International Student Plan

Medication Guide
Medication Guide 1
2023
EHIM-WellAway Intl’ Student Plan Formulary (2023) **PRE-AUTHORIZATION ON DRUGS OVER $250**
This document and the data and/or information contained in this document (“Information”) are owned by EHIM. It contains legally privileged, confidential and proprietary information and/or
intellectual property of EHIM that is protected from disclosure through agreement(s) and/or laws that require the recipient to keep the Information confidential. The Information may not be
reproduced, disclosed, used and/or relied upon, in whole, or in part, without the prior written consent of EHIM. This Information is also intended solely for the recipient and/or others authorized
by EHIM to receive it. If you are not the intended recipient, please notify EHIM and immediately delete, shred and/or otherwise destroy the Information. Any unauthorized reproduction, disclosure,
access, use and/or action in reliance on the Information is strictly prohibited and may entitle EHIM to legal and/or equitable remedies and damages. ©2020 EHIM

Medication Pre-Authorization Formulary Tier Therapeutic Class

ADDERALL TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 12.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL TAB 7.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADDERALL XR CAP 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 12.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 15.7 MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 18.8MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 3.1MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 6.3MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ADZENYS XR TAB 9.4MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ALERTNESS AI TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ALLI CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR CAP 10MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR CAP 15MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR CAP 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR CAP 25MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR CAP 30MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 2
 AMPHET/DEXTR CAP 5MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 12.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHET/DEXTR TAB 7.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHETAMINE CAP 10MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHETAMINE CAP 15MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHETAMINE CAP 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHETAMINE CAP 25MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMPHETAMINE CAP 30MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
APTENSIO XR CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ARMODAFINIL TAB 150MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ARMODAFINIL TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ARMODAFINIL TAB 250MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ARMODAFINIL TAB 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 100MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 18MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ATOMOXETINE CAP 80MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AWAKE MAX ST TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CAFFEINE POW ANHYDROU EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 3
 CAFFEINE TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CAFFEINE TAB EX-STR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CLONIDINE TAB 0.1MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CONCERTA TAB 18MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CONCERTA TAB 27MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CONCERTA TAB 36MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CONCERTA TAB 54MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
CVS CAFFEINE TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DAYTRANA DIS 10MG/9HR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DAYTRANA DIS 15MG/9HR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DAYTRANA DIS 20MG/9HR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DAYTRANA DIS 30MG/9HR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DESOXYN TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXEDRINE CAP 10MG CR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXEDRINE CAP 15MG CR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXEDRINE CAP 5MG CR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXEDRINE TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXEDRINE TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH CAP 15MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH CAP 30MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH CAP 40MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH TAB 2.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPH TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPHE CAP 10MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPHE CAP 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPHE CAP 5MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPHE CAP ER 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXMETHYLPHE CAP ER 35MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXTROAMPHET CAP 10MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXTROAMPHET CAP 15MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXTROAMPHET CAP 5MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXTROAMPHET SOL 5MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 4
 DEXTROAMPHET TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DEXTROAMPHET TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
DYANAVEL XR SUS 2.5MG/ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
EQL STAY AWK TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
EVEKEO TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
EVEKEO TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN TAB 2.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 35MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
FOCALIN XR CAP 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
GUANFACINE TAB 1MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
GUANFACINE TAB 2MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
GUANFACINE TAB 3MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
GUANFACINE TAB 4MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
INTUNIV TAB 1MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
INTUNIV TAB 2MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
INTUNIV TAB 3MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
INTUNIV TAB 4MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
KAPVAY TAB 0.1 MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
KEEP ALERT TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE TAB 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE CD CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE CD CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE CD CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE CD CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METADATE CD CAP 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 5
 METADATE CD CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHAMPHETAM TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHLPHENIDA CHW 2.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLIN CHW 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLIN CHW 2.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLIN CHW 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLIN SOL 10MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLIN SOL 5MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 30MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 40MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CAP 60MG LA EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CHW 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID CHW 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID SOL 10MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID SOL 5MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 10MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 18MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 20MG SR EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 27MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 36MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 54MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
METHYLPHENID TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
MODAFINIL TAB 100MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 6
 MODAFINIL TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
MYDAYIS CAP 12.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
MYDAYIS CAP 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
MYDAYIS CAP 37.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
MYDAYIS CAP 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
NO DOZ TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
NUVIGIL TAB 150MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
NUVIGIL TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
NUVIGIL TAB 250MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
NUVIGIL TAB 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
PROCENTRA SOL 5MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
PROVIGIL TAB 100MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
PROVIGIL TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
QUILLICHEW CHW 20MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
QUILLICHEW CHW 30MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
QUILLICHEW CHW 40MG ER EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
QUILLIVANT SUS 25MG/5ML EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RA STAY AWAK TAB 100MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RA STAY AWAK TAB EX ST EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RA STAY AWAK TAB MAX ST EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN TAB 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN LA CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN LA CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN LA CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN LA CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
RITALIN LA CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STAY AWAKE TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 100MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 18MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 25MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants

Medication Guide 7
 STRATTERA CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
STRATTERA CAP 80MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VIVARIN TAB 200MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CAP 70MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 40MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 50MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
VYVANSE CHW 60MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
XENICAL CAP 120MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 10MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 15MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 2.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 20MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 30MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
ZENZEDI TAB 7.5MG EXCLUDED ADHD/Anti-Narcolepsy/Anti-Obesity/Anorexiants
AMIKACIN INJ 1GM/4ML GENERIC (01) Aminoglycosides
AMIKACIN INJ 500/2ML GENERIC (01) Aminoglycosides
AMIKACIN POW SULFATE PREFERRED BRAND (02) Aminoglycosides
BETHKIS NEB 300/4ML PREFERRED BRAND (02) Aminoglycosides
KITABIS PAK NEB 300/5ML PREFERRED BRAND (02) Aminoglycosides
NEOMYCIN TAB 500MG GENERIC (01) Aminoglycosides
TOBI NEB 300/5ML PREFERRED BRAND (02) Aminoglycosides
TOBI PODHALR CAP 28MG PREFERRED BRAND (02) Aminoglycosides

Medication Guide 8
 TOBRAMYCIN INJ 1.2/30ML GENERIC (01) Aminoglycosides
TOBRAMYCIN INJ 1.2GM GENERIC (01) Aminoglycosides
TOBRAMYCIN INJ 10MG/ML GENERIC (01) Aminoglycosides
TOBRAMYCIN INJ 10MG/ML PREFERRED BRAND (02) Aminoglycosides
TOBRAMYCIN INJ 40MG/ML GENERIC (01) Aminoglycosides
TOBRAMYCIN INJ 40MG/ML PREFERRED BRAND (02) Aminoglycosides
TOBRAMYCIN INJ 80MG/2ML GENERIC (01) Aminoglycosides
TOBRAMYCIN NEB 300/5ML GENERIC (01) Aminoglycosides
TOBRAMYCIN NEB 300/5ML PREFERRED BRAND (02) Aminoglycosides
TOBRAMYCIN POW SULFATE PREFERRED BRAND (02) Aminoglycosides
ADDAPRIN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
ADVIL CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ADVIL TAB 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ADVIL CHILD SUS 100/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ADVIL JR ST TAB 100MG GENERIC (01) Analgesics-Anti-Inflammatory
ADVIL JR STR CHW 100MG GENERIC (01) Analgesics-Anti-Inflammatory
ADVIL MIGRAI CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ALEVE CAP 220MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ALEVE TAB 220MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ALL DAY PAIN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
ALL DAY RELF TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
ANAPROX DS TAB 550MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ARAVA TAB 10MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
ARAVA TAB 20MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
CALDOLOR INJ 800/8ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
CELEBREX CAP 100MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
CELEBREX CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
CELEBREX CAP 400MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
CELEBREX CAP 50MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
CELECOXIB CAP 100MG GENERIC (01) Analgesics-Anti-Inflammatory
CELECOXIB CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
CELECOXIB CAP 400MG GENERIC (01) Analgesics-Anti-Inflammatory
CELECOXIB CAP 50MG GENERIC (01) Analgesics-Anti-Inflammatory

Medication Guide 9
 CHLD IBUPRFN DRO 40MG/ML GENERIC (01) Analgesics-Anti-Inflammatory
CHLD IBUPROF SUS 100/5ML GENERIC (01) Analgesics-Anti-Inflammatory
CVS IBUPROF DRO 50/1.25 GENERIC (01) Analgesics-Anti-Inflammatory
DAYPRO TAB 600MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
DICLOFEN POT TAB 50MG GENERIC (01) Analgesics-Anti-Inflammatory
DICLOFENAC TAB 100MG ER GENERIC (01) Analgesics-Anti-Inflammatory
DICLOFENAC TAB 100MG XR GENERIC (01) Analgesics-Anti-Inflammatory
DICLOFENAC TAB 25MG DR GENERIC (01) Analgesics-Anti-Inflammatory
DICLOFENAC TAB 50MG DR GENERIC (01) Analgesics-Anti-Inflammatory
DICLOFENAC TAB 75MG DR GENERIC (01) Analgesics-Anti-Inflammatory
DYLOJECT INJ 37.5MG/M Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
DYSPEL TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
EC-NAPROSYN TAB 375MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
EC-NAPROSYN TAB 500MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ENBREL INJ 25/0.5ML PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
ENBREL INJ 25MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
ENBREL INJ 50MG/ML PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
ENBREL SRCLK INJ 50MG/ML PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
EQ IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
EQL IBUPROFN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
EQL NAPROXEN CAP 220MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC CAP 300MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC TAB 400MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC ER TAB 400MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC ER TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
ETODOLAC ER TAB 600MG GENERIC (01) Analgesics-Anti-Inflammatory
FELDENE CAP 10MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FELDENE CAP 20MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FENOPROFEN CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FENOPROFEN CAP 400MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FENOPROFEN POW CALCIUM Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory

Medication Guide 10
 FENOPROFEN TAB 600MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FENORTHO CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FENORTHO CAP 400MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FLANAX PAIN KIT RELIEF Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
FLANAX PAIN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
FLURBIPROFEN POW PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
FLURBIPROFEN TAB 100MG GENERIC (01) Analgesics-Anti-Inflammatory
FLURBIPROFEN TAB 50MG GENERIC (01) Analgesics-Anti-Inflammatory
GENPRIL TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
HM IBUPROFEN CHW 100MG GENERIC (01) Analgesics-Anti-Inflammatory
HM IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
HUMIRA INJ 10MG/0.2 EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA KIT 20MG/0.4 EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA KIT 40MG/0.8 EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA PEDIA INJ CROHNS EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA PEN INJ 40MG/0.8 EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA PEN INJ CROHNS EXCLUDED Analgesics-Anti-Inflammatory
HUMIRA PEN INJ PSORIASI EXCLUDED Analgesics-Anti-Inflammatory
HYVEE IBUPRO SUS 100MG/5M GENERIC (01) Analgesics-Anti-Inflammatory
IBU-200 TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
IBU-DROPS DRO 40MG/ML GENERIC (01) Analgesics-Anti-Inflammatory
IBU-DROPS DRO 50/1.25 GENERIC (01) Analgesics-Anti-Inflammatory
IBUPRFN LIQD CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN DRO 50/1.25 GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN KIT COMFORT Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
IBUPROFEN POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
IBUPROFEN SUS 100/5ML GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN TAB 400MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN TAB 600MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN TAB 800MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN IB CHW 100MG GENERIC (01) Analgesics-Anti-Inflammatory

Medication Guide 11
 IBUPROFEN IB TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN JR CHW 100MG GENERIC (01) Analgesics-Anti-Inflammatory
IBUPROFEN JS CHW 100MG GENERIC (01) Analgesics-Anti-Inflammatory
INDOCIN SUP 50MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
INDOCIN SUS 25MG/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
INDOMETHACIN CAP 25MG GENERIC (01) Analgesics-Anti-Inflammatory
INDOMETHACIN CAP 50MG GENERIC (01) Analgesics-Anti-Inflammatory
INDOMETHACIN CAP 75MG ER GENERIC (01) Analgesics-Anti-Inflammatory
INDOMETHACIN CAP 75MG SR GENERIC (01) Analgesics-Anti-Inflammatory
INDOMETHACIN POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
INFANT ADVIL DRO 50/1.25 Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
I-PRIN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
KETOPROFEN CAP 200MG ER Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
KETOPROFEN CAP 50MG GENERIC (01) Analgesics-Anti-Inflammatory
KETOPROFEN CAP 75MG GENERIC (01) Analgesics-Anti-Inflammatory
KETOPROFEN POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
KETOPROFEN POW MICRONIZ Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
KETOPROFEN POW ULT MICR Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
KETOROLAC INJ 15MG/ML GENERIC (01) Analgesics-Anti-Inflammatory
KETOROLAC INJ 30MG/ML GENERIC (01) Analgesics-Anti-Inflammatory
KETOROLAC INJ 60MG/2ML GENERIC (01) Analgesics-Anti-Inflammatory
KETOROLAC INJ 60MG/2ML PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
KETOROLAC TAB 10MG GENERIC (01) Analgesics-Anti-Inflammatory
KLS IBUPROFN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
KLS IBUPROFN TAB IB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
KLS NAPROXEN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
KS IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
LEFLUNOMIDE TAB 10MG GENERIC (01) Analgesics-Anti-Inflammatory
LEFLUNOMIDE TAB 20MG GENERIC (01) Analgesics-Anti-Inflammatory
LODINE TAB 400MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MEDI-PROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
MEDI-PROFEN SUS 100/5ML GENERIC (01) Analgesics-Anti-Inflammatory
MEDI-PROFEN SUS 40MG/ML GENERIC (01) Analgesics-Anti-Inflammatory

Medication Guide 12
 MEDI-PROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
MEDIPROXEN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
MEFENAM ACID CAP 250MG GENERIC (01) Analgesics-Anti-Inflammatory
MEFENAMIC POW ACID PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
MELOXICAM KIT COMFORT Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MELOXICAM SUS 7.5/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MELOXICAM TAB 15MG GENERIC (01) Analgesics-Anti-Inflammatory
MELOXICAM TAB 7.5MG GENERIC (01) Analgesics-Anti-Inflammatory
MIDOL CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
MOBIC SUS 7.5/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MOBIC TAB 15MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MOBIC TAB 7.5MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MOTRIN CHILD SUS 100/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
MOTRIN IB TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
MOTRIN INFAN DRO 50/1.25 Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NABUMETONE TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
NABUMETONE TAB 750MG GENERIC (01) Analgesics-Anti-Inflammatory
NALFON CAP 400MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPRELAN TAB 375MG CR Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPRELAN TAB 500MG CR Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPRELAN TAB 750MG CR Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROSYN SUS 125/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROSYN TAB 250MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROSYN TAB 500MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROXEN KIT COMFORT Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROXEN POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROXEN POW SODIUM Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROXEN SUS 125/5ML GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SUS 125/5ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
NAPROXEN TAB 250MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN TAB 375MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN DR TAB 375MG GENERIC (01) Analgesics-Anti-Inflammatory

Medication Guide 13
 NAPROXEN DR TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN EC TAB 375MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN EC TAB 500MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD CAP 220MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 275MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 375MG GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 375MG CR GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 500MG CR GENERIC (01) Analgesics-Anti-Inflammatory
NAPROXEN SOD TAB 550MG GENERIC (01) Analgesics-Anti-Inflammatory
NEOPROFEN SOL 10MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ORENCIA INJ 125MG/ML EXCLUDED Analgesics-Anti-Inflammatory
ORENCIA INJ 250MG EXCLUDED Analgesics-Anti-Inflammatory
ORENCIA INJ 50/0.4 EXCLUDED Analgesics-Anti-Inflammatory
ORENCIA INJ 87.5/0.7 EXCLUDED Analgesics-Anti-Inflammatory
ORENCIA CLCK INJ 125MG/ML EXCLUDED Analgesics-Anti-Inflammatory
OTEZLA TAB 10/20/30 EXCLUDED Analgesics-Anti-Inflammatory
OTEZLA TAB 30MG EXCLUDED Analgesics-Anti-Inflammatory
OTEZLA TA 30MG BRIDGE PACK EXCLUDED Analgesics-Anti-Inflammatory
OXAPROZIN TAB 600MG GENERIC (01) Analgesics-Anti-Inflammatory
PAMPRIN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
PIROXICAM CAP 10MG GENERIC (01) Analgesics-Anti-Inflammatory
PIROXICAM CAP 20MG GENERIC (01) Analgesics-Anti-Inflammatory
PIROXICAM POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
PONSTEL CAP 250MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
PROVIL TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
PX IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
PX PROFEN IB DRO 50/1.25 GENERIC (01) Analgesics-Anti-Inflammatory
PX PROFEN IB SUS 100/5ML GENERIC (01) Analgesics-Anti-Inflammatory
QC IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
QC IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
RA IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
RA IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory

Medication Guide 14
 READY KETORO KIT 15MG/ML PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
SB IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
SIMPONI INJ 100MG/ML EXCLUDED Analgesics-Anti-Inflammatory
SIMPONI INJ 50/0.5ML EXCLUDED Analgesics-Anti-Inflammatory
SIMPONI ARIA SOL 50MG/4ML EXCLUDED Analgesics-Anti-Inflammatory
SM ALL DAY TAB PAIN REL GENERIC (01) Analgesics-Anti-Inflammatory
SM IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
SM IBUPROFEN TAB 100MG JR GENERIC (01) Analgesics-Anti-Inflammatory
SM IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory

SPRIX SPR 15.75MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory

SULINDAC POW Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
SULINDAC TAB 150MG GENERIC (01) Analgesics-Anti-Inflammatory
SULINDAC TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
TH IBUPROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
TH IBUPROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
TH NAPROXEN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
TIVORBEX CAP 20MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
TIVORBEX CAP 40MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
TOLMETIN SOD CAP 400MG GENERIC (01) Analgesics-Anti-Inflammatory
TOLMETIN SOD CAP 400MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
TOLMETIN SOD TAB 200MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
TOLMETIN SOD TAB 600MG PREFERRED BRAND (02) Analgesics-Anti-Inflammatory
VIVLODEX CAP 10MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
VIVLODEX CAP 5MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
WAL-PROFEN CAP 200MG GENERIC (01) Analgesics-Anti-Inflammatory
WAL-PROFEN TAB 200MG GENERIC (01) Analgesics-Anti-Inflammatory
WAL-PROXEN TAB 220MG GENERIC (01) Analgesics-Anti-Inflammatory
ZIPSOR CAP 25MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ZORVOLEX CAP 18MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
ZORVOLEX CAP 35MG Y NON-PREFERRED BRAND (03) Analgesics-Anti-Inflammatory
DIFLUNISAL TAB 500MG GENERIC (01) Analgesics-NonNarcotic
DISALCID TAB 500MG PREFERRED BRAND (02) Analgesics-NonNarcotic

Medication Guide 15
 DISALCID TAB 750MG PREFERRED BRAND (02) Analgesics-NonNarcotic
SALSALATE TAB 500MG GENERIC (01) Analgesics-NonNarcotic
SALSALATE TAB 750MG GENERIC (01) Analgesics-NonNarcotic
ABSTRAL SUB 100MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ABSTRAL SUB 200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ABSTRAL SUB 300MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ABSTRAL SUB 400MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ABSTRAL SUB 600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ABSTRAL SUB 800MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 1200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 1600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 400MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ACTIQ LOZ 800MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ARYMO ER TAB 15MG PREFERRED BRAND (02) Analgesics-Opioid
ARYMO ER TAB 30MG PREFERRED BRAND (02) Analgesics-Opioid
ARYMO ER TAB 60MG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 150MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 300MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 450MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 600MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 750MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 75MCG PREFERRED BRAND (02) Analgesics-Opioid
BELBUCA MIS 900MCG PREFERRED BRAND (02) Analgesics-Opioid
BUNAVAIL MIS 2.1-0.3 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUNAVAIL MIS 4.2-0.7 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUNAVAIL MIS 6.3-1MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUPRENEX INJ 0.3MG/ML PREFERRED BRAND (02) Analgesics-Opioid
BUPRENORPHIN DIS 10MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUPRENORPHIN DIS 15MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUPRENORPHIN DIS 20MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUPRENORPHIN DIS 5MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 16
 BUPRENORPHIN DIS 7.5/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUPRENORPHIN INJ 0.3MG/ML GENERIC (01) Analgesics-Opioid
BUPRENORPHIN SUB 2MG GENERIC (01) Analgesics-Opioid
BUPRENORPHIN SUB 8MG GENERIC (01) Analgesics-Opioid
BUTRANS DIS 10MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUTRANS DIS 15MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUTRANS DIS 20MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUTRANS DIS 5MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
BUTRANS DIS 7.5/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
CODEINE SULF TAB 15MG GENERIC (01) Analgesics-Opioid
CODEINE SULF TAB 15MG PREFERRED BRAND (02) Analgesics-Opioid
CODEINE SULF TAB 30MG GENERIC (01) Analgesics-Opioid
CODEINE SULF TAB 30MG PREFERRED BRAND (02) Analgesics-Opioid
CODEINE SULF TAB 60MG GENERIC (01) Analgesics-Opioid
CODEINE SULF TAB 60MG PREFERRED BRAND (02) Analgesics-Opioid
CONZIP CAP 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
CONZIP CAP 200MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
CONZIP CAP 300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 100/2ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 100MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 25MG/0.5 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 25MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 50MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 75MG/1.5 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL INJ 75MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL TAB 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DEMEROL TAB 50MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID INJ 1MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID INJ 2MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID INJ 4MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID LIQ 1MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID TAB 2MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID TAB 4MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 17
 DILAUDID TAB 8MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID-HP INJ 10MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DILAUDID-HP INJ 250MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DOLOPHINE TAB 10MG PREFERRED BRAND (02) Analgesics-Opioid
DOLOPHINE TAB 5MG PREFERRED BRAND (02) Analgesics-Opioid
DURAGESIC DIS 100MCG/H Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DURAGESIC DIS 12MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DURAGESIC DIS 25MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DURAGESIC DIS 50MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DURAGESIC DIS 75MCG/HR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
DURAMORPH INJ 0.5MG/ML GENERIC (01) Analgesics-Opioid
DURAMORPH INJ 1MG/ML GENERIC (01) Analgesics-Opioid
ENDOCET TAB 10-325MG GENERIC (01) Analgesics-Opioid
ENDOCET TAB 2.5-325 GENERIC (01) Analgesics-Opioid
ENDOCET TAB 5-325MG GENERIC (01) Analgesics-Opioid
ENDOCET TAB 7.5-325 GENERIC (01) Analgesics-Opioid
EXALGO TAB 12MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
EXALGO TAB 16MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
EXALGO TAB 32MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
EXALGO TAB 8MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTANYL DIS 100MCG/H GENERIC (01) Analgesics-Opioid
FENTANYL DIS 12MCG/HR GENERIC (01) Analgesics-Opioid
FENTANYL DIS 25MCG/HR GENERIC (01) Analgesics-Opioid
FENTANYL DIS 37.5MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTANYL DIS 50MCG/HR GENERIC (01) Analgesics-Opioid
FENTANYL DIS 62.5MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTANYL DIS 75MCG/HR GENERIC (01) Analgesics-Opioid
FENTANYL DIS 87.5MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTORA TAB 100MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTORA TAB 200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTORA TAB 400MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTORA TAB 600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
FENTORA TAB 800MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 18
 HYCET SOL 7.5-325 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROCO/APAP SOL 7.5-325 GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 10-300MG GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 10-325MG GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 2.5-325 GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 5-300MG GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 5-325MG GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 7.5-300 GENERIC (01) Analgesics-Opioid
HYDROCO/APAP TAB 7.5-325 GENERIC (01) Analgesics-Opioid
HYDROCODONE SOL 10-325MG GENERIC (01) Analgesics-Opioid
HYDROM/NACL INJ 10/100ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 0.4/2ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 0.5-0.9% Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 10/100ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 10/25ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 10/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 100/100 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 100/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 12.5/25 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 12/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 12/60ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 15/15ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 15/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 15/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 150/150 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 18/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 1MG/5ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 2.5/25 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 20/100ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 20/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 200/100 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 24/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 25/25ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 19
 HYDROMO/NACL INJ 25/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 250/250 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 2MG/10ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 2MG/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 30/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 36/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 3MG/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 50/100 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 50/250ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 5MG/25ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 5MG/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 6/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 62.5/250 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 6MG/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 75/250ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 9MG/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL INJ 9MG/45ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL SOL 25/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL SOL 40/100ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMO/NACL SOL 50/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMOR HCL INJ NACL Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON INJ 10MG/ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ 12.5/50 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON INJ 1MG/ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ 25/250ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON INJ 2MG/ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ 4MG/ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ 50/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON INJ 500/50ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ 50MG/5ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON INJ NACL Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON LIQ 1MG/ML GENERIC (01) Analgesics-Opioid
HYDROMORPHON POW HCL Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 20
 HYDROMORPHON SUP 3MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
HYDROMORPHON TAB 12MG ER GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 16MG ER GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 2MG GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 32MG ER GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 4MG GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 8MG GENERIC (01) Analgesics-Opioid
HYDROMORPHON TAB 8MG ER GENERIC (01) Analgesics-Opioid
HYDROMORPOHO INJ 30/150ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 100MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 10MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 200MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 20MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 30MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 40MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 50MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 60MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
KADIAN CAP 80MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
LORCET TAB 5-325MG GENERIC (01) Analgesics-Opioid
LORCET HD TAB 10-325MG GENERIC (01) Analgesics-Opioid
LORCET PLUS TAB 7.5-325 GENERIC (01) Analgesics-Opioid
LORTAB ELX 10-300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
LORTAB TAB 10-325MG GENERIC (01) Analgesics-Opioid
LORTAB TAB 5-325MG GENERIC (01) Analgesics-Opioid
LORTAB TAB 7.5-325 GENERIC (01) Analgesics-Opioid
MEPERID/NACL INJ 1000/100 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MEPERID/NACL INJ 300/30ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MEPERID/NACL INJ 500/50ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MEPERIDINE INJ 100MG/ML GENERIC (01) Analgesics-Opioid
MEPERIDINE INJ 10MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MEPERIDINE INJ 25MG/ML GENERIC (01) Analgesics-Opioid
MEPERIDINE INJ 50MG/ML GENERIC (01) Analgesics-Opioid
MEPERIDINE POW Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 21
 MEPERIDINE SOL 50MG/5ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MEPERIDINE TAB 100MG GENERIC (01) Analgesics-Opioid
MEPERIDINE TAB 50MG GENERIC (01) Analgesics-Opioid
METHADONE CON 10MG/ML GENERIC (01) Analgesics-Opioid
METHADONE INJ 10MG/ML PREFERRED BRAND (02) Analgesics-Opioid
METHADONE POW PREFERRED BRAND (02) Analgesics-Opioid
METHADONE SOL 10MG/5ML GENERIC (01) Analgesics-Opioid
METHADONE SOL 10MG/5ML PREFERRED BRAND (02) Analgesics-Opioid
METHADONE SOL 5MG/5ML GENERIC (01) Analgesics-Opioid
METHADONE SOL 5MG/5ML PREFERRED BRAND (02) Analgesics-Opioid
METHADONE TAB 10MG GENERIC (01) Analgesics-Opioid
METHADONE TAB 40MG GENERIC (01) Analgesics-Opioid
METHADONE TAB 5MG GENERIC (01) Analgesics-Opioid
METHADOSE CON 10MG/ML PREFERRED BRAND (02) Analgesics-Opioid
METHADOSE TAB 40MG GENERIC (01) Analgesics-Opioid
METHADOSE SF CON 10MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHABOND TAB 100MG ER PREFERRED BRAND (02) Analgesics-Opioid
MORPHABOND TAB 15MG ER PREFERRED BRAND (02) Analgesics-Opioid
MORPHABOND TAB 30MG ER PREFERRED BRAND (02) Analgesics-Opioid
MORPHABOND TAB 60MG ER PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE POW SULFATE PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL CAP 100MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 10MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 120MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL CAP 20MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 30MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 30MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL CAP 45MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL CAP 50MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 60MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL CAP 60MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL CAP 75MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL CAP 80MG ER GENERIC (01) Analgesics-Opioid

Medication Guide 22
 MORPHINE SUL CAP 90MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
MORPHINE SUL INJ 0.5MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 10/0.7ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 10MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 10MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 150/30ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 15MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 15MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 1MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 25MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 2MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 4MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 4MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 50MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 5MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL INJ 8MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL INJ 8MG/ML PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL SOL 10/0.5ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL SOL 100/5ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL SOL 10MG/5ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL SOL 20MG/5ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL SOL 20MG/ML GENERIC (01) Analgesics-Opioid
MORPHINE SUL SUP 10MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL SUP 20MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL SUP 30MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL SUP 5MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL TAB 100MG CR GENERIC (01) Analgesics-Opioid
MORPHINE SUL TAB 100MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL TAB 15MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL TAB 15MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL TAB 200MG ER GENERIC (01) Analgesics-Opioid
MORPHINE SUL TAB 30MG PREFERRED BRAND (02) Analgesics-Opioid
MORPHINE SUL TAB 30MG ER GENERIC (01) Analgesics-Opioid

Medication Guide 23
 MORPHINE SUL TAB 60MG ER GENERIC (01) Analgesics-Opioid
MS CONTIN TAB 100MG CR PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 100MG ER PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 15MG CR PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 15MG ER PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 200MG CR PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 200MG ER PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 30MG CR PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 30MG ER PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 60MG CR PREFERRED BRAND (02) Analgesics-Opioid
MS CONTIN TAB 60MG ER PREFERRED BRAND (02) Analgesics-Opioid
NORCO TAB 10-325MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NORCO TAB 5-325MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NORCO TAB 7.5-325 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA TAB 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA TAB 50MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA TAB 75MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA ER TAB 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA ER TAB 150MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA ER TAB 200MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA ER TAB 250MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
NUCYNTA ER TAB 50MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA INJ 1MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA TAB 10MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA TAB 5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 10MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 15MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 20MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 30MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 40MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OPANA ER TAB 7.5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXAYDO TAB 5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 24
 OXAYDO TAB 7.5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCOD/APAP TAB 10-325MG GENERIC (01) Analgesics-Opioid
OXYCOD/APAP TAB 2.5-325 GENERIC (01) Analgesics-Opioid
OXYCOD/APAP TAB 5-325MG GENERIC (01) Analgesics-Opioid
OXYCOD/APAP TAB 7.5-325 GENERIC (01) Analgesics-Opioid
OXYCODONE POW HCL Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE SOL 5MG/5ML GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 10MG GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 10MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 15MG GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 15MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 20MG GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 20MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 30MG GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 30MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 40MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 5MG GENERIC (01) Analgesics-Opioid
OXYCODONE TAB 60MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE TAB 80MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCODONE/ SOL APAP Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 10MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 15MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 20MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 30MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 40MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 60MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYCONTIN TAB 80MG CR Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 10MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 10MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 15MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 15MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 20MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 20MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 25
 OXYMORPHONE TAB 30MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 30MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 40MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 40MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 5MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 5MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB 7.5MG ER GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB 7.5MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
OXYMORPHONE TAB HCL 10MG GENERIC (01) Analgesics-Opioid
OXYMORPHONE TAB HCL 5MG GENERIC (01) Analgesics-Opioid
PERCOCET TAB 10-325MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PERCOCET TAB 2.5-325 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PERCOCET TAB 5-325MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PERCOCET TAB 7.5-325 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PRIMLEV TAB 10-300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PRIMLEV TAB 5-300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PRIMLEV TAB 7.5-300 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
PROBUPHINE IMP KIT 74.2 PREFERRED BRAND (02) Analgesics-Opioid
ROXICODONE TAB 15MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ROXICODONE TAB 30MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ROXICODONE TAB 5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBOXONE MIS 12-3MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBOXONE MIS 2-0.5MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBOXONE MIS 4-1MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBOXONE MIS 8-2MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 100MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 1200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 1600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 200MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 400MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 600MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SUBSYS SPR 800MCG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
SYNAPRYN SUS 10MG/ML Y NON-PREFERRED BRAND (03) Analgesics-Opioid

Medication Guide 26
 TRAMADOL HCL CAP 150MG ER Y NON-PREFERRED BRAND (03) Analgesics-Opioid
TRAMADOL HCL CAP ER 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
TRAMADOL HCL CAP ER 200MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
TRAMADOL HCL CAP ER 300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
TRAMADOL HCL TAB 100MG ER GENERIC (01) Analgesics-Opioid
TRAMADOL HCL TAB 200MG ER GENERIC (01) Analgesics-Opioid
TRAMADOL HCL TAB 300MG ER GENERIC (01) Analgesics-Opioid
TRAMADOL HCL TAB 50MG GENERIC (01) Analgesics-Opioid
ULTRAM TAB 50MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ULTRAM ER TAB 100MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ULTRAM ER TAB 200MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ULTRAM ER TAB 300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
VERDROCET TAB 2.5-325 GENERIC (01) Analgesics-Opioid
VICODIN TAB 5-300MG GENERIC (01) Analgesics-Opioid
VICODIN ES TAB 7.5-300 GENERIC (01) Analgesics-Opioid
VICODIN HP TAB 10-300MG GENERIC (01) Analgesics-Opioid
XARTEMIS XR TAB 7.5-325 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
XODOL TAB 10-300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
XODOL TAB 5-300MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
XODOL TAB 7.5-300 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZAMICET SOL 10-325MG Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 0.7-0.18 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 1.4-0.36 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 11.4-2.9 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 2.9-0.71 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 5.7-1.4 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ZUBSOLV SUB 8.6-2.1 Y NON-PREFERRED BRAND (03) Analgesics-Opioid
ANDRODERM DIS 2MG/24HR EXCLUDED Androgens-Anabolic
ANDRODERM DIS 4MG/24HR EXCLUDED Androgens-Anabolic
ANDROGEL GEL 1%(25MG) EXCLUDED Androgens-Anabolic
ANDROGEL GEL 1%(50MG) EXCLUDED Androgens-Anabolic
ANDROGEL GEL 1.62% EXCLUDED Androgens-Anabolic
ANDROGEL GEL PUMP 1% EXCLUDED Androgens-Anabolic

Medication Guide 27
 ANDROXY TAB 10MG EXCLUDED Androgens-Anabolic
AXIRON SOL 30MG/ACT EXCLUDED Androgens-Anabolic
DANAZOL CAP 100MG EXCLUDED Androgens-Anabolic
DANAZOL CAP 200MG EXCLUDED Androgens-Anabolic
DANAZOL CAP 50MG EXCLUDED Androgens-Anabolic
EC-RX TESTOS CRE 0.2% EXCLUDED Androgens-Anabolic
EC-RX TESTOS CRE 0.4% EXCLUDED Androgens-Anabolic
EC-RX TESTOS CRE 10% EXCLUDED Androgens-Anabolic
EC-RX TESTOS CRE 20% EXCLUDED Androgens-Anabolic
FORTESTA GEL 10MG/ACT EXCLUDED Androgens-Anabolic
NATESTO GEL 5.5MG EXCLUDED Androgens-Anabolic
STRIANT MIS 30MG EXCLUDED Androgens-Anabolic
TESTIM GEL 1%(50MG) EXCLUDED Androgens-Anabolic
TESTOPEL MIS PELLETS EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL 1%(25MG) EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL 1%(25MG) EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL 1%(50MG) EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL 1%(50MG) EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL 10MG/ACT EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL PUMP 1% EXCLUDED Androgens-Anabolic
TESTOSTERONE GEL PUMP 1% EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 100MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 12.5MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 200MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 25MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 37.5MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 50MG EXCLUDED Androgens-Anabolic
TESTOSTERONE MIS 87.5MG EXCLUDED Androgens-Anabolic
TESTOSTERONE SOL 30MG/ACT EXCLUDED Androgens-Anabolic
VOGELXO GEL 1%(50MG) EXCLUDED Androgens-Anabolic
VOGELXO GEL PUMP 1% EXCLUDED Androgens-Anabolic
COLOCORT ENE 100MG GENERIC (01) Anorectal Agents
CORTENEMA ENE 100MG PREFERRED BRAND (02) Anorectal Agents

Medication Guide 28
 CORTIFOAM AER 90MG PREFERRED BRAND (02) Anorectal Agents
HYDROCORT ENE 100MG GENERIC (01) Anorectal Agents
SODIUM POW BICARBON PREFERRED BRAND (02) Antacids
SODIUM BICAR TAB 10GR GENERIC (01) Antacids
SODIUM BICAR TAB 325MG GENERIC (01) Antacids
SODIUM BICAR TAB 650MG GENERIC (01) Antacids
EMVERM CHW 100MG PREFERRED BRAND (02) Anthelmintics
IVERMECTIN TAB 3MG GENERIC (01) Anthelmintics
MEBENDAZOLE POW PREFERRED BRAND (02) Anthelmintics
STROMECTOL TAB 3MG PREFERRED BRAND (02) Anthelmintics
DILATRATE SR CAP 40MG PREFERRED BRAND (02) Anti-Anginal Agents
ISORDIL TAB 40MG PREFERRED BRAND (02) Anti-Anginal Agents
ISORDIL TAB 5MG PREFERRED BRAND (02) Anti-Anginal Agents
ISOSORB DIN TAB 10MG GENERIC (01) Anti-Anginal Agents
ISOSORB DIN TAB 20MG GENERIC (01) Anti-Anginal Agents
ISOSORB DIN TAB 30MG GENERIC (01) Anti-Anginal Agents
ISOSORB DIN TAB 40MG ER PREFERRED BRAND (02) Anti-Anginal Agents
ISOSORB DIN TAB 40MG SA PREFERRED BRAND (02) Anti-Anginal Agents
ISOSORB DIN TAB 5MG GENERIC (01) Anti-Anginal Agents
ISOSORB MONO TAB 10MG GENERIC (01) Anti-Anginal Agents
ISOSORB MONO TAB 120MG ER GENERIC (01) Anti-Anginal Agents
ISOSORB MONO TAB 20MG GENERIC (01) Anti-Anginal Agents
ISOSORB MONO TAB 30MG ER GENERIC (01) Anti-Anginal Agents
ISOSORB MONO TAB 60MG ER GENERIC (01) Anti-Anginal Agents
NITROGLYCER CAP 2.5MG ER GENERIC (01) Anti-Anginal Agents
NITROGLYCER CAP 6.5MG ER GENERIC (01) Anti-Anginal Agents
NITROGLYCER CAP 9MG ER GENERIC (01) Anti-Anginal Agents
NITROGLYCERI SUB 0.6MG GENERIC (01) Anti-Anginal Agents
NITROGLYCERN SUB 0.3MG GENERIC (01) Anti-Anginal Agents
NITROGLYCERN SUB 0.4MG GENERIC (01) Anti-Anginal Agents
NITROSTAT SUB 0.3MG PREFERRED BRAND (02) Anti-Anginal Agents
NITROSTAT SUB 0.4MG PREFERRED BRAND (02) Anti-Anginal Agents
NITROSTAT SUB 0.6MG PREFERRED BRAND (02) Anti-Anginal Agents

Medication Guide 29
 NITRO-TIME CAP 2.5MG CR GENERIC (01) Anti-Anginal Agents
NITRO-TIME CAP 6.5MG CR GENERIC (01) Anti-Anginal Agents
NITRO-TIME CAP 9MG CR GENERIC (01) Anti-Anginal Agents
ATIVAN INJ 2MG/ML EXCLUDED Anti-Anxiety Agents
ATIVAN INJ 4MG/ML EXCLUDED Anti-Anxiety Agents
ATIVAN TAB 0.5MG EXCLUDED Anti-Anxiety Agents
ATIVAN TAB 1MG EXCLUDED Anti-Anxiety Agents
ATIVAN TAB 2MG EXCLUDED Anti-Anxiety Agents
BUSPIRONE TAB 10MG EXCLUDED Anti-Anxiety Agents
BUSPIRONE TAB 15MG EXCLUDED Anti-Anxiety Agents
BUSPIRONE TAB 30MG EXCLUDED Anti-Anxiety Agents
BUSPIRONE TAB 5MG EXCLUDED Anti-Anxiety Agents
BUSPIRONE TAB 7.5MG EXCLUDED Anti-Anxiety Agents
CHLORDIAZEP CAP 10MG EXCLUDED Anti-Anxiety Agents
CHLORDIAZEP CAP 25MG EXCLUDED Anti-Anxiety Agents
CHLORDIAZEP CAP 5MG EXCLUDED Anti-Anxiety Agents
DIAZEPAM CON 5MG/ML EXCLUDED Anti-Anxiety Agents
DIAZEPAM INJ 10MG/2ML EXCLUDED Anti-Anxiety Agents
DIAZEPAM INJ 5MG/ML EXCLUDED Anti-Anxiety Agents
DIAZEPAM SOL 1MG/ML EXCLUDED Anti-Anxiety Agents
DIAZEPAM SOL 5MG/5ML EXCLUDED Anti-Anxiety Agents
DIAZEPAM TAB 10MG EXCLUDED Anti-Anxiety Agents
DIAZEPAM TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
DIAZEPAM TAB 5MG GENERIC (01) Anti-Anxiety Agents
HYDROXYZ HCL INJ 25MG/ML Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
HYDROXYZ HCL INJ 50MG/ML GENERIC (01) Anti-Anxiety Agents
HYDROXYZ HCL SYP 10MG/5ML Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
HYDROXYZ HCL TAB 10MG PREFERRED BRAND (02) Anti-Anxiety Agents
HYDROXYZ HCL TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
HYDROXYZ HCL TAB 50MG GENERIC (01) Anti-Anxiety Agents
HYDROXYZ PAM CAP 100MG GENERIC (01) Anti-Anxiety Agents
HYDROXYZ PAM CAP 25MG GENERIC (01) Anti-Anxiety Agents
HYDROXYZ PAM CAP 50MG GENERIC (01) Anti-Anxiety Agents

Medication Guide 30
 LORAZEPAM CON 2MG/ML GENERIC (01) Anti-Anxiety Agents
LORAZEPAM INJ 2MG/ML GENERIC (01) Anti-Anxiety Agents
LORAZEPAM INJ 4MG/ML Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
LORAZEPAM TAB 0.5MG GENERIC (01) Anti-Anxiety Agents
LORAZEPAM TAB 1MG GENERIC (01) Anti-Anxiety Agents
LORAZEPAM TAB 2MG GENERIC (01) Anti-Anxiety Agents
MEPROBAMATE TAB 200MG GENERIC (01) Anti-Anxiety Agents
MEPROBAMATE TAB 400MG GENERIC (01) Anti-Anxiety Agents
VALIUM TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
VALIUM TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Anxiety Agents
VALIUM TAB 5MG PREFERRED BRAND (02) Anti-Anxiety Agents
VISTARIL CAP 25MG PREFERRED BRAND (02) Anti-Anxiety Agents
VISTARIL CAP 50MG PREFERRED BRAND (02) Anti-Anxiety Agents
AMIODARONE INJ 150MG/3M GENERIC (01) Anti-Arrhythmics
AMIODARONE INJ 50MG/ML GENERIC (01) Anti-Arrhythmics
AMIODARONE INJ 50MG/ML PREFERRED BRAND (02) Anti-Arrhythmics
AMIODARONE TAB 100MG GENERIC (01) Anti-Arrhythmics
AMIODARONE TAB 200MG GENERIC (01) Anti-Arrhythmics
AMIODARONE TAB 400MG GENERIC (01) Anti-Arrhythmics
CORDARONE TAB 200MG PREFERRED BRAND (02) Anti-Arrhythmics
DISOPYRAMIDE CAP 100MG GENERIC (01) Anti-Arrhythmics
DISOPYRAMIDE CAP 150MG GENERIC (01) Anti-Arrhythmics
DOFETILIDE CAP 125MCG GENERIC (01) Anti-Arrhythmics
DOFETILIDE CAP 250MCG GENERIC (01) Anti-Arrhythmics
DOFETILIDE CAP 500MCG GENERIC (01) Anti-Arrhythmics
FLECAINIDE TAB 100MG GENERIC (01) Anti-Arrhythmics
FLECAINIDE TAB 150MG GENERIC (01) Anti-Arrhythmics
FLECAINIDE TAB 50MG GENERIC (01) Anti-Arrhythmics
MEXILETINE CAP 150MG GENERIC (01) Anti-Arrhythmics
MEXILETINE CAP 200MG GENERIC (01) Anti-Arrhythmics
MEXILETINE CAP 250MG GENERIC (01) Anti-Arrhythmics
NORPACE CAP 100MG PREFERRED BRAND (02) Anti-Arrhythmics
NORPACE CAP 150MG PREFERRED BRAND (02) Anti-Arrhythmics

Medication Guide 31
 PACERONE TAB 100MG GENERIC (01) Anti-Arrhythmics
PACERONE TAB 200MG GENERIC (01) Anti-Arrhythmics
PACERONE TAB 400MG GENERIC (01) Anti-Arrhythmics
PROPAFENONE CAP 225MG ER GENERIC (01) Anti-Arrhythmics
PROPAFENONE CAP 325MG ER GENERIC (01) Anti-Arrhythmics
PROPAFENONE CAP 425MG SR GENERIC (01) Anti-Arrhythmics
PROPAFENONE TAB 150MG GENERIC (01) Anti-Arrhythmics
PROPAFENONE TAB 225MG GENERIC (01) Anti-Arrhythmics
PROPAFENONE TAB 300MG GENERIC (01) Anti-Arrhythmics
QUINIDINE GL TAB 324MG CR GENERIC (01) Anti-Arrhythmics
QUINIDINE GL TAB 324MG ER GENERIC (01) Anti-Arrhythmics
QUINIDINE SU TAB 200MG PREFERRED BRAND (02) Anti-Arrhythmics
QUINIDINE SU TAB 300MG GENERIC (01) Anti-Arrhythmics
QUINIDINE SU TAB 300MG PREFERRED BRAND (02) Anti-Arrhythmics
RYTHMOL TAB 150MG PREFERRED BRAND (02) Anti-Arrhythmics
RYTHMOL TAB 225MG PREFERRED BRAND (02) Anti-Arrhythmics
RYTHMOL SR CAP 225MG PREFERRED BRAND (02) Anti-Arrhythmics
RYTHMOL SR CAP 325MG PREFERRED BRAND (02) Anti-Arrhythmics
RYTHMOL SR CAP 425MG PREFERRED BRAND (02) Anti-Arrhythmics
TIKOSYN CAP 125MCG PREFERRED BRAND (02) Anti-Arrhythmics
TIKOSYN CAP 250MCG PREFERRED BRAND (02) Anti-Arrhythmics
TIKOSYN CAP 500MCG PREFERRED BRAND (02) Anti-Arrhythmics
ACCOLATE TAB 10MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ACCOLATE TAB 20MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR DISKU AER 100/50 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR DISKU AER 250/50 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR DISKU AER 500/50 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR HFA AER 115/21 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR HFA AER 230/21 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ADVAIR HFA AER 45/21 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
AIRDUO RESPI INH 113-14 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
AIRDUO RESPI INH 232-14 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
AIRDUO RESPI INH 55-14 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents

Medication Guide 32
 ALBUTEROL NEB 0.083% GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL NEB 0.5% GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL NEB 0.63MG/3 GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL NEB 1.25MG/3 GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL POW SULFATE PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL SYP 2MG/5ML GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL TAB 2MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL TAB 4MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL TAB 4MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ALBUTEROL TAB 8MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
AMINOPHYLLIN INJ 25MG/ML GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ARCAPTA CAP 75MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ARNUITY ELPT INH 100MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ARNUITY ELPT INH 200MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ATROVENT HFA AER 17MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
COMBIVENT AER 20-100 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
CROMOLYN SOD NEB 20MG/2ML PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
CROMOLYN SOD POW PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ELIXOPHYLLIN ELX 80/15ML PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
FLOVENT HFA AER 110MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
FLOVENT HFA AER 220MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
FLOVENT HFA AER 44MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
FLUTICASONE INH SALMETER PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
FORADIL CAP AEROLIZE PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
IPRATROPIUM POW BROMIDE PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
IPRATROPIUM SOL 0.02%INH GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
IPRATROPIUM/ SOL ALBUTER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
LEVALBUTEROL NEB 0.31MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
LEVALBUTEROL NEB 0.63MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
LEVALBUTEROL NEB 1.25/0.5 GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
LEVALBUTEROL NEB 1.25MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
METAPROTEREN POW SULFATE PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
METAPROTEREN SYP 10MG/5ML PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents

Medication Guide 33
 METAPROTEREN TAB 10MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
METAPROTEREN TAB 20MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
MONTELUKAST CHW 4MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
MONTELUKAST CHW 5MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
MONTELUKAST GRA 4MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
MONTELUKAST TAB 10MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
PERFOROMIST NEB 20MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
PROAIR HFA AER PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
PROAIR RESPI AER PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
PROVENTIL AER HFA PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
QVAR AER 40MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
QVAR AER 80MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
SEREVENT DIS AER 50MCG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
SINGULAIR CHW 4MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
SINGULAIR CHW 5MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
SINGULAIR GRA 4MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
SINGULAIR TAB 10MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
TERBUTALINE INJ 1MG/ML GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
TERBUTALINE POW SULFATE PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
TERBUTALINE TAB 2.5MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
TERBUTALINE TAB 5MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEO-24 CAP 100MG CR PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
THEO-24 CAP 200MG CR PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
THEO-24 CAP 300MG CR PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
THEO-24 CAP 400MG ER PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
THEOCHRON TAB 100MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOCHRON TAB 200MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOCHRON TAB 300MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE SOL 80/15ML GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 100MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 100MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 200MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 200MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents

Medication Guide 34
 THEOPHYLLINE TAB 200MG SR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 300MG CR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 300MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 300MG SR GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 400MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 450MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
THEOPHYLLINE TAB 600MG ER GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
VENTOLIN HFA AER PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
VOSPIRE ER TAB 4MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
VOSPIRE ER TAB 8MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
XOLAIR SOL 150MG EXCLUDED Anti-Asthmatic and Bronchodilator Agents
XOPENEX NEB 0.31MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
XOPENEX NEB 0.63MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
XOPENEX NEB 1.25/3ML PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
XOPENEX CONC NEB 1.25/0.5 PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ZAFIRLUKAST TAB 10MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ZAFIRLUKAST TAB 20MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ZILEUTON ER TAB 600MG GENERIC (01) Anti-Asthmatic and Bronchodilator Agents
ZYFLO TAB 600MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ZYFLO CR TAB 600MG PREFERRED BRAND (02) Anti-Asthmatic and Bronchodilator Agents
ANGIOMAX INJ 250MG EXCLUDED Anti-Coagulants
ARGATROBAN INJ 100MG/ML GENERIC (01) Anti-Coagulants
ARGATROBAN INJ 50MG/50M PREFERRED BRAND (02) Anti-Coagulants
ARIXTRA INJ 10/0.8ML PREFERRED BRAND (02) Anti-Coagulants
ARIXTRA INJ 2.5/0.5 PREFERRED BRAND (02) Anti-Coagulants
ARIXTRA INJ 5/0.4ML PREFERRED BRAND (02) Anti-Coagulants
ARIXTRA INJ 7.5/0.6 PREFERRED BRAND (02) Anti-Coagulants
BIVALIRUDIN INJ 250MG EXCLUDED Anti-Coagulants
COUMADIN TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 1MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 2.5MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 3MG Y NON-PREFERRED BRAND (03) Anti-Coagulants

Medication Guide 35
 COUMADIN TAB 4MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 5MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 6MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
COUMADIN TAB 7.5MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
ENOXAPARIN INJ 100MG/ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 120/0.8 GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 150MG/ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 30/0.3ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 300/3ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 40/0.4ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 60/0.6ML GENERIC (01) Anti-Coagulants
ENOXAPARIN INJ 80/0.8ML GENERIC (01) Anti-Coagulants
FONDAPARINUX INJ 10/0.8ML GENERIC (01) Anti-Coagulants
FONDAPARINUX INJ 2.5/0.5 GENERIC (01) Anti-Coagulants
FONDAPARINUX INJ 5/0.4ML GENERIC (01) Anti-Coagulants
FONDAPARINUX INJ 7.5/0.6 GENERIC (01) Anti-Coagulants
FRAGMIN INJ 10000/ML EXCLUDED Anti-Coagulants
FRAGMIN INJ 12500UNT PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 15000UNT PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 18000UNT PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 2500/0.2 PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 5000/0.2 PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 7500/0.3 PREFERRED BRAND (02) Anti-Coagulants
FRAGMIN INJ 95000UNT PREFERRED BRAND (02) Anti-Coagulants
HEPARIN SOD INJ 1000/ML GENERIC (01) Anti-Coagulants
HEPARIN SOD INJ 10000/10 PREFERRED BRAND (02) Anti-Coagulants
HEPARIN SOD INJ 10000/ML GENERIC (01) Anti-Coagulants
HEPARIN SOD INJ 20000/ML GENERIC (01) Anti-Coagulants
HEPARIN SOD INJ 3000/3ML PREFERRED BRAND (02) Anti-Coagulants
HEPARIN SOD INJ 5000/0.5 GENERIC (01) Anti-Coagulants
HEPARIN SOD INJ 5000/5ML PREFERRED BRAND (02) Anti-Coagulants
HEPARIN SOD INJ 5000/ML GENERIC (01) Anti-Coagulants
JANTOVEN TAB 10MG GENERIC (01) Anti-Coagulants

Medication Guide 36
 JANTOVEN TAB 1MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 2.5MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 2MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 3MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 4MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 5MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 6MG GENERIC (01) Anti-Coagulants
JANTOVEN TAB 7.5MG GENERIC (01) Anti-Coagulants
LOVENOX INJ 100MG/ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 120/0.8 PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 150MG/ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 30/0.3ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 300/3ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 40/0.4ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 60/0.6ML PREFERRED BRAND (02) Anti-Coagulants
LOVENOX INJ 80/0.8ML PREFERRED BRAND (02) Anti-Coagulants
PRADAXA CAP 110MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
PRADAXA CAP 150MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
PRADAXA CAP 75MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
WARFARIN POW SODIUM Y NON-PREFERRED BRAND (03) Anti-Coagulants
WARFARIN TAB 10MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 1MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 2.5MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 2MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 3MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 4MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 5MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 6MG GENERIC (01) Anti-Coagulants
WARFARIN TAB 7.5MG GENERIC (01) Anti-Coagulants
XARELTO TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
XARELTO TAB 15MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
XARELTO TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Coagulants
XARELTO STAR TAB 15/20MG Y NON-PREFERRED BRAND (03) Anti-Coagulants

Medication Guide 37
 APTIOM TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
APTIOM TAB 400MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
APTIOM TAB 600MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
APTIOM TAB 800MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
BANZEL SUS 40MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
BANZEL TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
BANZEL TAB 400MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
CARBAMAZEPIN CAP 100MG ER GENERIC (01) Anti-Convulsants
CARBAMAZEPIN CAP 200MG ER GENERIC (01) Anti-Convulsants
CARBAMAZEPIN CAP 300MG ER GENERIC (01) Anti-Convulsants
CARBAMAZEPIN CHW 100MG GENERIC (01) Anti-Convulsants
CARBAMAZEPIN POW Y NON-PREFERRED BRAND (03) Anti-Convulsants
CARBAMAZEPIN SUS 100/5ML GENERIC (01) Anti-Convulsants
CARBAMAZEPIN TAB 100MGER GENERIC (01) Anti-Convulsants
CARBAMAZEPIN TAB 200MG GENERIC (01) Anti-Convulsants
CARBAMAZEPIN TAB 200MG ER GENERIC (01) Anti-Convulsants
CARBAMAZEPIN TAB 400MG ER GENERIC (01) Anti-Convulsants
CARBATROL CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
CARBATROL CAP 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
CARBATROL CAP 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
CELONTIN CAP 300MG PREFERRED BRAND (02) Anti-Convulsants
DEPACON INJ 100MG/ML PREFERRED BRAND (02) Anti-Convulsants
DEPAKENE CAP 250MG PREFERRED BRAND (02) Anti-Convulsants
DEPAKENE SOL 250/5ML PREFERRED BRAND (02) Anti-Convulsants
DEPAKOTE TAB 125MG DR Y NON-PREFERRED BRAND (03) Anti-Convulsants
DEPAKOTE TAB 250MG DR Y NON-PREFERRED BRAND (03) Anti-Convulsants
DEPAKOTE TAB 500MG DR Y NON-PREFERRED BRAND (03) Anti-Convulsants
DEPAKOTE ER TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
DEPAKOTE ER TAB 500MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
DEPAKOTE SPR CAP 125MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
DILANTIN CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
DILANTIN CAP 30MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
DILANTIN CHW 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants

Medication Guide 38
 DILANTIN-125 SUS 125/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
DIVALPROEX CAP 125MG GENERIC (01) Anti-Convulsants
DIVALPROEX TAB 125MG DR GENERIC (01) Anti-Convulsants
DIVALPROEX TAB 250MG DR GENERIC (01) Anti-Convulsants
DIVALPROEX TAB 250MG ER GENERIC (01) Anti-Convulsants
DIVALPROEX TAB 500MG DR GENERIC (01) Anti-Convulsants
DIVALPROEX TAB 500MG ER GENERIC (01) Anti-Convulsants
EPITOL TAB 200MG GENERIC (01) Anti-Convulsants
ETHOSUXIMIDE CAP 250MG GENERIC (01) Anti-Convulsants
ETHOSUXIMIDE SOL 250/5ML GENERIC (01) Anti-Convulsants
FANATREX SUS 25MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
FELBAMATE SUS 600/5ML GENERIC (01) Anti-Convulsants
FELBAMATE TAB 400MG GENERIC (01) Anti-Convulsants
FELBAMATE TAB 600MG GENERIC (01) Anti-Convulsants
FELBATOL SUS 600/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
FELBATOL TAB 400MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
FELBATOL TAB 600MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
GABAPENTIN CAP 100MG GENERIC (01) Anti-Convulsants
GABAPENTIN CAP 300MG GENERIC (01) Anti-Convulsants
GABAPENTIN CAP 400MG GENERIC (01) Anti-Convulsants
GABAPENTIN SOL 250/5ML GENERIC (01) Anti-Convulsants
GABAPENTIN SOL 300/6ML GENERIC (01) Anti-Convulsants
GABAPENTIN TAB 600MG GENERIC (01) Anti-Convulsants
GABAPENTIN TAB 800MG GENERIC (01) Anti-Convulsants
GABITRIL TAB 12MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
GABITRIL TAB 16MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
GABITRIL TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
GABITRIL TAB 4MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA INJ 500/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA SOL 100MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA TAB 1000MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA TAB 500MG Y NON-PREFERRED BRAND (03) Anti-Convulsants

