Formulario de Medicamentos OTC

Formulario de Medicamentos OTC 2011 H4004 PMC Medicare Choice, Inc. Y0049_2011 1009 0008 2 File & Use 08312010

Qué es el Formulario de Medicamentos OTC? Es un formulario que contiene una guía de referencia rápida para que tenga una idea de los medicamentos suplidos cubiertos como medicamentos fuera del recetario (OTC, por sus siglas en inglés). Es importante que sepa que esta guía sólo ofrece algunos ejemplos de lo que se cubre en cada categoría. Qué son los medicamentos OTC? Los medicamentos OTC son medicamentos Over The Counter, o sea medicamentos los cuales se encuentran fuera del recetario. Son medicamentos seguros y eficaces para el tratamiento de diferentes condiciones médicas y han sido aprobados por la Administración de Drogas y Alimentos (FDA, por sus siglas en inglés). Cómo funciona este beneficio? Durante el año 2011, su cubierta le ofrece un beneficio de $30.00 trimestrales para medicamentos OTC. Este beneficio le ofrece la oportunidad de adquirir medicamentos de una lista que incluye diversas categorías desde analgésicos, hasta suplidos médicos y suplementos nutricionales. A quién puedo consultar si necesito un medicamento OTC? Consulte con su médico acerca de los diversos medicamentos que pueden ayudarle a sentirse mejor y otros suplidos que le serán útiles tales como gasas, jeringuillas, máquina para tomar la presión, pañales, cremas y otros. 2

Qué debo hacer para obtener un medicamento OTC? Para beneficiarse de esta cubierta, recuerde que necesita pedirle a su médico una receta. Esto es importante pues sólo su médico puede aconsejarle para que consuma los medicamentos y suplidos más indicados según su condición de salud y tomando en cuenta que no vayan a tener reacciones con otros medicamentos recetados que está tomando. Una vez tenga la receta, necesita ir a una farmacia participante y presentarse en el recetario con la receta, los medicamentos o suplidos y su tarjeta del plan. Recuerde que los medicamentos o suplidos deben estar incluidos por su médico en la receta. El farmacéutico procesará su receta como cualquier otra receta médica. Recuerda que si necesitas orientación o ayuda, puedes comunicarte con el Departamento de Servicios al Afiliado de PMC Medicare Choice, de lunes a domingo de 7:30 a.m. a 8:00 p.m. 787-625-2126 (Área Metro), 1-866-516-7700 (libre de cargos), 1-8766-516-7701 TTY. 3

ANALGESICOS ADVIL PM CAPLET ASPIRIN ADULT 81MG TAB EC ARTHRITIS PAIN FORMULA TAB ACETAMINOPHEN PM CP ACETAMINOPHEN EX-STR 500 MG CP ACETAMINOPHEN 160MG/5 ML ELX PERCOGESIC 325/30 TAB TYLENOL P.M. EX-STR CAPLET ACETAMINOPHEN 325 MG TAB TYLENOL ARTHRITIS CAPLET SA TYLENOL EXTRA STR 500 MG EZ TB GEL ANTIACIDOS ACETAMINOPHEN ES 500 MG CP CHILD S TYLENOL SUSPENSION TYLENOL ARTHRITIS GELTAB TYLENOL ES FOR ARTHRITIS PAIN ANTACID ANTI-GAS LIQUID ANTACID DOUBLE STR LIQUID ANTACID EX-STR TABLET CHEW ANTACID LIQUID ANTACID M LIQUID ANTACID M MAX-STR LIQUID ANTACID PLUS ANTI-GAS LIQUID GAVISCON ES TABLET CHEW ANTACID PLUS E/S LIQUID GAVISCON EXTRA STRENGTH LIQ DI-GEL LIQUID GAVISCON FOAM TAB GAVISCON LIQUID GENATON LIQUID MAALOX MAX STRENGTH SUSP MAALOX PLUS X-STRENGTH SUSP MYLANTA MAXIMUM STRENGTH LIQ TITRALAC 420 MG TAB CHEWABLE MYLANTA DOUBLE-STRENGTH LIQ MYLANTA SUPREME ANTACID LIQ ANTI-ACNE MYLANTA LIQUID MYLANTA GELCAP PANOXYL 5 BAR SASTID SOAP ZNP 2% BAR ANTIDIARRHEA ACIDOPHILUS CAPLET ACIDOPHILUS X-STR CAPTAB IMODIUM ADVANCED CAPLET IMODIUM ADVANCED TAB CHEW IMODIUM A-D 1 MG/5ML LIQUID IMODIUM A-D 2 MG CAPLET INTESTINEX CAPSULE KAOPECTATE SUSPENSION KAOPECTATE CHILDREN'S SUSP KOLA-PECTIN DS 525MG/15ML SUSP LOPERAMIDE 1 MG/5 ML LIQUID LOPERAMIDE 2 MG CAP PEPTO-BISMOL SUSPENSION PEPTO-BISMOL CAPLET PEPTO-BISMOL MAX STR SUSP 4

