; QL (60 EA per 30 clonazepam oral tablet 0.5 mg, 1.0 mg KlonoPIN PA Required for <6 years old; QL (120 EA per 30 clonazepam oral tablet 2 mg KlonoPIN PA Required for < 6 years old; QL (60 EA per 30 clonazepam oral tablet dispersible mg, 0.25 mg, 0.5 mg, 1 mg PA Required for <6 years old; QL (120 EA per 30 9

16 Product Reference rand- eneric clonazepam oral table dispersible 2 mg PA Required for < 6 years old; QL (60 EA per 30 clorazepate dipotassium oral tablet 15 mg PA Required for < 6 years old; QL (60 EA per 30 clorazepate dipotassium oral tablet 3.75 mg PA Required for < 6 years old; QL (120 EA per 30 clorazepate dipotassium oral tablet 7.5 mg Tranxene-T PA Required for < 6 years old; QL (120 EA per 30 diazepam intensol PA Required for < 6 years old; QL (60 ML per 30 diazepam oral solution 1 mg/ml PA Required for < 6 years old; QL (300 ML per 30 diazepam oral tablet Valium PA Required for < 6 years old; QL (120 EA per 30 hydroxyzine hcl oral syrup QL (300ml per 30 hydroxyzine hcl oral tablet QL (240 EA per 30 hydroxyzine pamoate oral Vistaril QL (120 EA per 30 lorazepam intensol PA Required for < 6 years old; QL (60 ML per 30 lorazepam oral tablet 0.5 mg, 1 mg Ativan PA Required for < 6 years old; QL (120 EA per 30 lorazepam oral tablet 2 mg Ativan PA Required for < 6 years old; QL (60 EA per 30 oxazepam PA Required for < 6 years old; QL (60 EA per 30 *Antiarrhythmics* amiodarone hcl oral tablet 100 mg, 200 mg Pacerone disopyramide phosphate oral Norpace dofetilide Tikosyn flecainide acetate mexiletine hcl oral MULTAQ NORPACE CR pacerone oral tablet 100 mg, 200 mg 10

17 Product Reference rand- eneric propafenone hcl propafenone hcl er Rythmol SR quinidine gluconate er quinidine sulfate oral *Antiasthmatic And ronchodilator Agents* ADVAIR DISKUS ST albuterol sulfate er VoSpire ER albuterol sulfate inhalation albuterol sulfate oral ASMANEX 120 METERED DOSES ASMANEX 30 METERED DOSES INHALATION AEROSOL POWDER REATH ACTIVATED 110 MC/INH ATROVENT HFA QL (26 M per 30 COMIVENT RESPIMAT cromolyn sodium inhalation DULERA ST FLOVENT HFA ipratropium bromide inhalation ipratropium-albuterol metaproterenol sulfate oral montelukast sodium oral packet Singulair montelukast sodium oral tablet Singulair QL (30 EA per 30 montelukast sodium oral tablet chewable Singulair QL (30 EA per 30 PROAIR HFA PULMICORT RESPULES PA _ rand Only QVAR INHALATION AEROSOL SOLUTION SEREVENT DISKUS PA SPIRIVA HANDIHALER SYMICORT ST terbutaline sulfate oral theophylline er Theochron theophylline oral solution VENTOLIN HFA XOPENEX HFA zafirlukast Accolate *Anticoagulants* 11

18 Product Reference rand- eneric ELIQUIS QL (60 EA per 30 enoxaparin sodium injection Lovenox QL (60 EA per 30 heparin sodium (porcine) injection solution 1000 unit/ml, unit/ml, unit/ml, 5000 unit/ml heparin sodium (porcine) intravenous solution SP heparin sodium (porcine) pf SP PRADAXA QL (60 EA per 30 SP warfarin sodium oral Coumadin XARELTO QL (60 EA per 30 XARELTO DOSE PACK QL (51 EA per 30 *Anticonvulsants* ANZEL carbamazepine er Carbatrol carbamazepine oral clonazepam oral tablet 0.5 mg, 1 mg KlonoPIN PA Required for < 6 years old; QL (120 EA per 30 clonazepam oral tablet 2 mg KlonoPIN PA Required for < 6 years old; QL (60 EA per 30 clonazepam oral tablet dispersible mg, 0.25 mg, 0.5 mg, 1 mg PA Required for < 6 years old; QL (120 EA per 30 clonazepam oral tablet dispersible 2 mg PA Required for < 6 years old; QL (60 EA per 30 DIASTAT ACUDIAL RECTAL EL 10 M QL 2/Fill DIASTAT PEDIATRIC QL 2/Fill diazepam rectal Diastat AcuDial QL 2/Fill divalproex sodium er oral tablet extended release 24 hour divalproex sodium oral capsule delayed release sprinkle Depakote ER Depakote Sprinkles divalproex sodium oral tablet delayed release Depakote ethosuximide oral Zarontin felbamate Felbatol gabapentin oral capsule Neurontin 12

19 Product Reference rand- eneric gabapentin oral solution 250 mg/5ml Neurontin gabapentin oral tablet Neurontin AITRIL ORAL TALET 12 M, 16 M RALISE PA HORIZANT PA lamotrigine er LaMICtal XR lamotrigine oral tablet LaMICtal lamotrigine oral tablet chewable LaMICtal levetiracetam er Keppra XR levetiracetam oral Keppra LYRICA ORAL CAPSULE 100 M, 150 M, 200 M, 25 M, 50 M, 75 M LYRICA ORAL CAPSULE 225 M, 300 M LYRICA ORAL SOLUTION PA ONFI ORAL SUSPENSION PA ONFI ORAL TALET 10 M, 20 M PA oxcarbazepine Trileptal OXTELLAR XR phenytoin infatabs phenytoin oral suspension 125 mg/5ml Dilantin phenytoin sodium extended Dilantin primidone oral Mysoline tiagabine hcl abitril PA topiramate oral Topamax Sprinkle valproic acid oral capsule Depakene VIMPAT ORAL zonisamide oral Zonegran *Antidepressants* amitriptyline hcl oral amoxapine oral tablet 100 mg, 150 mg, 25 mg bupropion hcl er (sr) Wellbutrin SR bupropion hcl er (xl) Wellbutrin XL bupropion hcl oral citalopram hydrobromide solution Celexa 13 PA; QL (90 EA per 30 PA; QL (60 EA per 30 PA Required for<6 years old PA Required for<6 years old; PA Required for<6 years old; QL (60 EA for 30 PA Required for<6 years old; QL (30 EA for 30 PA Required for<6 years old; QL (120 EA for 30 PA Required for<6 years old; QL (600 ml per 30

20 Product Reference rand- eneric citalopram hydrobromide tablet 10 mg Celexa PA Required for<6 years old; QL (60 EA per 30 citalopram hydrobromide tablet 20 mg, 40 mg Celexa PA Required for<6 years old; QL (30 EA per 30 clomipramine hcl oral Anafranil PA Required for<6 years old desipramine hcl oral Norpramin PA Required for<6 years old Desvenlafaxine succinate er Pristiq PA Required for <6 years old; QL (120 EA per 30 doxepin hcl oral capsule PA Required for<6 years old; QL (90 EA per 30 d ) doxepin hcl oral concentrate PA Required for<6 years old; QL (180 ML per 30 d ) duloxetine hcl oral capsule delayed release particles 20 mg, 30 mg Cymbalta duloxetine hcl oral capsule delayed release particles 60 mg Cymbalta PA Required for<6 years old; QL (120 EA per 30 PA Required for<6 years old; QL (60 EA per 30 EMSAM PA escitalopram oxalate solution Lexapro PA Required for<6 years old; QL (600 ml per 30 escitalopram oxalate tablets 5mg Lexapro PA Required for<6 years old; QL (60 EA per 30 escitalopram oxalate tablets 10 mg, 20mg Lexapro PA Required for<6 years old; QL (30 EA per 30 fluoxetine hcl oral capsule 20 mg PROzac fluoxetine hcl oral capsule 10 mg, 40 mg PROzac fluoxetine hcl oral capsule delayed release PROzac Weekly PA Required for<6 years old; QL (120 EA per 30 PA Required for<6 years old; QL (60 EA per 30 PA d ) fluoxetine hcl oral solution fluvoxamine maleate 25 mg PROzac Luvox PA Required for<6 years old; QL (600 ml per 30 PA d Required ) for<6 years old; QL (60 EA per 30 14

21 Product Reference rand- eneric fluvoxamine maleate 50 mg Luvox PA Required for<6 years old; QL (180 EA per 30 fluvoxamine maleate 100 mg Luvox PA Required for<6 years old; QL (90 EA per 30 Luvox CR PA Required for<6 years fluvoxamine maleate er 100 mg old; QL (90 EA per 30 fluvoxamine maleate er 150 mg Luvox CR PA Required for<6 years old; QL (60 EA per 30 UPROPION HCL TA ER 24HR 450 M FORFIVO XL imipramine hcl oral Tofranil imipramine pamoate maprotiline hcl MARPLAN 15 PA Required for<6 years old PA Required for<6 years old PA Required for<6 years old PA Required for<6 years old mirtazapine oral Remeron PA Required for<6 years old; QL (30 EA for 30 mirtazapine orally disintegrating tablets Remeron Soltab PA Required for<6 years old; QL (30 EA for 30 nefazodone hcl 50 mg, 100 mg, 250 mg PA Required for<6 years old; QL (60 EA per 30 nefazodone hcl 150 mg PA Required for<6 years old; QL (120 EA per 30 nefazodone hcl 200 mg PA Required for<6 years old; QL (90 EA per 30 nortriptyline hcl oral capsule Pamelor NORTRIPTYLINE HCL ORAL SOLUTION PA Required for<6 years old PA Required for<6 years old paroxetine hcl er Paxil CR PA Required for<6 years old; QL (90 EA per 30 paroxetine hcl oral tablet 10 mg, 20 mg, 30 mg Paxil PA Required for<6 years old; QL (30 EA per 30 paroxetine hcl oral tablet 40 mg Paxil PA Required for<6 years old; QL (45 EA per 30

22 Product Reference rand- eneric PAXIL ORAL SUSPENSION PA Required for<6 years old; QL (900 ML per 30 PEXEVA PA Phenelzine Nardil PA required for <6years PRISTIQ protriptyline hcl sertraline hcl oral concentrate Zoloft sertraline hcl oral tablet 25 mg Zoloft sertraline hcl oral tablet 50 mg Zoloft PA Required for<6 years old PA Required for<6 years old PA Required for<6 years old; QL (300 ML per 30 PA Required for<6 years old; QL (90 EA per 30 PA Required for<6 years old; QL (120 EA per 30 sertraline hcl oral tablet 100 mg Zoloft tranylcypromine sulfate Parnate trazodone hcl oral 50 mg PA Required for<6 years old; QL (60 EA per 30 PA Required for<6 years old PA Required for<6 years old; QL (90 EA per 30 trazodone hcl oral 100 mg PA Required for<6 years old; QL (120 EA per 30 trazodone hcl oral 150 mg PA Required for<6 years old; QL (60 EA per 30 trazodone hcl oral 300 mg PA Required for<6 years old; QL (30 EA per 30 PA Required for<6 years trimipramine maleate oral Surmontil old venlafaxine hcl tablet 25 mg venlafaxine hcl tablet 37.5mg, 50 mg, 100 mg venlafaxine hcl tablet 75 mg venlafaxine hcl er oral capsule extended release 24 hour 37.5 mg, 75 mg Effexor XR PA Required for<6 years old; QL (120 EA per 30 PA Required for<6 years old; QL (90 EA per 30 PA Required for<6 years old; QL (150 EA per 30 PA Required for<6 years old; QL (90 EA per 30 16

23 Product Reference rand- eneric venlafaxine hcl er oral capsule extended release 24 hour 150 mg VIIRYD ORAL TALET Effexor XR PA Required for<6 years old; QL (30 EA per 30 PA VIIRYD STARTER PACK PA *Antidiabetics* acarbose Precose ACTOPLUS MET XR AVANDIA ORAL TALET 2 M, 4 M YETTA 5MC, 10MC PEN SUCUTANEOUS SOL PENINJECTOR PA YDUREON PEN, VIAL PA chlorpropamide glimepiride Amaryl glipizide er lucotrol XL glipizide oral lucotrol glipizide-metformin hcl LUCAON EMERENCY glyburide micronized lynase glyburide oral glyburide-metformin HUMALO KWIKPEN SUCUTANEOUS SOLUTION PEN-INJECTOR 100 UNIT/ML 17 QL (60 ML per 30 HUMALO MIX 50/50 QL (60 ML per 30 HUMALO MIX 50/50 KWIKPEN SUCUTANEOUS SUSPENSION PEN- INJECTOR QL (60 ML per 30 HUMALO MIX 75/25 QL (60 ML per 30 HUMALO MIX 75/25 KWIKPEN SUCUTANEOUS SUSPENSION PEN- INJECTOR QL (60 ML per 30 HUMALO SUCUTANEOUS SOLUTION QL (60 ML per 30 HUMULIN 70/30 HUMULIN N HUMULIN R ; QL (60 ML per 30 ; QL (60 ML per 30 ; QL (60 ML per 30 HUMULIN R U-500 (CONCENTRATED) PA; QL (60 ML per 30 INVOKANA JANUMET, XR, JENTADUETO PA KOMILYZE XR PA

24 Product Reference rand- eneric JANUVIA PA NOVOLO INJECTION QL (60 ML per 30 NOVOLO INJECTION FLEXPEN QL (60 ML per 30 NOVOLO INJECTION PENFILL QL (60 ML per 30 NOVOLO MIX 70/30 QL (60 ML per 30 NOVOLO MIX 70/30 FLEXPEN QL (60 ML per 30 ONLYZA PA LANTUS QL (60 ML per 30 LANTUS SOLOSTAR SUCUTANEOUS SOLUTION PEN-INJECTOR 18 QL (60 ML per 30 LEVEMIR QL (60 ML per 30 LEVEMIR FLEXTOUCH QL (60 ML per 30 metformin hcl er lucophage XR metformin hcl oral lucophage nateglinide Starlix pioglitazone hcl Actos pioglitazone hcl-glimepiride Duetact pioglitazone hcl-metformin hcl Actoplus Met repaglinide SYMLINPEN 120 SUCUTANEOUS SOLUTION PEN-INJECTOR SYMLINPEN 60 SUCUTANEOUS SOLUTION PEN-INJECTOR tolazamide tolbutamide TRADJENTA PA VICTOZA SUCUTANEOUS SOLUTION PEN- INJECTOR *Antidiarrheals* bismuth subsalicylate oral tablet chewable 262 mg diphenoxylate-atropine PA PA PA Pepto-ismol InstaCool FULYZAQ PA; QL (60 EA per 30 IMODIUM A-D ORAL TALET CHEWALE loperamide hcl oral capsule Imodium A-D loperamide hcl oral liquid loperamide hcl oral suspension Imodium A-D loperamide hcl oral tablet Loperamide A-D pink bismuth maximum strength Pepto-ismol Max Strength pink bismuth oral suspension 262 mg/15ml Pepto-ismol ra pink bismuth oral tablet Kaopectate *Antidotes*

25 Product Reference rand- eneric naloxone hcl injection solution 0.4 mg/ml NALOXONE HCL INJECTION SOLUTION 1 M/ML NARCAN *Antiemetics* ANZEMET ORAL PA aprepitant oral capsule 125 mg, 80 & 125 mg Emend 19 aprepitant oral capsule 40 mg, 80 mg Emend QL (6 EA per 30 DICLEIS dimenhydrinate oral Wal-Dram granisetron hcl oral meclizine hcl oral tablet meclizine hcl oral tablet chewable motion sickness Wal-Dram motion sickness relief oral tablet chewable QL (200 EA per 100 ondansetron Zofran ODT QL (30 EA per 30 ondansetron hcl oral solution Zofran ondansetron hcl oral tablet QL (30 EA per 30 trimethobenzamide hcl oral Tigan *Antifungals* fluconazole oral Diflucan flucytosine oral Ancobon griseofulvin microsize oral griseofulvin ultramicrosize ris-pe itraconazole oral Sporanox PA ketoconazole oral NOXAFIL ORAL SUSPENSION PA nystatin oral tablet SPORANOX ORAL SOLUTION PA terbinafine hcl oral LamISIL QL (90 EA per 365 voriconazole oral tablet Vfend *Antihistamines* ALER-DRYL all day allergy oral capsule ZyrTEC Allergy ALLERA ALLERY CHILDRENS ORAL TALET ALLERA ALLERY CHILDRENS ORAL TALET DISPERSILE allergy relief childrens oral tablet dispersible 12.5 mg Wal-Dryl Allergy Rel Childrens altaryl oral syrup carbinoxamine maleate oral solution