Medication Guide 39
 KEPPRA TAB 750MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA XR TAB 500MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
KEPPRA XR TAB 750MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL CHW 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL CHW 5MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL KIT START 35 Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL KIT START 49 Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL KIT START 98 Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL TAB 150MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL ODT KIT Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL ODT TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL ODT TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL ODT TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL ODT TAB 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR KIT Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMICTAL XR TAB 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LAMOTRIG ODT KIT 25/50MG GENERIC (01) Anti-Convulsants
LAMOTRIG ODT KIT 50/100MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE CHW 25MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE CHW 5MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE KIT ODT GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 100MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 100MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 150MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 200MG GENERIC (01) Anti-Convulsants

Medication Guide 40
 LAMOTRIGINE TAB 200MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 250MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 25MG GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 25MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 25MG ODT GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 300MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 50MG ER GENERIC (01) Anti-Convulsants
LAMOTRIGINE TAB 50MG ODT GENERIC (01) Anti-Convulsants
LEVETIRACETA INJ 10MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
LEVETIRACETA INJ 15MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
LEVETIRACETA INJ 5MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
LEVETIRACETA SOL 100MG/ML GENERIC (01) Anti-Convulsants
LEVETIRACETA SOL 500/5ML GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 1000MG GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 250MG GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 500MG GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 500MG ER GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 750MG GENERIC (01) Anti-Convulsants
LEVETIRACETA TAB 750MG ER GENERIC (01) Anti-Convulsants
LEVETIRACETM INJ 500/5ML GENERIC (01) Anti-Convulsants
LYRICA CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 150MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 225MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA CAP 75MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
LYRICA SOL 20MG/ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
MYSOLINE TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
MYSOLINE TAB 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
NEURONTIN CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
NEURONTIN CAP 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants

Medication Guide 41
 NEURONTIN CAP 400MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
NEURONTIN SOL 250/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
NEURONTIN TAB 600MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
NEURONTIN TAB 800MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
OXCARBAZEPIN SUS 300MG/5M GENERIC (01) Anti-Convulsants
OXCARBAZEPIN TAB 150MG GENERIC (01) Anti-Convulsants
OXCARBAZEPIN TAB 300MG GENERIC (01) Anti-Convulsants
OXCARBAZEPIN TAB 600MG GENERIC (01) Anti-Convulsants
OXTELLAR XR TAB 150MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
OXTELLAR XR TAB 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
OXTELLAR XR TAB 600MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
PEGANONE TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
PHENYTEK CAP 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
PHENYTEK CAP 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
PHENYTOIN CHW 50MG GENERIC (01) Anti-Convulsants
PHENYTOIN INJ 50MG/ML GENERIC (01) Anti-Convulsants
PHENYTOIN POW Y NON-PREFERRED BRAND (03) Anti-Convulsants
PHENYTOIN POW SODIUM Y NON-PREFERRED BRAND (03) Anti-Convulsants
PHENYTOIN SUS 125/5ML GENERIC (01) Anti-Convulsants
PRIMIDONE TAB 250MG GENERIC (01) Anti-Convulsants
PRIMIDONE TAB 50MG GENERIC (01) Anti-Convulsants
QUDEXY XR CAP 100/24HR Y NON-PREFERRED BRAND (03) Anti-Convulsants
QUDEXY XR CAP 150/24HR Y NON-PREFERRED BRAND (03) Anti-Convulsants
QUDEXY XR CAP 200/24HR Y NON-PREFERRED BRAND (03) Anti-Convulsants
QUDEXY XR CAP 25/24HR Y NON-PREFERRED BRAND (03) Anti-Convulsants
QUDEXY XR CAP 50/24HR Y NON-PREFERRED BRAND (03) Anti-Convulsants
ROWEEPRA TAB 1000MG GENERIC (01) Anti-Convulsants
ROWEEPRA TAB 500MG GENERIC (01) Anti-Convulsants
ROWEEPRA TAB 750MG GENERIC (01) Anti-Convulsants
SPRITAM TAB 1000MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
SPRITAM TAB 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
SPRITAM TAB 500MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
SPRITAM TAB 750MG Y NON-PREFERRED BRAND (03) Anti-Convulsants

Medication Guide 42
 TEGRETOL SUS 100/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
TEGRETOL TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TEGRETOL-XR TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TEGRETOL-XR TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TEGRETOL-XR TAB 400MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TIAGABINE TAB 2MG GENERIC (01) Anti-Convulsants
TIAGABINE TAB 4MG GENERIC (01) Anti-Convulsants
TOPAMAX TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPAMAX TAB 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPAMAX TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPAMAX TAB 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPAMAX SPR CAP 15MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPAMAX SPR CAP 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE CAP 15MG GENERIC (01) Anti-Convulsants
TOPIRAMATE CAP 25MG GENERIC (01) Anti-Convulsants
TOPIRAMATE CAP ER 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE CAP ER 150MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE CAP ER 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE CAP ER 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE CAP ER 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TOPIRAMATE TAB 100MG GENERIC (01) Anti-Convulsants
TOPIRAMATE TAB 200MG GENERIC (01) Anti-Convulsants
TOPIRAMATE TAB 25MG GENERIC (01) Anti-Convulsants
TOPIRAMATE TAB 50MG GENERIC (01) Anti-Convulsants
TRILEPTAL SUS 300MG/5M Y NON-PREFERRED BRAND (03) Anti-Convulsants
TRILEPTAL TAB 150MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TRILEPTAL TAB 300MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TRILEPTAL TAB 600MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TROKENDI XR CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TROKENDI XR CAP 200MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TROKENDI XR CAP 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
TROKENDI XR CAP 50MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
VALPROATE INJ 100MG/ML GENERIC (01) Anti-Convulsants

Medication Guide 43
 VALPROATE INJ 500/5ML GENERIC (01) Anti-Convulsants
VALPROIC ACD CAP 250MG GENERIC (01) Anti-Convulsants
VALPROIC ACD SOL 250/5ML GENERIC (01) Anti-Convulsants
ZARONTIN CAP 250MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
ZARONTIN SOL 250/5ML Y NON-PREFERRED BRAND (03) Anti-Convulsants
ZONEGRAN CAP 100MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
ZONEGRAN CAP 25MG Y NON-PREFERRED BRAND (03) Anti-Convulsants
ZONISAMIDE CAP 100MG GENERIC (01) Anti-Convulsants
ZONISAMIDE CAP 25MG GENERIC (01) Anti-Convulsants
ZONISAMIDE CAP 50MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 100MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 150MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 200MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 225MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 25MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 300MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 50MG GENERIC (01) Anti-Convulsants
PREGABALIN CAP 75MG GENERIC (01) Anti-Convulsants
PREGABALIN SOL 20MG/ML GENERIC (01) Anti-Convulsants
AMITRIPTYLIN POW HCL EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 100MG EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 10MG EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 150MG EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 25MG EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 50MG EXCLUDED Anti-Depressants
AMITRIPTYLIN TAB 75MG EXCLUDED Anti-Depressants
AMOXAPINE TAB 100MG EXCLUDED Anti-Depressants
AMOXAPINE TAB 150MG EXCLUDED Anti-Depressants
AMOXAPINE TAB 25MG EXCLUDED Anti-Depressants
AMOXAPINE TAB 50MG EXCLUDED Anti-Depressants
ANAFRANIL CAP 25MG EXCLUDED Anti-Depressants
ANAFRANIL CAP 50MG EXCLUDED Anti-Depressants
ANAFRANIL CAP 75MG EXCLUDED Anti-Depressants

Medication Guide 44
 APLENZIN TAB 174MG EXCLUDED Anti-Depressants
APLENZIN TAB 348MG EXCLUDED Anti-Depressants
APLENZIN TAB 522MG EXCLUDED Anti-Depressants
BUDEPRION TAB 150MG SR EXCLUDED Anti-Depressants
BUPROPION TAB 100MG EXCLUDED Anti-Depressants
BUPROPION TAB 100MG ER EXCLUDED Anti-Depressants
BUPROPION TAB 100MG SR EXCLUDED Anti-Depressants
BUPROPION TAB 150MG ER EXCLUDED Anti-Depressants
BUPROPION TAB 150MG SR EXCLUDED Anti-Depressants
BUPROPION TAB 200MG ER EXCLUDED Anti-Depressants
BUPROPION TAB 200MG SR EXCLUDED Anti-Depressants
BUPROPION TAB 75MG EXCLUDED Anti-Depressants
BUPROPN HCL TAB 150MG XL EXCLUDED Anti-Depressants
BUPROPN HCL TAB 300MG XL EXCLUDED Anti-Depressants
CELEXA TAB 10MG EXCLUDED Anti-Depressants
CELEXA TAB 20MG EXCLUDED Anti-Depressants
CELEXA TAB 40MG EXCLUDED Anti-Depressants
CITALOPRAM SOL 10MG/5ML EXCLUDED Anti-Depressants
CITALOPRAM TAB 10MG EXCLUDED Anti-Depressants
CITALOPRAM TAB 20MG EXCLUDED Anti-Depressants
CITALOPRAM TAB 40MG EXCLUDED Anti-Depressants
CLOMIPRAMINE CAP 25MG EXCLUDED Anti-Depressants
CLOMIPRAMINE CAP 50MG EXCLUDED Anti-Depressants
CLOMIPRAMINE CAP 75MG EXCLUDED Anti-Depressants
CYMBALTA CAP 20MG EXCLUDED Anti-Depressants
CYMBALTA CAP 30MG EXCLUDED Anti-Depressants
CYMBALTA CAP 60MG EXCLUDED Anti-Depressants
DESIPRAMINE POW EXCLUDED Anti-Depressants
DESIPRAMINE TAB 100MG EXCLUDED Anti-Depressants
DESIPRAMINE TAB 10MG EXCLUDED Anti-Depressants
DESIPRAMINE TAB 150MG EXCLUDED Anti-Depressants
DESIPRAMINE TAB 25MG EXCLUDED Anti-Depressants
DESIPRAMINE TAB 50MG EXCLUDED Anti-Depressants

Medication Guide 45
 DESIPRAMINE TAB 75MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 100MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 10MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 150MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 25MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 50MG EXCLUDED Anti-Depressants
DOXEPIN HCL CAP 75MG EXCLUDED Anti-Depressants
DOXEPIN HCL CON 10MG/ML EXCLUDED Anti-Depressants
DOXEPIN HCL POW EXCLUDED Anti-Depressants
DULOXETINE CAP 20MG EXCLUDED Anti-Depressants
DULOXETINE CAP 30MG EXCLUDED Anti-Depressants
DULOXETINE CAP 40MG EXCLUDED Anti-Depressants
DULOXETINE CAP 60MG EXCLUDED Anti-Depressants
EFFEXOR XR CAP 150MG EXCLUDED Anti-Depressants
EFFEXOR XR CAP 37.5MG EXCLUDED Anti-Depressants
EFFEXOR XR CAP 75MG EXCLUDED Anti-Depressants
ELAVIL TAB 25MG EXCLUDED Anti-Depressants
EMSAM DIS 12MG/24H EXCLUDED Anti-Depressants
EMSAM DIS 6MG/24HR EXCLUDED Anti-Depressants
EMSAM DIS 9MG/24HR EXCLUDED Anti-Depressants
ESCITALOPRAM SOL 5MG/5ML EXCLUDED Anti-Depressants
ESCITALOPRAM TAB 10MG EXCLUDED Anti-Depressants
ESCITALOPRAM TAB 20MG EXCLUDED Anti-Depressants
ESCITALOPRAM TAB 5MG EXCLUDED Anti-Depressants
FLUOXETINE CAP 10MG EXCLUDED Anti-Depressants
FLUOXETINE CAP 20MG EXCLUDED Anti-Depressants
FLUOXETINE CAP 40MG EXCLUDED Anti-Depressants
FLUOXETINE CAP 90MG DR EXCLUDED Anti-Depressants
FLUOXETINE SOL 20MG/5ML EXCLUDED Anti-Depressants
FLUOXETINE TAB 10MG EXCLUDED Anti-Depressants
FLUOXETINE TAB 20MG EXCLUDED Anti-Depressants
FLUOXETINE TAB 60MG EXCLUDED Anti-Depressants
FLUVOXAMINE CAP 100MG ER EXCLUDED Anti-Depressants

Medication Guide 46
 FLUVOXAMINE CAP 150MG ER EXCLUDED Anti-Depressants
FLUVOXAMINE TAB 100MG EXCLUDED Anti-Depressants
FLUVOXAMINE TAB 25MG EXCLUDED Anti-Depressants
FLUVOXAMINE TAB 50MG EXCLUDED Anti-Depressants
FORFIVO XL TAB 450MG EXCLUDED Anti-Depressants
IMIPRAM HCL TAB 10MG EXCLUDED Anti-Depressants
IMIPRAM HCL TAB 25MG EXCLUDED Anti-Depressants
IMIPRAM HCL TAB 50MG EXCLUDED Anti-Depressants
IMIPRAM PAM CAP 100MG EXCLUDED Anti-Depressants
IMIPRAM PAM CAP 125MG EXCLUDED Anti-Depressants
IMIPRAM PAM CAP 150MG EXCLUDED Anti-Depressants
IMIPRAM PAM CAP 75MG EXCLUDED Anti-Depressants
IMIPRAMINE POW HCL EXCLUDED Anti-Depressants
LEXAPRO SOL 5MG/5ML EXCLUDED Anti-Depressants
LEXAPRO TAB 10MG EXCLUDED Anti-Depressants
LEXAPRO TAB 20MG EXCLUDED Anti-Depressants
LEXAPRO TAB 5MG EXCLUDED Anti-Depressants
MAPROTILINE TAB 25MG EXCLUDED Anti-Depressants
MAPROTILINE TAB 50MG EXCLUDED Anti-Depressants
MAPROTILINE TAB 75MG EXCLUDED Anti-Depressants
MARPLAN TAB 10MG EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 15MG EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 15MG ODT EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 30MG EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 30MG ODT EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 45MG EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 45MG ODT EXCLUDED Anti-Depressants
MIRTAZAPINE TAB 7.5MG EXCLUDED Anti-Depressants
NARDIL TAB 15MG EXCLUDED Anti-Depressants
NEFAZODONE TAB 100MG EXCLUDED Anti-Depressants
NEFAZODONE TAB 150MG EXCLUDED Anti-Depressants
NEFAZODONE TAB 200MG EXCLUDED Anti-Depressants
NEFAZODONE TAB 250MG EXCLUDED Anti-Depressants

Medication Guide 47
 NEFAZODONE TAB 50MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 100MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 10MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 150MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 25MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 50MG EXCLUDED Anti-Depressants
NORPRAMIN TAB 75MG EXCLUDED Anti-Depressants
NORTRIPTYLIN CAP 10MG EXCLUDED Anti-Depressants
NORTRIPTYLIN CAP 25MG EXCLUDED Anti-Depressants
NORTRIPTYLIN CAP 50MG EXCLUDED Anti-Depressants
NORTRIPTYLIN CAP 75MG EXCLUDED Anti-Depressants
NORTRIPTYLIN POW HCL EXCLUDED Anti-Depressants
NORTRIPTYLIN SOL 10MG/5ML EXCLUDED Anti-Depressants
OLEPTRO TAB 24HR150 EXCLUDED Anti-Depressants
OLEPTRO TAB 24HR300 EXCLUDED Anti-Depressants
PAMELOR CAP 10MG EXCLUDED Anti-Depressants
PAMELOR CAP 25MG EXCLUDED Anti-Depressants
PAMELOR CAP 50MG EXCLUDED Anti-Depressants
PAMELOR CAP 75MG EXCLUDED Anti-Depressants
PARNATE TAB 10MG EXCLUDED Anti-Depressants
PAROXETIN ER TAB 12.5MG EXCLUDED Anti-Depressants
PAROXETIN ER TAB 37.5MG EXCLUDED Anti-Depressants
PAROXETINE TAB 10MG EXCLUDED Anti-Depressants
PAROXETINE TAB 20MG EXCLUDED Anti-Depressants
PAROXETINE TAB 25MG ER EXCLUDED Anti-Depressants
PAROXETINE TAB 30MG EXCLUDED Anti-Depressants
PAROXETINE TAB 40MG EXCLUDED Anti-Depressants
PAXIL SUS 10MG/5ML EXCLUDED Anti-Depressants
PAXIL TAB 10MG EXCLUDED Anti-Depressants
PAXIL TAB 20MG EXCLUDED Anti-Depressants
PAXIL TAB 30MG EXCLUDED Anti-Depressants
PAXIL TAB 40MG EXCLUDED Anti-Depressants
PAXIL CR TAB 12.5MG EXCLUDED Anti-Depressants

Medication Guide 48
 PAXIL CR TAB 25MG EXCLUDED Anti-Depressants
PAXIL CR TAB 37.5MG EXCLUDED Anti-Depressants
PEXEVA TAB 10MG EXCLUDED Anti-Depressants
PEXEVA TAB 20MG EXCLUDED Anti-Depressants
PEXEVA TAB 30MG EXCLUDED Anti-Depressants
PEXEVA TAB 40MG EXCLUDED Anti-Depressants
PHENELZINE TAB 15MG EXCLUDED Anti-Depressants
PROTRIPTYLIN TAB 10MG EXCLUDED Anti-Depressants
PROTRIPTYLIN TAB 5MG EXCLUDED Anti-Depressants
PROZAC CAP 10MG EXCLUDED Anti-Depressants
PROZAC CAP 20MG EXCLUDED Anti-Depressants
PROZAC CAP 40MG EXCLUDED Anti-Depressants
PROZAC WEEKL CAP 90MG EXCLUDED Anti-Depressants
REMERON TAB 15MG EXCLUDED Anti-Depressants
REMERON TAB 30MG EXCLUDED Anti-Depressants
REMERON TAB 45MG EXCLUDED Anti-Depressants
REMERON SLTB TAB 15MG EXCLUDED Anti-Depressants
REMERON SLTB TAB 30MG EXCLUDED Anti-Depressants
REMERON SLTB TAB 45MG EXCLUDED Anti-Depressants
SERTRALINE CON 20MG/ML EXCLUDED Anti-Depressants
SERTRALINE TAB 100MG EXCLUDED Anti-Depressants
SERTRALINE TAB 25MG EXCLUDED Anti-Depressants
SERTRALINE TAB 50MG EXCLUDED Anti-Depressants
TOFRANIL TAB 10MG EXCLUDED Anti-Depressants
TOFRANIL TAB 25MG EXCLUDED Anti-Depressants
TOFRANIL TAB 50MG EXCLUDED Anti-Depressants
TOFRANIL-PM CAP 100MG EXCLUDED Anti-Depressants
TOFRANIL-PM CAP 125MG EXCLUDED Anti-Depressants
TOFRANIL-PM CAP 150MG EXCLUDED Anti-Depressants
TOFRANIL-PM CAP 75MG EXCLUDED Anti-Depressants
TRANYLCYPROM TAB 10MG EXCLUDED Anti-Depressants
TRAZODONE POW EXCLUDED Anti-Depressants
TRAZODONE TAB 100MG EXCLUDED Anti-Depressants

Medication Guide 49
 TRAZODONE TAB 150MG EXCLUDED Anti-Depressants
TRAZODONE TAB 300MG EXCLUDED Anti-Depressants
TRAZODONE TAB 50MG EXCLUDED Anti-Depressants
VENLAFAXINE CAP 150MG ER EXCLUDED Anti-Depressants
VENLAFAXINE CAP 37.5 ER EXCLUDED Anti-Depressants
VENLAFAXINE CAP 75MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 100MG EXCLUDED Anti-Depressants
VENLAFAXINE TAB 150MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 150MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 225MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 225MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 25MG EXCLUDED Anti-Depressants
VENLAFAXINE TAB 37.5 ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 37.5 ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 37.5MG EXCLUDED Anti-Depressants
VENLAFAXINE TAB 50MG EXCLUDED Anti-Depressants
VENLAFAXINE TAB 75MG EXCLUDED Anti-Depressants
VENLAFAXINE TAB 75MG ER EXCLUDED Anti-Depressants
VENLAFAXINE TAB 75MG ER EXCLUDED Anti-Depressants
VIIBRYD KIT EXCLUDED Anti-Depressants
VIIBRYD KIT STARTER EXCLUDED Anti-Depressants
VIIBRYD TAB 10MG EXCLUDED Anti-Depressants
VIIBRYD TAB 20MG EXCLUDED Anti-Depressants
VIIBRYD TAB 40MG EXCLUDED Anti-Depressants
WELLBUTRIN TAB 100MG EXCLUDED Anti-Depressants
WELLBUTRIN TAB 100MG SR EXCLUDED Anti-Depressants
WELLBUTRIN TAB 150MG SR EXCLUDED Anti-Depressants
WELLBUTRIN TAB 200MG SR EXCLUDED Anti-Depressants
WELLBUTRIN TAB 75MG EXCLUDED Anti-Depressants
WELLBUTRIN TAB XL 150MG EXCLUDED Anti-Depressants
WELLBUTRIN TAB XL 300MG EXCLUDED Anti-Depressants
ZOLOFT CON 20MG/ML EXCLUDED Anti-Depressants
ZOLOFT TAB 100MG EXCLUDED Anti-Depressants

Medication Guide 50
 ZOLOFT TAB 25MG EXCLUDED Anti-Depressants
ZOLOFT TAB 50MG EXCLUDED Anti-Depressants
ACARBOSE TAB 100MG GENERIC (01) Anti-Diabetics
ACARBOSE TAB 25MG GENERIC (01) Anti-Diabetics
ACARBOSE TAB 50MG GENERIC (01) Anti-Diabetics
ACTOPLUS MET TAB 15-500MG PREFERRED BRAND (02) Anti-Diabetics
ACTOPLUS MET TAB 15-850MG PREFERRED BRAND (02) Anti-Diabetics
ACTOPLUS MET TAB XR PREFERRED BRAND (02) Anti-Diabetics
ACTOS TAB 15MG PREFERRED BRAND (02) Anti-Diabetics
ACTOS TAB 30MG PREFERRED BRAND (02) Anti-Diabetics
ACTOS TAB 45MG PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 12 UNIT PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 4&8 UNIT PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 4/8/12UN PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 4UNIT PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 8 UNIT PREFERRED BRAND (02) Anti-Diabetics
AFREZZA POW 8&12UNIT PREFERRED BRAND (02) Anti-Diabetics
AMARYL TAB 1MG PREFERRED BRAND (02) Anti-Diabetics
AMARYL TAB 2MG PREFERRED BRAND (02) Anti-Diabetics
AMARYL TAB 4MG PREFERRED BRAND (02) Anti-Diabetics
APIDRA INJ SOLOSTAR PREFERRED BRAND (02) Anti-Diabetics
APIDRA INJ U-100 PREFERRED BRAND (02) Anti-Diabetics
AVANDIA TAB 2MG PREFERRED BRAND (02) Anti-Diabetics
AVANDIA TAB 4MG PREFERRED BRAND (02) Anti-Diabetics
AVANDIA TAB 8MG PREFERRED BRAND (02) Anti-Diabetics
BASAGLAR INJ 100UNIT PREFERRED BRAND (02) Anti-Diabetics
CHLORPROPAM TAB 100MG PREFERRED BRAND (02) Anti-Diabetics
CHLORPROPAM TAB 250MG PREFERRED BRAND (02) Anti-Diabetics
DIABETA TAB 1.25MG PREFERRED BRAND (02) Anti-Diabetics
DIABETA TAB 2.5MG PREFERRED BRAND (02) Anti-Diabetics
DIABETA TAB 5MG PREFERRED BRAND (02) Anti-Diabetics
DUETACT TAB 30-2MG PREFERRED BRAND (02) Anti-Diabetics
DUETACT TAB 30-4MG PREFERRED BRAND (02) Anti-Diabetics

Medication Guide 51
 FORTAMET TAB 1000MG PREFERRED BRAND (02) Anti-Diabetics
FORTAMET TAB 500MG PREFERRED BRAND (02) Anti-Diabetics
GLIMEPIRIDE TAB 1MG GENERIC (01) Anti-Diabetics
GLIMEPIRIDE TAB 2MG GENERIC (01) Anti-Diabetics
GLIMEPIRIDE TAB 4MG GENERIC (01) Anti-Diabetics
GLIP/METFORM TAB 2.5-250M GENERIC (01) Anti-Diabetics
GLIP/METFORM TAB 2.5-500M GENERIC (01) Anti-Diabetics
GLIP/METFORM TAB 5-500MG GENERIC (01) Anti-Diabetics
GLIPIZIDE POW PREFERRED BRAND (02) Anti-Diabetics
GLIPIZIDE TAB 10MG GENERIC (01) Anti-Diabetics
GLIPIZIDE TAB 5MG GENERIC (01) Anti-Diabetics
GLIPIZIDE ER TAB 10MG GENERIC (01) Anti-Diabetics
GLIPIZIDE ER TAB 2.5MG GENERIC (01) Anti-Diabetics
GLIPIZIDE ER TAB 5MG GENERIC (01) Anti-Diabetics
GLIPIZIDE XL TAB 10MG GENERIC (01) Anti-Diabetics
GLIPIZIDE XL TAB 2.5MG GENERIC (01) Anti-Diabetics
GLIPIZIDE XL TAB 5MG GENERIC (01) Anti-Diabetics
GLUCAGON KIT 1MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOPHAGE TAB 1000MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOPHAGE TAB 500MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOPHAGE TAB 500MG XR PREFERRED BRAND (02) Anti-Diabetics
GLUCOPHAGE TAB 750MG XR PREFERRED BRAND (02) Anti-Diabetics
GLUCOPHAGE TAB 850MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOTROL TAB 10MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOTROL TAB 5MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOTROL XL TAB 10MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOTROL XL TAB 2.5MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOTROL XL TAB 5MG PREFERRED BRAND (02) Anti-Diabetics
GLUCOVANCE TAB 2.5-500 PREFERRED BRAND (02) Anti-Diabetics
GLUCOVANCE TAB 5-500MG PREFERRED BRAND (02) Anti-Diabetics
GLUMETZA TAB 1000MG PREFERRED BRAND (02) Anti-Diabetics
GLUMETZA TAB 500MG PREFERRED BRAND (02) Anti-Diabetics
GLYB/METFORM TAB 1.25-250 GENERIC (01) Anti-Diabetics

Medication Guide 52
 GLYB/METFORM TAB 2.5-500 GENERIC (01) Anti-Diabetics
GLYB/METFORM TAB 5-500MG GENERIC (01) Anti-Diabetics
GLYBURID MCR TAB 1.5MG GENERIC (01) Anti-Diabetics
GLYBURID MCR TAB 3MG GENERIC (01) Anti-Diabetics
GLYBURID MCR TAB 6MG GENERIC (01) Anti-Diabetics
GLYBURIDE POW PREFERRED BRAND (02) Anti-Diabetics
GLYBURIDE TAB 1.25MG GENERIC (01) Anti-Diabetics
GLYBURIDE TAB 2.5MG GENERIC (01) Anti-Diabetics
GLYBURIDE TAB 5MG GENERIC (01) Anti-Diabetics
GLYNASE TAB 1.5MG PREFERRED BRAND (02) Anti-Diabetics
GLYNASE TAB 3MG PREFERRED BRAND (02) Anti-Diabetics
GLYNASE TAB 6MG PREFERRED BRAND (02) Anti-Diabetics
HUMALOG INJ 100/ML PREFERRED BRAND (02) Anti-Diabetics
HUMALOG KWIK INJ 100/ML PREFERRED BRAND (02) Anti-Diabetics
HUMALOG KWIK INJ 200/ML PREFERRED BRAND (02) Anti-Diabetics
HUMULIN INJ 70/30 PREFERRED BRAND (02) Anti-Diabetics
HUMULIN INJ 70/30KWP PREFERRED BRAND (02) Anti-Diabetics
HUMULIN N INJ U-100 PREFERRED BRAND (02) Anti-Diabetics
HUMULIN N INJ U-100KWP PREFERRED BRAND (02) Anti-Diabetics
HUMULIN R INJ U-100 PREFERRED BRAND (02) Anti-Diabetics
HUMULIN R INJ U-500 PREFERRED BRAND (02) Anti-Diabetics
JANUMET TAB 50-1000 PREFERRED BRAND (02) Anti-Diabetics
JANUMET TAB 50-500MG PREFERRED BRAND (02) Anti-Diabetics
JANUMET XR TAB 100-1000 PREFERRED BRAND (02) Anti-Diabetics
JANUMET XR TAB 50-1000 PREFERRED BRAND (02) Anti-Diabetics
JANUMET XR TAB 50-500MG PREFERRED BRAND (02) Anti-Diabetics
JANUVIA TAB 100MG PREFERRED BRAND (02) Anti-Diabetics
JANUVIA TAB 25MG PREFERRED BRAND (02) Anti-Diabetics
JANUVIA TAB 50MG PREFERRED BRAND (02) Anti-Diabetics
JENTADUETO TAB 2.5-1000 PREFERRED BRAND (02) Anti-Diabetics
JENTADUETO TAB 2.5-500 PREFERRED BRAND (02) Anti-Diabetics
JENTADUETO TAB 2.5-850 PREFERRED BRAND (02) Anti-Diabetics
JENTADUETO TAB XR PREFERRED BRAND (02) Anti-Diabetics

Medication Guide 53
 LANTUS INJ 100/ML PREFERRED BRAND (02) Anti-Diabetics
LANTUS INJ SOLOSTAR PREFERRED BRAND (02) Anti-Diabetics
LEVEMIR INJ PREFERRED BRAND (02) Anti-Diabetics
LEVEMIR INJ FLEXTOUC PREFERRED BRAND (02) Anti-Diabetics
METFORMIN TAB 1000 ER GENERIC (01) Anti-Diabetics
METFORMIN TAB 1000MG GENERIC (01) Anti-Diabetics
METFORMIN TAB 500MG GENERIC (01) Anti-Diabetics
METFORMIN TAB 500MG ER GENERIC (01) Anti-Diabetics
METFORMIN TAB 750MG ER GENERIC (01) Anti-Diabetics
METFORMIN TAB 850MG GENERIC (01) Anti-Diabetics
METFORMIN ER TAB 1000MG GENERIC (01) Anti-Diabetics
NATEGLINIDE TAB 120MG GENERIC (01) Anti-Diabetics
NATEGLINIDE TAB 60MG GENERIC (01) Anti-Diabetics
NOVOLIN INJ 70/30 PREFERRED BRAND (02) Anti-Diabetics
NOVOLIN N INJ RELION PREFERRED BRAND (02) Anti-Diabetics
NOVOLIN N INJ U-100 PREFERRED BRAND (02) Anti-Diabetics
NOVOLIN R INJ RELION PREFERRED BRAND (02) Anti-Diabetics
NOVOLIN R INJ U-100 PREFERRED BRAND (02) Anti-Diabetics
NOVOLIN70/30 INJ RELION PREFERRED BRAND (02) Anti-Diabetics
NOVOLOG INJ 100/ML PREFERRED BRAND (02) Anti-Diabetics
NOVOLOG INJ FLEXPEN PREFERRED BRAND (02) Anti-Diabetics
NOVOLOG INJ PENFILL PREFERRED BRAND (02) Anti-Diabetics
NOVOLOG MIX INJ 70/30 PREFERRED BRAND (02) Anti-Diabetics
NOVOLOG MIX INJ FLEXPEN PREFERRED BRAND (02) Anti-Diabetics
PIOGLIT/GLIM TAB 30-2MG GENERIC (01) Anti-Diabetics
PIOGLIT/GLIM TAB 30-4MG GENERIC (01) Anti-Diabetics
PIOGLITA/MET TAB 15-500MG GENERIC (01) Anti-Diabetics
PIOGLITA/MET TAB 15-850MG GENERIC (01) Anti-Diabetics
PIOGLITAZONE TAB 15MG GENERIC (01) Anti-Diabetics
PIOGLITAZONE TAB 30MG GENERIC (01) Anti-Diabetics
PIOGLITAZONE TAB 45MG GENERIC (01) Anti-Diabetics
PRANDIMET TAB 1-500MG PREFERRED BRAND (02) Anti-Diabetics
PRANDIMET TAB 2-500MG PREFERRED BRAND (02) Anti-Diabetics

Medication Guide 54
 PRECOSE TAB 100MG PREFERRED BRAND (02) Anti-Diabetics
PRECOSE TAB 25MG PREFERRED BRAND (02) Anti-Diabetics
PRECOSE TAB 50MG PREFERRED BRAND (02) Anti-Diabetics
PROGLYCEM SUS 50MG/ML PREFERRED BRAND (02) Anti-Diabetics
RELION 70/30 INJ 100U/ML PREFERRED BRAND (02) Anti-Diabetics
RELION 70/30 INJ INNOLET PREFERRED BRAND (02) Anti-Diabetics
RELION N INJ 100U/ML PREFERRED BRAND (02) Anti-Diabetics
RELION N INJ INNOLET PREFERRED BRAND (02) Anti-Diabetics
RELION R INJ 100/ML PREFERRED BRAND (02) Anti-Diabetics
RELION R INJ 100U/ML PREFERRED BRAND (02) Anti-Diabetics
REPAGLINIDE TAB 1-500MG PREFERRED BRAND (02) Anti-Diabetics
REPAGLINIDE TAB 2-500MG PREFERRED BRAND (02) Anti-Diabetics
RIOMET SOL PREFERRED BRAND (02) Anti-Diabetics
RIOMET SOL 500/5ML PREFERRED BRAND (02) Anti-Diabetics
STARLIX TAB 120MG PREFERRED BRAND (02) Anti-Diabetics
STARLIX TAB 60MG PREFERRED BRAND (02) Anti-Diabetics
TOUJEO SOLO INJ 300IU/ML PREFERRED BRAND (02) Anti-Diabetics
VICTOZA INJ 18MG/3ML PREFERRED BRAND (02) Anti-Diabetics
ANTI-DIARRHE CAP 2MG GENERIC (01) Anti-Diarrheals
DIPHEN/ATROP LIQ 2.5/5 PREFERRED BRAND (02) Anti-Diarrheals
DIPHEN/ATROP TAB 2.5MG GENERIC (01) Anti-Diarrheals
DIPHENATOL TAB 2.5MG GENERIC (01) Anti-Diarrheals
IMODIUM A-D CAP 2MG PREFERRED BRAND (02) Anti-Diarrheals
LOMOTIL TAB 2.5MG PREFERRED BRAND (02) Anti-Diarrheals
LOPERAMIDE CAP 2MG GENERIC (01) Anti-Diarrheals
ACETADOTE INJ 200MG/ML EXCLUDED Antidotes and Specific Antagonists
ACETYLCYST INJ 200MG/ML EXCLUDED Antidotes and Specific Antagonists
CETYLEV TAB 2.5GM EXCLUDED Antidotes and Specific Antagonists
CETYLEV TAB 500MG EXCLUDED Antidotes and Specific Antagonists
CHEMET CAP 100MG EXCLUDED Antidotes and Specific Antagonists
DEFEROXAMINE INJ 2GM EXCLUDED Antidotes and Specific Antagonists
DEFEROXAMINE INJ 500MG EXCLUDED Antidotes and Specific Antagonists
DESFERAL INJ 2GM EXCLUDED Antidotes and Specific Antagonists

Medication Guide 55
 DESFERAL INJ 500MG EXCLUDED Antidotes and Specific Antagonists
EXJADE TAB 125MG EXCLUDED Antidotes and Specific Antagonists
EXJADE TAB 250MG EXCLUDED Antidotes and Specific Antagonists
EXJADE TAB 500MG EXCLUDED Antidotes and Specific Antagonists
FERRIPROX SOL 100MG/ML EXCLUDED Antidotes and Specific Antagonists
FERRIPROX TAB 500MG EXCLUDED Antidotes and Specific Antagonists
JADENU TAB 180MG EXCLUDED Antidotes and Specific Antagonists
JADENU TAB 360MG EXCLUDED Antidotes and Specific Antagonists
JADENU TAB 90MG EXCLUDED Antidotes and Specific Antagonists
JADENU SPRKL GRA 180MG EXCLUDED Antidotes and Specific Antagonists
JADENU SPRKL GRA 360MG EXCLUDED Antidotes and Specific Antagonists
JADENU SPRKL GRA 90MG EXCLUDED Antidotes and Specific Antagonists
NALOXONE INJ 0.4MG/ML EXCLUDED Antidotes and Specific Antagonists
NALOXONE INJ 0.4MG/ML EXCLUDED Antidotes and Specific Antagonists
NALOXONE INJ 1MG/ML EXCLUDED Antidotes and Specific Antagonists
ANZEMET INJ 20MG/ML PREFERRED BRAND (02) Anti-Emetics
ANZEMET TAB 100MG PREFERRED BRAND (02) Anti-Emetics
ANZEMET TAB 50MG PREFERRED BRAND (02) Anti-Emetics
APREPITANT CAP 125MG GENERIC (01) Anti-Emetics
APREPITANT CAP 40MG GENERIC (01) Anti-Emetics
APREPITANT CAP 80MG GENERIC (01) Anti-Emetics
APREPITANT PAK 80 & 125 GENERIC (01) Anti-Emetics
DIMENHYDRIN INJ 50MG/ML PREFERRED BRAND (02) Anti-Emetics
DIMENHYDRIN TAB 50MG GENERIC (01) Anti-Emetics
DRAMAMINE CHW 25MG PREFERRED BRAND (02) Anti-Emetics
DRAMAMINE CHW 50MG PREFERRED BRAND (02) Anti-Emetics
DRAMAMINE TAB 25MG GENERIC (01) Anti-Emetics
DRAMAMINE TAB 50MG PREFERRED BRAND (02) Anti-Emetics
DRIMINATE TAB 50MG GENERIC (01) Anti-Emetics
EMEND CAP 125MG PREFERRED BRAND (02) Anti-Emetics
EMEND CAP 40MG PREFERRED BRAND (02) Anti-Emetics
EMEND CAP 80MG PREFERRED BRAND (02) Anti-Emetics
EMEND SUS 125MG PREFERRED BRAND (02) Anti-Emetics

Medication Guide 56
 EMEND TRIPAC PAK 80 & 125 PREFERRED BRAND (02) Anti-Emetics
EQL MOTION TAB SICKNESS GENERIC (01) Anti-Emetics
GRANISETRON INJ 0.1MG/ML GENERIC (01) Anti-Emetics
GRANISETRON INJ 1MG/ML GENERIC (01) Anti-Emetics
GRANISETRON INJ 4MG/4ML GENERIC (01) Anti-Emetics
GRANISETRON TAB 1MG GENERIC (01) Anti-Emetics
MECLIZINE CHW 25MG GENERIC (01) Anti-Emetics
MECLIZINE POW HCL PREFERRED BRAND (02) Anti-Emetics
MECLIZINE POW HCL MONO PREFERRED BRAND (02) Anti-Emetics
MECLIZINE TAB 12.5MG GENERIC (01) Anti-Emetics
MECLIZINE TAB 25MG GENERIC (01) Anti-Emetics
MECLIZINE 25 TAB GENERIC (01) Anti-Emetics
MEDI-MECLIZI TAB 25MG GENERIC (01) Anti-Emetics
MOTION RELF CHW 25MG GENERIC (01) Anti-Emetics
MOTION RELF TAB 25MG GENERIC (01) Anti-Emetics
MOTION SICK CHW 25MG GENERIC (01) Anti-Emetics
MOTION SICK TAB 50MG GENERIC (01) Anti-Emetics
MOTION SICK TAB 25MG GENERIC (01) Anti-Emetics
MOTION SICK TAB 50MG GENERIC (01) Anti-Emetics
MOTION-TIME CHW 25MG GENERIC (01) Anti-Emetics
ONDANSETRON TAB 4MG ODT GENERIC (01) Anti-Emetics
ONDANSETRON TAB 8MG ODT GENERIC (01) Anti-Emetics
SANCUSO DIS 3.1MG PREFERRED BRAND (02) Anti-Emetics
SUSTOL INJ 10/0.4ML PREFERRED BRAND (02) Anti-Emetics
TIGAN CAP 300MG PREFERRED BRAND (02) Anti-Emetics
TIGAN INJ 100MG/ML PREFERRED BRAND (02) Anti-Emetics
TRANSDERM-SC DIS 1.5MG PREFERRED BRAND (02) Anti-Emetics
TRAVEL SICK CHW 25MG GENERIC (01) Anti-Emetics
TRAVEL SICK TAB 50MG GENERIC (01) Anti-Emetics
TRAV-TABS TAB 50MG GENERIC (01) Anti-Emetics
TRIMETHOBENZ CAP 300MG GENERIC (01) Anti-Emetics
WAL-DRAM TAB 50MG GENERIC (01) Anti-Emetics
WAL-DRAM II TAB 25MG GENERIC (01) Anti-Emetics

Medication Guide 57
 ZOFRAN TAB 4MG ODT PREFERRED BRAND (02) Anti-Emetics
ZOFRAN TAB 8MG ODT PREFERRED BRAND (02) Anti-Emetics
ZUPLENZ MIS 4MG PREFERRED BRAND (02) Anti-Emetics
ZUPLENZ MIS 8MG PREFERRED BRAND (02) Anti-Emetics
AMPHOTERICIN INJ 50MG PREFERRED BRAND (02) Anti-fungals
ANCOBON CAP 250MG EXCLUDED Anti-fungals
ANCOBON CAP 500MG EXCLUDED Anti-fungals
CANCIDAS INJ 50MG EXCLUDED Anti-fungals
CANCIDAS INJ 70MG EXCLUDED Anti-fungals
DIFLUCAN SUS 10MG/ML PREFERRED BRAND (02) Anti-fungals
DIFLUCAN SUS 40MG/ML PREFERRED BRAND (02) Anti-fungals
DIFLUCAN TAB 100MG PREFERRED BRAND (02) Anti-fungals
DIFLUCAN TAB 150MG PREFERRED BRAND (02) Anti-fungals
DIFLUCAN TAB 200MG PREFERRED BRAND (02) Anti-fungals
DIFLUCAN TAB 50MG PREFERRED BRAND (02) Anti-fungals
FLUCONAZOLE SUS 10MG/ML GENERIC (01) Anti-fungals
FLUCONAZOLE SUS 40MG/ML GENERIC (01) Anti-fungals
FLUCONAZOLE TAB 100MG GENERIC (01) Anti-fungals
FLUCONAZOLE TAB 150MG GENERIC (01) Anti-fungals
FLUCONAZOLE TAB 200MG GENERIC (01) Anti-fungals
FLUCONAZOLE TAB 50MG GENERIC (01) Anti-fungals
FLUCYTOSINE CAP 250MG EXCLUDED Anti-fungals
FLUCYTOSINE CAP 500MG EXCLUDED Anti-fungals
GRIFULVIN V TAB 500MG PREFERRED BRAND (02) Anti-fungals
GRISEOFULVIN SUS 125/5ML GENERIC (01) Anti-fungals
GRISEOFULVIN TAB MICR 500 GENERIC (01) Anti-fungals
ITRACONAZOLE CAP 100MG GENERIC (01) Anti-fungals
LAMISIL GRA 125MG PREFERRED BRAND (02) Anti-fungals
LAMISIL GRA 187.5MG PREFERRED BRAND (02) Anti-fungals
LAMISIL TAB 250MG PREFERRED BRAND (02) Anti-fungals
NOXAFIL INJ 300/16.7 PREFERRED BRAND (02) Anti-fungals
NOXAFIL SUS 40MG/ML PREFERRED BRAND (02) Anti-fungals
NOXAFIL TAB 100MG PREFERRED BRAND (02) Anti-fungals

Medication Guide 58
 ONMEL TAB 200MG PREFERRED BRAND (02) Anti-fungals
SPORANOX CAP 100MG PREFERRED BRAND (02) Anti-fungals
SPORANOX CAP PULSEPAK PREFERRED BRAND (02) Anti-fungals
SPORANOX SOL 10MG/ML PREFERRED BRAND (02) Anti-fungals
TERBINAFINE TAB 250MG GENERIC (01) Anti-fungals
VFEND SUS 40MG/ML PREFERRED BRAND (02) Anti-fungals
VFEND TAB 200MG PREFERRED BRAND (02) Anti-fungals
VFEND TAB 50MG PREFERRED BRAND (02) Anti-fungals
VFEND IV INJ 200MG PREFERRED BRAND (02) Anti-fungals
VORICONAZOLE INJ 200MG GENERIC (01) Anti-fungals
VORICONAZOLE SUS 40MG/ML GENERIC (01) Anti-fungals
VORICONAZOLE TAB 200MG GENERIC (01) Anti-fungals
VORICONAZOLE TAB 50MG GENERIC (01) Anti-fungals
POSACONAZOLE TAB 100MG GENERIC (01) Anti-fungals
ALAVERT TAB 10MG GENERIC (01) Anti-Histamines
ALER-CAP CAP 25MG GENERIC (01) Anti-Histamines
ALER-DRYL TAB 50MG PREFERRED BRAND (02) Anti-Histamines
ALERTAB TAB 25MG GENERIC (01) Anti-Histamines
ALL DAY ALLG CAP 10MG GENERIC (01) Anti-Histamines
ALL DAY ALLG CHW 10MG GENERIC (01) Anti-Histamines
ALL DAY ALLG SOL 1MG/ML GENERIC (01) Anti-Histamines
ALL DAY ALLG SOL 5MG/5ML GENERIC (01) Anti-Histamines
ALL DAY ALLG SYP 1MG/ML GENERIC (01) Anti-Histamines
ALL DAY ALLG SYP 5MG/5ML GENERIC (01) Anti-Histamines
ALL DAY ALLG TAB 10MG GENERIC (01) Anti-Histamines
ALL-DAY ALLG SOL 5MG/5ML GENERIC (01) Anti-Histamines
ALLEGRA ALRG SUS 30MG/5ML Y NON-PREFERRED BRAND (03) Anti-Histamines
ALLEGRA ALRG TAB 180MG Y NON-PREFERRED BRAND (03) Anti-Histamines
ALLEGRA ALRG TAB 30MG Y NON-PREFERRED BRAND (03) Anti-Histamines
ALLEGRA ALRG TAB 60MG Y NON-PREFERRED BRAND (03) Anti-Histamines
ALLERCLEAR TAB 10MG GENERIC (01) Anti-Histamines
ALLER-EASE SUS 30MG/5ML GENERIC (01) Anti-Histamines
ALLER-EASE TAB 180MG GENERIC (01) Anti-Histamines

Medication Guide 59
 ALLER-EASE TAB 60MG GENERIC (01) Anti-Histamines
ALLER-FEX TAB 180MG GENERIC (01) Anti-Histamines
ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
ALLERGY LIQ 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY TAB 10MG GENERIC (01) Anti-Histamines
ALLERGY TAB 180MG GENERIC (01) Anti-Histamines
ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
ALLERGY 24HR TAB 10MG GENERIC (01) Anti-Histamines
ALLERGY 25MG TAB DYE-FREE GENERIC (01) Anti-Histamines
ALLERGY CHLD LIQ 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY CHLD SOL 1MG/ML GENERIC (01) Anti-Histamines
ALLERGY CHLD SYP 5MG/5ML GENERIC (01) Anti-Histamines
ALLERGY COMP SOL 1MG/ML GENERIC (01) Anti-Histamines
ALLERGY MED CAP 25MG GENERIC (01) Anti-Histamines
ALLERGY MED LIQ 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY MED TAB 25MG GENERIC (01) Anti-Histamines
ALLERGY MEDI TAB 25MG GENERIC (01) Anti-Histamines
ALLERGY RAPI CHW 12.5MG GENERIC (01) Anti-Histamines
ALLERGY REL CAP 25MG GENERIC (01) Anti-Histamines
ALLERGY REL ELX 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY REL SOL 1MG/ML GENERIC (01) Anti-Histamines
ALLERGY REL TAB 10MG GENERIC (01) Anti-Histamines
ALLERGY REL TAB 25MG GENERIC (01) Anti-Histamines
ALLERGY RELF CAP 10MG GENERIC (01) Anti-Histamines
ALLERGY RELF CAP 25MG GENERIC (01) Anti-Histamines
ALLERGY RELF CHW 10MG GENERIC (01) Anti-Histamines
ALLERGY RELF ELX 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY RELF LIQ 12.5/5ML GENERIC (01) Anti-Histamines
ALLERGY RELF LIQ 50/20ML GENERIC (01) Anti-Histamines
ALLERGY RELF LIQ CHILDREN GENERIC (01) Anti-Histamines
ALLERGY RELF SOL 5MG/5ML GENERIC (01) Anti-Histamines
ALLERGY RELF SYP 5MG/5ML GENERIC (01) Anti-Histamines
ALLERGY RELF TAB 1.34MG GENERIC (01) Anti-Histamines

Medication Guide 60
 ALLERGY RELF TAB 10MG GENERIC (01) Anti-Histamines
ALLERGY RELF TAB 180MG GENERIC (01) Anti-Histamines
ALLERGY RELF TAB 25MG GENERIC (01) Anti-Histamines
ALLERGY RELF TAB 60MG GENERIC (01) Anti-Histamines
ALLERGY RLF SUS 30/5ML GENERIC (01) Anti-Histamines
ALLERGY RLF TAB 10MG GENERIC (01) Anti-Histamines
ALLERHIST-1 TAB 1.34MG GENERIC (01) Anti-Histamines
ALLER-TEC SOL 1MG/ML GENERIC (01) Anti-Histamines
ALLER-TEC TAB 10MG GENERIC (01) Anti-Histamines
ALLRGY MELTS TAB 12.5MG GENERIC (01) Anti-Histamines
ALLRGY RELF TAB 12.5MG GENERIC (01) Anti-Histamines
ANTI-HIST TAB 25MG GENERIC (01) Anti-Histamines
ANTIHISTAMIN CAP 25MG GENERIC (01) Anti-Histamines
ARBINOXA SOL 4MG/5ML GENERIC (01) Anti-Histamines
ARBINOXA TAB 4MG GENERIC (01) Anti-Histamines
A-S PLS ALRG TAB 25MG GENERIC (01) Anti-Histamines
BANOPHEN CAP 25MG GENERIC (01) Anti-Histamines
BANOPHEN CAP 50MG GENERIC (01) Anti-Histamines
BANOPHEN LIQ 12.5/5ML GENERIC (01) Anti-Histamines
BANOPHEN TAB 25MG GENERIC (01) Anti-Histamines
BENADRYL CAP 25MG PREFERRED BRAND (02) Anti-Histamines
BENADRYL ALG CHW CHILD PREFERRED BRAND (02) Anti-Histamines
BENADRYL ALG TAB 25MG PREFERRED BRAND (02) Anti-Histamines
BENADRYL ALL LIQ 12.5/5ML PREFERRED BRAND (02) Anti-Histamines
CARBINOXAMIN SOL 4MG/5ML GENERIC (01) Anti-Histamines
CARBINOXAMIN TAB 4MG GENERIC (01) Anti-Histamines
CETIRIZINE CHW 10MG GENERIC (01) Anti-Histamines
CETIRIZINE CHW 5MG GENERIC (01) Anti-Histamines
CETIRIZINE SOL 1MG/ML GENERIC (01) Anti-Histamines
CETIRIZINE SOL 5MG/5ML GENERIC (01) Anti-Histamines
CETIRIZINE SYP 1MG/ML GENERIC (01) Anti-Histamines
CETIRIZINE SYP 5MG/5ML GENERIC (01) Anti-Histamines
CETIRIZINE TAB 10MG GENERIC (01) Anti-Histamines

Medication Guide 61
 CETIRIZINE TAB 5MG GENERIC (01) Anti-Histamines
CHILD COMPLE CHW ALLERGY GENERIC (01) Anti-Histamines
CHLD ALLERGY LIQ 12.5/5ML GENERIC (01) Anti-Histamines
CLARITIN CAP 10MG Y NON-PREFERRED BRAND (03) Anti-Histamines
CLARITIN CHW 5MG Y NON-PREFERRED BRAND (03) Anti-Histamines
CLARITIN SOL 5MG/5ML GENERIC (01) Anti-Histamines
CLARITIN SYP 5MG/5ML Y NON-PREFERRED BRAND (03) Anti-Histamines
CLARITIN TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Histamines
CLARITIN RDT TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Histamines
CLARITIN RDT TAB 5MG Y NON-PREFERRED BRAND (03) Anti-Histamines
CLEMASTINE POW FUMARATE PREFERRED BRAND (02) Anti-Histamines
CLEMASTINE SYP 0.5/5ML PREFERRED BRAND (02) Anti-Histamines
CLEMASTINE TAB 1.34MG GENERIC (01) Anti-Histamines
CLEMASTINE TAB 2.68MG GENERIC (01) Anti-Histamines
CLEMASTINE TAB 2.68MG PREFERRED BRAND (02) Anti-Histamines
COMP ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
COMP ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
COMP ALLERGY TAB 25MG MED GENERIC (01) Anti-Histamines
COMP ALLERGY TAB 25MG RLF GENERIC (01) Anti-Histamines
CVS ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
CVS ALLERGY CHW 12.5MG GENERIC (01) Anti-Histamines
CVS ALLERGY LIQ 12.5/5ML GENERIC (01) Anti-Histamines
CVS ALLERGY LIQ 25/10ML GENERIC (01) Anti-Histamines
CVS ALLERGY TAB 10MG GENERIC (01) Anti-Histamines
CVS ALLERGY TAB 180MG GENERIC (01) Anti-Histamines
CVS ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
CYPROHEPTAD SYP 2MG/5ML GENERIC (01) Anti-Histamines
CYPROHEPTAD TAB 4MG GENERIC (01) Anti-Histamines
DAYHIST ALRG TAB 12 HOUR GENERIC (01) Anti-Histamines
DICOPANOL SUS 5MG/ML PREFERRED BRAND (02) Anti-Histamines
DICOPANOL SUS RAPIDPAQ PREFERRED BRAND (02) Anti-Histamines
DIPHEDRYL LIQ 12.5/5ML GENERIC (01) Anti-Histamines
DIPHEN TAB 25MG GENERIC (01) Anti-Histamines

Medication Guide 62
 DIPHENHIST CAP 25MG GENERIC (01) Anti-Histamines
DIPHENHIST LIQ 12.5/5ML GENERIC (01) Anti-Histamines
DIPHENHIST TAB 25MG GENERIC (01) Anti-Histamines
DIPHENHYDRAM CAP 25MG GENERIC (01) Anti-Histamines
DIPHENHYDRAM CAP 50MG GENERIC (01) Anti-Histamines
DIPHENHYDRAM ELX 12.5/5ML GENERIC (01) Anti-Histamines
DIPHENHYDRAM INJ 50MG/ML GENERIC (01) Anti-Histamines
DIPHENHYDRAM LIQ 12.5/5ML GENERIC (01) Anti-Histamines
DIPHENHYDRAM POW PREFERRED BRAND (02) Anti-Histamines
DIPHENHYDRAM POW HCL PREFERRED BRAND (02) Anti-Histamines
DIPHENHYDRAM TAB 25MG GENERIC (01) Anti-Histamines
EQ ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
EQ ALLERGY ELX 12.5/5ML GENERIC (01) Anti-Histamines
EQ DAYHIST TAB 1.34MG GENERIC (01) Anti-Histamines
EQL ALL DAY TAB ALLERGY GENERIC (01) Anti-Histamines
EQL ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
EQL ALLERGY SUS 30MG/5ML GENERIC (01) Anti-Histamines
EQL ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
EQL ALLERGY TAB CHLDRN GENERIC (01) Anti-Histamines
EQL DAYHIST TAB 1.34MG GENERIC (01) Anti-Histamines
FEXOFENADINE SUS 30MG/5ML GENERIC (01) Anti-Histamines
FEXOFENADINE TAB 180MG GENERIC (01) Anti-Histamines
FEXOFENADINE TAB 60MG GENERIC (01) Anti-Histamines
GENAHIST CAP 25MG GENERIC (01) Anti-Histamines
GERI-DRYL CAP 25MG GENERIC (01) Anti-Histamines
GERI-DRYL TAB 25MG GENERIC (01) Anti-Histamines
GNP ALL DAY TAB ALLERGY GENERIC (01) Anti-Histamines
GNP ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
GNP ALLERGY TAB 180MG GENERIC (01) Anti-Histamines
GNP ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
GNP DAYHIST TAB 1.34MG GENERIC (01) Anti-Histamines
HM ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
HM ALLERGY TAB 25MG GENERIC (01) Anti-Histamines

Medication Guide 63
 KARBINAL ER SUS 4MG/5ML PREFERRED BRAND (02) Anti-Histamines
KLS ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
KP LORATADIN TAB 10MG GENERIC (01) Anti-Histamines
LORADAMED TAB 10MG GENERIC (01) Anti-Histamines
LORATADINE CAP 10MG GENERIC (01) Anti-Histamines
LORATADINE SOL 5MG/5ML GENERIC (01) Anti-Histamines
LORATADINE SYP 5MG/5ML GENERIC (01) Anti-Histamines
LORATADINE TAB 10MG GENERIC (01) Anti-Histamines
MEDI-PHEDRYL CAP 25MG GENERIC (01) Anti-Histamines
MUCINEX ALLR TAB 180MG GENERIC (01) Anti-Histamines
NARAMIN LIQ GENERIC (01) Anti-Histamines
ORMIR CAP 50MG GENERIC (01) Anti-Histamines
PEDIACARE AL LIQ 12.5/5ML GENERIC (01) Anti-Histamines
PHARBEDRYL CAP 25MG GENERIC (01) Anti-Histamines
PHARBEDRYL CAP 50MG GENERIC (01) Anti-Histamines
PHENADOZ SUP 12.5MG GENERIC (01) Anti-Histamines
PHENADOZ SUP 25MG GENERIC (01) Anti-Histamines
PHENERGAN INJ 25MG/ML PREFERRED BRAND (02) Anti-Histamines
PHENERGAN INJ 50MG/ML PREFERRED BRAND (02) Anti-Histamines
PHENERGAN SUP 12.5MG GENERIC (01) Anti-Histamines
PHENERGAN SUP 25MG GENERIC (01) Anti-Histamines
PHENERGAN SUP 50MG GENERIC (01) Anti-Histamines
PROMETHAZINE INJ 25MG/ML GENERIC (01) Anti-Histamines
PROMETHAZINE INJ 50MG/ML GENERIC (01) Anti-Histamines
PROMETHAZINE POW HCL PREFERRED BRAND (02) Anti-Histamines
PROMETHAZINE SOL 6.25/5ML GENERIC (01) Anti-Histamines
PROMETHAZINE SUP 12.5MG GENERIC (01) Anti-Histamines
PROMETHAZINE SUP 25MG GENERIC (01) Anti-Histamines
PROMETHAZINE SUP 50MG GENERIC (01) Anti-Histamines
PROMETHAZINE SYP 6.25/5ML GENERIC (01) Anti-Histamines
PROMETHAZINE TAB 12.5MG GENERIC (01) Anti-Histamines
PROMETHAZINE TAB 25MG GENERIC (01) Anti-Histamines
PROMETHAZINE TAB 50MG GENERIC (01) Anti-Histamines

