Freedom 1st PDL CALCIUM CARBONATE ANTACID 500 MG CHEW CALCIUM CARBONATE ANTACID 500 MG CHEWABLE TABLET
|
|
- Augusta Hawkins
- 6 years ago
- Views:
Transcription
1 Description: Description of the specific therapeutic class of selected drug National Drug Code Generic Name Label Name RX/OTC Tier Level ANTIFUNGALS CLOTRIMAZOLE 3 DAY VAGINAL CREAM NON NARCOTIC ANALGESICS ACETAMINOPHEN 8 HOUR ER 650 MG CAPLET NON NARCOTIC ANALGESICS ACETAMINOPHEN ACETAMINOPHEN ER 650 MG HEMATINICS & BLOOD CELL IRON,CARBONYL/FOLIC ACID/MV MN ACTIVE FE RX 2 ANTIHISTAMINES CETIRIZINE HCL ALL DAY ALLERGY 10 MG CALCIUM CARBONATE ANTACID 500 MG CHEW CALCIUM CARBONATE ANTACID 500 MG CHEWABLE CALCIUM CARBONATE ANTACID CALCIUM 500 MG CHW TAB CALCIUM CARBONATE ANTACID EX STR CHEW CALCIUM CARBONATE ANTACID XTRA STRENGTH FAT SOLUBLE VITAMINS VITAMIN A PALMITATE AQUASOL A 50,000 RX 2 UNITS/ML VIAL NON NARCOTIC ANALGESICS ACETAMINOPHEN ARTHRITIS PAIN ER 650 MG
2 CAPLT NON NARCOTIC ANALGESICS ACETAMINOPHEN ARTHRITIS PAIN RELF ER 650 MG WATER SOLUBLE VITAMINS ASCORBIC ACID ASCORBIC ACID 500 RX 2 MG/ML VIAL ANTICOAGULANTS ASPIRIN ASPIR EC 81 MG NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN 300 MG SUPPOSITORY NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN 325 MG COATED NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN 325 MG NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN 600 MG SUPPOSITORY ANTICOAGULANTS ASPIRIN ASPIRIN 81 MG CHEW ANTICOAGULANTS ASPIRIN ASPIRIN 81 MG CHEWABLE ANTICOAGULANTS ASPIRIN ASPIRIN 81 MG CHEW NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN EC 325 MG NON NARCOTIC ANALGESICS ASPIRIN ASPIRIN EC 500 MG ANTICOAGULANTS ASPIRIN ASPIRIN EC 81 MG ANTICOAGULANTS ASPIRIN ASPIR LOW EC 81 MG FERRIC CITRATE AURYXIA 210 MG RX 2 MULTIVITAMINS MULTIVIT MINS NO.20/IRON/FOLIC BACMIN CAPLET RX 2 WATER SOLUBLE VITAMINS VITAMINS B1,B2,B3,B5,AND B6 B COMPLEX 100 INJECTION RX 2 HEMATINICS & BLOOD CELL IRON POLYSAC/IRON HEME/FA/B12 BIFERA RX RX CALCIUM CITRATE CALCITRATE 200 MG (950 MG) TAB
3 CALCIUM CARBONATE CALCIUM 600 MG CALCIUM ACETATE CALCIUM ACETATE 667 MG CAPSULE CALCIUM ACETATE CALCIUM ACETATE 667 MG GELCAP CALCIUM ACETATE CALCIUM ACETATE 667 MG CALCIUM ACETATE CALCIUM ACETATE 668 MG CALCIUM CARBONATE CALCIUM ANTACID 1,000 MG TAB CALCIUM CARBONATE CALCIUM ANTACID 500 MG CHW TAB CALCIUM CARBONATE CALCIUM ANTACID 750 MG TB CHEW CALCIUM CARBONATE CALCIUM ANTACID EX STR CALCIUM CARBONATE CALCIUM CARB 1,250 MG/5 ML SUS CALCIUM CARBONATE CALCIUM CARB 260 MG TAB CHEW CALCIUM CARBONATE CALCIUM CARB 500 (1,250) MG TB CALCIUM CARBONATE CALCIUM CARBONATE 1.25 GM TAB CALCIUM CARBONATE CALCIUM CARBONATE 648 MG TAB CALCIUM CARBONATE CALCIUM CARBONATE POWDER RX 2 RX 2 RX 2
4 CALCIUM CITRATE CALCIUM CITRATE 250 MG CALCIUM CITRATE CALCIUM CITRATE GRANULES CALCIUM GLUCONATE CALCIUM GLUCONATE 50 MG CALCIUM GLUCONATE CALCIUM GLUCONATE 500 MG TAB CALCIUM LACTATE CALCIUM LACTATE 100 MG CALCIUM CARBONATE CAL GEST 500 MG CHEW CALCIUM CARBONATE CAL MINT 260 MG CHEW CALCIUM ACETATE CALPHRON 667 MG HEMATINICS & BLOOD CELL IRON FUM/FOLIC ACID/MV,MIN 15 CENTRATEX CAPSULE RX GUAIFENESIN CHEST CONGESTION RELIEF ANTICOAGULANTS ASPIRIN CHILD ASPIRIN 81 MG GUAIFENESIN CHILDREN'S MUCUS RELIEF LIQ GUAIFENESIN CHL MUCINEX CHEST CONGEST LIQ ANTIFUNGALS CLOTRIMAZOLE CLOTRIM 1% VAGINAL CREAM ANTIFUNGALS CLOTRIMAZOLE CLOTRIMAZOLE 1% CREAM ANTIFUNGALS CLOTRIMAZOLE CLOTRIMAZOLE 3 CREAM HEMATINICS & BLOOD CELL IRON/FOLIC ACID/C/B6/B12/ZINC CORVITA 150 RX 2 MULTIVITAMINS FOLIC/MVI THER MIN/LYCOP/LUT CORVITA RX 2
5 HEMATINICS & BLOOD CELL IRON,CARB/FOLATE6/MV,MIN NO.41 CORVITE 150 RX 2 HEMATINICS & BLOOD CELL IRON/FOLATE NO.6/MV,MINS NO.40 CORVITE FE RX 2 MULTIVITAMINS MV MINS 6/FOLIC ACID/LUT/COQ10 CORVITE FREE RX 2 MULTIVITAMINS FOLIC/MVI THER MIN/LYCOP/LUT CORVITE RX GUAIFENESIN SYRUP 200 MG/10 ML GUAIFENESIN TAB 200 MG GUAIFENESIN TAB 400 MG WATER SOLUBLE VITAMINS CYANOCOBALAMIN (VITAMIN B 12) CYANOCOBALAMIN 1,000 RX 2 MCG/ML WATER SOLUBLE VITAMINS CYANOCOBALAMIN (VITAMIN B 12) CYANOCOBALAMIN 10,000 RX 2 MCG/10 WATER SOLUBLE VITAMINS CYANOCOBALAMIN (VITAMIN B 12) CYANOCOBALAMIN 30,000 RX 2 MCG/30 FAT SOLUBLE VITAMINS VITAMIN D3/FOLIC ACID DERMACINRX PUREFOLIX RX GUAIFENESIN DIABETIC SILTUSSIN DAS NA LIQ WATER SOLUBLE VITAMINS FOLIC ACID/B CPLX/C/SELEN/ZINC DIALYVITE 3,000 RX 2 WATER SOLUBLE VITAMINS MULTIVIT MINS NO.11/FOLIC ACID DIALYVITE 5000 RX 2 MULTIVITAMINS FERROUS FUM/FOLIC ACID/BCOMP,C DIALYVITE 800 WITH IRON RX 2 TAB WATER SOLUBLE VITAMINS MULTIVIT MINS 25/FOLIC ACID/D3 DIALYVITE SUPREME D RX 2 WATER SOLUBLE VITAMINS FOLIC ACID/VIT B COMPLEX AND C DIALYVITE RX 2 WATER SOLUBLE VITAMINS B COMPLEX 11/FOLIC/C/BIOT/ZINC DIALYVITE WITH ZINC RX 2 NON NARCOTIC ANALGESICS ASPIRIN ECPIRIN EC 325 MG FOLIC ACID PREPARATIONS IRON/FA/DHA/EPA/FAD/NADH/MV47 ENLYTE SOFTGEL RX 2