PEPTO-BISMOL TABLET CHEW PINK BISMUTH 262 MG/15 ML PINK BISMUTH LIQ PINK BISMUTH EXT-STR SUSP PINK BISMUTH MAX-STR SUSP PINK BISMUTH TABLET CHEW PINK BISMUTH SUSPENSION PINK BISMUTH CAPLET ANTIHISTAMINICOS/DESCONGESTIONANTES ADVIL COLD & SINUS CAPLET CLARITIN-D 24 HOUR TAB SA NYQUIL D COLD & FLU LIQUID ALAVERT D-12 ALLERGY- SINUS TAB DIMETAPP COLD & ALLERGY ELIXIR TYLENOL ALLERGY SINUS CPLT ANTIHISTAMINICOS BENADRYL-D ALLERGY & SINUS LIQ LORATADINE-D 24HR TAB ALAVERT 10 MG TABLET BENADRYL 25 MG TABLET BENADRYL 25 MG LIQUI-GELS BENADRYL ALLERGY LIQUID CLARITIN 10 MG REDITABS CLARITIN 10 MG TABLET CLARITIN 5 MG/5 ML SYRUP DIPHENHYDRAMINE 25 MG CAPLET DIPHENHYDRAMINE 25 MG TABLET DIPHENHIST 12.5/5 ML SOLN LORATADINE 5 MG/5 ML SYRUP ANTI-INFLAMATORIOS NO-ESTEROIDALES LORATADINE 10MG TABLRT ADVIL 200 MG TABLET ADVIL 200 MG GEL CAPLET ADVIL 200 MG CAPLET ADVIL 200 MG LIQUI-GEL CAP ADVIL MIGRAINE 200 MG CAPS ALEVE 220 MG CAPLET ALEVE 220 MG GELCAP ALEVE 220 MG TABLET IBUPROFEN 200 MG CAPLET IBUPROFEN 200 MG SOFTGEL IBUPROFEN 200 MG TABLET IBUPROFEN IB 50 MG CAPLET IBUPROFEN JR STR 100 MG TAB MOTRIN 100 MG TABLET CHEW MOTRIN 50 MG TABLET CHEWABLE MOTRIN IB 200 MG TABLET NAPROXEN SODIUM 220 MG TAB IBUPROFEN JR STR 100 MG TB CHW MOTRIN 100 MG/5 ML SUSPENSION MOTRIN IB 200 MG CAPLET NAPROXEN SODIUM 220 MG CAPLET MOTRIN 100 MG CAPLET MOTRIN 40 MG/ML SUSP DROPS MOTRIN IB 200 MG GELCAP NAPROXEN SODIUM 220 MG CPLT 5

ANTI-INFECTIVOS TOPICOS GINECOLOGICOS MASSENGILL DISP DOUCHE 2 PK MASSENGILL DISP DOUCHE 4 PK ANTAGONISTAS H2 ACID REDUCER 10 MG TABLET PEPCID AC 20 MG Tablet PEPCID AC 10 MG TABLET PEPCID AC 10 MG GELCAP ZANTAC 75 Tablet ZANTAC MAX STRENGTH 150 MG TAB ANTIFUNGALES TOPICOS ANTI-FUNGAL CREAM ANTI-FUNGAL 1% POWDER LAMISIL AT 1% CREAM LAMISIL AT 1% GEL LAMISIL AT 1% SPRAY LAMISIL AF DEFENSE 1% POWDER LOTRIMIN ULTRA 1% CREAM LOTRIMIN AF 1% CREAM LOTRIMIN AF 1% LOTION LOTRIMIN AF 1% SOLUTION LOTRIMIN AF 2% SPRAY POWDER LOTRIMIN AF 2% LIQUID SPRAY LOTRIMIN AF 2% POWDER TINACTIN 1% AEROSOL TINACTIN 1% AEROSOL POWDER TINACTIN 1% CREAM TINACTIN 1% SOLUTION TINACTIN 1% DEODORANT SPRY PWD TINACTIN 1% POWDER ASPIRINAS BAYER 325MG CAPLET BAYER ARTHRITIS 500 MG CAPLT BAYER PLUS 500 MG CAPLET EXCEDRIN MIGRAINE GELTAB EXCEDRIN MIGRAINE CAPLET EXCEDRIN MIGRAINE TABLET ECOTRIN 81 MG TABLET EC BACITRACIN ZINC OINTMENT ANTIBACTERIALES TOPICOS BACITRACIN ZN 500 UNIT/GM OINT BACITRACIN-POLYMYXIN OINTMENT NEOSPORIN PLUS CREAM NEOSPORIN PLUS OINTMENT TRIPLE ANTIBIOTIC OINT TRIPLE ANTIBIOTIC PLUS OINT TRIPLE ANTIBIOTIC XTRA OINT 6

ANESTESICOS TOPICOS ANTI-ITCH CREAM ANTIFUNGALES VAGINALES GYNE-LOTRIMIN 1% CREAM GYNE-LOTRIMIN 3 DAY 2% CRM GYNE-LOTRIMIN INSERT MONISTAT 7 100 MG VAG SUPP MONISTAT 7 COMBINATION PACK GYNE-LOTRIMIN 3 VAG INSERT MONISTAT 7 CREAM ANTIPSORIASIS Y ANTIECZEMA DHS TAR 0.5% SHAMPOO DHS TAR GEL 0.5% SHAMPOO DHS ZINC 2% SHAMPOO DHS SAL 3% SHAMPOO ANTIEMETICOS Y MAREOS DRAMAMINE 50MG TABLET BENADRYL ITCH STOPPING CRM DRAMAMINE 50 MG CHEW TABLET ANTIPRURITO BENADRYL ITCH STOPPING GEL EMETROL ORAL SOLUTION ANTI-ITCH 2% CREAM ANTITUSIVOS Y EXPECTORANTES DIABETIC TUSSIN DM LIQUID DIABETIC TUSSIN EX 400 TABLET VICKS DAYQUIL LIQUICAPS ROBITUSSIN COUGH-COLD LIQUID ROBITUSSIN COUGH-CONG SYRUP ANTIULCERAS VICKS 44 COUGH LIQUID ROBITUSSIN-DM SYRUP PEPCID COMPLETE TABLET CHEW BOCA Y GARGANTA ORABASE-B 20% GEL ORABASE-B 20% PASTE SORE THROAT SPRAY LISTERINE ANTISEPTIC SALIVA SUBSTITUTE SOLUTION SENSODYNE TOOTHPASTE 7

