Preferred Drug List - Optima Health

OPTIMA HEALTH PRESCRIPTION DRUG FORMULARY OPTIMA EMPLOYER PLAN PREFERRED (OCT – DEC 2017)

Effective: October 1, 2017

Revised: 10/13/2017

TIER 02 October 2017

TIER 03

ANTI-INFECTIVES PENICILLINS TIER 01

TIER 02 TIER 03

PREFERRED GENERIC amoxicillin amoxicillin/clavulanate potassium amoxicillin/clavulanate potassium ER ampicillin dicloxacillin sodium penicillin v potassium Amoxicillin Amoxicillin/Clavulanate Potassium Ampicillin NON-PREFERRED GENERIC Amoxicillin ER NON-PREFERRED BRAND Augmentin Augmentin ES-600 Augmentin XR Moxatag

TETRACYCLINES TIER 01

CEPHALOSPORIN FIRST GENERATION PREFERRED GENERIC TIER 01 TIER 02 TIER 03

cefadroxil cephalexin NON-PREFERRED GENERIC Cephalexin NON-PREFERRED BRAND Daxbia Keflex

SECOND GENERATION PREFERRED GENERIC TIER 01

TIER 03

TIER 02 TIER 03

cefaclor cefprozil cefuroxime axetil Cefaclor Cefaclor ER NON-PREFERRED BRAND Ceftin

THIRD GENERATION PREFERRED GENERIC TIER 01 TIER 02

TIER 03

cefdinir cefpodoxime proxetil NON-PREFERRED GENERIC cefixime Cefditoren Pivoxil Ceftibuten NON-PREFERRED BRAND Cedax Spectracef Suprax

PREFERRED GENERIC azithromycin clarithromycin clarithromycin ER erythromycin Azithromycin Clarithromycin E.e.s. 400

PREFERRED GENERIC avidoxy demeclocycline HCL doxycycline doxycycline hyclate doxycycline hyclate DRST minocycline HCL minocycline HCL ER mondoxyne nl morgidox 1X100MG morgidox 1X50MG morgidox 2X100MG tetracycline hydrochloride tetracycline HCL Minocycline HCL ER Tetracycline HCL NON-PREFERRED GENERIC doxycycline monohydrate NON-PREFERRED BRAND ActiclateST Adoxa Adoxa PAK 1/100 Adoxa PAK 1/150 Adoxa PAK 2/100 Avidoxy DK DoryxST Doryx MpcST Minocin Minocin Kit Monodox Nutridox SolodynST Targadox Vibramycin Ximino

QUINOLONES TIER 01

MACROLIDES TIER 01

Erythromycin Base Erythromycin Ethylsuccinate NON-PREFERRED GENERIC erythromycin ethylsuccinate NON-PREFERRED BRAND Biaxin DificidPA E.e.s. Granules Ery-TAB Eryped 200 Eryped 400 Erythrocin Stearate PCE Zithromax Zithromax Tri-PAK Zithromax Z-PAK Zmax

TIER 02

TIER 03

PREFERRED GENERIC ciprofloxacin ER ciprofloxacin HCL levofloxacin ofloxacin Ciprofloxacin HCL Ofloxacin NON-PREFERRED GENERIC ciprofloxacin moxifloxacin HCL Levofloxacin NON-PREFERRED BRAND Avelox

Effective October 1, 2017 PA=Prior Auth Required; ST=Step Therapy; QL=Quantity Limits; AL=Age Limit;

1

Avelox Abc Pack Baxdela Cipro Cipro XR Factive Levaquin

Sporanox Sporanox Pulsepak Vfend

ANTIVIRALS TIER 01

AMINOGLYCOSIDES TIER 01 TIER 04

PREFERRED GENERIC neomycin sulfate paromomycin sulfate SPECIALTY tobramycin tobramycin inhalation solution PAK Bethkis Kitabis PAK Tobi Tobi PodhalerPA Tobramycin

SULFONAMIDES TIER 02

TIER 02 TIER 03

TIER 04

NON-PREFERRED GENERIC Sulfadiazine

ANTIMYCOBACTERIAL AGENTS TIER 01

TIER 02 TIER 03

PREFERRED GENERIC ethambutol HCL isoniazid pyrazinamide rifampin Isoniazid NON-PREFERRED GENERIC rifabutin Cycloserine NON-PREFERRED BRAND Myambutol Mycobutin Paser Priftin Rifadin Rifamate Rifampin/Syrspend SF PH4 Rifater SirturoPA Trecator

ANTIFUNGALS TIER 01

TIER 02 TIER 03

PREFERRED GENERIC bio-statin fluconazole griseofulvin microsize griseofulvin ultramicrosize itraconazole ketoconazole nystatin terbinafine HCL voriconazole NON-PREFERRED GENERIC flucytosine NON-PREFERRED BRAND Ancobon Bio-statin Cresemba Diflucan Grifulvin V Gris-peg Lamisil Noxafil Onmel

PREFERRED GENERIC acyclovir famciclovir rimantadine HCL valacyclovir HCL NON-PREFERRED GENERIC oseltamivir phosphateQL NON-PREFERRED BRAND Famvir Flumadine Relenza DiskhalerQL Sitavig TamifluQL Valtrex Zovirax SPECIALTY abacavir abacavir sulfate/lamivudine/zidovudine abacavir/lamivudine adefovir dipivoxil didanosine entecavir fosamprenavir calcium lamivudine lamivudine/zidovudine lopinavir/ritonavir moderiba nevirapine nevirapine ER ribasphere ribavirin stavudine valganciclovir valganciclovir hydrochlorde zidovudine Aptivus Atripla Baraclude Combivir Complera Copegus Crixivan DaklinzaPA Descovy Edurant Emtriva EpclusaPA Epivir Epivir HBV Epzicom Evotaz Fuzeon Genvoya HarvoniPA Hepsera Intelence Invirase Isentress Isentress HD Kaletra Lexiva Mavyret Moderiba Moderiba 1200 Dose Pack


2

Moderiba 800 Dose Pack Nevirapine Norvir Odefsey OlysioPA Peg-intron Peg-intron Redipen Peg-intron Redipen PAK 4 Pegasys Pegasys Proclick Pegintron Prezcobix Prezista Rebetol Rescriptor Retrovir Retrovir IV Infusion Reyataz Ribasphere Ribasphere Ribapak Ribatab Selzentry SovaldiPA Stribild Sustiva TechniviePA Tivicay Triumeq Trizivir Truvada Tybost Tyzeka Valcyte Vemlidy Victrelis Videx EC Videx Pediatric Viekira PAKPA Viekira XRPA Viracept Viramune Viramune XR Virazole Viread Vitekta Vosevi ZepatierPA Zerit Ziagen

ANTIMALARIALS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC chloroquine phosphate hydroxychloroquine sulfate mefloquine HCL Chloroquine Phosphate Primaquine Phosphate NON-PREFERRED GENERIC atovaquone/proguanil HCL quinine sulfate PREFERRED BRAND DaraprimPA NON-PREFERRED BRAND Coartem Malarone Plaquenil Qualaquin

ANTHELMINTICS TIER 02

TIER 03

NON-PREFERRED GENERIC ivermectin PREFERRED BRAND pin-x pinworm medicine reeses pinworm medicine AlbenzaST EmvermST Pin-x Reeses Pinworm Medicine NON-PREFERRED BRAND Biltricide Stromectol

MISC. ANTI-INFECTIVES TIER 01

TIER 02

TIER 03

TIER 04

PREFERRED GENERIC clindamycin palmitate HCL clindamycin HCL dapsone linezolid metronidazole sulfamethoxazole/trimethoprim sulfamethoxazole/trimethoprim DS sulfatrim pediatric tinidazole trimethoprim vancomycin HCL NON-PREFERRED GENERIC atovaquone vancomycin PREFERRED BRAND Alinia Nebupent NON-PREFERRED BRAND Bactrim Bactrim DS Cleocin Cleocin Pediatric Granules Clin Single Use Kit Flagyl Ketek Mepron Primsol Tindamax Trimpex Vancocin HCL XifaxanQL,PA Zyvox SPECIALTY Cayston First-vancomycin 25 First-vancomycin 50 Impavido Sivextro Vancomycin HCL + Syrspendsf PH4

ANTINEOPLASTICS, ETC. ALKYLATING AGENTS TIER 01 TIER 02 TIER 04

PREFERRED GENERIC melphalan PREFERRED BRAND Alkeran SPECIALTY temozolomide Cyclophosphamide Gleostine Hexalen Leukeran


3

Lomustine Myleran Temodar Valchlor Yondelis

TIER 03

TIER 04

ANTIMETABOLITES TIER 01

TIER 02 TIER 03 TIER 04

PREFERRED GENERIC mercaptopurine methotrexate methotrexate sodium Methotrexate Sodium PREFERRED BRAND Trexall NON-PREFERRED BRAND Purixan SPECIALTY capecitabine Tabloid Xatmep Xeloda

MITOTIC INHIBITORS TIER 04

TIER 01

TIER 02

TIER 03

TIER 04

TIER 03 TIER 04

FORMULARY tamoxifen citrate PREFERRED GENERIC anastrozole bicalutamide exemestane flutamide letrozole megestrol acetate nilutamide PREFERRED BRAND Emcyt Fareston Nilandron NON-PREFERRED BRAND Arimidex Aromasin Casodex Depo-provera Femara Megace Oral Soltamox SPECIALTY Firmagon Lysodren Xtandi Zytiga

IMMUNOMODULATORS TIER 01

TIER 02

SPECIALTY Etoposide

ENZYME INHIBITORS

HORMONAL AGENTS FORMULARY

NON-PREFERRED BRAND Azasan Imuran Rapamune SPECIALTY Astagraf XL Envarsus XR PomalystPA RevlimidPA Thalomid Zortress

PREFERRED GENERIC azathioprine cyclosporine cyclosporine modified gengraf mycophenolate mofetil mycophenolic acid DR tacrolimus Cyclosporine Modified NON-PREFERRED GENERIC sirolimus PREFERRED BRAND Cellcept Myfortic Neoral Prograf Sandimmune

NON-PREFERRED BRAND Verzenio SPECIALTY imatinib mesylate Afinitor Afinitor Disperz Alecensa Alunbrig Bosulif CabometyxQL Caprelsa CometriqQL Cotellic Farydak Gilotrif Gleevec IbrancePA IclusigPA Idhifa Imbruvica Inlyta IressaPA Jakafi KisqaliPA Lenvima 10 MG Daily Dose Lenvima 14 MG Daily Dose Lenvima 18 MG Daily Dose Lenvima 20 MG Daily Dose Lenvima 24 MG Daily Dose Lenvima 8 MG Daily Dose Lynparza Mekinist Nerlynx NexavarPA Ninlaro RubracaPA Rydapt Sprycel StivargaPA SutentPA Tafinlar TagrissoPA Tarceva Tasigna Torisel TykerbPA Votrient XalkoriPA Zejula ZelborafPA Zolinza Zydelig


4

ZykadiaPA

Gonitro Isordil Titradose Nitrolingual Pumpspray Nitromist Ranexa

TOPOISOMERASE I INHIBITOR TIER 04

SPECIALTY Hycamtin Onivyde

BETA BLOCKERS ANTINEOPLASTICS MISC. TIER 01 TIER 03 TIER 04

TIER 01

PREFERRED GENERIC hydroxyurea tretinoin NON-PREFERRED BRAND Hydrea SPECIALTY bexarotene ActimmunePA Alferon N Intron A Intron A W/Diluent Matulane Sylatron Targretin

CHEMOTHERAPY RESCUE TIER 01 TIER 04

PREFERRED GENERIC leucovorin calcium Leucovorin Calcium SPECIALTY levoleucovorin levoleucovorin calcium Mesnex

TIER 02 TIER 03

ANTINEOPLASTIC COMBO TIER 04

SPECIALTY Kisqali Femara 200 Dose Kisqali Femara 400 Dose Kisqali Femara 600 Dose Lonsurf

CARDIOVASCULAR DRUGS CARDIAC GLYCOSIDES TIER 01

TIER 03

PREFERRED GENERIC digitek digox digoxin Digoxin NON-PREFERRED BRAND Lanoxin

CALCIUM CHANNEL BLOCKERS TIER 01

ANTIANGINAL AGENTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC acebutolol HCL atenolol betaxolol HCL bisoprolol fumarate carvedilol labetalol HCL metoprolol succinate ER metoprolol tartrate nadolol propranolol hydrochloride propranolol HCL propranolol HCL ER sorine sotalol HCL sotalol HCL (AF) Metoprolol Tartrate Propranolol HCL Timolol Maleate NON-PREFERRED GENERIC pindolol NON-PREFERRED BRAND Atenolol/Syrspend SF PH4 Betapace Betapace AF BystolicST Coreg Coreg CRST Corgard Hemangeol Inderal LA Inderal XL Innopran XL Lopressor Sectral Sotylize Tenormin Toprol XL Zebeta

PREFERRED GENERIC isosorbide dinitrate isosorbide mononitrate isosorbide mononitrate ER minitran nitro-time nitroglycerin nitroglycerin transdermal nitroglycerin ER Isosorbide Dinitrate ER NON-PREFERRED GENERIC nitroglycerin lingual Nitroglycerin Lingual PREFERRED BRAND Nitro-bid Nitro-dur Nitrostat NON-PREFERRED BRAND Dilatrate SR

PREFERRED GENERIC afeditab CR amlodipine besylate cartia XT dilt-XR diltiazem CD diltiazem HCL diltiazem HCL CD diltiazem HCL ER felodipine ER isradipine matzim LA nicardipine HCL nifedical XL nifedipine nifedipine ER nimodipine nisoldipine ER taztia XT verapamil HCL verapamil HCL ER


5

TIER 03

verapamil HCL SR Nisoldipine ER NON-PREFERRED BRAND Adalat CC Amlodipine Besylate/Syrspend SF PH4 Calan Calan SR Cardizem Cardizem CD Cardizem LA Norvasc Procardia Procardia XL Sular Tiazac Verelan Verelan PM

ANGIOTENSIN RCPTR BLOCKER TIER 01 TIER 02

TIER 03

ANTIARRHYTHMICS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC amiodarone HCL disopyramide phosphate flecainide acetate mexiletine HCL propafenone HCL quinidine gluconate CR quinidine gluconate ER quinidine sulfate Quinidine Sulfate Quinidine Sulfate ER NON-PREFERRED GENERIC dofetilide pacerone propafenone HCL ER PREFERRED BRAND Multaq Norpace CR NON-PREFERRED BRAND Cordarone Norpace Rythmol Rythmol SR Tikosyn

DIRECT RENIN INHIBITORS TIER 03

TIER 02 TIER 03

PREFERRED GENERIC benazepril HCL captopril enalapril maleate fosinopril sodium lisinopril moexipril HCL perindopril erbumine quinapril HCL ramipril trandolapril PREFERRED BRAND Epaned NON-PREFERRED BRAND Accupril Aceon Altace Lotensin Mavik Prinivil Vasotec Zestril

NON-PREFERRED BRAND TekturnaST

ANTIHYPERTENSIVES MISC. TIER 01

TIER 02 TIER 03

ACE INHIBITORS TIER 01

PREFERRED GENERIC irbesartan losartan potassium NON-PREFERRED GENERIC candesartan cilexetil olmesartan medoxomil telmisartan valsartan Eprosartan Mesylate PREFERRED BRAND EdarbiST NON-PREFERRED BRAND Atacand Avapro Benicar Cozaar Diovan Micardis

PREFERRED GENERIC clonidine HCL doxazosin doxazosin mesylate eplerenone guanfacine HCL hydralazine HCL methyldopa minoxidil phenoxybenzamine hydrochloride prazosin HCL terazosin HCL NON-PREFERRED GENERIC Reserpine NON-PREFERRED BRAND Cardura Catapres Catapres-tts-1 Catapres-tts-2 Catapres-tts-3 Demser Dibenzyline Inspra Minipress Tenex Vecamyl

ANTIHYPERTENSIVE COMBO TIER 01

PREFERRED GENERIC amlodipine besylate/benazepril hydrochloride amlodipine besylate/benazepril HCL atenolol/chlorthalidone benazepril HCL/hydrochlorothiazide bisoprolol fumarate/hydrochlorothiazide candesartan cilexetil/hydrochlorothiazide enalapril maleate/hydrochlorothiazide fosinopril sodium/hydrochlorothiazide irbesartan/hydrochlorothiazide lisinopril/hydrochlorothiazide losartan potassium/hydrochlorothiazide metoprolol/hydrochlorothiazide moexipril/hydrochlorothiazide nadolol/bendroflumethiazide quinapril/hydrochlorothiazide


6

TIER 02

TIER 03

valsartan/hydrochlorothiazide Captopril/Hydrochlorothiazide Methyldopa/Hydrochlorothiazide Metoprolol/Hydrochlorothiazide Propranolol/Hydrochlorothiazide NON-PREFERRED GENERIC amlodipine besylate/valsartan amlodipine/olmesartan medoxomil amlodipine/valsartan/hctz olmesartan medoxomil/amlodipine/hydrochlorothiazideST olmesartan medoxomil/hydrochlorothiazide telmisartan/amlodipine telmisartan/hydrochlorothiazide trandolapril/verapamil HCL ER PREFERRED BRAND Clorpres EdarbyclorST NON-PREFERRED BRAND Accuretic Atacand HCT Avalide Azor Benicar HCT Byvalson Corzide Diovan HCT Dutoprol Exforge Exforge HCT Hyzaar Lopressor HCT Lotensin HCT Lotrel Metoprolol Succinate ER/Hydrochlorothiazide Micardis HCT Prestalia Tarka Tekturna HCTST Tenoretic 100 Tenoretic 50 TribenzorST Twynsta Vaseretic Zestoretic Ziac

TIER 03

TIER 04

VASOPRESSORS TIER 01

TIER 02 TIER 03

TIER 04

TIER 02

PREFERRED GENERIC acetazolamide acetazolamide ER amiloride HCL amiloride/hydrochlorothiazide bumetanide chlorothiazide chlorthalidone furosemide hydrochlorothiazide indapamide methazolamide metolazone spironolactone spironolactone/hydrochlorothiazide torsemide triamterene/hydrochlorothiazide Chlorothiazide Furosemide Triamterene/Hydrochlorothiazide NON-PREFERRED GENERIC ethacrynic acidPA

PREFERRED GENERIC epinephrine HCL midodrine HCL EpinephrineQL PREFERRED BRAND Epipen 2-PAKQL Epipen-JR 2-PAKQL NON-PREFERRED BRAND AdrenaclickQL Adyphren Amp II Kit Adyphren Amp Kit Adyphren II Adyphren Kit Auvi-qQL,PA Epinephrinesnap-v Episnap Epy II Kit Epy Kit SPECIALTY NortheraPA

ANTIHYPERLIPIDEMICS TIER 01

DIURETICS TIER 01

Methyclothiazide PREFERRED BRAND Diuril Dyrenium NON-PREFERRED BRAND Aldactazide Aldactone Bumex Demadex Diamox Dyazide EdecrinPA Lasix Maxzide Maxzide-25 Microzide Neptazane SPECIALTY Keveyis

TIER 02

PREFERRED GENERIC atorvastatin calcium cholestyramine cholestyramine light colestipol HCL fenofibrate fenofibrate micronized fenofibric acid DR fluvastatin gemfibrozil lovastatin pravastatin sodium prevalite simvastatin Niacor NON-PREFERRED GENERIC ezetimibe ezetimibe/simvastatinST fluvastatin sodium ERST niacin ER omega-3-acid ethyl estersPA rosuvastatin calcium trikloPA Fenofibrate Fenofibric Acid


7

TIER 03

TIER 04

PREFERRED BRAND Welchol NON-PREFERRED BRAND Advicor Altoprev Antara Colestid Colestid Flavored Crestor Equapax/Atorvastatin Calcium/Coq10 Fenoglide Fibricor Flolipid Lescol XLST Lipitor Lipofen LivaloST Lofibra Lopid LovazaPA Mevacor Niaspan Omega-3/D-3 Wellness Pack Pravachol Questran Questran Light SimcorST Sure Result O3d3 System Tricor Triglide Trilipix VascepaPA VytorinST Zetia Zocor SPECIALTY JuxtapidPA KynamroPA PraluentQL,PA RepathaQL,PA Repatha Pushtronex SystemQL,PA Repatha SureclickQL,PA

Letairis Opsumit Orenitram RevatioPA Tracleer Tyvaso Tyvaso Refill Tyvaso Starter UptraviPA Ventavis

DERMATOLOGICALS ACNE PRODUCTS TIER 01

TIER 02

CARDIOVASCULAR - MISC. TIER 01 TIER 02

TIER 03

TIER 04

PREFERRED GENERIC amlodipine besylate/atorvastatin calcium NON-PREFERRED GENERIC isoxsuprine HCL Isoxsuprine HCL PREFERRED BRAND Caverject Caverject Impulse Edex Muse ViagraQL NON-PREFERRED BRAND Bidil Caduet CialisQL CorlanorPA EntrestoPA LevitraQL StaxynQL StendraQL SPECIALTY sildenafilPA sildenafil citratePA AdcircaPA AdempasST

PREFERRED GENERIC adapaleneAL adapalene P.M.AL amnesteem avar cleanser avitaAL claravis clindacin etz pledgets clindacin-p clindamycin phosphate ery erythromycin erythromycin/benzoyl peroxide myorisan neuac rosanil cleanser sodium sulfacetamide sodium sulfacetamide/sulfur sulfacetamide sodium sulfacetamide sodium/sulfur cleanser tretinoinAL zenatane DifferinAL Rosula Sodium Sulfacetamide/Sulfur Sodium Sulfacetamide/Sulfur Cleanser IN Urea NON-PREFERRED GENERIC adapalene and benzoyl peroxideST avar-e emollient avar-e green benzepro creamy wash benzepro foaming cloths benzepro SHORT contact benzoyl peroxide benzoyl peroxide SHORT contact bp foam bp wash bp 10-1 bpo 6% foaming cloths cerisa wash clindamycin phosphate/tretinoin clindamycin/benzoyl peroxide pr benzoyl peroxide wash sodium sulfacetamide/sulfur cleanser sodium sulfacetamide/sulfur green sodium sulfacetamide/sulfur w/sunscreen sodium sulfacetamide/sulfur wash sss 10%-5% sulfacetamide sodium/sulfur sulfacleanse 8/4 tretinoin microsphereST tretinoin microsphere P.M.ST zencia AdapaleneAL Bp Cleansing Wash Sodium Sulfacetamide/Sulfur IN Urea


8

TIER 03

Sss 10-5 Zaclir Cleansing NON-PREFERRED BRAND AbsoricaPA AcanyaST AczoneST Aktipak AtralinST Avar Avar LS Avar LS Cleanser Avar-e LS AzelexST Benzaclin Benzaclin With P.M. Benzamycin Benzefoam Ultra Benzefoamultra Benziq Benziq LS Clarifoam EF Cleocin-t Clindacin Etz Clindacin PAC Clindagel Dermapak Plus Duac EpiduoST Epiduo ForteST Erygel Evoclin FabiorST Inova Inova 4/1 Acne Control Therapy Inova 8/2 Acne Control Therapy Klaron Neuac KitST OnextonST Plexion Plexion Cleanser Plexion Cleansing Cloths Retin-aAL Retin-a MicroST Retin-a Micro P.M.ST Riax Sumadan Kit Sumadan Wash Sumadan XLT Sumaxin Sumaxin CP Kit Sumaxin Ts Sumaxin Wash Tretin-xAL Vanoxide-HC VeltinST Zacare 4% Kit Zacare 8% Kit ZianaST

Metrolotion Metronidazole MirvasoPA NoritateST OraceaST Rhofade Rosadan Kit SoolantraST

ANTIBIOTICS - TOPICAL TIER 01 TIER 02 TIER 03

ANTIFUNGALS - TOPICAL TIER 01

TIER 02

TIER 03

ROSACEA AGENTS TIER 01 TIER 02 TIER 03

PREFERRED GENERIC gentamicin sulfate Gentamicin Sulfate NON-PREFERRED GENERIC mupirocin mupirocin calcium NON-PREFERRED BRAND Altabax Bactroban Centany Centany AT Cortisporin Neo-synalar Neo-synalar Kit

PREFERRED GENERIC metronidazole rosadan NON-PREFERRED GENERIC DoxycyclineST NON-PREFERRED BRAND FinaceaST Metrocream MetrogelST

PREFERRED GENERIC ciclodan ciclopirox ciclopirox nail lacquer ciclopirox olamine ciclopirox treatment clotrimazole/betamethasone dipropionate dermazene econazole nitrate hydrocortisone/iodoquinol ketoconazole nyamyc nyata nystatin nystatin/triamcinolone nystop NON-PREFERRED GENERIC hydrocortisone acetate & iodoquinol ketodan naftifine hydrochloride naftifine HCL oxiconazole nitrate Exoderm NON-PREFERRED BRAND Ala-quin Ciclodan Cream Kit Ciclodan Solution Kit Cnl8 Nail Kit Dermasorb AF Ecoza Ertaczo Exelderm Extina Halotin JubliaST KerydinST Ketodan Kit Loprox Loprox Shampoo Lotrisone Luzu Naftin Nizoral


9

Oxistat Pediaderm AF Complete Kit Pedipak Penlac Nail Lacquer Recura Vusion Vytone Xolegel Xolegel Corepak Xolegel Duo/Head & Shoulders Xolegel Duo/Xolex

TIER 02 TIER 03

ANTIVIRALS - TOPICAL TIER 01 TIER 03

PREFERRED GENERIC acyclovir NON-PREFERRED BRAND Denavir Xerese Zovirax

CORTICOSTEROIDS - TOPICAL TIER 01

ANTI-INFLAMMATORY AGENTS TIER 02 TIER 03

NON-PREFERRED GENERIC diclofenac sodium klofensaid II NON-PREFERRED BRAND FlectorPA PennsaidPA Rexaphenac Triple Complex Formula 3 Kit Voltaren

ANTIPRURITICS TIER 02 TIER 03

NON-PREFERRED GENERIC Doxepin Hydrochloride NON-PREFERRED BRAND Prudoxin Zonalon

ANTIPSORIATICS TIER 01 TIER 02

TIER 03

TIER 04

PREFERRED GENERIC calcipotriene NON-PREFERRED GENERIC acitretin calcitrene methoxsalen tazaroteneST Calcitriol Dritho-creme HP PREFERRED BRAND 8-mop NON-PREFERRED BRAND Dovonex Oxsoralen Ultra Soriatane Sorilux Stelara TazoracST Vectical Zithranol Zithranol-rr SPECIALTY CosentyxPA Cosentyx Sensoready PenPA SiliqPA TaltzPA Tremfya

PREFERRED GENERIC seb-prev wash selenium sulfide sodium sulfacetamide wash NON-PREFERRED GENERIC sodium sulfacetamide Selenium Sulfide Shampoo NON-PREFERRED BRAND Ovace Plus Ovace Plus Wash Ovace Wash Selrx Sodium Sulfacetamide Wash Tersi Foam

TIER 02

TIER 03

ANTISEBORRHEIC AGENTS TIER 01

PREFERRED GENERIC ala-cort alclometasone dipropionate alphatrex augmented betamethasone dipropionate betamethasone dipropionate betamethasone dipropionate/augmented betamethasone valerate clobetasol propionate clobetasol propionate e clobetasol propionate emollient cormax scalp application desonide desoximetasone fluocinolone acetonide fluocinonide fluocinonide emulsified base fluticasone propionate halobetasol propionate hydrocortisone hydrocortisone butyrate hydrocortisone butyrate (lipid) hydrocortisone butyrate (lipophilic) hydrocortisone valerate lokara mometasone furoate prednicarbate triamcinolone acetonide triderm Amcinonide Diflorasone Diacetate Synalar NON-PREFERRED GENERIC calcipotriene/betamethasone dipropionateST clodan fluocinolone acetonide body fluocinolone acetonide scalp flurandrenolideST hydrocortisone acetate/pramoxine nolixST scalacort Apexicon EST Clocortolone Pivalate Clocortolone Pivalate P.M. Halac NON-PREFERRED BRAND Aclovate Advanced Allergy Collection Kit Ala Scalp CapexST Clobex Clodan Kit Cloderm


10

Cloderm P.M. CordranST Cordran TapeST Cortane-b Cutivate Derma-smoothe/FS Body Derma-smoothe/FS Scalp Dermasorb HCST Dermasorb TaST Dermatop DesonateST Desowen Diprolene Diprolene AF Elocon EnstilarST Epifoam HalogST KenalogST Locoid Locoid LipocreamST Luxiq Micort-HC Nucort Olux Olux-e PandelST Pediaderm HCST Pediaderm TaST Pramosone Pramosone E Psorcon SernivoST Synalar Cream Kit Synalar Ointment Kit Synalar Ts TaclonexST Temovate Temovate E TexacortST Topicort TrianexST Tridesilon Ultravate Ultravate XST VanosST VerdesoST Westcort

TIER 02

IMMUNOMODULATING AGENTS TIER 01 TIER 02

TIER 03

PREFERRED GENERIC imiquimod NON-PREFERRED GENERIC tacrolimus PREFERRED BRAND Elidel NON-PREFERRED BRAND Aldara Protopic ZyclaraPA Zyclara P.M.PA

DERMATOLOGICALS - MISC. TIER 01

PREFERRED GENERIC agoneaze anodyne lpt dermacinrx empricaine dermacinrx prizopak lactic acid

lactic acid e lactic acid w/vitamin e latrix leva set leva set/occlusive dressing lido bdk lido-prilo caine pack lidocaine lidocaine HCL lidocaine PAK lidocaine-prilocaine-cream base lidocaine/prilocaine lidopril lidopril XR liprozonepak livixil PAK medolor PAK permethrin podofilox premium lidocaine prilolid priloxx LP rea LO 40 relador PAK relador PAK plus remeven salacyn salicylic acid lotion salitech forte ure-k urea Lidocaine HCL LindaneST LP lite PAK NON-PREFERRED GENERIC ceramax cerovel cidaleaze ethyl chloride lidocaine hydrochloride lidopin lindaneST malathion rea LO 39 salicylic acid salicylic acid cream salicylic acid wart remover salicylic acid ER salisol forte sodium hyaluronate umecta mousse ure-39 urea hydrating urea nail urea nail gel urea 40% nail film urea-c40 Cem-urea Coal TAR Ethyl Chloride Ethyl Chloride/Fine Pinpoint Ethyl Chloride/Fine Stream Ethyl Chloride/Medium Jet Stream Ethyl Chloride/Medium Stream Ethyl Chloride/Mist Latrix XM Lidocaine And Tetracaine Cream Podocon 25 IN Benzoin Tincture Pyrogallic Acid Scar Patch


11

TIER 03

Spinosad Sulfurated Lime Tetrix Urea IN Zinc Undecylenate/Lactic Acid Vehicle Urea Nail Kit Urea Topical PREFERRED BRAND Oxsoralen Xerac Ac NON-PREFERRED BRAND salrix Aluvea Anacaine Anastia Astero Atopiclair Ceracade Condylox Dermasorb XM Dexeryl Drysol Eha Lotion 4% Eletone Eletone Twinpack Elimite Emla Emulsion SB Entty Spray Emulsion Epiceram Eurax Genadur Kit Gordofilm Gordons Urea Hydro 35 Hydro 40 Foam Hylatopic Plus Hylira HPR HPR Plus HPR Plus/Mb Hydrogel Kamdoy Keralac Keralyt Keralyt Scalp Ldo Plus Lido-k Lidocin LidodermQL Lidopin Lidorx Lidotral Lidotrex Lidovex Natroba Neosalus Neosalus CP Nivatopic Plus Numbonex Ovide Phlag Spray Pliaglis Presera Pruclair Prumyx Qutenza Rynoderm Salex Salex Cream Salex Lotion Salitech

Salvax Salvax Duo Plus Sklice Synera Synerderm Tranzarel UlesfiaPA Ultrasal-ER Umecta Umecta Nail Film Umecta PD Uramaxin Uramaxin GT Uramaxin GT Kit Urea Nail Urevaz Utopic VeregenPA Virasal Xeralux Xylocaine

ENDOCRINE AND METABOLIC CORTICOSTEROIDS TIER 01

TIER 02

TIER 03

TIER 04

PREFERRED GENERIC budesonide deltasone dexamethasone fludrocortisone acetate hydrocortisone methylprednisolone methylprednisolone dose pack prednisolone prednisolone sodium phosphate prednisone Cortisone Acetate Dexamethasone Prednisone NON-PREFERRED GENERIC prednisolone sodium phosphate odt Prednisolone Sodium Phosphate PREFERRED BRAND Dexamethasone Intensol Medrol Prednisone Intensol NON-PREFERRED BRAND Cortef Dexpak 10 DayST Dexpak 13 DayST Dexpak 6 DayST Entocort EC Locort 11-day Locort 7-day Medrol Dosepak Millipred Millipred DP Orapred Odt Pediapred RayosST Uceris Veripred 20ST Zilretta Zodex 12-day Zodex 6-dayST Zonacort 11 Day Zonacort 7 Day SPECIALTY EmflazaPA


12

Enjuvia Estrace Estrogel Evamist Femhrt Low Dose Menest Menostar

ANDROGENS-ANABOLIC TIER 01

TIER 02

TIER 03

PREFERRED GENERIC danazol methyltestosterone oxandrolone testosteronePA testosterone P.M.PA Testosterone P.M.PA NON-PREFERRED GENERIC testosterone topical solutionPA TestosteronePA PREFERRED BRAND AndrogelPA Androgel P.M.PA Android Androxy AxironPA Testred NON-PREFERRED BRAND Anadrol-50 AndrodermPA FortestaPA Methitest NatestoPA Oxandrin Striant TestimPA VogelxoPA Vogelxo P.M.PA

CONTRACEPTIVES FORMULARY

ESTROGENS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC amabelz covaryx covaryx HS eemt eemt HS esterified estrogens/methltestosterone esterified estrogens/methyltestosterone esterified estrogens/methyltestosterone DS esterified estrogens/methyltestosterone HS estradiol estradiol/norethindrone acetate lopreeza mimvey mimvey LO Estropipate NON-PREFERRED GENERIC fyavolv jevantique LO jinteli norethindrone acetate/ethinyl estradiol PREFERRED BRAND Alora Combipatch Minivelle Prefest Premarin Premphase Prempro Vivelle-dot NON-PREFERRED BRAND Activella Angeliq Climara Climara Pro Divigel Duavee Elestrin

FORMULARY aftera altavera alyacen 1/35 alyacen 7/7/7 amethia amethia LO amethyst apri aranelle ashlyna aubra aviane azurette balziva bekyree blisovi FE 1.5/30 blisovi FE 1/20 blisovi 24 FE briellyn camrese camrese LO caziant chateal cryselle-28 cyclafem 1/35 cyclafem 7/7/7 cyred dasetta 1/35 dasetta 7/7/7 daysee delyla desogestrel/ethinyl estradiol drospirenone/ethinyl estradiol drospirenone/ethinyl estradiol/levomefolate calcium econtra EZ elinest emoquette enpresse-28 enskyce estarylla ethynodiol diacetate/ethinyl estradiol fallback solo falmina fayosim femynor gianvi gildagia gildess FE 1.5/30 gildess FE 1/20 gildess 1.5/30 gildess 1/20 gildess 24 FE introvale isibloom jolessa juleber junel FE 1.5/30 junel FE 1/20 junel FE 24


13

junel 1.5/30 junel 1/20 kaitlib FE kariva kelnor 1/35 kimidess kurvelo larin FE 1.5/30 larin FE 1/20 larin 1.5/30 larin 1/20 larin 24 FE larissia layolis FE leena lessina levonest levonorgestrel levonorgestrel and ethinyl estradiol levonorgestrel/ethinyl estradiol levora 0.15/30-28 lillow lomedia 24 FE loryna low-ogestrel lutera marlissa medroxyprogesterone acetate melodetta 24 FE mibelas 24 FE microgestin FE microgestin FE 1.5/30 microgestin 1.5/30 microgestin 1/20 microgestin 24 FE mono-linyah mononessa my way myzilra necon 0.5/35-28 necon 1/35 necon 10/11-28 necon 7/7/7 next choice one dose nikki norethindrone & ethinyl estradiol ferrous fumarate norethindrone acetate/ethinyl estradiol norethindrone acetate/ethinyl estradiol/ferrous fumarate norethindrone/ethinyl estradiol/ferrous fumarate norgestimate/ethinyl estradiol nortrel 0.5/35 (28) nortrel 1/35 nortrel 7/7/7 ocella opcicon one-step option 2 orsythia philith pimtrea pirmella 1/35 pirmella 7/7/7 portia-28 previfem quasense rajani react reclipsen rivelsa setlakin sprintec 28

TIER 01

TIER 02 TIER 03

sronyx syeda take action tarina FE 1/20 tilia FE tri femynor tri-estarylla tri-legest FE tri-linyah tri-previfem tri-sprintec tri-LO-estarylla tri-LO-marzia tri-LO-sprintec trinessa trinessa LO trivora-28 velivet vestura vienva viorele vyfemla wera wymzya FE zarah zenchent zenchent FE zovia 1/35e zovia 1/50e Ella Levonorgestrel And Ethinyl Estradiol Necon 1/50-28 Norinyl 1+50 Nuvaring Ogestrel Xulane PREFERRED GENERIC camila deblitane errin heather jencycla jolivette lyza nora-be norethindrone norlyda norlyroc sharobel PREFERRED BRAND Ortho Tri-cyclen LO NON-PREFERRED BRAND Beyaz Brevicon-28 Cyclessa Depo-provera Contraceptive Desogen Estrostep FE Falessa Femcon FE Generess FE Loestrin FE 1.5/30 Loestrin FE 1/20 Loestrin 1.5/30-21 Loestrin 1/20-21 Loseasonique LO Loestrin FE Minastrin 24 FE Mircette Modicon


14

Natazia Nor-QD Norinyl 1+35 Ortho Micronor Ortho Tri-cyclen Ortho-cyclen Ortho-novum 1/35 Ortho-novum 7/7/7 Ovcon-35 Quartette Safyral Seasonique Taytulla Tri-norinyl 28 Yasmin 28 Yaz

PROGESTINS TIER 01

TIER 02 TIER 03

PREFERRED GENERIC medroxyprogesterone acetate norethindrone acetate progesterone NON-PREFERRED GENERIC megestrol acetate NON-PREFERRED BRAND Aygestin Megace ES Prometrium Provera

Relion RST Tresiba FlextouchST

AMYLIN ANALOGS NON-PREFERRED BRAND TIER 03 Symlinpen 120 Symlinpen 60

INCRETIN MIMETIC AGENTS PREFERRED BRAND TIER 02

TIER 03

SULFONYLUREAS PREFERRED GENERIC TIER 01

TIER 02 TIER 03

ANTIDIABETIC AGENTS INSULIN TIER 02

TIER 03

PREFERRED BRAND Humalog Humalog Junior Kwikpen Humalog Kwikpen Humalog Mix 50/50 Humalog Mix 50/50 Kwikpen Humalog Mix 75/25 Humalog Mix 75/25 Kwikpen Humulin N Humulin N Kwikpen Humulin R Humulin R U-500 (concentrated) Humulin R U-500 Kwikpen Humulin 70/30 Humulin 70/30 Kwikpen Lantus Lantus Solostar Toujeo Solostar NON-PREFERRED BRAND AfrezzaPA ApidraST Apidra SolostarST Basaglar KwikpenST FiaspST Fiasp FlextouchST LevemirST Levemir FlextouchST Novolin NST Novolin N RelionST Novolin RST Novolin R RelionST Novolin 70/30ST Novolin 70/30 RelionST NovologST Novolog FlexpenST Novolog Mix 70/30ST Novolog Mix 70/30 Prefilled FlexpenST Novolog PenfillST

