Drug List

Florida Medicaid Preferred Drug List
Effective October 1, 2023
The Florida Medicaid Preferred Drug List (PDL) is subject to revision following consideration and recommendations by the Pharmaceutical & Therapeutics (P&T)
Committee and the Agency for Health Care Administration.
The PDL is in order by The Therapeutic classification.
To locate a specific drug or Therapeutic class, use The search feature available in Adobe Acrobat Reader.
Phosphate Binders and Prescription Strength Vitamins are covered for dialysis patients.
While a product name may be listed on the PDL, a specific NDC may or may not be reimbursable.
Auto PA In-Progress: Abilify Asimtufii, Uzedy, Caplyta
Prior Authorization (PA) Column Definitions:
Auto PA - System automated criteria check for specific requirements (e.g., diagnosis, age, previous therapies, etc.). If all requirements are found, the claims will
pay at the pharmacy counter without need of manual prior authorization submission.
Clinical PA - These drugs require prior authorization submission that must include clinical documentation. The drugs that require clinical prior
authorization review and the prior authorization forms can be found in this link:
https://ahca.myflorida.com/medicaid/prescribed-drugs/medicaid-pharmaceutical-therapeutics-committee/pharmacy-prior-authorization-forms
Cystic Fib Diag Auto PA - Claims for these products will pay at the pharmacy counter if the diagnosis of cystic fibrosis is found in the system.
Requires Med Cert 3 - The Food and Drug Administration (FDA) requires participation (by prescribers, pharmacies, and/or patients) in certification, education,
training, or agreements prior to dispensing certain drugs. By entering certification code “3”, the dispensing pharmacy is confirming that FDA requirements were
met.
HIC3 HIC3 Desc Label Name Generic Name Min Age Max Age PA Required
A1A DIGITALIS GLYCOSIDES DIGOXIN 0.05 MG/ML SOLUTION DIGOXIN 0 999 No
DIGOXIN 0.125 MG TABLET DIGOXIN 0 999 No
DIGOXIN 0.25 MG TABLET DIGOXIN 0 999 No
DIGOXIN 125 MCG TABLET DIGOXIN 0 999 No
DIGOXIN 250 MCG TABLET DIGOXIN 0 999 No
A1B XANTHINES CAFFEINE CIT 60 MG/3 ML ORAL CAFFEINE CITRATE 0 999 No
CAFFEINE CIT 60 MG/3 ML VIAL CAFFEINE CITRATE 0 999 No
THEO-24 ER 100 MG CAPSULE THEOPHYLLINE ANHYDROUS 0 999 No
THEOPHYLLINE 80 MG/15 ML CUP THEOPHYLLINE ANHYDROUS 0 999 No
THEOPHYLLINE 80 MG/15 ML SOLN THEOPHYLLINE ANHYDROUS 0 999 No
THEOPHYLLINE ER 100 MG TABLET THEOPHYLLINE ANHYDROUS 0 999 No
A1C INOTROPIC DRUGS DOBUTAMINE 1,000 MG/250 ML D5W DOBUTAMINE HCL IN DEXTROSE 5 % 0 999 No
DOBUTAMINE 250 MG/20 ML VIAL DOBUTAMINE HCL 0 999 No
DOBUTAMINE 250 MG/250 ML-D5W DOBUTAMINE HCL IN DEXTROSE 5 % 0 999 No
DOBUTAMINE 500 MG/250 ML D5W DOBUTAMINE HCL IN DEXTROSE 5 % 0 999 No
MILRINONE LACT 10 MG/10 ML VL MILRINONE LACTATE 0 999 No
MILRINONE-D5W 20 MG/100 ML MILRINONE LACTATE/D5W 0 999 No
MILRINONE-D5W 40 MG/200 ML MILRINONE LACTATE/D5W 0 999 No
A2A ANTIARRHYTHMICS AMIODARONE HCL 100 MG TABLET AMIODARONE HCL 0 999 No
AMIODARONE HCL 200 MG TABLET AMIODARONE HCL 0 999 No
DOFETILIDE 125 MCG CAPSULE DOFETILIDE 0 999 Requires Med Cert 3
FLECAINIDE ACETATE 100 MG TAB FLECAINIDE ACETATE 0 999 No
MEXILETINE 150 MG CAPSULE MEXILETINE HCL 0 999 No
PROPAFENONE HCL 150 MG TABLET PROPAFENONE HCL 0 999 No
PROPAFENONE HCL 225 MG TAB PROPAFENONE HCL 0 999 No
PROPAFENONE HCL 300 MG TAB PROPAFENONE HCL 0 999 No
A2C ANTIANGINAL, ANTI-ISCHEMIC AGENTS,NON-HEMODYNAMIC RANOLAZINE ER 1,000 MG TABLET RANOLAZINE 0 999 No
RANOLAZINE ER 500 MG TABLET RANOLAZINE 0 999 No
A4A ANTIHYPERTENSIVES, VASODILATORS HYDRALAZINE 10 MG TABLET HYDRALAZINE HCL 0 999 No
HYDRALAZINE 100 MG TABLET HYDRALAZINE HCL 0 999 No
MINOXIDIL 10 MG TABLET MINOXIDIL 0 999 No
MINOXIDIL 2.5 MG TABLET MINOXIDIL 0 999 No
A4B ANTIHYPERTENSIVES, SYMPATHOLYTIC CLONIDINE 0.1 MG/DAY PATCH CLONIDINE 0 999 No
CLONIDINE 0.2 MG/DAY PATCH CLONIDINE 0 999 No
CLONIDINE 0.3 MG/DAY PATCH CLONIDINE 0 999 No
CLONIDINE HCL 0.1 MG TABLET CLONIDINE HCL 0 999 No
GUANFACINE 1 MG TABLET GUANFACINE HCL 0 999 No
GUANFACINE 2 MG TABLET GUANFACINE HCL 0 999 No
METHYLDOPA 250 MG TABLET METHYLDOPA 0 999 No
METHYLDOPA 500 MG TABLET METHYLDOPA 0 999 No
A4D ANTIHYPERTENSIVES, ACE INHIBITORS BENAZEPRIL HCL 10 MG TABLET BENAZEPRIL HCL 0 999 No
BENAZEPRIL HCL 20 MG TABLET BENAZEPRIL HCL 0 999 No
ENALAPRIL MALEATE 10 MG TAB ENALAPRIL MALEATE 0 999 No
A4D ANTIHYPERTENSIVES, ACE INHIBITORS
ENALAPRIL MALEATE 2.5 MG TAB ENALAPRIL MALEATE 0 999 No
ENALAPRIL MALEATE 20 MG TAB ENALAPRIL MALEATE 0 999 No
ENALAPRIL MALEATE 5 MG TABLET ENALAPRIL MALEATE 0 999 No
FOSINOPRIL SODIUM 10 MG TAB FOSINOPRIL SODIUM 0 999 No
LISINOPRIL 10 MG TABLET LISINOPRIL 0 999 No
LISINOPRIL 2.5 MG TABLET LISINOPRIL 0 999 No
QUINAPRIL 10 MG TABLET QUINAPRIL HCL 0 999 No
RAMIPRIL 1.25 MG CAPSULE RAMIPRIL 0 999 No
RAMIPRIL 10 MG CAPSULE RAMIPRIL 0 999 No
RAMIPRIL 2.5 MG CAPSULE RAMIPRIL 0 999 No
RAMIPRIL 5 MG CAPSULE RAMIPRIL 0 999 No
A4F ANTIHYPERTENSIVES, ANGIOTENSIN RECEPTOR ANTAGONIST IRBESARTAN 150 MG TABLET IRBESARTAN 0 999 No
IRBESARTAN 300 MG TABLET IRBESARTAN 0 999 No
IRBESARTAN 75 MG TABLET IRBESARTAN 0 999 No
LOSARTAN POTASSIUM 100 MG TAB LOSARTAN POTASSIUM 0 999 No
OLMESARTAN MEDOXOMIL 20 MG TAB OLMESARTAN MEDOXOMIL 0 999 No
TELMISARTAN 20 MG TABLET TELMISARTAN 0 999 No
VALSARTAN 160 MG TABLET VALSARTAN 1 999 No
A4H ANGIOTENSIN RECEPTOR BLOCKR-CALCIUM CHANNEL BLOCKR AMLODIPINE-OLMESARTAN 10-20 MG AMLODIPINE BES/OLMESARTAN MED 0 999 No
AMLODIPINE-OLMESARTAN 10-40 MG AMLODIPINE BES/OLMESARTAN MED 0 999 No
AMLODIPINE-VALSARTAN 10-160 MG AMLODIPINE BESYLATE/VALSARTAN 0 999 No
A4I ANGIOTENSIN RECEPTOR ANTAG.-THIAZIDE DIURETIC COMB IRBESARTAN-HCTZ 150-12.5 MG TB IRBESARTAN/HYDROCHLOROTHIAZIDE 0 999 No
IRBESARTAN-HCTZ 300-12.5 MG TB IRBESARTAN/HYDROCHLOROTHIAZIDE 0 999 No
LOSARTAN-HCTZ 100-12.5 MG TAB LOSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
LOSARTAN-HCTZ 100-25 MG TAB LOSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
LOSARTAN-HCTZ 50-12.5 MG TAB LOSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
OLMESARTAN-HCTZ 20-12.5 MG TAB OLMESARTAN/HYDROCHLOROTHIAZIDE 0 999 No
A4I ANGIOTENSIN RECEPTOR ANTAG.-THIAZIDE DIURETIC COMB
OLMESARTAN-HCTZ 40-12.5 MG TAB OLMESARTAN/HYDROCHLOROTHIAZIDE 0 999 No
OLMESARTAN-HCTZ 40-25 MG TAB OLMESARTAN/HYDROCHLOROTHIAZIDE 0 999 No
TELMISARTAN-HCTZ 40-12.5 MG TB TELMISARTAN/HYDROCHLOROTHIAZID 0 999 No
TELMISARTAN-HCTZ 80-12.5 MG TB TELMISARTAN/HYDROCHLOROTHIAZID 0 999 No
TELMISARTAN-HCTZ 80-25 MG TAB TELMISARTAN/HYDROCHLOROTHIAZID 0 999 No
VALSARTAN-HCTZ 160-12.5 MG TAB VALSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
VALSARTAN-HCTZ 160-25 MG TAB VALSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
VALSARTAN-HCTZ 320-25 MG TAB VALSARTAN/HYDROCHLOROTHIAZIDE 0 999 No
A4J ACE INHIBITOR-THIAZIDE OR THIAZIDE-LIKE DIURETIC BENAZEPRIL-HCTZ 10-12.5 MG TAB BENAZEPRIL/HYDROCHLOROTHIAZIDE 0 999 No
BENAZEPRIL-HCTZ 20-12.5 MG TAB BENAZEPRIL/HYDROCHLOROTHIAZIDE 0 999 No
BENAZEPRIL-HCTZ 20-25 MG TAB BENAZEPRIL/HYDROCHLOROTHIAZIDE 0 999 No
BENAZEPRIL-HCTZ 5-6.25 MG TAB BENAZEPRIL/HYDROCHLOROTHIAZIDE 0 999 No
ENALAPRIL-HCTZ 10-25 MG TABLET ENALAPRIL/HYDROCHLOROTHIAZIDE 0 999 No
ENALAPRIL-HCTZ 5-12.5 MG TAB ENALAPRIL/HYDROCHLOROTHIAZIDE 0 999 No
LISINOPRIL-HCTZ 10-12.5 MG TAB LISINOPRIL/HYDROCHLOROTHIAZIDE 0 999 No
LISINOPRIL-HCTZ 20-12.5 MG TAB LISINOPRIL/HYDROCHLOROTHIAZIDE 0 999 No
LISINOPRIL-HCTZ 20-25 MG TAB LISINOPRIL/HYDROCHLOROTHIAZIDE 0 999 No
QUINAPRIL-HCTZ 10-12.5 MG TAB QUINAPRIL/HYDROCHLOROTHIAZIDE 0 999 No
QUINAPRIL-HCTZ 20-12.5 MG TAB QUINAPRIL/HYDROCHLOROTHIAZIDE 0 999 No
QUINAPRIL-HCTZ 20-25 MG TAB QUINAPRIL/HYDROCHLOROTHIAZIDE 0 999 No
A4K ACE INHIBITOR-CALCIUM CHANNEL BLOCKER COMBINATION AMLODIPINE-BENAZEPRIL 10-20 MG AMLODIPINE BESYLATE/BENAZEPRIL 0 999 No
AMLODIPINE-BENAZEPRIL 10-40 MG AMLODIPINE BESYLATE/BENAZEPRIL 0 999 No
AMLODIPINE-BENAZEPRIL 2.5-10 AMLODIPINE BESYLATE/BENAZEPRIL 0 999 No
A4L ANGIOTENSIN RECEPT-NEPRILYSIN INHIBITOR COMB(ARNI) ENTRESTO 24 MG-26 MG TABLET SACUBITRIL/VALSARTAN 1 999 No
ENTRESTO 49 MG-51 MG TABLET SACUBITRIL/VALSARTAN 1 999 No
ENTRESTO 97 MG-103 MG TABLET SACUBITRIL/VALSARTAN 1 999 No
A7B VASODILATORS,CORONARY ISOSORBIDE DINITRATE 10 MG TAB ISOSORBIDE DINITRATE 0 999 No
ISOSORBIDE DINITRATE 20 MG TAB ISOSORBIDE DINITRATE 0 999 No
ISOSORBIDE MONONIT 10 MG TAB ISOSORBIDE MONONITRATE 0 999 No
ISOSORBIDE MONONIT 20 MG TAB ISOSORBIDE MONONITRATE 0 999 No
ISOSORBIDE MONONIT ER 120 MG ISOSORBIDE MONONITRATE 0 999 No
ISOSORBIDE MONONIT ER 30 MG TB ISOSORBIDE MONONITRATE 0 999 No
ISOSORBIDE MONONIT ER 60 MG TB ISOSORBIDE MONONITRATE 0 999 No
NITROGLYCERIN 0.1 MG/HR PATCH NITROGLYCERIN 0 999 No
NITROGLYCERIN 0.3 MG TABLET SL NITROGLYCERIN 0 999 No
A7M BRADYKININ B2 RECEPTOR ANTAGONISTS FIRAZYR 30 MG/3 ML SYRINGE ICATIBANT ACETATE 18 999 Auto PA
A9A CALCIUM CHANNEL BLOCKING AGENTS AMLODIPINE BESYLATE 10 MG TAB AMLODIPINE BESYLATE 0 999 No
HIC3
A9A HIC3 Desc CALCIUM CHANNEL BLOCKING AGENTS Label Name Generic Name Min Age Max Age PA Required
AMLODIPINE BESYLATE 2.5 MG TAB AMLODIPINE BESYLATE 0 999 No
AMLODIPINE BESYLATE 5 MG TAB AMLODIPINE BESYLATE 0 999 No
DILTIAZEM 120 MG TABLET DILTIAZEM HCL 0 999 No
DILTIAZEM 12HR ER 120 MG CAP DILTIAZEM HCL 0 999 No
DILTIAZEM 24H ER(CD) 120 MG CP DILTIAZEM HCL 0 999 No
DILTIAZEM 24H ER(XR) 120 MG CP DILTIAZEM HCL 0 999 No
FELODIPINE ER 10 MG TABLET FELODIPINE 0 999 No
FELODIPINE ER 2.5 MG TABLET FELODIPINE 0 999 No
FELODIPINE ER 5 MG TABLET FELODIPINE 0 999 No
NIFEDIPINE 10 MG CAPSULE NIFEDIPINE 0 999 No
NIFEDIPINE 20 MG CAPSULE NIFEDIPINE 0 999 No
NIFEDIPINE ER 30 MG TABLET NIFEDIPINE 0 999 No
NIMODIPINE 30 MG CAPSULE NIMODIPINE 18 999 No
VERAPAMIL 120 MG TABLET VERAPAMIL HCL 0 999 No
VERAPAMIL ER 120 MG CAPSULE VERAPAMIL HCL 0 999 No
VERAPAMIL ER 120 MG TABLET VERAPAMIL HCL 0 999 No
VERAPAMIL SR 120 MG CAPSULE VERAPAMIL HCL 0 999 No
B0A GENERAL INHALATION AGENTS SODIUM CHLORIDE 0.9% INHAL VL SODIUM CHLORIDE FOR INHALATION 0 999 No
SODIUM CHLORIDE 10% VIAL SODIUM CHLORIDE FOR INHALATION 0 999 Auto PA
B0D PULMONARY FIBROSIS - SYSTEMIC ENZYME INHIBITORS OFEV 100 MG CAPSULE NINTEDANIB ESYLATE 0 999 Clinical PA
OFEV 150 MG CAPSULE NINTEDANIB ESYLATE 0 999 Clinical PA
B1B PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST AMBRISENTAN 10 MG TABLET AMBRISENTAN 0 999 Clinical PA
HIC3
B1B HIC3 Desc
PULMONARY ANTI-HTN, ENDOTHELIN RECEPTOR ANTAGONIST Label Name Generic Name Min Age Max Age PA Required
AMBRISENTAN 5 MG TABLET AMBRISENTAN 0 999 Clinical PA
TRACLEER 125 MG TABLET BOSENTAN 0 999 Clinical PA
TRACLEER 62.5 MG TABLET BOSENTAN 0 999 Clinical PA
B1C PULMONARY ANTIHYPERTENSIVES, PROSTACYCLIN-TYPE EPOPROSTENOL SODIUM 0.5 MG VL EPOPROSTENOL SODIUM (GLYCINE) 0 999 No
EPOPROSTENOL SODIUM 0.5 MG VL EPOPROSTENOL SODIUM 0 999 No
EPOPROSTENOL SODIUM 1.5 MG VL EPOPROSTENOL SODIUM (GLYCINE) 0 999 No
EPOPROSTENOL SODIUM 1.5 MG VL EPOPROSTENOL SODIUM 0 999 No
VENTAVIS 10 MCG/1 ML SOLUTION ILOPROST TROMETHAMINE 0 999 Clinical PA
VENTAVIS 20 MCG/1 ML SOLUTION ILOPROST TROMETHAMINE 0 999 Clinical PA
B1D PULM.ANTI-HTN,SEL.C-GMP PHOSPHODIESTERASE T5 INHIB SILDENAFIL 10 MG/ML ORAL SUSP SILDENAFIL CITRATE 0 999 Clinical PA
SILDENAFIL 20 MG TABLET SILDENAFIL CITRATE 0 999 Clinical PA
TADALAFIL 20 MG TABLET TADALAFIL 0 999 Clinical PA
B3A MUCOLYTICS ACETYLCYSTEINE 10% VIAL ACETYLCYSTEINE 0 999 No
ACETYLCYSTEINE 20% VIAL ACETYLCYSTEINE 0 999 No
PULMOZYME 1 MG/ML AMPUL DORNASE ALFA 0 65 Auto PA
B3J EXPECTORANTS CHEST CONGEST RLF 400 MG TAB GUAIFENESIN 0 20 No
CHEST CONGESTION RELIEF SOLN GUAIFENESIN 0 20 No
FT ADULT TUSSIN 200 MG/10 ML GUAIFENESIN 0 20 No
FT CHEST CONGEST 400 MG CAPLET GUAIFENESIN 0 20 No
FT MUCUS RELIEF ER 1,200 MG TB GUAIFENESIN 0 20 No
FT MUCUS RELIEF ER 600 MG TAB GUAIFENESIN 0 20 No
GNP MUCUS-ER MAX 1,200 MG TAB GUAIFENESIN 0 20 No
GS MUCUS ER 600 MG CAPLET GUAIFENESIN 0 20 No
GS TUSSIN MUCUS-CONG 100 MG/5 GUAIFENESIN 0 20 No
GS TUSSIN MUCUS-CONG 200 MG/10 GUAIFENESIN 0 20 No
GUAIFENESIN 100MG/5ML SOLN CUP GUAIFENESIN 0 20 No
GUAIFENESIN 200MG/10ML CUP GUAIFENESIN 0 20 No
GUAIFENESIN 300 MG/15 ML CUP GUAIFENESIN 0 20 No
GUAIFENESIN ER 1,200 MG TABLET GUAIFENESIN 0 20 No
GUAIFENESIN ER 600 MG TABLET GUAIFENESIN 0 20 No
HM ADULT TUSSIN CHEST CONG LIQ GUAIFENESIN 0 20 No
HM CHEST CONGEST RLF 400 MG TB GUAIFENESIN 0 20 No
HM MUCUS RELIEF ER 1,200 MG TB GUAIFENESIN 0 20 No
HM MUCUS RELIEF ER 600 MG TAB GUAIFENESIN 0 20 No
MUCINEX ER 1,200 MG TABLET GUAIFENESIN 0 20 No
MUCINEX ER 600 MG TABLET GUAIFENESIN 0 20 No
MUCOSA 400 MG TABLET GUAIFENESIN 0 20 No
MUCUS ER 600 MG TABLET GUAIFENESIN 0 20 No
MUCUS RELIEF 400 MG TABLET GUAIFENESIN 0 20 No
MUCUS RELIEF ER 1,200 MG TAB GUAIFENESIN 0 20 No
MUCUS RELIEF ER 600 MG TABLET GUAIFENESIN 0 20 No
MUCUS-CHEST CONG 200 MG/10 ML GUAIFENESIN 0 20 No
ROBAFEN 200 MG/10 ML SYRUP GUAIFENESIN 0 20 No
SM CHEST CONGESTION 400MG CPLT GUAIFENESIN 0 20 No
SM MUCUS RELIEF ER 600 MG TAB GUAIFENESIN 0 20 No
SM MUCUS-ER MAX 1,200 MG TAB GUAIFENESIN 0 20 No
SM TUSSIN MUCUS-CONG 200 MG/10 GUAIFENESIN 0 20 No
TUSNEL-EX 100 MG/5 ML LIQUID GUAIFENESIN 0 20 No
TUSSIN 400 MG TABLET GUAIFENESIN 0 20 No
TUSSIN MUCUS-CONG 200 MG/10 GUAIFENESIN 0 20 No
B3R NON-OPIOID ANTITUS-1ST GEN.ANTIHISTAMINE-DECONGEST BROMPHEN-PSE-DM 2-30-10 MG/5ML BROMPHENIRAMINE/PSEUDOEPHED/DM 0 20 No
B3T NON-OPIOID ANTITUSSIVE AND EXPECTORANT COMBINATION CHEST CONG RLF DM 400-20 MG TB GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
CHEST CONGESTION RELIEF DM SYR GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
CHILD MUCUS-COUGH 5-100 MG/5ML GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
COUGH DM 20-200 MG/10 ML SYRUP GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
FT MUCUS DM MAX ER 1200-60 MG GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GNP MUCUS DM MAX ER 1200-60 MG GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GNP MUCUS RELIEF DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GNP TUSSIN DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GS TUSSIN DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENESIN DM SYRUP GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENESIN-DM 100-10 MG/5 ML GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENESIN-DM 200-20 MG/10 ML GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENESIN-DM ER 1,200-60 MG GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENESN-DM 100-10MG/5ML CUP GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
GUAIFENSN-DM 200-20MG/10ML CUP GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
HM ADT TUSSIN COUGH CONG DM LQ GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
HM MUCUS DM MAX ER 1200-60 MG GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
HM TUSSIN DM 400-20 MG/20 ML GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
MUCUS RELIEF DM COUGH TABLET GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
MUCUS RELIEF DM MAX LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
MUCUS RLF DM MAX ER 1200-60 MG GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
ROBAFEN DM COUGH LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
SM TUSSIN DM 400-20 MG/20 ML GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
TUSNEL DIABETIC LIQUID GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
TUSSIN DM 400-20 MG/20 ML LIQ GUAIFENESIN/DEXTROMETHORPHAN 0 20 No
B4C OPIOID ANTITUSSIVE-ANTICHOLINERGIC COMBINATIONS HYCODAN 5 MG-1.5 MG TABLET HYDROCODONE BIT/HOMATROP ME-BR 18 20 No
HYDROCODONE-HOMATROP 5 ML CUP HYDROCODONE BIT/HOMATROP ME-BR 18 20 No
HYDROCODONE-HOMATROPINE 5-1.5 HYDROCODONE BIT/HOMATROP ME-BR 18 20 No
HYDROCODONE-HOMATROPINE SOLN HYDROCODONE BIT/HOMATROP ME-BR 18 20 No
B4E NON-OPIOID ANTITUSSIVE-1ST GEN ANTIHISTAMINE COMB. PROMETHAZINE-DM 6.25-15 MG/5ML PROMETHAZINE/DEXTROMETHORPHAN 0 20 No
B60 ANTICHOLINERGICS, ORALLY INHALED SHORT ACTING ATROVENT 17 MCG HFA INHALER IPRATROPIUM BROMIDE 0 999 No
IPRATROPIUM BR 0.02% SOLN IPRATROPIUM BROMIDE 0 999 No
B61 ANTICHOLINERGICS, ORALLY INHALED LONG ACTING SPIRIVA HANDIHALER 18 MCG CAP TIOTROPIUM BROMIDE 18 999 No
SPIRIVA RESPIMAT 1.25 MCG INH TIOTROPIUM BROMIDE 6 999 No
SPIRIVA RESPIMAT 2.5 MCG INH TIOTROPIUM BROMIDE 6 999 No
B62 BETA-ADRENERGIC AND ANTICHOLINERGIC COMBO, INHALED ANORO ELLIPTA 62.5-25 MCG INH UMECLIDINIUM BRM/VILANTEROL TR 18 999 No
COMBIVENT RESPIMAT 20-100 MCG IPRATROPIUM/ALBUTEROL SULFATE 0 999 No
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML IPRATROPIUM/ALBUTEROL SULFATE 0 999 No
STIOLTO RESPIMAT INHAL SPRAY TIOTROPIUM BR/OLODATEROL HCL 0 999 No
B63 BETA-ADRENERGIC AND GLUCOCORTICOID COMBO, INHALED ADVAIR 100-50 DISKUS FLUTICASONE PROPION/SALMETEROL 4 999 No
ADVAIR 250-50 DISKUS FLUTICASONE PROPION/SALMETEROL 4 999 No
ADVAIR 500-50 DISKUS FLUTICASONE PROPION/SALMETEROL 4 999 No
ADVAIR HFA 115-21 MCG INHALER FLUTICASONE PROPION/SALMETEROL 4 999 No
DULERA 100 MCG-5 MCG INHALER MOMETASONE/FORMOTEROL 5 999 No
SYMBICORT 160-4.5 MCG INHALER BUDESONIDE/FORMOTEROL FUMARATE 6 999 No
SYMBICORT 80-4.5 MCG INHALER BUDESONIDE/FORMOTEROL FUMARATE 6 999 No
B6M GLUCOCORTICOIDS, ORALLY INHALED ASMANEX TWISTHALER 110 MCG #30 MOMETASONE FUROATE 4 999 No
ASMANEX TWISTHALER 220 MCG #14 MOMETASONE FUROATE 4 999 No
ASMANEX TWISTHALR 220 MCG #120 MOMETASONE FUROATE 4 999 No
BUDESONIDE 0.25 MG/2 ML SUSP BUDESONIDE 1 8 No
BUDESONIDE 0.5 MG/2 ML SUSP BUDESONIDE 1 8 No
BUDESONIDE 1 MG/2 ML INH SUSP BUDESONIDE 1 8 No
FLOVENT 100 MCG DISKUS FLUTICASONE PROPIONATE 4 999 No
FLOVENT HFA 110 MCG INHALER FLUTICASONE PROPIONATE 0 999 No
PULMICORT 180 MCG FLEXHALER BUDESONIDE 5 999 No
PULMICORT 90 MCG FLEXHALER BUDESONIDE 5 999 No
B6W BETA-ADRENERGIC AGENTS, INHALED, SHORT ACTING ALBUTEROL 2.5 MG/0.5 ML SOL ALBUTEROL SULFATE 0 999 Cystic Fib Diag Auto PA
ALBUTEROL SUL 0.63 MG/3 ML SOL ALBUTEROL SULFATE 0 999 Cystic Fib Diag Auto PA
ALBUTEROL SUL 1.25 MG/3 ML SOL ALBUTEROL SULFATE 0 999 Cystic Fib Diag Auto PA
ALBUTEROL SUL 2.5 MG/3 ML SOLN ALBUTEROL SULFATE 0 999 Cystic Fib Diag Auto PA
PROAIR HFA 90 MCG INHALER ALBUTEROL SULFATE 0 999 No
PROVENTIL HFA 90 MCG INHALER ALBUTEROL SULFATE 0 999 No
VENTOLIN HFA 90 MCG INHALER ALBUTEROL SULFATE 0 999 No
B6Y BETA-ADRENERGIC AGENTS, ORALLY INHALED,LONG ACTING SEREVENT DISKUS 50 MCG SALMETEROL XINAFOATE 4 999 No
C0B WATER BACTERIOSTATIC WATER VIAL WATER FOR INJ.,BACTERIOSTATIC 0 999 No
BACTERIOSTATIC WATER VIAL WATER/ME-PARABEN/PROPYLPARABEN 0 999 No
STERILE WATER (FOR COAGADEX) WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER (GRIFOLS FACTOR) WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR ACTIVASE WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR BERINERT WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR GAMMAGARD WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR HUMATE-P WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR INJECTION WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR KCENTRA WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR TNKASE VIAL WATER FOR INJECTION,STERILE 0 999 No
STERILE WATER FOR ZEMAIRA VIAL WATER FOR INJECTION,STERILE 0 999 No
WATER FOR INJECTION VIAL WATER FOR INJECTION,STERILE 0 999 No
C0D ANTI-ALCOHOLIC PREPARATIONS ACAMPROSATE CALC DR 333 MG TAB ACAMPROSATE CALCIUM 0 999 No
DISULFIRAM 250 MG TABLET DISULFIRAM 0 999 No
DISULFIRAM 500 MG TABLET DISULFIRAM 0 999 No
VIVITROL 380 MG VIAL NALTREXONE MICROSPHERES 18 999 Auto PA
VIVITROL 380 MG VIAL-DILUENT NALTREXONE MICROSPHERES 18 999 Auto PA
C0K BICARBONATE PRODUCING/CONTAINING AGENTS SODIUM ACETATE 100 MEQ/50 ML SODIUM ACETATE 0 999 No
SODIUM ACETATE 200 MEQ/100 ML SODIUM ACETATE 0 999 No
SODIUM ACETATE 40 MEQ/20 ML VL SODIUM ACETATE 0 999 No
SODIUM ACETATE 400 MEQ/100 ML SODIUM ACETATE 0 999 No
SODIUM BICARBONATE 4.2% VIAL SODIUM BICARBONATE 0 999 No
SODIUM BICARBONATE 8.4% VIAL SODIUM BICARBONATE 0 999 No
C1A ELECTROLYTE DEPLETERS LOKELMA 10 GRAM POWDER PACKET SODIUM ZIRCONIUM CYCLOSILICATE 18 999 No
HIC3
C1A HIC3 Desc ELECTROLYTE DEPLETERS Label Name Generic Name Min Age Max Age PA Required
LOKELMA 5 GRAM POWDER PACKET SODIUM ZIRCONIUM CYCLOSILICATE 18 999 No
RENVELA 0.8 GM POWDER PACKET SEVELAMER CARBONATE 0 11 No
RENVELA 2.4 GM POWDER PACKET SEVELAMER CARBONATE 0 11 No
RENVELA 800 MG TABLET SEVELAMER CARBONATE 0 999 No
SODIUM POLYSTYRENE SULF POWDER SODIUM POLYSTYRENE SULFONATE 0 999 No
SPS 15 GM/60 ML SUSPENSION SODIUM POLYSTYRENE SULFON/SORB 0 999 No
SPS 30 GM/120 ML ENEMA SUSP SODIUM POLYSTYRENE SULFON/SORB 0 999 No
VELTASSA 16.8 GM POWDER PACKET PATIROMER CALCIUM SORBITEX 18 999 No
C1B SODIUM/SALINE PREPARATIONS BACTERIOSTATIC SALINE VIAL BACTERIOSTATIC SODIUM CHLORIDE 0 999 No
SALINE 0.45% SOLN-EXCEL CON SODIUM CHLORIDE 0.45 % 0 999 No
SODIUM CHLORIDE 0.45% SOLN SODIUM CHLORIDE 0.45 % 0 999 No
SODIUM CHLORIDE 0.9% 1,000 ML 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 0.9% 100 ML 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 0.9% SOL-EXCEL 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 0.9% SOLN 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 0.9% SOLUTION 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 0.9% VIAL 0.9 % SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 100 MEQ/40 ML SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 3% IV SOLN SODIUM CHLORIDE 3 % 0 999 No
SODIUM CHLORIDE 4 MEQ/ML VL SODIUM CHLORIDE 0 999 No
SODIUM CHLORIDE 5% IV SOLN SODIUM CHLORIDE 5 % 0 999 No
C1D POTASSIUM REPLACEMENT EFFER-K 10 MEQ TABLET EFF POTASSIUM BICARBONATE/CIT AC 0 999 No
EFFER-K 20 MEQ TABLET EFF POTASSIUM BICARBONATE/CIT AC 0 999 No
EFFER-K 25 MEQ TABLET EFF POTASSIUM BICARBONATE/CIT AC 0 999 No
KCL 10 MEQ/500 ML-D5W-0.3%NACL POTASSIUM CHLORIDE/D5-0.3%NACL 0 999 No
KCL 10 MEQ/500ML-D5W-0.45%NACL POTASSIUM CHLORIDE/D5-0.45NACL 0 999 No
KCL 10 MEQ/L IN D5W SOLUTION POTASSIUM CHLORIDE IN D5W 0 999 No
KCL 10 MEQ/L-D5W-0.225% NACL POTASSIUM CHLORIDE/D5-0.2%NACL 0 999 No
KCL 10 MEQ/L-D5W-0.45% NACL POTASSIUM CHLORIDE/D5-0.45NACL 0 999 No
KCL 10MEQ/500ML-D5W-0.225%NACL POTASSIUM CHLORIDE/D5-0.2%NACL 0 999 No
KCL 20 MEQ IN D5W-LACT RINGER POTASSIUM CHLORIDE IN LR-D5 0 999 No
KCL 40 MEQ IN D5W-LACT RINGER POTASSIUM CHLORIDE IN LR-D5 0 999 No
KLOR-CON 10 MEQ TABLET POTASSIUM CHLORIDE 0 999 No
KLOR-CON 20 MEQ PACKET POTASSIUM CHLORIDE 0 999 No
KLOR-CON 8 MEQ TABLET POTASSIUM CHLORIDE 0 999 No
KLOR-CON M10 TABLET POTASSIUM CHLORIDE 0 999 No
KLOR-CON-EF 25 MEQ TAB EFF POTASSIUM BICARBONATE/CIT AC 0 999 No
POTASSIUM ACET 100 MEQ/50 ML POTASSIUM ACETATE 0 999 No
POTASSIUM ACET 200 MEQ/100 ML POTASSIUM ACETATE 0 999 No
POTASSIUM ACET 40 MEQ/20 ML VL POTASSIUM ACETATE 0 999 No
POTASSIUM CL 10 MEQ/100 ML SOL POTASSIUM CHLORIDE IN WATER 0 999 No
POTASSIUM CL 10 MEQ/5 ML CONC POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL 10% (20 MEQ/15ML) POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL 2 MEQ/ML CONC POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL 20 MEQ PACKET POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL 20 MEQ/1,000ML-NS POTASSIUM CHLORIDE IN 0.9%NACL 0 999 No
POTASSIUM CL 20 MEQ-0.45% NACL POTASSIUM CHLORIDE-0.45% NACL 0 999 No
POTASSIUM CL 40 MEQ/1,000ML-NS POTASSIUM CHLORIDE IN 0.9%NACL 0 999 No
POTASSIUM CL ER 10 MEQ CAPSULE POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL ER 10 MEQ TABLET POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL ER 8 MEQ CAPSULE POTASSIUM CHLORIDE 0 999 No
POTASSIUM CL10%(20MEQ/15ML)CUP POTASSIUM CHLORIDE 0 999 No
C1F CALCIUM REPLACEMENT CALCIUM + D SOFT CHEWABLE TAB CALCIUM CARB/VITAMIN D3/VIT K1 0 999 Cystic Fib Diag Auto PA
CALCIUM 250-D TABLET CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 250-VIT D3 125 TABLET CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500 MG CHEWABLE TABLET CALCIUM CARBONATE 0 999 Cystic Fib Diag Auto PA
CALCIUM 500 MG CHEWABLE TABLET CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500 MG TABLET CALCIUM CARBONATE 0 999 Cystic Fib Diag Auto PA
CALCIUM 500 MG-VIT D3 5 MCG TB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500MG-VIT D3 10MCG TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500MG-VIT D3 15MCG TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500-VIT D3 10 MCG CHEW CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500-VIT D3 125 CAPLET CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 500-VIT D3 400 CHEW TB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CALCIUM 600 MG TABLET CALCIUM CARBONATE 0 999 No