CORTICOSTEROIDES TOPICOS ANTI-ITCH 1% OINTMENT ANTI-ITCH CREME 1% CREAM CORTIZONE-10 1% CREME CORTIZONE-10 1% OINTMENT CORTIZONE-10 PLUS 1% CREME CORTIZONE-10 PLUS CREME HYDROCORTISONE 0.5% CREAM HYDROCORTISONE PLUS 12 1% CRM HYDROCORTISONE 0.5% OINT HYDROCORTISONE PLUS 1% CREAM PREPARATION H 1% CREAM DESCONGESTIONANTES AFRIN 120 MG TABLET SA SUDAFED 30MG TABLET SUDAFED 24 HOUR TABLET SUDAFED 12HR 120 MG TABLET BENGAY ULTRA STRENGTH CREAM BENGAY ULTRA STRENGTH PATCH SUPHEDRIN 30 MG TABLET DERMATOLOGICOS TOPICOS BENGAY PAIN RELIEVING PATCH BENGAY VANISHING SCENT GEL BENGAY GREASELESS CREAM CALADRYL LOTION CALADRYL CLEAR LOTION DHS SHAMPOO DHS CLEAR SHAMPOO KERI ORIG MOIST THERAPY LOT KERI NOURSHNG SHEA BUTTER LOTN KERI ADV MOIST THERAPY LOTION HYDROCERIN CREAM HYDROCERIN LOTION Agua Oxygenada (HYDROGEN PEROXIDE 3% SOLN) MUSCLE RUB CREAM MUSCLE RUB MAX STR CREAM MUSCLE RUB OINTMENT MUSCLE RUB ULTRA STRN CREAM MASSE BREAST CREAM TRIPLE PASTE MEDICATED OINT VICKS VAPORUB OINTMENT VICKS VAPORUB CREAM VITAMIN A & D OINTMENT DESCONGESTIONANTES AFRIN 120 MG TABLET SA SUDAFED 30MG TABLET SUDAFED 24 HOUR TABLET SUDAFED 12HR 120 MG TABLET SUPHEDRIN 30 MG TABLET DIAGNOSTICOS-PRODUCTOS Y SUMINISTROS BLOOD PRESSURE AUTO MONITOR BLOOD PRESSURE MANUAL KIT PERSONAL BEST PEAK FLOW METER 8

DROGAS PARA OIDOS EAR DROPS 6.5% EAR DROPS 6.5% EARWAX AID MURINE EAR WAX REMOVAL SYSTEM DROGAS PARA NARIZ AFRIN SINUS SPRAY AFRIN 12 HOUR MOISTURIZING AFRIN SALINE NASAL MIST AYR SALINE 0.65% NOSE DROPS AFRIN MENTHOL SPRAY AFRIN 0.05% NASAL SPRAY AFRIN 0.025% NOSE DROPS VICKS INHALER VICKS SINEX LA SPRAY SUDAFED OM SINUS NASAL SPRAY PEDIALYTE SOLUTION ELECTROLITOS PEDIALYTE SINGLES SOLUTION GASTROINTESTINALES ANTI-GAS LIQUID CAPS DAIRY DIGESTIVE AID 9,000 UNIT DAIRY DIGESTIVE TABLET CHEW PHAZYME 180 MG SOFTGEL ANTI-GAS ULTRA STR SOFTGEL DAIRY DIGESTIVE CAPLET MYLANTA GAS 125 MG TAB CHEW PAPAYA ENZYME TABLET CHEW DAIRY DIGEST ULTRA 9,000 UNITS DAIRY DIGESTIVE SUPPLEMENT MYLANTA GAS RELIEF MAX- STR PAPAYA TABLET CHEW PREPARATION H OINTMENT PREPARATION H CREAM PREPARATION H SUPPOSITORY PREPARATION H COOLING GEL PREPARATION H MEDICATED WIPES HIERBAS NATURALES GINKGO 60 MG TABLET GINKGO BILOBA 40 MG CAP GINKGO BILOBA 40 MG TABLET GINKGO BILOBA 120 MG CAPSULE ST. JOHN'S WORT 150 MG CAPSULE (Insomnio) LAXANTES Y CATARTICOS ST. JOHN S WORT 300MG CAPSULE(Insomnio) COLACE 100 MG CAPSULE CITRATE OF MAGNESIA SOLN EX-LAX MAX RELIEF PILLS KAOPECTATE 240 MG SOFTGEL METAMUCIL FIBER WAFER METAMUCIL OT POWDER METAMUCIL PACKET METAMUCIL POWDER METAMUCIL PACKET S-F 9

METAMUCIL CAPSULE PREPARATION CLEANSING KIT SENNA TABLET OFTALMICOS ARTIFICIAL TEARS DROPS ARTIFICIAL TEARS EYE DROPS ARTIFICIAL TEARS EYE OINT ARTIFICIAL TEARS OPHTH SOL ARTIFICIAL TEARS TEARGEN DROPS TEARGEN II EYE DROPS TEARS AGAIN DROPS TEARS NATURALE FREE DROPS TEARS AGAIN EYE OINTMENT TEARS NATURALE PM EYE OINT VISINE ALLERGY RELIEF DROP VISINE FOR CONTACTS DROPS VISINE-A EYE DROPS VISINE ORIGINAL 0.05% EYE DROP PPI (INHIBIDOR DE BOMBA DE PROTONES) PRILOSEC OTC 20MG TABLET PRODUCTOS PARA DEJAR DE FUMAR NICODERM CQ 21 MG/24HR PATCH NICORETTE 2 MG CHEWING GUM NICORETTE 4 MG GUM NICODERM CQ 14 MG/24HR PATCH NICORETTE 2 MG GUM NICORETTE GUM 110'S NICODERM CQ 7 MG/24HR PATCH NICORETTE 4 MG CHEWING GUM SUPLEMENTOS NUTRICIONALES BOOST DIABETIC LIQUID BOOST ENERGY DRINK BOOST HIGH PROTEIN ENERGY DRNK BOOST HIGH PROTEIN LIQUID BOOST KID ESSENTIALS LIQUID BOOST PLUS ENERGY DRINK BOOST PUDDING BOOST SMOOTHIE BOOST WITH BENEFIBER LIQUID ENSURE ENLIVE LIQUID ENSURE HIGH CALCIUM LIQUID ENSURE HIGH PROTEIN LIQUID ENSURE LIQUID ENSURE PLUS LIQUID ENSURE POWDER ENSURE PUDDING ENSURE WITH FIBER LIQUID GLUCERNA 1.2 CAL LIQUID GLUCERNA 1.5 CAL LIQUID GLUCERNA BAR GLUCERNA LIQUID GLUCERNA MEAL BAR GLUCERNA MINI-SNACK BAR GLUCERNA SELECT LIQUID GLUCERNA SHAKE GLUCERNA SNACK BAR GLUCERNA SNACK SHAKE 10