26 Product Reference rand- eneric carbinoxamine maleate oral tablet cetirizine hcl oral syrup 5 mg/5ml ZyrTEC Childrens Allergy cetirizine hcl oral tablet cetirizine hcl oral tablet chewable Wal-Zyr Childrens chlorpheniramine maleate er Chlor-Trimeton Allergy chlorpheniramine maleate oral Wal-finate clemastine fumarate oral tablet 2.68 mg cvs allergy childrens oral tablet chewable enadryl Allergy Childrens cyproheptadine hcl oral dayhist allergy 12 hour relief diphenhydramine hcl oral capsule anophen diphenhydramine hcl oral elixir diphenhydramine hcl oral liquid Wal-Dryl Allergy diphenhydramine hcl oral tablet 25 mg anophen ed chlorped jr Diabetic Tussin Allergy ED CHLORPED ORAL LIQUID fexofenadine hcl childrens Allegra Allergy Childrens fexofenadine hcl oral tablet 180 mg KLS Aller-Fex fexofenadine hcl oral tablet 60 mg Allegra Allergy levocetirizine dihydrochloride oral Xyzal loratadine allergy relief oral tablet dispersible Wal-vert loratadine childrens oral solution Claritin loratadine oral tablet KLS AllerClear promethazine hcl injection Phenergan promethazine hcl oral syrup promethazine hcl oral tablet promethazine hcl rectal Phenadoz TRIAMINIC COUH/RUNNY NOSE ORAL STRIP *Antihyperlipidemics* 20 atorvastatin calcium oral Lipitor QL (30 EA per 30 cholestyramine light Prevalite cholestyramine oral Questran colestipol hcl Colestid Flavored ezetimibe Zetia fenofibrate micronized oral capsule 134 mg, 200 mg, 67 mg Lofibra fenofibrate oral tablet 145 mg, 48 mg Tricor fenofibrate oral tablet 160 mg, 54 mg Lofibra fenofibric acid Trilipix fluvastatin sodium Lescol gemfibrozil oral Lopid

27 Product Reference rand- eneric JUXTAPID 21 PA; QL (30 EA per 30 lovastatin QL (30 EA per 30 omega-3-acid ethyl esters Lovaza pravastatin sodium QL (30 EA per 30 simvastatin oral Zocor QL (30 EA per 30 *Antihypertensives* amlodipine besy-benazepril hcl Lotrel atenolol-chlorthalidone Tenoretic 100 benazepril hcl oral Lotensin bisoprolol-hydrochlorothiazide Ziac captopril oral captopril-hydrochlorothiazide clonidine hcl oral Catapres clonidine hcl transdermal Catapres-TTS-1 PA Required fo <6 years old; QL (4 EA per 28 doxazosin mesylate Cardura enalapril maleate oral Vasotec enalapril-hydrochlorothiazide Vaseretic eplerenone Inspra eprosartan mesylate fosinopril sodium fosinopril sodium-hctz guanfacine hcl oral hydralazine hcl oral irbesartan Avapro irbesartan-hydrochlorothiazide Avalide lisinopril oral Zestril lisinopril-hydrochlorothiazide Zestoretic losartan potassium Cozaar losartan potassium-hctz Hyzaar methyldopa oral metoprolol-hydrochlorothiazide minoxidil oral moexipril hcl moexipril-hydrochlorothiazide nadolol-bendroflumethiazide Corzide perindopril erbumine prazosin hcl oral Minipress propranolol-hctz quinapril hcl Accupril quinapril-hydrochlorothiazide Accuretic

28 Product Reference rand- eneric ramipril Altace terazosin hcl oral trandolapril Mavik valsartan Diovan valsartan-hydrochlorothiazide Diovan HCT *Anti-Infective Agents - Misc.* atovaquone oral Mepron clindamycin hcl oral Cleocin clindamycin palmitate hcl Cleocin dapsone oral linezolid oral suspension reconstituted Zyvox PA linezolid oral tablet Zyvox PA metronidazole oral Flagyl PRIMSOL SIVEXTRO ORAL PA; SP sulfamethoxazole-trimethoprim oral suspension mg/5ml Sulfatrim Pediatric sulfamethoxazole-trimethoprim oral tablet actrim DS tinidazole oral trimethoprim oral vancomycin hcl oral Vancocin HCl XIFAXAN PA *Antimalarials* atovaquone-proguanil hcl Malarone chloroquine phosphate oral COARTEM hydroxychloroquine sulfate oral Plaquenil mefloquine hcl quinine sulfate oral Qualaquin *Antimyasthenic Agents* pyridostigmine bromide er Mestinon pyridostigmine bromide oral Mestinon *Antimyasthenic/Cholinergic Agents* pyridostigmine bromide er Mestinon pyridostigmine bromide oral Mestinon *Antimycobacterial Agents* ethambutol hcl oral Myambutol isoniazid oral pyrazinamide oral rifamate rifampin oral Rifadin 22

29 Product Reference rand- eneric SIRTURO 23 *Antineoplastics And Adjunctive Therapies*- ONCOLOY -FEDERALLY REIMURSALE ANTINEOPLASTIC AENTS,NOT LISTED ELOW, ARE AVAILALE THROUH PRIOR AUTHORIZATION ACTIMMUNE PA; SP AFINITOR PA AFINITOR DISPERZ PA ALECENSA PA; SP ALKERAN ORAL SP anastrozole oral Arimidex bexarotene Targretin SP bicalutamide Casodex OSULIF PA; SP CAPRELSA SP COMETRIQ (100 M DAILY DOSE) PA; SP COMETRIQ (140 M DAILY DOSE) PA; SP COMETRIQ (60 M DAILY DOSE) PA; SP COTELLIC PA; SP cyclophosphamide oral capsule ELIARD SP ETOPOPHOS SP etoposide oral SP exemestane Aromasin FARESTON flutamide ILOTRIF PA; SP LEOSTINE ORAL CAPSULE 10 M, 100 M, 40 M SP HEXALEN SP hydroxyurea oral Hydrea ICLUSI PA; SP; QL (60 EA per 30 imatinib mesylate leevec PA; SP IMRUVICA PA; SP INLYTA PA; SP INTRON A PA; SP IRESSA PA; SP JAKAFI PA LENVIMA 10 M DAILY DOSE PA; SP LENVIMA 14 M DAILY DOSE PA; SP LENVIMA 18 M DAILY DOSE PA; SP LENVIMA 20 M DAILY DOSE PA; SP LENVIMA 24 M DAILY DOSE PA; SP LENVIMA 8 M DAILY DOSE PA; SP

30 Product Reference rand- eneric letrozole oral Femara leucovorin calcium oral LEUKERAN leuprolide acetate injection SP LUPRON DEPOT (1-MONTH) SP LUPRON DEPOT (3-MONTH) SP LUPRON DEPOT (4-MONTH) SP LUPRON DEPOT (6-MONTH) SP LYSODREN MATULANE SP megestrol acetate oral suspension 40 mg/ml Megace Oral megestrol acetate oral tablet mercaptopurine oral methotrexate oral methotrexate sodium (pf) injection solution 50 mg/2ml methotrexate sodium injection solution 50 mg/2ml methotrexate sodium injection solution reconstituted MYLERAN NEXAVAR PA NINLARO PA; SP POMALYST STIVARA PA; SP SUTENT PA SYNRIO PA TALOID tamoxifen citrate oral TARCEVA PA; SP TARRETIN ORAL PA TASINA PA; SP tretinoin oral SP TYKER PA; SP VOTRIENT PA; SP XALKORI PA; SP XTANDI ZELORAF PA ZOLINZA PA *Antiparkinson Agents* amantadine hcl oral 24 PA; SP; QL (21 EA per 28 PA; SP; QL (120 EA per 30

31 Product Reference rand- eneric benztropine mesylate oral bromocriptine mesylate oral Parlodel carbidopa-levodopa Sinemet carbidopa-levodopa er oral tablet extended release mg, mg Sinemet CR carbidopa-levodopa-entacapone Stalevo 50 entacapone Comtan pramipexole dihydrochloride Mirapex ropinirole hcl Requip selegiline hcl oral Eldepryl trihexyphenidyl hcl *Antipsychotics/Antimanic Agents* prochlorperazine Compro prochlorperazine maleate oral *Antiretrovirals Adjuvants*** TYOST *Antivirals* abacavir sulfate Ziagen SP abacavir sulfate-lamivudine Epzicom abacavir-lamivudine-zidovudine Trizivir SP acyclovir oral Zovirax adefovir dipivoxil Hepsera PA; SP APTIVUS SP ATRIPLA SP ARACLUDE ORAL SOLUTION PA; SP COMPLERA SP CRIXIVAN ORAL CAPSULE 200 M, 400 M DESCOVY SP didanosine Videx EC SP EDURANT SP EMTRIVA SP entecavir araclude PA; SP EPIVIR HV ORAL SOLUTION SP EVOTAZ SP famciclovir oral FUZEON SUCUTANEOUS SOLUTION RECONSTITUTED ENVOYA SP INTELENCE SP INVIRASE SP ISENTRESS ORAL TALET SP 25 SP PA; SP

32 Product Reference rand- eneric ISENTRESS ORAL TALET CHEWALE SP KALETRA ORAL TALET SP lamivudine Epivir SP lamivudine-zidovudine Combivir SP LEXIVA SP lopinavir-ritonavir Kaletra moderiba oral tablet 200 mg PA; SP nevirapine Viramune SP nevirapine er Viramune XR SP NORVIR SP ODEFSEY SP oseltamivir phosphate Tamiflu QL (10 EA per 365 PEASYS PROCLICK SUCUTANEOUS SOLUTION 135 MC/0.5ML PEASYS PROCLICK SUCUTANEOUS SOLUTION 180 MC/0.5ML PE-INTRON REDIPEN SUCUTANEOUS KIT 120 MC/0.5ML PE-INTRON REDIPEN SUCUTANEOUS KIT 150 MC/0.5ML, 50 MC/0.5ML, 80 MC/0.5ML PREZCOIX PREZISTA ORAL TALET 150 M, 600 M, 75 M, 800 M 26 PA; SP PA PA; SP RELENZA DISKHALER QL (10 EA per 365 RESCRIPTOR SP REYATAZ ORAL CAPSULE 150 M, 200 M, 300 M ribavirin oral capsule Rebetol PA; SP ribavirin oral tablet 200 mg Moderiba PA; SP rimantadine hcl Flumadine SELZENTRY ORAL TALET 150 M, 300 M PA; SP stavudine Zerit SP STRIILD SP SUSTIVA SP TAMIFLU ORAL SUSPENSION RECONSTITUTED 6 M/ML TIVICAY ORAL TALET 50 M SP TRIUMEQ SP TRUVADA PA; SP TYZEKA PA; SP valacyclovir hcl oral Valtrex valganciclovir hcl Valcyte VIDEX SP PA SP SP QL (60 ML per 365

33 Product Reference rand- eneric VIRACEPT ORAL TALET SP VIRAMUNE ORAL SUSPENSION SP VIREAD ORAL TALET SP VITEKTA SP ZIAEN ORAL SOLUTION SP zidovudine Retrovir SP *Assorted Classes* AZASAN azathioprine oral Imuran CUPRIMINE ORAL CAPSULE 250 M cyclosporine modified engraf cyclosporine oral capsule SandIMMUNE ENRAF ORAL CAPSULE 100 M, 25 M ENRAF ORAL SOLUTION mycophenolate mofetil oral capsule CellCept mycophenolate mofetil oral tablet CellCept mycophenolate sodium oral tablet Myfortic RAPAMUNE ORAL SOLUTION REVLIMID PA; SP sirolimus oral Rapamune sodium polystyrene sulfonate oral suspension Kionex sodium polystyrene sulfonate rectal suspension 30 gm/120ml tacrolimus oral Prograf THALOMID PA; SP ZORTRESS PA; SP *eta lockers* acebutolol hcl oral atenolol oral Tenormin betaxolol hcl oral bisoprolol fumarate Zebeta carvedilol Coreg labetalol hcl oral metoprolol succinate er Toprol XL metoprolol tartrate oral tablet 100 mg, 50 mg Lopressor metoprolol tartrate oral tablet 25 mg nadolol oral tablet 20 mg, 40 mg, 80 mg Corgard pindolol propranolol hcl er Inderal LA propranolol hcl oral solution propranolol hcl oral tablet 10 mg, 20 mg, 40 mg, 80 mg 27

34 Product Reference rand- eneric sotalol hcl (af) etapace AF sotalol hcl oral Sorine timolol maleate oral *Calcium Channel lockers* amlodipine besylate oral Norvasc QL (30 EA per 30 CARDIZEM LA ORAL TALET EXTENDED RELEASE 24 HOUR 120 M QL (30 EA per 30 diltiazem hcl er beads Taztia XT QL (30 EA per 30 diltiazem hcl er coated beads Cartia XT QL (30 EA per 30 diltiazem hcl er oral capsule extended release 12 hour diltiazem hcl er oral capsule extended release 24 hour 120 mg, 180 mg, 240 mg diltiazem hcl oral Cardizem felodipine er isradipine nicardipine hcl oral nifedipine er Adalat CC nifedipine er osmotic release Procardia XL nifedipine oral Procardia nimodipine oral nisoldipine er Sular verapamil hcl er oral capsule extended release 24 hour verapamil hcl er oral tablet extended release 120 mg, 180 mg verapamil hcl er oral tablet extended release 240 mg verapamil hcl oral *Cardiotonics* Verelan PM QL (30 EA per 30 Calan SR QL (60 EA per 30 Isoptin SR QL (60 EA per 30 digoxin oral LANOXIN ORAL TALET MC, 62.5 MC *Cardiovascular Agents - Misc.* ADCIRCA PA; SP amlodipine-atorvastatin Caduet LETAIRIS PA; SP sildenafil citrate oral Revatio PA TRACLEER PA; SP TYVASO PA; SP TYVASO REFILL PA; SP TYVASO STARTER PA; SP VENTAVIS PA; SP 28

35 Product Reference rand- eneric *Cephalosporins* cefaclor er cefaclor oral capsule cefadroxil cefdinir cefditoren pivoxil cefixime Suprax cefpodoxime proxetil cefprozil CEFTIN ORAL SUSPENSION RECONSTITUTED cefuroxime axetil oral tablet Ceftin cephalexin Keflex SUPRAX ORAL SUSPENSION RECONSTITUTED 500 M/5ML *Contraceptives* aftera altavera alyacen 1/35 Dasetta 1/35 alyacen 7/7/7 Cyclafem 7/7/7 amethia amethia lo amethyst apri aranelle ashlyna aubra aviane azurette ALZIVA bekyree blisovi fe 1.5/30 blisovi fe 1/20 briellyn ildagia camila 29 camrese QL (91 EA per 91 camrese lo QL (91 EA per 91 caziant cesia chateal cryselle-28 cyclafem 1/35

