Schedule 1 Product Category Listing Revision Date:

Similar documents
Texas Drug Utilization Review April 28, 2017 Meeting

Texas Medicaid April 2016

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

Texas Medicaid April 2015

Texas Medicaid April 26, 2019 Meeting

Magellan Medicaid Administration - TOP$

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

Virginia Medicaid April 18, 2013

TOP$ May 2014 Product Listing

Georgia Department of Community Health. May 2018 Meeting

TennCare Product List

Texas Medicaid October 28, 2011 Meeting Addendum

MO HealthNet September 2012 Meeting

MANUFACTURER BRAND NAME THERAPEUTIC CLASS

Texas Medicaid July 2016

Georgia Medicaid Meeting November 6, 2018

TennCare Product List

Virginia Department of Medical Assistance Services April 19, 2012 Meeting

TOP$ Product Review Listing

Texas August 16, 2013 Meeting

TOP$ MULTI-STATE DIVISIONS OF MEDICAID

TOP$ Medicaid February 2009 Meetings

Texas Medicaid July 2015

TOP$ Product Review Listing

Quarterly pharmacy formulary change notice

Step Therapy Criteria Last Updated 6/1/2018

MO HealthNet December 2011 Meeting

HHSC TX MEDICAID PREFERRED DRUG LIST (PDL) OCTOBER 26, 2018

2019 Service Benefit Plan FEP Blue Focus Specialty Drug List

IPR Rituxan 8,545,843 2-Nov-17 Pfizer, Inc. Biogen, Inc. Denied Pending N/A

Acyclovir Ointment. Aetna Better Health Virginia Medallion/FAMIS 3.0. Products Affected. acyclovir ointment 5 % external Details.

Dextromethorphan Overutilization

BALTIC STATES PHARMA MARKET OVERVIEW. Secondary sales analysis

Dextromethorphan Overutilization

MISSISSIPPI MEDICAID 10 November Provider Synergies, L.L.C. MSM P&T COMMITTEE MEETING Page 1 of 7

HHSC Preferred Drug List (PDL) Recommendations April 27, of 19

Acyclovir Ointment. Aetna Better Health Kentucky. Products Affected. acyclovir ointment 5 % external Details. Criteria

HHSC Preferred Drug List (PDL) Recommendations April 27, of 17

Information for Vermont Prescribers of Prescription Drugs (Long Form)

Foundation; Initiative for Medicines, Access & Eli Lilly & Co.; Avid. Vosevi 7,429, Oct-17

Acyclovir Ointment. Aetna Better Health New Jersey. Products Affected. acyclovir ointment 5 % external Details. Criteria

IPR ,318, Dec-13 PRISM Pharma Co., Ltd. CHOONGWAE PHARMA CORP. N/A Settled pre-institution N/A

Acyclovir Ointment. Aetna Better Health Louisiana. Products Affected. acyclovir ointment 5 % external Details. Criteria

HHSC Preferred Drug List (PDL) Recommendations January 2018 Drug Utilization Review Board Meeting

Current as of November 1, 2017

Headline Specialty pharmacy drug list

Provider Partners Pennsylvania Advantage Plan Offered by Provider Partners Health Plan April 2019 Formulary Addendum

Note: Does have indication for Prophy- suggest 25 units/kg every other day

Preventive Drug List. More Details. Alcohol Dependency Alcohol Dependency acamprosate oral tablet,delayed release (dr/ec) disulfiram oral tablet

HARVARD PILGRIM HEALTH CARE RECOMMENDED MEDICATION REQUEST GUIDELINES

Samaritan Choice Plans F O R M U L A R Y List of Covered Drugs for 2016

Connecticut Medicaid P&T Meeting Minutes November 19, 2014

2018 Service Benefit Plan Specialty Drug List

Memorial Hermann Advantage HMO November 2015 Formulary Addendum

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Update: July 1,

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. Last Updated: January 1,

PA Prior authorization ST Step therapy QL Quantity limit AE Age Edit. More Details. Last Updated: April 1,

Dr. Carl Sherter thanked the attendees for coming and called meeting to order at 6:24 pm.

6.25 mg 1 tab, PO, BIDMEALS, Take with Meals, Duration: 30 day (DEF)*

2017 Drug Formulary. List of Covered Drugs for 2017 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN

2016 STEP THERAPY CRITERIA

UnitedHealthcare Pharmacy Clinical Pharmacy Programs

Connecticut Medicaid P&T Meeting Minutes November 18 th, 2015

2017 Drug List for Qualified Health Plans

Qualified Health Plans 2018 Drug Formulary for HMOs and PPOs

WELLCARE HEALTH PLAN 2015 STEP THERAPY CRITERIA (No Changes Made Since: 10/2014)

Androgens and Anabolic Steroids Prior Authorization with Quantity Limit - Through Preferred Topical Androgen Agent

ATRIO Health Plans 2018 PPO Plans Formulary Change Notice

ATRIO Health Plans 2018 SNP Plans Formulary Change Notice

MANUFACTURING PROBLEMS AS OF 20th June 2017

helping patients thrive Clotting Factor Concentrate Information

Oregon Drug Use Review / Pharmacy & Therapeutics Committee Thursday, September 28, 2017, 1:00-5:00 PM Human Services Building Salem, OR 97301

MALE HORMONE THERAPY OPTIONS

Signature Advantage (HMO SNP) 2018 Comprehensive Formulary. List of Covered Drugs

2018 Year-to-date Formulary Additions and Deletions

Drug - Brand Name (Generic Name) Oseni (alogliptin / pioglitazone) - PA. Obizur (antihemophilic factor, recombinant, porcine sequence-obizur)

Tufts Health RITogether Pharmacy program and Preferred Drug List May 30, 2017

2019 Commercial 5-Tier Formulary (List of Covered Drugs) What is the Drug List?

PHP Commercial Large Group Plans (Non-Metal Plans) Formulary Therapeutic Class Listing

Upcoming Changes to Retiree RxCare s 5 Tier Formulary

MALE HORMONE THERAPY OPTIONS

Care Wisconsin 2017 Formulary Addendum

Information for Vermont Prescribers of Prescription Drugs (Long Form)

AgeWell 5-Tier 2017 Formulary Addendum

2019 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs)

2017 Presbyterian Individual and Family Metal Plans/Employer Group Metal Plans Formulary Therapeutic Class Listing

2018 Ohana Community Care Services (CCS) Comprehensive Preferred Drug List (List of Covered Drugs)

2017 Drug List for Commercial Health Plans

Connecticut Medicaid P&T Meeting Minutes November 14, 2012

HealthPartners PreferredRx

HealthPartners PreferredRx

2018 Commercial 3-Tier Formulary (List of Covered Drugs)

AETNA BETTER HEALTH Formulary Guide. Aetna Better Health of Florida Florida Healthy Kids Formulary Guide January 2019

2017 Aetna Pharmacy Drug Guide Five Tier Open Aetna Value Plus Plan

HealthPartners Minnesota Health Care Programs

Formulary (Drug List) Anthem HealthKeepers Medicare-Medicaid Plan (MMP), a Commonwealth Coordinated Care Plan

HAE management and future perspectives

2018 Florida Medicaid Comprehensive Preferred Drug List (List of Covered Drugs)

Transcription:

Schedule 1 400 ACNE AGENTS, TOPICAL ACZONE (TOPICAL) ALLERGAN INC. 400 ACNE AGENTS, TOPICAL AVAR (TOPICAL) & AVAR LS (TOPICAL) MISSION PHARM. 400 ACNE AGENTS, TOPICAL CLINDACIN PAC KIT (TOPICAL) MEDIMETRIKS PHA 400 ACNE AGENTS, TOPICAL CLINDAGEL (TOPICAL) GALDERMA LABORA 400 ACNE AGENTS, TOPICAL FABIOR (TOPICAL) STIEFEL LABS. 400 ACNE AGENTS, TOPICAL ONEXTON (TOPICAL) VALEANT 400 ACNE AGENTS, TOPICAL OVACE PLUS (TOPICAL) MISSION PHARM. 400 ACNE AGENTS, TOPICAL PACNEX HP (TOPICAL) & PACNEX LP (TOPICAL) MEDIMETRIKS PHA 400 ACNE AGENTS, TOPICAL SUMAXIN CP KIT (TOPICAL) MEDIMETRIKS PHA 401 COMBINATION BENZOYL PEROXE & CLINDAMYCIN S ACANYA GEL (TOPICAL) VALEANT 401 COMBINATION BENZOYL PEROXE & CLINDAMYCIN S BENZACLIN (TOPICAL) VALEANT 401 COMBINATION BENZOYL PEROXE & CLINDAMYCIN S NEUAC (TOPICAL) MEDIMETRIKS PHA 402 TOPICAL RETINOS DIFFERIN (TOPICAL) & DIFFERIN 0.1 LOTION (TOPICAL) GALDERMA LABORA 402 TOPICAL RETINOS EPUO (TOPICAL) & EPUO FORTE GEL W/PUMP (TOPICAL) GALDERMA LABORA 402 TOPICAL RETINOS RETIN A MICRO PUMP (TOPICAL) VALEANT 402 TOPICAL RETINOS TAZORAC (TOPICAL) ALLERGAN INC. 403 TOPICAL RETINOS/COMBINATIONS ZIANA (TOPICAL) MEDICIS DERM 404 CHOLINESTERASE INHIBITORS: ALZHEIMER'S AGENTS EXELON (TRANSDERM.) NOVARTIS 405 NMDA RECEPTOR NAMENDA (ORAL) & NAMENDA XR (ORAL) ACTAVIS U.S. BR 405 NMDA RECEPTOR NAMZARIC (ORAL) & NAMZARIC DOSE PACK (ORAL) ALLERGAN INC. 406 NARCOTICS: LONG ACTING ARYMO ER (ORAL) EGALET US INC. 406 NARCOTICS: LONG ACTING BELBUCA (BUCCAL) ENDO PHARM INC. 406 NARCOTICS: LONG ACTING BUTRANS PURDUE PHARMA L 406 NARCOTICS: LONG ACTING EMBEDA (ORAL) PFIZER US PHARM 406 NARCOTICS: LONG ACTING EXALGO (ORAL) MALLINCKRODT BR 406 NARCOTICS: LONG ACTING HYSINGLA ER (ORAL) PURDUE PHARMA L 406 NARCOTICS: LONG ACTING KADIAN (ORAL) ACTAVIS U.S. BR 406 NARCOTICS: LONG ACTING MORPHABOND ER (ORAL) DAIICHI SANKYO, 406 NARCOTICS: LONG ACTING NUCYNTA ER (ORAL) DEPOMED 406 NARCOTICS: LONG ACTING OPANA ER (ORAL) ENDO PHARM INC. 406 NARCOTICS: LONG ACTING OXYCONTIN PURDUE PHARMA L 406 NARCOTICS: LONG ACTING XTAMPZA ER (ORAL) COLLEGIUM PHARM 406 NARCOTICS: LONG ACTING ZOHYDRO ER (ORAL) PERNIX THERAPEU 407 ANALGESICS, NARCOTICS SHORT ABSTRAL (SUBLINGUAL) GALENA BIOPHARM 407 ANALGESICS, NARCOTICS SHORT CAPITAL W CODEINE (ORAL) VALEANT 407 ANALGESICS, NARCOTICS SHORT FENTORA (BUCCAL) TEVA PHARMACEUTICALS 1

