EFFECTIVE JULY Drug Formulary

Transcription

1 EFFECTIVE JULY Drug Formulary For members covered through large employer groups with a 3-tier in-network pharmacy benefit or members with an out-of-network pharmacy benefit Access PPO Alliance Connect / Alliant Plus Core / Group Health Options PPO

2 Drug Formulary INTRODUCTION Development of the Drug Formulary At Group Health the Drug Formulary is the cornerstone of medication therapy, quality assurance, and cost containment. It is a list of medications that are usually covered under a member s medical coverage agreement. The Formulary is developed by the Group Health Pharmacy and Therapeutics committee (P&T), which is composed of physicians representing various medical specialties from across the Group Health system and network providers, pharmacists, and a consumer member. The P&T committee reviews the medications in all therapeutic categories and selects the most appropriate in each class based on safety, effectiveness, and cost. The Formulary helps health care providers to offer the most effective drug therapy possible with the limited resources available. Having a formulary allows Group Health to offer the safest, most effective, and most cost-effective health care possible. The P&T committee meets quarterly to review new and existing medications to ensure that the Formulary remains responsive to the needs of members and providers. The Formulary is updated periodically and is subject to change. If a medication will be removed from the formulary, members who had filled the medication in the prior 3 months will be notified of the upcoming change. A formulary change notice will be posted on the member website at least 30 days prior to the effective date. Formulary Listing and Drug Coverage Drug coverage is based on an individual s contracted benefit and formulary status. Coverage for a specific medication is subject to each member s medical coverage agreement. Please consult your Benefit Booklet or call Customer Service if you have questions about your drug coverage. Group Health will only cover FDA-approved medications used for non-experimental therapies. Most plans exclude experimental and investigational drugs, over-the-counter drugs, drugs used in the treatment of sexual dysfunction disorders, medicines for anticipated illness while traveling, or drugs used for cosmetic purposes. Please consult your Benefit Booklet for limitations and exclusions. Medications are listed by generic name if a generic is available. Brand names may be listed only to serve as a guide. Listing of a brand name does not imply coverage of a specific brand. Generic drugs are substituted when available and allowed by the prescriber. When a generic is available, the brand-name medication is generally considered non-formulary and subject to higher cost shares. Injection medications that are typically administered by a professional in a clinical setting may not be listed on the formulary. For coverage of these drugs, refer to your Benefit Booklet. How to Search the Formulary Medications on the formulary are listed by therapeutic class. An alphabetical index is included to assist in locating specific medications. Generic Drugs When a drug company identifies a drug in the laboratory, that company is granted a patent on the drug for a period up to 20 years. During the life of the patent, no other manufacturer is allowed to produce or sell the same drug product without the patent-holder's approval, thus eliminating direct price competition. Patent protection allows the original drug company to recoup the cost of research and development and to make a profit. After the patent expires, other pharmaceutical manufacturers may develop, test, and market medications with the same active ingredients. These chemically identical products, generic drugs, contain exact quantities of the same active ingredient

3 in the same dosage form as the brand-name product and they are more affordable than the brand-name product. Prior Authorization (PA) Drugs The P&T Committee determines a number of drugs require prior authorization to confirm coverage. These medications most often have alternatives drugs on the formulary, safety concerns or a high potential for inappropriate use. Prescribers do not need authorization to prescribe the drug, only to determine coverage for a patient. To request coverage for prior authorization medications, your prescriber must contact Group Health. Medications requiring Prior Authorization are listed with PA in the right hand column. New drugs to the market may require prior authorization until reviewed by the Pharmacy and Therapeutics Committee. Step Therapy (ST) Drugs Step Therapy is a process where you must try a certain drug, such as a generic alternative, before receiving coverage for a similar but non-preferred medication. Instead of your prescriber contacting Group Health, we look at your prescription history and if you have tried the preferred agent, you will be automatically covered for the non-preferred agent. This makes coverage for you easier and reduces the amount of work for your prescriber. Medications requiring Step Therapy are listed with ST in the right hand column. Quantity Limit (QL) Drugs Medications with quantity limits are indicated with QL in the right-hand column. Quantity limits align with FDA-approved indications and dosing for safe and effective use of the drug. To request exceptions to quantity limits, your prescriber must contact Group Health. Day Supply Limit (DS) for Select Drugs Medications with day supply limit are indicated with DS in the right-hand column. These Medications are limited to a one month supply at a time. The 1-month limit minimizes waste of unused medications when there is a change in the prescribed drug or quantity. Medications Limited to Select Pharmacies Some medications are limited to Group Health mail order pharmacy and/or a designated specialty pharmacy. These pharmacies work closely with patients to manage certain specialty medications to ensure you get the most from your treatment. The pharmacy works with you and your doctor to confirm your medication is working for you, reaches out to you to set up refills, and reminds you of needed labs and review the results with you. For a list of these medications, see Appendix A. To order these medications or for questions related to these medications, you can contact the Group Health Specialty Medication Pharmacy at Members with an out-of-network benefit may use a network pharmacy; however, they may pay a higher cost share. Preventative Medications and Preferred Contraceptives Most plans cover Affordable Care Act (ACA) requirements for preventative care medications and contraceptives in full. Please consult your Benefit Booklet under Preventive Services or call Customer Service if you have questions about your coverage for these drugs. Below is the list of the preventative medications covered in full. Aspirin 81 mg and 325 mg. Limited to 30 units per 30 days Calcitriol (Vitamin D) 400 Units and 1000 Units Ferrous sulfate 15 mg/ml oral drops Folic acid 400 mg and 800 mg

4 Over-the-counter nicotine replacement patches, gum, and lozenge. Prior authorization required. Sodium fluoride chewable tabs and drops Tamoxifen generic Raloxifene generic In accordance with the Affordable Care Act (ACA) requirements for preventive services, most Group Health plans provide full coverage for contraceptives. If your plan offers ACA benefits, all prescribed FDA approved contraceptive methods from on the Group Health formulary list will be covered in full when obtained in-network. For plans with out-of-network (OON) benefits, contraceptives will be subject to the OON cost-share. Preferred contraceptives are listed on the formulary under Contraception as Tier 1 and Tier 2. If you request coverage for a non-preferred contraceptive, we will contact your provider to recommend a preferred generic or therapeutically equivalent product. If you and your provider determine that the preferred contraceptive(s) would be medically inappropriate, your provider must request a contraceptive waiver. Please consult your Benefit Booklet under Preventive Services or call Customer Service if you have questions about your coverage for contraceptives. Non-Formulary Drugs Medications not listed in this document are not on the formulary at the time of publication. The most current information is online at Non-formulary drugs are not covered unless approved by the health plan as medically necessary. The prescriber must contact Group Health to determine the medical necessity of the non-formulary medication. An alternative formulary medication will be recommended when clinically appropriate. If a medical exception is not approved, the patient is responsible for the full price of the drug. Covered Diabetic Supplies Some diabetic supplies may be covered at Tier 1 cost share if they are filled as a prescription. These items are: Preferred blood glucose test strips: o One Touch Verio o One Touch Ultra o Prodigy prior authorization required o Breeze 2 prior authorization required o Contour Next prior authorization required o Freestyle prior authorization required Disposable insulin syringes and needles Lancing device and lancets Preferred blood glucose meters are covered only when filled through the mail order pharmacy. Over-the-Counter (OTC) Drugs A few plans offer coverage for OTC drugs. For these plans, a list of covered OTC drugs can be found in Appendix B. You may contact Customer Service at to find if you have OTC drug coverage.

5 Mail Order Pharmacy Service Mail order is convenient for patients and efficiently utilizes Group Health s resources. This service works best for drugs that must be taken on regular basis, such as birth control pills and drugs for high blood pressure, high cholesterol, or other chronic conditions. To begin using Mail Order, ask your prescriber to send the prescription directly to the Mail Order Pharmacy. To transfer an existing prescription from a retail pharmacy, contact the Mail Order Pharmacy. Address: Group Health Mail Order Pharmacy PO Box Seattle, WA Phone: RXRX ( ) Fax: , or toll-free Additional Information Please contact Customer Service at with any questions or concerns regarding information contained in this document. The most current drug formulary is available to search at Table of Contents ALLERGY... 1 ANTIEMESIS/ANTIVERTIGO... 2 ASTHMA... 3 AUTONOMIC NERVOUS SYSTEM DISORDERS... 5 BEHAVIORAL HEALTH - ANTIDEPRESSANTS... 6 BEHAVIORAL HEALTH - OTHER... 9 CARDIOVASCULAR DISEASE - ARRHYTHMIA CARDIOVASCULAR DISEASE - CARDIAC STIMULANT CARDIOVASCULAR DISEASE - HYPERTENSION CARDIOVASCULAR DISEASE - LIPID IRREGULARITY CARDIOVASCULAR DISEASE - MISCELLANEOUS AGENTS CARDIOVASCULAR DISEASE - VASODILATION CONTRACEPTION/OXYTOCICS COUGH AND COLD DERMATOLOGY - ACNE DERMATOLOGY - ANTIINFECTIVE DERMATOLOGY - ANTIINFLAMMATORY DERMATOLOGY - ANTIPRURITIC DRUGS DERMATOLOGY - MISCELLANEOUS DERMATOLOGY - PSORIASIS/ECZEMA DIABETES EAR - GENERAL DISORDERS ELECTROLYTE REGULATION ENDOCRINE DISORDER - FERTILITY ENDOCRINE DISORDER - OTHER ENDOCRINE DISORDER - THYROID EYE - GENERAL DISORDERS EYE - GLAUCOMA EYE - MISCELLANEOUS GOUT AND RELATED DISEASES HEMATOLOGICAL DISORDERS HORMONAL DEFICIENCY IMMUNIZATION... 69

6 IMMUNOSUPPRESSION/MODULATION INFECTIOUS DISEASE - BACTERIAL INFECTIOUS DISEASE - FUNGAL INFECTIOUS DISEASE - MISCELLANEOUS INFECTIOUS DISEASE - PARASITIC INFECTIOUS DISEASE - VIRAL INFLAMMATORY DISEASE LOCAL ANESTHESIA LOWER GASTROINTESTINAL DISORDERS - BOWEL INFLAMMAT LOWER GASTROINTESTINAL DISORDERS - OTHER MISCELLANEOUS AGENTS NEOPLASTIC DISEASE NEUROLOGICAL DISEASE - MISCELLANEOUS ORAL/PHARYNGEAL DISORDERS OTHER DRUGS OTHER RESPIRATORY DISORDERS PAIN MANAGEMENT - ANALGESICS PARKINSONS DISEASE SEIZURE DISORDER SKELETAL MUSCLE DISORDER UPPER GASTROINTESTINAL DISORDERS - DIGESTIVE UPPER GASTROINTESTINAL DISORDERS - SPASTIC DISEASE UPPER GASTROINTESTINAL DISORDERS - ULCER DISEASE URINARY TRACT - FUNCTIONAL DISORDERS VAGINAL DISORDERS VITAMIN AND/OR MINERAL DEFICIENCY

7 1 ALLERGY arbinoxa LIQUID 1 arbinoxa TABLET 1 ASTEPRO SPRAY/PUMP 3 azelastine hcl 137 MCG SPRAY/PUMP 1 azelastine hcl 205.5MCG SPRAY/PUMP 3 BECONASE AQ SPRAY 3 budesonide SPRAY/PUMP 3 carbinoxamine maleate LIQUID 1 carbinoxamine maleate TABLET 1 cetirizine hcl SOLUTION 3 CLARINEX SYRUP 3 CLARINEX TABLET 3 CLARINEX-D 12 HOUR TBMP 12HR 3 clemastine fumarate SYRUP 1 clemastine fumarate TABLET 1 cyproheptadine hcl SYRUP 1 cyproheptadine hcl TABLET 1 desloratadine TAB RAPDIS 1 desloratadine TABLET 1 DICOPANOL SUSP RECON 3 diphenhydramine hcl ELIXIR 3 DYMISTA SPRAY/PUMP 3 fexofenadine hcl TABLET 3 fexofenadine-pse er TAB ER 24H 3 flunisolide SPRAY 1 fluticasone propionate SPRAY SUSP 1 hydroxyzine hcl SYRUP 1 hydroxyzine hcl TABLET 1 HYDROXYZINE PAMOATE CAPSULE 3 hydroxyzine pamoate CAPSULE 1 KARBINAL ER SUS ER 12H 3 levocetirizine dihydrochloride SOLUTION 1 levocetirizine dihydrochloride TABLET 1 NASONEX SPRAY/PUMP 3

8 2 olopatadine hcl SPRAY/PUMP 3 OMNARIS SPRAY/PUMP 3 PATANASE SPRAY/PUMP 3 promethazine hcl SYRUP 1 promethazine hcl TABLET 1 QNASL HFA AER AD 3 QNASL CHILDREN HFA AER AD 3 RHINOCORT AQUA SPRAY/PUMP 3 SEMPREX-D CAPSULE 3 triamcinolone acetonide SPRAY 3 VERAMYST SPRAY SUSP 3 VISTARIL CAPSULE 3 XYZAL SOLUTION 3 XYZAL TABLET 3 ZETONNA HFA AER AD 3 ANTIEMESIS/ANTIVERTIGO AKYNZEO CAPSULE 3 ANTIVERT TABLET 3 ANZEMET TABLET 3 CESAMET CAPSULE 3 COMPAZINE SUPP.RECT 2 COMPAZINE TABLET 3 compro SUPP.RECT 1 DICLEGIS TABLET DR 3 dronabinol CAPSULE 1 EMEND CAP DS PK 2 EMEND 125 MG CAPSULE 2 EMEND 40 MG CAPSULE 3 EMEND 80 MG CAPSULE 2 granisetron hcl TABLET 3 MARINOL CAPSULE 3 meclizine hcl TABLET 3 ondansetron hcl SOLUTION 1

9 3 ondansetron hcl TABLET 1 ondansetron odt TAB RAPDIS 1 phenadoz SUPP.RECT 1 PHENERGAN SUPP.RECT 2 prochlorperazine maleate SUPP.RECT 1 prochlorperazine maleate TABLET 1 promethazine hcl SUPP.RECT 1 promethegan SUPP.RECT 1 SANCUSO PATCH TDWK 3 TIGAN CAPSULE 3 TRANSDERM-SCOP PATCH TD72 3 trimethobenzamide hcl CAPSULE 3 ZOFRAN SOLUTION 3 ZOFRAN TABLET 3 ZOFRAN ODT TAB RAPDIS 3 ZUPLENZ FILM 3 ASTHMA ACCOLATE TABLET 3 ADVAIR DISKUS MCG BLST W/DEV 2 PA ADVAIR DISKUS MCG BLST W/DEV 2 PA ADVAIR DISKUS MCG BLST W/DEV 2 PA ADVAIR HFA MCG HFA AER AD 2 PA ADVAIR HFA MCG HFA AER AD 2 PA ADVAIR HFA 45-21MCG HFA AER AD 2 PA AEROSPAN HFA AER AD 3 albuterol sulfate SOLUTION 1 albuterol sulfate SYRUP 1 albuterol sulfate TAB ER 12H 3 albuterol sulfate TABLET 1 albuterol sulfate 0.63MG/3ML VIAL-NEB 3 albuterol sulfate 1.25MG/3ML VIAL-NEB 3 albuterol sulfate 2.5 MG/0.5 VIAL-NEB 1 albuterol sulfate 2.5 MG/3ML VIAL-NEB 1

10 4 ALVESCO HFA AER AD 3 ARCAPTA NEOHALER CAP W/DEV 3 ASMANEX AER POW BA 2 ST ASMANEX HFA HFA AER AD 2 ST ATROVENT HFA HFA AER AD 2 BROVANA VIAL-NEB 3 budesonide AMPUL-NEB 1 caffeine citrate SOLUTION 1 COMBIVENT RESPIMAT MIST INHAL 2 cromolyn sodium AMPUL-NEB 1 cromolyn sodium SOLUTION 3 DALIRESP TABLET 3 DULERA HFA AER AD 2 elixophyllin ELIXIR 3 FLOVENT DISKUS 100 MCG BLST W/DEV 2 PA FLOVENT DISKUS 250 MCG BLST W/DEV 2 PA FLOVENT DISKUS 50 MCG BLST W/DEV 2 PA FLOVENT HFA AER W/ADAP 2 FLOVENT HFA 110 MCG AER W/ADAP 2 PA FLOVENT HFA 220 MCG AER W/ADAP 2 PA FORADIL CAP W/DEV 3 GASTROCROM SOLUTION 3 ipratropium bromide SOLUTION 1 ipratropium-albuterol AMPUL-NEB 1 levalbuterol concentrate VIAL-NEB 3 levalbuterol hcl VIAL-NEB 3 LUFYLLIN TABLET 3 metaproterenol sulfate SYRUP 1 metaproterenol sulfate TABLET 1 montelukast sodium GRAN PACK 1 montelukast sodium TAB CHEW 1 montelukast sodium TABLET 1 PERFOROMIST VIAL-NEB 3 PROAIR HFA 90 MCG HFA AER AD 2 QL PROVENTIL HFA 90 MCG HFA AER AD 3 QL PULMICORT 0.25MG/2ML AMPUL-NEB 3

11 5 PULMICORT 0.5 MG/2ML AMPUL-NEB 3 PULMICORT 1 MG/2 ML AMPUL-NEB 2 PULMICORT FLEXHALER AER POW BA 3 QVAR AER W/ADAP 2 SEREVENT DISKUS BLST W/DEV 2 SINGULAIR GRAN PACK 3 SINGULAIR TAB CHEW 3 SINGULAIR TABLET 3 SPIRIVA CAP W/DEV 2 SPIRIVA RESPIMAT MIST INHAL 3 STRIVERDI RESPIMAT MIST INHAL 3 SYMBICORT MCG HFA AER AD 3 PA SYMBICORT MCG HFA AER AD 3 PA terbutaline sulfate TABLET 1 terbutaline sulfate VIAL 3 THEO-24 CAP ER 24H 3 theochron TAB ER 12H 1 theophylline SOLUTION 1 theophylline TABLET ER 1 theophylline anhydrous TAB ER 12H 1 TUDORZA PRESSAIR AER POW BA 3 VENTOLIN HFA 90 MCG HFA AER AD 3 QL VOSPIRE ER TAB ER 12H 3 XOPENEX VIAL-NEB 3 XOPENEX CONCENTRATE VIAL-NEB 3 XOPENEX HFA 45 MCG HFA AER AD 3 QL zafirlukast TABLET 3 ZYFLO TABLET 3 ZYFLO CR TBMP 12HR 3 AUTONOMIC NERVOUS SYSTEM DISORDERS ARICEPT TABLET 3 donepezil hcl 10 MG TABLET 1 donepezil hcl 23 MG TABLET 3

12 6 donepezil hcl 5 MG TABLET 1 donepezil hcl odt TAB RAPDIS 3 EXELON CAPSULE 3 EXELON PATCH TD24 3 galantamine hbr CAP24H PEL 1 galantamine hbr TABLET 1 galantamine hydrobromide SOLUTION 1 memantine TABLET 1 MESTINON SYRUP 2 MESTINON TABLET 3 MESTINON TABLET ER 2 NAMENDA SOLUTION 2 NAMENDA TAB DS PK 2 NAMENDA TABLET 2 NAMENDA XR CAP SPR 24 3 NAMENDA XR CAP24 DSPK 3 pyridostigmine bromide TABLET 1 RAZADYNE TABLET 3 RAZADYNE ER CAP24H PEL 3 rivastigmine CAPSULE 1 BEHAVIORAL HEALTH - ANTIDEPRESSANTS amitriptyline hcl TABLET 1 amoxapine TABLET 1 ANAFRANIL CAPSULE 3 APLENZIN TAB ER 24H 3 BRINTELLIX 10 MG TABLET 3 PA,DS BRINTELLIX 20 MG TABLET 3 PA,DS BRINTELLIX 5 MG TABLET 3 PA,DS BRISDELLE CAPSULE 3 bupropion hcl TABLET 1 bupropion hcl sr TABLET ER 1 bupropion xl TAB ER 24H 1 CELEXA TABLET 3

13 7 chlordiazepoxide-amitriptyline TABLET 3 citalopram hbr SOLUTION 1 citalopram hbr TABLET 1 clomipramine hcl CAPSULE 1 CYMBALTA CAPSULE DR 3 desipramine hcl TABLET 1 DESVENLAFAXINE ER 100 MG TAB ER 24H 3 PA DESVENLAFAXINE ER 50 MG TAB ER 24H 3 PA desvenlafaxine er 100 MG TAB ER 24 3 PA desvenlafaxine er 50 MG TAB ER 24 3 PA DESVENLAFAXINE FUMARATE ER 100 MG TAB ER 24 3 PA DESVENLAFAXINE FUMARATE ER 50 MG TAB ER 24 3 PA doxepin hcl CAPSULE 1 doxepin hcl ORAL CONC 1 duloxetine hcl CAPSULE DR 1 EFFEXOR XR CAP ER 24H 3 escitalopram oxalate SOLUTION 1 escitalopram oxalate TABLET 1 FETZIMA 120 MG CAP SA 24H 3 PA FETZIMA 20 MG CAP SA 24H 3 PA FETZIMA 40 MG CAP SA 24H 3 PA FETZIMA 80 MG CAP SA 24H 3 PA FETZIMA 20-40MG CAP24HDSPK 3 PA fluoxetine dr CAPSULE DR 3 FLUOXETINE HCL TABLET 3 fluoxetine hcl CAPSULE 1 fluoxetine hcl SOLUTION 1 fluoxetine hcl TABLET 1 fluvoxamine maleate TABLET 1 fluvoxamine maleate er CAP ER 24H 3 FORFIVO XL 450 MG TAB ER 24H 3 PA imipramine hcl TABLET 1 imipramine pamoate CAPSULE 3 KHEDEZLA 100 MG TAB ER 24 3 PA KHEDEZLA 50 MG TAB ER 24 3 PA LEXAPRO SOLUTION 3

14 8 LEXAPRO TABLET 3 maprotiline hcl TABLET 1 MARPLAN TABLET 3 mirtazapine TAB RAPDIS 3 mirtazapine TABLET 1 NARDIL TABLET 3 nefazodone hcl TABLET 3 NORPRAMIN TABLET 3 nortriptyline hcl CAPSULE 1 nortriptyline hcl SOLUTION 1 OLEPTRO ER TAB ER 24H 3 PAMELOR CAPSULE 3 PARNATE TABLET 3 paroxetine hcl TAB ER 24H 3 paroxetine hcl TABLET 1 PAXIL ORAL SUSP 2 PAXIL TABLET 3 PAXIL CR TAB ER 24H 3 perphenazine-amitriptyline TABLET 1 PEXEVA TABLET 3 phenelzine sulfate TABLET 1 PRISTIQ ER 100 MG TAB ER 24H 3 PA PRISTIQ ER 50 MG TAB ER 24H 3 PA protriptyline hcl TABLET 1 PROZAC CAPSULE 3 PROZAC WEEKLY CAPSULE DR 3 REMERON TAB RAPDIS 3 REMERON TABLET 3 SARAFEM TABLET 3 sertraline hcl ORAL CONC 1 sertraline hcl TABLET 1 SURMONTIL CAPSULE 3 TOFRANIL TABLET 3 TOFRANIL-PM CAPSULE 3 tranylcypromine sulfate TABLET 1 trazodone hcl TABLET 1

15 9 venlafaxine hcl TABLET 1 VENLAFAXINE HCL ER TAB ER 24 3 venlafaxine hcl er CAP ER 24H 1 venlafaxine hcl er TAB ER 24 3 VIIBRYD MG TAB DS PK 3 PA VIIBRYD 10 MG TABLET 3 PA VIIBRYD 20 MG TABLET 3 PA VIIBRYD 40 MG TABLET 3 PA WELLBUTRIN TABLET 3 WELLBUTRIN SR TABLET ER 3 WELLBUTRIN XL TAB ER 24H 3 ZOLOFT ORAL CONC 3 ZOLOFT TABLET 3 BEHAVIORAL HEALTH - OTHER ABILIFY 1 MG/ML SOLUTION 2 PA ABILIFY 10 MG TABLET 2 PA ABILIFY 15 MG TABLET 2 PA ABILIFY 2 MG TABLET 2 PA ABILIFY 20 MG TABLET 2 PA ABILIFY 30 MG TABLET 2 PA ABILIFY 5 MG TABLET 2 PA ABILIFY DISCMELT 10 MG TAB RAPDIS 3 PA ABILIFY DISCMELT 15 MG TAB RAPDIS 3 PA ABILIFY MAINTENA 300 MG SUSER SYR 3 PA,DS ABILIFY MAINTENA 400 MG SUSER SYR 3 PA,DS ABILIFY MAINTENA 300 MG SUSER VIAL 3 PA,DS ABILIFY MAINTENA 400 MG SUSER VIAL 3 PA,DS acamprosate calcium TABLET DR 1 ADDERALL TABLET 3 ADDERALL XR CAP ER 24H 1 QL alprazolam TABLET 1 alprazolam er TAB ER 24H 3 ALPRAZOLAM INTENSOL ORAL CONC 3

16 10 alprazolam odt TAB RAPDIS 3 alprazolam xr TAB ER 24H 3 AMBIEN TABLET 3 AMBIEN CR TAB MPHASE 3 amphetamine salt combo TABLET 1 ANTABUSE TABLET 3 aripiprazole 10MG TABLET 1 PA aripiprazole 15MG TABLET 1 PA aripiprazole 2MG TABLET 1 PA aripiprazole 20MG TABLET 1 PA aripiprazole 30MG TABLET 1 PA aripiprazole 5MG TABLET 1 PA ATIVAN TABLET 3 BELSOMRA TABLET 3 PA buspirone hcl 10 MG TABLET 1 buspirone hcl 15 MG TABLET 1 buspirone hcl 30 MG TABLET 1 buspirone hcl 5 MG TABLET 1 buspirone hcl 7.5 MG TABLET 3 BUTISOL SODIUM TABLET 3 chlordiazepoxide hcl CAPSULE 1 chlorpromazine hcl TABLET 1 clonidine hcl er TAB ER 12H 3 clorazepate dipotassium TABLET 1 clozapine 100 MG TABLET 1 clozapine 200 MG TABLET 3 clozapine 25 MG TABLET 1 clozapine 50 MG TABLET 3 clozapine odt TAB RAPDIS 3 CLOZARIL TABLET 3 CONCERTA TAB ER 24 3 QL DAYTRANA PATCH TD24 3 QL depade TABLET 1 DESOXYN TABLET 3 DEXEDRINE CAPSULE ER 3 PA,QL dexmethylphenidate hcl TABLET 1

17 11 dexmethylphenidate hcl er CPBP QL dextroamphetamine sulfate SOLUTION 3 dextroamphetamine sulfate TABLET 1 dextroamphetamine sulfate er CAPSULE ER 1 QL diazepam ORAL CONC 3 diazepam SOLUTION 3 diazepam TABLET 1 disulfiram TABLET 1 EDLUAR TAB SUBL 3 EMSAM PATCH TD24 3 EQUETRO CPMP 12HR 3 estazolam TABLET 3 eszopiclone TABLET 3 EVEKEO 10 MG TABLET 3 PA EVEKEO 5 MG TABLET 3 PA FANAPT MG TAB DS PK 3 ST FANAPT 1 MG TABLET 3 ST FANAPT 10 MG TABLET 3 ST FANAPT 12 MG TABLET 3 ST FANAPT 2 MG TABLET 3 ST FANAPT 4 MG TABLET 3 ST FANAPT 6 MG TABLET 3 ST FANAPT 8 MG TABLET 3 ST FAZACLO TAB RAPDIS 3 fluphenazine hcl ELIXIR 1 fluphenazine hcl ORAL CONC 1 fluphenazine hcl TABLET 1 flurazepam hcl CAPSULE 1 FOCALIN TABLET 3 FOCALIN XR CPBP PA,QL GEODON CAPSULE 3 guanfacine hcl er TAB ER 24H 3 HALCION TABLET 3 haloperidol TABLET 1 haloperidol lactate ORAL CONC 1 HETLIOZ 20 MG CAPSULE 3 PA,DS

18 12 INTERMEZZO TAB SUBL 3 INTUNIV TAB ER 24H 3 INVEGA 1.5 MG TAB ER 24 3 ST INVEGA 3 MG TAB ER 24 3 ST INVEGA 6 MG TAB ER 24 3 ST INVEGA 9 MG TAB ER 24 3 ST INVEGA SUSTENNA 117MG/0.75 SYRINGE 3 PA INVEGA SUSTENNA 156 MG/ML SYRINGE 3 PA INVEGA SUSTENNA 234MG/1.5 SYRINGE 3 PA INVEGA SUSTENNA 39MG/0.25 SYRINGE 3 PA INVEGA SUSTENNA 78MG/0.5ML SYRINGE 3 PA KAPVAY TAB ER 12H 3 LATUDA 120 MG TABLET 3 ST LATUDA 20 MG TABLET 3 ST LATUDA 40 MG TABLET 3 ST LATUDA 60 MG TABLET 3 ST LATUDA 80 MG TABLET 3 ST lithium SOLUTION 1 lithium carbonate CAPSULE 1 lithium carbonate TABLET 1 lithium carbonate er TABLET ER 1 LITHOBID TABLET ER 3 lorazepam ORAL CONC 1 lorazepam TABLET 1 lorazepam intensol ORAL CONC 1 loxapine CAPSULE 1 LUNESTA TABLET 3 meprobamate TABLET 3 METADATE CD CPBP QL METADATE ER TABLET ER 3 QL methamphetamine hcl TABLET 3 QL METHYLIN SOLUTION 3 QL METHYLIN TAB CHEW 3 QL methylphenidate er CPBP QL methylphenidate er TAB ER 24 1 QL methylphenidate er TABLET ER 1 QL

19 13 methylphenidate hcl SOLUTION 3 methylphenidate hcl TABLET 1 methylphenidate hcl cd CPBP QL methylphenidate la CPBP QL midazolam hcl SYRUP 3 modafinil 100 MG TABLET 1 ST modafinil 200 MG TABLET 1 ST naltrexone hcl TABLET 1 NUVIGIL 150 MG TABLET 2 ST NUVIGIL 200 MG TABLET 2 ST NUVIGIL 250 MG TABLET 2 ST NUVIGIL 50 MG TABLET 2 ST olanzapine TABLET 1 olanzapine odt TAB RAPDIS 3 olanzapine-fluoxetine hcl CAPSULE 3 ORAP TABLET 2 oxazepam CAPSULE 1 perphenazine TABLET 1 phenobarbital ELIXIR 1 phenobarbital TABLET 1 PROCENTRA SOLUTION 3 PROVIGIL 100 MG TABLET 3 ST PROVIGIL 200 MG TABLET 3 ST quetiapine fumarate TABLET 1 QUILLIVANT XR SU ER RC24 3 RESTORIL CAPSULE 3 REVIA TABLET 3 RISPERDAL SOLUTION 3 RISPERDAL TABLET 3 RISPERDAL M-TAB TAB RAPDIS 3 risperidone SOLUTION 1 risperidone TAB RAPDIS 3 risperidone TABLET 1 risperidone odt TAB RAPDIS 3 RITALIN TABLET 3 RITALIN LA CPBP QL

20 14 ROZEREM TABLET 3 SAPHRIS 10 MG TAB SUBL 3 ST SAPHRIS 5 MG TAB SUBL 3 ST SECONAL SODIUM CAPSULE 2 SEROQUEL TABLET 3 SEROQUEL XR 150 MG TAB ER 24H 3 ST SEROQUEL XR 200 MG TAB ER 24H 3 ST SEROQUEL XR 300 MG TAB ER 24H 3 ST SEROQUEL XR 400 MG TAB ER 24H 3 ST SEROQUEL XR 50 MG TAB ER 24H 3 ST SILENOR TABLET 3 SONATA CAPSULE 3 STRATTERA 10 MG CAPSULE 2 ST STRATTERA 100 MG CAPSULE 2 ST STRATTERA 18 MG CAPSULE 2 ST STRATTERA 25 MG CAPSULE 2 ST STRATTERA 40 MG CAPSULE 2 ST STRATTERA 60 MG CAPSULE 2 ST STRATTERA 80 MG CAPSULE 2 ST SYMBYAX CAPSULE 3 temazepam 15 MG CAPSULE 1 temazepam 22.5 MG CAPSULE 3 temazepam 30 MG CAPSULE 1 temazepam 7.5 MG CAPSULE 1 thioridazine hcl TABLET 3 thiothixene CAPSULE 1 TRANXENE T-TAB TABLET 3 triazolam TABLET 1 trifluoperazine hcl TABLET 1 VALIUM TABLET 3 VERSACLOZ ORAL SUSP 3 VYVANSE CAPSULE 3 PA, QL XANAX TABLET 3 XANAX XR TAB ER 24H 3 XYREM 500 MG/ML SOLUTION 3 PA,DS zaleplon CAPSULE 1

21 15 zenzedi TABLET 1 ziprasidone hcl CAPSULE 1 zolpidem TABLET 1 zolpidem tartrate TABLET 1 zolpidem tartrate er TAB MPHASE 1 ZOLPIMIST SPRAY/PUMP 3 ZYPREXA TABLET 3 ZYPREXA RELPREVV 210 MG VIAL 3 PA ZYPREXA RELPREVV 300 MG VIAL 3 PA ZYPREXA RELPREVV 405 MG VIAL 3 PA ZYPREXA ZYDIS TAB RAPDIS 3 CARDIOVASCULAR DISEASE - ARRHYTHMIA amiodarone hcl 100 MG TABLET 3 amiodarone hcl 200 MG TABLET 1 amiodarone hcl 400 MG TABLET 3 CORDARONE TABLET 3 disopyramide phosphate CAPSULE 1 flecainide acetate TABLET 1 mexiletine hcl CAPSULE 1 MULTAQ TABLET 3 NORPACE CAPSULE 3 NORPACE CR CAPSULE ER 2 pacerone 100 MG TABLET 3 pacerone 200 MG TABLET 1 pacerone 400 MG TABLET 3 propafenone hcl TABLET 1 propafenone hcl er CAP ER 12H 3 quinidine gluconate TABLET ER 1 quinidine sulfate TABLET 1 quinidine sulfate TABLET ER 1 RYTHMOL TABLET 3 RYTHMOL SR CAP ER 12H 3 TIKOSYN CAPSULE 3