6 HEMATINICS & BLOOD CELL HEMATINICS & BLOOD CELL HEMATINICS & BLOOD CELL Freedom 1st PDL FAMOTIDINE FAMOTIDINE 200 MG/20 ML VIAL RX FERUMOXYTOL FERAHEME 510 MG/17 ML RX 2 VIAL IRON/FOLATE NO1/C/B12/ZINC/DSS FERIVA 21 7 RX IRON/FOLAT1/C/B12/BIOT/DOCUSAT FERIVA FA CAPSULE RX 2 HEMATINICS & BLOOD CELL IRON CARB,GL/FA/B12/C/DOCUSATE FERRALET 90 RX 2 HEMATINICS & BLOOD CELL IRON/FOLIC ACID/B12/C/DOCUSATE FERRAPLUS 90 RX 2 HEMATINICS & BLOOD CELL IRON CARB,GL/FA/B12/C/DOCUSATE FOCALGIN DSS RX 2 WATER SOLUBLE VITAMINS B12/LEVOMEFOLATE CALCIUM/B 6 FOLBIC RF FOLIC ACID PREPARATIONS FOLIC ACID FOLIC ACID 1 MG RX 2 FOLIC ACID PREPARATIONS FOLIC ACID FOLIC ACID 5 MG/ML VIAL RX 2 HEMATINICS & BLOOD CELL IRON FUM,PS/FOLIC ACID/VITC/B3 FOLIVANE F CAPSULE RX 2 WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC ACID FOLTRATE RX 2 HEMATINICS & BLOOD CELL IRON,FM,PS/FOLIC/B,C18/L.CASEI FUSION PLUS CAPSULE RX 2 NON NARCOTIC ANALGESICS ACETAMINOPHEN GS ARTHRITIS PAIN ER 650 MG GUAIFENESIN GUAIFENESIN 100 MG/5 ML SOLN GUAIFENESIN GUAIFENESIN 100 MG/5 ML SYRUP GUAIFENESIN GUAIFENESIN 200 MG/10 ML SOLN GUAIFENESIN GUAIFENESIN 300 MG/15 ML SOLN
7 GUAIFENESIN GUAIFENESIN ER 1,200 MG HEMATINICS & BLOOD CELL IRON FUMARATE/VIT C/VIT B12/FA HEMATOGEN FA SOFTGEL RX 2 HEMATINICS & BLOOD CELL IRON FUMARATE/VIT C/VIT B12/FA HEMATOGEN FORTE RX 2 SOFTGEL HEMATINICS & BLOOD CELL FERROUS FUM/VIT C/B12/STOMC HEMATOGEN SOFTGEL RX 2 HEMATINICS & BLOOD CELL IRON FUM/FOLIC ACID/MV,MIN 15 HEMOCYTE PLUS CAPSULE RX 2 HEMATINICS & BLOOD CELL FERROUS FUMARATE/FOLIC ACID HEMOCYTE F RX GUAIFENESIN HM ADULT TUSSIN CHEST CONG LIQ ANTIHISTAMINES CETIRIZINE HCL HM ALL DAY ALLERGY 10 MG TAB NON NARCOTIC ANALGESICS ACETAMINOPHEN HM ARTHRITIS PAIN ER 650 MG NON NARCOTIC ANALGESICS ASPIRIN HM ASPIRIN 325 MG ANTICOAGULANTS ASPIRIN HM ASPIRIN 81 MG CHEWABLE TAB NON NARCOTIC ANALGESICS ASPIRIN HM ASPIRIN EC 325 MG ANTICOAGULANTS ASPIRIN HM ASPIRIN EC 81 MG CALCIUM CARBONATE HM CAL ANTACID 1000 MG CHEW TB CALCIUM CARBONATE HM CAL ANTACID 500 MG CALCIUM CARBONATE HM CAL ANTACID 750 MG
8 GUAIFENESIN HM CHEST CONGEST RLF 400 MG TB ANTICOAGULANTS ASPIRIN HM LOW DOSE ASPIRIN EC 81 MG GUAIFENESIN HM MUCUS ER 1,200 MG GUAIFENESIN HM MUCUS ER 600 MG CNS STIMULANTS NICOTINE HM NICOTINE 14 MG/24HR CNS STIMULANTS NICOTINE POLACRILEX HM NICOTINE 2 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX HM NICOTINE 2 MG LOZENGE CNS STIMULANTS NICOTINE HM NICOTINE 21 MG/24HR CNS STIMULANTS NICOTINE POLACRILEX HM NICOTINE 4 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX HM NICOTINE 4 MG LOZENGE CNS STIMULANTS NICOTINE HM NICOTINE 7 MG/24HR WATER SOLUBLE VITAMINS HYDROXOCOBALAMIN HYDROXOCOBALAMIN RX 2 1,000 MCG/ML HEMATINICS & BLOOD CELL IRON PS COMPLEX/B12/FOLIC ACID IFEREX 150 FORTE CAPSULE RX 2 MULTIVITAMINS MULTIVIT INFUSN,ADULT 4,VIT K INFUVITE ADULT VIAL RX 2 MULTIVITAMINS MULTIVIT INFUSION,PEDI 1,VIT K INFUVITE PEDIATRIC BULK RX 2 VIAL MULTIVITAMINS MULTIVIT INFUSION,PEDI 1,VIT K INFUVITE PEDIATRIC VIAL RX 2 HEMATINICS & BLOOD CELL IRON FUM,PS/FOLIC ACID/VITC/B3 INTEGRA F CAPSULE RX 2 HEMATINICS & BLOOD CELL IRON FUM,PS/FOLIC/BCOMP,C NO.9 INTEGRA PLUS CAPSULE RX 2
9 HEMATINICS & BLOOD CELL IRON BG,PS/FOLIC/B,C NO.12/SUC IROSPAN 24/6 RX GUAIFENESIN KID'S MUCINEX MINI MELTS PACK MISCELLANEOUS SOD PHOS DI, MONO/K PHOS MONO K PHOS NEUTRAL RX 2 CNS STIMULANTS NICOTINE POLACRILEX LDR NICOTINE 2 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX LDR NICOTINE 4 MG CHEWING GUM GUAIFENESIN LIQUITUSS GG 200 MG/5 ML LIQ MULTIVITAMINS MULTIVIT INFUSN,ADULT 1,VIT K M.V.I. ADULT VIAL RX 2 MULTIVITAMINS MULTIVIT INFUSION,PEDI 2,VIT K M.V.I. PEDIATRIC VIAL RX 2 NON NARCOTIC ANALGESICS ACETAMINOPHEN MAPAP ARTHRITIS ER 650 MG CPLT VITAMIN K PHYTONADIONE (VIT K1) MEPHYTON 5 MG RX 2 WATER SOLUBLE VITAMINS ACETYLCYST/METHYLB12/LEVOMEFOL METAFOLBIC PLUS CAPLET WATER SOLUBLE VITAMINS L MEFOL/A CYST/MEB12/ALGAL OIL METAFOLBIC PLUS RF CAPLET WATER SOLUBLE VITAMINS VIT B12/LEVOMEFOLATE/VIT B6/B2 METAFOLBIC ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE 1 COMBINATION PACK ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE 100 MG VAG SUPP ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE 3 COMBO PACK ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE MG VAG SUPP ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE 7 CREAM ANTIFUNGALS MICONAZOLE NITRATE MICONAZOLE NITRATE 2% CREAM GUAIFENESIN MUCINEX ER 1,200 MG
