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

Transcription

1 Signature Advantage (HMO SNP) 208 Comprehensive Formulary List of Covered Drugs PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID, Version 06 This formulary was updated on 08/22/207. For more recent information or other questions, please contact Signature Advantage Health Plan (HMO ISNP) Member Services at or, for TTY users, 7, Hours of operations: 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October through February 4, and Monday to Friday (except holidays) from February 5 through September 30, or visit signatureadvantageplan.com. Signature Advantage is an HMO plan with a Medicare contract. Enrollment in Signature Advantage depends on contract renewal. Signature Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Signature Advantage cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Signature Advantage 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而 歧視任何人 This information is available for free in other languages. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al (TTY: 7). Horario de Atención al Cliente: Del de Octubre hasta el 4 de Febrero, de 8 a.m. a 8 p.m. los siete días de la semana (excepto Día de Acción de Gracias y Navidad), y del 5 de Febrero al 30 de Septiembre, de Lunes a Viernes (excepto feriados). H2400_208_drug0 Accepted

2 Note to existing members: This formulary has changed since last year. Please review this document to make sure that it still contains the drugs you take. When this drug list (formulary) refers to we, us, or our, it means Signature Advantage. When it refers to plan or our plan, it means Signature Advantage. This document includes a list of the drugs (formulary) for our plan which is current as of 08/0/208. For an updated formulary, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. You must generally use network pharmacies to use your prescription drug benefit. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January, 208, and from time to time during the year.

3 What is the Signature Advantage (HMO ISNP) Formulary? A formulary is a list of covered drugs selected by Signature Advantage in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Signature Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an Signature Advantage network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage. Can the Formulary (drug list) change? Generally, if you are taking a drug on our 208 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 208 coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released. Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year. We feel it is important that you have continued access for the remainder of the coverage year to the formulary drugs that were available when you chose our plan, except for cases in which you can save additional money or we can ensure your safety. If we remove drugs from our formulary, or add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a higher cost-sharing tier, we must notify affected members of the change at least 60 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Drug Administration deems a drug on our formulary to be unsafe or the drug s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug. The enclosed formulary is current as of 08/0/208. To get updated information about the drugs covered by Signature Advantage, please contact us. Our contact information appears on the front and back cover pages. In the event that Signature Advantage has CMS-approved non-maintenance changes to the formulary throughout the plan year (i.e. remove drugs from our formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug, or move a drug to a higher cost-sharing tier, Signature Advantage will update our formulary and post in on our website. How do I use the Formulary? There are two ways to find your drug within the formulary: Medical Condition The formulary begins on page 7. The drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. For example, drugs used to treat a heart condition are listed under the category, Cardiovascular Agents-Misc. If you know what your drug is used for, look for the category name in the list that begins on page 7. Then look under the category name for your drug. Alphabetical Listing If you are not sure what category to look under, you should look for your drug in the Index that begins on page 06. The Index provides an alphabetical list of all of the drugs included in this document. Both brand name drugs and generic drugs are listed in the Index. Look in the Index and find your drug. Next to your 2

4 drug, you will see the page number where you can find coverage information. Turn to the page listed in the Index and find the name of your drug in the first column of the list. What are generic drugs? Signature Advantage covers both brand name drugs and generic drugs. A generic drug is approved by the FDA as having the same active ingredient as the brand name drug. Generally, generic drugs cost less than brand name drugs. Are there any restrictions on my coverage? Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include: Prior Authorization (): Signature Advantage requires you [or your physician] to get prior authorization for certain drugs. This means that you will need to get approval from Signature Advantage before you fill your prescriptions. If you don t get approval, Signature Advantage may not cover the drug. Prior Authorization Restriction for Part B vs Part D Determination (): This drug may be eligible for payment under Medicare Part B or Part D. You (or your physician) are required to get prior authorization from Signature Advantage to determine that this drug is covered under Medicare Part D before you fill your prescription for this drug. Without prior approval, Signature Advantage may not cover this drug. Prior Authorization Restriction for New Starts Only ( NSO): If you are a new member, you (or your physician) are required to get prior authorization from Signature Advantage before you fill your prescription for this drug. Without prior approval, Signature Advantage may not cover this drug. Quantity Limits (QL): For certain drugs, Signature Advantage limits the amount of the drug that Signature Advantage (HMO SNP) will cover. For example, Signature Advantage provides 9 s per prescription for sumatriptan. This may be in addition to a standard one month or three-month supply. Step Therapy (ST): In some cases, Signature Advantage requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if Drug Aand Drug B both treat your medical condition, Signature Advantage may not cover Drug B unless you try Drug A first. If Drug A does not work for you, Signature Advantage will then cover Drug B. Non-Mail-Order Drug (NM): You may be able to receive greater than a -month supply of most of the drugs on your Formulary via mail order at a reduced cost share. Drugs not available via your mail-order benefit are noted with NM in the notes column of your Formulary. Limited Distribution (LD): The symbol (LD) next to a drug name indicates that the drug has been noted as being restricted to certain pharmacies by the Food and Drug Administration. These drugs can only be obtained at specialty designated pharmacies able to appropriately handle the drugs. 3

5 You can find out if your drug has any additional requirements or limits by looking in the formulary that begins on page 7. You can also get more information about the restrictions applied to specific covered drugs by visiting our Web site. We have posted on line documents that explain our prior authorization restriction and step therapy restrictions. You may also ask us to send you a copy. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. You can ask Signature Advantage to make an exception to these restrictions or limits or for a list of other, similar drugs that may treat your health condition. See the section, How do I request an exception to the Signature Advantage s formulary? on this page for information about how to request an exception. What if my drug is not on the Formulary? If your drug is not included in this formulary (list of covered drugs), you should first contact Member Services and ask if your drug is covered. If you learn that Signature Advantage does not cover your drug, you have two options: You can ask Member Services for a list of similar drugs that are covered by Signature Advantage. When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by Signature Advantage. You can ask Signature Advantage to make an exception and cover your drug. See below for information about how to request an exception. How do I request an exception to the Signature Advantage Formulary? You can ask Signature Advantage to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make. You can ask us to cover a drug even if it is not on our formulary. If approved, this drug will be covered at a pre-determined cost-sharing level, and you would not be able to ask us to provide the drug at a lower cost-sharing level. You can ask us to cover a formulary drug at a lower cost-sharing level if this drug is not on the specialty tier. If approved this would lower the amount you must pay for your drug. You can ask us to waive coverage restrictions or limits on your drug. For example, for certain drugs, Signature Advantage limits the amount of the drug that we will cover. If your drug has a quantity limit, you can ask us to waive the limit and cover a greater amount. Generally, Signature Advantage will only approve your request for an exception if the alternative drugs included on the plan s formulary or additional utilization restrictions would not be as effective in treating your condition and/or would cause you to have adverse medical effects. You should contact us to ask us for an initial coverage decision for a formulary, or utilization restriction exception. When you request a formulary or utilization restriction exception you should submit a statement from your prescriber or physician supporting your request. Generally, we must make our decision within 72 hours of getting your prescriber s supporting statement. You can request an expedited (fast) exception if you or your doctor believe that your health could be seriously harmed by waiting up to 72 hours for a decision. If your request to expedite is granted, we must give you a decision no later than 24 hours after we get a supporting statement from your doctor or other prescriber. 4

6 What do I do before I can talk to my doctor about changing my drugs or requesting an exception? As a new or continuing member in our plan you may be taking drugs that are not on our formulary. Or, you may be taking a drug that is on our formulary but your ability to get it is limited. For example, you may need a prior authorization from us before you can fill your prescription. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception so that we will cover the drug you take. While you talk to your doctor to determine the right course of action for you, we may cover your drug in certain cases during the first 90 days you are a member of our plan. For each of your drugs that is not on our formulary or if your ability to get your drugs is limited, we will cover a temporary 3-day supply (unless you have a prescription written for fewer days) when you go to a network pharmacy. After your first 3-day supply, we will not pay for these drugs, even if you have been a member of the plan less than 90 days. If you are a resident of a long-term care facility, we will allow you to refill your prescription until we have provided you with a 9-98-day transition supply, consistent with dispensing increment, (unless you have a prescription written for fewer days). We will cover more than one refill of these drugs for the first 90 days you are a member of our plan. If you need a drug that is not on our formulary or if your ability to get your drugs is limited, but you are past the first 90 days of membership in our plan, we will cover a 3-day emergency supply of that drug (unless you have a prescription for fewer days) while you pursue a formulary exception. We will provide a one-time 3-day transition supply per drug, which will cover a temporary supply if you have a change in your medications due to a level-of-care change. A level of care change may include: Entering or leaving a LTC facility Discharged from a hospital to a home End a Medicare Part A skilled nursing facility stay Give up Hospice status and revert back to standard Medicarebenefits End an LTC facility stay and return to their home During the time when you are getting a temporary supply of a drug, you should talk with your provider to decide what to do when your temporary supply runs out. You can either switch to a different drug covered by the plan or ask the plan to make an exception for you and cover your current drug. For more information For more detailed information about your Signature Advantage prescription drug coverage, please review your Evidence of Coverage and other plan materials. If you have questions about Signature Advantage, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. If you have general questions about Medicare prescription drug coverage, please call Medicare at MEDICARE ( ) 24 hours a day/7 days a week. TTY users should call Or, visit 5

7 Signature Advantage s Formulary The formulary below provides coverage information about the drugs covered by Signature Advantage. If you have trouble finding your drug in the list, turn to the Index that begins on page 04. The first column of the chart lists the drug name. Brand name drugs are capitalized (e.g., LIDODERM) and generic drugs are listed in lower-case italics (e.g., lidocaine). The second column of the chart lists the Drug Tier. The information in the Notes column tells you if Signature Advantage (HMO SNP) has any special requirements for coverage of your drug. The symbol LD in the Notes column next to a drug name indicates that the drug has been noted as being restricted to certain pharmacies by the Food and Drug Administration. These drugs can only be obtained at specialty designated pharmacies able to appropriately handle the drugs. The symbol in the Notes column indicates that prior authorization may apply. The symbol in the Notes column indicates that prior authorization may apply for medications that could be eligible for payment under either Medicare Part B or Part D. The symbol NSO in the Notes column indicates that prior authorization may apply on certain medications for new members of the plan. The symbol QL in the Notes column indicates that quantities dispensed may be limited. The symbol ST in the Notes column indicates that step therapy may apply. The symbol NM in the Notes column indicates that the drug is not available via your mail-order benefit.

8 ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS AMPHETAMINES amphetamine 0mg er cap amphetamine 0mg amphetamine 2.5mg amphetamine 5mg er cap amphetamine 5mg amphetamine 20mg er cap amphetamine 20mg amphetamine 25mg er cap amphetamine 30mg er cap amphetamine 30mg amphetamine 5mg er cap amphetamine 5mg amphetamine 7.5mg dextroamphetamine sulfate 0mg er cap dextroamphetamine sulfate 0mg dextroamphetamine sulfate 5mg er cap dextroamphetamine sulfate 5mg er cap dextroamphetamine sulfate 5mg methamphetamine 5mg VYVANSE 0MG CAP VYVANSE 0MG CHEW VYVANSE 20MG CAP VYVANSE 20MG CHEW VYVANSE 30MG CAP VYVANSE 30MG CHEW VYVANSE 40MG CAP VYVANSE 40MG CHEW VYVANSE 50MG CAP VYVANSE 50MG CHEW VYVANSE 60MG CAP VYVANSE 60MG CHEW VYVANSE 70MG CAP ATTENTION-DEFICIT/HYPERACTIVITY DISORDER (ADHD) AGENTS atomoxetine 00mg cap atomoxetine 0mg cap atomoxetine 8mg cap atomoxetine 25mg cap atomoxetine 40mg cap atomoxetine 60mg cap atomoxetine 80mg cap guanfacine mg er guanfacine 2mg er guanfacine 3mg er guanfacine 4mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 7

9 armodafinil 50mg STIMULANTS - MISC. QL=30 EA/30 Days armodafinil 200mg QL=30 EA/30 Days armodafinil 250mg QL=30 EA/30 Days armodafinil 50mg QL=30 EA/30 Days dexmethylphenidate 0mg er cap dexmethylphenidate 0mg dexmethylphenidate 5mg er cap dexmethylphenidate 2.5mg dexmethylphenidate 20mg er cap dexmethylphenidate 30mg er cap dexmethylphenidate 40mg er cap dexmethylphenidate 5mg er cap dexmethylphenidate 5mg metadate 20mg er methylphenidate 0mg cd cap methylphenidate 0mg chew methylphenidate 0mg er methylphenidate 0mg METHYLPHENIDATE 8MG SR methylphenidate mg/ml oral soln methylphenidate 2.5mg chew methylphenidate 20mg cd cap methylphenidate 20mg er methylphenidate 20mg la cap methylphenidate 20mg METHYLPHENIDATE 27MG SR methylphenidate 2mg/ml oral soln methylphenidate 30mg cd cap METHYLPHENIDATE 36MG SR methylphenidate 40mg cd cap methylphenidate 40mg la cap methylphenidate 50mg cd cap METHYLPHENIDATE 54MG SR methylphenidate 5mg chew methylphenidate 5mg methylphenidate 60mg cd cap modafinil 00mg modafinil 200mg amikacin 250mg/ml inj AMINOGLYCOSIDES AMINOGLYCOSIDES gentamicin.2mg/ml inj gentamicin 0mg/ml inj gentamicin 40mg/ml inj gentamicin sulfate 0.8mg/ml inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

10 gentamicin sulfate.6mg/ml inj gentamicin sulfate mg/ml inj neomycin sulfate 500mg paromomycin 250mg cap STREPTOMYCIN 00MG TOBI PODHALER KIT 28MG CK TOBRAMYCIN 0MG/ML tobramycin 40mg/ml inj tobramycin 60mg/ml inh soln ANALGESICS - ANTI-INFLAMMATORY ANTI-TNF-ALPHA - MONOCLONAL ANTIBODIES HUMIRA 0MG/0.2ML SYRINGE HUMIRA 20MG/0.4ML SYRINGE HUMIRA 40MG/0.8ML AUTO-ECTOR HUMIRA 40MG/0.8ML SYRINGE HUMIRA PEDIATRIC CROHN'S STARTER CK (3) 40MG/0.8ML HUMIRA PEDIATRIC CROHN'S STARTER CK (6) 40MG/0.8ML HUMIRA PEN - CROHN'S STARTER CK 40MG/0.8ML HUMIRA PEN - PSORIASIS STARTER CK 40MG/0.8ML SIMPONI ARIA 50MG/4ML GOLD COMPOU RIDAURA 3MG CAP ARCALYST 220MG INTERLEUKIN- BLOCKERS ILARIS 80MG INTERLEUKIN-BETA BLOCKERS NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS) celecoxib 00mg cap celecoxib 200mg cap celecoxib 400mg cap celecoxib 50mg cap diclofenac potassium 50mg diclofenac sodium 00mg er diclofenac sodium 25mg dr diclofenac sodium 50mg dr diclofenac sodium 50mg/misoprostol 0.2mg diclofenac sodium 75mg dr diclofenac sodium 75mg/misoprostol 0.2mg etodolac 200mg cap etodolac 300mg cap etodolac 400mg er etodolac 400mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

11 etodolac 500mg er etodolac 500mg etodolac 600mg er FENOPROFEN 400MG CAP flurbiprofen 00mg flurbiprofen 50mg ibuprofen 20mg/ml oral susp ibuprofen 400mg ibuprofen 600mg ibuprofen 800mg INDOCIN 25MG/5ML ORAL SUSP indomethacin 25mg cap indomethacin 50mg cap indomethacin 75mg er cap ketoprofen 50mg cap ketoprofen 75mg cap ketorolac tromethamine 0mg QL=20 EA/5 Days ketorolac tromethamine 5mg/ml inj ketorolac tromethamine 30mg/ml cartridge ketorolac tromethamine 30mg/ml inj MECLOFENAMATE 00MG CAP MECLOFENAMATE 50MG CAP mefenamic acid 250mg cap meloxicam 5mg meloxicam 7.5mg nabumetone 500mg nabumetone 750mg naproxen 250mg naproxen 25mg/ml oral susp naproxen 375mg dr naproxen 375mg naproxen 500mg dr naproxen 500mg naproxen sodium 275mg naproxen sodium 550mg oxaprozin 600mg piroxicam 0mg cap piroxicam 20mg cap sulindac 50mg sulindac 200mg PYRIMIDINE SYNTHESIS INHIBITORS leflunomide 0mg leflunomide 20mg SELECTIVE COSTIMULATION MODULATORS ORENCIA 25MG/ML AUTO-ECTOR ORENCIA 25MG/ML SYRINGE You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 0

12 ORENCIA 250MG ORENCIA 50MG/0.4ML SYRINGE ORENCIA 87.5MG/0.7ML SYRINGE SOLUBLE TUMOR NECROSIS FACTOR RECEPTOR AGENTS ENBREL 25MG ENBREL 25MG/0.5ML SYRINGE ENBREL 50MG/ML SURECLICK ENBREL 50MG/ML SYRINGE ANALGESICS - NONNARCOTIC SALICYLATES diflunisal 500mg codeine sulfate 5mg ANALGESICS - OPIOID OPIOID AGONISTS QL=240 EA/30 Days codeine sulfate 30mg QL=240 EA/30 Days codeine sulfate 60mg QL=80 EA/30 Days duramorph 0.5mg/ml inj duramorph mg/ml inj EMBEDA 00-4MG ER CAP EMBEDA MG ER CAP EMBEDA 30-.2MG ER CAP EMBEDA 50-2MG ER CAP EMBEDA MG ER CAP EMBEDA MG ER CAP fentanyl 0.02mg/hr patch QL=0 EA/30 Days fentanyl 0.025mg/hr patch QL=0 EA/30 Days FENTANYL MG/HR TCH QL=0 EA/30 Days fentanyl 0.05mg/hr patch QL=0 EA/30 Days FENTANYL MG/HR TCH QL=0 EA/30 Days fentanyl 0.075mg/hr patch QL=0 EA/30 Days fentanyl 0.mg/hr patch QL=0 EA/30 Days fentanyl 0.2mg lozenge QL=20 EA/30 Days fentanyl 0.4mg lozenge QL=20 EA/30 Days fentanyl 0.6mg lozenge QL=20 EA/30 Days fentanyl 0.8mg lozenge QL=20 EA/30 Days fentanyl.2mg lozenge QL=20 EA/30 Days fentanyl.6mg lozenge QL=20 EA/30 Days FENTORA 00MCG BUCCAL QL=20 EA/30 Days FENTORA 200MCG BUCCAL QL=20 EA/30 Days FENTORA 400MCG BUCCAL QL=20 EA/30 Days FENTORA 600MCG BUCCAL QL=20 EA/30 Days FENTORA 800MCG BUCCAL QL=20 EA/30 Days hydromorphone 0mg/ml (ml) inj hydromorphone 0mg/ml (5ml) inj hydromorphone 2mg er hydromorphone 6mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le.

13 hydromorphone mg/ml oral soln QL=2400 ML/30 Days hydromorphone 2mg QL=450 EA/30 Days hydromorphone 2mg/ml syringe hydromorphone 32mg er hydromorphone 4mg QL=240 EA/30 Days hydromorphone 8mg er hydromorphone 8mg QL=20 EA/30 Days HYSINGLA 00MG ER QL=30 EA/30 Days HYSINGLA 20MG ER QL=30 EA/30 Days HYSINGLA 20MG ER QL=30 EA/30 Days HYSINGLA 30MG ER QL=30 EA/30 Days HYSINGLA 40MG ER QL=30 EA/30 Days HYSINGLA 60MG ER QL=30 EA/30 Days HYSINGLA 80MG ER QL=30 EA/30 Days LEVORPHANOL 2MG QL=240 EA/30 Days meperidine 00mg QL=360 EA/30 Days meperidine 50mg QL=720 EA/30 Days methadone 0mg QL=360 EA/30 Days methadone mg/ml oral soln QL=3600 ML/30 Days methadone 2mg/ml oral soln QL=800 ML/30 Days methadone 5mg QL=360 EA/30 Days morphine sulfate 00mg er cap morphine sulfate 00mg er QL=20 EA/30 Days morphine sulfate 0mg er cap MORPHINE SULFATE 20MG ER (24HR) CAP morphine sulfate 5mg er QL=20 EA/30 Days morphine sulfate 5mg QL=80 EA/30 Days morphine sulfate 200mg er QL=20 EA/30 Days morphine sulfate 20mg er cap morphine sulfate 20mg/ml oral soln QL=80 ML/30 Days morphine sulfate 2mg/ml oral soln QL=800 ML/30 Days MORPHINE SULFATE 2MG/ML SYRINGE MORPHINE SULFATE 30MG ER (24 HR) CAP morphine sulfate 30mg er cap morphine sulfate 30mg er QL=20 EA/30 Days morphine sulfate 30mg QL=80 EA/30 Days MORPHINE SULFATE 45MG ER (24HR) CAP morphine sulfate 4mg/ml oral soln QL=900 ML/30 Days morphine sulfate 50mg er cap MORPHINE SULFATE 60MG (24HR) ER CAP morphine sulfate 60mg er cap morphine sulfate 60mg er QL=20 EA/30 Days MORPHINE SULFATE 75MG ER (24HR) CAP morphine sulfate 80mg er cap MORPHINE SULFATE 90MG ER (24HR) CAP oxycodone 0mg QL=80 EA/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

14 oxycodone 5mg QL=80 EA/30 Days oxycodone mg/ml oral soln QL=5400 ML/30 Days oxycodone 20mg QL=80 EA/30 Days oxycodone 20mg/ml oral soln QL=270 ML/30 Days oxycodone 30mg QL=80 EA/30 Days oxycodone 5mg cap QL=360 EA/30 Days oxycodone 5mg QL=360 EA/30 Days OXYCONTIN 0MG ER OXYCONTIN 5MG ER OXYCONTIN 20MG ER OXYCONTIN 30MG ER OXYCONTIN 40MG ER OXYCONTIN 60MG ER OXYCONTIN 80MG ER QL=20 EA/30 Days oxymorphone 0mg QL=360 EA/30 Days oxymorphone 5mg QL=360 EA/30 Days tramadol 00mg er tramadol 200mg er tramadol 300mg er tramadol 50mg QL=240 EA/30 Days OPIOID COMBINATIONS acetaminophen 2.7mg/ml/hydrocodone bitartrate QL=5400 ML/30 Days 0.5mg/ml oral soln acetaminophen 24mg/ml/codeine phosphate 2.4mg/ml QL=4980 ML/30 Days oral soln acetaminophen 300mg/codeine phosphate 5mg QL=390 EA/30 Days acetaminophen 300mg/codeine phosphate 30mg QL=390 EA/30 Days acetaminophen 300mg/codeine phosphate 60mg QL=390 EA/30 Days acetaminophen 300mg/hydrocodone bitartrate 0mg QL=390 EA/30 Days acetaminophen 300mg/hydrocodone bitartrate 5mg QL=390 EA/30 Days acetaminophen 300mg/hydrocodone bitartrate 7.5mg QL=390 EA/30 Days ACETAMINOPHEN 325MG/5ML/OXYCODONE QL=800 ML/30 Days 5MG/5ML ORAL SOLN acetaminophen 325mg/hydrocodone bitartrate 0mg QL=360 EA/30 Days acetaminophen 325mg/hydrocodone bitartrate 2.5mg QL=360 EA/30 Days acetaminophen 325mg/hydrocodone bitartrate 5mg QL=360 EA/30 Days acetaminophen 325mg/hydrocodone bitartrate 7.5mg QL=360 EA/30 Days acetaminophen 325mg/oxycodone 0mg QL=360 EA/30 Days acetaminophen 325mg/oxycodone 2.5mg QL=360 EA/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 3

15 acetaminophen 325mg/oxycodone 5mg QL=360 EA/30 Days acetaminophen 325mg/oxycodone 7.5mg QL=360 EA/30 Days acetaminophen 325mg/tramadol 37.5mg QL=360 EA/30 Days aspirin 325mg/oxycodone 4.84mg QL=360 EA/30 Days endocet 0-325mg QL=360 EA/30 Days endocet 5-325mg QL=360 EA/30 Days endocet mg QL=360 EA/30 Days hydrocodone 0mg/ibuprofen 200mg QL=480 EA/30 Days hydrocodone 5mg/ibuprofen 200mg QL=480 EA/30 Days hydrocodone bitartrate 7.5mg/ibuprofen 200mg QL=480 EA/30 Days IBUPROFEN 400MG/OXYCODONE 5MG QL=240 EA/30 Days lorcet 0-325mg QL=360 EA/30 Days lorcet 5-325mg QL=360 EA/30 Days lorcet mg QL=360 EA/30 Days lor 0-325mg QL=360 EA/30 Days lor 5-325mg QL=360 EA/30 Days lor mg QL=360 EA/30 Days vicodin 0-300mg QL=390 EA/30 Days vicodin 5-300mg QL=390 EA/30 Days vicodin mg QL=390 EA/30 Days BUNAVAIL MG FILM OPIOID RTIAL AGONISTS QL=90 EA/30 Days BUNAVAIL MG FILM QL=90 EA/30 Days BUNAVAIL 6.3-MG FILM buprenorphine 0.3mg/ml cartridge buprenorphine 0.3mg/ml inj buprenorphine 2mg sl buprenorphine 8mg sl butorphanol tartrate 0mg/ml nasal spray QL=0 ML/30 Days BUTORPHANOL TARTRATE MG/ML butorphanol tartrate 2mg/ml inj naloxone 0.5mg/pentazocine 50mg QL=360 EA/30 Days SUBOXONE 2-3MG STRIP SUBOXONE 2-0.5MG STRIP QL=90 EA/30 Days SUBOXONE 4-MG STRIP QL=90 EA/30 Days SUBOXONE 8-2MG STRIP QL=90 EA/30 Days ZUBSOLV.4-2.9MG SL ZUBSOLV MG SL QL=90 EA/30 Days ZUBSOLV MG SL QL=90 EA/30 Days ZUBSOLV MG SL QL=90 EA/30 Days ZUBSOLV MG SL ANDROGENS-ANABOLIC ANABOLIC STEROIDS ANADROL-50 50MG oxandrolone 0mg oxandrolone 2.5mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

16 ANDRODERM 2MG/24HR TCH ANDROGENS ANDRODERM 4MG/24HR TCH QL=30 EA/30 Days ANDROGEL % (25MG) GEL QL=300 GM/30 Days ANDROGEL % (50MG) GEL QL=300 GM/30 Days ANDROGEL.62% (.25GM) GEL QL=37.50 GM/30 Days ANDROGEL.62% (2.5GM) GEL QL=50 GM/30 Days ANDROGEL.62% GEL QL=50 GM/30 Days danazol 00mg cap danazol 200mg cap danazol 50mg cap testosterone % (25mg) gel QL=300 GM/30 Days testosterone % (50mg) gel QL=300 GM/30 Days testosterone % gel pump QL=300 GM/30 Days testosterone cypionate 00mg/ml inj testosterone cypionate 200mg/ml inj testosterone enanthate 200mg/ml inj colocort 00mg/60ml enema ANORECTAL AGENTS INTRARECTAL STEROIDS hydrocortisone.67mg/ml enema UCERIS 2MG/ACT FOAM procto-med 2.5% cream RECTAL STEROIDS procto-pak % rectal cream proctosol 2.5% cream proctozone hc 2.5% cream ALBENZA 200MG ANTHELMINTICS ANTHELMINTICS ivermectin 3mg RANEXA 000MG ER ANTIANGINAL AGENTS ANTIANGINALS-OTHER RANEXA 500MG ER isosorbide dinitrate 0mg NITRATES isosorbide dinitrate 20mg isosorbide dinitrate 30mg ISOSORBIDE DINITRATE 40MG ER isosorbide dinitrate 5mg isosorbide mononitrate 0mg isosorbide mononitrate 20mg er isosorbide mononitrate 20mg isosorbide mononitrate 30mg er isosorbide mononitrate 60mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

17 minitran 0.mg/hr patch minitran 0.2mg/hr patch minitran 0.4mg/hr patch minitran 0.6mg/hr patch NITRO-DUR 0.3MG/HR TCH NITRO-DUR 0.8MG/HR TCH nitroglycerin 0.mg/hr patch nitroglycerin 0.2mg/hr patch nitroglycerin 0.3mg sl nitroglycerin 0.4mg sl nitroglycerin 0.4mg/act spray nitroglycerin 0.4mg/hr patch nitroglycerin 0.6mg sl nitroglycerin 0.6mg/hr patch buspirone 0mg ANTIANXIETY AGENTS ANTIANXIETY AGENTS - MISC. buspirone 5mg buspirone 30mg buspirone 5mg buspirone 7.5mg hydroxyzine 0mg hydroxyzine 25mg HYDROXYZINE 25MG/ML hydroxyzine 2mg/ml oral soln hydroxyzine 50mg hydroxyzine 50mg/ml inj HYDROXYZINE MOATE 00MG CAP hydroxyzine pamoate 25mg cap hydroxyzine pamoate 50mg cap meprobamate 200mg meprobamate 400mg BENZODIAZEPINES alprazolam 0.25mg odt alprazolam 0.25mg alprazolam 0.5mg er alprazolam 0.5mg odt alprazolam 0.5mg alprazolam mg er alprazolam mg odt alprazolam mg alprazolam 2mg er alprazolam 2mg odt alprazolam 2mg alprazolam 3mg er chlordiazepoxide 0mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 6

18 chlordiazepoxide 25mg cap chlordiazepoxide 5mg cap clorazepate dipotassium 5mg clorazepate dipotassium 3.75mg clorazepate dipotassium 7.5mg diazepam 0mg DIAZEM MG/ML ORAL SOLN diazepam 2mg diazepam 5mg diazepam 5mg/ml oral soln lorazepam 0.5mg lorazepam mg lorazepam 2mg lorazepam 2mg/ml oral conc oxazepam 0mg cap oxazepam 5mg cap oxazepam 30mg cap disopyramide 00mg cap ANTIARRHYTHMICS ANTIARRHYTHMICS TYPE I-A disopyramide 50mg cap NORCE 00MG ER CAP NORCE 50MG ER CAP PROCAINAMIDE 00MG/ML PROCAINAMIDE 500MG/ML quinidine gluconate 324mg er QUINIDINE GLUCONATE 80MG/ML QUINIDINE SULFATE 200MG QUINIDINE SULFATE 300MG ANTIARRHYTHMICS TYPE I-B mexiletine 50mg cap mexiletine 200mg cap mexiletine 250mg cap ANTIARRHYTHMICS TYPE I-C flecainide acetate 00mg flecainide acetate 50mg flecainide acetate 50mg propafenone 50mg propafenone 225mg er cap propafenone 225mg propafenone 300mg propafenone 325mg er cap propafenone 425mg er cap ANTIARRHYTHMICS TYPE III amiodarone 200mg amiodarone 400mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 7

19 amiodarone 50mg/ml inj amiodarone hydrochloride 00mg dofetilide 25mcg cap dofetilide 250mcg cap dofetilide 500mcg cap MULTAQ 400MG NEXTERONE 50MG/00ML NEXTERONE 360MG/200ML pacerone 200mg pacerone 400mg ANTIASTHMATIC AND BRONCHODILATOR AGENTS ANTIASTHMATIC - MONOCLONAL ANTIBODIES NUCALA 00MG XOLAIR 50MG ANTI-INFLAMMATORY AGENTS CROMOLYN SODIUM 0MG/ML INH SOLN BRONCHODILATORS - ANTICHOLINERGICS ATROVENT 7MCG INH INCRUSE 62.5MCG INH ipratropium bromide 0.02% inh soln montelukast 0mg LEUKOTRIENE MODULATORS montelukast 4mg chew montelukast 4mg granules montelukast 5mg chew zafirlukast 0mg zafirlukast 20mg zileuton 600mg er SELECTIVE PHOSPHODIESTERASE 4 (PDE4) INHIBITORS DALIRESP 500MCG ARNUITY 00MCG INH STEROID INHALANTS QL=30 EA/30 Days ARNUITY 200MCG INH QL=30 EA/30 Days ASMANEX 00MCG (20ACT) HFA INH QL=3 GM/30 Days ASMANEX 0MCG (30ACT) INH QL= EA/30 Days ASMANEX 200MCG (20ACT) HFA INH QL=3 GM/30 Days ASMANEX 220MCG (20ACT) INH QL= EA/30 Days ASMANEX 220MCG (30ACT) INH QL= EA/30 Days ASMANEX 220MCG (60ACT) INH QL= EA/30 Days budesonide 0.25mg/ml inh soln QL=20 ML/30 Days budesonide 0.25mg/ml inh soln QL=20 ML/30 Days budesonide 0.5mg/ml inh soln QL=20 ML/30 Days FLOVENT 00MCG DISKUS FLOVENT 0MCG HFA INH QL=24 GM/30 Days FLOVENT 220MCG HFA INH QL=24 GM/30 Days FLOVENT 250MCG DISKUS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

20 FLOVENT 44MCG HFA INH QL=2.20 GM/30 Days FLOVENT 50MCG DISKUS ADVAIR 00-50MCG DISKUS SYMTHOMIMETICS ADVAIR 5-2MCG HFA INH QL=2 GM/30 Days ADVAIR 230-2MCG HFA INH QL=2 GM/30 Days ADVAIR MCG DISKUS ADVAIR 45-2MCG HFA INH QL=2 GM/30 Days ADVAIR MCG DISKUS albuterol 0.2mg/ml (0.63mg/3ml) inh soln albuterol 0.47mg/ml (.25mg/3ml) inh soln albuterol 0.4mg/ml (2mg/5ml) oral soln albuterol 0.83mg/ml (0.083%) inh soln albuterol mg/ml (0.5%) inh soln albuterol 2mg albuterol 4mg er albuterol 4mg albuterol 8mg er ANORO MCG ELLIPTA INH BREO 00-25MCG ELLIPTA INH BREO MCG ELLIPTA INH BROVANA 5MCG/2ML INH SOLN COMBIVENT RESPIMAT 20-00MCG INH DULERA 00-5MCG INH QL=3 GM/30 Days DULERA 200-5MCG INH QL=3 GM/30 Days FLUTICASONE PROPIONATE/SALMETEROL XINAFOATE 3-4MCG/ACT POWDER INH FLUTICASONE PROPIONATE/SALMETEROL XINAFOATE 232-4MCG/ACT POWDER INH FLUTICASONE PROPIONATE/SALMETEROL XINAFOATE 55-4MCG/ACT POWDER INH ipratropium/albuterol mg/3ml inh soln levalbuterol 0.3mg inh soln levalbuterol 0.63mg inh soln levalbuterol.25mg inh soln levalbuterol 2.5mg inh soln METAPROTERENOL SULFATE 0MG METAPROTERENOL SULFATE 20MG METAPROTERENOL SULFATE 2MG/ML ORAL SOLN SEREVENT 50MCG/DOSE INH STIOLTO MCG INH QL=4 GM/30 Days terbutaline sulfate mg/ml inj terbutaline sulfate 2.5mg terbutaline sulfate 5mg VENTOLIN 08MCG INH QL=36 GM/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

21 aminophylline 25mg/ml inj XANTHINES theophylline 00mg er theophylline 200mg er theophylline 300mg er theophylline 400mg er theophylline 5.33mg/ml oral soln theophylline 600mg er jantoven 0mg ANTICOAGULANTS COUMARIN ANTICOAGULANTS jantoven mg jantoven 2.5mg jantoven 2mg jantoven 3mg jantoven 4mg jantoven 5mg jantoven 6mg jantoven 7.5mg warfarin sodium 0mg warfarin sodium mg warfarin sodium 2.5mg warfarin sodium 2mg warfarin sodium 3mg warfarin sodium 4mg warfarin sodium 5mg warfarin sodium 6mg warfarin sodium 7.5mg ELIQUIS 2.5MG DIRECT FACTOR XA INHIBITORS ELIQUIS 5MG XARELTO 0MG XARELTO 5MG XARELTO 20MG XARELTO STARTER CK HERINS AND HERINOID-LIKE AGENTS enoxaparin sodium 00mg/ml (0.3ml) syringe QL=0.20 ML/7 Days enoxaparin sodium 00mg/ml (0.4ml) syringe QL=3.60 ML/7 Days enoxaparin sodium 00mg/ml (0.6ml) syringe QL=20.40 ML/7 Days enoxaparin sodium 00mg/ml (0.8ml) syringe QL=27.20 ML/7 Days enoxaparin sodium 00mg/ml (ml) syringe QL=34 ML/7 Days enoxaparin sodium 00mg/ml inj QL=5 ML/7 Days enoxaparin sodium 50mg/ml (0.8ml) syringe QL=27.20 ML/7 Days enoxaparin sodium 50mg/ml (ml) syringe QL=34 ML/7 Days fondaparinux sodium 2.5mg/ml (0.4ml) syringe fondaparinux sodium 2.5mg/ml (0.6ml) syringe You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 20

22 fondaparinux sodium 2.5mg/ml (0.8ml) syringe fondaparinux sodium 5mg/ml syringe FRAGMIN 0000UNIT/ML SYRINGE FRAGMIN 2500UNIT/0.5ML SYRINGE FRAGMIN 5000UNIT/0.6ML SYRINGE FRAGMIN 8000UNIT/0.72ML SYRINGE FRAGMIN 2500UNIT/0.2ML SYRINGE FRAGMIN 5000UNIT/0.2ML SYRINGE FRAGMIN 7500UNIT/0.3ML SYRINGE FRAGMIN 95000UNIT/3.8ML heparin sodium, porcine 0000unit/ml inj heparin sodium, porcine 000unit/ml inj HERIN SODIUM, PORCINE 00UNIT/ML heparin sodium, porcine 20000unit/ml inj heparin sodium, porcine 40unit/ml inj heparin sodium, porcine 5000unit/ml inj heparin sodium, porcine 50unit/ml inj THROMBIN INHIBITORS argatroban 00mg/ml inj ARGATROBAN MG/ML PRADAXA 0MG CAP PRADAXA 50MG CAP PRADAXA 75MG CAP ANTICONVULSANTS AM GLUTAMATE RECEPTOR ANTAGONISTS FYCOM 0.5MG/ML ORAL SUSP NSO FYCOM 0MG NSO FYCOM 2MG NSO FYCOM 2MG NSO FYCOM 4MG NSO FYCOM 6MG NSO FYCOM 8MG NSO ANTICONVULSANTS - BENZODIAZEPINES clonazepam 0.25mg odt clonazepam 0.25mg odt clonazepam 0.5mg odt clonazepam 0.5mg clonazepam mg odt clonazepam mg clonazepam 2mg odt clonazepam 2mg DIASTAT 0MG APPLICATOR DIASTAT 2.5MG APPLICATOR DIASTAT 20MG PF APPLICATOR ONFI 0MG NSO ONFI 2.5MG/ML ORAL SUSP NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

23 ONFI 20MG NSO APTIOM 200MG ANTICONVULSANTS - MISC. NSO APTIOM 400MG NSO APTIOM 600MG NSO APTIOM 800MG NSO BANZEL 200MG BANZEL 400MG BANZEL 40MG/ML ORAL SUSP BRIVIACT 00MG NSO BRIVIACT 0MG NSO BRIVIACT 0MG/ML NSO BRIVIACT 0MG/ML ORAL SOLN NSO BRIVIACT 25MG NSO BRIVIACT 50MG NSO BRIVIACT 75MG NSO carbamazepine 00mg chew carbamazepine 00mg er cap carbamazepine 00mg er carbamazepine 200mg er cap carbamazepine 200mg er carbamazepine 200mg carbamazepine 20mg/ml oral susp carbamazepine 300mg er cap carbamazepine 400mg er epitol 200mg gabapentin 00mg cap gabapentin 300mg cap gabapentin 400mg cap gabapentin 50mg/ml oral soln gabapentin 600mg gabapentin 800mg LAMICTAL BLUE KIT LAMICTAL GREEN KIT LAMICTAL ORANGE KIT LAMICTAL XR BLUE KIT LAMICTAL XR GREEN KIT LAMICTAL XR ORANGE KIT lamotrigine 00mg er lamotrigine 00mg odt lamotrigine 00mg lamotrigine 50mg lamotrigine 200mg er lamotrigine 200mg odt lamotrigine 200mg lamotrigine 250mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 22

24 lamotrigine 25mg chew lamotrigine 25mg er lamotrigine 25mg odt lamotrigine 25mg lamotrigine 300mg er lamotrigine 50mg er lamotrigine 50mg odt lamotrigine 5mg chew levetiracetam 000mg levetiracetam 00mg/ml inj levetiracetam 00mg/ml oral soln levetiracetam 0mg/ml inj levetiracetam 5mg/ml inj levetiracetam 250mg levetiracetam 500mg er levetiracetam 500mg levetiracetam 5mg/ml inj levetiracetam 750mg er levetiracetam 750mg LYRICA 00MG CAP LYRICA 50MG CAP LYRICA 200MG CAP LYRICA 20MG/ML ORAL SOLN LYRICA 225MG CAP LYRICA 25MG CAP LYRICA 300MG CAP LYRICA 50MG CAP LYRICA 75MG CAP oxcarbazepine 50mg oxcarbazepine 300mg oxcarbazepine 600mg oxcarbazepine 60mg/ml oral susp OXTELLAR 50MG XR OXTELLAR 300MG XR OXTELLAR 600MG XR primidone 250mg primidone 50mg QUDEXY 00MG XR CAP NSO QUDEXY 50MG XR CAP NSO QUDEXY 200MG XR CAP NSO QUDEXY 25MG XR CAP NSO QUDEXY 50MG XR CAP NSO roweepra 000mg roweepra 500mg roweepra 750mg SPRITAM 000MG ODT NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 23

