Great Plans Medicare Advantage North Dakota 2018 Comprehensive Formulary. List of Covered Drugs

Transcription

1 Great Plans Medicare Advantage North Dakota 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 2 This formulary was updated on 7/0/208. For more recent information or other questions, please contact Great Plains Medicare Advantage 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 Great Plains Medicare Advantage is an HMO plan with a Medicare contract. Enrollment in Great Plains Medicare Advantage depends on contract renewal. Great Plains Medicare Select complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Great Plains Medicare Select cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Great Plains Medicare Select erf üllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al TTY: 7. ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: TTY: 7. H8967_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 Great Plains Medicare Advantage. When it refers to plan or our plan, it means Great Plains Medicare Advantage. This document includes a list of the drugs (formulary) for our plan which is current as of 07/0/208. 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 Great Lakes Medicare Advantage Formulary? A formulary is a list of covered drugs selected by Great Lakes Medicare 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. Great Lakes Medicare Advantage will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at an Great Lakes Medicare 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 07/0/208. To get updated information about the drugs covered by Great Lakes Medicare Advantage, please contact us. Our contact information appears on the front and back cover pages. In the event that Great Lakes Medicare 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, Great Lakes Medicare 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 09. 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 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. 2

4 What are generic drugs? Great Plains Medicare 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 (): Great Plains Medicare Advantage requires you [or your physician] to get prior authorization for certain drugs. This means that you will need to get approval from Great Plains Medicare Advantage before you fill your prescriptions. If you don t get approval, Great Plains Medicare 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 Great Plains Medicare Advantage to determine that this drug is covered under Medicare Part D before you fill your prescription for this drug. Without prior approval, Great Plains Medicare 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 Great Plains Medicare Advantage before you fill your prescription for this drug. Without prior approval, Great Plains Medicare Advantage may not cover this drug. Quantity Limits (QL): For certain drugs, Great Plains Medicare Advantage limits the amount of the drug that Great Plains Medicare Advantage will cover. For example, Great Plains Medicare 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, Great Plains Medicare 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 A and Drug B both treat your medical condition, Great Plains Medicare Advantage may not cover Drug B unless you try Drug A first. If Drug A does not work for you, Great Plains Medicare 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. 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. 3

5 You can ask Great Plains Medicare 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 Great Plains Medicare 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 Great Plains Medicare 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 Great Plains Medicare 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 Great Plains Medicare Advantage. You can ask Great Plains Medicare 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 Great Plains Medicare Advantage Formulary? You can ask Great Plains Medicare 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, Great Plains Medicare 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, Great Plains Medicare 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 Medicare benefits 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 Great Plains Medicare Advantage prescription drug coverage, please review your Evidence of Coverage and other plan materials. If you have questions about Great Plains Medicare 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 Great Plains Medicare Advantage s Formulary The formulary below provides coverage information about the drugs covered by Great Plains Medicare Advantage. If you have trouble finding your drug in the list, turn to the Index that begins on page 09. 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 Great Plains Medicare Advantage 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. 6

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 la cap 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 30mg la 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 40mg/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 0.8mg/ml inj 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.ML HUMIRA 0MG/0.2ML HUMIRA 20MG/0.4ML HUMIRA 40MG/0.4ML AUTO-ECTOR HUMIRA 40MG/0.4ML HUMIRA 40MG/0.8ML AUTO-ECTOR HUMIRA 40MG/0.8ML HUMIRA PEDIATRIC CROHN'S STARTER CK (3) 40MG/0.8ML HUMIRA PEDIATRIC CROHN'S STARTER CK (3) 80MG/0.8ML HUMIRA PEDIATRIC CROHN'S STARTER CK (6) 40MG/0.8ML HUMIRA PEDIATRIC CROHN'S STARTER CK (2) 40MG/0.4ML, 80MG/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 50MG/ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

11 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 etodolac 500mg er etodolac 500mg etodolac 600mg er FENOPROFEN 400MG CAP flurbiprofen 00mg flurbiprofen 50mg ibu 600mg ibu 800mg 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 0

12 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 ORENCIA 250MG ORENCIA 50MG/0.4ML ORENCIA 87.5MG/0.7ML SOLUBLE TUMOR NECROSIS FACTOR RECEPTOR AGENTS ENBREL 25MG ENBREL 25MG/0.5ML ENBREL 50MG/ML SURECLICK ENBREL 50MG/ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le.

13 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 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

14 MORPHINE SULFATE 45MG ER (24HR) CAP morphine sulfate 4mg/ml oral soln QL=900 ML/30 Days morphine sulfate 50mg er cap MORPHINE SULFATE 5MG/ML 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 NUCYNTA 00MG ER NUCYNTA 50MG ER NUCYNTA 200MG ER NUCYNTA 250MG ER NUCYNTA 50MG ER oxycodone 0mg QL=80 EA/30 Days 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 00mg er (matrix delivery) tramadol 200mg er tramadol 200mg er (matrix delivery) tramadol 300mg er tramadol 300mg er (matrix delivery) tramadol 50mg QL=240 EA/30 Days XTAMPZA 3.5MG ER CAP QL=20 EA/30 Days XTAMPZA 8MG ER CAP QL=20 EA/30 Days XTAMPZA 27MG ER CAP QL=20 EA/30 Days XTAMPZA 36MG ER CAP QL=20 EA/30 Days XTAMPZA 9MG ER CAP QL=20 EA/30 Days OPIOID COMBINATIONS 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 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/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 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 vicodin 0-300mg QL=390 EA/30 Days vicodin 5-300mg QL=390 EA/30 Days vicodin mg QL=390 EA/30 Days OPIOID RTIAL AGONISTS BUNAVAIL MG FILM BUNAVAIL MG FILM BUNAVAIL 6.3-MG FILM buprenorphine 0.3mg/ml cartridge buprenorphine 0.3mg/ml inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

16 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 SUBOXONE 4-MG STRIP SUBOXONE 8-2MG STRIP 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 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 RECTAL COMBINATIONS hydrocortisone/pramoxine -% rectal cream RECTAL STEROIDS procto-med 2.5% cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

17 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 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 pump spray nitroglycerin 0.4mg/hr patch nitroglycerin 0.6mg sl nitroglycerin 0.6mg/hr patch ANTIANXIETY AGENTS ANTIANXIETY AGENTS - MISC. buspirone 0mg buspirone 5mg buspirone 30mg buspirone 5mg buspirone 7.5mg hydroxyzine 0mg hydroxyzine 25mg HYDROXYZINE 25MG/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 6

18 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 alprazolam 0.25mg odt BENZODIAZEPINES 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 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 ANTIARRHYTHMICS ANTIARRHYTHMICS TYPE I-A disopyramide 00mg cap disopyramide 50mg cap NORCE 00MG ER CAP NORCE 50MG ER CAP PROCAINAMIDE 00MG/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 7

19 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 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 SPIRIVA.25MCG RESPIMAT INH ST QL=4 GM/30 Days SPIRIVA 8MCG HANDIHALER SPIRIVA 2.5MCG RESPIMAT INH LEUKOTRIENE MODULATORS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

20 montelukast 0mg montelukast 4mg chew montelukast 4mg granules montelukast 5mg chew zafirlukast 0mg zafirlukast 20mg zileuton 600mg er SELECTIVE PHOSPHODIESTERASE 4 (PDE4) INHIBITORS DALIRESP 250MCG 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

21 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 TRELEGY MCG ELLIPTA INH VENTOLIN 08MCG INH QL=36 GM/30 Days XANTHINES aminophylline 25mg/ml inj theophylline 00mg er theophylline 200mg er theophylline 300mg er theophylline 400mg er theophylline 5.33mg/ml oral soln theophylline 600mg er ANTICOAGULANTS COUMARIN ANTICOAGULANTS jantoven 0mg jantoven mg jantoven 2.5mg jantoven 2mg jantoven 3mg jantoven 4mg jantoven 5mg jantoven 6mg jantoven 7.5mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 20

22 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 30-DAY STARTER CK ELIQUIS 5MG XARELTO 0MG XARELTO 5MG XARELTO 20MG XARELTO STARTER CK HERINS AND HERINOID-LIKE AGENTS enoxaparin sodium 00mg/ml syringe QL=34 ML/7 Days enoxaparin sodium 20mg/0.8ml syringe QL=27.20 ML/7 Days enoxaparin sodium 50mg/ml syringe QL=34 ML/7 Days enoxaparin sodium 300mg/3ml syringe QL=5 ML/7 Days enoxaparin sodium 30mg/0.3ml syringe QL=0.20 ML/7 Days enoxaparin sodium 40mg/0.4ml syringe QL=3.60 ML/7 Days enoxaparin sodium 60mg/0.6ml syringe QL=20.40 ML/7 Days enoxaparin sodium 80mg/0.8ml syringe QL=27.20 ML/7 Days fondaparinux sodium 2.5mg/ml (0.4ml) syringe fondaparinux sodium 2.5mg/ml (0.6ml) syringe fondaparinux sodium 2.5mg/ml (0.8ml) syringe fondaparinux sodium 5mg/ml syringe FRAGMIN 0000UNIT/ML FRAGMIN 2500UNIT/0.5ML FRAGMIN 5000UNIT/0.6ML FRAGMIN 8000UNIT/0.72ML FRAGMIN 2500UNIT/0.2ML FRAGMIN 5000UNIT/0.2ML FRAGMIN 7500UNIT/0.3ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 2

23 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 22

24 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 lamotrigine 25mg chew lamotrigine 25mg er lamotrigine 25mg odt lamotrigine 25mg lamotrigine 300mg er lamotrigine 50mg er lamotrigine 50mg odt lamotrigine 5mg chew lamotrigine 25mg (35) starter pack lamotrigine 25mg (42)/00mg (7) starter pack lamotrigine 25mg (84)/00mg (4) starter pack levetiracetam 000mg levetiracetam 00mg/ml inj levetiracetam 00mg/ml oral soln levetiracetam 0mg/ml inj levetiracetam 5mg/ml inj levetiracetam 250mg levetiracetam 500mg er You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 23

25 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 er roweepra 500mg roweepra 750mg er roweepra 750mg SPRITAM 000MG ODT NSO 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 24

26 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 6mg tiagabine 2mg tiagabine 4mg vigabatrin 50mg/ml oral soln NSO 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 25

27 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 26

28 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 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 FUMARATE 00MG ER ST DESVENLAFAXINE FUMARATE 50MG ER ST You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 27

29 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 AMOXAPINE 50MG clomipramine 25mg cap clomipramine 50mg cap clomipramine 75mg cap desipramine 00mg desipramine 0mg desipramine 50mg desipramine 25mg desipramine 50mg desipramine 75mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 28

30 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 29

31 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 MG XR XIGDUO 5-000MG XR XIGDUO 5-500MG XR QL=30 EA/30 Days XULTOPHY 00UNIT-3.6MG/ML PEN QL=5 ML/30 Days metformin 000mg BIGUANIDES metformin 500mg er metformin 500mg metformin 750mg er metformin 850mg GLUCAGEN MG HYPOKIT 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 2.35MG/ML AUTO-ECTOR BYDUREON 2MG BYDUREON 2MG PEN OZEMPIC 2MG/.5ML PEN OZEMPIC 2MG/.5ML PEN (MG DOSE) VICTOZA 8MG/3ML PEN INSULIN FIASP 00UNIT/ML FIASP 00UNIT/ML PEN HUMULIN R 500UNIT/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 30

32 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 TOUJEO MAX 300UNIT/ML PEN (3ML) 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 glipizide 5mg glyburide.25mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 3

33 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 0.4MG/ML CARTRIDGE OPIOID ANTAGONISTS NALOXONE MG/ML 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 ondansetron 2mg/ml inj You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 32

34 ondansetron 2mg/ml syringe ondansetron 4mg odt ondansetron 4mg ondansetron 8mg odt ondansetron 8mg ANTIEMETICS - ANTICHOLINERGIC meclizine 2.5mg meclizine 25mg scopolamine mg/3days patch 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 CASPOFUNGIN ACETATE 50MG CASPOFUNGIN ACETATE 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 IMIDAZOLE-RELATED ANTIFUNGALS fluconazole 00mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 33

35 fluconazole 0mg/ml oral susp fluconazole 50mg 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 ANTIHYPERLIPIDEMICS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 34

36 KYNAMRO 200MG/ML ANTIHYPERLIPIDEMICS - MISC. 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 35

37 rosuvastatin 5mg simvastatin 0mg 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 36

38 lisinopril 40mg lisinopril 5mg moexipril 5mg moexipril 7.5mg perindopril erbumine 2mg perindopril erbumine 4mg perindopril erbumine 8mg QBRELIS MG/ML ORAL SOLN 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 olmesartan medoxomil 20mg olmesartan medoxomil 40mg olmesartan medoxomil 5mg telmisartan 20mg telmisartan 40mg telmisartan 80mg valsartan 60mg valsartan 320mg valsartan 40mg valsartan 80mg ANTIADRENERGIC ANTIHYPERTENSIVES clonidine mg/hr patch You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 37

39 clonidine mg/hr patch clonidine 0.025mg/hr patch clonidine 0.mg clonidine 0.2mg clonidine 0.3mg doxazosin mg 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/olmesartan medoxomil 20mg amlodipine 0mg/olmesartan medoxomil 40mg 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/olmesartan medoxomil 20mg amlodipine 5mg/olmesartan medoxomil 40mg amlodipine 5mg/telmisartan 40mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 38

40 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 39

41 hydrochlorothiazide 2.5mg/moexipril 7.5mg hydrochlorothiazide 2.5mg/olmesartan medoxomil 20mg hydrochlorothiazide 2.5mg/olmesartan medoxomil 40mg 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 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/olmesartan medoxomil 40mg 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 40

42 minoxidil 2.5mg AZACTAM GM/50ML ANTI-INFECTIVE AGENTS - MISC. ANTI-INFECTIVE AGENTS - MISC. 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 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 DORIPENEM 500MG INVANZ GM meropenem gm inj meropenem 500mg inj CHLORAMPHENICOLS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 4

43 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 42

44 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 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 00mg inj oxaliplatin 5mg/ml inj thiotepa 5mg inj TREANDA 00MG NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 43

45 TREANDA 25MG NSO YONDELIS MG NSO ZANOSAR GM adrucil 500mg/0ml inj ANTIMEOLITES ALIMTA 00MG 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 methotrexate 000mg inj methotrexate 2.5mg METHOTREXATE 250MG/0ML methotrexate 250mg/0ml inj methotrexate 25mg/ml inj methotrexate 50mg/2ml inj PURIXAN 2000MG/00ML ORAL SUSP LOID 40MG TREXALL 0MG TREXALL 5MG TREXALL 5MG TREXALL 7.5MG XATMEP 2.5MG/ML ORAL SOLN 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 50MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 44

46 HERCEPTIN 440MG IMFINZI 20MG/2.4ML NSO IMFINZI 500MG/0ML NSO KADCYLA 00MG NSO KADCYLA 60MG NSO KEYTRUDA 00MG/4ML NSO LARTRUVO 0MG/ML NSO LARTRUVO 90MG/9ML NSO MYLOTARG 4.5MG NSO OPDIVO 00MG/0ML NSO OPDIVO 40MG/4ML NSO PERJETA 420MG/4ML NSO RITUXAN 00MG/0ML 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 DEPO-PROVERA 400MG/ML ELIGARD 22.5MG ELIGARD 30MG ELIGARD 45MG ELIGARD 7.5MG EMCYT 40MG CAP ERLEADA 60MG NSO QL=20 EA/30 Days exemestane 25mg FARESTON 60MG FASLODEX 250MG/5ML 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) You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 45

47 LUPRON 22.5MG LUPRON 3.75MG LUPRON 30MG LUPRON 45MG LUPRON 7.5MG 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 ZYTIGA 500MG NSO 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 dactinomycin 0.5mg inj daunorubicin 5mg/ml inj 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 VYXEOS 44-00MG NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 46

48 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 ALIQO 60MG NSO ALUNBRIG 80MG NSO ALUNBRIG 30MG NSO ALUNBRIG 90MG NSO ALUNBRIG STARTER CK NSO BELEODAQ 500MG NSO BORTEZOMIB 3.5MG BOSULIF 00MG NSO BOSULIF 400MG NSO BOSULIF 500MG NSO CABOMETYX 20MG NSO CABOMETYX 40MG NSO CABOMETYX 60MG NSO CALQUENCE 00MG CAP 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 ICLUSIG 45MG NSO IDHIFA 00MG NSO IDHIFA 50MG NSO imatinib 00mg NSO imatinib 400mg NSO IMBRUVICA 40MG CAP NSO QL=20 EA/30 Days IMBRUVICA 40MG NSO 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. 47

49 IMBRUVICA 280MG NSO QL=30 EA/30 Days IMBRUVICA 420MG NSO QL=30 EA/30 Days IMBRUVICA 560MG NSO QL=30 EA/30 Days IMBRUVICA 70MG CAP NSO QL=30 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 KISQALI 400MG DAILY DOSE CK NSO KISQALI 600MG DAILY DOSE CK NSO 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 00MG CAP NSO LYNRZA 50MG CAP NSO LYNRZA 50MG CAP NSO MEKINIST 0.5MG NSO MEKINIST 2MG NSO NERLYNX 40MG 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 250MG 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 48

50 SUTENT 25MG CAP NSO SUTENT 37.5MG CAP NSO SUTENT 50MG CAP NSO TAFINLAR 50MG CAP NSO QL=20 EA/30 Days 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 TASIGNA 50MG CAP NSO TORISEL 25MG/ML TYKERB 250MG NSO VELCADE 3.5MG VERZENIO 00MG NSO VERZENIO 50MG NSO VERZENIO 200MG NSO VERZENIO 50MG NSO 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 25MU INTRON A 50MU INTRON A UNIT/ML MATULANE 50MG CAP NIPENT 0MG PROLEUKIN UNIT SYLATRON 200MCG NSO SYLATRON 300MCG NSO You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 49

51 SYLATRON 600MCG NSO SYNRIBO 3.5MG tretinoin 0mg cap TRISENOX 2MG/6ML ELITEK.5MG CHEMOTHERAPY ADJUNCTS ELITEK 7.5MG KEPIVANCE 6.25MG dexrazoxane 250mg inj CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS FUSILEV 50MG LEUCOVORIN 0MG leucovorin 0mg/ml inj LEUCOVORIN 5MG leucovorin 20mg/ml inj leucovorin 25mg leucovorin 5mg levoleucovorin 0mg/ml inj levoleucovorin 50mg 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 benztropine mesylate 0.5mg ANTIRKINSON ANTICHOLINERGICS benztropine mesylate mg benztropine mesylate mg/ml inj benztropine mesylate 2mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 50

52 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

53 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 52

54 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 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 NSO INVEGA 56MG/ML NSO INVEGA 234MG/.5ML NSO INVEGA 273MG/0.875ML NSO INVEGA 39MG/0.25ML NSO INVEGA 40MG/.35ML NSO INVEGA 546MG/.75ML NSO INVEGA 78MG/0.5ML NSO INVEGA 89MG/2.625ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 53

55 risperidone 2mg risperidone 3mg odt risperidone 3mg risperidone 4mg odt risperidone 4mg haloperidol 0.5mg BUTYROPHENONES haloperidol 0mg haloperidol mg haloperidol 20mg haloperidol 2mg haloperidol 2mg/ml oral soln haloperidol 5mg haloperidol 5mg/ml inj haloperidol 5mg/ml syringe haloperidol decanoate 00mg/ml inj haloperidol decanoate 500mg/5ml 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 54

56 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 55

57 trifluoperazine 2mg trifluoperazine 5mg ABILIFY 300MG MAINTENA QUINOLINONE DERIVATIVES NSO ABILIFY 300MG MAINTENA PF NSO ABILIFY 400MG MAINTENA NSO ABILIFY 400MG MAINTENA PF NSO aripiprazole 0mg odt NSO aripiprazole 0mg QL=30 EA/30 Days aripiprazole 5mg odt NSO aripiprazole 5mg QL=30 EA/30 Days aripiprazole mg/ml oral soln NSO aripiprazole 20mg QL=30 EA/30 Days aripiprazole 2mg QL=30 EA/30 Days aripiprazole 30mg QL=30 EA/30 Days aripiprazole 5mg QL=30 EA/30 Days ARISTADA 273MG/ML NSO ARISTADA 44MG/.6ML NSO ARISTADA 662MG/2.4ML NSO ARISTADA 882MG/3.2ML 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 THIOXANTHENES thiothixene 0mg cap thiothixene mg cap thiothixene 2mg cap thiothixene 5mg cap ANTIVIRALS ANTIRETROVIRALS abacavir 20mg/ml oral soln abacavir 300mg abacavir 300mg/lamivudine 50mg/zidovudine 300mg abacavir 600mg/lamivudine 300mg APTIVUS 00MG/ML ORAL SOLN APTIVUS 250MG CAP atazanavir 50mg cap atazanavir 200mg cap atazanavir 300mg cap ATRIPLA MG BIKTARVY MG COMPLERA MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 56

58 CRIXIVAN 200MG CAP CRIXIVAN 400MG CAP DESCOVY MG didanosine 200mg dr cap didanosine 250mg dr cap didanosine 400mg dr cap EDURANT 25MG efavirenz 200mg cap efavirenz 50mg cap efavirenz 600mg cap EMTRIVA 0MG/ML ORAL SOLN EMTRIVA 200MG CAP EPZICOM MG EVOTAZ MG fosamprenavir 700mg FUZEON 90MG GENVOYA MG INTELENCE 00MG INTELENCE 200MG INTELENCE 25MG INVIRASE 200MG CAP INVIRASE 500MG ISENTRESS 00MG CHEW ISENTRESS 00MG ORAL SUSP ISENTRESS 25MG CHEW ISENTRESS 400MG ISENTRESS 600MG JULUCA 50-25MG 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 200mg nevirapine 400mg er NORVIR 00MG CAP NORVIR 00MG NORVIR 80MG/ML ORAL SOLN ODEFSEY MG PREZCOBIX MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 57

59 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 ritonavir 00mg SELZENTRY 50MG SELZENTRY 20MG/ML ORAL SOLN 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 SYMFI LO MG tenofovir disoproxil fumarate 300mg TIVICAY 0MG TIVICAY 25MG TIVICAY 50MG TRIUMEQ MG TRUVADA 00-50MG TRUVADA MG TRUVADA MG TRUVADA MG TYBOST 50MG VIDEX 25MG DR CAP VIDEX 2GM ORAL SOLN VIRACEPT 250MG VIRACEPT 625MG VIRAMUNE 50MG/5ML ORAL SUSP VIREAD 50MG VIREAD 200MG VIREAD 250MG VIREAD 300MG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 58

60 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 MAVYRET 00-40MG QL=84 EA/28 Days 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 PEGASYS 80MCG/ML ribasphere 200mg cap ribasphere 200mg 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 HERPES AGENTS acyclovir 200mg cap acyclovir 400mg acyclovir 40mg/ml oral susp acyclovir 50mg/ml inj acyclovir 800mg famciclovir 25mg famciclovir 250mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 59

61 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 6mg/ml oral susp QL=550 ML/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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 60

62 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 SYLVANT 400MG kionex 250mg/ml oral susp POTASSIUM REMOVING RESINS 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 6

63 labetalol 00mg labetalol 200mg labetalol 300mg labetalol 5mg/ml inj BETA BLOCKERS CARDIO-SELECTIVE acebutolol 200mg cap 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 62

64 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 CALCIUM CHANNEL BLOCKERS CALCIUM CHANNEL BLOCKERS afedi 30mg cr 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 63

65 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 64

66 verapamil 80mg digitek 0.25mg CARDIOTONICS CARDIAC GLYCOSIDES digitek 0.25mg digox 0.25mg digox 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 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 32MG FOR ORAL SUSP QL=20 EA/30 Days TRACLEER 62.5MG PULMONARY HYPERTENSION - PHOSPHODIESTERASE INHIBITORS sildenafil 20mg PULMONARY HYPERTENSION - PROSTACYCLIN RECEPTOR AGONIST UPTRAVI 000MCG You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 65

