Molina Healthcare of Ohio Preferred Drug List (Formulary)

Molina Healthcare of Ohio Preferred Drug List (Formulary)
(01/01/2016 v2)
INTRODUCTION ..........................................................................................................................................................................................................................................4
PREFACE.....................................................................................................................................................................................................................................................4
PHARMACY AND THERAPEUTICS (P&T) COMMITTEE..........................................................................................................................................................................4
DRUG LIST PRODUCT DESCRIPTIONS ...................................................................................................................................................................................................4
GENERIC SUBSTITUTION ..........................................................................................................................................................................................................................4
PLAN DESIGN .............................................................................................................................................................................................................................................5
NON-COVERED MEDICATIONS ................................................................................................................................................................................................................5
LEGEND .......................................................................................................................................................................................................................................................5
NOTICE ........................................................................................................................................................................................................................................................5
ANALGESICS ..............................................................................................................................................................................................................................................6
ANALGESICS, OTHER......................................................................................................................................................................................................................6
NSAIDs ..............................................................................................................................................................................................................................................6
NSAIDs, TOPICAL .............................................................................................................................................................................................................................6
COX-2 INHIBITORS...........................................................................................................................................................................................................................6
GOUT .................................................................................................................................................................................................................................................6
OPIOID ANALGESICS ......................................................................................................................................................................................................................7
NON-OPIOID ANALGESICS .............................................................................................................................................................................................................7
VISCOSUPPLEMENTS .....................................................................................................................................................................................................................7
ANTI-INFECTIVES .......................................................................................................................................................................................................................................7
ANTIBACTERIALS.............................................................................................................................................................................................................................7
ANTIFUNGALS ..................................................................................................................................................................................................................................9
ANTIMALARIALS ...............................................................................................................................................................................................................................9
ANTIRETROVIRAL AGENTS ............................................................................................................................................................................................................9
ANTITUBERCULAR AGENTS .........................................................................................................................................................................................................10
ANTIVIRALS ....................................................................................................................................................................................................................................10
MISCELLANEOUS...........................................................................................................................................................................................................................11
ANTINEOPLASTIC AGENTS ....................................................................................................................................................................................................................11
ALKYLATING AGENTS ...................................................................................................................................................................................................................11
ANTIMETABOLITES ........................................................................................................................................................................................................................11
CYTOPROTECTIVE AGENTS ........................................................................................................................................................................................................11
HORMONAL ANTINEOPLASTIC AGENTS ....................................................................................................................................................................................12
IMMUNOMODULATORS .................................................................................................................................................................................................................12
KINASE INHIBITORS ......................................................................................................................................................................................................................12
TOPOISOMERASE INHIBITORS ....................................................................................................................................................................................................12
MISCELLANEOUS...........................................................................................................................................................................................................................12
CARDIOVASCULAR..................................................................................................................................................................................................................................13
ACE INHIBITORS ............................................................................................................................................................................................................................13
ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS ............................................................................................................................................13
ACE INHIBITOR/DIURETIC COMBINATIONS................................................................................................................................................................................13
ADRENOLYTICS, CENTRAL ..........................................................................................................................................................................................................13
ADRENOLYTICS, CENTRAL/DIURETIC COMBINATIONS ...........................................................................................................................................................13
ALDOSTERONE RECEPTOR ANTAGONISTS ..............................................................................................................................................................................13
ALPHA BLOCKERS .........................................................................................................................................................................................................................13
ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS ..............................................................................................................................13
ANGIOTENSIN II RECEPTOR ANTAGONIST/CALCIUM CHANNEL BLOCKER COMBINATIONS .............................................................................................14
ANGIOTENSIN II RECEPTOR ANTAGONIST/CALCIUM CHANNEL BLOCKER/DIURETIC COMBINATIONS ...........................................................................14
ANTIARRHYTHMICS.......................................................................................................................................................................................................................14
ANTILIPEMICS ................................................................................................................................................................................................................................14
BETA-BLOCKERS ...........................................................................................................................................................................................................................15
BETA-BLOCKER/DIURETIC COMBINATIONS ..............................................................................................................................................................................15
CALCIUM CHANNEL BLOCKERS ..................................................................................................................................................................................................15
CALCIUM CHANNEL BLOCKER/ANTILIPEMIC COMBINATIONS ................................................................................................................................................16
DIGITALIS GLYCOSIDES ...............................................................................................................................................................................................................16
DIRECT RENIN INHIBITORS/DIURETIC COMBINATIONS ...........................................................................................................................................................16
DIRECT RENIN INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS .........................................................................................................................16
DIRECT RENIN INHIBITOR/CALCIUM CHANNEL BLOCKER/DIURETIC COMBINATIONS .......................................................................................................16
DIURETICS ......................................................................................................................................................................................................................................16
1
NITRATES .......................................................................................................................................................................................................................................16
NITRATE/VASODILATOR COMBINATIONS ..................................................................................................................................................................................17
PULMONARY ARTERIAL HYPERTENSION ..................................................................................................................................................................................17
MISCELLANEOUS...........................................................................................................................................................................................................................17
CENTRAL NERVOUS SYSTEM ................................................................................................................................................................................................................17
AMYOTROPHIC LATERAL SCLEROSIS........................................................................................................................................................................................17
ANTIANXIETY..................................................................................................................................................................................................................................17
ANTICONVULSANTS ......................................................................................................................................................................................................................18
ANTIDEMENTIA ..............................................................................................................................................................................................................................18
ANTIDEPRESSANTS ......................................................................................................................................................................................................................19
ANTIPARKINSONIAN AGENTS ......................................................................................................................................................................................................20
ANTIPSYCHOTICS..........................................................................................................................................................................................................................20
ATTENTION DEFICIT HYPERACTIVITY DISORDER ....................................................................................................................................................................20
FIBROMYALGIA ..............................................................................................................................................................................................................................21
HUNTINGTON'S DISEASE AGENTS..............................................................................................................................................................................................21
HYPNOTICS ....................................................................................................................................................................................................................................21
MIGRAINE .......................................................................................................................................................................................................................................21
MOOD STABILIZERS ......................................................................................................................................................................................................................22
MULTIPLE SCLEROSIS AGENTS ..................................................................................................................................................................................................22
MUSCULOSKELETAL THERAPY AGENTS ...................................................................................................................................................................................22
MYASTHENIA GRAVIS ...................................................................................................................................................................................................................22
NARCOLEPSY/CATAPLEXY ..........................................................................................................................................................................................................22
PSYCHOTHERAPEUTIC-MISCELLANEOUS.................................................................................................................................................................................22
MISCELLANEOUS...........................................................................................................................................................................................................................23
ENDOCRINE AND METABOLIC ...............................................................................................................................................................................................................23
ANDROGENS ..................................................................................................................................................................................................................................23
ANTIDIABETICS ..............................................................................................................................................................................................................................23
CALCIUM RECEPTOR ANTAGONISTS .........................................................................................................................................................................................25
CALCIUM REGULATORS ...............................................................................................................................................................................................................25
CONTRACEPTIVES ........................................................................................................................................................................................................................25
ENDOMETRIOSIS ...........................................................................................................................................................................................................................26
ESTROGENS...................................................................................................................................................................................................................................26
ESTROGEN/PROGESTINS ............................................................................................................................................................................................................27
ESTROGEN/SELECTIVE ESTROGEN RECEPTOR MODULATOR COMBINATIONS.................................................................................................................27
GAUCHER DISEASE.......................................................................................................................................................................................................................27
GLUCOCORTICOIDS ......................................................................................................................................................................................................................27
GLUCOSE ELEVATING AGENTS ..................................................................................................................................................................................................27
HUMAN GROWTH HORMONES ....................................................................................................................................................................................................28
HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS .....................................................................................................................................................28
INSULIN-LIKE GROWTH FACTOR.................................................................................................................................................................................................28
PHOSPHATE BINDER AGENTS ....................................................................................................................................................................................................28
PROGESTINS..................................................................................................................................................................................................................................28
SELECTIVE ESTROGEN RECEPTOR MODULATORS ................................................................................................................................................................28
THYROID AGENTS .........................................................................................................................................................................................................................28
VASOPRESSIN RECEPTOR ANTAGONISTS ...............................................................................................................................................................................28
VASOPRESSINS .............................................................................................................................................................................................................................28
MISCELLANEOUS...........................................................................................................................................................................................................................28
GASTROINTESTINAL ...............................................................................................................................................................................................................................29
ANTACIDS .......................................................................................................................................................................................................................................29
ANTIDIARRHEALS ..........................................................................................................................................................................................................................29
ANTIEMETICS .................................................................................................................................................................................................................................29
ANTISPASMODICS .........................................................................................................................................................................................................................29
CHOLELITHOLYTICS......................................................................................................................................................................................................................29
H2 RECEPTOR ANTAGONISTS......................................................................................................................................................................................................30
INFLAMMATORY BOWEL DISEASE ..............................................................................................................................................................................................30
IRRITABLE BOWEL SYNDROME...................................................................................................................................................................................................30
LAXATIVES/STOOL SOFTENERS .................................................................................................................................................................................................30
PANCREATIC ENZYMES ...............................................................................................................................................................................................................31
PROSTAGLANDINS ........................................................................................................................................................................................................................31
PROTON PUMP INHIBITORS .........................................................................................................................................................................................................31
SALIVA STIMULANTS .....................................................................................................................................................................................................................31
STEROIDS, RECTAL.......................................................................................................................................................................................................................31
ULCER THERAPY COMBINATIONS ..............................................................................................................................................................................................31
MISCELLANEOUS...........................................................................................................................................................................................................................31
2
GENITOURINARY......................................................................................................................................................................................................................................32
BENIGN PROSTATIC HYPERPLASIA............................................................................................................................................................................................32
URINARY ANTISPASMODICS ........................................................................................................................................................................................................32
VAGINAL ANTI-INFECTIVES ..........................................................................................................................................................................................................32
MISCELLANEOUS...........................................................................................................................................................................................................................32
HEMATOLOGIC .........................................................................................................................................................................................................................................33
ANTICOAGULANTS ........................................................................................................................................................................................................................33
ANTIHEMOPHILIC AGENTS ...........................................................................................................................................................................................................33
HEMATOPOIETIC GROWTH FACTORS........................................................................................................................................................................................33
IDIOPATHIC THROMBOCYTOPENIC PURPURA AGENTS .........................................................................................................................................................33
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) AGENTS ............................................................................................................................................33
PLATELET AGGREGATION INHIBITORS......................................................................................................................................................................................33
PLATELET SYNTHESIS INHIBITORS ............................................................................................................................................................................................33
MISCELLANEOUS...........................................................................................................................................................................................................................34
IMMUNOLOGIC AGENTS .........................................................................................................................................................................................................................34
ALLERGENIC EXTRACTS ..............................................................................................................................................................................................................34
BIOLOGIC DISEASE-MODIFYING AGENTS..................................................................................................................................................................................34
DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs).....................................................................................................................................................34
IMMUNE GLOBULINS .....................................................................................................................................................................................................................34
IMMUNOMODULATORS .................................................................................................................................................................................................................34
IMMUNOSUPPRESSANTS .............................................................................................................................................................................................................34
NUTRITIONAL/SUPPLEMENTS ...............................................................................................................................................................................................................35
ELECTROLYTES .............................................................................................................................................................................................................................35
VITAMINS AND MINERALS ............................................................................................................................................................................................................35
RESPIRATORY ..........................................................................................................................................................................................................................................36
ANAPHYLAXIS TREATMENT AGENTS .........................................................................................................................................................................................36
ANTICHOLINERGICS......................................................................................................................................................................................................................36
ANTICHOLINERGIC/BETA AGONIST COMBINATIONS ...............................................................................................................................................................36
ANTIHISTAMINES, LOW SEDATING .............................................................................................................................................................................................36
ANTIHISTAMINES, NONSEDATING ..............................................................................................................................................................................................36
ANTIHISTAMINES, SEDATING ......................................................................................................................................................................................................36
ANTIHISTAMINE/DECONGESTANT COMBINATIONS .................................................................................................................................................................37
ANTITUSSIVES ...............................................................................................................................................................................................................................37
ANTITUSSIVE COMBINATIONS .....................................................................................................................................................................................................37
BETA AGONISTS ............................................................................................................................................................................................................................37
CYSTIC FIBROSIS ..........................................................................................................................................................................................................................38
DECONGESTANTS .........................................................................................................................................................................................................................38
DECONGESTANT/EXPECTORANT COMBINATIONS ..................................................................................................................................................................38
EXPECTORANTS ............................................................................................................................................................................................................................38
LEUKOTRIENE RECEPTOR ANTAGONISTS ................................................................................................................................................................................38
MAST CELL STABILIZERS .............................................................................................................................................................................................................38
MEDICAL SUPPLIES.......................................................................................................................................................................................................................38
NASAL ANTIHISTAMINES ..............................................................................................................................................................................................................38
NASAL ANTIHISTAMINE/STEROID COMBINATIONS ..................................................................................................................................................................38
NASAL DECONGESTANTS ............................................................................................................................................................................................................38
NASAL STEROIDS ..........................................................................................................................................................................................................................39
PHOSPHODIESTERASE-4 INHIBITORS .......................................................................................................................................................................................39
RESPIRATORY SYNCYTIAL VIRUS ..............................................................................................................................................................................................39
STEROID/BETA AGONIST COMBINATIONS.................................................................................................................................................................................39
STEROID INHALANTS ....................................................................................................................................................................................................................39
XANTHINES.....................................................................................................................................................................................................................................39
XANTHINE COMBINATIONS ..........................................................................................................................................................................................................39
MISCELLANEOUS...........................................................................................................................................................................................................................39
TOPICAL ....................................................................................................................................................................................................................................................40
DERMATOLOGY .............................................................................................................................................................................................................................40
MOUTH/THROAT/DENTAL AGENTS .............................................................................................................................................................................................43
OPHTHALMIC..................................................................................................................................................................................................................................43
OTIC.................................................................................................................................................................................................................................................46
VAGINAL..........................................................................................................................................................................................................................................46
INDEX .........................................................................................................................................................................................................................................................47
3
INTRODUCTION
We are pleased to provide the 2016 Molina Healthcare of Ohio Preferred Drug List (Formulary) as a useful reference and
informational tool. This document can assist medical providers in selecting clinically-appropriate and cost-effective products for
their patients.
The drugs represented have been reviewed by a Pharmacy and Therapeutics (P&T) Committee and are approved for inclusion.
The document is reflective of current medical practice as of the date of review.
The information contained in this document and its appendices is provided solely for the convenience of medical providers and is
not intended to be comprehensive in nature. All the information in the document is provided as a reference for drug therapy
selection.
The document is subject to state-specific regulations and rules, including, but not limited to, those regarding generic substitution,
controlled substance schedules, preference for brands and mandatory generics whenever applicable.
We assume no responsibility for the actions or omissions of any medical provider based upon reliance, in whole or in part, on the
information contained herein. The medical provider should consult the drug manufacturer's product literature or standard
references for more detailed information.
PREFACE
The document is organized by sections. Each section is divided by therapeutic drug class primarily defined by mechanism of
action. Products are listed by generic name with brand name for reference only. Unless the cited drug is available as an
injectable or an exception is specifically noted, generally, all applicable dosage forms and strengths of the drug cited are included
in the document.
PHARMACY AND THERAPEUTICS (P&T) COMMITTEE
The services of a Pharmacy and Therapeutics Committee ("P&T Committee") are utilized to approve safe and clinically effective
drug therapies. The P&T Committee is an advisory body of experts. The P&T Committee's voting members include physicians
and pharmacists, all of whom have a broad background of clinical and academic expertise regarding prescription drugs. Voting
members of the P&T Committee must disclose any financial relationship or conflicts of interest with any pharmaceutical
manufacturers.
DRUG LIST PRODUCT DESCRIPTIONS
To assist in understanding which specific strengths and dosage forms on the document are covered, general principles are noted
below.
•
•
•
•
•
Listed products on the document generally include all strengths and dosage forms of the cited brand-name product.
When a strength or dosage form is specified, only the specified strength and dosage form is on the document. Other
strengths/dosage forms, including injectable dosage forms of the reference product are not.
If the OTC and Prescription versions of the product are covered, then both are listed.
Extended-release and delayed-release products require their own entry.
Dosage forms on the document will be consistent with the category and use where listed.
GENERIC SUBSTITUTION
Generic substitution is a pharmacy action whereby a generic version is dispensed rather than a prescribed brand-name product.
Boldface type indicates generic availability. However, not all strengths or dosage forms of the generic name in boldface type
may be generically available. In most instances, a brand-name drug for which a generic product becomes available will become
non-formulary, with the generic product covered in its place, upon release of the generic product onto the market. However, the
document is subject to state specific regulations and rules regarding generic substitution and mandatory generic rules apply
where appropriate.
Generic drugs are usually priced lower than their brand-name equivalents. Prescription generic drugs are:
•
Approved by the U.S. Food and Drug Administration for safety and effectiveness, and are manufactured under the
same strict standards that apply to brand-name drugs.
4
•
•
Tested in humans to assure the generic is absorbed into the bloodstream in a similar rate and extent compared to the
brand-name drug (bioequivalence). Generics may be different from the brand in size, color and inactive ingredients, but
this does not alter their effectiveness or ability to be absorbed just like the brand-name drug.
Manufactured in the same strength and dosage form as the brand-name drugs.
When a generic drug is substituted for a brand-name drug, you can expect the generic to produce the same clinical effect and
safety profile as the brand-name drug (therapeutic equivalence).
PLAN DESIGN
The document represents a closed formulary plan design. The medications listed on the document are covered by the plan as
represented. Certain medications on the list are covered if utilization management criteria are met (i.e. Step Therapy, Prior
Authorization, Quantity Limits, etc.); requests for use of such medications outside of their listed criteria will be reviewed for
medical necessity. If a medication is not listed on the document, a formulary exception may be requested for coverage. Medical
necessity or formulary exception requests will be reviewed based on drug-specific prior authorization criteria or standard nonformulary prescription request criteria. Log in to www.molinahealthcare.com to check coverage.
NON-COVERED MEDICATIONS
Please note that certain medications are not covered. This includes, but is not limited to:
•
•
•
•
Fertility enhancing drugs
Weight loss drugs
Drugs and other agents used for cosmetic purposes or for hair growth
Sexual dysfunction drugs
LEGEND
AL
Age Limit
HRM
High Risk Medications require PA for members age 65 and older
OTC
Over the counter
PA
Prior Authorization
QL
Quantity Limit
SP
Specialty Drug; these drugs must be obtained through CVS Caremark Specialty Pharmacy
ST
Step Therapy
boldface
Indicates generic availability; boldface may not apply to every strength or dosage form under the listed
generic name
delayed-rel
Delayed-release (also known as enteric-coated), refer to the reference brand listed for clarification
ext-rel
Extended-release (also known as sustained-release), refer to the reference brand listed for clarification
NOTICE
The information contained in this document is proprietary. The information may not be copied in whole or in part without written
permission. ©2016. All rights reserved.
This document contains references to brand-name prescription drugs that are trademarks or registered trademarks of
pharmaceutical manufacturers.
5
ANALGESICS
ANALGESICS, OTHER
acetaminophen OTC, QL
acetaminophen/salicylamide/phenyltoloxamine – Ed-Flex PA
NSAIDs
ibuprofen OTC
naproxen sodium OTC
diclofenac potassium
diclofenac potassium PA
diclofenac sodium delayed-rel
diclofenac sodium delayed-rel/misoprostol PA
diclofenac sodium ext-rel
diflunisal
etodolac
etodolac ext-rel
fenoprofen PA
fenoprofen 600 mg
flurbiprofen
ibuprofen
indomethacin
indomethacin ext-rel
indomethacin susp
ketoprofen
ketoprofen ext-rel
ketorolac QL
meclofenamate
mefenamic acid cap PA
meloxicam
nabumetone
naproxen
naproxen sodium
naproxen sodium ext-rel PA
naproxen/esomeprazole delayed-rel PA
oxaprozin
piroxicam
salsalate
sulindac
tolmetin 200 mg, 400 mg
tolmetin 600 mg PA
TYLENOL
ADVIL
ALEVE
ZIPSOR
ARTHROTEC
NALFON
INDOCIN susp
PONSTEL
MOBIC
NAPROSYN
ANAPROX
NAPRELAN
VIMOVO
DAYPRO
FELDENE
NSAIDs, TOPICAL
diclofenac epolamine transdermal PA
diclofenac sodium gel
diclofenac sodium soln PA
FLECTOR
VOLTAREN GEL
PENNSAID
COX-2 INHIBITORS
celecoxib PA
CELEBREX
GOUT
allopurinol
colchicine PA
colchicine/probenecid
febuxostat PA
probenecid
ZYLOPRIM
ULORIC
6
OPIOID ANALGESICS
buprenorphine transdermal PA
butalbital/acetaminophen/caffeine/codeine 50/325/40/30 mg QL
butorphanol nasal spray QL
codeine sulfate QL
codeine/acetaminophen QL
codeine/acetaminophen susp (alcohol free) QL
fentanyl citrate buccal PA
fentanyl lozenge PA
fentanyl sublingual PA
fentanyl sublingual spray PA
fentanyl transdermal PA
hydrocodone/acetaminophen QL
hydrocodone/acetaminophen soln 7.5-325 mg/15 mL PA
hydromorphone ext-rel PA
hydromorphone oral soln 1 mg/mL
hydromorphone tabs QL
levorphanol tartrate PA
meperidine QL
methadone concentrate 10 mg/mL
methadone tabs 5 mg, 10 mg QL
morphine QL
morphine ext-rel PA, QL
morphine ext-rel QL
morphine supp
oxycodone QL
oxycodone QL
oxycodone ext-rel PA, QL
oxycodone/acetaminophen QL
oxycodone/acetaminophen soln QL
oxycodone/acetaminophen tabs - Roxicet QL
oxycodone/aspirin QL
oxymorphone QL
oxymorphone ext-rel PA, QL
oxymorphone ext-rel PA, QL
pentazocine/naloxone
tapentadol PA
BUTRANS
TYLENOL w/CODEINE
CAPITAL w/CODEINE
FENTORA
ACTIQ
ABSTRAL
SUBSYS
DURAGESIC
NORCO
EXALGO
DILAUDID-5
DILAUDID
DOLOPHINE
KADIAN
MS CONTIN
ROXICODONE
OXYCONTIN
PERCOCET
ROXICET
PERCODAN
OPANA
OPANA ER
NUCYNTA
NON-OPIOID ANALGESICS
butalbital/acetaminophen/caffeine 50/325/40 mg QL
butalbital/aspirin/caffeine QL
tramadol QL
tramadol ext-rel PA
tramadol/acetaminophen QL
ESGIC
FIORINAL
ULTRAM
ULTRAM ER
ULTRACET
VISCOSUPPLEMENTS
hylan G-F 20 PA, SP
SYNVISC-ONE
ANTI-INFECTIVES
ANTIBACTERIALS
Aminoglycosides
neomycin
Cephalosporins
First Generation
cefadroxil QL
cephalexin caps 250 mg, 500 mg
KEFLEX
7
cephalexin caps 750 mg PA
cephalexin susp
KEFLEX
KEFLEX
Second Generation
cefaclor QL
cefaclor ext-rel
cefprozil
cefuroxime axetil
CEFACLOR ER
Third Generation
cefdinir QL
cefditoren PA
cefixime PA
cefpodoxime
ceftibuten PA
SPECTRACEF
SUPRAX
Erythromycins/Macrolides
azithromycin
clarithromycin
clarithromycin ext-rel
erythromycin delayed-rel
erythromycin dispertabs
erythromycin ethylsuccinate
erythromycin ethylsuccinate
erythromycin stearate
Fluoroquinolones
ciprofloxacin QL
ciprofloxacin ext-rel QL
gemifloxacin PA
levofloxacin QL
moxifloxacin PA
Penicillins
amoxicillin QL
amoxicillin ext-rel PA
amoxicillin/clavulanate
ampicillin
dicloxacillin
penicillin VK
CEFTIN
CEDAX
ZITHROMAX
BIAXIN
BIAXIN XL
PCE
E.E.S.
