MO HealthNet September 2012 Meeting

Transcription

1 ABBOTT ADVICOR (ORAL) LIPOTROPICS, STATINS ABBOTT CREON (ORAL) PANCREATIC ENZYMES ABBOTT HUMIRA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT HUMIRA PEN IJ KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS ABBOTT NIASPAN (ORAL) LIPOTROPICS, OTHER ABBOTT SIMCOR (ORAL) LIPOTROPICS, STATINS ABBOTT TARKA (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS ABBOTT TEVETEN (ORAL) ANGIOTENSIN MODULATORS ABBOTT TEVETEN HCT (ORAL) ANGIOTENSIN MODULATORS ACORDA AMPYRA (ORAL) MULTIPLE SCLEROSIS AGENTS ACTAVIS BETAMETHASONE DIPROPIONATE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH ACTAVIS CLOBETASOL LOTION (ACTAVIS) (TOPICAL) STEROIDS, TOPICAL VERY HIGH ACTAVIS CLOBETASOL SHAMPOO (ACTAVIS) (TOPICAL) STEROIDS, TOPICAL VERY HIGH ACTAVIS KADIAN (ORAL) ANALGESICS, NARCOTICS LONG ACTAVIS MORPHINE ER (KADIAN AUTH GEN) (ORAL) ANALGESICS, NARCOTICS LONG ACTAVIS OXYMORPHONE ER (ORAL) ANALGESICS, NARCOTICS LONG ACTELION TRACLEER (ORAL) PAH AGENTS, ORAL AND INHALED ACTELION VELETRI (INTRAVEN) PAH AGENTS, INJECTABLE ACTELION VENTAVIS (INHALATION) PAH AGENTS, ORAL AND INHALED ACTIENT PHARMAC SEMPREX-D (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING ALAVEN DIPENTUM (ORAL) ULCERATIVE COLITIS AGENTS ALAVEN ROWASA (RECTAL) ULCERATIVE COLITIS AGENTS ALAVEN SFROWASA (RECTAL) ULCERATIVE COLITIS AGENTS ALCON ALOMIDE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON CILOXAN OINTMENT (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON CIPRO HC (OTIC) OTIC ANTIBIOTICS ALCON CIPRODEX (OTIC) OTIC ANTIBIOTICS ALCON EMADINE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON MOXEZA (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALCON PATADAY (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON PATANASE (NASAL) INTRANASAL RHINITIS AGENTS ALCON PATANOL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALCON TRAVATAN / TRAVATAN Z 2.5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON TRAVATAN / TRAVATAN Z 5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALCON VIGAMOX (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS ALLERGAN ALOCRIL (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN ELESTAT (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN LASTACAFT (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS ALLERGAN LUMIGAN 2.