67 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 66

68 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 TEFLARO 400MG CEPHALOSPORINS - 5TH GENERATION TEFLARO 600MG altavera 28 day pack CONTRACEPTIVES COMBINATION CONTRACEPTIVES - ORAL alyacen /35 28 day pack amethia 9 day pack amethia lo 9 day pack apri 28 day pack aranelle 28 pack You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 67

69 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 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 enskyce 28 day pack ethinyl estradiol 0.0mg/ethinyl estradiol 0.02mg/levonorgestrel 0.mg 9 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 ethinyl estradiol 0.02mg/norethindrone mg 2 day pack ethinyl estradiol 0.035mg/ethynodiol mg 28 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 68

70 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 0.03mg/levonorgestrel 0.5mg 28 day pack ethinyl estradiol 0.05mg/ethynodiol mg/inert ingredients mg 28 day pack ethinyl estradiol/levonorgestrel 9 day pack falmina 28 day pack fayosim 9 day pack femynor 28 day pack gianvi 28-day pack introvale 9 day pack isibloom 28 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 kelnor /50 28 day pack kimidess 28 day pack kurvelo 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 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 microgestin fe.5/30 28 day pack microgestin fe /20 28 day pack You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 69

71 mononessa 28 day pack NATAZIA 28 DAY CK necon 0.5/35 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 syeda 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 tri-vylibra 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 vylibra 28 day pack wymzya fe 28 day pack zarah mg pack zenchent 28 day pack zovia /35e 28 day pack zovia /50e 28 day pack COMBINATION CONTRACEPTIVES - TRANSDERMAL XULANE 50-35MCG TCH COMBINATION CONTRACEPTIVES - VAGINAL NUVARING VAGINAL RING PROGESTIN CONTRACEPTIVES - ECLE You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 70

72 medroxyprogesterone acetate 50mg/ml inj medroxyprogesterone acetate 50mg/ml syringe 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 prednisolone mg/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. 7

73 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 triamcinolone acetonide 40mg/ml inj 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 adapalene/benzoyl peroxide % gel amnesteem 0mg cap amnesteem 20mg cap amnesteem 40mg cap avita 0.025% cream avita 0.025% gel claravis 0mg cap claravis 20mg cap claravis 30mg cap claravis 40mg cap clindacin % pad clindamycin % foam clindamycin % gel You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 72

74 clindamycin % lotion clindamycin % pad clindamycin % topical soln 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 isotretinoin 0mg cap isotretinoin 20mg cap isotretinoin 30mg cap isotretinoin 40mg cap 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 73

75 clotrimazole % topical soln econazole nitrate % cream ERTACZO 2% CREAM ketoconazole 2% cream ketoconazole 2% shampoo ketoconazole 20mg/ml foam naftifine 2% cream nyamyc 00000unit/gm powder 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 methoxsalen 0mg cap tazarotene 0.% cream TAZORAC 0.05% CREAM TAZORAC 0.05% GEL TAZORAC 0.% GEL ANTISEBORRHEIC PRODUCTS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 74

76 selenium sulfide 2.5% shampoo acyclovir 5% ointment ANTIVIRALS - TOPICAL DENAVIR % CREAM silver sulfadiazine % cream BURN PRODUCTS 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 75

77 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 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 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 DUPIXENT 300MG/2ML ECZEMA AGENTS ammonium lactate 2% cream EMOLLIENTS ammonium lactate 2% lotion SANTYL 250UNIT/GM OINTMENT ENZYMES - TOPICAL IMMUNOMODULATING AGENTS - TOPICAL imiquimod 5% cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 76

78 ZYCLARA 2.5% CREAM IMMUNOSUPPRESSIVE AGENTS - TOPICAL ELIDEL % CREAM tacrolimus 0.03% ointment tacrolimus 0.% ointment KERATOLYTIC/ANTIMITOTIC AGENTS podofilox 0.5% topical soln LOCAL ANESTHETICS - TOPICAL lidocaine 2% gel lidocaine 4% topical soln lidocaine 5% ointment ST QL=07 GM/30 Days lidocaine 5% patch QL=90 EA/30 Days lidocaine/prilocaine % cream FINACEA 5% FOAM ROSACEA AGENTS FINACEA 5% GEL metronidazole 0.75% cream metronidazole 0.75% gel metronidazole 0.75% lotion metronidazole % gel EURAX 0% CREAM SCABICIDES & PEDICULICIDES 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 77

79 methazolamide 25mg methazolamide 50mg DIURETIC COMBINATIONS amiloride 5mg/hydrochlorothiazide 50mg hydrochlorothiazide 25mg/spironolactone 25mg hydrochlorothiazide 25mg/triamterene 37.5mg cap 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 78

80 indapamide 2.5mg METHYCLOTHIAZIDE 5MG metolazone 0mg metolazone 2.5mg metolazone 5mg ENDOCRINE AND MEOLIC AGENTS - MISC. 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 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 TYMLOS 2MG/ML PEN ECTOR 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 79

81 GENOTROPIN 0.2MG GENOTROPIN 0.4MG GENOTROPIN 0.6MG GENOTROPIN 0.8MG GENOTROPIN.2MG GENOTROPIN.4MG GENOTROPIN.6MG GENOTROPIN.8MG GENOTROPIN 2MG CARTRIDGE GENOTROPIN MG GENOTROPIN 2MG GENOTROPIN 5MG CARTRIDGE 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) INCRELEX 40MG/4ML LHRH/GNRH AGONIST ANALOG PITUITARY SUPPRESSANTS LUPRON.25MG (ML) LUPRON 5MG LUPRON 30MG (3 MONTH) 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 FABRAZYME 5MG 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 80

82 ORFADIN 0MG CAP ORFADIN 20MG 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 desmopressin acetate 0.2mg STIMATE.5MG/ML NASAL SPRAY PROLACTIN INHIBITORS cabergoline 0.5mg SOMATOSTATIC AGENTS octreotide 0.05mg/ml inj 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 SOMATULINE 60MG/0.2ML SOMATULINE 90MG/0.3ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 8

83 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 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 FLUOROQUINOLONES FLUOROQUINOLONES AVELOX 400MG/250ML BAXDELA 450MG ciprofloxacin 00mg/ml oral susp CIPROFLOXACIN 0MG/ML ciprofloxacin 250mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 82

84 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 83

85 alosetron 0.5mg alosetron mg LINZESS 45MCG CAP LINZESS 290MCG CAP LINZESS 72MCG CAP PERIPHERAL OPIOID RECEPTOR ANTAGONISTS MOVANTIK 2.5MG MOVANTIK 25MG RELISTOR 2MG/0.6ML RELISTOR 2MG/0.6ML RELISTOR 8MG/0.4ML SYMPROIC 0.2MG 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 lanthanum carbonate 000mg chew lanthanum carbonate 500mg chew lanthanum carbonate 750mg chew PHOSLYRA 667MG/5ML ORAL SOLN RENVELA 800MG sevelamer carbonate 2400mg oral susp sevelamer carbonate 800mg oral susp sevelamer carbonate 800mg 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 84

86 dutasteride 0.5mg cap dutasteride 0.5mg/tamsulosin 0.4mg cap finasteride 5mg RAFLO 4MG CAP RAFLO 8MG CAP tamsulosin 0.4mg cap LITHOSTAT 250MG URINARY STONE AGENTS 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 BERINERT 500UNIT COMPLEMENT INHIBITORS CINRYZE 500UNIT HAEGARDA 2000UNT HAEGARDA 3000UNT 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 prasugrel 0mg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 85

87 prasugrel 5mg 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 ST ARANESP 00MCG/ML ST ARANESP 0MCG/0.4ML ST ARANESP 50MCG/0.3ML ST ARANESP 200MCG/0.4ML ST ARANESP 200MCG/ML ST ARANESP 25MCG/0.42ML ST ARANESP 25MCG/ML ST ARANESP 300MCG/0.6ML ST ARANESP 300MCG/ML ST ARANESP 40MCG/0.4ML ST ARANESP 40MCG/ML ST ARANESP 500MCG/ML ST ARANESP 60MCG/0.3ML ST ARANESP 60MCG/ML ST EPOGEN 0000UNIT/ML EPOGEN 20000UNIT/ML EPOGEN 2000UNIT/ML EPOGEN 3000UNIT/ML EPOGEN 4000UNIT/ML GRANIX 300MCG/0.5ML GRANIX 480MCG/0.8ML LEUKINE 250MCG NEULASTA 6MG/0.6ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 86

88 ZARXIO 480MCG/0.8ML 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 87

89 peg 3350/electrolyte oral soln peg 3350/kcl/sodium bicarbonate/sodium chloride powder for oral soln polyethylene glycol 3350/kcl/sodium bicarbonate/sodium chloride/sodium sulfate 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 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 (DISP) U-00 /2ML MEDICAL DEVICES AND SUPPLIES You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 88

90 BANDAGES-DRESSINGS-TAPE GAUZE D MISC. DEVICES ALCOHOL SWAB "X" (DIABETIC) RENTERAL THERAPY SUPPLIES INSULIN PEN NEEDLE INSULIN (DISP) U ML INSULIN (DISP) U-00 ML INSULIN 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 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 89

91 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 90

92 K- 20MEQ ER POTASSIUM 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 chloride 0.45% inj SODIUM sodium chloride 0.9% inj sodium chloride 2.5 meq/ml inj sodium chloride 3% inj sodium chloride 5% inj trientine 250mg MISCELLANEOUS THERAPEUTIC CLASSES CHELATING AGENTS IMMUNOSUPPRESSIVE AGENTS AZATHIOPRINE 0MG/ML mycophenolate mofetil 500mg inj SYSTEMIC LUPUS ERYTHEMATOSUS AGENTS BENLYSTA 200MG/ML AUTO-ECTOR QL=4 ML/28 Days BENLYSTA 200MG/ML QL=4 ML/28 Days MOUTH/THROAT/DENTAL AGENTS ANESTHETICS TOPICAL ORAL lidocaine 2% topical soln ANTI-INFECTIVES - THROAT clotrimazole 0mg lozenge nystatin 00000unit/ml oral susp ANTISEPTICS - MOUTH/THROAT chlorhexidine gluconate 0.2% mouthwash periogard 0.2% mouthwash You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 9

93 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 92

94 triamcinolone 55mcg nasal spray QL=33 GM/5 Days riluzole 50mg NEUROMUSCULAR AGENTS ALS AGENTS 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 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 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% You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 93

95 premasol 6% inj PROCALAMINE 3% PROSOL 20% TRAVASOL 0% TROPHAMINE 0% LACRISERT 5MG IMPLANT OPHTHALMIC AGENTS ARTIFICIAL TEARS AND LUBRICANTS betaxolol 0.5% ophth soln BETA-BLOCKERS - OPHTHALMIC 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% 24hr ophth soln timolol 0.5% ophth gel timolol 0.5% ophth soln TIMOPTIC-XE 0.25% OPHTH GEL 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 94

96 erythromycin 0.005mg/mg ophth ointment gatifloxacin 0.5% ophth soln 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 moxifloxacin 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 95

97 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 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 0.% ophth soln olopatadine 0.2% 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 CETRAXAL 0.2% OTIC SOLN 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 hydrocortisone 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic susp OTIC STEROIDS acetic acid/hydrocortisone -2% otic soln fluocinolone acetonide 0.0% otic soln BIVIGAM 0% SSIVE IMMUNIZING AGENTS IMMUNE SERUMS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 96

98 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 00MG/ML MONOCLONAL ANTIBODIES SYNAGIS 50MG/0.5ML 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/ml inj ampicillin 500mg cap NATURAL PENICILLINS BICILLIN L-A UNIT/2ML BICILLIN L-A UNIT/4ML BICILLIN L-A UNIT/ML penicillin g potassium unit/ml inj PENICILLIN G POTASSIUM 40000UNIT/ML You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 97

99 PENICILLIN G POTASSIUM 60000UNIT/ML PENICILLIN G PROCAINE UNIT/ML 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 BICILLIN UNIT/ML piperacillin 2000mg/tazobactam 250mg inj piperacillin 200mg/ml/tazobactam 25mg/ml inj piperacillin 3000mg/tazobactam 375mg inj piperacillin 4000mg/tazobactam 500mg inj UNASYN 0-5GM UNASYN 2-GM ZOSYN 40-5MG/ML ZOSYN MG/ML PENICILLINASE-RESISTANT PENICILLINS dicloxacillin 250mg cap dicloxacillin 500mg cap nafcillin 00mg/ml inj nafcillin gm inj oxacillin 00mg/ml inj oxacillin 2000mg inj OXACILLIN 20MG/ML OXACILLIN 40MG/ML PROGESTINS You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 98

100 medroxyprogesterone acetate 0mg 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 4mg er cap memantine 2mg er cap memantine 28mg er cap memantine 2mg/ml oral soln memantine 5mg memantine 7mg er cap 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 NAMZARIC 0-7MG ER CAP ST NAMZARIC 4-0MG ER CAP ST NAMZARIC 28-0MG 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. 99

101 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 AUBAGIO 7MG AVONEX 30MCG/0.5ML AUTO-ECTOR AVONEX 30MCG/0.5ML AVONEX 30MCG/VIAL COXONE 20MG/ML COXONE 40MG/ML EXTAVIA 0.3MG GILENYA 0.5MG CAP glatiramer 20mg/ml syringe glatiramer 40mg/ml syringe You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 00

102 glatopa 20mg/ml inj glatopa 40mg/ml syringe PLEGRIDY 25MCG/0.5ML AUTO-ECTOR PLEGRIDY 25MCG/0.5ML PLEGRIDY PEN STARTER CK PLEGRIDY STARTER CK REBIF 22MCG/0.5ML AUTO-ECTOR REBIF 22MCG/0.5ML REBIF 44MCG/0.5ML AUTO-ECTOR REBIF 44MCG/0.5ML REBIF REBIDOSE CK REBIF TITRATION 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 0

103 ESBRIET 267MG ESBRIET 80MG OFEV 00MG CAP OFEV 50MG CAP SULFADIAZINE 500MG SULFONAMIDES SULFONAMIDES demeclocycline 50mg TETRACYCLINES 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 levo-t 00mcg levo-t 2mcg levo-t 25mcg levo-t 37mcg levo-t 50mcg levo-t 75mcg levo-t 200mcg levo-t 25mcg levo-t 300mcg You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 02

104 levo-t 50mcg levo-t 75mcg levo-t 88mcg 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 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 03

105 THYROLAR 60MG unithroid 00mcg unithroid 2mcg unithroid 25mcg unithroid 50mcg unithroid 75mcg unithroid 200mcg unithroid 25mcg unithroid 300mcg unithroid 50mcg unithroid 75mcg unithroid 88mcg ADACEL TOXOIDS TOXOID COMBINATIONS ADACEL BOOSTRIX BOOSTRIX DAPTACEL DIPHTHERIA/TETANUS TOXOID INFANRIX KINRIX 0.05 MG/ML KINRIX PEDIARIX QUADRACEL TENIVAC TETANUS/DIPHTHERIA TOXOID ULCER DRUGS ANTISSMODICS ATROPINE SULFATE 0.05MG/ML 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 04

106 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 sucralfate 000mg MISC. ANTI-ULCER PROTON PUMP INHIBITORS esomeprazole 20mg dr cap ESOMEPRAZOLE 20MG esomeprazole 40mg dr cap esomeprazole 40mg inj lansoprazole 5mg dr cap lansoprazole 30mg dr cap NEXIUM 0MG GRANULES FOR ORAL SUSP NEXIUM 2.5MG GRANULES FOR ORAL SUSP NEXIUM 20MG GRANULES FOR ORAL SUSP NEXIUM 40MG GRANULES FOR ORAL SUSP NEXIUM 5MG GRANULES FOR ORAL SUSP omeprazole 0mg dr cap 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 05

107 nitrofurantoin monohydrate/macrocrystalline 00mg 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 flavoxate 00mg VACCINES BACTERIAL VACCINES ACTHIB BCG, LIVE, TICE STRAIN 50MG/ML BEXSERO HIBERIX MENACTRA MENVEO PEDVAXHIB 7.5MCG/0.5ML TRUMENBA TYPHIM VI 25MCG/0.5ML TYPHIM VI 25MCG/0.5ML ENGERIX-B 0MCG/0.5ML VIRAL VACCINES ENGERIX-B 20MCG/ML GARDASIL 9 GARDASIL 9 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 06

108 HAVRIX 440UNIT HAVRIX 440UNIT HAVRIX 720UNIT HAVRIX 720UNIT IMOVAX 2.5UNIT/ML IPOL IXIARO M-M-R II PROQUAD RABAVERT 2.5UNIT/ML RECOMBIVAX 0MCG/ML RECOMBIVAX 40MCG/ML RECOMBIVAX 5MCG/0.5ML RECOMBIVAX HB 0MCG/ML ROTARIX ORAL SUSP ROTATEQ ORAL SUSP SHINGRIX TWINRIX 720UNIT VAQTA 25UNIT/0.5ML VAQTA 50UNIT/0.5ML VAQTA 50UNIT/ML VAQTA 50UNIT/ML 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 terconazole 0.4% vaginal cream terconazole 0.8% vaginal cream terconazole 80mg vaginal supp vandazole 0.75% vaginal gel VAGINAL ESTROGENS estradiol 0.mg/ml vaginal cream ESTRING 2MG VAGINAL RING 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 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 07