Bydureon Bydureon Pen Byetta Trulicity VictozaQL NON-PREFERRED BRAND AdlyxinST Adlyxin Starter PackST TanzeumST

BIGUANIDES TIER 01

TIER 03

glimepiride glipizide glipizide ER glipizide XL glyburide glyburide micronized Chlorpropamide NON-PREFERRED GENERIC Tolazamide Tolbutamide NON-PREFERRED BRAND Amaryl Diabeta Glucotrol Glucotrol XL Glynase PREFERRED GENERIC metformin hydrochloride metformin HCL metformin HCL ER NON-PREFERRED BRAND Fortamet Glucophage Glucophage XR GlumetzaQL,ST Riomet

MEGLITINIDE ANALOGUES PREFERRED GENERIC TIER 01 TIER 02 TIER 03

nateglinide NON-PREFERRED GENERIC repaglinide NON-PREFERRED BRAND Prandin Starlix

DIABETIC OTHER PREFERRED BRAND TIER 02

TIER 03

TIER 04

Glucagen Hypokit Glucagon Emergency Kit Invokana Jardiance NON-PREFERRED BRAND Cycloset FarxigaST Proglycem SPECIALTY KorlymPA

ALPHA-GLUCOSIDASE INHIBIT PREFERRED GENERIC TIER 01 acarbose

TIER 02


15

TIER 03

NON-PREFERRED GENERIC miglitol NON-PREFERRED BRAND Glyset Precose

DPP-4 INHIBITORS PREFERRED BRAND TIER 02 TIER 03

Januvia Tradjenta NON-PREFERRED BRAND AlogliptinST NesinaST OnglyzaST

INSULIN SENSITIZING AGENT PREFERRED GENERIC TIER 01 TIER 03

pioglitazone HCL NON-PREFERRED BRAND Actos Avandia

CALCITONINS TIER 01

TIER 03

PARATHYROID HORMONE TIER 04

TIER 02

TIER 03

FORMULARY TIER 03

TIER 02

TIER 03

PREFERRED GENERIC alendronate sodium ibandronate sodium Alendronate Sodium Etidronate Disodium NON-PREFERRED GENERIC risedronate sodium risedronate sodium DR PREFERRED BRAND Fosamax Plus D NON-PREFERRED BRAND Actonel Atelvia Binosto Boniva Fosamax

FORMULARY raloxifene hydrochloride NON-PREFERRED BRAND Evista OsphenaST

FERTILITY REGULATORS TIER 04

SPECIALTY Chorionic Gonadotropin Novarel Pregnyl W/Diluent Benzyl Alcohol/NACL

LHRH/GNRH AGONIST TIER 03 TIER 04

NON-PREFERRED BRAND Triptodur SPECIALTY SynarelPA

GROWTH HORMONES TIER 04

BISPHOSPHONATES TIER 01

SPECIALTY Forteo NatparaPA Tymlos

HORMONE RECEPTOR MDLTR

ANTIDIABETIC COMBINATIONS PREFERRED GENERIC TIER 01 glipizide/metformin HCL glyburide/metformin HCL pioglitazone HCL/metformin HCL NON-PREFERRED GENERIC pioglitazone HCL-glimepiride Repaglinide/Metformin Hydrochloride PREFERRED BRAND Invokamet Invokamet XR Janumet Janumet XR Jentadueto Jentadueto XR Soliqua 100/33QL,ST Synjardy Synjardy XR NON-PREFERRED BRAND Actoplus Met Actoplus Met XR Alogliptin/Metformin HCLST Alogliptin/PioglitazoneST Duetact Glucovance GlyxambiST KazanoST Kombiglyze XRST OseniST Prandimet Xigduo XRST Xultophy 100/3.6QL,ST

PREFERRED GENERIC calcitonin salmon calcitonin-salmon Fortical NON-PREFERRED BRAND Miacalcin

SPECIALTY GenotropinPA Genotropin MiniquickPA HumatropePA Humatrope Combo PackPA Norditropin CartridgePA Norditropin FlexproPA Nutropin AQ Nuspin 10PA Nutropin AQ Nuspin 20PA Nutropin AQ Nuspin 5PA Nutropin AQ PenPA OmnitropePA SaizenPA Saizen Click.easyPA Saizenprep ReconstitutionkitPA SerostimPA ZomactonPA ZorbtivePA

GHRH TIER 04

SPECIALTY EgriftaPA

SOMATOMEDINS TIER 04

SPECIALTY IncrelexPA

SOMATOSTATIC AGENTS TIER 04

SPECIALTY SigniforPA

GH RECEPTOR ANTAGONISTS TIER 04

SPECIALTY Somavert


16

POSTERIOR PITUITARY TIER 01 TIER 03 TIER 04

PREFERRED GENERIC desmopressin acetate NON-PREFERRED BRAND Ddavp SPECIALTY Stimate

TIER 03

CORTICOTROPIN TIER 04

SPECIALTY H.p. ActharPA

PROLACTIN INHIBITORS TIER 01

PREFERRED GENERIC cabergoline

VASOPRESSIN ANTAGONISTS TIER 04

SPECIALTY SamscaPA

NP thyroid 30 NP thyroid 60 NP thyroid 90 Westhroid NON-PREFERRED BRAND Armour Thyroid Cytomel Nature-throid Nt-2.5 Synthroid Tapazole Thyrolar-1 Thyrolar-1/2 Thyrolar-1/4 Thyrolar-2 Thyrolar-3 Tirosint Wp Thyroid

GASTROINTESTINAL LAXATIVES

PROGESTERONE ANTAGONISTS TIER 03

FORMULARY

NON-PREFERRED BRAND Mifeprex

METABOLIC MODIFIERS TIER 01 TIER 02

TIER 03

TIER 04

PREFERRED GENERIC calcitriol NON-PREFERRED GENERIC doxercalciferol levocarnitine paricalcitol PREFERRED BRAND Sensipar NON-PREFERRED BRAND Carnitor Carnitor SF Hectorol Rayaldee Rocaltrol Xuriden Zemplar SPECIALTY sodium phenylbutyrate Buphenyl Carbaglu Cystadane KuvanPA MyaleptPA Nityr Orfadin Ravicti Strensiq

TIER 01

THYROID AGENTS TIER 01

TIER 02

PREFERRED GENERIC levo-t levothyroxine sodium levothyroxine sodium TAB 0.075MG levoxyl liothyronine sodium methimazole propylthiouracil unithroid unithroid direct Nature-throid NON-PREFERRED GENERIC levothyroxine/liothyronine NP thyroid NP thyroid 15

TIER 02

TIER 03

FORMULARY clearlax dulcolax balance eq clearlax eql clearlax gavilax gavilyte-c gavilyte-n/flavor pack gavilyte-G gentlelax glycolax gnp clearlax kls laxaclear laxative polyethlyene glycol 3350 peg 3350 peg 3350/electrolytes peg-3350/electrolytes peg-3350/NACL/NA bicarbonate/KCL pegylax peg3350 polyethylene glycol 3350 polyethylene glycol 3350-grx qc natura-LAX ra laxative sm clearlax smooth LAX sw clearlax tgt powderlax trilyte CVS purelax HM clearlax SB polyethylene glycol 3 350 PREFERRED GENERIC constulose lactulose NON-PREFERRED GENERIC gavilyte-h peg-prep Cascara Sagrada NON-PREFERRED BRAND Colyte-flavor Packs Gialax Golytely Kristalose Miralax Moviprep Nulytely/Flavor Packs Osmoprep Poly-prep


17

Prepopik Suprep Bowel Prep Kit

ANTIDIARRHEALS TIER 01 TIER 02

TIER 03

PREFERRED GENERIC diphenoxylate/atropine Paregoric NON-PREFERRED GENERIC opium opium tincture Diphenoxylate/Atropine NON-PREFERRED BRAND FulyzaqPA Lomotil Motofen MytesiPA Restora RX Restora Sprinkles

ULCER DRUGS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC b-donna belladonna alkaloids/phenobarbital cimetidine cimetidine HCL dicyclomine HCL ed-spaz famotidine glycopyrrolate hyoscyamine sulfate hyoscyamine sulfate odt hyoscyamine sulfate ER hyoscyamine sulfate SR hyosyne lansoprazole methscopolamine bromide misoprostol nizatidine nulev omeprazole oscimin oscimin SR pantoprazole sodium phenohytro ranitidine HCL sucralfate symax-SL symax-SR NON-PREFERRED GENERIC chlordiazepoxide HCL/clidinium bromide esomeprazole magnesiumST lansoprazole/amoxicillin/clarithromycin omeppiST omeprazole/sodium bicarbonateST rabeprazole sodium Belladonna & Opium Belladonna Alkaloids & Opium Nizatidine Propantheline Bromide PREFERRED BRAND Donnatal Robinul Forte NON-PREFERRED BRAND Aciphex Aciphex Sprinkle Anaspaz Bentyl Cantil Carafate

TIER 04

Cuvposa Cytotec DexilantST Esomeprazole Strontium Levbid Levsin Levsin/SL Librax NexiumST Omeclamox-PAK Pamine Pamine Forte Pepcid Prevacid Prevacid Solutab Prevpac Prilosec Protonix Pylera Robinul Symax Duotab ZegeridST SPECIALTY First-lansoprazole First-omeprazole Omeprazole + Syrspend SF Alka

ANTIEMETICS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC dronabinol granisetron HCLQL ondansetron odt ondansetron HCL scopolamine trimethobenzamide HCL NON-PREFERRED GENERIC aprepitantQL PREFERRED BRAND Transderm-scop NON-PREFERRED BRAND AkynzeoQL AnzemetQL Cesamet Diclegis EmendQL Emend TripackQL Marinol SancusoQL Syndros Tigan VarubiQL Zofran Zofran Odt ZuplenzQL,ST

DIGESTIVE AIDS TIER 02

TIER 04

NON-PREFERRED GENERIC Pancrelipase PREFERRED BRAND Creon Pancreaze Pertzye Ultresa Viokace Zenpep SPECIALTY SucraidQL,PA


18

GASTROINTESTINAL - MISC. TIER 01

TIER 02

TIER 03

PREFERRED GENERIC ana-lex anucort-HC anusol-HC balsalazide disodium calcium acetateQL colocort cromolyn sodium enulose generlac hemmorex-HC hydrocortisone hydrocortisone acetate hydrocortisone acetate/pramoxine lactulose lidocaine HCL/hydrocortisone acetate mesalamine metoclopramide HCL procto-MED HC procto-PAK proctosol HC proctozone-HC sulfasalazine ursodiol Mesalamine DR NON-PREFERRED GENERIC alosetron hydrochloride hydrocortisone acetate/pramoxine HCL lanthanum carbonateQL mesalamine DR pramcort sevelamer carbonateQL Lidocaine HCL-hydrocortisone Acetate With Aloe Metoclopramide Odt PREFERRED BRAND Asacol HD AuryxiaQL,ST Canasa Delzicol Dipentum Pentasa Proctofoam HC RenagelQL RenvelaQL Rowasa Sfrowasa NON-PREFERRED BRAND Actigall AmitizaST Analpram E Analpram HC Analpram HC Singles Analpram-HC Anusol-HC Apriso Azulfidine Azulfidine EN-TABS Colazal Cortenema Cortifoam EliphosQL Entereg FosrenolQL,ST Gastrocrom Giazo Lialda Linzess Lotronex

TIER 04

Metozolv OdtST MovantikPA PhoslyraQL Procort Proctocort Rectiv Reglan RelistorPA Symproic TrulancePA Uceris Urso Forte Urso 250 VelphoroQL,ST Viberzi SPECIALTY Chenodal Cholbam CimziaPA Cimzia Starter KitPA GattexPA Ocaliva Xermelo

GENITOURINARY URINARY ANTI-INFECTIVES TIER 01

TIER 02

TIER 03

PREFERRED GENERIC me/naphos/mb/hyo 1 nitrofurantoin macrocrystals nitrofurantoin monohydrate nitrofurantoin monohydrate/macrocrystals uro-blue urolet mb uryl NON-PREFERRED GENERIC azuphen mb hyolev mb hyophen indiomin mb methenamine hippurate methenamine mandelate nitrofurantoin phosphasal ur n-c uramit mb urelle uretron d/s uribel urin d/s uro-l uro-mp uro-458 uroav-b uroav-81 urophen mb ustell uta uticap utira-c utrona-c Methenamine Mandelate Urimar-t PREFERRED BRAND Macrobid Urogesic-blue NON-PREFERRED BRAND Furadantin Hiprex Macrodantin


19

Monurol

SPECIALTY CrinonePA

URINARY ANTISPASMODICS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC bethanechol chloride flavoxate HCL oxybutynin chloride oxybutynin chloride ER tolterodine tartrate trospium chloride ER NON-PREFERRED GENERIC darifenacin hydrobromide ERST tolterodine tartrate ER trospium chloride NON-PREFERRED BRAND Detrol Detrol LA Ditropan XL EnablexST GelniqueST Gelnique P.M.ST MyrbetriqST OxytrolST Oxytrol For WomenST ToviazST Urecholine VesicareST

GENITOURINARY - MISC. TIER 01

TIER 02

VAGINAL PRODUCTS FORMULARY

TIER 01

TIER 02

TIER 03

FORMULARY vcf vaginal contraceptive foam vcf vaginal contraceptivegel Encare Options Gynol II Vaginal Contraceptive Shur-seal Today Sponge Vcf Vaginal Contraceptive Film Vcf Vaginal Contraceptive Foam PREFERRED GENERIC clindamycin phosphate metronidazole vaginal terconazole vandazole zazole Miconazole 3 NON-PREFERRED GENERIC estradiol yuvafem PREFERRED BRAND Avc Estrace Gynazole-1 Premarin NON-PREFERRED BRAND Cleocin Clindesse Endometrin Estring Fem PH Femring Intrarosa Metrogel-vaginal Nuvessa Options Conceptrol Vaginal Contraceptive Relagard Terazol 3 Terazol 7 Vagifem

TIER 03

TIER 04

PREFERRED GENERIC alfuzosin HCL ER argyle sterile saline 100ML curity sterile saline cytra k crystals finasteride phenazo phenazopyridine HCL potassium citrate ER potassium citrate-citric acid crystals potassium citrate/citric acid sodium chloride sodium chloride 0.9% sodium citrate/citric acid tamsulosin HCL taron-crystals virtrate-k virtrate-2 NON-PREFERRED GENERIC dutasteride dutasteride/tamsulosin hydrochloride dutasteride/tamsulosin HCL potassium citrate/sodium citrate/citric acid tricitrates virtrate-3 PREFERRED BRAND Rimso-50 NON-PREFERRED BRAND Avodart Cardura XLST Elmiron Flomax Jalyn K-phos NO 2 Lithostat Oracit Proscar Pyridium RapafloST Shohls Solution Modified Urocit-k 10 Urocit-k 15 Urocit-k 5 Uroxatral SPECIALTY Cystagon Procysbi Thiola

HEMATOLOGICAL AGENTS HEMATOPOIETIC AGENTS TIER 01

TIER 04

PREFERRED GENERIC airavite cyanocobalamin fabb ferocon ferotrinsic ferrocite plus folbee folic acid/vitamin b-6/vitamin b-12 folplex 2.2 foltrin hematinic plus vitamins/minerals hematinic/folic acid hematogen forte


20

TIER 02

TIER 03

hemocyte-f hemocyte-plus nufol tricon trigels-f forte virt-gard virt-vite AV-vite fb Bp Vit 3 TL gard RX TL icon NON-PREFERRED GENERIC corvita 150 k-tan plus purevit dualfe plus se-tan plus B-6 Folic Acid Ferraplus 90 Hematogen Fa Multigen Multigen Folic Multigen Plus Tandem F NON-PREFERRED BRAND Abaneu-SL Active FE Animi-3 Animi-3/Vitamin D B-serene Biferarx Bp Vit 3 Plus Cenfol Centratex Ciferex Cifrazol Corvite 150 Cyfolex Dermacinrx Purefolix Divista Droxia Durachol Endari Feriva Feriva 21/7 Ferivafa Ferralet 90 Ferro-plex Hematinic Ferrotrin Focalgin Dss Folene Folgard RX Folivane-f Folivane-plus Folixapure Fusion Plus Fusion Sprinkles Hemetab Hemocyte Plus Integra F Integra Plus Irospan 24/6 Is 24/6 Maxfe Nascobal Nephron Fa Neurin-SL Noxifol-d Ortho D Pre-folic Proferrin-forte

TIER 04

Protectiron Purefe Plus Revesta Roxifol-d Tandem Plus Taron Forte Triferic Zavara Zolate SPECIALTY Aranesp Albumin FreePA Cerdelga EpogenPA GranixPA LeukinePA Mircera NeulastaPA Neulasta Onpro KitPA NeupogenPA ProcritPA PromactaPA ZarxioPA Zavesca

ANTICOAGULANTS TIER 01

TIER 02

TIER 03

TIER 04

PREFERRED GENERIC heparin lock flush heparin lock flush for flushing vascular access devices heparin lock flush/NACL for flushing vascular access devices heparin sodium heparin sodium dcu heparin sodium lock flush heparin sodium/sodium chloride 0.9% premix heparin sodium/D5W heparin sodium/NACL 0.9% jantoven monoject pharma grade flush syringe/heparin lock monoject prefill advanced heparin lock flush sash kit for flushing vascular access devices warfarin sodium Heparin Lock Flush Heparin Sodium/D5W Heparin Sodium/NACL 0.45% Heparin Sodium/Sodium Chloride 0.9% Sash Kit For Flushing Vascular Access Devices NON-PREFERRED GENERIC Heparin Sodium/Sodium Chloride PREFERRED BRAND XareltoPA Xarelto Starter PackPA NON-PREFERRED BRAND Bevyxxa Coumadin EliquisPA PradaxaPA SavaysaPA SPECIALTY enoxaparin sodium fondaparinux sodium Arixtra Fragmin Lovenox

HEMOSTATICS TIER 02 TIER 03

NON-PREFERRED GENERIC tranexamic acid NON-PREFERRED BRAND Amicar


21

Lysteda Raplixa

Bocasal Debacterol Episil Evoxac First-bxn Mouthwash First-dukes Mouthwash First-marys Mouthwash First-mouthwash Blm Fluoridex Daily Defense Sensitivity Relief Gelclair Gelx Mucotrol MugardQL,ST Nafrinse Daily/Acidulated Nafrinse Daily/Neutral Nafrinse Weekly NeutrasalQL,ST Orafate Oramagicrx OravigST Peridex Prevident Fluoride Prevident 5000 Booster Prevident 5000 Booster Plus Prevident 5000 Dry Mouth Prevident 5000 Enamel Protect Prevident 5000 Plus Prevident 5000 Sensitive Prothelial Salagen Salicept SalivamaxQL,ST Salivate RXQL,ST Thera-flur-n

HEMATOLOGICAL - MISC. TIER 01

TIER 02

TIER 03

PREFERRED GENERIC anagrelide hydrochloride cilostazol clopidogrel dipyridamole pentoxifylline ER prasugrel NON-PREFERRED GENERIC aspirin/dipyridamole PREFERRED BRAND Aggrenox Effient NON-PREFERRED BRAND Agrylin Brilinta Clopidogrel Kit Durlaza Persantine Plavix Pletal Yosprala ZontivityPA

MOUTH/THROAT/DENTAL AGENT TIER 01

TIER 02

TIER 03

PREFERRED GENERIC cavarest cevimeline HCL chlorhexidine gluconate chlorhexidine gluconate oral rinse clotrimazole controlrx denta 5000 plus dentagel fluoridex daily defense fluoridex daily defense enhanced whitening karigel karigel-n lidocaine viscousAL lidocaine HCL viscousAL neutragard advanced oralone dental paste paroex periogard phos-flur pilocarpine hydrochloride pilocarpine HCL triamcinolone acetonide dental paste SF SF 5000 plus NON-PREFERRED GENERIC clinpro 5000 fluoridex fluoridex daily defense sensitivity relief fluoridex enhanced whitening fluoridex sensitivity relief fluoridex sensitivity relief/sls free nystatin Lidocaine HCL PREFERRED BRAND Moi-stir Mouthkote Oramagic Plus NON-PREFERRED BRAND AquoralQL,ST

NEUROLOGY, CNS, PSYCH ANTIANXIETY AGENTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC alprazolam alprazolam odt alprazolam ER alprazolam XR buspirone HCL chlordiazepoxide HCL clorazepate dipotassium diazepam diazepam intensol hydroxyzine pamoate hydroxyzine HCL meprobamate oxazepam Hydroxyzine Pamoate NON-PREFERRED GENERIC lorazepam lorazepam intensol Diazepam PREFERRED BRAND Alprazolam Intensol NON-PREFERRED BRAND Ativan Tranxene T Valium Vistaril Xanax Xanax XR

ANTIDEPRESSANTS TIER 01

PREFERRED GENERIC amitriptyline HCL


22

TIER 02

TIER 03

bupropion HCLQL bupropion HCL ERQL bupropion HCL SRQL bupropion HCL XLQL citalopram hydrobromideQL clomipramine HCL desipramine HCL doxepin HCL escitalopram oxalateQL fluoxetine HCLQL fluvoxamine maleateQL imipramine pamoate imipramine HCL mirtazapineQL mirtazapine odtQL nefazodone HCL nortriptyline HCL paroxetine HCLQL paroxetine HCL ERQL phenelzine sulfate protriptyline HCL sertraline HCLQL tranylcypromine sulfate trazodone HCLQL venlafaxine HCLQL venlafaxine HCL ERQL Amoxapine Doxepin HCL Fluoxetine DRQL Fluoxetine HCLQL Maprotiline HCL Nefazodone HCL Nortriptyline HCL Venlafaxine HCL ERQL NON-PREFERRED GENERIC desvenlafaxine ERQL,ST duloxetine HCLQL fluvoxamine maleate ERQL trimipramine maleate Desvenlafaxine ERQL PREFERRED BRAND Duloxetine HCLQL PaxilQL NON-PREFERRED BRAND Anafranil Aplenzin BrintellixQL,ST CelexaQL CymbaltaQL Effexor XRQL Elavil Emsam FetzimaQL,ST Fetzima Titration PackQL,ST Forfivo XL KhedezlaQL LexaproQL Marplan Nardil Norpramin Pamelor Parnate Paxil CRQL Pexeva PristiqQL,ST ProzacQL Prozac WeeklyQL RemeronQL Remeron SoltabQL Surmontil

Tofranil Tofranil-PM TrintellixQL,ST ViibrydQL,ST Viibryd Starter PackQL,ST WellbutrinQL Wellbutrin SRQL Wellbutrin XLQL ZoloftQL

ANTIPSYCHOTICS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC aripiprazoleQL aripiprazole odtQL chlorpromazine HCLQL clozapineQL compro fluphenazine decanoate fluphenazine HCLQL haloperidolQL haloperidol lactate lithium carbonate lithium carbonate ER loxapineQL loxapine succinateQL olanzapineQL olanzapine odtQL perphenazineQL prochlorperazine prochlorperazine maleate quetiapine fumarateQL risperidoneQL risperidone odtQL risperidone M-TABQL thioridazine HCLQL thiothixeneQL trifluoperazine HCLQL ziprasidone HCLQL Fluphenazine HCLQL Lithium Lithium Carbonate NON-PREFERRED GENERIC clozapine odtQL haloperidol decanoate paliperidone ERQL,ST quetiapine fumarate ERQL,ST Clozapine OdtQL Molindone Hydrochloride PREFERRED BRAND AbilifyQL Equetro Seroquel XRQL,ST NON-PREFERRED BRAND ClozarilQL FanaptQL,ST Fanapt Titration PackQL,ST FazacloQL GeodonQL Haldol Haldol Decanoate 100 Haldol Decanoate 50 InvegaQL,ST LatudaQL,ST Lithobid NuplazidQL,PA RexultiQL,ST RisperdalQL Risperdal M-TABQL SaphrisQL,ST


23

TIER 04

SeroquelQL Versacloz VraylarQL,ST ZyprexaQL Zyprexa ZydisQL SPECIALTY Aristada

TIER 03

HYPNOTICS TIER 01

TIER 02 TIER 03

TIER 04

PREFERRED GENERIC estazolam eszopicloneQL midazolam HCL phenobarbital temazepamQL triazolamQL zaleplonQL zolpidem tartrateQL zolpidem tartrate ERQL Flurazepam HCLQL Phenobarbital TriazolamQL NON-PREFERRED GENERIC Quazepam NON-PREFERRED BRAND AmbienQL Ambien CRQL BelsomraQL,ST Butisol Sodium Doral EdluarQL,ST HalcionQL IntermezzoQL,ST LunestaQL RestorilQL RozeremQL,ST Seconal Seconal Sodium SilenorST SonataQL TemazepamQL ZolpimistQL,ST SPECIALTY Hetlioz

ANTICONVULSANTS TIER 01

ADHD, NARCOLEPSY, ETC. TIER 01

TIER 02

PREFERRED GENERIC caffeine citrate dexedrineQL dextroamphetamine sulfateQL dextroamphetamine sulfate ERQL metadate ERQL methamphetamine HCLQL methylphenidate HCLQL zenzediQL NON-PREFERRED GENERIC amphetamine/dextroamphetamineQL armodafinilQL,PA atomoxetineQL,AL,ST clonidine HCL ER dexmethylphenidate HCLQL dexmethylphenidate HCL ERQL guanfacine ER methylphenidate hydrochlorideQL methylphenidate HCL CDQL methylphenidate HCL ERQL modafinilQL,PA Methylphenidate HCLQL Methylphenidate HCL ERQL

Methylphenidate HCL ER (LA)QL,AL NON-PREFERRED BRAND AdderallQL Adderall XRQL Adzenys XR-odtQL,ST Aptensio XRQL,PA ConcertaQL Cotempla XR-odt DaytranaQL,ST DesoxynQL DexedrineQL Dyanavel XRQL,ST EvekeoQL,PA FocalinQL Focalin XRQL Intuniv Kapvay Metadate CDQL MethylinQL MydayisQL,AL NuvigilQL,PA Procentra ProvigilQL,PA Quillichew ERQL,ST Quillivant XRQL,ST RitalinQL Ritalin LAQL StratteraQL,AL,ST VyvanseQL,AL ZenzediQL

TIER 02

PREFERRED GENERIC carbamazepine carbamazepine ER clonazepam clonazepam odt divalproex sodium divalproex sodium DR divalproex sodium ER epitol ethosuximide gabapentin lamotrigine lamotrigine starter kit/blue lamotrigine starter kit/green lamotrigine ER levetiracetam levetiracetam ER oxcarbazepine phenytoin phenytoin infatabs phenytoin sodium extended primidone roweepra tiagabine hydrochloride topiramate valproic acid zonisamide Diazepam Diazepam Rectal Gel NON-PREFERRED GENERIC felbamate lamotrigine odt lamotrigine starter kit/orange lamotrigine titration Topiramate ER PREFERRED BRAND Celontin


24

TIER 03

TIER 04

Peganone SpritamST NON-PREFERRED BRAND AptiomST Banzel BriviactST CarbatrolST DepakeneST DepakoteST Depakote ERST Depakote SprinklesST Diastat Acudial Diastat Pediatric DilantinST Dilantin InfatabsST Dilantin-125ST FelbatolST FycompaST GabitrilST KeppraST Keppra XRST KlonopinST LamictalST Lamictal Chewable DispersibleST Lamictal OdtST Lamictal Starter/Not Taking Carbamazepine Lamictal Starter/Taking Carbamazepine/Not Taking Valproate Lamictal Starter/Taking Valproate Lamictal XRST LyricaST MysolineST NeurontinST Onfi Oxtellar XR PhenytekST PotigaST Qudexy XR TegretolST Tegretol-XRST TopamaxST Topamax SprinkleST TrileptalST Trokendi XR VimpatST ZarontinST ZonegranST SPECIALTY vigabatrin Sabril

TIER 03

TIER 04

NEUROLOGY, PSYCH - MISC. FORMULARY

ANTIPARKINSON AGENTS TIER 01

TIER 02

rasagiline mesylate tolcapone NON-PREFERRED BRAND Azilect Comtan Eldepryl Gocovri Lodosyn Mirapex Mirapex ER NeuproST Parlodel Requip Requip XL Rytary Sinemet Sinemet CR Stalevo 100 Stalevo 125 Stalevo 150 Stalevo 200 Stalevo 50 Stalevo 75 Tasmar Xadago Zelapar SPECIALTY Apokyn Duopa

PREFERRED GENERIC amantadine HCL benztropine mesylate bromocriptine mesylate carbidopa/levodopa carbidopa/levodopa odt carbidopa/levodopa ER entacapone pramipexole dihydrochloride ropinirole ER ropinirole HCL selegiline HCL trihexyphenidyl HCL Carbidopa/Levodopa/Entacapone NON-PREFERRED GENERIC carbidopa pramipexole dihydrochloride ER

FORMULARY buprobanQL bupropion HCL SRQL eq nicotineQL eq nicotine gum refillQL eq nicotine gum starterQL eq nicotine polacrilexQL eq nicotine step 3QL eql nicotineQL eql nicotine polacrilexQL eql nicotine polacrilex refillQL eql nicotine polacrilex starterQL gnp nicotine gumQL gnp nicotine mini lozengeQL gnp nicotine polacrilexQL gnp nicotine polacrilex miniQL gnp nicotine transdermal systemQL goodsense nicotine gumQL kls quit2QL kls quit4QL nicoreliefQL nicotineQL nicotine mini lozengeQL nicotine polacrilexQL nicotine polacrilex refillQL nicotine polacrilex starter kitQL nicotine step 1QL nicotine step 2QL nicotine step 3QL nicotine transdermal systemQL nicotine transdermal system step 1QL nicotine transdermal system step 2QL nicotine transdermal system step 3QL px stop smoking aidQL qc nicotine polacrilexQL ra mini nicotineQL ra nicotineQL ra nicotine gumQL


25

TIER 01

TIER 02

TIER 03

ra nicotine polacrilexQL ra nicotine transdermal systemQL ra nicotine transdermal system step 3QL sm nicotineQL sm nicotine polacrilexQL sm nicotine transdermal systemQL sw nicotine polacrilexQL tgt nicotine gumQL tgt nicotine polacrilexQL tgt nicotine step oneQL tgt nicotine step threeQL tgt nicotine step twoQL thriveQL CVS nicotineQL CVS nicotine lozengeQL CVS nicotine polacrilexQL CVS nicotine polacrilex starterQL CVS nicotine transdermal systemQL CVS nts step 1QL HM nicotine polacrilexQL HM nicotine transdermal systemQL HM nicotine transdermal system step 3QL Nicotine Transdermal SystemQL SR nicotine gumQL PREFERRED GENERIC disulfiram fluoxetine HCLQL galantamine hydrobromide galantamine hydrobromide ER memantine hydrochloride memantine HCL memantine HCL titration PAK olanzapine/fluoxetine pimozideQL rivastigmine tartrate rivastigmine transdermal system Chlordiazepoxide/Amitriptyline FluoxetineQL Galantamine Hydrobromide Perphenazine/Amitriptyline NON-PREFERRED GENERIC acamprosate calcium DR donepezil HCL paroxetine Ergoloid Mesylates PREFERRED BRAND Namenda SarafemQL NON-PREFERRED BRAND Antabuse Aricept Brisdelle ChantixQL Chantix Continuing Month PAKQL Chantix Starting Month PAKQL Exelon GraliseST Gralise StarterST HorizantST Namenda Titration PAK Namenda XR Namenda XR Titration Pack Namzaric Nicotrol InhalerQL Nicotrol NsQL NuedextaQL,PA OrapQL Razadyne Razadyne ER SavellaST

TIER 04

Savella Titration PackST Symbyax ZybanQL SPECIALTY glatiramer acetateST glatopaST tetrabenazine AmpyraQL AubagioST AustedoPA Avonex Avonex Pen Betaseron Copaxone ExtaviaST GilenyaST IngrezzaPA PlegridyST Plegridy Starter PackST RebifST Rebif RebidoseST Rebif Rebidose Titration PackST Rebif Titration PackST Tecfidera Tecfidera Starter Pack Xenazine XyremPA ZinbrytaQL,ST

NEUROMUSCULAR AGENTS TIER 02 TIER 03 TIER 04

NON-PREFERRED GENERIC riluzole NON-PREFERRED BRAND Rilutek SPECIALTY Exondys 51

MUSCULOSKELETAL AGENTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC baclofen carisoprodol carisoprodol/aspirin carisoprodol/aspirin/codeine chlorzoxazone cyclobenzaprine HCL dantrolene sodium methocarbamol orphenadrine citrate ER tizanidine HCL NON-PREFERRED GENERIC metaxall metaxalone Metaxalone PREFERRED BRAND Parafon Forte DSC NON-PREFERRED BRAND AmrixST Chlorzoxazone Cyclobenzaprinepax Dantrium Fexmid Flexepax Lorzone Robaxin Robaxin-750 Skelaxin Soma Tizanidine Comfort PAC Zanaflex


26

ANTIMYASTHENIC AGENTS TIER 01 TIER 02 TIER 03

PREFERRED GENERIC pyridostigmine bromide pyridostigmine bromide ER NON-PREFERRED GENERIC Guanidine HCL NON-PREFERRED BRAND Mestinon Mestinon Timespan

TIER 02

TIER 03

OPHTHALMOLOGY AND OTIC ANTI-INFECTIVES TIER 01

TIER 02

TIER 03

PREFERRED GENERIC ak-poly-bac bacitracin/polymyxin b ciprofloxacin HCL erythromycin gentak gentamicin sulfate ilotycin moxifloxacin HCL neo-polycin neomycin/bacitracin/polymyxin neomycin/polymyxin/bacitracin zinc neomycin/polymyxin/gramicidin ofloxacin polycin polymyxin b sulfate/trimethoprim sulfate tobramycin tobramycin sulfate trifluridine trimethoprim sulfate/polymyxin b sulfate Gentak NON-PREFERRED GENERIC gatifloxacin levofloxacin sodium sulfacetamide sulfacetamide sodium Bacitracin Sulfacetamide Sodium PREFERRED BRAND Ciloxan Moxeza Vigamox NON-PREFERRED BRAND Azasite Besivance Betadine Ophthalmic Prep Bleph-10 Mitosol Natacyn Neosporin Ocuflox Polytrim Tobrex Viroptic Zirgan Zymaxid

ARTIFICIAL TEAR/LUBRICANT TIER 02

TIER 01

OPHTHALMIC STEROIDS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC betaxolol HCL carteolol HCL dorzolamide HCL/timolol maleate levobunolol HCL

PREFERRED GENERIC fluorometholone neo-polycin HC neomycin/polymyxin/bacitracin/hydrocortisone prednisolone acetate sulfacetamide sodium/prednisolone sodium phosphate tobramycin/dexamethasone Dexamethasone Sodium Phosphate NON-PREFERRED GENERIC neomycin/polymyxin/dexamethasone Neomycin/Polymyxin/Hydrocortisone Prednisolone Sodium Phosphate PREFERRED BRAND Blephamide Blephamide S.o.p. Flarex FML Forte Pred Mild Tobradex ST NON-PREFERRED BRAND Alrex Durezol FML FML Liquifilm Lotemax Maxidex Maxitrol Omnipred Pred Forte Pred-G Pred-G S.o.p. Prednisolone/Moxifloxacin/Ketorolac Tobradex Triesence Triple Pmb Triple Pmk Vexol Zylet

PROSTAGLANDINS TIER 01 TIER 02

PREFERRED BRAND Lacrisert

BETA-BLOCKERS

timolol maleate timolol maleate ophthalmic gel forming Metipranolol PREFERRED BRAND Betimol Betoptic-s Istalol NON-PREFERRED BRAND Betagan Combigan Cosopt Cosopt PF Timoptic Timoptic Ocudose Timoptic-xe

TIER 03

PREFERRED GENERIC latanoprost NON-PREFERRED GENERIC Bimatoprost Travoprost PREFERRED BRAND Travatan Z NON-PREFERRED BRAND LumiganST Rescula Xalatan ZioptanST


27

CYCLOPLEGIC MYDRIATICS TIER 01 TIER 02

TIER 03

PREFERRED GENERIC tropicamide NON-PREFERRED GENERIC cyclopentolate HCL homatropaire homatropine HBR Atropine Sulfate PREFERRED BRAND Cyclogyl NON-PREFERRED BRAND Cyclomydril Mydriacyl

DECONGESTANTS TIER 01 TIER 02

PREFERRED GENERIC Naphazoline HCL NON-PREFERRED GENERIC altafrin phenylephrine HCL

TIER 02

MIOTICS TIER 01 TIER 02 TIER 03

PREFERRED GENERIC pilocarpine HCL PREFERRED BRAND Phospholine Iodide NON-PREFERRED BRAND Isopto Carpine Miochol-e

TIER 03

ADRENERGIC AGENTS TIER 01 TIER 02 TIER 03

PREFERRED GENERIC apraclonidine brimonidine tartrate PREFERRED BRAND Iopidine NON-PREFERRED BRAND Alphagan P Simbrinza

IMMUNOMODULATORS TIER 03

NON-PREFERRED BRAND Restasis Restasis Multidose

LOCAL ANESTHETICS TIER 01

TIER 03

PREFERRED GENERIC altacaine proparacaine HCL tetcaine tetracaine HCL tetravisc tetravisc forte NON-PREFERRED BRAND Akten Alcaine

TIER 04

OTIC AGENTS TIER 01

OPHTHALMICS - MISC. TIER 01

PREFERRED GENERIC alaway alaway childrens allergy eye itch relief allergy eye drops azelastine HCL claritin eye cromolyn sodium diclofenac sodium dorzolamide HCL eq eye itch relief eq itchy eye drops

eye itch relief gnp eye itch relief gnp itchy eye goodsense itchy eye ketorolac tromethamine ketotifen fumarate kp ketotifen fumarate ra antihistamine eye drops ra eye itch relief sm eye itch relief tgt eye itch relief theratears allergy eye itch relief wal-zyr CVS allergy eye drops CVS eye itch relief HM eye itch relief NON-PREFERRED GENERIC bromfenac epinastine HCL flurbiprofen sodium olopatadine hydrochlorideST olopatadine HCLST Bromfenac Flurbiprofen Sodium PREFERRED BRAND Alomide Azopt NON-PREFERRED BRAND Acular Acular LS Acuvail Alocril BepreveST Bromsite Elestat EmadineST Ilevro LastacaftST Nevanac Ocufen PatadayST PatanolST PazeoST Prolensa Trusopt Xiidra SPECIALTY Cystaran

TIER 02

PREFERRED GENERIC acetasol HC acetic acid cortic-nd cyotic exotic-HC hydrocortisone/acetic acid neomycin/polymyxin/hydrocortisone neomycin/polymyxin/HC ofloxacin otomax-HC Acetic Acid/Aluminum Acetate NON-PREFERRED GENERIC fluocinolone acetonide fluocinolone acetonide ear drops Ciprofloxacin PREFERRED BRAND Cetraxal Cipro HC


