Some drugs are excluded from Medicare Part D, but are covered by your Medicaid benefits under the HealthPartners® MSHO Plan (HMO). These drugs include some over‐the‐counter (OTC) items, vitamins, and cough and cold medicines. If covered, these drugs will have no copay and will not count toward your total drug cost. For questions, please call Member Services at 952‐967‐7029 or 1‐888‐820‐4285. TTY members should call 952‐883‐6060 or 1‐800‐443‐0156. From October 1 through February 14, we take calls from 8 a.m. to 8 p.m., seven days a week. You’ll speak with a representative. From February 15 to September 30, call us 8 a.m. to 8 p.m. Monday through Friday to speak with a representative. On Saturdays, Sundays and holidays, you can leave a message and we’ll get back to you within one business day. Drug Description 3 DAY VAGINAL 5‐HYDROXYTRYPTOPHAN ABSORBASE ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN ACETAMINOPHEN‐BUTALBITAL ACNE CLEANSING PADS ACNE TREATMENT,EXTRA STRENGTH ACT ANTI‐CAVITY MOUTH RINSE Updated 12/01/2012 Strength 4% 50 MG 500 MG 120MG 325 MG 650MG 80 MG 650 MG 160 MG/5ML 500 MG/5ML 160 MG/5ML 500MG/15ML 100 MG/ML 500 MG 325 MG 500 MG 80 MG 100.00% 80 MG 160 MG 80MG/0.8ML 50MG‐325MG 2% 10% 0.05% ACTICAL ACTIDOSE‐AQUA ACTIDOSE‐AQUA ACTIDOSE‐AQUA ACTIVATED CHARCOAL ADEKS ADULT GLYCERIN ADULT WAL‐TUSSIN DM MAX AFRIN AKWA TEARS RENEWED ALAMAG ALA‐SEB ALCALAK ALKA‐AID ALL DAY ALLERGY ALL DAY ALLERGY ALLER‐CHLOR ALLERGY ALLERGY ALLERGY & CONGESTION ALLERGY COMPLETE‐D ALLERGY RELIEF ALLERGY RELIEF ALLERGY RELIEF‐NASAL DECONGEST ALLFEN‐DM ALOE VESTA ALOE VESTA ALOE VESTA SKIN CONDITIONER 2 ALTACHLORE ALTALUBE ALTARUSSIN PE ALUMINUM HYDROXIDE ALUMINUM HYDROXIDE AMBI 60‐580 AMBI 80/780 AMERICIN AMERIGEL PREVENTIVE BARRIER AMERIGEL PREVENTIVE CARE AMITEX PSE AMLACTIN AMMONIUM LACTATE Updated 12/1/2012 50G/240ML 15G/72ML 25G/120ML 25 G 7.5 MG ADULT 200‐10MG/5 0.05% 0.1%‐0.3% 150‐300MG 2 %‐2 % 168(420)MG 180‐360MG 5 MG 10 MG 2 MG/5 ML 25 MG 25 MG 5 MG‐120MG 5 MG‐120MG 10 MG 10 MG 10MG‐240MG 1000‐55MG 2% 3% 5% 100‐30MG/5 320MG/5ML 600MG/5ML 580MG‐60MG 780MG‐80MG 600‐120MG 12% 5.00% 2 AMMONIUM LACTATE AMMONIUM LACTATE ANTACID ANTACID ANTACID PLUS EXTRA STRENGTH ANTACID‐ANTIGAS ANTI‐DIARRHEAL ANTI‐FUNGAL ANTI‐ITCH ANTIOXIDANT ANTIOXIDANT ANTIOXIDANT ULTRA FORMULA ANTISEPTIC BIO‐HAND ANTISEPTIC GEL ANUSERT HC‐1 AQUABASE AQUADEKS AQUAPHILIC WITH CARBAMIDE AQUASOL E AQUATAB DM AQUORAL ARTIFICIAL TEARS LUBRICATION G ASCORBIC ACID ASCORBIC ACID ASCORBIC ACID ASCORBIC ACID ASCORBIC ACID ASCORBIC ACID ASCRIPTIN ASCRIPTIN MAXIMUM STRENGTH ASPIRIN ASPIRIN ASPIRIN ASPIRIN ASPIRIN ASPIRIN ASPIRIN ASPIRIN