109 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. 08

110 ALPHABETICAL LISTING OF DRUGS A abacavir 20mg/ml oral 56 soln abacavir 300mg 56 abacavir mg/lamivudine 50mg/zidovudine 300mg abacavir mg/lamivudine 300mg ABELCET 5MG/ML 33 ABILIFY 300MG 56 MAINTENA ABILIFY 300MG 56 MAINTENA PF ABILIFY 400MG 56 MAINTENA ABILIFY 400MG 56 MAINTENA PF ABRAXANE 00MG 50 acamprosate calcium mg dr acarbose 00mg 29 acarbose 25mg 29 acarbose 50mg 29 acebutolol 200mg cap 62 acebutolol 400mg cap 62 acetaminophen 4 2.7mg/ml/hydrocodone bitartrate 0.5mg/ml oral soln acetaminophen 4 24mg/ml/codeine phosphate 2.4mg/ml oral soln acetaminophen 4 300mg/codeine phosphate 5mg acetaminophen 4 300mg/codeine phosphate 30mg acetaminophen 4 300mg/codeine phosphate 60mg acetaminophen 4 300mg/hydrocodone bitartrate 0mg acetaminophen 4 300mg/hydrocodone bitartrate 5mg acetaminophen 4 300mg/hydrocodone bitartrate 7.5mg acetaminophen 4 325mg/hydrocodone bitartrate 0mg acetaminophen 4 325mg/hydrocodone bitartrate 2.5mg acetaminophen 4 325mg/hydrocodone bitartrate 5mg acetaminophen 4 325mg/hydrocodone bitartrate 7.5mg acetaminophen 4 325mg/oxycodone 0mg acetaminophen 4 325mg/oxycodone 2.5mg acetaminophen 4 325mg/oxycodone 5mg acetaminophen 4 325mg/oxycodone 7.5mg acetaminophen 4 325mg/tramadol 37.5mg acetazolamide 00mg/ml 77 inj acetazolamide 25mg 77 acetazolamide 250mg 77 acetazolamide 500mg er 77 cap acetic acid 2% otic soln 96 acetic 96 acid/hydrocortisone -2% otic soln acetylcysteine 0% inh 72 soln acetylcysteine 20% inh 72 soln acitretin 0mg cap 74 acitretin 7.5mg cap 74 acitretin 25mg cap 74 ACTHIB 06 ACTIMMUNE UNIT/0.5ML acyclovir 200mg cap 59 acyclovir 400mg 59 acyclovir 40mg/ml oral 59 susp acyclovir 5% ointment 75 acyclovir 50mg/ml inj 59 acyclovir 800mg 59 ADACEL 04 ADACEL 04 ADAGEN 250UNIT/ML 63 adapalene 0.% cream 72 adapalene 0.% gel 72 adapalene 0.3% gel 72 adapalene/benzoyl 72 peroxide % gel adefovir dipivoxil 0mg 59 ADEMS 0.5MG 66 ADEMS.5MG 66 ADEMS MG 66 ADEMS 2.5MG 66 ADEMS 2MG 66 adriamycin 2mg/ml inj 46 adrucil 500mg/0ml inj 44 ADVAIR 00-50MCG 9 DISKUS 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 ADVAIR 5-2MCG 9 HFA INH ADVAIR 230-2MCG 9 HFA INH ADVAIR MCG 9 DISKUS ADVAIR 45-2MCG HFA 9 INH ADVAIR MCG 9 DISKUS afedi 30mg cr 63 afedi 60mg cr 63 AFINITOR 0MG 47 AFINITOR 2.5MG 47 AFINITOR 2MG ORAL 47 SUSP AFINITOR 3MG ORAL 47 SUSP AFINITOR 5MG ORAL 47 SUSP AFINITOR 5MG 47 AFINITOR 7.5MG 47 ala-cort % cream 75 ala-cort 2.5% cream 75 ALBENZA 200MG 6 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 75 dipropionate 0.05% cream alclometasone 75 dipropionate 0.05% ointment ALCOHOL SWAB "X" 89 (DIABETIC) ALDURAZYME MG/5ML ALECENSA 50MG CAP 47 ALENDRONATE MG/ML ORAL SOLN alendronate 0mg 79 alendronate 35mg 79 ALENDRONATE 40MG 79 alendronate 5mg 79 alendronate 70mg 79 alfuzosin 0mg er 84 ALIMTA 00MG 44 ALIMTA 500MG 44 ALINIA 00MG/5ML 4 ORAL SUSP ALINIA 500MG 4 ALIQO 60MG 47 allopurinol 00mg 85 allopurinol 300mg 85 ALOCRIL 2% OPHTH 96 SOLN ALOMIDE 0.% OPHTH 96 SOLN alosetron 0.5mg 84 alosetron mg 84 ALPHAGAN P 0.% 94 OPHTH SOLN alprazolam 0.25mg odt 7 alprazolam 0.25mg 7 alprazolam 0.5mg er 7 alprazolam 0.5mg odt 7 alprazolam 0.5mg 7 alprazolam mg er 7 alprazolam mg odt 7 alprazolam mg 7 alprazolam 2mg er 7 alprazolam 2mg odt 7 alprazolam 2mg 7 alprazolam 3mg er 7 ALREX 0.2% OPHTH 95 SUSP altavera 28 day pack 67 ALUNBRIG 80MG 47 ALUNBRIG 30MG 47 ALUNBRIG 90MG 47 ALUNBRIG 47 STARTER CK alyacen /35 28 day pack 67 amabelz 0.5/0.mg 28 day 8 pack amabelz /0.5mg 28 day 8 pack amantadine 00mg cap 5 amantadine 00mg 5 amantadine 0mg/ml oral 5 soln AMBISOME 50MG 33 AMCINONIDE 0.% 75 CREAM AMCINONIDE 0.% 75 OINTMENT amethia 9 day pack 67 amethia lo 9 day pack 67 amikacin 250mg/ml inj 8 amiloride 5mg 78 amiloride 78 5mg/hydrochlorothiazide 50mg aminophylline 25mg/ml 20 inj AMINOSYN 7% WITH 93 ELECTROLYTES, SULFITE-FREE aminosyn 8.5% with 93 electrolytes, sulfite-free inj AMINOSYN II 0% 93 aminosyn ii 8.5% with 93 electrolytes, sulfite-free inj AMINOSYN II 8.5%, 93 SULFITE-FREE AMINOSYN-HBC 7%, 93 SULFITE-FREE AMINOSYN-PF 0%, 93 SULFITE-FREE 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 AMINOSYN-PF 7% 93 AMINOSYN-RF 5.2%, 93 SULFITE-FREE amiodarone 200mg 8 amiodarone 400mg 8 amiodarone 50mg/ml inj 8 amiodarone 8 hydrochloride 00mg amitriptyline 00mg 28 amitriptyline 0mg 28 AMITRIPTYLINE 00 0MG/PERPHENAZINE 2MG AMITRIPTYLINE 00 0MG/PERPHENAZINE 4MG amitriptyline mg/chlordiazepoxide 5mg amitriptyline 50mg 28 amitriptyline 25mg 28 amitriptyline 00 25mg/chlordiazepoxide 0mg AMITRIPTYLINE 00 25MG/PERPHENAZINE 2MG AMITRIPTYLINE 00 25MG/PERPHENAZINE 4MG amitriptyline 50mg 28 AMITRIPTYLINE 00 50MG/PERPHENAZINE 4MG amitriptyline 75mg 28 amlodipine 0mg 63 amlodipine 65 0mg/atorvastatin 0mg amlodipine 65 0mg/atorvastatin 20mg amlodipine 65 0mg/atorvastatin 40mg amlodipine 65 0mg/atorvastatin 80mg amlodipine 38 0mg/benazepril 20mg cap amlodipine 38 0mg/benazepril 40mg cap amlodipine 38 0mg/hydrochlorothiazid e 2.5mg/valsartan 60mg amlodipine 38 0mg/hydrochlorothiazid e 25mg/valsartan 60mg amlodipine 38 0mg/hydrochlorothiazid e 25mg/valsartan 320mg amlodipine 38 0mg/olmesartan medoxomil 20mg amlodipine 38 0mg/olmesartan medoxomil 40mg amlodipine 38 0mg/telmisartan 40mg amlodipine 38 0mg/telmisartan 80mg amlodipine 38 0mg/valsartan 60mg amlodipine 38 0mg/valsartan 320mg amlodipine 2.5mg 63 amlodipine mg/atorvastatin 0mg amlodipine mg/atorvastatin 20mg amlodipine mg/atorvastatin 40mg amlodipine mg/benazepril 0mg cap amlodipine 5mg 63 amlodipine 65 5mg/atorvastatin 0mg amlodipine 65 5mg/atorvastatin 20mg amlodipine 65 5mg/atorvastatin 40mg amlodipine 65 5mg/atorvastatin 80mg amlodipine 38 5mg/benazepril 0mg cap amlodipine 38 5mg/benazepril 20mg cap amlodipine 38 5mg/benazepril 40mg cap amlodipine 38 5mg/hydrochlorothiazide 2.5mg/valsartan 60mg amlodipine 38 5mg/hydrochlorothiazide 25mg/valsartan 60mg amlodipine 38 5mg/olmesartan medoxomil 20mg amlodipine 38 5mg/olmesartan medoxomil 40mg amlodipine 38 5mg/telmisartan 40mg 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 amlodipine 39 5mg/telmisartan 80mg amlodipine 39 5mg/valsartan 60mg amlodipine 39 5mg/valsartan 320mg ammonium lactate 2% 76 cream ammonium lactate 2% 76 lotion amnesteem 0mg cap 72 amnesteem 20mg cap 72 amnesteem 40mg cap 72 AMOXAPINE 00MG 28 AMOXAPINE 50MG 28 AMOXAPINE 25MG 28 AMOXAPINE 50MG 28 amoxicillin mg/clavulanate 62.5mg er amoxicillin 98 20mg/ml/clavulanate 8.58mg/ml oral susp amoxicillin 25mg chew 97 AMOXICILLIN MG/CLAVULANATE 28.5MG CHEW amoxicillin 250mg cap 97 AMOXICILLIN 250MG 97 CHEW amoxicillin mg/clavulanate 25mg amoxicillin 25mg/ml oral 97 susp AMOXICILLIN MG/CLAVULANATE 57MG CHEW amoxicillin 40mg/ml oral 97 susp amoxicillin 98 40mg/ml/clavulanate 5.7mg/ml oral susp amoxicillin 500mg cap 97 amoxicillin 500mg 97 amoxicillin mg/clarithromycin 500mg/lansoprazole 30mg pack amoxicillin mg/clavulanate 25mg amoxicillin 50mg/ml oral 97 susp amoxicillin 98 50mg/ml/clavulanate 2.5mg/ml oral susp amoxicillin 80mg/ml oral 97 susp amoxicillin 98 80mg/ml/clavulanate.4mg/ml oral susp amoxicillin 875mg 97 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 33 50MG ampicillin 00mg/ml inj 97 ampicillin 98 00mg/ml/sulbactam 50mg/ml inj AMPICILLIN 25MG/ML 97 ampicillin 98 20mg/ml/sulbactam 0mg/ml inj ampicillin 250mg/ml inj 97 ampicillin mg/ml/sulbactam 25mg/ml inj ampicillin 500mg cap 97 AMPYRA 0MG ER 00 ANADROL-50 50MG 5 anagrelide 0.5mg cap 85 anagrelide mg cap 85 anastrozole mg 45 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 26 APLENZIN 348MG ER 26 APLENZIN 522MG ER 26 APOKYN 0MG/ML 5 CARTRIDGE 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 apraclonidine 0.5% ophth 94 soln aprepitant 25mg cap 33 aprepitant 25mg/80mg 33 pack aprepitant 40mg cap 33 aprepitant 80mg cap 33 apri 28 day pack 67 APRISO 0.375GM ER 83 CAP APTIOM 200MG 22 APTIOM 400MG 22 APTIOM 600MG 22 APTIOM 800MG 22 APTIVUS 00MG/ML 56 ORAL SOLN APTIVUS 250MG CAP 56 ARALAST 500MG 0 aranelle 28 pack 67 ARANESP 86 00MCG/0.5ML ARANESP 00MCG/ML 86 ARANESP 86 0MCG/0.4ML ARANESP 86 50MCG/0.3ML ARANESP MCG/0.4ML ARANESP 200MCG/ML 86 ARANESP 86 25MCG/0.42ML ARANESP 25MCG/ML 86 ARANESP MCG/0.6ML ARANESP 300MCG/ML 86 ARANESP 86 40MCG/0.4ML ARANESP 40MCG/ML 86 ARANESP 500MCG/ML 86 ARANESP 86 60MCG/0.3ML ARANESP 60MCG/ML 86 ARCALYST 220MG 9 argatroban 00mg/ml inj 22 ARGATROBAN MG/ML 22 aripiprazole 0mg odt 56 aripiprazole 0mg 56 aripiprazole 5mg odt 56 aripiprazole 5mg 56 aripiprazole mg/ml oral 56 soln aripiprazole 20mg 56 aripiprazole 2mg 56 aripiprazole 30mg 56 aripiprazole 5mg 56 ARISTADA 273MG/ML 56 ARISTADA 56 44MG/.6ML ARISTADA MG/2.4ML ARISTADA MG/3.2ML armodafinil 50mg 8 armodafinil 200mg 8 armodafinil 250mg 8 armodafinil 50mg 8 ARNUITY 00MCG INH 9 ARNUITY 200MCG INH 9 ARRANON 5MG/ML 44 ashlyna 9 day pack 68 ASMANEX 00MCG 9 (20ACT) HFA INH ASMANEX 0MCG 9 (30ACT) INH ASMANEX 200MCG 9 (20ACT) HFA INH ASMANEX 220MCG 9 (20ACT) INH ASMANEX 220MCG 9 (30ACT) INH ASMANEX 220MCG 9 (60ACT) INH aspirin 85 25mg/dipyridamole 200mg cap aspirin mg/carisoprodol 200mg aspirin mg/carisoprodol 200mg/codeine phosphate 6mg aspirin 325mg/oxycodone mg ASTAGRAF 0.5MG XL 60 CAP ASTAGRAF MG XL CAP 60 ASTAGRAF 5MG XL CAP 60 atazanavir 50mg cap 56 atazanavir 200mg cap 56 atazanavir 300mg cap 56 atenolol 00mg 62 atenolol 39 00mg/chlorthalidone 25mg atenolol 25mg 62 atenolol 50mg 62 atenolol 39 50mg/chlorthalidone 25mg ATGAM 50MG/ML 60 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 35 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 atorvastatin 20mg 35 atorvastatin 40mg 35 atorvastatin 80mg 35 atovaquone 50mg/ml 4 oral susp atovaquone mg/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 ATROPINE SULFATE % 94 OPHTH SOLN ATROVENT 7MCG INH 8 AUBAGIO 4MG 00 AUBAGIO 7MG 00 aubra 28 day pack 68 AUGMENTIN MG/5ML ORAL SUSP AURYXIA 20MG 84 AUSTEDO 2MG 00 AUSTEDO 6MG 00 AUSTEDO 9MG 00 AVANDIA 2MG 3 AVANDIA 4MG 3 AVASTIN 00MG/4ML 44 AVASTIN 400MG/6ML 44 AVC BRAND OF 07 SULFANILAMIDE 5% VAGINAL CREAM AVELOX 400MG/250ML 82 aviane 28 pack 68 avita 0.025% cream 72 avita 0.025% gel 72 AVONEX 30MCG/0.5ML 00 AUTO-ECTOR AVONEX 30MCG/0.5ML 00 AVONEX 30MCG/VIAL 00 AVYCAZ 2-0.5GM 66 azacitidine 00mg inj 44 AZACTAM GM/50ML 4 AZACTAM 2GM/50ML 4 AZASAN 00MG 60 AZASAN 75MG 60 AZASITE % OPHTH 94 SOLN AZATHIOPRINE 9 0MG/ML azathioprine 50mg 60 azelastine 0.05% ophth 96 soln azelastine 0.% (37mcg) 92 nasal inhaler azelastine 0.5% 92 (205.5mcg) nasal inhaler azithromycin 20mg/ml 88 oral susp azithromycin 250mg pack 88 azithromycin 250mg 88 azithromycin 2mg/ml inj 88 azithromycin 40mg/ml 88 oral susp azithromycin 500mg (3) 88 pack azithromycin 500mg 88 azithromycin 600mg 88 AZOPT % OPHTH SUSP 96 aztreonam 333mg/ml inj 4 B baci-im 50000unit inj 4 BACITRACIN UNIT/MG OPHTH OINTMENT bacitracin unit/mg/polymyxin b 0unit/mg ophth ointment bacitracin 5000unit/ml inj 4 baclofen 0mg 92 baclofen 20mg 92 balsalazide disodium mg cap balziva 28 day pack 68 BANZEL 200MG 22 BANZEL 400MG 22 BANZEL 40MG/ML 22 ORAL SUSP BARACLUDE MG/ML ORAL SOLN BAVENCIO 20MG/ML 44 BAXDELA 450MG 82 BCG, LIVE, TICE STRAIN 06 50MG/ML bekyree 28 day pack 68 BELEODAQ 500MG 47 benazepril 0mg 36 benazepril 39 0mg/hydrochlorothiazid e 2.5mg benazepril 20mg 36 benazepril 39 20mg/hydrochlorothiazid e 2.5mg benazepril 39 20mg/hydrochlorothiazid e 25mg benazepril 40mg 36 benazepril 5mg 36 benazepril 39 5mg/hydrochlorothiazide 6.25mg bendroflumethiazide 39 5mg/nadolol 40mg bendroflumethiazide 39 5mg/nadolol 80mg 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 BENLYSTA 20MG 6 BENLYSTA 200MG/ML 9 AUTO-ECTOR BENLYSTA 200MG/ML 9 BENLYSTA 400MG 6 benztropine mesylate mg benztropine mesylate mg 50 benztropine mesylate 50 mg/ml inj benztropine mesylate 2mg 50 BERINERT 500UNIT 85 BESIVANCE 0.6% 94 OPHTH SUSP betamethasone 0.05% 75 aug cream betamethasone 0.05% 75 aug gel betamethasone 0.05% 75 aug lotion betamethasone 0.05% 75 aug ointment betamethasone 0.05% 75 cream betamethasone 0.05% 75 lotion betamethasone 0.05% 75 ointment betamethasone 0.% 75 cream betamethasone 0.% 75 lotion betamethasone 0.% 75 ointment betamethasone valerate % foam betamethasone/clotrimaz 73 ole -0.05% cream betamethasone/clotrimaz 73 ole -0.05% lotion betaxolol 0.5% ophth 94 soln betaxolol 0mg 62 betaxolol 20mg 62 bethanechol chloride 06 0mg bethanechol chloride 06 25mg bethanechol chloride 06 50mg bethanechol chloride 5mg 06 BETIMOL 0.25% OPHTH 94 SOLN BETIMOL 0.5% OPHTH 94 SOLN BETOPTIC S 0.25% 94 OPHTH SUSP bexarotene 75mg cap 49 BEXSERO 06 bicalutamide 50mg 45 BICILLIN UNIT/ML BICILLIN UNIT/ML BICILLIN L-A UNIT/2ML BICILLIN L-A UNIT/4ML BICILLIN L-A UNIT/ML BICNU 00MG 43 BIDIL MG 65 BIKTARVY MG BIMATOPROST 0.03% 96 OPHTH SOLN bisoprolol fumarate 0mg 62 bisoprolol fumarate 39 0mg/hydrochlorothiazid e 6.25mg bisoprolol fumarate mg/hydrochlorothiazid e 6.25mg bisoprolol fumarate 5mg 62 bisoprolol fumarate 39 5mg/hydrochlorothiazide 6.25mg BIVIGAM 0% 96 bleomycin 5unit/ml inj 46 BLEPHAMIDE 0-0.2% 95 OPHTH SUSP blisovi 2 fe.5/ day blisovi 2 fe /20 28 day 68 pack blisovi 24 fe /20 28 day 68 pack BOOSTRIX 04 BOOSTRIX 04 BORTEZOMIB 3.5MG 47 BOSULIF 00MG 47 BOSULIF 400MG 47 BOSULIF 500MG 47 BREO 00-25MCG 9 ELLIPTA INH BREO MCG 20 ELLIPTA INH briellyn 28 day pack 68 BRILINTA 60MG 85 BRILINTA 90MG 85 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 bromocriptine 2.5mg 5 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 bromocriptine 5mg cap 5 BROVANA 5MCG/2ML 20 INH SOLN budesonide 0.25mg/ml 9 inh soln budesonide 0.25mg/ml 9 inh soln budesonide 0.5mg/ml inh 9 soln budesonide 3mg dr cap 7 bumetanide 0.25mg/ml inj 78 bumetanide 0.5mg 78 bumetanide mg 78 bumetanide 2mg 78 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 5 buprenorphine 8mg sl 5 bupropion 00mg sr 26 bupropion 00mg 26 bupropion 50mg sr (2 26 hr) bupropion 50mg sr 0 bupropion 50mg xl (24 26 hr) bupropion 200mg sr 26 bupropion 300mg xl 26 bupropion 75mg 26 buspirone 0mg 6 buspirone 5mg 6 buspirone 30mg 6 buspirone 5mg 6 buspirone 7.5mg 6 busulfan 6mg/ml inj 43 BUTISOL 30MG 87 butorphanol tartrate 5 0mg/ml nasal spray BUTORPHANOL 5 TARTRATE MG/ML butorphanol tartrate 5 2mg/ml inj BYDUREON 2.35MG/ML 30 AUTO-ECTOR BYDUREON 2MG 30 BYDUREON 2MG PEN 30 BYSTOLIC 0MG 62 BYSTOLIC 2.5MG 62 BYSTOLIC 20MG 62 BYSTOLIC 5MG 62 C cabergoline 0.5mg 8 CABOMETYX 20MG 47 CABOMETYX 40MG 47 CABOMETYX 60MG 47 calcipotriene 0.005% 74 cream calcipotriene 0.005% 74 ointment calcipotriene 0.005% 74 topical soln calcipotriene/betamethas 75 one % ointment calcitriol mg cap 80 calcitriol mg cap 80 calcitriol 0.00mg/ml inj 80 calcitriol 0.00mg/ml oral 80 soln calcium acetate 667mg 84 cap calcium acetate 667mg 84 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 CALQUENCE 00MG 47 CAP camila 28 day 0.35mg 7 pack camrese lo 9 day pack 68 CANASA 000MG 83 RECTAL SUPP CANCIDAS 50MG 33 CANCIDAS 70MG 33 candesartan cilexetil 37 6mg candesartan cilexetil 39 6mg/hydrochlorothiazid e 2.5mg candesartan cilexetil 37 32mg candesartan cilexetil 39 32mg/hydrochlorothiazid e 2.5mg candesartan cilexetil 39 32mg/hydrochlorothiazid e 25mg candesartan cilexetil 4mg 37 candesartan cilexetil 8mg 37 CASTAT GM 43 CAPRELSA 00MG 47 CAPRELSA 300MG 47 captopril 00mg 36 captopril 2.5mg 36 captopril 25mg 36 captopril 39 25mg/hydrochlorothiazid e 5mg CAPTOPRIL 39 25MG/HYDROCHLOROT HIAZIDE 25MG captopril 50mg 36 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 captopril 39 50mg/hydrochlorothiazid e 5mg CAPTOPRIL 39 50MG/HYDROCHLOROT HIAZIDE 25MG CARBAGLU 200MG 80 ORAL SUSP carbamazepine 00mg 22 chew carbamazepine 00mg er 22 cap carbamazepine 00mg er 23 carbamazepine 200mg er 23 cap carbamazepine 200mg er 23 carbamazepine 200mg 23 carbamazepine 20mg/ml 23 oral susp carbamazepine 300mg er 23 cap carbamazepine 400mg er 23 carbidopa 5 0mg/levodopa 00mg odt carbidopa 5 0mg/levodopa 00mg CARBIDO 5 2.5MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO MG/ENTACAPONE 200MG/LEVODO 75MG carbidopa 25mg 50 CARBIDO 5 25MG/ENTACAPONE 200MG/LEVODO 00MG carbidopa 5 25mg/levodopa 00mg er carbidopa 5 25mg/levodopa 00mg odt carbidopa 5 25mg/levodopa 00mg carbidopa 5 25mg/levodopa 250mg odt carbidopa 5 25mg/levodopa 250mg CARBIDO MG/ENTACAPONE 200MG/LEVODO 25MG CARBIDO MG/ENTACAPONE 200MG/LEVODO 50MG CARBIDO 5 50MG/ENTACAPONE 200MG/LEVODO 200MG carbidopa 5 50mg/levodopa 200mg er carbinoxamine maleate mg/ml oral soln carbinoxamine maleate 34 4mg carboplatin 0mg/ml inj 43 CARDENE 20MG/200ML 63 CARDENE 40MG/200ML 63 CARIMUNE 6GM 97 carisoprodol 350mg 92 carteolol % ophth soln 94 cartia 20mg er cap 63 cartia 80mg er cap 63 cartia 240mg er cap 63 cartia 300mg er cap 63 carvedilol 2.5mg 6 carvedilol 25mg 6 carvedilol 3.25mg 6 carvedilol 6.25mg 6 CASPOFUNGIN 33 ACETATE 50MG CASPOFUNGIN 33 ACETATE 70MG CAYSTON 75MG INH 4 SOLN caziant 28 day pack 68 cefaclor 250mg cap 66 CEFACLOR 25MG/ML 66 ORAL SUSP cefaclor 500mg cap 66 cefaclor 50mg/ml oral 66 susp CEFACLOR 75MG/ML 66 ORAL SUSP cefadroxil 000mg 66 cefadroxil 00mg/ml oral 66 susp cefadroxil 500mg cap 66 cefadroxil 50mg/ml oral 66 susp cefazolin gm inj 66 cefazolin 200mg/ml inj 66 cefazolin 500mg inj 66 cefdinir 25mg/ml oral 67 susp cefdinir 300mg cap 67 cefdinir 50mg/ml oral 67 susp cefepime gm inj 67 cefepime 2gm inj 67 cefixime 20mg/ml oral 67 susp cefixime 40mg/ml oral 67 susp CEFOTAXIME GM 67 CEFOTAXIME 2GM 67 CEFOTAXIME 500MG 67 cefotetan 000mg inj 66 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 cefotetan 2000mg inj 66 cefoxitin 000mg inj 66 cefoxitin 2000mg inj 66 cefoxitin 200mg/ml inj 66 cefpodoxime 00mg 67 cefpodoxime 0mg/ml 67 oral susp cefpodoxime 200mg 67 cefpodoxime 20mg/ml 67 oral susp cefprozil 250mg 66 cefprozil 25mg/ml oral 66 susp cefprozil 500mg 67 cefprozil 50mg/ml oral 67 susp ceftazidime 000mg inj 67 ceftazidime 2000mg inj 67 ceftazidime 200mg/ml inj 67 ceftriaxone 000mg inj 67 ceftriaxone 00mg/ml inj 67 ceftriaxone 2000mg inj 67 ceftriaxone 250mg inj 67 ceftriaxone 500mg inj 67 cefuroxime.5gm inj 67 cefuroxime 250mg 67 cefuroxime 500mg 67 cefuroxime 750mg inj 67 cefuroxime 95mg/ml inj 67 celecoxib 00mg cap 9 celecoxib 200mg cap 9 celecoxib 400mg cap 9 celecoxib 50mg cap 9 CELONTIN 300MG CAP 25 cephalexin 250mg cap 66 cephalexin 25mg/ml oral 66 susp cephalexin 500mg cap 66 cephalexin 50mg/ml oral 66 susp CEREZYME 400UNIT 86 CESAMET MG CAP 33 cetirizine mg/ml oral 34 soln CETRAXAL 0.2% OTIC 96 SOLN cevimeline 30mg cap 92 CHANTIX 0.5MG 0 CHANTIX MG 0 CHANTIX CONTINUING 0 MONTHS OF THERAPY MG CK CHANTIX FIRST MONTH 0 OF THERAPY CK CHEMET 00MG CAP 32 CHENODAL 250MG 83 CHLORAMPHENICOL 42 00MG/ML chlordiazepoxide 0mg 7 cap chlordiazepoxide 25mg 7 cap chlordiazepoxide 5mg 7 cap chlorhexidine gluconate 9 0.2% mouthwash CHLOROQUINE 42 PHOSPHATE 250MG chloroquine phosphate mg CHLOROTHIAZIDE MG chlorothiazide 500mg inj 78 chlorothiazide 500mg 78 chlorpromazine 00mg 55 chlorpromazine 0mg 55 chlorpromazine 200mg 55 chlorpromazine 25mg 55 CHLORPROMAZINE 55 25MG/ML chlorpromazine 50mg 55 CHLORPROMIDE 3 00MG CHLORPROMIDE 3 250MG chlorthalidone 25mg 78 chlorthalidone 50mg 78 chlorzoxazone 500mg 92 CHOLBAM 250MG CAP 83 CHOLBAM 50MG CAP 83 cholestyramine resin 4gm 35 sf powder for oral susp cholestyramine resin mg/ml oral susp ciclopirox 0.77% cream 73 ciclopirox 0.77% gel 73 ciclopirox 0.77% lotion 73 ciclopirox % shampoo 73 ciclopirox 8% topical soln 73 cidofovir 75mg/ml inj 59 cilastatin 4 2.5mg/ml/imipenem 2.5mg/ml inj cilastatin 4 5mg/ml/imipenem 5mg/ml inj cilostazol 00mg 85 cilostazol 50mg 85 cimetidine 200mg 04 cimetidine 300mg 04 cimetidine 400mg 04 cimetidine 60mg/ml oral 04 soln cimetidine 800mg 04 CINRYZE 500UNIT 85 CIPRODEX % 96 OTIC SUSP ciprofloxacin 0.3% ophth 94 soln ciprofloxacin 00mg/ml 82 oral susp CIPROFLOXACIN 82 0MG/ML ciprofloxacin 250mg 82 ciprofloxacin 2mg/ml inj 83 ciprofloxacin 500mg 83 ciprofloxacin 50mg/ml 83 oral susp ciprofloxacin 750mg 83 cisplatin mg/ml inj 43 citalopram 0mg 26 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 citalopram 20mg 26 citalopram 2mg/ml oral 26 soln citalopram 40mg 26 cladribine mg/ml inj 44 claravis 0mg cap 72 claravis 20mg cap 72 claravis 30mg cap 72 claravis 40mg cap 72 CLARINEX-D MG ER clarithromycin 250mg 88 clarithromycin 25mg/ml 88 oral susp clarithromycin 500mg er 88 clarithromycin 500mg 88 clarithromycin 50mg/ml 88 oral susp CLEMASTINE 34 FUMARATE 2.68MG clindacin % pad 72 clindamycin % foam 72 clindamycin % gel 72 clindamycin % lotion 73 clindamycin % pad 73 clindamycin % topical 73 soln clindamycin 2mg/ml inj 42 clindamycin 50mg cap 42 clindamycin 50mg/ml 42 (2ml) inj clindamycin 50mg/ml 42 (4ml) inj clindamycin 50mg/ml 42 (6ml) inj clindamycin 5mg/ml oral 42 soln clindamycin 8mg/ml inj 42 clindamycin 2% vaginal 07 cream clindamycin 300mg cap 42 clindamycin 6mg/ml inj 42 clindamycin 75mg cap 42 clindamycin/benzoyl 73 peroxide -5% gel CLINIMIX 4.25/0 93 CLINIMIX 4.25/20 93 CLINIMIX 4.25/25 93 CLINIMIX 4.25/5 93 CLINIMIX 5/5 93 CLINIMIX 5/20 93 CLINIMIX 5/25 93 CLINIMIX E 2.75/0 93 CLINIMIX E 2.75/5 93 CLINIMIX E 4.25/0 93 CLINIMIX E 4.25/25 93 CLINIMIX E 4.25/5 93 CLINIMIX E 5/5 93 CLINIMIX E 5/20 93 CLINIMIX E 5/25 93 clinisol 5% inj 93 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 75 clofarabine mg/ml inj 44 CLOLAR MG/ML 44 clomipramine 25mg cap 28 clomipramine 50mg cap 28 clomipramine 75mg cap 28 clonazepam 0.25mg odt 22 clonazepam 0.25mg odt 22 clonazepam 0.5mg odt 22 clonazepam 0.5mg 22 clonazepam mg odt 22 clonazepam mg 22 clonazepam 2mg odt 22 clonazepam 2mg 22 clonidine mg/hr 37 patch clonidine mg/hr 38 patch clonidine 0.025mg/hr 38 patch clonidine 0.mg 38 clonidine 0.2mg 38 clonidine 0.3mg 38 clopidogrel 75mg 85 clorazepate dipotassium 7 5mg clorazepate dipotassium mg clorazepate dipotassium 7 7.5mg clotrimazole % cream 73 clotrimazole % topical 74 soln clotrimazole 0mg 9 lozenge clozapine 00mg odt 54 clozapine 00mg 54 CLOZAPINE 2.5MG 54 ODT CLOZAPINE 50MG 54 ODT CLOZAPINE 200MG 54 ODT clozapine 200mg 54 clozapine 25mg odt 54 clozapine 25mg 54 clozapine 50mg 54 COARTEM 20-20MG 42 codeine sulfate 5mg codeine sulfate 30mg codeine sulfate 60mg colchicine mg/probenecid 500mg 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 COLCHICINE 0.6MG 85 CAP COLCHICINE 0.6MG 85 colestipol 000mg 35 colestipol 5000mg 35 granules colistin 75mg/ml inj 4 colocort 00mg/60ml 5 enema COLY MYCIN S MG/ML OTIC SUSP COMBIGAN % 94 OPHTH SOLN COMBITCH MG TCH COMBITCH MG TCH COMBIVENT RESPIMAT MCG INH COMETRIQ 00MG 47 DAILY DOSE CARTON CK COMETRIQ 40MG 47 DAILY DOSE CARTON CK COMETRIQ 60MG 47 DAILY DOSE CARTON CK COMPLERA MG compro 25mg rectal supp 55 constulose 0gm/5ml 88 oral soln COXONE 20MG/ML 00 COXONE 40MG/ML 00 CORLANOR 5MG 66 CORLANOR 7.5MG 66 CORTISONE ACETATE 7 25MG COSENTYX 50MG/ML 74 AUTO-ECTOR COSENTYX 50MG/ML 74 COSMEGEN 0.5MG 46 COTELLIC 20MG 47 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 07 GEL CRINONE 8% VAGINAL 07 GEL CRIXIVAN 200MG CAP 57 CRIXIVAN 400MG CAP 57 CROMOLYN SODIUM 8 0MG/ML INH SOLN cromolyn sodium 83 20mg/ml oral soln cromolyn sodium 4% 96 ophth soln cryselle 28 pack 68 CUBICIN 500MG 42 cyclafem /35 28 day 68 pack cyclafem 7/7/7 28 day 68 pack cyclobenzaprine 0mg 92 cyclobenzaprine 5mg 92 cyclobenzaprine 7.5mg 92 CYCLOPHOSPHAMIDE 43 25MG CAP CYCLOPHOSPHAMIDE 43 50MG CAP cyclosporine 00mg cap 60 cyclosporine 25mg cap 60 cyclosporine 50mg/ml inj 60 cyclosporine, modified 60 00mg cap cyclosporine, modified 60 00mg/ml oral soln cyclosporine, modified 60 25mg cap cyproheptadine 0.4mg/ml 34 oral soln cyproheptadine 4mg 34 CYRAMZA 44 00MG/0ML CYRAMZA MG/50ML CYSTAGON 50MG CAP 84 CYSTAGON 50MG CAP 84 CYSTARAN 0.44% 96 OPHTH SOLN cytarabine 00mg/ml inj 44 CYTARABINE 20MG/ML 44 D d5w/lactated ringers inj 89 dacarbazine 200mg inj 49 dactinomycin 0.5mg inj 46 DALIRESP 250MCG 9 DALIRESP 500MCG 9 DALVANCE 500MG 4 danazol 00mg cap 5 danazol 200mg cap 5 danazol 50mg cap 5 dantrolene sodium 00mg 92 cap dantrolene sodium 25mg 92 cap dantrolene sodium 50mg 92 cap dapsone 00mg 42 dapsone 25mg 42 DAPTACEL 04 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 daptomycin 500mg inj 42 DARAPRIM 25MG 42 DARZALEX 00MG/5ML 44 daunorubicin 5mg/ml inj 46 deblitane 28 day 0.35mg 7 pack deciine 5mg/ml inj 44 delyla 28 day pack 68 demeclocycline 50mg 02 demeclocycline 300mg 02 DEMSER 250MG CAP 37 DENAVIR % CREAM 75 DEPEN 250MG 60 DEPO-PROVERA MG/ML DESCOVY MG 57 desipramine 00mg 28 desipramine 0mg 28 desipramine 50mg 28 desipramine 25mg 28 desipramine 50mg 28 desipramine 75mg 28 desloratadine 5mg 34 desmopressin acetate mg/ml inj desmopressin acetate 8 0.0% nasal soln desmopressin acetate 8 0.0% nasal spray desmopressin acetate 8 0.mg desmopressin acetate 8 0.2mg desogestrel/ethinyl 68 estradiol 28 day pack desogestrel/ethinyl 68 estradiol pack desonide 0.05% cream 75 desonide 0.05% lotion 75 desonide 0.05% ointment 75 desoximetasone 0.05% 75 cream desoximetasone 0.05% 75 gel desoximetasone 0.25% 75 cream desoximetasone 0.25% 75 ointment DESVENLAFAXINE 27 FUMARATE 00MG ER DESVENLAFAXINE 27 FUMARATE 50MG ER desvenlafaxine succinate 28 00mg er desvenlafaxine succinate 28 25mg er desvenlafaxine succinate 28 50mg er DEXAMETHASONE 0.% 95 OPHTH SOLN dexamethasone 0.mg/ml 7 oral soln dexamethasone 0.5mg 7 dexamethasone 0.75mg 7 dexamethasone.5mg 7 DEXAMETHASONE 7 0MG/ML DEXAMETHASONE MG 7 DEXAMETHASONE 7 MG/ML ORAL SOLN DEXAMETHASONE 2MG 7 dexamethasone 4mg 7 dexamethasone 6mg 7 dexamethasone 7 phosphate 4mg/ml inj dexamethasone/neomycin 95 /polymyxin b 0.% ophth ointment dexamethasone/neomycin 95 /polymyxin b 0.% ophth susp dexamethasone/tobramyc 95 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 50 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 22 APPLICATOR DIASTAT 2.5MG 22 APPLICATOR DIASTAT 20MG PF 22 APPLICATOR diazepam 0mg 7 DIAZEM MG/ML 7 ORAL SOLN diazepam 2mg 7 diazepam 5mg 7 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 diazepam 5mg/ml oral 7 soln diclofenac potassium 9 50mg diclofenac sodium 0.% 96 ophth soln diclofenac sodium % gel 74 diclofenac sodium.5% 74 topical soln diclofenac sodium 00mg 9 er diclofenac sodium 25mg 9 dr diclofenac sodium 3% gel 74 diclofenac sodium 50mg 0 dr diclofenac sodium 0 50mg/misoprostol 0.2mg diclofenac sodium 75mg 0 dr diclofenac sodium 0 75mg/misoprostol 0.2mg dicloxacillin 250mg cap 98 dicloxacillin 500mg cap 98 dicyclomine 0mg cap 04 dicyclomine 20mg 04 dicyclomine 2mg/ml oral 04 soln didanosine 200mg dr cap 57 didanosine 250mg dr cap 57 didanosine 400mg dr cap 57 DIFFERIN 0.