Medication Guide 64
 PROMETHEGAN SUP 12.5MG GENERIC (01) Anti-Histamines
PROMETHEGAN SUP 25MG GENERIC (01) Anti-Histamines
PROMETHEGAN SUP 50MG GENERIC (01) Anti-Histamines
PX ALLERGY CAP 25MG GENERIC (01) Anti-Histamines
PX ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
PX DAYHIST TAB 1.34MG GENERIC (01) Anti-Histamines
QC ALLERGY TAB 10MG GENERIC (01) Anti-Histamines
Q-DRYL CAP 25MG GENERIC (01) Anti-Histamines
Q-DRYL LIQ 12.5/5ML GENERIC (01) Anti-Histamines
QLEARQUIL TAB 25MG GENERIC (01) Anti-Histamines
QLEARQUIL 24 TAB 10MG GENERIC (01) Anti-Histamines
QUENALIN SYP 12.5/5ML GENERIC (01) Anti-Histamines
RA ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
RA CETIRIZIN TAB 10MG GENERIC (01) Anti-Histamines
RYVENT TAB 6MG PREFERRED BRAND (02) Anti-Histamines
SB ALLERGY TAB 10MG GENERIC (01) Anti-Histamines
SB ALLERGY TAB 25MG MED GENERIC (01) Anti-Histamines
SCOT-TUSSIN LIQ 12.5/5ML GENERIC (01) Anti-Histamines
SILADRYL ALR LIQ 12.5/5ML GENERIC (01) Anti-Histamines
SILPHEN COUG SYP 12.5/5ML PREFERRED BRAND (02) Anti-Histamines
SM ALL DAY TAB 10MG GENERIC (01) Anti-Histamines
SM ALL DAY TAB ALLERGY GENERIC (01) Anti-Histamines
SM ALLERGY CAP RELIEF GENERIC (01) Anti-Histamines
SM ALLERGY LIQ RELIEF GENERIC (01) Anti-Histamines
SM ALLERGY TAB 25MG GENERIC (01) Anti-Histamines
SM ALLERGY TAB 25MG RLF GENERIC (01) Anti-Histamines
TAVIST TAB 1.34MG PREFERRED BRAND (02) Anti-Histamines
TOTAL ALLERG LIQ 12.5/5ML GENERIC (01) Anti-Histamines
TOTAL ALLERG TAB 25MG GENERIC (01) Anti-Histamines
TRIAMINIC MIS GRAPE PREFERRED BRAND (02) Anti-Histamines
TRIAMINIC TAB 10MG GENERIC (01) Anti-Histamines
VANAMINE PD LIQ 6.25/ML PREFERRED BRAND (02) Anti-Histamines
WAL-DRYL CAP 25MG GENERIC (01) Anti-Histamines

Medication Guide 65
 WAL-DRYL LIQ 12.5/5ML GENERIC (01) Anti-Histamines
WAL-DRYL TAB 25MG GENERIC (01) Anti-Histamines
WAL-DRYL ALR TAB 12.5MG GENERIC (01) Anti-Histamines
WAL-FEX ALLR TAB 180MG GENERIC (01) Anti-Histamines
WAL-FEX ALRG TAB 60MG GENERIC (01) Anti-Histamines
WAL-FEX ALRG TAB 60MG 12H GENERIC (01) Anti-Histamines
WAL-FEX CHLD SUS 30MG/5ML GENERIC (01) Anti-Histamines
WAL-HIST TAB 1.34MG GENERIC (01) Anti-Histamines
WAL-ITIN SYP 5MG/5ML GENERIC (01) Anti-Histamines
WAL-ITIN TAB 10MG GENERIC (01) Anti-Histamines
WAL-ITIN CHL SOL 5MG/5ML GENERIC (01) Anti-Histamines
WAL-VERT TAB 10MG GENERIC (01) Anti-Histamines
WAL-ZYR CAP 10MG GENERIC (01) Anti-Histamines
WAL-ZYR CHW 10MG GENERIC (01) Anti-Histamines
WAL-ZYR CHW 5MG GENERIC (01) Anti-Histamines
WAL-ZYR SOL 1MG/ML GENERIC (01) Anti-Histamines
WAL-ZYR SOL 5MG/5ML GENERIC (01) Anti-Histamines
WAL-ZYR TAB 10MG GENERIC (01) Anti-Histamines
WAL-ZYR CHLD SOL 5MG/5ML GENERIC (01) Anti-Histamines
ZYRTEC ALLGY CAP 10MG PREFERRED BRAND (02) Anti-Histamines
ZYRTEC ALLGY TAB 10MG PREFERRED BRAND (02) Anti-Histamines
ZYRTEC CHILD SYP 1MG/ML PREFERRED BRAND (02) Anti-Histamines
ZYRTEC CHILD SYP 5MG/5ML PREFERRED BRAND (02) Anti-Histamines
ZYRTEC CHILD TAB 10MG PREFERRED BRAND (02) Anti-Histamines
ALTOPREV TAB 20MG ER Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ALTOPREV TAB 40MG ER Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ALTOPREV TAB 60MG ER Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ANTARA CAP 30MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ANTARA CAP 90MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ATORVASTATIN TAB 10MG GENERIC (01) Anti-Hyperlipidemics
ATORVASTATIN TAB 20MG GENERIC (01) Anti-Hyperlipidemics
ATORVASTATIN TAB 40MG GENERIC (01) Anti-Hyperlipidemics
ATORVASTATIN TAB 80MG GENERIC (01) Anti-Hyperlipidemics

Medication Guide 66
 CHOLESTYRAM POW 4GM GENERIC (01) Anti-Hyperlipidemics
COLESTID GRA 5GM Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
COLESTID POW 5GM PREFERRED BRAND (02) Anti-Hyperlipidemics
COLESTID TAB 1GM PREFERRED BRAND (02) Anti-Hyperlipidemics
COLESTID FLA GRA 5/7.5GM PREFERRED BRAND (02) Anti-Hyperlipidemics
COLESTID FLA GRA 5GM Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
COLESTIPOL GRA 5GM GENERIC (01) Anti-Hyperlipidemics
COLESTIPOL TAB 1GM GENERIC (01) Anti-Hyperlipidemics
CRESTOR TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
CRESTOR TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
CRESTOR TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
CRESTOR TAB 5MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
EZETIM/SIMVA TAB 10-10MG GENERIC (01) Anti-Hyperlipidemics
EZETIM/SIMVA TAB 10-20MG GENERIC (01) Anti-Hyperlipidemics
EZETIM/SIMVA TAB 10-40MG GENERIC (01) Anti-Hyperlipidemics
EZETIM/SIMVA TAB 10-80MG GENERIC (01) Anti-Hyperlipidemics
EZETIMIBE TAB 10MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE CAP 130MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE CAP 134MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE CAP 150MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FENOFIBRATE CAP 200MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE CAP 43MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE CAP 50MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FENOFIBRATE CAP 67MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 120MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 145MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 160 GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 160MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 40MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 48MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRATE TAB 54MG GENERIC (01) Anti-Hyperlipidemics
FENOFIBRIC TAB 105MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FENOFIBRIC TAB 35MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics

Medication Guide 67
 FENOGLIDE TAB 120MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FENOGLIDE TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FIBRICOR TAB 105MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FIBRICOR TAB 35MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
FLUVASTATIN CAP 20MG GENERIC (01) Anti-Hyperlipidemics
FLUVASTATIN CAP 40MG GENERIC (01) Anti-Hyperlipidemics
FLUVASTATIN TAB 80MG ER GENERIC (01) Anti-Hyperlipidemics
LESCOL CAP 20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LESCOL CAP 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LESCOL XL TAB 80MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPITOR TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPITOR TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPITOR TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPITOR TAB 80MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPOFEN CAP 150MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIPOFEN CAP 50MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIVALO TAB 1MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIVALO TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LIVALO TAB 4MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOFIBRA CAP 134MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOFIBRA CAP 200MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOFIBRA CAP 67MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOFIBRA TAB 160MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOFIBRA TAB 54MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
LOVASTATIN TAB 10MG GENERIC (01) Anti-Hyperlipidemics
LOVASTATIN TAB 20MG GENERIC (01) Anti-Hyperlipidemics
LOVASTATIN TAB 40MG GENERIC (01) Anti-Hyperlipidemics
LOVAZA CAP 1GM Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
MEVACOR TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
OMEGA-3-ACID CAP 1GM GENERIC (01) Anti-Hyperlipidemics
PRAVACHOL TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
PRAVACHOL TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
PRAVACHOL TAB 80MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics

Medication Guide 68
 PRAVASTATIN TAB 10MG GENERIC (01) Anti-Hyperlipidemics
PRAVASTATIN TAB 20MG GENERIC (01) Anti-Hyperlipidemics
PRAVASTATIN TAB 40MG GENERIC (01) Anti-Hyperlipidemics
PRAVASTATIN TAB 80MG GENERIC (01) Anti-Hyperlipidemics
QUESTRAN POW 4GM Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ROSUVASTATIN TAB 10MG GENERIC (01) Anti-Hyperlipidemics
ROSUVASTATIN TAB 20MG GENERIC (01) Anti-Hyperlipidemics
ROSUVASTATIN TAB 40MG GENERIC (01) Anti-Hyperlipidemics
ROSUVASTATIN TAB 5MG GENERIC (01) Anti-Hyperlipidemics
SIMVASTATIN TAB 10MG GENERIC (01) Anti-Hyperlipidemics
SIMVASTATIN TAB 20MG GENERIC (01) Anti-Hyperlipidemics
SIMVASTATIN TAB 40MG GENERIC (01) Anti-Hyperlipidemics
SIMVASTATIN TAB 5MG GENERIC (01) Anti-Hyperlipidemics
SIMVASTATIN TAB 80MG GENERIC (01) Anti-Hyperlipidemics
TRICOR TAB 145MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
TRICOR TAB 48MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
TRIGLIDE TAB 160MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
VYTORIN TAB 10-10MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
VYTORIN TAB 10-20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
VYTORIN TAB 10-40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
VYTORIN TAB 10-80MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZETIA TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZOCOR TAB 10MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZOCOR TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZOCOR TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZOCOR TAB 5MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ZOCOR TAB 80MG Y NON-PREFERRED BRAND (03) Anti-Hyperlipidemics
ACCUPRIL TAB 10MG PREFERRED BRAND (02) Anti-Hypertensives
ACCUPRIL TAB 20MG PREFERRED BRAND (02) Anti-Hypertensives
ACCUPRIL TAB 40MG PREFERRED BRAND (02) Anti-Hypertensives
ACCUPRIL TAB 5MG PREFERRED BRAND (02) Anti-Hypertensives
ACEON TAB 4MG PREFERRED BRAND (02) Anti-Hypertensives
ACEON TAB 8MG PREFERRED BRAND (02) Anti-Hypertensives

Medication Guide 69
 ALTACE CAP 1.25MG PREFERRED BRAND (02) Anti-Hypertensives
ALTACE CAP 10MG PREFERRED BRAND (02) Anti-Hypertensives
ALTACE CAP 2.5MG PREFERRED BRAND (02) Anti-Hypertensives
ALTACE CAP 5MG PREFERRED BRAND (02) Anti-Hypertensives
ATACAND TAB 16MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND TAB 32MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND TAB 4MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND TAB 8MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND HCT TAB 16-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND HCT TAB 32-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
ATACAND HCT TAB 32-25MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
AVAPRO TAB 150MG PREFERRED BRAND (02) Anti-Hypertensives
AVAPRO TAB 300MG PREFERRED BRAND (02) Anti-Hypertensives
AVAPRO TAB 75MG PREFERRED BRAND (02) Anti-Hypertensives
BENAZEPRIL TAB 10MG GENERIC (01) Anti-Hypertensives
BENAZEPRIL TAB 20MG GENERIC (01) Anti-Hypertensives
BENAZEPRIL TAB 40MG GENERIC (01) Anti-Hypertensives
BENAZEPRIL TAB 5MG GENERIC (01) Anti-Hypertensives
BENICAR TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
BENICAR TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
BENICAR TAB 5MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
CANDESARTAN TAB 16MG GENERIC (01) Anti-Hypertensives
CANDESARTAN TAB 32MG GENERIC (01) Anti-Hypertensives
CANDESARTAN TAB 4MG GENERIC (01) Anti-Hypertensives
CANDESARTAN TAB 8MG GENERIC (01) Anti-Hypertensives
CAPTOPRIL TAB 100MG GENERIC (01) Anti-Hypertensives
CAPTOPRIL TAB 12.5MG GENERIC (01) Anti-Hypertensives
CAPTOPRIL TAB 25MG GENERIC (01) Anti-Hypertensives
CAPTOPRIL TAB 50MG GENERIC (01) Anti-Hypertensives
CARDURA TAB 1MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
CARDURA TAB 2MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
CARDURA TAB 4MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
CARDURA TAB 8MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives

Medication Guide 70
 CATAPRES TAB 0.1MG PREFERRED BRAND (02) Anti-Hypertensives
CATAPRES TAB 0.2MG PREFERRED BRAND (02) Anti-Hypertensives
CATAPRES TAB 0.3MG PREFERRED BRAND (02) Anti-Hypertensives
CATAPRES-TTS DIS 0.1/24HR PREFERRED BRAND (02) Anti-Hypertensives
CATAPRES-TTS DIS 0.2/24HR PREFERRED BRAND (02) Anti-Hypertensives
CATAPRES-TTS DIS 0.3/24HR PREFERRED BRAND (02) Anti-Hypertensives
CLONIDINE DIS 0.1/24HR GENERIC (01) Anti-Hypertensives
CLONIDINE DIS 0.2/24HR GENERIC (01) Anti-Hypertensives
CLONIDINE DIS 0.3/24HR GENERIC (01) Anti-Hypertensives
CLONIDINE POW PREFERRED BRAND (02) Anti-Hypertensives
CLONIDINE TAB 0.1MG GENERIC (01) Anti-Hypertensives
CLONIDINE TAB 0.2MG GENERIC (01) Anti-Hypertensives
CLONIDINE TAB 0.3MG GENERIC (01) Anti-Hypertensives
COZAAR TAB 100MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
COZAAR TAB 25MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
COZAAR TAB 50MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
DIOVAN TAB 160MG PREFERRED BRAND (02) Anti-Hypertensives
DIOVAN TAB 320MG PREFERRED BRAND (02) Anti-Hypertensives
DIOVAN TAB 40MG PREFERRED BRAND (02) Anti-Hypertensives
DIOVAN TAB 80MG PREFERRED BRAND (02) Anti-Hypertensives
DOXAZOSIN TAB 1MG GENERIC (01) Anti-Hypertensives
DOXAZOSIN TAB 2MG GENERIC (01) Anti-Hypertensives
DOXAZOSIN TAB 4MG GENERIC (01) Anti-Hypertensives
DOXAZOSIN TAB 8MG GENERIC (01) Anti-Hypertensives
ENALAPRILAT INJ 1.25/ML GENERIC (01) Anti-Hypertensives
EPANED SOL 1MG/ML Y NON-PREFERRED BRAND (03) Anti-Hypertensives
EPLERENONE TAB 25MG GENERIC (01) Anti-Hypertensives
EPLERENONE TAB 50MG GENERIC (01) Anti-Hypertensives
EPROSART MES TAB 600MG PREFERRED BRAND (02) Anti-Hypertensives
FOSINOPRIL TAB 10MG GENERIC (01) Anti-Hypertensives
FOSINOPRIL TAB 20MG GENERIC (01) Anti-Hypertensives
FOSINOPRIL TAB 40MG GENERIC (01) Anti-Hypertensives
HYDRALAZINE INJ 20MG/ML GENERIC (01) Anti-Hypertensives

Medication Guide 71
 HYDRALAZINE TAB 100MG GENERIC (01) Anti-Hypertensives
HYDRALAZINE TAB 10MG GENERIC (01) Anti-Hypertensives
HYDRALAZINE TAB 25MG GENERIC (01) Anti-Hypertensives
HYDRALAZINE TAB 50MG GENERIC (01) Anti-Hypertensives
HYZAAR TAB 100-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
HYZAAR TAB 100-25 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
HYZAAR TAB 50-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
INSPRA TAB 25MG PREFERRED BRAND (02) Anti-Hypertensives
INSPRA TAB 50MG PREFERRED BRAND (02) Anti-Hypertensives
IRBESARTAN TAB 150MG GENERIC (01) Anti-Hypertensives
IRBESARTAN TAB 300MG GENERIC (01) Anti-Hypertensives
IRBESARTAN TAB 75MG GENERIC (01) Anti-Hypertensives
LISINOP/HCTZ TAB 10-12.5 GENERIC (01) Anti-Hypertensives
LISINOP/HCTZ TAB 20-12.5 GENERIC (01) Anti-Hypertensives
LISINOP/HCTZ TAB 20-25MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 10MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 2.5MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 20MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 30MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 40MG GENERIC (01) Anti-Hypertensives
LISINOPRIL TAB 5MG GENERIC (01) Anti-Hypertensives
LOSARTAN POT TAB 100MG GENERIC (01) Anti-Hypertensives
LOSARTAN POT TAB 25MG GENERIC (01) Anti-Hypertensives
LOSARTAN POT TAB 50MG GENERIC (01) Anti-Hypertensives
LOSARTAN/HCT TAB 100-12.5 GENERIC (01) Anti-Hypertensives
LOSARTAN/HCT TAB 100-25 GENERIC (01) Anti-Hypertensives
LOSARTAN/HCT TAB 50-12.5 GENERIC (01) Anti-Hypertensives
LOTENSIN TAB 10MG PREFERRED BRAND (02) Anti-Hypertensives
LOTENSIN TAB 20MG PREFERRED BRAND (02) Anti-Hypertensives
LOTENSIN TAB 40MG PREFERRED BRAND (02) Anti-Hypertensives
MAVIK TAB 1MG PREFERRED BRAND (02) Anti-Hypertensives
MAVIK TAB 2MG PREFERRED BRAND (02) Anti-Hypertensives
MAVIK TAB 4MG PREFERRED BRAND (02) Anti-Hypertensives

Medication Guide 72
 METHYLD/HCTZ TAB 250/15 PREFERRED BRAND (02) Anti-Hypertensives
METHYLD/HCTZ TAB 250/25 PREFERRED BRAND (02) Anti-Hypertensives
METHYLDOPA TAB 250MG GENERIC (01) Anti-Hypertensives
METHYLDOPA TAB 500MG GENERIC (01) Anti-Hypertensives
METHYLDOPATE INJ 250/5ML PREFERRED BRAND (02) Anti-Hypertensives
MICARDIS TAB 20MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MICARDIS TAB 40MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MICARDIS TAB 80MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MINIPRESS CAP 1MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MINIPRESS CAP 2MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MINIPRESS CAP 5MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
MINOXIDIL TAB 10MG GENERIC (01) Anti-Hypertensives
MINOXIDIL TAB 2.5MG GENERIC (01) Anti-Hypertensives
MOEXIPRIL TAB 15MG GENERIC (01) Anti-Hypertensives
MOEXIPRIL TAB 7.5MG GENERIC (01) Anti-Hypertensives
NITROPRESS INJ 25MG/ML PREFERRED BRAND (02) Anti-Hypertensives
OLMESA MEDOX TAB 20MG GENERIC (01) Anti-Hypertensives
OLMESA MEDOX TAB 40MG GENERIC (01) Anti-Hypertensives
OLMESA MEDOX TAB 5MG GENERIC (01) Anti-Hypertensives
PERINDOPRIL TAB 2MG GENERIC (01) Anti-Hypertensives
PERINDOPRIL TAB 4MG GENERIC (01) Anti-Hypertensives
PERINDOPRIL TAB 8MG GENERIC (01) Anti-Hypertensives
PRAZOSIN HCL CAP 1MG GENERIC (01) Anti-Hypertensives
PRAZOSIN HCL CAP 2MG GENERIC (01) Anti-Hypertensives
PRAZOSIN HCL CAP 5MG GENERIC (01) Anti-Hypertensives
PRAZOSIN HCL POW Y NON-PREFERRED BRAND (03) Anti-Hypertensives
PRINIVIL TAB 10MG PREFERRED BRAND (02) Anti-Hypertensives
PRINIVIL TAB 20MG PREFERRED BRAND (02) Anti-Hypertensives
PRINIVIL TAB 5MG PREFERRED BRAND (02) Anti-Hypertensives
QBRELIS SOL 1MG/ML PREFERRED BRAND (02) Anti-Hypertensives
QUINAPRIL TAB 10MG GENERIC (01) Anti-Hypertensives
QUINAPRIL TAB 20MG GENERIC (01) Anti-Hypertensives
QUINAPRIL TAB 40MG GENERIC (01) Anti-Hypertensives

Medication Guide 73
 QUINAPRIL TAB 5MG GENERIC (01) Anti-Hypertensives
RAMIPRIL CAP 1.25MG GENERIC (01) Anti-Hypertensives
RAMIPRIL CAP 10MG GENERIC (01) Anti-Hypertensives
RAMIPRIL CAP 2.5MG GENERIC (01) Anti-Hypertensives
RAMIPRIL CAP 5MG GENERIC (01) Anti-Hypertensives
SODIUM NITRO INJ 25MG/ML GENERIC (01) Anti-Hypertensives
TEKTURNA TAB 150MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TEKTURNA TAB 300MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TEKTURNA HCT TAB 150-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TEKTURNA HCT TAB 150-25MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TEKTURNA HCT TAB 300-12.5 Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TEKTURNA HCT TAB 300-25MG Y NON-PREFERRED BRAND (03) Anti-Hypertensives
TELMISARTAN TAB 20MG GENERIC (01) Anti-Hypertensives
TELMISARTAN TAB 40MG GENERIC (01) Anti-Hypertensives
TELMISARTAN TAB 80MG GENERIC (01) Anti-Hypertensives
TERAZOSIN CAP 10MG GENERIC (01) Anti-Hypertensives
TERAZOSIN CAP 1MG GENERIC (01) Anti-Hypertensives
TERAZOSIN CAP 2MG GENERIC (01) Anti-Hypertensives
TERAZOSIN CAP 5MG GENERIC (01) Anti-Hypertensives
TRANDOLAPRIL TAB 1MG GENERIC (01) Anti-Hypertensives
TRANDOLAPRIL TAB 2MG GENERIC (01) Anti-Hypertensives
TRANDOLAPRIL TAB 4MG GENERIC (01) Anti-Hypertensives
VALSARTAN TAB 160MG GENERIC (01) Anti-Hypertensives
VALSARTAN TAB 320MG GENERIC (01) Anti-Hypertensives
VALSARTAN TAB 40MG GENERIC (01) Anti-Hypertensives
VALSARTAN TAB 80MG GENERIC (01) Anti-Hypertensives
ZESTORETIC TAB 10-12.5 PREFERRED BRAND (02) Anti-Hypertensives
ZESTORETIC TAB 20-12.5 PREFERRED BRAND (02) Anti-Hypertensives
ZESTORETIC TAB 20-25MG PREFERRED BRAND (02) Anti-Hypertensives
ZESTRIL TAB 10MG PREFERRED BRAND (02) Anti-Hypertensives
ZESTRIL TAB 2.5MG PREFERRED BRAND (02) Anti-Hypertensives
ZESTRIL TAB 20MG PREFERRED BRAND (02) Anti-Hypertensives
ZESTRIL TAB 30MG PREFERRED BRAND (02) Anti-Hypertensives

Medication Guide 74
 ZESTRIL TAB 40MG PREFERRED BRAND (02) Anti-Hypertensives
ZESTRIL TAB 5MG PREFERRED BRAND (02) Anti-Hypertensives
ATOVAQUONE SUS 750/5ML GENERIC (01) Anti-Infective Agents- Misc
BACTRIM TAB 400-80MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
BACTRIM DS TAB 800-160 PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN CAP 150MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN CAP 300MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN CAP 75MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN PHOS INJ 300/2ML PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN PHOS INJ 300MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN PHOS INJ 600MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN PHOS INJ 900MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLEOCIN PHOS INJ 9GM/60ML PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLIN SINGLE KIT USE PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLINDAMYCIN CAP 150MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN CAP 300MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN CAP 75MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 150MG/ML GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 150MG/ML PREFERRED BRAND (02) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 300/2ML GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 300MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 600/4ML GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 600MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 900/6ML GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 9000/60 GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 900MG GENERIC (01) Anti-Infective Agents- Misc
CLINDAMYCIN INJ 9GM/60ML GENERIC (01) Anti-Infective Agents- Misc
DAPSONE TAB 100MG GENERIC (01) Anti-Infective Agents- Misc
DAPSONE TAB 25MG GENERIC (01) Anti-Infective Agents- Misc
FLAGYL CAP 375MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
FLAGYL TAB 250MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
FLAGYL TAB 500MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
MEPRON SUS PREFERRED BRAND (02) Anti-Infective Agents- Misc

Medication Guide 75
 MEROPENEM INJ 1GM GENERIC (01) Anti-Infective Agents- Misc
MEROPENEM INJ 500MG GENERIC (01) Anti-Infective Agents- Misc
MERREM INJ 1GM PREFERRED BRAND (02) Anti-Infective Agents- Misc
MERREM INJ 500MG PREFERRED BRAND (02) Anti-Infective Agents- Misc
METRONIDAZOL CAP 375MG GENERIC (01) Anti-Infective Agents- Misc
METRONIDAZOL TAB 250MG GENERIC (01) Anti-Infective Agents- Misc
METRONIDAZOL TAB 500MG GENERIC (01) Anti-Infective Agents- Misc
SMZ/TMP DS TAB 800-160 GENERIC (01) Anti-Infective Agents- Misc
SMZ-TMP INJ 400-80/5 PREFERRED BRAND (02) Anti-Infective Agents- Misc
SMZ-TMP SUS 200-40/5 GENERIC (01) Anti-Infective Agents- Misc
SMZ-TMP TAB 400-80MG GENERIC (01) Anti-Infective Agents- Misc
SMZ-TMP DS TAB 800-160 GENERIC (01) Anti-Infective Agents- Misc
SULFATRIM PD SUS 200-40/5 GENERIC (01) Anti-Infective Agents- Misc
TRIMETHOPRIM POW PREFERRED BRAND (02) Anti-Infective Agents- Misc
TRIMETHOPRIM TAB 100MG GENERIC (01) Anti-Infective Agents- Misc
ATOVAQ/PROGU TAB 250-100 GENERIC (01) Anti-Malarials
ATOVAQ/PROGU TAB 62.5-25 GENERIC (01) Anti-Malarials
CHLOROQUINE POW PHOSPHAT PREFERRED BRAND (02) Anti-Malarials
CHLOROQUINE TAB 250MG GENERIC (01) Anti-Malarials
CHLOROQUINE TAB 250MG PREFERRED BRAND (02) Anti-Malarials
CHLOROQUINE TAB 500MG GENERIC (01) Anti-Malarials
DARAPRIM TAB 25MG PREFERRED BRAND (02) Anti-Malarials
HYDROXYCHLOR TAB 200MG GENERIC (01) Anti-Malarials
MALARONE TAB 250-100 PREFERRED BRAND (02) Anti-Malarials
MALARONE TAB 62.5-25 PREFERRED BRAND (02) Anti-Malarials
MEFLOQUINE TAB 250MG GENERIC (01) Anti-Malarials
PLAQUENIL TAB 200MG PREFERRED BRAND (02) Anti-Malarials
PRIMAQUINE TAB 26.3MG PREFERRED BRAND (02) Anti-Malarials
QUALAQUIN CAP 324MG PREFERRED BRAND (02) Anti-Malarials
QUININE POW SULFATE PREFERRED BRAND (02) Anti-Malarials
QUININE SULF CAP 324MG GENERIC (01) Anti-Malarials
QUININE SULF POW DIHYDRAT PREFERRED BRAND (02) Anti-Malarials
GUANIDINE TAB 125MG PREFERRED BRAND (02) Anti-Myasthenic/Cholinergic Agents

Medication Guide 76
 MESTINON SYP 60MG/5ML PREFERRED BRAND (02) Anti-Myasthenic/Cholinergic Agents
MESTINON TAB 60MG PREFERRED BRAND (02) Anti-Myasthenic/Cholinergic Agents
MESTINON TAB TIMESPAN PREFERRED BRAND (02) Anti-Myasthenic/Cholinergic Agents
PYRIDOSTIGM TAB 60MG GENERIC (01) Anti-Myasthenic/Cholinergic Agents
PYRIDOSTIGMI TAB ER 180MG GENERIC (01) Anti-Myasthenic/Cholinergic Agents
REGONOL INJ 5MG/ML EXCLUDED Anti-Myasthenic/Cholinergic Agents
CAPASTAT SUL INJ 1GM PREFERRED BRAND (02) Anti-mycobacterial agents
CYCLOSERINE CAP 250MG PREFERRED BRAND (02) Anti-mycobacterial agents
ETHAMBUTOL POW PREFERRED BRAND (02) Anti-mycobacterial agents
ETHAMBUTOL POW HCL PREFERRED BRAND (02) Anti-mycobacterial agents
ETHAMBUTOL TAB 100MG GENERIC (01) Anti-mycobacterial agents
ETHAMBUTOL TAB 400MG GENERIC (01) Anti-mycobacterial agents
ISONIAZID INJ 100MG/ML PREFERRED BRAND (02) Anti-mycobacterial agents
ISONIAZID POW PREFERRED BRAND (02) Anti-mycobacterial agents
ISONIAZID SYP 50MG/5ML PREFERRED BRAND (02) Anti-mycobacterial agents
ISONIAZID TAB 100MG GENERIC (01) Anti-mycobacterial agents
ISONIAZID TAB 300MG GENERIC (01) Anti-mycobacterial agents
MYAMBUTOL TAB 100MG PREFERRED BRAND (02) Anti-mycobacterial agents
MYAMBUTOL TAB 400MG PREFERRED BRAND (02) Anti-mycobacterial agents
MYCOBUTIN CAP 150MG PREFERRED BRAND (02) Anti-mycobacterial agents
PRIFTIN TAB 150MG PREFERRED BRAND (02) Anti-mycobacterial agents
PYRAZINAMIDE TAB 500MG GENERIC (01) Anti-mycobacterial agents
RIFABUTIN CAP 150MG GENERIC (01) Anti-mycobacterial agents
RIFADIN CAP 150MG PREFERRED BRAND (02) Anti-mycobacterial agents
RIFADIN CAP 300MG PREFERRED BRAND (02) Anti-mycobacterial agents
RIFADIN INJ 600 MG PREFERRED BRAND (02) Anti-mycobacterial agents
RIFAMATE CAP PREFERRED BRAND (02) Anti-mycobacterial agents
RIFAMPIN CAP 150MG GENERIC (01) Anti-mycobacterial agents
RIFAMPIN CAP 300MG GENERIC (01) Anti-mycobacterial agents
RIFAMPIN INJ 600 MG GENERIC (01) Anti-mycobacterial agents
RIFAMPIN POW PREFERRED BRAND (02) Anti-mycobacterial agents
RIFAMPIN SUS 25MG/ML PREFERRED BRAND (02) Anti-mycobacterial agents
RIFATER TAB PREFERRED BRAND (02) Anti-mycobacterial agents

Medication Guide 77
 SEROMYCIN CAP 250MG PREFERRED BRAND (02) Anti-mycobacterial agents
ACTIMMUNE INJ 2MU/0.5 EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR TAB 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR TAB 2.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR TAB 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR TAB 7.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR DIS TAB 2MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR DIS TAB 3MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AFINITOR DIS TAB 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ALKERAN TAB 2MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ANASTROZOLE TAB 1MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies

ARIMIDEX TAB 1MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies

AROMASIN TAB 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AVASTIN INJ EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AVASTIN INJ 400/16ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
BICALUTAMIDE TAB 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
BLEO 15K INJ EXCLUDED Anti-Neoplastics and Adjunctive Therapies
BLEOMYCIN INJ 15UNIT EXCLUDED Anti-Neoplastics and Adjunctive Therapies
BLEOMYCIN INJ 30UNIT EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CASODEX TAB 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
COSMEGEN INJ 0.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CYCLOPHOSPH CAP 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CYCLOPHOSPH CAP 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CYCLOPHOSPH INJ 1GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CYCLOPHOSPH INJ 2GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
CYCLOPHOSPH INJ 500MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
DACARBAZINE INJ 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
DACARBAZINE INJ 200MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ELIGARD INJ 45MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ELIGARD INJ 7.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
EMCYT CAP 140MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies

Medication Guide 78
 ERBITUX INJ 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ERBITUX INJ 200MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
EXEMESTANE TAB 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
FARESTON TAB 60MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
FEMARA TAB 2.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
FLUDARABINE INJ 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
FLUDARABINE INJ 50MG/2ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
FLUTAMIDE CAP 125MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEEVEC TAB 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEEVEC TAB 400MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEOSTINE CAP 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEOSTINE CAP 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEOSTINE CAP 40MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
GLEOSTINE CAP 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
HERCEPTIN INJ 440MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
HEXALEN CAP 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
HYDREA CAP 500MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
HYDROXYUREA CAP 500MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFEX INJ 1GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFEX INJ 3GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFOSFAMIDE INJ 1GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFOSFAMIDE INJ 1GM/20ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFOSFAMIDE INJ 3GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IFOSFAMIDE INJ 3GM/60ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IMATINIB MES TAB 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IMATINIB MES TAB 400MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INLYTA TAB 1MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INLYTA TAB 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INTRON A INJ 10MU EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INTRON A INJ 18MU EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INTRON A INJ 25MU EXCLUDED Anti-Neoplastics and Adjunctive Therapies
INTRON A INJ 50MU EXCLUDED Anti-Neoplastics and Adjunctive Therapies
IRESSA TAB 250MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies

Medication Guide 79
 JAKAFI TAB 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
JAKAFI TAB 15MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
JAKAFI TAB 20MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
JAKAFI TAB 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
JAKAFI TAB 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
KEPIVANCE INJ 6.25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LETROZOLE TAB 2.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LEUKERAN TAB 2MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LEUPROLIDE INJ 1MG/0.2 EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LOMUSTINE CAP 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LOMUSTINE CAP 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LOMUSTINE CAP 40MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LUPRON DEPOT INJ 3.75MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LUPRON DEPOT INJ 45MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LUPRON DEPOT INJ 7.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
LYSODREN TAB 500MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MATULANE CAP 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGACE ORAL SUS 40MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL POW ACETATE EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL AC SUS 400MG/10 EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL AC SUS 40MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL AC SUS 800MG/20 EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL AC TAB 20MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MEGESTROL AC TAB 40MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MELPHALAN TAB 2MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MERCAPTOPUR TAB 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 100/4ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 1GM EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 1GM/40ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 200/8ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 250/10ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 25MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE INJ 25MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies

Medication Guide 80
 METHOTREXATE INJ 50MG/2ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE POW EXCLUDED Anti-Neoplastics and Adjunctive Therapies
METHOTREXATE TAB 2.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MITOMYCIN INJ 20MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MITOMYCIN INJ 40MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
MITOMYCIN INJ 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
NEXAVAR TAB 200MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
NILANDRON TAB 150MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
NILUTAMIDE TAB 150MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
PURIXAN SUS 20MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SOLTAMOX SOL 10MG/5ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 140MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 20MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 70MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SPRYCEL TAB 80MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SUTENT CAP 12.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SUTENT CAP 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SUTENT CAP 37.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
SUTENT CAP 50MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TAMOXIFEN TAB 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TAMOXIFEN TAB 20MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TARCEVA TAB 100MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TARCEVA TAB 150MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TARCEVA TAB 25MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TASIGNA CAP 150MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TASIGNA CAP 200MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TRETINOIN CAP 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TREXALL TAB 10MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TREXALL TAB 15MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TREXALL TAB 5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
TREXALL TAB 7.5MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies

Medication Guide 81
 TYKERB TAB 250MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
UVADEX INJ 20MCG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
VOTRIENT TAB 200MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
XATMEP SOL 2.5MG/ML EXCLUDED Anti-Neoplastics and Adjunctive Therapies
XTANDI CAP 40MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ZYTIGA TAB 250MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
ZYTIGA TAB 500MG EXCLUDED Anti-Neoplastics and Adjunctive Therapies
AMANTADINE CAP 100MG GENERIC (01) Anti-Parkinson Agents
AMANTADINE SYP 50MG/5ML GENERIC (01) Anti-Parkinson Agents
AMANTADINE TAB 100MG GENERIC (01) Anti-Parkinson Agents
APOKYN INJ 10MG/ML PREFERRED BRAND (02) Anti-Parkinson Agents
AZILECT TAB 0.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
AZILECT TAB 1MG PREFERRED BRAND (02) Anti-Parkinson Agents
BENZTROPINE INJ 1MG/ML GENERIC (01) Anti-Parkinson Agents
BENZTROPINE POW MESYLATE PREFERRED BRAND (02) Anti-Parkinson Agents
BENZTROPINE TAB 0.5MG GENERIC (01) Anti-Parkinson Agents
BENZTROPINE TAB 1MG GENERIC (01) Anti-Parkinson Agents
BENZTROPINE TAB 2MG GENERIC (01) Anti-Parkinson Agents
BROMOCRIPTIN CAP 5MG GENERIC (01) Anti-Parkinson Agents
BROMOCRIPTIN POW MESYLATE PREFERRED BRAND (02) Anti-Parkinson Agents
BROMOCRIPTIN TAB 2.5MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO TAB 10-100MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO TAB 25-100MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO TAB 25-250MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO 50 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents
CARB/LEVO 75 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents
CARB/LEVO ER TAB 25-100MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO ER TAB 50-200MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO SR TAB 50-200MG GENERIC (01) Anti-Parkinson Agents
CARB/LEVO100 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents
CARB/LEVO125 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents
CARB/LEVO150 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents
CARB/LEVO200 TAB /ENTACAP PREFERRED BRAND (02) Anti-Parkinson Agents

Medication Guide 82
 CARBIDOPA TAB 25MG GENERIC (01) Anti-Parkinson Agents
COGENTIN INJ 1MG/ML PREFERRED BRAND (02) Anti-Parkinson Agents
COMTAN TAB 200MG PREFERRED BRAND (02) Anti-Parkinson Agents
DUOPA SUS 4.63-20 PREFERRED BRAND (02) Anti-Parkinson Agents
ELDEPRYL CAP 5MG PREFERRED BRAND (02) Anti-Parkinson Agents
ENTACAPONE TAB 200MG GENERIC (01) Anti-Parkinson Agents
LODOSYN TAB 25MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 0.125MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 0.25MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 0.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 0.75MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 1.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX TAB 1MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 0.375MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 0.75MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 1.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 2.25MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 3.75MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 3MG PREFERRED BRAND (02) Anti-Parkinson Agents
MIRAPEX ER TAB 4.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
PARLODEL CAP 5MG PREFERRED BRAND (02) Anti-Parkinson Agents
PARLODEL TAB 2.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.125MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.25MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.375 ER GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.5MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.75 ER GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 0.75MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 1.5MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 1.5MG ER GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 1MG GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 2.25 ER GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 3.75 ER GENERIC (01) Anti-Parkinson Agents

Medication Guide 83
 PRAMIPEXOLE TAB 3MG ER GENERIC (01) Anti-Parkinson Agents
PRAMIPEXOLE TAB 4.5MG ER GENERIC (01) Anti-Parkinson Agents
RASAGILINE TAB 0.5MG GENERIC (01) Anti-Parkinson Agents
RASAGILINE TAB 1MG GENERIC (01) Anti-Parkinson Agents
REQUIP TAB 0.25MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 0.5MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 1MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 2MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 3MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 4MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP TAB 5MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP XL TAB 12MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP XL TAB 2MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP XL TAB 4MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP XL TAB 6MG PREFERRED BRAND (02) Anti-Parkinson Agents
REQUIP XL TAB 8MG PREFERRED BRAND (02) Anti-Parkinson Agents
ROPINIROLE TAB 0.25MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 0.5MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 12MG ER GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 1MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 2MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 2MG ER GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 3MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 4MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 4MG ER GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 5MG GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 6MG ER GENERIC (01) Anti-Parkinson Agents
ROPINIROLE TAB 8MG ER GENERIC (01) Anti-Parkinson Agents
RYTARY CAP 145MG PREFERRED BRAND (02) Anti-Parkinson Agents
RYTARY CAP 195MG PREFERRED BRAND (02) Anti-Parkinson Agents
RYTARY CAP 245MG PREFERRED BRAND (02) Anti-Parkinson Agents
RYTARY CAP 95MG PREFERRED BRAND (02) Anti-Parkinson Agents
SELEGILINE CAP 5MG GENERIC (01) Anti-Parkinson Agents

Medication Guide 84
 SELEGILINE POW HCL PREFERRED BRAND (02) Anti-Parkinson Agents
SELEGILINE TAB 5MG GENERIC (01) Anti-Parkinson Agents
SINEMET TAB 10-100MG PREFERRED BRAND (02) Anti-Parkinson Agents
SINEMET TAB 25-100MG PREFERRED BRAND (02) Anti-Parkinson Agents
SINEMET TAB 25-250MG PREFERRED BRAND (02) Anti-Parkinson Agents
SINEMET CR TAB 25-100MG PREFERRED BRAND (02) Anti-Parkinson Agents
SINEMET CR TAB 50-200MG PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 100 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 125 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 150 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 200 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 50 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
STALEVO 75 TAB PREFERRED BRAND (02) Anti-Parkinson Agents
TASMAR TAB 100MG PREFERRED BRAND (02) Anti-Parkinson Agents
TOLCAPONE TAB 100MG GENERIC (01) Anti-Parkinson Agents
ZELAPAR TAB 1.25MG PREFERRED BRAND (02) Anti-Parkinson Agents
ABILIFY TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY TAB 15MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY TAB 30MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY MAIN INJ 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
ABILIFY MAIN INJ 400MG EXCLUDED Anti-Psychotics/Antimanic Agents
ADASUVE INH 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE SOL 1MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 10MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 15MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 15MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARIPIPRAZOLE TAB 30MG EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 85
 ARIPIPRAZOLE TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARISTADA INJ 1064MG EXCLUDED Anti-Psychotics/Antimanic Agents
ARISTADA INJ 441MG/1. EXCLUDED Anti-Psychotics/Antimanic Agents
ARISTADA INJ 662MG/2 EXCLUDED Anti-Psychotics/Antimanic Agents
ARISTADA INJ 882MG/3 EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ INJ 25MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ INJ 50MG/2ML EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ POW HCL EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ TAB 200MG EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
CHLORPROMAZ TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 100/ODT EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 12.5/ODT EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 150/ODT EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 200/ODT EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 200MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 25MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZAPINE TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZARIL TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
CLOZARIL TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
COMPRO SUP 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
FAZACLO TAB 100 ODT EXCLUDED Anti-Psychotics/Antimanic Agents
FAZACLO TAB 12.5 ODT EXCLUDED Anti-Psychotics/Antimanic Agents
FAZACLO TAB 150 ODT EXCLUDED Anti-Psychotics/Antimanic Agents
FAZACLO TAB 200 ODT EXCLUDED Anti-Psychotics/Antimanic Agents
FAZACLO TAB 25MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE CON 5MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE ELX 2.5/5ML EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE INJ 2.5MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 86
 FLUPHENAZINE TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE TAB 2.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
FLUPHENAZINE TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
GEODON CAP 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
GEODON CAP 40MG EXCLUDED Anti-Psychotics/Antimanic Agents
GEODON CAP 60MG EXCLUDED Anti-Psychotics/Antimanic Agents
GEODON CAP 80MG EXCLUDED Anti-Psychotics/Antimanic Agents
GEODON INJ 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALDOL INJ 5MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
HALDOL DECAN INJ 100MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
HALDOL DECAN INJ 50MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL POW EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 0.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
HALOPERIDOL TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TAB 1.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TAB 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TAB 6MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TAB 9MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA SUST INJ 117/0.75 EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA SUST INJ 156MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA SUST INJ 234/1.5 EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA SUST INJ 39/0.25 EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA SUST INJ 78/0.5ML EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TRINZ INJ 273MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TRINZ INJ 410MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TRINZ INJ 546MG EXCLUDED Anti-Psychotics/Antimanic Agents
INVEGA TRINZ INJ 819MG EXCLUDED Anti-Psychotics/Antimanic Agents
LATUDA TAB 120MG EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 87
 LATUDA TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
LATUDA TAB 40MG EXCLUDED Anti-Psychotics/Antimanic Agents
LATUDA TAB 60MG EXCLUDED Anti-Psychotics/Antimanic Agents
LATUDA TAB 80MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM SOL 8MEQ/5ML EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB CAP 150MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB CAP 150MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB CAP 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB CAP 600MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB CAP 600MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB POW EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB TAB 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB TAB 300MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
LITHIUM CARB TAB 450MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
LITHOBID TAB 300MG CR EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE INJ 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 10MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 15MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 15MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 2.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 20MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 5MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
OLANZAPINE TAB 7.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
PALIPERIDONE TAB ER 1.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
PALIPERIDONE TAB ER 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
PALIPERIDONE TAB ER 6MG EXCLUDED Anti-Psychotics/Antimanic Agents
PALIPERIDONE TAB ER 9MG EXCLUDED Anti-Psychotics/Antimanic Agents
PERPHENAZINE TAB 16MG EXCLUDED Anti-Psychotics/Antimanic Agents
PERPHENAZINE TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
PERPHENAZINE TAB 4MG EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 88
 PERPHENAZINE TAB 8MG EXCLUDED Anti-Psychotics/Antimanic Agents
PROCHLORPER POW MALEATE EXCLUDED Anti-Psychotics/Antimanic Agents
PROCHLORPER SUP 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
PROCHLORPER TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
PROCHLORPER TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 150MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 200MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 200MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 300MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 400MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 400MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
QUETIAPINE TAB 50MG ER EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 0.25MG EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 0.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
REXULTI TAB 4MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL INJ 12.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL INJ 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL INJ 37.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL INJ 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL SOL 1MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 0.25MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 0.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL TAB 4MG EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 89
 RISPERDAL M TAB 0.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL M TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL M TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL M TAB 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERDAL M TAB 4MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE SOL 1MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 0.25 ODT EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 0.25MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 0.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 0.5MG OD EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 1 MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 1MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 2MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 3MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 3MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 4MG EXCLUDED Anti-Psychotics/Antimanic Agents
RISPERIDONE TAB 4MG ODT EXCLUDED Anti-Psychotics/Antimanic Agents
SAPHRIS SUB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
SAPHRIS SUB 2.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
SAPHRIS SUB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 200MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 400MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL XR TAB 150MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL XR TAB 200MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL XR TAB 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL XR TAB 400MG EXCLUDED Anti-Psychotics/Antimanic Agents
SEROQUEL XR TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents

Medication Guide 90
 THIORIDAZINE TAB 100MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIORIDAZINE TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIORIDAZINE TAB 25MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIORIDAZINE TAB 50MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIOTHIXENE CAP 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIOTHIXENE CAP 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIOTHIXENE CAP 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
THIOTHIXENE CAP 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
TRIFLUOPERAZ TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
TRIFLUOPERAZ TAB 1MG EXCLUDED Anti-Psychotics/Antimanic Agents
TRIFLUOPERAZ TAB 2MG EXCLUDED Anti-Psychotics/Antimanic Agents
TRIFLUOPERAZ TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
VERSACLOZ SUS 50MG/ML EXCLUDED Anti-Psychotics/Antimanic Agents
ZIPRASIDONE CAP 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZIPRASIDONE CAP 40MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZIPRASIDONE CAP 60MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZIPRASIDONE CAP 80MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA INJ 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 15MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 2.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA TAB 7.5MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA RELP INJ 210MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA RELP INJ 300MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA RELP INJ 405MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA ZYDI TAB 10MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA ZYDI TAB 15MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA ZYDI TAB 20MG EXCLUDED Anti-Psychotics/Antimanic Agents
ZYPREXA ZYDI TAB 5MG EXCLUDED Anti-Psychotics/Antimanic Agents
IV PREP WIPE PAD PREFERRED BRAND (02) Anti-Septics Disinfectants
MICROCLENS PAD WIPES PREFERRED BRAND (02) Anti-Septics Disinfectants

Medication Guide 91
 UNI-SOLVE PAD WIPES PREFERRED BRAND (02) Anti-Septics Disinfectants
ABACA/LAMIVU TAB 600-300 EXCLUDED Anti-Virals
ABACAV/LAMIV TAB /ZIDOVUD EXCLUDED Anti-Virals
ACYCLOVIR CAP 200MG GENERIC (01) Anti-Virals
ACYCLOVIR SUS 200/5ML GENERIC (01) Anti-Virals
ACYCLOVIR TAB 400MG GENERIC (01) Anti-Virals
ACYCLOVIR TAB 800MG GENERIC (01) Anti-Virals
ADEFOV DIPIV TAB 10MG EXCLUDED Anti-Virals
APTIVUS CAP 250MG EXCLUDED Anti-Virals
APTIVUS SOL EXCLUDED Anti-Virals
ATRIPLA TAB EXCLUDED Anti-Virals
BARACLUDE SOL .05MG/ML EXCLUDED Anti-Virals
BARACLUDE TAB 0.5MG EXCLUDED Anti-Virals
BARACLUDE TAB 1MG EXCLUDED Anti-Virals
CIDOFOVIR INJ 75MG/ML GENERIC (01) Anti-Virals
COMBIVIR TAB 150-300 EXCLUDED Anti-Virals
COPEGUS TAB 200MG EXCLUDED Anti-Virals
CRIXIVAN CAP 200MG EXCLUDED Anti-Virals
CRIXIVAN CAP 400MG EXCLUDED Anti-Virals
CYTOVENE INJ 500MG EXCLUDED Anti-Virals
DAKLINZA TAB 30MG EXCLUDED Anti-Virals
DAKLINZA TAB 60MG EXCLUDED Anti-Virals
DAKLINZA TAB 90MG EXCLUDED Anti-Virals
DIDANOSINE CAP 125MG EXCLUDED Anti-Virals
DIDANOSINE CAP 200MG EXCLUDED Anti-Virals
DIDANOSINE CAP 250MG EXCLUDED Anti-Virals
DIDANOSINE CAP 400MG EXCLUDED Anti-Virals
EMTRIVA CAP 200MG EXCLUDED Anti-Virals
EMTRIVA SOL 10MG/ML EXCLUDED Anti-Virals
ENTECAVIR TAB 0.5MG EXCLUDED Anti-Virals
ENTECAVIR TAB 1MG EXCLUDED Anti-Virals
EPIVIR SOL 10MG/ML EXCLUDED Anti-Virals
EPIVIR TAB 150MG EXCLUDED Anti-Virals

Medication Guide 92
 EPIVIR TAB 300MG EXCLUDED Anti-Virals
EPZICOM TAB EXCLUDED Anti-Virals
EPZICOM TAB 600-300 EXCLUDED Anti-Virals
FAMCICLOVIR TAB 125MG GENERIC (01) Anti-Virals
FAMCICLOVIR TAB 250MG GENERIC (01) Anti-Virals
FAMCICLOVIR TAB 500MG GENERIC (01) Anti-Virals
FAMVIR TAB 125MG PREFERRED BRAND (02) Anti-Virals
FAMVIR TAB 250MG PREFERRED BRAND (02) Anti-Virals
FAMVIR TAB 500MG PREFERRED BRAND (02) Anti-Virals
FLUMADINE TAB 100MG PREFERRED BRAND (02) Anti-Virals
FOSCAVIR INJ 24MG/ML PREFERRED BRAND (02) Anti-Virals
FUZEON INJ 90MG EXCLUDED Anti-Virals
GANCICLOVIR INJ 500MG EXCLUDED Anti-Virals
HARVONI TAB 90-400MG EXCLUDED Anti-Virals
HEPSERA TAB 10MG EXCLUDED Anti-Virals
INTELENCE TAB 100MG EXCLUDED Anti-Virals
INTELENCE TAB 200MG EXCLUDED Anti-Virals
INTELENCE TAB 25MG EXCLUDED Anti-Virals
INVIRASE CAP 200MG EXCLUDED Anti-Virals
INVIRASE TAB 500MG EXCLUDED Anti-Virals
ISENTRESS CHW 100MG EXCLUDED Anti-Virals
ISENTRESS CHW 25MG EXCLUDED Anti-Virals
ISENTRESS POW 100MG EXCLUDED Anti-Virals
ISENTRESS TAB 400MG EXCLUDED Anti-Virals
ISENTRESS HD TAB 600MG EXCLUDED Anti-Virals
KALETRA SOL EXCLUDED Anti-Virals
KALETRA TAB 100-25MG EXCLUDED Anti-Virals
KALETRA TAB 200-50MG EXCLUDED Anti-Virals
LAMIVUD/ZIDO TAB 150-300 EXCLUDED Anti-Virals
LAMIVUDINE SOL 10MG/ML EXCLUDED Anti-Virals
LAMIVUDINE TAB 150MG EXCLUDED Anti-Virals
LAMIVUDINE TAB 300MG EXCLUDED Anti-Virals
LEXIVA SUS 50MG/ML PREFERRED BRAND (02) Anti-Virals

Medication Guide 93
 LEXIVA TAB 700MG PREFERRED BRAND (02) Anti-Virals
LOPIN/RITON SOL 80-20/ML EXCLUDED Anti-Virals
MODERIBA PAK 1000/DAY EXCLUDED Anti-Virals
MODERIBA PAK 1200/DAY EXCLUDED Anti-Virals
MODERIBA PAK 600/DAY EXCLUDED Anti-Virals
MODERIBA PAK 800/DAY EXCLUDED Anti-Virals
MODERIBA TAB 200MG EXCLUDED Anti-Virals
NEVIRAPINE SUS 50MG/5ML EXCLUDED Anti-Virals
NEVIRAPINE TAB 100MG EXCLUDED Anti-Virals
NEVIRAPINE TAB 200MG EXCLUDED Anti-Virals
NEVIRAPINE TAB 400MG ER EXCLUDED Anti-Virals
NORVIR CAP 100MG EXCLUDED Anti-Virals
NORVIR SOL 80MG/ML EXCLUDED Anti-Virals
NORVIR TAB 100MG EXCLUDED Anti-Virals
OSELTAMIVIR CAP 30MG GENERIC (01) Anti-Virals
OSELTAMIVIR CAP 45MG GENERIC (01) Anti-Virals
OSELTAMIVIR CAP 75MG GENERIC (01) Anti-Virals
PEGASYS INJ EXCLUDED Anti-Virals
PEGASYS INJ 180MCG/M EXCLUDED Anti-Virals
PEGASYS INJ PROCLICK EXCLUDED Anti-Virals
PREZISTA SUS 100MG/ML EXCLUDED Anti-Virals
PREZISTA TAB 150MG EXCLUDED Anti-Virals
PREZISTA TAB 600MG EXCLUDED Anti-Virals
PREZISTA TAB 75MG EXCLUDED Anti-Virals
PREZISTA TAB 800MG EXCLUDED Anti-Virals
REBETOL CAP 200MG EXCLUDED Anti-Virals
REBETOL SOL 40MG/ML EXCLUDED Anti-Virals
RELENZA MIS DISKHALE EXCLUDED Anti-Virals
RESCRIPTOR TAB 100 MG EXCLUDED Anti-Virals
RESCRIPTOR TAB 200MG EXCLUDED Anti-Virals
RETROVIR CAP 100MG EXCLUDED Anti-Virals
RETROVIR INJ 10MG/ML EXCLUDED Anti-Virals
RETROVIR SYP 50MG/5ML EXCLUDED Anti-Virals

Medication Guide 94
 REYATAZ CAP 150MG EXCLUDED Anti-Virals
REYATAZ CAP 200MG EXCLUDED Anti-Virals
REYATAZ CAP 300MG EXCLUDED Anti-Virals
REYATAZ POW 50MG EXCLUDED Anti-Virals
RIBAPAK PAK 1000/DAY EXCLUDED Anti-Virals
RIBAPAK PAK 1200/DAY EXCLUDED Anti-Virals
RIBAPAK PAK 600/DAY EXCLUDED Anti-Virals
RIBAPAK PAK 800/DAY EXCLUDED Anti-Virals
RIBASPHERE CAP 200MG EXCLUDED Anti-Virals
RIBASPHERE TAB 200MG EXCLUDED Anti-Virals
RIBASPHERE TAB 400MG EXCLUDED Anti-Virals
RIBASPHERE TAB 600MG EXCLUDED Anti-Virals
RIBATAB PAK 1000/DAY EXCLUDED Anti-Virals
RIBATAB TAB 1200/DAY EXCLUDED Anti-Virals
RIBATAB TAB 800/DAY EXCLUDED Anti-Virals
RIBAVIRIN CAP 200MG EXCLUDED Anti-Virals
RIBAVIRIN TAB 200MG EXCLUDED Anti-Virals
RIMANTADINE TAB 100MG GENERIC (01) Anti-Virals
SELZENTRY SOL 20MG/ML EXCLUDED Anti-Virals
SELZENTRY TAB 150MG EXCLUDED Anti-Virals
SELZENTRY TAB 25MG EXCLUDED Anti-Virals
SELZENTRY TAB 300MG EXCLUDED Anti-Virals
SELZENTRY TAB 75MG EXCLUDED Anti-Virals
SITAVIG TAB 50MG EXCLUDED Anti-Virals
STAVUDINE CAP 15MG EXCLUDED Anti-Virals
STAVUDINE CAP 20MG EXCLUDED Anti-Virals
STAVUDINE CAP 30MG EXCLUDED Anti-Virals
STAVUDINE CAP 40MG EXCLUDED Anti-Virals
STAVUDINE SOL 1MG/ML EXCLUDED Anti-Virals
SUSTIVA CAP 200MG EXCLUDED Anti-Virals
SUSTIVA CAP 50MG EXCLUDED Anti-Virals
SUSTIVA TAB 600MG EXCLUDED Anti-Virals
TAMIFLU CAP 30MG PREFERRED BRAND (02) Anti-Virals