25 SPRITAM 250MG ODT NSO SPRITAM 500MG ODT NSO SPRITAM 750MG ODT NSO TOPIRAMATE 00MG ER CAP NSO topiramate 00mg TOPIRAMATE 50MG ER CAP NSO topiramate 5mg cap TOPIRAMATE 200MG ER CAP NSO topiramate 200mg topiramate 25mg cap TOPIRAMATE 25MG ER CAP NSO topiramate 25mg TOPIRAMATE 50MG ER CAP NSO topiramate 50mg TROKENDI 00MG XR CAP NSO TROKENDI 200MG XR CAP NSO TROKENDI 25MG XR CAP NSO TROKENDI 50MG XR CAP NSO VIMT 00MG VIMT 0MG/ML ORAL SOLN VIMT 50MG VIMT 200MG VIMT 200MG/20ML VIMT 50MG zonisamide 00mg cap zonisamide 25mg cap zonisamide 50mg cap felbamate 20mg/ml oral susp CARBAMATES felbamate 400mg felbamate 600mg GABITRIL 2MG GABA MODULATORS GABITRIL 6MG SABRIL 500MG ORAL SOLN NSO SABRIL 500MG NSO tiagabine 2mg tiagabine 4mg DILANTIN 30MG ER CAP HYDANTOINS fosphenytoin sodium 75mg/ml inj PEGANONE 250MG phenytoin 25mg/ml oral susp phenytoin 50mg chew phenytoin sodium 00mg er cap phenytoin sodium 200mg er cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 24

26 phenytoin sodium 300mg er cap phenytoin sodium 50mg/ml inj CELONTIN 300MG CAP SUCCINIMIDES ethosuximide 250mg cap ethosuximide 50mg/ml oral soln divalproex sodium 25mg dr cap VALPROIC ACID divalproex sodium 25mg dr divalproex sodium 250mg dr divalproex sodium 250mg er divalproex sodium 500mg dr divalproex sodium 500mg er valproic acid 00mg/ml inj valproic acid 250mg cap valproic acid 50mg/ml oral soln ANTIDEPRESSANTS ALPHA-2 RECEPTOR ANTAGONISTS (TETRACYCLICS) mirtazapine 5mg odt mirtazapine 5mg mirtazapine 30mg odt mirtazapine 30mg mirtazapine 45mg odt mirtazapine 45mg mirtazapine 7.5mg APLENZIN 74MG ER ANTIDEPRESSANTS - MISC. ST APLENZIN 348MG ER ST APLENZIN 522MG ER ST bupropion 00mg sr bupropion 00mg bupropion 50mg sr (2 hr) bupropion 50mg xl (24 hr) bupropion 200mg sr bupropion 300mg xl bupropion 75mg MAPROTILINE 25MG MAPROTILINE 50MG MAPROTILINE 75MG MONOAMINE OXIDASE INHIBITORS (MAOIS) EMSAM 2MG/24HR TCH EMSAM 6MG/24HR TCH EMSAM 9MG/24HR TCH MARPLAN 0MG phenelzine 5mg tranylcypromine 0mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 25

27 SELECTIVE SEROTONIN REUPTAKE INHIBITORS (SSRIS) citalopram 0mg citalopram 20mg citalopram 2mg/ml oral soln citalopram 40mg escitalopram 0mg escitalopram mg/ml oral soln escitalopram 20mg escitalopram 5mg fluoxetine 0mg cap fluoxetine 0mg fluoxetine 20mg cap fluoxetine 20mg fluoxetine 40mg cap fluoxetine 4mg/ml oral soln fluvoxamine maleate 00mg er cap ST fluvoxamine maleate 00mg fluvoxamine maleate 50mg er cap ST fluvoxamine maleate 25mg fluvoxamine maleate 50mg paroxetine 0mg paroxetine 2.5mg er paroxetine 20mg paroxetine 25mg er paroxetine 30mg paroxetine 37.5mg er paroxetine 40mg XIL 0MG/5ML ORAL SUSP PEXEVA 0MG ST PEXEVA 20MG ST PEXEVA 30MG ST PEXEVA 40MG ST sertraline 00mg sertraline 20mg/ml oral soln sertraline 25mg sertraline 50mg NEFAZODONE 00MG SEROTONIN MODULATORS NEFAZODONE 50MG NEFAZODONE 200MG nefazodone 250mg nefazodone 50mg trazodone 00mg trazodone 50mg trazodone 300mg trazodone 50mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 26

28 TRINTELLIX 0MG ST QL=30 EA/30 Days TRINTELLIX 20MG ST QL=30 EA/30 Days TRINTELLIX 5MG ST QL=30 EA/30 Days VIIBRYD 0/20MG STARTER CK ST QL=30 EA/30 Days VIIBRYD 0MG ST QL=30 EA/30 Days VIIBRYD 20MG ST QL=30 EA/30 Days VIIBRYD 40MG ST QL=30 EA/30 Days SEROTONIN-NOREPINEPHRINE REUPTAKE INHIBITORS (SNRIS) DESVENLAFAXINE 00MG ER ST DESVENLAFAXINE 50MG ER ST desvenlafaxine succinate 00mg er desvenlafaxine succinate 25mg er desvenlafaxine succinate 50mg er duloxetine 20mg dr cap duloxetine 30mg dr cap DULOXETINE 40MG DR CAP ST QL=30 EA/30 Days duloxetine 60mg dr cap FETZIMA 20MG ER CAP ST QL=30 EA/30 Days FETZIMA 20MG ER CAP ST QL=30 EA/30 Days FETZIMA 40MG ER CAP ST QL=30 EA/30 Days FETZIMA 80MG ER CAP ST QL=30 EA/30 Days FETZIMA CK ST QL=30 EA/30 Days KHEDEZLA 00MG ER ST KHEDEZLA 50MG ER ST venlafaxine 00mg venlafaxine 50mg er cap venlafaxine 50mg er VENLAFAXINE 225MG ER venlafaxine 25mg venlafaxine 37.5mg er cap venlafaxine 37.5mg er venlafaxine 37.5mg venlafaxine 50mg venlafaxine 75mg er cap venlafaxine 75mg er venlafaxine 75mg amitriptyline 00mg TRICYCLIC AGENTS amitriptyline 0mg amitriptyline 50mg amitriptyline 25mg amitriptyline 50mg amitriptyline 75mg AMOXAPINE 00MG AMOXAPINE 50MG AMOXAPINE 25MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 27

29 AMOXAPINE 50MG clomipramine 25mg cap clomipramine 50mg cap clomipramine 75mg cap desipramine 00mg desipramine 0mg desipramine 50mg desipramine 25mg desipramine 50mg desipramine 75mg doxepin 00mg cap doxepin 0mg cap doxepin 0mg/ml oral soln doxepin 50mg cap doxepin 25mg cap doxepin 50mg cap DOXEPIN 75MG CAP imipramine 0mg imipramine 25mg imipramine 50mg imipramine pamoate 00mg cap imipramine pamoate 25mg cap imipramine pamoate 50mg cap imipramine pamoate 75mg cap nortriptyline 0mg cap nortriptyline 25mg cap NORTRIPTYLINE 2MG/ML ORAL SOLN nortriptyline 50mg cap nortriptyline 75mg cap protriptyline 0mg protriptyline 5mg trimipramine 00mg cap trimipramine 25mg cap trimipramine 50mg cap ANTIDIABETICS ALPHA-GLUCOSIDASE INHIBITORS acarbose 00mg acarbose 25mg acarbose 50mg miglitol 00mg miglitol 25mg miglitol 50mg ANTIDIABETIC COMBINATIONS glimepiride 2mg/pioglitazone 30mg glimepiride 4mg/pioglitazone 30mg glipizide 2.5mg/metformin 250mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 28

30 glipizide 2.5mg/metformin 500mg glipizide 5mg/metformin 500mg glyburide.25mg/metformin 250mg glyburide 2.5mg/metformin 500mg glyburide 5mg/metformin 500mg GLYXAMBI 0-5MG QL=30 EA/30 Days GLYXAMBI 25-5MG QL=30 EA/30 Days JANUMET MG XR QL=30 EA/30 Days JANUMET MG JANUMET MG XR JANUMET MG JANUMET MG XR JENTADUETO MG JENTADUETO MG XR QL=30 EA/30 Days JENTADUETO MG JENTADUETO MG JENTADUETO 5-000MG XR QL=30 EA/30 Days metformin 500mg/pioglitazone 5mg metformin 850mg/pioglitazone 5mg SYNJARDY MG SYNJARDY MG SYNJARDY 5-000MG SYNJARDY 5-500MG XIGDUO 0-000MG XR QL=30 EA/30 Days XIGDUO 0-500MG XR QL=30 EA/30 Days XIGDUO 5-000MG XR XIGDUO 5-500MG XR QL=30 EA/30 Days metformin 000mg BIGUANIDES metformin 500mg er metformin 500mg metformin 750mg er metformin 850mg GLUCAGEN MG DIABETIC OTHER GLUCAGON MG KORLYM 300MG PROGLYCEM 50MG/ML ORAL SUSP DIPEPTIDYL PEPTIDASE-4 (DPP-4) INHIBITORS JANUVIA 00MG QL=30 EA/30 Days JANUVIA 25MG QL=30 EA/30 Days JANUVIA 50MG QL=30 EA/30 Days TRADJENTA 5MG QL=30 EA/30 Days INCRETIN MIMETIC AGENTS (GLP- RECEPTOR AGONISTS) BYDUREON 2MG BYDUREON 2MG PEN You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 29

31 VICTOZA 8MG/3ML PEN HUMULIN R 500UNIT/ML INSULIN HUMULIN R 500UNIT/ML PEN LANTUS 00UNIT/ML LANTUS 00UNIT/ML SOLOSTAR LEVEMIR 00UNIT/ML FLEXTOUCH LEVEMIR 00UNIT/ML NOVOLIN 00UNIT/ML NOVOLIN N 00UNIT/ML NOVOLIN R 00UNIT/ML NOVOLOG 00UNIT/ML FLEXPEN NOVOLOG 00UNIT/ML NOVOLOG 00UNIT/ML PENFILL NOVOLOG MIX 00UNIT/ML FLEXPEN NOVOLOG MIX 00UNIT/ML TOUJEO 300UNIT/ML PEN TRESIBA 00UNIT/ML PEN TRESIBA 200UNIT/ML PEN INSULIN SENSITIZING AGENTS AVANDIA 2MG AVANDIA 4MG pioglitazone 5mg pioglitazone 30mg pioglitazone 45mg MEGLITINIDE ANALOGUES nateglinide 20mg nateglinide 60mg repaglinide 0.5mg repaglinide mg repaglinide 2mg SODIUM-GLUCOSE CO-TRANSPORTER 2 (SGLT2) INHIBITORS FARXIGA 0MG QL=30 EA/30 Days FARXIGA 5MG QL=30 EA/30 Days JARDIANCE 0MG QL=30 EA/30 Days JARDIANCE 25MG QL=30 EA/30 Days CHLORPROMIDE 00MG SULFONYLUREAS CHLORPROMIDE 250MG glimepiride mg glimepiride 2mg glimepiride 4mg glipizide 0mg er glipizide 0mg glipizide 2.5mg er glipizide 5mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 30

32 glipizide 5mg glyburide.25mg glyburide.5mg glyburide 2.5mg glyburide 3mg glyburide 5mg glyburide 6mg tolazamide 250mg tolazamide 500mg TOLBUTAMIDE 500MG ANTIDIARRHEALS ANTIPERISTALTIC AGENTS atropine sulfate 0.005mg/ml/diphenoxylate 0.5mg/ml oral soln atropine sulfate 0.025mg/diphenoxylate 2.5mg loperamide 2mg cap ANTIDOTES ANTIDOTES fomepizole 000mg/ml inj ANTIDOTES - CHELATING AGENTS CHEMET 00MG CAP FERRIPROX 00MG/ML ORAL SOLN FERRIPROX 500MG JADENU 80MG JADENU 90MG ANTIDOTES AND SPECIFIC ANTAGONISTS ANTIDOTES - CHELATING AGENTS EXJADE 25MG ORAL SUSP EXJADE 250MG ORAL SUSP EXJADE 500MG ORAL SUSP JADENU 80MG GRANULE CKET JADENU 360MG GRANULE CKET JADENU 360MG JADENU 90MG GRANULE CKET NALOXONE MG/ML SYRINGE OPIOID ANTAGONISTS QL=2 ML/2 Days naltrexone 50mg NARCAN 4MG/0.ML NASAL SPRAY QL=2 EA/2 Days ANTIEMETICS 5-HT3 RECEPTOR ANTAGONISTS granisetron 0.mg/ml inj granisetron mg granisetron mg/ml (ml) inj granisetron mg/ml inj ondansetron 0.8mg/ml oral soln ondansetron 24mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 3

33 ondansetron 2mg/ml inj ondansetron 2mg/ml syringe ondansetron 4mg odt ondansetron 4mg ondansetron 8mg odt ondansetron 8mg ANTIEMETICS - ANTICHOLINERGIC meclizine 2.5mg meclizine 25mg TRANSDERM SCOP MG/3DAYS TCH trimethobenzamide 300mg cap CESAMET MG CAP ANTIEMETICS - MISCELLANEOUS dronabinol 0mg cap dronabinol 2.5mg cap dronabinol 5mg cap SUBSTANCE P/NEUROKININ (NK) RECEPTOR ANTAGONISTS aprepitant 25mg cap QL=3 EA/2 Days aprepitant 25mg/80mg pack QL=3 EA/2 Days aprepitant 40mg cap QL=3 EA/2 Days aprepitant 80mg cap QL=3 EA/2 Days VARUBI 90MG QL=2 EA/4 Days ANTIFUNGALS ANTIFUNGAL - GLUCAN SYNTHESIS INHIBITORS (ECHINOCANDINS) CANCIDAS 50MG CANCIDAS 70MG ERAXIS 00MG ERAXIS 50MG MYCAMINE 00MG MYCAMINE 50MG ABELCET 5MG/ML ANTIFUNGALS AMBISOME 50MG AMPHOTERICIN B 50MG flucytosine 250mg cap flucytosine 500mg cap griseofulvin 25mg griseofulvin 250mg griseofulvin 25mg/ml oral susp griseofulvin 500mg nystatin unit terbinafine 250mg fluconazole 00mg IMIDAZOLE-RELATED ANTIFUNGALS fluconazole 0mg/ml oral susp fluconazole 50mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 32

34 fluconazole 200mg fluconazole 2mg/ml (00ml) inj fluconazole 2mg/ml inj fluconazole 40mg/ml oral susp fluconazole 50mg itraconazole 00mg cap ketoconazole 200mg NOXAFIL 00MG DR NOXAFIL 40MG/ML ORAL SUSP voriconazole 200mg inj voriconazole 200mg voriconazole 40mg/ml oral susp voriconazole 50mg ANTIHISTAMINES ANTIHISTAMINES - ETHANOLAMINES carbinoxamine maleate 0.8mg/ml oral soln carbinoxamine maleate 4mg CLEMASTINE FUMARATE 2.68MG diphenhydramine 50mg/ml inj ANTIHISTAMINES - NON-SEDATING cetirizine mg/ml oral soln desloratadine 5mg levocetirizine 0.5mg/ml oral soln levocetirizine 5mg ANTIHISTAMINES - PHENOTHIAZINES phenadoz 2.5mg rectal supp phenergan 2.5mg rectal supp phenergan 25mg rectal supp phenergan 50mg rectal supp promethazine.25mg/ml oral soln promethazine 2.5mg rectal supp promethazine 2.5mg promethazine 25mg rectal supp promethazine 25mg promethazine 25mg/ml inj promethazine 50mg rectal supp promethazine 50mg promethazine 50mg/ml inj promethegan 25mg rectal supp promethegan 50mg rectal supp ANTIHISTAMINES - PIPERIDINES cyproheptadine 0.4mg/ml oral soln cyproheptadine 4mg KYNAMRO 200MG/ML SYRINGE ANTIHYPERLIPIDEMICS ANTIHYPERLIPIDEMICS - MISC. You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 33

35 omega-3 acid ethyl esters (usp) 000mg cap VASCE GM CAP VASCE 500MG CAP BILE ACID SEQUESTRANTS cholestyramine resin 4gm sf powder for oral susp cholestyramine resin 66.7mg/ml oral susp colestipol 000mg colestipol 5000mg granules prevalite 4gm/dose oral susp WELCHOL 3.75GM ORAL SUSP WELCHOL 625MG FIBRIC ACID DERIVATIVES fenofibrate 30mg cap fenofibrate 34mg cap fenofibrate 45mg FENOFIBRATE 50MG CAP fenofibrate 60mg fenofibrate 200mg cap fenofibrate 43mg cap fenofibrate 48mg FENOFIBRATE 50MG CAP fenofibrate 54mg fenofibrate 67mg cap fenofibric acid 35mg dr cap fenofibric acid 45mg dr cap gemfibrozil 600mg HMG COA REDUCTASE INHIBITORS atorvastatin 0mg atorvastatin 20mg atorvastatin 40mg atorvastatin 80mg fluvastatin 20mg cap fluvastatin 40mg cap fluvastatin 80mg er lovastatin 0mg lovastatin 20mg lovastatin 40mg pravastatin sodium 0mg pravastatin sodium 20mg pravastatin sodium 40mg pravastatin sodium 80mg rosuvastatin 0mg rosuvastatin 20mg rosuvastatin 40mg rosuvastatin 5mg simvastatin 0mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 34

36 simvastatin 20mg simvastatin 40mg simvastatin 5mg simvastatin 80mg INTESTINAL CHOLESTEROL ABSORPTION INHIBITORS ezetimibe 0mg QL=30 EA/30 Days MICROSOMAL TRIGLYCERIDE TRANSFER PROTEIN (MTP) INHIBITORS JUXTAPID 0MG CAP JUXTAPID 20MG CAP JUXTAPID 30MG CAP JUXTAPID 40MG CAP JUXTAPID 5MG CAP JUXTAPID 60MG CAP niacin 000mg er NICOTINIC ACID DERIVATIVES niacin 500mg er niacin 750mg er PROPROTEIN CONVERTASE SUBTILISIN/KEXIN TYPE 9 INHIBITORS PRALUENT 50MG/ML AUTO-ECTOR QL=2 ML/28 Days PRALUENT 75MG/ML AUTO-ECTOR QL=2 ML/28 Days RETHA 20MG/ML CARTRIDGE QL=3.50 ML/28 Days RETHA 40MG/ML AUTO-ECTOR QL=2 ML/28 Days RETHA 40MG/ML SYRINGE QL=2 ML/28 Days ANTIHYPERTENSIVES ACE INHIBITORS benazepril 0mg benazepril 20mg benazepril 40mg benazepril 5mg captopril 00mg captopril 2.5mg captopril 25mg captopril 50mg enalapril maleate 0mg enalapril maleate 2.5mg enalapril maleate 20mg enalapril maleate 5mg fosinopril sodium 0mg fosinopril sodium 20mg fosinopril sodium 40mg lisinopril 0mg lisinopril 2.5mg lisinopril 20mg lisinopril 30mg lisinopril 40mg lisinopril 5mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 35

37 moexipril 5mg moexipril 7.5mg perindopril erbumine 2mg perindopril erbumine 4mg perindopril erbumine 8mg quinapril 0mg quinapril 20mg quinapril 40mg quinapril 5mg ramipril.25mg cap ramipril 0mg cap ramipril 2.5mg cap ramipril 5mg cap trandolapril mg trandolapril 2mg trandolapril 4mg DEMSER 250MG CAP AGENTS FOR PHEOCHROMOCYTOMA phenoxybenzamine 0mg cap ANGIOTENSIN II RECEPTOR ANTAGONISTS candesartan cilexetil 6mg candesartan cilexetil 32mg candesartan cilexetil 4mg candesartan cilexetil 8mg EPROSARTAN 600MG irbesartan 50mg irbesartan 300mg irbesartan 75mg losartan potassium 00mg losartan potassium 25mg losartan potassium 50mg telmisartan 20mg telmisartan 40mg telmisartan 80mg valsartan 60mg valsartan 320mg valsartan 40mg valsartan 80mg ANTIADRENERGIC ANTIHYPERTENSIVES clonidine mg/hr patch clonidine mg/hr patch clonidine 0.025mg/hr patch clonidine 0.mg clonidine 0.2mg clonidine 0.3mg doxazosin mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 36

38 doxazosin 2mg doxazosin 4mg doxazosin 8mg guanfacine mg guanfacine 2mg methyldopa 250mg methyldopa 500mg prazosin mg cap prazosin 2mg cap prazosin 5mg cap terazosin 0mg cap terazosin mg cap terazosin 2mg cap terazosin 5mg cap ANTIHYPERTENSIVE COMBINATIONS amlodipine 0mg/benazepril 20mg cap amlodipine 0mg/benazepril 40mg cap amlodipine 0mg/hydrochlorothiazide 2.5mg/valsartan 60mg amlodipine 0mg/hydrochlorothiazide 25mg/valsartan 60mg amlodipine 0mg/hydrochlorothiazide 25mg/valsartan 320mg amlodipine 0mg/telmisartan 40mg amlodipine 0mg/telmisartan 80mg amlodipine 0mg/valsartan 60mg amlodipine 0mg/valsartan 320mg amlodipine 2.5mg/benazepril 0mg cap amlodipine 5mg/benazepril 0mg cap amlodipine 5mg/benazepril 20mg cap amlodipine 5mg/benazepril 40mg cap amlodipine 5mg/hydrochlorothiazide 2.5mg/valsartan 60mg amlodipine 5mg/hydrochlorothiazide 25mg/valsartan 60mg amlodipine 5mg/telmisartan 40mg amlodipine 5mg/telmisartan 80mg amlodipine 5mg/valsartan 60mg amlodipine 5mg/valsartan 320mg atenolol 00mg/chlorthalidone 25mg atenolol 50mg/chlorthalidone 25mg benazepril 0mg/hydrochlorothiazide 2.5mg benazepril 20mg/hydrochlorothiazide 2.5mg benazepril 20mg/hydrochlorothiazide 25mg benazepril 5mg/hydrochlorothiazide 6.25mg bendroflumethiazide 5mg/nadolol 40mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 37

39 bendroflumethiazide 5mg/nadolol 80mg bisoprolol fumarate 0mg/hydrochlorothiazide 6.25mg bisoprolol fumarate 2.5mg/hydrochlorothiazide 6.25mg bisoprolol fumarate 5mg/hydrochlorothiazide 6.25mg candesartan cilexetil 6mg/hydrochlorothiazide 2.5mg candesartan cilexetil 32mg/hydrochlorothiazide 2.5mg candesartan cilexetil 32mg/hydrochlorothiazide 25mg captopril 25mg/hydrochlorothiazide 5mg CAPTOPRIL 25MG/HYDROCHLOROTHIAZIDE 25MG captopril 50mg/hydrochlorothiazide 5mg CAPTOPRIL 50MG/HYDROCHLOROTHIAZIDE 25MG enalapril maleate 0mg/hydrochlorothiazide 25mg enalapril maleate 5mg/hydrochlorothiazide 2.5mg fosinopril sodium 0mg/hydrochlorothiazide 2.5mg fosinopril sodium 20mg/hydrochlorothiazide 2.5mg hydrochlorothiazide 2.5mg/irbesartan 50mg hydrochlorothiazide 2.5mg/irbesartan 300mg hydrochlorothiazide 2.5mg/lisinopril 0mg hydrochlorothiazide 2.5mg/lisinopril 20mg hydrochlorothiazide 2.5mg/losartan potassium 00mg hydrochlorothiazide 2.5mg/losartan potassium 50mg hydrochlorothiazide 2.5mg/moexipril 5mg hydrochlorothiazide 2.5mg/moexipril 7.5mg hydrochlorothiazide 2.5mg/quinapril 0mg hydrochlorothiazide 2.5mg/quinapril 20mg hydrochlorothiazide 2.5mg/telmisartan 40mg hydrochlorothiazide 2.5mg/telmisartan 80mg hydrochlorothiazide 2.5mg/valsartan 60mg hydrochlorothiazide 2.5mg/valsartan 320mg hydrochlorothiazide 2.5mg/valsartan 80mg hydrochlorothiazide 5mg/methyldopa 250mg hydrochlorothiazide 25mg/lisinopril 20mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 38

40 hydrochlorothiazide 25mg/losartan potassium 00mg hydrochlorothiazide 25mg/methyldopa 250mg hydrochlorothiazide 25mg/metoprolol tartrate 00mg hydrochlorothiazide 25mg/metoprolol tartrate 50mg hydrochlorothiazide 25mg/moexipril 5mg hydrochlorothiazide 25mg/propranolol 40mg hydrochlorothiazide 25mg/propranolol 80mg hydrochlorothiazide 25mg/quinapril 20mg hydrochlorothiazide 25mg/telmisartan 80mg hydrochlorothiazide 25mg/valsartan 60mg hydrochlorothiazide 25mg/valsartan 320mg hydrochlorothiazide 50mg/metoprolol tartrate 00mg trandolapril mg/verapamil 240mg er trandolapril 2mg/verapamil 80mg er trandolapril 2mg/verapamil 240mg er trandolapril 4mg/verapamil 240mg er SELECTIVE ALDOSTERONE RECEPTOR ANTAGONISTS (SARAS) eplerenone 25mg eplerenone 50mg VASODILATORS hydralazine 00mg hydralazine 0mg hydralazine 20mg/ml inj hydralazine 25mg hydralazine 50mg minoxidil 0mg minoxidil 2.5mg ANTI-INFECTIVE AGENTS - MISC. ANTI-INFECTIVE AGENTS - MISC. AZACTAM GM/50ML AZACTAM 2GM/50ML aztreonam 333mg/ml inj baci-im 50000unit inj bacitracin 5000unit/ml inj CAYSTON 75MG INH SOLN colistin 75mg/ml inj DALVANCE 500MG metronidazole 250mg metronidazole 375mg cap metronidazole 500mg metronidazole 5mg/ml inj NEBUPENT 300MG INH SOLN You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 39

41 PENTAM 300MG tinidazole 250mg tinidazole 500mg trimethoprim 00mg vancomycin 000mg inj vancomycin 00mg/ml inj vancomycin 25mg cap ST QL=56 EA/4 Days vancomycin 250mg cap ST QL=56 EA/4 Days vancomycin 500mg inj XIFAXAN 200MG QL=9 EA/3 Days XIFAXAN 550MG QL=3 EA/ Days ANTI-INFECTIVE MISC. - COMBINATIONS sulfamethoxazole 400mg/trimethoprim 80mg sulfamethoxazole 40mg/ml/trimethoprim 8mg/ml oral susp sulfamethoxazole 800mg/trimethoprim 60mg SULFAMETHOXAZOLE 80MG/ML/TRIMETHOPRIM 6MG/ML ANTIPROTOZOAL AGENTS ALINIA 00MG/5ML ORAL SUSP ALINIA 500MG atovaquone 50mg/ml oral susp CARBAPENEMS cilastatin 2.5mg/ml/imipenem 2.5mg/ml inj cilastatin 5mg/ml/imipenem 5mg/ml inj DORIBAX 500MG INVANZ GM meropenem 500mg inj CHLORAMPHENICOLS CHLORAMPHENICOL 00MG/ML CUBICIN 500MG CYCLIC LIPOPEPTIDES daptomycin 500mg inj TIGECYCLINE 50MG GLYCYLCYCLINES TYGACIL 50MG dapsone 00mg LEPROSTATICS dapsone 25mg clindamycin 2mg/ml inj LINCOSAMIDES clindamycin 50mg cap clindamycin 50mg/ml (2ml) inj clindamycin 50mg/ml (4ml) inj clindamycin 50mg/ml (6ml) inj clindamycin 5mg/ml oral soln You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 40

42 clindamycin 8mg/ml inj clindamycin 300mg cap clindamycin 6mg/ml inj clindamycin 75mg cap lincomycin 300mg/ml inj linezolid 20mg/ml oral susp OXAZOLIDINONES linezolid 2mg/ml inj linezolid 600mg SIVEXTRO 200MG QL=6 EA/6 Days SIVEXTRO 200MG QL=6 EA/6 Days polymyxin b unit/ml inj POLYMYXINS SYNERCID 500MG STREPTOGRAMINS ANTIMALARIALS ANTIMALARIAL COMBINATIONS atovaquone 250mg/proguanil 00mg atovaquone 62.5mg/proguanil 25mg COARTEM 20-20MG ANTIMALARIALS CHLOROQUINE PHOSPHATE 250MG chloroquine phosphate 500mg DARAPRIM 25MG hydroxychloroquine sulfate 200mg mefloquine 250mg PRIMAQUINE PHOSPHATE 26.3MG quinine sulfate 324mg cap ANTIMYASTHENIC/CHOLINERGIC AGENTS ANTIMYASTHENIC/CHOLINERGIC AGENTS GUANIDINE 25MG pyridostigmine bromide 80mg er pyridostigmine bromide 60mg ANTIMYCOBACTERIAL AGENTS ANTI TB COMBINATIONS RIFAMATE MG CAP RIFATER MG ANTIMYCOBACTERIAL AGENTS CASTAT GM ethambutol 00mg ethambutol 400mg isoniazid 00mg ISONIAZID 00MG/ML ISONIAZID 0MG/ML ORAL SOLN isoniazid 300mg SER D/R 4GM GRANULES You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

43 PRIFTIN 50MG pyrazinamide 500mg rifabutin 50mg cap rifampin 50mg cap rifampin 300mg cap rifampin 60mg/ml inj SIRTURO 00MG TRECATOR 250MG BICNU 00MG ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES ALKYLATING AGENTS busulfan 6mg/ml inj carboplatin 0mg/ml inj cisplatin mg/ml inj CYCLOPHOSPHAMIDE 25MG CAP CYCLOPHOSPHAMIDE 50MG CAP GLEOSTINE 00MG CAP GLEOSTINE 0MG CAP GLEOSTINE 40MG CAP GLEOSTINE 5MG CAP HEXALEN 50MG CAP ifosfamide 000mg inj LEUKERAN 2MG melphalan 5mg/ml inj MUSTARGEN 0MG oxaliplatin 5mg/ml inj thiotepa 5mg inj TREANDA 00MG NSO YONDELIS MG NSO ZANOSAR GM adrucil 500mg/0ml inj ANTIMEOLITES ALIMTA 500MG ARRANON 5MG/ML azacitidine 00mg inj cladribine mg/ml inj clofarabine mg/ml inj CLOLAR MG/ML cytarabine 00mg/ml inj CYTARABINE 20MG/ML deciine 5mg/ml inj fludarabine phosphate 50mg inj fluorouracil 50mg/ml inj FOLOTYN 40MG/2ML NSO gemciine 000mg inj mercaptopurine 50mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 42

44 methotrexate 000mg inj methotrexate 2.5mg methotrexate 25mg/ml inj methotrexate 50mg/2ml inj PURIXAN 2000MG/00ML ORAL SUSP LOID 40MG TREXALL 0MG TREXALL 5MG TREXALL 5MG TREXALL 7.5MG ANTINEOPLASTIC - ANGIOGENESIS INHIBITORS AVASTIN 00MG/4ML AVASTIN 400MG/6ML CYRAMZA 00MG/0ML NSO CYRAMZA 500MG/50ML NSO ZALTRAP 00MG/4ML NSO BAVENCIO 20MG/ML ANTINEOPLASTIC - ANTIBODIES DARZALEX 00MG/5ML NSO EMPLICITI 300MG NSO EMPLICITI 400MG NSO ERBITUX 00MG/50ML HERCEPTIN 440MG IMFINZI 20MG/2.4ML NSO IMFINZI 500MG/0ML NSO KADCYLA 00MG NSO KEYTRUDA 00MG/4ML NSO KEYTRUDA 50MG NSO LARTRUVO 0MG/ML NSO OPDIVO 40MG/4ML NSO PERJETA 420MG/4ML NSO RITUXAN 500MG/50ML NSO TECENTRIQ 60MG/ML NSO VECTIBIX 00MG/5ML YERVOY 50MG/0ML NSO ANTINEOPLASTIC - BCL-2 INHIBITORS VENCLEXTA 0/00/50MG STARTING CK NSO VENCLEXTA 00MG NSO VENCLEXTA 0MG NSO VENCLEXTA 50MG NSO ANTINEOPLASTIC - HEDGEHOG THWAY INHIBITORS ERIVEDGE 50MG CAP NSO ODOMZO 200MG CAP NSO ANTINEOPLASTIC - HORMONAL AND RELATED AGENTS anastrozole mg bicalutamide 50mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 43

45 DEPO-PROVERA 400MG/ML ELIGARD 22.5MG SYRINGE ELIGARD 30MG SYRINGE ELIGARD 45MG SYRINGE ELIGARD 7.5MG SYRINGE EMCYT 40MG CAP exemestane 25mg FARESTON 60MG FASLODEX 250MG/5ML SYRINGE FIRMAGON 20MG NSO FIRMAGON 80MG NSO flutamide 25mg cap HYDROXYPROGESTERONE CAPROATE 250MG/ML NSO letrozole 2.5mg leuprolide acetate 5mg/ml inj LUPRON.25MG (.5ML) SYRINGE LUPRON 22.5MG SYRINGE LUPRON 3.75MG SYRINGE LUPRON 30MG SYRINGE LUPRON 45MG SYRINGE LUPRON 7.5MG SYRINGE LYSODREN 500MG megestrol acetate 20mg NSO megestrol acetate 40mg NSO megestrol acetate 40mg/ml oral susp NILANDRON 50MG nilutamide 50mg SOLTAMOX 0MG/5ML ORAL SOLN NSO tamoxifen 0mg tamoxifen 20mg TRELSTAR.25MG TRELSTAR 22.5MG TRELSTAR 3.75MG XTANDI 40MG CAP NSO QL=20 EA/30 Days ZYTIGA 250MG NSO QL=20 EA/30 Days POMALYST MG CAP ANTINEOPLASTIC - IMMUNOMODULATORS NSO POMALYST 2MG CAP NSO POMALYST 3MG CAP NSO POMALYST 4MG CAP NSO adriamycin 2mg/ml inj ANTINEOPLASTIC ANTIBIOTICS bleomycin 5unit/ml inj COSMEGEN 0.5MG daunorubicin 5mg/ml inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 44

46 doxorubicin 2mg/ml liposome inj doxorubicin hydrochloride 2mg/ml inj epirubicin 2mg/ml inj idarubicin hydrochloride mg/ml inj mitomycin 20mg inj mitomycin 40mg inj MITOMYCIN 5MG mitoxantrone 2mg/ml inj ANTINEOPLASTIC COMBINATIONS KISQALI/FEMARA CO-CK 200MG NSO KISQALI/FEMARA CO-CK 400MG NSO KISQALI/FEMARA CO-CK 600MG NSO LONSURF 5-6.4MG NSO LONSURF MG NSO ANTINEOPLASTIC ENZYME INHIBITORS AFINITOR 0MG NSO QL=30 EA/30 Days AFINITOR 2.5MG NSO QL=30 EA/30 Days AFINITOR 2MG ORAL SUSP NSO AFINITOR 3MG ORAL SUSP NSO AFINITOR 5MG ORAL SUSP NSO AFINITOR 5MG NSO QL=30 EA/30 Days AFINITOR 7.5MG NSO QL=30 EA/30 Days ALECENSA 50MG CAP NSO QL=240 EA/30 Days ALUNBRIG 30MG NSO BELEODAQ 500MG NSO BOSULIF 00MG NSO BOSULIF 500MG NSO CABOMETYX 20MG NSO CABOMETYX 40MG NSO CABOMETYX 60MG NSO CAPRELSA 00MG NSO CAPRELSA 300MG NSO COMETRIQ 00MG DAILY DOSE CARTON CK NSO COMETRIQ 40MG DAILY DOSE CARTON CK NSO COMETRIQ 60MG DAILY DOSE CARTON CK NSO COTELLIC 20MG NSO FARYDAK 0MG CAP NSO FARYDAK 5MG CAP NSO FARYDAK 20MG CAP NSO GILOTRIF 20MG NSO QL=30 EA/30 Days GILOTRIF 30MG NSO QL=30 EA/30 Days GILOTRIF 40MG NSO QL=30 EA/30 Days IBRANCE 00MG CAP NSO IBRANCE 25MG CAP NSO IBRANCE 75MG CAP NSO ICLUSIG 5MG NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 45

47 ICLUSIG 45MG NSO imatinib 00mg NSO imatinib 400mg NSO IMBRUVICA 40MG CAP NSO QL=20 EA/30 Days INLYTA MG NSO QL=240 EA/30 Days INLYTA 5MG NSO QL=240 EA/30 Days IRESSA 250MG NSO ISTODAX 0MG NSO JAKAFI 0MG NSO JAKAFI 5MG NSO JAKAFI 20MG NSO JAKAFI 25MG NSO JAKAFI 5MG NSO KISQALI 200MG DAILY DOSE CK NSO QL=63 EA/28 Days KISQALI 400MG DAILY DOSE CK NSO QL=63 EA/28 Days KISQALI 600MG DAILY DOSE CK NSO QL=63 EA/28 Days KYPROLIS 30MG NSO KYPROLIS 60MG NSO LENVIMA (8) 4MG CK NSO LENVIMA 0 0MG CK NSO LENVIMA 4 CK NSO LENVIMA 8 CK NSO LENVIMA 20 0MG CK NSO LENVIMA 24 CK NSO LYNRZA 50MG CAP NSO MEKINIST 0.5MG NSO MEKINIST 2MG NSO NEXAVAR 200MG NSO NINLARO 2.3MG CAP NSO NINLARO 3MG CAP NSO NINLARO 4MG CAP NSO RUBRACA 200MG NSO QL=20 EA/30 Days RUBRACA 300MG NSO QL=20 EA/30 Days RYDAPT 25MG CAP NSO SPRYCEL 00MG NSO SPRYCEL 40MG NSO SPRYCEL 20MG NSO SPRYCEL 50MG NSO SPRYCEL 70MG NSO SPRYCEL 80MG NSO STIVARGA 40MG NSO QL=20 EA/30 Days SUTENT 2.5MG CAP NSO SUTENT 25MG CAP NSO SUTENT 37.5MG CAP NSO SUTENT 50MG CAP NSO TAFINLAR 50MG CAP NSO QL=20 EA/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 46

48 TAFINLAR 75MG CAP NSO QL=20 EA/30 Days TAGRISSO 40MG NSO TAGRISSO 80MG NSO TARCEVA 00MG NSO TARCEVA 50MG NSO TARCEVA 25MG NSO TASIGNA 50MG CAP NSO TASIGNA 200MG CAP NSO TORISEL 25MG/ML TYKERB 250MG NSO VELCADE 3.5MG VOTRIENT 200MG NSO XALKORI 200MG CAP NSO XALKORI 250MG CAP NSO ZEJULA 00MG CAP NSO ZELBORAF 240MG NSO ZOLINZA 00MG CAP NSO ZYDELIG 00MG NSO ZYDELIG 50MG NSO ZYKADIA 50MG CAP NSO ERWINAZE 0000UNIT ANTINEOPLASTIC ENZYMES NSO ANTINEOPLASTICS MISC. ACTIMMUNE UNIT/0.5ML bexarotene 75mg cap NSO dacarbazine 200mg inj hydroxyurea 500mg cap INTRON A 0MU INTRON A 8MU INTRON A 50MU INTRON A UNIT/ML MATULANE 50MG CAP NIPENT 0MG PROLEUKIN UNIT SYLATRON 200MCG NSO SYLATRON 300MCG NSO SYLATRON 600MCG NSO SYNRIBO 3.5MG tretinoin 0mg cap TRISENOX 0MG/0ML ELITEK.5MG CHEMOTHERAPY ADJUNCTS ELITEK 7.5MG KEPIVANCE 6.25MG dexrazoxane 250mg inj CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 47

49 FUSILEV 50MG LEUCOVORIN 0MG leucovorin 0mg/ml inj LEUCOVORIN 5MG leucovorin 20mg/ml inj leucovorin 25mg leucovorin 5mg levoleucovorin 0mg/ml inj mesna 00mg/ml inj MESNEX 400MG ABRAXANE 00MG MITOTIC INHIBITORS DOCETAXEL 0MG/ML DOCETAXEL 20MG/ML ETOPOPHOS 00MG etoposide 20mg/ml inj HALAVEN MG/2ML JEVTANA 60MG/.5ML paclitaxel 6mg/ml inj toposar gm/50ml inj VINBLASTINE MG/ML vincasar mg/ml inj vincristine sulfate mg/ml inj vinorelbine 0mg/ml inj irinotecan 20mg/ml inj TOPOISOMERASE I INHIBITORS topotecan mg/ml inj carbidopa 25mg ANTIRKINSON AGENTS ANTIRKINSON ADJUVANTS ANTIRKINSON ANTICHOLINERGICS benztropine mesylate 0.5mg benztropine mesylate mg benztropine mesylate mg/ml inj benztropine mesylate 2mg trihexyphenidyl 0.4mg/ml oral soln trihexyphenidyl 2mg trihexyphenidyl 5mg ANTIRKINSON COMT INHIBITORS entacapone 200mg tolcapone 00mg ANTIRKINSON DOMINERGICS amantadine 00mg cap amantadine 00mg amantadine 0mg/ml oral soln APOKYN 0MG/ML CARTRIDGE You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 48