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN LUMIGAN 5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN LUMIGAN 7.5ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS ALLERGAN TAZORAC CREAM (TOPICAL) ACNE AGENTS, TOPICAL ALLERGAN TAZORAC GEL (TOPICAL) ACNE AGENTS, TOPICAL ALLERGAN ZYMAXID (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS AMER. REGENT SPRIX (NASAL) NSAIDS AMGEN ENBREL DISP SYRINGE (INJECTION) CYTOKINE AND CAM ANTAGONISTS AMGEN ENBREL KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS AMGEN ENBREL PEN (INJECTION) CYTOKINE AND CAM ANTAGONISTS AMNEAL PHARMACE FLUOCINOLONE 0.01% OIL (TOPICAL) STEROIDS, TOPICAL LOW APTALIS CANASA (RECTAL) ULCERATIVE COLITIS AGENTS APTALIS ZENPEP (ORAL) PANCREATIC ENZYMES AR SCIENTIFIC COLCRYS (ORAL) ANTIHYPERURICEMICS ARBOR E.E.S. 200 SUSPENSION (ORAL) MACROLIDES/KETOLIDES ARBOR E.E.S. 400 TABLET (ORAL) MACROLIDES/KETOLIDES ARBOR ERYPED 200 SUSPENSION (ORAL) MACROLIDES/KETOLIDES ARBOR ERYPED 400 SUSPENSION (ORAL) MACROLIDES/KETOLIDES ARBOR ERY-TAB (ORAL) MACROLIDES/KETOLIDES ARBOR ERYTHROCIN (ORAL) MACROLIDES/KETOLIDES ARBOR ERYTHROMYCIN (ORAL) MACROLIDES/KETOLIDES ARBOR ERYTHROMYCIN BASE CAPSULE DR (ORAL) MACROLIDES/KETOLIDES ARBOR ERYTHROMYCIN BASE TABLET (ORAL) MACROLIDES/KETOLIDES ARBOR PCE (ORAL) MACROLIDES/KETOLIDES ARBOR PEDIADERM HC (TOPICAL) STEROIDS, TOPICAL LOW ARBOR PEDIADERM TA (TOPICAL) STEROIDS, TOPICAL LOW ASTRAZENECA ATACAND (ORAL) ANGIOTENSIN MODULATORS ASTRAZENECA ATACAND HCT (ORAL) ANGIOTENSIN MODULATORS ASTRAZENECA RHINOCORT AQUA (NASAL) INTRANASAL RHINITIS AGENTS ASTRAZENECA VIMOVO (ORAL) NSAIDS ASTRAZENECA ZOMIG (NASAL) ANTIMIGRAINE AGENTS ASTRAZENECA ZOMIG ZMT (ORAL) ANTIMIGRAINE AGENTS BAUSCH & LOMB ALREX (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS BAUSCH & LOMB BESIVANCE (OPHTHALMIC) OPHTHALMIC ANTIBIOTICS BAYER BETASERON (SUBCUTANE.) MULTIPLE SCLEROSIS AGENTS BAYER CIPRO SUSPENSION (ORAL) FLUOROQUINOLONES, ORAL BEDFORD SUMATRIPTAN DISP SYRIN (SUBCUTANE.) ANTIMIGRAINE AGENTS BIOGEN-IDEC AVONEX (INTRAMUSC.) MULTIPLE SCLEROSIS AGENTS BIOGEN-IDEC AVONEX PEN (INTRAMUSC) MULTIPLE SCLEROSIS AGENTS BIOVITRUM KINERET (INJECTION) CYTOKINE AND CAM ANTAGONISTS BMS AVALIDE (ORAL) ANGIOTENSIN MODULATORS /Provider Synergies, L.L.C. Page 1 of 5

2 BMS AVAPRO (ORAL) ANGIOTENSIN MODULATORS BMS KOMBIGLYZE XR (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS BMS ORENCIA (INJECTION) CYTOKINE AND CAM ANTAGONISTS BMS ORENCIA (SUB-Q) CYTOKINE AND CAM ANTAGONISTS BOEHRINGER JENTADUETO (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS BOEHRINGER MICARDIS (ORAL) ANGIOTENSIN MODULATORS BOEHRINGER MICARDIS HCT (ORAL) ANGIOTENSIN MODULATORS BOEHRINGER MOBIC SUSPENSION (ORAL) NSAIDS BOEHRINGER TWYNSTA (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS CAROLINA MED. HYDROCORTISONE / MIN OIL / PET OINT. (TOPICAL) STEROIDS, TOPICAL LOW CORNERSTONE FACTIVE (ORAL) FLUOROQUINOLONES, ORAL