Select-National-Advantage Formulary Reference Guide - ...

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Keywords

Insulin, Lancets, PREFERRED, HCL,, 1/2",, 1/2", Needles, Comfort, 5/16",, 5/16", Plus, sodium, Safety, GENERIC, Thin, Touch, Syringe, Ultra, Easy, Ulticare, Monoject, Unifine, Pentips, Choice, Lancets,, Relion, Kit,, Onetouch, AGENTS, Clever

Transcript

Select-National-Advantage Formulary Reference Guide
Your formulary utilizes a Pharmacy and Therapeutics Committee (P & T Committee),
made up of practicing physicians, pharmacists, and nurses to help ensure that our
formulary is medically sound and that it supports patient health. This committee reviews
and evaluates medications on the formulary based on safety and efficacy to help
maintain clinical integrity in all therapeutic categories.
FORMULARY DESIGN
Your formulary has a formulary structure which includes most prescription drugs. The
formulary structure features medications generics (with the lowest co-payments),
preferred and non-preferred brand-name drugs.
• Generic drugs: Most generic drugs are listed under “GENERIC”. Drugs listed
under “GENERIC” have the same active ingredient as the brand-name versions
but at a lower cost.
• Preferred drugs: Drugs listed under “PREFERRED” include preferred brand
name drugs that will generally have lower co-payments than non-preferred
brand name drugs.
• Non-preferred drugs: Drugs listed under “NON PREFERRED” generally have
higher co-payments than preferred brand name drugs.
USING THIS FORMULARY REFERENCE GUIDE TO HELP
CONTAIN COSTS
Many health plans use the formulary to help manage the overall cost of providing
prescription drug benefits. This formulary offers a wide range of medications from which
to choose. We realize that this formulary reference guide may not include every drug
from every manufacturer. However, choosing a generic or preferred drug when it is
appropriate can provide access to the necessary medications to stay healthy, at a
cost that is more affordable.
Select-National-Advantage Formulary Reference Guide
SAVING ON OUT-OF-POCKET COSTS
Your health plan sets the co-payments for each formulary drug status which include
generic, preferred brand-name, and non-preferred brand-name medications. Health
plans often design prescription drug plans to encourage the use of generic and
preferred brand-name drugs. Choosing non-preferred drugs may mean paying higher
out-of-pocket expenses (such as coinsurance, co-payments, and deductible amounts)
or not receiving coverage at all. Patients may also pay less for generic drugs, or they
may be asked to pay the cost difference between brand-name drugs and their generic
alternatives.
PLEASE NOTE: Brand-name drugs may move to non-preferred status if a generic
version becomes available.
CONSULTING THE PRESCRIBER’S OFFICE WHEN
APPROPRIATE
When employers and other health plans design their prescription drug plans, they may
choose to provide coverage only for certain medications, time periods, doses,
quantities, or for a specific indications (e.g. they may exclude coverage for medications
for unapproved, unproven, or cosmetic indications). When coverage for medications is
provided based on use or quantity, your pharmacy benefit may contact your prescriber’s
office for additional information to determine whether coverage is available under your
plan. Patients who are unsure whether these coverage rules apply for a particular
medication can consult their prescription drug benefit manual or contact a Member
Services representative to determine specific coverage requirements.
KNOWING HOW THE FORMULARY INFORMATION IS
ORGANIZED
The following formulary reference guide is designed so that generic products are listed
first in each drug category. The preferred brand name products are listed next, and nonpreferred brand products are listed last.
*Formulary Disclaimer: Coverage for some drugs may be limited to specific dosage forms and/or strengths. The benefit design determines what is
covered and the applicable co-payment. The medications listed on this formulary are subject to change pursuant to the formulary management
activities of HealthSmart Rx. The presence of a medication on this formulary list does not guarantee coverage. To determine the most up-to-date
formulary status of your medication, please visit your member website or call member services at the number listed on your ID card.
Table of Contents
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
FOURTH GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
AMEBICIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTICS, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIBIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTINEOPLASTIC ENZYMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANGIOGENESIS INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ANTIBODIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
TOPOISOMERASE I INHIBITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
RADIOPHARMACEUTICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CELLULAR IMMUNOTHERAPY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CHEMOTHERAPY ADJUNCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
ANTINEOPLASTIC COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
PHOSPHODIESTERASE INHBTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANALGESICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIHISTAMINES-TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
ANTIPRURITICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CALCITONINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
RANK LIGAND INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CALCIUM REGULATORS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
HORMONE RECEPTOR MDLTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GHRH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
CORTICOTROPIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PROGESTERONE ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTACIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
HEMATOLOGICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
HEMOSTATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
ARTIFICIAL TEAR/LUBRICANT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
OXYTOCICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
MEDICAL DEVICES - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
cefuroxime sodium
PREFERRED
Cefaclor
NON PREFERRED
January 2016 Cefaclor ER
Cefotetan
ANTI-INFECTIVES Cefotetan/Dextrose
Cefoxitin Sodium PENICILLINS
Ceftin GENERIC
Cefuroxime Sodium amoxicillin
Cefuroxime/Dextrose amoxicillin/clavulanate potassium
Mefoxin amoxicillin/clavulanate potassium ER
Zinacef ampicillin
THIRD GENERATIONampicillin sodium
GENERICampicillin-sulbactam
cefdinir dicloxacillin sodium
cefixime nafcillin sodium
cefotaxime sodium oxacillin sodium
cefpodoxime proxetil penicillin v potassium
ceftazidime penicillin G potassium
ceftriaxone sodium piperacillin sodium/ tazobactam sodium
NON PREFERRED piperacillin sodium/tazobactam sodium
Cedax piperacillin/tazobactam
Cefditoren Pivoxil PREFERRED
Ceftazidime/Dextrose Amoxicillin
Ceftibuten Ampicillin
Ceftriaxone IN Iso-osmotic Dextrose NON PREFERRED
Ceftriaxone Sodium Amoxicillin ER
Ceftriaxone/Dextrose Ampicillin Sodium
Claforan Ampicillin-sulbactam
Claforan/D5W Augmentin
Fortaz Augmentin ES-600
Rocephin Augmentin XR
Spectracef Bactocill IN Dextrose
Suprax Bicillin C-R
Tazicef Bicillin L-a
FOURTH GENERATIONMoxatag
GENERICNafcillin Sodium
cefepime Nallpen Iso-osmotic IN Dextrose
NON PREFERRED Nallpen/Dextrose
Cefepime Penicillin G Potassium IN Iso-osmotic Dextrose
Maxipime Penicillin G Procaine
Penicillin G Sodium
MACROLIDESPfizerpen-G
GENERICTimentin
azithromycin Unasyn
clarithromycin Unasyn Bulk Pack
clarithromycin ER Zosyn
erythromycin
PREFERREDCEPHALOSPORIN
E.e.s. 400FIRST GENERATION
Erythromycin BaseGENERIC
Erythromycin Ethylsuccinatecefadroxil
NON PREFERREDcefazolin sodium
Azithromycincephalexin
BiaxinPREFERRED
Biaxin XLCephalexin
Biaxin XL PACNON PREFERRED
DificidAncef
E.e.s. GranulesCefazolin Sodium
Ery-TABCefazolin Sodium/Dextrose
Eryped 200Keflex
Eryped 400SECOND GENERATION
Erythrocin LactobionateGENERIC
Erythrocin Stearatecefaclor
PCEcefoxitin sodium
Zithromaxcefprozil
Zithromax Tri-PAKcefuroxime axetil
Zithromax Z-PAK
Effective January 1, 2016 v.1
1
Zmax PREFERRED
Bethkis
TETRACYCLINES NON PREFERRED
Gentamicin Sulfate/0.9% Sodium Chloride GENERIC
Isotonic Gentamicin demeclocycline HCL
Kitabis PAK doxycycline
Streptomycin Sulfate doxycycline hyclate
Tobi doxycycline hyclate DR
Tobi Podhaler doxycycline monohydrate
Tobramycin Sulfate/Sodium Chloride minocycline HCL
minocycline HCL ER
SULFONAMIDESTetracycline HCL
NON PREFERRED PREFERRED
Acticlate Sulfadiazine
Adoxa
Adoxa PAK 1/100 ANTIMYCOBACTERIAL AGENTS
Adoxa PAK 1/150 GENERIC
Adoxa PAK 2/100 ethambutol HCL
Alodox Convenience Kit isoniazid
Avidoxy DK pyrazinamide
Doryx rifabutin
Minocin rifampin
Minocin Kit NON PREFERRED
Monodox Capastat Sulfate
Morgidox 1X100MG Cycloserine
Morgidox 2X100MG Isoniazid
Nicazeldoxy 30 Kit Myambutol
Nicazeldoxy 60 Kit Mycobutin
Nutridox Paser
Ocudox Priftin
Solodyn Rifadin
Targadox Rifamate
Vibramycin Rifater
Sirturo
QUINOLONES Trecator
GENERIC
ciprofloxacin ANTIFUNGALS
ciprofloxacin ER GENERIC
ciprofloxacin HCL fluconazole
ciprofloxacin I.V.-IN D5W fluconazole IN dextrose
levofloxacin fluconazole IN NACL
levofloxacin IN D5W flucytosine
moxifloxacin HCL griseofulvin microsize
ofloxacin griseofulvin ultramicrosize
Ciprofloxacin HCL itraconazole
Ofloxacin ketoconazole
NON PREFERRED nystatin
Avelox terbinafine HCL
Avelox Abc Pack voriconazole
Cipro NON PREFERRED
Cipro I.V.-IN D5W Abelcet
Cipro XR Ambisome
Factive Amphotec
Levaquin Amphotericin B
Moxifloxacin HCL Ancobon
Noroxin Cancidas
Cresemba
AMINOGLYCOSIDES Diflucan
GENERIC Eraxis
amikacin sulfate Fluconazole IN NACL
gentamicin sulfate Grifulvin V
gentamicin sulfate pediatric Gris-peg
gentamicin sulfate/0.9% sodium chloride Lamisil
isotonic gentamicin Mycamine
neomycin sulfate Noxafil
paromomycin sulfate Onmel
tobramycin Sporanox
tobramycin sulfate Sporanox Pulsepak
Terbinex
Effective January 1, 2016
2
Vfend Daklinza
Vfend IV Epivir
Epivir HBV
ANTIVIRALS Famvir
Flumadine GENERIC
Foscavir abacavir
Hepsera abacavir sulfate/lamivudine/zidovudine
Infergen acyclovir
Moderiba acyclovir sodium
Moderiba 1200 Dose Pack adefovir dipivoxil
Moderiba 800 Dose Pack cidofovir
Olysio didanosine
Peg-intron entecavir
Peg-intron Redipen famciclovir
Peg-intron Redipen PAK 4 ganciclovir
Pegintron lamivudine
Rapivab lamivudine/zidovudine
Rebetol nevirapine
Relenza Diskhaler nevirapine ER
Retrovir ribavirin
Ribasphere rimantadine HCL
Ribasphere Ribapak stavudine
Rimantalist valacyclovir HCL
Sitavig valganciclovir
Tamiflu zidovudine
Technivie PREFERRED
Trizivir Aptivus
Tyzeka Atripla
Valcyte Complera
Valtrex Crixivan
Victrelis Edurant
Videx EC Emtriva
Viekira PAK Epzicom
Viramune Evotaz
Viramune XR Fuzeon
Virazole Harvoni
Vistide Intelence
Zerit Invirase
Ziagen Isentress
Zovirax Kaletra
Lexiva
ANTIMALARIALSNevirapine
Norvir GENERIC
Pegasys atovaquone/proguanil HCL
Pegasys Proclick chloroquine phosphate
Prezcobix hydroxychloroquine sulfate
Prezista mefloquine HCL
Rescriptor quinine sulfate
Retrovir IV Infusion Primaquine Phosphate
Reyataz PREFERRED
Ribatab Daraprim
Selzentry NON PREFERRED
Sovaldi Aralen
Stribild Coartem
Sustiva Malarone
Tivicay Plaquenil
Triumeq Qualaquin
Truvada
Tybost AMEBICIDES
Videx Pediatric PREFERRED
Viracept Yodoxin
Viread
Vitekta ANTHELMINTICS
NON PREFERRED GENERIC
Acyclovir Sodium ivermectin
Baraclude PREFERRED
Combivir Biltricide
Copegus NON PREFERRED
Cytovene Albenza
Effective January 1, 2016
3
Stromectol Synercid
Tindamax
MISC. ANTI-INFECTIVES Tygacil
Vancocin HCL GENERIC
Vancomycin HCL atovaquone
Vancomycin HCL + Syrspendsf PH4 aztreonam
Vancomycin HCL IN Dextrose bacitracin
Vibativ clindamycin palmitate HCL
Xifaxan clindamycin phosphate
Zerbaxa clindamycin phosphate add-vantage
Zyvox clindamycin phosphate pharmacy bulk package
clindamycin phosphate IN D5W
ANTINEOPLASTICS, ETCclindamycin HCL
colistimethate sodium ALKYLATING AGENTS
imipenem/cilastatin GENERIC
linezolid carboplatin
meropenem cisplatin
metronidazole cyclophosphamide
metronidazole IN NACL 0.79% ifosfamide
polymyxin b sulfate melphalan hydrochloride
sulfamethoxazole/trimethoprim oxaliplatin
sulfamethoxazole/trimethoprim DS temozolomide
tinidazole Lomustine
trimethoprim PREFERRED
vancomycin HCL Alkeran
Dapsone Bicnu
PREFERRED Busulfex
Alinia Hexalen
Nebupent Leukeran
NON PREFERRED Mustargen
Avycaz Myleran
Azactam Treanda
Azactam IN Iso-osmotic Dextrose Zanosar
Bacitracin NON PREFERRED
Bactrim Cisplatin
Bactrim DS Cyclophosphamide
Cayston Eloxatin
Chloramphenicol Sodium Succinate Gleostine
Cleocin Gliadel Wafer
Cleocin IN D5W Ifex
Cleocin Pediatric Granules Ifosfamide
Cleocin Phosphate Temodar
Clin Single Use Kit Thiotepa
Clin-lido Valchlor
Clindamycin Phosphate
Coly-mycin M ANTIBIOTICS
Cubicin GENERIC
Dalvance bleomycin sulfate
Doribax daunorubicin HCL
First-vancomycin 25 doxorubicin HCL
First-vancomycin 50 doxorubicin HCL liposome
Flagyl epirubicin HCL
Flagyl ER idarubicin HCL
Invanz mitomycin
Ketek mitoxantrone HCL
Lincocin Doxorubicin HCL
Lincomycin/Lidocaine Mitomycin
Mepron PREFERRED
Meropenem/Sodium Chloride Daunoxome
Merrem NON PREFERRED
Metro IV Adriamycin
Neutrexin Cosmegen
Orbactiv Doxil
Pentam 300 Ellence
Primaxin IV Epirubicin HCL
Primaxin IV Add-vantage Idamycin PFS
Primsol
Sivextro ANTINEOPLASTIC ENZYMES Sulfamethoxazole/Trimethoprim
Effective January 1, 2016
4
PREFERRED GENERIC
Oncaspar anastrozole
NON PREFERRED bicalutamide
Erwinaze exemestane
flutamide
ANTIMETABOLITES letrozole
leuprolide acetate GENERIC
megestrol acetate azacitidine
tamoxifen citrate capecitabine
PREFERREDcladribine
Eligard cytarabine
Emcyt cytarabine aqueous
Fareston decitabine
Faslodex floxuridine
Lupron Depot fludarabine phosphate
Lysodren fluorouracil
Nilandron gemcitabine HCL
Zoladex mercaptopurine
NON PREFERRED methotrexate
Arimidex methotrexate sodium
Aromasin Floxuridine
Casodex PREFERRED
Depo-provera Alimta
Femara Arranon
Firmagon Clolar
Megace Oral Folotyn
Soltamox Tabloid
Trelstar NON PREFERRED
Trelstar Mixject Cytarabine
Vantas Dacogen
Xtandi Fludara
Zytiga Fludarabine Phosphate
Gemcitabine
IMMUNOMODULATORSGemzar
Purinethol GENERIC
Purixan azathioprine
Trexall cyclosporine
Vidaza cyclosporine modified
Xeloda mycophenolate mofetil
mycophenolic acid DR
ANGIOGENESIS INHIBITORS sirolimus
tacrolimus PREFERRED
PREFERREDAvastin
Atgam Zaltrap
Cellcept Intravenous NON PREFERRED
Cyclosporine Modified Cyramza
Thalomid
NON PREFERRED ANTIBODIES
Astagraf XL PREFERRED
Azasan Adcetris
Cellcept Arzerra
Envarsus XR Bexxar
Imuran Erbitux
Myfortic Herceptin
Neoral Perjeta
Nulojix Yervoy
Pomalyst NON PREFERRED
Prograf Blincyto
Rapamune Gazyva
Revlimid Kadcyla
Sandimmune Keytruda
Simulect Opdivo
Thymoglobulin Rituxan
Zortress Unituxin
Vectibix
MITOTIC INHIBITORSZevalin Y-90
GENERIC
docetaxel HORMONAL AGENTS
etoposide
Effective January 1, 2016
5
paclitaxel Hycamtin
vincristine sulfate Irinotecan
vinorelbine tartrate Topotecan HCL
Docetaxel
PREFERRED RADIOPHARMACEUTICALS
Abraxane PREFERRED
Etoposide Bexxar 131 Iodine
Halaven Xofigo
Ixempra Kit NON PREFERRED
Jevtana Metastron
NON PREFERRED
Quadramet
Docefrez
Etopophos CELLULAR IMMUNOTHERAPY
Marqibo PREFERRED
Navelbine Provenge
Paclitaxel
Taxotere ANTINEOPLASTICS MISC.
Teniposide GENERIC
Vinblastine Sulfate bexarotene
dacarbazine
ENZYME INHIBITORS hydroxyurea
PREFERRED
tretinoin
Afinitor PREFERRED
Caprelsa Actimmune
Gleevec Alferon N
Istodax Matulane
Jakafi Proleukin
Kyprolis Theracys
Mekinist Tice Bcg
Nexavar Trisenox
Tafinlar NON PREFERRED
Tasigna Dacarbazine
Torisel Hydrea
Tykerb Intron A
Velcade Intron A W/Diluent
Xalkori Nipent
Zolinza Photofrin
NON PREFERRED
Sylatron
Afinitor Disperz Synribo
Beleodaq Targretin
Bosulif Uvadex
Cometriq
Farydak CHEMOTHERAPY RESCUE
Gilotrif GENERIC
Ibrance amifostine
Iclusig dexrazoxane
Imbruvica leucovorin calcium
Inlyta mesna
Iressa Levoleucovorin Calcium
Lenvima 10MG Daily Dose PREFERRED
Lenvima 14MG Daily Dose Leucovorin Calcium
Lenvima 20MG Daily Dose NON PREFERRED
Lenvima 24MG Daily Dose Calcium Folinate
Lynparza Ethyol
Sprycel Fusilev
Stivarga Mesnex
Sutent Totect
Tarceva Voraxaze
Votrient Zinecard
Zelboraf
Zydelig CHEMOTHERAPY ADJUNCTS Zykadia PREFERRED
Kepivance
TOPOISOMERASE I INHIBITOR NON PREFERRED
GENERIC Elitek
irinotecan
topotecan HCL ANTINEOPLASTIC COMBO
NON PREFERRED NON PREFERRED
Camptosar Lonsurf
Effective January 1, 2016
6
CARDIOVASCULAR DRUGS Coreg CR
Corgard PHOSPHODIESTERASE INHBTR
Hemangeol GENERIC
Hypertenevide-12.5 milrinone lactate
Inderal LA milrinone IN dextrose
Inderal XL
Innopran XL CARDIAC GLYCOSIDES Kerlone GENERIC
Levatol digoxin
Lopressor PREFERRED
Sectral Lanoxin
Sotalol Hydrochloride NON PREFERRED
Sotylize Digoxin
Tenormin Lanoxin Pediatric
Toprol XL
Trandate ANTIANGINAL AGENTS Zebeta GENERIC
isosorbide dinitrate CALCIUM CHANNEL BLOCKERS isosorbide mononitrate
GENERICisosorbide mononitrate ER
amlodipine besylate nitroglycerin lingual
diltiazem CD nitroglycerin transdermal
diltiazem HCL nitroglycerin ER
diltiazem HCL ER nitroglycerin IN dextrose 5%
felodipine ER nitroglycerin IN 5% dextrose
isradipine Isosorbide Dinitrate
nicardipine HCL Nitroglycerin Lingual
nifedipine PREFERRED
nifedipine ER Dilatrate SR
nimodipine Isosorbide Dinitrate ER
nisoldipine Nitro-bid
verapamil HCL Nitro-dur
verapamil HCL ER Nitrostat
verapamil HCL SR Ranexa
Verapamil HCL NON PREFERRED
NON PREFERRED Imdur
Adalat CC Isordil Titradose
Calan Nitroglycerin
Calan SR Nitroglycerin IN Dextrose 5%
Cardene I.v. Nitrolingual Pumpspray
Cardene IV Nitromist
Cardene SR Nitronal
Cardizem
Cardizem CD BETA BLOCKERS Cardizem LA GENERIC Cleviprex acebutolol HCL Dilacor XR atenolol Diltiazem HCL betaxolol HCL Hypertenipine-2.5 bisoprolol fumarate Nisoldipine carvedilol Nisoldipine ER esmolol HCL Norvasc labetalol HCL Nymalize metoprolol succinate ER Procardia metoprolol tartrate Procardia XL nadolol Sular pindolol Tiazac propranolol HCL Verelan propranolol HCL ER Verelan PM sotalol HCL
sotalol HCL (AF) ANTIARRHYTHMICSPREFERRED
GENERICBystolic
adenosine Propranolol HCL
amiodarone HCL Timolol Maleate
disopyramide phosphate NON PREFERRED
flecainide acetate Betapace
ibutilide fumarate Betapace AF
lidocaine HCL Brevibloc
lidocaine HCL IN D5W Coreg
Effective January 1, 2016
7
lidocaine HCL/dextrose Teveten
mexiletine HCL
propafenone HCL DIRECT RENIN INHIBITORS
propafenone HCL ER PREFERRED
quinidine gluconate CR Tekturna
quinidine gluconate ER
quinidine sulfate ANTIHYPERTENSIVES MISC.
Quinidine Sulfate GENERIC
PREFERRED clonidine HCL
Norpace CR doxazosin
Quinidine Sulfate ER doxazosin mesylate
NON PREFERRED eplerenone
Adenocard fenoldopam mesylate
Amiodarone HCL guanfacine HCL
Cordarone hydralazine HCL
Corvert methyldopa
Lidocaine HCL minoxidil
Multaq phenoxybenzamine hydrochloride
Nexterone prazosin HCL
Norpace terazosin HCL
Procainamide HCL PREFERRED
Quinidine Gluconate Reserpine
Rythmol NON PREFERRED
Rythmol SR Cardura
Tikosyn Catapres
Xylocaine Catapres-tts-1
Catapres-tts-2
ACE INHIBITORS Catapres-tts-3
GENERIC Corlopam
benazepril HCL Demser
captopril Dibenzyline
enalapril maleate Inspra
enalaprilat Methyldopate HCL
fosinopril sodium Minipress
lisinopril Nitropress
moexipril HCL Phentolamine Mesylate
perindopril erbumine Tenex
quinapril HCL Vecamyl
ramipril
trandolapril ANTIHYPERTENSIVE COMBO
NON PREFERRED GENERIC
Accupril amlodipine besylate/benazepril hydrochloride
Aceon amlodipine besylate/benazepril HCL
Altace amlodipine besylate/valsartan
Epaned amlodipine/valsartan/hctz
Lotensin atenolol/chlorthalidone
Mavik benazepril HCL/hydrochlorothiazide
Prinivil bisoprolol fumarate/hydrochlorothiazide
Univasc candesartan cilexetil/hydrochlorothiazide
Vasotec enalapril maleate/hydrochlorothiazide
Zestril fosinopril sodium/hydrochlorothiazide
irbesartan/hydrochlorothiazide
ANGIOTENSIN RCPTR BLOCKER lisinopril/hydrochlorothiazide
GENERIC losartan potassium/hydrochlorothiazide
candesartan cilexetil metoprolol/hydrochlorothiazide
irbesartan moexipril/hydrochlorothiazide
losartan potassium nadolol/bendroflumethiazide
telmisartan quinapril/hydrochlorothiazide
valsartan telmisartan/amlodipine
Eprosartan Mesylate telmisartan/hydrochloroth
PREFERRED telmisartan/hydrochlorothiazide
Benicar trandolapril/verapamil HCL
NON PREFERRED trandolapril/verapamil HCL ER
Atacand valsartan/hydrochlorothiazide
Avapro PREFERRED
Cozaar Azor
Diovan Benicar HCT
Edarbi Captopril/Hydrochlorothiazide
Micardis Dutoprol
Effective January 1, 2016
8
Methyldopa/Hydrochlorothiazide Dyazide
Propranolol/Hydrochlorothiazide Dyrenium
Tekturna HCT Edecrin
Tribenzor Ethacrynate Sodium
NON PREFERRED Keveyis
Accuretic Lasix
Amturnide Maxzide
Atacand HCT Maxzide-25
Avalide Microzide
Clorpres Neptazane
Corzide Sodium Diuril
Diovan HCT Sodium Edecrin
Edarbyclor Torsemide
Exforge Zaroxolyn
Exforge HCT
Hypertensolol VASOPRESSORS
Hyzaar GENERIC
Lopressor HCT dobutamine HCL
Lotensin HCT dobutamine HCL/D5W
Lotrel dobutamine/dextrose 5%
Lytensopril Kit dopamine HCL
Lytensopril-90 dopamine HCL-dextrose 5%
Lytensopril-90 Kit dopamine HCL/dextrose 5%
Micardis HCT dopamine/D5W
Prestalia ephedrine sulfate
Tarka midodrine HCL
Tekamlo norepinephrine bitartrate
Tenoretic 100 phenylephrine HCL
Tenoretic 50 PREFERRED
Teveten HCT Epipen 2-PAK
Twynsta Epipen-JR 2-PAK
Uniretic NON PREFERRED
Vaseretic Adrenaclick
Zestoretic Adrenalin
Ziac Auvi-q
Dobutamine/Dextrose 5%
DIURETICS Dopamine HCL
GENERIC Ephedrine Sulfate/Sodium Chloride
acetazolamide Epinephrine
acetazolamide sodium Epinephrine HCL
acetazolamide ER Episnap
amiloride HCL Levophed
amiloride/hydrochlorothiazide Northera
bumetanide Phenylephrine HCL
chlorothiazide Phenylephrine HCL/Sodium Chloride
chlorothiazide sodium Vazculep
furosemide
hydrochlorothiazide ANTIHYPERLIPIDEMICS
indapamide GENERIC
mannitol atorvastatin calcium
methazolamide cholestyramine
metolazone cholestyramine light
spironolactone colestipol HCL
spironolactone/hydrochlorothiazide colestipol HCL for oral suspension
torsemide fenofibrate
triamterene/hydrochlorothiazide fenofibrate micronized
Acetazolamide fenofibric acid DR
Chlorothiazide fluvastatin
Chlorthalidone fluvastatin sodium ER
Triamterene/Hydrochlorothiazide gemfibrozil
PREFERRED lovastatin
Furosemide niacin ER
Methyclothiazide omega-3-acid ethyl esters
NON PREFERRED pravastatin sodium
Aldactazide simvastatin
Aldactone Fenofibric Acid
Demadex PREFERRED
Diamox Crestor
Diuril Fibricor
Effective January 1, 2016
9
Lipofen Tyvaso Refill
Niacor Tyvaso Starter
Simcor Ventavis
Vascepa Viagra
Vytorin
Welchol DERMATOLOGICALS
NON PREFERRED ACNE PRODUCTS
Advicor GENERIC
Altoprev adapalene
Antara benzoyl peroxide
Colestid benzoyl peroxide SHORT contact
Colestid Flavored clindamycin phosphate
Fenofibrate clindamycin/benzoyl peroxide
Fenoglide erythromycin
Juxtapid erythromycin/benzoyl peroxide
Kynamro sodium sulfacetamide
Lescol sodium sulfacetamide/sulfur
Lescol XL sodium sulfacetamide/sulfur cleanser
Lipitor sodium sulfacetamide/sulfur cleansing cloths
Livalo sodium sulfacetamide/sulfur green
Lofibra sodium sulfacetamide/sulfur w/sunscreen
Lopid sodium sulfacetamide/sulfur wash
Lovaza sulfacetamide sodium
Mevacor sulfacetamide sodium/sulfur cleanser
Niaspan tretinoin
Omega-3/D-3 Wellness Pack tretinoin microsphere
Praluent tretinoin microsphere P.M.
Pravachol PREFERRED
Questran Benzamycinpak
Questran Light Clindagel
Repatha Retinoic Acid
Repatha Sureclick Retinoic Acid-all Trans
Tricor Tretinoin
Triglide Tretinoin (all-trans Retinoic Acid)
Trilipix NON PREFERRED
Zetia Absorica
Zocor Acanya
Aczone
CARDIOVASCULAR - MISC. Adapalene
GENERIC Akne-mycin
amlodipine besylate/atorvastatin calcium Atralin
epoprostenol sodium Avar
papaverine HCL Avar LS
sildenafil Avar LS Cleanser
sildenafil citrate Avar-e LS
PREFERRED Azelex
Adempas Benzac Ac Wash
Cialis Benzac W Wash
Isoxsuprine HCL Benzaclin
Letairis Benzaclin With P.M.
Opsumit Benzamycin
Remodulin Benzefoam
Stendra Benzefoamultra
Tracleer Benziq
Veletri Benziq LS
NON PREFERRED Clarifoam EF
Adcirca Cleocin-t
Bidil Clindacin Etz
Caduet Clindacin PAC
Corlanor Clindap-t
Entresto Clinoin
Flolan Dermapak Plus
Levitra Differin
Muse Duac
Natrecor Epiduo
Orenitram Epiduo Forte
Revatio Erygel
Staxyn Evoclin
Tyvaso Fabior
Effective January 1, 2016
10
Inova Neo-synalar
Inova 4/1 Acne Control Therapy Neo-synalar Kit
Inova 8/2 Acne Control Therapy
Klaron ANTIFUNGALS - TOPICAL
Neuac Kit GENERIC
Nuox ciclopirox
Onexton ciclopirox nail lacquer
Plexion ciclopirox olamine
Plexion Cleanser clotrimazole
Plexion Cleansing Cloths clotrimazole/betamethasone dipropionate
Prascion Ra With Sunscreens econazole nitrate
Retin-a ketoconazole
Retin-a Micro naftifine HCL
Retin-a Micro P.M. nystatin
Riax nystatin/triamcinolone
Rosanil PREFERRED
Rosula Exoderm
Sodium Sulfacetamide/Sulfur NON PREFERRED
Sodium Sulfacetamide/Sulfur Cleanser IN Urea Ciclodan Cream Kit
Sodium Sulfacetamide/Sulfur IN Urea Ciclodan Solution Kit
Sulfoam Ciclopirox Topical Solution Kit
Sumadan Kit Cnl8 Nail Kit
Sumadan Wash Ecoza
Sumadan XLT Ertaczo
Sumaxin Exelderm
Sumaxin CP Kit Extina
Sumaxin Ts Halotin
Sumaxin Wash Jublia
Tretin-x Kerydin
Triseon Ketodan Kit
Vanoxide-HC Lamisil Spray
Veltin Loprox
Zacare 4% Kit Loprox Shampoo
Zacare 8% Kit Lotrisone
Ziana Luzu
Mentax
ROSACEA AGENTS Naftin
GENERIC Nizoral
metronidazole Oxistat
Doxycycline Pediaderm AF Complete Kit
PREFERRED Pedipirox-4 Nail
Finacea Penlac Nail Lacquer
NON PREFERRED Vusion
Metrocream Xolegel
Metrogel Xolegel Corepak
Metrolotion Xolegel Duo/Head & Shoulders
Mirvaso Xolegel Duo/Xolex
Noritate
Oracea ANTIVIRALS - TOPICAL
Rosadan Kit GENERIC
Soolantra acyclovir
NON PREFERRED
ANALGESICS - TOPICAL Denavir
NON PREFERRED Lidovir
A.a.g.c. Kit IN Teroderm Xerese
Baclofen Zovirax
Equipto-baclofen
ANTIHISTAMINES-TOPICAL
ANTIBIOTICS - TOPICAL NON PREFERRED
GENERIC Allo-pax
mupirocin Nazirex
mupirocin calcium
PREFERRED ANTI-INFLAMMATORY AGENTS
Gentamicin Sulfate GENERIC
NON PREFERRED diclofenac sodium
Altabax PREFERRED
Bactroban Voltaren
Centany AT NON PREFERRED
Cortisporin Dermacinrx Lexitral Pharmapak
Effective January 1, 2016
11
Dipentocaine betamethasone valerate
Emvoren calcipotriene/betamethasone dipropionate
Equipto-naproxen clobetasol propionate
Extardol clobetasol propionate emollient
Flector desonide
Innoprax-5 desoximetasone
K.b.g.l. IN Teroderm Cream fluocinolone acetonide
Ketorolac 2% Gel fluocinonide
Lidoprofen fluocinonide-e
Novoclair fluticasone propionate
Nuvya halobetasol propionate
Pennsaid hydrocortisone
Vopac hydrocortisone acetate/aloe
Vopac GB hydrocortisone butyrate
Vopac Kt hydrocortisone butyrate (lipid)
Zyvodol hydrocortisone butyrate (lipophilic)
hydrocortisone valerate
ANTIPRURITICS hydrocortisone IN absorbase
mometasone furoate NON PREFERRED
prednicarbate Prudoxin
triamcinolone acetonide Zonalon
Amcinonide
Desoximetasone ANTIPSORIATICS
Diflorasone Diacetate GENERIC
PREFERREDacitretin
Pramosone calcipotriene
Triamcinolone Acetonide methoxsalen
NON PREFERRED Calcitriol
Aclovate PREFERRED
Advanced Allergy Collection Kit Anthralin
Ala Scalp Dritho-creme HP
Capex Stelara
Carmol-HC Vectical
Clobex NON PREFERRED
Clocortolone Pivalate Cosentyx
Clocortolone Pivalate P.M. Cosentyx Sensoready Pen
Clodan Kit Dovonex
Cloderm Oxsoralen Ultra
Cloderm P.M. Soriatane
Cordran Sorilux
Cordran Tape Tazorac
Cortalo Zithranol
Cutivate Zithranol-rr
Derma Silkrx Sds PAK 8-mop
Derma-smoothe/FS Body
Derma-smoothe/FS Scalp ANTISEBORRHEIC AGENTS
Dermasorb HC GENERIC
Dermasorb Ta selenium sulfide
Dermatop sodium sulfacetamide
Desonate sodium sulfacetamide wash
Desowen PREFERRED
Desowen Cream/Cetaphil Lotion Seb-prev
Desowen Lotion/Cetaphil Cream NON PREFERRED
Desowen Ointment/Cetaphil Lotion Glycolic Acid
Diprolene Glycolic Acid 70% High Purity
Diprolene AF Ovace Plus
Elocon Ovace Plus Wash
Epifoam Ovace Wash
First-hydrocortisone Promiseb
Halog Promiseb Complete
Halonate Selrx
Kenalog Tersi Foam
Locoid TL Triseb
Locoid Lipocream
Luxiq CORTICOSTEROIDS - TOPICAL Nucort GENERIC
Nuzon alclometasone dipropionate
Olux augmented betamethasone dipropionate
Olux-e betamethasone dipropionate
Pandel
Effective January 1, 2016
12
Pediaderm HC Aurstat Anti-itch Hydrogel Kit
Pediaderm Ta Benzoin Compound Tincture
Scalacort DK Benzoin Tincture
Synalar Boric Acid
Synalar Cream Kit Capsiderm
Synalar Ointment Kit Clever Choice Comfort EZ Patch
Synalar Ts Coal TAR
Taclonex Cocaine HCL
Temovate Condylox
Temovate E Copasil
Texacort Dermacinrx Duopatch Pharmapak
Topicort Dermacinrx Neurotral Pharmapak
Triamsil Combipak Dermacinrx Surgical Pharmapak
Trianex Dermasorb XM
Triderma Forte Eletone
Ultravate Eletone Twinpack
Ultravate PAC Elimite
Ultravate X Emla
Validerm Emulsion SB
Vanos Epiceram
Verdeso Ethyl Chloride
Westcort Ethyl Chloride/Fine Pinpoint
Ethyl Chloride/Fine Stream
IMMUNOMODULATING AGENTS Ethyl Chloride/Medium Jet Stream
Ethyl Chloride/Medium Stream
GENERIC
Ethyl Chloride/Mist imiquimod
Gebauers Pain Ease tacrolimus
Gebauers Spray And Stretch PREFERRED
Genadur
Elidel
Genadur Kit
NON PREFERRED
Gordofilm
Aldara
Gordons Urea Protopic
Hydro 35
Zyclara
Hydro 40 Foam Zyclara P.M.