50 bromocriptine 2.5mg bromocriptine 5mg cap carbidopa 0mg/levodopa 00mg odt carbidopa 0mg/levodopa 00mg CARBIDO 2.5MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO 8.75MG/ENTACAPONE 200MG/LEVODO 75MG CARBIDO 25MG/ENTACAPONE 200MG/LEVODO 00MG carbidopa 25mg/levodopa 00mg er carbidopa 25mg/levodopa 00mg odt carbidopa 25mg/levodopa 00mg carbidopa 25mg/levodopa 250mg odt carbidopa 25mg/levodopa 250mg CARBIDO 3.25MG/ENTACAPONE 200MG/LEVODO 25MG CARBIDO 37.5MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO 50MG/ENTACAPONE 200MG/LEVODO 200MG carbidopa 50mg/levodopa 200mg er NEUPRO MG/24HR TCH NEUPRO 2MG/24HR TCH NEUPRO 3MG/24HR TCH NEUPRO 4MG/24HR TCH NEUPRO 6MG/24HR TCH NEUPRO 8MG/24HR TCH pramipexole 0.25mg pramipexole 0.25mg pramipexole 0.375mg er pramipexole 0.5mg pramipexole 0.75mg er pramipexole 0.75mg pramipexole.5mg er pramipexole.5mg pramipexole mg pramipexole 2.25mg er pramipexole 3.75mg er pramipexole 3mg er pramipexole 4.5mg er ropinirole 0.25mg ropinirole 0.5mg ropinirole 2mg er ropinirole mg ropinirole 2mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 49

51 ropinirole 2mg ropinirole 3mg ropinirole 4mg er ropinirole 4mg ropinirole 5mg ropinirole 6mg er ropinirole 8mg er STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG ANTIRKINSON MONOAMINE OXIDASE INHIBITORS rasagiline 0.5mg rasagiline mg selegiline 5mg cap selegiline 5mg ANTIPSYCHOTICS/ANTIMANIC AGENTS ANTIMANIC AGENTS lithium carbonate 50mg cap lithium carbonate 300mg cap lithium carbonate 300mg er lithium carbonate 300mg lithium carbonate 450mg er lithium carbonate 600mg cap lithium citrate 60mg/ml oral soln ANTIPSYCHOTICS - MISC. EQUETRO 00MG ER CAP EQUETRO 200MG ER CAP EQUETRO 300MG ER CAP GEODON 20MG LATUDA 20MG NSO QL=30 EA/30 Days LATUDA 20MG NSO QL=30 EA/30 Days LATUDA 40MG NSO QL=30 EA/30 Days LATUDA 60MG NSO QL=30 EA/30 Days LATUDA 80MG NSO QL=30 EA/30 Days NUPLAZID 7MG NSO VRAYLAR.5/3MG MIXED CK NSO QL=30 EA/30 Days VRAYLAR.5MG CAP NSO QL=30 EA/30 Days VRAYLAR 3MG CAP NSO QL=30 EA/30 Days VRAYLAR 4.5MG CAP NSO QL=30 EA/30 Days VRAYLAR 6MG CAP NSO QL=30 EA/30 Days ziprasidone 20mg cap ziprasidone 40mg cap ziprasidone 60mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 50

52 ziprasidone 80mg cap FANAPT 0MG BENZISOXAZOLES NSO FANAPT 2MG NSO FANAPT MG NSO FANAPT 2MG NSO FANAPT 4MG NSO FANAPT 6MG NSO FANAPT 8MG NSO FANAPT TITRATION CK NSO INVEGA 7MG/0.75ML SYRINGE NSO INVEGA 56MG/ML SYRINGE NSO INVEGA 234MG/.5ML SYRINGE NSO INVEGA 273MG/0.875ML SYRINGE NSO INVEGA 39MG/0.25ML SYRINGE NSO INVEGA 40MG/.35ML SYRINGE NSO INVEGA 546MG/.75ML SYRINGE NSO INVEGA 78MG/0.5ML SYRINGE NSO INVEGA 89MG/2.625ML SYRINGE NSO paliperidone.5mg er NSO paliperidone 3mg er NSO paliperidone 6mg er NSO paliperidone 9mg er NSO RISPERDAL 2.5MG NSO RISPERDAL 25MG NSO RISPERDAL 37.5MG NSO RISPERDAL 50MG NSO risperidone 0.25mg odt risperidone 0.25mg risperidone 0.5mg odt risperidone 0.5mg risperidone mg odt risperidone mg risperidone mg/ml oral soln risperidone 2mg odt risperidone 2mg risperidone 3mg odt risperidone 3mg risperidone 4mg odt risperidone 4mg haloperidol 0.5mg BUTYROPHENONES haloperidol 0mg haloperidol mg haloperidol 20mg haloperidol 2mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

53 haloperidol 2mg/ml oral soln haloperidol 5mg haloperidol 5mg/ml inj haloperidol decanoate 00mg/ml inj haloperidol decanoate 50mg/ml inj clozapine 00mg odt DIBENZAPINES clozapine 00mg CLOZAPINE 2.5MG ODT CLOZAPINE 50MG ODT CLOZAPINE 200MG ODT clozapine 200mg clozapine 25mg odt clozapine 25mg clozapine 50mg FAZACLO 2.5MG ODT FAZACLO 50MG ODT FAZACLO 200MG ODT loxapine 0mg cap loxapine 25mg cap loxapine 50mg cap loxapine 5mg cap olanzapine 0mg inj olanzapine 0mg odt QL=30 EA/30 Days olanzapine 0mg QL=30 EA/30 Days olanzapine 5mg odt QL=30 EA/30 Days olanzapine 5mg QL=30 EA/30 Days olanzapine 2.5mg QL=30 EA/30 Days olanzapine 20mg odt QL=30 EA/30 Days olanzapine 20mg QL=30 EA/30 Days olanzapine 5mg odt QL=30 EA/30 Days olanzapine 5mg QL=30 EA/30 Days olanzapine 7.5mg QL=30 EA/30 Days quetiapine 00mg quetiapine 50mg xr QL=30 EA/30 Days quetiapine 200mg quetiapine 200mg xr QL=30 EA/30 Days quetiapine 25mg quetiapine 300mg quetiapine 300mg xr quetiapine 400mg quetiapine 400mg xr quetiapine 50mg quetiapine 50mg xr QL=30 EA/30 Days SAPHRIS 0MG SL NSO SAPHRIS 2.5MG SL NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 52

54 SAPHRIS 5MG SL NSO VERSACLOZ 50MG/ML ORAL SUSP ZYPREXA 20MG chlorpromazine 00mg PHENOTHIAZINES chlorpromazine 0mg chlorpromazine 200mg chlorpromazine 25mg CHLORPROMAZINE 25MG/ML chlorpromazine 50mg compro 25mg rectal supp FLUPHENAZINE 0.5MG/ML ORAL SOLN fluphenazine 0mg fluphenazine mg fluphenazine 2.5mg FLUPHENAZINE 2.5MG/ML fluphenazine 5mg FLUPHENAZINE 5MG/ML ORAL SOLN fluphenazine decanoate 25mg/ml inj perphenazine 6mg perphenazine 2mg perphenazine 4mg perphenazine 8mg prochlorperazine 0mg prochlorperazine 25mg rectal supp prochlorperazine 5mg prochlorperazine 5mg/ml inj thioridazine 00mg thioridazine 0mg thioridazine 25mg thioridazine 50mg trifluoperazine 0mg trifluoperazine mg trifluoperazine 2mg trifluoperazine 5mg ABILIFY 300MG MAINTENA QUINOLINONE DERIVATIVES NSO ABILIFY 300MG MAINTENA PF SYRINGE NSO ABILIFY 400MG MAINTENA PF SYRINGE NSO aripiprazole 0mg odt NSO aripiprazole 0mg QL=30 EA/30 Days aripiprazole 5mg odt NSO aripiprazole 5mg QL=30 EA/30 Days aripiprazole 20mg QL=30 EA/30 Days aripiprazole 2mg QL=30 EA/30 Days aripiprazole 30mg QL=30 EA/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 53

55 aripiprazole 5mg QL=30 EA/30 Days ARISTADA 273MG/ML SYRINGE NSO ARISTADA 44MG/.6ML SYRINGE NSO ARISTADA 662MG/2.4ML SYRINGE NSO ARISTADA 882MG/3.2ML SYRINGE NSO REXULTI 0.25MG NSO QL=30 EA/30 Days REXULTI 0.5MG NSO QL=30 EA/30 Days REXULTI MG NSO QL=30 EA/30 Days REXULTI 2MG NSO QL=30 EA/30 Days REXULTI 3MG NSO QL=30 EA/30 Days REXULTI 4MG NSO QL=30 EA/30 Days thiothixene 0mg cap THIOXANTHENES thiothixene mg cap thiothixene 2mg cap thiothixene 5mg cap abacavir 300mg ANTIVIRALS ANTIRETROVIRALS abacavir 300mg/lamivudine 50mg/zidovudine 300mg abacavir 600mg/lamivudine 300mg APTIVUS 00MG/ML ORAL SOLN APTIVUS 250MG CAP ATRIPLA MG COMPLERA MG CRIXIVAN 200MG CAP CRIXIVAN 400MG CAP DESCOVY MG didanosine 25mg dr cap didanosine 200mg dr cap didanosine 250mg dr cap didanosine 400mg dr cap EDURANT 25MG EMTRIVA 0MG/ML ORAL SOLN EMTRIVA 200MG CAP EPZICOM MG EVOTAZ MG FUZEON 90MG GENVOYA MG INTELENCE 00MG INTELENCE 200MG INTELENCE 25MG INVIRASE 200MG CAP INVIRASE 500MG ISENTRESS 00MG CHEW You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 54

56 ISENTRESS 00MG ORAL SUSP ISENTRESS 25MG CHEW ISENTRESS 400MG KALETRA 00-25MG KALETRA MG KALETRA MG/5ML ORAL SOLN lamivudine 0mg/ml oral soln lamivudine 50mg lamivudine 50mg/zidovudine 300mg lamivudine 300mg LEXIVA 50MG/ML ORAL SUSP LEXIVA 700MG lopinavir 80mg/ml/ritonavir 20mg/ml oral solution nevirapine 00mg er NEVIRAPINE 0MG/ML ORAL SUSP nevirapine 200mg nevirapine 400mg er NORVIR 00MG CAP NORVIR 00MG NORVIR 80MG/ML ORAL SOLN ODEFSEY MG PREZCOBIX MG PREZISTA 00MG/ML ORAL SUSP PREZISTA 50MG PREZISTA 600MG PREZISTA 75MG PREZISTA 800MG RESCRIPTOR 00MG RESCRIPTOR 200MG RETROVIR 0MG/ML REYATAZ 50MG CAP REYATAZ 200MG CAP REYATAZ 300MG CAP REYATAZ 50MG ORAL POWDER SELZENTRY 50MG SELZENTRY 25MG SELZENTRY 300MG SELZENTRY 75MG stavudine 5mg cap stavudine 20mg cap stavudine 30mg cap stavudine 40mg cap STRIBILD MG SUSTIVA 200MG CAP SUSTIVA 50MG CAP SUSTIVA 600MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 55

57 TIVICAY 0MG TIVICAY 25MG TIVICAY 50MG TRIUMEQ MG TRUVADA 00-50MG TRUVADA MG TRUVADA MG TRUVADA MG TYBOST 50MG VIDEX 2GM ORAL SOLN VIRACEPT 250MG VIRACEPT 625MG VIRAMUNE 50MG/5ML ORAL SUSP VIREAD 50MG VIREAD 200MG VIREAD 250MG VIREAD 300MG VIREAD 40MG/GM ORAL POWDER ZERIT MG/ML ORAL SOLN ZIAGEN 20MG/ML ORAL SOLN zidovudine 00mg cap zidovudine 0mg/ml oral soln zidovudine 300mg cidofovir 75mg/ml inj CMV AGENTS ganciclovir 500mg inj VALCYTE 50MG/ML ORAL SOLN valganciclovir 450mg valganciclovir 50mg/ml oral soln adefovir dipivoxil 0mg HETITIS AGENTS BARACLUDE 0.05MG/ML ORAL SOLN entecavir 0.5mg entecavir mg EPCLUSA MG QL=30 EA/30 Days EPIVIR HBV 5MG/ML ORAL SOLN lamivudine 00mg MODERIBA 200/DAY DOSE CK moderiba 200mg MODERIBA 800/DAY DOSE CK PEGASYS 35MCG/0.5ML AUTO-ECTOR PEGASYS 80MCG/0.5ML AUTO-ECTOR PEGASYS 80MCG/0.5ML SYRINGE PEGASYS 80MCG/ML ribasphere 200mg cap ribasphere 200mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 56

58 ribasphere 400mg ribasphere 600mg ribasphere ribapak 200/day ribasphere ribapak 800/day ribavirin 200mg cap ribavirin 200mg VEMLIDY 25MG ZETIER 50-00MG QL=30 EA/30 Days acyclovir 200mg cap HERPES AGENTS acyclovir 400mg acyclovir 40mg/ml oral susp acyclovir 50mg/ml inj acyclovir 800mg famciclovir 25mg famciclovir 250mg famciclovir 500mg valacyclovir 000mg valacyclovir 500mg oseltamivir 30mg cap INFLUENZA AGENTS QL=84 EA/80 Days oseltamivir 45mg cap QL=28 EA/80 Days oseltamivir 75mg cap QL=28 EA/80 Days RELENZA 5MG/BLISTER INH QL=56 EA/80 Days rimantadine 00mg TAMIFLU 6MG/ML ORAL SUSP QL=550 ML/80 Days DEPEN 250MG ASSORTED CLASSES CHELATING AGENTS SYPRINE 250MG CAP REVLIMID 0MG CAP IMMUNOMODULATORS NSO QL=30 EA/30 Days REVLIMID 5MG CAP NSO QL=30 EA/30 Days REVLIMID 2.5MG CAP NSO QL=30 EA/30 Days REVLIMID 20MG CAP NSO QL=30 EA/30 Days REVLIMID 25MG CAP NSO QL=30 EA/30 Days REVLIMID 5MG CAP NSO QL=30 EA/30 Days THALOMID 00MG CAP NSO THALOMID 50MG CAP NSO THALOMID 200MG CAP NSO THALOMID 50MG CAP NSO ASTAGRAF 0.5MG XL CAP IMMUNOSUPPRESSIVE AGENTS ASTAGRAF MG XL CAP ASTAGRAF 5MG XL CAP ATGAM 50MG/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 57

59 AZASAN 00MG AZASAN 75MG azathioprine 50mg cyclosporine 00mg cap cyclosporine 25mg cap cyclosporine 50mg/ml inj cyclosporine, modified 00mg cap cyclosporine, modified 00mg/ml oral soln cyclosporine, modified 25mg cap ENVARSUS 0.75MG ER ENVARSUS MG ER ENVARSUS 4MG ER gengraf 00mg cap gengraf 00mg/ml oral soln gengraf 25mg cap mycophenolate mofetil 200mg/ml oral susp mycophenolate mofetil 250mg cap mycophenolate mofetil 500mg mycophenolic acid 80mg dr mycophenolic acid 360mg dr NULOJIX 250MG PROGRAF 5MG/ML RAMUNE MG/ML ORAL SOLN SANDIMMUNE 00MG/ML ORAL SOLN SIMULECT 20MG sirolimus 0.5mg sirolimus mg sirolimus 2mg tacrolimus 0.5mg cap tacrolimus mg cap tacrolimus 5mg cap THYMOGLOBULIN 25MG ZORTRESS 0.25MG ZORTRESS 0.5MG ZORTRESS 0.75MG IRRIGATION SOLUTIONS calcium chloride meq/ml/potassium chloride meq/ml/sodium chloride 0.47 meq/ml soln lactated ringers irrigation physiolyte soln physiosol soln water 000mg/ml soln SYLVANT 00MG LYMPHATIC AGENTS kionex 250mg/ml oral susp POTASSIUM REMOVING RESINS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 58

60 sodium polystyrene sulfonate 250mg/ml oral susp sps 250mg/ml oral susp VELTASSA 6.8GM POWDER FOR ORAL SUSP VELTASSA 25.2GM POWDER FOR ORAL SUSP VELTASSA 8.4GM POWDER FOR ORAL SUSP BENLYSTA 20MG SYSTEMIC LUPUS ERYTHEMATOSUS AGENTS BENLYSTA 400MG carvedilol 2.5mg BETA BLOCKERS ALPHA-BETA BLOCKERS carvedilol 25mg carvedilol 3.25mg carvedilol 6.25mg labetalol 00mg labetalol 200mg labetalol 300mg labetalol 5mg/ml inj acebutolol 200mg cap BETA BLOCKERS CARDIO-SELECTIVE acebutolol 400mg cap atenolol 00mg atenolol 25mg atenolol 50mg betaxolol 0mg betaxolol 20mg bisoprolol fumarate 0mg bisoprolol fumarate 5mg BYSTOLIC 0MG BYSTOLIC 2.5MG BYSTOLIC 20MG BYSTOLIC 5MG metoprolol succinate 00mg er metoprolol succinate 200mg er metoprolol succinate 25mg er metoprolol succinate 50mg er metoprolol tartrate 00mg metoprolol tartrate mg/ml cartridge metoprolol tartrate mg/ml inj metoprolol tartrate 25mg metoprolol tartrate 50mg BETA BLOCKERS NON-SELECTIVE INNOPRAN 20MG XL CAP INNOPRAN 80MG XL CAP nadolol 20mg nadolol 40mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 59

61 nadolol 80mg pindolol 0mg pindolol 5mg propranolol 0mg propranolol 20mg er cap propranolol 60mg er cap propranolol mg/ml inj propranolol 20mg propranolol 40mg PROPRANOLOL 4MG/ML ORAL SOLN propranolol 60mg er cap propranolol 60mg propranolol 80mg er cap propranolol 80mg PROPRANOLOL 8MG/ML ORAL SOLN sorine 20mg sorine 60mg sorine 240mg sorine 80mg sotalol 20mg sotalol 60mg sotalol 240mg sotalol 80mg timolol 0mg timolol 20mg timolol 5mg ADAGEN 250UNIT/ML BIOLOGICALS MISC BIOLOGICALS MISC afedi 30mg cr CALCIUM CHANNEL BLOCKERS CALCIUM CHANNEL BLOCKERS afedi 60mg cr amlodipine 0mg amlodipine 2.5mg amlodipine 5mg CARDENE 20MG/200ML CARDENE 40MG/200ML cartia 20mg er cap cartia 80mg er cap cartia 240mg er cap cartia 300mg er cap dilt 20mg xr cap dilt 80mg xr cap dilt 240mg xr cap diltiazem 20mg er (2 hr) cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 60

62 diltiazem 20mg er (24 hr) cap diltiazem 20mg diltiazem 80mg er cap DILTIAZEM MG/ML diltiazem 240mg er cap diltiazem 300mg er cap diltiazem 30mg diltiazem 360mg er cap diltiazem 420mg er cap diltiazem 5mg/ml inj diltiazem 60mg er cap diltiazem 60mg diltiazem 90mg er cap diltiazem 90mg felodipine 0mg er felodipine 2.5mg er felodipine 5mg er isradipine 2.5mg cap isradipine 5mg cap matzim 80mg er matzim 240mg er matzim 300mg er matzim 360mg er matzim 420mg er nicardipine 2.5mg/ml inj nicardipine 20mg cap nicardipine 30mg cap nifedipine 0mg cap nifedipine 20mg cap nifedipine 30mg er nifedipine 30mg osmotic er nifedipine 60mg er nifedipine 60mg osmotic er nifedipine 90mg er nifedipine 90mg osmotic er nimodipine 30mg cap nisoldipine 7mg er nisoldipine 20mg er nisoldipine 30mg er nisoldipine 34mg er nisoldipine 40mg er nisoldipine 8.5mg er taztia 20mg er cap taztia 80mg er cap taztia 240mg er cap taztia 300mg er cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 6

63 taztia 360mg er cap verapamil 00mg er cap verapamil 20mg er cap verapamil 20mg er verapamil 20mg verapamil 80mg er cap verapamil 80mg er verapamil 2.5mg/ml inj verapamil 200mg er cap verapamil 240mg er cap verapamil 240mg er verapamil 300mg er cap verapamil 360mg sr cap verapamil 40mg verapamil 80mg digitek 0.25mg CARDIOTONICS CARDIAC GLYCOSIDES digitek 0.25mg digoxin 0.05mg/ml oral soln digoxin 0.25mg digoxin 0.25mg digoxin 0.25mg/ml inj CARDIOVASCULAR AGENTS - MISC. CARDIOVASCULAR AGENTS MISC. - COMBINATIONS amlodipine 0mg/atorvastatin 0mg amlodipine 0mg/atorvastatin 20mg amlodipine 0mg/atorvastatin 40mg amlodipine 0mg/atorvastatin 80mg amlodipine 2.5mg/atorvastatin 0mg amlodipine 2.5mg/atorvastatin 20mg amlodipine 2.5mg/atorvastatin 40mg amlodipine 5mg/atorvastatin 0mg amlodipine 5mg/atorvastatin 20mg amlodipine 5mg/atorvastatin 40mg amlodipine 5mg/atorvastatin 80mg BIDIL MG ENTRESTO 24-26MG ENTRESTO 49-5MG ENTRESTO 97-03MG REMODULIN 0MG/ML PROSTAGLANDIN VASODILATORS REMODULIN MG/ML REMODULIN 2.5MG/ML REMODULIN 5MG/ML VENTAVIS 0MCG/ML INH SOLN You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 62

64 VENTAVIS 20MCG/ML INH SOLN PULMONARY HYPERTENSION - ENDOTHELIN RECEPTOR ANTAGONISTS LETAIRIS 0MG QL=30 EA/30 Days LETAIRIS 5MG QL=30 EA/30 Days OPSUMIT 0MG QL=30 EA/30 Days TRACLEER 25MG TRACLEER 62.5MG PULMONARY HYPERTENSION - PHOSPHODIESTERASE INHIBITORS sildenafil 20mg PULMONARY HYPERTENSION - PROSTACYCLIN RECEPTOR AGONIST UPTRAVI 000MCG UPTRAVI 200MCG UPTRAVI 400MCG UPTRAVI 600MCG UPTRAVI 200MCG UPTRAVI 400MCG UPTRAVI 600MCG UPTRAVI 800MCG UPTRAVI TITRATION CK QL=200 EA/30 Days PULMONARY HYPERTENSION - SOL GUANYLATE CYCLASE STIMULATOR ADEMS 0.5MG ADEMS.5MG ADEMS MG ADEMS 2.5MG ADEMS 2MG CORLANOR 5MG SINUS NODE INHIBITORS CORLANOR 7.5MG AVYCAZ 2-0.5GM CEPHALOSPORINS CEPHALOSPORIN COMBINATIONS ZERBAXA.5GM cefadroxil 000mg CEPHALOSPORINS - ST GENERATION cefadroxil 00mg/ml oral susp cefadroxil 500mg cap cefadroxil 50mg/ml oral susp cefazolin gm inj cefazolin 200mg/ml inj cefazolin 500mg inj cephalexin 250mg cap cephalexin 25mg/ml oral susp cephalexin 500mg cap cephalexin 50mg/ml oral susp cefaclor 250mg cap CEPHALOSPORINS - 2ND GENERATION You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 63

65 CEFACLOR 25MG/ML ORAL SUSP cefaclor 500mg cap cefaclor 50mg/ml oral susp CEFACLOR 75MG/ML ORAL SUSP cefotetan 000mg inj cefotetan 2000mg inj cefoxitin 000mg inj cefoxitin 2000mg inj cefoxitin 200mg/ml inj cefprozil 250mg cefprozil 25mg/ml oral susp cefprozil 500mg cefprozil 50mg/ml oral susp cefuroxime.5gm inj cefuroxime 250mg cefuroxime 500mg cefuroxime 750mg inj cefuroxime 95mg/ml inj CEPHALOSPORINS - 3RD GENERATION cefdinir 25mg/ml oral susp cefdinir 300mg cap cefdinir 50mg/ml oral susp cefixime 20mg/ml oral susp cefixime 40mg/ml oral susp CEFOTAXIME GM CEFOTAXIME 2GM CEFOTAXIME 500MG cefpodoxime 00mg cefpodoxime 0mg/ml oral susp cefpodoxime 200mg cefpodoxime 20mg/ml oral susp ceftazidime 000mg inj ceftazidime 2000mg inj ceftazidime 200mg/ml inj ceftriaxone 000mg inj ceftriaxone 00mg/ml inj ceftriaxone 2000mg inj ceftriaxone 250mg inj ceftriaxone 500mg inj SUPRAX 400MG CAP tazicef gm inj tazicef 2gm inj tazicef 6gm inj CEPHALOSPORINS - 4TH GENERATION cefepime gm inj cefepime 2gm inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 64

66 TEFLARO 400MG CEPHALOSPORINS - 5TH GENERATION TEFLARO 600MG alyacen /35 28 day pack CONTRACEPTIVES COMBINATION CONTRACEPTIVES - ORAL amethia 9 day pack amethia lo 9 day pack apri 28 day pack aranelle 28 pack ashlyna 9 day pack aubra 28 day pack aviane 28 pack balziva 28 day pack bekyree 28 day pack blisovi 2 fe.5/30 28 day blisovi 2 fe /20 28 day pack blisovi 24 fe /20 28 day pack briellyn 28 day pack camrese lo 9 day pack caziant 28 day pack cryselle 28 pack cyclafem /35 28 day pack cyclafem 7/7/7 28 day pack delyla 28 day pack desogestrel/ethinyl estradiol pack drospirenone 3mg/ethinyl estradiol 0.02mg/inert mg pack drospirenone 3mg/ethinyl estradiol 0.02mg/levomefolate calcium 0.45mg pack drospirenone 3mg/ethinyl estradiol 0.03mg/inert ingredients mg pack emoquette pack enpresse 28 day pack ethinyl estradiol 0.0mg/ethinyl estradiol 0.03mg/levonorgestrel 0.5mg pack ethinyl estradiol 0.025mg/ferrous fumarate 75mg/norethindrone 0.8mg pack ethinyl estradiol 0.025mg/inert/norgestimate 0.8mg/0.25mg/0.25mg pack ethinyl estradiol 0.02mg/ferrous fumarate 75mg/norethindrone acetate mg pack ethinyl estradiol 0.02mg/inert ingredients mg/levonorgestrel 0.mg pack ethinyl estradiol 0.02mg/levonorgestrel 0.09mg pack You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 65

67 ethinyl estradiol 0.02mg/norethindrone mg 2 day pack ethinyl estradiol 0.035mg/ferrous fumarate 75mg/norethindrone 0.4mg pack ethinyl estradiol 0.035mg/inert/norgestimate 0.8mg/0.25mg/0.25mg pack ethinyl estradiol 0.035mg/norgestimate 0.25mg pack ethinyl estradiol 0.03mg/0.04mg /inert/levonorgestrel 0.05mg/ 0.075mg pack ethinyl estradiol 0.03mg/inert ingredients mg/levonorgestrel 0.5mg pack ethinyl estradiol 0.05mg/ethynodiol mg/inert ingredients mg 28 day pack falmina 28 day pack fayosim 9 day pack femynor 28 day pack gianvi 28-day pack gildagia pack introvale 9 day pack juleber 28 day pack junel.5/30 2 day pack junel /20 2 day pack junel fe.5/30 28 day pack junel fe /20 28 day pack junel fe 24 /20 28 day pack kaitlib fe 28 day pack kariva 28 day pack kelnor /35 28 day pack kimidess 28 day pack larin.5/30 pack larin /20 pack larin fe.5/30 pack larin fe /20 pack larissia 28 day pack layolis fe 28 pack leena 28 day pack lessina 28 day pack levonest 28 day pack levora 0.5/30 28 day pack lomedia 24 fe pack loryna 28 day pack low-ogestrel 28 day pack lutera 28 day pack marlissa 28 day pack microgestin.5/30 2 day pack microgestin /20 2 day pack You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 66

68 microgestin fe.5/30 28 day pack microgestin fe /20 28 day pack mononessa 28 day pack NATAZIA 28 DAY CK necon 0.5/35 28 day pack necon /50 28 day pack necon 0/ 28 day pack necon 7/7/7 28 day pack nikki 28 day pack nortrel 0.5/35 28 day pack nortrel /35 2 day pack nortrel /35 28 day pack nortrel 7/7/7 28 day pack ocella 28 day pack orsythia 28 day pack pimtrea pack pirmella /35 28 day pack portia 28 day pack previfem 28 day pack quasense 9 day pack reclipsen 28 day pack rivelsa 9 day pack setlakin 9 day pack sprintec 28 day pack sronyx 28 day pack tarina fe /20 28 day pack tri-legest 28 day pack tri-lo-estarylla 28 day pack tri-lo-sprintec 28 day pack tri-previfem 28 day pack tri-sprintec 28 day pack trinessa 28 day pack trivora 28 day pack velivet 28 day pack vestura mg pack vienva 28 day pack vyfemla 28 day pack wymzya fe 28 day pack zarah mg pack zenchent 28 day pack zenchent fe 28 day pack zovia /35e 28 day pack zovia /50e 28 day pack COMBINATION CONTRACEPTIVES - TRANSDERMAL XULANE 50-35MCG TCH COMBINATION CONTRACEPTIVES - VAGINAL You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 67

69 NUVARING VAGINAL RING PROGESTIN CONTRACEPTIVES - ECLE medroxyprogesterone acetate 50mg/ml inj PROGESTIN CONTRACEPTIVES - ORAL camila 28 day 0.35mg pack deblitane 28 day 0.35mg pack errin 28 day 0.35mg pack jolivette 28 day 0.35mg pack lyza 0.35mg pack nora-be 28 day 0.35mg pack norethindrone 0.35mg pack norlyroc 28 day 0.35mg pack sharobel 28 day 0.35mg pack budesonide 3mg dr cap CORTICOSTEROIDS GLUCOCORTICOSTEROIDS CORTISONE ACETATE 25MG dexamethasone 0.mg/ml oral soln dexamethasone 0.5mg dexamethasone 0.75mg dexamethasone.5mg DEXAMETHASONE 0MG/ML DEXAMETHASONE MG DEXAMETHASONE MG/ML ORAL SOLN DEXAMETHASONE 2MG dexamethasone 4mg dexamethasone 6mg dexamethasone phosphate 4mg/ml inj hydrocortisone 0mg hydrocortisone 20mg hydrocortisone 5mg KENALOG 0MG/ML KENALOG 40MG/ML MEDROL 2MG methylprednisolone 25mg inj methylprednisolone 6mg methylprednisolone 32mg methylprednisolone 40mg/ml inj methylprednisolone 4mg pack methylprednisolone 4mg methylprednisolone 62.5mg/ml inj methylprednisolone 8mg methylprednisolone acetate 40mg/ml inj methylprednisolone acetate 80mg/ml inj prednisolone 0mg odt prednisolone 5mg odt You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 68

70 prednisolone mg/ml oral soln prednisolone 30mg odt prednisolone 3mg/ml oral soln PREDNISONE 0MG (2) CK PREDNISONE 0MG (48) CK prednisone 0mg prednisone mg PREDNISONE MG/ML ORAL SOLN prednisone 2.5mg prednisone 20mg PREDNISONE 50MG PREDNISONE 5MG (2) CK PREDNISONE 5MG (48) CK prednisone 5mg PREDNISONE 5MG/ML ORAL SOLN SOLU-CORTEF 00MG SOLU-CORTEF 250MG UCERIS 9MG ER QL=30 EA/30 Days fludrocortisone 0.mg MINERALOCORTICOIDS COUGH/COLD/ALLERGY COUGH/COLD/ALLERGY COMBINATIONS CLARINEX-D MG ER phenylephrine mg/ml/promethazine.25mg/ml oral soln acetylcysteine 0% inh soln MUCOLYTICS acetylcysteine 20% inh soln adapalene 0.% cream DERMATOLOGICALS ACNE PRODUCTS adapalene 0.% gel adapalene 0.3% gel avita 0.025% cream avita 0.025% gel claravis 0mg cap claravis 20mg cap claravis 30mg cap claravis 40mg cap clindacin % pad clindamax % gel clindamycin % foam clindamycin % gel clindamycin % lotion clindamycin % pad clindamycin % topical soln You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 69

71 clindamycin/benzoyl peroxide -5% gel DIFFERIN 0.% LOTION EPIDUO % GEL EPIDUO % GEL ery 2% pad erythromycin 2% gel erythromycin 2% topical soln erythromycin/benzoyl peroxide 5-3% gel myorisan 0mg cap myorisan 20mg cap myorisan 30mg cap myorisan 40mg cap sulfacetamide sodium 0% lotion tretinoin 0.0% gel tretinoin 0.025% cream tretinoin 0.025% gel tretinoin 0.04% gel tretinoin 0.05% cream tretinoin 0.05% gel tretinoin 0.% cream tretinoin 0.% gel zenatane 0mg cap zenatane 20mg cap zenatane 30mg cap zenatane 40mg cap gentamicin sulfate 0.% cream ANTIBIOTICS - TOPICAL gentamicin sulfate 0.% ointment mupirocin 2% cream mupirocin 2% ointment ANTIFUNGALS - TOPICAL betamethasone/clotrimazole -0.05% cream betamethasone/clotrimazole -0.05% lotion ciclopirox 0.77% cream ciclopirox 0.77% gel ciclopirox 0.77% lotion ciclopirox % shampoo ciclopirox 8% topical soln clotrimazole % cream clotrimazole % topical soln econazole nitrate % cream ERTACZO 2% CREAM ketoconazole 2% cream ketoconazole 2% shampoo ketoconazole 20mg/ml foam naftifine 2% cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 70

72 nyamyc 00000unit/gm powder nyata 00000unit/gm pack nystatin 00000unit/ml cream nystatin 00000unit/ml/triamcinolone acetonide mg/ml cream nystatin 00unit/mg ointment nystatin 00unit/mg powder nystatin 00unit/mg/triamcinolone acetonide 0.00mg/mg ointment nystop 00000unit/gm powder ANTI-INFLAMMATORY AGENTS - TOPICAL diclofenac sodium % gel QL=000 GM/30 Days diclofenac sodium.5% topical soln ANTINEOPLASTIC OR PREMALIGNANT LESION AGENTS - TOPICAL diclofenac sodium 3% gel NSO FLUOROURACIL 0.5% CREAM fluorouracil 2% topical soln fluorouracil 5% cream fluorouracil 5% topical soln NRETIN 0.% GEL PICATO 0.05% GEL QL=3 EA/0 Days PICATO 0.05% GEL QL=2 EA/0 Days TARGRETIN % GEL TOLAK 4% CREAM VALCHLOR 0.06% GEL NSO QL=240 GM/30 Days acitretin 0mg cap ANTIPSORIATICS acitretin 7.5mg cap acitretin 25mg cap calcipotriene 0.005% cream calcipotriene 0.005% ointment calcipotriene 0.005% topical soln COSENTYX 50MG/ML AUTO-ECTOR COSENTYX 50MG/ML SYRINGE methoxsalen 0mg cap tazarotene 0.% cream TAZORAC 0.05% CREAM TAZORAC 0.05% GEL TAZORAC 0.% GEL ANTISEBORRHEIC PRODUCTS selenium sulfide 2.5% shampoo ANTIVIRALS - TOPICAL acyclovir 5% ointment DENAVIR % CREAM BURN PRODUCTS silver sulfadiazine % cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 7

73 ssd % cream SULFAMYLON 85MG/GM CREAM CORTICOSTEROIDS - TOPICAL ala-cort % cream ala-cort 2.5% cream alclometasone dipropionate 0.05% cream alclometasone dipropionate 0.05% ointment AMCINONIDE 0.% CREAM AMCINONIDE 0.% OINTMENT betamethasone 0.05% aug cream betamethasone 0.05% aug gel betamethasone 0.05% aug lotion betamethasone 0.05% aug ointment betamethasone 0.05% cream betamethasone 0.05% lotion betamethasone 0.05% ointment betamethasone 0.% cream betamethasone 0.% lotion betamethasone 0.% ointment betamethasone valerate 0.2% foam calcipotriene/betamethasone % ointment clobetasol propionate 0.05% cream clobetasol propionate 0.05% foam clobetasol propionate 0.05% gel clobetasol propionate 0.05% lotion clobetasol propionate 0.05% ointment clobetasol propionate 0.05% shampoo clobetasol propionate 0.05% spray clobetasol propionate 0.05% topical soln clodan 0.05% shampoo cormax 0.05% topical soln desonide 0.05% cream desonide 0.05% lotion desonide 0.05% ointment desoximetasone 0.05% cream desoximetasone 0.05% gel desoximetasone 0.25% cream desoximetasone 0.25% ointment DIFLORASONE DIACETATE 0.05% CREAM DIFLORASONE DIACETATE 0.05% OINTMENT fluocinolone acetonide 0.0% cream fluocinolone acetonide 0.0% topical soln fluocinolone acetonide 0.025% cream fluocinolone acetonide 0.025% ointment fluocinolone acetonide 0.mg/ml oil fluocinonide 0.05% e cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 72

74 fluocinonide 0.05% gel fluocinonide 0.05% ointment fluocinonide 0.05% topical soln fluticasone propionate 0.005% ointment fluticasone propionate 0.05% cream fluticasone propionate 0.05% lotion halobetasol propionate 0.05% cream halobetasol propionate 0.05% ointment hydrocortisone % cream hydrocortisone % ointment hydrocortisone 2.5% cream hydrocortisone 2.5% lotion hydrocortisone 2.5% ointment hydrocortisone valerate 0.2% cream hydrocortisone valerate 0.2% ointment lokara 0.05% lotion mometasone furoate 0.% cream mometasone furoate 0.% lotion mometasone furoate 0.% ointment prednicarbate 0.% cream prednicarbate 0.% ointment PSORCON 0.05% CREAM TOPICORT 0.05% CREAM triamcinolone acetonide 0.025% cream triamcinolone acetonide 0.025% lotion triamcinolone acetonide 0.025% ointment triamcinolone acetonide 0.% cream triamcinolone acetonide 0.% lotion triamcinolone acetonide 0.% ointment triamcinolone acetonide 0.47mg/ml spray triamcinolone acetonide 0.5% cream triamcinolone acetonide 0.5% ointment triderm 0.% cream ammonium lactate 2% cream EMOLLIENTS ammonium lactate 2% lotion SANTYL 250UNIT/GM OINTMENT ENZYMES - TOPICAL IMMUNOMODULATING AGENTS - TOPICAL imiquimod 5% cream ZYCLARA 2.5% CREAM IMMUNOSUPPRESSIVE AGENTS - TOPICAL ELIDEL % CREAM tacrolimus 0.03% ointment tacrolimus 0.% ointment KERATOLYTIC/ANTIMITOTIC AGENTS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 73

75 podofilox 0.5% topical soln lidocaine 2% gel LOCAL ANESTHETICS - TOPICAL lidocaine 4% topical soln lidocaine 5% ointment ST QL=07 GM/30 Days lidocaine 5% patch QL=90 EA/30 Days lidocaine/prilocaine % cream ROSACEA AGENTS FINACEA 5% FOAM FINACEA 5% GEL metronidazole 0.75% cream metronidazole 0.75% gel metronidazole 0.75% lotion metronidazole % gel SCABICIDES & PEDICULICIDES EURAX 0% CREAM lindane % shampoo malathion 0.5% lotion permethrin 5% cream REGRANEX 0.0% GEL WOUND CARE PRODUCTS QL=30 GM/5 Days DIGESTIVE AIDS DIGESTIVE ENZYMES CREON UNIT DR CAP CREON UNIT DR CAP CREON UNIT DR CAP CREON UNIT DR CAP CREON UNIT DR CAP NCREAZE UNIT DR CAP ST NCREAZE UNIT DR CAP ST NCREAZE UNIT DR CAP ST NCREAZE UNIT DR CAP ST NCREAZE UNIT DR CAP ST SUCRAID 8500UNIT/ML ORAL SOLN DIURETICS CARBONIC ANHYDRASE INHIBITORS acetazolamide 00mg/ml inj acetazolamide 25mg acetazolamide 250mg acetazolamide 500mg er cap methazolamide 25mg methazolamide 50mg DIURETIC COMBINATIONS amiloride 5mg/hydrochlorothiazide 50mg hydrochlorothiazide 25mg/spironolactone 25mg hydrochlorothiazide 25mg/triamterene 37.5mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 74

76 hydrochlorothiazide 25mg/triamterene 37.5mg HYDROCHLOROTHIAZIDE 25MG/TRIAMTERENE 50MG CAP hydrochlorothiazide 50mg/triamterene 75mg LOOP DIURETICS bumetanide 0.25mg/ml inj bumetanide 0.5mg bumetanide mg bumetanide 2mg ethacrynic acid 25mg furosemide 0mg/ml inj furosemide 0mg/ml oral soln furosemide 0mg/ml syringe furosemide 20mg furosemide 40mg furosemide 80mg FUROSEMIDE 8MG/ML ORAL SOLN torsemide 00mg torsemide 0mg torsemide 20mg torsemide 5mg POTASSIUM SRING DIURETICS amiloride 5mg DYRENIUM 00MG CAP DYRENIUM 50MG CAP spironolactone 00mg spironolactone 25mg spironolactone 50mg THIAZIDES AND THIAZIDE-LIKE DIURETICS CHLOROTHIAZIDE 250MG chlorothiazide 500mg inj chlorothiazide 500mg chlorthalidone 25mg chlorthalidone 50mg DIURIL 250MG/5ML ORAL SUSP hydrochlorothiazide 2.5mg cap hydrochlorothiazide 2.5mg hydrochlorothiazide 25mg hydrochlorothiazide 50mg indapamide.25mg indapamide 2.5mg METHYCLOTHIAZIDE 5MG metolazone 0mg metolazone 2.5mg metolazone 5mg ENDOCRINE AND MEOLIC AGENTS - MISC. You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 75