ERYPED
ERYTHROCIN
CIPRO
FACTIVE
LEVAQUIN
AVELOX
MOXATAG
AUGMENTIN
Sulfonamides
sulfadiazine
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS
Tetracyclines
demeclocycline PA
doxycycline calcium syrup
doxycycline hyclate PA
doxycycline hyclate caps 50 mg, 100 mg
doxycycline hyclate tabs 20 mg, 100 mg
doxycycline monohydrate
minocycline
minocycline ext-rel PA
tetracycline
VIBRAMYCIN SYRUP
DORYX
VIBRAMYCIN
MINOCIN
SOLODYN
8
ANTIFUNGALS
clotrimazole troches
fluconazole QL
flucytosine PA
griseofulvin microsize
griseofulvin ultramicrosize
isavuconazonium caps PA
itraconazole
itraconazole oral soln PA
ketoconazole
nystatin
posaconazole PA
terbinafine granules PA
terbinafine tabs
voriconazole PA
ANTIMALARIALS
artemether/lumefantrine
atovaquone/proguanil
chloroquine
mefloquine
primaquine
quinine sulfate
DIFLUCAN
ANCOBON
GRIFULVIN V
GRIS-PEG
CRESEMBA
SPORANOX
SPORANOX ORAL SOLUTION
NOXAFIL
LAMISIL ORAL GRANULES
LAMISIL
VFEND
COARTEM
MALARONE
ARALEN
PRIMAQUINE
QUALAQUIN
ANTIRETROVIRAL AGENTS
Antiretroviral Adjuvants
cobicistat
TYBOST
Antiretroviral Combinations
abacavir/dolutegravir/lamivudine
abacavir/lamivudine
abacavir/lamivudine/zidovudine
atazanavir/cobicistat
darunavir/cobicistat
efavirenz/emtricitabine/tenofovir
elvitegravir/cobicistat/emtricitabine/tenofovir
emtricitabine/rilpivirine/tenofovir
emtricitabine/tenofovir
lamivudine/zidovudine
TRIUMEQ
EPZICOM
TRIZIVIR
EVOTAZ
PREZCOBIX
ATRIPLA
STRIBILD
COMPLERA
TRUVADA
COMBIVIR
Chemokine Receptor Antagonists
maraviroc
SELZENTRY
Fusion Inhibitors
enfuvirtide PA, SP
FUZEON
Integrase Inhibitors
dolutegravir
elvitegravir
raltegravir
TIVICAY
VITEKTA
ISENTRESS
Non-nucleoside Reverse Transcriptase Inhibitors
delavirdine
efavirenz
etravirine
nevirapine
nevirapine ext-rel 100 mg PA
nevirapine ext-rel 400 mg
RESCRIPTOR
SUSTIVA
INTELENCE
VIRAMUNE
VIRAMUNE XR
VIRAMUNE XR
9
rilpivirine
EDURANT
Nucleoside Reverse Transcriptase Inhibitors
abacavir soln
abacavir tabs
didanosine delayed-rel
didanosine soln
emtricitabine
lamivudine
stavudine
stavudine soln
zidovudine
ZIAGEN soln
ZIAGEN
VIDEX EC
VIDEX soln
EMTRIVA
EPIVIR
ZERIT
ZERIT soln
RETROVIR
Nucleotide Reverse Transcriptase Inhibitors
tenofovir
VIREAD
Protease Inhibitors
atazanavir
darunavir
fosamprenavir
indinavir
lopinavir/ritonavir
nelfinavir
ritonavir
saquinavir mesylate
tipranavir
REYATAZ
PREZISTA
LEXIVA
CRIXIVAN
KALETRA
VIRACEPT
NORVIR
INVIRASE
APTIVUS
ANTITUBERCULAR AGENTS
bedaquiline PA
cycloserine PA
ethambutol
ethionamide
isoniazid syrup QL
isoniazid tabs
pyrazinamide
rifampin
rifampin/isoniazid PA
rifampin/isoniazid/pyrazinamide PA
rifapentine PA
SIRTURO
MYAMBUTOL
TRECATOR
RIFADIN
RIFAMATE
RIFATER
PRIFTIN
ANTIVIRALS
Cytomegalovirus Agents
valganciclovir
VALCYTE
Hepatitis Agents
Hepatitis B
adefovir dipivoxil
entecavir
lamivudine
telbivudine
HEPSERA
BARACLUDE
EPIVIR-HBV
TYZEKA
Hepatitis C
ledipasvir/sofosbuvir PA, SP
ombitasvir/paritaprevir/ritonavir with dasabuvir PA, SP
ribavirin caps 200 mg PA, SP
ribavirin oral soln 40 mg/mL PA, SP
ribavirin tabs 200 mg PA, SP
sofosbuvir PA, SP
HARVONI
VIEKIRA PAK
REBETOL
REBETOL
COPEGUS
SOVALDI
10
Herpes Agents
acyclovir caps, susp, tabs
famciclovir
valacyclovir
ZOVIRAX
FAMVIR
VALTREX
Influenza Agents
oseltamivir QL
rimantadine
zanamivir QL
TAMIFLU
FLUMADINE
RELENZA
MISCELLANEOUS
pyrantel OTC
albendazole PA
atovaquone
clindamycin
dapsone
fosfomycin tromethamine PA
ivermectin PA
linezolid PA
metronidazole
metronidazole ext-rel PA
nitazoxanide susp PA
nitazoxanide tabs
nitrofurantoin ext-rel HRM
nitrofurantoin macrocrystals HRM
nitrofurantoin susp HRM
paromomycin
praziquantel PA
rifabutin
rifaximin PA
tinidazole PA
trimethoprim
vancomycin PA
PIN-X
ALBENZA
MEPRON
CLEOCIN
MONUROL
STROMECTOL
ZYVOX
FLAGYL
FLAGYL ER
ALINIA
ALINIA
MACROBID
MACRODANTIN
FURADANTIN
BILTRICIDE
MYCOBUTIN
XIFAXAN
TINDAMAX
VANCOCIN
ANTINEOPLASTIC AGENTS
ALKYLATING AGENTS
altretamine
busulfan
chlorambucil
cyclophosphamide caps PA
estramustine PA
lomustine
mechlorethamine gel PA
melphalan
temozolomide PA, SP
ANTIMETABOLITES
capecitabine PA, SP
mercaptopurine
methotrexate
methotrexate inj
thioguanine
CYTOPROTECTIVE AGENTS
leucovorin calcium
HEXALEN
MYLERAN
LEUKERAN
CYCLOPHOSPHAMIDE caps
EMCYT
VALCHLOR
ALKERAN
TEMODAR
XELODA
TREXALL
TABLOID
LEUCOVORIN
11
HORMONAL ANTINEOPLASTIC AGENTS
Antiandrogens
bicalutamide
flutamide
nilutamide
CASODEX
NILANDRON
Antiestrogens
tamoxifen QL
toremifene
FARESTON
Aromatase Inhibitors
anastrozole
exemestane
letrozole
ARIMIDEX
AROMASIN
FEMARA
Progestins
megestrol acetate
MEGACE
IMMUNOMODULATORS
lenalidomide PA, SP
pomalidomide PA, SP
thalidomide PA, SP
REVLIMID
POMALYST
THALOMID
KINASE INHIBITORS
afatinib PA, SP
axitinib PA, SP
bosutinib PA, SP
cabozantinib PA, SP
dabrafenib PA, SP
dasatinib PA, SP
erlotinib PA, SP
everolimus PA, SP
everolimus tablets for oral suspension PA, SP
ibrutinib PA, SP
idelalisib PA, SP
imatinib mesylate PA, SP
lapatinib PA, SP
nilotinib PA, SP
pazopanib PA, SP
regorafenib PA, SP
ruxolitinib PA, SP
sorafenib PA, SP
sunitinib PA, SP
trametinib PA, SP
vandetanib PA, SP
GILOTRIF
INLYTA
BOSULIF
COMETRIQ
TAFINLAR
SPRYCEL
TARCEVA
AFINITOR
AFINITOR DISPERZ
IMBRUVICA
ZYDELIG
GLEEVEC
TYKERB
TASIGNA
VOTRIENT
STIVARGA
JAKAFI
NEXAVAR
SUTENT
MEKINIST
CAPRELSA
TOPOISOMERASE INHIBITORS
topotecan PA, SP
HYCAMTIN
MISCELLANEOUS
aldesleukin PA, SP
bexarotene caps
etoposide
hydroxyurea
hydroxyurea
mitotane
procarbazine
tretinoin caps
PROLEUKIN
TARGRETIN caps
DROXIA
HYDREA
LYSODREN
MATULANE
12
vorinostat PA, SP
ZOLINZA
CARDIOVASCULAR
ACE INHIBITORS
benazepril
captopril
enalapril
fosinopril
lisinopril
moexipril
perindopril
quinapril
ramipril
trandolapril
ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS
amlodipine/benazepril
trandolapril/verapamil ext-rel
ACE INHIBITOR/DIURETIC COMBINATIONS
benazepril/hydrochlorothiazide
captopril/hydrochlorothiazide
enalapril/hydrochlorothiazide
fosinopril/hydrochlorothiazide
lisinopril/hydrochlorothiazide
moexipril/hydrochlorothiazide
quinapril/hydrochlorothiazide
ADRENOLYTICS, CENTRAL
clonidine
clonidine transdermal PA
guanfacine
LOTENSIN
VASOTEC
ZESTRIL
ACEON
ACCUPRIL
ALTACE
MAVIK
LOTREL
TARKA
LOTENSIN HCT
VASERETIC
ZESTORETIC
ACCURETIC
CATAPRES
CATAPRES TTS
TENEX
ADRENOLYTICS, CENTRAL/DIURETIC COMBINATIONS
chlorthalidone/clonidine - Clorpres PA
ALDOSTERONE RECEPTOR ANTAGONISTS
eplerenone PA
spironolactone
ALPHA BLOCKERS
doxazosin
prazosin
terazosin
ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS
azilsartan/chlorthalidone PA
candesartan PA
candesartan/hydrochlorothiazide PA
eprosartan PA
eprosartan/hydrochlorothiazide PA
irbesartan PA
irbesartan/hydrochlorothiazide PA
losartan
losartan/hydrochlorothiazide
olmesartan PA
olmesartan/hydrochlorothiazide PA
INSPRA
ALDACTONE
CARDURA
MINIPRESS
EDARBYCLOR
ATACAND
ATACAND HCT
TEVETEN HCT
AVAPRO
AVALIDE
COZAAR
HYZAAR
BENICAR
BENICAR HCT
13
telmisartan PA
telmisartan/hydrochlorothiazide PA
valsartan ST
valsartan/hydrochlorothiazide ST
MICARDIS
MICARDIS HCT
DIOVAN
DIOVAN HCT
ANGIOTENSIN II RECEPTOR ANTAGONIST/CALCIUM CHANNEL BLOCKER COMBINATIONS
amlodipine/olmesartan PA
amlodipine/valsartan PA
amlodipine/valsartan/hydrochlorothiazide PA
AZOR
EXFORGE
EXFORGE HCT
ANGIOTENSIN II RECEPTOR ANTAGONIST/CALCIUM CHANNEL BLOCKER/DIURETIC COMBINATIONS
olmesartan/amlodipine/hydrochlorothiazide PA
TRIBENZOR
ANTIARRHYTHMICS
amiodarone
disopyramide
disopyramide ext-rel
dofetilide
dronedarone
flecainide
mexiletine
propafenone
propafenone ext-rel
quinidine gluconate ext-rel
sotalol
sotalol
NORPACE
NORPACE CR
TIKOSYN
MULTAQ
RYTHMOL
RYTHMOL SR
BETAPACE
BETAPACE AF
ANTILIPEMICS
Antilipemic Combinations
ezetimibe/simvastatin PA
VYTORIN
Bile Acid Resins
cholestyramine
colesevelam PA
colestipol packets, tabs
QUESTRAN/QUESTRAN LIGHT
WELCHOL
COLESTID
Cholesterol Absorption Inhibitors
ezetimibe PA
ZETIA
Fibrates
fenofibrate PA
fenofibrate PA
fenofibrate PA
fenofibrate PA
fenofibrate PA
fenofibrate tabs 54 mg, 160 mg
fenofibric acid PA
fenofibric acid delayed-rel PA
gemfibrozil
HMG-CoA Reductase Inhibitors
atorvastatin
fluvastatin PA
lovastatin
lovastatin ext-rel PA
pitavastatin PA
pravastatin
rosuvastatin PA
ANTARA
LIPOFEN
LOFIBRA
TRICOR
TRIGLIDE
FIBRICOR
TRILIPIX
LOPID
LIPITOR
MEVACOR
ALTOPREV
LIVALO
PRAVACHOL
CRESTOR
14
simvastatin
Niacins
inositol niacinate OTC
niacin OTC
niacin ext-rel OTC
niacin ext-rel PA
ZOCOR
NIACIN FLUSH FREE
NIASPAN
Niacins/Combinations
niacin ext-rel/lovastatin PA
niacin ext-rel/simvastatin PA
ADVICOR
SIMCOR
Omega-3 Fatty Acids
icosapent ethyl PA
omega-3 acid ethyl esters PA
VASCEPA
LOVAZA
Miscellaneous
lomitapide PA
mipomersen PA
JUXTAPID
KYNAMRO
BETA-BLOCKERS
acebutolol
atenolol
betaxolol
bisoprolol
carvedilol
carvedilol phosphate ext-rel PA
labetalol
metoprolol succinate ext-rel
metoprolol tartrate
nadolol
nebivolol PA
penbutolol PA
pindolol
propranolol
propranolol ext-rel
propranolol ext-rel PA
timolol
BETA-BLOCKER/DIURETIC COMBINATIONS
atenolol/chlorthalidone
bisoprolol/hydrochlorothiazide
metoprolol succinate ext-rel/hydrochlorothiazide PA
metoprolol/hydrochlorothiazide
nadolol/bendroflumethiazide
CALCIUM CHANNEL BLOCKERS
Dihydropyridines
amlodipine
felodipine ext-rel
isradipine PA
nicardipine
nifedipine
nifedipine ext-rel
nifedipine ext-rel
nimodipine
nisoldipine ext-rel
SECTRAL
TENORMIN
KERLONE
ZEBETA
COREG
COREG CR
TRANDATE
TOPROL-XL
LOPRESSOR
CORGARD
BYSTOLIC
LEVATOL
INDERAL LA
INNOPRAN XL
TENORETIC
ZIAC
DUTOPROL
LOPRESSOR HCT
CORZIDE
NORVASC
PROCARDIA
ADALAT CC
PROCARDIA XL
NIMOTOP
SULAR
15
Nondihydropyridines
diltiazem
diltiazem ext-rel
diltiazem ext-rel
diltiazem ext-rel
diltiazem ext-rel, except 120 mg
verapamil ext-rel
verapamil ext-rel PA
CALCIUM CHANNEL BLOCKER/ANTILIPEMIC COMBINATIONS
amlodipine/atorvastatin PA
DIGITALIS GLYCOSIDES
digoxin
digoxin ped elixir
CARDIZEM
CARDIZEM CD
TIAZAC
CARDIZEM LA
CALAN SR
VERELAN PM
CADUET
LANOXIN
DIRECT RENIN INHIBITORS/DIURETIC COMBINATIONS
aliskiren ST
aliskiren/hydrochlorothiazide ST
TEKTURNA
TEKTURNA HCT
DIRECT RENIN INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS
aliskiren/amlodipine ST
TEKAMLO
DIRECT RENIN INHIBITOR/CALCIUM CHANNEL BLOCKER/DIURETIC COMBINATIONS
aliskiren/amlodipine/hydrochlorothiazide ST
AMTURNIDE
DIURETICS
Carbonic Anhydrase Inhibitors
acetazolamide
acetazolamide ext-rel
methazolamide
Loop Diuretics
bumetanide
furosemide
torsemide
DIAMOX SEQUELS
LASIX
DEMADEX
Potassium-sparing Diuretics
amiloride
Thiazides and Thiazide-like Diuretics
chlorthalidone
hydrochlorothiazide
indapamide
metolazone
chlorothiazide
methyclothiazide
ZAROXOLYN
Diuretic Combinations
amiloride/hydrochlorothiazide
spironolactone/hydrochlorothiazide
triamterene/hydrochlorothiazide
triamterene/hydrochlorothiazide
ALDACTAZIDE
DYAZIDE
MAXZIDE
NITRATES
Oral
isosorbide dinitrate ext-rel tabs
isosorbide dinitrate oral
ISORDIL
16
isosorbide mononitrate
isosorbide mononitrate ext-rel
Sublingual
nitroglycerin sublingual
NITROSTAT
Transdermal
nitroglycerin transdermal
nitroglycerin transdermal
NITRO-DUR
NITRATE/VASODILATOR COMBINATIONS
isosorbide dinitrate/hydralazine
BIDIL
PULMONARY ARTERIAL HYPERTENSION
Endothelin Receptor Antagonists
ambrisentan PA, SP
bosentan PA, SP
macitentan PA, SP
LETAIRIS
TRACLEER
OPSUMIT
Phosphodiesterase Inhibitors
sildenafil PA, SP
tadalafil PA, SP
REVATIO
ADCIRCA
Prostaglandin Vasodilators
epoprostenol PA, SP
epoprostenol sodium PA, SP
iloprost PA, SP
treprostinil PA, SP
treprostinil PA, SP
VELETRI
FLOLAN
VENTAVIS
REMODULIN
TYVASO
Soluble Guanylate Cyclase Stimulators
riociguat PA, SP
ADEMPAS
MISCELLANEOUS
hydralazine
methyldopa
methyldopa/hydrochlorothiazide
metyrosine PA
midodrine
minoxidil tabs
phentolamine inj
ranolazine ext-rel
reserpine
DEMSER
RANEXA
CENTRAL NERVOUS SYSTEM
AMYOTROPHIC LATERAL SCLEROSIS
riluzole PA
ANTIANXIETY
Benzodiazepines
alprazolam
alprazolam 2 mg orally disintegrating tabs PA
alprazolam ext-rel PA
chlordiazepoxide
chlordiazepoxide/amitriptyline
clonazepam orally disintegrating tabs PA
clonazepam tabs
RILUTEK
XANAX
XANAX XR
KLONOPIN
17
clorazepate
diazepam
lorazepam
oxazepam
Miscellaneous
buspirone QL
clomipramine
fluvoxamine
fluvoxamine ext-rel PA
meprobamate
ANTICONVULSANTS
carbamazepine
carbamazepine ext-rel
carbamazepine ext-rel
clobazam PA
diazepam rectal gel
divalproex sodium delayed-rel
divalproex sodium ext-rel
ethosuximide
ethotoin
ezogabine PA
felbamate
gabapentin QL
lacosamide
lamotrigine QL
lamotrigine ext-rel PA
lamotrigine orally disintegrating tabs PA
levetiracetam
levetiracetam ext-rel PA
methsuximide
oxcarbazepine QL
perampanel PA
phenobarbital QL
phenytoin
phenytoin sodium extended
pregabalin PA, QL
primidone
rufinamide PA
tiagabine
topiramate ext-rel PA
topiramate sprinkle caps, tabs QL
valproic acid
valproic acid delayed-rel PA
vigabatrin PA, SP
zonisamide
ANTIDEMENTIA
donepezil
donepezil PA
galantamine
galantamine ext-rel
memantine ext-rel PA
memantine soln
memantine tabs
rivastigmine PA
rivastigmine transdermal PA
VALIUM
ATIVAN
ANAFRANIL
TEGRETOL
CARBATROL
TEGRETOL-XR
ONFI
DIASTAT
DEPAKOTE
DEPAKOTE ER
ZARONTIN
PEGANONE
POTIGA
FELBATOL
NEURONTIN
VIMPAT
LAMICTAL
LAMICTAL XR
LAMICTAL ODT
KEPPRA
KEPPRA XR
CELONTIN
TRILEPTAL
FYCOMPA
DILANTIN INFATABS
DILANTIN
LYRICA
MYSOLINE
BANZEL
GABITRIL
QUDEXY XR
TOPAMAX
DEPAKENE
STAVZOR
SABRIL
ZONEGRAN
ARICEPT
ARICEPT 23 mg
RAZADYNE
RAZADYNE ER
NAMENDA XR
NAMENDA
NAMENDA
EXELON
EXELON PATCH
18
ANTIDEPRESSANTS
Although these agents are primarily indicated for depression, some of these are also approved for other indications, including bipolar disorder,
obsessive-compulsive disorder, panic disorder and premenstrual dysphoric disorder.