22 16 CARDIOVASCULAR DISEASE - CARDIAC STIMULANT digitek TABLET 1 digox TABLET 1 DIGOXIN SOLUTION 2 digoxin TABLET 1 LANOXIN TABLET 3 CARDIOVASCULAR DISEASE - HYPERTENSION ACCUPRIL TABLET 3 ACCURETIC TABLET 3 acebutolol hcl CAPSULE 1 ACEON TABLET 3 ADALAT CC TABLET ER 3 ADCIRCA 20 MG TABLET 3 PA,DS ADEMPAS 0.5 MG TABLET 3 PA,DS ADEMPAS 1 MG TABLET 3 PA,DS ADEMPAS 1.5 MG TABLET 3 PA,DS ADEMPAS 2 MG TABLET 3 PA,DS ADEMPAS 2.5 MG TABLET 3 PA,DS afeditab cr TABLET ER 3 ALDACTAZIDE 25 MG-25MG TABLET 3 ALDACTAZIDE 50 MG-50MG TABLET 2 ALDACTONE TABLET 3 ALTACE CAPSULE 3 amiloride hcl TABLET 1 amiloride-hydrochlorothiazide TABLET 1 amlodipine besylate TABLET 1 amlodipine besylate-benazepril CAPSULE 1 amlodipine-valsartan 10MG-160MG TABLET 3 ST amlodipine-valsartan 10MG-320MG TABLET 3 ST amlodipine-valsartan 5MG-160MG TABLET 3 ST amlodipine-valsartan 5MG-320MG TABLET 3 ST

23 17 amlodipine-valsartan-hctz TABLET 3 AMTURNIDE TABLET 3 ST AMTURNIDE TABLET 3 ST AMTURNIDE TABLET 3 ST AMTURNIDE MG TABLET 3 ST AMTURNIDE 300MG-10MG TABLET 3 ST ATACAND TABLET 3 ATACAND HCT TABLET 3 atenolol TABLET 1 atenolol-chlorthalidone TABLET 1 AVALIDE TABLET 3 AVAPRO TABLET 3 AZOR 10 MG-20MG TABLET 3 ST AZOR 10 MG-40MG TABLET 3 ST AZOR 5 MG-20 MG TABLET 3 ST AZOR 5 MG-40 MG TABLET 3 ST benazepril hcl TABLET 1 benazepril-hydrochlorothiazide TABLET 1 BENICAR 20 MG TABLET 3 ST BENICAR 40 MG TABLET 3 ST BENICAR 5 MG TABLET 3 ST BENICAR HCT MG TABLET 3 ST BENICAR HCT 40 MG-25MG TABLET 3 ST BENICAR HCT MG TABLET 3 ST BETAPACE TABLET 3 BETAPACE AF TABLET 3 betaxolol hcl TABLET 1 BIDIL TABLET 3 bisoprolol fumarate TABLET 1 bisoprolol-hydrochlorothiazide TABLET 1 bumetanide TABLET 1 BYSTOLIC TABLET 3 CALAN TABLET 3 CALAN SR TABLET ER 3 candesartan cilexetil TABLET 3 candesartan-hydrochlorothiazid TABLET 3

24 18 captopril TABLET 1 captopril-hydrochlorothiazide TABLET 1 CARDENE SR CAPSULE ER 3 CARDIZEM TABLET 3 CARDIZEM CD CAP ER 24H 3 CARDIZEM LA TAB ER 24H 3 CARDURA TABLET 3 CARDURA XL TAB ER 24 3 cartia xt CAP ER 24H 1 carvedilol TABLET 1 CATAPRES TABLET 3 CATAPRES-TTS 1 PATCH TDWK 3 CATAPRES-TTS 2 PATCH TDWK 3 CATAPRES-TTS 3 PATCH TDWK 3 chlorothiazide TABLET 1 chlorthalidone TABLET 1 clonidine PATCH TDWK 1 clonidine hcl TABLET 1 clorpres TABLET 3 COREG TABLET 3 COREG CR CPMP 24HR 3 CORGARD TABLET 3 CORZIDE TABLET 3 COZAAR TABLET 3 DEMADEX TABLET 3 DEMSER CAPSULE 3 DIBENZYLINE CAPSULE 2 dilt-xr CAP ER DEG 1 diltiazem 12hr er CAP ER 12H 1 diltiazem 24hr cd CAP ER 24H 1 diltiazem 24hr er CAP ER 24H 1 diltiazem er CAP ER DEG 1 diltiazem er CAPSULE ER 3 diltiazem er TAB ER 24H 3 diltiazem hcl TABLET 1 DIOVAN TABLET 3

25 19 DIOVAN HCT TABLET 3 DIURIL ORAL SUSP 2 doxazosin mesylate TABLET 1 DUTOPROL TAB ER 24H 3 DYAZIDE CAPSULE 3 DYRENIUM CAPSULE 2 EDARBI 40 MG TABLET 3 ST EDARBI 80 MG TABLET 3 ST EDARBYCLOR 40 MG-25MG TABLET 3 ST EDARBYCLOR MG TABLET 3 ST EDECRIN TABLET 2 enalapril maleate TABLET 1 enalapril-hydrochlorothiazide TABLET 1 EPANED SOLN RECON 3 eplerenone TABLET 1 eprosartan mesylate 600 MG TABLET 3 ST EXFORGE 10MG-160MG TABLET 3 ST EXFORGE 10MG-320MG TABLET 3 ST EXFORGE 5MG-160MG TABLET 3 ST EXFORGE 5MG-320MG TABLET 3 ST EXFORGE HCT TABLET 3 felodipine er TAB ER 24H 1 fosinopril sodium TABLET 1 fosinopril-hydrochlorothiazide TABLET 1 furosemide SOLUTION 1 furosemide TABLET 1 guanfacine hcl TABLET 1 HEMANGEOL 4.28 MG/ML SOLUTION 3 PA hydralazine hcl TABLET 1 hydrochlorothiazide CAPSULE 1 hydrochlorothiazide TABLET 1 HYZAAR TABLET 3 indapamide TABLET 1 INDERAL LA CAP SA 24H 3 INDERAL XL CAP ER 24H 3 INNOPRAN XL CAP ER 24H 3

26 20 INSPRA TABLET 3 irbesartan TABLET 1 irbesartan-hydrochlorothiazide TABLET 1 isradipine CAPSULE 1 labetalol hcl TABLET 1 LASIX TABLET 3 LETAIRIS 10 MG TABLET 2 PA,DS LETAIRIS 5 MG TABLET 2 PA,DS LEVATOL TABLET 3 lisinopril TABLET 1 lisinopril-hydrochlorothiazide TABLET 1 LOPRESSOR TABLET 3 LOPRESSOR HCT TABLET 3 losartan potassium TABLET 1 losartan-hydrochlorothiazide TABLET 1 LOTENSIN TABLET 3 LOTENSIN HCT TABLET 3 LOTREL CAPSULE 3 matzim la TAB ER 24H 3 MAVIK TABLET 3 MAXZIDE TABLET 3 MAXZIDE-25 MG TABLET 3 methyclothiazide TABLET 1 methyldopa TABLET 1 methyldopa-hydrochlorothiazide TABLET 3 metolazone TABLET 1 metoprolol succinate TAB ER 24H 1 metoprolol tartrate TABLET 1 metoprolol-hydrochlorothiazide TABLET 1 MICARDIS TABLET 3 MICARDIS HCT TABLET 3 MICROZIDE CAPSULE 3 MINIPRESS CAPSULE 3 minoxidil TABLET 1 moexipril hcl TABLET 1 moexipril-hydrochlorothiazide TABLET 1

27 21 nadolol TABLET 1 nadolol-bendroflumethiazide TABLET 3 nicardipine hcl CAPSULE 1 nifedical xl TAB ER 24 1 nifedipine CAPSULE 1 nifedipine er TAB ER 24 1 nifedipine er TABLET ER 3 nimodipine CAPSULE 1 nisoldipine TAB ER 24H 3 NORVASC TABLET 3 NYMALIZE 60 MG/20ML SOLUTION 3 DS OPSUMIT 10 MG TABLET 2 PA,DS ORENITRAM ER MG TABLET ER 3 PA,DS ORENITRAM ER 0.25 MG TABLET ER 3 PA,DS ORENITRAM ER 1 MG TABLET ER 3 PA,DS ORENITRAM ER 2.5 MG TABLET ER 3 PA,DS perindopril erbumine TABLET 1 pindolol TABLET 1 prazosin hcl CAPSULE 1 PRINIVIL TABLET 3 PROCARDIA CAPSULE 3 PROCARDIA XL TAB ER 24 3 propranolol hcl SOLUTION 1 propranolol hcl TABLET 1 propranolol hcl er CAP SA 24H 1 propranolol-hydrochlorothiazid TABLET 1 quinapril hcl TABLET 1 quinapril-hydrochlorothiazide TABLET 1 ramipril CAPSULE 1 reserpine TABLET 3 REVATIO 10 MG/ML SUSP RECON 3 PA REVATIO 20 MG TABLET 3 PA SECTRAL CAPSULE 3 sildenafil 20 MG TABLET 1 PA sorine TABLET 1 sotalol TABLET 1

28 22 sotalol af TABLET 1 SOTYLIZE SOLUTION 3 spironolactone TABLET 1 spironolactone-hctz TABLET 1 SULAR TAB ER 24H 3 TARKA TBMP 24HR 3 taztia xt CAPSULE ER 3 TEKAMLO 150 MG-5MG TABLET 3 ST TEKAMLO 150MG-10MG TABLET 3 ST TEKAMLO 300MG-10MG TABLET 3 ST TEKAMLO 300MG-5MG TABLET 3 ST TEKTURNA 150 MG TABLET 3 ST TEKTURNA 300 MG TABLET 3 ST TEKTURNA HCT MG TABLET 3 ST TEKTURNA HCT 150MG-25MG TABLET 3 ST TEKTURNA HCT MG TABLET 3 ST TEKTURNA HCT 300MG-25MG TABLET 3 ST telmisartan TABLET 3 telmisartan-amlodipine TABLET 3 telmisartan-hydrochlorothiazid TABLET 3 TENEX TABLET 3 TENORETIC 100 TABLET 3 TENORETIC 50 TABLET 3 TENORMIN TABLET 3 terazosin hcl CAPSULE 1 TEVETEN 600 MG TABLET 3 ST TEVETEN HCT MG TABLET 3 ST TEVETEN HCT MG TABLET 3 ST TIAZAC CAPSULE ER 3 timolol maleate TABLET 1 TOPROL XL TAB ER 24H 3 torsemide TABLET 1 TRACLEER 125 MG TABLET 2 PA,DS TRACLEER 62.5 MG TABLET 2 PA,DS TRANDATE TABLET 3 trandolapril TABLET 1

29 23 trandolapril-verapamil er TBMP 24HR 3 triamterene-hydrochlorothiazid CAPSULE 3 triamterene-hydrochlorothiazid TABLET 1 TRIBENZOR TABLET 3 ST TRIBENZOR TABLET 3 ST TRIBENZOR MG TABLET 3 ST TRIBENZOR TABLET 3 ST TRIBENZOR MG TABLET 3 ST TWYNSTA TABLET 3 TYVASO 1.74MG/2.9 AMPUL-NEB 2 PA,DS valsartan TABLET 3 valsartan-hydrochlorothiazide TABLET 3 VASERETIC TABLET 3 VASOTEC TABLET 3 VECAMYL TABLET 3 VENTAVIS 10 MCG/ML AMPUL-NEB 2 PA,DS VENTAVIS 20 MCG/ML AMPUL-NEB 2 PA,DS verapamil er CAP24H PEL 1 verapamil er TABLET ER 1 verapamil er pm CAP24H PCT 3 verapamil hcl CAP24H PEL 1 verapamil hcl TABLET 1 verapamil sr CAP24H PEL 1 VERELAN CAP24H PEL 3 VERELAN PM CAP24H PCT 3 ZEBETA TABLET 3 ZESTORETIC TABLET 3 ZESTRIL TABLET 3 ZIAC TABLET 3 CARDIOVASCULAR DISEASE - LIPID IRREGULARITY ADVICOR TBMP 24HR 3 ALTOPREV TAB ER 24H 3 ANTARA CAPSULE 3

30 24 atorvastatin calcium TABLET 1 cholestyramine POWD PACK 1 cholestyramine POWDER 1 cholestyramine light POWD PACK 3 cholestyramine light POWDER 1 COLESTID GRANULES 3 COLESTID PACKET 3 COLESTID TABLET 3 colestipol hcl GRANULES 1 colestipol hcl PACKET 1 colestipol hcl TABLET 1 CRESTOR 10 MG TABLET 3 PA CRESTOR 20 MG TABLET 3 PA CRESTOR 40 MG TABLET 3 PA CRESTOR 5 MG TABLET 3 PA fenofibrate 130 MG CAPSULE 1 fenofibrate 134MG CAPSULE 1 fenofibrate 150 MG CAPSULE 3 fenofibrate 200 MG CAPSULE 1 fenofibrate 43 MG CAPSULE 1 fenofibrate 50 MG CAPSULE 3 fenofibrate 67 MG CAPSULE 1 fenofibrate 145MG TABLET 3 fenofibrate 160 MG TABLET 1 fenofibrate 48 MG TABLET 3 fenofibrate 54 MG TABLET 1 fenofibric acid CAPSULE DR 3 fenofibric acid TABLET 1 FENOGLIDE TABLET 3 FIBRICOR TABLET 3 fluvastatin sodium CAPSULE 3 gemfibrozil TABLET 1 JUXTAPID 10 MG CAPSULE 3 QL,PA,DS JUXTAPID 20 MG CAPSULE 3 QL,PA,DS

31 25 JUXTAPID 5 MG CAPSULE 3 QL,PA,DS KYNAMRO 200 MG/ML SYRINGE 3 QL,PA,DS LESCOL CAPSULE 3 LESCOL XL TAB ER 24H 3 LIPITOR TABLET 3 LIPOCHOL PLUS TABLET 3 LIPOFEN CAPSULE 3 LIPTRUZET 10 MG-10MG TABLET 3 PA,DS LIPTRUZET 10 MG-20MG TABLET 3 PA,DS LIPTRUZET 10 MG-40MG TABLET 3 PA,DS LIPTRUZET 10 MG-80MG TABLET 3 PA,DS LIVALO TABLET 3 LOFIBRA CAPSULE 3 LOFIBRA TABLET 3 LOPID TABLET 3 lovastatin TABLET 1 LOVAZA CAPSULE 3 niacin er TAB ER 24H 1 niacor TABLET 3 NIASPAN TAB ER 24H 3 omega-3 acid ethyl esters CAPSULE 3 PRAVACHOL TABLET 3 pravastatin sodium TABLET 1 prevalite POWD PACK 3 prevalite POWDER 1 QUESTRAN POWD PACK 3 QUESTRAN POWDER 3 QUESTRAN LIGHT POWDER 3 SIMCOR TBMP 24HR 3 simvastatin TABLET 1 TRICOR TABLET 3 TRIGLIDE TABLET 3 TRILIPIX CAPSULE DR 3 VASCEPA CAPSULE 3

32 26 VYTORIN 10 MG-10MG TABLET 3 PA VYTORIN 10 MG-20MG TABLET 3 PA VYTORIN 10 MG-40MG TABLET 3 PA VYTORIN 10 MG-80MG TABLET 3 PA WELCHOL POWD PACK 3 WELCHOL TABLET 3 ZETIA 10 MG TABLET 3 PA ZOCOR TABLET 3 CARDIOVASCULAR DISEASE - MISCELLANEOUS AGENTS amlodipine-atorvastatin TABLET 3 CADUET TABLET 3 midodrine hcl TABLET 1 RANEXA TAB ER 12H 3 CARDIOVASCULAR DISEASE - VASODILATION DILATRATE-SR CAPSULE ER 3 ergoloid mesylates TABLET 3 ISOCHRON TABLET ER 3 ISORDIL TABLET 2 ISORDIL TITRADOSE TABLET 3 isosorbide dinitrate TABLET 1 isosorbide dinitrate TABLET ER 3 isosorbide mononitrate TABLET 1 isosorbide mononitrate er TAB ER 24H 1 isoxsuprine hcl TABLET 3 minitran PATCH TD24 1 NITRO-BID OINT. (G) 2 NITRO-DUR 0.1MG/HR PATCH TD24 3 NITRO-DUR 0.2MG/HR PATCH TD24 3 NITRO-DUR 0.3 MG/HR PATCH TD24 2 NITRO-DUR 0.4MG/HR PATCH TD24 3

33 27 NITRO-DUR 0.6MG/HR PATCH TD24 3 NITRO-DUR 0.8MG/HR PATCH TD24 2 nitro-time CAPSULE ER 1 nitroglycerin CAPSULE ER 1 nitroglycerin SPRAY 3 nitroglycerin patch PATCH TD24 1 NITROLINGUAL SPRAY 3 NITROMIST SPRAY 3 NITROSTAT TAB SUBL 2 CONTRACEPTION/OXYTOCICS altavera TABLET 1 alyacen TABLET 1 amethia TBDSPK 3MO 3 amethia lo TBDSPK 3MO 3 AMETHYST TABLET 3 apri TABLET 1 aranelle TABLET 1 aubra TABLET 1 aviane TABLET 1 azurette TABLET 3 balziva TABLET 1 BEYAZ TABLET 3 brevicon TABLET 1 briellyn TABLET 1 camila TABLET 1 camrese TBDSPK 3MO 3 camrese lo TBDSPK 3MO 3 caziant TABLET 1 CERVIDIL INSERT ER 2 chateal TABLET 1 cryselle TABLET 1 cyclafem TABLET 1 CYCLESSA TABLET 3

34 28 dasetta TABLET 1 daysee TBDSPK 3MO 3 deblitane TABLET 1 delyla TABLET 1 DEPO-PROVERA 150 MG/ML SYRINGE 3 QL DEPO-PROVERA 150 MG/ML VIAL 3 QL DEPO-PROVERA 400 MG/ML VIAL 3 QL DEPO-SUBQ PROVERA 104 SYRINGE 3 DESOGEN TABLET 3 desogestr-eth estrad eth estra TABLET 3 desogestrel-ethinyl estradiol TABLET 1 drospirenone-ethinyl estradiol TABLET 1 elinest TABLET 1 ELLA TABLET 2 emoquette TABLET 1 enpresse TABLET 1 enskyce TABLET 1 errin TABLET 1 estarylla TABLET 1 ESTROSTEP FE TABLET 3 falmina TABLET 1 FEMCON FE TAB CHEW 3 GENERESS FE TAB CHEW 3 gianvi TABLET 3 gildagia TABLET 1 gildess TABLET 1 gildess 24 fe TABLET 3 gildess fe TABLET 1 heather TABLET 1 introvale TBDSPK 3MO 3 jencycla TABLET 1 jolessa TBDSPK 3MO 3 jolivette TABLET 1 junel TABLET 1 junel fe TABLET 1 kariva TABLET 3

35 29 kelnor 1-35 TABLET 1 kurvelo TABLET 1 larin TABLET 1 larin fe TABLET 1 leena TABLET 1 lessina TABLET 1 levonest TABLET 1 levonorg-eth estrad eth estrad TBDSPK 3MO 3 levonorgestrel TABLET 1 levonorgestrel-eth estradiol TABLET 1 levonorgestrel-eth estradiol TBDSPK 3MO 3 levora-28 TABLET 1 LO LOESTRIN FE TABLET 3 LOESTRIN TABLET 3 LOESTRIN FE TABLET 3 lomedia 24 fe TABLET 3 loryna TABLET 3 LOSEASONIQUE TBDSPK 3MO 3 low-ogestrel TABLET 1 lutera TABLET 1 lyza TABLET 1 marlissa TABLET 1 methylergonovine maleate TABLET 1 microgestin TABLET 1 microgestin fe TABLET 1 MINASTRIN 24 FE TAB CHEW 3 MIRCETTE TABLET 3 MODICON TABLET 3 mono-linyah TABLET 1 mononessa TABLET 1 myzilra TABLET 1 NATAZIA TABLET 3 necon TABLET 1 nikki TABLET 3 NOR-Q-D TABLET 3 nora-be TABLET 1

36 30 norethin-eth estra ferrous fum 1MG-20(21) TABLET 1 norethin-eth estra ferrous fum 1MG-20(24) TABLET 3 norethindron-ethinyl estradiol TABLET 1 norethindrone TABLET 1 norgestimate-ethinyl estradiol TABLET 1 norinyl 1+35 TABLET 1 NORINYL 1+50 TABLET 3 norlyroc TABLET 1 nortrel TABLET 1 NUVARING VAG RING 2 ocella TABLET 1 ogestrel TABLET 1 orsythia TABLET 1 ORTHO EVRA PATCH TDWK 2 ORTHO MICRONOR TABLET 3 ORTHO TRI-CYCLEN TABLET 3 ORTHO TRI-CYCLEN LO TABLET 3 ORTHO-CEPT TABLET 3 ORTHO-CYCLEN TABLET 3 ORTHO-NOVUM TABLET 3 OVCON-35 TABLET 3 philith TABLET 1 pimtrea TABLET 3 pirmella TABLET 1 PLAN B ONE-STEP TABLET 2 portia TABLET 1 PREPIDIL GEL/PF APP 2 previfem TABLET 1 PROSTIN E2 VAGINAL SUPPOSITORY SUPP.VAG 2 QUARTETTE TBDSPK 3MO 3 quasense TBDSPK 3MO 3 reclipsen TABLET 1 SAFYRAL TABLET 3 SEASONIQUE TBDSPK 3MO 3 sharobel TABLET 1 sprintec TABLET 1

37 31 sronyx TABLET 1 syeda TABLET 1 tarina fe TABLET 1 tilia fe TABLET 3 tri-estarylla TABLET 1 tri-legest fe TABLET 3 tri-linyah TABLET 1 TRI-NORINYL TABLET 1 tri-previfem TABLET 1 tri-sprintec TABLET 1 trinessa TABLET 1 trivora-28 TABLET 1 velivet TABLET 1 vestura TABLET 3 viorele TABLET 3 vyfemla TABLET 1 wera TABLET 1 wymzya fe TAB CHEW 3 xulane PATCH TDWK 1 YASMIN 28 TABLET 3 YAZ TABLET 3 zarah TABLET 1 zenchent TABLET 1 zenchent fe TAB CHEW 3 zeosa TAB CHEW 3 zovia 1-35e TABLET 1 zovia 1-50e TABLET 1 COUGH AND COLD ADRENALIN CHLORIDE SOLUTION 3 benzonatate CAPSULE 1 bpm-dm-phen LIQUID 3 bromfed dm SYRUP 3 brompheniramine-pseudoephed-dm SYRUP 3

38 32 centergy DROPS 3 centergy dm DROPS 3 hydrocod-cpm-pseudoephedrine SOLUTION 3 hydrocodone bt-homatropine mbr TABLET 1 hydrocodone-chlorpheniramne er SUS ER 12H 3 hydrocodone-homatropine mbr SYRUP 1 hydromet SYRUP 1 lohist-dm LIQUID 3 OBREDON SOLUTION 3 promethazine vc SYRUP 1 promethazine vc-codeine SYRUP 1 promethazine-codeine SYRUP 1 promethazine-dm SYRUP 1 respa a.r. TAB ER 12H 3 REZIRA SOLUTION 3 TESSALON PERLE CAPSULE 3 TUSNEL PEDIATRIC LIQUID 3 TUSSICAPS CAP ER 12H 3 TUSSIGON TABLET 3 TUSSIONEX SUS ER 12H 3 TYZINE DROPS 3 TYZINE SPRAY 3 VITUZ SOLUTION 3 ZONATUSS CAPSULE 3 ZUTRIPRO SOLUTION 3 DERMATOLOGY - ACNE ABSORICA CAPSULE 3 ACANYA GEL W/PUMP 3 ACZONE GEL (GRAM) 3 adapalene CREAM (G) 1 adapalene GEL (GRAM) 1 adapalene GEL W/PUMP 1 ALA-QUIN CREAM (G) 3

39 33 ALCORTIN A GEL PACKET 3 ALOQUIN GEL (GRAM) 3 amnesteem CAPSULE 1 ATRALIN GEL (GRAM) 3 avita CREAM (G) 1 avita GEL (GRAM) 1 AZELEX CREAM (G) 2 BENZACLIN GEL (GRAM) 3 BENZACLIN GEL W/PUMP 3 claravis CAPSULE 1 clindamycin phos-benzoyl perox GEL (GRAM) 3 clindamycin-benzoyl peroxide GEL (GRAM) 1 DERMASORB AF CREAM (G) 3 dermazene CREAM (G) 3 DIFFERIN CREAM (G) 1 DIFFERIN 0.10% GEL (GRAM) 1 DIFFERIN 0.30% GEL (GRAM) 2 DIFFERIN GEL W/PUMP 2 DIFFERIN LOTION 2 DUAC GEL (GRAM) 3 EPIDUO GEL (GRAM) 3 EPIDUO GEL W/PUMP 3 FABIOR FOAM 3 FINACEA GEL (GRAM) 2 hydrocortisone-iodoquinol CREAM (G) 3 IODOFLEX MED. PAD 3 IODOSORB GEL (GRAM) 3 KLARON SUSPENSION 3 lugols SOLUTION 3 METROCREAM CREAM (G) 3 METROGEL GEL (GRAM) 3 METROGEL GEL W/PUMP 3 METROLOTION LOTION 3 metronidazole CREAM (G) 1 metronidazole 0.75% GEL (GRAM) 1 metronidazole 1% GEL (GRAM) 3

40 34 metronidazole GEL W/PUMP 3 metronidazole LOTION 3 MIRVASO GEL (GRAM) 3 myorisan CAPSULE 1 neuac GEL (GRAM) 3 NORITATE CREAM (G) 3 ONEXTON GEL W/PUMP 3 RETIN-A CREAM (G) 1 RETIN-A GEL (GRAM) 1 RETIN-A MICRO GEL (GRAM) 1 RETIN-A MICRO PUMP GEL W/PUMP 1 ROSADAN GEL (GRAM) 3 ROSADAN KIT CL&CRM 3 ROSADAN KIT CL&GEL 3 rosadan CREAM (G) 1 silver nitrate OINT. (G) 3 silver nitrate SOLUTION 3 sodium sulfacetamide SUSPENSION 1 SOOLANTRA CREAM (G) 3 sulfacetamide sodium SUSPENSION 1 TRETIN-X CREAM (G) 3 tretinoin CREAM (G) 1 tretinoin GEL (GRAM) 1 tretinoin microsphere GEL (GRAM) 1 tretinoin microsphere GEL W/PUMP 1 VANOXIDE-HC SUSPENSION 3 VELTIN GEL (GRAM) 3 zenatane CAPSULE 1 ZIANA GEL (GRAM) 3 DERMATOLOGY - ANTIINFECTIVE acyclovir OINT. (G) 3 ALINIA SUSP RECON 2 ALINIA TABLET 2

41 35 ALTABAX OINT. (G) 3 AVAR CLEANSER 3 AVAR LS CLEANSER 3 AVAR-E CREAM (G) 3 AVAR-E GREEN CREAM (G) 3 AVAR-E LS CREAM (G) 3 BACTROBAN CREAM (G) 3 BACTROBAN OINT. (G) 3 BENZAMYCIN GEL (GRAM) 3 BENZAMYCINPAK GEL (EA) 3 bp 10-1 CLEANSER 3 CENTANY OINT. (G) 3 CENTANY AT KIT 3 CICLODAN CREAM (G) 3 CICLODAN SOLUTION 3 ciclopirox CREAM (G) 3 ciclopirox GEL (GRAM) 3 ciclopirox SHAMPOO 3 ciclopirox SOLUTION 1 ciclopirox SUSPENSION 3 CLARIFOAM EF FOAM 3 CLARIS CLEANSER 3 cleansing wash CLEANSER 3 CLEOCIN T GEL (GRAM) 3 CLEOCIN T LOTION 3 CLEOCIN T MED. SWAB 3 CLEOCIN T SOLUTION 3 CLINDACIN ETZ KIT 3 CLINDACIN ETZ MED. SWAB 3 CLINDACIN P MED. SWAB 3 CLINDACIN PAC KIT 3 CLINDAGEL GEL (ML) 3 clindamycin phosphate FOAM 3 clindamycin phosphate GEL (GRAM) 1 clindamycin phosphate LOTION 1 clindamycin phosphate MED. SWAB 1

42 36 clindamycin phosphate SOLUTION 1 clotrimazole CREAM (G) 3 clotrimazole SOLUTION 3 clotrimazole-betamethasone CREAM (G) 1 clotrimazole-betamethasone LOTION 1 CNL 8 KIT 3 DENAVIR CREAM (G) 3 econazole nitrate CREAM (G) 1 ECOZA FOAM 3 ELIMITE CREAM (G) 3 ERTACZO CREAM (G) 3 ery MED. SWAB 3 ERYGEL GEL (GRAM) 3 erythromycin GEL (GRAM) 1 erythromycin MED. SWAB 3 erythromycin SOLUTION 1 erythromycin-benzoyl peroxide GEL (GRAM) 1 EURAX CREAM (G) 2 EURAX LOTION 2 EVOCLIN FOAM 3 EXELDERM CREAM (G) 3 EXELDERM SOLUTION 3 exoderm LOTION 3 EXTINA FOAM 3 gentamicin sulfate CREAM (G) 1 gentamicin sulfate OINT. (G) 1 JUBLIA SOL W/APPL 3 KERYDIN SOL W/APPL 3 ketoconazole CREAM (G) 1 ketoconazole SHAMPOO 1 KETODAN FOAM 3 LIDOVIR OINT. (G) 3 lindane LOTION 3 lindane SHAMPOO 3 LOPROX SHAMPOO 3 LOTRISONE CREAM (G) 3

43 37 LUZU CREAM (G) 3 LYCELLE GEL (ML) 3 malathion LOTION 3 MENTAX CREAM (G) 3 mupirocin CREAM (G) 1 mupirocin OINT. (G) 1 NAFTIN CREAM (G) 3 NAFTIN GEL (GRAM) 3 NATROBA SUSPENSION 3 NIZORAL SHAMPOO 3 nyamyc POWDER 1 nystatin CREAM (G) 1 nystatin OINT. (G) 1 nystatin POWDER 1 nystatin-triamcinolone CREAM (G) 1 nystatin-triamcinolone OINT. (G) 1 nystop POWDER 1 OVIDE LOTION 3 OXISTAT CREAM (G) 3 OXISTAT LOTION 3 PEDIADERM AF CREAM (G) 3 PENLAC SOLUTION 3 permethrin CREAM (G) 1 PLEXION CLEANSER 3 PLEXION CREAM (G) 3 PLEXION LOTION 3 PLEXION MED. PAD 3 ROSANIL CLEANSER 3 ROSULA CLEANSER 3 SILVADENE CREAM (G) 3 silver sulfadiazine CREAM (G) 1 SKLICE LOTION 3 sodium sulfacetamide-sulfur 10 %-2 % CLEANSER 3 sodium sulfacetamide-sulfur 10%-5%-10% CLEANSER 1 sodium sulfacetamide-sulfur 10-5%(W/W) CLEANSER 1 sodium sulfacetamide-sulfur 9 %-4 % CLEANSER 3

44 38 sodium sulfacetamide-sulfur 9 %-4.5 % CLEANSER 3 sodium sulfacetamide-sulfur 9.8%-4.8% CLEANSER 3 sodium sulfacetamide-sulfur CREAM (G) 3 sodium sulfacetamide-sulfur FOAM 3 sodium sulfacetamide-sulfur GEL (GRAM) 3 sodium sulfacetamide-sulfur KIT 3 sodium sulfacetamide-sulfur 10-5%(W/V) LOTION 1 sodium sulfacetamide-sulfur 10-5%(W/W) LOTION 1 sodium sulfacetamide-sulfur 9.8%-4.8% LOTION 3 sodium sulfacetamide-sulfur MED. PAD 3 sodium sulfacetamide-sulfur SUSPENSION 3 spinosad SUSPENSION 3 SS 10-2 CLEANSER 3 ssd CREAM (G) 1 sss 10-5 CREAM (G) 3 sss 10-5 FOAM 3 sulfacleanse 8-4 SUSPENSION 3 SULFAMYLON CREAM (G) 3 SULFAMYLON PACKET 3 SUMADAN CLEANSER 3 SUMADAN KIT 3 SUMAXIN CLEANSER 3 SUMAXIN MED. PAD 3 SUMAXIN CP KIT 3 SUMAXIN TS SUSPENSION 3 THERMAZENE CREAM (G) 3 triple dye MED. SWAB 3 ULESFIA LOTION 2 VEREGEN OINT. (G) 3 virti-sulf CREAM (G) 3 VUSION OINT. (G) 3 XERESE CREAM (G) 3 XOLEGEL GEL (GRAM) 3 ZENCIA CLEANSER 3 ZOVIRAX CREAM (G) 3 ZOVIRAX OINT. (G) 3