28

TIER 03

Ciprodex NON-PREFERRED BRAND Coly-mycin S Cortane-b Aqueous Cortane-b-otic Cortisporin-tc Dermotic Floxin Otic Oticin HC NR Otiprio Otovel Pramotic

TIER 02 TIER 03

OXYTOCICS TIER 02

NON-PREFERRED GENERIC methylergonovine maleate Methergine

ANALGESICS - OPIOID TIER 01

PAIN MANAGEMENT ANALGESICS - NONNARCOTIC FORMULARY

TIER 01

FORMULARY aspirin aspirin EC aspirtab bayer advanced aspirin regular strength bayer aspirin bayer aspirin regimen ecotrin ecpirin enteric coated aspirin eq aspirin eq aspirin EC eql aspirin eql aspirin EC gnp aspirin goodsense aspirin kls aspirin EC meijer aspirin EC norwich aspirin px aspirin px enteric aspirin qc aspirin qc enteric aspirin ra aspirin ra aspirin EC sm aspirin sm aspirin enteric coated tgt aspirin tgt enteric-coated aspirin CVS aspirin HM aspirin HM aspirin EC MM aspirin SB aspirin SB aspirin EC PREFERRED GENERIC butalbital/acetaminophenQL butalbital/acetaminophen/caffeineQL butalbital/aspirin/caffeine capacetQL choline magnesium trisalicylate diflunisal esgicQL margesicQL marten-TABQL phrenilin forteQL salsalate zebutalQL

Butalbital/Aspirin/Caffeine Duraxin TenconQL NON-PREFERRED GENERIC Vanatol LQQL Vanatol SQL NON-PREFERRED BRAND bupap AllzitalQL,ST Disalcid EsgicQL FioricetQL Fiorinal Levacet

TIER 02

PREFERRED GENERIC acetaminophen/codeineQL acetaminophen/codeine phosphateQL ascomp/codeineQL buprenorphine HCLQL buprenorphine HCL/naloxone HCLQL butalbital/acetaminophen/caffeine/codeineQL butalbital/aspirin/caffeine/codeineQL butorphanol tartrateQL,PA codeine sulfateQL endocetQL fentanylQL fentanyl citrate oral transmucosalQL,PA hydrocodone/acetaminophenQL hydrocodone/ibuprofenQL hydromorphone HCLQL ibudoneQL lorcetQL lorcet plusQL lorcet HDQL lortabQL meperidine HCLQL methadone HCLQL methadone HCL intensolQL methadose morphine sulfate ERQL oxycodone HCLQL oxycodone/acetaminophenQL oxycodone/aspirinQL oxymorphone hydrochlorideQL,PA oxymorphone hydrochloride ERQL,PA tramadol hydrochloride/acetaminophenQL tramadol HCLQL tramadol HCL ERQL vicodinQL vicodin ESQL vicodin HPQL Codeine SulfateQL FentanylQL Hydromorphone HCLQL Meperidine HCLQL Methadone HCLQL MethadoseQL Methadose Sugar-freeQL Morphine SulfateQL Morphine Sulfate ERQL Oxycodone/AcetaminophenQL Oxycodone/IbuprofenQL Oxymorphone Hydrochloride ERQL,PA NON-PREFERRED GENERIC hydrocodone bitartrate/acetaminophenQL hydromorphone hydrochlorideQL,PA hydromorphone hydrochloride ERQL,PA


29

TIER 03

hydromorphone HCL ERQL,PA morphine sulfateQL pentazocine/naloxone HCLQL reprexainQL verdrocetQL xylonQL Acetaminophen/Caffeine/DihydrocodeineQL,PA Aspirin-caffeine-dihydrocodeineQL Levorphanol TartrateQL Meperidine HCL/Promethazine HCLQL Oxycodone HCL ERQL,PA Tramadol HCL ERQL,ST PREFERRED BRAND SuboxoneQL NON-PREFERRED BRAND AbstralQL,PA Acetaminophen/Caffeine/Dihydrocodeine Bitartrate ActiqQL,PA Arymo ERQL,PA BelbucaQL,PA Bunavail BuprenorphineQL,PA ButransQL,PA Capital/CodeineQL ConzipQL,ST DemerolQL DilaudidQL DolophineQL DuragesicQL EmbedaQL ExalgoQL,PA FentoraQL,PA Fioricet/CodeineQL Fiorinal/Codeine #3QL HycetQL Hysingla ERQL,PA IbudoneQL KadianQL LazandaQL,PA LortabQL Morphabond ERQL,PA MS ContinQL NorcoQL NucyntaQL,PA Nucynta ERQL,PA OpanaQL,PA Opana ER (crush Resistant)QL,PA OxaydoQL,PA OxycontinQL,PA PercocetQL PrimlevQL ReprexainQL RoxicodoneQL SubsysQL,PA Synalgos-dcQL TrezixQL,PA Tylenol/Codeine #3QL Tylenol/Codeine #4QL UltracetQL UltramQL Ultram ERQL VicoprofenQL Xartemis XRQL,PA XodolQL Xtampza ERQL,PA ZamicetQL Zohydro ERQL,PA Zubsolv

ANTI-INFLAMMATORY TIER 01

TIER 02

TIER 03

PREFERRED GENERIC diclofenac potassium diclofenac sodium DR diclofenac sodium ER diclofenac sodium/misoprostol etodolac etodolac ER flurbiprofen ibuprofen indomethacin indomethacin ER ketoprofen ketorolac tromethamineQL leflunomide meloxicam nabumetone naproxenQL naproxen kitQL naproxen sodium naproxen DRQL oxaprozinQL piroxicam sulindac tolmetin sodium Meclofenamate Sodium Meloxicam NaproxenQL Tolmetin Sodium NON-PREFERRED GENERIC celecoxibQL fenoprofen calcium inflammacin mefenamic acid naproxen sodium CR naproxen sodium ER nudiclo tabpak previdolrx plus analgesicpak profeno xenaflamm Fenoprofen Calcium Ketoprofen ER PREFERRED BRAND Indocin Rheumatrex Ridaura NON-PREFERRED BRAND Anaprox DS Arava Arthrotec 50 Arthrotec 75 CelebrexQL DayproQL Derma Silkrx Anodynexa PAK Derma Silkrx Diclopak Dermacinrx Analgesic Combopak Dermacinrx Inflammatral PAK DuexisST EC-naprosynQL Feldene Fenortho Flanax Pain Relief Kit Flexizol Combipak Lodine Mobic Nalfon Naprelan Napropak Napropak Cool


30

TIER 04

NaprosynQL Naproxen Comfort PAC OtrexupST Ponstel RasuvoST SprixQL Tivorbex VimovoST Vivlodex Zipsor ZorvolexST SPECIALTY ActemraPA Arcalyst EnbrelPA Enbrel SureclickPA HumiraPA Humira Pediatric Crohns Disease Starter PackPA Humira PenPA Humira Pen-crohns DiseasestarterPA Humira Pen-psoriasis StarterPA Kevzara KineretPA OrenciaPA Orencia ClickjectPA OtezlaPA SimponiPA XeljanzPA Xeljanz XRPA

MIGRAINE PRODUCTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC isometheptene/dichloralphenazone/acetaminophen naratriptan HCLQL nodolor rizatriptan benzoateQL rizatriptan benzoate odtQL sumatriptanQL sumatriptan succinateQL sumatriptan succinate refillQL zolmitriptanQL zolmitriptan odtQL Sumatriptan SuccinateQL NON-PREFERRED GENERIC almotriptanQL,ST almotriptan malateQL,ST eletriptan hydrobromideQL,ST ergotamine tartrate/caffeine frovatriptan succinateQL,ST isometheptene mucate/caffeine/acetaminophen Dihydroergotamine MesylateQL PREFERRED BRAND Cafergot CambiaQL,ST Ergomar Migergot NON-PREFERRED BRAND AmergeQL AxertQL,ST FrovaQL,ST ImitrexQL Imitrex Statdose RefillQL Imitrex Statdose SystemQL MaxaltQL Maxalt-MLTQL MigranalQL Onzetra Xsail Prodrin RelpaxQL,ST

Sumavel DoseproQL,ST TreximetQL,ST Zecuity Zembrace SymtouchQL,ST ZomigQL Zomig ZMTQL

GOUT AGENTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC allopurinol probenecid probenecid/colchicine NON-PREFERRED GENERIC Colchicine PREFERRED BRAND Colcrys UloricST NON-PREFERRED BRAND Duzallo Mitigare Zurampic Zyloprim

LOCAL ANESTHETICS-INJ TIER 03

NON-PREFERRED BRAND Bupivacaine Hydrochloride/Sodium Chloride Lidocaine Hydrochloride

RESPIRATORY, ALLERGY, ETC ANTIHISTAMINES TIER 01

TIER 02

TIER 03

PREFERRED GENERIC arbinoxa carbinoxamine maleate clemastine fumarate cyproheptadine HCL desloratadine levocetirizine dihydrochloride phenadoz phenergan promethazine HCL promethazine HCL plain promethegan Brompheniramine Tannate Clemastine Fumarate NON-PREFERRED GENERIC bpm Desloratadine Odt Respa-BR NON-PREFERRED BRAND Clarinex Karbinal ER Phenergan Fortis Ryvent Xyzal

NASAL AGENTS TIER 01

TIER 02

PREFERRED GENERIC azelastine HCL budesonide nasal spray fluticasone propionate ipratropium bromide mometasone furoateST ra budesonide nasal spray rhinocort allergy Flunisolide NON-PREFERRED GENERIC olopatadine HCL PREFERRED BRAND Bactroban Nasal


31

TIER 03

NON-PREFERRED BRAND Adrenalin Alzair Allergy Blocker Nasal Spray Astepro Atrovent Beconase AQ DymistaST NasonexST OmnarisST Patanase QnaslST Qnasl ChildrensST Tyzine Pediatric Nasal Drops VeramystST ZetonnaST

COUGH/COLD/ALLERGY TIER 01

TIER 02

TIER 03

PREFERRED GENERIC acetylcysteine benzonatate bpm pseudo hydrocodone bitartrate/homatropine methylbromide hydrocodone polistirex/chlorpheniramine polistirexQL hydrocodone/homatropine hydromet nebusal promethazine VC plain promethazine VC/codeine promethazine-DM promethazine/codeine promethazine/dextromethorphan promethazine/phenylephrine promethazine/phenylephrine/codeine pulmosal sodium chloride tussigon NON-PREFERRED GENERIC hydrocodone bitartrate/chlorpheniramine maleate/PSE Lexuss 210 Nortuss-EX Tgq 30PSE/150GFN/15DM Tgq 30PSE/3BRM/15DM NON-PREFERRED BRAND Carbaphen 12 Carbaphen 12 PED Clarinex-d 12 HOUR Codar AR Decon-a Decon-G Flowtuss Hycofenix Hyper-sal Hypersal Nebusal Neotuss Plus Obredon Panatuss Dxp Relhist Rezira Semprex-d Tessalon Perles TussicapsQL Tussionex Pennkinetic Extended ReleaseQL Tuzistra XR VituzQL Zonatuss Zutripro

ANTIASTHMATIC/COPD AGENTS TIER 01

TIER 02

TIER 03

PREFERRED GENERIC albuterol sulfate albuterol sulfate ER budesonide ipratropium bromide ipratropium bromide/albuterol sulfate levalbuterol levalbuterol HCL montelukast sodium terbutaline sulfate theochron theophylline CR theophylline ER zafirlukast Cromolyn Sodium NON-PREFERRED GENERIC difil-G forte theophylline zileuton ER Metaproterenol Sulfate PREFERRED BRAND Advair Diskus Advair HFA Anoro Ellipta Asmanex HFA Asmanex Twisthaler 120 Metered Doses Asmanex Twisthaler 14 Metered Doses Asmanex Twisthaler 30 Metered Doses Asmanex Twisthaler 60 Metered Doses Asmanex Twisthaler 7 Metered Doses Breo Ellipta Combivent Respimat Dulera Flovent Diskus Flovent HFA Fluticasone Propionate/Salmeterol Foradil Aerolizer Qvar Serevent Diskus Spiriva Handihaler Spiriva Respimat Ventolin HFA NON-PREFERRED BRAND Accolate Aerospan Airduo Respiclick 113/14 Airduo Respiclick 232/14 Airduo Respiclick 55/14 Alvesco Arcapta Neohaler Armonair Respiclick 113 Armonair Respiclick 232 Armonair Respiclick 55 Arnuity ElliptaST Atrovent HFA Bevespi Aerosphere Brovana Daliresp Elixophyllin Incruse Ellipta Levalbuterol Tartrate HFAST Perforomist Proair HFAST Proair RespiclickST Proventil HFAST Pulmicort Pulmicort Flexhaler Seebri Neohaler


32

TIER 04

Singulair Stiolto Respimat Striverdi RespimatST SymbicortPA Theo-24 Trelegy Ellipta Tudorza PressairST Utibron Neohaler Vospire ER Xopenex Xopenex Concentrate Xopenex HFAST Zyflo Zyflo CR SPECIALTY Nucala

VITAMINS TIER 01 TIER 02 TIER 03

MULTIVITAMINS TIER 01

RESPIRATORY AGENTS - MISC TIER 04

SPECIALTY Esbriet KalydecoPA Ofev OrkambiPA Pulmozyme

VACCINES FORMULARY

PREFERRED GENERIC vitamin d PREFERRED BRAND Mephyton NON-PREFERRED BRAND Drisdol Ergocal Potaba

FORMULARY Afluria PF 2015-2016 Afluria PF 2016-2017 Afluria PF 2017-2018 Afluria Quadrivalent 2016-2017 Afluria Quadrivalent 2017-2018 Afluria 2015-2016 Afluria 2016-2017 Afluria 2017-2018 Fluarix Quadrivalent 2015-2016 Fluarix Quadrivalent 2016-2017 Fluarix Quadrivalent 2017-2018 Flublok Quadrivalent 2017-2018 Flublok 2015-2016 Flublok 2016-2017 Flublok 2017-2018 Flucelvax Quadrivalent 2016-2017 Flucelvax Quadrivalent 2017-2018 Flucelvax 2015-2016 Flulaval Quadrivalent 2014-2015 Flulaval Quadrivalent 2015-2016 Flulaval Quadrivalent 2016-2017 Flulaval Quadrivalent 2017-2018 Flumist Quadrivalent Fluvirin 2015-2016 Fluvirin 2016-2017 Fluvirin 2017-2018 Fluzone Intradermal Quadrivalent 2015-2016 Fluzone Intradermal Quadrivalent 2016-2017 Fluzone Intradermal Quadrivalent 2017-2018 Fluzone Quadrivalent 2015-2016 Fluzone Quadrivalent 2016-2017 Fluzone Quadrivalent 2017-2018 Fluzone Split 2015-2016 Influenza Vaccine For Safeway Dependants Medical Provider EZ Flu Shot PF 2014-2015 Medical Provider EZ Flu Shot 2015-2016 Medical Provider Single Use EZ Flu Shot Medical Provider Single Use EZ Flu Shot 2016-2017 Zostavax

VITAMINS

PREFERRED GENERIC dialyvite folbee plus mult-vitamin/fluoride multi vitamin/fluoride multi-vit/fluoride multi-vit/iron/fluoride multi-vitamin/fluoride multi-vitamin/fluoride drops multi-vitamin/fluoride/iron multivitamin with fluoride multivitamin/fluoride multivitamin/fluoride/iron multivitamins/fluoride mynephrocaps mynephron nephronex rena-vite RX renal CAPS reno CAPS tri-vit/fluoride tri-vitamin/fluoride triphrocaps triple-vitamin/fluoride virt-vite plus virt-CAPS vitamins a/c/d/fluoride vol-care RX vp-vite RX Bp Folinatal Plus B Bp Multinatal Plus Complete Natal DHA Completenate CO-natal Fa Elite-OB Floriva Plus Folbee Plus Cz Inatal Advance Inatal GT Inatal Ultra Macnatal CN DHA Mynatal Advance Mynatal Plus Mynatal Ultracaplet Mynatal-z Mynate 90 Plus MVC-fluoride Pr Natal 400 Pr Natal 400 EC Pr Natal 430 Pr Natal 430 EC Prenaissance Plus Prenatabs RX Prenatal-u PNV-select PNV-DHA Quflora Pediatric Se-natal 19


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TIER 02

Se-tan DHA Taron-prex Triadvance Trinatal RX 1 Trinate Ultimatecare One Ultimatecare One NF Vinate II Vinate M Vinate One Vitafol-OB NON-PREFERRED GENERIC corvita Floriva Tri-vit/Fluoride/Iron PREFERRED BRAND Active OB Atabex EC Bal-care DHA C-nate DHA Calcium PNV Citranatal Assure Citranatal B-calm Citranatal DHA Citranatal Harmony Citranatal RX Citranatal 90 DHA Concept DHA Concept OB Dialyvite 3000 Dialyvite 5000 Dothelle DHA Duet DHA Balanced Duet DHA 400 Enbrace HR Extra-virt Plus DHA Focalgin CA Focalgin 90 DHA Folcal DHA Folcaps Omega 3 Folet DHA Folet One Folivane-OB Hemenatal OB Hemenatal OB + DHA Infanate Balance Levomefolate DHA Marnatal-f Mynatal Natachew Natalvit Natelle One Neevo DHA Nestabs Nestabs Abc Nestabs DHA Newgen Nexa Plus O-CAL Prenatal Obstetrix One OB Complete OB Complete One OB Complete Petite OB Complete Premier OB Complete/DHA Preferaob +dha Preferaob One Prenaissance Prenaissance Balance Prenaissance Harmony DHA

Prenaissance Next Prenaissance Next-b Prenata Prenatabs Fa Prenatal Plus Iron Prenatal 19 Prenate Prenate AM Prenate DHA Prenate Elite Prenate Enhance Prenate Essential Prenate Mini Prenate Pixie Prenate Restore Prenate Star Prena1 Chew Prena1 Pearl Preque 10 Pretab Provida DHA Provida OB Purefe OB Plus PNV Ferrous Fumarate/Docusate/Folic Acid PNV Ob+dha PNV TABS 29-1 PNV-dha+docusate PNV-omega PNV-total PNV-vp-u R-natal OB Relnate DHA Renatabs Rulavite DHA Select-ob+dha Select-OB Taron-bc Taron-c DHA Thrivite RX Thrivite 19 Tri-TABS DHA Tricare Prenatal Compleat Tricare Prenatal DHA One Trinatal GT Triveen-duo DHA Triveen-prx RNF TL Folate TL-care DHA TL-select Vemavite-prx 2 Vena-bal DHA Vinate DHA RF Virt Nate Virt-advance Virt-c DHA Virt-nate DHA Virt-pn Virt-pn DHA Virt-pn Plus Virt-select Virt-vite GT Virtprex Vita-pren Vitafol Ultra Vitafol-nano Vitafol-ob+dha Vitafol-one Vitamedmd One RX/Quatrefolic Vitamedmd Plus RX/Quatre Folic Vitamedmd Redichew RX


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TIER 03

Vitapearl Viva DHA Vol-nate Vol-TAB RX Vp-ggr-b6 Prenatal Vp-heme One Vp-heme OB Vp-heme OB + DHA Vp-CH Plus Vp-CH-PNV Vp-PNV-DHA Zatean-pn DHA Zatean-pn Plus Zatean-CH NON-PREFERRED BRAND Advanced AM/PM Citranatal Bloom Corvite Dialyvite Supreme D Dialyvite/Zinc Escavite Escavite D Escavite LQ Folgard OS Kosher Prenatal Plus Iron Multivitamin With Fluoride Multivitamin/Fluoride Mykidz Iron Fl Nephplex RX Nephro-vite RX Nestabs One Nicomide Nutrivit Ocuvel OB Complete Gold Poly-VI-flor Poly-VI-flor FS Poly-VI-flor/Iron Prefera OB Prena 1 True Primacare PNV Prenatal Plus Multivitamin + DHA Quflora FE Quflora FE Pediatric Quflora Gummies Renatabs With Iron Strovite Forte Supervite EC Synagex Synatek Texavite LQ Tri-VI-flor Tri-VI-floro Tricare Prenatal Tricare Prenatal DHA One/Folate Tricare Prenatal 1 Tristart DHA Tristart One TL G-FOL OS TL-fluorivite Udamin SP Vitafol Fe+ Vitafol Gummies Vital-d RX Vitatrue

MEDICAL DEVICES DIABETIC SUPPLIES TIER 01

PREFERRED GENERIC Advocate Insulin Pen Needles 29GX12.7MM Advocate Insulin Pen Needles 31GX5MM Advocate Insulin Pen Needles 31GX8MM Advocate Insulin Syringe/U-100/0.3ML/29GX1/2" Advocate Insulin Syringe/U-100/0.3ML/30GX5/16" Advocate Insulin Syringe/U-100/0.3ML/31GX5/16" Advocate Insulin Syringe/U-100/0.5ML/29GX1/2" Advocate Insulin Syringe/U-100/0.5ML/30GX5/16" Advocate Insulin Syringe/U-100/0.5ML/31GX5/16" Advocate Insulin Syringe/U-100/1ML/29GX1/2" Advocate Insulin Syringe/U-100/1ML/30GX5/16" Advocate Insulin Syringe/U-100/1ML/31GX5/16" Anti-stick Insulin Syringe/U-100/0.5ML/28G X 1/2" Anti-stick Insulin Syringe/U-100/0.5ML/29G X 1/2" Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2" Assure ID Insulin Safety Syringe/U-100/0.5ML/29G X 1/2" Assure ID Insulin Safety Syringe/U-100/1ML/29G X 1/2" Aurora Pen Needles 29GX12MM Aurora Pen Needles 31G X 6MM Aurora Pen Needles 31G X 8MM Aurora Unifine Pentips/Mini/31GX3/16" Aurora Unifine Pentips/32GX5/32" B-d Insulin Syringe Ultrafine II/0.3ML/31G X 5/16" B-d Insulin Syringe Ultrafine II/0.5ML/31G X 5/16" B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16" B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2" B-d Insulin Syringe Ultrafine/0.5ML/30G X 1/2" B-d Insulin Syringe Ultrafine/1ML/30G X 1/2" BD Autoshield 29G X 3/16" BD Autoshield 29G X 5/16" BD Insulin Syringe LUER-LOK/U-100/1ML BD Insulin Syringe Microfine IV/U-100/0.3ML/28G X 1/2" BD Insulin Syringe Microfine IV/U-100/0.5ML/28G X 1/2" BD Insulin Syringe Microfine IV/U-100/1ML/27G X 5/8" BD Insulin Syringe Microfine IV/U-100/1ML/28G X 1/2" BD Insulin Syringe Microfine/U-100/0.3ML/28G X 1/2" BD Insulin Syringe Microfine/U-100/0.5ML/28G X 1/2" BD Insulin Syringe Microfine/U-100/1ML/27G X 5/8" BD Insulin Syringe Microfine/U-100/1ML/28G X 1/2" BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 15/64" BD Insulin Syringe Safetyglide/U-100/0.3ML/31G X 5/16" BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2" BD Insulin Syringe Safetyglide/1ML/29G X 1/2" BD Insulin Syringe Slip Tip/U-100/1ML BD Insulin Syringe U-40/1ML/25G X 5/8" BD Insulin Syringe Ultrafine Half-unit/0.3ML/31G X 5/16" BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16" BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16" BD Insulin Syringe Ultrafine/U-100/0.3ML/29G X 1/2" BD Insulin Syringe Ultrafine/U-100/0.3ML/30G X 1/2" BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 15/64" BD Insulin Syringe Ultrafine/U-100/0.3ML/31G X 5/16" BD Insulin Syringe Ultrafine/U-100/0.5ML/29G X 1/2" BD Insulin Syringe Ultrafine/U-100/0.5ML/30G X 1/2" BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 15/64" BD Insulin Syringe Ultrafine/U-100/0.5ML/31G X 5/16" BD Insulin Syringe Ultrafine/U-100/1ML/29G X 1/2" BD Insulin Syringe Ultrafine/U-100/1ML/30G X 1/2" BD Insulin Syringe Ultrafine/U-100/1ML/31G X 15/64" BD Insulin Syringe Ultrafine/U-100/1ML/31G X 5/16" BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2" BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16" BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2" BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16" BD Insulin Syringe Ultrafine/1ML/30G X 1/2" BD Insulin Syringe Ultrafine/1ML/31G X 5/16" BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 1" BD Insulin Syringe/Detachable Needle/U-100/1ML/25G X 5/8"


35

BD Insulin Syringe/Detachable Needle/U-100/1ML/26G X 1/2" BD Insulin Syringe/U-100/0.5ML/30G X 1/2" BD Insulin Syringe/U-100/1ML/27G X 1/2" BD Insulin Syringe/U-100/1ML/28G X 1/2" BD Insulin Syringe/U-100/2ML/27.5G X 5/8" BD Insulin Syringe/U-500/0.5ML/31G X 15/64" BD Integra Insulin Syringe/U-100/1ML/29G X 1/2" BD Integra Syringe/Retracting Needle/1ML/25G X 1" BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2" BD Pen Needle/Mini/Ultrafine/31G X 3/16" BD Pen Needle/Nano/Ultra Fine/32G X 4MM BD Pen Needle/SHORT/Ultrafine/31G X 5/16" BD Pen Needle/Ultrafine/29G X 12.7MM BD Pen Needle/Ultrafine/29GX1/2" 12.7MM BD Pen Needles SHORT/Ultrafine/31G X 5/16" BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2" BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2" BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16" BD Ultra-fine Micro Pen Needles 6MM X 32G Carefine Pen Needle 32GX4MM Carefine Pen Needles 29GX1/2" Carefine Pen Needles 30GX5/16" Carefine Pen Needles 31GX6MM Carefine Pen Needles 31GX8MM Carefine Pen Needles 32GX5MM Carefine Pen Needles 32GX6MM Careone Insulin Syringes/0.3ML/30G X 1/2" Careone Insulin Syringes/0.3ML/31G X 5/16" Careone Insulin Syringes/0.5ML/30G X 1/2" Careone Insulin Syringes/0.5ML/31G X 5/16" Careone Insulin Syringes/1ML/30G X 1/2" Careone Insulin Syringes/1ML/31GX5/16" Careone Unifine Pentips Pen Needles 32GX4MM Careone Unifine Pentips Plus Pen Needles 29GX12MM Careone Unifine Pentips Plus Pen Needles 31GX5MM Careone Unifine Pentips Plus Pen Needles 31GX6MM Careone Unifine Pentips Plus Pen Needles 31GX8MM Careone Unifine Pentips Plus Pen Needles 32GX4MM Careone Unifine Pentips 29GX12MM Careone Unifine Pentips 31GX5MM Careone Unifine Pentips 31GX6MM Careone Unifine Pentips 31GX8MM Caretouch Pen Needles 31 G X 6 MM Caretouch Pen Needles 31GX 5MM Caretouch Pen Needles 31GX 8MM Caretouch Pen Needles 32GX 4MM Caretouch Pen Needles 32GX 5MM Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM Clever Choice Comfort EZ Insulin Syringe/U100/1ML/31GX5/16" Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2" Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16" Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16" Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2"

Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2" Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2" Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16" Clever Choice Comfort EZ Pen Needles 29GX12MM Clever Choice Comfort EZ Pen Needles 31GX5MM Clever Choice Comfort EZ Pen Needles 31GX6MM Clever Choice Comfort EZ Pen Needles 31GX8MM Clever Choice Comfort EZ Pen Needles 32GX4MM Clever Choice Comfort EZ Pen Needles 32GX5MM Clever Choice Comfort EZ Pen Needles 32GX6MM Clever Choice Comfort EZ Pen Needles 32GX8MM Clever Choice Comfort EZ Pen Needles 33GX5MM Clever Choice Comfort EZ Pen Needles 33GX6MM Clever Choice Comfort EZ Pen Needles 33GX8MM Clickfine Pen Needle Universal/31GX1/4" Clickfine Pen Needle Universal/31GX5/16" Clickfine Pen Needle 32GX5/32" Clickfine Pen Needles/31GX1/4" Clickfine Pen Needles/31GX5/16" Clickfine Universal Pen Needles 31GX5/16" Comfort Assist Insulin Syringe 0.3ML/29G X 1/2" Comfort Assist Insulin Syringe/0.3ML/30G X 5/16" Comfort Assist Insulin Syringe/0.3ML/31G X 5/16" Comfort Assist Insulin Syringe/0.5ML/29G X 1/2" Comfort Assist Insulin Syringe/0.5ML/30G X 5/16" Comfort Assist Insulin Syringe/0.5ML/31G X 5/16" Comfort Assist Insulin Syringe/1ML/29G X 1/2" Comfort Assist Insulin Syringe/1ML/30G X 5/16" Comfort Assist Insulin Syringe/1ML/31G X 5/16" Droplet Pen Needles 29GX12MM Droplet Pen Needles 31GX5MM Droplet Pen Needles 31GX6MM Droplet Pen Needles 31GX8MM Droplet Pen Needles 32GX4MM Droplet Pen Needles 32GX5MM Droplet Pen Needles 32GX6MM Droplet Pen Needles 32GX8MM Drug Mart Unifine Pentips 31GX5MM Drug Mart Unifine Pentipsplus 32GX4MM Drug Mart Unifine Pentips29G X 12MM Drug Mart Unifine Pentips31GX6MM Drug Mart Unifine Pentips31GX8MM Drug Mart Unifine Pentips32GX4MM Duane Reade Unifine Pentips 29G X 12MM Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT Duane Reade Unifine Pentips 31G X 8MM SHORT Easy Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2" Easy Comfort Insulin Syringe/U-100/1ML/30G X 1/2" Easy Comfort Insulin Syringe/0.3ML/30G X 5/16" Easy Comfort Insulin Syringe/0.5ML/30G X 5/16" Easy Comfort Insulin Syringe/0.5ML/31G X 5/16" Easy Comfort Insulin Syringe/1ML/30G X 5/16" Easy Comfort Insulin Syringe/1ML/31G X 5/16" Easy Comfort Pen Needles 31GX1/4" Easy Comfort Pen Needles 31GX3/16" Easy Comfort Pen Needles 31GX5/16" Easy Comfort Pen Needles 32GX5/32" Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2" Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2" Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16" Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16" Easy Touch Insulin Syringe/Safety/U-100/0.5ML/29G X 1/2" Easy Touch Insulin Syringe/Safety/U-100/0.5ML/30G X 5/16" Easy Touch Insulin Syringe/Safety/U-100/1ML/29G X 1/2" Easy Touch Insulin Syringe/Safety/U-100/1ML/30G X 1/2" Easy Touch Insulin Syringe/U-100/0.3ML/30G X 1/2"


36

Easy Touch Insulin Syringe/U-100/0.5ML/27G X 1/2" Easy Touch Insulin Syringe/U-100/0.5ML/28G X 1/2" Easy Touch Insulin Syringe/U-100/0.5ML/30G X 1/2" Easy Touch Insulin Syringe/U-100/0.5ML/31G X 5/16" Easy Touch Insulin Syringe/U-100/1ML/27G X 1/2" Easy Touch Insulin Syringe/U-100/1ML/28G X 1/2" Easy Touch Insulin Syringe/U-100/1ML/29G 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" Easy Touch Insulin Syringe/0.3ML/30G X 5/16" Easy Touch 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" Easy Touch Insulin Syringe/1ML/30G X 5/16" Easy Touch Pen Needle 30 G X 5/16" Easy Touch Pen Needles 29GX1/2" Easy Touch Pen Needles 31GX1/4" Easy Touch Pen Needles 31GX5/16" Easy Touch Pen Needles 32GX1/4" Easy Touch Pen Needles 32GX3/16" Easy Touch Pen Needles 32GX5/32" Easy Touch Pen Needles/31G X 3/16" Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2" Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16" Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16" Easy Touch Sheathlock Safety Syringe 1ML/30GX1/2" Easy Touch 32GX5MM Easy Touch 32GX6MM Elite-thin Insulin Syringe/U-100/0.5ML/28G X 1/2" Elite-thin Insulin Syringe/U-100/0.5ML/28G X 5/16" Elite-thin Insulin Syringe/U-100/0.5ML/29G X 5/16" Elite-thin Insulin Syringe/U-100/0.5ML/31G X 5/16" Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2" Elite-thin Insulin Syringe/U-100/1ML/28G X 5/16" Elite-thin Insulin Syringe/U-100/1ML/29G X 1/2" Elite-thin Insulin Syringe/U-100/1ML/31G X 5/16" Elite-thin Insulin Syringe/0.3ML/31G X 5/16" Elite-thin Insulin Syringe/0.5ML/29G X 1/2" Elite-thin Insulin Syringe/0.5ML/30G X 5/16" Elite-thin Insulin Syringe/1ML/29G X 5/16" Elite-thin Insulin Syringe/1ML/30G X 5/16" Eql Insulin Syringe/U-100/0.3ML/29G X 1/2" Eql Insulin Syringe/U-100/0.5ML/29G X 1/2" Eql Insulin Syringe/U-100/1ML/29G X 1/2" Eql Insulin Syringe/0.3ML/29G X 1/2" Eql Insulin Syringe/0.3ML/30G X 5/16" Eql Insulin Syringe/0.3ML/31G X 5/16" Eql Insulin Syringe/0.5ML/29G X 1/2" Eql Insulin Syringe/0.5ML/30G X 5/16" Eql Insulin Syringe/0.5ML/31G X 5/16" Eql Insulin Syringe/1ML/29G X 1/2" Eql Insulin Syringe/1ML/30G X 5/16" Eql Insulin Syringe/1ML/31G X 5/16" Eql SHORT Pen Needles 31G X 8MM Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16" Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16" Eql Ultra SHORT Pen Needles 31G X 6MM Exel Comfort Point Insulin Pen Needles 29G X 12MM Exel Comfort Point Insulin Pen Needles 31G X 6MM Exel Comfort Point Insulin Pen Needles 31G X 8MM Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2" Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16" Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2" Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2" Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16" Exel Comfort Point Insulin Syringe/1ML/28G X 1/2" Exel Comfort Point Insulin Syringe/1ML/29G X 1/2" Exel Comfort Point Insulin Syringe/1ML/30G X 5/16"

Fifty50 Pen Needles 31G X3/16" (5MM) Fifty50 Pen Needles 31G X5/16" (8MM) Fifty50 Pen Needles 31GX5MM Fifty50 Pen Needles/31GX8MM Fifty50 Pen Needles/32GX4MM Fifty50 Pen Needles/32GX6MM Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16" Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16" Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM Freds Pharmacy Unifine Pentips Plus 31GX5MM Freds Pharmacy Unifine Pentips Plus 31GX8MM Freestyle Precision Insulin Syringe/U-100/0.5ML/30G X 5/16" Freestyle Precision Insulin Syringe/U-100/0.5ML/31G X 5/16" Freestyle Precision Insulin Syringe/U-100/1ML/31G X 5/16" Freestyle Precision Insulin Syringes/U-100/1ML/30G X 5/16" Global Ease Inject Pen Needles 29GX12MM Global Ease Inject Pen Needles 31GX8MM Global Ease Inject Pen Needles 32GX4MM Global Ease Inject Pen Neeedles 31GX5MM Global Easy Glide Insulinsyringe/U-100/0.3ML/31G X 5/16" Global Easy Glide Pen Needles 32GX4MM Global Inject Ease Insulin Syringe/U-100/0.3ML/29G X 1/2" Global Inject Ease Insulin Syringe/U-100/0.3ML/30G X 1/2" Global Inject Ease Insulin Syringe/U-100/0.3ML/30G X 5/16" Global Inject Ease Insulin Syringe/U-100/0.3ML/31G X 5/16" Global Inject Ease Insulin Syringe/U-100/0.5ML/28G X 1/2" Global Inject Ease Insulin Syringe/U-100/0.5ML/29G X 1/2" Global Inject Ease Insulin Syringe/U-100/0.5ML/30G X 1/2" Global Inject Ease Insulin Syringe/U-100/0.5ML/30G X 5/16" Global Inject Ease Insulin Syringe/U-100/0.5ML/31G X 5/16" Global Inject Ease Insulin Syringe/U-100/1ML/28G X 1/2" Global Inject Ease Insulin Syringe/U-100/1ML/29G X 1/2" Global Inject Ease Insulin Syringe/U-100/1ML/30G X 1/2" Global Inject Ease Insulin Syringe/U-100/1ML/30G X 5/16" Global Inject Ease Insulin Syringe/U-100/1ML/31G X 5/16" Global Insulin Syringe/U-100/0.3ML/30G X 1/2" Global Insulin Syringes/U-100/0.3ML/30GX5/16" Glucopro Insulin Syringe/U-100/0.3ML/30G X 1/2" Glucopro Insulin Syringe/U-100/0.3ML/30G X 5/16" Glucopro Insulin Syringe/U-100/0.3ML/31G X 5/16" Glucopro Insulin Syringe/U-100/0.5ML/30G X 1/2" Glucopro Insulin Syringe/U-100/0.5ML/30G X 5/16" Glucopro Insulin Syringe/U-100/0.5ML/31G X 5/16" Glucopro Insulin Syringe/U-100/1ML/30G X 1/2" Glucopro Insulin Syringe/U-100/1ML/30G X 5/16" Glucopro Insulin Syringe/U-100/1ML/31G X 5/16" Gnp Clickfine Pen Needle Universal/31GX5/16" Gnp Clickfine Universal Pen Needles 31GX1/4" Gnp Clickfine Universal Pen Needles 31GX5/16" Gnp Insulin Syringe/0.3ML/29G X 1/2" Gnp Insulin Syringe/0.3ML/30G X 5/16" Gnp Insulin Syringe/0.3ML/31G X 5/16" Gnp Insulin Syringe/0.5ML/28G X 1/2" Gnp Insulin Syringe/0.5ML/29G X 1/2" Gnp Insulin Syringe/0.5ML/30G X 5/16" Gnp Insulin Syringe/0.5ML/31G X 5/16" Gnp Insulin Syringe/1ML/28G X 1/2"


