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Drug List
Qualified Health Plans 2015 Drug Formulary (List of Covered Drugs) THIS DOCUMENT HAS INFORMATION ABOUT THE PRESCRIPTION DRUGS WE COVER FOR QUALIFIED HEALTH PLANS In addition to the frequently asked questions regarding our drug formulary and prescription coverage, the actual list of covered drugs for our health plans is also included. This list is current as of January 1, 2015. For more information If you have questions about your health plan, please call a Customer Service specialist at one of the phone numbers listed below or log in at hap.org and send us a message. Personal Alliance Plans HMO Plans: PPO Plans: Hours: (800) 759-3436 (800) 944-9399 Monday through Friday from 8 a.m. to 8 p.m. Saturday from 8 a.m. to noon Small Group Plans HMO Plans: Hours: (800) 422-4641 Monday through Friday from 7 a.m. to 7 p.m. Saturday from 8 a.m. to noon PPO Plans: Hours: (888) 999-4347 Monday through Friday from 8 a.m. to 5 p.m. Saturday from 8 a.m. to noon If you are deaf, hard of hearing or unable to speak, please use our TTY/TDD line at (800) 649-3777. Please note: A drug's formulary status may change prior to being updated in this document. The listing of a drug does not imply coverage for all benefits. Some dosage forms or strengths of an existing formulary drug may not be covered. Please contact plan for details. What is the drug formulary? A formulary is a list of covered prescription drugs. Prescription drugs are self-administered medications that you can obtain from pharmacies and that you use in the outpatient setting. The list of covered prescription drugs is selected with a team of health care providers. This represents the prescription therapies believed to be a necessary part of a quality treatment program. We will cover the drug listed in our formulary as long as it is medically necessary, the prescription is filled at an in-network pharmacy and other rules of the health plan are followed. This list does not include “medical drugs.” Medical drugs are those that are administered in the doctor’s office or other health care facility and are supplied by your doctor or other health care provider. Drugs provided for home infusion therapy are also considered medical. Please refer to your Medical Cost Share Rider for information about your cost-sharing for Medical drugs. The Qualified Health Plan Formulary is available at hap.org/formulary How do I use the drug formulary? The formulary has a list of covered generic and brand name drugs and is organized by categories. Each category depends on the type of medical conditions that the drugs are used to treat. For example, drugs used to treat a heart condition are listed under the category “Cardiovascular Agents.” If you know what a drug is used for, look for the category name in the list. Then look under the category name for the drug. You can also look in the index. Here you’ll find the page number next to the name of the drug name. To search for a specific drug within the formulary, simply enter the name of the drug in the search box. What is a generic substitution? When an FDA approved generic drug is available, your prescription will be filled with the generic form of the medication. Generic drugs contain the same active ingredients and are equivalent in strength and dosage to the original brand name product. Generic drugs cost you and your health plan less money than a brand name drug. . What are specialty drugs? Specialty drugs are biologics or prescription drugs that require close monitoring for safety and efficacy. For this reason we contract with Pharmacy Advantage, a specialty pharmacy, from whom you can obtain specialty drugs. Specialty drugs require prior authorization and Pharmacy Advantage can help you and your doctor submit a request. You or your doctor can contact Pharmacy Advantage at (800) 456-2112. Are there any restrictions on my coverage? Some covered drugs may have additional requirements or limits on coverage. The coverage requirements are listed on the drug formulary. These requirements and limits may include: • Prior Authorization – Some medications on our formulary have criteria you must meet before we cover them. This means that you will need to get approval from us before you fill your prescriptions for these drugs. • Step Therapy – In some cases, we require 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, we may not cover Drug B unless you try Drug A first. If Drug A does not work for you, we will then cover Drug B. • Quantity Limits – Certain drugs have quantity limits. A quantity limit is the maximum quantity that can be dispensed on each fill of medication or the maximum number of fills allowed for treatment of certain conditions. Specialty/injectable drugs (except insulin) and select oral drugs (e.g. opioid analgesics) are limited to a maximum 30-day supply per fill. Some specialty drugs require a 15-day supply for the first fill. Benefit limitations Our drug formulary applies to drugs used in an outpatient setting. It does not include medication administered in the doctor’s office or while in the hospital. These are known as medical drugs. The following are general drug coverage exclusions that apply to all members: • Over-the-counter (OTC) medications and their equivalents are not covered unless specified in the formulary or on the rider • Drug products used for cosmetic purposes are not covered • Experimental drugs and/or any drug products used in an experimental manner are not covered • Replacement of lost or stolen medication is not covered Since the selected drug packages and coverage vary for each Qualified Health Plan, check your Summary of Benefits and Coverage (SBC) for your cost-sharing and exclusions. What if my drug is not on the drug formulary? When your drug is not listed on the formulary it is considered non-formulary. You or your doctor can ask us to make an exception and cover your drug. However it is best to first discuss with your doctor or pharmacist if one of the formulary alternatives will work for you. Exception approvals for standard non-formulary medications will process at the highest non specialty (Tier three) copayment. Exception approvals for non-formulary specialty drugs will process at the highest Specialty (Tier four) copayment. Non-formulary specialty drugs when approved for use by the health plan can be required to be dispensed by Pharmacy Advantage. How do I request prior authorization or drug formulary exception? You or your doctor can ask us to make an exception to our requirements or limits. You may also ask us to cover a drug not included on our formulary or ask us to exempt you from a formulary requirement through the exception process. Your doctor must submit a request to us indicating why formulary requirements should not apply. Your doctor may use the forms available at hap.org/mrf to send us information when requesting either prior authorization or exception to the formulary. What is included in the drug formulary? The name of the covered drug is listed in the first column. Brand name drugs are capitalized (e.g., ADVAIR DISKUS) and generic drugs are listed in lower-case italics (e.g., gabapentin). When a generic drug is listed on the formulary, only the generic is covered. The second column represents the drug’s cost-sharing level, or “Tier.” Every drug on the formulary is in one of four cost-sharing Tiers. The table below will translate how the four Tiers shown on the formulary are applicable to your health plan’s prescription drug benefit. Refer to your Summary of Benefits and Coverage for your costsharing information. Description of Tier Zero Copay – generic prescription preventive drugs that are Copay Tier 0 mandated by the Affordable Care Act and covered at zero copay Generic – non-brand name drugs that have the lowest copay Preferred Brand – brand name formulary drugs that have the lowest brand copay Non-Preferred Brand – brand name formulary drugs that are not in the Preferred Brand Tier Specialty Drugs – biologics or drugs that require close monitoring for safety and efficacy and as designated by us to be a specialty drug Tier 1 Tier 2 Tier 3 Tier 4 The third column lists the Requirements/Limits that must be met for coverage of your drug. Please refer to the abbreviations used in this column and their explanation. The fourth column is the Comment section and may include specific information about strengths or dosage forms that are covered. The fifth column is the list of covered lower cost alternatives that you may be able to use. Abbreviations for Requirements/Limits are as follows: PA (Prior Authorization) – You or your doctor is required to get prior authorization from us before you fill your prescription for this drug. Without prior approval, we may not cover this drug. QL (Quantity Limit) – We limit the amount of these drugs that are covered for each prescription. For example, if it is normally considered safe to take only one pill per day for a certain drug, we may limit coverage for your prescription to no more than one pill per day. ST (Step Therapy) – Before we will provide coverage for this drug, you must first try another drug(s) to treat your medical condition. This drug may only be covered if the other drug(s) does not work for you. SP (Specialty Pharmacy) –This specialty drug can only be obtained from Pharmacy Advantage by calling them at (800) 456 2112. Drugs that require Prior Authorization Drug Name Tobramycin nebulizer solution Voriconazole Tab Valcyte tab Hepsera tab Entecavir tab Tyzeka tab Victrelis Cap Pegasys kit Peg-Intron Ribavirin cap Ribavirin tab Incivek tab Cayston inhalation Xifaxan tab Temozolomide cap Capecitabine tab Zytiga tab Tafinlar cap Zelboraf tab Afinitor tab Stivarga tab Nexavar tab Sutent tab Mekinist tab Inlyta tab Bosulif tab Xalkori cap Sprycel tab Tarceva tab Gleevec tab Tykerb tab Tasigna cap Votrient tab Caprelsa tab Jakafi tab Intron-A Targretin cap Androgel Ella tab Tradjenta Onglyza Gonal F Nutropin AQ Increlex Samsca tab Levatol Bystolic Multaq Tekturna Dibenzyline Dyrenium Welchol Lescol XL Livalo Letairis Tracleer Veramyst nasal spray Xopenex HFA Daliresp Kalydeco Preopik pak Rabeprazole Cesamet Amitiza Cimzia Linzess Femring Rapaflo EMSAM Viibryd Fluoxetine Cap 90mg DR Pristiq Invega Seroquel XR Saphris Eszoplicone Rozerem Vyvanse Intuniv Strattera Nuvigil Modafinil Focalin XR Daytrana Nicotrol Inhaler Xenazine Copaxone Rebif Avonex Extavia Aubagio Ampyra Gilenya Xyrem Savella Horizant Neudexta Fentanyl Lozenge Morphine Sulfate ER cap (Avinza) Oxycodone cap Oxymorphone tab (Opana) Oxymorphone ER tab Celebrex Humira Xeljanz Relpax Frova Zolmitriptan Stavzor Carbamazepine ER Lamotrigine chew Lyrica Neupro Promacta Effient Brilinta Zioptan Claravis Aczone gel Tazorac Betamethasone valerate lotion Betamethasone valerate ointment Protopic Exjade Thalomid Revlimid Zortress Symlin Pen Byetta Victoza Preferred Alternatives for Select Non-Preferred Drugs Non-preferred Drug Preferred Alternatives Ampyra Gilenya Tecfidera ( Non formulary) Copaxone 40mg Aubagio Cimzia Humira Xeljanz Enbrel Celebrex Nucynta Nucynta ER Marplan Copaxone 20mg., Rebif, Avonex, Extavia Copaxone 20mg., Rebif, Avonex, Extavia Copaxone 20mg., Rebif, Avonex, Extavia Copaxone 20mg Copaxone 20mg., Rebif, Avonex, Extavia Methotrexate, leflunomide, Hydroxychloroquine, Sulfasalazine Methotrexate, leflunomide, Hydroxychloroquine, Sulfasalazine Methotrexate, leflunomide, Hydroxychloroquine, Sulfasalazine Methotrexate, leflunomide, Hydroxychloroquine, Sulfasalazine diclofenac, etodolac, meloxicam, nabumetone morphine sulfate, Oxycodon morphine sulfate ER mirtazapine, phenelzine, nefazodone, trazodone, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine, amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline, bupropion EMSAM mirtazapine, phenelzine, nefazodone, trazodone, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine, amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline, bupropion Viibryd mirtazapine, phenelzine, nefazodone, trazodone, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine, amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline, bupropion Pristiq mirtazapine, phenelzine, nefazodone, trazodone, citalopram, escitalopram, fluoxetine, fluvoxamine, paroxetine, sertraline, duloxetine, venlafaxine, amitriptyline, amoxapine, clomipramine, desipramine, doxepin, imipramine, nortriptyline, bupropion, Tekturna Benazepril, Captopril, Enalapril, Fosinopril, Lisinopril, Moexipril, Perindopril, Quinapril, Ramipril, Trandolapril, Eprosartan, Irbesartan, Losartan Dibenzyline Humalog Humalin R Humalog Mix Glyset Tradjenta Onglyza Welchol Propranolol Novolog, Novolog Flexpen, Novolog Penfill Novolog, Novolog Flexpen, Novolog Penfill, Novolog Mix 70/30 Novolog, Novolog Flexpen, Novolog Penfill, Novolog Mix 70/30 Acarbose Januvia Januvia Cholestyramine powder, Prevalite, Colestipol Lescol XL Atorvastatin, Fluvastatin, Lovastatin, Crestor, Pravastatin, Simvastatin Livalo Atorvastatin, Fluvastatin, Lovastatin, Crestor, Pravastatin, Simvastatin Crestor Atorvastatin, Fluvastatin, Lovastatin, Crestor, Pravastatin, Simvastatin Advicor Atorvastatin, Fluvastatin, Lovastatin, Crestor, Pravastatin, Simvastatin, niacin Vytorin Atorvastatin, Fluvastatin, Lovastatin, Crestor, Pravastatin, Simvastatin Onfi Stavzor clonazepam Divalproex, Valproic acid Potiga carbamazepine, divalproex, felbamate, gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagibine, topiramate, valproate, valproic acid, zonisamide Vimpat carbamazepine, divalproex, felbamate, gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagibine, topiramate, valproate, valproic acid, zonisamide Lyrica Gabapentin Banzel carbamazepine, divalproex, felbamate, gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagibine, topiramate, valproate, valproic acid, zonisamide Horizant gabapentin, carbamazepine, divalproex, felbamate, gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagibine, topiramate, valproate, valproic acid, zonisamide, Pramipexol, Ropinirole Sabril carbamazepine, divalproex, felbamate, gabapentin, lamotrigine, levetiracetam, oxcarbazepine, tiagibine, topiramate, valproate, valproic acid, zonisamide Aczone gel Altabax ointment Mentax Oxistat Ertazco Eliderm Tazorac Denavir Picato Clindamycin topical, Erythromycin topical Clindamycin topical, Erythromycin topical ciclopirox, nystatin cream, econazole cream, ketoconazole cream ciclopirox, nystatin cream, econazole cream, ketoconazole cream ciclopirox, nystatin cream, econazole cream, ketoconazole cream ciclopirox, nystatin cream, econazole cream, ketoconazole cream Calcipotriene acyclovir ointment Fluorouracil Cloderm cream alclometasone, amcinonide, betamethasone, clobetasol, desonide, diflorasone, fluocinolone, fluocinonide, fluticasone, halobetasol, hydrocortisone, mometasone, triamcinolone Capex alclometasone, amcinonide, betamethasone, clobetasol, desonide, diflorasone, fluocinolone, fluocinonide, fluticasone, halobetasol, hydrocortisone, mometasone, triamcinolone Cordran alclometasone, amcinonide, betamethasone, clobetasol, desonide, diflorasone, fluocinolone, fluocinonide, fluticasone, halobetasol, hydrocortisone, mometasone, triamcinolone Halog alclometasone, amcinonide, betamethasone, clobetasol, desonide, diflorasone, fluocinolone, fluocinonide, fluticasone, halobetasol, hydrocortisone, mometasone, triamcinolone Kenalog spray alclometasone, amcinonide, betamethasone, clobetasol, desonide, diflorasone, fluocinolone, fluocinonide, fluticasone, halobetasol, hydrocortisone, mometasone, triamcinolone Ulesfia Sklice Proventil Xopenex Eurax, lindane, malathion, permethrin Eurax, lindane, malathion, permethrin Proair, Ventolin Proair, Ventolin Maxair Symbicort Dulera Alvesco Asmanex Zyflo CR Beconase AQ Zetonna Veramyst Nasonex Proair, Ventolin Advair HFA, Advair Diskus Advair HFA, Advair Diskus QVAR, Pulmicort HFA, Flovent Diskus, Flovent HFA QVAR, Pulmicort HFA, Flovent Diskus, Flovent HFA montelukast, zafirlukast budesonide, flunisolide, fluticasone, triamcinolone, azelastine budesonide, flunisolide, fluticasone, triamcinolone, azelastine budesonide, flunisolide, fluticasone, triamcinolone, azelastine fluticasone, triamcinolone, Levatol Nadolol, Pindolol, Propranolol, Propranolol ER, Sotalol, Timolol, Acebutolol, Atenolol, Betaxolol, Bisprolol, Metoprolol ER, Metoprolol Bystolic Nadolol, Pindolol, Propranolol, Propranolol ER, Sotalol, Timolol, Acebutolol, Atenolol, Betaxolol, Bisprolol, Metoprolol ER, Metoprolol Multaq Dyrenium Letairis Tracleer Amiodaron, Pacerone, Tikosyn Spironolactone Sildenafil 20mg Sildenafil 20mg Daliresp Symbicort, Advair, QVAR, Budesonide inhalation solution, Pulmicort Kalydeco Preopik pak Rabeprazole Suprep, Gavilyte-C, PEG 3350 Lansoprazole, Omeprazole, Pantoprazole Cesamet Femring Rapaflo Fluoxetine Cap 90mg DR Invega Seroquel XR Saphris Eszoplicone Rozerem Meclizine, Trimethobenzamide, Anzemet, Granisetron, Ondansetron, Emend, Dronabinol Vagifem, Estrace Vaginal cream, Estring, Premarin Vaginal Cream, Endometrin Suppository Avodart, Finasteride, Alfuzosin, Tamsulosin Fluoxetine, Paroxetine, Sertraline, Venlafaxin, Duloxetine Fanapt, Risperidone Clozapine, Quetiapine, Loxapine, Olanzapine Clozapine, Quetiapine, Loxapine, Olanzapine Zaleplon, Zolpidem Zaleplon, Zolpidem Vyvanse Dextroamphetamine tab, Zendedi, Dexedrine, Dextroamphetamine ER cap, Methamphetamine tab, Amphetamine tab, Amphetamine ER cap Intuniv Dextroamphetamine tab, Zendedi, Dexedrine, Dextroamphetamine ER cap, Methamphetamine tan, Amphetamine tab, Amphetamine ER cap, Dexmethylphenidate, Methylphenidate, Methylphenidate ER, Strattera Dextroamphetamine tab, Zendedi, Dexedrine, Dextroamphetamine ER cap, Methamphetamine tan, Amphetamine tab, Amphetamine ER cap Nuvigil Modafinil Modafinil (PA required) CPAP Focalin XR Dextroamphetamine tab, Zendedi, Dexedrine, Dextroamphetamine ER cap, Methamphetamine tan, Amphetamine tab, Amphetamine ER cap Daytrana Dextroamphetamine tab, Zendedi, Dexedrine, Dextroamphetamine ER cap, Methamphetamine tan, Amphetamine tab, Amphetamine ER cap Nicotrol Inhaler Xyrem Savella Fentanyl Lozenge Morphine Sulfate ER cap (Avinza) Oxycodone cap Oxymorphone tab Oxymorphone ER tab Relpax Frova Zolmitriptan Carbamazepine ER Lamotrigine chew Neupro Promacta Effient Brilinta Zioptan Amnesteem (Non formulary) Betamethasone valerate lotion Betamethasone valerate ointment Protopic Zortress Symlin Pen Byetta Victoza (PA required) Absorica ( Non formulary) Myorisan (Non formulary) Nicotine patches, gum Modafinil (PA required) Duloxetine (PA required), Lyrica (PA required) Fentanyl patches Morphine sulfate ER cap (Kadian generic) Oxycodone tab Oxycodone tab Morphine sulfate ER cap Migranal, Naratriptan, Rizatriptan, Sumatriptan Migranal, Naratriptan, Rizatriptan, Sumatriptan Migranal, Naratriptan, Rizatriptan, Sumatriptan Carbamazepine IR, Potiga, Gabapentin, Vimpat, Lamotrigine, Levetiracetam, Oxcarbazepine, Topiramate, Zonisamide Carbamazepine IR, Potiga, Gabapentin, Vimpat, Lamotrigine, Levetiracetam, Oxcarbazepine, Topiramate, Zonisamide Amantadine, Bromocriptine, Pramipexole, Ropinirole Epogen, Procrit Clopidogrel, Ticlodipine Clopidogrel, Ticlodipine Lumigan, Latanoprost, Travatan Z Claravis Augmented Betamethsone lotion Betamethasone dipropionate, Elidel Cyclosporine cap, Sandimune, Mycophenolate, Sirolimus, Mycophenolic acid, Rapamune, Tacrolimus Novolog, Novolin, Lantus Novolog, Novolin, Lantus Novolog, Novolin, Lantus, Byetta, Bydureon Claravis Claravis List of Specialty Drugs that require Prior Authorization and are only covered when dispensed from HAP Specialty Pharmacy: Pharmacy Advantage (800) 456-2112. For Pharmacy and Medical Copayment Information: Refer to subscriber contract Specialty Drug SELZENTRY TAB ISENTRESS TAB LAMIVUDINE TAB EPIVIR HBV SOL ADEFOV DIPIV TAB ENTECAVIR TAB TYZEKA TAB VICTRELIS CAP PEGASYS KIT PEG-INTRON