45 39 DERMATOLOGY - ANTIINFLAMMATORY ala-cort CREAM (G) 3 ala-scalp LOTION 3 alclometasone dipropionate CREAM (G) 3 alclometasone dipropionate OINT. (G) 3 amcinonide CREAM (G) 3 amcinonide LOTION 3 amcinonide OINT. (G) 3 APEXICON E CREAM (G) 3 AQUA GLYCOLIC HC COMBO. PKG 3 betamethasone dipropionate CREAM (G) 1 betamethasone dipropionate GEL (GRAM) 1 betamethasone dipropionate LOTION 1 betamethasone dipropionate OINT. (G) 1 betamethasone valerate CREAM (G) 1 betamethasone valerate FOAM 3 betamethasone valerate LOTION 1 betamethasone valerate OINT. (G) 1 CAPEX SHAMPOO SHAMPOO 2 clobetasol emollient CREAM (G) 1 clobetasol emollient FOAM 3 clobetasol emulsion FOAM 3 clobetasol propionate CREAM (G) 1 clobetasol propionate FOAM 3 clobetasol propionate GEL (GRAM) 1 clobetasol propionate LOTION 3 clobetasol propionate OINT. (G) 1 clobetasol propionate SHAMPOO 3 clobetasol propionate SOLUTION 1 clobetasol propionate SPRAY 3 CLOBEX LOTION 3 CLOBEX SHAMPOO 3 CLOBEX SPRAY 3 clocortolone pivalate CREAM (G) 3

46 40 CLODAN KT SHM CLN 3 CLODAN SHAMPOO 3 CLODERM CREAM (G) 3 CORDRAN CREAM (G) 3 CORDRAN LOTION 3 CORDRAN MED. TAPE 2 CORDRAN OINT. (G) 3 cormax SOLUTION 1 CORTISPORIN CREAM (G) 3 CORTISPORIN OINT. (G) 2 CUTIVATE CREAM (G) 3 CUTIVATE LOTION 3 DERMA-SMOOTHE-FS OIL 3 DERMASORB HC CMB CLN LT 3 DERMASORB TA CREAM (G) 3 DERMATOP CREAM (G) 3 DERMATOP OINT. (G) 3 DESONATE GEL (GRAM) 3 desonide CREAM (G) 1 desonide LOTION 1 desonide OINT. (G) 1 DESOWEN CREAM (G) 3 DESOWEN LOTION 3 desoximetasone CREAM (G) 1 desoximetasone GEL (GRAM) 1 desoximetasone OINT. (G) 1 diclofenac sodium 1.50% DROPS 3 diflorasone diacetate CREAM (G) 3 diflorasone diacetate OINT. (G) 3 DIPROLENE LOTION 3 DIPROLENE OINT. (G) 3 DIPROLENE AF CREAM (G) 3 ELOCON CREAM (G) 3 ELOCON OINT. (G) 3 ELOCON SOLUTION 3 FIRST-HYDROCORTISONE GEL (GRAM) 3

47 41 FLECTOR PATCH TD12 3 fluocinolone acetonide CREAM (G) 1 fluocinolone acetonide OIL 1 fluocinolone acetonide OINT. (G) 1 fluocinolone acetonide SOLUTION 1 fluocinonide 0.05% CREAM (G) 1 fluocinonide 0.10% CREAM (G) 3 fluocinonide GEL (GRAM) 1 fluocinonide OINT. (G) 1 fluocinonide SOLUTION 1 fluocinonide-e CREAM (G) 1 fluticasone propionate CREAM (G) 3 fluticasone propionate LOTION 3 fluticasone propionate OINT. (G) 3 halobetasol propionate CREAM (G) 1 halobetasol propionate OINT. (G) 1 HALOG CREAM (G) 3 HALOG OINT. (G) 3 hydrocortisone 1% CREAM (G) 3 hydrocortisone 2.50% CREAM (G) 1 hydrocortisone LOTION 1 hydrocortisone 1% OINT. (G) 1 hydrocortisone 1% OINT. (G) 3 hydrocortisone 2.50% OINT. (G) 1 hydrocortisone butyrate CREAM (G) 1 hydrocortisone butyrate OINT. (G) 1 hydrocortisone butyrate SOLUTION 1 hydrocortisone valerate CREAM (G) 1 hydrocortisone valerate OINT. (G) 1 KENALOG AEROSOL 3 LOCOID CREAM (G) 3 LOCOID LOTION 3 LOCOID OINT. (G) 3 LOCOID SOLUTION 3 LOCOID LIPOCREAM CREAM (G) 3 LUXIQ FOAM 3

48 42 mometasone furoate CREAM (G) 1 mometasone furoate OINT. (G) 1 mometasone furoate SOLUTION 1 NEO-SYNALAR CREAM (G) 3 NUCORT LOTION 3 OLUX FOAM 3 OLUX-E FOAM 3 PANDEL CREAM (G) 3 PEDIADERM HC KT LOTN CE 3 PEDIADERM TA CREAM (G) 3 PENNSAID DROPS 3 PENNSAID SOL MD PMP 3 prednicarbate CREAM (G) 3 prednicarbate OINT. (G) 3 SCALACORT LOTION 3 SCALACORT DK COMBO. PKG 3 SYNALAR CMB ONT CR 3 SYNALAR CREAM (G) 3 SYNALAR OINT. (G) 3 SYNALAR SOLUTION 3 SYNALAR TS KIT 3 TEMOVATE CREAM (G) 3 TEMOVATE OINT. (G) 3 TEMOVATE EMOLLIENT CREAM (G) 3 TEXACORT SOLUTION 3 TOPICORT CREAM (G) 3 TOPICORT GEL (GRAM) 3 TOPICORT OINT. (G) 3 TOPICORT SPRAY 3 triamcinolone acetonide CREAM (G) 1 triamcinolone acetonide LOTION 1 triamcinolone acetonide OINT. (G) 1 trianex OINT. (G) 3 triderm CREAM (G) 1 u-cort CREAM (G) 3 ULTRAVATE CREAM (G) 3

49 43 ULTRAVATE OINT. (G) 3 ULTRAVATE X CMB ONT CR 3 ULTRAVATE X COMBO. PKG 3 VANOS CREAM (G) 3 VERDESO FOAM 3 VOLTAREN GEL (GRAM) 3 DERMATOLOGY - ANTIPRURITIC DRUGS PRUDOXIN CREAM (G) 3 ZONALON CREAM (G) 3 DERMATOLOGY - MISCELLANEOUS ADAZIN CREAM (G) 3 ALUVEA CREAM (G) 3 ANACAINE OINT. (G) 3 ATRAPRO DERMAL SPRAY SPRAY 3 BENSAL HP OINT. (G) 3 BENZEFOAM FOAM 3 BENZEFOAM ULTRA FOAM 3 benzepro FOAM 3 benzoyl peroxide CLEANSER 3 benzoyl peroxide FOAM 3 BETADINE SOLUTION 3 BIONECT CREAM (G) 3 BIONECT GEL (GRAM) 3 BIONECT SPRAY 3 bp foam FOAM 3 bp-50% urea EMULSN(G) 3 bpo GEL (GRAM) 3 bpo KIT 3 bpo TOWELETTE 3 captracin ADH. PATCH 3

50 44 CARAC 0.50% CREAM (G) 2 DS cem-urea GEL/PF APP 3 CETACAINE SPRAY 3 CETACAINE ANESTHETIC LIQUID 3 cocaine hcl SOLUTION 3 CONDYLOX GEL (GRAM) 2 CONDYLOX SOLUTION 3 DERMASORB XM CREAM (G) 3 diclofenac sodium GEL (GRAM) 3 EFUDEX 5% CREAM (G) 3 DS elenzapatch ADH. PATCH 3 EMLA CREAM (G) 3 EPIFOAM FOAM 3 ethyl chloride SPRAY 3 FLUOROPLEX 1% CREAM (G) 2 DS fluorouracil 0.50% CREAM (G) 1 DS fluorouracil 5% CREAM (G) 1 DS fluorouracil 2% SOLUTION 1 DS fluorouracil 5% SOLUTION 1 DS GORDO-UREA OINT. (G) 3 granulex SPRAY 1 HYDRO 35 FOAM 3 HYDRO 40 FOAM 3 hydrocortisone-pramoxine hcl CREAM (G) 1 INOVA COMBO. PKG 3 INOVA 4-1 COMBO. PKG 3 INOVA 8-2 COMBO. PKG 3 KERAFOAM FOAM 3 KERALAC CREAM (G) 3 KERALYT GEL (GRAM) 3 KERALYT SCALP KT SHM GEL 3 latrix SUSPENSION 3 latrix xm EML MD PMP 3 lidocaine ADH. PATCH 1 lidocaine OINT. (G) 1 lidocaine hcl CREAM (G) 3

51 45 lidocaine hcl LOTION 3 lidocaine hcl SOLUTION 3 lidocaine-hydrocortisone CREAM (G) 3 lidocaine-prilocaine CREAM (G) 1 lidocaine-prilocaine KIT 1 LIDODERM ADH. PATCH 3 LIDODEXTRAPINE ADH. PATCH 3 LIDOPIN CREAM (G) 3 LIDORX GEL W/PUMP 3 LORENZA ADH. PATCH 3 MAC ADH. PATCH 3 NEUVAXIN ADH. PATCH 3 NOVACORT GEL (GRAM) 3 NUOX GEL (GRAM) 3 OVACE CLEANSER 3 OVACE PLUS CLEANSR ER 3 OVACE PLUS CREAM (G) 3 OVACE PLUS SHAMPOO 2 OVACE PLUS WASH CLNSGEL ER 3 OXALIS OINT. (G) 3 PACNEX CLEANSER 3 PACNEX HP MED. PAD 3 PACNEX LP MED. PAD 3 PACNEX MX CLEANSER 3 PAIN EASE SPRAY 3 PAIN RELIEF ADH. PATCH 3 PANRETIN 0.10% GEL (GRAM) 3 DS PICATO 0.02% GEL (EA) 2 QL,PA PICATO 0.05% GEL (EA) 2 QL,PA podocon-25 LIQUID 3 podofilox SOLUTION 1 PONTOCAINE SOLUTION 3 potassium hydroxide SOLUTION 3 pr cream CREAM (G) 3 PRAMOSONE CREAM (G) 2 PRAMOSONE LOTION 2

52 46 PRAMOSONE OINT. (G) 2 PRAMOSONE E CREAM (G) 2 PRE-ATTACHED LTA KIT SOLUTION 3 PROMISEB CREAM (G) 3 PROVENZA ADH. PATCH 3 QROXIN ADH. PATCH 3 QUTENZA KIT 3 RADIAPLEXRX GEL (GRAM) 3 REA LO 39 CREAM (G) 3 REA LO 40 CREAM (G) 3 REA LO 40 LOTION 3 RECIPHEXAMINE ADH. PATCH 3 REGENECARE GEL (GRAM) 3 REGENECARE GEL (ML) 3 remeven CREAM (G) 3 RENOVO ADH. PATCH 3 SALACYN CREAM (G) 3 salacyn LOTION 3 SALEX COMBO. PKG 3 SALEX KIT CLCMER 3 SALEX SHAMPOO 3 salicylic acid COMBO. PKG 3 salicylic acid CREAM (G) 3 salicylic acid CRM ER (G) 3 salicylic acid FOAM 3 salicylic acid GEL (GRAM) 3 salicylic acid KIT CLCMER 3 salicylic acid LIQ-FILM 3 salicylic acid LIQUID 3 salicylic acid LOTION 3 salicylic acid LOTION ER 3 salicylic acid SHAMPOO 3 SALKERA FOAM 3 salkera FOAM 3 salvax FOAM 3 SALVAX DUO PLUS FOAM 3

53 47 SANTYL OINT. (G) 2 seb-prev CLEANSER 3 selenium sulfide SHAMPOO 3 selenium sulfide SUSPENSION 1 SELRX SHAMPOO 3 silver nitrate SOLUTION 3 silver nitrate applicator STICK (EA) 3 SINELEE ADH. PATCH 3 sodium sulfacetamide CLEANSER 3 sodium sulfacetamide SHAMPOO 1 SOLARAZE GEL (GRAM) 3 SPRAY AND STRETCH SPRAY 3 sulfacetamide sodium CLNSGEL ER 3 SYNERA M.HT PATCH 3 SYNVEXIA ADH. PATCH 3 TARGRETIN 1% GEL (GRAM) 3 DS TERSI FOAM FOAM 3 TETRIX CREAM (G) 3 UMECTA EMULSN(G) 3 UMECTA FOAM 3 UMECTA NL FM SUSP 3 UMECTA NLFMSUSAPP 3 UMECTA SUSPENSION 3 UMECTA PD EMUL ADHES 3 UMECTA PD SUSP ADHES 3 URAMAXIN CREAM (G) 3 URAMAXIN FOAM 3 URAMAXIN GEL (ML) 3 URAMAXIN LOTION 3 URAMAXIN GT GEL/PF APP 3 urea 39% CREAM (G) 3 urea 40% CREAM (G) 1 urea 45% CREAM (G) 3 urea 47% CREAM (G) 3 urea 50% CREAM (G) 3 urea EMULSN(G) 3

54 48 urea FOAM 3 urea GEL (ML) 3 urea KIT 3 urea LOTION 3 urea NL FM SUSP 3 urea SOL/PF APP 3 urea SUSPENSION 3 UTOPIC CREAM (G) 3 VALCHLOR 0.02% GEL (GRAM) 3 PA,DS vasolex OINT. (G) 3 VIRASAL LIQ-FILM 3 X-VIATE GEL (ML) 3 x-viate CREAM (G) 1 x-viate LOTION 3 ZERUVIA ADH. PATCH 3 DERMATOLOGY - PSORIASIS/ECZEMA 8-MOP 10 MG CAPSULE 3 DS acitretin CAPSULE 1 calcipotriene CREAM (G) 1 calcipotriene OINT. (G) 1 calcipotriene SOLUTION 1 calcipotriene-betamethasone dp OINT. (G) 3 calcitrene OINT. (G) 1 calcitriol OINT. (G) 1 DOVONEX CREAM (G) 3 DRITHOCREME HP CREAM (G) 2 ELIDEL CREAM (G) 2 GORDO-UREA OINT. (G) 3 methoxsalen 10 MG CAPSULE 1 DS OXSORALEN-ULTRA 10 MG CAPSULE 2 DS PROTOPIC OINT. (G) 2 PYROGALLIC ACID OINT. (G) 3 SORIATANE CAPSULE 3

55 49 SORILUX FOAM 3 TACLONEX OINT. (G) 3 TACLONEX SUSPENSION 3 tacrolimus OINT. (G) 1 TAZORAC CREAM (G) 2 TAZORAC GEL (GRAM) 2 VECTICAL OINT. (G) 3 ZITHRANOL SHAMPOO(G) 3 ZITHRANOL-RR CRM RR (G) 3 DIABETES acarbose TABLET 1 ACTOPLUS MET TABLET 3 ACTOPLUS MET XR TBMP 24HR 3 ACTOS 15 MG TABLET 3 ACTOS 30 MG TABLET 3 ACTOS 45 MG TABLET 3 AFREZZA INHALATION 3 PA AMARYL TABLET 3 APIDRA VIAL 3 APIDRA SOLOSTAR INSULN PEN 3 AVANDAMET TABLET 3 AVANDARYL TABLET 3 AVANDIA TABLET 3 BYDUREON 2 MG VIAL 3 ST BYDUREON PEN 2MG/0.65ML PEN INJCTR 3 ST BYETTA 10MCG/0.04 PEN INJCTR 3 ST BYETTA 5MCG/0.02 PEN INJCTR 3 ST chlorpropamide TABLET 3 CYCLOSET 0.8 MG TABLET 3 ST DIABETA TABLET 2 DUETACT TABLET 3 FARXIGA 10 MG TABLET 3 ST FARXIGA 5 MG TABLET 3 ST

56 50 FORTAMET TAB ER 24 3 glimepiride TABLET 1 glipizide TABLET 1 glipizide er TAB ER 24 1 glipizide xl TAB ER 24 1 glipizide-metformin TABLET 3 GLUCOPHAGE TABLET 3 GLUCOPHAGE XR TAB ER 24H 3 GLUCOTROL TABLET 3 GLUCOTROL XL TAB ER 24 3 GLUCOVANCE TABLET 3 GLUMETZA TABERGR24H 3 glyburide TABLET 1 glyburide micronized TABLET 3 glyburide-metformin hcl TABLET 3 GLYNASE TABLET 3 GLYSET TABLET 3 GLYXAMBI 10 MG-5 MG TABLET 3 PA GLYXAMBI 25 MG-5 MG TABLET 3 PA HUMALOG CARTRIDGE 2 HUMALOG INSULN PEN 2 HUMALOG VIAL 2 HUMALOG MIX INSULN PEN 3 HUMALOG MIX VIAL 3 HUMALOG MIX INSULN PEN 3 HUMALOG MIX VIAL 3 HUMULIN VIAL 1 HUMULIN 70/30 KWIKPEN INSULN PEN 1 HUMULIN N VIAL 1 HUMULIN N KWIKPEN INSULN PEN 1 HUMULIN R 100/ML VIAL 1 HUMULIN R 500/ML VIAL 2 INVOKAMET MG TABLET 3 ST INVOKAMET MG TABLET 3 ST INVOKAMET MG TABLET 3 ST INVOKAMET 50MG-500MG TABLET 3 ST

57 51 INVOKANA 100 MG TABLET 3 ST INVOKANA 300 MG TABLET 3 ST JANUMET MG TABLET 3 PA JANUMET 50MG-500MG TABLET 3 PA JANUMET XR MG TBMP 24HR 3 PA JANUMET XR MG TBMP 24HR 3 PA JANUMET XR 50MG-500MG TBMP 24HR 3 PA JANUVIA 100 MG TABLET 3 PA JANUVIA 25 MG TABLET 3 PA JANUVIA 50 MG TABLET 3 PA JARDIANCE 10 MG TABLET 3 ST JARDIANCE 25 MG TABLET 3 ST JENTADUETO MG TABLET 3 ST JENTADUETO MG TABLET 3 ST JENTADUETO MG TABLET 3 ST KAZANO TABLET 3 PA KAZANO MG TABLET 3 PA KOMBIGLYZE XR MG TBMP 24HR 3 PA KOMBIGLYZE XR 5 MG-500MG TBMP 24HR 3 PA KOMBIGLYZE XR 5MG-1000MG TBMP 24HR 3 PA KORLYM 300 MG TABLET 3 QL,PA,DS LANTUS 100/ML VIAL 2 PA LANTUS SOLOSTAR 100/ML (3) INSULN PEN 2 PA LEVEMIR 100/ML VIAL 2 PA LEVEMIR FLEXTOUCH 100/ML (3) INSULN PEN 2 PA metformin hcl TABLET 1 metformin hcl er TAB ER 24 3 metformin hcl er TAB ER 24H 1 nateglinide TABLET 3 NESINA 12.5 MG TABLET 3 PA NESINA 25 MG TABLET 3 PA NESINA 6.25 MG TABLET 3 PA NOVOLIN VIAL 3 NOVOLIN N VIAL 3 NOVOLIN R VIAL 3

58 52 NOVOLOG CARTRIDGE 3 NOVOLOG VIAL 3 NOVOLOG FLEXPEN INSULN PEN 3 NOVOLOG MIX VIAL 3 NOVOLOG MIX FLEXPEN INSULN PEN 3 ONGLYZA 2.5 MG TABLET 3 PA ONGLYZA 5 MG TABLET 3 PA OSENI MG TABLET 3 PA OSENI MG TABLET 3 PA OSENI MG TABLET 3 PA OSENI 25 MG-15MG TABLET 3 PA OSENI 25 MG-30MG TABLET 3 PA OSENI 25 MG-45MG TABLET 3 PA pioglitazone hcl 15 MG TABLET 1 pioglitazone hcl 30 MG TABLET 3 pioglitazone hcl 45 MG TABLET 3 pioglitazone-glimepiride TABLET 3 pioglitazone-metformin TABLET 3 PRANDIMET TABLET 3 PRANDIN TABLET 3 PRECOSE TABLET 3 PROGLYCEM ORAL SUSP 2 REGRANEX GEL (GRAM) 3 repaglinide TABLET 3 RIOMET SOLUTION 2 STARLIX TABLET 3 SYMLINPEN 120 PEN INJCTR 3 SYMLINPEN 60 PEN INJCTR 3 TANZEUM 30MG/0.5ML PEN INJCTR 3 ST TANZEUM 50MG/0.5ML PEN INJCTR 3 ST tolazamide TABLET 1 tolbutamide TABLET 1 TRADJENTA 5 MG TABLET 3 ST VICTOZA 2-PAK 0.6MG/0.1 PEN INJCTR 3 ST VICTOZA 3-PAK 0.6MG/0.1 PEN INJCTR 3 ST

59 53 EAR - GENERAL DISORDERS acetasol hc DROPS 3 acetic acid SOLUTION 1 acetic acid-aluminum DROPS 3 antipyrine-benzocaine 5.4 %-1.4% DROPS 1 antipyrine-benzocaine 5.5 %-1.4% DROPS 3 auroguard DROPS 1 CETRAXAL DROPERETTE 3 CIPRO HC DROPS SUSP 2 CIPRODEX DROPS SUSP 2 ciprofloxacin hcl DROPERETTE 3 COLY-MYCIN S DROPS SUSP 3 CORTANE-B LOTION 3 cortane-b DROPS 3 CORTISPORIN SOLUTION 3 CORTISPORIN-TC DROPS SUSP 3 DERMOTIC DROPS 3 exotic-hc DROPS 3 fluocinolone acetonide oil DROPS 3 hydrocortisone-acetic acid DROPS 3 neomycin-polymyxin-hc K-1 DROPS SUSP 1 neomycin-polymyxin-hydrocort SOLUTION 1 ofloxacin DROPS 1 OTIC CARE DROPS 3 OTICIN DROPS 3 OTICIN HC DROPS 3 oto-end 10 DROPS 3 otomax-hc DROPS 3 OTOZIN DROPS 3 pinnacaine DROPS 3 TRIOXIN DROPS SUSP 3

60 54 ELECTROLYTE REGULATION AURYXIA 210MG IRON TABLET 3 DS calcium acetate CAPSULE 1 calcium acetate TABLET 1 EFFER-K TABLET EFF 3 effer-k TABLET EFF 3 eliphos TABLET 1 FOSRENOL TAB CHEW 3 k effervescent TABLET EFF 3 K-SOL 20MEQ/15ML LIQUID 3 K-SOL 40MEQ/15ML LIQUID 2 K-TAB ER 10 MEQ TABLET ER 1 K-TAB ER 20 MEQ TABLET ER 2 KAYEXALATE POWDER 3 kionex ORAL SUSP 1 kionex POWDER 1 KLOR-CON 20 MEQ PACKET 2 KLOR-CON 25 MEQ PACKET 3 KLOR-CON 10 TABLET ER 3 KLOR-CON 8 TABLET ER 2 klor-con m10 TAB ER PRT 1 klor-con m15 TAB ER PRT 1 klor-con m20 TAB ER PRT 1 KLOR-CON-EF TABLET EFF 3 magnebind 400 rx TABLET 3 marlexate POWDER 1 PHOSLO CAPSULE 3 PHOSLYRA SOLUTION 3 potassium bicarbonate TABLET EFF 3 potassium chloride CAPSULE ER 1 potassium chloride LIQUID 1 potassium chloride PACKET 1 potassium chloride TAB ER PRT 1 potassium chloride TABLET EFF 3 potassium chloride TABLET ER 1

61 55 RENAGEL TABLET 2 RENVELA POWD PACK 2 RENVELA TABLET 2 SAMSCA 15 MG TABLET 3 PA,DS SAMSCA 30 MG TABLET 3 PA,DS sodium polystyrene sulfonate ENEMA 3 sodium polystyrene sulfonate ORAL SUSP 1 sodium polystyrene sulfonate POWDER 1 SPS ENEMA 3 sps ORAL SUSP 1 VELPHORO 500MG IRON TAB CHEW 3 PA,DS ENDOCRINE DISORDER - FERTILITY CIALIS TABLET 3 CRINONE GEL/PF APP 3 ENDOCRINE DISORDER - OTHER ACTONEL TABLET 2 alendronate sodium SOLUTION 1 alendronate sodium TABLET 1 ATELVIA TABLET DR 3 BINOSTO TABLET EFF 3 BONIVA TABLET 3 cabergoline TABLET 1 calcitonin-salmon SPRAY/PUMP 3 danazol CAPSULE 1 DDAVP SOLUTION 3 DDAVP SPRAY/PUMP 3 DDAVP TABLET 3 desmopressin acetate SOLUTION 1 desmopressin acetate SPRAY/PUMP 1 desmopressin acetate TABLET 1

62 56 doxercalciferol CAPSULE 3 EGRIFTA 1 MG VIAL 3 DS EGRIFTA 2 MG VIAL 3 DS ELIGARD SYRINGE 3 etidronate disodium TABLET 1 EVISTA 60 MG TABLET 2 PA FORTEO 20MCG/DOSE PEN INJCTR 3 DS FORTICAL SPRAY/PUMP 1 FOSAMAX TABLET 3 FOSAMAX PLUS D TABLET 3 GENOTROPIN 12 MG/ML CARTRIDGE 3 PA,DS GENOTROPIN 5 MG/ML CARTRIDGE 3 PA,DS GENOTROPIN 0.2MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 0.4MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 0.6MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 0.8MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 1.2MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 1.4MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 1.6MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 1.8MG/0.25 SYRINGE 3 PA,DS GENOTROPIN 1MG/0.25ML SYRINGE 3 PA,DS GENOTROPIN 2MG/0.25ML SYRINGE 3 PA,DS H.P. ACTHAR 80 UNIT/ML VIAL 2 PA,DS HECTOROL CAPSULE 3 HUMATROPE 12 MG CARTRIDGE 3 PA,DS HUMATROPE 24 MG CARTRIDGE 3 PA,DS HUMATROPE 6 MG CARTRIDGE 3 PA,DS HUMATROPE 5 MG VIAL 3 PA,DS ibandronate sodium TABLET 3 INCRELEX 10 MG/ML VIAL 3 PA,DS leuprolide acetate KIT 1 LUPRON DEPOT SYRINGEKIT 2 MIACALCIN SPRAY/PUMP 3 MYALEPT FNL 5MG/ML VIAL 3 PA,DS NORDITROPIN FLEXPRO 10MG/1.5ML PEN INJCTR 3 PA,DS NORDITROPIN FLEXPRO 15MG/1.5ML PEN INJCTR 3 PA,DS

63 57 NORDITROPIN FLEXPRO 5 MG/1.5ML PEN INJCTR 3 PA,DS NORDITROPIN NORDIFLEX 30 MG/3 ML PEN INJCTR 3 PA,DS NUTROPIN AQ 10 MG/2 ML CARTRIDGE 3 PA,DS NUTROPIN AQ 20 MG/2 ML CARTRIDGE 3 PA,DS NUTROPIN AQ NUSPIN 10 MG/2 ML CARTRIDGE 3 PA,DS NUTROPIN AQ NUSPIN 20 MG/2 ML CARTRIDGE 3 PA,DS NUTROPIN AQ NUSPIN 5 MG/2 ML CARTRIDGE 3 PA,DS OMNITROPE 10MG/1.5ML CARTRIDGE 2 PA,DS OMNITROPE 5 MG/1.5ML CARTRIDGE 2 PA,DS OMNITROPE 5.8 MG VIAL 2 PA,DS OSPHENA 60 MG TABLET 3 PA paricalcitol CAPSULE 3 raloxifene hcl 60 MG TABLET 1 PA risedronate sodium TABLET 1 SAIZEN 8.8 MG/1.5 CARTRIDGE 3 PA,DS SAIZEN 5 MG VIAL 3 PA,DS SAIZEN 8.8 MG VIAL 3 PA,DS SENSIPAR 30 MG TABLET 3 ST SENSIPAR 60 MG TABLET 3 ST SENSIPAR 90 MG TABLET 3 ST SEROSTIM 4 MG VIAL 3 PA,DS SEROSTIM 5 MG VIAL 3 PA,DS SEROSTIM 6 MG VIAL 3 PA,DS SOMAVERT 10 MG VIAL 3 PA,DS SOMAVERT 15 MG VIAL 3 PA,DS SOMAVERT 20 MG VIAL 3 PA,DS SOMAVERT 25 MG VIAL 3 PA,DS SOMAVERT 30 MG VIAL 3 PA,DS STIMATE SPRAY/PUMP 2 SYNAREL 2 MG/ML SPRAY 3 DS TEV-TROPIN 5 MG VIAL 3 PA,DS ZEMPLAR CAPSULE 3 ZORBTIVE 8.8 MG VIAL 3 PA,DS

64 58 ENDOCRINE DISORDER - THYROID ARMOUR THYROID TABLET 3 CYTOMEL TABLET 3 levothyroxine sodium TABLET 1 LEVOXYL TABLET 3 liothyronine sodium TABLET 1 lugols SOLUTION 3 methimazole TABLET 1 nature-throid TABLET 3 np thyroid TABLET 3 propylthiouracil TABLET 1 sski SOLUTION 1 strong iodine SOLUTION 3 SYNTHROID TABLET 3 TAPAZOLE TABLET 3 THYROLAR-1 TABLET 3 THYROLAR-1/2 TABLET 3 THYROLAR-1/4 TABLET 3 THYROLAR-2 TABLET 3 THYROLAR-3 TABLET 3 TIROSINT CAPSULE 3 UNITHROID TABLET 3 westhroid TABLET 3 wp thyroid TABLET 3 EYE - GENERAL DISORDERS ACULAR DROPS 3 ACULAR LS DROPS 3 ACUVAIL DROPERETTE 3 ak-poly-bac OINT. (G) 1 AKTEN GEL (ML) 3 alcaine DROPS 3 ALOCRIL DROPS 3

65 59 ALOMIDE DROPS 2 ALREX DROPS SUSP 3 altafluor DROPS 3 AZASITE DROPS 3 azelastine hcl DROPS 1 bacitracin OINT. (G) 1 bacitracin-polymyxin OINT. (G) 1 BEPREVE DROPS 3 BESIVANCE DROPS SUSP 3 bleph-10 DROPS 1 BLEPHAMIDE DROPS SUSP 2 BLEPHAMIDE S.O.P. OINT. (G) 2 bromfenac sodium DROPS 3 CILOXAN DROPS 3 CILOXAN OINT. (G) 2 ciprofloxacin hcl DROPS 1 cromolyn sodium DROPS 1 dexamethasone sodium phosphate DROPS 1 diclofenac sodium 0.10% DROPS 1 DUREZOL DROPS 3 ELESTAT DROPS 3 EMADINE DROPS 3 epinastine hcl DROPS 3 erythromycin OINT. (G) 1 FLAREX DROPS SUSP 3 flucaine DROPS 3 FLUORESCEIN-BENOXINATE DROPS 3 fluorescein-proparacaine DROPS 3 fluorometholone DROPS SUSP 1 flurbiprofen sodium DROPS 1 FLUROX DROPS 3 FML DROPS SUSP 2 FML FORTE DROPS SUSP 2 FML S.O.P. OINT. (G) 2 GARAMYCIN DROPS 3 gatifloxacin DROPS 1

66 60 gentak OINT. (G) 1 gentamicin sulfate DROPS 1 gentamicin sulfate OINT. (G) 1 goniovisc DROPS 3 ILEVRO DROPS SUSP 3 ILOTYCIN OINT. (G) 3 ketorolac tromethamine DROPS 1 LASTACAFT DROPS 3 levofloxacin DROPS 3 LOTEMAX DROPS GEL 3 LOTEMAX DROPS SUSP 3 LOTEMAX OINT. (G) 3 MAXIDEX DROPS SUSP 3 MAXITROL DROPS SUSP 3 MAXITROL OINT. (G) 3 MOXEZA DROPS VISC 2 naphazoline hcl DROPS 3 NATACYN DROPS SUSP 3 neo-polycin OINT. (G) 3 neo-polycin hc OINT. (G) 1 neomycin-bacitracin-poly-hc OINT. (G) 1 neomycin-bacitracin-polymyxin OINT. (G) 3 neomycin-polymyxin-dexameth DROPS SUSP 1 neomycin-polymyxin-dexameth K-.1 OINT. (G) 1 neomycin-polymyxin-dexameth K-.1 OINT. (G) 3 neomycin-polymyxin-gramicidin DROPS 1 neomycin-polymyxin-hc K-10 DROPS SUSP 3 NEOSPORIN DROPS 3 NEVANAC DROPS SUSP 3 OCUFEN DROPS 3 OCUFLOX DROPS 3 ofloxacin DROPS 1 OMNIPRED DROPS SUSP 3 PATADAY DROPS 3 PATANOL DROPS 2 PAZEO DROPS 3

67 61 phenylephrine hcl DROPS 1 polycin OINT. (G) 1 polymyxin b sul-trimethoprim DROPS 1 POLYTRIM DROPS 3 PRED FORTE DROPS SUSP 3 PRED MILD DROPS SUSP 2 PRED-G DROPS SUSP 2 PRED-G OINT. (G) 2 prednisolone acetate DROPS SUSP 1 prednisolone sodium phosphate DROPS 3 PROLENSA DROPS 3 proparacaine hcl DROPS 3 RESTASIS DROPERETTE 2 PA sulfacetamide sodium DROPS 1 sulfacetamide sodium OINT. (G) 1 sulfacetamide-prednisolone DROPS 1 TETCAINE DROPS 3 tetracaine hcl DROPS 3 TETRAVISC DROPR VISC 3 TETRAVISC DROPS VISC 3 TETRAVISC FORTE DRPR HPVIS 3 TETRAVISC FORTE DRPS HPVIS 3 TOBRADEX DROPS SUSP 3 TOBRADEX OINT. (G) 2 TOBRADEX ST DROPS SUSP 3 tobramycin DROPS 1 tobramycin-dexamethasone DROPS SUSP 1 TOBREX DROPS 3 TOBREX OINT. (G) 2 trifluridine DROPS 1 VEXOL DROPS SUSP 2 VIGAMOX DROPS 2 VIROPTIC DROPS 3 ZIRGAN GEL (GRAM) 3 ZYLET DROPS SUSP 3 ZYMAXID DROPS 1

