Network Health Medicare Advantage Plans. (List of Covered Drugs)

Transcription

1 Network Health Medicare Advantage Plans Network PlatinumPlus Pharmacy (PPO) Network PlatinumPremier Pharmacy (PPO) Network PlatinumSelect (PPO) NetworkCares (PPO SNP) 016 Formulary (List of Covered s) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN HPMS Approved Formulary File Submission ID 16, Version 1 We have made no changes to this formulary since 7/1/016. This formulary was updated on 7/1/016. For more recent information or other questions, please contact Network Health Medicare Advantage plans customer service at or, for TTY users, , hours a day/seven days a week, or visit NetworkHealthMedicare.com. Note to existing members: This formulary has changed since last year. Please review this document to make sure that it still contains the drugs you take. When this drug list (formulary) refers to we, us, or our, it means Network Health Insurance Corporation. When it refers to plan or our plan, it means Network Health Medicare Advantage plans. This document includes a list of the drugs (formulary) for our plan which is current as of 7/1/016. For an updated formulary, please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. You must generally use network pharmacies to use your prescription drug benefit. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 017, and from time to time during the year. H1_660r11_0871 Accepted

2 What is the Network Health Medicare Advantage Plans Formulary? A formulary is a list of covered drugs selected by our plan in consultation with a team of health care providers, which represents the prescription therapies believed to be a necessary part of a quality treatment program. Our plan will generally cover the drugs listed in our formulary as long as the drug is medically necessary, the prescription is filled at a Network Health Medicare Advantage plans network pharmacy, and other plan rules are followed. For more information on how to fill your prescriptions, please review your Evidence of Coverage. Can the Formulary (drug list) change? Generally, if you are taking a drug on our 016 formulary that was covered at the beginning of the year, we will not discontinue or reduce coverage of the drug during the 016 coverage year except when a new, less expensive generic drug becomes available or when new adverse information about the safety or effectiveness of a drug is released. Other types of formulary changes, such as removing a drug from our formulary, will not affect members who are currently taking the drug. It will remain available at the same cost-sharing for those members taking it for the remainder of the coverage year. We feel it is important that you have continued access for the remainder of the coverage year to the formulary drugs that were available when you chose our plan, except for cases in which you can save additional money or we can ensure your safety. If we remove drugs from our formulary, add prior authorization, quantity limits and/or step therapy restrictions on a drug or move a drug to a higher cost-sharing tier, we must notify affected members of the change at least 60 days before the change becomes effective, or at the time the member requests a refill of the drug, at which time the member will receive a 60-day supply of the drug. If the Food and Administration deems a drug on our formulary to be unsafe or the drug s manufacturer removes the drug from the market, we will immediately remove the drug from our formulary and provide notice to members who take the drug. The enclosed formulary is current as of 7/1/016.To get updated information about the drugs covered by our plan, please contact us. Our contact information appears on the front and back cover pages. In limited instances, our plan may make changes to the formulary during the year which would reduce or discontinue coverage of a drug. Examples of this include removing dosage forms from the formulary, changing a preferred drug to a non-preferred drug even though a less expensive generic drug is not available and adding new prior authorization. If this occurs, a corrected formulary page will be mailed to you listing the updated formulary status of the affected drug. How do I use the Formulary? There are two ways to find your drug within the formulary: Medical Condition The formulary begins on page 10. The drugs in this formulary are grouped into categories depending on the type of medical conditions that they are used to treat. For example, drugs used to treat a heart condition are listed under the category, Cardiovascular, Hypertension/Lipids. If you know what your drug is used for, look for the category name in the list that begins on page 10. Then look under the category name for your drug. Alphabetical Listing If you are not sure what category to look under, you should look for your drug in the Index that begins on page 170. The Index provides an alphabetical list of all of the drugs included in this document. Both

3 brand name drugs and generic drugs are listed in the Index. Look in the Index and find your drug. Next to your drug, you will see the page number where you can find coverage information. Turn to the page listed in the Index and find the name of your drug in the first column of the list. What are generic drugs? Network Health Medicare Advantage plans covers both brand name drugs and generic drugs. A generic drug is approved by the FDA as having the same active ingredient as the brand name drug. Generally, generic drugs cost less than brand name drugs. Are there any restrictions on my coverage? Some covered drugs may have additional requirements or limits on coverage. These requirements and limits may include: Prior Authorization: Network Health Medicare Advantage plans requires you or your physician to get prior authorization for certain drugs. This means that you will need to get approval from our plan before you fill your prescriptions. If you don t get approval, our plan may not cover the drug. Quantity : For certain drugs, Network Health Medicare Advantage plans limits the amount of the drug that our plan will cover. For example, our plan provides 0 tablets per prescription for Actos. This may be in addition to a standard one-month or three-month supply. Step Therapy: In some cases, Network Health Medicare Advantage plans requires you to first try certain drugs to treat your medical condition before we will cover another drug for that condition. For example, if A and B both treat your medical condition, our plan may not cover B unless you try A first. If A does not work for you, our plan will then cover B. You can find out if your drug has any additional requirements or limits by looking in the formulary that begins on page 10. You can also get more information about the restrictions applied to specific covered drugs by visiting our web site. We have posted on line documents that explain our prior authorization and step therapy restrictions. You may also ask us to send you a copy. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. You can ask Network Health Medicare Advantage plans to make an exception to these restrictions or limits or for a list of other, similar drugs that may treat your health condition. See the section, How do I request an exception to the Network Health Medicare Advantage plan s formulary? on page for information about how to request an exception. What if my drug is not on the Formulary? If your drug is not included in this formulary (list of covered drugs), you should first contact customer service and ask if your drug is covered. If you learn that Network Health Medicare Advantage plans does not cover your drug, you have two options: You can ask customer service for a list of similar drugs that are covered by our plan. When you receive the list, show it to your doctor and ask him or her to prescribe a similar drug that is covered by our plan.

4 You can ask our plan to make an exception and cover your drug. See below for information about how to request an exception. How do I request an exception to the Network Health Medicare Advantage Plan s Formulary? You can ask our plan to make an exception to our coverage rules. There are several types of exceptions that you can ask us to make. You can ask us to cover a drug even if it is not on our formulary. If approved, this drug will be covered at a pre-determined cost-sharing level, and you would not be able to ask us to provide the drug at a lower cost-sharing level. You can ask us to cover a formulary drug at a lower cost-sharing level if this drug is not on the specialty tier. If approved this would lower the amount you must pay for your drug. You can ask us to waive coverage restrictions or limits on your drug. For example, for certain drugs, Network Health Medicare Advantage plans limits the amount of the drug that we will cover. If your drug has a quantity limit, you can ask us to waive the limit and cover a greater amount. Generally, our plan will only approve your request for an exception if the alternative drugs included on the plan s formulary, the lower cost-sharing drug or additional utilization restrictions would not be as effective in treating your condition and/or would cause you to have adverse medical effects. You should contact us to ask us for an initial coverage decision for a formulary, tiering or utilization restriction exception. When you request a formulary, tiering or utilization restriction exception you should submit a statement from your prescriber or physician supporting your request. Generally, we must make our decision within 7 hours of getting your prescriber s supporting statement. You can request an expedited (fast) exception if you or your doctor believe that your health could be seriously harmed by waiting up to 7 hours for a decision. If your request to expedite is granted, we must give you a decision no later than hours after we get a supporting statement from your doctor or other prescriber. What do I do before I can talk to my doctor about changing my drugs or requesting an exception? As a new or continuing member in our plan you may be taking drugs that are not on our formulary. Or, you may be taking a drug that is on our formulary but your ability to get it is limited. For example, you may need a prior authorization from us before you can fill your prescription. You should talk to your doctor to decide if you should switch to an appropriate drug that we cover or request a formulary exception so that we will cover the drug you take. While you talk to your doctor to determine the right course of action for you, we may cover your drug in certain cases during the first 90 days you are a member of our plan. For each of your drugs that is not on our formulary or if your ability to get your drugs is limited, we will cover a temporary 0-day supply (unless you have a prescription written for fewer days) when you go to a

5 network pharmacy. After your first 0-day supply, we will not pay for these drugs, even if you have been a member of the plan less than 90 days. If you are a resident of a long-term care facility, we will allow you to refill your prescription until we have provided you with up to a 98-day transition supply, consistent with dispensing increment, (unless you have a prescription written for fewer days). We will cover more than one refill of these drugs for the first 90 days you are a member of our plan. If you need a drug that is not on our formulary or if your ability to get your drugs is limited, but you are past the first 90 days of membership in our plan, we will cover a 1-day emergency supply of that drug (unless you have a prescription for fewer days) while you pursue a formulary exception. If you experience a level of care change (for example, if you are admitted to or discharged from a hospital or long-term care facility), you may need additional supplies of medications. If this occurs, your pharmacy can get an override for this situation to allow for early refills. We will not limit your access to appropriate and necessary Part D medication refills if you experience a level of care change. For more information For more detailed information about your Network Health Medicare Advantage plans prescription drug coverage, please review your Evidence of Coverage and other plan materials. If you have questions about Network Health Medicare Advantage plans please contact us. Our contact information, along with the date we last updated the formulary, appears on the front and back cover pages. If you have general questions about Medicare prescription drug coverage, please call Medicare at 1-800MEDICARE ( ) hours a day/7 days a week TTY users should call Or, visit Network Health Medicare Advantage Plan s Formulary The formulary below provides coverage information about the drugs covered by our plan. If you have trouble finding your drug in the list, turn to the Index that begins on page 170. The first column of the chart lists the drug name. Brand name drugs are capitalized (e.g., CRESTOR) and generic drugs are listed in lower-case italics (e.g., warfarin). The information in the column tells you if Network Health Medicare Advantage plans has any special requirements for coverage of your drug.

6 Legend PA STEP QL B/D PA LA Prior Authorization Step Therapy Quantity Limit This drug may be covered under Medicare Part B or D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination. Limited Availability. This prescription may be available only at certain pharmacies. For more information, consult your Pharmacy Directory or call customer service at , hours a day/seven days a week. TTY users should call

7 Network PlatinumPlus Pharmacy and Network PlatinumSelect This table defines the standard copay structure during the initial coverage phase, which is what you pay after your deductible is met.* Depending on your income level, your actual cost-share may be less. For more information, consult your Evidence of Coverage. Initial Coverage Phase PREFERRED PHARMACY STANDARD PHARMACY DRUG TIER One Month Three Months One Month Three Months 1 $ $ $ $10 $8 $0 $1 $ * $ $100 $ $109 * $8 $00 $90 $1 * 8% N/A 8% N/A *During the deductible stage, you pay the full cost of drugs in, and until you have paid $00. Network PlatinumPremier Pharmacy This table defines the standard copay structure during the initial coverage phase. Depending on your income level, your actual cost-share may be less. For more information, consult your Evidence of Coverage. Initial Coverage Phase PREFERRED PHARMACY STANDARD PHARMACY DRUG TIER One Month Three Months One Month Three Months 1 $ $ $ $10 $8 $0 $1 $ $ $100 $ $109 $8 $00 $90 $1 % N/A % N/A 7

8 NetworkCares This table defines the standard copay structure during the initial coverage phase, which is what you pay after your deductible is met.* Depending on your income level, you will pay the following cost-share. For more information, consult your Evidence of Coverage. Initial Coverage Phase PREFERRED PHARMACY STANDARD PHARMACY 1 DRUG TIER One Month Three Months One Month Three Months $0, $1, $1.0, $.9, or 1% $0, $1.0, $.9, $1 or 1% $0, $1.0, $.9, $ or 1% $0, $1.0, $.9, $0 or 1% $0, $1.0, $.9, $ or 1% $0, $1.0, $.9, $18 or 1% $0, $1.0, $.9, $8 or 1% $0, $1.0, $.9, $ or 1% $0, $1.0, $.9, $.60, $7.0, $ or 1% $0, $.60, $7.0, $80 or 1% $0, $1.0, $.9, $.60, $7.0, 1% or 0% $0, $1.0, $.9, $.60, $7.0, $10 or 1% $0, $.60, $7.0, $1 or 1% $0, $1.0, $.9, $.60, $7.0, $ or 1% $0, $.60, $7.0, $86 or 1% N/A $0, $1.0, $.9, $.60, $7.0, 1% or 0% $0, $1.0, $.9, $.60, $7.0, $10 or 1% $0, $.60, $7.0, $ or 1% N/A *During the deductible stage, you pay the full cost of your drugs. You stay in this stage until you have paid $10 for your drugs. Depending on your income level, your actual deductible and cost-share amounts may be less. 8

9 Legend Description 1 Preferred Generics Generics Preferred Brands Non-Preferred Brands Specialty Symbol QL PA STEP LA Description There is a limit on the amount of this drug that is covered per prescription, or within a specific time frame. You (or your physician) are required to get prior authorization before you fill your prescription for this drug. Without prior approval, we may not cover this drug. In some cases, you may be required to first try certain drugs to treat your medical condition before we will cover another drug for that condition. Limited Availability. This prescription may be available only at certain pharmacies. For more information, consult your Pharmacy Directory or call customer service at , hours a day/seven days a week. TTY users should call You can find information on what the symbols and abbreviations on this table mean by going to page. 9

10 Name ANTI - INFECTIVES ANTIFUNGAL AGENTS ABELCET 100 MG/0 ML VIAL AMBISOME 0 MG VIAL amphotericin b 0 mg vial ANCOBON (0 MG CAPSULE, 00 MG CAPSULE) CANCIDAS (IV 0 MG VIAL, IV 70 MG VIAL) clotrimazole 10 mg troche CRESEMBA (186 MG CAPSULE, 7 MG VIAL) DIFLUCAN (10 MG/ML SUSPENSION, 0 MG/ML SUSPENSION, 0 MG, 100 MG, 10 MG, 00 MG ) ERAXIS (WATER DILUENT) (0 MG VIAL, 100 MG VIAL) fluconazole (10 mg/ml susp recon, 0 mg/ml susp recon, 0 mg tablet, 100 mg tablet, 10 mg tablet, 00 mg tablet) B/D PA B/D PA B/D PA B/D PA Name fluconazole in dextrose,iso-os 00mg/0.l piggyback fluconazole in nacl,iso-osm 100mg/0ml piggyback fluconazole in sodium chloride, isoosmotic (00mg/0.1l pggybk btl, 00mg/0.1l piggyback, 00mg/0.l piggyback) flucytosine (0 mg capsule, 00 mg capsule) GRIS-PEG (1 MG, 0 MG ) griseofulvin ultramicrosize (1 mg tablet, 0 mg tablet) griseofulvin, microsize (1 mg/ml oral susp, 00 mg tablet) itraconazole 100 mg capsule ketoconazole 00 mg tablet LAMISIL (1 MG GRANULES PACKET, 187. MG GRANULES PACK, 0 MG ) MYCAMINE (0 MG VIAL, 100 MG VIAL) PA 10

11 Name Name NOXAFIL (0 MG/ML SUSPENSION, DR 100 MG, 00 MG/16.7 ML VIAL) nystatin (0mm unit powder(ea), 10mm unit powder(ea), 00mm unit powder(ea), 00k unit tablet, /ml oral susp) ONMEL 00 MG PA acyclovir (00 mg capsule, 00 mg/ml oral susp, 00 mg tablet, 800 mg tablet) acyclovir sodium (0 mg/ml vial, 00 mg vial, 1000 mg vial) adefovir dipivoxil 10 mg tablet amantadine hcl (0 mg/ ml solution, 100 mg tablet, 100 mg capsule) B/D PA ORAVIG 0 MG BUCCAL SPORANOX (10 MG/ML SOLUTION, 100 MG CAPSULE) terbinafine hcl 0 mg tablet VFEND (0 MG/ML SUSPENSION, 0 MG, 00 MG ) VFEND IV 00 MG VIAL PA APTIVUS (100 MG/ML SOLUTION, 0 MG CAPSULE) ATRIPLA BARACLUDE (0. MG, 1 MG ) BARACLUDE 0.0 MG/ML SOLUTION cidofovir 7 mg/ml vial COMBIVIR B/D PA voriconazole (0 mg tablet, 00 mg tablet, 00 mg/ml susp recon) voriconazole 00 mg vial ANTIVIRALS COMPLERA COPEGUS 00 MG CRIXIVAN (00 MG CAPSULE, 00 MG CAPSULE) abacavir sulfate 00 mg tablet CYTOVENE 00 MG VIAL abacavir/lamivudine/ zidovudine 10-00mg tablet DAKLINZA (0 MG, 60 MG ) PA 11

12 Name Name DESCOVY 00- MG FLUMADINE 100 MG didanosine (1 mg capsule dr, 00 mg capsule dr, 0 mg capsule dr, 00 mg capsule dr) EDURANT MG FUZEON (90 MG VIAL, CONVENIENCE KIT) ganciclovir sodium 00 mg vial GENVOYA EMTRIVA (10 MG/ML SOLUTION, 00 MG CAPSULE) entecavir (0. mg tablet, 1 mg tablet) EPIVIR (10 MG/ML ORAL SOLN, 10 MG, 00 MG ) EPIVIR HBV 100 MG EPIVIR HBV MG/ ML SOLN EPZICOM EVOTAZ 00 MG-10 MG HARVONI MG HEPSERA 10 MG INTELENCE (100 MG, 00 MG ) INTELENCE MG INVIRASE 00 MG CAPSULE INVIRASE 00 MG ISENTRESS (100 MG CHEW, 00 MG ) PA famciclovir 1 mg tablet famciclovir 0 mg tablet famciclovir 00 mg tablet FAMVIR 1 MG FAMVIR 0 MG FAMVIR 00 MG QL (10 PER QL (60 PER 0 QL (0 PER 10 QL (10 PER QL (60 PER 0 QL (0 PER 10 ISENTRESS ( MG CHEW, 100 MG POWDER PACKET) KALETRA (00-0 MG, / ML ORAL SOLU) KALETRA 100- MG lamivudine (10 mg/ml solution, 100 mg tablet, 10 mg tablet, 00 mg tablet) 1

13 Name Name lamivudine/zidovudin e 10-00mg tablet RELENZA MG DISKHALER LEXIVA 0 MG/ML SUSPENSION LEXIVA 700 MG MODERIBA (00-00 MG DOSEPACK, 00 MG, MG DOSEPACK, MG DOSEPACK) MODERIBA MG DOSEPACK nevirapine (0 mg/ ml oral susp, 100 mg tab er h, 00 mg tablet, 00 mg tab er h) NORVIR (80 MG/ML SOLUTION, 100 MG, 100 MG SOFTGEL CAP) ODEFSEY PREZCOBIX 800 MG- 10 MG RESCRIPTOR (100 MG, 00 MG ) RETROVIR (10 MG/ML SYRUP, 100 MG CAPSULE) RETROVIR 00 MG/0 ML VIAL REYATAZ (0 MG POWDER PACKET, 10 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) RIBASPHERE (00 MG, 00 MG CAPSULE, 00 MG ) RIBASPHERE 600 MG RIBASPHERE RIBAPAK (00-00 MG, MG, MG, MG) PREZISTA (100 MG/ML SUSPENSION, 600 MG, 800 MG ) PREZISTA (7 MG, 10 MG ) RIBATAB MG DOSEPACK ribavirin (00 mg capsule, 00 mg tablet) rimantadine hcl 100 mg tablet RAPIVAB 00 MG/0 ML VIAL REBETOL 00 MG CAPSULE REBETOL 0 MG/ML SOLUTION SELZENTRY (10 MG, 00 MG ) SOVALDI 00 MG PA 1

14 Name Name stavudine (1 mg/ml soln recon, 1 mg capsule, 0 mg capsule, 0 mg capsule, 0 mg capsule) STRIBILD valganciclovir hcl 0 mg tablet VALTREX 1 GM CAPLET VALTREX 00 MG CAPLET QL (0 PER 0) QL (60 PER 0) SUSTIVA (0 MG CAPSULE, 00 MG CAPSULE, 600 MG ) SYNAGIS (0 MG/0. ML VIAL, 100 MG/1 ML VIAL) TAMIFLU (6 MG/ML SUSPENSION, 0 MG CAPSULE, MG CAPSULE, 7 MG CAPSULE) TECHNIVIE DOSE PACK TIVICAY 0 MG TRIUMEQ TRIZIVIR TRUVADA 00 MG- 00 MG TYBOST 10 MG TYZEKA 600 MG valacyclovir hcl 1000 mg tablet valacyclovir hcl 00 mg tablet LA PA QL (0 PER 0) QL (60 PER 0) VIDEX ( GM SOLN, GM SOLN) VIDEX EC (EC 1 MG CAPSULE, EC 00 MG CAPSULE, EC 0 MG CAPSULE, EC 00 MG CAPSULE) VIEKIRA PAK PA VIRACEPT (0 MG, 6 MG ) VIRAMUNE (0 MG/ ML SUSP, 00 MG ) VIRAMUNE XR (100 MG, 00 MG ) VIRAZOLE 6 GM VIAL VIREAD (10 MG, 00 MG, 0 MG, 00 MG, POWDER) VISTIDE 7 MG/ML VIAL VITEKTA (8 MG, 10 MG ) B/D PA VALCYTE (0 MG/ML SOLUTION, 0 MG ) ZEPATIER MG PA 1

15 Name Name ZERIT (1 MG/ML SOLUTION, 1 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE) ZIAGEN (0 MG/ML SOLUTION, 00 MG ) zidovudine (10 mg/ml syrup, 100 mg capsule, 00 mg tablet) ZOVIRAX (00 MG/ ML SUSP, 00 MG CAPSULE, 00 MG, 800 MG ) cefazolin sodium/dextrose, iso-osmotic (sodium/dextrose,iso 1 g/0 ml froz.piggy, sodium/dextrose,iso 1 g/0 ml piggyback, sodium/dextrose,iso g/0 ml piggyback) cefazolin sodium/dextrose,iso g/100 ml froz.piggy cefdinir (1 mg/ml susp recon, 0 mg/ml susp recon, 00 mg capsule) cefepime hcl (1 g vial, g vial) CEPHALOSPORINS AVYCAZ. GRAM VIAL CEDAX (180 MG/ ML SUSPENSION, 00 MG CAPSULE) cefaclor (1 mg/ml susp recon, 0 mg/ml susp recon, 0 mg capsule, 7 mg/ml susp recon, 00 mg tab er 1h, 00 mg capsule) cefadroxil (1 g tablet, 0 mg/ml susp recon, 00 mg capsule, 00 mg/ml susp recon) cefepime hcl/dextrose % in water (hcl/dw g/0 ml piggyback, hcl/dw 1 g/0 ml piggyback) cefepime hcl/dextrose, isoosmotic (hcl/dextrose, 1 g/0 ml froz.piggy, hcl/dextrose, g/100 ml froz.piggy) cefixime (100 mg/ml susp recon, 00 mg/ml susp recon) CEFOTAN (1 GM VIAL, GM VIAL) cefazolin sodium (1 g vial, 1 g vial port, 10 g vial, 0 g vial, 100 g bulkbaginj, 00g bulkbaginj, 00 mg vial) cefotaxime sodium (1 g vial, g vial, 10 g vial, 00 mg vial) cefotetan disodium (1 g vial, g vial, 10 g vial) 1

16 Name Name cefotetan disodium/dextrose, iso-osmotic (disod/dextrose,iso 1 g/0 ml piggyback, disod/dextrose,iso g/0 ml piggyback) cefoxitin sodium (1 g vial, g vial, 10 g vial) cefoxitin sodium/dextrose, isoosmotic (sodium/dextrose,iso 1 g/0 ml piggyback, sodium/dextrose,iso g/0 ml piggyback) cefpodoxime proxetil (0 mg/ ml susp recon, 100 mg tablet, 100 mg/ml susp recon, 00 mg tablet) cefprozil (1 mg/ml susp recon, 0 mg tablet, 0 mg/ml susp recon, 00 mg tablet) ceftazidime (1 g vial, g vial, 6 g vial) ceftazidime in dextrose % and water (1 g/0 ml piggyback, g/0 ml piggyback) ceftibuten (180 mg/ml susp recon, 00 mg capsule) ceftriaxone sodium (1 g vial, 1 g vial port, g vial port, g vial, 10 g vial, 100 g bulkbaginj, 0 mg vial, 00 mg vial) ceftriaxone sodium/dextrose, iso-osmotic (na/dextrose,iso 1 g/0 ml froz.piggy, na/dextrose,iso g/0 ml froz.piggy) cefuroxime axetil (0 mg tablet, 00 mg tablet) cefuroxime sodium (1. g vial, 7. g vial, 7 g bulkbaginj, 70 mg vial) cephalexin (1 mg/ml susp recon, 0 mg tablet, 0 mg capsule, 0 mg/ml susp recon, 00 mg tablet, 00 mg capsule, 70 mg capsule) CLAFORAN (1 GM VIAL, 1 GM ADD- VANTAGE VL, GM ADD-VANTAGE VL, GM VIAL, 10 GM VIAL, 00 MG VIAL) CLAFORAN- DEXTROSE (1 GM/0 ML, GM/0 ML) CEFTIN (1 MG/ ML ORAL SUSP, 0 MG/ ML ORAL SUSP, 0 MG, 00 MG ) 16

17 Name Name FORTAZ (1 GM VIAL, 1 GM ADD- VANTAGE VIAL, 1 GM TWISTVIAL, GM VIAL, GM TWISTVIAL, GM ADD-VANTAGE VIAL, 6 GM VIAL, 00 MG VIAL) ZERBAXA 1. GRAM VIAL ZINACEF (1. GM TWISTVIAL, 1. GRAM/0 ML, 1. GM VIAL, 7. GM VIAL, 70 MG VIAL, 70 MG TWISTVIAL) FORTAZ IN ISO- OSMOTIC DEXTROSE (FORTAZ-ISO- OSMOT GM/0 ML, FORTAZ-ISO- OSMOTIC 1 GM/0 ML) MAXIPIME (1 GRAM VIAL, 1 GM ADD- VANTAGE VL, GRAM VIAL, GM ADD-VANTAGE VL) MEFOXIN (1 GM/0 ML PIGGYBACK, GM/0 ML PIGGYBACK) SUPRAX (100 MG/ ML SUSPENSION, 100 MG CHEWABLE, 00 MG/ ML SUSPENSION, 00 MG CHEWABLE, 00 MG CAPSULE, 00 MG/ ML SUSPENSION) TAZICEF (1 GRAM VIAL, 1 GM ADD- VANTAGE VIAL, GRAM VIAL, GM ADD-VANTAGE, 6 GRAM VIAL) TEFLARO (00 MG VIAL, 600 MG VIAL) ERYTHROMYCINS / OTHER MACROLIDES azithromycin (1 g packet, 100 mg/ml susp recon, 00 mg/ml susp recon, 0 mg tablet, 00 mg vial port, 00 mg tablet, 00 mg vial, 600 mg tablet) BIAXIN (0 MG, 0 MG/ ML SUSPENSION, 00 MG ) clarithromycin (1 mg/ml susp recon, 0 mg/ml susp recon, 0 mg tablet, 00 mg tab er h, 00 mg tablet) DIFICID 00 MG E.E.S. 00 MG/ ML GRANULES E.E.S. 00 FILMTAB ERY-TAB (EC 0 MG, EC MG ) ERY-TAB EC 00 MG ERYPED 00 MG/ ML SUSPENSION PA; QL (0 PER 10 17

18 Name Name ERYPED 00 MG/ ML SUSPENSION ERYTHROCIN 0 MG FILMTAB ERYTHROCIN LACTOBIONATE (00 MG VIAL, 00 MG ADDVNT VL) erythromycin base (0 mg tablet, 0 mg capsule dr, 00 mg tablet) erythromycin ethylsuccinate 00 mg tablet amikacin sulfate (00 mg/ml vial, 1000mg/ml vial) atovaquone 70 mg/ml oral susp atovaquone/proguani l hcl (atovaquone/progua nil 6.- mg tablet, atovaquone/proguani l mg tablet) AZACTAM (1 GM VIAL, GM VIAL) AZACTAM-ISO- OSMOT 1 GM/0 ML PCE ( MG, 00 MG ) ZITHROMAX (1 GM POWDER PACKET, 100 MG/ ML SUSP, 00 MG/ ML SUSP, 0 MG Z-PAK, 0 MG, 00 MG, 600 MG, I.V. 00 MG VIAL) AZACTAM-ISO- OSMOT GM/0 ML aztreonam (1 g vial, g vial) BACIIM 0,000 UNITS VIAL bacitracin 0000 unit vial BETHKIS 00 MG/ ML AMPULE B/D PA; QL ( PER 8) ZITHROMAX TRI- PAK 00 MG TAB BILTRICIDE 600 MG ZMAX G/60 ML ORAL SUSPENSION MISCELLANEOUS ANTIINFECTIVES ALBENZA 00 MG ALINIA (100 MG/ ML SUSPENSION, 00 MG ) CAPASTAT SULFATE 1 GM VIAL CAYSTON 7 MG INHAL SOLUTION chloramphenicol sod succ 1 g vial chloroquine phosphate (0 mg tablet, 00 mg tablet) LA 18

19 Name Name CLEOCIN 7 MG/ ML GRANULES CLEOCIN HCL (7 MG CAPSULE, 10 MG CAPSULE, 00 MG CAPSULE) CLEOCIN PHOSPHATE (PHOS 9 G/60 ML VIAL, 10 MG/ML ADDVN VIAL, PHOS 10 MG/ML VIAL, PHOS 00 MG/ ML VIAL, PHOS 600 MG/ ML VIAL, PHOS 900 MG/6 ML VIAL) CLEOCIN PHOSPHATE IN DW (00, 600, 900) clindamycin phosphate/dextrose % in water (phosphate/dw 00mg/0ml piggyback, phosphate/dw 900mg/0ml piggyback, phosphate/dw 600mg/0ml piggyback) COARTEM S colistin (colistimethate na) 10 mg vial COLY-MYCIN M 10 MG VIAL CLIN SINGLE USE KIT CUBICIN 00 MG VIAL clindamycin hcl (7 mg capsule, 10 mg capsule, 00 mg capsule) clindamycin palmitate hcl 7 mg/ ml soln recon cycloserine 0 mg capsule DALVANCE 00 MG VIAL dapsone ( mg tablet, 100 mg tablet) clindamycin phosphate (10 mg/ml vial, 00 mg/ml vial port, 600 mg/ml vial port, 900mg/6ml vial port) DARAPRIM MG DORIBAX (0 MG VIAL, 00 MG VIAL) EMVERM 100 MG CHEW ethambutol hcl (100 mg tablet, 00 mg tablet) FLAGYL (0 MG, 7 CAPSULE, 00 MG ) 19

20 Name Name gentamicin in nacl, iso-osm 100mg/0ml piggyback gentamicin sulfate (0 mg/ ml vial, 0 mg/ml vial) gentamicin sulfate in sodium chloride, isoosmotic (gentamic60 mg/0ml piggyback, gentamic70 mg/0ml piggyback, gentamic80 mg/0ml piggyback, gentamic80mg/100ml piggyback, gentamic90mg/100ml piggyback, gentamic100mg/0.1l piggyback, gentamic10mg/0.1l piggyback) ivermectin mg tablet KETEK (00 MG, 00 MG ) KITABIS PAK 00 MG/ ML LINCOCIN 00 MG/ML VIAL lincomycin hcl 00 mg/ml vial linezolid (100 mg/ml susp recon, 600mg/00 iv soln, 600 mg tablet) linezolid-0.9% sodium chloride 600mg/00 iv soln gentamicin sulfate/pf (sulfate/pf 0 mg/ ml vial, sulfate/pf 60 mg/6 ml vial port, sulfate/pf 80 mg/8 ml vial port, sulfate/pf 100mg/10ml vial port) hydroxychloroquine sulfate 00 mg tablet imipenem/cilastatin sodium (imipenem/cilastatin 0 mg vial, imipenem/cilastatin 00 mg vial) MALARONE (6.- MG PED TAB, MG ) mefloquine hcl 0 mg tablet MEPRON 70 MG/ ML SUSPENSION meropenem (1 g vial, 00 mg vial) meropenem in 0.9 % sodium chloride (1 g/0 ml piggyback, 00mg/0ml piggyback) INVANZ (1 GM VIAL, 1 GM ADD- VANTAGE VIAL) MERREM (IV 1 GM VIAL, IV 00 MG VIAL) isoniazid (0 mg/ ml solution, 100 mg/ml vial, 100 mg tablet, 00 mg tablet) METRO IV 00 MG/100 ML 0

21 Name metronidazole (0 mg tablet, 7 mg capsule, 00 mg tablet) metronidazole/sodiu m chloride 00mg/0.1l piggyback MYAMBUTOL 00 MG MYCOBUTIN 10 MG CAPSULE NEBUPENT 00 MG INHAL POWDER neomycin sulfate 00 mg tablet ORBACTIV 00 MG VIAL paromomycin sulfate 0 mg capsule PASER GRANULES GM PACKET PENTAM 00 VIAL B/D PA Name QUALAQUIN MG CAPSULE quinine sulfate mg capsule rifabutin 10 mg capsule RIFADIN (10 MG CAPSULE, 00 MG CAPSULE, IV 600 MG VIAL) RIFAMATE CAPSULE rifampin (10 mg capsule, 00 mg capsule, 600 mg vial) RIFATER RIMSO-0 SOLUTION SIRTURO 100 MG SIVEXTRO (00 MG VIAL, 00 MG ) LA PLAQUENIL 00 MG streptomycin sulfate 1 g vial polymyxin b sulfate 00k unit vial STROMECTOL MG PRIFTIN 10 MG SYNERCID 00 MG VIAL primaquine phosphate 6. mg tablet TINDAMAX (0 MG, 00 MG ) PRIMAXIN (0 MG VIAL, 00 MG VIAL) tinidazole (0 mg tablet, 00 mg tablet) pyrazinamide 00 mg tablet TOBI 00 MG/ ML SOLUTION B/D PA; QL (80 PER 8) 1

22 Name Name TOBI PODHALER 8 MG INHALE CAP tobramycin in 0.% nacl 00 mg/ml ampul-neb tobramycin sulfate (1. g vial, 10 mg/ml vial, 0 mg/ml vial) TRECATOR 0 MG TYGACIL 0 MG VIAL XIFAXAN 00 MG XIFAXAN 0 MG ZYVOX (100 MG/ ML SUSPENSION, 00 MG/100 ML IV SOLN, 600 MG/00 ML IV SOLN, 600 MG ) PENICILLINS amoxicillin (1 mg tab chew, 1 mg/ml susp recon, 00 mg/ml susp recon, 0 mg capsule, 0 mg tab chew, 0 mg/ml susp recon, 00 mg/ml susp recon, 00 mg tablet, 00 mg capsule, 87 mg tablet) QL ( PER 8) B/D PA; QL (80 PER 8) QL (9 PER amoxicillin/potassium clavulanate (amoxicillin/potassiu m 00-8.mg tab chew, amoxicillin/potassium 00-8./ susp recon, amoxicillin/potassium 0-6./ susp recon, amoxicillin/potassium 0-1 mg tablet, amoxicillin/potassium 00-7mg tab chew, amoxicillin/potassium 00-7mg/ susp recon, amoxicillin/potassium 00-1 mg tablet, amoxicillin/potassium / susp recon, amoxicillin/potassium 87-1 mg tablet, amoxicillin/potassium tab er 1h) ampicillin sodium (1 g vial, 1 g vial port, g vial port, g vial, 10 g vial, 1 mg vial, 0 mg vial, 00 mg vial) ampicillin sodium/sulbactam sodium (sodium/sulbactam 1. g vial port, sodium/sulbactam 1. g vial, sodium/sulbactam g vial, sodium/sulbactam g vial port, sodium/sulbactam 1 g vial)

23 Name Name ampicillin trihydrate (1 mg/ml susp recon, 0 mg capsule, 0 mg/ml susp recon, 00 mg capsule) AUGMENTIN (1-1. MG/ ML, 0-6. MG/ ML, 87-1 ) AUGMENTIN XR 1, TAB BICILLIN C-R (1. MILLION UNIT, SYRINGE) BICILLIN L-A (600,000 UNIT/ML, 1,00,000 UNITS,,00,000 UNITS) dicloxacillin sodium (0 mg capsule, 00 mg capsule) nafcillin in dextrose, iso-osmotic (1 g/0 ml froz.piggy, g/100 ml froz.piggy) nafcillin sodium (1 g vial port, 1 g vial, g vial port, g vial) nafcillin sodium 10 g vial oxacillin sodium/dextrose,iso g/0 ml froz.piggy penicillin g potassium (g mm vial, g 0mm vial) penicillin g potassium/dextrosewater (pen g pot/dextrose-water 1mm/0ml froz.piggy, pen g pot/dextrose-water mm/0ml froz.piggy, pen g pot/dextrose-water mm/0ml froz.piggy) penicillin g procaine (g 1.mm/ ml syringe, g /ml syringe) penicillin g sodium mm unit vial penicillin v potassium (1 mg/ml soln recon, 0 mg tablet, 0 mg/ml soln recon, 00 mg tablet) PFIZERPEN ( MILLION UNITS VIAL, 0 MILLION UNIT VIAL) oxacillin sodium (1 g vial, 1 g vial port, g vial port, g vial) oxacillin sodium 10 g vial oxacillin sodium/dextrose,iso 1 g/0 ml froz.piggy

24 Name Name piperacillin sodium/tazobactam sodium (sodium/tazobactam. g vial, sodium/tazobactam.7 g vial, sodium/tazobactam.7 g vial port, sodium/tazobactam. g vial, sodium/tazobactam. g vial port, sodium/tazobactam 0. g vial) UNASYN (1. GM VIAL, GM VIAL, 1 GM VIAL) ZOSYN (. GM/0 ML GALAXY BAG,. GRAM VIAL,.7 GRAM VIAL,.7 GM/0 ML GALAXY,. GRAM VIAL,. GM/100 ML GALAXY BAG, 0. GRAM BULK VIAL) QUINOLONES AVELOX 00 MG AVELOX ABC PACK 00 MG TAB AVELOX IV 00 MG/0 ML CIPRO XR (00 MG, 1,000 MG ) ciprofloxacin (0 mg/ml sus mc rec, 00 mg/ml sus mc rec) ciprofloxacin hcl (100 mg tablet, 0 mg tablet, 00 mg tablet, 70 mg tablet) ciprofloxacin lactate (00mg/0ml vial, 00mg/0ml vial) ciprofloxacin lactate/dextrose % in water (lactate/dw 00mg/0.l piggyback, lactate/dw 00mg/0.1l piggyback) ciprofloxacin/ciproflo xacin hcl (ciprofloxacin/ciproflo xa 00 mg tbmp hr, ciprofloxacin/ciproflo xa 1000 mg tbmp hr) LEVAQUIN (0 MG, 00 MG, 70 MG ) CIPRO (% SUSPENSION, 10% SUSPENSION, 0 MG, 00 MG ) CIPRO I.V. 00 MG/00 ML DW levofloxacin ( mg/ml vial, 0mg/10ml solution, 0 mg tablet, 00 mg tablet, 00mg/0ml solution, 70 mg tablet)

25 Name Name levofloxacin/dextrose % in water (levofloxacin/dw 70mg/.1l piggyback, levofloxacin/dw 0mg/0ml piggyback, levofloxacin/dw 00mg/0.1l piggyback) moxifloxacin hcl 00 mg tablet SULFATRIM PEDIATRIC SUSPENSION TETRACYCLINES ADOXA 10 MG CAPSULE demeclocycline hcl (10 mg tablet, 00 mg tablet) DOXY 100 VIAL moxifloxacin/sod.ace, sul/water 00mg/.l piggyback ofloxacin 00 mg tablet SULFA'S / RELATED AGENTS BACTRIM MG BACTRIM DS sulfadiazine 00 mg tablet sulfamethoxazole/tri methoprim (sulfamethoxazole/tri methoprim 80-16mg/ml vial, sulfamethoxazole/tri methoprim 00-0mg/ oral susp, sulfamethoxazole/tri methoprim 00mg- 80mg tablet, sulfamethoxazole/tri methoprim /0 oral susp, sulfamethoxazole/tri methoprim mg tablet) doxycycline hyclate (0 mg tablet, 0 mg capsule, 7 mg tablet dr, 100 mg capsule, 100 mg tablet, 100 mg tablet dr, 100 mg vial, 10 mg tablet dr) doxycycline monohydrate ( mg/ ml susp recon, 0 mg capsule, 0 mg tablet, 7 mg capsule, 7 mg tablet, 100 mg tablet, 100 mg capsule, 10 mg tablet, 10 mg capsule) doxycycline monohydrate 0 mg cap ir dr MINOCIN (0 MG PELLETIZED CAP, 7 MG PELLETIZED CAP, 100 MG VIAL, 100 MG PELLETIZED CAP)

26 Name Name minocycline hcl ( mg tab er h, 0 mg tablet, 0 mg capsule, 7 mg capsule, 7 mg tablet, 90 mg tab er h, 100 mg capsule, 100 mg tablet, 1 mg tab er h) MONDOXYNE NL (NL 0 MG CAPSULE, NL 7 MG CAPSULE, NL 100 MG CAPSULE) MORGIDOX (1X100 MG KIT, X100 MG KIT) MORGIDOX 100 MG CAPSULE ORACEA 0 MG CAPSULE SOLODYN (ER MG, ER 6 MG, ER 80 MG, ER 10 MG, ER 11 MG ) MACRODANTIN ( MG CAPSULE, 0 MG CAPSULE, 100 MG CAPSULE) methenamine hippurate 1 g tablet methenamine mandelate (1 g tablet, 00 mg tablet) MONUROL GM SACHET nitrofurantoin mg/ ml oral susp nitrofurantoin macrocrystal ( mg capsule, 0 mg capsule, 100 mg capsule) nitrofurantoin monohyd/m-cryst 100 mg capsule trimethoprim 100 mg tablet VANCOMYCIN tetracycline hcl (0 mg capsule, 00 mg capsule) VANCOCIN HCL (1 MG CAPSULE, 0 MG CAPSULE) VIBRAMYCIN ( MG/ ML SUSP, 0 MG/ ML SYRUP, 100 MG CAPSULE) URINARY TRACT AGENTS FURADANTIN MG/ ML SUSP vancomycin hcl (1 g vial, 1 g vial port, g vial, 10 g vial, 00 mg vial, 00 mg vial port, 70 mg vial) vancomycin hcl (1 mg capsule, 0 mg capsule) HIPREX 1 GM vancomycin hcl 70 mg vial port MACROBID 100 MG CAPSULE 6

27 Name vancomycin hcl/dextrose % in water ( % 1g/00ml froz.piggy, % 00mg/0.1l froz.piggy) vancomycin in dextrose,iso-osm 70mg/.1l froz.piggy vancomycin/0.9 % sod chloride 1g/00ml froz.piggy ANTINEOPLASTIC / IMMUNOSUPPRESSANT DRUGS ADJUNCTIVE AGENTS amifostine crystalline 00 mg vial dexrazoxane hcl (0 mg vial, 00 mg vial) ELITEK (1. MG VIAL, 7. MG VIAL) FUSILEV I.V. 0 MG VIAL KEPIVANCE 6. MG VIAL leucovorin calcium ( mg tablet, 10 mg/ml vial, 10 mg tablet, 1 mg tablet, mg tablet, 0 mg vial, 100 mg vial, 00 mg vial, 0 mg vial, 00mg/0ml vial, 00 mg vial) levoleucovorin calcium 10 mg/ml vial mesna 100 mg/ml vial Name MESNEX 1 GRAM/10 ML VIAL MESNEX 00 MG XGEVA 10 MG/1.7 ML VIAL ZINECARD (0 MG VIAL, 00 MG VIAL) ANTINEOPLASTIC / IMMUNOSUPPRESSANT DRUGS ABRAXANE 100 MG VIAL ADRUCIL ( GRAM/100 ML VIAL, 00 MG/10 ML VIAL,,00 MG/0 ML VIAL) AFINITOR (. MG, MG, 7. MG, 10 MG ) AFINITOR DISPERZ ( MG, MG, MG ) ALECENSA 10 MG CAPSULE ALIMTA (100 MG VIAL, 00 MG VIAL) ALKERAN MG ALKERAN 0 MG VIAL anastrozole 1 mg tablet ARIMIDEX 1 MG STEP B/D PA 7

28 Name Name AROMASIN MG ARRANON 0 MG VIAL ARZERRA 1,000 MG/0 ML VIAL ASTAGRAF XL (0. MG CAPSULE, 1 MG CAPSULE, MG CAPSULE) AVASTIN (100 MG/ ML VIAL, 00 MG/16 ML VIAL) azacitidine 100 mg vial B/D PA B/D PA BOSULIF (100 MG, 00 MG ) BUSULFEX 60 MG/10 ML VIAL CABOMETYX (0 MG, 0 MG, 60 MG ) CAMPTOSAR (0 MG/ ML VIAL, 100 MG/ ML VIAL, 00 MG/1 ML VIAL) CAPRELSA (100 MG, 00 MG ) LA AZASAN (7 MG, 100 MG ) B/D PA carboplatin (10 mg/ml vial, 10 mg vial) azathioprine 0 mg tablet B/D PA CASODEX 0 MG azathioprine sodium 100 mg vial BELEODAQ 00 MG VIAL BENDEKA 100 MG/ ML VIAL bexarotene 7 mg capsule bicalutamide 0 mg tablet BICNU 100 MG VIAL bleomycin sulfate (1 vial, 0 vial) B/D PA CELLCEPT (00 MG/ML ORAL SUSP, 00 MG ) CELLCEPT (0 MG CAPSULE, 00 MG VIAL) cisplatin 1 mg/ml vial cladribine 10 mg/10ml vial CLOLAR 0 MG/0 ML VIAL COMETRIQ (60 MG PACK, 100 MG PK, 10 MG PK) B/D PA B/D PA BLINCYTO MCG VIAL+STABILIZER B/D PA COSMEGEN 0. MG VIAL 8

29 Name COTELLIC 0 MG cyclophosphamide (1 g vial, g vial, 00 mg vial) cyclophosphamide ( mg capsule, 0 mg capsule) cyclophosphamide ( mg tablet, 0 mg tablet) cyclosporine ( mg capsule, 100 mg capsule, 0 mg/ml vial, 0 mg/ml ampul) cyclosporine, modified ( mg capsule, 0 mg capsule, 100 mg/ml solution, 100 mg capsule) PA; LA B/D PA B/D PA B/D PA B/D PA Name DARZALEX (100 MG/ ML VIAL, 00 MG/0 ML VIAL) daunorubicin hcl ( mg/ml vial, 0 mg vial) decitabine 0 mg vial DEPOCYT 0 MG/ ML VIAL DOCEFREZ 0 MG VIAL docetaxel (0 mg/ ml vial, 0mg/ml(1) vial, 80 mg/8 ml vial, 80 mg/ ml vial, 10 mg/7ml vial, 160 mg/8ml vial, 160mg/16ml vial, 00mg/0ml vial) DOXIL MG/ML VIAL LA CYRAMZA (100 MG/10 ML VIAL, 00 MG/0 ML VIAL) cytarabine 0 mg/ml vial B/D PA doxorubicin hcl ( mg/ml vial, 10 mg vial, 10 mg/ ml vial, 0 mg/10ml vial, 0 mg vial, 0 mg/ml vial) cytarabine/pf (cytarabine/pf 1 g vial, cytarabine/pf g/0 ml vial, cytarabine/pf 0 mg/ml vial, cytarabine/pf 100 mg/ml vial) doxorubicin hcl pegliposomal mg/ml vial DROXIA (00 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) dacarbazine (100 mg vial, 00 mg vial) DACOGEN 0 MG VIAL 9