PULMOCARE LIQUID (LACTOSE-FREE FOOD) VALINE PACKET(AMINO ACID) SUMINISTROS MEDICOS (VARIOS) ACE PLUS RIGID WRIST BRACE ACE PLUS KNEE BRACE SMALL ASSURANCE BRIEF MEDIUM (pamper cama) ACE PLUS KNEE BRACE LARGE ASSURANCE UNDERGARMENT (PAD) ASSURANCE BRIEF LARGE (pamper cama) ACE PLUS KNEE BRACE MEDIUM ASSURANCE BRIEF SMALL (pamper cama) ASSURANCE FEMININE PAD (pamper cama) DEPENDS GUARDS FOR MEN DEPEND PANTS DEPEND BRIEF, MEDIUM DEPEND BRIEF, LARGE DEPEND FITTED BRIEF, SMALL DEPEND FITTED BRIEF MEDIUM DEPEND FITTED BRIEF LARGE DIABETIC SOCKS ISOPROPYL ALCOHOL ISOPROPYL 70% ALCOHOL ISOPROPYL ALCOHOL 70% ISOPROPYL ALCOHOL 91% ISOPROPYL ALCOHOL 99% KNEE BRACE-MEDIUM (Rodillera) KNEE BRACE LARGE-XLARGE (Rodillera) ISOPROPYL RUBBING ALCOHOL KNEE BRACE-LARGE (Rodillera) KNEE BRACE, NYLON-SMALL (Rodillera) KNEE BRACE-SMALL (Rodillera) KNEE BRACE-XLARGE (Rodillera) KNEE BRACE, NYLON- MEDIUM (Rodillera) KNEE BRACE, NYLON-LARGE (Rodillera) KNEE COMFORTER-SMALL KNEE COMFORTER-MEDIUM KNEE COMFORTER-LARGE KNEE COMFORTER-XLARGE KNEE SUPPORT-ELASTIC SM- MED KNEE SUPPORT-ELASTIC LG- XL BD 1 ML TB SYRINGE (TUBERCULIN SYRINGES) BD 10 ML SYRINGE BULK (NON INSULIN SYRINGES/NEEDLES) BD 1 ML SYRINGE WITH NEEDLE (DIABETIC SUPPLIES) BD 10 ML CONTROL SYRINGE (NON INSULIN SYRINGES/NEEDLES) GAUZE 2"X 2 YARDS BD 10 ML SYRINGE WITH NEEDLE (NON INSULIN SYRINGES/NEEDLES) BD 10 ML SYRINGE (NON INSULIN SYRINGES/NEEDLES) GAUZE DRESSING 4"X4" GAUZE BANDAGE 2"X4YD GAUZE BANDAGE 3"X2.5YDS GAUZE BANDAGE 3"X4YD GAUZE PADS, STERILE 3"X3" GAUZE PADS, STERILE 4"X4" GAUZE STRETCH ROLL 2"X4.1YD GAUZE STRETCH ROLL 3"X4.1YD PAMPERS ULTRA DRY-UNISEX STERILE BANDAGES PAMPERS MEDIUM PULMO-AIDE COMPACT COMPRESSOR (NEBULIZER) PAMPERS LARGE REPLENS VAGINAL APPLICATOR 11

CALTRATE 600 TABLET CALTRATE 600 W-D TABLET VITAMINAS & MINERALES CALTRATE 600+D PLUS TAB CHEW CALTRATE-600 WITH VIT D TAB CALTRATE PLUS TABLET CENTRUM TABLET CENTRUM SILVER TABLET CENTRUM CARDIO TABLET CENTRUM LIQUID FISH OIL 1,000 MG CAPSULE FISH OIL 1,000 MG SOFTGEL FISH OIL 1,200 MG SOFTGEL FISH OIL 300 MG SOFTGEL FISH OIL 500 MG SOFTGEL FISH OIL CONC 1,000 MG SOFTGEL FISH OIL CONCENTRATE SOFTGEL TUMS TABLET CHEWABLE TUMS CALCIUM TAB CHEWABLE FISH OIL EXTRA STRENGTH SOFTGL TUMS ULTRA TABLET CHEWABLE FOLIC ACID 0.4 MG TABLET FISH OIL SOFTGEL TUMS CALCIUM TAB CHEWABLE FOLIC ACID 0.8 MG TABLET FOLIC ACID 400 MCG TABLET FOLIC ACID 800 MCG TABLET FOLIC ACID POWDER B-COMPLEX WITH B12 TABLET B COMPLEX FORMULA #1 TABLET OMEGA-3 FISH OIL 1,200 MG STGL B COMPLEX CAPSULE TRIPLE AMINO ACID COMP TAB OMEGA-3 FISH OIL SOFTGEL B COMPLEX TABLET OMEGA 3 1,000 MG SOFTGEL SLOW FE 160 MG TABLET VITAMIN A & D CAPSULE VITAMIN C 1,000 MG CAPLET VITAMIN D 1,000 UNIT TABLET VITAMIN E 1,000 UNIT CAPSULE VITAMIN E 600 UNIT CAPSULE VITAMIN D 400 UNIT TABLET 12