36 Product Reference rand- eneric cyclafem 7/7/7 cyred dasetta 1/35 dasetta 7/7/7 daysee deblitane delyla DEPO-SUQ PROVERA 104 SUCUTANEOUS SUSPENSION desogestrel-ethinyl estradiol Enskyce drospirenone-ethinyl estradiol Loryna econtra ez elinest emoquette enpresse-28 enskyce errin estarylla fallback solo falmina gianvi gildagia gildess 1.5/30 gildess 1/20 gildess fe 1.5/30 gildess fe 1/20 heather introvale jencycla 30 QL (1 ML per 90 jolessa QL (91 EA per 91 jolivette juleber junel 1.5/30 junel 1/20 junel fe 1.5/30 junel fe 1/20 junel fe 24 kaitlib fe kariva kelnor 1/35 kimidess kurvelo

37 Product Reference rand- eneric larin 1.5/30 larin 1/20 larin 24 fe larin fe 1.5/30 larin fe 1/20 layolis fe leena lessina levonest levonorgest-eth estrad 91-day LoSeasonique levonorgestrel oral tablet 1.5 mg Fallback Solo levonorgestrel-ethinyl estrad Falmina levonorg-eth estrad triphasic Myzilra levora 0.15/30 (28) LO LOESTRIN FE lomedia 24 fe loryna low-ogestrel lutera lyza marlissa Chateal medroxyprogesterone acetate intramuscular suspension microgestin 1.5/30 microgestin 1/20 microgestin 24 fe microgestin fe 1.5/30 microgestin fe 1/20 mono-linyah mononessa my way myzilra NATAZIA necon 0.5/35 (28) necon 1/35 (28) NECON 1/50 (28) necon 10/11 (28) necon 7/7/7 next choice one dose nikki nora-be 31 Depo-Provera QL (1 ML per 90 norethin ace-eth estrad-fe oral tablet lisovi FE 1/20

38 Product Reference rand- eneric norethindrone acet-ethinyl est Larin 1/20 norethindrone oral Jencycla norethin-eth estradiol-fe oral tablet chewable mg-mcg norgestimate-eth estradiol oral tablet mgmcg norgestim-eth estrad triphasic oral tablet 0.18/0.215/0.25 mg-25 mcg norlyroc nortrel 0.5/35 (28) nortrel 1/35 (21) nortrel 1/35 (28) nortrel 7/7/7 NUVARIN ocella OESTREL Layolis FE MonoNessa Ortho Tri-Cyclen Lo opcicon one-step orsythia philith pimtrea pirmella 1/35 pirmella 7/7/7 portia-28 previfem quasense react reclipsen setlakin sharobel solia sprintec 28 sronyx syeda take action tarina fe 1/20 tilia fe tri-estarylla tri-legest fe tri-linyah tri-lo-estarylla tri-lo-marzia tri-lo-sprintec trinessa (28) 32

39 Product Reference rand- eneric trinessa lo tri-previfem tri-sprintec trivora (28) velivet vestura vienva viorele Pimtrea vyfemla wera wymzya fe XULANE zarah zenchent zenchent fe zovia 1/35e (28) *Corticosteroids* budesonide oral Entocort EC dexamethasone oral fludrocortisone acetate oral hydrocortisone oral Cortef methylprednisolone oral Medrol prednisolone oral solution prednisolone sodium phosphate oral solution 15 mg/5ml, 25 mg/5ml prednisolone sodium phosphate oral solution 6.7 (5 base) mg/5ml prednisone oral solution prednisone oral tablet prednisone oral tablet therapy pack 10 mg (21), 5 mg (21) *Cough/Cold/Allergy* Pediapred ALAHIST DM ORAL LIQUID M/5ML ambi 10peh/400gfn/20dm Tusicof benzonatate oral capsule 100 mg Tessalon Perles benzonatate oral capsule 200 mg bio t pres pediatric Tussi-Pres Pediatric broncho saline broncotron ped brontuss sf nr ROTAPP brotapp dm 33

40 Product Reference rand- eneric cetirizine-pseudoephedrine er ZyrTEC-D Allergy & Congestion coricidin hbp congestion/cough cough dm childrens oral suspension extended release Robitussin 12 Hour Cough despec dm oral syrup mg/5ml despec eda Nortuss-DE diabetic tussin dm dometuss-dmx double-tussin dm ed bron gp fexofenadine-pseudoephed er giltuss pediatric oral liquid gnp day time mucus relief dm Wal-Fex D Allergy & Congestion Vicks DayQuil Mucus Control DM guaifenesin dac guaifenesin dm TabTussin DM guaifenesin oral solution 300 mg/15ml Diabetic Tussin guaifenesin-codeine oral solution guaifenesin-dm oral syrup Wal-Tussin Cough/Chest DM hist-pse hydrocodone-homatropine HYPERSAL INHALATION NEULIZATION SOLUTION 3.5 % j-max J-TAN D PD liquituss gg lohist-d loratadine-d 12hr KLS AllerClear D-12HR loratadine-d 24hr Claritin-D 24 Hour medi-tussin dm double strength mucus d oral tablet extended release 12 hour mg mucus relief d oral tablet extended release 12 hour mucus relief dm max oral liquid mg/20ml mucus relief er oral tablet extended release 12 hour 600 mg mucus relief multi symptom 34 Mucinex D Mucinex D Mucinex Fast-Max DM Max Mucinex Mucinex Fast-Max Congest Cough

41 Product Reference rand- eneric mucus-dm Mucinex DM mucus-dm max NEUSAL INHALATION NEULIZATION SOLUTION 6 % nohist-dm Mucinex DM Maximum Strength pedia relief cough/cold promethazine vc promethazine vc/codeine promethazine-codeine promethazine-dm pseudoeph-bromphen-dm oral syrup romfed DM mg/5ml pseudoephedrine-dm-gg oral liquid relcof c sodium chloride inhalation nebulization solution 0.9 %, 10 % sodium chloride inhalation nebulization solution 3 % sodium chloride inhalation nebulization solution 7 % Nebusal PulmoSal sudogest sinus/allergy tg 10peh/380gfn/15dm Nivanex DMX TRIOFEN DM trymine cg Mar-Cof C Expectorant tussin cf max multi-symptom Wal-Tussin CF Max tussin chest congestion Diabetic Tussin EX tussin dm max adult Diabetic Tussin Max St tussin dm oral syrup Wal-Tussin Cough/Chest DM tusslin pediatric WAL-DRYL-D *Cystic Fibrosis Agent - Combinations*** ORKAMI ORAL TALET M PA; SP *Dermatologicals* AREVA absorica oral capsule 10 mg, 20 mg, 30 mg, 40 mg acne maximum strength external pad Stri-Dex Maximum Strength acne treatment external bar acyclovir external Zovirax QL (15 M per 30 adapalene external cream Differin adapalene external gel Differin alclometasone dipropionate Aclovate 35

42 Product Reference rand- eneric amcinonide ammonium lactate external eri-hydrolac 12 antibiotic plus pain relief Neosporin Plus Pain Relief MS anti-dandruff Selsun lue Moisturizing aqua care external lotion athletes foot external powder 2 % Lotrimin AF athletes foot spray external aerosol Tinactin bacitracin external aciguent bacitracin zinc external bedding spray lice treatment Licide benzoyl peroxide cleanser external lotion 6 % Oscion Cleanser benzoyl peroxide external foam enzepro benzoyl peroxide external gel 10 % Clean & Clear Persa-el Max St benzoyl peroxide external gel 5 % Clearplex V benzoyl peroxide wash external liquid 10 % PanOxyl Wash benzoyl peroxide wash external liquid 5 % enzac AC Wash benzoyl peroxide-erythromycin enzamycin beta care betamide beta care betatar gel betamethasone dipropionate aug external cream Diprolene AF betamethasone dipropionate aug external gel QL (50 M per 30 betamethasone dipropionate aug external lotion betamethasone dipropionate aug external ointment betamethasone dipropionate external betamethasone valerate external cream betamethasone valerate external lotion betamethasone valerate external ointment Diprolene Diprolene QL (50 M per 30 bp 10-1 Cerisa Wash bp cleansing wash bp wash external liquid 2.5 % PanOxyl bp wash external liquid 7 % PR enzoyl Peroxide Wash bpo creamy wash bpo external gel 4 % bpo foaming cloths external 6 % enzepro Foaming Cloths calcipotriene external Dovonex calcitriol external Vectical callus removers extra thick Mediplast 36

43 Product Reference rand- eneric CENTANY AT ciclopirox external solution Ciclodan ciclopirox olamine external Ciclodan clean & clear advantage acne external lotion CLEAN & CLEAR LACKHEAD ERASER EXTERNAL CREAM CLEAN & CLEAR OIL ASORIN EXTERNAL CREAM clindamycin phosphate external Cleocin-T clobetasol propionate e Temovate E clobetasol propionate emulsion Olux-E 37 clobetasol propionate external cream Temovate QL (60 M per 30 clobetasol propionate external foam Olux QL (100 ML per 30 clobetasol propionate external gel Temovate QL (60 M per 30 clobetasol propionate external lotion Clobex QL (118 ML per 30 clobetasol propionate external ointment Temovate QL (60 M per 30 clobetasol propionate external shampoo Clodan clobetasol propionate external solution Cormax Scalp Application clotrimazole af Desenex clotrimazole external solution FungiCure Intensive/Nailuard clotrimazole-betamethasone Lotrisone CNL8 NAIL complete lice treatment corn remover one-step RID Complete Lice Elimination Compound W One Step Invisible corn/callus remover external solution 12.6 % cvs cortisone cooling relief Corticool cvs targeted acne spot Neutrogena On-The-Spot desenex spray external aerosol desonide external DesOwen diclofenac sodium transdermal gel 1 % Voltaren PA double antibiotic Polysporin DRYSOL ELIDEL elta tar external cream eql lice solution erythromycin external Erygel EURAX PA exuviance blemish treatment first aid antibiotic external ointment 4 % ProCoMycin fluocinolone acetonide body Derma-Smoothe/FS ody PA; QL (30 M per 30

44 Product Reference rand- eneric fluocinolone acetonide external fluocinolone acetonide scalp Derma-Smoothe/FS Scalp fluocinonide external cream fluocinonide external gel QL (60 M per 30 fluocinonide external ointment QL (60 M per 30 fluocinonide external solution fluocinonide-e FLUOROPLEX fluorouracil external cream 5 % Efudex fluorouracil external solution fluticasone propionate external Cutivate gentamicin sulfate external geri-hydrolac 5 gnp diaper rash creamy HALAC Cottontails Diaper Rash Creamy halobetasol propionate Ultravate hydrocortisone acetate external cream Lanacort 10 hydrocortisone butyrate external Locoid hydrocortisone external cream 0.5 % hydrocortisone external cream 1 % Aveeno Anti-Itch Max St hydrocortisone external cream 2.5 % hydrocortisone external lotion 1 % HydroSKIN hydrocortisone external lotion 2.5 % hydrocortisone external ointment 0.5 % hydrocortisone external ointment 1 % Cortizone-10 hydrocortisone external ointment 2.5 % hydrocortisone valerate hydrocortisone-iodoquinol external cream 1-1 % Dermazene hydrophor Aquaphor imiquimod external Aldara invisible acne max st Clearskin KERALYT EXTERNAL EL 3 % KERALYT SCALP ketoconazole external cream ketoconazole external shampoo Nizoral lactic acid external lotion LATRIX XM lice killing maximum strength external shampoo 38 Licide lice treatment external liquid 1 % Nix Creme Rinse

45 Product Reference rand- eneric lice treatment external lotion liceout lidocaine external cream Lidocream lidocaine external ointment 39 PA; QL (50 M per 30 lidocaine external patch 5 % Lidoderm QL (60 EA per 30 lidocaine hcl external gel 2 % Regenecare HA lidocaine hcl external solution Xylocaine lidocaine-prilocaine external cream lindane external shampoo liquid corn & callus remover ets-it Corn/Callus Remover malathion external Ovide metronidazole external cream Rosadan metronidazole external gel 0.75 % Rosadan metronidazole external lotion MetroLotion M217 PSORIASIS MULTI-SYMPTOM EXTERNAL CREAM M217 PSORIASIS MULTI-SYMPTOM EXTERNAL OINTMENT 2 % miconazole nitrate external Cruex Prescription Strength mometasone furoate external Elocon mupirocin calcium actroban mupirocin external Centany myorisan neutrogena clear pore external liquid nystatin external OC8 EXTERNAL EL 7 % pc-tar Ionil-T permethrin external cream Elimite podofilox external Condylox PRAMOSONE EXTERNAL CREAM 1-1 % prednicarbate Dermatop ra acne cleanser oil-free Neutrogena Oil-Free Acne Wash ra scalp itch/dandruff relief Scalpicin RID ESSENTIAL LICE ELIMINATION salactic film salicylic acid external cream Salacyn salicylic acid external foam Salvax salicylic acid external gel Keralyt salicylic acid external liquid 26 % salicylic acid external lotion Salacyn

46 Product Reference rand- eneric salicylic acid external shampoo Salex salicylic acid wart remover Virasal salicylic acid-cleanser Salex scalacort Ala Scalp scalp relief maximum strength Noble Formula HC selenium sulfide external lotion selenium sulf-pyrithione-urea silver sulfadiazine external Silvadene SKLICE PA spinosad Natroba sss 10-5 external foam stop lice maximum strength external liquid Licide Maximum Strength sulfacetamide sodium (acne) Klaron sulfacetamide sodium external liquid Ovace Plus Wash sulfacetamide sodium-sulfur external cream 10-2 % sulfacetamide sodium-sulfur external cream 10-5 % Avar-e LS Avar-e Emollient sulfacetamide sodium-sulfur external emulsion Avar Cleanser sulfacetamide sodium-sulfur external liquid 10-2 % sulfacetamide sodium-sulfur external liquid 9-4 % sulfacetamide sodium-sulfur external liquid % sulfacetamide sodium-sulfur external lotion 10-5 % sulfacetamide sodium-sulfur external pad 10-4 % sulfacetamide sodium-sulfur external suspension 8-4 % sulfacetamide-sulfur in urea external emulsion SULFACETAMIDE-SULFUR IN UREA EXTERNAL EL Avar LS Cleanser Sumaxin Wash Sumadan Wash Sumaxin SulfaCleanse 8/4 tacrolimus external Protopic TAZORAC tetterine therapeutic external DHS Tar el tolnaftate external lis-to-sol tretinoin external Retin-A triamcinolone acetonide external cream triamcinolone acetonide external lotion triamcinolone acetonide external ointment triple antibiotic external ointment Lanabiotic 40 PA; QL (30 M per 30

47 Product Reference rand- eneric triple antibiotic plus umecta mousse Neosporin + Pain Relief Max St urea external cream 10 % Atrac-Tain urea external cream 20 % Carmol 20 ; QL (85 M per 30 ; QL (85 M per 30 urea external cream 45 % Uramaxin QL (85 M per 30 urea external cream 50 % Remeven urea external emulsion urea external gel Cerovel urea external lotion 40 % Cerovel urea external lotion 45 % Uramaxin urea external suspension 50 % Latrix urea nail external gel 45 % Uramaxin urea nail film Umecta Nail Film wart remover maximum strength external gel *Diagnostic Products* FREESTYLE LITE TEST FREESTYLE TEST Compound W Maximum Strength KETO-DIASTIX KETONE TEST Chek-Stix Control PRECISION XTRA LOOD LUCOSE *Digestive Aids* QL (142 M per 30 CREON rand Only PANCREAZE ORAL CAPSULE DELAYED RELEASE PARTICLES 2600 UNIT pancrelipase (lip-prot-amyl) Zenpep SUCRAID QL: #500/90 days for members on insulin. #200/90 days for members not on insulin.; QL: #500/90 days for members on insulin. #200/90 days for members not on insulin.; QL: #500/90 days for members on insulin. #200/90 days for members not on insulin.; rand Only 41