Monoamine Oxidase Inhibitors (MAOIs)
isocarboxazid
phenelzine
selegiline transdermal PA
tranylcypromine
MARPLAN
NARDIL
EMSAM
PARNATE
Selective Serotonin Reuptake Inhibitors (SSRIs)
citalopram
escitalopram soln PA
escitalopram tabs
fluoxetine
fluoxetine delayed-rel PA
paroxetine HCl
paroxetine HCl ext-rel PA
paroxetine HCl susp
paroxetine mesylate PA
sertraline
vilazodone PA
vortioxetine PA
CELEXA
LEXAPRO
LEXAPRO
PROZAC
PROZAC WEEKLY
PAXIL
PAXIL CR
PAXIL
PEXEVA
ZOLOFT
VIIBRYD
BRINTELLIX
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
desvenlafaxine ext-rel PA
desvenlafaxine fumarate ext-rel PA
desvenlafaxine succinate ext-rel PA
duloxetine delayed-rel PA
venlafaxine ext-rel
venlafaxine tabs
Tricyclic Antidepressants (TCAs)
amitriptyline QL
amoxapine QL
desipramine
doxepin
imipramine HCl
imipramine pamoate
nortriptyline
protriptyline
trimipramine
Miscellaneous Agents
bupropion
bupropion ext-rel PA
bupropion ext-rel QL
bupropion ext-rel QL
loxapine
maprotiline
mirtazapine
molindone
nefazodone
thioridazine
trazodone
KHEDEZLA
DESVENLAFAXINE ER
PRISTIQ
CYMBALTA
EFFEXOR XR
NORPRAMIN
TOFRANIL
TOFRANIL-PM
PAMELOR
SURMONTIL
WELLBUTRIN
APLENZIN
WELLBUTRIN SR
WELLBUTRIN XL
REMERON
MOBAN
19
ANTIPARKINSONIAN AGENTS
amantadine QL
apomorphine PA, SP
benztropine QL
bromocriptine
carbidopa PA
carbidopa/levodopa
carbidopa/levodopa ext-rel
carbidopa/levodopa orally disintegrating tabs PA
carbidopa/levodopa/entacapone
entacapone
pramipexole
pramipexole ext-rel PA
rasagiline mesylate PA
ropinirole
ropinirole ext-rel PA
selegiline
selegiline orally disintegrating tablets
tolcapone
trihexyphenidyl QL
ANTIPSYCHOTICS
Atypicals
aripiprazole PA
asenapine PA
clozapine
clozapine orally disintegrating tabs PA
iloperidone PA
lurasidone PA, *
olanzapine
olanzapine/fluoxetine PA
paliperidone ext-rel PA
quetiapine
quetiapine ext-rel PA
risperidone
ziprasidone QL
APOKYN
PARLODEL
LODOSYN
SINEMET
SINEMET CR
STALEVO
COMTAN
MIRAPEX
MIRAPEX ER
AZILECT
REQUIP
REQUIP XL
ELDEPRYL
ZELAPAR
TASMAR
ABILIFY
SAPHRIS
CLOZARIL
FAZACLO
FANAPT
LATUDA
ZYPREXA
SYMBYAX
INVEGA
SEROQUEL
SEROQUEL XR
RISPERDAL
GEODON
* Psychiatrists exempt from PA
Miscellaneous
chlorpromazine
fluphenazine
haloperidol
perphenazine
perphenazine/amitriptyline
pimozide
thiothixene
trifluoperazine
ATTENTION DEFICIT HYPERACTIVITY DISORDER
amphetamine/dextroamphetamine mixed salts QL
amphetamine/dextroamphetamine mixed salts ext-rel QL
atomoxetine ST
clonidine ext-rel PA
dexmethylphenidate
dexmethylphenidate ext-rel PA
dextroamphetamine 5mg, 10 mg QL
dextroamphetamine - Zenzedi 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg PA, QL
ORAP
ADDERALL
ADDERALL XR
STRATTERA
KAPVAY
FOCALIN
FOCALIN XR
20
dextroamphetamine ext-rel QL
dextroamphetamine oral soln PA
guanfacine ext-rel PA
lisdexamfetamine PA, QL
methamphetamine PA
methylphenidate
methylphenidate
methylphenidate ext-rel QL
methylphenidate ext-rel
methylphenidate ext-rel PA
methylphenidate ext-rel 10 mg
methylphenidate ext-rel 20 mg - Metadate ER
methylphenidate transdermal PA
DEXEDRINE SPANSULE
PROCENTRA
INTUNIV
VYVANSE
DESOXYN
METHYLIN
RITALIN
CONCERTA
METADATE CD
RITALIN LA
DAYTRANA
FIBROMYALGIA
milnacipran PA
SAVELLA
HUNTINGTON'S DISEASE AGENTS
tetrabenazine PA
XENAZINE
HYPNOTICS
Benzodiazepines
estazolam
flurazepam QL
temazepam QL
triazolam QL
Nonbenzodiazepines
butabarbital PA
doxepin PA
eszopiclone PA
secobarbital
zaleplon QL
zolpidem QL
zolpidem ext-rel PA
zolpidem spray PA
zolpidem sublingual PA
RESTORIL
BUTISOL
SILENOR
LUNESTA
SECONAL
AMBIEN
AMBIEN CR
ZOLPIMIST
INTERMEZZO
MIGRAINE
Ergotamine Derivatives
dihydroergotamine spray QL
ergotamine/caffeine
MIGRANAL
CAFERGOT
Selective Serotonin Agonists
almotriptan PA, QL
eletriptan PA, QL
frovatriptan PA, QL
naratriptan QL
rizatriptan PA, QL
sumatriptan QL
sumatriptan inj QL
sumatriptan nasal spray QL
zolmitriptan PA, QL
AXERT
RELPAX
FROVA
AMERGE
MAXALT
IMITREX
IMITREX
IMITREX
ZOMIG
Selective Serotonin Agonist /Nonsteroidal Anti-inflammatory Drug (NSAID) Combination
sumatriptan/naproxen sodium PA, QL
TREXIMET
21
Miscellaneous
diclofenac potassium packets PA
MOOD STABILIZERS
carbamazepine ext-rel
lithium carbonate
lithium carbonate ext-rel tabs 300 mg
lithium carbonate ext-rel tabs 450 mg
MULTIPLE SCLEROSIS AGENTS
dalfampridine ext-rel PA, SP
dimethyl fumarate delayed-rel PA, SP
fingolimod PA, SP
glatiramer 20 mg PA, SP
glatiramer 40 mg PA, SP
interferon beta-1a PA, SP
interferon beta-1b PA, SP
teriflunomide PA, SP
MUSCULOSKELETAL THERAPY AGENTS
baclofen
carisoprodol tabs 250 mg PA
carisoprodol tabs 350 mg QL
carisoprodol/aspirin QL
carisoprodol/aspirin/codeine PA
chlorzoxazone
cyclobenzaprine PA
cyclobenzaprine 5 mg, 10 mg QL
cyclobenzaprine ext-rel PA
dantrolene
methocarbamol
orphenadrine ext-rel
orphenadrine/aspirin/caffeine PA
tizanidine caps PA
tizanidine tabs
CAMBIA
EQUETRO
LITHOBID
AMPYRA
TECFIDERA
GILENYA
COPAXONE
COPAXONE
AVONEX
EXTAVIA
AUBAGIO
SOMA
SOMA
PARAFON FORTE DSC
FEXMID
AMRIX
DANTRIUM
ROBAXIN
ZANAFLEX
ZANAFLEX
MYASTHENIA GRAVIS
pyridostigmine
MESTINON
NARCOLEPSY/CATAPLEXY
armodafinil PA
modafinil PA
sodium oxybate PA
NUVIGIL
PROVIGIL
XYREM
PSYCHOTHERAPEUTIC-MISCELLANEOUS
Alcohol Deterrents
acamprosate calcium PA
disulfiram
ANTABUSE
Opioid Antagonists
naloxone inj
naltrexone
REVIA
Partial Opioid Agonists
buprenorphine sublingual
22
Partial Opioid Agonist/Opioid Antagonist Combinations
buprenorphine/naloxone buccal film PA
buprenorphine/naloxone sublingual tabs PA
Pseudobulbar Affect
dextromethorphan/quinidine PA
Smoking Deterrents
nicotine polacrilex gum OTC, QL
nicotine polacrilex lozenge OTC
nicotine transdermal OTC, QL
bupropion ext-rel
nicotine inhaler PA
nicotine spray PA
varenicline PA
BUNAVAIL
NUEDEXTA
NICORETTE
NICORETTE
ZYBAN
NICOTROL INHALER
NICOTROL NS
CHANTIX
MISCELLANEOUS
guanidine PA
ENDOCRINE AND METABOLIC
ANDROGENS
methyltestosterone PA
methyltestosterone PA
oxandrolone PA
oxymetholone PA
testosterone cypionate PA
testosterone enanthate PA
testosterone gel PA
testosterone gel PA
testosterone gel PA
testosterone nasal gel PA
testosterone soln PA
testosterone transdermal PA
METHITEST
TESTRED
OXANDRIN
ANADROL-50
DEPO-TESTOSTERONE
DELATESTRYL
ANDROGEL
FORTESTA
TESTIM
NATESTO
AXIRON
ANDRODERM
ANTIDIABETICS
Alpha-glucosidase Inhibitors
acarbose
miglitol
PRECOSE
GLYSET
Amylin Analogs
pramlintide ST
SYMLINPEN
Biguanides
metformin
metformin ext-rel PA
metformin ext-rel
metformin ext-rel PA
GLUCOPHAGE
FORTAMET
GLUCOPHAGE XR
GLUMETZA
Biguanide/Sulfonylurea Combinations
glipizide/metformin
glyburide/metformin HRM
METAGLIP
GLUCOVANCE
Dipeptidyl Peptidase-4 (DPP-4) Inhibitors
linagliptin PA
sitagliptin phosphate PA
TRADJENTA
JANUVIA
23
Dipeptidyl Peptidase-4 (DPP-4) Inhibitor/Biguanide Combinations
linagliptin/metformin PA
sitagliptin/metformin PA
sitagliptin/metformin ext-rel PA
JENTADUETO
JANUMET
JANUMET XR
Incretin Mimetic Agents
albiglutide PA
dulaglutide PA
exenatide ST
exenatide ext-rel PA
liraglutide ST
TANZEUM
TRULICITY
BYETTA
BYDUREON
VICTOZA
Insulins
insulin human OTC, QL
insulin human OTC, QL
insulin isophane human OTC
insulin isophane human OTC
insulin isophane human 70%/regular 30% OTC
insulin isophane human 70%/regular 30% OTC
insulin aspart QL
insulin aspart protamine 70%/insulin aspart 30%
insulin detemir
insulin detemir
insulin glargine
insulin glargine PA
insulin glulisine vial PA
insulin human inhalation powder PA
insulin lispro
insulin lispro pen 100 units/mL
insulin lispro pen 200 units/mL PA
insulin lispro protamine/insulin lispro
HUMULIN R
NOVOLIN R
HUMULIN N
NOVOLIN N
HUMULIN 70/30
NOVOLIN 70/30
NOVOLOG
NOVOLOG MIX 70/30
LEVEMIR
LEVEMIR FLEXTOUCH
LANTUS
TOUJEO SOLOSTAR
APIDRA
AFREZZA
HUMALOG
HUMALOG KWIKPEN
HUMALOG KWIKPEN
HUMALOG MIX
Insulin Sensitizers
pioglitazone
ACTOS
Insulin Sensitizer/Biguanide Combinations
pioglitazone/metformin
pioglitazone/metformin ext-rel PA
ACTOPLUS MET
ACTOPLUS MET XR
Insulin Sensitizer/Sulfonylurea Combinations
pioglitazone/glimepiride PA
DUETACT
Meglitinides
nateglinide
repaglinide
STARLIX
PRANDIN
Meglitinide/Biguanide Combinations
repaglinide/metformin PA
PRANDIMET
Sodium-Glucose Co-transporter 2 (SGLT2) Inhibitors
canagliflozin PA
empagliflozin PA
INVOKANA
JARDIANCE
Sodium-Glucose Co-transporter 2 (SGLT2) Inhibitor/Biguanide Combinations
canagliflozin/metformin PA
dapagliflozin/metformin ext-rel PA
INVOKAMET
XIGDUO XR
24
Sodium-Glucose Co-transporter 2 (SGLT2) Inhibitor/Dipeptidyl Peptidase-4 (DPP-4) Inhibitor Combinations
empagliflozin/linagliptin PA
GLYXAMBI
Sulfonylureas
chlorpropamide
glimepiride
glipizide
glipizide ext-rel
glyburide HRM
glyburide micronized HRM
tolazamide
tolbutamide
AMARYL
GLUCOTROL
GLUCOTROL XL
DIABETA
GLYNASE
Supplies
alcohol swabs OTC, QL
blood glucose monitoring kits OTC
blood glucose monitoring kits OTC
blood glucose test strips OTC
blood glucose test strips OTC
insulin syringes, needles OTC
lancets OTC
TRUE METRIX kits
TRUERESULT kits
TRUE METRIX test strips
TRUETEST test strips
CALCIUM RECEPTOR ANTAGONISTS
cinacalcet PA
CALCIUM REGULATORS
Bisphosphonates
alendronate tabs
alendronate soln
alendronate/vitamin D3 PA
ibandronate PA
risedronate PA
risedronate delayed-rel PA
SENSIPAR
FOSAMAX
FOSAMAX PLUS D
BONIVA
ACTONEL
ATELVIA
Calcitonins
calcitonin-salmon
calcitonin-salmon
FORTICAL
MIACALCIN
Parathyroid Hormones
teriparatide PA, SP
FORTEO
CONTRACEPTIVES
EE = ethinyl estradiol
ME = mestranol
Monophasic
20 mcg Estrogen
levonorgestrel/EE 0.1/20
norethindrone acetate/EE 1/20
norethindrone acetate/EE 1/20 and iron
30 mcg Estrogen
desogestrel/EE 0.15/30 - Apri
drospirenone/EE 3/30
levonorgestrel/EE 0.15/30
norethindrone acetate/EE 1.5/30
norethindrone acetate/EE 1.5/30 and iron
norgestrel/EE 0.3/30
LOESTRIN 1/20
LOESTRIN FE 1/20
YASMIN
LOESTRIN 1.5/30
LOESTRIN FE 1.5/30
25
35 mcg Estrogen
ethynodiol diacetate/EE 1/35
norethindrone/EE
norethindrone/EE 0.5/35
norethindrone/EE 0.5/35
norethindrone/EE 1/35
norethindrone/EE 1/35
norgestimate/EE 0.25/35
50 mcg Estrogen
ethynodiol diacetate/EE 1/50 - Zovia 1/50
norethindrone/ME 1/50
norgestrel/EE 0.5/50 - Ogestrel
Biphasic
desogestrel/EE
norethindrone acetate/EE 1/10 and EE 10 and iron
norethindrone/EE
Triphasic
desogestrel/EE
levonorgestrel/EE
norethindrone/EE
norethindrone/EE
norgestimate/EE
norgestimate/EE
Extended Cycle
levonorgestrel/EE 0.1/20 and EE 10
FEMCON FE
BREVICON
MODICON
NORINYL 1+35
ORTHO-NOVUM 1/35
ORTHO-CYCLEN
NORINYL 1+50
MIRCETTE
LO LOESTRIN FE
NECON 10/11
CYCLESSA
ORTHO-NOVUM 7/7/7
TRI-NORINYL
ORTHO TRI-CYCLEN
ORTHO TRI-CYCLEN LO
LOSEASONIQUE
Continuous
levonorgestrel/EE 0.09/20
Progestin Only
norethindrone
norethindrone
NOR-QD
ORTHO MICRONOR
Emergency Contraception
levonorgestrel OTC, QL
ulipristal QL
PLAN B ONE-STEP
ELLA
Injectable
medroxyprogesterone acetate 150 mg/mL
DEPO-PROVERA
Vaginal
etonogestrel/EE ring
NUVARING
Miscellaneous
condoms, male OTC, QL
nonoxynol-9 OTC
GYNOL II
ENDOMETRIOSIS
danazol
nafarelin PA
SYNAREL
ESTROGENS
Oral
estradiol HRM
ESTRACE
26
estrogens, conjugated
estrogens, conjugated, synthetic B
estrogens, esterified PA
estropipate
PREMARIN
ENJUVIA
MENEST
Transdermal
estradiol
estradiol HRM
estradiol PA
estradiol PA
estradiol PA
estradiol PA
estradiol/levonorgestrel PA
ALORA
CLIMARA
DIVIGEL
ELESTRIN
EVAMIST
VIVELLE-DOT
CLIMARA PRO
Vaginal
estradiol vaginal crm
estradiol vaginal ring PA
estradiol vaginal ring PA
estradiol vaginal tabs PA
estrogens, conjugated crm
ESTRACE CREAM
ESTRING
FEMRING
VAGIFEM
PREMARIN CREAM
ESTROGEN/PROGESTINS
Oral
EE/norethindrone acetate
EE/norethindrone acetate - Jinteli
estradiol/norgestimate
estrogens, conjugated/medroxyprogesterone
estrogens, conjugated/medroxyprogesterone
estradiol/norethindrone acetate PA
FEMHRT 0.5 mg/2.5 mcg
PREFEST
PREMPHASE
PREMPRO
ACTIVELLA
ESTROGEN/SELECTIVE ESTROGEN RECEPTOR MODULATOR COMBINATIONS
conjugated estrogens/bazedoxifene PA
DUAVEE
GAUCHER DISEASE
eliglustat PA, SP
CERDELGA
GLUCOCORTICOIDS
cortisone acetate
dexamethasone
dexamethasone concentrate 1 mg/mL
fludrocortisone
hydrocortisone
methylprednisolone
methylprednisolone
prednisolone sodium phosphate PA
prednisolone sodium phosphate orally disintegrating tabs PA
prednisolone sodium phosphate soln 5 mg/5 mL, 15 mg/5 mL, 25 mg/5 mL
prednisolone syrup
prednisone
prednisone concentrate 5 mg/mL
GLUCOSE ELEVATING AGENTS
glucose tablets OTC
diazoxide
glucagon, human recombinant QL
glucagon, human recombinant QL
DEXAMETHASONE INTENSOL
CORTEF
MEDROL
MEDROL 2 mg
MILLIPRED DOSE PACK, SOLN
ORAPRED ODT
PRELONE
PREDNISONE INTENSOL
PROGLYCEM
GLUCAGEN HYPOKIT
GLUCAGON EMERGENCY KIT
27
HUMAN GROWTH HORMONES
somatropin PA, SP
OMNITROPE
HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS
calcitriol (1,25-D3) QL
doxercalciferol
paricalcitol
ROCALTROL
HECTOROL
ZEMPLAR
INSULIN-LIKE GROWTH FACTOR
mecasermin PA, SP
INCRELEX
PHOSPHATE BINDER AGENTS
calcium acetate
calcium acetate PA
lanthanum PA
sevelamer carbonate PA
sevelamer HCl PA
PHOSLO
PHOSLYRA
FOSRENOL
RENVELA
RENAGEL
PROGESTINS
medroxyprogesterone acetate
megestrol acetate PA
norethindrone acetate
progesterone gel PA
progesterone, micronized
PROVERA
MEGACE ES
AYGESTIN
CRINONE
PROMETRIUM
SELECTIVE ESTROGEN RECEPTOR MODULATORS
raloxifene
EVISTA
THYROID AGENTS
Antithyroid Agents
methimazole
propylthiouracil
Thyroid Supplements
levothyroxine
levothyroxine
levothyroxine PA
levothyroxine - Levoxyl
liothyronine
liotrix
thyroid
TAPAZOLE
SYNTHROID
TIROSINT
CYTOMEL
THYROLAR
ARMOUR THYROID
VASOPRESSIN RECEPTOR ANTAGONISTS
tolvaptan PA, SP
SAMSCA
VASOPRESSINS
desmopressin spray PA
desmopressin spray, tabs
STIMATE
DDAVP spray, tabs
MISCELLANEOUS
cabergoline
levocarnitine oral soln, tabs
methylergonovine
mifepristone PA
miglustat PA
nitisinone PA
octreotide acetate
pasireotide PA
CARNITOR
KORLYM
ZAVESCA
ORFADIN
SANDOSTATIN
SIGNIFOR
28
pegvisomant PA, SP
SOMAVERT
GASTROINTESTINAL
ANTACIDS
alumina/magnesia OTC
alumina/magnesia/simethicone OTC
alumina/magnesia/simethicone OTC
aluminum hydroxide OTC
calcium carbonate OTC
sodium bicarbonate OTC
ANTIDIARRHEALS
bismuth subsalicylate OTC
loperamide OTC
diphenoxylate/atropine
loperamide
ANTIEMETICS
dextrose/fructose/phosphoric acid OTC
dimenhydrinate OTC
meclizine OTC
aprepitant PA
dolasetron PA
dronabinol PA
granisetron tabs QL
granisetron transdermal PA
meclizine
metoclopramide
metoclopramide orally-disintegrating tabs PA
nabilone PA
ondansetron QL
ondansetron oral soluble film PA
prochlorperazine
promethazine HRM
scopolamine
trimethobenzamide caps
ANTISPASMODICS
chlordiazepoxide/clidinium
dicyclomine
glycopyrrolate PA
glycopyrrolate
hyoscyamine sulfate ext-rel caps
hyoscyamine sulfate ext-rel tabs
hyoscyamine sulfate oral soln, elixir
hyoscyamine sulfate orally disintegrating tabs
hyoscyamine sulfate orally disintegrating tabs
mepenzolate bromide PA
methscopolamine bromide
propantheline
CHOLELITHOLYTICS
chenodiol PA
ursodiol
ursodiol
MAALOX
MAALOX
MYLANTA
PEPTO-BISMOL
LOMOTIL
EMETROL
DRAMAMINE
EMEND
ANZEMET
MARINOL
SANCUSO
ANTIVERT
REGLAN
METOZOLV ODT
CESAMET
ZOFRAN
ZUPLENZ
TRANSDERM SCOP
TIGAN caps
BENTYL
CUVPOSA
ROBINUL
LEVBID
ANASPAZ
LEVSIN
CANTIL
PAMINE
CHENODAL
ACTIGALL
URSO
29
H2 RECEPTOR ANTAGONISTS
cimetidine OTC
famotidine OTC
nizatidine OTC
ranitidine OTC
cimetidine
famotidine
nizatidine
ranitidine
INFLAMMATORY BOWEL DISEASE
Oral Agents
balsalazide
balsalazide PA
budesonide delayed-rel caps
mesalamine delayed-rel PA
mesalamine delayed-rel tabs
mesalamine delayed-rel tabs PA
mesalamine ext-rel caps
mesalamine ext-rel caps
olsalazine
sulfasalazine
sulfasalazine delayed-rel
Rectal Agents
hydrocortisone acetate foam
hydrocortisone enema
mesalamine rectal susp
mesalamine supp
TAGAMET HB
PEPCID
AXID AR
ZANTAC
PEPCID
AXID
ZANTAC
GIAZO
ENTOCORT EC
DELZICOL
ASACOL HD
LIALDA
APRISO
PENTASA
DIPENTUM
AZULFIDINE
AZULFIDINE EN-TABS
CORTIFOAM
ROWASA
CANASA
IRRITABLE BOWEL SYNDROME
Irritable Bowel Syndrome with Constipation
lubiprostone PA
AMITIZA
Irritable Bowel Syndrome with Diarrhea
alosetron ST
LOTRONEX
LAXATIVES/STOOL SOFTENERS
bisacodyl OTC
bisacodyl enema OTC
docusate calcium OTC
docusate sodium OTC
karaya gum OTC
magnesium citrate OTC
magnesium hydroxide OTC
methylcellulose OTC
mineral oil OTC
polyethylene glycol 3350 OTC
psyllium powder OTC
senna OTC
sennosides OTC
sennosides/docusate sodium OTC
sodium phosphates OTC
lactulose
lactulose
peg 3350/electrolytes
peg 3350/electrolytes
peg 3350/electrolytes
DULCOLAX
FLEET
COLACE
KARAYA GUM
MILK OF MAGNESIA
CITRUCEL
FLEET MINERAL OIL ENEMA
MIRALAX
KONSYL
SENOKOT
SENNA PLUS
KRISTALOSE
COLYTE
COLYTE FLAVORED
GOLYTELY
30
peg 3350/electrolytes PA
peg 3350/electrolytes
polyethylene glycol 3350
sodium sulfate/potassium sulfate/magnesium sulfate PA
MOVIPREP
NULYTELY
SUPREP
PANCREATIC ENZYMES
pancrelipase delayed-rel
pancrelipase delayed-rel
pancrelipase delayed-rel
CREON
PANCREAZE
ZENPEP
PROSTAGLANDINS
misoprostol
CYTOTEC
PROTON PUMP INHIBITORS
esomeprazole magnesium delayed-rel OTC, QL
lansoprazole delayed-rel OTC, QL
omeprazole magnesium delayed-rel OTC, QL
omeprazole/sodium bicarbonate OTC, QL, PA
dexlansoprazole delayed-rel QL, PA
lansoprazole delayed-rel QL
lansoprazole delayed-rel orally-disintegrating tabs QL, PA
lansoprazole powder for suspension AL, QL
omeprazole delayed-rel QL
omeprazole powder for suspension AL, QL
omeprazole powder for suspension QL
pantoprazole delayed-rel QL, PA
pantoprazole delayed-rel tabs QL, PA
rabeprazole delayed-rel QL, PA
NEXIUM 24HR
PREVACID 24HR
PRILOSEC OTC
ZEGERID OTC
DEXILANT
PREVACID
PREVACID
FIRST-LANSOPRAZOLE
PRILOSEC
FIRST-OMEPRAZOLE
PRILOSEC
PROTONIX packets
PROTONIX
ACIPHEX
SALIVA STIMULANTS
cevimeline
pilocarpine tabs
EVOXAC
SALAGEN
STEROIDS, RECTAL
petrolatum/mineral oil/shark liver oil/phenylephrine oint OTC
pramoxine/phenylephrine/glycerin/petrolatum OTC
hydrocortisone crm
hydrocortisone crm
PREPARATION H
PREPARATION H
ANUSOL-HC 2.5%
PROCTOCORT 1%
ULCER THERAPY COMBINATIONS
bismuth/metronidazole/tetracycline PA
lansoprazole + amoxicillin + clarithromycin
omeprazole delayed-rel + clarithromycin + amoxicillin PA
PYLERA
PREVPAC
OMECLAMOX-PAK
MISCELLANEOUS
lactase OTC
loperamide/simethicone OTC
simethicone OTC
cholic acid PA
cromolyn sodium
nitroglycerin rectal oint 0.4% PA
sodium phenylbutyrate
sucralfate
teduglutide PA
LACTRASE
IMODIUM
CHOLBAM
GASTROCROM
RECTIV
BUPHENYL
CARAFATE
GATTEX
31
GENITOURINARY
BENIGN PROSTATIC HYPERPLASIA
alfuzosin ext-rel PA
doxazosin
doxazosin ext-rel PA
dutasteride PA
dutasteride/tamsulosin PA
finasteride
silodosin PA
tamsulosin
terazosin
URINARY ANTISPASMODICS
oxybutynin transdermal OTC, PA
darifenacin ext-rel PA
fesoterodine ext-rel PA
flavoxate hydrochloride
oxybutynin
oxybutynin ext-rel
oxybutynin gel PA
oxybutynin transdermal PA
solifenacin PA
tolterodine PA
tolterodine ext-rel PA
trospium
trospium ext-rel PA
VAGINAL ANTI-INFECTIVES
clotrimazole OTC
miconazole OTC
tioconazole OTC
clindamycin
clindamycin crm
clindamycin supp
clotrimazole
metronidazole
miconazole
nystatin vaginal tab
terconazole
terconazole
MISCELLANEOUS
acetohydroxamic acid PA
bethanechol
methenamine mandelate
methenamine mandelate/sodium phosphate PA
methenamine/hyoscyamine/methylene blue/benzoic acid/phenyl salicylate PA
methenamine/hyoscyamine/methylene blue/sodium phosphate
pentosan polysulfate sodium
phenazopyridine
potassium citrate
potassium citrate/citric acid
potassium citrate/sodium citrate/citric acid
potassium/sodium acid phosphates PA
sodium citrate/citric acid
UROXATRAL
CARDURA
CARDURA XL
AVODART
JALYN
PROSCAR
RAPAFLO
FLOMAX
OXYTROL FOR WOMEN
ENABLEX
TOVIAZ
DITROPAN XL
GELNIQUE
OXYTROL
VESICARE
DETROL
DETROL LA
GYNE-LOTRIMIN
VAGISTAT-1
CLINDESSE
CLEOCIN
CLEOCIN vaginal supp
METROGEL-VAGINAL
TERAZOL 3
TERAZOL 7
LITHOSTAT
URECHOLINE
UROQID-ACID #2
PROSED/DS
UROGESIC-BLUE
ELMIRON
PYRIDIUM
UROCIT-K
CYTRA-K
CYTRA-3
K-PHOS
CYTRA-2
32
HEMATOLOGIC
ANTICOAGULANTS
Injectable
dalteparin QL*, PA
enoxaparin QL*, PA
FRAGMIN
LOVENOX
QL* Ten days supply allowed unless a PA is initiated
Oral
apixaban PA
dabigatran etexilate PA
edoxaban PA
rivaroxaban PA
warfarin
ELIQUIS
PRADAXA
SAVAYSA
XARELTO
COUMADIN
Synthetic Heparinoid-like Agents
fondaparinux QL*, PA
ARIXTRA
QL* Ten days supply allowed unless a PA is initiated
ANTIHEMOPHILIC AGENTS
antihemophilic factor SP
antihemophilic factor complex SP
antihemophilic factor, recombinant SP, *
antihemophilic factor, recombinant porcine PA, SP
factor IX concentrate SP
factor IX concentrate SP
recombinant factor VII SP
HEMOFIL M
HUMATE-P
KOGENATE FS
OBIZUR
MONONINE
PROFILNINE SD
NOVOSEVEN RT
* Distribute through CVS Caremark Specialty Pharmacy. No PA required.