30 Name Name ELIGARD (7. MG SYRINGE B, 7. MG SYRINGE KIT,. MG SYRINGE B,. MG SYRINGE KIT, 0 MG SYRINGE B, 0 MG SYRINGE KIT, MG SYRINGE B, MG SYRINGE KIT) FARESTON 60 MG FARYDAK (10 MG CAPSULE, 1 MG CAPSULE, 0 MG CAPSULE) FASLODEX 0 MG/ ML SYRINGE ELLENCE MG/ML VIAL FEMARA. MG EMCYT 10 MG CAPSULE EMPLICITI (00 MG VIAL, 00 MG VIAL) ENVARSUS XR (0.7 MG, 1 MG, MG ) epirubicin hcl (0 mg vial, 0 mg/ml vial, 00 mg vial, 00mg/0.1l vial) ERBITUX (100 MG/0 ML VIAL, 00 MG/100 ML VIAL) B/D PA B/D PA FIRMAGON ( X 10 MG VIALS, X 10 MG KIT, 80 MG VIAL, 80 MG KIT) floxuridine 00 mg vial fludarabine phosphate (0 mg vial, 0 mg/ ml vial) fluorouracil (1 g/0 ml vial,. g/0ml vial, g/100 ml vial, 00mg/10ml vial) flutamide 1 mg capsule ERIVEDGE 10 MG CAPSULE ERWINAZE 10,000 UNITS VIAL ETOPOPHOS 100 MG VIAL etoposide 0 mg/ml vial EVOMELA 0 MG VIAL exemestane mg tablet FOLOTYN (0 MG/ML VIAL, 0 MG/ ML VIAL) GAZYVA 1,000 MG/0 ML VIAL gemcitabine hcl (1 g vial, 1 g/6.ml vial, g vial, g/.6ml vial, 00 mg vial, 00mg/.6 vial) GEMZAR (1 GRAM VIAL, 00 MG VIAL) 0

31 Name Name GENGRAF ( MG CAPSULE, 100 MG/ML SOLUTION, 100 MG CAPSULE) GILOTRIF (0 MG, 0 MG, 0 MG ) B/D PA PA IFEX (1 GM VIAL, GM VIAL) ifosfamide (1 g/0 ml vial, 1 g vial, g/60ml vial, g vial) ifosfamide/mesna 1g-1g kit GLEEVEC (100 MG, 00 MG ) imatinib mesylate (100 mg tablet, 00 mg tablet) GLEOSTINE ( MG CAPSULE, 10 MG CAPSULE, 0 MG CAPSULE, 100 MG CAPSULE) IMBRUVICA 10 MG CAPSULE IMURAN 0 MG B/D PA HALAVEN 1 MG/ ML VIAL HERCEPTIN 0 MG VIAL HEXALEN 0 MG CAPSULE HYCAMTIN MG VIAL INLYTA (1 MG, MG ) IRESSA 0 MG irinotecan hcl (0 mg/ ml vial, 100 mg/ml vial, 00mg/ml vial) HYDREA 00 MG CAPSULE ISTODAX 10 MG VIAL hydroxyurea 00 mg capsule IXEMPRA (1 MG KIT, MG KIT) IBRANCE (7 MG CAPSULE, 100 MG CAPSULE, 1 MG CAPSULE) ICLUSIG (1 MG, MG ) IDAMYCIN PFS 1 MG/ML VIAL idarubicin hcl 1 mg/ml vial JAKAFI ( MG, 10 MG, 1 MG, 0 MG, MG ) JEVTANA 60 MG/1. ML KIT KADCYLA (100 MG VIAL, 160 MG VIAL) 1

32 Name Name KEYTRUDA (0 MG VIAL, 100 MG/ ML VIAL) LENVIMA (10 MG DAILY, 1 MG DAILY, 0 MG DAILY, MG DAILY) letrozole. mg tablet LEUKERAN MG leuprolide acetate (1 mg/0.ml kit, 1 mg/0.ml vial) LIPODOX MG/ML VIAL LIPODOX 0 MG/ML VIAL LONSURF (1 MG- 6.1 MG, 0 MG-8.19 MG ) LUPRON DEPOT (DEPOT.7 MG KIT, DEPOT- MONTH KIT, DEPOT 7. MG KIT, DEPOT 11. MG MO KIT, DEPOT. MG MO KIT, DEPOT MG 6MO KIT) MARQIBO KIT MATULANE 0 MG CAPSULE MEGACE 0 MG/ML ORAL SUSP MEGACE ES 6 MG/ ML SUSP megestrol acetate (0 mg tablet, 0 mg tablet, 00mg/10ml oral susp, 6mg/ml oral susp) MEKINIST (0. MG, MG ) melphalan hcl 0 mg vial mercaptopurine 0 mg tablet methotrexate sodium (. mg tablet, mg/ml vial) methotrexate sodium/pf (sodium/pf 1 g vial, sodium/pf mg/ml vial) mitomycin ( mg vial, 0 mg vial, 0 mg vial) PA B/D PA B/D PA LUPRON DEPOT- PED (7. MG KIT, 11. MG MO, 11. MG KIT, 1 MG KIT, 0 MG MO KIT) mitoxantrone hcl mg/ml vial MUSTARGEN 10 MG VIAL LYNPARZA 0 MG CAPSULE LYSODREN 00 MG mycophenolate mofetil (0 mg capsule, 00 mg tablet) B/D PA

33 Name mycophenolate mofetil 00 mg/ml susp recon mycophenolate sodium (180 mg tablet dr, 60 mg tablet dr) MYFORTIC (180 MG, 60 MG ) NEORAL ( MG GELATIN CAPSULE, 100 MG/ML SOLUTION, 100 MG GELATIN CAPSULE) NEXAVAR 00 MG NILANDRON 10 MG NINLARO (. MG CAPSULE, MG CAPSULE, MG CAPSULE) NIPENT 10 MG VIAL NULOJIX 0 MG VIAL octreotide acetate (0 mcg/ml vial, 0 mcg/ml ampul, 0 mcg/ml syringe, 100 mcg/ml ampul, 100 mcg/ml vial, 100 mcg/ml syringe, 00 mcg/ml vial) octreotide acetate (00 mcg/ml ampul, 00 mcg/ml syringe, 00 mcg/ml vial, 1000mcg/ml vial) B/D PA B/D PA B/D PA B/D PA LA B/D PA Name ONCASPAR 70 UNIT/ML VIAL OPDIVO (0 MG/ ML VIAL, 100 MG/10 ML VIAL) oxaliplatin (0 mg vial, 0 mg/10ml vial, 100 mg vial, 100mg/0ml vial) paclitaxel 6 mg/ml vial PERJETA 0 MG/1 ML VIAL POMALYST (1 MG CAPSULE, MG CAPSULE, MG CAPSULE, MG CAPSULE) PORTRAZZA 800 MG/0 ML VIAL PROGRAF (0. MG CAPSULE, 1 MG CAPSULE, MG/ML AMPULE, MG CAPSULE) PURIXAN 0 MG/ML ORAL SUSP RAPAMUNE (0. MG, 1 MG, 1 MG/ML ORAL SOLN, MG ) REVLIMID (. MG CAPSULE, MG CAPSULE, 10 MG CAPSULE, 1 MG CAPSULE, 0 MG CAPSULE, MG CAPSULE) B/D PA B/D PA B/D PA LA ODOMZO 00 MG CAPSULE LA RHEUMATREX. MG B/D PA

34 Name Name RITUXAN 10 MG/ML VIAL SANDIMMUNE ( MG CAPSULE, 0 MG/ML AMPUL, 100 MG/ML SOLN, 100 MG CAPSULE) SANDOSTATIN (0.0 MG/ML AMPUL, 0. MG/ML AMPUL) SANDOSTATIN (0.1 MG/ML AMPUL, 0. MG/ML VIAL, 1 MG/ML VIAL) SANDOSTATIN LAR (10 MG KIT, 0 MG KIT, 0 MG KIT) SANDOSTATIN LAR DEPOT (10 MG VL, 10 MG KT, 0 MG VL, 0 MG KT, 0 MG KT, 0 MG VL) SIGNIFOR (0. MG/ML, 0.6 MG/ML, 0.9 MG/ML) SIGNIFOR LAR (0 MG VIAL, 0 MG KIT, 0 MG KIT, 0 MG VIAL, 60 MG VIAL, 60 MG KIT) B/D PA SPRYCEL (0 MG, 0 MG, 70 MG, 80 MG, 100 MG, 10 MG ) STIVARGA 0 MG SUPPRELIN LA 0 MG KIT SUTENT (1. MG CAPSULE, MG CAPSULE, 7. MG CAPSULE, 0 MG CAPSULE) SYLVANT (100 MG VIAL, 00 MG VIAL) SYNRIBO. MG/ML VIAL TABLOID 0 MG tacrolimus (0. mg capsule, 1 mg capsule, mg capsule) TAFINLAR (0 MG CAPSULE, 7 MG CAPSULE) B/D PA PA SIMULECT (10 MG VIAL, 0 MG VIAL) sirolimus (0. mg tablet, 1 mg tablet, mg tablet) SOLTAMOX 10 MG/ ML SOLN SOMATULINE DEPOT (60 MG/0. ML, 90 MG/0. ML, 10 MG/0. ML) B/D PA B/D PA TAGRISSO (0 MG, 80 MG ) tamoxifen citrate (10 mg tablet, 0 mg tablet) TARCEVA ( MG, 100 MG, 10 MG ) LA

35 Name Name TARGRETIN (1% GEL, 7 MG SOFTGEL, 7 MG CAPSULE) TASIGNA (10 MG CAPSULE, 00 MG CAPSULE) TRISENOX 10 MG/10 ML AMPULE TYKERB 0 MG UNITUXIN 17. MG/ ML VIAL LA TAXOTERE (0 MG/ML VIAL, 80 MG/ ML VIAL) TEMODAR 100 MG VIAL THALOMID (0 MG CAPSULE, 100 MG CAPSULE, 10 MG CAPSULE, 00 MG CAPSULE) thiotepa 1 mg vial TOPOSAR (100 MG/ ML VIAL, 00 MG/ ML VIAL, 1,000 MG/0 ML VIAL) topotecan hcl ( mg/ ml vial, mg vial) TORISEL MG KIT TREANDA ( MG VIAL, 100 MG VIAL) VALSTAR 0 MG/ML VIAL VANTAS 0 MG KIT VECTIBIX (100 MG/ ML VIAL, 00 MG/0 ML VIAL) VELCADE. MG VIAL VENCLEXTA (10 MG, 0 MG ) VENCLEXTA 100 MG VENCLEXTA STARTING PACK VIDAZA 100 MG VIAL vinblastine sulfate (1 mg/ml vial, 10 mg vial) B/D PA PA; LA PA; LA PA; LA TRELSTAR (.7 MG SYRINGE, 11. MG SYRINGE,. MG VIAL,. MG SYRINGE) tretinoin 10 mg capsule TREXALL ( MG, 7. MG, 10 MG, 1 MG ) B/D PA VINCASAR PFS (1 MG/ML VIAL, MG/ ML VIAL) vincristine sulfate (1 mg/ml vial, mg/ ml vial) vinorelbine tartrate (10 mg/ml vial, 0 mg/ ml vial) VOTRIENT 00 MG

36 Name Name XALKORI (00 MG CAPSULE, 0 MG CAPSULE) PA ANTICONVULSANTS ACTIVE-PAC KIT XTANDI 0 MG CAPSULE YERVOY (0 MG/10 ML VIAL, 00 MG/0 ML VIAL) YONDELIS 1 MG VIAL ZALTRAP (100 MG/ ML VIAL, 00 MG/8 ML VIAL) ZANOSAR 1 GM POWDER VIAL ZELBORAF 0 MG ZOLADEX (.6 MG IMPLANT SYRN, 10.8 MG IMPLANT SYRN) ZOLINZA 100 MG CAPSULE ZORTRESS (0. MG, 0.7 MG ) PA B/D PA APTIOM (00 MG, 00 MG ) APTIOM (600 MG, 800 MG ) BANZEL (0 MG/ML SUSPENSION, 00 MG ) BANZEL 00 MG carbamazepine (100 mg tab er 1h, 100 mg cpmp 1hr, 100 mg/ml oral susp, 100 mg tab chew, 00 mg tablet, 00 mg tab er 1h, 00 mg cpmp 1hr, 00 mg cpmp 1hr, 00 mg tab er 1h) CARBATROL (ER 100 MG CAPSULE, ER 00 MG CAPSULE, ER 00 MG CAPSULE) QL (0 PER 0); STEP QL (60 PER 0); STEP STEP STEP STEP ZORTRESS 0. MG B/D PA CELONTIN 00 MG KAPSEAL STEP ZYDELIG (100 MG, 10 MG ) CEREBYX (100 MG PE/ ML VIAL, 00 MG PE/10 ML VIAL) STEP ZYKADIA 10 MG CAPSULE ZYTIGA 0 MG STEP AUTONOMIC / CNS DRUGS, NEUROLOGY / PSYCH clonazepam (0.1 mg tab rapdis, 0. mg tab rapdis, 0. mg tablet, 0. mg tab rapdis, 1 mg tab rapdis, 1 mg tablet, mg tab rapdis, mg tablet) PA 6

37 Name Name DEPACON 00 MG VIAL DEPAKENE (0 MG CAPSULE, 0 MG/ ML SOLUTION) DEPAKOTE (DR 1 MG, DR 0 MG, DR 00 MG ) DEPAKOTE 1 MG SPRINKLE CAP DEPAKOTE ER (ER 0 MG, ER 00 MG ) STEP STEP STEP STEP STEP EQUETRO (100 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) ethosuximide (0 mg/ml solution, 0 mg capsule) felbamate (00 mg tablet, 600 mg tablet, 600 mg/ml oral susp) FELBATOL (00 MG, 600 MG, 600 MG/ ML SUSP) STEP STEP DIASTAT. MG PEDI SYSTEM DIASTAT ACUDIAL ( MG KT, MG) diazepam (. mg kit, mg kit, kit) DILANTIN (0 MG CAPSULE, 0 MG INFATAB, 100 MG CAPSULE) DILANTIN 1 MG/ ML SUSP divalproex sodium (1 mg tablet dr, 1 mg cap sprink, 0 mg tab er h, 0 mg tablet dr, 00 mg tablet dr, 00 mg tab er h) EPITOL 00 MG PA PA PA STEP STEP fosphenytoin sodium (100mg pe/ vial, 00 pe/10 vial) FYCOMPA ( MG, MG, 6 MG, 8 MG, 10 MG, 1 MG ) gabapentin (100 mg capsule, 0 mg/ml solution, 00 mg/6ml solution, 00 mg capsule, 00 mg capsule, 600 mg tablet, 800 mg tablet) GABITRIL ( MG, MG, 1 MG, 16 MG ) GRALISE (0-DAY STARTER PACK, ER 00 MG, ER 600 MG ) STEP STEP 7

38 Name Name KEPPRA (100 MG/ML ORAL SOLN, 0 MG, 00 MG/ ML VIAL, 00 MG, 70 MG, 1,000 MG ) STEP LAMICTAL XR ( MG, 0 MG, 100 MG, 00 MG, 0 MG, 00 MG ) STEP KEPPRA XR (00 MG, 70 MG ) KLONOPIN (0. MG, 1 MG, MG ) LAMICTAL ( MG DISPER, MG DISPER, MG, 100 MG, 10 MG, 00 MG ) LAMICTAL ODT (ODT MG, ODT 0 MG, ODT 100 MG, ODT 00 MG ) LAMICTAL ODT START KIT (BLUE) LAMICTAL ODT START KIT (GREEN) STEP PA STEP STEP STEP STEP LAMICTAL XR START KIT (BLUE) LAMICTAL XR START KIT (GREEN) LAMICTAL XR START KIT (ORANGE) lamotrigine ( mg tb chw dsp, tb rd dspk, mg () tab ds pk, (1)-0 tb rd dspk, mg tablet, mg tab er, mg tab rapdis, mg tb chw dsp, 0 mg tab rapdis, 0 mg tab er, 0()-100 tb rd dspk, 100 mg tab er, 100 mg tab rapdis, 100 mg tablet, 10 mg tablet, 00 mg tablet, 00 mg tab er, 00 mg tab rapdis, 0 mg tab er, 00 mg tab er ) STEP STEP STEP LAMICTAL ODT START KT (ORANGE) LAMICTAL TAB START KIT (BLUE) LAMICTAL TAB START KIT (GREEN) STEP STEP STEP levetiracetam (100 mg/ml solution, 0 mg tablet, 00 mg/ml solution, 00 mg tab er h, 00 mg tablet, 00 mg/ml vial, 70 mg tablet, 70 mg tab er h, 1000 mg tablet) LAMICTAL TB START KIT (ORANGE) STEP 8

39 Name Name levetiracetam in sodium chloride, isoosmotic (00mg/0.1l piggyback, 1000mg/100 piggyback, 100mg/100 piggyback) phenobarbital (1 mg tablet, 16. mg tablet, 0 mg/ ml elixir, 0 mg tablet,. mg tablet, 60 mg tablet, 6.8 mg tablet, 97.mg tablet, 100 mg tablet) LYRICA ( MG CAPSULE, 0 MG CAPSULE, 7 MG CAPSULE, 100 MG CAPSULE, 10 MG CAPSULE, 00 MG CAPSULE, MG CAPSULE, 00 MG CAPSULE) LYRICA 0 MG/ML ORAL SOLUTION STEP phenobarbital sodium (6 mg/ml vial, 10mg/ml vial) PHENYTEK (00 MG CAPSULE, 00 MG CAPSULE) phenytoin (0 mg tab chew, 100 mg/ml oral susp, 1 mg/ml oral susp) STEP MYSOLINE (0 MG, 0 MG ) NEURONTIN (100 MG CAPSULE, 0 MG/ ML SOLN, 00 MG CAPSULE, 00 MG CAPSULE, 600 MG, 800 MG ) ONFI (. MG/ML SUSPENSION, 10 MG, 0 MG ) STEP STEP PA phenytoin sodium (0 mg/ml syringe, 0 mg/ml vial, 0 mg/ml ampul) phenytoin sodium extended (100 mg capsule, 00 mg capsule, 00 mg capsule) POTIGA (0 MG, 00 MG, 00 MG, 00 MG ) STEP oxcarbazepine (10 mg tablet, 00 mg tablet, 00 mg/ml oral susp, 600 mg tablet) OXTELLAR XR (10 MG, 00 MG, 600 MG ) PEGANONE 0 MG STEP primidone (0 mg tablet, 0 mg tablet) QUDEXY XR ( MG CAPSULE, 0 MG CAPSULE, 100 MG CAPSULE, 00 MG CAPSULE) QUDEXY XR 10 MG CAPSULE PA PA 9

40 Name ROWEEPRA 00 MG SABRIL (00 MG, 00 MG POWDER PACKET) SMARTRX GABAKIT SPRITAM (0 MG, 00 MG, 70 MG, 1,000 MG ) TEGRETOL (100 MG/ ML SUSP, 00 MG ) TEGRETOL XR (00 MG, 00 MG ) LA STEP STEP STEP Name TRILEPTAL (10 MG, 00 MG/ ML SUSP, 00 MG, 600 MG ) TROKENDI XR ( MG CAPSULE, 0 MG CAPSULE, 100 MG CAPSULE, 00 MG CAPSULE) valproic acid (as sodium salt) (valproate sodium) (0 mg/ml solution, 00 mg/ml vial, 00mg/10ml solution) valproic acid 0 mg capsule STEP PA TEGRETOL XR 100 MG tiagabine hcl ( mg tablet, mg tablet) TOPAMAX (1 MG SPRINKLE CAP, MG, MG SPRINKLE CAP, 0 MG, 100 MG, 00 MG ) topiramate (1 mg cap sprink, mg cap sprink, mg tablet, 0 mg tablet, 100 mg tablet, 00 mg tablet) STEP PA PA VIMPAT (10 MG/ML SOLUTION, 0 MG, 100 MG, 10 MG, 00 MG/0 ML VIAL, 00 MG ) ZARONTIN (0 MG CAPSULE, 0 MG/ ML SOLUTION) ZONEGRAN ( MG CAPSULE, 100 MG CAPSULE) zonisamide ( mg capsule, 0 mg capsule, 100 mg capsule) STEP STEP PA PA topiramate ( mg cap spr, 0 mg cap spr, 100 mg cap spr, 10 mg cap spr, 00 mg cap spr ) PA ANTIPARKINSONISM AGENTS APOKYN 0 MG/ ML CARTRIDGE AZILECT (0. MG, 1 MG ) LA 0

41 Name Name benztropine mesylate (0. mg tablet, 1 mg tablet, mg/ ml vial, mg/ ml ampul, mg tablet) bromocriptine mesylate (. mg tablet, mg capsule) carbidopa mg tablet carbidopa/levodopa (carbidopa/levodopa 10mg-100mg tab rapdis, carbidopa/levodopa 10mg-100mg tablet, carbidopa/levodopa mg-0mg tab rapdis, carbidopa/levodopa mg-0mg tablet, carbidopa/levodopa mg-100mg tab rapdis, carbidopa/levodopa mg-100mg tablet er, carbidopa/levodopa mg-100mg tablet, carbidopa/levodopa 0mg-00mg tablet er) carbidopa/levodopa/ entacapone (carbidopa/levodopa/ entacapone 1.-0 mg tablet, carbidopa/levodopa/ entacapone mg tablet, carbidopa/levodopa/ entacapone tablet, carbidopa/levodopa/ entacapone tablet, carbidopa/levodopa/ entacapone mg tablet, carbidopa/levodopa/ entacapone tablet) COGENTIN MG/ ML AMPULE COMTAN 00 MG DUOPA.6 MG-0 MG/ML SUSPENS ELDEPRYL MG CAPSULE entacapone 00 mg tablet B/D PA LODOSYN MG MIRAPEX (0.1 MG, 0. MG, 0. MG, 0.7 MG, 1 MG, 1. MG ) 1

42 Name Name MIRAPEX ER (ER 0.7 MG, ER 0.7 MG, ER 1. MG, ER. MG, ER MG, ER.7 MG, ER. MG ) NEUPRO (1 MG/ HR PATCH, MG/ HR PATCH, MG/ HR PATCH, MG/ HR PATCH, 6 MG/ HR PATCH, 8 MG/ HR PATCH) pramipexole di-hcl (0.1 mg tablet, 0. mg tablet, 0.7 mg tab er h, 0. mg tablet, 0.7 mg tab er h, 0.7 mg tablet, 1 mg tablet, 1. mg tablet, 1. mg tab er h,. mg tab er h, mg tab er h,. mg tab er h) REQUIP (0. MG, 0. MG, 1 MG, MG, MG, MG, MG ) REQUIP XL ( MG, MG, 6 MG, 8 MG, 1 MG ) ropinirole hcl (0. mg tablet, 0. mg tablet, 1 mg tablet, mg tab er h, mg tablet, mg tablet, mg tablet, mg tab er h, mg tablet, 6 mg tab er h, 8 mg tab er h, 1 mg tab er h) RYTARY (ER.7 MG-9 MG CAP, ER 6. MG-1 MG CAP, ER 8.7 MG- 19 MG CAP, ER 61. MG- MG CAP) selegiline hcl ( mg tablet, mg capsule) SINEMET MG SINEMET -100 MG SINEMET -0 MG SINEMET CR (CR - 100, CR 0-00 ) STALEVO 100 STALEVO 1 STALEVO 10 STALEVO 00 STALEVO 0 STALEVO 7

43 Name TASMAR 100 MG tolcapone 100 mg tablet trihexyphenidyl hcl ( mg/ ml elixir, mg tablet, mg tablet) ZELAPAR 1. MG ODT MIGRAINE / CLUSTER HEADACHE THERAPY almotriptan malate (6. mg tablet, 1. mg tablet) AMERGE (1 MG,. MG ) AXERT (6. MG, 1. MG ) CAFERGOT D.H.E. 1 MG/ML AMPUL dihydroergotamine mesylate (1 mg/ml ampul, 1 mg/ml vial) dihydroergotamine mesylate 0.mg/spry spray/pump ERGOMAR MG SL FROVA. MG frovatriptan succinate. mg tablet QL (9 PER 0 QL (9 PER 0 ; STEP QL (9 PER 0 ; STEP QL (8 PER 8 QL (7 PER 8); STEP QL (7 PER 8 Name IMITREX ( MG, 0 MG, 100 MG ) IMITREX ( MG/0. ML PEN INJECT, MG/0. ML CARTRIDGES, 6 MG/0. ML PEN INJECT, 6 MG/0. ML VIAL, 6 MG/0. ML CARTRIDGES) IMITREX ( MG SPRAY, 0 MG SPRAY) MAXALT ( MG, 10 MG ) MAXALT MLT ( MG, 10 MG ) MIGERGOT SUPPOSITORY MIGRANAL NASAL SPRAY naratriptan hcl (1 mg tablet,. mg tablet) ONZETRA XSAIL 11 MG RELPAX (0 MG, 0 MG ) rizatriptan benzoate ( mg tablet, mg tab rapdis, 10 mg tablet, 10 mg tab rapdis) sumatriptan ( mg spray, 0 mg spray) QL (9 PER 0 ; STEP QL (16 PER 8 ; STEP QL (6 PER 0 ; STEP QL (6 PER 8 ; STEP QL (6 PER 8 ; STEP QL (8 PER 8 QL (9 PER 0 QL ( PER 8 ; STEP QL (9 PER 0 ; STEP QL (6 PER 8 QL (6 PER 0

44 Name Name sumatriptan succinate ( mg tablet, 0 mg tablet, 100 mg tablet) sumatriptan succinate ( mg/0.ml pen injctr, mg/0.ml cartridge, 6 mg/0.ml pen injctr, 6 mg/0.ml syringe, 6 mg/0.ml cartridge, 6 mg/0.ml vial) QL (9 PER 0 QL (16 PER 8 AUBAGIO (7 MG, 1 MG ) COPAXONE (0 MG/ML SYRINGE, 0 MG/ML SYRINGE) donepezil hcl ( mg tab rapdis, mg tablet, 10 mg tablet, 10 mg tab rapdis) PA SUMAVEL DOSEPRO ( MG/0. ML, 6 MG/0. ML) TREXIMET 8-00 MG ZEMBRACE SYMTOUCH MG/0. ML zolmitriptan (. mg tab rapdis,. mg tablet, mg tab rapdis, mg tablet) ZOMIG (. MG SPRAY, MG SPRAY) ZOMIG (. MG, MG ) QL (16 PER 8 ; STEP QL (18 PER 8 ; STEP STEP QL (9 PER 0 QL (18 PER 8 ; STEP QL (9 PER 0 ; STEP donepezil hcl mg tablet EXELON (1. MG CAPSULE, MG CAPSULE,. MG CAPSULE,.6 MG/HR PATCH, 6 MG CAPSULE, 9. MG/HR PATCH, 1. MG/HR PATCH) galantamine hbr ( mg tablet, mg/ml solution, 8 mg caph pel, 8 mg tablet, 1 mg tablet, 16 mg caph pel, mg caph pel) GILENYA 0. MG CAPSULE STEP STEP ZOMIG ZMT (. MG, MG ) QL (9 PER 0 ; STEP MISCELLANEOUS NEUROLOGICAL THERAPY AMPYRA ER 10 MG ARICEPT ( MG, 10 MG, MG ) PA; LA STEP GLATOPA 0 MG/ML SYRINGE HORIZANT (ER 00 MG, ER 600 MG ) KEVEYIS 0 MG LEMTRADA 1 MG/1. ML VIAL STEP

45 Name memantine hcl ( mg/ml solution, mg tablet, 10 mg tablet) memantine hcl mg- 10 mg tab ds pk NAMENDA ( MG/ML SOLUTION, -10 MG TITRATION PK, MG, 10 MG ) NAMENDA XR (7 MG CAPSULE, 1 MG CAPSULE, 1 MG CAPSULE, 8 MG CAPSULE, TITRATION PACK) NAMZARIC (1 MG CAPSULE, 8 MG CAPSULE) NUEDEXTA 0-10 MG CAPSULE RAZADYNE ( MG, 8 MG, 1 MG ) RAZADYNE ER (ER 8 MG CAPSULE, ER 16 MG CAPSULE, ER MG CAPSULE) rivastigmine (.6mg/hr patch td, 9.mg/hr patch td, 1.mg/h patch td) rivastigmine tartrate (1. mg capsule, mg capsule,. mg capsule, 6 mg capsule) PA PA PA PA STEP STEP STEP Name TECFIDERA (DR 10 MG CAPSULE, DR 0 MG CAPSULE, STARTER PACK) tetrabenazine (1. mg tablet, mg tablet) TYSABRI 00 MG/1 ML VIAL XENAZINE (1. MG, MG ) PA LA MUSCLE RELAXANTS / ANTISPASMODIC THERAPY AMRIX (ER 1 MG CAPSULE, ER 0 MG CAPSULE) ANECTINE 0 MG/ML VIAL baclofen (10 mg tablet, 0 mg tablet) BLOXIVERZ ( MG/10 ML VIAL, 10 MG/10 ML VIAL) BRIDION 00 MG/ ML VIAL carisoprodol (0 mg tablet, 0 mg tablet) carisoprodol/aspirin 00- mg tablet chlorzoxazone 00 mg tablet codeine/carisoprodol /aspirin tablet COMFORT PAC- CYCLOBENZAPRIN E KT PA; LA PA PA PA PA PA; QL (0 PER 0) PA

46 Name Name COMFORT PAC- TIZANIDINE KIT cyclobenzaprine hcl ( mg tablet, 7. mg tablet, 10 mg tablet) DANTRIUM (0 MG VIAL, MG CAPSULE, 0 MG CAPSULE) dantrolene sodium ( mg capsule, 0 mg capsule, 100 mg capsule) ENLON 10 MG/ML VIAL ENLON-PLUS AMPUL PA MESTINON (60 MG, 60 MG/ ML SYRUP, 180 MG TIMESPAN) METAXALL 800 MG metaxalone (00 mg tablet, 800 mg tablet) methocarbamol (100 mg/ml vial, 00 mg tablet, 70 mg tablet) neostigmine methylsulfate 0. mg/ml vial neostigmine methylsulfate 1 mg/ml vial PA PA PA FEXMID 7. MG GABLOFEN (0 MCG/ML SYRINGE, 10,000 MCG/0 ML VIAL, 10,000 MCG/0 ML SYRG, 0,000 MCG/0 ML VIAL, 0,000 MCG/0 ML SYRG, 0,000 MCG/0 ML VIAL, 0,000 MCG/0 ML SYRG) PA B/D PA orphenadrine citrate (0 mg/ml ampul, 0 mg/ml vial) orphenadrine citrate 100 mg tablet er PARAFON FORTE DSC 00 MG CAPLT pyridostigmine bromide (60 mg tablet, 180 mg tablet er) PA PA LIORESAL INTRATHECAL (0.0 MG/1 ML AMP, 10 MG/ ML K, 10 MG/0 ML K, 0 MG/0 ML K) LORZONE (7 MG, 70 MG ) B/D PA PA QUELICIN 00 MG/10 ML VIAL REGONOL 10 MG/ ML AMPUL REVONTO 0 MG VIAL ROBAXIN (00 MG, 1,000 MG/10 ML VIAL) PA 6

47 Name Name ROBAXIN-70 SKELAXIN 800 MG SOMA (0 MG, 0 MG ) tizanidine hcl ( mg capsule, mg tablet, mg tablet, mg capsule, 6 mg capsule) ZANAFLEX ( MG CAPSULE, MG CAPSULE, MG, 6 MG CAPSULE) PA PA PA ACTIQ (00 MCG LOZENGE, 00 MCG LOZENGE, 600 MCG LOZENGE, 800 MCG LOZENGE, 1,00 MCG LOZENGE, 1,600 MCG LOZENGE) ALLZITAL - MG ASCOMP WITH CODEINE CAPSULE BELBUCA (7 MCG FILM, 10 MCG FILM, 00 MCG FILM, 0 MCG FILM, 600 MCG FILM) PA; QL (10 PER 0 QL (60 PER 0 QL (60 PER 0 QL (60 PER 0 NARCOTIC ANALGESICS ABSTRAL (100 MCG TAB, 00 MCG TAB, 00 MCG TAB) ABSTRAL 00 MCG TAB SUBLINGUAL ABSTRAL 600 MCG TAB SUBLINGUAL ABSTRAL 800 MCG TAB SUBLINGUAL acetaminophen with codeine 00mg- 60mg tablet acetaminophen with codeine phosphate (10-1mg/ solution, 00mg/1. solution) PA; QL (10 PER 0 PA; QL (116 PER 0 PA; QL (77 PER 0 PA; QL (8 PER 0 QL (180 PER 0 QL (00 PER 0 BELBUCA (70 MCG FILM, 900 MCG FILM) BUPAP 0 MG-00 MG BUPRENEX 0. MG/ML AMPUL buprenorphine hcl (0. mg/ml vial, 0. mg/ml syringe) buprenorphine hcl mg tab subl buprenorphine hcl 8 mg tab subl butalbital/acetaminop hen 0mg-mg tablet QL (60 PER 0 QL (60 PER 0 QL (67 PER 0 QL (67 PER 0 QL (00 PER 0 QL (7 PER 0 QL (60 PER 0 acetaminophen with codeine phosphate (00mg-0mg tablet, 00mg-1mg tablet) QL (60 PER 0 7

48 Name Name butalbital/acetaminop hen/caffeine (butalb/acetaminoph en/caffeine capsule, butalb/acetaminophe n/caffeine 0--0 tablet, butalb/acetaminophe n/caffeine 0--0 capsule) QL (60 PER 0 dihydrocodeine/aspiri n/caffein capsule DILAUDID ( MG, MG, 8 MG ) DILAUDID 1 MG/ML LIQUID QL (00 PER 0) QL (180 PER 0 QL (100 PER 0 butalbital/acetaminop hen/caffeine/codeine phosphate (butalbit/acetamin/caf f/codeine 0--0 capsule, butalbit/acetamin/caff /codeine capsule) butalbital/aspirin/caff eine 0--0 capsule BUTRANS ( MCG/HR PATCH, 7. MCG/HR PATCH, 10 MCG/HR PATCH, 1 MCG/HR PATCH, 0 MCG/HR PATCH) QL (60 PER 0 QL (60 PER 0 QL ( PER 8 CAPACET CAPSULE QL (60 PER 0) DILAUDID MG/ML AMPUL DISKETS 0 MG DISPR DOLOPHINE HCL 10 MG DOLOPHINE HCL MG DURAGESIC (1 MCG/HR PATCH, MCG/HR PATCH, 0 MCG/HR PATCH) DURAGESIC 100 MCG/HR PATCH DURAGESIC 7 MCG/HR PATCH QL (7 PER 0 QL (0 PER 0) QL (10 PER 0 QL (0 PER 0 QL (10 PER 0 QL (9 PER 0 QL (10 PER 0 CAPITAL WITH CODEINE SUSP QL (00 PER 0 DURAMORPH 10 MG/10 ML AMPUL QL (000 PER 0 codeine sulfate (1 mg tablet, 0 mg tablet, 60 mg tablet) codeine/butalbital/as a/caffein 0-0- capsule QL (180 PER 0 QL (60 PER 0 DURAMORPH MG/10 ML AMPUL EMBEDA (ER MG CAPSULE, ER 0-1. MG CAPSULE) QL (000 PER 0 QL (90 PER 0 dhcodeine bt/acetaminophn/caff 16-0.mg capsule QL (00 PER 0) EMBEDA (ER 0- MG CAPSULE, ER 60-. MG CAPSULE) QL (90 PER 0 8

49 Name Name EMBEDA ER 100- MG CAPSULE QL (60 PER 0 fentanyl citrate 00 mcg lozenge hd PA; QL (10 PER 0 EMBEDA ER 80-. MG CAPSULE QL (7 PER 0 fentanyl citrate 00 mcg lozenge hd PA; QL (116 PER 0 ENDOCET (-, 7.- MG, 10- MG ) ENDOCET.- MG ESGIC 0--0 MG QL (60 PER 0 QL (60 PER 0) QL (60 PER 0 fentanyl citrate 600 mcg lozenge hd fentanyl citrate 800 mcg lozenge hd fentanyl citrate/pf (citrate/pf 0 mcg/ml ampul, citrate/pf 100mcg/ml syringe) PA; QL (77 PER 0 PA; QL (8 PER 0 QL (00 PER 0) ESGIC CAPSULE QL (60 PER 0) EXALGO (ER 8 MG, ER 1 MG ) EXALGO ER 16 MG EXALGO ER MG fentanyl (1 mcg/hr patch td7, mcg/hr patch td7, 0mcg/hr patch td7, 7mcg/hr patch td7) fentanyl (7.mcg/hr patch td7, 6.mcg/hr patch td7) fentanyl 100 mcg/hr patch td7 fentanyl 87.mcg/hr patch td7 QL (60 PER 0 QL (60 PER 0 QL (7 PER 0 QL (10 PER 0 QL (10 PER 0 QL (9 PER 0 QL (10 PER 0 FENTORA (100 MCG, 00 MCG ) FENTORA 00 MCG BUCCAL FENTORA 600 MCG BUCCAL FENTORA 800 MCG BUCCAL FIORICET MG CAPSULE FIORICET-COD CAP FIORINAL 0--0 MG CAPSULE FIORINAL-COD CAP HYCET 7. MG- MG/1 ML SOLN PA; QL (10 PER 0 PA; QL (116 PER 0 PA; QL (77 PER 0 PA; QL (8 PER 0 QL (60 PER 0 QL (60 PER 0 QL (60 PER 0 QL (60 PER 0 QL (0 PER 0 fentanyl citrate 100 mcg lozenge hd fentanyl citrate 1600 mcg lozenge hd PA; QL (9 PER 0 PA; QL (9 PER 0 9

50 Name Name hydrocodone bitartrate/acetaminop hen (hydrocodone/aceta minophen.-108/ solution, hydrocodone/acetami nophen -17mg/10 solution, hydrocodone/acetami nophen 7.-/1 solution) hydrocodone bitartrate/acetaminop hen (hydrocodone/aceta minophen.-mg tablet, hydrocodone/acetami nophen mg-mg tablet, hydrocodone/acetami nophen mg-00mg tablet, hydrocodone/acetami nophen 7.-mg tablet, hydrocodone/acetami nophen 7.-00mg tablet, hydrocodone/acetami nophen 10mg-mg tablet, hydrocodone/acetami nophen 10mg-00mg tablet) QL (0 PER 0 QL (60 PER 0 hydrocodone/ibuprof en (hydrocodone/ibuprof en mg-00mg tablet, hydrocodone/ibuprof en mg tablet, hydrocodone/ibuprof en 10mg-00mg tablet) hydromorphone hcl ( mg tablet, mg tablet, 8 mg tablet) hydromorphone hcl ( mg/ml syringe, mg/ml vial) hydromorphone hcl (8 mg tab er h, 1 mg tab er h) hydromorphone hcl 0.mg/.ml syringe hydromorphone hcl 1 mg/ml liquid hydromorphone hcl 1 mg/ml syringe hydromorphone hcl 16 mg tab er h hydromorphone hcl mg tab er h QL (0 PER 0 QL (180 PER 0 QL (10 PER 0) QL (60 PER 0 QL (00 PER 0 QL (100 PER 0 QL (00 PER 0 QL (60 PER 0 QL (7 PER 0 hydrocodone bitartrate/acetaminop hen (hydrocodone/aceta minophen -16/7. solution, hydrocodone/acetami nophen 10-/1 solution) hydrocodone/acetami nophen.-167/ solution QL (0 PER 0) QL (600 PER 0) hydromorphone hcl mg/ml syringe hydromorphone hcl/pf (hcl/pf 10 mg/ml ampul, hcl/pf 10 mg/ml vial) hydromorphone hcl/pf 1 mg/ml ampul hydromorphone hcl/pf mg/ml ampul QL (7 PER 0 QL (10 PER 0 QL (00 PER 0 QL (10 PER 0) 0

51 Name Name hydromorphone hcl/pf mg/ml ampul QL (7 PER 0 levorphanol tartrate mg tablet QL (10 PER 0 HYSINGLA ER (ER 0 MG, ER 0 MG, ER 0 MG, ER 60 MG ) QL (60 PER 0 LORCET - MG LORCET HD 10- MG QL (60 PER 0 QL (60 PER 0 HYSINGLA ER (ER 80 MG, ER 100 MG ) HYSINGLA ER 10 MG IBUDONE MG IBUDONE -00 MG ibuprofen/oxycodone hcl 00mg-mg tablet QL (60 PER 0 QL (0 PER 0 QL (0 PER 0 QL (0 PER 0) QL (8 PER 0 LORCET PLUS 7.- MG LORTAB (- MG, 7.- MG, 10- MG ) LORTAB 10 MG-00 MG/1 ML ELXR MARGESIC CAPSULE MARTEN-TAB - 0 QL (60 PER 0 QL (60 PER 0 QL (6000 PER 0) QL (60 PER 0) QL (60 PER 0) INFUMORPH 00 MG/0 ML AMPUL INFUMORPH 00 MG/0 ML AMPUL KADIAN (ER 10 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 60 MG CAPSULE) KADIAN ER 100 MG CAPSULE KADIAN ER 00 MG CAPSULE KADIAN ER 80 MG CAPSULE LAZANDA (100 MCG SPRAY, 00 MCG SPRAY) QL (00 PER 0) QL (80 PER 0) QL (90 PER 0 QL (60 PER 0 QL (0 PER 0 QL (7 PER 0 PA; QL ( PER 0 methadone hcl (10 mg/ml vial, 10 mg/ml syringe) methadone hcl 10 mg tablet methadone hcl 10 mg/ ml solution methadone hcl 10 mg/ml oral conc methadone hcl 0 mg tablet sol methadone hcl mg tablet methadone hcl mg/ ml solution METHADONE INTENSOL 10 MG/ML QL (160 PER 0 QL (10 PER 0 QL (600 PER 0 QL (00 PER 0) QL (0 PER 0) QL (0 PER 0 QL (100 PER 0 QL (00 PER 0) 1

52 Name Name METHADOSE 10 MG/ML ORAL CONC METHADOSE 0 MG DISPR morphine sulfate (10 mg cap er pel, 0 mg cap er pel, 0 mg cap er pel, 0 mg cap er pel, 60 mg cap er pel) QL (00 PER 0) QL (0 PER 0) QL (90 PER 0 morphine sulfate (0 mg cpmp hr, mg cpmp hr, 60 mg cpmp hr, 7 mg cpmp hr, 90 mg cpmp hr, 100 mg tablet er, 100 mg cap er pel) morphine sulfate ( mg/ml syringe, mg/ml cartridge) QL (60 PER 0 QL (00 PER 0 morphine sulfate (10 mg/ ml solution, 0 mg/ ml solution) morphine sulfate (10 mg/ml syringe, 10 mg/ml cartridge) QL (900 PER 0 QL (00 PER 0 morphine sulfate (8 mg/ml vial, 8 mg/ml syringe, 8 mg/ml cartridge) morphine sulfate 10 mg supp.rect QL (0 PER 0 QL (600 PER 0 morphine sulfate (10 mg/ml vial, 0 mg supp.rect) morphine sulfate (1 mg tablet er, 0 mg tablet er) morphine sulfate (1 mg tablet, 0 mg tablet) QL (00 PER 0) QL (10 PER 0 QL (180 PER 0 morphine sulfate 10 mg cpmp hr morphine sulfate 1 mg/ml cartridge morphine sulfate 00 mg tablet er morphine sulfate mg/ml vial QL (0 PER 0 QL (1 PER 0) QL (0 PER 0 QL (00 PER 0 morphine sulfate ( mg/ml cartridge, mg/ml syringe) morphine sulfate (0 mg supp.rect, 100 mg/ml solution) morphine sulfate ( mg/ml vial, 100 mg/ml vial port, 0mg/10ml vial port) QL (1000 PER 0 QL (00 PER 0 QL (80 PER 0) morphine sulfate mg supp.rect morphine sulfate 0 mg/ml vial morphine sulfate 60 mg tablet er morphine sulfate 80 mg cap er pel morphine sulfate/pf 0. mg/ml vial QL (100 PER 0 QL (0 PER 0) QL (100 PER 0 QL (7 PER 0 QL (000 PER 0) morphine sulfate/pf 1 mg/ml vial QL (000 PER 0)

53 Name Name morphine sulfate/pf 10mg/0ml pca vial morphine sulfate/pf 0 mg/0ml pca vial MS CONTIN (1 MG, CR 0 MG ) MS CONTIN 100 MG MS CONTIN 00 MG MS CONTIN 60 MG NORCO (-, 7.-, 10- ) OPANA 1 MG/ML INJ AMPULE OPANA 10 MG OPANA MG OPANA ER (ER MG, ER 7. MG, ER 10 MG, ER 1 MG, ER 0 MG ) OPANA ER 0 MG OPANA ER 0 MG oxycodone hcl (10 mg tab er 1h, 1 mg tab er 1h, 0 mg tab er 1h, 0 mg tab er 1h, 0 mg tab er 1h) QL (00 PER 0) QL (000 PER 0 QL (10 PER 0 QL (60 PER 0 QL (0 PER 0 QL (100 PER 0 QL (60 PER 0 QL (00 PER 0) QL (00 PER 0 QL (180 PER 0 QL (90 PER 0 QL (67 PER 0 QL (0 PER 0 QL (90 PER 0 oxycodone hcl (10 mg tablet, 1 mg tablet, 0 mg/ml oral conc, 0 mg tablet) oxycodone hcl ( mg capsule, mg tablet) oxycodone hcl 0 mg tablet oxycodone hcl mg/ ml solution oxycodone hcl 60 mg tab er 1h oxycodone hcl 80 mg tab er 1h oxycodone hcl/acetaminophen (hcl/acetaminophen.-mg tablet, hcl/acetaminophen mg-mg tablet, hcl/acetaminophen 7.-mg tablet, hcl/acetaminophen 10mg-mg tablet) oxycodone hcl/aspirin.8- tablet OXYCONTIN (10 MG, 1 MG, 0 MG, 0 MG, 0 MG ) OXYCONTIN 60 MG OXYCONTIN 80 MG QL (180 PER 0 QL (60 PER 0 QL (1 PER 0 QL (100 PER 0 QL (67 PER 0 QL (60 PER 0 QL (60 PER 0 QL (60 PER 0 QL (90 PER 0 QL (67 PER 0 QL (60 PER 0

54 Name Name oxymorphone hcl ( mg tab er 1h, 7. mg tab er 1h, 10 mg tab er 1h, 1 mg tab er 1h, 0 mg tab er 1h) oxymorphone hcl 10 mg tablet oxymorphone hcl 0 mg tab er 1h oxymorphone hcl 0 mg tab er 1h oxymorphone hcl mg tablet PERCOCET (.- MG, - MG, 7.- MG, 10- MG ) PRIMLEV (-00 MG, MG, MG ) REPREXAIN (-00 MG, MG ) ROXICODONE 1 MG ROXICODONE 0 MG ROXICODONE MG SUBSYS (100 MCG SPRAY, 00 MCG SPRAY) QL (90 PER 0 QL (00 PER 0 QL (67 PER 0 QL (0 PER 0 QL (180 PER 0 QL (60 PER 0 QL (60 PER 0 QL (0 PER 0 QL (180 PER 0 QL (1 PER 0 QL (60 PER 0 PA; QL (10 PER 0 SUBSYS 00 MCG SPRAY SUBSYS 600 MCG SPRAY SUBSYS 800 MCG SPRAY SYNALGOS-DC CAPSULE TENCON 0- MG TREZIX MG CAPSULE TYLENOL WITH CODEINE # TYLENOL WITH CODEINE # VANATOL LQ ORAL SOLUTION VICODIN -00 MG VICODIN ES MG VICODIN HP MG VICOPROFEN MG XARTEMIS XR 7.- MG XODOL PA; QL (8 PER 0 PA; QL (6 PER 0 PA; QL ( PER 0 QL (00 PER 0 QL (60 PER 0) QL (00 PER 0 QL (60 PER 0 QL (180 PER 0 QL (0 PER 0 QL (60 PER 0 QL (60 PER 0 QL (60 PER 0 QL (0 PER 0 QL (10 PER 0 QL (60 PER 0 SUBSYS 1,00 MCG SPRAY PA; LA; QL (6 PER 0 XODOL -00 QL (60 PER 0 SUBSYS 1,600 MCG SPRAY PA; LA; QL ( PER 0 XODOL MG QL (60 PER 0