48 Product Reference rand- eneric ZENPEP ORAL CAPSULE DELAYED RELEASE PARTICLES UNIT, UNIT, UNIT, UNIT, UNIT, UNIT ZENPEP CAPSULE DR 5000 UNIT *Direct-Acting P2y12 Inhibitors*** RILINTA ORAL TALET 60 M RILINTA ORAL TALET 90M *Diuretics* rand Only QL 60mg & 90mg 60 per 30 days; 90mg 365 day MAX acetazolamide er Diamox Sequels acetazolamide oral amiloride hcl oral amiloride-hydrochlorothiazide bumetanide oral umex chlorothiazide oral chlorthalidone oral tablet 25 mg, 50 mg furosemide oral solution 10 mg/ml, 8 mg/ml furosemide oral tablet Lasix hydrochlorothiazide oral tablet 25 mg, 50 mg indapamide oral methazolamide oral Neptazane methyclothiazide oral metolazone spironolactone oral Aldactone spironolactone-hctz Aldactazide torsemide oral Demadex triamterene-hctz oral capsule mg Dyazide triamterene-hctz oral tablet Maxzide-25 *Endocrine And Metabolic Agents - Misc.* alendronate sodium oral tablet 10 mg, 40 mg, 5 mg QL (30 EA per 30 alendronate sodium oral tablet 35 mg QL (4 EA per 28 alendronate sodium oral tablet 70 mg Fosamax QL (4 EA per 28 cabergoline calcitonin (salmon) Miacalcin calcitriol oral capsule Rocaltrol QL (30 EA per 30 calcitriol oral solution Rocaltrol desmopressin ace rhinal tube DDAVP Rhinal Tube PA desmopressin ace spray refrig PA desmopressin acetate oral DDAVP desmopressin acetate spray DDAVP PA 42

49 Product Reference rand- eneric doxercalciferol oral Hectorol FORTEO SUCUTANEOUS SOLUTION 600 MC/2.4ML PA; SP ENOTROPIN PA; SP ENOTROPIN MINIQUICK PA; SP ibandronate sodium oral oniva INCRELEX PA levocarnitine oral solution Carnitor SF levocarnitine oral tablet Carnitor LUPRON DEPOT-PED (1-MONTH) SP MIACALCIN INJECTION NORDITROPIN FLEXPRO PA; SP raloxifene hcl Evista SENSIPAR PA; SP SINIFOR *Estrogens* CLIMARA PRO estradiol oral Estrace estradiol transdermal Vivelle-Dot estradiol-norethindrone acet Mimvey Lo estropipate oral MENEST MINIVELLE norethindrone-eth estradiol Femhrt Low Dose PREFEST PREMARIN ORAL PREMPRO *Fluoroquinolones* PA; SP; QL (60 ML per 30 ciprofloxacin hcl oral levofloxacin oral ofloxacin oral tablet 400 mg *astrointestinal Agents - Misc.* AMITIZA PA APRISO ASACOL HD balsalazide disodium Colazal calcium acetate (phos binder) Eliphos CANASA cromolyn sodium oral astrocrom DELZICOL 43

50 Product Reference rand- eneric DIPENTUM FOSRENOL ORAL TALET CHEWALE 1000 M, 500 M, 750 M gas relief oral liquid as-x Infant Drops infants simethicone oral suspension 20 mg/0.3ml lactulose encephalopathy LINZESS ORAL CAPSULE 145 MC, 290 MC Mylicon Infants as Relief mesalamine oral Asacol HD, Lialda mesalamine rectal metoclopramide hcl oral solution 5 mg/5ml metoclopramide hcl oral tablet Reglan mi-acid gas relief as-x PENTASA RENAEL sevelamer carbonate Renvela simethicone oral capsule as-x Extra Strength simethicone oral tablet chewable as-x sulfasalazine oral Azulfidine EN-tabs ursodiol oral Actigall *enitourinary Agents - Miscellaneous* citric acid-sodium citrate Shohls Modified dutasteride Avodart PA ELMIRON finasteride oral tablet 5 mg Proscar phenazopyridine hcl oral tablet 100 mg, 200 mg Pyridium phenazopyridine hcl oral tablet 95 mg AZO Urinary Pain Relief potassium citrate er Urocit-K 10 tamsulosin hcl Flomax urinary pain relief max st AZO Urinary Pain Relief VH ESSENTIALS UTI RELIEF *out Agents* allopurinol oral Zyloprim colchicine oral Mitigare PA colchicine-probenecid COLCRYS probenecid oral ULORIC 44

51 Product Reference rand- eneric *Hematological Agents - Misc.* anagrelide hcl Agrylin RILINTA ORAL TALET 90 M cilostazol clopidogrel bisulfate oral Plavix dipyridamole oral pentoxifylline er *Hematopoietic Agents* ARANESP (ALUMIN FREE) INJECTION SOLUTION 10 MC/0.4ML, 100 MC/ML, 200 MC/ML, 25 MC/ML, 300 MC/ML, 40 MC/ML, 60 MC/ML ARANESP (ALUMIN FREE) INJECTION SOLUTION PREFILLED SYRINE 100 MC/0.5ML, 150 MC/0.3ML, 200 MC/0.4ML, 25 MC/0.42ML, 300 MC/0.6ML, 40 MC/0.4ML, 500 MC/ML, 60 MC/0.3ML PA; SP PA; SP b-12 oral tablet 2000 mcg, 2500 mcg CVS SLOW RELEASE IRON cyanocobalamin injection FA-8 ORAL CAPSULE fa-vitamin b-6-vitamin b-12 ferrogels forte ferrous gluconate oral tablet 240 (27 fe) mg Fergon ferrous gluconate oral tablet 324 (37.5 fe) mg, 325 (36 fe) mg ferrous sulfate granules ferrous sulfate oral elixir FeroSul ferrous sulfate oral tablet 27 mg, 325 (65 fe) mg ferrous sulfate oral tablet delayed release 325 (65 fe) mg FOLIC ACID ORAL CAPSULE 20 M, 5 M folic acid oral tablet 1 mg folic acid oral tablet 400 mcg folic acid oral tablet 800 mcg FA-8 folitab 500 FOLTAS 800 gnp iron oral tablet 200 (65 fe) mg Feosol high potency iron oral tablet iron 100 plus Icar-C Plus iron oral tablet extended release 142 (45 fe) mg 45 Slow Fe

52 Product Reference rand- eneric iron supplement childrens Fer-In-Sol K-TAN PLUS LEUKINE INTRAVENOUS PA; SP NEULASTA ONPRO f PA; SP NEULASTA SUCUTANEOUS SOLUTION PREFILLED SYRINE NEUPOEN INJECTION SOLUTION 300 MC/ML, 480 MC/1.6ML NEUPOEN INJECTION SOLUTION PREFILLED SYRINE poly-iron 150 forte iferex 150 Forte 46 PA; SP EPOETIN ALFA SOLUTION EPOEN/PROCRIT PA; SP PROMACTA PA; SP slow release iron oral tablet extended release 47.5 mg, 50 mg VIRT-ARD virt-vite NuFol vitamin b-12 oral tablet *Hemostatics* AMICAR ORAL TALET tranexamic acid oral Lysteda *Hepatitis C Agent - Combinations*** EPCLUSA PA; SP PA; SP, rand Only PA; SP, rand Only HARVONI PA; SP; QL (28 EA per 28 TECHNIVIE PA; SP VIEKIRA PAK PA; SP VIEKIRA XR PA; SP ZEPATIER PA; SP *Hypnotics* diphenhydramine hcl (sleep) oral tablet 50 mg Nytol Maximum Strength EDULAR (zolpidem) EDULAR PA estazolam PA Required for <6years of age; QL (30 EA per 30 eszopiclone Lunesta PA Required for <6 years of age; QL (30 EA per 30 flurazepam hcl PA Required for <6 years of age; QL (30 EA per 30 hm z-sleep oral capsule INTERMEZZO SL PA phenobarbital oral

53 Product Reference rand- eneric meprobamate PA Required for <6 years of age; QL (30 per 30 ra sleep aid oral liquid ZzzQuil ROZEREM PA SILENOR PA sleep aid (diphenhydramine) Nytol sleep-aid maximum strength Unisom Sleepgels temazepam oral capsule 15 mg, 30 mg Restoril PA Required for <6 years of age; QL (30 EA per 30 triazolam oral tablet Halcion PA Required for <6 years of age; QL (30 EA for 30 wal-sleep z oral tablet dispersible zaleplon Sonata PA Required for <6years of age; QL (30 EA per 30 zolpidem tartrate oral tablet 5mg, 10 mg Ambien PA Required for <6 years of age; QL (5mg= 60 per 60 days, 10mg = 30 EA per 30 zolpidem SL INTERMEZZO SL PA Required for <6years of age; zolpidem tartrate er Ambien CR PA ZOLPIMIST PA *Laxatives* bisacodyl ec Fleet Laxative bisacodyl rectal The Magic ullet chocolated laxative Ex-Lax cvs natural fiber supplement oral packet diocto oral syrup docusate calcium Surfak docusate sodium oral capsule Phillips Stool Softener docusate sodium oral liquid 50 mg/5ml docusate sodium oral tablet DOK docusol mini enema rectal enema 7-19 gm/118ml Fleet Pediatric epsom salt oral fiber laxative oral capsule Medi-Mucil gavilyte-c gavilyte-g gavilyte-n with flavor pack geri-mucil Reguloid HYDROCIL ORAL PACKET KONSYL ORAL PACKET 100 %, 60.3 % 47

54 Product Reference rand- eneric KONSYL ORAL POWDER 60.3 %, % konsyl-d oral powder lactulose oral solution 10 gm/15ml laxative pills oral tablet 15 mg Ex-Lax magnesium citrate oral solution gm/30ml METAMUCIL MULTIHEALTH FIER ORAL PACKET METAMUCIL MULTIHEALTH FIER ORAL POWDER % Citroma METAMUCIL ORAL WAFER milk of magnesia oral suspension 400 mg/5ml Phillips Milk of Magnesia natural fiber laxative oral powder 28.3 % Reguloid natural fiber laxative oral powder 30.9 % Konsyl natural fiber laxative oral powder % Metamucil natural fiber oral powder 58.6 % Metamucil Smooth Texture natural psyllium seed Konsyl natural senna laxative oral tablet mg OSMOPREP peg 3350/electrolytes Colyte with Flavor Packs peg 3350-kcl-na bicarb-nacl Nulytely with Flavor Packs peg-3350/electrolytes olytely phosphate laxative oral solution gm/5ml polyethylene glycol 3350 oral lycolax qc natural vegetable Hydrocil ra col-rite oral capsule 50 mg Colace Clear ra laxative extra strength Senokot Extra Strength sb natural fiber laxative senna laxative Senokot senna oral capsule senna oral syrup 8.8 mg/5ml senna s Senokot S trilyte *Leptin Analogues*** MYALEPT PA *Macrolides* azithromycin oral packet Zithromax azithromycin oral suspension reconstituted Zithromax azithromycin oral tablet 250 mg, 500 mg, 600 mg Zithromax clarithromycin er iaxin XL Pac clarithromycin oral 48

55 Product Reference rand- eneric DIFICID PA Erythromycin ethylsuccinate for suspension ERYPED *Medical Devices* ALCOHOL PREP PAD 70 % ReliOn Alcohol Swabs D AUTOSHIELD DUO D INSULIN SYRINE 25 X 1" 1 ML, 25 X 5/8" 1 ML, 26 X 1/2" 1 ML D INSULIN SYRINE 27 X 1/2" 1 ML D INSULIN SYRINE MICROFINE 27 X 5/8" 1 ML, 28 X 1/2" 0.3 ML D INSULIN SYRINE MICROFINE 28 X 1/2" 1 ML D INSULIN SYRINE ULTRAFINE 29 X 1/2" 1 ML D INSULIN SYRINE ULTRAFINE 31 X 15/64" 0.3 ML, 31 X 15/64" 0.5 ML, 31 X 15/64" 1 ML CAYA CONDOMS LifeStyles Ribbed E-Z SPACER FC2 FEMALE CONDOM FREESTYLE CONTROL SOLUTION FREESTYLE FREEDOM FREESTYLE FREEDOM LITE FREESTYLE INSULINX SYSTEM FREESTYLE LITE FREESTYLE SYSTEM INSULIN SYRINE 29 X 1/2" 0.3 ML Sure-Ject Insulin Syringe INSULIN SYRINE 29 X 1/2" 0.5 ML, 29 X 1/2" 1 ML 49 D Insulin Syringe Ultrafine INSULIN SYRINE 30 X 1/2" 0.5 ML D Insulin Syringe INSULIN SYRINE 30 X 5/16" 0.3 ML, 30 X 5/16" 0.5 ML INSULIN SYRINE 30 X 5/16" 1 ML Monoject Insulin Syringe Comfort Assist Insulin Syringe INSULIN SYRINE 31 X 5/16" 0.3 ML Litetouch Insulin Syringe INSULIN SYRINE 31 X 5/16" 0.5 ML Fifty50 Superior Comfort Syr INSULIN SYRINE 31 X 5/16" 1 ML Ultilet Insulin Syringe Short INSULIN SYRINE/NEEDLE 27 X 1/2" 0.5 ML INSULIN SYRINE/NEEDLE 28 X 1/2" 0.5 ML LANCETS Easy Touch Insulin Syringe UltiCare Insulin Syringe Ez Smart lood lucose Lancets

56 Product Reference rand- eneric OMNIFLEX DIAPHRAM ORTHO DIAPHRAM COIL ORTHO DIAPHRAM FLAT PRECISION LUCOSE CONTROL PRECISION QID MONITOR PRECISION SURE-DOSE SYRINE 30 X 3/8" 0.5 ML PRECISION XTRA KIT REALITY LATEX/ULTRA THIN RELI-ON INSULIN SYRINE ML, ML relion insulin syringe 29g x 1/2" 1 ml relion insulin syringe 30g x 5/16" 1 ml, 31g x 5/16" 0.3 ml, 31g x 5/16" 1 ml SURE COMFORT INSULIN SYRINE 30 X 1/2" 0.3 ML TRUEPLUS INSULIN SYRINE 30 X 5/16" 0.5 ML 50 lucopro Insulin Syringe TRUSTEX RIA NON-LURICATED ULTICARE INSULIN SYRINE 30 X 1/2" 1 ML WIDE-SEAL DIAPHRAM 60 WIDE-SEAL DIAPHRAM 65 WIDE-SEAL DIAPHRAM 70 WIDE-SEAL DIAPHRAM 75 WIDE-SEAL DIAPHRAM 80 WIDE-SEAL DIAPHRAM 85 WIDE-SEAL DIAPHRAM 90 WIDE-SEAL DIAPHRAM 95 *Migraine Products* ALSUMA SUCUTANEOUS SOLUTION AUTO-INJECTOR CAFEROT MIEROT QL (2 ML per 30 rizatriptan benzoate Maxalt QL (9 EA per 30 sumatriptan nasal Imitrex QL (6 EA per 30 sumatriptan succinate oral Imitrex QL (9 EA per 30 sumatriptan succinate refill subcutaneous solution cartridge sumatriptan succinate subcutaneous solution 6 mg/0.5ml sumatriptan succinate subcutaneous solution auto-injector 4 mg/0.5ml, 6 mg/0.5ml sumatriptan succinate subcutaneous solution prefilled syringe 6 mg/0.5ml Imitrex STATdose Refill QL (2 ML per 30 Imitrex QL (2 ML per 30 Imitrex STATdose System QL (2 ML per 30 QL (1 ML per 30

57 Product Reference rand- eneric *Minerals & Electrolytes* calcium d3 oral tablet Os-Cal Extra D3 calcium minerals calcium 600 oral tablet 600 mg High Potency Calcium calcium 600+d high potency calcium 600+d plus minerals oral tablet calcium 600+d3 oral tablet mg-unit calcium 600+d3 plus minerals oral tablet Caltrate 600+D Plus Minerals calcium carbonate oral suspension calcium carbonate oral tablet 1250 (500 ca) mg calcium carbonate oral tablet 1500 (600 ca) mg 51 Cal-Carb Forte Caltrate 600 calcium carbonate oral tablet 600 mg High Potency Calcium calcium carbonate-vitamin d oral capsule calcium carbonate-vitamin d3 calcium oral tablet 600 mg calcium oral tablet chewable 500 mg calcium oyster shell oral tablet 1250 (500 ca) mg Cal-Carb Forte calcium plus vitamin d3 oral tablet Pronutrients Calcium+D3 calcium-vitamin d oral tablet mg-unit, mg-unit effervescent pot chloride ELITE CALCIUM fluor-a-day oral solution KLOR-CON ORAL PACKET 25 MEQ k-tab oral tablet extended release 20 meq MA-200 magnesium oral capsule 500 mg magnesium oxide -mg supplement oral tablet magnesium oxide oral tablet 400 (240 mg) mg, 500 mg magnesium oxide oral tablet 400 (241.3 mg) mg MAnesium-Oxide oyster shell calcium + d3 Oystercal-D oyster shell calcium 250+d oyster shell calcium plus d oral tablet mg-unit oyster shell calcium plus d oral tablet mg-unit Oysco 500+D oyster-cal 500 pediatric electrolyte oral solution Pedialyte Freezer Pops