HEMATOPOIETIC GROWTH FACTORS
darbepoetin alfa PA, SP
epoetin alfa PA, SP
epoetin alfa PA, SP
filgrastim PA, SP
pegfilgrastim PA, SP
sargramostim PA, SP
ARANESP
EPOGEN
PROCRIT
NEUPOGEN
NEULASTA
LEUKINE
IDIOPATHIC THROMBOCYTOPENIC PURPURA AGENTS
eltrombopag PA, SP
PROMACTA
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH) AGENTS
eculizumab PA, SP
SOLIRIS
PLATELET AGGREGATION INHIBITORS
aspirin OTC
clopidogrel
dipyridamole ext-rel/aspirin
dipyridamole tabs
prasugrel PA
ticagrelor PA
vorapaxar PA
PLAVIX
AGGRENOX
PERSANTINE
EFFIENT
BRILINTA
ZONTIVITY
PLATELET SYNTHESIS INHIBITORS
anagrelide
AGRYLIN
33
MISCELLANEOUS
aminocaproic acid
C1 esterase inhibitor
cilostazol
deferasirox PA
pentoxifylline ext-rel
succimer
AMICAR
CINRYZE
PLETAL
EXJADE
CHEMET
IMMUNOLOGIC AGENTS
ALLERGENIC EXTRACTS
ragweed pollen allergen extract PA
timothy grass pollen allergen extract PA
RAGWITEK
GRASTEK
BIOLOGIC DISEASE-MODIFYING AGENTS
adalimumab PA, SP
etanercept PA, SP
HUMIRA
ENBREL
DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs)
auranofin
hydroxychloroquine
leflunomide
methotrexate
methotrexate
methotrexate auto-injector PA, SP
methotrexate inj PA, SP
penicillamine
RIDAURA
PLAQUENIL
ARAVA
RHEUMATREX
RASUVO
OTREXUP
CUPRIMINE
IMMUNE GLOBULINS
cytomegalovirus immune globulin PA, SP
hepatitis B immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin PA, SP
immune globulin, gamma (IGG) PA, SP
lymphocyte immune globulin anti-thymocyte G PA
rabies immune globulin PA, SP
rho D immune globulin PA, SP
rho D immune globulin PA, SP
CYTOGAM
HEPAGAM B
CARIMUNE
FLEBOGAMMA
GAMMAGARD
GAMUNEX-C
HIZENTRA
PRIVIGEN
WINRHO SDF
GAMASTAN S/D
ATGAM
HYPERRAB S/D
HYPERRHO
RHOPHYLAC
IMMUNOMODULATORS
Interferons
interferon alfa-2b PA, SP
interferon gamma-1b PA, SP
peginterferon alfa-2a PA, SP
peginterferon alfa-2b PA, SP
INTRON A
ACTIMMUNE
PEGASYS
PEGINTRON
Miscellaneous
canakinumab
rilonacept PA
ILARIS
ARCALYST
IMMUNOSUPPRESSANTS
Antimetabolites
azathioprine
AZASAN
34
azathioprine
everolimus
mycophenolate mofetil
IMURAN
ZORTRESS
CELLCEPT
Calcineurin Inhibitors
cyclosporine QL
cyclosporine, modified
tacrolimus QL
SANDIMMUNE
NEORAL
PROGRAF
Rapamycin Derivatives
mycophenolate sodium delayed-rel
sirolimus QL
MYFORTIC
RAPAMUNE
NUTRITIONAL/SUPPLEMENTS
ELECTROLYTES
Potassium
potassium chloride ext-rel
potassium chloride liquid
Potassium-Removing Agents
sodium polystyrene sulfonate
SPS
VITAMINS AND MINERALS
Folic Acid
folic acid
Prenatal Vitamins and Supplements
docosahexaenoic acid OTC
prenatal vitamins/ferrous fumarate/folic acid/omega 3 fatty acids caps OTC
prenatal vitamins/minerals/ferrous fumarate/folic acid/DHA OTC
prenatal vitamins/carbonyl iron/folic acid tabs
prenatal vitamins/carbonyl iron/folic acid tabs
prenatal vitamins/docusate/ferrous fumarate/folic acid
prenatal vitamins/ferrous fumarate/folic acid chew tabs
prenatal vitamins/ferrous fumarate/folic acid tabs
prenatal vitamins/folic acid/pyridoxine/calcium PA
Miscellaneous
arginine OTC
ascorbic acid OTC
b-complex/vitamin c/folic acid caps OTC
calcium OTC
calcium/vitamin D OTC
cholecalciferol (D3) OTC
coenzyme Q10-vitamin E OTC
electrolyte soln, oral OTC
ferrous fumarate OTC
ferrous gluconate OTC
ferrous sulfate OTC, QL
magnesium chloride ex-rel OTC
magnesium oxide OTC
omega-3 fatty acids OTC
omega-3 fatty acids OTC
pyridoxine 25 mg, 50 mg OTC
tocopherols-tocotrienols OTC
ubidecarenone OTC
ubiquinol liposomal OTC
PRENATAL DHA
PRENATAL MULTI + DHA
PRENATAL MULTIVITAMIN + DHA
PRENATABS RX
PRENATAL PLUS IRON
SE-NATAL 19
SE-NATAL 19 CHEW
PRENATAL LOW IRON
PRENAISSANCE NEXT
VITAMIN C
VITAMIN D
LIQ-10
PEDIALYTE
FERGON
FEOSOL
SLOW-MAG
MAG-OX 400
FISH OIL
SEA-OMEGA
VITAMIN B6
AQUA-E
COENZYME Q10
CYTO-Q
35
vitamin E OTC
zinc OTC
cyanocobalamin inj
ergocalciferol (D2)
ferrous fumarate/vitaminC/vitamin B12/folic acid
ferrous fumarate/vitaminC/vitamin B12/folic acid
fluoride drops
fluoride tabs
l-methylfolate/vitamin B12, vitamin B6, vitamin B2 PA
multivitamins/fluoride drops, tabs
multivitamins/fluoride/iron drops, tabs
phytonadione
polysaccharide iron forte
vitamin ADC/fluoride drops
vitamin ADC/fluoride/iron drops
vitamin B complex/vitamin C/folic acid
zinc sulfate
VITAMIN E
DRISDOL
FERROGELS FORTE
FERROGELS FORTE SOFTGEL
LURIDE
LURIDE LOZI-TABS
CEREFOLIN
MEPHYTON
NEPHROCAPS
RESPIRATORY
ANAPHYLAXIS TREATMENT AGENTS
epinephrine PA, QL
epinephrine QL
epinephrine QL
ANTICHOLINERGICS
aclidinium bromide
ipratropium soln QL
ipratropium, CFC-free aerosol QL
ANTICHOLINERGIC/BETA AGONIST COMBINATIONS
ipratropium/albuterol soln QL
ipratropium/albuterol, CFC-free aerosol QL
tiotropium/olodaterol PA
ANTIHISTAMINES, LOW SEDATING
cetirizine OTC
cetirizine
levocetirizine PA
ANTIHISTAMINES, NONSEDATING
fexofenadine OTC, PA
loratadine caps OTC, PA
loratadine orally disintegrating tabs 5 mg OTC, PA
loratadine tabs OTC
desloratadine PA
ANTIHISTAMINES, SEDATING
chlorpheniramine OTC
clemastine OTC
diphenhydramine OTC
carbinoxamine PA
clemastine
cyproheptadine
diphenhydramine
hydroxyzine HCl
hydroxyzine pamoate
ADRENACLICK
EPIPEN
EPIPEN JR.
TUDORZA
ATROVENT HFA
COMBIVENT RESPIMAT
STIOLTO RESPIMAT
ZYRTEC
XYZAL
ALLEGRA
CLARITIN
CLARITIN REDITABS
CLARITIN
CLARINEX
BENADRYL
VISTARIL
36
ANTIHISTAMINE/DECONGESTANT COMBINATIONS
acetaminophen/chlorpheniramine/phenylephrine OTC, PA
acetaminophen/diphenhydramine/phenylephrine OTC, PA
cetirizine/pseudoephedrine ext-rel OTC
fexofenadine/pseudoephedrine ext-rel OTC, PA
loratadine/pseudoephedrine ext-rel OTC
triprolidine/pseudoephedrine liq, syp OTC
acrivastine/pseudoephedrine
chlorpheniramine/phenylephrine susp
desloratadine/pseudoephedrine ext-rel PA
promethazine/phenylephrine
ANTITUSSIVES
dextromethorphan syrup 15 mg/5 mL OTC
benzonatate QL
benzonatate PA
ANTITUSSIVE COMBINATIONS
Opioid
codeine/guaifenesin liquid OTC
codeine/guaifenesin/pseudoephedrine OTC
codeine/chlorpheniramine/phenylephrine PA
codeine/chlorpheniramine/pseudoephedrine
codeine/phenylephrine/brompheniramine PA
codeine/promethazine
codeine/promethazine/phenylephrine
hydrocodone polistirex/chlorpheniramine polistirex PA
hydrocodone/homatropine
Non-opioid
dextromethorphan/guaifenesin ext-rel OTC
dextromethorphan/guaifenesin liq, soln, syp OTC
dextromethorphan/guaifenesin/acetaminophen/phenylephrine OTC, PA
dextromethorphan/guaifenesin/acetaminophen/phenylephrine OTC, PA
dextromethorphan/guaifenesin/pseudoephedrine liq 10 mg/100 mg/30 mg/5 mL OTC
dextromethorphan/phenylephrine/chlorpheniramine/acetaminophen OTC
dextromethorphan/guaifenesin/acetaminophen/pseudoephedrine PA
dextromethorphan/promethazine
dextromethorphan/pyrilamine OTC
ROBITUSSIN,
MULTI-SYMPTOM - NIGHT
ZYRTEC-D 12 Hour
ALLEGRA-D
CLARITIN-D
SEMPREX-D
CLARINEX-D
TESSALON
ZONATUSS
CAPCOF
M-END PE
TUSSIONEX
MUCINEX DM
MUCINEX CHILDRENS
MUCINEX COLD-FLU
AND SORE THROAT
ROBITUSSIN COLD/FLU
DURAFLU
CAPRON DM
BETA AGONISTS
Inhalants
Short Acting
albuterol soln QL
albuterol sulfate aerosol powder breath-activated PA
albuterol sulfate, CFC-free aerosol QL
albuterol sulfate, CFC-free aerosol PA
albuterol sulfate, CFC-free aerosol QL
levalbuterol soln PA
PROAIR RESPICLICK
PROAIR HFA
PROVENTIL HFA
VENTOLIN HFA
XOPENEX
Long Acting
arformoterol soln PA
formoterol inhalation caps QL
formoterol inhalation soln PA
salmeterol xinafoate QL
BROVANA
FORADIL
PERFOROMIST
SEREVENT
37
Oral Agents
albuterol
albuterol ext-rel
metaproterenol
terbutaline
VOSPIRE ER
CYSTIC FIBROSIS
aztreonam lysine inhalation soln PA
dornase alfa PA, SP
tobramycin inhalation powder PA, SP
tobramycin inhalation soln PA, SP
tobramycin inhalation soln PA, SP
CAYSTON
PULMOZYME
TOBI PODHALER
BETHKIS
TOBI
DECONGESTANTS
phenylephrine OTC
pseudoephedrine OTC
pseudoephedrine ext-rel OTC
SUDAFED PE
SUDAFED
SUDAFED
DECONGESTANT/EXPECTORANT COMBINATIONS
guaifenesin/acetaminophen/phenylephrine OTC, PA
pseudoephedrine/guaifenesin ext-rel OTC
MUCINEX COLD AND SINUS
MUCINEX D
EXPECTORANTS
guaifenesin ext-rel OTC
guaifenesin liq OTC
guaifenesin liq, syp, tabs OTC
MUCINEX
DIABETIC TUSSIN
ROBITUSSIN
LEUKOTRIENE RECEPTOR ANTAGONISTS
montelukast
montelukast granules ST
zafirlukast
zileuton ST
zileuton ext-rel ST
SINGULAIR
SINGULAIR
ACCOLATE
ZYFLO
ZYFLO CR
MAST CELL STABILIZERS
cromolyn sodium nasal spray OTC
cromolyn soln for inhalation QL
NASALCROM
MEDICAL SUPPLIES
mask OTC, QL
spacer OTC, QL
vaporizer OTC, QL
peak flow meter
sodium chloride for inhalation
MASK
AEROCHAMBER
VAPORIZER
TRUZONE peak flow meter
NASAL ANTIHISTAMINES
azelastine spray QL
olopatadine PA
PATANASE
NASAL ANTIHISTAMINE/STEROID COMBINATIONS
azelastine/fluticasone nasal spray PA
DYMISTA
NASAL DECONGESTANTS
oxymetazoline spray OTC
phenylephrine spray OTC
epinephrine nasal soln 0.1%
tetrahydrozoline PA
AFRIN
NEO-SYNEPHRINE
ADRENALIN 1:1000
TYZINE
38
NASAL STEROIDS
fluticasone spray OTC, PA
beclomethasone dipropionate nasal spray PA
beclomethasone spray PA
budesonide spray PA
ciclesonide spray PA
ciclesonide spray PA
flunisolide spray QL
fluticasone furoate spray PA
fluticasone spray QL
mometasone spray PA
triamcinolone acetonide spray PA
FLONASE ALLERGY RELIEF
QNASL
BECONASE AQ
RHINOCORT AQUA
OMNARIS
ZETONNA
VERAMYST
NASONEX
NASACORT AQ
PHOSPHODIESTERASE-4 INHIBITORS
roflumilast PA
DALIRESP
RESPIRATORY SYNCYTIAL VIRUS
palivizumab PA, SP
SYNAGIS
STEROID/BETA AGONIST COMBINATIONS
budesonide/formoterol ST
fluticasone/salmeterol PA
fluticasone/salmeterol, CFC-free aerosol PA
mometasone/formoterol ST
SYMBICORT
ADVAIR DISKUS
ADVAIR HFA
DULERA
STEROID INHALANTS
beclomethasone, CFC-free aerosol QL
budesonide QL
budesonide inh susp AL
flunisolide, CFC-free aerosol QL
fluticasone PA, QL
fluticasone, CFC-free aerosol PA, QL
mometasone QL
QVAR
PULMICORT FLEXHALER
PULMICORT RESPULES
AEROSPAN
FLOVENT DISKUS
FLOVENT HFA
ASMANEX
XANTHINES
aminophylline
caffeine citrate
theophylline ext-rel caps
theophylline ext-rel tabs
theophylline liquid
theophylline liquid
CAFCIT
THEO-24
ELIXOPHYLLIN
XANTHINE COMBINATIONS
dyphylline/guaifenesin PA
MISCELLANEOUS
sodium chloride gel OTC, PA
sodium chloride soln OTC
acetylcysteine
ephedrine HCl OTC
ipratropium nasal spray
omalizumab PA, SP
RHINARIS NASAL GEL
OCEAN
EPHEDRINE HCL
ATROVENT spray
XOLAIR
39
TOPICAL
DERMATOLOGY
Acne
Oral
isotretinoin PA
isotretinoin PA
Topical
benzoyl peroxide OTC
adapalene AL
adapalene/benzoyl peroxide AL, PA
azelaic acid PA
benzoyl peroxide
clindamycin gel, lotion, soln
clindamycin/benzoyl peroxide PA
clindamycin/benzoyl peroxide
clindamycin/tretinoin PA
erythromycin gel 2%
erythromycin soln
erythromycin/benzoyl peroxide
sulfacetamide lotion 10%
sulfacetamide sodium/sulfur PA
sulfacetamide sodium/sulfur kit PA
sulfacetamide/sulfur crm, gel, lotion, pads
tretinoin
tretinoin AL
tretinoin gel microsphere AL, PA
Actinic Keratosis
diclofenac sodium PA
fluorouracil
fluorouracil soln
ingenol mebutate PA
Antibiotics
bacitracin/polymyxin B OTC
neomycin/bacitracin/polymyxin B OTC
neomycin/bacitracin/polymyxin/pramoxine OTC
gentamicin
mupirocin
polymyxin B/bacitracin
retapamulin PA
silver sulfadiazine
Antifungals
clotrimazole 1% OTC
clotrimazole oint OTC, PA
miconazole OTC
miconazole OTC
terbinafine OTC
tolnaftate OTC
butenafine PA
ciclopirox
ciclopirox topical soln 8%
clotrimazole
econazole
efinaconazole PA
ABSORICA
DIFFERIN
EPIDUO
AZELEX
CLEOCIN T
ACANYA
BENZACLIN
ZIANA
BENZAMYCIN
KLARON
SUMADAN
SUMAXIN CP
ATRALIN
RETIN-A
RETIN-A MICRO PUMP
SOLARAZE
EFUDEX
PICATO
POLYSPORIN
NEOSPORIN
NEOSPORIN+PN
BACTROBAN
POLYSPORIN
ALTABAX
SILVADENE
ALEVAZOL
FUNGOID TINCTURE
MICATIN
LAMISIL AT
TINACTIN
MENTAX
LOPROX
PENLAC
JUBLIA
40
ketoconazole
naftifine PA
nystatin
oxiconazole PA
sertaconazole PA
sulconazole PA
tavaborole PA
NAFTIN
OXISTAT
ERTACZO
EXELDERM
KERYDIN
Anti-infective/Anti-inflammatory Combinations
neomycin/polymyxin B/bacitracin/hydrocortisone oint
neomycin/polymyxin B/hydrocortisone crm PA
CORTISPORIN OINTMENT
CORTISPORIN CREAM
Antipsoriatics
Oral
acitretin PA
methoxsalen PA
SORIATANE
8-MOP
Topical
calcipotriene PA
calcipotriene crm, oint, soln 0.005%
methoxsalen
tazarotene PA
SORILUX
DOVONEX
OXSORALEN
TAZORAC
Antiseborrheics
coal tar shampoo OTC
salicylic acid/sulfur shampoo OTC
selenium sulfide shampoo 1% OTC
ketoconazole shampoo 2%
sulfacetamide sodium
Corticosteroids
Low Potency
hydrocortisone crm, gel, lotion, oint, soln 1% OTC
hydrocortisone oint 0.5% OTC
hydrocortisone/aloe vera crm 0.5%, 1% OTC
alclometasone crm, oint 0.05%
desonide crm, oint 0.05% QL
desonide lotion 0.05% PA, QL
fluocinolone acetonide soln 0.01%
hydrocortisone crm, lotion, oint 2.5%
Medium Potency
betamethasone valerate crm, lotion, oint 0.1%
betamethasone valerate foam 0.12% PA
desoximetasone crm 0.05%
fluocinolone acetonide crm, oint 0.025%
fluocinolone acetonide oil 0.01%
flurandrenolide tape
fluticasone propionate crm 0.05%, oint 0.005%
hydrocortisone butyrate crm, oint, soln 0.1%
hydrocortisone valerate crm, oint 0.2%
mometasone crm, oint 0.1% QL
mometasone lotion 0.1%
prednicarbate crm, oint 0.1% PA
triamcinolone acetonide crm, lotion, oint 0.025%
triamcinolone acetonide crm, lotion, oint 0.1%
NEUTROGENA
SEBULEX
SELSUN BLUE
NIZORAL SHAMPOO
CORTIZONE-10
ACLOVATE
DESOWEN
DESOWEN
LUXIQ
TOPICORT LP
DERMA-SMOOTHE-FS
CORDRAN
CUTIVATE
LOCOID
WESTCORT
ELOCON
ELOCON
DERMATOP
41
High Potency
amcinonide crm, lotion, oint 0.1%
betamethasone dipropionate augmented crm 0.05%
betamethasone dipropionate augmented lotion 0.05% QL
betamethasone dipropionate crm, lotion, oint 0.05% QL
desoximetasone crm 0.25%
desoximetasone gel, oint PA
diflorasone diacetate crm 0.05%
diflorasone diacetate emollient crm 0.05%
fluocinonide crm, gel, oint 0.05%
fluocinonide soln 0.05% QL
triamcinolone acetonide crm, oint 0.5%
Very High Potency
betamethasone dipropionate augmented gel, oint 0.05% QL
clobetasol propionate crm, gel, oint, soln 0.05%
clobetasol propionate foam 0.05%
clobetasol propionate lotion, spray 0.05% PA
clobetasol propionate shampoo 0.05%
diflorasone diacetate oint 0.05%
DIPROLENE AF
DIPROLENE
TOPICORT
TOPICORT
DIPROLENE
TEMOVATE
OLUX
CLOBEX
CLOBEX
Emollients
emollient lotion OTC
mineral oil-hydrophilic petrolatum OTC
ammonium lactate 12%
DML
PETROLATUM
LAC-HYDRIN
Immunomodulators
pimecrolimus PA
tacrolimus PA
ELIDEL
PROTOPIC
Local Analgesics
lidocaine patch PA
LIDODERM
Local Anesthetics
lidocaine 5% crm, oint
lidocaine/prilocaine
Rosacea
azelaic acid gel PA
doxycycline monohydrate PA
metronidazole crm 0.75%