Schedule 1 407 ANALGESICS, NARCOTICS SHORT IBUDONE (ORAL) POLY PHARM. 407 ANALGESICS, NARCOTICS SHORT LAZANDA (NASAL) DEPOMED, INC. 407 ANALGESICS, NARCOTICS SHORT PRIMALEV (ORAL) AKRIMAX PHARMAC 407 ANALGESICS, NARCOTICS SHORT REPREXAIN (ORAL) GEMINI LABORATO 407 ANALGESICS, NARCOTICS SHORT SUBSYS (SUBLINGUAL) INSYS THERAPEUT 407 ANALGESICS, NARCOTICS SHORT XARTEMIS XR (ORAL) MALLINCKRODT BR 407 ANALGESICS, NARCOTICS SHORT ZAMICET (ORAL) BEACH S 408 ANDROGENIC AGENTS ANDRODERM (TRANSDERM) WATSON PHARMA 408 ANDROGENIC AGENTS ANDROGEL (TRANSDERM.) ABBVIE US LLC 408 ANDROGENIC AGENTS AXIRON (TRANSDERM) ELI LILLY & CO. 408 ANDROGENIC AGENTS FORTESTA (TRANSDERM) ENDO PHARM INC. 408 ANDROGENIC AGENTS NATESTO (NASAL) ENDO PHARM INC. 408 ANDROGENIC AGENTS TESTIM (TRANSDERM.) AUXILIUM/ENDO P 408 ANDROGENIC AGENTS VOGELXO GEL (TRANSDERM) & VOGELXO GEL PACKET (TRANSDERM) & UPSHER SMITH VOGELXO GEL PUMP (TRANSDERM) 409 ANDROGENIC AGENTS, ORAL ANADROL 50 (ORAL) MEDA PHARMACEUT 409 ANDROGENIC AGENTS, ORAL ANDRO (ORAL) VALEANT 409 ANDROGENIC AGENTS, ORAL ANDROXY (ORAL) UPSHER SMITH 409 ANDROGENIC AGENTS, ORAL METHITEST (ORAL) GLOBAL PHARM 409 ANDROGENIC AGENTS, ORAL STRIANT (BUCCAL) ACTIENT PHARMAC 409 ANDROGENIC AGENTS, ORAL TESTRED (ORAL) VALEANT 410 ARB/CCB COMBINATIONS AZOR (ORAL) DAIICHI SANKYO, 410 ARB/CCB COMBINATIONS EXFORGE (ORAL) NOVARTIS 410 ARB/CCB COMBINATIONS EXFORGE HCT (ORAL) NOVARTIS 410 ARB/CCB COMBINATIONS TRIBENZOR (ORAL) DAIICHI SANKYO, 411 DIRECT RENIN INHIBITOR COMBINATIONS TEKAMLO (ORAL) NOVARTIS 412 ACE INHIBITORS EPANED SILVERGATE PHAR 412 ACE INHIBITORS QBRELIS SOLUTION (ORAL) SILVERGATE PHAR 413 ANGIOTENSIN RECEPTOR BLOCKERS BENICAR (ORAL) DAIICHI SANKYO, 413 ANGIOTENSIN RECEPTOR BLOCKERS DIOVAN (ORAL) NOVARTIS 413 ANGIOTENSIN RECEPTOR BLOCKERS EDARBI (ORAL) ARBOR PHARMACEUTICALS 413 ANGIOTENSIN RECEPTOR BLOCKERS ENTRESTO (ORAL) NOVARTIS 413 ANGIOTENSIN RECEPTOR BLOCKERS MICARDIS (ORAL) BOEHRINGER ING. 414 ANGIOTENSIN RECEPTOR BLOCKERS & DIURETICS BENICAR HCT (ORAL) DAIICHI SANKYO, 414 ANGIOTENSIN RECEPTOR BLOCKERS & DIURETICS DIOVAN HCT (ORAL) NOVARTIS 414 ANGIOTENSIN RECEPTOR BLOCKERS & DIURETICS EDARBYCLOR (ORAL) ARBOR PHARMACEUTICALS 414 ANGIOTENSIN RECEPTOR BLOCKERS & DIURETICS MICARDIS HCT (ORAL) BOEHRINGER ING. 415 DIRECT RENIN INHIBITOR TEKTURNA (ORAL) & TEKTURNA HCT (ORAL) NOVARTIS 2

416 ANTIANGINAL & ANTI ISCHEMIC RANEXA (ORAL) GILEAD SCIENCES 417 ANTIARRHYTHMICS ORAL MULTAQ (ORAL) SANOFI AVENTIS 417 ANTIARRHYTHMICS ORAL TIKOSYN (ORAL) PFIZER US PHARM 418 ANTIBIOTICS, GI ALINIA SUSPENSION (ORAL) & ALINIA TABLET (ORAL) LUPIN PHARMA & ROMARK PHARM 418 ANTIBIOTICS, GI DIFIC TABLET (ORAL) OPTIMER PHARMAC 418 ANTIBIOTICS, GI FLAGYL ER (ORAL) PHARMACIA/UPJHN 418 ANTIBIOTICS, GI TINDAMAX (ORAL) MISSION PHARM. 418 ANTIBIOTICS, GI XIFAXAN (ORAL) SALIX/VALEANT 419 ANTIBIOTICS, INHALED BETHKIS (INHALATION) CHIESI 419 ANTIBIOTICS, INHALED CAYSTON (INHALATION) GILEAD SCIENCES 419 ANTIBIOTICS, INHALED KITABIS PAK PARI RESPIRATOR 419 ANTIBIOTICS, INHALED TOBI (INHALATION) & TOBI PODHALER (INHALATION) NOVARTIS 420 TOPICAL ANTIBIOTIC CENTANY KIT (TOPICAL) MEDIMETRIKS PHA 421 VAGINAL ANTIBIOTICS CLEOCIN OVULES (VAGINAL) PHARMACIA/UPJHN 421 VAGINAL ANTIBIOTICS CLINDESSE (VAGINAL) PERRIGO CO. 421 VAGINAL ANTIBIOTICS NUVESSA (VAGINAL) ACTAVIS U.S. BR 422 LOW MOLECULAR WEIGHT HEPARINS FRAGMIN (SUBCUTANE.) PFIZER US PHARM 422 LOW MOLECULAR WEIGHT HEPARINS LOVENOX (SUBCUTANE.) SANOFI AVENTIS 423 ORAL ANTICOAGULANTS ELIQUIS (ORAL) BMS PRIMARYCARE 423 ORAL ANTICOAGULANTS PRADAXA (ORAL) BOEHRINGER ING. 423 ORAL ANTICOAGULANTS SAVAYSA (ORAL) DAIICHI SANKYO, 423 ORAL ANTICOAGULANTS XARELTO (ORAL) JANSSEN PHARM. 424 ANTICONVULSANTS, RECTAL DIASTAT (RECTAL) & DIASTAT ACUDIAL (RECTAL) VALEANT 425 CARBAMAZEPINE DERIVATIVES APTIOM (ORAL) SUNOVION PHARMA 425 CARBAMAZEPINE DERIVATIVES CARBATROL (ORAL) SHIRE US INC. 425 CARBAMAZEPINE DERIVATIVES EQUETRO (ORAL) VALUS PHARMAC 425 CARBAMAZEPINE DERIVATIVES OXTELLAR XR SUPERNUS PHARMA 426 FIRST GENERATION ANTICONVULSANTS CELONTIN (ORAL) PFIZER US PHARM 426 FIRST GENERATION ANTICONVULSANTS DILANTIN CAPSULE (ORAL) PFIZER US PHARM 426 FIRST GENERATION ANTICONVULSANTS PEGANONE (ORAL) RECORDATI RARE 426 FIRST GENERATION ANTICONVULSANTS PHENYTEK (ORAL) MYLAN 427 SECOND GENERATION ANTICONVULSANTS BANZEL (ORAL) EISAI INC. 427 SECOND GENERATION ANTICONVULSANTS BRIVIACT (ORAL) UCB PHARMA 427 SECOND GENERATION ANTICONVULSANTS FYCOMPA (ORAL) EISAI INC. 427 SECOND GENERATION ANTICONVULSANTS LAMICTAL ODT (ORAL) GLAXOSMITHKLINE 427 SECOND GENERATION ANTICONVULSANTS ONFI (ORAL) LUNDBECK INC. 427 SECOND GENERATION ANTICONVULSANTS POTIGA (ORAL) GLAXOSMITHKLINE 3

427 SECOND GENERATION ANTICONVULSANTS QUDEXY XR (ORAL) UPSHER SMITH 427 SECOND GENERATION ANTICONVULSANTS SABRIL (ORAL) LUNDBECK INC. 427 SECOND GENERATION ANTICONVULSANTS SPRITAM (ORAL) APRECIA PHARMAC 427 SECOND GENERATION ANTICONVULSANTS TROKENDI XR SUPERNUS PHARMA 427 SECOND GENERATION ANTICONVULSANTS VIMPAT (ORAL) SCHWARZ PHARMAC 428 ANTEPRESSANTS, OTHER APLENZIN (ORAL) VALEANT 428 ANTEPRESSANTS, OTHER EMSAM (TRANSDERMAL) MYLAN SPECIALTY 428 ANTEPRESSANTS, OTHER FETZIMA (ORAL) ACTAVIS U.S. BR 428 ANTEPRESSANTS, OTHER FORFIVO XL (ORAL) EDGEMONT PHARMA 428 ANTEPRESSANTS, OTHER KHEDEZLA (ORAL) PERNIX THERAPEU 428 ANTEPRESSANTS, OTHER MARPLAN (ORAL) VALUS PHARMAC 428 ANTEPRESSANTS, OTHER OLEPTRO ER (ORAL) ANGELINI LABOPH 428 ANTEPRESSANTS, OTHER PRISTIQ (ORAL) WYETH PHARM 428 ANTEPRESSANTS, OTHER TRINTELLIX (ORAL) TAKEDA PHARMACE 428 ANTEPRESSANTS, OTHER VIIBRYD (ORAL) ACTAVIS U.S. BR 429 SSRIS BRISDELLE (ORAL) NOVEN THERAPEUT 429 SSRIS PEXEVA (ORAL) NOVEN THERAPEUT 430 ANTIEMETIC/ANTIVERTIGO AGENTS AKYNZEO (ORAL) EISAI INC. 430 ANTIEMETIC/ANTIVERTIGO AGENTS ANZEMET (ORAL) & ANZEMET (INTRAVEN.) VALUS PHARMAC & SANOFI AVENTIS 430 ANTIEMETIC/ANTIVERTIGO AGENTS CESAMET (ORAL) MEDA PHARMACEUT 430 ANTIEMETIC/ANTIVERTIGO AGENTS CINVANTI (INTRAVEN) HERON THERAPEUT 430 ANTIEMETIC/ANTIVERTIGO AGENTS DICLEGIS (ORAL) DUCHESNAY USA, 430 ANTIEMETIC/ANTIVERTIGO AGENTS EMEND MERCK SHARP & D 430 ANTIEMETIC/ANTIVERTIGO AGENTS METOZOLV ODT (ORAL) SALIX PHARMACEU 430 ANTIEMETIC/ANTIVERTIGO AGENTS SANCUSO (TRANSDERMAL) PROSTRAKAN INC. 430 ANTIEMETIC/ANTIVERTIGO AGENTS SUSTOL (SUBCUTANE.) HERON THERAPEUT 430 ANTIEMETIC/ANTIVERTIGO AGENTS SYNDROS (ORAL) INSYS THERAPEUT 430 ANTIEMETIC/ANTIVERTIGO AGENTS TRANSDERM SCOP (TRANSDERM) BAXTER HEALTHCA 430 ANTIEMETIC/ANTIVERTIGO AGENTS VARUBI (ORAL) & VARUBI (INTRAVEN) TESARO, INC. 430 ANTIEMETIC/ANTIVERTIGO AGENTS ZUPLENZ (ORAL) MATECH PHARMA 431 NEW GENERATION AZOLES CRESEMBA ASTELLAS PHARMA 431 NEW GENERATION AZOLES NOXAFIL MERCK SHARP & D 432 ORAL ANTIFUNGALS GRIS PEG (ORAL) VALEANT 432 ORAL ANTIFUNGALS ONMEL (ORAL) MERZ 432 ORAL ANTIFUNGALS ORAVIG (BUCCAL) DARA BIOSCIENCE 432 ORAL ANTIFUNGALS SPORANOX SOLUTION (ORAL) JANSSEN PHARM. 433 ANTIFUNGALS, TOPICAL BENSAL HP (TOPICAL) SEVEN OAKS 433 ANTIFUNGALS, TOPICAL CNL 8 KIT (TOPICAL) INNOCUTIS HOLDI 4