CALCIUM ACETATE 667 MG TABLET CALCIUM ACETATE 0 999 No
CALCIUM ACETATE 668 MG TABLET CALCIUM ACETATE 0 20 No
CALCIUM CARB 1,250 MG/5 ML CUP CALCIUM CARBONATE 0 999 Cystic Fib Diag Auto PA
CALCIUM CARB 1,250 MG/5 ML SUS CALCIUM CARBONATE 0 999 Cystic Fib Diag Auto PA
CALCIUM CHLORIDE 10% VIAL CALCIUM CHLORIDE 0 999 No
CALCIUM FOR WOMEN CHEWABLE TAB CALCIUM CARB/VITAMIN D3/VIT K1 0 999 Cystic Fib Diag Auto PA
CALCIUM GLUC 1,000 MG/10 ML VL CALCIUM GLUCONATE 0 999 No
CALCIUM GLUC 10,000 MG/100 ML CALCIUM GLUCONATE 0 999 No
CALCIUM GLUC 5,000 MG/50 ML VL CALCIUM GLUCONATE 0 999 No
CALCIUM-FOLIC ACID PLUS D WFER CALCIUM/MAG/D3/B12/FA/B6/BORON 0 999 Cystic Fib Diag Auto PA
CALCIUM-VIT D3-VIT K SOFT CHEW CALCIUM CARB/VITAMIN D3/VIT K1 0 999 Cystic Fib Diag Auto PA
CHEWABLE CALCIUM TAB CHEW CALCIUM CARB/VITAMIN D3/VIT K1 0 999 Cystic Fib Diag Auto PA
CITRACAL + D MAXIMUM CAPLET CALCIUM CITRATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CITRACAL-D3 250 MG GUMMY CALCIUM PHOSPHATE TRIB/VIT D3 0 999 Cystic Fib Diag Auto PA
CITRACAL-D3 250MG-200 UNIT TAB CALCIUM CITRATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CITRACAL-D3 ER 600 MG-12.5 MCG CALCIUM CARB, CITRATE/VIT D3 0 999 Cystic Fib Diag Auto PA
CITRACAL-D3 ER 600 MG-500 UNIT CALCIUM CARB, CITRATE/VIT D3 0 999 Cystic Fib Diag Auto PA
CITRACAL-D3 MAXIMUM PLUS CAPLT CALCIUM/D3/ZINC/COPPER/MANGAN 0 999 Cystic Fib Diag Auto PA
CVS CAL CIT 315 MG-D3 6.25 MCG CALCIUM CITRATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
CVS CALCIUM 500-VIT D3 125 TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
EQ CALCIUM 500-VIT D3 400 TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
GNP CALCIUM 500-VIT D3 600 TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL 250 MG-D3 3.12MCG CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL 500MG-VIT D3 5MCG CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL 500-VIT D3 200 TB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL CALCIUM 500 MG TB CALCIUM CARBONATE 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL CALCIUM-VIT D TAB CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
OYSTER SHELL-D 250 MG TABLET CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
RA CALCIUM-BORON TABLET CALCIUM CARBONATE/BORON GLUC 0 999 Cystic Fib Diag Auto PA
RA OYSTER SHELL 500-VIT D3 200 CALCIUM CARBONATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
SM CALCIUM CIT 315-D3 6.5 MCG CALCIUM CITRATE/VITAMIN D3 0 999 Cystic Fib Diag Auto PA
C1H MAGNESIUM SALTS REPLACEMENT EQL MAGNESIUM OXIDE 500 MG TAB MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
GNP MAGNESIUM 250 MG TABLET MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM 250 MG TABLET MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM 400 MG CAPSULE MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM 400 MG SOFTGEL MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM CHL 200 MG/ML VIAL MAGNESIUM CHLORIDE 0 999 No
MAGNESIUM OXIDE 250 MG CAPLET MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM OXIDE 250 MG TABLET MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM OXIDE 500 MG CAPSULE MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAGNESIUM SULF 20 G/500 ML BAG MAGNESIUM SULFATE IN WATER 0 999 No
MAGNESIUM SULF 40 G/1,000 ML MAGNESIUM SULFATE IN WATER 0 999 No
MAGNESIUM SULFATE 50% 1 G/2 ML MAGNESIUM SULFATE 0 999 No
MAGNESIUM SULFATE 50% 10G/20ML MAGNESIUM SULFATE 0 999 No
MAGNESIUM SULFATE 50% 25G/50ML MAGNESIUM SULFATE 0 999 No
MAGNESIUM SULFATE 50% 5 G/10ML MAGNESIUM SULFATE 0 999 No
MAG-OXIDE 200 MG TAB MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
MAG-OXIDE MAGNESIUM 200 MG TAB MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
RA MAGNESIUM 500 MG CAPSULE MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
SV MAGNESIUM OXIDE 400 MG TAB MAGNESIUM OXIDE 0 999 Cystic Fib Diag Auto PA
C1P PHOSPHATE REPLACEMENT POTASSIUM PHOSP 150 MMOL/50 ML POTASSIUM PHOS,M-BASIC-D-BASIC 0 999 No
POTASSIUM PHOSP 45 MMOL/15 ML POTASSIUM PHOS,M-BASIC-D-BASIC 0 999 No
POTASSIUM PHOSPH 15 MMOL/5 ML POTASSIUM PHOS,M-BASIC-D-BASIC 0 999 No
POTASSIUM PHOSPH 45 MMOL/15 ML POTASSIUM PHOS,M-BASIC-D-BASIC 0 999 No
SODIUM PHOSPHATE 15 MMOL/5 ML SOD PHOSPHATE,MONOBASIC-DIBAS 0 999 No
SODIUM PHOSPHATE 45 MMOL/15 ML SOD PHOSPHATE,MONOBASIC-DIBAS 0 999 No
C1W ELECTROLYTE MAINTENANCE DEXTROSE 5%-ELECTROLYTE 48 ELECTROLYTE-48 SOLUTION/D5W 0 999 No
IONOSOL B-D5W IV SOLUTION ELECTROLYTE-B SOLUTION/D5W 0 999 No
IONOSOL MB-D5W IV SOLUTION ELECTROLYTE-MB SOLUTION/D5W 0 999 No
ISOLYTE P-DEXTROSE 5% SOLN ELECTROLYTE-P SOLUTION/D5W 0 999 No
ISOLYTE S IV SOLN PH7.4 ELECTROLYTE-S (PH 7.4) 0 999 No
ISOLYTE S IV SOLUTION-EXCEL ELECTROLYTE-S SOLUTION 0 999 No
LACTATED RINGERS INJECTION RINGER'S SOLUTION,LACTATED 0 999 No
NORMOSOL-M-DEXTROSE 5% IV SOLN ELECTROLYTE-M SOLUTION/D5W 0 999 No
NORMOSOL-R IV SOLUTION ELECTROLYTE-R SOLUTION 0 999 No
NORMOSOL-R PH 7.4 IV SOLUTION ELECTROLYTE-R (PH 7.4) 0 999 No
NORMOSOL-R-DEXTROSE 5% IV SOLN ELECTROLYTE-R SOLUTION/D5W 0 999 No
PLASMA-LYTE A PH 7.4 SOLN. ELECTROLYTE-A SOLUTION 0 999 No
RINGER'S IV SOLUTION RINGER'S SOLUTION 0 999 No
TPN ELECTROLYTES II IV SOLN SODIUM/POT/MAG/CALC/CHLOR/ACET 0 999 No
TPN ELECTROLYTES VIAL SODIUM/POT/MAG/CALC/CHLOR/ACET 0 999 No
C3B IRON REPLACEMENT CENTRATEX CAPSULE MV-MINS NO.73/IRON FUM/FOLIC 0 999 No
FEOSOL 45 MG CAPLET IRON,CARBONYL 0 20 No
FEOSOL 65 MG TABLET FERROUS SULFATE 0 20 No
FERATE 27 MG TABLET FERROUS GLUCONATE 0 20 No
FEROSUL 325 MG TABLET FERROUS SULFATE 0 20 No
FERREX 150 CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
FERREX 150 FORTE CAPSULE IRON PS COMPLEX/B12/FOLIC ACID 0 999 Cystic Fib Diag Auto PA
FERREX 150 FORTE PLUS CAPSULE IRON ASPGLY,PS/C/B12/FA/CA/SUC 0 999 Cystic Fib Diag Auto PA
FERREX 150 PLUS CAPSULE IRON ASPGLY,PS/C/SUCCINIC ACID 0 999 Cystic Fib Diag Auto PA
FERREX 28 TABLET IRON/C/FOLIC ACD/MV CMB11/CALC 0 999 Cystic Fib Diag Auto PA
FERRIC X-150 CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
FERRIMIN 150 TAB FERROUS FUMARATE 0 20 No
FERRLECIT 62.5 MG/5 ML VIAL SODIUM FERRIC GLUCONAT/SUCROSE 6 999 No
FERRO-TIME 325 MG TABLET FERROUS SULFATE 0 20 No
FERROUS FUMARATE 324 MG TABLET FERROUS FUMARATE 0 20 No
FERROUS GLUCONATE 324 MG TAB FERROUS GLUCONATE 0 20 No
FERROUS SULF 15 MG IRON/ML DRP FERROUS SULFATE 0 20 No
FERROUS SULF 220 MG/5 ML ELIX FERROUS SULFATE 0 20 No
FERROUS SULF 300 MG/5 ML CUP FERROUS SULFATE 0 20 No
FERROUS SULF 300 MG/6.8ML SOLN FERROUS SULFATE 0 20 No
FERROUS SULF 44 MG IRON/5ML LQ FERROUS SULFATE 0 20 No
FERROUS SULF EC 324 MG TABLET FERROUS SULFATE 0 20 No
FERROUS SULF EC 325 MG TABLET FERROUS SULFATE 0 20 No
FERROUS SULFATE 325 MG TABLET FERROUS SULFATE 0 20 No
IFEREX 150 CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
IFEREX 150 FORTE CAPSULE IRON PS COMPLEX/B12/FOLIC ACID 0 999 Cystic Fib Diag Auto PA
INFANT IRON 15 MG/ML DROP FERROUS SULFATE 0 20 No
IRON 45 MG TABLET FERROUS SULFATE, DRIED 0 20 No
IRON 65 MG TABLET FERROUS SULFATE 0 20 No
MYFERON 150 CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
MYFERON-150 FORTE CAPSULE IRON PS COMPLEX/B12/FOLIC ACID 0 999 Cystic Fib Diag Auto PA
NU-IRON 150 CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
POLY-IRON 150 FORTE CAPSULE IRON PS COMPLEX/B12/FOLIC ACID 0 999 Cystic Fib Diag Auto PA
POLY-IRON 150 MG CAPSULE IRON POLYSACCHARIDE COMPLEX 0 999 Cystic Fib Diag Auto PA
PUREVIT DUALFE PLUS CAPSULE IRON FM,PS NO.1/FOLIC/MV NO.18 0 999 No
SE-TAN PLUS CAPSULE IRON FM,PS NO.1/FOLIC/MV NO.18 0 999 No
SOD FER GLUC CPLX 62.5 MG/5 ML SODIUM FERRIC GLUCONAT/SUCROSE 6 999 No
C3C ZINC REPLACEMENT ZINC CHLORIDE 10 MG/10 ML VIAL ZINC CHLORIDE 0 999 No
ZINC SULFATE 25 MG/5 ML VIAL ZINC SULFATE 0 999 No
ZINC SULFATE 30 MG/10 ML VIAL ZINC SULFATE 0 999 No
C3H IODINE CONTAINING AGENTS IODOPEN 100 MCG/ML VIAL SODIUM IODIDE 0 999 No
C3M MINERAL REPLACEMENT, MISCELLANEOUS CHROMIUM CL 40 MCG/10 ML VIAL CHROMIC CHLORIDE 0 999 No
COPPER CHLORIDE 4 MG/10 ML VL CUPRIC CHLORIDE 0 999 No
CUPRIC CHLORIDE 4 MG/10 ML VL CUPRIC CHLORIDE 0 999 No
MANGANESE 1 MG/10 ML VIAL MANGANESE CHLORIDE 0 999 No
SELENIOUS ACID 400 MCG/10 ML SELENIUM 0 999 No
C4D ANTIHYPERGLYCEMIC-SOD/GLUC COTRANSPORT2(SGLT2) INH FARXIGA 10 MG TABLET DAPAGLIFLOZIN PROPANEDIOL 18 999 No
FARXIGA 5 MG TABLET DAPAGLIFLOZIN PROPANEDIOL 18 999 No
INVOKANA 100 MG TABLET CANAGLIFLOZIN 18 999 No
INVOKANA 300 MG TABLET CANAGLIFLOZIN 18 999 No
JARDIANCE 10 MG TABLET EMPAGLIFLOZIN 10 999 No
JARDIANCE 25 MG TABLET EMPAGLIFLOZIN 10 999 No
C4E ANTIHYPERGLYCEMIC-SGLT2 INHIBITOR-BIGUANIDE COMBS. INVOKAMET 150-1,000 MG TABLET CANAGLIFLOZIN/METFORMIN HCL 18 999 No
INVOKAMET 150-500 MG TABLET CANAGLIFLOZIN/METFORMIN HCL 18 999 No
INVOKAMET 50-1,000 MG TABLET CANAGLIFLOZIN/METFORMIN HCL 18 999 No
INVOKAMET 50-500 MG TABLET CANAGLIFLOZIN/METFORMIN HCL 18 999 No
SYNJARDY 12.5-1,000 MG TABLET EMPAGLIFLOZIN/METFORMIN HCL 10 999 No
SYNJARDY 12.5-500 MG TABLET EMPAGLIFLOZIN/METFORMIN HCL 10 999 No
SYNJARDY 5-1,000 MG TABLET EMPAGLIFLOZIN/METFORMIN HCL 10 999 No
SYNJARDY 5-500 MG TABLET EMPAGLIFLOZIN/METFORMIN HCL 10 999 No
XIGDUO XR 10 MG-1,000 MG TAB DAPAGLIFLOZ PROPANED/METFORMIN 18 999 No
XIGDUO XR 10 MG-500 MG TABLET DAPAGLIFLOZ PROPANED/METFORMIN 18 999 No
XIGDUO XR 2.5 MG-1,000 MG TAB DAPAGLIFLOZ PROPANED/METFORMIN 18 999 No
XIGDUO XR 5 MG-1,000 MG TABLET DAPAGLIFLOZ PROPANED/METFORMIN 18 999 No
XIGDUO XR 5 MG-500 MG TABLET DAPAGLIFLOZ PROPANED/METFORMIN 18 999 No
JANUMET 50-1,000 MG TABLET SITAGLIPTIN PHOS/METFORMIN HCL 18 999 No
JANUMET 50-500 MG TABLET SITAGLIPTIN PHOS/METFORMIN HCL 18 999 No
JANUMET XR 100-1,000 MG TABLET SITAGLIPTIN PHOS/METFORMIN HCL 18 999 No
JANUMET XR 50-1,000 MG TABLET SITAGLIPTIN PHOS/METFORMIN HCL 18 999 No
JANUMET XR 50-500 MG TABLET SITAGLIPTIN PHOS/METFORMIN HCL 18 999 No
JENTADUETO 2.5 MG-1000 MG TAB LINAGLIPTIN/METFORMIN HCL 18 999 No
JENTADUETO XR 2.5 MG-1,000 MG LINAGLIPTIN/METFORMIN HCL 18 999 No
JENTADUETO XR 5 MG-1,000 MG TB LINAGLIPTIN/METFORMIN HCL 18 999 No
KOMBIGLYZE XR 2.5-1,000 MG TAB SAXAGLIPTIN HCL/METFORMIN HCL 18 999 No
KOMBIGLYZE XR 5-1,000 MG TAB SAXAGLIPTIN HCL/METFORMIN HCL 18 999 No
KOMBIGLYZE XR 5-500 MG TABLET SAXAGLIPTIN HCL/METFORMIN HCL 18 999 No
C4G INSULINS APIDRA 100 UNIT/ML VIAL INSULIN GLULISINE 0 999 No
APIDRA SOLOSTAR 100 UNIT/ML INSULIN GLULISINE 0 999 No
HUMALOG 100 UNIT/ML CARTRIDGE INSULIN LISPRO 0 999 No
HUMALOG 100 UNIT/ML KWIKPEN INSULIN LISPRO 0 999 No
HUMALOG 100 UNIT/ML VIAL INSULIN LISPRO 0 999 No
HUMALOG JR 100 UNIT/ML KWIKPEN INSULIN LISPRO 0 999 No
HUMALOG MIX 50-50 KWIKPEN INSULIN LISPRO PROTAMIN/LISPRO 0 999 No
HUMALOG MIX 50-50 VIAL INSULIN LISPRO PROTAMIN/LISPRO 0 999 No
HUMALOG MIX 75-25 KWIKPEN INSULIN LISPRO PROTAMIN/LISPRO 0 999 No
HUMALOG MIX 75-25 VIAL INSULIN LISPRO PROTAMIN/LISPRO 0 999 No
HUMULIN 70/30 KWIKPEN INSULIN NPH HUM/REG INSULIN HM 0 999 No
HUMULIN 70-30 VIAL INSULIN NPH HUM/REG INSULIN HM 0 999 No
HUMULIN N 100 UNIT/ML VIAL INSULIN NPH HUMAN ISOPHANE 0 999 No
HUMULIN R 100 UNIT/ML VIAL INSULIN REGULAR, HUMAN 0 999 No
HUMULIN R 500 UNIT/ML KWIKPEN INSULIN REGULAR, HUMAN 0 999 No
HUMULIN R 500 UNIT/ML VIAL INSULIN REGULAR, HUMAN 0 999 No
INSULIN ASPART PRO MIX70-30 PN INSULIN ASPART PROT/INSULN ASP 0 999 No
INSULIN GLARGINE 100 UNIT/ML INSULIN GLARGINE,HUM.REC.ANLOG 0 999 No
INSULIN GLARGINE SOLOSTAR U100 INSULIN GLARGINE,HUM.REC.ANLOG 0 999 No
LANTUS 100 UNIT/ML VIAL INSULIN GLARGINE,HUM.REC.ANLOG 0 999 No
LANTUS SOLOSTAR 100 UNIT/ML INSULIN GLARGINE,HUM.REC.ANLOG 0 999 No
LEVEMIR 100 UNIT/ML VIAL INSULIN DETEMIR 0 999 No
LEVEMIR FLEXPEN 100 UNIT/ML INSULIN DETEMIR 0 999 No
LEVEMIR FLEXTOUCH 100 UNIT/ML INSULIN DETEMIR 0 999 No
NOVOLIN N 100 UNIT/ML VIAL INSULIN NPH HUMAN ISOPHANE 0 999 No
NOVOLIN R 100 UNIT/ML VIAL INSULIN REGULAR, HUMAN 0 999 No
NOVOLOG 100 UNIT/ML FLEXPEN INSULIN ASPART 0 999 No
NOVOLOG 100 UNIT/ML VIAL INSULIN ASPART 0 999 No
NOVOLOG MIX 70-30 FLEXPEN INSULIN ASPART PROT/INSULN ASP 0 999 No
NOVOLOG MIX 70-30 VIAL INSULIN ASPART PROT/INSULN ASP 0 999 No
NOVOLOG PENFILL 100 UNIT/ML INSULIN ASPART 0 999 No
RELION NOVOLIN N 100 UNIT/ML INSULIN NPH HUMAN ISOPHANE 0 999 No
RELION NOVOLIN R 100 UNIT/ML INSULIN REGULAR, HUMAN 0 999 No
RELION NOVOLOG 100 UNIT/ML VL INSULIN ASPART 0 999 No
RELION NOVOLOG MIX 70-30 FLXPN INSULIN ASPART PROT/INSULN ASP 0 999 No
RELION NOVOLOG MIX 70-30 VIAL INSULIN ASPART PROT/INSULN ASP 0 999 No
RELION NOVOLOG U-100 FLEXPEN INSULIN ASPART 0 999 No
C4H ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE SYMLINPEN 120 PEN INJECTOR PRAMLINTIDE ACETATE 18 999 No
HIC3
C4H HIC3 Desc ANTIHYPERGLYCEMIC, AMYLIN ANALOG-TYPE Label Name Generic Name Min Age Max Age PA Required
SYMLINPEN 60 PEN INJECTOR PRAMLINTIDE ACETATE 18 999 No
C4I ANTIHYPERGLY,INCRETIN MIMETIC(GLP-1 RECEP.AGONIST) BYETTA 10 MCG DOSE PEN INJ EXENATIDE 18 999 Auto PA
BYETTA 5 MCG DOSE PEN INJ EXENATIDE 18 999 Auto PA
OZEMPIC 0.25-0.5 MG/DOSE PEN SEMAGLUTIDE 18 999 Auto PA
OZEMPIC 1 MG/DOSE (4 MG/3 ML) SEMAGLUTIDE 18 999 Auto PA
OZEMPIC 2 MG/DOSE (8 MG/3 ML) SEMAGLUTIDE 18 999 Auto PA
TRULICITY 0.75 MG/0.5 ML PEN DULAGLUTIDE 10 999 Auto PA
TRULICITY 3 MG/0.5 ML PEN DULAGLUTIDE 10 999 Auto PA
VICTOZA 2-PAK 18 MG/3 ML PEN LIRAGLUTIDE 10 999 Auto PA
VICTOZA 3-PAK 18 MG/3 ML PEN LIRAGLUTIDE 10 999 Auto PA
C4J ANTIHYPERGLYCEMIC, DPP-4 INHIBITORS JANUVIA 100 MG TABLET SITAGLIPTIN PHOSPHATE 18 999 No
JANUVIA 25 MG TABLET SITAGLIPTIN PHOSPHATE 18 999 No
JANUVIA 50 MG TABLET SITAGLIPTIN PHOSPHATE 18 999 No
ONGLYZA 2.5 MG TABLET SAXAGLIPTIN HCL 18 999 No
ONGLYZA 5 MG TABLET SAXAGLIPTIN HCL 18 999 No
TRADJENTA 5 MG TABLET LINAGLIPTIN 18 999 No
C4K ANTIHYPERGLYCEMIC, INSULIN-RELEASE STIMULANT TYPE GLIMEPIRIDE 1 MG TABLET GLIMEPIRIDE 0 999 No
GLIMEPIRIDE 2 MG TABLET GLIMEPIRIDE 0 999 No
GLIMEPIRIDE 4 MG TABLET GLIMEPIRIDE 0 999 No
GLIPIZIDE 10 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE 2.5 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE 5 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE ER 10 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE ER 2.5 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE ER 5 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE XL 10 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE XL 2.5 MG TABLET GLIPIZIDE 0 999 No
GLIPIZIDE XL 5 MG TABLET GLIPIZIDE 0 999 No
GLYBURIDE 1.25 MG TABLET GLYBURIDE 0 999 No
GLYBURIDE 2.5 MG TABLET GLYBURIDE 0 999 No
GLYBURIDE 5 MG TABLET GLYBURIDE 0 999 No
GLYBURIDE MICRO 1.5 MG TAB GLYBURIDE,MICRONIZED 0 999 No
GLYBURIDE MICRO 3 MG TABLET GLYBURIDE,MICRONIZED 0 999 No
GLYBURIDE MICRO 6 MG TABLET GLYBURIDE,MICRONIZED 0 999 No
REPAGLINIDE 0.5 MG TABLET REPAGLINIDE 0 999 No
REPAGLINIDE 1 MG TABLET REPAGLINIDE 0 999 No
REPAGLINIDE 2 MG TABLET REPAGLINIDE 0 999 No
C4L ANTIHYPERGLYCEMIC, BIGUANIDE TYPE METFORMIN HCL 1,000 MG TABLET METFORMIN HCL 0 999 No
METFORMIN HCL 500 MG TABLET METFORMIN HCL 0 999 No
METFORMIN HCL ER 500 MG TABLET METFORMIN HCL 0 999 No
METFORMIN HCL ER 750 MG TABLET METFORMIN HCL 0 999 No
C4M ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORS ACARBOSE 100 MG TABLET ACARBOSE 0 999 No
ACARBOSE 25 MG TABLET ACARBOSE 0 999 No
ACARBOSE 50 MG TABLET ACARBOSE 0 999 No
MIGLITOL 100 MG TABLET MIGLITOL 0 999 No
C4M ANTIHYPERGLYCEMIC, ALPHA-GLUCOSIDASE INHIBITORS
C4N ANTIHYPERGLYCEMIC,THIAZOLIDINEDIONE(PPARG AGONIST) PIOGLITAZONE HCL 15 MG TABLET PIOGLITAZONE HCL 0 999 No
PIOGLITAZONE HCL 30 MG TABLET PIOGLITAZONE HCL 0 999 No
PIOGLITAZONE HCL 45 MG TABLET PIOGLITAZONE HCL 0 999 No
C4S ANTIHYPERGLYCEMIC,INSULIN-RELEASE STIM.-BIGUANIDE GLIPIZIDE-METFORMIN 2.5-250 MG GLIPIZIDE/METFORMIN HCL 0 999 No
GLIPIZIDE-METFORMIN 2.5-500 MG GLIPIZIDE/METFORMIN HCL 0 999 No
GLIPIZIDE-METFORMIN 5-500 MG GLIPIZIDE/METFORMIN HCL 0 999 No
GLYBURIDE-METFORMIN 2.5-500 MG GLYBURIDE/METFORMIN HCL 0 999 No
GLYBURIDE-METFORMIN 5-500 MG GLYBURIDE/METFORMIN HCL 0 999 No
GLYBURID-METFORMIN 1.25-250 MG GLYBURIDE/METFORMIN HCL 0 999 No
C5F DIETARY SUPPLEMENT, MISCELLANEOUS COCONUT OIL 1,000 MG SOFTGEL COCONUT OIL 0 999 Cystic Fib Diag Auto PA
CVS COCONUT OIL 1,000 MG SFTGL COCONUT OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 GUMMIES OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 PLUS VITAMIN D3 TB CHW OMEGA3/DHA/EPA/FISH OIL/VIT D3 0 999 Cystic Fib Diag Auto PA
C5J IV SOLUTIONS: DEXTROSE-WATER DEXTROSE 10%-WATER IV SOLUTION DEXTROSE 10 % IN WATER 0 999 No
DEXTROSE 20%-WATER IV SOLN DEXTROSE 20 % IN WATER 0 999 No
DEXTROSE 25%-WATER SYRINGE DEXTROSE 25 % IN WATER 0 999 No
DEXTROSE 5%-WATER 100 ML DEXTROSE 5 % IN WATER 0 999 No
DEXTROSE 5%-WATER 50 ML DEXTROSE 5 % IN WATER 0 999 No
DEXTROSE 5%-WATER VIAL DEXTROSE 5 % IN WATER 0 999 No
DEXTROSE 50%-WATER ABBOJECT DEXTROSE 50 % IN WATER 0 999 No
DEXTROSE 50%-WATER SYRINGE DEXTROSE 50 % IN WATER 0 999 No
DEXTROSE 50%-WATER VIAL DEXTROSE 50 % IN WATER 0 999 No
GLUCOSE 5%-WATER 100 ML DEXTROSE 5 % IN WATER 0 999 No
GLUCOSE 5%-WATER 50 ML DEXTROSE 5 % IN WATER 0 999 No
C5K IV SOLUTIONS: DEXTROSE-SALINE DEXTROSE 10%-0.2% NACL IV SOLN DEXTROSE 10 % AND 0.2 % NACL 0 999 No
DEXTROSE 10%-0.45% NACL IV SOL DEXTROSE 10 % AND 0.45 % NACL 0 999 No
DEXTROSE 2.5%-0.45% NACL IV DEXTROSE 2.5 % AND 0.45 % NACL 0 999 No
DEXTROSE 5%-0.2% NACL IV SOLN DEXTROSE 5 %-0.2 % SOD CHLORID 0 999 No
DEXTROSE 5%-0.225% NACL IV SOL DEXTROSE 5 %-0.2 % SOD CHLORID 0 999 No
DEXTROSE 5%-0.3% NACL IV SOLN DEXTROSE 5 % AND 0.3 % NACL 0 999 No
DEXTROSE 5%-0.45% NACL IV SOLN DEXTROSE 5 %-0.45 % SOD CHLORD 0 999 No
C5M IV SOLUTIONS: DEXTROSE AND LACTATED RINGERS DEXTROSE 5%-LR IV SOLUTION DEXTROSE 5%-LACTATED RINGERS 0 999 No
C5O DILUENT SOLUTIONS DILUENT FOR DECITABINE VIAL DILUENT FOR DECITABINE 0 999 No
DILUENT FOR MELPHALAN 10 ML VL DILUENT FOR MELPHALAN 0 999 No
C6A VITAMIN A PREPARATIONS GNP VITAMIN A 10,000 UNIT SFGL VITAMIN A 0 999 Cystic Fib Diag Auto PA
RA VITAMIN A 10,000 UNIT SFTGL VITAMIN A 0 999 Cystic Fib Diag Auto PA
VITAMIN A 10,000 UNIT CAPSULE VITAMIN A 0 999 Cystic Fib Diag Auto PA
VITAMIN A 10,000 UNIT SOFTGEL VITAMIN A 0 999 Cystic Fib Diag Auto PA
VITAMIN A 3,000 MCG SOFTGEL VITAMIN A 0 999 Cystic Fib Diag Auto PA
VITAMIN A 8,000 UNIT CAPSULE VITAMIN A 0 999 Cystic Fib Diag Auto PA
C6B VITAMIN B PREPARATIONS DIALYVITE 3,000 TABLET FOLIC ACID/B CPLX/C/SELEN/ZINC 0 999 No
DIALYVITE 5000 TABLET MULTIVIT-MINS NO.11/FOLIC ACID 0 999 No
C6B VITAMIN B PREPARATIONS
DIALYVITE SUPREME D TABLET MULTIVIT-MINS 25/FOLIC ACID/D3 0 999 No
DIALYVITE TABLET FOLIC ACID/VIT B COMPLEX AND C 0 999 No
DIALYVITE WITH ZINC TABLET B COMPLEX 11/FOLIC/C/BIOT/ZINC 0 999 No
NEPHPLEX RX TABLET B COMP NO3/FOLIC/C/BIOTIN/ZINC 0 999 No
VITAL-D RX TABLET B CMPLX 4/VIT D3/C/FOLIC/ZINC 0 999 No
C6C VITAMIN C PREPARATIONS ACEROLA C 500 MG TABLET CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
ASCORBIC ACID 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
ASCORBIC ACID 500 MG/ML VIAL ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
ASCORBIC ACID GRANULES ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-1,000 MG TABLET SA ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-1,000 MG WITH ROSE HIPS CPLT ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-1,000 MG WITH ROSE HIPS TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-1000 ER CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-500 ER TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C-500 MG TABLET CHEWABLE ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
CALCIUM ASCORBATE 500 MG TAB ASCORBATE CALCIUM 0 999 Cystic Fib Diag Auto PA
CVS VITAMIN C 1,000 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
CVS VITAMIN C 250 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
CVS VITAMIN C 500 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN C 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN C 500 MG CHEW TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN C 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VIT C-ROSE HIPS 500 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C 250 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C 500 MG TAB CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C DROPS ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN C ER 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VIT C-ROSE HIPS 500 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C 1,000 MG TAB SA ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C 250 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C 500 MG TAB CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
RA VITAMIN C TR 500 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SM VITAMIN C 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SM VITAMIN C 500 MG CHEW TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SV VIT C-ROSE HIP 1,000 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SV VIT C-ROSE HIPS 1,000 MG TB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SV VIT C-ROSE HIPS 500 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SV VITAMIN C 500 MG TAB CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
SV VITAMIN C TR 1,000 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIP 1,000 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS 1,000 MG CPLT ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS 1,000 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS TR 1,000 MG ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS TR 500 MG CPLT ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VIT C-ROSE HIPS TR 500 MG TAB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 1,000 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 1,500 MG TABLET SA ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 100 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 125 MG GUMMIES ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 125 MG GUMMY ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 250 MG TABLET CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 500 MG CAPSULE SA ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 500 MG CHEW TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 500 MG SOFTGEL ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C 500 MG TABLET ASCORBATE CALCIUM 0 999 Cystic Fib Diag Auto PA
VITAMIN C 500 MG TABLET CHEW ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C DROPS ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C TR 1,000 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C TR 500 MG CAPLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C TR 500 MG TABLET ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C-500 MG TR CAPSULE ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
VITAMIN C-ROSE HIP 1,000 MG TB ASCORBIC ACID 0 999 Cystic Fib Diag Auto PA
C6D VITAMIN D PREPARATIONS BABY VIT D3 10 MCG/DROP CONC CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
CALCITRIOL 0.25 MCG CAPSULE CALCITRIOL 0 999 No
CALCITRIOL 0.5 MCG CAPSULE CALCITRIOL 0 999 No
CALCITRIOL 1 MCG/ML AMPUL CALCITRIOL 0 999 No
CALCITRIOL 1 MCG/ML SOLUTION CALCITRIOL 0 999 No
CVS VIT D3 1,000 UNIT GUMMIES CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
CVS VITAMIN D3 10 MCG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
CVS VITAMIN D3 25 MCG GUMMIES CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
D3-50 50,000 UNIT CAPSULE CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
D-VI-SOL 10 MCG/ML DROP CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN D3 125 MCG DISSOLV CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN D3 125 MCG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN D3 2,000 UNIT SFGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN D3 25 MCG GUMMY CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
EQL VITAMIN D3 400 UNIT SFTGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
ERGOCALCIFEROL 200 MCG/ML DROP ERGOCALCIFEROL (VITAMIN D2) 0 999 Cystic Fib Diag Auto PA
ERGOCALCIFEROL 8,000 UNIT/ML ERGOCALCIFEROL (VITAMIN D2) 0 999 Cystic Fib Diag Auto PA
GNP VIT D3 10MCG(400 UNIT) CHW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN D3 1,000 UNIT TAB CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN D3 10 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN D3 25 MCG GUMMY CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