37

Gnp Insulin Syringe/1ML/29G X 1/2" Gnp Insulin Syringe/1ML/30G X 5/16" Gnp Insulin Syringe/1ML/31G X 5/16" Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2" Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT Gnp Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" SHORT Gnp Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2" Gnp Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2" Gnp Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" SHORT Gnp Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" SHORT Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2" Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT H-e-b Incontrol Pen Needles 29GX12MM H-e-b IN Control Pen Needles 31GX5MM H-e-b IN Control Pen Needles 31GX6MM H-e-b IN Control Pen Needles 31GX8MM H-e-b IN Control Pen Needles/Nano/32GX4MM H-e-b IN Control Unifine Pentips Plus 31GX5MM H-e-b IN Control Unifine Pentips Plus 32GX4MM Healthwise Mini Pen Needles 31GX6MM Healthwise Pen Needles 29GX12MM Healthwise SHORT Pen Needles 31GX8MM Healthwise Unifine Pentips Pen Needles 32GX4MM Healthy Accents Unifine Pentips Pen Needles 29GX12MM Healthy Accents Unifine Pentips Pen Needles 31GX5MM Healthy Accents Unifine Pentips Pen Needles 31GX6MM Healthy Accents Unifine Pentips Pen Needles 31GX8MM Healthy Accents Unifine Pentips Pen Needles 32GX4MM Insulin Syringe/U-100/0.3ML/29G X 1/2" Insulin Syringe/U-100/0.5ML/28G X 1/2" Insulin Syringe/U-100/0.5ML/29G X 1/2" Insulin Syringe/U-100/1ML/28G X 1/2" Insulin Syringe/U-100/1ML/29G X 1/2" Insulin Syringe/U-100/1ML/30G X 5/16" Insulin Syringe/U-100/1ML/31G X 5/16" Insulin Syringe/0.3ML/29G X 1/2" Insulin Syringe/0.3ML/29G X 1" Insulin Syringe/0.3ML/30G X 5/16" Insulin Syringe/0.3ML/31G X 5/16" Insulin Syringe/0.5ML/27G X 1/2" Insulin Syringe/0.5ML/28G X 1/2" Insulin Syringe/0.5ML/29G X 1/2" Insulin Syringe/0.5ML/30G X 1/2" Insulin Syringe/0.5ML/30G X 5/16" Insulin Syringe/0.5ML/31G X 5/16" Insulin Syringe/1ML/28G X 1/2" Insulin Syringe/1ML/29G X 1/2" Insulin Syringe/1ML/30G X 5/16" Insulin Syringe/1ML/31G X 5/16" Insulin Syringes/0.5ML/27GX1/2" Insulin Syringes/0.5ML/28GX1/2" Insulin Syringes/0.5ML/29GX1/2" Insulin Syringes/0.5ML/30GX5/16" Insulin Syringes/0.5ML/31GX 5/16" Insulin Syringes/0.5ML/31GX5/16" Insulin Syringes/1ML/27GX/1/2" Insulin Syringes/1ML/27GX1/2" Insulin Syringes/1ML/28GX1/2" Insulin Syringes/1ML/29GX1/2" Insulin Syringes/1ML/30GX1/2" Insulin Syringes/1ML/31GX5/16" Insupen Pen Needles 32G X4MM Insupen Sensitive 32GX6MM Insupen Sensitive 32GX8MM

Insupen Ultrafin 29GX12MM Insupen Ultrafin 30GX8MM Insupen Ultrafin 31GX6MM Insupen Ultrafin 31GX8MM Insupen 29G X 12MM Insupen 31G X 5MM Insupen 31G X 8MM Insupen 32G X 4MM Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16" Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16" Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16" Kinray Insulin Syringe/0.5ML/29G X 1/2" Kmart Valu Plus Insulin Syringe/0.3ML/30G Kmart Valu Plus Insulin Syringe/0.5ML/29G Kmart Valu Plus Insulin Syringe/0.5ML/30G Kmart Valu Plus Insulin Syringe/1ML/29G Kmart Valu Plus Insulin Syringe/1ML/30G Kroger Insulin Syringe/0.3ML/29G X 1/2" Kroger Insulin Syringe/0.3ML/30G X 5/16" Kroger Insulin Syringe/0.3ML/31G X 5/16" Kroger Insulin Syringe/0.5ML/29G X 1/2" Kroger Insulin Syringe/0.5ML/30G X 5/16" Kroger Insulin Syringe/0.5ML/31G X 5/16" Kroger Insulin Syringe/1ML/29G X 1/2" Kroger Insulin Syringe/1ML/30G X 5/16" Kroger Insulin Syringe/1ML/31G X 5/16" Kroger Pen Needles 29G X 12MM Kroger Pen Needles 31G X 8MM Kroger Pen Needles 31GX1/4" Leader Insulin Syringe/0.3ML/29G X 1/2" Leader Insulin Syringe/0.3ML/30G X 5/16" Leader Insulin Syringe/0.3ML/31G X 5/16" Leader Insulin Syringe/0.5ML/28G X 1/2" Leader Insulin Syringe/0.5ML/29G X 1/2" Leader Insulin Syringe/0.5ML/30G X 5/16" Leader Insulin Syringe/0.5ML/31G X 5/16" Leader Insulin Syringe/1ML/28G X 1/2" Leader Insulin Syringe/1ML/29G X 1/2" Leader Insulin Syringe/1ML/30G X 5/16" Leader Insulin Syringe/1ML/31G X 5/16" Leader Unifine Pentips Plus/Mini/31GX3/16" Leader Unifine Pentips Plus/SHORT/31GX5/16" Leader Unifine Pentips/Mini/31GX3/16" Leader Unifine Pentips/Nano/32GX5/32" Leader Unifine Pentips/Plus/32GX5/32" Lite Touch Pen Needles/31G X 3/16" Litetouch Insulin Syringe/U-100/0.5ML/28G X 1/2" Litetouch Insulin Syringe/U-100/0.5ML/29G X 1/2" Litetouch Insulin Syringe/U-100/1ML/28G X 1/2" Litetouch Insulin Syringe/U-100/1ML/29G X 1/2" Litetouch Insulin Syringe/U-100/1ML/31G X 5/16" Litetouch Insulin Syringe/0.3ML/29G X 1/2" Litetouch Insulin Syringe/0.3ML/30G X 5/16" Litetouch Insulin Syringe/0.3ML/31G X 5/16" Litetouch Insulin Syringe/0.5ML/30G X 5/16" Litetouch Insulin Syringe/0.5ML/31G X 5/16" Litetouch Insulin Syringe/1ML/30G X 5/16" Litetouch Pen Needles 29GX12.7MM Litetouch Pen Needles 31G X 6MM Litetouch Pen Needles 31GX8MM SHORT Live Better Pen Needles 29G X 12MM Live Better Pen Needles 31G X 12MM Live Better Pen Needles 31G X 6MM Longs Insulin Syringe/0.5ML/31G X 5/16" Magellan Insulin Safety Syringe/U-100/0.3ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.3ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/0.5ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/0.5ML/30G X 5/16" Magellan Insulin Safety Syringe/U-100/1ML/29G X 1/2" Magellan Insulin Safety Syringe/U-100/1ML/30G X 5/16"


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Marathon Medical Pentips 29GX12MM Marathon Medical Pentips 31GX5MM Marathon Medical Pentips 31GX8MM Marathon Medical Pentips 32GX4MM Maxi-comfort Insulin Syringe/U-100/0.5ML/28GX1/2" Maxi-comfort Insulin Syringe/U-100/1ML/28GX1/2" Medic Insulin Syringe/0.3ML/30G X 5/16" Medic Insulin Syringe/0.5ML/30G X 5/16" Medicine Shoppe Pen Needles 29G X 12MM Medicine Shoppe Pen Needles 31G X 6MM Medicine Shoppe Pen Needles 31G X 8MM Meijer Pen Needles 29G X 12MM Meijer Pen Needles 31G X 6MM Meijer Pen Needles 31G X 8MM Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8" Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2" Monoject Insulin Syringe/Perm Needle/U-100/0.5ML/28G X 1/2" Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2" Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2" Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2" Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2" Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2" Monoject Insulin Syringe/Softpack/U-100/0.5ML/28G X 1/2" Monoject Insulin Syringe/Softpack/1ML/27G X 1/2" Monoject Insulin Syringe/U-100/0.3ML/30G X 5/16" Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2" Monoject Insulin Syringe/U-100/0.5ML/30G X 5/16" Monoject Insulin Syringe/U-100/1ML/28G X 1/2" Monoject Insulin Syringe/U-100/1ML/30G X 5/16" Monoject Insulin Syringe/1ML Monoject Insulin Syringe/1ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2" Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Moore MED Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2" Moore MED Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2" Moore MED Monoject Insulin Syringe/U-100/1ML/28G X 1/2" Moore MED Monoject Insulin Syringe/U-100/1ML/29G X 1/2" MS Insulin Syringe/0.3ML/29G X 1/2" MS Insulin Syringe/0.3ML/30G X 5/16" MS Insulin Syringe/0.3ML/31G X 5/16" MS Insulin Syringe/0.5ML/29G X 1/2" MS Insulin Syringe/0.5ML/30G X 5/16" MS Insulin Syringe/0.5ML/31G X 5/16" MS Insulin Syringe/1ML/29G X 1/2" MS Insulin Syringe/1ML/30G X 5/16" MS Insulin Syringe/1ML/31G X 5/16" Novofine Autocover 30GX8MM Novofine Plus 32GX4MM Novofine 30GX8MM Novofine 32GX6MM Novotwist 30GX8MM Novotwist 32GX5MM Pen Needles 29G X 12MM

Pen Needles 29GX1/2" Pen Needles 30GX5/16" Pen Needles 30GX8MM Pen Needles 31G X 1/4" SHORT Pen Needles 31G X 3/16" Pen Needles 31G X 5MM Pen Needles 31G X 6MM Pen Needles 31G X 8MM Pen Needles 31GX5/16" Pen Needles 31GX6MM (1/4") Pen Needles 31GX8MM Pen Needles 31GX8MM (5/16") Pen Needles 32G X 4MM Pen Needles 32G X 5MM Pen Needles 32G X 6MM Pen Needles 32GX4MM Pentips 29G X 12MM Pentips 29GX12MM Pentips 31G X 5MM Pentips 31G X 8MM Pentips 31GX5MM Pentips 31GX6MM Pentips 31GX8MM Pentips 32G X 4MM Pentips 32GX4MM Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16" Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2" Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2" Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8" Precision Sure-dose Insulin Syringe/1ML/28G X 1/2" Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2" Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2" Preferred Plus Insulin Syringe/U-100/0.3ML/29G X 1/2" Preferred Plus Insulin Syringe/U-100/0.3ML/30G X 5/16" Preferred Plus Insulin Syringe/U-100/0.5ML/28G X 1/2" Preferred Plus Insulin Syringe/U-100/0.5ML/29G X 1/2" Preferred Plus Insulin Syringe/U-100/0.5ML/30G X 5/16" Preferred Plus Insulin Syringe/U-100/1ML/28G X 1/2" Preferred Plus Insulin Syringe/U-100/1ML/29G X 1/2" Preferred Plus Insulin Syringe/U-100/1ML/30G X 5/16" Preferred Plus Unifine Pentips 29G X 12MM Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT Preferred Plus Unifine Pentips 31G X 8MM SHORT Preferred Plus Unifine Pentips 32GX4MM Preferred Plus Unifine Pentips/Mini/31GX5MM Pro Comfort Pen Needles/ 31G X 8MM Pro Comfort Pen Needles/ 32G X 4MM Pro Comfort Pen Needles/ 32G X 5MM Pro Comfort Pen Needles/ 32G X 6MM Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16" Prodigy Insulin Syringe/1/2ML/31G X 5/16" Prodigy Insulin Syringe/1ML/28G X 1/2" Px Extra SHORT Pen Needles 31GX6MM Px Insulin Syringe/U-100/0.3ML/30G X 1/2" Px Insulin Syringe/U-100/0.3ML/31G X 5/16" Px Insulin Syringe/U-100/0.5ML/30G X 1/2" Px Insulin Syringe/U-100/0.5ML/31G X 5/16" Px Insulin Syringe/U-100/1ML/30G X 1/2" Px Insulin Syringe/U-100/1ML/31G X 5/16" Px Mini Pen Needles 31GX5MM Px Pen Needle 29GX12MM Px Pen Needle 31GX8MM Px Shortlength Pen Needles/31GX8MM PC Unifine Pentips 29G X 1/2" PC Unifine Pentips 31G X 5MM Mini PC Unifine Pentips 31G X 6MM Ultra SHORT PC Unifine Pentips 31G X 8MM SHORT Qc Insulin Syringe/0.3ML/29G X 1/2" Qc Insulin Syringe/0.5ML/29G X 1/2" Qc Insulin Syringe/0.5ML/31G X 5/16"


39

Qc Insulin Syringe/1ML/29G X 1/2" Qc Insulin Syringe/1ML/31G X 5/16" Qc Pen Needles 29G X 12MM Qc Pen Needles 31G X 6MM Qc Pen Needles 31G X 8MM Qc Unifine Pentips 32GX4MM Ra Insulin Syringe/U-100/0.5ML/30G X 5/16" Ra Insulin Syringe/U-100/1 ML/30G X 5/16" Ra Insulin Syringe/0.5ML/29G X 1/2" Ra Insulin Syringe/1ML/29G X 1/2" Ra Pen Needles 31G X 5MM 3/16" Ra Pen Needles 31G X 8MM 5/16" Reality Insulin Syringe/U-100/0.5ML/28G X 1/2" Reality Insulin Syringe/U-100/0.5ML/29G X 1/2" Reality Insulin Syringe/U-100/1ML/28G X 1/2" Reality Insulin Syringe/U-100/1ML/29G X 1/2" Relion Insulin Syringe 0.5ML/31G X 15/64" Relion Insulin Syringe 1ML/31GX15/64" Relion Insulin Syringe/U -100/0.5ML/29G Relion Insulin Syringe/U-00/1ML/29G X 1/2" Relion Insulin Syringe/U-100/0.3ML/29G Relion Insulin Syringe/U-100/0.3ML/29G X 1/2" Relion Insulin Syringe/U-100/0.3ML/30G Relion Insulin Syringe/U-100/0.3ML/30G X 5/16" Relion Insulin Syringe/U-100/0.3ML/31G X 15/64" Relion Insulin Syringe/U-100/0.3ML/31G X 5/16" Relion Insulin Syringe/U-100/0.5ML/29G X 1/2" Relion Insulin Syringe/U-100/0.5ML/30G Relion Insulin Syringe/U-100/0.5ML/30G X 5/16" Relion Insulin Syringe/U-100/0.5ML/31G X 5/16" Relion Insulin Syringe/U-100/1ML/30G Relion Insulin Syringe/U-100/1ML/30G X 5/16" Relion Insulin Syringe/U-100/1ML/31G X 15/64" Relion Insulin Syringe/U-100/1ML/31G X 5/16" Relion Mini Pen Needles 31GX6MM Relion Pen Needles 29GX12MM Relion Pen Needles 31GX6MM Relion Pen Needles 31GX8MM Relion Pen Needles 32GX4MM Relion SHORT Pen Needles 31GX8MM Safesnap Insulin Syringe/0.3ML/30G X 5/16" Safesnap Insulin Syringe/0.5ML/29G X 1/2" Safesnap Insulin Syringe/0.5ML/30G X 5/16" Safesnap Insulin Syringe/1ML/28G X 1/2" Safesnap Insulin Syringe/1ML/29G X 1/2" Safety Insulin Syringes 0.5ML/29GX1/2" Safety Insulin Syringes 0.5ML/30GX5/16" Safety Insulin Syringes 1ML/27GX1/2" Safety Insulin Syringes 1ML/29GX1/2" Safety Insulin Syringes 1ML/30GX1/2" Safety-glide Insulin Syringe/0.3ML/29G X 1/2" Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/29G X 1/2" Schnucks Insulin Syringe Ulti-fine/U-100/0.5ML/30G X 5/16" Shopko Unifine Pentips Pen Needles/Micro/32GX4MM Shopko Unifine Pentips Pen Needles/Mini/31GX5MM Shopko Unifine Pentips Pen Needles/Original/29GX12MM Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM Sm Insulin Syringe/1ML/31G X 5/16" Sure Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2" Sure Comfort Insulin Syringe/U-100/0.3ML/30G X 1/2" Sure Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16" Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16

Sure Comfort Insulin Syringe/U-100/0.3ML/31G X 5/16" Sure Comfort Insulin Syringe/U-100/0.5ML/28G X 1/2" Sure Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2" Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 1/2" Sure Comfort Insulin Syringe/U-100/0.5ML/30G X 5/16" Sure Comfort Insulin Syringe/U-100/0.5ML/31G X 5/16 Sure Comfort Insulin Syringe/U-100/1ML/28G X 1/2" Sure Comfort Insulin Syringe/U-100/1ML/29G X 1/2" Sure Comfort Insulin Syringe/U-100/1ML/30G X 1/2" Sure Comfort Insulin Syringe/U-100/1ML/30G X 5/16" Sure Comfort Insulin Syringe/U-100/1ML/31G X 5/16" Sure Comfort Pen Needles 29GX1/2" 12.7MM Sure Comfort Pen Needles 30GX5/16" SHORT Sure Comfort Pen Needles 31GX3/16" (5MM) Sure Comfort Pen Needles 31GX5/16" (8MM) Sure Comfort Pen Needles 32GX5/32" Sure Comfort Pen Needles 32GX6MM Sure-fine Pen Needles 29GX1/2" 12.7MM Sure-fine Pen Needles 31GX3/16" 5MM Sure-fine Pen Needles 31GX5/16" 8MM Sure-ject Insulin Syringe/U-100/0.3ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.3ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/0.3ML/31G X 5/16" Sure-ject Insulin Syringe/U-100/0.5ML/28G X 1/2" Sure-ject Insulin Syringe/U-100/0.5ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/0.5ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/0.5ML/31G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2" Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2" Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16" Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16" SB Insulin Syringe/U-100/0.5ML/29G X 1/2" SB Insulin Syringe/U-100/0.5ML/30G X 5/16" SB Insulin Syringe/U-100/1ML/29G X 1/2" SB Insulin Syringe/U-100/1ML/30G X 5/16" SB Insulin Syringe/U-100/1ML/31G X 5/16" Techlite Pen Needles 29G X 12 MM Techlite Pen Needles 31G X 5MM Techlite Pen Needles/31G X 5MM Techlite Pen Needles/31G X 6 MM Techlite Pen Needles/31G X 8MM Techlite Pen Needles/32G X 4MM Techlite Pen Needles/32G X 6MM Techlite Pen Needles/32G X 8MM Todays Health Mini Pen Needles 31G X 1/4" Todays Health Original Pen Needles 29G X 1/2" Todays Health SHORT Pen Needles 31G X 5/16" Topcare Clickfine Universal Pen Eedles 31GX1/4" Topcare Clickfine Universal Pen Eedles 31GX5/16" Topcare Ultra Comfort Insulin Syringe/U-100/0.3ML/29G X 1/2" Topcare Ultra Comfort Insulin Syringe/U-100/0.5ML/29G X 1/2" Topcare Ultra Comfort Insulin Syringe/U-100/1ML/29G X 1/2" Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" Topcare Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" Topcare Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" Topcare Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16" Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16" Topco Insulin Syringe/U-100/0.3ML/29G X 1/2" Topco Insulin Syringe/U-100/0.5ML/28G X 1/2" Topco Insulin Syringe/U-100/0.5ML/29G X 1/2" Topco Insulin Syringe/U-100/1ML/28G X 1/2" Topco Insulin Syringe/U-100/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.3ML/29G X 1/2" Trueplus Insulin Syringe/U-100/0.3ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.3ML/31G X 5/16" Trueplus Insulin Syringe/U-100/0.5ML/28G X 1/2" Trueplus Insulin Syringe/U-100/0.5ML/29G X 1/2"


40

Trueplus Insulin Syringe/U-100/0.5ML/30G X 5/16" Trueplus Insulin Syringe/U-100/0.5ML/31G X 5/16" Trueplus Insulin Syringe/U-100/1ML/28G X 1/2" Trueplus Insulin Syringe/U-100/1ML/29G X 1/2" Trueplus Insulin Syringe/U-100/1ML/30G X 5/16" Trueplus Insulin Syringe/U-100/1ML/31G X 5/16" Trueplus Pen Needles 29GX12MM Trueplus Pen Needles 31GX5MM Trueplus Pen Needles 31GX6MM Trueplus Pen Needles 31GX8MM Trueplus Pen Needles 32GX4MM Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2" Ulticare Insulin Safety Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe Ultrafine U-100/0.3ML/31G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/0.5ML/31G X 5/16" Ulticare Insulin Syringe Ultrafine U-100/1ML/31G X 5/16" Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16" Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16" Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16" Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16" Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16" Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16" Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2" Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2" Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16" Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16" Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2" Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2" Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16" Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16" Ulticare Insulin Syringe/U-100/1ML/29G X 1/2" Ulticare Insulin Syringe/U-100/1ML/30G X 1/2" Ulticare Insulin Syringe/U-100/1ML/30G X 5/16" Ulticare Insulin Syringe/U-100/1ML/31G X 5/16" Ulticare Insulin Syringe/0.3ML/29G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 1/2" Ulticare Insulin Syringe/0.3ML/30G X 5/16" Ulticare Insulin Syringe/0.5ML/28G X 1/2" Ulticare Insulin Syringe/0.5ML/29G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 1/2" Ulticare Insulin Syringe/0.5ML/30G X 5/16" Ulticare Insulin Syringe/1ML/28G X 1/2" Ulticare Insulin Syringe/1ML/29G X 1/2" Ulticare Insulin Syringe/1ML/30G X 1/2" Ulticare Insulin Syringe/1ML/30G X 5/16" Ulticare Micro Pen Needles 31G X 8MM Ulticare Micro Pen Needles 32G X 4MM Ulticare Micro Pen Needles/32G X 4MM Ulticare Mini Pen Needles Ulti-fine IV Ulticare Mini Pen Needles 31GX6MM Ulticare Mini Pen Needles/31G X 6MM Ulticare Mini Pen Needles31GX6MM Ulticare Original Pen Needles Ulti-fine Ulticare Pen Needles 31G X 5MM/Mini Ulticare Pen Needles/29G X 12.7MM Ulticare SHORT Pen Needles Ulti-fine IV Ulticare SHORT Pen Needles 31GX8MM Ulticare SHORT Pen Needles/31G X 8MM Ultiguard Insulin Syringe/U-100/0.5ML/30G X 5/16" Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16" Ultilet Insulin Syringe 31X6MM Ultilet Insulin Syringe/SHORT/0.3ML/30G X 12.7MM Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16" Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16" Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16" Ultilet Insulin Syringe/U-100/0.5ML/30G X 1/2" Ultilet Insulin Syringe/U-100/0.5ML/31GX6MM

Ultilet Insulin Syringe/U-100/1ML/30G X 1/2" Ultilet Insulin Syringe/0.3ML/30G X 8MM Ultilet Insulin Syringe/0.3ML/31G X 8MM Ultilet Insulin Syringe/0.5ML/30G X 8MM Ultilet Insulin Syringe/1ML/30G X 8MM Ultilet Insulin Syringe/1ML/31G X 8MM Ultilet Pen Needle 29GX12.7MM Ultilet Pen Needle 31GX5MM Ultilet Pen Needle 31GX8MM Ultilet Pen Needle 32GX4MM Ultilet Pen Needle 32GX4MM/SHORT Ultilet SHORT Pen Needles 31GX5/16" Ultilet SHORT Pen Needles31GX3/16" Ultra Comfort Insulin Syringe/U-100/0.3ML/30G X 5/16" Ultra-comfort Insulin Syringe/U-100/0.3ML/29G X 1/2" Ultra-comfort Insulin Syringe/U-100/0.3ML/30G X 5/16" Ultra-comfort Insulin Syringe/U-100/0.3ML/31G X 5/16" Ultra-comfort Insulin Syringe/U-100/0.5ML/28G X 1/2" Ultra-comfort Insulin Syringe/U-100/0.5ML/29G X 1/2" Ultra-comfort Insulin Syringe/U-100/0.5ML/30G X 5/16" Ultra-comfort Insulin Syringe/U-100/0.5ML/31G X 5/16" Ultra-comfort Insulin Syringe/U-100/1ML/28G X 1/2" Ultra-comfort Insulin Syringe/U-100/1ML/29G X 1/2" Ultra-comfort Insulin Syringe/U-100/1ML/30G X 5/16" Ultra-comfort Insulin Syringe/U-100/1ML/31G X 5/16" Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/30GX5/16" Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/31GX5/16" Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/30GX5/16" Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/31GX5/16" Ultra-thin II Insulin Syringe SHORT/U-100/1ML/30GX5/16" Ultra-thin II Insulin Syringe SHORT/U-100/1ML/31GX5/16" Ultra-thin II Insulin Syringe/U-100/0.3ML/29GX1/2" Ultra-thin II Insulin Syringe/U-100/0.5ML/29GX1/2" Ultra-thin II Insulin Syringe/U-100/1ML/29GX1/2" Ultra-thin II Mini Pen Neeedles/31GX3/16" Ultra-thin II Pen Needles 29GX1/2" Ultra-thin II Pen Needles/SHORT/31GX5/16" Unifine Pentips Plus 29GX12MM Unifine Pentips Plus 31GX5MM Unifine Pentips Plus 31GX6MM Unifine Pentips Plus 31GX8MM Unifine Pentips Plus 32GX4MM Unifine Pentips 29GX12MM Unifine Pentips 31G X 3/16" Unifine Pentips 31G X 6MM Unifine Pentips 31G X 8MM Unifine Pentips 31GX5MM Unifine Pentips 31GX6MM Unifine Pentips 31GX8MM Unifine Pentips 32GX4MM V-r Monoject Insulin Syringe/U-100/0.3ML/29G X 1/2" V-r Monoject Insulin Syringe/U-100/0.5ML/28G X 1/2" V-r Monoject Insulin Syringe/U-100/0.5ML/29G X 1/2" V-r Monoject Insulin Syringe/U-100/1ML/28G X 1/2" V-r Monoject Insulin Syringe/U-100/1ML/29G X 1/2" Value Health Insulin Syringe/U-100/0.5ML/29G X 1/2" Value Health Insulin Syringe/U-100/1ML/29G X 1/2" Valumark Pen Needles 29GX12MM Valumark Pen Needles 31G X 6MM Valumark Pen Needles 31G X 8MM Vanishpoint Insulin Syringe/0.5ML/30G X 1/2" Vanishpoint Insulin Syringe/0.5ML/30G X 5/16" Vanishpoint Insulin Syringe/1ML/29G X 1/2" Vanishpoint Insulin Syringe/1ML/29G X 5/16" Vanishpoint Insulin Syringe/1ML/30G X 5/16" Vida Mia Unifine Pentips Mini 31GX6MM Vida Mia Unifine Pentips Original 29GX12MM


41

Vida Mia Unifine Pentips 32GX4MM Vida Mia Unipfine Pentipsshort 31GX8MM Vp Insulin Syringe/U-100/0.3ML/29G X 1/2" Wegmans Unifine Pentips Plus 32GX4MM Wegmans Unifine Pentips Plus/Mini/31GX5MM Wegmans Unifine Pentips Plus/SHORT/31GX8MM Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM 1ST Tier Unifine Pentips /Mini/31GX5MM 1ST Tier Unifine Pentips Plus 31GX8MM 1ST Tier Unifine Pentips Plus 32GX4MM 1ST Tier Unifine Pentips Plus/Mini/31GX5MM 1ST Tier Unifine Pentips Plus/Original/29GX12MM 1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM 1ST Tier Unifine Pentips 29GX12MM 1ST Tier Unifine Pentips 31GX6MM 1ST Tier Unifine Pentips 31GX8MM 1ST Tier Unifine Pentips 32GX4MM

MEDICAL DEVICES - MISC FORMULARY

FORMULARY Aerochamber Mini Aerosol Chamber Aerochamber MV Aerochamber Plus Flow VU Aerochamber Plus Flow-VU Aerochamber Plus Flow-VU/Large Mask Aerochamber Plus Flow-VU/Mask Aerochamber Plus Flow-VU/Medium Mask Aerochamber Plus Flow-VU/Small Mask Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU Aerochamber Z-stat Plus/Flowsignal Aerochamber Z-stat Plus/Large Mask Aerochamber Z-stat Plus/Medium Mask Aerochamber Z-stat Plus/Small Mask Aerochamber/Flowsignal Aerovent Plus Holding Chamber/Collapsible Arial Chamber Breatherite Breatherite Collapsible Adult Spacer W/Mask Breatherite Collapsible Child Spacer W/Mask Breatherite Collapsible Infant Spacer W/Mask Breatherite Collapsible Small Child Spacer W/Mask Breatherite Collapsible Spacer W/ Neonate Mask Breatherite Rigid Spacer W/Mask Breatherite W/Large Mask Breatherite W/Medium Mask Breatherite W/Small Mask Clever Choice Anti-staticvalved Holding Chamber/Adult Large Clever Choice Anti-staticvalved Holding Chamber/Medium Clever Choice Anti-staticvalved Holding Chamber/Small Compact Space Chamber/Anti-static Compact Space Chamber/Anti-static/Large Mask Compact Space Chamber/Anti-static/Medium Mask Compact Space Chamber/Anti-static/Small Mask E-z Spacer E-z Spacer The Body Guards Pack Easivent Easivent/Mask-large Easivent/Mask-medium Easivent/Mask-small Flexichamber Inspirachamber/Anti-static Valved/Mouthpiece Inspirachamber/Large Inspirachamber/Soothermask/Inspiramask/Medium Inspirachamber/Soothermask/Inspiramask/Small Inspirease Drug Delivery System Liteaire Microchamber Microspacer

TIER 01

Optichamber Advantage Optichamber Advantage/Large Mask Optichamber Advantage/Medium Face Mask Optichamber Advantage/Small Face Mask Optichamber Diamond Optichamber Diamond/Largeface Mask Optichamber Diamond/Medium Face Mask Optichamber Diamond/Smallface Mask Optichamber Face Mask/Large Optichamber Face Mask/Medium Optichamber Face Mask/Small Optihaler Optihaler MDI Drug Delivery System Pocket Chamber Pocket Spacer Riteflo Valved Holding Chamber Vortex Valved Holding Chamber Watchhaler PREFERRED GENERIC Inspirease Reservoir Bags

MISCELLANEOUS AGENTS TIER 01 TIER 02

TIER 03

TIER 04

PREFERRED GENERIC naltrexone HCL NON-PREFERRED GENERIC naloxone HCL Naloxone HCL PREFERRED BRAND Chemet Narcan NON-PREFERRED BRAND EvzioST Jadenu Revia SPECIALTY Exjade FerriproxST Jadenu Sprinkle


42

Index A abacavir, 2 abacavir sulfate/lamivudine/zidovudine, 2 abacavir/lamivudine, 2 Abaneu-SL, 21 Abilify, 23 Absorica, 9 Abstral, 30 acamprosate calcium DR, 26 Acanya, 9 acarbose, 15 Accolate, 32 Accupril, 6 Accuretic, 7 acebutolol HCL, 5 Aceon, 6 Acetaminophen/Caffeine/Dihydrocodeine, 30 Acetaminophen/Caffeine/Dihydrocodeine Bitartrate, 30 acetaminophen/codeine, 29 acetaminophen/codeine phosphate, 29 acetasol HC, 28 acetazolamide, 7 acetazolamide ER, 7 acetic acid, 28 Acetic Acid/Aluminum Acetate, 28 acetylcysteine, 32 Aciphex, 18 Aciphex Sprinkle, 18 acitretin, 10 Aclovate, 10 Actemra, 31 Acticlate, 1 Actigall, 19 Actimmune, 5 Actiq, 30 Active FE, 21 Active OB, 34 Activella, 13 Actonel, 16 Actoplus Met, 16 Actoplus Met XR, 16 Actos, 16 Acular, 28 Acular LS, 28 Acuvail, 28 acyclovir, 2, 10 Aczone, 9 Adalat CC, 6 adapalene, 8 Adapalene, 8 adapalene and benzoyl peroxide, 8 adapalene P.M., 8 Adcirca, 8 Adderall, 24 Adderall XR, 24 adefovir dipivoxil, 2 Adempas, 8 Adlyxin, 15 Adlyxin Starter Pack, 15 Adoxa, 1 Adoxa PAK 1/100, 1 Adoxa PAK 1/150, 1 Adoxa PAK 2/100, 1

Adrenaclick, 7 Adrenalin, 32 Advair Diskus, 32 Advair HFA, 32 Advanced Allergy Collection Kit, 10 Advanced AM/PM, 35 Advicor, 8 Advocate Insulin Pen Needles 29GX12.7MM, 35 Advocate Insulin Pen Needles 31GX5MM, 35 Advocate Insulin Pen Needles 31GX8MM, 35 Advocate Insulin Syringe/U100/0.3ML/29GX1/2", 35 Advocate Insulin Syringe/U100/0.3ML/30GX5/16", 35 Advocate Insulin Syringe/U100/0.3ML/31GX5/16", 35 Advocate Insulin Syringe/U100/0.5ML/29GX1/2", 35 Advocate Insulin Syringe/U100/0.5ML/30GX5/16", 35 Advocate Insulin Syringe/U100/0.5ML/31GX5/16", 35 Advocate Insulin Syringe/U100/1ML/29GX1/2", 35 Advocate Insulin Syringe/U100/1ML/30GX5/16", 35 Advocate Insulin Syringe/U100/1ML/31GX5/16", 35 Adyphren Amp II Kit, 7 Adyphren Amp Kit, 7 Adyphren II, 7 Adyphren Kit, 7 Adzenys XR-odt, 24 Aerochamber Mini Aerosol Chamber, 42 Aerochamber MV, 42 Aerochamber Plus Flow VU, 42 Aerochamber Plus Flow-VU, 42 Aerochamber Plus Flow-VU/Large Mask, 42 Aerochamber Plus Flow-VU/Mask, 42 Aerochamber Plus Flow-VU/Medium Mask, 42 Aerochamber Plus Flow-VU/Small Mask, 42 Aerochamber Z-stat Plus Valved Holding Chamber W/Flow VU, 42 Aerochamber Z-stat Plus/Flowsignal, 42 Aerochamber Z-stat Plus/Large Mask, 42 Aerochamber Z-stat Plus/Medium Mask, 42 Aerochamber Z-stat Plus/Small Mask, 42 Aerochamber/Flowsignal, 42 Aerospan, 32 Aerovent Plus Holding Chamber/Collapsible, 42 afeditab CR, 5 Afinitor, 4 Afinitor Disperz, 4 Afluria 2015-2016, 33 Afluria 2016-2017, 33 Afluria 2017-2018, 33 Afluria PF 2015-2016, 33

Afluria PF 2016-2017, 33 Afluria PF 2017-2018, 33 Afluria Quadrivalent 2016-2017, 33 Afluria Quadrivalent 2017-2018, 33 Afrezza, 15 aftera, 13 Aggrenox, 22 agoneaze, 11 Agrylin, 22 airavite, 20 Airduo Respiclick 113/14, 32 Airduo Respiclick 232/14, 32 Airduo Respiclick 55/14, 32 ak-poly-bac, 27 Akten, 28 Aktipak, 9 Akynzeo, 18 Ala Scalp, 10 ala-cort, 10 Ala-quin, 9 alaway, 28 alaway childrens allergy eye itch relief, 28 Albenza, 3 albuterol sulfate, 32 albuterol sulfate ER, 32 Alcaine, 28 alclometasone dipropionate, 10 Aldactazide, 7 Aldactone, 7 Aldara, 11 Alecensa, 4 alendronate sodium, 16 Alendronate Sodium, 16 Alferon N, 5 alfuzosin HCL ER, 20 Alinia, 3 Alkeran, 3 allergy eye drops, 28 allopurinol, 31 Allzital, 29 almotriptan, 31 almotriptan malate, 31 Alocril, 28 Alogliptin, 16 Alogliptin/Metformin HCL, 16 Alogliptin/Pioglitazone, 16 Alomide, 28 Alora, 13 alosetron hydrochloride, 19 Alphagan P, 28 alphatrex, 10 alprazolam, 22 alprazolam ER, 22 Alprazolam Intensol, 22 alprazolam odt, 22 alprazolam XR, 22 Alrex, 27 Altabax, 9 altacaine, 28 Altace, 6 altafrin, 28 altavera, 13 Altoprev, 8 Alunbrig, 4

Aluvea, 12 Alvesco, 32 alyacen 1/35, 13 alyacen 7/7/7, 13 Alzair Allergy Blocker Nasal Spray, 32 amabelz, 13 amantadine HCL, 25 Amaryl, 15 Ambien, 24 Ambien CR, 24 Amcinonide, 10 Amerge, 31 amethia, 13 amethia LO, 13 amethyst, 13 Amicar, 21 amiloride HCL, 7 amiloride/hydrochlorothiazide, 7 amiodarone HCL, 6 Amitiza, 19 amitriptyline HCL, 22 amlodipine besylate, 5 amlodipine besylate/atorvastatin calcium, 8 amlodipine besylate/benazepril HCL, 6 amlodipine besylate/benazepril hydrochloride, 6 Amlodipine Besylate/Syrspend SF PH4, 6 amlodipine besylate/valsartan, 7 amlodipine/olmesartan medoxomil, 7 amlodipine/valsartan/hctz, 7 amnesteem, 8 Amoxapine, 23 amoxicillin, 1 Amoxicillin, 1 Amoxicillin ER, 1 amoxicillin/clavulanate potassium, 1 Amoxicillin/Clavulanate Potassium, 1 amoxicillin/clavulanate potassium ER, 1 amphetamine/dextroamphetamine, 24 ampicillin, 1 Ampicillin, 1 Ampyra, 26 Amrix, 26 ana-lex, 19 Anacaine, 12 Anadrol-50, 13 Anafranil, 23 anagrelide hydrochloride, 22 Analpram E, 19 Analpram HC, 19 Analpram HC Singles, 19 Analpram-HC, 19 Anaprox DS, 30 Anaspaz, 18 Anastia, 12 anastrozole, 4 Ancobon, 2 Androderm, 13 Androgel, 13 Androgel P.M., 13 Android, 13 Androxy, 13 Angeliq, 13 Animi-3, 21 Animi-3/Vitamin D, 21 anodyne lpt, 11

Anoro Ellipta, 32 Antabuse, 26 Antara, 8 Anti-stick Insulin Syringe/U100/0.5ML/28G X 1/2", 35 Anti-stick Insulin Syringe/U100/0.5ML/29G X 1/2", 35 Anti-stick Insulin Syringe/U-100/1ML/29G X 1/2", 35 anucort-HC, 19 anusol-HC, 19 Anusol-HC, 19 Anzemet, 18 Apexicon E, 10 Apidra, 15 Apidra Solostar, 15 Aplenzin, 23 Apokyn, 25 apraclonidine, 28 aprepitant, 18 apri, 13 Apriso, 19 Aptensio XR, 24 Aptiom, 25 Aptivus, 2 Aquoral, 22 aranelle, 13 Aranesp Albumin Free, 21 Arava, 30 arbinoxa, 31 Arcalyst, 31 Arcapta Neohaler, 32 argyle sterile saline 100ML, 20 Arial Chamber, 42 Aricept, 26 Arimidex, 4 aripiprazole, 23 aripiprazole odt, 23 Aristada, 24 Arixtra, 21 armodafinil, 24 Armonair Respiclick 113, 32 Armonair Respiclick 232, 32 Armonair Respiclick 55, 32 Armour Thyroid, 17 Arnuity Ellipta, 32 Aromasin, 4 Arthrotec 50, 30 Arthrotec 75, 30 Arymo ER, 30 Asacol HD, 19 ascomp/codeine, 29 ashlyna, 13 Asmanex HFA, 32 Asmanex Twisthaler 120 Metered Doses, 32 Asmanex Twisthaler 14 Metered Doses, 32 Asmanex Twisthaler 30 Metered Doses, 32 Asmanex Twisthaler 60 Metered Doses, 32 Asmanex Twisthaler 7 Metered Doses, 32 aspirin, 29 aspirin EC, 29 Aspirin-caffeine-dihydrocodeine, 30 aspirin/dipyridamole, 22

aspirtab, 29 Assure ID Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 35 Assure ID Insulin Safety Syringe/U100/1ML/29G X 1/2", 35 Astagraf XL, 4 Astepro, 32 Astero, 12 Atabex EC, 34 Atacand, 6 Atacand HCT, 7 Atelvia, 16 atenolol, 5 atenolol/chlorthalidone, 6 Atenolol/Syrspend SF PH4, 5 Ativan, 22 atomoxetine, 24 Atopiclair, 12 atorvastatin calcium, 7 atovaquone, 3 atovaquone/proguanil HCL, 3 Atralin, 9 Atripla, 2 Atropine Sulfate, 28 Atrovent, 32 Atrovent HFA, 32 Aubagio, 26 aubra, 13 augmented betamethasone dipropionate, 10 Augmentin, 1 Augmentin ES-600, 1 Augmentin XR, 1 Aurora Pen Needles 29GX12MM, 35 Aurora Pen Needles 31G X 6MM, 35 Aurora Pen Needles 31G X 8MM, 35 Aurora Unifine Pentips/32GX5/32", 35 Aurora Unifine Pentips/Mini/31GX3/16", 35 Auryxia, 19 Austedo, 26 Auvi-q, 7 AV-vite fb, 21 Avalide, 7 Avandia, 16 Avapro, 6 Avar, 9 avar cleanser, 8 Avar LS, 9 Avar LS Cleanser, 9 avar-e emollient, 8 avar-e green, 8 Avar-e LS, 9 Avc, 20 Avelox, 1 Avelox Abc Pack, 2 aviane, 13 avidoxy, 1 Avidoxy DK, 1 avita, 8 Avodart, 20 Avonex, 26 Avonex Pen, 26 Axert, 31 Axiron, 13 Aygestin, 15 Azasan, 4 Azasite, 27

azathioprine, 4 azelastine HCL, 28, 31 Azelex, 9 Azilect, 25 azithromycin, 1 Azithromycin, 1 Azopt, 28 Azor, 7 Azulfidine, 19 Azulfidine EN-TABS, 19 azuphen mb, 19 azurette, 13

BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 35 BD Insulin Syringe Safetyglide/U100/0.3ML/31G X 15/64", 35 BD Insulin Syringe Safetyglide/U100/0.3ML/31G X 5/16", 35 BD Insulin Syringe Slip Tip/U-100/1ML, 35 BD Insulin Syringe U-40/1ML/25G X 5/8", 35 BD Insulin Syringe Ultrafine Halfunit/0.3ML/31G X 5/16", 35 BD Insulin Syringe Ultrafine B II/SHORT/0.5ML/31G X 5/16", 35 B-6 Folic Acid, 21 BD Insulin Syringe Ultrafine B-d Insulin Syringe Ultrafine II/0.3ML/31G II/SHORT/1ML/31G X 5/16", 35 X 5/16", 35 BD Insulin Syringe Ultrafine/0.3ML/30G X B-d Insulin Syringe Ultrafine II/0.5ML/31G 1/2", 35 X 5/16", 35 BD Insulin Syringe Ultrafine/0.3ML/31G X B-d Insulin Syringe Ultrafine II/1ML/31G X 5/16", 35 5/16", 35 BD Insulin Syringe Ultrafine/0.5ML/30G X B-d Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 35 1/2", 35 BD Insulin Syringe Ultrafine/0.5ML/31G X B-d Insulin Syringe Ultrafine/0.5ML/30G X 5/16", 35 1/2", 35 BD Insulin Syringe Ultrafine/1ML/30G X B-d Insulin Syringe Ultrafine/1ML/30G X 1/2", 35 1/2", 35 BD Insulin Syringe Ultrafine/1ML/31G X b-donna, 18 5/16", 35 B-serene, 21 BD Insulin Syringe Ultrafine/UBacitracin, 27 100/0.3ML/29G X 1/2", 35 bacitracin/polymyxin b, 27 BD Insulin Syringe Ultrafine/Ubaclofen, 26 100/0.3ML/30G X 1/2", 35 Bactrim, 3 BD Insulin Syringe Ultrafine/UBactrim DS, 3 100/0.3ML/31G X 15/64", 35 Bactroban, 9 BD Insulin Syringe Ultrafine/UBactroban Nasal, 31 100/0.3ML/31G X 5/16", 35 Bal-care DHA, 34 BD Insulin Syringe Ultrafine/Ubalsalazide disodium, 19 100/0.5ML/29G X 1/2", 35 balziva, 13 BD Insulin Syringe Ultrafine/UBanzel, 25 100/0.5ML/30G X 1/2", 35 Baraclude, 2 BD Insulin Syringe Ultrafine/UBasaglar Kwikpen, 15 100/0.5ML/31G X 15/64", 35 Baxdela, 2 BD Insulin Syringe Ultrafine/Ubayer advanced aspirin regular strength, 100/0.5ML/31G X 5/16", 35 29 BD Insulin Syringe Ultrafine/Ubayer aspirin, 29 100/1ML/29G X 1/2", 35 bayer aspirin regimen, 29 BD Insulin Syringe Ultrafine/UBD Autoshield 29G X 3/16", 35 100/1ML/30G X 1/2", 35 BD Autoshield 29G X 5/16", 35 BD Insulin Syringe Ultrafine/UBD Insulin Syringe LUER-LOK/U100/1ML/31G X 15/64", 35 100/1ML, 35 BD Insulin Syringe Ultrafine/UBD Insulin Syringe Microfine IV/U100/1ML/31G X 5/16", 35 100/0.3ML/28G X 1/2", 35 BD Insulin Syringe/Detachable Needle/UBD Insulin Syringe Microfine IV/U100/1ML/25G X 1", 35 100/0.5ML/28G X 1/2", 35 BD Insulin Syringe/Detachable Needle/UBD Insulin Syringe Microfine IV/U100/1ML/25G X 5/8", 35 100/1ML/27G X 5/8", 35 BD Insulin Syringe/Detachable Needle/UBD Insulin Syringe Microfine IV/U100/1ML/26G X 1/2", 36 100/1ML/28G X 1/2", 35 BD Insulin Syringe/U-100/0.5ML/30G X BD Insulin Syringe Microfine/U1/2", 36 100/0.3ML/28G X 1/2", 35 BD Insulin Syringe/U-100/1ML/27G X BD Insulin Syringe Microfine/U1/2", 36 100/0.5ML/28G X 1/2", 35 BD Insulin Syringe/U-100/1ML/28G X BD Insulin Syringe Microfine/U1/2", 36 100/1ML/27G X 5/8", 35 BD Insulin Syringe/U-100/2ML/27.5G X BD Insulin Syringe Microfine/U5/8", 36 100/1ML/28G X 1/2", 35 BD Insulin Syringe/U-500/0.5ML/31G X BD Insulin Syringe 15/64", 36 Safetyglide/0.5ML/29G X 1/2", 35

BD Integra Insulin Syringe/U100/1ML/29G X 1/2", 36 BD Integra Syringe/Retracting Needle/1ML/25G X 1", 36 BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 36 BD Pen Needle/Mini/Ultrafine/31G X 3/16", 36 BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 36 BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 36 BD Pen Needle/Ultrafine/29G X 12.7MM, 36 BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 36 BD Pen Needles SHORT/Ultrafine/31G X 5/16", 36 BD Safety-glide Insulin Syringe/0.5ML/29G X 1/2", 36 BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 36 BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 36 BD Ultra-fine Micro Pen Needles 6MM X 32G, 36 Beconase AQ, 32 bekyree, 13 Belbuca, 30 Belladonna & Opium, 18 Belladonna Alkaloids & Opium, 18 belladonna alkaloids/phenobarbital, 18 Belsomra, 24 benazepril HCL, 6 benazepril HCL/hydrochlorothiazide, 6 Benicar, 6 Benicar HCT, 7 Bentyl, 18 Benzaclin, 9 Benzaclin With P.M., 9 Benzamycin, 9 Benzefoam Ultra, 9 Benzefoamultra, 9 benzepro creamy wash, 8 benzepro foaming cloths, 8 benzepro SHORT contact, 8 Benziq, 9 Benziq LS, 9 benzonatate, 32 benzoyl peroxide, 8 benzoyl peroxide SHORT contact, 8 benztropine mesylate, 25 Bepreve, 28 Besivance, 27 Betadine Ophthalmic Prep, 27 Betagan, 27 betamethasone dipropionate, 10 betamethasone dipropionate/augmented, 10 betamethasone valerate, 10 Betapace, 5 Betapace AF, 5 Betaseron, 26 betaxolol HCL, 5, 27 bethanechol chloride, 20 Bethkis, 2 Betimol, 27 Betoptic-s, 27

Bevespi Aerosphere, 32 Bevyxxa, 21 bexarotene, 5 Beyaz, 14 Biaxin, 1 bicalutamide, 4 Bidil, 8 Biferarx, 21 Biltricide, 3 Bimatoprost, 27 Binosto, 16 bio-statin, 2 Bio-statin, 2 bisoprolol fumarate, 5 bisoprolol fumarate/hydrochlorothiazide, 6 Bleph-10, 27 Blephamide, 27 Blephamide S.o.p., 27 blisovi 24 FE, 13 blisovi FE 1.5/30, 13 blisovi FE 1/20, 13 Bocasal, 22 Boniva, 16 Bosulif, 4 bp 10-1, 8 Bp Cleansing Wash, 8 bp foam, 8 Bp Folinatal Plus B, 33 Bp Multinatal Plus, 33 Bp Vit 3, 21 Bp Vit 3 Plus, 21 bp wash, 8 bpm, 31 bpm pseudo, 32 bpo 6% foaming cloths, 8 Breatherite, 42 Breatherite Collapsible Adult Spacer W/Mask, 42 Breatherite Collapsible Child Spacer W/Mask, 42 Breatherite Collapsible Infant Spacer W/Mask, 42 Breatherite Collapsible Small Child Spacer W/Mask, 42 Breatherite Collapsible Spacer W/ Neonate Mask, 42 Breatherite Rigid Spacer W/Mask, 42 Breatherite W/Large Mask, 42 Breatherite W/Medium Mask, 42 Breatherite W/Small Mask, 42 Breo Ellipta, 32 Brevicon-28, 14 briellyn, 13 Brilinta, 22 brimonidine tartrate, 28 Brintellix, 23 Brisdelle, 26 Briviact, 25 bromfenac, 28 Bromfenac, 28 bromocriptine mesylate, 25 Brompheniramine Tannate, 31 Bromsite, 28 Brovana, 32 budesonide, 12, 32 budesonide nasal spray, 31 bumetanide, 7

Bumex, 7 Bunavail, 30 bupap, 29 Buphenyl, 17 Bupivacaine Hydrochloride/Sodium Chloride, 31 Buprenorphine, 30 buprenorphine HCL, 29 buprenorphine HCL/naloxone HCL, 29 buproban, 25 bupropion HCL, 23 bupropion HCL ER, 23 bupropion HCL SR, 23, 25 bupropion HCL XL, 23 buspirone HCL, 22 butalbital/acetaminophen, 29 butalbital/acetaminophen/caffeine, 29 butalbital/acetaminophen/caffeine/codein e, 29 butalbital/aspirin/caffeine, 29 Butalbital/Aspirin/Caffeine, 29 butalbital/aspirin/caffeine/codeine, 29 Butisol Sodium, 24 butorphanol tartrate, 29 Butrans, 30 Bydureon, 15 Bydureon Pen, 15 Byetta, 15 Bystolic, 5 Byvalson, 7

C C-nate DHA, 34 cabergoline, 17 Cabometyx, 4 Caduet, 8 Cafergot, 31 caffeine citrate, 24 Calan, 6 Calan SR, 6 calcipotriene, 10 calcipotriene/betamethasone dipropionate, 10 calcitonin salmon, 16 calcitonin-salmon, 16 calcitrene, 10 Calcitriol, 10 calcitriol, 17 calcium acetate, 19 Calcium PNV, 34 Cambia, 31 camila, 14 camrese, 13 camrese LO, 13 Canasa, 19 candesartan cilexetil, 6 candesartan cilexetil/hydrochlorothiazide, 6 Cantil, 18 capacet, 29 capecitabine, 4 Capex, 10 Capital/Codeine, 30 Caprelsa, 4 captopril, 6 Captopril/Hydrochlorothiazide, 7 Carafate, 18 Carbaglu, 17 carbamazepine, 24

carbamazepine ER, 24 Carbaphen 12, 32 Carbaphen 12 PED, 32 Carbatrol, 25 carbidopa, 25 carbidopa/levodopa, 25 carbidopa/levodopa ER, 25 carbidopa/levodopa odt, 25 Carbidopa/Levodopa/Entacapone, 25 carbinoxamine maleate, 31 Cardizem, 6 Cardizem CD, 6 Cardizem LA, 6 Cardura, 6 Cardura XL, 20 Carefine Pen Needle 32GX4MM, 36 Carefine Pen Needles 29GX1/2", 36 Carefine Pen Needles 30GX5/16", 36 Carefine Pen Needles 31GX6MM, 36 Carefine Pen Needles 31GX8MM, 36 Carefine Pen Needles 32GX5MM, 36 Carefine Pen Needles 32GX6MM, 36 Careone Insulin Syringes/0.3ML/30G X 1/2", 36 Careone Insulin Syringes/0.3ML/31G X 5/16", 36 Careone Insulin Syringes/0.5ML/30G X 1/2", 36 Careone Insulin Syringes/0.5ML/31G X 5/16", 36 Careone Insulin Syringes/1ML/30G X 1/2", 36 Careone Insulin Syringes/1ML/31GX5/16", 36 Careone Unifine Pentips 29GX12MM, 36 Careone Unifine Pentips 31GX5MM, 36 Careone Unifine Pentips 31GX6MM, 36 Careone Unifine Pentips 31GX8MM, 36 Careone Unifine Pentips Pen Needles 32GX4MM, 36 Careone Unifine Pentips Plus Pen Needles 29GX12MM, 36 Careone Unifine Pentips Plus Pen Needles 31GX5MM, 36 Careone Unifine Pentips Plus Pen Needles 31GX6MM, 36 Careone Unifine Pentips Plus Pen Needles 31GX8MM, 36 Careone Unifine Pentips Plus Pen Needles 32GX4MM, 36 Caretouch Pen Needles 31 G X 6 MM, 36 Caretouch Pen Needles 31GX 5MM, 36 Caretouch Pen Needles 31GX 8MM, 36 Caretouch Pen Needles 32GX 4MM, 36 Caretouch Pen Needles 32GX 5MM, 36 carisoprodol, 26 carisoprodol/aspirin, 26 carisoprodol/aspirin/codeine, 26 Carnitor, 17 Carnitor SF, 17 carteolol HCL, 27 cartia XT, 5 carvedilol, 5 Cascara Sagrada, 17 Casodex, 4 Catapres, 6 Catapres-tts-1, 6

Catapres-tts-2, 6 Catapres-tts-3, 6 cavarest, 22 Caverject, 8 Caverject Impulse, 8 Cayston, 3 caziant, 13 Cedax, 1 cefaclor, 1 Cefaclor, 1 Cefaclor ER, 1 cefadroxil, 1 cefdinir, 1 Cefditoren Pivoxil, 1 cefixime, 1 cefpodoxime proxetil, 1 cefprozil, 1 Ceftibuten, 1 Ceftin, 1 cefuroxime axetil, 1 Celebrex, 30 celecoxib, 30 Celexa, 23 Cellcept, 4 Celontin, 24 Cem-urea, 11 Cenfol, 21 Centany, 9 Centany AT, 9 Centratex, 21 cephalexin, 1 Cephalexin, 1 Ceracade, 12 ceramax, 11 Cerdelga, 21 cerisa wash, 8 cerovel, 11 Cesamet, 18 Cetraxal, 28 cevimeline HCL, 22 Chantix, 26 Chantix Continuing Month PAK, 26 Chantix Starting Month PAK, 26 chateal, 13 Chemet, 42 Chenodal, 19 chlordiazepoxide HCL, 22 chlordiazepoxide HCL/clidinium bromide, 18 Chlordiazepoxide/Amitriptyline, 26 chlorhexidine gluconate, 22 chlorhexidine gluconate oral rinse, 22 chloroquine phosphate, 3 Chloroquine Phosphate, 3 chlorothiazide, 7 Chlorothiazide, 7 chlorpromazine HCL, 23 Chlorpropamide, 15 chlorthalidone, 7 chlorzoxazone, 26 Chlorzoxazone, 26 Cholbam, 19 cholestyramine, 7 cholestyramine light, 7 choline magnesium trisalicylate, 29 Chorionic Gonadotropin, 16 Cialis, 8 ciclodan, 9

Ciclodan Cream Kit, 9 Ciclodan Solution Kit, 9 ciclopirox, 9 ciclopirox nail lacquer, 9 ciclopirox olamine, 9 ciclopirox treatment, 9 cidaleaze, 11 Ciferex, 21 Cifrazol, 21 cilostazol, 22 Ciloxan, 27 cimetidine, 18 cimetidine HCL, 18 Cimzia, 19 Cimzia Starter Kit, 19 Cipro, 2 Cipro HC, 28 Cipro XR, 2 Ciprodex, 29 ciprofloxacin, 1 Ciprofloxacin, 28 ciprofloxacin ER, 1 ciprofloxacin HCL, 1, 27 Ciprofloxacin HCL, 1 citalopram hydrobromide, 23 Citranatal 90 DHA, 34 Citranatal Assure, 34 Citranatal B-calm, 34 Citranatal Bloom, 35 Citranatal DHA, 34 Citranatal Harmony, 34 Citranatal RX, 34 claravis, 8 Clarifoam EF, 9 Clarinex, 31 Clarinex-d 12 HOUR, 32 clarithromycin, 1 Clarithromycin, 1 clarithromycin ER, 1 claritin eye, 28 clearlax, 17 clemastine fumarate, 31 Clemastine Fumarate, 31 Cleocin, 3, 20 Cleocin Pediatric Granules, 3 Cleocin-t, 9 Clever Choice Anti-staticvalved Holding Chamber/Adult Large, 42 Clever Choice Anti-staticvalved Holding Chamber/Medium, 42 Clever Choice Anti-staticvalved Holding Chamber/Small, 42 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 36 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 36 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 36 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 36

Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 36 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 36 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 36 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 36 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 36 Clever Choice Comfort EZ Pen Needles 29GX12MM, 36 Clever Choice Comfort EZ Pen Needles 31GX5MM, 36 Clever Choice Comfort EZ Pen Needles 31GX6MM, 36 Clever Choice Comfort EZ Pen Needles 31GX8MM, 36 Clever Choice Comfort EZ Pen Needles 32GX4MM, 36 Clever Choice Comfort EZ Pen Needles 32GX5MM, 36 Clever Choice Comfort EZ Pen Needles 32GX6MM, 36 Clever Choice Comfort EZ Pen Needles 32GX8MM, 36 Clever Choice Comfort EZ Pen Needles 33GX5MM, 36 Clever Choice Comfort EZ Pen Needles 33GX6MM, 36 Clever Choice Comfort EZ Pen Needles 33GX8MM, 36 Clickfine Pen Needle 32GX5/32", 36 Clickfine Pen Needle Universal/31GX1/4", 36 Clickfine Pen Needle Universal/31GX5/16", 36 Clickfine Pen Needles/31GX1/4", 36 Clickfine Pen Needles/31GX5/16", 36 Clickfine Universal Pen Needles 31GX5/16", 36 Climara, 13 Climara Pro, 13 Clin Single Use Kit, 3 Clindacin Etz, 9 clindacin etz pledgets, 8 Clindacin PAC, 9 clindacin-p, 8 Clindagel, 9 clindamycin HCL, 3 clindamycin palmitate HCL, 3 clindamycin phosphate, 8, 20 clindamycin phosphate/tretinoin, 8 clindamycin/benzoyl peroxide, 8 Clindesse, 20 clinpro 5000, 22 clobetasol propionate, 10 clobetasol propionate e, 10 clobetasol propionate emollient, 10 Clobex, 10 Clocortolone Pivalate, 10 Clocortolone Pivalate P.M., 10 clodan, 10 Clodan Kit, 10

Cloderm, 10 Cloderm P.M., 11 clomipramine HCL, 23 clonazepam, 24 clonazepam odt, 24 clonidine HCL, 6 clonidine HCL ER, 24 clopidogrel, 22 Clopidogrel Kit, 22 clorazepate dipotassium, 22 Clorpres, 7 clotrimazole, 22 clotrimazole/betamethasone dipropionate, 9 clozapine, 23 clozapine odt, 23 Clozapine Odt, 23 Clozaril, 23 Cnl8 Nail Kit, 9 CO-natal Fa, 33 Coal TAR, 11 Coartem, 3 Codar AR, 32 codeine sulfate, 29 Codeine Sulfate, 29 Colazal, 19 Colchicine, 31 Colcrys, 31 Colestid, 8 Colestid Flavored, 8 colestipol HCL, 7 colocort, 19 Coly-mycin S, 29 Colyte-flavor Packs, 17 Combigan, 27 Combipatch, 13 Combivent Respimat, 32 Combivir, 2 Cometriq, 4 Comfort Assist Insulin Syringe 0.3ML/29G X 1/2", 36 Comfort Assist Insulin Syringe/0.3ML/30G X 5/16", 36 Comfort Assist Insulin Syringe/0.3ML/31G X 5/16", 36 Comfort Assist Insulin Syringe/0.5ML/29G X 1/2", 36 Comfort Assist Insulin Syringe/0.5ML/30G X 5/16", 36 Comfort Assist Insulin Syringe/0.5ML/31G X 5/16", 36 Comfort Assist Insulin Syringe/1ML/29G X 1/2", 36 Comfort Assist Insulin Syringe/1ML/30G X 5/16", 36 Comfort Assist Insulin Syringe/1ML/31G X 5/16", 36 Compact Space Chamber/Anti-static, 42 Compact Space Chamber/Antistatic/Large Mask, 42 Compact Space Chamber/Antistatic/Medium Mask, 42 Compact Space Chamber/Antistatic/Small Mask, 42 Complera, 2 Complete Natal DHA, 33 Completenate, 33 compro, 23

Comtan, 25 Concept DHA, 34 Concept OB, 34 Concerta, 24 Condylox, 12 constulose, 17 controlrx, 22 Conzip, 30 Copaxone, 26 Copegus, 2 Cordarone, 6 Cordran, 11 Cordran Tape, 11 Coreg, 5 Coreg CR, 5 Corgard, 5 Corlanor, 8 cormax scalp application, 10 Cortane-b, 11 Cortane-b Aqueous, 29 Cortane-b-otic, 29 Cortef, 12 Cortenema, 19 cortic-nd, 28 Cortifoam, 19 Cortisone Acetate, 12 Cortisporin, 9 Cortisporin-tc, 29 corvita, 34 corvita 150, 21 Corvite, 35 Corvite 150, 21 Corzide, 7 Cosentyx, 10 Cosentyx Sensoready Pen, 10 Cosopt, 27 Cosopt PF, 27 Cotellic, 4 Cotempla XR-odt, 24 Coumadin, 21 covaryx, 13 covaryx HS, 13 Cozaar, 6 Creon, 18 Cresemba, 2 Crestor, 8 Crinone, 20 Crixivan, 2 cromolyn sodium, 19, 28 Cromolyn Sodium, 32 cryselle-28, 13 curity sterile saline, 20 Cutivate, 11 Cuvposa, 18 CVS allergy eye drops, 28 CVS aspirin, 29 CVS eye itch relief, 28 CVS nicotine, 26 CVS nicotine lozenge, 26 CVS nicotine polacrilex, 26 CVS nicotine polacrilex starter, 26 CVS nicotine transdermal system, 26 CVS nts step 1, 26 CVS purelax, 17 cyanocobalamin, 20 cyclafem 1/35, 13 cyclafem 7/7/7, 13 Cyclessa, 14

cyclobenzaprine HCL, 26 Cyclobenzaprinepax, 26 Cyclogyl, 28 Cyclomydril, 28 cyclopentolate HCL, 28 Cyclophosphamide, 3 Cycloserine, 2 Cycloset, 15 cyclosporine, 4 cyclosporine modified, 4 Cyclosporine Modified, 4 Cyfolex, 21 Cymbalta, 23 cyotic, 28 cyproheptadine HCL, 31 cyred, 13 Cystadane, 17 Cystagon, 20 Cystaran, 28 Cytomel, 17 Cytotec, 18 cytra k crystals, 20

D Daklinza, 2 Daliresp, 32 danazol, 13 Dantrium, 26 dantrolene sodium, 26 dapsone, 3 Daraprim, 3 darifenacin hydrobromide ER, 20 dasetta 1/35, 13 dasetta 7/7/7, 13 Daxbia, 1 Daypro, 30 daysee, 13 Daytrana, 24 Ddavp, 17 Debacterol, 22 deblitane, 14 Decon-a, 32 Decon-G, 32 deltasone, 12 delyla, 13 Delzicol, 19 Demadex, 7 demeclocycline HCL, 1 Demerol, 30 Demser, 6 Denavir, 10 denta 5000 plus, 22 dentagel, 22 Depakene, 25 Depakote, 25 Depakote ER, 25 Depakote Sprinkles, 25 Depo-provera, 4 Depo-provera Contraceptive, 14 Derma Silkrx Anodynexa PAK, 30 Derma Silkrx Diclopak, 30 Derma-smoothe/FS Body, 11 Derma-smoothe/FS Scalp, 11 Dermacinrx Analgesic Combopak, 30 dermacinrx empricaine, 11 Dermacinrx Inflammatral PAK, 30 dermacinrx prizopak, 11 Dermacinrx Purefolix, 21 Dermapak Plus, 9

Dermasorb AF, 9 Dermasorb HC, 11 Dermasorb Ta, 11 Dermasorb XM, 12 Dermatop, 11 dermazene, 9 Dermotic, 29 Descovy, 2 desipramine HCL, 23 desloratadine, 31 Desloratadine Odt, 31 desmopressin acetate, 17 Desogen, 14 desogestrel/ethinyl estradiol, 13 Desonate, 11 desonide, 10 Desowen, 11 desoximetasone, 10 Desoxyn, 24 desvenlafaxine ER, 23 Desvenlafaxine ER, 23 Detrol, 20 Detrol LA, 20 dexamethasone, 12 Dexamethasone, 12 Dexamethasone Intensol, 12 Dexamethasone Sodium Phosphate, 27 dexedrine, 24 Dexedrine, 24 Dexeryl, 12 Dexilant, 18 dexmethylphenidate HCL, 24 dexmethylphenidate HCL ER, 24 Dexpak 10 Day, 12 Dexpak 13 Day, 12 Dexpak 6 Day, 12 dextroamphetamine sulfate, 24 dextroamphetamine sulfate ER, 24 Diabeta, 15 dialyvite, 33 Dialyvite 3000, 34 Dialyvite 5000, 34 Dialyvite Supreme D, 35 Dialyvite/Zinc, 35 Diamox, 7 Diastat Acudial, 25 Diastat Pediatric, 25 diazepam, 22 Diazepam, 22, 24 diazepam intensol, 22 Diazepam Rectal Gel, 24 Dibenzyline, 6 Diclegis, 18 diclofenac potassium, 30 diclofenac sodium, 10, 28 diclofenac sodium DR, 30 diclofenac sodium ER, 30 diclofenac sodium/misoprostol, 30 dicloxacillin sodium, 1 dicyclomine HCL, 18 didanosine, 2 Differin, 8 Dificid, 1 difil-G forte, 32 Diflorasone Diacetate, 10 Diflucan, 2 diflunisal, 29 digitek, 5

digox, 5 digoxin, 5 Digoxin, 5 Dihydroergotamine Mesylate, 31 Dilantin, 25 Dilantin Infatabs, 25 Dilantin-125, 25 Dilatrate SR, 5 Dilaudid, 30 dilt-XR, 5 diltiazem CD, 5 diltiazem HCL, 5 diltiazem HCL CD, 5 diltiazem HCL ER, 5 Diovan, 6 Diovan HCT, 7 Dipentum, 19 diphenoxylate/atropine, 18 Diphenoxylate/Atropine, 18 Diprolene, 11 Diprolene AF, 11 dipyridamole, 22 Disalcid, 29 disopyramide phosphate, 6 disulfiram, 26 Ditropan XL, 20 Diuril, 7 divalproex sodium, 24 divalproex sodium DR, 24 divalproex sodium ER, 24 Divigel, 13 Divista, 21 dofetilide, 6 Dolophine, 30 donepezil HCL, 26 Donnatal, 18 Doral, 24 Doryx, 1 Doryx Mpc, 1 dorzolamide HCL, 28 dorzolamide HCL/timolol maleate, 27 Dothelle DHA, 34 Dovonex, 10 doxazosin, 6 doxazosin mesylate, 6 doxepin HCL, 23 Doxepin HCL, 23 Doxepin Hydrochloride, 10 doxercalciferol, 17 doxycycline, 1 Doxycycline, 9 doxycycline hyclate, 1 doxycycline hyclate DR, 1 doxycycline monohydrate, 1 Drisdol, 33 Dritho-creme HP, 10 dronabinol, 18 Droplet Pen Needles 29GX12MM, 36 Droplet Pen Needles 31GX5MM, 36 Droplet Pen Needles 31GX6MM, 36 Droplet Pen Needles 31GX8MM, 36 Droplet Pen Needles 32GX4MM, 36 Droplet Pen Needles 32GX5MM, 36 Droplet Pen Needles 32GX6MM, 36 Droplet Pen Needles 32GX8MM, 36 drospirenone/ethinyl estradiol, 13 drospirenone/ethinyl estradiol/levomefolate calcium, 13

Droxia, 21 Drug Mart Unifine Pentips 31GX5MM, 36 Drug Mart Unifine Pentips29G X 12MM, 36 Drug Mart Unifine Pentips31GX6MM, 36 Drug Mart Unifine Pentips31GX8MM, 36 Drug Mart Unifine Pentips32GX4MM, 36 Drug Mart Unifine Pentipsplus 32GX4MM, 36 Drysol, 12 Duac, 9 Duane Reade Unifine Pentips 29G X 12MM, 36 Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 36 Duane Reade Unifine Pentips 31G X 8MM SHORT, 36 Duavee, 13 Duet DHA 400, 34 Duet DHA Balanced, 34 Duetact, 16 Duexis, 30 dulcolax balance, 17 Dulera, 32 duloxetine HCL, 23 Duloxetine HCL, 23 Duopa, 25 Durachol, 21 Duragesic, 30 Duraxin, 29 Durezol, 27 Durlaza, 22 dutasteride, 20 dutasteride/tamsulosin HCL, 20 dutasteride/tamsulosin hydrochloride, 20 Dutoprol, 7 Duzallo, 31 Dyanavel XR, 24 Dyazide, 7 Dymista, 32 Dyrenium, 7

E E-z Spacer, 42 E-z Spacer The Body Guards Pack, 42 E.e.s. 400, 1 E.e.s. Granules, 1 Easivent, 42 Easivent/Mask-large, 42 Easivent/Mask-medium, 42 Easivent/Mask-small, 42 Easy Comfort Insulin Syringe/0.3ML/30G X 5/16", 36 Easy Comfort Insulin Syringe/0.5ML/30G X 5/16", 36 Easy Comfort Insulin Syringe/0.5ML/31G X 5/16", 36 Easy Comfort Insulin Syringe/1ML/30G X 5/16", 36 Easy Comfort Insulin Syringe/1ML/31G X 5/16", 36 Easy Comfort Insulin Syringe/U100/0.5ML/30G X 1/2", 36 Easy Comfort Insulin Syringe/U100/1ML/30G X 1/2", 36 Easy Comfort Pen Needles 31GX1/4", 36 Easy Comfort Pen Needles 31GX3/16", 36 Easy Comfort Pen Needles 31GX5/16",

36 Easy Comfort Pen Needles 32GX5/32", 36 Easy Touch 32GX5MM, 37 Easy Touch 32GX6MM, 37 Easy Touch Fliplock Safety Insulin Syringe 1ML/29GX1/2", 36 Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX1/2", 36 Easy Touch Fliplock Safety Insulin Syringe 1ML/30GX5/16", 36 Easy Touch Fliplock Safety Insulin Syringe 1ML/31GX5/16", 36 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 37 Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 37 Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 37 Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 37 Easy Touch Insulin Syringe/1ML/30G X 5/16", 37 Easy Touch Insulin Syringe/Safety/U100/0.5ML/29G X 1/2", 36 Easy Touch Insulin Syringe/Safety/U100/0.5ML/30G X 5/16", 36 Easy Touch Insulin Syringe/Safety/U100/1ML/29G X 1/2", 36 Easy Touch Insulin Syringe/Safety/U100/1ML/30G X 1/2", 36 Easy Touch Insulin Syringe/U100/0.3ML/30G X 1/2", 36 Easy Touch Insulin Syringe/U100/0.5ML/27G X 1/2", 37 Easy Touch Insulin Syringe/U100/0.5ML/28G X 1/2", 37 Easy Touch Insulin Syringe/U100/0.5ML/30G X 1/2", 37 Easy Touch Insulin Syringe/U100/0.5ML/31G X 5/16", 37 Easy Touch Insulin Syringe/U100/1ML/27G X 1/2", 37 Easy Touch Insulin Syringe/U100/1ML/28G X 1/2", 37 Easy Touch Insulin Syringe/U100/1ML/29G X 1/2", 37 Easy Touch Insulin Syringe/U100/1ML/30G X 1/2", 37 Easy Touch Insulin Syringe/U100/1ML/31G X 5/16", 37 Easy Touch Pen Needle 30 G X 5/16", 37 Easy Touch Pen Needles 29GX1/2", 37 Easy Touch Pen Needles 31GX1/4", 37 Easy Touch Pen Needles 31GX5/16", 37 Easy Touch Pen Needles 32GX1/4", 37 Easy Touch Pen Needles 32GX3/16", 37 Easy Touch Pen Needles 32GX5/32", 37 Easy Touch Pen Needles/31G X 3/16", 37 Easy Touch Sheathlock Safety Insulin Syringe 1ML/29GX1/2", 37 Easy Touch Sheathlock Safety Insulin Syringe 1ML/30GX5/16", 37 Easy Touch Sheathlock Safety Insulin Syringe 1ML/31GX5/16", 37 Easy Touch Sheathlock Safety Syringe

1ML/30GX1/2", 37 EC-naprosyn, 30 econazole nitrate, 9 econtra EZ, 13 ecotrin, 29 Ecoza, 9 ecpirin, 29 ed-spaz, 18 Edarbi, 6 Edarbyclor, 7 Edecrin, 7 Edex, 8 Edluar, 24 Edurant, 2 eemt, 13 eemt HS, 13 Effexor XR, 23 Effient, 22 Egrifta, 16 Eha Lotion 4%, 12 Elavil, 23 Eldepryl, 25 Elestat, 28 Elestrin, 13 Eletone, 12 Eletone Twinpack, 12 eletriptan hydrobromide, 31 Elidel, 11 Elimite, 12 elinest, 13 Eliphos, 19 Eliquis, 21 Elite-OB, 33 Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 37 Elite-thin Insulin Syringe/0.5ML/29G X 1/2", 37 Elite-thin Insulin Syringe/0.5ML/30G X 5/16", 37 Elite-thin Insulin Syringe/1ML/29G X 5/16", 37 Elite-thin Insulin Syringe/1ML/30G X 5/16", 37 Elite-thin Insulin Syringe/U100/0.5ML/28G X 1/2", 37 Elite-thin Insulin Syringe/U100/0.5ML/28G X 5/16", 37 Elite-thin Insulin Syringe/U100/0.5ML/29G X 5/16", 37 Elite-thin Insulin Syringe/U100/0.5ML/31G X 5/16", 37 Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2", 37 Elite-thin Insulin Syringe/U-100/1ML/28G X 5/16", 37 Elite-thin Insulin Syringe/U-100/1ML/29G X 1/2", 37 Elite-thin Insulin Syringe/U-100/1ML/31G X 5/16", 37 Elixophyllin, 32 Ella, 14 Elmiron, 20 Elocon, 11 Emadine, 28 Embeda, 30 Emcyt, 4 Emend, 18 Emend Tripack, 18

Emflaza, 12 Emla, 12 emoquette, 13 Emsam, 23 Emtriva, 2 Emulsion SB, 12 Emverm, 3 Enablex, 20 enalapril maleate, 6 enalapril maleate/hydrochlorothiazide, 6 Enbrace HR, 34 Enbrel, 31 Enbrel Sureclick, 31 Encare, 20 Endari, 21 endocet, 29 Endometrin, 20 Enjuvia, 13 enoxaparin sodium, 21 enpresse-28, 13 enskyce, 13 Enstilar, 11 entacapone, 25 entecavir, 2 Entereg, 19 enteric coated aspirin, 29 Entocort EC, 12 Entresto, 8 Entty Spray Emulsion, 12 enulose, 19 Envarsus XR, 4 Epaned, 6 Epclusa, 2 Epiceram, 12 Epiduo, 9 Epiduo Forte, 9 Epifoam, 11 epinastine HCL, 28 Epinephrine, 7 epinephrine HCL, 7 Epinephrinesnap-v, 7 Epipen 2-PAK, 7 Epipen-JR 2-PAK, 7 Episil, 22 Episnap, 7 epitol, 24 Epivir, 2 Epivir HBV, 2 eplerenone, 6 Epogen, 21 Eprosartan Mesylate, 6 Epy II Kit, 7 Epy Kit, 7 Epzicom, 2 eq aspirin, 29 eq aspirin EC, 29 eq clearlax, 17 eq eye itch relief, 28 eq itchy eye drops, 28 eq nicotine, 25 eq nicotine gum refill, 25 eq nicotine gum starter, 25 eq nicotine polacrilex, 25 eq nicotine step 3, 25 eql aspirin, 29 eql aspirin EC, 29 eql clearlax, 17 Eql Insulin Syringe/0.3ML/29G X 1/2", 37

Eql Insulin Syringe/0.3ML/30G X 5/16", 37 Eql Insulin Syringe/0.3ML/31G X 5/16", 37 Eql Insulin Syringe/0.5ML/29G X 1/2", 37 Eql Insulin Syringe/0.5ML/30G X 5/16", 37 Eql Insulin Syringe/0.5ML/31G X 5/16", 37 Eql Insulin Syringe/1ML/29G X 1/2", 37 Eql Insulin Syringe/1ML/30G X 5/16", 37 Eql Insulin Syringe/1ML/31G X 5/16", 37 Eql Insulin Syringe/U-100/0.3ML/29G X 1/2", 37 Eql Insulin Syringe/U-100/0.5ML/29G X 1/2", 37 Eql Insulin Syringe/U-100/1ML/29G X 1/2", 37 eql nicotine, 25 eql nicotine polacrilex, 25 eql nicotine polacrilex refill, 25 eql nicotine polacrilex starter, 25 Eql SHORT Pen Needles 31G X 8MM, 37 Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16", 37 Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16", 37 Eql Ultra SHORT Pen Needles 31G X 6MM, 37 Equapax/Atorvastatin Calcium/Coq10, 8 Equetro, 23 Ergocal, 33 Ergoloid Mesylates, 26 Ergomar, 31 ergotamine tartrate/caffeine, 31 errin, 14 Ertaczo, 9 ery, 8 Ery-TAB, 1 Erygel, 9 Eryped 200, 1 Eryped 400, 1 Erythrocin Stearate, 1 erythromycin, 1, 8, 27 Erythromycin Base, 1 Erythromycin Ethylsuccinate, 1 erythromycin ethylsuccinate, 1 erythromycin/benzoyl peroxide, 8 Esbriet, 33 Escavite, 35 Escavite D, 35 Escavite LQ, 35 escitalopram oxalate, 23 esgic, 29 Esgic, 29 esomeprazole magnesium, 18 Esomeprazole Strontium, 18 estarylla, 13 estazolam, 24 esterified estrogens/methltestosterone, 13 esterified estrogens/methyltestosterone, 13 esterified estrogens/methyltestosterone DS, 13 esterified estrogens/methyltestosterone HS, 13