Schedule 1 433 ANTIFUNGALS, TOPICAL ERTACZO (TOPICAL) VALEANT 433 ANTIFUNGALS, TOPICAL EXELDERM (TOPICAL) RANBAXY LABORAT 433 ANTIFUNGALS, TOPICAL JUBLIA (TOPICAL) VALEANT 433 ANTIFUNGALS, TOPICAL KERYDIN (TOPICAL) PHARMADERM/SAND 433 ANTIFUNGALS, TOPICAL LOPROX KIT (TOPICAL) MEDIMETRIKS PHA 433 ANTIFUNGALS, TOPICAL LUZU (TOPICAL) VALEANT 433 ANTIFUNGALS, TOPICAL MENTAX (TOPICAL) MYLAN 433 ANTIFUNGALS, TOPICAL NAFTIN (TOPICAL) MERZ 433 ANTIFUNGALS, TOPICAL OXISTAT (TOPICAL) SANDOZ 433 ANTIFUNGALS, TOPICAL VUSION (TOPICAL) PRESTIUM PHARMA 434 LOW SEDATING ANTIHISTAMINES CLARINEX SYRUP (ORAL) MERCK SHARP & D 435 LOW SEDATING ANTIHISTAMINES/DECONGESTANT CLARINEX D 12 HOUR (ORAL) MERCK SHARP & D COMBINATIONS 435 LOW SEDATING ANTIHISTAMINES/DECONGESTANT SEMPREX D (ORAL) ACTIENT PHARMAC COMBINATIONS 437 ORAL AGENTS FOR GOUT: MISC COLCRYS (ORAL) TAKEDA PHARMACE 437 ORAL AGENTS FOR GOUT: MISC DUZALLO (ORAL) IRONWOOD PHARMA 437 ORAL AGENTS FOR GOUT: MISC MITIGARE (ORAL) HIKMA AMERICAS, 437 ORAL AGENTS FOR GOUT: MISC ZURAMPIC (ORAL) ASTRAZENECA 438 ORAL AGENTS FOR GOUT: XANTHINE OXASE INHIBITORS ULORIC (ORAL) TAKEDA PHARMACE 439 ANTIMIGRAINE AGENTS AXERT (ORAL) JANSSEN PHARM. 439 ANTIMIGRAINE AGENTS CAMBIA (ORAL) DEPOMED, INC. 439 ANTIMIGRAINE AGENTS FROVA (ORAL) ENDO PHARM INC. 439 ANTIMIGRAINE AGENTS MIGRANOW KIT (MISCELL) PURETEK CORPORA 439 ANTIMIGRAINE AGENTS ONZETRA XSAIL (NASAL) AVANIR PHARMACE 439 ANTIMIGRAINE AGENTS RELPAX (ORAL) PFIZER US PHARM 439 ANTIMIGRAINE AGENTS SUMAVEL DOSEPRO (SUBCUTANE.) ENDO PHARM INC. 439 ANTIMIGRAINE AGENTS TREXIMET (ORAL) PERNIX THERAPEU 439 ANTIMIGRAINE AGENTS ZEMBRACE SYMTOUCH (SUBCUTANE.) PROMIUS PHARMA 439 ANTIMIGRAINE AGENTS ZOMIG (NASAL) IMPAX PHARMACEU 440 ANTIMIGRAINE AGENTS, OTHER CAFERGOT (ORAL) SANDOZ 440 ANTIMIGRAINE AGENTS, OTHER ERGOMAR (SUBLINGUAL) TERSERA THERAPE 440 ANTIMIGRAINE AGENTS, OTHER MIGRANAL (NASAL) VALEANT 441 ANTINEOPLASTIC AGENTS, TOPICAL CARAC (TOPICAL) VALEANT 441 ANTINEOPLASTIC AGENTS, TOPICAL PANRETIN (TOPICAL) EISAI INC. 441 ANTINEOPLASTIC AGENTS, TOPICAL PICATO (TOPICAL) LEO PHARMA INC. 441 ANTINEOPLASTIC AGENTS, TOPICAL SOLARAZE (TOPICAL) DOAK DERM. 441 ANTINEOPLASTIC AGENTS, TOPICAL TARGRETIN (TOPICAL) VALEANT 441 ANTINEOPLASTIC AGENTS, TOPICAL TOLAK (TOPICAL) HILL DERM 441 ANTINEOPLASTIC AGENTS, TOPICAL VALCHLOR (TOPICAL) ACTELION PHARMA 442 ANTIPARASITICS, TOPICAL EURAX RX (TOPICAL) RANBAXY LABORAT 5

442 ANTIPARASITICS, TOPICAL NATROBA (TOPICAL) PARAPRO LLC 442 ANTIPARASITICS, TOPICAL SKLICE ARBOR PHARMACEU 443 ANTIPARKINSON'S AGENTS DUOPA (MISCELL) ABBVIE US LLC 443 ANTIPARKINSON'S AGENTS MIRAPEX ER (ORAL) BOEHRINGER ING. 443 ANTIPARKINSON'S AGENTS NEUPRO (TRANSDERM) UCB PHARMA 443 ANTIPARKINSON'S AGENTS RYTARY (ORAL) IMPAX PHARMACEU 443 ANTIPARKINSON'S AGENTS TASMAR (ORAL) VALEANT 443 ANTIPARKINSON'S AGENTS XADAGO (ORAL) US WORLDMEDS 443 ANTIPARKINSON'S AGENTS ZELAPAR (ORAL) VALEANT 444 NON ERGOT DOPAMINE RECEPTOR AGONISTS AZILECT (ORAL) TEVA PHARMACEUTICALS 445 ANTIPSORIATICS, ORAL 8 MOP (ORAL) VALEANT 445 ANTIPSORIATICS, ORAL SORIATANE (ORAL) STIEFEL LABS. 446 ANTIPSORIATICS, TOPICAL ENSTILAR (TOPICAL) LEO PHARMA INC. 446 ANTIPSORIATICS, TOPICAL SORILUX (TOPICAL) GLAXOSMITHKLINE 446 ANTIPSORIATICS, TOPICAL TACLONEX SCALP (TOPICAL) LEO PHARMA INC. 447 ATYPICAL ANTIPSYCHOTICS ABILIFY (ORAL) OTSUKA AMERICA 447 ATYPICAL ANTIPSYCHOTICS FANAPT (ORAL) VANDA PHARMACEUTICALS 447 ATYPICAL ANTIPSYCHOTICS FAZACLO (ORAL) JAZZ PHARMACEUT 447 ATYPICAL ANTIPSYCHOTICS INVEGA (ORAL) JANSSEN PHARM. 447 ATYPICAL ANTIPSYCHOTICS LATUDA (ORAL) SUNOVION PHARMA 447 ATYPICAL ANTIPSYCHOTICS NUPLAZ (ORAL) ACADIA PHARMACE 447 ATYPICAL ANTIPSYCHOTICS REXULTI (ORAL) OTSUKA AMERICA 447 ATYPICAL ANTIPSYCHOTICS SAPHRIS (SUBLINGUAL) ACTAVIS U.S. BR 447 ATYPICAL ANTIPSYCHOTICS SEROQUEL XR (ORAL) ASTRAZENECA 447 ATYPICAL ANTIPSYCHOTICS VERSACLOZ (ORAL) JAZZ PHARMACEUT 447 ATYPICAL ANTIPSYCHOTICS VRAYLAR (ORAL) ACTAVIS U.S. BR 448 LONG ACTING INJECTABLE ANTIPSYCHOTIC ABILIFY MAINTENA (INTRAMUSC.) OTSUKA AMERICA 448 LONG ACTING INJECTABLE ANTIPSYCHOTIC ARISTADA ALKERMES INC 448 LONG ACTING INJECTABLE ANTIPSYCHOTIC INVEGA SUSTENNA (INTRAMUSC) & INVEGA TRINZA (INTRAMUSC) JANSSEN PHARM. 448 LONG ACTING INJECTABLE ANTIPSYCHOTIC RISPERDAL CONSTA (INTRAMUSC.) JANSSEN PHARM. 448 LONG ACTING INJECTABLE ANTIPSYCHOTIC ZYPREXA RELPREVV (INTRAMUSC) ELI LILLY & CO. 449 SHORT ACTING INJECTABLE ANTIPSYCHOTIC GEODON (INTRAMUSC) PFIZER US PHARM 450 TYPICAL ANTIPSYCHOTICS ADASUVE (INHALATION) TEVA PHARMACEUTICALS 450 TYPICAL ANTIPSYCHOTICS ORAP (ORAL) TEVA PHARMACEUTICALS 451 ANTIVIRAL MONOCLONAL ANTIBODIES SYNAGIS (INTRAMUSC) MEDIMMUNE, INC. 452 INFLUENZA RELENZA (INHALATION) GLAXOSMITHKLINE 452 INFLUENZA TAMIFLU (ORAL) ROCHE LABS. 453 TOPICAL ANTIVIRALS DENAVIR (TOPICAL) PRESTIUM PHARMA 6

453 TOPICAL ANTIVIRALS XERESE (TOPICAL) VALEANT 453 TOPICAL ANTIVIRALS ZOVIRAX (TOPICAL) VALEANT 454 BETA BLOCKERS BYSTOLIC (ORAL) ACTAVIS U.S. BR 454 BETA BLOCKERS COREG CR (ORAL) GLAXOSMITHKLINE 454 BETA BLOCKERS HEMANGEOL (ORAL) PIERRE FABRE PH 454 BETA BLOCKERS INDERAL XL (ORAL) MIST PHARMACEUT 454 BETA BLOCKERS INNOPRAN XL (ORAL) AKRIMAX PHARMAC 454 BETA BLOCKERS LEVATOL (ORAL) ACTIENT PHARMAC 454 BETA BLOCKERS SOTYLIZE (ORAL) ARBOR PHARMACEU 455 BILE SALTS CHENODAL (ORAL) RETROPHIN, INC. 455 BILE SALTS CHOLBAM (ORAL) MANCHESTER PHAR 455 BILE SALTS OCALIVA (ORAL) INTERCEPT PHARM 456 URINARY TRACT ANTISPASMODICS DETROL LA (ORAL) PHARMACIA/UPJHN 456 URINARY TRACT ANTISPASMODICS ENABLEX (ORAL) WC PROF PRODS 456 URINARY TRACT ANTISPASMODICS GELNIQUE (TRANSDERM.) ACTAVIS U.S. BR 456 URINARY TRACT ANTISPASMODICS MYRBETRIQ (ORAL) ASTELLAS PHARMA 456 URINARY TRACT ANTISPASMODICS OXYTROL (TRANSDERM.) WATSON PHARMA 456 URINARY TRACT ANTISPASMODICS TOVIAZ (ORAL) PFIZER US PHARM 456 URINARY TRACT ANTISPASMODICS VESICARE (ORAL) ASTELLAS PHARMA 457 BONE RESORPTION INHIBITORS, IV MIACALCIN (INJECTION) SEBELA PHARMACE 458 BISPHOSPHONATES ACTONEL (ORAL) WC PROF PRODS 458 BISPHOSPHONATES BINOSTO (ORAL) MISSION PHARM. 458 BISPHOSPHONATES FOSAMAX PLUS D (ORAL) MERCK SHARP & D 459 BONE FORMATION STIM. AGENTS FORTEO (SUBCUTANE.) ELI LILLY & CO. 459 BONE FORMATION STIM. AGENTS PROLIA (SUBCUTANE.) AMGEN 459 BONE FORMATION STIM. AGENTS TYMLOS (SUBCUTANE.) RADIUS HEALTH, 461 BOTULISM TOXIN DERIVATIVES BOTOX (INTRAMUSC) & BOTOX COSMETIC (INTRAMUSC) ALLERGAN/BOTOX 461 BOTULISM TOXIN DERIVATIVES DYSPORT (INTRAMUSC) IPSEN 461 BOTULISM TOXIN DERIVATIVES MYOBLOC (INTRAMUSC) SOLSTICE NEUROS 461 BOTULISM TOXIN DERIVATIVES XEOMIN (INTRAMUSC) MERZ 462 BPH TREATMENTS AVODART (ORAL) GLAXOSMITHKLINE 462 BPH TREATMENTS CARDURA XL (ORAL) PFIZER US PHARM 462 BPH TREATMENTS CIALIS (ORAL) ELI LILLY & CO. 462 BPH TREATMENTS JALYN (ORAL) GLAXOSMITHKLINE 462 BPH TREATMENTS RAPAFLO (ORAL) WATSON PHARMA 463 BETA ADRENERGIC AGENTS: LONG ACTING ARCAPTA NEOHALER (INHALATION) NOVARTIS 463 BETA ADRENERGIC AGENTS: LONG ACTING FORADIL (INHALATION) MERCK SHARP & D 463 BETA ADRENERGIC AGENTS: LONG ACTING SEREVENT (INHALATION) GLAXOSMITHKLINE 463 BETA ADRENERGIC AGENTS: LONG ACTING STRIVERDI RESPIMAT (INHALATION) BOEHRINGER ING. 7