10 GUAIFENESIN MUCINEX ER 600 MG GUAIFENESIN MUCOSA 400 MG GUAIFENESIN MUCUS ER 600 MG GUAIFENESIN MUCUS RELIEF 400 MG WATER SOLUBLE VITAMINS CYANOCOBALAMIN (VITAMIN B 12) NASCOBAL 500 MCG NASAL RX 2 SPRAY WATER SOLUBLE VITAMINS B COMP NO3/FOLIC/C/BIOTIN/ZINC NEPHPLEX RX RX 2 HEMATINICS & BLOOD CELL IRON FUM/DOCUSAT/FOLIC/BCOMP,C NEPHRON FA RX 2 LIPOTROPICS NIACIN NIACIN ER 1,000 MG RX 2 LIPOTROPICS NIACIN NIACIN ER 500 MG RX 2 LIPOTROPICS NIACIN NIACIN ER 750 MG RX 2 MISCELLANEOUS B3/AZEL/QUER/TUR/FA/B6/ZN/COPP NIACIN AZE AC TURMER RX 2 FA B6 ZN LIPOTROPICS NIACIN NIACOR 500 MG RX 2 LIPOTROPICS NIACIN NIASPAN ER 1,000 MG RX 2 LIPOTROPICS NIACIN NIASPAN ER 500 MG RX 2 LIPOTROPICS NIACIN NIASPAN ER 750 MG RX 2 MISCELLANEOUS B3/B6/C/FA/COPPR/MG/ZN/ALIP AC NICADAN RX 2 CNS STIMULANTS NICOTINE NICODERM CQ 14 MG/24HR CNS STIMULANTS NICOTINE NICODERM CQ 21 MG/24HR CNS STIMULANTS NICOTINE NICODERM CQ 7 MG/24HR MULTIVITAMINS M TETRAHYROFOLATE/NIACIN/CU/ZN NICOMIDE RX 2
11 CNS STIMULANTS NICOTINE POLACRILEX NICORETTE 2 MG LOZENGE CNS STIMULANTS NICOTINE POLACRILEX NICORETTE 2 MG MINI LOZENGE CNS STIMULANTS NICOTINE POLACRILEX NICORETTE 4 MG LOZENGE CNS STIMULANTS NICOTINE POLACRILEX NICORETTE 4 MG MINI LOZENGE CNS STIMULANTS NICOTINE NICOTINE 14 MG/24HR CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 2 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 2 MG LOZENGE CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 2 MG MINI LOZENGE CNS STIMULANTS NICOTINE NICOTINE 21 MG/24HR CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 4 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 4 MG LOZENGE CNS STIMULANTS NICOTINE POLACRILEX NICOTINE 4 MG MINI LOZENGE CNS STIMULANTS NICOTINE NICOTINE 7 MG/24HR CNS STIMULANTS NICOTINE NICOTINE TRANSDERMAL SYSTEM WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC AC/VIT B6 NIVA FOL RX 2 HEMATINICS & BLOOD CELL IRON/FOLATE 9/VIT C/D3/B6/B12 NUFERA RX 2 MULTIVITAMINS FOLIC ACID/MV,IRON,MIN NUTRICAP CAPLET RX GUAIFENESIN ORGAN I NR 200 MG CALCIUM CARBONATE OYSCO CALCIUM CARBONATE OYSTER SHELL CALCIUM 500 MG TB
12 NON NARCOTIC ANALGESICS ACETAMINOPHEN PAIN RELIEF ER 650 MG CAPLET CALCIUM ACETATE PHOSLYRA 667 MG/5 ML RX 2 SOLUTION MISCELLANEOUS SOD PHOS DI, MONO/K PHOS MONO PHOSPHA 250 NEUTRAL RX 2 VITAMIN K PHYTONADIONE (VIT K1) PHYTONADIONE 1 MG/0.5 RX 2 ML SYR HEMATINICS & BLOOD CELL IRON FM,PS NO.1/FOLIC/MV NO.18 PUREVIT DUALFE PLUS RX 2 CAPSULE WATER SOLUBLE VITAMINS PYRIDOXINE HCL (VITAMIN B6) PYRIDOXINE 100 MG/ML RX 2 VIAL ANTIFUNGALS MICONAZOLE NITRATE QC 3 DAY VAGINAL 4% CREAM NON NARCOTIC ANALGESICS ACETAMINOPHEN QC ARTHRITIS PAIN ER 650 MG NON NARCOTIC ANALGESICS ASPIRIN QC ASPIRIN 325 MG ANTICOAGULANTS ASPIRIN QC ASPIRIN 81 MG CHEWABLE TAB NON NARCOTIC ANALGESICS ASPIRIN QC ASPIRIN EC 325 MG ANTICOAGULANTS ASPIRIN QC ASPIRIN EC 81 MG ANTIFUNGALS MICONAZOLE NITRATE QC MICONAZOLE 7 CREAM GUAIFENESIN QC MUCUS RELIEF 400 MG CAPLET WATER SOLUBLE VITAMINS B COMPLEX W C NO.20/FOLIC ACID RENAL CAPS SOFTGEL RX 2 WATER SOLUBLE VITAMINS B COMPLEX W C NO.20/FOLIC ACID RENO CAPS SOFTGEL RX GUAIFENESIN ROBAFEN 100 MG/5 ML SYRUP CALCIUM CARBONATE SB ANTACID 500 MG CHEW
13 Freedom 1st PDL CALCIUM CARBONATE SB ANTACID XTRA STR NON NARCOTIC ANALGESICS ACETAMINOPHEN SB ARTHRITIS PAIN ER 650 MG NON NARCOTIC ANALGESICS ASPIRIN SB ASPIRIN 325 MG ANTICOAGULANTS ASPIRIN SB ASPIRIN EC 81 MG ANTICOAGULANTS ASPIRIN SB CHILD ASPIRIN 81 MG CHW TAB HEMATINICS & BLOOD CELL IRON FM,PS NO.1/FOLIC/MV NO.18 SE TAN PLUS CAPSULE RX GUAIFENESIN SILTUSSIN SA 100 MG/5 ML SYR ANTIFUNGALS CLOTRIMAZOLE SM 3 DAY VAGINAL CREAM NON NARCOTIC ANALGESICS ACETAMINOPHEN SM 8 HOUR PAIN RELIEF 650 MG CALCIUM CARBONATE SM ANTACID XTRA STR NON NARCOTIC ANALGESICS ACETAMINOPHEN SM ARTHRITIS PAIN ER 650 MG NON NARCOTIC ANALGESICS ASPIRIN SM ASPIRIN 325 MG ANTICOAGULANTS ASPIRIN SM ASPIRIN 81 MG CHEWABLE TAB NON NARCOTIC ANALGESICS ASPIRIN SM ASPIRIN EC 325 MG ANTICOAGULANTS ASPIRIN SM ASPIRIN EC 81 MG CALCIUM CARBONATE SM CAL ANTACID 500 MG