68 62 EYE - GLAUCOMA acetazolamide CAPSULE ER 1 acetazolamide TABLET 1 ALPHAGAN P DROPS 3 apraclonidine hcl DROPS 3 atropine sulfate DROPS 1 atropine sulfate OINT. (G) 1 AZOPT DROPS SUSP 2 BETAGAN DROPS 3 betaxolol hcl DROPS 1 BETIMOL DROPS 3 BETOPTIC S DROPS SUSP 2 brimonidine tartrate 0.15% DROPS 3 brimonidine tartrate 0.20% DROPS 1 carteolol hcl DROPS 1 COMBIGAN DROPS 3 COSOPT DROPS 3 COSOPT PF DROPERETTE 3 CYCLOGYL 0.50% DROPS 2 CYCLOGYL 1% DROPS 3 CYCLOGYL 2% DROPS 3 CYCLOMYDRIL DROPS 3 cyclopentolate hcl DROPS 1 DIAMOX SEQUELS CAPSULE ER 3 dorzolamide hcl DROPS 1 dorzolamide-timolol DROPS 1 homatropaire DROPS 1 homatropine hydrobromide DROPS 1 IOPIDINE DROPERETTE 3 IOPIDINE DROPS 3 ISOPTO ATROPINE DROPS 3 ISOPTO CARPINE DROPS 3 ISTALOL DROP DAILY 3 latanoprost DROPS 1

69 63 levobunolol hcl DROPS 1 LUMIGAN DROPS 2 methazolamide TABLET 1 metipranolol DROPS 1 MYDRIACYL DROPS 3 NEPTAZANE TABLET 3 PAREMYD DROPS 3 PHOSPHOLINE IODIDE DROPS 3 pilocarpine hcl DROPS 1 RESCULA DROPS 3 SIMBRINZA DROPS SUSP 3 timolol maleate DROPS 1 timolol maleate SOL-GEL 1 TIMOPTIC DROPS 3 TIMOPTIC OCUDOSE DROPERETTE 3 TIMOPTIC-XE SOL-GEL 3 TRAVATAN Z DROPS 2 travoprost DROPS 1 tropicamide DROPS 1 TRUSOPT DROPS 3 XALATAN DROPS 3 ZIOPTAN DROPERETTE 3 EYE - MISCELLANEOUS CYSTARAN DROPS 3 GELFILM EACH 3 LACRISERT INSERT 2 GOUT AND RELATED DISEASES allopurinol TABLET 1 colchicine CAPSULE 1 colchicine TABLET 1

70 64 COLCRYS TABLET 2 MITIGARE CAPSULE 3 probenecid TABLET 1 probenecid-colchicine TABLET 1 ULORIC TABLET 3 ZYLOPRIM TABLET 3 HEMATOLOGICAL DISORDERS AGGRENOX CPMP 12HR 2 AGRYLIN CAPSULE 3 aminocaproic acid SOLUTION 1 aminocaproic acid 1000 MG TABLET 3 aminocaproic acid 500 MG TABLET 1 anagrelide hcl CAPSULE 1 ARANESP 100MCG/0.5 SYRINGE 3 DS ARANESP 150MCG/0.3 SYRINGE 3 DS ARANESP 200MCG/0.4 SYRINGE 3 DS ARANESP 25MCG/0.42 SYRINGE 3 DS ARANESP 300MCG/0.6 SYRINGE 3 DS ARANESP 40 MCG/0.4 SYRINGE 3 DS ARANESP 500 MCG/ML SYRINGE 3 DS ARANESP 60MCG/0.3 SYRINGE 3 DS ARANESP 100 MCG/ML VIAL 3 DS ARANESP 150MCG/.75 VIAL 3 DS ARANESP 200 MCG/ML VIAL 3 DS ARANESP 25 MCG/ML VIAL 3 DS ARANESP 300 MCG/ML VIAL 3 DS ARANESP 40 MCG/ML VIAL 3 DS ARANESP 60MCG/ML VIAL 3 DS ARIXTRA 10MG/0.8ML SYRINGE 3 DS ARIXTRA 2.5 MG/0.5 SYRINGE 3 DS ARIXTRA 5MG/0.4ML SYRINGE 3 DS ARIXTRA 7.5MG/0.6 SYRINGE 3 DS ASTRINGYN SOLN(GRAM) 3

71 65 AVITENE POWD PACK 2 AVITENE POWDER 2 AVITENE SHEET 2 BRILINTA TABLET 2 cilostazol TABLET 1 clopidogrel TABLET 1 COUMADIN TABLET 3 dipyridamole TABLET 1 DROXIA CAPSULE 2 EFFIENT TABLET 2 ELIQUIS 2.5 MG TABLET 3 PA ELIQUIS 5 MG TABLET 3 PA ENDO-AVITENE SHEET 2 enoxaparin sodium 100 MG/ML SYRINGE 1 DS enoxaparin sodium 120MG/.8ML SYRINGE 1 DS enoxaparin sodium 150 MG/ML SYRINGE 1 DS enoxaparin sodium 30MG/0.3ML SYRINGE 1 DS enoxaparin sodium 40MG/0.4ML SYRINGE 1 DS enoxaparin sodium 60MG/0.6ML SYRINGE 1 DS enoxaparin sodium 80MG/0.8ML SYRINGE 1 DS enoxaparin sodium 300MG/3ML VIAL 1 DS EPOGEN 10000/ML VIAL 2 DS EPOGEN 2000/ML VIAL 2 DS EPOGEN 20000/2ML VIAL 2 DS EPOGEN 20000/ML VIAL 2 DS EPOGEN 3000/ML VIAL 2 DS EPOGEN 4000/ML VIAL 2 DS fondaparinux sodium 10MG/0.8ML SYRINGE 1 DS fondaparinux sodium 2.5 MG/0.5 SYRINGE 1 DS fondaparinux sodium 5MG/0.4ML SYRINGE 1 DS fondaparinux sodium 7.5MG/0.6 SYRINGE 1 DS FRAGMIN 10000/ML SYRINGE 3 DS FRAGMIN 12500/0.5 SYRINGE 3 DS FRAGMIN 15000/0.6 SYRINGE 3 DS FRAGMIN 18000/0.72 SYRINGE 3 DS FRAGMIN 2500/0.2ML SYRINGE 3 DS

72 66 FRAGMIN 5000/0.2ML SYRINGE 3 DS GELFOAM SPONGE 3 GELFOAM COMPRESSED SPONGE 3 IPRIVASK VIAL 3 jantoven TABLET 1 LOVENOX 100 MG/ML SYRINGE 1 DS LOVENOX 120MG/.8ML SYRINGE 1 DS LOVENOX 150 MG/ML SYRINGE 1 DS LOVENOX 30MG/0.3ML SYRINGE 1 DS LOVENOX 40MG/0.4ML SYRINGE 1 DS LOVENOX 60MG/0.6ML SYRINGE 1 DS LOVENOX 80MG/0.8ML SYRINGE 1 DS LOVENOX 300MG/3ML VIAL 1 DS LYSTEDA 650 MG TABLET 3 QL MEPHYTON TABLET 2 monsels SOL W/APPL 3 NEULASTA 6MG/0.6ML SYR W/ INJ 3 DS NEULASTA 6MG/0.6ML SYRINGE 3 DS NEUMEGA 5 MG VIAL 3 DS NEUPOGEN 300MCG/0.5 SYRINGE 2 DS NEUPOGEN 480MCG/0.8 SYRINGE 2 DS NEUPOGEN 300 MCG/ML VIAL 2 DS NEUPOGEN 480MCG/1.6 VIAL 2 DS pentoxifylline TABLET ER 1 PERSANTINE TABLET 3 PLAVIX TABLET 3 PLETAL TABLET 3 PRADAXA 150 MG CAPSULE 3 PA PRADAXA 75 MG CAPSULE 3 PA PROCRIT 10000/ML VIAL 2 DS PROCRIT 2000/ML VIAL 2 DS PROCRIT 20000/2ML VIAL 2 DS PROCRIT 20000/ML VIAL 2 DS PROCRIT 3000/ML VIAL 2 DS PROCRIT 4000/ML VIAL 2 DS PROCRIT 40000/ML VIAL 2 DS

73 67 PROMACTA 12.5 MG TABLET 3 PA,DS PROMACTA 25 MG TABLET 3 PA,DS PROMACTA 50 MG TABLET 3 PA,DS PROMACTA 75 MG TABLET 3 PA,DS RECOTHROM VIAL 3 SYRINGE AVITENE POWDER 2 TACHOSIL ADH. PATCH 3 thrombi-gel MED. PAD 3 thrombi-pad MED. PAD 3 thrombin-jmi NAS SP SYR 3 thrombin-jmi SPRAY 1 thrombin-jmi UNIT SPRAY SYRN 1 thrombin-jmi 5000 UNIT SPRAY SYRN 3 thrombin-jmi UNIT VIAL 1 thrombin-jmi 5000 UNIT VIAL 3 ticlopidine hcl TABLET 1 TISSEEL VHSD KIT 3 TISSEEL VHSD SYRINGE 3 tranexamic acid 650 MG TABLET 1 QL warfarin sodium TABLET 1 XARELTO 15 MG-20MG TAB DS PK 3 PA XARELTO 10 MG TABLET 3 PA XARELTO 15 MG TABLET 3 PA XARELTO 20 MG TABLET 3 PA ZONTIVITY TABLET 3 HORMONAL DEFICIENCY ACTIVELLA TABLET 3 ALORA PATCH TDSW 3 ANADROL-50 TABLET 3 ANDRODERM PATCH TD24 3 PA,QL ANDROGEL GEL MD PMP 3 PA,QL ANDROGEL GEL PACKET 3 PA,QL ANDROID CAPSULE 3 PA

74 68 ANGELIQ TABLET 3 AXIRON SOL MD PMP 3 PA,QL AYGESTIN TABLET 3 CLIMARA PATCH TDWK 1 CLIMARA PRO PATCH TDWK 3 COMBIPATCH PATCH TDSW 3 covaryx TABLET 1 covaryx h.s. TABLET 1 CRINONE GEL/PF APP 3 DEPO-PROVERA 150 MG/ML VIAL 3 QL DEPO-PROVERA 400 MG/ML VIAL 3 QL DEPO-TESTOSTERONE 100 MG/ML VIAL 3 PA,QL DEPO-TESTOSTERONE 200 MG/ML VIAL 1 PA,QL DIVIGEL GEL PACKET 3 DUAVEE TABLET 3 eemt TABLET 1 eemt h.s. TABLET 1 ELESTRIN GEL MD PMP 3 ENJUVIA TABLET 3 ESTRACE TABLET 3 estradiol PATCH TDSW 3 estradiol PATCH TDWK 1 estradiol TABLET 1 estradiol-norethindrone acetat TABLET 3 ESTROGEL GEL MD PMP 3 estrogen & methyltestosterone TABLET 1 estrogen-methyltestosterone TABLET 1 estropipate TABLET 1 EVAMIST SPRAY 3 FEMHRT TABLET 3 FIRST-TESTOSTERONE OINT. (G) 3 PA,QL FIRST-TESTOSTERONE MC CREAM (G) 3 PA,QL FORTESTA GEL MD PMP 3 PA,QL jinteli TABLET 3 lopreeza TABLET 3 medroxyprogesterone acetate TABLET 1

75 69 MENEST TABLET 3 MENOSTAR PATCH TDWK 2 METHITEST TABLET 3 PA mimvey TABLET 3 mimvey lo TABLET 3 MINIVELLE PATCH TDSW 3 norethindrone acetate TABLET 1 OXANDRIN TABLET 3 oxandrolone TABLET 3 PREFEST TABLET 3 PREMARIN TABLET 2 PREMPHASE TABLET 3 PREMPRO TABLET 3 progesterone CAPSULE 1 PROMETRIUM CAPSULE 3 PROVERA TABLET 3 STRIANT MUC ER 12H 3 PA,QL TESTIM GEL (GRAM) 3 PA,QL testosterone GEL (GRAM) 3 PA,QL testosterone GEL MD PMP 3 PA,QL testosterone GEL PACKET 3 PA,QL testosterone cypionate VIAL 1 PA,QL testosterone enanthate VIAL 1 PA,QL TESTRED CAPSULE 3 PA,QL VIVELLE-DOT PATCH TDSW 3 IMMUNIZATION HIZENTRA 1 G/5 ML VIAL 2 PA,DS HIZENTRA 10 G/50 ML VIAL 2 PA,DS HIZENTRA 2 G/10 ML VIAL 2 PA,DS HIZENTRA 4 G/20 ML VIAL 2 PA,DS

76 70 IMMUNOSUPPRESSION/MODULATION ACTIMMUNE 100MCG/0.5 VIAL 3 DS ALDARA CREAM PACK 3 ASTAGRAF XL CAP ER 24H 3 AZASAN TABLET 3 azathioprine TABLET 1 CELLCEPT CAPSULE 3 CELLCEPT SUSP RECON 2 CELLCEPT TABLET 3 cyclosporine CAPSULE 1 cyclosporine SOLUTION 1 cyclosporine modified 100 MG CAPSULE 1 cyclosporine modified 25 MG CAPSULE 1 cyclosporine modified 50 MG CAPSULE 3 gengraf CAPSULE 1 gengraf SOLUTION 1 imiquimod CREAM PACK 1 IMURAN TABLET 3 INTRON A 10MM UNIT VIAL 2 DS INTRON A 10MM/ML VIAL 2 DS INTRON A 18MM UNIT VIAL 2 DS INTRON A 50MM UNIT VIAL 2 DS INTRON A 6MMUNIT/ML VIAL 2 DS mycophenolate mofetil CAPSULE 1 mycophenolate mofetil SUSP RECON 1 mycophenolate mofetil TABLET 1 mycophenolic acid TABLET DR 1 MYFORTIC TABLET DR 2 NEORAL CAPSULE 3 NEORAL SOLUTION 3 PROGRAF CAPSULE 3 RAPAMUNE SOLUTION 2 RAPAMUNE TABLET 2 SANDIMMUNE CAPSULE 3 SANDIMMUNE SOLUTION 3

77 71 sirolimus TABLET 1 tacrolimus CAPSULE 1 ZORTRESS 0.25 MG TABLET 3 DS ZORTRESS 0.5 MG TABLET 3 DS ZORTRESS 0.75 MG TABLET 3 DS ZYCLARA CREAM PACK 3 ZYCLARA CRM MD PMP 3 INFECTIOUS DISEASE - BACTERIAL ACTICLATE TABLET 3 ADOXA CAPSULE 3 amox tr-potassium clavulanate SUSP RECON 1 amox tr-potassium clavulanate TAB CHEW 1 amox tr-potassium clavulanate TABLET 1 amoxicillin CAPSULE 1 amoxicillin SUSP RECON 1 amoxicillin TAB CHEW 1 amoxicillin 500 MG TABLET 3 amoxicillin 875 MG TABLET 1 amoxicillin er TBMP 24HR 3 amoxicillin-clavulanate er TAB ER 12H 3 ampicillin trihydrate CAPSULE 1 ampicillin trihydrate SUSP RECON 3 AUGMENTIN SUSP RECON 3 AUGMENTIN TABLET 3 AUGMENTIN ES-600 SUSP RECON 3 AUGMENTIN XR TAB ER 12H 3 AVELOX TABLET 2 AVELOX ABC PACK TABLET 2 AVIDOXY TABLET 3 azithromycin PACKET 1 azithromycin SUSP RECON 1 azithromycin TABLET 1 BACTRIM TABLET 3

78 72 BACTRIM DS TABLET 3 BIAXIN SUSP RECON 3 BIAXIN TABLET 3 CAYSTON 75 MG/ML VIAL-NEB 3 PA,DS CEDAX CAPSULE 3 CEDAX SUSP RECON 3 cefaclor CAPSULE 3 cefaclor SUSP RECON 3 cefaclor er TAB ER 12H 3 cefadroxil CAPSULE 3 cefadroxil SUSP RECON 3 cefadroxil TABLET 3 cefdinir CAPSULE 1 cefdinir SUSP RECON 1 cefditoren pivoxil TABLET 3 cefpodoxime proxetil SUSP RECON 3 cefpodoxime proxetil TABLET 3 cefprozil SUSP RECON 1 cefprozil TABLET 3 ceftibuten CAPSULE 3 ceftibuten SUSP RECON 3 cefixime TABLET 1 cefixime SUSP RECON 1 CEFTIN SUSP RECON 2 CEFTIN TABLET 3 cefuroxime TABLET 1 cephalexin 250 MG CAPSULE 1 cephalexin 500 MG CAPSULE 1 cephalexin 750 MG CAPSULE 3 cephalexin SUSP RECON 1 cephalexin TABLET 3 CIPRO SUS MC REC 2 CIPRO TABLET 3 CIPRO XR TBMP 24HR 3 ciprofloxacin SUS MC REC 1 ciprofloxacin er TBMP 24HR 3

79 73 ciprofloxacin hcl TABLET 1 clarithromycin SUSP RECON 3 clarithromycin TABLET 1 clarithromycin er TAB ER 24H 3 demeclocycline hcl TABLET 3 dicloxacillin sodium CAPSULE 1 DIFICID 200 MG TABLET 3 PA DORYX TABLET DR 3 doxycycline hyclate CAPSULE 1 doxycycline hyclate TABLET 1 doxycycline hyclate TABLET DR 3 doxycycline ir-dr CAP IR DR 3 doxycycline monohydrate CAPSULE 1 doxycycline monohydrate SUSP RECON 3 doxycycline monohydrate TABLET 1 e.e.s. 200 SUSP RECON 1 e.e.s. 400 TABLET 1 ERY-TAB TABLET DR 2 ery-tab TABLET DR 1 ERYPED 200 SUSP RECON 2 ERYPED 400 SUSP RECON 2 erythrocin stearate TABLET 3 erythromycin CAPSULE DR 3 erythromycin TABLET 1 erythromycin ethylsuccinate TABLET 1 FACTIVE TABLET 3 FURADANTIN ORAL SUSP 3 HIPREX TABLET 3 hyophen TABLET 3 KEFLEX CAPSULE 3 KETEK TABLET 3 LEVAQUIN SOLUTION 3 LEVAQUIN TABLET 3 levofloxacin SOLUTION 1 levofloxacin TABLET 1 MACROBID CAPSULE 3

80 74 MACRODANTIN 100 MG CAPSULE 3 MACRODANTIN 25 MG CAPSULE 2 MACRODANTIN 50 MG CAPSULE 3 methenamine hippurate TABLET 1 methenamine mandelate TABLET 3 MINOCIN CAPSULE 3 minocycline hcl CAPSULE 1 minocycline hcl 135 MG TAB ER 24H 3 PA minocycline hcl 45 MG TAB ER 24H 3 PA minocycline hcl 90 MG TAB ER 24H 3 PA minocycline hcl TABLET 3 MONODOX CAPSULE 3 MONUROL PACKET 3 MORGIDOX CAPSULE 3 MOXATAG TBMP 24HR 3 moxifloxacin hcl TABLET 1 nitrofurantoin CAPSULE 1 nitrofurantoin ORAL SUSP 1 nitrofurantoin mono-macro CAPSULE 1 ofloxacin TABLET 3 ORACEA CAP IR DR 3 PCE TAB PART 3 penicillin v potassium SOLN RECON 1 penicillin v potassium TABLET 1 PHOSPHASAL TABLET 2 PRIMSOL SOLUTION 2 PROSED-DS TABLET 3 SIVEXTRO 200 MG TABLET 2 DS SOLODYN 105 MG TAB ER 24H 3 PA SOLODYN 115MG TAB ER 24H 3 PA SOLODYN 55 MG TAB ER 24H 3 PA SOLODYN 65 MG TAB ER 24H 3 PA SOLODYN 80 MG TAB ER 24H 3 PA SPECTRACEF TABLET 3 sulfamethoxazole-trimethoprim ORAL SUSP 1 sulfamethoxazole-trimethoprim TABLET 1

81 75 sulfatrim ORAL SUSP 1 SUPRAX CAPSULE 2 SUPRAX SUSP RECON 2 SUPRAX TAB CHEW 3 tetracycline hcl CAPSULE 3 trimethoprim TABLET 1 ur n-c TABLET 1 URELLE TABLET 3 URETRON D-S TABLET 2 URIBEL CAPSULE 3 urimar-t TABLET 3 URIN D.S. TABLET 2 uro-blue TABLET 3 uro-l TABLET 3 uro-mp CAPSULE 3 urogesic-blue TABLET 3 URYL TABLET 3 ustell CAPSULE 3 UTA CAPSULE 3 VIBRAMYCIN CAPSULE 3 VIBRAMYCIN SUSP RECON 3 VIBRAMYCIN SYRUP 3 ZITHROMAX PACKET 3 ZITHROMAX SUSP RECON 3 ZITHROMAX TABLET 3 ZITHROMAX TRI-PAK TABLET 3 ZMAX SUS ER REC 3 ZYVOX SUSP RECON 2 ZYVOX TABLET 2 INFECTIOUS DISEASE - FUNGAL ANCOBON CAPSULE 3 DIFLUCAN SUSP RECON 3 DIFLUCAN TABLET 3

82 76 fluconazole SUSP RECON 1 fluconazole TABLET 1 flucytosine CAPSULE 1 GRIFULVIN V TABLET 3 GRIS-PEG TABLET 3 griseofulvin ORAL SUSP 1 griseofulvin TABLET 1 griseofulvin ultramicrosize TABLET 1 itraconazole CAPSULE 1 ketoconazole TABLET 1 LAMISIL GRAN PACK 3 LAMISIL TABLET 3 NOXAFIL ORAL SUSP 3 NOXAFIL TABLET DR 3 nystatin ORAL SUSP 1 nystatin POWDER(EA) 3 nystatin TABLET 1 ONMEL TABLET 3 ORAVIG MA BUC TAB 3 SPORANOX CAPSULE 3 SPORANOX SOLUTION 2 terbinafine hcl TABLET 1 VFEND SUSP RECON 3 VFEND TABLET 3 voriconazole SUSP RECON 1 voriconazole TABLET 1 INFECTIOUS DISEASE - MISCELLANEOUS BETHKIS 300 MG/4ML AMPUL-NEB 3 PA,DS CLEOCIN HCL CAPSULE 3 CLEOCIN PALMITATE SOLN RECON 3 clindamycin hcl CAPSULE 1 clindamycin palmitate hcl SOLN RECON 1 clindamycin pediatric SOLN RECON 1

83 77 cycloserine CAPSULE 3 dapsone TABLET 1 ethambutol hcl TABLET 1 isoniazid SOLUTION 1 isoniazid TABLET 1 KITABIS PAK 300 MG/5ML AMPUL-NEB 3 PA,DS MYAMBUTOL TABLET 3 MYCOBUTIN CAPSULE 2 neomycin sulfate TABLET 1 PASER GRANPKT DR 3 PRIFTIN 150 MG TABLET 2 PA pyrazinamide TABLET 1 rifabutin CAPSULE 1 RIFADIN CAPSULE 3 RIFAMATE CAPSULE 3 rifampin CAPSULE 1 RIFATER TABLET 3 SIRTURO 100 MG TABLET 3 PA,DS THALOMID 100 MG CAPSULE 2 PA,DS THALOMID 150 MG CAPSULE 2 PA,DS THALOMID 200 MG CAPSULE 2 PA,DS THALOMID 50 MG CAPSULE 2 PA,DS TOBI 300 MG/5ML AMPUL-NEB 2 DS TOBI PODHALER 28 MG CAP W/DEV 3 DS TOBI PODHALER 28 MG CAPSULE 3 DS tobramycin 300 MG/5ML AMPUL-NEB 1 DS TRECATOR TABLET 3 VANCOCIN HCL CAPSULE 3 vancomycin hcl CAPSULE 1 XIFAXAN 200 MG TABLET 3 PA XIFAXAN 550 MG TABLET 3 PA INFECTIOUS DISEASE - PARASITIC ALBENZA TABLET 2

84 78 atovaquone ORAL SUSP 1 BILTRICIDE TABLET 2 FLAGYL CAPSULE 3 FLAGYL TABLET 3 FLAGYL ER TABLET ER 3 hydroxychloroquine sulfate TABLET 1 ivermectin TABLET 3 MEPRON ORAL SUSP 2 metronidazole CAPSULE 3 metronidazole TABLET 1 NEBUPENT VIAL-NEB 2 paromomycin sulfate CAPSULE 3 PLAQUENIL TABLET 3 STROMECTOL TABLET 3 TINDAMAX TABLET 3 tinidazole TABLET 3 INFECTIOUS DISEASE - VIRAL abacavir TABLET 1 abacavir-lamivudine-zidovudine MG TABLET 1 DS acyclovir CAPSULE 1 acyclovir ORAL SUSP 1 acyclovir TABLET 1 adefovir dipivoxil 10 MG TABLET 1 DS APTIVUS 250 MG CAPSULE 2 DS APTIVUS 100 MG/ML SOLUTION 3 DS ATRIPLA MG TABLET 2 DS BARACLUDE 0.05MG/ML SOLUTION 2 DS BARACLUDE 0.5 MG TABLET 2 DS BARACLUDE 1 MG TABLET 2 DS COMBIVIR TABLET 3 COMPLERA TABLET 2 DS COPEGUS 200 MG TABLET 3 DS CRIXIVAN CAPSULE 2

85 79 didanosine CAPSULE DR 1 EDURANT 25 MG TABLET 2 ST EMTRIVA CAPSULE 2 EMTRIVA SOLUTION 2 entecavir 0.5 MG TABLET 1 DS entecavir 1 MG TABLET 1 DS EPIVIR SOLUTION 2 EPIVIR TABLET 3 EPIVIR HBV SOLUTION 2 EPIVIR HBV TABLET 2 EPZICOM MG TABLET 2 DS famciclovir TABLET 3 FAMVIR TABLET 3 FLUMADINE TABLET 3 FUZEON 90 MG VIAL 3 DS HARVONI 90MG-400MG TABLET 2 PA,DS HEPSERA 10 MG TABLET 3 DS INTELENCE TABLET 2 INVIRASE CAPSULE 2 INVIRASE TABLET 2 ISENTRESS POWD PACK 3 ISENTRESS TAB CHEW 2 ISENTRESS TABLET 2 KALETRA SOLUTION 2 KALETRA TABLET 2 lamivudine SOLUTION 1 lamivudine TABLET 1 lamivudine hbv TABLET 1 lamivudine-zidovudine TABLET 1 LEXIVA 50 MG/ML ORAL SUSP 2 DS LEXIVA 700 MG TABLET 2 DS MODERIBA (7) TAB DS PK 3 DS MODERIBA (7) TAB DS PK 3 DS MODERIBA (7) TAB DS PK 3 DS MODERIBA (7) TAB DS PK 3 DS MODERIBA 200 MG TABLET 3 DS

86 80 nevirapine ORAL SUSP 1 nevirapine TABLET 1 nevirapine er TAB ER 24H 1 NORVIR CAPSULE 2 NORVIR SOLUTION 2 NORVIR TABLET 2 OLYSIO 150 MG CAPSULE 3 PA,DS PEGASYS 180MCG/0.5 SYRINGE 2 DS PEGASYS 180MCG/ML VIAL 2 DS PEGASYS PROCLICK 135MCG/0.5 PEN INJCTR 2 DS PEGASYS PROCLICK 180MCG/0.5 PEN INJCTR 2 DS PEGINTRON 120MCG/0.5 KIT 2 DS PEGINTRON 150MCG/0.5 KIT 2 DS PEGINTRON 50 MCG/0.5 KIT 2 DS PEGINTRON 80MCG/0.5 KIT 2 DS PEGINTRON REDIPEN 120MCG/0.5 PEN IJ KIT 2 DS PEGINTRON REDIPEN 150MCG/0.5 PEN IJ KIT 2 DS PEGINTRON REDIPEN 50 MCG/0.5 PEN IJ KIT 2 DS PEGINTRON REDIPEN 80MCG/0.5 PEN IJ KIT 2 DS PREZISTA 100 MG/ML ORAL SUSP 2 DS PREZISTA 150 MG TABLET 2 DS PREZISTA 400 MG TABLET 2 DS PREZISTA 600 MG TABLET 2 DS PREZISTA 75 MG TABLET 2 DS PREZISTA 800 MG TABLET 2 DS REBETOL 200 MG CAPSULE 3 DS REBETOL 40 MG/ML SOLUTION 2 DS RELENZA BLST W/DEV 2 RESCRIPTOR TAB DISPER 2 RESCRIPTOR TABLET 2 RETROVIR CAPSULE 3 RETROVIR SYRUP 3 REYATAZ 150 MG CAPSULE 2 DS REYATAZ 200 MG CAPSULE 2 DS REYATAZ 300 MG CAPSULE 2 DS REYATAZ 50 MG POWD PACK 2 DS

87 81 ribapak (7) TAB DS PK 3 DS ribapak MG TAB DS PK 3 DS ribapak MG TAB DS PK 3 DS ribapak (7) TAB DS PK 3 DS ribapak MG TAB DS PK 3 DS ribapak (7) TAB DS PK 3 DS ribapak MG TAB DS PK 3 DS ribapak (7) TAB DS PK 3 DS ribasphere 200 MG CAPSULE 1 DS ribasphere 200 MG TABLET 1 DS ribasphere 400 MG TABLET 3 DS ribasphere 600 MG TABLET 3 DS RIBATAB MG TAB DS PK 3 DS RIBATAB MG TAB DS PK 3 DS RIBATAB MG TAB DS PK 3 DS ribavirin 200 MG CAPSULE 1 DS ribavirin 200 MG TABLET 1 DS rimantadine hcl TABLET 1 SELZENTRY 150 MG TABLET 2 DS SELZENTRY 300 MG TABLET 2 DS SITAVIG MA BUC TAB 3 SOVALDI 400 MG TABLET 2 PA,DS stavudine CAPSULE 1 stavudine SOLN RECON 1 STRIBILD MG TABLET 2 ST,DS SUSTIVA CAPSULE 2 SUSTIVA TABLET 2 TAMIFLU CAPSULE 2 TAMIFLU SUSP RECON 2 TIVICAY 50 MG TABLET 2 DS TRIUMEQ TABLET 3 PA,DS TRIZIVIR MG TABLET 3 DS TRUVADA MG TABLET 2 DS TYBOST 150 MG TABLET 2 PA TYZEKA 600 MG TABLET 3 DS valacyclovir TABLET 1

88 82 VALCYTE 50 MG/ML SOLN RECON 2 DS VALCYTE 450 MG TABLET 2 DS valganciclovir hcl 450 MG TABLET 1 DS VALTREX TABLET 3 VIDEX SOLN RECON 2 VIDEX EC CAPSULE DR 3 VIEKIRA PAK TAB DS PK 3 PA,DS VIRACEPT TABLET 2 VIRAMUNE ORAL SUSP 3 VIRAMUNE TABLET 3 VIRAMUNE XR TAB ER 24H 2 VIRAZOLE VIAL-NEB 3 VIREAD 40MG/SCOOP POWDER 2 DS VIREAD 150 MG TABLET 2 DS VIREAD 200 MG TABLET 2 DS VIREAD 250 MG TABLET 2 DS VIREAD 300 MG TABLET 2 DS VITEKTA 150 MG TABLET 3 PA,DS VITEKTA 85 MG TABLET 3 PA,DS ZERIT CAPSULE 3 ZERIT SOLN RECON 3 ZIAGEN SOLUTION 2 ZIAGEN TABLET 3 zidovudine CAPSULE 1 zidovudine SYRUP 1 zidovudine TABLET 1 ZOVIRAX CAPSULE 3 ZOVIRAX ORAL SUSP 3 ZOVIRAX TABLET 3 INFLAMMATORY DISEASE ACTEMRA 162 MG/0.9 SYRINGE 3 QL,PA,DS ANAPROX TABLET 3

89 83 ANAPROX DS TABLET 3 ARAVA TABLET 3 ARCALYST 220 MG VIAL 3 PA,DS ARTHROTEC 50 TAB IR DR 3 ARTHROTEC 75 TAB IR DR 3 BERINERT 500(10 ML) KIT 2 QL,PA,DS BERINERT 500(10 ML) VIAL 2 QL,PA,DS budesonide ec CAPDR - ER 3 CELEBREX CAPSULE 3 celecoxib CAPSULE 3 CINRYZE 500 (5 ML) VIAL 3 QL,PA,DS CORTEF TABLET 3 cortisone acetate TABLET 1 CUPRIMINE 250 MG CAPSULE 2 DS DAYPRO TABLET 3 DEPEN 250 MG TABLET 2 DS dexamethasone ELIXIR 1 dexamethasone SOLUTION 1 dexamethasone TABLET 1 DEXAMETHASONE INTENSOL DROPS 2 DEXPAK TAB DS PK 3 diclofenac potassium TABLET 1 diclofenac sodium TABLET DR 1 diclofenac sodium er TAB ER 24H 3 diclofenac sodium-misoprostol TAB IR DR 3 DUEXIS TABLET 3 EC-NAPROSYN TABLET DR 3 ENBREL 50 MG/ML PEN INJCTR 2 QL,PA,DS ENBREL 25MG/0.5ML SYRINGE 2 QL,PA,DS ENBREL 50 MG/ML SYRINGE 2 QL,PA,DS ENBREL 25 MG VIAL 2 QL,PA,DS