Índice de Medicamentos: ACE PLUS KNEE BRACE LARGE, 11 ACE PLUS KNEE BRACE MEDIUM, 11 ACE PLUS KNEE BRACE SMALL, 11 ACE PLUS RIGID WRIST BRACE, 11 ACETAMINOPHEN 160MG/5 ML ELX, 4 ACETAMINOPHEN 325 MG TAB, 4 ACETAMINOPHEN ES 500 MG CP, 4 ACETAMINOPHEN EX-STR 500 MG CP, 4 ACETAMINOPHEN PM CP, 4 ACID REDUCER 10 MG TABLET, 6 ACIDOPHILUS CAPLET, 4 ACIDOPHILUS X-STR CAPTAB, 4 ADVIL 200 MG CAPLET, 5 ADVIL 200 MG GEL CAPLET, 5 ADVIL 200 MG LIQUI-GEL CAP, 5 ADVIL 200 MG TABLET, 5 ADVIL COLD & SINUS CAPLET, 5 ADVIL MIGRAINE 200 MG CAPS, 5 ADVIL PM CAPLET, 4 AFRIN 0.025% NOSE DROPS, 9 AFRIN 0.05% NASAL SPRAY, 9 AFRIN 12 HOUR MOISTURIZING, 9 AFRIN 120 MG TABLET SA, 8 AFRIN MENTHOL SPRAY, 9 AFRIN SALINE NASAL MIST, 9 AFRIN SINUS SPRAY, 9 Agua Oxygenada (HYDROGEN PEROXIDE 3% SOLN), 8 ALAVERT 10 MG TABLET, 5 ALAVERT D-12 ALLERGY-SINUS TAB, 5 ALEVE 220 MG CAPLET, 5 ALEVE 220 MG GELCAP, 5 ALEVE 220 MG TABLET, 5 ANALGESICOS, 4 ANALGESICS (ANALGESICOS), 4, 5, 7, 8, 9 ANESTESICOS TOPICOS, 7 ANTACID ANTI-GAS LIQUID, 4 ANTACID DOUBLE STR LIQUID, 4 ANTACID EX-STR TABLET CHEW, 4 ANTACID LIQUID, 4 ANTACID M LIQUID, 4 ANTACID M MAX-STR LIQUID, 4 ANTACID PLUS ANTI-GAS LIQUID, 4 ANTACID PLUS E/S LIQUID, 4 ANTAGONISTAS H2, 6 ANTIACIDOS, 4 ANTI-ACNE, 4 ANTIBACTERIALES TOPICOS, 6 ANTIDIARRHEA, 4 ANTIEMETICOS Y MAREOS, 7 ANTI-FUNGAL 1% POWDER, 6 ANTI-FUNGAL CREAM, 6 ANTIFUNGALES TOPICOS, 6 ANTIFUNGALES VAGINALES, 7 ANTI-GAS LIQUID CAPS, 9 ANTI-GAS ULTRA STR SOFTGEL, 9 ANTIHISTAMINICOS, 5 ANTIHISTAMINICOS/DESCONGESTION ANTES, 5 ANTI-INFECTIVOS TOPICOS GINECOLOGICOS, 6 ANTI-INFLAMATORIOS NO- ESTEROIDALES, 5 ANTI-ITCH 1% OINTMENT, 8 ANTI-ITCH 2% CREAM, 7 ANTI-ITCH CREAM, 7 ANTI-ITCH CREME 1% CREAM, 8 ANTIPRURITO, 7 ANTIPSORIASIS Y ANTIECZEMA, 7 ANTIULCERAS, 7 ARTHRITIS PAIN FORMULA TAB, 4 ARTIFICIAL TEARS, 10 ARTIFICIAL TEARS DROPS, 10 ARTIFICIAL TEARS EYE DROPS, 10 ARTIFICIAL TEARS EYE OINT, 10 ARTIFICIAL TEARS OPHTH SOL, 10 ASPIRIN ADULT 81MG TAB EC, 4 ASPIRINAS, 6 ASSURANCE BRIEF LARGE (pamper cama), 11 ASSURANCE BRIEF MEDIUM (pamper cama), 11 ASSURANCE BRIEF SMALL (pamper cama), 11 13

ASSURANCE FEMININE PAD (pamper cama), 11 ASSURANCE UNDERGARMENT (PAD), 11 AYR SALINE 0.65% NOSE DROPS, 9 B COMPLEX CAPSULE, 12 B COMPLEX FORMULA #1 TABLET, 12 B COMPLEX TABLET, 12 BACITRACIN ZINC OINTMENT, 6 BACITRACIN ZN 500 UNIT/GM OINT, 6 BACITRACIN-POLYMYXIN OINTMENT, 6 BAYER 325MG CAPLET, 6 BAYER ARTHRITIS 500 MG CAPLT, 6 BAYER PLUS 500 MG CAPLET, 6 B-COMPLEX WITH B12 TABLET, 12 BD 1 ML SYRINGE WITH NEEDLE (DIABETIC SUPPLIES), 11 BD 1 ML TB SYRINGE (TUBERCULIN SYRINGES), 11 BD 10 ML CONTROL SYRINGE (NON INSULIN SYRINGES/NEEDLES), 11 BD 10 ML SYRINGE (NON INSULIN SYRINGES/NEEDLES), 11 BD 10 ML SYRINGE BULK (NON INSULIN SYRINGES/NEEDLES), 11 BD 10 ML SYRINGE WITH NEEDLE (NON INSULIN SYRINGES/NEEDLES), 11 BENADRYL 25 MG LIQUI-GELS, 5 BENADRYL 25 MG TABLET, 5 BENADRYL ALLERGY LIQUID, 5 BENADRYL ITCH STOPPING CRM, 7 BENADRYL ITCH STOPPING GEL, 7 BENADRYL-D ALLERGY & SINUS LIQ, 5 BENGAY GREASELESS CREAM, 8 BENGAY PAIN RELIEVING PATCH, 8 BENGAY ULTRA STRENGTH CREAM, 8 BENGAY ULTRA STRENGTH PATCH, 8 BENGAY VANISHING SCENT GEL, 8 BLOOD PRESSURE AUTO MONITOR, 8 BLOOD PRESSURE MANUAL KIT, 8 BOCA Y GARGANTA, 7 BOOST DIABETIC LIQUID, 10 BOOST ENERGY DRINK, 10 BOOST HIGH PROTEIN ENERGY DRNK, 10 BOOST HIGH PROTEIN LIQUID, 10 BOOST KID ESSENTIALS LIQUID, 10 BOOST PLUS ENERGY DRINK, 10 BOOST PUDDING, 10 BOOST SMOOTHIE, 10 BOOST WITH BENEFIBER LIQUID, 10 CALADRYL CLEAR LOTION, 8 CALADRYL LOTION, 8 CALTRATE 600 TABLET, 12 CALTRATE 600 W-D TABLET, 12 CALTRATE 600+D PLUS TAB CHEW, 12 CALTRATE PLUS TABLET, 12 CALTRATE-600 WITH VIT D TAB, 12 CENTRUM CARDIO TABLET, 12 CENTRUM LIQUID, 12 CENTRUM SILVER TABLET, 12 CENTRUM TABLET, 12 CHILD S TYLENOL SUSPENSION, 4 CITRATE OF MAGNESIA SOLN, 9 CLARITIN 10 MG REDITABS, 5 CLARITIN 10 MG TABLET, 5 CLARITIN 5 MG/5 ML SYRUP, 5 CLARITIN-D 24 HOUR TAB SA, 5 COLACE 100 MG CAPSULE, 9 CORTICOSTEROIDES TOPICOS, 8 CORTIZONE-10 1% CREME, 8 CORTIZONE-10 1% OINTMENT, 8 CORTIZONE-10 PLUS 1% CREME, 8 CORTIZONE-10 PLUS CREME, 8 DAIRY DIGEST ULTRA 9,000 UNITS, 9 DAIRY DIGESTIVE AID 9,000 UNIT, 9 DAIRY DIGESTIVE CAPLET, 9 DAIRY DIGESTIVE SUPPLEMENT, 9 DAIRY DIGESTIVE TABLET CHEW, 9 DEPEND BRIEF, LARGE, 11 DEPEND BRIEF, MEDIUM, 11 DEPEND FITTED BRIEF LARGE, 11 DEPEND FITTED BRIEF MEDIUM, 11 DEPEND FITTED BRIEF, SMALL, 11 DEPEND PANTS, 11 DEPENDS GUARDS FOR MEN, 11 DERMATOLOGICOS TOPICOS, 8 DESCONGESTIONANTES, 8 DHS CLEAR SHAMPOO, 8 14