% LOTION 73 DIFLORASONE 75 DIACETATE 0.05% CREAM DIFLORASONE 75 DIACETATE 0.05% OINTMENT diflunisal 500mg digitek 0.25mg 65 digitek 0.25mg 65 digox 0.25mg 65 digox 0.25mg 65 digoxin 0.05mg/ml oral 65 soln digoxin 0.25mg 65 digoxin 0.25mg 65 digoxin 0.25mg/ml inj 65 DIHYDROERGOTAMINE 89 MESYLATE 0.5MG/ACT NASAL SPRAY DILANTIN 30MG ER 25 CAP dilt 20mg xr cap 63 dilt 80mg xr cap 63 dilt 240mg xr cap 63 diltiazem 20mg er (2 63 hr) cap diltiazem 20mg er (24 63 hr) cap diltiazem 20mg 63 diltiazem 80mg er cap 63 DILTIAZEM MG/ML 63 diltiazem 240mg er cap 63 diltiazem 300mg er cap 63 diltiazem 30mg 63 diltiazem 360mg er cap 63 diltiazem 420mg er cap 63 diltiazem 5mg/ml inj 63 diltiazem 60mg er cap 63 diltiazem 60mg 63 diltiazem 90mg er cap 63 diltiazem 90mg 63 DIPENTUM 250MG CAP 83 diphenhydramine 34 50mg/ml inj DIPHTHERIA/TETANUS 04 TOXOID dipyridamole 25mg 85 dipyridamole 50mg 85 dipyridamole 75mg 85 disopyramide 00mg cap 7 disopyramide 50mg cap 7 disulfiram 250mg 99 disulfiram 500mg 99 DIURIL 250MG/5ML 78 ORAL SUSP divalproex sodium 25mg 25 dr cap divalproex sodium 25mg 25 dr divalproex sodium 250mg 25 dr divalproex sodium 250mg 26 er divalproex sodium 500mg 26 dr divalproex sodium 500mg 26 er DOCETAXEL 0MG/ML 50 DOCETAXEL 20MG/ML 50 dofetilide 25mcg cap 8 dofetilide 250mcg cap 8 dofetilide 500mcg cap 8 donepezil 0mg odt 99 donepezil 0mg 99 donepezil 23mg 99 donepezil 5mg odt 99 donepezil 5mg 99 DORIPENEM 500MG 4 dorzolamide 2% ophth 96 soln dorzolamide 94 20mg/ml/timolol 5mg/ml ophth soln doxazosin mg 38 doxazosin 2mg 38 doxazosin 4mg 38 doxazosin 8mg 38 doxepin 00mg cap 29 doxepin 0mg cap 29 doxepin 0mg/ml oral 29 soln doxepin 50mg cap 29 doxepin 25mg cap 29 doxepin 50mg cap 29 DOXEPIN 75MG CAP 29 doxercalciferol mg 80 cap 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 doxercalciferol 0.00mg 80 cap doxercalciferol mg 80 cap doxercalciferol mg/ml inj doxorubicin 2mg/ml 46 liposome inj doxorubicin 46 hydrochloride 2mg/ml inj doxy 00mg inj 02 doxycycline hyclate 02 00mg cap doxycycline hyclate 02 00mg doxycycline hyclate 20mg 02 doxycycline hyclate 50mg 02 cap doxycycline monohydrate 02 00mg cap doxycycline monohydrate 02 00mg doxycycline monohydrate 02 50mg cap doxycycline monohydrate 02 50mg doxycycline monohydrate 02 5mg/ml oral susp doxycycline monohydrate 02 75mg dronabinol 0mg cap 33 dronabinol 2.5mg cap 33 dronabinol 5mg cap 33 drospirenone 3mg/ethinyl 68 estradiol 0.02mg/inert mg pack drospirenone 3mg/ethinyl 68 estradiol 0.02mg/levomefolate calcium 0.45mg pack drospirenone 3mg/ethinyl 68 estradiol 0.03mg/inert ingredients mg pack DROXIA 200MG CAP 86 DROXIA 300MG CAP 86 DROXIA 400MG CAP 86 DULERA 00-5MCG INH 20 DULERA 200-5MCG INH 20 duloxetine 20mg dr cap 28 duloxetine 30mg dr cap 28 DULOXETINE 40MG DR 28 CAP duloxetine 60mg dr cap 28 DUPIXENT 300MG/2ML 76 duramorph 0.5mg/ml inj duramorph mg/ml inj DUREZOL 0.05% OPHTH 95 SUSP dutasteride 0.5mg cap 85 dutasteride mg/tamsulosin 0.4mg cap DYRENIUM 00MG CAP 78 DYRENIUM 50MG CAP 78 E econazole nitrate % 74 cream EDURANT 25MG 57 efavirenz 200mg cap 57 efavirenz 50mg cap 57 efavirenz 600mg cap 57 ELAPRASE 6MG/3ML 80 ELIDEL % CREAM 77 ELIGARD 22.5MG 45 ELIGARD 30MG 45 ELIGARD 45MG 45 ELIGARD 7.5MG 45 ELIQUIS 2.5MG 2 ELIQUIS 30-DAY 2 STARTER CK ELIQUIS 5MG 2 ELITEK.5MG 50 ELITEK 7.5MG 50 ELMIRON 00MG CAP 84 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 45 emoquette pack 68 EMPLICITI 300MG 44 EMPLICITI 400MG 44 EMSAM 2MG/24HR 26 TCH EMSAM 6MG/24HR 26 TCH EMSAM 9MG/24HR 26 TCH EMTRIVA 0MG/ML 57 ORAL SOLN EMTRIVA 200MG CAP 57 enalapril maleate 0mg 36 enalapril maleate 39 0mg/hydrochlorothiazid e 25mg enalapril maleate 2.5mg 36 enalapril maleate 20mg 36 enalapril maleate 5mg 36 enalapril maleate 39 5mg/hydrochlorothiazide 2.5mg ENBREL 25MG ENBREL 25MG/0.5ML 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 ENBREL 50MG/ML SURECLICK ENBREL 50MG/ML endocet 0-325mg 4 endocet 5-325mg 4 endocet mg 4 ENGERIX-B 06 0MCG/0.5ML ENGERIX-B 20MCG/ML 06 enoxaparin sodium 2 00mg/ml syringe enoxaparin sodium 2 20mg/0.8ml syringe enoxaparin sodium 2 50mg/ml syringe enoxaparin sodium 2 300mg/3ml syringe enoxaparin sodium 2 30mg/0.3ml syringe enoxaparin sodium 2 40mg/0.4ml syringe enoxaparin sodium 2 60mg/0.6ml syringe enoxaparin sodium 2 80mg/0.8ml syringe enpresse 28 day pack 68 enskyce 28 day pack 68 entacapone 200mg 5 entecavir 0.5mg 59 entecavir mg 59 ENTRESTO 24-26MG 65 ENTRESTO 49-5MG 65 ENTRESTO 97-03MG 65 enulose 0gm/5ml oral 83 soln ENVARSUS 0.75MG ER 60 ENVARSUS MG ER 60 ENVARSUS 4MG ER 60 EPCLUSA MG 59 EPIDUO % GEL 73 EPIDUO % GEL 73 epinastine 0.05% ophth 96 soln EPINEPHRINE MG/0.3ML AUTO-ECTOR EPINEPHRINE MG/0.3ML AUTO-ECTOR epirubicin 2mg/ml inj 46 epitol 200mg 23 EPIVIR HBV 5MG/ML 59 ORAL SOLN eplerenone 25mg 40 eplerenone 50mg 40 EPOGEN 0000UNIT/ML 86 EPOGEN 20000UNIT/ML 86 EPOGEN 2000UNIT/ML 86 EPOGEN 3000UNIT/ML 86 EPOGEN 4000UNIT/ML 86 EPROSARTAN 600MG 37 EPZICOM MG 57 EQUETRO 00MG ER 52 CAP EQUETRO 200MG ER 52 CAP EQUETRO 300MG ER 52 CAP ERAXIS 00MG 33 ERAXIS 50MG 33 ERBITUX 00MG/50ML 44 ERGOLOID MESYLATES 0 MG ERIVEDGE 50MG CAP 45 ERLEADA 60MG 45 errin 28 day 0.35mg pack 7 ERTACZO 2% CREAM 74 ERWINAZE 0000UNIT 49 ery 2% pad 73 ERYPED 400MG/5ML 88 ORAL SUSP ERY- 250MG DR 88 ERY- 333MG DR 88 ERY- 500MG DR 88 ERYTHROCIN 88 LACTOBIONATE 500MG erythromycin 0.005mg/mg 95 ophth ointment erythromycin 2% gel 73 erythromycin 2% topical 73 soln erythromycin 250mg dr 88 cap ERYTHROMYCIN MG ERYTHROMYCIN MG erythromycin 88 ethylsuccinate 40mg/ml oral susp erythromycin/benzoyl 73 peroxide 5-3% gel ESBRIET 267MG CAP 0 ESBRIET 267MG 02 ESBRIET 80MG 02 escitalopram 0mg 26 escitalopram mg/ml oral 26 soln escitalopram 20mg 26 escitalopram 5mg 26 esomeprazole 20mg dr cap 05 ESOMEPRAZOLE 20MG 05 esomeprazole 40mg dr cap 05 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 esomeprazole 40mg inj 05 estazolam mg 87 estazolam 2mg 87 estradiol mg/hr 82 twice weekly patch estradiol mg/hr 82 weekly patch estradiol mg/hr 82 twice weekly patch estradiol mg/hr 82 weekly patch estradiol mg/hr 82 twice weekly patch estradiol mg/hr 82 weekly patch estradiol mg/hr 82 weekly patch estradiol mg/hr 82 weekly patch estradiol mg/hr 82 twice weekly patch estradiol mg/hr 82 twice weekly patch estradiol mg/hr 82 weekly patch estradiol 0.mg/ml 07 vaginal cream estradiol 0.5mg 82 estradiol 8 0.5mg/norethindrone acetate 0.mg pack estradiol mg 82 estradiol 8 mg/norethindrone acetate 0.5mg pack estradiol 20mg/ml inj 82 estradiol 2mg 82 estradiol 40mg/ml inj 82 ESTRING 2MG VAGINAL 07 RING ESTROPITE 0.75MG 82 ESTROPITE.5MG 82 ESTROPITE 3MG 82 eszopiclone mg 87 eszopiclone 2mg 87 eszopiclone 3mg 87 ethacrynic acid 25mg 78 ethambutol 00mg 43 ethambutol 400mg 43 ethinyl estradiol mg/norethindrone acetate 0.5mg ethinyl estradiol mg/norethindrone acetate mg ethinyl estradiol mg/ethinyl estradiol 0.02mg/levonorgestrel 0.mg 9 day pack ethinyl estradiol mg/ethinyl estradiol 0.03mg/levonorgestrel 0.5mg pack ethinyl estradiol mg/ferrous fumarate 75mg/norethindrone 0.8mg pack ethinyl estradiol mg/inert/norgestima te 0.8mg/0.25mg/0.25mg pack ethinyl estradiol mg/ferrous fumarate 75mg/norethindrone acetate mg pack ethinyl estradiol mg/inert ingredients mg/levonorgestrel 0.mg pack ethinyl estradiol mg/levonorgestrel 0.09mg pack ethinyl estradiol mg/norethindrone mg 2 day pack ethinyl estradiol mg/ethynodiol mg 28 day pack ethinyl estradiol mg/ferrous fumarate 75mg/norethindrone 0.4mg pack ethinyl estradiol mg/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/levonorgestrel 0.5mg 28 day pack ethinyl estradiol mg/ethynodiol mg/inert ingredients mg 28 day pack ethinyl 69 estradiol/levonorgestrel 9 day pack ethosuximide 250mg cap 25 ethosuximide 50mg/ml 25 oral soln etidronate disodium mg ETIDRONATE 79 DISODIUM 400MG etodolac 200mg cap 0 etodolac 300mg cap 0 etodolac 400mg er 0 etodolac 400mg 0 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 etodolac 500mg er 0 etodolac 500mg 0 etodolac 600mg er 0 ETOPOPHOS 00MG 50 etoposide 20mg/ml inj 50 EURAX 0% CREAM 77 EVOTAZ MG 57 exemestane 25mg 45 EXJADE 25MG ORAL 32 SUSP EXJADE 250MG ORAL 32 SUSP EXJADE 500MG ORAL 32 SUSP EXONDYS 00MG/2ML 93 EXONDYS 500MG/0ML 93 EXTAVIA 0.3MG 00 ezetimibe 0mg 36 F FABRAZYME 35MG 80 FABRAZYME 5MG 80 falmina 28 day pack 69 famciclovir 25mg 59 famciclovir 250mg 59 famciclovir 500mg 60 FAMOTIDINE 0.4MG/ML 04 famotidine 0mg/ml inj 05 famotidine 20mg 05 famotidine 40mg 05 famotidine 8mg/ml oral 05 susp FANAPT 0MG 53 FANAPT 2MG 53 FANAPT MG 53 FANAPT 2MG 53 FANAPT 4MG 53 FANAPT 6MG 53 FANAPT 8MG 53 FANAPT TITRATION 53 CK FARESTON 60MG 45 FARXIGA 0MG 3 FARXIGA 5MG 3 FARYDAK 0MG CAP 47 FARYDAK 5MG CAP 47 FARYDAK 20MG CAP 47 FASLODEX 250MG/5ML 45 fayosim 9 day pack 69 FAZACLO 2.5MG ODT 54 FAZACLO 50MG ODT 54 FAZACLO 200MG ODT 54 felbamate 20mg/ml oral 25 susp felbamate 400mg 25 felbamate 600mg 25 felodipine 0mg er 64 felodipine 2.5mg er 64 felodipine 5mg er 64 femynor 28 day pack 69 fenofibrate 30mg cap 35 fenofibrate 34mg cap 35 fenofibrate 45mg 35 FENOFIBRATE 50MG 35 CAP fenofibrate 60mg 35 fenofibrate 200mg cap 35 fenofibrate 43mg cap 35 fenofibrate 48mg 35 FENOFIBRATE 50MG 35 CAP fenofibrate 54mg 35 fenofibrate 67mg cap 35 fenofibric acid 35mg dr 35 cap fenofibric acid 45mg dr 35 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 2 FENTORA 00MCG 2 BUCCAL FENTORA 200MCG 2 BUCCAL FENTORA 400MCG 2 BUCCAL FENTORA 600MCG 2 BUCCAL FENTORA 800MCG 2 BUCCAL FERRIPROX 00MG/ML 32 ORAL SOLN FERRIPROX 500MG 32 FETZIMA 20MG ER 28 CAP FETZIMA 20MG ER CAP 28 FETZIMA 40MG ER CAP 28 FETZIMA 80MG ER CAP 28 FETZIMA CK 28 FIASP 00UNIT/ML 30 FIASP 00UNIT/ML PEN 30 FINACEA 5% FOAM 77 FINACEA 5% GEL 77 finasteride 5mg 85 FIRAZYR 30MG/3ML 85 FIRMAGON 20MG 45 FIRMAGON 80MG 45 flavoxate 00mg 06 FLEBOGAMMA 0% 97 flecainide acetate 00mg 8 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 flecainide acetate 50mg 8 flecainide acetate 50mg 8 FLOVENT 00MCG 9 DISKUS FLOVENT 0MCG HFA 9 INH FLOVENT 220MCG HFA 9 INH FLOVENT 250MCG 9 DISKUS FLOVENT 44MCG HFA 9 INH FLOVENT 50MCG 9 DISKUS fluconazole 00mg 33 fluconazole 0mg/ml oral 34 susp fluconazole 50mg 34 fluconazole 200mg 34 fluconazole 2mg/ml 34 (00ml) inj fluconazole 2mg/ml inj 34 fluconazole 40mg/ml oral 34 susp fluconazole 50mg 34 flucytosine 250mg cap 33 flucytosine 500mg cap 33 fludarabine phosphate 44 50mg inj fludrocortisone 0.mg 72 flunisolide 25mcg nasal 92 inhaler fluocinolone acetonide % cream fluocinolone acetonide % otic soln fluocinolone acetonide % topical soln fluocinolone acetonide % cream fluocinolone acetonide % ointment fluocinolone acetonide 76 0.mg/ml oil fluocinonide 0.05% e 76 cream fluocinonide 0.05% gel 76 fluocinonide 0.05% 76 ointment fluocinonide 0.05% 76 topical soln fluorometholone 0.% 95 ophth susp FLUOROURACIL 0.5% 74 CREAM fluorouracil 2% topical 74 soln fluorouracil 5% cream 74 fluorouracil 5% topical 74 soln fluorouracil 50mg/ml inj 44 fluoxetine 0mg cap 26 fluoxetine 0mg 27 fluoxetine 20mg cap 27 fluoxetine 20mg 27 fluoxetine 00 25mg/olanzapine 2mg cap fluoxetine 00 25mg/olanzapine 3mg cap fluoxetine 00 25mg/olanzapine 6mg cap fluoxetine 40mg cap 27 fluoxetine 4mg/ml oral 27 soln fluoxetine 00 50mg/olanzapine 2mg cap fluoxetine 00 50mg/olanzapine 6mg cap FLUPHENAZINE MG/ML ORAL SOLN fluphenazine 0mg 55 fluphenazine mg 55 fluphenazine 2.5mg 55 FLUPHENAZINE MG/ML fluphenazine 5mg 55 FLUPHENAZINE 55 5MG/ML ORAL SOLN fluphenazine decanoate 55 25mg/ml inj FLURAZEM 5MG 87 CAP FLURAZEM 30MG 87 CAP flurbiprofen 00mg 0 flurbiprofen 50mg 0 flurbiprofen sodium % ophth soln flutamide 25mg cap 45 fluticasone propionate % ointment fluticasone propionate % cream fluticasone propionate % lotion fluticasone propionate 92 50mcg nasal inhaler FLUTICASONE 20 PROPIONATE/SALMETE ROL XINAFOATE 3-4MCG/ACT POWDER INH FLUTICASONE 20 PROPIONATE/SALMETE ROL XINAFOATE 232-4MCG/ACT POWDER INH FLUTICASONE 20 PROPIONATE/SALMETE ROL XINAFOATE 55-4MCG/ACT POWDER INH fluvastatin 20mg cap 35 fluvastatin 40mg cap 35 fluvastatin 80mg er 35 fluvoxamine maleate 27 00mg er cap 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 fluvoxamine maleate 27 00mg fluvoxamine maleate 27 50mg er cap fluvoxamine maleate 27 25mg fluvoxamine maleate 27 50mg FOLOTYN 40MG/2ML 44 fomepizole 000mg/ml inj 32 fondaparinux sodium 2 2.5mg/ml (0.4ml) syringe fondaparinux sodium 2 2.5mg/ml (0.6ml) syringe fondaparinux sodium 2 2.5mg/ml (0.8ml) syringe fondaparinux sodium 2 5mg/ml syringe FORTEO 600MCG/2.4ML 79 PEN fosamprenavir 700mg 57 fosinopril sodium 0mg 36 fosinopril sodium 39 0mg/hydrochlorothiazid e 2.5mg fosinopril sodium 20mg 36 fosinopril sodium 39 20mg/hydrochlorothiazid e 2.5mg fosinopril sodium 40mg 36 fosphenytoin sodium 25 75mg/ml inj FOSRENOL 000MG 84 CHEW FOSRENOL 000MG 84 ORAL POWDER FOSRENOL 500MG 84 CHEW FOSRENOL 750MG 84 CHEW FOSRENOL 750MG 84 ORAL POWDER FRAGMIN UNIT/ML FRAGMIN UNIT/0.5ML FRAGMIN UNIT/0.6ML FRAGMIN UNIT/0.72ML FRAGMIN UNIT/0.2ML FRAGMIN UNIT/0.2ML FRAGMIN UNIT/0.3ML FRAGMIN UNIT/3.8ML FREAMINE 6.9% 93 furosemide 0mg/ml inj 78 furosemide 0mg/ml oral 78 soln furosemide 0mg/ml 78 syringe furosemide 20mg 78 furosemide 40mg 78 furosemide 80mg 78 FUROSEMIDE 8MG/ML 78 ORAL SOLN FUSILEV 50MG 50 FUZEON 90MG 57 fyavolv 0.5mg-2.5mcg 82 fyavolv mg-5mcg 82 FYCOM 0.5MG/ML 22 ORAL SUSP FYCOM 0MG 22 FYCOM 2MG 22 FYCOM 2MG 22 FYCOM 4MG 22 FYCOM 6MG 22 FYCOM 8MG 22 G gabapentin 00mg cap 23 gabapentin 300mg cap 23 gabapentin 400mg cap 23 gabapentin 50mg/ml oral 23 soln gabapentin 600mg 23 gabapentin 800mg 23 GABITRIL 2MG 25 GABITRIL 6MG 25 galantamine 2mg 99 galantamine 4mg 99 galantamine 8mg 99 galantamine 99 hydrobromide 6mg er cap galantamine 99 hydrobromide 24mg er cap GALANTAMINE 99 HYDROBROMIDE 4MG/ML ORAL SOLN galantamine 99 hydrobromide 8mg er cap GAMASTAN UNIT/0ML GAMASTAN UNIT/2ML GAMMAGARD 0GM 97 GAMMAGARD GM/25ML GAMMAGARD 5GM 97 GAMMAKED 97 GM/0ML GAMMAPLEX 97 0GM/00ML GAMMAPLEX 97 0GM/200ML GAMMAPLEX 97 20GM/200ML 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 GAMMAPLEX 97 5GM/50ML GAMUNEX GM/0ML 97 ganciclovir 500mg inj 59 GARDASIL 9 06 GARDASIL 9 06 gatifloxacin 0.5% ophth 95 soln GATTEX 5MG 84 GAUZE D 89 gavilyte-c oral soln 87 gavilyte-g oral soln 87 gavilyte-n powder for 87 oral soln gemciine 000mg inj 44 gemfibrozil 600mg 35 generlac 0gm/5ml oral 83 soln gengraf 00mg cap 60 gengraf 00mg/ml oral 60 soln gengraf 25mg cap 60 GENOTROPIN 0.2MG 80 GENOTROPIN 0.4MG 80 GENOTROPIN 0.6MG 80 GENOTROPIN 0.8MG 80 GENOTROPIN.2MG 80 GENOTROPIN.4MG 80 GENOTROPIN.6MG 80 GENOTROPIN.8MG 80 GENOTROPIN 2MG 80 CARTRIDGE GENOTROPIN MG 80 GENOTROPIN 2MG 80 GENOTROPIN 5MG 80 CARTRIDGE gentak 0.3% ophth 95 ointment gentamicin.2mg/ml inj 8 gentamicin 40mg/ml inj 8 gentamicin sulfate 0.% 73 cream gentamicin sulfate 0.% 73 ointment gentamicin sulfate 0.3% 95 ophth soln gentamicin sulfate 9 0.8mg/ml inj gentamicin sulfate 9.6mg/ml inj gentamicin sulfate 9 mg/ml inj GENVOYA MG GEODON 20MG 52 gianvi 28-day pack 69 GILENYA 0.5MG CAP 00 GILOTRIF 20MG 47 GILOTRIF 30MG 47 GILOTRIF 40MG 47 GLASSIA 000MG/50ML 0 glatiramer 20mg/ml 00 syringe glatiramer 40mg/ml 00 syringe glatopa 20mg/ml inj 0 glatopa 40mg/ml syringe 0 GLEOSTINE 00MG CAP 43 GLEOSTINE 0MG CAP 43 GLEOSTINE 40MG CAP 43 GLEOSTINE 5MG CAP 43 glimepiride mg 3 glimepiride 2mg 3 glimepiride 29 2mg/pioglitazone 30mg glimepiride 4mg 3 glimepiride 29 4mg/pioglitazone 30mg glipizide 0mg er 3 glipizide 0mg 3 glipizide 2.5mg er 3 glipizide mg/metformin 250mg glipizide mg/metformin 500mg glipizide 5mg er 3 glipizide 5mg 3 glipizide 5mg/metformin mg GLUCAGEN MG 30 HYPOKIT GLUCAGON MG 30 glucose 0% inj 93 GLUCOSE 89 00MG/ML/SODIUM CHLORIDE MEQ/ML GLUCOSE 90 00MG/ML/SODIUM CHLORIDE MEQ/ML glucose 25mg/ml/sodium 90 chloride meq/ml inj glucose 5% inj 93 glucose 90 50mg/ml/potassium chloride 0.0meq/ml/sodium chloride meq/ml inj glucose 90 50mg/ml/potassium chloride 0.02 meq/ml inj 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 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 90 chloride meq/ml inj GLUCOSE 90 50MG/ML/SODIUM CHLORIDE MEQ/ML glucose 50mg/ml/sodium 90 chloride meq/ml inj glucose 50mg/ml/sodium 90 chloride meq/ml inj glucose 50mg/ml/sodium 90 chloride 0.54 meq/ml inj glyburide.25mg 3 glyburide 29.25mg/metformin 250mg glyburide.5mg 32 glyburide 2.5mg 32 glyburide mg/metformin 500mg glyburide 3mg 32 glyburide 5mg 32 glyburide 5mg/metformin mg glyburide 6mg 32 glycopyrrolate 0.2mg/ml 04 inj glycopyrrolate mg 04 glycopyrrolate 2mg 04 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 32 granisetron mg 32 granisetron mg/ml (ml) 32 inj granisetron mg/ml inj 32 GRANIX 300MCG/0.5ML 86 GRANIX 480MCG/0.8ML 86 griseofulvin 25mg 33 griseofulvin 250mg 33 griseofulvin 25mg/ml oral 33 susp griseofulvin 500mg 33 guanfacine mg er 7 guanfacine mg 38 guanfacine 2mg er 7 guanfacine 2mg 38 guanfacine 3mg er 7 guanfacine 4mg er 7 GUANIDINE 25MG 43 H HAEGARDA 2000UNT 85 HAEGARDA 3000UNT 85 HALAVEN MG/2ML 50 halobetasol propionate % cream halobetasol propionate % ointment haloperidol 0.5mg 54 haloperidol 0mg 54 haloperidol mg 54 haloperidol 20mg 54 haloperidol 2mg 54 haloperidol 2mg/ml oral 54 soln haloperidol 5mg 54 haloperidol 5mg/ml inj 54 haloperidol 5mg/ml 54 syringe haloperidol decanoate 54 00mg/ml inj haloperidol decanoate mg/5ml inj haloperidol decanoate 54 50mg/ml inj 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 HAVRIX 440UNIT 07 HAVRIX 440UNIT 07 HAVRIX 720UNIT 07 HAVRIX 720UNIT 07 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% 93 HERCEPTIN 50MG 44 HERCEPTIN 440MG 45 HETLIOZ 20MG CAP 87 HEXALEN 50MG CAP 43 HIBERIX 06 HUMIRA 0MG/0.ML 9 HUMIRA 0MG/0.2ML 9 HUMIRA 20MG/0.4ML 9 HUMIRA 40MG/0.4ML 9 AUTO-ECTOR HUMIRA 40MG/0.4ML 9 HUMIRA 40MG/0.8ML 9 AUTO-ECTOR HUMIRA 40MG/0.8ML 9 HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (3) 40MG/0.8ML HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (3) 80MG/0.8ML HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (6) 40MG/0.8ML HUMIRA PEDIATRIC 9 CROHN'S STARTER CK (2) 40MG/0.4ML, 80MG/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 3 500UNIT/ML PEN hydralazine 00mg 40 hydralazine 0mg 40 hydralazine 20mg/ml inj 40 hydralazine 25mg 40 hydralazine 50mg 40 hydrochlorothiazide mg cap hydrochlorothiazide mg hydrochlorothiazide mg/irbesartan 50mg hydrochlorothiazide mg/irbesartan 300mg hydrochlorothiazide mg/lisinopril 0mg hydrochlorothiazide mg/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/olmesartan medoxomil 20mg hydrochlorothiazide 2.5mg/olmesartan medoxomil 40mg 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 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 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/olmesartan medoxomil 40mg 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 40 25mg/valsartan 60mg hydrochlorothiazide 40 25mg/valsartan 320mg hydrochlorothiazide 78 50mg hydrochlorothiazide 40 50mg/metoprolol tartrate 00mg hydrochlorothiazide 78 50mg/triamterene 75mg hydrocodone 4 0mg/ibuprofen 200mg hydrocodone 4 5mg/ibuprofen 200mg hydrocodone bitartrate 4 7.5mg/ibuprofen 200mg hydrocortisone % cream 76 hydrocortisone % 76 ointment hydrocortisone 5.67mg/ml enema hydrocortisone 0mg 7 hydrocortisone 95 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml ophth susp hydrocortisone 96 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic soln hydrocortisone 96 0mg/ml/neomycin 3.5mg/ml/polymyxin b 0000unit/ml otic susp hydrocortisone 2.5% 76 cream hydrocortisone 2.5% 76 lotion hydrocortisone 2.5% 76 ointment hydrocortisone 20mg 7 hydrocortisone 5mg 7 hydrocortisone valerate % cream hydrocortisone valerate % ointment hydrocortisone/pramoxin 5 e -% rectal cream hydromorphone 0mg/ml 2 (ml) inj hydromorphone 0mg/ml 2 (5ml) inj hydromorphone 2mg er 2 hydromorphone 6mg er 2 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 42 sulfate 200mg HYDROXYPROGESTER 45 ONE CAPROATE 250MG/ML hydroxyurea 500mg cap 49 hydroxyzine 0mg 6 hydroxyzine 25mg 6 HYDROXYZINE 6 25MG/ML hydroxyzine 2mg/ml oral 7 soln hydroxyzine 50mg 7 hydroxyzine 50mg/ml inj 7 HYDROXYZINE 7 MOATE 00MG 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 hydroxyzine pamoate 25mg cap hydroxyzine pamoate 50mg cap HYPERRAB 50UNIT/ML (0ML) 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 79 ibandronate mg/ml inj 79 IBRANCE 00MG CAP 47 IBRANCE 25MG CAP 47 IBRANCE 75MG CAP 47 ibu 600mg 0 ibu 800mg 0 ibuprofen 20mg/ml oral 0 susp ibuprofen 400mg 0 IBUPROFEN 4 400MG/OXYCODONE 5MG ibuprofen 600mg 0 ibuprofen 800mg 0 ICLUSIG 5MG 47 ICLUSIG 45MG 47 idarubicin hydrochloride 46 mg/ml inj IDHIFA 00MG 47 IDHIFA 50MG 47 ifosfamide 000mg inj 43 ILARIS 50MG/ML 9 ILEVRO 0.3% OPHTH 96 SUSP imatinib 00mg 47 imatinib 400mg 47 IMBRUVICA 40MG 47 CAP IMBRUVICA 40MG 47 IMBRUVICA 280MG 48 IMBRUVICA 420MG 48 IMBRUVICA 560MG 48 IMBRUVICA 70MG CAP 48 IMFINZI 20MG/2.4ML 45 IMFINZI 500MG/0ML 45 imipramine 0mg 29 imipramine 25mg 29 imipramine 50mg 29 imipramine pamoate 29 00mg cap imipramine pamoate 29 25mg cap imipramine pamoate 29 50mg cap imipramine pamoate 29 75mg cap imiquimod 5% cream 76 IMOGAM 50UNIT/ML 97 (2ML) IMOVAX 2.5UNIT/ML 07 INCRELEX 40MG/4ML 80 INCRUSE 62.5MCG INH 8 indapamide.25mg 78 indapamide 2.5mg 79 INDOCIN 25MG/5ML 0 ORAL SUSP indomethacin 25mg cap 0 indomethacin 50mg cap 0 indomethacin 75mg er 0 cap INFANRIX 04 INLYTA MG 48 INLYTA 5MG 48 INNOPRAN 20MG XL 62 CAP INNOPRAN 80MG XL 62 CAP INSULIN PEN NEEDLE 89 INSULIN 89 (DISP) U ML INSULIN 88 (DISP) U-00 /2ML INSULIN 89 (DISP) U-00 ML INSULIN MIS 89 ML/29G INTELENCE 00MG 57 INTELENCE 200MG 57 INTELENCE 25MG 57 intralipid 200mg/ml inj 93 INTRON A 0MU 49 INTRON A 8MU 49 INTRON A 25MU 49 INTRON A 50MU 49 INTRON A UNIT/ML introvale 9 day pack 69 INVANZ GM 4 INVEGA 7MG/0.75ML 53 INVEGA 56MG/ML 53 INVEGA 234MG/.5ML 53 INVEGA MG/0.875ML INVEGA 39MG/0.25ML 53 INVEGA 53 40MG/.35ML INVEGA 546MG/.75ML 53 INVEGA 78MG/0.5ML 53 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 INVEGA 53 89MG/2.625ML INVIRASE 200MG CAP 57 INVIRASE 500MG 57 IONOSOL-MB 90 IOPIDINE % OPHTH 94 SOLN IPOL 07 ipratropium bromide % inh soln ipratropium bromide % nasal inhaler ipratropium bromide % nasal inhaler ipratropium/albuterol mg/3ml inh soln irbesartan 50mg 37 irbesartan 300mg 37 irbesartan 75mg 37 IRESSA 250MG 48 irinotecan 20mg/ml inj 50 ISENTRESS 00MG 57 CHEW ISENTRESS 00MG 57 ORAL SUSP ISENTRESS 25MG 57 CHEW ISENTRESS 400MG 57 ISENTRESS 600MG 57 isibloom 28 day pack 69 ISOLYTE P 90 ISOLYTE S 90 isoniazid 00mg 43 ISONIAZID 00MG/ML 43 ISONIAZID 0MG/ML 43 ORAL SOLN isoniazid 300mg 43 isosorbide dinitrate 0mg 6 isosorbide dinitrate 20mg 6 isosorbide dinitrate 30mg 6 ISOSORBIDE DINITRATE 6 40MG ER isosorbide dinitrate 5mg 6 isosorbide mononitrate 6 0mg isosorbide mononitrate 6 20mg er isosorbide mononitrate 6 20mg isosorbide mononitrate 6 30mg er isosorbide mononitrate 6 60mg er isotretinoin 0mg cap 73 isotretinoin 20mg cap 73 isotretinoin 30mg cap 73 isotretinoin 40mg cap 73 isradipine 2.5mg cap 64 isradipine 5mg cap 64 ISTALOL 0.5% OPHTH 94 SOLN ISTODAX 0MG 48 itraconazole 00mg cap 34 ivermectin 3mg 6 IXIARO 07 J JADENU 80MG 32 GRANULE CKET JADENU 80MG 32 JADENU 360MG 32 GRANULE CKET JADENU 360MG 32 JADENU 90MG 32 GRANULE CKET JADENU 90MG 32 JAKAFI 0MG 48 JAKAFI 5MG 48 JAKAFI 20MG 48 JAKAFI 25MG 48 JAKAFI 5MG 48 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 30 JANUMET MG XR 30 JANUVIA 00MG 30 JANUVIA 25MG 30 JANUVIA 50MG 30 JARDIANCE 0MG 3 JARDIANCE 25MG 3 JENTADUETO MG JENTADUETO MG XR JENTADUETO MG JENTADUETO MG JENTADUETO MG XR JEVTANA 60MG/.5ML 50 jinteli 82 jolivette 28 day 0.35mg 7 pack juleber 28 day pack 69 JULUCA 50-25MG 57 junel.5/30 2 day pack 69 junel /20 2 day pack 69 junel fe.5/30 28 day 69 pack junel fe /20 28 day pack 69 junel fe 24 /20 28 day 69 pack 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 JUXTAPID 0MG CAP 36 JUXTAPID 20MG CAP 36 JUXTAPID 30MG CAP 36 JUXTAPID 40MG CAP 36 JUXTAPID 5MG CAP 36 JUXTAPID 60MG CAP 36 K KADCYLA 00MG 45 KADCYLA 60MG 45 kaitlib fe 28 day pack 69 KALETRA 00-25MG 57 KALETRA MG 57 KALETRA MG/5ML ORAL SOLN KALYDECO 50MG 0 KALYDECO 50MG 0 GRANULES CKET KALYDECO 75MG 0 GRANULES CKET kariva 28 day pack 69 KCL/D5W/LR 0.5% 90 kelnor /35 28 day pack 69 kelnor /50 28 day pack 69 KENALOG 0MG/ML 7 KENALOG 40MG/ML 7 KEPIVANCE 6.25MG 50 ketoconazole 2% cream 74 ketoconazole 2% 74 shampoo ketoconazole 200mg 34 ketoconazole 20mg/ml 74 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 45 KHEDEZLA 00MG ER 28 KHEDEZLA 50MG ER 28 kimidess 28 day pack 69 KINRIX 0.05 MG/ML 04 KINRIX 04 kionex 250mg/ml oral 6 susp KISQALI 200MG DAILY 48 DOSE CK KISQALI 400MG DAILY 48 DOSE CK KISQALI 600MG DAILY 48 DOSE CK KISQALI/FEMARA 46 CO-CK 200MG KISQALI/FEMARA 46 CO-CK 400MG KISQALI/FEMARA 46 CO-CK 600MG klor-con 0meq er cap 9 klor-con 0meq er micro 9 klor-con 0meq er 9 KLOR-CON 5MEQ ER 9 klor-con 20meq er micro 9 klor-con 8meq er cap 9 klor-con 8meq er 9 KORLYM 300MG 30 K- 20MEQ ER 9 K- 8MEQ ER 9 kurvelo 28 day pack 69 KUVAN 00MG 80 POWDER FOR ORAL SOLN KUVAN 00MG 80 KUVAN 500MG 80 POWDER FOR ORAL SOLN KYNAMRO 200MG/ML 35 KYPROLIS 30MG 48 KYPROLIS 60MG 48 L labetalol 00mg 62 labetalol 200mg 62 labetalol 300mg 62 labetalol 5mg/ml inj 62 LACRISERT 5MG 94 IMPLANT lactated ringers inj 90 lactated ringers 6 irrigation lactulose 667mg/ml oral 88 soln LAMICTAL BLUE KIT 23 LAMICTAL GREEN KIT 23 LAMICTAL ORANGE KIT 23 LAMICTAL XR BLUE 23 KIT LAMICTAL XR GREEN 23 KIT LAMICTAL XR ORANGE 23 KIT lamivudine 00mg 59 lamivudine 0mg/ml oral 57 soln lamivudine 50mg 57 lamivudine 57 50mg/zidovudine 300mg lamivudine 300mg 57 lamotrigine 00mg er 23 lamotrigine 00mg odt 23 lamotrigine 00mg 23 lamotrigine 50mg 23 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 lamotrigine 200mg er 23 lamotrigine 200mg odt 23 lamotrigine 200mg 23 lamotrigine 250mg er 23 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 lamotrigine 25mg (35) 23 starter pack lamotrigine 25mg 23 (42)/00mg (7) starter pack lamotrigine 25mg 23 (84)/00mg (4) starter pack lansoprazole 5mg dr cap 05 lansoprazole 30mg dr cap 05 lanthanum carbonate mg chew lanthanum carbonate mg chew lanthanum carbonate mg chew LANTUS 00UNIT/ML 3 LANTUS 00UNIT/ML 3 SOLOSTAR larin.5/30 pack 69 larin /20 pack 69 larin fe.5/30 pack 69 larin fe /20 pack 69 larissia 28 day pack 69 LARTRUVO 0MG/ML 45 LARTRUVO 45 90MG/9ML latanoprost 0.005% 96 ophth soln LATUDA 20MG 52 LATUDA 20MG 52 LATUDA 40MG 52 LATUDA 60MG 53 LATUDA 80MG 53 layolis fe 28 pack 69 leena 28 day pack 69 leflunomide 0mg leflunomide 20mg LENVIMA (8) 4MG 48 CK LENVIMA 0 0MG 48 CK LENVIMA 4 CK 48 LENVIMA 8 CK 48 LENVIMA 20 0MG 48 CK LENVIMA 24 CK 48 lessina 28 day pack 69 LETAIRIS 0MG 65 LETAIRIS 5MG 65 letrozole 2.5mg 45 LEUCOVORIN 0MG 50 leucovorin 0mg/ml inj 50 LEUCOVORIN 5MG 50 leucovorin 20mg/ml inj 50 leucovorin 25mg 50 leucovorin 5mg 50 LEUKERAN 2MG 43 LEUKINE 250MCG 86 leuprolide acetate 5mg/ml 45 inj levalbuterol 0.3mg inh 20 soln levalbuterol 0.63mg inh 20 soln levalbuterol.25mg inh 20 soln levalbuterol 2.5mg inh 20 soln LEVEMIR 00UNIT/ML 3 FLEXTOUCH LEVEMIR 00UNIT/ML 3 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 24 levetiracetam 5mg/ml inj 24 levetiracetam 750mg er 24 levetiracetam 750mg 24 levobunolol 0.5% ophth 94 soln levocarnitine 00mg/ml 80 oral soln levocarnitine 330mg 80 levocetirizine 0.5mg/ml 34 oral soln levocetirizine 5mg 34 levofloxacin 0.5% ophth 95 soln levofloxacin 250mg 83 levofloxacin 25mg/ml inj 83 levofloxacin 25mg/ml 83 oral soln levofloxacin 500mg 83 levofloxacin 5mg/ml 83 (50ml) inj levofloxacin 5mg/ml inj 83 levofloxacin 750mg 83 levoleucovorin 0mg/ml 50 inj levoleucovorin 50mg inj 50 levonest 28 day pack 69 levora 0.5/30 28 day 69 pack LEVORPHANOL 2MG 2 levo-t 00mcg 02 levo-t 2mcg 02 levo-t 25mcg 02 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 levo-t 37mcg 02 levo-t 50mcg 02 levo-t 75mcg 02 levo-t 200mcg 02 levo-t 25mcg 02 levo-t 300mcg 02 levo-t 50mcg 03 levo-t 75mcg 03 levo-t 88mcg 03 levothyroxine sodium 03 00mcg levothyroxine sodium 03 2mcg levothyroxine sodium 03 25mcg levothyroxine sodium 03 37mcg levothyroxine sodium 03 50mcg levothyroxine sodium 03 75mcg levothyroxine sodium mcg levothyroxine sodium 03 25mcg levothyroxine sodium mcg levothyroxine sodium 03 50mcg levothyroxine sodium 03 75mcg levothyroxine sodium 03 88mcg levoxyl 00mcg 03 levoxyl 2mcg 03 levoxyl 25mcg 03 levoxyl 37mcg 03 levoxyl 50mcg 03 levoxyl 75mcg 03 levoxyl 200mcg 03 levoxyl 25mcg 03 levoxyl 50mcg 03 levoxyl 75mcg 03 levoxyl 88mcg 03 LEXIVA 50MG/ML 57 ORAL SUSP LEXIVA 700MG 57 LIALDA.2GM DR 83 lidocaine 0.5% inj 88 lidocaine % inj 88 lidocaine 2% gel 77 lidocaine 2% inj 88 lidocaine 2% topical soln 9 lidocaine 4% topical soln 77 lidocaine 5% ointment 77 lidocaine 5% patch 77 lidocaine/prilocaine % cream lincomycin 300mg/ml inj 42 lindane % shampoo 77 linezolid 20mg/ml oral 42 susp linezolid 2mg/ml inj 42 linezolid 600mg 42 LINZESS 45MCG CAP 84 LINZESS 290MCG CAP 84 LINZESS 72MCG CAP 84 liothyronine sodium mg liothyronine sodium mg/ml inj liothyronine sodium mg liothyronine sodium mg lisinopril 0mg 36 lisinopril 2.5mg 36 lisinopril 20mg 36 lisinopril 30mg 36 lisinopril 40mg 37 lisinopril 5mg 37 lithium carbonate 50mg 52 cap lithium carbonate 300mg 52 cap lithium carbonate 300mg 52 er lithium carbonate 300mg 52 lithium carbonate 450mg 52 er lithium carbonate 600mg 52 cap lithium citrate 60mg/ml 52 oral soln LITHOSTAT 250MG 85 LONSURF 5-6.4MG 46 LONSURF MG 46 loperamide 2mg cap 32 lopinavir 57 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 loryna 28 day pack 69 losartan potassium 37 00mg losartan potassium 25mg 37 losartan potassium 50mg 37 LOTEMAX 0.5% OPHTH 95 GEL LOTEMAX 0.5% OPHTH 95 OINTMENT LOTEMAX 0.5% OPHTH 95 SUSP lovastatin 0mg 35 lovastatin 20mg 35 lovastatin 40mg 35 low-ogestrel 28 day pack 69 loxapine 0mg cap 54 loxapine 25mg cap 54 loxapine 50mg cap 54 loxapine 5mg cap 54 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 LUMIGAN 0.0% OPHTH 96 SOLN LUMIZYME 50MG 80 LUPRON.25MG 45 (.5ML) LUPRON.25MG 80 (ML) LUPRON 5MG 80 LUPRON 22.5MG 46 LUPRON 3.75MG 46 LUPRON 30MG 46 LUPRON 30MG 80 (3 MONTH) LUPRON 45MG 46 LUPRON 7.5MG 46 lutera 28 day pack 69 LYNRZA 00MG CAP 48 LYNRZA 50MG CAP 48 LYNRZA 50MG CAP 48 LYRICA 00MG CAP 24 LYRICA 50MG CAP 24 LYRICA 200MG CAP 24 LYRICA 20MG/ML 24 ORAL SOLN LYRICA 225MG CAP 24 LYRICA 25MG CAP 24 LYRICA 300MG CAP 24 LYRICA 50MG CAP 24 LYRICA 75MG CAP 24 LYSODREN 500MG 46 lyza 0.35mg pack 7 M magnesium sulfate 50% 90 inj magnesium sulfate 50% 90 syringe malathion 0.5% lotion 77 MAPROTILINE 25MG 26 MAPROTILINE 50MG 26 MAPROTILINE 75MG 26 marlissa 28 day pack 69 MARPLAN 0MG 26 MATULANE 50MG CAP 49 matzim 80mg er 64 matzim 240mg er 64 matzim 300mg er 64 matzim 360mg er 64 matzim 420mg er 64 MAVYRET 00-40MG 59 MAXIDEX 0.% OPHTH 95 SUSP meclizine 2.5mg 33 meclizine 25mg 33 MECLOFENAMATE 0 00MG CAP MECLOFENAMATE 0 50MG CAP MEDROL 2MG 7 medroxyprogesterone 99 acetate 0mg medroxyprogesterone 7 acetate 50mg/ml inj medroxyprogesterone 7 acetate 50mg/ml syringe medroxyprogesterone 99 acetate 2.5mg medroxyprogesterone 99 acetate 5mg mefenamic acid 250mg 0 cap mefloquine 250mg 42 megestrol acetate 99 25mg/ml oral susp megestrol acetate 20mg 46 megestrol acetate 40mg 46 megestrol acetate 46 40mg/ml oral susp MEKINIST 0.5MG 48 MEKINIST 2MG 48 meloxicam 5mg 0 meloxicam 7.5mg 0 melphalan 5mg/ml inj 43 memantine 0mg 99 memantine 99 0mg/memantine 5mg pack memantine 4mg er cap 99 memantine 2mg er cap 99 memantine 28mg er cap 99 memantine 2mg/ml oral 99 soln memantine 5mg 99 memantine 7mg er cap 99 MENACTRA 06 MENVEO 06 meperidine 00mg 2 meperidine 50mg 2 meprobamate 200mg 7 meprobamate 400mg 7 mercaptopurine 50mg 44 meropenem gm inj 4 meropenem 500mg inj 4 mesalamine 66.7mg/ml 83 enema mesna 00mg/ml inj 50 MESNEX 400MG 50 metadate 20mg er 8 METAPROTERENOL 20 SULFATE 0MG METAPROTERENOL 20 SULFATE 20MG METAPROTERENOL 20 SULFATE 2MG/ML ORAL SOLN metaxall 800mg 92 METAXALONE 400MG 92 metaxalone 800mg 92 metformin 000mg 30 metformin 500mg er 30 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 metformin 500mg 30 metformin mg/pioglitazone 5mg metformin 750mg er 30 metformin 850mg 30 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 78 methazolamide 50mg 78 methenamine hippurate mg methimazole 0mg 02 methimazole 5mg 02 methocarbamol 500mg 92 methocarbamol 750mg 92 methotrexate 000mg inj 44 methotrexate 2.5mg 44 METHOTREXATE MG/0ML methotrexate 250mg/0ml 44 inj methotrexate 25mg/ml inj 44 methotrexate 50mg/2ml 44 inj methoxsalen 0mg cap 74 methscopolamine 2.5mg 04 methscopolamine 5mg 04 METHYCLOTHIAZIDE 79 5MG methyldopa 250mg 38 methyldopa 500mg 38 methylphenidate 0mg cd 8 cap methylphenidate 0mg 8 chew methylphenidate 0mg er 8 methylphenidate 0mg la 8 cap 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 methylphenidate 20mg 8 METHYLPHENIDATE 8 27MG SR methylphenidate 2mg/ml 8 oral soln methylphenidate 30mg cd 8 cap methylphenidate 30mg la 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 7 25mg inj methylprednisolone 6mg 7 methylprednisolone 32mg 7 methylprednisolone 7 40mg/ml inj methylprednisolone 4mg 7 pack methylprednisolone 4mg 7 methylprednisolone mg/ml inj methylprednisolone 8mg 7 methylprednisolone 7 acetate 40mg/ml inj methylprednisolone 7 acetate 80mg/ml inj METIPRANOLOL 0.3% 94 OPHTH SOLN metoclopramide 0mg 83 metoclopramide mg/ml 83 oral soln metoclopramide 5mg 83 metoclopramide 5mg/ml 83 inj metolazone 0mg 79 metolazone 2.5mg 79 metolazone 5mg 79 metoprolol succinate 62 00mg er metoprolol succinate mg er metoprolol succinate 62 25mg er metoprolol succinate 62 50mg er metoprolol tartrate 62 00mg metoprolol tartrate 62 mg/ml cartridge 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 metoprolol tartrate 62 mg/ml inj metoprolol tartrate 25mg 62 metoprolol tartrate 50mg 62 metronidazole 0.75% 77 cream metronidazole 0.75% gel 77 metronidazole 0.75% 77 lotion metronidazole 0.75% 07 vaginal gel metronidazole % gel 77 metronidazole 250mg 4 metronidazole 375mg cap 4 metronidazole 500mg 4 metronidazole 5mg/ml inj 4 mexiletine 50mg cap 8 mexiletine 200mg cap 8 mexiletine 250mg cap 8 MIACALCIN UNIT/ML microgestin.5/30 2 day 69 pack microgestin /20 2 day 69 pack microgestin fe.5/ day pack microgestin fe / day pack midodrine 0mg 08 midodrine 2.5mg 08 midodrine 5mg 08 miglitol 00mg 29 miglitol 25mg 29 miglitol 50mg 29 MIGRANAL 4MG/ML 89 NASAL SPRAY mimvey lo 28 day pack 82 mimvey pack 82 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 02 minocycline 00mg 02 minocycline 50mg cap 02 minocycline 50mg 02 minocycline 75mg cap 02 minocycline 75mg 02 minoxidil 0mg 40 minoxidil 2.5mg 4 mirtazapine 5mg odt 26 mirtazapine 5mg 26 mirtazapine 30mg odt 26 mirtazapine 30mg 26 mirtazapine 45mg odt 26 mirtazapine 45mg 26 mirtazapine 7.5mg 26 misoprostol 0.mg 05 misoprostol 0.2mg 05 MITIGARE 0.6MG CAP 85 mitomycin 20mg inj 46 mitomycin 40mg inj 46 MITOMYCIN 5MG 46 mitoxantrone 2mg/ml inj 46 M-M-R II 07 modafinil 00mg 8 modafinil 200mg 8 MODERIBA 200/DAY 59 DOSE CK moderiba 200mg 59 MODERIBA 800/DAY 59 DOSE CK moexipril 5mg 37 moexipril 7.5mg 37 mometasone furoate 0.% 76 cream mometasone furoate 0.% 76 lotion mometasone furoate 0.% 76 ointment mononessa 28 day pack 70 montelukast 0mg 9 montelukast 4mg chew 9 montelukast 4mg 9 granules montelukast 5mg chew 9 morgidox 50mg cap 02 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 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 3 45MG ER (24HR) CAP morphine sulfate 4mg/ml 3 oral soln morphine sulfate 50mg er 3 cap MORPHINE SULFATE 3 5MG/ML MORPHINE SULFATE 3 60MG (24HR) ER CAP morphine sulfate 60mg er 3 cap You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 40