Estrace, 13, 20 estradiol, 13, 20 estradiol/norethindrone acetate, 13 Estring, 20 Estrogel, 13 Estropipate, 13 Estrostep FE, 14 eszopiclone, 24 ethacrynic acid, 7 ethambutol HCL, 2 ethosuximide, 24 ethyl chloride, 11 Ethyl Chloride, 11 Ethyl Chloride/Fine Pinpoint, 11 Ethyl Chloride/Fine Stream, 11 Ethyl Chloride/Medium Jet Stream, 11 Ethyl Chloride/Medium Stream, 11 Ethyl Chloride/Mist, 11 ethynodiol diacetate/ethinyl estradiol, 13 Etidronate Disodium, 16 etodolac, 30 etodolac ER, 30 Etoposide, 4 Eurax, 12 Evamist, 13 Evekeo, 24 Evista, 16 Evoclin, 9 Evotaz, 2 Evoxac, 22 Evzio, 42 Exalgo, 30 Exel Comfort Point Insulin Pen Needles 29G X 12MM, 37 Exel Comfort Point Insulin Pen Needles 31G X 6MM, 37 Exel Comfort Point Insulin Pen Needles 31G X 8MM, 37 Exel Comfort Point Insulin Syringe/0.3ML/29G X 1/2", 37 Exel Comfort Point Insulin Syringe/0.3ML/30G X 5/16", 37 Exel Comfort Point Insulin Syringe/0.5ML/28G X 1/2", 37 Exel Comfort Point Insulin Syringe/0.5ML/29G X 1/2", 37 Exel Comfort Point Insulin Syringe/0.5ML/30G X 5/16", 37 Exel Comfort Point Insulin Syringe/1ML/28G X 1/2", 37 Exel Comfort Point Insulin Syringe/1ML/29G X 1/2", 37 Exel Comfort Point Insulin Syringe/1ML/30G X 5/16", 37 Exelderm, 9 Exelon, 26 exemestane, 4 Exforge, 7 Exforge HCT, 7 Exjade, 42 Exoderm, 9 Exondys 51, 26 exotic-HC, 28 Extavia, 26 Extina, 9 Extra-virt Plus DHA, 34 eye itch relief, 28 ezetimibe, 7

ezetimibe/simvastatin, 7

F fabb, 20 Fabior, 9 Factive, 2 Falessa, 14 fallback solo, 13 falmina, 13 famciclovir, 2 famotidine, 18 Famvir, 2 Fanapt, 23 Fanapt Titration Pack, 23 Fareston, 4 Farxiga, 15 Farydak, 4 fayosim, 13 Fazaclo, 23 felbamate, 24 Felbatol, 25 Feldene, 30 felodipine ER, 5 Fem PH, 20 Femara, 4 Femcon FE, 14 Femhrt Low Dose, 13 Femring, 20 femynor, 13 fenofibrate, 7 Fenofibrate, 7 fenofibrate micronized, 7 Fenofibric Acid, 7 fenofibric acid DR, 7 Fenoglide, 8 fenoprofen calcium, 30 Fenoprofen Calcium, 30 Fenortho, 30 fentanyl, 29 Fentanyl, 29 fentanyl citrate oral transmucosal, 29 Fentora, 30 Feriva, 21 Feriva 21/7, 21 Ferivafa, 21 ferocon, 20 ferotrinsic, 20 Ferralet 90, 21 Ferraplus 90, 21 Ferriprox, 42 Ferro-plex Hematinic, 21 ferrocite plus, 20 Ferrotrin, 21 Fetzima, 23 Fetzima Titration Pack, 23 Fexmid, 26 Fiasp, 15 Fiasp Flextouch, 15 Fibricor, 8 Fifty50 Pen Needles 31G X3/16" (5MM), 37 Fifty50 Pen Needles 31G X5/16" (8MM), 37 Fifty50 Pen Needles 31GX5MM, 37 Fifty50 Pen Needles/31GX8MM, 37 Fifty50 Pen Needles/32GX4MM, 37 Fifty50 Pen Needles/32GX6MM, 37 Fifty50 Superior Comfort Insulin

Syringe/0.3ML/31G X 5/16", 37 Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 37 Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 37 Finacea, 9 finasteride, 20 Fioricet, 29 Fioricet/Codeine, 30 Fiorinal, 29 Fiorinal/Codeine #3, 30 Firmagon, 4 First-bxn Mouthwash, 22 First-dukes Mouthwash, 22 First-lansoprazole, 18 First-marys Mouthwash, 22 First-mouthwash Blm, 22 First-omeprazole, 18 First-vancomycin 25, 3 First-vancomycin 50, 3 Flagyl, 3 Flanax Pain Relief Kit, 30 Flarex, 27 flavoxate HCL, 20 flecainide acetate, 6 Flector, 10 Flexepax, 26 Flexichamber, 42 Flexizol Combipak, 30 Flolipid, 8 Flomax, 20 Floriva, 34 Floriva Plus, 33 Flovent Diskus, 32 Flovent HFA, 32 Flowtuss, 32 Floxin Otic, 29 Fluarix Quadrivalent 2015-2016, 33 Fluarix Quadrivalent 2016-2017, 33 Fluarix Quadrivalent 2017-2018, 33 Flublok 2015-2016, 33 Flublok 2016-2017, 33 Flublok 2017-2018, 33 Flublok Quadrivalent 2017-2018, 33 Flucelvax 2015-2016, 33 Flucelvax Quadrivalent 2016-2017, 33 Flucelvax Quadrivalent 2017-2018, 33 fluconazole, 2 flucytosine, 2 fludrocortisone acetate, 12 Flulaval Quadrivalent 2014-2015, 33 Flulaval Quadrivalent 2015-2016, 33 Flulaval Quadrivalent 2016-2017, 33 Flulaval Quadrivalent 2017-2018, 33 Flumadine, 2 Flumist Quadrivalent, 33 Flunisolide, 31 fluocinolone acetonide, 10, 28 fluocinolone acetonide body, 10 fluocinolone acetonide ear drops, 28 fluocinolone acetonide scalp, 10 fluocinonide, 10 fluocinonide emulsified base, 10 fluoridex, 22 fluoridex daily defense, 22 fluoridex daily defense enhanced whitening, 22 fluoridex daily defense sensitivity relief,

22 Fluoridex Daily Defense Sensitivity Relief, 22 fluoridex enhanced whitening, 22 fluoridex sensitivity relief, 22 fluoridex sensitivity relief/sls free, 22 fluorometholone, 27 Fluoxetine, 26 Fluoxetine DR, 23 fluoxetine HCL, 23, 26 Fluoxetine HCL, 23 fluphenazine decanoate, 23 fluphenazine HCL, 23 Fluphenazine HCL, 23 flurandrenolide, 10 Flurazepam HCL, 24 flurbiprofen, 30 flurbiprofen sodium, 28 Flurbiprofen Sodium, 28 flutamide, 4 fluticasone propionate, 10, 31 Fluticasone Propionate/Salmeterol, 32 fluvastatin, 7 fluvastatin sodium ER, 7 Fluvirin 2015-2016, 33 Fluvirin 2016-2017, 33 Fluvirin 2017-2018, 33 fluvoxamine maleate, 23 fluvoxamine maleate ER, 23 Fluzone Intradermal Quadrivalent 20152016, 33 Fluzone Intradermal Quadrivalent 20162017, 33 Fluzone Intradermal Quadrivalent 20172018, 33 Fluzone Quadrivalent 2015-2016, 33 Fluzone Quadrivalent 2016-2017, 33 Fluzone Quadrivalent 2017-2018, 33 Fluzone Split 2015-2016, 33 FML, 27 FML Forte, 27 FML Liquifilm, 27 Focalgin 90 DHA, 34 Focalgin CA, 34 Focalgin Dss, 21 Focalin, 24 Focalin XR, 24 folbee, 20 folbee plus, 33 Folbee Plus Cz, 33 Folcal DHA, 34 Folcaps Omega 3, 34 Folene, 21 Folet DHA, 34 Folet One, 34 Folgard OS, 35 Folgard RX, 21 folic acid/vitamin b-6/vitamin b-12, 20 Folivane-f, 21 Folivane-OB, 34 Folivane-plus, 21 Folixapure, 21 folplex 2.2, 20 foltrin, 20 fondaparinux sodium, 21 Foradil Aerolizer, 32 Forfivo XL, 23 Fortamet, 15

Forteo, 16 Fortesta, 13 Fortical, 16 Fosamax, 16 Fosamax Plus D, 16 fosamprenavir calcium, 2 fosinopril sodium, 6 fosinopril sodium/hydrochlorothiazide, 6 Fosrenol, 19 Fragmin, 21 Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 37 Freds Pharmacy Unifine Pentips Plus 31GX5MM, 37 Freds Pharmacy Unifine Pentips Plus 31GX8MM, 37 Freestyle Precision Insulin Syringe/U100/0.5ML/30G X 5/16", 37 Freestyle Precision Insulin Syringe/U100/0.5ML/31G X 5/16", 37 Freestyle Precision Insulin Syringe/U100/1ML/31G X 5/16", 37 Freestyle Precision Insulin Syringes/U100/1ML/30G X 5/16", 37 Frova, 31 frovatriptan succinate, 31 Fulyzaq, 18 Furadantin, 19 furosemide, 7 Furosemide, 7 Fusion Plus, 21 Fusion Sprinkles, 21 Fuzeon, 2 fyavolv, 13 Fycompa, 25

G gabapentin, 24 Gabitril, 25 galantamine hydrobromide, 26 Galantamine Hydrobromide, 26 galantamine hydrobromide ER, 26 Gastrocrom, 19 gatifloxacin, 27 Gattex, 19 gavilax, 17 gavilyte-c, 17 gavilyte-G, 17 gavilyte-h, 17 gavilyte-n/flavor pack, 17 Gelclair, 22 Gelnique, 20 Gelnique P.M., 20 Gelx, 22 gemfibrozil, 7 Genadur Kit, 12 Generess FE, 14 generlac, 19 gengraf, 4 Genotropin, 16 Genotropin Miniquick, 16 gentak, 27 Gentak, 27 gentamicin sulfate, 9, 27 Gentamicin Sulfate, 9 gentlelax, 17 Genvoya, 2 Geodon, 23 Gialax, 17

gianvi, 13 Giazo, 19 gildagia, 13 gildess 1.5/30, 13 gildess 1/20, 13 gildess 24 FE, 13 gildess FE 1.5/30, 13 gildess FE 1/20, 13 Gilenya, 26 Gilotrif, 4 glatiramer acetate, 26 glatopa, 26 Gleevec, 4 Gleostine, 3 glimepiride, 15 glipizide, 15 glipizide ER, 15 glipizide XL, 15 glipizide/metformin HCL, 16 Global Ease Inject Pen Needles 29GX12MM, 37 Global Ease Inject Pen Needles 31GX8MM, 37 Global Ease Inject Pen Needles 32GX4MM, 37 Global Ease Inject Pen Neeedles 31GX5MM, 37 Global Easy Glide Insulinsyringe/U100/0.3ML/31G X 5/16", 37 Global Easy Glide Pen Needles 32GX4MM, 37 Global Inject Ease Insulin Syringe/U100/0.3ML/29G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/0.3ML/30G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/0.3ML/30G X 5/16", 37 Global Inject Ease Insulin Syringe/U100/0.3ML/31G X 5/16", 37 Global Inject Ease Insulin Syringe/U100/0.5ML/28G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/0.5ML/29G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/0.5ML/30G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/0.5ML/30G X 5/16", 37 Global Inject Ease Insulin Syringe/U100/0.5ML/31G X 5/16", 37 Global Inject Ease Insulin Syringe/U100/1ML/28G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/1ML/29G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/1ML/30G X 1/2", 37 Global Inject Ease Insulin Syringe/U100/1ML/30G X 5/16", 37 Global Inject Ease Insulin Syringe/U100/1ML/31G X 5/16", 37 Global Insulin Syringe/U-100/0.3ML/30G X 1/2", 37 Global Insulin Syringes/U100/0.3ML/30GX5/16", 37 Glucagen Hypokit, 15 Glucagon Emergency Kit, 15 Glucophage, 15 Glucophage XR, 15 Glucopro Insulin Syringe/U-100/0.

3ML/30G X 1/2", 37 Glucopro Insulin Syringe/U100/0.3ML/30G X 5/16", 37 Glucopro Insulin Syringe/U100/0.3ML/31G X 5/16", 37 Glucopro Insulin Syringe/U100/0.5ML/30G X 1/2", 37 Glucopro Insulin Syringe/U100/0.5ML/30G X 5/16", 37 Glucopro Insulin Syringe/U100/0.5ML/31G X 5/16", 37 Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 37 Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 37 Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 37 Glucotrol, 15 Glucotrol XL, 15 Glucovance, 16 Glumetza, 15 glyburide, 15 glyburide micronized, 15 glyburide/metformin HCL, 16 glycolax, 17 glycopyrrolate, 18 Glynase, 15 Glyset, 16 Glyxambi, 16 gnp aspirin, 29 gnp clearlax, 17 Gnp Clickfine Pen Needle Universal/31GX5/16", 37 Gnp Clickfine Universal Pen Needles 31GX1/4", 37 Gnp Clickfine Universal Pen Needles 31GX5/16", 37 gnp eye itch relief, 28 Gnp Insulin Syringe/0.3ML/29G X 1/2", 37 Gnp Insulin Syringe/0.3ML/30G X 5/16", 37 Gnp Insulin Syringe/0.3ML/31G X 5/16", 37 Gnp Insulin Syringe/0.5ML/28G X 1/2", 37 Gnp Insulin Syringe/0.5ML/29G X 1/2", 37 Gnp Insulin Syringe/0.5ML/30G X 5/16", 37 Gnp Insulin Syringe/0.5ML/31G X 5/16", 37 Gnp Insulin Syringe/1ML/28G X 1/2", 37 Gnp Insulin Syringe/1ML/29G X 1/2", 38 Gnp Insulin Syringe/1ML/30G X 5/16", 38 Gnp Insulin Syringe/1ML/31G X 5/16", 38 gnp itchy eye, 28 gnp nicotine gum, 25 gnp nicotine mini lozenge, 25 gnp nicotine polacrilex, 25 gnp nicotine polacrilex mini, 25 gnp nicotine transdermal system, 25 Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 38 Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT, 38 Gnp Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" SHORT, 38

Gnp Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 38 Gnp Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 38 Gnp Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" SHORT, 38 Gnp Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" SHORT, 38 Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 38 Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 38 Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT, 38 Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 38 Gocovri, 25 Golytely, 17 Gonitro, 5 goodsense aspirin, 29 goodsense itchy eye, 28 goodsense nicotine gum, 25 Gordofilm, 12 Gordons Urea, 12 Gralise, 26 Gralise Starter, 26 granisetron HCL, 18 Granix, 21 Grifulvin V, 2 Gris-peg, 2 griseofulvin microsize, 2 griseofulvin ultramicrosize, 2 guanfacine ER, 24 guanfacine HCL, 6 Guanidine HCL, 27 Gynazole-1, 20

H H-e-b IN Control Pen Needles 31GX5MM, 38 H-e-b IN Control Pen Needles 31GX6MM, 38 H-e-b IN Control Pen Needles 31GX8MM, 38 H-e-b IN Control Pen Needles/Nano/32GX4MM, 38 H-e-b IN Control Unifine Pentips Plus 31GX5MM, 38 H-e-b IN Control Unifine Pentips Plus 32GX4MM, 38 H-e-b Incontrol Pen Needles 29GX12MM, 38 H.p. Acthar, 17 Halac, 10 Halcion, 24 Haldol, 23 Haldol Decanoate 100, 23 Haldol Decanoate 50, 23 halobetasol propionate, 10 Halog, 11 haloperidol, 23 haloperidol decanoate, 23 haloperidol lactate, 23 Halotin, 9 Harvoni, 2 Healthwise Mini Pen Needles 31GX6MM, 38 Healthwise Pen Needles 29GX12MM, 38 Healthwise SHORT Pen Needles

31GX8MM, 38 Healthwise Unifine Pentips Pen Needles 32GX4MM, 38 Healthy Accents Unifine Pentips Pen Needles 29GX12MM, 38 Healthy Accents Unifine Pentips Pen Needles 31GX5MM, 38 Healthy Accents Unifine Pentips Pen Needles 31GX6MM, 38 Healthy Accents Unifine Pentips Pen Needles 31GX8MM, 38 Healthy Accents Unifine Pentips Pen Needles 32GX4MM, 38 heather, 14 Hectorol, 17 Hemangeol, 5 hematinic plus vitamins/minerals, 20 hematinic/folic acid, 20 Hematogen Fa, 21 hematogen forte, 20 Hemenatal OB, 34 Hemenatal OB + DHA, 34 Hemetab, 21 hemmorex-HC, 19 Hemocyte Plus, 21 hemocyte-f, 21 hemocyte-plus, 21 heparin lock flush, 21 Heparin Lock Flush, 21 heparin lock flush for flushing vascular access devices, 21 heparin lock flush/NACL for flushing vascular access devices, 21 heparin sodium, 21 heparin sodium dcu, 21 heparin sodium lock flush, 21 heparin sodium/D5W, 21 Heparin Sodium/D5W, 21 Heparin Sodium/NACL 0.45%, 21 heparin sodium/NACL 0.9%, 21 Heparin Sodium/Sodium Chloride, 21 Heparin Sodium/Sodium Chloride 0.9%, 21 heparin sodium/sodium chloride 0.9% premix, 21 Hepsera, 2 Hetlioz, 24 Hexalen, 3 Hiprex, 19 HM aspirin, 29 HM aspirin EC, 29 HM clearlax, 17 HM eye itch relief, 28 HM nicotine polacrilex, 26 HM nicotine transdermal system, 26 HM nicotine transdermal system step 3, 26 homatropaire, 28 homatropine HBR, 28 Horizant, 26 HPR, 12 HPR Plus, 12 HPR Plus/Mb Hydrogel, 12 Humalog, 15 Humalog Junior Kwikpen, 15 Humalog Kwikpen, 15 Humalog Mix 50/50, 15 Humalog Mix 50/50 Kwikpen, 15

Humalog Mix 75/25, 15 Humalog Mix 75/25 Kwikpen, 15 Humatrope, 16 Humatrope Combo Pack, 16 Humira, 31 Humira Pediatric Crohns Disease Starter Pack, 31 Humira Pen, 31 Humira Pen-crohns Diseasestarter, 31 Humira Pen-psoriasis Starter, 31 Humulin 70/30, 15 Humulin 70/30 Kwikpen, 15 Humulin N, 15 Humulin N Kwikpen, 15 Humulin R, 15 Humulin R U-500 (concentrated), 15 Humulin R U-500 Kwikpen, 15 Hycamtin, 5 Hycet, 30 Hycofenix, 32 hydralazine HCL, 6 Hydrea, 5 Hydro 35, 12 Hydro 40 Foam, 12 hydrochlorothiazide, 7 hydrocodone bitartrate/acetaminophen, 29 hydrocodone bitartrate/chlorpheniramine maleate/PSE, 32 hydrocodone bitartrate/homatropine methylbromide, 32 hydrocodone polistirex/chlorpheniramine polistirex, 32 hydrocodone/acetaminophen, 29 hydrocodone/homatropine, 32 hydrocodone/ibuprofen, 29 hydrocortisone, 10, 12, 19 hydrocortisone acetate, 19 hydrocortisone acetate & iodoquinol, 9 hydrocortisone acetate/pramoxine, 10, 19 hydrocortisone acetate/pramoxine HCL, 19 hydrocortisone butyrate, 10 hydrocortisone butyrate (lipid), 10 hydrocortisone butyrate (lipophilic), 10 hydrocortisone valerate, 10 hydrocortisone/acetic acid, 28 hydrocortisone/iodoquinol, 9 hydromet, 32 hydromorphone HCL, 29 Hydromorphone HCL, 29 hydromorphone HCL ER, 30 hydromorphone hydrochloride, 29 hydromorphone hydrochloride ER, 29 hydroxychloroquine sulfate, 3 hydroxyurea, 5 hydroxyzine HCL, 22 hydroxyzine pamoate, 22 Hydroxyzine Pamoate, 22 Hylatopic Plus, 12 Hylira, 12 hyolev mb, 19 hyophen, 19 hyoscyamine sulfate, 18 hyoscyamine sulfate ER, 18 hyoscyamine sulfate odt, 18 hyoscyamine sulfate SR, 18

hyosyne, 18 Hyper-sal, 32 Hypersal, 32 Hysingla ER, 30 Hyzaar, 7

I ibandronate sodium, 16 Ibrance, 4 ibudone, 29 Ibudone, 30 ibuprofen, 30 Iclusig, 4 Idhifa, 4 Ilevro, 28 ilotycin, 27 imatinib mesylate, 4 Imbruvica, 4 imipramine HCL, 23 imipramine pamoate, 23 imiquimod, 11 Imitrex, 31 Imitrex Statdose Refill, 31 Imitrex Statdose System, 31 Impavido, 3 Imuran, 4 Inatal Advance, 33 Inatal GT, 33 Inatal Ultra, 33 Increlex, 16 Incruse Ellipta, 32 indapamide, 7 Inderal LA, 5 Inderal XL, 5 indiomin mb, 19 Indocin, 30 indomethacin, 30 indomethacin ER, 30 Infanate Balance, 34 inflammacin, 30 Influenza Vaccine For Safeway Dependants, 33 Ingrezza, 26 Inlyta, 4 Innopran XL, 5 Inova, 9 Inova 4/1 Acne Control Therapy, 9 Inova 8/2 Acne Control Therapy, 9 Inspirachamber/Anti-static Valved/Mouthpiece, 42 Inspirachamber/Large, 42 Inspirachamber/Soothermask/Inspiramas k/Medium, 42 Inspirachamber/Soothermask/Inspiramas k/Small, 42 Inspirease Drug Delivery System, 42 Inspirease Reservoir Bags, 42 Inspra, 6 Insulin Syringe/0.3ML/29G X 1", 38 Insulin Syringe/0.3ML/29G X 1/2", 38 Insulin Syringe/0.3ML/30G X 5/16", 38 Insulin Syringe/0.3ML/31G X 5/16", 38 Insulin Syringe/0.5ML/27G X 1/2", 38 Insulin Syringe/0.5ML/28G X 1/2", 38 Insulin Syringe/0.5ML/29G X 1/2", 38 Insulin Syringe/0.5ML/30G X 1/2", 38 Insulin Syringe/0.5ML/30G X 5/16", 38 Insulin Syringe/0.5ML/31G X 5/16", 38 Insulin Syringe/1ML/28G X 1/2", 38

Insulin Syringe/1ML/29G X 1/2", 38 Insulin Syringe/1ML/30G X 5/16", 38 Insulin Syringe/1ML/31G X 5/16", 38 Insulin Syringe/U-100/0.3ML/29G X 1/2", 38 Insulin Syringe/U-100/0.5ML/28G X 1/2", 38 Insulin Syringe/U-100/0.5ML/29G X 1/2", 38 Insulin Syringe/U-100/1ML/28G X 1/2", 38 Insulin Syringe/U-100/1ML/29G X 1/2", 38 Insulin Syringe/U-100/1ML/30G X 5/16", 38 Insulin Syringe/U-100/1ML/31G X 5/16", 38 Insulin Syringes/0.5ML/27GX1/2", 38 Insulin Syringes/0.5ML/28GX1/2", 38 Insulin Syringes/0.5ML/29GX1/2", 38 Insulin Syringes/0.5ML/30GX5/16", 38 Insulin Syringes/0.5ML/31GX 5/16", 38 Insulin Syringes/0.5ML/31GX5/16", 38 Insulin Syringes/1ML/27GX/1/2", 38 Insulin Syringes/1ML/27GX1/2", 38 Insulin Syringes/1ML/28GX1/2", 38 Insulin Syringes/1ML/29GX1/2", 38 Insulin Syringes/1ML/30GX1/2", 38 Insulin Syringes/1ML/31GX5/16", 38 Insupen 29G X 12MM, 38 Insupen 31G X 5MM, 38 Insupen 31G X 8MM, 38 Insupen 32G X 4MM, 38 Insupen Pen Needles 32G X4MM, 38 Insupen Sensitive 32GX6MM, 38 Insupen Sensitive 32GX8MM, 38 Insupen Ultrafin 29GX12MM, 38 Insupen Ultrafin 30GX8MM, 38 Insupen Ultrafin 31GX6MM, 38 Insupen Ultrafin 31GX8MM, 38 Integra F, 21 Integra Plus, 21 Intelence, 2 Intermezzo, 24 Intrarosa, 20 Intron A, 5 Intron A W/Diluent, 5 introvale, 13 Intuniv, 24 Invega, 23 Invirase, 2 Invokamet, 16 Invokamet XR, 16 Invokana, 15 Iopidine, 28 ipratropium bromide, 31, 32 ipratropium bromide/albuterol sulfate, 32 irbesartan, 6 irbesartan/hydrochlorothiazide, 6 Iressa, 4 Irospan 24/6, 21 Is 24/6, 21 Isentress, 2 Isentress HD, 2 isibloom, 13 isometheptene mucate/caffeine/acetaminophen, 31 isometheptene/dichloralphenazone/aceta

minophen, 31 isoniazid, 2 Isoniazid, 2 Isopto Carpine, 28 Isordil Titradose, 5 isosorbide dinitrate, 5 Isosorbide Dinitrate ER, 5 isosorbide mononitrate, 5 isosorbide mononitrate ER, 5 isoxsuprine HCL, 8 Isoxsuprine HCL, 8 isradipine, 5 Istalol, 27 itraconazole, 2 ivermectin, 3

J Jadenu, 42 Jadenu Sprinkle, 42 Jakafi, 4 Jalyn, 20 jantoven, 21 Janumet, 16 Janumet XR, 16 Januvia, 16 Jardiance, 15 jencycla, 14 Jentadueto, 16 Jentadueto XR, 16 jevantique LO, 13 jinteli, 13 jolessa, 13 jolivette, 14 Jublia, 9 juleber, 13 junel 1.5/30, 14 junel 1/20, 14 junel FE 1.5/30, 13 junel FE 1/20, 13 junel FE 24, 13 Juxtapid, 8

K K-phos NO 2, 20 k-tan plus, 21 Kadian, 30 kaitlib FE, 14 Kaletra, 2 Kalydeco, 33 Kamdoy, 12 Kapvay, 24 Karbinal ER, 31 karigel, 22 karigel-n, 22 kariva, 14 Kazano, 16 Keflex, 1 kelnor 1/35, 14 Kenalog, 11 Keppra, 25 Keppra XR, 25 Keralac, 12 Keralyt, 12 Keralyt Scalp, 12 Kerydin, 9 Ketek, 3 ketoconazole, 2, 9 ketodan, 9 Ketodan Kit, 9

ketoprofen, 30 Ketoprofen ER, 30 ketorolac tromethamine, 28, 30 ketotifen fumarate, 28 Keveyis, 7 Kevzara, 31 Khedezla, 23 kimidess, 14 Kineret, 31 Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16", 38 Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16", 38 Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16", 38 Kinray Insulin Syringe/0.5ML/29G X 1/2", 38 Kisqali, 4 Kisqali Femara 200 Dose, 5 Kisqali Femara 400 Dose, 5 Kisqali Femara 600 Dose, 5 Kitabis PAK, 2 Klaron, 9 klofensaid II, 10 Klonopin, 25 kls aspirin EC, 29 kls laxaclear, 17 kls quit2, 25 kls quit4, 25 Kmart Valu Plus Insulin Syringe/0.3ML/30G, 38 Kmart Valu Plus Insulin Syringe/0.5ML/29G, 38 Kmart Valu Plus Insulin Syringe/0.5ML/30G, 38 Kmart Valu Plus Insulin Syringe/1ML/29G, 38 Kmart Valu Plus Insulin Syringe/1ML/30G, 38 Kombiglyze XR, 16 Korlym, 15 Kosher Prenatal Plus Iron, 35 kp ketotifen fumarate, 28 Kristalose, 17 Kroger Insulin Syringe/0.3ML/29G X 1/2", 38 Kroger Insulin Syringe/0.3ML/30G X 5/16", 38 Kroger Insulin Syringe/0.3ML/31G X 5/16", 38 Kroger Insulin Syringe/0.5ML/29G X 1/2", 38 Kroger Insulin Syringe/0.5ML/30G X 5/16", 38 Kroger Insulin Syringe/0.5ML/31G X 5/16", 38 Kroger Insulin Syringe/1ML/29G X 1/2", 38 Kroger Insulin Syringe/1ML/30G X 5/16", 38 Kroger Insulin Syringe/1ML/31G X 5/16", 38 Kroger Pen Needles 29G X 12MM, 38 Kroger Pen Needles 31G X 8MM, 38 Kroger Pen Needles 31GX1/4", 38 kurvelo, 14 Kuvan, 17 Kynamro, 8

L labetalol HCL, 5 Lacrisert, 27 lactic acid, 11 lactic acid e, 11 lactic acid w/vitamin e, 11 lactulose, 17, 19 Lamictal, 25 Lamictal Chewable Dispersible, 25 Lamictal Odt, 25 Lamictal Starter/Not Taking Carbamazepine, 25 Lamictal Starter/Taking Carbamazepine/Not Taking Valproate, 25 Lamictal Starter/Taking Valproate, 25 Lamictal XR, 25 Lamisil, 2 lamivudine, 2 lamivudine/zidovudine, 2 lamotrigine, 24 lamotrigine ER, 24 lamotrigine odt, 24 lamotrigine starter kit/blue, 24 lamotrigine starter kit/green, 24 lamotrigine starter kit/orange, 24 lamotrigine titration, 24 Lanoxin, 5 lansoprazole, 18 lansoprazole/amoxicillin/clarithromycin, 18 lanthanum carbonate, 19 Lantus, 15 Lantus Solostar, 15 larin 1.5/30, 14 larin 1/20, 14 larin 24 FE, 14 larin FE 1.5/30, 14 larin FE 1/20, 14 larissia, 14 Lasix, 7 Lastacaft, 28 latanoprost, 27 latrix, 11 Latrix XM, 11 Latuda, 23 laxative polyethlyene glycol 3350, 17 layolis FE, 14 Lazanda, 30 Ldo Plus, 12 Leader Insulin Syringe/0.3ML/29G X 1/2", 38 Leader Insulin Syringe/0.3ML/30G X 5/16", 38 Leader Insulin Syringe/0.3ML/31G X 5/16", 38 Leader Insulin Syringe/0.5ML/28G X 1/2", 38 Leader Insulin Syringe/0.5ML/29G X 1/2", 38 Leader Insulin Syringe/0.5ML/30G X 5/16", 38 Leader Insulin Syringe/0.5ML/31G X 5/16", 38 Leader Insulin Syringe/1ML/28G X 1/2", 38 Leader Insulin Syringe/1ML/29G X 1/2", 38

Leader Insulin Syringe/1ML/30G X 5/16", 38 Leader Insulin Syringe/1ML/31G X 5/16", 38 Leader Unifine Pentips Plus/Mini/31GX3/16", 38 Leader Unifine Pentips Plus/SHORT/31GX5/16", 38 Leader Unifine Pentips/Mini/31GX3/16", 38 Leader Unifine Pentips/Nano/32GX5/32", 38 Leader Unifine Pentips/Plus/32GX5/32", 38 leena, 14 leflunomide, 30 Lenvima 10 MG Daily Dose, 4 Lenvima 14 MG Daily Dose, 4 Lenvima 18 MG Daily Dose, 4 Lenvima 20 MG Daily Dose, 4 Lenvima 24 MG Daily Dose, 4 Lenvima 8 MG Daily Dose, 4 Lescol XL, 8 lessina, 14 Letairis, 8 letrozole, 4 leucovorin calcium, 5 Leucovorin Calcium, 5 Leukeran, 3 Leukine, 21 leva set, 11 leva set/occlusive dressing, 11 Levacet, 29 levalbuterol, 32 levalbuterol HCL, 32 Levalbuterol Tartrate HFA, 32 Levaquin, 2 Levbid, 18 Levemir, 15 Levemir Flextouch, 15 levetiracetam, 24 levetiracetam ER, 24 Levitra, 8 levo-t, 17 levobunolol HCL, 27 levocarnitine, 17 levocetirizine dihydrochloride, 31 levofloxacin, 1, 27 Levofloxacin, 1 levoleucovorin, 5 levoleucovorin calcium, 5 Levomefolate DHA, 34 levonest, 14 levonorgestrel, 14 levonorgestrel and ethinyl estradiol, 14 Levonorgestrel And Ethinyl Estradiol, 14 levonorgestrel/ethinyl estradiol, 14 levora 0.15/30-28, 14 Levorphanol Tartrate, 30 levothyroxine sodium, 17 levothyroxine sodium TAB 0.075MG, 17 levothyroxine/liothyronine, 17 levoxyl, 17 Levsin, 18 Levsin/SL, 18 Lexapro, 23 Lexiva, 2 Lexuss 210, 32

Lialda, 19 Librax, 18 lido bdk, 11 Lido-k, 12 lido-prilo caine pack, 11 lidocaine, 11 Lidocaine And Tetracaine Cream, 11 lidocaine HCL, 11 Lidocaine HCL, 11, 22 lidocaine HCL viscous, 22 Lidocaine HCL-hydrocortisone Acetate With Aloe, 19 lidocaine HCL/hydrocortisone acetate, 19 lidocaine hydrochloride, 11 Lidocaine Hydrochloride, 31 lidocaine PAK, 11 lidocaine viscous, 22 lidocaine-prilocaine-cream base, 11 lidocaine/prilocaine, 11 Lidocin, 12 Lidoderm, 12 lidopin, 11 Lidopin, 12 lidopril, 11 lidopril XR, 11 Lidorx, 12 Lidotral, 12 Lidotrex, 12 Lidovex, 12 lillow, 14 Lindane, 11 lindane, 11 linezolid, 3 Linzess, 19 liothyronine sodium, 17 Lipitor, 8 Lipofen, 8 liprozonepak, 11 lisinopril, 6 lisinopril/hydrochlorothiazide, 6 Lite Touch Pen Needles/31G X 3/16", 38 Liteaire, 42 Litetouch Insulin Syringe/0.3ML/29G X 1/2", 38 Litetouch Insulin Syringe/0.3ML/30G X 5/16", 38 Litetouch Insulin Syringe/0.3ML/31G X 5/16", 38 Litetouch Insulin Syringe/0.5ML/30G X 5/16", 38 Litetouch Insulin Syringe/0.5ML/31G X 5/16", 38 Litetouch Insulin Syringe/1ML/30G X 5/16", 38 Litetouch Insulin Syringe/U100/0.5ML/28G X 1/2", 38 Litetouch Insulin Syringe/U100/0.5ML/29G X 1/2", 38 Litetouch Insulin Syringe/U-100/1ML/28G X 1/2", 38 Litetouch Insulin Syringe/U-100/1ML/29G X 1/2", 38 Litetouch Insulin Syringe/U-100/1ML/31G X 5/16", 38 Litetouch Pen Needles 29GX12.7MM, 38 Litetouch Pen Needles 31G X 6MM, 38 Litetouch Pen Needles 31GX8MM SHORT, 38

Lithium, 23 lithium carbonate, 23 Lithium Carbonate, 23 lithium carbonate ER, 23 Lithobid, 23 Lithostat, 20 Livalo, 8 Live Better Pen Needles 29G X 12MM, 38 Live Better Pen Needles 31G X 12MM, 38 Live Better Pen Needles 31G X 6MM, 38 livixil PAK, 11 LO Loestrin FE, 14 Locoid, 11 Locoid Lipocream, 11 Locort 11-day, 12 Locort 7-day, 12 Lodine, 30 Lodosyn, 25 Loestrin 1.5/30-21, 14 Loestrin 1/20-21, 14 Loestrin FE 1.5/30, 14 Loestrin FE 1/20, 14 Lofibra, 8 lokara, 10 lomedia 24 FE, 14 Lomotil, 18 Lomustine, 4 Longs Insulin Syringe/0.5ML/31G X 5/16", 38 Lonsurf, 5 Lopid, 8 lopinavir/ritonavir, 2 lopreeza, 13 Lopressor, 5 Lopressor HCT, 7 Loprox, 9 Loprox Shampoo, 9 lorazepam, 22 lorazepam intensol, 22 lorcet, 29 lorcet HD, 29 lorcet plus, 29 lortab, 29 Lortab, 30 loryna, 14 Lorzone, 26 losartan potassium, 6 losartan potassium/hydrochlorothiazide, 6 Loseasonique, 14 Lotemax, 27 Lotensin, 6 Lotensin HCT, 7 Lotrel, 7 Lotrisone, 9 Lotronex, 19 lovastatin, 7 Lovaza, 8 Lovenox, 21 low-ogestrel, 14 loxapine, 23 loxapine succinate, 23 LP lite PAK, 11 Lumigan, 27 Lunesta, 24 lutera, 14

Luxiq, 11 Luzu, 9 Lynparza, 4 Lyrica, 25 Lysodren, 4 Lysteda, 22 lyza, 14

M Macnatal CN DHA, 33 Macrobid, 19 Macrodantin, 19 Magellan Insulin Safety Syringe/U100/0.3ML/29G X 1/2", 38 Magellan Insulin Safety Syringe/U100/0.3ML/30G X 5/16", 38 Magellan Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 38 Magellan Insulin Safety Syringe/U100/0.5ML/30G X 5/16", 38 Magellan Insulin Safety Syringe/U100/1ML/29G X 1/2", 38 Magellan Insulin Safety Syringe/U100/1ML/30G X 5/16", 38 Malarone, 3 malathion, 11 Maprotiline HCL, 23 Marathon Medical Pentips 29GX12MM, 39 Marathon Medical Pentips 31GX5MM, 39 Marathon Medical Pentips 31GX8MM, 39 Marathon Medical Pentips 32GX4MM, 39 margesic, 29 Marinol, 18 marlissa, 14 Marnatal-f, 34 Marplan, 23 marten-TAB, 29 Matulane, 5 matzim LA, 5 Mavik, 6 Mavyret, 2 Maxalt, 31 Maxalt-MLT, 31 Maxfe, 21 Maxi-comfort Insulin Syringe/U100/0.5ML/28GX1/2", 39 Maxi-comfort Insulin Syringe/U100/1ML/28GX1/2", 39 Maxidex, 27 Maxitrol, 27 Maxzide, 7 Maxzide-25, 7 me/naphos/mb/hyo 1, 19 Meclofenamate Sodium, 30 Medic Insulin Syringe/0.3ML/30G X 5/16", 39 Medic Insulin Syringe/0.5ML/30G X 5/16", 39 Medical Provider EZ Flu Shot 2015-2016, 33 Medical Provider EZ Flu Shot PF 20142015, 33 Medical Provider Single Use EZ Flu Shot, 33 Medical Provider Single Use EZ Flu Shot 2016-2017, 33 Medicine Shoppe Pen Needles 29G X 12MM, 39