KIT INCIVEK TAB CAYSTON INH ALKERAN TAB TEMOZOLOMIDE CAP CAPECITABINE TAB ZYTIGA TAB TAFINLAR CAP ZELBORAF TAB AFINITOR TAB STIVARGA TAB NEXAVAR TAB SUTENT CAP MEKINIST TAB INLYTA TAB BOSULIF TAB XALKORI CAP SPRYCEL TAB TARCEVA TAB GLEEVEC TAB TYKERB TAB TASIGNA CAP VOTRIENT TAB CAPRELSA TAB JAKAFI TAB INTRON-A INJ TARGRETIN CAP FORTEO SOL GONAL-F RFF INJ NUTROPIN AQ INJ BUPHENYL TAB KALYDECO TAB CIMZIA KIT COPAXONE KIT REBIF INJ AVONEX KIT EXTAVIA AMPYRA GILENYA INJ TAB CAP HUMIRA KIT XELJANZ TAB PROMACTA TAB EXJADE TAB THALOMID CAP REVLIMID CAP Quantity Limitations Drug AZITHROMYCIN TAB 250MG AZITHROMYCIN TAB 500MG AZITHROMYCIN TAB 600MG DIFICID TAB 200MG CIPROFLOXACN TAB 500MG ER CIPROFLOXACN TAB 1000MG MOXIFLOXACIN TAB 400MG NOROXIN TAB 400MG FACTIVE TAB 320MG TOBRAMYCIN NEB 300/5ML NOXAFIL SUS 40MG/ML SELZENTRY TAB 150MG SELZENTRY TAB 300MG ISENTRESS TAB 400MG REYATAZ CAP 100MG REYATAZ CAP 150MG REYATAZ CAP 200MG REYATAZ CAP 300MG PREZISTA TAB 75MG PREZISTA TAB 150MG PREZISTA TAB 400MG PREZISTA TAB 600MG PREZISTA TAB 800MG LEXIVA TAB 700MG LEXIVA SUS 50MG/ML CRIXIVAN CAP 200MG CRIXIVAN CAP 400MG VIRACEPT TAB 250MG VIRACEPT TAB 625MG NORVIR CAP 100MG NORVIR TAB 100MG ZIAGEN SOL 20MG/ML VIDEX SOL 2GM VIDEX SOL 4GM EMTRIVA CAP 200MG EMTRIVA SOL 10MG/ML EPIVIR HBV SOL 5MG/ML VIREAD TAB 150MG VIREAD TAB 200MG Quantity Limit 8 per 5 days 8 per 5 days 8 per 5 days 20 per 10 days 14 tabs per Rx 14 tabs per Rx 14 tabs per Rx 56 tabs per 28 days 7 tabs per 7 days 2 nebulizers per day 2 bottles per fill 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 120 tabs per 30 days 1800ml per 30 days 180 caps per 30 days 180 caps per 30 days 120 tabs per 30 days 120 tabs per 30 days 60 caps per 30 days 60 tabs per 30 days 480ml per 30 days 800ml per 30 days 800ml per 30 days 60 caps per 30 days 680ml per 23 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days VIREAD TAB 250MG VIREAD TAB 300MG RESCRIPTOR TAB 100 MG RESCRIPTOR TAB 200MG SUSTIVA CAP 50MG SUSTIVA CAP 200MG SUSTIVA TAB 600MG INTELENCE TAB 25MG INTELENCE TAB 100MG INTELENCE TAB 200MG VIRAMUNE XR TAB 100MG EDURANT TAB 25MG EPZICOM TAB 600-300 TRUVADA TAB 200-300 KALETRA TAB 100-25MG KALETRA TAB 200-50MG KALETRA SOL ATRIPLA TAB COMPLERA TAB STRIBILD TAB VALACYCLOVIR TAB 500MG VALACYCLOVIR TAB 1GM TAMIFLU CAP 30MG TAMIFLU CAP 45MG TAMIFLU CAP 75MG TAMIFLU SUS 6MG/ML RELENZA MIS DISKHALE DARAPRIM TAB 25MG COARTEM TAB 20-120MG CAYSTON INH 75MG VANCOMYCIN CAP 125MG VANCOMYCIN CAP 250MG KETEK TAB 300MG KETEK TAB 400MG ZYVOX TAB 600MG ZYVOX SUS 100MG/5M ALINIA TAB 500MG ALINIA SUS 100/5ML ENJUVIA TAB 0.3MG ENJUVIA TAB 0.45MG ENJUVIA TAB 0.625MG ENJUVIA TAB 0.9MG ENJUVIA TAB 1.25MG EVAMIST SPR 1.53MG ELESTRIN GEL 0.06% ESTROGEL GEL DIVIGEL GEL 0.25MG DIVIGEL GEL 0.5MG 30 tabs per 30 days 30 tabs per 30 days 180 tabs per 30 days 180 tabs per 30 days 30 caps per 30 days 30 caps per 30 days 30 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 640ml per 23 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 10 caps per fill; 2 fills per 365 days 10 caps per fill; 2 fills per 365 days 10 caps per fill; 2 fills per 365 days 120ml per fill; 2 fills per 365 days 20 inhalations per fill; 2 fills per 365 days 90 tabs per 30 days 24 tabs per fill 1 kit per 28 days 112 caps per 14 days 112 caps per 14 days 20 tabs per 10 days 20 tabs per 10 days 28 tabs per 14 days 840ml per 14 days 6 tabs per 3 days 150ml per 3 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 1 bottle per 30 days 1 bottle per 30 days 1 bottle per 30 days 1 bottle per 30 days 1 bottle per 30 days DIVIGEL GEL 1MG/GM VIVELLE-DOT DIS 0.025MG ALORA DIS 0.025MG VIVELLE-DOT DIS 0.0375MG MINIVELLE DIS 0.0375MG VIVELLE-DOT DIS 0.05MG ALORA DIS 0.05MG MINIVELLE DIS 0.05MG VIVELLE-DOT DIS 0.075MG ALORA DIS 0.075MG MINIVELLE DIS 0.075MG VIVELLE-DOT DIS 0.1MG ALORA DIS 0.1MG MINIVELLE DIS 0.1MG PREMPRO TAB 0.3-1.5 PREMPRO TAB 0.45-1.5 PREMPRO TAB .625-2.5 PREMPRO TAB 0.625-5 PREMPHASE TAB COMBIPATCH DIS .05/.14 COMBIPATCH DIS .05/.25 NORETHINDRON TAB 0.35MG ERRIN TAB 0.35MG CAMILA TAB 0.35MG DEBLITANE TAB 0.35MG SHAROBEL TAB 0.35MG LYZA TAB 0.35MG NORLYROC TAB 0.35MG NORA-BE TAB 0.35MG JOLIVETTE TAB 0.35MG JENCYCLA TAB 0.35MG HEATHER TAB 0.35MG SKYLA IUD 13.5MG LEVONORGESTR TAB 0.75MG NEXT CHOICE TAB 0.75MG MY WAY TAB 1.5MG NEXT CHOICE TAB 1.5MG LEVONORGESTR TAB 1.5MG ELLA TAB 30MG APRI TAB EMOQUETTE TAB RECLIPSEN TAB SOLIA TAB ENSKYCE TAB GIANVI TAB 3-0.02MG LORYNA TAB 3-0.02MG VESTURA TAB 3-0.02MG NIKKI TAB 3-0.02MG 1 bottle per 30 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 8 patches per 28 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 8 patches per 28 days 8 patches per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days OCELLA TAB 3-0.03MG SYEDA TAB 3-0.03MG ZARAH TAB 3-0.03MG DROSPIR/ETHI TAB 3-0.03MG KELNOR TAB 1/35 ZOVIA 1/35E TAB ZOVIA 1/50E TAB LEVONOR/ETHI TAB 0.1-0.02 LESSINA TAB AVIANE TAB ORSYTHIA TAB FALMINA TAB AUBRA TAB 0.1-0.02 DELYLA TAB 0.1-0.02 LUTERA TAB SRONYX TAB LEVONOR/ETHI TAB ESTRADIO PORTIA-28 TAB ALTAVERA TAB CHATEAL TAB 0.15/30 LEVORA-28 TAB 0.15/30 KURVELO TAB 0.15/30 MARLISSA TAB 0.15/30 BALZIVA TAB GILDAGIA TAB 0.4-35 PHILITH TAB 0.4-35 ZENCHENT TAB VYFEMLA TAB 0.4-35 BRIELLYN TAB NORTREL TAB 0.5/35 WERA TAB 0.5/35 NECON TAB 0.5/35 NORTREL TAB 1/35 CYCLAFEM TAB 1/35 DASETTA TAB 1/35 NECON TAB 1/35 PIRMELLA TAB 1/35 ALYACEN TAB 1/35 NORETH/ETHIN TAB 1/20 JUNEL 1/20 TAB GILDESS TAB 1/20 LARIN TAB 1/20 MICROGESTIN TAB 1/20 JUNEL 1.5/30 TAB GILDESS TAB 1.5/30 LARIN TAB 1.5/30 MICROGESTIN TAB 1.5/30 NECON TAB 1/50-28 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days CRYSELLE-28 TAB 28 TABS ELINEST TAB LOW-OGESTREL TAB OGESTREL TAB SPRINTEC 28 TAB 28 DAY PREVIFEM TAB ESTARYLLA TAB 0.25-35 MONO-LINYAH TAB 0.25-35 MONONESSA TAB NORGEST/ETHI TAB 0.25/35 ZEOSA CHW ZENCHENT FE CHW 0.4MG-35 WYMZYA FE CHW 0.4MG-35 NORETH/ETHIN TAB FE 1/20 JUNEL FE TAB 1/20 GILDESS FE TAB 1/20 LARIN FE TAB 1/20 TARINA FE TAB 1/20 MICROGESTIN TAB FE 1/20 JUNEL FE TAB 1.5/30 GILDESS FE TAB 1.5/30 LARIN FE TAB 1.5/30 MICROGESTIN TAB FE1.5/30 DESO/ETHINYL TAB ESTRADIO KARIVA TAB 28 DAY PIMTREA TAB AZURETTE TAB 28 DAY VIORELE TAB NECON TAB 10/11-28 VELIVET PAK CAZIANT PAK CESIA PAK ENPRESSE-28 TAB MYZILRA TAB LEVONEST TAB TRIVORA-28 TAB NORTREL TAB 7/7/7 CYCLAFEM TAB 7/7/7 DASETTA TAB 7/7/7 NECON TAB 7/7/7 PIRMELLA TAB 7/7/7 ALYACEN TAB 7/7/7 ARANELLE TAB LEENA TAB TRI-SPRINTEC TAB TRI-PREVIFEM TAB TRI-ESTARYLL TAB TRI-LINYAH TAB 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days TRINESSA TAB NORGEST/ETHI TAB ESTRADIO TRI-LEGEST TAB FE TILIA FE TAB NATAZIA TAB CAMRESE LO TAB AMETHIA LO TAB JOLESSA TAB INTROVALE TAB QUASENSE TAB CAMRESE TAB AMETHIA TAB DAYSEE TAB AMETHYST TAB 90-20MCG NOVOLOG INJ 100/ML HUMALOG INJ 100/ML HUMULIN R INJ U-500 NOVOLOG MIX INJ 70/30 HUMALOG MIX SUS 75/25 HUMALOG MIX INJ 50/50 TRADJENTA TAB 5MG ONGLYZA TAB 2.5MG ONGLYZA TAB 5MG JANUVIA TAB 25MG JANUVIA TAB 50MG JANUVIA TAB 100MG PIOGLITA/MET TAB 15-500MG PIOGLITA/MET TAB 15-850MG SYNTHROID TAB 25MCG LEVOTHROID TAB 25MCG LEVOXYL TAB 25MCG SYNTHROID TAB 50MCG LEVOTHROID TAB 50MCG LEVOXYL TAB 50MCG SYNTHROID TAB 75MCG LEVOTHROID TAB 75MCG LEVOXYL TAB 75MCG SYNTHROID TAB 88MCG LEVOTHROID TAB 88MCG LEVOXYL TAB 88MCG SYNTHROID TAB 100MCG LEVOTHROID TAB 100MCG LEVOXYL TAB 100MCG SYNTHROID TAB 112MCG LEVOTHROID TAB 112MCG LEVOXYL TAB 112MCG SYNTHROID TAB 125MCG LEVOTHROID TAB 125MCG 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 28 tabs per 28 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days LEVOXYL TAB 125MCG SYNTHROID TAB 137MCG LEVOTHYROXIN TAB 137MCG LEVOTHROID TAB 137MCG LEVOXYL TAB 137MCG UNITHROID TAB 137MCG SYNTHROID TAB 150MCG LEVOTHROID TAB 150MCG LEVOXYL TAB 150MCG SYNTHROID TAB 175MCG LEVOTHROID TAB 175MCG LEVOXYL TAB 175MCG SYNTHROID TAB 200MCG LEVOTHROID TAB 200MCG LEVOXYL TAB 200MCG SYNTHROID TAB 300MCG LEVOTHROID TAB 300MCG ARMOUR THYRO TAB 15MG ARMOUR THYRO TAB 30MG NP THYROID TAB 30MG ARMOUR THYRO TAB 60MG NP THYROID TAB 60MG ARMOUR THYRO TAB 90MG NP THYROID TAB 90MG ARMOUR THYRO TAB 120MG WESTHROID-P TAB 130MG WP THYROID TAB 130MG ARMOUR THYRO TAB 180MG ARMOUR THYRO TAB 240MG ARMOUR THYRO TAB 300MG FOSAMAX + D TAB 70-2800 FOSAMAX + D TAB 70-5600 IBANDRONATE TAB 150MG ACTONEL TAB 5MG ACTONEL TAB 30MG ACTONEL TAB 35MG RISEDRONATE TAB 150MG FORTEO SOL 600/2.4 PARICALCITOL CAP 1 MCG SENSIPAR TAB 30MG SENSIPAR TAB 60MG SENSIPAR TAB 90MG RANEXA TAB 500MG RANEXA TAB 1000MG LEVATOL TAB 20MG BYSTOLIC TAB 2.5MG BYSTOLIC TAB 5MG BYSTOLIC TAB 10MG 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 4 tabs per 28 days 4 tabs per 28 days 1 tab per 28 days 4 tabs per 28 days 4 tabs per 28 days 4 tabs per 28 days 1 tab per 28 days 1 pen per 28 days 60 caps per 30 days 360 tabs per 30 days 180 tabs per 30 days 120 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days BYSTOLIC TAB 20MG MEXILETINE CAP 150MG MEXILETINE CAP 200MG MEXILETINE CAP 250MG TIKOSYN CAP 125MCG TIKOSYN CAP 250MCG TIKOSYN CAP 500MCG MULTAQ TAB 400MG PERINDOPRIL TAB 2MG PERINDOPRIL TAB 4MG PERINDOPRIL TAB 8MG TEKTURNA TAB 150MG TEKTURNA TAB 300MG AMLOD/BENAZP CAP 2.5-10MG AMLOD/BENAZP CAP 5-10MG AMLOD/BENAZP CAP 5-20MG AMLOD/BENAZP CAP 5-40MG AMLOD/BENAZP CAP 10-20MG AMLOD/BENAZP CAP 10-40MG ATENOL/CHLOR TAB 50-25MG ATENOL/CHLOR TAB 100-25MG BISOPRL/HCTZ TAB 2.5/6.25 BISOPRL/HCTZ TAB 5-6.25MG BISOPRL/HCTZ TAB 10/6.25 WELCHOL TAB 625MG WELCHOL PAK 3.75GM ZETIA TAB 10MG LIVALO TAB 1MG LIVALO TAB 2MG LIVALO TAB 4MG CRESTOR TAB 5MG CRESTOR TAB 10MG CRESTOR TAB 20MG CRESTOR TAB 40MG ADVICOR TAB 500-20MG ADVICOR TAB 750-20MG ADVICOR TAB 1000-20 ADVICOR TAB 1000-40 OMEGA-3-ACID CAP 1GM SILDENAFIL TAB 20MG TUDORZA PRES AER 400/ACT SYMBICORT AER 80-4.5 SYMBICORT AER 160-4.5 ADVAIR HFA AER 45/21 ADVAIR HFA AER 115/21 ADVAIR HFA AER 230/21 ADVAIR DISKU AER 100/50 ADVAIR DISKU AER 250/50 30 tabs per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 120 caps per 30 days 120 caps per 30 days 120 caps per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 210 tabs per 30 days 30 packets per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 120 caps per 30 days 30 tabs per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days ADVAIR DISKU AER 500/50 DULERA AER 100-5MCG DULERA AER 200-5MCG ZYFLO CR TAB 600MG LANSOPRAZOLE CAP 15MG DR HEARTBURN TR CAP 15MG HRTBRN REL CAP 15MG DR LANSOPRAZOLE CAP 30MG DR RABEPRAZOLE TAB 20MG ANZEMET TAB 50MG ANZEMET TAB 100MG EMEND CAP 40MG EMEND CAP 80MG EMEND PAK 80 & 125 DELZICOL CAP 400MG MESALAMINE KIT 4GM LOTRONEX TAB 0.5MG LOTRONEX TAB 1MG SEVELAMER TAB 800MG RENVELA PAK 2.4GM MONUROL PAK GRANULES OXYBUTYNIN TAB 5MG ER OXYBUTYNIN TAB 10MG ER OXYBUTYNIN TAB 15MG ER MYRBETRIQ TAB 25MG MYRBETRIQ TAB 50MG ESTRING MIS 2MG CARDURA XL TAB 4MG PAROXETINE TAB 10MG PAROXETINE TAB 20MG PAROXETINE TAB 30MG PAROXETINE TAB 40MG PAROXETIN ER TAB 12.5MG PAROXETINE TAB 25MG ER PAROXETIN ER TAB 37.5MG DULOXETINE CAP 20MG DULOXETINE CAP 30MG DULOXETINE CAP 60MG VENLAFAXINE CAP 37.5 ER VENLAFAXINE CAP 75MG ER VENLAFAXINE CAP 150MG ER QUETIAPINE TAB 25MG QUETIAPINE TAB 50MG QUETIAPINE TAB 100MG QUETIAPINE TAB 200MG QUETIAPINE TAB 300MG QUETIAPINE TAB 400MG OLANZAPINE TAB 2.5MG 1 inhaler per 30 days 1 inhaler per 30 days 1 inhaler per 30 days 120 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 3 tabs per 21 days 3 tabs per 21 days 1 capsule per fill 1 capsule per fill 1 pack per fill 180 caps per 30 days 1 kit per fill 60 tabs per 30 days 60 tabs per 30 days 540 tabs per 30 days 540 packs per 30 days 3 packs per fill 90 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 1 ring per 90 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days OLANZAPINE TAB 5MG OLANZAPINE TAB 7.5MG OLANZAPINE TAB 10MG OLANZAPINE TAB 15MG OLANZAPINE TAB 20MG OLANZAPINE TAB 5MG ODT OLANZAPINE TAB 10MG ODT OLANZAPINE TAB 15MG ODT OLANZAPINE TAB 20MG ODT ABILIFY TAB 2MG ABILIFY TAB 5MG ABILIFY TAB 10MG ABILIFY TAB 15MG ABILIFY TAB 20MG ABILIFY TAB 30MG ABILIFY SOL 1MG/ML ZIPRASIDONE CAP 20MG ZIPRASIDONE CAP 40MG ZIPRASIDONE CAP 60MG ZIPRASIDONE CAP 80MG DEXTROAMPHET TAB 5MG ZENZEDI TAB 5MG DEXEDRINE TAB 5MG DEXTROAMPHET TAB 10MG ZENZEDI TAB 10MG DEXEDRINE TAB 10MG DEXTROAMPHET CAP 5MG ER DEXTROAMPHET CAP 10MG ER DEXTROAMPHET CAP 15MG ER AMPHETAMINE TAB 5MG AMPHETAMINE TAB 15MG AMPHETAMINE TAB 20MG AMPHETAMINE TAB 30MG AMPHETAMINE CAP 5MG ER AMPHETAMINE CAP 10MG ER AMPHETAMINE CAP 15MG ER AMPHETAMINE CAP 20MG ER AMPHETAMINE CAP 25MG ER AMPHETAMINE CAP 30MG ER DEXMETHYLPH TAB 2.5MG DEXMETHYLPH TAB 5MG DEXMETHYLPH TAB 10MG METHYLPHENID CAP 10MG METHYLPHENID CAP 20MG METHYLPHENID CAP 30MG METHYLPHENID CAP 40MG METHYLPHENID CAP 50MG METHYLPHENID CAP 60MG 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 700ml per 30 days 60 caps per 30 days 120 caps per 30 days 60 caps per 30 days 120 caps per 30 days 180 tabs per 30 days 180 tabs per 30 days 180 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 60 caps per 30 days 60 caps per 30 days 30 caps per 30 days METHYLPHENID TAB 5MG METHYLPHENID TAB 10MG METHYLPHENID TAB 20MG METHYLPHENID TAB 10MG ER METHYLPHENID TAB 18MG ER METHYLPHENID TAB 27MG ER METHYLPHENID TAB 36MG ER METHYLPHENID TAB 54MG ER METHYLPHENID CAP 20MG ER METHYLPHENID CAP 30MG ER METHYLPHENID CAP 40MG ER EXELON DIS 4.6MG/24 EXELON DIS 9.5MG/24 EXELON DIS 13.3/24 RIVASTIGMINE CAP 1.5MG RIVASTIGMINE CAP 3MG RIVASTIGMINE CAP 4.5MG RIVASTIGMINE CAP 6MG BUPROBAN TAB 150MG BUPROPION TAB 150MG NICOTROL INH EQ NICOTINE DIS 7MG/24HR NICOTINE DIS 7MG/24HR NICOTINE TD DIS 7MG/24HR SM NICOTINE DIS 7MG/24HR TGT NICOTINE DIS 7MG/24HR RA NICOTINE DIS 7MG/24HR EQL NICOTINE DIS 7MG/24HR NICOTINE DIS STEP 3 CVS NICOTINE DIS 7MG/24HR NICOTINE DIS 14MG/24H NICOTINE TD DIS 14MG/24H SM NICOTINE DIS 14MG/24H TGT NICOTINE DIS 14MG/24H RA NICOTINE DIS 14MG/24H EQL NICOTINE DIS 14MG/24H NICOTINE DIS STEP 2 EQ NICOTINE DIS 14MG/24H CVS NICOTINE DIS 14MG/24H HM NICOTINE DIS 14MG/24H NICOTINE DIS 21MG/24H NICOTINE TD DIS 21MG/24H SM NICOTINE DIS 21MG TGT NICOTINE DIS 21MG/24H RA NICOTINE DIS 21MG/24H EQL NICOTINE DIS 21MG/24H NICOTINE DIS STEP 1 EQ NICOTINE DIS 21MG/24H 210 tabs per 30 days 210 tabs per 30 days 210 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 patches per 30 days 30 patches per 30 days 30 patches per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 30 tabs per 30 days 30 tabs per 30 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days CVS NTS DIS STEP 1 HM NICOTINE DIS 21MG/24H THRIVE GUM 2MG MINT NICOTINE POL GUM 2MG MINT NICOTINE POL GUM 2MGFRUIT NICOTINE POL GUM 2MG CINN NICOTINE POL GUM 2MG REF NICOTINE POL GUM 2MG STRT NICOTINE GUM 2MGFRUIT NICOTINE POL GUM 2MG NICOTINE POL GUM 2MG ORIG NICORELIEF GUM 2MG ORIG NICORELIEF GUM 2MG MINT SM NICOTINE GUM 2MG MINT SM NICOTINE GUM 2MG TGT NICOTINE GUM 2MG ORIG TGT NICOTINE GUM 2MGFRUIT TGT NICOTINE GUM 2MG MINT RA NICOTINE GUM 2MG MINT RA NICOTINE GUM 2MG RA NICOTINE GUM 2MG CINN RA NICOTINE GUM 2MGFRUIT SW NICOTINE GUM 2MG MINT GNP NICOTINE GUM 2MG MINT GNP NICOTINE GUM 2MG ORIG EQL NICOTINE GUM 2MG EQL NICOTINE GUM 2MG REF EQL NICOTINE GUM 2MG STRT STOP SMOKING GUM 2MG MINT STOP SMOKING GUM 2MG ORIG EQ NICOTINE GUM 2MG ORIG EQ NICOTINE GUM 2MG MINT EQ NICOTINE GUM 2MGFRUIT EQ NICOTINE GUM 2MG CINN CVS NICOTINE GUM 2MG MINT CVS NICOTINE GUM 2MG CINN CVS NICOTINE GUM 2MG ORIG CVS NICOTINE GUM 2MGFRUIT HM NICOTINE GUM 2MG MINT KLS QUIT2 GUM 2MG SR NICOTINE GUM 2MG NICOTINE POL LOZ 2MG MINT NICOTINE POL LOZ 2MG CINN NICOTINE LOZ 2MG MINT NICOTINE LOZ 2MG CHRY NICORELIEF LOZ 2MG MINT SM NICOTINE LOZ 2MG MINT 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days TGT NICOTINE LOZ 2MG CHRY TGT NICOTINE LOZ 2MG MINT RA NICOTINE LOZ 2MG MINT SW NICOTINE LOZ 2MG MINT GNP NICOTINE LOZ 2MG MINT EQL NICOTINE LOZ 2MG MINT NICOTINE POL LOZ 2MG CHRY STOP SMOKING LOZ 2MG MINT EQ NICOTINE LOZ 2MG CHER EQ NICOTINE LOZ 2MG MINT CVS NICOTINE LOZ 2MG CVS NICOTINE LOZ 2MG MINT HM NICOTINE LOZ 2MG MINT STOP SMOKING LOZ 2MG KLS QUIT2 LOZ 2MG NICOTINE POL LOZ 4MG MINT NICOTINE POL LOZ 4MG CHRY NICOTINE LOZ 4MG CINN NICOTINE LOZ 4MG MINT NICOTINE LOZ 4MG CHRY NICORELIEF LOZ 4MG MINT SM NICOTINE LOZ 4MG MINT TGT NICOTINE LOZ 4MG CHRY TGT NICOTINE LOZ 4MG MINT RA NICOTINE LOZ 4MG MINT SW NICOTINE LOZ 4MG MINT GNP NICOTINE LOZ 4MG MINT EQL NICOTINE LOZ 4MG MINT NICOTINE POL LOZ 4MG CINN STOP SMOKING LOZ 4MG MINT EQ NICOTINE LOZ 4MG CHRY EQ NICOTINE LOZ 4MG MINT CVS NICOTINE LOZ 4MG MINT HM NICOTINE LOZ 4MG MINT KLS QUIT4 LOZ 4MG CHANTIX TAB 0.5MG CHANTIX PAK 1MG CHANTIX TAB 1MG CHANTIX PAK 0.5& 1MG SAVELLA TAB 25MG SAVELLA TAB 50MG SAVELLA TAB 100MG OLANZA/FLUOX CAP 6-25MG OLANZA/FLUOX CAP 6-50MG OLANZA/FLUOX CAP 12-25MG OLANZA/FLUOX CAP 12-50MG BUT/APAP/CAF TAB REPAN TAB 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 1 fill per 30 days; 6 fills per 365 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 120 tabs per 30 days 120 tabs per 30 days FENTANYL DIS 12MCG/HR FENTANYL DIS 25MCG/HR FENTANYL DIS 50MCG/HR FENTANYL DIS 75MCG/HR FENTANYL DIS 100MCG/H MORPHINE SUL TAB 15MG MORPHINE SUL TAB 30MG MORPHINE SUL TAB 15MG ER MORPHINE SUL TAB 30MG ER MORPHINE SUL TAB 60MG ER MORPHINE SUL TAB 100MG ER MORPHINE SUL TAB 200MG ER MORPHINE SUL CAP 20MG ER MORPHINE SUL CAP 30MG ER MORPHINE SUL CAP 50MG ER MORPHINE SUL CAP 60MG ER MORPHINE SUL CAP 80MG ER MORPHINE SUL CAP 100MG ER MORPHINE SUL CAP 30MG ER MORPHINE SUL CAP 45MG ER MORPHINE SUL CAP 60MG ER MORPHINE SUL CAP 75MG ER MORPHINE SUL CAP 90MG ER MORPHINE SUL CAP 120MG ER OXYCODONE TAB 5MG OXYCODONE TAB 10MG OXYCODONE TAB 15MG OXYCODONE TAB 20MG OXYCODONE TAB 30MG OXYCODONE SOL 5MG/5ML NUCYNTA TAB 75MG NUCYNTA TAB 100MG NUCYNTA ER TAB 100MG NUCYNTA ER TAB 200MG OXYCOD/APAP TAB 2.5-325 ENDOCET TAB 2.5-325 OXYCOD/APAP TAB 5-325MG ROXICET TAB 5-325MG ENDOCET TAB 5-325MG OXYCOD/APAP TAB 7.5-325 ENDOCET TAB 7.5-325 OXYCOD/APAP TAB 10-325MG ENDOCET TAB 10-325MG OXYCOD/IBU TAB 5-400MG APAP/CODEINE TAB 300-15MG APAP/CODEINE TAB 300-30MG APAP/CODEINE TAB 300-60MG APAP/CODEINE SOL 120-12/5 10 patches per 30 days 10 patches per 30 days 10 patches per 30 days 10 patches per 30 days 10 patches per 30 days 120 tabs per 30 days 120 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 90 caps per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 500ml per 30 days 180 tabs per 30 days 180 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 180 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 300 tabs per 30 days 4500ml per 30 days BUT/APAP/CAF CAP CODEINE APAP/CAFF/DI TAB HYDROCOD HYDROCO/APAP TAB 10-325MG LORTAB TAB 10-325MG LORCET HD TAB 10-325MG HYDROCO/APAP TAB 5-325MG LORTAB TAB 5-325MG LORCET TAB 5-325MG HYDROCO/APAP TAB 7.5-325 LORTAB TAB 7.5-325 LORCET PLUS TAB 7.5-325 HYDROCO/APAP SOL 7.5-325 HYDROCOD/IBU TAB 2.5-200 HYDROCOD/IBU TAB 7.5-200 TRAMADL/APAP TAB 37.5-325 CELEBREX CAP 50MG CELEBREX CAP 100MG CELEBREX CAP 200MG CELEBREX CAP 400MG MIGRANAL SPR 4MG/ML RIZATRIPTAN TAB 5MG RIZATRIPTAN TAB 10MG RIZATRIPTAN TAB 5MG ODT RIZATRIPTAN TAB 10MG ODT SUMATRIPTAN TAB 25MG SUMATRIPTAN TAB 50MG SUMATRIPTAN TAB 100MG SUMATRIPTAN INJ 6MG/0.5 SABRIL TAB 500MG POTIGA TAB 50MG POTIGA TAB 200MG POTIGA TAB 300MG POTIGA TAB 400MG VIMPAT TAB 50MG VIMPAT TAB 100MG VIMPAT TAB 150MG VIMPAT TAB 200MG LAMOTRIGINE TAB 25MG ER LAMOTRIGINE TAB 50MG ER LAMOTRIGINE TAB 100MG ER LAMOTRIGINE TAB 200MG ER LAMOTRIGINE TAB 250MG ER LAMOTRIGINE TAB 300MG ER LYRICA CAP 25MG LYRICA CAP 50MG LYRICA CAP 75MG LYRICA CAP 100MG LYRICA CAP 150MG 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 240 caps per 30 days 3600ml per 30 days 240 tabs per 30 days 150 tabs per 30 days 240 tabs per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 30 caps per 30 days 6 units per 30 days 12 tabs per 30 days 12 tabs per 30 days 12 tabs per 30 days 12 tabs per 30 days 18 tabs per 30 days 18 tabs per 30 days 18 tabs per 30 days 12 units per 30 days 360 tabs per 30 days 180 tabs per 30 days 180 tabs per 30 days 180 tabs per 30 days 180 