142 morphine sulfate 60mg er 3 MORPHINE SULFATE 3 75MG ER (24HR) CAP morphine sulfate 80mg er 3 cap MORPHINE SULFATE 3 90MG ER (24HR) CAP MOVANTIK 2.5MG 84 MOVANTIK 25MG 84 MOVIPREP ORAL SOLN 87 moxifloxacin 0.5% ophth 95 soln MOXIFLOXACIN 83.6MG/ML moxifloxacin 400mg 83 MOZOBIL 24MG/.2ML 87 MULTAQ 400MG 8 mupirocin 2% cream 73 mupirocin 2% ointment 73 MUSTARGEN 0MG 43 MYCAMINE 00MG 33 MYCAMINE 50MG 33 mycophenolate mofetil 6 200mg/ml oral susp mycophenolate mofetil 6 250mg cap mycophenolate mofetil 9 500mg inj mycophenolate mofetil 6 500mg mycophenolic acid 80mg 6 dr mycophenolic acid 360mg 6 dr MYLOTARG 4.5MG 45 myorisan 0mg cap 73 myorisan 20mg cap 73 myorisan 30mg cap 73 myorisan 40mg cap 73 MYRBETRIQ 25MG ER 06 MYRBETRIQ 50MG ER 06 ALPHABETICAL LISTING OF DRUGS N nabumetone 500mg 0 nabumetone 750mg 0 nadolol 20mg 62 nadolol 40mg 62 nadolol 80mg 62 nafcillin 00mg/ml inj 98 nafcillin gm inj 98 naftifine 2% cream 74 NAGLAZYME MG/ML 80 NALOXONE 0.4MG/ML 32 CARTRIDGE naloxone 5 0.5mg/pentazocine 50mg NALOXONE MG/ML 32 naltrexone 50mg 32 NAMENDA 4MG XR 99 CAP NAMENDA 2MG XR 99 CAP NAMENDA TITRATION CK NAMENDA 28MG XR 99 CAP NAMENDA 7MG XR 99 CAP NAMZARIC 0-2MG ER 99 CAP NAMZARIC 0-7MG ER 99 CAP NAMZARIC 4-0MG ER 99 CAP NAMZARIC 28-0MG ER 99 CAP NAMZARIC TITRATION 00 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 89 naratriptan 2.5mg 89 NARCAN 4MG/0.ML 32 NASAL SPRAY NATACYN 5% OPHTH 95 SUSP NATAZIA 28 DAY CK 70 nateglinide 20mg 3 nateglinide 60mg 3 NATRA 00MCG 79 CARTRIDGE NATRA 25MCG 79 CARTRIDGE NATRA 50MCG 79 CARTRIDGE NATRA 75MCG 79 CARTRIDGE NEBUPENT 300MG INH 4 SOLN necon 0.5/35 28 day pack 70 necon 7/7/7 28 day pack 70 NEFAZODONE 00MG 27 NEFAZODONE 50MG 27 NEFAZODONE 200MG 27 nefazodone 250mg 27 nefazodone 50mg 27 neomycin 84 40mg/ml/polymyxin b unit/ml soln neomycin sulfate 500mg 9 neomycin/bacitracin/poly 95 myxin ophth ointment 5(3.5)mg-400unit-0000u nit 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 neomycin/polymyxin/bacit 95 racin/hydrocortisone ophth ointmentment % NEPHRAMINE 5.4% 93 NERLYNX 40MG 48 NEULASTA 6MG/0.6ML 86 NEUPRO MG/24HR 5 TCH NEUPRO 2MG/24HR 5 TCH NEUPRO 3MG/24HR 5 TCH NEUPRO 4MG/24HR 5 TCH NEUPRO 6MG/24HR 5 TCH NEUPRO 8MG/24HR 5 TCH NEVANAC 0.% OPHTH 96 SUSP nevirapine 00mg er 57 nevirapine 200mg 57 nevirapine 400mg er 57 NEXAVAR 200MG 48 NEXIUM 0MG 05 GRANULES FOR ORAL SUSP NEXIUM 2.5MG 05 GRANULES FOR ORAL SUSP NEXIUM 20MG 05 GRANULES FOR ORAL SUSP NEXIUM 40MG 05 GRANULES FOR ORAL SUSP NEXIUM 5MG 05 GRANULES FOR ORAL SUSP NEXTERONE 8 50MG/00ML NEXTERONE 8 360MG/200ML niacin 000mg er 36 niacin 500mg er 36 niacin 750mg er 36 nicardipine 2.5mg/ml inj 64 nicardipine 20mg cap 64 nicardipine 30mg cap 64 NICOTROL 0MG 0 INHALER NICOTROL 0MG/ML 0 NASAL INHALER nifedipine 0mg cap 64 nifedipine 20mg cap 64 nifedipine 30mg er 64 nifedipine 30mg osmotic 64 er nifedipine 60mg er 64 nifedipine 60mg osmotic 64 er nifedipine 90mg er 64 nifedipine 90mg osmotic 64 er nikki 28 day pack 70 NILANDRON 50MG 46 nilutamide 50mg 46 nimodipine 30mg cap 64 NINLARO 2.3MG CAP 48 NINLARO 3MG CAP 48 NINLARO 4MG CAP 48 NIPENT 0MG 49 nisoldipine 7mg er 64 nisoldipine 20mg er 64 nisoldipine 30mg er 64 nisoldipine 34mg er 64 nisoldipine 40mg er 64 nisoldipine 8.5mg er 64 NITRO-DUR 0.3MG/HR 6 TCH NITRO-DUR 0.8MG/HR 6 TCH nitrofurantoin 5mg/ml 05 oral susp nitrofurantoin macro 05 25mg cap nitrofurantoin 06 monohydrate/macrocryst alline 00mg cap nitrofurantoin, macro 06 00mg cap nitrofurantoin, macro 06 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 pump spray nitroglycerin 0.4mg/hr 6 patch nitroglycerin 0.6mg sl 6 nitroglycerin 0.6mg/hr 6 patch nizatidine 50mg cap 05 NIZATIDINE 5MG/ML 05 ORAL SOLN nizatidine 300mg cap 05 nora-be 28 day 0.35mg 7 pack NORDITROPIN 80 0MG/.5ML PEN NORDITROPIN 80 5MG/.5ML PEN NORDITROPIN 80 30MG/3ML PEN NORDITROPIN 80 5MG/.5ML PEN norethindrone 0.35mg 7 pack norethindrone acetate 99 5mg norlyroc 28 day 0.35mg 7 pack NORMOSOL-M 90 NORMOSOL-R IN 5% 90 DEXTROSE NORMOSOL-R 90 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 NORCE 00MG ER 7 CAP NORCE 50MG ER 7 CAP NORTHERA 00MG CAP 08 NORTHERA 200MG CAP 08 NORTHERA 300MG CAP 08 nortrel 0.5/35 28 day 70 pack nortrel /35 2 day pack 70 nortrel /35 28 day pack 70 nortrel 7/7/7 28 day pack 70 nortriptyline 0mg cap 29 nortriptyline 25mg cap 29 NORTRIPTYLINE 29 2MG/ML ORAL SOLN nortriptyline 50mg cap 29 nortriptyline 75mg cap 29 NORVIR 00MG CAP 57 NORVIR 00MG 57 NORVIR 80MG/ML 57 ORAL SOLN NOVOLIN 00UNIT/ML 3 NOVOLIN N 3 00UNIT/ML NOVOLIN R 3 00UNIT/ML NOVOLOG 00UNIT/ML 3 FLEXPEN NOVOLOG 00UNIT/ML 3 NOVOLOG 00UNIT/ML 3 PENFILL NOVOLOG MIX 3 00UNIT/ML FLEXPEN NOVOLOG MIX 3 00UNIT/ML NOXAFIL 00MG DR 34 NOXAFIL 40MG/ML 34 ORAL SUSP NUCALA 00MG 8 NUCYNTA 00MG ER 3 NUCYNTA 50MG ER 3 NUCYNTA 200MG ER 3 NUCYNTA 250MG ER 3 NUCYNTA 50MG ER 3 NUEDEXTA 20-0MG 0 CAP NULOJIX 250MG 6 NUPLAZID 7MG 53 nutrilipid 20% iv soln 93 NUVARING VAGINAL 70 RING nyamyc 00000unit/gm 74 powder nystatin 00000unit/ml 74 cream nystatin 00000unit/ml 9 oral susp nystatin unit/ml/triamcinol one acetonide mg/ml cream nystatin 00unit/mg 74 ointment nystatin 00unit/mg 74 powder nystatin 74 00unit/mg/triamcinolone acetonide 0.00mg/mg ointment nystatin unit 33 nystop 00000unit/gm 74 powder O OCALIVA 0MG 83 OCALIVA 5MG 83 ocella 28 day pack 70 OCTAGAM 97 25GM/500ML OCTAGAM 2GM/20ML 97 octreotide 0.05mg/ml inj 8 octreotide 0.mg/ml inj 8 octreotide 0.2mg/ml inj 8 octreotide 0.5mg/ml inj 8 octreotide mg/ml inj 8 ODEFSEY MG 57 ODOMZO 200MG CAP 45 OFEV 00MG CAP 02 OFEV 50MG CAP 02 ofloxacin 0.3% ophth soln 95 ofloxacin 0.3% otic soln 96 ofloxacin 400mg 83 olanzapine 0mg inj 54 olanzapine 0mg odt 54 olanzapine 0mg 54 olanzapine 5mg odt 54 olanzapine 5mg 54 olanzapine 2.5mg 54 olanzapine 20mg odt 54 olanzapine 20mg 54 olanzapine 5mg odt 54 olanzapine 5mg 54 olanzapine 7.5mg 54 olmesartan medoxomil 37 20mg olmesartan medoxomil 37 40mg olmesartan medoxomil 37 5mg olopatadine 0.% ophth 96 soln olopatadine 0.2% ophth 96 soln olopatadine 0.6% nasal 92 inhaler omega-3 acid ethyl esters 35 (usp) 000mg cap omeprazole 0mg dr cap 05 omeprazole 20mg dr cap 05 omeprazole 40mg dr cap 05 ondansetron 0.8mg/ml 32 oral soln ondansetron 24mg 32 ondansetron 2mg/ml inj 32 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 ondansetron 2mg/ml 33 syringe ondansetron 4mg odt 33 ondansetron 4mg 33 ondansetron 8mg odt 33 ondansetron 8mg 33 ONFI 0MG 22 ONFI 2.5MG/ML ORAL 22 SUSP ONFI 20MG 22 OPDIVO 00MG/0ML 45 OPDIVO 40MG/4ML 45 OPSUMIT 0MG 65 ORENCIA 25MG/ML AUTO-ECTOR ORENCIA 25MG/ML ORENCIA 250MG ORENCIA 50MG/0.4ML ORENCIA 87.5MG/0.7ML ORFADIN 0MG CAP 8 ORFADIN 20MG CAP 8 ORFADIN 2MG CAP 8 ORFADIN 4MG/ML 8 ORAL SUSP ORFADIN 5MG CAP 8 ORKAMBI 00-25MG 0 ORKAMBI MG 0 orphenadrine citrate 92 00mg er orphenadrine citrate 92 30mg/ml inj orsythia 28 day pack 70 oseltamivir 30mg cap 60 oseltamivir 45mg cap 60 oseltamivir 6mg/ml oral 60 susp oseltamivir 75mg cap 60 oxacillin 00mg/ml inj 98 oxacillin 2000mg inj 98 OXACILLIN 20MG/ML 98 OXACILLIN 40MG/ML 98 oxaliplatin 00mg inj 43 oxaliplatin 5mg/ml inj 43 oxandrolone 0mg 5 oxandrolone 2.5mg 5 oxaprozin 600mg 0 oxazepam 0mg cap 7 oxazepam 5mg cap 7 oxazepam 30mg cap 7 oxcarbazepine 50mg 24 oxcarbazepine 300mg 24 oxcarbazepine 600mg 24 oxcarbazepine 60mg/ml 24 oral susp OXTELLAR 50MG XR 24 OXTELLAR 300MG XR 24 OXTELLAR 600MG XR 24 oxybutynin chloride 0mg 06 er oxybutynin chloride 5mg 06 er oxybutynin chloride 06 mg/ml oral soln oxybutynin chloride 5mg 06 er oxybutynin chloride 5mg 06 oxycodone 0mg 3 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 OZEMPIC 2MG/.5ML 30 PEN OZEMPIC 2MG/.5ML 30 PEN (MG DOSE) P pacerone 200mg 8 pacerone 400mg 8 paclitaxel 6mg/ml inj 50 paliperidone.5mg er 53 paliperidone 3mg er 53 paliperidone 6mg er 53 paliperidone 9mg er 53 pamidronate disodium 79 3mg/ml inj MIDRONATE 79 DISODIUM 6MG/ML pamidronate disodium 79 9mg/ml inj NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP NCREAZE UNIT DR CAP 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 NCREAZE UNIT DR CAP NRETIN 0.% GEL 74 pantoprazole 20mg dr 05 pantoprazole 40mg dr 05 pantoprazole 40mg inj 05 paricalcitol 0.00mg cap 8 paricalcitol 0.002mg cap 8 paricalcitol 0.002mg/ml 8 inj paricalcitol 0.004mg cap 8 paricalcitol 0.005mg/ml 8 inj paromomycin 250mg cap 9 paroxetine 0mg 27 paroxetine 2.5mg er 27 paroxetine 20mg 27 paroxetine 25mg er 27 paroxetine 30mg 27 paroxetine 37.5mg er 27 paroxetine 40mg 27 SER D/R 4GM 43 GRANULES XIL 0MG/5ML ORAL 27 SUSP PEDIARIX 04 PEDVAXHIB MCG/0.5ML peg 3350/electrolyte oral 88 soln peg 3350/kcl/sodium 88 bicarbonate/sodium chloride powder for oral soln PEGANONE 250MG 25 PEGASYS 59 35MCG/0.5ML AUTO-ECTOR PEGASYS 59 80MCG/0.5ML AUTO-ECTOR PEGASYS 59 80MCG/0.5ML PEGASYS 80MCG/ML 59 penicillin g potassium unit/ml inj PENICILLIN G 97 POTASSIUM 40000UNIT/ML PENICILLIN G 98 POTASSIUM 60000UNIT/ML PENICILLIN G 98 PROCAINE UNIT/ML PENICILLIN G SODIUM UNIT/ML penicillin v potassium mg penicillin v potassium 98 25mg/ml oral soln penicillin v potassium mg penicillin v potassium 98 50mg/ml oral soln PENTAM 300MG 4 pentoxifylline 400mg er 85 perindopril erbumine 37 2mg perindopril erbumine 37 4mg perindopril erbumine 37 8mg periogard 0.2% 9 mouthwash PERJETA 420MG/4ML 45 permethrin 5% cream 77 perphenazine 6mg 55 perphenazine 2mg 55 perphenazine 4mg 55 perphenazine 8mg 55 PEXEVA 0MG 27 PEXEVA 20MG 27 PEXEVA 30MG 27 PEXEVA 40MG 27 phenadoz 2.5mg rectal 34 supp phenelzine 5mg 26 phenergan 2.5mg rectal 34 supp phenergan 25mg rectal 34 supp phenergan 50mg rectal 34 supp PHENOBARBITAL 87 00MG PHENOBARBITAL 5MG 87 phenobarbital 6.2mg 87 PHENOBARBITAL 30MG 87 phenobarbital 32.4mg 87 phenobarbital 4mg/ml 87 oral soln PHENOBARBITAL 60MG 87 phenobarbital 64.8mg 87 phenobarbital 97.2mg 87 phenoxybenzamine 0mg 37 cap phenylephrine 72 mg/ml/promethazine.25mg/ml oral soln phenytoin 25mg/ml oral 25 susp phenytoin 50mg chew 25 phenytoin sodium 00mg 25 er cap phenytoin sodium 200mg 25 er cap phenytoin sodium 300mg 25 er cap phenytoin sodium 25 50mg/ml inj PHOSLYRA 667MG/5ML 84 ORAL SOLN PHOSPHOLINE IODIDE % OPHTH SOLN physiolyte soln 6 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 physiosol soln 6 PICATO 0.05% GEL 74 PICATO 0.05% GEL 74 pilocarpine % ophth 94 soln pilocarpine 2% ophth 94 soln pilocarpine 4% ophth 94 soln pilocarpine 5mg 92 pilocarpine 7.5mg 92 pimozide mg 0 pimozide 2mg 0 pimtrea pack 70 pindolol 0mg 62 pindolol 5mg 62 pioglitazone 5mg 3 pioglitazone 30mg 3 pioglitazone 45mg 3 piperacillin mg/tazobactam 250mg inj piperacillin mg/ml/tazobactam 25mg/ml inj piperacillin mg/tazobactam 375mg inj piperacillin mg/tazobactam 500mg inj pirmella /35 28 day pack 70 piroxicam 0mg cap piroxicam 20mg cap PLASMA-LYTE PLASMALYTE A 90 PLEGRIDY 0 25MCG/0.5ML AUTO-ECTOR PLEGRIDY 0 25MCG/0.5ML PLEGRIDY PEN 0 STARTER CK PLEGRIDY STARTER 0 CK plenamine 5% inj 93 podofilox 0.5% topical 77 soln polyethylene glycol mg/ml oral soln polyethylene glycol /kcl/sodium bicarbonate/sodium chloride/sodium sulfate powder for oral soln polymyxin b unit/ml/trimethopri m mg/ml ophth soln polymyxin b unit/ml inj POMALYST MG CAP 46 POMALYST 2MG CAP 46 POMALYST 3MG CAP 46 POMALYST 4MG CAP 46 portia 28 day pack 70 potassium chloride meq/ml/sodium chloride meq/ml inj potassium chloride meq/ml/sodium chloride 0.54 meq/ml inj potassium chloride 9 0.meq/ml inj potassium chloride 0% 9 oral soln potassium chloride 9 0meq er cap potassium chloride 9 0meq er micro potassium chloride 9 0meq er potassium chloride 2 9 meq/ml inj potassium chloride 20% 9 oral soln potassium chloride 9 20meq er micro POTASSIUM CHLORIDE 9 20MEQ ER potassium chloride 9 40meq/20ml inj potassium chloride 8meq 9 er cap potassium chloride 8meq 9 er potassium citrate 0meq 84 er potassium citrate 5 meq 84 er potassium citrate 5 meq 84 er PRADAXA 0MG CAP 22 PRADAXA 50MG CAP 22 PRADAXA 75MG CAP 22 PRALUENT 50MG/ML 36 AUTO-ECTOR PRALUENT 75MG/ML 36 AUTO-ECTOR pramipexole 0.25mg 5 pramipexole 0.25mg 5 pramipexole 0.375mg er 5 pramipexole 0.5mg 5 pramipexole 0.75mg er 5 pramipexole 0.75mg 5 pramipexole.5mg er 5 pramipexole.5mg 52 pramipexole mg 52 pramipexole 2.25mg er 52 pramipexole 3.75mg er 52 pramipexole 3mg er 52 pramipexole 4.5mg er 52 prasugrel 0mg 85 prasugrel 5mg 86 pravastatin sodium 0mg 35 pravastatin sodium 20mg 35 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 pravastatin sodium 40mg 35 pravastatin sodium 80mg 35 prazosin mg cap 38 prazosin 2mg cap 38 prazosin 5mg cap 38 PRED MILD 0.2% 95 OPHTH SUSP PRED-G 0.3-% OPHTH 95 SUSP prednicarbate 0.% 76 cream prednicarbate 0.% 76 ointment prednisolone % ophth 95 soln prednisolone 0mg odt 7 prednisolone 5mg odt 7 prednisolone mg/ml oral 7 soln prednisolone 30mg odt 72 prednisolone 3mg/ml oral 72 soln prednisolone acetate % 96 ophth susp prednisolone sodium 96 phosphate 2.5mg/ml/sulfacetamide sodium 00mg/ml ophth soln PREDNISONE 0MG 72 (2) CK PREDNISONE 0MG 72 (48) CK prednisone 0mg 72 prednisone mg 72 PREDNISONE MG/ML 72 ORAL SOLN prednisone 2.5mg 72 prednisone 20mg 72 PREDNISONE 50MG 72 PREDNISONE 5MG (2) 72 CK PREDNISONE 5MG (48) 72 CK prednisone 5mg 72 PREDNISONE 5MG/ML 72 ORAL SOLN PREMARIN 0.3MG 82 PREMARIN 0.45MG 82 PREMARIN 0.625MG 82 PREMARIN MG/GM VAGINAL CREAM PREMARIN 0.9MG 82 PREMARIN.25MG 82 PREMASOL 0% 93 premasol 6% inj 94 PREMPHASE 28 DAY 82 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 35 susp previfem 28 day pack 70 PREZCOBIX MG 57 PREZISTA 00MG/ML 58 ORAL SUSP PREZISTA 50MG 58 PREZISTA 600MG 58 PREZISTA 75MG 58 PREZISTA 800MG 58 PRIFTIN 50MG 43 PRIMAQUINE 42 PHOSPHATE 26.3MG primidone 250mg 24 primidone 50mg 24 PRIVIGEN 20GM/200ML 97 probenecid 500mg 85 PROCAINAMIDE 7 00MG/ML PROCAINAMIDE 8 500MG/ML PROCALAMINE 3% 94 prochlorperazine 0mg 55 prochlorperazine 25mg 55 rectal supp prochlorperazine 5mg 55 prochlorperazine 5mg/ml 55 inj PROCRIT UNIT/ML PROCRIT UNIT/ML PROCRIT 2000UNIT/ML 86 PROCRIT 3000UNIT/ML 86 PROCRIT UNIT/ML PROCRIT 4000UNIT/ML 86 procto-med 2.5% cream 5 procto-pak % rectal 6 cream proctosol 2.5% cream 6 proctozone hc 2.5% 6 cream progesterone 00mg cap 99 progesterone 200mg cap 99 PROGLYCEM 50MG/ML 30 ORAL SUSP PROGRAF 5MG/ML 6 PROLASTIN 000MG 0 PROLEUKIN UNIT PROLIA 60MG/ML 79 PROMACTA 2.5MG 86 PROMACTA 25MG 86 PROMACTA 50MG 86 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 PROMACTA 75MG 86 promethazine.25mg/ml 34 oral soln promethazine 2.5mg 34 rectal supp promethazine 2.5mg 34 promethazine 25mg rectal 34 supp promethazine 25mg 34 promethazine 25mg/ml inj 34 promethazine 50mg rectal 34 supp promethazine 50mg 34 promethazine 50mg/ml inj 34 promethegan 25mg rectal 34 supp promethegan 50mg rectal 34 supp propafenone 50mg 8 propafenone 225mg er 8 cap propafenone 225mg 8 propafenone 300mg 8 propafenone 325mg er 8 cap propafenone 425mg er 8 cap PRONTHELINE 5MG 04 proparacaine 0.5% ophth 95 soln propranolol 0mg 62 propranolol 20mg er 62 cap propranolol 60mg er 62 cap propranolol mg/ml inj 62 propranolol 20mg 62 propranolol 40mg 62 PROPRANOLOL 62 4MG/ML ORAL SOLN propranolol 60mg er cap 62 propranolol 60mg 62 propranolol 80mg er cap 62 propranolol 80mg 62 PROPRANOLOL 63 8MG/ML ORAL SOLN propylthiouracil 50mg 02 PROQUAD 07 PROSOL 20% 94 protriptyline 0mg 29 protriptyline 5mg 29 PSORCON 0.05% 76 CREAM PULMOZYME MG/ML 0 INH SOLN PURIXAN MG/00ML ORAL SUSP PYLERA MG CAP pyrazinamide 500mg 43 pyridostigmine bromide 43 80mg er pyridostigmine bromide 43 60mg Q QBRELIS MG/ML 37 ORAL SOLN QUADRACEL 04 quasense 9 day pack 70 QUDEXY 00MG XR 24 CAP QUDEXY 50MG XR 24 CAP QUDEXY 200MG XR 24 CAP QUDEXY 25MG XR CAP 24 QUDEXY 50MG XR CAP 24 quetiapine 00mg 55 quetiapine 50mg xr 55 quetiapine 200mg 55 quetiapine 200mg xr 55 quetiapine 25mg 55 quetiapine 300mg 55 quetiapine 300mg xr 55 quetiapine 400mg 55 quetiapine 400mg xr 55 quetiapine 50mg 55 quetiapine 50mg xr 55 quinapril 0mg 37 quinapril 20mg 37 quinapril 40mg 37 quinapril 5mg 37 quinidine gluconate 8 324mg er QUINIDINE 8 GLUCONATE 80MG/ML QUINIDINE SULFATE 8 200MG QUINIDINE SULFATE 8 300MG quinine sulfate 324mg 42 cap R RABAVERT 2.5UNIT/ML 07 rabeprazole sodium 20mg 05 dr raloxifene 60mg 80 ramipril.25mg cap 37 ramipril 0mg cap 37 ramipril 2.5mg cap 37 ramipril 5mg cap 37 RANEXA 000MG ER 6 RANEXA 500MG ER 6 ranitidine 50mg cap 05 ranitidine 50mg 05 ranitidine 5mg/ml oral 05 soln ranitidine 25mg/ml inj 05 ranitidine 300mg cap 05 ranitidine 300mg 05 RAFLO 4MG CAP 85 RAFLO 8MG CAP 85 RAMUNE MG/ML 6 ORAL SOLN rasagiline 0.5mg 52 rasagiline mg 52 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 48