GNP VITAMIN D3 25 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
INFANT VITAMIN D 10 MCG/ML DRP CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
KIDS VITAMIN D3 TAB CHEW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
PEDIATRIC D-VITE 10 MCG/ML LIQ CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
PHARM CHOICE D3 400 UNIT/ML CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
QC VITAMIN D3 25 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
RA VITAMIN D3 1,000 UNIT TAB CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
RA VITAMIN D3 2,000 UNIT SFGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
RA VITAMIN D3 2,000 UNIT SFTGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
RA VITAMIN D3 5,000 UNIT SFTGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
REPLESTA 50,000 UNITS WAFER CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
REPLESTA NX 14,000 UNITS WAFER CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
SM VITAMIN D3 125 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
SM VITAMIN D3 2,000 UNIT SFTGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
SM VITAMIN D3 50 MCG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
SV VITAMIN D3 1,000 UNIT SFTGL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
SV VITAMIN D3 400 UNIT SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VIT D3 5,000 UNIT FAST DISSOLV CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D2 1.25MG(50,000 UNIT) ERGOCALCIFEROL (VITAMIN D2) 0 999 Cystic Fib Diag Auto PA
VITAMIN D2 2,000 UNIT TABLET ERGOCALCIFEROL (VITAMIN D2) 0 999 Cystic Fib Diag Auto PA
VITAMIN D2 400 UNIT TABLET ERGOCALCIFEROL (VITAMIN D2) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT GUMMIES CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT SPRAY CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT TAB CHEW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,000 UNIT/10 ML LQ CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1,250 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 1.25 MG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 10 MCG/ML DROP CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 10 MCG/ML LIQUID CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 125 MCG CAPSULE CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 125 MCG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 125 MCG TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 2,000 UNIT TAB CHEW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 25 MCG (1,000 UNIT) CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 25 MCG GUMMY CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 400 UNIT SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 400 UNIT TAB CHEW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 400 UNIT TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 400 UNIT/5 ML LIQ CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 400 UNIT/ML LIQUID CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 5,000 UNIT CAPSULE CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 5,000 UNIT/ML DROPS CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 50 MCG (2,000 UNIT) CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 50 MCG CAPSULE CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 50 MCG TAB CHEW CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 50,000 UNIT CAPSULE CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D3 MAX 125 MCG SOFTGEL CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
VITAMIN D-400 TABLET CHOLECALCIFEROL (VITAMIN D3) 0 999 Cystic Fib Diag Auto PA
C6F PRENATAL VITAMIN PREPARATIONS M-NATAL PLUS TABLET PNV,CALCIUM 72/IRON/FOLIC ACID 12 999 No
PRENATAL VITAMIN PLUS LOW IRON PNV,CALCIUM 72/IRON/FOLIC ACID 12 999 No
PREPLUS CA-FE 27 MG-FA 1 MG TB PNV,CALCIUM 72/IRON/FOLIC ACID 12 999 No
SELECT-OB + DHA PACK PRENATAL VIT 33/IRON/FOLIC/DHA 12 999 No
SE-NATAL 19 CHEWABLE TABLET PNV NO.118/IRON FUMARATE/FA 12 999 No
SE-NATAL-19 TABLET PNV 119/IRON FUM/FOLIC ACID 12 999 No
THRIVITE RX TABLET PRENATAL VIT,CALC76/IRON/FOLIC 12 999 No
VITAFOL FE PLUS SOFTGEL PNV 102/IRON/FOLATE/DHA 12 999 No
VITAFOL GUMMIES PNV 112/IRON/FOLIC/OM3/DHA/EPA 12 999 No
VITAFOL NANO TABLET PRENATAL NO.75/IRON/FOLATE NO1 12 999 No
VITAFOL ULTRA SOFTGEL PNV 67/IRON PS/FOLATE NO.1/DHA 12 999 No
VITAFOL-OB CAPLET PRENATAL VIT 10/IRON FUM/FOLIC 12 999 No
VITAFOL-OB+DHA COMBO PACK PRENATAL VIT 10/IRON/FOLIC/DHA 12 999 No
VITAFOL-ONE CAPSULE PRENATAL 26/IRON PS/FOLIC/DHA 12 999 No
VP-PNV-DHA SOFTGEL PRENATAL NO.52/IRON/FA/DHA 12 999 No
WESTAB PLUS TABLET PNV,CALCIUM 72/IRON/FOLIC ACID 12 999 No
C6H PEDIATRIC VITAMIN PREPARATIONS AQUADEKS PEDIATRIC LIQUID PEDI MULTIVIT 40/PHYTONADIONE 0 20 No
DEKAS PLUS LIQUID PEDI MULTIVIT NO.128/VITAMIN K 0 999 Cystic Fib Diag Auto PA
INFUVITE PEDIATRIC BULK VIAL MULTIVIT INFUSION,PEDI 1,VIT K 0 12 No
INFUVITE PEDIATRIC VIAL MULTIVIT INFUSION,PEDI 1,VIT K 0 12 No
MULTIVIT-FLUOR 0.25 MG TAB CHW PEDI MULTIVIT NO.17 W-FLUORIDE 0 12 No
MULTIVIT-FLUOR 0.25 MG/ML DROP PEDI MULTIVIT NO.2 W-FLUORIDE 0 12 No
MULTIVIT-FLUOR 0.5 MG TAB CHEW PEDI MULTIVIT NO.17 W-FLUORIDE 0 12 No
MULTIVIT-FLUOR 0.5 MG/ML DROP PEDI MULTIVIT NO.2 W-FLUORIDE 0 12 No
MULTIVIT-FLUORIDE 1 MG TAB CHW PEDI MULTIVIT NO.17 W-FLUORIDE 0 12 No
MULTIVIT-FLUOR-IRON 0.25 MG/ML PEDI MULTIVIT 45/FLUORIDE/IRON 0 12 No
MULTIVIT-IRON-FLUOR 0.25 MG/ML PEDI MULTIVIT 45/FLUORIDE/IRON 0 12 No
MVW COMPLETE FORM MULTIVI SFGL PEDIATRIC MULTIVIT 61/D3/VIT K 0 999 Cystic Fib Diag Auto PA
MVW COMPLETE FORM MULTIVI SFGL PEDIATRIC MULTIVIT NO.163/D3/K 0 12 Cystic Fib Diag Auto PA
MVW COMPLETE FORM MULTIVIT CHW PEDI MULTIVIT 22/VIT D3/VIT K 0 999 Cystic Fib Diag Auto PA
MVW COMPLETE FORMUL D3000 CHEW PEDI MULTIVIT 22/VIT D3/VIT K 0 999 Cystic Fib Diag Auto PA
MVW COMPLETE FORMUL D3000 SFGL PEDIATRIC MULTIVIT 61/D3/VIT K 0 999 Cystic Fib Diag Auto PA
MVW COMPLETE FORMUL D5000 CHEW PEDI MULTIVIT 22/VIT D3/VIT K 0 12 Cystic Fib Diag Auto PA
MVW COMPLETE FORMUL D5000 SFGL PEDIATRIC MULTIVIT 61/D3/VIT K 0 999 Cystic Fib Diag Auto PA
MVW COMPLETE FORMUL PEDIA DRPS PEDI MULTIVIT 77/VIT D3/VIT K 0 999 Cystic Fib Diag Auto PA
VIT A,C,D-FLUORIDE 0.25 MG/ML PED MVIT A,C,D3 NO.21/FLUORIDE 0 12 No
C6K VITAMIN K PREPARATIONS MEPHYTON 5 MG TABLET PHYTONADIONE (VIT K1) 0 999 No
PHYTONADIONE 1 MG/0.5 ML SYR PHYTONADIONE (VIT K1) 0 999 No
PHYTONADIONE 1 MG/0.5 ML VIAL PHYTONADIONE (VIT K1) 0 999 No
PHYTONADIONE 10 MG/ML AMPUL PHYTONADIONE (VIT K1) 0 999 No
PHYTONADIONE 10 MG/ML VIAL PHYTONADIONE (VIT K1) 0 999 No
VITAMIN K-1 10 MG/ML AMPUL PHYTONADIONE (VIT K1) 0 999 No
VITAMIN K-1 1 MG/0.5 ML AMPUL PHYTONADIONE (VIT K1) 0 999 No
C6L VITAMIN B12 PREPARATIONS CYANOCOBALAMIN 1,000 MCG/ML VL CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
CYANOCOBALAMIN 10,000 MCG/10ML CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
CYANOCOBALAMIN 30,000 MCG/30ML CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
DODEX 1,000 MCG/ML VIAL CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
DODEX 10,000 MCG/10 ML VIAL CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
DODEX 30,000 MCG/30 ML VIAL CYANOCOBALAMIN (VITAMIN B-12) 0 999 No
FOLTRATE TABLET CYANOCOBALAMIN/FOLIC ACID 0 999 No
C6M FOLIC ACID PREPARATIONS FOLIC ACID 1 MG TABLET FOLIC ACID 0 999 No
FOLIC ACID 5 MG/ML VIAL FOLIC ACID 0 999 No
FOLIC ACID 50 MG/10 ML VIAL FOLIC ACID 0 999 No
L-METHYLFOLATE CAL 15 MG TAB LEVOMEFOLATE CALCIUM 0 999 No
L-METHYLFOLATE CAL 7.5 MG TAB LEVOMEFOLATE CALCIUM 0 999 No
C6Q VITAMIN B6 PREPARATIONS PYRIDOXINE 100 MG/ML VIAL PYRIDOXINE HCL (VITAMIN B6) 0 999 No
C6T VITAMIN B1 PREPARATIONS THIAMINE 200 MG/2 ML VIAL THIAMINE HCL 0 999 No
C6Z MULTIVITAMIN PREPARATIONS BACMIN CAPLET MULTIVIT-MINS NO.20/IRON/FOLIC 0 999 No
DEKAS ESSENTIAL CAPSULE VIT A/VIT D3/E/VIT E TPGS/VITK 0 999 Cystic Fib Diag Auto PA
DEKAS ESSENTIAL LIQUID VIT A/D3/TOCOPHERSOLAN/VIT K 0 999 Cystic Fib Diag Auto PA
DEKAS PLUS CHEWABLE TABLET MULTIVIT-MINS 56/FOLIC/K/COQ10 0 999 Cystic Fib Diag Auto PA
DEKAS PLUS OCEANCAPS MULTIVIT-MINS 53/FOLIC/K/COQ10 0 999 Cystic Fib Diag Auto PA
DEKAS PLUS SOFTGEL MULTIVIT-MINS 53/FOLIC/K/COQ10 0 999 Cystic Fib Diag Auto PA
ELITE-OB CAPLET MULTIVIT-MIN69/IRON/FOLIC ACID 12 999 No
FOLIVANE-OB CAPSULE MVN-MIN 74/IRON FUM/IRON/FA 12 999 No
HI-D ADEK GUMMIES PLUS ZINC VIT A/VIT D3/VIT E/VIT K1/ZINC 0 999 Cystic Fib Diag Auto PA
INFUVITE ADULT VIAL MULTIVIT INFUSN,ADULT 4,VIT K 0 999 No
MVW ADEK GUMMIES PLUS ZINC VIT A/VIT D3/VIT E/VIT K1/ZINC 0 999 Cystic Fib Diag Auto PA
NIVA-PLUS TABLET MULTIVIT-MINS60/IRON FUM/FOLIC 12 999 No
TARON-C DHA CAPSULE MVN-MIN75/IRON/IRON PS/OM3/DHA 12 999 No
VIRT-C DHA SOFTGEL MVN-MIN75/IRON/IRON PS/OM3/DHA 12 999 No
C7A HYPERURICEMIA TX - XANTHINE OXIDASE INHIBITORS ALLOPURINOL 100 MG TABLET ALLOPURINOL 0 999 No
ALLOPURINOL 200 MG TABLET ALLOPURINOL 0 999 No
ALLOPURINOL 300 MG TABLET ALLOPURINOL 0 999 No
C7D METABOLIC DEFICIENCY AGENTS BETAINE 1 GRAM/SCOOP POWDER BETAINE 0 999 No
LEVOCARNITINE 1 G/10 ML SOLN LEVOCARNITINE (WITH SUGAR) 0 999 No
LEVOCARNITINE 330 MG TABLET LEVOCARNITINE 0 999 No
C7F APPETITE STIM. FOR ANOREXIA,CACHEXIA,WASTING SYND. MEGESTROL 400 MG/10 ML CUP MEGESTROL ACETATE 0 999 No
MEGESTROL 400 MG/10ML SUSP CUP MEGESTROL ACETATE 0 999 No
MEGESTROL 800 MG/20ML SUSP CUP MEGESTROL ACETATE 0 999 No
MEGESTROL ACET 40 MG/ML SUSP MEGESTROL ACETATE 0 999 No
C7I CYTOCHROME P450 INHIBITORS TYBOST 150 MG TABLET COBICISTAT 12 999 Auto PA
C8A METALLIC POISON,AGENTS TO TREAT DEFERASIROX 180 MG TABLET DEFERASIROX 2 999 No
DEFERASIROX 360 MG TABLET DEFERASIROX 2 999 No
DEFERASIROX 90 MG TABLET DEFERASIROX 2 999 No
C8A METALLIC POISON,AGENTS TO TREAT
DEFEROXAMINE 2 GRAM VIAL DEFEROXAMINE MESYLATE 0 999 No
DEFEROXAMINE 500 MG VIAL DEFEROXAMINE MESYLATE 0 999 No
C8E ANTIDOTES,MISCELLANEOUS ACETYLCYSTEINE 6 GRAM/30 ML VL ACETYLCYSTEINE 0 999 No
C9C PARENTERAL AMINO ACID SOLUTIONS AND COMBINATIONS AMINOSYN 10% IV SOLUTION PARENTERAL AMINO ACID 10% NO.2 0 999 No
AMINOSYN 7%-ELECTROLYTE SOL AMINO ACIDS 7 %/ELECTROLYTES 0 999 No
AMINOSYN 8.5% IV SOLUTION PARENT. AMINO ACID 8.5 % NO.2 0 999 No
AMINOSYN 8.5%-ELECTROLYTES SOL AMINO ACIDS 8.5 %/ELECTROLYTES 0 999 No
AMINOSYN II 10% IV SOLUTION PARENTERAL AMINO ACID 10% NO.1 0 999 No
AMINOSYN II 15% IV SOLUTION PARENTERAL AMINO ACID 15% NO.2 0 999 No
AMINOSYN II 7% IV SOLUTION PARENTERAL AMINO ACID 7 % NO.2 0 999 No
AMINOSYN II 8.5% IV SOLUTION PARENT. AMINO ACID 8.5 % NO.3 0 999 No
AMINOSYN II 8.5%-ELECTROLYTES AMINO ACIDS 8.5 %/ELECTROLYTES 0 999 No
AMINOSYN M 3.5% IV SOLUTION AMINO ACIDS 3.5%/ELECTROLYTE M 0 999 No
AMINOSYN-PF 10% IV SOLUTION PARENT.AMINO ACID 10% NO5(PED) 0 999 No
AMINOSYN-PF 7% IV SOLUTION PARENT.AMINO ACID 7 % NO1(PED) 0 999 No
AMINOSYN-RF 5.2% IV SOLUTION PARENT AMINO AC 5.2 % (RENAL) 0 999 No
CLINIMIX 4.25%-10% SOLUTION AMINO ACIDS 4.25%/DEXTROSE 10% 0 999 No
CLINIMIX 4.25%-5% SOLUTION AMINO ACIDS 4.25 %/DEXTROSE 5% 0 999 No
CLINIMIX 5%-15% SOLUTION AMINO ACIDS 5 %/DEXTROSE 15 % 0 999 No
CLINIMIX 5%-20% SOLUTION AMINO ACIDS 5 %/DEXTROSE 20 % 0 999 No
CLINIMIX 6%-5% SOLUTION AMINO ACID 6 % IN 5 % DEXTROSE 0 999 No
CLINIMIX 8%-10% SOLUTION AMINO ACID 8 % IN D10W 0 999 No
CLINIMIX 8%-14% SOLUTION AMINO ACID 8 % IN D14W 0 999 No
CLINIMIX E 2.75%-5% SOLUTION AA 2.75 %/CALCIUM/LYTES/D5W 0 999 No
CLINIMIX E 4.25%-10% SOLUTION AA 4.25%/CALCIUM/LYTES/DEX 10% 0 999 No
CLINIMIX E 4.25%-5% SOLUTION AMINO AC 4.25% NO.1/D5W/LYTES 0 999 No
CLINIMIX E 5%-15% SOLUTION AA 5%/D15W/ELECTROLYTES 0 999 No
CLINIMIX E 5%-20% SOLUTION AA 5 %/CALCIUM/LYTES/DEXT 20 % 0 999 No
CLINIMIX E 8%-10% SOLUTION AMINO AC 8 %/D10W/ELECTROLYTES 0 999 No
CLINIMIX E 8%-14% SOLUTION AMINO AC 8 %/D14W/ELECTROLYTES 0 999 No
CLINISOL 15% SOLUTION PARENTERAL AMINO ACID 15% NO.5 0 999 No
KABIVEN IV EMULSION AA 3.31 %/D9.8W/FAT/E-LYTES 10 0 999 No
PERIKABIVEN IV EMULSION AA 2.36%/D6.8W/FAT/E-LYTES NO9 0 999 No
PREMASOL 10% IV SOLUTION PARENTERAL AMINO ACID 10% NO.7 0 999 No
PROSOL 20% INJECTION PARENTERAL AMINO ACID 20% NO.1 0 999 No
TRAVASOL 10% SOLN VIAFLEX PARENTERAL AMINO ACID 10% NO.6 0 999 No
TROPHAMINE 10% IV SOLUTION AMINO ACIDS 10 % 0 999 No
D1A PERIODONTAL COLLAGENASE INHIBITORS DOXYCYCLINE HYCLATE 20 MG TAB DOXYCYCLINE HYCLATE 0 999 No
D1D DENTAL AIDS AND PREPARATIONS CHLORHEXIDINE 0.12% 15 ML CUP CHLORHEXIDINE GLUCONATE 0 999 No
CHLORHEXIDINE 0.12% 15 ML CUP CHLORHEXIDINE GLUCONATE 0 999 No
CHLORHEXIDINE 0.12% RINSE CHLORHEXIDINE GLUCONATE 0 999 No
TRIAMCINOLONE 0.1% PASTE TRIAMCINOLONE ACETONIDE 0 999 No
D2A FLUORIDE PREPARATIONS FLUORIDE 0.25 MG TABLET CHEW FLUORIDE (SODIUM) 0 999 No
FLUORIDE 0.5 MG TABLET CHEW FLUORIDE (SODIUM) 0 999 No
FLUORIDE 1 MG TABLET CHEWABLE FLUORIDE (SODIUM) 0 999 No
SOD FLUORIDE ENAM PROT 5000PPM SODIUM FLUORIDE/POTASSIUM NIT 0 999 No
SODIUM FLUORIDE 0.2% RINSE FLUORIDE (SODIUM) 0 999 No
SODIUM FLUORIDE 0.5 MG/ML DROP FLUORIDE (SODIUM) 0 999 No
SODIUM FLUORIDE 1.1% GEL FLUORIDE (SODIUM) 0 999 No
SODIUM FLUORIDE 5000 PPM CREAM FLUORIDE (SODIUM) 0 999 No
SODIUM FLUORIDE 5000 PPM PASTE FLUORIDE (SODIUM) 0 999 No
SODIUM FLUORIDE SENSTV 5000PPM SODIUM FLUORIDE/POTASSIUM NIT 0 999 No
D4B ANTACIDS ANTACID 500 MG CHEW TABLET CALCIUM CARBONATE 0 999 No
ANTACID 750 MG CHEWABLE TABLET CALCIUM CARBONATE 0 999 No
ANTACID EX-STR 750 MG TAB CHEW CALCIUM CARBONATE 0 999 No
ANTACID ULTRA STR 1,000 MG CHW CALCIUM CARBONATE 0 999 No
ANTACID XTRA STRENGTH CHEW TAB CALCIUM CARBONATE 0 999 No
CALCIUM ANTACID 500 MG CHW TAB CALCIUM CARBONATE 0 999 No
CALCIUM ANTACID 750 MG TB CHEW CALCIUM CARBONATE 0 999 No
CALCIUM CARBONATE 648 MG TAB CALCIUM CARBONATE 0 999 No
CAL-GEST 500 MG TABLET CHEW CALCIUM CARBONATE 0 999 No
FT ANTACID 500 MG CHEW TABLET CALCIUM CARBONATE 0 999 No
FT ANTACID EX-STR 750 MG CHEW CALCIUM CARBONATE 0 999 No
GNP ANTACID EX-STR 750 MG CHEW CALCIUM CARBONATE 0 999 No
HM ANTACID 500 MG CHEW TABLET CALCIUM CARBONATE 0 999 No
HM ANTACID EX-STR 750 MG CHEW CALCIUM CARBONATE 0 999 No
HM CAL ANTACID 750 MG CHEW TAB CALCIUM CARBONATE 0 999 No
SM ANTACID 500 MG CHEW TABLET CALCIUM CARBONATE 0 999 No
SMOOTH ANTACID 750 MG CHEW TAB CALCIUM CARBONATE 0 999 No
D4D ANTIDIARRHEAL MICROORGANISMS AGENTS BIOGAIA TABLET CHEWABLE LACTOBACILLUS REUTERI 0 999 Cystic Fib Diag Auto PA
CVS DIGESTIVE PROBIO 250MG CAP SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC 100 BIL CELL CAP LACTOBAC 40/BIFIDO 3/S.THERMOP 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC 20 BIL CELL CAP LACTOBACILLUS COMBO NO.10 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC 20 BIL CELL CAPS L.ACIDOPH,RHAMN/B.BREVE,LONGUM 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC 3 BIL CELL CAP LACTOBACILLUS COMBINATION NO.4 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC 3 BIL CELL CAPS LACTOBACILLUS COMBINATION NO.4 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC DR 10 BIL CELL BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC GUMMIES BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
CVS PROBIOTIC PEARLS 15 MG CAP L. ACIDOPHILUS/BIFIDO. LONGUM 0 999 Cystic Fib Diag Auto PA
DAILY PROBIOTIC 250 MG CAPSULE SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
DIGEST ADV IMMUNE 250M CFU GMY BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
DIGEST ADV KID PROBIO 250M CHW BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
DIGESTIVE ADV ADVNCE PROBIO CP L.ACIDOPH,PARACASEI, B.LACTIS 0 999 Cystic Fib Diag Auto PA
DIGESTIVE ADV PROBIO 250M GMMY BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
DIGESTIVE PROBIOTIC 250 MG CAP SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
EQ PROBIOTIC 5 BILL CELL CAP L.ACID/B.ANIMALIS,BIFID,INFANT 0 999 Cystic Fib Diag Auto PA
EQL DIGESTIVE PROBIOTIC CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
EQL PROBIOTIC ACIDOPHIL-PECTIN L. ACIDOPHILUS/PECTIN, CITRUS 0 999 Cystic Fib Diag Auto PA
FLORAJEN WOMEN 15 B CELL CAP L. ACIDOPHILUS/L. RHAMNOSUS 0 999 Cystic Fib Diag Auto PA
FLORASTOR 250 MG CAPSULE SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
GNP PROBIOTIC 240 MG CAPSULE L.ACIDOPHILUS/B.BIFIDUM,LONGUM 0 999 Cystic Fib Diag Auto PA
GNP PROBIOTIC COLON SUPPT CAP L GASSERI/B BIFIDUM/B LONGUM 0 999 Cystic Fib Diag Auto PA
HM PROBIOTIC 250 MG CAPSULE SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
KRO PROBIOTIC COLON SUPPORT L.ACIDOP/L.GASS/B.BIFID/B.LONG 0 999 Cystic Fib Diag Auto PA
KRO PROBIOTIC COLON SUPPT CAP L GASSERI/B BIFIDUM/B LONGUM 0 999 Cystic Fib Diag Auto PA
NEWFLORA 10 BILLION CFU CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
PROBACAP 10 BILLION CFU CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC & ACIDOPHILUS CAP LACTOBACILLUS 3/FOS/PANTETHINE 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 1 B CFU-250 MG CAP BACILLUS COAGULANS/INULIN 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 10 BILLION CELL CAP L.ACIDOPH,PARACASEI, B.LACTIS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 15 BILLION CELL CAP LACTOBACILLUS COMBO NO.11 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 15 BILLION CELL CAP L. ACIDOPHILUS/L. RHAMNOSUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 250 MG CAPSULE SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
PROBIOTIC 5 BILLION CELL CAP L. ACIDOPHILUS/BIFID. ANIMALIS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC ACIDOPHIL-PECTIN CAP L. ACIDOPHILUS/PECTIN, CITRUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC ACIDOPHILUS 250 MILL LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC ACIDOPHILUS BEADS L.ACIDOPH,PLANT/B.ANIMAL,LONG 0 999 Cystic Fib Diag Auto PA
PROBIOTIC ACIDOPHILUS BIOBEADS L.ACIDOPH/L.RHAMN/B.BIF/B.LONG 0 999 Cystic Fib Diag Auto PA
PROBIOTIC BLEND CAPSULE L.ACID/L.CASEI/B.BIF/B.LON/FOS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC FORMULA CAPSULE BACILLUS COAGULANS/INULIN 0 999 Cystic Fib Diag Auto PA
PROBIOTIC GOLD ACIDOPHILUS CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC PEARLS ACIDOPHILUS L. ACIDOPHILUS/BIFIDO. LONGUM 0 999 Cystic Fib Diag Auto PA
PROBIOTIC PEARLS COMPLETE SFGL LACTOBACILLUS COMBO NO.13 0 999 Cystic Fib Diag Auto PA
PROBIOTIC PLUS COLOSTRUM POWD LACTOBAC 42/BIFID 8/COLOST/FOS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC SOFTGEL LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
PROBIOTIC WITH PREBIOTIC CAP BACILLUS COAGULANS/INULIN 0 999 Cystic Fib Diag Auto PA
PROBIOTIC-DIGESTIVE ENZYMES L. ACIDOPHILUS/DIG ENZ CMB 5 0 999 Cystic Fib Diag Auto PA
RA PROBIOTIC COLON CARE CAP L GASSERI/B BIFIDUM/B LONGUM 0 999 Cystic Fib Diag Auto PA
RA PROBIOTIC COMPLEX CAPSULE L.ACID/B.ANIMALIS,BIFIDUM/FOS 0 999 Cystic Fib Diag Auto PA
RA PROBIOTIC DIGESTIVE CARE CP LACTOBACILLUS RHAMNOSUS GG 0 999 Cystic Fib Diag Auto PA
RA PROBIOTIC GUMMIES BACILLUS COAGULANS 0 999 Cystic Fib Diag Auto PA
REJUVAFLOR 10 BILLION CFU CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
REVITAFLOR 10 BILLION CFU CAP LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
SM PROBIOTIC 250 MG CAPSULE SACCHAROMYCES BOULARDII 0 999 Cystic Fib Diag Auto PA
SV PROBIOTIC ACIDOPHILUS CPLT LACTOBACILLUS ACIDOPHILUS 0 999 Cystic Fib Diag Auto PA
UP-UP PROBIOTIC 20 BIL CFU CAP LACTOBAC NO.21/BIFIDOBACT NO.6 0 999 Cystic Fib Diag Auto PA
D4E ANTI-ULCER PREPARATIONS CARAFATE 1 GM TABLET SUCRALFATE 0 999 No
CARAFATE 1 GM/10 ML SUSP SUCRALFATE 0 999 No
MISOPROSTOL 100 MCG TABLET MISOPROSTOL 0 999 No
MISOPROSTOL 200 MCG TABLET MISOPROSTOL 0 999 No
D4F ANTI-ULCER-H.PYLORI AGENTS PYLERA CAPSULE BISMUTH/METRONID/TETRACYCLINE 18 999 No
D4J PROTON-PUMP INHIBITORS ACID REDUCER DR 20 MG CAP OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
CVS OMEPRAZOLE MAG DR 20 MG CP OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
EQ OMEPRAZOLE MAG DR 20.6 MG OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
GNP OMEPRAZOLE DR 20 MG TABLET OMEPRAZOLE 0 999 Cystic Fib Diag Auto PA
GNP OMEPRAZOLE MAG DR 20 MG CP OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
NEXIUM DR 10 MG PACKET ESOMEPRAZOLE MAGNESIUM 0 11 No
NEXIUM DR 2.5 MG PACKET ESOMEPRAZOLE MAGNESIUM 0 11 No
OMEPRAZOLE DR 10 MG CAPSULE OMEPRAZOLE 1 999 No
OMEPRAZOLE DR 20 MG TABLET OMEPRAZOLE 0 999 Cystic Fib Diag Auto PA
OMEPRAZOLE MAG DR 20 MG CAP OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
OMEPRAZOLE MAG DR 20.6 MG CAP OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
PANTOPRAZOLE SOD DR 20 MG TAB PANTOPRAZOLE SODIUM 5 999 No
PANTOPRAZOLE SOD DR 40 MG TAB PANTOPRAZOLE SODIUM 5 999 No
PREVACID DR 15 MG SOLUTAB LANSOPRAZOLE 1 11 No
PREVACID DR 30 MG SOLUTAB LANSOPRAZOLE 1 11 No
PROTONIX 40 MG SUSPENSION PANTOPRAZOLE SODIUM 5 11 No
QC OMEPRAZOLE MAG DR 20.6 MG OMEPRAZOLE MAGNESIUM 0 999 Cystic Fib Diag Auto PA
SM OMEPRAZOLE DR 20 MG TABLET OMEPRAZOLE 0 999 Cystic Fib Diag Auto PA
D6C IRRITABLE BOWEL SYNDROME AGENTS, 5-HT3 ANTAGONIST ALOSETRON HCL 0.5 MG TABLET ALOSETRON HCL 0 999 No
ALOSETRON HCL 1 MG TABLET ALOSETRON HCL 0 999 No
LOTRONEX 0.5 MG TABLET ALOSETRON HCL 0 999 No
LOTRONEX 1 MG TABLET ALOSETRON HCL 0 999 No
D6D ANTIDIARRHEALS DIPHENOXYLATE-ATROP 2.5-0.025 DIPHENOXYLATE HCL/ATROPINE 0 999 No
LOPERAMIDE 2 MG CAPSULE LOPERAMIDE HCL 2 999 No
D6F DRUG TX-CHRONIC INFLAM. COLON DX,5-AMINOSALICYLAT APRISO ER 0.375 GRAM CAPSULE MESALAMINE 0 999 No
LIALDA DR 1.2 GM TABLET MESALAMINE 0 999 No
PENTASA 250 MG CAPSULE MESALAMINE 18 999 No
PENTASA 500 MG CAPSULE MESALAMINE 18 999 No
SULFASALAZINE 500 MG TABLET SULFASALAZINE 0 999 No
SULFASALAZINE DR 500 MG TAB SULFASALAZINE 0 999 No
D6G IBS-C/CIC AGENTS, GUANYLATE CYCLASE-C AGONIST LINZESS 145 MCG CAPSULE LINACLOTIDE 6 999 Auto PA
LINZESS 290 MCG CAPSULE LINACLOTIDE 6 999 Auto PA
LINZESS 72 MCG CAPSULE LINACLOTIDE 6 999 Auto PA
TRULANCE 3 MG TABLET PLECANATIDE 18 999 Auto PA
D6S LAXATIVES AND CATHARTICS AMITIZA 24 MCG CAPSULES LUBIPROSTONE 18 999 Auto PA
AMITIZA 8 MCG CAPSULE LUBIPROSTONE 18 999 Auto PA
CLEARLAX POWDER POLYETHYLENE GLYCOL 3350 0 20 No
CLENPIQ 160 ML SOLUTION SOD PICOSULF/MAG OX/CITRIC AC 9 999 No
CLENPIQ 175 ML SOLUTION SOD PICOSULF/MAG OX/CITRIC AC 9 999 No
GOLYTELY SOLUTION PEG3350/SOD SULF,BICARB,CL/KCL 0 999 No
LACTULOSE 10 GM/15 ML SOLN CUP LACTULOSE 0 999 No
LACTULOSE 10 GM/15 ML SOLUTION LACTULOSE 0 999 No
LACTULOSE 20 GM/30 ML SOLN CUP LACTULOSE 0 999 No
MOVIPREP POWDER PACKET PEG3350/SOD SUL/NACL/KCL/ASB/C 18 999 No
PEG 3350-ELECTROLYTE SOLUTION SODIUM CHLORIDE/NAHCO3/KCL/PEG 0 999 No
PEG-3350 AND ELECTROLYTES SOLN PEG3350/SOD SULF,BICARB,CL/KCL 0 999 No
POLYETHYLENE GLYCOL 3350 POWD POLYETHYLENE GLYCOL 3350 0 20 No
D7A BILE SALTS URSODIOL 250 MG TABLET URSODIOL 0 999 No
URSODIOL 300 MG CAPSULE URSODIOL 0 999 No
URSODIOL 500 MG TABLET URSODIOL 0 999 No
D7L BILE SALT SEQUESTRANTS CHOLESTYRAMINE LIGHT PACKET CHOLESTYRAMINE/ASPARTAME 0 999 No
CHOLESTYRAMINE LIGHT POWDER CHOLESTYRAMINE/ASPARTAME 0 999 No
CHOLESTYRAMINE PACKET CHOLESTYRAMINE (WITH SUGAR) 0 999 No
CHOLESTYRAMINE POWDER CHOLESTYRAMINE (WITH SUGAR) 0 999 No
COLESEVELAM 625 MG TABLET COLESEVELAM HCL 0 999 No
COLESTIPOL HCL 1 GM TABLET COLESTIPOL HCL 0 999 No
D8A PANCREATIC ENZYMES CREON DR 12,000 UNIT CAPSULE LIPASE/PROTEASE/AMYLASE 0 999 Auto PA
CREON DR 24,000 UNIT CAPSULE LIPASE/PROTEASE/AMYLASE 0 999 Auto PA
PERTZYE DR 16,000 UNIT CAPSULE LIPASE/PROTEASE/AMYLASE 0 999 Auto PA
D8A PANCREATIC ENZYMES
VIOKACE 10,440-39,150 UNIT TAB LIPASE/PROTEASE/AMYLASE 18 999 Auto PA
VIOKACE 20,880-78,300 UNITS TB LIPASE/PROTEASE/AMYLASE 18 999 Auto PA
ZENPEP DR 10,000 UNIT CAPSULE LIPASE/PROTEASE/AMYLASE 0 999 Auto PA
D9A AMMONIA INHIBITORS BUPHENYL 500 MG TABLET SODIUM PHENYLBUTYRATE 0 999 No
BUPHENYL POWDER SODIUM PHENYLBUTYRATE 0 999 No
CARBAGLU 200 MG TAB FOR SUSP CARGLUMIC ACID 0 999 Clinical PA
F1A ANDROGENIC AGENTS ANDRODERM 2 MG/24HR PATCH TESTOSTERONE 18 999 Clinical PA
ANDRODERM 4 MG/24HR PATCH TESTOSTERONE 18 999 Clinical PA
ANDROGEL 1.62% GEL PUMP TESTOSTERONE 18 999 Clinical PA
TESTIM 1% (50MG) GEL TESTOSTERONE 18 999 Clinical PA
TESTOSTERON ENAN 1,000 MG/5 ML TESTOSTERONE ENANTHATE 0 999 No
TESTOSTERONE 30 MG/1.5 ML PUMP TESTOSTERONE 18 999 Clinical PA
TESTOSTERONE 50 MG/5 GRAM PKT TESTOSTERONE 18 999 Clinical PA
TESTOSTERONE CYP 1,000 MG/10ML TESTOSTERONE CYPIONATE 0 999 No
TESTOSTERONE CYP 2,000 MG/10ML TESTOSTERONE CYPIONATE 0 999 No
TESTOSTERONE CYP 200 MG/ML TESTOSTERONE CYPIONATE 0 999 No