CORNERSTONE ZYFLO (ORAL) LEUKOTRIENE MODIFIERS CORNERSTONE ZYFLO CR (ORAL) LEUKOTRIENE MODIFIERS CYPRESS PHARM. HYDROCORTISONE/ALOE GEL (TOPICAL) STEROIDS, TOPICAL LOW DAIICHI SANKYO AZOR (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS DAIICHI SANKYO BENICAR (ORAL) ANGIOTENSIN MODULATORS DAIICHI SANKYO BENICAR HCT (ORAL) ANGIOTENSIN MODULATORS DAIICHI SANKYO TRIBENZOR (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS DEPOMED, INC. GLUMETZA (ORAL) HYPOGLYCEMICS, METFORMINS DEPOMED, INC. GRALISE (ORAL) NEUROPATHIC PAIN DERMIK LABS. DERMATOP CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM DERMIK LABS. DERMATOP OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM DEY LABS. EPIPEN JR (INTRAMUSC) EPINEPHRINE, SELF-INJECTED DR.REDDY'S LAB FEXOFENADINE-D 24-HOUR (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING EISAI INC. ARICEPT (ORAL) ALZHEIMER'S AGENTS EISAI INC. ARICEPT 23 MG (ORAL) ALZHEIMER'S AGENTS EISAI INC. ARICEPT ODT (ORAL) ALZHEIMER'S AGENTS ELI LILLY & CO. ADCIRCA (ORAL) PAH AGENTS, ORAL AND INHALED ELI LILLY & CO. CYMBALTA (ORAL) FIBROMYALGIA ELI LILLY & CO. EVISTA (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS EMD SERONO, INC REBIF (SUBCUTANE.) MULTIPLE SCLEROSIS AGENTS ENDO FROVA (ORAL) ANTIMIGRAINE AGENTS ENDO OPANA ER (ORAL) ANALGESICS, NARCOTICS LONG ENDO LIDODERM (TOPICAL) NEUROPATHIC PAIN FOREST PHARMACE NAMENDA SOLUTION (ORAL) ALZHEIMER'S AGENTS FOREST PHARMACE NAMENDA TAB DS PK (ORAL) ALZHEIMER'S AGENTS FOREST PHARMACE NAMENDA TABLET (ORAL) ALZHEIMER'S AGENTS FOREST PHARMACE SAVELLA (ORAL) FIBROMYALGIA FOREST PHARMACE SAVELLA DS PK (ORAL) FIBROMYALGIA FOUGERA AMCINONIDE LOTION (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA AMCINONIDE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA BETAMETHASONE VALERATE LOTION (TOPICAL) STEROIDS, TOPICAL HIGH FOUGERA FLUOCINOLONE ACETONIDE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA FLUOCINOLONE ACETONIDE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA FLUOCINOLONE ACETONIDE SOLUTION (TOPICAL) STEROIDS, TOPICAL MEDIUM FOUGERA PREDNICARBATE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM FRESENIUS MED PHOSLYRA (ORAL) PHOSPHATE BINDERS GALDERMA LABORA CAPEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL LOW GALDERMA LABORA CLOBEX LOTION (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA CLOBEX SHAMPOO (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA CLOBEX SPRAY (TOPICAL) STEROIDS, TOPICAL VERY HIGH GALDERMA LABORA DIFFERIN CREAM (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA LABORA DIFFERIN GEL (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA LABORA