metronidazole gel 0.75%
metronidazole gel 1%
metronidazole lotion 0.75%
sulfacetamide/sulfur
Scabicides and Pediculicides
permethrin OTC
pyrethrins/piperonyl butoxide OTC
benzyl alcohol ST
crotamiton
malathion
permethrin
spinosad
Wound Care Agents
becaplermin PA
FINACEA
ORACEA
METROCREAM
METROGEL
METROLOTION
RID SHAMPOO
ULESFIA
EURAX
OVIDE
NATROBA
REGRANEX
42
Miscellaneous Skin and Mucous Membrane
aluminum hydroxide OTC
calamine lotion OTC
capsaicin OTC
capsaicin/menthol/methyl salicylate OTC
dimethicone 1% crm OTC
diphenhydramine/zinc acetate OTC
docosanol OTC
lidocaine OTC
nail scrub OTC
povidone-iodine OTC
salicylic acid OTC
sodium chloride soln OTC
zinc acetate OTC
acyclovir cream 5% PA
acyclovir ointment 5% PA
acyclovir/hydrocortisone PA
bexarotene gel
collagen/lidocaine/aloe vera/vit E
collagenase
imiquimod PA
imiquimod PA
mafenide
podofilox soln
trypsin/balsam/castor oil
DERMAGRAN
ZOSTRIX
ZIKS
4-N-1 CREAM
BENADRYL
ABREVA
BACTINE
NAIL SCRUB LIQ W/BRUSH
BETADINE
DERMAFIX
ZOVIRAX crm
ZOVIRAX oint
XERESE
TARGRETIN
REGENECARE
SANTYL
ALDARA
ZYCLARA
SULFAMYLON
CONDYLOX
GRANULEX
MOUTH/THROAT/DENTAL AGENTS
Anesthetics - Topical Oral
lidocaine viscous
Steroids - Mouth/Throat
triamcinolone paste
Miscellaneous
chlorhexidine
sodium fluoride
OPHTHALMIC
Antiallergics
ketotifen OTC, QL
alcaftadine PA
azelastine PA
bepotastine PA
cromolyn sodium
emedastine PA
epinastine PA
lodoxamide
nedocromil PA
olopatadine
olopatadine PA, QL
phenylephrine
Antifungals
natamycin
Anti-infectives
azithromycin PA
bacitracin
PERIDEX
PREVIDENT 5000
LASTACAFT
BEPREVE
EMADINE
ELESTAT
ALOMIDE
ALOCRIL
PATADAY
PATANOL
NATACYN
AZASITE
43
besifloxacin PA
ciprofloxacin ophth oint
ciprofloxacin ophth soln
erythromycin
gatifloxacin PA
gentamicin
levofloxacin 0.5%
moxifloxacin PA
moxifloxacin PA
neomycin/polymyxin B/gramicidin
ofloxacin
polymyxin B/bacitracin
polymyxin B/trimethoprim
sulfacetamide soln 10%
tobramycin
tobramycin oint
tobramycin soln
Anti-infective/Anti-inflammatory Combinations
gentamicin/prednisolone acetate
neomycin/polymyxin B/bacitracin/hydrocortisone oint
neomycin/polymyxin B/dexamethasone
neomycin/polymyxin B/hydrocortisone susp
sulfacetamide/prednisolone phosphate 10%/0.25%
tobramycin/dexamethasone oint 0.3%/0.1%
tobramycin/dexamethasone susp 0.3%/0.05%
tobramycin/dexamethasone susp 0.3%/0.1%
Anti-inflammatories
Nonsteroidal
bromfenac sodium PA
diclofenac sodium
flurbiprofen
ketorolac PA
ketorolac 0.4%
ketorolac 0.5%
nepafenac PA
Steroidal
dexamethasone
dexamethasone sodium phosphate
fluorometholone 0.1% susp
fluorometholone 0.25%
loteprednol 0.5% PA
prednisolone acetate 0.12%
prednisolone acetate 1%
prednisolone phosphate 1%
rimexolone
BESIVANCE
CILOXAN oint
CILOXAN soln
ZYMAXID
MOXEZA
VIGAMOX
NEOSPORIN
OCUFLOX
POLYTRIM
BLEPH-10
TOBREX
TOBREX oint
TOBREX soln
PRED-G
MAXITROL
TOBRADEX
TOBRADEX ST
TOBRADEX
OCUFEN
ACUVAIL
ACULAR LS
ACULAR
NEVANAC
MAXIDEX
FML LIQUIFILM
FML FORTE
LOTEMAX
PRED MILD
PRED FORTE
VEXOL
Antivirals
ganciclovir PA
trifluridine
ZIRGAN
VIROPTIC
Beta-blockers
Nonselective
carteolol
levobunolol
metipranolol
BETAGAN
OPTIPRANOLOL
44
timolol hemihydrate
timolol maleate PA
timolol maleate
timolol maleate gel
BETIMOL
ISTALOL
TIMOPTIC
TIMOPTIC-XE
Selective
betaxolol 0.25%
betaxolol 0.5%
BETOPTIC S
Carbonic Anhydrase Inhibitors
Topical
brinzolamide
dorzolamide
AZOPT
TRUSOPT
Carbonic Anhydrase Inhibitor/Beta-blocker Combinations
dorzolamide/timolol maleate
dorzolamide/timolol maleate/preservative-free PA
COSOPT
COSOPT PF
Immunomodulators
cyclosporine
RESTASIS
Mydriatics
atropine
cyclopentolate
cyclopentolate/phenylephrine
homatropine
scopolamine
tropicamide
CYCLOGYL
CYCLOMYDRIL
ISOPTO HOMATROPINE
ISOPTO HYOSCINE
Parasympathomimetics
carbachol
pilocarpine
ISOPTO CARBACHOL
ISOPTO CARPINE
Prostaglandins
bimatoprost PA
latanoprost
tafluprost PA
travoprost PA
LUMIGAN
XALATAN
ZIOPTAN
TRAVATAN Z
Sympathomimetics
apraclonidine 0.5% PA
apraclonidine 1% PA
brimonidine 0.1% PA
brimonidine 0.15%
IOPIDINE
IOPIDINE
ALPHAGAN P
ALPHAGAN P
Sympathomimetic/Beta-blocker Combinations
brimonidine/timolol
COMBIGAN
Miscellaneous
artificial tears OTC
carboxymethylcellulose sodium OTC
sodium chloride OTC
artificial tear insert PA
echothiophate iodide
tetracaine ophth 0.5%
ARTIFICIAL TEARS
REFRESH
MURO-128
LACRISERT
PHOSPHOLINE IODIDE
45
OTIC
Anti-infectives
acetic acid
acetic acid/aluminum acetate
ciprofloxacin otic PA
ofloxacin otic
CETRAXAL
Anti-infective/Anti-inflammatory Combinations
acetic acid/hydrocortisone
ciprofloxacin/dexamethasone
ciprofloxacin/hydrocortisone PA
neomycin/colistin/hydrocortisone PA
neomycin/colistin/hydrocortisone
neomycin/polymyxin B/hydrocortisone
CIPRODEX
CIPRO HC
COLY-MYCIN S
CORTISPORIN-TC OTIC
CORTISPORIN OTIC
Miscellaneous
carbamide peroxide 6.5% OTC
antipyrine/benzocaine/glycerin
fluocinolone acetonide
DEBROX
AURODEX
DERMOTIC
VAGINAL
acetic acid soln OTC
46
INDEX
4
4-N-1 CREAM, 43
8
8-MOP, 41
A
abacavir soln, 10
abacavir tabs, 10
abacavir/dolutegravir/lamivudine, 9
abacavir/lamivudine, 9
abacavir/lamivudine/zidovudine, 9
ABILIFY, 20
ABREVA, 43
ABSORICA, 40
ABSTRAL, 7
acamprosate calcium, 22
ACANYA, 40
acarbose, 23
ACCOLATE, 38
ACCUPRIL, 13
ACCURETIC, 13
acebutolol, 15
ACEON, 13
acetaminophen, 6
acetaminophen/chlorpheniramine/phenylephrine, 37
acetaminophen/diphenhydramine/phenylephrine, 37
acetaminophen/salicylamide/phenyltoloxamine – Ed-Flex, 6
acetazolamide, 16
acetazolamide ext-rel, 16
acetic acid, 46
acetic acid soln, 46
acetic acid/aluminum acetate, 46
acetic acid/hydrocortisone, 46
acetohydroxamic acid, 32
acetylcysteine, 39
ACIPHEX, 31
acitretin, 41
aclidinium bromide, 36
ACLOVATE, 41
acrivastine/pseudoephedrine, 37
ACTIGALL, 29
ACTIMMUNE, 34
ACTIQ, 7
ACTIVELLA, 27
ACTONEL, 25
ACTOPLUS MET, 24
ACTOPLUS MET XR, 24
ACTOS, 24
ACULAR, 44
ACULAR LS, 44
ACUVAIL, 44
acyclovir caps, susp, tabs, 11
acyclovir cream 5%, 43
acyclovir ointment 5%, 43
acyclovir/hydrocortisone, 43
ADALAT CC, 15
adalimumab, 34
adapalene, 40
adapalene/benzoyl peroxide, 40
ADCIRCA, 17
ADDERALL, 20
ADDERALL XR, 20
adefovir dipivoxil, 10
ADEMPAS, 17
ADRENACLICK, 36
ADRENALIN 1:1000, 38
ADVAIR DISKUS, 39
ADVAIR HFA, 39
ADVICOR, 15
ADVIL, 6
AEROCHAMBER, 38
AEROSPAN, 39
afatinib, 12
AFINITOR, 12
AFINITOR DISPERZ, 12
AFREZZA, 24
AFRIN, 38
AGGRENOX, 33
AGRYLIN, 33
albendazole, 11
ALBENZA, 11
albiglutide, 24
albuterol, 38
albuterol ext-rel, 38
albuterol soln, 37
albuterol sulfate aerosol powder breath-activated, 37
albuterol sulfate, CFC-free aerosol, 37
alcaftadine, 43
alclometasone crm, oint 0.05%, 41
alcohol swabs, 25
ALDACTAZIDE, 16
ALDACTONE, 13
ALDARA, 43
aldesleukin, 12
alendronate soln, 25
alendronate tabs, 25
alendronate/vitamin D3, 25
ALEVAZOL, 40
ALEVE, 6
alfuzosin ext-rel, 32
ALINIA, 11
aliskiren, 16
aliskiren/amlodipine, 16
aliskiren/amlodipine/hydrochlorothiazide, 16
aliskiren/hydrochlorothiazide, 16
ALKERAN, 11
ALLEGRA, 36
ALLEGRA-D, 37
allopurinol, 6
almotriptan, 21
ALOCRIL, 43
ALOMIDE, 43
ALORA, 27
alosetron, 30
ALPHAGAN P, 45
alprazolam, 17
alprazolam 2 mg orally disintegrating tabs, 17
alprazolam ext-rel, 17
ALTABAX, 40
ALTACE, 13
ALTOPREV, 14
altretamine, 11
alumina/magnesia, 29
alumina/magnesia/simethicone, 29
aluminum hydroxide, 29, 43
amantadine, 20
AMARYL, 25
AMBIEN, 21
47
AMBIEN CR, 21
ambrisentan, 17
amcinonide crm, lotion, oint 0.1%, 42
AMERGE, 21
AMICAR, 34
amiloride, 16
amiloride/hydrochlorothiazide, 16
aminocaproic acid, 34
aminophylline, 39
amiodarone, 14
AMITIZA, 30
amitriptyline, 19
amlodipine, 15
amlodipine/atorvastatin, 16
amlodipine/benazepril, 13
amlodipine/olmesartan, 14
amlodipine/valsartan, 14
amlodipine/valsartan/hydrochlorothiazide, 14
ammonium lactate 12%, 42
amoxapine, 19
amoxicillin, 8
amoxicillin ext-rel, 8
amoxicillin/clavulanate, 8
amphetamine/dextroamphetamine mixed salts, 20
amphetamine/dextroamphetamine mixed salts ext-rel, 20
ampicillin, 8
AMPYRA, 22
AMRIX, 22
AMTURNIDE, 16
ANADROL-50, 23
ANAFRANIL, 18
anagrelide, 33
ANAPROX, 6
ANASPAZ, 29
anastrozole, 12
ANCOBON, 9
ANDRODERM, 23
ANDROGEL, 23
ANTABUSE, 22
ANTARA, 14
antihemophilic factor, 33
antihemophilic factor complex, 33
antihemophilic factor, recombinant, 33
antihemophilic factor, recombinant porcine, 33
antipyrine/benzocaine/glycerin, 46
ANTIVERT, 29
ANUSOL-HC 2.5%, 31
ANZEMET, 29
APIDRA, 24
apixaban, 33
APLENZIN, 19
APOKYN, 20
apomorphine, 20
apraclonidine 0.5%, 45
apraclonidine 1%, 45
aprepitant, 29
APRISO, 30
APTIVUS, 10
AQUA-E, 35
ARALEN, 9
ARANESP, 33
ARAVA, 34
ARCALYST, 34
arformoterol soln, 37
arginine, 35
ARICEPT, 18
ARICEPT 23 mg, 18
ARIMIDEX, 12
aripiprazole, 20
ARIXTRA, 33
armodafinil, 22
ARMOUR THYROID, 28
AROMASIN, 12
artemether/lumefantrine, 9
ARTHROTEC, 6
artificial tear insert, 45
artificial tears, 45
ARTIFICIAL TEARS, 45
ASACOL HD, 30
ascorbic acid, 35
asenapine, 20
ASMANEX, 39
aspirin, 33
ATACAND, 13
ATACAND HCT, 13
atazanavir, 10
atazanavir/cobicistat, 9
ATELVIA, 25
atenolol, 15
atenolol/chlorthalidone, 15
ATGAM, 34
ATIVAN, 18
atomoxetine, 20
atorvastatin, 14
atovaquone, 11
atovaquone/proguanil, 9
ATRALIN, 40
ATRIPLA, 9
atropine, 45
ATROVENT HFA, 36
ATROVENT spray, 39
AUBAGIO, 22
AUGMENTIN, 8
auranofin, 34
AURODEX, 46
AVALIDE, 13
AVAPRO, 13
AVELOX, 8
AVODART, 32
AVONEX, 22
AXERT, 21
AXID, 30
AXID AR, 30
AXIRON, 23
axitinib, 12
AYGESTIN, 28
AZASAN, 34
AZASITE, 43
azathioprine, 34, 35
azelaic acid, 40
azelaic acid gel, 42
azelastine, 43
azelastine spray, 38
azelastine/fluticasone nasal spray, 38
AZELEX, 40
AZILECT, 20
azilsartan/chlorthalidone, 13
azithromycin, 8, 43
AZOPT, 45
AZOR, 14
aztreonam lysine inhalation soln, 38
AZULFIDINE, 30
48
AZULFIDINE EN-TABS, 30
B
bacitracin, 43
bacitracin/polymyxin B, 40
baclofen, 22
BACTINE, 43
BACTROBAN, 40
balsalazide, 30
BANZEL, 18
BARACLUDE, 10
b-complex/vitamin c/folic acid caps, 35
becaplermin, 42
beclomethasone dipropionate nasal spray, 39
beclomethasone spray, 39
beclomethasone, CFC-free aerosol, 39
BECONASE AQ, 39
bedaquiline, 10
BENADRYL, 36, 43
benazepril, 13
benazepril/hydrochlorothiazide, 13
BENICAR, 13
BENICAR HCT, 13
BENTYL, 29
BENZACLIN, 40
BENZAMYCIN, 40
benzonatate, 37
benzoyl peroxide, 40
benztropine, 20
benzyl alcohol, 42
bepotastine, 43
BEPREVE, 43
besifloxacin, 44
BESIVANCE, 44
BETADINE, 43
BETAGAN, 44
betamethasone dipropionate augmented crm 0.05%, 42
betamethasone dipropionate augmented gel, oint 0.05%, 42
betamethasone dipropionate augmented lotion 0.05%, 42
betamethasone dipropionate crm, lotion, oint 0.05%, 42
betamethasone valerate crm, lotion, oint 0.1%, 41
betamethasone valerate foam 0.12%, 41
BETAPACE, 14
BETAPACE AF, 14
betaxolol, 15
betaxolol 0.25%, 45
betaxolol 0.5%, 45
bethanechol, 32
BETHKIS, 38
BETIMOL, 45
BETOPTIC S, 45
bexarotene caps, 12
bexarotene gel, 43
BIAXIN, 8
BIAXIN XL, 8
bicalutamide, 12
BIDIL, 17
BILTRICIDE, 11
bimatoprost, 45
bisacodyl, 30
bisacodyl enema, 30
bismuth subsalicylate, 29
bismuth/metronidazole/tetracycline, 31
bisoprolol, 15
bisoprolol/hydrochlorothiazide, 15
BLEPH-10, 44
blood glucose monitoring kits, 25
blood glucose test strips, 25
BONIVA, 25
bosentan, 17
BOSULIF, 12
bosutinib, 12
BREVICON, 26
BRILINTA, 33
brimonidine 0.1%, 45
brimonidine 0.15%, 45
brimonidine/timolol, 45
BRINTELLIX, 19
brinzolamide, 45
bromfenac sodium, 44
bromocriptine, 20
BROVANA, 37
budesonide, 39
budesonide delayed-rel caps, 30
budesonide inh susp, 39
budesonide spray, 39
budesonide/formoterol, 39
bumetanide, 16
BUNAVAIL, 23
BUPHENYL, 31
buprenorphine sublingual, 22
buprenorphine transdermal, 7
buprenorphine/naloxone buccal film, 23
buprenorphine/naloxone sublingual tabs, 23
bupropion, 19
bupropion ext-rel, 19, 23
buspirone, 18
busulfan, 11
butabarbital, 21
butalbital/acetaminophen/caffeine 50/325/40 mg, 7
butalbital/acetaminophen/caffeine/codeine 50/325/40/30 mg, 7
butalbital/aspirin/caffeine, 7
butenafine, 40
BUTISOL, 21
butorphanol nasal spray, 7
BUTRANS, 7
BYDUREON, 24
BYETTA, 24
BYSTOLIC, 15
C
C1 esterase inhibitor, 34
cabergoline, 28
cabozantinib, 12
CADUET, 16
CAFCIT, 39
CAFERGOT, 21
caffeine citrate, 39
calamine lotion, 43
CALAN SR, 16
calcipotriene, 41
calcipotriene crm, oint, soln 0.005%, 41
calcitonin-salmon, 25
calcitriol (1,25-D3), 28
calcium, 35
calcium acetate, 28
calcium carbonate, 29
calcium/vitamin D, 35
CAMBIA, 22
canagliflozin, 24
canagliflozin/metformin, 24
canakinumab, 34
49
CANASA, 30
candesartan, 13
candesartan/hydrochlorothiazide, 13
CANTIL, 29
CAPCOF, 37
capecitabine, 11
CAPITAL w/CODEINE, 7
CAPRELSA, 12
CAPRON DM, 37
capsaicin, 43
capsaicin/menthol/methyl salicylate, 43
captopril, 13
captopril/hydrochlorothiazide, 13
CARAFATE, 31
carbachol, 45
carbamazepine, 18
carbamazepine ext-rel, 18, 22
carbamide peroxide 6.5%, 46
CARBATROL, 18
carbidopa, 20
carbidopa/levodopa, 20
carbidopa/levodopa ext-rel, 20
carbidopa/levodopa orally disintegrating tabs, 20
carbidopa/levodopa/entacapone, 20
carbinoxamine, 36
carboxymethylcellulose sodium, 45
CARDIZEM, 16
CARDIZEM CD, 16
CARDIZEM LA, 16
CARDURA, 13, 32
CARDURA XL, 32
CARIMUNE, 34
carisoprodol tabs 250 mg, 22
carisoprodol tabs 350 mg, 22
carisoprodol/aspirin, 22
carisoprodol/aspirin/codeine, 22
CARNITOR, 28
carteolol, 44
carvedilol, 15
carvedilol phosphate ext-rel, 15
CASODEX, 12
CATAPRES, 13
CATAPRES TTS, 13
CAYSTON, 38
CEDAX, 8
cefaclor, 8
CEFACLOR ER, 8
cefaclor ext-rel, 8
cefadroxil, 7
cefdinir, 8
cefditoren, 8
cefixime, 8
cefpodoxime, 8
cefprozil, 8
ceftibuten, 8
CEFTIN, 8
cefuroxime axetil, 8
CELEBREX, 6
celecoxib, 6
CELEXA, 19
CELLCEPT, 35
CELONTIN, 18
cephalexin caps 250 mg, 500 mg, 7
cephalexin caps 750 mg, 8
cephalexin susp, 8
CERDELGA, 27
CEREFOLIN, 36
CESAMET, 29
cetirizine, 36
cetirizine/pseudoephedrine ext-rel, 37
CETRAXAL, 46
cevimeline, 31
CHANTIX, 23
CHEMET, 34
CHENODAL, 29
chenodiol, 29
chlorambucil, 11
chlordiazepoxide, 17
chlordiazepoxide/amitriptyline, 17
chlordiazepoxide/clidinium, 29
chlorhexidine, 43
chloroquine, 9
chlorothiazide, 16
chlorpheniramine, 36
chlorpheniramine/phenylephrine susp, 37
chlorpromazine, 20
chlorpropamide, 25
chlorthalidone, 16
chlorthalidone/clonidine - Clorpres, 13
chlorzoxazone, 22
CHOLBAM, 31
cholecalciferol (D3), 35
cholestyramine, 14
cholic acid, 31
ciclesonide spray, 39
ciclopirox, 40
ciclopirox topical soln 8%, 40
cilostazol, 34
CILOXAN oint, 44
CILOXAN soln, 44
cimetidine, 30
cinacalcet, 25
CINRYZE, 34
CIPRO, 8
CIPRO HC, 46
CIPRODEX, 46
ciprofloxacin, 8
ciprofloxacin ext-rel, 8