Medication Guide 95
 TAMIFLU CAP 45MG PREFERRED BRAND (02) Anti-Virals
TAMIFLU CAP 75MG PREFERRED BRAND (02) Anti-Virals
TAMIFLU SUS 6MG/ML PREFERRED BRAND (02) Anti-Virals
TRIZIVIR TAB EXCLUDED Anti-Virals
TRUVADA TAB EXCLUDED Anti-Virals
TRUVADA TAB 200-300 EXCLUDED Anti-Virals
TYZEKA TAB 600MG EXCLUDED Anti-Virals
VALACYCLOVIR TAB 1GM GENERIC (01) Anti-Virals
VALACYCLOVIR TAB 500MG GENERIC (01) Anti-Virals
VALCYTE SOL 50MG/ML PREFERRED BRAND (02) Anti-Virals
VALCYTE TAB 450MG PREFERRED BRAND (02) Anti-Virals
VALGANCICLOV SOL 50MG/ML GENERIC (01) Anti-Virals
VALGANCICLOV TAB 450MG GENERIC (01) Anti-Virals
VALTREX TAB 1GM PREFERRED BRAND (02) Anti-Virals
VALTREX TAB 500MG PREFERRED BRAND (02) Anti-Virals
VIDEX SOL 2GM EXCLUDED Anti-Virals
VIDEX SOL 4GM EXCLUDED Anti-Virals
VIDEX EC CAP 125MG EXCLUDED Anti-Virals
VIDEX EC CAP 200MG EXCLUDED Anti-Virals
VIDEX EC CAP 250MG EXCLUDED Anti-Virals
VIDEX EC CAP 400MG EXCLUDED Anti-Virals
VIRACEPT TAB 250MG EXCLUDED Anti-Virals
VIRACEPT TAB 625MG EXCLUDED Anti-Virals
VIRAMUNE SUS 50MG/5ML EXCLUDED Anti-Virals
VIRAMUNE TAB 200MG EXCLUDED Anti-Virals
VIRAMUNE XR TAB 100MG EXCLUDED Anti-Virals
VIRAMUNE XR TAB 400MG EXCLUDED Anti-Virals
VIREAD POW 40MG/GM EXCLUDED Anti-Virals
VIREAD TAB 150MG EXCLUDED Anti-Virals
VIREAD TAB 200MG EXCLUDED Anti-Virals
VIREAD TAB 250MG EXCLUDED Anti-Virals
VIREAD TAB 300MG EXCLUDED Anti-Virals
ZERIT CAP 15MG PREFERRED BRAND (02) Anti-Virals

Medication Guide 96
 ZERIT CAP 20MG PREFERRED BRAND (02) Anti-Virals
ZERIT CAP 30MG PREFERRED BRAND (02) Anti-Virals
ZERIT CAP 40MG PREFERRED BRAND (02) Anti-Virals
ZERIT SOL 1MG/ML PREFERRED BRAND (02) Anti-Virals
ZIDOVUDINE CAP 100MG EXCLUDED Anti-Virals
ZIDOVUDINE SYP 50MG/5ML EXCLUDED Anti-Virals
ZIDOVUDINE TAB 300MG EXCLUDED Anti-Virals
ZOVIRAX CAP 200MG PREFERRED BRAND (02) Anti-Virals
ZOVIRAX SUS 200/5ML PREFERRED BRAND (02) Anti-Virals
ZOVIRAX TAB 400MG PREFERRED BRAND (02) Anti-Virals
ZOVIRAX TAB 800MG PREFERRED BRAND (02) Anti-Virals
ACEBUTOLOL CAP 200MG GENERIC (01) Beta Blockers
ACEBUTOLOL CAP 400MG GENERIC (01) Beta Blockers
ACEBUTOLOL POW Y NON-PREFERRED BRAND (03) Beta Blockers
ATENOLOL POW Y NON-PREFERRED BRAND (03) Beta Blockers
ATENOLOL SUS 1GM/ML Y NON-PREFERRED BRAND (03) Beta Blockers
ATENOLOL TAB 100MG GENERIC (01) Beta Blockers
ATENOLOL TAB 25MG GENERIC (01) Beta Blockers
ATENOLOL TAB 50MG GENERIC (01) Beta Blockers
BETAPACE TAB 120MG PREFERRED BRAND (02) Beta Blockers
BETAPACE TAB 160MG PREFERRED BRAND (02) Beta Blockers
BETAPACE TAB 80MG PREFERRED BRAND (02) Beta Blockers
BETAPACE AF TAB 120MG PREFERRED BRAND (02) Beta Blockers
BETAPACE AF TAB 160MG PREFERRED BRAND (02) Beta Blockers
BETAPACE AF TAB 80MG PREFERRED BRAND (02) Beta Blockers
BETAXOLOL TAB 10MG GENERIC (01) Beta Blockers
BETAXOLOL TAB 20MG GENERIC (01) Beta Blockers
BISOPROL FUM TAB 10MG GENERIC (01) Beta Blockers
BISOPROL FUM TAB 5MG GENERIC (01) Beta Blockers
BYSTOLIC TAB 10MG Y NON-PREFERRED BRAND (03) Beta Blockers
BYSTOLIC TAB 2.5MG Y NON-PREFERRED BRAND (03) Beta Blockers
BYSTOLIC TAB 20MG Y NON-PREFERRED BRAND (03) Beta Blockers
BYSTOLIC TAB 5MG Y NON-PREFERRED BRAND (03) Beta Blockers

Medication Guide 97
 CARVEDILOL TAB 12.5MG GENERIC (01) Beta Blockers
CARVEDILOL TAB 25MG GENERIC (01) Beta Blockers
CARVEDILOL TAB 3.125MG GENERIC (01) Beta Blockers
CARVEDILOL TAB 6.25MG GENERIC (01) Beta Blockers
COREG TAB 12.5MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG TAB 25MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG TAB 3.125MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG TAB 6.25MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG CR CAP 10MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG CR CAP 20MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG CR CAP 40MG Y NON-PREFERRED BRAND (03) Beta Blockers
COREG CR CAP 80MG Y NON-PREFERRED BRAND (03) Beta Blockers
CORGARD TAB 20MG PREFERRED BRAND (02) Beta Blockers
CORGARD TAB 40MG PREFERRED BRAND (02) Beta Blockers
CORGARD TAB 80MG PREFERRED BRAND (02) Beta Blockers
HEMANGEOL SOL 4.28/ML Y NON-PREFERRED BRAND (03) Beta Blockers
INDERAL LA CAP 120MG Y NON-PREFERRED BRAND (03) Beta Blockers
INDERAL LA CAP 160MG Y NON-PREFERRED BRAND (03) Beta Blockers
INDERAL LA CAP 60MG Y NON-PREFERRED BRAND (03) Beta Blockers
INDERAL LA CAP 80MG Y NON-PREFERRED BRAND (03) Beta Blockers
LABETALOL INJ 5MG/ML GENERIC (01) Beta Blockers
LABETALOL TAB 100MG GENERIC (01) Beta Blockers
LABETALOL TAB 200MG GENERIC (01) Beta Blockers
LABETALOL TAB 300MG GENERIC (01) Beta Blockers
LOPRESSOR TAB 100MG Y NON-PREFERRED BRAND (03) Beta Blockers
LOPRESSOR TAB 50MG Y NON-PREFERRED BRAND (03) Beta Blockers
METOPROL TAR TAB 100MG GENERIC (01) Beta Blockers
METOPROL TAR TAB 25MG GENERIC (01) Beta Blockers
METOPROL TAR TAB 50MG GENERIC (01) Beta Blockers
METOPROLOL INJ 1MG/ML GENERIC (01) Beta Blockers
METOPROLOL INJ 1MG/ML Y NON-PREFERRED BRAND (03) Beta Blockers
METOPROLOL INJ 5MG/5ML GENERIC (01) Beta Blockers
METOPROLOL INJ 5MG/5ML Y NON-PREFERRED BRAND (03) Beta Blockers

Medication Guide 98
 METOPROLOL POW TARTRATE Y NON-PREFERRED BRAND (03) Beta Blockers
METOPROLOL TAB 100MG ER GENERIC (01) Beta Blockers
METOPROLOL TAB 200MG ER GENERIC (01) Beta Blockers
METOPROLOL TAB 25MG ER GENERIC (01) Beta Blockers
METOPROLOL TAB 37.5MG Y NON-PREFERRED BRAND (03) Beta Blockers
METOPROLOL TAB 50MG ER GENERIC (01) Beta Blockers
METOPROLOL TAB 75MG Y NON-PREFERRED BRAND (03) Beta Blockers
NADOLOL POW PREFERRED BRAND (02) Beta Blockers
NADOLOL TAB 20MG GENERIC (01) Beta Blockers
NADOLOL TAB 40MG GENERIC (01) Beta Blockers
NADOLOL TAB 80MG GENERIC (01) Beta Blockers
PINDOLOL TAB 10MG GENERIC (01) Beta Blockers
PINDOLOL TAB 5MG GENERIC (01) Beta Blockers
PROPRANOLOL CAP 120MG ER GENERIC (01) Beta Blockers
PROPRANOLOL CAP 160MG ER GENERIC (01) Beta Blockers
PROPRANOLOL CAP 60MG ER GENERIC (01) Beta Blockers
PROPRANOLOL CAP 80MG ER GENERIC (01) Beta Blockers
PROPRANOLOL INJ 1MG/ML GENERIC (01) Beta Blockers
PROPRANOLOL POW HCL Y NON-PREFERRED BRAND (03) Beta Blockers
PROPRANOLOL SOL 20MG/5ML Y NON-PREFERRED BRAND (03) Beta Blockers
PROPRANOLOL SOL 40MG/5ML Y NON-PREFERRED BRAND (03) Beta Blockers
PROPRANOLOL TAB 10MG GENERIC (01) Beta Blockers
PROPRANOLOL TAB 20MG GENERIC (01) Beta Blockers
PROPRANOLOL TAB 40MG GENERIC (01) Beta Blockers
PROPRANOLOL TAB 60MG GENERIC (01) Beta Blockers
PROPRANOLOL TAB 80MG GENERIC (01) Beta Blockers
SECTRAL CAP 200MG Y NON-PREFERRED BRAND (03) Beta Blockers
SECTRAL CAP 400MG Y NON-PREFERRED BRAND (03) Beta Blockers
SORINE TAB 120MG GENERIC (01) Beta Blockers
SORINE TAB 160MG GENERIC (01) Beta Blockers
SORINE TAB 240MG GENERIC (01) Beta Blockers
SORINE TAB 80MG GENERIC (01) Beta Blockers
SOTALOL AF TAB 120MG GENERIC (01) Beta Blockers

Medication Guide 99
 SOTALOL AF TAB 160MG GENERIC (01) Beta Blockers
SOTALOL AF TAB 80MG GENERIC (01) Beta Blockers
SOTALOL HCL INJ 150/10ML PREFERRED BRAND (02) Beta Blockers
SOTALOL HCL TAB 120MG GENERIC (01) Beta Blockers
SOTALOL HCL TAB 160MG GENERIC (01) Beta Blockers
SOTALOL HCL TAB 240MG GENERIC (01) Beta Blockers
SOTALOL HCL TAB 80MG GENERIC (01) Beta Blockers
SOTYLIZE SOL 5MG/ML Y NON-PREFERRED BRAND (03) Beta Blockers
TENORMIN TAB 100MG Y NON-PREFERRED BRAND (03) Beta Blockers
TENORMIN TAB 25MG Y NON-PREFERRED BRAND (03) Beta Blockers
TENORMIN TAB 50MG Y NON-PREFERRED BRAND (03) Beta Blockers
TIMOLOL POW MALEATE PREFERRED BRAND (02) Beta Blockers
TIMOLOL MAL TAB 10MG PREFERRED BRAND (02) Beta Blockers
TIMOLOL MAL TAB 20MG PREFERRED BRAND (02) Beta Blockers
TIMOLOL MAL TAB 5MG PREFERRED BRAND (02) Beta Blockers
TOPROL XL TAB 100MG Y NON-PREFERRED BRAND (03) Beta Blockers
TOPROL XL TAB 200MG Y NON-PREFERRED BRAND (03) Beta Blockers
TOPROL XL TAB 25MG Y NON-PREFERRED BRAND (03) Beta Blockers
TOPROL XL TAB 50MG Y NON-PREFERRED BRAND (03) Beta Blockers
ZEBETA TAB 10MG Y NON-PREFERRED BRAND (03) Beta Blockers
ZEBETA TAB 5MG Y NON-PREFERRED BRAND (03) Beta Blockers
ADAGEN INJ 250/ML PREFERRED BRAND (02) Biologicals Misc
ADALAT CC TAB 30MG ER PREFERRED BRAND (02) Calcium Channel Blockers
ADALAT CC TAB 60MG ER PREFERRED BRAND (02) Calcium Channel Blockers
ADALAT CC TAB 90MG ER PREFERRED BRAND (02) Calcium Channel Blockers
AFEDITAB TAB 30MG CR GENERIC (01) Calcium Channel Blockers
AFEDITAB TAB 60MG CR GENERIC (01) Calcium Channel Blockers
AMLODIPINE SUS 1MG/ML PREFERRED BRAND (02) Calcium Channel Blockers
AMLODIPINE TAB 10MG GENERIC (01) Calcium Channel Blockers
AMLODIPINE TAB 2.5MG GENERIC (01) Calcium Channel Blockers
AMLODIPINE TAB 5MG GENERIC (01) Calcium Channel Blockers
CALAN TAB 120MG PREFERRED BRAND (02) Calcium Channel Blockers
CALAN TAB 80MG PREFERRED BRAND (02) Calcium Channel Blockers

Medication Guide 100

 CALAN SR TAB 120MG PREFERRED BRAND (02) Calcium Channel Blockers
CALAN SR TAB 180MG PREFERRED BRAND (02) Calcium Channel Blockers
CALAN SR TAB 240MG PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM CD CAP 120MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM CD CAP 180MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM CD CAP 240MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM CD CAP 300MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM CD CAP 360MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 120MG PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 180MG PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 240MG PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 300MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 360MG PREFERRED BRAND (02) Calcium Channel Blockers
CARDIZEM LA TAB 420MG/24 PREFERRED BRAND (02) Calcium Channel Blockers
CARTIA XT CAP 120/24HR GENERIC (01) Calcium Channel Blockers
CARTIA XT CAP 180/24HR GENERIC (01) Calcium Channel Blockers
CARTIA XT CAP 240/24HR GENERIC (01) Calcium Channel Blockers
CARTIA XT CAP 300/24HR GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 120MG CD GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 120MG ER GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 180MG CD GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 180MG ER GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 240MG CD GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 240MG ER GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 300MG CD GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 300MG ER GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 360MG CD GENERIC (01) Calcium Channel Blockers
DILTIAZEM CAP 360MG ER GENERIC (01) Calcium Channel Blockers
DILTIAZEM ER TAB 180MG GENERIC (01) Calcium Channel Blockers
DILTIAZEM ER TAB 240MG GENERIC (01) Calcium Channel Blockers
DILTIAZEM ER TAB 300MG GENERIC (01) Calcium Channel Blockers
DILTIAZEM ER TAB 360MG GENERIC (01) Calcium Channel Blockers
DILTIAZEM ER TAB 420MG GENERIC (01) Calcium Channel Blockers

Medication Guide 101

 FELODIPINE TAB 10MG ER GENERIC (01) Calcium Channel Blockers
FELODIPINE TAB 2.5MG ER GENERIC (01) Calcium Channel Blockers
FELODIPINE TAB 5MG ER GENERIC (01) Calcium Channel Blockers
ISOPTIN SR TAB 240MG PREFERRED BRAND (02) Calcium Channel Blockers
ISRADIPINE CAP 2.5MG GENERIC (01) Calcium Channel Blockers
ISRADIPINE CAP 5MG GENERIC (01) Calcium Channel Blockers
MATZIM LA TAB 180MG/24 GENERIC (01) Calcium Channel Blockers
MATZIM LA TAB 240MG/24 GENERIC (01) Calcium Channel Blockers
MATZIM LA TAB 300MG/24 GENERIC (01) Calcium Channel Blockers
MATZIM LA TAB 360MG/24 GENERIC (01) Calcium Channel Blockers
MATZIM LA TAB 420MG/24 GENERIC (01) Calcium Channel Blockers
NICARDIPINE CAP 20MG GENERIC (01) Calcium Channel Blockers
NICARDIPINE CAP 30MG GENERIC (01) Calcium Channel Blockers
NICARDIPINE INJ 2.5MG/ML GENERIC (01) Calcium Channel Blockers
NICARDIPINE INJ 25/10ML GENERIC (01) Calcium Channel Blockers
NIFEDIAC CC TAB 30MG ER GENERIC (01) Calcium Channel Blockers
NIFEDICAL XL TAB 30MG GENERIC (01) Calcium Channel Blockers
NIFEDICAL XL TAB 60MG GENERIC (01) Calcium Channel Blockers
NIFEDIPINE CAP 10MG GENERIC (01) Calcium Channel Blockers
NIFEDIPINE CAP 20MG GENERIC (01) Calcium Channel Blockers
NIFEDIPINE TAB 30MG ER GENERIC (01) Calcium Channel Blockers
NIFEDIPINE TAB 60MG ER GENERIC (01) Calcium Channel Blockers
NIFEDIPINE TAB 90MG ER GENERIC (01) Calcium Channel Blockers
NIMODIPINE CAP 30MG GENERIC (01) Calcium Channel Blockers
NISOLDIPINE TAB 17MG ER GENERIC (01) Calcium Channel Blockers
NISOLDIPINE TAB 20MG ER PREFERRED BRAND (02) Calcium Channel Blockers
NISOLDIPINE TAB 25.5MG PREFERRED BRAND (02) Calcium Channel Blockers
NISOLDIPINE TAB 30MG ER PREFERRED BRAND (02) Calcium Channel Blockers
NISOLDIPINE TAB 34MG ER GENERIC (01) Calcium Channel Blockers
NISOLDIPINE TAB 40MG ER PREFERRED BRAND (02) Calcium Channel Blockers
NISOLDIPINE TAB 8.5MG ER GENERIC (01) Calcium Channel Blockers
NORVASC TAB 10MG PREFERRED BRAND (02) Calcium Channel Blockers
NORVASC TAB 2.5MG PREFERRED BRAND (02) Calcium Channel Blockers

Medication Guide 102

 NORVASC TAB 5MG PREFERRED BRAND (02) Calcium Channel Blockers
NYMALIZE SOL 60/20ML PREFERRED BRAND (02) Calcium Channel Blockers
PROCARDIA CAP 10MG PREFERRED BRAND (02) Calcium Channel Blockers
PROCARDIA XL TAB 30MG CR PREFERRED BRAND (02) Calcium Channel Blockers
PROCARDIA XL TAB 60MG CR PREFERRED BRAND (02) Calcium Channel Blockers
PROCARDIA XL TAB 90MG CR PREFERRED BRAND (02) Calcium Channel Blockers
SULAR TAB 17MG PREFERRED BRAND (02) Calcium Channel Blockers
SULAR TAB 34MG PREFERRED BRAND (02) Calcium Channel Blockers
SULAR TAB 8.5MG PREFERRED BRAND (02) Calcium Channel Blockers
VERAPAMIL CAP 100MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 120MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 120MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 180MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 180MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 200MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 240MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 240MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 300MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL CAP 360MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL INJ 2.5MG/ML GENERIC (01) Calcium Channel Blockers
VERAPAMIL POW PREFERRED BRAND (02) Calcium Channel Blockers
VERAPAMIL TAB 120MG GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 120MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 120MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 180MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 180MG SA GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 180MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 240MG CR GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 240MG ER GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 240MG SA GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 240MG SR GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 40MG GENERIC (01) Calcium Channel Blockers
VERAPAMIL TAB 80MG GENERIC (01) Calcium Channel Blockers

Medication Guide 103

 VERELAN CAP 120MG SR PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN CAP 180MG SR PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN CAP 240MG SR PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN CAP 360MG SR PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN PM CAP 100MG ER PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN PM CAP 200MG ER PREFERRED BRAND (02) Calcium Channel Blockers
VERELAN PM CAP 300MG ER PREFERRED BRAND (02) Calcium Channel Blockers
ADCIRCA TAB 20MG EXCLUDED Cardiovascular Agents-Misc
EQL NIACIN CAP 500MG GENERIC (01) Cardiovascular Agents-Misc
HDL BENEFIT CAP 500MG GENERIC (01) Cardiovascular Agents-Misc
LETAIRIS TAB 10MG EXCLUDED Cardiovascular Agents-Misc
LETAIRIS TAB 5MG EXCLUDED Cardiovascular Agents-Misc
NIACIN CAP 500MG GENERIC (01) Cardiovascular Agents-Misc
NIACIN CAP 590MG PREFERRED BRAND (02) Cardiovascular Agents-Misc
NIACIN TAB 100MG PREFERRED BRAND (02) Cardiovascular Agents-Misc
NIACIN TAB 250MG PREFERRED BRAND (02) Cardiovascular Agents-Misc
NIACIN TAB 500MG GENERIC (01) Cardiovascular Agents-Misc
NIACIN FLUSH CAP FREE PREFERRED BRAND (02) Cardiovascular Agents-Misc
NO FLUSH TAB NIACIN GENERIC (01) Cardiovascular Agents-Misc
REMODULIN INJ 10MG/ML EXCLUDED Cardiovascular Agents-Misc
REMODULIN INJ 1MG/ML EXCLUDED Cardiovascular Agents-Misc
REMODULIN INJ 2.5MG/ML EXCLUDED Cardiovascular Agents-Misc
REMODULIN INJ 5MG/ML EXCLUDED Cardiovascular Agents-Misc
REVATIO INJ EXCLUDED Cardiovascular Agents-Misc
REVATIO SUS 10MG/ML EXCLUDED Cardiovascular Agents-Misc
REVATIO TAB 20MG EXCLUDED Cardiovascular Agents-Misc
SILDENAFIL INJ EXCLUDED Cardiovascular Agents-Misc
SILDENAFIL TAB 20MG EXCLUDED Cardiovascular Agents-Misc
TRACLEER TAB 125MG EXCLUDED Cardiovascular Agents-Misc
TRACLEER TAB 62.5MG EXCLUDED Cardiovascular Agents-Misc
VENTAVIS SOL 10MCG/ML EXCLUDED Cardiovascular Agents-Misc
VENTAVIS SOL 20MCG/ML EXCLUDED Cardiovascular Agents-Misc
CEDAX CAP 400MG PREFERRED BRAND (02) Cephalosporins

Medication Guide 104

 CEDAX SUS 180/5ML PREFERRED BRAND (02) Cephalosporins
CEFACLOR CAP 250MG GENERIC (01) Cephalosporins
CEFACLOR CAP 500MG GENERIC (01) Cephalosporins
CEFACLOR SUS 125/5ML PREFERRED BRAND (02) Cephalosporins
CEFACLOR SUS 250/5ML PREFERRED BRAND (02) Cephalosporins
CEFACLOR SUS 375/5ML PREFERRED BRAND (02) Cephalosporins
CEFADROXIL CAP 500MG GENERIC (01) Cephalosporins
CEFADROXIL SUS 250/5ML GENERIC (01) Cephalosporins
CEFADROXIL SUS 500/5ML GENERIC (01) Cephalosporins
CEFADROXIL TAB 1GM GENERIC (01) Cephalosporins
CEFAZOLIN INJ 100GM PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 10GM GENERIC (01) Cephalosporins
CEFAZOLIN INJ 1GM GENERIC (01) Cephalosporins
CEFAZOLIN INJ 1GM PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 1GM/10ML PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 20GM GENERIC (01) Cephalosporins
CEFAZOLIN INJ 20GM PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 2GM/20ML PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 300GM PREFERRED BRAND (02) Cephalosporins
CEFAZOLIN INJ 500MG GENERIC (01) Cephalosporins
CEFDINIR CAP 300MG GENERIC (01) Cephalosporins
CEFDINIR SUS 125/5ML GENERIC (01) Cephalosporins
CEFDINIR SUS 250/5ML GENERIC (01) Cephalosporins
CEFDITOREN TAB 200MG PREFERRED BRAND (02) Cephalosporins
CEFDITOREN TAB 400MG PREFERRED BRAND (02) Cephalosporins
CEFIXIME SUS 100/5ML GENERIC (01) Cephalosporins
CEFIXIME SUS 200/5ML GENERIC (01) Cephalosporins
CEFPODO PROX SUS 100/5ML GENERIC (01) Cephalosporins
CEFPODO PROX SUS 50MG/5ML GENERIC (01) Cephalosporins
CEFPODOXIME TAB 100MG GENERIC (01) Cephalosporins
CEFPODOXIME TAB 200MG GENERIC (01) Cephalosporins
CEFPROZIL SUS 125/5ML GENERIC (01) Cephalosporins
CEFPROZIL SUS 250/5ML GENERIC (01) Cephalosporins

Medication Guide 105

 CEFPROZIL TAB 250MG GENERIC (01) Cephalosporins
CEFPROZIL TAB 500MG GENERIC (01) Cephalosporins
CEFTIBUTEN CAP 400MG PREFERRED BRAND (02) Cephalosporins
CEFTIBUTEN SUS 180/5ML PREFERRED BRAND (02) Cephalosporins
CEFTIN SUS 125/5ML PREFERRED BRAND (02) Cephalosporins
CEFTIN SUS 250/5ML PREFERRED BRAND (02) Cephalosporins
CEFTIN TAB 250MG PREFERRED BRAND (02) Cephalosporins
CEFTIN TAB 500MG PREFERRED BRAND (02) Cephalosporins
CEFUROXIME TAB 250MG GENERIC (01) Cephalosporins
CEFUROXIME TAB 500MG GENERIC (01) Cephalosporins
CEPHALEXIN CAP 250MG GENERIC (01) Cephalosporins
CEPHALEXIN CAP 500MG GENERIC (01) Cephalosporins
CEPHALEXIN CAP 750MG GENERIC (01) Cephalosporins
CEPHALEXIN SUS 125/5ML GENERIC (01) Cephalosporins
CEPHALEXIN SUS 250/5ML GENERIC (01) Cephalosporins
CEPHALEXIN TAB 250MG PREFERRED BRAND (02) Cephalosporins
CEPHALEXIN TAB 500MG PREFERRED BRAND (02) Cephalosporins
DAXBIA CAP 333MG PREFERRED BRAND (02) Cephalosporins
KEFLEX CAP 250MG PREFERRED BRAND (02) Cephalosporins
KEFLEX CAP 500MG PREFERRED BRAND (02) Cephalosporins
KEFLEX CAP 750MG PREFERRED BRAND (02) Cephalosporins
SPECTRACEF TAB 400MG PREFERRED BRAND (02) Cephalosporins
SUPRAX CAP 400MG PREFERRED BRAND (02) Cephalosporins
SUPRAX CHW 100MG PREFERRED BRAND (02) Cephalosporins
SUPRAX CHW 200MG PREFERRED BRAND (02) Cephalosporins
SUPRAX SUS 100/5ML PREFERRED BRAND (02) Cephalosporins
SUPRAX SUS 200/5ML PREFERRED BRAND (02) Cephalosporins
SUPRAX SUS 500/5ML PREFERRED BRAND (02) Cephalosporins
ACETIC ACID SOL 3% PREFERRED BRAND (02) Chemicals
ACETIC ACID SOL 5% PREFERRED BRAND (02) Chemicals
ACETIC ACID SOL GLACIAL PREFERRED BRAND (02) Chemicals
KANAMYCIN POW SULFATE PREFERRED BRAND (02) Chemicals
AFTERA TAB 1.5MG $0 Contraceptives

Medication Guide 106

 ALTAVERA TAB $0 Contraceptives
ALYACEN TAB 1/35 $0 Contraceptives
ALYACEN TAB 7/7/7 $0 Contraceptives
AMETHIA TAB $0 Contraceptives
AMETHIA LO TAB $0 Contraceptives
AMETHYST TAB 90-20MCG $0 Contraceptives
APRI TAB $0 Contraceptives
ARANELLE TAB $0 Contraceptives
ASHLYNA TAB $0 Contraceptives
AUBRA TAB 0.1-0.02 $0 Contraceptives
AVIANE TAB $0 Contraceptives
AZURETTE TAB 28 DAY $0 Contraceptives
BALZIVA TAB $0 Contraceptives
BEKYREE TAB $0 Contraceptives
BEYAZ TAB PREFERRED BRAND (02) Contraceptives
BLISOVI 24 TAB FE 1/20 $0 Contraceptives
BLISOVI FE TAB 1.5/30 $0 Contraceptives
BLISOVI FE TAB 1/20 $0 Contraceptives
BREVICON TAB 0.5/35 PREFERRED BRAND (02) Contraceptives
BRIELLYN TAB $0 Contraceptives
CAMILA TAB 0.35MG $0 Contraceptives
CAMRESE TAB $0 Contraceptives
CAMRESE LO TAB $0 Contraceptives
CAZIANT PAK $0 Contraceptives
CESIA PAK $0 Contraceptives
CHATEAL TAB 0.15/30 $0 Contraceptives
CRYSELLE-28 TAB $0 Contraceptives
CRYSELLE-28 TAB 28 TABS $0 Contraceptives
CYCLAFEM TAB 1/35 $0 Contraceptives
CYCLAFEM TAB 7/7/7 $0 Contraceptives
CYCLESSA PAK PREFERRED BRAND (02) Contraceptives
CYRED TAB $0 Contraceptives
DASETTA TAB 1/35 $0 Contraceptives

Medication Guide 107

 DASETTA TAB 7/7/7 $0 Contraceptives
DAYSEE TAB $0 Contraceptives
DEBLITANE TAB 0.35MG $0 Contraceptives
DELYLA TAB 0.1-0.02 $0 Contraceptives
DEPO-PROVERA INJ 150MG/ML EXCLUDED Contraceptives
DEPO-SQ PROV INJ 104 EXCLUDED Contraceptives
DESO/ETHINYL TAB ESTRADIO $0 Contraceptives
DESOGEN-28 TAB PREFERRED BRAND (02) Contraceptives
DROSPIR/ETHI TAB 3-0.03MG $0 Contraceptives
DROSPIRE/ETH TAB ESTR/LEV $0 Contraceptives
DROSPIRENONE TAB ETHY EST $0 Contraceptives
ECONTRA EZ TAB 1.5MG $0 Contraceptives
ELINEST TAB $0 Contraceptives
ELLA TAB 30MG PREFERRED BRAND (02) Contraceptives
EMOQUETTE TAB $0 Contraceptives
ENPRESSE-28 TAB $0 Contraceptives
ENSKYCE TAB $0 Contraceptives
ERRIN TAB 0.35MG $0 Contraceptives
ESTARYLLA TAB 0.25-35 $0 Contraceptives
ESTROSTEP FE TAB PREFERRED BRAND (02) Contraceptives
ETHYNODIOL TAB 1-50 $0 Contraceptives
FALESSA KIT PREFERRED BRAND (02) Contraceptives
FALLBACK TAB 1.5MG $0 Contraceptives
FALMINA TAB $0 Contraceptives
FAYOSIM TAB $0 Contraceptives
FEMCON FE CHW PREFERRED BRAND (02) Contraceptives
FEMYNOR TAB 0.25-35 $0 Contraceptives
GENERESS FE CHW PREFERRED BRAND (02) Contraceptives
GIANVI TAB 3-0.02MG $0 Contraceptives
GILDAGIA TAB 0.4-35 $0 Contraceptives
GILDESS TAB 1.5/30 $0 Contraceptives
GILDESS TAB 1/20 $0 Contraceptives
GILDESS 24 TAB FE 1/20 $0 Contraceptives

Medication Guide 108

 GILDESS FE TAB 1.5/30 $0 Contraceptives
GILDESS FE TAB 1/20 $0 Contraceptives
HEATHER TAB 0.35MG $0 Contraceptives
INTROVALE TAB $0 Contraceptives
ISIBLOOM TAB 0.15-30 $0 Contraceptives
JENCYCLA TAB 0.35MG $0 Contraceptives
JOLESSA TAB $0 Contraceptives
JOLIVETTE TAB 0.35MG $0 Contraceptives
JULEBER TAB $0 Contraceptives
JUNEL 1.5/30 TAB $0 Contraceptives
JUNEL 1/20 TAB $0 Contraceptives
JUNEL FE TAB 1.5/30 $0 Contraceptives
JUNEL FE TAB 1/20 $0 Contraceptives
JUNEL FE 24 TAB 1/20 $0 Contraceptives
KAITLIB FE CHW $0 Contraceptives
KARIVA TAB 28 DAY $0 Contraceptives
KELNOR TAB 1/35 $0 Contraceptives
KIMIDESS TAB $0 Contraceptives
KURVELO TAB 0.15/30 $0 Contraceptives
KYLEENA IUD 19.5MG PREFERRED BRAND (02) Contraceptives
LARIN TAB 1.5/30 $0 Contraceptives
LARIN TAB 1/20 $0 Contraceptives
LARIN 24 TAB FE 1/20 $0 Contraceptives
LARIN FE TAB 1.5/30 $0 Contraceptives
LARIN FE TAB 1/20 $0 Contraceptives
LARISSIA TAB $0 Contraceptives
LAYOLIS FE CHW $0 Contraceptives
LEENA TAB $0 Contraceptives
LESSINA TAB $0 Contraceptives
LEVO-ETH EST TAB 90-20MCG PREFERRED BRAND (02) Contraceptives
LEVONEST TAB $0 Contraceptives
LEVONOR/ETHI TAB $0 Contraceptives
LEVONOR/ETHI TAB 0.1-0.02 $0 Contraceptives

Medication Guide 109

 LEVONOR/ETHI TAB ESTRADIO $0 Contraceptives
LEVONORGESTR TAB 1.5MG $0 Contraceptives
LEVORA-28 TAB 0.15/30 $0 Contraceptives
LILETTA IUD 52MG PREFERRED BRAND (02) Contraceptives
LO ESTRINFE PREFERRED BRAND (02) Contraceptives
LO LOESTRIN TAB PREFERRED BRAND (02) Contraceptives
LOESTRIN TAB 1/20-21 PREFERRED BRAND (02) Contraceptives
LOESTRIN 21 TAB 1.5/30 PREFERRED BRAND (02) Contraceptives
LOESTRIN 24 TAB FE PREFERRED BRAND (02) Contraceptives
LOESTRIN FE TAB 1.5/30 PREFERRED BRAND (02) Contraceptives
LOESTRIN FE TAB 1/20 PREFERRED BRAND (02) Contraceptives
LOMEDIA 24 TAB FE $0 Contraceptives
LORYNA TAB 3-0.02MG $0 Contraceptives
LOSEASONIQUE TAB PREFERRED BRAND (02) Contraceptives
LOW-OGESTREL TAB $0 Contraceptives
LUTERA TAB $0 Contraceptives
LYZA TAB 0.35MG $0 Contraceptives
MARLISSA TAB 0.15/30 $0 Contraceptives
MEDROXYPR AC INJ 150MG/ML EXCLUDED Contraceptives
MIBELAS 24 CHW FE $0 Contraceptives
MICRGSTIN 24 TAB FE 1/20 $0 Contraceptives
MICROGESTIN TAB 1.5/30 $0 Contraceptives
MICROGESTIN TAB 1/20 $0 Contraceptives
MICROGESTIN TAB FE 1/20 $0 Contraceptives
MICROGESTIN TAB FE1.5/30 $0 Contraceptives
MINASTRIN 24 CHW FE PREFERRED BRAND (02) Contraceptives
MIRCETTE TAB 28 DAY PREFERRED BRAND (02) Contraceptives
MIRENA IUD SYSTEM PREFERRED BRAND (02) Contraceptives
MODICON TAB 0.5/35 PREFERRED BRAND (02) Contraceptives
MONO-LINYAH TAB 0.25-35 $0 Contraceptives
MONONESSA TAB $0 Contraceptives
MY WAY TAB 1.5MG $0 Contraceptives
MYZILRA TAB $0 Contraceptives

Medication Guide 110

 NATAZIA TAB PREFERRED BRAND (02) Contraceptives
NECON TAB 0.5/35 $0 Contraceptives
NECON TAB 1/35 $0 Contraceptives
NECON TAB 1/50-28 PREFERRED BRAND (02) Contraceptives
NECON TAB 10/11-28 PREFERRED BRAND (02) Contraceptives
NECON TAB 7/7/7 $0 Contraceptives
NEXPLANON IMP 68MG $0 (limits apply) Contraceptives
NEXT CHOICE TAB 1.5MG $0 Contraceptives
NIKKI TAB 3-0.02MG $0 Contraceptives
NORA-BE TAB 0.35MG $0 Contraceptives
NORE/ETH/FER CHW 0.4MG-35 $0 Contraceptives
NORETH/ETHIN CHW FE $0 Contraceptives
NORETH/ETHIN CHW FE 1/20 $0 Contraceptives
NORETH/ETHIN TAB 1/20 $0 Contraceptives
NORETH/ETHIN TAB FE 1/20 $0 Contraceptives
NORETHINDRON TAB 0.35MG $0 Contraceptives
NORGEST/ETHI TAB 0.25/35 $0 Contraceptives
NORGEST/ETHI TAB ESTRADIO $0 Contraceptives
NORINYL TAB 1/35 PREFERRED BRAND (02) Contraceptives
NORINYL TAB 1+50-28 PREFERRED BRAND (02) Contraceptives
NORLYDA TAB 0.35MG $0 Contraceptives
NORLYROC TAB 0.35MG $0 Contraceptives
NOR-QD TAB 0.35MG PREFERRED BRAND (02) Contraceptives
NORTREL TAB 0.5/35 $0 Contraceptives
NORTREL TAB 1/35 $0 Contraceptives
NORTREL TAB 7/7/7 $0 Contraceptives
NUVARING MIS PREFERRED BRAND (02) Contraceptives
OCELLA TAB 3-0.03MG $0 Contraceptives
OGESTREL TAB PREFERRED BRAND (02) Contraceptives
OPCICON TAB 1.5MG $0 Contraceptives
OPTION 2 TAB 1.5MG $0 Contraceptives
ORSYTHIA TAB $0 Contraceptives
ORTHO EVRA PREFERRED BRAND (02) Contraceptives

Medication Guide 111

 ORTHO EVRA DIS WEEK PREFERRED BRAND (02) Contraceptives
ORTHO MICRON TAB 0.35MG PREFERRED BRAND (02) Contraceptives
ORTHO TRI- TAB CYCLEN PREFERRED BRAND (02) Contraceptives
ORTHO TRI- TAB CYCLN LO PREFERRED BRAND (02) Contraceptives
ORTHO TRI- TAB CYCLEN PREFERRED BRAND (02) Contraceptives
ORTHO-CEPT TAB 28 PREFERRED BRAND (02) Contraceptives
ORTHO-CYCLEN TAB 0.25/35 PREFERRED BRAND (02) Contraceptives
ORTHO-NOVUM TAB 1/35 PREFERRED BRAND (02) Contraceptives
ORTHO-NOVUM TAB 7/7/7 PREFERRED BRAND (02) Contraceptives
OVCON-35 TAB PREFERRED BRAND (02) Contraceptives
PARAGARD IUD T380A $0 Contraceptives
PHILITH TAB 0.4-35 $0 Contraceptives
PIMTREA TAB $0 Contraceptives
PIRMELLA TAB 1/35 $0 Contraceptives
PIRMELLA TAB 7/7/7 $0 Contraceptives
PLAN B TAB 1.5MG PREFERRED BRAND (02) Contraceptives
PORTIA-28 TAB $0 Contraceptives
PREVIFEM TAB $0 Contraceptives
QUARTETTE TAB PREFERRED BRAND (02) Contraceptives
QUASENSE TAB $0 Contraceptives
RAJANI TAB $0 Contraceptives
REACT TAB 1.5MG $0 Contraceptives
RECLIPSEN TAB $0 Contraceptives
RIVELSA TAB $0 Contraceptives
SAFYRAL TAB PREFERRED BRAND (02) Contraceptives
SEASONIQUE TAB PREFERRED BRAND (02) Contraceptives
SETLAKIN TAB $0 Contraceptives
SHAROBEL TAB 0.35MG $0 Contraceptives
SKYLA IUD 13.5MG PREFERRED BRAND (02) Contraceptives
SOLIA TAB $0 Contraceptives
SPRINTEC 28 TAB 28 DAY $0 Contraceptives
SRONYX TAB $0 Contraceptives
SYEDA TAB 3-0.03MG $0 Contraceptives

Medication Guide 112

 TAKE ACTION TAB 1.5MG $0 Contraceptives
TARINA FE TAB 1/20 $0 Contraceptives
TAYTULLA CAP PREFERRED BRAND (02) Contraceptives
TILIA FE TAB $0 Contraceptives
TRI FEMYNOR TAB $0 Contraceptives
TRI-ESTARYLL TAB $0 Contraceptives
TRI-LEGEST TAB FE $0 Contraceptives
TRI-LINYAH TAB $0 Contraceptives
TRI-LO TAB ESTARYLL $0 Contraceptives
TRI-LO- TAB MARZIA $0 Contraceptives
TRI-LO- TAB SPRINTEC $0 Contraceptives
TRINESSA TAB $0 Contraceptives
TRINESSA LO TAB $0 Contraceptives
TRI-NORINYL TAB 28 PREFERRED BRAND (02) Contraceptives
TRI-PREVIFEM TAB $0 Contraceptives
TRI-SPRINTEC TAB $0 Contraceptives
TRIVORA-28 TAB $0 Contraceptives
VELIVET PAK $0 Contraceptives
VESTURA TAB 3-0.02MG $0 Contraceptives
VIENVA TAB 0.1-20 $0 Contraceptives
VIORELE TAB $0 Contraceptives
VYFEMLA TAB 0.4-35 $0 Contraceptives
WERA TAB 0.5/35 $0 Contraceptives
WYMZYA FE CHW 0.4MG-35 $0 Contraceptives
XULANE DIS 150-35 PREFERRED BRAND (02) Contraceptives
YASMIN 28 TAB 3-0.03MG PREFERRED BRAND (02) Contraceptives
YAZ TAB 3-0.02MG PREFERRED BRAND (02) Contraceptives
ZARAH TAB 3-0.03MG $0 Contraceptives
ZENCHENT TAB $0 Contraceptives
ZENCHENT FE CHW 0.4MG-35 $0 Contraceptives
ZOVIA 1/35E TAB $0 Contraceptives
ZOVIA 1/50E TAB $0 Contraceptives
BUDESONIDE CAP 3MG DR GENERIC (01) Corticosteroids

Medication Guide 113

 CORTISONE AC POW PREFERRED BRAND (02) Corticosteroids
CORTISONE AC POW MICRO PREFERRED BRAND (02) Corticosteroids
CORTISONE AC POW MICRONIZ PREFERRED BRAND (02) Corticosteroids
CORTISONE AC TAB 25MG PREFERRED BRAND (02) Corticosteroids
DELTASONE TAB 20MG GENERIC (01) Corticosteroids
DEXAMETHASON CON 1MG/ML PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON ELX 0.5/5ML GENERIC (01) Corticosteroids
DEXAMETHASON POW PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON POW MICRONIZ PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON SOL 0.5/5ML PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON TAB 0.5MG GENERIC (01) Corticosteroids
DEXAMETHASON TAB 0.75MG GENERIC (01) Corticosteroids
DEXAMETHASON TAB 1.5MG GENERIC (01) Corticosteroids
DEXAMETHASON TAB 1MG PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON TAB 2MG PREFERRED BRAND (02) Corticosteroids
DEXAMETHASON TAB 4MG GENERIC (01) Corticosteroids
DEXAMETHASON TAB 6MG GENERIC (01) Corticosteroids
DEXPAK PAK 10 DAY PREFERRED BRAND (02) Corticosteroids
DEXPAK PAK 13 DAY PREFERRED BRAND (02) Corticosteroids
DEXPAK PAK 6 DAY PREFERRED BRAND (02) Corticosteroids
ENTOCORT EC CAP 3MG DR PREFERRED BRAND (02) Corticosteroids
FLUDROCORT POW ACETATE PREFERRED BRAND (02) Corticosteroids
FLUDROCORT TAB 0.1MG GENERIC (01) Corticosteroids
LOCORT PAK 11-DAY PREFERRED BRAND (02) Corticosteroids
LOCORT PAK 7-DAY PREFERRED BRAND (02) Corticosteroids
MEDROL TAB 16MG PREFERRED BRAND (02) Corticosteroids
MEDROL TAB 2MG PREFERRED BRAND (02) Corticosteroids
MEDROL TAB 32MG PREFERRED BRAND (02) Corticosteroids
MEDROL TAB 4MG PREFERRED BRAND (02) Corticosteroids
MEDROL TAB 8MG PREFERRED BRAND (02) Corticosteroids
METHYLPRED POW PREFERRED BRAND (02) Corticosteroids
METHYLPRED TAB 16MG GENERIC (01) Corticosteroids
METHYLPRED TAB 32MG GENERIC (01) Corticosteroids

Medication Guide 114

 METHYLPRED TAB 4MG GENERIC (01) Corticosteroids
METHYLPRED TAB 8MG GENERIC (01) Corticosteroids
PREDNISONE CON 5MG/ML PREFERRED BRAND (02) Corticosteroids
PREDNISONE PAK 10MG PREFERRED BRAND (02) Corticosteroids
PREDNISONE PAK 5MG PREFERRED BRAND (02) Corticosteroids
PREDNISONE POW PREFERRED BRAND (02) Corticosteroids
PREDNISONE SOL 5MG/5ML PREFERRED BRAND (02) Corticosteroids
PREDNISONE TAB 10MG GENERIC (01) Corticosteroids
PREDNISONE TAB 1MG GENERIC (01) Corticosteroids
PREDNISONE TAB 2.5MG GENERIC (01) Corticosteroids
PREDNISONE TAB 20MG GENERIC (01) Corticosteroids
PREDNISONE TAB 50MG PREFERRED BRAND (02) Corticosteroids
PREDNISONE TAB 5MG GENERIC (01) Corticosteroids
RAYOS TAB 1MG PREFERRED BRAND (02) Corticosteroids
RAYOS TAB 2MG PREFERRED BRAND (02) Corticosteroids
RAYOS TAB 5MG PREFERRED BRAND (02) Corticosteroids
UCERIS TAB 9MG PREFERRED BRAND (02) Corticosteroids
ZONACORT PAK 11 DAY PREFERRED BRAND (02) Corticosteroids
ZONACORT PAK 7 DAY PREFERRED BRAND (02) Corticosteroids
ALAVERT ALRG TAB /SINUS GENERIC (01) Cough/Cold/Allergy
ALL DAY ALRG TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLEGRA-D TAB 12 HOUR PREFERRED BRAND (02) Cough/Cold/Allergy
ALLEGRA-D TAB 24 HOUR PREFERRED BRAND (02) Cough/Cold/Allergy
ALLER/CONGES TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
ALLERCLEAR TAB D-24HR GENERIC (01) Cough/Cold/Allergy
ALLERCLEAR D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLERCLR-D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
ALLERGY D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLERGY D TAB 60-120MG GENERIC (01) Cough/Cold/Allergy
ALLERGY REL/ TAB DECONGES GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB /CONGEST GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB /NSL DEC GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB 5-120MG GENERIC (01) Cough/Cold/Allergy

Medication Guide 115

 ALLERGY RELF TAB D GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB D 24 HR GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB D12 GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB D-24 GENERIC (01) Cough/Cold/Allergy
ALLERGY RELF TAB DECONGES GENERIC (01) Cough/Cold/Allergy
ALLERGY/CONG TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLERGY/CONG TAB RELIEF GENERIC (01) Cough/Cold/Allergy
ALLERGY+ CON TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLERGY+CONG TAB RELIEF-D GENERIC (01) Cough/Cold/Allergy
ALLERGY-D TAB 12 HOUR GENERIC (01) Cough/Cold/Allergy
ALLERGY-D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLERGY-D TAB 60-120MG GENERIC (01) Cough/Cold/Allergy
ALLER-TEC D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLGY COMP-D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLRGY REL D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
ALLRGY REL-D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
ALLRGY RELF TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ALLRGY RLF-D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
ALLRGY RLF-D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
CETIRIZ/PSE TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
CLARITIN-D TAB 10-240MG PREFERRED BRAND (02) Cough/Cold/Allergy
CLARITIN-D TAB 5-120MG PREFERRED BRAND (02) Cough/Cold/Allergy
CLEAR-ATADIN TAB D 24HR GENERIC (01) Cough/Cold/Allergy
EQL ALLERGY TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
FEXOFEN/PSE TAB 180-240 GENERIC (01) Cough/Cold/Allergy
FEXOFEN/PSE TAB 60-120MG GENERIC (01) Cough/Cold/Allergy
LORATADI/PSE TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
LORATA-DINE TAB D 24HR GENERIC (01) Cough/Cold/Allergy
LORATADINE D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
LORATADINE-D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
LORATADINE-D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
RA CETIRI-D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
RA LORATA-D TAB 24 HOUR GENERIC (01) Cough/Cold/Allergy

Medication Guide 116

 TGT ALLERGY/ TAB CONGEST GENERIC (01) Cough/Cold/Allergy
WAL-FEX D TAB 12 HOUR GENERIC (01) Cough/Cold/Allergy
WAL-FEX D TAB 24 HOUR GENERIC (01) Cough/Cold/Allergy
WAL-ITIN D TAB 10-240MG GENERIC (01) Cough/Cold/Allergy
WAL-ITIN D TAB 24 HOUR GENERIC (01) Cough/Cold/Allergy
WAL-ITIN D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
WAL-ZYR D TAB 5-120MG GENERIC (01) Cough/Cold/Allergy
ZYRTEC-D TAB 5-120MG PREFERRED BRAND (02) Cough/Cold/Allergy
A-200 AER 0.5% GENERIC (01) Dermatologicals
ABSORICA CAP 10MG EXCLUDED Dermatologicals
ABSORICA CAP 20MG EXCLUDED Dermatologicals
ABSORICA CAP 25MG EXCLUDED Dermatologicals
ABSORICA CAP 30MG EXCLUDED Dermatologicals
ABSORICA CAP 35MG EXCLUDED Dermatologicals
ABSORICA CAP 40MG EXCLUDED Dermatologicals
ACANYA GEL 1.2-2.5% Y NON-PREFERRED BRAND (03) Dermatologicals
ACITRETIN CAP 10MG GENERIC (01) Dermatologicals
ACITRETIN CAP 17.5MG GENERIC (01) Dermatologicals
ACITRETIN CAP 25MG GENERIC (01) Dermatologicals
ACLOVATE CRE 0.05% PREFERRED BRAND (02) Dermatologicals
ADAPALENE CRE 0.1% GENERIC (01) Dermatologicals
ADAPALENE GEL 0.1% GENERIC (01) Dermatologicals
ADAPALENE GEL 0.3% GENERIC (01) Dermatologicals
ADAPALENE GEL PMP 0.3% GENERIC (01) Dermatologicals
ADAPALENE LOT 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
ADV ALLERGY KIT COLLECTI PREFERRED BRAND (02) Dermatologicals
AFTERSUN GEL 0.5% PREFERRED BRAND (02) Dermatologicals
AGONEAZE KIT 2.5-2.5% GENERIC (01) Dermatologicals
AKTIPAK GEL 5-3% Y NON-PREFERRED BRAND (03) Dermatologicals
AL12 LOT 12% GENERIC (01) Dermatologicals
ALA SCALP LOT 2% PREFERRED BRAND (02) Dermatologicals
ALA-CORT CRE 1% GENERIC (01) Dermatologicals
ALA-CORT CRE 2.5% GENERIC (01) Dermatologicals

Medication Guide 117

 ALCLOMETASON CRE 0.05% GENERIC (01) Dermatologicals
ALCLOMETASON OIN 0.05% GENERIC (01) Dermatologicals
ALCOHOL MIS WIPES PREFERRED BRAND (02) Dermatologicals
ALCOHOL WIPE MIS 70% PREFERRED BRAND (02) Dermatologicals
ALDARA CRE 5% PREFERRED BRAND (02) Dermatologicals
ALEVAZOL OIN 1% PREFERRED BRAND (02) Dermatologicals
ALOCANE EMER GEL 4% PREFERRED BRAND (02) Dermatologicals
ALOE/LIDOCAI GEL 0.5% EXCLUDED Dermatologicals
AMCINONIDE CRE 0.1% PREFERRED BRAND (02) Dermatologicals
AMCINONIDE LOT 0.1% PREFERRED BRAND (02) Dermatologicals
AMCINONIDE OIN 0.1% PREFERRED BRAND (02) Dermatologicals
AMLACTIN LOT 12% GENERIC (01) Dermatologicals
AMMONIUM LAC CRE 12% GENERIC (01) Dermatologicals
AMMONIUM LAC LOT 12% GENERIC (01) Dermatologicals
AMNESTEEM CAP 10MG EXCLUDED Dermatologicals
AMNESTEEM CAP 20MG EXCLUDED Dermatologicals
AMNESTEEM CAP 40MG EXCLUDED Dermatologicals
ANASTIA LOT 2.75% PREFERRED BRAND (02) Dermatologicals
ANECREAM CRE 4% GENERIC (01) Dermatologicals
ANODYNE LPT KIT 2.5-2.5% GENERIC (01) Dermatologicals
ANTI-DANDRUF SHA 1% GENERIC (01) Dermatologicals
ANTIFUNGAL CRE 1% GENERIC (01) Dermatologicals
ANTI-ITCH CRE /ALOE/E GENERIC (01) Dermatologicals
ANTI-ITCH CRE /OATMEAL GENERIC (01) Dermatologicals
ANTI-ITCH CRE 1% GENERIC (01) Dermatologicals
ANTI-ITCH CRE 1%PLS 10 GENERIC (01) Dermatologicals
ANTI-ITCH LOT 1% GENERIC (01) Dermatologicals
ANTI-ITCH OIN 1% GENERIC (01) Dermatologicals
ANTI-ITCH OIN MAX ST GENERIC (01) Dermatologicals
AQUANIL HC LOT 1% GENERIC (01) Dermatologicals
ASPERCREME CRE LIDOC 4% EXCLUDED Dermatologicals
ASPERCREME CRE LIDOCAIN EXCLUDED Dermatologicals
ASPERCREME PAD LID 4% GENERIC (01) Dermatologicals

Medication Guide 118

 ASPERCREME PAD LIDO 4% EXCLUDED Dermatologicals
ASTERO GEL 4% PREFERRED BRAND (02) Dermatologicals
ATHLETE FOOT CRE 1% GENERIC (01) Dermatologicals
ATRALIN GEL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
AVAR AER 9.5-5% PREFERRED BRAND (02) Dermatologicals
AVAR PAD 9.5-5% PREFERRED BRAND (02) Dermatologicals
AVAR CLEANSE EMU 10-5% GENERIC (01) Dermatologicals
AVAR LS AER 10-2% PREFERRED BRAND (02) Dermatologicals
AVAR LS LIQ 10-2% PREFERRED BRAND (02) Dermatologicals
AVAR LS PAD 10-2% PREFERRED BRAND (02) Dermatologicals
AVAR-E EMOLL CRE 10-5% GENERIC (01) Dermatologicals
AVAR-E GREEN CRE 10-5% GENERIC (01) Dermatologicals
AVAR-E LS CRE 10-2% PREFERRED BRAND (02) Dermatologicals
AVEENO CRE 1% GENERIC (01) Dermatologicals
AVITA CRE 0.025% GENERIC (01) Dermatologicals
AVITA GEL 0.025% GENERIC (01) Dermatologicals
AZELEX CRE 20% Y NON-PREFERRED BRAND (03) Dermatologicals
BACIGUENT OIN 500/GM PREFERRED BRAND (02) Dermatologicals
BACITRACIN OIN 500/GM GENERIC (01) Dermatologicals
BACITRACIN POW PREFERRED BRAND (02) Dermatologicals
BACITRACIN POW USP PREFERRED BRAND (02) Dermatologicals
BACITRAYCIN OIN 500/GM GENERIC (01) Dermatologicals
BACTERICIN OIN 500/GM GENERIC (01) Dermatologicals
BACTROBAN CRE 2% PREFERRED BRAND (02) Dermatologicals
BACTROBAN OIN 2% PREFERRED BRAND (02) Dermatologicals
BEDDING SPRA AER 0.5% GENERIC (01) Dermatologicals
BENZACLIN GEL 1-5% Y NON-PREFERRED BRAND (03) Dermatologicals
BENZACLIN GEL 1-5%PUMP Y NON-PREFERRED BRAND (03) Dermatologicals
BENZAMYCIN GEL 5-3% Y NON-PREFERRED BRAND (03) Dermatologicals
BETA HC LOT 1% GENERIC (01) Dermatologicals
BETAMETH DIP CRE 0.05% GENERIC (01) Dermatologicals
BETAMETH DIP LOT 0.05% GENERIC (01) Dermatologicals
BETAMETH DIP OIN 0.05% GENERIC (01) Dermatologicals