DIFFERIN LOTION (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA LABORA EPIDUO (TOPICAL) ACNE AGENTS, TOPICAL GALDERMA LABORA ORACEA (ORAL) TETRACYCLINES GALDERMA LABORA VECTICAL (TOPICAL) ANTIPSORIATICS, TOPICAL GENENTECH, INC. ACTEMRA (INJECTION) CYTOKINE AND CAM ANTAGONISTS GILEAD SCIENCES CAYSTON (INHALATION) ANTIBIOTICS, INHALED GILEAD SCIENCES LETAIRIS (ORAL) PAH AGENTS, ORAL AND INHALED GLAXOSMITHKLINE AVANDAMET (ORAL) HYPOGLYCEMICS, TZD GLAXOSMITHKLINE AVANDARYL (ORAL) HYPOGLYCEMICS, TZD GLAXOSMITHKLINE AVANDIA (ORAL) HYPOGLYCEMICS, TZD GLAXOSMITHKLINE BECONASE AQ (NASAL) INTRANASAL RHINITIS AGENTS GLAXOSMITHKLINE FLOLAN (INTRAVEN) PAH AGENTS, INJECTABLE GLAXOSMITHKLINE HORIZANT (ORAL) NEUROPATHIC PAIN GLAXOSMITHKLINE IMITREX (NASAL) ANTIMIGRAINE AGENTS GLAXOSMITHKLINE IMITREX KIT (SUBCUTANE.) ANTIMIGRAINE AGENTS GLAXOSMITHKLINE SORILUX (TOPICAL) ANTIPSORIATICS, TOPICAL GLAXOSMITHKLINE TREXIMET (ORAL) ANTIMIGRAINE AGENTS GLAXOSMITHKLINE VERAMYST (NASAL) INTRANASAL RHINITIS AGENTS GREENSTONE LLC. AZITHROMYCIN PACKET (ORAL) MACROLIDES/KETOLIDES HAWTHORN PHARM ELIPHOS (ORAL) PHOSPHATE BINDERS HILL DERM DERMA-SMOOTHE-FS (TOPICAL) STEROIDS, TOPICAL LOW HI-TECH PHARMAC LEVOFLOXACIN SOLUTION (ORAL) FLUOROQUINOLONES, ORAL HORIZON PHARMA DUEXIS (ORAL) NSAIDS IMPAX PHARMACEU ZOMIG (ORAL) ANTIMIGRAINE AGENTS INTENDIS INC. DESONATE GEL TOPICAL) STEROIDS, TOPICAL LOW IROKO PHARMACEU INDOCIN (RECTAL) NSAIDS /Provider Synergies, L.L.C. Page 2 of 5

3 IROKO PHARMACEU INDOCIN SUSPENSION (ORAL) NSAIDS ISTA PHARMACEUT BEPREVE (OPHTHALMIC) OPHTHALMICS FOR ALLERGIC CONJUNCTIVITIS JANSSEN BIOTECH INC REMICADE (INJECTION) CYTOKINE AND CAM ANTAGONISTS JANSSEN BIOTECH INC SIMPONI DISP SYRINGE (INJECTION) CYTOKINE AND CAM ANTAGONISTS JANSSEN BIOTECH INC SIMPONI PEN INJECTER (INJECTION) CYTOKINE AND CAM ANTAGONISTS JANSSEN BIOTECH INC STELARA DISP SYRINGE (INJECTION) CYTOKINE AND CAM ANTAGONISTS JANSSEN PHARM INC AXERT (ORAL) ANTIMIGRAINE AGENTS JANSSEN PHARM INC DURAGESIC MATRIX (TRANSDERM.) ANALGESICS, NARCOTICS LONG JANSSEN PHARM INC LEVAQUIN SOLUTION (ORAL) FLUOROQUINOLONES, ORAL JANSSEN PHARM INC NUCYNTA (ORAL) ANALGESICS, NARCOTICS SHORT JANSSEN PHARM INC NUCYNTA ER (ORAL) ANALGESICS, NARCOTICS LONG JANSSEN PHARM INC PANCREAZE (ORAL) PANCREATIC ENZYMES JANSSEN PHARM INC RAZADYNE SOLUTION (ORAL) ALZHEIMER'S AGENTS JANSSEN PHARM INC RETIN-A MICRO (TOPICAL) ACNE AGENTS, TOPICAL JANSSEN PHARM INC RETIN-A MICRO PUMP (TOPICAL) ACNE AGENTS, TOPICAL JANSSEN PHARM INC ULTRAM ER (ORAL) ANALGESICS, NARCOTICS LONG JSJ PHARMACEUTI HALONATE (TOPICAL) STEROIDS, TOPICAL VERY HIGH JSJ PHARMACEUTI MOMEXIN (TOPICAL) STEROIDS, TOPICAL