55 Name Name XYLON MG QL (0 PER 0) CAMBIA 0 MG POWDER PACKET QL (9 PER 0 ZAMICET 10- MG/1 ML SOLN ZEBUTAL 0--0 MG CAPSULE QL (0 PER 0 QL (60 PER 0) CELEBREX (0 MG CAPSULE, 100 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) ZOHYDRO ER (ER 10 MG CAPSULE, ER 1 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 0 MG CAPSULE) NON-NARCOTIC ANALGESICS ANAPROX DS 0 MG ARTHROTEC 0 MG- 00 MCG TAB ARTHROTEC 7 MG- 00 MCG TAB BUNAVAIL (.-0.7 MG FILM, 6.-1 MG FILM) QL (90 PER 0 QL (60 PER 0) celecoxib (0 mg capsule, 100 mg capsule, 00 mg capsule, 00 mg capsule) clonidine hcl/pf 000mcg/10 vial COMFORT PAC- IBUPROFEN KIT COMFORT PAC- MELOXICAM KIT COMFORT PAC- NAPROXEN KIT CONZIP (100 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) QL (0 PER 0 BUNAVAIL.1-0. MG FILM QL (0 PER 0) DAYPRO 600 MG CAPLET buprenorphine hcl/naloxone hcl mg-0.mg tab subl buprenorphine hcl/naloxone hcl 8 mg- mg tab subl butorphanol tartrate 1 mg/ml vial butorphanol tartrate 10 mg/ml spray butorphanol tartrate mg/ml vial QL (60 PER 0 QL (90 PER 0 QL (70 PER 0 QL ( PER 8 QL (60 PER 0 diclofenac potassium 0 mg tablet diclofenac sodium (1. % drops, mg tablet dr, 0 mg tablet dr, 7 mg tablet dr, 100 mg tab er h) diclofenac sodium/misoprostol (sodium/misoprostol 0 tab ir dr, sodium/misoprostol 7 tab ir dr)

56 Name Name DICLOTRAL PAK diflunisal 00 mg tablet DISALCID (00 MG, 70 MG ) ibuprofen (100 mg/ml oral susp, 00 mg tablet, 600 mg tablet, 800 mg tablet) ibuprofen lysine/pf 0 mg/ ml vial DUEXIS MG INDOCIN MG/ ML SUSPENSION PA DYLOJECT 7. MG/ML VIAL INDOCIN 0 MG SUPPOSITORY EC-NAPROSYN (EC- NAPROSYN EC 7 MG, NAPROSYN EC 00 MG ) etodolac (00 mg capsule, 00 mg capsule, 00 mg tab er h, 00 mg tablet, 00 mg tablet, 00 mg tab er h, 600 mg tab er h) EVZIO 0. MG AUTO-INJECTOR FELDENE (10 MG CAPSULE, 0 MG CAPSULE) fenoprofen calcium 00 mg capsule fenoprofen calcium 600 mg tablet FLECTOR 1.% PATCH flurbiprofen (0 mg tablet, 100 mg tablet) PA indomethacin ( mg capsule, 0 mg capsule, 7 mg capsule er) indomethacin sodium 1 mg vial INFLAMMACIN KIT ketoprofen (0 mg capsule, 7 mg capsule, 00 mg caph pel) KLOFENSAID II 1.% TOPICAL SOL meclofenamate sodium (0 mg capsule, 100 mg capsule) mefenamic acid 0 mg capsule meloxicam (7. mg tablet, 7. mg/ml oral susp, 1 mg tablet) MOBIC (7. MG, 7. MG/ ML SUSPENSION, 1 MG ) PA 6

57 Name Name nabumetone (00 mg tablet, 70 mg tablet) NUCYNTA 0 MG QL (6 PER 0 nalbuphine hcl (10 mg/ml vial, 10 mg/ml ampul) nalbuphine hcl (0 mg/ml vial, 0 mg/ml ampul) NALFON 00 MG CAPSULE naloxone hcl (0. mg/ml vial, 0. mg/ml syringe, 1 mg/ml syringe) QL (00 PER 0 QL (100 PER 0 NUCYNTA 7 MG NUCYNTA ER (ER 0 MG, ER 100 MG, ER 10 MG, ER 00 MG, ER 0 MG ) oxaprozin 600 mg tablet PENNSAID % PUMP QL ( PER 0 QL (60 PER 0 naltrexone hcl 0 mg tablet NAPRELAN (CR 7 MG, CR 00 MG, CR 70 MG ) pentazocine hcl/naloxone hcl 0mg-0.mg tablet piroxicam (10 mg capsule, 0 mg capsule) QL ( PER 0 NAPROSYN 00 MG PONSTEL 0 MG KAPSEALS naproxen (1 mg/ml oral susp, 0 mg tablet, 7 mg tablet, 7 mg tablet dr, 00 mg tablet dr, 00 mg tablet) naproxen sodium (7 mg tablet, 7 mg tbmp hr, 00 mg tbmp hr, 0 mg tablet) PRIALT ( MCG/ML VIAL, 100 MCG/ML VIAL) salsalate (00 mg tablet, 70 mg tablet) SUBOXONE ( MG-1 MG FILM, 8 MG- MG FILM) SUBOXONE 1 MG- MG SL FILM QL (90 PER 0 QL (60 PER 0) NARCAN MG NASAL SPRAY SUBOXONE MG- 0. MG SL FILM QL (60 PER 0 NEOPROFEN 0 MG/ ML VIAL sulindac (10 mg tablet, 00 mg tablet) NUCYNTA 100 MG QL (181 PER 0 SURE RESULT DSS PREMIUM PACK 7

58 Name Name TALWIN (0 MG/ML VIAL, 0 MG/ML AMPUL) QL (1 PER 0 VIVLODEX ( MG CAPSULE, 10 MG CAPSULE) TIVORBEX (0 MG CAPSULE, 0 MG CAPSULE) tolmetin sodium (00 mg tablet, 00 mg capsule, 600 mg tablet) PA VOLTAREN 1% GEL ZIPSOR MG CAPSULE ZORVOLEX (18 MG CAPSULE, MG CAPSULE) tramadol hcl (100 mg cpbp -7, 00 mg cpbp -7, 00 mg cpbp 17-8) tramadol hcl (100 mg tbmp hr, 100 mg tab er h, 00 mg tbmp hr, 00 mg tab er h, 00 mg tab er h, 00 mg tbmp hr) tramadol hcl 0 mg tablet tramadol hcl/acetaminophen 7.-mg tablet QL (0 PER 0 QL (0 PER 0 QL (0 PER 0 QL (0 PER 0 ULTRACET QL (0 PER 0 ZUBSOLV ( MG,.7-1. MG ) ZUBSOLV ( MG, MG ) ZUBSOLV MG SL QL (90 PER 0 QL (60 PER 0) PSYCHOTHERAPEUTIC DRUGS ABILIFY ( MG, MG, 10 MG, 1 MG ) ABILIFY (0 MG, 0 MG ) ULTRAM 0 MG ULTRAM ER (ER 100 MG, ER 00 MG, ER 00 MG ) VIMOVO (DR 7-0 MG, DR 00-0 MG ) QL (0 PER 0 QL (0 PER 0 ABILIFY MAINTENA (ER 00 MG SYR, ER 00 MG VL, ER 00 MG VL, ER 00 MG SYR) ADASUVE 10 MG INHALATION POWD VIVITROL (80 MG VIAL + DILUENT, 80 MG VIAL) 8

59 Name Name ADDERALL ( MG, 7. MG, 10 MG, 1. MG, 1 MG, 0 MG, 0 MG ) ADDERALL XR ( MG CAPSULE, 10 MG CAPSULE, 1 MG CAPSULE, 0 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE) ADZENYS XR-ODT (.1 MG, 6. MG, 9. MG, 1. MG, 1.7 MG, 18.8 MG ) alprazolam (0. mg tab rapdis, 0. mg tab rapdis, 0. mg tab er h, 1 mg tab rapdis, 1 mg tab er h, mg tab rapdis, mg tab er h, mg tab er h) alprazolam (0. mg tablet, 0. mg tablet, 1 mg tablet, mg tablet) ALPRAZOLAM 1 MG/ML ORAL CONC PA amitriptyline hcl (10 mg tablet, mg tablet, 0 mg tablet, 7 mg tablet, 100 mg tablet, 10 mg tablet) amitriptyline hcl/chlordiazepoxide (amitriptyline/chlordia zepoxide 1.mg- mg tablet, amitriptyline/chlordia zepoxide mg- 10mg tablet) amoxapine ( mg tablet, 0 mg tablet, 100 mg tablet, 10 mg tablet) AMYTAL SODIUM 0. GRAM VIAL ANAFRANIL ( MG CAPSULE, 0 MG CAPSULE, 7 MG CAPSULE) APLENZIN (ER 17 MG, ER 8 MG, ER MG ) APTENSIO XR (10 MG CAPSULE, 1 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE) PA PA PA AMBIEN ( MG, 10 MG ) AMBIEN CR (CR 6. MG, CR 1. MG ) STEP STEP aripiprazole (1 mg/ml solution, mg tablet, mg tablet, 10 mg tablet, 10 mg tab rapdis, 1 mg tablet, 1 mg tab rapdis, 0 mg tablet, 0 mg tablet) 9

60 Name Name ARISTADA (ER 1 MG/1.6 ML SYRN, ER 66 MG/. ML SYRN, ER 88 MG/. ML SYRN) ATIVAN (0. MG, 1 MG, MG ) ATIVAN ( MG/ML VIAL, MG/ML VIAL) BELSOMRA ( MG, 10 MG, 1 MG, 0 MG ) BRINTELLIX ( MG, 10 MG, 0 MG ) PA PA STEP chlordiazepoxide hcl ( mg capsule, 10 mg capsule, mg capsule) chlorpromazine hcl (10 mg tablet, mg tablet, mg/ml ampul, 0 mg tablet, 100 mg tablet, 00 mg tablet) citalopram hydrobromide (10 mg tablet, 10 mg/ ml solution, 0 mg tablet, 0 mg tablet) clomipramine hcl ( mg capsule, 0 mg capsule, 7 mg capsule) clonidine hcl 0.1 mg tab er 1h PA PA BRISDELLE 7. MG CAPSULE bupropion hcl (7 mg tablet, 100 mg tablet er, 100 mg tablet, 10 mg tab er h, 10 mg tablet er, 00 mg tablet er, 00 mg tab er h) buspirone hcl ( mg tablet, 7. mg tablet, 10 mg tablet, 1 mg tablet, 0 mg tablet) BUTISOL SODIUM 0 MG CELEXA (10 MG, 0 MG, 0 MG ) clorazepate dipotassium (.7 mg tablet, 7. mg tablet, 1 mg tablet) clozapine (1. mg tab rapdis, mg tablet, mg tab rapdis, 0 mg tablet, 100 mg tablet, 100 mg tab rapdis, 00 mg tablet) clozapine (10 mg tab rapdis, 00 mg tab rapdis) CLOZARIL ( MG, 100 MG ) CONCERTA (ER 18 MG, ER 7 MG, ER 6 MG, ER MG ) PA QL (0 PER 0) 60

61 Name Name CYMBALTA (0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE) DAYTRANA (10 MG/9 HR PATCH, 1 MG/9 HR PATCH, 0 MG/9 HOUR PATCH, 0 MG/9 HOUR PATCH) desipramine hcl (10 mg tablet, mg tablet, 0 mg tablet, 7 mg tablet, 100 mg tablet, 10 mg tablet) DESOXYN MG desvenlafaxine (0 mg tab er h, 0 mg tab er, 100 mg tab er h, 100 mg tab er ) desvenlafaxine fumarate (0 mg tab er, 100 mg tab er ) DEXEDRINE ( MG, 10 MG ) DEXEDRINE ( MG, 10 MG, 1 MG) dexmethylphenidate hcl (. mg tablet, mg tablet, mg cpbp 0-0, 10 mg cpbp 0-0, 10 mg tablet, 1 mg cpbp 0-0, 0 mg cpbp 0-0, 0 mg cpbp 0-0, 0 mg cpbp 0-0) dextroamphetamine sulfsaccharate/ampheta mine sulf-aspartate (dextroamphetamine/ amphetamine mg cap er h, dextroamphetamine/ amphetamine mg tablet, dextroamphetamine/ amphetamine 7. mg tablet, dextroamphetamine/ amphetamine 10 mg tablet, dextroamphetamine/ amphetamine 10 mg cap er h, dextroamphetamine/ amphetamine 1. mg tablet, dextroamphetamine/ amphetamine 1 mg tablet, dextroamphetamine/ amphetamine 1 mg cap er h, dextroamphetamine/ amphetamine 0 mg tablet, dextroamphetamine/ amphetamine 0 mg cap er h, dextroamphetamine/ amphetamine mg cap er h, dextroamphetamine/ amphetamine 0 mg tablet, dextroamphetamine/ amphetamine 0 mg cap er h) dextroamphetamine sulfate ( mg/ ml solution, mg tablet, mg capsule er, 10 mg tablet, 10 mg capsule er, 1 mg capsule er) 61

62 Name Name diazepam ( mg tablet, mg/ ml solution, mg/ml oral conc, mg tablet, 10 mg tablet) diazepam ( mg/ml syringe, mg/ml vial) DOPRAM 00 MG/0 ML VIAL doxepin hcl (10 mg/ml oral conc, 10 mg capsule, mg capsule, 0 mg capsule, 7 mg capsule, 100 mg capsule, 10 mg capsule) duloxetine hcl (0 mg capsule dr, 0 mg capsule dr, 0 mg capsule dr, 60 mg capsule dr) EDLUAR ( MG, 10 MG ) PA PA PA STEP eszopiclone (1 mg tablet, mg tablet, mg tablet) EVEKEO ( MG, 10 MG ) FANAPT (1 MG, MG, MG, 6 MG, 8 MG, 10 MG, 1 MG, TITRATION PACK) FAZACLO (1. MG ODT, MG ODT, 100 MG ODT, 10 MG ODT, 00 MG ODT) FETZIMA (0-0 MG TITRATION PAK, ER 0 MG CAPSULE, ER 0 MG CAPSULE, ER 80 MG CAPSULE, ER 10 MG CAPSULE) STEP PA STEP EFFEXOR XR (7. MG CAPSULE, 7 MG CAPSULE, 10 MG CAPSULE) EMSAM (6 MG/ PATCH, 9 MG/ PATCH, 1 MG/ PATCH) ergoloid mesylates 1 mg tablet escitalopram oxalate ( mg/ ml solution, mg tablet, 10 mg tablet, 0 mg tablet) estazolam (1 mg tablet, mg tablet) PA flumazenil 0.1 mg/ml vial fluoxetine hcl (10 mg tablet, 10 mg capsule, 0 mg tablet, 0 mg/ ml solution, 0 mg capsule, 0 mg capsule, 90 mg capsule dr) fluoxetine hcl 60 mg tablet fluphenazine decanoate mg/ml vial 6

63 Name Name fluphenazine hcl (1 mg tablet,. mg/ml elixir,. mg tablet,. mg/ml vial, mg tablet, mg/ml oral conc, 10 mg tablet) flurazepam hcl (1 mg capsule, 0 mg capsule) fluvoxamine maleate ( mg tablet, 0 mg tablet, 100 mg cap er h, 100 mg tablet, 10 mg cap er h) FOCALIN (. MG, MG, 10 MG ) FOCALIN XR ( MG CAPSULE, 10 MG CAPSULE, 1 MG CAPSULE, 0 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE) FORFIVO XL 0 MG GEODON (0 MG/ML VIAL, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE, 80 MG CAPSULE) guanfacine hcl (1 mg tab er h, mg tab er h, mg tab er h, mg tab er h) PA HALCION 0. MG HALDOL MG/ML AMPUL HALDOL DECANOATE 100 AMPUL HALDOL DECANOATE 0 AMPUL haloperidol (0. mg tablet, 1 mg tablet, mg tablet, mg tablet, 10 mg tablet, 0 mg tablet) haloperidol decanoate (0 mg/ml vial, 0 mg/ml ampul, 100 mg/ml ampul, 100 mg/ml vial) haloperidol lactate ( mg/ml oral conc, mg/ml vial, mg/ml ampul) HETLIOZ 0 MG CAPSULE imipramine hcl (10 mg tablet, mg tablet, 0 mg tablet) imipramine pamoate (7 mg capsule, 100 mg capsule, 1 mg capsule, 10 mg capsule) INTERMEZZO (1.7 MG TAB,. MG TAB) PA PA PA PA; QL (0 PER 0) guanidine hcl 1 mg tablet 6

64 Name Name INTUNIV (ER 1 MG, ER MG, ER MG, ER MG ) INVEGA (ER 1. MG, ER MG, ER 6 MG, ER 9 MG ) INVEGA SUSTENNA (117 MG/0.7 ML, 16 MG/ML SYRG, MG/1. ML) INVEGA SUSTENNA (9 MG/0. ML, 78 MG/0. ML) INVEGA TRINZA (7 MG/0.87 ML, 10 MG/1.1 ML, 6 MG/1.7 ML, 819 MG/.6 ML) STEP lithium carbonate (10 mg capsule, 00 mg tablet er, 00 mg tablet, 00 mg capsule, 0 mg tablet er, 600 mg capsule) lithium citrate 8 meq/ ml solution LITHOBID ER 00 MG lorazepam (0. mg tablet, 1 mg tablet, mg tablet) lorazepam ( mg/ml syringe, mg/ml vial, mg/ml oral conc, mg/ml syringe, mg/ml vial) LORAZEPAM INTENSOL MG/ML PA PA PA IRENKA DR 0 MG CAPSULE KAPVAY ER 0.1 MG loxapine succinate ( mg capsule, 10 mg capsule, mg capsule, 0 mg capsule) KHEDEZLA (ER 0 MG, ER 100 MG ) LATUDA (0 MG, 0 MG, 60 MG, 80 MG, 10 MG ) LEXAPRO ( MG, MG/ ML SOLUTION, 10 MG, 0 MG ) STEP LUNESTA (1 MG, MG, MG ) maprotiline hcl ( mg tablet, 0 mg tablet, 7 mg tablet) MARPLAN 10 MG METADATE CD (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE) STEP 6

65 Name Name METADATE ER 0 MG methamphetamine hcl mg tablet METHYLIN (. MG TAB, MG, 10 MG ) METHYLIN ( MG/ ML SOLUTION, 10 MG/ ML SOLUTION) methylphenidate hcl (18 mg tab er, 7 mg tab er, 6 mg tab er, mg tab er ) QL (0 PER 0) midazolam hcl/pf (hcl/pf mg/ ml cartridge, hcl/pf mg/ ml syringe, hcl/pf mg/ml syringe, hcl/pf mg/ml cartridge, hcl/pf mg/ ml vial, hcl/pf 10 mg/ ml vial) midazolam hcl/pf 10 mg/ ml syringe mirtazapine (7. mg tablet, 1 mg tablet, 1 mg tab rapdis, 0 mg tablet, 0 mg tab rapdis, mg tablet, mg tab rapdis) PA PA methylphenidate hcl (. mg tab chew, mg tablet, mg/ ml solution, mg tab chew, 10 mg tablet, 10 mg tablet er, 10 mg/ ml solution, 10 mg cpbp 0-70, 10 mg tab chew, 0 mg cpbp 0-70, 0 mg tablet, 0 mg cpbp 0-0, 0 mg tablet er, 0 mg cpbp 0-0, 0 mg cpbp 0-70, 0 mg cpbp 0-0, 0 mg cpbp 0-70, 0 mg cpbp 0-70, 60 mg cpbp 0-70) modafinil (100 mg tablet, 00 mg tablet) molindone hcl ( mg tablet, 10 mg tablet, mg tablet) NARDIL 1 MG nefazodone hcl (0 mg tablet, 100 mg tablet, 10 mg tablet, 00 mg tablet, 0 mg tablet) NEMBUTAL SODIUM 0 MG/ML VIAL PA midazolam hcl ( mg/ml syrup, mg/ml vial, mg/ ml vial) PA NORPRAMIN (10 MG, MG, 0 MG, 100 MG, 10 MG ) 6

66 Name Name nortriptyline hcl (10 mg/ ml solution, 10 mg capsule, mg capsule, 0 mg capsule, 7 mg capsule) NUVIGIL (0 MG, 10 MG, 00 MG, 0 MG ) olanzapine (. mg tablet, mg tablet, mg tab rapdis, 7. mg tablet, 10 mg tab rapdis, 10 mg tablet, 1 mg tab rapdis, 1 mg tablet, 0 mg tablet, 0 mg tab rapdis) olanzapine 10 mg vial olanzapine/fluoxetine hcl (olanzapine/fluoxetin e mg- mg capsule, olanzapine/fluoxetine 6mg-0mg capsule, olanzapine/fluoxetine 6mg-mg capsule, olanzapine/fluoxetine 1mg-mg capsule, olanzapine/fluoxetine 1mg-0mg capsule) PA STEP STEP paliperidone (1. mg tab er, mg tab er, 6 mg tab er, 9 mg tab er ) PAMELOR (10 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE, 7 MG CAPSULE) PARNATE 10 MG paroxetine hcl (10 mg tablet, 1. mg tab er h, 0 mg tablet, mg tab er h, 0 mg tablet, 7. mg tab er h, 0 mg tablet) PAXIL (10 MG, 10 MG/ ML SUSPENSION, 0 MG, 0 MG, 0 MG ) PAXIL CR (CR 1. MG, CR MG, CR 7. MG ) perphenazine ( mg tablet, mg tablet, 8 mg tablet, 16 mg tablet) STEP OLEPTRO ER (ER 10 MG, ER 00 MG ) ORAP (1 MG, MG ) oxazepam (10 mg capsule, 1 mg capsule, 0 mg capsule) PA 66

67 Name Name perphenazine/amitrip tyline hcl (perphenazine/amitri ptyline mg-10 mg tablet, perphenazine/amitrip tyline mg- mg tablet, perphenazine/amitrip tyline mg- mg tablet, perphenazine/amitrip tyline mg-10mg tablet, perphenazine/amitrip tyline mg-0 mg tablet) PEXEVA (10 MG, 0 MG, 0 MG, 0 MG ) PA quetiapine fumarate ( mg tablet, 0 mg tablet, 100 mg tablet, 00 mg tablet, 00 mg tablet, 00 mg tablet) QUILLICHEW ER (ER 0 MG CHEW TAB, ER 0 MG CHEW TAB, ER 0 MG CHEW TAB) QUILLIVANT XR MG/ ML SUSP REMERON (1 MG SOLTAB, 1 MG, 0 MG, 0 MG SOLTAB, MG, MG SOLTAB) phenelzine sulfate 1 mg tablet pimozide (1 mg tablet, mg tablet) RESTORIL (7. MG CAPSULE, 1 MG CAPSULE,. MG CAPSULE, 0 MG CAPSULE) PA PRISTIQ ER (ER MG, ER 0 MG, ER 100 MG ) PROCENTRA MG/ ML SOLUTION REXULTI (0. MG, 0. MG, 1 MG, MG, MG, MG ) STEP protriptyline hcl ( mg tablet, 10 mg tablet) PROVIGIL (100 MG, 00 MG ) PROZAC (10 MG, 0 MG, 0 MG) PROZAC WEEKLY 90 MG CAPSULE PA RISPERDAL (0. MG, 0. MG, 1 MG/ML SOLUTION, 1 MG, MG, MG, MG ) RISPERDAL CONSTA (1. MG SYR, MG SYR) 67

68 Name Name RISPERDAL CONSTA (7. MG SYR, 0 MG SYR) RISPERDAL M-TAB (0. MG ODT, 1 MG ODT, MG ODT, MG ODT, MG ODT) risperidone (0. mg tablet, 0. mg tab rapdis, 0. mg tab rapdis, 0. mg tablet, 1 mg tab rapdis, 1 mg/ml solution, 1 mg tablet, mg tablet, mg tab rapdis, mg tab rapdis, mg tablet, mg tab rapdis, mg tablet) RITALIN ( MG, 10 MG, 0 MG ) RITALIN LA (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE) ROZEREM 8 MG SAPHRIS (. MG TAB SL BLK CHRY, MG TAB SL BLK CHERRY, MG SUBLINGUAL, 10 MG TAB SUBLINGUAL, 10 MG TAB SL BLK CHERY) SARAFEM (10 MG, 0 MG ) STEP SECONAL SODIUM 100 MG CAPSULE SEROQUEL ( MG, 0 MG, 100 MG, 00 MG, 00 MG, 00 MG ) SEROQUEL XR (0 MG, 10 MG, 00 MG, 00 MG, 00 MG ) sertraline hcl (0 mg/ml oral conc, mg tablet, 0 mg tablet, 100 mg tablet) SILENOR ( MG, 6 MG ) SONATA ( MG CAPSULE, 10 MG CAPSULE) STRATTERA (10 MG CAPSULE, 18 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE, 80 MG CAPSULE, 100 MG CAPSULE) SURMONTIL ( MG CAPSULE, 0 MG CAPSULE, 100 MG CAPSULE) SYMBYAX (- MG CAPSULE, 6- MG CAPSULE, 6-0 MG CAPSULE, 1- MG CAPSULE, 1-0 MG CAPSULE) STEP STEP PA STEP 68

69 Name Name temazepam (7. mg capsule, 1 mg capsule,. mg capsule, 0 mg capsule) thioridazine hcl (10 mg tablet, mg tablet, 0 mg tablet, 100 mg tablet) thiothixene (1 mg capsule, mg capsule, mg capsule, 10 mg capsule) TOFRANIL (10 MG, MG, 0 MG ) TRANXENE T-TAB (.7 MG, 7. MG) tranylcypromine sulfate 10 mg tablet trazodone hcl (0 mg tablet, 100 mg tablet, 10 mg tablet, 00 mg tablet) triazolam (0.1 mg tablet, 0. mg tablet) trifluoperazine hcl (1 mg tablet, mg tablet, mg tablet, 10 mg tablet) trimipramine maleate ( mg capsule, 0 mg capsule, 100 mg capsule) TRINTELLIX ( MG, 10 MG, 0 MG ) PA PA PA PA PA VALIUM ( MG, MG, 10 MG ) venlafaxine hcl ( mg tablet, 7. mg cap er h, 7. mg tablet, 0 mg tablet, 7 mg cap er h, 7 mg tablet, 100 mg tablet, 10 mg cap er h) venlafaxine hcl (7. mg tab er, 7 mg tab er, 10 mg tab er, mg tab er ) VERSACLOZ 0 MG/ML SUSPENSION VIIBRYD (10-0 MG STARTER PACK, 10 MG, 0 MG, 0 MG ) VRAYLAR (1. MG CAPSULE, MG CAPSULE,. MG CAPSULE, 6 MG CAPSULE) VRAYLAR 1. MG- MG PACK VYVANSE (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE, 70 MG CAPSULE) WELLBUTRIN 100 MG PA STEP STEP STEP 69

70 Name Name WELLBUTRIN SR (100 MG, 10 MG, 00 MG ) WELLBUTRIN XL (10 MG, 00 MG ) XANAX (0. MG, 0. MG, 1 MG, MG ) XANAX XR (0. MG, 1 MG, MG, MG ) XYREM 00 MG/ML ORAL SOLUTION zaleplon ( mg capsule, 10 mg capsule) ZENZEDI (. MG, 7. MG, 1 MG, 0 MG, 0 MG ) PA PA LA STEP zolpidem tartrate (1.7 mg tab subl,. mg tab subl) zolpidem tartrate ( mg tablet, 6. mg tab mphase, 10 mg tablet, 1. mg tab mphase) ZYPREXA (1 MG, 0 MG ) ZYPREXA (. MG, MG, 7. MG, 10 MG ) ZYPREXA 10 MG VIAL ZYPREXA RELPREVV (10 MG VIAL, 10 MG VL KIT, 00 MG VL KIT, 00 MG VIAL, 0 MG VL KIT, 0 MG VIAL) ZYPREXA ZYDIS (1 MG, 0 MG ) PA; QL (0 PER 0 STEP STEP STEP STEP ZENZEDI ( MG, 10 MG ) ZYPREXA ZYDIS ( MG, 10 MG ) STEP ziprasidone hcl (0 mg capsule, 0 mg capsule, 60 mg capsule, 80 mg capsule) ZOLOFT (0 MG/ML ORAL CONC, MG, 0 MG, 100 MG ) CARDIOVASCULAR, HYPERTENSION / LIPIDS ANTIARRHYTHMIC AGENTS ADENOCARD 1 MG/ ML SYRINGE adenosine ( mg/ml syringe, mg/ml vial) 70

71 Name Name amiodarone hcl (100 mg tablet, 10 mg/ml syringe, 00 mg tablet, 00 mg tablet) lidocaine hcl/pf (hcl/pf 0 mg/ml vial, hcl/pf 0 mg/ ml syringe, hcl/pf 100 mg/ml syringe) amiodarone hcl (0 mg/ml vial, 0 mg/ml ampul) BETAPACE (80 MG, 10 MG, 160 MG ) BETAPACE AF (80 MG, 10 MG, 160 MG ) CORDARONE 00 MG B/D PA mexiletine hcl (10 mg capsule, 00 mg capsule, 0 mg capsule) MULTAQ 00 MG NEXTERONE (10 MG/100 ML BAG, 60 MG/00 ML BAG) NORPACE (100 MG CAPSULE, 10 MG CAPSULE) B/D PA CORVERT 1 MG/10 ML VIAL disopyramide phosphate (100 mg capsule, 10 mg capsule) flecainide acetate (0 mg tablet, 100 mg tablet, 10 mg tablet) ibutilide fumarate 0.1 mg/ml vial lidocaine hcl/d7.w/pf % ampul lidocaine hcl/dextrose %- water/pf (hcl/dw/pf 8 mg/ml iv soln, hcl/dw/pf mg/ml iv soln) NORPACE CR (CR 100 MG CAPSULE, CR 10 MG CAPSULE) PACERONE (100 MG, 00 MG, 00 MG ) procainamide hcl (100 mg/ml vial, 00 mg/ml vial) propafenone hcl (10 mg tablet, mg cap er 1h, mg tablet, 00 mg tablet, mg cap er 1h, mg cap er 1h) quinidine gluconate (80 mg/ml vial, mg tablet er) quinidine sulfate (00 mg tablet, 00 mg tablet) 71

72 Name Name RYTHMOL (10 MG, MG ) AFEDITAB CR (CR 0 MG, CR 60 MG ) RYTHMOL SR ( MG CAPSULE, MG CAPSULE, MG CAPSULE) SORINE (80 MG, 10 MG, 160 MG, 0 MG ) sotalol hcl (80 mg tablet, 10 mg tablet, 160 mg tablet, 0 mg tablet) SOTYLIZE MG/ML ORAL SOLUTION TIKOSYN (1 MCG CAPSULE, 0 MCG CAPSULE, 00 MCG CAPSULE) XYLOCAINE IV % AMPUL ANTIHYPERTENSIVE THERAPY ACCUPRIL ( MG, 10 MG, 0 MG, 0 MG ) ACCURETIC (10-1. MG, 0- MG, 0-1. MG ) acebutolol hcl (00 mg capsule, 00 mg capsule) ADALAT CC (0 MG, 60 MG, 90 MG ) ALDACTAZIDE (-, 0-0 ) ALDACTONE ( MG, 0 MG, 100 MG ) ALTACE (1. MG CAPSULE,. MG CAPSULE, MG CAPSULE, 10 MG CAPSULE) amiloride hcl mg tablet amiloride/hydrochlor othiazide mg-0 mg tablet amlodipine besylate (. mg tablet, mg tablet, 10 mg tablet) amlodipine besylate/benazepril hcl (besylate/benazepril.mg-10mg capsule, besylate/benazepril mg-0 mg capsule, besylate/benazepril mg-10 mg capsule, besylate/benazepril mg-0 mg capsule, besylate/benazepril 10 mg-0mg capsule, besylate/benazepril 10 mg-0mg capsule) STEP STEP 7

73 Name Name amlodipine besylate/valsartan (amlodipine/valsartan mg-0mg tablet, amlodipine/valsartan mg-160mg tablet, amlodipine/valsartan 10mg-160mg tablet, amlodipine/valsartan 10mg-0mg tablet) amlodipine besylate/valsartan/hy drochlorothiazide (amlodipine/valsartan /hcthiazid mg tablet, amlodipine/valsartan/ hcthiazid tablet, amlodipine/valsartan/ hcthiazid 10mg- 160mg tablet, amlodipine/valsartan/ hcthiazid tablet, amlodipine/valsartan/ hcthiazid tablet) ATACAND ( MG, 8 MG, 16 MG, MG ) ATACAND HCT (16-1. MG TAB, -1. MG TAB, - MG ) atenolol ( mg tablet, 0 mg tablet, 100 mg tablet) atenolol/chlorthalidon e (atenolol/chlorthalido ne 0 mg-mg tablet, atenolol/chlorthalidon e 100mg-mg tablet) AVALIDE (10-1. MG, MG ) AVAPRO (7 MG, 10 MG, 00 MG ) AZOR (-0 MG, -0 MG, 10-0 MG, 10-0 MG ) benazepril hcl ( mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet) benazepril hcl/hydrochlorothiazi de (benazepril/hydrochl orothiazide -6.mg tablet, benazepril/hydrochlo rothiazide 10-1.mg tablet, benazepril/hydrochlo rothiazide 0-1. mg tablet, benazepril/hydrochlo rothiazide 0 mg- mg tablet) 1 BENICAR ( MG, 0 MG, 0 MG ) 7

74 Name Name BENICAR HCT (0-1. MG, 0- MG, 0-1. MG ) betaxolol hcl (10 mg tablet, 0 mg tablet) BIDIL bisoprolol fumarate ( mg tablet, 10 mg tablet) bisoprolol fumarate/hydrochloro thiazide (fumarate/hctz.- 6.mg tablet, fumarate/hctz - 6.mg tablet, fumarate/hctz 10-6.mg tablet) BREVIBLOC (10 MG/ML VIAL, 10 MG/ML IV BAG, 0 MG/ML IV BAG) bumetanide (0. mg/ml vial, 0. mg tablet, 1 mg tablet, mg tablet) BYSTOLIC (. MG, MG, 10 MG, 0 MG ) CALAN (80 MG, 10 MG ) CALAN SR (10 MG, 180 MG, 0 MG) candesartan cilexetil ( mg tablet, 8 mg tablet, 16 mg tablet, mg tablet) candesartan cilexetil/hydrochlorot hiazide (candesartan/hydroc hlorothiazid 16-1.mg tablet, candesartan/hydroch lorothiazid - 1.mg tablet, candesartan/hydroch lorothiazid mg- mg tablet) captopril (1. mg tablet, mg tablet, 0 mg tablet, 100 mg tablet) captopril/hydrochloro thiazide (captopril/hydrochlor othiazide mg- mg tablet, captopril/hydrochloro thiazide mg-1mg tablet, captopril/hydrochloro thiazide 0 mg-1mg tablet, captopril/hydrochloro thiazide 0 mg-mg tablet) CARDENE I.V. (CARDENE-DEX 0 MG/00 ML SOLN, CARDENE-DEX 0 MG/00 ML IV, CARDENE-NACL 0 MG/00 ML SOLN, CARDENE-NACL 0 MG/00 ML IV) CARDIZEM (0 MG, 60 MG, 10 MG ) 1 7

75 Name Name CARDIZEM CD (10 MG CAPSULE, 180 MG CAPSULE, 0 MG CAPSULE, 00 MG CAPSULE, 60 MG CAPSULE) chlorothiazide (0 mg tablet, 00 mg tablet) chlorothiazide sodium 00 mg vial CARDIZEM LA (10 MG, 180 MG, 0 MG, 00 MG, 60 MG, 0 MG ) chlorthalidone ( mg tablet, 0 mg tablet) CLEVIPREX ( MG/0 ML VIAL, 0 MG/100 ML VIAL) CARDURA (1 MG, MG, MG, 8 MG ) CARDURA XL ( MG, 8 MG ) CARTIA XT (10 MG CAPSULE, 180 MG CAPSULE, 0 MG CAPSULE, 00 MG CAPSULE) carvedilol (.1 mg tablet, 6. mg tablet, 1. mg tablet, mg tablet) clonidine (0.1mg/hr patch tdwk, 0.mg/hr patch tdwk, 0.mg/hr patch tdwk) clonidine hcl (0.1 mg tablet, 0. mg tablet, 0. mg tablet) clonidine hcl/pf 1000mcg/10 vial CLORPRES (0.1-1, 0.-1 ) CLORPRES 0.-1 CATAPRES (0.1 MG, 0. MG, 0. MG ) CATAPRES-TTS 1 PATCH CATAPRES-TTS PATCH CATAPRES-TTS PATCH COREG (.1 MG, 6. MG, 1. MG, MG ) COREG CR (CR 10 MG CAPSULE, CR 0 MG CAPSULE, CR 0 MG CAPSULE, CR 80 MG CAPSULE) CORGARD (0 MG, 0 MG, 80 MG ) 7

76 Name Name CORLOPAM 10 MG/ML AMPUL CORLOPAM 10 MG/ML VIAL CORZIDE (0-, 80- ) COZAAR ( MG, 0 MG, 100 MG ) DEMADEX ( MG, 10 MG, 0 MG ) DEMSER 0 MG CAPSULE DIBENZYLINE 10 MG CAPSULE DILT-CD (10 MG CAPSULE, 180 MG CAPSULE, 0 MG CAPSULE) DILT-XR (10 MG CAPSULE, 180 MG CAPSULE, 0 MG CAPSULE) diltiazem hcl ( mg/ml vial, 0 mg tablet, 60 mg cap er 1h, 60 mg tablet, 90 mg cap er 1h, 90 mg tablet, 100 mg vial port, 10 mg cap er 1h, 10 mg cap er h, 10 mg cap er deg, 10 mg capsule er, 10 mg tablet, 180 mg cap er h, 180 mg cap er deg, 180 mg tab er h, 180 mg capsule er, 0 mg tab er h, 0 mg cap er deg, 0 mg cap er h, 0 mg capsule er, 00 mg cap er h, 00 mg capsule er, 00 mg tab er h, 60 mg cap er h, 60 mg capsule er, 60 mg tab er h, 0 mg tab er h, 0 mg capsule er) DIOVAN (0 MG, 80 MG, 160 MG, 0 MG ) DIOVAN HCT (80-1. MG, 160- MG, MG TAB, 0-1. MG TAB, 0- MG ) DIURIL 0 MG/ ML ORAL SUSP doxazosin mesylate (1 mg tablet, mg tablet, mg tablet, 8 mg tablet) 76

77 Name Name DUTOPROL (-1. MG, 0-1. MG, MG ) DYAZIDE 7.- CAPSULE DYRENIUM (0 MG CAPSULE, 100 MG CAPSULE) EDARBI (0 MG, 80 MG ) EDARBYCLOR (0-1. MG, 0- MG ) EDECRIN MG enalapril maleate (. mg tablet, mg tablet, 10 mg tablet, 0 mg tablet) enalapril maleate/hydrochlorot hiazide (enalapril/hydrochlor othiazide mg- 1.mg tablet, enalapril/hydrochlorot hiazide 10 mg-mg tablet) enalaprilat dihydrate 1. mg/ml vial EPANED 1 MG/ML SOLUTION 1 eprosartan mesylate 600 mg tablet esmolol hcl 100mg/10ml vial ethacrynate sodium 0 mg vial EXFORGE (-0 MG, -160 MG, 10-0 MG, MG ) EXFORGE HCT ( MG TAB, MG TAB, MG TAB, MG TAB, MG TAB) felodipine (. mg tab er h, mg tab er h, 10 mg tab er h) FLOLAN (0. MG VIAL, 1. MG VIAL) fosinopril sodium (10 mg tablet, 0 mg tablet, 0 mg tablet) fosinopril sodium/hydrochlorot hiazide (fosinopril/hydrochlor othiazide 10-1.mg tablet, fosinopril/hydrochlor othiazide 0-1. mg tablet) 1 eplerenone ( mg tablet, 0 mg tablet) epoprostenol sodium (glycine) (0. mg vial, 1. mg vial) STEP furosemide (10 mg/ml syringe, 10 mg/ml solution, 10 mg/ml vial, 0 mg tablet, 0 mg tablet, 0mg/ml solution, 80 mg tablet) 77

78 Name Name guanfacine hcl (1 mg tablet, mg tablet) hydralazine hcl (10 mg tablet, 0 mg/ml vial, mg tablet, 0 mg tablet, 100 mg tablet) hydrochlorothiazide (1. mg capsule, 1. mg tablet, mg tablet, 0 mg tablet) isradipine (. mg capsule, mg capsule) labetalol hcl ( mg/ml vial, 0 mg/ ml syringe, 100 mg tablet, 00 mg tablet, 00 mg tablet) LASIX (0 MG, 0 MG, 80 MG ) HYZAAR (0-1., , 100- ) indapamide (1. mg tablet,. mg tablet) INDERAL LA (60 MG CAPSULE, 80 MG CAPSULE, 10 MG CAPSULE, 160 MG CAPSULE) INNOPRAN XL (80 MG CAPSULE, 10 MG CAPSULE) lisinopril (. mg tablet, mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet, 0 mg tablet) lisinopril/hydrochlorot hiazide (lisinopril/hydrochloro thiazide 10-1.mg tablet, lisinopril/hydrochlorot hiazide 0-1. mg tablet, lisinopril/hydrochlorot hiazide 0 mg-mg tablet) 1 INSPRA ( MG, 0 MG ) STEP LOPRESSOR (0 MG, 100 MG ) irbesartan (7 mg tablet, 10 mg tablet, 00 mg tablet) irbesartan/hydrochlor othiazide (irbesartan/hydrochlo rothiazide 10-1.mg tablet, irbesartan/hydrochlor othiazide 00-1.mg tablet) LOPRESSOR HCT 0- losartan potassium ( mg tablet, 0 mg tablet, 100 mg tablet) 78

79 Name Name losartan potassium/hydrochlor othiazide (losartan/hydrochloro thiazide 0-1. mg tablet, losartan/hydrochlorot hiazide mg tablet, losartan/hydrochlorot hiazide 100mg-mg tablet) LOTENSIN (0 MG, 0 MG ) LOTENSIN HCT (10-1. MG, 0- MG, 0-1. MG ) LOTREL (-0 MG CAPSULE, -10 MG CAPSULE, 10-0 MG CAPSULE, 10-0 MG CAPSULE) mannitol ( % iv soln, 10 % iv soln, 0 % iv soln, % vial) metolazone (. mg tablet, mg tablet, 10 mg tablet) metoprolol succinate ( mg tab er h, 0 mg tab er h, 100 mg tab er h, 00 mg tab er h) metoprolol tartrate ( mg/ ml syringe, mg/ ml ampul, mg/ ml vial, mg tablet, 7. mg tablet, 0 mg tablet, 7 mg tablet, 100 mg tablet) metoprolol tartrate/hydrochlorot hiazide (metoprolol/hydrochl orothiazide 0 mg- mg tablet, metoprolol/hydrochlo rothiazide 100mg- 0mg tablet, metoprolol/hydrochlo rothiazide 100mg- mg tablet) MATZIM LA (180 MG, 0 MG, 00 MG, 60 MG, 0 MG ) MAVIK (1 MG, MG, MG ) MAXZIDE 7. MG- MG MAXZIDE 7 MG-0 MG MICARDIS (0 MG, 0 MG, 80 MG ) MICARDIS HCT (0-1. MG, MG, 80- MG ) MICROZIDE 1. MG CAPSULE MINIPRESS (1 MG CAPSULE, MG CAPSULE, MG CAPSULE) methyclothiazide mg tablet minoxidil (. mg tablet, 10 mg tablet) 79

80 Name Name moexipril hcl (7. mg tablet, 1 mg tablet) moexipril hcl/hydrochlorothiazi de (moexipril/hydrochlor othiazide 7.-1.mg tablet, moexipril/hydrochloro thiazide 1-mg tablet, moexipril/hydrochloro thiazide 1-1.mg tablet) nadolol (0 mg tablet, 0 mg tablet, 80 mg tablet) nadolol/bendroflumet hiazide (nadolol/bendroflume thiazide 0 mg tablet, nadolol/bendroflumet hiazide 80 mg tablet) nicardipine hcl (0 mg capsule, mg/10ml vial, mg/10ml ampul, 0 mg capsule) NIFEDICAL XL (0 MG, 60 MG ) nifedipine (0 mg tab er, 0 mg tablet er, 60 mg tablet er, 60 mg tab er, 90 mg tab er, 90 mg tablet er) nisoldipine (8.mg tab er h, 17 mg tab er h, 0 mg tab er h,. mg tab er h, 0 mg tab er h, mg tab er h, 0 mg tab er h) NORVASC (. MG, MG, 10 MG ) NYMALIZE 60 MG/0 ML SOLUTION ORENITRAM ER (ER 0. MG, ER 1 MG, ER. MG ) ORENITRAM ER 0.1 MG OSMITROL (1% IV SOLUTION, 0% IV SOLUTION) OSMITROL (% IV SOLUTION, 10% IV SOLUTION) perindopril erbumine ( mg tablet, mg tablet, 8 mg tablet) phenoxybenzamine hcl 10 mg capsule phentolamine mesylate mg vial nimodipine 0 mg capsule pindolol ( mg tablet, 10 mg tablet) prazosin hcl (1 mg capsule, mg capsule, mg capsule) 80

81 Name Name PRINIVIL ( MG, 10 MG, 0 MG ) PROCARDIA XL (0 MG, 60 MG, 90 MG ) propranolol hcl (1 mg/ml vial, 10 mg tablet, 0 mg/ ml solution, 0 mg tablet, 0 mg tablet, 0mg/ml solution, 60 mg cap sa h, 60 mg tablet, 80 mg tablet, 80 mg cap sa h, 10 mg cap sa h, 160 mg cap sa h) ramipril (1. mg capsule,. mg capsule, mg capsule, 10 mg capsule) REMODULIN (1 MG/ML VIAL,. MG/ML VIAL, MG/ML VIAL, 10 MG/ML VIAL) RESECTISOL % SOLUTION reserpine (0.1 mg tablet, 0. mg tablet) SECTRAL (00 MG CAPSULE, 00 MG CAPSULE) B/D PA; LA propranolol hcl/hydrochlorothiazi de (propranolol/hydrochl orothiazid 0 tablet, propranolol/hydrochl orothiazid 80 tablet) quinapril hcl ( mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet) quinapril hcl/hydrochlorothiazi de (quinapril/hydrochlor othiazide 10-1.mg tablet, quinapril/hydrochlorot hiazide 0 mg-mg tablet, quinapril/hydrochlorot hiazide 0-1. mg tablet) 1 SODIUM DIURIL 0. GRAM VIAL SODIUM EDECRIN 0 MG VIAL spironolact/hydrochlo rothiazid mg- mg tablet spironolactone ( mg tablet, 0 mg tablet, 100 mg tablet) SULAR (ER 8. MG, ER 17 MG, ER MG ) TARKA (ER 1-0 MG, ER MG, ER -0 MG, ER -0 MG ) 81

82 Name Name TAZTIA XT (10 MG CAPSULE, 180 MG CAPSULE, 0 MG CAPSULE, 00 MG CAPSULE, 60 MG CAPSULE) TEKTURNA (10 MG, 00 MG ) TEKTURNA HCT (10-1. MG TAB, 10- MG, MG TAB, 00- MG ) telmisartan (0 mg tablet, 0 mg tablet, 80 mg tablet) telmisartan/amlodipin e besylate (telmisartan/amlodipi ne 0 mg-10mg tablet, telmisartan/amlodipin e 0 mg- mg tablet, telmisartan/amlodipin e 80 mg-10mg tablet, telmisartan/amlodipin e 80 mg- mg tablet) TENORETIC 0 TENORMIN ( MG, 0 MG, 100 MG ) terazosin hcl (1 mg capsule, mg capsule, mg capsule, 10 mg capsule) TIAZAC (ER 10 MG CAPSULE, ER 180 MG CAPSULE, ER 0 MG CAPSULE, ER 00 MG CAPSULE, ER 60 MG CAPSULE, ER 0 MG CAPSULE) timolol maleate ( mg tablet, 10 mg tablet, 0 mg tablet) TOPROL XL ( MG, 0 MG, 100 MG, 00 MG ) telmisartan/hydrochlo rothiazide (telmisartan/hydrochl orothiazid 0-1. mg tablet, telmisartan/hydrochlo rothiazid 80-1.mg tablet, telmisartan/hydrochlo rothiazid 80 mg- mg tablet) torsemide ( mg tablet, 10 mg tablet, 0 mg tablet, 100 mg tablet) trandolapril (1 mg tablet, mg tablet, mg tablet) TENEX (1 MG, MG ) TENORETIC 100 8