90 84 ENTOCORT EC CAPDR - ER 3 etodolac CAPSULE 1 etodolac TABLET 1 etodolac er TAB ER 24H 3 FELDENE CAPSULE 3 FENOPROFEN CALCIUM CAPSULE 3 fenoprofen calcium TABLET 3 FIRAZYR 30 MG/3 ML SYRINGE 2 QL,DS FLO-PRED ORAL SUSP 3 fludrocortisone acetate TABLET 1 flurbiprofen TABLET 1 HUMIRA 40MG/0.8ML PEN IJ KIT 2 QL,PA,DS HUMIRA 10MG/0.2ML SYRINGEKIT 2 QL,PA,DS HUMIRA 20MG/0.4ML SYRINGEKIT 2 QL,PA,DS HUMIRA 40MG/0.8ML SYRINGEKIT 2 QL,PA,DS HUMIRA PEDIATRIC CROHNS 40MG/0.8ML SYRINGEKIT 2 QL,PA,DS hydrocortisone TABLET 1 ibuprofen ORAL SUSP 3 ibuprofen TABLET 1 INDOCIN ORAL SUSP 3 INDOCIN SUPP.RECT 3 indomethacin CAPSULE 1 indomethacin CAPSULE ER 3 ketoprofen CAP24H PEL 3 ketoprofen CAPSULE 3 ketorolac tromethamine TABLET 3 KINERET 100MG/0.67 SYRINGE 3 QL,PA,DS leflunomide TABLET 1 meclofenamate sodium CAPSULE 1 MEDROL TAB DS PK 3 MEDROL 16 MG TABLET 3 MEDROL 2 MG TABLET 2

91 85 MEDROL 32 MG TABLET 3 MEDROL 4 MG TABLET 3 MEDROL 8 MG TABLET 3 mefenamic acid CAPSULE 3 meloxicam ORAL SUSP 3 meloxicam TABLET 1 methylprednisolone TAB DS PK 1 methylprednisolone TABLET 1 MILLIPRED SOLUTION 3 MILLIPRED TABLET 3 MILLIPRED DP TAB DS PK 3 MOBIC ORAL SUSP 3 MOBIC TABLET 3 nabumetone TABLET 1 NALFON CAPSULE 3 NAPRELAN TBMP 24HR 3 NAPROSYN ORAL SUSP 3 NAPROSYN TABLET 3 naproxen ORAL SUSP 3 naproxen TABLET 1 naproxen TABLET DR 3 naproxen sodium TABLET 1 ORAPRED ODT TAB RAPDIS 3 ORENCIA 125 MG/ML SYRINGE 2 QL,PA,DS OTEZLA MG TAB DS PK 3 PA,DS OTEZLA 30 MG TABLET 2 PA,DS OTREXUP 10MG/0.4ML AUTO INJCT 3 PA OTREXUP 15MG/0.4ML AUTO INJCT 3 PA OTREXUP 20MG/0.4ML AUTO INJCT 3 PA OTREXUP 25MG/0.4ML AUTO INJCT 3 PA oxaprozin TABLET 3 PEDIAPRED SOLUTION 3 piroxicam CAPSULE 1 PONSTEL CAPSULE 3 prednisolone SOLUTION 1

92 86 prednisolone sodium phosphate SOLUTION 1 prednisolone sodium phosphate TAB RAPDIS 3 prednisone SOLUTION 1 prednisone TAB DS PK 1 prednisone TABLET 1 PREDNISONE INTENSOL ORAL CONC 3 RASUVO 10MG/0.2ML AUTO INJCT 2 PA RASUVO 12.5/0.25 AUTO INJCT 2 PA RASUVO 15MG/0.3ML AUTO INJCT 2 PA RASUVO 17.5/0.35 AUTO INJCT 2 PA RASUVO 20MG/0.4ML AUTO INJCT 2 PA RASUVO 22.5/0.45 AUTO INJCT 2 PA RASUVO 25MG/0.5ML AUTO INJCT 2 PA RASUVO 27.5/0.55 AUTO INJCT 2 PA RASUVO 30MG/0.6ML AUTO INJCT 2 PA RASUVO 7.5MG/0.15 AUTO INJCT 2 PA RAYOS TABLET DR 3 RHEUMATREX TAB DS PK 3 RIDAURA CAPSULE 2 RUCONEST 2100 UNIT VIAL 3 QL,PA,DS SIMPONI 100 MG/ML PEN INJCTR 3 QL,PA,DS SIMPONI 50MG/0.5ML PEN INJCTR 3 QL,PA,DS SIMPONI 100 MG/ML SYRINGE 3 QL,PA,DS SIMPONI 50MG/0.5ML SYRINGE 3 QL,PA,DS SPRIX SPRAY 3 STELARA 45MG/0.5ML SYRINGE 3 QL,PA STELARA 90 MG/ML SYRINGE 3 QL,PA sulindac TABLET 1 tolmetin sodium CAPSULE 1 tolmetin sodium 200 MG TABLET 1 tolmetin sodium 600 MG TABLET 3 UCERIS 9 MG TABDR & ER 3 DS

93 87 VERIPRED 20 SOLUTION 3 VIMOVO TAB IR DR 3 VOLTAREN-XR TAB ER 24H 3 XELJANZ 5 MG TABLET 3 QL,PA ZIPSOR CAPSULE 3 ZORVOLEX CAPSULE 3 LOCAL ANESTHESIA lidocaine hcl JEL (ML) 1 lidocaine hcl JEL/PF APP 1 lidocaine hcl SOLUTION 3 lidocaine hcl viscous SOLUTION 1 LOWER GASTROINTESTINAL DISORDERS - BOWEL INFLAMMAT ANALPRAM E KT CRM TWL 3 ANALPRAM HC 1 %-1 % CREAM/APPL 3 ANALPRAM HC 2.5 %-1 % CREAM/APPL 2 ANALPRAM HC 2.5-1%(4G) CREAM/APPL 2 ANALPRAM HC LOTION 2 anucort-hc SUPP.RECT 1 ANUSOL-HC CREAM (G) 3 ANUSOL-HC SUPP.RECT 3 APRISO CAP ER 24H 3 ASACOL HD TABLET DR 2 AZULFIDINE TABLET 3 AZULFIDINE TABLET DR 3 balsalazide disodium CAPSULE 1 CANASA SUPP.RECT 2 CIMZIA 400 MG KIT 3 QL,PA,DS CIMZIA 400MG/2ML SYRINGEKIT 3 QL,PA,DS COLAZAL CAPSULE 3

94 88 colocort ENEMA 1 CORTENEMA ENEMA 3 CORTIFOAM FOAM/APPL 2 DELZICOL CAPSULE DR 3 DIPENTUM CAPSULE 3 GIAZO TABLET 3 grx hicort 25 SUPP.RECT 1 hydrocortisone ENEMA 1 hydrocortisone acetate SUPP.RECT 3 hydrocortisone-pramoxine CREAM/APPL 1 hydrocortisone-pramoxine KT CRM TWL 3 LIALDA TABLET DR 2 lidocaine-hydrocortisone CREAM (G) 3 lidocaine-hydrocortisone CREAM/APPL 3 lidocaine-hydrocortisone GEL W/APPL 3 lidocaine-hydrocortisone KIT 3 LINZESS 145 MCG CAPSULE 3 PA LINZESS 290 MCG CAPSULE 3 PA mesalamine ENEMA 1 mesalamine ENEMA KIT 3 PENTASA CAPSULE ER 2 PRAMCORT CREAM/APPL 2 PROCORT CREAM/APPL 3 procto-pak CREAM (G) 3 PROCTOCORT CREAM (G) 3 PROCTOCORT SUPP.RECT 3 PROCTOFOAM-HC FOAM 2 proctosol-hc CREAM/APPL 1 proctozone-hc CREAM/APPL 1 RECTACORT-HC SUPP.RECT 3 RECTIV OINT. (G) 2 ROWASA ENEMA KIT 3 SFROWASA ENEMA 3 sulfadiazine TABLET 3 sulfasalazine TABLET 1 sulfasalazine dr TABLET DR 1

95 89 sulfazine TABLET 1 sulfazine ec TABLET DR 1 UCERIS FOAM/APPL 3 ZYPRAM KT CRM TWL 3 LOWER GASTROINTESTINAL DISORDERS - OTHER ACTIGALL CAPSULE 3 AMITIZA 24MCG CAPSULE 3 PA AMITIZA 8 MCG CAPSULE 3 PA BUPHENYL POWDER 3 BUPHENYL 500 MG TABLET 3 DS CARBAGLU 200 MG TAB DISPER 3 PA,DS CHENODAL TABLET 3 COLYTE WITH FLAVOR PACKETS SOLN RECON 3 COLYTE WITH FLAVOR PACKS SOLN RECON 3 constulose SOLUTION 1 diphenoxylate-atropine LIQUID 1 diphenoxylate-atropine TABLET 1 ENTEREG CAPSULE 3 enulose SOLUTION 1 FULYZAQ TABLET DR 3 GATTEX 5 MG KIT 3 QL,PA,DS gavilyte-c SOLN RECON 1 gavilyte-g SOLN RECON 3 gavilyte-n SOLN RECON 3 generlac SOLUTION 1 GOLYTELY POWD PACK 2 GOLYTELY SOLN RECON 3 KRISTALOSE PACKET 3 lactulose SOLUTION 1 LITHOSTAT TABLET 3 LOMOTIL TABLET 3 loperamide CAPSULE 1

96 90 LOTRONEX TABLET 3 MOTOFEN TABLET 3 MOVIPREP POWD PACK 3 NULYTELY WITH FLAVOR PACKS SOLN RECON 3 opium tincture TINCTURE 1 OSMOPREP TABLET 3 paregoric LIQUID 3 peg 3350-electrolyte SOLN RECON 1 peg-3350 SOLN RECON 3 peg-3350 and electrolytes SOLN RECON 3 peg-3350 with flavor packs SOLN RECON 3 polyethylene glycol 3350 POWD PACK 1 polyethylene glycol 3350 POWDER 1 PREPOPIK POWD PACK 3 RAVICTI 1.1GRAM/ML LIQUID 3 PA,DS RELISTOR SYRINGE 2 RELISTOR VIAL 2 sodium phenylbutyrate POWDER 3 SUCLEAR SOLN RC SQ 3 SUPREP SOLN RECON 3 trilyte with flavor packets SOLN RECON 3 URSO TABLET 1 URSO FORTE TABLET 1 ursodiol CAPSULE 1 ursodiol TABLET 1 MISCELLANEOUS AGENTS ADRENACLICK AUTO INJCT 3 EPIPEN 2-PAK AUTO INJCT 2 EPIPEN JR 2-PAK AUTO INJCT 2

97 91 NEOPLASTIC DISEASE AFINITOR 10 MG TABLET 2 PA,DS AFINITOR 2.5 MG TABLET 2 PA,DS AFINITOR 5 MG TABLET 2 PA,DS AFINITOR 7.5 MG TABLET 2 PA,DS AFINITOR DISPERZ 2 MG TAB SUSP 2 PA,DS AFINITOR DISPERZ 3 MG TAB SUSP 2 PA,DS AFINITOR DISPERZ 5 MG TAB SUSP 2 PA,DS ALKERAN 2 MG TABLET 2 DS anastrozole TABLET 1 ARIMIDEX TABLET 3 AROMASIN TABLET 3 bicalutamide TABLET 1 BOSULIF 100 MG TABLET 3 PA,DS BOSULIF 500 MG TABLET 3 PA,DS capecitabine 150 MG TABLET 1 PA,DS capecitabine 500 MG TABLET 1 PA,DS CAPRELSA 100 MG TABLET 3 PA,DS CAPRELSA 300 MG TABLET 3 PA,DS CASODEX TABLET 3 COMETRIQ 100 MG/DAY CAPSULE 3 PA,DS COMETRIQ 140 MG/DAY CAPSULE 3 PA,DS COMETRIQ 60 MG/DAY CAPSULE 3 PA,DS CYCLOPHOSPHAMIDE CAPSULE 2 EMCYT 140 MG CAPSULE 3 DS ERIVEDGE 150 MG CAPSULE 3 PA,DS etoposide 50 MG CAPSULE 1 DS exemestane TABLET 3 FARESTON TABLET 3 FARYDAK CAPSULE 3 PA/,DS FEMARA TABLET 3 flutamide CAPSULE 1 GILOTRIF 20 MG TABLET 3 PA,DS GILOTRIF 30 MG TABLET 3 PA,DS GILOTRIF 40 MG TABLET 3 PA,DS

98 92 GLEEVEC 100 MG TABLET 2 PA,DS GLEEVEC 400 MG TABLET 2 PA,DS GLEOSTINE CAPSULE 3 HEXALEN 50 MG CAPSULE 3 DS HYCAMTIN 0.25 MG CAPSULE 3 DS HYCAMTIN 1 MG CAPSULE 3 DS HYDREA CAPSULE 3 hydroxyurea CAPSULE 1 IBRANCE CAPSULE 3 PA,DS ICLUSIG 15 MG TABLET 3 PA,DS ICLUSIG 45 MG TABLET 3 PA,DS IMBRUVICA 140 MG CAPSULE 2 PA,DS INLYTA 1 MG TABLET 3 PA,DS INLYTA 5 MG TABLET 3 PA,DS JAKAFI 10 MG TABLET 3 PA,DS JAKAFI 15 MG TABLET 3 PA,DS JAKAFI 20 MG TABLET 3 PA,DS JAKAFI 25 MG TABLET 3 PA,DS JAKAFI 5 MG TABLET 3 PA,DS LANPARZA CAPSULE 3 PA,DS LENVIMA 10 MG/DAY CAPSULE 3 PA,DS LENVIMA 14 MG/DAY CAPSULE 3 PA,DS LENVIMA 20 MG/DAY CAPSULE 3 PA,DS LENVIMA 24 MG/DAY CAPSULE 3 PA,DS letrozole TABLET 1 leucovorin calcium TABLET 1 LEUKERAN TABLET 2 LEVULAN 20% SOL W/APPL 2 DS lomustine CAPSULE 1 LYSODREN 500 MG TABLET 3 PA MATULANE 50 MG CAPSULE 2 DS megestrol acetate TABLET 1 MEKINIST 0.5 MG TABLET 2 PA,DS MEKINIST 2 MG TABLET 2 PA,DS mercaptopurine TABLET 1 MESNEX TABLET 2

99 93 methotrexate TABLET 1 MYLERAN 2 MG TABLET 2 DS NEXAVAR 200 MG TABLET 2 PA,DS NILANDRON TABLET 3 POMALYST 1 MG CAPSULE 3 PA,DS POMALYST 2 MG CAPSULE 3 PA,DS POMALYST 3 MG CAPSULE 3 PA,DS POMALYST 4 MG CAPSULE 3 PA,DS PURINETHOL TABLET 3 PURIXAN 20 MG/ML ORAL SUSP 3 PA REVLIMID 10 MG CAPSULE 2 PA,DS REVLIMID 15 MG CAPSULE 2 PA,DS REVLIMID 2.5 MG CAPSULE 2 PA,DS REVLIMID 20 MG CAPSULE 2 PA,DS REVLIMID 25 MG CAPSULE 2 PA,DS REVLIMID 5 MG CAPSULE 2 PA,DS SOLTAMOX SOLUTION 3 SPRYCEL 100 MG TABLET 2 PA,DS SPRYCEL 140 MG TABLET 2 PA,DS SPRYCEL 20 MG TABLET 2 PA,DS SPRYCEL 50 MG TABLET 2 PA,DS SPRYCEL 70 MG TABLET 2 PA,DS SPRYCEL 80 MG TABLET 2 PA,DS STIVARGA 40 MG TABLET 3 PA,DS SUTENT 12.5 MG CAPSULE 2 PA,DS SUTENT 25 MG CAPSULE 2 PA,DS SUTENT 37.5 MG CAPSULE 2 PA,DS SUTENT 50 MG CAPSULE 2 PA,DS SYLATRON 200 MCG KIT 3 DS SYLATRON 300 MCG KIT 3 DS SYLATRON 600 MCG KIT 3 DS SYLATRON 4-PACK 200 MCG KIT 3 DS SYLATRON 4-PACK 300 MCG KIT 3 DS TABLOID TABLET 2 TAFINLAR 50 MG CAPSULE 2 PA,DS TAFINLAR 75 MG CAPSULE 2 PA,DS

100 94 tamoxifen citrate TABLET 1 TARCEVA 100 MG TABLET 2 PA,DS TARCEVA 150 MG TABLET 2 PA,DS TARCEVA 25 MG TABLET 2 PA,DS TARGRETIN 75 MG CAPSULE 3 DS TASIGNA 150 MG CAPSULE 3 PA,DS TASIGNA 200 MG CAPSULE 3 PA,DS TEMODAR 100 MG CAPSULE 2 DS TEMODAR 140 MG CAPSULE 2 DS TEMODAR 180 MG CAPSULE 2 DS TEMODAR 20 MG CAPSULE 2 DS TEMODAR 250 MG CAPSULE 2 DS temozolomide 100 MG CAPSULE 1 DS temozolomide 140 MG CAPSULE 1 DS temozolomide 180 MG CAPSULE 1 DS temozolomide 20 MG CAPSULE 1 DS temozolomide 250 MG CAPSULE 1 DS temozolomide 5 MG CAPSULE 1 DS tretinoin 10 MG CAPSULE 1 DS TREXALL TABLET 3 TYKERB 250 MG TABLET 2 PA,DS VOTRIENT 200 MG TABLET 2 PA,DS XALKORI 200 MG CAPSULE 3 PA,DS XALKORI 250 MG CAPSULE 3 PA,DS XELODA 150 MG TABLET 2 PA,DS XELODA 500 MG TABLET 2 PA,DS XTANDI 40 MG CAPSULE 2 PA,DS ZELBORAF 240 MG TABLET 3 PA,DS ZOLINZA 100 MG CAPSULE 3 PA,DS ZYDELIG 100 MG TABLET 2 PA,DS ZYDELIG 150 MG TABLET 2 PA,DS ZYKADIA 150 MG CAPSULE 3 PA,DS ZYTIGA 250 MG TABLET 2 PA,DS

101 95 NEUROLOGICAL DISEASE - MISCELLANEOUS AMPYRA 10 MG TAB ER 12H 3 PA,DS AUBAGIO 14 MG TABLET 3 QL,PA,DS AUBAGIO 7 MG TABLET 3 QL,PA,DS AVONEX 30MCG/.5ML SYRINGE 2 QL,DS AVONEX 30MCG/.5ML SYRINGEKIT 2 QL,DS AVONEX ADMINISTRATION PACK 30 MCG KIT 2 QL,DS AVONEX PEN 30MCG/.5ML PEN IJ KIT 2 QL,DS AVONEX PEN 30MCG/.5ML PEN INJCTR 2 QL,DS BETASERON 0.3 MG KIT 3 QL,DS BETASERON 0.3 MG VIAL 3 QL,DS COPAXONE 20 MG/ML SYRINGE 2 QL,DS COPAXONE 40 MG/ML SYRINGE 3 QL,PA,DS EXTAVIA 0.3 MG KIT 2 QL,DS EXTAVIA 0.3 MG VIAL 2 QL,DS GILENYA 0.5 MG CAPSULE 2 QL,PA,DS GRALISE TAB ER 24H 3 glatiramer acetate 20 MG/ML SYRINGE 1 QL,DS glatopa 20 MG/ML SYRINGE 1 QL/DS HORIZANT TABLET ER 3 NUEDEXTA CAPSULE 3 PLEGRIDY 125MCG/0.5 SYRINGE 3 PA,DS PLEGRIDY MCG SYRINGE 3 PA,DS PLEGRIDY PEN 125MCG/0.5 PEN INJCTR 3 PA,DS PLEGRIDY PEN MCG PEN INJCTR 3 PA,DS REBIF 22MCG/.5ML SYRINGE 2 QL,PA,DS REBIF 44MCG/.5ML SYRINGE 2 QL,PA,DS REBIF (6) SYRINGE 2 QL,PA,DS REBIF REBIDOSE 22MCG/.5ML PEN INJCTR 2 QL,PA,DS

102 96 REBIF REBIDOSE 44MCG/.5ML PEN INJCTR 2 QL,PA,DS REBIF REBIDOSE (6) PEN INJCTR 2 QL,PA,DS RILUTEK 50 MG TABLET 3 DS riluzole 50 MG TABLET 1 DS SAVELLA TAB DS PK 3 PA SAVELLA 100 MG TABLET 3 PA SAVELLA 12.5 MG TABLET 3 PA SAVELLA 25 MG TABLET 3 PA SAVELLA 50 MG TABLET 3 PA TECFIDERA 120 MG CAPSULE DR 3 QL,PA,DS TECFIDERA MG CAPSULE DR 3 QL,PA,DS TECFIDERA 240 MG CAPSULE DR 3 QL,PA,DS XENAZINE 12.5 MG TABLET 3 QL,PA,DS XENAZINE 25 MG TABLET 3 QL,PA,DS ORAL/PHARYNGEAL DISORDERS ARESTIN CARTRIDGE 3 ATROVENT SPRAY 3 BACTROBAN NASAL OINT. (G) 3 ipratropium bromide SPRAY 1 OTHER DRUGS CARNITOR SOLUTION 3 CARNITOR TABLET 3 CARNITOR SF SOLUTION 3 CERDELGA 84 MG CAPSULE 2 PA,DS CHEMET CAPSULE 3

103 97 CYSTADANE POWDER 3 EXJADE 125 MG TAB DISPER 3 PA,DS EXJADE 250 MG TAB DISPER 3 PA,DS EXJADE 500 MG TAB DISPER 3 PA,DS FERRIPROX 500 MG TABLET 3 PA,DS GALZIN CAPSULE 3 KUVAN 100 MG POWD PACK 3 DS KUVAN 100 MG TABLET SOL 3 DS levocarnitine SOLUTION 1 levocarnitine TABLET 1 MEGACE ORAL SUSP 3 MEGACE ES ORAL SUSP 3 megestrol acetate ORAL SUSP 1 MIFEPREX TABLET 3 mucotrol WAFER 3 ORFADIN 10 MG CAPSULE 3 DS ORFADIN 2 MG CAPSULE 3 DS ORFADIN 5 MG CAPSULE 3 DS RADIOGARDASE CAPSULE 3 SIGNIFOR 0.3 MG/ML AMPUL 3 QL,PA,DS SIGNIFOR 0.6 MG/ML AMPUL 3 QL,PA,DS SIGNIFOR 0.9 MG/ML AMPUL 3 QL,PA,DS SOMATULINE DEPOT SYRINGE 3 SYNAPRYN SUSP RECON 3 SYPRINE 250 MG CAPSULE 3 PA,DS ZAVESCA 100 MG CAPSULE 3 DS OTHER RESPIRATORY DISORDERS ESBRIET 267 MG CAPSULE 3 DS KALYDECO 150 MG TABLET 2 QL,PA,DS

104 98 OFEV 100 MG CAPSULE 3 DS OFEV 150 MG CAPSULE 3 DS PAIN MANAGEMENT - ANALGESICS ABSTRAL 100 MCG TAB SUBL 3 PA,DS ABSTRAL 200 MCG TAB SUBL 3 PA,DS ABSTRAL 300 MCG TAB SUBL 3 PA,DS ABSTRAL 400 MCG TAB SUBL 3 PA,DS ABSTRAL 600 MCG TAB SUBL 3 PA,DS ABSTRAL 800 MCG TAB SUBL 3 PA,DS acetaminophen-butalbital TABLET 3 acetaminophen-codeine MG/5 SOLUTION 1 QL acetaminophen-codeine 300MG/12.5 SOLUTION 1 QL acetaminophen-codeine 300MG-15MG TABLET 1 QL acetaminophen-codeine 300MG-30MG TABLET 1 QL acetaminophen-codeine 300MG-60MG TABLET 1 QL ACTIQ 1200 MCG LOZENGE HD 3 PA,DS ACTIQ 1600 MCG LOZENGE HD 3 PA,DS ACTIQ 200 MCG LOZENGE HD 3 PA,DS ACTIQ 400 MCG LOZENGE HD 3 PA,DS ACTIQ 600 MCG LOZENGE HD 3 PA,DS ACTIQ 800 MCG LOZENGE HD 3 PA,DS alagesic lq SOLUTION 3 ALSUMA 6 MG/0.5ML PEN INJCTR 3 QL AMERGE TABLET 3 ascomp with codeine CAPSULE 3 aspirin-caffeine-dihydrocodein CAPSULE 3 AVINZA 120 MG CPMP 24HR 3 QL AVINZA 30 MG CPMP 24HR 3 QL AVINZA 45 MG CPMP 24HR 3 QL AVINZA 60 MG CPMP 24HR 3 QL AVINZA 75 MG CPMP 24HR 3 QL AVINZA 90 MG CPMP 24HR 3 QL AXERT 12.5 MG TABLET 3 QL,ST

105 99 AXERT 6.25 MG TABLET 3 QL,ST belladonna-opium SUPP.RECT 1 BUNAVAIL MG FILM 3 PA BUNAVAIL MG FILM 3 PA BUNAVAIL 6.3MG-1MG FILM 3 PA BUPAP TABLET 3 buprenorphine hcl TAB SUBL 1 buprenorphine-naloxone TAB SUBL 1 butalb-acetaminoph-caff-codein CAPSULE 3 butalb-caff-acetaminoph-codein CAPSULE 3 QL butalbital compound-codeine CAPSULE 3 butalbital-acetaminophen-caffe CAPSULE 3 butalbital-acetaminophen-caffe TABLET 1 butalbital-aspirin-caffeine CAPSULE 1 butorphanol tartrate SPRAY 3 BUTRANS 10 MCG/HR PATCH TDWK 3 PA BUTRANS 15 MCG/HR PATCH TDWK 3 PA BUTRANS 20 MCG/HR PATCH TDWK 3 PA BUTRANS 5 MCG/HR PATCH TDWK 3 PA BUTRANS 7.5 MCG/HR PATCH TDWK 3 PA CAFERGOT TABLET 2 CAMBIA POWD PACK 3 capacet CAPSULE 3 CAPITAL W-CODEINE MG/5 ORAL SUSP 3 QL carisoprodol compound-codeine TABLET 3 carisoprodol-aspirin-codeine TABLET 3 choline mag trisalicylate LIQUID 1 CODEINE SULFATE SOLUTION 3 codeine sulfate TABLET 1 CONZIP 300 MG CPBP QL CONZIP 100 MG CPBP QL CONZIP 200 MG CPBP QL DEMEROL TABLET 3 diflunisal TABLET 1 dihydroergotamine mesylate SPRAY/PUMP 1 DILAUDID LIQUID 1

106 100 DILAUDID TABLET 3 DISALCID TABLET 2 DISKETS 40 MG TABLET SOL 3 QL DOLOPHINE HCL 10 MG TABLET 3 QL DOLOPHINE HCL 5 MG TABLET 3 QL DURAGESIC 100 MCG/HR PATCH TD72 3 QL DURAGESIC 12 MCG/HR PATCH TD72 3 QL DURAGESIC 25MCG/HR PATCH TD72 3 QL DURAGESIC 50MCG/HR PATCH TD72 3 QL DURAGESIC 75MCG/HR PATCH TD72 3 QL endocet 10MG-325MG TABLET 1 QL endocet MG TABLET 1 QL endocet 5 MG-325MG TABLET 1 QL endocet MG TABLET 1 QL endodan TABLET 1 ERGOMAR TAB SUBL 2 ESGIC CAPSULE 3 ESGIC TABLET 3 EXALGO 12 MG TAB ER 24H 3 QL EXALGO 16 MG TAB ER 24H 3 QL EXALGO 32 MG TAB ER 24H 3 QL EXALGO 8 MG TAB ER 24H 3 QL fentanyl 100 MCG/HR PATCH TD72 1 QL fentanyl 12 MCG/HR PATCH TD72 1 QL fentanyl 25MCG/HR PATCH TD72 1 QL fentanyl 37.5MCG/HR PATCH TD72 3 QL fentanyl 50MCG/HR PATCH TD72 1 QL fentanyl 62.5MCG/HR PATCH TD72 3 QL fentanyl 75MCG/HR PATCH TD72 1 QL fentanyl 87.5MCG/HR PATCH TD72 3 QL fentanyl citrate 1200 MCG LOZENGE HD 3 PA,DS fentanyl citrate 1600 MCG LOZENGE HD 3 PA,DS fentanyl citrate 200 MCG LOZENGE HD 3 PA,DS fentanyl citrate 400 MCG LOZENGE HD 3 PA,DS fentanyl citrate 600 MCG LOZENGE HD 3 PA,DS fentanyl citrate 800 MCG LOZENGE HD 3 PA,DS

107 101 FENTORA 100 MCG TABLET EFF 3 PA,DS FENTORA 200 MCG TABLET EFF 3 PA,DS FENTORA 400 MCG TABLET EFF 3 PA,DS FENTORA 600 MCG TABLET EFF 3 PA,DS FENTORA 800 MCG TABLET EFF 3 PA,DS FIORICET CAPSULE 3 FIORICET WITH CODEINE CAPSULE 3 FIORINAL CAPSULE 3 FIORINAL WITH CODEINE #3 CAPSULE 3 FROVA 2.5 MG TABLET 3 QL,ST HYCET /15 SOLUTION 3 QL hydrocodone-acetaminophen /15 SOLUTION 3 QL hydrocodone-acetaminophen /5 SOLUTION 1 QL hydrocodone-acetaminophen 5-163/7.5 SOLUTION 3 QL hydrocodone-acetaminophen /15 SOLUTION 1 QL hydrocodone-acetaminophen /15 SOLUTION 3 QL hydrocodone-acetaminophen 10MG-300MG TABLET 3 QL hydrocodone-acetaminophen 10MG-325MG TABLET 1 QL hydrocodone-acetaminophen MG TABLET 3 QL hydrocodone-acetaminophen 5 MG-325MG TABLET 1 QL hydrocodone-acetaminophen 5MG-300MG TABLET 3 QL hydrocodone-acetaminophen MG TABLET 3 QL hydrocodone-acetaminophen MG TABLET 1 QL hydrocodone-ibuprofen TABLET 3 hydromorphone er 12 MG TAB ER 24H 3 QL hydromorphone er 16 MG TAB ER 24H 3 QL hydromorphone er 32 MG TAB ER 24H 3 QL hydromorphone er 8 MG TAB ER 24H 3 QL hydromorphone hcl LIQUID 1 hydromorphone hcl SUPP.RECT 1 hydromorphone hcl TABLET 1 IBUDONE TABLET 3 IMITREX 4 MG/0.5ML CARTRIDGE 3 QL IMITREX 6 MG/0.5ML CARTRIDGE 3 QL IMITREX 4 MG/0.5ML PEN INJCTR 3 QL IMITREX 6 MG/0.5ML PEN INJCTR 3 QL

108 102 IMITREX 20 MG SPRAY 3 QL IMITREX 5 MG SPRAY 3 QL IMITREX 100 MG TABLET 3 QL IMITREX 25 MG TABLET 3 QL IMITREX 50 MG TABLET 3 QL IMITREX 6 MG/0.5ML VIAL 3 QL isomethept-caff-acetaminophen TABLET 3 isomethept-dichloralp-acetamin CAPSULE 1 KADIAN 10 MG CAP ER PEL 3 QL,ST KADIAN 100 MG CAP ER PEL 3 QL,ST KADIAN 20 MG CAP ER PEL 3 QL,ST KADIAN 200 MG CAP ER PEL 3 QL,ST KADIAN 30 MG CAP ER PEL 3 QL,ST KADIAN 40 MG CAP ER PEL 3 QL,ST KADIAN 50 MG CAP ER PEL 3 QL,ST KADIAN 60 MG CAP ER PEL 3 QL,ST KADIAN 80 MG CAP ER PEL 3 QL,ST LAZANDA 100MCG/SPR SPRAY/PUMP 3 PA,DS LAZANDA 400MCG/SPR SPRAY/PUMP 3 PA,DS LEVACET TABLET 3 levorphanol tartrate TABLET 1 lorcet 5 MG-325MG TABLET 1 QL lorcet hd 10MG-325MG TABLET 1 QL lorcet plus MG TABLET 1 QL LORTAB /15 SOLUTION 3 QL LORTAB 10MG-325MG TABLET 3 QL LORTAB 5 MG-325MG TABLET 3 QL LORTAB MG TABLET 3 QL margesic CAPSULE 3 marten-tab TABLET 3 MAXALT 10 MG TABLET 3 QL MAXALT 5 MG TABLET 3 QL MAXALT MLT 10 MG TAB RAPDIS 3 QL MAXALT MLT 5 MG TAB RAPDIS 3 QL meperidine hcl SOLUTION 3 meperidine hcl TABLET 3

109 103 meperitab TABLET 3 methadone hcl 10 MG/ML ORAL CONC 1 QL methadone hcl 10 MG/5 ML SOLUTION 1 QL methadone hcl 5 MG/5 ML SOLUTION 1 QL methadone hcl 10 MG TABLET 1 QL methadone hcl 5 MG TABLET 1 QL methadone hcl 40 MG TABLET SOL 3 QL methadone intensol 10 MG/ML ORAL CONC 1 QL METHADOSE 10 MG/ML ORAL CONC 3 QL methadose 40 MG TABLET SOL 3 QL MIGERGOT SUPP.RECT 2 migragesic ida CAPSULE 1 MIGRANAL SPRAY/PUMP 1 MORPHINE SULFATE 15 MG TABLET 1 MORPHINE SULFATE 15 MG TABLET 2 MORPHINE SULFATE 30 MG TABLET 1 MORPHINE SULFATE 30 MG TABLET 2 morphine sulfate SOLUTION 1 morphine sulfate SUPP.RECT 1 morphine sulfate er 10 MG CAP ER PEL 3 QL,ST morphine sulfate er 100 MG CAP ER PEL 3 QL,ST morphine sulfate er 20 MG CAP ER PEL 3 QL,ST morphine sulfate er 30 MG CAP ER PEL 3 QL,ST morphine sulfate er 50 MG CAP ER PEL 3 QL,ST morphine sulfate er 60 MG CAP ER PEL 3 QL,ST morphine sulfate er 80 MG CAP ER PEL 3 QL,ST morphine sulfate er 120 MG CPMP 24HR 3 QL morphine sulfate er 30 MG CPMP 24HR 3 QL morphine sulfate er 45 MG CPMP 24HR 3 QL morphine sulfate er 60 MG CPMP 24HR 3 QL morphine sulfate er 75 MG CPMP 24HR 3 QL morphine sulfate er 90 MG CPMP 24HR 3 QL morphine sulfate er 100 MG TABLET ER 1 QL morphine sulfate er 15 MG TABLET ER 1 QL morphine sulfate er 200 MG TABLET ER 1 QL morphine sulfate er 30 MG TABLET ER 1 QL