MEDIUM LEO PHARMA INC. DOVONEX CREAM (TOPICAL) ANTIPSORIATICS, TOPICAL LEO PHARMA INC. TACLONEX OINTMENT (TOPICAL) ANTIPSORIATICS, TOPICAL LEO PHARMA INC. TACLONEX SCALP (TOPICAL) ANTIPSORIATICS, TOPICAL MALLINCKRODT BR EXALGO (ORAL) ANALGESICS, NARCOTICS LONG MANCHESTER PHAR CHENODAL (ORAL) BILE SALTS MEDA PHARMACEUT ASTELIN (NASAL) INTRANASAL RHINITIS AGENTS MEDA PHARMACEUT ASTEPRO (NASAL) INTRANASAL RHINITIS AGENTS MEDA PHARMACEUT DYMISTA (NASAL) INTRANASAL RHINITIS AGENTS MEDICIS DERM SOLODYN (ORAL) TETRACYCLINES MEDICIS DERM VANOS (TOPICAL) STEROIDS, TOPICAL HIGH MEDICIS DERM ZIANA (TOPICAL) ACNE AGENTS, TOPICAL MEDIMETRIKS PHA MORGIDOX KIT (MISCELL) TETRACYCLINES MERCK AVELOX (ORAL) FLUOROQUINOLONES, ORAL MERCK CLARINEX ODT (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARINEX SYRUP (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARINEX TABLET (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARINEX-D 12 HOUR (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARINEX-D 24 HOUR (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARITIN CAPSULE OTC (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARITIN CHEW OTC (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARITIN ODT OTC (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK CLARITIN-D 12 HOUR OTC (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING MERCK FOSAMAX PLUS D (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS MERCK JANUMET (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS MERCK JANUMET XR (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS MERCK JUVISYNC (ORAL) HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCERS MERCK MAXALT MLT (ORAL) ANTIMIGRAINE AGENTS MERCK MAXALT TABLET (ORAL) ANTIMIGRAINE AGENTS MERCK NASONEX (NASAL) INTRANASAL RHINITIS AGENTS MERCK NOROXIN (ORAL) FLUOROQUINOLONES, ORAL MERCK SINGULAIR GRAN PACK (ORAL) LEUKOTRIENE MODIFIERS MERCK SINGULAIR TAB CHEW (ORAL) LEUKOTRIENE MODIFIERS MERCK SINGULAIR TABLET (ORAL) LEUKOTRIENE MODIFIERS MERCK ZIOPTAN (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS MERZ AQUA GLYCOLIC HC (TOPICAL) STEROIDS, TOPICAL LOW MISSION PHARM. TEXACORT (TOPICAL) STEROIDS, TOPICAL LOW MYLAN CLINDAMYCIN / BENZOYL PEROXIDE (TOPICAL) ACNE AGENTS, TOPICAL MYLAN DOXYCYCLINE HYCLATE TABLET DR (ORAL) TETRACYCLINES MYLAN EPROSARTAN (ORAL) ANGIOTENSIN MODULATORS MYLAN ETIDRONATE DISODIUM (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS MYLAN FENOPROFEN (ORAL) NSAIDS MYLAN KETOPROFEN ER (ORAL) NSAIDS MYLAN MECLOFENAMATE (ORAL) NSAIDS NAUTILUS NEUROS CAMBIA (ORAL) ANTIMIGRAINE AGENTS NEPHRO-TECH CALPHRON OTC (ORAL) PHOSPHATE