58 Product Reference rand- eneric potassium bicarbonate oral Klor-Con/EF potassium chloride crys er Klor-Con M10 potassium chloride er Klor-Con Sprinkle potassium chloride oral packet Klor-Con potassium chloride oral solution 20 meq/15ml (10%), 40 meq/15ml (20%) sodium fluoride oral solution Luride sodium fluoride oral tablet chewable Ludent *Mouth/Throat/Dental Agents* IOTENE MOISTURIZIN MOUTH cevimeline hcl Evoxac chlorhexidine gluconate mouth/throat Paroex clinpro 5000 clotrimazole mouth/throat troche denta 5000 plus dentagel fluoride mouth rinse Listerine Restoring gel-tin dental LIDOCAINE HCL MOUTH/THROAT lidocaine viscous neutral sodium fluoride PreviDent nystatin mouth/throat periomed pilocarpine hcl oral Salagen ra antiseptic mouth cleanser Cankaid sm anticavity fluoride rinse Fluorigard triamcinolone acetonide mouth/throat Oralone *Multivitamins* adult one daily gummies MVW Complete Formulation ANTIOXIDANT FORMULA S b complex vitamins oral b-complex high potency oral tablet extended release b-complex/b-12 sublingual centavite Fortavit CENTRUM SPECIALIST PRENATAL childrens chewable multi vits One-A-Day VitaCraves+Omega-3 childrens multivitamin oral tablet chewable 60 mg Flintstones Complete childrens multivitamin/iron Flintstones Plus Iron corvita CVS PRENATAL UMMY 52

59 Product Reference rand- eneric daily multiple vitamins Thera/eta-Carotene mens 50+ advanced AntiOxin 4000 multi vitamin/fluoride oral tablet chewable 0.25 mg MVC-Fluoride multi-delyn PediaVit multiple vitamins/fluoride MVC-Fluoride multi-vit/fluoride oral solution 0.5 mg/ml Quflora Pediatric multivitamin gummies childrens Flintstones ummies Plus multi-vitamin/fluoride oral solution 0.25 mg/ml Quflora Pediatric multi-vitamin/fluoride/iron multi-vitamin/minerals Yelets Teenage Formula multivitamins pediatric Vitamax Pediatric multivitamins plus zinc AntiOxin 4000 mult-vitamin/fluoride MVC-Fluoride MYNATAL-Z Vitafol-O O-CAL PRENATAL PNV TAS 29-1 Prenatabs Rx poly-vita Poly-Vi-Sol polyvitamin/fluoride oral solution 0.25 mg/ml Quflora Pediatric poly-vitamin/fluoride oral solution 0.5 mg/ml Quflora Pediatric poly-vitamin/iron PRENATA Protected Pedia Poly- Vite/Fe PRENATAS FA ORAL TALET Co-Natal FA PRENATAL 19 ORAL TALET 29-1 M PRENATAL 19 ORAL TALET CHEWALE 29-1 M PRENATAL COMPLETE PRENATAL LOW IRON ORAL TALET M PRENATAL MULTI +DHA ORAL CAPSULE M 53 Right Step Prenatal PRENATAL MULTIVITAMIN + DHA PRENATAL ORAL TALET M PRENATAL PLUS IRON Prenatabs Rx PRENATAL PLUS/IRON M-Vit PRENATAL+DHA ORAL & 200 M PRENATAL-U PREQUE 10 ORAL TALET M PRETA Co-Natal FA rena-vite Renal Multivitamin Formula rena-vite rx Dialyvite SIMILAC PRENATAL EARLY SHIELD

60 Product Reference rand- eneric SM ONE DAILY PRENATAL One-A-Day Womens Prenatal stress formula/zinc super b-complex/vit c/fa Milco--Forte superior 35 Ultra Mega TRIADVANCE Inatal T TRINATE tri-vit/fluoride tri-vit/fluoride/iron tri-vitamin Tri-Vita ultra-mega Ultra Mega VIRT NATE Trinate VIRT-ADVANCE Inatal T VIRT-C DHA Taron-C DHA virt-caps Renal virt-vite plus vitamin b complex oral tablet vitamin c-electrolytes Maximin Pack vitamin e/folic acid/b-6/b-12 Ze-Plus vita-rx diabetic vitamin Carozyme *Musculoskeletal Therapy Agents* baclofen oral chlorzoxazone oral tablet 500 mg Parafon Forte DSC cyclobenzaprine hcl oral tablet 10 mg, 5 mg dantrolene sodium oral methocarbamol oral Robaxin tizanidine hcl oral tablet *Nasal Agents - Systemic And Topical* 54 azelastine hcl nasal solution 0.1 % QL (30 ML per 30 budesonide nasal Rhinocort Aqua QL (9 M per 30 childrens silfedrine Sudafed Childrens cromolyn sodium nasal NasalCrom ; QL (13 ML per 30 flunisolide nasal solution 25 mcg/act (0.025%) QL (50 ML per 30 fluticasone propionate nasal Flonase Allergy Relief QL (16 M per 30 ipratropium bromide nasal NASACORT ALLERY 24HR ; QL (17 ML per 30 nasal allergy 24 hour Nasacort Allergy 24HR nasal decongestant nasal Wal-Four nasal decongestant spray Afrin NoDrip Original nexafed oral tablet abuse-deterrent

61 Product Reference rand- eneric pseudoephedrine hcl er Shopko Nasal Decongestant pseudoephedrine hcl oral tablet Sudoest saline mist spray Humist 55 triamcinolone acetonide nasal aerosol Nasacort Allergy 24HR QL (17 M per 30 *Neprilysin Inhib (Arni)-Angiotensin Ii Recept Antag Comb*** ENTRESTO PA *Neurogenic Orthostatic Hypotension (Noh) - Agents*** NORTHERA PA; SP *Neuromuscular Agents* riluzole Rilutek *Nutrients* fish oil extra strength oral capsule 435 mg fish oil oral capsule 645 mg omega-3 fish oil oral capsule 1200 mg Theragran-M Fish Oil Conc omega-3 fish oil oral capsule 300 mg Fish Oil Pearls omega-3 fish oil oral capsule 500 mg Super Omega 3 *Ophthalmic Agents* ALPHAAN P OPHTHALMIC SOLUTION 0.1 % apraclonidine hcl Iopidine Tears Again Advanced artificial tears ophthalmic solution % Eyelid artificial tears ophthalmic solution % Visine Tears artificial tears ophthalmic solution 1.4 % artificial tears ophthalmic solution % Moisture Eyes artificial tears ophthalmic solution 5-6 mg/ml Murine Tears for Dry Eyes atropine sulfate ophthalmic azelastine hcl ophthalmic AZOPT PA bacitracin ophthalmic QL (3.5 M per 7 bacitracin-polymyxin b ophthalmic ointment unit/gm Polycin bacitra-neomycin-polymyxin-hc Neo-Polycin HC betaxolol hcl ophthalmic ETOPTIC-S LEPHAMIDE LEPHAMIDE S.O.P. LINK TEARS OPHTHALMIC SOLUTION brimonidine tartrate ophthalmic Alphagan P carteolol hcl

62 Product Reference rand- eneric ciprofloxacin hcl ophthalmic Ciloxan COSOPT PF PA cromolyn sodium ophthalmic cvs lubricant drops ophthalmic gel enteal cyclopentolate hcl ophthalmic Cyclogyl dexamethasone sodium phosphate ophthalmic diclofenac sodium ophthalmic dorzolamide hcl Trusopt dorzolamide hcl-timolol mal Cosopt epinastine hcl Elestat erythromycin ophthalmic eye allergy relief Naphcon-A fluorometholone ophthalmic FML Liquifilm flurbiprofen sodium Ocufen gentamicin sulfate ophthalmic ENTEAL MILD ONIOVISC OPHTHALMIC SOLUTION 2 % homatropine hbr ophthalmic Homatropaire ISOPTO TEARS ketorolac tromethamine ophthalmic ketotifen fumarate ophthalmic Alaway latanoprost ophthalmic Xalatan levobunolol hcl ophthalmic solution 0.5 % etagan levofloxacin ophthalmic lubricant eye HypoTears lubricant eye drops Systane lubricant eye fast acting Retaine PM lubricating eye drops ophthalmic solution % metipranolol NATACYN Refresh Optive neomycin-bacitracin zn-polymyx Neo-Polycin neomycin-polymyxin-dexameth ophthalmic ointment neomycin-polymyxin-dexameth ophthalmic suspension 0.1 % neomycin-polymyxin-gramicidin ophthalmic solution neomycin-polymyxin-hc ophthalmic suspension Maxitrol Maxitrol Neosporin 56 NEVANAC PA; QL (3 ML per 30 NUTRATEAR

63 Product Reference rand- eneric ofloxacin ophthalmic Ocuflox phenylephrine hcl ophthalmic solution 10 %, 2.5 % pilocarpine hcl ophthalmic solution 1 %, 2 %, 4 % Altafrin Isopto Carpine polymyxin b-trimethoprim Polytrim PRED- PRED- S.O.P. prednisolone acetate ophthalmic Omnipred prednisolone sodium phosphate ophthalmic proparacaine hcl ophthalmic Alcaine pure & gentle lubricant ophthalmic solution 3 mg/ml REFRESH LIQUIEL RESTASIS PA sm dry eye relief Visine Tears SOOTHE OPHTHALMIC SOLUTION % STERILE LURICANT sulfacetamide sodium ophthalmic solution leph-10 sulfacetamide-prednisolone ophthalmic solution SYSTANE OPHTHALMIC EL tetracaine hcl ophthalmic Tetcaine TT LURICANT EYE DROPS OPHTHALMIC SOLUTION 0.95 % THERATEARS OPHTHALMIC SOLUTION timolol maleate ophthalmic Timoptic-XE 57 TORADEX OPHTHALMIC OINTMENT QL (3.5 M per 7 tobramycin ophthalmic Tobrex tobramycin-dexamethasone TobraDex TRAVATAN Z PA travoprost PA trifluridine ophthalmic Viroptic tropicamide ophthalmic VEXOL VIAMOX PA ZIOPTAN PA *Otic Agents* acetic acid otic acetic acid-aluminum acetate antipyrine-benzocaine otic solution mg/ml CIPRODEX

64 Product Reference rand- eneric ciprofloxacin hcl otic Cetraxal ear wax removal drops Debrox fluocinolone acetonide otic DermOtic hydrocortisone-acetic acid Acetasol HC neomycin-polymyxin-hc otic solution 1 % Cortisporin neomycin-polymyxin-hc otic suspension ofloxacin otic Floxin Otic *Oxytocics* methylergonovine maleate oral Methergine *Passive Immunizing Agents* SYNAIS PA; SP *Penicillins* amoxicillin oral capsule amoxicillin oral suspension reconstituted amoxicillin oral tablet amoxicillin oral tablet chewable 125 mg, 250 mg amoxicillin-pot clavulanate er Augmentin XR amoxicillin-pot clavulanate oral ampicillin AUMENTIN ORAL SUSPENSION RECONSTITUTED M/5ML dicloxacillin sodium penicillin v potassium *Potassium Removing Agents*** sodium polystyrene sulfonate oral suspension Kionex sodium polystyrene sulfonate rectal suspension 30 gm/120ml *Prenatal Mv & Minerals W/ Fa- Omega Fatty Acids W/O Iron*** cvs prenatal gummy *Progestins* MAKENA PA medroxyprogesterone acetate oral Provera norethindrone acetate oral Aygestin progesterone micronized oral Prometrium *Psychotherapeutic And Neurological Agents - Misc.* AVONEX PA; SP AVONEX PEN INTRAMUSCULAR AUTO- INJECTOR KIT PA; SP AVONEX PREFILLED INTRAMUSCULAR PREFILLED SYRINE KIT PA; SP 58

65 Product Reference rand- eneric ETASERON SUCUTANEOUS KIT PA; SP bupropion hcl er (smoking det) Zyban QL (180 EA per 84 CHANTIX QL (180 EA per 84 CHANTIX CONTINUIN MONTH PAK QL (180 EA per 84 CHANTIX STARTIN MONTH PAK QL (180 EA per 84 COPAXONE SUCUTANEOUS SOLUTION PREFILLED SYRINE donepezil hcl Aricept ergoloid mesylates oral galantamine hydrobromide er Razadyne ER ALANTAMINE HYDROROMIDE ORAL SOLUTION galantamine hydrobromide oral tablet Razadyne ILENYA PA; SP MEMANTINE HCL ORAL SOLUTION Namenda memantine hcl oral tablet Namenda NAMENDA XR NAMENDA XR TITRATION PACK nicotine polacrilex mouth/throat Nicorette PA; SP_rand Only ; QL (84 EA per 180 nicotine transdermal patch 24 hour Nicoderm CQ QL (84 EA per 180 NICOTROL QL (180 EA per 84 NICOTROL NS QL (180 ML per 84 PLERIDY STARTER PACK SUCUTANEOUS SOLUTION PREFILLED SYRINE PLERIDY SUCUTANEOUS SOLUTION PREFILLED SYRINE REIF REIDOSE SUCUTANEOUS SOLUTION AUTO-INJECTOR rivastigmine Exelon rivastigmine tartrate PA; SP PA; SP PA; SP SAVELLA QL (60 EA per 30 SAVELLA TITRATION PACK TECFIDERA PA; SP *Pulmonary Fibrosis Agents*** ESRIET PA; SP *Respiratory Agents - Misc.* PULMOZYME PA; SP *Serotonin Modulators*** trazodone hcl oral *Sodium-lucose Co-Transporter 2 Inhibitor-iguanide Comb*** 59

66 Product Reference rand- eneric INVOKAMET *Sulfonamides* sulfadiazine oral *Tetracyclines* demeclocycline hcl oral doxycycline hyclate oral capsule Vibramycin doxycycline hyclate oral tablet 100 mg, 20 mg doxycycline monohydrate oral capsule 100 mg Monodox doxycycline monohydrate oral capsule 150 mg Adoxa doxycycline monohydrate oral capsule 50 mg Mondoxyne NL doxycycline monohydrate oral suspension reconstituted Vibramycin doxycycline monohydrate oral tablet 100 mg Adoxa minocycline hcl oral capsule Minocin *Thyroid Agents* ARMOUR THYROID ORAL TALET 120 M, 180 M, 240 M, 300 M levothyroxine sodium oral Levoxyl liothyronine sodium oral Cytomel methimazole oral Tapazole NATURE-THROID ORAL TALET M, M, 260 M, 325 M np thyroid Armour Thyroid propylthiouracil oral WESTHROID ORAL TALET 195 M, 32.5 M, 97.5 M WESTHROID ORAL TALET 65 M WP THYROID ORAL TALET M, 130 M, M, M, M *Toxoids* 60 ADACEL Min 19 Years OOSTRIX INTRAMUSCULAR SUSPENSION Min 19 Years DAPTACEL Min 19 Years DIPHTHERIA-TETANUS TOXOIDS INTRAMUSCULAR INJECTALE 2-5 LFU Min 19 Years tetanus-diphtheria toxoids td Min 19 Years *Ulcer Drugs* acid reducer maximum strength oral tablet 150 mg CARAFATE ORAL SUSPENSION Zantac cimetidine acid reducer Tagamet H cimetidine hcl oral cimetidine oral tablet 300 mg, 400 mg, 800 mg