Hylatopic
Hylatopic Plus DERMATOLOGICALS - MISC.
Hylira GENERIC
HPR ammonium lactate
HPR Plus episone CRE
HPR Plus Hydrogel Kit lactic acid
HPR Plus/Mb Hydrogel lactic acid e
Kerafoam lactic acid w/vitamin e
Kerafoam 42 lidocaine
Keralac lidocaine HCL
Keralyt lidocaine HCL jelly
Keralyt Scalp lidocaine/prilocaine
Lac-hydrin lindane
Latrix XM malathion
Ldo Plus permethrin
Lidocaine And Tetracaine Cream podofilox
Lidocaine HCL salicylic acid
Lidoderm salicylic acid cream
Lidothol salicylic acid lotion
Lycelle sodium hyaluronate
Mb Hydrogel urea
Medi-derm/L-RX urea topical
Megrix urea IN zinc undecylenate/lactic acid vehicle
Natroba urea 40% nail film
Neosalus PREFERRED
Neosalus CP Drysol
Neuvaxin Eurax
Nivatopic Plus NON PREFERRED
Nuvail Acuicyn Daily Eyelid & Eyelash Cleanser
Ovide Alevicyn Antipruritic SG
Oxsoralen Aluvea
Pharmacist Choice Tsx Patch Anacaine
Pliaglis Arnica Flower
Pr Cream Atopiclair
Presera Aurstat Anti-itch Hydrogel
Pruclair
Effective January 1, 2016
13
Prumyx Beta Inject Kit
Pyrogallic Acid Betalido
Qutenza Betamethasone SP
Relyyks Celestone-soluspan
Relyyt Cortef
Salex Depo-medrol
Salex Cream Dexamethasone Intensol
Salex Lotion Dexlido
Salicylic Acid Dexlido-m
Salicylic Acid IN Ammonium Lactate Vehicle Dexpak 10 Day
Salkera Dexpak 13 Day
Salvax Dexpak 6 Day
Salvax Duo Plus Doubledex
Scar Patch Dyural-l
Sinelee Dyural-lm
Sklice Dyural-40
Solaice Dyural-80
Soothee Entocort EC
Spinosad FLO-pred
Sulfurated Lime Interarticular Joint Kit
Supracil Kenalog-10
Synera Kenalog-40
Tetrix K10-lido
Tropazone K40-lido
Ulesfia LT Injection Kit
Ultrasal-ER Marbeta-l
Umecta Marbeta-25
Umecta Nail Film Mardex-25
Umecta PD Medrol Dosepak
Uramaxin Methylprednisolone
Uramaxin GT Methylprednisolone PF
Uramaxin GT Kit Methylprednisolone/Lidocaine
Utopic Millipred DP
Veregen Mlk F4 Kit
Verrunex Orapred
Vexa Orapred Odt
Virasal Pediapred
Xerac Ac Prednisolone Sodium Phosphate
Xylocaine Pro-c-dure 1 Kit
Pro-c-dure 2 Kit
ENDOCRINE AND METABOLIC Pro-c-dure 3 Kit
Pro-c-dure 4 Kit CORTICOSTEROIDS
Pro-c-dure 5 Kit GENERIC
Pro-c-dure 6 Kit betamethasone sodium phosphate/betamethasone
acetate Rayos
Solu-cortef budesonide
Solu-medrol dexamethasone
Triamcinolone dexamethasone sodium phosphate
Triamcinolone PF fludrocortisone acetate
Triamcinolone/Lidocaine hydrocortisone
Uceris methylprednisolone
Veripred 20 methylprednisolone acetate
methylprednisolone dose pack
ANDROGENS-ANABOLIC methylprednisolone sodiumsuccinate
prednisolone GENERIC
prednisolone sodium phosphate danazol
prednisolone sodium phosphate odt oxandrolone
prednisone testosterone
Dexamethasone Sodium Phosphate testosterone cypionate
PREFERRED testosterone enanthate
Cortisone Acetate Testosterone
Dexamethasone Testosterone P.M.
Medrol PREFERRED
Millipred Androderm
Prednisone Androgel P.M.
Prednisone Intensol Androxy
NON PREFERRED NON PREFERRED
Aristospan Intra-articular Anadrol-50
Aristospan Intralesional Androgel
Effective January 1, 2016
14
Android PREFERRED
Aveed Natazia
Axiron Necon 1/50-28
Depo-testosterone Necon 10/11-28
First-testosterone Norinyl 1+50
First-testosterone Mc Compounding Kit Nuvaring
Fortesta Zovia 1/50e
Natesto NON PREFERRED
Oxandrin Beyaz
Striant Brevicon-28
Testim Cyclessa
Testone Cik Desogen
Testopel Ella
Testred Estrostep FE
Vogelxo Falessa
Vogelxo P.M. Femcon FE
Generess FE
ESTROGENS Loestrin FE 1.5/30
Loestrin FE 1/20 GENERIC
Loestrin 1.5/30-21 estradiol
Loestrin 1/20-21 estradiol valerate
Loseasonique estradiol/norethindrone acetate
LO Loestrin FE estropipate
LO Minastrin FE norethindrone acetate/ethinyl estradiol
Minastrin 24 FE PREFERRED
Mircette Alora
Modicon Climara Pro
Nor-QD Duavee
Norinyl 1+35 Estropipate
Ortho Evra Menest
Ortho Micronor Premphase
Ortho Tri-cyclen Prempro
Ortho Tri-cyclen LO NON PREFERRED
Ortho-cept Activella
Ortho-cyclen Angeliq
Ortho-novum 1/35 Biest/Progesterone
Ortho-novum 7/7/7 Cenestin
Ovcon-35 Climara
Plan B Combipatch
Plan B One-step Delestrogen
Quartette Depo-estradiol
Safyral Divigel
Seasonique Elestrin
Tri-norinyl 28 Enjuvia
Yasmin 28 Estrace
Yaz Estradiol
Estrasorb
PROGESTINSEstrogel
Evamist GENERIC
Femhrt Low Dose medroxyprogesterone acetate
Menostar megestrol acetate
Minivelle norethindrone acetate
Prefest progesterone
Premarin PREFERRED
Vivelle-dot Makena
NON PREFERRED
CONTRACEPTIVES Aygestin
Medroxyprogesterone/Lidocaine GENERIC
Megace ES desogestrel/ethinyl estradiol
Progesterone 10% Kit drospirenone/ethinyl estradiol
Prometrium levonorgestrel
Provera levonorgestrel and ethinyl estradiol
levonorgestrel/ethinyl estradiol
ANTIDIABETIC AGENTSnorethindrone
norethindrone & ethinyl estradiol ferrous fumarate INSULIN
norethindrone acetate/ethinyl estradiol PREFERRED
norethindrone acetate/ethinyl estradiol/ferrous fumarate Humalog
norgestimate/ethinyl estradiol Humalog Kwikpen
Levonorgestrel Humalog Mix 50/50
Humalog Mix 50/50 Kwikpen
Effective January 1, 2016
15
Humalog Mix 75/25 Glumetza
Humalog Mix 75/25 Kwikpen Riomet
Humulin N MEGLITINIDE ANALOGUES
Humulin N Kwikpen GENERIC
Humulin N U-100 Pen nateglinide
Humulin R repaglinide
Humulin R U-500 (concentrated) NON PREFERRED
Humulin 70/30 Prandin
Humulin 70/30 Kwikpen Starlix
Humulin 70/30 Pen DIABETIC OTHER
Lantus PREFERRED
Lantus Solostar Glucagen Hypokit
Levemir Glucagon Emergency Kit
Levemir Flexpen Invokana
Levemir Flextouch Jardiance
Novolin N Proglycem
Novolin N Relion NON PREFERRED
Novolin R Farxiga
Novolin R Relion Korlym
Novolin 70/30 ALPHA-GLUCOSIDASE INHIBIT
Novolin 70/30 Relion GENERIC
Novolog acarbose
Novolog Flexpen NON PREFERRED
Novolog Mix 70/30 Glyset
Novolog Mix 70/30 Prefilled Flexpen Precose
Novolog Penfill DPP-4 INHIBITORS
Toujeo Solostar PREFERRED
NON PREFERRED Januvia
Afrezza Onglyza
Apidra NON PREFERRED
Apidra Solostar Nesina
AMYLIN ANALOGS Tradjenta
NON PREFERRED INSULIN SENSITIZING AGENT
Symlinpen 120 GENERIC
Symlinpen 60 pioglitazone HCL
INCRETIN MIMETIC AGENTS NON PREFERRED
PREFERRED Actos
Bydureon Avandia
Byetta ANTIDIABETIC COMBINATIONS
Victoza GENERIC
NON PREFERRED glipizide/metformin HCL
Tanzeum glyburide/metformin HCL
Trulicity pioglitazone HCL-glimepiride
SULFONYLUREAS pioglitazone HCL/metformin HCL
GENERIC PREFERRED
glimepiride Invokamet
glipizide Janumet
glipizide ER Janumet XR
glyburide Kombiglyze XR
glyburide micronized NON PREFERRED
tolazamide Actoplus Met
Glyburide Actoplus Met XR
PREFERRED Appformin
Chlorpropamide Appformin-d
Diabeta Avandamet
Tolazamide Avandaryl
Tolbutamide Duetact
NON PREFERRED Glucovance
Amaryl Glyxambi
Glucotrol Jentadueto
Glucotrol XL Kazano
Glynase Oseni
BIGUANIDES Prandimet
GENERIC Synjardy
metformin HCL Xigduo XR
metformin HCL ER
NON PREFERRED BISPHOSPHONATES
Fortamet GENERIC
Glucophage alendronate sodium
Glucophage XR
Effective January 1, 2016
16
ibandronate sodium Supprelin LA
pamidronate disodium Synarel
risedronate sodium NON PREFERRED
risedronate sodium DR Lupaneta Pack
zoledronic acid
PREFERRED GNRH/LHRH ANTAGONISTS
Alendronate Sodium PREFERRED
NON PREFERRED Cetrotide
Actonel NON PREFERRED
Atelvia Ganirelix Acetate
Binosto
Boniva GROWTH HORMONES
Etidronate Disodium PREFERRED
Fosamax Nutropin AQ Nuspin 10
Fosamax Plus D Nutropin AQ Nuspin 20
Pamidronate Disodium Nutropin AQ Nuspin 5
Reclast Nutropin AQ Pen
Zoledronic Acid Saizen
Zometa Saizen Click.easy
Serostim
CALCITONINS NON PREFERRED
GENERIC Genotropin
calcitonin salmon Genotropin Miniquick
calcitonin-salmon Humatrope
NON PREFERRED Humatrope Combo Pack
Fortical Norditropin Cartridge
Miacalcin Norditropin Flexpro
Norditropin Nordiflex Pen
PARATHYROID HORMONE Omnitrope
PREFERRED Tev-tropin
Forteo Zomacton
NON PREFERRED Zorbtive
Natpara
GHRH
RANK LIGAND INHIBITORS NON PREFERRED
PREFERRED Egrifta
Prolia
Xgeva SOMATOMEDINS
PREFERRED
CALCIUM REGULATORS - MISC Increlex
NON PREFERRED
Ganite SOMATOSTATIC AGENTS
GENERIC
HORMONE RECEPTOR MDLTR octreotide acetate
GENERIC NON PREFERRED
raloxifene hydrochloride Sandostatin
NON PREFERRED Sandostatin Lar Depot
Evista Signifor
Osphena Signifor Lar
Somatuline Depot
FERTILITY REGULATORS
GH RECEPTOR ANTAGONISTS GENERIC
chorionic gonadotropin NON PREFERRED
clomiphene citrate Somavert
PREFERRED
Follistim AQ POSTERIOR PITUITARY
Gonal-f GENERIC
Gonal-f RFF desmopressin acetate
Gonal-f RFF Pen vasopressin
Gonal-f RFF Rediject NON PREFERRED
NON PREFERRED Ddavp
Bravelle Pitressin Synthetic
Menopur Stimate
Ovidrel Vasostrict
Repronex
CORTICOTROPIN
LHRH/GNRH AGONIST NON PREFERRED
PREFERRED H.p. Acthar
Lupron Depot-PED
Effective January 1, 2016
17
PROLACTIN INHIBITORS GASTROINTESTINAL
GENERIC LAXATIVES
cabergoline GENERIC
lactulose
VASOPRESSIN ANTAGONISTS peg 3350/electrolytes
PREFERRED peg-3350/electrolytes
Samsca peg-3350/NACL/NA bicarbonate/KCL
NON PREFERRED polyethylene glycol 3350
Vaprisol NON PREFERRED
Cascara Sagrada
PROGESTERONE ANTAGONISTS Colyte-flavor Packs
NON PREFERRED Golytely
Mifeprex Kristalose
Mineral Oil Heavy
METABOLIC MODIFIERS Moviprep
Nulytely/Flavor Packs GENERIC
Osmoprep calcitriol
Pcp 100 doxercalciferol
Prepopik levocarnitine
Suclear paricalcitol
Suprep Bowel Prep sodium phenylbutyrate
PREFERRED
ANTIDIARRHEALSAldurazyme
Carbaglu GENERIC
Elaprase diphenoxylate/atropine
Fabrazyme loperamide HCL
Kuvan opium
Lumizyme opium tincture
Myozyme PREFERRED
Naglazyme Diphenoxylate/Atropine
NON PREFERRED Opium Tincture (paregoric)
Ammonul NON PREFERRED
Buphenyl Fulyzaq
Carnitor Lomotil
Carnitor SF Motofen
Cystadane Restora RX
Hectorol Rezyst IM
Myalept Rezyst SB
Orfadin Vsl#3 DS
Ravicti
Rocaltrol ANTACIDS
Sensipar PREFERRED
Vimizim Calcium Carbonate
Zemplar NON PREFERRED
Sodium Bicarbonate
THYROID AGENTS
GENERIC ULCER DRUGS
levothyroxine sodium GENERIC
liothyronine sodium atropine sulfate
methimazole cimetidine
propylthiouracil cimetidine HCL
NON PREFERRED dicyclomine HCL
Armour Thyroid esomeprazole magnesium
Cytomel esomeprazole sodium
Levothyroxine Sodium famotidine
Nature-throid glycopyrrolate
Nature-throid Nt-2.5 hyoscyamine sulfate
Synthroid hyoscyamine sulfate odt
Tapazole hyoscyamine sulfate ER
Thyrolar-1 hyoscyamine sulfate SR
Thyrolar-1/2 lansoprazole
Thyrolar-1/4 lansoprazole/amoxicillin/clarithromycin
Thyrolar-2 methscopolamine bromide
Thyrolar-3 misoprostol
Tirosint nizatidine
Triostat omeprazole
Westhroid omeprazole/sodium bicarbonate
Wp Thyroid pantoprazole sodium
rabeprazole sodium
Effective January 1, 2016
18
ranitidine HCL Cesamet
sucralfate Diclegis
Esomeprazole Sodium Dimenhydrinate
Famotidine Emend
PREFERRED Granisol
Carafate Marinol
Dexilant Sancuso
Nexium Tigan
Nexium 24HR Transderm-scop
Omeclamox-PAK Zofran
Propantheline Bromide Zofran Odt
Pylera Zuplenz
Symax Duotab
NON PREFERRED DIGESTIVE AIDS
Aciphex PREFERRED
Aciphex Sprinkle Creon
Anaspaz Pancrelipase
Atropen Zenpep
Atropine Sulfate NON PREFERRED
Axid Pancreaze
Belladonna & Opium Pertzye
Belladonna Alkaloids & Opium Sucraid
Bentyl Ultresa
Cantil Viokace
Cuvposa
Cytotec GASTROINTESTINAL - MISC.
Deprizine Fusepaq GENERIC
Esomeprazole Strontium alosetron hydrochloride
Famotidine Premixed balsalazide disodium
First-lansoprazole calcium acetate
First-omeprazole cromolyn sodium
Gabitidine hydrocort ene 100MG
Gastrinex NF hydrocortisone
Glycate hydrocortisone acetate/lidocaine HCL
Helidac hydrocortisone acetate/pramoxine
Levbid lactulose
Levsin lidocaine HCL/hydrocortisone acetate
Levsin/SL mesalamine
Nexium I.v. metoclopramide odt
Omeprazole + Syrspend SF Alka metoclopramide HCL
Pamine sulfasalazine
Pamine Forte ursodiol
Pamine FQ PREFERRED
Pepcid Amitiza
Prevacid Canasa
Prevacid Solutab Cimzia
Prevpac Cimzia Starter Kit
Prilosec Lialda
Protonix Linzess
Robinul Proctofoam HC
Robinul Forte Relistor
Scopolamine Hydrobromide Remicade
Sentradine Renvela
Zantac Sevelamer Carbonate
Zegerid Sfrowasa
NON PREFERRED
ANTIEMETICS Actigall
GENERIC Analpram Advanced
dronabinol Analpram-HC
granisetron HCL Analpram-HC Singles
meclizine HCL Anusol-HC
ondansetron odt Apriso
ondansetron HCL Asacol HD
trimethobenzamide HCL Auryxia
PREFERRED Azulfidine
Aloxi Azulfidine EN-TABS
NON PREFERRED Chenodal
Akynzeo Cholbam
Anzemet Colazal
Effective January 1, 2016
19
Cortenema Ditropan XL
Cortifoam Enablex
Delzicol Myrbetriq
Dexpanthenol Oxytrol
Dipentum Sanctura
Eliphos Sanctura XR
Entereg Toviaz
Entyvio Urecholine
Fosrenol
Gastrocrom VAGINAL PRODUCTS
Gattex GENERIC
Giazo clindamycin phosphate
Lidocaine HCL-hydrocortisone Acetate With Aloe metronidazole vaginal
Lotronex terconazole
Metozolv Odt PREFERRED
Movantik Premarin
Pentasa NON PREFERRED
Phoslo Avc
Phoslyra Cleocin
Procort Clindesse
Proctocort Crinone
Rectiv Endometrin
Reglan Estrace
Renagel Estring
Rowasa Fem PH
Uceris Femring
Urso Forte First-progesterone VGS 100 Compounding Kit
Urso 250 First-progesterone VGS 200 Compounding Kit
Velphoro First-progesterone VGS 25 Compounding Kit
First-progesterone VGS 400 Compounding Kit
GENITOURINARY First-progesterone VGS 50 Compounding Kit
Gynazole-1 URINARY ANTI-INFECTIVES
Metrogel-vaginal GENERIC
Nuvessa methenamine hippurate
Relagard methenamine mandelate
Terazol 3 nitrofurantoin
Terazol 7 nitrofurantoin macrocrystals
Vagifem nitrofurantoin monohydrate
nitrofurantoin monohydrate/macrocrystals
GENITOURINARY - MISC. PREFERRED
GENERICMethenamine Mandelate
alfuzosin HCL ER NON PREFERRED
citric acid/sodium citrate Furadantin
finasteride Hiprex
hydrochloric acid Macrobid
phenazopyridine HCL Macrodantin
potassium citrate ER Monurol
potassium citrate-citric acid crystals Prosed/DS
potassium citrate/citric acid Uretron D/S
potassium citrate/sodium citrate/citric acid Urimar-t
sodium citrate/citric acid Urogesic-blue
tamsulosin HCL Uroqid #2
tricitrates
PREFERREDURINARY ANTISPASMODICS
Avodart GENERIC
Cytra-3 bethanechol chloride
Elmiron flavoxate HCL
Jalyn oxybutynin chloride
Rapaflo oxybutynin chloride ER
NON PREFERRED tolterodine tartrate
Cardura XL tolterodine tartrate ER
Cystagon trospium chloride
Flomax trospium chloride ER
K-phos NO 2PREFERRED
LithostatGelnique
OracitVesicare
ProcysbiNON PREFERRED
ProscarDetrol
PyridiumDetrol LA
Effective January 1, 2016
20
Shohls Solution Modified Is 24/6
Thiola Leukine
Urocit-k 10 Maxaron Forte
Urocit-k 15 Maxfe
Urocit-k 5 Mircera
Uroxatral Multigen
Multigen Folic
HEMATOLOGICAL Multigen Plus
MV FE Asparto Gly/FE Fum/Succ Acid/Vit C/Threonic
Acd/B12/Fa HEMATOPOIETIC AGENTS GENERIC MV FE Asparto Gly/Vit C/Vit B12/CA Threonate/Succ
Acd/Stomac cyanocobalamin
folic acid Nascobal
folic acid/vitamin b-6/vitamin b-12 Natalvirt Flt
sodium ferric gluconate complex/sucrose Nephron Fa
Iron Asp Gly/ Polysacch Compl/Ascorb CAL/B12/Fa/C
Threon/Suc Neulasta Neulasta Delivery Kit PREFERRED Neupogen Cerezyme Novaferrum Folitab 500 Omontys Mozobil Pre-folic Neumega Procrit Nplate Proferrin-forte NON PREFERRED Promacta Abaneu-SL Protectiron Albafort Tandem F Animi-3 Tandem Plus Animi-3/Vitamin D Triferic Aranesp Albumin Free Venofer B-6 Folic Acid Vpriv Biferarx Zarxio Cenfol Zavesca Centratex
Cerdelga ANTICOAGULANTSCiferex
GENERICCorvite 150
argatroban Divista
bivalirudin Droxia
enoxaparin sodium Ed Cyte F
fondaparinux sodium Elelyso
heparin lock Epogen
heparin lock flush Feraheme
heparin lock flush for flushing vascular access devices Feriva
heparin lock flush/NACL for flushing vascular access
devices Feriva 21/7Ferivafa heparin sodium
Ferralet 90 heparin sodium dcu
Ferrex 150 Forte Plus heparin sodium lock flush
Ferrex 28 heparin sodium/sodium chloride 0.9% premix
Ferrlecit heparin sodium/D5W
Ferro-plex Hematinic heparin sodium/NACL 0.9%
Ferrotrin warfarin sodium
Focalgin Dss PREFERRED
Folgard RX Pradaxa
Folic Acid Xarelto
Folivane-f Xarelto Starter Pack
Folivane-plus NON PREFERRED
Foltrate Angiomax
Fusion Plus Argatroban
Granix Arixtra
Hematogen Fa Coumadin
Hematron-AF Eliquis
Hemocyte Plus Fragmin
Hemocyte-f Heparin Lock Flush
Hydroxocobalamin Heparin Sodium
Icar-c Plus Heparin Sodium/D5W
Infed Heparin Sodium/NACL 0.45%
Injectafer Heparin Sodium/Sodium Chloride 0.9%
Integra F Iprivask
Integra Plus Lovenox
Irospan 24/6 Savaysa
Effective January 1, 2016
21
HEMOSTATICS Hextend
Integrilin GENERIC
Ixinity aminocaproic acid
Kalbitor tranexamic acid
Kengreal NON PREFERRED
Kinlytic Amicar
Kogenate FS Aminocaproic Acid
Kogenate FS Bio-set Artiss
LMD 10% Dextrose 5% Astringyn
LMD 10% Sodium Chloride 0.9% Cyklokapron
Novoeight Evicel
Persantine Evithrom
Plavix Lysteda
Pletal Recothrom
Protamine Sulfate Recothrom Spray Kit
Reopro Thrombin-jmi Diluent
Retavase Thrombin-jmi Epistaxis
Retavase Half-kit Thrombin-jmi Syringe Spray Kit
Tnkase Thrombin-jmi W/Dil Spray P.M. Actuator
Voluven Thrombogen
Xyntha Tisseel
Xyntha Solofuse Tisseel VH
Zontivity
HEMATOLOGICAL - MISC.
MOUTH/THROAT/DENTAL AGENTGENERIC
anagrelide hydrochloride
cilostazol GENERIC
clopidogrel cevimeline HCL
dipyridamole chlorhexidine gluconate
hetastarch 6%/NACL chlorhexidine gluconate oral rinse
pentoxifylline ER clotrimazole
ticlopidine HCL lidocaine viscous
Aspirin/Dipyridamole lidocaine HCL
PREFERRED lidocaine HCL viscous
Advate nystatin
Alphanate/Von Willebrand Factor Complex/Human pilocarpine hydrochloride
Alphanine SD pilocarpine HCL
Bebulin stannous fluoride oral rinse
Benefix triamcinolone acetonide
Berinert triamcinolone IN orabase
Cinryze NON PREFERRED
Corifact Aquoral
Effient Caphosol
Feiba Debacterol
Feiba NF Evoxac
Firazyr First-bxn Mouthwash
Hemofil M First-dukes Mouthwash
Humate-p First-marys Mouthwash
Koate-dvi First-mouthwash Blm
Monoclate-p Gel-kam Oral Care Rinse
Mononine Gelclair
Novoseven Rt Lta 360 Kit
Profilnine Nafrinse Daily/Acidulated
Profilnine SD Nafrinse Daily/Neutral
Recombinate Nafrinse Weekly
Riastap Neutrasal
Soliris Numoisyn
Ticlopidine HCL Orafate
Wilate Oravig
NON PREFERRED Peridex
Activase Prevident
Aggrastat Prothelial
Aggrenox Salagen
Agrylin
Brilinta NEUROLOGY, CNS, PSYCH
Cathflo Activase ANTIANXIETY AGENTS
Durlaza GENERIC
Helixate FS alprazolam
Hespan alprazolam odt
Effective January 1, 2016
22
alprazolam ER PREFERRED
buspirone HCL Fluoxetine HCL
chlordiazepoxide HCL Forfivo XL
clorazepate dipotassium Maprotiline HCL
diazepam Paxil
droperidol Pristiq
gene-xene TAB 15MG NON PREFERRED
gene-xene TAB 3.75MG Anafranil
gene-xene TAB 7.5MG Aplenzin
hydroxyzine pamoate Appbutamone
hydroxyzine HCL Appbutamone-d
lorazepam Brintellix
meprobamate Celexa
oxazepam Cymbalta
Hydroxyzine Pamoate Desvenlafaxine ER
NON PREFERRED Duloxetine HCL
Alprazolam Intensol Effexor XR
Ativan Emsam
Diazepam Fetzima
Gabavale-5 Fetzima Titration Pack
Gabazolamine Gaboxetine
Gabazolamine-0.5 Irenka
Hydroxyzine HCL Khedezla
Niravam Lexapro
Sentrazolam AM 0.25 Luvox CR
Tranxene T Marplan
Valium Nardil
Vistaril Norpramin
Xanax Oleptro
Xanax XR Pamelor
Parnate
ANTIDEPRESSANTS Paxil CR
Pexeva
GENERIC
Prozac
amitriptyline HCL
Prozac Weekly bupropion HCL
Remeron
bupropion HCL ER
Remeron Soltab bupropion HCL SR
Sentraflox AM-10 bupropion HCL XL
Sentralopram AM-10 citalopram hydrobromide
Sentravil PM-25 clomipramine HCL
Sentroxatine
desipramine HCL
Surmontil
doxepin HCL
Tofranil
duloxetine HCL
Tofranil-PM
escitalopram oxalate
Trazamine
fluoxetine DR
Viibryd
fluoxetine HCL
Viibryd Starter Pack fluvoxamine maleate
Vivactil
fluvoxamine maleate ER
Wellbutrin
imipramine pamoate
Wellbutrin SR imipramine HCL
Wellbutrin XL mirtazapine
Zoloft
mirtazapine odt
nefazodone HCL
ANTIPSYCHOTICS
nortriptyline HCL
paroxetine HCL GENERIC
paroxetine HCL ER aripiprazole
phenelzine sulfate chlorpromazine HCL
protriptyline HCL clozapine
sertraline HCL fluphenazine decanoate
tranylcypromine sulfate fluphenazine HCL
trazodone HCL haloperidol
venlafaxine HCL haloperidol decanoate
venlafaxine HCL ER haloperidol lactate
Amoxapine lithium carbonate
Doxepin HCL lithium carbonate ER
Nefazodone HCL loxapine
Nortriptyline HCL loxapine succinate
Venlafaxine HCL ER olanzapine
olanzapine odt
Effective January 1, 2016
23
paliperidone ER Belsomra
perphenazine Butisol Sodium
prochlorperazine Doral
prochlorperazine edisylate Edluar
prochlorperazine maleate Gabazolpidem-5
quetiapine fumarate Halcion
risperidone Hetlioz
risperidone odt Intermezzo
thioridazine HCL Lunesta
thiothixene Nembutal Sodium
trifluoperazine HCL Phenobarbital Sodium
ziprasidone HCL Precedex
Clozapine Odt Quazepam
PREFERRED Restoril
Abilify Discmelt Rozerem
Fluphenazine HCL Seconal
Saphris Sentrazolpidem PM-5
Seroquel XR Silenor
NON PREFERRED Sonata
Abilify Strazepam
Abilify Maintena Zolpimist
Adasuve
Chlorpromazine HCL ADHD, NARCOLEPSY, ETC.
Clozaril GENERIC
Compazine amphetamine/dextroamphetamine
Equetro caffeine citrate
Fanapt clonidine HCL ER
Fanapt Titration Pack dexmethylphenidate HCL
Fazaclo dexmethylphenidate HCL ER
Geodon dextroamphetamine sulfate
Haldol dextroamphetamine sulfate ER
Haldol Decanoate 100 doxapram HCL
Haldol Decanoate 50 guanfacine ER
Invega methamphetamine HCL
Invega Sustenna methylphenidate hydrochloride
Invega Trinza methylphenidate HCL
Latuda methylphenidate HCL CD
Lithium methylphenidate HCL ER
Lithium Carbonate methylphenidate HCL SR
Lithobid modafinil
Loxitane Methylphenidate HCL ER
Rexulti PREFERRED
Risperdal Strattera
Risperdal Consta Vyvanse
Risperdal M-TAB NON PREFERRED
Seroquel Adderall
Versacloz Adderall XR
Zyprexa Aptensio XR
Zyprexa Relprevv Cafcit
Zyprexa Zydis Caffeine/Sodium Benzoate
Concerta
HYPNOTICS Daytrana
GENERIC Desoxyn
dexmedetomidine HCL Dexedrine
estazolam Dopram
eszopiclone Evekeo
flurazepam HCL Focalin
phenobarbital Focalin XR
temazepam Intuniv
triazolam Kapvay
zaleplon Kapvay Dose Pack
zolpidem tartrate Metadate CD
zolpidem tartrate ER Methylin
Flurazepam HCL Nuvigil
Phenobarbital Procentra
NON PREFERRED Provigil
Ambien Quillivant XR
Ambien CR Ritalin
Amytal Sodium Ritalin LA
Effective January 1, 2016
24
Ritalin SR Neurontin
Sentramodafin AM-100 Onfi
Zenzedi Oxtellar XR
Peganone
ANTICONVULSANTS Potiga
Qudexy XR GENERIC
Sabril carbamazepine
Stavzor carbamazepine ER
Tegretol clonazepam
Tegretol-XR clonazepam odt
Therapentin-60 divalproex sodium
Therapentin-90 divalproex sodium DR
Topamax divalproex sodium ER
Topamax Sprinkle ethosuximide
Topiramate ER felbamate
Trileptal fosphenytoin sodium
Trokendi XR gabapentin
Vimpat lamotrigine
Zarontin lamotrigine odt
Zonegran lamotrigine ER
levetiracetam
ANTIPARKINSON AGENTS levetiracetam ER
oxcarbazepine GENERIC
phenytoin amantadine HCL
phenytoin sodium benztropine mesylate
phenytoin sodium extended bromocriptine mesylate
primidone carbidopa
tiagabine hydrochloride carbidopa/levodopa
topiramate carbidopa/levodopa odt
valproate sodium carbidopa/levodopa ER
valproic acid entacapone
zonisamide pramipexole dihydrochloride
PREFERRED pramipexole dihydrochloride ER
Diastat Acudial ropinirole ER
Diastat Pediatric ropinirole HCL
Diazepam selegiline HCL
Lamictal tolcapone
Lamictal Chewable Dispersible trihexyphenidyl HCL
Lamictal Starter/Not Taking Carbamazepine Carbidopa/Levodopa/Entacapone
Lamictal Starter/Taking Carbamazepine/Not Taking
Valproate
PREFERRED
Apokyn
Lamictal Starter/Taking Valproate NON PREFERRED
Lyrica Amantadine HCL
Phenytek Azilect
NON PREFERRED Cogentin
Aptiom Comtan
Banzel Duopa
Carbatrol Eldepryl
Celontin Lodosyn
Cerebyx Mirapex
Depacon Mirapex ER
Depakene Neupro
Depakote Parcopa
Depakote ER Parlodel
Depakote Sprinkles Requip
Dilantin Requip XL
Dilantin Infatabs Rytary
Dilantin-125 Sinemet
Fanatrex Fusepaq Sinemet CR
Felbatol Stalevo 100
Fycompa Stalevo 125
Gabitril Stalevo 150
Keppra Stalevo 200
Keppra XR Stalevo 50
Klonopin Stalevo 75
Lamictal Odt Tasmar
Lamictal XR Zelapar
Levetiracetam
Mysoline
Effective January 1, 2016
25
NEUROLOGY, PSYCH - MISC. riluzole
rocuronium bromide GENERIC
vecuronium bromide acamprosate calcium DR
PREFERREDdisulfiram
Botox donepezil HCL
NON PREFERRED ergoloid mesylates
Anectine fluoxetine
Dysport galantamine hydrobromide
Myobloc memantine HCL
Nimbex memantine HCL titration PAK
Quelicin olanzapine/fluoxetine
Quelicin 1000 pimozide
Rilutek rivastigmine tartrate
Xeomin rivastigmine transdermal system
Zemuron tetrabenazine
Galantamine Hydrobromide
MUSCULOSKELETAL AGENTS PREFERRED
Ampyra GENERIC
Avonex baclofen
Chlordiazepoxide/Amitriptyline carisoprodol
Copaxone carisoprodol/aspirin
Namenda carisoprodol/aspirin/codeine
Namenda XR chlorzoxazone
Namenda XR Titration Pack cyclobenzaprine HCL
Perphenazine/Amitriptyline dantrolene sodium
Plegridy metaxalone
Plegridy Starter Pack methocarbamol
Tecfidera orphenadrine citrate
Tecfidera Starter Pack orphenadrine citrate ER
NON PREFERRED orphenadrine/asa/caffeine
Addyi tizanidine HCL
Antabuse Carisoprodol
Aricept Dantrolene Sodium
Aricept Odt PREFERRED
Aubagio Euflexxa
Avonex Pen Gablofen
Betaseron Lioresal Intrathecal
Brisdelle Synvisc
Campral Synvisc One
Exelon NON PREFERRED
Extavia Amrix
Gilenya Cyclobenzaprine Comfort PAC
Gralise Dantrium
Gralise Starter Dantrium IV
Horizant Fexmid
Lemtrada Flexepax
Namenda Titration PAK Gel-one
Namzaric Hyalgan
Nuedexta Lorzone
Orap Metaxalone
Razadyne Monovisc
Razadyne ER Norflex
Rebif Orthovisc
Rebif Rebidose Parafon Forte DSC
Rebif Rebidose Titration Pack Prazolamine
Rebif Titration Pack Robaxin
Sarafem Robaxin-750
Savella Ryanodex
Savella Titration Pack Skelaxin
Symbyax Soma
Tysabri Supartz
Xenazine Supartz Fx
Xyrem Tabradol Fusepaq
Therabenzaprine-60
NEUROMUSCULAR AGENTS Therabenzaprine-90
Therabenzaprine-90-5 GENERIC
Tizanidine Comfort PAC atracurium besylate
Zanaflex cisatracurium besylate
pancuronium bromide
Effective January 1, 2016
26
ANTIMYASTHENIC AGENTS Metipranolol
PREFERREDGENERIC
Betoptic-s neostigmine methylsulfate
Combigan pyridostigmine bromide
Levobunolol HCL PREFERRED
Timoptic Ocudose Guanidine HCL
NON PREFERRED NON PREFERRED
Betagan Bloxiverz
Betimol Enlon
Cosopt Enlon-plus
Cosopt PF Mestinon
Istalol Mestinon Timespan
Timoptic Neostigmine Methylsulfate
Timoptic-xe Prostigmin
Regonol
OPHTHALMIC STEROIDS
OPHTHALMOLOGY AND OTIC GENERIC
dexamethasone sodium phosphate ANTI-INFECTIVES
fluorometholone GENERIC
neomycin/polymyxin/bacitracin/hydrocortisone bacitracin/polymyxin b
neomycin/polymyxin/dexamethasone ciprofloxacin HCL
prednisolone acetate erythromycin
sulfacetamide sodium/prednisolone sodium phosphate gatifloxacin
tobramycin/dexamethasone gentamicin sulfate
PREFERREDlevofloxacin
FML neomycin/bacitracin/polymyxin
FML Forte neomycin/polymyxin/bacitracin zinc
Pred Mild neomycin/polymyxin/gramicidin
Prednisolone Sodium Phosphate ofloxacin
NON PREFERRED polymyxin b sulfate/trimethoprim sulfate
Alrex sodium sulfacetamide
Blephamide sulfacetamide sodium
Blephamide S.o.p. tobramycin sulfate
Durezol trifluridine
Flarex trimethoprim sulfate/polymyxin b sulfate
FML Liquifilm PREFERRED
Lotemax Bacitracin
Maxidex Moxeza
Maxitrol Natacyn
Neomycin/Polymyxin/Hydrocortisone Sulfacetamide Sodium
Omnipred Vigamox
Pred Forte NON PREFERRED
Pred-G Azasite
Pred-G S.o.p. Besivance
Tobradex Betadine Ophthalmic Prep
Tobradex ST Bleph-10
Vexol Ciloxan
Zylet Garamycin
Mitosol
PROSTAGLANDINSNeosporin
GENERICOcuflox
latanoprost Polytrim
Bimatoprost Tobrex
PREFERREDViroptic
Lumigan Zirgan
Travatan Z Zymaxid
Travoprost
NON PREFERRED ARTIFICIAL TEAR/LUBRICANT
Rescula NON PREFERRED
Xalatan Lacrisert
Zioptan
BETA-BLOCKERS
CYCLOPLEGIC MYDRIATICS GENERIC
GENERICbetaxolol HCL
atropine sulfate carteolol HCL
cyclopentolate HCL dorzolamide HCL/timolol maleate
homatropine HBR levobunolol HCL
PREFERREDtimolol maleate
Atropine Sulfate timolol maleate ophthalmic gel forming
Effective January 1, 2016
27
Cyclogyl Emadine
Isopto Homatropine Ilevro
NON PREFERRED Lastacaft
Cyclomydril Nevanac
Isopto Atropine Ocufen
Isopto Hyoscine Optivar
Pazeo
DECONGESTANTS Prolensa
Trusopt GENERIC
phenylephrine HCL
OTIC AGENTSPREFERRED
Naphazoline HCL GENERIC
NON PREFERRED acetic acid
Mydfrin antipyrine/benzocaine
fluocinolone acetonide
MIOTICS fluocinolone acetonide ear drops
hydrocortisone/acetic acid GENERIC
neomycin/polymyxin/hydrocortisone pilocarpine HCL
neomycin/polymyxin/HC PREFERRED
ofloxacin Isopto Carbachol
PREFERREDPhospholine Iodide
Acetic Acid/Aluminum Acetate NON PREFERRED
NON PREFERRED Isopto Carpine
Antipyrine/Benzocaine
Auralgan ADRENERGIC AGENTS
Cetraxal GENERIC
Cipro HC apraclonidine
Ciprodex brimonidine tartrate
Ciprofloxacin PREFERRED
Coly-mycin S Alphagan P
Cortisporin NON PREFERRED
Cortisporin-tc Iopidine
Cresylate Simbrinza
Dermotic
Myoxin IMMUNOMODULATORS
Otozin NON PREFERRED
Pramotic Restasis
Vosol HC
LOCAL ANESTHETICS
OXYTOCICS GENERIC
proparacaine HCL
GENERICtetracaine HCL
methylergonovine maleate NON PREFERRED
oxytocin Akten
NON PREFERRED Alcaine
Cervidil
Hemabate OPHTHALMICS - MISC.
