DRUG QUANTITY MANAGEMENT LIST (SUBECT TO CHANGE) MEDICATION (* = SPECIALTY DRUGS)

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1 DRUG QUANTITY MANAGEMENT LIST (SUBECT TO CHANGE) MEDICATION (* = SPECIALTY DRUGS) MODULE ABSTRAL ACIPHEX SPRINKLE ACTIQ ACTONEL ACTOPLUS MET ACTOPLUS MET XR ACTOS ADCIRCA* PULMONARY HYPERTENSION ADLYXIN ADRENACLICK ANAPHYLAXIS ADVAIR DISKUS ADVAIR HFA (120) ADVAIR HFA (60) ADVICOR AEROSPAN AIMOVIG AIRDUO AKYNZEO ALBENZA ALENDRONATE ALINIA ALLEGRA ALLEGRA ALLERGY 12 HOUR ALLEGRA ALLERGY 24 HOUR ALLEGRA CHILDREN S ALLERGY ALLEGRA-D 12 HOUR ALLEGRA-D 12 HOUR ALLERGY AND CONGESTION ALLEGRA-D 24 HOUR ALLEGRA-D 24 HOUR ALLERGY AND CONGESTION ALORA ALSUMA ALTOPREV ALVESCO AMBIEN AMBIEN CR AMERGE ANDRODERM ANDROGEL 1% ANDROGEL 1.62% ANORO ELLIPTA ANZEMET

2 ARAVA ARCAPTA NEOHALER ARMONAIR RESPICLICK ARNUITY ELLIPTA ASMANEX HFA ASMANEX TWISTHALER ASTELIN READY SPRAY NASAL SPRAY ATELVIA ATROVENT HFA ATROVENT INHALER ATROVENT NASAL SPRAY AUVI-Q AVANDAMET AVANDARYL AVANDIA AVINZA AVONEX PEN* AVONEX* AXERT AXIRON AZMACORT BAXDELA BECONASE AQ BELBUCA BELSOMRA BENLYSTA* BENZNIDAZOLE BETASERON* BETHKIS* BEVESPI AEROSPHERE BEVYXXA BINOSTO BONIVA BONJESTA BREO ELLIPTA BROVANA INHALATION SOLUTION BUNAVAIL BYDUREON BYDUREON BCISE BYDUREON PEN BYETTA CABERGOLINE CADUET CALCIPOTRIENE CALCITRENE CAMBIA CARDURA INFLAMMATORY CONDITIONS ANAPHYLAXIS SPECIALTY BLOOD CELL DEFICIENCY PREGNANCY HIGH BLOOD PRESSURE

3 CARDURA XL CATAPRES CAVERJECT CAVERJECT IMPULSE CAYSTON* CESAMET CHILDREN'S QNASL CHOLBAM* CHORIONIC GONADOTROPIN* CIALIS CICLOPIROX CIMZIA* CLARINEX CLARINEX D 12 HOUR CLARINEX D 24 HOUR CLARITIN CLARITIN-D 12 HOUR CLARITIN-D 24 HOUR CLIMARA CLIMARA PRO CLOBETASOL CLOTRIMAZOLE COARTEM COLLAGENASE SANTYL COMBIVENT COMBIVENT RESPIMAT CONZIP ER CONZIP ER (TRAMADOL ER -BRAND) COPAXONE* COPAXONE/GLATOPA* CRESTOR DAKLINZA* DALIRESP DALMANE DEPO-PROVERA CONTRACEPTIVE INJECTION DEPO-SUBQ PROVERA 104 DEXILANT DICLEGIS DIFLUCAN DIVIGEL DOPTELET* DORAL DOSTINEX DOVONEX DUETACT HIGH BLOOD PRESSURE HIGH BLOOD PRESSURE SPECIALTY FERTILITY WOUND CARE WOMEN'S HEALTH - CONTRACEPTIVES & NON-PREGNANCY RELATED CONDITIONS WOMEN'S HEALTH - CONTRACEPTIVES & NON-PREGNANCY RELATED CONDITIONS PREGNANCY ORAL ANTIFUNGAL BLOOD CELL DEFICIENCY