BUFFERED ASPIRIN EC ASPIRIN EC ASPIRIN/CALCIUM CARBONATE/MAG Updated 12/1/2012 12% 12%‐12% 200(500)MG 200‐200‐20 450‐500‐40 400‐400‐40 1 MG/5 ML 2% 1% 66.50% 62% 1% 0.1MG‐10MG 50 UNIT/ML 835MG‐28MG N/A 100% 100.00% 100MG 250 MG 500MG 325 MG 500 MG 81 MG 600 MG 300 MG 325 MG 500 MG 81 MG 500MG 325 MG 81 MG 325 MG 500 MG 3 ATRAC‐TAIN AYR AYR AYR SALINE BABY AYR SALINE BACITRACIN BACITRACIN BACITRACIN ZINC BACITRACIN ZINC BACMIN BAYER WITH CALCIUM BAZA PROTECT BENEFIBER BENZAC AC BENZAC AC BENZASHAVE BENZONATATE BENZOYL PEROXIDE BENZOYL PEROXIDE BENZOYL PEROXIDE BETA‐CAROTENE BETA‐CAROTENE BETA‐CAROTENE(A) W‐C & E BETA‐CAROTENE(A) W‐C & E/ZN/CU BETA‐CAROTENE(A) W‐C & E/ZN/SE BETADINE BETADINE BETADINE BETADINE BETAMIDE BIDEX‐A BION TEARS BIOSPEC DMX BIOTENE ORALBALANCE BIOTENE ORALBALANCE BISACODYL BISACODYL BOUDREAUXS BROFED BROMHIST‐NR BROVEX SR Updated 12/1/2012 5% 2.65% 0.65% 500 UNIT/G 500 UNIT/G 500 UNIT/G 500 UNIT/G 27 MG‐1 MG 81MG‐300MG 1 G 5% 10% 5% 100 MG 10% 10% 5% 10000 UNIT 25000 UNIT 7160‐113 7.50% 5% 7.50% 5% 600‐25MG 0.1%‐0.3% 25‐15MG/5 10 MG 10MG/30ML 25% 30‐4MG/5ML 12.5‐1MG/1 90 MG‐9 MG 4 BUFFERED SALT BUTALBITAL COMPOUND BUTALBITAL‐ACETAMINOPHEN‐CAFFE CAL GLUCONATE/CAL LACTATE/GUM CALAGESIC CALAMINE CALAMINE CALCET CALCI‐MIX CALCIO DEL MAR CALCIONATE CALCITRATE CALCITRATE + VIT D CALCIUM CALCIUM CALCIUM CALCIUM + VIT D CALCIUM 500 + VIT D CALCIUM 500 + VIT D CALCIUM 600 + VIT D CALCIUM 600 + VIT D CALCIUM CARBONATE CALCIUM CARBONATE CALCIUM CARBONATE CALCIUM CARBONATE CALCIUM CARBONATE/VITAMIN D3 CALCIUM CARBONATE/VITAMIN D3 CALCIUM CARBONATE/VITAMIN D3 CALCIUM CITRATE CALCIUM CITRATE +VIT D3 CALCIUM CITRATE W/VIT D CALCIUM CITRATE‐VIT D CALCIUM CITRATE‐VITAMIN D CALCIUM CITRATE‐VITAMIN D CALCIUM GLUCONATE CALCIUM GLUCONATE CALCIUM GLUCONATE CALCIUM LACTATE CALCIUM LACTATE CALCIUM WITH BORON CALCIUM WITH VITAMIN D Updated 12/1/2012 287‐180‐15 50‐325‐40 50‐325‐40 300MG‐3G/7 1 %‐8 % 8 %‐8 % 200 MG‐250 500(1250) 500 MG 115MG/5ML 200(950)MG 315 MG‐250 600 MG 600 MG 300MG 400‐133.3 500 MG‐200 500 MG‐400 600 MG‐400 600 MG‐400 500(1250) 648 MG 500(1250) 500 MG/5ML 600MG‐500 500 MG‐400 600MG‐125 1040MG 200 MG‐250 600MG 315MG‐200 200MG‐125 250MG‐200 61(648) MG 60(648) MG 61(648) MG (blank) 84 MG(648) 500‐1.5MG 600 MG‐200 5 CALCIUM WITH VITAMIN D CALCIUM WITH VITAMIN D CALCIUM‐MAGNESIUM CALDYPHEN CALICYLIC CALLUS REMOVER CAPHOSOL CAPSAICIN CAPSAICIN CAPSAICIN CARMOL CAVILON CECON CENTRAL VITE CENTRAL‐VITE SELECT CENTRAVITES CENTRAVITES 50 PLUS CENTURY CERTA PLUS CERTAVITE CETIRIZINE HCL CHARCOAL, ACTIVATED CHARCOAL, ACTIVATED CHARCOAL/SORBITOL SOLUTION CHARCOAL/SORBITOL SOLUTION CHEST CONGESTION