Pitocin GENERIC
Prepidil azelastine HCL
Prostin E2 bromfenac
cromolyn sodium
PAIN MANAGEMENTdiclofenac sodium
ANALGESICS - NONNARCOTIC dorzolamide HCL
epinastine HCL GENERIC
flurbiprofen sodium butalbital/acetaminophen
ketorolac tromethamine butalbital/acetaminophen/caffeine
PREFERRED butalbital/apap/caffeine
Azopt butalbital/aspirin/caffeine
Pataday choline magnesium trisalicylate
Patanol diflunisal
NON PREFERRED salsalate
Acular PREFERRED
Acular LS Choline Magnesium Trisalicylate
Acuvail Dologesic
Alocril Prialt
Alomide Tencon
Bepreve NON PREFERRED
Cystaran Bupap
Elestat Disalcid
Effective January 1, 2016
28
Dolgic Plus Buprenex
Equagesic Butrans
Esgic Capital/Codeine
Fioricet Codeine Sulfate
Fiorinal Conzip
Levacet Demerol
Ofirmev Dilaudid
Phrenilin Forte Dilaudid-HP
Rhinoflex-650 Dolophine
Staflex Dolophine HCL
Vanatol LQ Duragesic
Embeda
ANALGESICS - OPIOID Exalgo
Fentanyl Citrate/Sodium Chloride GENERIC
Fentora acetaminophen/caffeine/dihydrocodeine
Fioricet/Codeine acetaminophen/codeine
Fiorinal/Codeine #3 acetaminophen/codeine #2
Hycet acetaminophen/codeine #3
Hydromorphone HCL ER acetaminophen/codeine #4
Hysingla ER acetaminophen/codeine phosphate
Ibudone alfentanil
Infumorph 200 buprenorphine HCL
Infumorph 500 buprenorphine HCL/naloxone HCL
Ionsys butalbital/acetaminophen/caffeine/codeine
Kadian butalbital/aspirin/caffeine/codeine
Lazanda butorphanol tartrate
Levorphanol Tartrate codeine sulfate
Liquicet fentanyl
Lortab fentanyl citrate oral transmucosal
Magnacet hydrocodone bitartrate/acetaminophen
Maxidone hydrocodone/acetaminophen
Meperidine HCL hydrocodone/ibuprofen
Methadone HCL hydromorphone HCL
Methadose hydromorphone HCL dosette
Methadose Sugar-free hydromorphone HCL ER
Morphine Sulfate Add-vantage meperidine HCL
Morphine Sulfate/Sodium Chloride methadone HCL
MS Contin morphine sulfate
Norco morphine sulfate ER
Nucynta nalbuphine HCL
Nucynta ER oxycodone HCL
Opana oxycodone/acetaminophen
Opana ER (crush Resistant) oxycodone/aspirin
Oxaydo oxycodone/ibuprofen
Oxecta oxymorphone hydrochloride
Oxycodone HCL oxymorphone hydrochloride ER
Oxycontin pentazocine/acetaminophen
Percocet pentazocine/naloxone HCL
Percodan tramadol hydrochloride/acetaminophen
Primlev tramadol HCL
Reprexain tramadol HCL ER
Roxicet Aspirin-caffeine-dihydrocodeine
Roxicodone Fentanyl
Subsys Hydrocodone Bitartrate/Acetaminophen
Synalgos-dc Hydrocodone/Acetaminophen
Synapryn Fusepaq Hydromorphone HCL/Sodium Chloride
Talwin Morphine Sulfate ER
Theracodeine-300 Oxycodone HCL ER
Theracodophen-low-90 PREFERRED
Theracodophen-325 Hydromorphone HCL
Theracodophen-650 Morphine Sulfate
Theracodophen-750 Suboxone
Theratramadol-60 NON PREFERRED
Theratramadol-90 Abstral
Tramadol HCL ER Acetaminophen/Caffeine/Dihydrocodeine Bitartrate
Trezix Actiq
Tylenol/Codeine #3 Alfenta
Tylenol/Codeine #4 Avinza
Ultiva Bunavail
Ultracet
Effective January 1, 2016
29
Ultram Duexis
Ultram ER Dyloject
Vicoprofen Enbrel
Xartemis XR Enbrel Sureclick
Xodol EC-naprosyn
Xolox Feldene
Zamicet Flanax Pain Relief Kit
Zohydro ER Ibuprofen Comfort PAC
Zubsolv Indocin
Zydone Indomethacin
Indomethacin Sodium
ANTI-INFLAMMATORY IC 400
IC 800 GENERIC
Ketorocaine-l celecoxib
Ketorocaine-lm diclofenac potassium
Ketorolac Tromethamine diclofenac sodium DR
Kineret diclofenac sodium ER
Meloxicam Comfort PAC diclofenac sodium/misoprostol
Mobic etodolac
Nalfon etodolac ER
Naprelan flurbiprofen
Naprosyn ibuprofen
Naproxen Comfort PAC indomethacin
Neoprofen indomethacin ER
Orencia ketoprofen
Otezla ketorolac tromethamine
Otrexup leflunomide
Ponstel mefenamic acid
Prastera meloxicam
Rheumatrex nabumetone
Ridaura naproxen
Sprix naproxen sodium
Therafeldamine naproxen sodium CR
Theraprofen-60 naproxen sodium ER
Theraprofen-800 oxaprozin
Theraprofen-90 piroxicam
Theraproxen-500 sulindac
Theraproxen-60 tolmetin sodium
Theraproxen-90 Meclofenamate Sodium
Tivorbex Tolmetin Sodium
Trepadiclofen-25 PREFERRED
Trepoxen-250 Fenoprofen Calcium
Trepoxicam-7.5 Humira
Vimovo Humira Pediatric Crohns Disease Starter Pack
Voltaren-XR Humira Pen
Xeljanz Humira Pen-crohns Diseasestarter
Zipsor Humira Pen-psoriasis Starter
Zorvolex Ilaris
Ketoprofen ER
MIGRAINE PRODUCTSMeloxicam
Naproxen GENERIC
Rasuvo almotriptan malate
Simponi dihydroergotamine mesylate
Simponi Aria naratriptan HCL
NON PREFERRED rizatriptan benzoate
Actemra rizatriptan benzoate odt
Anaprox sumatriptan succinate
Anaprox DS sumatriptan succinate refill
Arava zolmitriptan
Arcalyst zolmitriptan odt
Arthrotec 50 Dihydroergotamine Mesylate
Arthrotec 75 Sumatriptan Succinate
Caldolor PREFERRED
Cataflam Sumatriptan
Celebrex Zomig Nasal Spray
Daypro NON PREFERRED
Derma Silkrx Anodynexa PAK Alsuma
Derma Silkrx Diclopak Amerge
Dermacinrx Inflammatral PAK Axert
Effective January 1, 2016
30
Cafergot Monoject Bone Marrow Biopsy Tray/Sternal-iliac Needle
16G Cambia
Naropin D.h.e. 45
Nesacaine Ergomar
Nesacaine-mpf Frova
Sensorcaine-mpf/Epinephrine Imitrex
Turkel Paracentesis Procedure Tray/8french Imitrex Statdose Refill
Xylocaine Imitrex Statdose System
Xylocaine-mpf Maxalt
Xylocaine-mpf/Epinephrine Maxalt-MLT
Xylocaine/Epinephrine Migergot
Migral
RESPIRATORY, ALLERGY, ETCMigranal
Relpax ANTIHISTAMINES
Sumavel Dosepro GENERIC
Treximet carbinoxamine maleate
Zecuity cetirizine HCL
Zomig clemastine fumarate
Zomig ZMT cyproheptadine HCL
desloratadine
GOUT AGENTS desloratadine odt
GENERIC diphenhydramine HCL
allopurinol levocetirizine dihydrochloride
probenecid promethazine HCL
probenecid/colchicine promethazine HCL plain
PREFERRED Clemastine Fumarate
Colcrys PREFERRED
Uloric Allegra Allergy Childrens
NON PREFERRED Dexchlorpheniramine Maleate
Aloprim NON PREFERRED
Colchicine Brompheniramine
Krystexxa Brompheniramine Tannate
Mitigare Clarinex
Zyloprim Clarinex Reditabs
Dicopanol Fusepaq
LOCAL ANESTHETICS-INJ Karbinal ER
Palgic GENERIC
Phenergan bupivacaine HCL
Respa-BR bupivacaine/epinephrine
Xyzal chloroprocaine HCL
lidocaine HCL
NASAL AGENTSlidocaine/epinephrine
ropivacaine GENERIC
ropivacaine HCL azelastine HCL
Tetracaine HCL budesonide
NON PREFERRED flunisolide
Articadent Dental fluticasone propionate
BD Pudendal/Local Block Tray 1% Lidocaine ipratropium bromide
Carbocaine olopatadine HCL
Citanest Forte Dental triamcinolone acetonide
Citanest Plain Dental PREFERRED
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"close
CATH
Nasonex
Veramyst
Durasafe Spinal/Epidural Tray/1% Xylocaine/19GX36"open
CATH
NON PREFERRED
Adrenalin
Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"close
CATH Astelin Astepro Durasafe Spinal/Epidural Tray/1% Xylocaine/20GX36"open
CATH Atrovent
Bactroban Nasal Exparel
Beconase AQ Lidocaine HCL/Dextrose
Dymista Marcaine
Flonase Marcaine W/O Epi
Omnaris Marcaine/Epinephrine
Patanase Marlido-25
Qnasl Monoject Bone Marrow Biopsy Prepping Tray
Qnasl Childrens Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle
11GX4" Rhinocort Aqua
Monoject Bone Marrow Biopsy Tray/Biop Aspir Needle
8GX4"
Tyzine
Tyzine Pediatric Nasal Drops
Effective January 1, 2016
31
Zetonna aminophylline
budesonide
COUGH/COLD/ALLERGY epinephrine HCL
ipratropium bromide GENERIC
ipratropium bromide/albuterol sulfate acetylcysteine
levalbuterol benzonatate
levalbuterol HCL bromphen/pseudoephedrine HCL/dextromethorphan HBR
montelukast sodium hydrocodone bitartrate/chlorpheniramine maleate/PSE
terbutaline sulfate hydrocodone bitartrate/homatropine methylbromide
theophylline hydrocodone polistirex/chlorpheniramine polistirex
theophylline CR hydrocodone/homatropine
theophylline ER phenylephrine/guaifenesin
zafirlukast promethazine-DM
Cromolyn Sodium promethazine/codeine
PREFERREDpromethazine/dextromethorphan
Advair Diskus promethazine/phenylephrine
Advair HFA promethazine/phenylephrine/codeine
Breo Ellipta sodium chloride
Combivent Respimat PREFERRED
Elixophyllin Dallergy
Flovent Diskus J-max
Flovent HFA Mucinex D
Foradil Aerolizer Mucinex Maximum Strength
Incruse Ellipta Promethazine/Phenylephrine
Metaproterenol Sulfate NON PREFERRED
Proair HFA Carbaphen 12
Proair Respiclick Carbaphen 12 PED
Pulmicort Flexhaler Clarinex-d 12 HOUR
Qvar Clarinex-d 24 HOUR
Serevent Diskus Codar AR
Spiriva Handihaler Cpb Wc
Spiriva Respimat Decon-a
Symbicort Dextromethorphan HBR/Chlorpheniramine/Phenylephrine
HCL Tudorza Pressair
Exactuss Ventolin HFA
Flowtuss Xolair
Gilphex TR NON PREFERRED
Giltuss Accolate
Giltuss PED-c Aerospan
Giltuss TR Alvesco
Hycofenix Anoro Ellipta
Hyper-sal Arcapta Neohaler
Hypersal Arnuity Ellipta
Nebusal Asmanex HFA
Neotuss Plus Asmanex Twisthaler 120 Metered Doses
Obredon Asmanex Twisthaler 14 Metered Doses
Panatuss Dxp Asmanex Twisthaler 30 Metered Doses
Pediatex TD Asmanex Twisthaler 60 Metered Doses
Pediatex TDM Asmanex Twisthaler 7 Metered Doses
Relhist Atrovent HFA
Rescon-JR Brovana
Rescon-MX Daliresp
Rezira Dulera
Semprex-d Duoneb
Suttar-SF Isuprel
Suttar-2 Lufyllin
Tessalon Perles Maxair Autohaler
Tussicaps Perforomist
Tussionex Pennkinetic Extended Release Proventil HFA
Tuzistra XR Pulmicort
Vituz Pulmophylline
Zonatuss Senophylline
Zutripro Singulair
Stiolto Respimat
ANTIASTHMATIC/COPD AGENTS Striverdi Respimat
GENERIC Theo-24
albuterol sulfate Theophylline/D5W
albuterol sulfate ER Vospire ER
albuterol TAB 4MG Xopenex
Xopenex Concentrate
Effective January 1, 2016
32
Xopenex HFA Flulaval Quadrivalent 2015-2016
Zyflo Flulaval 2013-2014
Zyflo CR Flulaval 2014-2015
Flumist Quadrivalent
RESPIRATORY AGENTS - MISC Fluvirin PF 2013-2014
Fluvirin PF 2014-2015 PREFERRED
Fluvirin 2013-2014 Pulmozyme
Fluvirin 2014-2015 NON PREFERRED
Fluvirin 2015-2016 Aralast NP
Fluzone High-dose PF 2013-2014 Curosurf
Fluzone High-dose PF 2014-2015 Esbriet
Fluzone High-dose PF 2015-2016 Glassia
Fluzone Pediatric PF 2013-2014 Infasurf
Fluzone PF 2013-2014 Kalydeco
Fluzone PF 2014-2015 Ofev
Fluzone Quadrivalent 2013-2014 Orkambi
Fluzone Quadrivalent 2014-2015 Prolastin-c
Fluzone Quadrivalent 2015-2016 Surfaxin
Fluzone Split 2013-2014 Survanta Intratracheal
Fluzone Split 2014-2015 Zemaira
Fluzone Split 2015-2016
Gardasil TOXOIDS
Gardasil 9
Havrix NON PREFERRED
Hiberix Adacel
Imovax Rabies (h.d.c.v.) Boostrix
Ipol Inactivated IPV Daptacel
Ixiaro Diphtheria/Tetanus Toxoids Adsorbed Pediatric
M-m-r IIInfanrix
Medical Provider EZ Flu Shot 2014-2015Kinrix
MenactraPediarix
MenhibrixPentacel
Menomune-a/C/Y/W-135Quadracel
MenveoTenivac
Pedvax HIBTetanus Toxoid Adsorbed
Pneumovax 23Tetanus/Diphtheria Toxoids-adsorbed
Pneumovax 23/1 DoseTetanus/Diphtheria Toxoids-adsorbed Adult
Pneumovax 23/5 Dose
Prevnar 13VACCINES Proquad
RabavertNON PREFERRED Recombivax HBActhib RotarixAfluria PF 2012-2013 RotateqAfluria PF 2013-2014 TrumenbaAfluria PF 2014-2015 TwinrixAfluria PF 2015-2016 Typhim VIAfluria 2012-2013 VaqtaAfluria 2013-2014 VarivaxAfluria 2014-2015 Vivotif BernaAfluria 2015-2016 Yf-vaxBcg Vaccine ZostavaxBexsero
Biothrax
VITAMINS Cervarix
VITAMINSComvax
GENERICEngerix-b
ascorbic acid Fluarix Quadrivalent 2013-2014
ergocalciferol Fluarix Quadrivalent 2014-2015
phytonadione Fluarix Quadrivalent 2015-2016
thiamine HCL Fluarix 2013-2014
vitamin c 222MG Fluarix 2014-2015
vitamin d Flublok 2013-2014
vitamin k1 Flublok 2014-2015
PREFERREDFlublok 2015-2016
Mephyton Flucelvax 2013-2014
Vitamin A Flucelvax 2014-2015
NON PREFERRED Flucelvax 2015-2016
Aquasol A Parenteral Flulaval Quadrivalent 2013-2014
Drisdol Flulaval Quadrivalent 2014-2015
Effective January 1, 2016
33
Pyridoxine HCL Provida OB
Vitamin K1 Right Step Prenatal
Wheat Germ Select-OB
Stuart Prenatal
MULTIVITAMINS Taron-bc
Taron-c DHA GENERIC
Theranatal Core Nutrition b-complex 100
Tri-VI-flor
niacinamide/azelaic ac/ turmer/fa/b6/zinc ox/copper
Tricare Prenatal Compleat PREFERRED
Tricare Prenatal DHA One Atabex EC
Vinacal B
Atabex Prenatal
Vinate AZ Extra Bal-care DHA
Vinate Calcium Bal-care DHA Essential
Vinate DHA
Citranatal B-calm
Vinate DHA RF Citranatal RX
Vita-pren
Clinical Nutrients Prenatal Formula
Vitafol-nano
Concept DHA
Vitafol-pn
Concept OB
Vitamedmd Redichew RX Duet DHA Balanced
Vitamedmd Redichew RX/Quatrefolic
Duet DHA 400
Vitapearl
Duet DHA 400EC
Viva DHA
Duet DHA 430
Your Life Multi Prenatal Duet DHA 430EC
Zatean-pn
Enbrace HR
Zatean-pn Plus Escavite
NON PREFERRED Escavite D
Adrenal C Formula Folcaps Omega 3
Albafort
Folivane-OB
Bacmin
Healthy Mama Be Well Rounded
Citranatal Assure Marnatal-f
Citranatal DHA Mission Prenatal
Citranatal Harmony Moms Choice RX
Citranatal 90 DHA Mykidz Iron Fl
Cod Liver Oil Mynatal
Corvite
Natachew
Crnatal
Natafort
Dialyvite Supreme D Natalvit
Dialyvite 3000 Natelle One
Dialyvite 5000 Neevo DHA
Dialyvite/Zinc Nestabs
Diatx ZN
Nestabs DHA
Floriva
Newgen
Focalgin CA
Niva-plus
Focalgin 90 DHA O-CAL Fa
Folet DHA
O-CAL Prenatal
Folet One
Obstetrix DHA
Folgard OS
Obtrex
Folivane-prx DHA NF Obtrex DHA
Fortavit
One A Day Womens Prenatal/DHA
Gesticare DHA One A Day Womens Prenatal1
M.v.i. Adult
One-a-day Womens Prenatal
M.v.i. Pediatric OB Complete
M.v.i.-12 Without Vitamin K OB Complete One
Natalvirt CA
OB Complete Petite
Natalvirt 90 DHA OB Complete Premier
Nephplex RX OB Complete 400
Nephro-vite RX OB Complete/DHA
Nephrocaps
Poly-VI-flor
Nephrocaps QT Poly-VI-flor FS
Nestabs Abc Poly-VI-flor/Iron
Nexa Plus
Prefera OB
Nicadan
Prefera OB + DHA
Nicazel
Prenata
Nicazel Forte Prenatal Vitamin
Nicomide
Prenatal Vitamins
Nutricap
Prenate AM
Nutrivit
Prenate Elite
Ocuvel
Prenate Essential
Paire OB
Prenate Star
Preferaob +dha
Effective January 1, 2016
34
Preferaob One Advocate Insulin Syringe/U-100/0.3ML/29GX1/2"
Prefol-DHA Advocate Insulin Syringe/U-100/0.3ML/30GX5/16"
Prenate Advocate Insulin Syringe/U-100/0.3ML/31GX5/16"
Prenate DHA Advocate Insulin Syringe/U-100/0.5ML/29GX1/2"
Prenate Enhance Advocate Insulin Syringe/U-100/0.5ML/30GX5/16"
Prenate Mini Advocate Insulin Syringe/U-100/0.5ML/31GX5/16"
Prenate Pixie Advocate Insulin Syringe/U-100/1ML/29GX1/2"
Prenate Restore Advocate Insulin Syringe/U-100/1ML/30GX5/16"
Preque 10 Advocate Insulin Syringe/U-100/1ML/31GX5/16"
Protect Plus Advocate Lancets
Provida DHA Advocate Lancets 30G
R-natal OB Advocate Safety Lancets
Renatabs Advocate Safety Lancets 26G
Renatabs With Iron Agamatrix Ultra-thin Lancets 33G
Req 49+ Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2"
Select-ob+dha Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2"
Siderol Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2"
Strovite Forte Assure Haemolance Plus High Flow 18G
Strovite One Assure Haemolance Plus Low Flow 25G
Supervite Assure Haemolance Plus Micro Flow 28G
Supervite EC Assure Haemolance Plus Normal Flow 21G
Support-500 Assure Haemolance Plus Pediatric Blade
Synagex Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2"
Synatek Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2"
Texavite LQ Assure Lance Lancets
Triveen-duo DHA Assure Lance Lancets 21G
Triveen-prx RNF Assure Lance Plus Safety Lancets 25G
TL G-FOL OS Assure Lance Plus Safety Lancets 30G
Udamin SP Assure Lancets
Vemavite-prx 2 Aurora Lancet Super Thin 30G
Vitafol Aurora Lancet Thin 23G
Vitafol Fe+ Aurora Pen Needles 29GX12MM
Vitafol Ultra Aurora Pen Needles 31G X 6MM
Vitafol-ob+dha Aurora Pen Needles 31G X 8MM
Vitafol-one Autolet Platforms
Vital-d RX AF Lancets Super Thin
Vitamedmd One RX/Quatrefolic AT Last Lancets
Vitamedmd Plus RX/Quatre Folic Bayer Microlet Lancets
Vitaroca Plus Bullseye Safety Lancets
Zatean-pn DHA BD Autoshield Duo 30G X 3/16"
Zatean-CH BD Autoshield 29G X 3/16"
BD Autoshield 29G X 5/16"
MEDICAL DEVICES BD Insulin Syringe LUER-LOK/U-100/1ML
BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2" DIABETIC SUPPLIES
BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2" PREFERRED
BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8" Accu-chek Active Strips
BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2" Accu-chek Aviva
BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2" Accu-chek Aviva Connect
BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2" Accu-chek Aviva Plus
BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8" Accu-chek Comfort Curve Test Strips
BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2" Accu-chek Compact Plus
BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16" Accu-chek Compact Plus Care Kit
BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2" Accu-chek Compact Test Drum
BD Insulin Syringe Safetyglide/1ML/29G X 1/2" Accu-chek Fastclix Lancetdevice Kit
BD Insulin Syringe Slip Tip/U-100/1ML Accu-chek Fastclix Lancets
BD Insulin Syringe U-40/1ML/25G X 5/8" Accu-chek Multiclix Lanc Et Device Kit
BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16" Accu-chek Multiclix Lancets
BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16" Accu-chek Nano Smartview
BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16" Accu-chek Safe-t-pro Lancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2" Accu-chek Safe-t-pro Pluslancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2" Accu-chek Smartview Strips
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64" Accu-chek Soft Touch Lancets
BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16" Accu-chek Softclix Lancetdevice Kit
BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2" Accu-chek Softclix Lancets
BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2" Accu-chek Voicemate
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64" Accutrend Glucose
BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16" Advocate Insulin Pen Needles 29GX12.7MM
BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2" Advocate Insulin Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2" Advocate Insulin Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64"
Effective January 1, 2016
35
BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 31GX5MM
BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 31GX6MM
BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 31GX8MM
BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 32GX4MM
BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 32GX8MM
BD Insulin Syringe Ultrafine/1ML/30G X 1/2" Clever Choice Comfort EZ Pen Needles 33GX4MM
BD Insulin Syringe Ultrafine/1ML/31G X 5/16" Clever Choice Comfort EZ Pen Needles 33GX5MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X
1"
Clever Choice Comfort EZ Pen Needles 33GX6MM
Clever Choice Comfort EZ Pen Needles 33GX8MM
BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X
5/8"
Coaguchek Lancets
Comfort Assist Insulin Syringe 0.3ML/29G X 1/2"
BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X
1/2" Comfort Assist Insulin Syringe/0.3ML/30G X 5/16" Comfort Assist Insulin Syringe/0.3ML/31G X 5/16" BD Insulin Syringe/U-100/0.5ML/30G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/29G X 1/2" BD Insulin Syringe/U-100/1ML/27G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/30G X 5/16" BD Insulin Syringe/U-100/1ML/28G X 1/2"
Comfort Assist Insulin Syringe/0.5ML/31G X 5/16" BD Insulin Syringe/U-100/2ML/27.5G X 5/8"
Comfort Assist Insulin Syringe/1ML/29G X 1/2" BD Insulin Syringe/U-100/2ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/30G X 5/16" BD Integra Insulin Syringe/U-100/1ML/29G X 1/2"
Comfort Assist Insulin Syringe/1ML/31G X 5/16" BD Integra Syringe/Retracting Needle/1ML/25G X 1"
Comfort Lancets BD Lancet Ultrafine 30G
Diastar Easy Test II Lancets 30G BD Lancet Ultrafine 33G
Diastar Easy Test Lancets30G BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X
1/2" Droplet Lancets Ultra Thin 30G
Drug Mart On-the-go Lancets Gentle 30G BD Microtainer Lancets
Drug Mart Unilet Lancets Super Thin 30G BD Pen Needle/Mini/Ultrafine/31G X 3/16"
Drug Mart Unilet Lancets Ultra Thin 28G BD Pen Needle/Nano/Ultra Fine/32G X 4MM
Duane Reade Unifine Pentips 29G X 12MM BD Pen Needle/SHORT/Ultrafine/31G X 5/16"
Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT BD Pen Needle/Ultrafine/29G X 12.7MM
Duane Reade Unifine Pentips 31G X 8MM SHORT BD Pen Needle/Ultrafine/29GX1/2" 12.7MM
E-z Ject LancetsBD Pen Needles SHORT/Ultrafine/31G X 5/16"
E-z Ject Lancets ColorBD Safety-glide Insulin Syringe/0.5ML/29G X 1/2"
E-z Ject Lancets Super ThinBD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X
1/2" E-z Ject Lancets Super Thin 30G
BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16" E-z Ject Lancets Thin 26G
BD-insul SYR Mis LO Dose E-z Ject Lancets 21G
Carefine Pen Needle 32GX4MM E-ZJECT Lancets Micro-thin 33G
Carefine Pen Needles 29GX1/2" Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X
1/2"Carefine Pen Needles 30GX5/16"
Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X
5/16"
Carefine Pen Needles 31GX6MM
Carefine Pen Needles 31GX8MM
Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2"Careone Lancet Thin
Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2"Careone Lancet Ultra Thin
Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"Cleanlet Lancets 28G
Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2"Clever Chek Lancets Ultrathin
Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2"Clever Chek Lancets Ultrathin 30G
Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2"Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM
Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16"Clever Choice Comfort EZ Insulin Syringe/U100/1ML/31GX5/16" Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2"
Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2"Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X
1/2" Easy Touch Insulin Syringe/U-100/1ML/29G X 1/2"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X
1/2"
Easy Touch Insulin Syringe/U-100/1ML/30G X 1/2"
Easy Touch Insulin Syringe/U-100/1ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X
5/16"
Easy Touch Insulin Syringe/0.3ML/30G X 5/16"
Easy Touch Insulin Syringe/0.3ML/31G X 5/16"
Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X
5/16" Easy Touch Insulin Syringe/0.5ML/29G X 1/2"Easy Touch Insulin Syringe/0.5ML/30G X 5/16"Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X
1/2" Easy Touch Insulin Syringe/1ML/30G X 5/16"
Easy Touch Lancets 21G/Pressure ActivatedClever Choice Comfort EZ Insulin Syringe/0.5ML/29G X
1/2" Easy Touch Lancets 23G/Pressure Activated
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X
1/2"
Easy Touch Lancets 26G/Pressure Activated
Easy Touch Lancets 26G/Pull-top
Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X
5/16"
Easy Touch Lancets 26G/Twist
Easy Touch Lancets 28G/Pressure Activated
Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X
5/16" Easy Touch Lancets 28G/Pull-topEasy Touch Lancets 28G/TwistClever Choice Comfort EZ Insulin Syringe/1.0ML/30G X
1/2" Easy Touch Lancets 30G/Button-activated
Easy Touch Lancets 30G/Pressure ActivatedClever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2"
Easy Touch Lancets 30G/Pull-topClever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2"
Easy Touch Lancets 30G/TwistClever Choice Comfort EZ Insulin Syringe/1ML/30G X
5/16" Easy Touch Lancets 32G/Pressure Activated
Clever Choice Comfort EZ Pen Needles 29GX12MM Easy Touch Lancets 32G/Pull-top
Effective January 1, 2016
36
Easy Touch Lancets 32G/Twist Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16"
Easy Touch Lancets 33G/Twist Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16"
Easy Touch Pen Needles 29GX1/2" Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2"
Easy Touch Pen Needles 31GX1/4" Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16"
Easy Touch Pen Needles 31GX5/16" Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16"
Easy Touch Pen Needles 32GX5/32" Glucopro Insulin Syringe/U-100/1ML/30G X 1/2"
Easy Touch Pen Needles/31G X 3/16" Glucopro Insulin Syringe/U-100/1ML/30G X 5/16"
Easy Touch Safety Lancets21G/Pressure Activated Glucopro Insulin Syringe/U-100/1ML/31G X 5/16"
Easy Touch Safety Lancets23G/Pressure Activated Glucosource Lancets
Easy Touch Safety Lancets26G/Button Activated Gmate Lancets 30G
Easy Touch Safety Lancets26G/Pressure Activated H&h Thinlet Lancets 26G
Easy Touch Safety Lancets28G/Button Activated H&h Thinlet Super Thin Lancets 30G
Easy Touch Safety Lancets28G/Pressure Activated H-e-b Incontrol Pen Needles 29GX12MM
Easy Twist & CAP Lancets H-e-b IN Control Pen Needles 31GX6MM
Easytest II Lancets H-e-b IN Control Pen Needles 31GX8MM
Easytest Lancets Haemolance
Embrace Lancets Ultra Thin 30G Haemolance Low Flow Lancets
Eql SHORT Pen Needles 31G X 8MM Haemolance Plus
Eql Ultra SHORT Pen Needles 31G X 6MM Haemolance Plus High Flow
Excel Comfort Point Insulin Pen Needles 31G X 4MM Haemolance Plus Low Flow
Exel Comfort Point Insulin Pen Needles 29G X 12MM Haemolance Plus Max Flow
Exel Comfort Point Insulin Pen Needles 31G X 6MM Haemolance Plus Pediatric Flow
Exel Comfort Point Insulin Pen Needles 31G X 8MM Healthwise Mini Pen Needles 31GX6MM
Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2" Healthwise Pen Needles 29GX12MM
Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16" Healthwise SHORT Pen Needles 31GX8MM
Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2" Hy-vee Lancets
Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2" Insulin Syringe/U-100/0.3ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16" Insulin Syringe/U-100/0.5ML/28G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/28G X 1/2" Insulin Syringe/U-100/0.5ML/29G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/29G X 1/2" Insulin Syringe/U-100/1ML/28G X 1/2"
Exel Comfort Point Insulin Syringe/1ML/30G X 5/16" Insulin Syringe/U-100/1ML/29G X 1/2"
EZ Smart Blood Glucose Lancets Insulin Syringe/U-100/1ML/30G X 5/16"
EZ-lets Lancets 21G Insulin Syringe/U-100/1ML/31G X 5/16"
EZ-lets Lancets 23G Insulin Syringe/0.3ML/29G X 1/2"
EZ-lets Lancets 26G Super-soft Insulin Syringe/0.3ML/29G X 1"
EZ-lets Lancets 28G Ultra-soft Insulin Syringe/0.3ML/30G X 5/16"
EZ-lets Lancets 30G Insulin Syringe/0.3ML/31G X 5/16"