464 BETA ADRENERGIC AGENTS: NEBS XOPENEX NEB SOLN (INHALATION) AKORN INC. 465 LONG ACTING BETA ADRENERGICS NEBS BROVANA (INHALATION) SUNOVION PHARMA 465 LONG ACTING BETA ADRENERGICS NEBS PERFOROMIST (INHALATION) MYLAN SPECIALTY 466 SHORT ACTING BETA ADRENERGICS PROAIR HFA (INHALATION) & PROAIR RESPICLICK (INHALATION) TEVA PHARMACEUTICALS 466 SHORT ACTING BETA ADRENERGICS PROVENTIL HFA (INHALATION) MERCK SHARP & D 466 SHORT ACTING BETA ADRENERGICS VENTOLIN HFA (INHALATION) GLAXOSMITHKLINE 466 SHORT ACTING BETA ADRENERGICS XOPENEX HFA (INHALATION) SUNOVION PHARMA 467 DIHYDROPYRINE CALCIUM CHANNEL BLOCKERS NYMALIZE (ORAL) ARBOR PHARMACEU 469 CAPS ARCALYST (SUBCUTANE.) REGENERON PHARM 469 CAPS ILARIS (SUBCUTANE.) NOVARTIS 471 CEPHALOSPORINS AND RELATED ANTIBIOTICS AUGMENTIN SUSPENSION (ORAL) DR.REDDY'S LAB 471 CEPHALOSPORINS AND RELATED ANTIBIOTICS CEDAX (ORAL) PERNIX THERAPEU 471 CEPHALOSPORINS AND RELATED ANTIBIOTICS SUPRAX (ORAL) LUPIN PHARMA 472 COLONY STIMULATING FACTORS GRANIX (INJECTION) TEVA PHARMACEUTICALS 472 COLONY STIMULATING FACTORS LEUKINE (INJECTION) GENZYME 472 COLONY STIMULATING FACTORS NEULASTA (INJECTION) AMGEN 472 COLONY STIMULATING FACTORS NEUPOGEN (INJECTION) AMGEN 472 COLONY STIMULATING FACTORS ZARXIO (INJECTION) SANDOZ 473 COPD AGENTS ANORO ELLIPTA (INHALATION) GLAXOSMITHKLINE 473 COPD AGENTS ATROVENT HFA (INHALATION) BOEHRINGER ING. 473 COPD AGENTS BEVESPI AEROSPHERE (INHALATION) ASTRAZENECA 473 COPD AGENTS COMBIVENT RESPIMAT (INHALATION) BOEHRINGER ING. 473 COPD AGENTS DALIRESP (ORAL) ASTRAZENECA 473 COPD AGENTS INCRUSE ELLIPTA (INHALATION) GLAXOSMITHKLINE 473 COPD AGENTS SEEBRI NEOHALER (INHALATION) NOVARTIS 473 COPD AGENTS SPIRIVA (INHALATION) & SPIRIVA RESPIMAT (INHALATION) BOEHRINGER ING. 473 COPD AGENTS STIOLTO RESPIMAT (INHALATION) BOEHRINGER ING. 473 COPD AGENTS TUDORZA PRESSAIR (INHALATION) ASTRAZENECA 473 COPD AGENTS UTIBRON NEOHALER (INHALATION) NOVARTIS 474 COUGH AND COLD, COLD ALA HIST IR TABLET OTC (ORAL) POLY PHARM. 474 COUGH AND COLD, COLD ALA HIST PE TABLET OTC (ORAL) POLY PHARM. 474 COUGH AND COLD, COLD BENZEDREX INHALER OTC (NASAL) B.F ASCHER & CO 474 COUGH AND COLD, COLD BROVEX PEB LIQU OTC (ORAL) MCR/AMERICAN PH 474 COUGH AND COLD, COLD CHILD DELSYM COUGH+COLD LIQU OTC (ORAL) 474 COUGH AND COLD, COLD CHILDREN'S MUCINEX LIQU OTC (C) (ORAL) 474 COUGH AND COLD, COLD CONEX SOLUTION OTC (ORAL) LLORENS PHARM 474 COUGH AND COLD, COLD DALLERGY DROPS OTC (ORAL) LASER PHARMACEU 474 COUGH AND COLD, COLD DALLERGY LIQU OTC (ORAL) LASER PHARMACEU 8

474 COUGH AND COLD, COLD DALLERGY TABLET OTC (ORAL) LASER PHARMACEU 474 COUGH AND COLD, COLD DECONEX IR TABLET OTC (ORAL) POLY PHARM. 474 COUGH AND COLD, COLD DELSYM COUGH & COLD LIQU OTC (C) (ORAL) 474 COUGH AND COLD, COLD DURAVENT PE TABLET OTC (ORAL) ALLEGIS PHARMAC 474 COUGH AND COLD, COLD ED A HIST LIQU OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD ED A HIST PSE TABLET OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD ED A HIST TABLET OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD ED BRON GP LIQU OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD ED CHLORPED D DROPS OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD GLEN PE LIQU OTC (ORAL) GLENDALE INC 474 COUGH AND COLD, COLD GLENMAX PEB LIQU OTC (ORAL) GLENDALE INC 474 COUGH AND COLD, COLD HISTEX PE LIQU OTC (ORAL) ALLEGIS PHARMAC 474 COUGH AND COLD, COLD J MAX SYRUP OTC (ORAL) JAYMAC PHARMA 474 COUGH AND COLD, COLD LIQUITUSS GG LIQU OTC (ORAL) CAPELLON 474 COUGH AND COLD, COLD LODRANE D CAPSULE OTC (ORAL) ECR PHARM. 474 COUGH AND COLD, COLD LOHIST D LIQU OTC (ORAL) LARKEN LABS 474 COUGH AND COLD, COLD LORTUSS LQ LIQU OTC (ORAL) SALLUS LABORATO 474 COUGH AND COLD, COLD MAXIPHEN TABLET OTC (ORAL) MCR/AMERICAN PH 474 COUGH AND COLD, COLD MUCAPHED TABLET OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD MUCINEX D TABLET ER 12H OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX ER TABLET OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX FAST MAX COLD SINUS TABLET OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX FAST MAX NITE COLD FLU LIQU OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX GRAN PACK OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX SINUS MAX DAY NIGHT TABLET SEQUELS OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX SINUS MAX LIQU OTC (ORAL) 474 COUGH AND COLD, COLD MUCINEX SINUS MAX SPRAY OTC (NASAL) 474 COUGH AND COLD, COLD MUCINEX SINUS MAX TABLET OTC (ORAL) 474 COUGH AND COLD, COLD NASOPEN PE LIQU OTC (ORAL) G.M. PHARM 474 COUGH AND COLD, COLD NOHIST LQ LIQU OTC (ORAL) LARKEN LABS 474 COUGH AND COLD, COLD NOREL AD TABLET OTC (ORAL) US PHARMACEUTIC 474 COUGH AND COLD, COLD POLY HIST FORTE TABLET OTC (ORAL) POLY PHARM. 474 COUGH AND COLD, COLD POLY VENT IR TABLET OTC (ORAL) POLY PHARM. 474 COUGH AND COLD, COLD RESCON TABLET OTC (ORAL) CAPELLON 474 COUGH AND COLD, COLD RESPAIRE 30 CAPSULE OTC (ORAL) LASER PHARMACEU 474 COUGH AND COLD, COLD RYMED TABLET OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD RYNEX PE SOLUTION OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD RYNEX PSE LIQU OTC (ORAL) EDWARDS PHARMAC 474 COUGH AND COLD, COLD STAHIST AD LIQU OTC (ORAL) MAGNA PHARM 474 COUGH AND COLD, COLD STAHIST AD TABLET OTC (ORAL) MAGNA PHARM 9

474 COUGH AND COLD, COLD TRIAMINIC COLD ALLERGY PE LIQU OTC (ORAL) NOVARTIS CONSUM 474 COUGH AND COLD, COLD TRIAMINIC LIQU OTC (C) (ORAL) NOVARTIS CONSUM 474 COUGH AND COLD, COLD TUSNEL PEDIATRIC DROPS OTC (ORAL) LLORENS PHARM 475 COUGH AND COLD, NARCOTIC CAPCOF LIQU (ORAL) CAPITAL PHARMAC 475 COUGH AND COLD, NARCOTIC CODITUSSIN AC LIQU OTC (ORAL) GLENDALE INC 475 COUGH AND COLD, NARCOTIC CODITUSSIN DAC LIQU OTC (ORAL) GLENDALE INC 475 COUGH AND COLD, NARCOTIC FLOWTUSS SOLUTION (ORAL) MISSION PHARM. 475 COUGH AND COLD, NARCOTIC HISTEX AC SYRUP OTC (ORAL) ALLEGIS PHARMAC 475 COUGH AND COLD, NARCOTIC HYCOFENIX SOLUTION (ORAL) MISSION PHARM. 475 COUGH AND COLD, NARCOTIC MAR COF BP LIQU (ORAL) MARNEL PHARM. 475 COUGH AND COLD, NARCOTIC M CLEAR WC LIQU (ORAL) R.A.MC NEIL CO. 475 COUGH AND COLD, NARCOTIC M END MAX D LIQU (ORAL) R.A.MC NEIL CO. 475 COUGH AND COLD, NARCOTIC M END PE LIQU (ORAL) R.A.MC NEIL CO. 475 COUGH AND COLD, NARCOTIC NINJACOF XG LIQU OTC (ORAL) CENTURION LABS 475 COUGH AND COLD, NARCOTIC POLY TUSSIN AC LIQU OTC (ORAL) POLY PHARM. 475 COUGH AND COLD, NARCOTIC PRO RED AC LIQU (ORAL) PRO PHARMA LLC 475 COUGH AND COLD, NARCOTIC REZIRA SOLUTION (ORAL) HAWTHORN PHARM 475 COUGH AND COLD, NARCOTIC TUSSICAPS CAPSULE ER 12H (ORAL) VALEANT 475 COUGH AND COLD, NARCOTIC VITUZ SOLUTION (ORAL) HAWTHORN PHARM 475 COUGH AND COLD, NARCOTIC Z TUSS AC OTC (ORAL) MAGNA PHARM ALAHIST CF TABLET OTC (ORAL) POLY PHARM. ALA HIST DM LIQU OTC (ORAL) POLY PHARM. AQUANAZ OTC (ORAL) CAPITAL PHARMAC ATUSS DA LIQU OTC (ORAL) CARWIN ASSOCIAT BROMFED DM SYRUP (ORAL) MORTON GROVE PH CAPMIST DM TABLET OTC (ORAL) CAPITAL PHARMAC CAPRON DM LIQU OTC (ORAL) CAPITAL PHARMAC CERTUSS D TABLET OTC (ORAL) CAPELLON CHILD MUCINEX M S COLD DAY NTE LIQU SEQUELES OTC (ORAL) CHILD TRIAMINIC COUGH CONGEST SYRUP OTC (ORAL) NOVARTIS CONSUM CHILDREN'S MUCINEX LIQU OTC (NN) (ORAL) CHLO HIST SOLUTION OTC (ORAL) R.A.MC NEIL CO. CHLO TUSS LIQU OTC (ORAL) R.A.MC NEIL CO. DAY MULTI SYMP FLU SEVERE COLD POWDER PACK OTC (ORAL) LEADER DECONEX DMX TABLET OTC (ORAL) POLY PHARM. DELSYM COUGH & COLD LIQU OTC (NN) (ORAL) DELSYM SUSPENSION ER 12H OTC (ORAL) DONATUSSIN LIQU OTC (ORAL) LASER PHARMACEU DURAFLU TABLET OTC (ORAL) POLY PHARM. 10