110 104 morphine sulfate er 60 MG TABLET ER 1 QL MS CONTIN 100 MG TABLET ER 3 QL MS CONTIN 15 MG TABLET ER 3 QL MS CONTIN 200 MG TABLET ER 3 QL MS CONTIN 30 MG TABLET ER 3 QL MS CONTIN 60 MG TABLET ER 3 QL naratriptan 1 MG TABLET 1 QL naratriptan 2.5 MG TABLET 1 QL naratriptan hcl 1 MG TABLET 1 QL naratriptan hcl 2.5 MG TABLET 1 QL nodolor CAPSULE 1 NORCO 10MG-325MG TABLET 3 QL NORCO 5 MG-325MG TABLET 3 QL NORCO MG TABLET 3 QL NUCYNTA TABLET 3 NUCYNTA ER 100 MG TAB ER 12H 3 QL,ST NUCYNTA ER 150 MG TAB ER 12H 3 QL,ST NUCYNTA ER 200 MG TAB ER 12H 3 QL,ST NUCYNTA ER 250 MG TAB ER 12H 3 QL,ST NUCYNTA ER 50 MG TAB ER 12H 3 QL,ST OPANA TABLET 3 OPANA ER 10 MG TAB ER 12H 3 QL,ST OPANA ER 15 MG TAB ER 12H 3 QL,ST OPANA ER 20 MG TAB ER 12H 3 QL,ST OPANA ER 30 MG TAB ER 12H 3 QL,ST OPANA ER 40 MG TAB ER 12H 3 QL,ST OPANA ER 5 MG TAB ER 12H 3 QL,ST OPANA ER 7.5 MG TAB ER 12H 3 QL,ST OXECTA TABLET ORL 3 oxycodone hcl CAPSULE 3 oxycodone hcl ORAL CONC 1 oxycodone hcl SOLUTION 1 oxycodone hcl TABLET 1 oxycodone hcl er 10 MG TAB ER 12H 1 QL,ST oxycodone hcl er 20 MG TAB ER 12H 1 QL,ST oxycodone hcl er 40 MG TAB ER 12H 1 QL,ST

111 105 oxycodone hcl er 80 MG TAB ER 12H 1 QL,ST oxycodone hcl-aspirin TABLET 1 oxycodone hcl-ibuprofen TABLET 3 oxycodone-acetaminophen 10MG-325MG TABLET 1 QL oxycodone-acetaminophen MG TABLET 1 QL oxycodone-acetaminophen 5 MG-325MG TABLET 1 QL oxycodone-acetaminophen MG TABLET 1 QL OXYCONTIN 10 MG TAB ER 12H 2 QL,ST OXYCONTIN 15 MG TAB ER 12H 2 QL,ST OXYCONTIN 20 MG TAB ER 12H 2 QL,ST OXYCONTIN 30 MG TAB ER 12H 2 QL,ST OXYCONTIN 40 MG TAB ER 12H 2 QL,ST OXYCONTIN 60 MG TAB ER 12H 2 QL,ST OXYCONTIN 80 MG TAB ER 12H 2 QL,ST oxymorphone hcl TABLET 3 oxymorphone hcl er 10 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 15 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 20 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 30 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 40 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 5 MG TAB ER 12H 3 QL,ST oxymorphone hcl er 7.5 MG TAB ER 12H 3 QL,ST pentazocine-naloxone hcl TABLET 3 PERCOCET 10MG-325MG TABLET 3 QL PERCOCET MG TABLET 3 QL PERCOCET 5 MG-325MG TABLET 3 QL PERCOCET MG TABLET 3 QL PERCODAN TABLET 3 PRIMLEV 10MG-300MG TABLET 3 QL PRIMLEV 5MG-300MG TABLET 3 QL PRIMLEV MG TABLET 3 QL prodrin TABLET 3 RELPAX 20 MG TABLET 3 QL,ST RELPAX 40 MG TABLET 3 QL,ST reprexain TABLET 3 rizatriptan 10 MG TAB RAPDIS 1 QL

112 106 rizatriptan 5 MG TAB RAPDIS 1 QL rizatriptan 10 MG TABLET 1 QL rizatriptan 5 MG TABLET 1 QL roxicet 5-325/5ML SOLUTION 1 QL roxicet 5 MG-325MG TABLET 1 QL ROXICODONE TABLET 3 salsalate TABLET 1 SUBOXONE FILM 3 SUBSYS 100MCG/SPR SPRAY 3 PA,DS SUBSYS 1200 MCG SPRAY 3 PA,DS SUBSYS 1600 MCG SPRAY 3 PA,DS SUBSYS 200 MCG SPRAY 3 PA,DS SUBSYS 400MCG/SPR SPRAY 3 PA,DS SUBSYS 600 MCG SPRAY 3 PA,DS SUBSYS 800 MCG SPRAY 3 PA,DS sumatriptan 20 MG SPRAY 1 QL sumatriptan 5 MG SPRAY 1 QL sumatriptan succinate 4 MG/0.5ML CARTRIDGE 1 QL sumatriptan succinate 6 MG/0.5ML CARTRIDGE 1 QL sumatriptan succinate 4 MG/0.5ML PEN INJCTR 1 QL sumatriptan succinate 6 MG/0.5ML PEN INJCTR 1 QL sumatriptan succinate 6 MG/0.5ML SYRINGE 1 QL sumatriptan succinate 100 MG TABLET 1 QL sumatriptan succinate 25 MG TABLET 1 QL sumatriptan succinate 50 MG TABLET 1 QL sumatriptan succinate 6 MG/0.5ML VIAL 1 QL SUMAVEL DOSEPRO 4 MG/0.5ML NDL FR INJ 3 QL SUMAVEL DOSEPRO 6 MG/0.5ML NDL FR INJ 3 QL SYNALGOS-DC CAPSULE 3 tencon TABLET 3 tramadol hcl TABLET 1 tramadol hcl er CPBP tramadol hcl er 100 MG TAB ER 24H 3 QL tramadol hcl er 200 MG TAB ER 24H 3 QL tramadol hcl er 300 MG TAB ER 24H 3 QL tramadol hcl er 100 MG TBMP 24HR 3 QL

113 107 tramadol hcl er 200 MG TBMP 24HR 3 QL tramadol hcl er 300 MG TBMP 24HR 3 QL tramadol hcl-acetaminophen MG TABLET 3 QL TREXIMET 85MG-500MG TABLET 3 QL,ST TREZIX CAPSULE 3 TYLENOL-CODEINE NO.3 300MG-30MG TABLET 3 QL TYLENOL-CODEINE NO.4 300MG-60MG TABLET 3 QL ULTRACET MG TABLET 3 QL ULTRAM TABLET 3 ULTRAM ER 100 MG TAB ER 24H 3 QL ULTRAM ER 200 MG TAB ER 24H 3 QL ULTRAM ER 300 MG TAB ER 24H 3 QL vicodin 5MG-300MG TABLET 3 QL vicodin es MG TABLET 3 QL vicodin hp 10MG-300MG TABLET 3 QL VICOPROFEN TABLET 3 XARTEMIS XR MG TAB IR ERO 3 ST XODOL MG-300MG TABLET 3 QL XODOL MG-300MG TABLET 3 QL XODOL MG TABLET 3 QL xylon 10 TABLET 3 zebutal CAPSULE 3 ZOHYDRO ER 10 MG CAP ER 12H 3 QL,PA ZOHYDRO ER 15 MG CAP ER 12H 3 QL,PA ZOHYDRO ER 20 MG CAP ER 12H 3 QL,PA ZOHYDRO ER 30 MG CAP ER 12H 3 QL,PA ZOHYDRO ER 40 MG CAP ER 12H 3 QL,PA ZOHYDRO ER 50 MG CAP ER 12H 3 QL,PA zolmitriptan 2.5 MG TABLET 1 QL zolmitriptan 5 MG TABLET 1 QL zolmitriptan odt 2.5 MG TAB RAPDIS 1 QL zolmitriptan odt 5 MG TAB RAPDIS 1 QL ZOMIG 2.5 MG SPRAY 3 QL ZOMIG 5 MG SPRAY 3 QL ZOMIG 2.5 MG TABLET 3 QL ZOMIG 5 MG TABLET 3 QL

114 108 ZOMIG ZMT 2.5 MG TAB RAPDIS 3 QL ZOMIG ZMT 5 MG TAB RAPDIS 3 QL ZUBSOLV TAB SUBL 3 PARKINSONS DISEASE amantadine CAPSULE 1 amantadine SYRUP 1 amantadine TABLET 1 APOKYN 10 MG/ML CARTRIDGE 3 DS AZILECT TABLET 2 benztropine mesylate TABLET 1 bromocriptine mesylate CAPSULE 1 bromocriptine mesylate TABLET 1 carbidopa TABLET 1 carbidopa-levodopa TAB RAPDIS 3 carbidopa-levodopa TABLET 1 carbidopa-levodopa er TABLET ER 1 carbidopa-levodopa-entacapone TABLET 1 COMTAN TABLET 1 ELDEPRYL CAPSULE 3 entacapone TABLET 1 LODOSYN TABLET 2 MIRAPEX TABLET 3 MIRAPEX ER TAB ER 24H 3 NEUPRO PATCH TD24 3 PARLODEL CAPSULE 3 PARLODEL TABLET 3 pramipexole dihydrochloride TABLET 1 pramipexole er TAB ER 24H 3 REQUIP TABLET 3 REQUIP XL TAB ER 24H 3 ropinirole hcl TAB ER 24H 3 ropinirole hcl TABLET 1 RYTARY CAPSULE ER 3

115 109 selegiline hcl CAPSULE 1 selegiline hcl TABLET 1 SINEMET TABLET 3 SINEMET TABLET 3 SINEMET TABLET 3 SINEMET CR TABLET ER 3 STALEVO 100 TABLET 3 STALEVO 125 TABLET 3 STALEVO 150 TABLET 3 STALEVO 200 TABLET 3 STALEVO 50 TABLET 3 STALEVO 75 TABLET 3 TASMAR TABLET 3 trihexyphenidyl hcl ELIXIR 1 trihexyphenidyl hcl TABLET 1 ZELAPAR TAB RAPDIS 3 SEIZURE DISORDER APTIOM 200 MG TABLET 3 PA,DS APTIOM 400 MG TABLET 3 PA,DS APTIOM 600 MG TABLET 3 PA,DS APTIOM 800 MG TABLET 3 PA,DS BANZEL ORAL SUSP 3 BANZEL TABLET 3 carbamazepine CPMP 12HR 1 carbamazepine ORAL SUSP 1 carbamazepine TAB CHEW 1 carbamazepine TABLET 1 carbamazepine er TAB ER 12H 1 carbamazepine xr TAB ER 12H 1 CARBATROL CPMP 12HR 2 CELONTIN CAPSULE 2 clonazepam TAB RAPDIS 3 clonazepam TABLET 1

116 110 DEPAKENE CAPSULE 3 DEPAKENE SOLUTION 3 DEPAKOTE TABLET DR 3 DEPAKOTE ER TAB ER 24H 3 DEPAKOTE SPRINKLE CAP SPRINK 3 DIASTAT KIT 3 DIASTAT ACUDIAL KIT 3 diazepam KIT 3 DILANTIN 100 MG CAPSULE 3 DILANTIN 30 MG CAPSULE 2 DILANTIN TAB CHEW 2 DILANTIN-125 ORAL SUSP 3 divalproex sodium CAP SPRINK 1 divalproex sodium TABLET DR 1 divalproex sodium er TAB ER 24H 1 epitol TABLET 1 ethosuximide CAPSULE 1 ethosuximide SOLUTION 1 FANATREX ORAL SUSP 3 felbamate ORAL SUSP 3 felbamate TABLET 3 FELBATOL ORAL SUSP 3 FELBATOL TABLET 3 FYCOMPA 10 MG TABLET 3 PA,DS FYCOMPA 12 MG TABLET 3 PA,DS FYCOMPA 2 MG TABLET 3 PA,DS FYCOMPA 4 MG TABLET 3 PA,DS FYCOMPA 6 MG TABLET 3 PA,DS FYCOMPA 8 MG TABLET 3 PA,DS gabapentin CAPSULE 1 gabapentin SOLUTION 3 gabapentin TABLET 1 GABITRIL TABLET 3 KEPPRA SOLUTION 3 KEPPRA TABLET 3 KEPPRA XR TAB ER 24H 3

117 111 KLONOPIN TABLET 3 LAMICTAL TABLET 3 LAMICTAL TB CHW DSP 3 LAMICTAL (BLUE) TAB DS PK 3 LAMICTAL (GREEN) TAB DS PK 3 LAMICTAL (ORANGE) TAB DS PK 3 LAMICTAL ODT TAB RAPDIS 3 LAMICTAL ODT (BLUE) TB RD DSPK 3 LAMICTAL ODT (GREEN) TB RD DSPK 3 LAMICTAL ODT (ORANGE) TB RD DSPK 3 LAMICTAL XR TAB ER 24 3 LAMICTAL XR (BLUE) TB ER DSPK 3 LAMICTAL XR (GREEN) TB ER DSPK 3 LAMICTAL XR (ORANGE) TB ER DSPK 3 lamotrigine TAB DS PK 3 lamotrigine TABLET 1 lamotrigine TB CHW DSP 1 lamotrigine er TAB ER 24 3 lamotrigine odt TAB RAPDIS 3 levetiracetam 100 MG/ML SOLUTION 1 levetiracetam 500 MG/5ML SOLUTION 1 levetiracetam 500 MG/5ML SOLUTION 3 levetiracetam TABLET 1 levetiracetam er TAB ER 24H 1 LYRICA 100 MG CAPSULE 3 QL,PA LYRICA 150 MG CAPSULE 3 QL,PA LYRICA 200 MG CAPSULE 3 QL,PA LYRICA 225 MG CAPSULE 3 QL,PA LYRICA 25 MG CAPSULE 3 QL,PA LYRICA 300 MG CAPSULE 3 QL,PA LYRICA 50 MG CAPSULE 3 QL,PA LYRICA 75 MG CAPSULE 3 QL,PA LYRICA 20 MG/ML SOLUTION 3 QL,PA MYSOLINE TABLET 3 NEURONTIN CAPSULE 3 NEURONTIN SOLUTION 3

118 112 NEURONTIN TABLET 3 ONFI ORAL SUSP 3 ONFI TABLET 3 oxcarbazepine ORAL SUSP 1 oxcarbazepine TABLET 1 OXTELLAR XR TAB ER 24H 3 PEGANONE TABLET 3 PHENYTEK CAPSULE 3 phenytoin ORAL SUSP 1 phenytoin TAB CHEW 1 phenytoin sodium extended 100 MG CAPSULE 1 phenytoin sodium extended 200 MG CAPSULE 3 phenytoin sodium extended 300 MG CAPSULE 3 POTIGA TABLET 3 primidone TABLET 1 QUDEXY XR CAP SPR 24 3 SABRIL POWD PACK 3 SABRIL TABLET 3 TEGRETOL ORAL SUSP 3 TEGRETOL TABLET 3 TEGRETOL XR 100 MG TAB ER 12H 2 TEGRETOL XR 200 MG TAB ER 12H 3 TEGRETOL XR 400 MG TAB ER 12H 3 tiagabine hcl TABLET 3 TOPAMAX CAP SPRINK 3 TOPAMAX TABLET 3 topiragen TABLET 1 topiramate CAP SPRINK 1 topiramate TABLET 1 topiramate er CAP SPR 24 3 TRILEPTAL ORAL SUSP 3 TRILEPTAL TABLET 3 TROKENDI XR CAP ER 24H 3 valproic acid CAPSULE 1 valproic acid SOLUTION 1 VIMPAT SOLUTION 3

119 113 VIMPAT TABLET 3 ZARONTIN CAPSULE 3 ZARONTIN SOLUTION 3 ZONEGRAN CAPSULE 3 zonisamide CAPSULE 1 SKELETAL MUSCLE DISORDER AMRIX CAP ER 24H 3 baclofen TABLET 1 carisoprodol TABLET 3 carisoprodol compound TABLET 3 carisoprodol-aspirin TABLET 3 chlorzoxazone TABLET 3 cyclobenzaprine hcl 10 MG TABLET 1 cyclobenzaprine hcl 5 MG TABLET 1 cyclobenzaprine hcl 7.5 MG TABLET 3 DANTRIUM CAPSULE 3 dantrolene sodium CAPSULE 1 FEXMID TABLET 3 LORZONE TABLET 3 metaxalone TABLET 3 methocarbamol TABLET 1 orphenadrine citrate TABLET ER 1 PARAFON FORTE DSC TABLET 3 ROBAXIN TABLET 3 ROBAXIN-750 TABLET 3 SKELAXIN TABLET 3 SOMA TABLET 3 tizanidine hcl CAPSULE 3 tizanidine hcl TABLET 1 ZANAFLEX CAPSULE 3 ZANAFLEX TABLET 3

120 114 UPPER GASTROINTESTINAL DISORDERS - DIGESTIVE CREON CAPSULE DR 2 PANCREAZE CAPSULE DR 3 pancrelipase 5,000 CAPSULE DR 1 PERTZYE CAPSULE DR 3 SUCRAID SOLUTION 3 ULTRESA CAPSULE DR 3 VIOKACE TABLET 3 ZENPEP K CAPSULE DR 2 ZENPEP K CAPSULE DR 2 ZENPEP K CAPSULE DR 2 ZENPEP K CAPSULE DR 2 ZENPEP 3K-10K-16K CAPSULE DR 2 ZENPEP 40K-136K CAPSULE DR 2 ZENPEP 5K-17K-27K CAPSULE DR 3 UPPER GASTROINTESTINAL DISORDERS - SPASTIC DISEASE ANASPAZ TAB RAPDIS 3 BENTYL CAPSULE 3 BENTYL TABLET 3 dicyclomine hcl CAPSULE 1 dicyclomine hcl SOLUTION 1 dicyclomine hcl TABLET 1 DONNATAL ELIXIR 3 DONNATAL TABLET 3 ed-spaz TAB RAPDIS 3 hyoscyamine sulfate DROPS 3 hyoscyamine sulfate ELIXIR 3 hyoscyamine sulfate TAB RAPDIS 3 hyoscyamine sulfate TAB SUBL 3 hyoscyamine sulfate TABLET 3 hyoscyamine sulfate er TAB ER 12H 3 hyoscyamine sulfate sr TAB ER 12H 3

121 115 hyosyne DROPS 3 hyosyne ELIXIR 3 LEVBID TAB ER 12H 3 LEVSIN TABLET 3 LEVSIN-SL TAB SUBL 3 methscopolamine bromide TABLET 3 NULEV TAB RAPDIS 3 oscimin TAB RAPDIS 3 oscimin TABLET 3 oscimin sl TAB SUBL 3 oscimin sr TAB ER 12H 3 SYMAX TAB RAPDIS 3 SYMAX DUOTAB TAB MPHASE 3 SYMAX-SL TAB SUBL 3 SYMAX-SR TAB ER 12H 3 UPPER GASTROINTESTINAL DISORDERS - ULCER DISEASE ACIPHEX TABLET DR 3 ACIPHEX SPRINKLE 10 MG CAP DR SPR 3 PA ACIPHEX SPRINKLE 5 MG CAP DR SPR 3 PA CANTIL TABLET 3 CARAFATE ORAL SUSP 2 CARAFATE TABLET 3 chlordiazepoxide-clidinium CAPSULE 1 cimetidine SOLUTION 1 cimetidine TABLET 1 CUVPOSA SOLUTION 3 CYTOTEC TABLET 3 DEPRIZINE SUSP RECON 3 DEXILANT 30 MG CAP DR BP 3 PA DEXILANT 60 MG CAP DR BP 3 PA ESOMEPRAZOLE STRONTIUM 49.3 MG CAPSULE DR 3 PA esomeprazole strontium 49.3 MG CAPSULE DR 3 PA famotidine ORAL SUSP 1

122 116 famotidine TABLET 1 FIRST-LANSOPRAZOLE SUSP RECON 3 FIRST-OMEPRAZOLE SUSP RECON 2 glycopyrrolate TABLET 1 lansoprazol-amoxicil-clarithro COMBO. PKG 3 lansoprazole CAPSULE DR 1 LIBRAX CAPSULE 3 metoclopramide hcl SOLUTION 1 metoclopramide hcl TABLET 1 METOZOLV ODT TAB RAPDIS 3 misoprostol TABLET 1 nizatidine CAPSULE 3 nizatidine SOLUTION 3 OMECLAMOX-PAK COMBO. PKG 3 omeprazole 10 MG CAPSULE DR 1 omeprazole 20 MG CAPSULE DR 1 omeprazole 40 MG CAPSULE DR 3 omeprazole+syrspend sf alka SUSP RECON 1 omeprazole-sodium bicarbonate CAPSULE 3 pantoprazole sodium TABLET DR 1 PEPCID ORAL SUSP 3 PEPCID TABLET 3 PREVACID CAPSULE DR 3 PREVACID TAB RAP DR 3 PREVPAC COMBO. PKG 3 PRILOSEC CAPSULE DR 3 PRILOSEC SUSPDR PKT 3 propantheline bromide TABLET 1 PROTONIX GRANPKT DR 3 PROTONIX TABLET DR 3 PYLERA CAPSULE 2 rabeprazole sodium TABLET DR 1 ranitidine hcl CAPSULE 3 ranitidine hcl SYRUP 1 ranitidine hcl TABLET 1 REGLAN TABLET 3

123 117 ROBINUL TABLET 3 ROBINUL FORTE TABLET 3 sucralfate ORAL SUSP 1 sucralfate TABLET 1 ZANTAC TABLET 3 ZEGERID CAPSULE 3 ZEGERID PACKET 2 URINARY TRACT - FUNCTIONAL DISORDERS alfuzosin hcl er TAB ER 24H 1 AVODART CAPSULE 3 CYSTAGON 150 MG CAPSULE 2 PA CYSTAGON 50 MG CAPSULE 2 PA cytra-2 SOLUTION 1 cytra-3 SOLUTION 1 cytra-k PACKET 1 cytra-k SOLUTION 1 DETROL TABLET 3 DETROL LA CAP ER 24H 2 DITROPAN XL TAB ER 24 3 ELMIRON CAPSULE 2 ENABLEX 15 MG TAB ER 24H 3 ST ENABLEX 7.5 MG TAB ER 24H 3 ST finasteride TABLET 1 flavoxate hcl TABLET 1 FLOMAX CAP ER 24H 3 GELNIQUE 28MG/0.92G GEL MD PMP 3 ST GELNIQUE 10% GEL PACKET 3 ST JALYN CPMP 24HR 3 K-PHOS NEUTRAL TABLET 3 K-PHOS NO.2 TABLET 3 K-PHOS ORIGINAL TABLET SOL 3 MYRBETRIQ 25 MG TAB ER 24H 3 ST MYRBETRIQ 50 MG TAB ER 24H 3 ST

124 118 ORACIT SOLUTION 2 oxybutynin chloride SYRUP 1 oxybutynin chloride TABLET 1 oxybutynin chloride er TAB ER 24 1 OXYTROL 3.9MG/24HR PATCH TDSW 3 ST phenazopyridine hcl TABLET 1 phospha 250 neutral TABLET 1 potass cit-sod cit-citric acid SOLUTION 1 potassium citrate er 10 MEQ TABLET ER 1 potassium citrate er 15 MEQ TABLET ER 3 potassium citrate er 5 MEQ TABLET ER 1 potassium citrate-citric acid PACKET 3 potassium citrate-citric acid SOLUTION 1 PROCYSBI 25 MG CAP DR SPR 3 PA,DS PROCYSBI 75 MG CAP DR SPR 3 PA,DS PROSCAR TABLET 3 PYRIDIUM TABLET 3 RAPAFLO CAPSULE 3 SHOHLS MODIFIED SOLUTION 3 sodium citrate & citric acid SOLUTION 1 tamsulosin hcl CAP ER 24H 1 taron-crystals PACKET 3 THIOLA TABLET 3 tolterodine tartrate TABLET 1 tolterodine tartrate er CAP ER 24H 1 TOVIAZ 4 MG TAB ER 24H 3 ST TOVIAZ 8 MG TAB ER 24H 3 ST tricitrates SOLUTION 3 trospium chloride TABLET 1 trospium chloride er CAP ER 24H 1 UROCIT-K TABLET ER 3 UROQID-ACID NO.2 TABLET 3 UROXATRAL TAB ER 24H 3 VESICARE 10 MG TABLET 3 ST VESICARE 5 MG TABLET 3 ST

125 119 virt-phos 250 neutral TABLET 1 virtrate-3 SOLUTION 1 VAGINAL DISORDERS AVC CREAM/APPL 3 CLEOCIN CREAM/APPL 3 CLEOCIN SUPP.VAG 3 clindamycin phosphate CREAM/APPL 1 CLINDESSE CRM ER (G) 3 ESTRACE CREAM/APPL 2 ESTRING VAG RING 2 FEM PH JELLY/APPL 3 FEMRING VAG RING 3 GYNAZOLE 1 CRM/PF APP 3 METROGEL-VAGINAL GEL W/APPL 3 metronidazole GEL W/APPL 1 miconazole 3 SUPP.VAG 3 PREMARIN CREAM/APPL 2 RELAGARD JELLY/APPL 3 TERAZOL 7 CREAM/APPL 3 terconazole CREAM/APPL 3 terconazole SUPP.VAG 3 VAGIFEM TABLET 2 VANDAZOLE GEL W/APPL 3 VITAMIN AND/OR MINERAL DEFICIENCY DRISDOL CAPSULE 3 folic acid TABLET 1 sodium fluoride DROPS 1 sodium fluoride TAB CHEW 1 vitamin d2 CAPSULE 1

126 MOP 48 A abacavir 78 abacavir-lamivudine-zidovudine 78 ABILIFY 9 ABILIFY DISCMELT 9 ABILIFY MAINTENA 9 ABSORICA 32 ABSTRAL 97 acamprosate calcium 9 ACANYA 32 acarbose 49 ACCOLATE 3 ACCUPRIL 16 ACCURETIC 16 acebutolol hcl 16 ACEON 16 acetaminophen-butalbital 97 acetaminophen-codeine 97 acetasol hc 52 acetazolamide 61 acetic acid 52, 53 acetic acid-aluminum 53 ACIPHEX 114 ACIPHEX SPRINKLE 114 acitretin 48 ACTEMRA 82 ACTICLATE 71 ACTIGALL 88 ACTIMMUNE 69 ACTIQ 97, 98 ACTIVELLA 67 ACTONEL 55 ACTOPLUS MET 49 ACTOPLUS MET XR 49 ACTOS 49 ACULAR 58 ACULAR LS 58 ACUVAIL 58 acyclovir 34, 78 ACZONE 32 ADALAT CC 16 adapalene 32 ADAZIN 43 ADCIRCA 16 ADDERALL 9 ADDERALL XR 9 adefovir dipivoxil 78 ADEMPAS 16 ADOXA 71 ADRENACLICK 90 ADRENALIN CHLORIDE 31 ADVAIR DISKUS 3 ADVAIR HFA 3 ADVICOR 23 AEROSPAN 3 afeditab cr 16 AFREZZA 54 AFINITOR 90 AFINITOR DISPERZ 90 AGGRENOX 64 AGRYLIN 64 ak-poly-bac 58 AKTEN 58 AKYNZEO 2 ala-cort 38 alagesic lq 98 ALA-QUIN 32 ala-scalp 38 ALBENZA 77 albuterol sulfate 3 alcaine 58 alclometasone dipropionate 39 ALCORTIN A 32 ALDACTAZIDE 16 ALDACTONE 16 ALDARA 69 alendronate sodium 55 alfuzosin hcl er 116 ALINIA 34 ALKERAN 90 allopurinol 63 ALOCRIL 58 ALOMIDE 58 ALOQUIN 32 ALORA 67 ALPHAGAN P 61 alprazolam 9, 10 alprazolam er 9 ALPRAZOLAM INTENSOL 9 alprazolam odt 9 alprazolam xr 10 ALREX 58 ALSUMA 98 ALTABAX 34 ALTACE 16 altafluor 58 altavera 27 ALTOPREV 23 ALUVEA 43 ALVESCO 4 alyacen 27 amantadine 107 AMARYL 49 AMBIEN 10 AMBIEN CR 10 amcinonide 39 AMERGE 98 amethia 27 amethia lo 27

127 121 AMETHYST 27 amiloride hcl 16 amiloride-hydrochlorothiazide 16 aminocaproic acid 64 amiodarone hcl 15 AMITIZA 88 amitriptyline hcl 6 amlodipine besylate 16 amlodipine besylate-benazepril 16 amlodipine-atorvastatin 26 amlodipine-valsartan 16 amlodipine-valsartan-hctz 16 amnesteem 32 amox tr-potassium clavulanate 71 amoxapine 6 amoxicillin 71 amoxicillin er 71 amoxicillin-clavulanate er 71 amphetamine salt combo 10 ampicillin trihydrate 71 AMPYRA 94 AMRIX 112 AMTURNIDE 16 ANACAINE 43 ANADROL ANAFRANIL 6 anagrelide hcl 64 ANALPRAM E 87 ANALPRAM HC 87 ANAPROX 82 ANAPROX DS 82 ANASPAZ 113 anastrozole 90 ANCOBON 75 ANDRODERM 67 ANDROGEL 67 ANDROID 67 ANGELIQ 67 ANTABUSE 10 ANTARA 23 antipyrine-benzocaine 53 ANTIVERT 2 anucort-hc 87 ANUSOL-HC 87 ANZEMET 2 APEXICON E 39 APIDRA 49 APIDRA SOLOSTAR 49 APLENZIN 6 APOKYN 107 apraclonidine hcl 62 apri 27 APRISO 87 APTIOM 108, 109 APTIVUS 78 AQUA GLYCOLIC HC 39 aranelle 27 ARANESP 64 ARAVA 82 arbinoxa 1 ARCALYST 82 ARCAPTA NEOHALER 4 ARESTIN 96 ARICEPT 5 ARIMIDEX 90 ARIXTRA 64 ARMOUR THYROID 57 AROMASIN 90 ARTHROTEC ARTHROTEC ASACOL HD 87 ascomp with codeine 98 ASMANEX 4 ASMANEX HFA 4 aspirin-caffeine-dihydrocodein 98 ASTAGRAF XL 69 ASTEPRO 1 ASTRINGYN 64 ATACAND 17 ATACAND HCT 17 ATELVIA 55 atenolol 17 atenolol-chlorthalidone 17 ATIVAN 10 atorvastatin calcium 23 atovaquone 77 ATRALIN 32 ATRAPRO DERMAL SPRAY 43 ATRIPLA 78 atropine sulfate 62 ATROVENT 4, 96 ATROVENT HFA 4 AUBAGIO 94 aubra 27 AUGMENTIN 71 AUGMENTIN ES AUGMENTIN XR 71 auroguard 53 AURYXIA 53 AVALIDE 17 AVANDAMET 49 AVANDARYL 49 AVANDIA 49 AVAPRO 17 AVAR 34 AVAR LS 34 AVAR-E 34 AVAR-E GREEN 34 AVAR-E LS 34 AVC 118 AVELOX 71 AVELOX ABC PACK 71 aviane 27 AVIDOXY 71 AVINZA 98 avita 32 AVITENE 64 AVODART 116

128 122 AVONEX 94 AVONEX ADMINISTRATION PACK 94 AVONEX PEN 94 AXERT 98 AXIRON 67 AYGESTIN 67 AZASAN 69 AZASITE 58 azathioprine 69 azelastine hcl 1, 58 AZELEX 33 AZILECT 107 azithromycin 71 AZOPT 62 AZOR 17 AZULFIDINE 87 azurette 27 B bacitracin 58 bacitracin-polymyxin 58 baclofen 112 BACTRIM 71 BACTRIM DS 71 BACTROBAN 35, 96 BACTROBAN NASAL 96 balsalazide disodium 87 balziva 27 BANZEL 109 BARACLUDE 78 BECONASE AQ 1 BELSOMRA 15 belladonna-opium 98 benazepril hcl 17 benazepril-hydrochlorothiazide 17 BENICAR 17 BENICAR HCT 17 BENSAL HP 43 BENTYL 113, 114 BENZACLIN 33 BENZAMYCIN 35 BENZAMYCINPAK 35 BENZEFOAM 43 BENZEFOAM ULTRA 43 benzepro 43 benzonatate 31 benzoyl peroxide 43 benztropine mesylate 107 BEPREVE 59 BERINERT 82 BESIVANCE 59 BETADINE 43 BETAGAN 62 betamethasone dipropionate 39 betamethasone valerate 39 BETAPACE 17 BETAPACE AF 17 BETASERON 94 betaxolol hcl 17, 62 BETHKIS 76 BETIMOL 62 BETOPTIC S 62 BEYAZ 27 BIAXIN 71 bicalutamide 90 BIDIL 17 BILTRICIDE 77 BINOSTO 55 BIONECT 43 bisoprolol fumarate 17 bisoprolol-hydrochlorothiazide 17 bleph BLEPHAMIDE 59 BLEPHAMIDE S.O.P. 59 BONIVA 55 BOSULIF 91 bp bp foam 43 bp-50% urea 43 bpm-dm-phen 31 bpo 43 brevicon 27 briellyn 27 BRILINTA 64 brimonidine tartrate 62 BRINTELLIX 6 BRISDELLE 6 bromfed dm 31 bromfenac sodium 59 bromocriptine mesylate 107 brompheniramine-pseudoephed-dm 31 BROVANA 4 budesonide 1, 4, 82 budesonide ec 82 bumetanide 17 BUNAVAIL 98 BUPAP 98 BUPHENYL 88, 89 buprenorphine hcl 98 buprenorphine-naloxone 98 bupropion hcl 6 bupropion hcl sr 6 bupropion xl 6 buspirone hcl 10 butalb-acetaminoph-caff-codein 98 butalb-caff-acetaminoph-codein 98 butalbital compound-codeine 98 butalbital-acetaminophen-caffe 98 butalbital-aspirin-caffeine 98 BUTISOL SODIUM 10 butorphanol tartrate 98 BUTRANS 98 BYDUREON 49 BYDUREON PEN 49 BYETTA 49 BYSTOLIC 17