Medication Guide 119

 BETAMETH DIP POW PREFERRED BRAND (02) Dermatologicals
BETAMETH DIP POW MICRONIZ PREFERRED BRAND (02) Dermatologicals
BETAMETH DIP POW USP NF PREFERRED BRAND (02) Dermatologicals
BETAMETH VAL AER 0.12% GENERIC (01) Dermatologicals
BETAMETH VAL CRE 0.1% GENERIC (01) Dermatologicals
BETAMETH VAL LOT 0.1% GENERIC (01) Dermatologicals
BETAMETH VAL OIN 0.1% GENERIC (01) Dermatologicals
BETAMETH VAL POW MICRONIZ PREFERRED BRAND (02) Dermatologicals
BETAMETHASON POW VALERATE PREFERRED BRAND (02) Dermatologicals
BP 10-1 EMU GENERIC (01) Dermatologicals
BURN RELIEF AER 0.5% GENERIC (01) Dermatologicals
BURN RELIEF SPR 0.5% GENERIC (01) Dermatologicals
CALCIPOTRIEN CRE 0.005% GENERIC (01) Dermatologicals
CALCIPOTRIEN OIN 0.005% GENERIC (01) Dermatologicals
CALCIPOTRIEN SOL 0.005% GENERIC (01) Dermatologicals
CALCITRENE OIN 0.005% GENERIC (01) Dermatologicals
CAPEX SHA 0.01% Y NON-PREFERRED BRAND (03) Dermatologicals
CARAC CRE 0.5% PREFERRED BRAND (02) Dermatologicals
CENTANY OIN 2% PREFERRED BRAND (02) Dermatologicals
CENTANY AT KIT 2% PREFERRED BRAND (02) Dermatologicals
CERISA WASH EMU 10-1% GENERIC (01) Dermatologicals
CICLODAN SOL 8% GENERIC (01) Dermatologicals
CICLODAN SOL KIT 8% PREFERRED BRAND (02) Dermatologicals
CICLOPIROX GEL 0.77% GENERIC (01) Dermatologicals
CICLOPIROX KIT 8% GENERIC (01) Dermatologicals
CICLOPIROX SHA 1% GENERIC (01) Dermatologicals
CICLOPIROX SOL 8% GENERIC (01) Dermatologicals
CIDALEAZE CRE 3% GENERIC (01) Dermatologicals
CLARAVIS CAP 10MG EXCLUDED Dermatologicals
CLARAVIS CAP 20MG EXCLUDED Dermatologicals
CLARAVIS CAP 30MG EXCLUDED Dermatologicals
CLARAVIS CAP 40MG EXCLUDED Dermatologicals
CLARIFOAM EF AER 10-5% PREFERRED BRAND (02) Dermatologicals

Medication Guide 120

 CLEOCIN-T GEL 1% Y NON-PREFERRED BRAND (03) Dermatologicals
CLEOCIN-T LOT 1% PREFERRED BRAND (02) Dermatologicals
CLEOCIN-T PAD 1% PREFERRED BRAND (02) Dermatologicals
CLEOCIN-T SOL 1% PREFERRED BRAND (02) Dermatologicals
CLINDACIN MIS ETZ 1% GENERIC (01) Dermatologicals
CLINDACIN-P PAD 1% GENERIC (01) Dermatologicals
CLINDAGEL GEL 1% Y NON-PREFERRED BRAND (03) Dermatologicals
CLINDAMY/BEN GEL 1-5% GENERIC (01) Dermatologicals
CLINDAMYCIN AER 1% GENERIC (01) Dermatologicals
CLINDAMYCIN GEL 1% GENERIC (01) Dermatologicals
CLINDAMYCIN LOT 1% GENERIC (01) Dermatologicals
CLINDAMYCIN LOT 10MG/ML GENERIC (01) Dermatologicals
CLINDAMYCIN MIS 1% GENERIC (01) Dermatologicals
CLINDAMYCIN PAD 1% GENERIC (01) Dermatologicals
CLINDAMYCIN SOL 1% GENERIC (01) Dermatologicals
CLOBETASOL AER 0.05% GENERIC (01) Dermatologicals
CLOBETASOL CRE 0.05% GENERIC (01) Dermatologicals
CLOBETASOL GEL 0.05% GENERIC (01) Dermatologicals
CLOBETASOL LOT 0.05% GENERIC (01) Dermatologicals
CLOBETASOL OIN 0.05% GENERIC (01) Dermatologicals
CLOBETASOL POW PROPIONA Y NON-PREFERRED BRAND (03) Dermatologicals
CLOBETASOL SHA 0.05% GENERIC (01) Dermatologicals
CLOBETASOL SOL 0.05% GENERIC (01) Dermatologicals
CLOBETASOL SPR 0.05% GENERIC (01) Dermatologicals
CLOBEX LOT 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
CLOBEX SHA 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
CLOBEX SPR 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
CLODAN SHA 0.05% GENERIC (01) Dermatologicals
CLOTRIM/BETA CRE 1-0.05% GENERIC (01) Dermatologicals
CLOTRIM/BETA CRE DIPROP GENERIC (01) Dermatologicals
CLOTRIM/BETA LOT DIPROP GENERIC (01) Dermatologicals
CLOTRIMAZOLE CRE 1% GENERIC (01) Dermatologicals
CLOTRIMAZOLE CRE GRX 1% GENERIC (01) Dermatologicals

Medication Guide 121

 CLOTRIMAZOLE CRY PREFERRED BRAND (02) Dermatologicals
CLOTRIMAZOLE POW PREFERRED BRAND (02) Dermatologicals
CLOTRIMAZOLE SOL 1% GENERIC (01) Dermatologicals
CNL8 NAIL KIT PREFERRED BRAND (02) Dermatologicals
COLLAGENASE POW PREFERRED BRAND (02) Dermatologicals
CONDYLOX GEL 0.5% PREFERRED BRAND (02) Dermatologicals
CONDYLOX SOL 0.5% PREFERRED BRAND (02) Dermatologicals
CORMAX SCALP SOL 0.05% GENERIC (01) Dermatologicals
CORT INTENSE CRE HEAL 1% GENERIC (01) Dermatologicals
CORTAID CRE 1% GENERIC (01) Dermatologicals
CORTICOOL GEL 1% GENERIC (01) Dermatologicals
CORTISONE CRE 1% GENERIC (01) Dermatologicals
CORTISONE GEL COOLING GENERIC (01) Dermatologicals
CORTISONE LOT 1% GENERIC (01) Dermatologicals
CORTISONE OIN 1%MAX ST GENERIC (01) Dermatologicals
CORTIZONE-10 GEL 1% GENERIC (01) Dermatologicals
CORTIZONE-10 LOT DIAB/1% GENERIC (01) Dermatologicals
CORTIZONE-10 LOT ECZEMA GENERIC (01) Dermatologicals
CORTIZONE-10 LOT HYDRATEN GENERIC (01) Dermatologicals
CORTIZONE-10 OIN 1% GENERIC (01) Dermatologicals
CVS ITCH REL CRE 1% GENERIC (01) Dermatologicals
CVS PERMETHR LOT 1% GENERIC (01) Dermatologicals
DANDREX SHA 1% GENERIC (01) Dermatologicals
DANDRUFF SHA 1% GENERIC (01) Dermatologicals
DENAVIR CRE 1% PREFERRED BRAND (02) Dermatologicals
DERMACINRX KIT PRIZOPAK GENERIC (01) Dermatologicals
DERMAREST LOT 1% GENERIC (01) Dermatologicals
DERMA-SMOOTH OIL /FS BODY PREFERRED BRAND (02) Dermatologicals
DERMA-SMOOTH OIL /FS SCLP PREFERRED BRAND (02) Dermatologicals
DERMATOP CRE 0.1% PREFERRED BRAND (02) Dermatologicals
DERMATOP OIN 0.1% PREFERRED BRAND (02) Dermatologicals
DESENEX CRE 1% GENERIC (01) Dermatologicals
DESONATE GEL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals

Medication Guide 122

 DESONDIE POW Y NON-PREFERRED BRAND (03) Dermatologicals
DESONIDE CRE 0.05% GENERIC (01) Dermatologicals
DESONIDE LOT 0.05% GENERIC (01) Dermatologicals
DESONIDE OIN 0.05% GENERIC (01) Dermatologicals
DESONIDE POW MICRONIZ Y NON-PREFERRED BRAND (03) Dermatologicals
DESOWEN CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
DESOWEN LOT 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
DESOXIMETAS CRE 0.05% GENERIC (01) Dermatologicals
DESOXIMETAS CRE 0.25% GENERIC (01) Dermatologicals
DESOXIMETAS GEL 0.05% GENERIC (01) Dermatologicals
DESOXIMETAS OIN 0.05% GENERIC (01) Dermatologicals
DESOXIMETAS OIN 0.25% GENERIC (01) Dermatologicals
DICLOFENAC GEL 3% GENERIC (01) Dermatologicals
DIFFERIN CRE 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
DIFFERIN GEL 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
DIFFERIN GEL 0.3% Y NON-PREFERRED BRAND (03) Dermatologicals
DIFFERIN LOT 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
DIFLORASONE CRE 0.05% PREFERRED BRAND (02) Dermatologicals
DIFLORASONE OIN 0.05% PREFERRED BRAND (02) Dermatologicals
DOLOTRANZ KIT PREFERRED BRAND (02) Dermatologicals
DOVONEX CRE 0.005% PREFERRED BRAND (02) Dermatologicals
DOXEPIN HCL CRE 5% PREFERRED BRAND (02) Dermatologicals
DUAC GEL 1.2-5% Y NON-PREFERRED BRAND (03) Dermatologicals
ECONAZOLE CRE 1% GENERIC (01) Dermatologicals
ECONAZOLE POW NITRATE PREFERRED BRAND (02) Dermatologicals
ECOZA AER 1% PREFERRED BRAND (02) Dermatologicals
EFUDEX CRE 5% PREFERRED BRAND (02) Dermatologicals
EHA LOT 4% PREFERRED BRAND (02) Dermatologicals
ELIDEL CRE 1% PREFERRED BRAND (02) Dermatologicals
ELIMITE CRE 5% PREFERRED BRAND (02) Dermatologicals
ELOCON CRE 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
ELOCON LOT 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
ELOCON OIN 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals

Medication Guide 123

 EMLA CRE 2.5-2.5% PREFERRED BRAND (02) Dermatologicals
EMPRICAINE KIT 2.5-2.5% GENERIC (01) Dermatologicals
EPIDUO GEL 0.1-2.5% Y NON-PREFERRED BRAND (03) Dermatologicals
EPIDUO FORTE GEL 0.3-2.5% Y NON-PREFERRED BRAND (03) Dermatologicals
EQ HYDROCORT CRE 1% GENERIC (01) Dermatologicals
ERY PAD 2% GENERIC (01) Dermatologicals
ERY/BENZOYL GEL 5-3% GENERIC (01) Dermatologicals
ERYGEL GEL 2% Y NON-PREFERRED BRAND (03) Dermatologicals
ERYTHROMYCIN GEL 2% GENERIC (01) Dermatologicals
ERYTHROMYCIN PAD 2% GENERIC (01) Dermatologicals
ERYTHROMYCIN SOL 2% GENERIC (01) Dermatologicals
ESSENTRA MIS 9X9" PREFERRED BRAND (02) Dermatologicals
EURAX CRE 10% PREFERRED BRAND (02) Dermatologicals
EURAX LOT 10% PREFERRED BRAND (02) Dermatologicals
EVOCLIN AER 1% Y NON-PREFERRED BRAND (03) Dermatologicals
EXELDERM CRE 1% PREFERRED BRAND (02) Dermatologicals
EXELDERM SOL 1% PREFERRED BRAND (02) Dermatologicals
EXTINA AER 2% PREFERRED BRAND (02) Dermatologicals
FINACEA AER 15% Y NON-PREFERRED BRAND (03) Dermatologicals
FINACEA GEL 15% Y NON-PREFERRED BRAND (03) Dermatologicals
FLUOCIN ACET CRE 0.01% GENERIC (01) Dermatologicals
FLUOCIN ACET CRE 0.025% GENERIC (01) Dermatologicals
FLUOCIN ACET OIL 0.01% SC GENERIC (01) Dermatologicals
FLUOCIN ACET OIL 0.01%BDY GENERIC (01) Dermatologicals
FLUOCIN ACET OIL BODY GENERIC (01) Dermatologicals
FLUOCIN ACET OIL SCALP GENERIC (01) Dermatologicals
FLUOCIN ACET OIN 0.025% GENERIC (01) Dermatologicals
FLUOCIN ACET SOL 0.01% GENERIC (01) Dermatologicals
FLUOCINOLONE POW ACETONID PREFERRED BRAND (02) Dermatologicals
FLUOROPLEX CRE 1% PREFERRED BRAND (02) Dermatologicals
FLUOROURACIL CRE 0.5% PREFERRED BRAND (02) Dermatologicals
FLUOROURACIL CRE 5% GENERIC (01) Dermatologicals
FLUOROURACIL DRO 2% GENERIC (01) Dermatologicals

Medication Guide 124

 FLUOROURACIL DRO 5% GENERIC (01) Dermatologicals
FLUOROURACIL SOL 2% PREFERRED BRAND (02) Dermatologicals
FLUOROURACIL SOL 5% PREFERRED BRAND (02) Dermatologicals
FRST-HYDRCRT GEL 10% PREFERRED BRAND (02) Dermatologicals
FUNGICURE SPR INTENS GENERIC (01) Dermatologicals
GENTAMICIN CRE 0.1% GENERIC (01) Dermatologicals
GENTAMICIN OIN 0.1% PREFERRED BRAND (02) Dermatologicals
GENTAMICIN POW SULF MIC PREFERRED BRAND (02) Dermatologicals
GENTAMICIN POW SULFATE PREFERRED BRAND (02) Dermatologicals
GERI-HYDROLA CRE 12% GENERIC (01) Dermatologicals
GERI-HYDROLA LOT 12% GENERIC (01) Dermatologicals
GERI-HYDROLA LOT 5% GENERIC (01) Dermatologicals
GLYDO GEL 2% GENERIC (01) Dermatologicals
GNP BURN SPR RELIEF GENERIC (01) Dermatologicals
GNP HYDROCOR CRE 1% PLUS GENERIC (01) Dermatologicals
HALOBETASOL CRE 0.05% GENERIC (01) Dermatologicals
HALOBETASOL OIN 0.05% GENERIC (01) Dermatologicals
HC BUTYRATE CRE 0.1% GENERIC (01) Dermatologicals
HC BUTYRATE OIN 0.1% GENERIC (01) Dermatologicals
HC BUTYRATE SOL 0.1% GENERIC (01) Dermatologicals
HYDROCORT CRE 0.5% GENERIC (01) Dermatologicals
HYDROCORT CRE 1% GENERIC (01) Dermatologicals
HYDROCORT CRE 1% PLUS GENERIC (01) Dermatologicals
HYDROCORT CRE 1%MAX ST GENERIC (01) Dermatologicals
HYDROCORT CRE 1%PLS 10 GENERIC (01) Dermatologicals
HYDROCORT CRE 2.5% GENERIC (01) Dermatologicals
HYDROCORT CRE PLUS 1% GENERIC (01) Dermatologicals
HYDROCORT LOT 1% GENERIC (01) Dermatologicals
HYDROCORT LOT 2.5% GENERIC (01) Dermatologicals
HYDROCORT OIN 0.5% GENERIC (01) Dermatologicals
HYDROCORT OIN 1% GENERIC (01) Dermatologicals
HYDROCORT OIN 2.5% GENERIC (01) Dermatologicals
HYDROCORT POW PREFERRED BRAND (02) Dermatologicals

Medication Guide 125

 HYDROCORT POW MICRONIZ PREFERRED BRAND (02) Dermatologicals
HYDROCORT POW SOY PREFERRED BRAND (02) Dermatologicals
HYDROCORT/AB OIN 1% GENERIC (01) Dermatologicals
HYDROCREAM CRE 1% GENERIC (01) Dermatologicals
HYDRO-LOTION LOT 1% GENERIC (01) Dermatologicals
HYDROSKIN CRE 1% GENERIC (01) Dermatologicals
HYDROSKIN LOT 1% GENERIC (01) Dermatologicals
HYDROSORTISO OIN ABSORBAS GENERIC (01) Dermatologicals
IMIQUIMOD CRE 5% GENERIC (01) Dermatologicals
INSTACORT 5 CRE 0.5% GENERIC (01) Dermatologicals
JOCK ITCH CRE 1% GENERIC (01) Dermatologicals
KERICORT 10 CRE 1% GENERIC (01) Dermatologicals
KETOCONAZOLE AER 2% GENERIC (01) Dermatologicals
KETOCONAZOLE CRE 2% GENERIC (01) Dermatologicals
KETOCONAZOLE SHA 2% GENERIC (01) Dermatologicals
KETODAN AER 2% GENERIC (01) Dermatologicals
KLARON LOT 10% PREFERRED BRAND (02) Dermatologicals
LAC-HYDRIN CRE 12% PREFERRED BRAND (02) Dermatologicals
LAC-HYDRIN LOT 12% PREFERRED BRAND (02) Dermatologicals
LAC-HYDRIN LOT FIVE GENERIC (01) Dermatologicals
LACTIC ACID LOT 10% GENERIC (01) Dermatologicals
LC-4 LIDOCNE CRE 4% EXCLUDED Dermatologicals
LDO PLUS GEL 4% PREFERRED BRAND (02) Dermatologicals
LEVA SET KIT GENERIC (01) Dermatologicals
LEVA SET KIT 2.5-2.5% GENERIC (01) Dermatologicals
LICE BEDDING AER GENERIC (01) Dermatologicals
LICE BEDDING AER 0.5% GENERIC (01) Dermatologicals
LICE TREATME LOT 1% GENERIC (01) Dermatologicals
LICE TREATMT LOT 1% GENERIC (01) Dermatologicals
LICE TRTMNT LIQ 1% GENERIC (01) Dermatologicals
LICIDE AER 0.5% GENERIC (01) Dermatologicals
LIDO BDK KIT EXCLUDED Dermatologicals
LIDO/PRILOCN CRE 2.5-2.5% EXCLUDED Dermatologicals

Medication Guide 126

 LIDO/PRILOCN KIT 2.5-2.5% EXCLUDED Dermatologicals
LIDOCAINE CRE 10% EXCLUDED Dermatologicals
LIDOCAINE CRE 3% EXCLUDED Dermatologicals
LIDOCAINE CRE 4% EXCLUDED Dermatologicals
LIDOCAINE CRE 5% EXCLUDED Dermatologicals
LIDOCAINE GEL 2% EXCLUDED Dermatologicals
LIDOCAINE GEL 2% JELLY EXCLUDED Dermatologicals
LIDOCAINE LOT 3% EXCLUDED Dermatologicals
LIDOCAINE OIN 5% EXCLUDED Dermatologicals
LIDOCAINE OIN PAK 5% EXCLUDED Dermatologicals
LIDOCAINE PAD 5% EXCLUDED Dermatologicals
LIDOCAINE POW EXCLUDED Dermatologicals
LIDOCAINE POW HCL EXCLUDED Dermatologicals
LIDOCAINE SOL 4% EXCLUDED Dermatologicals
LIDOCAINE-PR CRE EXCLUDED Dermatologicals
LIDOCARE PAD 4% Y EXCLUDED Dermatologicals
LIDOCIN GEL 3% EXCLUDED Dermatologicals
LIDOCREAM CRE 4% EXCLUDED Dermatologicals
LIDODERM DIS 5% Y EXCLUDED Dermatologicals
LIDO-K LOT 3% EXCLUDED Dermatologicals
LIDOPIN CRE 3% EXCLUDED Dermatologicals
LIDOPIN CRE 3.25% EXCLUDED Dermatologicals
LIDOPRIL KIT 2.5-2.5% EXCLUDED Dermatologicals
LIDOPRIL XR KIT 2.5-2.5% EXCLUDED Dermatologicals
LIDO-PRILO KIT 2.5-2.5% EXCLUDED Dermatologicals
LIDORX GEL 3% EXCLUDED Dermatologicals
LIDOTRAL CRE 3.88% EXCLUDED Dermatologicals
LIDOTREX GEL 2% EXCLUDED Dermatologicals
LIDOVEX CRE 3.75% EXCLUDED Dermatologicals
LIDOVIN CRE 3.95% EXCLUDED Dermatologicals
LIDOZOL CRE 3.75% EXCLUDED Dermatologicals
LIDTOPIC MAX CRE 10% PREFERRED BRAND (02) Dermatologicals
LINDANE LOT 1% GENERIC (01) Dermatologicals

Medication Guide 127

 LINDANE LOT 1% PREFERRED BRAND (02) Dermatologicals
LINDANE SHA 1% GENERIC (01) Dermatologicals
LINDANE SHA 1% PREFERRED BRAND (02) Dermatologicals
LIPROZONEPAK KIT 2.5-2.5% GENERIC (01) Dermatologicals
LIVIXIL PAK KIT 2.5-2.5% GENERIC (01) Dermatologicals
LMX 4 CRE 4% PREFERRED BRAND (02) Dermatologicals
LOCOID CRE 0.1% PREFERRED BRAND (02) Dermatologicals
LOCOID LOT 0.1% PREFERRED BRAND (02) Dermatologicals
LOCOID OIN 0.1% PREFERRED BRAND (02) Dermatologicals
LOCOID SOL 0.1% PREFERRED BRAND (02) Dermatologicals
LOKARA LOT 0.05% GENERIC (01) Dermatologicals
LOPROX SHA 1% PREFERRED BRAND (02) Dermatologicals
LOTRIMIN AF CRE 1% PREFERRED BRAND (02) Dermatologicals
LOTRISONE CRE PREFERRED BRAND (02) Dermatologicals
LP LITE PAK KIT 2.5-2.5% GENERIC (01) Dermatologicals
LUXIQ AER 0.12% PREFERRED BRAND (02) Dermatologicals
MALATHION LOT 0.5% GENERIC (01) Dermatologicals
MED-DERM HC CRE 0.5% GENERIC (01) Dermatologicals
MED-DERM HC CRE 1% GENERIC (01) Dermatologicals
MEDOLOR PAK KIT 2.5-2.5% GENERIC (01) Dermatologicals
METHOXSALEN CRY USP/NF PREFERRED BRAND (02) Dermatologicals
METHOXSALEN POW PREFERRED BRAND (02) Dermatologicals
METROCREAM CRE 0.75% PREFERRED BRAND (02) Dermatologicals
METROGEL GEL 1% PREFERRED BRAND (02) Dermatologicals
METROLOTION LOT 0.75% PREFERRED BRAND (02) Dermatologicals
METRONIDAZOL CRE 0.75% GENERIC (01) Dermatologicals
METRONIDAZOL GEL 0.75% GENERIC (01) Dermatologicals
METRONIDAZOL GEL 1% GENERIC (01) Dermatologicals
METRONIDAZOL LOT 0.75% GENERIC (01) Dermatologicals
MG217 GEL 1% GENERIC (01) Dermatologicals
MOMETASONE CRE 0.1% GENERIC (01) Dermatologicals
MOMETASONE OIN 0.1% GENERIC (01) Dermatologicals
MOMETASONE SOL 0.1% GENERIC (01) Dermatologicals

Medication Guide 128

 MONIST SOOTH CRE CARE 1% PREFERRED BRAND (02) Dermatologicals
MUPIROCIN CRE 2% GENERIC (01) Dermatologicals
MUPIROCIN OIN 2% GENERIC (01) Dermatologicals
MUPIROCIN CA CRE 2% GENERIC (01) Dermatologicals
MYORISAN CAP 10MG EXCLUDED Dermatologicals
MYORISAN CAP 20MG EXCLUDED Dermatologicals
MYORISAN CAP 30MG EXCLUDED Dermatologicals
MYORISAN CAP 40MG EXCLUDED Dermatologicals
NATROBA SUS 0.9% PREFERRED BRAND (02) Dermatologicals
NEOSPORIN CRE ECZEMA GENERIC (01) Dermatologicals
NEUROMED7 CRE 4% PREFERRED BRAND (02) Dermatologicals
NIX CREM RIN LIQ 1% PREFERRED BRAND (02) Dermatologicals
NIZORAL SHA 2% PREFERRED BRAND (02) Dermatologicals
NIZORAL A-D SHA 1% PREFERRED BRAND (02) Dermatologicals
NOBLE FORMUL CRE HC 1% GENERIC (01) Dermatologicals
NOBLE FORMUL SPR 1% GENERIC (01) Dermatologicals
NOBLE MYSTIQ CRE EMU-LAC PREFERRED BRAND (02) Dermatologicals
NORITATE CRE 1% PREFERRED BRAND (02) Dermatologicals
NUMBONEX LOT 2.75% PREFERRED BRAND (02) Dermatologicals
NYSTAT/TRIAM CRE GENERIC (01) Dermatologicals
NYSTAT/TRIAM OIN GENERIC (01) Dermatologicals
OLUX AER 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
OLUX-E AER 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
ONEXTON GEL 1.2-3.75 Y NON-PREFERRED BRAND (03) Dermatologicals
OVACE PLUS AER 9.8% PREFERRED BRAND (02) Dermatologicals
OVACE PLUS CRE 10% PREFERRED BRAND (02) Dermatologicals
OVACE PLUS GEL 10% WASH PREFERRED BRAND (02) Dermatologicals
OVACE PLUS LIQ 10% WASH PREFERRED BRAND (02) Dermatologicals
OVACE PLUS LOT 9.8% PREFERRED BRAND (02) Dermatologicals
OVACE PLUS SHA 10% PREFERRED BRAND (02) Dermatologicals
OVACE WASH LIQ 10% PREFERRED BRAND (02) Dermatologicals
OVIDE LOT 0.5% PREFERRED BRAND (02) Dermatologicals
OXSORALEN LOT 1% PREFERRED BRAND (02) Dermatologicals

Medication Guide 129

 PAIN RELIEF CRE 4% PREFERRED BRAND (02) Dermatologicals
PAIN RELIEF LIQ ROLL-ON PREFERRED BRAND (02) Dermatologicals
PANRETIN GEL 0.1% PREFERRED BRAND (02) Dermatologicals
PENLAC SOL 8% PREFERRED BRAND (02) Dermatologicals
PERMETHRIN CRE 5% GENERIC (01) Dermatologicals
PERMETHRIN LOT 1% GENERIC (01) Dermatologicals
PLEXION CRE 9.8-4.8% PREFERRED BRAND (02) Dermatologicals
PLEXION LIQ 9.8-4.8% PREFERRED BRAND (02) Dermatologicals
PLEXION LOT 9.8-4.8% PREFERRED BRAND (02) Dermatologicals
PLEXION CLTH PAD 9.8-4.8% PREFERRED BRAND (02) Dermatologicals
PODOFILOX SOL 0.5% GENERIC (01) Dermatologicals
PREDATOR CRE 4% PREFERRED BRAND (02) Dermatologicals
PREDNICARBAT CRE 0.1% GENERIC (01) Dermatologicals
PREDNICARBAT OIN 0.1% GENERIC (01) Dermatologicals
PREP H HC CRE 1% GENERIC (01) Dermatologicals
PRILOLID KIT 2.5-2.5% GENERIC (01) Dermatologicals
PRILOXX LP KIT 2.5-2.5% GENERIC (01) Dermatologicals
PRO:12 AER MOUSSE PREFERRED BRAND (02) Dermatologicals
PRO-EX ANTIF CRE 1% GENERIC (01) Dermatologicals
PROTOPIC OIN 0.03% PREFERRED BRAND (02) Dermatologicals
PROTOPIC OIN 0.1% PREFERRED BRAND (02) Dermatologicals
PROZENA PAD 4% Y NON-PREFERRED BRAND (03) Dermatologicals
PRUDOXIN CRE 5% PREFERRED BRAND (02) Dermatologicals
PSORCON CRE 0.05% PREFERRED BRAND (02) Dermatologicals
QC HYDROCORT CRE 1% GENERIC (01) Dermatologicals
RA ALCOHOL MIS WIPES PREFERRED BRAND (02) Dermatologicals
RA ALOE VERA GEL LIDOCAIN EXCLUDED Dermatologicals
RA ANTI-ITCH CRE 1% GENERIC (01) Dermatologicals
RA ANTI-ITCH OIN 1% GENERIC (01) Dermatologicals
RA ANTI-ITCH SPR 1% GENERIC (01) Dermatologicals
RA DANDRUFF SHA 1% GENERIC (01) Dermatologicals
RA HYDROCORT CRE 1% GENERIC (01) Dermatologicals
RA HYDROCORT CRE 1%PLS 12 GENERIC (01) Dermatologicals

Medication Guide 130

 RA LICE LOT 1% GENERIC (01) Dermatologicals
RECORT PLUS CRE 1% GENERIC (01) Dermatologicals
REDERM LOT 1% GENERIC (01) Dermatologicals
REGENECARE GEL HA 2% GENERIC (01) Dermatologicals
REGENECARE SPR HA PREFERRED BRAND (02) Dermatologicals
REGRANEX GEL 0.01% PREFERRED BRAND (02) Dermatologicals
RELADOR PAK KIT 2.5-2.5% GENERIC (01) Dermatologicals
RELADOR PAK KIT PLUS GENERIC (01) Dermatologicals
RETIN-A CRE 0.025% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A CRE 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A GEL 0.01% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A GEL 0.025% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A MICR GEL 0.04% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A MICR GEL 0.04%PMP Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A MICR GEL 0.08% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A MICR GEL 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
RETIN-A MICR GEL 0.1%PUMP Y NON-PREFERRED BRAND (03) Dermatologicals
RETINOIC ACD POW Y NON-PREFERRED BRAND (03) Dermatologicals
RETINOIC ACD POW ALL TRAN Y NON-PREFERRED BRAND (03) Dermatologicals
RID AER PREFERRED BRAND (02) Dermatologicals
RINGWORM CRE 1% GENERIC (01) Dermatologicals
ROSADAN CRE 0.75% GENERIC (01) Dermatologicals
ROSADAN GEL 0.75% GENERIC (01) Dermatologicals
ROSANIL EMU CLEANSER GENERIC (01) Dermatologicals
ROSULA LIQ 10-4.5% PREFERRED BRAND (02) Dermatologicals
ROSULA PAD 10-5% PREFERRED BRAND (02) Dermatologicals
SANTYL OIN 250/GM PREFERRED BRAND (02) Dermatologicals
SARNOL-HC LOT 1% GENERIC (01) Dermatologicals
SB HYDROCORT CRE 1% GENERIC (01) Dermatologicals
SB HYDROCORT OIN 1% GENERIC (01) Dermatologicals
SCALACORT LOT 2% GENERIC (01) Dermatologicals
SCALP RELIEF SOL 1% GENERIC (01) Dermatologicals

Medication Guide 131

 SCALPICIN SOL 1% GENERIC (01) Dermatologicals
SEB-PREV LIQ WASH GENERIC (01) Dermatologicals
SELENIUM SUL LOT 2.5% GENERIC (01) Dermatologicals
SELENIUM SUL SHA 2.25% GENERIC (01) Dermatologicals
SELENIUM SUL SHA 2.25% PREFERRED BRAND (02) Dermatologicals
SELRX SHA 2.3% PREFERRED BRAND (02) Dermatologicals
SELSUN BLUE SHA 1% PREFERRED BRAND (02) Dermatologicals
SERNIVO SPR PREFERRED BRAND (02) Dermatologicals
SILVADENE CRE 1% PREFERRED BRAND (02) Dermatologicals
SILVER SULFA CRE 1% GENERIC (01) Dermatologicals
SKIN TRTMENT LOT 12% GENERIC (01) Dermatologicals
SM ANTIFUNGL CRE 1% GENERIC (01) Dermatologicals
SM ANTIFUNGL SOL 1% GENERIC (01) Dermatologicals
SM BEDDING AER LICE GENERIC (01) Dermatologicals
SM FIRST AID OIN 500/GM GENERIC (01) Dermatologicals
SM FIRST AID SOL ANTISEPT GENERIC (01) Dermatologicals
SM HYDROCORT CRE 1% GENERIC (01) Dermatologicals
SM HYDROCORT OIN 1% GENERIC (01) Dermatologicals
SM LICE LOT TREATMNT GENERIC (01) Dermatologicals
SOD SUL/SULF CRE 10-2% GENERIC (01) Dermatologicals
SOD SUL/SULF CRE 10-5% GENERIC (01) Dermatologicals
SOD SUL/SULF CRE 9.8-4.8% GENERIC (01) Dermatologicals
SOD SUL/SULF EMU 10-5% GENERIC (01) Dermatologicals
SOD SUL/SULF LIQ 10-2% GENERIC (01) Dermatologicals
SOD SUL/SULF LIQ 9.8-4.8% GENERIC (01) Dermatologicals
SOD SUL/SULF LIQ 9-4.5% GENERIC (01) Dermatologicals
SOD SUL/SULF LIQ WASH GENERIC (01) Dermatologicals
SOD SUL/SULF LOT 10-5% GENERIC (01) Dermatologicals
SOD SUL/SULF LOT 10-5% PREFERRED BRAND (02) Dermatologicals
SOD SUL/SULF LOT 9.8-4.8% GENERIC (01) Dermatologicals
SOD SUL/SULF PAD 10-4% GENERIC (01) Dermatologicals
SOD SUL/SULF PAD 10-5% GENERIC (01) Dermatologicals
SOD SUL/SULF SUS 10-5% PREFERRED BRAND (02) Dermatologicals

Medication Guide 132

 SOD SUL/SULF SUS 8-4% GENERIC (01) Dermatologicals
SOD SULFACET GEL 10% GENERIC (01) Dermatologicals
SOD SULFACET SHA 10% GENERIC (01) Dermatologicals
SODIUM SULFA LIQ 10% WASH GENERIC (01) Dermatologicals
SOLARAZE GEL 3% W/W Y NON-PREFERRED BRAND (03) Dermatologicals
SOLARCAINE SPR COOL ALO GENERIC (01) Dermatologicals
SORIATANE CAP 10MG EXCLUDED Dermatologicals
SORIATANE CAP 17.5MG EXCLUDED Dermatologicals
SORIATANE CAP 25MG EXCLUDED Dermatologicals
SORILUX AER 0.005% PREFERRED BRAND (02) Dermatologicals
SPINOSAD SUS 0.9% PREFERRED BRAND (02) Dermatologicals
SSD CRE 1% GENERIC (01) Dermatologicals
SSS CRE 10%-5% GENERIC (01) Dermatologicals
SSS 10-5 AER 10-5% PREFERRED BRAND (02) Dermatologicals
STELARA INJ 45MG/0.5 EXCLUDED Dermatologicals
STELARA INJ 90MG/ML EXCLUDED Dermatologicals
STOP LICE SPR 0.5% GENERIC (01) Dermatologicals
STOP LICE 3 SPR 0.5% GENERIC (01) Dermatologicals
SUL SOD/SULF LIQ 10-2% GENERIC (01) Dermatologicals
SUL SOD/SULF PAD 10-4% GENERIC (01) Dermatologicals
SULFACET SOD POW PREFERRED BRAND (02) Dermatologicals
SULFACETAMID LOT 10% GENERIC (01) Dermatologicals
SULFACETAMID SUS 10% GENERIC (01) Dermatologicals
SULFACLEANSE SUS 8-4% GENERIC (01) Dermatologicals
SUMADAN WASH LIQ 9-4.5% PREFERRED BRAND (02) Dermatologicals
SUMAXIN PAD 10-4% PREFERRED BRAND (02) Dermatologicals
SUMAXIN TS SUS 8-4% PREFERRED BRAND (02) Dermatologicals
SUMAXIN WASH LIQ 9-4% PREFERRED BRAND (02) Dermatologicals
SYNALAR CRE 0.025% PREFERRED BRAND (02) Dermatologicals
SYNALAR OIN 0.025% PREFERRED BRAND (02) Dermatologicals
SYNALAR SOL 0.01% PREFERRED BRAND (02) Dermatologicals
TACROLIMUS OIN 0.03% GENERIC (01) Dermatologicals
TACROLIMUS OIN 0.1% GENERIC (01) Dermatologicals

Medication Guide 133

 TALTZ INJ 80MG/ML EXCLUDED Dermatologicals
TAZAROTENE CRE 0.1% GENERIC (01) Dermatologicals
TAZORAC CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TAZORAC CRE 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
TAZORAC GEL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TAZORAC GEL 0.1% Y NON-PREFERRED BRAND (03) Dermatologicals
TEMOVATE CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TEMOVATE GEL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TEMOVATE OIN 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TEMOVATE SOL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TERSI FOAM AER 2.25% PREFERRED BRAND (02) Dermatologicals
TETRACYCLINE POW PREFERRED BRAND (02) Dermatologicals
TEXACORT SOL 2.5% PREFERRED BRAND (02) Dermatologicals
TH HYDROCORT CRE 1% GENERIC (01) Dermatologicals
THERMAZENE CRE 1% GENERIC (01) Dermatologicals
TOLAK CRE 4% PREFERRED BRAND (02) Dermatologicals
TOPICORT CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TOPICORT CRE 0.25% Y NON-PREFERRED BRAND (03) Dermatologicals
TOPICORT GEL 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TOPICORT OIN 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TOPICORT OIN 0.25% Y NON-PREFERRED BRAND (03) Dermatologicals
TOPICORT SPR 0.25% Y NON-PREFERRED BRAND (03) Dermatologicals
TRANZAREL GEL 4% PREFERRED BRAND (02) Dermatologicals
TRETINOIN CRE 0.025% GENERIC (01) Dermatologicals
TRETINOIN CRE 0.05% GENERIC (01) Dermatologicals
TRETINOIN CRE 0.1% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.01% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.025% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.04% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.04%PMP GENERIC (01) Dermatologicals
TRETINOIN GEL 0.05% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.1% GENERIC (01) Dermatologicals
TRETINOIN GEL 0.1%PUMP GENERIC (01) Dermatologicals

Medication Guide 134

 TRETINOIN POW Y NON-PREFERRED BRAND (03) Dermatologicals
TRETIN-X CRE 0.0375% Y NON-PREFERRED BRAND (03) Dermatologicals
TRETIN-X CRE 0.075% Y NON-PREFERRED BRAND (03) Dermatologicals
TRETIN-X CRE KIT 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
TRIDESILON CRE 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
ULESFIA LOT 5% PREFERRED BRAND (02) Dermatologicals
ULTRAVATE CRE 0.05% PREFERRED BRAND (02) Dermatologicals
ULTRAVATE LOT 0.05% PREFERRED BRAND (02) Dermatologicals
ULTRAVATE OIN 0.05% PREFERRED BRAND (02) Dermatologicals
UNDELENIC TIN PREFERRED BRAND (02) Dermatologicals
VERDESO AER 0.05% Y NON-PREFERRED BRAND (03) Dermatologicals
VEREGEN OIN 15% PREFERRED BRAND (02) Dermatologicals
XOLEGEL GEL 2% PREFERRED BRAND (02) Dermatologicals
XOLIDO CRE 2% EXCLUDED Dermatologicals
XOLIDO XP CRE 4% EXCLUDED Dermatologicals
XYLOCAINE SOL 4% PREFERRED BRAND (02) Dermatologicals
ZENATANE CAP 10MG EXCLUDED Dermatologicals
ZENATANE CAP 20MG EXCLUDED Dermatologicals
ZENATANE CAP 30MG EXCLUDED Dermatologicals
ZENATANE CAP 40MG EXCLUDED Dermatologicals
ZENCIA LIQ 9-4% GENERIC (01) Dermatologicals
ZONALON CRE 5% PREFERRED BRAND (02) Dermatologicals
ZYCLARA CRE 3.75% PREFERRED BRAND (02) Dermatologicals
ZYCLARA PUMP CRE 2.5% PREFERRED BRAND (02) Dermatologicals
ZYCLARA PUMP CRE 3.75% PREFERRED BRAND (02) Dermatologicals
ACCU-CHEK MIS GUIDE PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES ACTIVE PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES AVIVA PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES AVIVA PL PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES COMPACT PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES DRUM PREFERRED BRAND (02) Diagnostic Products
ACCU-CHEK TES SMART PREFERRED BRAND (02) Diagnostic Products
ACCUTREND TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products

Medication Guide 135

 ACURA TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
ADVANCE TES INTUITIO PREFERRED BRAND (02) Diagnostic Products
ADVANCE TES MICRO-DW PREFERRED BRAND (02) Diagnostic Products
ADVOCATE TES PREFERRED BRAND (02) Diagnostic Products
ADVOCATE TES REDI-COD PREFERRED BRAND (02) Diagnostic Products
ADVOCATE TES REDICODE PREFERRED BRAND (02) Diagnostic Products
AGAMATRIX TES AMP PREFERRED BRAND (02) Diagnostic Products
AGAMATRIX TES JAZZ PREFERRED BRAND (02) Diagnostic Products
AGAMATRIX TES KEYNOTE PREFERRED BRAND (02) Diagnostic Products
AGAMATRIX TES PRESTO PREFERRED BRAND (02) Diagnostic Products
ASSURE TES PLATINUM PREFERRED BRAND (02) Diagnostic Products
ASSURE 3 TES PREFERRED BRAND (02) Diagnostic Products
ASSURE 4 TES PREFERRED BRAND (02) Diagnostic Products
ASSURE II TES PREFERRED BRAND (02) Diagnostic Products
ASSURE II TES CHECK PREFERRED BRAND (02) Diagnostic Products
ASSURE PRISM TES MULTI PREFERRED BRAND (02) Diagnostic Products
ASSURE PRO TES PREFERRED BRAND (02) Diagnostic Products
AT LAST TES PREFERRED BRAND (02) Diagnostic Products
AUTOCODE TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
BAYER BREEZE MIS 2 TEST PREFERRED BRAND (02) Diagnostic Products
BG STAR TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
BIOSCANNER TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
BLOOD GLUCOS TES PREFERRED BRAND (02) Diagnostic Products
BLOOD GLUCOS TES PREMIUM PREFERRED BRAND (02) Diagnostic Products
BLOOD GLUCOS TES STRIPS PREFERRED BRAND (02) Diagnostic Products
CARESENS N TES PREFERRED BRAND (02) Diagnostic Products
CHEK-STIX TES CONTROL PREFERRED BRAND (02) Diagnostic Products
CHEMSTRIP TES UGK PREFERRED BRAND (02) Diagnostic Products
CHEMSTRIP K TES PREFERRED BRAND (02) Diagnostic Products
CLEVER CHEK TES PREFERRED BRAND (02) Diagnostic Products
CLEVER CHEK TES AUTO CD PREFERRED BRAND (02) Diagnostic Products
CLEVER CHEK TES VOICE PREFERRED BRAND (02) Diagnostic Products
CLEVER CHOIC TES MICRO PREFERRED BRAND (02) Diagnostic Products

Medication Guide 136

 CLEVR CHOICE TES AUTO-CD PREFERRED BRAND (02) Diagnostic Products
CONFIRM/MICR TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
CONTOUR TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
CONTOUR TES NEXT PREFERRED BRAND (02) Diagnostic Products
CONTROL TES PREFERRED BRAND (02) Diagnostic Products
CONTROL AST TES PREFERRED BRAND (02) Diagnostic Products
COOL BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
CVS ADVANCED TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
CVS KETONE TES CARE PREFERRED BRAND (02) Diagnostic Products
D-CARE BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
DIASTIX TES STRIPS PREFERRED BRAND (02) Diagnostic Products
DIATRUE PLUS TES STRIPS PREFERRED BRAND (02) Diagnostic Products
DUO-CARE TES PREFERRED BRAND (02) Diagnostic Products
EASY PLUS TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASY PLUS II TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASY STEP TES PREFERRED BRAND (02) Diagnostic Products
EASY TALK TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASY TOUCH TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
EASY TOUCH TES STRIPS PREFERRED BRAND (02) Diagnostic Products
EASY TRAK TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASYGLUCO TES PREFERRED BRAND (02) Diagnostic Products
EASYGLUCO TES PLUS PREFERRED BRAND (02) Diagnostic Products
EASYMAX TES PREFERRED BRAND (02) Diagnostic Products
EASYMAX 15 TES PREFERRED BRAND (02) Diagnostic Products
EASYPLUS TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASYPRO TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EASYPRO PLUS TES PREFERRED BRAND (02) Diagnostic Products
ELEMENT TES PREFERRED BRAND (02) Diagnostic Products
ELEMNT COMPA TES STRIPS PREFERRED BRAND (02) Diagnostic Products
EMBRACE TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EMBRACE EVO TES PREFERRED BRAND (02) Diagnostic Products
EMBRACE PRO TES PREFERRED BRAND (02) Diagnostic Products
EQL TRUETEST TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products

Medication Guide 137

 EVENCARE TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EVENCARE TES MINI PREFERRED BRAND (02) Diagnostic Products
EVENCARE + TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EVENCARE G2 TES PREFERRED BRAND (02) Diagnostic Products
EVENCARE G3 TES PREFERRED BRAND (02) Diagnostic Products
EVOLUTION TES AUTOCODE PREFERRED BRAND (02) Diagnostic Products
EXACTECH TES PREFERRED BRAND (02) Diagnostic Products
EXACTECH TES R-S-G PREFERRED BRAND (02) Diagnostic Products
EZ SMART TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
EZ SMART PLS TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FIFTY50 GLUC TES 2.0 PREFERRED BRAND (02) Diagnostic Products
FORA BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
FORA D15G TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA D20 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA D40/G31 TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
FORA G20 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA G30A TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA GD20 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA GD50 TES PREFERRED BRAND (02) Diagnostic Products
FORA TN'G TES TN'G VOI PREFERRED BRAND (02) Diagnostic Products
FORA V10 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA V12 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA V20 TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORA V30A TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FORACARE TES GD40 PREFERRED BRAND (02) Diagnostic Products
FORACARE TES PREM V10 PREFERRED BRAND (02) Diagnostic Products
FORACARE TES TST N GO PREFERRED BRAND (02) Diagnostic Products
FORTISCARE TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
FREESTYLE TES PREFERRED BRAND (02) Diagnostic Products
FREESTYLE TES INSULINX PREFERRED BRAND (02) Diagnostic Products
FREESTYLE TES LITE PREFERRED BRAND (02) Diagnostic Products
FREESTYLE TES PREC NEO PREFERRED BRAND (02) Diagnostic Products
GE100 BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products

Medication Guide 138

 GENSTRIP 50 TES PREFERRED BRAND (02) Diagnostic Products
GENULTIMATE TES PREFERRED BRAND (02) Diagnostic Products
GHT TEST TES STRIPS PREFERRED BRAND (02) Diagnostic Products
GLUCO PERFEC TES 3 PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD TES EXPRESSI PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD TES SHINE PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD TES VITAL PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD TES X-SENSOR PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD 01 TES PLUS PREFERRED BRAND (02) Diagnostic Products
GLUCOCARD 01 TES SENSOR PREFERRED BRAND (02) Diagnostic Products
GLUCOCOM TES PREFERRED BRAND (02) Diagnostic Products
GLUCONAVII TES STRIPS PREFERRED BRAND (02) Diagnostic Products
GLUCOSE TES STRIPS PREFERRED BRAND (02) Diagnostic Products
GMATE BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
HEALTHPRO TES STRIPS PREFERRED BRAND (02) Diagnostic Products
IN TOUCH TES BLOOD PREFERRED BRAND (02) Diagnostic Products
INFINITY TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
KETOCARE TES PREFERRED BRAND (02) Diagnostic Products
KETO-DIASTIX TES PREFERRED BRAND (02) Diagnostic Products
KETONE TEST TES PREFERRED BRAND (02) Diagnostic Products
KETOSTIX TES STRIP PREFERRED BRAND (02) Diagnostic Products
KROGER TES PREFERRED BRAND (02) Diagnostic Products
KROGER BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
LIBERTY TES PREFERRED BRAND (02) Diagnostic Products
LIBERTY NEXT TES GEN PREFERRED BRAND (02) Diagnostic Products
MAXIMA BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
MEIJER TES TRUETEST PREFERRED BRAND (02) Diagnostic Products
MEIJER TES TRUETRAC PREFERRED BRAND (02) Diagnostic Products
MEIJER BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
MICRODOT TES PREFERRED BRAND (02) Diagnostic Products
MYGLUCOHEALT TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
NEUTEK 2TEK TES STRIPS PREFERRED BRAND (02) Diagnostic Products
NEXGEN TES PREFERRED BRAND (02) Diagnostic Products

Medication Guide 139

 NO CODING TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
NOVA MAX TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
ON CALL TES EXPRESS PREFERRED BRAND (02) Diagnostic Products
ON CALL PLUS TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
ON CALL VIVD TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
ONETOUCH TES ULTRA BL PREFERRED BRAND (02) Diagnostic Products
ONETOUCH TES VERIO PREFERRED BRAND (02) Diagnostic Products
OPTIUM TES PREFERRED BRAND (02) Diagnostic Products
OPTIUMEZ TES PREFERRED BRAND (02) Diagnostic Products
OPTUMRX TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
POCKETCHEM TES EZ PREFERRED BRAND (02) Diagnostic Products
PRECISION TES PCX PREFERRED BRAND (02) Diagnostic Products
PRECISION TES PCX PLUS PREFERRED BRAND (02) Diagnostic Products
PRECISION TES QID PREFERRED BRAND (02) Diagnostic Products
PRECISION TES SOF-TACT PREFERRED BRAND (02) Diagnostic Products
PRECISION TES XTRA PREFERRED BRAND (02) Diagnostic Products
PRECISION PT TES OF CARE PREFERRED BRAND (02) Diagnostic Products
PRESTIGE TES PREFERRED BRAND (02) Diagnostic Products
PRODIGY NO TES CODING PREFERRED BRAND (02) Diagnostic Products
PTS PANELS TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
QUICKTEK TES PREFERRED BRAND (02) Diagnostic Products
QUINTET TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
QUINTET AC TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
RA TRUETEST TES PREFERRED BRAND (02) Diagnostic Products
REFUAH PLUS TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
RELION TES KETONE PREFERRED BRAND (02) Diagnostic Products
RELION TES ULTIMA PREFERRED BRAND (02) Diagnostic Products
RELION BLOOD TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
RELION KETON TES PREFERRED BRAND (02) Diagnostic Products
RELION PRIME TES PREFERRED BRAND (02) Diagnostic Products
RELION PRIME TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
REVEAL TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
RIGHTEST TES GS100 PREFERRED BRAND (02) Diagnostic Products

Medication Guide 140

 RIGHTEST TES GS300 PREFERRED BRAND (02) Diagnostic Products
RIGHTEST TES GS550 PREFERRED BRAND (02) Diagnostic Products
SMART SENSE TES TEST PREFERRED BRAND (02) Diagnostic Products
SMARTEST TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
SOLUS V2 TES AUDIBLE PREFERRED BRAND (02) Diagnostic Products
SUPREME TES PREFERRED BRAND (02) Diagnostic Products
SURE EDGE TES PREFERRED BRAND (02) Diagnostic Products
SURECHEK TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
SURE-TEST TES EASYPLUS PREFERRED BRAND (02) Diagnostic Products
TELCARE TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
TRUE METRIX TES GLUCOSE PREFERRED BRAND (02) Diagnostic Products
TRUETEST TES PREFERRED BRAND (02) Diagnostic Products
TRUETEST TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
TRUETRACK TES PREFERRED BRAND (02) Diagnostic Products
TRUETRACK TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
ULTIMA TES PREFERRED BRAND (02) Diagnostic Products
ULTRATRAK TES ULTIMATE PREFERRED BRAND (02) Diagnostic Products
ULTRATRK PRO TES PREFERRED BRAND (02) Diagnostic Products
UNISTRIP1 TES GENERIC PREFERRED BRAND (02) Diagnostic Products
VICTORY TES AGM-4000 PREFERRED BRAND (02) Diagnostic Products
VOCAL POINT TES BLD GLUC PREFERRED BRAND (02) Diagnostic Products
WAVESENSE TES PRESTO PREFERRED BRAND (02) Diagnostic Products
CREON CAP 12000UNT PREFERRED BRAND (02) Digestive Aids
CREON CAP 24000UNT PREFERRED BRAND (02) Digestive Aids
CREON CAP 3000UNIT PREFERRED BRAND (02) Digestive Aids
CREON CAP 36000UNT PREFERRED BRAND (02) Digestive Aids
CREON CAP 6000UNIT PREFERRED BRAND (02) Digestive Aids
PANCREAZE CAP PREFERRED BRAND (02) Digestive Aids
PANCREAZE CAP 10500UNT PREFERRED BRAND (02) Digestive Aids
PANCREAZE CAP 16800UNT PREFERRED BRAND (02) Digestive Aids
PANCREAZE CAP 21000UNT PREFERRED BRAND (02) Digestive Aids
PANCREAZE CAP 4200UNIT PREFERRED BRAND (02) Digestive Aids
PANCRELIPASE CAP 5000UNIT PREFERRED BRAND (02) Digestive Aids

Medication Guide 141

 PERTZYE CAP PREFERRED BRAND (02) Digestive Aids
ULTRESA CAP 13800UNT PREFERRED BRAND (02) Digestive Aids
ULTRESA CAP 20700UNT PREFERRED BRAND (02) Digestive Aids
ULTRESA CAP 23000UNT PREFERRED BRAND (02) Digestive Aids
VIOKACE TAB PREFERRED BRAND (02) Digestive Aids
VIOKACE TAB 20880 PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 10000UNT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 15000UNT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 20000UNT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 25000UNT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 3000UNIT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 40000UNT PREFERRED BRAND (02) Digestive Aids
ZENPEP CAP 5000UNIT PREFERRED BRAND (02) Digestive Aids
ACETAZOLAMID CAP 500MG ER GENERIC (01) Diuretics
ACETAZOLAMID TAB 125MG GENERIC (01) Diuretics
ACETAZOLAMID TAB 250MG GENERIC (01) Diuretics
ALDACTAZIDE TAB 25/25 PREFERRED BRAND (02) Diuretics
ALDACTAZIDE TAB 50/50 PREFERRED BRAND (02) Diuretics
ALDACTONE TAB 100MG PREFERRED BRAND (02) Diuretics
ALDACTONE TAB 25MG PREFERRED BRAND (02) Diuretics
ALDACTONE TAB 50MG PREFERRED BRAND (02) Diuretics
AMILORIDE POW HCL PREFERRED BRAND (02) Diuretics
AMILORIDE TAB 5MG GENERIC (01) Diuretics
BUMETANIDE INJ 0.25/ML GENERIC (01) Diuretics
BUMETANIDE TAB 0.5MG GENERIC (01) Diuretics
BUMETANIDE TAB 1MG GENERIC (01) Diuretics
BUMETANIDE TAB 2MG GENERIC (01) Diuretics
BUMEX TAB 0.5MG PREFERRED BRAND (02) Diuretics
BUMEX TAB 1MG PREFERRED BRAND (02) Diuretics
BUMEX TAB 2MG PREFERRED BRAND (02) Diuretics
CHLOROTHIAZ TAB 250MG PREFERRED BRAND (02) Diuretics
CHLOROTHIAZ TAB 500MG GENERIC (01) Diuretics
CHLORTHALID TAB 25MG GENERIC (01) Diuretics

Medication Guide 142

 CHLORTHALID TAB 50MG GENERIC (01) Diuretics
DEMADEX TAB 100MG PREFERRED BRAND (02) Diuretics
DEMADEX TAB 10MG PREFERRED BRAND (02) Diuretics
DEMADEX TAB 20MG PREFERRED BRAND (02) Diuretics
DEMADEX TAB 5MG PREFERRED BRAND (02) Diuretics
DIAMOX SEQUE CAP 500MG CR PREFERRED BRAND (02) Diuretics
DIURIL SUS 250/5ML PREFERRED BRAND (02) Diuretics
DYAZIDE CAP 37.5-25 PREFERRED BRAND (02) Diuretics
EDECRIN TAB 25MG PREFERRED BRAND (02) Diuretics
ETHACRYNIC TAB ACD 25MG GENERIC (01) Diuretics
FUROSEMIDE INJ 100/10ML GENERIC (01) Diuretics
FUROSEMIDE INJ 10MG/ML GENERIC (01) Diuretics
FUROSEMIDE INJ 20MG/2ML GENERIC (01) Diuretics
FUROSEMIDE INJ 40MG/4ML GENERIC (01) Diuretics
FUROSEMIDE POW PREFERRED BRAND (02) Diuretics
FUROSEMIDE SOL 10MG/ML GENERIC (01) Diuretics
FUROSEMIDE SOL 40MG/4ML GENERIC (01) Diuretics
FUROSEMIDE SOL 8MG/ML PREFERRED BRAND (02) Diuretics
FUROSEMIDE TAB 20MG GENERIC (01) Diuretics
FUROSEMIDE TAB 40MG GENERIC (01) Diuretics
FUROSEMIDE TAB 80MG GENERIC (01) Diuretics
HYDROCHLORO TAB 25MG GENERIC (01) Diuretics
HYDROCHLOROT CAP 12.5MG GENERIC (01) Diuretics
HYDROCHLOROT POW PREFERRED BRAND (02) Diuretics
HYDROCHLOROT TAB 12.5MG GENERIC (01) Diuretics
HYDROCHLOROT TAB 25MG GENERIC (01) Diuretics
HYDROCHLOROT TAB 50MG GENERIC (01) Diuretics
INDAPAMIDE TAB 1.25MG GENERIC (01) Diuretics
INDAPAMIDE TAB 2.5MG GENERIC (01) Diuretics
LASIX TAB 20MG PREFERRED BRAND (02) Diuretics
LASIX TAB 40MG PREFERRED BRAND (02) Diuretics
LASIX TAB 80MG PREFERRED BRAND (02) Diuretics
MAXZIDE TAB 75-50 PREFERRED BRAND (02) Diuretics

Medication Guide 143

 MAXZIDE-25 TAB PREFERRED BRAND (02) Diuretics
METHAZOLAMID POW PREFERRED BRAND (02) Diuretics
METHAZOLAMID TAB 25MG GENERIC (01) Diuretics
METHAZOLAMID TAB 50MG GENERIC (01) Diuretics
METHYCLOTHIA POW PREFERRED BRAND (02) Diuretics
METHYCLOTHIA TAB 5MG PREFERRED BRAND (02) Diuretics
METOLAZONE TAB 10MG GENERIC (01) Diuretics
METOLAZONE TAB 2.5MG GENERIC (01) Diuretics
METOLAZONE TAB 5MG GENERIC (01) Diuretics
MICROZIDE CAP 12.5MG PREFERRED BRAND (02) Diuretics
NEPTAZANE TAB 25MG PREFERRED BRAND (02) Diuretics
NEPTAZANE TAB 50MG PREFERRED BRAND (02) Diuretics
SPIRONO/HCTZ TAB 25/25 GENERIC (01) Diuretics
SPIRONOLACT POW PREFERRED BRAND (02) Diuretics
SPIRONOLACT TAB 100MG GENERIC (01) Diuretics
SPIRONOLACT TAB 25MG GENERIC (01) Diuretics
SPIRONOLACT TAB 50MG GENERIC (01) Diuretics
TORSEMIDE TAB 100MG GENERIC (01) Diuretics
TORSEMIDE TAB 10MG GENERIC (01) Diuretics
TORSEMIDE TAB 20MG GENERIC (01) Diuretics
TORSEMIDE TAB 5MG GENERIC (01) Diuretics
TRIAMT/HCTZ CAP 37.5-25 GENERIC (01) Diuretics
TRIAMT/HCTZ CAP 50-25MG PREFERRED BRAND (02) Diuretics
TRIAMT/HCTZ TAB 37.5-25 GENERIC (01) Diuretics
TRIAMT/HCTZ TAB 75-50MG GENERIC (01) Diuretics
ACTONEL TAB 150MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ACTONEL TAB 30MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ACTONEL TAB 35MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ACTONEL TAB 5MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ALDURAZYME INJ 2.9MG/5M PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
ALENDRONATE SOL 70/75ML Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ALENDRONATE TAB 10MG GENERIC (01) Endocrine and Metabolic Agents-Misc
ALENDRONATE TAB 35MG GENERIC (01) Endocrine and Metabolic Agents-Misc