ciprofloxacin ophth oint, 44
ciprofloxacin ophth soln, 44
ciprofloxacin otic, 46
ciprofloxacin/dexamethasone, 46
ciprofloxacin/hydrocortisone, 46
citalopram, 19
CITRUCEL, 30
CLARINEX, 36
CLARINEX-D, 37
clarithromycin, 8
clarithromycin ext-rel, 8
CLARITIN, 36
CLARITIN REDITABS, 36
CLARITIN-D, 37
clemastine, 36
CLEOCIN, 11, 32
CLEOCIN T, 40
CLEOCIN vaginal supp, 32
CLIMARA, 27
CLIMARA PRO, 27
clindamycin, 11, 32
clindamycin crm, 32
clindamycin gel, lotion, soln, 40
clindamycin supp, 32
50
clindamycin/benzoyl peroxide, 40
clindamycin/tretinoin, 40
CLINDESSE, 32
clobazam, 18
clobetasol propionate crm, gel, oint, soln 0.05%, 42
clobetasol propionate foam 0.05%, 42
clobetasol propionate lotion, spray 0.05%, 42
clobetasol propionate shampoo 0.05%, 42
CLOBEX, 42
clomipramine, 18
clonazepam orally disintegrating tabs, 17
clonazepam tabs, 17
clonidine, 13
clonidine ext-rel, 20
clonidine transdermal, 13
clopidogrel, 33
clorazepate, 18
clotrimazole, 32, 40
clotrimazole 1%, 40
clotrimazole oint, 40
clotrimazole troches, 9
clozapine, 20
clozapine orally disintegrating tabs, 20
CLOZARIL, 20
coal tar shampoo, 41
COARTEM, 9
cobicistat, 9
codeine sulfate, 7
codeine/acetaminophen, 7
codeine/acetaminophen susp (alcohol free), 7
codeine/chlorpheniramine/phenylephrine, 37
codeine/chlorpheniramine/pseudoephedrine, 37
codeine/guaifenesin liquid, 37
codeine/guaifenesin/pseudoephedrine, 37
codeine/phenylephrine/brompheniramine, 37
codeine/promethazine, 37
codeine/promethazine/phenylephrine, 37
COENZYME Q10, 35
coenzyme Q10-vitamin E, 35
COLACE, 30
colchicine, 6
colchicine/probenecid, 6
colesevelam, 14
COLESTID, 14
colestipol packets, tabs, 14
collagen/lidocaine/aloe vera/vit E, 43
collagenase, 43
COLY-MYCIN S, 46
COLYTE, 30
COLYTE FLAVORED, 30
COMBIGAN, 45
COMBIVENT RESPIMAT, 36
COMBIVIR, 9
COMETRIQ, 12
COMPLERA, 9
COMTAN, 20
CONCERTA, 21
condoms, male, 26
CONDYLOX, 43
conjugated estrogens/bazedoxifene, 27
COPAXONE, 22
COPEGUS, 10
CORDRAN, 41
COREG, 15
COREG CR, 15
CORGARD, 15
CORTEF, 27
CORTIFOAM, 30
cortisone acetate, 27
CORTISPORIN CREAM, 41
CORTISPORIN OINTMENT, 41
CORTISPORIN OTIC, 46
CORTISPORIN-TC OTIC, 46
CORTIZONE-10, 41
CORZIDE, 15
COSOPT, 45
COSOPT PF, 45
COUMADIN, 33
COZAAR, 13
CREON, 31
CRESEMBA, 9
CRESTOR, 14
CRINONE, 28
CRIXIVAN, 10
cromolyn sodium, 31, 43
cromolyn sodium nasal spray, 38
cromolyn soln for inhalation, 38
crotamiton, 42
CUPRIMINE, 34
CUTIVATE, 41
CUVPOSA, 29
cyanocobalamin inj, 36
CYCLESSA, 26
cyclobenzaprine, 22
cyclobenzaprine 5 mg, 10 mg, 22
cyclobenzaprine ext-rel, 22
CYCLOGYL, 45
CYCLOMYDRIL, 45
cyclopentolate, 45
cyclopentolate/phenylephrine, 45
cyclophosphamide caps, 11
CYCLOPHOSPHAMIDE caps, 11
cycloserine, 10
cyclosporine, 35, 45
cyclosporine, modified, 35
CYMBALTA, 19
cyproheptadine, 36
CYTOGAM, 34
cytomegalovirus immune globulin, 34
CYTOMEL, 28
CYTO-Q, 35
CYTOTEC, 31
CYTRA-2, 32
CYTRA-3, 32
CYTRA-K, 32
D
dabigatran etexilate, 33
dabrafenib, 12
dalfampridine ext-rel, 22
DALIRESP, 39
dalteparin, 33
danazol, 26
DANTRIUM, 22
dantrolene, 22
dapagliflozin/metformin ext-rel, 24
dapsone, 11
darbepoetin alfa, 33
darifenacin ext-rel, 32
darunavir, 10
darunavir/cobicistat, 9
dasatinib, 12
51
DAYPRO, 6
DAYTRANA, 21
DDAVP spray, tabs, 28
DEBROX, 46
deferasirox, 34
DELATESTRYL, 23
delavirdine, 9
DELZICOL, 30
DEMADEX, 16
demeclocycline, 8
DEMSER, 17
DEPAKENE, 18
DEPAKOTE, 18
DEPAKOTE ER, 18
DEPO-PROVERA, 26
DEPO-TESTOSTERONE, 23
DERMAFIX, 43
DERMAGRAN, 43
DERMA-SMOOTHE-FS, 41
DERMATOP, 41
DERMOTIC, 46
desipramine, 19
desloratadine, 36
desloratadine/pseudoephedrine ext-rel, 37
desmopressin spray, 28
desmopressin spray, tabs, 28
desogestrel/EE, 26
desogestrel/EE 0.15/30 - Apri, 25
desonide crm, oint 0.05%, 41
desonide lotion 0.05%, 41
DESOWEN, 41
desoximetasone crm 0.05%, 41
desoximetasone crm 0.25%, 42
desoximetasone gel, oint, 42
DESOXYN, 21
DESVENLAFAXINE ER, 19
desvenlafaxine ext-rel, 19
desvenlafaxine fumarate ext-rel, 19
desvenlafaxine succinate ext-rel, 19
DETROL, 32
DETROL LA, 32
dexamethasone, 27, 44
dexamethasone concentrate 1 mg/mL, 27
DEXAMETHASONE INTENSOL, 27
dexamethasone sodium phosphate, 44
DEXEDRINE SPANSULE, 21
DEXILANT, 31
dexlansoprazole delayed-rel, 31
dexmethylphenidate, 20
dexmethylphenidate ext-rel, 20
dextroamphetamine - Zenzedi 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg, 20
dextroamphetamine 5mg, 10 mg, 20
dextroamphetamine ext-rel, 21
dextroamphetamine oral soln, 21
dextromethorphan syrup 15 mg/5 mL, 37
dextromethorphan/guaifenesin ext-rel, 37
dextromethorphan/guaifenesin liq, soln, syp, 37
dextromethorphan/guaifenesin/acetaminophen/phenylephrine, 37
dextromethorphan/guaifenesin/acetaminophen/pseudoephedrine, 37
dextromethorphan/guaifenesin/pseudoephedrine liq
10 mg/100 mg/30 mg/5 mL, 37
dextromethorphan/phenylephrine/chlorpheniramine/acetaminophen, 37
dextromethorphan/promethazine, 37
dextromethorphan/pyrilamine, 37
dextromethorphan/quinidine, 23
dextrose/fructose/phosphoric acid, 29
DIABETA, 25
DIABETIC TUSSIN, 38
DIAMOX SEQUELS, 16
DIASTAT, 18
diazepam, 18
diazepam rectal gel, 18
diazoxide, 27
diclofenac epolamine transdermal, 6
diclofenac potassium, 6
diclofenac potassium packets, 22
diclofenac sodium, 40, 44
diclofenac sodium delayed-rel, 6
diclofenac sodium delayed-rel/misoprostol, 6
diclofenac sodium ext-rel, 6
diclofenac sodium gel, 6
diclofenac sodium soln, 6
dicloxacillin, 8
dicyclomine, 29
didanosine delayed-rel, 10
didanosine soln, 10
DIFFERIN, 40
diflorasone diacetate crm 0.05%, 42
diflorasone diacetate emollient crm 0.05%, 42
diflorasone diacetate oint 0.05%, 42
DIFLUCAN, 9
diflunisal, 6
digoxin, 16
digoxin ped elixir, 16
dihydroergotamine spray, 21
DILANTIN, 18
DILANTIN INFATABS, 18
DILAUDID, 7
DILAUDID-5, 7
diltiazem, 16
diltiazem ext-rel, 16
diltiazem ext-rel, except 120 mg, 16
dimenhydrinate, 29
dimethicone 1% crm, 43
dimethyl fumarate delayed-rel, 22
DIOVAN, 14
DIOVAN HCT, 14
DIPENTUM, 30
diphenhydramine, 36
diphenhydramine/zinc acetate, 43
diphenoxylate/atropine, 29
DIPROLENE, 42
DIPROLENE AF, 42
dipyridamole ext-rel/aspirin, 33
dipyridamole tabs, 33
disopyramide, 14
disopyramide ext-rel, 14
disulfiram, 22
DITROPAN XL, 32
divalproex sodium delayed-rel, 18
divalproex sodium ext-rel, 18
DIVIGEL, 27
DML, 42
docosahexaenoic acid, 35
docosanol, 43
docusate calcium, 30
docusate sodium, 30
dofetilide, 14
dolasetron, 29
DOLOPHINE, 7
dolutegravir, 9
donepezil, 18
52
dornase alfa, 38
DORYX, 8
dorzolamide, 45
dorzolamide/timolol maleate, 45
dorzolamide/timolol maleate/preservative-free, 45
DOVONEX, 41
doxazosin, 13, 32
doxazosin ext-rel, 32
doxepin, 19, 21
doxercalciferol, 28
doxycycline calcium syrup, 8
doxycycline hyclate, 8
doxycycline hyclate caps 50 mg, 100 mg, 8
doxycycline hyclate tabs 20 mg, 100 mg, 8
doxycycline monohydrate, 8, 42
DRAMAMINE, 29
DRISDOL, 36
dronabinol, 29
dronedarone, 14
drospirenone/EE 3/30, 25
DROXIA, 12
DUAVEE, 27
DUETACT, 24
dulaglutide, 24
DULCOLAX, 30
DULERA, 39
duloxetine delayed-rel, 19
DURAFLU, 37
DURAGESIC, 7
dutasteride, 32
dutasteride/tamsulosin, 32
DUTOPROL, 15
DYAZIDE, 16
DYMISTA, 38
dyphylline/guaifenesin, 39
E
E.E.S., 8
echothiophate iodide, 45
econazole, 40
eculizumab, 33
EDARBYCLOR, 13
edoxaban, 33
EDURANT, 10
EE/norethindrone acetate, 27
EE/norethindrone acetate - Jinteli, 27
efavirenz, 9
efavirenz/emtricitabine/tenofovir, 9
EFFEXOR XR, 19
EFFIENT, 33
efinaconazole, 40
EFUDEX, 40
ELDEPRYL, 20
electrolyte soln, oral, 35
ELESTAT, 43
ELESTRIN, 27
eletriptan, 21
ELIDEL, 42
eliglustat, 27
ELIQUIS, 33
ELIXOPHYLLIN, 39
ELLA, 26
ELMIRON, 32
ELOCON, 41
eltrombopag, 33
elvitegravir, 9
elvitegravir/cobicistat/emtricitabine/tenofovir, 9
EMADINE, 43
EMCYT, 11
emedastine, 43
EMEND, 29
EMETROL, 29
emollient lotion, 42
empagliflozin, 24
empagliflozin/linagliptin, 25
EMSAM, 19
emtricitabine, 10
emtricitabine/rilpivirine/tenofovir, 9
emtricitabine/tenofovir, 9
EMTRIVA, 10
ENABLEX, 32
enalapril, 13
enalapril/hydrochlorothiazide, 13
ENBREL, 34
enfuvirtide, 9
ENJUVIA, 27
enoxaparin, 33
entacapone, 20
entecavir, 10
ENTOCORT EC, 30
ephedrine HCl, 39
EPHEDRINE HCL, 39
EPIDUO, 40
epinastine, 43
epinephrine, 36
epinephrine nasal soln 0.1%, 38
EPIPEN, 36
EPIPEN JR., 36
EPIVIR, 10
EPIVIR-HBV, 10
eplerenone, 13
epoetin alfa, 33
EPOGEN, 33
epoprostenol, 17
epoprostenol sodium, 17
eprosartan, 13
eprosartan/hydrochlorothiazide, 13
EPZICOM, 9
EQUETRO, 22
ergocalciferol (D2), 36
ergotamine/caffeine, 21
erlotinib, 12
ERTACZO, 41
ERYPED, 8
ERYTHROCIN, 8
erythromycin, 44
erythromycin delayed-rel, 8
erythromycin dispertabs, 8
erythromycin ethylsuccinate, 8
erythromycin gel 2%, 40
erythromycin soln, 40
erythromycin stearate, 8
erythromycin/benzoyl peroxide, 40
escitalopram soln, 19
escitalopram tabs, 19
ESGIC, 7
esomeprazole magnesium delayed-rel, 31
estazolam, 21
ESTRACE, 26
ESTRACE CREAM, 27
estradiol, 26, 27
estradiol vaginal crm, 27
53
estradiol vaginal ring, 27
estradiol vaginal tabs, 27
estradiol/levonorgestrel, 27
estradiol/norethindrone acetate, 27
estradiol/norgestimate, 27
estramustine, 11
ESTRING, 27
estrogens, conjugated, 27
estrogens, conjugated crm, 27
estrogens, conjugated, synthetic B, 27
estrogens, conjugated/medroxyprogesterone, 27
estrogens, esterified, 27
estropipate, 27
eszopiclone, 21
etanercept, 34
ethambutol, 10
ethionamide, 10
ethosuximide, 18
ethotoin, 18
ethynodiol diacetate/EE 1/35, 26
ethynodiol diacetate/EE 1/50 - Zovia 1/50, 26
etodolac, 6
etodolac ext-rel, 6
etonogestrel/EE ring, 26
etoposide, 12
etravirine, 9
EURAX, 42
EVAMIST, 27
everolimus, 12, 35
everolimus tablets for oral suspension, 12
EVISTA, 28
EVOTAZ, 9
EVOXAC, 31
EXALGO, 7
EXELDERM, 41
EXELON, 18
EXELON PATCH, 18
exemestane, 12
exenatide, 24
exenatide ext-rel, 24
EXFORGE, 14
EXFORGE HCT, 14
EXJADE, 34
EXTAVIA, 22
ezetimibe, 14
ezetimibe/simvastatin, 14
ezogabine, 18
F
FACTIVE, 8
factor IX concentrate, 33
famciclovir, 11
famotidine, 30
FAMVIR, 11
FANAPT, 20
FARESTON, 12
FAZACLO, 20
febuxostat, 6
felbamate, 18
FELBATOL, 18
FELDENE, 6
felodipine ext-rel, 15
FEMARA, 12
FEMCON FE, 26
FEMHRT 0.5 mg/2.5 mcg, 27
FEMRING, 27
fenofibrate, 14
fenofibrate tabs 54 mg, 160 mg, 14
fenofibric acid, 14
fenofibric acid delayed-rel, 14
fenoprofen, 6
fenoprofen 600 mg, 6
fentanyl citrate buccal, 7
fentanyl lozenge, 7
fentanyl sublingual, 7
fentanyl sublingual spray, 7
fentanyl transdermal, 7
FENTORA, 7
FEOSOL, 35
FERGON, 35
FERROGELS FORTE, 36
FERROGELS FORTE SOFTGEL, 36
ferrous fumarate, 35
ferrous fumarate/vitaminC/vitamin B12/folic acid, 36
ferrous gluconate, 35
ferrous sulfate, 35
fesoterodine ext-rel, 32
FEXMID, 22
fexofenadine, 36
fexofenadine/pseudoephedrine ext-rel, 37
FIBRICOR, 14
filgrastim, 33
FINACEA, 42
finasteride, 32
fingolimod, 22
FIORINAL, 7
FIRST-LANSOPRAZOLE, 31
FIRST-OMEPRAZOLE, 31
FISH OIL, 35
FLAGYL, 11
FLAGYL ER, 11
flavoxate hydrochloride, 32
FLEBOGAMMA, 34
flecainide, 14
FLECTOR, 6
FLEET, 30
FLEET MINERAL OIL ENEMA, 30
FLOLAN, 17
FLOMAX, 32
FLONASE ALLERGY RELIEF, 39
FLOVENT DISKUS, 39
FLOVENT HFA, 39
fluconazole, 9
flucytosine, 9
fludrocortisone, 27
FLUMADINE, 11
flunisolide spray, 39
flunisolide, CFC-free aerosol, 39
fluocinolone acetonide, 46
fluocinolone acetonide crm, oint 0.025%, 41
fluocinolone acetonide oil 0.01%, 41
fluocinolone acetonide soln 0.01%, 41
fluocinonide crm, gel, oint 0.05%, 42
fluocinonide soln 0.05%, 42
fluoride drops, 36
fluoride tabs, 36
fluorometholone 0.1% susp, 44
fluorometholone 0.25%, 44
fluorouracil, 40
fluorouracil soln, 40
fluoxetine, 19
fluoxetine delayed-rel, 19
54
fluphenazine, 20
flurandrenolide tape, 41
flurazepam, 21
flurbiprofen, 6, 44
flutamide, 12
fluticasone, 39
fluticasone furoate spray, 39
fluticasone propionate crm 0.05%, oint 0.005%, 41
fluticasone spray, 39
fluticasone, CFC-free aerosol, 39
fluticasone/salmeterol, 39
fluticasone/salmeterol, CFC-free aerosol, 39
fluvastatin, 14
fluvoxamine, 18
fluvoxamine ext-rel, 18
FML FORTE, 44
FML LIQUIFILM, 44
FOCALIN, 20
FOCALIN XR, 20
folic acid, 35
fondaparinux, 33
FORADIL, 37
formoterol inhalation caps, 37
formoterol inhalation soln, 37
FORTAMET, 23
FORTEO, 25
FORTESTA, 23
FORTICAL, 25
FOSAMAX, 25
FOSAMAX PLUS D, 25
fosamprenavir, 10
fosfomycin tromethamine, 11
fosinopril, 13
fosinopril/hydrochlorothiazide, 13
FOSRENOL, 28
FRAGMIN, 33
FROVA, 21
frovatriptan, 21
FUNGOID TINCTURE, 40
FURADANTIN, 11
furosemide, 16
FUZEON, 9
FYCOMPA, 18
G
gabapentin, 18
GABITRIL, 18
galantamine, 18
galantamine ext-rel, 18
GAMASTAN S/D, 34
GAMMAGARD, 34
GAMUNEX-C, 34
ganciclovir, 44
GASTROCROM, 31
gatifloxacin, 44
GATTEX, 31
GELNIQUE, 32
gemfibrozil, 14
gemifloxacin, 8
gentamicin, 40, 44
gentamicin/prednisolone acetate, 44
GEODON, 20
GIAZO, 30
GILENYA, 22
GILOTRIF, 12
glatiramer 20 mg, 22
glatiramer 40 mg, 22
GLEEVEC, 12
glimepiride, 25
glipizide, 25
glipizide ext-rel, 25
glipizide/metformin, 23
GLUCAGEN HYPOKIT, 27
GLUCAGON EMERGENCY KIT, 27
glucagon, human recombinant, 27
GLUCOPHAGE, 23
GLUCOPHAGE XR, 23
glucose tablets, 27
GLUCOTROL, 25
GLUCOTROL XL, 25
GLUCOVANCE, 23
GLUMETZA, 23
glyburide, 25
glyburide micronized, 25
glyburide/metformin, 23
glycopyrrolate, 29
GLYNASE, 25
GLYSET, 23
GLYXAMBI, 25
GOLYTELY, 30
granisetron tabs, 29
granisetron transdermal, 29
GRANULEX, 43
GRASTEK, 34
GRIFULVIN V, 9
griseofulvin microsize, 9
griseofulvin ultramicrosize, 9
GRIS-PEG, 9
guaifenesin ext-rel, 38
guaifenesin liq, 38
guaifenesin liq, syp, tabs, 38
guaifenesin/acetaminophen/phenylephrine, 38
guanfacine, 13
guanfacine ext-rel, 21
guanidine, 23
GYNE-LOTRIMIN, 32
GYNOL II, 26
H
haloperidol, 20
HARVONI, 10
HECTOROL, 28
HEMOFIL M, 33
HEPAGAM B, 34
hepatitis B immune globulin, 34
HEPSERA, 10
HEXALEN, 11
HIZENTRA, 34
homatropine, 45
HUMALOG, 24
HUMALOG KWIKPEN, 24
HUMALOG MIX, 24
HUMATE-P, 33
HUMIRA, 34
HUMULIN 70/30, 24
HUMULIN N, 24
HUMULIN R, 24
HYCAMTIN, 12
hydralazine, 17
HYDREA, 12
hydrochlorothiazide, 16
hydrocodone polistirex/chlorpheniramine polistirex, 37
55
hydrocodone/acetaminophen, 7
hydrocodone/acetaminophen soln 7.5-325 mg/15 mL, 7
hydrocodone/homatropine, 37
hydrocortisone, 27
hydrocortisone acetate foam, 30
hydrocortisone butyrate crm, oint, soln 0.1%, 41
hydrocortisone crm, 31
hydrocortisone crm, gel, lotion, oint, soln 1%, 41
hydrocortisone crm, lotion, oint 2.5%, 41
hydrocortisone enema, 30
hydrocortisone oint 0.5%, 41
hydrocortisone valerate crm, oint 0.2%, 41
hydrocortisone/aloe vera crm 0.5%, 1%, 41
hydromorphone ext-rel, 7