TESTOSTERONE ENAN 200 MG/ML TESTOSTERONE ENANTHATE 0 999 No
G1A ESTROGENIC AGENTS COMBIPATCH 0.05-0.14 MG PTCH ESTRADIOL/NORETHINDRONE ACET 0 999 No
COMBIPATCH 0.05-0.25 MG PTCH ESTRADIOL/NORETHINDRONE ACET 0 999 No
DELESTROGEN 100 MG/5 ML VIAL ESTRADIOL VALERATE 0 999 No
ESTRADIOL 0.025 MG PATCH(1/WK) ESTRADIOL 0 999 No
ESTRADIOL 0.0375MG PATCH(1/WK) ESTRADIOL 0 999 No
ESTRADIOL 0.05 MG PATCH (1/WK) ESTRADIOL 0 999 No
ESTRADIOL 0.075 MG PATCH(1/WK) ESTRADIOL 0 999 No
ESTRADIOL 0.5 MG TABLET ESTRADIOL 0 999 No
ESTRADIOL 1 MG TABLET ESTRADIOL 0 999 No
ESTRADIOL 2 MG TABLET ESTRADIOL 0 999 No
ESTRADIOL-NORETH 0.5-0.1 MG TB ESTRADIOL/NORETHINDRONE ACET 18 999 No
ESTRADIOL-NORETH 1-0.5 MG TAB ESTRADIOL/NORETHINDRONE ACET 18 999 No
NORETHIND-ETH ESTRAD 0.5-2.5 NORETHINDRONE AC-ETH ESTRADIOL 0 999 No
NORETHIN-ETH ESTRAD 1 MG-5 MCG NORETHINDRONE AC-ETH ESTRADIOL 0 999 No
PREMARIN 0.3 MG TABLET ESTROGENS, CONJUGATED 0 999 No
PREMPHASE 0.625-5 MG TABLET ESTROGEN,CON/M-PROGEST ACET 0 999 No
PREMPRO 0.3 MG-1.5 MG TABLET ESTROGEN,CON/M-PROGEST ACET 0 999 No
PREMPRO 0.45-1.5 MG TABLET ESTROGEN,CON/M-PROGEST ACET 0 999 No
PREMPRO 0.625-2.5 MG TABLET ESTROGEN,CON/M-PROGEST ACET 0 999 No
PREMPRO 0.625-5 MG TABLET ESTROGEN,CON/M-PROGEST ACET 0 999 No
VIVELLE-DOT 0.025 MG PATCH ESTRADIOL 0 999 No
G1B ESTROGEN/ANDROGEN COMBINATIONS ESTROGEN-METHYLTESTOS F.S. TAB ESTROGEN,ESTER/ME-TESTOSTERONE 0 999 No
ESTROGEN-METHYLTESTOS H.S. TAB ESTROGEN,ESTER/ME-TESTOSTERONE 0 999 No
G2A PROGESTATIONAL AGENTS MEDROXYPROGESTERONE 10 MG TAB MEDROXYPROGESTERONE ACETATE 0 999 No
MEDROXYPROGESTERONE 2.5 MG TAB MEDROXYPROGESTERONE ACETATE 0 999 No
MEDROXYPROGESTERONE 5 MG TAB MEDROXYPROGESTERONE ACETATE 0 999 No
NORETHINDRN 5 MG TB (LUPANETA) NORETHINDRONE ACETATE 18 999 Auto PA
NORETHINDRONE 5 MG TABLET NORETHINDRONE ACETATE 0 999 No
PROGESTERONE 100 MG CAPSULE PROGESTERONE, MICRONIZED 0 999 No
PROGESTERONE 200 MG CAPSULE PROGESTERONE, MICRONIZED 0 999 No
PROGESTERONE 500 MG/10 ML VIAL PROGESTERONE 0 999 No
G3A OXYTOCICS METHYLERGONOVINE 0.2 MG TABLET METHYLERGONOVINE MALEATE 0 999 No
G8A CONTRACEPTIVES,ORAL AFIRMELLE-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
ALTAVERA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
ALYACEN 1-35 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
ALYACEN 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
AMETHIA 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
AMETHYST 90-20 MCG TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
APRI 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
ARANELLE 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
ASHLYNA 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
AUBRA EQ-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
AUBRA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
AUROVELA 1 MG-20 MCG TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
AUROVELA 21 1.5-30 TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
AUROVELA 24 FE 1 MG-20 MCG TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
AUROVELA FE 1.5 MG-30 MCG TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
AUROVELA FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
AVIANE-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
AYUNA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
AZURETTE 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
BALCOLTRA TABLET LEVONORGEST/ETH.ESTRADIOL/IRON 12 999 No
BALZIVA 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
BEYAZ 28 TABLET DROSPIR/ETH ESTRA/LEVOMEFOL CA 12 999 No
BLISOVI 24 FE TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
BLISOVI FE 1.5-30 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
BLISOVI FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
BRIELLYN TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
CAMILA 0.35 MG TABLET NORETHINDRONE 12 999 No
CAMRESE 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
CAMRESE LO TABLET L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
CAZIANT 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
CHARLOTTE 24 FE CHEWABLE TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
CHATEAL EQ-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
CHATEAL-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
CRYSELLE-28 TABLET NORGESTREL-ETHINYL ESTRADIOL 12 999 No
CURAE 1.5 MG TABLET LEVONORGESTREL 12 999 No
CYCLAFEM 1-35-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
CYCLAFEM 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
CYRED 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
CYRED EQ 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
DASETTA 1-35-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
DASETTA 7/7/7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
DAYSEE 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
DEBLITANE 0.35 MG TABLET NORETHINDRONE 12 999 No
DESOGESTREL-EE 0.15-0.03 MG TB DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
DESOGESTR-ETH ESTRAD ETH ESTRA DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
DOLISHALE 90-20 MCG TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
DROSP-EE-LEVOMEF 3-0.02-0.451 DROSPIR/ETH ESTRA/LEVOMEFOL CA 12 999 No
DROSP-EE-LEVOMEF 3-0.03-0.451 DROSPIR/ETH ESTRA/LEVOMEFOL CA 12 999 No
DROSPIRENONE-EE 3-0.02 MG TAB ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
DROSPIRENONE-EE 3-0.03 MG TAB ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
ECONTRA EZ 1.5 MG TABLET LEVONORGESTREL 12 999 No
ECONTRA ONE-STEP 1.5 MG TABLET LEVONORGESTREL 12 999 No
ELINEST-28 TABLET NORGESTREL-ETHINYL ESTRADIOL 12 999 No
ELLA 30 MG TABLET ULIPRISTAL ACETATE 12 999 No
ENPRESSE-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
ENSKYCE 28 TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
ERRIN 0.35 MG TABLET NORETHINDRONE 12 999 No
ESTARYLLA 0.25-0.035 MG TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
ETHYNODIOL-ETH ESTRA 1MG-35MCG ETHYNODIOL D-ETHINYL ESTRADIOL 12 999 No
ETHYNODIOL-ETH ESTRA 1MG-50MCG ETHYNODIOL D-ETHINYL ESTRADIOL 12 999 No
FALMINA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
FINZALA 1-0.02(24)-75 CHEW TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
GEMMILY 1 MG-20 MCG CAPSULE NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
HAILEY 21 1.5 MG-30 MCG TAB NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
HAILEY 24 FE 1 MG-20 MCG TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
HAILEY FE 1.5-30 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
HAILEY FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
HEATHER 0.35 MG TABLET NORETHINDRONE 12 999 No
HER STYLE 1.5 MG TABLET LEVONORGESTREL 12 999 No
ICLEVIA 0.15 MG-0.03 MG TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
INCASSIA 0.35 MG TABLET NORETHINDRONE 12 999 No
ISIBLOOM 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
JAIMIESS 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
JASMIEL 3 MG-0.02 MG TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
JENCYCLA 0.35 MG TABLET NORETHINDRONE 12 999 No
JOLESSA 0.15 MG-0.03 MG TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
JOYEAUX-28 TABLET LEVONORGEST/ETH.ESTRADIOL/IRON 12 999 No
JULEBER 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
JUNEL 1 MG-20 MCG TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
JUNEL 1.5 MG-30 MCG TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
JUNEL FE 1 MG-20 MCG TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
JUNEL FE 1.5 MG-30 MCG TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
JUNEL FE 24 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
KAITLIB FE 0.8-0.025MG CHEW TB NORETH-ETHINYL ESTRADIOL/IRON 12 999 No
KALLIGA 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
KARIVA 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
KELNOR 1-35 28 TABLET ETHYNODIOL D-ETHINYL ESTRADIOL 12 999 No
KELNOR 1-50 TABLET ETHYNODIOL D-ETHINYL ESTRADIOL 12 999 No
KURVELO-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LARIN 1.5 MG-30 MCG TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
LARIN 21 1-20 TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
LARIN 24 FE 1 MG-20 MCG TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LARIN FE 1.5-30 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LARIN FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LAYOLIS FE CHEWABLE TABLET NORETH-ETHINYL ESTRADIOL/IRON 12 999 No
LEENA 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
LESSINA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONEST-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONO-E ESTRAD 0.15-0.03-0.01 L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
LEVONOR-E ESTRAD 0.1-0.02-0.01 L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
LEVONOR-ETH ESTRA 0.09-0.02 MG LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONOR-ETH ESTRAD 0.1-0.02 MG LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONOR-ETH ESTRAD 0.15-0.03 LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONOR-ETH ESTRAD TRIPHASIC LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LEVONORG 0.15MG-EE 20-25-30MCG L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
LEVONORG-EE-FE BIS 0.1-0.02-36 LEVONORGEST/ETH.ESTRADIOL/IRON 12 999 No
LEVONORGESTREL 1.5 MG TABLET LEVONORGESTREL 12 999 No
LEVORA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LO LOESTRIN FE 1-10 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LOESTRIN 21 1.5-30 TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
LOESTRIN 21 1-20 TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
LOESTRIN FE 1.5-30 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LOESTRIN FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
LOJAIMIESS 0.1-0.02-0.01 TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
LORYNA 3 MG-0.02 MG TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
LOSEASONIQUE TABLET L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
LOW-OGESTREL-28 TABLET NORGESTREL-ETHINYL ESTRADIOL 12 999 No
LO-ZUMANDIMINE 3 MG-0.02 MG TB ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
LUTERA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
LYLEQ 0.35 MG TABLET NORETHINDRONE 12 999 No
LYZA 0.35 MG TABLET NORETHINDRONE 12 999 No
MARLISSA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
MERZEE 1 MG-20 MCG CAPSULE NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MIBELAS 24 FE CHEWABLE TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MICROGESTIN 21 1.5-30 TAB NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
MICROGESTIN 21 1-20 TABLET NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
MICROGESTIN 24 FE 1 MG-20 MCG NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MICROGESTIN FE 1.5-30 TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MICROGESTIN FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MILI 0.25-0.035 MG TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
MINASTRIN 24 FE CHEWABLE TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
MIRCETTE 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
MONO-LINYAH 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
MY CHOICE 1.5 MG TABLET LEVONORGESTREL 12 999 No
NATAZIA 28 TABLET ESTRADIOL VALERATE/DIENOGEST 12 999 No
NECON 0.5-35-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NEW DAY 1.5 MG TABLET LEVONORGESTREL 12 999 No
NEXTSTELLIS 3-14.2 MG TABLET DROSPIRENONE/ESTETROL 12 999 No
NIKKI 3 MG-0.02 MG TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
NORA-BE TABLET NORETHINDRONE 12 999 No
NORET-ESTR-FE 0.4-0.035(21)-75 NORETH-ETHINYL ESTRADIOL/IRON 12 999 No
NORETH-EE-FE 1 MG/20-30-35 MCG NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
NORETH-EE-FE 1.5-0.03MG(21)-75 NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
NORETH-EE-FE 1-0.02(21)-75 TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
NORETH-EE-FE 1-0.02(24)-75 CAP NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
NORETH-EE-FE 1-0.02(24)-75 CHW NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
NORETHIND-ETH ESTRAD 1-0.02 MG NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
NORETHINDRONE 0.35 MG TABLET NORETHINDRONE 12 999 No
NORETHIN-EE 1.5-0.03 MG(21) TB NORETHINDRONE AC-ETH ESTRADIOL 12 999 No
NORETHIN-ESTRA-FE 0.8-0.025 MG NORETH-ETHINYL ESTRADIOL/IRON 12 999 No
NORG-EE 0.18-0.215-0.25/0.025 NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
NORG-EE 0.18-0.215-0.25/0.035 NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
NORG-ETHIN ESTRA 0.25-0.035 MG NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
NORLYDA 0.35 MG TABLET NORETHINDRONE 12 999 No
NORTREL 0.5-35-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NORTREL 1-35 21 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NORTREL 1-35 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NORTREL 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NYLIA 1-35 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NYLIA 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
NYMYO 0.25-0.035 MG (28) TAB NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
OCELLA 3 MG-0.03 MG TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
OPCICON ONE-STEP 1.5 MG TABLET LEVONORGESTREL 12 999 No
ORTHO TRI-CYCLEN 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
ORTHO-NOVUM 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
PHILITH 0.4-0.035 MG TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
PIMTREA 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
PIRMELLA 1-35 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
PIRMELLA 7-7-7-28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
PLAN B ONE-STEP 1.5 MG TABLET LEVONORGESTREL 12 999 No
PORTIA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
PREVIFEM TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
QUARTETTE TABLET L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
RECLIPSEN 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
RIVELSA TABLET L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
SAFYRAL TABLET DROSPIR/ETH ESTRA/LEVOMEFOL CA 12 999 No
SEASONIQUE 0.15-0.03-0.01 TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
SETLAKIN 0.15 MG-0.03 MG TAB LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
SHAROBEL 0.35 MG TABLET NORETHINDRONE 12 999 No
SIMLIYA 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
SIMPESSE 0.15-0.03-0.01 MG TAB L-NORGEST/E.ESTRADIOL-E.ESTRAD 12 999 No
SLYND 4 MG TABLET DROSPIRENONE 12 999 No
SPRINTEC 28 DAY TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
SRONYX 0.10-0.02 MG TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
SYEDA 28 TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
TAKE ACTION 1.5 MG TABLET LEVONORGESTREL 12 999 No
TARINA 24 FE 1 MG-20 MCG TAB NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TARINA FE 1-20 EQ TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TARINA FE 1-20 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TAYSOFY 1 MG-20 MCG CAPSULE NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TAYTULLA 1 MG-20 MCG CAPSULE NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TILIA FE 28 TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TRI FEMYNOR 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-ESTARYLLA TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-LEGEST FE-28 DAY TABLET NORETHINDRONE-E.ESTRADIOL-IRON 12 999 No
TRI-LINYAH TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-LO-ESTARYLLA TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-LO-MARZIA TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-LO-MILI TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-LO-SPRINTEC TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-MILI 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-NYMYO 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-SPRINTEC TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRIVORA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
TRI-VYLIBRA 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TRI-VYLIBRA LO TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
TULANA 0.35 MG TABLET NORETHINDRONE 12 999 No
TYBLUME 0.1-0.02 MG CHEW TAB LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
TYDEMY 3-0.03-0.451 MG TABLET DROSPIR/ETH ESTRA/LEVOMEFOL CA 12 999 No
VELIVET 28 DAY TABLET DESOGESTREL-ETHINYL ESTRADIOL 12 999 No
VESTURA 3 MG-0.02 MG TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
VIENVA-28 TABLET LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
VIORELE 28 DAY TABLET DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
VOLNEA 0.15-0.02-0.01 MG TAB DESOG-E.ESTRADIOL/E.ESTRADIOL 12 999 No
VYFEMLA 0.4 MG-0.035 MG TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
VYLIBRA 28 TABLET NORGESTIMATE-ETHINYL ESTRADIOL 12 999 No
WERA 0.5/0.035 MG 28 TABLET NORETHINDRONE-ETHIN. ESTRADIOL 12 999 No
WYMZYA FE 0.4-0.035 MG CHEW TB NORETH-ETHINYL ESTRADIOL/IRON 12 999 No
YASMIN 28 TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
YAZ 28 TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
ZARAH TABLET ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
ZOVIA 1-35 TABLET ETHYNODIOL D-ETHINYL ESTRADIOL 12 999 No
ZUMANDIMINE 3 MG-0.03 MG TAB ETHINYL ESTRADIOL/DROSPIRENONE 12 999 No
G8C CONTRACEPTIVES,INJECTABLE DEPO-SUBQ PROVERA 104 SYRINGE MEDROXYPROGESTERONE ACETATE 12 999 No
MEDROXYPROGESTERONE 150 MG/ML MEDROXYPROGESTERONE ACETATE 12 999 No
G8F CONTRACEPTIVES,TRANSDERMAL TWIRLA 120-30 MCG/DAY PATCH LEVONORGESTREL/ETHIN.ESTRADIOL 12 999 No
XULANE 150-35 MCG/DAY PATCH NORELGESTROMIN/ETHIN.ESTRADIOL 12 999 No
ZAFEMY 150-35 MCG/DAY PATCH NORELGESTROMIN/ETHIN.ESTRADIOL 12 999 No
G9A CONTRACEPTIVES,INTRAVAGINAL PHEXXI 1.8-1-0.4% VAGINAL GEL LACTIC ACID/CITRIC/POTASSIUM 12 999 No
G9B CONTRACEPTIVES, INTRAVAGINAL, SYSTEMIC ANNOVERA VAGINAL RING SEGESTERONE AC/ETHIN ESTRADIOL 12 999 No
ELURYNG VAGINAL RING ETONOGESTREL/ETHINYL ESTRADIOL 12 999 No
ENILLORING VAGINAL RING ETONOGESTREL/ETHINYL ESTRADIOL 12 999 No
ETONOGESTREL-EE VAGINAL RING ETONOGESTREL/ETHINYL ESTRADIOL 12 999 No
HALOETTE VAGINAL RING ETONOGESTREL/ETHINYL ESTRADIOL 12 999 No
NUVARING VAGINAL RING ETONOGESTREL/ETHINYL ESTRADIOL 12 999 No
H0A LOCAL ANESTHETICS BUPIVACAINE 0.25% VIAL BUPIVACAINE HCL 0 999 No
BUPIVACAINE 0.25% VIAL BUPIVACAINE HCL/PF 0 999 No
BUPIVACAINE 0.25%-EPI 1:200000 BUPIVACAINE HCL/EPINEPHRINE/PF 0 999 No
BUPIVACAINE 0.25%-EPI 1:200000 BUPIVACAINE HCL/EPINEPHRINE 0 999 No
BUPIVACAINE 0.5% (5 MG/ML) AMP BUPIVACAINE HCL/PF 0 999 No
BUPIVACAINE 0.5% VIAL BUPIVACAINE HCL 0 999 No
BUPIVACAINE 0.5%-EPI 1:200,000 BUPIVACAINE HCL/EPINEPHRINE/PF 0 999 No
BUPIVACAINE 0.5%-EPI 1:200,000 BUPIVACAINE HCL/EPINEPHRINE 0 999 No
BUPIVACAINE 0.75% AMPUL BUPIVACAINE HCL/PF 0 999 No
LIDOCAINE 0.5%-EPI 1:200,000 LIDOCAINE HCL/EPINEPHRINE 0 999 No
LIDOCAINE 1%-EPI 1:100,000 LIDOCAINE HCL/EPINEPHRINE 0 999 No
LIDOCAINE 1.5%-EPI 1:200,000 LIDOCAINE HCL/EPINEPHRINE/PF 0 999 No
LIDOCAINE 2% VISCOUS 15 ML CUP LIDOCAINE HCL 0 999 No
LIDOCAINE 2% VISCOUS SOLN LIDOCAINE HCL 0 999 No
LIDOCAINE 2%-EPI 1:100,000 LIDOCAINE HCL/EPINEPHRINE 0 999 No
LIDOCAINE 2%-EPI 1:200,000 LIDOCAINE HCL/EPINEPHRINE/PF 0 999 No
LIDOCAINE 5% IN D7.5W AMPUL LIDOCAINE HCL/DEXTROSE 7.5%/PF 0 999 No
LIDOCAINE HCL 0.5% VIAL LIDOCAINE HCL 0 999 No
LIDOCAINE HCL 0.5% VIAL LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 1% 20 MG/2 ML LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 1% 20 MG/2 ML VL LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 1% AMPUL LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 1% VIAL LIDOCAINE HCL 0 999 No
LIDOCAINE HCL 1.5% AMPUL LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 2% JEL UROJET AC LIDOCAINE HCL 0 999 No
LIDOCAINE HCL 2% JELLY URO-JET LIDOCAINE HCL 0 999 No
LIDOCAINE HCL 2% VIAL LIDOCAINE HCL 0 999 No
LIDOCAINE HCL 2% VIAL LIDOCAINE HCL/PF 0 999 No
LIDOCAINE HCL 4% SOLUTION LIDOCAINE HCL 0 999 No
TETRACAINE 1% (20 MG/2 ML) VL TETRACAINE HCL/PF 0 999 No
H0E AGENTS TO TREAT MULTIPLE SCLEROSIS AVONEX 30 MCG/0.5 ML SYRINGE INTERFERON BETA-1A 18 999 No
AVONEX PEN 30 MCG/0.5 ML KIT INTERFERON BETA-1A 18 999 No
AVONEX PREFILLED SYR 30 MCG KT INTERFERON BETA-1A 18 999 No
BETASERON 0.3 MG KIT INTERFERON BETA-1B 18 999 No
H0E AGENTS TO TREAT MULTIPLE SCLEROSIS
BETASERON 0.3 MG VIAL INTERFERON BETA-1B 18 999 No
COPAXONE 20 MG/ML SYRINGE GLATIRAMER ACETATE 18 999 No
DIMETHYL FUMARATE 30D START PK DIMETHYL FUMARATE 18 999 No
DIMETHYL FUMARATE DR 120 MG CP DIMETHYL FUMARATE 18 999 No
DIMETHYL FUMARATE DR 240 MG CP DIMETHYL FUMARATE 18 999 No
FINGOLIMOD 0.5 MG CAPSULE FINGOLIMOD HCL 10 999 No
KESIMPTA 20 MG/0.4 ML PEN OFATUMUMAB 18 999 No
TERIFLUNOMIDE 14 MG TABLET TERIFLUNOMIDE 18 999 No
TERIFLUNOMIDE 7 MG TABLET TERIFLUNOMIDE 18 999 No
H0F AGTS TX NEUROMUSC TRANSMISSION DIS,POT-CHAN BLKR DALFAMPRIDINE ER 10 MG TABLET DALFAMPRIDINE 18 999 No
H1A ALZHEIMER'S THERAPY, NMDA RECEPTOR ANTAGONISTS MEMANTINE HCL 10 MG TABLET MEMANTINE HCL 18 999 No
MEMANTINE HCL 5 MG TABLET MEMANTINE HCL 18 999 No
H20 ANTI-ANXIETY - BENZODIAZEPINES ALPRAZOLAM 0.25 MG TABLET ALPRAZOLAM 7 999 No
ALPRAZOLAM 0.5 MG TABLET ALPRAZOLAM 7 999 No
ALPRAZOLAM 1 MG TABLET ALPRAZOLAM 7 999 No
ALPRAZOLAM 2 MG TABLET ALPRAZOLAM 7 999 No
CHLORDIAZEPOXIDE 10 MG CAPSULE CHLORDIAZEPOXIDE HCL 6 999 No
DIAZEPAM 10 MG TABLET DIAZEPAM 0 999 No
DIAZEPAM 5 MG/5 ML ORAL CUP DIAZEPAM 0 999 No
DIAZEPAM 5 MG/5 ML SOLUTION DIAZEPAM 0 999 No
LORAZEPAM 0.5 MG TABLET LORAZEPAM 0 999 No
LORAZEPAM 1 MG TABLET LORAZEPAM 0 999 No
LORAZEPAM 2 MG TABLET LORAZEPAM 0 999 No
LORAZEPAM 2 MG/ML ORAL CONCENT LORAZEPAM 0 999 No
LORAZEPAM INTENSOL 2 MG/ML LORAZEPAM 0 999 No
OXAZEPAM 10 MG CAPSULE OXAZEPAM 6 999 No
H21 SEDATIVE-HYPNOTICS - BENZODIAZEPINES ESTAZOLAM 1 MG TABLET ESTAZOLAM 0 999 No
ESTAZOLAM 2 MG TABLET ESTAZOLAM 0 999 No
LORAZEPAM 2 MG/ML CARPUJECT LORAZEPAM 0 999 No
LORAZEPAM 2 MG/ML VIAL LORAZEPAM 0 999 No
LORAZEPAM 20 MG/10 ML VIAL LORAZEPAM 0 999 No
LORAZEPAM 4 MG/ML VIAL LORAZEPAM 0 999 No
LORAZEPAM 40 MG/10 ML VIAL LORAZEPAM 0 999 No
TEMAZEPAM 15 MG CAPSULE TEMAZEPAM 18 999 No
TEMAZEPAM 30 MG CAPSULE TEMAZEPAM 18 999 No
H2D BARBITURATES PHENOBARBITAL 100 MG TABLET PHENOBARBITAL 0 999 No
PHENOBARBITAL 15 MG TABLET PHENOBARBITAL 0 999 No
PHENOBARBITAL 16.2 MG TABLET PHENOBARBITAL 0 999 No
PHENOBARBITAL 20 MG/5 ML CUP PHENOBARBITAL 0 999 No
PHENOBARBITAL 20 MG/5 ML ELIX PHENOBARBITAL 0 999 No
PHENOBARBITAL 20 MG/5 ML SOLN PHENOBARBITAL 0 999 No
PHENOBARBITAL 30 MG/7.5 ML CUP PHENOBARBITAL 0 999 No
PHENOBARBITAL 60 MG/15 ML CUP PHENOBARBITAL 0 999 No
H2E SEDATIVE-HYPNOTICS,NON-BARBITURATE ESZOPICLONE 1 MG TABLET ESZOPICLONE 18 999 No
ESZOPICLONE 2 MG TABLET ESZOPICLONE 18 999 No
ESZOPICLONE 3 MG TABLET ESZOPICLONE 18 999 No
ZALEPLON 10 MG CAPSULE ZALEPLON 18 999 No
ZALEPLON 5 MG CAPSULE ZALEPLON 18 999 No
ZOLPIDEM TARTRATE 10 MG TABLET ZOLPIDEM TARTRATE 18 999 Auto PA
ZOLPIDEM TARTRATE 5 MG TABLET ZOLPIDEM TARTRATE 18 999 No
H2F ANTI-ANXIETY DRUGS BUSPIRONE HCL 10 MG TABLET BUSPIRONE HCL 0 999 No
BUSPIRONE HCL 15 MG TABLET BUSPIRONE HCL 0 999 No
BUSPIRONE HCL 7.5 MG TABLET BUSPIRONE HCL 0 999 No
H2G ANTIPSYCHOTICS,PHENOTHIAZINES CHLORPROMAZINE 10 MG TABLET CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 100 MG TABLET CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 100 MG/ML CONC CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 25 MG/ML AMP CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 25 MG/ML AMPULE CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 30 MG/ML CONC CHLORPROMAZINE HCL 18 999 No
CHLORPROMAZINE 50 MG/2 ML AMP CHLORPROMAZINE HCL 18 999 No
FLUPHENAZINE 1 MG TABLET FLUPHENAZINE HCL 6 999 No
FLUPHENAZINE 2.5 MG TABLET FLUPHENAZINE HCL 6 999 No
FLUPHENAZINE 2.5 MG/5 ML ELIX FLUPHENAZINE HCL 6 999 No
FLUPHENAZINE 5 MG/ML CONC FLUPHENAZINE HCL 6 999 No
FLUPHENAZINE DEC 125 MG/5 ML FLUPHENAZINE DECANOATE 18 999 No
PERPHENAZINE 16 MG TABLET PERPHENAZINE 6 999 No
THIORIDAZINE 10 MG TABLET THIORIDAZINE HCL 18 999 No
TRIFLUOPERAZINE 1 MG TABLET TRIFLUOPERAZINE HCL 18 999 No
H2M BIPOLAR DISORDER DRUGS EQUETRO 100 MG CAPSULE CARBAMAZEPINE 6 999 Auto PA
EQUETRO 200 MG CAPSULE CARBAMAZEPINE 6 999 Auto PA
EQUETRO 300 MG CAPSULE CARBAMAZEPINE 6 999 Auto PA
LITHIUM CARBONATE 150 MG CAP LITHIUM CARBONATE 6 999 No