Medication Guide 144

 ALENDRONATE TAB 40MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
ALENDRONATE TAB 5MG GENERIC (01) Endocrine and Metabolic Agents-Misc
ALENDRONATE TAB 70MG GENERIC (01) Endocrine and Metabolic Agents-Misc
ATELVIA TAB Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
BINOSTO TAB 70MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
BONIVA INJ 3MG/3ML Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
BONIVA TAB 150MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
BUPHENYL POW PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
BUPHENYL TAB 500MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
CABERGOLINE TAB 0.5MG EXCLUDED Endocrine and Metabolic Agents-Misc
CALCITONIN SPR 200/ACT GENERIC (01) Endocrine and Metabolic Agents-Misc
CALCITRIOL CAP 0.25MCG GENERIC (01) Endocrine and Metabolic Agents-Misc
CALCITRIOL CAP 0.5MCG GENERIC (01) Endocrine and Metabolic Agents-Misc
CALCITRIOL INJ 1MCG/ML GENERIC (01) Endocrine and Metabolic Agents-Misc
CALCITRIOL SOL 1MCG/ML GENERIC (01) Endocrine and Metabolic Agents-Misc
CHOR GONADOT INJ 10000UNT EXCLUDED Endocrine and Metabolic Agents-Misc
CYSTADANE POW PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
DDAVP INJ 4MCG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
DDAVP SPR 0.01% EXCLUDED Endocrine and Metabolic Agents-Misc
DDAVP TAB 0.1MG EXCLUDED Endocrine and Metabolic Agents-Misc
DDAVP TAB 0.2MG EXCLUDED Endocrine and Metabolic Agents-Misc
DESMOPRESSIN INJ 4MCG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
DESMOPRESSIN SPR 0.01% EXCLUDED Endocrine and Metabolic Agents-Misc
DESMOPRESSIN TAB 0.1MG EXCLUDED Endocrine and Metabolic Agents-Misc
DESMOPRESSIN TAB 0.2MG EXCLUDED Endocrine and Metabolic Agents-Misc
DOXERCALCIF CAP 0.5MCG GENERIC (01) Endocrine and Metabolic Agents-Misc
DOXERCALCIF CAP 1MCG GENERIC (01) Endocrine and Metabolic Agents-Misc
DOXERCALCIF CAP 2.5MCG GENERIC (01) Endocrine and Metabolic Agents-Misc
DOXERCALCIF INJ 4MCG/2ML GENERIC (01) Endocrine and Metabolic Agents-Misc
ELAPRASE INJ 6MG/3ML EXCLUDED Endocrine and Metabolic Agents-Misc
ETIDRON DISD TAB 200MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
ETIDRON DISD TAB 400MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
EVISTA TAB 60MG EXCLUDED Endocrine and Metabolic Agents-Misc

Medication Guide 145

 FABRAZYME INJ 35MG EXCLUDED Endocrine and Metabolic Agents-Misc
FABRAZYME INJ 5MG EXCLUDED Endocrine and Metabolic Agents-Misc
FORTEO SOL 600/2.4 EXCLUDED Endocrine and Metabolic Agents-Misc
FORTICAL SPR 200/ACT Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
FOSAMAX TAB 70MG Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
FOSAMAX + D TAB 70-2800 Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
FOSAMAX + D TAB 70-5600 Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 0.2MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 0.4MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 0.6MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 0.8MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 1.2MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 1.4MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 1.6MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 1.8MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 12MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 1MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 2MG EXCLUDED Endocrine and Metabolic Agents-Misc
GENOTROPIN INJ 5MG EXCLUDED Endocrine and Metabolic Agents-Misc
HECTOROL CAP 0.5MCG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
HECTOROL CAP 1MCG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
HECTOROL CAP 2.5MCG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
HECTOROL INJ 2MCG/ML PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
HECTOROL INJ 4MCG/2ML PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
HUMATROPE INJ 12MG EXCLUDED Endocrine and Metabolic Agents-Misc
HUMATROPE INJ 24MG EXCLUDED Endocrine and Metabolic Agents-Misc
HUMATROPE INJ 5MG EXCLUDED Endocrine and Metabolic Agents-Misc
HUMATROPE INJ 6MG EXCLUDED Endocrine and Metabolic Agents-Misc
IBANDRONATE INJ 3MG/3ML GENERIC (01) Endocrine and Metabolic Agents-Misc
IBANDRONATE TAB 150MG GENERIC (01) Endocrine and Metabolic Agents-Misc
KUVAN POW 100MG EXCLUDED Endocrine and Metabolic Agents-Misc
KUVAN POW 500MG EXCLUDED Endocrine and Metabolic Agents-Misc
KUVAN TAB 100MG EXCLUDED Endocrine and Metabolic Agents-Misc

Medication Guide 146

 LUMIZYME INJ 50MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
MIACALCIN INJ 200/ML Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
MIACALCIN SPR 200/ACT Y NON-PREFERRED BRAND (03) Endocrine and Metabolic Agents-Misc
NAGLAZYME INJ 1MG/ML PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
NORDITROPIN INJ 10/1.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
NORDITROPIN INJ 15/1.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
NORDITROPIN INJ 30/3ML EXCLUDED Endocrine and Metabolic Agents-Misc
NORDITROPIN INJ 5/1.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
NOVAREL INJ 10000UNT EXCLUDED Endocrine and Metabolic Agents-Misc
NUTROPIN AQ INJ 10MG/2ML EXCLUDED Endocrine and Metabolic Agents-Misc
NUTROPIN AQ INJ 20MG/2ML EXCLUDED Endocrine and Metabolic Agents-Misc
NUTROPIN AQ INJ NUSPIN 5 EXCLUDED Endocrine and Metabolic Agents-Misc
OCTREOTIDE INJ 1000MCG EXCLUDED Endocrine and Metabolic Agents-Misc
OCTREOTIDE INJ 100MCG EXCLUDED Endocrine and Metabolic Agents-Misc
OCTREOTIDE INJ 200MCG EXCLUDED Endocrine and Metabolic Agents-Misc
OCTREOTIDE INJ 500MCG EXCLUDED Endocrine and Metabolic Agents-Misc
OCTREOTIDE INJ 50MCG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
OMNITROPE INJ 10/1.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
OMNITROPE INJ 5.8MG EXCLUDED Endocrine and Metabolic Agents-Misc
OMNITROPE INJ 5/1.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
PHENYLBUTYRA POW SODIUM GENERIC (01) Endocrine and Metabolic Agents-Misc
PREGNYL INJ 10000UNT EXCLUDED Endocrine and Metabolic Agents-Misc
PROLIA SOL 60MG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
RALOXIFENE TAB 60MG EXCLUDED Endocrine and Metabolic Agents-Misc
RECLAST INJ 5/100ML EXCLUDED Endocrine and Metabolic Agents-Misc
RISEDRON SOD TAB 35MG DR GENERIC (01) Endocrine and Metabolic Agents-Misc
RISEDRONATE TAB 150MG GENERIC (01) Endocrine and Metabolic Agents-Misc
RISEDRONATE TAB 30MG GENERIC (01) Endocrine and Metabolic Agents-Misc
RISEDRONATE TAB 35MG GENERIC (01) Endocrine and Metabolic Agents-Misc
RISEDRONATE TAB 5MG GENERIC (01) Endocrine and Metabolic Agents-Misc
ROCALTROL CAP 0.25MCG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
ROCALTROL CAP 0.5MCG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
ROCALTROL SOL 1MCG/ML PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc

Medication Guide 147

 SANDOSTATIN INJ 1000MCG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN INJ 100MCG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN INJ 200MCG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN INJ 500MCG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN INJ 50MCG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN KIT LAR 10MG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN KIT LAR 20MG EXCLUDED Endocrine and Metabolic Agents-Misc
SANDOSTATIN KIT LAR 30MG EXCLUDED Endocrine and Metabolic Agents-Misc
SENSIPAR TAB 30MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
SENSIPAR TAB 60MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
SENSIPAR TAB 90MG PREFERRED BRAND (02) Endocrine and Metabolic Agents-Misc
SOMATULINE INJ 120/.5ML EXCLUDED Endocrine and Metabolic Agents-Misc
SOMATULINE INJ 60/0.2ML EXCLUDED Endocrine and Metabolic Agents-Misc
SOMATULINE INJ 90/0.3ML EXCLUDED Endocrine and Metabolic Agents-Misc
SOMAVERT INJ 10MG EXCLUDED Endocrine and Metabolic Agents-Misc
SOMAVERT INJ 15MG EXCLUDED Endocrine and Metabolic Agents-Misc
SOMAVERT INJ 20MG EXCLUDED Endocrine and Metabolic Agents-Misc
SOMAVERT INJ 25MG EXCLUDED Endocrine and Metabolic Agents-Misc
SOMAVERT INJ 30MG EXCLUDED Endocrine and Metabolic Agents-Misc
STIMATE SOL 1.5MG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
SYNAREL SOL 2MG/ML EXCLUDED Endocrine and Metabolic Agents-Misc
XGEVA INJ EXCLUDED Endocrine and Metabolic Agents-Misc
ZOLEDRONIC INJ 4MG EXCLUDED Endocrine and Metabolic Agents-Misc
ZOLEDRONIC INJ 4MG/100 EXCLUDED Endocrine and Metabolic Agents-Misc
ZOLEDRONIC INJ 4MG/5ML EXCLUDED Endocrine and Metabolic Agents-Misc
ZOLEDRONIC INJ 5/100ML EXCLUDED Endocrine and Metabolic Agents-Misc
ZOMACTON INJ 10MG EXCLUDED Endocrine and Metabolic Agents-Misc
ZOMACTON INJ 5MG EXCLUDED Endocrine and Metabolic Agents-Misc
ZOMETA INJ 4MG/100 EXCLUDED Endocrine and Metabolic Agents-Misc
ZOMETA INJ 4MG/5ML EXCLUDED Endocrine and Metabolic Agents-Misc
ACTIVELLA TAB 0.5-0.1 EXCLUDED Estrogens
ACTIVELLA TAB 1-0.5MG EXCLUDED Estrogens
ALORA DIS 0.025MG EXCLUDED Estrogens

Medication Guide 148

 ALORA DIS 0.05MG EXCLUDED Estrogens
ALORA DIS 0.075MG EXCLUDED Estrogens
ALORA DIS 0.1MG EXCLUDED Estrogens
AMABELZ TAB 0.5-0.1 EXCLUDED Estrogens
AMABELZ TAB 1-0.5MG EXCLUDED Estrogens
CLIMARA DIS 0.025MG EXCLUDED Estrogens
CLIMARA DIS 0.0375MG EXCLUDED Estrogens
CLIMARA DIS 0.05MG EXCLUDED Estrogens
CLIMARA DIS 0.06MG EXCLUDED Estrogens
CLIMARA DIS 0.075MG EXCLUDED Estrogens
CLIMARA DIS 0.1MG EXCLUDED Estrogens
COMBIPATCH DIS .05/.14 EXCLUDED Estrogens
COMBIPATCH DIS .05/.25 EXCLUDED Estrogens
DIVIGEL GEL 0.25MG EXCLUDED Estrogens
DIVIGEL GEL 0.5MG EXCLUDED Estrogens
DIVIGEL GEL 1MG/GM EXCLUDED Estrogens
ELESTRIN GEL 0.06% EXCLUDED Estrogens
ESTRA/NORETH TAB 0.5-0.1 EXCLUDED Estrogens
ESTRA/NORETH TAB 1-0.5MG EXCLUDED Estrogens
ESTRACE TAB 0.5MG EXCLUDED Estrogens
ESTRACE TAB 1MG EXCLUDED Estrogens
ESTRACE TAB 2MG EXCLUDED Estrogens
ESTRADIOL DIS 0.025MG EXCLUDED Estrogens
ESTRADIOL DIS 0.0375MG EXCLUDED Estrogens
ESTRADIOL DIS 0.05MG EXCLUDED Estrogens
ESTRADIOL DIS 0.06MG EXCLUDED Estrogens
ESTRADIOL DIS 0.075MG EXCLUDED Estrogens
ESTRADIOL DIS 0.1MG EXCLUDED Estrogens
ESTRADIOL MIS 10MG EXCLUDED Estrogens
ESTRADIOL MIS 12.5MG EXCLUDED Estrogens
ESTRADIOL MIS 18MG EXCLUDED Estrogens
ESTRADIOL MIS 20MG EXCLUDED Estrogens
ESTRADIOL MIS 25MG EXCLUDED Estrogens

Medication Guide 149

 ESTRADIOL MIS 31MG EXCLUDED Estrogens
ESTRADIOL MIS 37.5MG EXCLUDED Estrogens
ESTRADIOL MIS 50MG EXCLUDED Estrogens
ESTRADIOL MIS 6MG EXCLUDED Estrogens
ESTRADIOL POW EXCLUDED Estrogens
ESTRADIOL TAB 0.5MG EXCLUDED Estrogens
ESTRADIOL TAB 1MG EXCLUDED Estrogens
ESTRADIOL TAB 2MG EXCLUDED Estrogens
ESTROGEL GEL EXCLUDED Estrogens
EVAMIST SPR 1.53MG EXCLUDED Estrogens
LOPREEZA TAB 0.5-0.1 EXCLUDED Estrogens
LOPREEZA TAB 1-0.5MG EXCLUDED Estrogens
MENOSTAR DIS 14MCG EXCLUDED Estrogens
MIMVEY TAB 1-0.5MG EXCLUDED Estrogens
MIMVEY LO TAB 0.5-0.1 EXCLUDED Estrogens
MINIVELLE DIS 0.025MG EXCLUDED Estrogens
MINIVELLE DIS 0.0375MG EXCLUDED Estrogens
MINIVELLE DIS 0.05MG EXCLUDED Estrogens
MINIVELLE DIS 0.075MG EXCLUDED Estrogens
MINIVELLE DIS 0.1MG EXCLUDED Estrogens
VIVELLE-DOT DIS 0.025MG EXCLUDED Estrogens
VIVELLE-DOT DIS 0.0375MG EXCLUDED Estrogens
VIVELLE-DOT DIS 0.05MG EXCLUDED Estrogens
VIVELLE-DOT DIS 0.075MG EXCLUDED Estrogens
VIVELLE-DOT DIS 0.1MG EXCLUDED Estrogens
AVELOX TAB 400MG PREFERRED BRAND (02) Fluoroquinolones
AVELOX ABC TAB 400MG PREFERRED BRAND (02) Fluoroquinolones
CIPRO TAB 250MG PREFERRED BRAND (02) Fluoroquinolones
CIPRO TAB 500MG PREFERRED BRAND (02) Fluoroquinolones
CIPRO (10%) SUS 500MG/5 PREFERRED BRAND (02) Fluoroquinolones
CIPRO (5%) SUS 250MG/5 PREFERRED BRAND (02) Fluoroquinolones
CIPROFLOXACN INJ 200MG GENERIC (01) Fluoroquinolones
CIPROFLOXACN INJ 200MG PREFERRED BRAND (02) Fluoroquinolones

Medication Guide 150

 CIPROFLOXACN INJ 400MG GENERIC (01) Fluoroquinolones
CIPROFLOXACN INJ 400MG PREFERRED BRAND (02) Fluoroquinolones
CIPROFLOXACN SUS 250MG/5 GENERIC (01) Fluoroquinolones
CIPROFLOXACN SUS 500MG/5 GENERIC (01) Fluoroquinolones
CIPROFLOXACN TAB 100MG PREFERRED BRAND (02) Fluoroquinolones
CIPROFLOXACN TAB 250MG GENERIC (01) Fluoroquinolones
CIPROFLOXACN TAB 500MG GENERIC (01) Fluoroquinolones
CIPROFLOXACN TAB 750MG GENERIC (01) Fluoroquinolones
FACTIVE TAB 320MG PREFERRED BRAND (02) Fluoroquinolones
LEVAQUIN SOL 25MG/ML PREFERRED BRAND (02) Fluoroquinolones
LEVAQUIN TAB 250MG PREFERRED BRAND (02) Fluoroquinolones
LEVAQUIN TAB 500MG PREFERRED BRAND (02) Fluoroquinolones
LEVAQUIN TAB 750MG PREFERRED BRAND (02) Fluoroquinolones
LEVOFLOXACIN INJ 25MG/ML GENERIC (01) Fluoroquinolones
LEVOFLOXACIN SOL 25MG/ML GENERIC (01) Fluoroquinolones
LEVOFLOXACIN SOL 25MG/ML PREFERRED BRAND (02) Fluoroquinolones
LEVOFLOXACIN TAB 250MG GENERIC (01) Fluoroquinolones
LEVOFLOXACIN TAB 500MG GENERIC (01) Fluoroquinolones
LEVOFLOXACIN TAB 750MG GENERIC (01) Fluoroquinolones
MOXIFLOXACIN INJ PREFERRED BRAND (02) Fluoroquinolones
MOXIFLOXACIN TAB 400MG GENERIC (01) Fluoroquinolones
OFLOXACIN TAB 300MG PREFERRED BRAND (02) Fluoroquinolones
OFLOXACIN TAB 400MG GENERIC (01) Fluoroquinolones
5-AMINOSALIC POW ACID PREFERRED BRAND (02) Gastrointestinal Agents-MISC
ACTIGALL CAP 300MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
APRISO CAP 0.375GM PREFERRED BRAND (02) Gastrointestinal Agents-MISC
ASACOL HD TAB 800MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
AZULFIDINE TAB 500MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
AZULFIDINE TAB 500MG EN PREFERRED BRAND (02) Gastrointestinal Agents-MISC
BALSALAZIDE CAP 750MG GENERIC (01) Gastrointestinal Agents-MISC
CALC ACETATE CAP 667MG GENERIC (01) Gastrointestinal Agents-MISC
CALC ACETATE TAB 667MG GENERIC (01) Gastrointestinal Agents-MISC
CALPHRON TAB 667MG GENERIC (01) Gastrointestinal Agents-MISC

Medication Guide 151

 CANASA SUP 1000MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
COLAZAL CAP 750MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
DELZICOL CAP 400MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
ELIPHOS TAB 667MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
GIAZO TAB 1.1GM PREFERRED BRAND (02) Gastrointestinal Agents-MISC
LIALDA TAB 1.2GM PREFERRED BRAND (02) Gastrointestinal Agents-MISC
MESALAMINE ENE 4GM GENERIC (01) Gastrointestinal Agents-MISC
MESALAMINE POW PREFERRED BRAND (02) Gastrointestinal Agents-MISC
MESALAMINE TAB 1.2GM GENERIC (01) Gastrointestinal Agents-MISC
MESALAMINE TAB 800MG DR PREFERRED BRAND (02) Gastrointestinal Agents-MISC
METOCLOPRAM INJ 10MG/2ML GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM INJ 5MG/ML GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM SOL 10/10ML GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM SOL 5MG/5ML GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM TAB 10MG GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM TAB 5MG GENERIC (01) Gastrointestinal Agents-MISC
METOCLOPRAM TAB 5MG ODT PREFERRED BRAND (02) Gastrointestinal Agents-MISC
METOCLOPRAMI POW HCL USP PREFERRED BRAND (02) Gastrointestinal Agents-MISC
METOCLOPRAMI TAB 10MG ODT PREFERRED BRAND (02) Gastrointestinal Agents-MISC
METOZOLV ODT TAB 5MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
PENTASA CAP 250MG CR PREFERRED BRAND (02) Gastrointestinal Agents-MISC
PENTASA CAP 500MG CR PREFERRED BRAND (02) Gastrointestinal Agents-MISC
PHOSLO CAP 667MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
PHOSLYRA SOL PREFERRED BRAND (02) Gastrointestinal Agents-MISC
REGLAN TAB 10MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
REGLAN TAB 5MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
RENAGEL TAB 800MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
RENVELA TAB 800MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
SEVELAMER TAB 800MG GENERIC (01) Gastrointestinal Agents-MISC
SFROWASA ENE 4GM PREFERRED BRAND (02) Gastrointestinal Agents-MISC
SULFASALAZIN POW PREFERRED BRAND (02) Gastrointestinal Agents-MISC
SULFASALAZIN TAB 500MG GENERIC (01) Gastrointestinal Agents-MISC
SULFASALAZIN TAB 500MG DR GENERIC (01) Gastrointestinal Agents-MISC

Medication Guide 152

 SULFAZINE TAB 500MG GENERIC (01) Gastrointestinal Agents-MISC
URSO 250 TAB 250MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
URSO FORTE TAB 500MG PREFERRED BRAND (02) Gastrointestinal Agents-MISC
URSODIOL CAP 300MG GENERIC (01) Gastrointestinal Agents-MISC
URSODIOL SUS 30MG/ML PREFERRED BRAND (02) Gastrointestinal Agents-MISC
URSODIOL TAB 250MG GENERIC (01) Gastrointestinal Agents-MISC
URSODIOL TAB 500MG GENERIC (01) Gastrointestinal Agents-MISC
ALFUZOSIN TAB 10MG ER GENERIC (01) Genitourinary Agents-Miscellaneous
AVODART CAP 0.5MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
AZO DINE TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
AZO DINE TAB MAX ST GENERIC (01) Genitourinary Agents-Miscellaneous
AZO PAIN REL TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
AZO TABS TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
AZO URINARY TAB 97.5MG GENERIC (01) Genitourinary Agents-Miscellaneous
AZO-STANDARD TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
BARIDIUM TAB 97.2MG PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous
CYSTAGON CAP 150MG PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous
CYSTAGON CAP 50MG PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous
DUTAST/TAMSU CAP 0.5-0.4 GENERIC (01) Genitourinary Agents-Miscellaneous
DUTASTERIDE CAP 0.5MG GENERIC (01) Genitourinary Agents-Miscellaneous
FINASTERIDE TAB 5MG GENERIC (01) Genitourinary Agents-Miscellaneous
FLOMAX CAP 0.4MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
GNP URINARY TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
GNP URINARY TAB 97.5MG GENERIC (01) Genitourinary Agents-Miscellaneous
JALYN CAP Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
PHENAZO TAB 200MG GENERIC (01) Genitourinary Agents-Miscellaneous
PHENAZO TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
PHENAZOPYRID POW HCL PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous
PHENAZOPYRID TAB 100MG GENERIC (01) Genitourinary Agents-Miscellaneous
PHENAZOPYRID TAB 200MG GENERIC (01) Genitourinary Agents-Miscellaneous
PHENAZOPYRID TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
PROSCAR TAB 5MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
PYRIDIUM TAB 100MG PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous

Medication Guide 153

 PYRIDIUM TAB 200MG PREFERRED BRAND (02) Genitourinary Agents-Miscellaneous
QC AZO TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
RA URINARY TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
RA URINARY TAB PAIN MAX GENERIC (01) Genitourinary Agents-Miscellaneous
RAPAFLO CAP 4MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
RAPAFLO CAP 8MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
SB URINARY TAB PAIN MAX GENERIC (01) Genitourinary Agents-Miscellaneous
SM URINARY TAB PAIN MAX GENERIC (01) Genitourinary Agents-Miscellaneous
TAMSULOSIN CAP 0.4MG GENERIC (01) Genitourinary Agents-Miscellaneous
URINARY PAIN TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
URINARY PAIN TAB 97.5MG GENERIC (01) Genitourinary Agents-Miscellaneous
URISTAT TAB 95MG GENERIC (01) Genitourinary Agents-Miscellaneous
UROXATRAL TAB 10MG Y NON-PREFERRED BRAND (03) Genitourinary Agents-Miscellaneous
UTI RELIEF TAB 97.2MG GENERIC (01) Genitourinary Agents-Miscellaneous
ALLOPURINOL TAB 100MG GENERIC (01) Gout Agents
ALLOPURINOL TAB 300MG GENERIC (01) Gout Agents
COLCHICINE CAP 0.6MG PREFERRED BRAND (02) Gout Agents
COLCHICINE POW PREFERRED BRAND (02) Gout Agents
COLCHICINE TAB 0.6MG PREFERRED BRAND (02) Gout Agents
COLCRYS TAB 0.6MG PREFERRED BRAND (02) Gout Agents
MITIGARE CAP 0.6MG PREFERRED BRAND (02) Gout Agents
PROBEN/COLCH TAB 500-0.5 GENERIC (01) Gout Agents
PROBENECID TAB 500MG GENERIC (01) Gout Agents
ULORIC TAB 40MG PREFERRED BRAND (02) Gout Agents
ULORIC TAB 80MG PREFERRED BRAND (02) Gout Agents
ZYLOPRIM TAB 100MG PREFERRED BRAND (02) Gout Agents
ZYLOPRIM TAB 300MG PREFERRED BRAND (02) Gout Agents
AGGRENOX CAP 25-200MG PREFERRED BRAND (02) Hematological Agents -Misc
AGRYLIN CAP 0.5MG PREFERRED BRAND (02) Hematological Agents -Misc
ANAGRELIDE CAP 0.5MG GENERIC (01) Hematological Agents -Misc
ANAGRELIDE CAP 1MG GENERIC (01) Hematological Agents -Misc
ASA/DIPYRIDA CAP 25-200MG GENERIC (01) Hematological Agents -Misc
CILOSTAZOL TAB 100MG GENERIC (01) Hematological Agents -Misc

Medication Guide 154

 CILOSTAZOL TAB 50MG GENERIC (01) Hematological Agents -Misc
CLOPIDOGREL TAB 300MG GENERIC (01) Hematological Agents -Misc
CLOPIDOGREL TAB 75MG GENERIC (01) Hematological Agents -Misc
DIPYRIDAMOLE TAB 25MG GENERIC (01) Hematological Agents -Misc
DIPYRIDAMOLE TAB 50MG GENERIC (01) Hematological Agents -Misc
DIPYRIDAMOLE TAB 75MG GENERIC (01) Hematological Agents -Misc
EFFIENT TAB 10MG PREFERRED BRAND (02) Hematological Agents -Misc
EFFIENT TAB 5MG PREFERRED BRAND (02) Hematological Agents -Misc
PENTOXIFYLLI TAB 400MG CR GENERIC (01) Hematological Agents -Misc
PENTOXIFYLLI TAB 400MG ER GENERIC (01) Hematological Agents -Misc
PERSANTINE TAB 25MG PREFERRED BRAND (02) Hematological Agents -Misc
PERSANTINE TAB 50MG PREFERRED BRAND (02) Hematological Agents -Misc
PERSANTINE TAB 75MG PREFERRED BRAND (02) Hematological Agents -Misc
PLAVIX TAB 300MG PREFERRED BRAND (02) Hematological Agents -Misc
PLAVIX TAB 75MG PREFERRED BRAND (02) Hematological Agents -Misc
PLETAL TAB 100MG PREFERRED BRAND (02) Hematological Agents -Misc
PLETAL TAB 50MG PREFERRED BRAND (02) Hematological Agents -Misc
ARANESP INJ 100MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 10MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 150MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 200MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 25MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 300MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 40MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 500MCG EXCLUDED Hematopoietic Agents
ARANESP INJ 60MCG EXCLUDED Hematopoietic Agents
CENTRATEX CAP EXCLUDED Hematopoietic Agents
CERDELGA CAP 84MG EXCLUDED Hematopoietic Agents
CEREZYME INJ 400UNIT EXCLUDED Hematopoietic Agents
CVS IRON TAB 325MG EXCLUDED Hematopoietic Agents
EPOGEN INJ 10000/ML EXCLUDED Hematopoietic Agents
EPOGEN INJ 2000/ML EXCLUDED Hematopoietic Agents
EPOGEN INJ 20000/ML EXCLUDED Hematopoietic Agents

Medication Guide 155

 EPOGEN INJ 3000/ML EXCLUDED Hematopoietic Agents
EPOGEN INJ 4000/ML EXCLUDED Hematopoietic Agents
FE SULFATE POW EXCLUDED Hematopoietic Agents
FE SULFATE TAB 27MG EXCLUDED Hematopoietic Agents
FE TABS TAB 325MG EC EXCLUDED Hematopoietic Agents
FEOSOL TAB 65MG EXCLUDED Hematopoietic Agents
FER-IN-SOL DRO 15MG/ML EXCLUDED Hematopoietic Agents
FER-IRON DRO 15MG/ML EXCLUDED Hematopoietic Agents
FEROSUL ELX 220/5ML EXCLUDED Hematopoietic Agents
FERRO-BOB TAB 325MG EXCLUDED Hematopoietic Agents
FERROUS DRO 15MG/ML EXCLUDED Hematopoietic Agents
FERROUS SUL LIQ 220/5ML EXCLUDED Hematopoietic Agents
FERROUS SULF DRO 15MG/ML EXCLUDED Hematopoietic Agents
FERROUS SULF ELX 220/5ML EXCLUDED Hematopoietic Agents
FERROUS SULF GRA EXCLUDED Hematopoietic Agents
FERROUS SULF SYP 300/5ML EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 140MG EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 324MG EC EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 325MG EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 325MG EC EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 325MG FC EXCLUDED Hematopoietic Agents
FERROUS SULF TAB 5GR EXCLUDED Hematopoietic Agents
FERROUSUL TAB 325MG EXCLUDED Hematopoietic Agents
GNP IRON TAB 325MG EXCLUDED Hematopoietic Agents
GNP IRON TAB 45MG EXCLUDED Hematopoietic Agents
GRANIX INJ 300/0.5 EXCLUDED Hematopoietic Agents
GRANIX INJ 480/0.8 EXCLUDED Hematopoietic Agents
HEMOCYTE PLS CAP EXCLUDED Hematopoietic Agents
HGH-POT IRON TAB 325MG EXCLUDED Hematopoietic Agents
HIGH POTENCY TAB FE 27MG EXCLUDED Hematopoietic Agents
HIGH POTENCY TAB IRON EXCLUDED Hematopoietic Agents
HM IRON TAB 45MG EXCLUDED Hematopoietic Agents
IRON TAB 18MG EXCLUDED Hematopoietic Agents

Medication Guide 156

 IRON TAB 28MG EXCLUDED Hematopoietic Agents
IRON TAB 325MG EXCLUDED Hematopoietic Agents
IRON TAB 45MG EXCLUDED Hematopoietic Agents
IRON TAB 50MG ER EXCLUDED Hematopoietic Agents
IRON TAB 65MG EXCLUDED Hematopoietic Agents
IRON SLOW TAB 45MG EXCLUDED Hematopoietic Agents
IRON SUPPLEM TAB 325MG EXCLUDED Hematopoietic Agents
IRON SUPPLEM TAB THERAPY EXCLUDED Hematopoietic Agents
IRON SUPPLMT DRO 15MG/ML EXCLUDED Hematopoietic Agents
LEUKINE INJ 250MCG EXCLUDED Hematopoietic Agents
MOZOBIL INJ EXCLUDED Hematopoietic Agents
NEUPOGEN INJ 300/0.5 EXCLUDED Hematopoietic Agents
NEUPOGEN INJ 300MCG EXCLUDED Hematopoietic Agents
NEUPOGEN INJ 480/0.8 EXCLUDED Hematopoietic Agents
NEUPOGEN INJ 480MCG EXCLUDED Hematopoietic Agents
PEDIA IRON DRO 15MG/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 10000/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 2000/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 20000/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 3000/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 4000/ML EXCLUDED Hematopoietic Agents
PROCRIT INJ 40000/ML EXCLUDED Hematopoietic Agents
PROMACTA TAB 12.5MG EXCLUDED Hematopoietic Agents
PROMACTA TAB 25MG EXCLUDED Hematopoietic Agents
PROMACTA TAB 50MG EXCLUDED Hematopoietic Agents
PROMACTA TAB 75MG EXCLUDED Hematopoietic Agents
PUR-ABSORB LIQ 5MG/20ML EXCLUDED Hematopoietic Agents
PUREFE CAP PLUS EXCLUDED Hematopoietic Agents
PX IRON TAB 27MG EXCLUDED Hematopoietic Agents
RA IRON TAB 27MG EXCLUDED Hematopoietic Agents
RA IRON TAB 325MG EXCLUDED Hematopoietic Agents
RA IRON TAB 65MG EXCLUDED Hematopoietic Agents
SLOW FE TAB 142MG EXCLUDED Hematopoietic Agents

Medication Guide 157

 SLOW FE TAB 45MG EXCLUDED Hematopoietic Agents
SLOW FE TAB 45MG EXCLUDED Hematopoietic Agents
SLOW IRON TAB 50MG EXCLUDED Hematopoietic Agents
SLOW RELEASE TAB 143MG EXCLUDED Hematopoietic Agents
SLOW RELEASE TAB 47.5MG EXCLUDED Hematopoietic Agents
SM IRON TAB EXCLUDED Hematopoietic Agents
SM IRON TAB 325MG EXCLUDED Hematopoietic Agents
SM IRON TAB 45MG EXCLUDED Hematopoietic Agents
TH IRON TAB 65MG EXCLUDED Hematopoietic Agents
AMBIEN TAB 10MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
AMBIEN TAB 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
AMBIEN CR TAB 12.5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
AMBIEN CR TAB 6.25MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
EDLUAR SUB 10MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
EDLUAR SUB 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
FLURAZEPAM CAP 15MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
FLURAZEPAM CAP 30MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
HALCION TAB 0.25MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
INTERMEZZO SUB 1.75MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
INTERMEZZO SUB 3.5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
SONATA CAP 10MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
SONATA CAP 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
TRIAZOLAM TAB 0.125MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
TRIAZOLAM TAB 0.25MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZALEPLON CAP 10MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZALEPLON CAP 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM TAB 10MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM TAB 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM ER TAB 12.5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM ER TAB 6.25MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM TAR SUB 1.75MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIDEM TAR SUB 3.5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents
ZOLPIMIST SPR 5MG EXCLUDED Hypnotics/Sedatives/Sleep Disorder Agents

Medication Guide 158

 AGORAL LIQ MAX ST PREFERRED BRAND (02) Laxatives
BLK DRAUGHT CHW 10MG PREFERRED BRAND (02) Laxatives
CHOC LAXATIV CHW 15MG GENERIC (01) Laxatives
CLEARLAX POW GENERIC (01) Laxatives
CONSTULOSE SOL 10GM/15 GENERIC (01) Laxatives
CVS LAXATIVE CHW 15MG GENERIC (01) Laxatives
CVS LAXATIVE TAB 25MG GENERIC (01) Laxatives
CVS PURELAX PAK GENERIC (01) Laxatives
CVS PURELAX POW GENERIC (01) Laxatives
CVS PURELAX POW 3350 GENERIC (01) Laxatives
CVS SENNA TAB 8.6MG GENERIC (01) Laxatives
DR EDWARDS TAB 8.6MG GENERIC (01) Laxatives
DULCOLAX POW BALANCE GENERIC (01) Laxatives
EQ CLEARLAX POW GENERIC (01) Laxatives
EQ LAXATIVE CHW 15MG GENERIC (01) Laxatives
EQ LAXATIVE TAB 25MG GENERIC (01) Laxatives
EQ LAXATIVE TAB 8.6MG GENERIC (01) Laxatives
EQL CLEARLAX POW GENERIC (01) Laxatives
EQL LAXATIVE CHW 15MG GENERIC (01) Laxatives
EQL LAXATIVE TAB 25MG GENERIC (01) Laxatives
EVAC-U-GEN CHW 10MG PREFERRED BRAND (02) Laxatives
EVAC-U-GEN TAB 8.6MG GENERIC (01) Laxatives
EX-LAX CHW 15MG PREFERRED BRAND (02) Laxatives
EX-LAX TAB 15MG PREFERRED BRAND (02) Laxatives
EX-LAX TAB MAX ST PREFERRED BRAND (02) Laxatives
GAVILAX POW GENERIC (01) Laxatives
GAVILYTE-N SOL FLAV PK GENERIC (01) Laxatives
GENTLELAX POW GENERIC (01) Laxatives
GERI-KOT TAB 8.6MG GENERIC (01) Laxatives
GIALAX KIT PREFERRED BRAND (02) Laxatives
GLYCOLAX POW 3350 NF GENERIC (01) Laxatives
GNP CLEARLAX POW GENERIC (01) Laxatives
GNP LAXATIVE TAB 25MG GENERIC (01) Laxatives

Medication Guide 159

 HEALTHYLAX POW GENERIC (01) Laxatives
HM CLEARLAX POW GENERIC (01) Laxatives
HM SENNA TAB 8.6MG GENERIC (01) Laxatives
KP SENNA TAB 8.6MG GENERIC (01) Laxatives
KRISTALOSE PAK 10GM PREFERRED BRAND (02) Laxatives
KRISTALOSE PAK 20GM PREFERRED BRAND (02) Laxatives
LACTULOSE SOL 10GM/15 GENERIC (01) Laxatives
LACTULOSE SOL 20GM/30 GENERIC (01) Laxatives
LAXACLEAR POW GENERIC (01) Laxatives
LAXATIVE CHW 15MG GENERIC (01) Laxatives
LAXATIVE TAB 15MG GENERIC (01) Laxatives
LAXATIVE TAB 25MG GENERIC (01) Laxatives
LAXATIVE TAB MAX-STR GENERIC (01) Laxatives
LAXATIVE TAB W/SENNA GENERIC (01) Laxatives
LAXATIVE POL POW GLYCOL GENERIC (01) Laxatives
LITTLE TUMMY DRO LAXATIVE PREFERRED BRAND (02) Laxatives
MEDI-LAX TAB 15MG GENERIC (01) Laxatives
MEDI-NATURAL TAB 8.6MG GENERIC (01) Laxatives
MIRALAX POW PREFERRED BRAND (02) Laxatives
MIRALAX POW 3350 NF PREFERRED BRAND (02) Laxatives
NAT VEG LAX TAB 8.6MG GENERIC (01) Laxatives
NATURAL LAX TAB 8.6MG GENERIC (01) Laxatives
NATURA-LAX POW 3350 NF GENERIC (01) Laxatives
NULYTELY SOL FLAV PKS PREFERRED BRAND (02) Laxatives
PEG 3350 POW GENERIC (01) Laxatives
PEG3350 POW GENERIC (01) Laxatives
PEG-3350/KCL SOL /SODIUM GENERIC (01) Laxatives
PEGYLAX POW GENERIC (01) Laxatives
PERDIEM OVER TAB 15MG GENERIC (01) Laxatives
POLYETH GLYC POW 3350 NF GENERIC (01) Laxatives
POLYETH GLYC POW 3350-GRX GENERIC (01) Laxatives
POWDERLAX POW GENERIC (01) Laxatives
PX LAXATIVE TAB 8.6MG GENERIC (01) Laxatives

Medication Guide 160

 QC SENNA TAB 8.6MG GENERIC (01) Laxatives
RA LAXATIVE CHW 15MG GENERIC (01) Laxatives
RA LAXATIVE POW GENERIC (01) Laxatives
RA LAXATIVE TAB 25MG GENERIC (01) Laxatives
RA LAXATIVE TAB EX ST GENERIC (01) Laxatives
RA SENNA CAP 8.6MG GENERIC (01) Laxatives
RA SENNA TAB 8.6MG GENERIC (01) Laxatives
SB SENNA-LAX TAB 8.6MG GENERIC (01) Laxatives
SENEXON LIQ 8.8MG/5 GENERIC (01) Laxatives
SENEXON TAB 8.6MG GENERIC (01) Laxatives
SENNA CAP 8.6MG GENERIC (01) Laxatives
SENNA SYP 8.8MG/5 GENERIC (01) Laxatives
SENNA TAB 8.6MG GENERIC (01) Laxatives
SENNA LAX TAB 8.6MG GENERIC (01) Laxatives
SENNA LAXATI TAB 8.6MG GENERIC (01) Laxatives
SENNA SMOOTH TAB 15MG GENERIC (01) Laxatives
SENNACON TAB 8.6MG GENERIC (01) Laxatives
SENNA-EXTRA TAB 17.2MG GENERIC (01) Laxatives
SENNA-GRX SYP 8.8MG/5 GENERIC (01) Laxatives
SENNA-LAX TAB 8.6MG GENERIC (01) Laxatives
SENNA-TABS TAB 8.6MG GENERIC (01) Laxatives
SENNA-TIME TAB 8.6MG GENERIC (01) Laxatives
SENNAZON SYP 8.8MG/5 GENERIC (01) Laxatives
SENNO TAB 8.6MG GENERIC (01) Laxatives
SENNOSIDES TAB 8.6MG GENERIC (01) Laxatives
SENOKOT TAB 8.6MG PREFERRED BRAND (02) Laxatives
SENOKOT EXTR TAB 17.2MG GENERIC (01) Laxatives
SENOKOT XTRA TAB 17.2MG PREFERRED BRAND (02) Laxatives
SM CLEARLAX POW GENERIC (01) Laxatives
SM LAXATIVE TAB 25MG GENERIC (01) Laxatives
SM SENNA LAX TAB 8.6MG GENERIC (01) Laxatives
SM SENNA LAX TAB MAX STR GENERIC (01) Laxatives
SMOOTH LAX POW GENERIC (01) Laxatives

Medication Guide 161

 SMOOTH LAX POW 3350 NF GENERIC (01) Laxatives
SW CLEARLAX POW GENERIC (01) Laxatives
TGT NATURAL TAB LAXATIVE GENERIC (01) Laxatives
TGT SENNA TAB 8.6MG GENERIC (01) Laxatives
TRILYTE SOL GENERIC (01) Laxatives
AZITHROMYCIN INJ 500MG GENERIC (01) Macrolides
AZITHROMYCIN POW 1GM PAK PREFERRED BRAND (02) Macrolides
AZITHROMYCIN SUS 100/5ML GENERIC (01) Macrolides
AZITHROMYCIN SUS 200/5ML GENERIC (01) Macrolides
AZITHROMYCIN TAB 250MG GENERIC (01) Macrolides
AZITHROMYCIN TAB 500MG GENERIC (01) Macrolides
AZITHROMYCIN TAB 600MG GENERIC (01) Macrolides
BIAXIN SUS 250/5ML PREFERRED BRAND (02) Macrolides
BIAXIN TAB 250MG PREFERRED BRAND (02) Macrolides
BIAXIN TAB 500MG PREFERRED BRAND (02) Macrolides
BIAXIN XL TAB 500MG PREFERRED BRAND (02) Macrolides
BIAXIN XL TAB PAC 500 PREFERRED BRAND (02) Macrolides
CLARITHROMYC SUS 125/5ML GENERIC (01) Macrolides
CLARITHROMYC SUS 250/5ML GENERIC (01) Macrolides
CLARITHROMYC TAB 250MG GENERIC (01) Macrolides
CLARITHROMYC TAB 500MG GENERIC (01) Macrolides
CLARITHROMYC TAB 500MG ER GENERIC (01) Macrolides
E.E.S. 400 TAB 400MG PREFERRED BRAND (02) Macrolides
E.E.S. GRAN SUS 200/5ML PREFERRED BRAND (02) Macrolides
ERYPED SUS 200/5ML PREFERRED BRAND (02) Macrolides
ERYPED SUS 400/5ML PREFERRED BRAND (02) Macrolides
ERY-TAB TAB 250MG EC PREFERRED BRAND (02) Macrolides
ERY-TAB TAB 333MG EC PREFERRED BRAND (02) Macrolides
ERY-TAB TAB 500MG EC PREFERRED BRAND (02) Macrolides
ERYTHROCIN TAB 250MG PREFERRED BRAND (02) Macrolides
ERYTHROM ETH SUS 200/5ML GENERIC (01) Macrolides
ERYTHROM ETH TAB 400MG PREFERRED BRAND (02) Macrolides
ERYTHROM ST TAB 250MG PREFERRED BRAND (02) Macrolides

Medication Guide 162

 ERYTHROMYCIN CAP 250MG EC GENERIC (01) Macrolides
ERYTHROMYCIN POW PREFERRED BRAND (02) Macrolides
ERYTHROMYCIN POW ETHYLSUC PREFERRED BRAND (02) Macrolides
ERYTHROMYCIN TAB 250MG BS PREFERRED BRAND (02) Macrolides
ERYTHROMYCIN TAB 500MG BS PREFERRED BRAND (02) Macrolides
ZITHROMAX INJ 500MG PREFERRED BRAND (02) Macrolides
ZITHROMAX POW 1GM PAK PREFERRED BRAND (02) Macrolides
ZITHROMAX SUS 100/5ML PREFERRED BRAND (02) Macrolides
ZITHROMAX SUS 200/5ML PREFERRED BRAND (02) Macrolides
ZITHROMAX TAB 250MG PREFERRED BRAND (02) Macrolides
ZITHROMAX TAB 500MG PREFERRED BRAND (02) Macrolides
ZITHROMAX TAB 600MG PREFERRED BRAND (02) Macrolides
ZITHROMAX TAB TRI-PAK PREFERRED BRAND (02) Macrolides
ZITHROMAX TAB Z-PAK PREFERRED BRAND (02) Macrolides
ZMAX SUS 2GM PREFERRED BRAND (02) Macrolides
1M ALLR SYR MIS 27GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
1ML ALLR SYR MIS 27GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
1ML SYRINGE MIS 29G PREFERRED BRAND (02) Medical Devices and Supplies
1ML SYRINGE MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
1ML TB SYRNG MIS 25GX5/8" PREFERRED BRAND (02) Medical Devices and Supplies
1ML TB SYRNG MIS 27GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
1ST CHOICE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
1ST TIER UNI MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
1ST TIER UNI MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
1ST TIER UNI MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
3CC SYRINGE MIS /NEEDLE GENERIC (01) Medical Devices and Supplies
3ML CARTRIDG MIS PLASTIC PREFERRED BRAND (02) Medical Devices and Supplies
3ML SYRINGE MIS LUER-LOK PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT AVA CONN PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT AVIVA PL PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT COMBO PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT COMPACT PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT FASTCLIX PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 163

 ACCU-CHEK KIT GUIDE PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT MLTICLIX PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT NANO PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT SOFTCLIX PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK KIT SPIRIT PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK MIS AVIVA PREFERRED BRAND (02) Medical Devices and Supplies
ACCU-CHEK MIS MLTICLIX PREFERRED BRAND (02) Medical Devices and Supplies
ACTI-LANCE MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
ACTI-LANCE MIS LITE 28G PREFERRED BRAND (02) Medical Devices and Supplies
ACTI-LANCE MIS SPEC 17G PREFERRED BRAND (02) Medical Devices and Supplies
ACTI-LANCE MIS UNIV 23G PREFERRED BRAND (02) Medical Devices and Supplies
ACTIVE 1ST MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
ACURA BLOOD KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
ACURA BLOOD KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
ACURA PLUS KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
ACURA PLUS KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
ADJ LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
ADV LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
ADV TRAVEL MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
ADVANCE KIT INTUITIO PREFERRED BRAND (02) Medical Devices and Supplies
ADVANCE MIS INTUITIO PREFERRED BRAND (02) Medical Devices and Supplies
ADVANCE MIS MICRO-DW PREFERRED BRAND (02) Medical Devices and Supplies
ADVCATE SAFE MIS LANC 26G PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE KIT PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE KIT REDICODE PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE MIS PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE MIS REDICODE PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE DUO KIT TALKING PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE DUO MIS TALKING PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 164

 ADVOCATE RED MIS PREFERRED BRAND (02) Medical Devices and Supplies
ADVOCATE+ MIS REDI-COD PREFERRED BRAND (02) Medical Devices and Supplies
AF LANCETS MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
AGAMA JAZZ KIT WRLSS 2 PREFERRED BRAND (02) Medical Devices and Supplies
AGAMATRIX KIT PRESTO PREFERRED BRAND (02) Medical Devices and Supplies
AGAMATRIX MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
AGAMATRIX MIS AMP PREFERRED BRAND (02) Medical Devices and Supplies
AGAMATRIX MIS PRESTO PREFERRED BRAND (02) Medical Devices and Supplies
ALCOH-GLOVE PAD CONTOURE PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PAD PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PAD 70% PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PAD PREP PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PAD SWABSTIC PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PREP PAD PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PREP PAD 70% PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PREP PAD MED 70% PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PREP PAD PADS 70% PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL PREP PADS GENERIC (01) Medical Devices and Supplies
ALCOHOL SWAB PAD PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL SWAB PAD 70% PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL SWAB PAD EX-THICK PREFERRED BRAND (02) Medical Devices and Supplies
ALCOHOL WIPE PAD PREFERRED BRAND (02) Medical Devices and Supplies
ALCOH-WIPE PAD 12"X12" PREFERRED BRAND (02) Medical Devices and Supplies
ALTRNATE SIT MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
ANIMAS VIBE KIT INSULIN PREFERRED BRAND (02) Medical Devices and Supplies
AQUA LANCE MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE MIS PLATINUM PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE 3 KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE 4 MIS PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE CMFRT MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE CMFRT MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE LANCE MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 165

 ASSURE LANCE MIS LOW FLOW PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE LANCE MIS MICRO PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE LANCE MIS SAFE 25G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE LANCE MIS SAFE 30G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PLUS MIS HIGH 18G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PLUS MIS LOW 25G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PLUS MIS MCRO 28G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PLUS MIS NORM 21G PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PLUS MIS PEDIATRI PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PRISM MIS MULTI PREFERRED BRAND (02) Medical Devices and Supplies
ASSURE PRO MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
AT LAST KIT GLUCOSE PREFERRED BRAND (02) Medical Devices and Supplies
AT LAST MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
AURORA LANCE MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
AURORA LANCE MIS THIN 23G PREFERRED BRAND (02) Medical Devices and Supplies
AUTO LANCET MIS PREFERRED BRAND (02) Medical Devices and Supplies
AUTOCODE SYS KIT GLUCOSE PREFERRED BRAND (02) Medical Devices and Supplies
AUTO-LANCET MIS PREFERRED BRAND (02) Medical Devices and Supplies
AUTO-LANCET MIS MINI PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET II KIT CLINISAF PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET IMPR MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET LITE KIT PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET LITE KIT CLINISAF PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET LITE KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET MINI MIS PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET PLAT MIS 1.8MM PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET PLAT MIS 2.4MM PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET PLAT MIS 3.0MM PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET PLUS MIS PREFERRED BRAND (02) Medical Devices and Supplies
AUTOLET PLUS MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
AUTOSHIELD MIS 30GX3/16 PREFERRED BRAND (02) Medical Devices and Supplies
BAYER BREEZE KIT 2 SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 166

 BAYER MICRLT MIS LANC DVC PREFERRED BRAND (02) Medical Devices and Supplies
BAYER MICRLT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
BD ECLIPSE MIS 1ML/30G PREFERRED BRAND (02) Medical Devices and Supplies
BD LANCET MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
BD LANCET UF MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
BD LANCET UF MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
BD LATITUDE KIT PREFERRED BRAND (02) Medical Devices and Supplies
BD LATITUDE KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
BD LOGIC KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
BD MAGNIGUID MIS MAGNIFIR PREFERRED BRAND (02) Medical Devices and Supplies
BD MICROTAIN MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
BD PEN NEEDL MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
BD PEN NEEDL MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
BD SWAB BFLY PAD SNGL USE PREFERRED BRAND (02) Medical Devices and Supplies
BD SWAB REG PAD SNGL USE PREFERRED BRAND (02) Medical Devices and Supplies
BD U-500 MIS 31GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
BD-INSUL SYR MIS LO DOSE PREFERRED BRAND (02) Medical Devices and Supplies
BD-INSUL SYR MIS U-100 PREFERRED BRAND (02) Medical Devices and Supplies
BLOOD GLUC KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
BLOOD GLUC MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
BLOOD GLUC MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
BLOOD GLUCOS KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
BLOOD GLUCOS KIT TRUETEST PREFERRED BRAND (02) Medical Devices and Supplies
BREEZE 2 MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
BULLSEYE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
BULLSEYE MIS MINI LNC PREFERRED BRAND (02) Medical Devices and Supplies
CARDIOCOM MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
CAREFINE MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
CAREFINE MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
CAREFINE MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
CAREFINE MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
CAREONE ADV MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
CAREONE LANC MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 167

 CAREONE LANC MIS THIN 23G PREFERRED BRAND (02) Medical Devices and Supplies
CARESENS N MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
CARESENS N MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
CARESENS N MIS VOICE PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS EJECTOR PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS TWIST 28 PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH MIS TWIST 30 PREFERRED BRAND (02) Medical Devices and Supplies
CARETOUCH PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
CARTRIDGE MIS 3.15ML PREFERRED BRAND (02) Medical Devices and Supplies
CARTRIDGE MIS 3ML PREFERRED BRAND (02) Medical Devices and Supplies
CARTRIDGE MIS IR 1000 PREFERRED BRAND (02) Medical Devices and Supplies
CARTRIDGE MIS IR 1200 PREFERRED BRAND (02) Medical Devices and Supplies
CARTRIDGE MIS PUMP PREFERRED BRAND (02) Medical Devices and Supplies
CAYA DPR PREFERRED BRAND (02) Medical Devices and Supplies
CHEMSTRIP BG MIS LOG PREFERRED BRAND (02) Medical Devices and Supplies
CHOICE DM KIT RISK TST PREFERRED BRAND (02) Medical Devices and Supplies
CLEANLET 28G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHECK MIS PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHECK MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHEK KIT PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHEK KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHEK MIS AUTO-CD PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHEK MIS VOICE PREFERRED BRAND (02) Medical Devices and Supplies
CLEVER CHOIC KIT MICRO PREFERRED BRAND (02) Medical Devices and Supplies
CLEVR CHOICE MIS AUTO-CD PREFERRED BRAND (02) Medical Devices and Supplies
CLEVR CHOICE MIS MINI PREFERRED BRAND (02) Medical Devices and Supplies
CLICKFINE MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
CLICKFINE MIS 32GX5/32 PREFERRED BRAND (02) Medical Devices and Supplies
CLOSERCARE MIS PREFERRED BRAND (02) Medical Devices and Supplies
COAGUCHEK MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 168

 COMFORT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT ASSU MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT ASSU MIS LANC 33G PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 32GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 33GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 33GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 33GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT EZ MIS 33GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SET MIS 23"/17MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SET MIS 31"/17MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SET MIS 32"/17MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SET MIS 43"/17MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SHRT MIS 23"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SHRT MIS 31"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SHRT MIS 32"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORT SHRT MIS 43"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
COMFORTOUCH MIS LANCET PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT LINK PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT NEXT PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT NEXT EZ PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT NEXT LNK PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR KIT NEXT USB PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
CONTOUR NEXT KIT ONE PREFERRED BRAND (02) Medical Devices and Supplies
CONTROL KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
COOL MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
COOL MONITOR KIT PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 169

 CURITY PREP PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
CURITY SWABS PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
CVS GLUCOSE KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS ORIGINAL PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCETS MIS THIN 33G PREFERRED BRAND (02) Medical Devices and Supplies
CVS LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
D-CARE GLUCO KIT TEST STR PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 1B PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 1G PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 1K PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 2GK PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 2GP PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 4NL PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 4OBL PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS 4PH PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN MIS CONTROL PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 10 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 3 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 5 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 6 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 7 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 8 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASCREEN 9 MIS PREFERRED BRAND (02) Medical Devices and Supplies
DIASTAR MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
DIASTAR EASY MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
DIATRUE PLUS MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
DROPLET LANC MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
DROPLET LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 170

 D-TRON MIS ADAPTER PREFERRED BRAND (02) Medical Devices and Supplies
D-TRON FILL MIS SET PREFERRED BRAND (02) Medical Devices and Supplies
D-TRON GLASS MIS CARTRIDG PREFERRED BRAND (02) Medical Devices and Supplies
D-TRON POWER MIS PACK PREFERRED BRAND (02) Medical Devices and Supplies
DUO-CARE MIS PREFERRED BRAND (02) Medical Devices and Supplies
EASY COMFORT MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
EASY COMFORT MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
EASY COMFORT MIS 32GX5/32 PREFERRED BRAND (02) Medical Devices and Supplies
EASY COMFORT MIS LANC/30G PREFERRED BRAND (02) Medical Devices and Supplies
EASY MINI MIS PREFERRED BRAND (02) Medical Devices and Supplies
EASY MINI MIS EJECT PREFERRED BRAND (02) Medical Devices and Supplies
EASY PLUS KIT PREFERRED BRAND (02) Medical Devices and Supplies
EASY PLUS MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EASY PLUS II MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASY STEP KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EASY STEP MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EASY TALK KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASY TALK MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 29GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 32GX1/4" PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 32GX3/16 PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 32GX5/32 PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/21G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/23G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/26G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/28G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/30G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUCH MIS LANC/32G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 171

 EASY TOUCH MIS LANC/33G PREFERRED BRAND (02) Medical Devices and Supplies
EASY TOUNCH MIS GLUCOSE PREFERRED BRAND (02) Medical Devices and Supplies
EASY TRAK KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASY TRAK MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYGLUCO KIT PREFERRED BRAND (02) Medical Devices and Supplies
EASYGLUCO KIT PLUS BLD PREFERRED BRAND (02) Medical Devices and Supplies
EASYGLUCO KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX L KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX L MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX N KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX N MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX NG KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX NG MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX V KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX V MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX V2 KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYMAX V2 MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYPLS R13N KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYPLUS V KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
EASYPRO KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EASYPRO PLUS KIT PREFERRED BRAND (02) Medical Devices and Supplies
EASYTEST MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EASYTEST II MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ELEMENT AUTO KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
ELEMENT GLUC MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
ELEMENT PLUS MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
EMBRACE MIS PREFERRED BRAND (02) Medical Devices and Supplies
EMBRACE MIS GLUCOSE PREFERRED BRAND (02) Medical Devices and Supplies
EMBRACE EVO KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EMBRACE LANC MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
EMBRACE PRO MIS PREFERRED BRAND (02) Medical Devices and Supplies
ENLITE MIS SERTER PREFERRED BRAND (02) Medical Devices and Supplies
EQL LANCETS MIS 21G COLR PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 172