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days LYRICA CAP 200MG LYRICA CAP 225MG LYRICA CAP 300MG MIRAPEX ER TAB 2.25MG MIRAPEX ER TAB 3MG CARISOPRODOL TAB 250MG CARISOPRODOL TAB 350MG CYCLOBENZAPR TAB 5MG CYCLOBENZAPR TAB 10MG CARISOPR/ASA TAB 200-325 CARISOPRODOL TAB ASA/COD PRADAXA CAP 75MG PRADAXA CAP 150MG ELIQUIS TAB 2.5MG ELIQUIS TAB 5MG XARELTO TAB 10MG XARELTO TAB 15MG XARELTO TAB 20MG CLOPIDOGREL TAB 75MG CLOPIDOGREL TAB 300MG EFFIENT TAB 5MG EFFIENT TAB 10MG BRILINTA TAB 90MG AGGRENOX CAP 25-200MG CIPRO HC SUS OTIC VOLTAREN GEL 1% CALCIPOTRIEN OIN 0.005% CALCITRENE OIN 0.005% ACYCLOVIR OIN 5% CLOBETASOL E CRE 0.05% CLODERM CRE 0.1% PMP CLODERM CRE 0.1% DESONATE GEL 0.05% VEREGEN OIN 15% ELIDEL CRE 1% NOVOLOG INJ PENFILL NOVOLOG INJ FLEXPEN HUMALOG KWIK INJ 100/ML NOVOLOG MIX INJ FLEXPEN HUMALOG MIX INJ 75/25KWP HUMALOG MIX INJ 50/50KWP BYETTA INJ 5MCG VICTOZA INJ 18MG/3ML SUMATRIPTAN INJ 4MG/0.5 SUMATRIPTAN INJ 6MG/0.5 XARELTO STAR TAB 15/20MG 60 caps per 30 days 60 caps per 30 days 60 caps per 30 days 30 tabs per 30 days 30 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 90 tabs per 30 days 90 tabs per 30 days 120 tabs per 30 days 120 tabs per 30 days 60 caps per 30 days 60 caps per 30 days 60 tabs per 30 days 60 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 30 tabs per 30 days 60 tabs per 30 days 60 caps per 30 days 1 bottle per fill 400gm per 28 days 60gm per 30 days 60gm per 30 days 60gm per 30 days 45gm per fill 45gm per fill 45gm per fill 60gm per fill 15gm per fill 30gm per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 60ml per 30 days 1 cartridge per month 2 pens per 30 days 6 per 30 days 6 per 30 days 30 tabs per 30 days Drugs that require Step Therapy Drug name FOSAMAX + D ACTONEL TAB FORTEO SOL 600/2.4 CRESTOR TAB VYTORIN TAB BECONASE AQ SUS 0.042% RHINOCORT SUS AQUA ZETONNA AER 37MCG NASONEX SPR 50MCG/AC ANZEMET TAB VESICARE TAB MYRBETRIQ TAB AVODART CAP ABILIFY TAB ABILIFY SOL NAMENDA TAB NAMENDA SOL LUMIGAN SOL TRAVATAN Z DRO 0.004% TRUVADA TAB 200-300 ST alternatives alendronate/ibandronate alendronate/ibandronate alendronate/ibandronate atorvastatin 40mg simvastatin/atorvastatin fluticasone nasal, triamcinolone nasal fluticasone nasal, triamcinolone nasal fluticasone nasal, triamcinolone nasal fluticasone nasal, triamcinolone nasal ondansetron, granisetron Deltrol LA, oxybutynin Deltrol LA, oxybutynin finasteride risperidone risperidone donepezil donepezil latanoprost latanoprost ST if for HIV prophylaxis Table of Contents ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 PENICILLINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 CEPHALOSPORIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 FIRST GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 SECOND GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 THIRD GENERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 MACROLIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 TETRACYCLINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 QUINOLONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 AMINOGLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 SULFONAMIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ANTIMYCOBACTERIAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ANTIFUNGALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ANTIVIRALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 ANTIMALARIALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTHELMINTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 MISC. ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTINEOPLASTICS, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ALKYLATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 ANTIMETABOLITES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 HORMONAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 IMMUNOMODULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 MITOTIC INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ENZYME INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ANTINEOPLASTICS MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CHEMOTHERAPY RESCUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CARDIOVASCULAR DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CARDIAC GLYCOSIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ANTIANGINAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 BETA BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CALCIUM CHANNEL BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ANTIARRHYTHMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 ACE INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ANGIOTENSIN RCPTR BLOCKER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 DIRECT RENIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ANTIHYPERTENSIVES MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ANTIHYPERTENSIVE COMBO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 DIURETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 VASOPRESSORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ANTIHYPERLIPIDEMICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 CARDIOVASCULAR - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 DERMATOLOGICALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ACNE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 ROSACEA AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTIBIOTICS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTIFUNGALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTIVIRALS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTI-INFLAMMATORY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTIPSORIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ANTISEBORRHEIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 CORTICOSTEROIDS - TOPICAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 IMMUNOMODULATING AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 DERMATOLOGICALS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ENDOCRINE AND METABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 CORTICOSTEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ANDROGENS-ANABOLIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 ESTROGENS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 CONTRACEPTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 PROGESTINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 ANTIDIABETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 INSULIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 AMYLIN ANALOGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 INCRETIN MIMETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 SULFONYLUREAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 BIGUANIDES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 MEGLITINIDE ANALOGUES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 DIABETIC OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 ALPHA-GLUCOSIDASE INHIBIT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 DPP-4 INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 INSULIN SENSITIZING AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 ANTIDIABETIC COMBINATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 BISPHOSPHONATES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 PARATHYROID HORMONE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 FERTILITY REGULATORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 LHRH/GNRH AGONIST . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 GNRH/LHRH ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 GROWTH HORMONES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 SOMATOMEDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 SOMATOSTATIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 GH RECEPTOR ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 POSTERIOR PITUITARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 PROLACTIN INHIBITORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 VASOPRESSIN ANTAGONISTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 METABOLIC MODIFIERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 THYROID AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 GASTROINTESTINAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 LAXATIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 ANTIDIARRHEALS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 ULCER DRUGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 ANTIEMETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 DIGESTIVE AIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 GASTROINTESTINAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 GENITOURINARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 URINARY ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 URINARY ANTISPASMODICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 VAGINAL PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 GENITOURINARY - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 HEMATOLOGICAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 HEMATOPOIETIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 ANTICOAGULANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 HEMATOLOGICAL - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 MOUTH/THROAT/DENTAL AGENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 NEUROLOGY, CNS, PSYCH . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ANTIANXIETY AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ANTIDEPRESSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 ANTIPSYCHOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 HYPNOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ADHD, NARCOLEPSY, ETC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ANTICONVULSANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 ANTIPARKINSON AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 NEUROLOGY, PSYCH - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 NEUROMUSCULAR AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 MUSCULOSKELETAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 ANTIMYASTHENIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 OPHTHALMOLOGY AND OTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 ANTI-INFECTIVES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 BETA-BLOCKERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 OPHTHALMIC STEROIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 PROSTAGLANDINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 CYCLOPLEGIC MYDRIATICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 DECONGESTANTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 MIOTICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ADRENERGIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 LOCAL ANESTHETICS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 OPHTHALMICS - MISC. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 OTIC AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 PAIN MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ANALGESICS - NONNARCOTIC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 ANALGESICS - OPIOID . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 ANTI-INFLAMMATORY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 MIGRAINE PRODUCTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 GOUT AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 LOCAL ANESTHETICS-INJ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 RESPIRATORY, ALLERGY, ETC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 ANTIHISTAMINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 NASAL AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 COUGH/COLD/ALLERGY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 ANTIASTHMATIC/COPD AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 RESPIRATORY AGENTS - MISC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 TOXOIDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 VACCINES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 VITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 MULTIVITAMINS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 MEDICAL DEVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 DIABETIC SUPPLIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 MISCELLANEOUS AGENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 January 2015 TIER 03 ANTI-INFECTIVES PENICILLINS TIER 01 TIER 1 amoxicillin amoxicillin/clavulanate potassium amoxicillin/clavulanate potassium ER ampicillin dicloxacillin sodium penicillin v potassium CEPHALOSPORIN FIRST GENERATION TIER 1 TIER 01 AMINOGLYCOSIDES TIER 01 TIER 04 TIER 01 TIER 01 THIRD GENERATION TIER 1 TIER 01 TIER 02 TIER 03 TIER 02 TIER 03 TIER 1 azithromycin clarithromycin clarithromycin ER e.e.s. 400 erythromycin base erythromycin ethylsuccinate TIER 2 E.e.s. Granules Eryped 200 Eryped 400 PCE TIER 3 Dificid QL TIER 01 TIER 03 TIER 1 demeclocycline HCL doxycycline hyclate doxycycline monohydrate minocin minocycline HCL minocycline HCL ER tetracycline HCL TIER 01 TIER 03 TIER 04 QUINOLONES TIER 01 TIER 1 ciprofloxacin TIER 1 fluconazole flucytosine griseofulvin microsize griseofulvin ultramicrosize itraconazole ketoconazole nystatin terbinafine HCL voriconazolePA TIER 3 Noxafil QL Sporanox ANTIVIRALS TETRACYCLINES TIER 01 TIER 1 cycloserine ethambutol HCL isoniazid pyrazinamide rifabutin rifampin Rifamate ANTIFUNGALS MACROLIDES TIER 01 TIER 1 sulfadiazine ANTIMYCOBACTERIAL AGENTS cefaclor cefaclor ER cefprozil cefuroxime axetil cefdinir cefpodoxime proxetil TIER 2 Cedax TIER 3 Suprax TIER 1 neomycin sulfate paromomycin sulfate SPECIALTY tobramycin PA,QL SULFONAMIDES cefadroxil cephalexin SECOND GENERATION TIER 1 TIER 01 ciprofloxacin ERQL ciprofloxacin HCL levofloxacin moxifloxacin HCL QL ofloxacin TIER 3 Factive QL Noroxin QL TIER 1 acyclovir famciclovir moderiba PA ribasphere PA ribasphere ribapakPA ribatab PA ribavirin PA rimantadine HCL valacyclovir HCL QL TIER 3 Relenza DiskhalerQL Tamiflu QL Valcyte PA SPECIALTY abacavir abacavir sulfate/lamivudine/zidovudine adefovir dipivoxilPA didanosine entecavirPA lamivudine PA lamivudine/zidovudine Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 1 nevirapine nevirapine ER stavudine zidovudine Aptivus Atripla QL Complera QL Crixivan QL EdurantQL Emtriva QL Epivir Epivir HBV QL Epzicom QL IncivekPA Intelence QL IsentressQL Kaletra QL Lexiva QL Norvir Peg-intron PA Peg-intron RedipenPA Peg-intron Redipen PAK 4 PA PegasysPA Pegintron Prezista QL RescriptorQL ReyatazQL SelzentryQL Stribild QL Sustiva QL Truvada QL,ST Tyzeka PA VictrelisPA Videx PediatricQL ViraceptQL Viramune Viramune XRQL Viread QL Ziagen QL TIER 02 TIER 03 TIER 04 ANTINEOPLASTICS, ETC. ALKYLATING AGENTS TIER 01 TIER 02 TIER 04 TIER 02 TIER 03 TIER 1 atovaquone/proguanil HCL chloroquine phosphate hydroxychloroquine sulfate mefloquine HCL TIER 2 primaquine phosphate TIER 3 Coartem QL Daraprim QL Q l i PA a s d TIER 01 TIER 02 TIER 03 TIER 04 TIER 3 Albenza MISC. ANTI-INFECTIVES TIER 01 TIER 1 floxuridine mercaptopurine methotrexate TIER 2 Tabloid TIER 3 Trexall SPECIALTY capecitabinePA HORMONAL AGENTS TIER 02 PREVENTIVE tamoxifen citrate TIER 1 anastrozole bicalutamide exemestane flutamide letrozole megestrol acetate TIER 2 Emcyt Fareston Lysodren as d sa d ANTHELMINTICS TIER 03 TIER 1 cyclophosphamide TIER 2 Hexalen Leukeran SPECIALTY temozolomidePA Alkeran ANTIMETABOLITES ANTIMALARIALS TIER 01 sulfatrim pediatric tinidazole trimethoprim vancomycin HCL QL TIER 2 First-vancomycin 25 First-vancomycin 50 TIER 3 AliniaQL KetekQL Xifaxan PA ZyvoxQL SPECIALTY Cayston PA,QL TIER 1 atovaquone baciim bacitracin clindamycin palmitate HCL clindamycin HCL dapsone metronidazole sulfamethoxazole/trimethoprim sulfamethoxazole/trimethoprim DS TIER 04 SPECIALTY Zytiga PA IMMUNOMODULATORS TIER 01 TIER 1 azathioprine cyclosporine cyclosporine modified gengraf hecoria mycophenolate mofetil mycophenolic acid DR sirolimus tacrolimus TIER 02 Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 2 TIER 03 TIER 04 TIER 2 Rapamune TIER 3 Cellcept Sandimmune ZortressPA SPECIALTY RevlimidPA ThalomidPA TIER 03 BETA BLOCKERS TIER 01 MITOTIC INHIBITORS TIER 01 TIER 1 etoposide ENZYME INHIBITORS TIER 04 SPECIALTY AfinitorPA BosulifPA Caprelsa PA GleevecPA Inlyta PA Jakafi PA MekinistPA NexavarPA Sprycel Stivarga PA SutentPA TafinlarPA Tarceva Tasigna Tykerb PA VotrientPA Xalkori PA ZelborafPA TIER 02 TIER 03 TIER 02 TIER 04 TIER 01 TIER 1 hydroxyurea tretinoin TIER 2 Matulane SPECIALTY Actimmune PA Intron A PA Intron-a PA Intron-a W/Diluent Targretin PA CHEMOTHERAPY RESCUE TIER 01 TIER 1 leucovorin calcium CARDIOVASCULAR DRUGS CARDIAC GLYCOSIDES TIER 01 TIER 1 digox digoxin ANTIANGINAL AGENTS TIER 01 TIER 1 isoditrate ER isosorbide dinitrate isosorbide dinitrate ER isosorbide mononitrate isosorbide mononitrate ER nitro-time nitroglycerin lingual nitroglycerin ER TIER 1 acebutolol HCL atenolol betaxolol HCL bisoprolol fumarate carvedilol labetalol HCL metoprolol succinate ER metoprolol tartrate nadolol pindolol propranolol HCL propranolol HCL ER sorine sotalol HCL timolol maleate TIER 2 Levatol PA,QL TIER 3 BystolicPA,QL CALCIUM CHANNEL BLOCKERS ANTINEOPLASTICS MISC. TIER 01 TIER 3 Isordil Titradose Nitro-bid Nitro-dur Nitronal Nitrostat Ranexa QL TIER 1 afeditab CR amlodipine besylate cartia XT dilt-CD diltiazem CD diltiazem HCL diltiazem HCL CD diltiazem HCL ER diltzac felodipine ER isradipine nicardipine HCL nifediac CC nifedical XL nifedipine nifedipine ER nimodipine nisoldipine nisoldipine ER taztia XT verapamil HCL verapamil HCL ER verapamil HCL SR verelan verelan PM ANTIARRHYTHMICS TIER 01 TIER 1 amiodarone HCL disopyramide phosphate flecainide acetate mexiletine HCL QL pacerone propafenone HCL propafenone HCL ER quinidine gluconate CR quinidine gluconate ER Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 3 TIER 02 TIER 03 quinidine sulfate quinidine sulfate ER TIER 2 Multaq PA,QL Tikosyn QL TIER 3 Norpace CR ACE INHIBITORS TIER 01 TIER 1 benazepril HCL captopril enalapril maleate fosinopril sodium lisinopril moexipril HCL perindopril erbumineQL quinapril HCL ramipril trandolapril ANGIOTENSIN RCPTR BLOCKER TIER 01 VASOPRESSORS TIER 01 TIER 02 TIER 1 eprosartan mesylate irbesartan losartan potassium DIRECT RENIN INHIBITORS TIER 03 TIER 03 TIER 3 Tekturna PA,QL TIER 03 TIER 01 TIER 1 clonidine HCL doxazosin mesylate eplerenone guanfacine HCL hydralazine HCL methyldopa minoxidil prazosin HCL reserpine terazosin HCL TIER 3 Dibenzyline PA TIER 02 ANTIHYPERTENSIVE COMBO TIER 01 TIER 1 amlodipine besylate/benazepril hydrochlorideQL amlodipine besylate/benazepril HCL QL atenolol/chlorthalidoneQL benazepril HCL/hydrochlorothiazide bisoprolol fumarate/hydrochlorothiazide QL candesartan cilexetil/hydrochlorothiazide captopril/hydrochlorothiazide enalapril maleate/hydrochlorothiazide fosinopril sodium/hydrochlorothiazide irbesartan/hydrochlorothiazide lisinopril/hydrochlorothiazide losartan potassium/hydrochlorothiazide moexipril/hydrochlorothiazide quinapril/hydrochlorothiazide valsartan/hydrochlorothiazide TIER 03 TIER 1 acetazolamide acetazolamide ER amiloride HCL TIER 1 atorvastatin calcium cholestyramine cholestyramine light colestipol HCL colestipol HCL for oral suspension fenofibrate fenofibrate micronized fenofibric acid fluvastatin gemfibrozil lovastatin micronized colestipol HCL omega-3-acid ethyl estersPA,QL pravastatin sodium prevalite simvastatin TIER 2 Zetia QL TIER 3 AdvicorQL CrestorST,QL Lescol XL PA Livalo PA,QL Vytorin ST Welchol PA,QL CARDIOVASCULAR - MISC. TIER 01 TIER 1 sildenafilQL TIER 03 TIER 3 CialisPA TIER 04 SPECIALTY LetairisPA TracleerPA VentavisPA DIURETICS TIER 01 TIER 1 midodrine HCL TIER 2 AdrenaclickQL Auvi-q QL Epipen 2-PAK QL Epipen-JR 2-PAK QL ANTIHYPERLIPIDEMICS ANTIHYPERTENSIVES MISC. TIER 01 amiloride/hydrochlorothiazide bumetanide chlorothiazide chlorthalidone furosemide hydrochlorothiazide indapamide methazolamide methyclothiazide metolazone spironolactone spironolactone/hydrochlorothiazide