RELIEF CHEST CONGESTION RELIEF DM CHEWABLE CALCIUM CHILDREN'S ALLERGY CHILDREN'S CETIRIZINE HCL CHILDREN'S CHEST CONGESTION CHILDREN'S CLARITIN CHILDREN'S COLD & ALLERGY CHILDREN'S COLD & COUGH CHILDREN'S IBUPROFEN CHILDREN'S LORATADINE CHILDREN'S MUCINEX CHILDREN'S MULTIVITAMIN‐IRON CHILDREN'S PAIN RELIEF CHILDREN'S PEPTO CHILDREN'S WAL‐TAP Updated 12/1/2012 600 MG‐200 500 MG‐100 300‐300MG 1 %‐8 % 10% 40% 0.03% 0.03% 10% 90 MG/ML 18MG‐0.4MG 0.4‐162‐18 .4‐300‐250 0.4‐18‐250 9 MG/15 ML 5 MG 260 MG 50G/240ML 25G/120ML 400 MG 400MG‐20MG 500 MG 12.5MG/5ML 1 MG/ML 100 MG/5ML 5 MG 15‐1MG/5ML 1‐2.5‐5/5 100 MG/5ML 5 MG/5 ML 100‐5 MG/5 160 MG/5ML 400 MG 15‐1MG/5ML 6 CHLORHEXIDINE GLUCONATE CHLORHEXIDINE GLUCONATE CHLORHEXIDINE GLUCONATE CHLORMATE SA CHLORPHENIRAMINE MALEATE CHLORPHENIRAMINE MALEATE CHLOR‐TRIMETON ALLERGY CHOLECALCIFEROL CHOLECALCIFEROL CHOLECALCIFEROL CITRACAL CREAMY BITES CITRACAL LIQUITAB CITRADERM CITRUS CALCIUM‐VITAMIN D CLARITIN CLEARLAX CLEMASTINE FUMARATE CLOTRIMAZOLE CLOTRIMAZOLE CLOTRIMAZOLE CLOTRIMAZOLE‐3 COAL TAR COAL TAR COAL TAR COAL TAR COAL TAR COLACE COLD SORE COMFORT SHIELD COMPLETE COMPOZ CONGESTAC CONPEC L.A. CORAL CALCIUM CORN‐CALLUS REMOVER COROMEGA CORTAID CREATINE MONOHYDRATE CRITIC‐AID CRUEX CYANOCOBALAMIN Updated 12/1/2012 4% 2% 20% 12MG 8MG 4 MG 12 MG 1000 UNIT 400/ML 5000 UNIT 500 MG‐200 500MG 200 MG‐250 10 MG 17G/DOSE 1.34 MG 1% 1% 1% 2% 2.00% 0.50% 2.00% 2.50% 200 MG/5ML 2% 3% 27MG‐0.4MG 50 MG 400MG‐60MG 500‐120MG 185 MG 650MG‐1000 1% 20%‐51% 2% 1000MCG/ML 7 DAIRY DIGEST ULTRA DAIRY RELIEF DECUBITENE DELSYM DERMA CIDOL 2000 DERMADROX DERMADROX DERMAFIX DESENEX DESSICATED LIVER DEX4 GLUCOSE DEXTROMETHORPHAN HBR DEXTROMETHORPHAN HBR DEXTROMETHORPHAN HBR DIARRHEA RELIEF DIASTAT ACUDIAL DIASTAT ACUDIAL DIAZEPAM DIAZEPAM DIAZEPAM DI‐GON II DIMETHICONE DIMETHICONE/ZINC OXIDE DIOCTYL DIPHENHIST DIPHENHYDRAMINE HCL DIPHENHYDRAMINE HCL DIPHENHYDRAMINE HCL DOCUSATE SODIUM W/CASANTHRANOL DOCUSIL DUOFILM DURADEX DURADEX FORTE DYNAHEX DY‐O‐DERM E‐400 C‐500 & BETA CAROTENE EAR WAX REMOVAL EASYGEL EFFERVESCENT EFFERVESCENT PAIN RELIEF ELDERCAPS Updated 12/1/2012 4500 UNIT 9000 UNIT 30 MG/5 ML 0.50% 0.45% 2% 4 G 15 MG/5 ML 5 MG/5 ML 7.5 MG/5ML 262MG/15ML 5‐7.5‐10MG 12.5‐15‐20 5 MG/ML 5MG/5ML 2.5 MG 600 MG 2% 5%‐5% 60 MG/15ML 50 MG 12.5 MG 25 MG 12.5MG/5ML 30‐100MG 100 MG 17% 1200‐20MG 1200‐45MG 4% 6.50% 0.40% 325‐1916MG 324 MG 1 MG 8 ELDERTONIC ELEMENTAL ZINC ENDIT ENEMA ENEMEEZ ENTEX PSE ENVIRO STRESS ERGOCALCIFEROL EUCERIN EUCERIN PLUS INTENSIVE REPAIR EYE ALLERGY RELIEF EYE CARE NUTRITIONAL SUPPLEMEN EYE HEALTH EYE ITCH RELIEF FAMOTIDINE FEOSTAT FERATAB FERGON FERREX 150 PLUS