Medicine Shoppe Pen Needles 31G X 6MM, 39 Medicine Shoppe Pen Needles 31G X 8MM, 39 medolor PAK, 11 Medrol, 12 Medrol Dosepak, 12 medroxyprogesterone acetate, 14, 15 mefenamic acid, 30 mefloquine HCL, 3 Megace ES, 15 Megace Oral, 4 megestrol acetate, 4, 15 meijer aspirin EC, 29 Meijer Pen Needles 29G X 12MM, 39 Meijer Pen Needles 31G X 6MM, 39 Meijer Pen Needles 31G X 8MM, 39 Mekinist, 4 melodetta 24 FE, 14 meloxicam, 30 Meloxicam, 30 melphalan, 3 memantine HCL, 26 memantine HCL titration PAK, 26 memantine hydrochloride, 26 Menest, 13 Menostar, 13 meperidine HCL, 29 Meperidine HCL, 29 Meperidine HCL/Promethazine HCL, 30 Mephyton, 33 meprobamate, 22 Mepron, 3 mercaptopurine, 4 mesalamine, 19 Mesalamine DR, 19 mesalamine DR, 19 Mesnex, 5 Mestinon, 27 Mestinon Timespan, 27 Metadate CD, 24 metadate ER, 24 Metaproterenol Sulfate, 32 metaxall, 26 metaxalone, 26 Metaxalone, 26 metformin HCL, 15 metformin HCL ER, 15 metformin hydrochloride, 15 methadone HCL, 29 Methadone HCL, 29 methadone HCL intensol, 29 methadose, 29 Methadose, 29 Methadose Sugar-free, 29 methamphetamine HCL, 24 methazolamide, 7 methenamine hippurate, 19 methenamine mandelate, 19 Methenamine Mandelate, 19 Methergine, 29 methimazole, 17 Methitest, 13 methocarbamol, 26 methotrexate, 4 methotrexate sodium, 4 Methotrexate Sodium, 4 methoxsalen, 10

methscopolamine bromide, 18 Methyclothiazide, 7 methyldopa, 6 Methyldopa/Hydrochlorothiazide, 7 methylergonovine maleate, 29 Methylin, 24 methylphenidate HCL, 24 Methylphenidate HCL, 24 methylphenidate HCL CD, 24 methylphenidate HCL ER, 24 Methylphenidate HCL ER, 24 Methylphenidate HCL ER (LA), 24 methylphenidate hydrochloride, 24 methylprednisolone, 12 methylprednisolone dose pack, 12 methyltestosterone, 13 Metipranolol, 27 metoclopramide HCL, 19 Metoclopramide Odt, 19 metolazone, 7 metoprolol succinate ER, 5 Metoprolol Succinate ER/Hydrochlorothiazide, 7 metoprolol tartrate, 5 Metoprolol Tartrate, 5 metoprolol/hydrochlorothiazide, 6 Metoprolol/Hydrochlorothiazide, 7 Metozolv Odt, 19 Metrocream, 9 Metrogel, 9 Metrogel-vaginal, 20 Metrolotion, 9 metronidazole, 3, 9 Metronidazole, 9 metronidazole vaginal, 20 Mevacor, 8 mexiletine HCL, 6 Miacalcin, 16 mibelas 24 FE, 14 Micardis, 6 Micardis HCT, 7 Miconazole 3, 20 Micort-HC, 11 Microchamber, 42 microgestin 1.5/30, 14 microgestin 1/20, 14 microgestin 24 FE, 14 microgestin FE, 14 microgestin FE 1.5/30, 14 Microspacer, 42 Microzide, 7 midazolam HCL, 24 midodrine HCL, 7 Mifeprex, 17 Migergot, 31 miglitol, 16 Migranal, 31 Millipred, 12 Millipred DP, 12 mimvey, 13 mimvey LO, 13 Minastrin 24 FE, 14 Minipress, 6 minitran, 5 Minivelle, 13 Minocin, 1 Minocin Kit, 1 minocycline HCL, 1

minocycline HCL ER, 1 Minocycline HCL ER, 1 minoxidil, 6 Miochol-e, 28 Miralax, 17 Mirapex, 25 Mirapex ER, 25 Mircera, 21 Mircette, 14 mirtazapine, 23 mirtazapine odt, 23 Mirvaso, 9 misoprostol, 18 Mitigare, 31 Mitosol, 27 MM aspirin, 29 Mobic, 30 modafinil, 24 moderiba, 2 Moderiba, 2 Moderiba 1200 Dose Pack, 2 Moderiba 800 Dose Pack, 3 Modicon, 14 moexipril HCL, 6 moexipril/hydrochlorothiazide, 6 Moi-stir, 22 Molindone Hydrochloride, 23 mometasone furoate, 10, 31 mondoxyne nl, 1 mono-linyah, 14 Monodox, 1 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 39 Monoject Insulin Syringe/1ML, 39 Monoject Insulin Syringe/1ML/31G X 5/16", 39 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 39 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 39 Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 39 Monoject Insulin Syringe/Perm Needle/U100/0.5ML/28G X 1/2", 39 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 39 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 39 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 39 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 39 Monoject Insulin Syringe/Softpack/1ML/27G X 1/2", 39 Monoject Insulin Syringe/Softpack/U100/0.5ML/28G X 1/2", 39 Monoject Insulin Syringe/U100/0.3ML/30G X 5/16", 39 Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 39 Monoject Insulin Syringe/U100/0.5ML/30G X 5/16", 39 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 39 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 39 monoject pharma grade flush syringe/heparin lock, 21

monoject prefill advanced heparin lock flush, 21 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 39 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 39 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 39 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 39 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 39 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 39 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 39 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 39 Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 39 Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 39 mononessa, 14 montelukast sodium, 32 Monurol, 20 Moore MED Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 39 Moore MED Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 39 Moore MED Monoject Insulin Syringe/U100/1ML/28G X 1/2", 39 Moore MED Monoject Insulin Syringe/U100/1ML/29G X 1/2", 39 morgidox 1X100MG, 1 morgidox 1X50MG, 1 morgidox 2X100MG, 1 Morphabond ER, 30 Morphine Sulfate, 29 morphine sulfate, 30 morphine sulfate ER, 29 Morphine Sulfate ER, 29 Motofen, 18 Mouthkote, 22 Movantik, 19 Moviprep, 17 Moxatag, 1 Moxeza, 27 moxifloxacin HCL, 1, 27 MS Contin, 30 MS Insulin Syringe/0.3ML/29G X 1/2", 39 MS Insulin Syringe/0.3ML/30G X 5/16", 39 MS Insulin Syringe/0.3ML/31G X 5/16", 39 MS Insulin Syringe/0.5ML/29G X 1/2", 39 MS Insulin Syringe/0.5ML/30G X 5/16", 39 MS Insulin Syringe/0.5ML/31G X 5/16", 39 MS Insulin Syringe/1ML/29G X 1/2", 39 MS Insulin Syringe/1ML/30G X 5/16", 39 MS Insulin Syringe/1ML/31G X 5/16", 39 Mucotrol, 22 Mugard, 22 mult-vitamin/fluoride, 33 Multaq, 6 multi vitamin/fluoride, 33 multi-vit/fluoride, 33

multi-vit/iron/fluoride, 33 multi-vitamin/fluoride, 33 multi-vitamin/fluoride drops, 33 multi-vitamin/fluoride/iron, 33 Multigen, 21 Multigen Folic, 21 Multigen Plus, 21 multivitamin with fluoride, 33 Multivitamin With Fluoride, 35 multivitamin/fluoride, 33 Multivitamin/Fluoride, 35 multivitamin/fluoride/iron, 33 multivitamins/fluoride, 33 mupirocin, 9 mupirocin calcium, 9 Muse, 8 MVC-fluoride, 33 my way, 14 Myalept, 17 Myambutol, 2 Mycobutin, 2 mycophenolate mofetil, 4 mycophenolic acid DR, 4 Mydayis, 24 Mydriacyl, 28 Myfortic, 4 Mykidz Iron Fl, 35 Myleran, 4 Mynatal, 34 Mynatal Advance, 33 Mynatal Plus, 33 Mynatal Ultracaplet, 33 Mynatal-z, 33 Mynate 90 Plus, 33 mynephrocaps, 33 mynephron, 33 myorisan, 8 Myrbetriq, 20 Mysoline, 25 Mytesi, 18 myzilra, 14

N nabumetone, 30 nadolol, 5 nadolol/bendroflumethiazide, 6 Nafrinse Daily/Acidulated, 22 Nafrinse Daily/Neutral, 22 Nafrinse Weekly, 22 naftifine HCL, 9 naftifine hydrochloride, 9 Naftin, 9 Nalfon, 30 naloxone HCL, 42 Naloxone HCL, 42 naltrexone HCL, 42 Namenda, 26 Namenda Titration PAK, 26 Namenda XR, 26 Namenda XR Titration Pack, 26 Namzaric, 26 Naphazoline HCL, 28 Naprelan, 30 Napropak, 30 Napropak Cool, 30 Naprosyn, 31 naproxen, 30 Naproxen, 30 Naproxen Comfort PAC, 31

naproxen DR, 30 naproxen kit, 30 naproxen sodium, 30 naproxen sodium CR, 30 naproxen sodium ER, 30 naratriptan HCL, 31 Narcan, 42 Nardil, 23 Nascobal, 21 Nasonex, 32 Natachew, 34 Natacyn, 27 Natalvit, 34 Natazia, 15 nateglinide, 15 Natelle One, 34 Natesto, 13 Natpara, 16 Natroba, 12 Nature-throid, 17 Nature-throid Nt-2.5, 17 Nebupent, 3 nebusal, 32 Nebusal, 32 necon 0.5/35-28, 14 necon 1/35, 14 Necon 1/50-28, 14 necon 10/11-28, 14 necon 7/7/7, 14 Neevo DHA, 34 nefazodone HCL, 23 Nefazodone HCL, 23 neo-polycin, 27 neo-polycin HC, 27 Neo-synalar, 9 Neo-synalar Kit, 9 neomycin sulfate, 2 neomycin/bacitracin/polymyxin, 27 neomycin/polymyxin/bacitracin zinc, 27 neomycin/polymyxin/bacitracin/hydrocorti sone, 27 neomycin/polymyxin/dexamethasone, 27 neomycin/polymyxin/gramicidin, 27 neomycin/polymyxin/HC, 28 Neomycin/Polymyxin/Hydrocortisone, 27 neomycin/polymyxin/hydrocortisone, 28 Neoral, 4 Neosalus, 12 Neosalus CP, 12 Neosporin, 27 Neotuss Plus, 32 Nephplex RX, 35 Nephro-vite RX, 35 Nephron Fa, 21 nephronex, 33 Neptazane, 7 Nerlynx, 4 Nesina, 16 Nestabs, 34 Nestabs Abc, 34 Nestabs DHA, 34 Nestabs One, 35 neuac, 8 Neuac Kit, 9 Neulasta, 21 Neulasta Onpro Kit, 21 Neupogen, 21 Neupro, 25

Neurin-SL, 21 Neurontin, 25 neutragard advanced, 22 Neutrasal, 22 Nevanac, 28 nevirapine, 2 Nevirapine, 3 nevirapine ER, 2 Newgen, 34 Nexa Plus, 34 Nexavar, 4 Nexium, 18 next choice one dose, 14 niacin ER, 7 Niacor, 7 Niaspan, 8 nicardipine HCL, 5 Nicomide, 35 nicorelief, 25 nicotine, 25 nicotine mini lozenge, 25 nicotine polacrilex, 25 nicotine polacrilex refill, 25 nicotine polacrilex starter kit, 25 nicotine step 1, 25 nicotine step 2, 25 nicotine step 3, 25 nicotine transdermal system, 25 Nicotine Transdermal System, 26 nicotine transdermal system step 1, 25 nicotine transdermal system step 2, 25 nicotine transdermal system step 3, 25 Nicotrol Inhaler, 26 Nicotrol Ns, 26 nifedical XL, 5 nifedipine, 5 nifedipine ER, 5 nikki, 14 Nilandron, 4 nilutamide, 4 nimodipine, 5 Ninlaro, 4 nisoldipine ER, 5 Nisoldipine ER, 6 Nitro-bid, 5 Nitro-dur, 5 nitro-time, 5 nitrofurantoin, 19 nitrofurantoin macrocrystals, 19 nitrofurantoin monohydrate, 19 nitrofurantoin monohydrate/macrocrystals, 19 nitroglycerin, 5 nitroglycerin ER, 5 nitroglycerin lingual, 5 Nitroglycerin Lingual, 5 nitroglycerin transdermal, 5 Nitrolingual Pumpspray, 5 Nitromist, 5 Nitrostat, 5 Nityr, 17 Nivatopic Plus, 12 nizatidine, 18 Nizatidine, 18 Nizoral, 9 nodolor, 31 nolix, 10 Nor-QD, 15

nora-be, 14 Norco, 30 Norditropin Cartridge, 16 Norditropin Flexpro, 16 norethindrone, 14 norethindrone & ethinyl estradiol ferrous fumarate, 14 norethindrone acetate, 15 norethindrone acetate/ethinyl estradiol, 13, 14 norethindrone acetate/ethinyl estradiol/ferrous fumarate, 14 norethindrone/ethinyl estradiol/ferrous fumarate, 14 norgestimate/ethinyl estradiol, 14 Norinyl 1+35, 15 Norinyl 1+50, 14 Noritate, 9 norlyda, 14 norlyroc, 14 Norpace, 6 Norpace CR, 6 Norpramin, 23 Northera, 7 nortrel 0.5/35 (28), 14 nortrel 1/35, 14 nortrel 7/7/7, 14 nortriptyline HCL, 23 Nortriptyline HCL, 23 Nortuss-EX, 32 Norvasc, 6 Norvir, 3 norwich aspirin, 29 Novarel, 16 Novofine 30GX8MM, 39 Novofine 32GX6MM, 39 Novofine Autocover 30GX8MM, 39 Novofine Plus 32GX4MM, 39 Novolin 70/30, 15 Novolin 70/30 Relion, 15 Novolin N, 15 Novolin N Relion, 15 Novolin R, 15 Novolin R Relion, 15 Novolog, 15 Novolog Flexpen, 15 Novolog Mix 70/30, 15 Novolog Mix 70/30 Prefilled Flexpen, 15 Novolog Penfill, 15 Novotwist 30GX8MM, 39 Novotwist 32GX5MM, 39 Noxafil, 2 Noxifol-d, 21 NP thyroid, 17 NP thyroid 15, 17 NP thyroid 30, 17 NP thyroid 60, 17 NP thyroid 90, 17 Nucala, 33 Nucort, 11 Nucynta, 30 Nucynta ER, 30 nudiclo tabpak, 30 Nuedexta, 26 nufol, 21 nulev, 18 Nulytely/Flavor Packs, 17 Numbonex, 12

Nuplazid, 23 Nutridox, 1 Nutrivit, 35 Nutropin AQ Nuspin 10, 16 Nutropin AQ Nuspin 20, 16 Nutropin AQ Nuspin 5, 16 Nutropin AQ Pen, 16 Nuvaring, 14 Nuvessa, 20 Nuvigil, 24 nyamyc, 9 nyata, 9 nystatin, 2, 9, 22 nystatin/triamcinolone, 9 nystop, 9

O O-CAL Prenatal, 34 OB Complete, 34 OB Complete Gold, 35 OB Complete One, 34 OB Complete Petite, 34 OB Complete Premier, 34 OB Complete/DHA, 34 Obredon, 32 Obstetrix One, 34 Ocaliva, 19 ocella, 14 Ocufen, 28 Ocuflox, 27 Ocuvel, 35 Odefsey, 3 Ofev, 33 ofloxacin, 1, 27, 28 Ofloxacin, 1 Ogestrel, 14 olanzapine, 23 olanzapine odt, 23 olanzapine/fluoxetine, 26 olmesartan medoxomil, 6 olmesartan medoxomil/amlodipine/hydrochlorothiazid e, 7 olmesartan medoxomil/hydrochlorothiazide, 7 olopatadine HCL, 28, 31 olopatadine hydrochloride, 28 Olux, 11 Olux-e, 11 Olysio, 3 Omeclamox-PAK, 18 omega-3-acid ethyl esters, 7 Omega-3/D-3 Wellness Pack, 8 omeppi, 18 omeprazole, 18 Omeprazole + Syrspend SF Alka, 18 omeprazole/sodium bicarbonate, 18 Omnaris, 32 Omnipred, 27 Omnitrope, 16 ondansetron HCL, 18 ondansetron odt, 18 Onexton, 9 Onfi, 25 Onglyza, 16 Onivyde, 5 Onmel, 2 Onzetra Xsail, 31 Opana, 30

Opana ER (crush Resistant), 30 opcicon one-step, 14 opium, 18 opium tincture, 18 Opsumit, 8 Optichamber Advantage, 42 Optichamber Advantage/Large Mask, 42 Optichamber Advantage/Medium Face Mask, 42 Optichamber Advantage/Small Face Mask, 42 Optichamber Diamond, 42 Optichamber Diamond/Largeface Mask, 42 Optichamber Diamond/Medium Face Mask, 42 Optichamber Diamond/Smallface Mask, 42 Optichamber Face Mask/Large, 42 Optichamber Face Mask/Medium, 42 Optichamber Face Mask/Small, 42 Optihaler, 42 Optihaler MDI Drug Delivery System, 42 option 2, 14 Options Conceptrol Vaginal Contraceptive, 20 Options Gynol II Vaginal Contraceptive, 20 Oracea, 9 Oracit, 20 Orafate, 22 oralone dental paste, 22 Oramagic Plus, 22 Oramagicrx, 22 Orap, 26 Orapred Odt, 12 Oravig, 22 Orencia, 31 Orencia Clickject, 31 Orenitram, 8 Orfadin, 17 Orkambi, 33 orphenadrine citrate ER, 26 orsythia, 14 Ortho D, 21 Ortho Micronor, 15 Ortho Tri-cyclen, 15 Ortho Tri-cyclen LO, 14 Ortho-cyclen, 15 Ortho-novum 1/35, 15 Ortho-novum 7/7/7, 15 oscimin, 18 oscimin SR, 18 oseltamivir phosphate, 2 Oseni, 16 Osmoprep, 17 Osphena, 16 Otezla, 31 Oticin HC NR, 29 Otiprio, 29 otomax-HC, 28 Otovel, 29 Otrexup, 31 Ovace Plus, 10 Ovace Plus Wash, 10 Ovace Wash, 10 Ovcon-35, 15 Ovide, 12

Oxandrin, 13 oxandrolone, 13 oxaprozin, 30 Oxaydo, 30 oxazepam, 22 oxcarbazepine, 24 oxiconazole nitrate, 9 Oxistat, 10 Oxsoralen, 12 Oxsoralen Ultra, 10 Oxtellar XR, 25 oxybutynin chloride, 20 oxybutynin chloride ER, 20 oxycodone HCL, 29 Oxycodone HCL ER, 30 oxycodone/acetaminophen, 29 Oxycodone/Acetaminophen, 29 oxycodone/aspirin, 29 Oxycodone/Ibuprofen, 29 Oxycontin, 30 oxymorphone hydrochloride, 29 oxymorphone hydrochloride ER, 29 Oxymorphone Hydrochloride ER, 29 Oxytrol, 20 Oxytrol For Women, 20

P pacerone, 6 paliperidone ER, 23 Pamelor, 23 Pamine, 18 Pamine Forte, 18 Panatuss Dxp, 32 Pancreaze, 18 Pancrelipase, 18 Pandel, 11 pantoprazole sodium, 18 Parafon Forte DSC, 26 Paregoric, 18 paricalcitol, 17 Parlodel, 25 Parnate, 23 paroex, 22 paromomycin sulfate, 2 paroxetine, 26 paroxetine HCL, 23 paroxetine HCL ER, 23 Paser, 2 Pataday, 28 Patanase, 32 Patanol, 28 Paxil, 23 Paxil CR, 23 Pazeo, 28 PC Unifine Pentips 29G X 1/2", 39 PC Unifine Pentips 31G X 5MM Mini, 39 PC Unifine Pentips 31G X 6MM Ultra SHORT, 39 PC Unifine Pentips 31G X 8MM SHORT, 39 PCE, 1 Pediaderm AF Complete Kit, 10 Pediaderm HC, 11 Pediaderm Ta, 11 Pediapred, 12 Pedipak, 10 peg 3350, 17 peg 3350/electrolytes, 17 peg-3350/electrolytes, 17

peg-3350/NACL/NA bicarbonate/KCL, 17 phenytoin infatabs, 24 Peg-intron, 3 phenytoin sodium extended, 24 Peg-intron Redipen, 3 philith, 14 Peg-intron Redipen PAK 4, 3 Phlag Spray, 12 peg-prep, 17 phos-flur, 22 peg3350, 17 Phoslyra, 19 Peganone, 25 phosphasal, 19 Pegasys, 3 Phospholine Iodide, 28 Pegasys Proclick, 3 phrenilin forte, 29 Pegintron, 3 pilocarpine HCL, 22, 28 pegylax, 17 pilocarpine hydrochloride, 22 Pen Needles 29G X 12MM, 39 pimozide, 26 Pen Needles 29GX1/2", 39 pimtrea, 14 Pen Needles 30GX5/16", 39 pin-x, 3 Pen Needles 30GX8MM, 39 Pin-x, 3 Pen Needles 31G X 1/4" SHORT, 39 pindolol, 5 Pen Needles 31G X 3/16", 39 pinworm medicine, 3 Pen Needles 31G X 5MM, 39 pioglitazone HCL, 16 Pen Needles 31G X 6MM, 39 pioglitazone HCL-glimepiride, 16 Pen Needles 31G X 8MM, 39 pioglitazone HCL/metformin HCL, 16 Pen Needles 31GX5/16", 39 pirmella 1/35, 14 Pen Needles 31GX6MM (1/4"), 39 pirmella 7/7/7, 14 Pen Needles 31GX8MM, 39 piroxicam, 30 Pen Needles 31GX8MM (5/16"), 39 Plaquenil, 3 Pen Needles 32G X 4MM, 39 Plavix, 22 Pen Needles 32G X 5MM, 39 Plegridy, 26 Pen Needles 32G X 6MM, 39 Plegridy Starter Pack, 26 Pen Needles 32GX4MM, 39 Pletal, 22 penicillin v potassium, 1 Plexion, 9 Penlac Nail Lacquer, 10 Plexion Cleanser, 9 Pennsaid, 10 Plexion Cleansing Cloths, 9 Pentasa, 19 Pliaglis, 12 pentazocine/naloxone HCL, 30 PNV Ferrous Fumarate/Docusate/Folic Pentips 29G X 12MM, 39 Acid, 34 Pentips 29GX12MM, 39 PNV Ob+dha, 34 Pentips 31G X 5MM, 39 PNV Prenatal Plus Multivitamin + DHA, Pentips 31G X 8MM, 39 35 Pentips 31GX5MM, 39 PNV TABS 29-1, 34 Pentips 31GX6MM, 39 PNV-DHA, 33 Pentips 31GX8MM, 39 PNV-dha+docusate, 34 Pentips 32G X 4MM, 39 PNV-omega, 34 Pentips 32GX4MM, 39 PNV-select, 33 pentoxifylline ER, 22 PNV-total, 34 Pepcid, 18 PNV-vp-u, 34 Percocet, 30 Pocket Chamber, 42 Perforomist, 32 Pocket Spacer, 42 Peridex, 22 Podocon 25 IN Benzoin Tincture, 11 perindopril erbumine, 6 podofilox, 11 periogard, 22 Poly-prep, 17 permethrin, 11 Poly-VI-flor, 35 perphenazine, 23 Poly-VI-flor FS, 35 Perphenazine/Amitriptyline, 26 Poly-VI-flor/Iron, 35 Persantine, 22 polycin, 27 Pertzye, 18 polyethylene glycol 3350, 17 Pexeva, 23 polyethylene glycol 3350-grx, 17 phenadoz, 31 polymyxin b sulfate/trimethoprim sulfate, phenazo, 20 27 phenazopyridine HCL, 20 Polytrim, 27 phenelzine sulfate, 23 Pomalyst, 4 phenergan, 31 Ponstel, 31 Phenergan Fortis, 31 portia-28, 14 phenobarbital, 24 Potaba, 33 Phenobarbital, 24 potassium citrate ER, 20 phenohytro, 18 potassium citrate-citric acid crystals, 20 phenoxybenzamine hydrochloride, 6 potassium citrate/citric acid, 20 phenylephrine HCL, 28 potassium citrate/sodium citrate/citric Phenytek, 25 acid, 20 phenytoin, 24 Potiga, 25

pr benzoyl peroxide wash, 8 Pr Natal 400, 33 Pr Natal 400 EC, 33 Pr Natal 430, 33 Pr Natal 430 EC, 33 Pradaxa, 21 Praluent, 8 pramcort, 19 pramipexole dihydrochloride, 25 pramipexole dihydrochloride ER, 25 Pramosone, 11 Pramosone E, 11 Pramotic, 29 Prandimet, 16 Prandin, 15 prasugrel, 22 Pravachol, 8 pravastatin sodium, 7 prazosin HCL, 6 Pre-folic, 21 Precision Sure-dose Insulin Syringe/0.3ML/30G X 5/16", 39 Precision Sure-dose Insulin Syringe/0.5ML/28G X 1/2", 39 Precision Sure-dose Insulin Syringe/0.5ML/29G X 1/2", 39 Precision Sure-dose Insulin Syringe/0.5ML/30G X 3/8", 39 Precision Sure-dose Insulin Syringe/1ML/28G X 1/2", 39 Precision Sure-dose Plus Insulin Syringe/0.3ML/29G X 1/2", 39 Precision Sure-dose Plus Insulin Syringe/1ML/29G X 1/2", 39 Precose, 16 Pred Forte, 27 Pred Mild, 27 Pred-G, 27 Pred-G S.o.p., 27 prednicarbate, 10 prednisolone, 12 prednisolone acetate, 27 prednisolone sodium phosphate, 12 Prednisolone Sodium Phosphate, 12, 27 prednisolone sodium phosphate odt, 12 Prednisolone/Moxifloxacin/Ketorolac, 27 prednisone, 12 Prednisone, 12 Prednisone Intensol, 12 Prefera OB, 35 Preferaob +dha, 34 Preferaob One, 34 Preferred Plus Insulin Syringe/U100/0.3ML/29G X 1/2", 39 Preferred Plus Insulin Syringe/U100/0.3ML/30G X 5/16", 39 Preferred Plus Insulin Syringe/U100/0.5ML/28G X 1/2", 39 Preferred Plus Insulin Syringe/U100/0.5ML/29G X 1/2", 39 Preferred Plus Insulin Syringe/U100/0.5ML/30G X 5/16", 39 Preferred Plus Insulin Syringe/U100/1ML/28G X 1/2", 39 Preferred Plus Insulin Syringe/U100/1ML/29G X 1/2", 39 Preferred Plus Insulin Syringe/U100/1ML/30G X 5/16", 39

Preferred Plus Unifine Pentips 29G X 12MM, 39 Preferred Plus Unifine Pentips 31G X 6MM Ultra SHORT, 39 Preferred Plus Unifine Pentips 31G X 8MM SHORT, 39 Preferred Plus Unifine Pentips 32GX4MM, 39 Preferred Plus Unifine Pentips/Mini/31GX5MM, 39 Prefest, 13 Pregnyl W/Diluent Benzyl Alcohol/NACL, 16 Premarin, 13, 20 premium lidocaine, 11 Premphase, 13 Prempro, 13 Prena 1 True, 35 Prena1 Chew, 34 Prena1 Pearl, 34 Prenaissance, 34 Prenaissance Balance, 34 Prenaissance Harmony DHA, 34 Prenaissance Next, 34 Prenaissance Next-b, 34 Prenaissance Plus, 33 Prenata, 34 Prenatabs Fa, 34 Prenatabs RX, 33 Prenatal 19, 34 Prenatal Plus Iron, 34 Prenatal-u, 33 Prenate, 34 Prenate AM, 34 Prenate DHA, 34 Prenate Elite, 34 Prenate Enhance, 34 Prenate Essential, 34 Prenate Mini, 34 Prenate Pixie, 34 Prenate Restore, 34 Prenate Star, 34 Prepopik, 18 Preque 10, 34 Presera, 12 Prestalia, 7 Pretab, 34 Prevacid, 18 Prevacid Solutab, 18 prevalite, 7 Prevident 5000 Booster, 22 Prevident 5000 Booster Plus, 22 Prevident 5000 Dry Mouth, 22 Prevident 5000 Enamel Protect, 22 Prevident 5000 Plus, 22 Prevident 5000 Sensitive, 22 Prevident Fluoride, 22 previdolrx plus analgesicpak, 30 previfem, 14 Prevpac, 18 Prezcobix, 3 Prezista, 3 Priftin, 2 prilolid, 11 Prilosec, 18 priloxx LP, 11 Primacare, 35 Primaquine Phosphate, 3

primidone, 24 Primlev, 30 Primsol, 3 Prinivil, 6 Pristiq, 23 Pro Comfort Pen Needles/ 31G X 8MM, 39 Pro Comfort Pen Needles/ 32G X 4MM, 39 Pro Comfort Pen Needles/ 32G X 5MM, 39 Pro Comfort Pen Needles/ 32G X 6MM, 39 Proair HFA, 32 Proair Respiclick, 32 probenecid, 31 probenecid/colchicine, 31 Procardia, 6 Procardia XL, 6 Procentra, 24 prochlorperazine, 23 prochlorperazine maleate, 23 Procort, 19 Procrit, 21 procto-MED HC, 19 procto-PAK, 19 Proctocort, 19 Proctofoam HC, 19 proctosol HC, 19 proctozone-HC, 19 Procysbi, 20 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 39 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 39 Prodigy Insulin Syringe/1ML/28G X 1/2", 39 Prodrin, 31 profeno, 30 Proferrin-forte, 21 progesterone, 15 Proglycem, 15 Prograf, 4 Prolensa, 28 Promacta, 21 promethazine HCL, 31 promethazine HCL plain, 31 promethazine VC plain, 32 promethazine VC/codeine, 32 promethazine-DM, 32 promethazine/codeine, 32 promethazine/dextromethorphan, 32 promethazine/phenylephrine, 32 promethazine/phenylephrine/codeine, 32 promethegan, 31 Prometrium, 15 propafenone HCL, 6 propafenone HCL ER, 6 Propantheline Bromide, 18 proparacaine HCL, 28 propranolol HCL, 5 Propranolol HCL, 5 propranolol HCL ER, 5 propranolol hydrochloride, 5 Propranolol/Hydrochlorothiazide, 7 propylthiouracil, 17 Proscar, 20 Protectiron, 21

Prothelial, 22 Protonix, 18 Protopic, 11 protriptyline HCL, 23 Proventil HFA, 32 Provera, 15 Provida DHA, 34 Provida OB, 34 Provigil, 24 Prozac, 23 Prozac Weekly, 23 Pruclair, 12 Prudoxin, 10 Prumyx, 12 Psorcon, 11 Pulmicort, 32 Pulmicort Flexhaler, 32 pulmosal, 32 Pulmozyme, 33 Purefe OB Plus, 34 Purefe Plus, 21 purevit dualfe plus, 21 Purixan, 4 px aspirin, 29 px enteric aspirin, 29 Px Extra SHORT Pen Needles 31GX6MM, 39 Px Insulin Syringe/U-100/0.3ML/30G X 1/2", 39 Px Insulin Syringe/U-100/0.3ML/31G X 5/16", 39 Px Insulin Syringe/U-100/0.5ML/30G X 1/2", 39 Px Insulin Syringe/U-100/0.5ML/31G X 5/16", 39 Px Insulin Syringe/U-100/1ML/30G X 1/2", 39 Px Insulin Syringe/U-100/1ML/31G X 5/16", 39 Px Mini Pen Needles 31GX5MM, 39 Px Pen Needle 29GX12MM, 39 Px Pen Needle 31GX8MM, 39 Px Shortlength Pen Needles/31GX8MM, 39 px stop smoking aid, 25 Pylera, 18 pyrazinamide, 2 Pyridium, 20 pyridostigmine bromide, 27 pyridostigmine bromide ER, 27 Pyrogallic Acid, 11

Q qc aspirin, 29 qc enteric aspirin, 29 Qc Insulin Syringe/0.3ML/29G X 1/2", 39 Qc Insulin Syringe/0.5ML/29G X 1/2", 39 Qc Insulin Syringe/0.5ML/31G X 5/16", 39 Qc Insulin Syringe/1ML/29G X 1/2", 40 Qc Insulin Syringe/1ML/31G X 5/16", 40 qc natura-LAX, 17 qc nicotine polacrilex, 25 Qc Pen Needles 29G X 12MM, 40 Qc Pen Needles 31G X 6MM, 40 Qc Pen Needles 31G X 8MM, 40 Qc Unifine Pentips 32GX4MM, 40 Qnasl, 32 Qnasl Childrens, 32

Qualaquin, 3 Quartette, 15 quasense, 14 Quazepam, 24 Qudexy XR, 25 Questran, 8 Questran Light, 8 quetiapine fumarate, 23 quetiapine fumarate ER, 23 Quflora FE, 35 Quflora FE Pediatric, 35 Quflora Gummies, 35 Quflora Pediatric, 33 Quillichew ER, 24 Quillivant XR, 24 quinapril HCL, 6 quinapril/hydrochlorothiazide, 6 quinidine gluconate CR, 6 quinidine gluconate ER, 6 quinidine sulfate, 6 Quinidine Sulfate, 6 Quinidine Sulfate ER, 6 quinine sulfate, 3 Qutenza, 12 Qvar, 32

Reality Insulin Syringe/U-100/0.5ML/29G X 1/2", 40 Reality Insulin Syringe/U-100/1ML/28G X 1/2", 40 Reality Insulin Syringe/U-100/1ML/29G X 1/2", 40 Rebetol, 3 Rebif, 26 Rebif Rebidose, 26 Rebif Rebidose Titration Pack, 26 Rebif Titration Pack, 26 reclipsen, 14 Rectiv, 19 Recura, 10 reeses pinworm medicine, 3 Reeses Pinworm Medicine, 3 Reglan, 19 relador PAK, 11 relador PAK plus, 11 Relagard, 20 Relenza Diskhaler, 2 Relhist, 32 Relion Insulin Syringe 0.5ML/31G X 15/64", 40 Relion Insulin Syringe 1ML/31GX15/64", 40 R Relion Insulin Syringe/U -100/0.5ML/29G, R-natal OB, 34 40 ra antihistamine eye drops, 28 Relion Insulin Syringe/U-00/1ML/29G X ra aspirin, 29 1/2", 40 ra aspirin EC, 29 Relion Insulin Syringe/U-100/0.3ML/29G, ra budesonide nasal spray, 31 40 ra eye itch relief, 28 Relion Insulin Syringe/U-100/0.3ML/29G Ra Insulin Syringe/0.5ML/29G X 1/2", 40 X 1/2", 40 Ra Insulin Syringe/1ML/29G X 1/2", 40 Relion Insulin Syringe/U-100/0.3ML/30G, Ra Insulin Syringe/U-100/0.5ML/30G X 40 5/16", 40 Relion Insulin Syringe/U-100/0.3ML/30G Ra Insulin Syringe/U-100/1 ML/30G X X 5/16", 40 5/16", 40 Relion Insulin Syringe/U-100/0.3ML/31G ra laxative, 17 X 15/64", 40 ra mini nicotine, 25 Relion Insulin Syringe/U-100/0.3ML/31G ra nicotine, 25 X 5/16", 40 ra nicotine gum, 25 Relion Insulin Syringe/U-100/0.5ML/29G ra nicotine polacrilex, 26 X 1/2", 40 ra nicotine transdermal system, 26 Relion Insulin Syringe/U-100/0.5ML/30G, ra nicotine transdermal system step 3, 26 40 Ra Pen Needles 31G X 5MM 3/16", 40 Relion Insulin Syringe/U-100/0.5ML/30G Ra Pen Needles 31G X 8MM 5/16", 40 X 5/16", 40 rabeprazole sodium, 18 Relion Insulin Syringe/U-100/0.5ML/31G rajani, 14 X 5/16", 40 raloxifene hydrochloride, 16 Relion Insulin Syringe/U-100/1ML/30G, ramipril, 6 40 Ranexa, 5 Relion Insulin Syringe/U-100/1ML/30G X ranitidine HCL, 18 5/16", 40 Rapaflo, 20 Relion Insulin Syringe/U-100/1ML/31G X Rapamune, 4 15/64", 40 Raplixa, 22 Relion Insulin Syringe/U-100/1ML/31G X rasagiline mesylate, 25 5/16", 40 Rasuvo, 31 Relion Mini Pen Needles 31GX6MM, 40 Ravicti, 17 Relion Pen Needles 29GX12MM, 40 Rayaldee, 17 Relion Pen Needles 31GX6MM, 40 Rayos, 12 Relion Pen Needles 31GX8MM, 40 Razadyne, 26 Relion Pen Needles 32GX4MM, 40 Razadyne ER, 26 Relion R, 15 rea LO 39, 11 Relion SHORT Pen Needles 31GX8MM, rea LO 40, 11 40 react, 14 Relistor, 19 Reality Insulin Syringe/U-100/0.5ML/28G Relnate DHA, 34 X 1/2", 40

Relpax, 31 Remeron, 23 Remeron Soltab, 23 remeven, 11 rena-vite RX, 33 Renagel, 19 renal CAPS, 33 Renatabs, 34 Renatabs With Iron, 35 reno CAPS, 33 Renvela, 19 repaglinide, 15 Repaglinide/Metformin Hydrochloride, 16 Repatha, 8 Repatha Pushtronex System, 8 Repatha Sureclick, 8 reprexain, 30 Reprexain, 30 Requip, 25 Requip XL, 25 Rescriptor, 3 Rescula, 27 Reserpine, 6 Respa-BR, 31 Restasis, 28 Restasis Multidose, 28 Restora RX, 18 Restora Sprinkles, 18 Restoril, 24 Retin-a, 9 Retin-a Micro, 9 Retin-a Micro P.M., 9 Retrovir, 3 Retrovir IV Infusion, 3 Revatio, 8 Revesta, 21 Revia, 42 Revlimid, 4 Rexaphenac, 10 Rexulti, 23 Reyataz, 3 Rezira, 32 Rheumatrex, 30 rhinocort allergy, 31 Rhofade, 9 Riax, 9 ribasphere, 2 Ribasphere, 3 Ribasphere Ribapak, 3 Ribatab, 3 ribavirin, 2 Ridaura, 30 rifabutin, 2 Rifadin, 2 Rifamate, 2 rifampin, 2 Rifampin/Syrspend SF PH4, 2 Rifater, 2 Rilutek, 26 riluzole, 26 rimantadine HCL, 2 Rimso-50, 20 Riomet, 15 risedronate sodium, 16 risedronate sodium DR, 16 Risperdal, 23 Risperdal M-TAB, 23 risperidone, 23

risperidone M-TAB, 23 risperidone odt, 23 Ritalin, 24 Ritalin LA, 24 Riteflo, 42 rivastigmine tartrate, 26 rivastigmine transdermal system, 26 rivelsa, 14 rizatriptan benzoate, 31 rizatriptan benzoate odt, 31 Robaxin, 26 Robaxin-750, 26 Robinul, 18 Robinul Forte, 18 Rocaltrol, 17 ropinirole ER, 25 ropinirole HCL, 25 rosadan, 9 Rosadan Kit, 9 rosanil cleanser, 8 Rosula, 8 rosuvastatin calcium, 7 Rowasa, 19 roweepra, 24 Roxicodone, 30 Roxifol-d, 21 Rozerem, 24 Rubraca, 4 Rulavite DHA, 34 Rydapt, 4 Rynoderm, 12 Rytary, 25 Rythmol, 6 Rythmol SR, 6 Ryvent, 31