14 Freedom 1st PDL CALCIUM CARBONATE SM CAL ANTACID 750 MG CALCIUM CARBONATE SM CALCIUM ANTACID TAB CHEW GUAIFENESIN SM CHEST CONGESTION RELIEF CAP ANTICOAGULANTS ASPIRIN SM CHILD ASPIRIN 81 MG CHW TAB ANTIFUNGALS CLOTRIMAZOLE SM CLOTRIMAZOLE 1% CREAM ANTIFUNGALS MICONAZOLE NITRATE SM MICONAZOLE 3 COMBO PACK ANTIFUNGALS MICONAZOLE NITRATE SM MICONAZOLE MG VAG SUP ANTIFUNGALS MICONAZOLE NITRATE SM MICONAZOLE 7 CREAM ANTIFUNGALS MICONAZOLE NITRATE SM MICONAZOLE NITRATE 2% CREAM GUAIFENESIN SM MUCUS ER 600 MG CNS STIMULANTS NICOTINE SM NICOTINE 14 MG/24HR CNS STIMULANTS NICOTINE POLACRILEX SM NICOTINE 2 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX SM NICOTINE 2 MG LOZENGE CNS STIMULANTS NICOTINE SM NICOTINE 21 MG/24HR
15 CNS STIMULANTS NICOTINE POLACRILEX SM NICOTINE 4 MG CHEWING GUM CNS STIMULANTS NICOTINE POLACRILEX SM NICOTINE 4 MG LOZENGE CNS STIMULANTS NICOTINE SM NICOTINE 7 MG/24HR ANTIFUNGALS TIOCONAZOLE SM TIOCONAZOLE 1 6.5% OINTMENT GUAIFENESIN SM TUSSIN MUCUS CONG 200 MG/10 MULTIVITAMINS MULTIVIT,IRON,MIN 5/FOLIC ACID STROVITE FORTE CAPLET RX 2 MULTIVITAMINS MV,MIN10/FOLIC ACID/D3/ALA/LUT STROVITE ONE CAPLET RX GUAIFENESIN TAB TUSSIN 400 MG HEMATINICS & BLOOD CELL IRON FM,PS NO.1/FOLIC/MV NO.18 TANDEM PLUS CAPSULE RX 2 HEMATINICS & BLOOD CELL IRON BG,PS/VITC/B12/FA/CALCIUM TARON FORTE CAPSULE RX 2 WATER SOLUBLE VITAMINS THIAMINE HCL THIAMINE 200 MG/2 ML RX 2 VIAL ANTIFUNGALS TIOCONAZOLE TIOCONAZOLE 1 6.5% OINTMENT WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC AC/VIT B6 TL GARD RX RX 2 HEMATINICS & BLOOD CELL FERROUS FUM/VIT C/B12 IF/FOLIC TL ICON CAPSULE RX 2 HEMATINICS & BLOOD CELL IRON/DSS/B12 IF/FOLIC AC/MV MN TL HEM 150 CAPLET RX 2 MISCELLANEOUS MULTIVIT MIN43/LUT/OM3/DHA/EPA TL ICARE SOFTGEL HEMATINICS & BLOOD CELL FERROUS FUM/VIT C/B12 IF/FOLIC TRICON CAPSULE RX 2 HEMATINICS & BLOOD CELL IRON FUMARATE/VIT C/VIT B12/FA TRIGELS F FORTE SOFTGEL RX 2 WATER SOLUBLE VITAMINS B COMPLEX W C NO.20/FOLIC ACID TRIPHROCAPS SOFTGEL RX 2
16 CALCIUM CARBONATE TUMS E X CHEWABLE CALCIUM CARBONATE TUMS FRESHERS ANTACID CALCIUM CARBONATE TUMS KIDS 300 MG (750) CHEWTAB CALCIUM CARBONATE TUMS SMOOTHIES CHEW CALCIUM CARBONATE TUMS CHEWABLE CALCIUM CARBONATE TUMS ULTRA STR CHEWY DELIGHTS CALCIUM CARBONATE TUMS ULTRA CHEWABLE CALCIUM CARBONATE TUMS X STR 750 CHEWABLE GUAIFENESIN TUSSIN 100 MG/5 ML SYRUP GUAIFENESIN TUSSIN 400 MG GUAIFENESIN TUSSIN CHEST CONGESTION LIQUID GUAIFENESIN TUSSIN HONEY SYRUP GUAIFENESIN TUSSIN MUCUS CONGEST 100 MG/5
17 URINARY ANTIBACTERIALS METH/MEBLUE/SOD UTIRA C RX 2 PHOS/PSAL/HYOS MULTIVITAMINS MULTIVIT MINS NO.7/FOLIC ACID VIC FORTE CAPSULE RX 2 WATER SOLUBLE VITAMINS B COMPLEX W C NO.20/FOLIC ACID VIRT CAPS SOFTGEL RX 2 WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC AC/VIT B6 VIRT GARD RX 2 MISCELLANEOUS SOD PHOS DI, MONO/K PHOS MONO VIRT PHOS 250 NEUTRAL RX 2 WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC AC/VIT B6 VIRT VITE FORTE RX 2 WATER SOLUBLE VITAMINS FOLIC ACID/B COMPLEX C NO.17 VIRT VITE PLUS RX 2 WATER SOLUBLE VITAMINS CYANOCOBALAMIN/FOLIC AC/VIT B6 VIRT VITE RX 2 FAT SOLUBLE VITAMINS ERGOCALCIFEROL (VITAMIN D2) VIT D MG (50,000 RX 2 UNIT) HEMATINICS & BLOOD CELL IRON/CALCIUM/E/FOLIC ACID/MVIT VITAFOL CAPLET RX 2 WATER SOLUBLE VITAMINS B CMPLX 4/VIT D3/C/FOLIC/ZINC VITAL D RX RX 2 VITAMIN K PHYTONADIONE (VIT K1) VITAMIN K 1 1 MG/0.5 ML RX 2 AMPUL VITAMIN K PHYTONADIONE (VIT K1) VITAMIN K 1 10 MG/ML RX 2 AMPUL WATER SOLUBLE VITAMINS VIT B COMP NO.3/FOLIC/C/BIOTIN VOL CARE RX RX 2 WATER SOLUBLE VITAMINS VIT B COMP NO.3/FOLIC/C/BIOTIN VP VITE RX RX 2 MISCELLANEOUS B3/AZEL AC/ZINC/B6/COPPER/FA VP ZEL RX 2
Extra Covered Drugs. The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D Formulary.
09 Extra Covered Drugs The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D Formulary. Y04_9_34776_I_07 05/0/08 7095MUSENMUB_07_ABC_MLP ECDMLP_v_90_ This booklet
More informationYour Extra Covered Drugs for 2018 The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D formulary.