torsemide triamterene/hydrochlorothiazide TIER 3 Dyrenium PA Edecrin DERMATOLOGICALS ACNE PRODUCTS TIER 01 Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 4 TIER 03 TIER 1 adapalene QL avita QL benzepro QL benzepro SHORT contactQL benziq wash QL benzoyl peroxide QL benzoyl peroxide SHORT contactQL bp foam QL bp wash QL bpo QL claravisPA clearplexxQL clindacin etz pledgetsQL clindacin-p QL clindamax QL clindamycin phosphate QL clindamycin/benzoyl peroxide QL eryQL erythromycin QL erythromycin/benzoyl peroxide QL pr benzoyl peroxide wash QL se bpo wash QL sodium sulfacetamide QL sulfacetamide sodium QL tretinoin QL TIER 3 Aczone PA TIER 03 ANTI-INFLAMMATORY AGENTS TIER 03 TIER 01 TIER 03 TIER 03 TIER 01 TIER 01 TIER 1 metronidazole rosadan vitazol TIER 1 centany gentamicin sulfate mupirocin TIER 3 Altabax Cortisporin PA TIER 03 TIER 1 ciclodan ciclopirox ciclopirox nail lacquer ciclopirox olamine clotrimazole/betamethasone dipropionate econazole nitrate ketoconazole ketodan nyamyc nystatin nystatin domestic nystatin foreign nystatin/triamcinolone nystop pedi-dri TIER 3 Ertaczo Exelderm Mentax Oxistat TIER 02 TIER 03 TIER 1 ala cort alclometasone dipropionate alphatrex amcinonide apexicon augmented betamethasone dipropionate betamethasone dipropionate betamethasone valeratePA clobetasol propionate clobetasol propionate e QL clobetasol propionate emollientQL clodan cormax scalp application desonide diflorasone diacetate fluocinolone acetonide fluocinolone acetonide body fluocinolone acetonide scalp fluocinonide fluticasone propionate halobetasol propionate hydrocortisone hydrocortisone butyrate hydrocortisone valerate hydrocortisone IN absorbase lokara mometasone furoate prednicarbate scalacort triamcinolone acetonide TIER 2 apexicon e Desonate QL TIER 3 Capex Cloderm QL Cloderm P.M.QL Cordran Cordran Tape Halog Kenalog IMMUNOMODULATING AGENTS TIER 01 ANTIVIRALS - TOPICAL TIER 01 TIER 1 selenium sulfide CORTICOSTEROIDS - TOPICAL ANTIFUNGALS - TOPICAL TIER 01 TIER 1 calcipotriene QL calcitrene QL calcitriol TIER 3 TazoracPA ANTISEBORRHEIC AGENTS ANTIBIOTICS - TOPICAL TIER 01 TIER 3 Voltaren QL ANTIPSORIATICS ROSACEA AGENTS TIER 01 TIER 1 acyclovirQL TIER 3 Denavir TIER 1 imiquimod TIER 03 Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 5 TIER 3 ElidelQL ProtopicPA, QL DERMATOLOGICALS - MISC. TIER 1 acticin ammonium lactate glydo hypercare laclotion lactic acid lidocaine patch PA lidocaine HCL jelly lidocaine/prilocaine lindane malathion th i podofilox TIER 01 TIER 2 Eurax Oxsoralen TIER 3 Sklice Ulesfia Veregen QL TIER 02 TIER 03 ENDOCRINE AND METABOLIC CORTICOSTEROIDS TIER 01 TIER 02 TIER 1 budesonide PA cortisone acetate dexamethasone fludrocortisone acetate hydrocortisone methylprednisolone methylprednisolone dose pack prednisolone sodium phosphate prednisone TIER 2 Dexamethasone Intensol Prednisone Intensol Veripred 20 ANDROGENS-ANABOLIC TIER 01 TIER 03 TIER 1 danazol oxandrolone TIER 3 Androgel PA Androgel P.M.PA ESTROGENS TIER 01 TIER 02 TIER 1 estradiol estradiol/norethindrone acetate estropipate jinteli mimvey mimvey LO ortho-est TIER 2 Menest Premarin Premphase QL Prempro QL TIER 03 TIER 3 Alora QL Cenestin Climara Pro CombipatchQL Divigel QL Elestrin QL Enjuvia QL Estrasorb Estrogel QL EvamistQL Femhrt Low Dose Menostar Minivelle QL Prefest Vivelle-dotQL CONTRACEPTIVES PREVENTIVE altavera QL alyacen 1/35 QL alyacen 7/7/7QL amethia QL amethia LOQL amethystQL apri QL aranelle QL aubra QL aviane QL azurette QL balziva QL briellyn QL camila QL camrese QL camrese LOQL caziantQL cesia QL chateal QL cryselle-28 QL cyclafem 1/35 QL cyclafem 7/7/7QL dasetta 1/35 QL dasetta 7/7/7 QL daysee QL deblitane QL delyla QL desogestrel/ethinyl estradiolQL drospirenone/ethinyl estradiol QL elinestQL QL emoquette enpresse-28 QL enskyce QL errin QL estarylla QL falminaQL gianvi QL gildagiaQL gildess FE 1.5/30 QL gildess FE 1/20 QL gildess 1.5/30 QL gildess 1/20 QL heatherQL introvale QL jencycla QL jolessa QL jolivette QL junel FE 1.5/30QL junel FE 1/20 QL junel 1.5/30 QL Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 6 junel 1/20QL kariva QL kelnor 1/35 QL kurvelo QL larin FE 1.5/30 QL larin FE 1/20 QL larin 1.5/30QL larin 1/20 QL leena QL lessina QL levonestQL levonorgestrel QL levonorgestrel and ethinyl estradiol QL levonorgestrel/ethinyl estradiolQL levora 0.15/30-28 QL loryna QL low-ogestrel QL lutera QL lyza QL marlissa QL medroxyprogesterone acetate QL microgestin FE QL microgestin FE 1.5/30QL microgestin 1.5/30 QL microgestin 1/20QL mono-linyahQL mononessa QL my wayQL myzilra QL necon 0.5/35-28QL necon 1/35 QL necon 1/50-28 QL necon 10/11-28 QL necon 7/7/7 QL next choice QL next choice one dose QL nikki QL nora-be QL norethindrone QL norethindrone acetate/ethinyl estradiol QL norethindrone acetate/ethinyl estradiol/ferrous fumarate QL norgestimate/ethinyl estradiolQL norlyrocQL nortrel 0.5/35 (28)QL nortrel 1/35 QL nortrel 7/7/7 QL ocella QL ogestrel QL orsythia QL philithQL pimtrea QL pirmella 1/35QL pirmella 7/7/7 QL portia-28 QL previfem QL quasense QL reclipsen QL sharobel QL solia QL sprintec 28 QL sronyxQL syeda QL tarina FE 1/20 QL tilia FE QL tri-estarylla QL tri-legest FE QL tri-linyah QL tri-previfem QL tri-sprintecQL trinessa QL trivora-28 QL velivetQL vestura QL viorele QL vyfemla QL wera QL wymzya FE QL xulane QL zarah QL zenchentQL zenchent FE QL zeosa QL zovia 1/35e QL zovia 1/50e QL PREVENTIVE Nuvaring QL,PA PROGESTINS TIER 01 TIER 03 TIER 1 medroxyprogesterone acetate norethindrone acetate progesterone TIER 3 Megace ES ANTIDIABETIC AGENTS INSULIN TIER 02 TIER 03 TIER 2 Apidra Apidra Solostar Lantus Lantus Solostar Levemir Levemir Flexpen Levemir Flextouch Novolin N Novolin R Novolin 70/30 Novolog QL Novolog Flexpen QL Novolog Mix 70/30 QL Novolog Mix 70/30 Prefilled FlexpenQL Novolog Penfill QL TIER 3 Humalog QL Humalog Kwikpen QL Humalog Mix 50/50QL Humalog Mix 50/50 Kwikpen QL Humalog Mix 75/25QL Humalog Mix 75/25 Kwikpen QL Humulin R U-500 (concentrated)QL Humulin N Humulin N Kwikpen Humulin N U-100 Pen Humulin R Humulin 70/30 Humulin 70/30 Kwikpen Humulin 70/30 Pen AM YLIN ANALOGS TIER 3 TIER 03 Symlinpen 60 PA Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 7 SPECIALTY chorionic gonadotropinPA novarel PA pregnyl w/diluent benzyl alcohol/NACL PA Gonal-f RFF Pen PA Gonal-f RFF RedijectPA MenopurPA INCRETIN M IM ETIC AGENTS TIER 3 TIER 03 Bydureon PA Byetta PA,QL Victoza PA,QL SULFONYLUREAS TIER 1 TIER 01 chlorpropamide glimepiride glipizide glipizide ER glipizide XL glyburide glyburide micronized tolazamide tolbutamide BIGUANIDES TIER 01 TIER 1 metformin HCL metformin HCL ER LHRH/GNRH AGONIST TIER 03 GNRH/LHRH ANTAGONISTS TIER 04 TIER 04 DIABETIC OTHER TIER 2 TIER 02 ALPHA-GLUCOSIDASE INHIBIT TIER 1 TIER 01 TIER 03 acarbose TIER 3 Glyset DPP-4 INHIBITORS TIER 2 TIER 02 TIER 03 Januvia QL TIER 3 Onglyza PA,QL TradjentaPA,QL INSULIN SENSITIZING AGENT TIER 1 TIER 01 TIER 02 pioglitazone HCL TIER 2 Avandia SOMATOMEDINS TIER 04 BISPHOSPHONATES TIER 01 TIER 03 TIER 1 alendronate sodium etidronate disodium ibandronate sodiumQL risedronate sodium QL TIER 3 Actonel ST,QL Fosamax Plus DST,QL TIER 03 TIER 03 TIER 01 TIER 04 TIER 1 desmopressin acetate PROLACTIN INHIBITORS TIER 01 TIER 1 cabergoline VASOPRESSIN ANTAGONISTS TIER 04 SPECIALTY Samsca PA METABOLIC MODIFIERS TIER 01 TIER 02 TIER 03 TIER 1 calcitriol doxercalciferol paricalcitolQL TIER 2 Orfadin TIER 3 SensiparQL SPECIALTY Buphenyl PA THYROID AGENTS TIER 01 FERTILITY REGULATORS TIER 3 SomavertPA POSTERIOR PITUITARY TIER 04 SPECIALTY Forteo ST,QL TIER 3 Somatuline DepotQLPA GH RECEPTOR ANTAGONISTS PARATHYROID HORMONE TIER 04 SPECIALTY IncrelexPA SOMATOSTATIC AGENTS ANTIDIABETIC COM BINATIONS TIER 1 TIER 01 glipizide/metformin HCL glyburide/metformin HCL pioglitazone HCL/metformin HCL QL SPECIALTY Nutropin PA Nutropin AQ Nuspin 10 PA Nutropin AQ Nuspin 20 PA Nutropin AQ Nuspin 5 PA Nutropin AQ Pen PA nateglinide repaglinide Proglycem TIER 3 Glucagen Glucagen Hypokit Glucagon Emergency Kit SPECIALTY ganirelix acetate PA GROWTH HORMONES M EGLITINIDE ANALOGUES TIER 1 TIER 01 TIER 03 TIER 3 Synarel TIER 1 levothyroxine sodiumQL liothyronine sodium Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits:HCR= Health Care Reform Rules Apply 8 TIER 02 methimazole propylthiouracil unithroidQL NP thyroid QL NP thyroid 30 QL NP thyroid 60 QL NP thyroid 90 QL TIER 2 levothroidQL levoxyl QL Armour Thyroid QL Synthroid QL Thyrolar-1 Thyrolar-1/2 Thyrolar-1/4 Thyrolar-2 Thyrolar-3 Westhroid-p QL Wp Thyroid QL TIER 2 Carafate ANTIEMETICS TIER 01 TIER 03 DIGESTIVE AIDS TIER 01 GASTROINTESTINAL TIER 03 LAXATIVES TIER 02 TIER 03 PREVENTIVE gavilyte-c peg 3350/electrolytes TIER 1 constulose lactulose pegylax polyethylene glycol 3350 TIER 2 Kristalose TIER 3 Osmoprep PrepopikPA Suprep Bowel Prep TIER 01 TIER 1 diphenoxylate/atropine lofene lonox ULCER DRUGS TIER 01 TIER 1 atropine sulfate cimetidine dicyclomine HCL eq lansoprazole QL famotidine glycopyrrolate gnp lansoprazoleQL heartburn relief 24 HOURQL heartburn treatment 24 HOURQL kls lansoprazole QL lansoprazole QL methscopolamine bromide misoprostol nizatidine omeprazole pantoprazole sodium ra lansoprazoleQL rabeprazole sodium PA,QL ranitidine HCL sm lansoprazole QL sucralfate CVS lansoprazole QL HM lansoprazole QL TIER 02 TIER 1 pancrelipase TIER 3 Creon Pancreaze Pertzye Zenpep GASTROINTESTINAL - MISC. ANTIDIARRHEALS TIER 01 TIER 1 dronabinol granisetron HCL meclizine HCL ondansetron odt ondansetron HCL trimethobenzamide HCL univert TIER 3 AnzemetST,QL CesametPA Emend QL Transderm-scop TIER 02 TIER 03 TIER 04 TIER 1 balsalazide disodium calcium acetate cromolyn sodium enulose generlac lactulose mesalamine metoclopramide HCL procto-PAK sevelamer carbonateQL sulfasalazine sulfazine sulfazine EC ursodiol TIER 2 Dipentum TIER 3 Amitiza PA Canasa Delzicol QL Fosrenol Lialda LinzessPA LotronexQL Pentasa Phoslyra Rectiv Renagel Renvela QL SPECIALTY Cimzia Cimzia Starter Kit GENITOURINARY URINARY ANTI-INFECTIVES TIER 01 TIER 1 hyophen QL methenamine hippurate nitrofurantoin nitrofurantoin macrocrystals Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 9 TIER 02 nitrofurantoin monohydrate nitrofurantoin monohydrate/macrocrystals TIER 2 Monurol QL URINARY ANTISPASMODICS TIER 01 TIER 03 TIER 1 oxybutynin chloride oxybutynin chloride ERQL tolterodine tartrate tolterodine tartrate ER TIER 3 Detrol LA Myrbetriq ST,QL VAGINAL PRODUCTS TIER 02 PREVENTIVE encare vcf vaginal contraceptive foam TIER 1 clindamycin phosphate metronidazole vaginal terconazole vandazole zazole TIER 2 Crinone QL Premarin Vagifem GENITOURINARY - MISC. TIER 01 TIER 02 TIER 03 TIER 1 alfuzosin HCL ER cytra-k finasteride phenazopyridine HCL potassium citrate ER potassium citrate/citric acid tamsulosin HCL TIER 2 Cystagon Elmiron TIER 3 AvodartST Cardura XL QL Rapaflo PA HEMATOLOGICAL AGENTS HEMATOPOIETIC AGENTS PREVENTIVE bprotected pedia iron eq slow-release iron eql folic acid eql iron supplement therapy eql slow release iron ezfe 200 fa-8 feosol TIER 02 fer-iron ferate ferosul ferretts ferrex 150 ferric x-150 ferro-bob ferrocite ferrotabs ferrous drops ferrous fumarate ferrous fumarate 324 ferrous gluconate ferrous sulfate ferrousul ferus gnp folic acid gnp iron gnp slow release iron high potency iron iferex 150 iron iron chews pediatric iron slow release iron supplement iron supplement childrens kp ferrous gluconate kp ferrous sulfate kp folic acid meijer ferrous sulfate myferon 150 nu-iron 150 poly-iron 150 px folic acid px iron qc ferrous sulfate ra folic acid ra high potency iron ra iron ra slow release iron slow iron slow release iron sm folic acid sm iron sm iron slow release th folic acid th iron th slow release iron wee care yl folic acid CVS folic acid CVS iron CVS slow release iron FE aspartate FE gluconate FE TABS HM folic acid HM iron HM iron slow release TIER 1 folic acid QL FE c plus TIER 2 Droxia Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 10 TIER 04 SPECIALTY Aranesp Albumin Free QL Epogen QL Neulasta PA, QL Neupogen QL ProcritQL Promacta PA alprazolam odt alprazolam ER alprazolam XR buspirone HCL chlordiazepoxide HCL clorazepate dipotassium diazepam hydroxyzine pamoate hydroxyzine HCL lorazepam meprobamate oxazepam ANTIDEPRESSANTS TIER 01 ANTICOAGULANTS TIER 01 TIER 02 TIER 03 TIER 1 enoxaparin sodiumQL fondaparinux sodiumQL jantoven warfarin sodium TIER 2 EliquisQL Pradaxa QL Xarelto QL Xarelto Starter PackQL TIER 3 Fragmin PA,QL HEMATOLOGICAL - MISC. TIER 01 TIER 02 TIER 03 TIER 1 anagrelide hydrochloride cilostazol clopidogrelQL dipyridamole pentoxifylline ER ticlopidine HCL TIER 2 AggrenoxQL TIER 3 Brilinta PA,QL EffientPA,QL MOUTH/THROAT/DENTAL AGENT TIER 01 TIER 1 cevimeline HCL chlorhexidine gluconate chlorhexidine gluconate oral rinse clotrimazole lidocaine viscous lidocaine HCL viscous nystatin oralone paroex periogard pilocarpine hydrochloride pilocarpine HCL triamcinolone acetonide triamcinolone IN orabase NEUROLOGY, CNS, PSYCH ANTIANXIETY AGENTS TIER 01 TIER 1 alprazolam TIER 03 TIER 1 amitriptyline HCL amoxapine budeprion SR bupropion HCL bupropion HCL ER bupropion HCL SR bupropion HCL XL citalopram hydrobromide clomipramine HCL desipramine HCL doxepin HCL duloxetine HCL QL escitalopram oxalate fluoxetine DRPA fluoxetine HCL fluvoxamine maleate imipramine pamoate imipramine HCL mirtazapine mirtazapine odt nefazodone HCL nortriptyline HCL paroxetine HCL QL paroxetine HCL ERQL phenelzine sulfate protriptyline HCL sertraline HCL tranylcypromine sulfate trazodone HCL trimipramine maleate venlafaxine HCL venlafaxine HCL ERQL TIER 3 Emsam PA Marplan Pristiq PA Viibryd PA ANTIPSYCHOTICS TIER 01 TIER 1 chlorpromazine HCL clozapine compazine compro fluphenazine HCL haloperidol lithium lithium carbonate lithium carbonate ER loxapine loxapine succinate olanzapineQL olanzapine odtQL perphenazine Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 11 TIER 03 prochlorperazine prochlorperazine maleate quetiapine fumarateQL risperidone risperidone odt risperidone M-TAB thioridazine HCL thiothixene trifluoperazine HCL ziprasidone HCL QL TIER 3 AbilifyST,QL Fanapt Invega PA Latuda SaphrisPA Seroquel XRPA HYPNOTICS TIER 01 TIER 03 TIER 1 estazolam eszopiclone PA flurazepam HCL midazolam HCL phenobarbital temazepam triazolam zaleplon zolpidem tartrate zolpidem tartrate ER TIER 3 Rozerem PA ADHD, NARCOLEPSY, ETC. TIER 01 TIER 03 TIER 1 amphetamine/dextroamphetamine QL benzphetamine HCL dexedrine QL dexmethylphenidate HCL QL dextroamphetamine sulfate QL dextroamphetamine sulfate ERQL diethylpropion HCL ER methamphetamine HCL methylphenidate hydrochloride methylphenidate HCL QL,ST methylphenidate HCL CDQL,ST methylphenidate HCL ERQL,ST modafinilPA phentermine HCL zenzedi QL TIER 3 Daytrana PA Focalin XRPA IntunivPA Nuvigil PA Strattera PA Vyvanse PA TIER 02 TIER 03 ethosuximide felbamate gabapentin lamotrigine lamotrigine ERQL levetiracetam levetiracetam ER oxcarbazepine phenytoin phenytoin infatabs phenytoin sodium phenytoin sodium extended primidone tiagabine hydrochloride topiragen topiramate valproate sodium valproic acid zonisamide Lamictal Chewable Dispersible TIER 2 Celontin Dilantin Peganone TIER 3 Banzel Lamictal Starter/Not Taking Carbamazepine PA Lyrica PA,QL Onfi Potiga QL Sabril QL Stavzor Vimpat ANTIPARKINSON AGENTS TIER 01 TIER 02 TIER 03 TIER 1 amantadine HCL benztropine mesylate bromocriptine mesylate carbidopa carbidopa/levodopa carbidopa/levodopa odt carbidopa/levodopa ER carbidopa/levodopa/entacapone entacapone pramipexole dihydrochloride ropinirole ER ropinirole HCL selegiline HCL trihexyphenidyl HCL TIER 2 Tasmar TIER 3 Azilect Mirapex ERQL Neupro PA NEUROLOGY, PSYCH - MISC. ANTICONVULSANTS TIER 01 TIER 1 carbamazepine carbamazepine ER clonazepam clonazepam odt diazepam divalproex sodium divalproex sodium DR divalproex sodium ER epitol PREVENTIVE buproban QL bupropion HCL SRQL eq nicotineQL eq nicotine polacrilexQL eq nicotine step 3 QL eql nicotine QL eql nicotine polacrilexQL eql nicotine polacrilex refillQL eql nicotine polacrilex starterQL gnp nicotine polacrilexQL Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 12 TIER 04 kls quit2 QL kls quit4 QL nicoreliefQL nicotineQL nicotine polacrilexQL nicotine polacrilex refill QL nicotine polacrilex starter kitQL nicotine step 1 QL nicotine step 2 QL nicotine step 3 QL nicotine transdermal system QL px stop smoking aid QL ra mini nicotineQL ra nicotineQL ra nicotine polacrilexQL ra nicotine transdermal system step 3 QL sm nicotine QL sm nicotine polacrilexQL sw nicotine polacrilexQL tgt nicotine gum QL tgt nicotine polacrilexQL tgt nicotine step one QL tgt nicotine step three QL tgt nicotine step two QL thrive QL CVS nicotine QL CVS nicotine polacrilexQL CVS nicotine polacrilex starterQL CVS nicotine transdermal system QL CVS nts step 1 QL HM nicotine polacrilexQL HM nicotine transdermal system QL HM nicotine transdermal system step 3 QL SR nicotine gumQL TIER 1 acamprosate calcium DR disulfiram donepezil HCL ergoloid mesylates galantamine galantamine hydrobromide olanzapine/fluoxetine QL rivastigmine tartrate QL PREVENTIVE ChantixQL Chantix Continuing Month PAK QL Chantix Starting Month PAK QL TIER 2 Exelon QL Orap PREVENTIVE Nicotrol InhalerPA,QL TIER 3 HorizantPA Namenda ST Namenda Titration PAK ST Nuedexta PA Savella PA,QL Savella Titration PackPA SPECIALTY Ampyra PA Aubagio PA AvonexPA Avonex Pen PA Betaseron PA Copaxone PA Extavia PA Gilenya PA RebifPA Rebif Rebidose PA Rebif Rebidose Titration PackPA Rebif Titration PackPA Xenazine PA Xyrem PA NEUROMUSCULAR AGENTS TIER 01 TIER 1 riluzole MUSCULOSKELETAL AGENTS TIER 01 TIER 03 TIER 1 baclofen carisoprodol QL carisoprodol/aspirin QL carisoprodol/aspirin/codeine QL chlorzoxazone cyclobenzaprine HCL QL dantrolene sodium metaxalone methocarbamol orphenadrine citrate orphenadrine citrate ER orphenadrine/asa/caffeine tizanidine HCL TIER 3 Lorzone ANTIMYASTHENIC AGENTS TIER 01 TIER 02 TIER 1 guanidine HCL pyridostigmine bromide TIER 2 Mestinon Mestinon Timespan OPHTHALMOLOGY AND OTIC ANTI-INFECTIVES TIER 01 TIER 02 TIER 03 TIER 1 bacitracin QL ciprofloxacin HCL QL erythromycin QL garamycin QL gentak QL gentamicin sulfate QL ilotycin QL levofloxacinQL ofloxacin QL romycin QL sodium sulfacetamide QL sulfacetamide sodium QL tobramycin sulfateQL trifluridine QL TIER 2 Azasite QL Ciloxan QL Vigamox QL TIER 3 Besivance QL Moxeza QL Tobrex QL Zirgan QL BETA-BLOCKERS TIER 01 TIER 1 betaxolol HCL QL carteolol HCL QL dorzolamide HCL/timolol maleat QL L Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits HCR= Health Care Reform Rules Apply; 13 TIER 03 levobunolol HCL QL metipranolol QL timolol maleate QL timolol maleate ophthalmic gel forming QL TIER 3 Betoptic-s QL Combigan QL OPHTHALMICS - MISC. TIER 01 OPHTHALMIC STEROIDS TIER 01 TIER 02 TIER 03 TIER 1 dexamethasone sodium phosphate QL fluorometholone QL prednisolone acetate QL prednisolone sodium phosphate QL sulfacetamide sodium/prednisolone sodium phosphate QL TIER 2 Alrex QL Flarex QL Maxidex QL Tobradex QL TIER 3 Lotemax QL Pred Mild QL TIER 02 TIER 03 TIER 1 azelastine HCL QL bromfenac QL cromolyn sodium QL diclofenac sodium QL dorzolamide HCL QL epinastine HCL QL flurbiprofen sodium QL ketorolac tromethamine QL TIER 2 Alomide QL Azopt QL Ilevro QL Nevanac QL TIER 3 Acuvail QL Alocril QL Emadine QL Lastacaft QL Pataday QL Patanol QL OTIC AGENTS PROSTAGLANDINS TIER 01 TIER 02 TIER 03 TIER 01 TIER 1 latanoprost QL TIER 2 LumiganST, QL Travatan ZST, QL TIER 3 Zioptan PA, QL CYCLOPLEGIC MYDRIATICS TIER 01 TIER 1 atropine sulfate QL atropine-care QL cyclopentolate HCL QL homatropaire QL homatropine HBR QL mydral QL tropicamide QL DECONGESTANTS TIER 01 TIER 1 altafrin naphazoline HCL neofrin phenylephrine HCL MIOTICS TIER 01 TIER 03 TIER 1 pilocarpine HCL TIER 3 Phospholine Iodide ADRENERGIC AGENTS TIER 01 TIER 02 TIER 1 apraclonidine brimonidine tartrate TIER 2 Iopidine LOCAL ANESTHETICS TIER 01 TIER 1 parcaine