67 Product Reference rand- eneric dicyclomine hcl oral entyl famotidine oral suspension reconstituted Pepcid famotidine oral tablet 10 mg Pepcid AC famotidine oral tablet 20 mg Pepcid AC Maximum Strength famotidine oral tablet 40 mg Pepcid FIRST-LANSOPRAZOLE FIRST-OMEPRAZOLE glycopyrrolate oral Robinul hyoscyamine sulfate er oral tablet extended release 12 hour Symax-SR hyoscyamine sulfate oral Levsin hyoscyamine sulfate sublingual Symax-SL lansoprazole oral capsule delayed release Prevacid methscopolamine bromide oral Pamine misoprostol oral Cytotec NEXIUM 24HR Cap 20mg omeprazole magnesium omeprazole oral capsule delayed release omeprazole oral tablet delayed release 61 pantoprazole sodium oral Protonix QL (30 EA per 30 propantheline bromide oral ranitidine acid reducer Wal-Zan 75 ranitidine hcl oral capsule ranitidine hcl oral syrup 15 mg/ml ranitidine hcl oral tablet 300 mg Zantac sucralfate oral tablet Carafate *Urinary Anti-Infectives* methenamine hippurate Hiprex methenamine mandelate oral tablet 1 gm nitrofurantoin macrocrystal oral capsule 100 mg, 50 mg Macrodantin nitrofurantoin monohyd macro Macrobid nitrofurantoin oral suspension Furadantin ur n-c Utrona-C ustell *Urinary Antispasmodics* bethanechol chloride oral Urecholine MYRETRIQ ST oxybutynin chloride er Ditropan XL oxybutynin chloride oral tolterodine tartrate Detrol ST tolterodine tartrate er Detrol LA ST

68 Product Reference rand- eneric trospium chloride *Vaccines* AFLURIA AFLURIA PRESERVATIVE FREE INTRAMUSCULAR SUSPENSION PREFILLED SYRINE CERVARIX ENERIX- INJECTION SUSPENSION 20 MC/ML ENERIX- INTRAMUSCULAR INJECTALE 20 MC/ML FLUARIX INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLUARIX QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLULOK FLUCELVAX INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION FLULAVAL QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLUMIST QUADRIVALENT FLUVIRIN INTRAMUSCULAR SUSPENSION FLUVIRIN INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLUVIRIN PRESERVATIVE FREE INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLUZONE HIH-DOSE INTRAMUSCULAR SUSPENSION PREFILLED SYRINE FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION, 0.5 ML FLUZONE QUADRIVALENT INTRAMUSCULAR SUSPENSION PREFILLED SYRINE ARDASIL 9 ARDASIL INTRAMUSCULAR SUSPENSION MEDICAL PROVIDER EZ FLU PF INTRAMUSCULAR PREFILLED SYRINE KIT Medical Provider EZ Fluvirin 62 Min 19 Years and Max 26 Years Min 19 Years Min 19 Years Min 19 Years and Max 26 Years Min 19 Years and Max 26 Years M-M-R II Min 19 Years PNEUMOVAX 23 Min 19 Years

69 Product Reference rand- eneric PREVNAR 13 Min 19 Years RECOMIVAX H INJECTION SUSPENSION 40 MC/ML ZOSTAVAX SUCUTANEOUS SOLUTION RECONSTITUTED *Vaginal Products* AVC VAINAL clindamycin phosphate vaginal Cleocin clotrimazole 3 yne-lotrimin 3 clotrimazole vaginal cream 1 % yne-lotrimin ESTRACE VAINAL ESTRIN Min 19 Years Min 60 Years FEMRIN PA; QL (1 EA per 90 FIRST-PROESTERONE VS 100 FIRST-PROESTERONE VS 200 FIRST-PROESTERONE VS 400 FIRST-PROESTERONE VS 50 metronidazole vaginal Vandazole miconazole 1 Monistat 1 Combo Pack miconazole 3 combo pack Monistat 3 Combination Pack miconazole 3 vaginal cream Monistat 3 miconazole 3 vaginal suppository miconazole 7 Monistat 7 Simply Cure OPTIONS YNOL II CONTRACEPTIVE PREMARIN VAINAL terconazole Terazol 7 VCF VAINAL CONTRACEPTIVE VAINAL FILM VCF VAINAL CONTRACEPTIVE VAINAL EL YUVAFEM *Vasopressors* epinephrine injection solution auto-injector 0.3 mg/0.3ml EPIPEN 2-PAK INJECTION SOLUTION AUTO-INJECTOR EPIPEN JR 2-PAK INJECTION SOLUTION AUTO-INJECTOR midodrine hcl *Vitamins* Adrenaclick QL 2/Fill QL (2 EA per 30 QL (2 EA per 30 63

70 Product Reference rand- eneric 1 NATURAL -1 ORAL TALET 500 M -NATAL d3-50 DECARA ORAL CAPSULE UNIT liqui-e NEURO-K-250 T.D. niacin er oral capsule extended release NIACIN ER ORAL TALET EXTENDED RELEASE 1000 M niacin er oral tablet extended release 250 mg Endur-Acin niacin er oral tablet extended release 500 mg, 750 mg Slo-Niacin niacin oral tablet PYRIDOXINE HCL INJECTION SM VITAMIN D3 ORAL CAPSULE 4000 UNIT THIAMINE vitamin b1 vitamin b-1 vitamin b-6 vitamin b-6 er vitamin b6 oral tablet 200 mg vitamin d (ergocalciferol) Drisdol vitamin d oral tablet 1000 unit Vitamin D-1000 Max St vitamin d oral tablet 2000 unit Thera-D Rapid Repletion vitamin d-3 oral capsule Pronutrients Vitamin D3 vitamin d3 oral capsule unit Maximum D3 vitamin d3 oral capsule 2000 unit, 400 unit vitamin d3 oral capsule 5000 unit Dialyvite Vitamin D 5000 vitamin d3 oral liquid 400 unit/ml Protected Pedia D-Vite vitamin d3 oral liquid 5000 unit/ml vitamin d3 oral tablet 400 unit, 5000 unit vitamin e oral capsule 100 unit, 1000 unit, 600 unit vitamin e oral oil vitamin e oral solution VITAMIN E ORAL TALET 100 UNIT, 200 UNIT vitamin e oral tablet 400 unit E-Pherol vitamin e-200 vitamin e-400 Formula E

71 Index 8 hour pain relief...4 abacavir sulfate abacavir sulfate-lamivudine abacavir-lamivudine-zidovudine...25 AREVA absorica acarbose...17 acebutolol hcl...27 acetaminophen...4 acetaminophen extra strength...4 acetaminophen junior strength...4 acetaminophen-codeine...5 acetaminophen-codeine # acetaminophen-codeine # acetaminophen-codeine # acetazolamide acetazolamide er acetic acid...57 acetic acid-aluminum acetate acid gone... 8 acid reducer maximum strength...60 acne maximum strength acne treatment...35 ACTIMMUNE...23 ACTOPLUS MET XR...17 acyclovir...25, 35 ADACEL...60 adapalene...35 ADCIRCA ADDERALL XR...1 adefovir dipivoxil adult one daily gummies...52 ADVAIR DISKUS...11 AFINITOR...23 AFINITOR DISPERZ AFLURIA...62 AFLURIA PRESERVATIVE FREE.62 aftera ALAHIST DM ALENZA... 8 albuterol sulfate...11 albuterol sulfate er...11 alclometasone dipropionate...35 ALCOHOL PREP...49 ALECENSA alendronate sodium...42 ALER-DRYL ALKERAN...23 all day allergy...19 ALLERA ALLERY CHILDRENS.19 allergy relief childrens...19 allopurinol...44 almacone... 8 ALPHAAN P...55 alprazolam...9 alprazolam er...9 ALPRAZOLAM INTENSOL...9 ALSUMA...50 altaryl...19 altavera...29 aluminum hydroxide gel...8 alyacen 1/ alyacen 7/7/ amantadine hcl...24 ambi 10peh/400gfn/20dm...33 amcinonide...36 amethia...29 amethia lo amethyst AMICAR...46 amiloride hcl amiloride-hydrochlorothiazide...42 amiodarone hcl...10 AMITIZA...43 amitriptyline hcl...13 amlodipine besy-benazepril hcl amlodipine besylate...28 amlodipine-atorvastatin ammonium lactate amoxapine amoxicillin amoxicillin-pot clavulanate...58 amoxicillin-pot clavulanate er amphetamine-dextroamphetamine... 1 ampicillin...58 anagrelide hcl...45 anastrozole ANDRODERM... 7 ANDROEL... 7 ANDROEL PUMP... 7 ANDROXY...7 ANTACID...8 antacid... 8 antacid & antigas... 8 antacid extra strength... 8 antibiotic plus pain relief...36 anti-dandruff...36 ANTIOXIDANT FORMULA S...52 antipyrine-benzocaine...57 ANZEMET apraclonidine hcl...55 aprepitant...19 apri...29 APRISO...43 APTENSIO XR...1 APTIVUS aqua care...36 aranelle...29 ARANESP (ALUMIN FREE)...45 ARMOUR THYROID...60 artificial tears...55 ASACOL HD...43 ashlyna ASMANEX 120 METERED DOSES..11 ASMANEX 30 METERED DOSES.11 aspirin aspirin adult low strength...4 aspirin ec... 4 aspirin low strength...4 atenolol...27 atenolol-chlorthalidone...21 athletes foot athletes foot spray atorvastatin calcium...20 atovaquone...22 atovaquone-proguanil hcl ATRIPLA...25 atropine sulfate ATROVENT HFA...11 aubra...29 AUMENTIN...58 AVANDIA...17 AVC VAINAL...63 aviane AVONEX...58 AVONEX PEN AVONEX PREFILLED AZASAN azathioprine azelastine hcl...54, 55 azithromycin...48 AZOPT...55 azurette...29 b complex vitamins NATURAL...64 b bacitracin... 36, 55 bacitracin zinc...36 bacitracin-polymyxin b bacitra-neomycin-polymyxin-hc baclofen balsalazide disodium...43 ALZIVA...29 ANZEL...12 ARACLUDE...25 b-complex high potency...52 b-complex/b D AUTOSHIELD DUO...49 D INSULIN SYRINE D INSULIN SYRINE MICROFINE...49 D INSULIN SYRINE ULTRAFINE...49 bedding spray lice treatment...36 bekyree...29 benazepril hcl benzonatate...33 benzoyl peroxide benzoyl peroxide cleanser...36 benzoyl peroxide wash benzoyl peroxide-erythromycin...36 benztropine mesylate beta care betamide...36 beta care betatar gel...36

72 Index betamethasone dipropionate...36 betamethasone dipropionate aug...36 betamethasone valerate...36 ETASERON...59 betaxolol hcl...27, 55 bethanechol chloride...61 ETHKIS....2 ETOPTIC-S...55 bexarotene...23 bicalutamide ILTRICIDE...8 bio t pres pediatric IOTENE MOISTURIZIN MOUTH.52 bisacodyl...47 bisacodyl ec...47 bismuth subsalicylate bisoprolol fumarate bisoprolol-hydrochlorothiazide LEPHAMIDE LEPHAMIDE S.O.P LINK TEARS blisovi fe 1.5/ blisovi fe 1/ NATAL...64 OOSTRIX...60 OSULIF bp bp cleansing wash bp wash bpo...36 bpo creamy wash bpo foaming cloths briellyn RILINTA...42, 45 brimonidine tartrate...55 bromocriptine mesylate broncho saline broncotron ped brontuss sf nr...33 ROTAPP brotapp dm budesonide... 33, 54 buffered aspirin...4 bumetanide...42 bupropion hcl bupropion hcl er (smoking det)...59 bupropion hcl er (sr) bupropion hcl er (xl)...13 buspirone hcl... 9 butalbital-acetaminophen... 4 butalbital-apap-caff-cod... 5 butalbital-apap-caffeine... 4 butalbital-aspirin-caffeine...4 UTRANS... 5 Index calcitriol...36, 42 calcium...51 calcium d calcium calcium minerals...51 calcium 600+d high potency calcium 600+d plus minerals...51 calcium 600+d calcium 600+d3 plus minerals calcium acetate (phos binder) calcium antacid...8 calcium antacid extra strength... 8 calcium antacid ultra max st... 8 calcium carbonate calcium carbonate-vitamin d...51 calcium carbonate-vitamin d calcium oyster shell calcium plus vitamin d calcium-vitamin d callus removers extra thick camila camrese...29 camrese lo CANASA...43 CAPRELSA captopril captopril-hydrochlorothiazide...21 CARAFATE...60 carbamazepine carbamazepine er...12 carbidopa-levodopa carbidopa-levodopa er...25 carbidopa-levodopa-entacapone carbinoxamine maleate...19, 20 CARDIZEM LA carteolol hcl...55 carvedilol CAYA...49 caziant cefaclor cefaclor er...29 cefadroxil cefdinir cefditoren pivoxil...29 cefixime cefpodoxime proxetil...29 cefprozil CEFTIN...29 cefuroxime axetil...29 celecoxib...2 CENTANY AT...37 centavite CENTRUM SPECIALIST PRENATAL...52 Index CHANTIX...59 CHANTIX CONTINUIN MONTH PAK...59 CHANTIX STARTIN MONTH PAK.59 chateal childrens acetaminophen...4 childrens chewable multi vits...52 childrens ibuprofen childrens multivitamin childrens multivitamin/iron childrens non-aspirin... 4 childrens pepto... 8 childrens silfedrine...54 chlordiazepoxide hcl... 9 chlorhexidine gluconate...52 chloroquine phosphate chlorothiazide...42 chlorpheniramine maleate chlorpheniramine maleate er chlorpropamide...17 chlorthalidone...42 chlorzoxazone chocolated laxative...47 cholestyramine cholestyramine light...20 choline & mag trisalicylate... 4 choline-mag trisalicylate... 4 ciclopirox...37 ciclopirox olamine cilostazol...45 cimetidine cimetidine acid reducer...60 cimetidine hcl...60 CIPRODEX...57 ciprofloxacin hcl... 43, 56, 58 citalopram hydrobromide...13, 14 citric acid-sodium citrate...44 clarithromycin...48 clarithromycin er...48 clean & clear advantage acne...37 CLEAN & CLEAR LACKHEAD ERASER...37 CLEAN & CLEAR OIL ASORIN...37 clemastine fumarate...20 CLIMARA PRO...43 clindamycin hcl clindamycin palmitate hcl...22 clindamycin phosphate...37, 63 clinpro clobetasol propionate clobetasol propionate e clobetasol propionate emulsion clomipramine hcl...14 YETTA 5 MC, 10 MC PEN...17 cephalexin clonazepam...9, 12 YDUREON PEN, VIAL...17 cabergoline...42 CAFEROT...50 calcipotriene calcitonin(salmon)...42 CERVARIX cesia cetirizine hcl cetirizine-pseudoephedrine er cevimeline hcl clonidine hcl...1, 21 clopidogrel bisulfate...45