DHS SAL 3% SHAMPOO, 7 DHS SHAMPOO, 8 DHS TAR 0.5% SHAMPOO, 7 DHS TAR GEL 0.5% SHAMPOO, 7 DHS ZINC 2% SHAMPOO, 7 DIABETIC SOCKS, 11 DIABETIC TUSSIN DM LIQUID, 7 DIABETIC TUSSIN EX 400 TABLET, 7 DIAGNOSTICOS-PRODUCTOS Y SUMINISTROS, 8 DI-GEL LIQUID, 4 DIMETAPP COLD & ALLERGY ELIXIR, 5 DIPHENHIST 12.5/5 ML SOLN, 5 DIPHENHYDRAMINE 25 MG CAPLET, 5 DIPHENHYDRAMINE 25 MG TABLET, 5 DRAMAMINE 50 MG CHEW TABLET, 7 DRAMAMINE 50MG TABLET, 7 DROGAS PARA NARIZ, 9 DROGAS PARA OIDOS, 9 EAR DROPS 6.5%, 9 EAR DROPS 6.5% EARWAX AID, 9 ECOTRIN 81 MG TABLET EC, 6 ELECTROLITOS, 9 EMETROL ORAL SOLUTION, 7 ENSURE ENLIVE LIQUID, 10 ENSURE HIGH CALCIUM LIQUID, 10 ENSURE HIGH PROTEIN LIQUID, 10 ENSURE LIQUID, 10 ENSURE PLUS LIQUID, 10 ENSURE POWDER, 10 ENSURE PUDDING, 10 ENSURE WITH FIBER LIQUID, 10 EXCEDRIN MIGRAINE CAPLET, 6 EXCEDRIN MIGRAINE GELTAB, 6 EXCEDRIN MIGRAINE TABLET, 6 EX-LAX MAX RELIEF PILLS, 9 FISH OIL 1,000 MG CAPSULE, 12 FISH OIL 1,000 MG SOFTGEL, 12 FISH OIL 1,200 MG SOFTGEL, 12 FISH OIL 300 MG SOFTGEL, 12 FISH OIL 500 MG SOFTGEL, 12 FISH OIL CONC 1,000 MG SOFTGEL, 12 FISH OIL CONCENTRATE SOFTGEL, 12 FISH OIL EXTRA STRENGTH SOFTGL, 12 FISH OIL SOFTGEL, 12 FOLIC ACID 0.4 MG TABLET, 12 FOLIC ACID 0.8 MG TABLET, 12 FOLIC ACID 400 MCG TABLET, 12 FOLIC ACID 800 MCG TABLET, 12 FOLIC ACID POWDER, 12 GASTROINTESTINALES, 9 GAUZE 2"X 2 YARDS, 11 GAUZE BANDAGE 2"X4YD, 11 GAUZE BANDAGE 3"X2.5YDS, 11 GAUZE BANDAGE 3"X4YD, 11 GAUZE DRESSING 4"X4", 11 GAUZE PADS, STERILE 3"X3", 11 GAUZE PADS, STERILE 4"X4", 11 GAUZE STRETCH ROLL 2"X4.1YD, 11 GAUZE STRETCH ROLL 3"X4.1YD, 11 GAVISCON ES TABLET CHEW, 4 GAVISCON EXTRA STRENGTH LIQ, 4 GAVISCON FOAM TAB, 4 GAVISCON LIQUID, 4 GENATON LIQUID, 4 GINKGO 60 MG TABLET, 9 GINKGO BILOBA 120 MG CAPSULE, 9 GINKGO BILOBA 40 MG CAP, 9 GINKGO BILOBA 40 MG TABLET, 9 GLUCERNA 1.2 CAL LIQUID, 10 GLUCERNA 1.5 CAL LIQUID, 10 GLUCERNA BAR, 10 GLUCERNA LIQUID, 10 GLUCERNA MEAL BAR, 10 GLUCERNA MINI-SNACK BAR, 10 GLUCERNA SELECT LIQUID, 10 GLUCERNA SHAKE, 10 GLUCERNA SNACK BAR, 10 GLUCERNA SNACK SHAKE, 10 GYNE-LOTRIMIN 1% CREAM, 7 GYNE-LOTRIMIN 3 DAY 2% CRM, 7 GYNE-LOTRIMIN 3 VAG INSERT, 7 GYNE-LOTRIMIN INSERT, 7 HIERBAS NATURALES, 9 HYDROCERIN CREAM, 8 HYDROCERIN LOTION, 8 HYDROCORTISONE 0.5% CREAM, 8 HYDROCORTISONE 0.5% OINT, 8 HYDROCORTISONE PLUS 1% CREAM, 8 HYDROCORTISONE PLUS 12 1% CRM, 8 15