77 BONE DENSITY REGULATORS ALENDRONATE 0.933MG/ML ORAL SOLN alendronate 0mg alendronate 35mg ALENDRONATE 40MG alendronate 5mg alendronate 70mg etidronate disodium 200mg ETIDRONATE DISODIUM 400MG FORTEO 600MCG/2.4ML PEN ibandronate 50mg QL= EA/30 Days ibandronate mg/ml inj MIACALCIN 200UNIT/ML NATRA 00MCG CARTRIDGE NATRA 25MCG CARTRIDGE NATRA 50MCG CARTRIDGE NATRA 75MCG CARTRIDGE pamidronate disodium 3mg/ml inj MIDRONATE DISODIUM 6MG/ML pamidronate disodium 9mg/ml inj PROLIA 60MG/ML SYRINGE risedronate sodium 50mg risedronate sodium 30mg risedronate sodium 35mg (2) pack risedronate sodium 35mg (4) pack risedronate sodium 35mg risedronate sodium 5mg salmon calcitonin 200unit/act nasal spray XGEVA 20MG/.7ML zoledronic acid 0.05mg/ml inj zoledronic acid 0.8mg/ml inj ZOMETA 4MG/00ML SOMAVERT 0MG GROWTH HORMONE RECEPTOR ANTAGONISTS SOMAVERT 5MG SOMAVERT 20MG SOMAVERT 25MG SOMAVERT 30MG GROWTH HORMONES NORDITROPIN 0MG/.5ML PEN NORDITROPIN 5MG/.5ML PEN NORDITROPIN 30MG/3ML PEN NORDITROPIN 5MG/.5ML PEN HORMONE RECEPTOR MODULATORS raloxifene 60mg INSULIN-LIKE GROWTH FACTORS (SOMATOMEDINS) You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 76

78 INCRELEX 40MG/4ML LHRH/GNRH AGONIST ANALOG PITUITARY SUPPRESSANTS LUPRON.25MG (ML) SYRINGE LUPRON 5MG SYRINGE SYNAREL 2MG/ML NASAL SPRAY ALDURAZYME 2.9MG/5ML MEOLIC MODIFIERS calcitriol mg cap calcitriol mg cap calcitriol 0.00mg/ml inj calcitriol 0.00mg/ml oral soln CARBAGLU 200MG ORAL SUSP doxercalciferol mg cap doxercalciferol 0.00mg cap doxercalciferol mg cap doxercalciferol 0.002mg/ml inj ELAPRASE 6MG/3ML FABRAZYME 35MG KUVAN 00MG POWDER FOR ORAL SOLN KUVAN 00MG KUVAN 500MG POWDER FOR ORAL SOLN levocarnitine 00mg/ml oral soln levocarnitine 330mg LUMIZYME 50MG NAGLAZYME MG/ML ORFADIN 0MG CAP ORFADIN 2MG CAP ORFADIN 4MG/ML ORAL SUSP ORFADIN 5MG CAP paricalcitol 0.00mg cap paricalcitol 0.002mg cap paricalcitol 0.002mg/ml inj paricalcitol 0.004mg cap paricalcitol 0.005mg/ml inj RAVICTI.GM/ML ORAL SOLN SENSIR 30MG SENSIR 60MG SENSIR 90MG sodium phenylbutyrate 0.94mg/mg oral powder STRENSIQ 40MG/ML STRENSIQ 80MG/0.8ML POSTERIOR PITUITARY HORMONES desmopressin acetate 0.004mg/ml inj desmopressin acetate 0.0% nasal soln desmopressin acetate 0.0% nasal spray desmopressin acetate 0.mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 77

79 desmopressin acetate 0.2mg STIMATE.5MG/ML NASAL SPRAY cabergoline 0.5mg PROLACTIN INHIBITORS octreotide 0.05mg/ml inj SOMATOSTATIC AGENTS octreotide 0.mg/ml inj octreotide 0.2mg/ml inj octreotide 0.5mg/ml inj octreotide mg/ml inj SIGNIFOR 0.3MG/ML QL=60 ML/30 Days SIGNIFOR 0.6MG/ML QL=60 ML/30 Days SIGNIFOR 0.9MG/ML QL=60 ML/30 Days SOMATULINE 20MG/0.5ML SYRINGE SOMATULINE 60MG/0.2ML SYRINGE SOMATULINE 90MG/0.3ML SYRINGE ESTROGENS ESTROGEN COMBINATIONS amabelz 0.5/0.mg 28 day pack amabelz /0.5mg 28 day pack COMBITCH MG TCH COMBITCH MG TCH estradiol 0.5mg/norethindrone acetate 0.mg pack estradiol mg/norethindrone acetate 0.5mg pack ethinyl estradiol mg/norethindrone acetate 0.5mg ethinyl estradiol 0.005mg/norethindrone acetate mg fyavolv 0.5mg-2.5mcg fyavolv mg-5mcg jinteli mimvey lo 28 day pack mimvey pack PREMPHASE 28 DAY CK PREMPRO 0.3/.5MG 28 DAY CK PREMPRO 0.45/.5 28 DAY CK PREMPRO 0.625/2.5MG 28 DAY CK PREMPRO 0.625/5MG 28 DAY CK ESTROGENS estradiol mg/hr twice weekly patch estradiol mg/hr weekly patch estradiol mg/hr twice weekly patch estradiol mg/hr weekly patch estradiol mg/hr twice weekly patch estradiol mg/hr weekly patch estradiol mg/hr weekly patch You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 78

80 estradiol mg/hr weekly patch estradiol mg/hr twice weekly patch estradiol mg/hr twice weekly patch estradiol mg/hr weekly patch estradiol 0.5mg estradiol mg estradiol 20mg/ml inj estradiol 2mg estradiol 40mg/ml inj ESTROPITE 0.75MG ESTROPITE.5MG ESTROPITE 3MG PREMARIN 0.3MG PREMARIN 0.45MG PREMARIN 0.625MG PREMARIN 0.9MG PREMARIN.25MG AVELOX 400MG/250ML FLUOROQUINOLONES FLUOROQUINOLONES ciprofloxacin 00mg/ml oral susp CIPROFLOXACIN 0MG/ML ciprofloxacin 250mg ciprofloxacin 2mg/ml inj ciprofloxacin 500mg ciprofloxacin 50mg/ml oral susp ciprofloxacin 750mg levofloxacin 250mg levofloxacin 25mg/ml inj levofloxacin 25mg/ml oral soln levofloxacin 500mg levofloxacin 5mg/ml (50ml) inj levofloxacin 5mg/ml inj levofloxacin 750mg MOXIFLOXACIN.6MG/ML moxifloxacin 400mg ofloxacin 400mg CHOLBAM 250MG CAP GASTROINTESTINAL AGENTS - MISC. BILE ACID SYNTHESIS DISORDER AGENTS CHOLBAM 50MG CAP FARNESOID X RECEPTOR (FXR) AGONISTS OCALIVA 0MG QL=30 EA/30 Days OCALIVA 5MG QL=30 EA/30 Days CHENODAL 250MG GALLSTONE SOLUBILIZING AGENTS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 79

81 ursodiol 250mg ursodiol 300mg cap ursodiol 500mg GASTROINTESTINAL ANTIALLERGY AGENTS cromolyn sodium 20mg/ml oral soln GASTROINTESTINAL STIMULANTS metoclopramide 0mg metoclopramide mg/ml oral soln metoclopramide 5mg metoclopramide 5mg/ml inj INFLAMMATORY BOWEL AGENTS APRISO 0.375GM ER CAP balsalazide disodium 750mg cap CANASA 000MG RECTAL SUPP DIPENTUM 250MG CAP LIALDA.2GM DR mesalamine 66.7mg/ml enema sulfasalazine 500mg dr sulfasalazine 500mg INTESTINAL ACIDIFIERS enulose 0gm/5ml oral soln generlac 0gm/5ml oral soln IRRILE BOWEL SYNDROME (IBS) AGENTS alosetron 0.5mg alosetron mg LINZESS 45MCG CAP QL=30 EA/30 Days LINZESS 290MCG CAP QL=30 EA/30 Days LINZESS 72MCG CAP QL=30 EA/30 Days PERIPHERAL OPIOID RECEPTOR ANTAGONISTS MOVANTIK 2.5MG MOVANTIK 25MG RELISTOR 2MG/0.6ML RELISTOR 2MG/0.6ML SYRINGE RELISTOR 8MG/0.4ML SYRINGE AURYXIA 20MG PHOSPHATE BINDER AGENTS calcium acetate 667mg cap calcium acetate 667mg FOSRENOL 000MG CHEW FOSRENOL 000MG ORAL POWDER FOSRENOL 500MG CHEW FOSRENOL 750MG CHEW FOSRENOL 750MG ORAL POWDER PHOSLYRA 667MG/5ML ORAL SOLN RENVELA 800MG sevelamer carbonate 2400mg oral susp You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 80

82 sevelamer carbonate 800mg oral susp GATTEX 5MG SHORT BOWEL SYNDROME (SBS) AGENTS GENITOURINARY AGENTS - MISCELLANEOUS ALKALINIZERS potassium citrate 0meq er potassium citrate 5 meq er potassium citrate 5 meq er CYSTAGON 50MG CAP CYSTINOSIS AGENTS CYSTAGON 50MG CAP GENITOURINARY IRRIGANTS neomycin 40mg/ml/polymyxin b unit/ml soln sodium chloride 0.9% soln INTERSTITIAL CYSTITIS AGENTS ELMIRON 00MG CAP PROSTATIC HYPERTROPHY AGENTS alfuzosin 0mg er dutasteride 0.5mg cap dutasteride 0.5mg/tamsulosin 0.4mg cap finasteride 5mg RAFLO 4MG CAP RAFLO 8MG CAP tamsulosin 0.4mg cap URINARY STONE AGENTS LITHOSTAT 250MG THIOLA 00MG GOUT AGENTS GOUT AGENT COMBINATIONS colchicine 0.5mg/probenecid 500mg GOUT AGENTS allopurinol 00mg allopurinol 300mg COLCHICINE 0.6MG CAP COLCHICINE 0.6MG MITIGARE 0.6MG CAP ULORIC 40MG ST ULORIC 80MG ST probenecid 500mg URICOSURICS HEMATOLOGICAL AGENTS - MISC. BRADYKININ B2 RECEPTOR ANTAGONISTS FIRAZYR 30MG/3ML SYRINGE BERINERT 500UNIT COMPLEMENT INHIBITORS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

83 CINRYZE 500UNIT RUCONEST 200UNIT pentoxifylline 400mg er HEMATORHEOLOGIC AGENTS PLATELET AGGREGATION INHIBITORS anagrelide 0.5mg cap anagrelide mg cap aspirin 25mg/dipyridamole 200mg cap BRILINTA 60MG BRILINTA 90MG cilostazol 00mg cilostazol 50mg clopidogrel 75mg dipyridamole 25mg dipyridamole 50mg dipyridamole 75mg CEREZYME 400UNIT HEMATOPOIETIC AGENTS AGENTS FOR GAUCHER DISEASE VPRIV 400UNIT ZAVESCA 00MG CAP DROXIA 200MG CAP AGENTS FOR SICKLE CELL ANEMIA DROXIA 300MG CAP DROXIA 400MG CAP HEMATOPOIETIC GROWTH FACTORS ARANESP 00MCG/0.5ML SYRINGE ST ARANESP 00MCG/ML ST ARANESP 0MCG/0.4ML SYRINGE ST ARANESP 50MCG/0.3ML SYRINGE ST ARANESP 200MCG/0.4ML SYRINGE ST ARANESP 200MCG/ML ST ARANESP 25MCG/0.42ML SYRINGE ST ARANESP 25MCG/ML ST ARANESP 300MCG/0.6ML SYRINGE ST ARANESP 300MCG/ML ST ARANESP 40MCG/0.4ML SYRINGE ST ARANESP 40MCG/ML ST ARANESP 500MCG/ML SYRINGE ST ARANESP 60MCG/0.3ML SYRINGE ST ARANESP 60MCG/ML ST EPOGEN 0000UNIT/ML EPOGEN 20000UNIT/ML EPOGEN 2000UNIT/ML EPOGEN 3000UNIT/ML EPOGEN 4000UNIT/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 82

84 GRANIX 300MCG/0.5ML SYRINGE GRANIX 480MCG/0.8ML SYRINGE LEUKINE 250MCG NEULASTA 6MG/0.6ML SYRINGE PROCRIT 0000UNIT/ML PROCRIT 20000UNIT/ML PROCRIT 2000UNIT/ML PROCRIT 3000UNIT/ML PROCRIT 40000UNIT/ML PROCRIT 4000UNIT/ML PROMACTA 2.5MG PROMACTA 25MG PROMACTA 50MG PROMACTA 75MG ZARXIO 300MCG/0.5ML SYRINGE ZARXIO 480MCG/0.8ML SYRINGE MOZOBIL 24MG/.2ML STEM CELL MOBILIZERS tranexamic acid 00mg/ml inj HEMOSTATICS HEMOSTATICS - SYSTEMIC tranexamic acid 650mg HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS BARBITURATE HYPNOTICS BUTISOL 30MG PHENOBARBITAL 00MG PHENOBARBITAL 5MG phenobarbital 6.2mg PHENOBARBITAL 30MG phenobarbital 32.4mg phenobarbital 4mg/ml oral soln PHENOBARBITAL 60MG phenobarbital 64.8mg phenobarbital 97.2mg NON-BARBITURATE HYPNOTICS estazolam mg estazolam 2mg eszopiclone mg QL=30 EA/30 Days eszopiclone 2mg QL=30 EA/30 Days eszopiclone 3mg QL=30 EA/30 Days FLURAZEM 5MG CAP FLURAZEM 30MG CAP temazepam 5mg cap temazepam 22.5mg cap temazepam 30mg cap temazepam 7.5mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 83

85 TRIAZOLAM 0.25MG triazolam 0.25mg zaleplon 0mg cap QL=30 EA/30 Days zaleplon 5mg cap QL=30 EA/30 Days zolpidem tartrate 0mg QL=30 EA/30 Days zolpidem tartrate 5mg SELECTIVE MELATONIN RECEPTOR AGONISTS HETLIOZ 20MG CAP QL=30 EA/30 Days ROZEREM 8MG QL=30 EA/30 Days LAXATIVES LAXATIVE COMBINATIONS gavilyte-c oral soln gavilyte-g oral soln gavilyte-n powder for oral soln MOVIPREP ORAL SOLN peg 3350/electrolyte oral soln peg 3350/kcl/sodium bicarbonate/sodium chloride powder for oral soln trilyte powder for oral soln LAXATIVES - MISCELLANEOUS constulose 0gm/5ml oral soln lactulose 667mg/ml oral soln polyethylene glycol mg/ml oral soln LOCAL ANESTHETICS-RENTERAL LOCAL ANESTHETICS - AMIDES lidocaine 0.5% inj lidocaine % inj lidocaine 2% inj MACROLIDES AZITHROMYCIN azithromycin 20mg/ml oral susp azithromycin 250mg pack azithromycin 250mg azithromycin 2mg/ml inj azithromycin 40mg/ml oral susp azithromycin 500mg (3) pack azithromycin 500mg azithromycin 600mg CLARITHROMYCIN clarithromycin 250mg clarithromycin 25mg/ml oral susp clarithromycin 500mg er clarithromycin 500mg clarithromycin 50mg/ml oral susp ERYTHROMYCINS ERY- 250MG DR You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 84

86 ERY- 333MG DR ERY- 500MG DR ERYPED 400MG/5ML ORAL SUSP ERYTHROCIN LACTOBIONATE 500MG erythromycin 250mg dr cap ERYTHROMYCIN 250MG ERYTHROMYCIN 500MG erythromycin ethylsuccinate 40mg/ml oral susp MEDICAL DEVICES RENTERAL THERAPY SUPPLIES INSULIN SYRINGE (DISP) U-00 /2ML MEDICAL DEVICES AND SUPPLIES BANDAGES-DRESSINGS-TAPE GAUZE D MISC. DEVICES ISOPROPYL ALCOHOL 0.7ML/ML D RENTERAL THERAPY SUPPLIES INSULIN PEN NEEDLE INSULIN SYRINGE (DISP) U ML INSULIN SYRINGE (DISP) U-00 ML INSULIN SYRINGE MIS ML/29G MIGRAINE PRODUCTS MIGRAINE PRODUCTS DIHYDROERGOTAMINE MESYLATE 0.5MG/ACT QL=6 ML/30 Days NASAL SPRAY MIGRANAL 4MG/ML NASAL SPRAY QL=6 ML/30 Days naratriptan mg SEROTONIN AGONISTS QL=8 EA/30 Days naratriptan 2.5mg QL=8 EA/30 Days rizatriptan 0mg odt QL=36 EA/60 Days rizatriptan 0mg QL=36 EA/60 Days rizatriptan 5mg odt QL=36 EA/60 Days rizatriptan 5mg QL=36 EA/60 Days sumatriptan 00mg QL=8 EA/30 Days sumatriptan 2mg/ml auto-injector QL=5 ML/30 Days sumatriptan 2mg/ml inj QL=5 ML/30 Days SUMATRIPTAN 2MG/ML SYRINGE QL=5 ML/30 Days sumatriptan 20mg/act nasal spray QL=2 EA/30 Days sumatriptan 25mg QL=8 EA/30 Days sumatriptan 4mg cartridge QL=5 ML/30 Days sumatriptan 50mg QL=8 EA/30 Days sumatriptan 5mg/act nasal spray QL=2 EA/30 Days sumatriptan 6mg cartridge QL=5 ML/30 Days sumatriptan 8mg/ml auto-injector QL=5 ML/30 Days zolmitriptan 2.5mg odt QL=8 EA/30 Days zolmitriptan 2.5mg QL=8 EA/30 Days You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 85

87 zolmitriptan 5mg odt QL=8 EA/30 Days zolmitriptan 5mg QL=8 EA/30 Days ZOMIG 2.5MG NASAL SPRAY QL=6 EA/30 Days ZOMIG 5MG NASAL SPRAY QL=2 EA/30 Days sodium lactate 5 meq/ml inj MINERALS & ELECTROLYTES BICARBONATES ELECTROLYTE MIXTURES calcium chloride meq/ml/potassium chloride meq/ml/sodium chloride 0.47 meq/ml inj d5w/lactated ringers inj GLUCOSE 00MG/ML/SODIUM CHLORIDE MEQ/ML GLUCOSE 00MG/ML/SODIUM CHLORIDE MEQ/ML glucose 25mg/ml/sodium chloride meq/ml inj glucose 50mg/ml/potassium chloride 0.0meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/potassium chloride 0.02 meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride 0.056meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride 0.54meq/ml inj glucose 50mg/ml/potassium chloride 0.03meq/ml/sodium chloride meq/ml inj GLUCOSE 50MG/ML/POTASSIUM CHLORIDE 0.04 MEQ/ML/SODIUM CHLORIDE 0.54 MEQ/ML GLUCOSE 50MG/ML/POTASSIUM CHLORIDE 0.04MEQ/ML glucose 50mg/ml/potassium chloride 0.04meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/sodium chloride meq/ml inj GLUCOSE 50MG/ML/SODIUM CHLORIDE MEQ/ML glucose 50mg/ml/sodium chloride meq/ml inj glucose 50mg/ml/sodium chloride meq/ml inj glucose 50mg/ml/sodium chloride 0.54 meq/ml inj IONOSOL-MB ISOLYTE P ISOLYTE S KCL/D5W/LR 0.5% lactated ringers inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 86

88 NORMOSOL-M NORMOSOL-R IN 5% DEXTROSE NORMOSOL-R PLASMA-LYTE 48 PLASMALYTE A potassium chloride 0.02 meq/ml/sodium chloride meq/ml inj potassium chloride 0.02 meq/ml/sodium chloride 0.54 meq/ml inj tpn electrolytes inj MAGNESIUM magnesium sulfate 50% inj magnesium sulfate 50% syringe POTASSIUM K- 20MEQ ER K- 8MEQ ER klor-con 0meq er cap klor-con 0meq er micro klor-con 0meq er KLOR-CON 5MEQ ER klor-con 20meq er micro klor-con 8meq er cap klor-con 8meq er potassium chloride 0.meq/ml inj potassium chloride 0% oral soln potassium chloride 0meq er cap potassium chloride 0meq er micro potassium chloride 0meq er potassium chloride 2 meq/ml inj potassium chloride 20% oral soln potassium chloride 20meq er micro POTASSIUM CHLORIDE 20MEQ ER potassium chloride 40meq/20ml inj potassium chloride 8meq er cap potassium chloride 8meq er SODIUM sodium chloride 0.45% inj sodium chloride 0.9% inj sodium chloride 2.5 meq/ml inj sodium chloride 3% inj sodium chloride 5% inj MISCELLANEOUS THERAPEUTIC CLASSES IMMUNOSUPPRESSIVE AGENTS AZATHIOPRINE 0MG/ML gengraf 50mg cap mycophenolate mofetil 500mg inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 87

89 lidocaine 2% topical soln MOUTH/THROAT/DENTAL AGENTS ANESTHETICS TOPICAL ORAL clotrimazole 0mg lozenge ANTI-INFECTIVES - THROAT nystatin 00000unit/ml oral susp ANTISEPTICS - MOUTH/THROAT chlorhexidine gluconate 0.2% mouthwash periogard 0.2% mouthwash STEROIDS - MOUTH/THROAT triamcinolone acetonide 0.% oral paste THROAT PRODUCTS - MISC. cevimeline 30mg cap pilocarpine 5mg pilocarpine 7.5mg MUSCULOSKELETAL THERAPY AGENTS CENTRAL MUSCLE RELAXANTS baclofen 0mg baclofen 20mg carisoprodol 350mg chlorzoxazone 500mg cyclobenzaprine 0mg cyclobenzaprine 5mg cyclobenzaprine 7.5mg metaxall 800mg METAXALONE 400MG metaxalone 800mg methocarbamol 500mg methocarbamol 750mg orphenadrine citrate 00mg er orphenadrine citrate 30mg/ml inj tizanidine 2mg cap tizanidine 2mg tizanidine 4mg cap tizanidine 4mg tizanidine 6mg cap DIRECT MUSCLE RELAXANTS dantrolene sodium 00mg cap dantrolene sodium 25mg cap dantrolene sodium 50mg cap MUSCLE RELAXANT COMBINATIONS aspirin 325mg/carisoprodol 200mg aspirin 325mg/carisoprodol 200mg/codeine phosphate 6mg NASAL AGENTS - SYSTEMIC AND TOPICAL NASAL ANTIALLERGY You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 88

90 azelastine 0.% (37mcg) nasal inhaler azelastine 0.5% (205.5mcg) nasal inhaler olopatadine 0.6% nasal inhaler NASAL ANTICHOLINERGICS ipratropium bromide 0.03% nasal inhaler ipratropium bromide 0.06% nasal inhaler flunisolide 25mcg nasal inhaler NASAL STEROIDS QL=50 ML/5 Days fluticasone propionate 50mcg nasal inhaler QL=32 GM/5 Days triamcinolone 55mcg nasal spray QL=33 GM/5 Days NEUROMUSCULAR AGENTS ALS AGENTS riluzole 50mg EXONDYS 00MG/2ML MUSCULAR DYSTROPHY AGENTS EXONDYS 500MG/0ML glucose 0% inj NUTRIENTS CARBOHYDRATES glucose 5% inj intralipid 200mg/ml inj LIPIDS nutrilipid 20% iv soln PROTEINS AMINOSYN 7% WITH ELECTROLYTES, SULFITE-FREE aminosyn 8.5% with electrolytes, sulfite-free inj AMINOSYN II 0% AMINOSYN II 7%, SULFITE-FREE aminosyn ii 8.5% with electrolytes, sulfite-free inj AMINOSYN II 8.5%, SULFITE-FREE AMINOSYN-HBC 7%, SULFITE-FREE AMINOSYN-PF 0%, SULFITE-FREE AMINOSYN-PF 7% AMINOSYN-RF 5.2%, SULFITE-FREE CLINIMIX 4.25/0 CLINIMIX 4.25/20 CLINIMIX 4.25/25 CLINIMIX 4.25/5 CLINIMIX 5/5 CLINIMIX 5/20 CLINIMIX 5/25 CLINIMIX E 2.75/0 CLINIMIX E 2.75/5 CLINIMIX E 4.25/0 CLINIMIX E 4.25/25 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 89

91 CLINIMIX E 4.25/5 CLINIMIX E 5/5 CLINIMIX E 5/20 CLINIMIX E 5/25 clinisol 5% inj FREAMINE 6.9% HETAMINE 8% NEPHRAMINE 5.4% plenamine 5% inj PREMASOL 0% premasol 6% inj PROCALAMINE 3% PROSOL 20% TRAVASOL 0% TROPHAMINE 0% OPHTHALMIC AGENTS ARTIFICIAL TEARS AND LUBRICANTS LACRISERT 5MG IMPLANT BETA-BLOCKERS - OPHTHALMIC betaxolol 0.5% ophth soln BETIMOL 0.25% OPHTH SOLN BETIMOL 0.5% OPHTH SOLN BETOPTIC S 0.25% OPHTH SUSP carteolol % ophth soln COMBIGAN % OPHTH SOLN dorzolamide 20mg/ml/timolol 5mg/ml ophth soln ISTALOL 0.5% OPHTH SOLN levobunolol 0.5% ophth soln METIPRANOLOL 0.3% OPHTH SOLN timolol 0.25% ophth gel timolol 0.25% ophth soln timolol 0.5% ophth gel timolol 0.5% ophth soln CYCLOPLEGIC MYDRIATICS ATROPINE SULFATE % OPHTH SOLN MIOTICS PHOSPHOLINE IODIDE 0.25% OPHTH SOLN pilocarpine % ophth soln pilocarpine 2% ophth soln pilocarpine 4% ophth soln OPHTHALMIC ADRENERGIC AGENTS ALPHAGAN P 0.% OPHTH SOLN apraclonidine 0.5% ophth soln brimonidine tartrate 0.5% ophth soln brimonidine tartrate 0.2% ophth soln IOPIDINE % OPHTH SOLN You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 90

92 SIMBRINZA -0.2% OPHTH SUSP OPHTHALMIC ANTI-INFECTIVES AZASITE % OPHTH SOLN BACITRACIN 0.5UNIT/MG OPHTH OINTMENT bacitracin 0.5unit/mg/polymyxin b 0unit/mg ophth ointment BESIVANCE 0.6% OPHTH SUSP ST ciprofloxacin 0.3% ophth soln erythromycin 0.005mg/mg ophth ointment gatifloxacin 0.5% ophth soln ST gentak 0.3% ophth ointment gentamicin sulfate 0.3% ophth soln gramicidin 0.025mg/ml/neomycin.75mg/ml/polymyxin b 0000unit/ml ophth soln levofloxacin 0.5% ophth soln NATACYN 5% OPHTH SUSP neomycin/bacitracin/polymyxin ophth ointment 5(3.5)mg-400unit-0000unit ofloxacin 0.3% ophth soln polymyxin b 0000unit/ml/trimethoprim mg/ml ophth soln SULFACETAMIDE SODIUM 0% OPHTH OINTMENT sulfacetamide sodium 0% ophth soln tobramycin 0.3% ophth soln trifluridine % soln VIGAMOX 0.5% OPHTH SOLN ZIRGAN 0.5% OPHTH GEL OPHTHALMIC IMMUNOMODULATORS RESTASIS 0.05% OPHTH SUSP OPHTHALMIC LOCAL ANESTHETICS proparacaine 0.5% ophth soln OPHTHALMIC STEROIDS ALREX 0.2% OPHTH SUSP BLEPHAMIDE 0-0.2% OPHTH SUSP DEXAMETHASONE 0.% OPHTH SOLN dexamethasone/neomycin/polymyxin b 0.% ophth ointment dexamethasone/neomycin/polymyxin b 0.% ophth susp dexamethasone/tobramycin % ophth susp DUREZOL 0.05% OPHTH SUSP fluorometholone 0.% ophth susp hydrocortisone 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml ophth susp LOTEMAX 0.5% OPHTH GEL LOTEMAX 0.5% OPHTH OINTMENT You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

93 LOTEMAX 0.5% OPHTH SUSP MAXIDEX 0.% OPHTH SUSP neomycin/polymyxin/bacitracin/hydrocortisone ophth ointmentment % PRED MILD 0.2% OPHTH SUSP PRED-G 0.3-% OPHTH SUSP prednisolone % ophth soln prednisolone acetate % ophth susp prednisolone sodium phosphate 2.5mg/ml/sulfacetamide sodium 00mg/ml ophth soln TOBRADEX % OPHTH OINTMENT ZYLET % OPHTH SUSP OPHTHALMICS - MISC. ALOCRIL 2% OPHTH SOLN ALOMIDE 0.% OPHTH SOLN azelastine 0.05% ophth soln AZOPT % OPHTH SUSP BROMFENAC 0.09% OPHTH SOLN cromolyn sodium 4% ophth soln CYSTARAN 0.44% OPHTH SOLN QL=60 ML/30 Days diclofenac sodium 0.% ophth soln dorzolamide 2% ophth soln epinastine 0.05% ophth soln flurbiprofen sodium 0.03% ophth soln ILEVRO 0.3% OPHTH SUSP ketorolac tromethamine 0.4% ophth soln ketorolac tromethamine 0.5% ophth soln NEVANAC 0.% OPHTH SUSP olopatadine mg/ml ophth soln olopatadine 2% ophth soln PROSTAGLANDINS - OPHTHALMIC BIMATOPROST 0.03% OPHTH SOLN QL=5 ML/30 Days latanoprost 0.005% ophth soln QL=5 ML/30 Days LUMIGAN 0.0% OPHTH SOLN QL=5 ML/30 Days TRAVATAN Z 0.004% OPHTH SOLN QL=5 ML/30 Days OTIC AGENTS OTIC AGENTS - MISCELLANEOUS acetic acid 2% otic soln OTIC ANTI-INFECTIVES ofloxacin 0.3% otic soln OTIC COMBINATIONS CIPRODEX % OTIC SUSP COLY MYCIN S MG/ML OTIC SUSP hydrocortisone 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic soln You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 92

94 hydrocortisone 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic susp acetic acid/hydrocortisone -2% otic soln OTIC STEROIDS fluocinolone acetonide 0.0% otic soln BIVIGAM 0% SSIVE IMMUNIZING AGENTS IMMUNE SERUMS CARIMUNE 6GM FLEBOGAMMA 0% GAMASTAN 800UNIT/0ML GAMASTAN 360UNIT/2ML GAMMAGARD 0GM GAMMAGARD 2.5GM/25ML GAMMAGARD 5GM GAMMAKED GM/0ML GAMMAPLEX 0GM/200ML GAMUNEX GM/0ML OCTAGAM 25GM/500ML PRIVIGEN 20GM/200ML SYNAGIS 50MG/0.5ML MONOCLONAL ANTIBODIES SSIVE IMMUNIZING AND TREATMENT AGENTS IMMUNE SERUMS GAMMAPLEX 0GM/00ML GAMMAPLEX 20GM/200ML GAMMAPLEX 5GM/50ML HYPERRAB 50UNIT/ML (0ML) HYPERRAB 50UNIT/ML (2ML) IMOGAM 50UNIT/ML (2ML) OCTAGAM 2GM/20ML amoxicillin 25mg chew PENICILLINS AMINOPENICILLINS amoxicillin 250mg cap AMOXICILLIN 250MG CHEW amoxicillin 25mg/ml oral susp amoxicillin 40mg/ml oral susp amoxicillin 500mg cap amoxicillin 500mg amoxicillin 50mg/ml oral susp amoxicillin 80mg/ml oral susp amoxicillin 875mg ampicillin 00mg/ml inj AMPICILLIN 25MG/ML ampicillin 250mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 93

95 ampicillin 250mg/ml inj ampicillin 25mg/ml oral susp ampicillin 500mg cap ampicillin 50mg/ml oral susp NATURAL PENICILLINS BICILLIN L-A UNIT/2ML SYRINGE BICILLIN L-A UNIT/4ML SYRINGE BICILLIN L-A UNIT/ML SYRINGE penicillin g potassium unit/ml inj PENICILLIN G POTASSIUM 40000UNIT/ML PENICILLIN G POTASSIUM 60000UNIT/ML PENICILLIN G PROCAINE UNIT/ML SYRINGE PENICILLIN G SODIUM 00000UNIT/ML penicillin v potassium 250mg penicillin v potassium 25mg/ml oral soln penicillin v potassium 500mg penicillin v potassium 50mg/ml oral soln PENICILLIN COMBINATIONS amoxicillin 000mg/clavulanate 62.5mg er amoxicillin 20mg/ml/clavulanate 8.58mg/ml oral susp AMOXICILLIN 200MG/CLAVULANATE 28.5MG CHEW amoxicillin 250mg/clavulanate 25mg AMOXICILLIN 400MG/CLAVULANATE 57MG CHEW amoxicillin 40mg/ml/clavulanate 5.7mg/ml oral susp amoxicillin 500mg/clavulanate 25mg amoxicillin 50mg/ml/clavulanate 2.5mg/ml oral susp amoxicillin 80mg/ml/clavulanate.4mg/ml oral susp amoxicillin 875mg/clavulanate 25mg ampicillin 00mg/ml/sulbactam 50mg/ml inj ampicillin 20mg/ml/sulbactam 0mg/ml inj ampicillin 250mg/ml/sulbactam 25mg/ml inj AUGMENTIN MG/5ML ORAL SUSP BICILLIN UNIT/ML SYRINGE BICILLIN UNIT/ML SYRINGE piperacillin 200mg/ml/tazobactam 25mg/ml inj piperacillin 3000mg/tazobactam 375mg inj piperacillin 4000mg/tazobactam 500mg inj ZOSYN 40-5MG/ML ZOSYN MG/ML PENICILLINASE-RESISTANT PENICILLINS dicloxacillin 250mg cap dicloxacillin 500mg cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 94

96 nafcillin 00mg/ml inj nafcillin gm inj oxacillin 00mg/ml inj oxacillin 2000mg inj OXACILLIN 20MG/ML OXACILLIN 40MG/ML medroxyprogesterone acetate 0mg PROGESTINS PROGESTINS medroxyprogesterone acetate 2.5mg medroxyprogesterone acetate 5mg megestrol acetate 25mg/ml oral susp norethindrone acetate 5mg progesterone 00mg cap progesterone 200mg cap PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC. AGENTS FOR CHEMICAL DEPENDENCY acamprosate calcium 333mg dr disulfiram 250mg disulfiram 500mg XYREM 500MG/ML ORAL SOLN ANTI-CATAPLECTIC AGENTS QL=540 ML/30 Days donepezil 0mg odt ANTIDEMENTIA AGENTS QL=30 EA/30 Days donepezil 0mg donepezil 23mg ST QL=30 EA/30 Days donepezil 5mg odt QL=30 EA/30 Days donepezil 5mg galantamine 2mg galantamine 4mg galantamine 8mg galantamine hydrobromide 6mg er cap galantamine hydrobromide 24mg er cap GALANTAMINE HYDROBROMIDE 4MG/ML ORAL SOLN galantamine hydrobromide 8mg er cap memantine 0mg memantine 0mg/memantine 5mg pack memantine 2mg/ml oral soln memantine 5mg NAMENDA 4MG XR CAP NAMENDA 2MG XR CAP NAMENDA 28 TITRATION CK NAMENDA 28MG XR CAP NAMENDA 7MG XR CAP NAMZARIC 0-2MG ER CAP ST You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 95

97 NAMZARIC 0-7MG ER CAP ST NAMZARIC 4-0MG ER CAP ST NAMZARIC 28-0MG ER CAP ST NAMZARIC TITRATION CK ST rivastigmine.5mg cap rivastigmine 3.3mg/24hr patch rivastigmine 3mg cap rivastigmine 4.5mg cap rivastigmine 4.6mg/24hr patch rivastigmine 6mg cap rivastigmine 9.5mg/24hr patch COMBINATION PSYCHOTHERAPEUTICS AMITRIPTYLINE 0MG/PERPHENAZINE 2MG AMITRIPTYLINE 0MG/PERPHENAZINE 4MG amitriptyline 2.5mg/chlordiazepoxide 5mg amitriptyline 25mg/chlordiazepoxide 0mg AMITRIPTYLINE 25MG/PERPHENAZINE 2MG AMITRIPTYLINE 25MG/PERPHENAZINE 4MG AMITRIPTYLINE 50MG/PERPHENAZINE 4MG fluoxetine 25mg/olanzapine 2mg cap fluoxetine 25mg/olanzapine 3mg cap fluoxetine 25mg/olanzapine 6mg cap fluoxetine 50mg/olanzapine 2mg cap fluoxetine 50mg/olanzapine 6mg cap SAVELLA 00MG FIBROMYALGIA AGENTS SAVELLA 2.5MG SAVELLA 25MG SAVELLA 4-WEEK TITRATION CK SAVELLA 50MG AUSTEDO 2MG MOVEMENT DISORDER DRUG THERAPY AUSTEDO 6MG AUSTEDO 9MG tetrabenazine 2.5mg tetrabenazine 25mg MULTIPLE SCLEROSIS AGENTS AMPYRA 0MG ER AUBAGIO 4MG QL=30 EA/30 Days AUBAGIO 7MG QL=30 EA/30 Days AVONEX 30MCG/0.5ML AUTO-ECTOR AVONEX 30MCG/0.5ML SYRINGE AVONEX 30MCG/VIAL COXONE 20MG/ML SYRINGE COXONE 40MG/ML SYRINGE EXTAVIA 0.3MG ST You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 96

98 GILENYA 0.5MG CAP QL=30 EA/30 Days PLEGRIDY 25MCG/0.5ML AUTO-ECTOR PLEGRIDY 25MCG/0.5ML SYRINGE PLEGRIDY PEN STARTER CK TECFIDERA 20MG DR CAP TECFIDERA 240MG DR CAP TECFIDERA 30-DAY STARTER CK TYSABRI 300MG/5ML NUEDEXTA 20-0MG CAP PSEUDOBULBAR AFFECT (PBA) AGENTS PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC. ERGOLOID MESYLATES MG pimozide mg pimozide 2mg SMOKING DETERRENTS bupropion 50mg sr CHANTIX 0.5MG CHANTIX MG CHANTIX CONTINUING MONTHS OF THERAPY MG CK CHANTIX FIRST MONTH OF THERAPY CK NICOTROL 0MG INHALER NICOTROL 0MG/ML NASAL INHALER ARALAST 500MG RESPIRATORY AGENTS - MISC. ALPHA-PROTEINASE INHIBITOR (HUMAN) GLASSIA 000MG/50ML PROLASTIN 000MG ZEMAIRA 000MG KALYDECO 50MG CYSTIC FIBROSIS AGENTS KALYDECO 50MG GRANULES CKET KALYDECO 75MG GRANULES CKET ORKAMBI 00-25MG QL=20 EA/30 Days ORKAMBI MG QL=20 EA/30 Days PULMOZYME MG/ML INH SOLN ESBRIET 267MG CAP PULMONARY FIBROSIS AGENTS ESBRIET 267MG ESBRIET 80MG OFEV 00MG CAP OFEV 50MG CAP SULFADIAZINE 500MG SULFONAMIDES SULFONAMIDES TETRACYCLINES You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 97

99 demeclocycline 50mg TETRACYCLINES demeclocycline 300mg doxy 00mg inj doxycycline hyclate 00mg cap doxycycline hyclate 00mg doxycycline hyclate 20mg doxycycline hyclate 50mg cap doxycycline monohydrate 00mg cap doxycycline monohydrate 00mg doxycycline monohydrate 50mg cap doxycycline monohydrate 50mg doxycycline monohydrate 5mg/ml oral susp doxycycline monohydrate 75mg minocycline 00mg cap minocycline 00mg minocycline 50mg cap minocycline 50mg minocycline 75mg cap minocycline 75mg morgidox 50mg cap tetracycline 250mg cap tetracycline 500mg cap THYROID AGENTS ANTITHYROID AGENTS methimazole 0mg methimazole 5mg propylthiouracil 50mg THYROID HORMONES levothyroxine sodium 00mcg levothyroxine sodium 2mcg levothyroxine sodium 25mcg levothyroxine sodium 37mcg levothyroxine sodium 50mcg levothyroxine sodium 75mcg levothyroxine sodium 200mcg levothyroxine sodium 25mcg levothyroxine sodium 300mcg levothyroxine sodium 50mcg levothyroxine sodium 75mcg levothyroxine sodium 88mcg levoxyl 00mcg levoxyl 2mcg levoxyl 25mcg levoxyl 37mcg levoxyl 50mcg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 98

100 levoxyl 75mcg levoxyl 200mcg levoxyl 25mcg levoxyl 50mcg levoxyl 75mcg levoxyl 88mcg liothyronine sodium 0.005mg liothyronine sodium 0.0mg/ml inj liothyronine sodium 0.025mg liothyronine sodium 0.05mg SYNTHROID 00MCG SYNTHROID 2MCG SYNTHROID 25MCG SYNTHROID 37MCG SYNTHROID 50MCG SYNTHROID 75MCG SYNTHROID 200MCG SYNTHROID 25MCG SYNTHROID 300MCG SYNTHROID 50MCG SYNTHROID 75MCG SYNTHROID 88MCG THYROLAR 20MG THYROLAR 5MG THYROLAR 80MG THYROLAR 30MG THYROLAR 60MG unithroid 00mcg unithroid 2mcg unithroid 25mcg unithroid 50mcg unithroid 75mcg unithroid 200mcg unithroid 25mcg unithroid 300mcg unithroid 50mcg unithroid 75mcg unithroid 88mcg TOXOIDS TOXOID COMBINATIONS ADACEL BOOSTRIX BOOSTRIX SYRINGE DAPTACEL DIPHTHERIA/TETANUS TOXOID INFANRIX You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 99