hydromorphone oral soln 1 mg/mL, 7
hydromorphone tabs, 7
hydroxychloroquine, 34
hydroxyurea, 12
hydroxyzine HCl, 36
hydroxyzine pamoate, 36
hylan G-F 20, 7
hyoscyamine sulfate ext-rel caps, 29
hyoscyamine sulfate ext-rel tabs, 29
hyoscyamine sulfate oral soln, elixir, 29
hyoscyamine sulfate orally disintegrating tabs, 29
HYPERRAB S/D, 34
HYPERRHO, 34
HYZAAR, 13
I
ibandronate, 25
ibrutinib, 12
ibuprofen, 6
icosapent ethyl, 15
idelalisib, 12
ILARIS, 34
iloperidone, 20
iloprost, 17
imatinib mesylate, 12
IMBRUVICA, 12
imipramine HCl, 19
imipramine pamoate, 19
imiquimod, 43
IMITREX, 21
immune globulin, 34
immune globulin, gamma (IGG), 34
IMODIUM, 31
IMURAN, 35
INCRELEX, 28
indapamide, 16
INDERAL LA, 15
indinavir, 10
INDOCIN susp, 6
indomethacin, 6
indomethacin ext-rel, 6
indomethacin susp, 6
ingenol mebutate, 40
INLYTA, 12
INNOPRAN XL, 15
inositol niacinate, 15
INSPRA, 13
insulin aspart, 24
insulin aspart protamine 70%/insulin aspart 30%, 24
insulin detemir, 24
insulin glargine, 24
insulin glulisine vial, 24
insulin human, 24
insulin human inhalation powder, 24
insulin isophane human, 24
insulin isophane human 70%/regular 30%, 24
insulin lispro, 24
insulin lispro pen 100 units/mL, 24
insulin lispro pen 200 units/mL, 24
insulin lispro protamine/insulin lispro, 24
insulin syringes, needles, 25
INTELENCE, 9
interferon alfa-2b, 34
interferon beta-1a, 22
interferon beta-1b, 22
interferon gamma-1b, 34
INTERMEZZO, 21
INTRON A, 34
INTUNIV, 21
INVEGA, 20
INVIRASE, 10
INVOKAMET, 24
INVOKANA, 24
IOPIDINE, 45
ipratropium nasal spray, 39
ipratropium soln, 36
ipratropium, CFC-free aerosol, 36
ipratropium/albuterol soln, 36
ipratropium/albuterol, CFC-free aerosol, 36
irbesartan, 13
irbesartan/hydrochlorothiazide, 13
isavuconazonium caps, 9
ISENTRESS, 9
isocarboxazid, 19
isoniazid syrup, 10
isoniazid tabs, 10
ISOPTO CARBACHOL, 45
ISOPTO CARPINE, 45
ISOPTO HOMATROPINE, 45
ISOPTO HYOSCINE, 45
ISORDIL, 16
isosorbide dinitrate ext-rel tabs, 16
isosorbide dinitrate oral, 16
isosorbide dinitrate/hydralazine, 17
isosorbide mononitrate, 17
isosorbide mononitrate ext-rel, 17
isotretinoin, 40
isradipine, 15
ISTALOL, 45
itraconazole, 9
itraconazole oral soln, 9
ivermectin, 11
J
JAKAFI, 12
JALYN, 32
JANUMET, 24
JANUMET XR, 24
JANUVIA, 23
JARDIANCE, 24
JENTADUETO, 24
JUBLIA, 40
JUXTAPID, 15
K
KADIAN, 7
KALETRA, 10
KAPVAY, 20
karaya gum, 30
56
KARAYA GUM, 30
KEFLEX, 7, 8
KEPPRA, 18
KEPPRA XR, 18
KERLONE, 15
KERYDIN, 41
ketoconazole, 9, 41
ketoconazole shampoo 2%, 41
ketoprofen, 6
ketoprofen ext-rel, 6
ketorolac, 6, 44
ketorolac 0.4%, 44
ketorolac 0.5%, 44
ketotifen, 43
KHEDEZLA, 19
KLARON, 40
KLONOPIN, 17
KOGENATE FS, 33
KONSYL, 30
KORLYM, 28
K-PHOS, 32
KRISTALOSE, 30
KYNAMRO, 15
L
labetalol, 15
LAC-HYDRIN, 42
lacosamide, 18
LACRISERT, 45
lactase, 31
LACTRASE, 31
lactulose, 30
LAMICTAL, 18
LAMICTAL ODT, 18
LAMICTAL XR, 18
LAMISIL, 9
LAMISIL AT, 40
LAMISIL ORAL GRANULES, 9
lamivudine, 10
lamivudine/zidovudine, 9
lamotrigine, 18
lamotrigine ext-rel, 18
lamotrigine orally disintegrating tabs, 18
lancets, 25
LANOXIN, 16
lansoprazole + amoxicillin + clarithromycin, 31
lansoprazole delayed-rel, 31
lansoprazole delayed-rel orally-disintegrating tabs, 31
lansoprazole powder for suspension, 31
lanthanum, 28
LANTUS, 24
lapatinib, 12
LASIX, 16
LASTACAFT, 43
latanoprost, 45
LATUDA, 20
ledipasvir/sofosbuvir, 10
leflunomide, 34
lenalidomide, 12
LETAIRIS, 17
letrozole, 12
LEUCOVORIN, 11
leucovorin calcium, 11
LEUKERAN, 11
LEUKINE, 33
levalbuterol soln, 37
LEVAQUIN, 8
LEVATOL, 15
LEVBID, 29
LEVEMIR, 24
LEVEMIR FLEXTOUCH, 24
levetiracetam, 18
levetiracetam ext-rel, 18
levobunolol, 44
levocarnitine oral soln, tabs, 28
levocetirizine, 36
levofloxacin, 8
levofloxacin 0.5%, 44
levonorgestrel, 26
levonorgestrel/EE, 26
levonorgestrel/EE 0.09/20, 26
levonorgestrel/EE 0.1/20, 25
levonorgestrel/EE 0.1/20 and EE 10, 26
levonorgestrel/EE 0.15/30, 25
levorphanol tartrate, 7
levothyroxine, 28
levothyroxine - Levoxyl, 28
LEVSIN, 29
LEXAPRO, 19
LEXIVA, 10
LIALDA, 30
lidocaine, 43
lidocaine 5% crm, oint, 42
lidocaine patch, 42
lidocaine viscous, 43
lidocaine/prilocaine, 42
LIDODERM, 42
linagliptin, 23
linagliptin/metformin, 24
linezolid, 11
liothyronine, 28
liotrix, 28
LIPITOR, 14
LIPOFEN, 14
LIQ-10, 35
liraglutide, 24
lisdexamfetamine, 21
lisinopril, 13
lisinopril/hydrochlorothiazide, 13
lithium carbonate, 22
lithium carbonate ext-rel tabs 300 mg, 22
lithium carbonate ext-rel tabs 450 mg, 22
LITHOBID, 22
LITHOSTAT, 32
LIVALO, 14
l-methylfolate/vitamin B12, vitamin B6, vitamin B2, 36
LO LOESTRIN FE, 26
LOCOID, 41
LODOSYN, 20
lodoxamide, 43
LOESTRIN 1.5/30, 25
LOESTRIN 1/20, 25
LOESTRIN FE 1.5/30, 25
LOESTRIN FE 1/20, 25
LOFIBRA, 14
lomitapide, 15
LOMOTIL, 29
lomustine, 11
loperamide, 29
loperamide/simethicone, 31
LOPID, 14
lopinavir/ritonavir, 10
57
LOPRESSOR, 15
LOPRESSOR HCT, 15
LOPROX, 40
loratadine caps, 36
loratadine orally disintegrating tabs 5 mg, 36
loratadine tabs, 36
loratadine/pseudoephedrine ext-rel, 37
lorazepam, 18
losartan, 13
losartan/hydrochlorothiazide, 13
LOSEASONIQUE, 26
LOTEMAX, 44
LOTENSIN, 13
LOTENSIN HCT, 13
loteprednol 0.5%, 44
LOTREL, 13
LOTRONEX, 30
lovastatin, 14
lovastatin ext-rel, 14
LOVAZA, 15
LOVENOX, 33
loxapine, 19
lubiprostone, 30
LUMIGAN, 45
LUNESTA, 21
lurasidone, 20
LURIDE, 36
LURIDE LOZI-TABS, 36
LUXIQ, 41
lymphocyte immune globulin anti-thymocyte G, 34
LYRICA, 18
LYSODREN, 12
M
MAALOX, 29
macitentan, 17
MACROBID, 11
MACRODANTIN, 11
mafenide, 43
magnesium chloride ex-rel, 35
magnesium citrate, 30
magnesium hydroxide, 30
magnesium oxide, 35
MAG-OX 400, 35
MALARONE, 9
malathion, 42
maprotiline, 19
maraviroc, 9
MARINOL, 29
MARPLAN, 19
mask, 38
MASK, 38
MATULANE, 12
MAVIK, 13
MAXALT, 21
MAXIDEX, 44
MAXITROL, 44
MAXZIDE, 16
mecasermin, 28
mechlorethamine gel, 11
meclizine, 29
meclofenamate, 6
MEDROL, 27
MEDROL 2 mg, 27
medroxyprogesterone acetate, 28
medroxyprogesterone acetate 150 mg/mL, 26
mefenamic acid cap, 6
mefloquine, 9
MEGACE, 12
MEGACE ES, 28
megestrol acetate, 12, 28
MEKINIST, 12
meloxicam, 6
melphalan, 11
memantine ext-rel, 18
memantine soln, 18
memantine tabs, 18
M-END PE, 37
MENEST, 27
MENTAX, 40
mepenzolate bromide, 29
meperidine, 7
MEPHYTON, 36
meprobamate, 18
MEPRON, 11
mercaptopurine, 11
mesalamine delayed-rel, 30
mesalamine delayed-rel tabs, 30
mesalamine ext-rel caps, 30
mesalamine rectal susp, 30
mesalamine supp, 30
MESTINON, 22
METADATE CD, 21
METAGLIP, 23
metaproterenol, 38
metformin, 23
metformin ext-rel, 23
methadone concentrate 10 mg/mL, 7
methadone tabs 5 mg, 10 mg, 7
methamphetamine, 21
methazolamide, 16
methenamine mandelate, 32
methenamine mandelate/sodium phosphate, 32
methenamine/hyoscyamine/methylene blue/benzoic acid/
phenyl salicylate, 32
methenamine/hyoscyamine/methylene blue/sodium phosphate, 32
methimazole, 28
METHITEST, 23
methocarbamol, 22
methotrexate, 11, 34
methotrexate auto-injector, 34
methotrexate inj, 11, 34
methoxsalen, 41
methscopolamine bromide, 29
methsuximide, 18
methyclothiazide, 16
methylcellulose, 30
methyldopa, 17
methyldopa/hydrochlorothiazide, 17
methylergonovine, 28
METHYLIN, 21
methylphenidate, 21
methylphenidate ext-rel, 21
methylphenidate ext-rel 10 mg, 21
methylphenidate ext-rel 20 mg - Metadate ER, 21
methylphenidate transdermal, 21
methylprednisolone, 27
methyltestosterone, 23
metipranolol, 44
metoclopramide, 29
metoclopramide orally-disintegrating tabs, 29
metolazone, 16
58
metoprolol succinate ext-rel, 15
metoprolol succinate ext-rel/hydrochlorothiazide, 15
metoprolol tartrate, 15
metoprolol/hydrochlorothiazide, 15
METOZOLV ODT, 29
METROCREAM, 42
METROGEL, 42
METROGEL-VAGINAL, 32
METROLOTION, 42
metronidazole, 11, 32
metronidazole crm 0.75%, 42
metronidazole ext-rel, 11
metronidazole gel 0.75%, 42
metronidazole gel 1%, 42
metronidazole lotion 0.75%, 42
metyrosine, 17
MEVACOR, 14
mexiletine, 14
MIACALCIN, 25
MICARDIS, 14
MICARDIS HCT, 14
MICATIN, 40
miconazole, 32, 40
midodrine, 17
mifepristone, 28
miglitol, 23
miglustat, 28
MIGRANAL, 21
MILK OF MAGNESIA, 30
MILLIPRED DOSE PACK, SOLN, 27
milnacipran, 21
mineral oil, 30
mineral oil-hydrophilic petrolatum, 42
MINIPRESS, 13
MINOCIN, 8
minocycline, 8
minocycline ext-rel, 8
minoxidil tabs, 17
mipomersen, 15
MIRALAX, 30
MIRAPEX, 20
MIRAPEX ER, 20
MIRCETTE, 26
mirtazapine, 19
misoprostol, 31
mitotane, 12
MOBAN, 19
MOBIC, 6
modafinil, 22
MODICON, 26
moexipril, 13
moexipril/hydrochlorothiazide, 13
molindone, 19
mometasone, 39
mometasone crm, oint 0.1%, 41
mometasone lotion 0.1%, 41
mometasone spray, 39
mometasone/formoterol, 39
MONONINE, 33
montelukast, 38
montelukast granules, 38
MONUROL, 11
morphine, 7
morphine ext-rel, 7
morphine supp, 7
MOVIPREP, 31
MOXATAG, 8
MOXEZA, 44
moxifloxacin, 8, 44
MS CONTIN, 7
MUCINEX, 38
MUCINEX CHILDRENS, 37
MUCINEX COLD AND SINUS, 38
MUCINEX COLD-FLU AND SORE THROAT, 37
MUCINEX D, 38
MUCINEX DM, 37
MULTAQ, 14
multivitamins/fluoride drops, tabs, 36
multivitamins/fluoride/iron drops, tabs, 36
mupirocin, 40
MURO-128, 45
MYAMBUTOL, 10
MYCOBUTIN, 11
mycophenolate mofetil, 35
mycophenolate sodium delayed-rel, 35
MYFORTIC, 35
MYLANTA, 29
MYLERAN, 11
MYSOLINE, 18
N
nabilone, 29
nabumetone, 6
nadolol, 15
nadolol/bendroflumethiazide, 15
nafarelin, 26
naftifine, 41
NAFTIN, 41
nail scrub, 43
NAIL SCRUB LIQ W/BRUSH, 43
NALFON, 6
naloxone inj, 22
naltrexone, 22
NAMENDA, 18
NAMENDA XR, 18
NAPRELAN, 6
NAPROSYN, 6
naproxen, 6
naproxen sodium, 6
naproxen sodium ext-rel, 6
naproxen/esomeprazole delayed-rel, 6
naratriptan, 21
NARDIL, 19
NASACORT AQ, 39
NASALCROM, 38
NASONEX, 39
NATACYN, 43
natamycin, 43
nateglinide, 24
NATESTO, 23
NATROBA, 42
nebivolol, 15
NECON 10/11, 26
nedocromil, 43
nefazodone, 19
nelfinavir, 10
neomycin, 7
neomycin/bacitracin/polymyxin B, 40
neomycin/bacitracin/polymyxin/pramoxine, 40
neomycin/colistin/hydrocortisone, 46
neomycin/polymyxin B/bacitracin/hydrocortisone oint, 41, 44
neomycin/polymyxin B/dexamethasone, 44
59
neomycin/polymyxin B/gramicidin, 44
neomycin/polymyxin B/hydrocortisone, 46
neomycin/polymyxin B/hydrocortisone crm, 41
neomycin/polymyxin B/hydrocortisone susp, 44
NEORAL, 35
NEOSPORIN, 40, 44
NEOSPORIN+PN, 40
NEO-SYNEPHRINE, 38
nepafenac, 44
NEPHROCAPS, 36
NEULASTA, 33
NEUPOGEN, 33
NEURONTIN, 18
NEUTROGENA, 41
NEVANAC, 44
nevirapine, 9
nevirapine ext-rel 100 mg, 9
nevirapine ext-rel 400 mg, 9
NEXAVAR, 12
NEXIUM 24HR, 31
niacin, 15
niacin ext-rel, 15
niacin ext-rel/lovastatin, 15
niacin ext-rel/simvastatin, 15
NIACIN FLUSH FREE, 15
NIASPAN, 15
nicardipine, 15
NICORETTE, 23
nicotine inhaler, 23
nicotine polacrilex gum, 23
nicotine polacrilex lozenge, 23
nicotine spray, 23
nicotine transdermal, 23
NICOTROL INHALER, 23
NICOTROL NS, 23
nifedipine, 15
nifedipine ext-rel, 15
NILANDRON, 12
nilotinib, 12
nilutamide, 12
nimodipine, 15
NIMOTOP, 15
nisoldipine ext-rel, 15
nitazoxanide susp, 11
nitazoxanide tabs, 11
nitisinone, 28
NITRO-DUR, 17
nitrofurantoin ext-rel, 11
nitrofurantoin macrocrystals, 11
nitrofurantoin susp, 11
nitroglycerin rectal oint 0.4%, 31
nitroglycerin sublingual, 17
nitroglycerin transdermal, 17
NITROSTAT, 17
nizatidine, 30
NIZORAL SHAMPOO, 41
nonoxynol-9, 26
NORCO, 7
norethindrone, 26
norethindrone acetate, 28
norethindrone acetate/EE 1.5/30, 25
norethindrone acetate/EE 1.5/30 and iron, 25
norethindrone acetate/EE 1/10 and EE 10 and iron, 26
norethindrone acetate/EE 1/20, 25
norethindrone acetate/EE 1/20 and iron, 25
norethindrone/EE, 26
norethindrone/EE 0.5/35, 26
norethindrone/EE 1/35, 26
norethindrone/ME 1/50, 26
norgestimate/EE, 26
norgestimate/EE 0.25/35, 26
norgestrel/EE 0.3/30, 25
norgestrel/EE 0.5/50 - Ogestrel, 26
NORINYL 1+35, 26
NORINYL 1+50, 26
NORPACE, 14
NORPACE CR, 14
NORPRAMIN, 19
NOR-QD, 26
nortriptyline, 19
NORVASC, 15
NORVIR, 10
NOVOLIN 70/30, 24
NOVOLIN N, 24
NOVOLIN R, 24
NOVOLOG, 24
NOVOLOG MIX 70/30, 24
NOVOSEVEN RT, 33
NOXAFIL, 9
NUCYNTA, 7
NUEDEXTA, 23
NULYTELY, 31
NUVARING, 26
NUVIGIL, 22
nystatin, 9, 41
nystatin vaginal tab, 32
O
OBIZUR, 33
OCEAN, 39
octreotide acetate, 28
OCUFEN, 44
OCUFLOX, 44
ofloxacin, 44
ofloxacin otic, 46
olanzapine, 20
olanzapine/fluoxetine, 20
olmesartan, 13
olmesartan/amlodipine/hydrochlorothiazide, 14
olmesartan/hydrochlorothiazide, 13
olopatadine, 38, 43
olsalazine, 30
OLUX, 42
omalizumab, 39
ombitasvir/paritaprevir/ritonavir with dasabuvir, 10
OMECLAMOX-PAK, 31
omega-3 acid ethyl esters, 15
omega-3 fatty acids, 35
omeprazole delayed-rel, 31
omeprazole delayed-rel + clarithromycin + amoxicillin, 31
omeprazole magnesium delayed-rel, 31
omeprazole powder for suspension, 31
omeprazole/sodium bicarbonate, 31
OMNARIS, 39
OMNITROPE, 28
ondansetron, 29
ondansetron oral soluble film, 29
ONFI, 18
OPANA, 7
OPANA ER, 7
OPSUMIT, 17
OPTIPRANOLOL, 44
60
ORACEA, 42
ORAP, 20
ORAPRED ODT, 27
ORFADIN, 28
orphenadrine ext-rel, 22
orphenadrine/aspirin/caffeine, 22
ORTHO MICRONOR, 26
ORTHO TRI-CYCLEN, 26
ORTHO TRI-CYCLEN LO, 26
ORTHO-CYCLEN, 26
ORTHO-NOVUM 1/35, 26
ORTHO-NOVUM 7/7/7, 26
oseltamivir, 11
OTREXUP, 34
OVIDE, 42
OXANDRIN, 23
oxandrolone, 23
oxaprozin, 6
oxazepam, 18
oxcarbazepine, 18
oxiconazole, 41
OXISTAT, 41
OXSORALEN, 41
oxybutynin, 32
oxybutynin ext-rel, 32
oxybutynin gel, 32
oxybutynin transdermal, 32
oxycodone, 7
oxycodone ext-rel, 7
oxycodone/acetaminophen, 7
oxycodone/acetaminophen soln, 7
oxycodone/acetaminophen tabs - Roxicet, 7
oxycodone/aspirin, 7
OXYCONTIN, 7
oxymetazoline spray, 38
oxymetholone, 23
oxymorphone, 7
oxymorphone ext-rel, 7
OXYTROL, 32
OXYTROL FOR WOMEN, 32
P
paliperidone ext-rel, 20
palivizumab, 39
PAMELOR, 19
PAMINE, 29
PANCREAZE, 31
pancrelipase delayed-rel, 31
pantoprazole delayed-rel, 31
pantoprazole delayed-rel tabs, 31
PARAFON FORTE DSC, 22
paricalcitol, 28
PARLODEL, 20
PARNATE, 19
paromomycin, 11
paroxetine HCl, 19
paroxetine HCl ext-rel, 19
paroxetine HCl susp, 19
paroxetine mesylate, 19
pasireotide, 28
PATADAY, 43
PATANASE, 38
PATANOL, 43
PAXIL, 19
PAXIL CR, 19
pazopanib, 12
PCE, 8
peak flow meter, 38
PEDIALYTE, 35
peg 3350/electrolytes, 30, 31
PEGANONE, 18
PEGASYS, 34
pegfilgrastim, 33
peginterferon alfa-2a, 34
peginterferon alfa-2b, 34
PEGINTRON, 34
pegvisomant, 29
penbutolol, 15
penicillamine, 34
penicillin VK, 8
PENLAC, 40
PENNSAID, 6
PENTASA, 30
pentazocine/naloxone, 7
pentosan polysulfate sodium, 32
pentoxifylline ext-rel, 34
PEPCID, 30
PEPTO-BISMOL, 29
perampanel, 18
PERCOCET, 7
PERCODAN, 7
PERFOROMIST, 37
PERIDEX, 43
perindopril, 13
permethrin, 42