83 Name Name trandolapril/verapamil hcl (trandolapril/verapam il 1-0mg tab bp h, trandolapril/verapamil -0mg tab bp h, trandolapril/verapamil mg-180mg tab bp h, trandolapril/verapamil -0mg tab bp h) triamterene/hydrochl orothiazide (triamterene/hydrochl orothiazid 7.- mg capsule, triamterene/hydrochl orothiazid 7.- mg tablet, triamterene/hydrochl orothiazid 0 mg- mg capsule, triamterene/hydrochl orothiazid 7 mg- 0mg tablet) TRIBENZOR ( MG, 0- - MG, MG, MG, MG ) TWYNSTA (0-10 MG, 0- MG, MG, 80- MG ) UPTRAVI (00 MCG, TITRATION PACK, 00 MCG, 600 MCG, 800 MCG, 1,000 MCG, 1,00 MCG, 1,00 MCG, 1,600 MCG ) LA valsartan (0 mg tablet, 80 mg tablet, 160 mg tablet, 0 mg tablet) valsartan/hydrochlor othiazide (valsartan/hydrochlor othiazide 80-1.mg tablet, valsartan/hydrochlor othiazide mg tablet, valsartan/hydrochlor othiazide 160-mg tablet, valsartan/hydrochlor othiazide 0mg- mg tablet, valsartan/hydrochlor othiazide 0-1.mg tablet) VASERETIC 10- MG VASOTEC (. MG, MG, 10 MG, 0 MG ) VELETRI (0. MG VIAL, 1. MG VIAL) verapamil hcl (. mg/ml ampul,. mg/ml vial,. mg/ml syringe, 0 mg tablet, 80 mg tablet, 100 mg caph pct, 10 mg caph pel, 10 mg tablet, 10 mg tablet er, 180 mg tablet er, 180 mg caph pel, 00 mg caph pct, 0 mg caph pel, 0 mg tablet er, 00 mg caph pct, 60 mg caph pel) 8

84 Name Name VERELAN (10 MG CAP PELLET, 180 MG CAP PELLET, 0 MG CAP PELLET, 60 MG CAP PELLET) VERELAN PM (100 MG CAP PELLET, 00 MG CAP PELLET, 00 MG CAP PELLET) ZEBETA ( MG, 10 MG ) LANOXIN (1 MCG, 0 MCG, 00 MCG/ ML AMPULE) LANOXIN (6. MCG, 187. MCG ) LANOXIN PED 100 MCG/ML AMPUL COAGULATION THERAPY AGGRENOX MG- 00 MG CAPSULE ZESTORETIC (10-1. MG, 0-1. MG, 0- MG ) AMICAR (0. GRAM/ML ORAL SOLN, 00 MG ) ZESTRIL (. MG, MG, 10 MG, 0 MG, 0 MG, 0 MG ) ZIAC (.-6. MG, -6. MG, MG ) CARDIAC GLYCOSIDES DIGITEK (1 MCG, 0 MCG ) DIGOX (1 MCG, 0 MCG ) digoxin (0 mcg/ml solution, 1 mcg tablet, 0 mcg/ml ampul, 0 mcg tablet, 0 mcg/ml syringe) AMICAR 1,000 MG aminocaproic acid 0 mg/ml vial ANGIOMAX 0 MG VIAL argatroban 100 mg/ml vial argatroban in 0.9 % sodium chloride (0.9 % 1 mg/1 vial, 0.9 % 0mg/0 iv soln) argatroban in nacl,iso-osmotic 0 mg/0ml vial ARIXTRA (. MG SYRINGE,. MG/0. ML SYRINGE) QL (1 PER 0 8

85 Name Name ARIXTRA ( MG/0. ML SYRINGE, 7. MG/0.6 ML SYRINGE, 10 MG/0.8 ML SYRINGE) aspirin/dipyridamole mg-00mg cpmp 1hr bivalirudin 0 mg vial bivalirudin 0 mg vial port BRILINTA (60 MG, 90 MG ) CEPROTIN ( VIAL, 800-1,00 VIAL) cilostazol (0 mg tablet, 100 mg tablet) clopidogrel bisulfate (7 mg tablet, 00 mg tablet) COUMADIN (1 MG, MG,. MG, MG, MG, MG, 6 MG, 7. MG, 10 MG ) CYKLOKAPRON (100 MG/ML AMPUL, 1,000 MG/10 ML VL) dipyridamole ( mg/ml vial, mg tablet, 0 mg tablet, 7 mg tablet) DURLAZA ER 16. MG CAPSULE EFFIENT ( MG, 10 MG ) ELIQUIS (. MG, MG ) enoxaparin sodium (0mg/0.ml syringe, 0mg/0.ml syringe, 60mg/0.6ml syringe, 80mg/0.8ml syringe, 100 mg/ml syringe, 10mg/.8ml syringe, 10 mg/ml syringe, 00mg/ml vial) eptifibatide (0.7 mg/ml vial, mg/ml vial) fondaparinux sodium (mg/0.ml syringe, 7.mg/0.6 syringe, 10mg/0.8ml syringe) fondaparinux sodium. mg/0. syringe FRAGMIN (10,000 UNITS/ML SYRING, 1,00 UNITS/0. ML, 1,000 UNITS/0.6 ML, 18,000 UNITS/0.7 ML,,000 UNITS/ML VIAL, 9,000 UNITS/.8 ML VL) FRAGMIN (,00 UNITS/0. ML SYR,,000 UNITS/0. ML SYR) FRAGMIN 7,00 UNITS/0. ML SYR QL (1 PER 0 QL (6 PER 0 QL (9 PER 0 8

86 Name Name heparin sodium,porcine (1000/ml vial, 000/ml vial, 000/ml(1) cartridge, 10000/ml vial, 0000/ml vial) heparin sodium,porcine in 0. % sodium chloride (hepar100/0 iv soln, hepar000/00 iv soln, hepar000/0 iv soln) heparin sodium,porcine in 0.9 % sodium chloride/pf (sodium,porcine/ns/pf k/1000ml iv soln, sodium,porcine/ns/pf 1000/00ml iv soln) IPRIVASK 1 MG VIAL JANTOVEN (1 MG, MG,. MG, MG, MG, MG, 6 MG, 7. MG, 10 MG ) LOVENOX (0 MG/0. ML SYRINGE, 0 MG/0. ML SYRINGE, 60 MG/0.6 ML SYRINGE, 80 MG/0.8 ML SYRINGE, 100 MG/ML SYRINGE, 10 MG/0.8 ML SYRINGE, 10 MG/ML SYRINGE, 00 MG/ ML VIAL) heparin sodium,porcine/dextr ose % in water (sodium,porcine/dw 000/0 iv soln, sodium,porcine/dw 0k/00ml iv soln, sodium,porcine/dw 100/0 iv soln, sodium,porcine/dw 000/00 iv soln) NPLATE (0 MCG VIAL, 00 MCG VIAL) pentoxifylline 00 mg tablet er PERSANTINE ( MG, 0 MG, 7 MG ) heparin sodium,porcine/pf (sodium,porcine/pf 1000/ml vial, sodium,porcine/pf 000/0.ml syringe, sodium,porcine/pf 000/0.ml vial) PLAVIX (7 MG, 00 MG ) PRADAXA (7 MG CAPSULE, 110 MG CAPSULE, 10 MG CAPSULE) INTEGRILIN (7 MG/100 ML VIAL, 00 MG/100 ML VIAL) PRAXBIND. GM/0 ML VIAL 86

87 Name Name PROMACTA (1. MG, MG, 0 MG ) protamine sulfate 10 mg/ml vial REOPRO MG/ML VIAL SAVAYSA (1 MG, 0 MG, 60 MG ) THROMBATE III 00 UNITS VIAL tranexamic acid (1000 mg/10 vial, 1000 mg/10 ampul) warfarin sodium (1 mg tablet, mg tablet,. mg tablet, mg tablet, mg tablet, mg tablet, 6 mg tablet, 7. mg tablet, 10 mg tablet) XARELTO (10 MG, 1 MG, 0 MG, STARTER PACK) PA; LA amlodipine besylate/atorvastatin calcium (amlodipine/atorvast atin.mg-0mg tablet, amlodipine/atorvasta tin.mg-0mg tablet, amlodipine/atorvasta tin.mg-10mg tablet, amlodipine/atorvasta tin mg-0 mg tablet, amlodipine/atorvasta tin mg-80 mg tablet, amlodipine/atorvasta tin mg-0 mg tablet, amlodipine/atorvasta tin mg-10 mg tablet, amlodipine/atorvasta tin 10 mg-80mg tablet, amlodipine/atorvasta tin 10 mg-0mg tablet, amlodipine/atorvasta tin 10 mg-0mg tablet, amlodipine/atorvasta tin 10 mg-10mg tablet) ZONTIVITY.08 MG LIPID/CHOLESTEROL LOWERING AGENTS ALTOPREV (0 MG, 0 MG, 60 MG ) ANTARA (0 MG CAPSULE, 90 MG CAPSULE) atorvastatin calcium (10 mg tablet, 0 mg tablet, 0 mg tablet, 80 mg tablet) 87

88 Name Name CADUET (. MG-0 MG,. MG-0 MG,. MG-10 MG, MG-80 MG, MG- 10 MG, MG-0 MG, MG-0 MG, 10 MG-0 MG, 10 MG- 10 MG, 10 MG-80 MG, 10 MG-0 MG ) cholestyramine (with sugar) ( g powder, g powd pack) cholestyramine/aspar tame (cholestyramine/aspa rtame g powd pack, cholestyramine/aspar tame g powder) COLESTID (1 GM, FLAVORED GRANULES, GRANULES, GRANULES PACKET) colestipol hcl (1 g tablet, g packet, g granules) CRESTOR ( MG, 10 MG, 0 MG, 0 MG ) fenofibrate (0 mg tablet, 0 mg capsule, 10 mg tablet, 10 mg capsule) fenofibrate ( mg tablet, 160 mg tablet) fenofibrate nanocrystallized (8 mg tablet, 1mg tablet) fenofibrate,micronize d ( mg capsule, 67 mg capsule, 10 mg capsule, 1mg capsule, 00 mg capsule) fenofibric acid ( mg tablet, 10 mg tablet) fenofibric acid (choline) ( mg capsule dr, 1 mg capsule dr) FENOGLIDE (0 MG, 10 MG ) FIBRICOR ( MG, 10 MG ) fluvastatin sodium (0 mg capsule, 0 mg capsule, 80 mg tab er h) gemfibrozil 600 mg tablet JUXTAPID ( MG CAPSULE, 10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 60 MG CAPSULE) KYNAMRO 00 MG/ML SYRINGE PA; LA PA; LA 88

89 Name Name LESCOL XL 80 MG PRALUENT 10 MG/ML PEN PA; QL ( PER 8) LIPITOR (10 MG, 0 MG, 0 MG, 80 MG ) PRALUENT 10 MG/ML SYRINGE PRALUENT 7 MG/ML PEN PA; QL ( PER 8) PA; QL ( PER 8 LIPOFEN (0 MG CAPSULE, 10 MG CAPSULE) LIVALO (1 MG, MG, MG ) LOFIBRA ( MG, 67 MG CAPSULE, 1 MG CAPSULE, 160 MG, 00 MG CAPSULE) LOPID 600 MG lovastatin (10 mg tablet, 0 mg tablet, 0 mg tablet) LOVAZA 1 GM CAPSULE niacin (00 mg tab er h, 70 mg tab er h, 1000 mg tab er h) NIACOR 00 MG NIASPAN (ER 00 MG, ER 70 MG, ER 1,000 MG ) omega- acid ethyl esters 1 g capsule 1 PRALUENT 7 MG/ML SYRINGE PRAVACHOL (0 MG, 0 MG, 80 MG ) pravastatin sodium (10 mg tablet, 0 mg tablet, 0 mg tablet) pravastatin sodium 80 mg tablet PREVALITE (PACKET, POWDER) QUESTRAN (PACKET, POWDER) QUESTRAN LIGHT POWDER REPATHA 10 MG/ML SURECLICK REPATHA 10 MG/ML SYRINGE rosuvastatin calcium ( mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet) simvastatin ( mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet, 80 mg tablet) TRICOR (8 MG, 1 MG ) PA; QL ( PER 8 1 PA; QL ( PER 0) PA; QL ( PER 0) 1 89

90 Name Name TRIGLIDE 160 MG TRILIPIX (DR MG CAPSULE, DR 1 MG CAPSULE) dopamine hcl (00 mg/ml vial, 00 mg/ml vial, 00mg/10ml vial, 800mg/10ml vial, 800mg/ml vial) VASCEPA 1 GM CAPSULE VYTORIN (10-80 MG, MG, 10-0 MG, 10-0 MG ) WELCHOL (.7G PACKET, 6 MG ) ZETIA 10 MG ZOCOR ( MG, 10 MG, 0 MG, 0 MG, 80 MG ) dopamine hcl/dextrose % in water (hcl/dw 00mg/0.l plast. bag, hcl/dw 00mg/.l plast. bag, hcl/dw 800mg/0.l plast. bag, hcl/dw 00mg/.l plast. bag, hcl/dw 800mg/.l plast. bag) ENTRESTO ( MG- 6 MG, 9 MG-1 MG, 97 MG-10 MG ) ISUPREL 1 MG/ ML AMPUL MISCELLANEOUS CARDIOVASCULAR AGENTS cardioplegic solution no.1 k+=16meq/l plst bg pf CORLANOR ( MG, 7. MG ) dobutamine hcl (0mg/0ml vial, 00mg/0ml vial) dobutamine hcl/dextrose % in water (hcl/dw 00mg/0 iv soln, hcl/dw 0mg/0 iv soln, hcl/dw 1000mg/0 iv soln) LEVOPHED MG/ ML VIAL milrinone lactate 1 mg/ml vial milrinone lactate/dextrose % in water (lactate/dw 0mg/00ml piggyback, lactate/dw 0mg/100ml piggyback) NATRECOR 1. MG VIAL NITROPRESS 0 MG/ ML VIAL 90

91 Name Name norepinephrine bitartrate 1 mg/ml ampul PLEGISOL SOLUTION RANEXA (ER 00 MG, ER 1,000 MG ) VECAMYL. MG NITRATES DILATRATE-SR 0 MG CAPSULE ISORDIL 0 MG ISORDIL TITRADOSE MG TAB isosorbide dinitrate ( mg tablet, 10 mg tablet, 0 mg tablet, 0 mg tablet, 0 mg tablet er) isosorbide mononitrate (10 mg tablet, 0 mg tablet, 0 mg tab er h, 60 mg tab er h, 10 mg tab er h) MINITRAN (0.1 MG/HR PATCH, 0. MG/HR PATCH, 0. MG/HR PATCH, 0.6 MG/HR PATCH) NITRO-DUR (0.1 MG/HR PATCH, 0. MG/HR PATCH, 0. MG/HR PATCH, 0. MG/HR PATCH, 0.6 MG/HR PATCH, 0.8 MG/HR PATCH) nitroglycerin (0.1mg/hr patch td, 0.mg/hr patch td, 0.mg/hr patch td, 0.6mg/hr patch td,. mg capsule er, 6. mg capsule er, 9 mg capsule er, 00mcg/spr spray) nitroglycerin 0 mg/10ml vial nitroglycerin/dextros e % in water (nitroglycerin/dw 0mg/00ml infus. btl, nitroglycerin/dw 100mg/0 infus. btl, nitroglycerin/dw 00mg/00 infus. btl, nitroglycerin/dw mg/0ml infus. btl, nitroglycerin/dw 0mg/0ml infus. btl) NITROLINGUAL 0. MG SPRAY NITROMIST 00 MCG SPRAY NITRONAL ( MG/ ML AMPULE, 0 MG/0 ML VIAL) B/D PA NITRO-BID % OINTMENT NITROSTAT (0. MG, 0. MG, 0.6 MG ) DERMATOLOGICALS/TOPICAL THERAPY 91

92 Name ANTIPSORIATIC / ANTISEBORRHEIC acitretin (10 mg capsule, 17. mg capsule, mg capsule) ANALPRAM HC.%-1% LOTION calcipotriene (0.00 % cream (g), 0.00 % oint. (g), 0.00 % solution) calcipotriene/betamet hasone oint. (g) CALCITRENE 0.00% OINTMENT calcitriol mcg/g oint. (g) COSENTYX 10 MG/ML PEN INJECT COSENTYX 10 MG/ML SYRINGE COSENTYX 00 MG DOSE- PENS COSENTYX 00 MG DOSE- SYRINGE DOVONEX 0.00% CREAM ENSTILAR 0.00%- 0.06% FOAM PA PA PA PA Name SORIATANE (10 MG CAPSULE, 17. MG CAPSULE, MG CAPSULE) SORILUX 0.00% FOAM STELARA ( MG/0. ML SYRINGE, 90 MG/ML SYRINGE) TACLONEX (0.00%- 0.06% SUSPENS, OINTMENT) TALTZ 80 MG/ML AUTOINJ (-PK) TALTZ 80 MG/ML AUTOINJ (-PK) TALTZ 80 MG/ML AUTOINJECTOR TALTZ 80 MG/ML SYRINGE TALTZ 80 MG/ML SYRINGE (-PK) TALTZ 80 MG/ML SYRINGE (-PK) VECTICAL MCG/G OINTMENT BURN THERAPY SILVADENE 1% CREAM PA PA PA PA PA PA PA EPIFOAM FOAM PRAMOSONE (1%- 1% CREAM, 1% LOTION,.%-1% LOTION) selenium sulfide. % lotion silver sulfadiazine 1 % cream (g) SSD 1% CREAM MISCELLANEOUS DERMATOLOGICALS 9

93 Name Name 8-MOP 10 MG CAPSULE methoxsalen, rapid 10 mg capsule ALDARA % CREAM ammonium lactate (1 % lotion, 1 % cream (g)) OXSORALEN 1% LOTION OXSORALEN- ULTRA 10 MG CAP ARTISS ( ML SYRINGE, ML SYRINGE, 10 ML SYRINGE) CARAC (0.% CREAM, CREAM) CONDYLOX (GEL, TOPICAL SOLN) DERMACINRX SURGICAL PHARMAPAK PANRETIN 0.1% GEL PICATO (0.01% GEL, 0.0% GEL) podofilox 0. % solution PROTOPIC (0.0%, 0.1%) PRUDOXIN % CREAM PA DERMAWERX SURGICAL PLUS PAK diclofenac sodium (1 % gel (gram), % gel (gram)) doxepin hcl % cream (g) QUTENZA 8% KIT REGRANEX 0.01% GEL SOLARAZE % GEL tacrolimus (0.0 % oint. (g), 0.1 % oint. (g)) EFUDEX % CREAM TOLAK % CREAM ELIDEL 1% CREAM fluorouracil ( % solution, % solution, % cream (g)) fluorouracil 0. % cream (g) imiquimod % cream pack UVADEX 0 MCG/ML VIAL VALCHLOR 0.016% GEL VEREGEN 1% OINTMENT ZONALON % CREAM LEVULAN KERASTICK 9

94 Name Name ZYCLARA (.% CREAM PUMP,.7% CREAM PUMP,.7% CREAM) THERAPY FOR ACNE ABSORICA (10 MG CAPSULE, 0 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE, MG CAPSULE, 0 MG CAPSULE) CLEOCIN T (GEL, LOION, PLEDGES, SOLUION) CLINDACIN ETZ (1% PLEDGET, KIT) CLINDACIN P 1% PLEDGETS CLINDACIN PAC KIT CLINDAGEL 1% GEL ACANYA GEL PUMP ACZONE (% GEL, 7.% GEL PUMP) adapalene (0.1 % gel (gram), 0.1 % cream (g), 0. % gel (gram), 0. % gel w/pump) PA ATRALIN 0.0% GEL PA AVITA 0.0% CREAM PA AVITA 0.0% GEL PA clindamycin phosphate (1 % foam, 1 % lotion, 1 % med. swab, 1 % gel (gram), 1 % solution) clindamycin phosphate/benzoyl peroxide (phos/benzoyl 1 %- % gel (gram), phos/benzoyl 1 %- % gel w/pump, phos/benzoyl 1.(1)%-% gel (gram)) AZELEX 0% CREAM CLINDESSE % VAGINAL CREAM BENZACLIN (GEL, GEL G PUMP, GEL 0G PUMP) BENZAMYCIN GEL DIFFERIN (0.1% LOTION, 0.1% GEL, 0.1% CREAM, 0.% GEL, 0.% GEL PUMP) PA BENZAMYCINPAK GEL CLARAVIS (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE) DUAC 1.-% GEL EPIDUO (GEL, GEL PUMP) EPIDUO FORTE 0.-.% GEL PUMP ERY % PADS PA PA 9

95 Name ERYGEL % GEL erythromycin base/ethyl alcohol (base/ethanol % med. swab, base/ethanol % solution, base/ethanol % gel (gram)) erythromycin/benzoyl peroxide %- % gel (gram) EVOCLIN 1% FOAM FABIOR 0.1% FOAM PA FINACEA (FOAM, GEL) METROCREAM 0.7% CREAM METROGEL (GEL, PUMP) METROLOTION TOPICAL 0.7% metronidazole (0.7 % gel (gram), 0.7 % cream (g), 0.7 % lotion, 1 % gel w/pump, 1 % gel (gram)) Name ONEXTON (1.%-.7% GEL, GEL PUMP) RETIN-A (0.01% GEL, 0.0% CREAM, 0.0% GEL, 0.0% CREAM, 0.1% CREAM) RETIN-A MICRO (0.0% GEL, 0.1% GEL) RETIN-A MICRO PUMP (PUMP 0.0% GEL, PUMP 0.08% GEL, PUMP 0.1% GEL) ROSADAN (CREAM KIT, GEL KIT) ROSADAN (CREAM, GEL) SOOLANTRA 1% CREAM TAZORAC (0.0% CREAM, 0.0% GEL, 0.1% GEL, 0.1% CREAM) TRETIN-X (0.07% CREAM, 0.07% CREAM) PA PA PA PA PA MIRVASO 0.% GEL MYORISAN (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE) NEUAC (1.-% KIT, GEL) NORITATE 1% CREAM tretinoin (0.01 % gel (gram), 0.0 % gel (gram), 0.0 % cream (g), 0.0 % cream (g), 0.0 % gel (gram), 0.1 % cream (g)) tretinoin microspheres (0.0 % gel w/pump, 0.0 % gel (gram), 0.1 % gel (gram), 0.1 % gel w/pump) PA PA 9

96 Name Name VELTIN 1. %-0.0 % GEL PA GLYDO % JELLY SYRINGE ZENATANE (10 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE, 0 MG CAPSULE) IV INFUSION CPI KIT lidocaine % adh. patch PA ZIANA GEL PA TOPICAL ANESTHETICS bupivacaine hcl (. mg/ml vial, mg/ml vial) bupivacaine hcl/epinephrine (hcl/epinephrine vial, hcl/epinephrine 0.- 1:00k vial) bupivacaine hcl/epinephrine bi 0.-1:00k cartridge bupivacaine hcl/epinephrine/pf (hcl/epinephrine/pf vial, hcl/epinephrine/pf 0.-1:00k vial) bupivacaine hcl/pf (hcl/pf. mg/ml ampul, hcl/pf mg/ml ampul, hcl/pf 7. mg/ml vial) CARBOCAINE (1% VIAL, % VIAL) lidocaine % oint. (g) lidocaine hcl ( % solution, % jel/pf app, % jel (ml), % solution, mg/ml vial, 10 mg/ml vial, 0 mg/ml vial, 0 mg/ml solution) lidocaine hcl/epinephrine (hcl/epinephrine 0.- 1:00k vial, hcl/epinephrine 1%- 1:100k vial, hcl/epinephrine %- 1:100k vial) lidocaine hcl/epinephrine bitartrate (hcl/epinephrine %- 1:0000 cartridge, hcl/epinephrine %- 1:100k cartridge) lidocaine hcl/epinephrine/pf (hcl/epinephrine/pf 1.-1:00k vial, hcl/epinephrine/pf %-1:00k vial) CARBOCAINE 1.% VIAL CITANEST PLAIN DENTAL % CART EMLA CREAM 96

97 Name Name lidocaine hcl/pf (hcl/pf mg/ml vial, hcl/pf 10 mg/ml vial, hcl/pf 1 mg/ml ampul, hcl/pf 0 mg/ml ampul luer, hcl/pf 0 mg/ml ampul, hcl/pf 0 mg/ml vial, hcl/pf 0 mg/ml ampul) lidocaine/prilocaine (lidocaine/prilocaine. cream (g), lidocaine/prilocaine. kit) LIDODERM % PATCH PA RELADOR PAK PLUS.%-.% ropivacaine hcl/pf (hcl/pf mg/ml vial, hcl/pf mg/ml vial, hcl/pf 7. mg/ml vial, hcl/pf 10 mg/ml vial) SENSORCAINE 0.% VIAL SENSORCAINE 0.% VIAL SENSORCAINE- EPINEPHRINE (0.%-EPI 1:00000, 0.%-EPI 1:00,000) MARCAINE (0.% VIAL, 0.% VIAL) MARCAINE 0.7% VIAL MARCAINE- EPINEPHRINE (0.%-EPI, 0.%-EPI VL) mepivacaine hcl/pf 0 mg/ml cartridge NAROPIN (0.% 00 MG/00 ML BTL, 0.% 10 MG/0 ML VIAL, 0.7% 10 MG/0 ML VL, 1% 00 MG/0 ML VIAL) SENSORCAINE-MPF (0.% VIAL, 0.7% VIAL) SENSORCAINE-MPF 0.% VIAL SENSORCAINE-MPF EPINEPHRINE (SENSORC MPF 0.%-EPI, SENSORC MPF 0.7%-EPI, SENSORCN-MPF 0.%-EPI) SYNERA PATCH XYLOCAINE (0.% VIAL, 1% VIAL, % VIAL) NESACAINE (1% VIAL, % VIAL) NESACAINE-MPF (% VIAL, % VIAL) PLIAGLIS 7%-7% CREAM RELADOR PAK.-.% CRM-DRESS XYLOCAINE DENTAL- EPINEPHRINE (1:100,000, 1:0,000) XYLOCAINE WITH EPINEPHRINE (0.%- EPI 1:00,000, 1%-EPI 1:100,000, %-EPI 1:100,000, %-EPI 1:00,000) 97

98 Name XYLOCAINE-MPF (0.% VIAL, 1% AMPUL, 1% VIAL, 1.% AMPUL, % VIAL, % AMPUL) XYLOCAINE-MPF WITH EPINEPHRINE (XYLOCAIN 1.-EPI 1:00,000-MPF, XYLOCAINE-MPF 1%-EPI 1:00,000) TOPICAL ANTIBACTERIALS ALTABAX 1% OINTMENT Name sulfacetamide sodium 10 % suspension SULFAMYLON (8.% CREAM, POWDER PACKET) TOPICAL ANTIFUNGALS CICLODAN (0.77% CREAM KIT, 8% KIT) CICLODAN (0.77% CREAM, 8% SOLUTION) BACTROBAN (CREAM, OINTMENT) CENTANY % OINTMENT CENTANY AT % OINTMENT KIT CORTISPORIN (CREAM, OINTMENT) gentamicin sulfate (0.1 % oint. (g), 0.1 % cream (g)) KLARON 10% LOTION ciclopirox (0.77 % gel (gram), 1 % shampoo, 8 % solution) ciclopirox olamine (0.77 % cream (g), 0.77 % suspension) clotrimazole (1 % cream (g), 1 % solution) clotrimazole/betamet hasone dipropionate (clotrimazole/betame thasone 1 % lotion, clotrimazole/betamet hasone 1 % cream (g)) mupirocin % oint. (g) mupirocin calcium % cream (g) NEO-SYNALAR (0.%-0.0% CREAM, % CRM KIT) CNL 8 NAIL KIT econazole nitrate 1 % cream (g) ERTACZO % CREAM EXELDERM (CREAM, SOLUTION) EXTINA % FOAM 98

99 Name Name JUBLIA 10% TOPICAL SOLUTION oxiconazole nitrate 1 % cream (g) KERYDIN % TOPICAL SOLUTION OXISTAT (CREAM, LOTION) ketoconazole ( % cream (g), % foam, % shampoo) LOPROX 1% SHAMPOO PEDIADERM AF KIT PENLAC 8% SOLUTION VUSION OINTMENT LOTRISONE CREAM LUZU 1% CREAM MENTAX 1% CREAM naftifine hcl 1 % cream (g) naftifine hcl % cream (g) NAFTIN (1% GEL, % CREAM, % GEL) NIZORAL % SHAMPOO NYAMYC 100,000 UNITS/GM POWDER NYATA COMBO PACK nystatin (100000/g powder, /g cream (g), /g oint. (g)) nystatin/triamcinolon e acetonide (nystatin/triamcin cream (g), nystatin/triamcin oint. (g)) NYSTOP 100,000 UNITS/GM POWDER TOPICAL ANTIVIRALS acyclovir % oint. (g) DENAVIR 1% CREAM XERESE %-1% CREAM ZOVIRAX % CREAM ZOVIRAX % OINTMENT TOPICAL CORTICOSTEROIDS ALA-CORT 1% CREAM ALA-SCALP % LOTION alclometasone dipropionate (0.0 % oint. (g), 0.0 % cream (g)) amcinonide (0.1 % cream (g), 0.1 % lotion, 0.1 % oint. (g)) APEXICON E 0.0% CREAM 99

100 Name Name betamethasone dipropionate (0.0 % lotion, 0.0 % gel (gram), 0.0 % cream (g), 0.0 % oint. (g)) betamethasone dipropionate/propyle ne glycol (betamethasone/prop ylene 0.0 % cream (g), betamethasone/prop ylene 0.0 % oint. (g), betamethasone/prop ylene 0.0 % lotion) betamethasone valerate (0.1 % cream (g), 0.1 % lotion, 0.1 % oint. (g), 0.1 % foam) CAPEX SHAMPOO clobetasol propionate (0.0 % solution, 0.0 % lotion, 0.0 % shampoo, 0.0 % spray, 0.0 % cream (g), 0.0 % foam, 0.0 % oint. (g), 0.0 % gel (gram)) clobetasol propionate/emollient base (propionate/emoll 0.0 % foam, propionate/emoll 0.0 % cream (g)) CLODAN (KIT, SHAMPOO) CLODERM (CREAM, CREAM PUMP) CORDRAN ( MCG/SQ CM TAPE LARGE, MCG/SQ CM TAPE SMALL) CORMAX 0.0% SOLUTION CUTIVATE (CREAM, LOTION) DERMA-SMOOTHE- FS (BODY OIL, SCALP OIL) DERMACINRX SILAPAK DERMACINRX SILAZONE PHARMAPAK DERMASORB HC % COMPLETE KIT DERMASORB TA 0.1% COMPLETE KIT DERMATOP (CREAM, EMOLLIENT CREAM, OINTMENT) DERMAWERX SDS PAK CLOBEX (SHAMPOO, SPRAY, TOPICAL LOTION) clocortolone pivalate 0.1 % cream (g) DESONATE 0.0% GEL desonide (0.0 % lotion, 0.0 % cream (g), 0.0 % oint. (g)) 100

101 Name Name DESOWEN (CREAM, LOTION) desoximetasone (0.0 % cream (g), 0.0 % gel (gram), 0.0 % oint. (g), 0. % oint. (g), 0. % cream (g)) diflorasone diacetate (0.0 % oint. (g), 0.0 % cream (g)) fluticasone propionate (0.00 % oint. (g), 0.0 % lotion, 0.0 % cream (g)) halobetasol propionate (0.0 % oint. (g), 0.0 % cream (g)) HALOG (CREAM, OINTMENT) DIPROLENE (LOTION, OINTMENT) hc/mineral oil/petrolat,wht 1 % oint. (g) DIPROLENE AF 0.0% CREAM ELOCON (CREAM, LOTION, OINTMENT) fluocinolone acetonide (0.01 % cream (g), 0.01 % oil, 0.01 % solution, 0.0 % oint. (g), 0.0 % cream (g)) fluocinolone/shower cap 0.01 % oil fluocinonide (0.0 % gel (gram), 0.0 % solution, 0.0 % cream (g), 0.0 % oint. (g), 0.1 % cream (g)) fluocinonide/emollien t base 0.0 % cream (g) hydrocortisone (1 % oint. (g), 1 % cream (g),. % lotion,. % cream (g),. % oint. (g)) hydrocortisone butyrate (0.1 % oint. (g), 0.1 % solution, 0.1 % cream (g)) hydrocortisone butyrate/emoll 0.1 % cream (g) hydrocortisone valerate (0. % cream (g), 0. % oint. (g)) KENALOG 0.17 MG/GRAM SPRAY LOCOID (CREAM, LOTION, OINTMENT, SOLUTION) flurandrenolide 0.0 % cream (g) LOCOID 0.1% LIPOCREAM LUXIQ 0.1% FOAM 101

102 Name Name mometasone furoate (0.1 % cream (g), 0.1 % oint. (g), 0.1 % solution) OLUX 0.0% FOAM TEMOVATE EMOLLIENT 0.0% CRM TEXACORT.% SOLUTION OLUX-E 0.0% FOAM PANDEL 0.1% CREAM PEDIADERM HC % KIT PEDIADERM TA 0.1% KIT prednicarbate (0.1 % cream (g), 0.1 % oint. (g)) PSORCON 0.0% CREAM TOPICORT (0.0% GEL, 0.0% OINTMENT, 0.0% CREAM, 0.% CREAM, 0.% SPRAY, 0.% OINTMENT) triamcinolone acetonide (0.0 % cream (g), 0.0 % oint. (g), 0.0 % lotion, 0.1 % lotion, 0.1 % oint. (g), 0.1 % cream (g), 0.17mg/g aerosol, 0. % oint. (g), 0. % cream (g)) SANADERMRX SKIN REPAIR SOLN TRIANEX 0.0% OINTMENT SERNIVO 0.0% SPRAY TRIDERM 0.1% CREAM SILAZONE-II KIT SURE RESULT TAC PAK SYNALAR (0.01% SOLUTION, 0.0% CREAM KIT, 0.0% OINTMENT KIT, 0.0% CREAM, 0.0% OINTMENT) SYNALAR TS 0.01% KIT ULTRAVATE (CREAM, LOTION, OINTMENT) ULTRAVATE X (CREAM PACK, OINTMENT PAC) VANOS 0.1% CREAM TOPICAL ENZYMES SANTYL OINTMENT TEMOVATE (CREAM, GEL, OINTMENT) TOPICAL SCABICIDES / PEDICULICIDES ELIMITE % CREAM 10

103 Name Name EURAX (CREAM, LOTION) PHYSIOSOL IRRIGATION SOLN lindane (1 % lotion, 1 % shampoo) ringers solution irrig soln malathion 0. % lotion OVIDE 0.% LOTION permethrin % cream (g) SKLICE 0.% LOTION DIAGNOSTICS / MISCELLANEOUS AGENTS ANOREXIANTS XENICAL 10 MG CAPSULE ANTIDOTES acetylcysteine 00 mg/ml vial PROTOPAM CHLORIDE 1 GM VIAL IRRIGATING SOLUTIONS mannitol/sorbitol solution 0.g-.7g irrig soln neomycin sulfate/polymyxin b sulfate (su/polymyx 0-00k/ml ampul, su/polymyx 0-00k/ml vial) NEOSPORIN GU IRR 0 MG/ML VIAL PA ringers solution,lactated irrig soln sorbitol solution (solution % irrig soln, solution.% irrig soln) MISCELLANEOUS AGENTS 0.9 % sodium chloride (0.9 % 0.9 % iv soln, 0.9 % 0.9 % syringe, 0.9 % pggybk prt, 0.9 % 0.9 % vial, 0.9 % pgy vl prt) acamprosate calcium mg tablet dr acetic acid 0. % irrig soln ACTONEL 0 MG ADAGEN 0 UNITS/ML VIAL AGRYLIN 0. MG CAPSULE alendronate sodium 0 mg tablet AMMONUL 10%- 10% VIAL anagrelide hcl (0. mg capsule, 1 mg capsule) QL (0 PER 0); STEP QL (0 PER 0) PHYSIOLYTE IRRIGATION SOLN 10

104 Name Name ANTABUSE (0 MG, 00 MG ) deferoxamine mesylate ( g vial, 00 mg vial) ARALAST NP (00 MG VIAL, 1,000 MG VIAL) AURYXIA 10 MG LA DESFERAL GRAM VIAL DESFERAL MESYLATE 00 MG VL BUPHENYL (00 MG, POWDER) bupivacaine hcl/dexwater/pf 0.7 % ampul CAFCIT 60 MG/ ML VIAL caffeine citrated (60 mg/ ml vial, 60 mg/ ml solution) CARBAGLU 00 MG DISPER LA dextrose 10 % and 0. % nacl 10 %-0. % dehp fr bg dextrose 10 % and 0. % nacl 10%- 0.% iv soln dextrose 10 % in water (10 % 10 % iv soln, 10 % 10 % dehp fr bg) dextrose. % and 0. % nacl.%- 0.% iv soln CARNITOR (1 GM/ ML VIAL, 100 MG/ML ORAL SOLN, 0 MG ) CARNITOR SF 100 MG/ML ORAL SOL cevimeline hcl 0 mg capsule CHEMET 100 MG CAPSULE CLINIMIX.%-% SOLUTION CLINIMIX E (.7%- % SOLUTION,.7%-10% SOLUTION) B/D PA B/D PA dextrose 0 % in water 0 % iv soln dextrose % in water % syringe dextrose 0 % in water 0 % iv soln dextrose 0 % in water 0 % iv soln dextrose % and 0. % nacl %-0. % iv soln dextrose % and 0.9 % nacl %-0.9 % iv soln 10

105 Name Name dextrose % in water ( % % iv soln, % pgy vl prt, % % vial, % pggybk prt) GLASSIA 1 GM/0 ML VIAL HEXTEND 6%-LACT ELEC BAG LA dextrose %-0. % nacl %-0. % iv soln dextrose %-0. % nacl %-0. % iv soln INCRELEX 0 MG/ ML VIAL JADENU (90 MG, 180 MG, 60 MG ) LA dextrose %-lactated ringers % iv soln KAYEXALATE POWDER dextrose 0 % in water (0 % 0 % iv soln, 0 % 0 % syrge) dextrose 70 % in water 70 % iv soln KIONEX (1 GM/60 ML SUSPENSION, POWDER) levocarnitine (00 mg/ml vial, 0 mg tablet) disulfiram (0 mg tablet, 00 mg tablet) etidronate disodium (00 mg tablet, 00 mg tablet) levocarnitine (with sugar) 100 mg/ml solution LITHOSTAT 0 MG EVOXAC 0 MG CAPSULE LMD 10% WITH 0.9% SOD CHL SOLN EXJADE (1 MG, 0 MG, 00 MG ) FERRIPROX (100 MG/ML SOLUTION, 00 MG ) FOSRENOL (00 MG CHEW, 70 MG CHEW, 70 MG POWDER PACKET, 1,000 MG POWDER PACK, 1,000 MG CHEW) LA LMD 10% WITH % DEXT SOLN MARCAINE SPINAL AMPUL midodrine hcl (. mg tablet, mg tablet, 10 mg tablet) NORTHERA (100 MG CAPSULE, 00 MG CAPSULE, 00 MG CAPSULE) NUTRESTORE POWDER PACKET 10

106 Name Name ORFADIN ( MG CAPSULE, MG CAPSULE, 10 MG CAPSULE) PANHEMATIN 1 MG VIAL pilocarpine hcl ( mg tablet, 7. mg tablet) PROLASTIN C 1,000 MG VIAL RAVICTI 1.1 GRAM/ML LIQUID RECLAST MG/100 ML SOLUTION RENAGEL (00 MG, 800 MG ) RENVELA (0.8 GM POWDER PACKET,. GM POWDER PACKET, 800 MG ) RILUTEK 0 MG LA LA PA riluzole 0 mg tablet PA risedronate sodium 0 mg tablet QL (0 PER 0); STEP sodium polystyrene sulfonate (1 g/60 ml oral susp, 0g/10ml enema, 0g/00ml enema, powder) SOLIRIS 00 MG/0 ML VIAL SOTRADECOL (1% VIAL, % VIAL) SPS (1 GM/60 ML SUSPENSION, 0 GM/10 ML ENEMA) SURVANTA MG/ML VIAL SYPRINE 0 MG CAPSULE THIOLA 100 MG VELPHORO 00 MG CHEWABLE TAB VELTASSA (8. GM POWDER PACKET, 16.8 GM POWDER PACKET,. GM POWDER PACKET) water for irrigation,sterile irrig soln SALAGEN ( MG, 7. MG ) SENSORCAINE- DEXTR 0.7% AMP XIAFLEX 0.9 MG VIAL ZEMAIRA 1,000 MG VIAL LA sodium chloride irrig solution 0.9 % irrig soln sodium phenylbutyrate 0.9 g/g powder 106

107 Name Name zoledronic acid in mannitol & water for injection (acid/mannitol&water mg/100ml infus. btl, acid/mannitol&water mg/100ml piggyback) SMOKING DETERRENTS BACTROBAN NASAL % OINTMENT chlorhexidine gluconate 0.1 % mouthwash CLINPRO % TOOTHPASTE BUPROBAN 10 MG DENTA 000 PLUS CREAM CHANTIX (0. MG, 1 MG CONT MONTH BOX, 1 MG, STARTING MONTH BOX) NICOTROL CARTRIDGE INHALER NICOTROL NS 10 MG/ML SPRAY ZYBAN SR 10 MG EAR, NOSE / THROAT MEDICATIONS MISCELLANEOUS AGENTS ARESTIN 1 MG MICROSPHERE ASTEPRO 0.1% NASAL SPRAY ATROVENT 0.0% SPRAY ATROVENT 0.06% SPRAY azelastine hcl (17 mcg spray/pump, 0.mcg spray/pump) QL (60 PER 0) QL (60 PER 0) QL ( PER 0 QL (60 PER 0) DENTAGEL 1.1% GEL FLUORIDEX DEFENSE 1.1% GEL FLUORIDEX SENSITIVITY RLF GEL ipratropium bromide 1 mcg spray ipratropium bromide mcg spray olopatadine hcl 0.6 % spray/pump ORALONE 0.1% PASTE PAROEX 0.1% ORAL RINSE PATANASE 66 MCG NASAL SPRAY PERIOGARD 0.1% ORAL RINSE PREVIDENT (1.1% GEL, 000 BOOSTER PLUS, DENTAL RINSE) PREVIDENT % DRY MOUTH QL (60 PER 0) QL ( PER 0 QL (61 PER 0 QL (61 PER 0 107

108 Name Name PREVIDENT 000 ENAMEL PROTECT CIPRO HC OTIC SUSPENSION PREVIDENT 000 PLUS CREAM CIPRODEX OTIC SUSPENSION PREVIDENT 000 SENSITIVE PASTE SF 1.1% GEL SF 000 PLUS CREAM triamcinolone acetonide 0.1 % paste (g) TYZINE PEDIATRIC 0.0% DROP MISCELLANEOUS OTIC PREPARATIONS ACETASOL HC EAR DROPS acetic acid % solution acetic acid/aluminum acetate % drops acetic acid/hydrocortisone %-1 % drops ciprofloxacin hcl 0. % droperette DERMOTIC OIL 0.01% EAR DROPS fluocinolone acetonide oil 0.01 % drops ofloxacin 0. % drops OTIC STEROID / ANTIBIOTIC COLY-MYCIN S (EAR DROP, OTIC UP DROP) CORTISPORIN-TC EAR SUSPENSION neomycin sulfate/polymyxin b sulfate/hydrocortison e (neomycin/polymyxin sulf/hc drops susp, neomycin/polymyxin sulf/hc solution) ENDOCRINE/DIABETES ADRENAL HORMONES A-HYDROCORT 100 MG VIAL ARISTOSPAN 0 MG/ML VIAL BETA 1 KIT betamet acet/betamet na ph 6 mg/ml vial CELESTONE SOLUSPAN 6 MG/ML CORTEF ( MG, 10 MG, 0 MG ) cortisone acetate mg tablet DELTASONE 0 MG 108

109 Name Name DEPO-MEDROL (0 MG/ML VIAL, 0 MG/ML VIAL, 80 MG/ML VIAL) dexamethasone (0. mg tablet, 0. mg/ml elixir, 0. mg/ml solution, 0.7 mg tablet, 1 mg tablet, 1. mg tablet, mg tablet, mg tablet, 6 mg tablet) MEDROL ( MG, MG DOSEPAK, MG, 8 MG, 16 MG, MG ) methylprednisolone ( mg tablet, mg tab ds pk, 8 mg tablet, 16 mg tablet, mg tablet) DEXAMETHASONE INTENSOL 1MG/1ML dexamethasone sod phosphate ( mg/ml vial, mg/ml syringe, 10 mg/ml vial) dexamethasone sodium phosp/pf 10 mg/ml vial methylprednisolone acetate (0 mg/ml vial, 80 mg/ml vial) methylprednisolone sodium succinate (0 mg vial, 1 mg vial, 1000 mg vial) MILLIPRED 10 MG/ ML SOLUTION DEXPAK (6 1. MG, MG, 1 1. MG ) DOUBLEDEX KIT MILLIPRED MG MILLIPRED DP ( MG 6-DAY PACK, MG 1-DAY PACK) fludrocortisone acetate 0.1 mg tablet HP ACTHAR GEL 80 UNIT/ML VIAL PA ORAPRED ODT (ODT 10 MG, ODT 1 MG, ODT 0 MG ) hydrocortisone ( mg tablet, 10 mg tablet, 0 mg tablet) KENALOG MG/ML VIAL PEDIAPRED MG/ ML SOLN prednisolone 1 mg/ ml solution KENALOG-0 0 MG/ML VIAL 109

110 Name Name prednisolone sod phosphate ( mg/ ml solution, 10 mg tab rapdis, 1 mg tab rapdis, 1 mg/ ml solution, mg/ ml solution, 0 mg tab rapdis) propylthiouracil 0 mg tablet TAPAZOLE ( MG, 10 MG ) DIABETES THERAPY prednisone (1 mg tablet,. mg tablet, mg tablet, mg/ ml solution, mg tab ds pk, 10 mg tablet, 10 mg tab ds pk, 0 mg tablet, 0 mg tablet) acarbose 100 mg tablet acarbose mg tablet acarbose 0 mg tablet QL (90 PER 0 QL (60 PER 0 QL (180 PER 0 PREDNISONE MG/ML SOLUTION RAYOS (DR 1 MG, DR MG, DR MG ) SOLU-CORTEF (100 MG VIAL, 0 MG VIAL, 00 MG VIAL, 1,000 MG VIAL) SOLU-MEDROL (1 GM VIAL, 0 MG VIAL, 1 MG VIAL, 00 MG VIAL, 1,000 MG VIAL,,000 MG VIAL) ACTOPLUS MET (1 MG-00 MG TAB, 1 MG-80 MG TAB) ACTOPLUS MET XR 1-1,000 MG TB ACTOPLUS MET XR 0-1,000 MG TB ACTOS (1 MG, 0 MG, MG ) AFREZZA ( S CARTRIDGE INH, , , ) QL (90 PER 0 QL (60 PER 0) QL (0 PER 0) QL (0 PER 0) triamcinolone acetonide (10 mg/ml vial, 0 mg/ml vial) TRIESENCE 0 MG/ML VIAL VERIPRED 0 0 MG/ ML SOLN ANTITHYROID AGENTS methimazole ( mg tablet, 10 mg tablet) alcohol antiseptic pads med. pad alogliptin benzoate (6. mg tablet, 1. mg tablet, mg tablet) alogliptin benzoate/metformin hcl (benz/metformin tablet, benz/metformin mg tablet) QL (0 PER 0 ; STEP QL (60 PER 0 ; STEP 110