4 DULERA DUONEB DUPIXENT* DURAGESIC DYMISTA ECONAZOLE ECOZA EDEX EDLUAR ELESTRIN GEL ELIDEL CREAM ELLA EMBEDA EMEND EMVERM ENBREL* ENSTILAR EPCLUSA* EPINEPHRINE EPIPEN EPIPEN JR ERTACZO ESBRIET* ESOMEPRAZOLE STRONTIUM ESTRADERM ESTRASORB ESTROGEL EUCRISA EVAMIST EVZIO EXALGO EXELDERM EXTAVIA* EXTINA FAMVIR FARXIGA FENTORA FLECTOR FLOLIPID FLONASE FLONASE ALLERGY RELIEF FLONASE ALLERGY RELIEF 50 MCG SPRAY FLOVENT DISKUS FLOVENT HFA FLUNISOLIDE WOMEN'S HEALTH - CONTRACEPTIVES & NON-PREGNANCY RELATED CONDITIONS ANAPHYLAXIS ANAPHYLAXIS ANAPHYLAXIS RESPIRATORY MISCELLANEOUS

5 FLUOCINONIDE OINTMENT GEL, SOLUTION, OR CREAM EMULSIFIED BASE FORADIL FORTAMET FORTEO* FORTESTA FOSAMAX FOSAMAX PLUS D FROVA GELNIQUE OVERACTIVE BLADDER GLUCOPHAGE XR GLUMETZA GLYXAMBI GRANISOL HALCION HARVONI* HETLIOZ* HUMIRA* HYSINGLA ER HYTRIN HIGH BLOOD PRESSURE ILUMYA* IMITREX IMITREX (SUMATRIPTAN) IMPAVIDO INCRUSE ELLIPTA INTERMEZZO INVOKAMET INVOKANA JANUMET JANUMET XR JANUVIA JARDIANCE JENTADUETO JENTADUETO XR JUVISYNC JYNARQUE KADIAN KALYDECO RESPIRATORY MISCELLANEOUS KAZANO KETOCONAZOLE KEVZARA * KEVZARA* KITABIS PACK TOBRAMYCIN PAK* (BRAND, SPECIALTY ALSO BY SAME MANU: PARI ) KOMBIGLYZE XR KYTRIL (GRANISETRON)

6 LAZANDA LESCOL LESCOL XL (FLUVASTATIN ER) LEVITRA LEVONORGESTREL (BRAND NAME PLAN B NOW OBSOLETE) NEXT CHOICE LIDOCAINE JELLY LIDOCAINE OINTMENT LIDOCAINE/PRILOCAINE CREAM LIPITOR LIPTRUZET LIVALO LONHALA MAGNAIR LOPROX LOTRISONE LUCEMYRA LUNESTA LUZU MALARONE MAVYRET* MAXAIR AUTOHALER MAXALT MAXALT MLT MEFLOQUINE MENOSTAR MENTAX MEPHTYON METHERGINE MEVACOR MIGRANAL MINIVELLE MOBIC MORPHABOND ER MS CONTIN MUSE NAFTIN NARCAN NASACORT ALLERGY 24HR (OTC) NASACORT AQ NASONEX NATESTO NEBUPENT NESINA NEULASTA* NEXIUM NIZORAL WOMEN'S HEALTH - CONTRACEPTIVES & NON-PREGNANCY RELATED CONDITIONS TOPICAL TOPICAL TOPICAL BLOOD CELL DEFICIENCY BLOOD CELL DEFICIENCY