S Sabril, 25 Safesnap Insulin Syringe/0.3ML/30G X 5/16", 40 Safesnap Insulin Syringe/0.5ML/29G X 1/2", 40 Safesnap Insulin Syringe/0.5ML/30G X 5/16", 40 Safesnap Insulin Syringe/1ML/28G X 1/2", 40 Safesnap Insulin Syringe/1ML/29G X 1/2", 40 Safety Insulin Syringes 0.5ML/29GX1/2", 40 Safety Insulin Syringes 0.5ML/30GX5/16", 40 Safety Insulin Syringes 1ML/27GX1/2", 40 Safety Insulin Syringes 1ML/29GX1/2", 40 Safety Insulin Syringes 1ML/30GX1/2", 40 Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 40 Safyral, 15 Saizen, 16 Saizen Click.easy, 16 Saizenprep Reconstitutionkit, 16 salacyn, 11 Salagen, 22 Salex, 12 Salex Cream, 12 Salex Lotion, 12

Salicept, 22 salicylic acid, 11 salicylic acid cream, 11 salicylic acid ER, 11 salicylic acid lotion, 11 salicylic acid wart remover, 11 salisol forte, 11 Salitech, 12 salitech forte, 11 Salivamax, 22 Salivate RX, 22 salrix, 12 salsalate, 29 Salvax, 12 Salvax Duo Plus, 12 Samsca, 17 Sancuso, 18 Sandimmune, 4 Saphris, 23 Sarafem, 26 sash kit for flushing vascular access devices, 21 Sash Kit For Flushing Vascular Access Devices, 21 Savaysa, 21 Savella, 26 Savella Titration Pack, 26 SB aspirin, 29 SB aspirin EC, 29 SB Insulin Syringe/U-100/0.5ML/29G X 1/2", 40 SB Insulin Syringe/U-100/0.5ML/30G X 5/16", 40 SB Insulin Syringe/U-100/1ML/29G X 1/2", 40 SB Insulin Syringe/U-100/1ML/30G X 5/16", 40 SB Insulin Syringe/U-100/1ML/31G X 5/16", 40 SB polyethylene glycol 3 350, 17 scalacort, 10 Scar Patch, 11 Schnucks Insulin Syringe Ulti-fine/U100/0.5ML/29G X 1/2", 40 Schnucks Insulin Syringe Ulti-fine/U100/0.5ML/30G X 5/16", 40 scopolamine, 18 Se-natal 19, 33 Se-tan DHA, 34 se-tan plus, 21 Seasonique, 15 seb-prev wash, 10 Seconal, 24 Seconal Sodium, 24 Sectral, 5 Seebri Neohaler, 32 Select-OB, 34 Select-ob+dha, 34 selegiline HCL, 25 selenium sulfide, 10 Selenium Sulfide Shampoo, 10 Selrx, 10 Selzentry, 3 Semprex-d, 32 Sensipar, 17 Serevent Diskus, 32 Sernivo, 11 Seroquel, 24

Seroquel XR, 23 Serostim, 16 sertraline HCL, 23 setlakin, 14 sevelamer carbonate, 19 SF, 22 SF 5000 plus, 22 Sfrowasa, 19 sharobel, 14 Shohls Solution Modified, 20 Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 40 Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 40 Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 40 Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 40 Shopko Unifine Pentips Plus Pen Needles/Micro/Removr/32GX4MM, 40 Shopko Unifine Pentips Plus Pen Needles/Mini/Remover/31GX5MM, 40 Shopko Unifine Pentips Plus Pen Needles/Remover/29GX12MM, 40 Shopko Unifine Pentips Plus Pen Needles/SHORT/Removr/31GX8MM, 40 Shur-seal, 20 Signifor, 16 sildenafil, 8 sildenafil citrate, 8 Silenor, 24 Siliq, 10 Simbrinza, 28 Simcor, 8 Simponi, 31 simvastatin, 7 Sinemet, 25 Sinemet CR, 25 Singulair, 33 sirolimus, 4 Sirturo, 2 Sitavig, 2 Sivextro, 3 Skelaxin, 26 Sklice, 12 sm aspirin, 29 sm aspirin enteric coated, 29 sm clearlax, 17 sm eye itch relief, 28 Sm Insulin Syringe/1ML/31G X 5/16", 40 sm nicotine, 26 sm nicotine polacrilex, 26 sm nicotine transdermal system, 26 smooth LAX, 17 sodium chloride, 20, 32 sodium chloride 0.9%, 20 sodium citrate/citric acid, 20 sodium hyaluronate, 11 sodium phenylbutyrate, 17 sodium sulfacetamide, 8, 10, 27 sodium sulfacetamide wash, 10 Sodium Sulfacetamide Wash, 10 sodium sulfacetamide/sulfur, 8 Sodium Sulfacetamide/Sulfur, 8 sodium sulfacetamide/sulfur cleanser, 8 Sodium Sulfacetamide/Sulfur Cleanser IN Urea, 8 sodium sulfacetamide/sulfur green, 8

Sodium Sulfacetamide/Sulfur IN Urea, 8 sodium sulfacetamide/sulfur w/sunscreen, 8 sodium sulfacetamide/sulfur wash, 8 Soliqua 100/33, 16 Solodyn, 1 Soltamox, 4 Soma, 26 Somavert, 16 Sonata, 24 Soolantra, 9 Soriatane, 10 Sorilux, 10 sorine, 5 sotalol HCL, 5 sotalol HCL (AF), 5 Sotylize, 5 Sovaldi, 3 Spectracef, 1 Spinosad, 12 Spiriva Handihaler, 32 Spiriva Respimat, 32 spironolactone, 7 spironolactone/hydrochlorothiazide, 7 Sporanox, 2 Sporanox Pulsepak, 2 sprintec 28, 14 Spritam, 25 Sprix, 31 Sprycel, 4 SR nicotine gum, 26 sronyx, 14 sss 10%-5%, 8 Sss 10-5, 9 Stalevo 100, 25 Stalevo 125, 25 Stalevo 150, 25 Stalevo 200, 25 Stalevo 50, 25 Stalevo 75, 25 Starlix, 15 stavudine, 2 Staxyn, 8 Stelara, 10 Stendra, 8 Stimate, 17 Stiolto Respimat, 33 Stivarga, 4 Strattera, 24 Strensiq, 17 Striant, 13 Stribild, 3 Striverdi Respimat, 33 Stromectol, 3 Strovite Forte, 35 Suboxone, 30 Subsys, 30 Sucraid, 18 sucralfate, 18 Sular, 6 sulfacetamide sodium, 8, 27 Sulfacetamide Sodium, 27 sulfacetamide sodium/prednisolone sodium phosphate, 27 sulfacetamide sodium/sulfur, 8 sulfacetamide sodium/sulfur cleanser, 8 sulfacleanse 8/4, 8 Sulfadiazine, 2

sulfamethoxazole/trimethoprim, 3 sulfamethoxazole/trimethoprim DS, 3 sulfasalazine, 19 sulfatrim pediatric, 3 Sulfurated Lime, 12 sulindac, 30 Sumadan Kit, 9 Sumadan Wash, 9 Sumadan XLT, 9 sumatriptan, 31 sumatriptan succinate, 31 Sumatriptan Succinate, 31 sumatriptan succinate refill, 31 Sumavel Dosepro, 31 Sumaxin, 9 Sumaxin CP Kit, 9 Sumaxin Ts, 9 Sumaxin Wash, 9 Supervite EC, 35 Suprax, 1 Suprep Bowel Prep Kit, 18 Sure Comfort Insulin Syringe/U100/0.3ML/29G X 1/2", 40 Sure Comfort Insulin Syringe/U100/0.3ML/30G X 1/2", 40 Sure Comfort Insulin Syringe/U100/0.3ML/30G X 5/16", 40 Sure Comfort Insulin Syringe/U100/0.3ML/31G X 5/16, 40 Sure Comfort Insulin Syringe/U100/0.3ML/31G X 5/16", 40 Sure Comfort Insulin Syringe/U100/0.5ML/28G X 1/2", 40 Sure Comfort Insulin Syringe/U100/0.5ML/29G X 1/2", 40 Sure Comfort Insulin Syringe/U100/0.5ML/30G X 1/2", 40 Sure Comfort Insulin Syringe/U100/0.5ML/30G X 5/16", 40 Sure Comfort Insulin Syringe/U100/0.5ML/31G X 5/16, 40 Sure Comfort Insulin Syringe/U100/1ML/28G X 1/2", 40 Sure Comfort Insulin Syringe/U100/1ML/29G X 1/2", 40 Sure Comfort Insulin Syringe/U100/1ML/30G X 1/2", 40 Sure Comfort Insulin Syringe/U100/1ML/30G X 5/16", 40 Sure Comfort Insulin Syringe/U100/1ML/31G X 5/16", 40 Sure Comfort Pen Needles 29GX1/2" 12.7MM, 40 Sure Comfort Pen Needles 30GX5/16" SHORT, 40 Sure Comfort Pen Needles 31GX3/16" (5MM), 40 Sure Comfort Pen Needles 31GX5/16" (8MM), 40 Sure Comfort Pen Needles 32GX5/32", 40 Sure Comfort Pen Needles 32GX6MM, 40 Sure Result O3d3 System, 8 Sure-fine Pen Needles 29GX1/2" 12.7MM, 40 Sure-fine Pen Needles 31GX3/16" 5MM, 40

Sure-fine Pen Needles 31GX5/16" 8MM, 40 Sure-ject Insulin Syringe/U100/0.3ML/29G X 1/2", 40 Sure-ject Insulin Syringe/U100/0.3ML/30G X 5/16", 40 Sure-ject Insulin Syringe/U100/0.3ML/31G X 5/16", 40 Sure-ject Insulin Syringe/U100/0.5ML/28G X 1/2", 40 Sure-ject Insulin Syringe/U100/0.5ML/29G X 1/2", 40 Sure-ject Insulin Syringe/U100/0.5ML/30G X 5/16", 40 Sure-ject Insulin Syringe/U100/0.5ML/31G X 5/16", 40 Sure-ject Insulin Syringe/U-100/1ML/28G X 1/2", 40 Sure-ject Insulin Syringe/U-100/1ML/29G X 1/2", 40 Sure-ject Insulin Syringe/U-100/1ML/30G X 5/16", 40 Sure-ject Insulin Syringe/U-100/1ML/31G X 5/16", 40 Surmontil, 23 Sustiva, 3 Sutent, 4 sw clearlax, 17 sw nicotine polacrilex, 26 syeda, 14 Sylatron, 5 Symax Duotab, 18 symax-SL, 18 symax-SR, 18 Symbicort, 33 Symbyax, 26 Symlinpen 120, 15 Symlinpen 60, 15 Symproic, 19 Synagex, 35 Synalar, 10 Synalar Cream Kit, 11 Synalar Ointment Kit, 11 Synalar Ts, 11 Synalgos-dc, 30 Synarel, 16 Synatek, 35 Syndros, 18 Synera, 12 Synerderm, 12 Synjardy, 16 Synjardy XR, 16 Synthroid, 17

T Tabloid, 4 Taclonex, 11 tacrolimus, 4, 11 Tafinlar, 4 Tagrisso, 4 take action, 14 Taltz, 10 Tamiflu, 2 tamoxifen citrate, 4 tamsulosin HCL, 20 Tandem F, 21 Tandem Plus, 21 Tanzeum, 15 Tapazole, 17

Tarceva, 4 Targadox, 1 Targretin, 5 tarina FE 1/20, 14 Tarka, 7 Taron Forte, 21 Taron-bc, 34 Taron-c DHA, 34 taron-crystals, 20 Taron-prex, 34 Tasigna, 4 Tasmar, 25 Taytulla, 15 tazarotene, 10 Tazorac, 10 taztia XT, 5 Tecfidera, 26 Tecfidera Starter Pack, 26 Techlite Pen Needles 29G X 12 MM, 40 Techlite Pen Needles 31G X 5MM, 40 Techlite Pen Needles/31G X 5MM, 40 Techlite Pen Needles/31G X 6 MM, 40 Techlite Pen Needles/31G X 8MM, 40 Techlite Pen Needles/32G X 4MM, 40 Techlite Pen Needles/32G X 6MM, 40 Techlite Pen Needles/32G X 8MM, 40 Technivie, 3 Tegretol, 25 Tegretol-XR, 25 Tekturna, 6 Tekturna HCT, 7 telmisartan, 6 telmisartan/amlodipine, 7 telmisartan/hydrochlorothiazide, 7 temazepam, 24 Temazepam, 24 Temodar, 4 Temovate, 11 Temovate E, 11 temozolomide, 3 Tencon, 29 Tenex, 6 Tenoretic 100, 7 Tenoretic 50, 7 Tenormin, 5 Terazol 3, 20 Terazol 7, 20 terazosin HCL, 6 terbinafine HCL, 2 terbutaline sulfate, 32 terconazole, 20 Tersi Foam, 10 Tessalon Perles, 32 Testim, 13 testosterone, 13 Testosterone, 13 testosterone P.M., 13 Testosterone P.M., 13 testosterone topical solution, 13 Testred, 13 tetcaine, 28 tetrabenazine, 26 tetracaine HCL, 28 tetracycline HCL, 1 Tetracycline HCL, 1 tetracycline hydrochloride, 1 tetravisc, 28 tetravisc forte, 28

Tetrix, 12 Texacort, 11 Texavite LQ, 35 Tgq 30PSE/150GFN/15DM, 32 Tgq 30PSE/3BRM/15DM, 32 tgt aspirin, 29 tgt enteric-coated aspirin, 29 tgt eye itch relief, 28 tgt nicotine gum, 26 tgt nicotine polacrilex, 26 tgt nicotine step one, 26 tgt nicotine step three, 26 tgt nicotine step two, 26 tgt powderlax, 17 Thalomid, 4 Theo-24, 33 theochron, 32 theophylline, 32 theophylline CR, 32 theophylline ER, 32 Thera-flur-n, 22 theratears allergy eye itch relief, 28 Thiola, 20 thioridazine HCL, 23 thiothixene, 23 thrive, 26 Thrivite 19, 34 Thrivite RX, 34 Thyrolar-1, 17 Thyrolar-1/2, 17 Thyrolar-1/4, 17 Thyrolar-2, 17 Thyrolar-3, 17 tiagabine hydrochloride, 24 Tiazac, 6 Tigan, 18 Tikosyn, 6 tilia FE, 14 Timolol Maleate, 5 timolol maleate, 27 timolol maleate ophthalmic gel forming, 27 Timoptic, 27 Timoptic Ocudose, 27 Timoptic-xe, 27 Tindamax, 3 tinidazole, 3 Tirosint, 17 Tivicay, 3 Tivorbex, 31 Tizanidine Comfort PAC, 26 tizanidine HCL, 26 TL Folate, 34 TL G-FOL OS, 35 TL gard RX, 21 TL icon, 21 TL-care DHA, 34 TL-fluorivite, 35 TL-select, 34 Tobi, 2 Tobi Podhaler, 2 Tobradex, 27 Tobradex ST, 27 tobramycin, 2, 27 Tobramycin, 2 tobramycin inhalation solution PAK, 2 tobramycin sulfate, 27 tobramycin/dexamethasone, 27

Tobrex, 27 Today Sponge, 20 Todays Health Mini Pen Needles 31G X 1/4", 40 Todays Health Original Pen Needles 29G X 1/2", 40 Todays Health SHORT Pen Needles 31G X 5/16", 40 Tofranil, 23 Tofranil-PM, 23 Tolazamide, 15 Tolbutamide, 15 tolcapone, 25 tolmetin sodium, 30 Tolmetin Sodium, 30 tolterodine tartrate, 20 tolterodine tartrate ER, 20 Topamax, 25 Topamax Sprinkle, 25 Topcare Clickfine Universal Pen Eedles 31GX1/4", 40 Topcare Clickfine Universal Pen Eedles 31GX5/16", 40 Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 40 Topcare Ultra Comfort Insulin Syringe/U100/0.3ML/29G X 1/2", 40 Topcare Ultra Comfort Insulin Syringe/U100/0.5ML/29G X 1/2", 40 Topcare Ultra Comfort Insulin Syringe/U100/1ML/29G X 1/2", 40 Topco Insulin Syringe/U-100/0.3ML/29G X 1/2", 40 Topco Insulin Syringe/U-100/0.5ML/28G X 1/2", 40 Topco Insulin Syringe/U-100/0.5ML/29G X 1/2", 40 Topco Insulin Syringe/U-100/1ML/28G X 1/2", 40 Topco Insulin Syringe/U-100/1ML/29G X 1/2", 40 Topicort, 11 topiramate, 24 Topiramate ER, 24 Toprol XL, 5 Torisel, 4 torsemide, 7 Toujeo Solostar, 15 Toviaz, 20 Tracleer, 8 Tradjenta, 16 tramadol HCL, 29 tramadol HCL ER, 29 Tramadol HCL ER, 30 tramadol hydrochloride/acetaminophen, 29 trandolapril, 6 trandolapril/verapamil HCL ER, 7

tranexamic acid, 21 Transderm-scop, 18 Tranxene T, 22 tranylcypromine sulfate, 23 Tranzarel, 12 Travatan Z, 27 Travoprost, 27 trazodone HCL, 23 Trecator, 2 Trelegy Ellipta, 33 Tremfya, 10 Tresiba Flextouch, 15 Tretin-x, 9 tretinoin, 5, 8 tretinoin microsphere, 8 tretinoin microsphere P.M., 8 Trexall, 4 Treximet, 31 Trezix, 30 tri femynor, 14 tri-estarylla, 14 tri-legest FE, 14 tri-linyah, 14 tri-LO-estarylla, 14 tri-LO-marzia, 14 tri-LO-sprintec, 14 Tri-norinyl 28, 15 tri-previfem, 14 tri-sprintec, 14 Tri-TABS DHA, 34 Tri-VI-flor, 35 Tri-VI-floro, 35 tri-vit/fluoride, 33 Tri-vit/Fluoride/Iron, 34 tri-vitamin/fluoride, 33 Triadvance, 34 triamcinolone acetonide, 10 triamcinolone acetonide dental paste, 22 triamterene/hydrochlorothiazide, 7 Triamterene/Hydrochlorothiazide, 7 Trianex, 11 triazolam, 24 Triazolam, 24 Tribenzor, 7 Tricare Prenatal, 35 Tricare Prenatal 1, 35 Tricare Prenatal Compleat, 34 Tricare Prenatal DHA One, 34 Tricare Prenatal DHA One/Folate, 35 tricitrates, 20 tricon, 21 Tricor, 8 triderm, 10 Tridesilon, 11 Triesence, 27 Triferic, 21 trifluoperazine HCL, 23 trifluridine, 27 trigels-f forte, 21 Triglide, 8 trihexyphenidyl HCL, 25 triklo, 7 Trileptal, 25 Trilipix, 8 trilyte, 17 trimethobenzamide HCL, 18 trimethoprim, 3 trimethoprim sulfate/polymyxin b sulfate,

27 trimipramine maleate, 23 Trimpex, 3 Trinatal GT, 34 Trinatal RX 1, 34 Trinate, 34 trinessa, 14 trinessa LO, 14 Trintellix, 23 triphrocaps, 33 Triple Complex Formula 3 Kit, 10 Triple Pmb, 27 Triple Pmk, 27 triple-vitamin/fluoride, 33 Triptodur, 16 Tristart DHA, 35 Tristart One, 35 Triumeq, 3 Triveen-duo DHA, 34 Triveen-prx RNF, 34 trivora-28, 14 Trizivir, 3 Trokendi XR, 25 tropicamide, 28 trospium chloride, 20 trospium chloride ER, 20 Trueplus Insulin Syringe/U100/0.3ML/29G X 1/2", 40 Trueplus Insulin Syringe/U100/0.3ML/30G X 5/16", 40 Trueplus Insulin Syringe/U100/0.3ML/31G X 5/16", 40 Trueplus Insulin Syringe/U100/0.5ML/28G X 1/2", 40 Trueplus Insulin Syringe/U100/0.5ML/29G X 1/2", 40 Trueplus Insulin Syringe/U100/0.5ML/30G X 5/16", 41 Trueplus Insulin Syringe/U100/0.5ML/31G X 5/16", 41 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 41 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 41 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 41 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 41 Trueplus Pen Needles 29GX12MM, 41 Trueplus Pen Needles 31GX5MM, 41 Trueplus Pen Needles 31GX6MM, 41 Trueplus Pen Needles 31GX8MM, 41 Trueplus Pen Needles 32GX4MM, 41 Trulance, 19 Trulicity, 15 Trusopt, 28 Truvada, 3 Tudorza Pressair, 33 Tussicaps, 32 tussigon, 32 Tussionex Pennkinetic Extended Release, 32 Tuzistra XR, 32 Twynsta, 7 Tybost, 3 Tykerb, 4 Tylenol/Codeine #3, 30 Tylenol/Codeine #4, 30

Tymlos, 16 Tyvaso, 8 Tyvaso Refill, 8 Tyvaso Starter, 8 Tyzeka, 3 Tyzine Pediatric Nasal Drops, 32

X 5/16", 41 Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 41 Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 41 Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 41 U Ulticare Insulin Syringe/U-100/1ML/30G X Uceris, 12, 19 5/16", 41 Udamin SP, 35 Ulticare Insulin Syringe/U-100/1ML/31G X Ulesfia, 12 5/16", 41 Uloric, 31 Ulticare Micro Pen Needles 31G X 8MM, Ulticare Insulin Safety Syringe/0.5ML/29G 41 X 1/2", 41 Ulticare Micro Pen Needles 32G X 4MM, Ulticare Insulin Safety Syringe/1ML/29G 41 X 1/2", 41 Ulticare Micro Pen Needles/32G X 4MM, Ulticare Insulin Syringe Ultrafine U41 100/0.3ML/31G X 5/16", 41 Ulticare Mini Pen Needles 31GX6MM, 41 Ulticare Insulin Syringe Ultrafine UUlticare Mini Pen Needles Ulti-fine IV, 41 100/0.5ML/31G X 5/16", 41 Ulticare Mini Pen Needles/31G X 6MM, Ulticare Insulin Syringe Ultrafine U41 100/1ML/31G X 5/16", 41 Ulticare Mini Pen Needles31GX6MM, 41 Ulticare Insulin Syringe/0.3ML/29G X Ulticare Original Pen Needles Ulti-fine, 1/2", 41 41 Ulticare Insulin Syringe/0.3ML/30G X Ulticare Pen Needles 31G X 5MM/Mini, 1/2", 41 41 Ulticare Insulin Syringe/0.3ML/30G X Ulticare Pen Needles/29G X 12.7MM, 41 5/16", 41 Ulticare SHORT Pen Needles 31GX8MM, Ulticare Insulin Syringe/0.5ML/28G X 41 1/2", 41 Ulticare SHORT Pen Needles Ulti-fine IV, Ulticare Insulin Syringe/0.5ML/29G X 41 1/2", 41 Ulticare SHORT Pen Needles/31G X Ulticare Insulin Syringe/0.5ML/30G X 8MM, 41 1/2", 41 Ultiguard Insulin Syringe/UUlticare Insulin Syringe/0.5ML/30G X 100/0.5ML/30G X 5/16", 41 5/16", 41 Ultiguard Insulin Syringe/U-100/1ML/30G Ulticare Insulin Syringe/1ML/28G X 1/2", X 5/16", 41 41 Ultilet Insulin Syringe 31X6MM, 41 Ulticare Insulin Syringe/1ML/29G X 1/2", Ultilet Insulin Syringe/0.3ML/30G X 8MM, 41 41 Ulticare Insulin Syringe/1ML/30G X 1/2", Ultilet Insulin Syringe/0.3ML/31G X 8MM, 41 41 Ulticare Insulin Syringe/1ML/30G X 5/16", Ultilet Insulin Syringe/0.5ML/30G X 8MM, 41 41 Ulticare Insulin Ultilet Insulin Syringe/1ML/30G X 8MM, Syringe/SHORT/0.3ML/30G X 5/16", 41 41 Ulticare Insulin Ultilet Insulin Syringe/1ML/31G X 8MM, Syringe/SHORT/0.3ML/31G X 5/16", 41 41 Ulticare Insulin Ultilet Insulin Syringe/SHORT/0.3ML/30G Syringe/SHORT/0.5ML/30G X 5/16", 41 X 12.7MM, 41 Ulticare Insulin Ultilet Insulin Syringe/SHORT/0.3ML/30G Syringe/SHORT/0.5ML/31G X 5/16", 41 X 5/16", 41 Ulticare Insulin Syringe/SHORT/1ML/30G Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 41 X 5/16", 41 Ulticare Insulin Syringe/SHORT/1ML/31G Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 41 X 5/16", 41 Ulticare Insulin Syringe/U-100/0.3ML/29G Ultilet Insulin Syringe/SHORT/0.5ML/31G X 1/2", 41 X 5/16", 41 Ulticare Insulin Syringe/U-100/0.3ML/30G Ultilet Insulin Syringe/SHORT/1ML/30G X X 1/2", 41 5/16", 41 Ulticare Insulin Syringe/U-100/0.3ML/30G Ultilet Insulin Syringe/SHORT/1ML/31G X X 5/16", 41 5/16", 41 Ulticare Insulin Syringe/U-100/0.3ML/31G Ultilet Insulin Syringe/U-100/0.5ML/30G X X 5/16", 41 1/2", 41 Ulticare Insulin Syringe/U-100/0.5ML/29G Ultilet Insulin Syringe/UX 1/2", 41 100/0.5ML/31GX6MM, 41 Ulticare Insulin Syringe/U-100/0.5ML/30G Ultilet Insulin Syringe/U-100/1ML/30G X X 1/2", 41 1/2", 41 Ulticare Insulin Syringe/U-100/0.5ML/30G

Ultilet Pen Needle 29GX12.7MM, 41 Ultilet Pen Needle 31GX5MM, 41 Ultilet Pen Needle 31GX8MM, 41 Ultilet Pen Needle 32GX4MM, 41 Ultilet Pen Needle 32GX4MM/SHORT, 41 Ultilet SHORT Pen Needles 31GX5/16", 41 Ultilet SHORT Pen Needles31GX3/16", 41 Ultimatecare One, 34 Ultimatecare One NF, 34 Ultra Comfort Insulin Syringe/U100/0.3ML/30G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/0.3ML/29G X 1/2", 41 Ultra-comfort Insulin Syringe/U100/0.3ML/30G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/0.3ML/31G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/0.5ML/28G X 1/2", 41 Ultra-comfort Insulin Syringe/U100/0.5ML/29G X 1/2", 41 Ultra-comfort Insulin Syringe/U100/0.5ML/30G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/0.5ML/31G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/1ML/28G X 1/2", 41 Ultra-comfort Insulin Syringe/U100/1ML/29G X 1/2", 41 Ultra-comfort Insulin Syringe/U100/1ML/30G X 5/16", 41 Ultra-comfort Insulin Syringe/U100/1ML/31G X 5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/30GX5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/31GX5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/30GX5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/31GX5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/1ML/30GX5/16", 41 Ultra-thin II Insulin Syringe SHORT/U100/1ML/31GX5/16", 41 Ultra-thin II Insulin Syringe/U100/0.3ML/29GX1/2", 41 Ultra-thin II Insulin Syringe/U100/0.5ML/29GX1/2", 41 Ultra-thin II Insulin Syringe/U100/1ML/29GX1/2", 41 Ultra-thin II Mini Pen Neeedles/31GX3/16", 41 Ultra-thin II Pen Needles 29GX1/2", 41 Ultra-thin II Pen Needles/SHORT/31GX5/16", 41 Ultracet, 30 Ultram, 30 Ultram ER, 30 Ultrasal-ER, 12 Ultravate, 11 Ultravate X, 11 Ultresa, 18 Umecta, 12 umecta mousse, 11

Umecta Nail Film, 12 Umecta PD, 12 Unifine Pentips 29GX12MM, 41 Unifine Pentips 31G X 3/16", 41 Unifine Pentips 31G X 6MM, 41 Unifine Pentips 31G X 8MM, 41 Unifine Pentips 31GX5MM, 41 Unifine Pentips 31GX6MM, 41 Unifine Pentips 31GX8MM, 41 Unifine Pentips 32GX4MM, 41 Unifine Pentips Plus 29GX12MM, 41 Unifine Pentips Plus 31GX5MM, 41 Unifine Pentips Plus 31GX6MM, 41 Unifine Pentips Plus 31GX8MM, 41 Unifine Pentips Plus 32GX4MM, 41 unithroid, 17 unithroid direct, 17 Uptravi, 8 ur n-c, 19 Uramaxin, 12 Uramaxin GT, 12 Uramaxin GT Kit, 12 uramit mb, 19 ure-39, 11 ure-k, 11 urea, 11 urea 40% nail film, 11 urea hydrating, 11 Urea IN Zinc Undecylenate/Lactic Acid Vehicle, 12 urea nail, 11 Urea Nail, 12 urea nail gel, 11 Urea Nail Kit, 12 Urea Topical, 12 urea-c40, 11 Urecholine, 20 urelle, 19 uretron d/s, 19 Urevaz, 12 uribel, 19 Urimar-t, 19 urin d/s, 19 uro-458, 19 uro-blue, 19 uro-l, 19 uro-mp, 19 uroav-81, 19 uroav-b, 19 Urocit-k 10, 20 Urocit-k 15, 20 Urocit-k 5, 20 Urogesic-blue, 19 urolet mb, 19 urophen mb, 19 Uroxatral, 20 Urso 250, 19 Urso Forte, 19 ursodiol, 19 uryl, 19 ustell, 19 uta, 19 Utibron Neohaler, 33 uticap, 19 utira-c, 19 Utopic, 12 utrona-c, 19

V V-r Monoject Insulin Syringe/U100/0.3ML/29G X 1/2", 41 V-r Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 41 V-r Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 41 V-r Monoject Insulin Syringe/U100/1ML/28G X 1/2", 41 V-r Monoject Insulin Syringe/U100/1ML/29G X 1/2", 41 Vagifem, 20 valacyclovir HCL, 2 Valchlor, 4 Valcyte, 3 valganciclovir, 2 valganciclovir hydrochlorde, 2 Valium, 22 valproic acid, 24 valsartan, 6 valsartan/hydrochlorothiazide, 7 Valtrex, 2 Value Health Insulin Syringe/U100/0.5ML/29G X 1/2", 41 Value Health Insulin Syringe/U100/1ML/29G X 1/2", 41 Valumark Pen Needles 29GX12MM, 41 Valumark Pen Needles 31G X 6MM, 41 Valumark Pen Needles 31G X 8MM, 41 Valved Holding Chamber, 42 Vanatol LQ, 29 Vanatol S, 29 Vancocin HCL, 3 vancomycin, 3 vancomycin HCL, 3 Vancomycin HCL + Syrspendsf PH4, 3 vandazole, 20 Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 41 Vanishpoint Insulin Syringe/0.5ML/30G X 5/16", 41 Vanishpoint Insulin Syringe/1ML/29G X 1/2", 41 Vanishpoint Insulin Syringe/1ML/29G X 5/16", 41 Vanishpoint Insulin Syringe/1ML/30G X 5/16", 41 Vanos, 11 Vanoxide-HC, 9 Varubi, 18 Vascepa, 8 Vaseretic, 7 Vasotec, 6 Vcf Vaginal Contraceptive Film, 20 vcf vaginal contraceptive foam, 20 Vcf Vaginal Contraceptive Foam, 20 vcf vaginal contraceptivegel, 20 Vecamyl, 6 Vectical, 10 velivet, 14 Velphoro, 19 Veltin, 9 Vemavite-prx 2, 34 Vemlidy, 3 Vena-bal DHA, 34 venlafaxine HCL, 23 venlafaxine HCL ER, 23 Venlafaxine HCL ER, 23

Ventavis, 8 Ventolin HFA, 32 Veramyst, 32 verapamil HCL, 5 verapamil HCL ER, 5 verapamil HCL SR, 6 Verdeso, 11 verdrocet, 30 Veregen, 12 Verelan, 6 Verelan PM, 6 Veripred 20, 12 Versacloz, 24 Verzenio, 4 Vesicare, 20 vestura, 14 Vexol, 27 Vfend, 2 Viagra, 8 Viberzi, 19 Vibramycin, 1 vicodin, 29 vicodin ES, 29 vicodin HP, 29 Vicoprofen, 30 Victoza, 15 Victrelis, 3 Vida Mia Unifine Pentips 32GX4MM, 42 Vida Mia Unifine Pentips Mini 31GX6MM, 41 Vida Mia Unifine Pentips Original 29GX12MM, 41 Vida Mia Unipfine Pentipsshort 31GX8MM, 42 Videx EC, 3 Videx Pediatric, 3 Viekira PAK, 3 Viekira XR, 3 vienva, 14 vigabatrin, 25 Vigamox, 27 Viibryd, 23 Viibryd Starter Pack, 23 Vimovo, 31 Vimpat, 25 Vinate DHA RF, 34 Vinate II, 34 Vinate M, 34 Vinate One, 34 Viokace, 18 viorele, 14 Viracept, 3 Viramune, 3 Viramune XR, 3 Virasal, 12 Virazole, 3 Viread, 3 Viroptic, 27 Virt Nate, 34 Virt-advance, 34 Virt-c DHA, 34 virt-CAPS, 33 virt-gard, 21 Virt-nate DHA, 34 Virt-pn, 34 Virt-pn DHA, 34 Virt-pn Plus, 34 Virt-select, 34

virt-vite, 21 Virt-vite GT, 34 virt-vite plus, 33 Virtprex, 34 virtrate-2, 20 virtrate-3, 20 virtrate-k, 20 Vistaril, 22 Vita-pren, 34 Vitafol Fe+, 35 Vitafol Gummies, 35 Vitafol Ultra, 34 Vitafol-nano, 34 Vitafol-OB, 34 Vitafol-ob+dha, 34 Vitafol-one, 34 Vital-d RX, 35 Vitamedmd One RX/Quatrefolic, 34 Vitamedmd Plus RX/Quatre Folic, 34 Vitamedmd Redichew RX, 34 vitamin d, 33 vitamins a/c/d/fluoride, 33 Vitapearl, 35 Vitatrue, 35 Vitekta, 3 Vituz, 32 Viva DHA, 35 Vivelle-dot, 13 Vivlodex, 31 Vogelxo, 13 Vogelxo P.M., 13 vol-care RX, 33 Vol-nate, 35 Vol-TAB RX, 35 Voltaren, 10 voriconazole, 2 Vortex Valved Holding Chamber, 42 Vosevi, 3 Vospire ER, 33 Votrient, 4 Vp Insulin Syringe/U-100/0.3ML/29G X 1/2", 42 Vp-CH Plus, 35 Vp-CH-PNV, 35 Vp-ggr-b6 Prenatal, 35 Vp-heme OB, 35 Vp-heme OB + DHA, 35 Vp-heme One, 35 Vp-PNV-DHA, 35 vp-vite RX, 33 Vraylar, 24 Vusion, 10 vyfemla, 14 Vytone, 10 Vytorin, 8 Vyvanse, 24

Welchol, 8 Wellbutrin, 23 Wellbutrin SR, 23 Wellbutrin XL, 23 wera, 14 Westcort, 11 Westhroid, 17 Wp Thyroid, 17 wymzya FE, 14

W

Z

wal-zyr, 28 warfarin sodium, 21 Watchhaler, 42 Wegmans Unifine Pentips Plus 32GX4MM, 42 Wegmans Unifine Pentips Plus/Mini/31GX5MM, 42 Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 42 Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 42

Zacare 4% Kit, 9 Zacare 8% Kit, 9 Zaclir Cleansing, 9 zafirlukast, 32 zaleplon, 24 Zamicet, 30 Zanaflex, 26 zarah, 14 Zarontin, 25 Zarxio, 21 Zatean-CH, 35

X Xadago, 25 Xalatan, 27 Xalkori, 4 Xanax, 22 Xanax XR, 22 Xarelto, 21 Xarelto Starter Pack, 21 Xartemis XR, 30 Xatmep, 4 Xeljanz, 31 Xeljanz XR, 31 Xeloda, 4 xenaflamm, 30 Xenazine, 26 Xerac Ac, 12 Xeralux, 12 Xerese, 10 Xermelo, 19 Xifaxan, 3 Xigduo XR, 16 Xiidra, 28 Ximino, 1 Xodol, 30 Xolegel, 10 Xolegel Corepak, 10 Xolegel Duo/Head & Shoulders, 10 Xolegel Duo/Xolex, 10 Xopenex, 33 Xopenex Concentrate, 33 Xopenex HFA, 33 Xtampza ER, 30 Xtandi, 4 Xulane, 14 Xultophy 100/3.6, 16 Xuriden, 17 Xylocaine, 12 xylon, 30 Xyrem, 26 Xyzal, 31

Y Yasmin 28, 15 Yaz, 15 Yondelis, 4 Yosprala, 22 yuvafem, 20

Zatean-pn DHA, 35 Zatean-pn Plus, 35 Zavara, 21 Zavesca, 21 zazole, 20 Zebeta, 5 zebutal, 29 Zecuity, 31 Zegerid, 18 Zejula, 4 Zelapar, 25 Zelboraf, 4 Zembrace Symtouch, 31 Zemplar, 17 zenatane, 8 zenchent, 14 zenchent FE, 14 zencia, 8 Zenpep, 18 zenzedi, 24 Zenzedi, 24 Zepatier, 3 Zerit, 3 Zestoretic, 7 Zestril, 6 Zetia, 8 Zetonna, 32 Ziac, 7 Ziagen, 3 Ziana, 9 zidovudine, 2 zileuton ER, 32 Zilretta, 12 Zinbryta, 26 Zioptan, 27 ziprasidone HCL, 23 Zipsor, 31 Zirgan, 27 Zithranol, 10 Zithranol-rr, 10 Zithromax, 1 Zithromax Tri-PAK, 1 Zithromax Z-PAK, 1 Zmax, 1 Zocor, 8 Zodex 12-day, 12 Zodex 6-day, 12 Zofran, 18 Zofran Odt, 18 Zohydro ER, 30 Zolate, 21 Zolinza, 4 zolmitriptan, 31 zolmitriptan odt, 31 Zoloft, 23 zolpidem tartrate, 24 zolpidem tartrate ER, 24 Zolpimist, 24 Zomacton, 16 Zomig, 31 Zomig ZMT, 31 Zonacort 11 Day, 12 Zonacort 7 Day, 12 Zonalon, 10 Zonatuss, 32 Zonegran, 25 zonisamide, 24 Zontivity, 22

Zorbtive, 16 Zortress, 4 Zorvolex, 31 Zostavax, 33 zovia 1/35e, 14 zovia 1/50e, 14 Zovirax, 2, 10 Zubsolv, 30 Zuplenz, 18 Zurampic, 31 Zutripro, 32 Zyban, 26 Zyclara, 11 Zyclara P.M., 11 Zydelig, 4 Zyflo, 33 Zyflo CR, 33 Zykadia, 5 Zylet, 27 Zyloprim, 31 Zymaxid, 27 Zyprexa, 24 Zyprexa Zydis, 24 Zytiga, 4 Zyvox, 3

1 1ST Tier Unifine Pentips /Mini/31GX5MM, 42 1ST Tier Unifine Pentips 29GX12MM, 42 1ST Tier Unifine Pentips 31GX6MM, 42 1ST Tier Unifine Pentips 31GX8MM, 42 1ST Tier Unifine Pentips 32GX4MM, 42 1ST Tier Unifine Pentips Plus 31GX8MM, 42 1ST Tier Unifine Pentips Plus 32GX4MM, 42 1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 42 1ST Tier Unifine Pentips Plus/Original/29GX12MM, 42 1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 42

8 8-mop, 10