FERRIMIN 150 FERRO‐PLEX HEMATINIC FERROUS FUMARATE FERROUS FUMARATE/FE PS CMPLX FERROUS GLUCONATE FERROUS SULFATE FERROUS SULFATE FERROUS SULFATE FERROUS SULFATE FERROUS SULFATE FERROUS SULFATE FETRIN FIBER FIBER‐LAX FIRST‐HYDROCORTISONE FLEET PREP KIT #2 FLETCHER'S CASTORIA FLINTSTONES COMPLETE FLINTSTONES WITH EXTRA C FOAM INCONTINENCE KIT FOAMICON FOAMING ANTACID Updated 12/1/2012 30 MG 19G‐7G/118 283 MG/5ML 525MG‐50MG 8000/ML 0.025‐0.3% NA 0.03% 10 MG 300(100)/5 300(60)MG 240(27)MG 150‐50‐50 456(150)MG 115‐1MG 90(29.5)MG 106 MG 325 MG 220(44)/5 300 MG/5ML 15MG/0.6ML 325(65) MG 325(65) MG 15MG/1.5ML 200‐60MG‐5 625 MG 10% 6.50% 237.5‐254 358‐95/15 9 FOLBEE FOLBEE PLUS FOLGARD FOLGARD RX FOLIC ACID FOLIC ACID FOLIC ACID FOLIC ACID FOLIC ACID/MULTIVITS‐MIN/LUT FOLIC ACID/MV,FE,OTHER MIN FOLIC ACID/MV,FE,OTHER MIN FOLIC ACID/MV,FE,OTHER MIN FOLTX FOSFREE FUNGOID TINCTURE FUNGOID TINCTURE GAS RELIEF GAS RELIEF GAS‐X GAVISCON GENTEAL GENTEAL MILD GENTEAL PM GENTEAL SEVERE GERI PROTECT GERITOL COMPLETE GFN 1200/DM 60 GFN 550/PSE 60 GLUCOTEN GLUTOSE 45 GLYCERIN GLYCERIN/HYALURONATE SODIUM GORDO‐UREA GORDO‐UREA GRX DYNE GUAI 800/DM 30 GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN GUAIFENESIN/D‐METHORPHAN HB Updated 12/1/2012 1‐2.5‐25MG 5 MG 115‐0.8‐10 1‐2.2‐25MG 1 MG 0.4 MG 0.8 MG 100.00% 500‐250MCG 0.4MG‐18MG .4‐18‐3500 0.4MG‐18MG 2‐2.5‐25MG 175.5‐14.5 2% 2% 80 MG 125 MG 62.5 MG 14.2‐80MG 0.25%‐0.3% 0.20% 15%‐85% 0.30% 16‐0.38 MG 1200‐60MG 550‐60MG 375‐300MG 40% 2.8G/2.7ML (blank) 22% 40% 7.50% 800MG‐30MG 100 MG/5ML 200 MG 1200 MG 1200 MG 100MG‐5MG 10 GUAIFENESIN/P‐EPHED HCL GUAIFENESIN/PHENYLEPHRINE HCL GUAIFENESIN/PHENYLEPHRINE HCL GUAIFENESIN/PHENYLEPHRINE HCL GUAIFENESIN‐CODEINE GUAIFENEX PSE 80 HEARTBURN ANTACID HEMATOGEN HEMOCYTE HEMOCYTE‐F HEXAVITAMIN HIGH POTENCY IRON HIGH POTENCY VITAMIN‐MINERALS HI‐POTENCY VITAMIN‐MINERALS HISTALET X HISTEX SR HOMOCYSTEINE FORMULA HOUSEHOLD LICE CONTROL HYDRISALIC HYDRO 40 HYDROCODONE COMPOUND HYDROCORTISONE HYDROCORTISONE HYDROCORTISONE ACETATE HYDROCORTISONE ACETATE HYDROCORTISONE‐ALOE HYDROGEN PEROXIDE HYDROGEN PEROXIDE HYPOTEARS HYPOTEARS HYPOTEARS‐PF I.L.X. B‐12 IBUPROFEN IBUPROFEN IBUPROFEN IBUPROFEN CHEW ICAPS ICAPS MV ICY HOT IMODIUM ADVANCED INFANTS' IBUPROFEN Updated 12/1/2012 400MG‐45MG 100‐5 MG/5 100‐2.5/5 380MG‐10MG 100‐10MG/5 800‐80MG 105‐160MG 200‐250‐10 324(106)MG 100‐25‐1/5 134MG 400‐120MG 120MG‐10MG 100‐0.8‐50 6% 40% 5‐1.5MG/5 0.50% 1% 0.50% 1% 1% 30% 3% 1% 1 %‐1 % 1% 102‐10/15 200 MG 50 MG/1.25 100 MG/5ML 100 MG 1.66‐0.83 7.50% 2‐125MG 50 MG/1.25 11 INFANTS' MYLICON INFANTS PAIN RELIEVER COLD INSTACORT‐10 INTENSE COUGH RELIEVER