101 KINRIX 0.05 MG/ML KINRIX PEDIARIX QUADRACEL TENIVAC SYRINGE TETANUS/DIPHTHERIA TOXOID ULCER DRUGS ANTISSMODICS ATROPINE SULFATE 0.05MG/ML SYRINGE dicyclomine 0mg cap dicyclomine 20mg dicyclomine 2mg/ml oral soln glycopyrrolate 0.2mg/ml inj glycopyrrolate mg glycopyrrolate 2mg methscopolamine 2.5mg methscopolamine 5mg PRONTHELINE 5MG H-2 ANTAGONISTS cimetidine 200mg cimetidine 300mg cimetidine 400mg cimetidine 60mg/ml oral soln cimetidine 800mg FAMOTIDINE 0.4MG/ML famotidine 0mg/ml inj famotidine 20mg famotidine 40mg famotidine 8mg/ml oral susp nizatidine 50mg cap NIZATIDINE 5MG/ML ORAL SOLN nizatidine 300mg cap ranitidine 50mg cap ranitidine 50mg ranitidine 5mg/ml oral soln ranitidine 25mg/ml inj ranitidine 300mg cap ranitidine 300mg MISC. ANTI-ULCER sucralfate 000mg PROTON PUMP INHIBITORS ESOMEPRAZOLE 20MG esomeprazole 40mg inj lansoprazole 5mg dr cap lansoprazole 30mg dr cap omeprazole 0mg dr cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 00

102 omeprazole 20mg dr cap omeprazole 40mg dr cap pantoprazole 20mg dr pantoprazole 40mg dr pantoprazole 40mg inj rabeprazole sodium 20mg dr ULCER DRUGS - PROSTAGLANDINS misoprostol 0.mg misoprostol 0.2mg ULCER THERAPY COMBINATIONS amoxicillin 500mg/clarithromycin 500mg/lansoprazole 30mg pack PYLERA MG CAP URINARY ANTI-INFECTIVES URINARY ANTI-INFECTIVES methenamine hippurate 000mg nitrofurantoin 5mg/ml oral susp nitrofurantoin macro 25mg cap nitrofurantoin macro 25mg/nitrofurantoin mono 75mg cap nitrofurantoin, macro 00mg cap nitrofurantoin, macro 50mg cap URINARY ANTISSMODICS URINARY ANTISSMODIC - ANTIMUSCARINICS (ANTICHOLINERGIC) oxybutynin chloride 0mg er oxybutynin chloride 5mg er oxybutynin chloride mg/ml oral soln oxybutynin chloride 5mg er oxybutynin chloride 5mg tolterodine tartrate mg tolterodine tartrate 2mg er cap tolterodine tartrate 2mg tolterodine tartrate 4mg er cap trospium chloride 20mg trospium chloride 60mg er cap VESICARE 0MG VESICARE 5MG URINARY ANTISSMODICS - BETA-3 ADRENERGIC AGONISTS MYRBETRIQ 25MG ER MYRBETRIQ 50MG ER URINARY ANTISSMODICS - CHOLINERGIC AGONISTS bethanechol chloride 0mg bethanechol chloride 25mg bethanechol chloride 50mg bethanechol chloride 5mg URINARY ANTISSMODICS - DIRECT MUSCLE RELAXANTS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 0

103 flavoxate 00mg ACTHIB VACCINES BACTERIAL VACCINES BCG, LIVE, TICE STRAIN 50MG/ML BEXSERO SYRINGE HIBERIX MENACTRA MENOMUNE MENVEO PEDVAXHIB 7.5MCG/0.5ML TRUMENBA SYRINGE TYPHIM VI 25MCG/0.5ML TYPHIM VI 25MCG/0.5ML SYRINGE ENGERIX-B 0MCG/0.5ML VIRAL VACCINES ENGERIX-B 0MCG/0.5ML SYRINGE ENGERIX-B 20MCG/ML SYRINGE GARDASIL 9 GARDASIL 9 SYRINGE HAVRIX 440UNIT HAVRIX 720UNIT SYRINGE IMOVAX 2.5UNIT/ML IPOL IXIARO SYRINGE M-M-R II PROQUAD RABAVERT 2.5UNIT/ML RECOMBIVAX 0MCG/ML SYRINGE RECOMBIVAX 40MCG/ML RECOMBIVAX 5MCG/0.5ML SYRINGE RECOMBIVAX HB 0MCG/ML ROTARIX ORAL SUSP ROTATEQ ORAL SUSP TWINRIX VAQTA 25UNIT/0.5ML SYRINGE VAQTA 50UNIT/ML SYRINGE VARIVAX 350PFU/0.5ML YF-VAX 4000UNIT/ML ZOSTAVAX 9400UNIT/0.65ML VAGINAL PRODUCTS VAGINAL ANTI-INFECTIVES AVC BRAND OF SULFANILAMIDE 5% VAGINAL CREAM clindamycin 2% vaginal cream metronidazole 0.75% vaginal gel You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 02

104 terconazole 0.4% vaginal cream terconazole 0.8% vaginal cream terconazole 80mg vaginal supp vandazole 0.75% vaginal gel zazole 0.8% vaginal cream ESTRING 2MG VAGINAL RING VAGINAL ESTROGENS ST PREMARIN 0.625MG/GM VAGINAL CREAM CRINONE 4% VAGINAL GEL VAGINAL PROGESTINS CRINONE 8% VAGINAL GEL VASOPRESSORS ANAPHYLAXIS THERAPY AGENTS EPINEPHRINE 0.5MG/0.3ML AUTO-ECTOR QL=2 EA/5 Days EPINEPHRINE 0.3MG/0.3ML AUTO-ECTOR QL=2 EA/5 Days NEUROGENIC ORTHOSTATIC HYPOTENSION (NOH) - AGENTS NORTHERA 00MG CAP NORTHERA 200MG CAP NORTHERA 300MG CAP midodrine 0mg VASOPRESSORS midodrine 2.5mg midodrine 5mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 03

105 ALPHABETICAL LISTING OF DRUGS A abacavir 300mg 54 abacavir mg/lamivudine 50mg/zidovudine 300mg abacavir mg/lamivudine 300mg ABELCET 5MG/ML 32 ABILIFY 300MG 53 MAINTENA ABILIFY 300MG 53 MAINTENA PF SYRINGE ABILIFY 400MG 53 MAINTENA PF SYRINGE ABRAXANE 00MG 48 acamprosate calcium mg dr acarbose 00mg 28 acarbose 25mg 28 acarbose 50mg 28 acebutolol 200mg cap 59 acebutolol 400mg cap 59 acetaminophen 3 2.7mg/ml/hydrocodone bitartrate 0.5mg/ml oral soln acetaminophen 3 24mg/ml/codeine phosphate 2.4mg/ml oral soln acetaminophen 3 300mg/codeine phosphate 5mg acetaminophen 3 300mg/codeine phosphate 30mg acetaminophen 3 300mg/codeine phosphate 60mg acetaminophen 3 300mg/hydrocodone bitartrate 0mg acetaminophen 3 300mg/hydrocodone bitartrate 5mg acetaminophen 3 300mg/hydrocodone bitartrate 7.5mg ACETAMINOPHEN 3 325MG/5ML/OXYCODO NE 5MG/5ML ORAL SOLN acetaminophen 3 325mg/hydrocodone bitartrate 0mg acetaminophen 3 325mg/hydrocodone bitartrate 2.5mg acetaminophen 3 325mg/hydrocodone bitartrate 5mg acetaminophen 3 325mg/hydrocodone bitartrate 7.5mg acetaminophen 3 325mg/oxycodone 0mg acetaminophen 3 325mg/oxycodone 2.5mg acetaminophen 4 325mg/oxycodone 5mg acetaminophen 4 325mg/oxycodone 7.5mg acetaminophen 4 325mg/tramadol 37.5mg acetazolamide 00mg/ml 74 inj acetazolamide 25mg 74 acetazolamide 250mg 74 acetazolamide 500mg er 74 cap acetic acid 2% otic soln 92 acetic 93 acid/hydrocortisone -2% otic soln acetylcysteine 0% inh 69 soln acetylcysteine 20% inh 69 soln acitretin 0mg cap 7 acitretin 7.5mg cap 7 acitretin 25mg cap 7 ACTHIB 02 ACTIMMUNE UNIT/0.5ML acyclovir 200mg cap 57 acyclovir 400mg 57 acyclovir 40mg/ml oral 57 susp acyclovir 5% ointment 7 acyclovir 50mg/ml inj 57 acyclovir 800mg 57 ADACEL 99 ADAGEN 250UNIT/ML 60 adapalene 0.% cream 69 adapalene 0.% gel 69 adapalene 0.3% gel 69 adefovir dipivoxil 0mg 56 ADEMS 0.5MG 63 ADEMS.5MG 63 ADEMS MG 63 ADEMS 2.5MG 63 ADEMS 2MG 63 adriamycin 2mg/ml inj 44 adrucil 500mg/0ml inj 42 ADVAIR 00-50MCG 9 DISKUS ADVAIR 5-2MCG 9 HFA INH ADVAIR 230-2MCG 9 HFA INH ADVAIR MCG 9 DISKUS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 04

106 ALPHABETICAL LISTING OF DRUGS ADVAIR 45-2MCG HFA 9 INH ADVAIR MCG 9 DISKUS afedi 30mg cr 60 afedi 60mg cr 60 AFINITOR 0MG 45 AFINITOR 2.5MG 45 AFINITOR 2MG ORAL 45 SUSP AFINITOR 3MG ORAL 45 SUSP AFINITOR 5MG ORAL 45 SUSP AFINITOR 5MG 45 AFINITOR 7.5MG 45 ala-cort % cream 72 ala-cort 2.5% cream 72 ALBENZA 200MG 5 albuterol 0.2mg/ml 9 (0.63mg/3ml) inh soln albuterol 0.47mg/ml 9 (.25mg/3ml) inh soln albuterol 0.4mg/ml 9 (2mg/5ml) oral soln albuterol 0.83mg/ml 9 (0.083%) inh soln albuterol mg/ml (0.5%) 9 inh soln albuterol 2mg 9 albuterol 4mg er 9 albuterol 4mg 9 albuterol 8mg er 9 alclometasone 72 dipropionate 0.05% cream alclometasone 72 dipropionate 0.05% ointment ALDURAZYME MG/5ML ALECENSA 50MG CAP 45 ALENDRONATE MG/ML ORAL SOLN alendronate 0mg 76 alendronate 35mg 76 ALENDRONATE 40MG 76 alendronate 5mg 76 alendronate 70mg 76 alfuzosin 0mg er 8 ALIMTA 500MG 42 ALINIA 00MG/5ML 40 ORAL SUSP ALINIA 500MG 40 allopurinol 00mg 8 allopurinol 300mg 8 ALOCRIL 2% OPHTH 92 SOLN ALOMIDE 0.% OPHTH 92 SOLN alosetron 0.5mg 80 alosetron mg 80 ALPHAGAN P 0.% 90 OPHTH SOLN alprazolam 0.25mg odt 6 alprazolam 0.25mg 6 alprazolam 0.5mg er 6 alprazolam 0.5mg odt 6 alprazolam 0.5mg 6 alprazolam mg er 6 alprazolam mg odt 6 alprazolam mg 6 alprazolam 2mg er 6 alprazolam 2mg odt 6 alprazolam 2mg 6 alprazolam 3mg er 6 ALREX 0.2% OPHTH 9 SUSP ALUNBRIG 30MG 45 alyacen /35 28 day pack 65 amabelz 0.5/0.mg 28 day 78 pack amabelz /0.5mg 28 day 78 pack amantadine 00mg cap 48 amantadine 00mg 48 amantadine 0mg/ml oral 48 soln AMBISOME 50MG 32 AMCINONIDE 0.% 72 CREAM AMCINONIDE 0.% 72 OINTMENT amethia 9 day pack 65 amethia lo 9 day pack 65 amikacin 250mg/ml inj 8 amiloride 5mg 75 amiloride 74 5mg/hydrochlorothiazide 50mg aminophylline 25mg/ml 20 inj AMINOSYN 7% WITH 89 ELECTROLYTES, SULFITE-FREE aminosyn 8.5% with 89 electrolytes, sulfite-free inj AMINOSYN II 0% 89 AMINOSYN II 7%, 89 SULFITE-FREE aminosyn ii 8.5% with 89 electrolytes, sulfite-free inj AMINOSYN II 8.5%, 89 SULFITE-FREE AMINOSYN-HBC 7%, 89 SULFITE-FREE AMINOSYN-PF 0%, 89 SULFITE-FREE AMINOSYN-PF 7% 89 AMINOSYN-RF 5.2%, 89 SULFITE-FREE amiodarone 200mg 7 amiodarone 400mg 7 amiodarone 50mg/ml inj 8 amiodarone 8 hydrochloride 00mg amitriptyline 00mg 27 amitriptyline 0mg 27 AMITRIPTYLINE 96 0MG/PERPHENAZINE 2MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 05

107 ALPHABETICAL LISTING OF DRUGS AMITRIPTYLINE 96 0MG/PERPHENAZINE 4MG amitriptyline mg/chlordiazepoxide 5mg amitriptyline 50mg 27 amitriptyline 25mg 27 amitriptyline 96 25mg/chlordiazepoxide 0mg AMITRIPTYLINE 96 25MG/PERPHENAZINE 2MG AMITRIPTYLINE 96 25MG/PERPHENAZINE 4MG amitriptyline 50mg 27 AMITRIPTYLINE 96 50MG/PERPHENAZINE 4MG amitriptyline 75mg 27 amlodipine 0mg 60 amlodipine 62 0mg/atorvastatin 0mg amlodipine 62 0mg/atorvastatin 20mg amlodipine 62 0mg/atorvastatin 40mg amlodipine 62 0mg/atorvastatin 80mg amlodipine 37 0mg/benazepril 20mg cap amlodipine 37 0mg/benazepril 40mg cap amlodipine 37 0mg/hydrochlorothiazid e 2.5mg/valsartan 60mg amlodipine 37 0mg/hydrochlorothiazid e 25mg/valsartan 60mg amlodipine 37 0mg/hydrochlorothiazid e 25mg/valsartan 320mg amlodipine 37 0mg/telmisartan 40mg amlodipine 37 0mg/telmisartan 80mg amlodipine 37 0mg/valsartan 60mg amlodipine 37 0mg/valsartan 320mg amlodipine 2.5mg 60 amlodipine mg/atorvastatin 0mg amlodipine mg/atorvastatin 20mg amlodipine mg/atorvastatin 40mg amlodipine mg/benazepril 0mg cap amlodipine 5mg 60 amlodipine 62 5mg/atorvastatin 0mg amlodipine 62 5mg/atorvastatin 20mg amlodipine 5mg/atorvastatin 40mg 62 amlodipine 62 5mg/atorvastatin 80mg amlodipine 37 5mg/benazepril 0mg cap amlodipine 37 5mg/benazepril 20mg cap amlodipine 37 5mg/benazepril 40mg cap amlodipine 37 5mg/hydrochlorothiazide 2.5mg/valsartan 60mg amlodipine 37 5mg/hydrochlorothiazide 25mg/valsartan 60mg amlodipine 37 5mg/telmisartan 40mg amlodipine 37 5mg/telmisartan 80mg amlodipine 37 5mg/valsartan 60mg amlodipine 37 5mg/valsartan 320mg ammonium lactate 2% 73 cream ammonium lactate 2% 73 lotion AMOXAPINE 00MG 27 AMOXAPINE 50MG 27 AMOXAPINE 25MG 27 AMOXAPINE 50MG 28 amoxicillin mg/clavulanate 62.5mg er amoxicillin 94 20mg/ml/clavulanate 8.58mg/ml oral susp amoxicillin 25mg chew 93 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 06

108 ALPHABETICAL LISTING OF DRUGS AMOXICILLIN MG/CLAVULANATE 28.5MG CHEW amoxicillin 250mg cap 93 AMOXICILLIN 250MG 93 CHEW amoxicillin mg/clavulanate 25mg amoxicillin 25mg/ml oral 93 susp AMOXICILLIN MG/CLAVULANATE 57MG CHEW amoxicillin 40mg/ml oral 93 susp amoxicillin 94 40mg/ml/clavulanate 5.7mg/ml oral susp amoxicillin 500mg cap 93 amoxicillin 500mg 93 amoxicillin 0 500mg/clarithromycin 500mg/lansoprazole 30mg pack amoxicillin mg/clavulanate 25mg amoxicillin 50mg/ml oral 93 susp amoxicillin 94 50mg/ml/clavulanate 2.5mg/ml oral susp amoxicillin 80mg/ml oral 93 susp amoxicillin 94 80mg/ml/clavulanate.4mg/ml oral susp amoxicillin 875mg 93 amoxicillin mg/clavulanate 25mg amphetamine 0mg er 7 cap amphetamine 0mg 7 amphetamine 2.5mg 7 amphetamine 5mg er 7 cap amphetamine 5mg 7 amphetamine 20mg er 7 cap amphetamine 20mg 7 amphetamine 25mg er 7 cap amphetamine 30mg er 7 cap amphetamine 30mg 7 amphetamine 5mg er cap 7 amphetamine 5mg 7 amphetamine 7.5mg 7 AMPHOTERICIN B 32 50MG ampicillin 00mg/ml inj 93 ampicillin 94 00mg/ml/sulbactam 50mg/ml inj AMPICILLIN 25MG/ML 93 ampicillin 94 20mg/ml/sulbactam 0mg/ml inj ampicillin 250mg cap 93 ampicillin 250mg/ml inj 94 ampicillin mg/ml/sulbactam 25mg/ml inj ampicillin 25mg/ml oral 94 susp ampicillin 500mg cap 94 ampicillin 50mg/ml oral 94 susp AMPYRA 0MG ER 96 ANADROL-50 50MG 4 anagrelide 0.5mg cap 82 anagrelide mg cap 82 anastrozole mg 43 ANDRODERM 5 2MG/24HR TCH ANDRODERM 5 4MG/24HR TCH ANDROGEL % (25MG) 5 GEL ANDROGEL % (50MG) 5 GEL ANDROGEL.62% 5 (.25GM) GEL ANDROGEL.62% 5 (2.5GM) GEL ANDROGEL.62% GEL 5 ANORO MCG 9 ELLIPTA INH APLENZIN 74MG ER 25 APLENZIN 348MG ER 25 APLENZIN 522MG ER 25 APOKYN 0MG/ML 48 CARTRIDGE apraclonidine 0.5% ophth 90 soln aprepitant 25mg cap 32 aprepitant 25mg/80mg 32 pack aprepitant 40mg cap 32 aprepitant 80mg cap 32 apri 28 day pack 65 APRISO 0.375GM ER 80 CAP APTIOM 200MG 22 APTIOM 400MG 22 APTIOM 600MG 22 APTIOM 800MG 22 APTIVUS 00MG/ML 54 ORAL SOLN APTIVUS 250MG CAP 54 ARALAST 500MG 97 aranelle 28 pack 65 ARANESP 82 00MCG/0.5ML SYRINGE ARANESP 00MCG/ML 82 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 07

109 ALPHABETICAL LISTING OF DRUGS ARANESP 82 0MCG/0.4ML SYRINGE ARANESP 82 50MCG/0.3ML SYRINGE ARANESP MCG/0.4ML SYRINGE ARANESP 200MCG/ML 82 ARANESP 82 25MCG/0.42ML SYRINGE ARANESP 25MCG/ML 82 ARANESP MCG/0.6ML SYRINGE ARANESP 300MCG/ML 82 ARANESP 82 40MCG/0.4ML SYRINGE ARANESP 40MCG/ML 82 ARANESP 500MCG/ML 82 SYRINGE ARANESP 82 60MCG/0.3ML SYRINGE ARANESP 60MCG/ML 82 ARCALYST 220MG 9 argatroban 00mg/ml inj 2 ARGATROBAN MG/ML 2 aripiprazole 0mg odt 53 aripiprazole 0mg 53 aripiprazole 5mg odt 53 aripiprazole 5mg 53 aripiprazole 20mg 53 aripiprazole 2mg 53 aripiprazole 30mg 53 aripiprazole 5mg 54 ARISTADA 273MG/ML 54 SYRINGE ARISTADA 54 44MG/.6ML SYRINGE ARISTADA MG/2.4ML SYRINGE ARISTADA MG/3.2ML SYRINGE armodafinil 50mg 8 armodafinil 200mg 8 armodafinil 250mg 8 armodafinil 50mg 8 ARNUITY 00MCG INH 8 ARNUITY 200MCG INH 8 ARRANON 5MG/ML 42 ashlyna 9 day pack 65 ASMANEX 00MCG 8 (20ACT) HFA INH ASMANEX 0MCG 8 (30ACT) INH ASMANEX 200MCG 8 (20ACT) HFA INH ASMANEX 220MCG 8 (20ACT) INH ASMANEX 220MCG 8 (30ACT) INH ASMANEX 220MCG 8 (60ACT) INH aspirin 82 25mg/dipyridamole 200mg cap aspirin mg/carisoprodol 200mg aspirin mg/carisoprodol 200mg/codeine phosphate 6mg aspirin 325mg/oxycodone mg ASTAGRAF 0.5MG XL 57 CAP ASTAGRAF MG XL CAP 57 ASTAGRAF 5MG XL CAP 57 atenolol 00mg 59 atenolol 37 00mg/chlorthalidone 25mg atenolol 25mg 59 atenolol 50mg 59 atenolol 37 50mg/chlorthalidone 25mg ATGAM 50MG/ML 57 atomoxetine 00mg cap 7 atomoxetine 0mg cap 7 atomoxetine 8mg cap 7 atomoxetine 25mg cap 7 atomoxetine 40mg cap 7 atomoxetine 60mg cap 7 atomoxetine 80mg cap 7 atorvastatin 0mg 34 atorvastatin 20mg 34 atorvastatin 40mg 34 atorvastatin 80mg 34 atovaquone 50mg/ml 40 oral susp atovaquone 4 250mg/proguanil 00mg atovaquone mg/proguanil 25mg ATRIPLA MG atropine sulfate mg/ml/diphenoxylat e 0.5mg/ml oral soln atropine sulfate mg/diphenoxylate 2.5mg ATROPINE SULFATE MG/ML SYRINGE ATROPINE SULFATE % 90 OPHTH SOLN ATROVENT 7MCG INH 8 AUBAGIO 4MG 96 AUBAGIO 7MG 96 aubra 28 day pack 65 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 08

110 ALPHABETICAL LISTING OF DRUGS AUGMENTIN MG/5ML ORAL SUSP AURYXIA 20MG 80 AUSTEDO 2MG 96 AUSTEDO 6MG 96 AUSTEDO 9MG 96 AVANDIA 2MG 30 AVANDIA 4MG 30 AVASTIN 00MG/4ML 43 AVASTIN 400MG/6ML 43 AVC BRAND OF 02 SULFANILAMIDE 5% VAGINAL CREAM AVELOX 400MG/250ML 79 aviane 28 pack 65 avita 0.025% cream 69 avita 0.025% gel 69 AVONEX 30MCG/0.5ML 96 AUTO-ECTOR AVONEX 30MCG/0.5ML 96 SYRINGE AVONEX 30MCG/VIAL 96 AVYCAZ 2-0.5GM 63 azacitidine 00mg inj 42 AZACTAM GM/50ML 39 AZACTAM 2GM/50ML 39 AZASAN 00MG 58 AZASAN 75MG 58 AZASITE % OPHTH 9 SOLN AZATHIOPRINE 87 0MG/ML azathioprine 50mg 58 azelastine 0.05% ophth 92 soln azelastine 0.% (37mcg) 89 nasal inhaler azelastine 0.5% 89 (205.5mcg) nasal inhaler azithromycin 20mg/ml 84 oral susp azithromycin 250mg pack 84 azithromycin 250mg 84 azithromycin 2mg/ml inj 84 azithromycin 40mg/ml 84 oral susp azithromycin 500mg (3) 84 pack azithromycin 500mg 84 azithromycin 600mg 84 AZOPT % OPHTH SUSP 92 aztreonam 333mg/ml inj 39 B baci-im 50000unit inj 39 BACITRACIN 9 0.5UNIT/MG OPHTH OINTMENT bacitracin 9 0.5unit/mg/polymyxin b 0unit/mg ophth ointment bacitracin 5000unit/ml inj 39 baclofen 0mg 88 baclofen 20mg 88 balsalazide disodium mg cap balziva 28 day pack 65 BANZEL 200MG 22 BANZEL 400MG 22 BANZEL 40MG/ML 22 ORAL SUSP BARACLUDE MG/ML ORAL SOLN BAVENCIO 20MG/ML 43 BCG, LIVE, TICE STRAIN 02 50MG/ML bekyree 28 day pack 65 BELEODAQ 500MG 45 benazepril 0mg 35 benazepril 37 0mg/hydrochlorothiazid e 2.5mg benazepril 20mg 35 benazepril 37 20mg/hydrochlorothiazid e 2.5mg benazepril 37 20mg/hydrochlorothiazid e 25mg benazepril 40mg 35 benazepril 5mg 35 benazepril 37 5mg/hydrochlorothiazide 6.25mg bendroflumethiazide 37 5mg/nadolol 40mg bendroflumethiazide 38 5mg/nadolol 80mg BENLYSTA 20MG 59 BENLYSTA 400MG 59 benztropine mesylate mg benztropine mesylate mg 48 benztropine mesylate 48 mg/ml inj benztropine mesylate 2mg 48 BERINERT 500UNIT 8 BESIVANCE 0.6% 9 OPHTH SUSP betamethasone 0.05% 72 aug cream betamethasone 0.05% 72 aug gel betamethasone 0.05% 72 aug lotion betamethasone 0.05% 72 aug ointment betamethasone 0.05% 72 cream betamethasone 0.05% 72 lotion You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 09

111 ALPHABETICAL LISTING OF DRUGS betamethasone 0.05% 72 ointment betamethasone 0.% 72 cream betamethasone 0.% 72 lotion betamethasone 0.% 72 ointment betamethasone valerate % foam betamethasone/clotrimaz 70 ole -0.05% cream betamethasone/clotrimaz 70 ole -0.05% lotion betaxolol 0.5% ophth 90 soln betaxolol 0mg 59 betaxolol 20mg 59 bethanechol chloride 0 0mg bethanechol chloride 0 25mg bethanechol chloride 0 50mg bethanechol chloride 5mg 0 BETIMOL 0.25% OPHTH 90 SOLN BETIMOL 0.5% OPHTH 90 SOLN BETOPTIC S 0.25% 90 OPHTH SUSP bexarotene 75mg cap 47 BEXSERO SYRINGE 02 bicalutamide 50mg 43 BICILLIN UNIT/ML SYRINGE BICILLIN UNIT/ML SYRINGE BICILLIN L-A UNIT/2ML SYRINGE BICILLIN L-A UNIT/4ML SYRINGE BICILLIN L-A UNIT/ML SYRINGE BICNU 00MG 42 BIDIL MG 62 BIMATOPROST 0.03% 92 OPHTH SOLN bisoprolol fumarate 0mg 59 bisoprolol fumarate 38 0mg/hydrochlorothiazid e 6.25mg bisoprolol fumarate mg/hydrochlorothiazid e 6.25mg bisoprolol fumarate 5mg 59 bisoprolol fumarate 38 5mg/hydrochlorothiazide 6.25mg BIVIGAM 0% 93 bleomycin 5unit/ml inj 44 BLEPHAMIDE 0-0.2% 9 OPHTH SUSP blisovi 2 fe.5/ day blisovi 2 fe /20 28 day 65 pack blisovi 24 fe /20 28 day 65 pack BOOSTRIX 99 BOOSTRIX SYRINGE 99 BOSULIF 00MG 45 BOSULIF 500MG 45 BREO 00-25MCG 9 ELLIPTA INH BREO MCG 9 ELLIPTA INH briellyn 28 day pack 65 BRILINTA 60MG 82 BRILINTA 90MG 82 brimonidine tartrate % ophth soln brimonidine tartrate % ophth soln BRIVIACT 00MG 22 BRIVIACT 0MG 22 BRIVIACT 0MG/ML 22 BRIVIACT 0MG/ML 22 ORAL SOLN BRIVIACT 25MG 22 BRIVIACT 50MG 22 BRIVIACT 75MG 22 BROMFENAC 0.09% 92 OPHTH SOLN bromocriptine 2.5mg 49 bromocriptine 5mg cap 49 BROVANA 5MCG/2ML 9 INH SOLN budesonide 0.25mg/ml 8 inh soln budesonide 0.25mg/ml 8 inh soln budesonide 0.5mg/ml inh 8 soln budesonide 3mg dr cap 68 bumetanide 0.25mg/ml inj 75 bumetanide 0.5mg 75 bumetanide mg 75 bumetanide 2mg 75 BUNAVAIL MG 4 FILM BUNAVAIL MG 4 FILM BUNAVAIL 6.3-MG 4 FILM buprenorphine 0.3mg/ml 4 cartridge buprenorphine 0.3mg/ml 4 inj buprenorphine 2mg sl 4 buprenorphine 8mg sl 4 bupropion 00mg sr 25 bupropion 00mg 25 bupropion 50mg sr (2 25 hr) You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 0

112 ALPHABETICAL LISTING OF DRUGS bupropion 50mg sr 97 bupropion 50mg xl (24 25 hr) bupropion 200mg sr 25 bupropion 300mg xl 25 bupropion 75mg 25 buspirone 0mg 6 buspirone 5mg 6 buspirone 30mg 6 buspirone 5mg 6 buspirone 7.5mg 6 busulfan 6mg/ml inj 42 BUTISOL 30MG 83 butorphanol tartrate 4 0mg/ml nasal spray BUTORPHANOL 4 TARTRATE MG/ML butorphanol tartrate 4 2mg/ml inj BYDUREON 2MG 29 BYDUREON 2MG PEN 29 BYSTOLIC 0MG 59 BYSTOLIC 2.5MG 59 BYSTOLIC 20MG 59 BYSTOLIC 5MG 59 C cabergoline 0.5mg 78 CABOMETYX 20MG 45 CABOMETYX 40MG 45 CABOMETYX 60MG 45 calcipotriene 0.005% 7 cream calcipotriene 0.005% 7 ointment calcipotriene 0.005% 7 topical soln calcipotriene/betamethas 72 one % ointment calcitriol mg cap 77 calcitriol mg cap 77 calcitriol 0.00mg/ml inj 77 calcitriol 0.00mg/ml oral 77 soln calcium acetate 667mg 80 cap calcium acetate 667mg 80 calcium chloride meq/ml/potassium chloride meq/ml/sodium chloride 0.47 meq/ml inj calcium chloride meq/ml/potassium chloride meq/ml/sodium chloride 0.47 meq/ml soln camila 28 day 0.35mg 68 pack camrese lo 9 day pack 65 CANASA 000MG 80 RECTAL SUPP CANCIDAS 50MG 32 CANCIDAS 70MG 32 candesartan cilexetil 36 6mg candesartan cilexetil 38 6mg/hydrochlorothiazid e 2.5mg candesartan cilexetil 36 32mg candesartan cilexetil 38 32mg/hydrochlorothiazid e 2.5mg candesartan cilexetil 38 32mg/hydrochlorothiazid e 25mg candesartan cilexetil 4mg 36 candesartan cilexetil 8mg 36 CASTAT GM 4 CAPRELSA 00MG 45 CAPRELSA 300MG 45 captopril 00mg 35 captopril 2.5mg 35 captopril 25mg 35 captopril 38 25mg/hydrochlorothiazid e 5mg CAPTOPRIL 38 25MG/HYDROCHLOROT HIAZIDE 25MG captopril 50mg 35 captopril 38 50mg/hydrochlorothiazid e 5mg CAPTOPRIL 38 50MG/HYDROCHLOROT HIAZIDE 25MG CARBAGLU 200MG 77 ORAL SUSP carbamazepine 00mg 22 chew carbamazepine 00mg er 22 cap carbamazepine 00mg er 22 carbamazepine 200mg er 22 cap carbamazepine 200mg er 22 carbamazepine 200mg 22 carbamazepine 20mg/ml 22 oral susp carbamazepine 300mg er 22 cap carbamazepine 400mg er 22 carbidopa 49 0mg/levodopa 00mg odt carbidopa 49 0mg/levodopa 00mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le.

113 ALPHABETICAL LISTING OF DRUGS CARBIDO MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO MG/ENTACAPONE 200MG/LEVODO 75MG carbidopa 25mg 48 CARBIDO 49 25MG/ENTACAPONE 200MG/LEVODO 00MG carbidopa 49 25mg/levodopa 00mg er carbidopa 49 25mg/levodopa 00mg odt carbidopa 49 25mg/levodopa 00mg carbidopa 49 25mg/levodopa 250mg odt carbidopa 49 25mg/levodopa 250mg CARBIDO MG/ENTACAPONE 200MG/LEVODO 25MG CARBIDO MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO 49 50MG/ENTACAPONE 200MG/LEVODO 200MG carbidopa 49 50mg/levodopa 200mg er carbinoxamine maleate mg/ml oral soln carbinoxamine maleate 33 4mg carboplatin 0mg/ml inj 42 CARDENE 20MG/200ML 60 CARDENE 40MG/200ML 60 CARIMUNE 6GM 93 carisoprodol 350mg 88 carteolol % ophth soln 90 cartia 20mg er cap 60 cartia 80mg er cap 60 cartia 240mg er cap 60 cartia 300mg er cap 60 carvedilol 2.5mg 59 carvedilol 25mg 59 carvedilol 3.25mg 59 carvedilol 6.25mg 59 CAYSTON 75MG INH 39 SOLN caziant 28 day pack 65 cefaclor 250mg cap 63 CEFACLOR 25MG/ML 64 ORAL SUSP cefaclor 500mg cap 64 cefaclor 50mg/ml oral 64 susp CEFACLOR 75MG/ML 64 ORAL SUSP cefadroxil 000mg 63 cefadroxil 00mg/ml oral 63 susp cefadroxil 500mg cap 63 cefadroxil 50mg/ml oral 63 susp cefazolin gm inj 63 cefazolin 200mg/ml inj 63 cefazolin 500mg inj 63 cefdinir 25mg/ml oral 64 susp cefdinir 300mg cap 64 cefdinir 50mg/ml oral 64 susp cefepime gm inj 64 cefepime 2gm inj 64 cefixime 20mg/ml oral 64 susp cefixime 40mg/ml oral 64 susp CEFOTAXIME GM 64 CEFOTAXIME 2GM 64 CEFOTAXIME 500MG 64 cefotetan 000mg inj 64 cefotetan 2000mg inj 64 cefoxitin 000mg inj 64 cefoxitin 2000mg inj 64 cefoxitin 200mg/ml inj 64 cefpodoxime 00mg 64 cefpodoxime 0mg/ml 64 oral susp cefpodoxime 200mg 64 cefpodoxime 20mg/ml 64 oral susp cefprozil 250mg 64 cefprozil 25mg/ml oral 64 susp cefprozil 500mg 64 cefprozil 50mg/ml oral 64 susp ceftazidime 000mg inj 64 ceftazidime 2000mg inj 64 ceftazidime 200mg/ml inj 64 ceftriaxone 000mg inj 64 ceftriaxone 00mg/ml inj 64 ceftriaxone 2000mg inj 64 ceftriaxone 250mg inj 64 ceftriaxone 500mg inj 64 cefuroxime.5gm inj 64 cefuroxime 250mg 64 cefuroxime 500mg 64 cefuroxime 750mg inj 64 cefuroxime 95mg/ml inj 64 celecoxib 00mg cap 9 celecoxib 200mg cap 9 celecoxib 400mg cap 9 celecoxib 50mg cap 9 CELONTIN 300MG CAP 25 cephalexin 250mg cap 63 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

114 ALPHABETICAL LISTING OF DRUGS cephalexin 25mg/ml oral 63 susp cephalexin 500mg cap 63 cephalexin 50mg/ml oral 63 susp CEREZYME 400UNIT 82 CESAMET MG CAP 32 cetirizine mg/ml oral 33 soln cevimeline 30mg cap 88 CHANTIX 0.5MG 97 CHANTIX MG 97 CHANTIX CONTINUING 97 MONTHS OF THERAPY MG CK CHANTIX FIRST MONTH 97 OF THERAPY CK CHEMET 00MG CAP 3 CHENODAL 250MG 79 CHLORAMPHENICOL 40 00MG/ML chlordiazepoxide 0mg 6 cap chlordiazepoxide 25mg 7 cap chlordiazepoxide 5mg 7 cap chlorhexidine gluconate % mouthwash CHLOROQUINE 4 PHOSPHATE 250MG chloroquine phosphate 4 500mg CHLOROTHIAZIDE MG chlorothiazide 500mg inj 75 chlorothiazide 500mg 75 chlorpromazine 00mg 53 chlorpromazine 0mg 53 chlorpromazine 200mg 53 chlorpromazine 25mg 53 CHLORPROMAZINE 53 25MG/ML chlorpromazine 50mg 53 CHLORPROMIDE 30 00MG CHLORPROMIDE MG chlorthalidone 25mg 75 chlorthalidone 50mg 75 chlorzoxazone 500mg 88 CHOLBAM 250MG CAP 79 CHOLBAM 50MG CAP 79 cholestyramine resin 4gm 34 sf powder for oral susp cholestyramine resin mg/ml oral susp ciclopirox 0.77% cream 70 ciclopirox 0.77% gel 70 ciclopirox 0.77% lotion 70 ciclopirox % shampoo 70 ciclopirox 8% topical soln 70 cidofovir 75mg/ml inj 56 cilastatin mg/ml/imipenem 2.5mg/ml inj cilastatin 40 5mg/ml/imipenem 5mg/ml inj cilostazol 00mg 82 cilostazol 50mg 82 cimetidine 200mg 00 cimetidine 300mg 00 cimetidine 400mg 00 cimetidine 60mg/ml oral 00 soln cimetidine 800mg 00 CINRYZE 500UNIT 82 CIPRODEX % 92 OTIC SUSP ciprofloxacin 0.3% ophth 9 soln ciprofloxacin 00mg/ml 79 oral susp CIPROFLOXACIN 79 0MG/ML ciprofloxacin 250mg 79 ciprofloxacin 2mg/ml inj 79 ciprofloxacin 500mg 79 ciprofloxacin 50mg/ml 79 oral susp ciprofloxacin 750mg 79 cisplatin mg/ml inj 42 citalopram 0mg 26 citalopram 20mg 26 citalopram 2mg/ml oral 26 soln citalopram 40mg 26 cladribine mg/ml inj 42 claravis 0mg cap 69 claravis 20mg cap 69 claravis 30mg cap 69 claravis 40mg cap 69 CLARINEX-D MG ER clarithromycin 250mg 84 clarithromycin 25mg/ml 84 oral susp clarithromycin 500mg er 84 clarithromycin 500mg 84 clarithromycin 50mg/ml 84 oral susp CLEMASTINE 33 FUMARATE 2.68MG clindacin % pad 69 clindamax % gel 69 clindamycin % foam 69 clindamycin % gel 69 clindamycin % lotion 69 clindamycin % pad 69 clindamycin % topical 69 soln clindamycin 2mg/ml inj 40 clindamycin 50mg cap 40 clindamycin 50mg/ml 40 (2ml) inj clindamycin 50mg/ml 40 (4ml) inj clindamycin 50mg/ml 40 (6ml) inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 3

115 ALPHABETICAL LISTING OF DRUGS clindamycin 5mg/ml oral 40 soln clindamycin 8mg/ml inj 4 clindamycin 2% vaginal 02 cream clindamycin 300mg cap 4 clindamycin 6mg/ml inj 4 clindamycin 75mg cap 4 clindamycin/benzoyl 70 peroxide -5% gel CLINIMIX 4.25/0 89 CLINIMIX 4.25/20 89 CLINIMIX 4.25/25 89 CLINIMIX 4.25/5 89 CLINIMIX 5/5 89 CLINIMIX 5/20 89 CLINIMIX 5/25 89 CLINIMIX E 2.75/0 89 CLINIMIX E 2.75/5 89 CLINIMIX E 4.25/0 89 CLINIMIX E 4.25/25 89 CLINIMIX E 4.25/5 90 CLINIMIX E 5/5 90 CLINIMIX E 5/20 90 CLINIMIX E 5/25 90 clinisol 5% inj 90 clobetasol propionate % cream clobetasol propionate % foam clobetasol propionate % gel clobetasol propionate % lotion clobetasol propionate % ointment clobetasol propionate % shampoo clobetasol propionate % spray clobetasol propionate % topical soln clodan 0.05% shampoo 72 clofarabine mg/ml inj 42 CLOLAR MG/ML 42 clomipramine 25mg cap 28 clomipramine 50mg cap 28 clomipramine 75mg cap 28 clonazepam 0.25mg odt 2 clonazepam 0.25mg odt 2 clonazepam 0.5mg odt 2 clonazepam 0.5mg 2 clonazepam mg odt 2 clonazepam mg 2 clonazepam 2mg odt 2 clonazepam 2mg 2 clonidine mg/hr 36 patch clonidine mg/hr 36 patch clonidine 0.025mg/hr 36 patch clonidine 0.mg 36 clonidine 0.2mg 36 clonidine 0.3mg 36 clopidogrel 75mg 82 clorazepate dipotassium 7 5mg clorazepate dipotassium mg clorazepate dipotassium 7 7.5mg clotrimazole % cream 70 clotrimazole % topical 70 soln clotrimazole 0mg 88 lozenge clozapine 00mg odt 52 clozapine 00mg 52 CLOZAPINE 2.5MG 52 ODT CLOZAPINE 50MG 52 ODT CLOZAPINE 200MG 52 ODT clozapine 200mg 52 clozapine 25mg odt 52 clozapine 25mg 52 clozapine 50mg 52 COARTEM 20-20MG 4 codeine sulfate 5mg codeine sulfate 30mg codeine sulfate 60mg colchicine 8 0.5mg/probenecid 500mg COLCHICINE 0.6MG 8 CAP COLCHICINE 0.6MG 8 colestipol 000mg 34 colestipol 5000mg 34 granules colistin 75mg/ml inj 39 colocort 00mg/60ml 5 enema COLY MYCIN S MG/ML OTIC SUSP COMBIGAN % 90 OPHTH SOLN COMBITCH MG TCH COMBITCH MG TCH COMBIVENT RESPIMAT MCG INH COMETRIQ 00MG 45 DAILY DOSE CARTON CK COMETRIQ 40MG 45 DAILY DOSE CARTON CK COMETRIQ 60MG 45 DAILY DOSE CARTON CK COMPLERA MG compro 25mg rectal supp 53 constulose 0gm/5ml 84 oral soln COXONE 20MG/ML 96 SYRINGE You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