H2M BIPOLAR DISORDER DRUGS
LITHIUM CARBONATE 300 MG TAB LITHIUM CARBONATE 6 999 No
LITHIUM CARBONATE ER 300 MG TB LITHIUM CARBONATE 6 999 No
LITHIUM CARBONATE ER 450 MG TB LITHIUM CARBONATE 6 999 No
H2S SELECTIVE SEROTONIN REUPTAKE INHIBITOR (SSRIS) CITALOPRAM HBR 10 MG TABLET CITALOPRAM HYDROBROMIDE 6 999 No
CITALOPRAM HBR 10 MG/5 ML SOLN CITALOPRAM HYDROBROMIDE 6 11 No
CITALOPRAM HBR 20 MG TABLET CITALOPRAM HYDROBROMIDE 6 999 No
CITALOPRAM HBR 40 MG TABLET CITALOPRAM HYDROBROMIDE 6 999 No
ESCITALOPRAM 10 MG TABLET ESCITALOPRAM OXALATE 6 999 No
FLUOXETINE 20 MG/5 ML SOLUTION FLUOXETINE HCL 6 11 No
FLUOXETINE HCL 10 MG CAPSULE FLUOXETINE HCL 6 999 No
FLUVOXAMINE MALEATE 100 MG TAB FLUVOXAMINE MALEATE 6 999 No
PAROXETINE HCL 10 MG TABLET PAROXETINE HCL 6 999 No
SERTRALINE 20 MG/ML ORAL CONC SERTRALINE HCL 6 11 No
SERTRALINE HCL 100 MG TABLET SERTRALINE HCL 6 999 No
H2U TRICYCLIC ANTIDEPRESSANTS,REL.NON-SEL.REUPT-INHIB AMITRIPTYLINE HCL 10 MG TAB AMITRIPTYLINE HCL 12 999 No
AMITRIPTYLINE HCL 100 MG TAB AMITRIPTYLINE HCL 12 999 No
AMOXAPINE 100 MG TABLET AMOXAPINE 16 999 No
CLOMIPRAMINE 25 MG CAPSULE CLOMIPRAMINE HCL 10 999 Auto PA
DESIPRAMINE 10 MG TABLET DESIPRAMINE HCL 13 999 No
DOXEPIN 10 MG CAPSULE DOXEPIN HCL 12 999 No
DOXEPIN 10 MG/ML ORAL CONC DOXEPIN HCL 12 999 No
IMIPRAMINE HCL 10 MG TABLET IMIPRAMINE HCL 6 999 No
NORTRIPTYLINE HCL 10 MG CAP NORTRIPTYLINE HCL 13 999 No
H2V TX FOR ATTENTION DEFICIT-HYPERACT(ADHD)/NARCOLEPSY CONCERTA ER 18 MG TABLET METHYLPHENIDATE HCL 6 999 No
CONCERTA ER 27 MG TABLET METHYLPHENIDATE HCL 6 999 No
DAYTRANA 10 MG/9 HR PATCH METHYLPHENIDATE 6 999 No
DAYTRANA 15 MG/9 HR PATCH METHYLPHENIDATE 6 999 No
DAYTRANA 20 MG/9 HOUR PATCH METHYLPHENIDATE 6 999 No
DAYTRANA 30 MG/9 HOUR PATCH METHYLPHENIDATE 6 999 No
DEXMETHYLPHENIDATE 10 MG TAB DEXMETHYLPHENIDATE HCL 0 999 No
DEXMETHYLPHENIDATE 2.5 MG TAB DEXMETHYLPHENIDATE HCL 0 999 No
DEXMETHYLPHENIDATE 5 MG TAB DEXMETHYLPHENIDATE HCL 0 999 No
DEXMETHYLPHENIDATE ER 10 MG CP DEXMETHYLPHENIDATE HCL 6 999 No
DEXMETHYLPHENIDATE ER 5 MG CAP DEXMETHYLPHENIDATE HCL 6 999 No
FOCALIN XR 10 MG CAPSULE DEXMETHYLPHENIDATE HCL 6 999 No
JORNAY PM 100 MG CAPSULE METHYLPHENIDATE HCL 6 999 Auto PA
METHYLPHENIDATE 10 MG TABLET METHYLPHENIDATE HCL 0 999 No
METHYLPHENIDATE 10 MG/5 ML SOL METHYLPHENIDATE HCL 0 999 No
METHYLPHENIDATE 5 MG/5 ML SOLN METHYLPHENIDATE HCL 0 999 No
METHYLPHENIDATE CD 10 MG CAP METHYLPHENIDATE HCL 6 999 No
METHYLPHENIDATE ER 10 MG TAB METHYLPHENIDATE HCL 6 999 No
METHYLPHENIDATE ER 20 MG TAB METHYLPHENIDATE HCL 6 999 No
METHYLPHENIDATE ER(CD) 10MG CP METHYLPHENIDATE HCL 6 999 No
H2W TRICYCLIC ANTIDEPRESSANT-PHENOTHIAZINE COMBINATNS PERPHEN-AMITRIP 2 MG-10 MG TAB PERPHENAZINE/AMITRIPTYLINE HCL 18 999 No
PERPHEN-AMITRIP 2 MG-25 MG TAB PERPHENAZINE/AMITRIPTYLINE HCL 18 999 No
H2X TRICYCLIC ANTIDEPRESSANT-BENZODIAZEPINE COMBINATNS CHLORDIAZEPO-AMITRIPTYL 5-12.5 AMITRIPTYLINE/CHLORDIAZEPOXIDE 18 999 No
CHLORDIAZEPOX-AMITRIPTYL 10-25 AMITRIPTYLINE/CHLORDIAZEPOXIDE 18 999 No
H3A OPIOID ANALGESICS BELLADONNA-OPIUM 16.2-30 SUPP OPIUM/BELLADONNA ALKALOIDS 18 999 No
BELLADONNA-OPIUM 16.2-60 SUPP OPIUM/BELLADONNA ALKALOIDS 18 999 No
BUTRANS 10 MCG/HR PATCH BUPRENORPHINE 18 999 No
BUTRANS 7.5 MCG/HR PATCH BUPRENORPHINE 18 999 No
CODEINE SULFATE 15 MG TABLET CODEINE SULFATE 12 999 No
FENTANYL 100 MCG/HR PATCH FENTANYL 18 999 No
HYDROMORPHONE 2 MG TABLET HYDROMORPHONE HCL 0 999 No
MORPHINE SULF 10 MG/5 ML CUP MORPHINE SULFATE 0 999 No
MORPHINE SULF 10 MG/5 ML SOLN MORPHINE SULFATE 0 999 No
MORPHINE SULF 100 MG/5 ML CONC MORPHINE SULFATE 0 999 No
MORPHINE SULF 20 MG/5 ML SOLN MORPHINE SULFATE 0 999 No
MORPHINE SULF ER 100 MG TABLET MORPHINE SULFATE 18 999 No
MORPHINE SULFATE IR 15 MG TAB MORPHINE SULFATE 0 999 No
MORPHINE SULFATE IR 30 MG TAB MORPHINE SULFATE 0 999 No
OXYCODONE HCL (IR) 10 MG TAB OXYCODONE HCL 0 999 No
OXYCODONE HCL (IR) 5 MG TABLET OXYCODONE HCL 0 999 No
OXYCODONE HCL 5 MG/5 ML CUP OXYCODONE HCL 0 999 No
OXYCODONE HCL 5 MG/5 ML SOLN OXYCODONE HCL 0 999 No
TRAMADOL HCL 50 MG TABLET TRAMADOL HCL 12 999 No
XTAMPZA ER 13.5 MG CAPSULE OXYCODONE MYRISTATE 18 999 Auto PA
XTAMPZA ER 18 MG CAPSULE OXYCODONE MYRISTATE 18 999 Auto PA
H3D ANALGESIC/ANTIPYRETICS, SALICYLATES ASPIRIN 300 MG SUPPOSITORY ASPIRIN 0 20 No
ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
ASPIRIN EC 325 MG TABLET ASPIRIN 0 20 No
FT ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
FT ASPIRIN EC 325 MG TABLET ASPIRIN 0 20 No
GNP ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
GS ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
HM ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
HM ASPIRIN EC 325 MG TABLET ASPIRIN 0 20 No
SALSALATE 500 MG TABLET SALSALATE 0 999 No
SALSALATE 750 MG TABLET SALSALATE 0 999 No
SM ASPIRIN 325 MG TABLET ASPIRIN 0 20 No
SM ASPIRIN EC 325 MG TABLET ASPIRIN 0 20 No
H3E ANALGESIC/ANTIPYRETICS,NON-SALICYLATE 8HR ARTHRITIS PAIN ER 650 MG ACETAMINOPHEN 0 20 No
8HR MUSCLE ACHE-PAIN ER 650 MG ACETAMINOPHEN 0 20 No
ACETAMINOPHEN 160 MG/5 ML LIQ ACETAMINOPHEN 0 20 No
ACETAMINOPHEN 160 MG/5 ML SOLN ACETAMINOPHEN 0 20 No
ACETAMINOPHEN 325 MG/10.15 ML ACETAMINOPHEN 0 20 No
ACETAMINOPHEN 650MG/20.3ML CUP ACETAMINOPHEN 0 20 No
ACETAMINOPHEN ER 650 MG CAPLET ACETAMINOPHEN 0 20 No
ARTHRITIS PAIN ER 650 MG CAPLT ACETAMINOPHEN 0 20 No
CHILD ACETAMINOPHEN 160 MG ACETAMINOPHEN 0 20 No
CHILD PAIN-FEVER 160 MG/5 ML ACETAMINOPHEN 0 20 No
CHILD'S MAPAP 160 MG TAB CHEW ACETAMINOPHEN 0 20 No
CHILD'S PAIN RELIEVER SUSP ACETAMINOPHEN 0 20 No
CHLD ACETAMINOPHEN 160 MG/5 ML ACETAMINOPHEN 0 20 No
ED-APAP 160 MG/5 ML LIQUID ACETAMINOPHEN 0 20 No
FT 8 HOUR PAIN RLF ER 650 MG ACETAMINOPHEN 0 20 No
FT CHILD ACETAMINOPHEN 160 MG ACETAMINOPHEN 0 20 No
GNP 8 HOUR PAIN RELIEF 650 MG ACETAMINOPHEN 0 20 No
GNP 8HR ARTHRIT PAIN ER 650 MG ACETAMINOPHEN 0 20 No
GNP CHILD PAIN RELIEF 160 MG ACETAMINOPHEN 0 20 No
GS CHILD FEVER-PAIN 160 MG/5ML ACETAMINOPHEN 0 20 No
GS CHILD PAIN-FEVER 160 MG/5ML ACETAMINOPHEN 0 20 No
GS INFANT PAIN-FEVER 160 MG/5 ACETAMINOPHEN 0 20 No
HM CHILD ACETAMINOPHEN 160 MG ACETAMINOPHEN 0 20 No
HM CHILD PAIN RLF 160 MG/5 ML ACETAMINOPHEN 0 20 No
INF ACETAMINOPHEN 160 MG/5 ML ACETAMINOPHEN 0 20 No
INFANT PAIN-FEVER 160 MG/5 ML ACETAMINOPHEN 0 20 No
M-PAP 160 MG/5 ML LIQUID ACETAMINOPHEN 0 20 No
SM ARTHRITIS PAIN ER 650 MG TB ACETAMINOPHEN 0 20 No
SM CHILD'S PAIN RELIEVER SUSP ACETAMINOPHEN 0 20 No
SM CHLD PAIN-FEVER 160 MG/5 ML ACETAMINOPHEN 0 20 No
SM INFANT PAIN-FEVER 160 MG/5 ACETAMINOPHEN 0 20 No
SM PAIN RELIEVER ER 650 MG ACETAMINOPHEN 0 20 No
H3F ANTIMIGRAINE PREPARATIONS AIMOVIG 140 MG/ML AUTOINJECTOR ERENUMAB-AOOE 18 999 No
AIMOVIG 70 MG/ML AUTOINJECTOR ERENUMAB-AOOE 18 999 No
AJOVY 225 MG/1.5 ML AUTOINJECT FREMANEZUMAB-VFRM 18 999 No
AJOVY 225 MG/1.5 ML SYRINGE FREMANEZUMAB-VFRM 18 999 No
EMGALITY 120 MG/ML PEN GALCANEZUMAB-GNLM 18 999 No
EMGALITY 120 MG/ML SYRINGE GALCANEZUMAB-GNLM 18 999 No
IMITREX 20 MG NASAL SPRAY SUMATRIPTAN 18 999 No
IMITREX 5 MG NASAL SPRAY SUMATRIPTAN 18 999 No
NURTEC ODT 75 MG TABLET RIMEGEPANT SULFATE 18 999 Auto PA
QULIPTA 10 MG TABLET ATOGEPANT 18 999 Auto PA
RELPAX 20 MG TABLET ELETRIPTAN HYDROBROMIDE 18 999 No
RELPAX 40 MG TABLET ELETRIPTAN HYDROBROMIDE 18 999 No
RIZATRIPTAN 10 MG ODT RIZATRIPTAN BENZOATE 6 999 No
RIZATRIPTAN 10 MG TABLET RIZATRIPTAN BENZOATE 6 999 No
RIZATRIPTAN 5 MG ODT RIZATRIPTAN BENZOATE 6 999 No
RIZATRIPTAN 5 MG TABLET RIZATRIPTAN BENZOATE 6 999 No
SUMATRIPTAN 20 MG NASAL SPRAY SUMATRIPTAN 18 999 No
SUMATRIPTAN 5 MG NASAL SPRAY SUMATRIPTAN 18 999 No
SUMATRIPTAN 6 MG/0.5 ML VIAL SUMATRIPTAN SUCCINATE 18 999 No
SUMATRIPTAN SUCC 100 MG TABLET SUMATRIPTAN SUCCINATE 18 999 No
UBRELVY 100 MG TABLET UBROGEPANT 18 999 Auto PA
UBRELVY 50 MG TABLET UBROGEPANT 18 999 Auto PA
H3K ANALGESIC, NON-SALICYLATE AND BARBITURATE COMBINAT BUTALBITAL-ACETAMINOPHN 50-325 BUTALBITAL/ACETAMINOPHEN 0 999 No
H3L ANALGESIC,NON-SALICYLATE,BARBITURATE,XANTHINE COMB BUTALB-ACETAMIN-CAFF 50-300-40 BUTALB/ACETAMINOPHEN/CAFFEINE 0 999 No
BUTALB-ACETAMIN-CAFF 50-325-40 BUTALB/ACETAMINOPHEN/CAFFEINE 0 999 No
H3M OPIOID,NON-SALICYL.ANALGESIC,BARBITURATE,XANTHINE BUTALB-ACETAMIN-CAF-COD 50-325 BUTALBIT/ACETAMIN/CAFF/CODEINE 12 999 No
H3O ANALGESIC, SALICYLATE, BARBITURATE, XANTHINE COMB. BUTALBITAL-ASPIRIN-CAFFEINE CP BUTALBITAL/ASPIRIN/CAFFEINE 0 999 No
BUTALBITAL-ASPIRIN-CAFFEINE TB BUTALBITAL/ASPIRIN/CAFFEINE 0 999 No
H3T OPIOID ANTAGONISTS KLOXXADO 8 MG NASAL SPRAY NALOXONE HCL 0 999 No
NALOXONE 0.4 MG/ML CARPUJECT NALOXONE HCL 0 999 No
NALOXONE 0.4 MG/ML VIAL NALOXONE HCL 0 999 No
NALOXONE 2 MG/2 ML SYRINGE NALOXONE HCL 0 999 No
NALOXONE 4 MG/10 ML VIAL NALOXONE HCL 0 999 No
NALTREXONE 50 MG TABLET NALTREXONE HCL 0 999 No
NARCAN 4 MG NASAL SPRAY NALOXONE HCL 0 999 No
ZIMHI 5 MG/0.5 ML SYRINGE NALOXONE HCL 0 999 No
H3U OPIOID ANALGESIC AND NON-SALICYLATE ANALGESICS ACETAMIN-CODEIN 300-30 MG/12.5 ACETAMINOPHEN WITH CODEINE 12 999 No
ACETAMINOP-CODEINE 120-12 MG/5 ACETAMINOPHEN WITH CODEINE 12 999 No
ACETAMINOPHEN-COD #2 TABLET ACETAMINOPHEN WITH CODEINE 12 999 No
HYDROCODONE-ACETAMIN 10-300 MG HYDROCODONE/ACETAMINOPHEN 0 999 No
H3U OPIOID ANALGESIC AND NON-SALICYLATE ANALGESICS
HYDROCODONE-ACETAMIN 2.5-108/5 HYDROCODONE/ACETAMINOPHEN 0 999 No
HYDROCODONE-ACETAMIN 5-217/10 HYDROCODONE/ACETAMINOPHEN 0 999 No
HYDROCODONE-ACETAMIN 7.5-300 HYDROCODONE/ACETAMINOPHEN 0 999 No
HYDROCODONE-ACETAMIN 7.5-325 HYDROCODONE/ACETAMINOPHEN 0 999 No
HYDROCODONE-ACETAMN 7.5-325/15 HYDROCODONE/ACETAMINOPHEN 0 999 No
OXYCODONE-ACETAMINOPHEN 10-325 OXYCODONE HCL/ACETAMINOPHEN 0 999 No
OXYCODONE-ACETAMINOPHEN 5-325 OXYCODONE HCL/ACETAMINOPHEN 0 999 No
OXYCODONE-ACETAMINOPHN 2.5-325 OXYCODONE HCL/ACETAMINOPHEN 0 999 No
OXYCODONE-ACETAMINOPHN 7.5-325 OXYCODONE HCL/ACETAMINOPHEN 0 999 No
H3W OPIOID WITHDRAWAL THERAPY AGENTS, OPIOID-TYPE BUPRENORPHINE 2 MG TABLET SL BUPRENORPHINE HCL 16 999 Auto PA
BUPRENORPHINE 8 MG TABLET SL BUPRENORPHINE HCL 16 999 Auto PA
BUPRENORPHINE-NALOX 2-0.5MG TB BUPRENORPHINE HCL/NALOXONE HCL 16 999 Auto PA
BUPRENORPHINE-NALOX 8-2 MG TAB BUPRENORPHINE HCL/NALOXONE HCL 16 999 Auto PA
SUBLOCADE 100 MG/0.5 ML SYRING BUPRENORPHINE 18 999 Auto PA
SUBLOCADE 300 MG/1.5 ML SYRING BUPRENORPHINE 18 999 Auto PA
SUBOXONE 12 MG-3 MG SL FILM BUPRENORPHINE HCL/NALOXONE HCL 16 999 Auto PA
SUBOXONE 2 MG-0.5 MG SL FILM BUPRENORPHINE HCL/NALOXONE HCL 16 999 Auto PA
ZUBSOLV 0.7-0.18 MG TABLET SL BUPRENORPHINE HCL/NALOXONE HCL 16 999 Auto PA
H3Y MU-OPIOID RECEPTOR ANTAGONISTS,PERIPHERALLY-ACTING MOVANTIK 12.5 MG TABLET NALOXEGOL OXALATE 18 999 Auto PA
MOVANTIK 25 MG TABLET NALOXEGOL OXALATE 18 999 Auto PA
H4A ANTICONVULSANT - BENZODIAZEPINE TYPE CLOBAZAM 10 MG TABLET CLOBAZAM 2 999 No
CLOBAZAM 2.5 MG/ML SUSPENSION CLOBAZAM 2 999 No
CLOBAZAM 20 MG TABLET CLOBAZAM 2 999 No
CLONAZEPAM 0.125 MG DIS TAB CLONAZEPAM 0 999 No
CLONAZEPAM 0.125 MG ODT CLONAZEPAM 0 999 No
CLONAZEPAM 0.5 MG DIS TABLET CLONAZEPAM 0 999 No
CLONAZEPAM 0.5 MG TABLET CLONAZEPAM 0 999 No
CLONAZEPAM 1 MG DIS TABLET CLONAZEPAM 0 999 No
CLONAZEPAM 1 MG ODT CLONAZEPAM 0 999 No
CLONAZEPAM 1 MG TABLET CLONAZEPAM 0 999 No
CLONAZEPAM 2 MG ODT CLONAZEPAM 0 999 No
CLONAZEPAM 2 MG TABLET CLONAZEPAM 0 999 No
DIASTAT 2.5 MG PEDI SYSTEM DIAZEPAM 0 18 Auto PA
DIASTAT ACUDIAL 12.5-15-20 MG DIAZEPAM 0 18 Auto PA
DIASTAT ACUDIAL 5-7.5-10 MG KT DIAZEPAM 0 18 Auto PA
DIAZEPAM 10 MG RECTAL GEL SYST DIAZEPAM 0 18 No
DIAZEPAM 2.5 MG RECTAL GEL SYS DIAZEPAM 0 18 No
DIAZEPAM 20 MG RECTAL GEL SYST DIAZEPAM 0 18 No
KLONOPIN 0.5 MG TABLET CLONAZEPAM 0 999 Auto PA
KLONOPIN 1 MG TABLET CLONAZEPAM 0 999 Auto PA
KLONOPIN 2 MG TABLET CLONAZEPAM 0 999 Auto PA
NAYZILAM 5 MG NASAL SPRAY MIDAZOLAM 12 999 Auto PA
ONFI 10 MG TABLET CLOBAZAM 2 999 Auto PA
ONFI 2.5 MG/ML SUSPENSION CLOBAZAM 2 999 Auto PA
ONFI 20 MG TABLET CLOBAZAM 2 999 Auto PA
SYMPAZAN 10 MG FILM CLOBAZAM 2 999 Auto PA
VALTOCO 10 MG NASAL SPRAY DIAZEPAM 6 999 Auto PA
H4B ANTICONVULSANTS APTIOM 200 MG TABLET ESLICARBAZEPINE ACETATE 4 999 Auto PA
APTIOM 400 MG TABLET ESLICARBAZEPINE ACETATE 4 999 Auto PA
BANZEL 200 MG TABLET RUFINAMIDE 1 999 Auto PA
BANZEL 40 MG/ML SUSPENSION RUFINAMIDE 1 999 Auto PA
BANZEL 400 MG TABLET RUFINAMIDE 1 999 Auto PA
BRIVIACT 10 MG TABLET BRIVARACETAM 0 999 Auto PA
BRIVIACT 10 MG/ML ORAL SOLN BRIVARACETAM 0 999 Auto PA
BRIVIACT 50 MG/5 ML VIAL BRIVARACETAM 0 999 Auto PA
CARBAMAZEPINE 100 MG TAB CHEW CARBAMAZEPINE 0 999 No
CARBAMAZEPINE 100 MG/5 ML SUSP CARBAMAZEPINE 0 999 No
CARBAMAZEPINE 200 MG TABLET CARBAMAZEPINE 0 999 No
CARBAMAZEPINE 200 MG/10 ML CUP CARBAMAZEPINE 0 999 No
CARBAMAZEPINE ER 100 MG CAP CARBAMAZEPINE 0 999 No
CARBAMAZEPINE ER 100 MG TABLET CARBAMAZEPINE 0 999 No
CARBATROL ER 100 MG CAPSULE CARBAMAZEPINE 0 999 Auto PA
DEPAKOTE DR 125 MG SPRINKLE CP DIVALPROEX SODIUM 0 999 Auto PA
DEPAKOTE DR 125 MG TABLET DIVALPROEX SODIUM 0 999 Auto PA
DEPAKOTE ER 250 MG TABLET DIVALPROEX SODIUM 0 999 Auto PA
DEPAKOTE ER 500 MG TABLET DIVALPROEX SODIUM 0 999 Auto PA
DILANTIN 100 MG CAPSULE PHENYTOIN SODIUM EXTENDED 0 999 Auto PA
DILANTIN 125 MG/5 ML SUSP PHENYTOIN 0 999 Auto PA
DILANTIN 30 MG CAPSULE PHENYTOIN SODIUM EXTENDED 0 999 Auto PA
DIVALPROEX DR 125 MG CAP SPRNK DIVALPROEX SODIUM 0 999 No
DIVALPROEX SOD DR 125 MG TAB DIVALPROEX SODIUM 0 999 No
DIVALPROEX SOD ER 250 MG TAB DIVALPROEX SODIUM 0 999 No
DIVALPROEX SOD ER 500 MG TAB DIVALPROEX SODIUM 0 999 No
EPITOL 200 MG TABLET CARBAMAZEPINE 0 999 Auto PA
ETHOSUXIMIDE 250 MG CAPSULE ETHOSUXIMIDE 0 999 No
ETHOSUXIMIDE 250 MG/5 ML SOLN ETHOSUXIMIDE 0 999 No
FELBAMATE 400 MG TABLET FELBAMATE 0 999 No
FELBAMATE 600 MG TABLET FELBAMATE 0 999 No
FELBAMATE 600 MG/5 ML SUSP FELBAMATE 0 999 No
FELBATOL 400 MG TABLET FELBAMATE 0 999 Auto PA
FELBATOL 600 MG TABLET FELBAMATE 0 999 Auto PA
FELBATOL 600 MG/5 ML SUSP FELBAMATE 0 999 Auto PA
FYCOMPA 0.5 MG/ML ORAL SUSP PERAMPANEL 4 999 Auto PA
FYCOMPA 10 MG TABLET PERAMPANEL 4 999 Auto PA
GABAPENTIN 100 MG CAPSULE GABAPENTIN 0 999 No
GABAPENTIN 250 MG/5 ML SOLN GABAPENTIN 0 999 No
GABAPENTIN 250 MG/5ML SOLN CUP GABAPENTIN 0 999 No
GABAPENTIN 300 MG/6ML SOLN CUP GABAPENTIN 0 999 No
GABAPENTIN 600 MG TABLET GABAPENTIN 0 999 No
GABAPENTIN 800 MG TABLET GABAPENTIN 0 999 No
GABITRIL 12 MG TABLET TIAGABINE HCL 0 999 Auto PA
KEPPRA 1,000 MG TABLET LEVETIRACETAM 0 999 Auto PA
KEPPRA 100 MG/ML ORAL SOLN LEVETIRACETAM 0 999 Auto PA
KEPPRA 250 MG TABLET LEVETIRACETAM 0 999 Auto PA
KEPPRA XR 500 MG TABLET LEVETIRACETAM 0 999 Auto PA
KEPPRA XR 750 MG TABLET LEVETIRACETAM 0 999 Auto PA
LACOSAMIDE 10 MG/ML SOLUTION LACOSAMIDE 0 999 No
LACOSAMIDE 100 MG TABLET LACOSAMIDE 0 999 No
LAMICTAL 100 MG TABLET LAMOTRIGINE 2 999 Auto PA
LAMICTAL 25 MG DISPER TABLET LAMOTRIGINE 2 999 Auto PA
LAMICTAL 5 MG DISPER TABLET LAMOTRIGINE 2 999 Auto PA
LAMICTAL ODT 100 MG TABLET LAMOTRIGINE 2 999 Auto PA
LAMICTAL TAB START KIT (BLUE) LAMOTRIGINE 2 999 Auto PA
LAMICTAL TAB START KIT (GREEN) LAMOTRIGINE 2 999 Auto PA
LAMICTAL TB START KIT (ORANGE) LAMOTRIGINE 2 999 Auto PA
LAMICTAL XR 100 MG TABLET LAMOTRIGINE 13 999 Auto PA
LAMICTAL XR START KIT (BLUE) LAMOTRIGINE 13 999 Auto PA
LAMICTAL XR START KIT (GREEN) LAMOTRIGINE 13 999 Auto PA
LAMICTAL XR START KIT (ORANGE) LAMOTRIGINE 13 999 Auto PA
LAMOTRIGINE 100 MG TABLET LAMOTRIGINE 2 999 No
LAMOTRIGINE 25 MG DISPER TAB LAMOTRIGINE 2 999 No
LAMOTRIGINE 5 MG DISPER TABLET LAMOTRIGINE 2 999 No
LAMOTRIGINE ER 100 MG TABLET LAMOTRIGINE 13 999 No
LAMOTRIGINE ODT 100 MG TABLET LAMOTRIGINE 2 999 Auto PA
LAMOTRIGINE ODT KIT (BLUE) LAMOTRIGINE 2 999 No
LAMOTRIGINE ODT KIT (GREEN) LAMOTRIGINE 2 999 No
LAMOTRIGINE ODT KIT (ORANGE) LAMOTRIGINE 2 999 No
LAMOTRIGINE TAB START KIT-BLUE LAMOTRIGINE 2 999 Auto PA
LAMOTRIGINE TAB START KT-GREEN LAMOTRIGINE 2 999 Auto PA
LAMOTRIGINE TAB START KT-ORANG LAMOTRIGINE 2 999 Auto PA
LEVETIRACETAM 1,000 MG TABLET LEVETIRACETAM 0 999 No
LEVETIRACETAM 1,000 MG/10 ML LEVETIRACETAM 0 999 No
LEVETIRACETAM 1,000MG/10ML CUP LEVETIRACETAM 0 999 No
LEVETIRACETAM 100 MG/ML SOLN LEVETIRACETAM 0 999 No
LEVETIRACETAM 250 MG TABLET LEVETIRACETAM 0 999 No
LEVETIRACETAM 500 MG/5 ML CUP LEVETIRACETAM 0 999 No
LEVETIRACETAM 500 MG/5 ML SOLN LEVETIRACETAM 0 999 No
LEVETIRACETAM 500 MG/5 ML VIAL LEVETIRACETAM 0 999 No
LEVETIRACETAM ER 500 MG TABLET LEVETIRACETAM 0 999 No
LEVETIRACETAM ER 750 MG TABLET LEVETIRACETAM 0 999 No
MYSOLINE 250 MG TABLET PRIMIDONE 0 999 Auto PA
MYSOLINE 50 MG TABLET PRIMIDONE 0 999 Auto PA
OXCARBAZEPINE 150 MG TABLET OXCARBAZEPINE 0 999 No
OXCARBAZEPINE 300 MG/5 ML CUP OXCARBAZEPINE 0 999 No
OXCARBAZEPINE 300 MG/5 ML SUSP OXCARBAZEPINE 0 999 No
OXTELLAR XR 150 MG TABLET OXCARBAZEPINE 6 999 Auto PA
PHENYTOIN 100 MG/4 ML SUSP CUP PHENYTOIN 0 999 No
PHENYTOIN 125 MG/5 ML SUSP PHENYTOIN 0 999 No
PHENYTOIN 50 MG INFATAB CHEW PHENYTOIN 0 999 No
PHENYTOIN 50 MG TABLET CHEW PHENYTOIN 0 999 No
PHENYTOIN SOD EXT 100 MG CAP PHENYTOIN SODIUM EXTENDED 0 999 No
PREGABALIN 100 MG CAPSULE PREGABALIN 0 999 Auto PA
PRIMIDONE 125 MG TABLET PRIMIDONE 0 999 No
QUDEXY XR 100 MG CAPSULE TOPIRAMATE 0 999 Auto PA
ROWEEPRA 1,000 MG TABLET LEVETIRACETAM 0 999 Auto PA
ROWEEPRA 500 MG TABLET LEVETIRACETAM 0 999 Auto PA
ROWEEPRA 750 MG TABLET LEVETIRACETAM 0 999 Auto PA
RUFINAMIDE 200 MG TABLET RUFINAMIDE 1 999 No
RUFINAMIDE 40 MG/ML SUSPENSION RUFINAMIDE 1 999 No
RUFINAMIDE 400 MG TABLET RUFINAMIDE 1 999 No
SABRIL 500 MG POWDER PACKET VIGABATRIN 0 999 Auto PA
SABRIL 500 MG TABLET VIGABATRIN 0 999 Auto PA
SUBVENITE 100 MG TABLET LAMOTRIGINE 2 999 Auto PA
SUBVENITE TAB START KIT (BLUE) LAMOTRIGINE 2 999 Auto PA
SUBVENITE TAB START KIT(GREEN) LAMOTRIGINE 2 999 Auto PA
SUBVENITE TAB START KT(ORANGE) LAMOTRIGINE 2 999 Auto PA
TEGRETOL 100 MG/5 ML SUSP CARBAMAZEPINE 0 999 Auto PA
TEGRETOL 200 MG TABLET CARBAMAZEPINE 0 999 Auto PA
TEGRETOL XR 100 MG TABLET CARBAMAZEPINE 0 999 Auto PA
TIAGABINE HCL 12 MG TABLET TIAGABINE HCL 0 999 No
TOPAMAX 100 MG TABLET TOPIRAMATE 0 999 Auto PA
TOPAMAX 15 MG SPRINKLE CAP TOPIRAMATE 0 999 Auto PA
TOPAMAX 25 MG SPRINKLE CAP TOPIRAMATE 0 999 Auto PA
TOPIRAMATE 100 MG TABLET TOPIRAMATE 0 999 No
TOPIRAMATE 15 MG SPRINKLE CAP TOPIRAMATE 0 999 No
TOPIRAMATE 25 MG SPRINKLE CAP TOPIRAMATE 0 999 No
TOPIRAMATE ER 100 MG CAPSULE TOPIRAMATE 0 999 No
TRILEPTAL 150 MG TABLET OXCARBAZEPINE 0 999 Auto PA
TRILEPTAL 300 MG/5 ML SUSP OXCARBAZEPINE 0 999 Auto PA
TROKENDI XR 100 MG CAPSULE TOPIRAMATE 6 999 Auto PA
VALPROIC ACID 250 MG CAPSULE VALPROIC ACID 0 999 No
VALPROIC ACID 250 MG/5 ML CUP VALPROIC ACID (AS SODIUM SALT) 0 999 No
VALPROIC ACID 250 MG/5 ML SOLN VALPROIC ACID (AS SODIUM SALT) 0 999 No
VALPROIC ACID 500 MG/10 ML CUP VALPROIC ACID (AS SODIUM SALT) 0 999 No
VIGABATRIN 500 MG POWDER PACKT VIGABATRIN 0 999 Requires Med Cert 3
VIGADRONE 500 MG POWDER PACKET VIGABATRIN 0 999 Requires Med Cert 3
VIGADRONE 500 MG TABLET VIGABATRIN 0 999 Auto PA
XCOPRI 100 MG TABLET CENOBAMATE 18 999 Auto PA
XCOPRI 12.5-25 MG TITRATION PK CENOBAMATE 18 999 Auto PA
XCOPRI 150-200 MG TITRATION PK CENOBAMATE 18 999 Auto PA
XCOPRI 250 MG DAILY DOSE PACK CENOBAMATE 18 999 Auto PA
XCOPRI 350 MG DAILY DOSE PACK CENOBAMATE 18 999 Auto PA
XCOPRI 50-100 MG TITRATION PAK CENOBAMATE 18 999 Auto PA
ZARONTIN 250 MG CAPSULE ETHOSUXIMIDE 0 999 Auto PA
ZONISAMIDE 100 MG CAPSULE ZONISAMIDE 0 999 No
H4E ANTICONVULSANT - CANNABINOID TYPE EPIDIOLEX 100 MG/ML SOLN PACK CANNABIDIOL (CBD) 1 999 Auto PA
EPIDIOLEX 100 MG/ML SOLUTION CANNABIDIOL (CBD) 1 999 Auto PA
H6A ANTIPARKINSONISM DRUGS,OTHER AMANTADINE 100 MG CAPSULE AMANTADINE HCL 1 999 No
AMANTADINE 100 MG TABLET AMANTADINE HCL 1 999 No
AMANTADINE 100 MG/10 ML CUP AMANTADINE HCL 1 999 No
AMANTADINE 50 MG/5 ML SOLUTION AMANTADINE HCL 1 999 No
CARBIDOPA-LEVO ER 25-100 TAB CARBIDOPA/LEVODOPA 18 999 No
CARBIDOPA-LEVO ER 50-200 TAB CARBIDOPA/LEVODOPA 18 999 No
CARBIDOPA-LEVODOPA 100 MG-ENTA CARBIDOPA/LEVODOPA/ENTACAPONE 18 999 No
CARBIDOPA-LEVODOPA 10-100 TAB CARBIDOPA/LEVODOPA 18 999 No
ENTACAPONE 200 MG TABLET ENTACAPONE 18 999 No
PRAMIPEXOLE 0.125 MG TABLET PRAMIPEXOLE DI-HCL 18 999 No
PRAMIPEXOLE 1 MG TABLET PRAMIPEXOLE DI-HCL 18 999 No
ROPINIROLE HCL 0.25 MG TABLET ROPINIROLE HCL 18 999 No
ROPINIROLE HCL 0.5 MG TABLET ROPINIROLE HCL 18 999 No
ROPINIROLE HCL 1 MG TABLET ROPINIROLE HCL 18 999 No
SELEGILINE HCL 5 MG CAPSULE SELEGILINE HCL 18 999 No
SELEGILINE HCL 5 MG TABLET SELEGILINE HCL 18 999 No
H6B ANTIPARKINSONISM DRUGS,ANTICHOLINERGIC BENZTROPINE MES 0.5 MG TAB BENZTROPINE MESYLATE 3 999 No
BENZTROPINE MES 1 MG TABLET BENZTROPINE MESYLATE 3 999 No
BENZTROPINE MES 2 MG TABLET BENZTROPINE MESYLATE 3 999 No
TRIHEXYPHENIDYL 2 MG TABLET TRIHEXYPHENIDYL HCL 18 999 No
TRIHEXYPHENIDYL 2 MG/5 ML SOLN TRIHEXYPHENIDYL HCL 18 999 No
TRIHEXYPHENIDYL 5 MG TABLET TRIHEXYPHENIDYL HCL 18 999 No
H6C ANTITUSSIVES, NON-OPIOID BENZONATATE 100 MG CAPSULE BENZONATATE 0 20 No
BENZONATATE 150 MG CAPSULE BENZONATATE 0 20 No
BENZONATATE 200 MG CAPSULE BENZONATATE 0 20 No
H6H SKELETAL MUSCLE RELAXANTS BACLOFEN 10 MG TABLET BACLOFEN 0 999 No
BACLOFEN 20 MG TABLET BACLOFEN 0 999 No
BACLOFEN 5 MG TABLET BACLOFEN 0 999 No
BACLOFEN 5 MG/5 ML SOLUTION BACLOFEN 12 999 Auto PA
H6H SKELETAL MUSCLE RELAXANTS
CHLORZOXAZONE 500 MG TABLET CHLORZOXAZONE 0 999 No
CYCLOBENZAPRINE 10 MG TABLET CYCLOBENZAPRINE HCL 0 999 No
CYCLOBENZAPRINE 5 MG TABLET CYCLOBENZAPRINE HCL 0 999 No
METHOCARBAMOL 500 MG TABLET METHOCARBAMOL 0 999 No
METHOCARBAMOL 750 MG TABLET METHOCARBAMOL 0 999 No
ORPHENADRINE ER 100 MG TABLET ORPHENADRINE CITRATE 0 999 No
TIZANIDINE HCL 2 MG TABLET TIZANIDINE HCL 0 999 No
TIZANIDINE HCL 4 MG TABLET TIZANIDINE HCL 0 999 No
H6I AMYOTROPHIC LATERAL SCLEROSIS AGENTS RILUZOLE 50 MG TABLET RILUZOLE 0 999 No
H6J ANTIEMETIC/ANTIVERTIGO AGENTS APREPITANT 125 MG CAPSULE APREPITANT 0 999 No
APREPITANT 40 MG CAPSULE APREPITANT 0 999 No
APREPITANT 80 MG CAPSULE APREPITANT 0 999 No
DICLEGIS DR 10-10 MG TABLET DOXYLAMINE SUCCINATE/VIT B6 18 999 No
GRANISETRON HCL 0.1 MG/ML VIAL GRANISETRON HCL/PF 0 999 No
GRANISETRON HCL 1 MG TABLET GRANISETRON HCL 0 999 No
GRANISETRON HCL 1 MG/ML VIAL GRANISETRON HCL/PF 0 999 No
MECLIZINE 12.5 MG TABLET MECLIZINE HCL 0 999 No
MECLIZINE 25 MG TABLET MECLIZINE HCL 0 999 No
ONDANSETRON 4 MG/5 ML SOLN CUP ONDANSETRON HCL 0 999 No
ONDANSETRON 4 MG/5 ML SOLUTION ONDANSETRON HCL 0 999 No
ONDANSETRON 40 MG/20 ML VIAL ONDANSETRON HCL 0 999 No
ONDANSETRON HCL 4 MG TABLET ONDANSETRON HCL 0 999 No
ONDANSETRON HCL 4 MG/2 ML AMP ONDANSETRON HCL/PF 0 999 No
ONDANSETRON HCL 4 MG/2 ML SYR ONDANSETRON HCL/PF 0 999 No
ONDANSETRON HCL 4 MG/2 ML VIAL ONDANSETRON HCL/PF 0 999 No
ONDANSETRON HCL 8 MG TABLET ONDANSETRON HCL 0 999 No
ONDANSETRON ODT 4 MG TABLET ONDANSETRON 0 999 No
ONDANSETRON ODT 8 MG TABLET ONDANSETRON 0 999 No
PALONOSETRON 0.25 MG/2 ML VIAL PALONOSETRON HCL 0 999 No
PALONOSETRON 0.25 MG/5 ML VIAL PALONOSETRON HCL 0 999 No
PALONOSETRON HCL 0.25 MG/5 ML PALONOSETRON HCL 0 999 No
PROCHLORPERAZINE 10 MG TAB PROCHLORPERAZINE MALEATE 0 999 No
PROCHLORPERAZINE 5 MG TABLET PROCHLORPERAZINE MALEATE 0 999 No
PROMETHAZINE 12.5 MG SUPPOS PROMETHAZINE HCL 0 999 No
PROMETHAZINE 25 MG SUPPOSITORY PROMETHAZINE HCL 0 999 No
PROMETHEGAN 12.5 MG SUPPOS PROMETHAZINE HCL 0 999 No
PROMETHEGAN 25 MG SUPPOSITORY PROMETHAZINE HCL 0 999 No
TRANSDERM-SCOP 1 MG/3 DAY PTCH SCOPOLAMINE 18 999 Auto PA
H6L DRUGS TO TREAT MOVEMENT DISORDERS AUSTEDO 12 MG TABLET DEUTETRABENAZINE 18 999 Auto PA
AUSTEDO 6 MG TABLET DEUTETRABENAZINE 18 999 Auto PA
AUSTEDO 9 MG TABLET DEUTETRABENAZINE 18 999 Auto PA
INGREZZA 40 MG CAPSULE VALBENAZINE TOSYLATE 18 999 Auto PA
TETRABENAZINE 12.5 MG TABLET TETRABENAZINE 18 999 Auto PA
TETRABENAZINE 25 MG TABLET TETRABENAZINE 18 999 Auto PA
H7B ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS MIRTAZAPINE 15 MG ODT MIRTAZAPINE 6 999 No
MIRTAZAPINE 15 MG TABLET MIRTAZAPINE 6 999 No
MIRTAZAPINE 30 MG ODT MIRTAZAPINE 6 999 No
H7B ALPHA-2 RECEPTOR ANTAGONIST ANTIDEPRESSANTS
MIRTAZAPINE 45 MG ODT MIRTAZAPINE 6 999 No
MIRTAZAPINE 7.5 MG TABLET MIRTAZAPINE 6 999 No
H7C SEROTONIN-NOREPINEPHRINE REUPTAKE-INHIB (SNRIS) DESVENLAFAXINE SUCCNT ER 100MG DESVENLAFAXINE SUCCINATE 18 999 No
DESVENLAFAXINE SUCCNT ER 25 MG DESVENLAFAXINE SUCCINATE 18 999 No
DESVENLAFAXINE SUCCNT ER 50 MG DESVENLAFAXINE SUCCINATE 18 999 No
DULOXETINE HCL DR 20 MG CAP DULOXETINE HCL 6 999 No
VENLAFAXINE HCL 100 MG TABLET VENLAFAXINE HCL 6 999 No
VENLAFAXINE HCL 37.5 MG TABLET VENLAFAXINE HCL 6 999 No