129 123 C cabergoline 55 CADUET 26 CAFERGOT 98 caffeine citrate 4 CALAN 17 CALAN SR 17 calcipotriene 48 calcipotriene-betamethasone dp 48 calcitonin-salmon 55 calcitrene 48 calcitriol 48 calcium acetate 53 CAMBIA 98 camila 27 camrese 27 camrese lo 27 CANASA 87 candesartan cilexetil 17 candesartan-hydrochlorothiazid 17 CANTIL 115 capacet 99 capecitabine 91 CAPEX SHAMPOO 39 CAPITAL W-CODEINE 99 CAPRELSA 91 captopril 17 captopril-hydrochlorothiazide 17 captracin 43 CARAC 43 CARAFATE 115 CARBAGLU 89 carbamazepine 109 carbamazepine er 109 carbamazepine xr 109 CARBATROL 109 carbidopa 107 carbidopa-levodopa 107 carbidopa-levodopa er 107 carbidopa-levodopa-entacapone 107 carbinoxamine maleate 1 CARDENE SR 17 CARDIZEM 17 CARDIZEM CD 17 CARDIZEM LA 17 CARDURA 18 CARDURA XL 18 carisoprodol 99, 112 carisoprodol compound 99, 112 carisoprodol compound-codeine 99 carisoprodol-aspirin 99, 112 carisoprodol-aspirin-codeine 99 CARNITOR 96 CARNITOR SF 96 carteolol hcl 62 cartia xt 18 carvedilol 18 CASODEX 91 CATAPRES 18 CATAPRES-TTS 1 18 CATAPRES-TTS 2 18 CATAPRES-TTS 3 18 CAYSTON 71 caziant 27 CEDAX 71 cefaclor 71 cefaclor er 71 cefadroxil 72 cefdinir 72 cefditoren pivoxil 72 cefixime 77 cefpodoxime proxetil 72 cefprozil 72 ceftibuten 72 CEFTIN 72 cefuroxime 72 CELEBREX 82 celecoxib 82 CELEXA 6 CELLCEPT 69, 70 CELONTIN 109 cem-urea 43 CENTANY 35 CENTANY AT 35 centergy 31 centergy dm 31 cephalexin 72 CERDELGA 96 CERVIDIL 27 CESAMET 2 CETACAINE 43 CETACAINE ANESTHETIC 43 cetirizine hcl 1 CETRAXAL 53 chateal 27 CHEMET 96 CHENODAL 89 chlordiazepoxide hcl 10 chlordiazepoxide-amitriptyline 6 chlordiazepoxide-clidinium 115 chlorothiazide 18 chlorpromazine hcl 10 chlorpropamide 49 chlorthalidone 18 chlorzoxazone 112 cholestyramine 23 cholestyramine light 23 choline mag trisalicylate 99 CIALIS 55 CICLODAN 35 ciclopirox 35 cilostazol 64 CILOXAN 59 cimetidine 115 CIMZIA 87 CINRYZE 83

130 124 CIPRO 53, 72 CIPRO HC 53 CIPRO XR 72 CIPRODEX 53 ciprofloxacin 53, 59, 72 ciprofloxacin er 72 ciprofloxacin hcl 53, 59, 72 citalopram hbr 7 claravis 33 CLARIFOAM EF 35 CLARINEX 1 CLARINEX-D 12 HOUR 1 CLARIS 35 clarithromycin 72 clarithromycin er 72 cleansing wash 35 clemastine fumarate 1 CLEOCIN 35, 76, 118 CLEOCIN HCL 76 CLEOCIN PALMITATE 76 CLEOCIN T 35 CLIMARA 67 CLIMARA PRO 67 CLINDACIN ETZ 35 CLINDACIN P 35 CLINDACIN PAC 35 CLINDAGEL 35 clindamycin hcl 76 clindamycin palmitate hcl 76 clindamycin pediatric 76 clindamycin phos-benzoyl perox 33 clindamycin phosphate 35, 118 clindamycin-benzoyl peroxide 33 CLINDESSE 118 clobetasol emollient 39 clobetasol emulsion 39 clobetasol propionate 39 CLOBEX 39 clocortolone pivalate 39 CLODAN 39 CLODERM 39 clomipramine hcl 7 clonazepam 109 clonidine 10, 18 clonidine hcl 10, 18 clonidine hcl er 10 clopidogrel 64 clorazepate dipotassium 10 clorpres 18 clotrimazole 35 clotrimazole-betamethasone 35 clozapine 10 clozapine odt 10 CLOZARIL 10 CNL 8 35 cocaine hcl 44 codeine sulfate 99 CODEINE SULFATE 99 COLAZAL 87 colchicine 63 COLCRYS 63 COLESTID 23, 24 colestipol hcl 24 colocort 87 COLY-MYCIN S 53 COLYTE WITH FLAVOR PACKETS 89 COLYTE WITH FLAVOR PACKS 89 COMBIGAN 62 COMBIPATCH 67 COMBIVENT RESPIMAT 4 COMBIVIR 78 COMETRIQ 91 COMPAZINE 2 COMPLERA 78 compro 2 COMTAN 107 CONCERTA 10 CONDYLOX 44 constulose 89 CONZIP 99 COPAXONE 94 COPEGUS 78 CORDARONE 15 CORDRAN 39, 40 COREG 18 COREG CR 18 CORGARD 18 cormax 40 cortane-b 53 CORTANE-B 53 CORTEF 83 CORTENEMA 87 CORTIFOAM 87 cortisone acetate 83 CORTISPORIN 40, 53 CORTISPORIN-TC 53 CORZIDE 18 COSOPT 62 COSOPT PF 62 COUMADIN 64 covaryx 67, 68 covaryx h.s. 68 COZAAR 18 CREON 113 CRESTOR 24 CRINONE 55, 68 CRIXIVAN 78 cromolyn sodium 4, 59 cryselle 27 CUPRIMINE 83 CUTIVATE 40 CUVPOSA 115 cyclafem 27 CYCLESSA 27 cyclobenzaprine hcl 112 CYCLOGYL 62 CYCLOMYDRIL 62 cyclopentolate hcl 62

131 125 CYCLOPHOSPHAMIDE 91 cycloserine 76 CYCLOSET 49 cyclosporine 70 cyclosporine modified 70 CYMBALTA 7 cyproheptadine hcl 1 CYSTADANE 96 CYSTAGON 116 CYSTARAN 63 CYTOMEL 57 CYTOTEC 115 cytra cytra cytra-k 116 D DALIRESP 4 danazol 55 DANTRIUM 112 dantrolene sodium 112 dapsone 76 dasetta 27 DAYPRO 83 daysee 27 DAYTRANA 10 DDAVP 55 deblitane 27 delyla 27 DELZICOL 87 DEMADEX 18 demeclocycline hcl 72 DEMEROL 99 DEMSER 18 DENAVIR 36 depade 10 DEPAKENE 109 DEPAKOTE 109 DEPAKOTE ER 109 DEPAKOTE SPRINKLE 109 DEPEN 83 DEPO-PROVERA 27, 28, 68 DEPO-SUBQ PROVERA DEPO-TESTOSTERONE 68 DEPRIZINE 115 DERMA-SMOOTHE-FS 40 DERMASORB AF 33 DERMASORB HC 40 DERMASORB TA 40 DERMASORB XM 44 DERMATOP 40 dermazene 33 DERMOTIC 53 desipramine hcl 7 desloratadine 1 desmopressin acetate 55 DESOGEN 28 desogestrel-ethinyl estradiol 28 desogestr-eth estrad eth estra 28 DESONATE 40 desonide 40 DESOWEN 40 desoximetasone 40 DESOXYN 10 desvenlafaxine er 7 DESVENLAFAXINE ER 7 DESVENLAFAXINE FUMARATE ER 7 DETROL 116 DETROL LA 116 dexamethasone 59, 83 DEXAMETHASONE INTENSOL 83 dexamethasone sodium phosphate 59 DEXEDRINE 10 DEXILANT 115 dexmethylphenidate hcl 10 dexmethylphenidate hcl er 10 DEXPAK 83 dextroamphetamine sulfate 10 dextroamphetamine sulfate er 10 DIABETA 49 DIAMOX SEQUELS 62 DIASTAT 109 DIASTAT ACUDIAL 109 diazepam 10, 109 DIBENZYLINE 18 DICLEGIS 2 diclofenac potassium 83 diclofenac sodium 40, 44, 59, 83 diclofenac sodium er 83 diclofenac sodium-misoprostol 83 dicloxacillin sodium 72 DICOPANOL 1 dicyclomine hcl 114 didanosine 78 DIFFERIN 33 DIFICID 72 diflorasone diacetate 40 DIFLUCAN 75 diflunisal 99 digitek 15 digox 15 digoxin 16 DIGOXIN 15 dihydroergotamine mesylate 99 DILANTIN 109 DILANTIN DILATRATE-SR 26 DILAUDID 99 diltiazem 12hr er 18 diltiazem 24hr cd 18 diltiazem 24hr er 18 diltiazem er 18 diltiazem hcl 18 dilt-xr 18 DIOVAN 18 DIOVAN HCT 18

132 126 DIPENTUM 87 diphenhydramine hcl 1 diphenoxylate-atropine 89 DIPROLENE 40 DIPROLENE AF 40 dipyridamole 65 DISALCID 99 DISKETS 99 disopyramide phosphate 15 disulfiram 10 DITROPAN XL 116 DIURIL 18 divalproex sodium 109 divalproex sodium er 109 DIVIGEL 68 DOLOPHINE HCL 99 donepezil hcl 5, 6 donepezil hcl odt 6 DONNATAL 114 DORYX 72 dorzolamide hcl 62 dorzolamide-timolol 62 DOVONEX 48 doxazosin mesylate 18 doxepin hcl 7 doxercalciferol 55 doxycycline hyclate 72 doxycycline ir-dr 73 doxycycline monohydrate 73 DRISDOL 119 DRITHOCREME HP 48 dronabinol 2 drospirenone-ethinyl estradiol 28 DROXIA 65 DUAC 33 DUAVEE 68 DUETACT 49 DUEXIS 83 DULERA 4 duloxetine hcl 7 DURAGESIC 99 DUREZOL 59 DUTOPROL 18 DYAZIDE 18 DYMISTA 1 DYRENIUM 18 E e.e.s e.e.s EC-NAPROSYN 83 econazole nitrate 36 ECOZA 36 EDARBI 19 EDARBYCLOR 19 EDECRIN 19 EDLUAR 11 ed-spaz 114 EDURANT 78 eemt 68 eemt h.s. 68 effer-k 54 EFFER-K 53 EFFEXOR XR 7 EFFIENT 65 EFUDEX 44 EGRIFTA 55 ELDEPRYL 107 elenzapatch 44 ELESTAT 59 ELESTRIN 68 ELIDEL 48 ELIGARD 55 ELIMITE 36 elinest 28 eliphos 54 ELIQUIS 65 elixophyllin 4 ELLA 28 ELMIRON 117 ELOCON 40 EMADINE 59 EMCYT 91 EMEND 2 EMLA 44 emoquette 28 EMSAM 11 EMTRIVA 78 ENABLEX 117 enalapril maleate 19 enalapril-hydrochlorothiazide 19 ENBREL 83 ENDO-AVITENE 65 endocet 99 endodan 99 ENJUVIA 68 enoxaparin sodium 65 enpresse 28 enskyce 28 entacapone 108 entecavir 78 ENTEREG 89 ENTOCORT EC 83 enulose 89 EPANED 19 EPIDUO 33 EPIFOAM 44 epinastine hcl 59 EPIPEN 2-PAK 90 EPIPEN JR 2-PAK 90 epitol 109 EPIVIR 78 EPIVIR HBV 78 eplerenone 19 EPOGEN 65 eprosartan mesylate 19

133 127 EPZICOM 78 EQUETRO 11 ergoloid mesylates 26 ERGOMAR 99 ERIVEDGE 91 errin 28 ERTACZO 36 ery 36, 73 ERYGEL 36 ERYPED ERYPED ery-tab 73 ERY-TAB 73 erythrocin stearate 73 erythromycin 36, 59, 73 erythromycin ethylsuccinate 73 erythromycin-benzoyl peroxide 36 ESBRIET 97 escitalopram oxalate 7 ESGIC 99 esomeprazole strontium 115 ESOMEPRAZOLE STRONTIUM 115 estarylla 28 estazolam 11 ESTRACE 68, 118 estradiol 68 estradiol-norethindrone acetat 68 ESTRING 118 ESTROGEL 68 estrogen & methyltestosterone 68 estrogen-methyltestosterone 68 estropipate 68 ESTROSTEP FE 28 eszopiclone 11 ethambutol hcl 76 ethosuximide 109 ethyl chloride 44 etidronate disodium 55 etodolac 83 etodolac er 83 etoposide 91 EURAX 36 EVAMIST 68 EVEKEO 11 EVISTA 55 EVOCLIN 36 EXALGO 99 EXELDERM 36 EXELON 6 exemestane 91 EXFORGE 19 EXFORGE HCT 19 EXJADE 96 exoderm 36 exotic-hc 53 EXTAVIA 94 EXTINA 36 F FABIOR 33 FACTIVE 73 falmina 28 famciclovir 79 famotidine 115 FAMVIR 79 FANAPT 11 FANATREX 109 FARESTON 91 FARXIGA 49 FARYDAK 96 FAZACLO 11 felbamate 109 FELBATOL 109, 110 FELDENE 83 felodipine er 19 FEM PH 118 FEMARA 91 FEMCON FE 28 FEMHRT 68 FEMRING 118 fenofibrate 24 fenofibric acid 24 FENOGLIDE 24 fenoprofen calcium 83 FENOPROFEN CALCIUM 83 fentanyl 100 fentanyl citrate 100 FENTORA 100 FERRIPROX 96 FETZIMA 7 FEXMID 112 fexofenadine hcl 1 fexofenadine-pse er 1 FIBRICOR 24 FINACEA 33 finasteride 117 FIORICET 100 FIORICET WITH CODEINE 100 FIORINAL 100 FIORINAL WITH CODEINE #3 100 FIRAZYR 83 FIRST-HYDROCORTISONE 40 FIRST-LANSOPRAZOLE 115 FIRST-OMEPRAZOLE 115 FIRST-TESTOSTERONE 68 FIRST-TESTOSTERONE MC 68 FLAGYL 77 FLAGYL ER 77 FLAREX 59 flavoxate hcl 117 flecainide acetate 15 FLECTOR 40 FLOMAX 117 FLO-PRED 83 FLOVENT DISKUS 4

134 128 FLOVENT HFA 4 flucaine 59 fluconazole 75 flucytosine 75 fludrocortisone acetate 83 FLUMADINE 79 flunisolide 1 fluocinolone acetonide 40, 53 fluocinolone acetonide oil 53 fluocinonide 41 fluocinonide-e 41 FLUORESCEIN-BENOXINATE 59 fluorescein-proparacaine 59 fluorometholone 59 FLUOROPLEX 44 fluorouracil 44 fluoxetine dr 7 fluoxetine hcl 7 FLUOXETINE HCL 7 fluphenazine hcl 11 flurazepam hcl 11 flurbiprofen 59, 83 flurbiprofen sodium 59 FLUROX 59 flutamide 91 fluticasone propionate 1, 41 fluvastatin sodium 24 fluvoxamine maleate 7 fluvoxamine maleate er 7 FML 59 FML FORTE 59 FML S.O.P. 59 FOCALIN 11 FOCALIN XR 11 folic acid 119 fondaparinux sodium 65 FORADIL 4 FORFIVO XL 7 FORTAMET 49 FORTEO 56 FORTESTA 68 FORTICAL 56 FOSAMAX 56 FOSAMAX PLUS D 56 fosinopril sodium 19 fosinopril-hydrochlorothiazide 19 FOSRENOL 54 FRAGMIN 65 FROVA 100 FULYZAQ 89 FURADANTIN 73 furosemide 19 FUZEON 79 FYCOMPA 110 G gabapentin 110 GABITRIL 110 galantamine hbr 6 galantamine hydrobromide 6 GALZIN 96 GARAMYCIN 59 GASTROCROM 4 gatifloxacin 59 GATTEX 89 gavilyte-c 89 gavilyte-g 89 gavilyte-n 89 GELFILM 63 GELFOAM 65 GELFOAM COMPRESSED 65 GELNIQUE 117 gemfibrozil 24 GENERESS FE 28 generlac 89 gengraf 70 GENOTROPIN 56 gentak 59 gentamicin sulfate 36, 59 GEODON 11 gianvi 28 GIAZO 87 gildagia 28 gildess 28 gildess 24 fe 28 gildess fe 28 GILENYA 95 GILOTRIF 91 GLEEVEC 91 GLEOSTINE 91 glimepiride 49 glipizide 49, 50 glipizide er 49 glipizide xl 49 glipizide-metformin 50 GLUCOPHAGE 50 GLUCOPHAGE XR 50 GLUCOTROL 50 GLUCOTROL XL 50 GLUCOVANCE 50 GLUMETZA 50 glyburide 50 glyburide micronized 50 glyburide-metformin hcl 50 glycopyrrolate 115 GLYNASE 50 GLYSET 50 GLYXAMBI 50 GOLYTELY 89 goniovisc 59 GORDO-UREA 44, 48 GRALISE 95 granisetron hcl 2 granulex 44 GRIFULVIN V 75 griseofulvin 75

135 129 griseofulvin ultramicrosize 75 GRIS-PEG 75 grx hicort guanfacine hcl 11, 19 guanfacine hcl er 11 GYNAZOLE H H.P. ACTHAR 56 HALCION 11 halobetasol propionate 41 HALOG 41 haloperidol 11 haloperidol lactate 11 HARVONI 79 heather 28 HECTOROL 56 HEMANGEOL 19 HEPSERA 79 HETLIOZ 11 HEXALEN 91 HIPREX 73 HIZENTRA 69 homatropaire 62 homatropine hydrobromide 62 HORIZANT 95 HUMALOG 50 HUMALOG MIX HUMALOG MIX HUMATROPE 56 HUMIRA 84 HUMULIN 70/30 KWIKPEN 50 HUMULIN HUMULIN N 50 HUMULIN N KWIKPEN 50 HUMULIN R 50 HYCAMTIN 91 HYCET 100 hydralazine hcl 19 HYDREA 91 HYDRO HYDRO hydrochlorothiazide 19 hydrocod-cpm-pseudoephedrine 31 hydrocodone bt-homatropine mbr 31 hydrocodone-acetaminophen 100, 101 hydrocodone-chlorpheniramne er 31 hydrocodone-homatropine mbr 31 hydrocodone-ibuprofen 101 hydrocortisone 33, 41, 44, 53, 84, 87 hydrocortisone acetate 87 hydrocortisone butyrate 41 hydrocortisone valerate 41 hydrocortisone-acetic acid 53 hydrocortisone-iodoquinol 33 hydrocortisone-pramoxine 44, 87 hydrocortisone-pramoxine hcl 44 hydromet 32 hydromorphone er 101 hydromorphone hcl 101 hydroxychloroquine sulfate 77 hydroxyurea 91 hydroxyzine hcl 1 hydroxyzine pamoate 1 HYDROXYZINE PAMOATE 1 hyophen 73 hyoscyamine sulfate 114 hyoscyamine sulfate er 114 hyoscyamine sulfate sr 114 hyosyne 114 HYZAAR 19 I ibandronate sodium 56 IBRANCE 96 IBUDONE 101 ibuprofen 84 ICLUSIG 91 ILEVRO 59 ILOTYCIN 59 IMBRUVICA 91 imipramine hcl 7 imipramine pamoate 7 imiquimod 70 IMITREX 101 IMURAN 70 INCRELEX 56 indapamide 19 INDERAL LA 19 INDERAL XL 19 INDOCIN 84 indomethacin 84 INLYTA 91 INNOPRAN XL 19 INOVA 44 INOVA INOVA INSPRA 19 INTELENCE 79 INTERMEZZO 11 INTRON A 70 introvale 28 INTUNIV 11 INVEGA 11, 12 INVEGA SUSTENNA 11, 12 INVIRASE 79 INVOKAMET 50 INVOKANA 50 IODOFLEX 33 IODOSORB 33 IOPIDINE 62 ipratropium bromide 4, 96 ipratropium-albuterol 4 IPRIVASK 65

136 130 irbesartan 19 irbesartan-hydrochlorothiazide 19 ISENTRESS 79 ISOCHRON 26 isomethept-caff-acetaminophen 101 isomethept-dichloralp-acetamin 101 isoniazid 76 ISOPTO ATROPINE 62 ISOPTO CARPINE 62 ISORDIL 26 ISORDIL TITRADOSE 26 isosorbide dinitrate 26 isosorbide mononitrate 26 isosorbide mononitrate er 26 isoxsuprine hcl 26 isradipine 19 ISTALOL 62 itraconazole 75 ivermectin 77 J JAKAFI 91, 92 JALYN 117 jantoven 65 JANUMET 50, 51 JANUMET XR 50, 51 JANUVIA 51 JARDIANCE 51 jencycla 28 JENTADUETO 51 jinteli 68 jolessa 28 jolivette 28 JUBLIA 36 junel 28 junel fe 28 JUXTAPID 24 K k effervescent 54 KADIAN 101 KALETRA 79 KALYDECO 97 KAPVAY 12 KARBINAL ER 1 kariva 28 KAYEXALATE 54 KAZANO 51 KEFLEX 73 kelnor KENALOG 41 KEPPRA 110 KEPPRA XR 110 KERAFOAM 44 KERALAC 44 KERALYT 44 KERALYT SCALP 44 KERYDIN 36 KETEK 73 ketoconazole 36, 75 KETODAN 36 ketoprofen 84 ketorolac tromethamine 59, 84 KHEDEZLA 7 KINERET 84 kionex 54 KITABIS PAK 76 KLARON 33 KLONOPIN 110 KLOR-CON 54 KLOR-CON KLOR-CON 8 54 klor-con m10 54 klor-con m15 54 klor-con m20 54 KLOR-CON-EF 54 KOMBIGLYZE XR 51 KORLYM 51 K-PHOS NEUTRAL 117 K-PHOS NO K-PHOS ORIGINAL 117 KRISTALOSE 89 K-SOL 54 K-TAB ER 54 kurvelo 28 KUVAN 96 KYNAMRO 24 L labetalol hcl 19 LACRISERT 63 lactulose 89 LAMICTAL 110 LAMICTAL (BLUE) 110 LAMICTAL (GREEN) 110 LAMICTAL (ORANGE) 110 LAMICTAL ODT 110 LAMICTAL ODT (BLUE) 110 LAMICTAL ODT (GREEN) 110 LAMICTAL ODT (ORANGE) 110 LAMICTAL XR 110 LAMICTAL XR (BLUE) 110 LAMICTAL XR (GREEN) 110 LAMICTAL XR (ORANGE) 110 LAMISIL 75, 76 lamivudine 79 lamivudine hbv 79 lamivudine-zidovudine 79 lamotrigine 110 lamotrigine er 110 lamotrigine odt 110

137 131 LANOXIN 16 LANPARZA 96 lansoprazol-amoxicil-clarithro 115 lansoprazole 115 LANTUS 51 LANTUS SOLOSTAR 51 larin 28 larin fe 28 LASIX 19 LASTACAFT 60 latanoprost 62 latrix 44 latrix xm 44 LATUDA 12 LAZANDA 101 leena 28 leflunomide 84 LENVIMA 92 LESCOL 24 LESCOL XL 24 lessina 28 LETAIRIS 20 letrozole 92 leucovorin calcium 92 LEUKERAN 92 leuprolide acetate 56 LEVACET 101 levalbuterol concentrate 4 levalbuterol hcl 4 LEVAQUIN 73 LEVATOL 20 LEVBID 114 LEVEMIR 51 LEVEMIR FLEXTOUCH 51 levetiracetam 110, 111 levetiracetam er 111 levobunolol hcl 62 levocarnitine 96 levocetirizine dihydrochloride 1 levofloxacin 60, 73 levonest 29 levonorgestrel 29 levonorgestrel-eth estradiol 29 levonorg-eth estrad eth estrad 29 levora levorphanol tartrate 101 levothyroxine sodium 57 LEVOXYL 57 LEVSIN 114 LEVSIN-SL 114 LEVULAN 92 LEXAPRO 7 LEXIVA 79 LIALDA 87 LIBRAX 115 lidocaine 44, 45, 86, 87, 88 lidocaine hcl 44, 86, 87 lidocaine hcl viscous 87 lidocaine-hydrocortisone 44, 88 lidocaine-prilocaine 44, 45 LIDODERM 45 LIDODEXTRAPINE 45 LIDOPIN 45 LIDORX 45 LIDOVIR 36 lindane 36 LINZESS 88 liothyronine sodium 57 LIPITOR 24 LIPOCHOL PLUS 25 LIPOFEN 25 LIPTRUZET 25 lisinopril 20 lisinopril-hydrochlorothiazide 20 lithium 12 lithium carbonate 12 lithium carbonate er 12 LITHOBID 12 LITHOSTAT 89 LIVALO 25 LO LOESTRIN FE 29 LOCOID 41 LOCOID LIPOCREAM 41 LODOSYN 108 LOESTRIN 29 LOESTRIN FE 29 LOFIBRA 25 lohist-dm 32 lomedia 24 fe 29 LOMOTIL 89 lomustine 92 loperamide 89 LOPID 25 lopreeza 68 LOPRESSOR 20 LOPRESSOR HCT 20 LOPROX 36 lorazepam 12 lorazepam intensol 12 lorcet 101, 102 lorcet hd 102 lorcet plus 102 LORENZA 45 LORTAB 102 loryna 29 LORZONE 112 losartan potassium 20 losartan-hydrochlorothiazide 20 LOSEASONIQUE 29 LOTEMAX 60 LOTENSIN 20 LOTENSIN HCT 20 LOTREL 20 LOTRISONE 36 LOTRONEX 89 lovastatin 25 LOVAZA 25 LOVENOX 65, 66

138 132 low-ogestrel 29 loxapine 12 LUFYLLIN 4 LUMIGAN 62 LUNESTA 12 LUPRON DEPOT 56 lutera 29 LUXIQ 41 LUZU 36 LYCELLE 36 LYRICA 111 LYSODREN 92 LYSTEDA 66 lyza 29 M MAC 45 MACROBID 73 MACRODANTIN 73 magnebind 400 rx 54 malathion 36 maprotiline hcl 8 margesic 102 MARINOL 2 marlexate 54 marlissa 29 MARPLAN 8 marten-tab 102 MATULANE 92 matzim la 20 MAVIK 20 MAXALT 102 MAXALT MLT 102 MAXIDEX 60 MAXITROL 60 MAXZIDE 20 MAXZIDE-25 MG 20 meclizine hcl 2 meclofenamate sodium 84 MEDROL 84 medroxyprogesterone acetate 68 mefenamic acid 84 MEGACE 96 MEGACE ES 96 megestrol acetate 92, 96 MEKINIST 92 meloxicam 84 memantine 6 MENEST 68 MENOSTAR 68 MENTAX 36 meperidine hcl 102 meperitab 102 MEPHYTON 66 meprobamate 12 MEPRON 77 mercaptopurine 92 mesalamine 88 MESNEX 92 MESTINON 6 METADATE CD 12 METADATE ER 12 metaproterenol sulfate 4 metaxalone 113 metformin hcl 51 metformin hcl er 51 methadone hcl 102 methadone intensol 102 methadose 102 METHADOSE 102 methamphetamine hcl 12 methazolamide 62 methenamine hippurate 73 methenamine mandelate 73 methimazole 58 METHITEST 68 methocarbamol 113 methotrexate 92 methoxsalen 48 methscopolamine bromide 114 methyclothiazide 20 methyldopa 20 methyldopa-hydrochlorothiazide 20 methylergonovine maleate 29 METHYLIN 12 methylphenidate er 12 methylphenidate hcl 12 methylphenidate hcl cd 12 methylphenidate la 12 methylprednisolone 84 metipranolol 62 metoclopramide hcl 115 metolazone 20 metoprolol succinate 20 metoprolol tartrate 20 metoprolol-hydrochlorothiazide 20 METOZOLV ODT 115 METROCREAM 33 METROGEL 33, 118 METROGEL-VAGINAL 118 METROLOTION 33 metronidazole 33, 77, 118 mexiletine hcl 15 MIACALCIN 56 MICARDIS 20 MICARDIS HCT 20 miconazole microgestin 29 microgestin fe 29 MICROZIDE 20 midazolam hcl 12 midodrine hcl 26 MIFEPREX 96 MIGERGOT 102 migragesic ida 102 MIGRANAL 102

139 133 MILLIPRED 84 MILLIPRED DP 84 mimvey 68 mimvey lo 68 MINASTRIN 24 FE 29 MINIPRESS 20 minitran 26 MINIVELLE 68 MINOCIN 73 minocycline hcl 73 minoxidil 20 MIRAPEX 108 MIRAPEX ER 108 MIRCETTE 29 mirtazapine 8 MIRVASO 33 misoprostol 115 MITIGARE 63 MOBIC 85 modafinil 12 MODERIBA 79 MODICON 29 moexipril hcl 20 moexipril-hydrochlorothiazide 20 mometasone furoate 41 MONODOX 74 mono-linyah 29 mononessa 29 montelukast sodium 4 MONUROL 74 MORGIDOX 74 morphine sulfate 102, 103 MORPHINE SULFATE 102 morphine sulfate er 102, 103 MOTOFEN 89 MOVIPREP 89 MOXATAG 74 MOXEZA 60 moxifloxacin hcl 74 MS CONTIN 103 mucotrol 96 MULTAQ 15 mupirocin 36 MYALEPT 56 MYAMBUTOL 76 MYCOBUTIN 76 mycophenolate mofetil 70 mycophenolic acid 70 MYDRIACYL 62 MYFORTIC 70 MYLERAN 92 myorisan 33 MYRBETRIQ 117 MYSOLINE 111 myzilra 29 N nabumetone 85 nadolol 20 nadolol-bendroflumethiazide 20 NAFTIN 37 NALFON 85 naltrexone hcl 12 NAMENDA 6 NAMENDA XR 6 naphazoline hcl 60 NAPRELAN 85 NAPROSYN 85 naproxen 85 naproxen sodium 85 naratriptan 103 naratriptan hcl 103 NARDIL 8 NASONEX 1 NATACYN 60 NATAZIA 29 nateglinide 51 NATROBA 37 nature-throid 58 NEBUPENT 77 necon 29 nefazodone hcl 8 neomycin sulfate 76 neomycin-bacitracin-poly-hc 60 neomycin-bacitracin-polymyxin 60 neomycin-polymyxin-dexameth 60 neomycin-polymyxin-gramicidin 60 neomycin-polymyxin-hc 53, 60 neomycin-polymyxin-hydrocort 53 neo-polycin 60 neo-polycin hc 60 NEORAL 70 NEOSPORIN 60 NEO-SYNALAR 41 NEPTAZANE 62 NESINA 51 neuac 33 NEULASTA 66 NEUMEGA 66 NEUPOGEN 66 NEUPRO 108 NEURONTIN 111 NEUVAXIN 45 NEVANAC 60 nevirapine 79 nevirapine er 79 NEXAVAR 92 niacin er 25 niacor 25 NIASPAN 25 nicardipine hcl 20 nifedical xl 20 nifedipine 20, 21

140 134 nifedipine er 20, 21 nikki 29 NILANDRON 92 nimodipine 21 nisoldipine 21 NITRO-BID 26 NITRO-DUR 26 nitrofurantoin 74 nitrofurantoin mono-macro 74 nitroglycerin 26 nitroglycerin patch 26 NITROLINGUAL 27 NITROMIST 27 NITROSTAT 27 nitro-time 26 nizatidine 115 NIZORAL 37 nodolor 103 nora-be 29 NORCO 103 NORDITROPIN FLEXPRO 56 NORDITROPIN NORDIFLEX 56 norethindrone 29, 68 norethindrone acetate 68 norethindron-ethinyl estradiol 29 norethin-eth estra ferrous fum 29 norgestimate-ethinyl estradiol 29 norinyl NORINYL NORITATE 33 norlyroc 30 NORPACE 15 NORPACE CR 15 NORPRAMIN 8 NOR-Q-D 29 nortrel 30 nortriptyline hcl 8 NORVASC 21 NORVIR 79 NOVACORT 45 NOVOLIN NOVOLIN N 51 NOVOLIN R 51 NOVOLOG 51 NOVOLOG FLEXPEN 51 NOVOLOG MIX NOVOLOG MIX FLEXPEN 51 NOXAFIL 76 np thyroid 58 NUCORT 41 NUCYNTA 103 NUCYNTA ER 103 NUEDEXTA 95 NULEV 114 NULYTELY WITH FLAVOR PACKS 89 NUOX 45 NUTROPIN AQ 56, 57 NUTROPIN AQ NUSPIN 56, 57 NUVARING 30 NUVIGIL 13 nyamyc 37 NYMALIZE 21 nystatin 37, 76 nystatin-triamcinolone 37 nystop 37 O OBREDON 32 ocella 30 OCUFEN 60 OCUFLOX 60 OFEV 97 ofloxacin 53, 60, 74 ogestrel 30 olanzapine 13 olanzapine odt 13 olanzapine-fluoxetine hcl 13 OLEPTRO ER 8 olopatadine hcl 2 OLUX 42 OLUX-E 42 OLYSIO 79 OMECLAMOX-PAK 115 omega-3 acid ethyl esters 25 omeprazole 115 omeprazole+syrspend sf alka 115 omeprazole-sodium bicarbonate 115 OMNARIS 2 OMNIPRED 60 OMNITROPE 57 ondansetron hcl 2, 3 ondansetron odt 3 ONEXTON 34 ONFI 111 ONGLYZA 52 ONMEL 76 OPANA 103, 104 OPANA ER 103, 104 opium tincture 89 OPSUMIT 21 ORACEA 74 ORACIT 117 ORAP 13 ORAPRED ODT 85 ORAVIG 76 ORENCIA 85 ORENITRAM ER 21 ORFADIN 96 orphenadrine citrate 113 orsythia 30 ORTHO EVRA 30 ORTHO MICRONOR 30 ORTHO TRI-CYCLEN 30 ORTHO TRI-CYCLEN LO 30 ORTHO-CEPT 30 ORTHO-CYCLEN 30