Fasttake Compact Monitoring System Insulin Syringe/0.5ML/27G X 1/2"
Fasttake Test Strips Insulin Syringe/0.5ML/28G X 1/2"
Fifty50 Pen Needles 31G X3/16" (5MM) Insulin Syringe/0.5ML/29G X 1/2"
Fifty50 Pen Needles 31G X5/16" (8MM) Insulin Syringe/0.5ML/30G X 1/2"
Fifty50 Safety Seal Lancets 30G Insulin Syringe/0.5ML/30G X 5/16"
Fifty50 Safety Seal Lancets 32G Insulin Syringe/0.5ML/31G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X
5/16"
Insulin Syringe/1ML/28G X 1/2"
Insulin Syringe/1ML/29G X 1/2"
Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X
5/16"
Insulin Syringe/1ML/30G X 5/16"
Insulin Syringe/1ML/31G X 5/16"
Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16" Insupen Sensitive 32GX8MM
Fine 30 Insupen Ultrafin 29GX12MM
Fingerstix Lancets Insupen Ultrafin 30GX8MM
Fora Lancets Insupen Ultrafin 31GX6MM
Freestyle Lancets Insupen Ultrafin 31GX8MM
Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X
5/16" IN Touch Sterile Lancets 30GLancet Transporter CaseFreestyle Precision Insulin Syringe/U-100/0.5ML/31G X
5/16" Lancets
Lancets Bullseye SafetyFreestyle Precision Insulin Syringe/U-100/1ML/31G X
5/16" Lancets Safety Seal 21G
Freestyle Precision Insulin Syringes/U-100/1ML/30G X
5/16"
Lancets Safety Seal 26G
Lancets Safety Seal 28G
Freestyle Unistick II Lancets Lancets Safety Seal 30G
Gentle-let GP Lancets Lancets Thin
Gentle-let Lancets General Purpose Style/Fine Point Lancets Twist Top
Gentle-let Lancets General Purpose Style/Medium Point Lancets Ultra Fine
Gentle-let Lancets Safety Style/Fine Point Lancets Ultra Thin
Gentle-let Lancets Safety Style/Medium Point Lancets 26G Twist Top
Gentle-let Platforms 2.4MM Lancets 28G
Gentle-let Platforms 3.0MM Lancets 30G
Glucocom Lancets 28G Lancets 30G Twist Top
Glucocom Lancets 30G Lancets 30G/Twist Top
Glucocom Lancets 33G Lancets 31G Twist Top
Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2"
Effective January 1, 2016
37
Lancets 33G Universal Design Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Leader Unifine Pentips Plus/Mini/31GX3/16" Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Leader Unifine Pentips Plus/SHORT/31GX5/16" Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Leader Unifine Pentips/Mini/31GX3/16" Monoject Insulin Syringe/U-100/1ML/30G X 5/16"
Leader Unifine Pentips/Nano/32GX5/32" Monoject Insulin Syringe/1ML
Leader Unifine Pentips/Plus/32GX5/32" Monoject Insulin Syringe/1ML/31G X 5/16"
Liberty Medical Lancets 30G Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2"
Lifescan Unistik II Lancets Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16"
Lifescan Unistik 2 Deep Penetration Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16"
Lite Touch Pen Needles/31G X 3/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2"
Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16"
Litetouch Insulin Syringe/U-100/1ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2"
Litetouch Insulin Syringe/U-100/1ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2"
Litetouch Insulin Syringe/0.3ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16"
Litetouch Insulin Syringe/0.3ML/30G X 5/16" Monojector End CAPS
Litetouch Insulin Syringe/0.3ML/31G X 5/16" Monojector Opd End CAPS
Litetouch Insulin Syringe/0.5ML/30G X 5/16" Monolet Lancets
Litetouch Insulin Syringe/0.5ML/31G X 5/16" Monolet Opd Lancets
Litetouch Insulin Syringe/1ML/30G X 5/16" Monolettor Safety Lancets
Litetouch Lancets Micro Thin 33G Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X
1/2" Litetouch Pen Needles 29GX12.7MM
Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X
1/2"
Litetouch Pen Needles 31G X 6MM
Litetouch Pen Needles 31GX8MM SHORT
Moore MED Monoject Insulin Syringe/U-100/1ML/28G X
1/2" Live Better Lancet Super Thin 30G Live Better Lancet Ultra Thin 28G Moore MED Monoject Insulin Syringe/U-100/1ML/29G X
1/2" Live Better Pen Needles 29G X 12MM
Live Better Pen Needles 31G X 12MM Myglucohealth Mgh Softlance Lancets 30G
Live Better Pen Needles 31G X 6MM Netgroup Lancets
Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2" Nova Safety Lancets 23G
Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16" Nova Safety Lancets 28G
Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2" Nova Sureflex Lancets
Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16" Novofine Plus 32GX4MM
Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2" On Call Lancets
Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16" On Call Plus Lancets
Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2" Onetouch Basic System
Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2" Onetouch Basic/Profile Test Strips
Medisense Thin Lancets Onetouch Club Lancets Fine Point
Medlance Plus Extra Lancets 21G Onetouch Combo Pack
Medlance Plus Lancets Onetouch Delica Lancets Extra Fine 33G
Medlance Plus Lancets Lite 25G Onetouch Delica Lancets Fine 30G
Medlance Plus Lite Lancets 25G Onetouch Finepoint Lancets
Medlance Plus Special Lancets 0.8MM Onetouch Lancets
Medlance Plus Superlite 30G Onetouch Profile System
Medlance Plus Superlite 30G/Comfort Max Onetouch Suresoft Lancing Device/18G
Medlance Plus Universal Lancets 21G Onetouch Suresoft Lancing Device/21G
Medlance Plus/Lite 25G Onetouch Suresoft Lancing Device/28G
Medlance/Extra Onetouch Ultra Blue
Medlance/Lite Onetouch Ultra Mini
Medlance/Universal Onetouch Ultra System Kit
Meijer Super Thin Lancets Onetouch Ultra 2
Microlet Lancets Onetouch Ultralink System (hex)
Microtainer Safety Flow Lancet/Sterile/Single-use Onetouch Ultralink System (DEC)
Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML Onetouch Ultrasmart
Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8" Onetouch Ultrasoft Lancets
Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2" Onetouch Verio
Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X
1/2"
Onetouch Verio IQ Blood Glucose Monitoring System
Onetouch Verio Sync Bloodglucose Monitoring System
Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2" Onetouch Verio Test Strips
Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X
1/2" Pen Needles 29G X 12MM Pen Needles 29GX1/2" Monoject Insulin Syringe/Safety/Perm
Needle/0.3ML/29GX1/2" Pen Needles 30GX5/16"
Pen Needles 31G X 1/4" SHORT Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X
1/2" Pen Needles 31G X 3/16"
Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X
1/2"
Pen Needles 31G X 6MM
Pen Needles 31GX5/16"
Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X
1/2"
Penlet II Replacement CAPS
Penlet II Replacement CAPS-deep
Monoject Insulin Syringe/Softpack/1ML/27G X 1/2" Penlet II Replacement CAPS-regular
Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Effective January 1, 2016
38
Pentips 31GX5MM Relion Ultra Thin Plus Lancets 32G
Pentips 31GX8MM Relion Ultra Thin Plus Lancets 33G
Pentips 32GX4MM Renew Advanced Lancing Cartridge Refills
Perfect Lancets 30G Rexall Lancets Ultra Thin
Perfect Pressure Activated Safety Lancets 28G Rightest Gl300 Lancets
Pharmacist Choice Ultra Thin Lancets Rightest GD-L500 Alternate Site Adapter
Pharmacist Choice Ultra Thin Lancets 28G Safe-t-lance Low Flow 25G
Pharmacist Choice Ultra Thin Lancets 30G Safe-t-lance Normal Flow 21G
Pharmacist Choice Ultra Thin Lancets 31G Safe-t-lance Plus Safety Lancet High Flow
Pharmacist Choice Ultra Thin Lancets 33G Safe-t-lance Plus Safety Lancet Low Flow
Pharmacy Counter Lancets Safe-t-lance Plus Safety Lancet Normal Flow
Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Safesnap Insulin Syringe/0.3ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Safesnap Insulin Syringe/0.5ML/29G X 1/2"
Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.5ML/30G X 5/16"
Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Safesnap Insulin Syringe/1ML/28G X 1/2"
Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/1ML/29G X 1/2"
Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X
1/2"
Safety Lancet 21G/Pressure Activated
Safety Lancet 28G/Pressure Activated
Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2" Safety Lancets
Precision Thin Lancets Safety Lancets 21G
Precision Thins GP Lancet Safety Lancets 28G
Precision Ultra Lancet Safety Let Lancets
Preferred Plus Unifine Pentips 29G X 12MM Safety Seal Lancets 28G
Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT Safety Seal Lancets 30G
Preferred Plus Unifine Pentips 31G X 8MM SHORT Safety-glide Insulin Syringe/0.3ML/29G X 1/2"
Prodigy Insulin Mini Pen Needles/31G X 3/16" Shopko On-the-go Comfort Lancets 30G
Prodigy Insulin Pen Needles/29G X 1/2" Shopko Unifine Pentips Pen Needles/Micro/32GX4MM
Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16" Shopko Unifine Pentips Pen Needles/Mini/31GX5MM
Prodigy Insulin Syringe/1/2ML/31G X 5/16" Shopko Unifine Pentips Pen Needles/Original/29GX12MM
Prodigy Insulin Syringe/1ML/28G X 1/2" Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM
Prodigy Insulin SHORT Penneedles/31G X 5/16" Shopko Unilet Lancets Super Thin 30G
Prodigy Pressure Activated Safety Lancets Shopko Unilet Lancets Ultra Thin 28G
Prodigy Twist Top Lancets Single-let
Pss Select GP Lancets Smart Diabetes Vantage Universal Lancets 30G
Pss Select Platforms Smart Sense Color Lancets Universal 33G
Pss Select Safety Lancets Smart Sense Standard Lancets Universal 21G
Px Lancets Ultra Thin Smart Sense Super Thin Lancets Universal 30G
PC Unifine Pentips 29G X 1/2" Smart Sense Thin Lancets Universal 26G
PC Unifine Pentips 31G X 6MM Ultra SHORT Smartest Lancets 28G
PC Unifine Pentips 31G X 8MM SHORT Solus V2 Pressure Activated Safety Lancets 28G
Qc Lancets Super Thin Solus V2 Twist Lancets 30G
Qc Lancets Ultra Thin Sterilance PA
Qc Pen Needles 29G X 12MM Sterilance TL
Qc Pen Needles 31G X 6MM Sure-fine Pen Needles 29GX1/2" 12.7MM
Qc Pen Needles 31G X 8MM Sure-fine Pen Needles 31GX3/16" 5MM
Relion Insulin Syringe/U -100/0.5ML/29G Sure-fine Pen Needles 31GX5/16" 8MM
Relion Insulin Syringe/U-00/1ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Relion Insulin Syringe/U-100/0.3ML/29G Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16"
Relion Insulin Syringe/U-100/0.3ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16"
Relion Insulin Syringe/U-100/0.3ML/30G Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Relion Insulin Syringe/U-100/0.3ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Relion Insulin Syringe/U-100/0.3ML/31G X 5/16" Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16"
Relion Insulin Syringe/U-100/0.5ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16"
Relion Insulin Syringe/U-100/0.5ML/30G Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2"
Relion Insulin Syringe/U-100/0.5ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2"
Relion Insulin Syringe/U-100/0.5ML/31G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16"
Relion Insulin Syringe/U-100/1ML/30G Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16"
Relion Insulin Syringe/U-100/1ML/30G X 5/16" Sure-lance Flat Lancets
Relion Insulin Syringe/U-100/1ML/31G X 5/16" Sure-lance Lancets 26G
Relion Lancets Micro-thin33G Sure-lance Thin Lancets 28G
Relion Lancets Standard 21G Sure-lance Ultra Thin Lancets
Relion Lancets Thin 26G Sure-touch Lancets Universal
Relion Lancets Ultra-thin30G Surelite Lancets
Relion Mini Pen Needles 31GX6MM Surestep Pro Test Strips
Relion Pen Needles 29GX12MM Surestep Test Strips
Relion Pen Needles 31GX8MM Techlite AST Lancets
Relion Pen Needles 32GX4MM Techlite Lancets
Relion SHORT Pen Needles 31GX8MM Techlite Lancets 30G
Relion Thin Lancets Terumo Insulin Syringe/U-100/0.3ML/29G X 1/2"
Relion Ultra Thin Lancets Terumo Insulin Syringe/U-100/0.5ML/27G X 1/2"
Relion Ultra Thin Lancets30G
Effective January 1, 2016
39
Terumo Insulin Syringe/U-100/0.5ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 1/2"
Terumo Insulin Syringe/U-100/1ML/28G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 5/16"
Terumo Insulin Syringe/0.3ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/28G X 1/2"
Terumo Insulin Syringe/0.5ML/29G X 1/2" Ulticare Insulin Syringe/0.5ML/29G X 1/2"
Terumo Insulin Syringe/0.5ML/30G X 3/8" Ulticare Insulin Syringe/0.5ML/30G X 1/2"
Terumo Insulin Syringe/1ML/27G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16"
Terumo Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/28G X 1/2"
Terumo Insulin Syringe/1ML/30G X 3/8" Ulticare Insulin Syringe/1ML/29G X 1/2"
Terumo Surguard Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2"
Terumo Surguard Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16"
Terumo Surguard Insulin Syringe/0.5ML/29G X 1/2" Ulticare Micro Pen Needles/32G X 4MM
Terumo Surguard Insulin Syringe/1ML/28G X 1/2" Ulticare Mini Pen Needles Ulti-fine IV
Terumo Surguard Insulin Syringe/1ML/29G X 1/2" Ulticare Mini Pen Needles 31GX6MM
Thinlets GP Lancets Ulticare Mini Pen Needles/31G X 6MM
Thinlets Lancet Ulticare Mini Pen Needles31GX6MM
Thinpro Insulin Syringe/0.3ML/29G X 1/2" Ulticare Original Pen Needles Ulti-fine
Thinpro Insulin Syringe/0.3ML/30G X 3/8" Ulticare Pen Needles/29G X 12.7MM
Thinpro Insulin Syringe/0.3ML/31G X 3/8" Ulticare SHORT Pen Needles Ulti-fine IV
Thinpro Insulin Syringe/0.5ML/28G X 1/2" Ulticare SHORT Pen Needles 31GX8MM
Thinpro Insulin Syringe/0.5ML/29G X 1/2" Ulticare SHORT Pen Needles/31G X 8MM
Thinpro Insulin Syringe/0.5ML/30G X 3/8" Ulticare Thin Lancets 30G
Thinpro Insulin Syringe/0.5ML/31G X 3/8" Ultiguard Insulin Syringe/U-100/0.3ML/29G X 1/2"
Thinpro Insulin Syringe/1ML/28G X 1/2" Ultiguard Insulin Syringe/U-100/0.3ML/30G X 5/16"
Thinpro Insulin Syringe/1ML/29G X 1/2" Ultiguard Insulin Syringe/U-100/0.5ML/29G X 1/2"
Thinpro Insulin Syringe/1ML/30G X 3/8" Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16"
Thinpro Insulin Syringe/1ML/31G X 3/8" Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2"
Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2" Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16" Ultilet Classic Lancets
Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2" Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2" Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16"
Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16"
Trueplus Insulin Syringe/U-100/1ML/28G X 1/2" Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16"
Trueplus Insulin Syringe/U-100/1ML/29G X 1/2" Ultilet Lancets
Trueplus Insulin Syringe/U-100/1ML/30G X 5/16" Ultilet Lancets 33G
Trueplus Insulin Syringe/U-100/1ML/31G X 5/16" Ultilet Pen Needle 32GX4MM/SHORT
Trueplus Lancets 26G Ultilet Safety Lancets 23G
Trueplus Lancets 28G Ultilet SHORT Pen Needles 31GX5/16"
Trueplus Lancets 28G Super Thin Ultilet SHORT Pen Needles31GX3/16"
Trueplus Lancets 30G Ultra-thin II Auto Lancet
Trueplus Lancets 30G Ultra Thin Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/30GX5/16" Trueplus Lancets 33G
Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/31GX5/16"
Trueplus Lancets 33G Micro Thin
Trueplus Safety Lancets 28G
Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/30GX5/16" Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2" Ulticare Insulin Safety Syringe/1ML/29G X 1/2" Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/31GX5/16" Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16"
Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16" Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16"
Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16" Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16"
Ulticare Insulin Syringe 1CC/28G U-100 1/2" Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2"
Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16" Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2"
Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16" Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2"
Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16" Ultra-thin II Lancets 28G
Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16" Ultra-thin II Lancets 30G
Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16" Ultra-thin II Mini Pen Neeedles/31GX3/16"
Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16" Ultra-thin II Pen Needles 29GX1/2"
Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2" Ultra-thin II Pen Needles/SHORT/31GX5/16"
Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2" Ultra-thin II Safety Autolancets 26G
Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16" Ultralance
Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16" Unifine Pentips Plus 29GX12MM
Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2" Unifine Pentips Plus 31GX5MM
Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2" Unifine Pentips Plus 31GX6MM
Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16" Unifine Pentips Plus 31GX8MM
Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16" Unifine Pentips 29GX12MM
Ulticare Insulin Syringe/U-100/1ML/29G X 1/2" Unifine Pentips 31G X 3/16"
Ulticare Insulin Syringe/U-100/1ML/30G X 1/2" Unifine Pentips 31G X 6MM
Ulticare Insulin Syringe/U-100/1ML/30G X 5/16" Unifine Pentips 31G X 8MM
Ulticare Insulin Syringe/U-100/1ML/31G X 5/16" Unifine Pentips 31GX5MM
Ulticare Insulin Syringe/0.3ML/29G X 1/2" Unifine Pentips 31GX6MM
Effective January 1, 2016
40
Unifine Pentips 31GX8MM Aerochamber Plus Flow-VU
Unifine Pentips 32GX4MM Aerochamber Plus Flow-VU/Large Mask
Unilet Comfortouch Lancet Aerochamber Plus Flow-VU/Mask
Unilet Excelite Aerochamber Plus Flow-VU/Medium Mask
Unilet Excelite II Aerochamber Plus Flow-VU/Small Mask
Unilet G.p. Lancet Aerochamber Z-stat Plus Valved Holding Chamber W/Flow
VU Unilet G.p. Superlite Lancet
Aerochamber Z-stat Plus/Flowsignal Unilet GP 28 Ultra Thin
Aerochamber Z-stat Plus/Large Mask Unilet Lancet
Aerochamber Z-stat Plus/Medium Mask Unilet Lancets Micro-thin33G
Aerochamber Z-stat Plus/Small Mask Unilet Lancets Super-thin30G
Aerochamber/Flowsignal Unilet Lancets Ultra-thin 28G
Aerovent Plus Holding Chamber/Collapsible Unilet Superlite Lancet
Arial Chamber Unistik CZT Comfort
Breatherite Unistik CZT Normal
Breatherite Collapsible Adult Spacer W/Mask Unistik Safety Lancets 28G
Breatherite Collapsible Child Spacer W/Mask Unistik Safety Lancets 30G
Breatherite Collapsible Infant Spacer W/Mask Unistik 1
Breatherite Collapsible Small Child Spacer W/Mask Unistik 2
Breatherite Collapsible Spacer W/ Neonate Mask Unistik 2 Comfort
Breatherite Rigid Spacer W/Mask Unistik 2 Extra
Breatherite W/Large Mask Unistik 2 Neonatal
Breatherite W/Medium Mask Unistik 2 Normal
Breatherite W/Small Mask Unistik 2 Super
E-z SpacerUnistik 3
E-z Spacer The Body Guards PackUnistik 3 Comfort
EasiventUnistik 3 Extra
Easivent/Mask-largeUnistik 3 Gentle
Easivent/Mask-mediumUnistik 3 Neonatal
Easivent/Mask-smallUnistik 3 Normal
FlexichamberUniversal 1 Lancets Thin 26G
Inspirachamber/Anti-static Valved/MouthpieceUniversal 1 Lancets Ultra Thin 30G
Inspirachamber/Soothermask/Inspiramask/MediumV-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2"
Inspirachamber/Soothermask/Inspiramask/SmallV-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2"
Inspirease BagsV-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2"
Inspirease Drug Delivery SystemV-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2"
Inspirease MouthpieceV-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2"
Inspirease Reservoir BagsValumark Lancet Super Thin 30G
LiteaireValumark Lancet Ultra Thin 28G
Mask Vortex/Baby Whirl DucklingValumark Pen Needles 29GX12MM
Mask Vortex/Child/FrogValumark Pen Needles 31G X 6MM
Mask Vortex/Spinner The DuckValumark Pen Needles 31G X 8MM
Mask Vortex/Toddler/Lady BugVanishpoint Insulin Syringe/0.5ML/30G X 1/2"
MicrochamberVanishpoint Insulin Syringe/1ML/29G X 1/2"
MicrospacerVida Mia Unifine Pentips Mini 31GX6MM
Nessi Spacer/Large MaskVida Mia Unifine Pentips Original 29GX12MM
Nessi Spacer/MouthpieceVida Mia Unifine Pentips 32GX4MM
Nessi Spacer/Small/MED MaskVida Mia Unilet Lancets Super Thin 30G
Optichamber AdvantageVida Mia Unilet Lancets Ultra Thin 28G
Optichamber DiamondVida Mia Unipfine Pentipsshort 31GX8MM
Optichamber Diamond/Largeface MaskVitalet Pro Lancets
Optichamber Diamond/Medium Face MaskVitalet Pro Plus Lancets
Optichamber Diamond/Smallface MaskW&f Lancets Colored 21G
OptihalerW&f Lancets 26G
Optihaler MDI Drug Delivery SystemWalgreens Lancets
Panda Mask LargeWalgreens Thin Lancets
Panda Mask MediumWalgreens Ultra Thin Lancets
Panda Mask Small1ST Choice Lancets Super Thin
Pediatric Panda Mask1ST Choice Lancets Thin
Pocket Chamber1ST Choice Lancets Ultra Thin
Pocket Spacer1ST Tier Unifine Pentips 29GX12MM
Riteflo1ST Tier Unifine Pentips 31GX6MM
Vortex Valved Holding Chamber1ST Tier Unifine Pentips 31GX8MM
Watchhaler
MEDICAL DEVICES - MISC
MISCELLANEOUSPREFERRED
Aerochamber Mini Aerosol Chamber
NON PREFERRED Aerochamber MV
Chemet Aerochamber Plus Flow VU
Effective January 1, 2016
41
Exjade
Ferriprox
Jadenu
Pentetate Calcium Trisodium
Pentetate Zinc Trisodium
Effective January 1, 2016 v.1
42
Index
A Actigall, 19 Advocate Insulin Syringe/U100/1ML/30GX5/16", 35Actimmune, 6A.a.g.c. Kit IN Teroderm, 11 Actiq, 29 Advocate Insulin Syringe/U100/1ML/31GX5/16", 35abacavir, 3
Activase, 22abacavir sulfate/lamivudine/zidovudine, 3
Activella, 15 Advocate Lancets, 35Abaneu-SL, 21
Actonel, 17 Advocate Lancets 30G, 35Abelcet, 2 Actoplus Met, 16 Advocate Safety Lancets, 35Abilify, 24 Actoplus Met XR, 16 Advocate Safety Lancets 26G, 35Abilify Discmelt, 24 Actos, 16 Aerochamber Mini Aerosol Chamber, 41Abilify Maintena, 24 Acuicyn Daily Eyelid & Eyelash Cleanser,
13
Aerochamber MV, 41Abraxane, 6 Aerochamber Plus Flow VU, 41Absorica, 10 Acular, 28 Aerochamber Plus Flow-VU, 41Abstral, 29 Acular LS, 28 Aerochamber Plus Flow-VU/Large Mask,
41acamprosate calcium DR, 26 Acuvail, 28Acanya, 10 acyclovir, 3, 11 Aerochamber Plus Flow-VU/Mask, 41acarbose, 16 acyclovir sodium, 3 Aerochamber Plus Flow-VU/Medium
Mask, 41 Accolate, 32 Acyclovir Sodium, 3Accu-chek Active Strips, 35 Aczone, 10 Aerochamber Plus Flow-VU/Small Mask,
41Accu-chek Aviva, 35 Adacel, 33Accu-chek Aviva Connect, 35 Adalat CC, 7 Aerochamber Z-stat Plus Valved Holding
Chamber W/Flow VU, 41Accu-chek Aviva Plus, 35 adapalene, 10Accu-chek Comfort Curve Test Strips, 35 Adapalene, 10 Aerochamber Z-stat Plus/Flowsignal, 41Accu-chek Compact Plus, 35 Adasuve, 24 Aerochamber Z-stat Plus/Large Mask, 41Accu-chek Compact Plus Care Kit, 35 Adcetris, 5 Aerochamber Z-stat Plus/Medium Mask,
41Accu-chek Compact Test Drum, 35 Adcirca, 10Accu-chek Fastclix Lancetdevice Kit, 35 Adderall, 24 Aerochamber Z-stat Plus/Small Mask, 41Accu-chek Fastclix Lancets, 35 Adderall XR, 24 Aerochamber/Flowsignal, 41Accu-chek Multiclix Lanc Et Device Kit,
35 Addyi, 26 Aerospan, 32 adefovir dipivoxil, 3 Aerovent Plus Holding
Chamber/Collapsible, 41Accu-chek Multiclix Lancets, 35 Adempas, 10Accu-chek Nano Smartview, 35 Adenocard, 8 AF Lancets Super Thin, 35Accu-chek Safe-t-pro Lancets, 35 adenosine, 7 Afinitor, 6 Accu-chek Safe-t-pro Pluslancets, 35 Adoxa, 2 Afinitor Disperz, 6 Accu-chek Smartview Strips, 35 Adoxa PAK 1/100, 2 Afluria 2012-2013, 33Accu-chek Soft Touch Lancets, 35 Adoxa PAK 1/150, 2 Afluria 2013-2014, 33Accu-chek Softclix Lancetdevice Kit, 35 Adoxa PAK 2/100, 2 Afluria 2014-2015, 33Accu-chek Softclix Lancets, 35 Adrenaclick, 9 Afluria 2015-2016, 33Accu-chek Voicemate, 35 Adrenal C Formula, 34 Afluria PF 2012-2013, 33Accupril, 8 Adrenalin, 9, 31 Afluria PF 2013-2014, 33Accuretic, 9 Adriamycin, 4 Afluria PF 2014-2015, 33Accutrend Glucose, 35 Advair Diskus, 32 Afluria PF 2015-2016, 33acebutolol HCL, 7 Advair HFA, 32 Afrezza, 16 Aceon, 8 Advanced Allergy Collection Kit, 12 Agamatrix Ultra-thin Lancets 33G, 35acetaminophen/caffeine/dihydrocodeine,
29 Advate, 22 Aggrastat, 22 Advicor, 10 Aggrenox, 22 Acetaminophen/Caffeine/Dihydrocodeine
Bitartrate, 29 Advocate Insulin Pen Needles 29GX12.7MM, 35
Agrylin, 22
Akne-mycin, 10 acetaminophen/codeine, 29 Advocate Insulin Pen Needles
31GX5MM, 35
Akten, 28 acetaminophen/codeine #2, 29 Akynzeo, 19 acetaminophen/codeine #3, 29 Advocate Insulin Pen Needles
31GX8MM, 35
Ala Scalp, 12 acetaminophen/codeine #4, 29 Albafort, 21, 34 acetaminophen/codeine phosphate, 29 Advocate Insulin Syringe/U100/0.3ML/29GX1/2", 35
Albenza, 3 acetazolamide, 9 albuterol sulfate, 32Acetazolamide, 9 Advocate Insulin Syringe/U100/0.3ML/30GX5/16", 35
albuterol sulfate ER, 32acetazolamide ER, 9 albuterol TAB 4MG, 32acetazolamide sodium, 9 Advocate Insulin Syringe/U100/0.3ML/31GX5/16", 35
Alcaine, 28 acetic acid, 28 alclometasone dipropionate, 12Acetic Acid/Aluminum Acetate, 28 Advocate Insulin Syringe/U100/0.5ML/29GX1/2", 35
Aldactazide, 9 acetylcysteine, 32 Aldactone, 9 Aciphex, 19 Advocate Insulin Syringe/U100/0.5ML/30GX5/16", 35
Aldara, 13 Aciphex Sprinkle, 19 Aldurazyme, 18 acitretin, 12 Advocate Insulin Syringe/U100/0.5ML/31GX5/16", 35
alendronate sodium, 16Aclovate, 12 Alendronate Sodium, 17Actemra, 30 Advocate Insulin Syringe/U100/1ML/29GX1/2", 35
Alevicyn Antipruritic SG, 13Acthib, 33 Alfenta, 29 Acticlate, 2
alfentanil, 29 amphetamine/dextroamphetamine, 24 Arava, 30
Alferon N, 6 Amphotec, 2 Arcalyst, 30
alfuzosin HCL ER, 20 Amphotericin B, 2 Arcapta Neohaler, 32
Alimta, 5 ampicillin, 1 argatroban, 21
Alinia, 4 Ampicillin, 1 Argatroban, 21
Alkeran, 4 ampicillin sodium, 1 Arial Chamber, 41
Allegra Allergy Childrens, 31 Ampicillin Sodium, 1 Aricept, 26
Allo-pax, 11 ampicillin-sulbactam, 1 Aricept Odt, 26
allopurinol, 31 Ampicillin-sulbactam, 1 Arimidex, 5
almotriptan malate, 30 Ampyra, 26 aripiprazole, 23
Alocril, 28 Amrix, 26 Aristospan Intra-articular, 14
Alodox Convenience Kit, 2 Amturnide, 9 Aristospan Intralesional, 14
Alomide, 28 Amytal Sodium, 24 Arixtra, 21
Aloprim, 31 Anacaine, 13 Armour Thyroid, 18
Alora, 15 Anadrol-50, 14 Arnica Flower, 13
alosetron hydrochloride, 19 Anafranil, 23 Arnuity Ellipta, 32