73 clorazepate dipotassium...10 clotrimazole...37, 52, 63 clotrimazole clotrimazole af...37 clotrimazole-betamethasone...37 CNL8 NAIL COARTEM...22 codeine sulfate... 5 colchicine...44 colchicine-probenecid...44 COLCRYS...44 colestipol hcl COMIVENT RESPIMAT COMETRIQ (100 M DAILY DOSE) COMETRIQ (140 M DAILY DOSE) COMETRIQ (60 M DAILY DOSE)..23 COMPLERA complete lice treatment...37 CONDOMS...49 COPAXONE coricidin hbp congestion/cough corn remover one-step...37 corn/callus remover...37 CORTIFOAM... 7 corvita COSOPT PF...56 COTELLIC cough dm childrens CREON...41 CRIXIVAN...25 cromolyn sodium... 11, 43, 54, 56 cryselle CUPRIMINE cvs allergy childrens cvs cortisone cooling relief...37 cvs lubricant drops...56 cvs natural fiber supplement...47 CVS PRENATAL UMMY...52 cvs prenatal gummy...58 CVS SLOW RELEASE IRON...45 cvs targeted acne spot...37 cyanocobalamin...45 cyclafem 1/ cyclafem 7/7/ cyclobenzaprine hcl cyclopentolate hcl cyclophosphamide...23 cyclosporine...27 cyclosporine modified cyproheptadine hcl cyred...30 d daily multiple vitamins...53 danazol... 7 dantrolene sodium dapsone...22 DAPTACEL...60 dasetta1/ dasetta 7/7/ dayhist allergy 12 hour relief...20 daysee DAYTRANA... 1 deblitane DECARA...64 delyla DELZICOL...43 demeclocycline hcl...60 denta 5000 plus dentagel...52 DEPO-SUQ PROVERA DESCOVY desenex spray...37 desipramine hcl desmopressin ace rhinal tube...42 desmopressin ace spray refrig desmopressin acetate desmopressin acetate spray...42 desogestrel-ethinyl estradiol desonide...37 despec dm despec eda desvenlafaxine er dexamethasone dexamethasone sodium phosphate.56 dextroamphetamine sulfate... 1 dextroamphetamine sulfate er... 1 diabetic tussin dm...34 DIASTAT ACUDIAL DIASTAT PEDIATRIC diazepam...10, 12 diazepam intensol...10 DICLEIS...19 diclofenac potassium... 2 diclofenac sodium...2, 37, 56 diclofenac sodium er...2 dicloxacillin sodium dicyclomine hcl...61 didanosine DIFICID...49 diflunisal...4 digoxin diltiazem hcl...28 diltiazem hcl er...28 diltiazem hcl er beads...28 diltiazem hcl er coated beads dimenhydrinate diocto...47 DIPENTUM...44 diphenhydramine hcl...20 diphenhydramine hcl (sleep)...46 diphenoxylate-atropine DIPHTHERIA-TETANUS TOXOIDS...60 dipyridamole disopyramide phosphate...10 divalproex sodium...12 divalproex sodium er docusate calcium...47 docusate sodium...47 docusol mini...47 dofetilide...10 dometuss-dmx donepezil hcl...59 dorzolamide hcl dorzolamide hcl-timolol mal double antibiotic...37 double-tussin dm doxazosin mesylate doxepin hcl doxercalciferol doxycycline hyclate...60 doxycycline monohydrate...60 drospirenone-ethinyl estradiol DRYSOL...37 DULERA duloxetine hcl...14 dutasteride...44 ear wax removal drops...58 econtra ez...30 ed bron gp ED CHLORPED...20 ed chlorped jr...16 EDULAR 46 EDURANT effervescent pot chloride...51 ELIDEL...37 ELIARD...23 elinest ELIQUIS ELITE CALCIUM...51 ELMIRON...44 elta tar...37 EMEDA... 5 emoquette...30 EMSAM EMTRIVA...25 enalapril maleate enalapril-hydrochlorothiazide...21 ENREL... 2 ENREL SURECLICK...2 enema...47 ENERIX enoxaparin 12 enpresse enskyce entacapone...25 entecavir ENTRESTO...55 EPCLUSA...46 epinastine hcl

74 epinephrine...63 EPIPEN 2-PAK EPIPEN JR 2-PAK...63 EPIVIR HV eplerenone...21 eprosartan mesylate epsom salt...47 eql lice solution ergoloid mesylates...59 errin erythromycin suspension...49 erythromycin , 56 ESRIET...59 escitalopram oxalate...14 estarylla estazolam ESTRACE...63 estradiol...43 estradiol-norethindrone acet...43 ESTRIN...63 estropipate...43 eszopiclone...46 ethambutol hcl ethosuximide etodolac... 3 etodolac er...3 ETOPOPHOS...23 etoposide EURAX...37 EVOTAZ exemestane extra strength acetaminophen... 4 exuviance blemish treatment...37 eye allergy relief E-Z SPACER...49 ezetimibe FA fallback solo...30 falmina famciclovir...25 famotidine...61 FARESTON fa-vitamin b-6-vitamin b FC2 FEMALE CONDOM...49 felbamate...12 felodipine er FEMRIN fenofibrate...20 fenofibrate micronized fenofibric acid fenoprofen calcium... 3 fentanyl... 5 ferrogels forte ferrous gluconate...45 ferrous sulfate...45 feverall junior strength... 4 fexofenadine hcl fexofenadine hcl childrens fexofenadine-pseudoephed er...34 fiber laxative...47 finasteride...44 first aid antibiotic...37 FIRST-LANSOPRAZOLE...61 FIRST-OMEPRAZOLE...61 FIRST-PROESTERONE VS FIRST-PROESTERONE VS FIRST-PROESTERONE VS FIRST-PROESTERONE VS fish oil...55 fish oil extra strength...55 flecainide acetate...10 FLOVENT HFA...11 FLUARIX...62 FLUARIX QUADRIVALENT...62 FLULOK...62 FLUCELVAX...62 fluconazole flucytosine...19 fludrocortisone acetate FLULAVAL QUADRIVALENT...62 FLUMIST QUADRIVALENT...62 flunisolide...54 fluocinolone acetonide...38, 58 fluocinolone acetonide body fluocinolone acetonide scalp fluocinonide...38 fluocinonide-e...38 fluor-a-day...51 fluoride mouth rinse fluorometholone...56 FLUOROPLEX...38 fluorouracil...38 fluoxetine hcl...14 flurazepam hcl flurbiprofen...3 flurbiprofen sodium...56 flutamide fluticasone propionate...38, 54 fluvastatin sodium...20 FLUVIRIN...62 FLUVIRIN PRESERVATIVE FREE.62 fluvoxamine maleate...14, 15 fluvoxamine maleate er FLUZONE HIH-DOSE FLUZONE QUADRIVALENT FOCALIN... 1 FOCALIN XR... 1 FOLIC ACID folic acid...45 folitab FOLTAS FORFIVO XL FORTEO...43 FORTESTA... 7 fosinopril sodium...21 fosinopril sodium-hctz FOSRENOL...44 FREESTYLE CONTROL SOLUTION FREESTYLE FREEDOM...49 FREESTYLE FREEDOM LITE...49 FREESTYLE INSULINX SYSTEM...49 FREESTYLE LITE...49 FREESTYLE LITE TEST FREESTYLE SYSTEM FREESTYLE TEST FULYZAQ furosemide...42 FUZEON...25 gabapentin...12, 13 AITRIL ALANTAMINE HYDROROMIDE..59 galantamine hydrobromide...59 galantamine hydrobromide er...59 ARDASIL...62 ARDASIL gas relief gavilyte-c...47 gavilyte-g...47 gavilyte-n with flavor pack...47 gel-tin...52 gemfibrozil ENRAF...27 ENOTROPIN...43 ENOTROPIN MINIQUICK gentamicin sulfate...38, 56 ENTEAL MILD ENVOYA...25 geri-hydrolac geri-lanta supreme...8 geri-mucil...47 gianvi gildagia gildess 1.5/ gildess 1/ gildess fe 1.5/ gildess fe 1/ ILENYA...59 ILOTRIF giltuss pediatric...34 LEOSTINE glimepiride glipizide...17 glipizide er glipizide-metformin hcl LUCAON EMERENCY glyburide glyburide micronized...17 glyburide-metformin

75 glycopyrrolate gnp day time mucus relief dm...34 gnp diaper rash creamy...38 gnp iron...45 ONIOVISC RALISE..13 granisetron hcl griseofulvin microsize griseofulvin ultramicrosize guaifenesin guaifenesin dac guaifenesin dm guaifenesin-codeine guaifenesin-dm guanfacine hcl...1, 21 guanfacine hcl er...1 HALAC...38 halobetasol propionate...38 HARVONI heartburn antacid ex st... 8 heather heparin sodium (porcine)...12 heparin sodium (porcine) pf...12 HEXALEN...23 high potency iron...45 hist-pse hm z-sleep...46 homatropine hbr HORIZANT...13 HUMALO HUMALO KWIKPEN HUMALO MIX 50/ HUMALO MIX 50/50 KWIKPEN HUMALO MIX 75/ HUMALO MIX 75/25 KWIKPEN HUMIRA... 3 HUMIRA PEN... 3 HUMULIN 70/ HUMULIN N...17 HUMULIN R...17 HUMULIN R U-500 (CONCENTRATED) hydralazine hcl...21 hydrochlorothiazide...42 HYDROCIL...47 hydrocodone-acetaminophen... 5 hydrocodone-homatropine...34 hydrocodone-ibuprofen...6 hydrocortisone... 7, 33, 35 hydrocortisone ace-pramoxine... 7 hydrocortisone acetate hydrocortisone butyrate hydrocortisone valerate hydrocortisone-acetic acid...58 hydrocortisone-iodoquinol hydromorphone hcl...6 hydrophor hydroxychloroquine sulfate...22 hydroxyurea...23 hydroxyzine hcl...10 hydroxyzine pamoate...10 hyoscyamine sulfate hyoscyamine sulfate er...61 HYPERSAL HYSINLA ER... 6 ibandronate sodium...43 ibuprofen...3 ibuprofen junior strength...3 ICLUSI imatinib mesylate...20 IMRUVICA...20 imipramine hcl imipramine pamoate imiquimod...38 IMODIUM A-D INCRELEX...43 indapamide INDOCIN... 3 indomethacin... 3 indomethacin er... 3 infants ibuprofen... 3 infants pain reliever... 4 infants simethicone...44 INLYTA INSULIN SYRINE INSULIN SYRINE/NEEDLE INTELENCE INTERMEZZO.46 INTRON A introvale INVIRASE...25 invisible acne max st...38 INVOKAMET...60 INVOKANA ipratropium bromide...11, 54 ipratropium-albuterol...11 irbesartan...21 irbesartan-hydrochlorothiazide IRESSA iron...45 iron 100 plus iron supplement childrens...46 ISENTRESS...25, 26 isoniazid...22 ISOPTO TEARS isosorbide dinitrate... 8 isosorbide dinitrate er... 8 isosorbide mononitrate... 8 isosorbide mononitrate er... 8 isradipine itraconazole ivermectin... 8 JAKAFI jantoven JANUMET, XR...17 JANUVIA jencycla...30 JENTADUETO...17 j-max...34 jolessa jolivette J-TAN D PD...34 juleber...30 junel 1.5/ junel 1/ junel fe 1.5/ junel fe 1/ junel fe JUXTAPID kaitlib fe KALETRA KAPVAY... 1 kariva kelnor 1/ KERALYT...38 KERALYT SCALP...38 ketoconazole...19, 38 KETO-DIASTIX...41 KETONE TEST...41 ketoprofen...3 ketorolac tromethamine...3, 56 ketotifen fumarate...56 Index kimidess...30 KITAIS PAK...2 KLOR-CON...51 KOMILYZE XR...17 KONSYL... 47, 48 konsyl-d k-tab...51 K-TAN PLUS...46 kurvelo labetalol hcl...27 lactic acid...38 lactulose lactulose encephalopathy lamivudine lamivudine-zidovudine lamotrigine lamotrigine er...13 LANCETS LANOXIN...28 lansoprazole LANTUS LANTUS SOLOSTAR...18 larin 1.5/ larin 1/ larin 24 fe...31 larin fe 1.5/ larin fe 1/ latanoprost...56 LATRIX XM...38 laxative pills

76 layolis fe...31 leena...31 leflunomide... 3 LENVIMA 10 M DAILY DOSE LENVIMA 14 M DAILY DOSE LENVIMA 18 M DAILY DOSE LENVIMA 20 M DAILY DOSE LENVIMA 24 M DAILY DOSE LENVIMA 8 M DAILY DOSE lessina LETAIRIS...28 letrozole leucovorin calcium LEUKERAN LEUKINE...46 leuprolide acetate LEVEMIR...18 LEVEMIR FLEXTOUCH levetiracetam levetiracetam er levobunolol hcl...56 levocarnitine levocetirizine dihydrochloride levofloxacin...43, 56 levonest levonorgest-eth estrad 91-day...31 levonorgestrel levonorgestrel-ethinyl estrad levonorg-eth estrad triphasic...31 levora 0.15/30 (28) levothyroxine sodium...60 LEXIVA lice killing maximum strength...38 lice treatment liceout...39 lidocaine...39 lidocaine hcl...39 LIDOCAINE HCL...52 lidocaine viscous...52 lidocaine-hydrocortisone ace...8 lidocaine-prilocaine...39 lindane linezolid...22 LINZESS...44 liothyronine sodium...60 liquid corn & callus remover liqui-e...64 liquituss gg...34 lisinopril...21 lisinopril-hydrochlorothiazide LO LOESTRIN FE lohist-d lomedia 24 fe loperamide hcl lopinavir-ritonavir loratadine...20 loratadine allergy relief loratadine childrens loratadine-d 12hr loratadine-d 24hr lorazepam...10 lorazepam intensol...10 loryna...31 losartan potassium losartan potassium-hctz...21 lovastatin low-ogestrel lubricant eye lubricant eye drops lubricant eye fast acting...56 lubricating eye drops LUPRON DEPOT (1-MONTH) LUPRON DEPOT (3-MONTH) LUPRON DEPOT (4-MONTH) LUPRON DEPOT (6-MONTH) LUPRON DEPOT-PED (1-MONTH).43 lutera...31 LYRICA...13 LYSODREN...24 lyza MA magnesium...51 magnesium citrate...48 magnesium oxide... 8, 51 magnesium oxide -mg supplement.51 MAKENA...58 malathion...39 maprotiline hcl marlissa MARPLAN MATULANE meclizine hcl MEDICAL PROVIDER EZ FLU PF 62 medi-tussin dm double strength medroxyprogesterone acetate...31, 58 mefloquine hcl megestrol acetate meloxicam... 3 MEMANTINE HCL memantine hcl MENEST...43 mens 50+ advanced...53 meperidine hcl... 6 meprobamate 47 mercaptopurine...24 mesalamine...44 METAMUCIL...48 METAMUCIL MULTIHEALTH FIER metaproterenol sulfate...11 metformin hcl...18 metformin hcl er...18 methazolamide...42 methenamine hippurate...61 methenamine mandelate...61 methimazole...60 methocarbamol...54 methotrexate...24 methotrexate sodium methotrexate sodium (pf)...24 methscopolamine bromide...61 methyclothiazide...42 methyldopa...21 methylergonovine maleate...58 METHYLIN...2 methylphenidate hcl...2 METHYLPHENIDATE HCL ER... 2 methylphenidate hcl er... 2 methylphenidate hcl er (la)... 2 methylprednisolone metipranolol metoclopramide hcl metolazone...42 metoprolol succinate er metoprolol tartrate metoprolol-hydrochlorothiazide metronidazole...22, 39, 63 mexiletine hcl...10 M217 PSORIASIS MULTI- SYMPTOM...39 MIACALCIN mi-acid... 8 mi-acid gas relief...44 miconazole miconazole miconazole 3 combo pack miconazole miconazole nitrate...39 microgestin 1.5/ microgestin 1/ microgestin 24 fe microgestin fe 1.5/ microgestin fe 1/ midodrine hcl...63 MIEROT...50 migraine formula...4 milk of magnesia...48 MINIVELLE...43 minocycline hcl...60 minoxidil...21 mirtazapine...15 misoprostol...61 M-M-R II...62 modafinil...2 moderiba...26 moexipril hcl...21 moexipril-hydrochlorothiazide mometasone furoate...39 mono-linyah mononessa