IBUPROFEN 200 MG CAPLET, 5 IBUPROFEN 200 MG SOFTGEL, 5 IBUPROFEN 200 MG TABLET, 5 IBUPROFEN IB 50 MG CAPLET, 5 IBUPROFEN JR STR 100 MG TAB, 5 IBUPROFEN JR STR 100 MG TB CHW, 5 IMODIUM A-D 1 MG/5ML LIQUID, 4 IMODIUM A-D 2 MG CAPLET, 4 IMODIUM ADVANCED CAPLET, 4 IMODIUM ADVANCED TAB CHEW, 4 INTESTINEX CAPSULE, 4 ISOPROPYL 70% ALCOHOL, 11 ISOPROPYL ALCOHOL, 11 ISOPROPYL ALCOHOL 70%, 11 ISOPROPYL ALCOHOL 91%, 11 ISOPROPYL ALCOHOL 99%, 11 ISOPROPYL RUBBING ALCOHOL, 11 KAOPECTATE CHILDREN'S SUSP, 4 KAOPECTATE 240 MG SOFTGEL, 9 KAOPECTATE SUSPENSION, 4 KERI ADV MOIST THERAPY LOTION, 8 KERI NOURSHNG SHEA BUTTER LOTN, 8 KERI ORIG MOIST THERAPY LOT, 8 KNEE BRACE LARGE-XLARGE (Rodillera), 11 KNEE BRACE, NYLON-LARGE (Rodillera), 11 KNEE BRACE, NYLON-MEDIUM (Rodillera), 11 KNEE BRACE, NYLON-SMALL (Rodillera), 11 KNEE BRACE-LARGE (Rodillera), 11 KNEE BRACE-MEDIUM (Rodillera), 11 KNEE BRACE-SMALL (Rodillera), 11 KNEE BRACE-XLARGE (Rodillera), 11 KNEE COMFORTER-LARGE, 11 KNEE COMFORTER-MEDIUM, 11 KNEE COMFORTER-SMALL, 11 KNEE COMFORTER-XLARGE, 11 KNEE SUPPORT-ELASTIC LG-XL, 11 KNEE SUPPORT-ELASTIC SM-MED, 11 KOLA-PECTIN DS 525MG/15ML SUSP, 4 LAMISIL AF DEFENSE 1% POWDER, 6 LAMISIL AT 1% CREAM, 6 LAMISIL AT 1% GEL, 6 LAMISIL AT 1% SPRAY, 6 LAXANTES Y CATARTICOS, 9 LISTERINE ANTISEPTIC, 7 LOPERAMIDE 1 MG/5 ML LIQUID, 4 LOPERAMIDE 2 MG CAP, 4 LORATADINE 10MG TABLRT, 5 LORATADINE 5 MG/5 ML SYRUP, 5 LORATADINE-D 24HR TAB, 5 LOTRIMIN AF 1% CREAM, 6 LOTRIMIN AF 1% LOTION, 6 LOTRIMIN AF 1% SOLUTION, 6 LOTRIMIN AF 2% LIQUID SPRAY, 6 LOTRIMIN AF 2% POWDER, 6 LOTRIMIN AF 2% SPRAY POWDER, 6 LOTRIMIN ULTRA 1% CREAM, 6 MAALOX MAX STRENGTH SUSP, 4 MAALOX PLUS X-STRENGTH SUSP, 4 MASSE BREAST CREAM, 8 MASSENGILL DISP DOUCHE 2 PK, 6 MASSENGILL DISP DOUCHE 4 PK, 6 METAMUCIL CAPSULE, 10 METAMUCIL FIBER WAFER, 9 METAMUCIL OT POWDER, 9 METAMUCIL PACKET, 9 METAMUCIL PACKET S-F, 9 METAMUCIL POWDER, 9 MONISTAT 7 100 MG VAG SUPP, 7 MONISTAT 7 COMBINATION PACK, 7 MONISTAT 7 CREAM, 7 MOTRIN 100 MG CAPLET, 5 MOTRIN 100 MG TABLET CHEW, 5 MOTRIN 100 MG/5 ML SUSPENSION, 5 MOTRIN 40 MG/ML SUSP DROPS, 5 MOTRIN 50 MG TABLET CHEWABLE, 5 MOTRIN IB 200 MG CAPLET, 5 MOTRIN IB 200 MG GELCAP, 5 MOTRIN IB 200 MG TABLET, 5 MURINE EAR WAX REMOVAL SYSTEM, 9 MUSCLE RUB CREAM, 8 MUSCLE RUB MAX STR CREAM, 8 MUSCLE RUB OINTMENT, 8 MUSCLE RUB ULTRA STRN CREAM, 8 MYLANTA DOUBLE-STRENGTH LIQ, 4 MYLANTA GAS 125 MG TAB CHEW, 9 MYLANTA GAS RELIEF MAX-STR, 9 16