IOPHEN‐C NR IROFOL IROFOL IRON IRON POLYSACCHARIDES COMPLEX IRON/VITAMINS A, C, AND D3 IRON/VITAMINS A,C,AND D ISOPROPYL ALCOHOL ISOPROPYL ALCOHOL ISOPROPYL ALCOHOL ISOPROPYL ALCOHOL ISOPROPYL‐WINTERGREEN ISOPTO TEARS JOHNSON'S BODY CARE J‐TAN D PD KAOPECTATE KAOPECTATE KERAFOAM KERALAC KERALYT KERALYT KIMONO MICROTHIN KOLA‐PECTIN KONDREMUL KONSYL‐D KONSYL‐D LACTAID EXTRA STRENGTH LACTASE LACTASE/RENNET LACTICARE LACTOSE FAST ACTING LACTRASE LAMISIL LAMISIL AT LANSOPRAZOLE LANTISEPTIC LAXATIVE Updated 12/1/2012 40MG/0.6ML 5‐15‐160MG 1% 200‐30MG/5 100‐10MG/5 100‐1MG/5 150‐1MG 27MG(IRON) 180 MG 10MG‐400/2 70% 91% 99% 50% 0.50% 7.5‐1MG/ML 750MG/15ML 262 MG 30% 35% 6% 3% 150MG/15ML 2.5ML/5ML 4500 UNIT 3000 UNIT 25‐2MG 9000 UNIT 250 MG 1% 1% 15 MG 5 MG 12 LICE BEDDING LICE KILLING LICE KILLING LICE SOLUTION LICE TREATMENT LICE TREATMENT LICE TREATMENT LICE TREATMENT LICE TREATMENT LIQUID CALCIUM 600‐VIT D3 LIQUI‐DOSS LIVER WITH IRON LODRANE 24D LONG ACTING NASAL SPRAY LOPERAMIDE LOPERAMIDE LOPERAMIDE HCL LOROXIDE LO‐SO PREP KIT LOTRIMIN AF LUBRIFRESH PM LYSIPLEX PLUS MAALOX QUICK DISSOLVE MACUVITE WITH LUTEIN MAG DELAY MAG‐AL MAG‐CAPS MAGNEBIND 200 MAGNEBIND 300 MAGNESIUM MAGNESIUM CHLORIDE MAGNESIUM CITRATE MAGNESIUM CITRATE MAGNESIUM GLUCONATE MAGNESIUM GLUCONATE MAGNESIUM OXIDE MAGNESIUM OXIDE MAGNESIUM OXIDE MAGNESIUM OXIDE MAGNESIUM OXIDE MAGNESIUM SULFATE Updated 12/1/2012 0.50% 4%‐0.33% 4%‐0.33% 4‐.33‐.5% 3‐0.3% 4‐.33‐.5% 1% 600 MG‐400 90 MG‐12MG 0.05% 2 MG 1MG/7.5ML 2 MG 5.50% 1% 15 %‐83 % 600 MG 5K‐60‐30‐2 64 MG 200‐200/5 140 MG 400‐200MG 250‐300MG 250 MG 64 MG (blank) NA 27.5 (500) 54 MG/5 ML 400 MG 420MG 500 MG 100.00% 100.00% 13 MAR‐ZINC MAXIMUM DAILY GREEN MECLIZINE HCL MECLIZINE HCL MEDI‐LYTE MEDI‐NATURAL MEN‐PHOR MEN'S DAILY MULTIVIT‐MINERAL MEPHYTON METAMUCIL METAMUCIL METAMUCIL METAMUCIL METHYLCELLULOSE MI‐ACID MICONAZOLE 3 MICONAZOLE 3 MICONAZOLE 7 MICONAZOLE NITRATE MICONAZOLE NITRATE MIGRAINE RELIEF MIL‐A‐MULSION MINERAL OIL MINERAL OIL MINERAL OIL MINERAL OIL MINTOX PLUS MOISTURIZING LOTION MONISTAT MONISTAT 3 MONISTAT 7 MONISTAT 7 MOTRIN MOUTHKOTE MUCINEX MUCINEX MUCINEX MUCINEX D MUCINEX DM MULTIPLE MINERALS MULTIPLE VITAMINS Updated 12/1/2012 220 MG 5MG‐133MCG 12.5 MG 25 MG 40‐18‐9MG 8.6 MG 0.5%‐0.5% 0.4MG‐600 5 MG (blank) 200‐200‐20 200 MG 200 MG‐2 % 2% 100 MG 2% 250‐250‐65 15000‐10 U 200‐200‐25 6.50% 4% 2% 100MG‐2% 50 MG 600 MG 50 MG 100 MG 1200‐120MG 600MG‐30MG 14 MULTIVITAMIN AND FLUORIDE MULTIVITAMINS MULTIVITAMINS W‐CALCIUM‐IRON MULTIVITAMINS W‐IRON MULTIVITAMINS W‐MINERALS MULTIVITAMINS W‐MINERALS MULTIVITAMINS,THERAPEUTIC MULTIVITAMINS/IRON/FOLIC ACID MULTIVITS W‐FE,OTHER MIN