77 montelukast sodium...11 morphine sulfate... 6 MORPHINE SULFATE... 6 morphine sulfate (concentrate)...6 morphine sulfate er...6 motion sickness motion sickness relief mucus d mucus relief d mucus relief dm max mucus relief er mucus relief multi symptom mucus-dm...35 mucus-dm max MULTAQ...10 multi vitamin/fluoride...53 multi-delyn...53 multiple vitamins/fluoride...53 multi-vit/fluoride...53 multivitamin gummies childrens...53 multi-vitamin/fluoride...53 multi-vitamin/fluoride/iron...53 multi-vitamin/minerals multivitamins pediatric multivitamins plus zinc mult-vitamin/fluoride mupirocin...39 mupirocin calcium...39 my way MYALEPT...48 mycophenolate mofetil...27 MYLERAN...24 MYNATAL-Z myorisan...39 MYRETRIQ...61 myzilra nabumetone...3 nadolol nadolol-bendroflumethiazide naloxone hcl NALOXONE HCL NAMENDA XR...59 NAMENDA XR TITRATION PACK..59 naproxen...3 naproxen dr... 3 naproxen sodium... 3 NARCAN...19 NASACORT ALLERY 24HR nasal allergy 24 hour...54 nasal decongestant...54 nasal decongestant spray...54 NATACYN...56 NATAZIA nateglinide natural fiber...48 natural fiber laxative...48 natural psyllium seed...48 natural senna laxative...48 NATURE-THROID NEUSAL...35 necon 0.5/35 (28) necon 1/35 (28) NECON 1/50 (28) necon 10/11 (28) necon 7/7/ nefazodone hcl neomycin sulfate...2 neomycin-bacitracin zn-polymyx neomycin-polymyxin-dexameth neomycin-polymyxin-gramicidin neomycin-polymyxin-hc... 56, 58 NEULASTA...46 NEULASTA ONPRO...46 NEUPOEN NEURO-K-250 T.D neutral sodium fluoride...52 neutrogena clear pore...39 NEVANAC nevirapine nevirapine er...26 nexafed...54 NEXAVAR NEXIUM24hr cap...61 next choice one dose...31 niacin...64 niacin er NIACIN ER nicardipine hcl...28 nicotine nicotine polacrilex NICOTROL NICOTROL NS nifedipine nifedipine er nifedipine er osmotic release...28 nikki nimodipine NINLARO...24 nisoldipine er NITRO-ID... 9 nitrofurantoin...61 nitrofurantoin macrocrystal nitrofurantoin monohyd macro nitroglycerin... 9 nohist-dm...35 non-aspirin jr strength...4 nora-be NORDITROPIN FLEXPRO...43 norethin ace-eth estrad-fe norethindrone norethindrone acetate...58 norethindrone acet-ethinyl est norethindrone-eth estradiol...43 norethin-eth estradiol-fe...32 norgestimate-eth estradiol norgestim-eth estrad triphasic norlyroc...32 NORPACE CR...10 NORTHERA...55 nortrel 0.5/35 (28) nortrel 1/35 (21) nortrel 1/35 (28) nortrel 7/7/ nortriptyline hcl NORTRIPTYLINE HCL...13 NORVIR...26 NOVOLO.18 NOXAFIL np thyroid...60 NUTRATEAR...56 NUVARIN...32 nystatin...19, 39, 52 OC O-CAL PRENATAL...53 ocella ODEFSEY ofloxacin...43, 57, 58 OESTREL omega-3 fish oil...55 omega-3-acid ethyl esters omeprazole...61 omeprazole magnesium...61 OMNIFLEX DIAPHRAM...50 ondansetron...19 ONFI ONLYZA opcicon one-step OPTIONS YNOL II CONTRACEPTIVE ORKAMI orsythia ORTHO DIAPHRAM COIL...50 ORTHO DIAPHRAM FLAT...50 oseltamivir phosphate...26 OSMOPREP...48 oxaprozin... 3 oxazepam...10 oxcarbazepine OXTELLAR XR...13 oxybutynin chloride...61 oxybutynin chloride er...61 oxycodone hcl...6 oxycodone-acetaminophen...6, 7 oxycodone-aspirin... 7 OXYCONTIN... 7 oxymorphone hcl... 7 oyster shell calcium + d oyster shell calcium 250+d...51 oyster shell calcium plus d...51 oyster-cal pacerone 69

78 ...10 pain relief 8 hour...4 PANCREAZE...41 pancrelipase (lip-prot-amyl)...41 pantoprazole sodium...61 paromomycin sulfate... 2 paroxetine hcl paroxetine hcl er PAXIL pc-tar...39 pedia relief cough/cold...35 pediatric electrolyte...51 peg 3350/electrolytes...48 peg 3350-kcl-na bicarb-nacl...48 peg-3350/electrolytes...48 PEASYS PROCLICK PE-INTRON REDIPEN penicillin v potassium...58 PENTASA...44 pentoxifylline er...45 perindopril erbumine...21 periomed...52 permethrin...39 PEXEVA..16 phenazopyridine hcl...44 phenelzine..16 phenobarbital...46 phenylephrine hcl phenytoin phenytoin infatabs phenytoin sodium extended...13 philith phosphate laxative...48 pilocarpine hcl...52, 57 pimtrea...32 pindolol pink bismuth pink bismuth maximum strength pin-x...8 pioglitazone hcl...18 pioglitazone hcl-glimepiride pioglitazone hcl-metformin hcl pirmella 1/ pirmella 7/7/ piroxicam... 3 PLERIDY...59 PLERIDY STARTER PACK...59 PNEUMOVAX PNV TAS podofilox...39 polyethylene glycol poly-iron 150 forte...46 polymyxin b-trimethoprim poly-vita polyvitamin/fluoride...53 poly-vitamin/fluoride...53 poly-vitamin/iron POMALYST portia potassium bicarbonate...52 potassium chloride...52 potassium chloride crys er potassium chloride er potassium citrate er...44 PRADAXA pramipexole dihydrochloride...25 PRAMOSONE...39 pramoxine hcl... 8 pravastatin sodium prazosin hcl PRECISION LUCOSE CONTROL.50 PRECISION QID MONITOR...50 PRECISION SURE-DOSE SYRINE...50 PRECISION XTRA...50 PRECISION XTRA LOOD LUCOSE PRED PRED- S.O.P prednicarbate...39 prednisolone prednisolone acetate prednisolone sodium phosphate 30, 57 prednisone...33 PREFEST PREMARIN...43, 63 PREMPRO PRENATA...53 PRENATAS FA PRENATAL...53 PRENATAL PRENATAL COMPLETE PRENATAL LOW IRON PRENATAL MULTI +DHA PRENATAL MULTIVITAMIN + DHA 53 PRENATAL PLUS IRON PRENATAL PLUS/IRON PRENATAL+DHA PRENATAL-U...53 PREQUE PRETA previfem...32 PREVNAR PREZCOIX...26 PREZISTA primidone...13 PRIMSOL PRISTIQ PROAIR HFA...11 probenecid...44 prochlorperazine...25 prochlorperazine maleate PROCORT...8 PROCRIT...46 PROCTOFOAM HC...8 procto-med hc...8 procto-pak...8 progesterone micronized...58 PROMACTA...46 promethazine hcl promethazine vc promethazine vc/codeine...35 promethazine-codeine promethazine-dm...35 propafenone hcl...11 propafenone hcl er...11 propantheline bromide...61 proparacaine hcl propranolol hcl propranolol hcl er...27 propranolol-hctz...21 propylthiouracil...60 protriptyline hcl pseudoeph-bromphen-dm pseudoephedrine hcl...55 pseudoephedrine hcl er...55 pseudoephedrine-dm-gg...35 PULMICORT...11 PULMOZYME...59 pure & gentle lubricant...57 pyrazinamide...22 pyridostigmine bromide pyridostigmine bromide er...22 PYRIDOXINE HCL...64 qc natural vegetable...48 q-pap infants...4 quasense QUILLICHEW ER... 2 QUILLIVANT XR...2 quinapril hcl quinapril-hydrochlorothiazide...21 quinidine gluconate er quinidine sulfate...11 quinine sulfate QVAR ra acne cleanser oil-free...39 ra antiseptic mouth cleanser...52 ra aspirin...4 ra col-rite...48 ra laxative extra strength...48 ra pink bismuth ra scalp itch/dandruff relief...39 ra sleep aid...47 raloxifene hcl...43 ramipril...22 RANEXA...9 ranitidine acid reducer...61 ranitidine hcl...61 RAPAMUNE...27 react...32 REALITY LATEX/ULTRA THIN

79 REIF REIDOSE...59 reclipsen...32 RECOMIVAX H...63 REFRESH LIQUIEL...57 relcof c...35 RELENZA DISKHALER...26 relion insulin syringe...50 RELI-ON INSULIN SYRINE...50 RENAEL...44 rena-vite...53 rena-vite rx...53 repaglinide...18 RESCRIPTOR...26 RESTASIS...57 REVLIMID...27 REYATAZ ribavirin...26 RID ESSENTIAL LICE ELIMINATION.39 RIDAURA... 3 rifamate...22 rifampin...22 riluzole...55 rimantadine hcl RITALIN LA... 2 rivastigmine rivastigmine tartrate rizatriptan benzoate...50 ropinirole hcl...25 ROZEREM...47 salactic film...39 salicylic acid...39, 40 salicylic acid wart remover...40 salicylic acid-cleanser saline mist spray...55 salsalate... 4 SAVELLA...59 SAVELLA TITRATION PACK...59 sb natural fiber laxative...48 scalacort scalp relief maximum strength selegiline hcl selenium sulfide...40 selenium sulf-pyrithione-urea...40 SELZENTRY...26 senna...48 senna laxative...48 senna s...48 SENSIPAR...43 SEREVENT DISKUS...11 sertraline hcl setlakin...32 sevelamer carbonate.44 sharobel...32 SINIFOR...43 sildenafil citrate...28 SILENOR...47 silver sulfadiazine...40 simethicone...44 SIMILAC PRENATAL EARLY SHIELD simvastatin...21 sirolimus SIRTURO SIVEXTRO...22 SKLICE...40 sleep aid (diphenhydramine)...47 sleep-aid maximum strength...47 slow release iron...46 sm anticavity fluoride rinse...52 sm dry eye relief sm foaming antacid... 8 sm ibuprofen jr...3 SM ONE DAILY PRENATAL...54 SM VITAMIN D sodium bicarbonate... 8 sodium chloride sodium fluoride...52 sodium polystyrene sulfonate...27, 58 solia SOOTHE...57 sotalol hcl...28 sotalol hcl (af) spinosad SPIRIVA HANDIHALER spironolactone spironolactone-hctz SPORANOX sprintec sronyx sss stavudine...26 STERILE LURICANT...57 STIVARA...24 stop lice maximum strength STRATTERA... 2 stress formula/zinc...54 STRIILD SUCRAID sucralfate...61 sudogest sinus/allergy sulfacetamide sodium...37, 57 sulfacetamide sodium (acne)...40 sulfacetamide sodium-sulfur sulfacetamide-prednisolone...57 sulfacetamide-sulfur in urea SULFACETAMIDE-SULFUR IN UREA...40 sulfadiazine...60 sulfamethoxazole-trimethoprim sulfasalazine...44 sulindac... 3 sumatriptan...50 sumatriptan succinate...50 sumatriptan succinate refill...50 super b- complex/vit c/fa...54 superior SUPRAX...29 SURE COMFORT INSULIN SYRINE...50 SUSTIVA...26 SUTENT syeda...32 SYMICORT...11 SYMLINPEN SYMLINPEN SYNAIS...58 SYNRIO...24 SYSTANE...57 TALOID...24 tacrolimus...27, 40 take action...32 TAMIFLU...26 tamoxifen citrate tamsulosin hcl...44 TARCEVA...24 TARRETIN...24 tarina fe 1/ TASINA...24 TAZORAC...40 TECFIDERA...59 TECHNIVIE temazepam...47 terazosin hcl terbinafine hcl terbutaline sulfate terconazole...63 testosterone...7 testosterone cypionate... 7 testosterone enanthate...7 tetanus-diphtheria toxoids td...60 tetracaine hcl...57 tetterine...40 tg 10peh/380gfn/15dm...35 TT LURICANT EYE DROPS...57 THALOMID...27 theophylline theophylline er therapeutic...40 THERATEARS...57 THIAMINE tiagabine hcl tilia fe...32 timolol maleate...28, 57 tinidazole...22 TIVICAY...26 tizanidine hcl...54 TORADEX...57 tobramycin tobramycin-dexamethasone tolazamide

80 tolbutamide tolnaftate...40 tolterodine tartrate...61 tolterodine tartrate er...61 topiramate...13 torsemide...42 TRACLEER TRADJENTA tramadol hcl... 7 tramadol-acetaminophen...7 trandolapril...22 tranexamic acid...46 tranylcypromine sulfate...16 TRAVATAN Z travoprost...57 trazodone hcl...16, 59 tretinoin...24, 40 TRIADVANCE...54 triamcinolone acetonide...40, 52, 55 TRIAMINIC COUH/RUNNY NOSE..20 triamterene-hctz...42 triazolam tri-estarylla trifluridine...57 TRIOFEN DM trihexyphenidyl hcl tri-legest fe...32 tri-linyah tri-lo-estarylla tri-lo-marzia...32 tri-lo-sprintec...32 trilyte trimethobenzamide hcl trimethoprim...22 trimipramine maleate TRINATE...54 trinessa (28)...32 trinessa lo triple antibiotic...40 triple antibiotic plus...41 tri-previfem...33 tri-sprintec...33 TRIUMEQ tri-vit/fluoride tri-vit/fluoride/iron...54 tri-vitamin...54 trivora (28)...33 tropicamide...57 trospium chloride...62 TRUEPLUS INSULIN SYRINE...50 TRUSTEX RIA NON-LURICATED 50 TRUVADA trymine cg tussin cf max multi-symptom tussin chest congestion tussin dm tussin dm max adult...35 tusslin pediatric...35 TYOST TYKER TYVASO TYVASO REFILL...28 TYVASO STARTER TYZEKA...26 ULORIC...44 ULTICARE INSULIN SYRINE...50 ultra-mega umecta mousse...41 ur n-c...61 urea...41 urea nail...41 urea nail film...41 urinary pain relief max st...44 ursodiol...44 ustell...61 valacyclovir hcl valganciclovir hcl valproic acid...13 valsartan valsartan-hydrochlorothiazide...22 vancomycin hcl VCF VAINAL CONTRACEPTIVE. 63 velivet venlafaxine hcl...16 venlafaxine hcl er...16, 17 VENTAVIS...28 VENTOLIN HFA verapamil hcl verapamil hcl er vestura...33 VEXOL...57 VH ESSENTIALS UTI RELIEF...44 VICTOZA VIDEX...26 VIEKIRA PAK VIEKIRA XR vienva VIAMOX...57 VIIRYD VIIRYD STARTER PACK...17 VIMPAT viorele VIRACEPT...27 VIRAMUNE...27 VIREAD VIRT NATE...54 VIRT-ADVANCE...54 VIRT-C DHA virt-caps VIRT-ARD...46 virt-vite virt-vite plus vitamin b complex...54 vitamin b vitamin b vitamin b vitamin b vitamin b vitamin b-6 er...64 vitamin c-electrolytes vitamin d vitamin d (ergocalciferol) vitamin d vitamin d vitamin e...64 VITAMIN E...64 vitamin e/folic acid/b-6/b vitamin e vitamin e vita-rx diabetic vitamin...54 VITEKTA...27 VOELXO PUMP...7 voriconazole VOTRIENT vyfemla VYVANSE...2 WAL-DRYL-D wal-sleep z...47 warfarin sodium wart remover maximum strength...41 wera...33 WESTHROID...60 WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WIDE-SEAL DIAPHRAM WP THYROID...60 wymzya fe...33 XALKORI XARELTO...12 XIFAXAN XOPENEX HFA XTANDI XULANE YUVAFEM zafirlukast zaleplon...47 zarah...33 ZELORAF...24 zenchent zenchent fe ZENPEP...42 ZEPATIER...46 ZIAEN...27 zidovudine...27 ZIOPTAN

81 ZOLINZA...24 zolpidem tartrate...47 ZOLPIMIS 47 zonisamide...13 ZORTRESS...27 ZOSTAVAX...63 zovia 1/35e (28)

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