141 135 ORTHO-NOVUM 30 oscimin 114 oscimin sl 114 oscimin sr 114 OSENI 52 OSMOPREP 89 OSPHENA 57 OTEZLA 85 OTIC CARE 53 OTICIN 53 OTICIN HC 53 oto-end otomax-hc 53 OTOZIN 53 OTREXUP 85 OVACE 45 OVACE PLUS 45 OVACE PLUS WASH 45 OVCON OVIDE 37 OXALIS 45 OXANDRIN 69 oxandrolone 69 oxaprozin 85 oxazepam 13 oxcarbazepine 111 OXECTA 104 OXISTAT 37 OXSORALEN-ULTRA 48 OXTELLAR XR 111 oxybutynin chloride 117 oxybutynin chloride er 117 oxycodone hcl 104 oxycodone hcl er 104 oxycodone hcl-aspirin 104 oxycodone hcl-ibuprofen 104 oxycodone-acetaminophen 104 OXYCONTIN 104 oxymorphone hcl 104 oxymorphone hcl er 104 OXYTROL 117 P pacerone 15 PACNEX 45 PACNEX HP 45 PACNEX LP 45 PACNEX MX 45 PAIN EASE 45 PAIN RELIEF 45 PAMELOR 8 PANCREAZE 113 pancrelipase 5, PANDEL 42 PANRETIN 45 pantoprazole sodium 115 PARAFON FORTE DSC 113 paregoric 89 PAREMYD 63 paricalcitol 57 PARLODEL 108 PARNATE 8 paromomycin sulfate 78 paroxetine hcl 8 PASER 76 PATADAY 60 PATANASE 2 PATANOL 60 PAXIL 8 PAXIL CR 8 PAZEO 60 PCE 74 PEDIADERM AF 37 PEDIADERM HC 42 PEDIADERM TA 42 PEDIAPRED 85 peg 3350-electrolyte 89 peg peg-3350 and electrolytes 89 peg-3350 with flavor packs 89 PEGANONE 111 PEGASYS 79 PEGASYS PROCLICK 79 PEGINTRON 80 PEGINTRON REDIPEN 80 penicillin v potassium 74 PENLAC 37 PENNSAID 42 PENTASA 88 pentazocine-naloxone hcl 105 pentoxifylline 66 PEPCID 115 PERCOCET 105 PERCODAN 105 PERFOROMIST 4 perindopril erbumine 21 permethrin 37 perphenazine 8, 13 perphenazine-amitriptyline 8 PERSANTINE 66 PERTZYE 113 PEXEVA 8 phenadoz 3 phenazopyridine hcl 117 phenelzine sulfate 8 PHENERGAN 3 phenobarbital 13 phenylephrine hcl 60 PHENYTEK 111 phenytoin 111 phenytoin sodium extended 111 philith 30 PHOSLO 54 PHOSLYRA 54 phospha 250 neutral 117 PHOSPHASAL 74

142 136 PHOSPHOLINE IODIDE 63 PICATO 45 pilocarpine hcl 63 pimtrea 30 pindolol 21 pinnacaine 53 pioglitazone hcl 52 pioglitazone-glimepiride 52 pioglitazone-metformin 52 pirmella 30 piroxicam 85 PLAN B ONE-STEP 30 PLAQUENIL 78 PLAVIX 66 PLEGRIDY 95 PLEGRIDY PEN 95 PLETAL 66 PLEXION 37 podocon podofilox 45 polycin 60 polyethylene glycol , 90 polymyxin b sul-trimethoprim 60 POLYTRIM 60 POMALYST 92 PONSTEL 85 PONTOCAINE 45 portia 30 potass cit-sod cit-citric acid 117 potassium bicarbonate 54 potassium chloride 54 potassium citrate er 117 potassium citrate-citric acid 117 potassium hydroxide 45 POTIGA 111 pr cream 45 PRADAXA 66 PRAMCORT 88 pramipexole dihydrochloride 108 pramipexole er 108 PRAMOSONE 45 PRAMOSONE E 45 PRANDIMET 52 PRANDIN 52 PRAVACHOL 25 pravastatin sodium 25 prazosin hcl 21 PRE-ATTACHED LTA KIT 45 PRECOSE 52 PRED FORTE 60 PRED MILD 60 PRED-G 60, 61 prednicarbate 42 prednisolone 61, 85 prednisolone acetate 61 prednisolone sodium phosphate 61, 85 prednisone 85 PREDNISONE INTENSOL 85 PREFEST 69 PREMARIN 69, 118 PREMPHASE 69 PREMPRO 69 PREPIDIL 30 PREPOPIK 90 PREVACID 116 prevalite 25 previfem 30 PREVPAC 116 PREZISTA 80 PRIFTIN 76 PRILOSEC 116 primidone 111 PRIMLEV 105 PRIMSOL 74 PRINIVIL 21 PRISTIQ ER 8 PROAIR HFA 4 probenecid 63 probenecid-colchicine 63 PROCARDIA 21 PROCARDIA XL 21 PROCENTRA 13 prochlorperazine maleate 3 PROCORT 88 PROCRIT 66 PROCTOCORT 88 PROCTOFOAM-HC 88 procto-pak 88 proctosol-hc 88 proctozone-hc 88 PROCYSBI 117 prodrin 105 progesterone 69 PROGLYCEM 52 PROGRAF 70 PROLENSA 61 PROMACTA 66 promethazine hcl 2, 3 promethazine vc 32 promethazine vc-codeine 32 promethazine-codeine 32 promethazine-dm 32 promethegan 3 PROMETRIUM 69 PROMISEB 45 propafenone hcl 15 propafenone hcl er 15 propantheline bromide 116 proparacaine hcl 61 propranolol hcl 21 propranolol hcl er 21 propranolol-hydrochlorothiazid 21 propylthiouracil 58 PROSCAR 117 PROSED-DS 74 PROSTIN E2 VAGINAL SUPPOSITORY 30 PROTONIX 116 PROTOPIC 48

143 137 protriptyline hcl 8 PROVENTIL HFA 4 PROVENZA 46 PROVERA 69 PROVIGIL 13 PROZAC 8 PROZAC WEEKLY 8 PRUDOXIN 43 PULMICORT 4, 5 PULMICORT FLEXHALER 5 PURINETHOL 92 PURIXAN 92 PYLERA 116 pyrazinamide 77 PYRIDIUM 117 pyridostigmine bromide 6 PYROGALLIC ACID 48 Q QNASL 2 QNASL CHILDREN 2 QROXIN 46 QUARTETTE 30 quasense 30 QUDEXY XR 111 QUESTRAN 25 QUESTRAN LIGHT 25 quetiapine fumarate 13 QUILLIVANT XR 13 quinapril hcl 21 quinapril-hydrochlorothiazide 21 quinidine gluconate 15 quinidine sulfate 15 QUTENZA 46 QVAR 5 R rabeprazole sodium 116 RADIAPLEXRX 46 RADIOGARDASE 96 raloxifene hcl 57 ramipril 21 RANEXA 26 ranitidine hcl 116 RAPAFLO 117 RAPAMUNE 70 RASUVO 85, 86 RAVICTI 90 RAYOS 86 RAZADYNE 6 RAZADYNE ER 6 REA LO REA LO REBETOL 80 REBIF 95 REBIF REBIDOSE 95 RECIPHEXAMINE 46 reclipsen 30 RECOTHROM 66 RECTACORT-HC 88 RECTIV 88 REGENECARE 46 REGLAN 116 REGRANEX 52 RELAGARD 118 RELENZA 80 RELISTOR 90 RELPAX 105 REMERON 8 remeven 46 RENAGEL 54 RENOVO 46 RENVELA 54 repaglinide 52 reprexain 105 REQUIP 108 REQUIP XL 108 RESCRIPTOR 80 RESCULA 63 reserpine 21 respa a.r. 32 RESTASIS 61 RESTORIL 13 RETIN-A 34 RETIN-A MICRO 34 RETIN-A MICRO PUMP 34 RETROVIR 80 REVATIO 21 REVIA 13 REVLIMID 92 REYATAZ 80 REZIRA 32 RHEUMATREX 86 RHINOCORT AQUA 2 ribapak 80 ribasphere 80, 81 RIBATAB 81 ribavirin 81 RIDAURA 86 rifabutin 77 RIFADIN 77 RIFAMATE 77 rifampin 77 RIFATER 77 RILUTEK 95 riluzole 95 rimantadine hcl 81 RIOMET 52 risedronate sodium 57 RISPERDAL 13 RISPERDAL M-TAB 13 risperidone 13 risperidone odt 13

144 138 RITALIN 13 RITALIN LA 13 rivastigmine 6 rizatriptan 105 ROBAXIN 113 ROBAXIN ROBINUL 116 ROBINUL FORTE 116 ropinirole hcl 108 rosadan 34 ROSADAN 34 ROSANIL 37 ROSULA 37 ROWASA 88 roxicet 105 ROXICODONE 105 ROZEREM 13 RUCONEST 86 RYTARY 108 RYTHMOL 15 RYTHMOL SR 15 S SABRIL 111 SAFYRAL 30 SAIZEN 57 salacyn 46 SALACYN 46 SALEX 46 salicylic acid 46 salkera 46 SALKERA 46 salsalate 105 salvax 46 SALVAX DUO PLUS 46 SAMSCA 54 SANCUSO 3 SANDIMMUNE 70 SANTYL 46 SAPHRIS 13 SARAFEM 8 SAVELLA 95 SCALACORT 42 SCALACORT DK 42 SEASONIQUE 30 seb-prev 46 SECONAL SODIUM 13 SECTRAL 21 selegiline hcl 108 selenium sulfide 46 SELRX 47 SELZENTRY 81 SEMPREX-D 2 SENSIPAR 57 SEREVENT DISKUS 5 SEROQUEL 13, 14 SEROQUEL XR 13, 14 SEROSTIM 57 sertraline hcl 8 SFROWASA 88 sharobel 30 SIGNIFOR 96, 97 sildenafil 21 SILENOR 14 SILVADENE 37 silver nitrate 34, 47 silver nitrate applicator 47 silver sulfadiazine 37 SIMBRINZA 63 SIMCOR 25 SIMPONI 86 simvastatin 25 SINELEE 47 SINEMET SINEMET SINEMET SINEMET CR 108 SINGULAIR 5 sirolimus 70 SIRTURO 77 SITAVIG 81 SIVEXTRO 74 SKELAXIN 113 SKLICE 37 sodium citrate & citric acid 117 sodium fluoride 119 sodium phenylbutyrate 90 sodium polystyrene sulfonate 54, 55 sodium sulfacetamide 34, 37, 38, 47 sodium sulfacetamide-sulfur 37, 38 SOLARAZE 47 SOLODYN 74 SOLTAMOX 92 SOMA 113 SOMATULINE DEPOT 97 SOMAVERT 57 SONATA 14 SOOLANTRA 34 SORIATANE 48 SORILUX 48 sorine 21 sotalol 21 sotalol af 21 SOTYLIZE 21 SOVALDI 81 SPECTRACEF 74 spinosad 38 SPIRIVA 5 SPIRIVA RESPIMAT 5 spironolactone 21 spironolactone-hctz 21 SPORANOX 76 SPRAY AND STRETCH 47 sprintec 30 SPRIX 86 SPRYCEL 93

145 139 sps 55 SPS 55 sronyx 30 SS ssd 38 sski 58 sss STALEVO STALEVO STALEVO STALEVO STALEVO STALEVO STARLIX 52 stavudine 81 STELARA 86 STIMATE 57 STIVARGA 93 STRATTERA 14 STRIANT 69 STRIBILD 81 STRIVERDI RESPIMAT 5 STROMECTOL 78 strong iodine 58 SUBOXONE 105 SUBSYS 105 SUCLEAR 90 SUCRAID 113 sucralfate 116 SULAR 21 sulfacetamide sodium 34, 47, 61 sulfacetamide-prednisolone 61 sulfacleanse sulfadiazine 88 sulfamethoxazole-trimethoprim 74 SULFAMYLON 38 sulfasalazine 88 sulfasalazine dr 88 sulfatrim 74 sulfazine 88 sulfazine ec 88 sulindac 86 SUMADAN 38 sumatriptan 105, 106 sumatriptan succinate 105, 106 SUMAVEL DOSEPRO 106 SUMAXIN 38 SUMAXIN CP 38 SUMAXIN TS 38 SUPRAX 74 SUPREP 90 SURMONTIL 8 SUSTIVA 81 SUTENT 93 syeda 30 SYLATRON 93 SYLATRON 4-PACK 93 SYMAX 114 SYMAX DUOTAB 114 SYMAX-SL 114 SYMAX-SR 114 SYMBICORT 5 SYMBYAX 14 SYMLINPEN SYMLINPEN SYNALAR 42 SYNALAR TS 42 SYNALGOS-DC 106 SYNAPRYN 97 SYNAREL 57 SYNERA 47 SYNTHROID 58 SYNVEXIA 47 SYPRINE 97 SYRINGE AVITENE 66 T TABLOID 93 TACHOSIL 66 TACLONEX 48 tacrolimus 48, 70 TAFINLAR 93 TAMIFLU 81 tamoxifen citrate 93 tamsulosin hcl 117 TANZEUM 52 TAPAZOLE 58 TARCEVA 93 TARGRETIN 47, 93 tarina fe 30 TARKA 21 taron-crystals 117 TASIGNA 93 TASMAR 108 TAZORAC 49 taztia xt 22 TECFIDERA 95 TEGRETOL 111, 112 TEGRETOL XR 111, 112 TEKAMLO 22 TEKTURNA 22 TEKTURNA HCT 22 telmisartan 22 telmisartan-amlodipine 22 telmisartan-hydrochlorothiazid 22 temazepam 14 TEMODAR 93 TEMOVATE 42 TEMOVATE EMOLLIENT 42 temozolomide 93, 94 tencon 106 TENEX 22 TENORETIC TENORETIC TENORMIN 22 TERAZOL 7 118

146 140 terazosin hcl 22 terbinafine hcl 76 terbutaline sulfate 5 terconazole 118, 119 TERSI FOAM 47 TESSALON PERLE 32 TESTIM 69 testosterone 69 testosterone cypionate 69 testosterone enanthate 69 TESTRED 69 TETCAINE 61 tetracaine hcl 61 tetracycline hcl 74 TETRAVISC 61 TETRAVISC FORTE 61 TETRIX 47 TEVETEN 22 TEVETEN HCT 22 TEV-TROPIN 57 TEXACORT 42 THALOMID 77 THEO-24 5 theochron 5 theophylline 5 theophylline anhydrous 5 THERMAZENE 38 THIOLA 118 thioridazine hcl 14 thiothixene 14 thrombi-gel 67 thrombin-jmi 67 thrombi-pad 67 THYROLAR-1 58 THYROLAR-1/2 58 THYROLAR-1/4 58 THYROLAR-2 58 THYROLAR-3 58 tiagabine hcl 112 TIAZAC 22 ticlopidine hcl 67 TIGAN 3 TIKOSYN 15 tilia fe 30 timolol maleate 22, 63 TIMOPTIC 63 TIMOPTIC OCUDOSE 63 TIMOPTIC-XE 63 TINDAMAX 78 tinidazole 78 TIROSINT 58 TISSEEL VHSD 67 TIVICAY 81 tizanidine hcl 113 TOBI 77 TOBI PODHALER 77 TOBRADEX 61 TOBRADEX ST 61 tobramycin 61, 77 tobramycin-dexamethasone 61 TOBREX 61 TOFRANIL 8 TOFRANIL-PM 8 tolazamide 52 tolbutamide 52 tolmetin sodium 86 tolterodine tartrate 118 tolterodine tartrate er 118 TOPAMAX 112 TOPICORT 42 topiragen 112 topiramate 112 topiramate er 112 TOPROL XL 22 torsemide 22 TOVIAZ 118 TRACLEER 22 TRADJENTA 52 tramadol hcl 106 tramadol hcl er 106 tramadol hcl-acetaminophen 106 TRANDATE 22 trandolapril 22 trandolapril-verapamil er 22 tranexamic acid 67 TRANSDERM-SCOP 3 TRANXENE T-TAB 14 tranylcypromine sulfate 8 TRAVATAN Z 63 travoprost 63 trazodone hcl 8 TRECATOR 77 tretinoin 34, 94 tretinoin microsphere 34 TRETIN-X 34 TREXALL 94 TREXIMET 106 TREZIX 106 triamcinolone acetonide 2, 42 triamterene-hydrochlorothiazid 22 trianex 42 triazolam 14 TRIBENZOR 22, 23 tricitrates 118 TRICOR 25 triderm 42 tri-estarylla 30 trifluoperazine hcl 14 trifluridine 61 TRIGLIDE 25 trihexyphenidyl hcl 108 tri-legest fe 30 TRILEPTAL 112 tri-linyah 31 TRILIPIX 25 trilyte with flavor packets 90 trimethobenzamide hcl 3 trimethoprim 74

147 141 trinessa 31 TRI-NORINYL 31 TRIOXIN 53 triple dye 38 tri-previfem 31 tri-sprintec 31 TRIUMEQ 81 trivora TRIZIVIR 81 TROKENDI XR 112 tropicamide 63 trospium chloride 118 trospium chloride er 118 TRUSOPT 63 TRUVADA 81 TUDORZA PRESSAIR 5 TUSNEL PEDIATRIC 32 TUSSICAPS 32 TUSSIGON 32 TUSSIONEX 32 TWYNSTA 23 TYBOST 81 TYKERB 94 TYLENOL-CODEINE NO TYLENOL-CODEINE NO TYVASO 23 TYZEKA 81 TYZINE 32 U UCERIS 86, 88 u-cort 42 ULESFIA 38 ULORIC 63 ULTRACET 106 ULTRAM 106 ULTRAM ER 106 ULTRAVATE 42 ULTRAVATE X 42 ULTRESA 113 UMECTA 47 UMECTA PD 47 UNITHROID 58 ur n-c 74 URAMAXIN 47 URAMAXIN GT 47 urea 47, 48 URELLE 74 URETRON D-S 74 URIBEL 74 urimar-t 74 URIN D.S. 75 uro-blue 75 UROCIT-K 118 urogesic-blue 75 uro-l 75 uro-mp 75 UROQID-ACID NO UROXATRAL 118 URSO 90 URSO FORTE 90 ursodiol 90 URYL 75 ustell 75 UTA 75 UTOPIC 48 V VAGIFEM 119 valacyclovir 81 VALCHLOR 48 VALCYTE 81 valganciclovir hcl 81 VALIUM 14 valproic acid 112 valsartan 23 valsartan-hydrochlorothiazide 23 VALTREX 81 VANCOCIN HCL 77 vancomycin hcl 77 VANDAZOLE 119 VANOS 42 VANOXIDE-HC 34 VASCEPA 25 VASERETIC 23 vasolex 48 VASOTEC 23 VECAMYL 23 VECTICAL 49 velivet 31 VELPHORO 55 VELTIN 34 venlafaxine hcl 8, 9 venlafaxine hcl er 9 VENLAFAXINE HCL ER 9 VENTAVIS 23 VENTOLIN HFA 5 VERAMYST 2 verapamil er 23 verapamil er pm 23 verapamil hcl 23 verapamil sr 23 VERDESO 43 VEREGEN 38 VERELAN 23 VERELAN PM 23 VERIPRED VERSACLOZ 14 VESICARE 118 vestura 31 VEXOL 61 VFEND 76 VIBRAMYCIN 75 vicodin 106

148 142 vicodin es 106 vicodin hp 106 VICOPROFEN 106 VICTOZA 2-PAK 52 VICTOZA 3-PAK 52 VIDEX 81 VIDEX EC 81 VIEKIRA PAK 81 VIGAMOX 61 VIIBRYD 9 VIMOVO 86 VIMPAT 112 VIOKACE 113 viorele 31 VIRACEPT 81 VIRAMUNE 81 VIRAMUNE XR 81 VIRASAL 48 VIRAZOLE 82 VIREAD 82 VIROPTIC 61 virti-sulf 38 virt-phos 250 neutral 118 virtrate VISTARIL 2 vitamin d2 119 VITEKTA 82 VITUZ 32 VIVELLE-DOT 69 VOLTAREN 43, 86 VOLTAREN-XR 86 voriconazole 76 VOSPIRE ER 5 VOTRIENT 94 VUSION 38 vyfemla 31 VYTORIN 25 VYVANSE 14 W warfarin sodium 67 WELCHOL 25 WELLBUTRIN 9 WELLBUTRIN SR 9 WELLBUTRIN XL 9 wera 31 westhroid 58 wp thyroid 58 wymzya fe 31 X XALATAN 63 XALKORI 94 XANAX 14 XANAX XR 14 XARELTO 67 XARTEMIS XR 106 XELJANZ 86 XELODA 94 XENAZINE 95 XERESE 38 XIFAXAN 77 XODOL XODOL XODOL XOLEGEL 38 XOPENEX 5 XOPENEX CONCENTRATE 5 XOPENEX HFA 5 XTANDI 94 xulane 31 x-viate 48 X-VIATE 48 xylon XYREM 14 XYZAL 2 Y YASMIN YAZ 31 Z zafirlukast 5 zaleplon 14 ZANAFLEX 113 ZANTAC 116 zarah 31 ZARONTIN 112 ZAVESCA 97 ZEBETA 23 zebutal 106 ZEGERID 116 ZELAPAR 108 ZELBORAF 94 ZEMPLAR 57 zenatane 34 zenchent 31 zenchent fe 31 ZENCIA 38 ZENPEP 113 zenzedi 14 zeosa 31 ZERIT 82 ZERUVIA 48 ZESTORETIC 23 ZESTRIL 23 ZETIA 26 ZETONNA 2

149 143 ZIAC 23 ZIAGEN 82 ZIANA 34 zidovudine 82 ZIOPTAN 63 ziprasidone hcl 14 ZIPSOR 86 ZIRGAN 61 ZITHRANOL 49 ZITHRANOL-RR 49 ZITHROMAX 75 ZITHROMAX TRI-PAK 75 ZMAX 75 ZOCOR 26 ZOFRAN 3 ZOFRAN ODT 3 ZOHYDRO ER 107 ZOLINZA 94 zolmitriptan 107 zolmitriptan odt 107 ZOLOFT 9 zolpidem 14 zolpidem tartrate 14 zolpidem tartrate er 14 ZOLPIMIST 14 ZOMIG 107 ZOMIG ZMT 107 ZONALON 43 ZONATUSS 32 ZONEGRAN 112 zonisamide 112 ZONTIVITY 67 ZORBTIVE 57 ZORTRESS 70 ZORVOLEX 86 zovia 1-35e 31 zovia 1-50e 31 ZOVIRAX 38, 82 ZUBSOLV 107 ZUPLENZ 3 ZUTRIPRO 32 ZYCLARA 70 ZYDELIG 94 ZYFLO 5 ZYFLO CR 5 ZYKADIA 94 ZYLET 61 ZYLOPRIM 63 ZYMAXID 61 ZYPRAM 88 ZYPREXA 14, 15 ZYPREXA RELPREVV 14, 15 ZYPREXA ZYDIS 15 ZYTIGA 94 ZYVOX 75

150 144 Appendix A Medications Limited to Select Pharmacies Some medications are limited to Group Health mail order pharmacy and/or a designated specialty pharmacy. Members with an out-of-network benefit may use any network pharmacy; however, they may pay a higher cost share. The following medications are limited to Group Health mail order pharmacy: 1. Harvoni 2. Olysio 3. Sovaldi The following medications are limited to Group Health mail order pharmacy or to the designated specialty pharmacy: 1. Exjade 2. Kalydeco 3. Actemra 4. Aubagio 5. Avonex 6. Betaseron 7. Cimzia 8. Copaxone 9. Enbrel 10. Extavia 11. Gilenya 12. Humira 13. Kineret 14. Orencia 15. Otezla 16. Plegridy 17. Rebif and Rebif Rebidose 18. Simponi 19. Tecfidera 20. Xeljanz 21. Glatopa For formulary status and limitations, refer to the formulary listing. To order these medications or for questions related to these medications, you can reach the Group Health mail order Specialty Medication Pharmacy at

151 145 Group Health Drug Formulary For a 3-tier Or An Out-of-network Pharmacy Benefit OVER-THE-COUNTER (OTC) MEDICATION BENEFIT LIST The medications listed below are covered only for members who have purchased a special benefit offered through Group Health called the Over-the-Counter Pharmacy Benefit. ***Typically, if a generic product is available for a drug, the Brand Name product may not be covered.*** Generic Product Name ***Brand Name*** Forms ALLERGY COUGH AND COLD Antihistamines CHLORPHENIRAMINE CHLOR-TRIMETON Tab, Liquid CLEMASTINE TAVIST Tab, Liquid DIPHENHYDRAMINE BENADRYL Cap, Liquid LORATADINE CLARITIN Tab, Liquid Decongestants OXYMETAZOLINE NASAL SPRAY AFRIN Spray PHENYLEPHRINE NASAL SPRAY NEO-SYNEPHRINE Spray PSEUDOEPHEDRINE SUDAFED Tablet Antihistamine/Decongestant Combinations TRIPROLIDINE/PSEUDOEPHEDRINE ACTIFED Tablet BROMPHENIRAMINE/PSEUDOEPHEDRINE DIMETAPP Liquid Expectorants/Cough Agents GUAIFENESIN ROBITUSSIN Liquid GUAIFENESIN/DEXTROMETHORPHAN ROBITUSSIN-DM Liquid DEXTROMETHORPHAN ROBITUSSIN COUGH Liquid DEXTROMETHORPHAN EXTEND RELEASE DELSYM Liquid AUTONOMICS AND CNS Analgesics, Miscellaneous ACETAMINOPHEN TYLENOL Tab, Chew, Supp, Liquid Non-Steroidal Anti-Inflammatories IBUPROFEN MOTRIN, ADVIL Tab, Liquid Salicylates ASPIRIN BAYER, ASCRIPTIN Tab, Supp DERMATOLOGICAL/ TOPICAL AGENTS Acne/Psoriasis, Topical BENZOYL PEROXIDE 5%, 10% BENZAC Gel, Wash, Lotion COAL TAR Solution Anesthetic Agents, Topical BENZOCAINE HURRICAINE Gel PRAMOXINE ANUSOL Ointment Antifungals, Topical CLOTRIMAZOLE 1% LOTRIMIN Cream, Solution MICONAZOLE 2% MICATIN, DESENEX Cream, Powder

152 146 Group Health Drug Formulary For a 3-tier Or An Out-of-network Pharmacy Benefit Anti-Infectives, Topical BACITRACIN BACIGUENT Ointment BACITRACIN, POLYMIXIN B POLYSPORIN Ointment BACITRACIN, NEOMYCIN, POLYMYXIN B NEOSPORIN Ointment OATMEAL, COLLOIDAL AVEENO BATH POWDER Powder Anti-Itch, Topical CALAMINE CALAMINE Lotion CAMPHOR/ MENTHOL SARNA Lotion CAPSAICIN ZOSTRIX, ZOSTRIX-HP Cream Anti-Virals, Topical DOCOSANOL 10% ABREVA Cream Corticosteroids, Topical, Low Potency HYDROCORTISONE 0.5%, 1% CORTIZONE Cream, Oint, Lotion Keratolytics SALICYLIC ACID 17% DUOFILM Liquid SALICYLIC ACID 40% MEDIPLAST Plaster UREA 10%, 20% UREACIN, CARMOL 20 Cream, Lotion Dermatologics, Miscellaneous ALUMINUM ACETATE BUROWS Liquid AMMONIUM LACTATE 12% AMLACTIN Cream, Lotion HYDROGEN PEROXIDE HYDROGEN PEROXIDE Liquid VITAMIN A&D A AND D OINTMENT Ointment WITCH HAZEL TUCKS Solution, Pads ZINC OXIDE, COD LIVER OIL & LANOLIN DESITIN Oint, Paste ZINC OXIDE 20% BALMEX Ointment Scabicides PERMETHRIN NIX Rinse PYRETHRINS, PIPERONYL BUTOXIDE RID, R & C Shampoo Skin Protectants LANOLIN, HYDROUS LANOLIN Ointment PETROLATUM, GLYCERIN,BENZYL ALC MOISTUREL Lotion PETROLATUM, MINERAL OIL/WAX, ETC. AQUAPHOR, EUCERIN Ointment EYE, EAR, NOSE AND THROAT Otics CARBAMIDE DEBROX Solution Nasal Agents CROMOLYN NASALCROM Spray Ophthalmics ARTIFICIAL TEARS HYOPTEARS, PURALUBE Drops, Ointment CARBOXYMETHYLCELLULOSE CELLUVISC, REFRESH PLUS Drops HYDROXYPROPYL METHYLCELLULOSE TEARS NATURALE II Drops KETOTIFEN FUMARATE 0.025% ZADITOR Drops NAPHAZOLINE/ PHENIRAMINE OPCON-A Drops POLYVINYL ALCOHOL, POVIDONE REFRESH PF Drops SODIUM CHLORIDE 5% MURO -128 Drops, Ointment Throat and Mouth Agents CETYLPYRIDINIUM CL, BENZYL ALCOHOL CEPACOL Lozenge GASTROINTESTINAL AGENTS

153 147 Antacids/Adsorbents CHARCOAL, ACTIVATED W/O SORBITOL ACTIDOSE Liquid ALUMINUM/ MAGNESIUM MAALOX Tablet, Liquid ALUMINUM/ MAGNESIUM/ SIMETHICONE MINTOX PLUS, MI-ACID Tablet, Liquid ALUM/ MAGN/TRISILIS/ALG AC/SOD BICAR GAVISCON, GENATON Tablet ALUMINUM HYDROXIDE ALTERNAGEL, AMPHOGEL Liquid MAGNESIUM OXIDE MAG-OX Tablet Antidiarrheals BISMUTH SUBSALICYLATE PEPTO BISMOL Tablet, Liquid LOPERAMIDE IMMODIUM Tablet, Liquid Antinauseants DIMENHYDRINATE DRAMAMINE Tablet, Liquid MECLIZINE BONINE, ANTIVERT Tablet Laxatives/Cathartics BISACODYL DULCOLAX Tablet, Supp DOCUSATE SODIUM COLACE Tablet, Liquid GLYCERIN GLYCERIN Liquid, Supp MAGNESIUM CITRATE CITRO-MAG Liquid MILK OF MAGNESIA MILK OF MAGNESIA Liquid MINERAL OIL FLEET MINERAL OIL Liquid PSYLLIUM METAMUCIL Powder POLYETHYLENE GLYCOL MIRALAX Powder SENNA SENOKOT Tablet, Liquid Histamine H2 Blockers RANITIDINE ZANTAC Tablet Gastrointestinal, Miscellaneous SIMETHICONE MYLICON Tablet LACTOBACILLUS BACID Capsule SHARK LIVER OIL, COCOA BUTTER, PHENYLEPHRINE HEMORRHOIDAL SUPPOSITORIES Proton Pump Inhibitors OMEPRAZOLE PRILOSEC OTC Tablet GENITOURINARY Overactive bladder treatment OXYBUTYNIN OXYTROL PATCH Patch HORMONES Contraceptive LEVONORGESTROL PLAN B ONE STEP Tablet LIPID LOWERING AGENTS Non-Prescription Agents NIACIN NIACIN Tablet NIACIN EXTENDED-RELEASE SLO-NIACIN Tablet FISH OILS SEA-OMEGA -50 Capsule NUTRITIONALS AND SUPPLEMENTS Vitamins/Dietary Supplements ACETYLCYSTEINE NAC Capsule ASCORBIC ACID (VIT C) CYANOCOBALAMIN (VIT B12) CHOLECALCIFEROL (VIT D) Supp Tablet Tablet Tablet

154 148 FOLIC ACID NIACINAMIDE (VIT B 3) PRENATAL VITAMINS W/ FOLIC ACID PYRIDOXINE (VIT B6) THIAMINE (VIT B 1) VITAMIN A VITAMIN B COMPLEX VITAMIN B COMPLEX W/C VITAMIN E Tablet Tablet Tablet Tablet Tablet Capsule Tablet Tablet Capsule Electrolytes, Iron, & Minerals CALCIUM CARBONATE TUMS Chew tabs, Liquid CALCIUM CITRATE CAL-CITRATE Tablet CALCIUM CITRATE w/vitamin D CITRACAL Tablet ELECTROLYTE ORAL PEDIALYTE Liquid FERROUS GLUCONATE FERGON Tablet FERROUS SULFATE FER-IN-SOL Tablet, Liquid MAGNESIUM OXIDE URO-MAG Capsule SODIUM BICARBONATE Tablet ZINC SULFATE ZINCATE Capsule VAGINAL PREPARATIONS Vaginal Anti-Infectives POVIDONE-IODINE BETADINE Douche Vaginal Antifungals CLOTRIMAZOLE MYCELEX -7, Cream, Vag tabs GYNE-LOTRIMIN -3 MICONAZOLE MONISTAT Cream Miscellaneous LUBRICATING JELLY K-Y JELLY JELLY