MULTIVITS,THERAP W‐FE,HEMATIN MURO‐128 MUROCEL MUSCLE RELIEF MYCELEX‐7 MYFERON 150 MYLANTA MYTAB GAS MAXIMUM STRENGTH MYVITALIFE NAFRINSE DAILY‐NEUTRAL NALEX JR NAPH,MB‐DB/K PH,MBDB NAPROXEN SODIUM NASAL ALLERGY SPRAY NASAL DECONGESTANT NASAL DECONGESTANT NASAL SPRAY NASAL SPRAY NASCOBAL NASCOBAL NATURAL BALANCE TEARS NATURAL FIBER NATURAL VEGETABLE LAXATIVE NEPHROCAPS NIACIN NIACIN NIACIN NIACIN NIACIN NIACIN NIACIN NIACINAMIDE Updated 12/1/2012 0.5 MG/ML 18MG‐0.4MG (blank) 30‐0.8MG 2% 1% 0.08% 100 MG 150 MG 700‐300MG 125 MG 0.05% 300MG‐60MG 280‐250MG 220 MG 5.2 MG 30 MG 120 MG 0.05% 0.05% 500 MCG 500MCG/0.1 0.40% 1 MG 400 MG 500 MG 250 MG 125 MG 100 MG 50 MG 1000 MG 100 MG 15 NIACOR NICORETTE NICOTINE GUM NICOTINE LOZENGE NICOTINE LOZENGE NICOTINE PATCH NICOTINE PATCH NICOTINE PATCH NICOTINE PATCH NICOTINE PATCH NIFEREX NIGHTTIME SLEEP AID NO STING BARRIER FILM NOMUC‐PE NON‐ASPIRIN NORTUSS‐EX NUMOISYN NUMOISYN NUTRAPLUS NUTRAPLUS NUTR‐E‐SOL OCUVITE EXTRA OMEPRAZOLE ONE DAILY ONE DAILY ONE DAILY ONE DAILY PLUS IRON ORAL SALINE LAXATIVE ORAL SALINE LAXATIVE KIT ORAZINC OXIPLEN OXSORALEN OYSTER SHELL + D OYSTER SHELL CALCIUM W‐VIT D OYSTER SHELL CALCIUM W‐VIT D OYSTER SHELL CALCIUM W‐VIT D OYSTER SHELL CALCIUM‐MAGNESIUM OYSTER SHELL CALCIUM‐VITAMIN D P & S PANOXYL 10 PANOXYL 5 Updated 12/1/2012 500 MG 4 MG 2 MG 4 MG 2 MG 7MG/24HR 14MG/24HR 21 MG/24HR 11MG/24HR 22 MG/24HR 100 MG/5ML 50 MG 200MG‐60MG 100 MG/ML 200‐20MG/5 0.3G 10% 10% 400/15ML 20 MG 18‐0.4‐27 18‐0.4‐32 7.2‐2.7/15 110 MG 1% 250 MG‐125 500 MG‐200 250 MG‐125 500MG‐375 250‐155 MG 500 MG‐400 2% 10% 5% 16 PEDIA‐LAX PEDIA‐LAX STOOL SOFTENER PEDIATRIC ELECTROLYTE PELEVERUS GOLD PEPCID RPD PEPTO‐BISMOL PERIDEX PERISHIELD PERMETHRIN PHARBEDRYL PHARMABASE COSMETIC CREAM PHENOBARBITAL PHENOL PHENYLEPHRINE HCL/CHLOR‐MAL PHENYLEPHRINE HCL/CHLOR‐MAL PHENYLHISTINE DH PHILLIPS' MILK OF MAGNESIA PHILLIPS' MILK OF MAGNESIA PHILLIPS' MILK OF MAGNESIA PIC 200 PINK BISMUTH PINK BISMUTH PINK BISMUTH POLY‐VENT POLY‐VITA WITH IRON POLY‐VITAMIN POTASSIUM IODIDE POVIDONE‐IODINE POVIDONE‐IODINE POVIDONE‐IODINE POVIDONE‐IODINE POVIDONE‐IODINE PRENATAL PRENATAL VIT/FE GLUCONATE/FA PRENATAL VITAMIN PREP KIT #3 PRESERVISION PREVACARE PREVENT PREVENT‐X PRILOSEC OTC Updated 12/1/2012 PEDIATRIC 50 MG/15ML 0.90% 20 MG 262 MG 0.12% 5% 50 MG N/A 16.2 MG 100.00% 10MG‐4MG 2.5‐1MG/5 30‐10‐2/5 400 MG/5ML 800MG/5ML 311MG 200 MG 262 MG 262MG/15ML 525MG/15ML 650‐90MG 325MG/5ML 7.50% 10% 10% 10% 10% 28MG‐0.8MG 30‐0.8MG 226‐200‐5 60% 20 MG 17 PROBIOTIC WITH PREBIOTIC PROFED PROMETHAZINE VC‐CODEINE PROMETHAZINE W/CODEINE PROMETHAZINE‐DM PROSHIELD GLOVE PROSHIELD SKIN CARE PROTECT