Aloxi, 19 anagrelide hydrochloride, 22 Aromasin, 5
Alphagan P, 28 Analpram Advanced, 19 Arranon, 5
Alphanate/Von Willebrand Factor
Complex/Human, 22
Analpram-HC, 19 Arthrotec 50, 30
Analpram-HC Singles, 19 Arthrotec 75, 30
Alphanine SD, 22 Anaprox, 30 Articadent Dental, 31
alprazolam, 22 Anaprox DS, 30 Artiss, 22
alprazolam ER, 23 Anaspaz, 19 Arzerra, 5
Alprazolam Intensol, 23 anastrozole, 5 Asacol HD, 19
alprazolam odt, 22 Ancef, 1 ascorbic acid, 33
Alrex, 27 Ancobon, 2 Asmanex HFA, 32
Alsuma, 30 Androderm, 14 Asmanex Twisthaler 120 Metered Doses,
32Altabax, 11 Androgel, 14
Altace, 8 Androgel P.M., 14 Asmanex Twisthaler 14 Metered Doses,
32Altoprev, 10 Android, 15
Aluvea, 13 Androxy, 14 Asmanex Twisthaler 30 Metered Doses,
32Alvesco, 32 Anectine, 26
amantadine HCL, 25 Angeliq, 15 Asmanex Twisthaler 60 Metered Doses,
32Amantadine HCL, 25 Angiomax, 21
Amaryl, 16 Animi-3, 21 Asmanex Twisthaler 7 Metered Doses,
32Ambien, 24 Animi-3/Vitamin D, 21
Ambien CR, 24 Anoro Ellipta, 32 Aspirin-caffeine-dihydrocodeine, 29
Ambisome, 2 Antabuse, 26 Aspirin/Dipyridamole, 22
Amcinonide, 12 Antara, 10 Assure Haemolance Plus High Flow 18G,
35Amerge, 30 Anthralin, 12
Amicar, 22 Anti-stick Insulin Syringe/U100/0.5ML/28G X 1/2", 35
Assure Haemolance Plus Low Flow 25G,
35amifostine, 6
amikacin sulfate, 2 Anti-stick Insulin Syringe/U100/0.5ML/29G X 1/2", 35
Assure Haemolance Plus Micro Flow
28G, 35 amiloride HCL, 9
amiloride/hydrochlorothiazide, 9 Anti-stick Insulin Syringe/U-100/1ML/29G
X 1/2", 35
Assure Haemolance Plus Normal Flow
21G, 35 aminocaproic acid, 22
Aminocaproic Acid, 22 antipyrine/benzocaine, 28 Assure Haemolance Plus Pediatric Blade,
35aminophylline, 32 Antipyrine/Benzocaine, 28
amiodarone HCL, 7 Anusol-HC, 19 Assure ID Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 35Amiodarone HCL, 8 Anzemet, 19
Amitiza, 19 Apidra, 16 Assure ID Insulin Safety Syringe/U100/1ML/29G X 1/2", 35amitriptyline HCL, 23 Apidra Solostar, 16
amlodipine besylate, 7 Aplenzin, 23 Assure Lance Lancets, 35
amlodipine besylate/atorvastatin calcium,
10
Apokyn, 25 Assure Lance Lancets 21G, 35
Appbutamone, 23 Assure Lance Plus Safety Lancets 25G,
35amlodipine besylate/benazepril HCL, 8 Appbutamone-d, 23
amlodipine besylate/benazepril
hydrochloride, 8
Appformin, 16 Assure Lance Plus Safety Lancets 30G,
35Appformin-d, 16
amlodipine besylate/valsartan, 8 apraclonidine, 28 Assure Lancets, 35
amlodipine/valsartan/hctz, 8 Apriso, 19 Astagraf XL, 5
ammonium lactate, 13 Aptensio XR, 24 Astelin, 31
Ammonul, 18 Aptiom, 25 Astepro, 31
Amoxapine, 23 Aptivus, 3 Astringyn, 22
amoxicillin, 1 Aquasol A Parenteral, 33 AT Last Lancets, 35
Amoxicillin, 1 Aquoral, 22 Atabex EC, 34
Amoxicillin ER, 1 Aralast NP, 33 Atabex Prenatal, 34
amoxicillin/clavulanate potassium, 1 Aralen, 3 Atacand, 8
amoxicillin/clavulanate potassium ER, 1
Aranesp Albumin Free, 21 Atacand HCT, 9
Atelvia, 17 Azithromycin, 1 BD Insulin Syringe Ultrafine/0.5ML/30G X
1/2", 36 atenolol, 7 Azopt, 28
atenolol/chlorthalidone, 8 Azor, 8 BD Insulin Syringe Ultrafine/0.5ML/31G X
5/16", 36 Atgam, 5 aztreonam, 4
Ativan, 23 Azulfidine, 19 BD Insulin Syringe Ultrafine/1ML/30G X
1/2", 36 Atopiclair, 13 Azulfidine EN-TABS, 19
atorvastatin calcium, 9 B BD Insulin Syringe Ultrafine/1ML/31G X
5/16", 36 atovaquone, 4 B-6 Folic Acid, 21atovaquone/proguanil HCL, 3 BD Insulin Syringe Ultrafine/U100/0.3ML/29G X 1/2", 35b-complex 100, 34atracurium besylate, 26 bacitracin, 4Atralin, 10 BD Insulin Syringe Ultrafine/U100/0.3ML/30G X 1/2", 35Bacitracin, 4, 27Atripla, 3 bacitracin/polymyxin b, 27Atropen, 19 BD Insulin Syringe Ultrafine/U100/0.3ML/31G X 15/64", 35Baclofen, 11atropine sulfate, 18, 27 baclofen, 26Atropine Sulfate, 19, 27 BD Insulin Syringe Ultrafine/U100/0.3ML/31G X 5/16", 35Bacmin, 34Atrovent, 31 Bactocill IN Dextrose, 1Atrovent HFA, 32 BD Insulin Syringe Ultrafine/U100/0.5ML/29G X 1/2", 35Bactrim, 4Aubagio, 26 Bactrim DS, 4augmented betamethasone dipropionate,
12
BD Insulin Syringe Ultrafine/U100/0.5ML/30G X 1/2", 35Bactroban, 11Bactroban Nasal, 31Augmentin, 1 BD Insulin Syringe Ultrafine/U100/0.5ML/31G X 15/64", 35Bal-care DHA, 34Augmentin ES-600, 1 Bal-care DHA Essential, 34Augmentin XR, 1 BD Insulin Syringe Ultrafine/U100/0.5ML/31G X 5/16", 35balsalazide disodium, 19Auralgan, 28 Banzel, 25Aurora Lancet Super Thin 30G, 35 BD Insulin Syringe Ultrafine/U100/1ML/29G X 1/2", 35Baraclude, 3Aurora Lancet Thin 23G, 35 Bayer Microlet Lancets, 35Aurora Pen Needles 29GX12MM, 35 BD Insulin Syringe Ultrafine/U100/1ML/30G X 1/2", 35Bcg Vaccine, 33Aurora Pen Needles 31G X 6MM, 35 BD Autoshield 29G X 3/16", 35Aurora Pen Needles 31G X 8MM, 35 BD Insulin Syringe Ultrafine/U100/1ML/31G X 15/64", 35BD Autoshield 29G X 5/16", 35Aurstat Anti-itch Hydrogel, 13 BD Autoshield Duo 30G X 3/16", 35Aurstat Anti-itch Hydrogel Kit, 13 BD Insulin Syringe Ultrafine/U100/1ML/31G X 5/16", 36BD Insulin Syringe LUER-LOK/U-100/1ML, 35Auryxia, 19 Autolet Platforms, 35 BD Insulin Syringe/Detachable Needle/U100/1ML/25G X 1", 36BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2", 35Auvi-q, 9 Avalide, 9 BD Insulin Syringe/Detachable Needle/U100/1ML/25G X 5/8", 36BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2", 35Avandamet, 16 Avandaryl, 16 BD Insulin Syringe/Detachable Needle/U100/1ML/26G X 1/2", 36BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8", 35Avandia, 16 Avapro, 8 BD Insulin Syringe/U-100/0.5ML/30G X
1/2", 36 BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2", 35Avar, 10 Avar LS, 10 BD Insulin Syringe/U-100/1ML/27G X
1/2", 36 BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2", 35Avar LS Cleanser, 10 Avar-e LS, 10 BD Insulin Syringe/U-100/1ML/28G X
1/2", 36 BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2", 35Avastin, 5 Avc, 20 BD Insulin Syringe/U-100/2ML/27.5G X
5/8", 36 BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8", 35Aveed, 15 Avelox, 2 BD Insulin Syringe/U-100/2ML/29G X
1/2", 36 BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2", 35Avelox Abc Pack, 2 Avidoxy DK, 2 BD Integra Insulin Syringe/U100/1ML/29G X 1/2", 36BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 35Avinza, 29 Avodart, 20 BD Integra Syringe/Retracting
Needle/1ML/25G X 1", 36BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35Avonex, 26 Avonex Pen, 26 BD Lancet Ultrafine 30G, 36BD Insulin Syringe Safetyglide/U100/0.3ML/31G X 5/16", 35Avycaz, 4 BD Lancet Ultrafine 33G, 36Axert, 30 BD LO-dose Insulin Syringe Microfine
IV/0.5ML/28G X 1/2", 36BD Insulin Syringe Slip Tip/U-100/1ML, 35 Axid, 19 Axiron, 15 BD Microtainer Lancets, 36BD Insulin Syringe U-40/1ML/25G X 5/8",
35 Aygestin, 15 BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36 azacitidine, 5 BD Insulin Syringe Ultrafine Halfunit/0.3ML/31G X 5/16", 35Azactam, 4 BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36 Azactam IN Iso-osmotic Dextrose, 4 BD Insulin Syringe Ultrafine
II/SHORT/0.5ML/31G X 5/16", 35Azasan, 5 BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36 Azasite, 27 BD Insulin Syringe Ultrafine
II/SHORT/1ML/31G X 5/16", 35azathioprine, 5 BD Pen Needle/Ultrafine/29G X 12.7MM, 36azelastine HCL, 28, 31 BD Insulin Syringe Ultrafine/0.3ML/30G X
1/2", 36Azelex, 10 BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 36Azilect, 25 BD Insulin Syringe Ultrafine/0.3ML/31G X
5/16", 36azithromycin, 1 BD Pen Needles SHORT/Ultrafine/31G X
5/16", 36 Bicillin L-a, 1 bupropion HCL XL, 23
BD Pudendal/Local Block Tray 1%
Lidocaine, 31
Bicnu, 4 buspirone HCL, 23
Bidil, 10 Busulfex, 4
BD Safety-glide Insulin
Syringe/0.5ML/29G X 1/2", 36
Biest/Progesterone, 15 butalbital/acetaminophen, 28
Biferarx, 21 butalbital/acetaminophen/caffeine, 28
BD Safety-lok Insulin Syringe/Perm
Needle/UF/1ML/29G X 1/2", 36
Biltricide, 3 butalbital/acetaminophen/caffeine/codein
e, 29 Bimatoprost, 27
BD Safetyglide Insulin
Sysyringe/0.5ML/30G X 5/16", 36
Binosto, 17 butalbital/apap/caffeine, 28
Biothrax, 33 butalbital/aspirin/caffeine, 28
BD-insul SYR Mis LO Dose, 36 bisoprolol fumarate, 7 butalbital/aspirin/caffeine/codeine, 29
Bebulin, 22 bisoprolol fumarate/hydrochlorothiazide,
8
Butisol Sodium, 24
Beconase AQ, 31 butorphanol tartrate, 29
Beleodaq, 6 bivalirudin, 21 Butrans, 29
Belladonna & Opium, 19 bleomycin sulfate, 4 Bydureon, 16
Belladonna Alkaloids & Opium, 19 Bleph-10, 27 Byetta, 16
Belsomra, 24 Blephamide, 27 Bystolic, 7
benazepril HCL, 8 Blephamide S.o.p., 27 C
benazepril HCL/hydrochlorothiazide, 8 Blincyto, 5 cabergoline, 18 Benefix, 22 Bloxiverz, 27 Caduet, 10 Benicar, 8 Boniva, 17 Cafcit, 24 Benicar HCT, 8 Boostrix, 33 Cafergot, 31 Bentyl, 19 Boric Acid, 13 caffeine citrate, 24Benzac Ac Wash, 10 Bosulif, 6 Caffeine/Sodium Benzoate, 24Benzac W Wash, 10 Botox, 26 Calan, 7 Benzaclin, 10 Bravelle, 17 Calan SR, 7 Benzaclin With P.M., 10 Breatherite, 41 calcipotriene, 12 Benzamycin, 10 Breatherite Collapsible Adult Spacer
W/Mask, 41 calcipotriene/betamethasone dipropionate, 12 Benzamycinpak, 10 Benzefoam, 10 Breatherite Collapsible Child Spacer
W/Mask, 41 calcitonin salmon, 17Benzefoamultra, 10 calcitonin-salmon, 17Benziq, 10 Breatherite Collapsible Infant Spacer
W/Mask, 41 Calcitriol, 12Benziq LS, 10 calcitriol, 18 Benzoin Compound Tincture, 13 Breatherite Collapsible Small Child
Spacer W/Mask, 41 calcium acetate, 19Benzoin Tincture, 13 Calcium Carbonate, 18benzonatate, 32 Breatherite Collapsible Spacer W/
Neonate Mask, 41 Calcium Folinate, 6benzoyl peroxide, 10 Caldolor, 30 benzoyl peroxide SHORT contact, 10 Breatherite Rigid Spacer W/Mask, 41 Cambia, 31 benztropine mesylate, 25 Breatherite W/Large Mask, 41 Campral, 26 Bepreve, 28 Breatherite W/Medium Mask, 41 Camptosar, 6 Berinert, 22 Breatherite W/Small Mask, 41 Canasa, 19 Besivance, 27 Breo Ellipta, 32 Cancidas, 2 Beta Inject Kit, 14 Brevibloc, 7 candesartan cilexetil, 8Betadine Ophthalmic Prep, 27 Brevicon-28, 15 candesartan cilexetil/hydrochlorothiazide,
8Betagan, 27 Brilinta, 22Betalido, 14 brimonidine tartrate, 28 Cantil, 19 betamethasone dipropionate, 12 Brintellix, 23 Capastat Sulfate, 2betamethasone sodium
phosphate/betamethasone acetate, 14
Brisdelle, 26 capecitabine, 5 bromfenac, 28 Capex, 12 Betamethasone SP, 14 bromocriptine mesylate, 25 Caphosol, 22 betamethasone valerate, 12 bromphen/pseudoephedrine
HCL/dextromethorphan HBR, 32 Capital/Codeine, 29Betapace, 7 Caprelsa, 6 Betapace AF, 7 Brompheniramine, 31 Capsiderm, 13 Betaseron, 26 Brompheniramine Tannate, 31 captopril, 8 betaxolol HCL, 7, 27 Brovana, 32 Captopril/Hydrochlorothiazide, 8bethanechol chloride, 20 budesonide, 14, 31, 32 Carafate, 19 Bethkis, 2 Bullseye Safety Lancets, 35 Carbaglu, 18 Betimol, 27 bumetanide, 9 carbamazepine, 25Betoptic-s, 27 Bunavail, 29 carbamazepine ER, 25bexarotene, 6 Bupap, 28 Carbaphen 12, 32 Bexsero, 33 Buphenyl, 18 Carbaphen 12 PED, 32Bexxar, 5 bupivacaine HCL, 31 Carbatrol, 25 Bexxar 131 Iodine, 6 bupivacaine/epinephrine, 31 carbidopa, 25 Beyaz, 15 Buprenex, 29 carbidopa/levodopa, 25Biaxin, 1 buprenorphine HCL, 29 carbidopa/levodopa ER, 25Biaxin XL, 1 buprenorphine HCL/naloxone HCL, 29 carbidopa/levodopa odt, 25Biaxin XL PAC, 1 bupropion HCL, 23 Carbidopa/Levodopa/Entacapone, 25bicalutamide, 5 bupropion HCL ER, 23 carbinoxamine maleate, 31Bicillin C-R, 1 bupropion HCL SR, 23 Carbocaine, 31
carboplatin, 4 Celestone-soluspan, 14 ciprofloxacin HCL, 2, 27
Cardene I.v., 7 Celexa, 23 Ciprofloxacin HCL, 2
Cardene IV, 7 Cellcept, 5 ciprofloxacin I.V.-IN D5W, 2
Cardene SR, 7 Cellcept Intravenous, 5 cisatracurium besylate, 26
Cardizem, 7 Celontin, 25 cisplatin, 4
Cardizem CD, 7 Cenestin, 15 Cisplatin, 4
Cardizem LA, 7 Cenfol, 21 citalopram hydrobromide, 23
Cardura, 8 Centany AT, 11 Citanest Forte Dental, 31
Cardura XL, 20 Centratex, 21 Citanest Plain Dental, 31
Carefine Pen Needle 32GX4MM, 36 cephalexin, 1 Citranatal 90 DHA, 34
Carefine Pen Needles 29GX1/2", 36 Cephalexin, 1 Citranatal Assure, 34
Carefine Pen Needles 30GX5/16", 36 Cerdelga, 21 Citranatal B-calm, 34
Carefine Pen Needles 31GX6MM, 36 Cerebyx, 25 Citranatal DHA, 34
Carefine Pen Needles 31GX8MM, 36 Cerezyme, 21 Citranatal Harmony, 34
Careone Lancet Thin, 36 Cervarix, 33 Citranatal RX, 34
Careone Lancet Ultra Thin, 36 Cervidil, 28 citric acid/sodium citrate, 20
carisoprodol, 26 Cesamet, 19 cladribine, 5
Carisoprodol, 26 cetirizine HCL, 31 Claforan, 1
carisoprodol/aspirin, 26 Cetraxal, 28 Claforan/D5W, 1
carisoprodol/aspirin/codeine, 26 Cetrotide, 17 Clarifoam EF, 10
Carmol-HC, 12 cevimeline HCL, 22 Clarinex, 31
Carnitor, 18 Chemet, 41 Clarinex Reditabs, 31
Carnitor SF, 18 Chenodal, 19 Clarinex-d 12 HOUR, 32
carteolol HCL, 27 Chloramphenicol Sodium Succinate, 4 Clarinex-d 24 HOUR, 32
carvedilol, 7 chlordiazepoxide HCL, 23 clarithromycin, 1
Cascara Sagrada, 18 Chlordiazepoxide/Amitriptyline, 26 clarithromycin ER, 1
Casodex, 5 chlorhexidine gluconate, 22 Cleanlet Lancets 28G, 36
Cataflam, 30 chlorhexidine gluconate oral rinse, 22 clemastine fumarate, 31
Catapres, 8 chloroprocaine HCL, 31 Clemastine Fumarate, 31
Catapres-tts-1, 8 chloroquine phosphate, 3 Cleocin, 4, 20
Catapres-tts-2, 8 chlorothiazide, 9 Cleocin IN D5W, 4
Catapres-tts-3, 8 Chlorothiazide, 9 Cleocin Pediatric Granules, 4
Cathflo Activase, 22 chlorothiazide sodium, 9 Cleocin Phosphate, 4
Cayston, 4 chlorpromazine HCL, 23 Cleocin-t, 10
Cedax, 1 Chlorpromazine HCL, 24 Clever Chek Lancets Ultrathin, 36
cefaclor, 1 Chlorpropamide, 16 Clever Chek Lancets Ultrathin 30G, 36
Cefaclor, 1 Chlorthalidone, 9 Clever Choice Comfort EZ Insulin Pen
Needles 31GX8MM, 36Cefaclor ER, 1 chlorzoxazone, 26
cefadroxil, 1 Cholbam, 19 Clever Choice Comfort EZ Insulin
Syringe/0.3ML/29G X 1/2", 36cefazolin sodium, 1 cholestyramine, 9
Cefazolin Sodium, 1 cholestyramine light, 9 Clever Choice Comfort EZ Insulin
Syringe/0.3ML/30G X 1/2", 36Cefazolin Sodium/Dextrose, 1 choline magnesium trisalicylate, 28
cefdinir, 1 Choline Magnesium Trisalicylate, 28 Clever Choice Comfort EZ Insulin
Syringe/0.3ML/30G X 5/16", 36Cefditoren Pivoxil, 1 chorionic gonadotropin, 17
cefepime, 1 Cialis, 10 Clever Choice Comfort EZ Insulin
Syringe/0.3ML/31G X 5/16", 36Cefepime, 1 Ciclodan Cream Kit, 11
cefixime, 1 Ciclodan Solution Kit, 11 Clever Choice Comfort EZ Insulin
Syringe/0.5ML/28G X 1/2", 36cefotaxime sodium, 1 ciclopirox, 11
Cefotetan, 1 ciclopirox nail lacquer, 11 Clever Choice Comfort EZ Insulin
Syringe/0.5ML/29G X 1/2", 36Cefotetan/Dextrose, 1 ciclopirox olamine, 11
cefoxitin sodium, 1 Ciclopirox Topical Solution Kit, 11 Clever Choice Comfort EZ Insulin
Syringe/0.5ML/30G X 1/2", 36Cefoxitin Sodium, 1 cidofovir, 3
cefpodoxime proxetil, 1 Ciferex, 21 Clever Choice Comfort EZ Insulin
Syringe/0.5ML/30G X 5/16", 36cefprozil, 1 cilostazol, 22
ceftazidime, 1 Ciloxan, 27 Clever Choice Comfort EZ Insulin
Syringe/0.5ML/31G X 5/16", 36Ceftazidime/Dextrose, 1 cimetidine, 18
Ceftibuten, 1 cimetidine HCL, 18 Clever Choice Comfort EZ Insulin
Syringe/1.0ML/30G X 1/2", 36Ceftin, 1 Cimzia, 19
Ceftriaxone IN Iso-osmotic Dextrose, 1 Cimzia Starter Kit, 19 Clever Choice Comfort EZ Insulin
Syringe/1ML/28G X 1/2", 36ceftriaxone sodium, 1 Cinryze, 22
Ceftriaxone Sodium, 1 Cipro, 2 Clever Choice Comfort EZ Insulin
Syringe/1ML/29G X 1/2", 36Ceftriaxone/Dextrose, 1 Cipro HC, 28
cefuroxime axetil, 1 Cipro I.V.-IN D5W, 2 Clever Choice Comfort EZ Insulin
Syringe/1ML/30G X 5/16", 36cefuroxime sodium, 1 Cipro XR, 2
Cefuroxime Sodium, 1 Ciprodex, 28 Clever Choice Comfort EZ Insulin
Syringe/U-100/1ML/31GX5/16", 36Cefuroxime/Dextrose, 1 ciprofloxacin, 2
Celebrex, 30 Ciprofloxacin, 28 Clever Choice Comfort EZ Patch, 13
celecoxib, 30 ciprofloxacin ER, 2 Clever Choice Comfort EZ Pen Needles
29GX12MM, 36 Cocaine HCL, 13 Cortisporin-tc, 28
Clever Choice Comfort EZ Pen Needles
31GX5MM, 36
Cod Liver Oil, 34 Corvert, 8
Codar AR, 32 Corvite, 34
Clever Choice Comfort EZ Pen Needles
31GX6MM, 36
codeine sulfate, 29 Corvite 150, 21
Codeine Sulfate, 29 Corzide, 9
Clever Choice Comfort EZ Pen Needles
31GX8MM, 36
Cogentin, 25 Cosentyx, 12
Colazal, 19 Cosentyx Sensoready Pen, 12
Clever Choice Comfort EZ Pen Needles
32GX4MM, 36
Colchicine, 31 Cosmegen, 4
Colcrys, 31 Cosopt, 27
Clever Choice Comfort EZ Pen Needles
32GX8MM, 36
Colestid, 10 Cosopt PF, 27
Colestid Flavored, 10 Coumadin, 21
Clever Choice Comfort EZ Pen Needles
33GX4MM, 36
colestipol HCL, 9 Cozaar, 8
colestipol HCL for oral suspension, 9 Cpb Wc, 32
Clever Choice Comfort EZ Pen Needles
33GX5MM, 36
colistimethate sodium, 4 Creon, 19
Coly-mycin M, 4 Cresemba, 2
Clever Choice Comfort EZ Pen Needles
33GX6MM, 36
Coly-mycin S, 28 Crestor, 9
Colyte-flavor Packs, 18 Cresylate, 28
Clever Choice Comfort EZ Pen Needles
33GX8MM, 36
Combigan, 27 Crinone, 20
Combipatch, 15 Crixivan, 3
Cleviprex, 7 Combivent Respimat, 32 Crnatal, 34
Climara, 15 Combivir, 3 cromolyn sodium, 19, 28
Climara Pro, 15 Cometriq, 6 Cromolyn Sodium, 32
Clin Single Use Kit, 4 Comfort Assist Insulin Syringe 0.3ML/29G
X 1/2", 36
Cubicin, 4
Clin-lido, 4 Curosurf, 33
Clindacin Etz, 10 Comfort Assist Insulin Syringe/0.3ML/30G
X 5/16", 36
Cutivate, 12
Clindacin PAC, 10 Cuvposa, 19
Clindagel, 10 Comfort Assist Insulin Syringe/0.3ML/31G
X 5/16", 36
cyanocobalamin, 21
clindamycin HCL, 4 Cyclessa, 15
clindamycin palmitate HCL, 4 Comfort Assist Insulin Syringe/0.5ML/29G
X 1/2", 36
Cyclobenzaprine Comfort PAC, 26
clindamycin phosphate, 4, 10, 20 cyclobenzaprine HCL, 26
Clindamycin Phosphate, 4 Comfort Assist Insulin Syringe/0.5ML/30G
X 5/16", 36
Cyclogyl, 28
clindamycin phosphate add-vantage, 4 Cyclomydril, 28
clindamycin phosphate IN D5W, 4 Comfort Assist Insulin Syringe/0.5ML/31G
X 5/16", 36
cyclopentolate HCL, 27
clindamycin phosphate pharmacy bulk
package, 4
cyclophosphamide, 4
Comfort Assist Insulin Syringe/1ML/29G
X 1/2", 36
Cyclophosphamide, 4
clindamycin/benzoyl peroxide, 10 Cycloserine, 2
Clindap-t, 10 Comfort Assist Insulin Syringe/1ML/30G
X 5/16", 36
cyclosporine, 5
Clindesse, 20 cyclosporine modified, 5
Clinical Nutrients Prenatal Formula, 34 Comfort Assist Insulin Syringe/1ML/31G
X 5/16", 36
Cyclosporine Modified, 5
Clinoin, 10 Cyklokapron, 22
clobetasol propionate, 12 Comfort Lancets, 36 Cymbalta, 23
clobetasol propionate emollient, 12 Compazine, 24 cyproheptadine HCL, 31
Clobex, 12 Complera, 3 Cyramza, 5
Clocortolone Pivalate, 12 Comtan, 25 Cystadane, 18
Clocortolone Pivalate P.M., 12 Comvax, 33 Cystagon, 20
Clodan Kit, 12 Concept DHA, 34 Cystaran, 28
Cloderm, 12 Concept OB, 34 cytarabine, 5
Cloderm P.M., 12 Concerta, 24 Cytarabine, 5
Clolar, 5 Condylox, 13 cytarabine aqueous, 5
clomiphene citrate, 17 Conzip, 29 Cytomel, 18
clomipramine HCL, 23 Copasil, 13 Cytotec, 19
clonazepam, 25 Copaxone, 26 Cytovene, 3
clonazepam odt, 25 Copegus, 3 Cytra-3, 20
clonidine HCL, 8 Cordarone, 8 D
clonidine HCL ER, 24 Cordran, 12 D.h.e. 45, 31clopidogrel, 22 Cordran Tape, 12 dacarbazine, 6clorazepate dipotassium, 23 Coreg, 7 Dacarbazine, 6Clorpres, 9 Coreg CR, 7 Dacogen, 5clotrimazole, 11, 22 Corgard, 7 Daklinza, 3clotrimazole/betamethasone dipropionate,
11
Corifact, 22 Daliresp, 32Corlanor, 10 Dallergy, 32clozapine, 23 Corlopam, 8 Dalvance, 4Clozapine Odt, 24 Cortalo, 12 danazol, 14Clozaril, 24 Cortef, 14 Dantrium, 26Cnl8 Nail Kit, 11 Cortenema, 20 Dantrium IV, 26Coaguchek Lancets, 36 Cortifoam, 20 dantrolene sodium, 26Coal TAR, 13 Cortisone Acetate, 14 Dantrolene Sodium, 26Coartem, 3 Cortisporin, 11, 28 Dapsone, 4
Daptacel, 33 Dexedrine, 24 Diphenoxylate/Atropine, 18
Daraprim, 3 Dexilant, 19 Diphtheria/Tetanus Toxoids Adsorbed
Pediatric, 33 daunorubicin HCL, 4 Dexlido, 14
Daunoxome, 4 Dexlido-m, 14 Diprolene, 12
Daypro, 30 dexmedetomidine HCL, 24 Diprolene AF, 12
Daytrana, 24 dexmethylphenidate HCL, 24 dipyridamole, 22
Ddavp, 17 dexmethylphenidate HCL ER, 24 Disalcid, 28
Debacterol, 22 Dexpak 10 Day, 14 disopyramide phosphate, 7
decitabine, 5 Dexpak 13 Day, 14 disulfiram, 26
Decon-a, 32 Dexpak 6 Day, 14 Ditropan XL, 20
Delestrogen, 15 Dexpanthenol, 20 Diuril, 9
Delzicol, 20 dexrazoxane, 6 divalproex sodium, 25
Demadex, 9 dextroamphetamine sulfate, 24 divalproex sodium DR, 25
demeclocycline HCL, 2 dextroamphetamine sulfate ER, 24 divalproex sodium ER, 25
Demerol, 29 Dextromethorphan
HBR/Chlorpheniramine/Phenylephrine
HCL, 32
Divigel, 15
Demser, 8 Divista, 21
Denavir, 11 dobutamine HCL, 9
Depacon, 25 dobutamine HCL/D5W, 9Diabeta, 16
Depakene, 25 dobutamine/dextrose 5%, 9Dialyvite 3000, 34
Depakote, 25 Dobutamine/Dextrose 5%, 9Dialyvite 5000, 34
Depakote ER, 25 Docefrez, 6 Dialyvite Supreme D, 34
Depakote Sprinkles, 25 docetaxel, 5 Dialyvite/Zinc, 34
Depo-estradiol, 15 Docetaxel, 6 Diamox, 9
Depo-medrol, 14 Dolgic Plus, 29 Diastar Easy Test II Lancets 30G, 36
Depo-provera, 5 Dologesic, 28 Diastar Easy Test Lancets30G, 36
Depo-testosterone, 15 Dolophine, 29 Diastat Acudial, 25
Deprizine Fusepaq, 19 Dolophine HCL, 29Diastat Pediatric, 25
Derma Silkrx Anodynexa PAK, 30 donepezil HCL, 26Diatx ZN, 34
Derma Silkrx Diclopak, 30 dopamine HCL, 9 diazepam, 23
Derma Silkrx Sds PAK, 12 Dopamine HCL, 9 Diazepam, 23, 25
Derma-smoothe/FS Body, 12 dopamine HCL-dextrose 5%, 9Dibenzyline, 8
Derma-smoothe/FS Scalp, 12 dopamine HCL/dextrose 5%, 9Diclegis, 19
Dermacinrx Duopatch Pharmapak, 13 dopamine/D5W, 9 diclofenac potassium, 30
Dermacinrx Inflammatral PAK, 30 Dopram, 24 diclofenac sodium, 11, 28
Dermacinrx Lexitral Pharmapak, 11 Doral, 24 diclofenac sodium DR, 30
Dermacinrx Neurotral Pharmapak, 13 Doribax, 4 diclofenac sodium ER, 30
Dermacinrx Surgical Pharmapak, 13 Doryx, 2 diclofenac sodium/misoprostol, 30
Dermapak Plus, 10 dorzolamide HCL, 28dicloxacillin sodium, 1
Dermasorb HC, 12 dorzolamide HCL/timolol maleate, 27Dicopanol Fusepaq, 31
Dermasorb Ta, 12 Doubledex, 14 dicyclomine HCL, 18
Dermasorb XM, 13 Dovonex, 12 didanosine, 3
Dermatop, 12 doxapram HCL, 24Differin, 10
Dermotic, 28 doxazosin, 8 Dificid, 1
desipramine HCL, 23 doxazosin mesylate, 8Diflorasone Diacetate, 12
desloratadine, 31 doxepin HCL, 23 Diflucan, 2
desloratadine odt, 31 Doxepin HCL, 23 diflunisal, 28
desmopressin acetate, 17 doxercalciferol, 18 digoxin, 7
Desogen, 15 Doxil, 4 Digoxin, 7
desogestrel/ethinyl estradiol, 15 doxorubicin HCL, 4dihydroergotamine mesylate, 30
Desonate, 12 Doxorubicin HCL, 4Dihydroergotamine Mesylate, 30
desonide, 12 doxorubicin HCL liposome, 4Dilacor XR, 7
Desowen, 12 doxycycline, 2 Dilantin, 25
Desowen Cream/Cetaphil Lotion, 12 Doxycycline, 11 Dilantin Infatabs, 25
Desowen Lotion/Cetaphil Cream, 12 doxycycline hyclate, 2Dilantin-125, 25
Desowen Ointment/Cetaphil Lotion, 12 doxycycline hyclate DR, 2Dilatrate SR, 7
desoximetasone, 12 doxycycline monohydrate, 2Dilaudid, 29
Desoximetasone, 12 Drisdol, 33 Dilaudid-HP, 29
Desoxyn, 24 Dritho-creme HP, 12diltiazem CD, 7
Desvenlafaxine ER, 23 dronabinol, 19 diltiazem HCL, 7
Detrol, 20 droperidol, 23 Diltiazem HCL, 7
Detrol LA, 20 Droplet Lancets Ultra Thin 30G, 36diltiazem HCL ER, 7
dexamethasone, 14 drospirenone/ethinyl estradiol, 15Dimenhydrinate, 19
Dexamethasone, 14 Droxia, 21 Diovan, 8
Dexamethasone Intensol, 14 Drug Mart On-the-go Lancets Gentle
30G, 36
Diovan HCT, 9
dexamethasone sodium phosphate, 14,
27
Dipentocaine, 12
Drug Mart Unilet Lancets Super Thin
30G, 36
Dipentum, 20
Dexamethasone Sodium Phosphate, 14 diphenhydramine HCL, 31
Dexchlorpheniramine Maleate, 31 Drug Mart Unilet Lancets Ultra Thin 28G, diphenoxylate/atropine, 18
36 5/16", 36 Easy Touch Safety Lancets28G/Pressure
Activated, 37 Drysol, 13 Easy Touch Insulin Syringe/Safety/U100/0.5ML/29G X 1/2", 36Duac, 10 Easy Twist & CAP Lancets, 37
Duane Reade Unifine Pentips 29G X
12MM, 36
Easy Touch Insulin Syringe/Safety/U100/0.5ML/30G X 5/16", 36
Easytest II Lancets, 37
Easytest Lancets, 37
Duane Reade Unifine Pentips 31G X
6MM Ultra SHORT, 36
Easy Touch Insulin Syringe/Safety/U100/1ML/29G X 1/2", 36
EC-naprosyn, 30
econazole nitrate, 11
Duane Reade Unifine Pentips 31G X
8MM SHORT, 36
Easy Touch Insulin Syringe/Safety/U100/1ML/30G X 1/2", 36
Ecoza, 11
Ed Cyte F, 21
Duavee, 15 Easy Touch Insulin Syringe/U100/0.3ML/30G X 1/2", 36
Edarbi, 8
Duet DHA 400, 34 Edarbyclor, 9
Duet DHA 400EC, 34 Easy Touch Insulin Syringe/U100/0.5ML/27G X 1/2", 36
Edecrin, 9
Duet DHA 430, 34 Edluar, 24
Duet DHA 430EC, 34 Easy Touch Insulin Syringe/U100/0.5ML/28G X 1/2", 36
Edurant, 3
Duet DHA Balanced, 34 Effexor XR, 23
Duetact, 16 Easy Touch Insulin Syringe/U100/0.5ML/30G X 1/2", 36
Effient, 22
Duexis, 30 Egrifta, 17
Dulera, 32 Easy Touch Insulin Syringe/U100/0.5ML/31G X 5/16", 36
Elaprase, 18
duloxetine HCL, 23 Eldepryl, 25
Duloxetine HCL, 23 Easy Touch Insulin Syringe/U100/1ML/27G X 1/2", 36
Elelyso, 21
Duoneb, 32 Elestat, 28
Duopa, 25 Easy Touch Insulin Syringe/U100/1ML/28G X 1/2", 36
Elestrin, 15
Duragesic, 29 Eletone, 13
Durasafe Spinal/Epidural Tray/1%
Xylocaine/19GX36"close CATH, 31
Easy Touch Insulin Syringe/U100/1ML/29G X 1/2", 36
Eletone Twinpack, 13
Elidel, 13
Durasafe Spinal/Epidural Tray/1%
Xylocaine/19GX36"open CATH, 31
Easy Touch Insulin Syringe/U100/1ML/30G X 1/2", 36
Eligard, 5
Elimite, 13
Durasafe Spinal/Epidural Tray/1%
Xylocaine/20GX36"close CATH, 31
Easy Touch Insulin Syringe/U100/1ML/31G X 5/16", 36
Eliphos, 20
Eliquis, 21
Durasafe Spinal/Epidural Tray/1%
Xylocaine/20GX36"open CATH, 31
Easy Touch Lancets 21G/Pressure
Activated, 36
Elitek, 6
Elixophyllin, 32
Durezol, 27 Easy Touch Lancets 23G/Pressure
Activated, 36
Ella, 15
Durlaza, 22 Ellence, 4
Dutoprol, 8 Easy Touch Lancets 26G/Pressure
Activated, 36
Elmiron, 20
Dyazide, 9 Elocon, 12
Dyloject, 30 Easy Touch Lancets 26G/Pull-top, 36 Eloxatin, 4
Dymista, 31 Easy Touch Lancets 26G/Twist, 36 Emadine, 28
Dyrenium, 9 Easy Touch Lancets 28G/Pressure
Activated, 36
Embeda, 29
Dysport, 26 Embrace Lancets Ultra Thin 30G, 37
Dyural-40, 14 Easy Touch Lancets 28G/Pull-top, 36 Emcyt, 5
Dyural-80, 14 Easy Touch Lancets 28G/Twist, 36 Emend, 19
Dyural-l, 14 Easy Touch Lancets 30G/Buttonactivated, 36
Emla, 13
Dyural-lm, 14 Emsam, 23