VENLAFAXINE HCL ER 150 MG CAP VENLAFAXINE HCL 6 999 No
VENLAFAXINE HCL ER 37.5 MG CAP VENLAFAXINE HCL 6 999 No
VENLAFAXINE HCL ER 75 MG CAP VENLAFAXINE HCL 6 999 No
H7D NOREPINEPHRINE AND DOPAMINE REUPTAKE INHIB (NDRIS) BUPROPION HCL 100 MG TABLET BUPROPION HCL 6 999 No
BUPROPION HCL 75 MG TABLET BUPROPION HCL 6 999 No
BUPROPION HCL SR 100 MG TABLET BUPROPION HCL 6 999 No
BUPROPION HCL XL 150 MG TABLET BUPROPION HCL 6 999 No
BUPROPION HCL XL 300 MG TABLET BUPROPION HCL 6 999 No
H7E SEROTONIN-2 ANTAGONIST/REUPTAKE INHIBITORS (SARIS) TRAZODONE 100 MG TABLET TRAZODONE HCL 6 999 No
TRAZODONE 150 MG TABLET TRAZODONE HCL 6 999 No
H7N SMOKING DETERRENTS, OTHER BUPROPION HCL SR 150 MG TABLET BUPROPION HCL 18 999 No
H7O ANTIPSYCHOTICS,DOPAMINE ANTAGONISTS,BUTYROPHENONES DROPERIDOL 5 MG/2 ML VIAL DROPERIDOL 18 999 No
HALOPERIDOL 0.5 MG TABLET HALOPERIDOL 6 999 No
HALOPERIDOL 1 MG TABLET HALOPERIDOL 6 999 No
HALOPERIDOL DEC 100 MG/ML AMP HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL DEC 100 MG/ML VIAL HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL DEC 250 MG/5 ML VL HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL DEC 50 MG/ML AMPUL HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL DEC 50 MG/ML VIAL HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL DEC 500 MG/5 ML VL HALOPERIDOL DECANOATE 18 999 No
HALOPERIDOL LAC 10 MG/5 ML CUP HALOPERIDOL LACTATE 6 999 No
HALOPERIDOL LAC 2 MG/ML CONC HALOPERIDOL LACTATE 6 999 No
HALOPERIDOL LAC 5 MG/ML VIAL HALOPERIDOL LACTATE 18 999 No
HALOPERIDOL LAC 50 MG/10 ML VL HALOPERIDOL LACTATE 18 999 No
H7P ANTIPSYCHOTICS,DOPAMINE ANTAGONISTS, THIOXANTHENES THIOTHIXENE 1 MG CAPSULE THIOTHIXENE 18 999 No
THIOTHIXENE 10 MG CAPSULE THIOTHIXENE 18 999 No
H7R ANTIPSYCH,DOPAMINE ANTAG.,DIPHENYLBUTYLPIPERIDINES PIMOZIDE 1 MG TABLET PIMOZIDE 18 999 No
PIMOZIDE 2 MG TABLET PIMOZIDE 18 999 No
H7T ANTIPSYCHOTIC,ATYPICAL,DOPAMINE,SEROTONIN ANTAGNST CLOZAPINE 100 MG TABLET CLOZAPINE 6 999 Requires Med Cert 3
CLOZAPINE 200 MG TABLET CLOZAPINE 6 999 Requires Med Cert 3
FANAPT 1 MG TABLET ILOPERIDONE 18 999 No
INVEGA HAFYERA 1,092 MG/3.5 ML PALIPERIDONE PALMITATE 18 999 Auto PA
INVEGA HAFYERA 1,560 MG/5 ML PALIPERIDONE PALMITATE 18 999 Auto PA
INVEGA SUSTENNA 117 MG/0.75 ML PALIPERIDONE PALMITATE 18 999 Auto PA
INVEGA SUSTENNA 156 MG/ML SYRG PALIPERIDONE PALMITATE 18 999 Auto PA
INVEGA TRINZA 273 MG/0.88 ML PALIPERIDONE PALMITATE 18 999 Auto PA
LURASIDONE HCL 120 MG TABLET LURASIDONE HCL 10 999 No
OLANZAPINE 10 MG TABLET OLANZAPINE 6 999 No
OLANZAPINE 2.5 MG TABLET OLANZAPINE 6 999 No
OLANZAPINE 7.5 MG TABLET OLANZAPINE 6 999 No
OLANZAPINE ODT 10 MG TABLET OLANZAPINE 6 999 No
PERSERIS ER 120 MG SYRINGE KIT RISPERIDONE 18 999 Auto PA
PERSERIS ER 90 MG POWDER SYRNG RISPERIDONE 18 999 Auto PA
PERSERIS ER 90 MG SYRINGE KIT RISPERIDONE 18 999 Auto PA
QUETIAPINE 150 MG TABLET QUETIAPINE FUMARATE 6 999 No
QUETIAPINE ER 150 MG TABLET QUETIAPINE FUMARATE 6 999 No
QUETIAPINE FUMARATE 100 MG TAB QUETIAPINE FUMARATE 6 999 No
RISPERDAL CONSTA 12.5 MG VIAL RISPERIDONE MICROSPHERES 18 999 Auto PA
RISPERDAL CONSTA 25 MG VIAL RISPERIDONE MICROSPHERES 18 999 Auto PA
RISPERDAL CONSTA 37.5 MG VIAL RISPERIDONE MICROSPHERES 18 999 Auto PA
RISPERDAL CONSTA 50 MG VIAL RISPERIDONE MICROSPHERES 18 999 Auto PA
RISPERIDONE 0.25 MG ODT RISPERIDONE 6 999 No
RISPERIDONE 0.25 MG TABLET RISPERIDONE 6 999 No
RISPERIDONE 0.5 MG ODT RISPERIDONE 6 999 No
RISPERIDONE 0.5 MG TABLET RISPERIDONE 6 999 No
RISPERIDONE 1 MG ODT RISPERIDONE 6 999 No
RISPERIDONE 1 MG TABLET RISPERIDONE 6 999 No
RISPERIDONE 1 MG/ML SOLUTION RISPERIDONE 6 999 No
ZIPRASIDONE HCL 20 MG CAPSULE ZIPRASIDONE HCL 6 999 No
H7U ANTIPSYCHOTICS, DOPAMINE AND SEROTONIN ANTAGONISTS LOXAPINE 10 MG CAPSULE LOXAPINE SUCCINATE 18 999 No
LOXAPINE 25 MG CAPSULE LOXAPINE SUCCINATE 18 999 No
H7X ANTIPSYCHOTICS, ATYP, D2 PARTIAL AGONIST/5HT MIXED ABILIFY MAINTENA ER 300 MG SYR ARIPIPRAZOLE 18 999 Auto PA
ABILIFY MAINTENA ER 300 MG VL ARIPIPRAZOLE 18 999 Auto PA
ABILIFY MAINTENA ER 400 MG SYR ARIPIPRAZOLE 18 999 Auto PA
ABILIFY MAINTENA ER 400 MG VL ARIPIPRAZOLE 18 999 Auto PA
ARIPIPRAZOLE 1 MG/ML SOLUTION ARIPIPRAZOLE 6 999 No
ARIPIPRAZOLE 10 MG TABLET ARIPIPRAZOLE 6 999 No
ARISTADA ER 1064 MG/3.9 ML SYR ARIPIPRAZOLE LAUROXIL 18 999 Auto PA
ARISTADA ER 441 MG/1.6 ML SYRN ARIPIPRAZOLE LAUROXIL 18 999 Auto PA
ARISTADA INITIO ER 675 MG/2.4 ARIPIPRAZOLE LAUROXIL,SUBMICR. 18 999 Auto PA
H7Y TX FOR ATTENTION DEFICIT-HYPERACT.(ADHD), NRI-TYPE ATOMOXETINE HCL 10 MG CAPSULE ATOMOXETINE HCL 6 999 No
ATOMOXETINE HCL 100 MG CAPSULE ATOMOXETINE HCL 6 999 No
H7Y TX FOR ATTENTION DEFICIT-HYPERACT.(ADHD), NRI-TYPE
H8B HYPNOTICS, MELATONIN MT1/MT2 RECEPTOR AGONISTS ROZEREM 8 MG TABLET RAMELTEON 65 999 No
H8M TX FOR ADHD - SELECTIVE ALPHA-2 RECEPTOR AGONIST GUANFACINE HCL ER 1 MG TABLET GUANFACINE HCL 0 999 No
GUANFACINE HCL ER 2 MG TABLET GUANFACINE HCL 0 999 No
H8O PSEUDOBULBAR AFFECT (PBA) AGENTS, NMDA ANTAGONISTS NUEDEXTA 20-10 MG CAPSULE DEXTROMETHORPHAN HBR/QUINIDINE 18 999 No
H8P SSRI AND 5HT1A PARTIAL AGONIST ANTIDEPRESSANTS VIIBRYD 10 MG TABLET VILAZODONE HCL 18 999 No
VIIBRYD 20 MG TABLET VILAZODONE HCL 18 999 No
VIIBRYD 40 MG TABLET VILAZODONE HCL 18 999 No
H8Q NARCOLEPSY AND SLEEP DISORDER THERAPY AGENTS MODAFINIL 100 MG TABLET MODAFINIL 18 999 Auto PA
MODAFINIL 200 MG TABLET MODAFINIL 18 999 Auto PA
H8T SSRI, SEROTONIN RECEPTOR MODULATOR ANTIDEPRESSANTS TRINTELLIX 10 MG TABLET VORTIOXETINE HYDROBROMIDE 18 999 Auto PA
TRINTELLIX 20 MG TABLET VORTIOXETINE HYDROBROMIDE 18 999 Auto PA
TRINTELLIX 5 MG TABLET VORTIOXETINE HYDROBROMIDE 18 999 Auto PA
H8W ANTIPSYCHOTIC-ATYPICAL,D3/D2 PARTIAL AG-5HT MIXED VRAYLAR 1.5 MG CAPSULE CARIPRAZINE HCL 18 999 Auto PA
VRAYLAR 1.5 MG-3 MG PACK CARIPRAZINE HCL 18 999 Auto PA
VRAYLAR 3 MG CAPSULE CARIPRAZINE HCL 18 999 Auto PA
VRAYLAR 4.5 MG CAPSULE CARIPRAZINE HCL 18 999 Auto PA
VRAYLAR 6 MG CAPSULE CARIPRAZINE HCL 18 999 Auto PA
J1A PARASYMPATHETIC AGENTS BETHANECHOL 10 MG TABLET BETHANECHOL CHLORIDE 0 999 No
BETHANECHOL 25 MG TABLET BETHANECHOL CHLORIDE 0 999 No
PILOCARPINE HCL 5 MG TABLET PILOCARPINE HCL 0 999 No
PILOCARPINE HCL 7.5 MG TABLET PILOCARPINE HCL 0 999 No
J1B CHOLINESTERASE INHIBITORS DONEPEZIL HCL 10 MG TABLET DONEPEZIL HCL 18 999 No
DONEPEZIL HCL 5 MG TABLET DONEPEZIL HCL 18 999 No
DONEPEZIL HCL ODT 10 MG TABLET DONEPEZIL HCL 18 999 No
DONEPEZIL HCL ODT 5 MG TABLET DONEPEZIL HCL 18 999 No
EXELON 13.3 MG/24HR PATCH RIVASTIGMINE 18 999 No
GALANTAMINE HBR 12 MG TABLET GALANTAMINE HBR 18 999 No
MESTINON 60 MG/5 ML SOLUTION PYRIDOSTIGMINE BROMIDE 0 999 No
PYRIDOSTIGMINE 60 MG/5 ML CUP PYRIDOSTIGMINE BROMIDE 0 999 No
PYRIDOSTIGMINE 60 MG/5 ML SOLN PYRIDOSTIGMINE BROMIDE 0 999 No
PYRIDOSTIGMINE BR 30 MG TABLET PYRIDOSTIGMINE BROMIDE 0 999 No
PYRIDOSTIGMINE BR 60 MG TABLET PYRIDOSTIGMINE BROMIDE 0 999 No
PYRIDOSTIGMINE ER 180 MG TAB PYRIDOSTIGMINE BROMIDE 0 999 No
RIVASTIGMINE 1.5 MG CAPSULE RIVASTIGMINE TARTRATE 18 999 No
RIVASTIGMINE 3 MG CAPSULE RIVASTIGMINE TARTRATE 18 999 No
RIVASTIGMINE 4.5 MG CAPSULE RIVASTIGMINE TARTRATE 18 999 No
RIVASTIGMINE 6 MG CAPSULE RIVASTIGMINE TARTRATE 18 999 No
J2A BELLADONNA ALKALOIDS HYOSCYAMINE 0.125 MG ODT HYOSCYAMINE SULFATE 0 999 No
HYOSCYAMINE 0.125 MG TAB SL HYOSCYAMINE SULFATE 0 999 No
HYOSCYAMINE 0.125 MG/5 ML ELIX HYOSCYAMINE SULFATE 0 999 No
J2A BELLADONNA ALKALOIDS
HYOSCYAMINE ER 0.375 MG TAB HYOSCYAMINE SULFATE 0 999 No
HYOSCYAMINE SULF 0.125 MG TAB HYOSCYAMINE SULFATE 0 999 No
J2B ANTICHOLINERGICS,QUATERNARY AMMONIUM GLYCOPYRROLATE 1 MG TABLET GLYCOPYRROLATE 0 999 No
GLYCOPYRROLATE 1 MG/5 ML SOLN GLYCOPYRROLATE 3 16 No
GLYCOPYRROLATE 2 MG TABLET GLYCOPYRROLATE 0 999 No
J2D ANTICHOLINERGICS/ANTISPASMODICS DICYCLOMINE 10 MG CAPSULE DICYCLOMINE HCL 0 999 No
DICYCLOMINE 10 MG/5 ML SOLN DICYCLOMINE HCL 0 999 No
DICYCLOMINE 20 MG TABLET DICYCLOMINE HCL 0 999 No
J3A SMOKING DETERRENT AGENTS (GANGLIONIC STIM,OTHERS) GNP NICOTINE 2 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
GNP NICOTINE 2 MG LOZENGE NICOTINE POLACRILEX 18 999 No
GNP NICOTINE 2 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
GNP NICOTINE 21 MG/24HR PATCH NICOTINE 18 999 No
GNP NICOTINE 4 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
GNP NICOTINE 4 MG LOZENGE NICOTINE POLACRILEX 18 999 No
GNP NICOTINE 4 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
GS NICOTINE 2 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
GS NICOTINE 2 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
GS NICOTINE 4 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
GS NICOTINE 4 MG LOZENGE NICOTINE POLACRILEX 18 999 No
GS NICOTINE 4 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
HM NICOTINE 14 MG/24HR PATCH NICOTINE 18 999 No
HM NICOTINE 2 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
HM NICOTINE 2 MG LOZENGE NICOTINE POLACRILEX 18 999 No
HM NICOTINE 2 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
HM NICOTINE 4 MG LOZENGE NICOTINE POLACRILEX 18 999 No
HM NICOTINE 4 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
NICOTINE 14 MG/24HR PATCH NICOTINE 18 999 No
NICOTINE 2 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
NICOTINE 2 MG LOZENGE NICOTINE POLACRILEX 18 999 No
NICOTINE 2 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
NICOTINE 4 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
NICOTINE 4 MG LOZENGE NICOTINE POLACRILEX 18 999 No
NICOTINE 4 MG MINI LOZENGE NICOTINE POLACRILEX 18 999 No
NICOTINE TRANSDERMAL SYSTEM NICOTINE 18 999 No
SM NICOTINE 14 MG/24HR PATCH NICOTINE 18 999 No
SM NICOTINE 2 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
SM NICOTINE 2 MG LOZENGE NICOTINE POLACRILEX 18 999 No
SM NICOTINE 4 MG CHEWING GUM NICOTINE POLACRILEX 18 999 No
SM NICOTINE 4 MG LOZENGE NICOTINE POLACRILEX 18 999 No
J3C SMOKING DETERRENT-NICOTINIC RECEPT.PARTIAL AGONIST CHANTIX 1 MG CONT MONTH BOX VARENICLINE TARTRATE 17 999 No
CHANTIX 1 MG TABLET VARENICLINE TARTRATE 17 999 No
CHANTIX STARTING MONTH BOX VARENICLINE TARTRATE 17 999 No
VARENICLINE 0.5 MG TABLET VARENICLINE TARTRATE 17 999 No
VARENICLINE 1 MG CONT MONTH BX VARENICLINE TARTRATE 17 999 No
J3C SMOKING DETERRENT-NICOTINIC RECEPT.PARTIAL AGONIST
VARENICLINE 1 MG TABLET VARENICLINE TARTRATE 17 999 No
VARENICLINE STARTING MONTH BOX VARENICLINE TARTRATE 17 999 No
J5B ADRENERGICS, AROMATIC, NON-CATECHOLAMINE ADDERALL XR 10 MG CAPSULE DEXTROAMPHETAMINE/AMPHETAMINE 6 999 No
ADDERALL XR 15 MG CAPSULE DEXTROAMPHETAMINE/AMPHETAMINE 6 999 No
DEXTROAMP-AMPHETAM 12.5 MG TAB DEXTROAMPHETAMINE/AMPHETAMINE 3 999 No
DEXTROAMP-AMPHETAM 7.5 MG TAB DEXTROAMPHETAMINE/AMPHETAMINE 3 999 No
DEXTROAMP-AMPHETAMIN 10 MG TAB DEXTROAMPHETAMINE/AMPHETAMINE 3 999 No
DEXTROAMP-AMPHETAMINE 5 MG TAB DEXTROAMPHETAMINE/AMPHETAMINE 3 999 No
DEXTROAMPHETAMINE 10 MG TAB DEXTROAMPHETAMINE SULFATE 3 999 No
DEXTROAMPHETAMINE 5 MG TAB DEXTROAMPHETAMINE SULFATE 3 999 No
VYVANSE 10 MG CAPSULE LISDEXAMFETAMINE DIMESYLATE 6 999 No
J5D BETA-ADRENERGIC AGENTS ALBUTEROL SULF 2 MG/5 ML SYRUP ALBUTEROL SULFATE 0 999 No
TERBUTALINE SULF 1 MG/ML VIAL TERBUTALINE SULFATE 0 999 No
J5F ANAPHYLAXIS THERAPY AGENTS EPINEPHRINE 0.15 MG AUTO-INJCT EPINEPHRINE 0 999 No
EPINEPHRINE 0.3 MG AUTO-INJECT EPINEPHRINE 0 999 No
EPIPEN 2-PAK 0.3 MG AUTO-INJCT EPINEPHRINE 0 999 No
EPIPEN JR 2-PAK 0.15 MG INJCTR EPINEPHRINE 0 999 No
J5H ADRENERGIC VASOPRESSOR AGENTS MIDODRINE HCL 10 MG TABLET MIDODRINE HCL 0 999 No
MIDODRINE HCL 2.5 MG TABLET MIDODRINE HCL 0 999 No
MIDODRINE HCL 5 MG TABLET MIDODRINE HCL 0 999 No
J7A ALPHA/BETA-ADRENERGIC BLOCKING AGENTS CARVEDILOL 12.5 MG TABLET CARVEDILOL 0 999 No
CARVEDILOL 25 MG TABLET CARVEDILOL 0 999 No
CARVEDILOL 3.125 MG TABLET CARVEDILOL 0 999 No
CARVEDILOL 6.25 MG TABLET CARVEDILOL 0 999 No
COREG CR 10 MG CAPSULE CARVEDILOL PHOSPHATE 0 999 No
LABETALOL HCL 100 MG TABLET LABETALOL HCL 0 999 No
J7B ALPHA-ADRENERGIC BLOCKING AGENTS DOXAZOSIN MESYLATE 1 MG TAB DOXAZOSIN MESYLATE 0 999 No
DOXAZOSIN MESYLATE 2 MG TAB DOXAZOSIN MESYLATE 0 999 No
PRAZOSIN 1 MG CAPSULE PRAZOSIN HCL 0 999 No
J7B ALPHA-ADRENERGIC BLOCKING AGENTS
TERAZOSIN 1 MG CAPSULE TERAZOSIN HCL 0 999 No
J7C BETA-ADRENERGIC BLOCKING AGENTS ACEBUTOLOL 200 MG CAPSULE ACEBUTOLOL HCL 0 999 No
ACEBUTOLOL 400 MG CAPSULE ACEBUTOLOL HCL 0 999 No
ATENOLOL 100 MG TABLET ATENOLOL 0 999 No
BISOPROLOL FUMARATE 10 MG TAB BISOPROLOL FUMARATE 0 999 No
BISOPROLOL FUMARATE 5 MG TAB BISOPROLOL FUMARATE 0 999 No
METOPROLOL SUCC ER 100 MG TAB METOPROLOL SUCCINATE 0 999 No
METOPROLOL TARTRATE 100 MG TAB METOPROLOL TARTRATE 0 999 No
NADOLOL 20 MG TABLET NADOLOL 0 999 No
NEBIVOLOL 10 MG TABLET NEBIVOLOL HCL 0 999 No
NEBIVOLOL 2.5 MG TABLET NEBIVOLOL HCL 0 999 No
PROPRANOLOL 10 MG TABLET PROPRANOLOL HCL 0 999 No
PROPRANOLOL 20 MG/5 ML SOLN PROPRANOLOL HCL 0 999 No
PROPRANOLOL 20 MG/5ML SOLN CUP PROPRANOLOL HCL 0 999 No
PROPRANOLOL 40 MG/5 ML SOLN PROPRANOLOL HCL 0 999 No
PROPRANOLOL ER 120 MG CAPSULE PROPRANOLOL HCL 0 999 No
SOTALOL 120 MG TABLET SOTALOL HCL 0 999 No
SOTALOL AF 120 MG TABLET SOTALOL HCL 0 999 No
J7H BETA-BLOCKERS AND THIAZIDE,THIAZIDE-LIKE DIURETICS ATENOLOL-CHLORTHALIDONE 100-25 ATENOLOL/CHLORTHALIDONE 0 999 No
ATENOLOL-CHLORTHALIDONE 50-25 ATENOLOL/CHLORTHALIDONE 0 999 No
BISOPROLOL-HCTZ 10-6.25 MG TAB BISOPROLOL/HYDROCHLOROTHIAZIDE 0 999 No
BISOPROLOL-HCTZ 2.5-6.25 MG TB BISOPROLOL/HYDROCHLOROTHIAZIDE 0 999 No
BISOPROLOL-HCTZ 5-6.25 MG TAB BISOPROLOL/HYDROCHLOROTHIAZIDE 0 999 No
J9A INTESTINAL MOTILITY STIMULANTS METOCLOPRAMIDE 10 MG TABLET METOCLOPRAMIDE HCL 0 999 No
METOCLOPRAMIDE 10 MG/10 ML CUP METOCLOPRAMIDE HCL 0 999 No
METOCLOPRAMIDE 10 MG/10 ML SOL METOCLOPRAMIDE HCL 0 999 No
METOCLOPRAMIDE 5 MG TABLET METOCLOPRAMIDE HCL 0 999 No
METOCLOPRAMIDE 5 MG/5 ML SOLN METOCLOPRAMIDE HCL 0 999 No
L1A ANTIPSORIATIC AGENTS,SYSTEMIC ACITRETIN 10 MG CAPSULE ACITRETIN 18 999 No
ACITRETIN 17.5 MG CAPSULE ACITRETIN 18 999 No
ACITRETIN 25 MG CAPSULE ACITRETIN 18 999 No
L1B ACNE AGENTS,SYSTEMIC AMNESTEEM 10 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
AMNESTEEM 20 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
AMNESTEEM 40 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
CLARAVIS 10 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
ISOTRETINOIN 10 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
ZENATANE 10 MG CAPSULE ISOTRETINOIN 12 999 Requires Med Cert 3
L2A EMOLLIENTS AMMONIUM LACTATE 12% CREAM AMMONIUM LACTATE 0 999 No
AMMONIUM LACTATE 12% LOTION AMMONIUM LACTATE 0 999 No
L3P ANTIPRURITICS,TOPICAL DOXEPIN 5% CREAM DOXEPIN HCL 18 999 Auto PA
ZONALON 5% CREAM DOXEPIN HCL 18 999 Auto PA
L5A KERATOLYTICS PODOFILOX 0.5% TOPICAL SOLN PODOFILOX 0 999 No
SALICYLIC ACID 27.5% LIQUID SALICYLIC ACID 0 999 No
SALICYLIC ACID 6% CREAM SALICYLIC ACID 0 999 No
SALICYLIC ACID 6% GEL SALICYLIC ACID 0 999 No
UREA 40% CREAM UREA 0 999 No
L5E ANTISEBORRHEIC AGENTS SELENIUM SULFIDE 2.25% SHAMPOO SELENIUM SULFIDE 0 999 No
SELENIUM SULFIDE 2.5% LOTION SELENIUM SULFIDE 0 999 No
L5F ANTIPSORIATICS AGENTS CALCIPOTRIENE 0.005% CREAM CALCIPOTRIENE 18 999 Auto PA
CALCIPOTRIENE 0.005% OINTMENT CALCIPOTRIENE 18 999 Auto PA
CALCIPOTRIENE 0.005% SOLUTION CALCIPOTRIENE 18 999 Auto PA
L5G ROSACEA AGENTS, TOPICAL FINACEA 15% GEL AZELAIC ACID 0 999 No
METRONIDAZOLE 0.75% CREAM METRONIDAZOLE 0 999 No
METRONIDAZOLE TOP 1% GEL PUMP METRONIDAZOLE 0 999 No
METRONIDAZOLE TOPICAL 0.75% GL METRONIDAZOLE 0 999 No
METRONIDAZOLE TOPICAL 1% GEL METRONIDAZOLE 0 999 No
L5H ACNE AGENTS,TOPICAL ADAPALENE-BNZYL PEROX 0.1-2.5% ADAPALENE/BENZOYL PEROXIDE 9 999 No
CLIND PH-BENZOYL PEROX 1.2-5% CLINDAMYCIN PHOS/BENZOYL PEROX 12 999 No
L9B VITAMIN A DERIVATIVES RETIN-A 0.025% CREAM TRETINOIN 12 999 No
RETIN-A 0.05% CREAM TRETINOIN 12 999 No
RETIN-A 0.1% CREAM TRETINOIN 12 999 No
M0N C1 ESTERASE INHIBITORS BERINERT 500 UNIT KIT C1 ESTERASE INHIBITOR 12 999 Auto PA
HIC3
M0N HIC3 Desc C1 ESTERASE INHIBITORS Label Name Generic Name Min Age Max Age PA Required
BERINERT 500 UNIT VIAL C1 ESTERASE INHIBITOR 12 999 Auto PA
M4B IV FAT EMULSIONS INTRALIPID 20% IV FAT EMUL FAT EMULSIONS 0 999 No
INTRALIPID 30% IV FAT EMUL FAT EMULSIONS 0 999 No
M4D ANTIHYPERLIPIDEMIC-HMGCOA REDUCTASE INHIB(STATINS) ATORVASTATIN 10 MG TABLET ATORVASTATIN CALCIUM 0 999 No
ATORVASTATIN 20 MG TABLET ATORVASTATIN CALCIUM 0 999 No
LOVASTATIN 10 MG TABLET LOVASTATIN 0 999 No
PRAVASTATIN SODIUM 10 MG TAB PRAVASTATIN SODIUM 0 999 No
ROSUVASTATIN CALCIUM 10 MG TAB ROSUVASTATIN CALCIUM 0 999 No
SIMVASTATIN 10 MG TABLET SIMVASTATIN 0 999 No
M4E LIPOTROPICS CVS FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
CVS FISH OIL 1,200 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
EQL FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
EQL FISH OIL 1,200 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
EQL OMEGA-3 FISH OIL 1,000 MG OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
EQL OMEGA-3 FISH OIL 1,200 MG OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
EZETIMIBE 10 MG TABLET EZETIMIBE 10 999 No
FENOFIBRATE 134 MG CAPSULE FENOFIBRATE,MICRONIZED 0 999 No
FENOFIBRATE 145 MG TABLET FENOFIBRATE NANOCRYSTALLIZED 0 999 No
FENOFIBRATE 160 MG TABLET FENOFIBRATE 0 999 No
FENOFIBRATE 48 MG TABLET FENOFIBRATE NANOCRYSTALLIZED 0 999 No
FENOFIBRATE 54 MG TABLET FENOFIBRATE 0 999 No
FISH OIL 1,000 MG CAPSULE OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,000 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,000 MG SOFTGEL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,200 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,200 MG SOFTGEL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 1,600 MG/5 ML LIQUID OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL 500 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL CONC 1,000 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL CONC 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL CONCENTRATE SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL CONCENTRATE SOFTGEL DOCOSAHEXAENOIC ACID/EPA 0 999 Cystic Fib Diag Auto PA
FISH OIL DR 1,000 MG SOFTGEL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL DR 500 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL EC 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL EC 1,200 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL GUMMIES OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL OMEGA-3 SOFTGEL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
FISH OIL-OMEGA-3-VIT D SOFTGEL OMEGA-3S/DHA/EPA/FISH OIL/D3 0 999 Cystic Fib Diag Auto PA
FISH OIL-VIT D3 SOFTGEL OMEGA3/DHA/EPA/FISH OIL/VIT D3 0 999 Cystic Fib Diag Auto PA
GEMFIBROZIL 600 MG TABLET GEMFIBROZIL 0 999 No
GNP FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
GNP FISH OIL 1,200 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
GNP FISH OIL EC 1,000 MG SFTGL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
GNP FISH OIL SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
GNP FISH OIL-VIT D3 SOFTGEL OMEGA3/DHA/EPA/FISH OIL/VIT D3 0 999 Cystic Fib Diag Auto PA
NIACIN ER 1,000 MG TABLET NIACIN 0 999 No
NIACIN ER 500 MG TABLET NIACIN 0 999 No
NIACIN ER 750 MG TABLET NIACIN 0 999 No
OMEGA 3 1,000 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA 3 FISH OIL SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 1,000 MG SOFTGEL OMEGA-3 FATTY ACIDS 0 999 Cystic Fib Diag Auto PA
OMEGA-3 EC SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 ETHYL ESTERS 1 GM CAP OMEGA-3 ACID ETHYL ESTERS 18 999 No
OMEGA-3 FISH OIL 1,000 MG SFGL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FISH OIL 1,000 MG SFGL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FISH OIL 1,200 MG SFGL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FISH OIL 1,400 MG SFGL OMEGA-3S/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FISH OIL 1,760 MG STGL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FISH OIL EC 1,000 MG OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
OMEGA-3-FISH OIL-VIT D3 SFTGL OMEGA3/DHA/EPA/FISH OIL/VIT D3 0 999 Cystic Fib Diag Auto PA
OMEGA-3-FISH OIL-VIT D3 SFTGL OMEGA-3S/DHA/EPA/FISH OIL/D3 0 999 Cystic Fib Diag Auto PA
RA FISH OIL 1,000 MG SOFTGEL OMEGA-3 FATTY ACIDS/FISH OIL 0 999 Cystic Fib Diag Auto PA
RA FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
RA FISH OIL 120-180 SOFTGEL DOCOSAHEXAENOIC ACID/EPA 0 999 Cystic Fib Diag Auto PA
SM FISH OIL 1,000 MG SOFTGEL OMEGA-3/DHA/EPA/FISH OIL 0 999 Cystic Fib Diag Auto PA
VASCEPA 0.5 GM CAPSULE ICOSAPENT ETHYL 18 999 No
VASCEPA 1 GM CAPSULE ICOSAPENT ETHYL 18 999 No
M4G AGENTS TO TREAT HYPOGLYCEMIA (HYPERGLYCEMICS) BAQSIMI 3 MG SPRAY GLUCAGON 4 999 No
BAQSIMI 3 MG SPRAY ONE PACK GLUCAGON 4 999 No
BAQSIMI 3 MG SPRAY TWO PACK GLUCAGON 4 999 No
GLUCAGEN 1 MG HYPOKIT GLUCAGON 0 999 No
GLUCAGON 1 MG EMERGENCY KIT GLUCAGON 0 999 No
GLUCAGON 1 MG VIAL GLUCAGON 0 999 No
PROGLYCEM 50 MG/ML ORAL SUSP DIAZOXIDE 0 999 No
ZEGALOGUE 0.6 MG/0.6ML AUTOINJ DASIGLUCAGON HCL 6 999 No
M4T ANTIHYPERLIPIDEMIC - PCSK9 INHIBITORS PRALUENT 150 MG/ML PEN ALIROCUMAB 18 999 Auto PA
PRALUENT 75 MG/ML PEN ALIROCUMAB 18 999 Auto PA
REPATHA 140 MG/ML SURECLICK EVOLOCUMAB 10 999 Auto PA
M4T ANTIHYPERLIPIDEMIC - PCSK9 INHIBITORS
REPATHA 140 MG/ML SYRINGE EVOLOCUMAB 10 999 Auto PA
M9D ANTIFIBRINOLYTIC AGENTS AMINOCAPROIC ACID 0.25 GRAM/ML AMINOCAPROIC ACID 0 999 No
AMINOCAPROIC ACID 1,000 MG TAB AMINOCAPROIC ACID 0 999 No
AMINOCAPROIC ACID 5 G/20 ML VL AMINOCAPROIC ACID 0 999 No
AMINOCAPROIC ACID 500 MG TAB AMINOCAPROIC ACID 0 999 No
CYKLOKAPRON 1,000 MG/10 ML AMP TRANEXAMIC ACID 0 999 No
CYKLOKAPRON 1,000 MG/10 ML VL TRANEXAMIC ACID 0 999 No
TRANEXAMIC 1,000 MG/100ML-NACL TRANEXAMIC ACID IN NACL,ISO-OS 0 999 No
TRANEXAMIC ACID 1,000 MG/10 ML TRANEXAMIC ACID 0 999 No
TRANEXAMIC ACID 650 MG TABLET TRANEXAMIC ACID 0 999 No
M9F THROMBOLYTIC ENZYMES CATHFLO ACTIVASE 2 MG VIAL ALTEPLASE 0 999 No
M9K HEPARIN AND RELATED PREPARATIONS ENOXAPARIN 100 MG/ML SYRINGE ENOXAPARIN SODIUM 0 999 No
ENOXAPARIN 120 MG/0.8 ML SYR ENOXAPARIN SODIUM 0 999 No
ENOXAPARIN 150 MG/ML SYRINGE ENOXAPARIN SODIUM 0 999 No
ENOXAPARIN 300 MG/3 ML VIAL ENOXAPARIN SODIUM 0 999 No
HEPARIN 10,000 UNIT/10 ML VIAL HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN 2,000 UNIT/2 ML VIAL HEPARIN SODIUM,PORCINE/PF 0 999 No
HEPARIN 5,000 UNIT/ML CARPUJCT HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN SOD 1,000 UNIT/ML VIAL HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN SOD 10,000 UNIT/ML VL HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN SOD 20,000 UNIT/ML VL HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN SOD 5,000 UNIT/0.5 ML HEPARIN SODIUM,PORCINE/PF 0 999 No
HEPARIN SOD 5,000 UNIT/ML SYRG HEPARIN SODIUM,PORCINE/PF 0 999 No
HEPARIN SOD 5,000 UNIT/ML SYRG HEPARIN SODIUM,PORCINE 0 999 No
HEPARIN SOD 5,000 UNIT/ML VIAL HEPARIN SODIUM,PORCINE 0 999 No
M9L ANTICOAGULANTS,COUMARIN TYPE JANTOVEN 1 MG TABLET WARFARIN SODIUM 0 999 No
JANTOVEN 10 MG TABLET WARFARIN SODIUM 0 999 No
JANTOVEN 2.5 MG TABLET WARFARIN SODIUM 0 999 No
JANTOVEN 7.5 MG TABLET WARFARIN SODIUM 0 999 No
WARFARIN SODIUM 1 MG TABLET WARFARIN SODIUM 0 999 No
WARFARIN SODIUM 2.5 MG TABLET WARFARIN SODIUM 0 999 No
WARFARIN SODIUM 7.5 MG TABLET WARFARIN SODIUM 0 999 No
M9P PLATELET AGGREGATION INHIBITORS ADULT ASPIRIN REGIMEN EC 81 MG ASPIRIN 0 20 No
ASPIRIN 81 MG CHEWABLE TABLET ASPIRIN 0 20 No
ASPIRIN EC 81 MG TABLET ASPIRIN 0 20 No
ASPIRIN REGIMEN 81 MG EC TAB ASPIRIN 0 20 No
ASPIRIN-DIPYRIDAM ER 25-200 MG ASPIRIN/DIPYRIDAMOLE 0 999 No
BRILINTA 60 MG TABLET TICAGRELOR 0 999 No
BRILINTA 90 MG TABLET TICAGRELOR 0 999 No
CILOSTAZOL 100 MG TABLET CILOSTAZOL 0 999 No
CILOSTAZOL 50 MG TABLET CILOSTAZOL 0 999 No
CLOPIDOGREL 75 MG TABLET CLOPIDOGREL BISULFATE 0 999 No
DIPYRIDAMOLE 25 MG TABLET DIPYRIDAMOLE 0 999 No
FT ASPIRIN EC 81 MG TABLET ASPIRIN 0 20 No
GNP ASPIRIN EC 81 MG TABLET ASPIRIN 0 20 No
GS ASPIRIN 81 MG CHEWABLE TAB ASPIRIN 0 20 No
HM ASPIRIN 81 MG CHEWABLE TAB ASPIRIN 0 20 No
HM ASPIRIN EC 81 MG TABLET ASPIRIN 0 20 No
PRASUGREL 10 MG TABLET PRASUGREL HCL 0 999 No
PRASUGREL 5 MG TABLET PRASUGREL HCL 0 999 No
SM ASPIRIN 81 MG CHEWABLE TAB ASPIRIN 0 20 No
SM ASPIRIN EC 81 MG TABLET ASPIRIN 0 20 No
SM CHILD ASPIRIN 81 MG CHW TAB ASPIRIN 0 20 No
M9S HEMORRHEOLOGIC AGENTS PENTOXIFYLLINE ER 400 MG TAB PENTOXIFYLLINE 0 999 No