111 Name Name alogliptin benzoate/pioglitazon e hcl (benz/pioglitazone 1.-1 mg tablet, benz/pioglitazone 1.-0 mg tablet, benz/pioglitazone 1.- mg tablet, benz/pioglitazone mg-0mg tablet, benz/pioglitazone mg-mg tablet, benz/pioglitazone mg-1mg tablet) QL (0 PER 0 ; STEP DUETACT (0- MG, 0- MG ) FARXIGA 10 MG FARXIGA MG FORTAMET ER 1,000 MG FORTAMET ER 00 MG QL (0 PER 0) QL (0 PER 0); STEP QL (60 PER 0); STEP QL (7 PER 0 QL (10 PER 0 AMARYL 1 MG QL (0 PER 0) gauze bandage " x " bandage AMARYL MG QL (10 PER 0 glimepiride 1 mg tablet 1 QL (0 PER 0) AMARYL MG QL (60 PER 0) glimepiride mg tablet 1 QL (10 PER 0 APIDRA 100 UNITS/ML VIAL PA glimepiride mg tablet 1 QL (60 PER 0) APIDRA SOLOSTAR 100 UNITS/ML PA glipizide (. mg tab er, mg tablet) 1 QL (0 PER 0) AVANDIA ( MG, MG ) BYDUREON MG PEN INJECT BYDUREON MG VIAL BYETTA 10 MCG DOSE PEN INJ QL (60 PER 0) QL ( PER 8 ; STEP QL ( PER 8 ; STEP QL (. PER 0); STEP glipizide ( mg tab er, 10 mg tablet) glipizide 10 mg tab er glipizide/metformin hcl (glipizide/metformin.-00 mg tablet, glipizide/metformin mg-00mg tablet) 1 QL (10 PER 0 1 QL (60 PER 0) 1 QL (10 PER 0 BYETTA MCG DOSE PEN INJ QL (1. PER 0 ; STEP glipizide/metformin hcl.-0 mg tablet 1 QL (0 PER 0) CYCLOSET 0.8 MG QL (180 PER 0 GLUCAGEN (1 MG HYPOKIT, DIAGNOSTIC 1 MG VIAL, 1 MG HYPOKIT -PACK) 111

112 Name Name GLUCAGON 1 MG EMERGENCY KIT GLUCOPHAGE 1,000 MG GLUCOPHAGE 00 MG QL (7 PER 0 QL (10 PER 0 HUMALOG (100 UNITS/ML CARTRIDGE, 100 UNITS/ML VIAL) HUMALOG 100 UNITS/ML KWIKPEN PA PA GLUCOPHAGE 80 MG GLUCOPHAGE XR 00 MG TAB GLUCOPHAGE XR 70 MG TAB GLUCOTROL 10 MG GLUCOTROL MG GLUCOTROL XL 10 MG GLUCOTROL XL. MG GLUCOTROL XL MG GLUMETZA ER 1,000 MG GLUMETZA ER 00 MG GLYSET 100 MG QL (90 PER 0 QL (10 PER 0 QL (7 PER 0 QL (10 PER 0 QL (0 PER 0) QL (60 PER 0) QL (0 PER 0) QL (10 PER 0 QL (60 PER 0) QL (10 PER 0 QL (90 PER 0 HUMALOG 00 UNITS/ML KWIKPEN HUMALOG MIX 0-0 KWIKPEN HUMALOG MIX 0-0 VIAL HUMALOG MIX 7- KWIKPEN HUMALOG MIX 7- VIAL HUMULIN 70-0 (PEN, RELION VIAL, VIAL) HUMULIN 70/0 KWIKPEN HUMULIN N (N 100 UNITS/ML PEN, N 100 UNITS/ML VIAL, RELION N 100 UNIT/ML) HUMULIN N 100 UNITS/ML KWIKPEN PA PA PA PA PA PA PA PA PA GLYSET MG GLYSET 0 MG GLYXAMBI (10 MG, MG ) QL (60 PER 0 QL (180 PER 0 QL (0 PER 0); STEP HUMULIN R (R 100 UNITS/ML VIAL, RELION R 100 UNIT/ML) HUMULIN R 00 UNITS/ML KWIKPEN PA PA 11

113 Name Name HUMULIN R 00 UNITS/ML VIAL insulin syringeneedle,safety,dispos al unit,0. ml (9 g x1/" disp syrin, 0gx /16" disp syrin) INVOKAMET (0-1,000 MG, MG, 10-1,000 MG ) INVOKAMET 0-00 MG INVOKANA 100 MG INVOKANA 00 MG JANUMET (0-1,000 MG, 0-00 MG ) JANUMET XR (0-00 MG, 100-1,000 MG ) JANUMET XR 0-1,000 MG PA QL (60 PER 0) QL (10 PER 0 QL (90 PER 0 QL (0 PER 0) QL (60 PER 0) QL (0 PER 0) QL (60 PER 0) KAZANO (1.-00 MG, 1.- 1,000 MG ) KOMBIGLYZE XR (-1,000 MG TAB, - 00 MG ) KOMBIGLYZE XR.-1,000 MG TAB LANTUS 100 UNITS/ML VIAL LANTUS SOLOSTAR 100 UNITS/ML LEVEMIR 100 UNITS/ML VIAL LEVEMIR FLEXPEN 100 UNITS/ML LEVEMIR FLEXTOUCH 100 UNITS/ML metformin hcl (00 mg tabergrh, 00 mg tab er, 00 mg tab er h) metformin hcl (70 mg tab er h, 1000 mg tablet) QL (60 PER 0); STEP QL (0 PER 0) QL (60 PER 0) STEP STEP STEP 1 QL (10 PER 0 1 QL (7 PER 0 JANUVIA ( MG, 0 MG, 100 MG ) JARDIANCE (10 MG, MG ) QL (0 PER 0) QL (0 PER 0); STEP metformin hcl 00 mg tablet metformin hcl 80 mg tablet nateglinide 10 mg tablet 1 QL (10 PER 0 1 QL (90 PER 0 QL (90 PER 0 JENTADUETO (. MG-80 MG TAB,. MG-1000 MG TAB,. MG-00 MG TAB) QL (60 PER 0); STEP nateglinide 60 mg tablet QL (180 PER 0 11

114 Name Name needles, insulin disposable, safety (pen 9gx /16" dis needle, pen 9gx/16" dis needle, pen 9 g x1/" dis needle, pen 0 gx 1/" dis needle) NESINA (6. MG, 1. MG, MG ) NOVOLIN 70-0 (100 UNIT/ML VIAL, RELION VIAL) NOVOLIN N (N 100 UNITS/ML VIAL, RELION N 100 UNIT/ML) NOVOLIN R (R 100 UNITS/ML VIAL, RELION R 100 UNIT/ML) NOVOLOG (100 UNIT/ML CARTRIDGE, 100 UNIT/ML VIAL) NOVOLOG 100 UNITS/ML FLEXPEN NOVOLOG MIX 70-0 FLEXPEN SYRN QL (0 PER 0); STEP OSENI (1.-1 MG, 1.-0 MG, 1.- MG, -0 MG, -1 MG, - MG ) pen needle, diabetic (pen 9 g x1/" dis needle, pen 9 gauge dis needle, pen 9gx /16" dis needle, pen 0 gx 1/" dis needle, pen 0gx /16" dis needle, pen 1 g x1/" dis needle, pen 1 gx/16" dis needle, pen 1 gx/16" dis needle, pen 1 g x1/" dis needle, pen gx/16" dis needle, pen gx/16" dis needle, pen gx 1/" dis needle, pen gx 1/6" dis needle, pen gx /" dis needle, pen gx 1/" dis needle, pen gx/" dis needle, pen gx/16" dis needle, pen g x1/" dis needle, pen gx/16" dis needle) QL (0 PER 0); STEP NOVOLOG MIX 70-0 VIAL ONGLYZA (. MG, MG ) QL (0 PER 0) pen needle,dual safety,diabetc 0 gx/16" dis needle pioglitazone hcl (1 mg tablet, 0 mg tablet, mg tablet) QL (0 PER 0) 11

115 Name Name pioglitazone hcl/glimepiride (hcl/glimepiride 0 mg- mg tablet, hcl/glimepiride 0 mg- mg tablet) pioglitazone hcl/metformin hcl (/metformin 1mg- 00mg tablet, /metformin 1mg- 80mg tablet) PRANDIN 0. MG PRANDIN 1 MG PRANDIN MG PRECOSE 100 MG PRECOSE MG PRECOSE 0 MG PROGLYCEM 0 MG/ML ORAL SUSP repaglinide 0. mg tablet repaglinide 1 mg tablet QL (0 PER 0) QL (90 PER 0 QL (960 PER 0 QL (80 PER 0) QL (0 PER 0) QL (90 PER 0 QL (60 PER 0 QL (180 PER 0 QL (960 PER 0 QL (80 PER 0) RIOMET 00 MG/ ML SOLUTION STARLIX 10 MG STARLIX 60 MG SYMLINPEN 10 PEN INJECTOR SYMLINPEN 60 PEN INJECTOR SYNJARDY (-1,000 MG, MG, 1.-1,000 MG ) SYNJARDY -00 MG syr,ndl 0. ml,ins,safe,d.unit 0gx /16" disp syrin syring w- ndl,disp,insul,0. ml/container,empty (syrnd,ins,0./container, empty 0gx /16" syringe, syrnd,ins,0./container, empty 9 g x1/" syringe) QL (76 PER 0 QL (90 PER 0 QL (180 PER 0 QL (18.9 PER 0 QL (10. PER 0 QL (60 PER 0); STEP QL (10 PER 0 ; STEP repaglinide mg tablet QL (0 PER 0) repaglinide/metformi n hcl (repaglinide/metformi n 1mg-00mg tablet, repaglinide/metformi n mg-00mg tablet) QL (10 PER 0 11

116 Name Name syring w- ndl,disp,insul,0. ml/container,empty (syrnd,ins,0./container,e mpty 1 gx/16" syringe, syrnd,ins,0./container,e mpty 0gx1/" syringe, syrnd,ins,0./container,e mpty 0gx /16" syringe, syrnd,ins,0./container,e mpty 9 g x1/" syringe) syringe with needle, insulin, safety, 0. ml (9 g x1/" disp syrin, 0gx /16" disp syrin) syringe with needle, insulin, safety, 0. ml (9 g x1/" disp syrin, 0gx /16" disp syrin) syringe with needle, insulin, safety, 1 ml (9 g x1/" disp syrin, 0gx /16" disp syrin, 0gx1/" disp syrin, 1 gx/16" disp syrin) syringe with needle, insulin,1 ml and sharps container (9 g x1/" syringe, 0gx /16" syringe, 0gx1/" syringe, 1 gx/16" syringe) syringe with needle,disposable,in sulin (syringe disp syrin, syringe 9 g x1/" disp syrin) syringe with needle,disposable,in sulin 1 ml (syringe & needle,insulin,1 ml 8 gauge disp syrin, syringe & needle,insulin,1 ml 9gx7/16" disp syrin, syringe & needle,insulin,1 ml 0 gauge disp syrin, syringe and needle,insulin,1ml 0gx /16" disp syrin, syringe and needle,insulin,1ml 0gx/8" disp syrin, syringe and needle,insulin,1ml gx1" disp syrin, syringe and needle,insulin,1ml 7gx/8" disp syrin, syringe and needle,insulin,1ml 0gx1/" disp syrin, syringe and needle,insulin,1ml disp syrin, syringe and needle,insulin,1ml 7gx1/" disp syrin, syringe and needle,insulin,1ml 9gx7/16" disp syrin, syringe and needle,insulin,1ml 1gx1/6" disp syrin, syringe and needle,insulin,1ml 1 gx/16" disp syrin, syringe and needle,insulin,1ml 8gx1/" disp syrin, syringe and needle,insulin,1ml 0 gauge disp syrin, syringe and needle,insulin,1ml gx/8" disp syrin, syringe and needle,insulin,1ml 9 116

117 Name Name syringe with needle,insulin 0. ml (half unit mark) (0. ml 0gx /16" disp syrin, 0. ml 1 g x1/" disp syrin, 0. ml 1 gx/16" disp syrin, 0. ml 1gx1/6" disp syrin, 0. ml 9 g x1/" disp syrin) syringe with needle,insulin disposable,0. ml (syring 9 disp syrin, syring 0 disp syrin) syringe with needle,insulin disposable,0. ml (syring 8 disp syrin, syring 9 disp syrin, syring 0 disp syrin) syringe with needle,insulin,0. ml (ml 8gx1/" disp syrin, ml 8 gauge disp syrin, ml 9 g x1/" disp syrin, ml 9 gauge disp syrin, ml 0gx/8" disp syrin, ml 0gx /16" disp syrin, ml 0gx1/" disp syrin, ml 0 gauge disp syrin, ml 1 gx/16" disp syrin, ml 1gx1/6" disp syrin, ml 1gx/8" disp syrin, ml 1 g x1/" disp syrin) syringe with needle,insulin,0. ml (ml 7gx1/" disp syrin, ml 8 gauge disp syrin, ml 8gx1/" disp syrin, ml 9 gauge disp syrin, ml 9 g x1/" disp syrin, ml 0gx1/" disp syrin, ml 0gx/8" disp syrin, ml 0gx /16" disp syrin, ml 0 gauge disp syrin, ml 1 gx/16" disp syrin, ml 1gx1/6" disp syrin, ml 1gx/8" disp syrin, ml 1 g x1/" disp syrin) syringe,needle,insuli n,safety,disposal unit, 1 ml (1 9 g x1/" disp syrin, 1 8gx1/" disp syrin) TANZEUM (0 MG PEN, 0 MG PEN) tolazamide 0 mg tablet tolazamide 00 mg tablet tolbutamide 00 mg tablet TOUJEO SOLOSTAR 00 UNITS/ML TRADJENTA MG QL ( PER 8); STEP QL (10 PER 0 QL (60 PER 0) QL (180 PER 0 QL (0 PER 0); STEP TRESIBA FLEXTOUCH 100 UNITS/ML STEP TRESIBA FLEXTOUCH 00 UNITS/ML STEP 117

118 Name Name TRULICITY (0.7 MG/0. ML PEN, 1. MG/0. ML PEN) QL ( PER 8); STEP AXIRON 0 MG/ACTUATION SOLN PA VICTOZA -PAK 18 MG/ ML PEN QL (9 PER 0 ; STEP cabergoline 0. mg tablet VICTOZA -PAK 18 MG/ ML PEN XIGDUO XR (10 MG- 1,000 MG TAB, 10 MG-00 MG ) XIGDUO XR ( MG- 1,000 MG, MG-00 MG ) QL (9 PER 0 ; STEP QL (0 PER 0); STEP QL (60 PER 0); STEP calcitonin,salmon,sy nthetic 00/spray spray/pump calcitriol (0. mcg capsule, 0. mcg capsule, 1 mcg/ml solution, 1 mcg/ml ampul) CERDELGA 8 MG CAPSULE MISCELLANEOUS HORMONES ACTHREL 100 MCG VIAL ALDURAZYME.9 MG/ ML VIAL ANADROL-0 ANDRODERM ( MG/HR PATCH, MG/HR PATCH) ANDROGEL (1%(G) GEL PACKET, 1%(.G) GEL PACKET, 1.6%(1.G) GEL PCKT, 1.6% GEL PUMP, 1.6%(.G) GEL PCKT) ANDROID 10 MG CAPSULE ANDROXY 10 MG PA PA PA CEREZYME 00 UNITS VIAL chorionic gonadotropin, human unit vial danazol (0 mg capsule, 100 mg capsule, 00 mg capsule) DDAVP (0.01% NASAL SPRAY, 0.1 MG, 0. MG, MCG/ML AMPUL, MCG/ML VIAL, 10 MCG/0.1 ML SOLUTION) DEPO- TESTOSTERONE (100 MG/ML VL, 00 MG/ML VL, 00 MG/ML) desmopressin (nonrefrigerated) 10/spray spray/pump PA AVEED 70 MG/ ML VIAL 118

119 Name Name desmopressin acetate (0.1 mg tablet, 0.1 mg/ml solution, 0. mg tablet, mcg/ml ampul, mcg/ml vial, 10/spray spray/pump) LUMIZYME 0 MG VIAL METHITEST 10 MG methyltestosterone 10 mg capsule doxercalciferol (0. mcg capsule, 1 mcg capsule,. mcg capsule, mcg/ml ampul, mcg/ml vial) ELAPRASE 6 MG/ ML VIAL ELELYSO 00 UNITS VIAL FABRAZYME ( MG VIAL, MG VIAL) FORTESTA 10 MG GEL PUMP FORTICAL 00 UNITS NASAL SPRAY HECTOROL (0. MCG CAPSULE, 1 MCG CAPSULE, MCG/ML VIAL,. MCG CAPSULE, MCG/ ML VIAL) KANUMA 0 MG/10 ML VIAL KORLYM 00 MG KUVAN (100 MG, 100 MG POWDER PACKET) PA PA PA MIACALCIN (00 UNIT NASAL SPRAY, 00 UNIT/ML VIAL, 00 UNIT/ ML VIAL) MYALEPT 11. MG ( MG/ML) VIAL MYOZYME 0 MG VIAL NAGLAZYME MG/ ML VIAL NATESTO NASAL. MG/0.1 GM NATPARA ( MCG CARTRIDGE, 0 MCG CARTRIDGE, 7 MCG CARTRIDGE, 100 MCG CARTRIDGE) NOVAREL 10,000 UNITS VIAL oxandrolone 10 mg tablet oxandrolone. mg tablet pamidronate disodium (0 mg vial, 0mg/10ml vial, 60 mg/10ml vial, 90 mg vial, 90 mg/10ml vial) PA; LA LA PA LA PA PA PA KUVAN 00 MG POWDER PACKET PA; LA 119

120 Name Name paricalcitol (1 mcg capsule, mcg capsule, mcg capsule) paricalcitol ( mcg/ml vial, mcg/ml vial) PREGNYL 10,000 UNITS VIAL ROCALTROL (0. MCG CAPSULE, 0. MCG CAPSULE, 1 MCG/ML ORAL SOLN) SAMSCA (1 MG, 0 MG ) SENSIPAR (60 MG, 90 MG ) PA PA TESTOPEL 7 MG PELLETS testosterone (1. g(1%) gel md pmp, 10 mg (%) gel md pmp, 0 mg (1%) gel (gram), 0 mg (1%) gel packet) testosterone mg(1%) gel packet testosterone cypionate (100 mg/ml vial, 00 mg/ml vial) testosterone enanthate 00 mg/ml vial TESTRED 10 MG CAPSULE PA PA PA SENSIPAR 0 MG QL (60 PER 0) vasopressin 0 unit/ml vial SOMAVERT (10 MG VIAL, 1 MG VIAL, 0 MG VIAL, MG VIAL, 0 MG VIAL) STIMATE 1. MG/ML NASAL SPRAY STRENSIQ (18 MG/0. ML VIAL, 8 MG/0.7 ML VIAL, 0 MG/ML VIAL, 80 MG/0.8 ML VIAL) LA VASOSTRICT 0 UNITS/ML VIAL VIMIZIM MG/ ML VIAL VOGELXO (1. MG/1. PUMP, 0 MG/ GEL, 0 MG/ GEL PACKT) VPRIV 00 UNITS VIAL PA STRIANT 0 MG MUCOADHESIVE PA ZAVESCA 100 MG CAPSULE LA SYNAREL MG/ML NASAL SPRAY TESTIM 1% (0MG) GEL TESTONE CIK KIT PA ZEMPLAR (1 MCG CAPSULE, MCG CAPSULE, MCG/ML VIAL, MCG/ML VIAL, 10 MCG/ ML VIAL) 10

121 Name Name zoledronic acid ( mg/ ml vial, mg vial) ZOMETA ( MG/100 ML INJECTION, MG/ ML VIAL) THYROID HORMONES ARMOUR THYROID (1 MG, 0 MG, 60 MG, 90 MG, 10 MG, 180 MG, 0 MG, 00 MG ) CYTOMEL ( MCG, MCG, 0 MCG ) levothyroxine sodium ( mcg tablet, 0 mcg tablet, 7 mcg tablet, 88 mcg tablet, 100 mcg tablet, 11 mcg tablet, 1 mcg tablet, 17 mcg tablet, 10 mcg tablet, 17mcg tablet, 00 mcg vial, 00 mcg tablet, 00 mcg tablet, 00 mcg vial) levothyroxine sodium 100 mcg vial LEVOXYL ( MCG, 0 MCG, 7 MCG, 88 MCG, 100 MCG, 11 MCG, 1 MCG, 17 MCG, 10 MCG, 17 MCG, 00 MCG ) liothyronine sodium ( mcg tablet, 10 mcg/ml vial, mcg tablet, 0 mcg tablet) NP THYROID (0 MG, 60 MG, 90 MG ) SYNTHROID ( MCG, 0 MCG, 7 MCG, 88 MCG, 100 MCG, 11 MCG, 1 MCG, 17 MCG, 10 MCG, 17 MCG, 00 MCG, 00 MCG ) THYROLAR-1 STRENGTH THYROLAR-1/ STRENGTH TAB THYROLAR-1/ STRENGTH TAB THYROLAR- STRENGTH THYROLAR- STRENGTH 11

122 Name TIROSINT (1 MCG CAPSULE, MCG CAPSULE, 0 MCG CAPSULE, 7 MCG CAPSULE, 88 MCG CAPSULE, 100 MCG CAPSULE, 11 MCG CAPSULE, 1 MCG CAPSULE, 17 MCG CAPSULE, 10 MCG CAPSULE) TRIOSTAT 10 MCG/ML VIAL UNITHROID ( MCG, 0 MCG, 7 MCG, 88 MCG, 100 MCG, 11 MCG, 1 MCG, 17 MCG, 10 MCG, 17 MCG, 00 MCG, 00 MCG ) GASTROENTEROLOGY ANTIDIARRHEALS / ANTISPASMODICS atropine sulfate (0.0mg/ml syringe, 0.1 mg/ml disp syrin, 0.1 mg/ml syringe) BENTYL (10 MG CAPSULE, 10 MG/ML AMPUL, 0 MG ) CUVPOSA 1 MG/ ML SOLUTION dicyclomine hcl (10 mg/ml vial, 10 mg capsule, 10 mg/ ml solution, 0 mg tablet) Name diphenoxylate hcl/atropine sulfate (hcl/atropine.-.0mg tablet, hcl/atropine.-.0/ liquid) glycopyrrolate (0. mg/ml vial, 1 mg tablet, mg tablet) LOMOTIL.-0.0 MG loperamide hcl mg capsule methscopolamine bromide (. mg tablet, mg tablet) opium tincture 10 mg/ml tincture paregoric mg/ ml liquid propantheline bromide 1 mg tablet ROBINUL (0. MG/ML VIAL, 0. MG/ ML VIAL, 1 MG, 1 MG/ ML VIAL, MG/0 ML VIAL) ROBINUL FORTE MG MISCELLANEOUS GASTROINTESTINAL AGENTS ACTIGALL 00 MG CAPSULE AKYNZEO MG CAPSULE alosetron hcl (0. mg tablet, 1 mg tablet) B/D PA 1

123 Name Name ALOXI 0. MG/ ML VIAL AMITIZA (8 MCG CAPSULE, MCG CAPSULES) ANALPRAM HC 1% CREAM CHOLBAM (0 MG CAPSULE, 0 MG CAPSULE) CIMZIA (00 MG VIAL KIT, 00 MG/ML STARTER KIT, 00 MG/ML SYRINGE KIT) PA ANTIVERT (1. MG, MG ) ANUSOL-HC.% CREAM ANZEMET 100 MG ANZEMET 0 MG/ML VIAL ANZEMET 0 MG APRISO ER 0.7 GRAM CAPSULE ASACOL HD DR 800 MG AZULFIDINE (00 MG, ENTAB 00 MG) B/D PA; QL ( PER 8 B/D PA; QL (8 PER 8 COLAZAL 70 MG CAPSULE COLOCORT 100 MG ENEMA COLYTE WITH FLAVOR PACKETS COLYTE WITH FLAVOR PACKS COMPAZINE ( MG, 10 MG, MG SUPPOSITORY) COMPRO MG SUPPOSITORY CONSTULOSE 10 GM/1 ML SOLN CORTENEMA 100 MG/60 ML ENEMA STEP balsalazide disodium 70 mg capsule budesonide mg capdr - er CREON (DR,000 CAPSULE, DR 6,000 CAPSULE, DR 1,000 CAPSULE, DR,000 CAPSULE) CANASA 1,000 MG SUPPOSITORY CREON DR 6,000 UNITS CAPSULE CESAMET 1 MG CAPSULE B/D PA cromolyn sodium 0 mg/ml oral conc CHENODAL 0 MG LA CYSTADANE POWDER 1

124 Name Name DELZICOL DR 00 MG CAPSULE GAVILYTE-C SOLUTION dimenhydrinate 0 mg/ml vial GAVILYTE-G SOLUTION DIPENTUM 0 MG CAPSULE GAVILYTE-H AND BISACODYL KIT dronabinol (. mg capsule, mg capsule) dronabinol 10 mg capsule B/D PA B/D PA GAVILYTE-N SOLUTION GENERLAC 10 GM/1 ML SOLUTION droperidol. mg/ml vial GIAZO 1.1 GM STEP EMEND 1 MG CAPSULE EMEND 10 MG VIAL EMEND 0 MG CAPSULE EMEND 80 MG CAPSULE B/D PA; QL ( PER 8 B/D PA B/D PA; QL (8 PER 8 EMEND TRIPACK B/D PA; QL (1 PER 8 ENTEREG 1 MG CAPSULE ENTOCORT EC MG CAPSULE GOLYTELY (PACKET, SOLUTION) granisetron hcl (1 mg/ml(1) vial, 1 mg/ml vial) granisetron hcl 1 mg tablet granisetron hcl/pf (hcl/pf 1 mg/ml(1) vial, hcl/pf 100 mcg/ml vial) hydrocortisone (1 % cream (g),. % cream/appl, 100mg/60ml enema) B/D PA; QL (6 PER 8 ENTYVIO 00 MG VIAL ENULOSE 10 GM/1 ML SOLUTION GASTROCROM 100 MG/ ML CONC GATTEX ( MG ONE- VIAL KIT, MG 0- VIAL KIT) KRISTALOSE (10 GM PACKET, 0 GM PACKET) lactulose (10 g/1 ml solution, 0 g/0 ml solution) LIALDA DR 1. GM 1

125 Name Name LINZESS (1 MCG CAPSULE, 90 MCG CAPSULE) ondansetron ( mg tab rapdis, 8 mg tab rapdis) B/D PA LOTRONEX (0. MG, 1 MG ) MARINOL ( MG CAPSULE, 10 MG CAPSULE) B/D PA ondansetron hcl ( mg/ ml solution, mg tablet, 8 mg tablet, mg tablet) ondansetron hcl mg/ml vial B/D PA MARINOL. MG CAPSULE meclizine hcl (1. mg tablet, mg tablet) mesalamine g/60 ml enema mesalamine w/cleansing wipes g/60 ml enema kit metoclopramide hcl ( mg tab rapdis, mg tablet, mg/ml vial, mg/ ml solution, 10 mg tablet, 10 mg/10ml solution, 10 mg/ ml syringe, 10 mg tab rapdis) METOZOLV ODT MG MOVANTIK (1. MG, MG ) MOVIPREP POWDER PACKET NULYTELY WITH FLAVOR PACKS SOL B/D PA ondansetron hcl/pf (hcl/pf mg/ ml ampul, hcl/pf mg/ ml vial, hcl/pf mg/ ml syringe) OSMOPREP PANCREAZE (DR,00 CAP, DR 10,00 CAP, DR 16,800 CAP) PANCREAZE DR 1,000 UNIT CAP peg 0/sod sulf/sod bicarbonate/sod chloride/potassium chl (0/na sulf,bicarb,cl/kcl 6-.7g soln recon, 0/na sulf,bicarb,cl/kcl 0-.7g soln recon) PEG-PREP KIT PENTASA (0 MG CAPSULE, 00 MG CAPSULE) PERTZYE DR 16,000 UNITS CAPS PERTZYE DR 8,000 UNITS CAPSULE 1

126 Name Name polyethylene glycol 0 (0 17g powd pack, 0 17g/dose powder) PREPOPIK POWDER PACKET prochlorperazine mg supp.rect prochlorperazine edisylate ( mg/ml vial, 10 mg/ ml vial) prochlorperazine maleate ( mg tablet, 10 mg tablet) REMICADE 100 MG VIAL ROWASA GM/60 ML ENEMA KIT SANCUSO.1 MG/ HR PATCH SFROWASA GM/60 ML ENEMA sodium chloride/nahco/kcl/p eg 0g soln recon SUCRAID 8,00 UNITS/ML SOLN QL ( PER 8 PROCTO-MED HC.% CREAM PROCTO-PAK 1% CREAM PROCTOCORT 1% CREAM PROCTOFOAM-HC 1%-1% FOAM PROCTOSOL-HC.% CREAM PROCTOZONE-HC.% CREAM RECTIV 0.% OINTMENT REGLAN ( MG, 10 MG ) RELISTOR (8 MG/0. ML SYRINGE, 1 MG/0.6 ML KIT, 1 MG/0.6 ML VIAL, 1 MG/0.6 ML SYRINGE) sulfasalazine (00 mg tablet, 00 mg tablet dr) SUPREP BOWEL PREP KIT TRANSDERM-SCOP 1. MG/ DAY TRILYTE WITH FLAVOR PACKETS UCERIS 9 MG ER URSO 0 MG URSO FORTE 00 MG ursodiol (0 mg tablet, 00 mg capsule, 00 mg tablet) VARUBI 90 MG VIBERZI (7 MG, 100 MG ) B/D PA 16

127 Name Name VIOKACE (10,0-9,10 TB, 0,880-78,00 TB) CYTOTEC (100 MCG, 00 MCG ) ZENPEP (DR,000 CAPSULE, DR,000 CAPSULE, DR 10,000 CAPSULE, DR 1,000 CAPSULE, DR 0,000 CAPSULE, DR,000 CAPSULE) ZENPEP DR 0,000 UNITS CAPSULE ZOFRAN ( MG/ ML ORAL SOLN, MG, 8 MG ) ZOFRAN MG/ML VIAL ZOFRAN ODT (ODT MG, ODT 8 MG ) ZUPLENZ ( MG FILM, 8 MG FILM) ULCER THERAPY ACIPHEX DR 0 MG ACIPHEX SPRINKLE (DR MG CAP, DR 10 MG CAP) CARAFATE 1 GM CARAFATE 1 GM/10 ML SUSP cimetidine (00 mg tablet, 00 mg tablet, 00 mg tablet, 800 mg tablet) B/D PA B/D PA B/D PA PA PA DEXILANT (DR 0 MG CAPSULE, DR 60 MG CAPSULE) esomeprazole magnesium (0 mg capsule dr, 0 mg capsule dr) esomeprazole sodium (0 mg vial, 0 mg vial) famotidine (10 mg/ml vial, 0 mg tablet, 0mg/ml oral susp, 0 mg tablet) famotidine in nacl,iso-osm/pf 0 mg/0ml piggyback famotidine/pf 0 mg/ ml vial lansoprazole (1 mg capsule dr, 0 mg capsule dr) lansoprazole/amoxici ln/clarith combo. pkg misoprostol (100 mcg tablet, 00 mcg tablet) NEXIUM (DR. MG PACKET, DR MG PACKET, DR 10 MG PACKET, DR 0 MG PACKET, DR 0 MG CAPSULE, DR 0 MG CAPSULE, DR 0 MG PACKET) PA PA cimetidine hcl 00 mg/ml solution NEXIUM I.V. 0 MG VIAL 17

128 Name Name nizatidine (10mg/10ml solution, 10 mg capsule, 00 mg capsule) OMECLAMOX-PAK COMBO PACK omeprazole (0 mg capsule dr, 0 mg capsule dr) omeprazole 10 mg capsule dr 1 1 QL (0 PER 0) PROTONIX IV 0 MG VIAL PYLERA CAPSULE rabeprazole sodium 0 mg tablet dr ranitidine hcl (1 mg/ml syrup, mg/ml vial, 0 mg/ ml vial, 10 mg capsule, 10 mg tablet, 00 mg tablet, 00 mg capsule) omeprazole/sodium bicarbonate (omeprazole/sodium 0mg-1.1g capsule, omeprazole/sodium 0mg-1.1g capsule) pantoprazole sodium (0 mg tablet dr, 0 mg vial, 0 mg tablet dr) PEPCID (0 MG, 0 MG/ ML ORAL SUSP, 0 MG ) PREVACID (DR 1 MG CAPSULE, 1 MG SOLUTAB, 0 MG SOLUTAB, DR 0 MG CAPSULE) PREVPAC PATIENT PACK PRILOSEC (DR. MG SUSPENSION, DR 10 MG SUSPENSION) PROTONIX (DR 0 MG, DR 0 MG, 0 MG SUSPENSION) PA PA PA PA sucralfate 1 g tablet ZANTAC ( MG/ML VIAL, 0 MG/ ML VIAL, 10 MG/6 ML VIAL, 10 MG, 00 MG, 1,000 MG/0 ML VIAL) ZEGERID (0 MG PACKET, 0 MG CAPSULE, 0 MG PACKET, 0 MG CAPSULE) PA IMMUNOLOGY, VACCINES / BIOTECHNOLOGY BIOTECHNOLOGY DRUGS ACTIMMUNE 100 MCG/0. ML VIAL ARANESP (10 MCG/0. ML SYRINGE, 0 MCG/0. ML SYRINGE) PA; QL (1.6 PER 8 18

129 Name Name ARANESP (10 MCG/0. ML SYRINGE, 00 MCG/0. ML SYRINGE, 00 MCG/ML VIAL, 00 MCG/0.6 ML SYRINGE, 00 MCG/ML VIAL, 00 MCG/1 ML SYRINGE) ARANESP (0 MCG/ML VIAL, 60 MCG/ML VIAL, 100 MCG/ML VIAL) PA PA; QL ( PER 8 EPOGEN (10,000 UNITS/ML VIAL, 0,000 UNITS/ ML VIAL) EPOGEN (,000 UNITS/ML VIAL,,000 UNITS/ML VIAL,,000 UNITS/ML VIAL) EPOGEN 0,000 UNITS/ML VIAL EXTAVIA (0. MG VIAL, 0. MG KIT) PA; QL ( PER 8) PA; QL (1 PER 8 PA; QL (1 PER 8 ARANESP 100 MCG/0. ML SYRINGE ARANESP MCG/0. ML SYRING ARANESP MCG/ML VIAL ARANESP 60 MCG/0. ML SYRINGE ARCALYST 0 MG INJECTION AVONEX (SYR 0 MCG KT, SYR 0 MCG) AVONEX ADMIN PACK 0 MCG VL PA; QL ( PER 8) PA; QL (1.68 PER 8 PA; QL ( PER 8 PA; QL (1. PER 8 PA GENOTROPIN (MINIQUICK 0. MG, MINIQUICK 0.6 MG, MINIQUICK 0.8 MG, MINIQUICK 1 MG, MINIQUICK 1. MG, MINIQUICK 1. MG, MINIQUICK 1.6 MG, MINIQUICK 1.8 MG, MINIQUICK MG, MG CARTRIDGE, 1 MG CARTRIDGE) GENOTROPIN MINIQUICK 0. MG GRANIX (00 MCG/0. ML SYRINGE, 00 MCG/0. ML SAFE SYR, 80 MCG/0.8 ML SYRINGE, 80 MCG/0.8 ML SAFE SYR) PA PA AVONEX PEN (PEN 0 MCG/0. ML, PEN 0 MCG/0. ML KIT) BETASERON (0. MG VIAL, 0. MG KIT) EGRIFTA (1 MG VIAL, MG VIAL) PA HUMATROPE ( MG VIAL, 6 MG CARTRIDGE, 1 MG CARTRIDGE, MG CARTRIDGE) ILARIS 180 MG VIAL PA PA; LA 19

130 Name Name INTRON A (10 MILLION UNITS VIL, 18 MILLION UNITS VIL, 18 MILLION UNIT/ ML, MILLION UNIT/.ML, 0 MILLION UNITS VIL) LEUKINE 0 MCG VIAL NUTROPIN AQ NUSPIN (, 10, 0) OMNITROPE ( MG/1. ML CRTG,.8 MG VIAL, 10 MG/1. ML CRTG) PEGASYS (180 MCG/ML VIAL, 180 MCG/0. ML SYRINGE) PA PA MIRCERA (0 MCG/0. ML SYRINGE, 7 MCG/0. ML SYRINGE, 100 MCG/0. ML SYRINGE, 00 MCG/0. ML SYRINGE) B/D PA PEGASYS PROCLICK (1 MCG/0., 180 MCG/0.) PEGINTRON (0 MCG KIT, 80 MCG KIT, 10 MCG KIT, 10 MCG KIT) MOZOBIL (0 MG/ML VIAL, MG/1. ML VIAL) NEULASTA (6 MG/0.6 ML SYRINGE, ONPRO 6 MG/0.6 ML KIT) NEUPOGEN (00 MCG/ML VIAL, 00 MCG/0. ML SYR, 80 MCG/1.6 ML VIAL, 80 MCG/0.8 ML SYR) NORDITROPIN FLEXPRO ( MG/1., 10 MG/1., 1 MG/1., 0 MG/ ML) NORDITROPIN NORDIFLEX 0 MG/ PA PA PEGINTRON REDIPEN (0 MCG, 0 MCG PK, 80 MCG, 80 MCG PK, 10 MCG PK, 10 MCG, 10 MCG, 10 MCG PK) PLEGRIDY (1 MCG/0. ML SYRING, SYRINGE STARTER PACK) PLEGRIDY PEN (1 MCG/0. ML PEN, PEN INJ STARTER PACK) PROCRIT (,000 UNITS/ML VIAL,,000 UNITS/ML VIAL,,000 UNITS/ML VIAL) PA; QL (1 PER 8 NUTROPIN AQ (0 MG/ML PEN CART, PEN CARTRIDGE) PA PROCRIT (0,000 UNITS/ML VIAL, 0,000 UNITS/ML VIAL) PA 10

131 Name Name PROCRIT 10,000 UNITS/ML VIAL PA; QL (1 PER 8 ADACEL TDAP (SYRINGE, VIAL) PROLEUKIN MILLION UNIT VIAL PA ATGAM 0 MG/ML AMPUL B/D PA REBIF ( MCG/0. ML SYRINGE, MCG/0. ML SYRINGE, TITRATION PACK) REBIF REBIDOSE ( MCG/0. ML, MCG/0. ML, TITRATION PACK) SAIZEN ( MG VIAL, 8.8 MG VIAL, 8.8 MG CLICK.EASY CARTG) SEROSTIM ( MG VIAL, MG VIAL, 6 MG VIAL) SYLATRON (00 MCG KIT, 00 MCG KIT, 600 MCG KIT) SYLATRON -PACK (00 MCG, 00 MCG, 888 MCG) ZARXIO (00 MCG/0. ML SYRINGE, 80 MCG/0.8 ML SYRINGE) ZOMACTON ( MG VIAL, 10 MG VIAL) ZORBTIVE 8.8 MG VIAL PA PA PA PA bcg live 0 mg vial bcg vaccine, live/pf 0 mg vial BEXSERO PREFILLED SYRINGE BIVIGAM LIQUID 10% VIAL BOOSTRIX TDAP (SYRINGE, VIAL) BOTOX (100 VIAL, 00 VIAL) CARIMUNE NF NANOFILTERED ( GM VIAL, 6 GM VIAL, 1 GM VIAL) CERVARIX VACCINE SYRINGE CYTOGAM. GM/0 ML VIAL DAPTACEL DTAP VACCINE DYSPORT (00 UNIT VIAL, 00 UNITS VIAL) ENGERIX-B ADULT (0 MCG/ML SYRN, 0 MCG/ML VIAL) PA PA PA PA B/D PA VACCINES / MISCELLANEOUS IMMUNOLOGICALS ACTHIB (VIAL, WITH DILUENT) ENGERIX-B PEDIATRIC- ADOLESCENT (10 MCG/0. ML PED VL, PEDI 10 MCG/0. SYRN) B/D PA 11

132 Name Name FLEBOGAMMA DIF (% VIAL, 10% VIAL) fomepizole 1 g/ml vial GAMASTAN S-D VIAL PA HAVRIX (70 UNITS/0. ML VIAL, 70 UNIT/0. ML SYRINGE, 1,0 UNITS/ML VIAL, 1,0 UNITS/ML SYRINGE) HEPAGAM B VIAL GAMMAGARD LIQUID 10% VIAL GAMMAGARD S-D ( G SOLN, 10 G SOL) PA PA HIZENTRA (1 GRAM/ ML VIAL, GRAM/10 ML VIAL, GRAM/0 ML VIAL, 10 GRAM/0 ML VIAL) GAMMAKED (1 GRAM/10 ML VIAL,. GRAM/ ML VIAL, GRAM/0 ML VIAL, 10 GRAM/100 ML VIAL, 0 GRAM/00 ML VIAL) GAMMAPLEX % VIAL GAMUNEX 10% VIAL GAMUNEX-C (1 GRAM/10 ML VIAL,. GRAM/ ML VIAL, GRAM/0 ML VIAL, 10 GRAM/100 ML VIAL, 0 GRAM/00 ML VIAL, 0 GRAM/00 ML VIAL) GARDASIL (SYRINGE, VIAL) GARDASIL 9 (9 VIAL, 9 SYRINGE) GRASTEK,800 BAU SL PA PA PA PA HYPERHEP B S-D (NEONATAL SYRIN., SYRINGE, VIAL) HYPERRAB S-D 10 UNITS/ML VIAL HYPERRHO S-D (0 SYRINGE, 100 SYR) HYPERTET S-D 0 UNITS SYRINGE HYQVIA (. GM- 00 PACK, GM-00 PACK, 10 GM-800 PACK, 0 GM-1,600 PACK, 0 GM-,00 PACK) IMOGAM RABIES- HT 10 UNIT/ML IMOVAX RABIES VACCINE (VACCINE VIAL, VACCINE+DILUENT ) INFANRIX DTAP (SYRINGE, VIAL) IPOL VIAL B/D PA 1

133 Name Name IXIARO 6 MCG/0. ML SYRINGE PENTACEL VIAL KIT KINRIX (TIP-LOK SYRINGE, VIAL) M-M-R II VACCINE (VIAL, WITH DILUENT) PRIVIGEN 10% VIAL PA PROQUAD VIAL QUADRACEL DTAP- IPV VIAL MENACTRA VIAL MENHIBRIX VACCINE VIAL MENOMUNE-A-C-Y- W-1 VIAL MENVEO A-C-Y-W- 1-DIP VIAL KT MICRHOGAM ULTRA-FILTD PLUS SYR MYOBLOC (,00 UNIT/0. ML VIAL,,000 UNITS/1 ML VIAL, 10,000 UNITS/ ML VIAL) RABAVERT RABIES VACCINE VIAL RAGWITEK SUBLINGUAL RECOMBIVAX HB ( MCG/0. ML SYR, MCG/0. ML VL, 10 MCG/ML VIAL, 10 MCG/ML SYR, 0 MCG/ML VIAL) RHOGAM ULTRA- FILTERED PLUS SYR RHOPHYLAC 00 MCG/ ML SYRINGE B/D PA NABI-HB VIAL OCTAGAM (% VIAL, 10% VIAL) PA ROTARIX VACCINE SUSPENSION ROTATEQ VACCINE ORALAIR (00 IR STARTER PACK, 00 IR SUBLINGUAL TAB, 00 IR ADULT SAMPLE KT) PEDIARIX 0. ML SYRINGE PEDVAXHIB VACCINE VIAL PENTACEL ACTHIB COMPONENT VIAL TENIVAC (SYRINGE, VIAL) tetanus, diphtheria tox,adult - lf/0. vial tetanus,diphtheria toxd ped/pf - /0.ml vial THERACYS 81 MG VIAL THYMOGLOBULIN MG VIAL B/D PA 1

134 Name Name TRUMENBA 10 MCG/0. ML VACCIN TWINRIX (SYRINGE, VIAL) ALOPRIM 00 MG VIAL colchicine (0.6 mg capsule, 0.6 mg tablet) TYPHIM VI ( MCG/0. ML SYRNG, MCG/0. ML AL) VAQTA ( UNITS/0. ML SYRINGE, UNITS/0. ML VIAL, 0 UNITS/ML SYRINGE, 0 UNITS/ML VIAL) colchicine/probeneci d 0.-00mg tablet COLCRYS 0.6 MG KRYSTEXXA 8 MG/ML VIAL MITIGARE 0.6 MG CAPSULE VARIVAX VACCINE (VIAL, WITH DILUENT) VARIZIG (1 UNIT/1. ML VIAL, 1 UNIT VIAL) WINRHO SDF (1,00 VIAL,,00 VIAL,,000 VIAL, 1,000 VIAL) XEOMIN (0 VIAL, 100 VIAL) PA probenecid 00 mg tablet ULORIC (0 MG, 80 MG ) ZYLOPRIM (100 MG, 00 MG ) OSTEOPOROSIS THERAPY ACTONEL 10 MG QL (1 PER 0); STEP XEOMIN 00 UNIT VIAL PA ACTONEL MG QL ( PER 0 ; STEP YF-VAX (1 VIAL, VIAL) ACTONEL MG QL (0 PER 0); STEP ZOSTAVAX VIAL MUSCULOSKELETAL / RHEUMATOLOGY GOUT THERAPY allopurinol (100 mg tablet, 00 mg tablet) alendronate sodium ( mg tablet, 70 mg tablet) alendronate sodium ( mg tablet, 10 mg tablet) alendronate sodium 70 mg/7ml solution QL ( PER 0 QL (0 PER 0) QL (7 PER 0 1

135 Name ATELVIA DR MG BINOSTO 70 MG EFF BONIVA 10 MG BONIVA MG/ ML SYRINGE EVISTA 60 MG FORTEO 600 MCG/. ML PEN INJ FOSAMAX 70 MG FOSAMAX PLUS D (70 MG-,600, 70 MG-,800) ibandronate sodium ( mg/ ml syringe, mg/ ml vial) ibandronate sodium 10 mg tablet PROLIA 60 MG/ML SYRINGE raloxifene hcl 60 mg tablet risedronate sodium ( mg tablet dr, mg tablet) risedronate sodium 10 mg tablet risedronate sodium mg tablet QL ( PER 0 ; STEP QL ( PER 0 ; STEP QL (1 PER 0); STEP STEP STEP QL ( PER 0 ; STEP QL ( PER 0 ; STEP STEP QL (1 PER 0); STEP STEP QL ( PER 0 ; STEP QL (1 PER 0); STEP OTHER RHEUMATOLOGICALS QL (0 PER 0); STEP Name ACTEMRA (80 MG/ ML VIAL, 16 MG/0.9 ML SYRINGE, 00 MG/10 ML VIAL, 00 MG/0 ML VIAL) ARAVA (10 MG, 0 MG ) BENLYSTA (10 MG VIAL, 00 MG VIAL) CUPRIMINE 0 MG CAPSULE DEPEN 0 MG TITRATAB ENBREL ( MG KIT, MG/0. ML SYRINGE, 0 MG/ML SYRINGE, 0 MG/ML SURECLICK SYR) HUMIRA 10 MG/0. ML SYRINGE HUMIRA 0 MG/0. ML SYRINGE HUMIRA 0 MG/0.8 ML PEN HUMIRA 0 MG/0.8 ML SYRINGE HUMIRA PEDIATRIC CROHN'S START HUMIRA PEN CROHN'S-UC-HS START HUMIRA PEN PSORIASIS START PK PA PA PA; QL (0. PER 8 PA; QL (0.8 PER 8 PA; QL (. PER 8 PA; QL (. PER 8 PA; QL (.8 PER 8 PA; QL (.8 PER 8 PA; QL (. PER 8 1