 EQL LANCETS MIS 33G COLR PREFERRED BRAND (02) Medical Devices and Supplies
EQL LANCETS MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
EQL LANCETS MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
EVENCAR MINI MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EVENCARE G2 MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EVENCARE G3 MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
EVENCARE SYS KIT BG MONIT PREFERRED BRAND (02) Medical Devices and Supplies
EVOLUTION MIS AUTOCODE PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS 21G COLR PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS 32G COLR PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS LANC 21G PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
E-Z JECT MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
EZ SMART MIS PREFERRED BRAND (02) Medical Devices and Supplies
EZ SMART MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EZ SMART PLS MIS PREFERRED BRAND (02) Medical Devices and Supplies
E-ZJECT LANC MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
EZ-LETS 21G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EZ-LETS 23G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EZ-LETS 26G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EZ-LETS 28G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
EZ-LETS 30G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FASTCLIX MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FEMCAP MIS 22MM PREFERRED BRAND (02) Medical Devices and Supplies
FEMCAP MIS 26MM PREFERRED BRAND (02) Medical Devices and Supplies
FEMCAP MIS 30MM PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 GLUC KIT METR 2.0 PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 PEN MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 PEN MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 173

 FIFTY50 PEN MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 PREP PAD PADS PREFERRED BRAND (02) Medical Devices and Supplies
FIFTY50 SAFE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FINE 30 MIS PREFERRED BRAND (02) Medical Devices and Supplies
FINGERSTIX MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FLEXLINK MIS PLS/10MM PREFERRED BRAND (02) Medical Devices and Supplies
FLEXLINK MIS PLUS/6MM PREFERRED BRAND (02) Medical Devices and Supplies
FLEXLINK MIS PLUS/8MM PREFERRED BRAND (02) Medical Devices and Supplies
FORA MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FORA MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
FORA D10 MIS 2-IN-1 PREFERRED BRAND (02) Medical Devices and Supplies
FORA D15G MIS 2-IN-1 PREFERRED BRAND (02) Medical Devices and Supplies
FORA D20 MIS 2-IN-1 PREFERRED BRAND (02) Medical Devices and Supplies
FORA D40 MIS GLUC/PRE PREFERRED BRAND (02) Medical Devices and Supplies
FORA G20 KIT PREFERRED BRAND (02) Medical Devices and Supplies
FORA G30A MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORA GD20 MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORA GD50 MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
FORA LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
FORA TEST N' MIS GO PREFERRED BRAND (02) Medical Devices and Supplies
FORA TN'G KIT VOICE PREFERRED BRAND (02) Medical Devices and Supplies
FORA V10 MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORA V12 MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORA V12 MIS NO CODE PREFERRED BRAND (02) Medical Devices and Supplies
FORA V20 MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORA V30A KIT PREFERRED BRAND (02) Medical Devices and Supplies
FORA V30A MIS PREFERRED BRAND (02) Medical Devices and Supplies
FORACARE MIS GD40 PREFERRED BRAND (02) Medical Devices and Supplies
FORACARE MIS TST N GO PREFERRED BRAND (02) Medical Devices and Supplies
FORTISCARE KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE KIT FREEDOM PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE KIT INSULINX PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE KIT SIDEKICK PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 174

 FREESTYLE KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE MIS LITE PREFERRED BRAND (02) Medical Devices and Supplies
FREESTYLE MIS UNISTICK PREFERRED BRAND (02) Medical Devices and Supplies
GE100 BLOOD MIS GLUCOSE PREFERRED BRAND (02) Medical Devices and Supplies
GE100 GLUCOS KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
GENTLE-LET MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
GENTLE-LET MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
GENTLE-LET MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
GENTLE-LET MIS PLATFORM PREFERRED BRAND (02) Medical Devices and Supplies
GLOBAL 28G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
GLOBAL 30G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
GLOBAL LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
GLOBAL PREP PAD PADS PREFERRED BRAND (02) Medical Devices and Supplies
GLUCO PERFEC MIS 3 METER PREFERRED BRAND (02) Medical Devices and Supplies
GLUCO PERFEC MIS 3/VOICE PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD KIT EXPRESSI PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD KIT SHINE PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD KIT VITAL PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD KIT X-METER PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD MIS SHINE PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD 01 KIT MINI PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD 01 KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCARD 01 MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM MIS AUTOLINK PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOCOM MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOLET 2 MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
GLUCONAVII KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOPRO SYR MIS RES 3ML PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 175

 GLUCOSOURCE MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
GLUCOSOURCE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
GMATE LANCET MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
GMATE LANCIN MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
GMATE ORIGIN MIS GLUC SYS PREFERRED BRAND (02) Medical Devices and Supplies
GMATE SMART KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
GMATE SMART KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
GMATE VOICE MIS GLUC SYS PREFERRED BRAND (02) Medical Devices and Supplies
GNP ALCOHOL PAD SWABS PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS MICRO PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS SUP THIN PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
GNP LANCETS MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
GOODSENSE MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
GOODSENSE MIS LANC DVC PREFERRED BRAND (02) Medical Devices and Supplies
GUARDIAN RT KIT PREFERRED BRAND (02) Medical Devices and Supplies
GUARDIAN RT KIT STARTER PREFERRED BRAND (02) Medical Devices and Supplies
GUARDIAN RT KIT SYST PED PREFERRED BRAND (02) Medical Devices and Supplies
GUARDIAN RT KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS HIGH FLO PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS LOW FLOW PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS PLUS PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS PLUS LOW PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS PLUS MAX PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS PLUS PED PREFERRED BRAND (02) Medical Devices and Supplies
HAEMOLANCE MIS RETRACT PREFERRED BRAND (02) Medical Devices and Supplies
HC LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
HEALTHPRO KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
HLTHY ACCNTS MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
H-TRONPLUS MIS POWER PK PREFERRED BRAND (02) Medical Devices and Supplies
HYPOLANCE KIT LANCING PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 176

 IBG STAR KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
IN CONTROL MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
IN TOUCH MIS PREFERRED BRAND (02) Medical Devices and Supplies
IN TOUCH LAN MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
IN TOUCH LAN MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL MIS LANC 33G PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
INCONTROL PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
INFINITY KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" 13MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" 17MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" 6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" 8MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23" 9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 23"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 24" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 24" 6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 24" 9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 24"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 31" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 31" 6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 31" 9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 32" 8MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 42" 6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 42" 9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 42"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43" 13MM PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 177

 INFUSION SET MIS 43" 17MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43" 6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43" 8MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43" 9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS 43"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS CATH 23" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS CATH 31" PREFERRED BRAND (02) Medical Devices and Supplies
INFUSION SET MIS CATH 43" PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN PEN MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN PEN MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN PUMP KIT IR2020 PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYR MIS 0.3/31G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYR MIS 0.5/31G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYR MIS 1ML/31G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYR MIS 31GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.3/28G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.3/29G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.3/30G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.3/31G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.5/27G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.5/28G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.5/29G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.5/30G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 0.5/31G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/25G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/26G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/27G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/28G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/29G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/30G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 1ML/31G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 178

 INSULIN SYRG MIS 1MLX30G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 2/27.5G PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 27GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 28GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 29GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 30GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 30GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
INSULIN SYRG MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUL-TOTE MIS PREFERRED BRAND (02) Medical Devices and Supplies
INSUL-TOTE MIS JR PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN MIS 33GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN SENS MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN SENS MIS 32GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN ULTR MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN ULTR MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
INSUPEN ULTR MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
KINNEY MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
KINNEY THIN MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
KROGER BGM KIT PREFERRED BRAND (02) Medical Devices and Supplies
KROGER BGM KIT PREMIUM PREFERRED BRAND (02) Medical Devices and Supplies
KROGER LANCE MIS PREFERRED BRAND (02) Medical Devices and Supplies
KROGER LANCE MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
KROGER LANCE MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET ALTER MIS SITE 26G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET AUTO MIS INJECTOR PREFERRED BRAND (02) Medical Devices and Supplies
LANCET CARRY MIS CASE PREFERRED BRAND (02) Medical Devices and Supplies
LANCET DEVIC MIS ADJUST PREFERRED BRAND (02) Medical Devices and Supplies
LANCET MICRO MIS THIN 33G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET STAND MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET SUPER MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 179

 LANCET ULTRA MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET ULTRA MIS FINE PREFERRED BRAND (02) Medical Devices and Supplies
LANCET ULTRA MIS THIN 28G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET ULTRA MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCET WITH MIS EJECTOR PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 21G COLR PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 23G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 31G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS COLORED PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS ORANGE PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS ORIGINAL PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS MICR MIS THIN 33G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS SUPR MIS THIN 28G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS THIN MIS PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS THIN MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS THIN MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS ULTR MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS ULTR MIS THIN 28G PREFERRED BRAND (02) Medical Devices and Supplies
LANCETS ULTR MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
LANCING DEVI MIS PREFERRED BRAND (02) Medical Devices and Supplies
LANCING DEVI MIS 25G PREFERRED BRAND (02) Medical Devices and Supplies
LANCING DEVI MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
LANCING DEVI MIS ADJUST PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 180

 LANCING PEN MIS PREFERRED BRAND (02) Medical Devices and Supplies
LANZO MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
LB LANCET MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
LB LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
LIBERTY NEXT MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
LIFESCAN MIS UNISTIK2 PREFERRED BRAND (02) Medical Devices and Supplies
LITE TOUCH MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
LITE TOUCH MIS LANC PEN PREFERRED BRAND (02) Medical Devices and Supplies
LITE TOUCH MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
LITETOUCH MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
LITETOUCH MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
LONGS LANCET MIS STANDARD PREFERRED BRAND (02) Medical Devices and Supplies
LONGS LANCET MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
LONGS LANCET MIS ULTRA TH PREFERRED BRAND (02) Medical Devices and Supplies
MAXIMA KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
MAXIMA METER KIT PREFERRED BRAND (02) Medical Devices and Supplies
MAXIMA START KIT PREFERRED BRAND (02) Medical Devices and Supplies
MEDICHOICE MIS LANCET PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS 30G PLUS PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS EXTR 21G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS LITE 25G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS PLUS PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS PLUS 30G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE MIS UNV 21G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE PLS MIS 0.8MM PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE PLS MIS EXTR 21G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE PLS MIS LITE 25G PREFERRED BRAND (02) Medical Devices and Supplies
MEDLANCE PLS MIS UNIV 21G PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER BGM KIT ESSENTIA PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER BGM KIT PREMIUM PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER GLUCO KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER LANCE MIS COLOR PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 181

 MEIJER LANCE MIS UNIV 21G PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER LANCE MIS UNIV 30G PREFERRED BRAND (02) Medical Devices and Supplies
MEIJER LANCE MIS UNIVERSA PREFERRED BRAND (02) Medical Devices and Supplies
MICRO THIN MIS LANC 33G PREFERRED BRAND (02) Medical Devices and Supplies
MICRODOT KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
MICROLET MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
MICROLET MIS NEXT PREFERRED BRAND (02) Medical Devices and Supplies
MICROTAINER MIS LANCET PREFERRED BRAND (02) Medical Devices and Supplies
MINI LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
MINIMED 630G KIT INSULIN PREFERRED BRAND (02) Medical Devices and Supplies
MINIMED PUMP MIS RES 3ML PREFERRED BRAND (02) Medical Devices and Supplies
MINIMED RESE MIS 1.8ML PREFERRED BRAND (02) Medical Devices and Supplies
MINIMED RESE MIS 3ML PREFERRED BRAND (02) Medical Devices and Supplies
MIO INF SET MIS 18"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
MIO INF SET MIS 23"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
MIO INF SET MIS 32"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
MIO INF SET MIS 32"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
MONOJECTOR MIS END CAPS PREFERRED BRAND (02) Medical Devices and Supplies
MONOLET MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
MONOLET OPD MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
MONOLETTOR MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
MULTI-LANCET KIT DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
MULTI-LANCET MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
MYGLUCOHEALT KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
MYGLUCOHEALT MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
NEUTEK 2TEK MIS GLUC/PRE PREFERRED BRAND (02) Medical Devices and Supplies
NEXGEN KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
NOVA MAX KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
NOVA MAX MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
NOVA SAFETY MIS LANC 23G PREFERRED BRAND (02) Medical Devices and Supplies
NOVA SAFETY MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
NOVA SURE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
NOVA SUREFLX MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 182

 NOVOFINE MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
NOVOFINE MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
NOVOFINE AUT MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
NOVOFINE PLS MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
NOVOTWIST MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
NOVOTWIST MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
OMNIFLEX DPR PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL EXPR KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL EXPR MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL PLUS KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL PLUS KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL PLUS MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL PLUS MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL PLUS MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL VIVD KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL VIVD KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
ON CALL VIVD MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT PING/BLK PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT PING/BLU PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT PING/GRN PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT PING/PNK PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT PING/SLV PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT ULT MINI PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT ULTRA 2 PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT ULTRALNK PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT VERIO PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH KIT VERIO IQ PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH MIS COMBO PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 183

 ONETOUCH MIS REMOTE PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH FP MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH PNG KIT INS PUMP PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH US MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ONETOUCH VER KIT SYNC PREFERRED BRAND (02) Medical Devices and Supplies
ON-THE-GO MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
OPTIUM KIT BL GLUC PREFERRED BRAND (02) Medical Devices and Supplies
OPTIUM MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
OPTUMRX KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
OPTUMRX KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM KIT LINK PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM QR MIS POLY 24" PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM QR MIS POLY 42" PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM RES MIS 1.8ML PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM RES MIS 3ML PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM SOF MIS -SET 24" PREFERRED BRAND (02) Medical Devices and Supplies
PARADIGM SOF MIS -SET 42" PREFERRED BRAND (02) Medical Devices and Supplies
PC LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLE MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 29GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 30GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 30GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 30GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 32GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN NEEDLES MIS 33GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
PENLET II KIT BLOOD PREFERRED BRAND (02) Medical Devices and Supplies
PENLET II MIS REPL CAP PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 184

 PENTIPS MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
PENTIPS MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
PENTIPS MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
PEN-TOTE MIS PREFERRED BRAND (02) Medical Devices and Supplies
PERFECT 28G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
PERFECT 30G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
PHARMACY COU MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
POCKETCHEM KIT EZ PREFERRED BRAND (02) Medical Devices and Supplies
POLYFIN 24" MIS INFUSION PREFERRED BRAND (02) Medical Devices and Supplies
POLYFIN 42" MIS INFUSION PREFERRED BRAND (02) Medical Devices and Supplies
POLYFIN 42" MIS QR INFUS PREFERRED BRAND (02) Medical Devices and Supplies
POLYFIN 60" MIS TUBING PREFERRED BRAND (02) Medical Devices and Supplies
PREC NEO SYS KIT FREESTYL PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION KIT LINK PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION KIT XTRA PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION MIS 28G(T) PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION MIS QID PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION MIS SOF-TACT PREFERRED BRAND (02) Medical Devices and Supplies
PRECISION MIS XTRA PREFERRED BRAND (02) Medical Devices and Supplies
PREM V10 BLE MIS GLUC SYS PREFERRED BRAND (02) Medical Devices and Supplies
PREMIUM V10 MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
PRENTIF MIS 22MM PREFERRED BRAND (02) Medical Devices and Supplies
PRENTIF MIS 25MM PREFERRED BRAND (02) Medical Devices and Supplies
PRENTIF MIS 28MM PREFERRED BRAND (02) Medical Devices and Supplies
PRENTIF MIS 31MM PREFERRED BRAND (02) Medical Devices and Supplies
PREP PADS PAD PREFERRED BRAND (02) Medical Devices and Supplies
PRESSURE ACT MIS LANCET PREFERRED BRAND (02) Medical Devices and Supplies
PRESSURE ACT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT MIS 31G PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT MIS 32GX5MM PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 185

 PRO COMFORT MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
PRO COMFORT PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY AUTO KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY AUTO MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY PCKT KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
PRODIGY VOIC KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
PSS SAFE LAN MIS PREFERRED BRAND (02) Medical Devices and Supplies
PSS SEL LANC MIS PREFERRED BRAND (02) Medical Devices and Supplies
PSS SEL PLAT MIS PREFERRED BRAND (02) Medical Devices and Supplies
PX LANCETS MIS ULT THIN PREFERRED BRAND (02) Medical Devices and Supplies
QC ALCOHOL PAD SWABS PREFERRED BRAND (02) Medical Devices and Supplies
QC LANCETS MIS PREFERRED BRAND (02) Medical Devices and Supplies
QC LANCETS MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
QC LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
QC LANCETS MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
QC LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SERTER MIS INS DEV PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 18"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 23"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 23"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 32"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 32"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 43"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICK-SET MIS 43"/9MM PREFERRED BRAND (02) Medical Devices and Supplies
QUICKTEK KIT PREFERRED BRAND (02) Medical Devices and Supplies
QUINTET MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
QUINTET AC MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
RA ALCOHOL PAD SWABS PREFERRED BRAND (02) Medical Devices and Supplies
RA E-ZJECT MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 186

 RA E-ZJECT MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
RA E-ZJECT MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
RA E-ZJECT MIS THIN 28G PREFERRED BRAND (02) Medical Devices and Supplies
RA E-ZJECT MIS ULT THIN PREFERRED BRAND (02) Medical Devices and Supplies
RA GLUCOSE MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
RA TRUE2GO KIT PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 24"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 24"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 24"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 31"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 31"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 31"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 43"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 43"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D INF MIS 43"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-D LINK MIS TRANSFER PREFERRED BRAND (02) Medical Devices and Supplies
RAPID-SAFE MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
READYLANCE MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
REALITY MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
REALITY SWAB PAD PREFERRED BRAND (02) Medical Devices and Supplies
REALITY TRIG MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
REAL-TIME KIT PREFERRED BRAND (02) Medical Devices and Supplies
REDICODE+ KIT ADVOCATE PREFERRED BRAND (02) Medical Devices and Supplies
REFUAH PLUS KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
RELION KIT LANCING PREFERRED BRAND (02) Medical Devices and Supplies
RELION KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
RELION ALL- MIS IN-ONE PREFERRED BRAND (02) Medical Devices and Supplies
RELION LANCE MIS STND 21G PREFERRED BRAND (02) Medical Devices and Supplies
RELION LANCE MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
RELION LANCE MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
RELION LANCI MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
RELION MICRO KIT PREFERRED BRAND (02) Medical Devices and Supplies
RELION MICRO MIS THIN 33G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 187

 RELION PEN MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
RELION PEN MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
RELION PEN MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
RELION PRIME MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
RELION THIN MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
RELION ULTIM KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
RELION ULTRA MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
RELION ULTRA MIS THIN 32G PREFERRED BRAND (02) Medical Devices and Supplies
RELION ULTRA MIS THIN PLS PREFERRED BRAND (02) Medical Devices and Supplies
RESERVOIR MIS 1.8ML PREFERRED BRAND (02) Medical Devices and Supplies
RESERVOIR MIS 3ML PREFERRED BRAND (02) Medical Devices and Supplies
REVEAL KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST MIS GD500 PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST MIS GL300 PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST ALT MIS ADAPTOR PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST SYS KIT GM100 PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST SYS KIT GM300 PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTEST SYS KIT GM550 PREFERRED BRAND (02) Medical Devices and Supplies
RIGHTSOURCE MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-LANCE MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-LANCE MIS 25G PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-LANCE MIS HI FLOW PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-LANCE MIS LOW FLOW PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-LANCE MIS NOR FLOW PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-PRO MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SAFE-T-PRO MIS PLUS PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY 21G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY 28G MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY LET MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY SEAL MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
SAFETY SEAL MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
SAFETYGLIDE MIS 27GX5/8" PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 188

 SAPS CARE PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
SAPS HEALTH MIS TWIST PREFERRED BRAND (02) Medical Devices and Supplies
SAPS HEALTH PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
SAPSCARE MIS TWIST PREFERRED BRAND (02) Medical Devices and Supplies
SB ALCOHOL PAD PREP PREFERRED BRAND (02) Medical Devices and Supplies
SB LANCETS MIS THIN PREFERRED BRAND (02) Medical Devices and Supplies
SB LANCETS MIS ULTR THN PREFERRED BRAND (02) Medical Devices and Supplies
SELECT-LITE KIT DEV/LANC PREFERRED BRAND (02) Medical Devices and Supplies
SELECT-LITE MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
SEN-SERTER MIS PREFERRED BRAND (02) Medical Devices and Supplies
SHOPKO LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
SIDE BUTTON MIS SAFETY PREFERRED BRAND (02) Medical Devices and Supplies
SIDEKICK KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 13MM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 17MM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 18"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 23" SET PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 32"/13MM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 32"/17MM PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS 43" SET PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS COMBO PREFERRED BRAND (02) Medical Devices and Supplies
SILHOUETTE MIS FULL SET PREFERRED BRAND (02) Medical Devices and Supplies
SIL-SERTER MIS INS DEV PREFERRED BRAND (02) Medical Devices and Supplies
SIMPLE DIAG MIS LANCING PREFERRED BRAND (02) Medical Devices and Supplies
SINGLE-LET MIS 23G PREFERRED BRAND (02) Medical Devices and Supplies
SM ALCOHOL PAD PREP PREFERRED BRAND (02) Medical Devices and Supplies
SM LANCETS MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
SM LANCETS MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
SM LANCETS MIS THIN 26G PREFERRED BRAND (02) Medical Devices and Supplies
SM LANCETS MIS THIN 30G PREFERRED BRAND (02) Medical Devices and Supplies
SMART SENSE KIT GLUC SYS PREFERRED BRAND (02) Medical Devices and Supplies
SMART SENSE MIS LANC 21G PREFERRED BRAND (02) Medical Devices and Supplies
SMART SENSE MIS LANC 26G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 189

 SMART SENSE MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
SMART SENSE MIS LANC 33G PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST KIT EJECT PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST KIT PERSONA PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST KIT PRONTO PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST KIT PROTEGE PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST MIS EJECT PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SMARTEST MIS PROTEGE PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SERTER MIS INS DEV PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 24" KIT INFUSION PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 24" KIT MICRO QR PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 24" KIT ULTIM QR PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 42" KIT INFUSION PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 42" KIT MICRO QR PREFERRED BRAND (02) Medical Devices and Supplies
SOF-SET 42" KIT ULTIM QR PREFERRED BRAND (02) Medical Devices and Supplies
SOFT TOUCH MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SOFTCLIX MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SOLUS V2 KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
SOLUS V2 MIS AUDIBLE PREFERRED BRAND (02) Medical Devices and Supplies
SOLUS V2 MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
SOLUS V2 MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
SOLUS V2 MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
STERILANCE MIS 1.8MM PREFERRED BRAND (02) Medical Devices and Supplies
STERILANCE MIS TL 28G PREFERRED BRAND (02) Medical Devices and Supplies
STERILANCE MIS TL 30G PREFERRED BRAND (02) Medical Devices and Supplies
STERILANCE MIS TL 32G PREFERRED BRAND (02) Medical Devices and Supplies
SUPER THIN MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
SUPER THIN MIS LANCET PREFERRED BRAND (02) Medical Devices and Supplies
SUPER THIN MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SUPREME II MIS PADDLES PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS 0.5/31G PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS 30GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 190

 SURE COMFORT MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS 31GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS 32GX5/32 PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS 32GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANC 18G PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANC 21G PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANC 23G PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANC PEN PREFERRED BRAND (02) Medical Devices and Supplies
SURE COMFORT MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SURE EDGE MIS PREFERRED BRAND (02) Medical Devices and Supplies
SURECHEK KIT PREFERRED BRAND (02) Medical Devices and Supplies
SURECHEK MIS PREFERRED BRAND (02) Medical Devices and Supplies
SURE-FINE MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
SUREFLEX MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SURE-LANCE MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
SURE-LANCE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SURELITE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
SURE-PEN MIS PREFERRED BRAND (02) Medical Devices and Supplies
SURESTEP PRO KIT LINEARIT PREFERRED BRAND (02) Medical Devices and Supplies
SURE-T MIS 23"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
SURE-T MIS 23"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
SURE-TEST MIS EASYPLUS PREFERRED BRAND (02) Medical Devices and Supplies
SURE-TOUCH MIS UNV LANC PREFERRED BRAND (02) Medical Devices and Supplies
SYRINGE MIS 0.5/30G PREFERRED BRAND (02) Medical Devices and Supplies
SYRINGE 0.5 MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
T:30 INFUSIO MIS SET PREFERRED BRAND (02) Medical Devices and Supplies
T:FLEX 4.8ML MIS CARTRDGE PREFERRED BRAND (02) Medical Devices and Supplies
T:SLIM 3ML MIS CARTRDGE PREFERRED BRAND (02) Medical Devices and Supplies
T:SLIM G4 MIS CARTRDGE PREFERRED BRAND (02) Medical Devices and Supplies
TECHLITE MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
TECHLITE MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
TECHLITE AST MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 191

 TELCARE KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS 23G PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCET MIS ALTERNAT PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCING MIS ADV DEV PREFERRED BRAND (02) Medical Devices and Supplies
TGT LANCING MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
THIN LANCETS MIS PREFERRED BRAND (02) Medical Devices and Supplies
THIN LANCETS MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
THIN LANCETS MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
THINLETS MIS 28G(T) PREFERRED BRAND (02) Medical Devices and Supplies
THINLETS GP MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
TIER UNI PLS MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
TOPCARE MIS LANC 33G PREFERRED BRAND (02) Medical Devices and Supplies
TRACER II MIS 3 VOLT PREFERRED BRAND (02) Medical Devices and Supplies
TRAVEL LANCE MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
TRAVEL LANCE MIS ADV 28G PREFERRED BRAND (02) Medical Devices and Supplies
TRUE METRIX KIT AIR PREFERRED BRAND (02) Medical Devices and Supplies
TRUE METRIX KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
TRUE METRIX MIS PREFERRED BRAND (02) Medical Devices and Supplies
TRUE METRIX MIS AIR PREFERRED BRAND (02) Medical Devices and Supplies
TRUE2GO KIT PREFERRED BRAND (02) Medical Devices and Supplies
TRUE2GO KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
TRUEDRAW MIS LANC DEV PREFERRED BRAND (02) Medical Devices and Supplies
TRUERESULT KIT PREFERRED BRAND (02) Medical Devices and Supplies
TRUERESULT KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
TRUERESULT KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
TRUETRACK KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
TRUETRACK KIT SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
TRUETRACK MIS BLD GLC PREFERRED BRAND (02) Medical Devices and Supplies
TRUPLUS LANC MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 192

 TRUPLUS LANC MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
TRUPLUS LANC MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
TRUPLUS LANC MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
TUBERCULIN MIS 1CC/27G GENERIC (01) Medical Devices and Supplies
ULTICARE PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
ULTI-LANCE MIS CLR TIP PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET MIS SAFETY PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET PAD ALCOHOL PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET INSU MIS 30X12.7 PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET INSU MIS 31GX6MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET PEN MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET PEN MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTILET SAFE MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
ULTIMA KIT MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS 31G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS LANC 26G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA THIN MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
ULTRA TRAK KIT PRO SYS PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 12"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 24"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 24"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 24"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 31"/10MM PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 193

 ULTRAFLEX MIS 31"/6MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 31"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 43"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX MIS 43"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 24"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 24"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 31"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 31"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 43"/10MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRAFLEX II MIS 43"/8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRALANCE MIS 1.8MM PREFERRED BRAND (02) Medical Devices and Supplies
ULTRATRAK MIS ACTIVE PREFERRED BRAND (02) Medical Devices and Supplies
ULTRATRAK MIS MONITOR PREFERRED BRAND (02) Medical Devices and Supplies
ULTRATRAK MIS PRO PREFERRED BRAND (02) Medical Devices and Supplies
UNFINE PNTP MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 29GX1/2" PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 29GX12MM PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 31GX5/16 PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 31GX8MM PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 32GX4MM PREFERRED BRAND (02) Medical Devices and Supplies
UNIFINE PNTP MIS 32GX5/32 PREFERRED BRAND (02) Medical Devices and Supplies
UNILET MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET CMFR MIS TCH 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET CMFR MIS TCH 30G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET EX II MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET EXCEL MIS 23G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET G.P MIS SUPR 23G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET G.P. MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET GP 28 MIS ULT THIN PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANC MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANCE MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANCE MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANCE MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 194

 UNILET LANCT MIS 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANCT MIS 30G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET LANCT MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET SUPER MIS 23G PREFERRED BRAND (02) Medical Devices and Supplies
UNILET SUPER MIS G.P. 23G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 1 MIS 2.4MM PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 1 MIS 3.0MM PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS 1.8MM PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS 2.4MM PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS COMFORT PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS EXTRA PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS NEONATAL PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS NORMAL PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 2 MIS SUPER PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS 1.8MM PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS COMFORT PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS EXTRA PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS GENT 30G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS NEONATAL PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS NORMAL PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK 3 MIS XTR 21G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK CZT MIS COMFORT PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK CZT MIS NORMAL PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK II MIS LANCETS PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK SAFE MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK SAFE MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK TOUC MIS LANC 21G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK TOUC MIS LANC 23G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK TOUC MIS LANC 28G PREFERRED BRAND (02) Medical Devices and Supplies
UNISTIK TOUC MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
UNIVERSAL 1 MIS 33G PREFERRED BRAND (02) Medical Devices and Supplies
UNIVERSAL 1 MIS LANC 26G PREFERRED BRAND (02) Medical Devices and Supplies

Medication Guide 195

 UNIVERSAL 1 MIS LANC 30G PREFERRED BRAND (02) Medical Devices and Supplies
URIN-TEK MIS PREFERRED BRAND (02) Medical Devices and Supplies
V10/V12/D10/ KIT D20/FORA PREFERRED BRAND (02) Medical Devices and Supplies
VANTAGE LANC MIS DEVICE PREFERRED BRAND (02) Medical Devices and Supplies
VERIO FLEX KIT ONETOUCH PREFERRED BRAND (02) Medical Devices and Supplies
VICTORY MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
VITALET PRO MIS PREFERRED BRAND (02) Medical Devices and Supplies
VITALET PRO MIS PLUS PREFERRED BRAND (02) Medical Devices and Supplies
VIVID PAL KIT METER PREFERRED BRAND (02) Medical Devices and Supplies
VIVID PAL MIS METER PREFERRED BRAND (02) Medical Devices and Supplies
VOCAL POINT MIS SYSTEM PREFERRED BRAND (02) Medical Devices and Supplies
W&F LANCETS MIS 21G PREFERRED BRAND (02) Medical Devices and Supplies
W&F LANCETS MIS 26G PREFERRED BRAND (02) Medical Devices and Supplies
WAVESENSE KIT AMP PREFERRED BRAND (02) Medical Devices and Supplies
WAVESENSE KIT KEYNOTE PREFERRED BRAND (02) Medical Devices and Supplies
WAVESENSE MIS KEYNOTE PREFERRED BRAND (02) Medical Devices and Supplies
WEBCOL PREP PAD LARGE PREFERRED BRAND (02) Medical Devices and Supplies
WEBCOL PREP PAD MEDIUM PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 60 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 65 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 70 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 75 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 80 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 85 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 90 PREFERRED BRAND (02) Medical Devices and Supplies
WIDE-SEAL DPR KIT 95 PREFERRED BRAND (02) Medical Devices and Supplies
ALMOTRIP MAL TAB 12.5MG GENERIC (01) Migraine Products
ALMOTRIP MAL TAB 6.25MG GENERIC (01) Migraine Products
ALMOTRIPTAN TAB 12.5MG GENERIC (01) Migraine Products
ALMOTRIPTAN TAB 6.25MG GENERIC (01) Migraine Products
AMERGE TAB 1MG Y NON-PREFERRED BRAND (03) Migraine Products
AMERGE TAB 2.5MG Y NON-PREFERRED BRAND (03) Migraine Products
AXERT TAB 12.5MG Y NON-PREFERRED BRAND (03) Migraine Products

Medication Guide 196

 AXERT TAB 6.25MG Y NON-PREFERRED BRAND (03) Migraine Products
DIHYDROERGOT SPR 4MG/ML Y NON-PREFERRED BRAND (03) Migraine Products
ELETRIPTAN TAB 20MG GENERIC (01) Migraine Products
ELETRIPTAN TAB 40MG GENERIC (01) Migraine Products
FROVA TAB 2.5MG Y NON-PREFERRED BRAND (03) Migraine Products
FROVATRIPTAN TAB 2.5MG GENERIC (01) Migraine Products
IMITREX INJ 4MG/0.5 Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX INJ 6MG/0.5 Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX SPR 20MG/ACT Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX SPR 5MG/ACT Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX TAB 100MG Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX TAB 25MG Y NON-PREFERRED BRAND (03) Migraine Products
IMITREX TAB 50MG Y NON-PREFERRED BRAND (03) Migraine Products
ISOMETH/APAP CAP DICHLOR GENERIC (01) Migraine Products
MAXALT TAB 10MG Y NON-PREFERRED BRAND (03) Migraine Products
MAXALT TAB 5MG Y NON-PREFERRED BRAND (03) Migraine Products
MAXALT-MLT TAB 10MG Y NON-PREFERRED BRAND (03) Migraine Products
MAXALT-MLT TAB 5MG Y NON-PREFERRED BRAND (03) Migraine Products
MIGRANAL SPR 4MG/ML Y NON-PREFERRED BRAND (03) Migraine Products
NARATRIPTAN TAB 1MG GENERIC (01) Migraine Products
NARATRIPTAN TAB 2.5MG GENERIC (01) Migraine Products
NODOLOR CAP GENERIC (01) Migraine Products
ONZETRA XSAI MIS 11MG Y NON-PREFERRED BRAND (03) Migraine Products
RELPAX TAB 20MG Y NON-PREFERRED BRAND (03) Migraine Products
RELPAX TAB 40MG Y NON-PREFERRED BRAND (03) Migraine Products
RIZATRIPTAN TAB 10MG GENERIC (01) Migraine Products
RIZATRIPTAN TAB 10MG ODT GENERIC (01) Migraine Products
RIZATRIPTAN TAB 5MG GENERIC (01) Migraine Products
RIZATRIPTAN TAB 5MG ODT GENERIC (01) Migraine Products
SUMATRIPTAN INJ 4MG/0.5 GENERIC (01) Migraine Products
SUMATRIPTAN INJ 6MG/0.5 GENERIC (01) Migraine Products
SUMATRIPTAN INJ 6MG/0.5 Y NON-PREFERRED BRAND (03) Migraine Products
SUMATRIPTAN SPR 20MG/ACT GENERIC (01) Migraine Products

Medication Guide 197

 SUMATRIPTAN SPR 5MG/ACT GENERIC (01) Migraine Products
SUMATRIPTAN TAB 100MG GENERIC (01) Migraine Products
SUMATRIPTAN TAB 25MG GENERIC (01) Migraine Products
SUMATRIPTAN TAB 50MG GENERIC (01) Migraine Products
SUMAVEL DOSE INJ 4MG/0.5 Y NON-PREFERRED BRAND (03) Migraine Products
SUMAVEL DOSE INJ 6MG/0.5 Y NON-PREFERRED BRAND (03) Migraine Products
ZECUITY PAD 6.5MG/4H Y NON-PREFERRED BRAND (03) Migraine Products
ZEMBRACE SYM INJ 3/0.5ML Y NON-PREFERRED BRAND (03) Migraine Products
ZOLMITRIPTAN TAB 2.5 MG GENERIC (01) Migraine Products
ZOLMITRIPTAN TAB 2.5MG GENERIC (01) Migraine Products
ZOLMITRIPTAN TAB 5MG GENERIC (01) Migraine Products
ZOMIG SPR 2.5MG Y NON-PREFERRED BRAND (03) Migraine Products
ZOMIG SPR 5MG Y NON-PREFERRED BRAND (03) Migraine Products
ZOMIG TAB 2.5MG Y NON-PREFERRED BRAND (03) Migraine Products
ZOMIG TAB 5MG Y NON-PREFERRED BRAND (03) Migraine Products
ZOMIG ZMT TAB 2.5 MG Y NON-PREFERRED BRAND (03) Migraine Products
ZOMIG ZMT TAB 5MG Y NON-PREFERRED BRAND (03) Migraine Products
CA CITRATE TAB 250MG PREFERRED BRAND (02) Minerals Electrolytes
CALC CARBONA WAF 500MG PREFERRED BRAND (02) Minerals Electrolytes
CALCI-CHEW CHW 1250MG PREFERRED BRAND (02) Minerals Electrolytes
CALCITRATE TAB 950MG GENERIC (01) Minerals Electrolytes
CAL-CITRATE CAP 150MG PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CHW 500MG PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM GRA CITRATE PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM TAB 333MG PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM TAB 500MG GENERIC (01) Minerals Electrolytes
CALCIUM TAB 600MG GENERIC (01) Minerals Electrolytes
CALCIUM 600 TAB GENERIC (01) Minerals Electrolytes
CALCIUM CARB CHW 260MG PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB POW PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB POW 800/2GM PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB POW EX-LIGHT PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB POW HEAVY PREFERRED BRAND (02) Minerals Electrolytes

Medication Guide 198

 CALCIUM CARB POW LIGHT PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB POW PPT/HEAV PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CARB SUS 1250/5ML GENERIC (01) Minerals Electrolytes
CALCIUM CARB TAB 1250MG GENERIC (01) Minerals Electrolytes
CALCIUM CARB TAB 600MG GENERIC (01) Minerals Electrolytes
CALCIUM CIT TAB 1040MG PREFERRED BRAND (02) Minerals Electrolytes
CALCIUM CIT TAB 200MG GENERIC (01) Minerals Electrolytes
CALCIUM CIT TAB 950MG GENERIC (01) Minerals Electrolytes
CAL-MINT CHW 260MG PREFERRED BRAND (02) Minerals Electrolytes
CALTRATE 600 TAB GENERIC (01) Minerals Electrolytes
CHEWABLE CHW CALCIUM PREFERRED BRAND (02) Minerals Electrolytes
CVS CALCIUM TAB 600MG GENERIC (01) Minerals Electrolytes
FLUORIDE CHW 0.25MG F GENERIC (01) Minerals Electrolytes
FLUORIDE CHW 0.5MG F GENERIC (01) Minerals Electrolytes
FLUORIDE CHW 1MG F GENERIC (01) Minerals Electrolytes
FLUORITAB CHW 0.25MG F GENERIC (01) Minerals Electrolytes
FLUORITAB CHW 0.5MG F GENERIC (01) Minerals Electrolytes
FLUORITAB CHW 1MG F GENERIC (01) Minerals Electrolytes
FLUORITAB CHW 2.2MG GENERIC (01) Minerals Electrolytes
LUDENT CHW 0.25MG F GENERIC (01) Minerals Electrolytes
LUDENT CHW 0.5MG F GENERIC (01) Minerals Electrolytes
LUDENT CHW 1MG F GENERIC (01) Minerals Electrolytes
NAFRINSE CHW 1MG F GENERIC (01) Minerals Electrolytes
SM CALCIUM TAB 600 GENERIC (01) Minerals Electrolytes
SOD FLUORIDE CHW 0.25MG F GENERIC (01) Minerals Electrolytes
SOD FLUORIDE CHW 0.5MG F GENERIC (01) Minerals Electrolytes
SOD FLUORIDE CHW 1.1MG GENERIC (01) Minerals Electrolytes
SOD FLUORIDE CHW 1MG F GENERIC (01) Minerals Electrolytes
SOD FLUORIDE CHW 2.2MG GENERIC (01) Minerals Electrolytes
SUPER CALCIU TAB 600MG GENERIC (01) Minerals Electrolytes
ALPROSTADIL INJ 500MCG EXCLUDED Miscellanous Therapeutic Classes
ASTAGRAF XL CAP 0.5MG EXCLUDED Miscellanous Therapeutic Classes
ASTAGRAF XL CAP 1MG EXCLUDED Miscellanous Therapeutic Classes

Medication Guide 199

 ASTAGRAF XL CAP 5MG EXCLUDED Miscellanous Therapeutic Classes
AZASAN TAB 100MG EXCLUDED Miscellanous Therapeutic Classes
AZASAN TAB 75 MG EXCLUDED Miscellanous Therapeutic Classes
AZATHIOPRINE POW EXCLUDED Miscellanous Therapeutic Classes
AZATHIOPRINE TAB 50MG EXCLUDED Miscellanous Therapeutic Classes
CELLCEPT CAP 250MG EXCLUDED Miscellanous Therapeutic Classes
CELLCEPT SUS 200MG/ML EXCLUDED Miscellanous Therapeutic Classes
CELLCEPT TAB 500MG EXCLUDED Miscellanous Therapeutic Classes
CUPRIMINE CAP 250MG EXCLUDED Miscellanous Therapeutic Classes
CYCLOSPORINE CAP 100MG EXCLUDED Miscellanous Therapeutic Classes
CYCLOSPORINE CAP 25MG EXCLUDED Miscellanous Therapeutic Classes
CYCLOSPORINE INJ 50MG/ML EXCLUDED Miscellanous Therapeutic Classes
DEPEN TITRA TAB 250MG EXCLUDED Miscellanous Therapeutic Classes
ENVARSUS XR TAB 0.75MG EXCLUDED Miscellanous Therapeutic Classes
ENVARSUS XR TAB 1MG EXCLUDED Miscellanous Therapeutic Classes
ENVARSUS XR TAB 4MG EXCLUDED Miscellanous Therapeutic Classes
IMURAN TAB 50MG EXCLUDED Miscellanous Therapeutic Classes
MYCOPHENOLAT CAP 250MG EXCLUDED Miscellanous Therapeutic Classes
MYCOPHENOLAT SUS 200MG/ML EXCLUDED Miscellanous Therapeutic Classes
MYCOPHENOLAT TAB 500MG EXCLUDED Miscellanous Therapeutic Classes
MYCOPHENOLIC TAB 180MG DR EXCLUDED Miscellanous Therapeutic Classes
MYCOPHENOLIC TAB 360MG DR EXCLUDED Miscellanous Therapeutic Classes
MYFORTIC TAB 180MG EXCLUDED Miscellanous Therapeutic Classes
MYFORTIC TAB 360MG EXCLUDED Miscellanous Therapeutic Classes
PENICILLAMIN POW EXCLUDED Miscellanous Therapeutic Classes
PROGRAF CAP 0.5MG EXCLUDED Miscellanous Therapeutic Classes
PROGRAF CAP 1MG EXCLUDED Miscellanous Therapeutic Classes
PROGRAF CAP 5MG EXCLUDED Miscellanous Therapeutic Classes
PROGRAF INJ 5MG/ML EXCLUDED Miscellanous Therapeutic Classes
PROSTIN VR INJ 500MCG EXCLUDED Miscellanous Therapeutic Classes
RAPAMUNE SOL 1MG/ML EXCLUDED Miscellanous Therapeutic Classes
RAPAMUNE TAB 0.5MG EXCLUDED Miscellanous Therapeutic Classes
RAPAMUNE TAB 1MG EXCLUDED Miscellanous Therapeutic Classes

Medication Guide 200

 RAPAMUNE TAB 2MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 10MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 15MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 2.5MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 20MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 25MG EXCLUDED Miscellanous Therapeutic Classes
REVLIMID CAP 5MG EXCLUDED Miscellanous Therapeutic Classes
SANDIMMUNE CAP 100MG EXCLUDED Miscellanous Therapeutic Classes
SANDIMMUNE CAP 25MG EXCLUDED Miscellanous Therapeutic Classes
SANDIMMUNE INJ 50MG/ML EXCLUDED Miscellanous Therapeutic Classes
SANDIMMUNE SOL 100MG/ML EXCLUDED Miscellanous Therapeutic Classes
SIROLIMUS TAB 0.5MG EXCLUDED Miscellanous Therapeutic Classes
SIROLIMUS TAB 1MG EXCLUDED Miscellanous Therapeutic Classes
SIROLIMUS TAB 2MG EXCLUDED Miscellanous Therapeutic Classes
TACROLIMUS CAP 0.5MG EXCLUDED Miscellanous Therapeutic Classes
TACROLIMUS CAP 1MG EXCLUDED Miscellanous Therapeutic Classes
TACROLIMUS CAP 5MG EXCLUDED Miscellanous Therapeutic Classes
THALOMID CAP 100MG EXCLUDED Miscellanous Therapeutic Classes
THALOMID CAP 150MG EXCLUDED Miscellanous Therapeutic Classes
THALOMID CAP 200MG EXCLUDED Miscellanous Therapeutic Classes
THALOMID CAP 50MG EXCLUDED Miscellanous Therapeutic Classes
CEVIMELINE CAP 30MG GENERIC (01) Mouth/Throat/Dental Agents
CHLORHEX GLU SOL 0.12% GENERIC (01) Mouth/Throat/Dental Agents
EVOXAC CAP 30MG PREFERRED BRAND (02) Mouth/Throat/Dental Agents
NYSTATIN SUS 100000 GENERIC (01) Mouth/Throat/Dental Agents
ORALONE PST 0.1% GENERIC (01) Mouth/Throat/Dental Agents
PAROEX SOL 0.12% GENERIC (01) Mouth/Throat/Dental Agents
PERIDEX SOL 0.12% PREFERRED BRAND (02) Mouth/Throat/Dental Agents
PERIOGARD SOL 0.12% GENERIC (01) Mouth/Throat/Dental Agents
PILOCARPINE TAB 5MG GENERIC (01) Mouth/Throat/Dental Agents
PILOCARPINE TAB 7.5MG GENERIC (01) Mouth/Throat/Dental Agents
SALAGEN TAB 5MG PREFERRED BRAND (02) Mouth/Throat/Dental Agents
SALAGEN TAB 7.5MG PREFERRED BRAND (02) Mouth/Throat/Dental Agents

Medication Guide 201

 TRIAMCIN/ORA PST 0.1% GENERIC (01) Mouth/Throat/Dental Agents
TRIAMCINOLON PST 0.1% GENERIC (01) Mouth/Throat/Dental Agents
ACTIVE OB CAP EXCLUDED Multivitamins
ATABEX EC TAB EXCLUDED Multivitamins
BAL-CARE MIS DHA EXCLUDED Multivitamins
BP FOLINATAL TAB PLUS B EXCLUDED Multivitamins
BP MULTINATL CHW PLUS EXCLUDED Multivitamins
BP MULTINATL TAB PLUS EXCLUDED Multivitamins
CALCIUM PNV CAP EXCLUDED Multivitamins
CITRANATAL CAP HARMONY EXCLUDED Multivitamins
CITRANATAL MIS 90 DHA EXCLUDED Multivitamins
CITRANATAL MIS B-CALM EXCLUDED Multivitamins
CITRANATAL PAK ASSURE EXCLUDED Multivitamins
CITRANATAL PAK DHA EXCLUDED Multivitamins
CITRANATAL TAB RX EXCLUDED Multivitamins
C-NATE DHA CAP 28-1-200 EXCLUDED Multivitamins
COMPLETE NAT PAK DHA EXCLUDED Multivitamins
COMPLETENATE CHW EXCLUDED Multivitamins
CO-NATAL FA TAB 29-1MG EXCLUDED Multivitamins
CONCEPT DHA CAP EXCLUDED Multivitamins
CONCEPT OB CAP EXCLUDED Multivitamins
DOTHELLE DHA CAP EXCLUDED Multivitamins
DUET DHA MIS BALANCED EXCLUDED Multivitamins
DUET DHA 400 MIS 25-1-400 EXCLUDED Multivitamins
ELITE-OB TAB EXCLUDED Multivitamins
ENBRACE HR CAP EXCLUDED Multivitamins
EXTRA-VIRT CAP PLUS DHA EXCLUDED Multivitamins
FOCALGIN 90 MIS DHA EXCLUDED Multivitamins
FOCALGIN CA MIS EXCLUDED Multivitamins
FOLCAL DHA CAP EXCLUDED Multivitamins
FOLCAPS CAP OMEGA 3 EXCLUDED Multivitamins
FOLET DHA PAK EXCLUDED Multivitamins
FOLET ONE CAP 38-1-225 EXCLUDED Multivitamins

Medication Guide 202

 FOLIVANE-OB CAP EXCLUDED Multivitamins
HEMENATAL OB MIS + DHA EXCLUDED Multivitamins
HEMENATAL OB TAB 28-6-1MG EXCLUDED Multivitamins
INATAL ADV TAB EXCLUDED Multivitamins
INATAL GT TAB EXCLUDED Multivitamins
INATAL ULTRA TAB EXCLUDED Multivitamins
INFANATE CAP BALANCE EXCLUDED Multivitamins
INFANATE CAP PLUS EXCLUDED Multivitamins
KOSHR PRENAT TAB 30-1MG EXCLUDED Multivitamins
LEVOMEFOLATE CAP DHA EXCLUDED Multivitamins
MACNATAL CN CAP DHA EXCLUDED Multivitamins
MARNATAL-F CAP EXCLUDED Multivitamins
M-VIT TAB 27-1MG EXCLUDED Multivitamins
MYNATAL CAP EXCLUDED Multivitamins
MYNATAL TAB EXCLUDED Multivitamins
MYNATAL TAB ADVANCE EXCLUDED Multivitamins
MYNATAL PLUS TAB EXCLUDED Multivitamins
MYNATAL-Z TAB EXCLUDED Multivitamins
MYNATE 90 TAB PLUS EXCLUDED Multivitamins
NATACHEW CHW EXCLUDED Multivitamins
NATALVIT TAB 75-1MG EXCLUDED Multivitamins
NATELLE ONE CAP EXCLUDED Multivitamins
NEEVO DHA CAP 27-1.13 EXCLUDED Multivitamins
NESTABS TAB EXCLUDED Multivitamins
NESTABS ABC MIS EXCLUDED Multivitamins
NESTABS DHA PAK EXCLUDED Multivitamins
NEWGEN TAB 32-1MG EXCLUDED Multivitamins
NEXA PLUS CAP EXCLUDED Multivitamins
NIVA-PLUS TAB EXCLUDED Multivitamins
OB COMPLETE CAP GOLD EXCLUDED Multivitamins
OB COMPLETE CAP ONE EXCLUDED Multivitamins
OB COMPLETE CAP PETITE EXCLUDED Multivitamins
OB COMPLETE TAB EXCLUDED Multivitamins

Medication Guide 203

 OB COMPLETE TAB PREMIER EXCLUDED Multivitamins
OB COMPLETE/ CAP DHA EXCLUDED Multivitamins
OBSTETRIX PAK DHA EXCLUDED Multivitamins
OBSTETRIX EC TAB EXCLUDED Multivitamins
OBSTETRX ONE CAP 38-1-225 EXCLUDED Multivitamins
O-CAL TAB PRENATAL EXCLUDED Multivitamins
O-CAL FA TAB EXCLUDED Multivitamins
PAIRE OB MIS EXCLUDED Multivitamins
PNV FE FUM TAB DOC/FA EXCLUDED Multivitamins
PNV FOLIC AC TAB + IRON EXCLUDED Multivitamins
PNV OB+DHA PAK EXCLUDED Multivitamins
PNV PRENATAL TAB PLUS EXCLUDED Multivitamins
PNV TABS TAB 29-1MG EXCLUDED Multivitamins
PNV-DHA CAP EXCLUDED Multivitamins
PNV-DHA CAP DOCUSATE EXCLUDED Multivitamins
PNV-OMEGA CAP EXCLUDED Multivitamins
PNV-SELECT TAB EXCLUDED Multivitamins
PNV-TOTAL CAP EXCLUDED Multivitamins
PNV-VP-U CAP 106.5-1 EXCLUDED Multivitamins
PR NATAL 400 PAK EXCLUDED Multivitamins
PR NATAL 400 PAK EC EXCLUDED Multivitamins
PR NATAL 430 PAK EXCLUDED Multivitamins
PR NATAL 430 PAK EC EXCLUDED Multivitamins
PREFERA OB TAB EXCLUDED Multivitamins
PREFERAOB CAP ONE EXCLUDED Multivitamins
PREFERAOB MIS +DHA EXCLUDED Multivitamins
PRENA 1 TRUE MIS EXCLUDED Multivitamins
PRENA1 CHW EXCLUDED Multivitamins
PRENA1 PEARL CAP EXCLUDED Multivitamins
PRENAISSANCE CAP EXCLUDED Multivitamins
PRENAISSANCE CAP BALANCE EXCLUDED Multivitamins
PRENAISSANCE CAP PLUS EXCLUDED Multivitamins
PRENAISSANCE MIS HARMONY EXCLUDED Multivitamins

Medication Guide 204

 PRENAISSANCE PAK 90 DHA EXCLUDED Multivitamins
PRENAISSANCE PAK DHA EXCLUDED Multivitamins
PRENAISSANCE PAK PROMISE EXCLUDED Multivitamins
PRENAISSANCE TAB NEXT EXCLUDED Multivitamins
PRENAISSANCE TAB NEXT-B EXCLUDED Multivitamins
PRENAT PLUS TAB 27-1MG EXCLUDED Multivitamins
PRENATA CHW 29-1MG EXCLUDED Multivitamins
PRENATABS FA TAB 29-1MG EXCLUDED Multivitamins
PRENATABS RX TAB EXCLUDED Multivitamins
PRENATAL MIS COMPLEAT EXCLUDED Multivitamins
PRENATAL TAB EXCLUDED Multivitamins
PRENATAL TAB 27-0.8MG EXCLUDED Multivitamins
PRENATAL TAB 27-1MG EXCLUDED Multivitamins
PRENATAL TAB FORMULA EXCLUDED Multivitamins
PRENATAL TAB LOW IRON EXCLUDED Multivitamins
PRENATAL TAB PLUS EXCLUDED Multivitamins
PRENATAL TAB PLUS/FE EXCLUDED Multivitamins
PRENATAL 19 CHW 29-1MG EXCLUDED Multivitamins
PRENATAL 19 CHW TAB EXCLUDED Multivitamins
PRENATAL 19 TAB EXCLUDED Multivitamins
PRENATAL 19 TAB 29-1MG EXCLUDED Multivitamins
PRENATAL PLS MIS MV + DHA EXCLUDED Multivitamins
PRENATAL VIT TAB LOW IRON EXCLUDED Multivitamins
PRENATAL/FA TAB EXCLUDED Multivitamins
PRENATAL+FE TAB 29-1MG EXCLUDED Multivitamins
PRENATAL-U CAP 106.5-1 EXCLUDED Multivitamins
PRENATE CAP ENHANCE EXCLUDED Multivitamins
PRENATE CAP ESSENT EXCLUDED Multivitamins
PRENATE CAP ESSENTIA EXCLUDED Multivitamins
PRENATE CAP PIXIE EXCLUDED Multivitamins
PRENATE CAP RESTORE EXCLUDED Multivitamins
PRENATE CHW 0.6-0.4 EXCLUDED Multivitamins
PRENATE TAB ELITE EXCLUDED Multivitamins

Medication Guide 205

 PRENATE AM TAB 1MG EXCLUDED Multivitamins
PRENATE DHA CAP EXCLUDED Multivitamins
PRENATE MINI CAP EXCLUDED Multivitamins
PRENATE STAR TAB 20-1MG EXCLUDED Multivitamins
PREPLUS TAB 27-1MG EXCLUDED Multivitamins
PREQUE 10 TAB EXCLUDED Multivitamins
PRETAB TAB 29-1MG EXCLUDED Multivitamins
PRIMACARE CAP EXCLUDED Multivitamins
PROVIDA DHA CAP EXCLUDED Multivitamins
PROVIDA OB CAP EXCLUDED Multivitamins
PUREFE OB CAP PLUS EXCLUDED Multivitamins
REDICHEW RX CHW EXCLUDED Multivitamins
RELNATE DHA CAP EXCLUDED Multivitamins
R-NATAL OB CAP 20-1-320 EXCLUDED Multivitamins
RULAVITE DHA CAP EXCLUDED Multivitamins
SELECT-OB CHW EXCLUDED Multivitamins
SELECT-OB+ PAK DHA EXCLUDED Multivitamins
SE-NATAL 19 CHW EXCLUDED Multivitamins
SE-NATAL 19 TAB EXCLUDED Multivitamins
SE-TAN DHA CAP EXCLUDED Multivitamins
TARON-BC MIS EXCLUDED Multivitamins
TARON-C DHA CAP EXCLUDED Multivitamins
TARON-PREX CAP EXCLUDED Multivitamins
THRIVITE 19 TAB EXCLUDED Multivitamins
THRIVITE RX TAB 29-1MG EXCLUDED Multivitamins
TL FOLATE TAB EXCLUDED Multivitamins
TL-CARE DHA CAP 27-1-500 EXCLUDED Multivitamins
TL-SELECT CAP EXCLUDED Multivitamins
TRIADVANCE TAB EXCLUDED Multivitamins
TRICARE CHW PRENATAL EXCLUDED Multivitamins
TRICARE PAK PRENATAL EXCLUDED Multivitamins
TRICARE TAB PRENATAL EXCLUDED Multivitamins
TRICARE PRE CAP 27-1-500 EXCLUDED Multivitamins

Medication Guide 206

 TRINATAL GT TAB EXCLUDED Multivitamins
TRINATAL RX TAB 1 EXCLUDED Multivitamins
TRINATE TAB EXCLUDED Multivitamins
TRISTART DHA CAP EXCLUDED Multivitamins
TRI-TABS DHA MIS EXCLUDED Multivitamins
TRIVEEN-DUO PAK DHA EXCLUDED Multivitamins
TRIVEEN-PRX CAP RNF EXCLUDED Multivitamins
ULTIMATECARE CAP ONE EXCLUDED Multivitamins
ULTIMATECARE CAP ONE NF EXCLUDED Multivitamins
VEMAVITE- CAP PRX 2 EXCLUDED Multivitamins
VENA-BAL MIS DHA EXCLUDED Multivitamins
VINATE DHA CAP 27-1.13 EXCLUDED Multivitamins
VINATE II TAB EXCLUDED Multivitamins
VINATE M TAB EXCLUDED Multivitamins
VINATE ONE TAB EXCLUDED Multivitamins
VIRT NATE TAB EXCLUDED Multivitamins
VIRT NATE TAB 28-1MG EXCLUDED Multivitamins
VIRT-ADVANCE TAB 90-1MG EXCLUDED Multivitamins
VIRT-C DHA CAP EXCLUDED Multivitamins
VIRT-NATE CAP DHA EXCLUDED Multivitamins
VIRT-PN TAB EXCLUDED Multivitamins
VIRT-PN DHA CAP EXCLUDED Multivitamins
VIRT-PN PLUS CAP EXCLUDED Multivitamins
VIRTPREX CAP EXCLUDED Multivitamins
VIRT-SELECT CAP EXCLUDED Multivitamins
VIRT-VITE GT TAB 90-1MG EXCLUDED Multivitamins
VITAFOL CAP ULTRA EXCLUDED Multivitamins
VITAFOL CHW GUMMIES EXCLUDED Multivitamins
VITAFOL FE+ CAP EXCLUDED Multivitamins
VITAFOL-NANO TAB EXCLUDED Multivitamins
VITAFOL-OB PAK +DHA EXCLUDED Multivitamins
VITAFOL-OB TAB 65-1MG EXCLUDED Multivitamins
VITAFOL-ONE CAP EXCLUDED Multivitamins