150 ALPHABETICAL LISTING OF DRUGS RAVICTI.GM/ML 8 ORAL SOLN REBIF 22MCG/0.5ML 0 AUTO-ECTOR REBIF 22MCG/0.5ML 0 REBIF 44MCG/0.5ML 0 AUTO-ECTOR REBIF 44MCG/0.5ML 0 REBIF REBIDOSE CK 0 REBIF TITRATION CK 0 reclipsen 28 day pack 70 RECOMBIVAX 07 0MCG/ML RECOMBIVAX 07 40MCG/ML RECOMBIVAX 07 5MCG/0.5ML RECOMBIVAX HB 07 0MCG/ML REGRANEX 0.0% GEL 77 RELENZA 5MG/BLISTER 60 INH RELISTOR 2MG/0.6ML 84 RELISTOR 2MG/0.6ML 84 RELISTOR 8MG/0.4ML 84 REMODULIN 0MG/ML 65 REMODULIN MG/ML 65 REMODULIN 2.5MG/ML 65 REMODULIN 5MG/ML 65 RENVELA 800MG 84 repaglinide 0.5mg 3 repaglinide mg 3 repaglinide 2mg 3 RETHA 20MG/ML 36 CARTRIDGE RETHA 40MG/ML 36 AUTO-ECTOR RETHA 40MG/ML 36 RESCRIPTOR 00MG 58 RESCRIPTOR 200MG 58 RESTASIS 0.05% OPHTH 95 SUSP RETROVIR 0MG/ML 58 REVLIMID 0MG CAP 60 REVLIMID 5MG CAP 60 REVLIMID 2.5MG CAP 60 REVLIMID 20MG CAP 60 REVLIMID 25MG CAP 60 REVLIMID 5MG CAP 60 REXULTI 0.25MG 56 REXULTI 0.5MG 56 REXULTI MG 56 REXULTI 2MG 56 REXULTI 3MG 56 REXULTI 4MG 56 REYATAZ 50MG CAP 58 REYATAZ 200MG CAP 58 REYATAZ 300MG CAP 58 REYATAZ 50MG ORAL 58 POWDER ribasphere 200mg cap 59 ribasphere 200mg 59 ribasphere 400mg 59 ribasphere 600mg 59 ribasphere ribapak /day ribasphere ribapak /day ribavirin 200mg cap 59 ribavirin 200mg 59 RIDAURA 3MG CAP 9 rifabutin 50mg cap 43 RIFAMATE MG 43 CAP rifampin 50mg cap 43 rifampin 300mg cap 43 rifampin 60mg/ml inj 43 RIFATER MG 43 riluzole 50mg 93 rimantadine 00mg 60 risedronate sodium 79 50mg risedronate sodium 30mg 79 risedronate sodium 35mg 79 (2) pack risedronate sodium 35mg 79 (4) pack risedronate sodium 35mg 79 risedronate sodium 5mg 79 RISPERDAL 2.5MG 53 RISPERDAL 25MG 53 RISPERDAL 37.5MG 53 RISPERDAL 50MG 53 risperidone 0.25mg odt 53 risperidone 0.25mg 53 risperidone 0.5mg odt 53 risperidone 0.5mg 53 risperidone mg odt 53 risperidone mg 53 risperidone mg/ml oral 53 soln risperidone 2mg odt 53 risperidone 2mg 54 risperidone 3mg odt 54 risperidone 3mg 54 risperidone 4mg odt 54 risperidone 4mg 54 ritonavir 00mg 58 RITUXAN 00MG/0ML 45 RITUXAN 500MG/50ML 45 rivastigmine.5mg cap 00 rivastigmine 3.3mg/24hr 00 patch rivastigmine 3mg cap 00 rivastigmine 4.5mg cap 00 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 rivastigmine 4.6mg/24hr 00 patch rivastigmine 6mg cap 00 rivastigmine 9.5mg/24hr 00 patch rivelsa 9 day pack 70 rizatriptan 0mg odt 89 rizatriptan 0mg 89 rizatriptan 5mg odt 89 rizatriptan 5mg 89 ropinirole 0.25mg 52 ropinirole 0.5mg 52 ropinirole 2mg er 52 ropinirole mg 52 ropinirole 2mg er 52 ropinirole 2mg 52 ropinirole 3mg 52 ropinirole 4mg er 52 ropinirole 4mg 52 ropinirole 5mg 52 ropinirole 6mg er 52 ropinirole 8mg er 52 rosuvastatin 0mg 35 rosuvastatin 20mg 35 rosuvastatin 40mg 35 rosuvastatin 5mg 36 ROTARIX ORAL SUSP 07 ROTATEQ ORAL SUSP 07 roweepra 000mg 24 roweepra 500mg er 24 roweepra 500mg 24 roweepra 750mg er 24 roweepra 750mg 24 ROZEREM 8MG 87 RUBRACA 200MG 48 RUBRACA 250MG 48 RUBRACA 300MG 48 RUCONEST 200UNIT 85 RYDAPT 25MG CAP 48 S SABRIL 500MG ORAL 25 SOLN SABRIL 500MG 25 salmon calcitonin unit/act nasal spray SANDIMMUNE 6 00MG/ML ORAL SOLN SANTYL 250UNIT/GM 76 OINTMENT SAPHRIS 0MG SL 55 SAPHRIS 2.5MG SL 55 SAPHRIS 5MG SL 55 SAVELLA 00MG 00 SAVELLA 2.5MG 00 SAVELLA 25MG 00 SAVELLA 4-WEEK 00 TITRATION CK SAVELLA 50MG 00 scopolamine mg/3days 33 patch selegiline 5mg cap 52 selegiline 5mg 52 selenium sulfide 2.5% 75 shampoo SELZENTRY 50MG 58 SELZENTRY 20MG/ML 58 ORAL SOLN SELZENTRY 25MG 58 SELZENTRY 300MG 58 SELZENTRY 75MG 58 SENSIR 30MG 8 SENSIR 60MG 8 SENSIR 90MG 8 SEREVENT 20 50MCG/DOSE INH sertraline 00mg 27 sertraline 20mg/ml oral 27 soln sertraline 25mg 27 sertraline 50mg 27 setlakin 9 day pack 70 sevelamer carbonate mg oral susp sevelamer carbonate mg oral susp sevelamer carbonate mg sharobel 28 day 0.35mg 7 pack SHINGRIX 07 SIGNIFOR 0.3MG/ML 8 SIGNIFOR 0.6MG/ML 8 SIGNIFOR 0.9MG/ML 8 sildenafil 20mg 65 silver sulfadiazine % 75 cream SIMBRINZA -0.2% 94 OPHTH SUSP SIMPONI ARIA 9 50MG/4ML SIMULECT 20MG 6 simvastatin 0mg 36 simvastatin 20mg 36 simvastatin 40mg 36 simvastatin 5mg 36 simvastatin 80mg 36 sirolimus 0.5mg 6 sirolimus mg 6 sirolimus 2mg 6 SIRTURO 00MG 43 SIVEXTRO 200MG 42 SIVEXTRO 200MG 42 sodium chloride 0.45% 9 inj sodium chloride 0.9% inj 9 sodium chloride 0.9% 84 soln sodium chloride meq/ml inj sodium chloride 3% inj 9 sodium chloride 5% inj 9 sodium lactate 5 meq/ml 89 inj sodium phenylbutyrate mg/mg oral powder sodium polystyrene 6 sulfonate 250mg/ml oral susp You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 50