Your Extra Covered s for 08 The prescription drugs in this list are covered above and beyond the drugs in your plan's Part D formulary. Y04_8_30466_I_07 05//07 64946MUSENMUB_07_ABC_MLP ECDMLP_v_80_ This
More informationOffice of Medicaid Policy and Planning Over-the-Counter Drug Formulary ANALGESICS ANTACIDS ANTI-FLATULENTS
Acetaminophen 80mg/0.8mL Suspension Drops Acetaminophen 120mg Suppository Acetaminophen 160mg/5mL Suspension Acetaminophen 325mg Suppository Acetaminophen 325mg Tablet, Caplet, or Capsule Acetaminophen
More information2018 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST
2018 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST Note: Prescriptions for OTCs must be written by a Denver Health provider and filled at a Denver Health Pharmacy Drug Name Strength Dosage Form 80mg-160mg,
More information2019 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST
2019 CHP+/MEDICAID CHOICE OVER-THE-COUNTER (OTC) LIST Note: Prescriptions for OTCs must be written by a Denver Health provider and filled at a Denver Health Pharmacy ACETAMINOPHEN ALCOHOL ANTISEPTIC PADS
More informationADDITIONAL DRUG LISTING FOR MEDICARE & MEDI-CAL MEMBERS
MEDICARE & MEDICAL MEMBERS! Please read carefully! The following pages include additional drugs which may be covered for you with your doctor s prescription by MediCal (Medicaid). These drugs CANNOT be
More informationAETNA BETTER HEALTH January 2017 Formulary Change(s)
AETNA BETTER HEALTH January 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on March 1, 2017 Drug Name, Strength, Dosage Form ALFUZOSIN HCL ER 10
More information2015 Product Catalog. Phone: Fax: McCullough Drive, New Castle, DE
2015 Product Catalog Phone: 302-328-3355 Fax: 302-328-6968 50 McCullough Drive, New Castle, DE 19720 www.marlexpharm.com Phone: 302-328-3355 Fax: 302-328-6968 At Marlex Pharmaceuticals we are dedicated
More informationAETNA BETTER HEALTH January 2017 Formulary Change(s)
AETNA BETTER HEALTH January 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on February 1, 2017 Drug Name, Strength, Dosage Form IVERMECTIN 3 MG TABLET
More informationUPDATE Ohana QUEST Integration Medicaid
UPDATE Ohana QUEST Integration Medicaid Preferred Drug List June 29, 2015 Dear Provider: At the June 04, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes
More informationAll Pharmacy Providers and Prescribing Practitioners. Subject: Updated and Revised Over-the-Counter Drug Formulary
Indiana Health Coverage Pros P R O V I D E R B U L L E T I N B T 2 0 0 3 5 8 A U G U S T 2 8, 2 0 0 3 To: All Pharmacy Providers and Prescribing Practitioners Subject: Overview Note: The information referenced
More informationHOW TO USE THE FORMULARY
INTRODUCTION The information contained in the Willamette Valley Community Health (WVCH) WRAP/D-Excluded Formulary and its appendices is provided solely for the convenience of medical providers. WVCH does
More informationPharmacy Providers and Prescribing Physicians. Updated Over-the-Counter Drug Formulary
P R O V I D E R B U L L E T I N BT200150 DECEMBER 12, 2001 To: Subject: Pharmacy Providers and Prescribing Physicians Note: The information in this bulletin is not directed to those providers rendering
More informationALABAMA MEDICAID AGENCY Prenatal Vitamins Preferred Status
Prenatal Vitamins Status Effective January 4, 2010, the prenatal vitamins were included in the Alabama Medicaid Drug Program. The list below includes the current preferred status of the covered prenatal
More informationImportant Pharmacy Information
Important Pharmacy Information There is no copay when your Primary Care Provider (PCP) or UnitedHealthcare Community Plan Specialist writes you a covered prescription. But you can get many over-the-counter
More informationQuarterly pharmacy formulary change notice
Provider Bulletin April 2018 This table is used by HealthKeepers, Inc. to indicate formulary changes applicable to all Anthem HealthKeepers Plus members. These changes were reviewed and approved at the
More informationFall Savings. CHILDREN S MUCINEX Assorted Varieties Syrup, 4 oz or Mini-melts, 12 Count. Assortment varies by location. Assortment varies by location
September SALE! Fall Savings Save With Brand! Hot Deal! PAIN RELIEF 500 mg Acetaminophen Extra Strength Caplets, 100 Count BUY ONE GET ONE FREE CHILDREN S MUCINEX Syrup, 4 oz Mini-melts, 12 Count 6 99
More informationMEDICAL ASSISTANCE BULLETIN
ISSUE DATE December 18, 2013 SUBJECT EFFECTIVE DATE January 22, 2014 MEDICAL ASSISTANCE BULLETIN NUMBER *See Below BY Drug List (PDL) Update January 22, 2014 Pharmacy Services Vincent D. Gordon, Deputy
More informationDextromethorphan Overutilization
Texas Prior Authorization Program Clinical Criteria Drug/Drug Class Clinical Criteria Information Included in this Document Drugs Requiring PA: the list of drugs requiring prior authorization for this
More informationHealthy Resolutions ABREVA Cold Sore/Fever Blister Treatment On The Go Cream 2 g. Additional select Tylenol Cold items where available
January SALE! Caring, Knowledgeable Pharmacy Professionals! 100 S. Main St. Suite 104 Smyrna, DE 19977 302-653-9355 Monday - Friday: 8am-8pm Sat: 9am-4pm Sun: 11am-4pm 118 Sandhill Dr. Suite 101 Middletown,
More informationUPDATE WellCare s New Jersey
UPDATE WellCare s New Jersey Preferred Drug List July 13, 2015 Dear Provider: At the June 04, 2015 WellCare Pharmacy & Therapeutics Committee meeting, it was decided that the following changes will be
More informationAspirin. Iron Supplements
Interim Final Rules for Non-Grandfathered Group Health Plans and Health Insurance Issuers Coverage of Preventive Services Under the Patient Protection and Affordable Care Act Aspirin Aspirin to Prevent
More informationPrior Authorization Criteria Update: Calcium/Vitamin D Replacement, Oral
Copyright 2012 Oregon State University. All Rights Reserved Drug Use Research & Management Program Oregon State University, 500 Summer Street NE, E35 Salem, Oregon 97301-1079 Phone 503-947-5220 Fax 503-947-1119
More informationAdditional Drug Coverage
Additional Drug Coverage Additional prescription drug coverage Your plan includes extra coverage for certain supplies as shown below. These supplies are either not generally covered under Medicare Part
More informationVitamins and minerals: Indications and dosages
Vitamins and minerals: Indications and dosages Refer to manufacturer s instructions for complete prescribing and safety information. ferrous fumarate FAIR-us Femiron, Feostat, Ferretts, Ferrocite, Hemocyte,
More informationUPLB-S , SUPPLY AND DELIVERY OF DRUGS AND MEDICINES TECHNICAL SPECIFICATION FOR THE PUBLIC BIDDING OF: OPENING OF BIDS:
1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic bottle 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic Bottle 3 0.9 Sodium Chloride with 5% Dextrose 1000 ml in plastic bottle
More informationAdditional drug coverage
Additional drug coverage Additional prescription drug coverage Your plan includes extra coverage for certain drugs as shown below. These drugs are either not generally covered under Medicare Part D or
More informationOver-the-Counter Item List
ITEM Over-the-Counter Item List **All prices are subject to change. Tax is not included in these prices.** *To purchase any items italicized, you MUST bring government issued identification with you. Your
More informationCORTIZONE-10 Hydrocortisone Anti-Itch Cream Assorted Varieties 1 oz. Assortment varies by location $ Assortment varies by location.