Schedule 1 DURAVENT DM TABLET OTC (ORAL) ALLEGIS PHARMAC ED A HIST DM TABLET OTC (ORAL) EDWARDS PHARMAC ED A HIST DM LIQU OTC (ORAL) EDWARDS PHARMAC HISTEX DM SYRUP OTC (ORAL) ALLEGIS PHARMAC LOHIST DM LIQU (ORAL) LARKEN LABS LORTUSS DM LIQU OTC (ORAL) SALLUS LABORATO M END DMX LIQU OTC (ORAL) R.A.MC NEIL CO. MUCINEX COLD FLU & SORE THROAT LIQU OTC (ORAL) MUCINEX COUGH GRAN PACK OTC (ORAL) MUCINEX DM TABLET ER 12H OTC (ORAL) MUCINEX FAST MAX COLD FLU TABLET OTC (ORAL) MUCINEX FAST MAX COLD FLU THROAT CAPSULE OTC (ORAL) MUCINEX FAST MAX COLD SINUS CAPSULE OTC (ORAL) MUCINEX FAST MAX CONGEST COLD TABLET OTC (ORAL) MUCINEX FAST MAX CONGEST COUGH TABLET OTC (ORAL) MUCINEX FAST MAX DAY NITE COLD LIQU SEQ OTC (ORAL) MUCINEX FAST MAX DAY NITE COLD TABLET SEQUELS OTC (ORAL) MUCINEX FAST MAX DAY NITE COLD FLU CAPSULE OTC (ORAL) MUCINEX FAST MAX DAY NITE CONG LIQU OTC (ORAL) MUCINEX FAST MAX DAY NITE CONG TABLET OTC (ORAL) MUCINEX FAST MAX DM MAX LIQU OTC (ORAL) MUCINEX FAST MAX NITE COLD FLU CAPSULE OTC (ORAL) MUCINEX FAST MAX SEVERE COLD LIQU OTC (ORAL) MUCINEX SEVERE CONGEST COUGH LIQU OTC (ORAL) MUCINEX SINUS MAX CONGESTION RELIEF CAPSULE OTC (ORAL) MUCUS DM MAX TABLET ER 12H OTC (ORAL) LEADER NINJACOF LIQU OTC (ORAL) CENTURION LABS NINJACOF A LIQU OTC (ORAL) CENTURION LABS NOHIST DM LIQU OTC (ORAL) LARKEN LABS POLY HIST DM LIQU OTC (ORAL) POLY PHARM. POLY HIST PD DROPS OTC (ORAL) POLY PHARM. POLY VENT DM TABLET OTC (ORAL) POLY PHARM. RESCON DM LIQU OTC (ORAL) CAPELLON 11

RYNEX DM SOLUTION OTC (ORAL) EDWARDS PHARMAC TREXBROM LIQU OTC (ORAL) CAPELLON TUSNEL TABLET OTC (ORAL) LLORENS PHARM TUSNEL DM PEDIATRIC DROPS OTC (ORAL) LLORENS PHARM VANACOF AC LIQU OTC (ORAL) G.M. PHARM VANACOF DM LIQU OTC (ORAL) G.M. PHARM VANACOF LIQU OTC (ORAL) G.M. PHARM VANACOF 8 LIQU OTC (ORAL) G.M. PHARM VANATAB AC TABLET OTC (ORAL) G.M. PHARM VANATAB DM TABLET OTC (ORAL) G.M. PHARM ZONATUSS CAPSULE (ORAL) VERTICAL PHARM 477 CYTOKINE AND CAM ANTAGONISTS ACTEMRA SYRINGE (SUBCUTANE.) GENENTECH, INC. 477 CYTOKINE AND CAM ANTAGONISTS CIMZIA (INJECTION) UCB PHARMA 477 CYTOKINE AND CAM ANTAGONISTS COSENTYX (SUBCUTANE.) NOVARTIS 477 CYTOKINE AND CAM ANTAGONISTS ENBREL (INJECTION) AMGEN 477 CYTOKINE AND CAM ANTAGONISTS HUMIRA (INJECTION) ABBVIE US LLC 477 CYTOKINE AND CAM ANTAGONISTS KEVZARA (SUBCUTANE.) SANOFI AVENTIS 477 CYTOKINE AND CAM ANTAGONISTS KINERET (INJECTION) SOBI SWEDISH OR 477 CYTOKINE AND CAM ANTAGONISTS ORENCIA CLICKJECT (SUBCUTANE.) & ORENCIA SYRINGE (SUBCUTANE.) BMS PRIMARYCARE 477 CYTOKINE AND CAM ANTAGONISTS OTEZLA (ORAL) CELGENE 477 CYTOKINE AND CAM ANTAGONISTS SILIQ (SUBCUTANE.) VALEANT 477 CYTOKINE AND CAM ANTAGONISTS SIMPONI (INJECTION) JANSSEN BIOTECH 477 CYTOKINE AND CAM ANTAGONISTS STELARA (INJECTION) JANSSEN BIOTECH 477 CYTOKINE AND CAM ANTAGONISTS TALTZ AUTOINJECTOR (SUBCUTANE.) & TALTZ SYRINGE (SUBCUTANE.) ELI LILLY & CO. 477 CYTOKINE AND CAM ANTAGONISTS TREMFYA (SUBCUTANE.) JANSSEN BIOTECH 477 CYTOKINE AND CAM ANTAGONISTS XELJANZ (ORAL) & XELJANZ XR (ORAL) PFIZER US PHARM 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM ACTEMRA VIAL (INJECTION) GENENTECH, INC. 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM ENTYVIO (INJECTION) TAKEDA PHARMACE 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM INFLECTRA VIAL (INTRAVEN.) PFIZER US PHARM 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM ORENCIA VIAL (INJECTION) BMS PRIMARYCARE 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM REMICADE (INJECTION) JANSSEN BIOTECH 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM RENFLEXIS (INTRAVEN.) MERCK SHARP & D 478 CYTOKINE AND CAM ANTAGONISTS, IV/IM SIMPONI ARIA VIAL (INTRAVEN.) JANSSEN BIOTECH 479 DIABETIC ULCER PREPARATIONS, TOPICAL REGRANEX (TOPICAL) SMITH&N/UNITED 480 ENZYME INHIBITORS, SYSTEMIC ARALAST NP (INTRAVEN) SHIRE US INC. 480 ENZYME INHIBITORS, SYSTEMIC GLASSIA (INTRAVEN) SHIRE US INC. 12

480 ENZYME INHIBITORS, SYSTEMIC PROLASTIN C (INTRAVEN) GRIFOLS THERAPE 480 ENZYME INHIBITORS, SYSTEMIC ZEMAIRA (INTRAVEN) CSL BEHRING LLC 481 ENZYME REPLACEMENT, GAUCHERS DISEASE CERDELGA (ORAL) GENZYME 481 ENZYME REPLACEMENT, GAUCHERS DISEASE CEREZYME (INTRAVEN) GENZYME 481 ENZYME REPLACEMENT, GAUCHERS DISEASE ELELYSO (INTRAVEN) PFIZER US PHARM 481 ENZYME REPLACEMENT, GAUCHERS DISEASE VPRIV (INTRAVEN) SHIRE US INC. 481 ENZYME REPLACEMENT, GAUCHERS DISEASE ZAVESCA (ORAL) ACTELION PHARMA 482 SELF INJECTABLE EPINEPHRINE EPIPEN (INTRAMUSC) & EPIPEN JR (INTRAMUSC) MYLAN SPECIALTY 483 HEMATOPOIETIC AGENTS ARANESP (INJECTION) AMGEN 483 HEMATOPOIETIC AGENTS EPOGEN (INJECTION) AMGEN 483 HEMATOPOIETIC AGENTS MIRCERA (INJECTION) GENENTECH, INC. 483 HEMATOPOIETIC AGENTS PROCRIT (INJECTION) JANSSEN 484 ORAL ESTROGENS/PROGESTINS PREFEST (ORAL) TEVA PHARMACEUTICALS 484 ORAL ESTROGENS/PROGESTINS PREMPHASE (ORAL) WYETH PHARM 484 ORAL ESTROGENS/PROGESTINS PREMPRO (ORAL) WYETH PHARM 485 TRANSDERMAL ESTROGENS/PROGESTINS CLIMARA PRO (TRANSDERM.) BAYER,PHARM DIV 485 TRANSDERMAL ESTROGENS/PROGESTINS COMBIPATCH (TRANSDERM.) NOVARTIS 486 ORAL ESTROGENIC AGENTS DUAVEE (ORAL) WYETH PHARM 486 ORAL ESTROGENIC AGENTS MENEST (ORAL) MONARCH PHRM 486 ORAL ESTROGENIC AGENTS OSPHENA (ORAL) SHIONOGI PHARMA 486 ORAL ESTROGENIC AGENTS PREMARIN (ORAL) WYETH PHARM 487 TRANSDERMAL ESTROGENS ALORA (TRANSDERM) WATSON PHARMA 487 TRANSDERMAL ESTROGENS DIVIGEL (TRANSDERM) VERTICAL PHARM 487 TRANSDERMAL ESTROGENS ELESTRIN (TRANSDERM) MEDA PHARMACEUT 487 TRANSDERMAL ESTROGENS EVAMIST (TRANSDERM) PERRIGO CO. 487 TRANSDERMAL ESTROGENS MENOSTAR (TRANSDERM.) BAYER,PHARM DIV 487 TRANSDERMAL ESTROGENS VIVELLE DOT (TRANSDERM) NOVARTIS 488 QUINOLONES SYSTEMIC BAXDELA (ORAL) MELINTA THERAPE 488 QUINOLONES SYSTEMIC CIPRO SUSPENSION (ORAL) BAYER,PHARM DIV 489 BETA ADRENERGIC/CORTICOSTERO ADVAIR DISKUS (INHALATION) & ADVAIR HFA (INHALATION) GLAXOSMITHKLINE 489 BETA ADRENERGIC/CORTICOSTERO AIRDUO RESPICLICK (INHALATION) TEVA SPECIALTY 489 BETA ADRENERGIC/CORTICOSTERO BREO ELLIPTA (INHALATION) GLAXOSMITHKLINE 489 BETA ADRENERGIC/CORTICOSTERO DULERA (INHALATION) MERCK SHARP & D 489 BETA ADRENERGIC/CORTICOSTERO SYMBICORT (INHALATION) ASTRAZENECA 489 BETA ADRENERGIC/CORTICOSTERO TRELEGY ELLIPTA (INHALATION) GLAXOSMITHKLINE 490 INHALED CORTICOSTEROS AEROSPAN (INHALATION) MEDA PHARMACEUT 490 INHALED CORTICOSTEROS ALVESCO (INHALATION) SUNOVION PHARMA 490 INHALED CORTICOSTEROS ARMONAIR RESPICLICK (INHALATION) TEVA SPECIALTY 13