116 ALPHABETICAL LISTING OF DRUGS COXONE 40MG/ML 96 SYRINGE CORLANOR 5MG 63 CORLANOR 7.5MG 63 cormax 0.05% topical 72 soln CORTISONE ACETATE 68 25MG COSENTYX 50MG/ML 7 AUTO-ECTOR COSENTYX 50MG/ML 7 SYRINGE COSMEGEN 0.5MG 44 COTELLIC 20MG 45 CREON UNIT DR CAP CREON UNI T DR CAP CREON UNIT DR CAP CREON U NIT DR CAP CREON UNIT DR CAP CRINONE 4% VAGINAL 03 GEL CRINONE 8% VAGINAL 03 GEL CRIXIVAN 200MG CAP 54 CRIXIVAN 400MG CAP 54 CROMOLYN SODIUM 8 0MG/ML INH SOLN cromolyn sodium 80 20mg/ml oral soln cromolyn sodium 4% 92 ophth soln cryselle 28 pack 65 CUBICIN 500MG 40 cyclafem /35 28 day 65 pack cyclafem 7/7/7 28 day 65 pack cyclobenzaprine 0mg 88 cyclobenzaprine 5mg 88 cyclobenzaprine 7.5mg 88 CYCLOPHOSPHAMIDE 42 25MG CAP CYCLOPHOSPHAMIDE 42 50MG CAP cyclosporine 00mg cap 58 cyclosporine 25mg cap 58 cyclosporine 50mg/ml inj 58 cyclosporine, modified 58 00mg cap cyclosporine, modified 58 00mg/ml oral soln cyclosporine, modified 58 25mg cap cyproheptadine 0.4mg/ml 33 oral soln cyproheptadine 4mg 33 CYRAMZA 43 00MG/0ML CYRAMZA MG/50ML CYSTAGON 50MG CAP 8 CYSTAGON 50MG CAP 8 CYSTARAN 0.44% 92 OPHTH SOLN cytarabine 00mg/ml inj 42 CYTARABINE 20MG/ML 42 D d5w/lactated ringers inj 86 dacarbazine 200mg inj 47 DALIRESP 500MCG 8 DALVANCE 500MG 39 danazol 00mg cap 5 danazol 200mg cap 5 danazol 50mg cap 5 dantrolene sodium 00mg 88 cap dantrolene sodium 25mg 88 cap dantrolene sodium 50mg 88 cap dapsone 00mg 40 dapsone 25mg 40 DAPTACEL 99 daptomycin 500mg inj 40 DARAPRIM 25MG 4 DARZALEX 00MG/5ML 43 daunorubicin 5mg/ml inj 44 deblitane 28 day 0.35mg 68 pack deciine 5mg/ml inj 42 delyla 28 day pack 65 demeclocycline 50mg 98 demeclocycline 300mg 98 DEMSER 250MG CAP 36 DENAVIR % CREAM 7 DEPEN 250MG 57 DEPO-PROVERA MG/ML DESCOVY MG 54 desipramine 00mg 28 desipramine 0mg 28 desipramine 50mg 28 desipramine 25mg 28 desipramine 50mg 28 desipramine 75mg 28 desloratadine 5mg 33 desmopressin acetate mg/ml inj desmopressin acetate % nasal soln desmopressin acetate % nasal spray desmopressin acetate 77 0.mg desmopressin acetate mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

117 ALPHABETICAL LISTING OF DRUGS desogestrel/ethinyl 65 estradiol pack desonide 0.05% cream 72 desonide 0.05% lotion 72 desonide 0.05% ointment 72 desoximetasone 0.05% 72 cream desoximetasone 0.05% 72 gel desoximetasone 0.25% 72 cream desoximetasone 0.25% 72 ointment DESVENLAFAXINE 27 00MG ER DESVENLAFAXINE 27 50MG ER desvenlafaxine succinate 27 00mg er desvenlafaxine succinate 27 25mg er desvenlafaxine succinate 27 50mg er DEXAMETHASONE 0.% 9 OPHTH SOLN dexamethasone 0.mg/ml 68 oral soln dexamethasone 0.5mg 68 dexamethasone 0.75mg 68 dexamethasone.5mg 68 DEXAMETHASONE 68 0MG/ML DEXAMETHASONE MG 68 DEXAMETHASONE 68 MG/ML ORAL SOLN DEXAMETHASONE 2MG 68 dexamethasone 4mg 68 dexamethasone 6mg 68 dexamethasone 68 phosphate 4mg/ml inj dexamethasone/neomycin 9 /polymyxin b 0.% ophth ointment dexamethasone/neomycin 9 /polymyxin b 0.% ophth susp dexamethasone/tobramyc 9 in % ophth susp dexmethylphenidate 8 0mg er cap dexmethylphenidate 8 0mg dexmethylphenidate 8 5mg er cap dexmethylphenidate 8 2.5mg dexmethylphenidate 8 20mg er cap dexmethylphenidate 8 30mg er cap dexmethylphenidate 8 40mg er cap dexmethylphenidate 5mg 8 er cap dexmethylphenidate 5mg 8 dexrazoxane 250mg inj 47 dextroamphetamine 7 sulfate 0mg er cap dextroamphetamine 7 sulfate 0mg dextroamphetamine 7 sulfate 5mg er cap dextroamphetamine 7 sulfate 5mg er cap dextroamphetamine 7 sulfate 5mg DIASTAT 0MG 2 APPLICATOR DIASTAT 2.5MG 2 APPLICATOR DIASTAT 20MG PF 2 APPLICATOR diazepam 0mg 7 DIAZEM MG/ML 7 ORAL SOLN diazepam 2mg 7 diazepam 5mg 7 diazepam 5mg/ml oral 7 soln diclofenac potassium 9 50mg diclofenac sodium 0.% 92 ophth soln diclofenac sodium % gel 7 diclofenac sodium.5% 7 topical soln diclofenac sodium 00mg 9 er diclofenac sodium 25mg 9 dr diclofenac sodium 3% gel 7 diclofenac sodium 50mg 9 dr diclofenac sodium 9 50mg/misoprostol 0.2mg diclofenac sodium 75mg 9 dr diclofenac sodium 9 75mg/misoprostol 0.2mg dicloxacillin 250mg cap 94 dicloxacillin 500mg cap 94 dicyclomine 0mg cap 00 dicyclomine 20mg 00 dicyclomine 2mg/ml oral 00 soln didanosine 25mg dr cap 54 didanosine 200mg dr cap 54 didanosine 250mg dr cap 54 didanosine 400mg dr cap 54 DIFFERIN 0.% LOTION 70 DIFLORASONE 72 DIACETATE 0.05% CREAM DIFLORASONE 72 DIACETATE 0.05% OINTMENT You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 6

118 ALPHABETICAL LISTING OF DRUGS diflunisal 500mg digitek 0.25mg 62 digitek 0.25mg 62 digoxin 0.05mg/ml oral 62 soln digoxin 0.25mg 62 digoxin 0.25mg 62 digoxin 0.25mg/ml inj 62 DIHYDROERGOTAMINE 85 MESYLATE 0.5MG/ACT NASAL SPRAY DILANTIN 30MG ER 24 CAP dilt 20mg xr cap 60 dilt 80mg xr cap 60 dilt 240mg xr cap 60 diltiazem 20mg er (2 60 hr) cap diltiazem 20mg er (24 6 hr) cap diltiazem 20mg 6 diltiazem 80mg er cap 6 DILTIAZEM MG/ML 6 diltiazem 240mg er cap 6 diltiazem 300mg er cap 6 diltiazem 30mg 6 diltiazem 360mg er cap 6 diltiazem 420mg er cap 6 diltiazem 5mg/ml inj 6 diltiazem 60mg er cap 6 diltiazem 60mg 6 diltiazem 90mg er cap 6 diltiazem 90mg 6 DIPENTUM 250MG CAP 80 diphenhydramine 33 50mg/ml inj DIPHTHERIA/TETANUS 99 TOXOID dipyridamole 25mg 82 dipyridamole 50mg 82 dipyridamole 75mg 82 disopyramide 00mg cap 7 disopyramide 50mg cap 7 disulfiram 250mg 95 disulfiram 500mg 95 DIURIL 250MG/5ML 75 ORAL SUSP divalproex sodium 25mg 25 dr cap divalproex sodium 25mg 25 dr divalproex sodium 250mg 25 dr divalproex sodium 250mg 25 er divalproex sodium 500mg 25 dr divalproex sodium 500mg 25 er DOCETAXEL 0MG/ML 48 DOCETAXEL 20MG/ML 48 dofetilide 25mcg cap 8 dofetilide 250mcg cap 8 dofetilide 500mcg cap 8 donepezil 0mg odt 95 donepezil 0mg 95 donepezil 23mg 95 donepezil 5mg odt 95 donepezil 5mg 95 DORIBAX 500MG 40 dorzolamide 2% ophth 92 soln dorzolamide 90 20mg/ml/timolol 5mg/ml ophth soln doxazosin mg 36 doxazosin 2mg 37 doxazosin 4mg 37 doxazosin 8mg 37 doxepin 00mg cap 28 doxepin 0mg cap 28 doxepin 0mg/ml oral 28 soln doxepin 50mg cap 28 doxepin 25mg cap 28 doxepin 50mg cap 28 DOXEPIN 75MG CAP 28 doxercalciferol mg 77 cap doxercalciferol 0.00mg 77 cap doxercalciferol mg 77 cap doxercalciferol mg/ml inj doxorubicin 2mg/ml 45 liposome inj doxorubicin 45 hydrochloride 2mg/ml inj doxy 00mg inj 98 doxycycline hyclate 98 00mg cap doxycycline hyclate 98 00mg doxycycline hyclate 20mg 98 doxycycline hyclate 50mg 98 cap doxycycline monohydrate 98 00mg cap doxycycline monohydrate 98 00mg doxycycline monohydrate 98 50mg cap doxycycline monohydrate 98 50mg doxycycline monohydrate 98 5mg/ml oral susp doxycycline monohydrate 98 75mg dronabinol 0mg cap 32 dronabinol 2.5mg cap 32 dronabinol 5mg cap 32 drospirenone 3mg/ethinyl 65 estradiol 0.02mg/inert mg pack drospirenone 3mg/ethinyl 65 estradiol 0.02mg/levomefolate calcium 0.45mg pack You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 7

119 ALPHABETICAL LISTING OF DRUGS drospirenone 3mg/ethinyl 65 estradiol 0.03mg/inert ingredients mg pack DROXIA 200MG CAP 82 DROXIA 300MG CAP 82 DROXIA 400MG CAP 82 DULERA 00-5MCG INH 9 DULERA 200-5MCG INH 9 duloxetine 20mg dr cap 27 duloxetine 30mg dr cap 27 DULOXETINE 40MG DR 27 CAP duloxetine 60mg dr cap 27 duramorph 0.5mg/ml inj duramorph mg/ml inj DUREZOL 0.05% OPHTH 9 SUSP dutasteride 0.5mg cap 8 dutasteride 8 0.5mg/tamsulosin 0.4mg cap DYRENIUM 00MG CAP 75 DYRENIUM 50MG CAP 75 E econazole nitrate % 70 cream EDURANT 25MG 54 ELAPRASE 6MG/3ML 77 ELIDEL % CREAM 73 ELIGARD 22.5MG 44 SYRINGE ELIGARD 30MG 44 SYRINGE ELIGARD 45MG 44 SYRINGE ELIGARD 7.5MG 44 SYRINGE ELIQUIS 2.5MG 20 ELIQUIS 5MG 20 ELITEK.5MG 47 ELITEK 7.5MG 47 ELMIRON 00MG CAP 8 EMBEDA 00-4MG ER CAP EMBEDA MG ER CAP EMBEDA 30-.2MG ER CAP EMBEDA 50-2MG ER CAP EMBEDA MG ER CAP EMBEDA MG ER CAP EMCYT 40MG CAP 44 emoquette pack 65 EMPLICITI 300MG 43 EMPLICITI 400MG 43 EMSAM 2MG/24HR 25 TCH EMSAM 6MG/24HR 25 TCH EMSAM 9MG/24HR 25 TCH EMTRIVA 0MG/ML 54 ORAL SOLN EMTRIVA 200MG CAP 54 enalapril maleate 0mg 35 enalapril maleate 38 0mg/hydrochlorothiazid e 25mg enalapril maleate 2.5mg 35 enalapril maleate 20mg 35 enalapril maleate 5mg 35 enalapril maleate 38 5mg/hydrochlorothiazide 2.5mg ENBREL 25MG ENBREL 25MG/0.5ML SYRINGE ENBREL 50MG/ML SURECLICK ENBREL 50MG/ML SYRINGE endocet 0-325mg 4 endocet 5-325mg 4 endocet mg 4 ENGERIX-B 02 0MCG/0.5ML ENGERIX-B 02 0MCG/0.5ML SYRINGE ENGERIX-B 20MCG/ML 02 SYRINGE enoxaparin sodium 20 00mg/ml (0.3ml) syringe enoxaparin sodium 20 00mg/ml (0.4ml) syringe enoxaparin sodium 20 00mg/ml (0.6ml) syringe enoxaparin sodium 20 00mg/ml (0.8ml) syringe enoxaparin sodium 20 00mg/ml (ml) syringe enoxaparin sodium 20 00mg/ml inj enoxaparin sodium 20 50mg/ml (0.8ml) syringe enoxaparin sodium 20 50mg/ml (ml) syringe enpresse 28 day pack 65 entacapone 200mg 48 entecavir 0.5mg 56 entecavir mg 56 ENTRESTO 24-26MG 62 ENTRESTO 49-5MG 62 ENTRESTO 97-03MG 62 enulose 0gm/5ml oral 80 soln ENVARSUS 0.75MG ER 58 ENVARSUS MG ER 58 ENVARSUS 4MG ER 58 EPCLUSA MG 56 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

120 ALPHABETICAL LISTING OF DRUGS EPIDUO % GEL 70 EPIDUO % GEL 70 epinastine 0.05% ophth 92 soln EPINEPHRINE MG/0.3ML AUTO-ECTOR EPINEPHRINE MG/0.3ML AUTO-ECTOR epirubicin 2mg/ml inj 45 epitol 200mg 22 EPIVIR HBV 5MG/ML 56 ORAL SOLN eplerenone 25mg 39 eplerenone 50mg 39 EPOGEN 0000UNIT/ML 82 EPOGEN 20000UNIT/ML 82 EPOGEN 2000UNIT/ML 82 EPOGEN 3000UNIT/ML 82 EPOGEN 4000UNIT/ML 82 EPROSARTAN 600MG 36 EPZICOM MG 54 EQUETRO 00MG ER 50 CAP EQUETRO 200MG ER 50 CAP EQUETRO 300MG ER 50 CAP ERAXIS 00MG 32 ERAXIS 50MG 32 ERBITUX 00MG/50ML 43 ERGOLOID MESYLATES 97 MG ERIVEDGE 50MG CAP 43 errin 28 day 0.35mg pack 68 ERTACZO 2% CREAM 70 ERWINAZE 0000UNIT 47 ery 2% pad 70 ERYPED 400MG/5ML 85 ORAL SUSP ERY- 250MG DR 84 ERY- 333MG DR 85 ERY- 500MG DR 85 ERYTHROCIN 85 LACTOBIONATE 500MG erythromycin 0.005mg/mg 9 ophth ointment erythromycin 2% gel 70 erythromycin 2% topical 70 soln erythromycin 250mg dr 85 cap ERYTHROMYCIN MG ERYTHROMYCIN MG erythromycin 85 ethylsuccinate 40mg/ml oral susp erythromycin/benzoyl 70 peroxide 5-3% gel ESBRIET 267MG CAP 97 ESBRIET 267MG 97 ESBRIET 80MG 97 escitalopram 0mg 26 escitalopram mg/ml oral 26 soln escitalopram 20mg 26 escitalopram 5mg 26 ESOMEPRAZOLE 20MG 00 esomeprazole 40mg inj 00 estazolam mg 83 estazolam 2mg 83 estradiol mg/hr 78 twice weekly patch estradiol mg/hr 78 weekly patch estradiol mg/hr 78 twice weekly patch estradiol mg/hr 78 weekly patch estradiol mg/hr 78 twice weekly patch estradiol mg/hr 78 weekly patch estradiol mg/hr 78 weekly patch estradiol mg/hr 79 weekly patch estradiol mg/hr 79 twice weekly patch estradiol mg/hr 79 twice weekly patch estradiol mg/hr 79 weekly patch estradiol 0.5mg 79 estradiol mg/norethindrone acetate 0.mg pack estradiol mg 79 estradiol 78 mg/norethindrone acetate 0.5mg pack estradiol 20mg/ml inj 79 estradiol 2mg 79 estradiol 40mg/ml inj 79 ESTRING 2MG VAGINAL 03 RING ESTROPITE 0.75MG 79 ESTROPITE.5MG 79 ESTROPITE 3MG 79 eszopiclone mg 83 eszopiclone 2mg 83 eszopiclone 3mg 83 ethacrynic acid 25mg 75 ethambutol 00mg 4 ethambutol 400mg 4 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

121 ALPHABETICAL LISTING OF DRUGS ethinyl estradiol mg/norethindrone acetate 0.5mg ethinyl estradiol 0.005mg/norethindrone acetate mg ethinyl estradiol 0.0mg/ethinyl estradiol 0.03mg/levonorgestrel 0.5mg pack ethinyl estradiol 0.025mg/ferrous fumarate 75mg/norethindrone 0.8mg pack ethinyl estradiol 0.025mg/inert/norgestima te 0.8mg/0.25mg/0.25mg pack ethinyl estradiol 0.02mg/ferrous fumarate 75mg/norethindrone acetate mg pack ethinyl estradiol 0.02mg/inert ingredients mg/levonorgestrel 0.mg pack ethinyl estradiol 0.02mg/levonorgestrel 0.09mg pack ethinyl estradiol 0.02mg/norethindrone mg 2 day pack ethinyl estradiol 0.035mg/ferrous fumarate 75mg/norethindrone 0.4mg pack ethinyl estradiol 0.035mg/inert/norgestima te 0.8mg/0.25mg/0.25mg pack ethinyl estradiol mg/norgestimate 0.25mg pack ethinyl estradiol mg/0.04mg /inert/levonorgestrel 0.05mg/ 0.075mg pack ethinyl estradiol mg/inert ingredients mg/levonorgestrel 0.5mg pack ethinyl estradiol mg/ethynodiol mg/inert ingredients mg 28 day pack ethosuximide 250mg cap 25 ethosuximide 50mg/ml 25 oral soln etidronate disodium mg ETIDRONATE 76 DISODIUM 400MG etodolac 200mg cap 9 etodolac 300mg cap 9 etodolac 400mg er 9 etodolac 400mg 9 etodolac 500mg er 0 etodolac 500mg 0 etodolac 600mg er 0 ETOPOPHOS 00MG 48 etoposide 20mg/ml inj 48 EURAX 0% CREAM 74 EVOTAZ MG 54 exemestane 25mg 44 EXJADE 25MG ORAL 3 SUSP EXJADE 250MG ORAL 3 SUSP EXJADE 500MG ORAL 3 SUSP EXONDYS 00MG/2ML 89 EXONDYS 500MG/0ML 89 EXTAVIA 0.3MG 96 ezetimibe 0mg 35 F FABRAZYME 35MG 77 falmina 28 day pack 66 famciclovir 25mg 57 famciclovir 250mg 57 famciclovir 500mg 57 FAMOTIDINE 0.4MG/ML 00 famotidine 0mg/ml inj 00 famotidine 20mg 00 famotidine 40mg 00 famotidine 8mg/ml oral 00 susp FANAPT 0MG 5 FANAPT 2MG 5 FANAPT MG 5 FANAPT 2MG 5 FANAPT 4MG 5 FANAPT 6MG 5 FANAPT 8MG 5 FANAPT TITRATION 5 CK FARESTON 60MG 44 FARXIGA 0MG 30 FARXIGA 5MG 30 FARYDAK 0MG CAP 45 FARYDAK 5MG CAP 45 FARYDAK 20MG CAP 45 FASLODEX 250MG/5ML 44 SYRINGE fayosim 9 day pack 66 FAZACLO 2.5MG ODT 52 FAZACLO 50MG ODT 52 FAZACLO 200MG ODT 52 felbamate 20mg/ml oral 24 susp felbamate 400mg 24 felbamate 600mg 24 felodipine 0mg er 6 felodipine 2.5mg er 6 felodipine 5mg er 6 femynor 28 day pack 66 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 20

122 ALPHABETICAL LISTING OF DRUGS fenofibrate 30mg cap 34 fenofibrate 34mg cap 34 fenofibrate 45mg 34 FENOFIBRATE 50MG 34 CAP fenofibrate 60mg 34 fenofibrate 200mg cap 34 fenofibrate 43mg cap 34 fenofibrate 48mg 34 FENOFIBRATE 50MG 34 CAP fenofibrate 54mg 34 fenofibrate 67mg cap 34 fenofibric acid 35mg dr 34 cap fenofibric acid 45mg dr 34 cap FENOPROFEN 400MG 0 CAP fentanyl 0.02mg/hr patch fentanyl 0.025mg/hr patch FENTANYL MG/HR TCH fentanyl 0.05mg/hr patch FENTANYL MG/HR TCH fentanyl 0.075mg/hr patch fentanyl 0.mg/hr patch fentanyl 0.2mg lozenge fentanyl 0.4mg lozenge fentanyl 0.6mg lozenge fentanyl 0.8mg lozenge fentanyl.2mg lozenge fentanyl.6mg lozenge FENTORA 00MCG BUCCAL FENTORA 200MCG BUCCAL FENTORA 400MCG BUCCAL FENTORA 600MCG BUCCAL FENTORA 800MCG BUCCAL FERRIPROX 00MG/ML 3 ORAL SOLN FERRIPROX 500MG 3 FETZIMA 20MG ER 27 CAP FETZIMA 20MG ER CAP 27 FETZIMA 40MG ER CAP 27 FETZIMA 80MG ER CAP 27 FETZIMA CK 27 FINACEA 5% FOAM 74 FINACEA 5% GEL 74 finasteride 5mg 8 FIRAZYR 30MG/3ML 8 SYRINGE FIRMAGON 20MG 44 FIRMAGON 80MG 44 flavoxate 00mg 02 FLEBOGAMMA 0% 93 flecainide acetate 00mg 7 flecainide acetate 50mg 7 flecainide acetate 50mg 7 FLOVENT 00MCG 8 DISKUS FLOVENT 0MCG HFA 8 INH FLOVENT 220MCG HFA 8 INH FLOVENT 250MCG 8 DISKUS FLOVENT 44MCG HFA 9 INH FLOVENT 50MCG 9 DISKUS fluconazole 00mg 32 fluconazole 0mg/ml oral 32 susp fluconazole 50mg 32 fluconazole 200mg 33 fluconazole 2mg/ml 33 (00ml) inj fluconazole 2mg/ml inj 33 fluconazole 40mg/ml oral 33 susp fluconazole 50mg 33 flucytosine 250mg cap 32 flucytosine 500mg cap 32 fludarabine phosphate 42 50mg inj fludrocortisone 0.mg 69 flunisolide 25mcg nasal 89 inhaler fluocinolone acetonide % cream fluocinolone acetonide % otic soln fluocinolone acetonide % topical soln fluocinolone acetonide % cream fluocinolone acetonide % ointment fluocinolone acetonide 72 0.mg/ml oil fluocinonide 0.05% e 72 cream fluocinonide 0.05% gel 73 fluocinonide 0.05% 73 ointment fluocinonide 0.05% 73 topical soln fluorometholone 0.% 9 ophth susp FLUOROURACIL 0.5% 7 CREAM fluorouracil 2% topical 7 soln fluorouracil 5% cream 7 fluorouracil 5% topical 7 soln fluorouracil 50mg/ml inj 42 fluoxetine 0mg cap 26 fluoxetine 0mg 26 fluoxetine 20mg cap 26 fluoxetine 20mg 26 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

123 ALPHABETICAL LISTING OF DRUGS fluoxetine 96 25mg/olanzapine 2mg cap fluoxetine 96 25mg/olanzapine 3mg cap fluoxetine 96 25mg/olanzapine 6mg cap fluoxetine 40mg cap 26 fluoxetine 4mg/ml oral 26 soln fluoxetine 96 50mg/olanzapine 2mg cap fluoxetine 96 50mg/olanzapine 6mg cap FLUPHENAZINE MG/ML ORAL SOLN fluphenazine 0mg 53 fluphenazine mg 53 fluphenazine 2.5mg 53 FLUPHENAZINE MG/ML fluphenazine 5mg 53 FLUPHENAZINE 53 5MG/ML ORAL SOLN fluphenazine decanoate 53 25mg/ml inj FLURAZEM 5MG 83 CAP FLURAZEM 30MG 83 CAP flurbiprofen 00mg 0 flurbiprofen 50mg 0 flurbiprofen sodium % ophth soln flutamide 25mg cap 44 fluticasone propionate % ointment fluticasone propionate % cream fluticasone propionate % lotion fluticasone propionate 89 50mcg nasal inhaler FLUTICASONE 9 PROPIONATE/SALMETE ROL XINAFOATE 3-4MCG/ACT POWDER INH FLUTICASONE 9 PROPIONATE/SALMETE ROL XINAFOATE 232-4MCG/ACT POWDER INH FLUTICASONE 9 PROPIONATE/SALMETE ROL XINAFOATE 55-4MCG/ACT POWDER INH fluvastatin 20mg cap 34 fluvastatin 40mg cap 34 fluvastatin 80mg er 34 fluvoxamine maleate 26 00mg er cap fluvoxamine maleate 26 00mg fluvoxamine maleate 26 50mg er cap fluvoxamine maleate 26 25mg fluvoxamine maleate 26 50mg FOLOTYN 40MG/2ML 42 fomepizole 000mg/ml inj 3 fondaparinux sodium mg/ml (0.4ml) syringe fondaparinux sodium mg/ml (0.6ml) syringe fondaparinux sodium 2 2.5mg/ml (0.8ml) syringe fondaparinux sodium 2 5mg/ml syringe FORTEO 600MCG/2.4ML 76 PEN fosinopril sodium 0mg 35 fosinopril sodium 0mg/hydrochlorothiazid e 2.5mg fosinopril sodium 20mg fosinopril sodium 20mg/hydrochlorothiazid e 2.5mg fosinopril sodium 40mg fosphenytoin sodium 75mg/ml inj FOSRENOL 000MG CHEW FOSRENOL 000MG ORAL POWDER FOSRENOL 500MG CHEW FOSRENOL 750MG CHEW FOSRENOL 750MG ORAL POWDER FRAGMIN 0000UNIT/ML SYRINGE FRAGMIN 2500UNIT/0.5ML SYRINGE FRAGMIN 5000UNIT/0.6ML SYRINGE FRAGMIN 8000UNIT/0.72ML SYRINGE FRAGMIN 2500UNIT/0.2ML SYRINGE FRAGMIN 5000UNIT/0.2ML SYRINGE FRAGMIN 7500UNIT/0.3ML SYRINGE FRAGMIN 95000UNIT/3.8ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 22

124 ALPHABETICAL LISTING OF DRUGS FREAMINE 6.9% 90 furosemide 0mg/ml inj 75 furosemide 0mg/ml oral 75 soln furosemide 0mg/ml 75 syringe furosemide 20mg 75 furosemide 40mg 75 furosemide 80mg 75 FUROSEMIDE 8MG/ML 75 ORAL SOLN FUSILEV 50MG 48 FUZEON 90MG 54 fyavolv 0.5mg-2.5mcg 78 fyavolv mg-5mcg 78 FYCOM 0.5MG/ML 2 ORAL SUSP FYCOM 0MG 2 FYCOM 2MG 2 FYCOM 2MG 2 FYCOM 4MG 2 FYCOM 6MG 2 FYCOM 8MG 2 G gabapentin 00mg cap 22 gabapentin 300mg cap 22 gabapentin 400mg cap 22 gabapentin 50mg/ml oral 22 soln gabapentin 600mg 22 gabapentin 800mg 22 GABITRIL 2MG 24 GABITRIL 6MG 24 galantamine 2mg 95 galantamine 4mg 95 galantamine 8mg 95 galantamine 95 hydrobromide 6mg er cap galantamine 95 hydrobromide 24mg er cap GALANTAMINE 95 HYDROBROMIDE 4MG/ML ORAL SOLN galantamine 95 hydrobromide 8mg er cap GAMASTAN UNIT/0ML GAMASTAN UNIT/2ML GAMMAGARD 0GM 93 GAMMAGARD GM/25ML GAMMAGARD 5GM 93 GAMMAKED 93 GM/0ML GAMMAPLEX 93 0GM/00ML GAMMAPLEX 93 0GM/200ML GAMMAPLEX 93 20GM/200ML GAMMAPLEX 93 5GM/50ML GAMUNEX GM/0ML 93 ganciclovir 500mg inj 56 GARDASIL 9 02 GARDASIL 9 SYRINGE 02 gatifloxacin 0.5% ophth 9 soln GATTEX 5MG 8 GAUZE D 85 gavilyte-c oral soln 84 gavilyte-g oral soln 84 gavilyte-n powder for 84 oral soln gemciine 000mg inj 42 gemfibrozil 600mg 34 generlac 0gm/5ml oral 80 soln gengraf 00mg cap 58 gengraf 00mg/ml oral 58 soln gengraf 25mg cap 58 gengraf 50mg cap 87 gentak 0.3% ophth 9 ointment gentamicin.2mg/ml inj 8 gentamicin 0mg/ml inj 8 gentamicin 40mg/ml inj 8 gentamicin sulfate 0.% 70 cream gentamicin sulfate 0.% 70 ointment gentamicin sulfate 0.3% 9 ophth soln gentamicin sulfate 8 0.8mg/ml inj gentamicin sulfate 9.6mg/ml inj gentamicin sulfate 9 mg/ml inj GENVOYA MG GEODON 20MG 50 gianvi 28-day pack 66 gildagia pack 66 GILENYA 0.5MG CAP 97 GILOTRIF 20MG 45 GILOTRIF 30MG 45 GILOTRIF 40MG 45 GLASSIA 000MG/50ML 97 GLEOSTINE 00MG CAP 42 GLEOSTINE 0MG CAP 42 GLEOSTINE 40MG CAP 42 GLEOSTINE 5MG CAP 42 glimepiride mg 30 glimepiride 2mg 30 glimepiride 28 2mg/pioglitazone 30mg glimepiride 4mg 30 glimepiride 28 4mg/pioglitazone 30mg glipizide 0mg er 30 glipizide 0mg 30 glipizide 2.5mg er 30 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 23

125 ALPHABETICAL LISTING OF DRUGS glipizide mg/metformin 250mg glipizide mg/metformin 500mg glipizide 5mg er 30 glipizide 5mg 3 glipizide 5mg/metformin mg GLUCAGEN MG 29 GLUCAGON MG 29 glucose 0% inj 89 GLUCOSE 86 00MG/ML/SODIUM CHLORIDE MEQ/ML GLUCOSE 86 00MG/ML/SODIUM CHLORIDE MEQ/ML glucose 25mg/ml/sodium 86 chloride meq/ml inj glucose 5% inj 89 glucose 86 50mg/ml/potassium chloride 0.0meq/ml/sodium chloride meq/ml inj glucose 86 50mg/ml/potassium chloride 0.02 meq/ml inj glucose 86 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride meq/ml inj glucose 86 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride 0.056meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/potassium chloride 0.02meq/ml/sodium chloride 0.54meq/ml inj glucose 50mg/ml/potassium chloride 0.03meq/ml/sodium chloride meq/ml inj GLUCOSE 50MG/ML/POTASSIUM CHLORIDE 0.04 MEQ/ML/SODIUM CHLORIDE 0.54 MEQ/ML GLUCOSE 50MG/ML/POTASSIUM CHLORIDE 0.04MEQ/ML glucose 50mg/ml/potassium chloride 0.04meq/ml/sodium chloride meq/ml inj glucose 50mg/ml/sodium chloride meq/ml inj GLUCOSE 50MG/ML/SODIUM CHLORIDE MEQ/ML glucose 50mg/ml/sodium chloride meq/ml inj glucose 50mg/ml/sodium 86 chloride meq/ml inj glucose 50mg/ml/sodium 86 chloride 0.54 meq/ml inj glyburide.25mg 3 glyburide 29.25mg/metformin 250mg glyburide.5mg 3 glyburide 2.5mg 3 glyburide mg/metformin 500mg glyburide 3mg 3 glyburide 5mg 3 glyburide 5mg/metformin mg glyburide 6mg 3 glycopyrrolate 0.2mg/ml 00 inj glycopyrrolate mg 00 glycopyrrolate 2mg 00 GLYXAMBI 0-5MG 29 GLYXAMBI 25-5MG 29 gramicidin mg/ml/neomycin.75mg/ml/polymyxin b 0000unit/ml ophth soln granisetron 0.mg/ml inj 3 granisetron mg 3 granisetron mg/ml (ml) 3 inj granisetron mg/ml inj 3 GRANIX 300MCG/0.5ML 83 SYRINGE GRANIX 480MCG/0.8ML 83 SYRINGE griseofulvin 25mg 32 griseofulvin 250mg 32 griseofulvin 25mg/ml oral 32 susp griseofulvin 500mg 32 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 24

126 ALPHABETICAL LISTING OF DRUGS guanfacine mg er 7 guanfacine mg 37 guanfacine 2mg er 7 guanfacine 2mg 37 guanfacine 3mg er 7 guanfacine 4mg er 7 GUANIDINE 25MG 4 H HALAVEN MG/2ML 48 halobetasol propionate % cream halobetasol propionate % ointment haloperidol 0.5mg 5 haloperidol 0mg 5 haloperidol mg 5 haloperidol 20mg 5 haloperidol 2mg 5 haloperidol 2mg/ml oral 52 soln haloperidol 5mg 52 haloperidol 5mg/ml inj 52 haloperidol decanoate 52 00mg/ml inj haloperidol decanoate 52 50mg/ml inj HAVRIX 440UNIT 02 HAVRIX 720UNIT 02 SYRINGE heparin sodium, porcine unit/ml inj heparin sodium, porcine 2 000unit/ml inj HERIN SODIUM, 2 PORCINE 00UNIT/ML heparin sodium, porcine unit/ml inj heparin sodium, porcine 2 40unit/ml inj heparin sodium, porcine unit/ml inj heparin sodium, porcine 2 50unit/ml inj HETAMINE 8% 90 HERCEPTIN 440MG 43 HETLIOZ 20MG CAP 84 HEXALEN 50MG CAP 42 HIBERIX 02 HUMIRA 0MG/0.2ML 9 SYRINGE HUMIRA 20MG/0.4ML 9 SYRINGE HUMIRA 40MG/0.8ML 9 AUTO-ECTOR HUMIRA 40MG/0.8ML 9 SYRINGE HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (3) 40MG/0.8ML HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (6) 40MG/0.8ML HUMIRA PEN - 9 CROHN'S STARTER CK 40MG/0.8ML HUMIRA PEN - 9 PSORIASIS STARTER CK 40MG/0.8ML HUMULIN R UNIT/ML HUMULIN R UNIT/ML PEN hydralazine 00mg 39 hydralazine 0mg 39 hydralazine 20mg/ml inj 39 hydralazine 25mg 39 hydralazine 50mg 39 hydrochlorothiazide mg cap hydrochlorothiazide mg hydrochlorothiazide mg/irbesartan 50mg hydrochlorothiazide 2.5mg/irbesartan 300mg hydrochlorothiazide 2.5mg/lisinopril 0mg hydrochlorothiazide 2.5mg/lisinopril 20mg hydrochlorothiazide 2.5mg/losartan potassium 00mg hydrochlorothiazide 2.5mg/losartan potassium 50mg hydrochlorothiazide 2.5mg/moexipril 5mg hydrochlorothiazide 2.5mg/moexipril 7.5mg hydrochlorothiazide 2.5mg/quinapril 0mg hydrochlorothiazide 2.5mg/quinapril 20mg hydrochlorothiazide 2.5mg/telmisartan 40mg hydrochlorothiazide 2.5mg/telmisartan 80mg hydrochlorothiazide 2.5mg/valsartan 60mg hydrochlorothiazide 2.5mg/valsartan 320mg hydrochlorothiazide 2.5mg/valsartan 80mg hydrochlorothiazide 5mg/methyldopa 250mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 25

127 ALPHABETICAL LISTING OF DRUGS hydrochlorothiazide 25mg hydrochlorothiazide 25mg/lisinopril 20mg hydrochlorothiazide 25mg/losartan potassium 00mg hydrochlorothiazide 25mg/methyldopa 250mg hydrochlorothiazide 25mg/metoprolol tartrate 00mg hydrochlorothiazide 25mg/metoprolol tartrate 50mg hydrochlorothiazide 25mg/moexipril 5mg hydrochlorothiazide 25mg/propranolol 40mg hydrochlorothiazide 25mg/propranolol 80mg hydrochlorothiazide 25mg/quinapril 20mg hydrochlorothiazide 25mg/spironolactone 25mg hydrochlorothiazide 25mg/telmisartan 80mg hydrochlorothiazide 25mg/triamterene 37.5mg cap hydrochlorothiazide 25mg/triamterene 37.5mg HYDROCHLOROTHIAZI DE 25MG/TRIAMTERENE 50MG CAP hydrochlorothiazide 25mg/valsartan 60mg hydrochlorothiazide 39 25mg/valsartan 320mg hydrochlorothiazide 75 50mg hydrochlorothiazide 39 50mg/metoprolol tartrate 00mg hydrochlorothiazide 75 50mg/triamterene 75mg hydrocodone 4 0mg/ibuprofen 200mg hydrocodone 4 5mg/ibuprofen 200mg hydrocodone bitartrate 4 7.5mg/ibuprofen 200mg hydrocortisone % cream 73 hydrocortisone % 73 ointment hydrocortisone 5.67mg/ml enema hydrocortisone 0mg 68 hydrocortisone 9 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml ophth susp hydrocortisone 92 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic soln hydrocortisone 93 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic susp hydrocortisone 2.5% 73 cream hydrocortisone 2.5% 73 lotion hydrocortisone 2.5% 73 ointment hydrocortisone 20mg 68 hydrocortisone 5mg 68 hydrocortisone valerate % cream hydrocortisone valerate % ointment hydromorphone 0mg/ml (ml) inj hydromorphone 0mg/ml (5ml) inj hydromorphone 2mg er hydromorphone 6mg er hydromorphone mg/ml 2 oral soln hydromorphone 2mg 2 hydromorphone 2mg/ml 2 syringe hydromorphone 32mg er 2 hydromorphone 4mg 2 hydromorphone 8mg er 2 hydromorphone 8mg 2 hydroxychloroquine 4 sulfate 200mg HYDROXYPROGESTER 44 ONE CAPROATE 250MG/ML hydroxyurea 500mg cap 47 hydroxyzine 0mg 6 hydroxyzine 25mg 6 HYDROXYZINE 6 25MG/ML hydroxyzine 2mg/ml oral 6 soln hydroxyzine 50mg 6 hydroxyzine 50mg/ml inj 6 HYDROXYZINE 6 MOATE 00MG CAP hydroxyzine pamoate 6 25mg cap hydroxyzine pamoate 6 50mg cap HYPERRAB 93 50UNIT/ML (0ML) You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 26