June SALE! Start of Summer Sale ALEVE Naproxen Sodium 220 mg Tablets, 50 Count BAYER Aspirin 325 mg 5 99 PRILOSEC OTC Omeprazole 20.6 mg Tablets, 14 Count Additional select Aleve & Bayer items GOLD BOND
More informationfrom Kinray ORDER VIA WEBLINK
538-698 500 ACETAMIN CAPLETS 500 MG ***LDR 538-682 50 ACETAMIN CAPLETS 500 MG ***LDR 539-076 24 ACETAMIN CAPLETS 500 MG ***LDR 539-094 225 ACETAMIN CAPLETS 500 MG ***LDR 542-213 24 ACETAMIN CAPLTS DAY
More informationQuarterly pharmacy formulary change notice
Serving Hoosier Healthwise, Healthy Indiana Plan and Hoosier Care Connect May 2018 Quarterly pharmacy formulary change notice Effective May 1, 2018, the preferred formulary changes detailed in the table
More informationDiscount Drugs LIFESTYLE RX. Weight Loss. Impotence. Fertility. Trade Name Strength Dosage Form. Trade Name Strength Dosage Form
Weight Loss Adipex-P 37.5 MG TABLET, CAPSULE Apptrim Program 40 MG-101 MG CAPSULE (HARD, SOFT, ETC.) Benzphetamine Hcl 50 MG TABLET Bontril Pdm 35 MG TABLET Bontril Slow-Release 105 MG (XR) CAPSULE, EXTENDED
More informationMedibios Laboratories Private Limited, India Nutraceutical / OTC & Cosmetics product List Product Description
Sr. No. Medibios Laboratories Private Limited, India Product Description 1 Calcium with Vitamin D3 and Mineral Tablets Each film-coated tablet contains: Calcium Carbonate BP equivalent to Elemental Calcium
More informationDATE OF PRE-BID CONFERENCE: DEADLINE OF SUBMISSION OF BIDS: OPENING OF BIDS:
UHS FC: 8703417 Dr. Marilyn Reaño 1 1 0.3 Sodium Chloride with 5% Dextrose in 1000 ml in plastic 120 btl 70.00 8,400.00 2 0.3 Sodium Chloride With 5% Dextrose In 500 ml In Plastic 240 btl 70.00 16,800.00
More informationEmblem Medicaid 3Q18 Formulary Updates
ALKERAN 2 MG TABLET Removed from Formulary 7/9/2018 AMITIZA 24 MCG CAPSULES Removed from Formulary 7/9/2018 AMITIZA 8 MCG CAPSULE Removed from Formulary 7/9/2018 avo cream topical emulsion Removed from
More informationHealthy Resolutions! Additional select Duracell items where available. Additional select Thera-Flu items where available
January SALE! Healthy Resolutions! PREVACID 24 Hour Acid Reducer Delayed Released Capsules, 28 Count 19 49 ONE-A-DAY 50+ Advantage Women s or Men s Tablets, 50 Count DURACELL Coppertop AA or AAA, 4 pk
More informationEFFECTIVE 01/04/2019. pimecrolimus 1 % cream (g) - Added to Tier 1 - ST Added: TOPICAL IMMUNOMODULATORS
EFFECTIVE 01/04/2019 pimecrolimus 1 % cream (g) - ST Added: TOPICAL IMMUNOMODULATORS PAGE 1 LAST UPDATED 03/2019 EFFECTIVE 01/05/2019 LORBRENA 100 MG TABLET lorlatinib LORBRENA 25 MG TABLET lorlatinib
More informationAetna Better Health of Michigan 1333 Gratiot Avenue, Suite 400 Detroit, MI AETNA BETTER HEALTH January 2017 Formulary Change(s)
AETNA BETTER HEALTH January 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on July 1, 2017 ADAPALENE 0.1% CREAM ADAPALENE 0.1% GEL ATORVASTATIN 10
More informationfrom Kinray ORDER VIA WEBLINK
538-698 ACETAMIN CAPLETS 500 MG ***LDR 538-682 ACETAMIN CAPLETS 500 MG ***LDR 539-076 ACETAMIN CAPLETS 500 MG ***LDR 539-094 ACETAMIN CAPLETS 500 MG ***LDR 542-213 ACETAMIN CAPLTS DAY S/C/P**LDR 601-058
More informationPharmasave Nature's Own, Cenovis & Bio-Organics 2 Bay 900mm Planogram - June 2015
Pharmasave Nature's Own, Cenovis & Bio-Organics 2 Bay STRESS & ANXIETY DIGESTION & DETOX ENERGY & PERFORMANCE SLEEP MANAGEMENT MULTIVITAMIN MULTIVITAMINS MEN'S HEART & CIRCULATION MULTIVITAMINS GENERAL
More informationLET S TALK PREVENTION
LET S TALK PREVENTION YOUR NO-COST PRESCRIPTION DRUGS FOR PREVENTIVE CARE Your health plan offers certain preventive service benefits at no cost to you. This means you don t have to pay a copay* or coinsurance,
More informationMultivitamin, Calcium, and B 12 Shopping Guide: Gastric Bypass and Sleeve Gastrectomy
Multivitamin, Calcium, and B 12 Shopping Guide: Gastric Bypass and Sleeve Gastrectomy Please note that this is not an all-inclusive list. Use this packet to guide your research and shopping. You are welcome
More informationUmpqua Health Alliance (OHP) Formulary Changes January 2018
Umpqua Health Alliance (OHP) Formulary Changes January 2018 Umpqua Health Alliance would like to advise you of the following currently monthly changes that have been made to the Umpqua Health Alliance
More informationcodex alimentarius commission
codex alimentarius commission FOOD AND AGRICULTURE ORGANIZATION OF THE UNITED NATIONS WORLD HEALTH ORGANIZATION JOINT OFFICE: Viale delle Terme di Caracalla 00100 ROME Tel.: 39.06.57051 Telex: 625825-625853
More informationHow to Order: Keep this catalog. You will need this to look up the Health and Wellness products you want to order each month.
Did you know that depending on your current Humana plan, you may be able to purchase Health and Wellness products from the RightSource mail-order pharmacy? Call RightSource at 1-855-211-8370 (TTY: 711)
More informationGreat Winter Savings. Your Choice. Additional select Aleve & Bayer items where available
February SALE! Great Winter Savings MUCINEX Expectant Tablets, 20 Count MUCINEX DM Expectant & Cough Suppressant Tablets, 20 Count 9 99 cicidin F People with High Blood Pressure HBP Chest Congestion &
More informationMOST Operations Manual page 1 MEDICATION INVENTORY TABLE OF CONTENTS
MOST Operations Manual page 1 TABLE OF CONTENTS MEDICATION INVENTORY 1. Background and rationale...2 2. Equipment and supplies...2 3. Detailed measurement procedures...2 3.1 Targeted medications...2 3.2
More informationEnriched Skin Care Products
UPC CODE LIST QTY COST SUGTD 0-79854 NO. ORD SIZE DESCRIPTION EACH RETAIL VITAMINS A AND D 10005-1 110 100 Vitamin A 8000 IU Softgel $2.26 $3.79 10011-2 1103 100 Beta Carotene 25,000 IU Softgel $4.64 $7.79
More informationMultigenics Chewable
8. Children's Health and Development Multigenics Chewable Multigenics Chewable is a high quality multiple vitamin and mineral supplement with excellent nutrient bioavailability designed especially for
More informationQuarterly pharmacy formulary change
Medi-Cal Managed Care L. A. Care Major Risk Medical Insurance Program Provider Bulletin The formulary changes listed in the table below were reviewed and approved at our first-quarter 2018 Pharmacy and
More informationQuarterly pharmacy formulary change notice
Provider update Quarterly pharmacy formulary change notice Summary: The formulary changes listed in the table below were reviewed and approved at our first-quarter 2018, Pharmacy and Therapeutics Committee
More informationSip Smart! BC Bubble Tea - Front
Sip Smart! BC Bubble Tea - Front Nutrition Facts Per 500 ml Amount % Daily Value Calories 540 Fat 26 g 42 % Saturated 16 g + Trans 0 g 85 % Cholesterol 104 mg Sodium 115 mg 5 % Carbohydrate 105 g 35 %
More informationTablets, Capsules, Syrup, Dry syrup, Suspensions, Lotions and food products.