perphenazine, 20
perphenazine/amitriptyline, 20
PERSANTINE, 33
PETROLATUM, 42
petrolatum/mineral oil/shark liver oil/phenylephrine oint, 31
PEXEVA, 19
phenazopyridine, 32
phenelzine, 19
phenobarbital, 18
phentolamine inj, 17
phenylephrine, 38, 43
phenylephrine spray, 38
phenytoin, 18
phenytoin sodium extended, 18
PHOSLO, 28
PHOSLYRA, 28
PHOSPHOLINE IODIDE, 45
phytonadione, 36
PICATO, 40
pilocarpine, 45
pilocarpine tabs, 31
pimecrolimus, 42
pimozide, 20
pindolol, 15
PIN-X, 11
pioglitazone, 24
pioglitazone/glimepiride, 24
pioglitazone/metformin, 24
pioglitazone/metformin ext-rel, 24
piroxicam, 6
pitavastatin, 14
PLAN B ONE-STEP, 26
PLAQUENIL, 34
PLAVIX, 33
PLETAL, 34
podofilox soln, 43
polyethylene glycol 3350, 30, 31
61
polymyxin B/bacitracin, 40, 44
polymyxin B/trimethoprim, 44
polysaccharide iron forte, 36
POLYSPORIN, 40
POLYTRIM, 44
pomalidomide, 12
POMALYST, 12
PONSTEL, 6
posaconazole, 9
potassium chloride ext-rel, 35
potassium chloride liquid, 35
potassium citrate, 32
potassium citrate/citric acid, 32
potassium citrate/sodium citrate/citric acid, 32
potassium/sodium acid phosphates, 32
POTIGA, 18
povidone-iodine, 43
PRADAXA, 33
pramipexole, 20
pramipexole ext-rel, 20
pramlintide, 23
pramoxine/phenylephrine/glycerin/petrolatum, 31
PRANDIMET, 24
PRANDIN, 24
prasugrel, 33
PRAVACHOL, 14
pravastatin, 14
praziquantel, 11
prazosin, 13
PRECOSE, 23
PRED FORTE, 44
PRED MILD, 44
PRED-G, 44
prednicarbate crm, oint 0.1%, 41
prednisolone acetate 0.12%, 44
prednisolone acetate 1%, 44
prednisolone phosphate 1%, 44
prednisolone sodium phosphate, 27
prednisolone sodium phosphate orally disintegrating tabs, 27
prednisolone sodium phosphate soln 5 mg/5 mL, 15 mg/5 mL,
25 mg/5 mL, 27
prednisolone syrup, 27
prednisone, 27
prednisone concentrate 5 mg/mL, 27
PREDNISONE INTENSOL, 27
PREFEST, 27
pregabalin, 18
PRELONE, 27
PREMARIN, 27
PREMARIN CREAM, 27
PREMPHASE, 27
PREMPRO, 27
PRENAISSANCE NEXT, 35
PRENATABS RX, 35
PRENATAL DHA, 35
PRENATAL LOW IRON, 35
PRENATAL MULTI + DHA, 35
PRENATAL MULTIVITAMIN + DHA, 35
PRENATAL PLUS IRON, 35
prenatal vitamins/carbonyl iron/folic acid tabs, 35
prenatal vitamins/docusate/ferrous fumarate/folic acid, 35
prenatal vitamins/ferrous fumarate/folic acid chew tabs, 35
prenatal vitamins/ferrous fumarate/folic acid tabs, 35
prenatal vitamins/ferrous fumarate/folic acid/omega 3 fatty acids caps, 35
prenatal vitamins/folic acid/pyridoxine/calcium, 35
prenatal vitamins/minerals/ferrous fumarate/folic acid/DHA, 35
PREPARATION H, 31
PREVACID, 31
PREVACID 24HR, 31
PREVIDENT 5000, 43
PREVPAC, 31
PREZCOBIX, 9
PREZISTA, 10
PRIFTIN, 10
PRILOSEC, 31
PRILOSEC OTC, 31
primaquine, 9
PRIMAQUINE, 9
primidone, 18
PRISTIQ, 19
PRIVIGEN, 34
PROAIR HFA, 37
PROAIR RESPICLICK, 37
probenecid, 6
procarbazine, 12
PROCARDIA, 15
PROCARDIA XL, 15
PROCENTRA, 21
prochlorperazine, 29
PROCRIT, 33
PROCTOCORT 1%, 31
PROFILNINE SD, 33
progesterone gel, 28
progesterone, micronized, 28
PROGLYCEM, 27
PROGRAF, 35
PROLEUKIN, 12
PROMACTA, 33
promethazine, 29
promethazine/phenylephrine, 37
PROMETRIUM, 28
propafenone, 14
propafenone ext-rel, 14
propantheline, 29
propranolol, 15
propranolol ext-rel, 15
propylthiouracil, 28
PROSCAR, 32
PROSED/DS, 32
PROTONIX, 31
PROTONIX packets, 31
PROTOPIC, 42
protriptyline, 19
PROVENTIL HFA, 37
PROVERA, 28
PROVIGIL, 22
PROZAC, 19
PROZAC WEEKLY, 19
pseudoephedrine, 38
pseudoephedrine ext-rel, 38
pseudoephedrine/guaifenesin ext-rel, 38
psyllium powder, 30
PULMICORT FLEXHALER, 39
PULMICORT RESPULES, 39
PULMOZYME, 38
PYLERA, 31
pyrantel, 11
pyrazinamide, 10
pyrethrins/piperonyl butoxide, 42
PYRIDIUM, 32
pyridostigmine, 22
pyridoxine 25 mg, 50 mg, 35
62
Q
QNASL, 39
QUALAQUIN, 9
QUDEXY XR, 18
QUESTRAN/QUESTRAN LIGHT, 14
quetiapine, 20
quetiapine ext-rel, 20
quinapril, 13
quinapril/hydrochlorothiazide, 13
quinidine gluconate ext-rel, 14
quinine sulfate, 9
QVAR, 39
R
rabeprazole delayed-rel, 31
rabies immune globulin, 34
ragweed pollen allergen extract, 34
RAGWITEK, 34
raloxifene, 28
raltegravir, 9
ramipril, 13
RANEXA, 17
ranitidine, 30
ranolazine ext-rel, 17
RAPAFLO, 32
RAPAMUNE, 35
rasagiline mesylate, 20
RASUVO, 34
RAZADYNE, 18
RAZADYNE ER, 18
REBETOL, 10
recombinant factor VII, 33
RECTIV, 31
REFRESH, 45
REGENECARE, 43
REGLAN, 29
regorafenib, 12
REGRANEX, 42
RELENZA, 11
RELPAX, 21
REMERON, 19
REMODULIN, 17
RENAGEL, 28
RENVELA, 28
repaglinide, 24
repaglinide/metformin, 24
REQUIP, 20
REQUIP XL, 20
RESCRIPTOR, 9
reserpine, 17
RESTASIS, 45
RESTORIL, 21
retapamulin, 40
RETIN-A, 40
RETIN-A MICRO PUMP, 40
RETROVIR, 10
REVATIO, 17
REVIA, 22
REVLIMID, 12
REYATAZ, 10
RHEUMATREX, 34
RHINARIS NASAL GEL, 39
RHINOCORT AQUA, 39
rho D immune globulin, 34
RHOPHYLAC, 34
ribavirin caps 200 mg, 10
ribavirin oral soln 40 mg/mL, 10
ribavirin tabs 200 mg, 10
RID SHAMPOO, 42
RIDAURA, 34
rifabutin, 11
RIFADIN, 10
RIFAMATE, 10
rifampin, 10
rifampin/isoniazid, 10
rifampin/isoniazid/pyrazinamide, 10
rifapentine, 10
RIFATER, 10
rifaximin, 11
rilonacept, 34
rilpivirine, 10
RILUTEK, 17
riluzole, 17
rimantadine, 11
rimexolone, 44
riociguat, 17
risedronate, 25
risedronate delayed-rel, 25
RISPERDAL, 20
risperidone, 20
RITALIN, 21
RITALIN LA, 21
ritonavir, 10
rivaroxaban, 33
rivastigmine, 18
rivastigmine transdermal, 18
rizatriptan, 21
ROBAXIN, 22
ROBINUL, 29
ROBITUSSIN, 38
ROBITUSSIN COLD/FLU, 37
ROBITUSSIN, MULTI-SYMPTOM - NIGHT, 37
ROCALTROL, 28
roflumilast, 39
ropinirole, 20
ropinirole ext-rel, 20
rosuvastatin, 14
ROWASA, 30
ROXICET, 7
ROXICODONE, 7
rufinamide, 18
ruxolitinib, 12
RYTHMOL, 14
RYTHMOL SR, 14
S
SABRIL, 18
SALAGEN, 31
salicylic acid, 43
salicylic acid/sulfur shampoo, 41
salmeterol xinafoate, 37
salsalate, 6
SAMSCA, 28
SANCUSO, 29
SANDIMMUNE, 35
SANDOSTATIN, 28
SANTYL, 43
SAPHRIS, 20
saquinavir mesylate, 10
sargramostim, 33
SAVAYSA, 33
SAVELLA, 21
63
scopolamine, 29, 45
SEA-OMEGA, 35
SEBULEX, 41
secobarbital, 21
SECONAL, 21
SECTRAL, 15
selegiline, 20
selegiline orally disintegrating tablets, 20
selegiline transdermal, 19
selenium sulfide shampoo 1%, 41
SELSUN BLUE, 41
SELZENTRY, 9
SEMPREX-D, 37
SE-NATAL 19, 35
SE-NATAL 19 CHEW, 35
senna, 30
SENNA PLUS, 30
sennosides, 30
sennosides/docusate sodium, 30
SENOKOT, 30
SENSIPAR, 25
SEREVENT, 37
SEROQUEL, 20
SEROQUEL XR, 20
sertaconazole, 41
sertraline, 19
sevelamer carbonate, 28
sevelamer HCl, 28
SIGNIFOR, 28
sildenafil, 17
SILENOR, 21
silodosin, 32
SILVADENE, 40
silver sulfadiazine, 40
SIMCOR, 15
simethicone, 31
simvastatin, 15
SINEMET, 20
SINEMET CR, 20
SINGULAIR, 38
sirolimus, 35
SIRTURO, 10
sitagliptin phosphate, 23
sitagliptin/metformin, 24
sitagliptin/metformin ext-rel, 24
SLOW-MAG, 35
sodium bicarbonate, 29
sodium chloride, 45
sodium chloride for inhalation, 38
sodium chloride gel, 39
sodium chloride soln, 39, 43
sodium citrate/citric acid, 32
sodium fluoride, 43
sodium oxybate, 22
sodium phenylbutyrate, 31
sodium phosphates, 30
sodium polystyrene sulfonate, 35
sodium sulfate/potassium sulfate/magnesium sulfate, 31
sofosbuvir, 10
SOLARAZE, 40
solifenacin, 32
SOLIRIS, 33
SOLODYN, 8
SOMA, 22
somatropin, 28
SOMAVERT, 29
sorafenib, 12
SORIATANE, 41
SORILUX, 41
sotalol, 14
SOVALDI, 10
spacer, 38
SPECTRACEF, 8
spinosad, 42
spironolactone, 13
spironolactone/hydrochlorothiazide, 16
SPORANOX, 9
SPORANOX ORAL SOLUTION, 9
SPRYCEL, 12
SPS, 35
STALEVO, 20
STARLIX, 24
stavudine, 10
stavudine soln, 10
STAVZOR, 18
STIMATE, 28
STIOLTO RESPIMAT, 36
STIVARGA, 12
STRATTERA, 20
STRIBILD, 9
STROMECTOL, 11
SUBSYS, 7
succimer, 34
sucralfate, 31
SUDAFED, 38
SUDAFED PE, 38
SULAR, 15
sulconazole, 41
sulfacetamide lotion 10%, 40
sulfacetamide sodium, 41
sulfacetamide sodium/sulfur, 40
sulfacetamide sodium/sulfur kit, 40
sulfacetamide soln 10%, 44
sulfacetamide/prednisolone phosphate 10%/0.25%, 44
sulfacetamide/sulfur, 42
sulfacetamide/sulfur crm, gel, lotion, pads, 40
sulfadiazine, 8
sulfamethoxazole/trimethoprim, 8
sulfamethoxazole/trimethoprim DS, 8
SULFAMYLON, 43
sulfasalazine, 30
sulfasalazine delayed-rel, 30
sulindac, 6
SUMADAN, 40
sumatriptan, 21
sumatriptan inj, 21
sumatriptan nasal spray, 21
sumatriptan/naproxen sodium, 21
SUMAXIN CP, 40
sunitinib, 12
SUPRAX, 8
SUPREP, 31
SURMONTIL, 19
SUSTIVA, 9
SUTENT, 12
SYMBICORT, 39
SYMBYAX, 20
SYMLINPEN, 23
SYNAGIS, 39
SYNAREL, 26
SYNTHROID, 28
SYNVISC-ONE, 7
64
T
TABLOID, 11
tacrolimus, 35, 42
tadalafil, 17
TAFINLAR, 12
tafluprost, 45
TAGAMET HB, 30
TAMIFLU, 11
tamoxifen, 12
tamsulosin, 32
TANZEUM, 24
TAPAZOLE, 28
tapentadol, 7
TARCEVA, 12
TARGRETIN, 43
TARGRETIN caps, 12
TARKA, 13
TASIGNA, 12
TASMAR, 20
tavaborole, 41
tazarotene, 41
TAZORAC, 41
TECFIDERA, 22
teduglutide, 31
TEGRETOL, 18
TEGRETOL-XR, 18
TEKAMLO, 16
TEKTURNA, 16
TEKTURNA HCT, 16
telbivudine, 10
telmisartan, 14
telmisartan/hydrochlorothiazide, 14
temazepam, 21
TEMODAR, 11
TEMOVATE, 42
temozolomide, 11
TENEX, 13
tenofovir, 10
TENORETIC, 15
TENORMIN, 15
TERAZOL 3, 32
TERAZOL 7, 32
terazosin, 13, 32
terbinafine, 40
terbinafine granules, 9
terbinafine tabs, 9
terbutaline, 38
terconazole, 32
teriflunomide, 22
teriparatide, 25
TESSALON, 37
TESTIM, 23
testosterone cypionate, 23
testosterone enanthate, 23
testosterone gel, 23
testosterone nasal gel, 23
testosterone soln, 23
testosterone transdermal, 23
TESTRED, 23
tetrabenazine, 21
tetracaine ophth 0.5%, 45
tetracycline, 8
tetrahydrozoline, 38
TEVETEN HCT, 13
thalidomide, 12
THALOMID, 12
THEO-24, 39
theophylline ext-rel caps, 39
theophylline ext-rel tabs, 39
theophylline liquid, 39
thioguanine, 11
thioridazine, 19
thiothixene, 20
thyroid, 28
THYROLAR, 28
tiagabine, 18
TIAZAC, 16
ticagrelor, 33
TIGAN caps, 29
TIKOSYN, 14
timolol, 15
timolol hemihydrate, 45
timolol maleate, 45
timolol maleate gel, 45
TIMOPTIC, 45
TIMOPTIC-XE, 45
timothy grass pollen allergen extract, 34
TINACTIN, 40
TINDAMAX, 11
tinidazole, 11
tioconazole, 32
tiotropium/olodaterol, 36
tipranavir, 10
TIROSINT, 28
TIVICAY, 9
tizanidine caps, 22
tizanidine tabs, 22
TOBI, 38
TOBI PODHALER, 38
TOBRADEX, 44
TOBRADEX ST, 44
tobramycin, 44
tobramycin inhalation powder, 38
tobramycin inhalation soln, 38
tobramycin oint, 44
tobramycin soln, 44
tobramycin/dexamethasone oint 0.3%/0.1%, 44
tobramycin/dexamethasone susp 0.3%/0.05%, 44
tobramycin/dexamethasone susp 0.3%/0.1%, 44
TOBREX, 44
TOBREX oint, 44
TOBREX soln, 44
tocopherols-tocotrienols, 35
TOFRANIL, 19
TOFRANIL-PM, 19
tolazamide, 25
tolbutamide, 25
tolcapone, 20
tolmetin 200 mg, 400 mg, 6
tolmetin 600 mg, 6
tolnaftate, 40
tolterodine, 32
tolterodine ext-rel, 32
tolvaptan, 28
TOPAMAX, 18
TOPICORT, 42
TOPICORT LP, 41
topiramate ext-rel, 18
topiramate sprinkle caps, tabs, 18
topotecan, 12
TOPROL-XL, 15
toremifene, 12
65
torsemide, 16
TOUJEO SOLOSTAR, 24
TOVIAZ, 32
TRACLEER, 17
TRADJENTA, 23
tramadol, 7
tramadol ext-rel, 7
tramadol/acetaminophen, 7
trametinib, 12
TRANDATE, 15
trandolapril, 13
trandolapril/verapamil ext-rel, 13
TRANSDERM SCOP, 29
tranylcypromine, 19
TRAVATAN Z, 45
travoprost, 45
trazodone, 19
TRECATOR, 10
treprostinil, 17
tretinoin, 40
tretinoin caps, 12
tretinoin gel microsphere, 40
TREXALL, 11
TREXIMET, 21
triamcinolone acetonide crm, lotion, oint 0.025%, 41
triamcinolone acetonide crm, lotion, oint 0.1%, 41
triamcinolone acetonide crm, oint 0.5%, 42
triamcinolone acetonide spray, 39
triamcinolone paste, 43
triamterene/hydrochlorothiazide, 16
triazolam, 21
TRIBENZOR, 14
TRICOR, 14
trifluoperazine, 20
trifluridine, 44
TRIGLIDE, 14
trihexyphenidyl, 20
TRILEPTAL, 18
TRILIPIX, 14
trimethobenzamide caps, 29
trimethoprim, 11
trimipramine, 19
TRI-NORINYL, 26
triprolidine/pseudoephedrine liq, syp, 37
TRIUMEQ, 9
TRIZIVIR, 9
tropicamide, 45
trospium, 32
trospium ext-rel, 32
TRUE METRIX kits, 25
TRUE METRIX test strips, 25
TRUERESULT kits, 25
TRUETEST test strips, 25
TRULICITY, 24
TRUSOPT, 45
TRUVADA, 9
TRUZONE peak flow meter, 38
trypsin/balsam/castor oil, 43
TUDORZA, 36
TUSSIONEX, 37
TYBOST, 9
TYKERB, 12
TYLENOL, 6
TYLENOL w/CODEINE, 7
TYVASO, 17
TYZEKA, 10
TYZINE, 38
U
ubidecarenone, 35
ubiquinol liposomal, 35
ULESFIA, 42
ulipristal, 26
ULORIC, 6
ULTRACET, 7
ULTRAM, 7
ULTRAM ER, 7
URECHOLINE, 32
UROCIT-K, 32
UROGESIC-BLUE, 32
UROQID-ACID #2, 32
UROXATRAL, 32
URSO, 29
ursodiol, 29
V
VAGIFEM, 27
VAGISTAT-1, 32
valacyclovir, 11
VALCHLOR, 11
VALCYTE, 10
valganciclovir, 10
VALIUM, 18
valproic acid, 18
valproic acid delayed-rel, 18
valsartan, 14
valsartan/hydrochlorothiazide, 14
VALTREX, 11
VANCOCIN, 11
vancomycin, 11
vandetanib, 12
vaporizer, 38
VAPORIZER, 38
varenicline, 23
VASCEPA, 15
VASERETIC, 13
VASOTEC, 13
VELETRI, 17
venlafaxine ext-rel, 19
venlafaxine tabs, 19
VENTAVIS, 17
VENTOLIN HFA, 37
VERAMYST, 39
verapamil ext-rel, 16
VERELAN PM, 16
VESICARE, 32
VEXOL, 44
VFEND, 9
VIBRAMYCIN, 8
VIBRAMYCIN SYRUP, 8
VICTOZA, 24
VIDEX EC, 10
VIDEX soln, 10
VIEKIRA PAK, 10
vigabatrin, 18
VIGAMOX, 44
VIIBRYD, 19
vilazodone, 19
VIMOVO, 6
VIMPAT, 18
VIRACEPT, 10
VIRAMUNE, 9
VIRAMUNE XR, 9
66
VIREAD, 10
VIROPTIC, 44
VISTARIL, 36
vitamin ADC/fluoride drops, 36
vitamin ADC/fluoride/iron drops, 36
vitamin B complex/vitamin C/folic acid, 36
VITAMIN B6, 35
VITAMIN C, 35
VITAMIN D, 35
vitamin E, 36
VITAMIN E, 36
VITEKTA, 9
VIVELLE-DOT, 27
VOLTAREN GEL, 6
vorapaxar, 33
voriconazole, 9
vorinostat, 13
vortioxetine, 19
VOSPIRE ER, 38
VOTRIENT, 12
VYTORIN, 14
VYVANSE, 21
W
warfarin, 33
WELCHOL, 14
WELLBUTRIN, 19
WELLBUTRIN SR, 19
WELLBUTRIN XL, 19
WESTCORT, 41
WINRHO SDF, 34
X
XALATAN, 45
XANAX, 17
XANAX XR, 17
XARELTO, 33
XELODA, 11
XENAZINE, 21
XERESE, 43
XIFAXAN, 11
XIGDUO XR, 24
XOLAIR, 39
XOPENEX, 37
XYREM, 22
XYZAL, 36
Y
YASMIN, 25
Z
zafirlukast, 38
zaleplon, 21
ZANAFLEX, 22
zanamivir, 11
ZANTAC, 30
ZARONTIN, 18
ZAROXOLYN, 16
ZAVESCA, 28
ZEBETA, 15
ZEGERID OTC, 31
ZELAPAR, 20
ZEMPLAR, 28
ZENPEP, 31
ZERIT, 10
ZERIT soln, 10
ZESTORETIC, 13
ZESTRIL, 13
ZETIA, 14
ZETONNA, 39
ZIAC, 15
ZIAGEN, 10
ZIAGEN soln, 10
ZIANA, 40
zidovudine, 10
ZIKS, 43
zileuton, 38
zileuton ext-rel, 38
zinc, 36
zinc acetate, 43
zinc sulfate, 36
ZIOPTAN, 45
ziprasidone, 20
ZIPSOR, 6
ZIRGAN, 44
ZITHROMAX, 8
ZOCOR, 15
ZOFRAN, 29
ZOLINZA, 13
zolmitriptan, 21
ZOLOFT, 19
zolpidem, 21
zolpidem ext-rel, 21
zolpidem spray, 21
zolpidem sublingual, 21
ZOLPIMIST, 21
ZOMIG, 21
ZONATUSS, 37
ZONEGRAN, 18
zonisamide, 18
ZONTIVITY, 33
ZORTRESS, 35
ZOSTRIX, 43
ZOVIRAX, 11
ZOVIRAX crm, 43
ZOVIRAX oint, 43
ZUPLENZ, 29
ZYBAN, 23
ZYCLARA, 43
ZYDELIG, 12
ZYFLO, 38
ZYFLO CR, 38
ZYLOPRIM, 6
ZYMAXID, 44
ZYPREXA, 20
ZYRTEC, 36
ZYRTEC-D 12 Hour, 37
ZYVOX, 11
67