136 Name KINERET 100 MG/0.67 ML SYRINGE leflunomide (10 mg tablet, 0 mg tablet) ORENCIA (1 MG/ML SYRINGE, 0 MG VIAL) OTEZLA (8 DAY STARTER PACK, 0 MG ) OTREXUP (7. MG/0. ML AUTO- INJ, 10 MG/0. ML AUTO-INJ, 1 MG/0. ML AUTO-INJ, 17. MG/0. ML AUTOINJ, 0 MG/0. ML AUTO-INJ,. MG/0. ML AUTOINJ, MG/0. ML AUTO-INJ) RASUVO (7. MG/0.1 ML, 10 MG/0. ML, 1. MG/0. ML, 1 MG/0. ML, 17. MG/0. ML, 0 MG/0. ML,. MG/0. ML, MG/0. ML, 7. MG/0. ML, 0 MG/0.6 ML) RIDAURA MG CAPSULE SAVELLA (1. MG, MG, 0 MG, 100 MG, TITRATION PACK) PA PA PA Name SIMPONI (100 MG/ML PEN INJECTOR, 100 MG/ML SYRINGE) SIMPONI (0 MG/0. ML SYRINGE, 0 MG/0. ML PEN INJEC) SIMPONI ARIA 0 MG/ ML VIAL XELJANZ MG XELJANZ XR 11 MG PA; QL (1 PER 8 PA; QL (0. PER 8 PA PA PA OBSTETRICS / GYNECOLOGY ESTROGENS / PROGESTINS ACTIVELLA ( MG, 1 MG- 0. MG ) ALORA (0.0 MG PATCH, 0.0 MG PATCH, 0.07 MG PATCH, 0.1 MG PATCH) ANGELIQ (0. MG- 0. MG, 0. MG-1 MG ) AYGESTIN MG CAMILA CLIMARA (0.0 MG/DAY PATCH, 0.07 MG/DAY PATCH, 0.0 MG/DAY PATCH, 0.06 MG/DAY PATCH, 0.07 MG/DAY PATCH, 0.1 MG/DAY PATCH) 16

137 Name Name CLIMARA PRO PATCH COMBIPATCH ( MG, MG) CRINONE % GEL CRINONE 8% GEL PA DEBLITANE 0. MG DELESTROGEN (10 MG/ML VIAL, 0 MG/ML VIAL, 0 MG/ML VIAL) DEPO-ESTRADIOL MG/ML VIAL DEPO-PROVERA (10 MG/ML SYRINGE, 10 MG/ML VIAL, 00 MG/ML VIAL) DEPO-SUBQ PROVERA 10 SYRINGE DIVIGEL (0. MG GEL PACKET, 0. MG GEL PACKET, 1 MG GEL PACKET) DUAVEE 0.-0 MG ELESTRIN 0.06% GEL ENJUVIA (0. MG, 0. MG, 0.9 MG, 1. MG ) ERRIN 0. MG QL (0 PER 0) QL ( PER 0 ESTRACE (0. MG, 1 MG, MG ) ESTRACE 0.01% CREAM estradiol (.0mg/h patch tdwk,.0mg/h patch tdsw,.07mg/ patch tdwk,.07mg/ patch tdsw, 0.0mg/h patch tdsw, 0.0mg/h patch tdwk, 0.06mg/h patch tdwk,.07mg/h patch tdwk,.07mg/h patch tdsw, 0.1mg/hr patch tdwk, 0.1mg/hr patch tdsw, 0. mg tablet, 1 mg tablet, mg tablet) estradiol valerate (0 mg/ml vial, 0 mg/ml vial) estradiol/norethindro ne acetate (estradiol/norethindro ne mg tablet, estradiol/norethindro ne 1 mg-0.mg tablet) ESTRING MG VAGINAL RING estropipate (0.7 mg tablet, 1. mg tablet, mg tablet) EVAMIST 1. MG/SPRAY 17

138 Name Name FEMHRT 0. MG-. MCG MIMVEY LO MG FEMRING (0.0 MG RING, 0.10 MG RING) FYAVOLV (0. MG-. MCG, 1 MG- MCG ) MINIVELLE (0.0 MG PATCH, 0.07 MG PATCH, 0.0 MG PATCH, 0.07 MG PATCH, 0.1 MG PATCH) HEATHER JENCYCLA 0. MG JEVANTIQUE LO 0. MG-. MCG JINTELI 1 MG- MCG JOLIVETTE LOPREEZA (0. MG- 0.1 MG, 1 MG-0. MG ) LYZA 0. MG MAKENA (0 MG/ML VIAL, 1,0 MG/ ML VIAL) NOR-Q-D NORA-BE norethindrone 0. mg tablet norethindrone acetate mg tablet norethindrone acetate-ethinyl estradiol (0.mg-. tablet, 1mg-mcg tablet) NORLYROC 0. MG ORTHO MICRONOR 0. MG PREFEST medroxyprogesteron e acetate (. mg tablet, mg tablet, 10 mg tablet, 10 mg/ml vial, 10 mg/ml syringe) MENEST (0. MG, 0.6 MG, 1. MG,. MG ) MENOSTAR 1 MCG/DAY PATCH PREMARIN (0. MG, 0. MG, 0.6 MG, 0.9 MG, 1. MG, MG VIAL) PREMARIN VAGINAL CREAM- APPL PREMPHASE 0.6- MG MIMVEY 1-0. MG 18

139 Name Name PREMPRO (0. MG- 1. MG, MG, 0.6- MG, MG ) progesterone 0 mg/ml vial progesterone,microni zed (100 mg capsule, 00 mg capsule) GYNAZOLE 1 % CREAM LILETTA MG SYSTEM LUPANETA PACK (PK.7- MG 1MO KIT, PK 11.- MG MO KIT) LYSTEDA 60 MG PROMETRIUM (100 MG CAPSULE, 00 MG CAPSULE) METROGEL- VAGINAL 0.7% GEL PROVERA (. MG, MG, 10 MG ) SHAROBEL 0. MG metronidazole 0.7 % gel w/appl miconazole nitrate 00 mg supp.vag MIRENA SYSTEM VAGIFEM 10 MCG VAGINAL TAB NEXPLANON 68 MG IMPLANT VIVELLE-DOT (0.0 MG PATCH, 0.07 MG PATCH, 0.0 MG PATCH, 0.07 MG PATCH, 0.1 MG PATCH) MISCELLANEOUS OB/GYN AVC 1% CREAM CERVIDIL 10 MG VAGINAL INSRT CLEOCIN (% CREAM, 100 MG OVULE) clindamycin phosphate % cream/appl NUVARING VAGINAL RING NUVESSA VAGINAL 1.% GEL PREPIDIL 0. MG/ GM GEL PROSTIN E VAGINAL 0 MG SUP SKYLA SYSTEM TERAZOL CREAM TERAZOL 7 CREAM terconazole (0. % cream/appl, 0.8 % cream/appl, 80 mg supp.vag) 19

140 Name Name tranexamic acid 60 mg tablet BLISOVI FE VANDAZOLE VAGINAL 0.7% GEL XULANE PATCH ORAL CONTRACEPTIVES / RELATED AGENTS ALTAVERA-8 ALYACEN (1--8, ) AMETHIA MG TAB AMETHIA LO AMETHYST 90-0 MCG APRI 8 DAY ARANELLE 8 ASHLYNA MG TAB AUBRA-8 AVIANE-8 AZURETTE 8 DAY BALZIVA 8 BEKYREE 8 DAY BEYAZ 8 BLISOVI FE (1-0, 1.-0 ) BREVICON 8 BRIELLYN CAMRESE MG TAB CAMRESE LO CAZIANT 8 DAY CHATEAL-8 CRYSELLE-8 CYCLAFEM (1--8, ) CYCLESSA 8 DAY CYRED 8 DAY DASETTA (1--8, 7/7/7-8 ) DAYSEE MG TAB DELYLA-8 desoge.estradiol/e.estradio l 1- tablet DESOGEN 8 DAY 10

141 Name Name desogestrel-ethinyl estradiol tablet ELINEST-8 ELLA 0 MG EMOQUETTE 8 DAY GILDESS (1 MG-0 MCG, 1. MG-0 MCG ) GILDESS FE MG GILDESS FE (1-0, 1.-0 ) ENPRESSE-8 INTROVALE MG ENSKYCE 8 JOLESSA 0.1 MG- 0.0 MG ESTARYLLA MG JULEBER 8 DAY ESTROSTEP FE-8 ethinyl estradiol/drospirenon e (estradiol/drospireno ne 0.0-() tablet, estradiol/drospirenon e 0.0mg-mg tablet) FALMINA-8 FEMCON FE (MCON CHEWABLE, MCON ) GENERESS FE CHEWABLE JUNEL (1 MG-0 MCG, 1. MG-0 MCG ) JUNEL FE (1 MG-0 MCG, 1. MG-0 MCG ) JUNEL FE KAITLIB FE CHEWABLE KARIVA 8 DAY KELNOR 1-8 GIANVI MG-0.0 MG KIMIDESS 8 DAY GILDAGIA 0. MG- 0.0 MG TAB KURVELO LARIN (1. MG-0 MCG, ) 11

142 Name Name LARIN FE 1 MG- 0 MCG LORYNA MG-0.0 MG LARIN FE (1-0, 1.-0 ) LAYOLIS FE CHEWABLE LOSEASONIQUE LOW-OGESTREL-8 LUTERA-8 LEENA 8 LESSINA-8 LEVONEST-8 levonorgestrel-ethinyl estradiol ( tablet, tbdspk mo, tablet, tablet, 90-0mcg tablet) levonorgestrel/ethinyl estradiol and ethinyl estradiol (lnorgest/e.estradiole.estrad 100-0(8) tbdspk mo, l- norgest/e.estradiole.estrad 10-0(8) tbdspk mo) LEVORA-8 LO LOESTRIN FE 1-10 LOESTRIN (1 1-0, ) LOESTRIN FE (1-0, 1.-0 ) LOMEDIA FE 1 MG-0 MCG TAB MARLISSA-8 MICROGESTIN ( TAB, ) MICROGESTIN FE 1 MG-0 MCG MICROGESTIN FE (1-0, 1.-0 TAB) MINASTRIN FE CHEWABLE TAB MIRCETTE 8 DAY MODICON 8 MONO-LINYAH 8 MONONESSA 8 MYZILRA-8 NATAZIA 8 NECON (0.--8, 1--8, 1-0-8, , ) 1

143 Name Name NIKKI MG-0.0 MG noreth-ethinyl estradiol/iron 0.8- () tab chew ORTHO-NOVUM (1- -8, ) OVCON- 8 norethindrone ac-eth estradiol 1mg-0mcg tablet norethindrone acetate-ethinyl estradiol/ferrous fumarate (1mg- 0() tablet, 1mg- 0(1) tablet) norgestimate-ethinyl estradiol ( tablet, 7daysx 8 tablet, 7daysx lo tablet) PHILITH MG PIMTREA 8 DAY PIRMELLA (1--8, ) PLAN B ONE-STEP 1. MG PORTIA-8 PREVIFEM NORINYL 1+-8 QUARTETTE NORINYL QUASENSE MG NORTREL (0.-, 1-, ) RECLIPSEN 8 DAY SAFYRAL OCELLA MG-0.0 MG SEASONIQUE TAB OGESTREL ORSYTHIA-8 ORTHO TRI- CYCLEN 8 ORTHO TRI- CYCLEN LO ORTHO-CYCLEN 8 SETLAKIN 0.1 MG- 0.0 MG TAB SPRINTEC 8 DAY SRONYX MG SYEDA 8 TARINA FE 1-0 1

144 Name Name TILIA FE 8 TRI-ESTARYLLA TRI-LEGEST FE-8 DAY TRI-LINYAH WERA 0./0.0 MG 8 WYMZYA FE CHEWABLE YASMIN 8 YAZ 8 TRI-LO-ESTARYLLA TRI-LO-MARZIA TRI-LO-SPRINTEC ZARAH ZENCHENT 0. MG- MCG ZENCHENT FE CHEWABLE TRI-NORINYL 8 ZOVIA 1-E TRI-PREVIFEM ZOVIA 1-0E TRI-SPRINTEC TRINESSA LO TRINESSA OXYTOCICS HEMABATE 0 MCG/ML AMPUL METHERGINE 0. MG TRIVORA-8 VELIVET 8 DAY VESTURA MG-0.0 MG methylergonovine maleate (0. mg tablet,.mg/ml(1) ampul) methylergonovine maleate.mg/ml(1) vial VIENVA-8 VIORELE 8 DAY VYFEMLA 8 oxytocin 10 unit/ml vial PITOCIN 10 UNITS/ML VIAL OPHTHALMOLOGY ANTIBIOTICS 1

145 Name Name AZASITE 1% EYE DROPS bacitracin 00 unit/g oint. (g) bacitracin/polymyxin b sulfate 00-10k/g oint. (g) BESIVANCE 0.6% SUSP CILOXAN 0.% EYE DROPS CILOXAN 0.% OINTMENT ciprofloxacin hcl 0. % drops erythromycin base mg/g oint. (g) gatifloxacin 0. % drops GENTAK 0. % EYE OINTMENT gentamicin sulfate (0. % oint. (g), 0. % drops) ILOTYCIN 0.% EYE OINTMENT levofloxacin 0. % drops neomycin su/bacitra/polymyxin.mg-00 oint. (g) neomycin/polymyxn b/gramicidin 1.7mg- 10k drops NEOSPORIN EYE DROPS OCUFLOX 0.% EYE DROPS ofloxacin 0. % drops POLYCIN EYE OINTMENT polymyxin b sulf/trimethoprim /ml drops POLYTRIM EYE DROPS tobramycin 0. % drops TOBREX (DROPS, OINTMENT) VIGAMOX 0.% EYE DROPS ZYMAXID 0.% EYE DROPS ANTIVIRALS MOXEZA 0.% EYE DROPS NATACYN EYE DROPS NEO-POLYCIN EYE OINTMENT trifluridine 1 % drops VIROPTIC 1% EYE DROPS ZIRGAN 0.1% OPHTHALMIC GEL BETA-BLOCKERS 1

146 Name BETAGAN 0.% EYE DROPS betaxolol hcl 0. % drops STEP Name DIRECT ACTING MIOTICS ISOPTO CARPINE (1% DROPS, % DROPS, % DROPS) BETIMOL (0.% DROPS, 0.% DROPS) STEP pilocarpine hcl (1 % drops, % drops, % drops) BETOPTIC S 0.% EYE DROPS carteolol hcl 1 % drops ISTALOL 0.% EYE DROPS levobunolol hcl 0. % drops metipranolol 0. % drops timolol maleate (0. % drops, 0. % solgel, 0. % sol-gel, 0. % drops) TIMOPTIC (0.% DROPS, 0.% DROPS) TIMOPTIC OCUDOSE (0.% DROP, 0.% DROP) TIMOPTIC-XE (0.% SOLN, 0.% SOLN) STEP STEP STEP STEP STEP CHOLINESTERASE INHIBITOR MIOTICS PHOSPHOLINE IODIDE 0.1% CYCLOPLEGIC MYDRIATICS atropine sulfate 1 % drops MISCELLANEOUS OPHTHALMOLOGICS ALOCRIL % EYE DROPS ALOMIDE 0.1% EYE DROPS azelastine hcl 0.0 % drops balanced salt irrig soln no. irrig soln BEPREVE 1.% EYE DROPS BSS EYE SOLUTION BSS PLUS EYE SOLUTION cromolyn sodium % drops CYSTARAN 0.% EYE DROPS ELESTAT 0.0% EYE DROPS EMADINE 0.0% EYE DROPS epinastine hcl 0.0 % drops EYLEA MG/0.0 ML VIAL 16

147 Name JETREA. MG/ML VIAL LACRISERT MG EYE INSERT LASTACAFT 0.% EYE DROPS LUCENTIS (0. MG VIAL, 0. MG VIAL) olopatadine hcl 0.1 % drops PATADAY 0.% EYE DROPS PATANOL 0.1% EYE DROPS PAZEO 0.7% EYE DROPS RESTASIS 0.0% EYE EMULSION NON-STEROIDAL ANTI- INFLAMMATORY AGENTS ACULAR 0.% EYE DROPS ACULAR LS 0.% OPHTH SOL ACUVAIL 0.% OPHTH SOLUTION Name ketorolac tromethamine (0. % drops, 0. % drops) NEVANAC 0.1% DROPTAINER OCUFEN 0.0% EYE DROPS PROLENSA 0.07% EYE DROPS ORAL DRUGS FOR GLAUCOMA acetazolamide (1 mg tablet, 0 mg tablet, 00 mg capsule er) acetazolamide sodium 00 mg vial DIAMOX SEQUELS ER 00 MG CAP methazolamide ( mg tablet, 0 mg tablet) NEPTAZANE ( MG, 0 MG ) OTHER GLAUCOMA DRUGS AZOPT 1% EYE DROPS bromfenac sodium 0.09% drops bimatoprost 0.0 % drops STEP diclofenac sodium 0.1 % drops COMBIGAN 0.%- 0.% EYE DROPS STEP flurbiprofen sodium 0.0 % drops COSOPT EYE DROPS STEP ILEVRO 0.% OPHTH DROPS COSOPT PF EYE DROPS STEP 17

148 Name Name dorzolamide hcl % drops dorzolamide hcl/timolol maleat.-6.8/1 drops latanoprost 0.00 % drops neomycin/polymyxin b sulfate/dexamethaso ne (neo/polymyx sulf/dexameth 0.1 % drops susp, neo/polymyx sulf/dexameth.- 10k-.1 oint. (g)) LUMIGAN 0.01% EYE DROPS STEP PRED-G (1% DROPS, S.O.P. OINTMENT) MIOSTAT VIAL SIMBRINZA 1%-0.% EYE DROPS TRAVATAN Z 0.00% EYE DROP travoprost (benzalkonium) 0.00 % drops TRUSOPT % EYE DROPS XALATAN 0.00% EYE DROPS ZIOPTAN 0.001% EYE DROPS STEP STEP STEP STEP STEROID-ANTIBIOTIC COMBINATIONS MAXITROL (DROPS, OINTMENT) TOBRADEX (DROPS, OINTMENT) TOBRADEX ST EYE DROPS tobramycin/dexamet hasone 0. %-0.1% drops susp ZYLET EYE DROPS STEROID-SULFONAMIDE COMBINATIONS BLEPHAMIDE EYE DROPS BLEPHAMIDE EYE OINTMENT sulfacetamide/predni solone sp 10 %- 0.% drops NEO-POLYCIN HC EYE OINTMENT neomycin su/baci zn/poly/hc.-10k-1 oint. (g) neomycin/polymyxin b sulf/hc.-10k-10 drops susp STEROIDS ALREX 0.% EYE DROPS dexamethasone sod phosphate 0.1 % drops DUREZOL 0.0% EYE DROPS 18

149 Name FLAREX 0.1% EYE DROPS fluorometholone 0.1 % drops susp FML FORTE 0.% EYE DROPS FML LIQUIFILM 0.1% EYE DROP FML S.O.P. 0.1% OINTMENT LOTEMAX (EYE DROPS, EYE OINTMENT, OPHTHALMIC GEL) MAXIDEX 0.1% EYE DROPS OMNIPRED 1% EYE DROPS OZURDEX 0.7 MG IMPLANT PRED FORTE 1% EYE DROPS PRED MILD 0.1% EYE DROPS prednisolone acetate 1 % drops susp prednisolone sod phosphate 1 % drops RETISERT IMPLANT VEXOL 1% EYE DROPS SULFONAMIDES BLEPH-10 10% EYE DROPS Name sulfacetamide sodium (10 % drops, 10 % oint. (g)) SYMPATHOMIMETICS ALPHAGAN P (ALHAGAN 0.1% DROS, ALHAGAN 0.1% EYE DROS) apraclonidine hcl 0. % drops brimonidine tartrate (0.1 % drops, 0. % drops) IOPIDINE (0.% DROPS, 1% DROPS) VASOCONSTRICTOR DECONGESTANTS naphazoline hcl 0.1 % drops RESPIRATORY AND ALLERGY ANTIHISTAMINE / ANTIALLERGENIC AGENTS ADRENACLICK (0.1 MG AUTO- INJCT, 0. MG AUTO-INJECT) ADRENALIN 1 MG/ML VIAL ADRENALIN CL 1 MG/ML VIAL ARBINOXA ( MG, MG/ ML LIQUID) carbinoxamine maleate ( mg tablet, mg/ ml liquid) cetirizine hcl 1 mg/ml solution 19

150 Name Name CLARINEX (0. MG/ML (. MG/), MG ) CLARINEX-D 1 HOUR clemastine fumarate.68 mg tablet cyproheptadine hcl ( mg/ ml syrup, mg/10 ml syrup, mg tablet) desloratadine (. mg tab rapdis, mg tablet, mg tab rapdis) PA hydroxyzine pamoate ( mg capsule, 0 mg capsule, 100 mg capsule) KARBINAL ER MG/ ML SUSP levocetirizine dihydrochloride (. mg/ml solution, mg tablet) PHENADOZ (1. MG, MG) PHENERGAN (1. MG, MG, 0 MG) PA diphenhydramine hcl (0 mg/ml vial, 0 mg/ml syringe) diphenhydramine hcl 1.mg/ml elixir epinephrine (0.1 mg/ml syringe, 0.1/0.1 auto injct, 0.mg/0. auto injct) EPIPEN -PAK 0. MG AUTO-INJCT EPIPEN JR -PAK 0.1 MG INJCTR hydroxyzine hcl (10 mg tablet, 10 mg/ ml solution, mg tablet, 0 mg/ml solution, 0 mg tablet) PA PA PHENERGAN ( MG/ML AMPUL, MG/ML VIAL, 0 MG/ML VIAL, 0 MG/ML AMPUL) phenylephrine hcl/prometh hcl - 6.mg/ syrup promethazine hcl (1. mg supp.rect, mg/ml vial, mg/ml ampul, mg supp.rect, 0 mg/ml ampul, 0 mg supp.rect, 0 mg/ml vial) promethazine hcl (6.mg/ml syrup, 1. mg tablet, mg tablet, 0 mg tablet) PA PA hydroxyzine hcl ( mg/ml vial, 0 mg/ml vial) PROMETHEGAN (1. MG SUPPOS, MG SUPPOSITORY, 0 MG SUPPOSITORY) 10

151 Name SEMPREX-D 8 MG- 60 MG CAPSULE VISTARIL ( MG CAPSULE, 0 MG CAPSULE) XYZAL (. MG/ ML SOLUTION, MG ) PULMONARY AGENTS ACCOLATE (10 MG, 0 MG ) acetylcysteine (100 mg/ml vial, 00 mg/ml vial) ADCIRCA 0 MG ADEMPAS (0. MG, 1 MG, 1. MG, MG,. MG ) ADVAIR DISKUS (100-0, 0-0, 00-0) ADVAIR HFA (HFA -1 MCG INHALER, HFA 11-1 MCG INHALER, HFA 0-1 MCG INHALER) PA B/D PA PA LA QL (10 PER 0 QL ( PER 0 Name albuterol sulfate ( mg/ ml syrup, mg tablet, mg tab er 1h, mg tablet, 8 mg tab er 1h) ALVESCO (80 MCG INHALER, 160 MCG INHALER) aminophylline (0mg/10ml vial, 0mg/10ml ampul, 00mg/0ml vial, 00mg/0ml ampul) ANORO ELLIPTA 6.- MCG INH ARCAPTA NEOHALER 7 MCG CAP ARNUITY ELLIPTA (100 MCG, 00 MCG) ASMANEX (110 MCG #7, 0 MCG #1) ASMANEX (110 MCG, 0 MCG) ASMANEX HFA (HFA 100 MCG INHALER, HFA 00 MCG INHALER) ASMANEX TWISTHALER 0 MCG #60 QL (1. PER 0 QL (60 PER 0) QL (60 PER 0) QL (60 PER 0) QL (60 PER 0) QL (6 PER 0) QL (10 PER 0 AEROSPAN 80 MCG INHALER albuterol sulfate (0.6mg/ml vialneb, 1.mg/ml vialneb,. mg/ml vialneb,. mg/0. vialneb, mg/ml solution) QL (17.8 PER 0 B/D PA ASMANEX TWISTHALR 0 MCG #10 ATROVENT HFA INHALER BECONASE AQ 0.0% SPRAY QL (0 PER 0) QL (8.7 PER 0 QL (0 PER 0); STEP 11

152 Name Name BERINERT (00 VIAL, 00 KIT) FIRAZYR 0 MG/ ML SYRINGE BREO ELLIPTA (100- MCG, 00- MCG) QL (60 PER 0) FLOVENT DISKUS (0 MCG, 100 MCG, 0 MCG) QL (10 PER 0 BROVANA 1 MCG/ ML SOLUTION budesonide (0.mg/ml ampulneb, 0. mg/ml ampul-neb, 1 mg/ ml ampul-neb) budesonide mcg spray/pump CINQAIR 100 MG/10 ML VIAL B/D PA; QL (10 PER 0 B/D PA QL (17. PER 0 ; STEP PA FLOVENT HFA (HFA 110 MCG INHALER, HFA 0 MCG INHALER) FLOVENT HFA MCG INHALER flunisolide mcg spray fluticasone propionate 0 mcg spray susp QL ( PER 0 QL (1. PER 0) QL (0 PER 0) QL ( PER 0 CINRYZE 00 UNIT VIAL COMBIVENT RESPIMAT INHAL SPRAY PA QL (8 PER 0 FORADIL AEROLIZER 1 MCG CAP INCRUSE ELLIPTA 6. MCG INH QL (10 PER 0 QL (60 PER 0) cromolyn sodium 0 mg/ ml ampul-neb B/D PA ipratropium bromide 0. mg/ml solution B/D PA CUROSURF (10 MG/1. ML VIAL, 0 MG/ ML VIAL) ipratropium/albuterol sulfate 0.-mg/ ampul-neb B/D PA DALIRESP 00 MCG KALBITOR 10 MG/ML VIAL DULERA (100 MCG/ MCG INHALER, 00 MCG/ MCG INHALER) DYMISTA NASAL SPRAY ELIXOPHYLLIN 80 MG/1 ML ELIX QL (6 PER 0) QL (6 PER 0 ; STEP KALYDECO (0 MG GRANULES PACKET, 7 MG GRANULES PACKET, 10 MG ) LETAIRIS ( MG, 10 MG ) PA LA ESBRIET 67 MG CAPSULE PA 1

153 Name Name levalbuterol hcl (0.1mg/ml vialneb, 0.6mg/ml vialneb, 1.mg/0. vialneb, 1.mg/ml vialneb) metaproterenol sulfate (10 mg tablet, 10 mg/ ml syrup, 0 mg tablet) B/D PA PULMICORT (0. MG/ ML RESPUL, 0. MG/ ML RESPULE, 1 MG/ ML RESPULE) PULMICORT 180 MCG FLEXHALER PULMICORT 90 MCG FLEXHALER B/D PA QL ( PER 0) QL ( PER 0) mometasone furoate 0 mcg spray/pump QL ( PER 0 ; STEP PULMOZYME 1 MG/ML AMPUL B/D PA montelukast sodium ( mg gran pack, mg tab chew, mg tab chew, 10 mg tablet) QNASL 80 MCG NASAL SPRAY QNASL CHILDREN'S 0 MCG SPRAY QL (17. PER 0 ; STEP QL (9.8 PER 0 ; STEP NASONEX 0 MCG NASAL SPRAY NUCALA 100 MG VIAL OFEV (100 MG CAPSULE, 10 MG CAPSULE) OMNARIS 0 MCG NASAL SPRAY OPSUMIT 10 MG ORKAMBI 00 MG- 1 MG PERFOROMIST 0 MCG/ ML SOLN PROAIR HFA 90 MCG INHALER PROAIR RESPICLICK INHAL POWDER QL ( PER 0); STEP PA; LA PA QL ( PER 0); STEP LA PA B/D PA QL (17 PER 0 QL ( PER 0) QVAR (0 MCG ORAL INHALER, 80 MCG ORAL INHALER) REVATIO (10 MG/1. ML VIAL, 10 MG/ML ORAL SUSP, 0 MG ) RHINOCORT AQUA NASAL SPRAY RUCONEST,100 UNIT VIAL SEEBRI NEOHALER 1.6 MCG INHAL SEREVENT DISKUS 0 MCG sildenafil citrate (10 mg/1. vial, 0 mg tablet) QL (6.1 PER 0) PA QL (17. PER 0 ; STEP QL (10 PER 0 QL (10 PER 0 PA PROVENTIL HFA 90 MCG INHALER QL (1. PER 0 1

154 Name Name SINGULAIR ( MG GRANULES, MG CHEW, MG CHEW, 10 MG ) SPIRIVA 18 MCG CP- HANDIHALER SPIRIVA RESPIMAT (1. MCG,. MCG) STIOLTO RESPIMAT INHAL SPRAY QL (60 PER 0) QL (8 PER 0 QL (8 PER 0 theophylline/dextrose % in water (theophylline/dw 800mg/.l iv soln, theophylline/dw 00mg/0.l iv soln, theophylline/dw 00mg/0.1l iv soln, theophylline/dw 00mg/0ml iv soln, theophylline/dw 00mg/.l iv soln) TICANASE KIT STRIVERDI RESPIMAT INHAL SPRAY QL (8 PER 0 TRACLEER (6. MG, 1 MG ) LA SYMBICORT (80-. MCG INHALER, MCG INHALER) QL (0. PER 0); STEP TUDORZA PRESSAIR 00 MCG INH QL ( PER 0) terbutaline sulfate (1 mg/ml vial,. mg tablet, mg tablet) THEO- (ER 100 MG CAPSULE, ER 00 MG CAPSULE, ER 00 MG CAPSULE, ER 00 MG CAPSULE) TYVASO 1.7 MG/.9 ML SOLUTION TYVASO INHALATION REFILL KIT TYVASO INHALATION STARTER KIT B/D PA B/D PA B/D PA theophylline anhydrous (80 mg/1ml elixir, 80 mg/1ml solution, 100 mg tab er 1h, 00 mg tab er 1h, 00 mg tab er 1h, 00 mg tablet er, 0 mg tab er 1h, 600 mg tablet er) TYVASO INSTITUTIONAL START KIT UTIBRON NEOHALER MCG VENTAVIS (10 MCG/1 ML SOLUTION, 0 MCG/1 ML SOLUTION) B/D PA QL (10 PER 0 B/D PA VENTOLIN HFA 90 MCG INHALER QL (6 PER 0 1

155 Name VERAMYST 7. MCG NASAL SPRAY VOSPIRE ER (ER MG, ER 8 MG ) XOLAIR 10 MG VIAL XOPENEX (0.1 MG/ ML SOLUTION, 0.6 MG/ ML SOLUTION, 1. MG/ ML SOLUTION) XOPENEX CONC 1. MG/0. ML XOPENEX HFA MCG INHALER zafirlukast (10 mg tablet, 0 mg tablet) ZETONNA 7 MCG NASAL SPRAY ZYFLO 600 MG FILMTAB ZYFLO CR 600 MG UROLOGICALS ANTICHOLINERGICS / ANTISPASMODICS darifenacin hydrobromide (7. mg tab er h, 1 mg tab er h) DETROL (1 MG, MG ) QL (0 PER 0); STEP PA; LA B/D PA B/D PA QL ( PER 0 QL (1. PER 0 ; STEP STEP STEP Name DETROL LA ( MG CAPSULE, MG CAPSULE) DITROPAN XL ( MG, 10 MG, 1 MG ) ENABLEX (7. MG, 1 MG ) flavoxate hcl 100 mg tablet GELNIQUE 10% GEL SACHETS MYRBETRIQ (ER MG, ER 0 MG ) oxybutynin chloride ( mg/ ml syrup, mg tablet, mg tab er, 10 mg tab er, 1 mg tab er ) OXYTROL.9 MG/HR PATCH tolterodine tartrate (1 mg tablet, mg tablet, mg cap er h, mg cap er h) TOVIAZ (ER MG, ER 8 MG ) trospium chloride (0 mg tablet, 60 mg cap er h) VESICARE ( MG, 10 MG ) STEP STEP STEP STEP STEP STEP STEP STEP STEP BENIGN PROSTATIC HYPERPLASIA(BPH) THERAPY 1

156 Name Name alfuzosin hcl 10 mg tab er h AMINOACETIC ACID 1.% IRRIG AVODART 0. MG SOFTGEL ammonium chloride meq/ml vial dutasteride 0. mg capsule dutasteride/tamsulosi n hcl mg cpmp hr finasteride mg tablet FLOMAX 0. MG CAPSULE JALYN MG CAPSULE PROSCAR MG RAPAFLO ( MG CAPSULE, 8 MG CAPSULE) tamsulosin hcl 0. mg cap er h UROXATRAL 10 MG CHOLINERGIC STIMULANTS bethanechol chloride ( mg tablet, 10 mg tablet, mg tablet, 0 mg tablet) URECHOLINE ( MG, 10 MG, MG, 0 MG ) CIALIS (. MG, MG ) citric acid/sodium citrate -00mg solution CYSTAGON (0 MG CAPSULE, 10 MG CAPSULE) CYTRA-K CRYSTALS PACKET ELMIRON 100 MG CAPSULE glycine urologic solution 1. % irrig soln K-PHOS # K-PHOS ORIGINAL potassium citrate ( tablet er, 10 tablet er, 1 tablet er) potassium citrate/citric acid (citrate/citric / solution, citrate/citric packet) PROCYSBI (DR MG CAPSULE, DR 7 MG CAPSULE) PA; QL (0 PER 0) LA MISCELLANEOUS UROLOGICALS alprostadil 00 mcg/ml vial PROSTIN VR PEDI 00 MCG/ML AMP 16

157 Name Name RENACIDIN IRRIGATION SOLUTION calcium acetate (667 mg capsule, 667 mg tablet) UROCIT-K (ER 1, SR, SR 10 ) VITAMINS, HEMATINICS / ELECTROLYTES BLOOD DERIVATIVES ALBUKED- VIAL ALBUKED- VIAL albumin human ( % iv soln, % iv soln) ALBUMINAR- IV SOLUTION ALBUMINAR- IV SOLUTION ALBURX (% VIAL, % VIAL) ALBUTEIN (% VIAL, % VIAL) BUMINATE (% IV SOLUTION, % IV SOLUTION) FLEXBUMIN (% IV SOLUTION, % IV SOLUTION) KEDBUMIN % VIAL PLASBUMIN- IV SOLUTION PLASBUMIN- IV SOLUTION ELECTROLYTES calcium chloride (100 mg/ml vial, 100 mg/ml syringe) calcium gluconate 100 mg/ml vial EFFER-K (10 EFF, 0 EFF) EFFER-K MEQ EFF ELIPHOS 667 MG GLYCOPHOS VIAL HYPERLYTE CR VIAL K EFFERVESCENT MEQ K-PHOS NEUTRAL K-TAB ER (ER 10, ER 0 ) K-TAB ER 8 MEQ KLOR-CON 10 MEQ KLOR-CON 0 MEQ PACKET KLOR-CON MEQ PACKET KLOR-CON 8 MEQ 17

158 Name Name KLOR-CON M10 KLOR-CON M1 KLOR-CON M0 KLOR-CON SPRINKLE (ER 8 CAP, ER 10 CP) KLOR-CON-EF MEQ TAB EFF magnesium chloride 00 mg/ml vial magnesium sulfate ( meq/ml syringe, meq/ml vial) magnesium sulfate in sterile water ( g/0 ml piggyback, g/0 ml piggyback, g/100 ml piggyback, 0 g/00ml iv soln, 0g/1000ml iv soln) magnesium sulfate/dw 1 g/100 ml piggyback NEUT % VIAL NORMOSOL-R IV SOLUTION pot chloride/pot bicarb/cit ac meq tablet eff potassium acetate meq/ml vial potassium bicarbonate/cit ac meq tablet eff potassium chloride ( meq/ml vial, meq/ml iv soln, 8 meq capsule er, 8 meq tablet er, 10 meq tab er prt, 10 meq capsule er, 10meq/0ml piggyback, 10 meq tablet er, 10meq/0.1l piggyback, 0meq/0ml piggyback, 0 meq packet, 0meq/1ml liquid, 0meq/0.1l piggyback, 0 meq tablet er, 0 meq tab er prt, 0meq/0.1l piggyback, 0meq/0.1l piggyback, 0meq/1ml liquid) potassium chloride in 0.9 % sodium chloride (0 meq/l iv soln, 0 meq/l iv soln) NORMOSOL-R- DEXTROSE % IV SOLN PHOSLO 667 MG GELCAP potassium chloride in % dextrose in water (0 meq/l iv soln, 0 meq/l iv soln, 0 meq/l iv soln) PHOSLYRA 667 MG/ ML SOLUTION PHOSPHA 0 NEUTRAL 18

159 Name Name potassium chloride in dextrose % and 0.9 % sodium chloride (chloride/d- 0.9%nacl 0 meq/l iv soln, chloride/d- 0.9%nacl 0 meq/l iv soln) potassium chloride in dextrose %-0. % sodium chloride (chloride/d- 0.%nacl 0 meq/l iv soln, chloride/d- 0.%nacl 0 meq/l iv soln, chloride/d- 0.%nacl 0 meq/l iv soln) ringers solution,lactated iv soln sodium acetate ( meq/ml vial, meq/ml vial) sodium bicarbonate (0.meq/ml syringe, 0.meq/ml vial, 0.9meq/ml syringe, 1 meq/ml syringe, 1 meq/ml vial, 10meq/10ml syringe) sodium chloride (. meq/ml vial, meq/ml vial) potassium chloride in dextrose %-0. % sodium chloride (chloride/d-0.nacl 10 meq/l iv soln, chloride/d-0.nacl 0 meq/l iv soln, chloride/d-0.nacl 0 meq/l iv soln, chloride/d-0.nacl 0 meq/l iv soln) potassium chloride in lactated ringers and % dextrose (0 meq/l iv soln, 0 meq/l iv soln) sodium chloride 0. % (0. % pggybk prt, 0. % 0. % iv soln) sodium chloride % % iv soln sodium chloride % % iv soln sodium lactate meq/ml vial sodium phos,mbasic-d-basic mmol/ml vial potassium chloride- 0.% nacl 0 meq/l iv soln TPN ELECTROLYTES VIAL potassium chloride/d-0.%nacl 0 meq/l iv soln potassium phos,mbasic-d-basic mmol/ml vial ringers solution iv soln VIRT-PHOS 0 NEUTRAL MISCELLANEOUS NUTRITION PRODUCTS AMINO ACIDS 1% SOLUTION B/D PA 19

160 Name Name AMINOSYN (8.% IV SOLUTION, 10% IV SOLUTION) AMINOSYN II (7% IV SOLUTION, 8.% IV SOLUTION, 10% IV SOLUTION, 1% IV SOLUTION) AMINOSYN II 8.%- ELECTROLYTES AMINOSYN M.% IV SOLUTION AMINOSYN WITH ELECTROLYTES (7%-ELECTROLYTE SOL, 8.%- ELECTROLYTES SOL) AMINOSYN-HBC 7% IV SOLUTION AMINOSYN-PF (7% IV SOLUTION, 10% IV SOLUTION) AMINOSYN-RF.% IV SOLUTION BAL IN OIL 100 MG/ML AMPULE CLINIMIX (.7%-% SOLUTION,.%- % SOLUTION,.%-0% SOLUTION,.%- 10% SOLUTION, %- 0% SOLUTION, %- % SOLUTION, %- 1% SOLUTION) B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA CLINIMIX E (.%- % SOLUTION,.%-% SOLUTION, %-1% SOLUTION, %-% SOLUTION, %-0% SOLUTION) CLINIMIX E.%- 10% SOLUTION CLINISOL 1% SOLUTION cysteine hcl 0 mg/ml vial edetate calcium disodium 00 mg/ml ampul electrolyte-8 solution/dw % iv soln FREAMINE HBC 6.9% IV SOLN FREAMINE III 10% IV SOLN. HEPATAMINE 8% IV SOLUTION HESPAN 6%-NS INFUSION BAG hetastarch in 0.9 % nacl 6 %-0.9 % plast. bag INTRALIPID 0% IV FAT EMUL INTRALIPID 0% IV FAT EMUL B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA B/D PA IONOSOL B-DW IV SOLUTION IONOSOL MB-DW IV SOLUTION 160

161 Name ISOLYTE P- DEXTROSE % SOLN ISOLYTE S (IV OLN PH7., IV OLUTION- EXCEL) KABIVEN IV EMULSION NEPHRAMINE.% IV SOLUTION NORMOSOL-M AND DEXTROSE % NORMOSOL-R PH 7. IV SOLUTION B/D PA B/D PA Name TRAVASOL 10% SOLN VIAFLEX TROPHAMINE (6% IV SOLUTION, 10% IV SOLUTION) VOLUVEN INJECTION VITAMINS / HEMATINICS ACTIVE OB SOFTGEL ATABEX EC CAPLET B-NEXA B/D PA B/D PA NUTRILIPID 0% IV FAT EMULSION B/D PA BAL-CARE DHA COMBO PACK PERIKABIVEN IV EMULSION B/D PA BAL-CARE DHA ESSENTIAL PACK PLASMA-LYTE 18 IV SOLUTION BP FOLINATAL PLUS B PLASMA-LYTE 6- DEXTROSE % C-NATE DHA SOFTGEL PLASMA-LYTE A PH 7. SOLN. CADEAU DHA SOFTGEL PLASMANATE % IV SOLUTION CALCIUM-PNV MG SFTGL PREMASOL 10% IV SOLUTION B/D PA CAVAN-ALPHA KIT COMBO PACK PREMASOL 6% IV SOLUTION B/D PA CAVAN-EC SOD DHA VITAMINS PROCALAMINE IV SOLUTION B/D PA CHOICE-OB + DHA COMBO PACK PROSOL 0% INJECTION THAM IV SOLUTION B/D PA CITRANATAL 90 DHA (90 PACK, 90 COMBO PACK) 161

162 Name Name CITRANATAL ASSURE COMBO PACK CITRANATAL B- CALM COMBO PACK CITRANATAL DHA PACK CITRANATAL HARMONY CAPSULE CITRANATAL RX COMPLETE NATAL DHA COMPLETENATE CHEW CONCEPT DHA CAPSULE ELITE-OB 00 CAPSULE ENBRACE HR SOFTGEL ESCAVITE D CHEWABLE ESCAVITE LQ DROPS ESCAVITE CHEWABLE EXTRA-VIRT PLUS DHA SOFTGEL FLORIVA (0. MG CHEW, 0. MG/ML DROPS, 0. MG CHEWABLE, 1 MG CHEWABLE ) CONCEPT OB CAPSULE FLORIVA PLUS 0. MG/ML DROPS DOTHELLE DHA SOFTGEL DUET DHA (00 MG PACK, 0 MG PACK) DUET DHA 00 COMBO PACK DUET DHA BALANCED (( MG, ( MG, (6 MG) DUET DHA EC (00 EC PACK, EC 00 MG PACK, EC 0 MG PACK, 0 EC PACK) ELITE OB DHA SOFTGEL FLUOR-A-DAY (0. MG TAB CHEW, 0. MG TAB CHEW, 1 MG CHEW,. MG/ML DROPS) FLUORABON 0. MG/0.6 ML DROPS fluoride/iron/vitamins a,c,d 0. mg/ml drops FLUORITAB (0.1 MG/DRP DROPS, 0. MG CHEW, 1 MG CHEW) FLURA-DROPS 0. MG/DROP 16

163 Name Name FOCALGIN 90 DHA COMBO PACK FOCALGIN CA COMBO PACK FOCALGIN-B FOLBECAL FOLCAL DHA CAPSULE FOLCAPS OMEGA- CAPSULE FOLET DHA COMBO PACK FOLET ONE SOFTGEL FOLIVANE-OB CAPSULE FOLIVANE-PRX DHA NF CAPSULE GESTICARE DHA COMBO PACK HEMENATAL OB + DHA COMBO PACK HEMENATAL OB INATAL ADVANCE INATAL ULTRA INFANATE BALANCE SOFTGEL INFANATE PLUS SOFTGEL KOSHER PRENATAL PLUS IRON TAB LUDENT FLUORIDE (0. MG TB CHW, 0. MG TB CHEW, 1 MG TAB CHEW) M-VIT CAPLET MACNATAL CN DHA SOFTGEL MARNATAL-F CAPSULE MAXINATE MVC-FLUORIDE (0. MG TAB CHEW, 0. MG TAB CHEW, 1 MG TAB CHEW) MYNATAL (CAPSULE, ULTRACAPLET) MYNATAL ADVANCE MYNATAL PLUS CAPTAB MYNATAL-Z CAPTAB MYNATE 90 PLUS CAPLET SA NATA KOMPLETE PRENATAL NATACHEW NATAFORT NATAL-V RX NATALVIRT 90 DHA COMBO PACK 16

164 Name Name NATALVIRT CA COMBO PACK OB COMPLETE PREMIER NATALVIT NATELLE ONE CAPSULE NEEVODHA CAPSULE NESTABS ABC PRENATAL COMBO PK NESTABS DHA COMBO PACK NESTABS NEWGEN NEXA PLUS SOFTGEL NEXA SELECT SOFTGEL NIVA-PLUS O-CAL FA O-CAL PRENATAL OB COMPLETE (CAPLET, CHEWABLE ) OB COMPLETE WITH DHA SOFTGEL OBSTETRIX DHA COMBO PAK OBSTETRIX EC CAPLET OBTREX DHA PRENATAL VITAMIN OBTREX PRENATAL CAPLET PAIRE OB PLUS DHA COMBO PACK pedi mv #/fluoride/iron 0.-10/ml drops pediatric multivitamin combination no./sodium fluoride (0. mg/ml drops, 0. mg/ml drops) pediatric multivitamins a,c,& d no.1 with sodium fluoride (0. mg/ml drops, 0. mg/ml drops) OB COMPLETE 00 CAPSULE OB COMPLETE GOLD SOFTGEL OB COMPLETE ONE SOFTGEL OB COMPLETE PETITE SOFTGEL pediatric multivitamins no.16 with sodium fluoride (0. mg tab chew, 0. mg tab chew, 1 mg tab chew) pediatric multivitamins no.17 with sodium fluoride (0. mg tab chew, 0. mg tab chew) 16

165 Name Name PNV 9-1 pnv no.11/iron fumarate/fa 9 mg-1 mg tab chew PNV OB+DHA COMBO PACK pnv w-o ca no/fe fumarate/fa mg capsule pnv11/iron fumarate/fa/dss 9-1- mg tablet PR NATAL 00 COMBO PACK PR NATAL 00 EC COMBO PACK PR NATAL 0 COMBO PACK pnv with ca#7/iron/folic acid 7 mg-1 mg tablet pnv with ca,no.7/iron,carb/fa 9 mg-1 mg tablet pnv with ca,no.7/iron/fa 7 mg-1 mg tablet PR NATAL 0 EC COMBO PACK PREFERA OB PREFERA-OB ONE SOFTGEL PREFERA-OB PLUS DHA COMBO PACK pnv#79/iron/fa/lmfolat e ca/dha mg capsule PNV-DHA + DOCUSATE SOFTGEL PNV-DHA SOFTGEL PNV-FIRST SOFTGEL PNV-OB WITH DHA COMBO PACK PNV-OMEGA SOFTGEL PNV-SELECT PNV-TOTAL SOFTGEL PNV-VP-U CAPSULE PREFOL-DHA CAPSULE PRENA1 CHEW PRENA1 PEARL SOFTGEL PRENA1 PLUS COMBO PACK PRENA1 SOFTGEL PRENA1 TRUE COMBO PACK PRENAISSANCE 90 DHA COMBO PACK PRENAISSANCE BALANCE SOFTGEL PRENAISSANCE CAPSULE 16

166 Name Name PRENAISSANCE DHA COMBO PACK PRENATE DHA SOFTGEL PRENAISSANCE DHA HARMONY CMBPK PRENAISSANCE HARMONY DHA CMBPK PRENAISSANCE NEXT PRENAISSANCE NEXT-B PRENAISSANCE PLUS SOFTGEL PRENAISSANCE PROMISE COMBO PCK PRENAPLUS PRENATA CHEWABLE PRENATABS FA PRENATABS RX prenatal vit #60/iron fum/fa 7 mg-1 mg tablet PRENATE ELITE PRENATE ENHANCE SOFTGEL PRENATE ESSENTIAL SOFTGEL PRENATE MINI SOFTGEL PRENATE PIXIE SOFTGEL PRENATE RESTORE SOFTGEL PRENATE STAR PRENEXA CAPSULE PREPLUS CA-FE 7 MG-FA 1 MG TB PREQUE 10 PRETAB 9 MG-1 MG PROTECT NATAL PROVIDA DHA CAPSULE prenatal vit 1/iron cb/fa/dss mg tablet PRENATE AM PRENATE CHEWABLE PROVIDA OB CAPSULE PUREFE OB PLUS CAPSULE PUREFE PLUS CAPSULE 166