BINDERS NEPHRO-TECH MAGNEBIND 400 RX (ORAL) PHOSPHATE BINDERS NEUROGESX, INC. QUTENZA KIT (TOPICAL) NEUROPATHIC PAIN NOVARTIS AMTURNIDE (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS NOVARTIS DIOVAN (ORAL) ANGIOTENSIN MODULATORS NOVARTIS DIOVAN HCT (ORAL) ANGIOTENSIN MODULATORS NOVARTIS EXELON (TRANSDERM.) ALZHEIMER'S AGENTS NOVARTIS EXELON SOLUTION (ORAL) ALZHEIMER'S AGENTS NOVARTIS EXFORGE (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS NOVARTIS EXFORGE HCT (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS NOVARTIS EXTAVIA (SUBCUTANE.) MULTIPLE SCLEROSIS AGENTS NOVARTIS GILENYA (ORAL) MULTIPLE SCLEROSIS AGENTS NOVARTIS ILARIS (SUBCUTANEOUS) C.A.P.S. NOVARTIS TEKAMLO (ORAL) ANGIOTENSIN MODULATOR COMBINATIONS NOVARTIS TEKTURNA (ORAL) ANGIOTENSIN MODULATORS NOVARTIS TEKTURNA HCT (ORAL) ANGIOTENSIN MODULATORS NOVARTIS TOBI (INHALATION) ANTIBIOTICS, INHALED /Provider Synergies, L.L.C. Page 3 of 5

4 NOVO NORDISK PRANDIMET (ORAL) HYPOGLYCEMICS, MEGLITINIDES NOVO NORDISK PRANDIN (ORAL) HYPOGLYCEMICS, MEGLITINIDES PADDOCK LABS. CLOBETASOL LOTION (AG) (TOPICAL) STEROIDS, TOPICAL VERY HIGH PAR DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE (ORAL) TETRACYCLINES PAR DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE (ORAL) TETRACYCLINES PEDINOL PHARM. NALFON (ORAL) NSAIDS PERNIX THERAPEU OMECLAMOX-PAK (ORAL) H. PYLORI TREATMENT PERRIGO CO. HYDROCORTISONE ACETATE OINT. OTC (TOPICAL) STEROIDS, TOPICAL LOW PERRIGO CO. MESALAMINE KIT (RECTAL) ULCERATIVE COLITIS AGENTS PFIZER ARTHROTEC (ORAL) NSAIDS PFIZER AVINZA (ORAL) ANALGESICS, NARCOTICS LONG PFIZER CELEBREX (ORAL) NSAIDS PFIZER CLEOCIN OVULES (VAGINAL) ANTIBIOTICS, VAGINAL PFIZER GLYSET (ORAL) HYPOGLYCEMICS, ALPHA-GLUCOSIDASE INHIBITORS PFIZER LYRICA (ORAL) FIBROMYALGIA PFIZER RELPAX (ORAL) ANTIMIGRAINE AGENTS PFIZER REVATIO (INTRAVEN) PAH AGENTS, INJECTABLE PFIZER REVATIO (ORAL) PAH AGENTS, ORAL AND INHALED PFIZER VIBRAMYCIN SUSPENSION (ORAL) TETRACYCLINES PFIZER VIBRAMYCIN SYRUP (ORAL) TETRACYCLINES PFIZER XALATAN 2.5 ML (OPHTHALMIC) OPHTHALMICS, GLAUCOMA AGENTS PFIZER ZITHROMAX PACKET (ORAL) MACROLIDES/KETOLIDES PFIZER ZMAX (ORAL) MACROLIDES/KETOLIDES PHARMACEU ASSOC CETIRIZINE SOLUTION 5MG/5ML OTC (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING PHARMADERM APEXICON E (TOPICAL) STEROIDS, TOPICAL VERY HIGH PHARMADERM CUTIVATE LOTION (TOPICAL) STEROIDS, TOPICAL MEDIUM PHARMADERM PANDEL (TOPICAL) STEROIDS, TOPICAL MEDIUM PRASCO LABS PREDNICARBATE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM PROMIUS PHARMA CLODERM (TOPICAL) STEROIDS, TOPICAL MEDIUM PURDUE PHARMA L BUTRANS (TRANSDERM) ANALGESICS, NARCOTICS LONG