128 ALPHABETICAL LISTING OF DRUGS HYPERRAB 50UNIT/ML (2ML) HYSINGLA 00MG ER HYSINGLA 20MG ER HYSINGLA 20MG ER HYSINGLA 30MG ER HYSINGLA 40MG ER HYSINGLA 60MG ER HYSINGLA 80MG ER I ibandronate 50mg 76 ibandronate mg/ml inj 76 IBRANCE 00MG CAP 45 IBRANCE 25MG CAP 45 IBRANCE 75MG CAP 45 ibuprofen 20mg/ml oral 0 susp ibuprofen 400mg 0 IBUPROFEN 4 400MG/OXYCODONE 5MG ibuprofen 600mg 0 ibuprofen 800mg 0 ICLUSIG 5MG 45 ICLUSIG 45MG 46 idarubicin hydrochloride 45 mg/ml inj ifosfamide 000mg inj 42 ILARIS 80MG 9 ILEVRO 0.3% OPHTH 92 SUSP imatinib 00mg 46 imatinib 400mg 46 IMBRUVICA 40MG 46 CAP IMFINZI 20MG/2.4ML 43 IMFINZI 500MG/0ML 43 imipramine 0mg 28 imipramine 25mg 28 imipramine 50mg 28 imipramine pamoate 28 00mg cap imipramine pamoate 28 25mg cap imipramine pamoate 28 50mg cap imipramine pamoate 28 75mg cap imiquimod 5% cream 73 IMOGAM 50UNIT/ML 93 (2ML) IMOVAX 2.5UNIT/ML 02 INCRELEX 40MG/4ML 77 INCRUSE 62.5MCG INH 8 indapamide.25mg 75 indapamide 2.5mg 75 INDOCIN 25MG/5ML 0 ORAL SUSP indomethacin 25mg cap 0 indomethacin 50mg cap 0 indomethacin 75mg er 0 cap INFANRIX 99 INLYTA MG 46 INLYTA 5MG 46 INNOPRAN 20MG XL 59 CAP INNOPRAN 80MG XL 59 CAP INSULIN PEN NEEDLE 85 INSULIN SYRINGE 85 (DISP) U ML INSULIN SYRINGE 85 (DISP) U-00 /2ML INSULIN SYRINGE 85 (DISP) U-00 ML INSULIN SYRINGE MIS 85 ML/29G INTELENCE 00MG 54 INTELENCE 200MG 54 INTELENCE 25MG 54 intralipid 200mg/ml inj 89 INTRON A 0MU 47 INTRON A 8MU 47 INTRON A 50MU 47 INTRON A UNIT/ML introvale 9 day pack 66 INVANZ GM 40 INVEGA 7MG/0.75ML 5 SYRINGE INVEGA 56MG/ML 5 SYRINGE INVEGA 234MG/.5ML 5 SYRINGE INVEGA 5 273MG/0.875ML SYRINGE INVEGA 39MG/0.25ML 5 SYRINGE INVEGA 5 40MG/.35ML SYRINGE INVEGA 546MG/.75ML 5 SYRINGE INVEGA 78MG/0.5ML 5 SYRINGE INVEGA 5 89MG/2.625ML SYRINGE INVIRASE 200MG CAP 54 INVIRASE 500MG 54 IONOSOL-MB 86 IOPIDINE % OPHTH 90 SOLN IPOL 02 ipratropium bromide % inh soln ipratropium bromide % nasal inhaler ipratropium bromide % nasal inhaler You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 27

129 ALPHABETICAL LISTING OF DRUGS ipratropium/albuterol mg/3ml inh soln irbesartan 50mg 36 irbesartan 300mg 36 irbesartan 75mg 36 IRESSA 250MG 46 irinotecan 20mg/ml inj 48 ISENTRESS 00MG 54 CHEW ISENTRESS 00MG 55 ORAL SUSP ISENTRESS 25MG 55 CHEW ISENTRESS 400MG 55 ISOLYTE P 86 ISOLYTE S 86 isoniazid 00mg 4 ISONIAZID 00MG/ML 4 ISONIAZID 0MG/ML 4 ORAL SOLN isoniazid 300mg 4 ISOPROPYL ALCOHOL ML/ML D isosorbide dinitrate 0mg 5 isosorbide dinitrate 20mg 5 isosorbide dinitrate 30mg 5 ISOSORBIDE DINITRATE 5 40MG ER isosorbide dinitrate 5mg 5 isosorbide mononitrate 5 0mg isosorbide mononitrate 5 20mg er isosorbide mononitrate 5 20mg isosorbide mononitrate 5 30mg er isosorbide mononitrate 5 60mg er isradipine 2.5mg cap 6 isradipine 5mg cap 6 ISTALOL 0.5% OPHTH 90 SOLN ISTODAX 0MG 46 itraconazole 00mg cap 33 ivermectin 3mg 5 IXIARO SYRINGE 02 J JADENU 80MG 3 GRANULE CKET JADENU 80MG 3 JADENU 360MG 3 GRANULE CKET JADENU 360MG 3 JADENU 90MG 3 GRANULE CKET JADENU 90MG 3 JAKAFI 0MG 46 JAKAFI 5MG 46 JAKAFI 20MG 46 JAKAFI 25MG 46 JAKAFI 5MG 46 jantoven 0mg 20 jantoven mg 20 jantoven 2.5mg 20 jantoven 2mg 20 jantoven 3mg 20 jantoven 4mg 20 jantoven 5mg 20 jantoven 6mg 20 jantoven 7.5mg 20 JANUMET MG 29 XR JANUMET MG 29 JANUMET MG 29 XR JANUMET MG 29 JANUMET MG XR 29 JANUVIA 00MG 29 JANUVIA 25MG 29 JANUVIA 50MG 29 JARDIANCE 0MG 30 JARDIANCE 25MG 30 JENTADUETO MG JENTADUETO MG XR JENTADUETO MG JENTADUETO MG JENTADUETO MG XR JEVTANA 60MG/.5ML 48 jinteli 78 jolivette 28 day 0.35mg 68 pack juleber 28 day pack 66 junel.5/30 2 day pack 66 junel /20 2 day pack 66 junel fe.5/30 28 day 66 pack junel fe /20 28 day pack 66 junel fe 24 /20 28 day 66 pack JUXTAPID 0MG CAP 35 JUXTAPID 20MG CAP 35 JUXTAPID 30MG CAP 35 JUXTAPID 40MG CAP 35 JUXTAPID 5MG CAP 35 JUXTAPID 60MG CAP 35 K KADCYLA 00MG 43 kaitlib fe 28 day pack 66 KALETRA 00-25MG 55 KALETRA MG 55 KALETRA MG/5ML ORAL SOLN KALYDECO 50MG 97 KALYDECO 50MG 97 GRANULES CKET You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 28

130 ALPHABETICAL LISTING OF DRUGS KALYDECO 75MG 97 GRANULES CKET kariva 28 day pack 66 KCL/D5W/LR 0.5% 86 kelnor /35 28 day pack 66 KENALOG 0MG/ML 68 KENALOG 40MG/ML 68 KEPIVANCE 6.25MG 47 ketoconazole 2% cream 70 ketoconazole 2% 70 shampoo ketoconazole 200mg 33 ketoconazole 20mg/ml 70 foam ketoprofen 50mg cap 0 ketoprofen 75mg cap 0 ketorolac tromethamine % ophth soln ketorolac tromethamine % ophth soln ketorolac tromethamine 0 0mg ketorolac tromethamine 0 5mg/ml inj ketorolac tromethamine 0 30mg/ml cartridge ketorolac tromethamine 0 30mg/ml inj KEYTRUDA 00MG/4ML 43 KEYTRUDA 50MG 43 KHEDEZLA 00MG ER 27 KHEDEZLA 50MG ER 27 kimidess 28 day pack 66 KINRIX 0.05 MG/ML 00 KINRIX 00 kionex 250mg/ml oral 58 susp KISQALI 200MG DAILY 46 DOSE CK KISQALI 400MG DAILY 46 DOSE CK KISQALI 600MG DAILY 46 DOSE CK KISQALI/FEMARA 45 CO-CK 200MG KISQALI/FEMARA 45 CO-CK 400MG KISQALI/FEMARA 45 CO-CK 600MG klor-con 0meq er cap 87 klor-con 0meq er micro 87 klor-con 0meq er 87 KLOR-CON 5MEQ ER 87 klor-con 20meq er micro 87 klor-con 8meq er cap 87 klor-con 8meq er 87 KORLYM 300MG 29 K- 20MEQ ER 87 K- 8MEQ ER 87 KUVAN 00MG 77 POWDER FOR ORAL SOLN KUVAN 00MG 77 KUVAN 500MG 77 POWDER FOR ORAL SOLN KYNAMRO 200MG/ML 33 SYRINGE KYPROLIS 30MG 46 KYPROLIS 60MG 46 L labetalol 00mg 59 labetalol 200mg 59 labetalol 300mg 59 labetalol 5mg/ml inj 59 LACRISERT 5MG 90 IMPLANT lactated ringers inj 86 lactated ringers 58 irrigation lactulose 667mg/ml oral 84 soln LAMICTAL BLUE KIT 22 LAMICTAL GREEN KIT 22 LAMICTAL ORANGE KIT 22 LAMICTAL XR BLUE 22 KIT LAMICTAL XR GREEN 22 KIT LAMICTAL XR ORANGE 22 KIT lamivudine 00mg 56 lamivudine 0mg/ml oral 55 soln lamivudine 50mg 55 lamivudine 55 50mg/zidovudine 300mg lamivudine 300mg 55 lamotrigine 00mg er 22 lamotrigine 00mg odt 22 lamotrigine 00mg 22 lamotrigine 50mg 22 lamotrigine 200mg er 22 lamotrigine 200mg odt 22 lamotrigine 200mg 22 lamotrigine 250mg er 22 lamotrigine 25mg chew 23 lamotrigine 25mg er 23 lamotrigine 25mg odt 23 lamotrigine 25mg 23 lamotrigine 300mg er 23 lamotrigine 50mg er 23 lamotrigine 50mg odt 23 lamotrigine 5mg chew 23 lansoprazole 5mg dr cap 00 lansoprazole 30mg dr cap 00 LANTUS 00UNIT/ML 30 LANTUS 00UNIT/ML 30 SOLOSTAR larin.5/30 pack 66 larin /20 pack 66 larin fe.5/30 pack 66 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 29

131 ALPHABETICAL LISTING OF DRUGS larin fe /20 pack 66 larissia 28 day pack 66 LARTRUVO 0MG/ML 43 latanoprost 0.005% 92 ophth soln LATUDA 20MG 50 LATUDA 20MG 50 LATUDA 40MG 50 LATUDA 60MG 50 LATUDA 80MG 50 layolis fe 28 pack 66 leena 28 day pack 66 leflunomide 0mg 0 leflunomide 20mg 0 LENVIMA (8) 4MG 46 CK LENVIMA 0 0MG 46 CK LENVIMA 4 CK 46 LENVIMA 8 CK 46 LENVIMA 20 0MG 46 CK LENVIMA 24 CK 46 lessina 28 day pack 66 LETAIRIS 0MG 63 LETAIRIS 5MG 63 letrozole 2.5mg 44 LEUCOVORIN 0MG 48 leucovorin 0mg/ml inj 48 LEUCOVORIN 5MG 48 leucovorin 20mg/ml inj 48 leucovorin 25mg 48 leucovorin 5mg 48 LEUKERAN 2MG 42 LEUKINE 250MCG 83 leuprolide acetate 5mg/ml 44 inj levalbuterol 0.3mg inh 9 soln levalbuterol 0.63mg inh 9 soln levalbuterol.25mg inh 9 soln levalbuterol 2.5mg inh 9 soln LEVEMIR 00UNIT/ML 30 FLEXTOUCH LEVEMIR 00UNIT/ML 30 levetiracetam 000mg 23 levetiracetam 00mg/ml 23 inj levetiracetam 00mg/ml 23 oral soln levetiracetam 0mg/ml inj 23 levetiracetam 5mg/ml inj 23 levetiracetam 250mg 23 levetiracetam 500mg er 23 levetiracetam 500mg 23 levetiracetam 5mg/ml inj 23 levetiracetam 750mg er 23 levetiracetam 750mg 23 levobunolol 0.5% ophth 90 soln levocarnitine 00mg/ml 77 oral soln levocarnitine 330mg 77 levocetirizine 0.5mg/ml 33 oral soln levocetirizine 5mg 33 levofloxacin 0.5% ophth 9 soln levofloxacin 250mg 79 levofloxacin 25mg/ml inj 79 levofloxacin 25mg/ml 79 oral soln levofloxacin 500mg 79 levofloxacin 5mg/ml 79 (50ml) inj levofloxacin 5mg/ml inj 79 levofloxacin 750mg 79 levoleucovorin 0mg/ml 48 inj levonest 28 day pack 66 levora 0.5/30 28 day 66 pack LEVORPHANOL 2MG 2 levothyroxine sodium 98 00mcg levothyroxine sodium 98 2mcg levothyroxine sodium 98 25mcg levothyroxine sodium 98 37mcg levothyroxine sodium 98 50mcg levothyroxine sodium 98 75mcg levothyroxine sodium mcg levothyroxine sodium 98 25mcg levothyroxine sodium mcg levothyroxine sodium 98 50mcg levothyroxine sodium 98 75mcg levothyroxine sodium 98 88mcg levoxyl 00mcg 98 levoxyl 2mcg 98 levoxyl 25mcg 98 levoxyl 37mcg 98 levoxyl 50mcg 98 levoxyl 75mcg 99 levoxyl 200mcg 99 levoxyl 25mcg 99 levoxyl 50mcg 99 levoxyl 75mcg 99 levoxyl 88mcg 99 LEXIVA 50MG/ML 55 ORAL SUSP LEXIVA 700MG 55 LIALDA.2GM DR 80 lidocaine 0.5% inj 84 lidocaine % inj 84 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 30

132 ALPHABETICAL LISTING OF DRUGS lidocaine 2% gel 74 lidocaine 2% inj 84 lidocaine 2% topical soln 88 lidocaine 4% topical soln 74 lidocaine 5% ointment 74 lidocaine 5% patch 74 lidocaine/prilocaine % cream lincomycin 300mg/ml inj 4 lindane % shampoo 74 linezolid 20mg/ml oral 4 susp linezolid 2mg/ml inj 4 linezolid 600mg 4 LINZESS 45MCG CAP 80 LINZESS 290MCG CAP 80 LINZESS 72MCG CAP 80 liothyronine sodium mg liothyronine sodium mg/ml inj liothyronine sodium mg liothyronine sodium mg lisinopril 0mg 35 lisinopril 2.5mg 35 lisinopril 20mg 35 lisinopril 30mg 35 lisinopril 40mg 35 lisinopril 5mg 35 lithium carbonate 50mg 50 cap lithium carbonate 300mg 50 cap lithium carbonate 300mg 50 er lithium carbonate 300mg 50 lithium carbonate 450mg 50 er lithium carbonate 600mg 50 cap lithium citrate 60mg/ml 50 oral soln LITHOSTAT 250MG 8 lokara 0.05% lotion 73 lomedia 24 fe pack 66 LONSURF 5-6.4MG 45 LONSURF MG 45 loperamide 2mg cap 3 lopinavir 55 80mg/ml/ritonavir 20mg/ml oral solution lorazepam 0.5mg 7 lorazepam mg 7 lorazepam 2mg 7 lorazepam 2mg/ml oral 7 conc lorcet 0-325mg 4 lorcet 5-325mg 4 lorcet mg 4 lor 0-325mg 4 lor 5-325mg 4 lor mg 4 loryna 28 day pack 66 losartan potassium 36 00mg losartan potassium 25mg 36 losartan potassium 50mg 36 LOTEMAX 0.5% OPHTH 9 GEL LOTEMAX 0.5% OPHTH 9 OINTMENT LOTEMAX 0.5% OPHTH 92 SUSP lovastatin 0mg 34 lovastatin 20mg 34 lovastatin 40mg 34 low-ogestrel 28 day pack 66 loxapine 0mg cap 52 loxapine 25mg cap 52 loxapine 50mg cap 52 loxapine 5mg cap 52 LUMIGAN 0.0% OPHTH 92 SOLN LUMIZYME 50MG 77 LUPRON.25MG 44 (.5ML) SYRINGE LUPRON.25MG 77 (ML) SYRINGE LUPRON 5MG 77 SYRINGE LUPRON 22.5MG 44 SYRINGE LUPRON 3.75MG 44 SYRINGE LUPRON 30MG 44 SYRINGE LUPRON 45MG 44 SYRINGE LUPRON 7.5MG 44 SYRINGE lutera 28 day pack 66 LYNRZA 50MG CAP 46 LYRICA 00MG CAP 23 LYRICA 50MG CAP 23 LYRICA 200MG CAP 23 LYRICA 20MG/ML 23 ORAL SOLN LYRICA 225MG CAP 23 LYRICA 25MG CAP 23 LYRICA 300MG CAP 23 LYRICA 50MG CAP 23 LYRICA 75MG CAP 23 LYSODREN 500MG 44 lyza 0.35mg pack 68 M magnesium sulfate 50% 87 inj magnesium sulfate 50% 87 syringe malathion 0.5% lotion 74 MAPROTILINE 25MG 25 MAPROTILINE 50MG 25 MAPROTILINE 75MG 25 marlissa 28 day pack 66 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 3

133 ALPHABETICAL LISTING OF DRUGS MARPLAN 0MG 25 MATULANE 50MG CAP 47 matzim 80mg er 6 matzim 240mg er 6 matzim 300mg er 6 matzim 360mg er 6 matzim 420mg er 6 MAXIDEX 0.% OPHTH 92 SUSP meclizine 2.5mg 32 meclizine 25mg 32 MECLOFENAMATE 0 00MG CAP MECLOFENAMATE 0 50MG CAP MEDROL 2MG 68 medroxyprogesterone 95 acetate 0mg medroxyprogesterone 68 acetate 50mg/ml inj medroxyprogesterone 95 acetate 2.5mg medroxyprogesterone 95 acetate 5mg mefenamic acid 250mg 0 cap mefloquine 250mg 4 megestrol acetate 95 25mg/ml oral susp megestrol acetate 20mg 44 megestrol acetate 40mg 44 megestrol acetate 44 40mg/ml oral susp MEKINIST 0.5MG 46 MEKINIST 2MG 46 meloxicam 5mg 0 meloxicam 7.5mg 0 melphalan 5mg/ml inj 42 memantine 0mg 95 memantine 95 0mg/memantine 5mg pack memantine 2mg/ml oral 95 soln memantine 5mg 95 MENACTRA 02 MENOMUNE 02 MENVEO 02 meperidine 00mg 2 meperidine 50mg 2 meprobamate 200mg 6 meprobamate 400mg 6 mercaptopurine 50mg 42 meropenem 500mg inj 40 mesalamine 66.7mg/ml 80 enema mesna 00mg/ml inj 48 MESNEX 400MG 48 metadate 20mg er 8 METAPROTERENOL 9 SULFATE 0MG METAPROTERENOL 9 SULFATE 20MG METAPROTERENOL 9 SULFATE 2MG/ML ORAL SOLN metaxall 800mg 88 METAXALONE 400MG 88 metaxalone 800mg 88 metformin 000mg 29 metformin 500mg er 29 metformin 500mg 29 metformin mg/pioglitazone 5mg metformin 750mg er 29 metformin 850mg 29 metformin mg/pioglitazone 5mg methadone 0mg 2 methadone mg/ml oral 2 soln methadone 2mg/ml oral 2 soln methadone 5mg 2 methamphetamine 5mg 7 methazolamide 25mg 74 methazolamide 50mg 74 methenamine hippurate 0 000mg methimazole 0mg 98 methimazole 5mg 98 methocarbamol 500mg 88 methocarbamol 750mg 88 methotrexate 000mg inj 43 methotrexate 2.5mg 43 methotrexate 25mg/ml inj 43 methotrexate 50mg/2ml 43 inj methoxsalen 0mg cap 7 methscopolamine 2.5mg 00 methscopolamine 5mg 00 METHYCLOTHIAZIDE 75 5MG methyldopa 250mg 37 methyldopa 500mg 37 methylphenidate 0mg cd 8 cap methylphenidate 0mg 8 chew methylphenidate 0mg er 8 methylphenidate 0mg 8 METHYLPHENIDATE 8 8MG SR methylphenidate mg/ml 8 oral soln methylphenidate 2.5mg 8 chew methylphenidate 20mg cd 8 cap methylphenidate 20mg er 8 methylphenidate 20mg la 8 cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 32

134 ALPHABETICAL LISTING OF DRUGS methylphenidate 20mg 8 METHYLPHENIDATE 8 27MG SR methylphenidate 2mg/ml 8 oral soln methylphenidate 30mg cd 8 cap METHYLPHENIDATE 8 36MG SR methylphenidate 40mg cd 8 cap methylphenidate 40mg la 8 cap methylphenidate 50mg cd 8 cap METHYLPHENIDATE 8 54MG SR methylphenidate 5mg 8 chew methylphenidate 5mg 8 methylphenidate 60mg cd 8 cap methylprednisolone 68 25mg inj methylprednisolone 6mg 68 methylprednisolone 32mg 68 methylprednisolone 68 40mg/ml inj methylprednisolone 4mg 68 pack methylprednisolone 4mg 68 methylprednisolone mg/ml inj methylprednisolone 8mg 68 methylprednisolone 68 acetate 40mg/ml inj methylprednisolone 68 acetate 80mg/ml inj METIPRANOLOL 0.3% 90 OPHTH SOLN metoclopramide 0mg 80 metoclopramide mg/ml 80 oral soln metoclopramide 5mg 80 metoclopramide 5mg/ml 80 inj metolazone 0mg 75 metolazone 2.5mg 75 metolazone 5mg 75 metoprolol succinate 59 00mg er metoprolol succinate mg er metoprolol succinate 59 25mg er metoprolol succinate 59 50mg er metoprolol tartrate 59 00mg metoprolol tartrate 59 mg/ml cartridge metoprolol tartrate 59 mg/ml inj metoprolol tartrate 25mg 59 metoprolol tartrate 50mg 59 metronidazole 0.75% 74 cream metronidazole 0.75% gel 74 metronidazole 0.75% 74 lotion metronidazole 0.75% 02 vaginal gel metronidazole % gel 74 metronidazole 250mg 39 metronidazole 375mg cap 39 metronidazole 500mg 39 metronidazole 5mg/ml inj 39 mexiletine 50mg cap 7 mexiletine 200mg cap 7 mexiletine 250mg cap 7 MIACALCIN UNIT/ML microgestin.5/30 2 day 66 pack microgestin /20 2 day 66 pack microgestin fe.5/ day pack microgestin fe / day pack midodrine 0mg 03 midodrine 2.5mg 03 midodrine 5mg 03 miglitol 00mg 28 miglitol 25mg 28 miglitol 50mg 28 MIGRANAL 4MG/ML 85 NASAL SPRAY mimvey lo 28 day pack 78 mimvey pack 78 minitran 0.mg/hr patch 6 minitran 0.2mg/hr patch 6 minitran 0.4mg/hr patch 6 minitran 0.6mg/hr patch 6 minocycline 00mg cap 98 minocycline 00mg 98 minocycline 50mg cap 98 minocycline 50mg 98 minocycline 75mg cap 98 minocycline 75mg 98 minoxidil 0mg 39 minoxidil 2.5mg 39 mirtazapine 5mg odt 25 mirtazapine 5mg 25 mirtazapine 30mg odt 25 mirtazapine 30mg 25 mirtazapine 45mg odt 25 mirtazapine 45mg 25 mirtazapine 7.5mg 25 misoprostol 0.mg 0 misoprostol 0.2mg 0 MITIGARE 0.6MG CAP 8 mitomycin 20mg inj 45 mitomycin 40mg inj 45 MITOMYCIN 5MG 45 mitoxantrone 2mg/ml inj 45 M-M-R II 02 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 33

135 ALPHABETICAL LISTING OF DRUGS modafinil 00mg 8 modafinil 200mg 8 MODERIBA 200/DAY 56 DOSE CK moderiba 200mg 56 MODERIBA 800/DAY 56 DOSE CK moexipril 5mg 36 moexipril 7.5mg 36 mometasone furoate 0.% 73 cream mometasone furoate 0.% 73 lotion mometasone furoate 0.% 73 ointment mononessa 28 day pack 67 montelukast 0mg 8 montelukast 4mg chew 8 montelukast 4mg 8 granules montelukast 5mg chew 8 morgidox 50mg cap 98 morphine sulfate 00mg 2 er cap morphine sulfate 00mg 2 er morphine sulfate 0mg er 2 cap MORPHINE SULFATE 2 20MG ER (24HR) CAP morphine sulfate 5mg er 2 morphine sulfate 5mg 2 morphine sulfate 200mg 2 er morphine sulfate 20mg er 2 cap morphine sulfate 20mg/ml 2 oral soln morphine sulfate 2mg/ml 2 oral soln MORPHINE SULFATE 2 2MG/ML SYRINGE MORPHINE SULFATE 2 30MG ER (24 HR) CAP morphine sulfate 30mg er 2 cap morphine sulfate 30mg er 2 morphine sulfate 30mg 2 MORPHINE SULFATE 2 45MG ER (24HR) CAP morphine sulfate 4mg/ml 2 oral soln morphine sulfate 50mg er 2 cap MORPHINE SULFATE 2 60MG (24HR) ER CAP morphine sulfate 60mg er 2 cap morphine sulfate 60mg er 2 MORPHINE SULFATE 2 75MG ER (24HR) CAP morphine sulfate 80mg er 2 cap MORPHINE SULFATE 2 90MG ER (24HR) CAP MOVANTIK 2.5MG 80 MOVANTIK 25MG 80 MOVIPREP ORAL SOLN 84 MOXIFLOXACIN 79.6MG/ML moxifloxacin 400mg 79 MOZOBIL 24MG/.2ML 83 MULTAQ 400MG 8 mupirocin 2% cream 70 mupirocin 2% ointment 70 MUSTARGEN 0MG 42 MYCAMINE 00MG 32 MYCAMINE 50MG 32 mycophenolate mofetil mg/ml oral susp mycophenolate mofetil mg cap mycophenolate mofetil mg inj mycophenolate mofetil mg mycophenolic acid 80mg 58 dr mycophenolic acid 360mg 58 dr myorisan 0mg cap 70 myorisan 20mg cap 70 myorisan 30mg cap 70 myorisan 40mg cap 70 MYRBETRIQ 25MG ER 0 MYRBETRIQ 50MG ER 0 N nabumetone 500mg 0 nabumetone 750mg 0 nadolol 20mg 59 nadolol 40mg 59 nadolol 80mg 60 nafcillin 00mg/ml inj 95 nafcillin gm inj 95 naftifine 2% cream 70 NAGLAZYME MG/ML 77 naloxone 4 0.5mg/pentazocine 50mg NALOXONE MG/ML 3 SYRINGE naltrexone 50mg 3 NAMENDA 4MG XR 95 CAP NAMENDA 2MG XR 95 CAP NAMENDA TITRATION CK NAMENDA 28MG XR 95 CAP You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 34

136 ALPHABETICAL LISTING OF DRUGS NAMENDA 7MG XR 95 CAP NAMZARIC 0-2MG ER 95 CAP NAMZARIC 0-7MG ER 96 CAP NAMZARIC 4-0MG ER 96 CAP NAMZARIC 28-0MG ER 96 CAP NAMZARIC TITRATION 96 CK naproxen 250mg 0 naproxen 25mg/ml oral 0 susp naproxen 375mg dr 0 naproxen 375mg 0 naproxen 500mg dr 0 naproxen 500mg 0 naproxen sodium 275mg 0 naproxen sodium 550mg 0 naratriptan mg 85 naratriptan 2.5mg 85 NARCAN 4MG/0.ML 3 NASAL SPRAY NATACYN 5% OPHTH 9 SUSP NATAZIA 28 DAY CK 67 nateglinide 20mg 30 nateglinide 60mg 30 NATRA 00MCG 76 CARTRIDGE NATRA 25MCG 76 CARTRIDGE NATRA 50MCG 76 CARTRIDGE NATRA 75MCG 76 CARTRIDGE NEBUPENT 300MG INH 39 SOLN necon 0.5/35 28 day pack 67 necon /50 28 day pack 67 necon 0/ 28 day pack 67 necon 7/7/7 28 day pack 67 NEFAZODONE 00MG 26 NEFAZODONE 50MG 26 NEFAZODONE 200MG 26 nefazodone 250mg 26 nefazodone 50mg 26 neomycin 8 40mg/ml/polymyxin b unit/ml soln neomycin sulfate 500mg 9 neomycin/bacitracin/poly 9 myxin ophth ointment 5(3.5)mg-400unit-0000u nit neomycin/polymyxin/bacit 92 racin/hydrocortisone ophth ointmentment % NEPHRAMINE 5.4% 90 NEULASTA 6MG/0.6ML 83 SYRINGE NEUPRO MG/24HR 49 TCH NEUPRO 2MG/24HR 49 TCH NEUPRO 3MG/24HR 49 TCH NEUPRO 4MG/24HR 49 TCH NEUPRO 6MG/24HR 49 TCH NEUPRO 8MG/24HR 49 TCH NEVANAC 0.% OPHTH 92 SUSP nevirapine 00mg er 55 NEVIRAPINE 0MG/ML 55 ORAL SUSP nevirapine 200mg 55 nevirapine 400mg er 55 NEXAVAR 200MG 46 NEXTERONE 8 50MG/00ML NEXTERONE 8 360MG/200ML niacin 000mg er 35 niacin 500mg er 35 niacin 750mg er 35 nicardipine 2.5mg/ml inj 6 nicardipine 20mg cap 6 nicardipine 30mg cap 6 NICOTROL 0MG 97 INHALER NICOTROL 0MG/ML 97 NASAL INHALER nifedipine 0mg cap 6 nifedipine 20mg cap 6 nifedipine 30mg er 6 nifedipine 30mg osmotic 6 er nifedipine 60mg er 6 nifedipine 60mg osmotic 6 er nifedipine 90mg er 6 nifedipine 90mg osmotic 6 er nikki 28 day pack 67 NILANDRON 50MG 44 nilutamide 50mg 44 nimodipine 30mg cap 6 NINLARO 2.3MG CAP 46 NINLARO 3MG CAP 46 NINLARO 4MG CAP 46 NIPENT 0MG 47 nisoldipine 7mg er 6 nisoldipine 20mg er 6 nisoldipine 30mg er 6 nisoldipine 34mg er 6 nisoldipine 40mg er 6 nisoldipine 8.5mg er 6 NITRO-DUR 0.3MG/HR 6 TCH NITRO-DUR 0.8MG/HR 6 TCH You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 35

137 ALPHABETICAL LISTING OF DRUGS nitrofurantoin 5mg/ml 0 oral susp nitrofurantoin macro 0 25mg cap nitrofurantoin macro 0 25mg/nitrofurantoin mono 75mg cap nitrofurantoin, macro 0 00mg cap nitrofurantoin, macro 0 50mg cap nitroglycerin 0.mg/hr 6 patch nitroglycerin 0.2mg/hr 6 patch nitroglycerin 0.3mg sl 6 nitroglycerin 0.4mg sl 6 nitroglycerin 0.4mg/act 6 spray nitroglycerin 0.4mg/hr 6 patch nitroglycerin 0.6mg sl 6 nitroglycerin 0.6mg/hr 6 patch nizatidine 50mg cap 00 NIZATIDINE 5MG/ML 00 ORAL SOLN nizatidine 300mg cap 00 nora-be 28 day 0.35mg 68 pack NORDITROPIN 76 0MG/.5ML PEN NORDITROPIN 76 5MG/.5ML PEN NORDITROPIN 76 30MG/3ML PEN NORDITROPIN 76 5MG/.5ML PEN norethindrone 0.35mg 68 pack norethindrone acetate 95 5mg norlyroc 28 day 0.35mg 68 pack NORMOSOL-M 87 NORMOSOL-R IN 5% 87 DEXTROSE NORMOSOL-R 87 NORCE 00MG ER 7 CAP NORCE 50MG ER 7 CAP NORTHERA 00MG CAP 03 NORTHERA 200MG CAP 03 NORTHERA 300MG CAP 03 nortrel 0.5/35 28 day 67 pack nortrel /35 2 day pack 67 nortrel /35 28 day pack 67 nortrel 7/7/7 28 day pack 67 nortriptyline 0mg cap 28 nortriptyline 25mg cap 28 NORTRIPTYLINE 28 2MG/ML ORAL SOLN nortriptyline 50mg cap 28 nortriptyline 75mg cap 28 NORVIR 00MG CAP 55 NORVIR 00MG 55 NORVIR 80MG/ML 55 ORAL SOLN NOVOLIN 00UNIT/ML 30 NOVOLIN N 30 00UNIT/ML NOVOLIN R 30 00UNIT/ML NOVOLOG 00UNIT/ML 30 FLEXPEN NOVOLOG 00UNIT/ML 30 NOVOLOG 00UNIT/ML 30 PENFILL NOVOLOG MIX 30 00UNIT/ML FLEXPEN NOVOLOG MIX 30 00UNIT/ML NOXAFIL 00MG DR 33 NOXAFIL 40MG/ML 33 ORAL SUSP NUCALA 00MG 8 NUEDEXTA 20-0MG 97 CAP NULOJIX 250MG 58 NUPLAZID 7MG 50 nutrilipid 20% iv soln 89 NUVARING VAGINAL 68 RING nyamyc 00000unit/gm 7 powder nyata 00000unit/gm 7 pack nystatin 00000unit/ml 7 cream nystatin 00000unit/ml 88 oral susp nystatin unit/ml/triamcinol one acetonide mg/ml cream nystatin 00unit/mg 7 ointment nystatin 00unit/mg 7 powder nystatin 7 00unit/mg/triamcinolone acetonide 0.00mg/mg ointment nystatin unit 32 nystop 00000unit/gm 7 powder O OCALIVA 0MG 79 OCALIVA 5MG 79 ocella 28 day pack 67 OCTAGAM 93 25GM/500ML OCTAGAM 2GM/20ML 93 octreotide 0.05mg/ml inj 78 octreotide 0.mg/ml inj 78 octreotide 0.2mg/ml inj 78 octreotide 0.5mg/ml inj 78 octreotide mg/ml inj 78 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 36

138 ALPHABETICAL LISTING OF DRUGS ODEFSEY MG 55 ODOMZO 200MG CAP 43 OFEV 00MG CAP 97 OFEV 50MG CAP 97 ofloxacin 0.3% ophth soln 9 ofloxacin 0.3% otic soln 92 ofloxacin 400mg 79 olanzapine 0mg inj 52 olanzapine 0mg odt 52 olanzapine 0mg 52 olanzapine 5mg odt 52 olanzapine 5mg 52 olanzapine 2.5mg 52 olanzapine 20mg odt 52 olanzapine 20mg 52 olanzapine 5mg odt 52 olanzapine 5mg 52 olanzapine 7.5mg 52 olopatadine 0.6% nasal 89 inhaler olopatadine mg/ml 92 ophth soln olopatadine 2% ophth 92 soln omega-3 acid ethyl esters 34 (usp) 000mg cap omeprazole 0mg dr cap 00 omeprazole 20mg dr cap 0 omeprazole 40mg dr cap 0 ondansetron 0.8mg/ml 3 oral soln ondansetron 24mg 3 ondansetron 2mg/ml inj 32 ondansetron 2mg/ml 32 syringe ondansetron 4mg odt 32 ondansetron 4mg 32 ondansetron 8mg odt 32 ondansetron 8mg 32 ONFI 0MG 2 ONFI 2.5MG/ML ORAL 2 SUSP ONFI 20MG 22 OPDIVO 40MG/4ML 43 OPSUMIT 0MG 63 ORENCIA 25MG/ML 0 AUTO-ECTOR ORENCIA 25MG/ML 0 SYRINGE ORENCIA 250MG ORENCIA 50MG/0.4ML SYRINGE ORENCIA 87.5MG/0.7ML SYRINGE ORFADIN 0MG CAP 77 ORFADIN 2MG CAP 77 ORFADIN 4MG/ML 77 ORAL SUSP ORFADIN 5MG CAP 77 ORKAMBI 00-25MG 97 ORKAMBI MG 97 orphenadrine citrate 88 00mg er orphenadrine citrate 88 30mg/ml inj orsythia 28 day pack 67 oseltamivir 30mg cap 57 oseltamivir 45mg cap 57 oseltamivir 75mg cap 57 oxacillin 00mg/ml inj 95 oxacillin 2000mg inj 95 OXACILLIN 20MG/ML 95 OXACILLIN 40MG/ML 95 oxaliplatin 5mg/ml inj 42 oxandrolone 0mg 4 oxandrolone 2.5mg 4 oxaprozin 600mg 0 oxazepam 0mg cap 7 oxazepam 5mg cap 7 oxazepam 30mg cap 7 oxcarbazepine 50mg 23 oxcarbazepine 300mg 23 oxcarbazepine 600mg 23 oxcarbazepine 60mg/ml 23 oral susp OXTELLAR 50MG XR 23 OXTELLAR 300MG XR 23 OXTELLAR 600MG XR 23 oxybutynin chloride 0mg 0 er oxybutynin chloride 5mg 0 er oxybutynin chloride 0 mg/ml oral soln oxybutynin chloride 5mg 0 er oxybutynin chloride 5mg 0 oxycodone 0mg 2 oxycodone 5mg 3 oxycodone mg/ml oral 3 soln oxycodone 20mg 3 oxycodone 20mg/ml oral 3 soln oxycodone 30mg 3 oxycodone 5mg cap 3 oxycodone 5mg 3 OXYCONTIN 0MG ER 3 OXYCONTIN 5MG ER 3 OXYCONTIN 20MG ER 3 OXYCONTIN 30MG ER 3 OXYCONTIN 40MG ER 3 OXYCONTIN 60MG ER 3 OXYCONTIN 80MG ER 3 oxymorphone 0mg 3 oxymorphone 5mg 3 P pacerone 200mg 8 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 37

139 ALPHABETICAL LISTING OF DRUGS pacerone 400mg 8 paclitaxel 6mg/ml inj 48 paliperidone.5mg er 5 paliperidone 3mg er 5 paliperidone 6mg er 5 paliperidone 9mg er 5 pamidronate disodium 76 3mg/ml inj MIDRONATE 76 DISODIUM 6MG/ML pamidronate disodium 76 9mg/ml inj NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NRETIN 0.% GEL 7 pantoprazole 20mg dr 0 pantoprazole 40mg dr 0 pantoprazole 40mg inj 0 paricalcitol 0.00mg cap 77 paricalcitol 0.002mg cap 77 paricalcitol 0.002mg/ml 77 inj paricalcitol 0.004mg cap 77 paricalcitol 0.005mg/ml 77 inj paromomycin 250mg cap 9 paroxetine 0mg 26 paroxetine 2.5mg er 26 paroxetine 20mg 26 paroxetine 25mg er 26 paroxetine 30mg 26 paroxetine 37.5mg er 26 paroxetine 40mg 26 SER D/R 4GM 4 GRANULES XIL 0MG/5ML ORAL 26 SUSP PEDIARIX 00 PEDVAXHIB MCG/0.5ML peg 3350/electrolyte oral 84 soln peg 3350/kcl/sodium 84 bicarbonate/sodium chloride powder for oral soln PEGANONE 250MG 24 PEGASYS 56 35MCG/0.5ML AUTO-ECTOR PEGASYS 56 80MCG/0.5ML AUTO-ECTOR PEGASYS 56 80MCG/0.5ML SYRINGE PEGASYS 80MCG/ML 56 penicillin g potassium unit/ml inj PENICILLIN G 94 POTASSIUM 40000UNIT/ML PENICILLIN G 94 POTASSIUM 60000UNIT/ML PENICILLIN G 94 PROCAINE UNIT/ML SYRINGE PENICILLIN G SODIUM UNIT/ML penicillin v potassium mg penicillin v potassium 94 25mg/ml oral soln penicillin v potassium mg penicillin v potassium 94 50mg/ml oral soln PENTAM 300MG 40 pentoxifylline 400mg er 82 perindopril erbumine 36 2mg perindopril erbumine 36 4mg perindopril erbumine 36 8mg periogard 0.2% 88 mouthwash PERJETA 420MG/4ML 43 permethrin 5% cream 74 perphenazine 6mg 53 perphenazine 2mg 53 perphenazine 4mg 53 perphenazine 8mg 53 PEXEVA 0MG 26 PEXEVA 20MG 26 PEXEVA 30MG 26 PEXEVA 40MG 26 phenadoz 2.5mg rectal 33 supp phenelzine 5mg 25 phenergan 2.5mg rectal 33 supp phenergan 25mg rectal 33 supp phenergan 50mg rectal 33 supp PHENOBARBITAL 83 00MG PHENOBARBITAL 5MG 83 phenobarbital 6.2mg 83 PHENOBARBITAL 30MG 83 phenobarbital 32.4mg 83 phenobarbital 4mg/ml 83 oral soln You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 38