PLUS PSE BPM PSEUDO MAX PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE HCL PSEUDOEPHEDRINE‐GUAIFENESIN PSEUDOVENT PSEUDOVENT 400 PSYLLIUM HUSK PSYLLIUM HUSK/ASPARTAME PSYLLIUM HUSK/ASPARTAME PSYLLIUM HUSK/SUCROSE PSYLLIUM HUSK/SUCROSE PSYLLIUM SEED PURALUBE PURE & GENTLE EYE DROPS PV W‐O CAL/FE GLUCONATE/FA PYRETHRIN LICE TREATMENT PYRI 500 PYRIDOXINE HCL PYRIDOXINE HCL PYRIDOXINE HCL PYRIDOXINE HCL Q‐DRYL REA‐LO REA‐LO REFRESH CELLUVISC REFRESH CLASSIC REFRESH LIQUIGEL RELACON LAX REMEDY DIMETHICONE REMEDY NUTRASHIELD REMEVEN RENAL MULTIVITAMIN W‐ZINC Updated 12/1/2012 1B‐250 MG 600MG‐60MG 5‐10‐6.25 10‐6.25/5 15‐6.25/5 1% 60‐4MG/5ML 700‐80MG 30 MG/5 ML 60MG 500MG‐60MG 250‐120MG 400‐120MG 0.52G 3.4G/5.8G 3.5G 3.4G/7G 3.4G/11G 3.4G/5.8G 0.30% 30‐0.8MG 4%‐0.33% 500 MG 250 MG 500 MG 50 MG 25 MG 12.5MG/5ML 30% 15% 1% 1.4 %‐0.6% 1% 835MG‐30MG 5% 1% 50% 18 RESPA‐1ST RESPA‐DM RESPAHIST RETAINE CMC RI‐GEL RI‐MOX PLUS ROBITUSSIN DM ROBITUSSIN‐DM COUGH RUBBING ALCOHOL RU‐TUSS 800 DM RU‐TUSS JR. SAFETUSSIN DM SALAC SALACTIC FILM SALACYN SALACYN SALEX SALICYLIC ACID SALICYLIC ACID SALICYLIC ACID SALICYLIC ACID SALICYLIC ACID SALICYLIC ACID SALICYLIC ACID/COLLODION SALINE NASAL SPRAY SALIVA SUBSTITUTE SAL‐PLANT SBR‐LIPOCREAM SCALACORT SCALP‐CORT SCOT‐TUSSIN SCOT‐TUSSIN SENIOR SEBEX SEBEX SENILEZOL SENNA SENNA SENNA PLUS SENNA‐S SENNOSIDES SENNOSIDES/PSYLLIUM Updated 12/1/2012 600‐58MG 600MG‐28MG 60‐6MG 0.50% 200‐200‐20 200‐225‐25 100‐5/2.5 100‐10MG/5 70% 800MG‐60MG 600‐45MG 100‐10MG/5 2% 17% 6% 6% 6% 15% 6% 3.00% 3.00% 2% 17.00% 0.65% 17% 2% 1% 100 MG/5ML 200‐15MG/5 2 %‐2 % 2 %‐2 % 2.5‐6MG/30 8.8MG/5ML 8.6 MG 8.6MG‐50MG 8.6MG‐50MG 25 MG 9MG‐500MG 19 SENOKOTXTRA SENSI‐CARE SEVERE DRY SIDEROL SILDEC SIMETHICONE SIMETHICONE SIMUC‐DM SLO‐NIACIN SODIUM BICARBONATE SODIUM BICARBONATE SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CHLORIDE SODIUM CL FOR INHALATION SOFT CLOTH SOOTHE XP SORBITOL SOURCECF SOURCECF SOURCECF STERILE LUBRICANT STERILE TWO‐FER NEEDLE STOOL SOFTENER STOOL SOFTENER STOOL SOFTENER STOOL SOFTENER STOOL SOFTENER W/LAXATIVE STRESS B WITH ZINC STRESS FORMULA STRESS FORMULA STRESS FORMULA STRESS FORMULA WITH IRON STROVITE FORTE STUART PRENATAL SUDAFED 24‐HOUR SUDATEX‐G SUDATUSS‐SF SUPER ANTIOXIDANT SUPER ANTIOXIDANT Updated 12/1/2012 17.2MG 1 %‐30 % 45‐4MG/5ML 180 MG 225‐25MG/5 750 MG 325 MG 650 MG 1000 MG 5% 0.90% 3.5"X8" 1%‐4.5% 70% 0.2MG‐15MG 5 MG/ML 0.2MG‐15MG 0.70% 16GX1/2" 250 MG 50 MG 50 MG/5 ML 100 MG 30‐100MG 10 MG‐1 MG 28MG‐0.8MG 240 MG 580MG‐60MG 30‐10‐100 20 SUPER GINSENG MULTIVITAMIN SUPER NU‐THERA SUPER PAIN RELIEF SUPER PROBIOTIC SUPER THERAVITE‐M SUPERIOR 35 SUPERIOR‐35 