PURDUE PHARMA L OXYCONTIN (ORAL) ANALGESICS, NARCOTICS LONG RANBAXY DOXYCYCLINE MONOHYDRATE 75 MG CAPSULE (ORAL) TETRACYCLINES RANBAXY HALOG CREAM (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY HALOG OINT. (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY KENALOG AEROSOL (TOPICAL) STEROIDS, TOPICAL HIGH RANBAXY RIOMET (ORAL) HYPOGLYCEMICS, METFORMINS RANBAXY ULTRAVATE PAC CREAM (TOPICAL) STEROIDS, TOPICAL VERY HIGH REGENERON PHARM ARCALYST (SUBCUTANEOUS) C.A.P.S. ROCHE LABS. BONIVA (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS ROCHE LABS. NAPROSYN SUSPENSION (ORAL) NSAIDS ROUSES POINT PH HYDROCORTISONE BUTYRATE CREAM BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROUSES POINT PH HYDROCORTISONE BUTYRATE OINT. BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROUSES POINT PH HYDROCORTISONE BUTYRATE SOLUTION BRAND (TOPICAL) STEROIDS, TOPICAL MEDIUM ROXANE LABS. GALANTAMINE SOLUTION (ORAL) ALZHEIMER'S AGENTS ROXANE LABS. MELOXICAM SUSPENSION (ORAL) NSAIDS ROXANE LABS. NAPROXEN SUSPENSION (ORAL) NSAIDS SALIX PHARMACEU APRISO (ORAL) ULCERATIVE COLITIS AGENTS SANDOZ CLOBETASOL SHAMPOO (AG) (TOPICAL) STEROIDS, TOPICAL VERY HIGH SANDOZ SUMATRIPTAN (NASAL) ANTIMIGRAINE AGENTS SANOFI-AVENTIS ALLEGRA ODT (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING SANOFI-AVENTIS ALLEGRA-D 24-HOUR (ORAL) ANTIHISTAMINES, MINIMALLY SEDATING SANOFI-AVENTIS KETEK (ORAL) MACROLIDES/KETOLIDES SANOFI-AVENTIS NASACORT AQ (NASAL) INTRANASAL RHINITIS AGENTS SANOFI-AVENTIS RENAGEL (ORAL) PHOSPHATE BINDERS SANOFI-AVENTIS RENVELA POWDER PACK (ORAL) PHOSPHATE BINDERS SANOFI-AVENTIS RENVELA TABLET (ORAL) PHOSPHATE BINDERS SHIONOGI FORTAMET (ORAL) HYPOGLYCEMICS, METFORMINS SHIONOGI NAPRELAN (ORAL) NSAIDS SHIONOGI PONSTEL (ORAL) NSAIDS SHIONOGI RYBIX ODT (ORAL) ANALGESICS, NARCOTICS SHORT SHIRE US INC. FOSRENOL (ORAL) PHOSPHATE BINDERS SHIRE US INC. LIALDA (ORAL) ULCERATIVE COLITIS AGENTS SHIRE US INC. PENTASA (ORAL) ULCERATIVE COLITIS AGENTS STIEFEL LUXIQ (TOPICAL) STEROIDS, TOPICAL MEDIUM STIEFEL OLUX-E (TOPICAL) STEROIDS, TOPICAL VERY HIGH STIEFEL VELTIN (TOPICAL) ACNE AGENTS, TOPICAL STIEFEL VERDESO (TOPICAL) STEROIDS, TOPICAL LOW SUN PHARMA GLOB SUMATRIPTAN PEN INJCTR (SUBCUTANE.) ANTIMIGRAINE AGENTS SUNOVION PHARMA OMNARIS (NASAL) INTRANASAL RHINITIS AGENTS SUNOVION PHARMA ZETONNA (NASAL) INTRANASAL RHINITIS AGENTS TAKEDA PHARMACE ACTOPLUS MET (ORAL) HYPOGLYCEMICS, TZD TAKEDA PHARMACE ACTOPLUS MET XR (ORAL) HYPOGLYCEMICS, TZD TAKEDA PHARMACE ACTOS (ORAL) HYPOGLYCEMICS, TZD TAKEDA PHARMACE DUETACT (ORAL) HYPOGLYCEMICS, TZD TAKEDA PHARMACE EDARBI (ORAL) ANGIOTENSIN MODULATORS TAKEDA PHARMACE EDARBYCLOR (ORAL) ANGIOTENSIN MODULATORS TAKEDA PHARMACE OMONTYS (INJECTION) ERYTHROPOIESIS STIMULATING PROTEINS TAKEDA PHARMACE ULORIC (ORAL) ANTIHYPERURICEMICS TARO PHARM USA BETAMETHASONE DIPROPIONATE GEL (TOPICAL) STEROIDS, TOPICAL HIGH /Provider Synergies, L.L.C. Page 4 of 5