proparacaine HCL TIER 02 TIER 03 TIER 1 acetasol HC acetic acid antipyrine/benzocaine aurodex ciprofloxacin fluocinolone acetonide fluocinolone acetonide ear drops hydrocortisone/acetic acid neomycin/polymyxin/hydrocortisone neomycin/polymyxin/HC ofloxacin TIER 2 Ciprodex Coly-mycin S Cortisporin-tc TIER 3 Cipro HCQL PAIN MANAGEMENT ANALGESICS - NONNARCOTIC PREVENTIVE adult aspirin EC low strength aspir-low aspir-81 aspirin aspirin adult low strength aspirin childrens aspirin enteric coated adult low strength aspirin low dose aspirin low strength aspirin EC aspirin EC low dose aspirin EC LO-dose aspirin 81 aspirtab bayer advanced aspirin regular strength bayer aspirin bayer aspirin regimen bayer aspirin EC low dose bayer chewable low dose bayer low dose childrens aspirin childrens aspirin low strength ecotrin low strength Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 14 ecpirin enteric coated aspirin eq adult aspirin low strength eq aspirin eq aspirin adult low dose eq aspirin low dose eq aspirin EC eq childrens aspirin eql adult aspirin low strength eql aspirin eql aspirin low dose eql aspirin EC eql childrens aspirin gnp adult aspirin low strength gnp aspirin gnp aspirin low dose gnp childrens aspirin goodsense aspirin low dose halfprin kls aspirin low dose kls aspirin EC kp aspirin meijer aspirin EC miniprin low dose norwich aspirin px aspirin px enteric aspirin qc aspirin qc aspirin low dose qc childrens aspirin ra aspirin ra aspirin adult low dose ra aspirin adult low strength ra aspirin childrens ra aspirin EC ra aspirin EC adult low strength ra childrens aspirin sm aspirin sm aspirin adult low strength sm aspirin enteric coated sm aspirin low dose sm aspirin EC low strength sm childrens aspirin st joseph aspirin tgt aspirin tgt aspirin low dose tgt childrens aspirin tgt enteric-coated aspirin th aspirin th aspirin low dose th enteric aspirin CVS aspirin CVS aspirin adult low dose CVS aspirin adult low strength CVS aspirin child CVS aspirin low dose CVS aspirin low strength CVS aspirin EC CVS childrens aspirin CVS enteric aspirin EC-81 aspirin HM aspirin HM aspirin EC HM aspirin EC low dose MM aspirin SB aspirin SB aspirin EC SB childrens aspirin SB low dose asa EC 1/2halfprin TIER 1 butal/asa/caff butalbital compound butalbital/acetaminophen/caffeine QL butalbital/asa/caffeine butalbital/aspirin/caffeine choline magnesium trisalicylate diflunisal repan QL salsalate zebutal PREVENTIVE Halfprin PREVENTIVE Adult Aspirin Low Strength Medi-seltzer ANALGESICS - OPIOID TIER 01 TIER 03 TIER 1 acetaminophen/caffeine/dihydrocodeine bitartrate QL acetaminophen/codeineQL acetaminophen/codeine #2 QL acetaminophen/codeine #3 QL acetaminophen/codeine #4 QL acetaminophen/codeine phosphate QL ascomp/codeine astramorph buprenorphine HCL buprenorphine HCL/naloxone HCL PA butalbital/acetaminophen/caffeine/codeine QL butalbital/aspirin/caffeine/codeine butorphanol tartrateQL codeine sulfate duramorph endocetQL fentanyl QL fentanyl citrate oral transmucosal PA hydrocodone bitartrate/acetaminophenQL hydrocodone/acetaminophen QL hydrocodone/ibuprofenQL hydromorphone HCL QL levorphanol tartrate lorcetQL lorcet plusQL lorcet HDQL lortab QL meperidine HCL meperitab methadone HCL methadose morphine sulfate QL morphine sulfate add-vantage QL morphine sulfate ERPA,QL oxycodone HCL QL oxycodone/acetaminophen QL oxycodone/ibuprofen QL oxymorphone hydrochloride QL,PA oxymorphone hydrochloride ER QL,PA pentazocine/acetaminophen pentazocine/naloxone HCL roxicetQL tramadol hydrochloride/acetaminophen QL tramadol HCL tramadol HCL ER TIER 3 Butrans Nucynta PA,QL Nucynta ERPA,QL Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 15 TIER 3 Colcrys ANTI-INFLAMMATORY TIER 01 TIER 02 TIER 03 TIER 04 TIER 1 diclofenac potassium diclofenac sodium DR diclofenac sodium ER diclofenac sodium/misoprostol etodolac etodolac ER fenoprofen calcium flurbiprofen ibuprofen indomethacin indomethacin ER ketoprofen ketoprofen ER ketorolac tromethamine leflunomide meclofenamate sodium mefenamic acid meloxicam nabumetone naproxen naproxen sodium naproxen DR oxaprozin piroxicam sulindac tolmetin sodium TIER 2 Ridaura TIER 3 ArcalystPA CelebrexPA,QL SPECIALTY Enbrel PA Enbrel SureclickPA Humira PA Humira Pediatric Crohns Disease Starter PackPA Humira Pen PA Humira Pen-crohns DiseasestarterPA Humira Pen-psoriasis StarterPA KineretPA SimponiPA Simponi Aria PA XeljanzPA LOCAL ANESTHETICS-INJ TIER 01 TIER 1 chloroprocaine HCL tetracaine HCL RESPIRATORY, ALLERGY, ETC ANTIHISTAMINES TIER 01 TIER 1 clemastine fumarate cyproheptadine HCL desloratadine dexchlorpheniramine maleate levocetirizine dihydrochloride phenadoz phenergan promethazine HCL promethazine HCL plain promethegan NASAL AGENTS TIER 01 TIER 02 TIER 03 TIER 1 azelastine HCL budesonide flunisolide fluticasone propionate ipratropium bromide triamcinolone acetonide TIER 2 Bactroban Nasal TIER 3 Beconase AQST NasonexST Tyzine Pediatric Nasal Drops VeramystPA Zetonna ST COUGH/COLD/ALLERGY TIER 01 TIER 1 dextromethorphan HBR/chlorpheniramine/phenylephrine HCL promethazine/codeine pulmosal sodium chloride MIGRAINE PRODUCTS TIER 01 TIER 02 TIER 03 TIER 1 naratriptan HCL rizatriptan benzoate QL rizatriptan benzoate odtQL sumatriptan QL sumatriptan succinateQL sumatriptan succinate refillQL zolmitriptanPA TIER 2 MigranalQL TIER 3 AxertPA Frova PA ImitrexQL RelpaxPA ANTIASTHMATIC/COPD AGENTS TIER 01 GOUT AGENTS TIER 01 TIER 1 allopurinol probenecid probenecid/colchicine TIER 03 TIER 02 TIER 1 albuterol sulfate albuterol sulfate ER aminophylline budesonide epinephrine HCL ipratropium bromide levalbuterol levalbuterol HCL metaproterenol sulfate montelukast sodium terbutaline sulfate theochron theophylline CR theophylline ER zafirlukast Pulmicort Flexhaler TIER 2 Advair DiskusQL Advair HFA QL Atrovent HFA Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 16 TIER 03 Flovent Diskus Flovent HFA Proair HFA Pulmicort Qvar Serevent Diskus Spiriva Handihaler Tudorza PressairQL Ventolin HFA TIER 3 Alvesco Arcapta Neohaler Asmanex Twisthaler 120 Metered Doses Asmanex Twisthaler 14 Metered Doses Asmanex Twisthaler 30 Me Tered Doses Asmanex Twisthaler 60 Metered Doses Brovana PA Daliresp PA Dulera QL Foradil Aerolizer Maxair Autohaler PerforomistQL Proventil HFA SymbicortQL Theo-24 Xopenex HFA PA Zyflo CRQL Flucelvax 2012-2013 Flucelvax 2013-2014 Flucelvax 2014-2015 Flulaval Quadrivalent 2013-2014 Flulaval Quadrivalent 2014-2015 Flulaval 2012-2013 Flulaval 2013-2014 Flulaval 2014-2015 Flumist Nasal Vaccine 2012-2013 Flumist Quadrivalent Fluvirin PF 2012-2013 Fluvirin PF 2013-2014 Fluvirin PF 2014-2015 Fluvirin 2012-2013 Fluvirin 2013-2014 Fluvirin 2014-2015 Fluzone High-dose PF 2012-2013 Fluzone High-dose PF 2013-2014 Fluzone High-dose PF 2014-2015 Fluzone Intradermal Fluzone Pediatric PF 2012-2013 Fluzone Pediatric PF 2013-2014 Fluzone PF 2012-2013 Fluzone PF 2013-2014 Fluzone PF 2014-2015 Fluzone Quadrivalent 2013-2014 Fluzone Quadrivalent 2014-2015 Fluzone Split 2012-2013 Fluzone Split 2013-2014 Fluzone Split 2014-2015 RESPIRATORY AGENTS - MISC TIER 04 SPECIALTY Kalydeco PA VACCINES PREVENTIVE influenza a (h1n1) monovalent 2009 pneumovax 23/1 dose pneumovax 23/5 dose Afluria PF 2012-2013 Afluria PF 2013-2014 Afluria PF 2014-2015 Afluria 2012-2013 Afluria 2013-2014 Afluria 2014-2015 Fluarix Quadrivalent 2013-2014 Fluarix Quadrivalent 2014-2015 Fluarix 2012-2013 Fluarix 2013-2014 Fluarix 2014-2015 Flublok 2013-2014 Flublok 2014-2015 VITAMINS VITAMINS PREVENTIVE aqueous vitamin d infants bio-d-mulsion bio-d-mulsion forte bprotected pedia d-vite d 1000 d 10000 d 400 d 5000 d-vita Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply 17 d-1000 d-1000 extra strength d-3-5 d-400 d-5000 d-5000 maximum strength delta d3 dialyvite vitamin d 5000 d2000 ultra strength d3 d3 adult d3 high potency d3 kids d3 maximum strength d3 super strength d3 ultra strength d3-1000 d3-50 eql childrens vitamin d gummies eql vitamin d-3 eql vitamin d3 gnp vitamin d gnp vitamin d super strength gnp vitamin d3 extra strength healthy kids vitamin d3 just d kp vitamin d maximum d3 nat-rul vitamin d optimal-d optimal-d pack opurity vitamin d pronutrients vitamin d3 ra vitamin d-3 sm vitamin d sm vitamin d3 th vitamin d3 vitamin d high potency vitamin d 400 vitamin d-1000 vitamin d-1000 maximum strength vitamin d-3 vitamin d-400 vitamin d3 vitamin d3 adult gummies vitamin d3 high potency vitamin d3 maximum strength vitamin d3 400 CVS childrens vitamin d for bone health CVS vitamin d CVS vitamin d infants CVS vitamin d 5000 high-potency CVS vitamin d3 HM vitamin d HM vitamin d3 PA vitamin d-3 PA vitamin d-3 gummy TIER 1 ergocalciferolQL vitamin d QL PREVENTIVE CVS Vitamin D3 Ddrops Dialyvite Vitamin D3 Max D3 Dots HM Vitamin D3 Replesta Childrens Replesta Nx Sm Vitamin D3 Maximum Strength Super Daily D3 MULTIVITAMINS PREVENTIVE classic prenatal eql prenatal formula gnp prenatal vitamins mission prenatal HP nat-rul prenatal vitamins perry prenatal pre-natal formula prenatal prenatal and iron prenatal formula prenatal forte prenatal vitamins px prenatal multivitamins ra prenatal sm prenatal vitamins CVS prenatal TIER 1 mynephrocapsQL renal QL renalpren QL reno CAPS QL triphrocapsQL virt-CAPS QL PREVENTIVE Atabex Prenatal Brainstrong Prenatal Centrum Specialist Prenatal CVS Prenatal CVS Prenatal Gummy/DHA/Folic Acid CVS Prenatal Multi+dha Enfamil Expecta Gnp Daily Prenatal Gnp Prenatal Goodsense Prenatal Vitamins Healthy Mama Be Well Rounded HM One Daily Prenatal Combo HM Prenatal Kp Prenatal Multivitamins Mission Prenatal One A Day Womens Prenatal/DHA One-a-day Womens Prenatal Prenatal Prenatal Complete Prenatal Formula Prenatal Multi +dha Prenatal Multivitamin + DHA Prenatal Plus DHA Prenatal/Omega-3/Folic Acid/Iron PA Prenatal Formula Qc Prenatal Ra One Daily Ra Prenatal Formula/Folicacid Similac Prenatal Early Shield Sm One Daily Prenatal Sm Prenatal Vitamins Stuart One Stuart Prenatal Stuart Prenatal + DHA Th Prenatal Vitamins Your Life Multi Prenatal Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; HCR= Health Care Reform Rules Apply HCR= Health Care Reform Rules Apply 18 MISCELLANEOUS AGENTS TIER 2 Chemet SPECIALTY Exjade PA Effective January 1, 2015 PA=Prior Auth Required; ST =Step T herapy; QL=Quantity Limits; 19 Index ala cort, 5 Albenza, 2 abacavir, 1 albuterol sulfate, 16 abacavir sulfate/lamivudine/zidovudine, 1 albuterol sulfate ER, 16 Abilify, 12 alclometasone dipropionate, 5 acamprosate calcium DR, 13 alendronate sodium, 8 acarbose, 8 alfuzosin HCL ER, 10 acebutolol HCL, 3 Alinia, 2 acetaminophen/caffeine/dihydrocodeine Alkeran, 2 bitartrate, 15 allopurinol, 16 acetaminophen/codeine, 15 Alocril, 14 acetaminophen/codeine #2, 15 Alomide, 14 acetaminophen/codeine #3, 15 Alora, 6 acetaminophen/codeine #4, 15 alphatrex, 5 acetaminophen/codeine phosphate, 15 alprazolam, 11 acetasol HC, 14 alprazolam ER, 11 acetazolamide, 4 alprazolam odt, 11 acetazolamide ER, 4 alprazolam XR, 11 acetic acid, 14 Alrex, 14 Acthib, 17 Altabax, 5 acticin, 6 altafrin, 14 Actimmune, 3 altavera, 6 Actonel, 8 Alvesco, 17 Acuvail, 14 alyacen 1/35, 6 acyclovir, 1, 5 alyacen 7/7/7, 6 Aczone, 5 amantadine HCL, 12 Adacel, 17 amcinonide, 5 adapalene, 5 amethia, 6 adefovir dipivoxil, 1 amethia LO, 6 Adrenaclick, 4 amethyst, 6 adult aspirin EC low strength, 14 amiloride HCL, 4 Adult Aspirin Low Strength, 15 amiloride/hydrochlorothiazide, 4 Advair Diskus, 16 aminophylline, 16 Advair HFA, 16 amiodarone HCL, 3 Advicor, 4 Amitiza, 9 Advocate Insulin Pen Needles amitriptyline HCL, 11 31GX5MM, 19 amlodipine besylate, 3 Advocate Insulin Pen Needles amlodipine besylate/benazepril HCL, 4 31GX8MM, 19 amlodipine besylate/benazepril Advocate Insulin Syringe/Uhydrochloride, 4 100/0.3ML/29GX1/2", 19 ammonium lactate, 6 Advocate Insulin Syringe/Uamoxapine, 11 100/0.3ML/30GX5/16", 19 amoxicillin, 1 Advocate Insulin Syringe/Uamoxicillin/clavulanate potassium, 1 100/0.3ML/31GX5/16", 19 amoxicillin/clavulanate potassium ER, 1 Advocate Insulin Syringe/Uamphetamine/dextroamphetamine, 12 100/0.5ML/29GX1/2", 19 ampicillin, 1 Advocate Insulin Syringe/UAmpyra, 13 100/0.5ML/30GX5/16", 19 anagrelide hydrochloride, 11 Advocate Insulin Syringe/Uanastrozole, 2 100/0.5ML/31GX5/16", 19 Androgel, 6 Advocate Insulin Syringe/UAndrogel P.M., 6 100/1ML/29GX1/2", 19 anti-stick insulin syringe/uAdvocate Insulin Syringe/U100/0.5ML/28G X 1/2", 19 100/1ML/30GX5/16", 19 anti-stick insulin syringe/uAdvocate Insulin Syringe/U100/0.5ML/29G X 1/2", 19 100/1ML/31GX5/16", 19 anti-stick insulin syringe/u-100/1ML/29G afeditab CR, 3 X 1/2", 19 Afinitor, 3 antipyrine/benzocaine, 14 Afluria 2012-2013, 17 Anzemet, 9 Afluria 2013-2014, 17 apexicon, 5 Afluria 2014-2015, 17 apexicon e, 5 Afluria PF 2012-2013, 17 Apidra, 7 Afluria PF 2013-2014, 17 Apidra Solostar, 7 Afluria PF 2014-2015, 17 apraclonidine, 14 Aggrenox, 11 A apri, 6 Aptivus, 2 aqueous vitamin d infants, 17 aranelle, 6 Aranesp Albumin Free, 11 Arcalyst, 16 Arcapta Neohaler, 17 Armour Thyroid, 9 ascomp/codeine, 15 Asmanex Twisthaler 120 Metered Doses, 17 Asmanex Twisthaler 14 Metered Doses, 17 Asmanex Twisthaler 30 Me Tered Doses, 17 Asmanex Twisthaler 60 Metered Doses, 17 aspir-81, 14 aspir-low, 14 aspirin, 14 aspirin 81, 14 aspirin adult low strength, 14 aspirin childrens, 14 aspirin EC, 14 aspirin EC LO-dose, 14 aspirin EC low dose, 14 aspirin enteric coated adult low strength, 14 aspirin low dose, 14 aspirin low strength, 14 aspirtab, 14 Assure ID Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 19 Assure ID Insulin Safety Syringe/U100/1ML/29G X 1/2", 19 astramorph, 15 Atabex Prenatal, 18 atenolol, 3 atenolol/chlorthalidone, 4 atorvastatin calcium, 4 atovaquone, 2 atovaquone/proguanil HCL, 2 Atripla, 2 atropine sulfate, 9, 14 atropine-care, 14 Atrovent HFA, 16 Aubagio, 13 aubra, 6 augmented betamethasone dipropionate, 5 aurodex, 14 Aurora Pen Needles 29GX12MM, 19 Aurora Pen Needles 31G X 6MM, 19 Aurora Pen Needles 31G X 8MM, 19 Aurora Unifine Pentips/32GX5/32", 19 Aurora Unifine Pentips/Mini/31GX3/16", 19 Auvi-q, 4 Avandia, 8 aviane, 6 avita, 5 Avodart, 10 Avonex, 13 Avonex Pen, 13 Axert, 16 Azasite, 13 azathioprine, 2 azelastine HCL, 14, 16 Azilect, 12 azithromycin, 1 Azopt, 14 azurette, 6 B baciim, 2 bacitracin, 2, 13 baclofen, 13 Bactroban Nasal, 16 balsalazide disodium, 9 balziva, 6 Banzel, 12 bayer advanced aspirin regular strength, 14 bayer aspirin, 14 bayer aspirin EC low dose, 14 bayer aspirin regimen, 14 bayer chewable low dose, 14 bayer low dose, 14 BD Autoshield 29G X 1/2", 19 BD Autoshield 29G X 3/16", 19 BD Autoshield 29G X 5/16", 19 BD Autoshield Duo 30G X 3/16", 19 BD Insulin Syringe LUER-LOK/U100/1ML, 19 BD Insulin Syringe Microfine IV/U100/0.3ML/28G X 1/2", 19 BD Insulin Syringe Microfine IV/U100/0.5ML/28G X 1/2", 19 BD Insulin Syringe Microfine IV/U100/1ML/27G X 5/8", 19 BD Insulin Syringe Microfine IV/U100/1ML/28G X 1/2", 19 BD Insulin Syringe Microfine/U100/0.3ML/28G X 1/2", 19 BD Insulin Syringe Microfine/U100/0.5ML/28G X 1/2", 19 BD Insulin Syringe Microfine/U100/1ML/27G X 5/8", 19 BD Insulin Syringe Microfine/U100/1ML/28G X 1/2", 19 BD Insulin Syringe Safetyglide/0.5ML/29G X 1/2", 19 BD Insulin Syringe Safetyglide/1ML/29G X 1/2", 19 BD Insulin Syringe Safetyglide/U100/0.3ML/31G X 5/16", 19 BD Insulin Syringe Slip Tip/U-100/1ML, 19 BD Insulin Syringe U-40/1ML/25G X 5/8", 19 BD Insulin Syringe Ultrafine Halfunit/0.3ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine II/SHORT/0.5ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine II/SHORT/1ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/0.3ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/0.3ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/0.5ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/0.5ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/1ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/1ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/U100/0.3ML/29G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/0.3ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/0.3ML/31G X 15/64", 19 BD Insulin Syringe Ultrafine/U100/0.3ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/U100/0.5ML/29G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/0.5ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/0.5ML/31G X 15/64", 19 BD Insulin Syringe Ultrafine/U100/0.5ML/31G X 5/16", 19 BD Insulin Syringe Ultrafine/U100/1ML/29G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/1ML/30G X 1/2", 19 BD Insulin Syringe Ultrafine/U100/1ML/31G X 15/64", 19 BD Insulin Syringe Ultrafine/U100/1ML/31G X 5/16", 19 BD Insulin Syringe/Detachable Needle/U100/1ML/25G X 1", 19 BD Insulin Syringe/Detachable Needle/U100/1ML/25G X 5/8", 19 BD Insulin Syringe/Detachable Needle/U100/1ML/26G X 1/2", 19 BD Insulin Syringe/U-100/0.5ML/30G X 1/2", 19 BD Insulin Syringe/U-100/1ML/27G X 1/2", 19 BD Insulin Syringe/U-100/1ML/28G X 1/2", 19 BD Insulin Syringe/U-100/2ML/27.5G X 5/8", 19 BD Insulin Syringe/U-100/2ML/29G X 1/2", 19 BD Integra Insulin Syringe/U100/1ML/29G X 1/2", 19 BD Integra Syringe/Retracting Needle/1ML/25G X 1", 19 BD LO-dose Insulin Syringe Microfine IV/0.5ML/28G X 1/2", 19 BD Pen Needle/Mini/Ultrafine/31G X 3/16", 19 BD Pen Needle/Nano/Ultra Fine/32G X 4MM, 19 BD Pen Needle/SHORT/Ultrafine/31G X 5/16", 19 BD Pen Needle/Ultrafine/29G X 12.7MM, 19 BD Pen Needle/Ultrafine/29GX1/2" 12.7MM, 19 BD Pen Needles SHORT/Ultrafine/31G X 5/16", 19 BD Safety-lok Insulin Syringe/Perm Needle/UF/1ML/29G X 1/2", 19 BD Safetyglide Insulin Sysyringe/0.5ML/30G X 5/16", 19 Beconase AQ, 16 benazepril HCL, 4 benazepril HCL/hydrochlorothiazide, 4 benzepro, 5 benzepro SHORT contact, 5 benziq wash, 5 benzoyl peroxide, 5 benzoyl peroxide SHORT contact, 5 benzphetamine HCL, 12 benztropine mesylate, 12 Besivance, 13 betamethasone dipropionate, 5 betamethasone valerate, 5 Betaseron, 13 betaxolol HCL, 3, 13 Betoptic-s, 14 bicalutamide, 2 bio-d-mulsion, 17 bio-d-mulsion forte, 17 bisoprolol fumarate, 3 bisoprolol fumarate/hydrochlorothiazide, 4 Boostrix, 17 Bosulif, 3 bp foam, 5 bp wash, 5 bpo, 5 bprotected pedia d-vite, 17 bprotected pedia iron, 10 Brainstrong Prenatal, 18 briellyn, 6 Brilinta, 11 brimonidine tartrate, 14 bromfenac, 14 bromocriptine mesylate, 12 Brovana, 17 budeprion SR, 11 budesonide, 6, 16(2) bumetanide, 4 Buphenyl, 8 buprenorphine HCL, 15 buprenorphine HCL/naloxone HCL, 15 buproban, 12 bupropion HCL, 11 bupropion HCL ER, 11 bupropion HCL SR, 11, 12 bupropion HCL XL, 11 buspirone HCL, 11 butal/asa/caff, 15 butalbital compound, 15 butalbital/acetaminophen/caffeine, 15 butalbital/acetaminophen/caffeine/codein e, 15 butalbital/asa/caffeine, 15 butalbital/aspirin/caffeine, 15 butalbital/aspirin/caffeine/codeine, 15 butorphanol tartrate, 15 Butrans, 15 Bydureon, 8 Byetta, 8 Bystolic, 3 C cabergoline, 8 calcipotriene, 5 calcitrene, 5 calcitriol, 5, 8 calcium acetate, 9 camila, 6 camrese, 6 camrese LO, 6 Canasa, 9 candesartan cilexetil/hydrochlorothiazide, 4 capecitabine, 2 Capex, 5 Caprelsa, 3 captopril, 4 captopril/hydrochlorothiazide, 4 Carafate, 9 carbamazepine, 12 carbamazepine ER, 12 carbidopa, 12 carbidopa/levodopa, 12 carbidopa/levodopa ER, 12 carbidopa/levodopa odt, 12 carbidopa/levodopa/entacapone, 12 Cardura XL, 10 Carefine Pen Needles 29GX1/2", 19 Carefine Pen Needles 30GX5/16", 19 Carefine Pen Needles 31GX6MM, 19 Careone Ultiguard Insulin Syringe/0.3ML/29G X 1/2", 19 Careone Ultiguard Insulin Syringe/0.3ML/30G X 5/16", 19 Careone Ultiguard Insulin Syringe/0.5ML/29G X 1/2", 19 Careone Ultiguard Insulin Syringe/0.5ML/30G X 5/16", 19 Careone Ultiguard Insulin Syringe/1ML/29G X 1/2", 19 Careone Ultiguard Insulin Syringe/1ML/30G X 5/16", 19 Careone Unifine Pentips 29GX12MM, 19 Careone Unifine Pentips 31GX5MM, 19 Careone Unifine Pentips 31GX6MM, 19 Careone Unifine Pentips 31GX8MM, 19 Careone Unifine Pentips Pen Needles 32GX4MM, 19 Careone Unifine Pentips Plus Pen Needles 29GX12MM, 19 Careone Unifine Pentips Plus Pen Needles 31GX5MM, 19 Careone Unifine