SUPPORT SURELAC SU‐TUSS DM SWEEN 24 SYMPT‐X PLUS SYST‐AMUNE TAB A VITE TEARS AGAIN TEARS AGAIN TENSION HEADACHE PAIN RELIEVER TEXACORT THERA THERA TEARS THERA TEARS THERAFLU THERAFLU THERA‐GESIC THERAPEUTIC HEMATINIC THERAPEUTIC M THERAPEUTIC VITAMIN & MINERAL THERATRUM COMPLETE THIAMINE HCL THIAMINE HCL THIAMINE HCL THIAMINE HCL TITRALAC TOLNAFTATE TOLNAFTATE TOLNAFTATE TOLNAFTATE TOTAL FIBER TOURO ALLERGY TOURO DM TOURO LA Updated 12/1/2012 250‐250‐65 20B CELL 3000 UNIT 200‐20MG/5 6% 18MG‐0.4MG 1.50% 500MG‐65MG 2.50% 0.25% 1% 15 MG 25 MG 50 MG 250MG 500 MG 168(420)MG 1.00% 1.00% 1.00% 1.00% 3 G/3.5 G 60‐5.75MG 575MG‐30MG 525‐120MG 21 TRIAMINIC TRI‐BUFFERED ASPIRIN TRIDRATE TRIPLE ANTIBIOTIC TRIPLE ANTIBIOTIC TRISPEC DMX TRI‐VI‐SOL T‐SAL TUCKS TUMS TUSNEL PEDIATRIC TUSSIN DM TUSSIN DM TUSSIN SEVERE TUSSI‐ORGANIDIN DM NR ULTRA FRESH ULTRA MIDE 25 ULTRA STRENGTH ANTACID ULTRABROM UMECTA UMECTA UMECTA UMECTA PD UMECTA PD UNIFIBER UREA UREA UREA UREA UREACIN‐20 VAGINAL 3‐DAY VALU‐DRYL VANICREAM LITE V‐C FORTE VICKS 44E COUGH & CHEST VIMAR VITA‐CALCIUM VITACEL VITAMANIX ULTIMATE VITAMIN A VITAMIN A Updated 12/1/2012 7.5 MG 325 MG 3.5‐400‐5K 25‐15MG/5 1500‐35/ML 3% 1%‐12.5% 300MG(750) 50‐7.5MG/1 100‐15MG/5 100‐10MG/5 200MG‐30MG 300‐10MG/5 0.50% 25% 400(1000) 120‐12MG 40% 40% 40% 40% 40% 80% 50% 50% 50% 42% 20% 200 MG‐1 % 12.5 MG 1 MG 66.7‐6.7/5 3MG‐67MCG 10000 UNIT 25000 UNIT 22 VITAMIN B COMPLEX VITAMIN B‐1 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐12 VITAMIN B‐2 VITAMIN B‐2 VITAMIN B‐2 VITAMIN B‐6 VITAMIN B‐6 VITAMIN B‐6 VITAMIN B‐COMPLEX W/C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C VITAMIN C COUGH DROPS VITAMIN C WITH ROSE HIPS VITAMIN D VITAMIN D VITAMIN D2 VITAMIN D3 VITAMIN E VITAMIN E VITAMIN E VITAMIN E VITAMIN E VITAMIN E VITAMIN E VITAMIN E VITAMINS A,C,AND D VITA‐NUMONYL DM Updated 12/1/2012 100 MG 50 MCG 100 MCG 250 MCG 500 MCG 1000 MCG 2000MCG 2500MCG 25 MG 50 MG 100 MG 100 MG 200 MG 200 MG 500 MG 100 MG 250 MG 1000 MG 500 MG 1000 MG 1500 MG 500 MG 500 MG/5ML 60 MG 1000 MG 400 UNIT 1000 UNIT 50000 UNIT 2000 UNIT 100 UNIT 400 UNIT 200 UNIT 100 UNIT 200 UNIT 400 UNIT 600 UNIT 800 UNIT 1500 U‐35 250‐15MG/5 23 VITA‐NUMONYL EX VMS V‐R VITAMIN A WART REMOVER WEBCOL WOMAN'S LAXATIVE WOMEN'S BIOMULTIPLE X‐VIATE ZEASORB‐AF ZE‐PLUS ZINC ZINC ZINC ZINC GLUCONATE ZINC GLUCONATE ZINC GLUCONATE ZINC GLUCONATE ZINC OXIDE ZINC OXIDE ZINC OXIDE/PETROLATUM,WHITE ZINC OXIDE/PETROLATUM,WHITE ZINC‐15 ZINC‐220 ZOTEX DMX ZYRTEC ZYRTEC 250 MG/5ML 8000 UNIT 40% 5 MG 40% 2% 77 MG 10 MG 13.3MG 10 MG 100 MG 50 MG 20 MG 10.00% 15%‐49% 66 MG 220(50)MG 775‐57.5MG 10 MG 1 MG/ML Updated 12/1/2012 24