E Easy Touch Lancets 30G/Pressure
Activated, 36
Emtriva, 3
Emulsion SB, 13 E-z Ject Lancets, 36 Easy Touch Lancets 30G/Pull-top, 36 Emvoren, 12 E-z Ject Lancets 21G, 36 Easy Touch Lancets 30G/Twist, 36 Enablex, 20 E-z Ject Lancets Color, 36 Easy Touch Lancets 32G/Pressure
Activated, 36
enalapril maleate, 8E-z Ject Lancets Super Thin, 36 enalapril maleate/hydrochlorothiazide, 8E-z Ject Lancets Super Thin 30G, 36 Easy Touch Lancets 32G/Pull-top, 36 enalaprilat, 8 E-z Ject Lancets Thin 26G, 36 Easy Touch Lancets 32G/Twist, 37 Enbrace HR, 34 E-z Spacer, 41 Easy Touch Lancets 33G/Twist, 37 Enbrel, 30 E-z Spacer The Body Guards Pack, 41 Easy Touch Pen Needles 29GX1/2", 37 Enbrel Sureclick, 30E-ZJECT Lancets Micro-thin 33G, 36 Easy Touch Pen Needles 31GX1/4", 37 Endometrin, 20 E.e.s. 400, 1 Easy Touch Pen Needles 31GX5/16", 37 Engerix-b, 33 E.e.s. Granules, 1 Easy Touch Pen Needles 32GX5/32", 37 Enjuvia, 15 Easivent, 41 Easy Touch Pen Needles/31G X 3/16",
37
Enlon, 27 Easivent/Mask-large, 41 Enlon-plus, 27 Easivent/Mask-medium, 41 Easy Touch Safety Lancets21G/Pressure
Activated, 37
enoxaparin sodium, 21Easivent/Mask-small, 41 entacapone, 25 Easy Touch Insulin Syringe/0.3ML/30G X
5/16", 36 Easy Touch Safety Lancets23G/Pressure Activated, 37
entecavir, 3
Entereg, 20 Easy Touch Insulin Syringe/0.3ML/31G X
5/16", 36 Easy Touch Safety Lancets26G/Button Activated, 37
Entocort EC, 14
Entresto, 10 Easy Touch Insulin Syringe/0.5ML/29G X
1/2", 36 Easy Touch Safety Lancets26G/Pressure Activated, 37
Entyvio, 20
Envarsus XR, 5 Easy Touch Insulin Syringe/0.5ML/30G X
5/16", 36 Easy Touch Safety Lancets28G/Button Activated, 37
Epaned, 8
ephedrine sulfate, 9Easy Touch Insulin Syringe/1ML/30G X
Ephedrine Sulfate/Sodium Chloride, 9 Estrostep FE, 15 EZ-lets Lancets 26G Super-soft, 37
Epiceram, 13 eszopiclone, 24 EZ-lets Lancets 28G Ultra-soft, 37
Epiduo, 10 Ethacrynate Sodium, 9 EZ-lets Lancets 30G, 37
Epiduo Forte, 10 ethambutol HCL, 2 F
Epifoam, 12 ethosuximide, 25 Fabior, 10 epinastine HCL, 28 Ethyl Chloride, 13 Fabrazyme, 18 Epinephrine, 9 Ethyl Chloride/Fine Pinpoint, 13 Factive, 2 Epinephrine HCL, 9 Ethyl Chloride/Fine Stream, 13 Falessa, 15 epinephrine HCL, 32 Ethyl Chloride/Medium Jet Stream, 13 famciclovir, 3 Epipen 2-PAK, 9 Ethyl Chloride/Medium Stream, 13 famotidine, 18 Epipen-JR 2-PAK, 9 Ethyl Chloride/Mist, 13 Famotidine, 19 epirubicin HCL, 4 Ethyol, 6 Famotidine Premixed, 19Epirubicin HCL, 4 Etidronate Disodium, 17 Famvir, 3 Episnap, 9 etodolac, 30 Fanapt, 24 episone CRE, 13 etodolac ER, 30 Fanapt Titration Pack, 24Epivir, 3 Etopophos, 6 Fanatrex Fusepaq, 25Epivir HBV, 3 etoposide, 5 Fareston, 5 eplerenone, 8 Etoposide, 6 Farxiga, 16 Epogen, 21 Euflexxa, 26 Farydak, 6 epoprostenol sodium, 10 Eurax, 13 Faslodex, 5 Eprosartan Mesylate, 8 Evamist, 15 Fasttake Compact Monitoring System,
37Epzicom, 3 Evekeo, 24Eql SHORT Pen Needles 31G X 8MM,
37
Evicel, 22 Fasttake Test Strips, 37Evista, 17 Fazaclo, 24 Eql Ultra SHORT Pen Needles 31G X
6MM, 37
Evithrom, 22 Feiba, 22 Evoclin, 10 Feiba NF, 22 Equagesic, 29 Evotaz, 3 felbamate, 25 Equetro, 24 Evoxac, 22 Felbatol, 25 Equipto-baclofen, 11 Exactuss, 32 Feldene, 30 Equipto-naproxen, 12 Exalgo, 29 felodipine ER, 7 Eraxis, 2 Excel Comfort Point Insulin Pen Needles
31G X 4MM, 37 Fem PH, 20Erbitux, 5 Femara, 5 ergocalciferol, 33 Exel Comfort Point Insulin Pen Needles
29G X 12MM, 37 Femcon FE, 15 ergoloid mesylates, 26 Femhrt Low Dose, 15Ergomar, 31 Exel Comfort Point Insulin Pen Needles
31G X 6MM, 37 Femring, 20 Ertaczo, 11 fenofibrate, 9Erwinaze, 5 Exel Comfort Point Insulin Pen Needles
31G X 8MM, 37 Fenofibrate, 10 Ery-TAB, 1 fenofibrate micronized, 9Erygel, 10 Exel Comfort Point Insulin
Syringe/0.3ML/29G X 1/2", 37 Fenofibric Acid, 9 Eryped 200, 1 fenofibric acid DR, 9Eryped 400, 1 Exel Comfort Point Insulin
Syringe/0.3ML/30G X 5/16", 37 Fenoglide, 10 Erythrocin Lactobionate, 1 fenoldopam mesylate, 8Erythrocin Stearate, 1 Exel Comfort Point Insulin
Syringe/0.5ML/28G X 1/2", 37 Fenoprofen Calcium, 30erythromycin, 1, 10, 27 fentanyl, 29 Erythromycin Base, 1 Exel Comfort Point Insulin
Syringe/0.5ML/29G X 1/2", 37 Fentanyl, 29 Erythromycin Ethylsuccinate, 1 fentanyl citrate oral transmucosal, 29erythromycin/benzoyl peroxide, 10 Exel Comfort Point Insulin
Syringe/0.5ML/30G X 5/16", 37 Fentanyl Citrate/Sodium Chloride, 29Esbriet, 33 Fentora, 29 Escavite, 34 Exel Comfort Point Insulin
Syringe/1ML/28G X 1/2", 37 Feraheme, 21Escavite D, 34 Feriva, 21 escitalopram oxalate, 23 Exel Comfort Point Insulin
Syringe/1ML/29G X 1/2", 37 Feriva 21/7, 21Esgic, 29 Ferivafa, 21 esmolol HCL, 7 Exel Comfort Point Insulin
Syringe/1ML/30G X 5/16", 37 Ferralet 90, 21 esomeprazole magnesium, 18 Ferrex 150 Forte Plus, 21esomeprazole sodium, 18 Exelderm, 11 Ferrex 28, 21 Esomeprazole Sodium, 19 Exelon, 26 Ferriprox, 42 Esomeprazole Strontium, 19 exemestane, 5 Ferrlecit, 21 estazolam, 24 Exforge, 9 Ferro-plex Hematinic, 21Estrace, 15, 20 Exforge HCT, 9 Ferrotrin, 21 estradiol, 15 Exjade, 42 Fetzima, 23 Estradiol, 15 Exoderm, 11 Fetzima Titration Pack, 23estradiol valerate, 15 Exparel, 31 Fexmid, 26 estradiol/norethindrone acetate, 15 Extardol, 12 Fibricor, 9 Estrasorb, 15 Extavia, 26 Fifty50 Pen Needles 31G X3/16" (5MM),
37Estring, 20 Extina, 11Estrogel, 15 EZ Smart Blood Glucose Lancets, 37 Fifty50 Pen Needles 31G X5/16" (8MM),
37estropipate, 15 EZ-lets Lancets 21G, 37Estropipate, 15 EZ-lets Lancets 23G, 37 Fifty50 Safety Seal Lancets 30G, 37
Fifty50 Safety Seal Lancets 32G, 37 Flucelvax 2015-2016, 33 Folet One, 34
Fifty50 Superior Comfort Insulin
Syringe/0.3ML/31G X 5/16", 37
fluconazole, 2 Folgard OS, 34
fluconazole IN dextrose, 2 Folgard RX, 21
Fifty50 Superior Comfort Insulin
Syringe/0.5ML/31G X 5/16", 37
fluconazole IN NACL, 2 folic acid, 21
Fluconazole IN NACL, 2 Folic Acid, 21
Fifty50 Superior Comfort Insulin
Syringe/1ML/31G X 5/16", 37
flucytosine, 2 folic acid/vitamin b-6/vitamin b-12, 21
Fludara, 5 Folitab 500, 21
Finacea, 11 fludarabine phosphate, 5 Folivane-f, 21
finasteride, 20 Fludarabine Phosphate, 5 Folivane-OB, 34
Fine 30, 37 fludrocortisone acetate, 14 Folivane-plus, 21
Fingerstix Lancets, 37 Flulaval 2013-2014, 33 Folivane-prx DHA NF, 34
Fioricet, 29 Flulaval 2014-2015, 33 Follistim AQ, 17
Fioricet/Codeine, 29 Flulaval Quadrivalent 2013-2014, 33 Folotyn, 5
Fiorinal, 29 Flulaval Quadrivalent 2014-2015, 33 Foltrate, 21
Fiorinal/Codeine #3, 29 Flulaval Quadrivalent 2015-2016, 33 fondaparinux sodium, 21
Firazyr, 22 Flumadine, 3 Fora Lancets, 37
Firmagon, 5 Flumist Quadrivalent, 33 Foradil Aerolizer, 32
First-bxn Mouthwash, 22 flunisolide, 31 Forfivo XL, 23
First-dukes Mouthwash, 22 fluocinolone acetonide, 12, 28 Fortamet, 16
First-hydrocortisone, 12 fluocinolone acetonide ear drops, 28 Fortavit, 34
First-lansoprazole, 19 fluocinonide, 12 Fortaz, 1
First-marys Mouthwash, 22 fluocinonide-e, 12 Forteo, 17
First-mouthwash Blm, 22 fluorometholone, 27 Fortesta, 15
First-omeprazole, 19 fluorouracil, 5 Fortical, 17
First-progesterone VGS 100
Compounding Kit, 20
fluoxetine, 26 Fosamax, 17
fluoxetine DR, 23 Fosamax Plus D, 17
First-progesterone VGS 200
Compounding Kit, 20
fluoxetine HCL, 23 Foscavir, 3
Fluoxetine HCL, 23 fosinopril sodium, 8
First-progesterone VGS 25 Compounding
Kit, 20
fluphenazine decanoate, 23 fosinopril sodium/hydrochlorothiazide, 8
fluphenazine HCL, 23 fosphenytoin sodium, 25
First-progesterone VGS 400
Compounding Kit, 20
Fluphenazine HCL, 24 Fosrenol, 20
flurazepam HCL, 24 Fragmin, 21
First-progesterone VGS 50 Compounding
Kit, 20
Flurazepam HCL, 24 Freestyle Lancets, 37
flurbiprofen, 30 Freestyle Precision Insulin Syringe/U100/0.5ML/30G X 5/16", 37First-testosterone, 15 flurbiprofen sodium, 28
First-testosterone Mc Compounding Kit,
15
flutamide, 5 Freestyle Precision Insulin Syringe/U100/0.5ML/31G X 5/16", 37fluticasone propionate, 12, 31
First-vancomycin 25, 4 fluvastatin, 9 Freestyle Precision Insulin Syringe/U100/1ML/31G X 5/16", 37First-vancomycin 50, 4 fluvastatin sodium ER, 9
Flagyl, 4 Fluvirin 2013-2014, 33 Freestyle Precision Insulin Syringes/U100/1ML/30G X 5/16", 37Flagyl ER, 4 Fluvirin 2014-2015, 33
Flanax Pain Relief Kit, 30 Fluvirin 2015-2016, 33 Freestyle Unistick II Lancets, 37
Flarex, 27 Fluvirin PF 2013-2014, 33 Frova, 31
flavoxate HCL, 20 Fluvirin PF 2014-2015, 33 Fulyzaq, 18
flecainide acetate, 7 fluvoxamine maleate, 23 Furadantin, 20
Flector, 12 fluvoxamine maleate ER, 23 furosemide, 9
Flexepax, 26 Fluzone High-dose PF 2013-2014, 33 Furosemide, 9
Flexichamber, 41 Fluzone High-dose PF 2014-2015, 33 Fusilev, 6
FLO-pred, 14 Fluzone High-dose PF 2015-2016, 33 Fusion Plus, 21
Flolan, 10 Fluzone Pediatric PF 2013-2014, 33 Fuzeon, 3
Flomax, 20 Fluzone PF 2013-2014, 33 Fycompa, 25
Flonase, 31 Fluzone PF 2014-2015, 33 G
Floriva, 34 Fluzone Quadrivalent 2013-2014, 33 gabapentin, 25 Flovent Diskus, 32 Fluzone Quadrivalent 2014-2015, 33 Gabavale-5, 23 Flovent HFA, 32 Fluzone Quadrivalent 2015-2016, 33 Gabazolamine, 23 Flowtuss, 32 Fluzone Split 2013-2014, 33 Gabazolamine-0.5, 23floxuridine, 5 Fluzone Split 2014-2015, 33 Gabazolpidem-5, 24Floxuridine, 5 Fluzone Split 2015-2016, 33 Gabitidine, 19 Fluarix 2013-2014, 33 FML, 27 Gabitril, 25 Fluarix 2014-2015, 33 FML Forte, 27 Gablofen, 26 Fluarix Quadrivalent 2013-2014, 33 FML Liquifilm, 27 Gaboxetine, 23 Fluarix Quadrivalent 2014-2015, 33 Focalgin 90 DHA, 34 galantamine hydrobromide, 26Fluarix Quadrivalent 2015-2016, 33 Focalgin CA, 34 Galantamine Hydrobromide, 26Flublok 2013-2014, 33 Focalgin Dss, 21 ganciclovir, 3 Flublok 2014-2015, 33 Focalin, 24 Ganirelix Acetate, 17Flublok 2015-2016, 33 Focalin XR, 24 Ganite, 17 Flucelvax 2013-2014, 33 Folcaps Omega 3, 34 Garamycin, 27 Flucelvax 2014-2015, 33 Folet DHA, 34 Gardasil, 33
Gardasil 9, 33 Glucopro Insulin Syringe/U100/0.3ML/30G X 5/16", 37
Haemolance Plus Max Flow, 37
Gastrinex NF, 19 Haemolance Plus Pediatric Flow, 37
Gastrocrom, 20 Glucopro Insulin Syringe/U100/0.3ML/31G X 5/16", 37
Halaven, 6
gatifloxacin, 27 Halcion, 24
Gattex, 20 Glucopro Insulin Syringe/U100/0.5ML/30G X 1/2", 37
Haldol, 24
Gazyva, 5 Haldol Decanoate 100, 24
Gebauers Pain Ease, 13 Glucopro Insulin Syringe/U100/0.5ML/30G X 5/16", 37
Haldol Decanoate 50, 24
Gebauers Spray And Stretch, 13 halobetasol propionate, 12
Gel-kam Oral Care Rinse, 22 Glucopro Insulin Syringe/U100/0.5ML/31G X 5/16", 37
Halog, 12
Gel-one, 26 Halonate, 12
Gelclair, 22 Glucopro Insulin Syringe/U-100/1ML/30G
X 1/2", 37
haloperidol, 23
Gelnique, 20 haloperidol decanoate, 23
Gemcitabine, 5 Glucopro Insulin Syringe/U-100/1ML/30G
X 5/16", 37
haloperidol lactate, 23
gemcitabine HCL, 5 Halotin, 11
gemfibrozil, 9 Glucopro Insulin Syringe/U-100/1ML/31G
X 5/16", 37
Harvoni, 3
Gemzar, 5 Havrix, 33
Genadur, 13 Glucosource Lancets, 37 Healthwise Mini Pen Needles 31GX6MM,
37Genadur Kit, 13 Glucotrol, 16
gene-xene TAB 15MG, 23 Glucotrol XL, 16 Healthwise Pen Needles 29GX12MM, 37
gene-xene TAB 3.75MG, 23 Glucovance, 16 Healthwise SHORT Pen Needles
31GX8MM, 37 gene-xene TAB 7.5MG, 23 Glumetza, 16
Generess FE, 15 glyburide, 16 Healthy Mama Be Well Rounded, 34
Genotropin, 17 Glyburide, 16 Hectorol, 18
Genotropin Miniquick, 17 glyburide micronized, 16 Helidac, 19
gentamicin sulfate, 2, 27 glyburide/metformin HCL, 16 Helixate FS, 22
Gentamicin Sulfate, 11 Glycate, 19 Hemabate, 28
gentamicin sulfate pediatric, 2 Glycolic Acid, 12 Hemangeol, 7
gentamicin sulfate/0.9% sodium chloride,
2
Glycolic Acid 70% High Purity, 12 Hematogen Fa, 21
glycopyrrolate, 18 Hematron-AF, 21
Gentamicin Sulfate/0.9% Sodium
Chloride, 2
Glynase, 16 Hemocyte Plus, 21
Glyset, 16 Hemocyte-f, 21
Gentle-let GP Lancets, 37 Glyxambi, 16 Hemofil M, 22
Gentle-let Lancets General Purpose
Style/Fine Point, 37
Gmate Lancets 30G, 37 heparin lock, 21
Golytely, 18 heparin lock flush, 21
Gentle-let Lancets General Purpose
Style/Medium Point, 37
Gonal-f, 17 Heparin Lock Flush, 21
Gonal-f RFF, 17 heparin lock flush for flushing vascular
access devices, 21Gentle-let Lancets Safety Style/Fine
Point, 37
Gonal-f RFF Pen, 17
Gonal-f RFF Rediject, 17 heparin lock flush/NACL for flushing
vascular access devices, 21Gentle-let Lancets Safety Style/Medium
Point, 37
Gordofilm, 13
Gordons Urea, 13 heparin sodium, 21
Gentle-let Platforms 2.4MM, 37 Gralise, 26 Heparin Sodium, 21
Gentle-let Platforms 3.0MM, 37 Gralise Starter, 26 heparin sodium dcu, 21
Geodon, 24 granisetron HCL, 19 heparin sodium lock flush, 21
Gesticare DHA, 34 Granisol, 19 heparin sodium/D5W, 21
Giazo, 20 Granix, 21 Heparin Sodium/D5W, 21
Gilenya, 26 Grifulvin V, 2 Heparin Sodium/NACL 0.45%, 21
Gilotrif, 6 Gris-peg, 2 heparin sodium/NACL 0.9%, 21
Gilphex TR, 32 griseofulvin microsize, 2 Heparin Sodium/Sodium Chloride 0.9%,
21Giltuss, 32 griseofulvin ultramicrosize, 2
Giltuss PED-c, 32 guanfacine ER, 24 heparin sodium/sodium chloride 0.9%
premix, 21 Giltuss TR, 32 guanfacine HCL, 8
Glassia, 33 Guanidine HCL, 27 Hepsera, 3
Gleevec, 6 Gynazole-1, 20 Herceptin, 5
Gleostine, 4 H Hespan, 22
Gliadel Wafer, 4 hetastarch 6%/NACL, 22H&h Thinlet Lancets 26G, 37glimepiride, 16 Hetlioz, 24 H&h Thinlet Super Thin Lancets 30G, 37glipizide, 16 Hexalen, 4 H-e-b IN Control Pen Needles
31GX6MM, 37glipizide ER, 16 Hextend, 22 glipizide/metformin HCL, 16 Hiberix, 33 H-e-b IN Control Pen Needles
31GX8MM, 37Glucagen Hypokit, 16 Hiprex, 20 Glucagon Emergency Kit, 16 homatropine HBR, 27H-e-b Incontrol Pen Needles 29GX12MM,
37 Glucocom Lancets 28G, 37 Horizant, 26 Glucocom Lancets 30G, 37 HPR, 13 H.p. Acthar, 17Glucocom Lancets 33G, 37 HPR Plus, 13 Haemolance, 37Glucophage, 16 HPR Plus Hydrogel Kit, 13Haemolance Low Flow Lancets, 37Glucophage XR, 16 HPR Plus/Mb Hydrogel, 13Haemolance Plus, 37Glucopro Insulin Syringe/U100/0.3ML/30G X 1/2", 37
Humalog, 15 Haemolance Plus High Flow, 37 Humalog Kwikpen, 15Haemolance Plus Low Flow, 37
Humalog Mix 50/50, 15 Hydroxyzine HCL, 23 Inova 4/1 Acne Control Therapy, 11
Humalog Mix 50/50 Kwikpen, 15 hydroxyzine pamoate, 23 Inova 8/2 Acne Control Therapy, 11
Humalog Mix 75/25, 16 Hydroxyzine Pamoate, 23 Inspirachamber/Anti-static
Valved/Mouthpiece, 41Humalog Mix 75/25 Kwikpen, 16 Hylatopic, 13
Humate-p, 22 Hylatopic Plus, 13 Inspirachamber/Soothermask/Inspiramas
k/Medium, 41 Humatrope, 17 Hylira, 13
Humatrope Combo Pack, 17 hyoscyamine sulfate, 18 Inspirachamber/Soothermask/Inspiramas
k/Small, 41 Humira, 30 hyoscyamine sulfate ER, 18
Humira Pediatric Crohns Disease Starter
Pack, 30
hyoscyamine sulfate odt, 18 Inspirease Bags, 41
hyoscyamine sulfate SR, 18 Inspirease Drug Delivery System, 41
Humira Pen, 30 Hyper-sal, 32 Inspirease Mouthpiece, 41
Humira Pen-crohns Diseasestarter, 30 Hypersal, 32 Inspirease Reservoir Bags, 41
Humira Pen-psoriasis Starter, 30 Hypertenevide-12.5, 7 Inspra, 8
Humulin 70/30, 16 Hypertenipine-2.5, 7 Insulin Syringe/0.3ML/29G X 1", 37
Humulin 70/30 Kwikpen, 16 Hypertensolol, 9 Insulin Syringe/0.3ML/29G X 1/2", 37
Humulin 70/30 Pen, 16 Hysingla ER, 29 Insulin Syringe/0.3ML/30G X 5/16", 37
Humulin N, 16 Hyzaar, 9 Insulin Syringe/0.3ML/31G X 5/16", 37
Humulin N Kwikpen, 16 I Insulin Syringe/0.5ML/27G X 1/2", 37
Humulin N U-100 Pen, 16 Insulin Syringe/0.5ML/28G X 1/2", 37ibandronate sodium, 17Humulin R, 16 Insulin Syringe/0.5ML/29G X 1/2", 37Ibrance, 6Humulin R U-500 (concentrated), 16 Insulin Syringe/0.5ML/30G X 1/2", 37Ibudone, 29Hy-vee Lancets, 37 Insulin Syringe/0.5ML/30G X 5/16", 37ibuprofen, 30Hyalgan, 26 Insulin Syringe/0.5ML/31G X 5/16", 37Ibuprofen Comfort PAC, 30Hycamtin, 6 Insulin Syringe/1ML/28G X 1/2", 37ibutilide fumarate, 7Hycet, 29 Insulin Syringe/1ML/29G X 1/2", 37IC 400, 30Hycofenix, 32 Insulin Syringe/1ML/30G X 5/16", 37IC 800, 30hydralazine HCL, 8 Insulin Syringe/1ML/31G X 5/16", 37Icar-c Plus, 21Hydrea, 6 Insulin Syringe/U-100/0.3ML/29G X 1/2",
37Iclusig, 6Hydro 35, 13 Idamycin PFS, 4Hydro 40 Foam, 13 Insulin Syringe/U-100/0.5ML/28G X 1/2",
37idarubicin HCL, 4hydrochloric acid, 20 Ifex, 4 hydrochlorothiazide, 9 Insulin Syringe/U-100/0.5ML/29G X 1/2",
37ifosfamide, 4hydrocodone bitartrate/acetaminophen,
29 Ifosfamide, 4 Insulin Syringe/U-100/1ML/28G X 1/2",
37
Ilaris, 30Hydrocodone Bitartrate/Acetaminophen,
29
Ilevro, 28 Insulin Syringe/U-100/1ML/29G X 1/2",
37
Imbruvica, 6hydrocodone bitartrate/chlorpheniramine
maleate/PSE, 32
Imdur, 7 Insulin Syringe/U-100/1ML/30G X 5/16",
37imipenem/cilastatin, 4hydrocodone bitartrate/homatropine
methylbromide, 32 imipramine HCL, 23 Insulin Syringe/U-100/1ML/31G X 5/16",
37
imipramine pamoate, 23hydrocodone polistirex/chlorpheniramine
polistirex, 32
imiquimod, 13 Insupen Sensitive 32GX8MM, 37Imitrex, 31hydrocodone/acetaminophen, 29 Insupen Ultrafin 29GX12MM, 37Imitrex Statdose Refill, 31Hydrocodone/Acetaminophen, 29 Insupen Ultrafin 30GX8MM, 37Imitrex Statdose System, 31hydrocodone/homatropine, 32 Insupen Ultrafin 31GX6MM, 37Imovax Rabies (h.d.c.v.), 33hydrocodone/ibuprofen, 29 Insupen Ultrafin 31GX8MM, 37Imuran, 5hydrocort ene 100MG, 19 Integra F, 21 IN Touch Sterile Lancets 30G, 37hydrocortisone, 12, 14, 19 Integra Plus, 21 Increlex, 17hydrocortisone acetate/aloe, 12 Integrilin, 22 Incruse Ellipta, 32hydrocortisone acetate/lidocaine HCL, 19
Intelence, 3 indapamide, 9hydrocortisone acetate/pramoxine, 19
Interarticular Joint Kit, 14 Inderal LA, 7hydrocortisone butyrate, 12 Intermezzo, 24 Inderal XL, 7hydrocortisone butyrate (lipid), 12 Intron A, 6 Indocin, 30hydrocortisone butyrate (lipophilic), 12 Intron A W/Diluent, 6indomethacin, 30hydrocortisone IN absorbase, 12 Intuniv, 24 Indomethacin, 30hydrocortisone valerate, 12 Invanz, 4 indomethacin ER, 30hydrocortisone/acetic acid, 28 Invega, 24 Indomethacin Sodium, 30hydromorphone HCL, 29 Invega Sustenna, 24Infanrix, 33Hydromorphone HCL, 29 Invega Trinza, 24 Infasurf, 33hydromorphone HCL dosette, 29 Invirase, 3 Infed, 21hydromorphone HCL ER, 29 Invokamet, 16 Infergen, 3Hydromorphone HCL ER, 29 Invokana, 16 Infumorph 200, 29Hydromorphone HCL/Sodium Chloride,
29
Ionsys, 29 Infumorph 500, 29 Iopidine, 28 Injectafer, 21Hydroxocobalamin, 21 Ipol Inactivated IPV, 33Inlyta, 6hydroxychloroquine sulfate, 3 ipratropium bromide, 31, 32Innopran XL, 7hydroxyurea, 6 ipratropium bromide/albuterol sulfate, 32Innoprax-5, 12hydroxyzine HCL, 23 Iprivask, 21 Inova, 11
irbesartan, 8 Kengreal, 22 Lancets 28G, 37
irbesartan/hydrochlorothiazide, 8 Kepivance, 6 Lancets 30G, 37
Irenka, 23 Keppra, 25 Lancets 30G Twist Top, 37
Iressa, 6 Keppra XR, 25 Lancets 30G/Twist Top, 37
irinotecan, 6 Kerafoam, 13 Lancets 31G Twist Top, 37
Irinotecan, 6 Kerafoam 42, 13 Lancets 33G Universal Design, 38
Iron Asp Gly/ Polysacch Compl/Ascorb
CAL/B12/Fa/C Threon/Suc, 21
Keralac, 13 Lancets Bullseye Safety, 37
Keralyt, 13 Lancets Safety Seal 21G, 37
Irospan 24/6, 21 Keralyt Scalp, 13 Lancets Safety Seal 26G, 37
Is 24/6, 21 Kerlone, 7 Lancets Safety Seal 28G, 37
Isentress, 3 Kerydin, 11 Lancets Safety Seal 30G, 37
isoniazid, 2 Ketek, 4 Lancets Thin, 37
Isoniazid, 2 ketoconazole, 2, 11 Lancets Twist Top, 37
Isopto Atropine, 28 Ketodan Kit, 11 Lancets Ultra Fine, 37
Isopto Carbachol, 28 ketoprofen, 30 Lancets Ultra Thin, 37
Isopto Carpine, 28 Ketoprofen ER, 30 Lanoxin, 7
Isopto Homatropine, 28 Ketorocaine-l, 30 Lanoxin Pediatric, 7
Isopto Hyoscine, 28 Ketorocaine-lm, 30 lansoprazole, 18
Isordil Titradose, 7 Ketorolac 2% Gel, 12 lansoprazole/amoxicillin/clarithromycin,
18isosorbide dinitrate, 7 ketorolac tromethamine, 28, 30
Isosorbide Dinitrate, 7 Ketorolac Tromethamine, 30 Lantus, 16
Isosorbide Dinitrate ER, 7 Keveyis, 9 Lantus Solostar, 16
isosorbide mononitrate, 7 Keytruda, 5 Lasix, 9
isosorbide mononitrate ER, 7 Khedezla, 23 Lastacaft, 28
isotonic gentamicin, 2 Kineret, 30 latanoprost, 27
Isotonic Gentamicin, 2 Kinlytic, 22 Latrix XM, 13
Isoxsuprine HCL, 10 Kinrix, 33 Latuda, 24
isradipine, 7 Kitabis PAK, 2 Lazanda, 29
Istalol, 27 Klaron, 11 Ldo Plus, 13
Istodax, 6 Klonopin, 25 Leader Unifine Pentips
Plus/Mini/31GX3/16", 38Isuprel, 32 Koate-dvi, 22
itraconazole, 2 Kogenate FS, 22 Leader Unifine Pentips
Plus/SHORT/31GX5/16", 38ivermectin, 3 Kogenate FS Bio-set, 22
Ixempra Kit, 6 Kombiglyze XR, 16 Leader Unifine Pentips/Mini/31GX3/16",
38Ixiaro, 33 Korlym, 16
Ixinity, 22 Kristalose, 18 Leader Unifine Pentips/Nano/32GX5/32",
38J Krystexxa, 31
Kuvan, 18 Leader Unifine Pentips/Plus/32GX5/32",
38J-max, 32 Kynamro, 10Jadenu, 42 Kyprolis, 6 leflunomide, 30 Jakafi, 6 L Lemtrada, 26 Jalyn, 20 Lenvima 10MG Daily Dose, 6Janumet, 16 labetalol HCL, 7 Lenvima 14MG Daily Dose, 6Janumet XR, 16 Lac-hydrin, 13 Lenvima 20MG Daily Dose, 6Januvia, 16 Lacrisert, 27 Lenvima 24MG Daily Dose, 6Jardiance, 16 lactic acid, 13 Lescol, 10 Jentadueto, 16 lactic acid e, 13 Lescol XL, 10 Jevtana, 6 lactic acid w/vitamin e, 13 Letairis, 10 Jublia, 11 lactulose, 18, 19 letrozole, 5 Juxtapid, 10 Lamictal, 25 leucovorin calcium, 6K Lamictal Chewable Dispersible, 25 Leucovorin Calcium, 6Lamictal Odt, 25 Leukeran, 4 K-phos NO 2, 20 Lamictal Starter/Not Taking
Carbamazepine, 25 Leukine, 21 K.b.g.l. IN Teroderm Cream, 12 leuprolide acetate, 5K10-lido, 14 Lamictal Starter/Taking
Carbamazepine/Not Taking Valproate,
25
Levacet, 29 K40-lido, 14
levalbuterol, 32 Kadcyla, 5
levalbuterol HCL, 32Kadian, 29 Lamictal Starter/Taking Valproate, 25 Levaquin, 2 Kalbitor, 22 Lamictal XR, 25 Levatol, 7 Kaletra, 3 Lamisil, 2 Levbid, 19 Kalydeco, 33 Lamisil Spray, 11 Levemir, 16 Kapvay, 24 lamivudine, 3 Levemir Flexpen, 16Kapvay Dose Pack, 24 lamivudine/zidovudine, 3 Levemir Flextouch, 16Karbinal ER, 31 lamotrigine, 25 levetiracetam, 25 Kazano, 16 lamotrigine ER, 25 Levetiracetam, 25 Keflex, 1 lamotrigine odt, 25 levetiracetam ER, 25Kenalog, 12 Lancet Transporter Case, 37 Levitra, 10 Kenalog-10, 14 Lancets, 37 levobunolol HCL, 27Kenalog-40, 14 Lancets 26G Twist Top, 37
Levobunolol HCL, 27 5ML/28G X 1/2", 38 LT Injection Kit, 14
levocarnitine, 18 Litetouch Insulin Syringe/U100/0.5ML/29G X 1/2", 38
Lta 360 Kit, 22
levocetirizine dihydrochloride, 31 Lufyllin, 32
levofloxacin, 2, 27 Litetouch Insulin Syringe/U-100/1ML/28G
X 1/2", 38
Lumigan, 27
levofloxacin IN D5W, 2 Lumizyme, 18
Levoleucovorin Calcium, 6 Litetouch Insulin Syringe/U-100/1ML/29G
X 1/2", 38
Lunesta, 24
levonorgestrel, 15 Lupaneta Pack, 17
Levonorgestrel, 15 Litetouch Insulin Syringe/U-100/1ML/31G
X 5/16", 38
Lupron Depot, 5
levonorgestrel and ethinyl estradiol, 15 Lupron Depot-PED, 17
levonorgestrel/ethinyl estradiol, 15 Litetouch Lancets Micro Thin 33G, 38 Luvox CR, 23
Levophed, 9 Litetouch Pen Needles 29GX12.7MM, 38 Luxiq, 12
Levorphanol Tartrate, 29 Litetouch Pen Needles 31G X 6MM, 38 Luzu, 11
levothyroxine sodium, 18 Litetouch Pen Needles 31GX8MM
SHORT, 38
Lycelle, 13
Levothyroxine Sodium, 18 Lynparza, 6
Levsin, 19 Lithium, 24 Lyrica, 25
Levsin/SL, 19 lithium carbonate, 23 Lysodren, 5
Lexapro, 23 Lithium Carbonate, 24 Lysteda, 22
Lexiva, 3 lithium carbonate ER, 23 Lytensopril Kit, 9
Lialda, 19 Lithobid, 24 Lytensopril-90, 9
Liberty Medical Lancets 30G, 38 Lithostat, 20 Lytensopril-90 Kit, 9
lidocaine, 13 Livalo, 10 M
Lidocaine And Tetracaine Cream, 13 Live Better Lancet Super Thin 30G, 38 M-m-r II, 33lidocaine HCL, 7, 13, 22, 31 Live Better Lancet Ultra Thin 28G, 38 M.v.i. Adult, 34Lidocaine HCL, 8, 13 Live Better Pen Needles 29G X 12MM,
38 M.v.i. Pediatric, 34lidocaine HCL IN D5W, 7 M.v.i.-12 Without Vitamin K, 34lidocaine HCL jelly, 13 Live Better Pen Needles 31G X 12MM,
38 Macrobid, 20 lidocaine HCL viscous, 22 Macrodantin, 20Lidocaine HCL-hydrocortisone Acetate
With Aloe, 20
Live Better Pen Needles 31G X 6MM, 38 Magellan Insulin Safety Syringe/U100/0.3ML/29G X 1/2", 38LMD 10% Dextrose 5%, 22lidocaine HCL/dextrose, 8 LMD 10% Sodium Chloride 0.9%, 22 Magellan Insulin Safety Syringe/U100/0.3ML/30G X 5/16", 38Lidocaine HCL/Dextrose, 31 LO Loestrin FE, 15lidocaine HCL/hydrocortisone acetate, 19
LO Minastrin FE, 15 Magellan Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 38lidocaine viscous, 22
Locoid, 12
lidocaine/epinephrine, 31 Locoid Lipocream, 12 Magellan Insulin Safety Syringe/U100/0.5ML/30G X 5/16", 38lidocaine/prilocaine, 13 Lodosyn, 25Lidoderm, 13 Loestrin 1.5/30-21, 15 Magellan Insulin Safety Syringe/U100/1ML/29G X 1/2", 38Lidoprofen, 12 Loestrin 1/20-21, 15Lidothol, 13 Loestrin FE 1.5/30, 15 Magellan Insulin Safety Syringe/U100/1ML/30G X 5/16", 38Lidovir, 11 Loestrin FE 1/20, 15Lifescan Unistik 2 Deep Penetration, 38
Lofibra, 10 Magnacet, 29 Lifescan Unistik II Lancets, 38
Lomotil, 18 Makena, 15 Lincocin, 4 Lomustine, 4 Malarone, 3 Lincomycin/Lidocaine, 4 Lonsurf, 6 malathion, 13 lindane, 13 loperamide HCL, 18 mannitol, 9 linezolid, 4 Lopid, 10 Maprotiline HCL, 23Linzess, 19 Lopressor, 7 Marbeta-25, 14 Lioresal Intrathecal, 26 Lopressor HCT, 9 Marbeta-l, 14 liothyronine sodium, 18 Loprox, 11 Marcaine, 31 Lipitor, 10 Loprox Shampoo, 11 Marcaine W/O Epi, 31Lipofen, 10 lorazepam, 23 Marcaine/Epinephrine, 31Liquicet, 29 Lortab, 29 Mardex-25, 14 lisinopril, 8 Lorzone, 26 Marinol, 19 lisinopril/hydrochlorothiazide, 8 losartan potassium, 8 Marlido-25, 31 Lite Touch Pen Needles/31G X 3/16", 38 losartan potassium/hydrochlorothiazide,
8 Marnatal-f, 34Liteaire, 41 Marplan, 23 Litetouch Insulin Syringe/0.3ML/29G X
1/2", 38
Loseasonique, 15 Marqibo, 6 Lotemax, 27 Mask Vortex/Baby Whirl Duckling, 41Litetouch Insulin Syringe/0.3ML/30G X
5/16", 38
Lotensin, 8 Mask Vortex/Child/Frog, 41Lotensin HCT, 9 Mask Vortex/Spinner The Duck, 41Litetouch Insulin Syringe/0.3ML/31G X
5/16", 38
Lotrel, 9 Mask Vortex/Toddler/Lady Bug, 41Lotrisone, 11 Matulane, 6 Litetouch Insulin Syringe/0.5ML/30G X
5/16", 38
Lotronex, 20 Mavik, 8 lovastatin, 9 Maxair Autohaler, 32Litetouch Insulin Syringe/0.5ML/31G X
5/16", 38
Lovaza, 10 Maxalt, 31 Lovenox, 21 Maxalt-MLT, 31 Litetouch Insulin Syringe/1ML/30G X
5/16", 38
loxapine, 23 Maxaron Forte, 21loxapine succinate, 23 Maxfe, 21 Litetouch Insulin Syringe/U-100/0. Loxitane, 24 Maxi-comfort Insulin Syringe/U-100/0.