5 TARO PHARM USA CALCIPOTRIENE OINTMENT (TOPICAL) ANTIPSORIATICS, TOPICAL TARO PHARM USA CALCITRENE (TOPICAL) ANTIPSORIATICS, TOPICAL TARO PHARM USA DESOXIMETASONE OINT. (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA HYDROCORTISONE BUTYRATE CREAM (TOPICAL) STEROIDS, TOPICAL MEDIUM TARO PHARM USA HYDROCORTISONE BUTYRATE OINT. (TOPICAL) STEROIDS, TOPICAL MEDIUM TARO PHARM USA HYDROCORTISONE BUTYRATE SOLUTION (TOPICAL) STEROIDS, TOPICAL MEDIUM TARO PHARM USA TOPICORT GEL (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA TOPICORT LP CREAM (TOPICAL) STEROIDS, TOPICAL HIGH TARO PHARM USA TOPICORT OINT. (TOPICAL) STEROIDS, TOPICAL HIGH TEVA COPAXONE (SUBCUTANE.) MULTIPLE SCLEROSIS AGENTS TEVA DIFLUNISAL (ORAL) NSAIDS TEVA QNASL (NASAL) INTRANASAL RHINITIS AGENTS THER-RX CLINDESSE (VAGINAL) ANTIBIOTICS, VAGINAL UCB PHARMA CIMZIA KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS UCB PHARMA CIMZIA SYRINGE KIT (INJECTION) CYTOKINE AND CAM ANTAGONISTS UNITED THERAP REMODULIN (INJECTION) PAH AGENTS, INJECTABLE UNITED THERAP TYVASO (INHALATION) PAH AGENTS, ORAL AND INHALED UPSHER SMITH NIACOR (ORAL) LIPOTROPICS, OTHER VALEANT ACANYA W/PUMP (TOPICAL) ACNE AGENTS, TOPICAL VALEANT ATRALIN (TOPICAL) ACNE AGENTS, TOPICAL VALEANT BENZACLIN (TOPICAL) ACNE AGENTS, TOPICAL VALEANT BENZACLIN W/PUMP (TOPICAL) ACNE AGENTS, TOPICAL VERTICAL PHARM CONZIP (ORAL) ANALGESICS, NARCOTICS LONG WATSON CORDRAN TAPE (TOPICAL) STEROIDS, TOPICAL MEDIUM WATSON DOXYCYCLINE MONOHYDRATE 100 MG CAPSULE BRAND (ORAL) TETRACYCLINES WATSON DOXYCYCLINE MONOHYDRATE 50 MG CAPSULE BRAND (ORAL) TETRACYCLINES WATSON GELNIQUE GEL MD PMP (TRANSDERMAL) BLADDER RELAXANT PREPARATIONS WATSON MORPHINE ER (KADIAN GENERIC) (ORAL) ANALGESICS, NARCOTICS LONG WC PROF PRODS ACTONEL (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS WC PROF PRODS ASACOL (ORAL) ULCERATIVE COLITIS AGENTS WC PROF PRODS ASACOL HD (ORAL) ULCERATIVE COLITIS AGENTS WC PROF PRODS ATELVIA (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS WC PROF PRODS DIDRONEL (ORAL) BONE RESORPTION SUPPRESSION AND RELATED AGENTS WC PROF PRODS DORYX (ORAL) TETRACYCLINES WRASER PHARMA CETRAXAL (OTIC) OTIC ANTIBIOTICS XANODYNE PHARM ZIPSOR (ORAL) NSAIDS X-GEN PHARMACEU PANCRELIPASE (ORAL) PANCREATIC ENZYMES ZOGENIX, INC. SUMAVEL DOSEPRO (SUBCUTANE.) ANTIMIGRAINE AGENTS /Provider Synergies, L.L.C. Page 5 of 5