Renewed Life sciences - A WHO-GMP Complaint plant situated in pollution free atmosphere and lush green environment of Haridwar, Uttrakhand, Incorporated to pursue an ambitious goal of producing specialized
More informationRemoved from formulary. Removed from formulary. Added to formulary. Quanitity limit changed. Removed from formulary. Removed from formulary
AETNA BETTER HEALTH October 2017 Formulary Change(s) The following updates will be made to the Aetna Better Health of MI formulary on October 1, 2017 MIDAZOLAM HCL 5MG/ML VIAL MIDAZOLAM HCL 10 MG/2 ML
More informationEFFECTIVE 01/04/2019. pimecrolimus 1 % cream (g) - Added to Tier 1 - ST Added: TOPICAL IMMUNOMODULATORS
EFFECTIVE 01/04/2019 pimecrolimus 1 % cream (g) - ST Added: TOPICAL IMMUNOMODULATORS PAGE 1 LAST UPDATED 02/2019 EFFECTIVE 01/05/2019 LORBRENA 100 MG TABLET lorlatinib LORBRENA 25 MG TABLET lorlatinib
More informationPAPRIKA OLEORESIN FOR COLOR, SOY LECITHIN.
Ingredients: ENRICHED FLOUR (WHEAT FLOUR, NIACIN, REDUCED IRON, THIAMIN MONONITRATE [VITAMIN B1], RIBOFLAVIN [VITAMIN B2], FOLIC ACID), VEGETABLE OIL (SOYBEAN AND PALM OIL WITH TBHQ FOR FRESHNESS), CHEESE
More informationnationalvitamincompany
Vitamins Minerals Herbals OTC Products Nutritional Supplements Enriched Skin Care Products Catalog Number 26 Prices Effective March 2016 nationalvitamincompany 100% Owned and Operated in the USA Nature
More informationQuarterly pharmacy formulary change notice
Quarterly pharmacy formulary change notice Summary: The formulary changes listed in the table below were reviewed and approved at our fourth-quarter Pharmacy and Therapeutics Committee meeting. Provider
More informationDrug Schedule For RC 146(A)
S.No. NO. NAME and DESCRIPTION Unit Turnover EMD Performance DRUGS ACTING ON GENITO URINARY NALIDIXIC ACID TAB - Each tab to contain: Nalidixic SYSTEM 1 104 Acid 500 mg. 1 tab 1000000 10000 20000 2 FLAVOXATE
More informationWellCare s South Carolina Preferred Drug List Update
WellCare s South Carolina Preferred Drug List Update This is a list of changes to our preferred drug list. These are a result of the latest WellCare Pharmacy & Therapeutics meeting held on 09/03/2015.
More informationFall Savings! CREST PRO-HEALTH Clean Mint Toothpaste 4.2 oz or Clean Mint Oral Rinse 8.4 fl oz
September SALE! Fall Savings! CLARITIN 24 Hour Tablets, 10 Count or Children s Chewable Grape, Tablets, 10 Count Additional select Claritin items where available MIRALAX Powder 17.9 oz, 30 Doses 1 PRILOSEC
More informationGeneric Preventive Care/ Safe Harbor Drug Program List
Preventive care/safe harbor drugs are drugs that can help keep you from developing a health condition or related complications of a health condition. The Generic Preventive Care/Safe Harbor Drug Program
More informationAdditional drug coverage
Additional drug coverage Bonus Drug List The North Carolina State Health Plan for Teachers and State Employees offers a bonus drug list. The prescription drugs in this list are covered in addition to the
More informationCORTIZONE-10 Hydrocortisone Anti-Itch Cream Assorted Varieties 1 oz. Assortment varies by location $ Assortment varies by location.
June SALE! Grassy Sprain 640 Tuckahoe Rd., Yonkers (Opposite Roosevelt H.S.) Phone: 914-779-5133 Fax: 914-779-8202 www.grassysprainpharmacy.com FREE LOCAL DELIVERY Lemac 623 McLean Ave., Yonkers (Opposite
More informationAMINOACIDS ESSENTIAL FATTY ACIDS HERBS
AMINOACIDS 1 L-ARGININE TABS L-Arginine 1000mg 2 L-ARGININE PLUS TABS L-Arginine 3000mg 3 L-LYSINE CAPSULES L-Lysine Hcl 500mg 4 L-GLUTAMINE CAPSULES L-Glutamine 500mg 5 L-TYROSINE CAPSULES L-Tyrosine
More informationQuarterly pharmacy formulary change notice
Quarterly pharmacy formulary change notice Provider update Summary: Effective August 1, 2018, the preferred formulary changes detailed in the table below will apply to District of Columbia Healthy Families
More informationMarch Savings Madness. Your Choice. DELSYM 12 Hour Cough Suppressant For Adults or Children Orange or Grape Flavor, 3 fl oz
March SALE! March Savings Madness DIGESTIVE HEALTH PREVACID 24 Hour Acid Reducer Capsules, 42 Count 25 99 MIRALAX Laxative 30 Doses, 17.9 oz ZYRTEC 24 Hour Allergy Relief Indo/Outdo Liquid Gels, 25 Count
More informationProduct Information:
Product Information: Pro-Phree 1 of 5 Nutrition support of infants and toddlers who require extra calories, minerals, and vitamins and/or protein restriction. Use under medical supervision. Protein-free
More informationSummer Sizzlers. HEAD & SHOULDERS Shampoo, or 2 IN 1 Assorted Styles and Fragrances 14.2 oz. Assortment varies by location. Depend
THE DRUG STORE 1112 S. Stephenson Ave. Iron Mountain, MI 49801 Phone: (906) 774-3654 Fax: (906) 774-1044 Hours: Mon-Fri 8am-9pm Sat 9am-5pm Sun 10am-5pm NORWAY PHARMACY 514 Main Street Norway, MI 49870
More informationDIN / NPN. Allowable Product Claim* Activity Form. Vitamin A Products. Vitamin B Products. Vitamin C Products
Beta-Carotene TAB.900033-U 80006241 Source of vitamin A to help maintain eyesight, skin, membranes and immune function; and to help in the development and maintenance of night vision, bones, and teeth
More informationProduct Information: Similac Alimentum
Product Information: Similac Alimentum 1 of 6 A 20 Cal/fl oz, nutritionally complete, hypoallergenic formula for infants, including those with colic symptoms due to protein sensitivity. A supplemental
More informationFortisip Powder A high energy, high protein, nutritionally complete, powder supplement that can be mixed to desired energy concentration
A high energy, high protein, nutritionally complete, powder supplement that can be mixed to desired energy concentration Features Flexibility to prepare to various energy concentrations: 1kcal/ml, 1.5kcal/ml
More informationHoliday Savings. TYLENOL Sinus Congestion & Pain Severe Caplets, 24 Count. Additional select Tylenol Cold or Sinus & Sudafed items where available
December SALE! Grassy Sprain 640 Tuckahoe Rd., Yonkers (Opposite Roosevelt H.S.) Phone: 914-779-5133 Fax: 914-779-8202 www.grassysprainpharmacy.com FREE LOCAL DELIVERY Lemac 623 McLean Ave., Yonkers (Opposite
More informationUWSP Student Health Service Pharmacy Formulary 1/22/2015
UWSP Student Health Service Pharmacy Formulary 1/22/2015 UWSP Student Health Service Pharmacy Formulary 1/22/2015 Medication Name Strength DosageForm Route Acetaminophen 325 MG Tablet Oral Acetaminophen-Codeine
More informationSeven Easy Steps To Assess Non-Compliance Of A Food Supplement
Seven Easy Steps To Assess Non-Compliance Of A Food Supplement Three easy immediate checks of the label 1. If a product is labelled as Dietary Supplement, it is non-compliant. All food supplements must
More informationHealthStuff TM More of the stuff you want