Medication Guide 207

 VITAMEDMD CAP ONE RX EXCLUDED Multivitamins
VITAMEDMD MIS PLUS RX EXCLUDED Multivitamins
VITAPEARL CAP EXCLUDED Multivitamins
VITA-PREN TAB EXCLUDED Multivitamins
VITATRUE MIS EXCLUDED Multivitamins
VIVA DHA CAP EXCLUDED Multivitamins
VOL-NATE TAB EXCLUDED Multivitamins
VOL-PLUS TAB EXCLUDED Multivitamins
VOL-TAB RX TAB EXCLUDED Multivitamins
VP-CH PLUS CAP EXCLUDED Multivitamins
VP-CH-PNV CAP EXCLUDED Multivitamins
VP-GGR-B6 TAB PRENATAL EXCLUDED Multivitamins
VP-HEME OB MIS + DHA EXCLUDED Multivitamins
VP-HEME OB TAB EXCLUDED Multivitamins
VP-HEME ONE CAP EXCLUDED Multivitamins
VP-HEME-OB TAB 28-6-1MG EXCLUDED Multivitamins
VP-PNV-DHA CAP EXCLUDED Multivitamins
ZATEAN-CH CAP EXCLUDED Multivitamins
ZATEAN-PN CAP DHA EXCLUDED Multivitamins
ZATEAN-PN CAP PLUS EXCLUDED Multivitamins
ZATEAN-PN TAB EXCLUDED Multivitamins
AMRIX CAP 15MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
AMRIX CAP 30MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
BACLOFEN POW Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
BACLOFEN TAB 10MG GENERIC (01) Musculoskeletal Therapy Agents
BACLOFEN TAB 20MG GENERIC (01) Musculoskeletal Therapy Agents
CARISOPRODOL POW PREFERRED BRAND (02) Musculoskeletal Therapy Agents
CARISOPRODOL TAB 250MG GENERIC (01) Musculoskeletal Therapy Agents
CARISOPRODOL TAB 250MG PREFERRED BRAND (02) Musculoskeletal Therapy Agents
CARISOPRODOL TAB 350MG GENERIC (01) Musculoskeletal Therapy Agents
CHLORZOXAZON TAB 500MG GENERIC (01) Musculoskeletal Therapy Agents
CYCLOBENZAPR CRE 20MG/GM Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
CYCLOBENZAPR CRE 5% KIT Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents

Medication Guide 208

 CYCLOBENZAPR POW HCL Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
CYCLOBENZAPR TAB 10MG GENERIC (01) Musculoskeletal Therapy Agents
CYCLOBENZAPR TAB 5MG GENERIC (01) Musculoskeletal Therapy Agents
CYCLOBENZAPR TAB 7.5MG GENERIC (01) Musculoskeletal Therapy Agents
CYCLOPHENE CRE RAPIDPAQ Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
FEXMID TAB 7.5MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
FIRST-BACLOF SUS 1 Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
FIRST-BACLOF SUS 5 KIT Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
GABLOFEN INJ 10000/20 EXCLUDED Musculoskeletal Therapy Agents
GABLOFEN INJ 20000/20 EXCLUDED Musculoskeletal Therapy Agents
GABLOFEN INJ 40000/20 EXCLUDED Musculoskeletal Therapy Agents
GABLOFEN INJ 50MCG/ML EXCLUDED Musculoskeletal Therapy Agents
LIORESAL INT INJ 0.05MG/1 EXCLUDED Musculoskeletal Therapy Agents
LIORESAL INT INJ 10MG/20 EXCLUDED Musculoskeletal Therapy Agents
LIORESAL INT INJ 10MG/5ML EXCLUDED Musculoskeletal Therapy Agents
LIORESAL INT INJ 40MG/20 EXCLUDED Musculoskeletal Therapy Agents
LORZONE TAB 375MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
LORZONE TAB 750MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
METAXALL TAB 800MG GENERIC (01) Musculoskeletal Therapy Agents
METAXALONE TAB 400MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
METAXALONE TAB 800MG GENERIC (01) Musculoskeletal Therapy Agents
METHOCARBAM INJ 1000MG GENERIC (01) Musculoskeletal Therapy Agents
METHOCARBAM INJ 100MG/ML GENERIC (01) Musculoskeletal Therapy Agents
METHOCARBAM TAB 500MG GENERIC (01) Musculoskeletal Therapy Agents
METHOCARBAM TAB 750MG GENERIC (01) Musculoskeletal Therapy Agents
PARAFON FORT TAB 500MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ROBAXIN INJ 100MG/ML Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ROBAXIN TAB 500MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ROBAXIN-750 TAB 750MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
SKELAXIN TAB 800MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
SOMA TAB 250MG PREFERRED BRAND (02) Musculoskeletal Therapy Agents
SOMA TAB 350MG PREFERRED BRAND (02) Musculoskeletal Therapy Agents
TABRADOL SUS 1MG/ML Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents

Medication Guide 209

 TABRADOL SUS RAPIDPAQ Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
TIZANIDINE CAP 2MG GENERIC (01) Musculoskeletal Therapy Agents
TIZANIDINE CAP 4MG GENERIC (01) Musculoskeletal Therapy Agents
TIZANIDINE CAP 6MG GENERIC (01) Musculoskeletal Therapy Agents
TIZANIDINE TAB 2MG GENERIC (01) Musculoskeletal Therapy Agents
TIZANIDINE TAB 4MG GENERIC (01) Musculoskeletal Therapy Agents
ZANAFLEX CAP 2MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ZANAFLEX CAP 4MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ZANAFLEX CAP 6MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ZANAFLEX TAB 4MG Y NON-PREFERRED BRAND (03) Musculoskeletal Therapy Agents
ALLER-FLO SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
ALLERGY NASA SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
ALLERGY RELF SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
ASTEPRO SPR 0.15% Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
AZELASTINE SPR 0.1% GENERIC (01) Nasal Agents-Systemic and Topical
AZELASTINE SPR 0.15% GENERIC (01) Nasal Agents-Systemic and Topical
CLARISPRAY SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
FLONASE SPR 0.05% Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
FLONASE ALGY SPR 50MCG Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
FLONASE SENS SUS 27.5MCG Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
FLUNISOLIDE SPR 0.025% GENERIC (01) Nasal Agents-Systemic and Topical
FLUTICASONE SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
MOMETASONE SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
NASOFLOW SPR 50MCG GENERIC (01) Nasal Agents-Systemic and Topical
NASONEX SPR 50MCG/AC Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
PROPEL IMP 370MCG Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
PROPEL MINI IMP 370MCG Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
TYZINE PED DRO 0.05% PREFERRED BRAND (02) Nasal Agents-Systemic and Topical
VERAMYST SPR 27.5MCG Y NON-PREFERRED BRAND (03) Nasal Agents-Systemic and Topical
AMINOSYN INJ 10% EXCLUDED Nutrients
AMINOSYN INJ 8.5% EXCLUDED Nutrients
AMINOSYN II INJ 10% EXCLUDED Nutrients
AMINOSYN II INJ 7% EXCLUDED Nutrients

Medication Guide 210

 AMINOSYN II INJ 8.5% EXCLUDED Nutrients
AMINOSYN-HBC INJ 7% EXCLUDED Nutrients
AMINOSYN-PF INJ 10% EXCLUDED Nutrients
AMINOSYN-PF INJ 7% EXCLUDED Nutrients
CLINIMIX INJ 2.75/D5W EXCLUDED Nutrients
CLINIMIX INJ 4.25/D5W EXCLUDED Nutrients
FREAMINE III INJ 10% EXCLUDED Nutrients
PREMASOL SOL 10% EXCLUDED Nutrients
TRAVASOL INJ 10% EXCLUDED Nutrients
TROPHAMINE INJ 10% EXCLUDED Nutrients
ACULAR SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ACULAR LS SOL 0.4% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ACUVAIL SOL 0.45% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
AK-POLY-BAC OIN OP GENERIC (01) Ophthalmic Agents
ALAWAY DRO 0.025%OP GENERIC (01) Ophthalmic Agents
ALAWAY CHILD DRO 0.025%OP GENERIC (01) Ophthalmic Agents
ALLERGY EYE DRO 0.025%OP GENERIC (01) Ophthalmic Agents
ALOCRIL SOL 2% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ALOMIDE SOL 0.1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ALPHAGAN P SOL 0.1% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ALPHAGAN P SOL 0.15% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ALREX SUS 0.2% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ANTIHISTAMIN DRO 0.025%OP GENERIC (01) Ophthalmic Agents
APRACLONIDIN SOL 0.5% OP GENERIC (01) Ophthalmic Agents
BAC/NEO/POLY OIN OP GENERIC (01) Ophthalmic Agents
BACIT/POLYMY OIN OP GENERIC (01) Ophthalmic Agents
BEPREVE DRO 1.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
BETAGAN SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
BETAXOLOL SOL 0.5% OP GENERIC (01) Ophthalmic Agents
BETIMOL SOL 0.25% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
BETIMOL SOL 0.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
BETOPTIC-S SUS 0.25% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
BIMATOPROST SOL 0.03% Y NON-PREFERRED BRAND (03) Ophthalmic Agents

Medication Guide 211

 BRIMONIDINE SOL 0.15% GENERIC (01) Ophthalmic Agents
BRIMONIDINE SOL 0.2% OP GENERIC (01) Ophthalmic Agents
CARTEOLOL SOL 1% OP GENERIC (01) Ophthalmic Agents
CLARITIN EYE DRO 0.025%OP GENERIC (01) Ophthalmic Agents
CLEAR EYES DRO 0.03-0.5 GENERIC (01) Ophthalmic Agents
CLEAR EYES DRO RED/RELF PREFERRED BRAND (02) Ophthalmic Agents
CLEAR EYES SOL 0.03-0.5 GENERIC (01) Ophthalmic Agents
COMBIGAN SOL 0.2/0.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
COSOPT SOL 22.3-6.8 Y NON-PREFERRED BRAND (03) Ophthalmic Agents
COSOPT PF SOL Y NON-PREFERRED BRAND (03) Ophthalmic Agents
CVS ALLERGY DRO 0.025%OP GENERIC (01) Ophthalmic Agents
CVS REDNESS DRO RELIEF GENERIC (01) Ophthalmic Agents
DEXAMETH PHO SOL 0.1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
DICLOFENAC SOL 0.1% OP GENERIC (01) Ophthalmic Agents
DORZOL/TIMOL SOL 22.3-6.8 GENERIC (01) Ophthalmic Agents
DORZOLAMIDE SOL 2% OP GENERIC (01) Ophthalmic Agents
ELESTAT DRO 0.05% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
EPINASTINE DRO 0.05% GENERIC (01) Ophthalmic Agents
EQ ITCHY EYE DRO 0.025%OP GENERIC (01) Ophthalmic Agents
EQL REDNESS DRO RELIEF GENERIC (01) Ophthalmic Agents
EYE ITCH SOL RELIEF GENERIC (01) Ophthalmic Agents
EYE ITCH REL DRO 0.025%OP GENERIC (01) Ophthalmic Agents
FLAREX SUS 0.1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
FLUOROMETHOL SUS 0.1% OP GENERIC (01) Ophthalmic Agents
FML OIN 0.1% OP PREFERRED BRAND (02) Ophthalmic Agents
FML FORTE SUS 0.25% OP PREFERRED BRAND (02) Ophthalmic Agents
FML LIQUIFLM SUS 0.1% OP PREFERRED BRAND (02) Ophthalmic Agents
GATIFLOXACIN SOL 0.5% GENERIC (01) Ophthalmic Agents
HM EYE DROPS SOL RED RELF GENERIC (01) Ophthalmic Agents
IOPIDINE SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
IOPIDINE SOL 1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ISOPTO CARP SOL 1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ISOPTO CARP SOL 2% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents

Medication Guide 212

 ISOPTO CARP SOL 4% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ISTALOL SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ITCHY EYE DRO 0.025%OP GENERIC (01) Ophthalmic Agents
ITCHY EYE SOL 0.025% GENERIC (01) Ophthalmic Agents
KETOROLAC SOL 0.4% GENERIC (01) Ophthalmic Agents
KETOROLAC SOL 0.5% GENERIC (01) Ophthalmic Agents
KETOTIF FUM DRO 0.025%OP GENERIC (01) Ophthalmic Agents
LACRISERT MIS 5MG OP PREFERRED BRAND (02) Ophthalmic Agents
LATANOPROST SOL 0.005% GENERIC (01) Ophthalmic Agents
LEVOBUNOLOL SOL 0.5% OP GENERIC (01) Ophthalmic Agents
LEVOFLOXACIN SOL 0.5% GENERIC (01) Ophthalmic Agents
LOTEMAX GEL 0.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
LOTEMAX OIN 0.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
LOTEMAX SUS 0.5% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
LUMIGAN SOL 0.01% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
MAXIDEX SUS 0.1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
MAXITROL OIN 0.1% OP PREFERRED BRAND (02) Ophthalmic Agents
MAXITROL SUS 0.1% OP PREFERRED BRAND (02) Ophthalmic Agents
METIPRANOLOL SOL 0.3% OPH Y NON-PREFERRED BRAND (03) Ophthalmic Agents
MOXEZA SOL 0.5% PREFERRED BRAND (02) Ophthalmic Agents
MOXIFLOXACIN SOL 0.5% GENERIC (01) Ophthalmic Agents
MYDRIACYL SOL 1% OP PREFERRED BRAND (02) Ophthalmic Agents
NAPHAZOLINE SOL 0.1% OP PREFERRED BRAND (02) Ophthalmic Agents
NEO/BAC/POLY OIN OP GENERIC (01) Ophthalmic Agents
NEO/POLY/BAC OIN /HC 1%OP GENERIC (01) Ophthalmic Agents
NEO/POLY/DEX OIN 0.1% OP GENERIC (01) Ophthalmic Agents
NEO/POLY/DEX SUS 0.1% OP GENERIC (01) Ophthalmic Agents
NEO/POLY/HC SUS OP PREFERRED BRAND (02) Ophthalmic Agents
NEO-POLYCIN OIN HC 1%OP GENERIC (01) Ophthalmic Agents
NEO-POLYCIN OIN OP GENERIC (01) Ophthalmic Agents
OMNIPRED SUS 1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
PILOCARPINE SOL 1% OP GENERIC (01) Ophthalmic Agents
PILOCARPINE SOL 2% OP GENERIC (01) Ophthalmic Agents

Medication Guide 213

 PILOCARPINE SOL 4% OP GENERIC (01) Ophthalmic Agents
POLYCIN OIN OP GENERIC (01) Ophthalmic Agents
POLYMYXIN B/ SOL TRIMETHP GENERIC (01) Ophthalmic Agents
POLYTRIM SOL OP PREFERRED BRAND (02) Ophthalmic Agents
PRED FORTE SUS 1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
PRED MILD SUS 0.12% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
PRED SOD PHO SOL 1% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
PREDNISOLONE SUS 1% OP GENERIC (01) Ophthalmic Agents
REDNESS DRO RELIEF GENERIC (01) Ophthalmic Agents
REDNESS RLF SOL 0.03-0.5 GENERIC (01) Ophthalmic Agents
RESTASIS EMU 0.05% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
RESTASIS MUL EMU 0.05% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
SM REDNESS DRO RELIEF GENERIC (01) Ophthalmic Agents
TIMOLOL GEL SOL 0.25% OP GENERIC (01) Ophthalmic Agents
TIMOLOL GEL SOL 0.5% OP GENERIC (01) Ophthalmic Agents
TIMOLOL MAL SOL 0.25% OP GENERIC (01) Ophthalmic Agents
TIMOLOL MAL SOL 0.5% OP GENERIC (01) Ophthalmic Agents
TIMOPTIC SOL 0.25% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TIMOPTIC SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TIMOPTIC OCU SOL 0.25% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TIMOPTIC OCU SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TIMOPTIC-XE SOL 0.25% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TIMOPTIC-XE SOL 0.5% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TOBRA/DEXAME SUS 0.3-0.1% GENERIC (01) Ophthalmic Agents
TOBRADEX OIN 0.3-0.1% PREFERRED BRAND (02) Ophthalmic Agents
TOBRADEX SUS 0.3-0.1% PREFERRED BRAND (02) Ophthalmic Agents
TOBRADEX ST SUS 0.3-0.05 PREFERRED BRAND (02) Ophthalmic Agents
TOBRAMYCIN SOL 0.3% OP GENERIC (01) Ophthalmic Agents
TOBREX OIN 0.3% OP PREFERRED BRAND (02) Ophthalmic Agents
TOBREX SOL 0.3% OP PREFERRED BRAND (02) Ophthalmic Agents
TRAVATAN Z DRO 0.004% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TRAVOPROST DRO 0.004% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
TRIFLURIDINE SOL 1% OP GENERIC (01) Ophthalmic Agents

Medication Guide 214

 TRIMETHOPRIM SOL POLYMYXN GENERIC (01) Ophthalmic Agents
TRIPLE ANTIB OIN OP GENERIC (01) Ophthalmic Agents
TROPICAMIDE POW PREFERRED BRAND (02) Ophthalmic Agents
TROPICAMIDE SOL 0.5% OP GENERIC (01) Ophthalmic Agents
TROPICAMIDE SOL 1% OP GENERIC (01) Ophthalmic Agents
TRUSOPT SOL 2% OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
VIGAMOX DRO 0.5% PREFERRED BRAND (02) Ophthalmic Agents
VIROPTIC SOL 1% OP PREFERRED BRAND (02) Ophthalmic Agents
WAL-ZYR DRO 0.025%OP GENERIC (01) Ophthalmic Agents
XALATAN SOL 0.005% Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ZADITOR DRO 0.025%OP Y NON-PREFERRED BRAND (03) Ophthalmic Agents
ZYMAXID SOL 0.5% PREFERRED BRAND (02) Ophthalmic Agents
ACETIC ACID SOL 2% OTIC GENERIC (01) Otic Agents
ANTIBIOT EAR SOL 1% OTIC GENERIC (01) Otic Agents
CIPRO HC SUS OTIC PREFERRED BRAND (02) Otic Agents
CIPRODEX SUS 0.3-0.1% PREFERRED BRAND (02) Otic Agents
CORTISPORIN SOL 1% OTIC PREFERRED BRAND (02) Otic Agents
DERMOTIC OIL 0.01% PREFERRED BRAND (02) Otic Agents
FLUOCIN ACET OIL 0.01% GENERIC (01) Otic Agents
FLUOCIN ACET OIL EAR0.01% GENERIC (01) Otic Agents
NEO/POLY/HC SOL 1% OTIC GENERIC (01) Otic Agents
NEO/POLY/HC SUS 1% OTIC GENERIC (01) Otic Agents
AMOX/K CLAV CHW 200MG PREFERRED BRAND (02) Penicillins
AMOX/K CLAV CHW 400MG PREFERRED BRAND (02) Penicillins
AMOX/K CLAV SUS 200/5ML GENERIC (01) Penicillins
AMOX/K CLAV SUS 250/5ML GENERIC (01) Penicillins
AMOX/K CLAV SUS 400/5ML GENERIC (01) Penicillins
AMOX/K CLAV SUS 600/5ML GENERIC (01) Penicillins
AMOX/K CLAV TAB 250-125 GENERIC (01) Penicillins
AMOX/K CLAV TAB 500-125 GENERIC (01) Penicillins
AMOX/K CLAV TAB 875-125 GENERIC (01) Penicillins
AMOXICILLIN CAP 250MG GENERIC (01) Penicillins
AMOXICILLIN CAP 500MG GENERIC (01) Penicillins

Medication Guide 215

 AMOXICILLIN CHW 125MG PREFERRED BRAND (02) Penicillins
AMOXICILLIN CHW 250MG PREFERRED BRAND (02) Penicillins
AMOXICILLIN POW TRIHYDRA PREFERRED BRAND (02) Penicillins
AMOXICILLIN SUS 125/5ML GENERIC (01) Penicillins
AMOXICILLIN SUS 200/5ML GENERIC (01) Penicillins
AMOXICILLIN SUS 250/5ML GENERIC (01) Penicillins
AMOXICILLIN SUS 250MG/5M GENERIC (01) Penicillins
AMOXICILLIN SUS 400/5ML GENERIC (01) Penicillins
AMOXICILLIN TAB 500MG GENERIC (01) Penicillins
AMOXICILLIN TAB 775MG PREFERRED BRAND (02) Penicillins
AMOXICILLIN TAB 875MG GENERIC (01) Penicillins
AMOX-POT CLA TAB ER GENERIC (01) Penicillins
AMPICILLIN CAP 250MG GENERIC (01) Penicillins
AMPICILLIN CAP 500MG GENERIC (01) Penicillins
AMPICILLIN SUS 125/5ML PREFERRED BRAND (02) Penicillins
AMPICILLIN SUS 250/5ML PREFERRED BRAND (02) Penicillins
AUGMENTIN SUS 125/5ML PREFERRED BRAND (02) Penicillins
AUGMENTIN SUS 250/5ML PREFERRED BRAND (02) Penicillins
AUGMENTIN SUS ES-600 PREFERRED BRAND (02) Penicillins
AUGMENTIN TAB 500MG PREFERRED BRAND (02) Penicillins
AUGMENTIN TAB 875MG PREFERRED BRAND (02) Penicillins
AUGMENTIN XR TAB 12HR PREFERRED BRAND (02) Penicillins
DICLOXACILL CAP 250MG GENERIC (01) Penicillins
DICLOXACILL CAP 500MG GENERIC (01) Penicillins
MOXATAG TAB 775MG PREFERRED BRAND (02) Penicillins
EC-RX PROGES CRE 10% EXCLUDED Progestins
EC-RX PROGES CRE 20% EXCLUDED Progestins
MEDROXYPR AC TAB 10MG EXCLUDED Progestins
MEDROXYPR AC TAB 2.5MG EXCLUDED Progestins
MEDROXYPR AC TAB 5MG EXCLUDED Progestins
PROGESTERONE CAP 100MG EXCLUDED Progestins
PROGESTERONE CAP 200MG EXCLUDED Progestins
PROGESTERONE CRE 10% KIT EXCLUDED Progestins

Medication Guide 216

 PROGESTERONE INJ 50MG/ML EXCLUDED Progestins
PROGESTERONE POW MICRONIZ EXCLUDED Progestins
PROGESTERONE POW MILLED EXCLUDED Progestins
PROGESTERONE POW WETTABLE EXCLUDED Progestins
PROMETRIUM CAP 100MG EXCLUDED Progestins
PROMETRIUM CAP 200MG EXCLUDED Progestins
PROVERA TAB 10MG EXCLUDED Progestins
PROVERA TAB 2.5MG EXCLUDED Progestins
PROVERA TAB 5MG EXCLUDED Progestins
ACAMPRO CAL TAB 333MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
AMPYRA TAB 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ANTABUSE TAB 250MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ANTABUSE TAB 500MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ARICEPT TAB 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ARICEPT TAB 23MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ARICEPT TAB 5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
AVONEX KIT 30MCG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
AVONEX PEN KIT 30MCG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
AVONEX PREFL KIT 30MCG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
BETASERON INJ 0.3MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
BUPROBAN TAB 150MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
BUPROPION TAB 150MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CHANTIX PAK 0.5& 1MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CHANTIX PAK 1MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CHANTIX TAB 0.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CHANTIX TAB 1MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COMMIT LOZ 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COMMIT LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COMMIT LOZ 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COMMIT LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COMMIT LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COPAXONE INJ 20MG/ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
COPAXONE INJ 40MG/ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 217

 CVS NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE GUM 4MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE LOZ 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
CVS NTS DIS STEP 1 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DISULFIRAM TAB 250MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DISULFIRAM TAB 500MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DONEPEZIL TAB 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DONEPEZIL TAB 10MG ODT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DONEPEZIL TAB 5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DONEPEZIL TAB 5MG ODT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
DONEPEZIL TAB HCL 23MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 4MG REF EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE GUM 4MG STRT EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 218

 EQ NICOTINE GUM 4MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE LOZ 2MG CHER EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE LOZ 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQ NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 2MG REF EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 2MG STRT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 4MG REF EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE GUM 4MG STRT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE LOZ 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EQL NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ERGOLOID MES TAB 1MG ORAL EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ERGOLOID MES TAB 1MG ORAL EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON CAP 1.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON CAP 3MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON CAP 4.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON CAP 6MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON DIS 13.3/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON DIS 4.6MG/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXELON DIS 9.5MG/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
EXTAVIA INJ 0.3MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
FLUOXETINE CAP 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
FLUOXETINE CAP 20MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE CAP 16MG ER EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE CAP 24MG ER EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 219

 GALANTAMINE CAP 8MG ER EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE SOL 4MG/ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE TAB 12MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE TAB 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GALANTAMINE TAB 8MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GILENYA CAP 0.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GLATOPA INJ 20MG/ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
GNP NICOTINE LOZ MINI 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
HM NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
KLS QUIT2 GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
KLS QUIT2 LOZ 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
KLS QUIT4 GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
KLS QUIT4 LOZ 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
MEMANT TITRA PAK 5-10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
MEMANTINE TAB HCL 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
MEMANTINE TAB HCL 5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
MEMANTINE HC SOL 2MG/ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA SOL 10MG/5ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA TAB 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA TAB 5-10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 220

 NAMENDA TAB 5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA XR CAP 14MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA XR CAP 21MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA XR CAP 28MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA XR CAP 7MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NAMENDA XR CAP TITRATIO EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICODERM CQ DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICODERM CQ DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICODERM CQ DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORELIEF GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORELIEF GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORELIEF GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORELIEF GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE GUM 4MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 2MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE LOZ 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE ST GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE ST GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE ST GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE ST GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICORETTE ST GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 221

 NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE DIS STEP 1 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE DIS STEP 2 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE DIS STEP 3 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ 2MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE LOZ MINI 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG REF EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MG STRT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG REF EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MG STRT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL GUM 4MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL LOZ 2MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL LOZ 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE POL LOZ 4MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 222

 NICOTINE POL LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE TD DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE TD DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NICOTINE TD DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
NUEDEXTA CAP 20-10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ORAP TAB 1MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ORAP TAB 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
PIMOZIDE TAB 1MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
PIMOZIDE TAB 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
QC NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 2MG CINN EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 4MG FRUT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RA NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE TAB 12MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE TAB 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE TAB 8MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE ER CAP 16MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE ER CAP 24MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RAZADYNE ER CAP 8MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
REBIF INJ 22/0.5 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
REBIF INJ 44/0.5 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
REBIF REBIDO INJ 22/0.5 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
REBIF REBIDO INJ 44/0.5 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
REBIF REBIDO INJ TITRATN EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 223

 REBIF TITRTN INJ PACK EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE CAP 1.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE CAP 3MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE CAP 4.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE CAP 6MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE DIS 13.3/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE DIS 4.6MG/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
RIVASTIGMINE DIS 9.5MG/24 EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SARAFEM TAB 10MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SARAFEM TAB 20MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SAVELLA MIS TITR PAK EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SAVELLA TAB 100MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SAVELLA TAB 12.5MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SAVELLA TAB 25MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SAVELLA TAB 50MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE DIS 21MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SM NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SR NICOTINE GUM 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING LOZ 2MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
STOP SMOKING LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SW NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc

Medication Guide 224

 SW NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SW NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
SW NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TECFIDERA CAP 120MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TECFIDERA CAP 240MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TECFIDERA MIS STARTER EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE DIS 14MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE DIS 21MG/24H EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE DIS 7MG/24HR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 2MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 2MGFRUIT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 4MG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE GUM 4MG ORIG EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE LOZ 2MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE LOZ 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE LOZ 4MG CHRY EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TGT NICOTINE LOZ 4MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
THRIVE GUM 2MG MINT EXCLUDED Psychotherapeutic and Neurological Agents-Misc
TYSABRI INJ 300/15ML EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ZYBAN TAB 150MG SR EXCLUDED Psychotherapeutic and Neurological Agents-Misc
ARALAST NP INJ 1000MG EXCLUDED Respiratory Agents-MISC
ARALAST NP INJ 400MG EXCLUDED Respiratory Agents-MISC
ARALAST NP INJ 500MG EXCLUDED Respiratory Agents-MISC
ARALAST NP INJ 800MG EXCLUDED Respiratory Agents-MISC
PROLASTIN-C INJ 1000MG EXCLUDED Respiratory Agents-MISC
PULMOZYME SOL 1MG/ML EXCLUDED Respiratory Agents-MISC
ZEMAIRA INJ 1000MG EXCLUDED Respiratory Agents-MISC
SULFADIAZINE POW PREFERRED BRAND (02) Sulfonamides
SULFADIAZINE POW SODIUM PREFERRED BRAND (02) Sulfonamides
SULFADIAZINE TAB 500MG PREFERRED BRAND (02) Sulfonamides
ACTICLATE TAB 150MG Y EXCLUDED Tetracyclines

Medication Guide 225

 ACTICLATE TAB 75MG Y EXCLUDED Tetracyclines
ADOXA CAP 150MG Y EXCLUDED Tetracyclines
ADOXA TAB 100MG Y EXCLUDED Tetracyclines
ADOXA TAB 50MG Y EXCLUDED Tetracyclines
ADOXA TAB 75MG Y EXCLUDED Tetracyclines
ADOXA PAK 1/ TAB 100MG Y EXCLUDED Tetracyclines
ADOXA PAK 1/ TAB 150MG Y EXCLUDED Tetracyclines
ADOXA PAK 2/ TAB 100MG Y EXCLUDED Tetracyclines
AVIDOXY TAB 100MG GENERIC (01) Tetracyclines
DEMECLOCYCL POW PREFERRED BRAND (02) Tetracyclines
DEMECLOCYCL TAB 150MG GENERIC (01) Tetracyclines
DEMECLOCYCL TAB 300MG GENERIC (01) Tetracyclines
DORYX TAB 200MG Y EXCLUDED Tetracyclines
DORYX TAB 50MG Y EXCLUDED Tetracyclines
DORYX MPC TAB 120MG Y EXCLUDED Tetracyclines
DOXY 100 INJ 100MG GENERIC (01) Tetracyclines
DOXYCYC MONO CAP 100MG GENERIC (01) Tetracyclines
DOXYCYC MONO CAP 150MG GENERIC (01) Tetracyclines
DOXYCYC MONO CAP 50MG GENERIC (01) Tetracyclines
DOXYCYC MONO CAP 75MG GENERIC (01) Tetracyclines
DOXYCYC MONO TAB 100MG GENERIC (01) Tetracyclines
DOXYCYC MONO TAB 150MG GENERIC (01) Tetracyclines
DOXYCYC MONO TAB 50MG GENERIC (01) Tetracyclines
DOXYCYC MONO TAB 75MG GENERIC (01) Tetracyclines
DOXYCYCL HYC CAP 100MG GENERIC (01) Tetracyclines
DOXYCYCL HYC CAP 50MG GENERIC (01) Tetracyclines
DOXYCYCL HYC INJ 100MG GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 100MG GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 100MG DR GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 150MG DR GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 200MG DR GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 50MG DR GENERIC (01) Tetracyclines
DOXYCYCL HYC TAB 75MG DR GENERIC (01) Tetracyclines

Medication Guide 226

 DOXYCYCLINE POW HYCLATE Y NON-PREFERRED BRAND (03) Tetracyclines
DOXYCYCLINE SUS 25MG/5ML GENERIC (01) Tetracyclines
DOXYCYCLINE TAB 150MG GENERIC (01) Tetracyclines
DOXYCYCLINE TAB 20MG GENERIC (01) Tetracyclines
DOXYCYCLINE TAB 75MG GENERIC (01) Tetracyclines
MINOCIN CAP 100MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCIN CAP 50MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCIN CAP 75MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCIN INJ 100MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCIN KIT 100MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCIN KIT 50MG Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCYCLINE CAP 100MG GENERIC (01) Tetracyclines
MINOCYCLINE CAP 50MG GENERIC (01) Tetracyclines
MINOCYCLINE CAP 75MG GENERIC (01) Tetracyclines
MINOCYCLINE POW Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCYCLINE TAB 100MG GENERIC (01) Tetracyclines
MINOCYCLINE TAB 135MG ER GENERIC (01) Tetracyclines
MINOCYCLINE TAB 45MG ER GENERIC (01) Tetracyclines
MINOCYCLINE TAB 45MG ER Y NON-PREFERRED BRAND (03) Tetracyclines
MINOCYCLINE TAB 50MG GENERIC (01) Tetracyclines
MINOCYCLINE TAB 75MG GENERIC (01) Tetracyclines
MINOCYCLINE TAB 90MG ER GENERIC (01) Tetracyclines
MONDOXYNE NL CAP 100MG GENERIC (01) Tetracyclines
MONDOXYNE NL CAP 50MG GENERIC (01) Tetracyclines
MONDOXYNE NL CAP 75MG GENERIC (01) Tetracyclines
MONODOX CAP 100MG Y NON-PREFERRED BRAND (03) Tetracyclines
MONODOX CAP 75MG Y NON-PREFERRED BRAND (03) Tetracyclines
MORGIDOX CAP 1X100MG GENERIC (01) Tetracyclines
MORGIDOX CAP 1X50MG GENERIC (01) Tetracyclines
MORGIDOX CAP 2X100MG GENERIC (01) Tetracyclines
MORGIDOX KIT 1X100MG Y NON-PREFERRED BRAND (03) Tetracyclines
MORGIDOX KIT 1X50MG Y NON-PREFERRED BRAND (03) Tetracyclines
MORGIDOX KIT 2X100MG Y NON-PREFERRED BRAND (03) Tetracyclines

Medication Guide 227

 NUTRIDOX KIT Y NON-PREFERRED BRAND (03) Tetracyclines
SOLODYN TAB 105MG Y EXCLUDED Tetracyclines
SOLODYN TAB 115MG Y EXCLUDED Tetracyclines
SOLODYN TAB 55MG Y EXCLUDED Tetracyclines
SOLODYN TAB 65MG Y EXCLUDED Tetracyclines
SOLODYN TAB 80MG Y EXCLUDED Tetracyclines
TARGADOX TAB 50MG Y EXCLUDED Tetracyclines
VIBRAMYCIN CAP 100MG Y NON-PREFERRED BRAND (03) Tetracyclines
VIBRAMYCIN SUS 25MG/5ML Y NON-PREFERRED BRAND (03) Tetracyclines
VIBRAMYCIN SYP 50MG/5ML Y NON-PREFERRED BRAND (03) Tetracyclines
CYTOMEL TAB 25MCG PREFERRED BRAND (02) Thyroid Agents
CYTOMEL TAB 50MCG PREFERRED BRAND (02) Thyroid Agents
CYTOMEL TAB 5MCG PREFERRED BRAND (02) Thyroid Agents
LEVO-T TAB 100MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 112MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 125MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 137MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 150MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 175MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 200 MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 25MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 300 MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 50MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 75MCG GENERIC (01) Thyroid Agents
LEVO-T TAB 88MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN INJ 100MCG PREFERRED BRAND (02) Thyroid Agents
LEVOTHYROXIN INJ 200MCG PREFERRED BRAND (02) Thyroid Agents
LEVOTHYROXIN INJ 500MCG PREFERRED BRAND (02) Thyroid Agents
LEVOTHYROXIN TAB 100MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 112MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 125MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 137MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 150MCG GENERIC (01) Thyroid Agents

Medication Guide 228

 LEVOTHYROXIN TAB 175MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 200MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 25MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 300MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 50MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 75MCG GENERIC (01) Thyroid Agents
LEVOTHYROXIN TAB 88MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 100MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 112MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 125MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 137MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 150MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 175MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 200MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 25MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 50MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 75MCG GENERIC (01) Thyroid Agents
LEVOXYL TAB 88MCG GENERIC (01) Thyroid Agents
LIOTHYRONINE INJ 10MCG/ML GENERIC (01) Thyroid Agents
LIOTHYRONINE POW SODIUM PREFERRED BRAND (02) Thyroid Agents
LIOTHYRONINE TAB 25MCG GENERIC (01) Thyroid Agents
LIOTHYRONINE TAB 50MCG GENERIC (01) Thyroid Agents
LIOTHYRONINE TAB 5MCG GENERIC (01) Thyroid Agents
L-THYRONINE POW SODIUM PREFERRED BRAND (02) Thyroid Agents
METHIMAZOLE POW PREFERRED BRAND (02) Thyroid Agents
METHIMAZOLE TAB 10MG GENERIC (01) Thyroid Agents
METHIMAZOLE TAB 5MG GENERIC (01) Thyroid Agents
PROPYLTHIOUR TAB 50MG GENERIC (01) Thyroid Agents
SYNTHROID TAB 100MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 112MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 125MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 137MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 150MCG PREFERRED BRAND (02) Thyroid Agents

Medication Guide 229

 SYNTHROID TAB 175MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 200MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 25MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 300MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 50MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 75MCG PREFERRED BRAND (02) Thyroid Agents
SYNTHROID TAB 88MCG PREFERRED BRAND (02) Thyroid Agents
T3 SODIUM POW DILUTION PREFERRED BRAND (02) Thyroid Agents
TAPAZOLE TAB 10MG PREFERRED BRAND (02) Thyroid Agents
TAPAZOLE TAB 5MG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 100MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 112MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 125MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 137MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 13MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 150MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 25MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 50MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 75MCG PREFERRED BRAND (02) Thyroid Agents
TIROSINT CAP 88MCG PREFERRED BRAND (02) Thyroid Agents
TRIOSTAT INJ 10MCG/ML PREFERRED BRAND (02) Thyroid Agents
UNITH DIRECT TAB 100MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 112MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 125MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 150MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 175MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 200MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 25MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 300MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 50MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 75MCG GENERIC (01) Thyroid Agents
UNITH DIRECT TAB 88MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 100MCG GENERIC (01) Thyroid Agents

Medication Guide 230

 UNITHROID TAB 112MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 125MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 137MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 150MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 175MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 200MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 25MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 300MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 50MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 75MCG GENERIC (01) Thyroid Agents
UNITHROID TAB 88MCG GENERIC (01) Thyroid Agents
ACID CONTROL CHW COMPLETE GENERIC (01) Ulcer Drugs
ACID CONTROL TAB 10MG GENERIC (01) Ulcer Drugs
ACID CONTROL TAB 150MG GENERIC (01) Ulcer Drugs
ACID CONTROL TAB 20MG GENERIC (01) Ulcer Drugs
ACID CONTROL TAB 75MG GENERIC (01) Ulcer Drugs
ACID REDUCER CHW +ANTACID GENERIC (01) Ulcer Drugs
ACID REDUCER CHW COMPLETE GENERIC (01) Ulcer Drugs
ACID REDUCER TAB 10MG GENERIC (01) Ulcer Drugs
ACID REDUCER TAB 150MG GENERIC (01) Ulcer Drugs
ACID REDUCER TAB 200MG GENERIC (01) Ulcer Drugs
ACID REDUCER TAB 20MG GENERIC (01) Ulcer Drugs
ACID REDUCER TAB 75MG GENERIC (01) Ulcer Drugs
ACID RELIEF TAB 200MG GENERIC (01) Ulcer Drugs
ACIPHEX TAB 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ACIPHEX SPR CAP 10MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ACIPHEX SPR CAP 5MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ATROPINE SUL INJ 0.4/0.5 PREFERRED BRAND (02) Ulcer Drugs
ATROPINE SUL INJ 0.4MG/ML GENERIC (01) Ulcer Drugs
ATROPINE SUL INJ 0.4MG/ML PREFERRED BRAND (02) Ulcer Drugs
ATROPINE SUL INJ 1MG/ML GENERIC (01) Ulcer Drugs
ATROPINE SUL INJ 8MG/20ML GENERIC (01) Ulcer Drugs
BENTYL CAP 10MG PREFERRED BRAND (02) Ulcer Drugs

Medication Guide 231

 BENTYL INJ 10MG/ML PREFERRED BRAND (02) Ulcer Drugs
BENTYL TAB 20MG PREFERRED BRAND (02) Ulcer Drugs
CARAFATE SUS 1GM/10ML PREFERRED BRAND (02) Ulcer Drugs
CARAFATE TAB 1GM PREFERRED BRAND (02) Ulcer Drugs
CHLORD/CLIDI CAP 5-2.5MG GENERIC (01) Ulcer Drugs
CIMETIDINE POW PREFERRED BRAND (02) Ulcer Drugs
CIMETIDINE TAB 200MG GENERIC (01) Ulcer Drugs
CIMETIDINE TAB 300MG GENERIC (01) Ulcer Drugs
CIMETIDINE TAB 400MG GENERIC (01) Ulcer Drugs
CIMETIDINE TAB 800MG GENERIC (01) Ulcer Drugs
CLIDI/CHLORD CAP 2.5-5MG GENERIC (01) Ulcer Drugs
COMPLETE CHW DUAL ACT GENERIC (01) Ulcer Drugs
CUVPOSA SOL 1MG/5ML PREFERRED BRAND (02) Ulcer Drugs
CYTOTEC TAB 100MCG PREFERRED BRAND (02) Ulcer Drugs
CYTOTEC TAB 200MCG PREFERRED BRAND (02) Ulcer Drugs
DEPRIZINE SUS 22.4/ML Y NON-PREFERRED BRAND (03) Ulcer Drugs
DEPRIZINE SUS RAPIDPAQ Y NON-PREFERRED BRAND (03) Ulcer Drugs
DEXILANT CAP 30MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
DEXILANT CAP 60MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
DICYCLOMINE CAP 10MG GENERIC (01) Ulcer Drugs
DICYCLOMINE INJ 10MG/ML GENERIC (01) Ulcer Drugs
DICYCLOMINE SOL 10MG/5ML GENERIC (01) Ulcer Drugs
DICYCLOMINE TAB 20MG GENERIC (01) Ulcer Drugs
DUAL ACTION CHW GENERIC (01) Ulcer Drugs
DUAL ACTION CHW COMPLETE GENERIC (01) Ulcer Drugs
DUO FUSION CHW BERRY GENERIC (01) Ulcer Drugs
DUO FUSION CHW MINT GENERIC (01) Ulcer Drugs
EQ HEARTBURN TAB RELIEF GENERIC (01) Ulcer Drugs
EQL HEARTBRN TAB 10MG GENERIC (01) Ulcer Drugs
EQL HEARTBUR TAB 150MG GENERIC (01) Ulcer Drugs
ESOMEPRA MAG CAP 20MG DR GENERIC (01) Ulcer Drugs
ESOMEPRA MAG CAP 40MG DR GENERIC (01) Ulcer Drugs
ESOMEPRAZOLE CAP 24.65MG Y NON-PREFERRED BRAND (03) Ulcer Drugs

Medication Guide 232

 ESOMEPRAZOLE CAP 49.3MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ESOMEPRAZOLE INJ 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
FAMOTIDINE INJ 10MG/ML GENERIC (01) Ulcer Drugs
FAMOTIDINE INJ 200/20ML GENERIC (01) Ulcer Drugs
FAMOTIDINE INJ 20MG/2ML GENERIC (01) Ulcer Drugs
FAMOTIDINE INJ 40MG/4ML GENERIC (01) Ulcer Drugs
FAMOTIDINE SUS 40MG/5ML GENERIC (01) Ulcer Drugs
FAMOTIDINE TAB 10MG GENERIC (01) Ulcer Drugs
FAMOTIDINE TAB 20MG GENERIC (01) Ulcer Drugs
FAMOTIDINE TAB 40MG GENERIC (01) Ulcer Drugs
FIRST-OMEPRA SUS 2MG/ML Y NON-PREFERRED BRAND (03) Ulcer Drugs
HEARTBRN REL TAB 200MG GENERIC (01) Ulcer Drugs
HEARTBRN REL TAB 75MG GENERIC (01) Ulcer Drugs
HEARTBURN TAB 150MG GENERIC (01) Ulcer Drugs
HEARTBURN TAB 200MG GENERIC (01) Ulcer Drugs
HEARTBURN TAB 20MG GENERIC (01) Ulcer Drugs
HEARTBURN TAB RELIEF GENERIC (01) Ulcer Drugs
HEARTBURN TR CAP 15MG GENERIC (01) Ulcer Drugs
LANSOPRAZOLE CAP 15MG DR GENERIC (01) Ulcer Drugs
LANSOPRAZOLE CAP 30MG DR GENERIC (01) Ulcer Drugs
LANSOPRAZOLE SUS 3MG/ML PREFERRED BRAND (02) Ulcer Drugs
LIBRAX CAP 5-2.5MG PREFERRED BRAND (02) Ulcer Drugs
MISOPROSTOL TAB 100MCG GENERIC (01) Ulcer Drugs
MISOPROSTOL TAB 200MCG GENERIC (01) Ulcer Drugs
NEXIUM CAP 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM CAP 40MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM GRA 10MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM GRA 2.5MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM GRA 20MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM GRA 40MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM GRA 5MG DR Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM 24HR CAP 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
NEXIUM 24HR TAB 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs

Medication Guide 233

 NEXIUM I.V. INJ 40MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
NIZATIDINE CAP 150MG GENERIC (01) Ulcer Drugs
NIZATIDINE CAP 300MG GENERIC (01) Ulcer Drugs
NIZATIDINE SOL 15MG/ML PREFERRED BRAND (02) Ulcer Drugs
OMEPPI CAP 20-1100 GENERIC (01) Ulcer Drugs
OMEPPI CAP 40-1100 GENERIC (01) Ulcer Drugs
OMEPRA/BICAR CAP 20-1100 GENERIC (01) Ulcer Drugs
OMEPRA/BICAR CAP 40-1100 GENERIC (01) Ulcer Drugs
OMEPRA/BICAR POW 20-1680 GENERIC (01) Ulcer Drugs
OMEPRA/BICAR POW 40-1680 GENERIC (01) Ulcer Drugs
OMEPRAZOLE CAP 10MG GENERIC (01) Ulcer Drugs
OMEPRAZOLE CAP 20.6MGDR GENERIC (01) Ulcer Drugs
OMEPRAZOLE CAP 20MG GENERIC (01) Ulcer Drugs
OMEPRAZOLE CAP 40MG GENERIC (01) Ulcer Drugs
OMEPRAZOLE TAB 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
OMEPRAZOLE + SUS SYRSPEND Y NON-PREFERRED BRAND (03) Ulcer Drugs
PANTOPRAZOLE INJ SOD 40MG GENERIC (01) Ulcer Drugs
PANTOPRAZOLE TAB 20MG GENERIC (01) Ulcer Drugs
PANTOPRAZOLE TAB 40MG GENERIC (01) Ulcer Drugs
PEPCID CHW COMPLETE PREFERRED BRAND (02) Ulcer Drugs
PEPCID SUS 40MG/5ML PREFERRED BRAND (02) Ulcer Drugs
PEPCID TAB 20MG PREFERRED BRAND (02) Ulcer Drugs
PEPCID TAB 40MG PREFERRED BRAND (02) Ulcer Drugs
PEPCID AC CHW 10MG PREFERRED BRAND (02) Ulcer Drugs
PEPCID AC CHW MAX ST PREFERRED BRAND (02) Ulcer Drugs
PEPCID AC TAB 10MG PREFERRED BRAND (02) Ulcer Drugs
PEPCID AC TAB 20MG PREFERRED BRAND (02) Ulcer Drugs
PREVACID CAP 15MG DR PREFERRED BRAND (02) Ulcer Drugs
PREVACID CAP 30MG DR PREFERRED BRAND (02) Ulcer Drugs
PREVACID TAB 15MG STB PREFERRED BRAND (02) Ulcer Drugs
PREVACID TAB 30MG STB PREFERRED BRAND (02) Ulcer Drugs
PREVACID 24H CAP 15MG DR PREFERRED BRAND (02) Ulcer Drugs
PRILOSEC CAP 10MG Y NON-PREFERRED BRAND (03) Ulcer Drugs

Medication Guide 234

 PRILOSEC CAP 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PRILOSEC CAP 40MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PRILOSEC POW 10MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PRILOSEC POW 2.5MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PRILOSEC OTC TAB 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PROTONIX INJ 40MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PROTONIX PAK Y NON-PREFERRED BRAND (03) Ulcer Drugs
PROTONIX TAB 20MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
PROTONIX TAB 40MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
RABEPRAZOLE TAB 20MG GENERIC (01) Ulcer Drugs
RANITIDINE CAP 150MG GENERIC (01) Ulcer Drugs
RANITIDINE CAP 300MG GENERIC (01) Ulcer Drugs
RANITIDINE INJ 150/6ML GENERIC (01) Ulcer Drugs
RANITIDINE INJ 50MG/2ML GENERIC (01) Ulcer Drugs
RANITIDINE SYP 150/10ML GENERIC (01) Ulcer Drugs
RANITIDINE SYP 15MG/ML GENERIC (01) Ulcer Drugs
RANITIDINE SYP 75MG/5ML GENERIC (01) Ulcer Drugs
RANITIDINE TAB 150MG GENERIC (01) Ulcer Drugs
RANITIDINE TAB 300MG GENERIC (01) Ulcer Drugs
RANITIDINE TAB 75MG GENERIC (01) Ulcer Drugs
SCOPOLAMINE POW HBR PREFERRED BRAND (02) Ulcer Drugs
SM ACID REDU TAB 200MG GENERIC (01) Ulcer Drugs
SM COMPLETE CHW DUAL ACT GENERIC (01) Ulcer Drugs
SUCRALFATE POW PREFERRED BRAND (02) Ulcer Drugs
SUCRALFATE SUS 1GM/10ML PREFERRED BRAND (02) Ulcer Drugs
SUCRALFATE TAB 1GM GENERIC (01) Ulcer Drugs
TAGAMET HB TAB 200MG PREFERRED BRAND (02) Ulcer Drugs
WAL-ZAN TAB 150MG GENERIC (01) Ulcer Drugs
WAL-ZAN TAB 75MG GENERIC (01) Ulcer Drugs
WAL-ZAN 75 TAB GENERIC (01) Ulcer Drugs
ZANTAC INJ 25MG/ML Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZANTAC INJ 50MG/2ML Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZANTAC TAB 150MG Y NON-PREFERRED BRAND (03) Ulcer Drugs

Medication Guide 235

 ZANTAC TAB 300MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZANTAC TAB 75MG Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZEGERID CAP 20-1100 Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZEGERID CAP 40-1100 Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZEGERID POW 20-1680 Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZEGERID POW 40-1680 Y NON-PREFERRED BRAND (03) Ulcer Drugs
ZEGERID OTC CAP 20-1100 Y NON-PREFERRED BRAND (03) Ulcer Drugs
FURADANTIN SUS 25MG/5ML PREFERRED BRAND (02) Urinary Anti-Infectives
MACROBID CAP 100MG PREFERRED BRAND (02) Urinary Anti-Infectives
MACRODANTIN CAP 100MG PREFERRED BRAND (02) Urinary Anti-Infectives
MACRODANTIN CAP 25MG PREFERRED BRAND (02) Urinary Anti-Infectives
MACRODANTIN CAP 50MG PREFERRED BRAND (02) Urinary Anti-Infectives
METHENAM MAN TAB 1000MG GENERIC (01) Urinary Anti-Infectives
METHENAM MAN TAB 1GM GENERIC (01) Urinary Anti-Infectives
METHENAM MAN TAB 500MG PREFERRED BRAND (02) Urinary Anti-Infectives
NITROFUR MAC CAP 100MG GENERIC (01) Urinary Anti-Infectives
NITROFUR MAC CAP 25MG GENERIC (01) Urinary Anti-Infectives
NITROFUR MAC CAP 50MG GENERIC (01) Urinary Anti-Infectives
NITROFURAN POW ANHYDROU PREFERRED BRAND (02) Urinary Anti-Infectives
NITROFURANTN CAP 100MG GENERIC (01) Urinary Anti-Infectives
NITROFURANTN SUS 25MG/5ML GENERIC (01) Urinary Anti-Infectives
NITROFURANTO CAP 100MG GENERIC (01) Urinary Anti-Infectives
BETHANECHOL POW CHLORIDE PREFERRED BRAND (02) Urinary Anti-Spasmodics
BETHANECHOL TAB 10MG GENERIC (01) Urinary Anti-Spasmodics
BETHANECHOL TAB 25MG GENERIC (01) Urinary Anti-Spasmodics
BETHANECHOL TAB 50MG GENERIC (01) Urinary Anti-Spasmodics
BETHANECHOL TAB 5MG GENERIC (01) Urinary Anti-Spasmodics
DETROL TAB 1MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
DETROL TAB 2MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
DETROL LA CAP 2MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
DETROL LA CAP 4MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
DITROPAN XL TAB 10MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
DITROPAN XL TAB 15MG PREFERRED BRAND (02) Urinary Anti-Spasmodics

Medication Guide 236

 DITROPAN XL TAB 5MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
GELNIQUE GEL 10% PREFERRED BRAND (02) Urinary Anti-Spasmodics
GELNIQUE GEL 10% PUMP PREFERRED BRAND (02) Urinary Anti-Spasmodics
GELNIQUE GEL 3% PREFERRED BRAND (02) Urinary Anti-Spasmodics
OXYBUTYNIN SYP 5MG/5ML GENERIC (01) Urinary Anti-Spasmodics
OXYBUTYNIN TAB 10MG ER GENERIC (01) Urinary Anti-Spasmodics
OXYBUTYNIN TAB 15MG ER GENERIC (01) Urinary Anti-Spasmodics
OXYBUTYNIN TAB 5MG GENERIC (01) Urinary Anti-Spasmodics
OXYBUTYNIN TAB 5MG ER GENERIC (01) Urinary Anti-Spasmodics
OXYTROL DIS 3.9MG/24 PREFERRED BRAND (02) Urinary Anti-Spasmodics
OXYTROL/WOMN DIS 3.9MG/24 PREFERRED BRAND (02) Urinary Anti-Spasmodics
TOLTERODINE CAP 2MG ER GENERIC (01) Urinary Anti-Spasmodics
TOLTERODINE CAP 4MG ER GENERIC (01) Urinary Anti-Spasmodics
TOLTERODINE TAB 1MG GENERIC (01) Urinary Anti-Spasmodics
TOLTERODINE TAB 2MG GENERIC (01) Urinary Anti-Spasmodics
TOVIAZ TAB 4MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
TOVIAZ TAB 8MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
TROSPIUM CHL CAP 60MG ER GENERIC (01) Urinary Anti-Spasmodics
TROSPIUM CL TAB 20MG GENERIC (01) Urinary Anti-Spasmodics
URECHOLINE TAB 10MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
URECHOLINE TAB 25MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
URECHOLINE TAB 50MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
URECHOLINE TAB 5MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
VESICARE TAB 10MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
VESICARE TAB 5MG PREFERRED BRAND (02) Urinary Anti-Spasmodics
3 DAY VAGNAL CRE 4% GENERIC (01) Vaginal Products
METROGEL-VAG GEL 0.75% PREFERRED BRAND (02) Vaginal Products
METRONIDAZOL GEL 0.75%VAG GENERIC (01) Vaginal Products
MICONAZOLE CRE 2% GENERIC (01) Vaginal Products
MICONAZOLE SUP 100MG GENERIC (01) Vaginal Products
MICONAZOLE 1 KIT GENERIC (01) Vaginal Products
MICONAZOLE 1 KIT 1200-2% GENERIC (01) Vaginal Products
MICONAZOLE 1 KIT 1200MG2% GENERIC (01) Vaginal Products

Medication Guide 237

 MICONAZOLE 3 CRE 4% GENERIC (01) Vaginal Products
MICONAZOLE 3 KIT 4% GENERIC (01) Vaginal Products
MICONAZOLE 3 KIT COMBINAT GENERIC (01) Vaginal Products
MICONAZOLE 3 KIT COMBO PK GENERIC (01) Vaginal Products
MICONAZOLE 3 SUP 200MG PREFERRED BRAND (02) Vaginal Products
MICONAZOLE 7 CRE GENERIC (01) Vaginal Products
MICONAZOLE 7 CRE 2% GENERIC (01) Vaginal Products
MICONAZOLE 7 CRE TUBE/KIT GENERIC (01) Vaginal Products
MICONAZOLE 7 SUP 100MG GENERIC (01) Vaginal Products
MONISTAT 1 KIT 1200/2% PREFERRED BRAND (02) Vaginal Products
MONISTAT 3 CRE 4% PREFERRED BRAND (02) Vaginal Products
MONISTAT 3 KIT 200MG/2% PREFERRED BRAND (02) Vaginal Products
MONISTAT 3 KIT COMBO PK PREFERRED BRAND (02) Vaginal Products
MONISTAT 7 CRE 2% PREFERRED BRAND (02) Vaginal Products
MONISTAT 7 KIT COMBO PK PREFERRED BRAND (02) Vaginal Products
NUVESSA GEL 1.3% PREFERRED BRAND (02) Vaginal Products
SM MICON 7 SUP 100MG GENERIC (01) Vaginal Products
TERAZOL 3 CRE 0.8% PREFERRED BRAND (02) Vaginal Products
TERAZOL 7 CRE 0.4% PREFERRED BRAND (02) Vaginal Products
TERCONAZOLE CRE 0.4% GENERIC (01) Vaginal Products
TERCONAZOLE CRE 0.8% GENERIC (01) Vaginal Products
VAGISTAT-3 KIT COMBO PK GENERIC (01) Vaginal Products
VANDAZOLE GEL 0.75% GENERIC (01) Vaginal Products
ZAZOLE CRE 0.8% GENERIC (01) Vaginal Products
MIDODRINE TAB 10MG GENERIC (01) Vasopressors
MIDODRINE TAB 2.5MG GENERIC (01) Vasopressors
MIDODRINE TAB 5MG GENERIC (01) Vasopressors

Medication Guide 238

 WellAway Limited
Victoria Place
31 Victoria Street 5th Floor
Hamilton HM 10 Bermuda

+1 441 296 0651

[email protected] wellaway.com