M9T THROMBIN INHIBITORS, SELECTIVE, DIRECT, REVERSIBLE PRADAXA 110 MG CAPSULE DABIGATRAN ETEXILATE MESYLATE 8 999 No
PRADAXA 150 MG CAPSULE DABIGATRAN ETEXILATE MESYLATE 8 999 No
PRADAXA 75 MG CAPSULE DABIGATRAN ETEXILATE MESYLATE 8 999 No
M9V DIRECT FACTOR XA INHIBITORS ELIQUIS 2.5 MG TABLET APIXABAN 18 999 No
ELIQUIS 5 MG TABLET APIXABAN 18 999 No
ELIQUIS DVT-PE TREAT START 5MG APIXABAN 18 999 No
XARELTO 10 MG TABLET RIVAROXABAN 0 999 No
XARELTO 2.5 MG TABLET RIVAROXABAN 0 999 No
XARELTO DVT-PE TREAT START 30D RIVAROXABAN 0 999 No
N1B ERYTHROPOIESIS-STIMULATING AGENTS ARANESP 10 MCG/0.4 ML SYRINGE DARBEPOETIN ALFA IN POLYSORBAT 0 999 Clinical PA
ARANESP 100 MCG/0.5 ML SYRINGE DARBEPOETIN ALFA IN POLYSORBAT 0 999 Clinical PA
ARANESP 100 MCG/ML VIAL DARBEPOETIN ALFA IN POLYSORBAT 0 999 Clinical PA
ARANESP 25 MCG/0.42 ML SYRING DARBEPOETIN ALFA IN POLYSORBAT 0 999 Clinical PA
ARANESP 500 MCG/1 ML SYRINGE DARBEPOETIN ALFA IN POLYSORBAT 0 999 Clinical PA
EPOGEN 10,000 UNITS/ML VIAL EPOETIN ALFA 0 999 Clinical PA
RETACRIT 10,000 UNIT/ML VIAL EPOETIN ALFA-EPBX 0 999 Clinical PA
RETACRIT 20,000 UNIT/2 ML VIAL EPOETIN ALFA-EPBX 0 999 Clinical PA
N1C LEUKOCYTE (WBC) STIMULANTS LEUKINE 250 MCG VIAL SARGRAMOSTIM 0 999 No
NEUPOGEN 300 MCG/0.5 ML SYR FILGRASTIM 0 999 No
NEUPOGEN 300 MCG/ML VIAL FILGRASTIM 0 999 No
NEUPOGEN 480 MCG/0.8 ML SYR FILGRASTIM 0 999 No
NEUPOGEN 480 MCG/1.6 ML VIAL FILGRASTIM 0 999 No
NYVEPRIA 6 MG/0.6 ML SYRINGE PEGFILGRASTIM-APGF 0 999 No
N1D PLATELET REDUCING AGENTS ANAGRELIDE HCL 0.5 MG CAPSULE ANAGRELIDE HCL 0 999 No
ANAGRELIDE HCL 1 MG CAPSULE ANAGRELIDE HCL 0 999 No
N1H SICKLE CELL ANEMIA AGENTS ENDARI 5 GRAM POWDER PACKET GLUTAMINE 5 999 Auto PA
SIKLOS 1,000 MG TABLET HYDROXYUREA 2 999 Auto PA
SIKLOS 100 MG TABLET HYDROXYUREA 2 999 Auto PA
P1A GROWTH HORMONES GENOTROPIN 12 MG CARTRIDGE SOMATROPIN 0 16 Clinical PA
GENOTROPIN 5 MG CARTRIDGE SOMATROPIN 0 16 Clinical PA
GENOTROPIN MINIQUICK 0.2 MG SOMATROPIN 0 16 Clinical PA
GENOTROPIN MINIQUICK 1 MG SOMATROPIN 0 16 Clinical PA
GENOTROPIN MINIQUICK 2 MG SOMATROPIN 0 16 Clinical PA
NORDITROPIN FLEXPRO 10 MG/1.5 SOMATROPIN 0 16 Clinical PA
NORDITROPIN FLEXPRO 30 MG/3 ML SOMATROPIN 0 16 Clinical PA
P1B SOMATOSTATIC AGENTS OCTREOTIDE 1,000 MCG/5 ML VIAL OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE 1,000 MCG/ML VIAL OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE 5,000 MCG/5 ML VIAL OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE ACET 0.05 MG/ML VL OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE ACET 100 MCG/ML AMP OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE ACET 100 MCG/ML SYR OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE ACET 100 MCG/ML VL OCTREOTIDE ACETATE 0 999 No
OCTREOTIDE ACET 50 MCG/ML VIAL OCTREOTIDE ACETATE 0 999 No
P1E ADRENOCORTICOTROPHIC HORMONES ACTHAR GEL 400 UNIT/5 ML VIAL CORTICOTROPIN 0 999 Clinical PA
CORTROPHIN GEL 400 UNIT/5 ML CORTICOTROPIN 0 999 Clinical PA
CORTROPHIN GEL 80 UNIT/ML VIAL CORTICOTROPIN 0 999 Clinical PA
P1F PITUITARY SUPPRESSIVE AGENTS CABERGOLINE 0.5 MG TABLET CABERGOLINE 0 999 No
DANAZOL 100 MG CAPSULE DANAZOL 0 999 No
P1M LHRH (GNRH) AGONIST ANALOG PITUITARY SUPPRESSANTS LUPRON DEPOT 11.25 MG 3MO KIT LEUPROLIDE ACETATE 18 999 Auto PA
LUPRON DEPOT 3.75 MG KIT LEUPROLIDE ACETATE 18 999 Auto PA
LUPRON DEPOT 3.75MG (LUPANETA) LEUPROLIDE ACETATE 18 999 Auto PA
SYNAREL 2 MG/ML NASAL SPRAY NAFARELIN ACETATE 0 999 Auto PA
P1N LHRH(GNRH) ANTAGONIST,PITUITARY SUPPRESSANT AGENTS ORILISSA 150 MG TABLET ELAGOLIX SODIUM 0 999 Clinical PA
ORILISSA 200 MG TABLET ELAGOLIX SODIUM 0 999 Clinical PA
P1O LHRH (GNRH) AGONIST ANALOG AND PROGESTIN COMB LUPANETA PK 3.75-5 MG 1MO KIT LEUPROLIDE/NORETHINDRONE ACET 18 999 Auto PA
P1P LHRH(GNRH)AGNST PIT.SUP-CENTRAL PRECOCIOUS PUBERTY FENSOLVI 45 MG SYRINGE B LEUPROLIDE ACETATE 2 999 Auto PA
FENSOLVI 45 MG SYRINGE KIT LEUPROLIDE ACETATE 2 999 Auto PA
LUPRON DEPOT-PED 11.25 MG 3MO LEUPROLIDE ACETATE 1 12 Auto PA
LUPRON DEPOT-PED 11.25 MG KIT LEUPROLIDE ACETATE 1 12 Auto PA
LUPRON DEPOT-PED 15 MG KIT LEUPROLIDE ACETATE 1 12 Auto PA
LUPRON DEPOT-PED 30 MG 3MO KIT LEUPROLIDE ACETATE 1 12 Auto PA
LUPRON DEPOT-PED 45 MG 6MO KIT LEUPROLIDE ACETATE 1 12 Auto PA
LUPRON DEPOT-PED 7.5 MG KIT LEUPROLIDE ACETATE 1 12 Auto PA
TRIPTODUR 22.5 MG KIT TRIPTORELIN PAMOATE 2 12 Auto PA
TRIPTODUR 22.5 MG VIAL TRIPTORELIN PAMOATE 2 12 Auto PA
P1R LHRH (GNRH) ANTAGONIST,ESTROGEN AND PROGESTIN COMB MYFEMBREE 40 MG-1 MG-0.5 MG TB RELUGOLIX/ESTRADIOL/NORETHINDR 18 999 Clinical PA
ORIAHNN 300-1-0.5MG/300MG CAPS ELAGOLIX/ESTRADIOL/NORETHINDRN 0 999 Clinical PA
P2B ANTIDIURETIC AND VASOPRESSOR HORMONES DESMOPRESSIN 10 MCG/0.1 ML SPR DESMOPRESSIN (NONREFRIGERATED) 0 999 No
DESMOPRESSIN 40 MCG/10 ML VIAL DESMOPRESSIN ACETATE 0 999 No
DESMOPRESSIN AC 4 MCG/ML AMPUL DESMOPRESSIN ACETATE 0 999 No
DESMOPRESSIN AC 4 MCG/ML VIAL DESMOPRESSIN ACETATE 0 999 No
DESMOPRESSIN ACETATE 0.1 MG TB DESMOPRESSIN ACETATE 0 999 No
DESMOPRESSIN ACETATE 0.2 MG TB DESMOPRESSIN ACETATE 0 999 No
P3A THYROID HORMONES ARMOUR THYROID 120 MG TABLET THYROID,PORK 0 999 No
ARMOUR THYROID 15 MG TABLET THYROID,PORK 0 999 No
LEVOTHYROXINE 100 MCG TABLET LEVOTHYROXINE SODIUM 0 999 No
LEVOXYL 100 MCG TABLET LEVOTHYROXINE SODIUM 0 999 No
LIOTHYRONINE SOD 25 MCG TAB LIOTHYRONINE SODIUM 0 999 No
NIVA THYROID 120 MG TABLET THYROID,PORK 0 999 No
NP THYROID 120 MG TABLET THYROID,PORK 0 999 No
THYROID 120 MG TABLET THYROID,PORK 0 999 No
UNITHROID 100 MCG TABLET LEVOTHYROXINE SODIUM 0 999 No
P3L ANTITHYROID PREPARATIONS METHIMAZOLE 10 MG TABLET METHIMAZOLE 0 999 No
METHIMAZOLE 5 MG TABLET METHIMAZOLE 0 999 No
PROPYLTHIOURACIL 50 MG TABLET PROPYLTHIOURACIL 0 999 No
P4D HYPERPARATHYROID TX AGENTS - VITAMIN D ANALOG-TYPE DOXERCALCIFEROL 0.5 MCG CAP DOXERCALCIFEROL 0 999 No
DOXERCALCIFEROL 1 MCG CAPSULE DOXERCALCIFEROL 0 999 No
DOXERCALCIFEROL 2.5 MCG CAP DOXERCALCIFEROL 0 999 No
P4D HYPERPARATHYROID TX AGENTS - VITAMIN D ANALOG-TYPE
DOXERCALCIFEROL 4 MCG/2 ML VL DOXERCALCIFEROL 0 999 No
PARICALCITOL 1 MCG CAPSULE PARICALCITOL 0 999 No
PARICALCITOL 10 MCG/2 ML VIAL PARICALCITOL 0 999 No
PARICALCITOL 2 MCG/ML VIAL PARICALCITOL 0 999 No
PARICALCITOL 5 MCG/ML VIAL PARICALCITOL 0 999 No
P4L BONE RESORPTION INHIBITORS ALENDRONATE SODIUM 10 MG TAB ALENDRONATE SODIUM 0 999 No
ALENDRONATE SODIUM 35 MG TAB ALENDRONATE SODIUM 0 999 No
ALENDRONATE SODIUM 5 MG TABLET ALENDRONATE SODIUM 0 999 No
ALENDRONATE SODIUM 70 MG TAB ALENDRONATE SODIUM 0 999 No
CALCITONIN-SALMON 200 UNIT SPR CALCITONIN,SALMON,SYNTHETIC 18 999 No
IBANDRONATE SODIUM 150 MG TAB IBANDRONATE SODIUM 0 999 No
PAMIDRONATE 30 MG/10 ML VIAL PAMIDRONATE DISODIUM 0 999 No
RALOXIFENE HCL 60 MG TABLET RALOXIFENE HCL 18 999 No
ZOLEDRONIC ACID 4 MG VIAL ZOLEDRONIC ACID 0 999 No
ZOLEDRONIC ACID 4 MG/100 ML ZOLEDRONIC ACID/MANNITOL-WATER 0 999 No
ZOLEDRONIC ACID 4 MG/5 ML VIAL ZOLEDRONIC ACID 0 999 No
ZOLEDRONIC ACID 5 MG/100 ML ZOLEDRONIC ACID/MANNITOL-WATER 0 999 No
P4M CALCIMIMETIC,PARATHYROID CALCIUM ENHANCER CINACALCET HCL 30 MG TABLET CINACALCET HCL 18 999 No
CINACALCET HCL 60 MG TABLET CINACALCET HCL 18 999 No
CINACALCET HCL 90 MG TABLET CINACALCET HCL 18 999 No
P5A GLUCOCORTICOIDS BETAMETHASONE SP-AC 30 MG/5 ML BETAMETHASONE ACETATE,SOD PHOS 0 999 No
BUDESONIDE DR 3 MG CAPSULE BUDESONIDE 0 999 No
BUDESONIDE EC 3 MG CAPSULE BUDESONIDE 0 999 No
DEXAMETHASONE 0.5 MG TABLET DEXAMETHASONE 0 999 No
DEXAMETHASONE 0.5 MG/5 ML ELX DEXAMETHASONE 0 999 No
DEXAMETHASONE 0.5 MG/5 ML LIQ DEXAMETHASONE 0 999 No
DEXAMETHASONE 1 MG TABLET DEXAMETHASONE 0 999 No
DEXAMETHASONE 10 MG/ML SYRING DEXAMETHASONE SODIUM PHOSP/PF 0 999 No
DEXAMETHASONE 10 MG/ML VIAL DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DEXAMETHASONE 10 MG/ML VIAL DEXAMETHASONE SODIUM PHOSP/PF 0 999 No
DEXAMETHASONE 100 MG/10 ML VL DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DEXAMETHASONE 120 MG/30 ML VL DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DEXAMETHASONE 20 MG/5 ML VIAL DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DEXAMETHASONE 4 MG/ML SYRINGE DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DEXAMETHASONE 4 MG/ML VIAL DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
HYDROCORTISONE 10 MG TABLET HYDROCORTISONE 0 999 No
METHYLPREDNISOLONE 16 MG TAB METHYLPREDNISOLONE 0 999 No
METHYLPREDNISOLONE 200 MG/5 ML METHYLPREDNISOLONE ACETATE 0 999 No
METHYLPREDNISOLONE 32 MG TAB METHYLPREDNISOLONE 0 999 No
METHYLPREDNISOLONE 4 MG DOSEPK METHYLPREDNISOLONE 0 999 No
METHYLPREDNISOLONE 4 MG TABLET METHYLPREDNISOLONE 0 999 No
METHYLPREDNISOLONE 40 MG/ML VL METHYLPREDNISOLONE ACETATE 0 999 No
METHYLPREDNISOLONE 400 MG/10ML METHYLPREDNISOLONE ACETATE 0 999 No
METHYLPREDNISOLONE 400 MG/5 ML METHYLPREDNISOLONE ACETATE 0 999 No
METHYLPREDNISOLONE 80 MG/ML VL METHYLPREDNISOLONE ACETATE 0 999 No
METHYLPREDNISOLONE SS 1 GM VL METHYLPREDNISOLONE SOD SUCC 0 999 No
METHYLPREDNISOLONE SS 125 MG METHYLPREDNISOLONE SOD SUCC 0 999 No
METHYLPREDNISOLONE SS 40 MG VL METHYLPREDNISOLONE SOD SUCC 0 999 No
METHYLPREDNISOLONE SS 500 MG METHYLPREDNISOLONE SOD SUCC 0 999 No
PREDNISOLONE 15 MG/5 ML SOLN PREDNISOLONE SODIUM PHOSPHATE 0 999 No
PREDNISOLONE 15 MG/5 ML SOLN PREDNISOLONE 0 999 No
PREDNISOLONE 5 MG TABLET PREDNISOLONE 0 999 No
PREDNISOLONE 5 MG/5 ML SOLN PREDNISOLONE SODIUM PHOSPHATE 0 999 No
PREDNISOLONE SOD PH 25 MG/5 ML PREDNISOLONE SODIUM PHOSPHATE 0 999 No
PREDNISONE 1 MG TABLET PREDNISONE 0 999 No
PREDNISONE 10 MG TAB DOSE PACK PREDNISONE 0 999 No
PREDNISONE 2.5 MG TABLET PREDNISONE 0 999 No
PREDNISONE 5 MG TAB DOSE PACK PREDNISONE 0 999 No
PREDNISONE 5 MG/5 ML SOLUTION PREDNISONE 0 999 No
SOLU-CORTEF 1,000 MG ACT-O-VL HYDROCORTISONE SODIUM SUCC/PF 0 999 No
SOLU-CORTEF 100 MG ACT-O-VIAL HYDROCORTISONE SODIUM SUCC/PF 0 999 No
SOLU-CORTEF 100 MG VIAL HYDROCORTISONE SOD SUCCINATE 0 999 No
TRIAMCINOLONE ACET 200 MG/5 ML TRIAMCINOLONE ACETONIDE 0 999 No
TRIAMCINOLONE ACET 40 MG/ML VL TRIAMCINOLONE ACETONIDE 0 999 No
TRIAMCINOLONE ACET 400 MG/10ML TRIAMCINOLONE ACETONIDE 0 999 No
P5S MINERALOCORTICOIDS FLUDROCORTISONE 0.1 MG TABLET FLUDROCORTISONE ACETATE 0 999 No
Q2C OPHTHALMIC ANTI-INFLAMMATORY IMMUNOMODULATOR-TYPE RESTASIS 0.05% EYE EMULSION CYCLOSPORINE 0 999 No
RESTASIS MULTIDOSE 0.05% EYE CYCLOSPORINE 0 999 No
XIIDRA 5% EYE DROPS LIFITEGRAST 0 999 No
Q2F OPHTH. VEGF-A RECEPTOR ANTAG. RCMB MC ANTIBODY CIMERLI 0.3 MG/0.05 ML VIAL RANIBIZUMAB-EQRN 18 999 No
CIMERLI 0.5 MG/0.05 ML VIAL RANIBIZUMAB-EQRN 18 999 No
Q2L OPHTHALMIC CYSTINE DEPLETING AGENTS CYSTARAN 0.44% EYE DROPS CYSTEAMINE HCL 0 999 No
Q3B RECTAL/LOWER BOWEL PREP.,GLUCOCORT. (NON-HEMORR) HYDROCORTISONE 100 MG/60 ML HYDROCORTISONE 0 999 No
Q3E CHRONIC INFLAM. COLON DX, 5-A-SALICYLAT,RECTAL TX MESALAMINE 1,000 MG SUPP MESALAMINE 0 999 No
SFROWASA 4 GM/60 ML ENEMA MESALAMINE 0 999 No
Q3I HEMORRHOID PREP,ANTI-INFLAM STEROID-LOCAL ANESTHET HYDROCORT-PRAMOXINE 2.5-1% CRM HYDROCORTISONE/PRAMOXINE 0 999 No
LIDOCAINE-HC 2.8-0.55% GEL HYDROCORTISONE/LIDOCAINE/ALOE 0 999 No
LIDOCAINE-HC 3-0.5% CREAM LIDOCAINE/HYDROCORTISONE AC 0 999 No
LIDOCAINE-HC 3-2.5% GEL KIT HYDROCORTISONE/LIDOCAINE/ALOE 0 999 No
PROCTOFOAM-HC 1%-1% FOAM HYDROCORTISONE/PRAMOXINE 0 999 No
Q4F VAGINAL ANTIFUNGALS 3-DAY VAGINAL CREAM CLOTRIMAZOLE 0 20 No
CLOTRIMAZOLE 1% VAGINAL CREAM CLOTRIMAZOLE 0 20 No
CLOTRIMAZOLE-3 2% CREAM CLOTRIMAZOLE 0 20 No
Q4F VAGINAL ANTIFUNGALS
GS MICONAZOLE 3 COMBO PACK MICONAZOLE NITRATE 0 20 No
GS MICONAZOLE 7 CREAM MICONAZOLE NITRATE 0 20 No
MICONAZOLE 2% VAGINAL CREAM MICONAZOLE NITRATE 0 20 No
MICONAZOLE 3 COMBO PACK MICONAZOLE NITRATE 0 20 No
MICONAZOLE 7 100 MG VAG SUPP MICONAZOLE NITRATE 0 20 No
MICONAZOLE 7 CREAM MICONAZOLE NITRATE 0 20 No
SM 3-DAY VAGINAL CREAM CLOTRIMAZOLE 0 20 No
SM CLOTRIMAZOLE 1% VAG CREAM CLOTRIMAZOLE 0 20 No
SM MICONAZOLE 2% VAGINAL CREAM MICONAZOLE NITRATE 0 20 No
SM MICONAZOLE 3 COMBO PACK MICONAZOLE NITRATE 0 20 No
SM MICONAZOLE 7 100 MG VAG SUP MICONAZOLE NITRATE 0 20 No
SM MICONAZOLE 7 CREAM MICONAZOLE NITRATE 0 20 No
SM TIOCONAZOLE-1 6.5% OINTMENT TIOCONAZOLE 0 20 No
TERCONAZOLE 0.4% CREAM TERCONAZOLE 0 999 No
TERCONAZOLE 0.8% CREAM TERCONAZOLE 0 999 No
Q4K VAGINAL ESTROGEN PREPARATIONS ESTRING 2 MG VAGINAL RING ESTRADIOL 0 999 No
ESTRING 7.5 MCG/DAY (2MG) RING ESTRADIOL 0 999 No
PREMARIN VAGINAL CREAM-APPL ESTROGENS, CONJUGATED 0 999 No
VAGIFEM 10 MCG VAGINAL TAB ESTRADIOL 0 999 No
Q4W VAGINAL ANTIBIOTICS CLEOCIN 100 MG VAGINAL OVULE CLINDAMYCIN PHOSPHATE 0 999 No
CLEOCIN 2% VAGINAL CREAM CLINDAMYCIN PHOSPHATE 0 999 No
CLINDESSE 2% VAGINAL CREAM CLINDAMYCIN PHOSPHATE 0 999 No
METRONIDAZOLE VAGINAL 0.75% GL METRONIDAZOLE 0 999 No
NUVESSA VAGINAL 1.3% GEL METRONIDAZOLE 0 999 No
Q5B TOPICAL PREPARATIONS,ANTIBACTERIALS SILVER NITRATE 0.5% SOLN SILVER NITRATE 0 999 No
Q5E TOPICAL ANTI-INFLAMMATORY, NSAIDS DICLOFENAC SODIUM 1% GEL DICLOFENAC SODIUM 0 999 No
Q5F TOPICAL ANTIFUNGALS CICLOPIROX 0.77% CREAM CICLOPIROX OLAMINE 0 999 No
CICLOPIROX 0.77% TOPICAL SUSP CICLOPIROX OLAMINE 0 999 No
CICLOPIROX 8% SOLUTION CICLOPIROX 0 999 No
CLOTRIMAZOLE 1% SOLUTION CLOTRIMAZOLE 0 999 No
CLOTRIMAZOLE 1% TOPICAL CREAM CLOTRIMAZOLE 0 999 No
ECONAZOLE NITRATE 1% CREAM ECONAZOLE NITRATE 0 999 No
KETOCONAZOLE 2% CREAM KETOCONAZOLE 0 999 No
KETOCONAZOLE 2% SHAMPOO KETOCONAZOLE 0 999 No
MICONAZOLE 2% TOPICAL CREAM MICONAZOLE NITRATE 0 20 No
NYSTATIN 100,000 UNIT/GM CREAM NYSTATIN 0 999 No
NYSTATIN 100,000 UNIT/GM OINT NYSTATIN 0 999 No
NYSTATIN 100,000 UNIT/GM POWD NYSTATIN 0 999 No
NYSTATIN-TRIAMCINOLONE CREAM NYSTATIN/TRIAMCINOLONE ACET 0 999 No
NYSTATIN-TRIAMCINOLONE OINTM NYSTATIN/TRIAMCINOLONE ACET 0 999 No
Q5H TOPICAL LOCAL ANESTHETICS LIDOCAINE 3% CREAM LIDOCAINE HCL 0 999 No
LIDOCAINE 5% OINTMENT LIDOCAINE 0 999 No
LIDOCAINE 5% PATCH LIDOCAINE 0 999 Auto PA
LIDOCAINE-PRILOCAINE CREAM LIDOCAINE/PRILOCAINE 0 999 No
ZTLIDO 1.8% TOPICAL SYSTEM LIDOCAINE 0 999 Auto PA
Q5K TOPICAL IMMUNOSUPPRESSIVE AGENTS ELIDEL 1% CREAM PIMECROLIMUS 0 999 No
PROTOPIC 0.03% OINTMENT TACROLIMUS 0 999 No
PROTOPIC 0.1% OINTMENT TACROLIMUS 16 999 No
TACROLIMUS 0.03% OINTMENT TACROLIMUS 0 999 No
TACROLIMUS 0.1% OINTMENT TACROLIMUS 16 999 No
Q5M TOPICAL ANTIFUNGAL/ANTI-INFLAMMATORY,STEROID AGENT CLOTRIMAZOLE-BETAMETHASONE CRM CLOTRIMAZOLE/BETAMETHASONE DIP 0 999 No
Q5N TOPICAL ANTINEOPLASTIC PREMALIGNANT LESION AGENTS DICLOFENAC SODIUM 3% GEL DICLOFENAC SODIUM 18 999 Auto PA
EFUDEX 5% CREAM FLUOROURACIL 0 999 No
FLUOROURACIL 2% TOPICAL SOLN FLUOROURACIL 0 999 No
FLUOROURACIL 5% TOPICAL SOLN FLUOROURACIL 0 999 No
Q5P TOPICAL ANTI-INFLAMMATORY STEROIDAL ANUSOL-HC 2.5% CREAM HYDROCORTISONE 0 999 No
BETAMETHASONE DP AUG 0.05% CRM BETAMETHASONE/PROPYLENE GLYC 0 999 No
BETAMETHASONE VA 0.1% CREAM BETAMETHASONE VALERATE 0 999 No
BETAMETHASONE VALER 0.1% OINTM BETAMETHASONE VALERATE 0 999 No
CLOBETASOL 0.05% CREAM CLOBETASOL PROPIONATE 0 999 No
CLOBETASOL 0.05% OINTMENT CLOBETASOL PROPIONATE 0 999 No
CLOBETASOL 0.05% SOLUTION CLOBETASOL PROPIONATE 0 999 No
DERMA-SMOOTHE-FS BODY OIL FLUOCINOLONE ACETONIDE 0 999 No
DERMA-SMOOTHE-FS SCALP OIL FLUOCINOLONE/SHOWER CAP 0 999 No
FLUTICASONE PROP 0.005% OINT FLUTICASONE PROPIONATE 0 999 No
FLUTICASONE PROP 0.05% CREAM FLUTICASONE PROPIONATE 0 999 No
HALOBETASOL PROP 0.05% CREAM HALOBETASOL PROPIONATE 0 999 No
HYDROCORTISONE 1% CREAM HYDROCORTISONE 0 999 No
HYDROCORTISONE 1% OINTMENT HYDROCORTISONE 0 999 No
HYDROCORTISONE 2.5% CREAM HYDROCORTISONE 0 999 No
HYDROCORTISONE 2.5% OINTMENT HYDROCORTISONE 0 999 No
MOMETASONE FUROATE 0.1% CREAM MOMETASONE FUROATE 0 999 No
MOMETASONE FUROATE 0.1% OINT MOMETASONE FUROATE 0 999 No
MOMETASONE FUROATE 0.1% SOLN MOMETASONE FUROATE 0 999 No
PROCTO-MED HC 2.5% CREAM HYDROCORTISONE 0 999 No
PROCTOSOL-HC 2.5% CREAM HYDROCORTISONE 0 999 No
PROCTOZONE-HC 2.5% CREAM HYDROCORTISONE 0 999 No
TRIAMCINOLONE 0.025% CREAM TRIAMCINOLONE ACETONIDE 0 999 No
TRIAMCINOLONE 0.025% OINT TRIAMCINOLONE ACETONIDE 0 999 No
TRIAMCINOLONE 0.05% OINTMENT TRIAMCINOLONE ACETONIDE 0 999 No
Q5R TOPICAL ANTIPARASITICS GS LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS 0 999 No
HM LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS 0 999 No
LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS 0 999 No
LICE TREATMENT SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS 0 999 No
NATROBA 0.9% TOPICAL SUSP SPINOSAD 0 999 No
PERMETHRIN 5% CREAM PERMETHRIN 0 999 No
SB LICE KILLING SHAMPOO PIPERONYL BUTOXIDE/PYRETHRINS 0 999 No
Q5S TOPICAL SULFONAMIDES SILVER SULFADIAZINE 1% CREAM SILVER SULFADIAZINE 0 999 No
Q5V TOPICAL ANTIVIRALS ACYCLOVIR 5% CREAM ACYCLOVIR 12 999 No
ACYCLOVIR 5% OINTMENT ACYCLOVIR 12 999 No
DENAVIR 1% CREAM PENCICLOVIR 0 999 No
Q5W TOPICAL ANTIBIOTICS CLINDAMYCIN PH 1% GEL CLINDAMYCIN PHOSPHATE 12 999 No
CLINDAMYCIN PH 1% SOLUTION CLINDAMYCIN PHOSPHATE 12 999 No
CLINDAMYCIN PHOS 1% PLEDGET CLINDAMYCIN PHOSPHATE 12 999 No
ERYTHROMYCIN-BENZOYL GEL ERYTHROMYCIN/BENZOYL PEROXIDE 12 999 No
GENTAMICIN 0.1% CREAM GENTAMICIN SULFATE 0 999 No
Q5W TOPICAL ANTIBIOTICS
MUPIROCIN 2% OINTMENT MUPIROCIN 0 999 No
Q6C EYE VASOCONSTRICTORS PHENYLEPHRINE 10% EYE DROPS PHENYLEPHRINE HCL 0 999 No
PHENYLEPHRINE 2.5% EYE DROP PHENYLEPHRINE HCL 0 999 No
Q6E EYE IRRIGATIONS BALANCED SALT SOLUTION BALANCED SALT IRRIG SOLN NO.2 0 999 No
Q6G MIOTICS AND OTHER INTRAOCULAR PRESSURE REDUCERS BRIMONIDINE 0.2% EYE DROP BRIMONIDINE TARTRATE 0 999 No
CARTEOLOL HCL 1% EYE DROPS CARTEOLOL HCL 0 999 No
COMBIGAN 0.2%-0.5% EYE DROPS BRIMONIDINE TARTRATE/TIMOLOL 0 999 No
DORZOLAMIDE HCL 2% EYE DROPS DORZOLAMIDE HCL 0 999 No
DORZOLAMIDE-TIMOLOL EYE DROPS DORZOLAMIDE HCL/TIMOLOL MALEAT 0 999 No
LATANOPROST 0.005% EYE DROPS LATANOPROST 0 999 No
LEVOBUNOLOL 0.5% EYE DROPS LEVOBUNOLOL HCL 0 999 No
RHOPRESSA 0.02% OPHTH SOLUTION NETARSUDIL MESYLATE 18 999 No
ROCKLATAN 0.02%-0.005% EYE DRP NETARSUDIL MESYLAT/LATANOPROST 18 999 No
TIMOLOL 0.25% GEL-SOLUTION TIMOLOL MALEATE 0 999 No
TIMOLOL 0.5% GEL-SOLUTION TIMOLOL MALEATE 0 999 No
TIMOLOL 0.5% GFS GEL-SOLUTION TIMOLOL MALEATE 0 999 No
TIMOLOL MALEATE 0.25% EYE DROP TIMOLOL MALEATE 0 999 No
TIMOLOL MALEATE 0.5% EYE DROPS TIMOLOL MALEATE 0 999 No
TRAVATAN Z 0.004% EYE DROP TRAVOPROST 0 999 No
Q6I EYE ANTIBIOTIC AND GLUCOCORTICOID COMBINATIONS NEO-BACIT-POLY-HC EYE OINTMENT NEOMYCIN/BACIT/P-MYX/HYDROCORT 0 999 No
NEOMYC-POLYM-DEXAMET EYE OINTM NEOMYCIN/POLYMYXIN B/DEXAMETHA 0 999 No
NEOMYC-POLYM-DEXAMETH EYE DROP NEOMYCIN/POLYMYXIN B/DEXAMETHA 0 999 No
TOBRADEX EYE DROPS TOBRAMYCIN/DEXAMETHASONE 0 999 No
TOBRADEX EYE OINTMENT TOBRAMYCIN/DEXAMETHASONE 0 999 No
TOBRADEX ST 0.3-0.05% EYE DROP TOBRAMYCIN/DEXAMETHASONE 0 999 No
Q6J MYDRIATICS ATROPINE 1% EYE DROPS ATROPINE SULFATE 0 999 No
ATROPINE 1% EYE DROPS ATROPINE SULFATE/PF 0 999 No
ATROPINE 1% EYE OINTMENT ATROPINE SULFATE 0 999 No
Q6P EYE ANTI-INFLAMMATORY AGENTS ALREX 0.2% EYE DROPS LOTEPREDNOL ETABONATE 0 999 No
DEXAMETHASONE 0.1% EYE DROP DEXAMETHASONE SODIUM PHOSPHATE 0 999 No
DICLOFENAC 0.1% EYE DROPS DICLOFENAC SODIUM 0 999 No
DIFLUPREDNATE 0.05% EYE DROP DIFLUPREDNATE 0 999 No
FLAREX 0.1% EYE DROPS FLUOROMETHOLONE ACETATE 0 999 No
FLUOROMETHOLONE 0.1% DROPS FLUOROMETHOLONE 0 999 No
FML FORTE 0.25% EYE DROPS FLUOROMETHOLONE 0 999 No
KETOROLAC 0.5% OPHTH SOLUTION KETOROLAC TROMETHAMINE 0 999 No
MAXIDEX 0.1% EYE DROPS DEXAMETHASONE 0 999 No
PREDNISOLONE AC 1% EYE DROP PREDNISOLONE ACETATE 0 999 No
Q6R EYE ANTIHISTAMINES AZELASTINE HCL 0.05% DROPS AZELASTINE HCL 0 999 No
BEPREVE 1.5% EYE DROPS BEPOTASTINE BESILATE 2 999 No
GNP OLOPATADINE 0.1% EYE DROPS OLOPATADINE HCL 0 20 No
OLOPATADINE HCL 0.1% EYE DROP OLOPATADINE HCL 0 20 No
OLOPATADINE HCL 0.1% EYE DROPS OLOPATADINE HCL 0 20 No
OLOPATADINE HCL 0.1% EYE DROPS OLOPATADINE HCL 0 999 No
SM OLOPATADINE 0.2% EYE DROP OLOPATADINE HCL 0 20 No
Q6S EYE SULFONAMIDES SULF-PRED 10-0.23% EYE DROPS SULFACETAMIDE/PREDNISOLONE SP 0 999 No
Q6U EYE MAST CELL STABILIZERS CROMOLYN 4% EYE DROPS CROMOLYN SODIUM 0 999 No
Q6V EYE ANTIVIRALS TRIFLURIDINE 1% EYE DROPS TRIFLURIDINE 0 999 No
HIC3
Q6V HIC3 Desc EYE ANTIVIRALS Label Name Generic Name Min Age Max Age PA Required
ZIRGAN 0.15% OPHTHALMIC GEL GANCICLOVIR 0 999 No
Q6W OPHTHALMIC ANTIBIOTICS BACITRACIN-POLYMYXIN EYE OINT BACITRACIN/POLYMYXIN B SULFATE 0 999 No
CIPROFLOXACIN 0.3% EYE DROP CIPROFLOXACIN HCL 0 999 No
ERYTHROMYCIN 0.5% EYE OINTMENT ERYTHROMYCIN BASE 0 999 No
GENTAMICIN 0.3% EYE DROP GENTAMICIN SULFATE 0 999 No
MOXIFLOXACIN 0.5% EYE DROPS MOXIFLOXACIN HCL 0 999 No
NEOMYC-BACIT-POLYMIX EYE OINT NEOMYCIN/BACITRACIN/POLYMYXINB 0 999 No
OFLOXACIN 0.3% EYE DROPS OFLOXACIN 0 999 No
POLYCIN EYE OINTMENT BACITRACIN/POLYMYXIN B SULFATE 0 999 No
POLYMYXIN B-TMP EYE DROPS POLYMYXIN B SULF/TRIMETHOPRIM 0 999 No
TOBRAMYCIN 0.3% EYE DROP TOBRAMYCIN 0 999 No
Q7E NASAL ANTIHISTAMINE AZELASTINE 0.1% (137 MCG) SPRY AZELASTINE HCL 0 999 No
Q7O NASAL ANTIHISTAMINE AND ANTI-INFLAM. STEROID COMB. DYMISTA NASAL SPRAY AZELASTINE/FLUTICASONE 0 999 No
Q7P NASAL ANTI-INFLAMMATORY STEROIDS FLUTICASONE PROP 50 MCG SPRAY FLUTICASONE PROPIONATE 0 999 No
Q8B EAR PREPARATIONS, MISC. ANTI-INFECTIVES ACETIC ACID 2% EAR SOLUTION ACETIC ACID 0 999 No
Q8F OTIC PREPARATIONS,ANTI-INFLAMMATORY-ANTIBIOTICS CIPRODEX OTIC SUSPENSION CIPROFLOXACIN HCL/DEXAMETH 0 999 No
Q8P EAR PREPARATIONS ANTI-INFLAMMATORY DERMOTIC OIL 0.01% EAR DROPS FLUOCINOLONE ACETONIDE OIL 0 999 No
Q8W EAR PREPARATIONS,ANTIBIOTICS NEOMYCIN-POLYMYXIN-HC EAR SOLN NEOMYCIN/POLYMYXIN B/HYDROCORT 0 999 No
NEOMYCIN-POLYMYXIN-HC EAR SUSP NEOMYCIN/POLYMYXIN B/HYDROCORT 0 999 No
OFLOXACIN 0.3% EAR DROPS OFLOXACIN 0 999 No
Q9B BENIGN PROSTATIC HYPERTROPHY/MICTURITION AGENTS ALFUZOSIN HCL ER 10 MG TABLET ALFUZOSIN HCL 0 999 No
DUTASTERIDE 0.5 MG CAPSULE DUTASTERIDE 0 999 No
FINASTERIDE 5 MG TABLET FINASTERIDE 0 999 No
TAMSULOSIN HCL 0.4 MG CAPSULE TAMSULOSIN HCL 0 999 No
R1A URINARY TRACT ANTISPASMODIC/ANTIINCONTINENCE AGENT OXYBUTYNIN 2.5 MG TABLET OXYBUTYNIN CHLORIDE 0 999 No
OXYBUTYNIN 5 MG TABLET OXYBUTYNIN CHLORIDE 0 999 No
OXYBUTYNIN 5 MG/5 ML SOLUTION OXYBUTYNIN CHLORIDE 0 999 No
OXYBUTYNIN 5 MG/5 ML SYRUP OXYBUTYNIN CHLORIDE 0 999 No
OXYBUTYNIN CL ER 10 MG TABLET OXYBUTYNIN CHLORIDE 6 999 No
TOVIAZ ER 4 MG TABLET FESOTERODINE FUMARATE 6 999 No
TOVIAZ ER 8 MG TABLET FESOTERODINE FUMARATE 6 999 No
R1E CARBONIC ANHYDRASE INHIBITORS ACETAZOLAMIDE 125 MG TABLET ACETAZOLAMIDE 0 999 No
ACETAZOLAMIDE 250 MG TABLET ACETAZOLAMIDE 0 999 No
ACETAZOLAMIDE ER 500 MG CAP ACETAZOLAMIDE 0 999 No
METHAZOLAMIDE 25 MG TABLET METHAZOLAMIDE 0 999 No
METHAZOLAMIDE 50 MG TABLET METHAZOLAMIDE 0 999 No
R1F THIAZIDE AND RELATED DIURETICS CHLORTHALIDONE 25 MG TABLET CHLORTHALIDONE 0 999 No
CHLORTHALIDONE 50 MG TABLET CHLORTHALIDONE 0 999 No
DIURIL 250 MG/5 ML ORAL SUSP CHLOROTHIAZIDE 0 11 No
HYDROCHLOROTHIAZIDE 12.5 MG CP HYDROCHLOROTHIAZIDE 0 999 No
HYDROCHLOROTHIAZIDE 12.5 MG TB HYDROCHLOROTHIAZIDE 0 999 No
HYDROCHLOROTHIAZIDE 25 MG TAB HYDROCHLOROTHIAZIDE 0 999 No
HYDROCHLOROTHIAZIDE 50 MG TAB HYDROCHLOROTHIAZIDE 0 999 No
INDAPAMIDE 1.25 MG TABLET INDAPAMIDE 0 999 No
INDAPAMIDE 2.5 MG TABLET INDAPAMIDE 0 999 No
METOLAZONE 10 MG TABLET METOLAZONE 0 999 No
METOLAZONE 2.5 MG TABLET METOLAZONE 0 999 No
METOLAZONE 5 MG TABLET METOLAZONE 0 999 No
R1H POTASSIUM SPARING DIURETICS AMILORIDE HCL 5 MG TABLET AMILORIDE HCL 0 999 No
EPLERENONE 25 MG TABLET EPLERENONE 0 999 No
EPLERENONE 50 MG TABLET EPLERENONE 0 999 No
SPIRONOLACTONE 100 MG TABLET SPIRONOLACTONE 0 999 No
R1I URINARY TRACT ANTISPASMODIC, M(3) SELECTIVE ANTAG. SOLIFENACIN 10 MG TABLET SOLIFENACIN SUCCINATE 18 999 No
SOLIFENACIN 5 MG TABLET SOLIFENACIN SUCCINATE 18 999 No
R1L POTASSIUM SPARING DIURETICS IN COMBINATION AMILORIDE HCL-HCTZ 5-50 MG TAB AMILORIDE/HYDROCHLOROTHIAZIDE 0 999 No
SPIRONOLACTONE-HCTZ 25-25 TAB SPIRONOLACT/HYDROCHLOROTHIAZID 0 999 No
TRIAMTERENE-HCTZ 37.5-25 MG CP TRIAMTERENE/HYDROCHLOROTHIAZID 0 999 No
TRIAMTERENE-HCTZ 37.5-25 MG TB TRIAMTERENE/HYDROCHLOROTHIAZID 0 999 No
TRIAMTERENE-HCTZ 75-50 MG TAB TRIAMTERENE/HYDROCHLOROTHIAZID 0 999 No
R1M LOOP DIURETICS BUMETANIDE 0.5 MG TABLET BUMETANIDE 0 999 No
BUMETANIDE 1 MG TABLET BUMETANIDE 0 999 No
BUMETANIDE 1 MG/4 ML VIAL BUMETANIDE 0 999 No
BUMETANIDE 2 MG TABLET BUMETANIDE 0 999 No
BUMETANIDE 2.5 MG/10 ML VIAL BUMETANIDE 0 999 No
FUROSEMIDE 10 MG/ML SOLUTION FUROSEMIDE 0 999 No
FUROSEMIDE 100 MG/10 ML VIAL FUROSEMIDE 0 999 No
FUROSEMIDE 20 MG TABLET FUROSEMIDE 0 999 No
FUROSEMIDE 40 MG/4 ML SYRINGE FUROSEMIDE 0 999 No