Schedule 1 490 INHALED CORTICOSTEROS ARNUITY ELLIPTA (INHALATION) GLAXOSMITHKLINE 490 INHALED CORTICOSTEROS ASMANEX (INHALATION) & ASMANEX HFA (INHALATION) MERCK SHARP & D 490 INHALED CORTICOSTEROS FLOVENT DISKUS (INHALATION) & FLOVENT HFA (INHALATION) GLAXOSMITHKLINE 490 INHALED CORTICOSTEROS PULMICORT FLEXHALER (INHALATION) & PULMICORT RESPULES (INHALATION) ASTRAZENECA 490 INHALED CORTICOSTEROS QVAR (INHALATION) TEVA PHARMACEUTICALS 491 GLUCOCORTICOS, ORAL DEXAMETHASONE INTENSOL (ORAL) ROXANE LABS. 491 GLUCOCORTICOS, ORAL DEXPAK (ORAL) ECR PHARM. 491 GLUCOCORTICOS, ORAL EMFLAZA (ORAL) MARATHON PHARMA 491 GLUCOCORTICOS, ORAL MILLIPRED (ORAL) & MILLIPRED DP (ORAL) ZYLERA 491 GLUCOCORTICOS, ORAL ORAPRED ODT (ORAL) CONCORDIA PHARM 491 GLUCOCORTICOS, ORAL RAYOS TABLET DR (ORAL) HORIZON PHARMA 491 GLUCOCORTICOS, ORAL VERIPRED (ORAL) ZYLERA 491 GLUCOCORTICOS, ORAL ZODEX (ORAL) XSPIRE PHARMA 492 GROWTH FACTORS EGRIFTA (SUB Q) THERATECHNOLOGI 492 GROWTH FACTORS INCRELEX (SUB Q) TERCICA INC 493 GROWTH HORMONE GENOTROPIN (INJECTION) PHARMACIA/UPJHN 493 GROWTH HORMONE HUMATROPE (INJECTION) ELI LILLY & CO. 493 GROWTH HORMONE NORDITROPIN PEN (INJECTION) NOVO NORDISK 493 GROWTH HORMONE NUTROPIN AQ PEN (INJECTION) GENENTECH, INC. 493 GROWTH HORMONE OMNITROPE (INJECTION) SANDOZ 493 GROWTH HORMONE SAIZEN (INJECTION) EMD SERONO, INC 493 GROWTH HORMONE SEROSTIM VIAL (INJECTION) EMD SERONO, INC 493 GROWTH HORMONE ZOMACTON VIAL (INJECTION) FERRING PH INC 493 GROWTH HORMONE ZORBTIVE VIAL (INJECTION) EMD SERONO, INC 494 H.PYLORI COMBINATIONS OMECLAMOX PAK (ORAL) PERNIX THERAPEU 494 H.PYLORI COMBINATIONS PYLERA (ORAL) ACTAVIS U.S. BR 495 HAE TREATMENTS BERINERT (INTRAVEN) CSL BEHRING, LL 495 HAE TREATMENTS CINRYZE (INTRAVEN) SHIRE US INC. 495 HAE TREATMENTS FIRAZYR (SUB Q) SHIRE US INC. 495 HAE TREATMENTS HAEGARDA (SUB Q) CSL BEHRING, LL 495 HAE TREATMENTS KALBITOR (SUB Q) SHIRE US INC. 495 HAE TREATMENTS RUCONEST (INTRAVEN) SALIX PHARMACEU 496 HEMOPHILIA TREATMENT ADVATE (INTRAVEN.) SHIRE US INC. 496 HEMOPHILIA TREATMENT ADYNOVATE (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT AFSTYLA (INTRAVEN) CSL BEHRING REC 496 HEMOPHILIA TREATMENT ALPHANATE (INTRAVEN.) GRIFOLS 496 HEMOPHILIA TREATMENT ALPHANINE SD (INTRAVEN.) GRIFOLS 496 HEMOPHILIA TREATMENT ALPROLIX (INTRAVEN) BIOGEN EC 496 HEMOPHILIA TREATMENT BEBULIN (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT BENEFIX KIT (INTRAVEN.) WYETH PHARM 14

496 HEMOPHILIA TREATMENT COAGADEX (INTRAVEN) BIO S LA 496 HEMOPHILIA TREATMENT CORIFACT KIT (INTRAVEN) CSL BEHRING, LL 496 HEMOPHILIA TREATMENT ELOCTATE (INTRAVEN) BIOGEN EC 496 HEMOPHILIA TREATMENT FEIBA NF (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT HELIXATE FS (INTRAVEN.) CSL BEHRING LLC 496 HEMOPHILIA TREATMENT HEMLIBRA (SUBCUTANE.) GENENTECH, INC. 496 HEMOPHILIA TREATMENT HEMOFIL M (INTRAVEN.) SHIRE US INC. 496 HEMOPHILIA TREATMENT HUMATE P KIT (INTRAVEN) CSL BEHRING, LL 496 HEMOPHILIA TREATMENT ELVION (INTRAVEN) CSL BEHRING REC 496 HEMOPHILIA TREATMENT IXINITY (INTRAVEN) CANGENE BIOPHAR 496 HEMOPHILIA TREATMENT KOATE DVI (INTRAVEN.) KEDRION BIOPHAR 496 HEMOPHILIA TREATMENT KOGENATE FS (INTRAVEN.) BAYER,PHARM DIV 496 HEMOPHILIA TREATMENT KOVALTRY (INTRAVEN.) BAYER,PHARM DIV 496 HEMOPHILIA TREATMENT MONOCLATE P KIT (INTRAVEN.) CSL BEHRING LLC 496 HEMOPHILIA TREATMENT MONONINE KIT (INTRAVEN) CSL BEHRING LLC 496 HEMOPHILIA TREATMENT NOVOEIGHT (INTRAVEN) NOVO NORDISK 496 HEMOPHILIA TREATMENT NOVOSEVEN RT (INTRAVEN) NOVO NORDISK 496 HEMOPHILIA TREATMENT NUWIQ (INTRAVEN) OCTAPHARMA USA 496 HEMOPHILIA TREATMENT OBIZUR (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT PROFILNINE SD (INTRAVEN) GRIFOLS 496 HEMOPHILIA TREATMENT REBINYN (INTRAVEN) NOVO NORDISK 496 HEMOPHILIA TREATMENT RECOMBINATE (INTRAVEN.) SHIRE US INC. 496 HEMOPHILIA TREATMENT RIXUBIS (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT TRETTEN (INTRAVEN) NOVO NORDISK 496 HEMOPHILIA TREATMENT VONVENDI (INTRAVEN) SHIRE US INC. 496 HEMOPHILIA TREATMENT WILATE OCTAPHARMA USA 496 HEMOPHILIA TREATMENT XYNTHA KIT (INTRAVEN) & XYNTHA SOLOFUSE SYRINGE KIT (INTRAVEN.) WYETH PHARM 497 HEPATITIS B ORAL BARACLUDE (ORAL) BMS PRIMARYCARE 497 HEPATITIS B ORAL EPIVIR HBV (ORAL) GLAXOSMITHKLINE 497 HEPATITIS B ORAL HEPSERA (ORAL) GILEAD SCIENCES 497 HEPATITIS B ORAL TYZEKA (ORAL) NOVARTIS 497 HEPATITIS B ORAL VEMLY (ORAL) GILEAD SCIENCES 498 HEPATITIS C INJECTABLE PEGASYS (SUBCUTANE.) GENENTECH, INC. 498 HEPATITIS C INJECTABLE PEG INTRON (SUBCUTANE.) MERCK SHARP & D 499 HEPATITIS C ORAL DAKLINZA (ORAL) BMS PRIMARYCARE 499 HEPATITIS C ORAL EPCLUSA (ORAL) GILEAD SCIENCES 499 HEPATITIS C ORAL HARVONI (ORAL) GILEAD SCIENCES 499 HEPATITIS C ORAL MAVYRET (ORAL) ABBVIE US LLC 499 HEPATITIS C ORAL OLYSIO (ORAL) JANSSEN 499 HEPATITIS C ORAL SOVALDI (ORAL) GILEAD SCIENCES 499 HEPATITIS C ORAL TECHNIVIE (ORAL) ABBVIE US LLC 15

499 HEPATITIS C ORAL VIEKIRA PAK (ORAL) & VIEKIRA XR (ORAL) ABBVIE US LLC 499 HEPATITIS C ORAL VOSEVI (ORAL) GILEAD SCIENCES 499 HEPATITIS C ORAL ZEPATIER (ORAL) MERCK SHARP & D 500 RIBAVIRINS REBETOL SOLUTION (ORAL) MERCK SHARP & D 500 RIBAVIRINS RIBASPHERE (ORAL) KADMON PHARMACE 501 HIV / AS APTIVUS (ORAL) BOEHRINGER ING. 501 HIV / AS ATRIPLA (ORAL) BMS/GILEAD 501 HIV / AS COMPLERA (ORAL) GILEAD SCIENCES 501 HIV / AS CRIXIVAN (ORAL) MERCK SHARP & D 501 HIV / AS DESCOVY (ORAL) GILEAD SCIENCES 501 HIV / AS EDURANT (ORAL) JANSSEN 501 HIV / AS EMTRIVA (ORAL) GILEAD SCIENCES 501 HIV / AS EPIVIR SOLUTION (ORAL) VIIV HEALTHCARE 501 HIV / AS EPZICOM (ORAL) VIIV HEALTHCARE 501 HIV / AS EVOTAZ (ORAL) BMS PRIMARYCARE 501 HIV / AS FUZEON (SUB Q) GENENTECH, INC. 501 HIV / AS GENVOYA (ORAL) GILEAD SCIENCES 501 HIV / AS INTELENCE (ORAL) JANSSEN 501 HIV / AS INVIRASE (ORAL) ROCHE LABS. 501 HIV / AS ISENTRESS (ORAL) MERCK SHARP & D 501 HIV / AS JULUCA (ORAL) VIIV HEALTHCARE 501 HIV / AS KALETRA (ORAL) ABBVIE US LLC 501 HIV / AS LEXIVA (ORAL) VIIV HEALTHCARE 501 HIV / AS NORVIR (ORAL) ABBVIE US LLC 501 HIV / AS ODEFSEY (ORAL) GILEAD SCIENCES 501 HIV / AS PREZCOBIX (ORAL) JANSSEN 501 HIV / AS PREZISTA (ORAL) JANSSEN 501 HIV / AS RESCRIPTOR (ORAL) VIIV HEALTHCARE 501 HIV / AS REYATAZ (ORAL) BMS PRIMARYCARE 501 HIV / AS SELZENTRY (ORAL) VIIV HEALTHCARE 501 HIV / AS STRIBILD (ORAL) GILEAD SCIENCES 501 HIV / AS SUSTIVA (ORAL) BMS 501 HIV / AS TIVICAY (ORAL) VIIV HEALTHCARE 501 HIV / AS TRIUMEQ (ORAL) VIIV HEALTHCARE 501 HIV / AS TRIZIVIR (ORAL) VIIV HEALTHCARE 501 HIV / AS TRUVADA (ORAL) GILEAD SCIENCES 501 HIV / AS TYBOST (ORAL) GILEAD SCIENCES 501 HIV / AS VEX SOLUTION (ORAL) BMS ONCO/IMMUN 501 HIV / AS VIRACEPT (ORAL) VIIV HEALTHCARE 501 HIV / AS VIRAMUNE XR (ORAL) BOEHRINGER ING. 501 HIV / AS VIREAD (ORAL) GILEAD SCIENCES 501 HIV / AS VITEKTA (ORAL) GILEAD SCIENCES 16