7 NOCTIVA NOVAREL* NUCALA* NUCYNTA NUCYNTA ER NYSTATIN NYSTATIN-TRIAMCINOLONE OCALIVA* OFEV* OLUMIANT* OLYSIO* OMECLAMOX -PAK OMNARIS ONGLYZA ONMEL ONSOLIS ONZETRA XSAIL OPANA ER ORAMORPH SR ORKAMBI* OSENI OTIPRIO OXISTAT OXYCONTIN OXYTROL OZEMPIC PALYNZIQ* PATANASE PEG INTRON* PEGASYS* PENNSAID PENNSAID AND KLOFENSAID PERFOROMIST PLAN B ONE-STEP (LEVONORGESTREL) AFTERA ECONTRA EZ FALLBACK SOLO MY WAY NEXT CHOICE ONE DOSE OPCICON ONE-STEP TAKE ACTION PLEGRIDY* PLIAGLIS PRANDIMET (REPAGLINIDE/METFORMIN) PRAVACHOL OVERACTIVE BLADDER FERTILITY ASTHMA SPECIALTY RESPIRATORY MISCELLANEOUS ORAL ANTIFUNGAL RESPIRATORY MISCELLANEOUS OVERACTIVE BLADDER TOPICAL TOPICAL WOMEN'S HEALTH - CONTRACEPTIVES & NON-PREGNANCY RELATED CONDITIONS TOPICAL

8 PREGNYL PREVACID PREVPAC PREVYMIS PRILOSEC PRIMAQUINE PROAIR HFA PROAIR RESPICLICK PROSOM PROTONIX PROTOPIC OINTMENT PROVENTIL HFA PULMICORT FLEXHALER PULMICORT RESPULES QNASL QUALAQUIN QVAR HFA QVAR REDIHALER REBIF* REGRANEX RELENZA RELPAX RESTASIS RESTORIL REVATIO* RHINOCORT ALLERGY SPRAY RHINOCORT AQ ROZEREM RYBIX ODT RYZOLT ER SAMSCA* SANCUSO SECONAL SEEBRI NEOHALER SEGLUROMET SEREVENT SILENOR SILIQ* SIMCOR SITAVIG SOLARAZE SOLIQUA SOLOSEC SONATA SORILUX SOVALDI* SPINRAZA* FERTILITY WOUND CARE ANTI-INFLUENZA EYE CONDITIONS PULMONARY HYPERTENSION TOPICAL

9 SPIRIVA SPIRIVA RESPIMAT SPORANOX SPRIX* STADOL (BUTORPHANOL NASAL SPRAY ) STAXYN STEGLATRO STEGLUJAN STENDRA STIOLTO RESPIMAT STRIANT STRIVERDI RESPIMAT STROMECTOL SUBOXONE SUBSYS SUMAVEL DOSEPRO SYMBICORT SYMDEKO* SYMLIN SYNJARDY SYNJARDY XR TACLONEX TAMIFLU TANZEUM TAVALISSE TECHNIVIE* TESTIM TINDAMAX TIVORBEX TOBI PODHALER* TOBI* TORADOL TRADJENTA TRAMADOL ER TRELEGY ELLIPTA TREXIMET TRULICITY TUDORZA PRESSAIR TYMLOS* ULTRACET ULTRAM ULTRAM ER UTIBRON NEOHALER VALTREX VARUBI VENTOLIN HFA ORAL ANTIFUNGAL RESPIRATORY MISCELLANEOUS ANTI-INFLUENZA BLOOD CELL DEFICIENCY SPECIALTY SPECIALTY

10 VERAMYST VIAGRA VICTOZA VIEKIRA PAK* VIEKIRA XR* VIVELLE-DOT VIVLODEX VOGELXO VOLTAREN VOSEVI* VUSION VYTORIN XELJANZ XR* XELJANZ* XHANCE NASAL SPRAY XIFAXAN XIGDUO XR XIIDRA XOLAIR* XOLEGEL XTAMPZA ER XULTOPHY XYZAL ZECUITY TDS* ZEGERID ZEMBRACE ZETONNA ZINBRYTA* ZOCOR ZOFRAN (ONDANSETRON) ZOFRAN ODT (ONDANSETRON) ZOHYDRO ER ZOLPIMIST ZOMIG ZOMIG ZMT ZONALON/PRUDOXIN ZORVOLEX ZOVIRAX ZUBSOLV ZUPLENZ ZYPITAMAG ZYRTEC ZYRTEC-D 12 HOUR TOPICAL EYE CONDITIONS ASTHMA SPECIALTY

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