167 Name Name QUFLORA (0. MG CHEW TAB, 0. MG/ML DROP, 0. MG/ML DROP, 0. MG CHEW TAB, 1 MG CHEW TAB) TARON-DUO EC COMB PACK TARON-PREX PRENATAL DHA CAP R-NATAL OB SOFTGEL THRIVITE 19 RELNATE DHA PRENATAL SOFTGEL RULAVITE DHA SOFTGEL SE-NATAL 19 (19 CHEWABLE, 19 ) SE-TAN DHA CAPSULE SELECT-OB + DHA PACK SELECT-OB CHEWABLE CAPLET SETONET PRENATAL VITAMIN SETONET-EC PRENATAL VITAMINS sodium fluoride (0.(0.) tab chew, 0.(1.1)mg tab chew, 1mg(.mg) tab chew) THRIVITE RX TL FOLATE TL-CARE DHA SOFTGEL TL-SELECT CAPSULE TL-SELECT DHA SOFTGEL TRI-TABS DHA COMBO PACK TRIADVANCE TRICARE PRENATAL COMPLEAT PACK TRICARE PRENATAL DHA ONE SFTGL TRICARE PRENATAL TRICARE PRENATAL WITH DHA PACK sodium fluoride 0. mg/ml drops TRINATAL GT TARON-BC TARON-C DHA CAPSULE TRINATAL RX 1 167

168 Name Name TRINATAL ULTRA TRINATE TRISTART DHA SOFTGEL TRIVEEN-DUO DHA COMBO PACK TRIVEEN-ONE CAPSULE TRIVEEN-PRX RNF CAPSULE VINATE GT VINATE II VINATE ONE VINATE PN CARE VINATE ULTRA VINATE-M VIRT NATE TRIVEEN-TEN S VIRT-ADVANCE TRUST NATAL DHA ULTIMATE OB DHA COMBO PACK ULTIMATECARE ONE CAPSULE ULTIMATECARE ONE NF CAPSULE VEMAVITE-PRX CAPSULE VENA-BAL DHA COMBO PACK VIRT-BAL DHA COMBO PACK VIRT-BAL DHA PLUS COMBO PACK VIRT-C DHA SOFTGEL VIRT-CARE ONE CAPSULE VIRT-NATE DHA SOFTGEL VIRT-NATE VENATAL-FA VIRT-PN DHA SOFTGEL VINACAL PRENATAL VIRT-PN PLUS SOFTGEL VINATE CARE CHEWABLE VINATE DHA GELCAP VINATE DHA RF GELCAP VIRT-PN VIRT-SELECT CAPSULE VIRT-VITE GT 168

169 Name Name VIRTPREX CAPSULE VITAFOL FE+ DOCUSATE COMBO PCK VITAFOL GUMMIES VITAFOL NANO VITAFOL ULTRA SOFTGEL VOL-PLUS VOL-TAB RX VP CH ULTRA SOFTGEL VP-CH PLUS SOFTGEL VP-CH-PNV PRENATAL SOFTGEL VITAFOL-OB CAPLET VP-ERA OB PLUS VITAFOL-OB+DHA COMBO PACK VITAFOL-ONE CAPSULE VITAFOL-PN CAPLET VITAMEDMD ONE RX SOFTGEL VITAMEDMD PLUS RX COMBO PACK VITAMEDMD REDICHEW RX TAB CHEW VITAPEARL SOFTGEL VITATRUE COMBO PACK VIVA CT PRENATAL CHEWABLE TAB VIVA DHA PRENATAL SOFTGEL VP-GGR-B6 VP-HEME OB + DHA COMBO PACK VP-HEME OB VP-HEME ONE SOFTGEL VP-PNV-DHA (CAPSULE, SOFTGEL) ZATEAN-CH CAPSULE ZATEAN-PN DHA CAPSULE ZATEAN-PN PLUS SOFTGEL ZATEAN-PN ZINGIBER VOL-NATE 169

170 Alphabetical Listing % sodium chloride MOP 9 A A-HYDROCORT 108 abacavir sulfate 11 abacavir sulfate/lamivudine/zidovudine 1 1 ABELCET 10 ABILIFY 8 ABILIFY MAINTENA 8 ABRAXANE 7 ABSORICA 9 ABSTRAL 7 acamprosate calcium 10 ACANYA 9 acarbose 110 ACCOLATE 11 ACCUPRIL 7 ACCURETIC 7 acebutolol hcl 7 acetaminophen with codeine phosphate 7 ACETASOL HC 108 acetazolamide 17 acetazolamide sodium 17 acetic acid 10,108 acetic acid/aluminum acetate 108 acetic acid/hydrocortisone 108 acetylcysteine 10,11 ACIPHEX 17 ACIPHEX SPRINKLE 17 acitretin 9 ACTEMRA 1 ACTHIB 11 ACTHREL 118 ACTIGALL 1 ACTIMMUNE 18 ACTIQ 7 ACTIVE OB 161 ACTIVE-PAC 6 ACTIVELLA 16 ACTONEL 10,1 ACTOPLUS MET 110 ACTOPLUS MET XR 110 ACTOS 110 ACULAR 17 ACULAR LS 17 ACUVAIL 17 acyclovir 11,99 acyclovir sodium 11 ACZONE 9 ADACEL TDAP 11 ADAGEN 10 ADALAT CC 7 adapalene 9 ADASUVE 8 ADCIRCA 11 ADDERALL 9 ADDERALL XR 9 adefovir dipivoxil 11 ADEMPAS 11 ADENOCARD 70 adenosine 70 ADOXA ADRENACLICK 19 ADRENALIN 19 ADRENALIN CHLORIDE 19 ADRUCIL 7 ADVAIR DISKUS 11 ADVAIR HFA 11 ADZENYS XR-ODT 9 AEROSPAN 11 AFEDITAB CR 7 AFINITOR 7 AFINITOR DISPERZ 7 AFREZZA 110 AGGRENOX 8 AGRYLIN 10 AKYNZEO 1 ALA-CORT 99 ALA-SCALP 99 ALBENZA 18 ALBUKED- 17 ALBUKED- 17 albumin human 17 ALBUMINAR- 17 ALBUMINAR- 17 ALBURX 17 ALBUTEIN 17 albuterol sulfate 11 alclometasone dipropionate 99 alcohol antiseptic pads 110 ALDACTAZIDE 7 ALDACTONE 7 ALDARA 9 ALDURAZYME 118 ALECENSA 7 alendronate sodium 10,1 alfuzosin hcl 16 ALIMTA 7 ALINIA 18 ALKERAN 7 allopurinol 1 ALLZITAL 7 almotriptan malate ALOCRIL 16 alogliptin benzoate 110 alogliptin benzoate/metformin hcl 110 alogliptin benzoate/pioglitazone hcl 111 ALOMIDE 16 ALOPRIM 1 ALORA 16 alosetron hcl 1 ALOXI 1 170

171 ALPHAGAN P 19 alprazolam 9 ALPRAZOLAM INTENSOL 9 alprostadil 16 ALREX 18 ALTABAX 98 ALTACE 7 ALTAVERA 10 ALTOPREV 87 ALVESCO 11 ALYACEN 10 amantadine hcl 11 AMARYL 111 AMBIEN 9 AMBIEN CR 9 AMBISOME 10 amcinonide 99 AMERGE AMETHIA 10 AMETHIA LO 10 AMETHYST 10 AMICAR 8 amifostine crystalline 7 amikacin sulfate 18 amiloride hcl 7 amiloride hcl/hydrochlorothiazide 7 AMINO ACIDS 19 AMINOACETIC ACID 16 aminocaproic acid 8 aminophylline 11 AMINOSYN 160 AMINOSYN II 160 AMINOSYN II WITH ELECTROLYTES 160 AMINOSYN M 160 AMINOSYN WITH ELECTROLYTES 160 AMINOSYN-HBC 160 AMINOSYN-PF 160 AMINOSYN-RF 160 amiodarone hcl 71 AMITIZA 1 amitriptyline hcl 9 amitriptyline hcl/chlordiazepoxide 9 amlodipine besylate 7 amlodipine besylate/atorvastatin calcium 87 amlodipine besylate/benazepril hcl 7 amlodipine besylate/valsartan 7 amlodipine besylate/valsartan/hydrochlorot hiazide 7 ammonium chloride 16 ammonium lactate 9 AMMONUL 10 amoxapine 9 amoxicillin amoxicillin/potassium clavulanate amphotericin b 10 ampicillin sodium ampicillin sodium/sulbactam sodium ampicillin trihydrate AMPYRA AMRIX AMYTAL SODIUM 9 ANADROL ANAFRANIL 9 anagrelide hcl 10 ANALPRAM HC 9,1 ANAPROX DS anastrozole 7 ANCOBON 10 ANDRODERM 118 ANDROGEL 118 ANDROID 118 ANDROXY 118 ANECTINE ANGELIQ 16 ANGIOMAX 8 ANORO ELLIPTA 11 ANTABUSE 10 ANTARA 87 ANTIVERT 1 ANUSOL-HC 1 ANZEMET 1 APEXICON E 99 APIDRA 111 APIDRA SOLOSTAR 111 APLENZIN 9 APOKYN 0 apraclonidine hcl 19 APRI 10 APRISO 1 APTENSIO XR 9 APTIOM 6 APTIVUS 11 ARALAST NP 10 ARANELLE 10 ARANESP 18,19 ARAVA 1 ARBINOXA 19 ARCALYST 19 ARCAPTA NEOHALER 11 ARESTIN 107 argatroban 8 argatroban in 0.9 % sodium chloride 8 argatroban in sodium chloride, iso-osmotic 8 ARICEPT ARIMIDEX 7 aripiprazole 9 ARISTADA 60 ARISTOSPAN 108 ARIXTRA 8,8 ARMOUR THYROID 11 ARNUITY ELLIPTA

172 AROMASIN 8 ARRANON 8 ARTHROTEC 0 ARTHROTEC 7 ARTISS 9 ARZERRA 8 ASACOL HD 1 ASCOMP WITH CODEINE 7 ASHLYNA 10 ASMANEX 11 ASMANEX HFA 11 aspirin/dipyridamole 8 ASTAGRAF XL 8 ASTEPRO 107 ATABEX EC 161 ATACAND 7 ATACAND HCT 7 ATELVIA 1 atenolol 7 atenolol/chlorthalidone 7 ATGAM 11 ATIVAN 60 atorvastatin calcium 87 atovaquone 18 atovaquone/proguanil hcl 18 ATRALIN 9 ATRIPLA 11 atropine sulfate 1,16 ATROVENT 107 ATROVENT HFA 11 AUBAGIO AUBRA 10 AUGMENTIN AUGMENTIN XR AURYXIA 10 AVALIDE 7 AVANDIA 111 AVAPRO 7 AVASTIN 8 AVC 19 AVEED 118 AVELOX AVELOX ABC PACK AVELOX IV AVIANE 10 AVITA 9 AVODART 16 AVONEX 19 AVONEX ADMINISTRATION PACK 19 AVONEX PEN 19 AVYCAZ 1 AXERT AXIRON 118 AYGESTIN 16 azacitidine 8 AZACTAM 18 AZACTAM-ISO-OSMOTIC DEXTROSE 18 AZASAN 8 AZASITE 1 azathioprine 8 azathioprine sodium 8 azelastine hcl 107,16 AZELEX 9 AZILECT 0 azithromycin 17 AZOPT 17 AZOR 7 aztreonam 18 AZULFIDINE 1 AZURETTE 10 B B-NEXA 161 BACIIM 18 bacitracin 18,1 bacitracin/polymyxin b sulfate 1 baclofen BACTRIM BACTRIM DS BACTROBAN 98 BACTROBAN NASAL 107 BAL IN OIL 160 BAL-CARE DHA 161 BAL-CARE DHA ESSENTIAL 161 balanced salt irrig soln no. 16 balsalazide disodium 1 BALZIVA 10 BANZEL 6 BARACLUDE 11 bcg live 11 bcg vaccine, live/pf 11 BECONASE AQ 11 BEKYREE 10 BELBUCA 7 BELEODAQ 8 BELSOMRA 60 benazepril hcl 7 benazepril hcl/hydrochlorothiazide 7 BENDEKA 8 BENICAR 7 BENICAR HCT 7 BENLYSTA 1 BENTYL 1 BENZACLIN 9 BENZAMYCIN 9 BENZAMYCINPAK 9 benztropine mesylate 1 BEPREVE 16 BERINERT 1 BESIVANCE 1 BETA BETAGAN 16 betamethasone acetate/betamethasone sodium phosphate 108 betamethasone dipropionate

173 betamethasone dipropionate/propylene glycol 100 betamethasone valerate 100 BETAPACE 71 BETAPACE AF 71 BETASERON 19 betaxolol hcl 7,16 bethanechol chloride 16 BETHKIS 18 BETIMOL 16 BETOPTIC S 16 bexarotene 8 BEXSERO 11 BEYAZ 10 BIAXIN 17 bicalutamide 8 BICILLIN C-R BICILLIN L-A BICNU 8 BIDIL 7 BILTRICIDE 18 bimatoprost 17 BINOSTO 1 bisoprolol fumarate 7 bisoprolol fumarate/hydrochlorothiazide 7 bivalirudin 8 BIVIGAM 11 bleomycin sulfate 8 BLEPH BLEPHAMIDE 18 BLEPHAMIDE S.O.P. 18 BLINCYTO 8 BLISOVI FE 10 BLISOVI FE 10 BLOXIVERZ BONIVA 1 BOOSTRIX TDAP 11 BOSULIF 8 BOTOX 11 BREO ELLIPTA 1 BREVIBLOC 7 BREVICON 10 BRIDION BRIELLYN 10 BRILINTA 8 brimonidine tartrate 19 BRINTELLIX 60 BRISDELLE 60 bromfenac sodium 17 bromocriptine mesylate 1 BROVANA 1 BSS 16 BSS PLUS 16 budesonide 1,1 bumetanide 7 BUMINATE 17 BUNAVAIL BUPAP 7 BUPHENYL 10 bupivacaine hcl 96 bupivacaine hcl/dextrosewater/pf 10 bupivacaine hcl/epinephrine 96 bupivacaine hcl/epinephrine bitartrate 96 bupivacaine hcl/epinephrine/pf 96 bupivacaine hcl/pf 96 BUPRENEX 7 buprenorphine hcl 7 buprenorphine hcl/naloxone hcl BUPROBAN 107 bupropion hcl 60 buspirone hcl 60 BUSULFEX 8 butalbital/acetaminophen 7 butalbital/acetaminophen/caffei ne 8 butalbital/acetaminophen/caffei ne/codeine phosphate 8 butalbital/aspirin/caffeine 8 BUTISOL SODIUM 60 butorphanol tartrate BUTRANS 8 BYDUREON 111 BYDUREON PEN 111 BYETTA 111 BYSTOLIC 7 C C-NATE DHA 161 cabergoline 118 CABOMETYX 8 CADEAU DHA 161 CADUET 88 CAFCIT 10 CAFERGOT caffeine citrated 10 CALAN 7 CALAN SR 7 calcipotriene 9 calcipotriene/betamethasone dipropionate 9 calcitonin,salmon,synthetic 118 CALCITRENE 9 calcitriol 9,118 calcium acetate 17 calcium chloride 17 calcium gluconate 17 CALCIUM PNV 161 CAMBIA CAMILA 16 CAMPTOSAR 8 CAMRESE 10 CAMRESE LO 10 CANASA 1 CANCIDAS 10 candesartan cilexetil 7 17

174 candesartan cilexetil/hydrochlorothiazide 7 CAPACET 8 CAPASTAT SULFATE 18 CAPEX SHAMPOO 100 CAPITAL W-CODEINE 8 CAPRELSA 8 captopril 7 captopril/hydrochlorothiazide 7 CARAC 9 CARAFATE 17 CARBAGLU 10 carbamazepine 6 CARBATROL 6 carbidopa 1 carbidopa/levodopa 1 carbidopa/levodopa/entacapon e 1 carbinoxamine maleate 19 CARBOCAINE 96 carboplatin 8 CARDENE I.V. 7 cardioplegic solution no.1 90 CARDIZEM 7 CARDIZEM CD 7 CARDIZEM LA 7 CARDURA 7 CARDURA XL 7 CARIMUNE NF NANOFILTERED 11 carisoprodol carisoprodol/aspirin CARNITOR 10 CARNITOR SF 10 carteolol hcl 16 CARTIA XT 7 carvedilol 7 CASODEX 8 CATAPRES 7 CATAPRES-TTS 1 7 CATAPRES-TTS 7 CATAPRES-TTS 7 CAVAN-ALPHA KIT 161 CAVAN-EC SOD DHA 161 CAYSTON 18 CAZIANT 10 CEDAX 1 cefaclor 1 cefadroxil 1 cefazolin sodium 1 cefazolin sodium/dextrose, isoosmotic 1 cefdinir 1 cefepime hcl 1 cefepime hcl/dextrose % in water 1 cefepime hcl/dextrose, isoosmotic 1 cefixime 1 CEFOTAN 1 cefotaxime sodium 1 cefotetan disodium 1 cefotetan disodium/dextrose, iso-osmotic 16 cefoxitin sodium 16 cefoxitin sodium/dextrose, isoosmotic 16 cefpodoxime proxetil 16 cefprozil 16 ceftazidime 16 ceftazidime in dextrose % and water 16 ceftibuten 16 CEFTIN 16 ceftriaxone sodium 16 ceftriaxone sodium/dextrose, iso-osmotic 16 cefuroxime axetil 16 cefuroxime sodium 16 CELEBREX celecoxib CELESTONE 108 CELEXA 60 CELLCEPT 8 CELONTIN 6 CENTANY 98 CENTANY AT 98 cephalexin 16 CEPROTIN 8 CERDELGA 118 CEREBYX 6 CEREZYME 118 CERVARIX 11 CERVIDIL 19 CESAMET 1 cetirizine hcl 19 cevimeline hcl 10 CHANTIX 107 CHATEAL 10 CHEMET 10 CHENODAL 1 chloramphenicol sod succ 18 chlordiazepoxide hcl 60 chlorhexidine gluconate 107 chloroquine phosphate 18 chlorothiazide 7 chlorothiazide sodium 7 chlorpromazine hcl 60 chlorthalidone 7 chlorzoxazone CHOICE-OB + DHA 161 CHOLBAM 1 cholestyramine (with sugar) 88 cholestyramine/aspartame 88 chorionic gonadotropin, human 118 CIALIS 16 CICLODAN 98 ciclopirox 98 ciclopirox olamine 98 cidofovir 11 cilostazol 8 CILOXAN 1 17

175 cimetidine 17 cimetidine hcl 17 CIMZIA 1 CINQAIR 1 CINRYZE 1 CIPRO CIPRO HC 108 CIPRO I.V. CIPRO XR CIPRODEX 108 ciprofloxacin ciprofloxacin hcl,108,1 ciprofloxacin lactate ciprofloxacin lactate/dextrose % in water ciprofloxacin/ciprofloxacin hcl cisplatin 8 citalopram hydrobromide 60 CITANEST PLAIN DENTAL 96 CITRANATAL 90 DHA 161 CITRANATAL ASSURE 16 CITRANATAL B-CALM 16 CITRANATAL DHA 16 CITRANATAL HARMONY 16 CITRANATAL RX 16 citric acid/sodium citrate 16 cladribine 8 CLAFORAN 16 CLAFORAN-DEXTROSE 16 CLARAVIS 9 CLARINEX 10 CLARINEX-D 1 HOUR 10 clarithromycin 17 clemastine fumarate 10 CLEOCIN 19 CLEOCIN HCL 19 CLEOCIN PALMITATE 19 CLEOCIN PHOSPHATE 19 CLEOCIN PHOSPHATE IN DW 19 CLEOCIN T 9 CLEVIPREX 7 CLIMARA 16 CLIMARA PRO 17 CLIN SINGLE USE 19 CLINDACIN ETZ 9 CLINDACIN P 9 CLINDACIN PAC 9 CLINDAGEL 9 clindamycin hcl 19 clindamycin palmitate hcl 19 clindamycin phosphate 19,9,19 clindamycin phosphate/benzoyl peroxide 9 clindamycin phosphate/dextrose % in water 19 CLINDESSE 9 CLINIMIX 10,160 CLINIMIX E 10,160 CLINISOL 160 CLINPRO clobetasol propionate 100 clobetasol propionate/emollient base 100 CLOBEX 100 clocortolone pivalate 100 CLODAN 100 CLODERM 100 CLOLAR 8 clomipramine hcl 60 clonazepam 6 clonidine 7 clonidine hcl 60,7 clonidine hcl/pf,7 clopidogrel bisulfate 8 clorazepate dipotassium 60 CLORPRES 7 clotrimazole 10,98 clotrimazole/betamethasone dipropionate 98 clozapine 60 CLOZARIL 60 CNL 8 98 COARTEM 19 codeine phosphate/butalbital/aspirin/caf feine 8 codeine phosphate/carisoprodol/aspirin codeine sulfate 8 COGENTIN 1 COLAZAL 1 colchicine 1 colchicine/probenecid 1 COLCRYS 1 COLESTID 88 colestipol hcl 88 colistin (as colistimethate sodium) 19 COLOCORT 1 COLY-MYCIN M PARENTERAL 19 COLY-MYCIN S 108 COLYTE WITH FLAVOR PACKETS 1 COLYTE WITH FLAVOR PACKS 1 COMBIGAN 17 COMBIPATCH 17 COMBIVENT RESPIMAT 1 COMBIVIR 11 COMETRIQ 8 COMFORT PAC- CYCLOBENZAPRINE COMFORT PAC- IBUPROFEN COMFORT PAC- MELOXICAM COMFORT PAC- NAPROXEN 17

176 COMFORT PAC- TIZANIDINE 6 COMPAZINE 1 COMPLERA 11 COMPLETE NATAL DHA 16 COMPLETENATE 16 COMPRO 1 COMTAN 1 CONCEPT DHA 16 CONCEPT OB 16 CONCERTA 60 CONDYLOX 9 CONSTULOSE 1 CONZIP COPAXONE COPEGUS 11 CORDARONE 71 CORDRAN 100 COREG 7 COREG CR 7 CORGARD 7 CORLANOR 90 CORLOPAM 76 CORMAX 100 CORTEF 108 CORTENEMA 1 cortisone acetate 108 CORTISPORIN 98 CORTISPORIN-TC 108 CORVERT 71 CORZIDE 76 COSENTYX ( SYRINGES) 9 COSENTYX PEN 9 COSENTYX PEN ( PENS) 9 COSENTYX SYRINGE 9 COSMEGEN 8 COSOPT 17 COSOPT PF 17 COTELLIC 9 COUMADIN 8 COZAAR 76 CREON 1 CRESEMBA 10 CRESTOR 88 CRINONE 17 CRIXIVAN 11 cromolyn sodium 1,16,1 CRYSELLE 10 CUBICIN 19 CUPRIMINE 1 CUROSURF 1 CUTIVATE 100 CUVPOSA 1 CYCLAFEM 10 CYCLESSA 10 cyclobenzaprine hcl 6 cyclophosphamide 9 cycloserine 19 CYCLOSET 111 cyclosporine 9 cyclosporine, modified 9 CYKLOKAPRON 8 CYMBALTA 61 cyproheptadine hcl 10 CYRAMZA 9 CYRED 10 CYSTADANE 1 CYSTAGON 16 CYSTARAN 16 cysteine hcl 160 cytarabine 9 cytarabine/pf 9 CYTOGAM 11 CYTOMEL 11 CYTOTEC 17 CYTOVENE 11 CYTRA-K 16 D D.H.E. dacarbazine 9 DACOGEN 9 DAKLINZA 11 DALIRESP 1 DALVANCE 19 danazol 118 DANTRIUM 6 dantrolene sodium 6 dapsone 19 DAPTACEL DTAP 11 DARAPRIM 19 darifenacin hydrobromide 1 DARZALEX 9 DASETTA 10 daunorubicin hcl 9 DAYPRO DAYSEE 10 DAYTRANA 61 DDAVP 118 DEBLITANE 17 decitabine 9 deferoxamine mesylate 10 DELESTROGEN 17 DELTASONE 108 DELYLA 10 DELZICOL 1 DEMADEX 76 demeclocycline hcl DEMSER 76 DENAVIR 99 DENTA 000 PLUS 107 DENTAGEL 107 DEPACON 7 DEPAKENE 7 DEPAKOTE 7 DEPAKOTE ER 7 DEPAKOTE SPRINKLE 7 DEPEN 1 DEPO-ESTRADIOL 17 DEPO-MEDROL 109 DEPO-PROVERA 17 DEPO-SUBQ PROVERA

177 DEPO-TESTOSTERONE 118 DEPOCYT 9 DERMA-SMOOTHE-FS 100 DERMACINRX SILAPAK 100 DERMACINRX SILAZONE 100 DERMACINRX SURGICAL PHARMAPAK 9 DERMASORB HC 100 DERMASORB TA 100 DERMATOP 100 DERMAWERX SDS 100 DERMAWERX SURGICAL PLUS PAK 9 DERMOTIC 108 DESCOVY 1 DESFERAL 10 DESFERAL MESYLATE 10 desipramine hcl 61 desloratadine 10 desmopressin acetate 119 desmopressin acetate (nonrefrigerated) 118 DESOGEN 10 desogestrel-ethinyl estradiol11 desogestrel-ethinyl estradiol/ethinyl estradiol 10 DESONATE 100 desonide 100 DESOWEN 101 desoximetasone 101 DESOXYN 61 desvenlafaxine 61 desvenlafaxine fumarate 61 DETROL 1 DETROL LA 1 dexamethasone 109 DEXAMETHASONE INTENSOL 109 dexamethasone sod phosphate 109,18 dexamethasone sodium phosphate/pf 109 DEXEDRINE 61 DEXILANT 17 dexmethylphenidate hcl 61 DEXPAK 109 dexrazoxane hcl 7 dextroamphetamine sulfsaccharate/amphetamine sulfaspartate 61 dextroamphetamine sulfate 61 dextrose 10 % and 0. % sodium chloride 10 dextrose 10 % and 0. % sodium chloride 10 dextrose 10 % in water 10 dextrose. % and 0. % sodium chloride 10 dextrose 0 % in water 10 dextrose % in water 10 dextrose 0 % in water 10 dextrose 0 % in water 10 dextrose % and 0. % sodium chloride 10 dextrose % and 0. % sodium chloride 10 dextrose % and 0. % sodium chloride 10 dextrose % and 0.9 % sodium chloride 10 dextrose % in lactated ringers 10 dextrose % in water 10 dextrose 0 % in water 10 dextrose 70 % in water 10 DIAMOX SEQUELS 17 DIASTAT 7 DIASTAT ACUDIAL 7 diazepam 7,6 DIBENZYLINE 76 diclofenac potassium diclofenac sodium,9,17 diclofenac sodium/misoprostol DICLOTRAL 6 dicloxacillin sodium dicyclomine hcl 1 didanosine 1 DIFFERIN 9 DIFICID 17 diflorasone diacetate 101 DIFLUCAN 10 diflunisal 6 DIGITEK 8 DIGOX 8 digoxin 8 dihydrocodeine bitartrate/acetaminophen/caffei ne 8 dihydrocodeine bitartrate/aspirin/caffeine 8 dihydroergotamine mesylate DILANTIN 7 DILANTIN-1 7 DILATRATE-SR 91 DILAUDID 8 DILT-CD 76 DILT-XR 76 diltiazem hcl 76 dimenhydrinate 1 DIOVAN 76 DIOVAN HCT 76 DIPENTUM 1 diphenhydramine hcl 10 diphenoxylate hcl/atropine sulfate 1 DIPROLENE 101 DIPROLENE AF 101 dipyridamole 8 DISALCID 6 DISKETS 8 disopyramide phosphate

178 disulfiram 10 DITROPAN XL 1 DIURIL 76 divalproex sodium 7 DIVIGEL 17 dobutamine hcl 90 dobutamine hcl/dextrose % in water 90 DOCEFREZ 9 docetaxel 9 DOLOPHINE HCL 8 donepezil hcl dopamine hcl 90 dopamine hcl/dextrose % in water 90 DOPRAM 6 DORIBAX 19 dorzolamide hcl 18 dorzolamide hcl/timolol maleate 18 DOTHELLE DHA 16 DOUBLEDEX 109 DOVONEX 9 doxazosin mesylate 76 doxepin hcl 6,9 doxercalciferol 119 DOXIL 9 doxorubicin hcl 9 doxorubicin hcl pegylated liposomal 9 DOXY 100 doxycycline hyclate doxycycline monohydrate dronabinol 1 droperidol 1 DROXIA 9 DUAC 9 DUAVEE 17 DUET DHA 16 DUET DHA DUET DHA BALANCED 16 DUET DHA EC 16 DUETACT 111 DUEXIS 6 DULERA 1 duloxetine hcl 6 DUOPA 1 DURAGESIC 8 DURAMORPH 8 DUREZOL 18 DURLAZA 8 dutasteride 16 dutasteride/tamsulosin hcl 16 DUTOPROL 77 DYAZIDE 77 DYLOJECT 6 DYMISTA 1 DYRENIUM 77 DYSPORT 11 E E.E.S E.E.S EC-NAPROSYN 6 econazole nitrate 98 EDARBI 77 EDARBYCLOR 77 EDECRIN 77 edetate calcium disodium 160 EDLUAR 6 EDURANT 1 EFFER-K 17 EFFEXOR XR 6 EFFIENT 8 EFUDEX 9 EGRIFTA 19 ELAPRASE 119 ELDEPRYL 1 electrolyte-8 solution/dextrose % in water 160 ELELYSO 119 ELESTAT 16 ELESTRIN 17 ELIDEL 9 ELIGARD 0 ELIMITE 10 ELINEST 11 ELIPHOS 17 ELIQUIS 8 ELITE OB DHA 16 ELITE-OB ELITEK 7 ELIXOPHYLLIN 1 ELLA 11 ELLENCE 0 ELMIRON 16 ELOCON 101 EMADINE 16 EMBEDA 8,9 EMCYT 0 EMEND 1 EMLA 96 EMOQUETTE 11 EMPLICITI 0 EMSAM 6 EMTRIVA 1 EMVERM 19 ENABLEX 1 enalapril maleate 77 enalapril maleate/hydrochlorothiazide 77 enalaprilat dihydrate 77 ENBRACE HR 16 ENBREL 1 ENDOCET 9 ENGERIX-B ADULT 11 ENGERIX-B PEDIATRIC- ADOLESCENT 11 ENJUVIA 17 ENLON 6 ENLON-PLUS 6 enoxaparin sodium 8 ENPRESSE

179 ENSKYCE 11 ENSTILAR 9 entacapone 1 entecavir 1 ENTEREG 1 ENTOCORT EC 1 ENTRESTO 90 ENTYVIO 1 ENULOSE 1 ENVARSUS XR 0 EPANED 77 EPIDUO 9 EPIDUO FORTE 9 EPIFOAM 9 epinastine hcl 16 epinephrine 10 EPIPEN -PAK 10 EPIPEN JR -PAK 10 epirubicin hcl 0 EPITOL 7 EPIVIR 1 EPIVIR HBV 1 eplerenone 77 EPOGEN 19 epoprostenol sodium (glycine) 77 eprosartan mesylate 77 eptifibatide 8 EPZICOM 1 EQUETRO 7 ERAXIS (WATER DILUENT) 10 ERBITUX 0 ergoloid mesylates 6 ERGOMAR ERIVEDGE 0 ERRIN 17 ERTACZO 98 ERWINAZE 0 ERY 9 ERY-TAB 17 ERYGEL 9 ERYPED ERYPED ERYTHROCIN LACTOBIONATE 18 ERYTHROCIN STEARATE 18 erythromycin base 18,1 erythromycin base/benzoyl peroxide 9 erythromycin base/ethyl alcohol 9 erythromycin ethylsuccinate 18 ESBRIET 1 ESCAVITE 16 ESCAVITE D 16 ESCAVITE LQ 16 escitalopram oxalate 6 ESGIC 9 esmolol hcl 77 esomeprazole magnesium 17 esomeprazole sodium 17 ESTARYLLA 11 estazolam 6 ESTRACE 17 estradiol 17 estradiol valerate 17 estradiol/norethindrone acetate 17 ESTRING 17 estropipate 17 ESTROSTEP FE 11 eszopiclone 6 ethacrynate sodium 77 ethambutol hcl 19 ethinyl estradiol/drospirenone 11 ethosuximide 7 etidronate disodium 10 etodolac 6 ETOPOPHOS 0 etoposide 0 EURAX 10 EVAMIST 17 EVEKEO 6 EVISTA 1 EVOCLIN 9 EVOMELA 0 EVOTAZ 1 EVOXAC 10 EVZIO 6 EXALGO 9 EXELDERM 98 EXELON exemestane 0 EXFORGE 77 EXFORGE HCT 77 EXJADE 10 EXTAVIA 19 EXTINA 98 EXTRA-VIRT PLUS DHA 16 EYLEA 16 F FABIOR 9 FABRAZYME 119 FALMINA 11 famciclovir 1 famotidine 17 famotidine in sodium chloride, iso-osmotic/pf 17 famotidine/pf 17 FAMVIR 1 FANAPT 6 FARESTON 0 FARXIGA 111 FARYDAK 0 FASLODEX 0 FAZACLO 6 felbamate 7 FELBATOL 7 FELDENE 6 felodipine 77 FEMARA 0 179

180 FEMCON FE 11 FEMHRT 18 FEMRING 18 fenofibrate 88 fenofibrate nanocrystallized 88 fenofibrate,micronized 88 fenofibric acid 88 fenofibric acid (choline) 88 FENOGLIDE 88 fenoprofen calcium 6 fentanyl 9 fentanyl citrate 9 fentanyl citrate/pf 9 FENTORA 9 FERRIPROX 10 FETZIMA 6 FEXMID 6 FIBRICOR 88 FINACEA 9 finasteride 16 FIORICET 9 FIORICET WITH CODEINE 9 FIORINAL 9 FIORINAL WITH CODEINE # 9 FIRAZYR 1 FIRMAGON 0 FLAGYL 19 FLAREX 19 flavoxate hcl 1 FLEBOGAMMA DIF 1 flecainide acetate 71 FLECTOR 6 FLEXBUMIN 17 FLOLAN 77 FLOMAX 16 FLORIVA 16 FLORIVA PLUS 16 FLOVENT DISKUS 1 FLOVENT HFA 1 floxuridine 0 fluconazole 10 fluconazole in dextrose, isoosmotic 10 fluconazole in sodium chloride, iso-osmotic 10 flucytosine 10 fludarabine phosphate 0 fludrocortisone acetate 109 FLUMADINE 1 flumazenil 6 flunisolide 1 fluocinolone acetonide 101 fluocinolone acetonide oil 108 fluocinolone acetonide/shower cap 101 fluocinonide 101 fluocinonide/emollient base 101 FLUOR-A-DAY 16 FLUORABON 16 fluoride/iron/vitamins a,c,and d 16 FLUORIDEX DAILY DEFENSE 107 FLUORIDEX SENSITIVITY RELIEF 107 FLUORITAB 16 fluorometholone 19 fluorouracil 0,9 fluoxetine hcl 6 fluphenazine decanoate 6 fluphenazine hcl 6 FLURA-DROPS 16 flurandrenolide 101 flurazepam hcl 6 flurbiprofen 6 flurbiprofen sodium 17 flutamide 0 fluticasone propionate 101,1 fluvastatin sodium 88 fluvoxamine maleate 6 FML 19 FML FORTE 19 FML S.O.P. 19 FOCALGIN 90 DHA 16 FOCALGIN CA 16 FOCALGIN-B 16 FOCALIN 6 FOCALIN XR 6 FOLBECAL 16 FOLCAL DHA 16 FOLCAPS OMEGA- 16 FOLET DHA 16 FOLET ONE 16 FOLINATAL PLUS B 161 FOLIVANE-OB 16 FOLIVANE-PRX DHA NF 16 FOLOTYN 0 fomepizole 1 fondaparinux sodium 8 FORADIL 1 FORFIVO XL 6 FORTAMET 111 FORTAZ 17 FORTAZ IN ISO-OSMOTIC DEXTROSE 17 FORTEO 1 FORTESTA 119 FORTICAL 119 FOSAMAX 1 FOSAMAX PLUS D 1 fosinopril sodium 77 fosinopril sodium/hydrochlorothiazide 77 fosphenytoin sodium 7 FOSRENOL 10 FRAGMIN 8 FREAMINE HBC 160 FREAMINE III 160 FROVA frovatriptan succinate FURADANTIN 6 furosemide

181 FUSILEV 7 FUZEON 1 FYAVOLV 18 FYCOMPA 7 G gabapentin 7 GABITRIL 7 GABLOFEN 6 galantamine hbr GAMASTAN S-D 1 GAMMAGARD LIQUID 1 GAMMAGARD S-D 1 GAMMAKED 1 GAMMAPLEX 1 GAMUNEX 1 GAMUNEX-C 1 ganciclovir sodium 1 GARDASIL 1 GARDASIL 9 1 GASTROCROM 1 gatifloxacin 1 GATTEX 1 gauze bandage 111 GAVILYTE-C 1 GAVILYTE-G 1 GAVILYTE-H AND BISACODYL 1 GAVILYTE-N 1 GAZYVA 0 GELNIQUE 1 gemcitabine hcl 0 gemfibrozil 88 GEMZAR 0 GENERESS FE 11 GENERLAC 1 GENGRAF 1 GENOTROPIN 19 GENTAK 1 gentamicin sulfate 0,98,1 gentamicin sulfate in sodium chloride, iso-osmotic 0 gentamicin sulfate/pf 0 GENVOYA 1 GEODON 6 GESTICARE DHA 16 GIANVI 11 GIAZO 1 GILDAGIA 11 GILDESS 11 GILDESS FE 11 GILDESS FE 11 GILENYA GILOTRIF 1 GLASSIA 10 GLATOPA GLEEVEC 1 GLEOSTINE 1 glimepiride 111 glipizide 111 glipizide/metformin hcl 111 GLUCAGEN 111 GLUCAGON EMERGENCY KIT 11 GLUCOPHAGE 11 GLUCOPHAGE XR 11 GLUCOTROL 11 GLUCOTROL XL 11 GLUMETZA 11 glycine urologic solution 16 GLYCOPHOS 17 glycopyrrolate 1 GLYDO 96 GLYSET 11 GLYXAMBI 11 GOLYTELY 1 GRALISE 7 granisetron hcl 1 granisetron hcl/pf 1 GRANIX 19 GRASTEK 1 GRIS-PEG 10 griseofulvin ultramicrosize 10 griseofulvin, microsize 10 guanfacine hcl 6,78 guanidine hcl 6 GYNAZOLE 1 19 H H.P. ACTHAR 109 HALAVEN 1 HALCION 6 HALDOL 6 HALDOL DECANOATE HALDOL DECANOATE 0 6 halobetasol propionate 101 HALOG 101 haloperidol 6 haloperidol decanoate 6 haloperidol lactate 6 HARVONI 1 HAVRIX 1 HEATHER 18 HECTOROL 119 HEMABATE 1 HEMENATAL OB 16 HEMENATAL OB + DHA 16 HEPAGAM B 1 heparin sodium,porcine 86 heparin sodium,porcine in 0. % sodium chloride 86 heparin sodium,porcine in 0.9 % sodium chloride/pf 86 heparin sodium,porcine/dextrose % in water 86 heparin sodium,porcine/pf 86 HEPATAMINE 160 HEPSERA 1 HERCEPTIN 1 HESPAN

182 hetastarch in 0.9 % sodium chloride 160 HETLIOZ 6 HEXALEN 1 HEXTEND LACTATED ELECTROLYTE 10 HIPREX 6 HIZENTRA 1 HORIZANT HUMALOG 11 HUMALOG KWIKPEN U HUMALOG KWIKPEN U HUMALOG MIX HUMALOG MIX 0-0 KWIKPEN 11 HUMALOG MIX 7-11 HUMALOG MIX 7- KWIKPEN 11 HUMATROPE 19 HUMIRA 1 HUMIRA PEDIATRIC CROHN'S 1 HUMIRA PEN 1 HUMIRA PEN CROHN'S-UC- HS 1 HUMIRA PEN PSORIASIS 1 HUMULIN HUMULIN 70/0 KWIKPEN 11 HUMULIN N 11 HUMULIN N KWIKPEN 11 HUMULIN R 11 HUMULIN R U HUMULIN R U-00 KWIKPEN 11 HYCAMTIN 1 HYCET 9 hydralazine hcl 78 HYDREA 1 hydrochlorothiazide 78 hydrocodone bitartrate/acetaminophen 0 hydrocodone/ibuprofen 0 hydrocortisone 101,109,1 hydrocortisone butyrate 101 hydrocortisone butyrate/emollient base 101 hydrocortisone valerate 101 hydrocortisone/mineral oil/petrolatum,white 101 hydromorphone hcl 0 hydromorphone hcl/pf 0,1 hydroxychloroquine sulfate 0 hydroxyurea 1 hydroxyzine hcl 10 hydroxyzine pamoate 10 HYPERHEP B S-D 1 HYPERLYTE CR 17 HYPERRAB S-D 1 HYPERRHO S-D 1 HYPERTET S-D 1 HYQVIA 1 HYSINGLA ER 1 HYZAAR 78 I ibandronate sodium 1 IBRANCE 1 IBUDONE 1 ibuprofen 6 ibuprofen lysine/pf 6 ibuprofen/oxycodone hcl 1 ibutilide fumarate 71 ICLUSIG 1 IDAMYCIN PFS 1 idarubicin hcl 1 IFEX 1 ifosfamide 1 ifosfamide/mesna 1 ILARIS 19 ILEVRO 17 ILOTYCIN 1 imatinib mesylate 1 IMBRUVICA 1 imipenem/cilastatin sodium 0 imipramine hcl 6 imipramine pamoate 6 imiquimod 9 IMITREX IMOGAM RABIES-HT 1 IMOVAX RABIES VACCINE 1 IMURAN 1 INATAL ADVANCE 16 INATAL ULTRA 16 INCRELEX 10 INCRUSE ELLIPTA 1 indapamide 78 INDERAL LA 78 INDOCIN 6 indomethacin 6 indomethacin sodium 6 INFANATE BALANCE 16 INFANATE PLUS 16 INFANRIX DTAP 1 INFLAMMACIN 6 INFUMORPH 1 INLYTA 1 INNOPRAN XL 78 INSPRA 78 insulin syringeneedle,safety,disposal unit,0. ml 11 INTEGRILIN 86 INTELENCE 1 INTERMEZZO 6 INTRALIPID 160 INTRON A 10 INTROVALE 11 INTUNIV 6 INVANZ 0 INVEGA 6 18

183 INVEGA SUSTENNA 6 INVEGA TRINZA 6 INVIRASE 1 INVOKAMET 11 INVOKANA 11 IONOSOL B WITH DEXTROSE % 160 IONOSOL MB-DEXTROSE % 160 IOPIDINE 19 IPOL 1 ipratropium bromide 107,1 ipratropium bromide/albuterol sulfate 1 IPRIVASK 86 irbesartan 78 irbesartan/hydrochlorothiazide 7 8 IRENKA 6 IRESSA 1 irinotecan hcl 1 ISENTRESS 1 ISOLYTE P WITH DEXTROSE 161 ISOLYTE S 161 isoniazid 0 ISOPTO CARPINE 16 ISORDIL 91 ISORDIL TITRADOSE 91 isosorbide dinitrate 91 isosorbide mononitrate 91 isradipine 78 ISTALOL 16 ISTODAX 1 ISUPREL 90 itraconazole 10 IV INFUSION CPI 96 ivermectin 0 IXEMPRA 1 IXIARO 1 J JADENU 10 JAKAFI 1 JALYN 16 JANTOVEN 86 JANUMET 11 JANUMET XR 11 JANUVIA 11 JARDIANCE 11 JENCYCLA 18 JENTADUETO 11 JETREA 17 JEVANTIQUE LO 18 JEVTANA 1 JINTELI 18 JOLESSA 11 JOLIVETTE 18 JUBLIA 99 JULEBER 11 JUNEL 11 JUNEL FE 11 JUNEL FE 11 JUXTAPID 88 K K EFFERVESCENT 17 K-PHOS NEUTRAL 17 K-PHOS NO. 16 K-PHOS ORIGINAL 16 K-TAB ER 17 KABIVEN 161 KADCYLA 1 KADIAN 1 KAITLIB FE 11 KALBITOR 1 KALETRA 1 KALYDECO 1 KANUMA 119 KAPVAY 6 KARBINAL ER 10 KARIVA 11 KAYEXALATE 10 KAZANO 11 KEDBUMIN 17 KELNOR 1-11 KENALOG 101 KENALOG KENALOG KEPIVANCE 7 KEPPRA 8 KEPPRA XR 8 KERYDIN 99 KETEK 0 ketoconazole 10,99 ketoprofen 6 ketorolac tromethamine 17 KEVEYIS KEYTRUDA KHEDEZLA 6 KIMIDESS 11 KINERET 16 KINRIX 1 KIONEX 10 KITABIS PAK 0 KLARON 98 KLOFENSAID II 6 KLONOPIN 8 KLOR-CON 17 KLOR-CON KLOR-CON 8 17 KLOR-CON M10 18 KLOR-CON M1 18 KLOR-CON M0 18 KLOR-CON SPRINKLE 18 KLOR-CON-EF 18 KOMBIGLYZE XR 11 KORLYM 119 KOSHER PRENATAL PLUS IRON 16 KRISTALOSE 1 KRYSTEXXA 1 18

184 KURVELO 11 KUVAN 119 KYNAMRO 88 L labetalol hcl 78 LACRISERT 17 lactulose 1 LAMICTAL 8 LAMICTAL (BLUE) 8 LAMICTAL (GREEN) 8 LAMICTAL (ORANGE) 8 LAMICTAL ODT 8 LAMICTAL ODT (BLUE) 8 LAMICTAL ODT (GREEN) 8 LAMICTAL ODT (ORANGE) 8 LAMICTAL XR 8 LAMICTAL XR (BLUE) 8 LAMICTAL XR (GREEN) 8 LAMICTAL XR (ORANGE) 8 LAMISIL 10 lamivudine 1 lamivudine/zidovudine 1 lamotrigine 8 LANOXIN 8 LANOXIN PEDIATRIC 8 lansoprazole 17 lansoprazole/amoxicillin trihydrate/clarithromycin 17 LANTUS 11 LANTUS SOLOSTAR 11 LARIN 11 LARIN FE 1 LARIN FE 1 LASIX 78 LASTACAFT 17 latanoprost 18 LATUDA 6 LAYOLIS FE 1 LAZANDA 1 LEENA 1 leflunomide 16 LEMTRADA LENVIMA LESCOL XL 89 LESSINA 1 LETAIRIS 1 letrozole leucovorin calcium 7 LEUKERAN LEUKINE 10 leuprolide acetate levalbuterol hcl 1 LEVAQUIN LEVEMIR 11 LEVEMIR FLEXPEN 11 LEVEMIR FLEXTOUCH 11 levetiracetam 8 levetiracetam in sodium chloride, iso-osmotic 9 levobunolol hcl 16 levocarnitine 10 levocarnitine (with sugar) 10 levocetirizine dihydrochloride 10 levofloxacin,1 levofloxacin/dextrose % in water levoleucovorin calcium 7 LEVONEST 1 levonorgestrel-ethinyl estradiol 1 levonorgestrel/ethinyl estradiol and ethinyl estradiol 1 LEVOPHED BITARTRATE 90 LEVORA-8 1 levorphanol tartrate 1 levothyroxine sodium 11 LEVOXYL 11 LEVULAN 9 LEXAPRO 6 LEXIVA 1 LIALDA 1 lidocaine 96 lidocaine hcl 96 lidocaine hcl/dextrose %- water/pf 71 lidocaine hcl/dextrose 7.%- water/pf 71 lidocaine hcl/epinephrine 96 lidocaine hcl/epinephrine bitartrate 96 lidocaine hcl/epinephrine/pf 96 lidocaine hcl/pf 71,97 lidocaine/prilocaine 97 LIDODERM 97 LILETTA 19 LINCOCIN 0 lincomycin hcl 0 lindane 10 linezolid 0 linezolid in 0.9 % sodium chloride 0 LINZESS 1 LIORESAL INTRATHECAL 6 liothyronine sodium 11 LIPITOR 89 LIPODOX LIPODOX 0 LIPOFEN 89 lisinopril 78 lisinopril/hydrochlorothiazide 78 lithium carbonate 6 lithium citrate 6 LITHOBID 6 LITHOSTAT 10 LIVALO 89 LMD 10% WITH 0.9% SOD CHLORIDE 10 LMD 10% WITH % DEXTROSE 10 LO LOESTRIN FE 1 LOCOID