Pentips Plus Pen Needles 31GX6MM, 19 Careone Unifine Pentips Plus Pen Needles 31GX8MM, 19 Careone Unifine Pentips Plus Pen Needles 32GX4MM, 19 carisoprodol, 13 carisoprodol/aspirin, 13 carisoprodol/aspirin/codeine, 13 carteolol HCL, 13 cartia XT, 3 carvedilol, 3 Cayston, 2 caziant, 6 Cedax, 1 cefaclor, 1 cefaclor ER, 1 cefadroxil, 1 cefdinir, 1 cefpodoxime proxetil, 1 cefprozil, 1 cefuroxime axetil, 1 Celebrex, 16 Cellcept, 3 Celontin, 12 Cenestin, 6 centany, 5 Centrum Specialist Prenatal, 18 cephalexin, 1 Cervarix, 17 Cesamet, 9 cesia, 6 cevimeline HCL, 11 Chantix, 13 Chantix Continuing Month PAK, 13 Chantix Starting Month PAK, 13 chateal, 6 Chemet, 25 childrens aspirin, 14 childrens aspirin low strength, 14 chlordiazepoxide HCL, 11 chlorhexidine gluconate, 11 chlorhexidine gluconate oral rinse, 11 chloroprocaine HCL, 16 chloroquine phosphate, 2 chlorothiazide, 4 chlorpromazine HCL, 11 chlorpropamide, 8 chlorthalidone, 4 chlorzoxazone, 13 cholestyramine, 4 cholestyramine light, 4 choline magnesium trisalicylate, 15 chorionic gonadotropin, 8 Cialis, 4 ciclodan, 5 ciclopirox, 5 ciclopirox nail lacquer, 5 ciclopirox olamine, 5 cilostazol, 11 Ciloxan, 13 cimetidine, 9 Cimzia, 9 Cimzia Starter Kit, 9 Cipro HC, 14 Ciprodex, 14 ciprofloxacin, 1, 14 ciprofloxacin ER, 1 ciprofloxacin HCL, 1, 13 citalopram hydrobromide, 11 claravis, 5 clarithromycin, 1 clarithromycin ER, 1 classic prenatal, 18 clearplex x, 5 clemastine fumarate, 16 Clever Choice Comfort EZ Insulin Pen Needles 31GX8MM, 20 Clever Choice Comfort EZ Insulin Syringe/0.3ML/29G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/0.3ML/30G X 5/16", 20 Clever Choice Comfort EZ Insulin Syringe/0.3ML/31G X 5/16", 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/28G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/29G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/30G X 5/16", 20 Clever Choice Comfort EZ Insulin Syringe/0.5ML/31G X 5/16", 20 Clever Choice Comfort EZ Insulin Syringe/1.0ML/30G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/1ML/28G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/1ML/29G X 1/2", 20 Clever Choice Comfort EZ Insulin Syringe/1ML/30G X 5/16", 20 Clever Choice Comfort EZ Insulin Syringe/U-100/1ML/31GX5/16", 20 Clever Choice Comfort EZ Pen Needles 31GX5MM, 20 Clever Choice Comfort EZ Pen Needles 31GX6MM, 20 Clever Choice Comfort EZ Pen Needles 32GX4MM, 20 Clickfine Pen Needle 32GX5/32", 20 Clickfine Pen Needle Universal/31GX1/4", 20 Clickfine Pen Needle Universal/31GX5/16", 20 Clickfine Pen Needles/31GX1/4", 20 Clickfine Pen Needles/31GX5/16", 20 Clickfine Universal Pen Needles 31GX1/4", 20 Clickfine Universal Pen Needles 31GX5/16", 20 Climara Pro, 6 clindacin etz pledgets, 5 clindacin-p, 5 clindamax, 5 clindamycin HCL, 2 clindamycin palmitate HCL, 2 clindamycin phosphate, 5, 10 clindamycin/benzoyl peroxide, 5 clobetasol propionate, 5 clobetasol propionate e, 5 clobetasol propionate emollient, 5 clodan, 5 Cloderm, 5 Cloderm P.M., 5 clomipramine HCL, 11 clonazepam, 12 clonazepam odt, 12 clonidine HCL, 4 clopidogrel, 11 clorazepate dipotassium, 11 clotrimazole, 11 clotrimazole/betamethasone dipropionate, 5 clozapine, 11 Coartem, 2 codeine sulfate, 15 Colcrys, 16 colestipol HCL, 4 colestipol HCL for oral suspension, 4 Coly-mycin S, 14 Combigan, 14 Combipatch, 6 compazine, 11 Complera, 2 compro, 11 Comvax, 17 constulose, 9 Copaxone, 13 Cordran, 5 Cordran Tape, 5 cormax scalp application, 5 cortisone acetate, 6 Cortisporin, 5 Cortisporin-tc, 14 Creon, 9 Crestor, 4 Crinone, 10 Crixivan, 2 cromolyn sodium, 9, 14 cryselle-28, 6 CVS aspirin, 15 CVS aspirin adult low dose, 15 CVS aspirin adult low strength, 15 CVS aspirin child, 15 CVS aspirin EC, 15 CVS aspirin low dose, 15 CVS aspirin low strength, 15 CVS childrens aspirin, 15 CVS childrens vitamin d for bone health, 18 CVS enteric aspirin, 15 CVS folic acid, 10 CVS Insulin Syringe/0.3ML/29G X 1/2", 20 CVS insulin syringe/0.3ML/30G X 1/2", 19 CVS Insulin Syringe/0.5ML/29G X 1/2", 20 CVS Insulin Syringe/0.5ML/30G X 1/2", 20 CVS Insulin Syringe/1ML/29G X 1/2", 20 CVS iron, 10 CVS lansoprazole, 9 CVS nicotine, 13 CVS nicotine polacrilex, 13 CVS nicotine polacrilex starter, 13 CVS nicotine transdermal system, 13 CVS nts step 1, 13 CVS prenatal, 18 CVS Prenatal, 18 CVS Prenatal Gummy/DHA/Folic Acid, 18 CVS Prenatal Multi+dha, 18 CVS slow release iron, 10 CVS Slow Release Iron, 10 CVS vitamin d, 18 CVS vitamin d 5000 high-potency, 18 CVS vitamin d infants, 18 CVS vitamin d3, 18 CVS Vitamin D3, 18 cyclafem 1/35, 6 cyclafem 7/7/7, 6 cyclobenzaprine HCL, 13 cyclopentolate HCL, 14 cyclophosphamide, 2 cycloserine, 1 cyclosporine, 2 cyclosporine modified, 2 cyproheptadine HCL, 16 Cystagon, 10 cytra-k, 10 D d 1000, 17 d 10000, 17 d 400, 17 d 5000, 17 d-1000, 18 d-1000 extra strength, 18 d-3-5, 18 d-400, 18 d-5000, 18 d-5000 maximum strength, 18 d-vita, 17 d2000 ultra strength, 18 d3, 18 d3 adult, 18 D3 Dots, 18 d3 high potency, 18 d3 kids, 18 d3 maximum strength, 18 d3 super strength, 18 d3 ultra strength, 18 d3-1000, 18 d3-50, 18 Daliresp, 17 danazol, 6 dantrolene sodium, 13 dapsone, 2 Daptacel, 17 Daraprim, 2 dasetta 1/35, 6 dasetta 7/7/7, 6 daysee, 6 Daytrana, 12 Ddrops, 18 deblitane, 6 delta d3, 18 delyla, 6 Delzicol, 9 demeclocycline HCL, 1 Denavir, 5 Depo-provera, 2 desipramine HCL, 11 desloratadine, 16 desmopressin acetate, 8 desogestrel/ethinyl estradiol, 6 Desonate, 5 desonide, 5 Detrol LA, 10 dexamethasone, 6 Dexamethasone Intensol, 6 dexamethasone sodium phosphate, 14 dexchlorpheniramine maleate, 16 dexedrine, 12 dexmethylphenidate HCL, 12 dextroamphetamine sulfate, 12 dextroamphetamine sulfate ER, 12 dextromethorphan HBR/chlorpheniramine/phenylephrine HCL, 16 dialyvite vitamin d 5000, 18 Dialyvite Vitamin D3 Max, 18 diazepam, 11, 12 Dibenzyline, 4 diclofenac potassium, 16 diclofenac sodium, 14 diclofenac sodium DR, 16 diclofenac sodium ER, 16 diclofenac sodium/misoprostol, 16 dicloxacillin sodium, 1 dicyclomine HCL, 9 didanosine, 1 diethylpropion HCL ER, 12 Dificid, 1 diflorasone diacetate, 5 diflunisal, 15 digox, 3 digoxin, 3 Dilantin, 12 dilt-CD, 3 diltiazem CD, 3 diltiazem HCL, 3 diltiazem HCL CD, 3 diltiazem HCL ER, 3 diltzac, 3 Dipentum, 9 diphenoxylate/atropine, 9 dipyridamole, 11 disopyramide phosphate, 3 disulfiram, 13 divalproex sodium, 12 divalproex sodium DR, 12 divalproex sodium ER, 12 Divigel, 6 donepezil HCL, 13 dorzolamide HCL, 14 dorzolamide HCL/timolol maleate, 13 doxazosin mesylate, 4 doxepin HCL, 11 doxercalciferol, 8 doxycycline hyclate, 1 doxycycline monohydrate, 1 dronabinol, 9 drospirenone/ethinyl estradiol, 6 Droxia, 10 Drug Mart Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 20 Drug Mart Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 20 Drug Mart Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 20 Drug Mart Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 20 Drug Mart Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 20 Drug Mart Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 20 Drug Mart Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 20 Drug Mart Unifine Pentips 31GX5MM, 20 Drug Mart Unifine Pentips29G X 12MM, 20 Drug Mart Unifine Pentips31GX6MM, 20 Drug Mart Unifine Pentips31GX8MM, 20 Drug Mart Unifine Pentips32GX4MM, 20 Drug Mart Unifine Pentipsplus 32GX4MM, 20 Duane Reade Unifine Pentips 29G X 12MM, 20 Duane Reade Unifine Pentips 31G X 6MM Ultra SHORT, 20 Duane Reade Unifine Pentips 31G X 8MM SHORT, 20 Dulera, 17 duloxetine HCL, 11 duramorph, 15 Dyrenium, 4 E e.e.s. 400, 1 E.e.s. Granules, 1 Easy Comfort Insulin Syringe/0.3ML/30G X 5/16", 20 Easy Comfort Insulin Syringe/0.5ML/30G X 5/16", 20 Easy Comfort Insulin Syringe/1ML/30G X 5/16", 20 Easy Comfort Insulin Syringe/U100/0.5ML/30G X 1/2", 20 Easy Comfort Insulin Syringe/U100/1ML/30G X 1/2", 20 Easy Comfort Pen Needles 31GX3/16", 20 Easy Comfort Pen Needles 31GX5/16", 20 Easy Comfort Pen Needles 32GX5/32", 20 Easy Touch 32GX5MM, 20 Easy Touch 32GX6MM, 20 Easy Touch Insulin Syringe/0.3ML/30G X 5/16", 20 Easy Touch Insulin Syringe/0.3ML/31G X 5/16", 20 Easy Touch Insulin Syringe/0.5ML/29G X 1/2", 20 Easy Touch Insulin Syringe/0.5ML/30G X 5/16", 20 Easy Touch Insulin Syringe/1ML/30G X 5/16", 20 Easy Touch Insulin Syringe/Safety/U100/0.5ML/29G X 1/2", 20 Easy Touch Insulin Syringe/Safety/U100/0.5ML/30G X 5/16", 20 Easy Touch Insulin Syringe/Safety/U100/1ML/29G X 1/2", 20 Easy Touch Insulin Syringe/Safety/U100/1ML/30G X 1/2", 20 Easy Touch Insulin Syringe/U100/0.3ML/30G X 1/2", 20 Easy Touch Insulin Syringe/U100/0.5ML/27G X 1/2", 20 Easy Touch Insulin Syringe/U100/0.5ML/28G X 1/2", 20 Easy Touch Insulin Syringe/U100/0.5ML/30G X 1/2", 20 Easy Touch Insulin Syringe/U100/0.5ML/31G X 5/16", 20 Easy Touch Insulin Syringe/U100/1ML/27G X 1/2", 20 Easy Touch Insulin Syringe/U100/1ML/28G X 1/2", 20 Easy Touch Insulin Syringe/U100/1ML/29G X 1/2", 20 Easy Touch Insulin Syringe/U100/1ML/30G X 1/2", 20 Easy Touch Insulin Syringe/U100/1ML/31G X 5/16", 20 Easy Touch Pen Needles 29GX1/2", 20 Easy Touch Pen Needles 31GX1/4", 20 Easy Touch Pen Needles 31GX5/16", 20 Easy Touch Pen Needles 32GX1/4", 20 Easy Touch Pen Needles 32GX3/16", 20 Easy Touch Pen Needles 32GX5/32", 20 Easy Touch Pen Needles/31G X 3/16", 20 EC-81 aspirin, 15 econazole nitrate, 5 ecotrin low strength, 14 ecpirin, 15 Edecrin, 4 Edurant, 2 Effient, 11 Elestrin, 6 Elidel, 6 elinest, 6 Eliquis, 11 Elite Iron, 10 Elite-thin Insulin Syringe/0.3ML/31G X 5/16", 20 Elite-thin Insulin Syringe/0.5ML/29G X 1/2", 20 Elite-thin Insulin Syringe/0.5ML/30G X 5/16", 20 Elite-thin Insulin Syringe/1ML/29G X 5/16", 20 Elite-thin Insulin Syringe/1ML/30G X 5/16", 20 Elite-thin Insulin Syringe/U100/0.5ML/28G X 1/2", 20 Elite-thin Insulin Syringe/U100/0.5ML/28G X 5/16", 20 Elite-thin Insulin Syringe/U100/0.5ML/29G X 5/16", 20 Elite-thin Insulin Syringe/U100/0.5ML/31G X 5/16", 20 Elite-thin Insulin Syringe/U-100/1ML/28G X 1/2", 20 Elite-thin Insulin Syringe/U-100/1ML/28G X 5/16", 20 Elite-thin Insulin Syringe/U-100/1ML/29G X 1/2", 20 Elite-thin Insulin Syringe/U-100/1ML/31G X 5/16", 20 Ella, 7 Elmiron, 10 Emadine, 14 Emcyt, 2 Emend, 9 emoquette, 6 Emsam, 11 Emtriva, 2 enalapril maleate, 4 enalapril maleate/hydrochlorothiazide, 4 Enbrel, 16 Enbrel Sureclick, 16 encare, 10 endocet, 15 Endometrin, 10 Enfamil Expecta, 18 Engerix-b, 17 Enjuvia, 6 enoxaparin sodium, 11 enpresse-28, 6 enskyce, 6 entacapone, 12 entecavir, 1 enteric coated aspirin, 15 enulose, 9 epinastine HCL, 14 epinephrine HCL, 16 Epipen 2-PAK, 4 Epipen-JR 2-PAK, 4 epitol, 12 Epivir, 2 Epivir HBV, 2 eplerenone, 4 Epogen, 11 eprosartan mesylate, 4 Epzicom, 2 eq adult aspirin low strength, 15 eq aspirin, 15 eq aspirin adult low dose, 15 eq aspirin EC, 15 eq aspirin low dose, 15 eq childrens aspirin, 15 eq lansoprazole, 9 eq nicotine, 12 eq nicotine polacrilex, 12 eq nicotine step 3, 12 eq slow-release iron, 10 eql adult aspirin low strength, 15 eql aspirin, 15 eql aspirin EC, 15 eql aspirin low dose, 15 eql childrens aspirin, 15 eql childrens vitamin d gummies, 18 eql folic acid, 10 Eql Insulin Syringe/0.3ML/29G X 1/2", 20 Eql Insulin Syringe/0.3ML/30G X 5/16", 20 eql insulin syringe/0.3ML/31G X 5/16", 19 Eql Insulin Syringe/0.3ML/31G X 5/16", 20 Eql Insulin Syringe/0.5ML/29G X 1/2", 20 Eql Insulin Syringe/0.5ML/30G X 5/16", 20 Eql Insulin Syringe/0.5ML/31G X 5/16", 20 Eql Insulin Syringe/1ML/29G X 1/2", 20 Eql Insulin Syringe/1ML/30G X 5/16", 20 eql insulin syringe/1ML/31G X 5/16", 19 Eql Insulin Syringe/1ML/31G X 5/16", 20 Eql Insulin Syringe/U-100/0.3ML/29G X 1/2", 20 Eql Insulin Syringe/U-100/0.5ML/29G X 1/2", 20 Eql Insulin Syringe/U-100/1ML/29G X 1/2", 20 eql iron supplement therapy, 10 eql nicotine, 12 eql nicotine polacrilex, 12 eql nicotine polacrilex refill, 12 eql nicotine polacrilex starter, 12 eql prenatal formula, 18 Eql SHORT Pen Needles 31G X 8MM, 20 eql slow release iron, 10 Eql Ultra Comfort Insulinsyringe/0.3ML/31G X 5/16", 20 Eql Ultra Comfort Insulinsyringe/1ML/30G X 5/16", 20 Eql Ultra SHORT Pen Needles 31G X 6MM, 20 eql vitamin d-3, 18 eql vitamin d3, 18 ergocalciferol, 18 ergoloid mesylates, 13 errin, 6 Ertaczo, 5 ery, 5 Eryped 200, 1 Eryped 400, 1 erythromycin, 5, 13 erythromycin base, 1 erythromycin ethylsuccinate, 1 erythromycin/benzoyl peroxide, 5 escitalopram oxalate, 11 estarylla, 6 estazolam, 12 Estrace, 10 estradiol, 6 estradiol/norethindrone acetate, 6 Estrasorb, 6 Estring, 10 Estrogel, 6 estropipate, 6 eszopiclone, 12 ethambutol HCL, 1 ethosuximide, 12 etidronate disodium, 8 etodolac, 16 etodolac ER, 16 etoposide, 3 Eurax, 6 Evamist, 6 Exel Insulin Pen Needles 29GX1/2" 12MM, 20 Exel Insulin Pen Needles 31GX1/3", 20 Exel Insulin Pen Needles 31GX1/4" 6MM, 20 Exel Insulin Syringe/0.3ML/29G X 1/2", 20 Exel Insulin Syringe/0.3ML/30G X 5/16", 20 Exel Insulin Syringe/0.5ML/28G X 1/2", 20 Exel Insulin Syringe/0.5ML/29G X 1/2", 20 Exel Insulin Syringe/0.5ML/30G X 5/16", 20 Exel Insulin Syringe/1ML/28G X 1/2", 20 Exel Insulin Syringe/1ML/29G X 1/2", 20 Exel Insulin Syringe/1ML/30G X 5/16", 21 Exelderm, 5 Exelon, 13 exemestane, 2 Exjade, 25 Extavia, 13 ezfe 200, 10 F fa-8, 10 Fa-8, 10 Factive, 1 falmina, 6 famciclovir, 1 famotidine, 9 Fanapt, 12 Fareston, 2 FE aspartate, 10 FE c plus, 10 FE gluconate, 10 FE TABS, 10 felbamate, 12 felodipine ER, 3 Femhrt Low Dose, 6 Femiron, 10 Femring, 10 fenofibrate, 4 fenofibrate micronized, 4 fenofibric acid, 4 fenoprofen calcium, 16 fentanyl, 15 fentanyl citrate oral transmucosal, 15 feosol, 10 Feosol, 10 fer-iron, 10 ferate, 10 ferosul, 10 ferretts, 10 Ferretts Chewable Iron, 11 Ferretts IPS, 11 ferrex 150, 10 ferric x-150, 10 Ferrimin 150, 11 ferro-bob, 10 Ferro-sequels, 11 ferrocite, 10 ferrotabs, 10 ferrous drops, 10 ferrous fumarate, 10 ferrous fumarate 324, 10 ferrous gluconate, 10 ferrous sulfate, 10 ferrousul, 10 ferus, 10 Fifty50 Pen Needles 31G X3/16" (5MM), 21 Fifty50 Pen Needles 31G X5/16" (8MM), 21 Fifty50 Superior Comfort Insulin Syringe/0.3ML/31G X 5/16", 21 Fifty50 Superior Comfort Insulin Syringe/0.5ML/31G X 5/16", 21 Fifty50 Superior Comfort Insulin Syringe/1ML/31G X 5/16", 21 finasteride, 10 First-vancomycin 25, 2 First-vancomycin 50, 2 Flarex, 14 flecainide acetate, 3 Flovent Diskus, 17 Flovent HFA, 17 floxuridine, 2 Fluarix 2012-2013, 17 Fluarix 2013-2014, 17 Fluarix 2014-2015, 17 Fluarix Quadrivalent 2013-2014, 17 Fluarix Quadrivalent 2014-2015, 17 Flublok 2013-2014, 17 Flublok 2014-2015, 17 Flucelvax 2012-2013, 17 Flucelvax 2013-2014, 17 Flucelvax 2014-2015, 17 fluconazole, 1 flucytosine, 1 fludrocortisone acetate, 6 Flulaval 2012-2013, 17 Flulaval 2013-2014, 17 Flulaval 2014-2015, 17 Flulaval Quadrivalent 2013-2014, 17 Flulaval Quadrivalent 2014-2015, 17 Flumist Nasal Vaccine 2012-2013, 17 Flumist Quadrivalent, 17 flunisolide, 16 fluocinolone acetonide, 5, 14 fluocinolone acetonide body, 5 fluocinolone acetonide ear drops, 14 fluocinolone acetonide scalp, 5 fluocinonide, 5 fluorometholone, 14 fluoxetine DR, 11 fluoxetine HCL, 11 fluphenazine HCL, 11 flurazepam HCL, 12 flurbiprofen, 16 flurbiprofen sodium, 14 flutamide, 2 fluticasone propionate, 5, 16 fluvastatin, 4 Fluvirin 2012-2013, 17 Fluvirin 2013-2014, 17 Fluvirin 2014-2015, 17 Fluvirin PF 2012-2013, 17 Fluvirin PF 2013-2014, 17 Fluvirin PF 2014-2015, 17 fluvoxamine maleate, 11 Fluzone High-dose PF 2012-2013, 17 Fluzone High-dose PF 2013-2014, 17 Fluzone High-dose PF 2014-2015, 17 Fluzone Intradermal, 17 Fluzone Pediatric PF 2012-2013, 17 Fluzone Pediatric PF 2013-2014, 17 Fluzone PF 2012-2013, 17 Fluzone PF 2013-2014, 17 Fluzone PF 2014-2015, 17 Fluzone Quadrivalent 2013-2014, 17 Fluzone Quadrivalent 2014-2015, 17 Fluzone Split 2012-2013, 17 Fluzone Split 2013-2014, 17 Fluzone Split 2014-2015, 17 Focalin XR, 12 folic acid, 10 fondaparinux sodium, 11 Foradil Aerolizer, 17 Forteo, 8 Fosamax Plus D, 8 fosinopril sodium, 4 fosinopril sodium/hydrochlorothiazide, 4 Fosrenol, 9 Fragmin, 11 Freds Pharmacy Unifine Pentips Pen Needles 32GX4MM, 21 Freds Pharmacy Unifine Pentips Plus 31GX5MM, 21 Freds Pharmacy Unifine Pentips Plus 31GX8MM, 21 Freestyle Precision Insulin Syringe/U100/0.5ML/30G X 5/16", 21 Freestyle Precision Insulin Syringe/U100/0.5ML/31G X 5/16", 21 Freestyle Precision Insulin Syringe/U100/1ML/31G X 5/16", 21 Freestyle Precision Insulin Syringes/U100/1ML/30G X 5/16", 21 Frova, 16 furosemide, 4 G gabapentin, 12 galantamine, 13 galantamine hydrobromide, 13 ganirelix acetate, 8 garamycin, 13 Gardasil, 17 gavilyte-c, 9 gemfibrozil, 4 generlac, 9 gengraf, 2 gentak, 13 gentamicin sulfate, 5, 13 gianvi, 6 gildagia, 6 gildess 1.5/30, 6 gildess 1/20, 6 gildess FE 1.5/30, 6 gildess FE 1/20, 6 Gilenya, 13 Gleevec, 3 glimepiride, 8 glipizide, 8 glipizide ER, 8 glipizide XL, 8 glipizide/metformin HCL, 8 Global Ease Inject Pen Needles 29GX12MM, 21 Global Ease Inject Pen Needles 31GX8MM, 21 Global Ease Inject Pen Needles 32GX4MM, 21 Global Ease Inject Pen Neeedles 31GX5MM, 21 Global Inject Ease Insulin Syringe/U100/0.3ML/29G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/0.3ML/30G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/0.3ML/30G X 5/16", 21 Global Inject Ease Insulin Syringe/U100/0.3ML/31G X 5/16", 21 Global Inject Ease Insulin Syringe/U100/0.5ML/28G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/0.5ML/29G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/0.5ML/30G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/0.5ML/30G X 5/16", 21 Global Inject Ease Insulin Syringe/U100/0.5ML/31G X 5/16", 21 Global Inject Ease Insulin Syringe/U100/1ML/28G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/1ML/29G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/1ML/30G X 1/2", 21 Global Inject Ease Insulin Syringe/U100/1ML/30G X 5/16", 21 Global Inject Ease Insulin Syringe/U100/1ML/31G X 5/16", 21 Glucagen, 8 Glucagen Hypokit, 8 Glucagon Emergency Kit, 8 Glucopro Insulin Syringe/U100/0.3ML/30G X 1/2", 21 Glucopro Insulin Syringe/U100/0.3ML/30G X 5/16", 21 Glucopro Insulin Syringe/U100/0.3ML/31G X 5/16", 21 Glucopro Insulin Syringe/U100/0.5ML/30G X 1/2", 21 Glucopro Insulin Syringe/U100/0.5ML/30G X 5/16", 21 Glucopro Insulin Syringe/U100/0.5ML/31G X 5/16", 21 Glucopro Insulin Syringe/U-100/1ML/30G X 1/2", 21 Glucopro Insulin Syringe/U-100/1ML/30G X 5/16", 21 Glucopro Insulin Syringe/U-100/1ML/31G X 5/16", 21 glyburide, 8 glyburide micronized, 8 glyburide/metformin HCL, 8 glycopyrrolate, 9 glydo, 6 Glyset, 8 gnp adult aspirin low strength, 15 gnp aspirin, 15 gnp aspirin low dose, 15 gnp childrens aspirin, 15 Gnp Clickfine Pen Needle Universal/31GX5/16", 21 Gnp Clickfine Universal Pen Needles 31GX1/4", 21 Gnp Clickfine Universal Pen Needles 31GX5/16", 21 Gnp Daily Prenatal, 18 gnp folic acid, 10 Gnp Insulin Syringe/0.3ML/29G X 1/2", 21 Gnp Insulin Syringe/0.3ML/30G X 5/16", 21 Gnp Insulin Syringe/0.3ML/31G X 5/16", 21 Gnp Insulin Syringe/0.5ML/28G X 1/2", 21 Gnp Insulin Syringe/0.5ML/29G X 1/2", 21 Gnp Insulin Syringe/0.5ML/30G X 5/16", 21 Gnp Insulin Syringe/0.5ML/31G X 5/16", 21 Gnp Insulin Syringe/1ML/28G X 1/2", 21 Gnp Insulin Syringe/1ML/29G X 1/2", 21 Gnp Insulin Syringe/1ML/30G X 5/16", 21 Gnp Insulin Syringe/1ML/31G X 5/16", 21 gnp iron, 10 gnp lansoprazole, 9 gnp nicotine polacrilex, 12 Gnp Prenatal, 18 gnp prenatal vitamins, 18 gnp slow release iron, 10 Gnp Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 21 Gnp Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16" SHORT, 21 Gnp Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16" SHORT, 21 Gnp Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 21 Gnp Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 21 Gnp Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16" SHORT, 21 Gnp Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16" SHORT, 21 Gnp Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 21 Gnp Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 21 Gnp Ultra Comfort Insulin Syringe/1ML/30G X 5/16" SHORT, 21 Gnp Ultra Comfort Insulin Syringe/1ML/31G X 5/16" SHORT, 21 gnp vitamin d, 18 gnp vitamin d super strength, 18 gnp