Schedule 1 501 HIV / AS ZIAGEN SOLUTION (ORAL) VIIV HEALTHCARE 502 HYPERPARATHYRO AGENTS HECTOROL GENZYME 502 HYPERPARATHYRO AGENTS NATPARA (SUBCUTANE.) SHIRE US INC. 502 HYPERPARATHYRO AGENTS PARSABIV VIAL (INTRAVEN) AMGEN 502 HYPERPARATHYRO AGENTS RAYALDEE CAPSULE (ORAL) OPKO PHARMACEUT 502 HYPERPARATHYRO AGENTS SENSIPAR (ORAL) AMGEN 502 HYPERPARATHYRO AGENTS ZEMPLAR ABBVIE US LLC 503 ALPHA GLUCOSASE INHIBITORS ORAL ANTIABETIC GLYSET (ORAL) PHARMACIA/UPJHN 504 AMYLIN ANALOGS SYMLIN PENS (SUBCUTANE.) ASTRAZENECA 505 DPP IV INHIBITORS AND COMBINATIONS GLYXAMBI (ORAL) & JENTADUETO (ORAL) & JENTADUETO XR (ORAL) & BOEHRINGER ING. TRADJENTA (ORAL) 505 DPP IV INHIBITORS AND COMBINATIONS JANUMET (ORAL) & JANUMET XR (ORAL) & MERCK SHARP & D JANUVIA (ORAL) 505 DPP IV INHIBITORS AND COMBINATIONS KAZANO (ORAL) & NESINA (ORAL) & TAKEDA PHARMACE OSENI (ORAL) 505 DPP IV INHIBITORS AND COMBINATIONS KOMBIGLYZE XR (ORAL) & ONGLYZA (ORAL) ASTRAZENECA 505 DPP IV INHIBITORS AND COMBINATIONS QTERN (ORAL) ASTRAZENECA 506 GLP 1 RECEPTOR AGONISTS ADLYXIN (SUBCUTANE.) & SOLIQUA (SUBCUTANE.) SANOFI AVENTIS 506 GLP 1 RECEPTOR AGONISTS BYDUREON (SUBCUTANE.) & BYETTA (SUBCUTANE.) ASTRAZENECA 506 GLP 1 RECEPTOR AGONISTS OZEMPIC (SUBCUTANEOUS) NOVO NORDISK 506 GLP 1 RECEPTOR AGONISTS TANZEUM (SUBCUTANE.) GLAXOSMITHKLINE 506 GLP 1 RECEPTOR AGONISTS TRULICITY (SUBCUTANE.) ELI LILLY & CO. 506 GLP 1 RECEPTOR AGONISTS VICTOZA (SUBCUTANE.) & XULTOPHY (SUBCUTANE.) NOVO NORDISK 507 INSULIN MIX HUMULIN MIX (SUBCUTANE.) ELI LILLY & CO. 507 INSULIN MIX NOVOLIN MIX (SUBCUTANE.) NOVO NORDISK 508 INSULIN N HUMULIN N (SUBCUTANE.) ELI LILLY & CO. 508 INSULIN N NOVOLIN N (SUBCUTANE.) NOVO NORDISK 509 INSULIN R HUMULIN R (SUBCUTANE.) ELI LILLY & CO. 509 INSULIN R NOVOLIN R (SUBCUTANE.) NOVO NORDISK 510 LONG ACTING INSULINS BASAGLAR KWIKPEN (SUBCUTANE.) ELI LILLY & CO. 510 LONG ACTING INSULINS LANTUS (SUBCUTANE.) SANOFI AVENTIS 510 LONG ACTING INSULINS LEVEMIR (SUBCUTANE.) NOVO NORDISK 510 LONG ACTING INSULINS TOUJEO SOLOSTAR PEN (SUBCUTANE.) SANOFI AVENTIS 510 LONG ACTING INSULINS TRESIBA FLEXTOUCH (SUBCUTANEOUS) NOVO NORDISK 511 RAP ACTING INSULIN MIX HUMALOG MIX (SUBCUTANE.) ELI LILLY & CO. 511 RAP ACTING INSULIN MIX NOVOLOG MIX (SUBCUTANE.) NOVO NORDISK 512 RAP ACTING INSULINS APRA (SUBCUTANE.) SANOFI AVENTIS 17

Schedule 1 512 RAP ACTING INSULINS FIASP (SUBCUTANE.) NOVO NORDISK 512 RAP ACTING INSULINS HUMALOG (SUBCUTANE.) ELI LILLY & CO. 512 RAP ACTING INSULINS HUMALOG JUNIOR KWIKPEN (SUBCUTANE.) ELI LILLY & CO. 512 RAP ACTING INSULINS NOVOLOG (SUBCUTANE.) NOVO NORDISK 514 HYPOGLYCEMICS, BIGUANE TYPE GLUMETZA (ORAL) SANTARUS INC. 514 HYPOGLYCEMICS, BIGUANE TYPE RIOMET (ORAL) RANBAXY LABORAT 515 HYPOGLYCEMICS, SGLT2 FARXIGA (ORAL) ASTRA ZENECA LP 515 HYPOGLYCEMICS, SGLT2 INVOKAMET (ORAL) & INVOKAMET XR (ORAL) JANSSEN PHARM. 515 HYPOGLYCEMICS, SGLT2 INVOKANA (ORAL) JANSSEN PHARM. 515 HYPOGLYCEMICS, SGLT2 JARDIANCE (ORAL) BOEHRINGER ING. 515 HYPOGLYCEMICS, SGLT2 SYNJARDY (ORAL) & SYNJARDY XR (ORAL) BOEHRINGER ING. 515 HYPOGLYCEMICS, SGLT2 XIGDUO XR (ORAL) ASTRAZENECA 516 THIAZOLINEDIONE METFORMIN COMBINATIONS ACTOPLUS MET XR (ORAL) TAKEDA PHARMACE 516 THIAZOLINEDIONE METFORMIN COMBINATIONS AVANDAMET (ORAL) GLAXOSMITHKLINE 517 THIAZOLINEDIONES ORAL ANTIABETIC AVANDIA (ORAL) GLAXOSMITHKLINE 519 IMMUNE GLOBULINS BIVIGAM (INTRAVEN) BIOTEST PHARMAC 519 IMMUNE GLOBULINS CARIMUNE NF NANOFILTERED (INTRAVEN) CSL BEHRING LLC 519 IMMUNE GLOBULINS CUVITRU (SUBCUT.) SHIRE US INC. 519 IMMUNE GLOBULINS CYTOGAM (INTRAVEN) CSL BEHRING LLC 519 IMMUNE GLOBULINS FLEBOGAMMA DIF (INTRAVEN) GRIFOLS 519 IMMUNE GLOBULINS GAMASTAN S D VIAL (INTRAMUSC) GRIFOLS THERAPE 519 IMMUNE GLOBULINS GAMMAGARD (INJECTION) & GAMMAGARD S D (INTRAVEN) SHIRE US INC. 519 IMMUNE GLOBULINS GAMMAKED (INTRAVEN) KEDRION BIOPHAR 519 IMMUNE GLOBULINS GAMMAPLEX BIO S LA 519 IMMUNE GLOBULINS GAMUNEX C (INJECTION) GRIFOLS THERAPE 519 IMMUNE GLOBULINS HEPAGAM B (INTRAMUSC) CANGENE BIOPHAR 519 IMMUNE GLOBULINS HIZENTRA (SUBCUT.) CSL BEHRING LLC 519 IMMUNE GLOBULINS HYPERHEP B S D VIAL (INTRAMUSC) GRIFOLS THERAPE 519 IMMUNE GLOBULINS HYQVIA (SUBCUT.) SHIRE US INC. 519 IMMUNE GLOBULINS IMOGAM RABIES HT (INTRAMUSC) SANOFI PASTEUR 519 IMMUNE GLOBULINS OCTAGAM (INTRAVEN) OCTAPHARMA USA 519 IMMUNE GLOBULINS PRIVIGEN (INTRAVEN) CSL BEHRING LLC 519 IMMUNE GLOBULINS VARIZIG (INTRAMUSC) CANGENE BIOPHAR 520 IMMUNOMODULATORS, ANTINEOPLASTIC SYLATRON (SUBCUTANE.) MERCK SHARP & D 521 TOPICAL CALCINEURIN INHIBITORS DUPIXENT (SUBCUTANE.) SANOFI AVENTIS 521 TOPICAL CALCINEURIN INHIBITORS ELEL (TOPICAL) VALEANT 521 TOPICAL CALCINEURIN INHIBITORS EUCRISA (TOPICAL) ANACOR PHARMACE 521 TOPICAL CALCINEURIN INHIBITORS PROTOPIC (TOPICAL) ASTELLAS PHARMA 522 IMMUNOMODULATORS, MISCELLANEOUS ACTIMMUNE (SUB Q) VARA THERAPEU 18

522 IMMUNOMODULATORS, MISCELLANEOUS PROLEUKIN (INTRAVEN) PROMETHEUS 523 IMMUNOMODULATORS, TOPICAL ALDARA (TOPICAL) MEDICIS DERM 523 IMMUNOMODULATORS, TOPICAL ZYCLARA (TOPICAL) MEDICIS DERM 524 IMMUNOSUPPRESSANTS ASTAGRAF XL (ORAL) ASTELLAS PHARMA 524 IMMUNOSUPPRESSANTS AZASAN (ORAL) SALIX PHARMACEU 524 IMMUNOSUPPRESSANTS CELLCEPT SUSPENSION (ORAL) GENENTECH, INC. 524 IMMUNOSUPPRESSANTS ENVARSUS XR (ORAL) VELOXIS PHARMAC 524 IMMUNOSUPPRESSANTS RAPAMUNE (ORAL) WYETH PHARM 524 IMMUNOSUPPRESSANTS ZORTRESS (ORAL) NOVARTIS 525 INTRANASAL ANTIHISTAMINES ASTEPRO (NASAL) MEDA PHARMACEUT 525 INTRANASAL ANTIHISTAMINES PATANASE (NASAL) ALCON LABS. 526 NASAL STEROS BECONASE AQ (NASAL) GLAXOSMITHKLINE 526 NASAL STEROS DYMISTA (NASAL) MEDA PHARMACEUT 526 NASAL STEROS NASONEX (NASAL) MERCK SHARP & D 526 NASAL STEROS OMNARIS (NASAL) SUNOVION PHARMA 526 NASAL STEROS QNASL (NASAL) TEVA PHARMACEUTICALS 526 NASAL STEROS TICANASE (NASAL) PURETEK CORPORA 526 NASAL STEROS VERAMYST (NASAL) GLAXOSMITHKLINE 526 NASAL STEROS ZETONNA (NASAL) SUNOVION PHARMA 527 IRON, ORAL ACTIVE FE TABLET ALLEGIS PHARMAC 527 IRON, ORAL CHROMAGEN CAPSULE OTC (ORAL) AVION PHARMACEU 527 IRON, ORAL CORVITA 150 TABLET (ORAL) TRIGEN LABORATO 527 IRON, ORAL CORVITE 150 TABLET (ORAL) VERTICAL PHARM 527 IRON, ORAL CORVITE FE TABLET (ORAL) VERTICAL PHARM 527 IRON, ORAL FERIVA 21 7 (ORAL) AVION PHARMACEU 527 IRON, ORAL FERIVA CAP MPHASE (ORAL) AVION PHARMACEU 527 IRON, ORAL FERIVA FA CAPSULE (ORAL) AVION PHARMACEU 527 IRON, ORAL FERRALET 90 DUAL IRON TABLET (ORAL) MISSION PHARM. 527 IRON, ORAL FERRAPLUS 90 TABLET (ORAL) TRIGEN LABORATO 527 IRON, ORAL FOLIVANE F CAPSULE (ORAL) TRIGEN LABORATO 527 IRON, ORAL FUSION PLUS CAPSULE (ORAL) US PHARMACEUTIC 527 IRON, ORAL FUSION SPRINKLES POWDER PACK (ORAL) US PHARMACEUTIC 527 IRON, ORAL HEMATOGEN CAPSULE (ORAL) NNODUM CORP 527 IRON, ORAL HEMATOGEN FA CAPSULE (ORAL) NNODUM CORP 527 IRON, ORAL HEMOCYTE PLUS CAPSULE (ORAL) US PHARMACEUTIC 527 IRON, ORAL HEMOCYTE F TABLET (ORAL) US PHARMACEUTIC 527 IRON, ORAL INTEGRA F CAPSULE (ORAL) US PHARMACEUTIC 527 IRON, ORAL INTEGRA PLUS CAPSULE (ORAL) US PHARMACEUTIC 527 IRON, ORAL IROSPAN TABLET (ORAL) WOMEN'S CHOICE 527 IRON, ORAL NEPHRON FA TABLET (ORAL) NEPHRO TECH 527 IRON, ORAL NIFEREX TABLET OTC (ORAL) AVION PHARMACEU 527 IRON, ORAL NUFERA TABLET (ORAL) CARWIN ASSOCIAT 19