2010 HealthStuff TM More of the stuff you want 31296 M0012_NA010065_WCM_OTC_ENG WellCare 2010 HI_12_09 HI_OTC_ENG_10065_1209 Getting your HealthStuff is EASY Welcome to HealthStuff! With HealthStuff, you
More informationAppendix *Participating Pfizer Products
Appendix *Participating Pfizer Products 305733041024 THERMACARE COLD WRAPS JOINT THERAPY 1CT 304102 1 CT 305733040010 THERMACARE COLD WRAPS MUSCLE THERAPY 1CT 304001 1 CT, 305733020029 THERMACARE MENSTRUAL
More informationCough/Cold Medications
Texas Prior Authorization Program Clinical Edit Criteria Cough/Cold Medications NOTE: Claims for cough and cold products containing acetaminophen, ibuprofen, or hydrocodone are not covered by Texas Medicaid
More informationTexas Prior Authorization Program Clinical Edit Criteria
Texas Prior Authorization Program Clinical Edit Criteria Drug/Drug Class Clinical Edit Information Included in this Document Oral Drugs requiring prior authorization: the list of drugs requiring prior
More informationAQUEOUS CREAM (450G) SDG$
AQUEOUS CREAM (450G) Soothes, softens and moisturizes your skin Emulsifying Wax, White Soft Paraffin, Liquid Paraffin. Moisturises dry skin. How Should I Use This Apply liberally to dry skin. What Should
More informationHoliday Savings. Florastor Probiotic, 250 mg Promotes Intestinal Health Capsules, 50 Count. Your Choice
December SALE! Holiday Savings Hearing Aid Batteries 10, 13, 312, 675 8 Pack Max Batteries AA, AAA 4 Pack emergen-c Vitamin C Assted Varieties 30 Packets Flast Probiotic, 250 mg Promotes Intestinal Health
More informationFORMULARY NOTES ABOUT FORMULARY AND PHARMACY
FORMULARY NOTES ABOUT FORMULARY AND PHARMACY 1. Purposes: Assist team leaders in preparing for trips Limit the number of interchangeable drugs Limit pharmacy errors Improve efficiency and organization
More informationFORMULARY Revised January 2019
MEDICATION STRENGTH NOTES ANTIMICROBIALS-ANTIBIOTICS AMOXICILLIN CAPS 500 MG AMOXICILLIN SUSP 125 MG/5 ML 250 MG/5 ML 400 MG/5 ML AMOXICILLIN CHEW 250 MG AMOXICILLIN AND CLAVULANIC ACID CAPS (AUGMENTIN)
More information2018 Over-the-Counter (OTC) Benefit Catalog
2018 Over-the-Counter (OTC) Benefit Catalog Place your OTC order NOW. A Special Benefit at NO COST TO YOU. Get your OTC products every quarter. Simply fill out the order form at the back of the catalog
More informationPRICE LIST (STANDARD DIVISION) ANTIBACTERIALS AND ANTIBIOTICS
ALWAYS MEAN FOR YOUR CARE P PRICE LIST (STANDARD DIVISION) SR. No BRAND NAME COMPOSITION PACK M.R.P ANTIBACTERIALS AND ANTIBIOTICS 1. OFFBACT-200 Each film coated tablet contains: Ofloxacin I.P 200 mg
More informationAcetaminophen 500 mg Diphenhydramine HCl 25 mg. Pain Reliever, Nighttime Sleep Aid. counts: 24 Compare to Tylenol Simply Sleep. Naproxen Sodium 220 mg
ANALGESICS Aspirin 81 mg Analgesic Diphenhydramine HCl 25 mg Pain Reliever, Nighttime Ibuprofen USP 200 mg counts: 60, 300(b/o) Compare to Aspirin Regimen Bayer 81 mg counts: 24 Compare to Tylenol Simply
More informationSpring Specials. aleve Naproxen 220 mg Pain Reliever/Fever Reducer Tablets, 50 Count. Your Choice
THE DRUG STORE 1112 S. Stephenson Ave. Iron Mountain, MI 49801 Phone: (906) 774-3654 Fax: (906) 774-1044 Hours: Mon-Fri 8am-9pm Sat 9am-5pm Sun 10am-5pm NORWAY PHARMACY 514 Main Street Norway, MI 49870
More informationOver-the-Counter Item List **All prices are subject to change. Tax is not included in these prices.**
Over-the-Counter Item List **All prices are subject to change. Tax is not included in these prices.** *To purchase any items italicized, you MUST bring government issued identification with you. Your employee
More informationNutritional Information
Nutritional Information Honest Milk Step 1 Infant Formula Milk-based Infant Formula Milk powder for Infants 0-12 Months Indication Honest Milk Step 1 Infant Formula Milk Powder Includes Natural Defense
More information2016 OVER-THE-COUNTER (OTC) CATALOG MEDICARE ADVANTAGE PLANS
2016 OVER-THE-COUNTER (OTC) CATALOG MEDICARE ADVANTAGE PLANS Get the OTC items you need. H5087_CA030531_WCM_OTC_ENG_FINAL CMS Accepted 07292015 WellCare 2015 CA_06_15 EC6OTCCAT66586E_0615 The Benefits
More informationHealth Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List
Health Partners Medicare Special (HMO SNP) Approved Over-the-Counter (OTC) Medication List The following OTC items are approved for the Health Partners Medicare Special plan. Members enrolled in Health
More informationSpring Specials. aleve Naproxen 220 mg Pain Reliever/Fever Reducer Tablets, 50 Count. Your Choice
April SALE! Spring Specials BENADRYL Allergy Smaller Tablet Size Tablets, 24 Count ZYRTEC 24 Hour Antihistamine 10 mg Tablets, 14 Count or Liquid Gels, 12 Count 11 99 bayer Aspirin 325 mg Pain Reliever/Fever
More informationOver-the-Counter Item List
Over-the-Counter Item List **All prices are subject to change. Tax is not included in these prices.** *To purchase any items italicized, you MUST bring government issued identification with you. Your employee
More informationJanuary 2019 PRE-BOOK
65'S 1-A-DAY MEN'S 50 + ADVANTAGE $6.90 0% $6.90 0% $6.90 $7.59 70'S 1-A-DAY MEN'S VITACRAVES $6.90 0% $6.90 0% $6.90 $7.59 100'S 1-A-DAY MEN'S VITAMINS $6.90 0% $6.90 0% $6.90 $7.59 65'S 1-A-DAY WOMEN'S
More information2018 Drug List Negative Changes Updated 10/25/2018 The table below shows changes made to our 2018 List of Covered Drugs (Formulary).
2018 Drug List Negative s Updated 10/25/2018 The table below shows changes made to our 2018 List of Covered Drugs (Formulary). Date of 1/1/2018 COLYTE-FLAVOR PACKS SOLR 227.1GM- 21.5GM-5.53GM- 2.82GM-6.36GM
More informationQuarterly pharmacy formulary change notice
Quarterly pharmacy formulary change notice Provider update Summary: The formulary changes listed in the table below were reviewed and approved at our second quarter 2018, Pharmacy and Therapeutics Committee
More informationYour OTC Product Merchandising Guide
McKESSON FRONTEDGE PROGRAM Your OTC Product Merchandising Guide November 2016 Focus Category: Analgesics Must do s for the month: Review the updated Analgesics planogram guides to ensure your pain relieve
More informationLIST OF FORMULATION PRODUCTS. Ferrocid Transule Capsule. Blended Pellets of Carbonyl Iron, Folic Acid & Zinc. Nature Biochem
LIST OF FORMULATION PRODUCTS Haematinics Ferrocid Transule Capsule Dried Ferrous Sulphate B.P. 1 Folic Acid B.P. 0.5 mg Eleron-F Dried Ferrous Sulphate I.P. 1 5 mg Cyanocobalamin I.P. 15 mcg Zinc Sulphate
More informationQuarterly pharmacy formulary change notice
Quarterly pharmacy formulary change notice The formulary changes listed in the table below were reviewed and approved at our second quarter 2018 Pharmacy and Therapeutics Committee meeting. Effective October
More information