MYLANTA GELCAP, 4 MYLANTA LIQUID, 4 MYLANTA MAXIMUM STRENGTH LIQ, 4 MYLANTA SUPREME ANTACID LIQ, 4 NAPROXEN SODIUM 220 MG CAPLET, 5 NAPROXEN SODIUM 220 MG CPLT, 5 NAPROXEN SODIUM 220 MG TAB, 5 NEOSPORIN PLUS CREAM, 6 NEOSPORIN PLUS OINTMENT, 6 NICODERM CQ 14 MG/24HR PATCH, 10 NICODERM CQ 21 MG/24HR PATCH, 10 NICODERM CQ 7 MG/24HR PATCH, 10 NICORETTE 2 MG CHEWING GUM, 10 NICORETTE 2 MG GUM, 10 NICORETTE 4 MG CHEWING GUM, 10 NICORETTE 4 MG GUM, 10 NICORETTE GUM 110'S, 10 NYQUIL D COLD & FLU LIQUID, 5 OFTALMICOS, 10 OMEGA 3 1,000 MG SOFTGEL, 12 OMEGA-3 FISH OIL 1,200 MG STGL, 12 OMEGA-3 FISH OIL SOFTGEL, 12 ORABASE-B 20% GEL, 7 ORABASE-B 20% PASTE, 7 PAMPERS LARGE, 11 PAMPERS MEDIUM, 11 PAMPERS ULTRA DRY-UNISEX, 11 PANOXYL 5 BAR, 4 PAPAYA ENZYME TABLET CHEW, 9 PAPAYA TABLET CHEW, 9 PEDIALYTE SINGLES SOLUTION, 9 PEDIALYTE SOLUTION, 9 PEPCID AC 10 MG GELCAP, 6 PEPCID AC 10 MG TABLET, 6 PEPCID AC 20 MG Tablet, 6 PEPCID COMPLETE TABLET CHEW, 7 PEPTO-BISMOL CAPLET, 4 PEPTO-BISMOL MAX STR SUSP, 4 PEPTO-BISMOL SUSPENSION, 4 PEPTO-BISMOL TABLET CHEW, 5 PERCOGESIC 325/30 TAB, 4 PERSONAL BEST PEAK FLOW METER, 8 PHAZYME 180 MG SOFTGEL, 9 PINK BISMUTH 262 MG/15 ML, 5 PINK BISMUTH CAPLET, 5 PINK BISMUTH EXT-STR SUSP, 5 PINK BISMUTH LIQ, 5 PINK BISMUTH MAX-STR SUSP, 5 PINK BISMUTH SUSPENSION, 5 PINK BISMUTH TABLET CHEW, 5 PPI (INHIBIDOR DE BOMBA DE PROTONES), 10 PREPARATION CLEANSING KIT, 10 PREPARATION H 1% CREAM, 8 PREPARATION H COOLING GEL, 9 PREPARATION H CREAM, 9 PREPARATION H MEDICATED WIPES, 9 PREPARATION H OINTMENT, 9 PREPARATION H SUPPOSITORY, 9 PRILOSEC OTC 20MG TABLET, 10 PRODUCTOS PARA DEJAR DE FUMAR, 10 PULMO-AIDE COMPACT COMPRESSOR (NEBULIZER), 11 PULMOCARE LIQUID (LACTOSE-FREE FOOD), 11 REPLENS VAGINAL APPLICATOR, 11 ROBITUSSIN COUGH-COLD LIQUID, 7 ROBITUSSIN COUGH-CONG SYRUP, 7 ROBITUSSIN-DM SYRUP, 7 SALIVA SUBSTITUTE SOLUTION, 7 SASTID SOAP, 4 SENNA TABLET, 10 SENSODYNE TOOTHPASTE, 7 SLOW FE 160 MG TABLET, 12 SORE THROAT SPRAY, 7 ST. JOHN S WORT 300MG CAPSULE(Insomnio), 9 ST. JOHN'S WORT 150 MG CAPSULE (Insomnio), 9 STERILE BANDAGES, 11 SUDAFED 12HR 120 MG TABLET, 8 SUDAFED 24 HOUR TABLET, 8 SUDAFED 30MG TABLET, 8 SUDAFED OM SINUS NASAL SPRAY, 9 SUMINISTROS MEDICOS (VARIOS), 11 SUPHEDRIN 30 MG TABLET, 8 SUPLEMENTOS NUTRICIONALES, 10 TEARGEN DROPS, 10 TEARGEN II EYE DROPS, 10 17

TEARS AGAIN DROPS, 10 TEARS AGAIN EYE OINTMENT, 10 TEARS NATURALE FREE DROPS, 10 TEARS NATURALE PM EYE OINT, 10 TINACTIN 1% AEROSOL, 6 TINACTIN 1% AEROSOL POWDER, 6 TINACTIN 1% CREAM, 6 TINACTIN 1% DEODORANT SPRY PWD, 6 TINACTIN 1% POWDER, 6 TINACTIN 1% SOLUTION, 6 TITRALAC 420 MG TAB CHEWABLE, 4 TRIPLE AMINO ACID COMP TAB, 12 TRIPLE ANTIBIOTIC OINT, 6 TRIPLE ANTIBIOTIC PLUS OINT, 6 TRIPLE ANTIBIOTIC XTRA OINT, 6 TRIPLE PASTE MEDICATED OINT, 8 TUMS CALCIUM TAB CHEWABLE, 12 TUMS TABLET CHEWABLE, 12 TUMS ULTRA TABLET CHEWABLE, 12 TYLENOL ALLERGY SINUS CPLT, 5 TYLENOL ARTHRITIS CAPLET SA, 4 TYLENOL ARTHRITIS GELTAB, 4 TYLENOL ES FOR ARTHRITIS PAIN, 4 TYLENOL EXTRA STR 500 MG EZ TB GEL, 4 TYLENOL P.M. EX-STR CAPLET, 4 VALINE PACKET(AMINO ACID), 11 VICKS 44 COUGH LIQUID, 7 VICKS DAYQUIL LIQUICAPS, 7 VICKS INHALER, 9 VICKS SINEX LA SPRAY, 9 VICKS VAPORUB CREAM, 8 VICKS VAPORUB OINTMENT, 8 VISINE ALLERGY RELIEF DROP, 10 VISINE FOR CONTACTS DROPS, 10 VISINE ORIGINAL 0.05% EYE DROP, 10 VISINE-A EYE DROPS, 10 VITAMIN A & D CAPSULE, 12 VITAMIN A & D OINTMENT, 8 VITAMIN C 1,000 MG CAPLET, 12 VITAMIN D 1,000 UNIT TABLET, 12 VITAMIN D 400 UNIT TABLET, 12 VITAMIN E 1,000 UNIT CAPSULE, 12 VITAMIN E 600 UNIT CAPSULE, 12 VITAMINAS & MINERALES, 12 ZANTAC 75 Tablet, 6 ZANTAC MAX STRENGTH 150 MG TAB, 6 ZNP 2% BAR, 4 18