vitamin d3 extra strength, 18 Gonal-f RFF Pen, 8 Gonal-f RFF Rediject, 8 goodsense aspirin low dose, 15 Goodsense Prenatal Vitamins, 18 granisetron HCL, 9 griseofulvin microsize, 1 griseofulvin ultramicrosize, 1 guanfacine HCL, 4 guanidine HCL, 13 H H-e-b IN Control Pen Needles 31GX5MM, 21 H-e-b IN Control Pen Needles 31GX6MM, 21 H-e-b IN Control Pen Needles 31GX8MM, 21 H-e-b IN Control Pen Needles/Nano/32GX4MM, 21 H-e-b Incontrol Pen Needles 29GX12MM, 21 halfprin, 15 Halfprin, 15 halobetasol propionate, 5 Halog, 5 haloperidol, 11 Havrix, 17 Healthwise Mini Pen Needles 31GX6MM, 21 Healthwise Pen Needles 29GX12MM, 21 Healthwise SHORT Pen Needles 31GX8MM, 21 Healthwise Unifine Pentips Pen Needles 32GX4MM, 21 Healthy Accents Unifine Pentips Pen Needles 29GX12MM, 21 Healthy Accents Unifine Pentips Pen Needles 31GX5MM, 21 Healthy Accents Unifine Pentips Pen Needles 31GX6MM, 21 Healthy Accents Unifine Pentips Pen Needles 31GX8MM, 21 Healthy Accents Unifine Pentips Pen Needles 32GX4MM, 21 healthy kids vitamin d3, 18 Healthy Mama Be Well Rounded, 18 heartburn relief 24 HOUR, 9 heartburn treatment 24 HOUR, 9 heather, 6 hecoria, 2 Hexalen, 2 Hiberix, 17 high potency iron, 10 HM aspirin, 15 HM aspirin EC, 15 HM aspirin EC low dose, 15 HM folic acid, 10 HM iron, 10 HM iron slow release, 10 HM lansoprazole, 9 HM nicotine polacrilex, 13 HM nicotine transdermal system, 13 HM nicotine transdermal system step 3, 13 HM One Daily Prenatal Combo, 18 HM Prenatal, 18 HM vitamin d, 18 HM vitamin d3, 18 HM Vitamin D3, 18 homatropaire, 14 homatropine HBR, 14 Horizant, 13 Humalog, 7 Humalog Kwikpen, 7 Humalog Mix 50/50, 7 Humalog Mix 50/50 Kwikpen, 7 Humalog Mix 75/25, 7 Humalog Mix 75/25 Kwikpen, 7 Humatrope, 8 Humatrope Combo Pack, 8 Humira, 16 Humira Pediatric Crohns Disease Starter Pack, 16 Humira Pen, 16 Humira Pen-crohns Diseasestarter, 16 Humira Pen-psoriasis Starter, 16 Humulin 70/30, 7 Humulin 70/30 Kwikpen, 7 Humulin 70/30 Pen, 7 Humulin N, 7 Humulin N Kwikpen, 7 Humulin N U-100 Pen, 7 Humulin R, 7 Humulin R U-500 (concentrated), 7 hydralazine HCL, 4 hydrochlorothiazide, 4 hydrocodone bitartrate/acetaminophen, 15 hydrocodone/acetaminophen, 15 hydrocodone/ibuprofen, 15 hydrocortisone, 5, 6 hydrocortisone butyrate, 5 hydrocortisone IN absorbase, 5 hydrocortisone valerate, 5 hydrocortisone/acetic acid, 14 hydromorphone HCL, 15 hydroxychloroquine sulfate, 2 hydroxyurea, 3 hydroxyzine HCL, 11 hydroxyzine pamoate, 11 hyophen, 9 hypercare, 6 I ibandronate sodium, 8 ibuprofen, 16 iferex 150, 10 Ilevro, 14 ilotycin, 13 imipramine HCL, 11 imipramine pamoate, 11 imiquimod, 5 Imitrex, 16 Implanon, 7 Incivek, 2 Increlex, 8 indapamide, 4 indomethacin, 16 indomethacin ER, 16 Infanrix, 17 influenza a (h1n1) monovalent 2009, 17 Influenza Vaccine For Safeway Dependants, 17 Inlyta, 3 insulin syringe/0.3ML/29G X 1", 19 insulin syringe/0.3ML/29G X 1/2", 19 insulin syringe/0.3ML/30G X 5/16", 19 insulin syringe/0.3ML/31G X 5/16", 19 insulin syringe/0.5ML/27G X 1/2", 19 insulin syringe/0.5ML/28G X 1/2", 19 insulin syringe/0.5ML/29G X 1/2", 19 insulin syringe/0.5ML/30G X 1/2", 19 insulin syringe/0.5ML/30G X 5/16", 19 insulin syringe/0.5ML/31G X 5/16", 19 insulin syringe/1ML/28G X 1/2", 19 insulin syringe/1ML/29G X 1/2", 19 insulin syringe/1ML/30G X 5/16", 19 insulin syringe/1ML/31G X 5/16", 19 insulin syringe/u-100/0.3ML/29G X 1/2", 19 insulin syringe/u-100/0.5ML/28G X 1/2", 19 insulin syringe/u-100/0.5ML/29G X 1/2", 19 insulin syringe/u-100/1ML/28G X 1/2", 19 insulin syringe/u-100/1ML/29G X 1/2", 19 insulin syringe/u-100/1ML/30G X 5/16", 19 insulin syringe/u-100/1ML/31G X 5/16", 19 Insupen Pen Needles 32G X4MM, 21 Insupen Sensitive 32GX6MM, 21 Insupen Sensitive 32GX8MM, 21 Insupen Ultrafin 29GX12MM, 21 Insupen Ultrafin 30GX8MM, 21 Insupen Ultrafin 31GX6MM, 21 Insupen Ultrafin 31GX8MM, 21 Intelence, 2 Intron A, 3 Intron-a, 3 Intron-a W/Diluent, 3 introvale, 6 Intuniv, 12 Invega, 12 Iopidine, 14 ipratropium bromide, 16(2) irbesartan, 4 irbesartan/hydrochlorothiazide, 4 iron, 10 iron chews pediatric, 10 iron slow release, 10 iron supplement, 10 iron supplement childrens, 10 Iron Up, 11 Isentress, 2 isoditrate ER, 3 isoniazid, 1 Isordil Titradose, 3 isosorbide dinitrate, 3 isosorbide dinitrate ER, 3 isosorbide mononitrate, 3 isosorbide mononitrate ER, 3 isradipine, 3 itraconazole, 1 J Jakafi, 3 jantoven, 11 Januvia, 8 jencycla, 6 jinteli, 6 jolessa, 6 jolivette, 6 junel 1.5/30, 6 junel 1/20, 7 junel FE 1.5/30, 6 junel FE 1/20, 6 just d, 18 K Kaletra, 2 Kalydeco, 17 kariva, 7 kelnor 1/35, 7 Kenalog, 5 Ketek, 2 ketoconazole, 1, 5 ketodan, 5 ketoprofen, 16 ketoprofen ER, 16 ketorolac tromethamine, 14, 16 Kineret, 16 Kinray Insulin Syringe Preferred Plus/0.3ML/31G X 5/16", 21 Kinray Insulin Syringe Preferred Plus/0.5ML/31G X 5/16", 21 Kinray Insulin Syringe Preferred Plus/1ML/31G X 5/16", 21 Kinray Insulin Syringe/0.5ML/29G X 1/2", 21 Kinrix, 17 kls aspirin EC, 15 kls aspirin low dose, 15 kls lansoprazole, 9 kls quit2, 13 kls quit4, 13 Kmart Valu Plus Insulin Syringe/0.3ML/30G, 21 Kmart Valu Plus Insulin Syringe/0.5ML/29G, 21 Kmart Valu Plus Insulin Syringe/0.5ML/30G, 21 Kmart Valu Plus Insulin Syringe/1ML/29G, 21 Kmart Valu Plus Insulin Syringe/1ML/30G, 21 kp aspirin, 15 kp ferrous gluconate, 10 kp ferrous sulfate, 10 kp folic acid, 10 Kp Prenatal Multivitamins, 18 kp vitamin d, 18 Kristalose, 9 Kroger Insulin Syringe/0.3ML/29G X 1/2", 21 Kroger Insulin Syringe/0.3ML/30G X 5/16", 21 Kroger Insulin Syringe/0.3ML/31G X 5/16", 21 Kroger Insulin Syringe/0.5ML/29G X 1/2", 21 Kroger Insulin Syringe/0.5ML/30G X 5/16", 21 Kroger Insulin Syringe/0.5ML/31G X 5/16", 21 Kroger Insulin Syringe/1ML/29G X 1/2", 21 Kroger Insulin Syringe/1ML/30G X 5/16", 21 Kroger Insulin Syringe/1ML/31G X 5/16", 21 Kroger Pen Needles 29G X 12MM, 21 Kroger Pen Needles 31G X 8MM, 21 Kroger Pen Needles 31GX1/4", 21 kurvelo, 7 levetiracetam, 12 levetiracetam ER, 12 labetalol HCL, 3 levobunolol HCL, 14 laclotion, 6 levocetirizine dihydrochloride, 16 lactic acid, 6 levofloxacin, 1, 13 lactulose, 9(2) levonest, 7 Lamictal Chewable Dispersible, 12 levonorgestrel, 7 Lamictal Starter/Not Taking levonorgestrel and ethinyl estradiol, 7 Carbamazepine, 12 levonorgestrel/ethinyl estradiol, 7 lamivudine, 1 levora 0.15/30-28, 7 lamivudine/zidovudine, 1 levorphanol tartrate, 15 lamotrigine, 12 levothroid, 9 lamotrigine ER, 12 levothyroxine sodium, 8 lansoprazole, 9 levoxyl, 9 Lantus, 7 Lexiva, 2 Lantus Solostar, 7 Lialda, 9 larin 1.5/30, 7 lidocaine, 6 larin 1/20, 7 lidocaine HCL, 6 larin FE 1.5/30, 7 lidocaine HCL jelly, 6 larin FE 1/20, 7 lidocaine HCL viscous, 11 Lastacaft, 14 lidocaine viscous, 11 latanoprost, 14 lidocaine/prilocaine, 6 Latuda, 12 lindane, 6 Leader Insulin Syringe/0.3ML/29G X 1/2", Linzess, 9 21 liothyronine sodium, 8 Leader Insulin Syringe/0.3ML/30G X lisinopril, 4 5/16", 21 lisinopril/hydrochlorothiazide, 4 Leader Insulin Syringe/0.3ML/31G X Lite Touch Pen Needles/31G X 3/16", 22 5/16", 21 Litetouch Insulin Syringe/0.3ML/29G X Leader Insulin Syringe/0.5ML/28G X 1/2", 1/2", 22 21 Litetouch Insulin Syringe/0.3ML/30G X Leader Insulin Syringe/0.5ML/29G X 1/2", 5/16", 22 21 Litetouch Insulin Syringe/0.3ML/31G X Leader Insulin Syringe/0.5ML/30G X 5/16", 22 5/16", 21 Litetouch Insulin Syringe/0.5ML/30G X Leader Insulin Syringe/0.5ML/31G X 5/16", 22 5/16", 21 Litetouch Insulin Syringe/0.5ML/31G X Leader Insulin Syringe/1ML/28G X 1/2", 5/16", 22 21 Litetouch Insulin Syringe/1ML/30G X Leader Insulin Syringe/1ML/29G X 1/2", 5/16", 22 22 Litetouch Insulin Syringe/ULeader Insulin Syringe/1ML/30G X 5/16", 100/0.5ML/28G X 1/2", 22 22 Litetouch Insulin Syringe/ULeader Insulin Syringe/1ML/31G X 5/16", 100/0.5ML/29G X 1/2", 22 22 Litetouch Insulin Syringe/U-100/1ML/28G Leader Unifine Pentips X 1/2", 22 Plus/Mini/31GX3/16", 22 Litetouch Insulin Syringe/U-100/1ML/29G Leader Unifine Pentips X 1/2", 22 Plus/SHORT/31GX5/16", 22 Litetouch Insulin Syringe/U-100/1ML/31G Leader Unifine Pentips/Mini/31GX3/16", X 5/16", 22 22 Litetouch Pen Needles 29GX12.7MM, 22 Leader Unifine Pentips/Nano/32GX5/32", Litetouch Pen Needles 31G X 6MM, 22 22 Litetouch Pen Needles 31GX8MM Leader Unifine Pentips/Plus/32GX5/32", SHORT, 22 22 lithium, 11 leena, 7 lithium carbonate, 11 leflunomide, 16 lithium carbonate ER, 11 Lescol XL, 4 Livalo, 4 lessina, 7 Live Better Pen Needles 29G X 12MM, Letairis, 4 22 letrozole, 2 Live Better Pen Needles 31G X 12MM, leucovorin calcium, 3 22 Leukeran, 2 Live Better Pen Needles 31G X 6MM, 22 levalbuterol, 16 lofene, 9 levalbuterol HCL, 16 lokara, 5 Levatol, 3 Longs Insulin Syringe/0.5ML/31G X 5/16", Levemir, 7 22 Levemir Flexpen, 7 lonox, 9 Levemir Flextouch, 7 L lorazepam, 11 lorcet, 15 lorcet HD, 15 lorcet plus, 15 lortab, 15 loryna, 7 Lorzone, 13 losartan potassium, 4 losartan potassium/hydrochlorothiazide, 4 Lotemax, 14 Lotronex, 9 lovastatin, 4 low-ogestrel, 7 loxapine, 11 loxapine succinate, 11 Lumigan, 14 lutera, 7 Lyrica, 12 Lysodren, 2 lyza, 7 M M-m-r II W/Diluent 10 Dose, 17 Magellan Insulin Safety Syringe/U100/0.3ML/29G X 1/2", 22 Magellan Insulin Safety Syringe/U100/0.3ML/30G X 5/16", 22 Magellan Insulin Safety Syringe/U100/0.5ML/29G X 1/2", 22 Magellan Insulin Safety Syringe/U100/0.5ML/30G X 5/16", 22 Magellan Insulin Safety Syringe/U100/1ML/29G X 1/2", 22 Magellan Insulin Safety Syringe/U100/1ML/30G X 5/16", 22 malathion, 6 marlissa, 7 Marplan, 11 Matulane, 3 Maxair Autohaler, 17 Maxi-comfort Insulin Syringe/U100/0.5ML/28GX1/2", 22 Maxi-comfort Insulin Syringe/U100/1ML/28GX1/2", 22 Maxidex, 14 maximum d3, 18 meclizine HCL, 9 meclofenamate sodium, 16 Medi-seltzer, 15 Medic Insulin Syringe/0.3ML/30G X 5/16", 22 Medic Insulin Syringe/0.5ML/30G X 5/16", 22 Medical Provider EZ Flu Shot 2013-2014, 17 Medical Provider EZ Flu Shot 2014-2015, 17 Medical Provider EZ Flu Shot PF 20122013, 17 Medical Provider EZ Flu Shot PF 20132014, 17 Medical Provider EZ Flu Shot PF 20142015, 17 Medicine Shoppe Pen Needles 29G X 12MM, 22 Medicine Shoppe Pen Needles 31G X 6MM, 22 Medicine Shoppe Pen Needles 31G X 8MM, 22 medroxyprogesterone acetate, 7(2) mefenamic acid, 16 mefloquine HCL, 2 Megace ES, 7 megestrol acetate, 2 meijer aspirin EC, 15 meijer ferrous sulfate, 10 Meijer Pen Needles 29G X 12MM, 22 Meijer Pen Needles 31G X 6MM, 22 Meijer Pen Needles 31G X 8MM, 22 Mekinist, 3 meloxicam, 16 Menactra, 17 Menest, 6 Menomune-a/C/Y/W-135, 17 Menopur, 8 Menostar, 6 Mentax, 5 Menveo, 17 meperidine HCL, 15 meperitab, 15 meprobamate, 11 mercaptopurine, 2 mesalamine, 9 Mestinon, 13 Mestinon Timespan, 13 metaproterenol sulfate, 16 metaxalone, 13 metformin HCL, 8 metformin HCL ER, 8 methadone HCL, 15 methadose, 15 methamphetamine HCL, 12 methazolamide, 4 methenamine hippurate, 9 methimazole, 9 methocarbamol, 13 methotrexate, 2 methscopolamine bromide, 9 methyclothiazide, 4 methyldopa, 4 methylphenidate HCL, 12 methylphenidate HCL CD, 12 methylphenidate HCL ER, 12 methylphenidate hydrochloride, 12 methylprednisolone, 6 methylprednisolone dose pack, 6 metipranolol, 14 metoclopramide HCL, 9 metolazone, 4 metoprolol succinate ER, 3 metoprolol tartrate, 3 metronidazole, 2, 5 metronidazole vaginal, 10 mexiletine HCL, 3 microgestin 1.5/30, 7 microgestin 1/20, 7 microgestin FE, 7 microgestin FE 1.5/30, 7 micronized colestipol HCL, 4 midazolam HCL, 12 midodrine HCL, 4 Migranal, 16 mimvey, 6 mimvey LO, 6 miniprin low dose, 15 Minivelle, 6 minocin, 1 minocycline HCL, 1 minocycline HCL ER, 1 minoxidil, 4 Mirapex ER, 12 mirtazapine, 11 mirtazapine odt, 11 misoprostol, 9 Mission Prenatal, 18 mission prenatal HP, 18 MM aspirin, 15 modafinil, 12 moderiba, 1 moexipril HCL, 4 moexipril/hydrochlorothiazide, 4 mometasone furoate, 5 mono-linyah, 7 Monoject Insulin Syringe Regular LUER Tip/Softpack/1ML, 22 Monoject Insulin Syringe/1ML, 22 Monoject Insulin Syringe/1ML/31G X 5/16", 22 Monoject Insulin Syringe/Detach Needle/1ML/25G X 5/8", 22 Monoject Insulin Syringe/Detach Needle/1ML/27G X 1/2", 22 Monoject Insulin Syringe/Perm Needle/1ML/28G X 1/2", 22 Monoject Insulin Syringe/Perm Needle/U100/0.5ML/28G X 1/2", 22 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29G X 1/2", 22 Monoject Insulin Syringe/Safety/Perm Needle/0.3ML/29GX1/2", 22 Monoject Insulin Syringe/Safety/Perm Needle/0.5ML/29G X 1/2", 22 Monoject Insulin Syringe/Safety/Perm Needle/1ML/29G X 1/2", 22 Monoject Insulin Syringe/Softpack/1ML/25G X 58", 22 monoject insulin syringe/softpack/1ML/27G X 1/2", 19 Monoject Insulin Syringe/Softpack/U100/0.5ML/28G X 1/2", 22 Monoject Insulin Syringe/U100/0.3ML/30G X 5/16", 22 Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 22 Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 22 Monoject Insulin Syringe/U100/0.5ML/30G X 5/16", 22 Monoject Insulin Syringe/U-100/1ML/28G X 1/2", 22 Monoject Insulin Syringe/U-100/1ML/29G X 1/2", 22 Monoject Insulin Syringe/U-100/1ML/30G X 5/16", 22 Monoject Ultra Comfort Insulin Syringe/0.3ML/29G X 1/2", 22 Monoject Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 22 Monoject Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 22 Monoject Ultra Comfort Insulin Syringe/0.5ML/28G X 1/2", 22 Monoject Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 22 Monoject Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 22 Monoject Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 22 Monoject Ultra Comfort Insulin Syringe/1ML/28G X 1/2", 22 Monoject Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 22 Monoject Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 22 mononessa, 7 montelukast sodium, 16 Monurol, 10 Moore MED Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 22 Moore MED Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 22 Moore MED Monoject Insulin Syringe/U100/1ML/28G X 1/2", 22 Moore MED Monoject Insulin Syringe/U100/1ML/29G X 1/2", 22 morphine sulfate, 15 morphine sulfate add-vantage, 15 morphine sulfate ER, 15 Moxeza, 13 moxifloxacin HCL, 1 MS Insulin Syringe/0.3ML/29G X 1/2", 22 MS Insulin Syringe/0.3ML/30G X 5/16", 22 MS Insulin Syringe/0.3ML/31G X 5/16", 22 MS Insulin Syringe/0.5ML/29G X 1/2", 22 MS Insulin Syringe/0.5ML/30G X 5/16", 22 MS Insulin Syringe/0.5ML/31G X 5/16", 22 MS Insulin Syringe/1ML/29G X 1/2", 22 MS Insulin Syringe/1ML/30G X 5/16", 22 MS Insulin Syringe/1ML/31G X 5/16", 22 Multaq, 4 mupirocin, 5 my way, 7 mycophenolate mofetil, 2 mycophenolic acid DR, 2 mydral, 14 myferon 150, 10 Mykidz Iron 10, 11 mynephrocaps, 18 Myrbetriq, 10 myzilra, 7 N nabumetone, 16 nadolol, 3 Namenda, 13 Namenda Titration PAK, 13 naphazoline HCL, 14 naproxen, 16 naproxen DR, 16 naproxen sodium, 16 naratriptan HCL, 16 Nasonex, 16 nat-rul prenatal vitamins, 18 nat-rul vitamin d, 18 nateglinide, 8 necon 0.5/35-28, 7 necon 1/35, 7 necon 1/50-28, 7 necon 10/11-28, 7 necon 7/7/7, 7 nefazodone HCL, 11 neofrin, 14 neomycin sulfate, 1 neomycin/polymyxin/HC, 14 neomycin/polymyxin/hydrocortisone, 14 Neulasta, 11 Neupogen, 11 Neupro, 12 Nevanac, 14 nevirapine, 2 nevirapine ER, 2 Nexavar, 3 Nexplanon, 7 next choice, 7 next choice one dose, 7 nicardipine HCL, 3 nicorelief, 13 nicotine, 13 nicotine polacrilex, 13 nicotine polacrilex refill, 13 nicotine polacrilex starter kit, 13 nicotine step 1, 13 nicotine step 2, 13 nicotine step 3, 13 nicotine transdermal system, 13 Nicotrol Inhaler, 13 nifediac CC, 3 nifedical XL, 3 nifedipine, 3 nifedipine ER, 3 nikki, 7 nimodipine, 3 nisoldipine, 3 nisoldipine ER, 3 Nitro-bid, 3 Nitro-dur, 3 nitro-time, 3 nitrofurantoin, 9 nitrofurantoin macrocrystals, 9 nitrofurantoin monohydrate, 10 nitrofurantoin monohydrate/macrocrystals, 10 nitroglycerin ER, 3 nitroglycerin lingual, 3 Nitronal, 3 Nitrostat, 3 nizatidine, 9 nora-be, 7 norethindrone, 7 norethindrone acetate, 7 norethindrone acetate/ethinyl estradiol, 7 norethindrone acetate/ethinyl estradiol/ferrous fumarate, 7 norgestimate/ethinyl estradiol, 7 norlyroc, 7 Noroxin, 1 Norpace CR, 4 nortrel 0.5/35 (28), 7 nortrel 1/35, 7 nortrel 7/7/7, 7 nortriptyline HCL, 11 Norvir, 2 norwich aspirin, 15 Novaferrum Pediatric Drops, 11 novarel, 8 Novofine 30GX8MM, 22 Novofine 32GX6MM, 22 Novofine Autocover 30GX8MM, 22 Novofine Plus 32GX4MM, 22 Novolin 70/30, 7 Novolin N, 7 Novolin R, 7 Novolog, 7 Novolog Flexpen, 7 Novolog Mix 70/30, 7 Novolog Mix 70/30 Prefilled Flexpen, 7 Novolog Penfill, 7 Novotwist 30GX8MM, 22 Novotwist 32GX5MM, 22 Noxafil, 1 NP thyroid, 9 NP thyroid 30, 9 NP thyroid 60, 9 NP thyroid 90, 9 nu-iron 150, 10 Nucynta, 15 Nucynta ER, 15 Nuedexta, 13 Nutropin, 8 Nutropin AQ Nuspin 10, 8 Nutropin AQ Nuspin 20, 8 Nutropin AQ Nuspin 5, 8 Nutropin AQ Pen, 8 Nuvaring, 7 Nuvigil, 12 nyamyc, 5 nystatin, 1, 5, 11 nystatin domestic, 5 nystatin foreign, 5 nystatin/triamcinolone, 5 nystop, 5 O ocella, 7 ofloxacin, 1, 13, 14 ogestrel, 7 olanzapine, 11 olanzapine odt, 11 olanzapine/fluoxetine, 13 omega-3-acid ethyl esters, 4 omeprazole, 9 Omnitrope, 8 ondansetron HCL, 9 ondansetron odt, 9 One A Day Womens Prenatal/DHA, 18 One-a-day Womens Prenatal, 18 Onfi, 12 Onglyza, 8 optimal-d, 18 optimal-d pack, 18 Options Conceptrol Vaginal Contraceptive, 10 Options Gynol II Vaginal Contraceptive, 10 opurity vitamin d, 18 oralone, 11 Orap, 13 Orfadin, 8 orphenadrine citrate, 13 orphenadrine citrate ER, 13 orphenadrine/asa/caffeine, 13 Orsini Insulin Syringe/U-100/0.5ML/29G X 1/2", 22 Orsini Insulin Syringe/U-100/0.5ML/30G X 5/16", 22 Orsini Insulin Syringe/U-100/1ML/30G X 5/16", 22 orsythia, 7 ortho-est, 6 Osmoprep, 9 oxandrolone, 6 oxaprozin, 16 oxazepam, 11 oxcarbazepine, 12 Oxistat, 5 Oxsoralen, 6 oxybutynin chloride, 10 oxybutynin chloride ER, 10 oxycodone HCL, 15 oxycodone/acetaminophen, 15 oxycodone/ibuprofen, 15 oxymorphone hydrochloride, 15 oxymorphone hydrochloride ER, 15 P PA Prenatal Formula, 18 PA vitamin d-3, 18 PA vitamin d-3 gummy, 18 pacerone, 3 Pancreaze, 9 pancrelipase, 9 pantoprazole sodium, 9 Paragard Intrauterine Copper Contraceptive T380a, 7 parcaine, 14 paricalcitol, 8 paroex, 11 paromomycin sulfate, 1 paroxetine HCL, 11 paroxetine HCL ER, 11 Pataday, 14 Patanol, 14 PC Unifine Pentips 29G X 1/2", 23 PC Unifine Pentips 31G X 5MM Mini, 23 PC Unifine Pentips 31G X 6MM Ultra SHORT, 23 PC Unifine Pentips 31G X 8MM SHORT, 23 PCE, 1 pedi-dri, 5 Pediarix, 17 Pedvax HIB, 17 peg 3350/electrolytes, 9 Peg-intron, 2 Peg-intron Redipen, 2 Peg-intron Redipen PAK 4, 2 Peganone, 12 Pegasys, 2 Pegintron, 2 pegylax, 9 pen needles 29G X 12MM, 19 pen needles 29GX1/2", 19 pen needles 30GX5/16", 19 pen needles 31G X 1/4" SHORT, 19 pen needles 31G X 3/16", 19 pen needles 31G X 6MM, 19 pen needles 31GX5/16", 19 penicillin v potassium, 1 Pentacel, 17 Pentasa, 9 pentazocine/acetaminophen, 15 pentazocine/naloxone HCL, 15 prednisolone acetate, 14 pentoxifylline ER, 11 prednisolone sodium phosphate, 6, 14 Perfect Iron, 11 prednisone, 6 Perforomist, 17 Prednisone Intensol, 6 perindopril erbumine, 4 Preferred Plus Insulin Syringe/Uperiogard, 11 100/0.3ML/29G X 1/2", 22 permethrin, 6 Preferred Plus Insulin Syringe/Uperphenazine, 11 100/0.3ML/30G X 5/16", 22 perry prenatal, 18 Preferred Plus Insulin Syringe/UPertzye, 9 100/0.5ML/28G X 1/2", 22 phenadoz, 16 Preferred Plus Insulin Syringe/Uphenazopyridine HCL, 10 100/0.5ML/29G X 1/2", 22 phenelzine sulfate, 11 Preferred Plus Insulin Syringe/Uphenergan, 16 100/0.5ML/30G X 5/16", 22 phenobarbital, 12 Preferred Plus Insulin Syringe/Uphentermine HCL, 12 100/1ML/28G X 1/2", 22 phenylephrine HCL, 14 Preferred Plus Insulin Syringe/Uphenytoin, 12 100/1ML/29G X 1/2", 22 phenytoin infatabs, 12 Preferred Plus Insulin Syringe/Uphenytoin sodium, 12 100/1ML/30G X 5/16", 22 phenytoin sodium extended, 12 Preferred Plus Unifine Pentips 29G X philith, 7 12MM, 22 Phoslyra, 9 Preferred Plus Unifine Pentips 31G X Phospholine Iodide, 14 6MM Ultra SHORT, 22 Physicians EZ Use Flu Kit 2012-2013, 17 Preferred Plus Unifine Pentips 31G X pilocarpine HCL, 11, 14 8MM SHORT, 22 pilocarpine hydrochloride, 11 Preferred Plus Unifine Pentips pimtrea, 7 32GX4MM, 22 pindolol, 3 Preferred Plus Unifine pioglitazone HCL, 8 Pentips/Mini/31GX5MM, 22 pioglitazone HCL/metformin HCL, 8 Prefest, 6 pirmella 