5ML/28GX1/2", 38 mesna, 6 Microspacer, 41
Maxi-comfort Insulin Syringe/U100/1ML/28GX1/2", 38
Mesnex, 6 Microtainer Safety Flow
Lancet/Sterile/Single-use, 38Mestinon, 27
Maxidex, 27 Mestinon Timespan, 27 Microzide, 9
Maxidone, 29 Metadate CD, 24 midodrine HCL, 9
Maxipime, 1 Metaproterenol Sulfate, 32 Mifeprex, 18
Maxitrol, 27 Metastron, 6 Migergot, 31
Maxzide, 9 metaxalone, 26 Migral, 31
Maxzide-25, 9 Metaxalone, 26 Migranal, 31
Mb Hydrogel, 13 metformin HCL, 16 Millipred, 14
meclizine HCL, 19 metformin HCL ER, 16 Millipred DP, 14
Meclofenamate Sodium, 30 methadone HCL, 29 milrinone IN dextrose, 7
Medi-derm/L-RX, 13 Methadone HCL, 29 milrinone lactate, 7
Medical Provider EZ Flu Shot 2014-2015,
33
Methadose, 29 Minastrin 24 FE, 15
Methadose Sugar-free, 29 Mineral Oil Heavy, 18
Medisense Thin Lancets, 38 methamphetamine HCL, 24 Minipress, 8
Medlance Plus Extra Lancets 21G, 38 methazolamide, 9 Minivelle, 15
Medlance Plus Lancets, 38 methenamine hippurate, 20 Minocin, 2
Medlance Plus Lancets Lite 25G, 38 methenamine mandelate, 20 Minocin Kit, 2
Medlance Plus Lite Lancets 25G, 38 Methenamine Mandelate, 20 minocycline HCL, 2
Medlance Plus Special Lancets 0.8MM,
38
methimazole, 18 minocycline HCL ER, 2
methocarbamol, 26 minoxidil, 8
Medlance Plus Superlite 30G, 38 methotrexate, 5 Mirapex, 25
Medlance Plus Superlite 30G/Comfort
Max, 38
methotrexate sodium, 5 Mirapex ER, 25
methoxsalen, 12 Mircera, 21
Medlance Plus Universal Lancets 21G,
38
methscopolamine bromide, 18 Mircette, 15
Methyclothiazide, 9 mirtazapine, 23
Medlance Plus/Lite 25G, 38 methyldopa, 8 mirtazapine odt, 23
Medlance/Extra, 38 Methyldopa/Hydrochlorothiazide, 9 Mirvaso, 11
Medlance/Lite, 38 Methyldopate HCL, 8 misoprostol, 18
Medlance/Universal, 38 methylergonovine maleate, 28 Mission Prenatal, 34
Medrol, 14 Methylin, 24 Mitigare, 31
Medrol Dosepak, 14 methylphenidate HCL, 24 mitomycin, 4
medroxyprogesterone acetate, 15 methylphenidate HCL CD, 24 Mitomycin, 4
Medroxyprogesterone/Lidocaine, 15 methylphenidate HCL ER, 24 Mitosol, 27
mefenamic acid, 30 Methylphenidate HCL ER, 24 mitoxantrone HCL, 4
mefloquine HCL, 3 methylphenidate HCL SR, 24 Mlk F4 Kit, 14
Mefoxin, 1 methylphenidate hydrochloride, 24 Mobic, 30
Megace ES, 15 methylprednisolone, 14 modafinil, 24
Megace Oral, 5 Methylprednisolone, 14 Moderiba, 3
megestrol acetate, 5, 15 methylprednisolone acetate, 14 Moderiba 1200 Dose Pack, 3
Megrix, 13 methylprednisolone dose pack, 14 Moderiba 800 Dose Pack, 3
Meijer Super Thin Lancets, 38 Methylprednisolone PF, 14 Modicon, 15
Mekinist, 6 methylprednisolone sodiumsuccinate, 14 moexipril HCL, 8
meloxicam, 30 Methylprednisolone/Lidocaine, 14 moexipril/hydrochlorothiazide, 8
Meloxicam, 30 Metipranolol, 27 mometasone furoate, 12
Meloxicam Comfort PAC, 30 metoclopramide HCL, 19 Moms Choice RX, 34
melphalan hydrochloride, 4 metoclopramide odt, 19 Monoclate-p, 22
memantine HCL, 26 metolazone, 9 Monodox, 2
memantine HCL titration PAK, 26 metoprolol succinate ER, 7 Monoject Bone Marrow Biopsy Prepping
Tray, 31 Menactra, 33 metoprolol tartrate, 7
Menest, 15 metoprolol/hydrochlorothiazide, 8 Monoject Bone Marrow Biopsy Tray/Biop
Aspir Needle 11GX4", 31Menhibrix, 33 Metozolv Odt, 20
Menomune-a/C/Y/W-135, 33 Metro IV, 4 Monoject Bone Marrow Biopsy Tray/Biop
Aspir Needle 8GX4", 31Menopur, 17 Metrocream, 11
Menostar, 15 Metrogel, 11 Monoject Bone Marrow Biopsy
Tray/Sternal-iliac Needle 16G, 31Mentax, 11 Metrogel-vaginal, 20
Menveo, 33 Metrolotion, 11 Monoject Insulin Syringe Regular LUER
Tip/Softpack/1ML, 38meperidine HCL, 29 metronidazole, 4, 11
Meperidine HCL, 29 metronidazole IN NACL 0.79%, 4 Monoject Insulin Syringe/1ML, 38
Mephyton, 33 metronidazole vaginal, 20 Monoject Insulin Syringe/1ML/31G X
5/16", 38 meprobamate, 23 Mevacor, 10
Mepron, 4 mexiletine HCL, 8 Monoject Insulin Syringe/Detach
Needle/1ML/25G X 5/8", 38mercaptopurine, 5 Miacalcin, 17
meropenem, 4 Micardis, 8 Monoject Insulin Syringe/Detach
Needle/1ML/27G X 1/2", 38Meropenem/Sodium Chloride, 4 Micardis HCT, 9
Merrem, 4 Microchamber, 41 Monoject Insulin Syringe/Perm
Needle/1ML/28G X 1/2", 38mesalamine, 19 Microlet Lancets, 38
Monoject Insulin Syringe/Perm Needle/U100/0.5ML/28G X 1/2", 38
Morphine Sulfate/Sodium Chloride, 29 Naproxen Comfort PAC, 30
Motofen, 18 naproxen sodium, 30
Monoject Insulin Syringe/Safety/Perm
Needle/0.3ML/29G X 1/2", 38
Movantik, 20 naproxen sodium CR, 30
Moviprep, 18 naproxen sodium ER, 30
Monoject Insulin Syringe/Safety/Perm
Needle/0.3ML/29GX1/2", 38
Moxatag, 1 naratriptan HCL, 30
Moxeza, 27 Nardil, 23
Monoject Insulin Syringe/Safety/Perm
Needle/0.5ML/29G X 1/2", 38
moxifloxacin HCL, 2 Naropin, 31
Moxifloxacin HCL, 2 Nascobal, 21
Monoject Insulin Syringe/Safety/Perm
Needle/1ML/29G X 1/2", 38
Mozobil, 21 Nasonex, 31
MS Contin, 29 Natachew, 34
Monoject Insulin
Syringe/Softpack/1ML/27G X 1/2", 38
Mucinex D, 32 Natacyn, 27
Mucinex Maximum Strength, 32 Natafort, 34
Monoject Insulin Syringe/Softpack/U100/0.5ML/28G X 1/2", 38
Multaq, 8 Natalvirt 90 DHA, 34
Multigen, 21 Natalvirt CA, 34
Monoject Insulin Syringe/U100/0.3ML/30G X 5/16", 38
Multigen Folic, 21 Natalvirt Flt, 21
Multigen Plus, 21 Natalvit, 34
Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 38
mupirocin, 11 Natazia, 15
mupirocin calcium, 11 nateglinide, 16
Monoject Insulin Syringe/U100/0.5ML/30G X 5/16", 38
Muse, 10 Natelle One, 34
Mustargen, 4 Natesto, 15
Monoject Insulin Syringe/U-100/1ML/28G
X 1/2", 38
MV FE Asparto Gly/FE Fum/Succ Acid/Vit
C/Threonic Acd/B12/Fa, 21
Natpara, 17
Natrecor, 10
Monoject Insulin Syringe/U-100/1ML/30G
X 5/16", 38
MV FE Asparto Gly/Vit C/Vit B12/CA
Threonate/Succ Acd/Stomac, 21
Natroba, 13
Nature-throid, 18
Monoject Ultra Comfort Insulin
Syringe/0.3ML/29G X 1/2", 38
Myalept, 18 Nature-throid Nt-2.5, 18
Myambutol, 2 Navelbine, 6
Monoject Ultra Comfort Insulin
Syringe/0.3ML/30G X 5/16", 38
Mycamine, 2 Nazirex, 11
Mycobutin, 2 Nebupent, 4
Monoject Ultra Comfort Insulin
Syringe/0.3ML/31G X 5/16", 38
mycophenolate mofetil, 5 Nebusal, 32
mycophenolic acid DR, 5 Necon 1/50-28, 15
Monoject Ultra Comfort Insulin
Syringe/0.5ML/28G X 1/2", 38
Mydfrin, 28 Necon 10/11-28, 15
Myfortic, 5 Neevo DHA, 34
Monoject Ultra Comfort Insulin
Syringe/0.5ML/29G X 1/2", 38
Myglucohealth Mgh Softlance Lancets
30G, 38
nefazodone HCL, 23
Nefazodone HCL, 23
Monoject Ultra Comfort Insulin
Syringe/0.5ML/30G X 5/16", 38
Mykidz Iron Fl, 34 Nembutal Sodium, 24
Myleran, 4 Neo-synalar, 11
Monoject Ultra Comfort Insulin
Syringe/0.5ML/31G X 5/16", 38
Mynatal, 34 Neo-synalar Kit, 11
Myobloc, 26 neomycin sulfate, 2
Monoject Ultra Comfort Insulin
Syringe/1ML/28G X 1/2", 38
Myoxin, 28 neomycin/bacitracin/polymyxin, 27
Myozyme, 18 neomycin/polymyxin/bacitracin zinc, 27
Monoject Ultra Comfort Insulin
Syringe/1ML/29G X 1/2", 38
Myrbetriq, 20 neomycin/polymyxin/bacitracin/hydrocorti
sone, 27 Mysoline, 25
Monoject Ultra Comfort Insulin
Syringe/1ML/30G X 5/16", 38
N neomycin/polymyxin/dexamethasone, 27
neomycin/polymyxin/gramicidin, 27nabumetone, 30Monojector End CAPS, 38 neomycin/polymyxin/HC, 28nadolol, 7Monojector Opd End CAPS, 38 Neomycin/Polymyxin/Hydrocortisone, 27nadolol/bendroflumethiazide, 8Monolet Lancets, 38 neomycin/polymyxin/hydrocortisone, 28nafcillin sodium, 1Monolet Opd Lancets, 38 Neoprofen, 30 Nafcillin Sodium, 1Monolettor Safety Lancets, 38 Neoral, 5 Nafrinse Daily/Acidulated, 22Mononine, 22 Neosalus, 13 Nafrinse Daily/Neutral, 22Monovisc, 26 Neosalus CP, 13 Nafrinse Weekly, 22montelukast sodium, 32 Neosporin, 27 naftifine HCL, 11Monurol, 20 neostigmine methylsulfate, 27Naftin, 11Moore MED Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 38
Neostigmine Methylsulfate, 27Naglazyme, 18 Neotuss Plus, 32 nalbuphine HCL, 29Moore MED Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 38
Nephplex RX, 34 Nalfon, 30 Nephro-vite RX, 34Nallpen Iso-osmotic IN Dextrose, 1Moore MED Monoject Insulin Syringe/U100/1ML/28G X 1/2", 38
Nephrocaps, 34 Nallpen/Dextrose, 1 Nephrocaps QT, 34Namenda, 26Moore MED Monoject Insulin Syringe/U100/1ML/29G X 1/2", 38
Nephron Fa, 21 Namenda Titration PAK, 26 Neptazane, 9 Namenda XR, 26Morgidox 1X100MG, 2 Nesacaine, 31 Namenda XR Titration Pack, 26Morgidox 2X100MG, 2 Nesacaine-mpf, 31Namzaric, 26morphine sulfate, 29 Nesina, 16 Naphazoline HCL, 28Morphine Sulfate, 29 Nessi Spacer/Large Mask, 41Naprelan, 30Morphine Sulfate Add-vantage, 29 Nessi Spacer/Mouthpiece, 41Naprosyn, 30morphine sulfate ER, 29 Nessi Spacer/Small/MED Mask, 41naproxen, 30Morphine Sulfate ER, 29 Nestabs, 34 Naproxen, 30
Nestabs Abc, 34 nizatidine, 18 Nuvessa, 20
Nestabs DHA, 34 Nizoral, 11 Nuvigil, 24
Netgroup Lancets, 38 Nor-QD, 15 Nuvya, 12
Neuac Kit, 11 Norco, 29 Nuzon, 12
Neulasta, 21 Norditropin Cartridge, 17 Nymalize, 7
Neulasta Delivery Kit, 21 Norditropin Flexpro, 17 nystatin, 2, 11, 22
Neumega, 21 Norditropin Nordiflex Pen, 17 nystatin/triamcinolone, 11
Neupogen, 21 norepinephrine bitartrate, 9 O
Neupro, 25 norethindrone, 15 O-CAL Fa, 34Neurontin, 25 norethindrone & ethinyl estradiol ferrous
fumarate, 15 O-CAL Prenatal, 34Neutrasal, 22 OB Complete, 34 Neutrexin, 4 norethindrone acetate, 15 OB Complete 400, 34Neuvaxin, 13 norethindrone acetate/ethinyl estradiol,
15(2) OB Complete One, 34Nevanac, 28 OB Complete Petite, 34nevirapine, 3 norethindrone acetate/ethinyl
estradiol/ferrous fumarate, 15 OB Complete Premier, 34Nevirapine, 3 OB Complete/DHA, 34nevirapine ER, 3 Norflex, 26 Obredon, 32 Newgen, 34 norgestimate/ethinyl estradiol, 15 Obstetrix DHA, 34 Nexa Plus, 34 Norinyl 1+35, 15 Obtrex, 34 Nexavar, 6 Norinyl 1+50, 15 Obtrex DHA, 34 Nexium, 19 Noritate, 11 octreotide acetate, 17Nexium 24HR, 19 Noroxin, 2 Ocudox, 2 Nexium I.v., 19 Norpace, 8 Ocufen, 28 Nexterone, 8 Norpace CR, 8 Ocuflox, 27 niacin ER, 9 Norpramin, 23 Ocuvel, 34 niacinamide/azelaic ac/ turmer/fa/b6/zinc
ox/copper, 34
Northera, 9 Ofev, 33 nortriptyline HCL, 23 Ofirmev, 29 Niacor, 10 Nortriptyline HCL, 23 ofloxacin, 2, 27, 28Niaspan, 10 Norvasc, 7 Ofloxacin, 2 Nicadan, 34 Norvir, 3 olanzapine, 23 nicardipine HCL, 7 Nova Safety Lancets 23G, 38 olanzapine odt, 23Nicazel, 34 Nova Safety Lancets 28G, 38 olanzapine/fluoxetine, 26Nicazel Forte, 34 Nova Sureflex Lancets, 38 Oleptro, 23 Nicazeldoxy 30 Kit, 2 Novaferrum, 21 olopatadine HCL, 31Nicazeldoxy 60 Kit, 2 Novoclair, 12 Olux, 12 Nicomide, 34 Novoeight, 22 Olux-e, 12 nifedipine, 7 Novofine Plus 32GX4MM, 38 Olysio, 3 nifedipine ER, 7 Novolin 70/30, 16 Omeclamox-PAK, 19Nilandron, 5 Novolin 70/30 Relion, 16 omega-3-acid ethyl esters, 9Nimbex, 26 Novolin N, 16 Omega-3/D-3 Wellness Pack, 10nimodipine, 7 Novolin N Relion, 16 omeprazole, 18 Nipent, 6 Novolin R, 16 Omeprazole + Syrspend SF Alka, 19Niravam, 23 Novolin R Relion, 16 omeprazole/sodium bicarbonate, 18nisoldipine, 7 Novolog, 16 Omnaris, 31 Nisoldipine, 7 Novolog Flexpen, 16 Omnipred, 27 Nisoldipine ER, 7 Novolog Mix 70/30, 16 Omnitrope, 17 Nitro-bid, 7 Novolog Mix 70/30 Prefilled Flexpen, 16 Omontys, 21Nitro-dur, 7 Novolog Penfill, 16 On Call Lancets, 38nitrofurantoin, 20 Novoseven Rt, 22 On Call Plus Lancets, 38nitrofurantoin macrocrystals, 20 Noxafil, 2 Oncaspar, 5 nitrofurantoin monohydrate, 20 Nplate, 21 ondansetron HCL, 19nitrofurantoin
monohydrate/macrocrystals, 20
Nucort, 12 ondansetron odt, 19Nucynta, 29 One A Day Womens Prenatal/DHA, 34Nitroglycerin, 7 Nucynta ER, 29 One A Day Womens Prenatal1, 34nitroglycerin ER, 7 Nuedexta, 26 One-a-day Womens Prenatal, 34nitroglycerin IN 5% dextrose, 7 Nulojix, 5 Onetouch Basic System, 38nitroglycerin IN dextrose 5%, 7 Nulytely/Flavor Packs, 18 Onetouch Basic/Profile Test Strips, 38Nitroglycerin IN Dextrose 5%, 7 Numoisyn, 22 Onetouch Club Lancets Fine Point, 38nitroglycerin lingual, 7 Nuox, 11 Onetouch Combo Pack, 38Nitroglycerin Lingual, 7 Nutricap, 34 Onetouch Delica Lancets Extra Fine 33G,
38nitroglycerin transdermal, 7 Nutridox, 2Nitrolingual Pumpspray, 7 Nutrivit, 34 Onetouch Delica Lancets Fine 30G, 38Nitromist, 7 Nutropin AQ Nuspin 10, 17 Onetouch Finepoint Lancets, 38Nitronal, 7 Nutropin AQ Nuspin 20, 17 Onetouch Lancets, 38Nitropress, 8 Nutropin AQ Nuspin 5, 17 Onetouch Profile System, 38Nitrostat, 7 Nutropin AQ Pen, 17 Onetouch Suresoft Lancing Device/18G,
38Niva-plus, 34 Nuvail, 13Nivatopic Plus, 13 Nuvaring, 15 Onetouch Suresoft Lancing Device/21G,
38 Otrexup, 30 Paxil CR, 23
Onetouch Suresoft Lancing Device/28G,
38
Ovace Plus, 12 Pazeo, 28
Ovace Plus Wash, 12 PC Unifine Pentips 29G X 1/2", 39
Onetouch Ultra 2, 38 Ovace Wash, 12 PC Unifine Pentips 31G X 6MM Ultra
SHORT, 39 Onetouch Ultra Blue, 38 Ovcon-35, 15
Onetouch Ultra Mini, 38 Ovide, 13 PC Unifine Pentips 31G X 8MM SHORT,
39Onetouch Ultra System Kit, 38 Ovidrel, 17
Onetouch Ultralink System (DEC), 38 oxacillin sodium, 1 PCE, 1
Onetouch Ultralink System (hex), 38 oxaliplatin, 4 Pcp 100, 18
Onetouch Ultrasmart, 38 Oxandrin, 15 Pediaderm AF Complete Kit, 11
Onetouch Ultrasoft Lancets, 38 oxandrolone, 14 Pediaderm HC, 13
Onetouch Verio, 38 oxaprozin, 30 Pediaderm Ta, 13
Onetouch Verio IQ Blood Glucose
Monitoring System, 38
Oxaydo, 29 Pediapred, 14
oxazepam, 23 Pediarix, 33
Onetouch Verio Sync Bloodglucose
Monitoring System, 38
oxcarbazepine, 25 Pediatex TD, 32
Oxecta, 29 Pediatex TDM, 32
Onetouch Verio Test Strips, 38 Oxistat, 11 Pediatric Panda Mask, 41
Onexton, 11 Oxsoralen, 13 Pedipirox-4 Nail, 11
Onfi, 25 Oxsoralen Ultra, 12 Pedvax HIB, 33
Onglyza, 16 Oxtellar XR, 25 peg 3350/electrolytes, 18
Onmel, 2 oxybutynin chloride, 20 peg-3350/electrolytes, 18
Opana, 29 oxybutynin chloride ER, 20 peg-3350/NACL/NA bicarbonate/KCL, 18
Opana ER (crush Resistant), 29 oxycodone HCL, 29 Peg-intron, 3
Opdivo, 5 Oxycodone HCL, 29 Peg-intron Redipen, 3
opium, 18 Oxycodone HCL ER, 29 Peg-intron Redipen PAK 4, 3
opium tincture, 18 oxycodone/acetaminophen, 29 Peganone, 25
Opium Tincture (paregoric), 18 oxycodone/aspirin, 29 Pegasys, 3
Opsumit, 10 oxycodone/ibuprofen, 29 Pegasys Proclick, 3
Optichamber Advantage, 41 Oxycontin, 29 Pegintron, 3
Optichamber Diamond, 41 oxymorphone hydrochloride, 29 Pen Needles 29G X 12MM, 38
Optichamber Diamond/Largeface Mask,
41
oxymorphone hydrochloride ER, 29 Pen Needles 29GX1/2", 38
oxytocin, 28 Pen Needles 30GX5/16", 38
Optichamber Diamond/Medium Face
Mask, 41
Oxytrol, 20 Pen Needles 31G X 1/4" SHORT, 38
P Pen Needles 31G X 3/16", 38
Optichamber Diamond/Smallface Mask,
41
Pen Needles 31G X 6MM, 38paclitaxel, 6 Pen Needles 31GX5/16", 38Paclitaxel, 6Optihaler, 41 penicillin G potassium, 1Paire OB, 34Optihaler MDI Drug Delivery System, 41 Penicillin G Potassium IN Iso-osmotic
Dextrose, 1 Palgic, 31Optivar, 28 paliperidone ER, 24Oracea, 11 Penicillin G Procaine, 1Pamelor, 23Oracit, 20 Penicillin G Sodium, 1pamidronate disodium, 17Orafate, 22 penicillin v potassium, 1Pamidronate Disodium, 17Orap, 26 Penlac Nail Lacquer, 11Pamine, 19Orapred, 14 Penlet II Replacement CAPS, 38Pamine Forte, 19Orapred Odt, 14 Penlet II Replacement CAPS-deep, 38Pamine FQ, 19Oravig, 22 Penlet II Replacement CAPS-regular, 38Panatuss Dxp, 32Orbactiv, 4 Pennsaid, 12 Pancreaze, 19Orencia, 30 Pentacel, 33 Pancrelipase, 19Orenitram, 10 Pentam 300, 4 pancuronium bromide, 26Orfadin, 18 Pentasa, 20 Panda Mask Large, 41Orkambi, 33 pentazocine/acetaminophen, 29Panda Mask Medium, 41orphenadrine citrate, 26 pentazocine/naloxone HCL, 29Panda Mask Small, 41orphenadrine citrate ER, 26 Pentetate Calcium Trisodium, 42Pandel, 12orphenadrine/asa/caffeine, 26 Pentetate Zinc Trisodium, 42pantoprazole sodium, 18Ortho Evra, 15 Pentips 31GX5MM, 39papaverine HCL, 10Ortho Micronor, 15 Pentips 31GX8MM, 39Parafon Forte DSC, 26Ortho Tri-cyclen, 15 Pentips 32GX4MM, 39Parcopa, 25Ortho Tri-cyclen LO, 15 pentoxifylline ER, 22paricalcitol, 18Ortho-cept, 15 Pepcid, 19 Parlodel, 25Ortho-cyclen, 15 Percocet, 29 Parnate, 23Ortho-novum 1/35, 15 Percodan, 29 paromomycin sulfate, 2Ortho-novum 7/7/7, 15 Perfect Lancets 30G, 39paroxetine HCL, 23Orthovisc, 26 Perfect Pressure Activated Safety
Lancets 28G, 39 paroxetine HCL ER, 23Oseni, 16 Paser, 2Osmoprep, 18 Perforomist, 32 Pataday, 28Osphena, 17 Peridex, 22 Patanase, 31Otezla, 30 perindopril erbumine, 8Patanol, 28Otozin, 28 Perjeta, 5 Paxil, 23
permethrin, 13 Pneumovax 23/5 Dose, 33 Prefera OB, 34
perphenazine, 24 Pocket Chamber, 41 Prefera OB + DHA, 34
Perphenazine/Amitriptyline, 26 Pocket Spacer, 41 Preferaob +dha, 34
Persantine, 22 podofilox, 13 Preferaob One, 35
Pertzye, 19 Poly-VI-flor, 34 Preferred Plus Unifine Pentips 29G X
12MM, 39 Pexeva, 23 Poly-VI-flor FS, 34
Pfizerpen-G, 1 Poly-VI-flor/Iron, 34 Preferred Plus Unifine Pentips 31G X
6MM Ultra SHORT, 39Pharmacist Choice Tsx Patch, 13 polyethylene glycol 3350, 18
Pharmacist Choice Ultra Thin Lancets,
39
polymyxin b sulfate, 4 Preferred Plus Unifine Pentips 31G X
8MM SHORT, 39 polymyxin b sulfate/trimethoprim sulfate,
27 Pharmacist Choice Ultra Thin Lancets
28G, 39
Prefest, 15
Polytrim, 27 Prefol-DHA, 35
Pharmacist Choice Ultra Thin Lancets
30G, 39
Pomalyst, 5 Premarin, 15, 20
Ponstel, 30 Premphase, 15
Pharmacist Choice Ultra Thin Lancets
31G, 39
potassium citrate ER, 20 Prempro, 15
potassium citrate-citric acid crystals, 20 Prenata, 34
Pharmacist Choice Ultra Thin Lancets
33G, 39
potassium citrate/citric acid, 20 Prenatal Vitamin, 34
potassium citrate/sodium citrate/citric
acid, 20
Prenatal Vitamins, 34
Pharmacy Counter Lancets, 39 Prenate, 35
phenazopyridine HCL, 20 Potiga, 25 Prenate AM, 34
phenelzine sulfate, 23 Pr Cream, 13 Prenate DHA, 35
Phenergan, 31 Pradaxa, 21 Prenate Elite, 34
phenobarbital, 24 Praluent, 10 Prenate Enhance, 35
Phenobarbital, 24 pramipexole dihydrochloride, 25 Prenate Essential, 34
Phenobarbital Sodium, 24 pramipexole dihydrochloride ER, 25 Prenate Mini, 35
phenoxybenzamine hydrochloride, 8 Pramosone, 12 Prenate Pixie, 35
Phentolamine Mesylate, 8 Pramotic, 28 Prenate Restore, 35
phenylephrine HCL, 9, 28 Prandimet, 16 Prenate Star, 34
Phenylephrine HCL, 9 Prandin, 16 Prepidil, 28
Phenylephrine HCL/Sodium Chloride, 9 Prascion Ra With Sunscreens, 11 Prepopik, 18
phenylephrine/guaifenesin, 32 Prastera, 30 Preque 10, 35
Phenytek, 25 Pravachol, 10 Presera, 13
phenytoin, 25 pravastatin sodium, 9 Prestalia, 9
phenytoin sodium, 25 Prazolamine, 26 Prevacid, 19
phenytoin sodium extended, 25 prazosin HCL, 8 Prevacid Solutab, 19
Phoslo, 20 Pre-folic, 21 Prevident, 22
Phoslyra, 20 Precedex, 24 Prevnar 13, 33
Phospholine Iodide, 28 Precision Sure-dose Insulin
Syringe/0.3ML/30G X 5/16", 39
Prevpac, 19
Photofrin, 6 Prezcobix, 3
Phrenilin Forte, 29 Precision Sure-dose Insulin
Syringe/0.5ML/28G X 1/2", 39
Prezista, 3
phytonadione, 33 Prialt, 28
pilocarpine HCL, 22, 28 Precision Sure-dose Insulin
Syringe/0.5ML/29G X 1/2", 39
Priftin, 2
pilocarpine hydrochloride, 22 Prilosec, 19
pimozide, 26 Precision Sure-dose Insulin
Syringe/0.5ML/30G X 3/8", 39
Primaquine Phosphate, 3
pindolol, 7 Primaxin IV, 4
pioglitazone HCL, 16 Precision Sure-dose Insulin
Syringe/1ML/28G X 1/2", 39
Primaxin IV Add-vantage, 4
pioglitazone HCL-glimepiride, 16 primidone, 25
pioglitazone HCL/metformin HCL, 16 Precision Sure-dose Plus Insulin
Syringe/0.3ML/29G X 1/2", 39
Primlev, 29
piperacillin sodium/ tazobactam sodium,
1
Primsol, 4
Precision Sure-dose Plus Insulin
Syringe/1ML/29G X 1/2", 39
Prinivil, 8
piperacillin sodium/tazobactam sodium, 1 Pristiq, 23
piperacillin/tazobactam, 1 Precision Thin Lancets, 39 Pro-c-dure 1 Kit, 14
piroxicam, 30 Precision Thins GP Lancet, 39 Pro-c-dure 2 Kit, 14
Pitocin, 28 Precision Ultra Lancet, 39 Pro-c-dure 3 Kit, 14
Pitressin Synthetic, 17 Precose, 16 Pro-c-dure 4 Kit, 14
Plan B, 15 Pred Forte, 27 Pro-c-dure 5 Kit, 14
Plan B One-step, 15 Pred Mild, 27 Pro-c-dure 6 Kit, 14
Plaquenil, 3 Pred-G, 27 Proair HFA, 32
Plavix, 22 Pred-G S.o.p., 27 Proair Respiclick, 32
Plegridy, 26 prednicarbate, 12 probenecid, 31
Plegridy Starter Pack, 26 prednisolone, 14 probenecid/colchicine, 31
Pletal, 22 prednisolone acetate, 27 Procainamide HCL, 8
Plexion, 11 prednisolone sodium phosphate, 14 Procardia, 7
Plexion Cleanser, 11 Prednisolone Sodium Phosphate, 14, 27 Procardia XL, 7
Plexion Cleansing Cloths, 11 prednisolone sodium phosphate odt, 14 Procentra, 24
Pliaglis, 13 prednisone, 14 prochlorperazine, 24
Pneumovax 23, 33 Prednisone, 14 prochlorperazine edisylate, 24
Pneumovax 23/1 Dose, 33 Prednisone Intensol, 14 prochlorperazine maleate, 24
Procort, 20 Provida OB, 34 Rayos, 14
Procrit, 21 Provigil, 24 Razadyne, 26
Proctocort, 20 Prozac, 23 Razadyne ER, 26
Proctofoam HC, 19 Prozac Weekly, 23 Rebetol, 3
Procysbi, 20 Pruclair, 13 Rebif, 26
Prodigy Insulin Mini Pen Needles/31G X
3/16", 39
Prudoxin, 12 Rebif Rebidose, 26
Prumyx, 14 Rebif Rebidose Titration Pack, 26
Prodigy Insulin Pen Needles/29G X 1/2",
39
Pss Select GP Lancets, 39 Rebif Titration Pack, 26
Pss Select Platforms, 39 Reclast, 17
Prodigy Insulin SHORT Penneedles/31G
X 5/16", 39
Pss Select Safety Lancets, 39 Recombinate, 22
Pulmicort, 32 Recombivax HB, 33
Prodigy Insulin Syring/U-100/0.3ML/31G
X 5/16", 39
Pulmicort Flexhaler, 32 Recothrom, 22
Pulmophylline, 32 Recothrom Spray Kit, 22
Prodigy Insulin Syringe/1/2ML/31G X
5/16", 39
Pulmozyme, 33 Rectiv, 20
Purinethol, 5 Reglan, 20
Prodigy Insulin Syringe/1ML/28G X 1/2",
39
Purixan, 5 Regonol, 27
Px Lancets Ultra Thin, 39 Relagard, 20
Prodigy Pressure Activated Safety
Lancets, 39
Pylera, 19 Relenza Diskhaler, 3
pyrazinamide, 2 Relhist, 32
Prodigy Twist Top Lancets, 39 Pyridium, 20 Relion Insulin Syringe/U -100/0.5ML/29G,
39Proferrin-forte, 21 pyridostigmine bromide, 27
Profilnine, 22 Pyridoxine HCL, 34 Relion Insulin Syringe/U-00/1ML/29G X
1/2", 39 Profilnine SD, 22 Pyrogallic Acid, 14
progesterone, 15 Q Relion Insulin Syringe/U-100/0.3ML/29G,
39Progesterone 10% Kit, 15 Qc Lancets Super Thin, 39Proglycem, 16 Relion Insulin Syringe/U-100/0.3ML/29G
X 1/2", 39 Qc Lancets Ultra Thin, 39Prograf, 5 Qc Pen Needles 29G X 12MM, 39Prolastin-c, 33 Relion Insulin Syringe/U-100/0.3ML/30G,
39Qc Pen Needles 31G X 6MM, 39Prolensa, 28 Qc Pen Needles 31G X 8MM, 39Proleukin, 6 Relion Insulin Syringe/U-100/0.3ML/30G
X 5/16", 39 Qnasl, 31Prolia, 17 Qnasl Childrens, 31Promacta, 21 Relion Insulin Syringe/U-100/0.3ML/31G
X 5/16", 39 Quadracel, 33promethazine HCL, 31 Quadramet, 6promethazine HCL plain, 31 Relion Insulin Syringe/U-100/0.5ML/29G
X 1/2", 39 Qualaquin, 3promethazine-DM, 32 Quartette, 15promethazine/codeine, 32 Relion Insulin Syringe/U-100/0.5ML/30G,
39Quazepam, 24promethazine/dextromethorphan, 32 Qudexy XR, 25promethazine/phenylephrine, 32 Relion Insulin Syringe/U-100/0.5ML/30G
X 5/16", 39 Quelicin, 26Promethazine/Phenylephrine, 32 Quelicin 1000, 26promethazine/phenylephrine/codeine, 32 Relion Insulin Syringe/U-100/0.5ML/31G
X 5/16", 39 Questran, 10Prometrium, 15 Questran Light, 10Promiseb, 12 Relion Insulin Syringe/U-100/1ML/30G,
39quetiapine fumarate, 24Promiseb Complete, 12 Quillivant XR, 24propafenone HCL, 8 Relion Insulin Syringe/U-100/1ML/30G X
5/16", 39 quinapril HCL, 8propafenone HCL ER, 8 quinapril/hydrochlorothiazide, 8Propantheline Bromide, 19 Relion Insulin Syringe/U-100/1ML/31G X
5/16", 39 Quinidine Gluconate, 8proparacaine HCL, 28 quinidine gluconate CR, 8propranolol HCL, 7 Relion Lancets Micro-thin33G, 39quinidine gluconate ER, 8Propranolol HCL, 7 Relion Lancets Standard 21G, 39quinidine sulfate, 8propranolol HCL ER, 7 Relion Lancets Thin 26G, 39Quinidine Sulfate, 8Propranolol/Hydrochlorothiazide, 9 Relion Lancets Ultra-thin30G, 39Quinidine Sulfate ER, 8propylthiouracil, 18 Relion Mini Pen Needles 31GX6MM, 39quinine sulfate, 3Proquad, 33 Relion Pen Needles 29GX12MM, 39Qutenza, 14Proscar, 20 Relion Pen Needles 31GX8MM, 39Qvar, 32Prosed/DS, 20 Relion Pen Needles 32GX4MM, 39R Prostigmin, 27 Relion SHORT Pen Needles 31GX8MM,
39Prostin E2, 28 R-natal OB, 35
Protamine Sulfate, 22 Relion Thin Lancets, 39Rabavert, 33
Protect Plus, 35 Relion Ultra Thin Lancets, 39rabeprazole sodium, 18
Protectiron, 21 Relion Ultra Thin Lancets30G, 39raloxifene hydrochloride, 17
Prothelial, 22 Relion Ultra Thin Plus Lancets 32G, 39ramipril, 8
Protonix, 19 Relion Ultra Thin Plus Lancets 33G, 39Ranexa, 7
Protopic, 13 Relistor, 19 ranitidine HCL, 19
protriptyline HCL, 23 Relpax, 31 Rapaflo, 20
Provenge, 6 Relyyks, 14 Rapamune, 5
Proventil HFA, 32 Relyyt, 14 Rapivab, 3
Provera, 15 Remeron, 23 Rasuvo, 30
Provida DHA, 35 Remeron Soltab, 23Ravicti, 18
Remicade, 19 risedronate sodium DR, 17 Safety Seal Lancets 30G, 39
Remodulin, 10 Risperdal, 24 Safety-glide Insulin Syringe/0.3ML/29G X
1/2", 39 Renagel, 20 Risperdal Consta, 24
Renatabs, 35 Risperdal M-TAB, 24 Safyral, 15
Renatabs With Iron, 35 risperidone, 24 Saizen, 17
Renew Advanced Lancing Cartridge
Refills, 39
risperidone odt, 24 Saizen Click.easy, 17
Ritalin, 24 Salagen, 22
Renvela, 19 Ritalin LA, 24 Salex, 14
Reopro, 22 Ritalin SR, 25 Salex Cream, 14
repaglinide, 16 Riteflo, 41 Salex Lotion, 14
Repatha, 10 Rituxan, 5 salicylic acid, 13
Repatha Sureclick, 10 rivastigmine tartrate, 26 Salicylic Acid, 14
Reprexain, 29 rivastigmine transdermal system, 26 salicylic acid cream, 13
Repronex, 17 rizatriptan benzoate, 30 Salicylic Acid IN Ammonium Lactate
Vehicle, 14 Req 49+, 35 rizatriptan benzoate odt, 30
Requip, 25 Robaxin, 26 salicylic acid lotion, 13
Requip XL, 25 Robaxin-750, 26 Salkera, 14
Rescon-JR, 32 Robinul, 19 salsalate, 28
Rescon-MX, 32 Robinul Forte, 19 Salvax, 14
Rescriptor, 3 Rocaltrol, 18 Salvax Duo Plus, 14
Rescula, 27 Rocephin, 1 Samsca, 18
Reserpine, 8 rocuronium bromide, 26 Sanctura, 20