185 LOCOID LIPOCREAM 101 LODOSYN 1 LOESTRIN 1 LOESTRIN FE 1 LOFIBRA 89 LOMEDIA FE 1 LOMOTIL 1 LONSURF loperamide hcl 1 LOPID 89 LOPREEZA 18 LOPRESSOR 78 LOPRESSOR HCT 78 LOPROX 99 lorazepam 6 LORAZEPAM INTENSOL 6 LORCET 1 LORCET HD 1 LORCET PLUS 1 LORTAB 1 LORYNA 1 LORZONE 6 losartan potassium 78 losartan potassium/hydrochlorothiazide 7 9 LOSEASONIQUE 1 LOTEMAX 19 LOTENSIN 79 LOTENSIN HCT 79 LOTREL 79 LOTRISONE 99 LOTRONEX 1 lovastatin 89 LOVAZA 89 LOVENOX 86 LOW-OGESTREL 1 loxapine succinate 6 LUCENTIS 17 LUDENT FLUORIDE 16 LUMIGAN 18 LUMIZYME 119 LUNESTA 6 LUPANETA PACK 19 LUPRON DEPOT LUPRON DEPOT-PED LUTERA 1 LUXIQ 101 LUZU 99 LYNPARZA LYRICA 9 LYSODREN LYSTEDA 19 LYZA 18 M M-M-R II VACCINE 1 M-VIT 16 MACNATAL CN DHA 16 MACROBID 6 MACRODANTIN 6 magnesium chloride 18 magnesium sulfate 18 magnesium sulfate in sterile water 18 magnesium sulfate/dextrose % in water 18 MAKENA 18 MALARONE 0 malathion 10 mannitol 79 mannitol/sorbitol solution 10 maprotiline hcl 6 MARCAINE 97 MARCAINE SPINAL 10 MARCAINE-EPINEPHRINE 97 MARGESIC 1 MARINOL 1 MARLISSA 1 MARNATAL-F 16 MARPLAN 6 MARQIBO MARTEN-TAB 1 MATULANE MATZIM LA 79 MAVIK 79 MAXALT MAXALT MLT MAXIDEX 19 MAXINATE 16 MAXIPIME 17 MAXITROL 18 MAXZIDE 79 MAXZIDE- MG 79 meclizine hcl 1 meclofenamate sodium 6 MEDROL 109 medroxyprogesterone acetate 18 mefenamic acid 6 mefloquine hcl 0 MEFOXIN 17 MEGACE MEGACE ES megestrol acetate MEKINIST meloxicam 6 melphalan hcl memantine hcl MENACTRA 1 MENEST 18 MENHIBRIX 1 MENOMUNE-A-C-Y-W-11 MENOSTAR 18 MENTAX 99 MENVEO A-C-Y-W-1- DIP 1 mepivacaine hcl/pf 97 MEPRON 0 mercaptopurine meropenem 0 meropenem in 0.9 % sodium chloride 0 18

186 MERREM 0 mesalamine 1 mesalamine with cleansing wipes 1 mesna 7 MESNEX 7 MESTINON 6 METADATE CD 6 METADATE ER 6 metaproterenol sulfate 1 METAXALL 6 metaxalone 6 metformin hcl 11 methadone hcl 1 METHADONE INTENSOL 1 METHADOSE methamphetamine hcl 6 methazolamide 17 methenamine hippurate 6 methenamine mandelate 6 METHERGINE 1 methimazole 110 METHITEST 119 methocarbamol 6 methotrexate sodium methotrexate sodium/pf methoxsalen, rapid 9 methscopolamine bromide 1 methyclothiazide 79 methylergonovine maleate 1 METHYLIN 6 methylphenidate hcl 6 methylprednisolone 109 methylprednisolone acetate 109 methylprednisolone sodium succinate 109 methyltestosterone 119 metipranolol 16 metoclopramide hcl 1 metolazone 79 metoprolol succinate 79 metoprolol tartrate 79 metoprolol tartrate/hydrochlorothiazide 79 METOZOLV ODT 1 METRO IV 0 METROCREAM 9 METROGEL 9 METROGEL-VAGINAL 19 METROLOTION 9 metronidazole 1,9,19 metronidazole in sodium chloride 1 mexiletine hcl 71 MIACALCIN 119 MICARDIS 79 MICARDIS HCT 79 miconazole nitrate 19 MICRHOGAM ULTRA- FILTERED PLUS 1 MICROGESTIN 1 MICROGESTIN FE 1 MICROGESTIN FE 1 MICROZIDE 79 midazolam hcl 6 midazolam hcl/pf 6 midodrine hcl 10 MIGERGOT MIGRANAL MILLIPRED 109 MILLIPRED DP 109 milrinone lactate 90 milrinone lactate/dextrose % in water 90 MIMVEY 18 MIMVEY LO 18 MINASTRIN FE 1 MINIPRESS 79 MINITRAN 91 MINIVELLE 18 MINOCIN minocycline hcl 6 minoxidil 79 MIOSTAT 18 MIRAPEX 1 MIRAPEX ER MIRCERA 10 MIRCETTE 1 MIRENA 19 mirtazapine 6 MIRVASO 9 misoprostol 17 MITIGARE 1 mitomycin mitoxantrone hcl MOBIC 6 modafinil 6 MODERIBA 1 MODICON 1 moexipril hcl 80 moexipril hcl/hydrochlorothiazide 80 molindone hcl 6 mometasone furoate 10,1 MONDOXYNE NL 6 MONO-LINYAH 1 MONONESSA 1 montelukast sodium 1 MONUROL 6 MORGIDOX 6 morphine sulfate morphine sulfate/pf, MOVANTIK 1 MOVIPREP 1 MOXEZA 1 moxifloxacin hcl moxifloxacin hcl in sodium acetate and sulfate,water,isoosm MOZOBIL 10 MS CONTIN MULTAQ 71 mupirocin

187 mupirocin calcium 98 MUSTARGEN MVC-FLUORIDE 16 MYALEPT 119 MYAMBUTOL 1 MYCAMINE 10 MYCOBUTIN 1 mycophenolate mofetil, mycophenolate sodium MYFORTIC MYNATAL 16 MYNATAL ADVANCE 16 MYNATAL PLUS 16 MYNATAL-Z 16 MYNATE 90 PLUS 16 MYOBLOC 1 MYORISAN 9 MYOZYME 119 MYRBETRIQ 1 MYSOLINE 9 MYZILRA 1 N NABI-HB 1 nabumetone 7 nadolol 80 nadolol/bendroflumethiazide 80 nafcillin in dextrose, isoosmotic nafcillin sodium naftifine hcl 99 NAFTIN 99 NAGLAZYME 119 nalbuphine hcl 7 NALFON 7 naloxone hcl 7 naltrexone hcl 7 NAMENDA NAMENDA XR NAMZARIC naphazoline hcl 19 NAPRELAN 7 NAPROSYN 7 naproxen 7 naproxen sodium 7 naratriptan hcl NARCAN 7 NARDIL 6 NAROPIN 97 NASONEX 1 NATA KOMPLETE 16 NATACHEW 16 NATACYN 1 NATAFORT 16 NATAL-V RX 16 NATALVIRT 90 DHA 16 NATALVIRT CA 16 NATALVIT 16 NATAZIA 1 nateglinide 11 NATELLE ONE 16 NATESTO 119 NATPARA 119 NATRECOR 90 NEBUPENT 1 NECON 1 needles, insulin disposable, safety 11 NEEVODHA 16 nefazodone hcl 6 NEMBUTAL SODIUM 6 NEO-POLYCIN 1 NEO-POLYCIN HC 18 NEO-SYNALAR 98 neomycin sulfate 1 neomycin sulfate/bacitracin zinc/polymyxin b/hydrocortisone 18 neomycin sulfate/bacitracin/polymyxin b 1 neomycin sulfate/polymyxin b sulfate 10 neomycin sulfate/polymyxin b sulfate/gramicidin d 1 neomycin sulfate/polymyxin b sulfate/hydrocortisone 108,18 neomycin/polymyxin b sulfate/dexamethasone 18 NEOPROFEN 7 NEORAL NEOSPORIN 1 NEOSPORIN G.U. IRRIGANT 10 neostigmine methylsulfate 6 NEPHRAMINE 161 NEPTAZANE 17 NESACAINE 97 NESACAINE-MPF 97 NESINA 11 NESTABS 16 NESTABS ABC 16 NESTABS DHA 16 NEUAC 9 NEULASTA 10 NEUPOGEN 10 NEUPRO NEURONTIN 9 NEUT 18 NEVANAC 17 nevirapine 1 NEWGEN 16 NEXA PLUS 16 NEXA SELECT 16 NEXAVAR NEXIUM 17 NEXIUM I.V. 17 NEXPLANON 19 NEXTERONE 71 niacin 89 NIACOR 89 NIASPAN

188 nicardipine hcl 80 NICOTROL 107 NICOTROL NS 107 NIFEDICAL XL 80 nifedipine 80 NIKKI 1 NILANDRON nimodipine 80 NINLARO NIPENT nisoldipine 80 NITRO-BID 91 NITRO-DUR 91 nitrofurantoin 6 nitrofurantoin macrocrystal 6 nitrofurantoin monohydrate/macrocrystals 6 nitroglycerin 91 nitroglycerin/dextrose % in water 91 NITROLINGUAL 91 NITROMIST 91 NITRONAL 91 NITROPRESS 90 NITROSTAT 91 NIVA-PLUS 16 nizatidine 18 NIZORAL 99 NOR-Q-D 18 NORA-BE 18 NORCO NORDITROPIN FLEXPRO 10 NORDITROPIN NORDIFLEX 10 norepinephrine bitartrate 91 norethindrone 18 norethindrone acetate 18 norethindrone acetate-ethinyl estradiol 18,1 norethindrone acetate-ethinyl estradiol/ferrous fumarate 1 norethindrone-ethinyl estradiol/ferrous fumarate 1 norgestimate-ethinyl estradiol 1 NORINYL 1+ 1 NORINYL NORITATE 9 NORLYROC 18 NORMOSOL-M AND DEXTROSE 161 NORMOSOL-R 18 NORMOSOL-R AND DEXTROSE 18 NORMOSOL-R PH NORPACE 71 NORPACE CR 71 NORPRAMIN 6 NORTHERA 10 NORTREL 1 nortriptyline hcl 66 NORVASC 80 NORVIR 1 NOVAREL 119 NOVOLIN NOVOLIN N 11 NOVOLIN R 11 NOVOLOG 11 NOVOLOG FLEXPEN 11 NOVOLOG MIX NOVOLOG MIX 70-0 FLEXPEN 11 NOXAFIL 11 NP THYROID 11 NPLATE 86 NUCALA 1 NUCYNTA 7 NUCYNTA ER 7 NUEDEXTA NULOJIX NULYTELY WITH FLAVOR PACKS 1 NUTRESTORE 10 NUTRILIPID 161 NUTROPIN AQ 10 NUTROPIN AQ NUSPIN 10 NUVARING 19 NUVESSA 19 NUVIGIL 66 NYAMYC 99 NYATA 99 NYMALIZE 80 nystatin 11,99 nystatin/triamcinolone acetonide 99 NYSTOP 99 O O-CAL FA 16 O-CAL PRENATAL 16 OB COMPLETE 16 OB COMPLETE OB COMPLETE GOLD 16 OB COMPLETE ONE 16 OB COMPLETE PETITE 16 OB COMPLETE PREMIER 16 OB COMPLETE WITH DHA 16 OBSTETRIX DHA 16 OBSTETRIX EC 16 OBTREX 16 OBTREX DHA 16 OCELLA 1 OCTAGAM 1 octreotide acetate OCUFEN 17 OCUFLOX 1 ODEFSEY 1 ODOMZO OFEV 1 ofloxacin,108,1 OGESTREL 1 olanzapine

189 olanzapine/fluoxetine hcl 66 OLEPTRO ER 66 olopatadine hcl 107,17 OLUX 10 OLUX-E 10 OMECLAMOX-PAK 18 omega- acid ethyl esters 89 omeprazole 18 omeprazole/sodium bicarbonate 18 OMNARIS 1 OMNIPRED 19 OMNITROPE 10 ONCASPAR ondansetron 1 ondansetron hcl 1 ondansetron hcl/pf 1 ONEXTON 9 ONFI 9 ONGLYZA 11 ONMEL 11 ONZETRA XSAIL OPANA OPANA ER OPDIVO opium tincture 1 OPSUMIT 1 ORACEA 6 ORALAIR 1 ORALONE 107 ORAP 66 ORAPRED ODT 109 ORAVIG 11 ORBACTIV 1 ORENCIA 16 ORENITRAM ER 80 ORFADIN 106 ORKAMBI 1 orphenadrine citrate 6 ORSYTHIA 1 ORTHO MICRONOR 18 ORTHO TRI-CYCLEN 1 ORTHO TRI-CYCLEN LO 1 ORTHO-CYCLEN 1 ORTHO-NOVUM 1 OSENI 11 OSMITROL 80 OSMOPREP 1 OTEZLA 16 OTREXUP 16 OVCON- 1 OVIDE 10 oxacillin sodium oxacillin sodium/dextrose, isoosmotic oxaliplatin oxandrolone 119 oxaprozin 7 oxazepam 66 oxcarbazepine 9 oxiconazole nitrate 99 OXISTAT 99 OXSORALEN 9 OXSORALEN-ULTRA 9 OXTELLAR XR 9 oxybutynin chloride 1 oxycodone hcl oxycodone hcl/acetaminophen oxycodone hcl/aspirin OXYCONTIN oxymorphone hcl oxytocin 1 OXYTROL 1 OZURDEX 19 P PACERONE 71 paclitaxel PAIRE OB PLUS DHA 16 paliperidone 66 PAMELOR 66 pamidronate disodium 119 PANCREAZE 1 PANDEL 10 PANHEMATIN 106 PANRETIN 9 pantoprazole sodium 18 PARAFON FORTE DSC 6 paregoric 1 paricalcitol 10 PARNATE 66 PAROEX 107 paromomycin sulfate 1 paroxetine hcl 66 PASER 1 PATADAY 17 PATANASE 107 PATANOL 17 PAXIL 66 PAXIL CR 66 PAZEO 17 PCE 18 PEDIADERM AF 99 PEDIADERM HC 10 PEDIADERM TA 10 PEDIAPRED 109 PEDIARIX 1 pediatric multivitamin combination no./sodium fluoride 16 pediatric multivitamin combo no./fluoride/ferrous sulfate 16 pediatric multivitamins a,c,& d no.1 with sodium fluoride 16 pediatric multivitamins no.16 with sodium fluoride 16 pediatric multivitamins no.17 with sodium fluoride 16 PEDVAXHIB 1 189

190 peg 0/sod sulf/sod bicarbonate/sod chloride/potassium chl 1 PEG-PREP 1 PEGANONE 9 PEGASYS 10 PEGASYS PROCLICK 10 PEGINTRON 10 PEGINTRON REDIPEN 10 pen needle, diabetic 11 pen needle, diabetic disposable, safety 11 penicillin g potassium penicillin g potassium/dextrosewater penicillin g procaine penicillin g sodium penicillin v potassium PENLAC 99 PENNSAID 7 PENTACEL 1 PENTACEL ACTHIB COMPONENT 1 PENTAM 00 1 PENTASA 1 pentazocine hcl/naloxone hcl 7 pentoxifylline 86 PEPCID 18 PERCOCET PERFOROMIST 1 PERIKABIVEN 161 perindopril erbumine 80 PERIOGARD 107 PERJETA permethrin 10 perphenazine 66 perphenazine/amitriptyline hcl 67 PERSANTINE 86 PERTZYE 1 PEXEVA 67 PFIZERPEN PHENADOZ 10 phenelzine sulfate 67 PHENERGAN 10 phenobarbital 9 phenobarbital sodium 9 phenoxybenzamine hcl 80 phentolamine mesylate 80 phenylephrine hcl/promethazine hcl 10 PHENYTEK 9 phenytoin 9 phenytoin sodium 9 phenytoin sodium extended 9 PHILITH 1 PHOSLO 18 PHOSLYRA 18 PHOSPHA 0 NEUTRAL 18 PHOSPHOLINE IODIDE 16 PHYSIOLYTE 10 PHYSIOSOL 10 PICATO 9 pilocarpine hcl 106,16 pimozide 67 PIMTREA 1 pindolol 80 pioglitazone hcl 11 pioglitazone hcl/glimepiride 11 pioglitazone hcl/metformin hcl 11 piperacillin sodium/tazobactam sodium PIRMELLA 1 piroxicam 7 PITOCIN 1 PLAN B ONE-STEP 1 PLAQUENIL 1 PLASBUMIN- 17 PLASBUMIN- 17 PLASMA-LYTE PLASMA-LYTE 6 IN DEXTROSE 161 PLASMA-LYTE A PH PLASMANATE 161 PLAVIX 86 PLEGISOL 91 PLEGRIDY 10 PLEGRIDY PEN 10 PLIAGLIS 97 PNV PNV OB+DHA 16 PNV-DHA 16 PNV-DHA + DOCUSATE 16 PNV-FIRST 16 PNV-OB WITH DHA 16 PNV-OMEGA 16 PNV-SELECT 16 PNV-TOTAL 16 PNV-VP-U 16 podofilox 9 POLYCIN 1 polyethylene glycol 0 16 polymyxin b sulfate 1 polymyxin b sulfate/trimethoprim 1 POLYTRIM 1 POMALYST PONSTEL 7 PORTIA 1 PORTRAZZA potassium acetate 18 potassium bicarbonate/citric acid 18 potassium chloride 18 potassium chloride in 0. % sodium chloride 19 potassium chloride in 0.9 % sodium chloride 18 potassium chloride in % dextrose in water

191 potassium chloride in dextrose % and 0.9 % sodium chloride 19 potassium chloride in dextrose %-0. % sodium chloride 19 potassium chloride in dextrose %-0. % sodium chloride19 potassium chloride in dextrose % and 0. % sodium chloride 19 potassium chloride in lactated ringers and % dextrose 19 potassium chloride/potassium bicarbonate/citric acid 18 potassium citrate 16 potassium citrate/citric acid 16 potassium phos,m-basic-dbasic 19 POTIGA 9 PR NATAL PR NATAL 00 EC 16 PR NATAL 0 16 PR NATAL 0 EC 16 PRADAXA 86 PRALUENT PEN 89 PRALUENT SYRINGE 89 pramipexole di-hcl PRAMOSONE 9 PRANDIN 11 PRAVACHOL 89 pravastatin sodium 89 PRAXBIND 86 prazosin hcl 80 PRECOSE 11 PRED FORTE 19 PRED MILD 19 PRED-G 18 prednicarbate 10 prednisolone 109 prednisolone acetate 19 prednisolone sod phosphate 110,19 prednisone 110 PREDNISONE INTENSOL 110 PREFERA OB 16 PREFERA-OB ONE 16 PREFERA-OB PLUS DHA 16 PREFEST 18 PREFOL-DHA 16 PREGNYL 10 PREMARIN 18 PREMASOL 161 PREMPHASE 18 PREMPRO 19 PRENA1 16 PRENA1 CHEW 16 PRENA1 PEARL 16 PRENA1 PLUS 16 PRENA1 TRUE 16 PRENAISSANCE 16 PRENAISSANCE 90 DHA 16 PRENAISSANCE BALANCE 16 PRENAISSANCE DHA 166 PRENAISSANCE DHA HARMONY 166 PRENAISSANCE HARMONY DHA 166 PRENAISSANCE NEXT 166 PRENAISSANCE NEXT-B 166 PRENAISSANCE PLUS 166 PRENAISSANCE PROMISE 166 PRENAPLUS 166 PRENATA 166 PRENATABS FA 166 PRENATABS RX 166 prenatal vitamin comb no.79/iron fumarat/fa/lmefolate ca/dha 16 prenatal vitamin no.1/iron,carbonyl/folic acid/docusate sod 166 prenatal vitamins comb no.11/iron fumarate/folic acid 16 prenatal vitamins comb no.11/iron fumarate/folic acid/dss 16 prenatal vitamins combo no.60/ferrous fumarate/folic acid 166 prenatal vits with calcium #7/ferrous fumarate/folic acid 16 prenatal vits with calcium #7/iron,carbonyl/folic acid 16 prenatal vits with calcium #7/ferrous fumarate/folic acid 16 prenatal vits without calc no/ferrous fumarate/folic acid 16 PRENATE AM 166 PRENATE CHEWABLE 166 PRENATE DHA 166 PRENATE ELITE 166 PRENATE ENHANCE 166 PRENATE ESSENTIAL 166 PRENATE MINI 166 PRENATE PIXIE 166 PRENATE RESTORE 166 PRENATE STAR 166 PRENEXA 166 PREPIDIL 19 PREPLUS 166 PREPOPIK 16 PREQUE PRETAB 166 PREVACID 18 PREVALITE

192 PREVIDENT 107 PREVIDENT PREVIDENT 000 ENAMEL PROTECT 108 PREVIDENT 000 PLUS 108 PREVIDENT 000 SENSITIVE 108 PREVIFEM 1 PREVPAC 18 PREZCOBIX 1 PREZISTA 1 PRIALT 7 PRIFTIN 1 PRILOSEC 18 primaquine phosphate 1 PRIMAXIN 1 primidone 9 PRIMLEV PRINIVIL 81 PRISTIQ ER 67 PRIVIGEN 1 PROAIR HFA 1 PROAIR RESPICLICK 1 probenecid 1 procainamide hcl 71 PROCALAMINE 161 PROCARDIA XL 81 PROCENTRA 67 prochlorperazine 16 prochlorperazine edisylate 16 prochlorperazine maleate 16 PROCRIT 10,11 PROCTO-MED HC 16 PROCTO-PAK 16 PROCTOCORT 16 PROCTOFOAM-HC 16 PROCTOSOL-HC 16 PROCTOZONE-HC 16 PROCYSBI 16 progesterone 19 progesterone,micronized 19 PROGLYCEM 11 PROGRAF PROLASTIN C 106 PROLENSA 17 PROLEUKIN 11 PROLIA 1 PROMACTA 87 promethazine hcl 10 PROMETHEGAN 10 PROMETRIUM 19 propafenone hcl 71 propantheline bromide 1 propranolol hcl 81 propranolol hcl/hydrochlorothiazide 81 propylthiouracil 110 PROQUAD 1 PROSCAR 16 PROSOL 161 PROSTIN E VAGINAL SUPPOSITORY 19 PROSTIN VR PEDIATRIC 16 protamine sulfate 87 PROTECT NATAL 166 PROTONIX 18 PROTONIX IV 18 PROTOPAM CHLORIDE 10 PROTOPIC 9 protriptyline hcl 67 PROVENTIL HFA 1 PROVERA 19 PROVIDA DHA 166 PROVIDA OB 166 PROVIGIL 67 PROZAC 67 PROZAC WEEKLY 67 PRUDOXIN 9 PSORCON 10 PULMICORT 1 PULMICORT FLEXHALER 1 PULMOZYME 1 PUREFE OB PLUS 166 PUREFE PLUS 166 PURIXAN PYLERA 18 pyrazinamide 1 pyridostigmine bromide 6 Q QNASL 1 QNASL CHILDREN 1 QUADRACEL DTAP-IPV 1 QUALAQUIN 1 QUARTETTE 1 QUASENSE 1 QUDEXY XR 9 QUELICIN 6 QUESTRAN 89 QUESTRAN LIGHT 89 quetiapine fumarate 67 QUFLORA 167 QUILLICHEW ER 67 QUILLIVANT XR 67 quinapril hcl 81 quinapril hcl/hydrochlorothiazide 81 quinidine gluconate 71 quinidine sulfate 71 quinine sulfate 1 QUTENZA 9 QVAR 1 R R-NATAL OB 167 RABAVERT 1 rabeprazole sodium 18 RAGWITEK 1 raloxifene hcl 1 ramipril 81 RANEXA 91 ranitidine hcl 18 RAPAFLO 16 19

193 RAPAMUNE RAPIVAB 1 RASUVO 16 RAVICTI 106 RAYOS 110 RAZADYNE RAZADYNE ER REBETOL 1 REBIF 11 REBIF REBIDOSE 11 RECLAST 106 RECLIPSEN 1 RECOMBIVAX HB 1 RECTIV 16 REGLAN 16 REGONOL 6 REGRANEX 9 RELADOR PAK 97 RELADOR PAK PLUS 97 RELENZA 1 RELISTOR 16 RELNATE DHA 167 RELPAX REMERON 67 REMICADE 16 REMODULIN 81 RENACIDIN 17 RENAGEL 106 RENVELA 106 REOPRO 87 repaglinide 11 repaglinide/metformin hcl 11 REPATHA SURECLICK 89 REPATHA SYRINGE 89 REPREXAIN REQUIP REQUIP XL RESCRIPTOR 1 RESECTISOL 81 reserpine 81 RESTASIS 17 RESTORIL 67 RETIN-A 9 RETIN-A MICRO 9 RETIN-A MICRO PUMP 9 RETISERT 19 RETROVIR 1 REVATIO 1 REVLIMID REVONTO 6 REXULTI 67 REYATAZ 1 RHEUMATREX RHINOCORT AQUA 1 RHOGAM ULTRA-FILTERED PLUS 1 RHOPHYLAC 1 RIBASPHERE 1 RIBASPHERE RIBAPAK 1 RIBATAB 1 ribavirin 1 RIDAURA 16 rifabutin 1 RIFADIN 1 RIFAMATE 1 rifampin 1 RIFATER 1 RILUTEK 106 riluzole 106 rimantadine hcl 1 RIMSO-0 1 ringers solution 10,19 ringers solution,lactated 10,19 RIOMET 11 risedronate sodium 106,1 RISPERDAL 67 RISPERDAL CONSTA 67,68 RISPERDAL M-TAB 68 risperidone 68 RITALIN 68 RITALIN LA 68 RITUXAN rivastigmine rivastigmine tartrate rizatriptan benzoate ROBAXIN 6 ROBAXIN-70 7 ROBINUL 1 ROBINUL FORTE 1 ROCALTROL 10 ropinirole hcl ropivacaine hcl/pf 97 ROSADAN 9 rosuvastatin calcium 89 ROTARIX 1 ROTATEQ 1 ROWASA 16 ROWEEPRA 0 ROXICODONE ROZEREM 68 RUCONEST 1 RULAVITE DHA 167 RYTARY RYTHMOL 7 RYTHMOL SR 7 S SABRIL 0 SAFYRAL 1 SAIZEN 11 SALAGEN 106 salsalate 7 SAMSCA 10 SANADERMRX 10 SANCUSO 16 SANDIMMUNE SANDOSTATIN SANDOSTATIN LAR SANDOSTATIN LAR DEPOT SANTYL 10 SAPHRIS 68 19

194 SARAFEM 68 SAVAYSA 87 SAVELLA 16 SE-NATAL SE-TAN DHA 167 SEASONIQUE 1 SECONAL SODIUM 68 SECTRAL 81 SEEBRI NEOHALER 1 SELECT-OB 167 SELECT-OB + DHA 167 selegiline hcl selenium sulfide 9 SELZENTRY 1 SEMPREX-D 11 SENSIPAR 10 SENSORCAINE 97 SENSORCAINE WITH DEXTROSE 106 SENSORCAINE- EPINEPHRINE 97 SENSORCAINE-MPF 97 SENSORCAINE-MPF EPINEPHRINE 97 SEREVENT DISKUS 1 SERNIVO 10 SEROQUEL 68 SEROQUEL XR 68 SEROSTIM 11 sertraline hcl 68 SETLAKIN 1 SETONET 167 SETONET-EC 167 SF 108 SF 000 PLUS 108 SFROWASA 16 SHAROBEL 19 SIGNIFOR SIGNIFOR LAR SILAZONE-II 10 sildenafil citrate 1 SILENOR 68 SILVADENE 9 silver sulfadiazine 9 SIMBRINZA 18 SIMPONI 16 SIMPONI ARIA 16 SIMULECT simvastatin 89 SINEMET SINEMET -100 SINEMET -0 SINEMET CR SINGULAIR 1 sirolimus SIRTURO 1 SIVEXTRO 1 SKELAXIN 7 SKLICE 10 SKYLA 19 SMARTRX GABAKIT 0 sodium acetate 19 sodium bicarbonate 19 sodium chloride 19 sodium chloride 0. % 19 sodium chloride % 19 sodium chloride % 19 sodium chloride irrigating solution 106 sodium chloride/sodium bicarbonate/potassium chloride/peg 16 SODIUM DIURIL 81 SODIUM EDECRIN 81 sodium fluoride 167 sodium lactate 19 sodium phenylbutyrate 106 sodium phos,m-basic-dbasic 19 sodium polystyrene sulfonate 106 SOLARAZE 9 SOLIRIS 106 SOLODYN 6 SOLTAMOX SOLU-CORTEF 110 SOLU-MEDROL 110 SOMA 7 SOMATULINE DEPOT SOMAVERT 10 SONATA 68 SOOLANTRA 9 sorbitol solution 10 SORIATANE 9 SORILUX 9 SORINE 7 sotalol hcl 7 SOTRADECOL 106 SOTYLIZE 7 SOVALDI 1 SPIRIVA 1 SPIRIVA RESPIMAT 1 spironolactone 81 spironolactone/hydrochlorothia zide 81 SPORANOX 11 SPRINTEC 1 SPRITAM 0 SPRYCEL SPS 106 SRONYX 1 SSD 9 STALEVO 100 STALEVO 1 STALEVO 10 STALEVO 00 STALEVO 0 STALEVO 7 STARLIX 11 stavudine 1 STELARA 9 STIMATE 10 STIOLTO RESPIMAT 1 19

195 STIVARGA STRATTERA 68 STRENSIQ 10 streptomycin sulfate 1 STRIANT 10 STRIBILD 1 STRIVERDI RESPIMAT 1 STROMECTOL 1 SUBOXONE 7 SUBSYS SUCRAID 16 sucralfate 18 SULAR 81 sulfacetamide sodium 98,19 sulfacetamide sodium/prednisolone sodium phosphate 18 sulfadiazine sulfamethoxazole/trimethoprim SULFAMYLON 98 sulfasalazine 16 SULFATRIM sulindac 7 sumatriptan sumatriptan succinate SUMAVEL DOSEPRO SUPPRELIN LA SUPRAX 17 SUPREP 16 SURE RESULT DSS PREMIUM PACK 7 SURE RESULT TAC PAK 10 SURMONTIL 68 SURVANTA 106 SUSTIVA 1 SUTENT SYEDA 1 SYLATRON 11 SYLATRON -PACK 11 SYLVANT SYMBICORT 1 SYMBYAX 68 SYMLINPEN SYMLINPEN SYNAGIS 1 SYNALAR 10 SYNALAR TS 10 SYNALGOS-DC SYNAREL 10 SYNERA 97 SYNERCID 1 SYNJARDY 11 SYNRIBO SYNTHROID 11 SYPRINE 106 syring w-ndl,disp,insul,0. ml/container,empty 11 syring w-ndl,disp,insul,0. ml/container,empty 116 syringe with needle, insulin, safety, 0. ml 116 syringe with needle, insulin, safety, 0. ml 116 syringe with needle, insulin, safety, 1 ml 116 syringe with needle, insulin,1 ml and sharps container 116 syringe with needle,disposable,insulin 116 syringe with needle,disposable,insulin 1 ml 116 syringe with needle,insulin 0. ml (half unit mark) 117 syringe with needle,insulin disposable,0. ml 117 syringe with needle,insulin disposable,0. ml 117 syringe with needle,insulin,0. ml 117 syringe with needle,insulin,0. ml 117 syringe,needle,insulin,safety,di sposal unit, 1 ml 117 syringe,needle,insulin,safety,di sposal unit,0. ml 11 T TABLOID TACLONEX 9 tacrolimus,9 TAFINLAR TAGRISSO TALTZ AUTOINJECTOR 9 TALTZ AUTOINJECTOR ( PACK) 9 TALTZ AUTOINJECTOR ( PACK) 9 TALTZ SYRINGE 9 TALTZ SYRINGE ( PACK) 9 TALTZ SYRINGE ( PACK) 9 TALWIN 8 TAMIFLU 1 tamoxifen citrate tamsulosin hcl 16 TANZEUM 117 TAPAZOLE 110 TARCEVA TARGRETIN TARINA FE 1 TARKA 81 TARON-BC 167 TARON-C DHA 167 TARON-DUO EC 167 TARON-PREX PRENATAL 167 TASIGNA TASMAR TAXOTERE TAZICEF 17 TAZORAC 9 TAZTIA XT 8 19

196 TECFIDERA TECHNIVIE 1 TEFLARO 17 TEGRETOL 0 TEGRETOL XR 0 TEKTURNA 8 TEKTURNA HCT 8 telmisartan 8 telmisartan/amlodipine besylate 8 telmisartan/hydrochlorothiazide 8 temazepam 69 TEMODAR TEMOVATE 10 TEMOVATE EMOLLIENT 10 TENCON TENEX 8 TENIVAC 1 TENORETIC TENORETIC 0 8 TENORMIN 8 TERAZOL 19 TERAZOL 7 19 terazosin hcl 8 terbinafine hcl 11 terbutaline sulfate 1 terconazole 19 TESTIM 10 TESTONE CIK 10 TESTOPEL 10 testosterone 10 testosterone cypionate 10 testosterone enanthate 10 TESTRED 10 tetanus and diphtheria toxoids, adult 1 tetanus,diphtheria toxoid ped/pf 1 tetrabenazine tetracycline hcl 6 TEXACORT 10 THALOMID THAM 161 THEO- 1 theophylline anhydrous 1 theophylline/dextrose % in water 1 THERACYS 1 THIOLA 106 thioridazine hcl 69 thiotepa thiothixene 69 THRIVITE THRIVITE RX 167 THROMBATE III 87 THYMOGLOBULIN 1 THYROLAR-1 11 THYROLAR-1/ 11 THYROLAR-1/ 11 THYROLAR- 11 THYROLAR- 11 tiagabine hcl 0 TIAZAC 8 TICANASE 1 TIKOSYN 7 TILIA FE 1 timolol maleate 8,16 TIMOPTIC 16 TIMOPTIC OCUDOSE 16 TIMOPTIC-XE 16 TINDAMAX 1 tinidazole 1 TIROSINT 1 TIVICAY 1 TIVORBEX 8 tizanidine hcl 7 TL FOLATE 167 TL-CARE DHA 167 TL-SELECT 167 TL-SELECT DHA 167 TOBI 1 TOBI PODHALER TOBRADEX 18 TOBRADEX ST 18 tobramycin 1 tobramycin in 0. % sodium chloride tobramycin sulfate tobramycin/dexamethasone18 TOBREX 1 TOFRANIL 69 TOLAK 9 tolazamide 117 tolbutamide 117 tolcapone tolmetin sodium 8 tolterodine tartrate 1 TOPAMAX 0 TOPICORT 10 topiramate 0 TOPOSAR topotecan hcl TOPROL XL 8 TORISEL torsemide 8 TOUJEO SOLOSTAR 117 TOVIAZ 1 TPN ELECTROLYTES 19 TRACLEER 1 TRADJENTA 117 tramadol hcl 8 tramadol hcl/acetaminophen 8 trandolapril 8 trandolapril/verapamil hcl 8 tranexamic acid 87,10 TRANSDERM-SCOP 16 TRANXENE T-TAB 69 tranylcypromine sulfate 69 TRAVASOL 161 TRAVATAN Z 18 travoprost (benzalkonium) 18 trazodone hcl

197 TREANDA TRECATOR TRELSTAR TRESIBA FLEXTOUCH U TRESIBA FLEXTOUCH U TRETIN-X 9 tretinoin,9 tretinoin microspheres 9 TREXALL TREXIMET TREZIX TRI-ESTARYLLA 1 TRI-LEGEST FE 1 TRI-LINYAH 1 TRI-LO-ESTARYLLA 1 TRI-LO-MARZIA 1 TRI-LO-SPRINTEC 1 TRI-NORINYL 1 TRI-PREVIFEM 1 TRI-SPRINTEC 1 TRI-TABS DHA 167 TRIADVANCE 167 triamcinolone acetonide 10,108,110 triamterene/hydrochlorothiazide 8 TRIANEX 10 triazolam 69 TRIBENZOR 8 TRICARE 167 TRICARE PRENATAL COMPLEAT 167 TRICARE PRENATAL DHA ONE 167 TRICARE PRENATAL WITH DHA 167 TRICOR 89 TRIDERM 10 TRIESENCE 110 trifluoperazine hcl 69 trifluridine 1 TRIGLIDE 90 trihexyphenidyl hcl TRILEPTAL 0 TRILIPIX 90 TRILYTE WITH FLAVOR PACKETS 16 trimethoprim 6 trimipramine maleate 69 TRINATAL GT 167 TRINATAL RX TRINATAL ULTRA 168 TRINATE 168 TRINESSA 1 TRINESSA LO 1 TRINTELLIX 69 TRIOSTAT 1 TRISENOX TRISTART DHA 168 TRIUMEQ 1 TRIVEEN-DUO DHA 168 TRIVEEN-ONE 168 TRIVEEN-PRX RNF 168 TRIVEEN-TEN 168 TRIVORA-8 1 TRIZIVIR 1 TROKENDI XR 0 TROPHAMINE 161 trospium chloride 1 TRULICITY 118 TRUMENBA 1 TRUSOPT 18 TRUST NATAL DHA 168 TRUVADA 1 TUDORZA PRESSAIR 1 TWINRIX 1 TWYNSTA 8 TYBOST 1 TYGACIL TYKERB TYLENOL-CODEINE NO. TYLENOL-CODEINE NO. TYPHIM VI 1 TYSABRI TYVASO 1 TYVASO INSTITUTIONAL START KIT 1 TYVASO REFILL KIT 1 TYVASO STARTER KIT 1 TYZEKA 1 TYZINE 108 U UCERIS 16 ULORIC 1 ULTIMATE OB DHA 168 ULTIMATECARE ONE 168 ULTIMATECARE ONE NF 168 ULTRACET 8 ULTRAM 8 ULTRAM ER 8 ULTRAVATE 10 ULTRAVATE X 10 UNASYN UNITHROID 1 UNITUXIN UPTRAVI 8 URECHOLINE 16 UROCIT-K 17 UROXATRAL 16 URSO 16 URSO FORTE 16 ursodiol 16 UTIBRON NEOHALER 1 UVADEX 9 V VAGIFEM 19 valacyclovir hcl 1 VALCHLOR 9 VALCYTE 1 197

198 valganciclovir hcl 1 VALIUM 69 valproic acid 0 valproic acid (as sodium salt) (valproate sodium) 0 valsartan 8 valsartan/hydrochlorothiazide8 VALSTAR VALTREX 1 VANATOL LQ VANCOCIN HCL 6 vancomycin hcl 6 vancomycin hcl/dextrose % in water 7 vancomycin in 0.9 % sodium chloride 7 vancomycin in dextrose, isoosmotic 7 VANDAZOLE 10 VANOS 10 VANTAS VAQTA 1 VARIVAX VACCINE 1 VARIZIG 1 VARUBI 16 VASCEPA 90 VASERETIC 8 vasopressin 10 VASOSTRICT 10 VASOTEC 8 VECAMYL 91 VECTIBIX VECTICAL 9 VELCADE VELETRI 8 VELIVET 1 VELPHORO 106 VELTASSA 106 VELTIN 96 VEMAVITE-PRX 168 VENA-BAL DHA 168 VENATAL-FA 168 VENCLEXTA VENCLEXTA STARTING PACK venlafaxine hcl 69 VENTAVIS 1 VENTOLIN HFA 1 VERAMYST 1 verapamil hcl 8 VEREGEN 9 VERELAN 8 VERELAN PM 8 VERIPRED VERSACLOZ 69 VESICARE 1 VESTURA 1 VEXOL 19 VFEND 11 VFEND IV 11 VIBERZI 16 VIBRAMYCIN 6 VICODIN VICODIN ES VICODIN HP VICOPROFEN VICTOZA -PAK 118 VICTOZA -PAK 118 VIDAZA VIDEX 1 VIDEX EC 1 VIEKIRA PAK 1 VIENVA 1 VIGAMOX 1 VIIBRYD 69 VIMIZIM 10 VIMOVO 8 VIMPAT 0 VINACAL 168 VINATE CARE 168 VINATE DHA 168 VINATE DHA RF 168 VINATE GT 168 VINATE II 168 VINATE ONE 168 VINATE PN CARE 168 VINATE ULTRA 168 VINATE-M 168 vinblastine sulfate VINCASAR PFS vincristine sulfate vinorelbine tartrate VIOKACE 17 VIORELE 1 VIRACEPT 1 VIRAMUNE 1 VIRAMUNE XR 1 VIRAZOLE 1 VIREAD 1 VIROPTIC 1 VIRT NATE 168 VIRT-ADVANCE 168 VIRT-BAL DHA 168 VIRT-BAL DHA PLUS 168 VIRT-C DHA 168 VIRT-CARE ONE 168 VIRT-NATE 168 VIRT-NATE DHA 168 VIRT-PHOS 0 NEUTRAL 19 VIRT-PN 168 VIRT-PN DHA 168 VIRT-PN PLUS 168 VIRT-SELECT 168 VIRT-VITE GT 168 VIRTPREX 169 VISTARIL 11 VISTIDE 1 VITAFOL FE+ 169 VITAFOL GUMMIES 169 VITAFOL NANO 169 VITAFOL ULTRA 169 VITAFOL-OB

199 VITAFOL-OB+DHA 169 VITAFOL-ONE 169 VITAFOL-PN 169 VITAMEDMD ONE RX 169 VITAMEDMD PLUS RX 169 VITAMEDMD REDICHEW RX 169 VITAPEARL 169 VITATRUE 169 VITEKTA 1 VIVA CT 169 VIVA DHA 169 VIVELLE-DOT 19 VIVITROL 8 VIVLODEX 8 VOGELXO 10 VOL-NATE 169 VOL-PLUS 169 VOL-TAB RX 169 VOLTAREN 8 VOLUVEN 161 voriconazole 11 VOSPIRE ER 1 VOTRIENT VP CH ULTRA 169 VP-CH PLUS 169 VP-CH-PNV 169 VP-ERA OB PLUS 169 VP-GGR-B6 169 VP-HEME OB 169 VP-HEME OB + DHA 169 VP-HEME ONE 169 VP-PNV-DHA 169 VPRIV 10 VRAYLAR 69 VUSION 99 VYFEMLA 1 VYTORIN 90 VYVANSE 69 W warfarin sodium 87 water for irrigation,sterile 106 WELCHOL 90 WELLBUTRIN 69 WELLBUTRIN SR 70 WELLBUTRIN XL 70 WERA 1 WINRHO SDF 1 WYMZYA FE 1 X XALATAN 18 XALKORI 6 XANAX 70 XANAX XR 70 XARELTO 87 XARTEMIS XR XELJANZ 16 XELJANZ XR 16 XENAZINE XENICAL 10 XEOMIN 1 XERESE 99 XGEVA 7 XIAFLEX 106 XIFAXAN XIGDUO XR 118 XODOL XODOL -00 XODOL XOLAIR 1 XOPENEX 1 XOPENEX CONCENTRATE 1 XOPENEX HFA 1 XTANDI 6 XULANE 10 XYLOCAINE 97 XYLOCAINE DENTAL- EPINEPHRINE 97 XYLOCAINE IV 7 XYLOCAINE WITH EPINEPHRINE 97 XYLOCAINE-MPF 98 XYLOCAINE-MPF WITH EPINEPHRINE 98 XYLON 10 XYREM 70 XYZAL 11 Y YASMIN 8 1 YAZ 1 YERVOY 6 YF-VAX 1 YONDELIS 6 Z zafirlukast 1 zaleplon 70 ZALTRAP 6 ZAMICET ZANAFLEX 7 ZANOSAR 6 ZANTAC 18 ZARAH 1 ZARONTIN 0 ZARXIO 11 ZATEAN-CH 169 ZATEAN-PN 169 ZATEAN-PN DHA 169 ZATEAN-PN PLUS 169 ZAVESCA 10 ZEBETA 8 ZEBUTAL ZEGERID 18 ZELAPAR ZELBORAF 6 ZEMAIRA

200 ZEMBRACE SYMTOUCH ZEMPLAR 10 ZENATANE 96 ZENCHENT 1 ZENCHENT FE 1 ZENPEP 17 ZENZEDI 70 ZEPATIER 1 ZERBAXA 17 ZERIT 1 ZESTORETIC 8 ZESTRIL 8 ZETIA 90 ZETONNA 1 ZIAC 8 ZIAGEN 1 ZIANA 96 zidovudine 1 ZINACEF 17 ZINECARD 7 ZINGIBER 169 ZIOPTAN 18 ziprasidone hcl 70 ZIPSOR 8 ZIRGAN 1 ZITHROMAX 18 ZITHROMAX TRI-PAK 18 ZMAX 18 ZOCOR 90 ZOFRAN 17 ZOFRAN ODT 17 ZOHYDRO ER ZOLADEX 6 zoledronic acid 11 zoledronic acid in mannitol & water for injection 107 ZOLINZA 6 zolmitriptan ZOLOFT 70 zolpidem tartrate 70 ZOMACTON 11 ZOMETA 11 ZOMIG ZOMIG ZMT ZONALON 9 ZONEGRAN 0 zonisamide 0 ZONTIVITY 87 ZORBTIVE 11 ZORTRESS 6 ZORVOLEX 8 ZOSTAVAX 1 ZOSYN ZOVIA 1-E 1 ZOVIA 1-0E 1 ZOVIRAX 1,99 ZUBSOLV 8 ZUPLENZ 17 ZYBAN 107 ZYCLARA 9 ZYDELIG 6 ZYFLO 1 ZYFLO CR 1 ZYKADIA 6 ZYLET 18 ZYLOPRIM 1 ZYMAXID 1 ZYPREXA 70 ZYPREXA RELPREVV 70 ZYPREXA ZYDIS 70 ZYTIGA 6 ZYVOX 00

201 Network Health Medicare Advantage plans include MSA and PPO plans with a Medicare contract. NetworkCares is a PPO SNP plan with Medicare contract and a contract with the Forward Health Wisconsin Medicaid program. Enrollment in N e tw o rk Health Medicare Advantage plans depends on contract renewal. The benefit information is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium and/or copayments/coinsurance may change January 1 of each year. NetworkCares is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, copays, coinsurance and deductibles may vary based on the level of Extra Help you receive. The formulary and pharmacy network may change at any time. You will receive notice when necessary. As an enrollee of our plan, you can get a long-term supply (up to 90 days) of drugs shipped to your home using our plan's network mail order delivery program. Usually you will receive your mail order prescriptions within 1 calendar days. If your order does not arrive within the estimated timeframe, call Express Scripts Customer Service at (TTY ), hours a day/7 days a week. We have made no changes to this formulary since 7/1/016. This formulary was updated on 7/1/016. For more recent information or other questions, please contact Network Health Medicare Advantage plans customer service at or, for TTY users, , hours a day/seven days a week, or visit NetworkHealthMedicare.com. 01