140 ALPHABETICAL LISTING OF DRUGS PHENOBARBITAL 60MG 83 phenobarbital 64.8mg 83 phenobarbital 97.2mg 83 phenoxybenzamine 0mg 36 cap phenylephrine 69 mg/ml/promethazine.25mg/ml oral soln phenytoin 25mg/ml oral 24 susp phenytoin 50mg chew 24 phenytoin sodium 00mg 24 er cap phenytoin sodium 200mg 24 er cap phenytoin sodium 300mg 25 er cap phenytoin sodium 25 50mg/ml inj PHOSLYRA 667MG/5ML 80 ORAL SOLN PHOSPHOLINE IODIDE % OPHTH SOLN physiolyte soln 58 physiosol soln 58 PICATO 0.05% GEL 7 PICATO 0.05% GEL 7 pilocarpine % ophth 90 soln pilocarpine 2% ophth 90 soln pilocarpine 4% ophth 90 soln pilocarpine 5mg 88 pilocarpine 7.5mg 88 pimozide mg 97 pimozide 2mg 97 pimtrea pack 67 pindolol 0mg 60 pindolol 5mg 60 pioglitazone 5mg 30 pioglitazone 30mg 30 pioglitazone 45mg 30 piperacillin mg/ml/tazobactam 25mg/ml inj piperacillin mg/tazobactam 375mg inj piperacillin mg/tazobactam 500mg inj pirmella /35 28 day pack 67 piroxicam 0mg cap 0 piroxicam 20mg cap 0 PLASMA-LYTE PLASMALYTE A 87 PLEGRIDY 97 25MCG/0.5ML AUTO-ECTOR PLEGRIDY 97 25MCG/0.5ML SYRINGE PLEGRIDY PEN 97 STARTER CK plenamine 5% inj 90 podofilox 0.5% topical 74 soln polyethylene glycol mg/ml oral soln polymyxin b unit/ml/trimethopri m mg/ml ophth soln polymyxin b unit/ml inj POMALYST MG CAP 44 POMALYST 2MG CAP 44 POMALYST 3MG CAP 44 POMALYST 4MG CAP 44 portia 28 day pack 67 potassium chloride meq/ml/sodium chloride meq/ml inj potassium chloride meq/ml/sodium chloride 0.54 meq/ml inj potassium chloride 87 0.meq/ml inj potassium chloride 0% 87 oral soln potassium chloride 87 0meq er cap potassium chloride 87 0meq er micro potassium chloride 87 0meq er potassium chloride 2 87 meq/ml inj potassium chloride 20% 87 oral soln potassium chloride 87 20meq er micro POTASSIUM CHLORIDE 87 20MEQ ER potassium chloride 87 40meq/20ml inj potassium chloride 8meq 87 er cap potassium chloride 8meq 87 er potassium citrate 0meq 8 er potassium citrate 5 meq 8 er potassium citrate 5 meq 8 er PRADAXA 0MG CAP 2 PRADAXA 50MG CAP 2 PRADAXA 75MG CAP 2 PRALUENT 50MG/ML 35 AUTO-ECTOR PRALUENT 75MG/ML 35 AUTO-ECTOR pramipexole 0.25mg 49 pramipexole 0.25mg 49 pramipexole 0.375mg er 49 pramipexole 0.5mg 49 pramipexole 0.75mg er 49 pramipexole 0.75mg 49 pramipexole.5mg er 49 pramipexole.5mg 49 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 39

141 ALPHABETICAL LISTING OF DRUGS pramipexole mg 49 pramipexole 2.25mg er 49 pramipexole 3.75mg er 49 pramipexole 3mg er 49 pramipexole 4.5mg er 49 pravastatin sodium 0mg 34 pravastatin sodium 20mg 34 pravastatin sodium 40mg 34 pravastatin sodium 80mg 34 prazosin mg cap 37 prazosin 2mg cap 37 prazosin 5mg cap 37 PRED MILD 0.2% 92 OPHTH SUSP PRED-G 0.3-% OPHTH 92 SUSP prednicarbate 0.% 73 cream prednicarbate 0.% 73 ointment prednisolone % ophth 92 soln prednisolone 0mg odt 68 prednisolone 5mg odt 68 prednisolone mg/ml oral 69 soln prednisolone 30mg odt 69 prednisolone 3mg/ml oral 69 soln prednisolone acetate % 92 ophth susp prednisolone sodium 92 phosphate 2.5mg/ml/sulfacetamide sodium 00mg/ml ophth soln PREDNISONE 0MG 69 (2) CK PREDNISONE 0MG 69 (48) CK prednisone 0mg 69 prednisone mg 69 PREDNISONE MG/ML 69 ORAL SOLN prednisone 2.5mg 69 prednisone 20mg 69 PREDNISONE 50MG 69 PREDNISONE 5MG (2) 69 CK PREDNISONE 5MG (48) 69 CK prednisone 5mg 69 PREDNISONE 5MG/ML 69 ORAL SOLN PREMARIN 0.3MG 79 PREMARIN 0.45MG 79 PREMARIN 0.625MG 79 PREMARIN MG/GM VAGINAL CREAM PREMARIN 0.9MG 79 PREMARIN.25MG 79 PREMASOL 0% 90 premasol 6% inj 90 PREMPHASE 28 DAY 78 CK PREMPRO 0.3/.5MG DAY CK PREMPRO 0.45/ DAY CK PREMPRO 0.625/2.5MG DAY CK PREMPRO 0.625/5MG DAY CK prevalite 4gm/dose oral 34 susp previfem 28 day pack 67 PREZCOBIX MG 55 PREZISTA 00MG/ML 55 ORAL SUSP PREZISTA 50MG 55 PREZISTA 600MG 55 PREZISTA 75MG 55 PREZISTA 800MG 55 PRIFTIN 50MG 42 PRIMAQUINE 4 PHOSPHATE 26.3MG primidone 250mg 23 primidone 50mg 23 PRIVIGEN 20GM/200ML 93 probenecid 500mg 8 PROCAINAMIDE 7 00MG/ML PROCAINAMIDE 7 500MG/ML PROCALAMINE 3% 90 prochlorperazine 0mg 53 prochlorperazine 25mg 53 rectal supp prochlorperazine 5mg 53 prochlorperazine 5mg/ml 53 inj PROCRIT UNIT/ML PROCRIT UNIT/ML PROCRIT 2000UNIT/ML 83 PROCRIT 3000UNIT/ML 83 PROCRIT UNIT/ML PROCRIT 4000UNIT/ML 83 procto-med 2.5% cream 5 procto-pak % rectal 5 cream proctosol 2.5% cream 5 proctozone hc 2.5% 5 cream progesterone 00mg cap 95 progesterone 200mg cap 95 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 40

142 ALPHABETICAL LISTING OF DRUGS PROGLYCEM 50MG/ML 29 ORAL SUSP PROGRAF 5MG/ML 58 PROLASTIN 000MG 97 PROLEUKIN UNIT PROLIA 60MG/ML 76 SYRINGE PROMACTA 2.5MG 83 PROMACTA 25MG 83 PROMACTA 50MG 83 PROMACTA 75MG 83 promethazine.25mg/ml 33 oral soln promethazine 2.5mg 33 rectal supp promethazine 2.5mg 33 promethazine 25mg rectal 33 supp promethazine 25mg 33 promethazine 25mg/ml inj 33 promethazine 50mg rectal 33 supp promethazine 50mg 33 promethazine 50mg/ml inj 33 promethegan 25mg rectal 33 supp promethegan 50mg rectal 33 supp propafenone 50mg 7 propafenone 225mg er 7 cap propafenone 225mg 7 propafenone 300mg 7 propafenone 325mg er 7 cap propafenone 425mg er 7 cap PRONTHELINE 5MG 00 proparacaine 0.5% ophth 9 soln propranolol 0mg 60 propranolol 20mg er 60 cap propranolol 60mg er 60 cap propranolol mg/ml inj 60 propranolol 20mg 60 propranolol 40mg 60 PROPRANOLOL 60 4MG/ML ORAL SOLN propranolol 60mg er cap 60 propranolol 60mg 60 propranolol 80mg er cap 60 propranolol 80mg 60 PROPRANOLOL 60 8MG/ML ORAL SOLN propylthiouracil 50mg 98 PROQUAD 02 PROSOL 20% 90 protriptyline 0mg 28 protriptyline 5mg 28 PSORCON 0.05% 73 CREAM PULMOZYME MG/ML 97 INH SOLN PURIXAN MG/00ML ORAL SUSP PYLERA MG CAP pyrazinamide 500mg 42 pyridostigmine bromide 4 80mg er pyridostigmine bromide 4 60mg Q QUADRACEL 00 quasense 9 day pack 67 QUDEXY 00MG XR 23 CAP QUDEXY 50MG XR 23 CAP QUDEXY 200MG XR 23 CAP QUDEXY 25MG XR CAP 23 QUDEXY 50MG XR CAP 23 quetiapine 00mg 52 quetiapine 50mg xr 52 quetiapine 200mg 52 quetiapine 200mg xr 52 quetiapine 25mg 52 quetiapine 300mg 52 quetiapine 300mg xr 52 quetiapine 400mg 52 quetiapine 400mg xr 52 quetiapine 50mg 52 quetiapine 50mg xr 52 quinapril 0mg 36 quinapril 20mg 36 quinapril 40mg 36 quinapril 5mg 36 quinidine gluconate 7 324mg er QUINIDINE 7 GLUCONATE 80MG/ML QUINIDINE SULFATE 7 200MG QUINIDINE SULFATE 7 300MG quinine sulfate 324mg 4 cap R RABAVERT 2.5UNIT/ML 02 rabeprazole sodium 20mg 0 dr raloxifene 60mg 76 ramipril.25mg cap 36 ramipril 0mg cap 36 ramipril 2.5mg cap 36 ramipril 5mg cap 36 RANEXA 000MG ER 5 RANEXA 500MG ER 5 ranitidine 50mg cap 00 ranitidine 50mg 00 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

143 ALPHABETICAL LISTING OF DRUGS ranitidine 5mg/ml oral 00 soln ranitidine 25mg/ml inj 00 ranitidine 300mg cap 00 ranitidine 300mg 00 RAFLO 4MG CAP 8 RAFLO 8MG CAP 8 RAMUNE MG/ML 58 ORAL SOLN rasagiline 0.5mg 50 rasagiline mg 50 RAVICTI.GM/ML 77 ORAL SOLN reclipsen 28 day pack 67 RECOMBIVAX 02 0MCG/ML SYRINGE RECOMBIVAX 02 40MCG/ML RECOMBIVAX 02 5MCG/0.5ML SYRINGE RECOMBIVAX HB 02 0MCG/ML REGRANEX 0.0% GEL 74 RELENZA 5MG/BLISTER 57 INH RELISTOR 2MG/0.6ML 80 RELISTOR 2MG/0.6ML 80 SYRINGE RELISTOR 8MG/0.4ML 80 SYRINGE REMODULIN 0MG/ML 62 REMODULIN MG/ML 62 REMODULIN 2.5MG/ML 62 REMODULIN 5MG/ML 62 RENVELA 800MG 80 repaglinide 0.5mg 30 repaglinide mg 30 repaglinide 2mg 30 RETHA 20MG/ML 35 CARTRIDGE RETHA 40MG/ML 35 AUTO-ECTOR RETHA 40MG/ML 35 SYRINGE RESCRIPTOR 00MG 55 RESCRIPTOR 200MG 55 RESTASIS 0.05% OPHTH 9 SUSP RETROVIR 0MG/ML 55 REVLIMID 0MG CAP 57 REVLIMID 5MG CAP 57 REVLIMID 2.5MG CAP 57 REVLIMID 20MG CAP 57 REVLIMID 25MG CAP 57 REVLIMID 5MG CAP 57 REXULTI 0.25MG 54 REXULTI 0.5MG 54 REXULTI MG 54 REXULTI 2MG 54 REXULTI 3MG 54 REXULTI 4MG 54 REYATAZ 50MG CAP 55 REYATAZ 200MG CAP 55 REYATAZ 300MG CAP 55 REYATAZ 50MG ORAL 55 POWDER ribasphere 200mg cap 56 ribasphere 200mg 56 ribasphere 400mg 57 ribasphere 600mg 57 ribasphere ribapak /day ribasphere ribapak /day ribavirin 200mg cap 57 ribavirin 200mg 57 RIDAURA 3MG CAP 9 rifabutin 50mg cap 42 RIFAMATE MG 4 CAP rifampin 50mg cap 42 rifampin 300mg cap 42 rifampin 60mg/ml inj 42 RIFATER MG 4 riluzole 50mg 89 rimantadine 00mg 57 risedronate sodium 76 50mg risedronate sodium 30mg 76 risedronate sodium 35mg 76 (2) pack risedronate sodium 35mg 76 (4) pack risedronate sodium 35mg 76 risedronate sodium 5mg 76 RISPERDAL 2.5MG 5 RISPERDAL 25MG 5 RISPERDAL 37.5MG 5 RISPERDAL 50MG 5 risperidone 0.25mg odt 5 risperidone 0.25mg 5 risperidone 0.5mg odt 5 risperidone 0.5mg 5 risperidone mg odt 5 risperidone mg 5 risperidone mg/ml oral 5 soln risperidone 2mg odt 5 risperidone 2mg 5 risperidone 3mg odt 5 risperidone 3mg 5 risperidone 4mg odt 5 risperidone 4mg 5 RITUXAN 500MG/50ML 43 rivastigmine.5mg cap 96 rivastigmine 3.3mg/24hr 96 patch rivastigmine 3mg cap 96 rivastigmine 4.5mg cap 96 rivastigmine 4.6mg/24hr 96 patch rivastigmine 6mg cap 96 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 42

144 ALPHABETICAL LISTING OF DRUGS rivastigmine 9.5mg/24hr 96 patch rivelsa 9 day pack 67 rizatriptan 0mg odt 85 rizatriptan 0mg 85 rizatriptan 5mg odt 85 rizatriptan 5mg 85 ropinirole 0.25mg 49 ropinirole 0.5mg 49 ropinirole 2mg er 49 ropinirole mg 49 ropinirole 2mg er 49 ropinirole 2mg 50 ropinirole 3mg 50 ropinirole 4mg er 50 ropinirole 4mg 50 ropinirole 5mg 50 ropinirole 6mg er 50 ropinirole 8mg er 50 rosuvastatin 0mg 34 rosuvastatin 20mg 34 rosuvastatin 40mg 34 rosuvastatin 5mg 34 ROTARIX ORAL SUSP 02 ROTATEQ ORAL SUSP 02 roweepra 000mg 23 roweepra 500mg 23 roweepra 750mg 23 ROZEREM 8MG 84 RUBRACA 200MG 46 RUBRACA 300MG 46 RUCONEST 200UNIT 82 RYDAPT 25MG CAP 46 S SABRIL 500MG ORAL 24 SOLN SABRIL 500MG 24 salmon calcitonin unit/act nasal spray SANDIMMUNE 58 00MG/ML ORAL SOLN SANTYL 250UNIT/GM 73 OINTMENT SAPHRIS 0MG SL 52 SAPHRIS 2.5MG SL 52 SAPHRIS 5MG SL 53 SAVELLA 00MG 96 SAVELLA 2.5MG 96 SAVELLA 25MG 96 SAVELLA 4-WEEK 96 TITRATION CK SAVELLA 50MG 96 selegiline 5mg cap 50 selegiline 5mg 50 selenium sulfide 2.5% 7 shampoo SELZENTRY 50MG 55 SELZENTRY 25MG 55 SELZENTRY 300MG 55 SELZENTRY 75MG 55 SENSIR 30MG 77 SENSIR 60MG 77 SENSIR 90MG 77 SEREVENT 9 50MCG/DOSE INH sertraline 00mg 26 sertraline 20mg/ml oral 26 soln sertraline 25mg 26 sertraline 50mg 26 setlakin 9 day pack 67 sevelamer carbonate mg oral susp sevelamer carbonate 8 800mg oral susp sharobel 28 day 0.35mg 68 pack SIGNIFOR 0.3MG/ML 78 SIGNIFOR 0.6MG/ML 78 SIGNIFOR 0.9MG/ML 78 sildenafil 20mg 63 silver sulfadiazine % 7 cream SIMBRINZA -0.2% 9 OPHTH SUSP SIMPONI ARIA 9 50MG/4ML SIMULECT 20MG 58 simvastatin 0mg 34 simvastatin 20mg 35 simvastatin 40mg 35 simvastatin 5mg 35 simvastatin 80mg 35 sirolimus 0.5mg 58 sirolimus mg 58 sirolimus 2mg 58 SIRTURO 00MG 42 SIVEXTRO 200MG 4 SIVEXTRO 200MG 4 sodium chloride 0.45% 87 inj sodium chloride 0.9% inj 87 sodium chloride 0.9% 8 soln sodium chloride meq/ml inj sodium chloride 3% inj 87 sodium chloride 5% inj 87 sodium lactate 5 meq/ml 86 inj sodium phenylbutyrate mg/mg oral powder sodium polystyrene 59 sulfonate 250mg/ml oral susp SOLTAMOX 0MG/5ML 44 ORAL SOLN SOLU-CORTEF 00MG 69 SOLU-CORTEF 250MG 69 SOMATULINE 78 20MG/0.5ML SYRINGE SOMATULINE 78 60MG/0.2ML SYRINGE SOMATULINE 78 90MG/0.3ML SYRINGE SOMAVERT 0MG 76 SOMAVERT 5MG 76 SOMAVERT 20MG 76 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 43

145 ALPHABETICAL LISTING OF DRUGS SOMAVERT 25MG 76 SOMAVERT 30MG 76 sorine 20mg 60 sorine 60mg 60 sorine 240mg 60 sorine 80mg 60 sotalol 20mg 60 sotalol 60mg 60 sotalol 240mg 60 sotalol 80mg 60 spironolactone 00mg 75 spironolactone 25mg 75 spironolactone 50mg 75 sprintec 28 day pack 67 SPRITAM 000MG ODT 23 SPRITAM 250MG ODT 24 SPRITAM 500MG ODT 24 SPRITAM 750MG ODT 24 SPRYCEL 00MG 46 SPRYCEL 40MG 46 SPRYCEL 20MG 46 SPRYCEL 50MG 46 SPRYCEL 70MG 46 SPRYCEL 80MG 46 sps 250mg/ml oral susp 59 sronyx 28 day pack 67 ssd % cream 72 STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG stavudine 5mg cap 55 stavudine 20mg cap 55 stavudine 30mg cap 55 stavudine 40mg cap 55 STIMATE.5MG/ML 78 NASAL SPRAY STIOLTO MCG 9 INH STIVARGA 40MG 46 STRENSIQ 40MG/ML 77 STRENSIQ 80MG/0.8ML 77 STREPTOMYCIN 00MG 9 STRIBILD MG SUBOXONE 2-3MG 4 STRIP SUBOXONE 2-0.5MG 4 STRIP SUBOXONE 4-MG 4 STRIP SUBOXONE 8-2MG 4 STRIP SUCRAID 8500UNIT/ML 74 ORAL SOLN sucralfate 000mg 00 sulfacetamide sodium 70 0% lotion SULFACETAMIDE 9 SODIUM 0% OPHTH OINTMENT sulfacetamide sodium 9 0% ophth soln SULFADIAZINE 500MG 97 sulfamethoxazole mg/trimethoprim 80mg sulfamethoxazole 40 40mg/ml/trimethoprim 8mg/ml oral susp sulfamethoxazole mg/trimethoprim 60mg SULFAMETHOXAZOLE 40 80MG/ML/TRIMETHOPR IM 6MG/ML SULFAMYLON 72 85MG/GM CREAM sulfasalazine 500mg dr 80 sulfasalazine 500mg 80 sulindac 50mg 0 sulindac 200mg 0 sumatriptan 00mg 85 sumatriptan 2mg/ml 85 auto-injector sumatriptan 2mg/ml inj 85 SUMATRIPTAN 85 2MG/ML SYRINGE sumatriptan 20mg/act 85 nasal spray sumatriptan 25mg 85 sumatriptan 4mg 85 cartridge sumatriptan 50mg 85 sumatriptan 5mg/act 85 nasal spray sumatriptan 6mg 85 cartridge sumatriptan 8mg/ml 85 auto-injector SUPRAX 400MG CAP 64 SUSTIVA 200MG CAP 55 SUSTIVA 50MG CAP 55 SUSTIVA 600MG 55 SUTENT 2.5MG CAP 46 SUTENT 25MG CAP 46 SUTENT 37.5MG CAP 46 SUTENT 50MG CAP 46 SYLATRON 200MCG 47 SYLATRON 300MCG 47 SYLATRON 600MCG 47 SYLVANT 00MG 58 SYNAGIS 50MG/0.5ML 93 SYNAREL 2MG/ML 77 NASAL SPRAY SYNERCID 500MG 4 SYNJARDY MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 44

146 ALPHABETICAL LISTING OF DRUGS SYNJARDY MG 29 SYNJARDY 5-000MG 29 SYNJARDY 5-500MG 29 SYNRIBO 3.5MG 47 SYNTHROID 00MCG 99 SYNTHROID 2MCG 99 SYNTHROID 25MCG 99 SYNTHROID 37MCG 99 SYNTHROID 50MCG 99 SYNTHROID 75MCG 99 SYNTHROID 200MCG 99 SYNTHROID 25MCG 99 SYNTHROID 300MCG 99 SYNTHROID 50MCG 99 SYNTHROID 75MCG 99 SYNTHROID 88MCG 99 SYPRINE 250MG CAP 57 T LOID 40MG 43 tacrolimus 0.03% 73 ointment tacrolimus 0.% ointment 73 tacrolimus 0.5mg cap 58 tacrolimus mg cap 58 tacrolimus 5mg cap 58 TAFINLAR 50MG CAP 46 TAFINLAR 75MG CAP 47 TAGRISSO 40MG 47 TAGRISSO 80MG 47 TAMIFLU 6MG/ML 57 ORAL SUSP tamoxifen 0mg 44 tamoxifen 20mg 44 tamsulosin 0.4mg cap 8 TARCEVA 00MG 47 TARCEVA 50MG 47 TARCEVA 25MG 47 TARGRETIN % GEL 7 tarina fe /20 28 day 67 pack TASIGNA 50MG CAP 47 TASIGNA 200MG CAP 47 tazarotene 0.% cream 7 tazicef gm inj 64 tazicef 2gm inj 64 tazicef 6gm inj 64 TAZORAC 0.05% 7 CREAM TAZORAC 0.05% GEL 7 TAZORAC 0.% GEL 7 taztia 20mg er cap 6 taztia 80mg er cap 6 taztia 240mg er cap 6 taztia 300mg er cap 6 taztia 360mg er cap 62 TECENTRIQ 60MG/ML 43 TECFIDERA 20MG DR 97 CAP TECFIDERA 240MG DR 97 CAP TECFIDERA 30-DAY 97 STARTER CK TEFLARO 400MG 65 TEFLARO 600MG 65 telmisartan 20mg 36 telmisartan 40mg 36 telmisartan 80mg 36 temazepam 5mg cap 83 temazepam 22.5mg cap 83 temazepam 30mg cap 83 temazepam 7.5mg cap 83 TENIVAC SYRINGE 00 terazosin 0mg cap 37 terazosin mg cap 37 terazosin 2mg cap 37 terazosin 5mg cap 37 terbinafine 250mg 32 terbutaline sulfate 9 mg/ml inj terbutaline sulfate 2.5mg 9 terbutaline sulfate 5mg 9 terconazole 0.4% vaginal 03 cream terconazole 0.8% vaginal 03 cream terconazole 80mg vaginal 03 supp testosterone % (25mg) 5 gel testosterone % (50mg) 5 gel testosterone % gel pump 5 testosterone cypionate 5 00mg/ml inj testosterone cypionate 5 200mg/ml inj testosterone enanthate 5 200mg/ml inj TETANUS/DIPHTHERIA 00 TOXOID tetrabenazine 2.5mg 96 tetrabenazine 25mg 96 tetracycline 250mg cap 98 tetracycline 500mg cap 98 THALOMID 00MG CAP 57 THALOMID 50MG CAP 57 THALOMID 200MG CAP 57 THALOMID 50MG CAP 57 theophylline 00mg er 20 theophylline 200mg er 20 theophylline 300mg er 20 theophylline 400mg er 20 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 45

147 ALPHABETICAL LISTING OF DRUGS theophylline 5.33mg/ml 20 oral soln theophylline 600mg er 20 THIOLA 00MG 8 thioridazine 00mg 53 thioridazine 0mg 53 thioridazine 25mg 53 thioridazine 50mg 53 thiotepa 5mg inj 42 thiothixene 0mg cap 54 thiothixene mg cap 54 thiothixene 2mg cap 54 thiothixene 5mg cap 54 THYMOGLOBULIN 58 25MG THYROLAR 20MG 99 THYROLAR 5MG 99 THYROLAR 80MG 99 THYROLAR 30MG 99 THYROLAR 60MG 99 tiagabine 2mg 24 tiagabine 4mg 24 TIGECYCLINE 50MG 40 timolol 0.25% ophth gel 90 timolol 0.25% ophth soln 90 timolol 0.5% ophth gel 90 timolol 0.5% ophth soln 90 timolol 0mg 60 timolol 20mg 60 timolol 5mg 60 tinidazole 250mg 40 tinidazole 500mg 40 TIVICAY 0MG 56 TIVICAY 25MG 56 TIVICAY 50MG 56 tizanidine 2mg cap 88 tizanidine 2mg 88 tizanidine 4mg cap 88 tizanidine 4mg 88 tizanidine 6mg cap 88 TOBI PODHALER KIT 9 28MG CK TOBRADEX % 92 OPHTH OINTMENT tobramycin 0.3% ophth 9 soln TOBRAMYCIN 9 0MG/ML tobramycin 40mg/ml inj 9 tobramycin 60mg/ml inh 9 soln TOLAK 4% CREAM 7 tolazamide 250mg 3 tolazamide 500mg 3 TOLBUTAMIDE 500MG 3 tolcapone 00mg 48 tolterodine tartrate mg 0 tolterodine tartrate 2mg 0 er cap tolterodine tartrate 2mg 0 tolterodine tartrate 4mg 0 er cap TOPICORT 0.05% 73 CREAM TOPIRAMATE 00MG 24 ER CAP topiramate 00mg 24 TOPIRAMATE 50MG 24 ER CAP topiramate 5mg cap 24 TOPIRAMATE 200MG 24 ER CAP topiramate 200mg 24 topiramate 25mg cap 24 TOPIRAMATE 25MG ER 24 CAP topiramate 25mg 24 TOPIRAMATE 50MG ER 24 CAP topiramate 50mg 24 toposar gm/50ml inj 48 topotecan mg/ml inj 48 TORISEL 25MG/ML 47 torsemide 00mg 75 torsemide 0mg 75 torsemide 20mg 75 torsemide 5mg 75 TOUJEO 300UNIT/ML 30 PEN tpn electrolytes inj 87 TRACLEER 25MG 63 TRACLEER 62.5MG 63 TRADJENTA 5MG 29 tramadol 00mg er 3 tramadol 200mg er 3 tramadol 300mg er 3 tramadol 50mg 3 trandolapril mg 36 trandolapril 39 mg/verapamil 240mg er trandolapril 2mg 36 trandolapril 39 2mg/verapamil 80mg er trandolapril 39 2mg/verapamil 240mg er trandolapril 4mg 36 trandolapril 39 4mg/verapamil 240mg er tranexamic acid 83 00mg/ml inj tranexamic acid 650mg 83 TRANSDERM SCOP 32 MG/3DAYS TCH tranylcypromine 0mg 25 TRAVASOL 0% 90 TRAVATAN Z 0.004% 92 OPHTH SOLN trazodone 00mg 26 trazodone 50mg 26 trazodone 300mg 26 trazodone 50mg 26 TREANDA 00MG 42 TRECATOR 250MG 42 TRELSTAR.25MG 44 TRELSTAR 22.5MG 44 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 46

148 ALPHABETICAL LISTING OF DRUGS TRELSTAR 3.75MG 44 TRESIBA 00UNIT/ML 30 PEN TRESIBA 200UNIT/ML 30 PEN tretinoin 0.0% gel 70 tretinoin 0.025% cream 70 tretinoin 0.025% gel 70 tretinoin 0.04% gel 70 tretinoin 0.05% cream 70 tretinoin 0.05% gel 70 tretinoin 0.% cream 70 tretinoin 0.% gel 70 tretinoin 0mg cap 47 TREXALL 0MG 43 TREXALL 5MG 43 TREXALL 5MG 43 TREXALL 7.5MG 43 triamcinolone 55mcg 89 nasal spray triamcinolone acetonide % cream triamcinolone acetonide % lotion triamcinolone acetonide % ointment triamcinolone acetonide 73 0.% cream triamcinolone acetonide 73 0.% lotion triamcinolone acetonide 73 0.% ointment triamcinolone acetonide 88 0.% oral paste triamcinolone acetonide mg/ml spray triamcinolone acetonide % cream triamcinolone acetonide % ointment TRIAZOLAM 0.25MG 84 triazolam 0.25mg 84 triderm 0.% cream 73 trifluoperazine 0mg 53 trifluoperazine mg 53 trifluoperazine 2mg 53 trifluoperazine 5mg 53 trifluridine % soln 9 trihexyphenidyl 0.4mg/ml 48 oral soln trihexyphenidyl 2mg 48 trihexyphenidyl 5mg 48 tri-legest 28 day pack 67 tri-lo-estarylla 28 day 67 pack tri-lo-sprintec 28 day 67 pack trilyte powder for oral 84 soln trimethobenzamide mg cap trimethoprim 00mg 40 trimipramine 00mg cap 28 trimipramine 25mg cap 28 trimipramine 50mg cap 28 trinessa 28 day pack 67 TRINTELLIX 0MG 27 TRINTELLIX 20MG 27 TRINTELLIX 5MG 27 tri-previfem 28 day pack 67 TRISENOX 0MG/0ML 47 tri-sprintec 28 day pack 67 TRIUMEQ MG trivora 28 day pack 67 TROKENDI 00MG XR 24 CAP TROKENDI 200MG XR 24 CAP TROKENDI 25MG XR 24 CAP TROKENDI 50MG XR 24 CAP TROPHAMINE 0% 90 trospium chloride 20mg 0 trospium chloride 60mg 0 er cap TRUMENBA SYRINGE 02 TRUVADA 00-50MG 56 TRUVADA MG 56 TRUVADA MG 56 TRUVADA MG 56 TWINRIX 02 TYBOST 50MG 56 TYGACIL 50MG 40 TYKERB 250MG 47 TYPHIM VI 02 25MCG/0.5ML TYPHIM VI 02 25MCG/0.5ML SYRINGE TYSABRI 300MG/5ML 97 U UCERIS 2MG/ACT FOAM 5 UCERIS 9MG ER 69 ULORIC 40MG 8 ULORIC 80MG 8 unithroid 00mcg 99 unithroid 2mcg 99 unithroid 25mcg 99 unithroid 50mcg 99 unithroid 75mcg 99 unithroid 200mcg 99 unithroid 25mcg 99 unithroid 300mcg 99 unithroid 50mcg 99 unithroid 75mcg 99 unithroid 88mcg 99 UPTRAVI 000MCG 63 UPTRAVI 200MCG 63 UPTRAVI 400MCG 63 UPTRAVI 600MCG 63 UPTRAVI 200MCG 63 UPTRAVI 400MCG 63 UPTRAVI 600MCG 63 UPTRAVI 800MCG 63 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 47

149 ALPHABETICAL LISTING OF DRUGS UPTRAVI TITRATION 63 CK ursodiol 250mg 80 ursodiol 300mg cap 80 ursodiol 500mg 80 V valacyclovir 000mg 57 valacyclovir 500mg 57 VALCHLOR 0.06% GEL 7 VALCYTE 50MG/ML 56 ORAL SOLN valganciclovir 450mg 56 valganciclovir 50mg/ml 56 oral soln valproic acid 00mg/ml 25 inj valproic acid 250mg cap 25 valproic acid 50mg/ml 25 oral soln valsartan 60mg 36 valsartan 320mg 36 valsartan 40mg 36 valsartan 80mg 36 vancomycin 000mg inj 40 vancomycin 00mg/ml inj 40 vancomycin 25mg cap 40 vancomycin 250mg cap 40 vancomycin 500mg inj 40 vandazole 0.75% vaginal 03 gel VAQTA 25UNIT/0.5ML 02 SYRINGE VAQTA 50UNIT/ML 02 SYRINGE VARIVAX PFU/0.5ML VARUBI 90MG 32 VASCE GM CAP 34 VASCE 500MG CAP 34 VECTIBIX 00MG/5ML 43 VELCADE 3.5MG 47 velivet 28 day pack 67 VELTASSA 6.8GM 59 POWDER FOR ORAL SUSP VELTASSA 25.2GM 59 POWDER FOR ORAL SUSP VELTASSA 8.4GM 59 POWDER FOR ORAL SUSP VEMLIDY 25MG 57 VENCLEXTA 43 0/00/50MG STARTING CK VENCLEXTA 00MG 43 VENCLEXTA 0MG 43 VENCLEXTA 50MG 43 venlafaxine 00mg 27 venlafaxine 50mg er cap 27 venlafaxine 50mg er 27 VENLAFAXINE 225MG 27 ER venlafaxine 25mg 27 venlafaxine 37.5mg er 27 cap venlafaxine 37.5mg er 27 venlafaxine 37.5mg 27 venlafaxine 50mg 27 venlafaxine 75mg er cap 27 venlafaxine 75mg er 27 venlafaxine 75mg 27 VENTAVIS 0MCG/ML 62 INH SOLN VENTAVIS 20MCG/ML 63 INH SOLN VENTOLIN 08MCG INH 9 verapamil 00mg er cap 62 verapamil 20mg er cap 62 verapamil 20mg er 62 verapamil 20mg 62 verapamil 80mg er cap 62 verapamil 80mg er 62 verapamil 2.5mg/ml inj 62 verapamil 200mg er cap 62 verapamil 240mg er cap 62 verapamil 240mg er 62 verapamil 300mg er cap 62 verapamil 360mg sr cap 62 verapamil 40mg 62 verapamil 80mg 62 VERSACLOZ 50MG/ML 53 ORAL SUSP VESICARE 0MG 0 VESICARE 5MG 0 vestura mg pack 67 vicodin 0-300mg 4 vicodin 5-300mg 4 vicodin mg 4 VICTOZA 8MG/3ML 30 PEN VIDEX 2GM ORAL SOLN 56 vienva 28 day pack 67 VIGAMOX 0.5% OPHTH 9 SOLN VIIBRYD 0/20MG 27 STARTER CK VIIBRYD 0MG 27 VIIBRYD 20MG 27 VIIBRYD 40MG 27 VIMT 00MG 24 VIMT 0MG/ML 24 ORAL SOLN VIMT 50MG 24 VIMT 200MG 24 VIMT 200MG/20ML 24 VIMT 50MG 24 VINBLASTINE MG/ML 48 vincasar mg/ml inj 48 vincristine sulfate mg/ml 48 inj vinorelbine 0mg/ml inj 48 VIRACEPT 250MG 56 VIRACEPT 625MG 56 VIRAMUNE 50MG/5ML 56 ORAL SUSP VIREAD 50MG 56 VIREAD 200MG 56 VIREAD 250MG 56 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 48

150 VIREAD 300MG 56 VIREAD 40MG/GM 56 ORAL POWDER voriconazole 200mg inj 33 voriconazole 200mg 33 voriconazole 40mg/ml 33 oral susp voriconazole 50mg 33 VOTRIENT 200MG 47 VPRIV 400UNIT 82 VRAYLAR.5/3MG 50 MIXED CK VRAYLAR.5MG CAP 50 VRAYLAR 3MG CAP 50 VRAYLAR 4.5MG CAP 50 VRAYLAR 6MG CAP 50 vyfemla 28 day pack 67 VYVANSE 0MG CAP 7 VYVANSE 0MG CHEW 7 VYVANSE 20MG CAP 7 VYVANSE 20MG CHEW 7 VYVANSE 30MG CAP 7 VYVANSE 30MG CHEW 7 VYVANSE 40MG CAP 7 VYVANSE 40MG CHEW 7 VYVANSE 50MG CAP 7 VYVANSE 50MG CHEW 7 VYVANSE 60MG CAP 7 VYVANSE 60MG CHEW 7 VYVANSE 70MG CAP 7 W warfarin sodium 0mg 20 warfarin sodium mg 20 warfarin sodium 2.5mg 20 warfarin sodium 2mg 20 warfarin sodium 3mg 20 ALPHABETICAL LISTING OF DRUGS warfarin sodium 4mg 20 warfarin sodium 5mg 20 warfarin sodium 6mg 20 warfarin sodium 7.5mg 20 water 000mg/ml soln 58 WELCHOL 3.75GM 34 ORAL SUSP WELCHOL 625MG 34 wymzya fe 28 day pack 67 X XALKORI 200MG CAP 47 XALKORI 250MG CAP 47 XARELTO 0MG 20 XARELTO 5MG 20 XARELTO 20MG 20 XARELTO STARTER 20 CK XGEVA 20MG/.7ML 76 XIFAXAN 200MG 40 XIFAXAN 550MG 40 XIGDUO 0-000MG XR 29 XIGDUO 0-500MG XR 29 XIGDUO 5-000MG XR 29 XIGDUO 5-500MG XR 29 XOLAIR 50MG 8 XTANDI 40MG CAP 44 XULANE 50-35MCG 67 TCH XYREM 500MG/ML 95 ORAL SOLN Y YERVOY 50MG/0ML 43 YF-VAX 4000UNIT/ML 02 YONDELIS MG 42 Z zafirlukast 0mg 8 zafirlukast 20mg 8 zaleplon 0mg cap 84 zaleplon 5mg cap 84 ZALTRAP 00MG/4ML 43 ZANOSAR GM 42 zarah mg pack 67 ZARXIO 300MCG/0.5ML 83 SYRINGE ZARXIO 480MCG/0.8ML 83 SYRINGE ZAVESCA 00MG CAP 82 zazole 0.8% vaginal 03 cream ZEJULA 00MG CAP 47 ZELBORAF 240MG 47 ZEMAIRA 000MG 97 zenatane 0mg cap 70 zenatane 20mg cap 70 zenatane 30mg cap 70 zenatane 40mg cap 70 zenchent 28 day pack 67 zenchent fe 28 day pack 67 ZETIER 50-00MG 57 ZERBAXA.5GM 63 ZERIT MG/ML ORAL 56 SOLN ZIAGEN 20MG/ML 56 ORAL SOLN zidovudine 00mg cap 56 zidovudine 0mg/ml oral 56 soln zidovudine 300mg 56 zileuton 600mg er 8 ziprasidone 20mg cap 50 ziprasidone 40mg cap 50 ziprasidone 60mg cap 50 ziprasidone 80mg cap 5 ZIRGAN 0.5% OPHTH 9 GEL zoledronic acid mg/ml inj zoledronic acid 0.8mg/ml 76 inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 49

151 ALPHABETICAL LISTING OF DRUGS ZOLINZA 00MG CAP 47 zolmitriptan 2.5mg odt 85 zolmitriptan 2.5mg 85 zolmitriptan 5mg odt 86 zolmitriptan 5mg 86 zolpidem tartrate 0mg 84 zolpidem tartrate 5mg 84 ZOMETA 4MG/00ML 76 ZOMIG 2.5MG NASAL 86 SPRAY ZOMIG 5MG NASAL 86 SPRAY zonisamide 00mg cap 24 zonisamide 25mg cap 24 zonisamide 50mg cap 24 ZORTRESS 0.25MG 58 ZORTRESS 0.5MG 58 ZORTRESS 0.75MG 58 ZOSTAVAX UNIT/0.65ML ZOSYN 40-5MG/ML 94 ZOSYN MG/ML 94 zovia /35e 28 day pack 67 zovia /50e 28 day pack 67 ZUBSOLV.4-2.9MG 4 SL ZUBSOLV MG 4 SL ZUBSOLV MG 4 SL ZUBSOLV MG SL 4 ZUBSOLV MG SL 4 ZYCLARA 2.5% CREAM 73 ZYDELIG 00MG 47 ZYDELIG 50MG 47 ZYKADIA 50MG CAP 47 ZYLET % OPHTH 92 SUSP ZYPREXA 20MG 53 ZYTIGA 250MG 44 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 50

152 Signature Advantage is required by federal law to provide the following information. Non-Discrimination Statement: Signature Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Signature Advantage does not exclude people or treat them differently because of race, color, national origin, age, disability or sex. Signature Advantage provides free aids and services to people with disabilities to communicate effectively with us, such as: qualified sign language interpreters and written information in other formats (large print, audio, accessible electronic formats, other formats). Signature Advantage provides free language services to people whose primary language is not English such as: qualified interpreters and information written in other languages. If you need these services, contact the Signature Advantage Customer Care Center at If you believe that Signature Advantage has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance. If you need help filing a grievance, Customer Care is available to help you. You can file a grievance in person or by mail, fax, or Signature Advantage Customer Care Center PO Box 5850 Glen Allen, VA customerservice@signatureadvantageplan.com You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C , (TDD) Language Assistance: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 7). 注意 : 如果您使用繁體中文, 您可以免費獲得語言援助服務 請致電 (TTY:7) ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (TTY: 7) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số (TTY: 7). ملحوظة: إذا تنك تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف ).الصم والبكم :7

153 OBAVJEŠTENJE: Ako govorite srpsko-hrvatski, usluge jezičke pomoći dostupne su vam besplatno. Nazovite (TTY- Telefon za osobe sa oštećenim govorom ili sluhom: 7). 注意事項 : 日本語を話される場合 無料の言語支援をご利用いただけます ( TTY:7) まで お電話にてご連絡ください ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 7). 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 7) 번으로전화해주십시오. Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call (TTY: 7). ध य न दनह स: तप इल नप ल ब ल नह न छ भन तप इक फ न गनर ह स ( ट टव इ: 7) न म त भ ष सह यत स व ह न शल क पम उपल छ XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (TTY: 7). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 7). UNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 7). ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona (TTY: 7).

154 This formulary was updated on 08/22/207. For more recent information or other questions, please contact Signature Advantage (HMO ISNP) Member Services at or, for TTY users, 7, Hours of operations: 8 a.m. to 8 p.m., seven days a week (except Thanksgiving and Christmas) from October through February 4, and Monday to Friday (except holidays) from February 5 through September 30, or visit Signature Advantage is an HMO plan with a Medicare contract. Enrollment in Signature Advantage depends on contract renewal. Signature Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Signature Advantage cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Signature Advantage 遵守適用的聯邦民權法律規定, 不因種族 膚色 民族血統 年齡 殘障或性別而 歧視任何人 This information is available for free in other languages. Esta información está disponible en otros idiomas de manera gratuita. Comuníquese con Servicios al Cliente al (TTY: 7). Horario de Atención al Cliente: Del de Octubre hasta el 4 de Febrero, de 8 a.m. a 8 p.m. los siete días de la semana (excepto Día de Acción de Gracias y Navidad), y del 5 de Febrero al 30 de Septiembre, de Lunes a Viernes (excepto feriados).