1/35, 7 pregnyl w/diluent benzyl alcohol/NACL, 8 pirmella 7/7/7, 7 Premarin, 6, 10 piroxicam, 16 Premphase, 6 Pneumovax 23, 17 Prempro, 6 pneumovax 23/1 dose, 17 prenatal, 18 Pneumovax 23/1 Dose, 17 Prenatal, 18 pneumovax 23/5 dose, 17 prenatal and iron, 18 Pneumovax 23/5 Dose, 17 Prenatal Complete, 18 podofilox, 6 prenatal formula, 18 poly-iron 150, 10 Prenatal Formula, 18 polyethylene glycol 3350, 9 prenatal forte, 18 portia-28, 7 Prenatal Multi +dha, 18 potassium citrate ER, 10 Prenatal Multivitamin + DHA, 18 potassium citrate/citric acid, 10 Prenatal Plus DHA, 18 Potiga, 12 prenatal vitamins, 18 pr benzoyl peroxide wash, 5 Prenatal/Omega-3/Folic Acid/Iron, 18 Pradaxa, 11 Prepopik, 9 pramipexole dihydrochloride, 12 prevalite, 4 pravastatin sodium, 4 previfem, 7 prazosin HCL, 4 Prevnar 13, 17 pre-natal formula, 18 Prezista, 2 Precision Sure-dose Insulin primaquine phosphate, 2 primidone, 12 Syringe/0.3ML/30G X 5/16", 22 Precision Sure-dose Insulin Pristiq, 11 Syringe/0.5ML/28G X 1/2", 22 Proair HFA, 17 Precision Sure-dose Insulin probenecid, 16 probenecid/colchicine, 16 Syringe/0.5ML/29G X 1/2", 22 Precision Sure-dose Insulin prochlorperazine, 12 Syringe/0.5ML/30G X 3/8", 22 prochlorperazine maleate, 12 Precision Sure-dose Insulin Procrit, 11 procto-PAK, 9 Syringe/1ML/28G X 1/2", 22 Precision Sure-dose Plus Insulin Prodigy Insulin Mini Pen Needles/31G X Syringe/0.3ML/29G X 1/2", 22 3/16", 22 Precision Sure-dose Plus Insulin Prodigy Insulin Pen Needles/29G X 1/2", Syringe/1ML/29G X 1/2", 22 22 Pred Mild, 14 Prodigy Insulin SHORT Penneedles/31G prednicarbate, 5 X 5/16", 22 Prodigy Insulin Syring/U-100/0.3ML/31G X 5/16", 22 Prodigy Insulin Syringe/1/2ML/31G X 5/16", 22 Prodigy Insulin Syringe/1ML/28G X 1/2", 22 Profe, 11 progesterone, 7 Proglycem, 8 Promacta, 11 promethazine HCL, 16 promethazine HCL plain, 16 promethazine/codeine, 16 promethegan, 16 pronutrients vitamin d3, 18 propafenone HCL, 3 propafenone HCL ER, 3 proparacaine HCL, 14 propranolol HCL, 3 propranolol HCL ER, 3 propylthiouracil, 9 Proquad, 17 Protopic, 6 protriptyline HCL, 11 Proventil HFA, 17 Pulmicort, 17 Pulmicort Flexhaler, 16 pulmosal, 16 px aspirin, 15 px enteric aspirin, 15 Px Extra SHORT Pen Needles 31GX6MM, 22 px folic acid, 10 Px Insulin Syringe/U-100/0.3ML/30G X 1/2", 22 Px Insulin Syringe/U-100/0.3ML/31G X 5/16", 23 Px Insulin Syringe/U-100/0.5ML/30G X 1/2", 23 Px Insulin Syringe/U-100/0.5ML/31G X 5/16", 23 Px Insulin Syringe/U-100/1ML/30G X 1/2", 23 Px Insulin Syringe/U-100/1ML/31G X 5/16", 23 px iron, 10 Px Mini Pen Needles 31GX5MM, 23 Px Pen Needle 29GX12MM, 23 Px Pen Needle 31GX8MM, 23 px prenatal multivitamins, 18 Px Shortlength Pen Needles/31GX8MM, 23 px stop smoking aid, 13 pyrazinamide, 1 pyridostigmine bromide, 13 Q qc aspirin, 15 qc aspirin low dose, 15 qc childrens aspirin, 15 qc ferrous sulfate, 10 Qc Insulin Syringe 0.5ML/29G, 23 Qc Insulin Syringe 0.5ML/30G, 23 Qc Insulin Syringe 1ML/29G, 23 Qc Insulin Syringe/0.3ML/29G, 23 Qc Insulin Syringe/0.3ML/29G X 1/2", 23 Qc Insulin Syringe/0.5ML/29G X 1/2", 23 Qc Insulin Syringe/0.5ML/31G X 5/16", 23 Qc Insulin Syringe/1ML/29G X 1/2", 23 Qc Insulin Syringe/1ML/30G, 23 Qc Insulin Syringe/1ML/31G X 5/16", 23 Qc Pen Needles 29G X 12MM, 23 Qc Pen Needles 31G X 6MM, 23 Qc Pen Needles 31G X 8MM, 23 Qc Prenatal, 18 Qc Unifine Pentips 32GX4MM, 23 quasense, 7 quetiapine fumarate, 12 quinapril HCL, 4 quinapril/hydrochlorothiazide, 4 quinidine gluconate CR, 3 quinidine gluconate ER, 3 quinidine sulfate, 4 quinidine sulfate ER, 4 Qvar, 17 ropinirole ER, 12 ropinirole HCL, 12 rosadan, 5 Rotateq, 17 roxicet, 15 Rozerem, 12 S R ra aspirin, 15 ra aspirin adult low dose, 15 ra aspirin adult low strength, 15 ra aspirin childrens, 15 ra aspirin EC, 15 ra aspirin EC adult low strength, 15 ra childrens aspirin, 15 ra folic acid, 10 ra high potency iron, 10 Ra Insulin Syringe/0.5ML/29G X 1/2", 23 ra insulin syringe/1ML/29G X 1/2", 19 Ra Insulin Syringe/U-100/0.5ML/30G X 5/16", 23 Ra Insulin Syringe/U-100/1 ML/30G X 5/16", 23 ra iron, 10 ra lansoprazole, 9 ra mini nicotine, 13 ra nicotine, 13 ra nicotine polacrilex, 13 ra nicotine transdermal system step 3, 13 Ra One Daily, 18 ra prenatal, 18 Ra Prenatal Formula/Folicacid, 18 ra slow release iron, 10 ra vitamin d-3, 18 rabeprazole sodium, 9 ramipril, 4 Ranexa, 3 ranitidine HCL, 9 Rapaflo, 10 Rapamune, 3 Reality Insulin Syringe/U-100/0.5ML/28G X 1/2", 23 Reality Insulin Syringe/U-100/0.5ML/29G X 1/2", 23 Reality Insulin Syringe/U-100/1ML/28G X 1/2", 23 Reality Insulin Syringe/U-100/1ML/29G X 1/2", 23 Rebif, 13 Rebif Rebidose, 13 Rebif Rebidose Titration Pack, 13 Rebif Titration Pack, 13 reclipsen, 7 Recombivax HB, 17 Rectiv, 9 Relenza Diskhaler, 1 Relpax, 16 Renagel, 9 renal, 18 renalpren, 18 reno CAPS, 18 Renvela, 9 repaglinide, 8 repan, 15 Replesta Childrens, 18 Replesta Nx, 18 Repronex, 8 Rescriptor, 2 reserpine, 4 Revlimid, 3 Reyataz, 2 ribasphere, 1 ribasphere ribapak, 1 ribatab, 1 ribavirin, 1 Ridaura, 16 rifabutin, 1 Rifamate, 1 rifampin, 1 riluzole, 13 rimantadine HCL, 1 risedronate sodium, 8 risperidone, 12 risperidone M-TAB, 12 risperidone odt, 12 rivastigmine tartrate, 13 rizatriptan benzoate, 16 rizatriptan benzoate odt, 16 romycin, 13 Sabril, 12 Safesnap Insulin Syringe/0.3ML/30G X 5/16", 23 Safesnap Insulin Syringe/0.5ML/29G X 1/2", 23 Safesnap Insulin Syringe/0.5ML/30G X 5/16", 23 Safesnap Insulin Syringe/1ML/28G X 1/2", 23 Safesnap Insulin Syringe/1ML/29G X 1/2", 23 Safety-glide Insulin Syringe/0.3ML/29G X 1/2", 23 salsalate, 15 Samsca, 8 Sandimmune, 3 Saphris, 12 Savella, 13 Savella Titration Pack, 13 SB aspirin, 15 SB aspirin EC, 15 SB childrens aspirin, 15 SB Insulin Syringe/U-100/0.5ML/29G X 1/2", 23 SB Insulin Syringe/U-100/0.5ML/30G X 5/16", 23 SB Insulin Syringe/U-100/1ML/29G X 1/2", 23 SB Insulin Syringe/U-100/1ML/30G X 5/16", 23 SB Insulin Syringe/U-100/1ML/31G X 5/16", 23 SB low dose asa EC, 15 scalacort, 5 Schnucks Insulin Syringe Ulti-fine/U100/0.5ML/29G X 1/2", 23 Schnucks Insulin Syringe Ulti-fine/U100/0.5ML/30G X 5/16", 23 se bpo wash, 5 selegiline HCL, 12 selenium sulfide, 5 Selzentry, 2 Sensipar, 8 Serevent Diskus, 17 Seroquel XR, 12 sertraline HCL, 11 sevelamer carbonate, 9 sharobel, 7 Shopko Unifine Pentips Pen Needles/Micro/32GX4MM, 23 Shopko Unifine Pentips Pen Needles/Mini/31GX5MM, 23 Shopko Unifine Pentips Pen Needles/Original/29GX12MM, 23 Shopko Unifine Pentips Pen Needles/SHORT/31GX8MM, 23 Shur-seal, 10 sildenafil, 4 sildenafil citrate, 4 Similac Prenatal Early Shield, 18 Simponi, 16 Simponi Aria, 16 simvastatin, 4 sirolimus, 2 Sklice, 6 Skyla, 7 slow iron, 10 slow release iron, 10 Slow Release Iron, 11 sm aspirin, 15 sm aspirin adult low strength, 15 sm aspirin EC low strength, 15 sm aspirin enteric coated, 15 sm aspirin low dose, 15 sm childrens aspirin, 15 sm folic acid, 10 Strattera, 12 Stribild, 2 Stuart One, 18 Stuart Prenatal, 18 Stuart Prenatal + DHA, 18 sucralfate, 9 sulfacetamide sodium, 5, 13 sulfacetamide sodium/prednisolone sodium phosphate, 14 sulfadiazine, 1 sulfamethoxazole/trimethoprim, 2 sulfamethoxazole/trimethoprim DS, 2 sulfasalazine, 9 sulfatrim pediatric, 2 sulfazine, 9 sulfazine EC, 9 sulindac, 16 sumatriptan, 16 sumatriptan succinate, 16 sumatriptan succinate refill, 16 Super Daily D3, 18 Suprax, 1 Suprep Bowel Prep, 9 Sustiva, 2 Sutent, 3 sw nicotine polacrilex, 13 syeda, 7 Symbicort, 17 Symlinpen 60, 7 Synarel, 8 Synthroid, 9 T sm iron, 10 sm iron slow release, 10 sm lansoprazole, 9 sm nicotine, 13 sm nicotine polacrilex, 13 Sm One Daily Prenatal, 18 sm prenatal vitamins, 18 Sm Prenatal Vitamins, 18 Sm Slow Release Iron, 11 sm vitamin d, 18 sm vitamin d3, 18 Sm Vitamin D3 Maximum Strength, 18 sodium chloride, 16 sodium sulfacetamide, 5, 13 solia, 7 Somatuline Depot, 8 Somavert, 8 sorine, 3 sotalol HCL, 3 Spiriva Handihaler, 17 spironolactone, 4 spironolactone/hydrochlorothiazide, 4 Sporanox, 1 sprintec 28, 7 Sprycel, 3 SR nicotine gum, 13 sronyx, 7 st joseph aspirin, 15 stavudine, 2 Stavzor, 12 Stivarga, 3 Tabloid, 2 tacrolimus, 2 Tafinlar, 3 Tamiflu, 1 tamoxifen citrate, 2 tamsulosin HCL, 10 Tarceva, 3 Targretin, 3 tarina FE 1/20, 7 Tasigna, 3 Tasmar, 12 Tazorac, 5 taztia XT, 3 Tekturna, 4 temazepam, 12 temozolomide, 2 Tenivac, 17 terazosin HCL, 4 terbinafine HCL, 1 terbutaline sulfate, 16 terconazole, 10 tetracaine HCL, 16 tetracycline HCL, 1 tgt aspirin, 15 tgt aspirin low dose, 15 tgt childrens aspirin, 15 tgt enteric-coated aspirin, 15 tgt nicotine gum, 13 tgt nicotine polacrilex, 13 tgt nicotine step one, 13 tgt nicotine step three, 13 tgt nicotine step two, 13 th aspirin, 15 th aspirin low dose, 15 th enteric aspirin, 15 th folic acid, 10 th iron, 10 Th Prenatal Vitamins, 18 th slow release iron, 10 th vitamin d3, 18 Thalomid, 3 Theo-24, 17 theochron, 16 theophylline CR, 16 theophylline ER, 16 Thinpro Insulin Syringe/0.3ML/29G X 1/2", 23 Thinpro Insulin Syringe/0.3ML/30G X 3/8", 23 Thinpro Insulin Syringe/0.3ML/31G X 3/8", 23 Thinpro Insulin Syringe/0.5ML/28G X 1/2", 23 Thinpro Insulin Syringe/0.5ML/29G X 1/2", 23 Thinpro Insulin Syringe/0.5ML/30G X 3/8", 23 Thinpro Insulin Syringe/0.5ML/31G X 3/8", 24 Thinpro Insulin Syringe/1ML/28G X 1/2", 24 Thinpro Insulin Syringe/1ML/29G X 1/2", 24 Thinpro Insulin Syringe/1ML/30G X 3/8", 24 Thinpro Insulin Syringe/1ML/31G X 3/8", 24 thioridazine HCL, 12 thiothixene, 12 thrive, 13 Thyrolar-1, 9 Thyrolar-1/2, 9 Thyrolar-1/4, 9 Thyrolar-2, 9 Thyrolar-3, 9 tiagabine hydrochloride, 12 ticlopidine HCL, 11 Tikosyn, 4 tilia FE, 7 timolol maleate, 3, 14 timolol maleate ophthalmic gel forming, 14 tinidazole, 2 tizanidine HCL, 13 Tobradex, 14 tobramycin, 1 tobramycin sulfate, 13 Tobrex, 13 Today Sponge, 10 Todays Health Mini Pen Needles 31G X 1/4", 24 Todays Health Original Pen Needles 29G X 1/2", 24 Todays Health SHORT Pen Needles 31G X 5/16", 24 tolazamide, 8 tolbutamide, 8 tolmetin sodium, 16 tolterodine tartrate, 10 tolterodine tartrate ER, 10 Topcare Clickfine Universal Pen Eedles 31GX1/4", 24 Topcare Clickfine Universal Pen Eedles 31GX5/16", 24 Topcare Ultra Comfort Insulin Syringe/0.3ML/30G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/0.3ML/31G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/0.5ML/30G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/1ML/30G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 24 Topcare Ultra Comfort Insulin Syringe/U100/0.3ML/29G X 1/2", 24 Topcare Ultra Comfort Insulin Syringe/U100/0.5ML/29G X 1/2", 24 Topcare Ultra Comfort Insulin Syringe/U100/1ML/29G X 1/2", 24 Topco Insulin 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Insulin Syringe/U100/0.3ML/31G X 5/16", 24 Trueplus Insulin Syringe/U100/0.5ML/28G X 1/2", 24 Trueplus Insulin Syringe/U100/0.5ML/29G X 1/2", 24 Trueplus Insulin Syringe/U100/0.5ML/30G X 5/16", 24 Trueplus Insulin Syringe/U100/0.5ML/31G X 5/16", 24 Trueplus Insulin Syringe/U-100/1ML/28G X 1/2", 24 Trueplus Insulin Syringe/U-100/1ML/29G X 1/2", 24 Trueplus Insulin Syringe/U-100/1ML/30G X 5/16", 24 Trueplus Insulin Syringe/U-100/1ML/31G X 5/16", 24 Truvada, 2 Tudorza Pressair, 17 Twinrix, 17 Tykerb, 3 Tyzeka, 2 Tyzine Pediatric Nasal Drops, 16 U Ulesfia, 6 Ulticare Insulin Safety Syringe/0.5ML/29G X 1/2", 24 Ulticare Insulin Safety Syringe/1ML/29G X 1/2", 24 Ulticare Insulin Syringe Ultrafine U100/0.3ML/31G X 5/16", 24 Ulticare Insulin Syringe Ultrafine U100/0.5ML/31G X 5/16", 24 Ulticare Insulin Syringe Ultrafine U100/1ML/31G X 5/16", 24 Ulticare Insulin Syringe/0.3ML/29G X 1/2", 24 Ulticare Insulin Syringe/0.3ML/30G X 1/2", 24 Ulticare Insulin Syringe/0.3ML/30G X 5/16", 24 Ulticare Insulin Syringe/0.5ML/28G X 1/2", 24 Ulticare Insulin Syringe/0.5ML/29G X 1/2", 24 Ulticare Insulin Syringe/0.5ML/30G X 1/2", 24 Ulticare Insulin Syringe/0.5ML/30G X 5/16", 24 Ulticare Insulin Syringe/1ML/28G X 1/2", 24 Ulticare Insulin Syringe/1ML/29G X 1/2", 24 Ulticare Insulin Syringe/1ML/30G X 1/2", 24 Ulticare Insulin Syringe/1ML/30G X 5/16", 24 Ulticare Insulin Syringe/SHORT/0.3ML/30G X 5/16", 24 Ulticare Insulin Syringe/SHORT/0.3ML/31G X 5/16", 24 Ulticare Insulin Syringe/SHORT/0.5ML/30G X 5/16", 24 Ulticare Insulin Syringe/SHORT/0.5ML/31G X 5/16", 24 Ulticare Insulin Syringe/SHORT/1ML/30G X 5/16", 24 Ulticare Insulin Syringe/SHORT/1ML/31G X 5/16", 24 Ulticare Insulin Syringe/U-100/0.3ML/29G X 1/2", 24 Ulticare Insulin Syringe/U-100/0.3ML/30G X 1/2", 24 Ulticare Insulin Syringe/U-100/0.3ML/30G X 5/16", 24 Ulticare Insulin Syringe/U-100/0.3ML/31G X 5/16", 24 Ulticare Insulin Syringe/U-100/0.5ML/29G X 1/2", 24 Ulticare Insulin Syringe/U-100/0.5ML/30G X 1/2", 24 Ulticare Insulin Syringe/U-100/0.5ML/30G X 5/16", 24 Ulticare Insulin Syringe/U-100/0.5ML/31G X 5/16", 24 Ulticare Insulin Syringe/U-100/1ML/29G X 1/2", 24 Ulticare Insulin Syringe/U-100/1ML/30G X 1/2", 24 Ulticare Insulin Syringe/U-100/1ML/30G X 5/16", 24 Ulticare Insulin Syringe/U-100/1ML/31G X 5/16", 24 Ulticare Micro Pen Needles/32G X 4MM, 24 Ulticare Mini Pen Needles 31GX6MM, 24 Ulticare Mini Pen Needles Ulti-fine IV, 24 Ulticare Mini Pen Needles/31G X 6MM, 24 Ulticare Mini Pen Needles31GX6MM, 24 Ulticare Original Pen Needles Ulti-fine, 24 Ulticare Pen Needles/29G X 12.7MM, 24 Ulticare SHORT Pen Needles 31GX8MM, 24 Ulticare SHORT Pen Needles Ulti-fine IV, 24 Ulticare SHORT Pen Needles/31G X 8MM, 24 Ultiguard Insulin Syringe/U100/0.3ML/29G X 1/2", 24 Ultiguard Insulin Syringe/U100/0.3ML/30G X 5/16", 24 Ultiguard Insulin Syringe/U100/0.5ML/29G X 1/2", 24 Ultiguard Insulin Syringe/U100/0.5ML/30G X 5/16", 24 Ultiguard Insulin Syringe/U-100/1ML/29G X 1/2", 24 Ultiguard Insulin Syringe/U-100/1ML/30G X 5/16", 24 Ultilet Insulin Syringe/0.3ML/29G X 7/16", 24 Ultilet Insulin Syringe/0.3ML/30G X 7/16", 24 Ultilet Insulin Syringe/0.5ML/29G X 7/16", 24 Ultilet Insulin Syringe/0.5ML/30G X 7/16", 24 Ultilet Insulin Syringe/1ML/29G X 7/16", 24 Ultilet Insulin Syringe/1ML/30G X 7/16", 24 Ultilet Insulin Syringe/SHORT/0.3ML/30G X 5/16", 24 Ultilet Insulin Syringe/SHORT/0.3ML/31G X 5/16", 24 Ultilet Insulin Syringe/SHORT/0.5ML/30G X 5/16", 24 Ultilet Insulin Syringe/SHORT/0.5ML/31G X 5/16", 24 Ultilet Insulin Syringe/SHORT/1ML/30G X 5/16", 24 Ultilet Insulin Syringe/SHORT/1ML/31G X 5/16", 24 Ultilet Pen Needle 32GX4MM/SHORT, 24 Ultilet SHORT Pen Needles 31GX5/16", 24 Ultilet SHORT Pen Needles31GX3/16", 24 Ultra Comfort Insulin Syringe/0.5ML/29G X 1/2", 24 Ultra Comfort Insulin Syringe/0.5ML/31G X 5/16", 24 Ultra Comfort Insulin Syringe/1ML/29G X 1/2", 24 Ultra Comfort Insulin Syringe/1ML/30G X 1/2", 24 Ultra Comfort Insulin Syringe/1ML/31G X 5/16", 24 Ultra Comfort Insulin Syringe/U100/0.3ML/30G X 5/16", 24 ultra comfort insulin syringe/u100/0.5ML/28G X 1/2", 19 Ultra Comfort Insulin Syringe/U100/0.5ML/30G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/0.3ML/29G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/0.3ML/30G X 5/16", 24 Ultra-comfort Insulin Syringe/U100/0.3ML/31G X 5/16", 24 Ultra-comfort Insulin Syringe/U100/0.5ML/28G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/0.5ML/29G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/0.5ML/30G X 5/16", 24 Ultra-comfort Insulin Syringe/U100/0.5ML/31G X 5/16", 24 Ultra-comfort Insulin Syringe/U100/1ML/28G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/1ML/29G X 1/2", 24 Ultra-comfort Insulin Syringe/U100/1ML/30G X 5/16", 24 Ultra-comfort Insulin Syringe/U100/1ML/31G X 5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/30GX5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/0.3ML/31GX5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/30GX5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/0.5ML/31GX5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/1ML/30GX5/16", 24 Ultra-thin II Insulin Syringe SHORT/U100/1ML/31GX5/16", 24 Ultra-thin II Insulin Syringe/U100/0.3ML/29GX1/2", 24 Ultra-thin II Insulin Syringe/U100/0.5ML/29GX1/2", 24 Ultra-thin II Insulin Syringe/U100/1ML/29GX1/2", 24 Ultra-thin II Mini Pen Neeedles/31GX3/16", 24 Ultra-thin II Pen Needles 29GX1/2", 24 Ultra-thin II Pen Needles/SHORT/31GX5/16", 25 Unifine Pentips 29GX12MM, 25 Unifine Pentips 31G X 3/16", 25 Unifine Pentips 31G X 6MM, 25 Unifine Pentips 31G X 8MM, 25 Unifine Pentips 31GX5MM, 25 Unifine Pentips 31GX6MM, 25 unifine pentips 31GX8MM, 19 Unifine Pentips 31GX8MM, 25 Unifine Pentips 32GX4MM, 25 Unifine Pentips Plus 29GX12MM, 25 Unifine Pentips Plus 31GX5MM, 25 Unifine Pentips Plus 31GX6MM, 25 Unifine Pentips Plus 31GX8MM, 25 Unifine Pentips Plus 32GX4MM, 25 unithroid, 9 univert, 9 ursodiol, 9 V V-r Monoject Insulin Syringe/U100/0.3ML/29G X 1/2", 25 V-r Monoject Insulin Syringe/U100/0.5ML/28G X 1/2", 25 V-r Monoject Insulin Syringe/U100/0.5ML/29G X 1/2", 25 V-r Monoject Insulin Syringe/U- 100/1ML/28G X 1/2", 25 V-r Monoject Insulin Syringe/U100/1ML/29G X 1/2", 25 Vagifem, 10 valacyclovir HCL, 1 Valcyte, 1 valproate sodium, 12 valproic acid, 12 valsartan/hydrochlorothiazide, 4 Value Health Insulin Syringe/U100/0.5ML/29G X 1/2", 25 Value Health Insulin Syringe/U100/1ML/29G X 1/2", 25 Valumark Pen Needles 29GX12MM, 25 Valumark Pen Needles 31G X 6MM, 25 Valumark Pen Needles 31G X 8MM, 25 vancomycin HCL, 2 vandazole, 10 Vanishpoint Insulin Syringe/0.5ML/30G X 1/2", 25 Vanishpoint Insulin Syringe/1ML/29G X 1/2", 25 Vaqta, 17 Varivax, 17 Vcf Vaginal Contraceptive Film, 10 vcf vaginal contraceptive foam, 10 velivet, 7 venlafaxine HCL, 11 venlafaxine HCL ER, 11 Ventavis, 4 Ventolin HFA, 17 Veramyst, 16 verapamil HCL, 3 verapamil HCL ER, 3 verapamil HCL SR, 3 Veregen, 6 verelan, 3 verelan PM, 3 Veripred 20, 6 vestura, 7 Victoza, 8 Victrelis, 2 Vida Mia Unifine Pentips 32GX4MM, 25 Vida Mia Unifine Pentips Mini 31GX6MM, 25 Vida Mia Unifine Pentips Original 29GX12MM, 25 Vida Mia Unipfine Pentipsshort 31GX8MM, 25 Videx Pediatric, 2 Vigamox, 13 Viibryd, 11 Vimpat, 12 viorele, 7 Viracept, 2 Viramune, 2 Viramune XR, 2 Viread, 2 virt-CAPS, 18 Vitamelts Vitamin D, 18 vitamin d, 18 vitamin d 400, 18 vitamin d high potency, 18 vitamin d-1000, 18 vitamin d-1000 maximum strength, 18 vitamin d-3, 18 vitamin d-400, 18 vitamin d3, 18 vitamin d3 400, 18 vitamin d3 adult gummies, 18 vitamin d3 high potency, 18 vitamin d3 maximum strength, 18 vitazol, 5 Vivelle-dot, 6 Vogelxo P.M., 6 Voltaren, 5 voriconazole, 1 Votrient, 3 Vp Insulin Syringe/U-100/0.3ML/29G X 1/2", 25 vyfemla, 7 Vytorin, 4 Vyvanse, 12 W warfarin sodium, 11 Wd Medic Insulin Syringe/0.3ML/29G X 1/2", 25 Wd Medic Insulin Syringe/0.3ML/30G X 5/16", 25 Wd Medic Insulin Syringe/0.5ML/29G X 1/2", 25 Wd Medic Insulin Syringe/0.5ML/30G X 5/16", 25 Wd Medic Insulin Syringe/1ML/29G X 1/2", 25 Wd Medic Insulin Syringe/1ML/30G X 5/16", 25 wee care, 10 Wegmans Unifine Pentips Plus 32GX4MM, 25 Wegmans Unifine Pentips Plus/Mini/31GX5MM, 25 Wegmans Unifine Pentips Plus/SHORT/31GX8MM, 25 Wegmans Unifine Pentips Plus/Ultra SHORT/31GX6MM, 25 Welchol, 4 Wellesse Vitamin D3, 18 wera, 7 Westhroid-p, 9 Wp Thyroid, 9 wymzya FE, 7 X Xalkori, 3 Xarelto, 11 Xarelto Starter Pack, 11 Xeljanz, 16 Xenazine, 13 Xifaxan, 2 Xopenex HFA, 17 xulane, 7 Xyrem, 13 Y yl folic acid, 10 Your Life Multi Prenatal, 18 Z zafirlukast, 16 zaleplon, 12 zarah, 7 zazole, 10 zebutal, 15 Zelboraf, 3 zenchent, 7 zenchent FE, 7 Zenpep, 9 zenzedi, 12 zeosa, 7 Zetia, 4 Zetonna, 16 Ziagen, 2 zidovudine, 2 Zioptan, 14 ziprasidone HCL, 12 Zirgan, 13 zolmitriptan, 16 zolpidem tartrate, 12 zolpidem tartrate ER, 12 zonisamide, 12 Zortress, 3 Zostavax, 17 zovia 1/35e, 7 zovia 1/50e, 7 Zyflo CR, 17 Zytiga, 2 Zyvox, 2 1 1/2halfprin, 15 1ST Choice Pen Needles 31GX6MM, 25 1ST Choice Pen Needles 31GX8MM, 25 1ST Tier Unifine Pentips /Mini/31GX5MM, 25 1ST Tier Unifine Pentips 29GX12MM, 25 1ST Tier Unifine Pentips 31GX6MM, 25 1ST Tier Unifine Pentips 31GX8MM, 25 1ST Tier Unifine Pentips 32GX4MM, 25 1ST Tier Unifine Pentips Plus 31GX8MM, 25 1ST Tier Unifine Pentips Plus 32GX4MM, 25 1ST Tier Unifine Pentips Plus/Mini/31GX5MM, 25 1ST Tier Unifine Pentips Plus/Original/29GX12MM, 25 1ST Tier Unifine Pentips Plus/Ultra SHORT/31GX6MM, 25
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