Respa-BR, 31 ropinirole ER, 25 Sanctura XR, 20
Restasis, 28 ropinirole HCL, 25 Sancuso, 19
Restora RX, 18 ropivacaine, 31 Sandimmune, 5
Restoril, 24 ropivacaine HCL, 31 Sandostatin, 17
Retavase, 22 Rosadan Kit, 11 Sandostatin Lar Depot, 17
Retavase Half-kit, 22 Rosanil, 11 Saphris, 24
Retin-a, 11 Rosula, 11 Sarafem, 26
Retin-a Micro, 11 Rotarix, 33 Savaysa, 21
Retin-a Micro P.M., 11 Rotateq, 33 Savella, 26
Retinoic Acid, 10 Rowasa, 20 Savella Titration Pack, 26
Retinoic Acid-all Trans, 10 Roxicet, 29 Scalacort DK, 13
Retrovir, 3 Roxicodone, 29 Scar Patch, 14
Retrovir IV Infusion, 3 Rozerem, 24 Scopolamine Hydrobromide, 19
Revatio, 10 Ryanodex, 26 Seasonique, 15
Revlimid, 5 Rytary, 25 Seb-prev, 12
Rexall Lancets Ultra Thin, 39 Rythmol, 8 Seconal, 24
Rexulti, 24 Rythmol SR, 8 Sectral, 7
Reyataz, 3 S Select-OB, 34
Rezira, 32 Select-ob+dha, 35Sabril, 25Rezyst IM, 18 selegiline HCL, 25 Safe-t-lance Low Flow 25G, 39Rezyst SB, 18 selenium sulfide, 12Safe-t-lance Normal Flow 21G, 39Rheumatrex, 30 Selrx, 12 Safe-t-lance Plus Safety Lancet High
Flow, 39Rhinocort Aqua, 31 Selzentry, 3 Rhinoflex-650, 29 Semprex-d, 32 Safe-t-lance Plus Safety Lancet Low
Flow, 39Riastap, 22 Senophylline, 32 Riax, 11 Sensipar, 18 Safe-t-lance Plus Safety Lancet Normal
Flow, 39Ribasphere, 3 Sensorcaine-mpf/Epinephrine, 31Ribasphere Ribapak, 3 Sentradine, 19 Safesnap Insulin Syringe/0.3ML/30G X
5/16", 39Ribatab, 3 Sentraflox AM-10, 23ribavirin, 3 Sentralopram AM-10, 23Safesnap Insulin Syringe/0.5ML/29G X
1/2", 39Ridaura, 30 Sentramodafin AM-100, 25rifabutin, 2 Sentravil PM-25, 23Safesnap Insulin Syringe/0.5ML/30G X
5/16", 39Rifadin, 2 Sentrazolam AM 0.25, 23Rifamate, 2 Sentrazolpidem PM-5, 24Safesnap Insulin Syringe/1ML/28G X
1/2", 39rifampin, 2 Sentroxatine, 23 Rifater, 2 Serevent Diskus, 32Safesnap Insulin Syringe/1ML/29G X
1/2", 39Right Step Prenatal, 34 Seroquel, 24 Rightest GD-L500 Alternate Site Adapter,
39
Seroquel XR, 24 Safety Lancet 21G/Pressure Activated,
39 Serostim, 17 Rightest Gl300 Lancets, 39 sertraline HCL, 23 Safety Lancet 28G/Pressure Activated,
39 Rilutek, 26 Sevelamer Carbonate, 19riluzole, 26 Sfrowasa, 19 Safety Lancets, 39rimantadine HCL, 3 Shohls Solution Modified, 21Safety Lancets 21G, 39Rimantalist, 3 Shopko On-the-go Comfort Lancets 30G,
39Safety Lancets 28G, 39Riomet, 16 Safety Let Lancets, 39risedronate sodium, 17 Shopko Unifine Pentips Pen Safety Seal Lancets 28G, 39
Needles/Micro/32GX4MM, 39 Solaice, 14 Sulfacetamide Sodium, 27
Shopko Unifine Pentips Pen
Needles/Mini/31GX5MM, 39
Soliris, 22 sulfacetamide sodium/prednisolone
sodium phosphate, 27Solodyn, 2
Shopko Unifine Pentips Pen
Needles/Original/29GX12MM, 39
Soltamox, 5 sulfacetamide sodium/sulfur cleanser, 10
Solu-cortef, 14 Sulfadiazine, 2
Shopko Unifine Pentips Pen
Needles/SHORT/31GX8MM, 39
Solu-medrol, 14 sulfamethoxazole/trimethoprim, 4
Solus V2 Pressure Activated Safety
Lancets 28G, 39
Sulfamethoxazole/Trimethoprim, 4
Shopko Unilet Lancets Super Thin 30G,
39
sulfamethoxazole/trimethoprim DS, 4
Solus V2 Twist Lancets 30G, 39 sulfasalazine, 19
Shopko Unilet Lancets Ultra Thin 28G,
39
Soma, 26 Sulfoam, 11
Somatuline Depot, 17 Sulfurated Lime, 14
Siderol, 35 Somavert, 17 sulindac, 30
Signifor, 17 Sonata, 24 Sumadan Kit, 11
Signifor Lar, 17 Soolantra, 11 Sumadan Wash, 11
sildenafil, 10 Soothee, 14 Sumadan XLT, 11
sildenafil citrate, 10 Soriatane, 12 Sumatriptan, 30
Silenor, 24 Sorilux, 12 sumatriptan succinate, 30
Simbrinza, 28 sotalol HCL, 7 Sumatriptan Succinate, 30
Simcor, 10 sotalol HCL (AF), 7 sumatriptan succinate refill, 30
Simponi, 30 Sotalol Hydrochloride, 7 Sumavel Dosepro, 31
Simponi Aria, 30 Sotylize, 7 Sumaxin, 11
Simulect, 5 Sovaldi, 3 Sumaxin CP Kit, 11
simvastatin, 9 Spectracef, 1 Sumaxin Ts, 11
Sinelee, 14 Spinosad, 14 Sumaxin Wash, 11
Sinemet, 25 Spiriva Handihaler, 32 Supartz, 26
Sinemet CR, 25 Spiriva Respimat, 32 Supartz Fx, 26
Single-let, 39 spironolactone, 9 Supervite, 35
Singulair, 32 spironolactone/hydrochlorothiazide, 9 Supervite EC, 35
sirolimus, 5 Sporanox, 2 Support-500, 35
Sirturo, 2 Sporanox Pulsepak, 2 Supprelin LA, 17
Sitavig, 3 Sprix, 30 Supracil, 14
Sivextro, 4 Sprycel, 6 Suprax, 1
Skelaxin, 26 Staflex, 29 Suprep Bowel Prep, 18
Sklice, 14 Stalevo 100, 25 Sure-fine Pen Needles 29GX1/2"
12.7MM, 39 Smart Diabetes Vantage Universal
Lancets 30G, 39
Stalevo 125, 25
Stalevo 150, 25 Sure-fine Pen Needles 31GX3/16" 5MM,
39Smart Sense Color Lancets Universal
33G, 39
Stalevo 200, 25
Stalevo 50, 25 Sure-fine Pen Needles 31GX5/16" 8MM,
39Smart Sense Standard Lancets Universal
21G, 39
Stalevo 75, 25
stannous fluoride oral rinse, 22 Sure-ject Insulin Syringe/U100/0.3ML/29G X 1/2", 39Smart Sense Super Thin Lancets
Universal 30G, 39
Starlix, 16
stavudine, 3 Sure-ject Insulin Syringe/U100/0.3ML/30G X 5/16", 39Smart Sense Thin Lancets Universal
26G, 39
Stavzor, 25
Staxyn, 10 Sure-ject Insulin Syringe/U100/0.3ML/31G X 5/16", 39Smartest Lancets 28G, 39 Stelara, 12
Sodium Bicarbonate, 18 Stendra, 10 Sure-ject Insulin Syringe/U100/0.5ML/28G X 1/2", 39sodium chloride, 32 Sterilance PA, 39
sodium citrate/citric acid, 20 Sterilance TL, 39 Sure-ject Insulin Syringe/U100/0.5ML/29G X 1/2", 39Sodium Diuril, 9 Stimate, 17
Sodium Edecrin, 9 Stiolto Respimat, 32 Sure-ject Insulin Syringe/U100/0.5ML/30G X 5/16", 39sodium ferric gluconate complex/sucrose,
21
Stivarga, 6
Strattera, 24 Sure-ject Insulin Syringe/U100/0.5ML/31G X 5/16", 39sodium hyaluronate, 13 Strazepam, 24
sodium phenylbutyrate, 18 Streptomycin Sulfate, 2 Sure-ject Insulin Syringe/U-100/1ML/28G
X 1/2", 39 sodium sulfacetamide, 10, 12, 27 Striant, 15
sodium sulfacetamide wash, 12 Stribild, 3 Sure-ject Insulin Syringe/U-100/1ML/29G
X 1/2", 39 sodium sulfacetamide/sulfur, 10 Striverdi Respimat, 32
Sodium Sulfacetamide/Sulfur, 11 Stromectol, 4 Sure-ject Insulin Syringe/U-100/1ML/30G
X 5/16", 39 sodium sulfacetamide/sulfur cleanser, 10 Strovite Forte, 35
Sodium Sulfacetamide/Sulfur Cleanser IN
Urea, 11
Strovite One, 35 Sure-ject Insulin Syringe/U-100/1ML/31G
X 5/16", 39 Stuart Prenatal, 34
sodium sulfacetamide/sulfur cleansing
cloths, 10
Suboxone, 29 Sure-lance Flat Lancets, 39
Subsys, 29 Sure-lance Lancets 26G, 39
sodium sulfacetamide/sulfur green, 10 Suclear, 18 Sure-lance Thin Lancets 28G, 39
Sodium Sulfacetamide/Sulfur IN Urea, 11
Sucraid, 19 Sure-lance Ultra Thin Lancets, 39
sodium sulfacetamide/sulfur w/sunscreen,
10
sucralfate, 19 Sure-touch Lancets Universal, 39
Sular, 7 Surelite Lancets, 39
sodium sulfacetamide/sulfur wash, 10 sulfacetamide sodium, 10, 27 Surestep Pro Test Strips, 39
Surestep Test Strips, 39 telmisartan/hydrochloroth, 8 tetracaine HCL, 28
Surfaxin, 33 telmisartan/hydrochlorothiazide, 8 Tetracaine HCL, 31
Surmontil, 23 temazepam, 24 Tetracycline HCL, 2
Survanta Intratracheal, 33 Temodar, 4 Tetrix, 14
Sustiva, 3 Temovate, 13 Tev-tropin, 17
Sutent, 6 Temovate E, 13 Teveten, 8
Suttar-2, 32 temozolomide, 4 Teveten HCT, 9
Suttar-SF, 32 Tencon, 28 Texacort, 13
Sylatron, 6 Tenex, 8 Texavite LQ, 35
Symax Duotab, 19 Teniposide, 6 Thalomid, 5
Symbicort, 32 Tenivac, 33 Theo-24, 32
Symbyax, 26 Tenoretic 100, 9 theophylline, 32
Symlinpen 120, 16 Tenoretic 50, 9 theophylline CR, 32
Symlinpen 60, 16 Tenormin, 7 theophylline ER, 32
Synagex, 35 Terazol 3, 20 Theophylline/D5W, 32
Synalar, 13 Terazol 7, 20 Therabenzaprine-60, 26
Synalar Cream Kit, 13 terazosin HCL, 8 Therabenzaprine-90, 26
Synalar Ointment Kit, 13 terbinafine HCL, 2 Therabenzaprine-90-5, 26
Synalar Ts, 13 Terbinex, 2 Theracodeine-300, 29
Synalgos-dc, 29 terbutaline sulfate, 32 Theracodophen-325, 29
Synapryn Fusepaq, 29 terconazole, 20 Theracodophen-650, 29
Synarel, 17 Tersi Foam, 12 Theracodophen-750, 29
Synatek, 35 Terumo Insulin Syringe/0.3ML/30G X
3/8", 40
Theracodophen-low-90, 29
Synera, 14 Theracys, 6
Synercid, 4 Terumo Insulin Syringe/0.5ML/29G X
1/2", 40
Therafeldamine, 30
Synjardy, 16 Theranatal Core Nutrition, 34
Synribo, 6 Terumo Insulin Syringe/0.5ML/30G X
3/8", 40
Therapentin-60, 25
Synthroid, 18 Therapentin-90, 25
Synvisc, 26 Terumo Insulin Syringe/1ML/27G X 1/2",
40
Theraprofen-60, 30
Synvisc One, 26 Theraprofen-800, 30
T Terumo Insulin Syringe/1ML/29G X 1/2",
40
Theraprofen-90, 30
Theraproxen-500, 30Tabloid, 5 Terumo Insulin Syringe/1ML/30G X 3/8",
40
Theraproxen-60, 30Tabradol Fusepaq, 26 Theraproxen-90, 30Taclonex, 13 Terumo Insulin Syringe/U-100/0.3ML/29G
X 1/2", 39
Theratramadol-60, 29tacrolimus, 5, 13 Theratramadol-90, 29Tafinlar, 6 Terumo Insulin Syringe/U-100/0.5ML/27G
X 1/2", 39
thiamine HCL, 33 Talwin, 29 Thinlets GP Lancets, 40Tamiflu, 3 Terumo Insulin Syringe/U-100/0.5ML/28G
X 1/2", 40
Thinlets Lancet, 40tamoxifen citrate, 5 Thinpro Insulin Syringe/0.3ML/29G X
1/2", 40 tamsulosin HCL, 20 Terumo Insulin Syringe/U-100/1ML/28G
X 1/2", 40Tandem F, 21 Thinpro Insulin Syringe/0.3ML/30G X
3/8", 40 Tandem Plus, 21 Terumo Surguard Insulin
Syringe/0.3ML/29G X 1/2", 40Tanzeum, 16 Thinpro Insulin Syringe/0.3ML/31G X
3/8", 40 Tapazole, 18 Terumo Surguard Insulin
Syringe/0.5ML/28G X 1/2", 40Tarceva, 6 Thinpro Insulin Syringe/0.5ML/28G X
1/2", 40 Targadox, 2 Terumo Surguard Insulin
Syringe/0.5ML/29G X 1/2", 40Targretin, 6 Thinpro Insulin Syringe/0.5ML/29G X
1/2", 40 Tarka, 9 Terumo Surguard Insulin
Syringe/1ML/28G X 1/2", 40Taron-bc, 34 Thinpro Insulin Syringe/0.5ML/30G X
3/8", 40 Taron-c DHA, 34 Terumo Surguard Insulin
Syringe/1ML/29G X 1/2", 40Tasigna, 6 Thinpro Insulin Syringe/0.5ML/31G X
3/8", 40 Tasmar, 25 Tessalon Perles, 32Taxotere, 6 Testim, 15 Thinpro Insulin Syringe/1ML/28G X 1/2",
40Tazicef, 1 Testone Cik, 15Tazorac, 12 Testopel, 15 Thinpro Insulin Syringe/1ML/29G X 1/2",
40Tecfidera, 26 testosterone, 14Tecfidera Starter Pack, 26 Testosterone, 14 Thinpro Insulin Syringe/1ML/30G X 3/8",
40Techlite AST Lancets, 39 testosterone cypionate, 14Techlite Lancets, 39 testosterone enanthate, 14 Thinpro Insulin Syringe/1ML/31G X 3/8",
40Techlite Lancets 30G, 39 Testosterone P.M., 14Technivie, 3 Testred, 15 Thiola, 21 Tegretol, 25 Tetanus Toxoid Adsorbed, 33 thioridazine HCL, 24Tegretol-XR, 25 Tetanus/Diphtheria Toxoids-adsorbed,
33
Thiotepa, 4 Tekamlo, 9 thiothixene, 24 Tekturna, 8 Tetanus/Diphtheria Toxoids-adsorbed
Adult, 33
Thrombin-jmi Diluent, 22Tekturna HCT, 9 Thrombin-jmi Epistaxis, 22telmisartan, 8 tetrabenazine, 26 Thrombin-jmi Syringe Spray Kit, 22telmisartan/amlodipine, 8
Thrombin-jmi W/Dil Spray P.M. Actuator,
22
Toviaz, 20 Triseon, 11
Tracleer, 10 Triumeq, 3
Thrombogen, 22 Tradjenta, 16 Triveen-duo DHA, 35
Thymoglobulin, 5 tramadol HCL, 29 Triveen-prx RNF, 35
Thyrolar-1, 18 tramadol HCL ER, 29 Trizivir, 3
Thyrolar-1/2, 18 Tramadol HCL ER, 29 Trokendi XR, 25
Thyrolar-1/4, 18 tramadol hydrochloride/acetaminophen,
29
Tropazone, 14
Thyrolar-2, 18 trospium chloride, 20
Thyrolar-3, 18 Trandate, 7 trospium chloride ER, 20
tiagabine hydrochloride, 25 trandolapril, 8 Trueplus Insulin Syringe/U100/0.3ML/29G X 1/2", 40Tiazac, 7 trandolapril/verapamil HCL, 8
Tice Bcg, 6 trandolapril/verapamil HCL ER, 8 Trueplus Insulin Syringe/U100/0.3ML/30G X 5/16", 40ticlopidine HCL, 22 tranexamic acid, 22
Ticlopidine HCL, 22 Transderm-scop, 19 Trueplus Insulin Syringe/U100/0.3ML/31G X 5/16", 40Tigan, 19 Tranxene T, 23
Tikosyn, 8 tranylcypromine sulfate, 23 Trueplus Insulin Syringe/U100/0.5ML/28G X 1/2", 40Timentin, 1 Travatan Z, 27
Timolol Maleate, 7 Travoprost, 27 Trueplus Insulin Syringe/U100/0.5ML/29G X 1/2", 40timolol maleate, 27 Trazamine, 23
timolol maleate ophthalmic gel forming,
27
trazodone HCL, 23 Trueplus Insulin Syringe/U100/0.5ML/30G X 5/16", 40Treanda, 4
Timoptic, 27 Trecator, 2 Trueplus Insulin Syringe/U100/0.5ML/31G X 5/16", 40Timoptic Ocudose, 27 Trelstar, 5
Timoptic-xe, 27 Trelstar Mixject, 5 Trueplus Insulin Syringe/U-100/1ML/28G
X 1/2", 40 Tindamax, 4 Trepadiclofen-25, 30
tinidazole, 4 Trepoxen-250, 30 Trueplus Insulin Syringe/U-100/1ML/29G
X 1/2", 40 Tirosint, 18 Trepoxicam-7.5, 30
Tisseel, 22 Tretin-x, 11 Trueplus Insulin Syringe/U-100/1ML/30G
X 5/16", 40 Tisseel VH, 22 tretinoin, 6, 10
Tivicay, 3 Tretinoin, 10 Trueplus Insulin Syringe/U-100/1ML/31G
X 5/16", 40 Tivorbex, 30 Tretinoin (all-trans Retinoic Acid), 10
Tizanidine Comfort PAC, 26 tretinoin microsphere, 10 Trueplus Lancets 26G, 40
tizanidine HCL, 26 tretinoin microsphere P.M., 10 Trueplus Lancets 28G, 40
TL G-FOL OS, 35 Trexall, 5 Trueplus Lancets 28G Super Thin, 40
TL Triseb, 12 Treximet, 31 Trueplus Lancets 30G, 40
Tnkase, 22 Trezix, 29 Trueplus Lancets 30G Ultra Thin, 40
Tobi, 2 Tri-norinyl 28, 15 Trueplus Lancets 33G, 40
Tobi Podhaler, 2 Tri-VI-flor, 34 Trueplus Lancets 33G Micro Thin, 40
Tobradex, 27 Triamcinolone, 14 Trueplus Safety Lancets 28G, 40
Tobradex ST, 27 triamcinolone acetonide, 12, 22, 31 Trulicity, 16
tobramycin, 2 Triamcinolone Acetonide, 12 Trumenba, 33
tobramycin sulfate, 2, 27 triamcinolone IN orabase, 22 Trusopt, 28
Tobramycin Sulfate/Sodium Chloride, 2
Triamcinolone PF, 14 Truvada, 3
tobramycin/dexamethasone, 27
Triamcinolone/Lidocaine, 14 Tudorza Pressair, 32
Tobrex, 27 Triamsil Combipak, 13 Turkel Paracentesis Procedure
Tray/8french, 31 Tofranil, 23 triamterene/hydrochlorothiazide, 9
Tofranil-PM, 23 Triamterene/Hydrochlorothiazide, 9 Tussicaps, 32
tolazamide, 16 Trianex, 13 Tussionex Pennkinetic Extended
Release, 32 Tolazamide, 16 triazolam, 24
Tolbutamide, 16 Tribenzor, 9 Tuzistra XR, 32
tolcapone, 25 Tricare Prenatal Compleat, 34 Twinrix, 33
tolmetin sodium, 30 Tricare Prenatal DHA One, 34 Twynsta, 9
Tolmetin Sodium, 30 tricitrates, 20 Tybost, 3
tolterodine tartrate, 20 Tricor, 10 Tygacil, 4
tolterodine tartrate ER, 20 Triderma Forte, 13 Tykerb, 6
Topamax, 25 Triferic, 21 Tylenol/Codeine #3, 29
Topamax Sprinkle, 25 trifluoperazine HCL, 24 Tylenol/Codeine #4, 29
Topicort, 13 trifluridine, 27 Typhim VI, 33
topiramate, 25 Triglide, 10 Tysabri, 26
Topiramate ER, 25 trihexyphenidyl HCL, 25 Tyvaso, 10
topotecan HCL, 6 Trileptal, 25 Tyvaso Refill, 10
Topotecan HCL, 6 Trilipix, 10 Tyvaso Starter, 10
Toprol XL, 7 trimethobenzamide HCL, 19 Tyzeka, 3
Torisel, 6 trimethoprim, 4 Tyzine, 31
torsemide, 9 trimethoprim sulfate/polymyxin b sulfate,
27
Tyzine Pediatric Nasal Drops, 31
Torsemide, 9 U
Totect, 6 Triostat, 18 Uceris, 14, 20 Toujeo Solostar, 16 Trisenox, 6 Udamin SP, 35
Ulesfia, 14 Ulticare Insulin Syringe/U-100/1ML/30G X
5/16", 40
100/1ML/31GX5/16", 40
Uloric, 31 Ultra-thin II Insulin Syringe/U100/0.3ML/29GX1/2", 40Ulticare Insulin Safety Syringe/0.5ML/29G
X 1/2", 40
Ulticare Insulin Syringe/U-100/1ML/31G X
5/16", 40 Ultra-thin II Insulin Syringe/U100/0.5ML/29GX1/2", 40Ulticare Insulin Safety Syringe/1ML/29G
X 1/2", 40
Ulticare Micro Pen Needles/32G X 4MM,
40 Ultra-thin II Insulin Syringe/U100/1ML/29GX1/2", 40Ulticare Insulin Syringe 1CC/28G U-100
1/2", 40
Ulticare Mini Pen Needles 31GX6MM, 40
Ulticare Mini Pen Needles Ulti-fine IV, 40 Ultra-thin II Lancets 28G, 40
Ulticare Insulin Syringe Ultrafine U100/0.3ML/31G X 5/16", 40
Ulticare Mini Pen Needles/31G X 6MM,
40
Ultra-thin II Lancets 30G, 40
Ultra-thin II Mini Pen
Neeedles/31GX3/16", 40Ulticare Insulin Syringe Ultrafine U100/0.5ML/31G X 5/16", 40
Ulticare Mini Pen Needles31GX6MM, 40
Ulticare Original Pen Needles Ulti-fine,
40
Ultra-thin II Pen Needles 29GX1/2", 40
Ulticare Insulin Syringe Ultrafine U100/1ML/31G X 5/16", 40
Ultra-thin II Pen
Needles/SHORT/31GX5/16", 40Ulticare Pen Needles/29G X 12.7MM, 40
Ulticare Insulin Syringe/0.3ML/29G X
1/2", 40
Ulticare SHORT Pen Needles 31GX8MM,
40
Ultra-thin II Safety Autolancets 26G, 40
Ultracet, 29
Ulticare Insulin Syringe/0.3ML/30G X
1/2", 40
Ulticare SHORT Pen Needles Ulti-fine IV,
40
Ultralance, 40
Ultram, 30
Ulticare Insulin Syringe/0.3ML/30G X
5/16", 40
Ulticare SHORT Pen Needles/31G X
8MM, 40
Ultram ER, 30
Ultrasal-ER, 14
Ulticare Insulin Syringe/0.5ML/28G X
1/2", 40
Ulticare Thin Lancets 30G, 40 Ultravate, 13
Ultiguard Insulin Syringe/U100/0.3ML/29G X 1/2", 40
Ultravate PAC, 13
Ulticare Insulin Syringe/0.5ML/29G X
1/2", 40
Ultravate X, 13
Ultiguard Insulin Syringe/U100/0.3ML/30G X 5/16", 40
Ultresa, 19
Ulticare Insulin Syringe/0.5ML/30G X
1/2", 40
Umecta, 14
Ultiguard Insulin Syringe/U100/0.5ML/29G X 1/2", 40
Umecta Nail Film, 14
Ulticare Insulin Syringe/0.5ML/30G X
5/16", 40
Umecta PD, 14
Ultiguard Insulin Syringe/U100/0.5ML/30G X 5/16", 40
Unasyn, 1
Ulticare Insulin Syringe/1ML/28G X 1/2",
40
Unasyn Bulk Pack, 1
Ultiguard Insulin Syringe/U-100/1ML/29G
X 1/2", 40
Unifine Pentips 29GX12MM, 40
Ulticare Insulin Syringe/1ML/29G X 1/2",
40
Unifine Pentips 31G X 3/16", 40
Ultiguard Insulin Syringe/U-100/1ML/30G
X 5/16", 40
Unifine Pentips 31G X 6MM, 40
Ulticare Insulin Syringe/1ML/30G X 1/2",
40
Unifine Pentips 31G X 8MM, 40
Ultilet Classic Lancets, 40 Unifine Pentips 31GX5MM, 40
Ulticare Insulin Syringe/1ML/30G X 5/16",
40
Ultilet Insulin Syringe/SHORT/0.3ML/30G
X 5/16", 40
Unifine Pentips 31GX6MM, 40
Unifine Pentips 31GX8MM, 41
Ulticare Insulin
Syringe/SHORT/0.3ML/30G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.3ML/31G
X 5/16", 40
Unifine Pentips 32GX4MM, 41
Unifine Pentips Plus 29GX12MM, 40
Ulticare Insulin
Syringe/SHORT/0.3ML/31G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/30G
X 5/16", 40
Unifine Pentips Plus 31GX5MM, 40
Unifine Pentips Plus 31GX6MM, 40
Ulticare Insulin
Syringe/SHORT/0.5ML/30G X 5/16", 40
Ultilet Insulin Syringe/SHORT/0.5ML/31G
X 5/16", 40
Unifine Pentips Plus 31GX8MM, 40
Unilet Comfortouch Lancet, 41
Ulticare Insulin
Syringe/SHORT/0.5ML/31G X 5/16", 40
Ultilet Insulin Syringe/SHORT/1ML/30G X
5/16", 40
Unilet Excelite, 41
Unilet Excelite II, 41
Ulticare Insulin Syringe/SHORT/1ML/30G
X 5/16", 40
Ultilet Insulin Syringe/SHORT/1ML/31G X
5/16", 40
Unilet G.p. Lancet, 41
Unilet G.p. Superlite Lancet, 41
Ulticare Insulin Syringe/SHORT/1ML/31G
X 5/16", 40
Ultilet Lancets, 40 Unilet GP 28 Ultra Thin, 41
Ultilet Lancets 33G, 40 Unilet Lancet, 41
Ulticare Insulin Syringe/U-100/0.3ML/29G
X 1/2", 40
Ultilet Pen Needle 32GX4MM/SHORT,
40
Unilet Lancets Micro-thin33G, 41
Unilet Lancets Super-thin30G, 41
Ulticare Insulin Syringe/U-100/0.3ML/30G
X 1/2", 40
Ultilet Safety Lancets 23G, 40 Unilet Lancets Ultra-thin 28G, 41
Ultilet SHORT Pen Needles 31GX5/16",
40
Unilet Superlite Lancet, 41
Ulticare Insulin Syringe/U-100/0.3ML/30G
X 5/16", 40
Uniretic, 9
Ultilet SHORT Pen Needles31GX3/16",
40
Unistik 1, 41
Ulticare Insulin Syringe/U-100/0.3ML/31G
X 5/16", 40
Unistik 2, 41
Ultiva, 29 Unistik 2 Comfort, 41
Ulticare Insulin Syringe/U-100/0.5ML/29G
X 1/2", 40
Ultra-thin II Auto Lancet, 40 Unistik 2 Extra, 41
Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/30GX5/16", 40
Unistik 2 Neonatal, 41
Ulticare Insulin Syringe/U-100/0.5ML/30G
X 1/2", 40
Unistik 2 Normal, 41
Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/31GX5/16", 40
Unistik 2 Super, 41
Ulticare Insulin Syringe/U-100/0.5ML/30G
X 5/16", 40
Unistik 3, 41
Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/30GX5/16", 40
Unistik 3 Comfort, 41
Ulticare Insulin Syringe/U-100/0.5ML/31G
X 5/16", 40
Unistik 3 Extra, 41
Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/31GX5/16", 40
Unistik 3 Gentle, 41
Ulticare Insulin Syringe/U-100/1ML/29G X
1/2", 40
Unistik 3 Neonatal, 41
Ultra-thin II Insulin Syringe SHORT/U100/1ML/30GX5/16", 40
Unistik 3 Normal, 41
Ulticare Insulin Syringe/U-100/1ML/30G X
1/2", 40
Unistik CZT Comfort, 41
Ultra-thin II Insulin Syringe SHORT/U- Unistik CZT Normal, 41
Unistik Safety Lancets 28G, 41 Vantas, 5 Vimpat, 25
Unistik Safety Lancets 30G, 41 Vaprisol, 18 Vinacal B, 34
Unituxin, 5 Vaqta, 33 Vinate AZ Extra, 34
Univasc, 8 Varivax, 33 Vinate Calcium, 34
Universal 1 Lancets Thin 26G, 41 Vascepa, 10 Vinate DHA, 34
Universal 1 Lancets Ultra Thin 30G, 41 Vaseretic, 9 Vinate DHA RF, 34
Uramaxin, 14 vasopressin, 17 Vinblastine Sulfate, 6
Uramaxin GT, 14 Vasostrict, 17 vincristine sulfate, 6
Uramaxin GT Kit, 14 Vasotec, 8 vinorelbine tartrate, 6
urea, 13 Vazculep, 9 Viokace, 19
urea 40% nail film, 13 Vecamyl, 8 Viracept, 3
urea IN zinc undecylenate/lactic acid
vehicle, 13
Vectibix, 5 Viramune, 3
Vectical, 12 Viramune XR, 3
urea topical, 13 vecuronium bromide, 26 Virasal, 14
Urecholine, 20 Velcade, 6 Virazole, 3
Uretron D/S, 20 Veletri, 10 Viread, 3
Urimar-t, 20 Velphoro, 20 Viroptic, 27
Urocit-k 10, 21 Veltin, 11 Vistaril, 23
Urocit-k 15, 21 Vemavite-prx 2, 35 Vistide, 3
Urocit-k 5, 21 venlafaxine HCL, 23 Vita-pren, 34
Urogesic-blue, 20 venlafaxine HCL ER, 23 Vitafol, 35
Uroqid #2, 20 Venlafaxine HCL ER, 23 Vitafol Fe+, 35
Uroxatral, 21 Venofer, 21 Vitafol Ultra, 35
Urso 250, 20 Ventavis, 10 Vitafol-nano, 34
Urso Forte, 20 Ventolin HFA, 32 Vitafol-ob+dha, 35
ursodiol, 19 Veramyst, 31 Vitafol-one, 35
Utopic, 14 verapamil HCL, 7 Vitafol-pn, 34
Uvadex, 6 Verapamil HCL, 7 Vital-d RX, 35
V verapamil HCL ER, 7 Vitalet Pro Lancets, 41
verapamil HCL SR, 7 Vitalet Pro Plus Lancets, 41V-r Monoject Insulin Syringe/U100/0.3ML/29G X 1/2", 41 Verdeso, 13 Vitamedmd One RX/Quatrefolic, 35Veregen, 14 Vitamedmd Plus RX/Quatre Folic, 35V-r Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 41 Verelan, 7 Vitamedmd Redichew RX, 34Verelan PM, 7 Vitamedmd Redichew RX/Quatrefolic, 34V-r Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 41 Veripred 20, 14 Vitamin A, 33 Verrunex, 14 vitamin c 222MG, 33V-r Monoject Insulin Syringe/U100/1ML/28G X 1/2", 41 Versacloz, 24 vitamin d, 33 Vesicare, 20 vitamin k1, 33 V-r Monoject Insulin Syringe/U100/1ML/29G X 1/2", 41 Vexa, 14 Vitamin K1, 34 Vexol, 27 Vitapearl, 34 Vagifem, 20 Vfend, 3 Vitaroca Plus, 35 valacyclovir HCL, 3 Vfend IV, 3 Vitekta, 3 Valchlor, 4 Viagra, 10 Vituz, 32 Valcyte, 3 Vibativ, 4 Viva DHA, 34 valganciclovir, 3 Vibramycin, 2 Vivactil, 23 Validerm, 13 Vicoprofen, 30 Vivelle-dot, 15 Valium, 23 Victoza, 16 Vivotif Berna, 33 valproate sodium, 25 Victrelis, 3 Vogelxo, 15 valproic acid, 25 Vida Mia Unifine Pentips 32GX4MM, 41 Vogelxo P.M., 15 valsartan, 8 Vida Mia Unifine Pentips Mini 31GX6MM,
41
Voltaren, 11 valsartan/hydrochlorothiazide, 8 Voltaren-XR, 30 Valtrex, 3 Vida Mia Unifine Pentips Original
29GX12MM, 41
Voluven, 22 Valumark Lancet Super Thin 30G, 41 Vopac, 12 Valumark Lancet Ultra Thin 28G, 41 Vida Mia Unilet Lancets Super Thin 30G,
41
Vopac GB, 12 Valumark Pen Needles 29GX12MM, 41 Vopac Kt, 12 Valumark Pen Needles 31G X 6MM, 41 Vida Mia Unilet Lancets Ultra Thin 28G,
41
Voraxaze, 6 Valumark Pen Needles 31G X 8MM, 41 voriconazole, 2 Vanatol LQ, 29 Vida Mia Unipfine Pentipsshort
31GX8MM, 41
Vortex Valved Holding Chamber, 41Vancocin HCL, 4 Vosol HC, 28 vancomycin HCL, 4 Vidaza, 5 Vospire ER, 32 Vancomycin HCL, 4 Videx EC, 3 Votrient, 6 Vancomycin HCL + Syrspendsf PH4, 4 Videx Pediatric, 3 Vpriv, 21 Vancomycin HCL IN Dextrose, 4 Viekira PAK, 3 Vsl#3 DS, 18 Vanishpoint Insulin Syringe/0.5ML/30G X
1/2", 41 Vigamox, 27 Vusion, 11 Viibryd, 23 Vytorin, 10 Vanishpoint Insulin Syringe/1ML/29G X
1/2", 41 Viibryd Starter Pack, 23 Vyvanse, 24 Vimizim, 18Vanos, 13 Vimovo, 30Vanoxide-HC, 11
W Zaltrap, 5 zonisamide, 25
Zamicet, 30 Zontivity, 22 W&f Lancets 26G, 41 Zanaflex, 26 Zorbtive, 17 W&f Lancets Colored 21G, 41 Zanosar, 4 Zortress, 5 Walgreens Lancets, 41 Zantac, 19 Zorvolex, 30 Walgreens Thin Lancets, 41 Zarontin, 25 Zostavax, 33 Walgreens Ultra Thin Lancets, 41 Zaroxolyn, 9 Zosyn, 1 warfarin sodium, 21 Zarxio, 21 Zovia 1/50e, 15 Watchhaler, 41 Zatean-CH, 35 Zovirax, 3, 11 Welchol, 10 Zatean-pn, 34 Zubsolv, 30 Wellbutrin, 23 Zatean-pn DHA, 35 Zuplenz, 19 Wellbutrin SR, 23 Zatean-pn Plus, 34 Zutripro, 32 Wellbutrin XL, 23 Zavesca, 21 Zyclara, 13 Westcort, 13 Zebeta, 7 Zyclara P.M., 13 Westhroid, 18 Zecuity, 31 Zydelig, 6 Wheat Germ, 34 Zegerid, 19 Zydone, 30 Wilate, 22 Zelapar, 25 Zyflo, 33 Wp Thyroid, 18 Zelboraf, 6 Zyflo CR, 33 X Zemaira, 33 Zykadia, 6
Zemplar, 18 Zylet, 27 Xalatan, 27
Zemuron, 26 Zyloprim, 31 Xalkori, 6
Zenpep, 19 Zymaxid, 27 Xanax, 23
Zenzedi, 25 Zyprexa, 24 Xanax XR, 23
Zerbaxa, 4 Zyprexa Relprevv, 24Xarelto, 21
Zerit, 3 Zyprexa Zydis, 24 Xarelto Starter Pack, 21
Zestoretic, 9 Zytiga, 5 Xartemis XR, 30
Zestril, 8 Zyvodol, 12 Xeljanz, 30
Zetia, 10 Zyvox, 4 Xeloda, 5
Zetonna, 32 1 Xenazine, 26
Zevalin Y-90, 5Xeomin, 26 1ST Choice Lancets Super Thin, 41Ziac, 9 Xerac Ac, 14 1ST Choice Lancets Thin, 41Ziagen, 3Xerese, 11 1ST Choice Lancets Ultra Thin, 41Ziana, 11Xgeva, 17 1ST Tier Unifine Pentips 29GX12MM, 41zidovudine, 3Xifaxan, 4 1ST Tier Unifine Pentips 31GX6MM, 41Zinacef, 1Xigduo XR, 16 1ST Tier Unifine Pentips 31GX8MM, 41Zinecard, 6Xodol, 30 8 Zioptan, 27Xofigo, 6
ziprasidone HCL, 24Xolair, 32 8-mop, 12
Zipsor, 30Xolegel, 11
Zirgan, 27Xolegel Corepak, 11
Zithranol, 12Xolegel Duo/Head & Shoulders, 11
Zithranol-rr, 12Xolegel Duo/Xolex, 11
Zithromax, 1Xolox, 30
Zithromax Tri-PAK, 1Xopenex, 32
Zithromax Z-PAK, 1Xopenex Concentrate, 32
Zmax, 2Xopenex HFA, 33
Zocor, 10Xtandi, 5
Zofran, 19Xylocaine, 8, 14, 31
Zofran Odt, 19Xylocaine-mpf, 31
Zohydro ER, 30Xylocaine-mpf/Epinephrine, 31
Zoladex, 5Xylocaine/Epinephrine, 31
zoledronic acid, 17Xyntha, 22
Zoledronic Acid, 17Xyntha Solofuse, 22
Zolinza, 6Xyrem, 26
zolmitriptan, 30Xyzal, 31
zolmitriptan odt, 30Y
Zoloft, 23
Yasmin 28, 15 zolpidem tartrate, 24
Yaz, 15 zolpidem tartrate ER, 24
Yervoy, 5 Zolpimist, 24
Yf-vax, 33 Zomacton, 17
Yodoxin, 3 Zometa, 17
Your Life Multi Prenatal, 34 Zomig, 31
Z Zomig Nasal Spray, 30
Zomig ZMT, 31Zacare 4% Kit, 11
Zonalon, 12Zacare 8% Kit, 11
Zonatuss, 32zafirlukast, 32
Zonegran, 25zaleplon, 24

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