152 ALPHABETICAL LISTING OF DRUGS SOLTAMOX 0MG/5ML 46 ORAL SOLN SOLU-CORTEF 00MG 72 SOLU-CORTEF 250MG 72 SOMATULINE 8 20MG/0.5ML SOMATULINE 8 60MG/0.2ML SOMATULINE 8 90MG/0.3ML SOMAVERT 0MG 79 SOMAVERT 5MG 79 SOMAVERT 20MG 79 SOMAVERT 25MG 79 SOMAVERT 30MG 79 sorine 20mg 63 sorine 60mg 63 sorine 240mg 63 sorine 80mg 63 sotalol 20mg 63 sotalol 60mg 63 sotalol 240mg 63 sotalol 80mg 63 SPIRIVA.25MCG 8 RESPIMAT INH SPIRIVA 8MCG 8 HANDIHALER SPIRIVA 2.5MCG 8 RESPIMAT INH spironolactone 00mg 78 spironolactone 25mg 78 spironolactone 50mg 78 sprintec 28 day pack 70 SPRITAM 000MG ODT 24 SPRITAM 250MG ODT 24 SPRITAM 500MG ODT 24 SPRITAM 750MG ODT 24 SPRYCEL 00MG 48 SPRYCEL 40MG 48 SPRYCEL 20MG 48 SPRYCEL 50MG 48 SPRYCEL 70MG 48 SPRYCEL 80MG 48 sps 250mg/ml oral susp 6 sronyx 28 day pack 70 ssd % cream 75 STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG STALEVO MG stavudine 5mg cap 58 stavudine 20mg cap 58 stavudine 30mg cap 58 stavudine 40mg cap 58 STIMATE.5MG/ML 8 NASAL SPRAY STIOLTO MCG 20 INH STIVARGA 40MG 48 STRENSIQ 40MG/ML 8 STRENSIQ 80MG/0.8ML 8 STREPTOMYCIN 00MG 9 STRIBILD MG SUBOXONE 2-3MG 5 STRIP SUBOXONE 2-0.5MG 5 STRIP SUBOXONE 4-MG 5 STRIP SUBOXONE 8-2MG 5 STRIP SUCRAID 8500UNIT/ML 77 ORAL SOLN sucralfate 000mg 05 sulfacetamide sodium 73 0% lotion SULFACETAMIDE 95 SODIUM 0% OPHTH OINTMENT sulfacetamide sodium 95 0% ophth soln SULFADIAZINE 500MG 02 sulfamethoxazole 4 400mg/trimethoprim 80mg sulfamethoxazole 4 40mg/ml/trimethoprim 8mg/ml oral susp sulfamethoxazole 4 800mg/trimethoprim 60mg SULFAMETHOXAZOLE 4 80MG/ML/TRIMETHOPR IM 6MG/ML SULFAMYLON 75 85MG/GM CREAM sulfasalazine 500mg dr 83 sulfasalazine 500mg 83 sulindac 50mg sulindac 200mg sumatriptan 00mg 89 sumatriptan 2mg/ml 89 auto-injector sumatriptan 2mg/ml inj 89 sumatriptan 20mg/act 89 nasal spray sumatriptan 25mg 89 sumatriptan 4mg 89 cartridge sumatriptan 50mg 89 sumatriptan 5mg/act 89 nasal spray sumatriptan 6mg 89 cartridge sumatriptan 8mg/ml 89 auto-injector SUPRAX 400MG CAP 67 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 5