Schedule 1 527 IRON, ORAL TANDEM PLUS CAPSULE (ORAL) US PHARMACEUTIC 527 IRON, ORAL TARON FORTE CAPSULE (ORAL) TRIGEN LABORATO 527 IRON, ORAL TL HEM 150 TABLET ER 24H (ORAL) TRIGEN LABORATO 527 IRON, ORAL VITAFOL TABLET (ORAL) EVERETT 528 IRON, PARENTERAL FERAHEME (INJECTION) AMAG PHARMACEUT 528 IRON, PARENTERAL FERRLECIT (INJECTION) SANOFI AVENTIS 528 IRON, PARENTERAL INFED (INJECTION) WATSON PHARMA 528 IRON, PARENTERAL INJECTAFER (INTRAVENOUS) AMER. REGENT 528 IRON, PARENTERAL TRIFERIC (HEMODIALYSIS) ROCKWELL MEDICA 528 IRON, PARENTERAL VENOFER (INJECTION) AMER. REGENT 529 GI MOTILITY, CHRONIC AMITIZA (ORAL) TAKEDA PHARMACE 529 GI MOTILITY, CHRONIC LINZESS (ORAL) ACTAVIS U.S. BR 529 GI MOTILITY, CHRONIC LOTRONEX (ORAL) SEBELA PHARMACE 529 GI MOTILITY, CHRONIC MOVANTIK (ORAL) ASTRAZENECA 529 GI MOTILITY, CHRONIC RELISTOR (ORAL) SALIX PHARMACEU 529 GI MOTILITY, CHRONIC SYMPROIC (ORAL) PURDUE PHARMA L 529 GI MOTILITY, CHRONIC TRULANCE (ORAL) SYNERGY PHARMAC 529 GI MOTILITY, CHRONIC VIBERZI (ORAL) ACTAVIS PHARMA, 530 LAXATIVES & CATHARTICS CLENPIQ (ORAL) FERRING PH INC 530 LAXATIVES & CATHARTICS ENTEREG CAPSULE (ORAL) CUBIST PHARMACE 530 LAXATIVES & CATHARTICS GOLYTELY POWDER PACK (ORAL) BRAINTREE LABS. 530 LAXATIVES & CATHARTICS KRISTALOSE PACKET (ORAL) CUMBERLAND PHAR 530 LAXATIVES & CATHARTICS MOVIPREP POWDER PACK (ORAL) SALIX PHARMACEU 530 LAXATIVES & CATHARTICS OSMOPREP TABLET (ORAL) SALIX PHARMACEU 530 LAXATIVES & CATHARTICS PREPOPIK POWDER PACK (ORAL) FERRING PH INC 530 LAXATIVES & CATHARTICS SUPREP SOLUTION FOR RECONSTITUTION (ORAL) BRAINTREE LABS. 531 LEUKOTRIENE FORMATION INHIBITORS ZYFLO (ORAL) CHIESI 531 LEUKOTRIENE FORMATION INHIBITORS ZYFLO CR (ORAL) CHIESI 533 LINCOSAMES/OXAZOLINONES/STREPTOGRA LINCOCIN (INJECTION) MINS PHARMACIA/UPJHN 533 LINCOSAMES/OXAZOLINONES/STREPTOGRA SIVEXTRO (INTRAVEN) MINS CUBIST PHARMACE 533 LINCOSAMES/OXAZOLINONES/STREPTOGRA SYNERC (INJECTION) MINS MONARCH PHRM 534 OXAZOLINONES SIVEXTRO (ORAL) CUBIST PHARMACE 534 OXAZOLINONES ZYVOX SUSPENSION (ORAL) & ZYVOX TABLET (ORAL) PHARMACIA/UPJHN 535 BILE AC SEQUESTRANTS WELCHOL (ORAL) DAIICHI SANKYO, 536 LIPOTROPICS HOMOZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA JUXTAP (ORAL) AEGERION PHARMA 536 LIPOTROPICS HOMOZYGOUS FAMILIAL HYPERCHOLESTEROLEMIA KYNAMRO (SUBCUTANE.) GENZYME 537 LIPOTROPICS NIACIN DERIVATIVES NIACOR (ORAL) UPSHER SMITH 537 LIPOTROPICS NIACIN DERIVATIVES NIASPAN (ORAL) ABBVIE US LLC 20

538 LIPOTROPICS: CAI ZETIA (ORAL) MERCK/SCHERING 539 TRIGLYCERE LOWERING AGENTS FENOGLE (ORAL) SANTARUS INC. 539 TRIGLYCERE LOWERING AGENTS LOVAZA (ORAL) GLAXOSMITHKLINE 539 TRIGLYCERE LOWERING AGENTS TRICOR (ORAL) ABBVIE US LLC 539 TRIGLYCERE LOWERING AGENTS TRIGLE (ORAL) SHIONOGI PHARMA 539 TRIGLYCERE LOWERING AGENTS TRILIPIX (ORAL) ABBVIE US LLC 539 TRIGLYCERE LOWERING AGENTS VASCEPA (ORAL) AMARIN PHARMA I 540 HIGH POTENCY STATINS CRESTOR (ORAL) ASTRAZENECA 540 HIGH POTENCY STATINS LIVALO (ORAL) KOWA PHARMACEUT 540 HIGH POTENCY STATINS VYTORIN (ORAL) MERCK/SCHERING 541 STATINS ALTOPREV (ORAL) COVIS PHARMACEU 541 STATINS LESCOL XL (ORAL) NOVARTIS 542 MACROLES/KETOLES E.E.S. (ORAL) ARBOR PHARMACEU 542 MACROLES/KETOLES ERYPED (ORAL) ARBOR PHARMACEU 542 MACROLES/KETOLES ERY TAB (ORAL) ARBOR PHARMACEU 542 MACROLES/KETOLES KETEK (ORAL) SANOFI AVENTIS 542 MACROLES/KETOLES PCE (ORAL) ARBOR PHARMACEU 542 MACROLES/KETOLES ZMAX (ORAL) PFIZER US PHARM 543 MACULAR DEGENERATION AGENTS EYLEA (INTRAOCULAR) REGENERON PHARM 543 MACULAR DEGENERATION AGENTS LUCENTIS (INTRAOCULAR) GENENTECH, INC. 543 MACULAR DEGENERATION AGENTS MACUGEN (INTRAOCULAR) VALEANT 544 MONOCLONAL ANTIBODIES, IGE CINQAIR (INTRAVEN) TEVA SPECIALTY 544 MONOCLONAL ANTIBODIES, IGE FASENRA (SUB Q) ASTRAZENECA 544 MONOCLONAL ANTIBODIES, IGE NUCALA (SUB Q) GLAXOSMITHKLINE 544 MONOCLONAL ANTIBODIES, IGE XOLAIR (SUB Q) GENENTECH, INC. 545 MUCOLYTICS PULMOZYME (INHALATION) GENENTECH, INC. 546 ANCILLARY ORAL AGENTS FOR MULTIPLE SCLEROSIS TREATMENT AMPYRA (ORAL) ACORDA THERAPEU 547 MULTIPLE SCLEROSIS AGENTS AUBAGIO (ORAL) SANOFI AVENTIS 547 MULTIPLE SCLEROSIS AGENTS AVONEX (INTRAMUSC.) BIOGEN EC 547 MULTIPLE SCLEROSIS AGENTS BETASERON (SUBCUTANE.) BAYER,PHARM DIV 547 MULTIPLE SCLEROSIS AGENTS COPAXONE (SUBCUTANE.) TEVA PHARMACEUTICALS 547 MULTIPLE SCLEROSIS AGENTS EXTAVIA (SUBCUTANE.) NOVARTIS 547 MULTIPLE SCLEROSIS AGENTS GILENYA (ORAL) NOVARTIS 547 MULTIPLE SCLEROSIS AGENTS LEMTRADA (INTRAVEN.) GENZYME 547 MULTIPLE SCLEROSIS AGENTS OCREVUS (INTRAVEN.) GENENTECH, INC. 547 MULTIPLE SCLEROSIS AGENTS PLEGRY (SUBCUTANE.) BIOGEN EC 547 MULTIPLE SCLEROSIS AGENTS REBIF (SUBCUTANE.) EMD SERONO, INC 547 MULTIPLE SCLEROSIS AGENTS TECFERA (ORAL) BIOGEN EC 547 MULTIPLE SCLEROSIS AGENTS TYSABRI (INTRAVEN.) BIOGEN EC 547 MULTIPLE SCLEROSIS AGENTS ZINBRYTA (SUBCUTANE.) ABBVIE US LLC 548 NASAL PREPARATIONS, ANTIBIOTICS BACTROBAN NASAL (NASAL) GLAXOSMITHKLINE 549 NEUROPATHIC PAIN GRALISE (ORAL) DEPOMED, INC. 21

549 NEUROPATHIC PAIN HORIZANT (ORAL) XENOPORT 549 NEUROPATHIC PAIN IRENKA (ORAL) LUPIN PHARMA 549 NEUROPATHIC PAIN LYRICA (ORAL) PFIZER US PHARM 549 NEUROPATHIC PAIN SAVELLA (ORAL) ACTAVIS U.S. BR 551 TOPICAL ANESTHETICS DERMACINRX PHN PAK (TOPICAL) PURETEK CORPORA 551 TOPICAL ANESTHETICS LODERM (TOPICAL) ENDO PHARM INC. 551 TOPICAL ANESTHETICS QUTENZA KIT (TOPICAL) ACORDA THERAPEU 552 NSAS CELEBREX (ORAL) PFIZER US PHARM 552 NSAS DUEXIS (ORAL) HORIZON PHARMA 552 NSAS INDOCIN SUSPENSION (ORAL) IROKO PHARMACEU 552 NSAS NALFON (ORAL) XSPIRE PHARMA 552 NSAS SPRIX (NASAL) EGALET US INC. 552 NSAS TIVORBEX (ORAL) IROKO PHARMACEU 552 NSAS VIMOVO (ORAL) HORIZON PHARMA 552 NSAS VIVLODEX (ORAL) IROKO PHARMACEU 552 NSAS ZIPSOR (ORAL) DEPOMED, INC. 552 NSAS ZORVOLEX (ORAL) IROKO PHARMACEU 553 TOPICAL NSAS DERMACINRX LEXITRAL (TOPICAL) PURETEK CORPORA 553 TOPICAL NSAS FLECTOR (TOPICAL) PFIZER US PHARM 553 TOPICAL NSAS PENNSA (TOPICAL) HORIZON PHARMA 553 TOPICAL NSAS VOLTAREN (TOPICAL) ENDO PHARM INC. 553 TOPICAL NSAS VOPAC MDS (TOPICAL) SIRCLE LABORATO 553 TOPICAL NSAS XRYLIX KIT (TOPICAL) PURETEK CORPORA 554 OCTREOTE ANALOGS SANDOSTATIN LAR (INTRAMUSC) NOVARTIS 554 OCTREOTE ANALOGS SIGNIFOR (SUBCUTANEOUS) NOVARTIS 554 OCTREOTE ANALOGS SOMATULINE DEPOT (SUB Q) IPSEN BIOPHARMA 554 OCTREOTE ANALOGS XERMELO (ORAL) LEXICON PHARMAC 555 ANTIESTROGENS FARESTON (ORAL) PROSTRAKAN INC. 555 ANTIESTROGENS FASLODEX (INTRAMUSC) ASTRAZENECA 556 ONCOLOGY AGENTS, ORAL AFINITOR (ORAL) NOVARTIS 556 ONCOLOGY AGENTS, ORAL ALECENSA (ORAL) GENENTECH, INC. 556 ONCOLOGY AGENTS, ORAL ALKERAN (ORAL) APOPHARMA USA I 556 ONCOLOGY AGENTS, ORAL ALUNBRIG (ORAL) ARIAD PHARMACEU 556 ONCOLOGY AGENTS, ORAL BOSULIF (ORAL) PFIZER US PHARM 556 ONCOLOGY AGENTS, ORAL CABOMETYX (ORAL) EXELIXIS, INC. 556 ONCOLOGY AGENTS, ORAL CALQUENCE (ORAL) ASTRAZENECA 556 ONCOLOGY AGENTS, ORAL CAPRELSA (ORAL) ASTRAZENECA 556 ONCOLOGY AGENTS, ORAL COMETRIQ (ORAL) EXELIXIS, INC. 556 ONCOLOGY AGENTS, ORAL COTELLIC (ORAL) GENENTECH, INC. 556 ONCOLOGY AGENTS, ORAL EMCYT (ORAL) PHARMACIA/UPJHN 556 ONCOLOGY AGENTS, ORAL ERIVEDGE (ORAL) GENENTECH, INC. 556 ONCOLOGY AGENTS, ORAL FARYDAK (ORAL) NOVARTIS 22