153 ALPHABETICAL LISTING OF DRUGS SUSTIVA 200MG CAP 58 SUSTIVA 50MG CAP 58 SUSTIVA 600MG 58 SUTENT 2.5MG CAP 48 SUTENT 25MG CAP 49 SUTENT 37.5MG CAP 49 SUTENT 50MG CAP 49 syeda 28 day pack 70 SYLATRON 200MCG 49 SYLATRON 300MCG 49 SYLATRON 600MCG 50 SYLVANT 00MG 6 SYLVANT 400MG 6 SYMFI LO MG SYMPROIC 0.2MG 84 SYNAGIS 00MG/ML 97 SYNAGIS 50MG/0.5ML 97 SYNAREL 2MG/ML 80 NASAL SPRAY SYNERCID 500MG 42 SYNJARDY MG SYNJARDY MG 30 SYNJARDY 5-000MG 30 SYNJARDY 5-500MG 30 SYNRIBO 3.5MG 50 SYNTHROID 00MCG 03 SYNTHROID 2MCG 03 SYNTHROID 25MCG 03 SYNTHROID 37MCG 03 SYNTHROID 50MCG 03 SYNTHROID 75MCG 03 SYNTHROID 200MCG 03 SYNTHROID 25MCG 03 SYNTHROID 300MCG 03 SYNTHROID 50MCG 03 SYNTHROID 75MCG 03 SYNTHROID 88MCG 03 SYPRINE 250MG CAP 60 T LOID 40MG 44 tacrolimus 0.03% 77 ointment tacrolimus 0.% ointment 77 tacrolimus 0.5mg cap 6 tacrolimus mg cap 6 tacrolimus 5mg cap 6 TAFINLAR 50MG CAP 49 TAFINLAR 75MG CAP 49 TAGRISSO 40MG 49 TAGRISSO 80MG 49 TAMIFLU 6MG/ML 60 ORAL SUSP tamoxifen 0mg 46 tamoxifen 20mg 46 tamsulosin 0.4mg cap 85 TARCEVA 00MG 49 TARCEVA 50MG 49 TARCEVA 25MG 49 TARGRETIN % GEL 74 tarina fe /20 28 day 70 pack TASIGNA 50MG CAP 49 TASIGNA 200MG CAP 49 TASIGNA 50MG CAP 49 tazarotene 0.% cream 74 tazicef gm inj 67 tazicef 2gm inj 67 tazicef 6gm inj 67 TAZORAC 0.05% 74 CREAM TAZORAC 0.05% GEL 74 TAZORAC 0.% GEL 74 taztia 20mg er cap 64 taztia 80mg er cap 64 taztia 240mg er cap 64 taztia 300mg er cap 64 taztia 360mg er cap 64 TECENTRIQ 60MG/ML 45 TECFIDERA 20MG DR 0 CAP TECFIDERA 240MG DR 0 CAP TECFIDERA 30-DAY 0 STARTER CK TEFLARO 400MG 67 TEFLARO 600MG 67 telmisartan 20mg 37 telmisartan 40mg 37 telmisartan 80mg 37 temazepam 5mg cap 87 temazepam 22.5mg cap 87 temazepam 30mg cap 87 temazepam 7.5mg cap 87 TENIVAC 04 tenofovir disoproxil 58 fumarate 300mg terazosin 0mg cap 38 terazosin mg cap 38 terazosin 2mg cap 38 terazosin 5mg cap 38 terbinafine 250mg 33 terbutaline sulfate 20 mg/ml inj terbutaline sulfate 2.5mg 20 terbutaline sulfate 5mg 20 terconazole 0.4% vaginal 07 cream terconazole 0.8% vaginal 07 cream You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 52

154 ALPHABETICAL LISTING OF DRUGS terconazole 80mg vaginal 07 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 04 TOXOID tetrabenazine 2.5mg 00 tetrabenazine 25mg 00 tetracycline 250mg cap 02 tetracycline 500mg cap 02 THALOMID 00MG CAP 60 THALOMID 50MG CAP 60 THALOMID 200MG CAP 60 THALOMID 50MG CAP 60 theophylline 00mg er 20 theophylline 200mg er 20 theophylline 300mg er 20 theophylline 400mg er 20 theophylline 5.33mg/ml 20 oral soln theophylline 600mg er 20 THIOLA 00MG 85 thioridazine 00mg 55 thioridazine 0mg 55 thioridazine 25mg 55 thioridazine 50mg 55 thiotepa 5mg inj 43 thiothixene 0mg cap 56 thiothixene mg cap 56 thiothixene 2mg cap 56 thiothixene 5mg cap 56 THYMOGLOBULIN 6 25MG THYROLAR 20MG 03 THYROLAR 5MG 03 THYROLAR 80MG 03 THYROLAR 30MG 03 THYROLAR 60MG 04 tiagabine 2mg 25 tiagabine 6mg 25 tiagabine 2mg 25 tiagabine 4mg 25 TIGECYCLINE 50MG 42 timolol 0.25% ophth gel 94 timolol 0.25% ophth soln 94 timolol 0.5% 24hr ophth 94 soln timolol 0.5% ophth gel 94 timolol 0.5% ophth soln 94 timolol 0mg 63 timolol 20mg 63 timolol 5mg 63 TIMOPTIC-XE 0.25% 94 OPHTH GEL tinidazole 250mg 4 tinidazole 500mg 4 TIVICAY 0MG 58 TIVICAY 25MG 58 TIVICAY 50MG 58 tizanidine 2mg cap 92 tizanidine 2mg 92 tizanidine 4mg cap 92 tizanidine 4mg 92 tizanidine 6mg cap 92 TOBI PODHALER KIT 9 28MG CK TOBRADEX % 96 OPHTH OINTMENT tobramycin 0.3% ophth 95 soln TOBRAMYCIN 9 0MG/ML tobramycin 40mg/ml inj 9 tobramycin 60mg/ml inh 9 soln TOLAK 4% CREAM 74 tolazamide 250mg 32 tolazamide 500mg 32 TOLBUTAMIDE 500MG 32 tolcapone 00mg 5 tolterodine tartrate mg 06 tolterodine tartrate 2mg 06 er cap tolterodine tartrate 2mg 06 tolterodine tartrate 4mg 06 er cap TOPICORT 0.05% 76 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 25 toposar gm/50ml inj 50 topotecan mg/ml inj 50 TORISEL 25MG/ML 49 torsemide 00mg 78 torsemide 0mg 78 torsemide 20mg 78 torsemide 5mg 78 TOUJEO 300UNIT/ML 3 PEN TOUJEO MAX 3 300UNIT/ML PEN (3ML) tpn electrolytes inj 90 TRACLEER 25MG 65 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 53

155 ALPHABETICAL LISTING OF DRUGS TRACLEER 32MG 65 FOR ORAL SUSP TRACLEER 62.5MG 65 TRADJENTA 5MG 30 tramadol 00mg er 3 tramadol 00mg er 3 (matrix delivery) tramadol 200mg er 3 tramadol 200mg er 3 (matrix delivery) tramadol 300mg er 3 tramadol 300mg er 3 (matrix delivery) tramadol 50mg 3 trandolapril mg 37 trandolapril 40 mg/verapamil 240mg er trandolapril 2mg 37 trandolapril 40 2mg/verapamil 80mg er trandolapril 40 2mg/verapamil 240mg er trandolapril 4mg 37 trandolapril 40 4mg/verapamil 240mg er tranexamic acid 87 00mg/ml inj tranexamic acid 650mg 87 TRANSDERM SCOP 33 MG/3DAYS TCH tranylcypromine 0mg 26 TRAVASOL 0% 94 TRAVATAN Z 0.004% 96 OPHTH SOLN trazodone 00mg 27 trazodone 50mg 27 trazodone 300mg 27 trazodone 50mg 27 TREANDA 00MG 43 TREANDA 25MG 44 TRECATOR 250MG 43 TRELEGY MCG 20 ELLIPTA INH TRELSTAR.25MG 46 TRELSTAR 22.5MG 46 TRELSTAR 3.75MG 46 TRESIBA 00UNIT/ML 3 PEN TRESIBA 200UNIT/ML 3 PEN tretinoin 0.0% gel 73 tretinoin 0.025% cream 73 tretinoin 0.025% gel 73 tretinoin 0.04% gel 73 tretinoin 0.05% cream 73 tretinoin 0.05% gel 73 tretinoin 0.% cream 73 tretinoin 0.% gel 73 tretinoin 0mg cap 50 TREXALL 0MG 44 TREXALL 5MG 44 TREXALL 5MG 44 TREXALL 7.5MG 44 triamcinolone 55mcg 93 nasal spray triamcinolone acetonide % cream triamcinolone acetonide % lotion triamcinolone acetonide % ointment triamcinolone acetonide 76 0.% cream triamcinolone acetonide 76 0.% lotion triamcinolone acetonide 76 0.% ointment triamcinolone acetonide 92 0.% oral paste triamcinolone acetonide mg/ml spray triamcinolone acetonide % cream triamcinolone acetonide % ointment triamcinolone acetonide 72 40mg/ml inj TRIAZOLAM 0.25MG 87 triazolam 0.25mg 87 triderm 0.% cream 76 trientine 250mg 9 trifluoperazine 0mg 55 trifluoperazine mg 55 trifluoperazine 2mg 56 trifluoperazine 5mg 56 trifluridine % soln 95 trihexyphenidyl 0.4mg/ml 5 oral soln trihexyphenidyl 2mg 5 trihexyphenidyl 5mg 5 tri-legest 28 day pack 70 tri-lo-estarylla 28 day 70 pack tri-lo-sprintec 28 day 70 pack trilyte powder for oral 88 soln trimethobenzamide mg cap trimethoprim 00mg 4 trimipramine 00mg cap 29 trimipramine 25mg cap 29 trimipramine 50mg cap 29 trinessa 28 day pack 70 TRINTELLIX 0MG 27 TRINTELLIX 20MG 27 TRINTELLIX 5MG 27 tri-previfem 28 day pack 70 TRISENOX 2MG/6ML 50 tri-sprintec 28 day pack 70 TRIUMEQ MG trivora 28 day pack 70 tri-vylibra 28 day pack 70 TROKENDI 00MG XR 25 CAP You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 54

156 ALPHABETICAL LISTING OF DRUGS TROKENDI 200MG XR 25 CAP TROKENDI 25MG XR 25 CAP TROKENDI 50MG XR 25 CAP TROPHAMINE 0% 94 trospium chloride 20mg 06 trospium chloride 60mg 06 er cap TRUMENBA 06 TRUVADA 00-50MG 58 TRUVADA MG 58 TRUVADA MG 58 TRUVADA MG 58 TWINRIX 720UNIT 07 TYBOST 50MG 58 TYGACIL 50MG 42 TYKERB 250MG 49 TYMLOS 2MG/ML PEN 79 ECTOR TYPHIM VI 06 25MCG/0.5ML TYPHIM VI 06 25MCG/0.5ML TYSABRI 300MG/5ML 0 U UCERIS 2MG/ACT FOAM 5 UCERIS 9MG ER 72 ULORIC 40MG 85 ULORIC 80MG 85 UNASYN 0-5GM 98 UNASYN 2-GM 98 unithroid 00mcg 04 unithroid 2mcg 04 unithroid 25mcg 04 unithroid 50mcg 04 unithroid 75mcg 04 unithroid 200mcg 04 unithroid 25mcg 04 unithroid 300mcg 04 unithroid 50mcg 04 unithroid 75mcg 04 unithroid 88mcg 04 UPTRAVI 000MCG 65 UPTRAVI 200MCG 66 UPTRAVI 400MCG 66 UPTRAVI 600MCG 66 UPTRAVI 200MCG 66 UPTRAVI 400MCG 66 UPTRAVI 600MCG 66 UPTRAVI 800MCG 66 UPTRAVI TITRATION 66 CK ursodiol 250mg 83 ursodiol 300mg cap 83 ursodiol 500mg 83 V valacyclovir 000mg 60 valacyclovir 500mg 60 VALCHLOR 0.06% GEL 74 VALCYTE 50MG/ML 59 ORAL SOLN valganciclovir 450mg 59 valganciclovir 50mg/ml 59 oral soln valproic acid 00mg/ml 26 inj valproic acid 250mg cap 26 valproic acid 50mg/ml 26 oral soln valsartan 60mg 37 valsartan 320mg 37 valsartan 40mg 37 valsartan 80mg 37 vancomycin 000mg inj 4 vancomycin 00mg/ml inj 4 vancomycin 25mg cap 4 vancomycin 250mg cap 4 vancomycin 500mg inj 4 vandazole 0.75% vaginal 07 gel VAQTA 25UNIT/0.5ML 07 VAQTA 50UNIT/0.5ML 07 VAQTA 50UNIT/ML 07 VAQTA 50UNIT/ML 07 VARIVAX PFU/0.5ML VARUBI 90MG 33 VASCE GM CAP 35 VASCE 500MG CAP 35 VECTIBIX 00MG/5ML 45 VELCADE 3.5MG 49 velivet 28 day pack 70 VELTASSA 6.8GM 6 POWDER FOR ORAL SUSP VELTASSA 25.2GM 6 POWDER FOR ORAL SUSP VELTASSA 8.4GM 6 POWDER FOR ORAL SUSP VEMLIDY 25MG 59 VENCLEXTA 45 0/00/50MG STARTING CK VENCLEXTA 00MG 45 VENCLEXTA 0MG 45 VENCLEXTA 50MG 45 venlafaxine 00mg 28 venlafaxine 50mg er cap 28 venlafaxine 50mg er 28 VENLAFAXINE 225MG 28 ER venlafaxine 25mg 28 venlafaxine 37.5mg er 28 cap venlafaxine 37.5mg er 28 venlafaxine 37.5mg 28 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 55

157 ALPHABETICAL LISTING OF DRUGS venlafaxine 50mg 28 venlafaxine 75mg er cap 28 venlafaxine 75mg er 28 venlafaxine 75mg 28 VENTAVIS 0MCG/ML 65 INH SOLN VENTAVIS 20MCG/ML 65 INH SOLN VENTOLIN 08MCG INH 20 verapamil 00mg er cap 64 verapamil 20mg er cap 64 verapamil 20mg er 64 verapamil 20mg 64 verapamil 80mg er cap 64 verapamil 80mg er 64 verapamil 2.5mg/ml inj 64 verapamil 200mg er cap 64 verapamil 240mg er cap 64 verapamil 240mg er 64 verapamil 300mg er cap 64 verapamil 360mg sr cap 64 verapamil 40mg 64 verapamil 80mg 65 VERSACLOZ 50MG/ML 55 ORAL SUSP VERZENIO 00MG 49 VERZENIO 50MG 49 VERZENIO 200MG 49 VERZENIO 50MG 49 VESICARE 0MG 06 VESICARE 5MG 06 vestura mg pack 70 vicodin 0-300mg 4 vicodin 5-300mg 4 vicodin mg 4 VICTOZA 8MG/3ML 30 PEN VIDEX 25MG DR CAP 58 VIDEX 2GM ORAL SOLN 58 vienva 28 day pack 70 vigabatrin 50mg/ml oral 25 soln VIGAMOX 0.5% OPHTH 95 SOLN VIIBRYD 0/20MG 27 STARTER CK VIIBRYD 0MG 27 VIIBRYD 20MG 27 VIIBRYD 40MG 27 VIMT 00MG 25 VIMT 0MG/ML 25 ORAL SOLN VIMT 50MG 25 VIMT 200MG 25 VIMT 200MG/20ML 25 VIMT 50MG 25 VINBLASTINE MG/ML 50 vincasar mg/ml inj 50 vincristine sulfate mg/ml 50 inj vinorelbine 0mg/ml inj 50 VIRACEPT 250MG 58 VIRACEPT 625MG 58 VIRAMUNE 50MG/5ML 58 ORAL SUSP VIREAD 50MG 58 VIREAD 200MG 58 VIREAD 250MG 58 VIREAD 300MG 58 VIREAD 40MG/GM 59 ORAL POWDER voriconazole 200mg inj 34 voriconazole 200mg 34 voriconazole 40mg/ml 34 oral susp voriconazole 50mg 34 VOTRIENT 200MG 49 VPRIV 400UNIT 86 VRAYLAR.5/3MG 53 MIXED CK VRAYLAR.5MG CAP 53 VRAYLAR 3MG CAP 53 VRAYLAR 4.5MG CAP 53 VRAYLAR 6MG CAP 53 vyfemla 28 day pack 70 vylibra 28 day pack 70 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 VYXEOS 44-00MG 46 W warfarin sodium 0mg 2 warfarin sodium mg 2 warfarin sodium 2.5mg 2 warfarin sodium 2mg 2 warfarin sodium 3mg 2 warfarin sodium 4mg 2 warfarin sodium 5mg 2 warfarin sodium 6mg 2 warfarin sodium 7.5mg 2 water 000mg/ml soln 6 WELCHOL 3.75GM 35 ORAL SUSP WELCHOL 625MG 35 wymzya fe 28 day pack 70 X XALKORI 200MG CAP 49 XALKORI 250MG CAP 49 XARELTO 0MG 2 XARELTO 5MG 2 XARELTO 20MG 2 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 56

158 ALPHABETICAL LISTING OF DRUGS XARELTO STARTER 2 CK XATMEP 2.5MG/ML 44 ORAL SOLN XGEVA 20MG/.7ML 79 XIFAXAN 200MG 4 XIFAXAN 550MG 4 XIGDUO 0-000MG XR 30 XIGDUO 0-500MG XR 30 XIGDUO MG 30 XR XIGDUO 5-000MG XR 30 XIGDUO 5-500MG XR 30 XOLAIR 50MG 8 XTAMPZA 3.5MG ER 3 CAP XTAMPZA 8MG ER 3 CAP XTAMPZA 27MG ER 3 CAP XTAMPZA 36MG ER 3 CAP XTAMPZA 9MG ER CAP 3 XTANDI 40MG CAP 46 XULANE 50-35MCG 70 TCH XULTOPHY 30 00UNIT-3.6MG/ML PEN XYREM 500MG/ML 99 ORAL SOLN Y YERVOY 50MG/0ML 45 YF-VAX 4000UNIT/ML 07 YONDELIS MG 44 Z zafirlukast 0mg 9 zafirlukast 20mg 9 zaleplon 0mg cap 87 zaleplon 5mg cap 87 ZALTRAP 00MG/4ML 44 ZANOSAR GM 44 zarah mg pack 70 ZARXIO 300MCG/0.5ML 86 ZARXIO 480MCG/0.8ML 87 ZAVESCA 00MG CAP 86 ZEJULA 00MG CAP 49 ZELBORAF 240MG 49 ZEMAIRA 000MG 0 zenatane 0mg cap 73 zenatane 20mg cap 73 zenatane 30mg cap 73 zenatane 40mg cap 73 zenchent 28 day pack 70 ZETIER 50-00MG 59 ZERBAXA.5GM 66 ZERIT MG/ML ORAL 59 SOLN ZIAGEN 20MG/ML 59 ORAL SOLN zidovudine 00mg cap 59 zidovudine 0mg/ml oral 59 soln zidovudine 300mg 59 zileuton 600mg er 9 ziprasidone 20mg cap 53 ziprasidone 40mg cap 53 ziprasidone 60mg cap 53 ziprasidone 80mg cap 53 ZIRGAN 0.5% OPHTH 95 GEL zoledronic acid mg/ml inj zoledronic acid 0.8mg/ml 79 inj ZOLINZA 00MG CAP 49 zolmitriptan 2.5mg odt 89 zolmitriptan 2.5mg 89 zolmitriptan 5mg odt 89 zolmitriptan 5mg 89 zolpidem tartrate 0mg 87 zolpidem tartrate 5mg 87 ZOMETA 4MG/00ML 79 ZOMIG 2.5MG NASAL 89 SPRAY ZOMIG 5MG NASAL 89 SPRAY zonisamide 00mg cap 25 zonisamide 25mg cap 25 zonisamide 50mg cap 25 ZORTRESS 0.25MG 6 ZORTRESS 0.5MG 6 ZORTRESS 0.75MG 6 ZOSTAVAX UNIT/0.65ML ZOSYN 40-5MG/ML 98 ZOSYN MG/ML 98 zovia /35e 28 day pack 70 zovia /50e 28 day pack 70 ZUBSOLV.4-2.9MG 5 SL ZUBSOLV MG 5 SL ZUBSOLV MG 5 SL ZUBSOLV MG SL 5 ZUBSOLV MG SL 5 ZYCLARA 2.5% CREAM 77 ZYDELIG 00MG 49 ZYDELIG 50MG 49 ZYKADIA 50MG CAP 49 ZYLET % OPHTH 96 SUSP ZYPREXA 20MG 55 ZYTIGA 250MG 46 ZYTIGA 500MG 46 You can find information on what the symbols and abbreviations on this le mean by going to the beginning of this le. 57

159 Great Plains Medicare Advantage is required by federal law to provide the following information. Discrimination is Against the Law Great Plains Medicare Advantage complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Great Plains Medicare Advantage does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. Great Plains Medicare Advantage: Provides free aids and services to people with disabilities to communicate effectivelywith us, such as: o Qualified sign language interpreters o Written information in other formats (large print, audio, accessible electronicformats, other formats) Provides free language services to people whose primary language is not English, suchas: o Qualified interpreters o Information written in other languages If you need these services, contact our Corporate Compliance Officer. If you believe that Great Plains Medicare 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 with: Corporate Compliance Officer, Great Plains Medicare Advantage, 0900 Nuckols Road, Suite 0, Glen Allen, VA 23060, phone: , TTY 7, fax: , compliance@greatplainsmedicareadvantage.com. You can file a grievance in person or by mail, fax, or . If you need help filing a grievance out Corporate Compliance Officer is available to help you. 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) Complaint forms are available at

160 Language Assistance: ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al (TTY: 7). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: (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) XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa (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). ICITONDERWA: Nimba uvuga Ikirundi, uzohabwa serivisi zo gufasha mu ndimi, ku buntu. Woterefona (TTY: 7). ملحوظة: إذا كنت تتحدث اذكر اللغة فا ن خدمات المساعدة اللغویة تتوافر لك بالمجان. اتصل برقم (رقم ھاتف الصم والبكم:.(7- KUMBUKA: Ikiwa unazungumza Kiswahili, unaweza kupata, huduma za lugha, bila malipo. Piga simu (TTY: 7). ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните (телетайп: 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 ध य न दन ह स: तप इ ल न प ल ब ल न ह न छ भन तप इ क न म त भ ष सह यत स व हर न श ल क र पम उपलब ध छ फ न गन र ह स ( ट टव इ: 7) ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le (ATS : 7). 주의 : 한국어를사용하시는경우, 언어지원서비스를무료로이용하실수있습니다 (TTY: 7) 번으로전화해주십시오. UNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa (TTY: 7). MERK: Hvis du snakker norsk, er gratis språkassistansetjenester tilgjengelige for deg. Ring (TTY: 7).

161 This formulary was updated on 07/0/208. For more recent information or other questions, please contact Great Plains Medicare Advantage 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 Great Plains Medicare Select complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Great Plains Medicare Select cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. Great Plains Medicare Select erf üllt geltenden bundesstaatliche Menschenrechtsgesetze und lehnt jegliche Diskriminierung aufgrund von Rasse, Hautfarbe, Herkunft, Alter, Behinderung oder Geschlecht ab. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al TTY: 7. ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: TTY: 7.