FUROSEMIDE 40 MG/5 ML SOLN FUROSEMIDE 0 999 No
TORSEMIDE 10 MG TABLET TORSEMIDE 0 999 No
R1R URICOSURIC AGENTS PROBENECID 500 MG TABLET PROBENECID 0 999 No
PROBENECID-COLCHICINE TABLET PROBENECID/COLCHICINE 0 999 No
R1S URINARY PH MODIFIERS K-PHOS #2 TABLET SOD PHOS,M-B/K PHOS,MONOB 0 999 No
K-PHOS NEUTRAL TABLET SOD PHOS DI, MONO/K PHOS MONO 0 999 No
K-PHOS ORIGINAL TABLET POTASSIUM PHOSPHATE,MONOBASIC 0 999 No
ORACIT ORAL SOLUTION CITRIC ACID/SODIUM CITRATE 0 999 No
PHOSPHA 250 NEUTRAL TABLET SOD PHOS DI, MONO/K PHOS MONO 0 999 No
PHOSPHO-TRIN K500 500 MG TAB POTASSIUM PHOSPHATE,MONOBASIC 0 999 No
POTASS CIT-SOD CIT-CITRIC SOLN SOD/POT/K CIT/SOD CIT/CIT ACID 0 999 No
POTASSIUM CIT-CITRIC ACID SOLN POTASSIUM CITRATE/CITRIC ACID 0 999 No
POTASSIUM CITRATE ER 10 MEQ TB POTASSIUM CITRATE 0 999 No
POTASSIUM CITRATE ER 15 MEQ TB POTASSIUM CITRATE 0 999 No
POTASSIUM CITRATE ER 5 MEQ TAB POTASSIUM CITRATE 0 999 No
SOD CITRATE-CITRIC ACID SOLN CITRIC ACID/SODIUM CITRATE 0 999 No
TRICITRATES ORAL SOLUTION SOD/POT/K CIT/SOD CIT/CIT ACID 0 999 No
VIRT-PHOS 250 NEUTRAL TABLET SOD PHOS DI, MONO/K PHOS MONO 0 999 No
R1W CYSTINE-DEPLETING AGENTS, NEPHROPATHIC CYSTINOSIS CYSTAGON 150 MG CAPSULE CYSTEAMINE BITARTRATE 0 999 No
CYSTAGON 50 MG CAPSULE CYSTEAMINE BITARTRATE 0 999 No
R4A KIDNEY STONE AGENTS TIOPRONIN 100 MG TABLET TIOPRONIN 0 999 No
R5A URINARY TRACT ANESTHETIC/ANALGESIC AGNT (AZO-DYE) PHENAZOPYRIDINE 100 MG TAB PHENAZOPYRIDINE HCL 0 999 No
PHENAZOPYRIDINE 200 MG TAB PHENAZOPYRIDINE HCL 0 999 No
S2A COLCHICINE COLCHICINE 0.6 MG TABLET COLCHICINE 4 999 No
S2B NSAIDS, CYCLOOXYGENASE INHIBITOR TYPE ANALGESICS CALDOLOR 800 MG/200 ML BAG IBUPROFEN 0 999 No
CALDOLOR 800 MG/8 ML VIAL IBUPROFEN 0 999 No
DICLOFENAC SOD DR 25 MG TAB DICLOFENAC SODIUM 0 999 No
DICLOFENAC SOD EC 25 MG TAB DICLOFENAC SODIUM 0 999 No
IBU 400 MG TABLET IBUPROFEN 0 999 No
IBUPROFEN 100 MG/5 ML SUSP IBUPROFEN 0 999 No
IBUPROFEN 100 MG/5 ML SUSP CUP IBUPROFEN 0 999 No
IBUPROFEN 400 MG TABLET IBUPROFEN 0 999 No
INDOMETHACIN 25 MG CAPSULE INDOMETHACIN 0 999 No
INDOMETHACIN 50 MG CAPSULE INDOMETHACIN 0 999 No
INDOMETHACIN 50 MG SUPPOS INDOMETHACIN 0 999 No
INDOMETHACIN ER 75 MG CAPSULE INDOMETHACIN 0 999 No
KETOROLAC 10 MG TABLET KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 15 MG/ML SYRINGE KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 15 MG/ML VIAL KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 30 MG/ML SYRINGE KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 30 MG/ML VIAL KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 60 MG/2 ML SYRINGE KETOROLAC TROMETHAMINE 17 999 No
KETOROLAC 60 MG/2 ML VIAL KETOROLAC TROMETHAMINE 17 999 No
MELOXICAM 15 MG TABLET MELOXICAM 0 999 No
MELOXICAM 7.5 MG TABLET MELOXICAM 0 999 No
NABUMETONE 500 MG TABLET NABUMETONE 0 999 No
NABUMETONE 750 MG TABLET NABUMETONE 0 999 No
NAPROXEN 125 MG/5 ML SUSPEN NAPROXEN 0 11 No
NAPROXEN 250 MG TABLET NAPROXEN 0 999 No
NAPROXEN SODIUM 275 MG TAB NAPROXEN SODIUM 0 999 No
NAPROXEN SODIUM 550 MG TAB NAPROXEN SODIUM 0 999 No
PIROXICAM 10 MG CAPSULE PIROXICAM 0 999 No
PIROXICAM 20 MG CAPSULE PIROXICAM 0 999 No
SULINDAC 150 MG TABLET SULINDAC 0 999 No
SULINDAC 200 MG TABLET SULINDAC 0 999 No
S2I ANTI-INFLAMMATORY, PYRIMIDINE SYNTHESIS INHIBITOR LEFLUNOMIDE 10 MG TABLET LEFLUNOMIDE 0 999 No
LEFLUNOMIDE 20 MG TABLET LEFLUNOMIDE 0 999 No
S2J ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR ENBREL 25 MG/0.5 ML SYRINGE ETANERCEPT 2 999 Auto PA
ENBREL 25 MG/0.5 ML VIAL ETANERCEPT 2 999 Auto PA
ENBREL 50 MG/ML MINI CARTRIDGE ETANERCEPT 2 999 Auto PA
ENBREL 50 MG/ML SURECLICK ETANERCEPT 2 999 Auto PA
S2J ANTI-INFLAMMATORY TUMOR NECROSIS FACTOR INHIBITOR
ENBREL 50 MG/ML SYRINGE ETANERCEPT 2 999 Auto PA
HUMIRA 40 MG/0.8 ML SYRINGE ADALIMUMAB 2 999 Auto PA
HUMIRA PEN 40 MG/0.8 ML ADALIMUMAB 2 999 Auto PA
HUMIRA PEN CROHN-UC-HS 40 MG ADALIMUMAB 2 999 Auto PA
HUMIRA PEN PS-UV-ADOL HS 40 MG ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) 10 MG/0.1 ML SYRING ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEDI CROHN 80-40 MG ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEDI CROHN 80MG/0.8 ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEN 40 MG/0.4 ML ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEN 80 MG/0.8 ML ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEN CRHN-UC-HS 80MG ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEN PEDI UC 80 MG ADALIMUMAB 2 999 Auto PA
HUMIRA(CF) PEN PS-UV-AHS 80-40 ADALIMUMAB 2 999 Auto PA
INFLIXIMAB 100 MG VIAL INFLIXIMAB 6 999 No
S2L NSAIDS,CYCLOOXYGENASE-2(COX-2) SELECTIVE INHIBITOR CELECOXIB 100 MG CAPSULE CELECOXIB 0 999 No
CELECOXIB 200 MG CAPSULE CELECOXIB 0 999 No
S2Z ANTI-INFLAMMATORY,PHOSPHODIESTERASE-4(PDE4) INHIB. OTEZLA 28 DAY STARTER PACK APREMILAST 18 999 No
OTEZLA 30 MG TABLET APREMILAST 18 999 No
OTEZLA STARTER PACK APREMILAST 18 999 No
S7A NEUROMUSCULAR BLOCKING AGENTS BOTOX 100 UNIT VIAL ONABOTULINUMTOXINA 0 999 Clinical PA
BOTOX 200 UNIT VIAL ONABOTULINUMTOXINA 0 999 Clinical PA
DYSPORT 300 UNIT VIAL ABOBOTULINUMTOXINA 0 999 Clinical PA
DYSPORT 500 UNITS VIAL ABOBOTULINUMTOXINA 0 999 Clinical PA
T0I TOP. ANTI-INFLAM.,PHOSPHODIESTERASE-4 (PDE4) INHIB EUCRISA 2% OINTMENT CRISABOROLE 0 999 Auto PA
U5B HERBAL DRUGS ALOE VERA 5,000 (25) MG SFTGEL ALOE VERA 0 999 Cystic Fib Diag Auto PA
FLAXSEED OIL 1,000 MG CAPSULE FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
FLAXSEED OIL 1,000 MG SOFTGEL FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
GNP FLAXSEED 1,000 MG SOFTGEL FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
MILK THISTLE 150 MG CAPSULE MILK THISTLE 0 999 Cystic Fib Diag Auto PA
MILK THISTLE 175 MG CAPSULE MILK THISTLE SEED EXTRACT 0 999 Cystic Fib Diag Auto PA
MILK THISTLE 175 MG TABLET MILK THISTLE 0 999 Cystic Fib Diag Auto PA
MILK THISTLE 175 MG TABLET MILK THISTLE SEED EXTRACT 0 999 Cystic Fib Diag Auto PA
MILK THISTLE 500 MG CAPSULE MILK THISTLE 0 999 Cystic Fib Diag Auto PA
MILK THISTLE EXTRACT CAPSULE MILK THISTLE SEED EXTRACT 0 999 Cystic Fib Diag Auto PA
OMEGA-3 FLAXSEED OIL 1,000 MG FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
PROBIOTIC PLUS & CRANBERRY CAP CRAN/C/B.COAG/FOS/L.ACID/L.RHA 0 999 Cystic Fib Diag Auto PA
RA FLAXSEED 1,000 MG SOFTGEL FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
SPIRULINA 500 MG TABLET BLUE-GREEN ALGAE 0 999 Cystic Fib Diag Auto PA
SV ALOE VERA 25 MG SOFTGEL ALOE VERA 0 999 Cystic Fib Diag Auto PA
SV FLAXSEED OIL 1,000 MG SFTGL FLAXSEED OIL 0 999 Cystic Fib Diag Auto PA
V1A ANTINEOPLASTIC - ALKYLATING AGENTS BENDAMUSTINE 100 MG VIAL BENDAMUSTINE HCL 0 999 No
BENDAMUSTINE 100 MG/4 ML VIAL BENDAMUSTINE HCL 0 999 No
BENDAMUSTINE 25 MG VIAL BENDAMUSTINE HCL 0 999 No
BENDEKA 100 MG/4 ML VIAL BENDAMUSTINE HCL 0 999 No
BICNU 100 MG VIAL CARMUSTINE 0 999 No
CARBOPLATIN 150 MG/15 ML VIAL CARBOPLATIN 0 999 No
V1A ANTINEOPLASTIC - ALKYLATING AGENTS
CISPLATIN 100 MG/100 ML VIAL CISPLATIN 0 999 No
CISPLATIN 50 MG VIAL CISPLATIN 0 999 No
CYCLOPHOSPHAMIDE 1 GM VIAL CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 1 GM/2 ML VL CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 2 GM VIAL CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 25 MG CAPSULE CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 25 MG TABLET CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 50 MG CAPSULE CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 50 MG TABLET CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 500 MG VIAL CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 500 MG/2.5 ML CYCLOPHOSPHAMIDE 0 999 No
CYCLOPHOSPHAMIDE 500 MG/ML VL CYCLOPHOSPHAMIDE 0 999 No
HYDROXYUREA 500 MG CAPSULE HYDROXYUREA 0 999 No
IFOSFAMIDE 1 GM VIAL IFOSFAMIDE 0 999 No
IFOSFAMIDE 1 GM/20 ML VIAL IFOSFAMIDE 0 999 No
IFOSFAMIDE 3 GM VIAL IFOSFAMIDE 0 999 No
IFOSFAMIDE 3 GM/60 ML VIAL IFOSFAMIDE 0 999 No
KEMOPLAT 50 MG/50 ML VIAL CISPLATIN 0 999 No
LEUKERAN 2 MG TABLET CHLORAMBUCIL 0 999 No
MELPHALAN 2 MG TABLET MELPHALAN 18 999 No
MELPHALAN 50 MG VIAL W-DILUENT MELPHALAN HCL 0 999 No
MELPHALAN HCL 50 MG VIAL MELPHALAN HCL 0 999 No
MYLERAN 2 MG TABLET BUSULFAN 0 999 No
OXALIPLATIN 100 MG VIAL OXALIPLATIN 0 999 No
OXALIPLATIN 100 MG/20 ML VIAL OXALIPLATIN 0 999 No
OXALIPLATIN 50 MG VIAL OXALIPLATIN 0 999 No
PARAPLATIN 1,000 MG/100 ML VL CARBOPLATIN 0 999 No
PARAPLATIN 150 MG/15 ML VIAL CARBOPLATIN 0 999 No
TEMODAR 100 MG VIAL TEMOZOLOMIDE 0 999 No
TEMOZOLOMIDE 100 MG CAPSULE TEMOZOLOMIDE 0 999 No
V1B ANTINEOPLASTIC - ANTIMETABOLITES AZACITIDINE 100 MG VIAL AZACITIDINE 0 999 No
CLADRIBINE 10 MG/10 ML VIAL CLADRIBINE 0 999 No
V1B ANTINEOPLASTIC - ANTIMETABOLITES
CYTARABINE 100 MG/5 ML VIAL CYTARABINE/PF 0 999 No
CYTARABINE 2 G/20 ML VIAL CYTARABINE/PF 0 999 No
CYTARABINE 20 MG/ML VIAL CYTARABINE/PF 0 999 No
CYTARABINE 20 MG/ML VIAL CYTARABINE 0 999 No
DECITABINE 50 MG VIAL DECITABINE 0 999 No
FLUDARABINE 50 MG VIAL FLUDARABINE PHOSPHATE 0 999 No
FLUDARABINE 50 MG/2 ML VIAL FLUDARABINE PHOSPHATE 0 999 No
FLUOROURACIL 1 GRAM/20 ML VIAL FLUOROURACIL 0 999 No
FLUOROURACIL 2.5 GRAM/50 ML VL FLUOROURACIL 0 999 No
FLUOROURACIL 5 GRAM/100 ML VL FLUOROURACIL 0 999 No
FLUOROURACIL 500 MG/10 ML VIAL FLUOROURACIL 0 999 No
GEMCITABINE 1 GRAM/26.3 ML VL GEMCITABINE HCL 0 999 No
GEMCITABINE 2 GRAM/52.6 ML VL GEMCITABINE HCL 0 999 No
GEMCITABINE 200 MG/5.26 ML VL GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 1 GRAM VIAL GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 1 GRAM/10 ML GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 1.5 GRAM/15 ML GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 2 GRAM VIAL GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 2 GRAM/20 ML GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 200 MG VIAL GEMCITABINE HCL 0 999 No
GEMCITABINE HCL 200 MG/2 ML VL GEMCITABINE HCL 0 999 No
MERCAPTOPURINE 50 MG TABLET MERCAPTOPURINE 0 999 No
METHOTREXATE 1 GM VIAL METHOTREXATE SODIUM/PF 0 999 No
METHOTREXATE 1 GRAM/40 ML VIAL METHOTREXATE SODIUM/PF 0 999 No
METHOTREXATE 2.5 MG TABLET METHOTREXATE SODIUM 0 999 No
METHOTREXATE 25 MG/ML VIAL METHOTREXATE SODIUM/PF 0 999 No
METHOTREXATE 250 MG/10 ML VIAL METHOTREXATE SODIUM/PF 0 999 No
METHOTREXATE 250 MG/10 ML VIAL METHOTREXATE SODIUM 0 999 No
METHOTREXATE 50 MG/2 ML VIAL METHOTREXATE SODIUM/PF 0 999 No
METHOTREXATE 50 MG/2 ML VIAL METHOTREXATE SODIUM 0 999 No
PEMETREXED DISODIUM 1 GM VIAL PEMETREXED DISODIUM 0 999 No
PEMETREXED DISODIUM 1 GM/40 ML PEMETREXED DISODIUM 0 999 No
PEMETREXED DISODIUM 100 MG VL PEMETREXED DISODIUM 0 999 No
PEMETREXED DISODIUM 100 MG/4ML PEMETREXED DISODIUM 0 999 No
PEMETREXED DISODIUM 500MG/20ML PEMETREXED DISODIUM 0 999 No
PEMETREXED DISODIUM 850MG/34ML PEMETREXED DISODIUM 0 999 No
XELODA 150 MG TABLET CAPECITABINE 18 999 No
XELODA 500 MG TABLET CAPECITABINE 18 999 No
V1C ANTINEOPLASTIC - VINCA ALKALOIDS VINBLASTINE 1 MG/ML VIAL VINBLASTINE SULFATE 0 999 No
VINCRISTINE 1 MG/ML VIAL VINCRISTINE SULFATE 0 999 No
VINCRISTINE 2 MG/2 ML VIAL VINCRISTINE SULFATE 0 999 No
VINORELBINE 10 MG/ML VIAL VINORELBINE TARTRATE 0 999 No
VINORELBINE 50 MG/5 ML VIAL VINORELBINE TARTRATE 0 999 No
V1D ANTIBIOTIC ANTINEOPLASTICS BLEOMYCIN SULFATE 15 UNIT VIAL BLEOMYCIN SULFATE 0 999 No
BLEOMYCIN SULFATE 30 UNIT VIAL BLEOMYCIN SULFATE 0 999 No
DAUNORUBICIN 20 MG/4 ML VIAL DAUNORUBICIN HCL 0 999 No
DAUNORUBICIN 50 MG/10 ML VIAL DAUNORUBICIN HCL 0 999 No
DOXORUBICIN 10 MG VIAL DOXORUBICIN HCL 0 999 No
V1D ANTIBIOTIC ANTINEOPLASTICS
DOXORUBICIN 10 MG/5 ML VIAL DOXORUBICIN HCL 0 999 No
DOXORUBICIN 50 MG VIAL DOXORUBICIN HCL 0 999 No
DOXORUBICIN LIPOSOME 20MG/10ML DOXORUBICIN HCL PEG-LIPOSOMAL 18 999 No
DOXORUBICIN LIPOSOME 50MG/25ML DOXORUBICIN HCL PEG-LIPOSOMAL 18 999 No
ELLENCE 2 MG/ML VIAL EPIRUBICIN HCL 18 999 Auto PA
IDARUBICIN HCL 10 MG/10 ML VL IDARUBICIN HCL 0 999 No
IDARUBICIN HCL 20 MG/20 ML VL IDARUBICIN HCL 0 999 No
IDARUBICIN HCL 5 MG/5 ML VIAL IDARUBICIN HCL 0 999 No
MITOMYCIN 20 MG VIAL MITOMYCIN 0 999 No
V1E STEROID ANTINEOPLASTICS MEGESTROL 20 MG TABLET MEGESTROL ACETATE 0 999 No
MEGESTROL 40 MG TABLET MEGESTROL ACETATE 0 999 No
V1F ANTINEOPLASTICS,MISCELLANEOUS DACARBAZINE 100 MG VIAL DACARBAZINE 0 999 No
DACARBAZINE 200 MG VIAL DACARBAZINE 0 999 No
DOCETAXEL 160 MG/16 ML VIAL DOCETAXEL 18 999 No
DOCETAXEL 20 MG/ML VIAL DOCETAXEL 18 999 No
ETOPOSIDE 1,000 MG/50 ML VIAL ETOPOSIDE 0 999 No
ETOPOSIDE 100 MG/5 ML VIAL ETOPOSIDE 0 999 No
ETOPOSIDE 500 MG/25 ML VIAL ETOPOSIDE 0 999 No
MATULANE 50 MG CAPSULE PROCARBAZINE HCL 0 999 No
MITOXANTRONE 20 MG/10 ML VIAL MITOXANTRONE HCL 18 999 No
MITOXANTRONE 25 MG/12.5 ML VL MITOXANTRONE HCL 18 999 No
MITOXANTRONE 30 MG/15 ML VIAL MITOXANTRONE HCL 18 999 No
ONCASPAR 3,750 UNIT/5 ML VIAL PEGASPARGASE 0 999 No
PACLITAXEL 100 MG/16.7 ML VIAL PACLITAXEL 0 999 No
PACLITAXEL 150 MG/25 ML VIAL PACLITAXEL 0 999 No
TRETINOIN 10 MG CAPSULE TRETINOIN 1 999 No
V1I CHEMOTHERAPY RESCUE/ANTIDOTE AGENTS DEXRAZOXANE 250 MG VIAL DEXRAZOXANE HCL 18 999 No
DEXRAZOXANE 500 MG VIAL DEXRAZOXANE HCL 18 999 No
LEUCOVORIN CAL 100 MG/10 ML VL LEUCOVORIN CALCIUM 0 999 No
LEUCOVORIN CAL 500 MG/50 ML VL LEUCOVORIN CALCIUM 0 999 No
LEUCOVORIN CALCIUM 10 MG TAB LEUCOVORIN CALCIUM 0 999 No
LEUCOVORIN CALCIUM 100 MG VIAL LEUCOVORIN CALCIUM 0 999 No
MESNA 1 GRAM/10 ML VIAL MESNA 0 999 No
V1J ANTINEOPLASTIC - ANTIANDROGENIC AGENTS ABIRATERONE ACETATE 250 MG TAB ABIRATERONE ACETATE 18 999 No
ABIRATERONE ACETATE 500 MG TAB ABIRATERONE ACETATE 18 999 No
BICALUTAMIDE 50 MG TABLET BICALUTAMIDE 18 999 No
XTANDI 40 MG CAPSULE ENZALUTAMIDE 18 999 No
V1K ANTINEOPLASTICS ANTIBODY/ANTIBODY-DRUG COMPLEXES CAMPATH 30 MG/ML VIAL ALEMTUZUMAB 0 999 No
V1M ANTINEOPLASTIC IMMUNOMODULATOR AGENTS REVLIMID 10 MG CAPSULE LENALIDOMIDE 18 999 Requires Med Cert 3
REVLIMID 15 MG CAPSULE LENALIDOMIDE 18 999 Requires Med Cert 3
REVLIMID 2.5 MG CAPSULE LENALIDOMIDE 18 999 Requires Med Cert 3
V1O ANTINEOPLASTIC LHRH(GNRH) AGONIST,PITUITARY SUPPR. LEUPROLIDE 2WK 14 MG/2.8 ML KT LEUPROLIDE ACETATE 0 999 Auto PA
LEUPROLIDE 2WK 14 MG/2.8 ML VL LEUPROLIDE ACETATE 0 999 Auto PA
LUPRON DEPOT 22.5 MG 3MO KIT LEUPROLIDE ACETATE 18 999 Auto PA
LUPRON DEPOT 45 MG 6MO KIT LEUPROLIDE ACETATE 18 999 Auto PA
LUPRON DEPOT 7.5 MG KIT LEUPROLIDE ACETATE 18 999 Auto PA
LUPRON DEPOT-4 MONTH KIT LEUPROLIDE ACETATE 18 999 Auto PA
V1Q ANTINEOPLASTIC SYSTEMIC ENZYME INHIBITORS BORTEZOMIB 1 MG VIAL BORTEZOMIB 0 999 No
BORTEZOMIB 2.5 MG VIAL BORTEZOMIB 0 999 No
BORTEZOMIB 3.5 MG IV VIAL BORTEZOMIB 0 999 No
BORTEZOMIB 3.5 MG VIAL BORTEZOMIB 0 999 No
BORTEZOMIB 3.5 MG/1.4 ML VIAL BORTEZOMIB 0 999 No
BORTEZOMIB 3.5 MG/3.5 ML VIAL BORTEZOMIB 0 999 No
ERLOTINIB HCL 100 MG TABLET ERLOTINIB HCL 18 999 No
IMATINIB MESYLATE 100 MG TAB IMATINIB MESYLATE 1 999 No
IMATINIB MESYLATE 400 MG TAB IMATINIB MESYLATE 1 999 No
KISQALI 200 MG DAILY DOSE RIBOCICLIB SUCCINATE 18 999 No
SUTENT 12.5 MG CAPSULE SUNITINIB MALATE 18 999 No
SUTENT 25 MG CAPSULE SUNITINIB MALATE 18 999 No
SUTENT 37.5 MG CAPSULE SUNITINIB MALATE 18 999 No
SUTENT 50 MG CAPSULE SUNITINIB MALATE 18 999 No
VOTRIENT 200 MG TABLET PAZOPANIB HCL 18 999 No
V1T SELECTIVE ESTROGEN RECEPTOR MODULATORS (SERMS) FULVESTRANT 250 MG/5 ML SYRING FULVESTRANT 0 999 No
TAMOXIFEN 10 MG TABLET TAMOXIFEN CITRATE 18 999 No
TAMOXIFEN 20 MG TABLET TAMOXIFEN CITRATE 18 999 No
V1W ANTINEOPLASTIC EGF RECEPTOR BLOCKER MCLON ANTIBODY PERJETA 420 MG/14 ML VIAL PERTUZUMAB 0 999 No
TRAZIMERA 150 MG VIAL TRASTUZUMAB-QYYP 0 999 No
TRAZIMERA 420 MG VIAL TRASTUZUMAB-QYYP 0 999 No
V1X ANTINEOPLAST HUM VEGF INHIBITOR RECOMB MC ANTIBODY ZIRABEV 100 MG/4 ML VIAL BEVACIZUMAB-BVZR 18 999 Auto PA
ZIRABEV 400 MG/16 ML VIAL BEVACIZUMAB-BVZR 18 999 Auto PA
V37 ANTINEOPLASTIC - BRAF KINASE INHIBITORS TAFINLAR 50 MG CAPSULE DABRAFENIB MESYLATE 1 999 No
TAFINLAR 75 MG CAPSULE DABRAFENIB MESYLATE 1 999 No
V3C ANTINEOPLASTIC - MTOR KINASE INHIBITORS EVEROLIMUS 10 MG TABLET EVEROLIMUS 1 999 No
EVEROLIMUS 2.5 MG TABLET EVEROLIMUS 1 999 No
V3C ANTINEOPLASTIC - MTOR KINASE INHIBITORS
EVEROLIMUS 5 MG TABLET EVEROLIMUS 1 999 No
V3E ANTINEOPLASTIC - TOPOISOMERASE I INHIBITORS IRINOTECAN HCL 100 MG/5 ML VL IRINOTECAN HCL 0 999 No
IRINOTECAN HCL 300 MG/15 ML VL IRINOTECAN HCL 0 999 No
IRINOTECAN HCL 40 MG/2 ML VIAL IRINOTECAN HCL 0 999 No
IRINOTECAN HCL 500 MG/25 ML VL IRINOTECAN HCL 0 999 No
TOPOTECAN HCL 4 MG VIAL TOPOTECAN HCL 18 999 No
TOPOTECAN HCL 4 MG/4 ML VIAL TOPOTECAN HCL 18 999 No
V3F ANTINEOPLASTIC - AROMATASE INHIBITORS ANASTROZOLE 1 MG TABLET ANASTROZOLE 18 999 No
EXEMESTANE 25 MG TABLET EXEMESTANE 18 999 No
LETROZOLE 2.5 MG TABLET LETROZOLE 18 999 No
V3R ANTINEOPLASTIC,ANTI-PROGRAMMED DEATH-1 (PD-1) MAB KEYTRUDA 100 MG/4 ML VIAL PEMBROLIZUMAB 0 999 No
V3U ANTINEOPLASTIC - MEK1 AND MEK2 KINASE INHIBITORS MEKINIST 0.5 MG TABLET TRAMETINIB DIMETHYL SULFOXIDE 1 999 No
MEKINIST 2 MG TABLET TRAMETINIB DIMETHYL SULFOXIDE 1 999 No
V3X ANTINEOPLASTIC-B CELL LYMPHOMA-2(BCL-2) INHIBITORS VENCLEXTA 10 MG TAB (10MG X 2) VENETOCLAX 18 999 No
VENCLEXTA 10 MG TABLET VENETOCLAX 18 999 No
V4D INTERLEUKIN-4(IL-4) RECEPTOR ALPHA ANTAGONIST, MAB DUPIXENT 100 MG/0.67 ML SYRING DUPILUMAB 0 999 Clinical PA
DUPIXENT 200 MG/1.14 ML PEN DUPILUMAB 0 999 Clinical PA
DUPIXENT 200 MG/1.14 ML SYRING DUPILUMAB 0 999 Clinical PA
DUPIXENT 300 MG/2 ML PEN DUPILUMAB 0 999 Clinical PA
DUPIXENT 300 MG/2 ML SYRINGE DUPILUMAB 0 999 Clinical PA
W0B HEP C VIRUS-NS5B POLYMERASE AND NS5A INHIB. COMBO. SOFOSBUVIR-VELPATASVIR 400-100 SOFOSBUVIR/VELPATASVIR 3 999 Auto PA
W0E HEPATITIS C VIRUS- NS5A AND NS3/4A INHIBITOR COMB MAVYRET 100-40 MG TABLET GLECAPREVIR/PIBRENTASVIR 3 999 Auto PA
MAVYRET 50-20 MG PELLET PACKET GLECAPREVIR/PIBRENTASVIR 3 999 Auto PA
W0G HEP C - NS5A, NS3/4A, NUCLEOTIDE NS5B INHIB COMBO VOSEVI 400-100-100 MG TABLET SOFOSBUVIR/VELPATAS/VOXILAPREV 18 999 Clinical PA
W0H ANTIRETROVIRAL-NUCLEOSIDE,NUCLEOTIDE,PROTEASE INH. SYMTUZA 800-150-200-10 MG TAB DARUNAVIR/COB/EMTRI/TENOF ALAF 12 999 Auto PA
W0I ANTIRETROVIRAL-INTEGRASE INHIBITOR AND NNRTI COMB. CABENUVA ER 400 MG-600 MG SUSP CABOTEGRAVIR/RILPIVIRINE 12 999 Auto PA
CABENUVA ER 600 MG-900 MG SUSP CABOTEGRAVIR/RILPIVIRINE 12 999 Auto PA
JULUCA 50-25 MG TABLET DOLUTEGRAVIR/RILPIVIRINE 18 999 Auto PA
W0J ANTIRETROVIRAL - ANTI-CD4 DOMAIN 2 MONOCLONAL AB TROGARZO 200 MG/1.33 ML VIAL IBALIZUMAB-UIYK 18 999 Auto PA
W0K ANTIRETROVIRAL-INTEGRASE INHIBITOR AND NRTI COMB. DOVATO 50-300 MG TABLET DOLUTEGRAVIR SODIUM/LAMIVUDINE 18 999 Auto PA
W0N ANTIRETROVIRAL - CAPSID INHIBITORS SUNLENCA 4- 300 MG TABLET LENACAPAVIR SODIUM 18 999 Auto PA
SUNLENCA 463.5 MG/1.5 ML VIAL LENACAPAVIR SODIUM 18 999 Auto PA
SUNLENCA 5- 300 MG TABLET LENACAPAVIR SODIUM 18 999 Auto PA
W1A PENICILLIN ANTIBIOTICS AMOX-CLAV 200-28.5 MG/5 ML SUS AMOXICILLIN/POTASSIUM CLAV 0 999 No
AMOX-CLAV 250-125 MG TABLET AMOXICILLIN/POTASSIUM CLAV 0 999 No
AMOX-CLAV 250-62.5 MG/5 ML SUS AMOXICILLIN/POTASSIUM CLAV 0 999 No
AMOX-CLAV 400-57 MG/5 ML SUSP AMOXICILLIN/POTASSIUM CLAV 0 999 No
AMOX-CLAV 600-42.9 MG/5 ML SUS AMOXICILLIN/POTASSIUM CLAV 0 999 No
AMOXICILLIN 125 MG TAB CHEW AMOXICILLIN 0 999 No
AMOXICILLIN 125 MG/5 ML SUSP AMOXICILLIN 0 999 No
AMOXICILLIN 250 MG CAPSULE AMOXICILLIN 0 999 No
AMOXICILLIN 250 MG TAB CHEW AMOXICILLIN 0 999 No
AMOXICILLIN 500 MG CAPSULE AMOXICILLIN 0 999 No
AMOXICILLIN 500 MG TABLET AMOXICILLIN 0 999 No
AMOXICILLIN 875 MG TABLET AMOXICILLIN 0 999 No
AMPICILLIN 1 GM ADD-VANTAGE VL AMPICILLIN SODIUM 0 999 No
AMPICILLIN 1 GM VIAL AMPICILLIN SODIUM 0 999 No
AMPICILLIN 10 GM BOTTLE AMPICILLIN SODIUM 0 999 No
AMPICILLIN 125 MG VIAL AMPICILLIN SODIUM 0 999 No
AMPICILLIN 2 GM ADD-VANTAGE VL AMPICILLIN SODIUM 0 999 No
AMPICILLIN 500 MG CAPSULE AMPICILLIN TRIHYDRATE 0 999 No
AMPICILLIN-SULB 1.5 G ADD VIAL AMPICILLIN SOD/SULBACTAM SOD 0 999 No
AMPICILLIN-SULB 3 GM ADD VIAL AMPICILLIN SOD/SULBACTAM SOD 0 999 No
AMPICILLIN-SULBACTAM 1.5 GM VL AMPICILLIN SOD/SULBACTAM SOD 0 999 No
AMPICILLIN-SULBACTAM 15 GM VL AMPICILLIN SOD/SULBACTAM SOD 0 999 No
AMPICILLIN-SULBACTAM 3 GM VIAL AMPICILLIN SOD/SULBACTAM SOD 0 999 No
BICILLIN C-R 1.2 MILLION UNIT PEN G BENZ/PEN G PROCAINE 0 999 No
BICILLIN C-R 900-300 SYRINGE PEN G BENZ/PEN G PROCAINE 0 999 No
BICILLIN L-A 1,200,000 UNITS PENICILLIN G BENZATHINE 0 999 No
BICILLIN L-A 2,400,000 UNITS PENICILLIN G BENZATHINE 0 999 No
BICILLIN L-A 600,000 UNIT/ML PENICILLIN G BENZATHINE 0 999 No
DICLOXACILLIN 250 MG CAPSULE DICLOXACILLIN SODIUM 0 999 No
DICLOXACILLIN 500 MG CAPSULE DICLOXACILLIN SODIUM 0 999 No
PENICILLIN G NA 5 MILLION UNIT PENICILLIN G SODIUM 0 999 No
PENICILLIN VK 125 MG/5 ML SOLN PENICILLIN V POTASSIUM 0 999 No
PENICILLIN VK 250 MG TABLET PENICILLIN V POTASSIUM 0 999 No
PENICILLIN VK 250 MG/5 ML SOLN PENICILLIN V POTASSIUM 0 999 No
PENICILLIN VK 500 MG TABLET PENICILLIN V POTASSIUM 0 999 No
PIPERACIL-TAZO 2.25 GM ADD VL PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
PIPERACIL-TAZO 3.375 GM ADD VL PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
PIPERACIL-TAZO 4.5 GM ADD VIAL PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
PIPERACIL-TAZOBACT 13.5 GM VL PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
PIPERACIL-TAZOBACT 4.5 GM VIAL PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
PIPERACIL-TAZOBACT 40.5 GRAM PIPERACILLIN SODIUM/TAZOBACTAM 0 999 No
W1C TETRACYCLINE ANTIBIOTICS DOXYCYCLINE 50 MG TABLET DOXYCYCLINE HYCLATE 0 999 No
DOXYCYCLINE HYCLATE 100 MG CAP DOXYCYCLINE HYCLATE 0 999 No
DOXYCYCLINE HYCLATE 100 MG TAB DOXYCYCLINE HYCLATE 0 999 No
DOXYCYCLINE HYCLATE 50 MG CAP DOXYCYCLINE HYCLATE 0 999 No
MINOCYCLINE 100 MG CAPSULE MINOCYCLINE HCL 0 999 No
W1D MACROLIDE ANTIBIOTICS AZITHROMYCIN 1 GM PWD PACKET AZITHROMYCIN 0 999 No
AZITHROMYCIN 100 MG/5 ML SUSP AZITHROMYCIN 0 999 No
AZITHROMYCIN 200 MG/5 ML SUSP AZITHROMYCIN 0 999 No
W1D MACROLIDE ANTIBIOTICS
AZITHROMYCIN 250 MG TABLET AZITHROMYCIN 0 999 No
AZITHROMYCIN 500 MG ADD-VAN VL AZITHROMYCIN 0 999 No
AZITHROMYCIN I.V. 500 MG VIAL AZITHROMYCIN 0 999 No
CLARITHROMYCIN 125 MG/5 ML SUS CLARITHROMYCIN 0 11 No
CLARITHROMYCIN 250 MG TABLET CLARITHROMYCIN 0 999 No
CLARITHROMYCIN 250 MG/5 ML SUS CLARITHROMYCIN 0 11 No
CLARITHROMYCIN 500 MG TABLET CLARITHROMYCIN 0 999 No
CLARITHROMYCIN ER 500 MG TAB CLARITHROMYCIN 0 999 No
ERYTHROMYCIN 200 MG/5 ML SUSP ERYTHROMYCIN ETHYLSUCCINATE 0 11 No
W1F AMINOGLYCOSIDE ANTIBIOTICS BETHKIS 300 MG/4 ML AMPULE TOBRAMYCIN 0 999 Auto PA
GENTAMICIN 20 MG/2 ML VIAL GENTAMICIN SULFATE 0 999 No
GENTAMICIN 70 MG/NS 50 ML PB GENTAMICIN IN NACL, ISO-OSM 0 999 No
ISO GENTAMICIN 100 MG/100 ML GENTAMICIN IN NACL, ISO-OSM 0 999 No
ISO GENTAMICIN 120 MG/100 ML GENTAMICIN IN NACL, ISO-OSM 0 999 No
ISOTON GENTAMICIN 100 MG/50 ML GENTAMICIN IN NACL, ISO-OSM 0 999 No
KITABIS PAK 300 MG/5 ML TOBRAMYCIN/NEBULIZER 0 999 Auto PA
NEOMYCIN 500 MG TABLET NEOMYCIN SULFATE 0 999 No
TOBRAMYCIN 1,200 MG/30 ML VIAL TOBRAMYCIN SULFATE 0 999 No
TOBRAMYCIN 10 MG/ML VIAL TOBRAMYCIN SULFATE 0 999 No
TOBRAMYCIN 300 MG/5 ML AMPULE TOBRAMYCIN IN 0.225% SOD CHLOR 0 999 Auto PA
TOBRAMYCIN 40 MG/ML VIAL TOBRAMYCIN SULFATE 0 999 No
TOBRAMYCIN 80 MG/2 ML VIAL TOBRAMYCIN SULFATE 0 999 No
W1G ANTITUBERCULAR ANTIBIOTICS RIFAMPIN 150 MG CAPSULE RIFAMPIN 0 999 No
RIFAMPIN 300 MG CAPSULE RIFAMPIN 0 999 No
RIFAMPIN IV 600 MG VIAL RIFAMPIN 0 999 No
W1J VANCOMYCIN ANTIBIOTICS AND DERIVATIVES VANCO 500 MG/100 ML-0.9% NACL VANCOMYCIN/0.9 % SOD CHLORIDE 0 999 No
VANCO 750 MG/150 ML-0.9% NACL VANCOMYCIN/0.9 % SOD CHLORIDE 0 999 No
VANCOMYCIN 1 G/200ML-0.9% NACL VANCOMYCIN/0.9 % SOD CHLORIDE 0 999 No
VANCOMYCIN 1 GM VIAL VANCOMYCIN HCL 0 999 No
VANCOMYCIN 500 MG VIAL VANCOMYCIN HCL 0 999 No
VANCOMYCIN HCL 1.25 GRAM VIAL VANCOMYCIN HCL 0 999 No
VANCOMYCIN HCL 1.5 GRAM VIAL VANCOMYCIN HCL 0 999 No
VANCOMYCIN HCL 125 MG CAPSULE VANCOMYCIN HCL 0 999 No
VANCOMYCIN HCL 250 MG CAPSULE VANCOMYCIN HCL 0 999 No
VANCOMYCIN HCL 750 MG VIAL VANCOMYCIN HCL 0 999 No
VANCOMYCIN-D5W 500 MG/100 ML VANCOMYCIN HCL IN 5 % DEXTROSE 0 999 No
W1K LINCOSAMIDE ANTIBIOTICS CLEOCIN PHOS 150 MG/ML VIAL CLINDAMYCIN PHOSPHATE 0 999 No
CLEOCIN PHOS 300 MG/2 ML VIAL CLINDAMYCIN PHOSPHATE 0 999 No
CLEOCIN PHOS 9 G/60 ML VIAL CLINDAMYCIN PHOSPHATE 0 999 No
CLINDAMYCIN (PEDI) 75 MG/5 ML CLINDAMYCIN PALMITATE HCL 0 11 No
CLINDAMYCIN HCL 150 MG CAPSULE CLINDAMYCIN HCL 0 999 No
W1K LINCOSAMIDE ANTIBIOTICS
CLINDAMYCIN PH 300 MG/2 ML VL CLINDAMYCIN PHOSPHATE 0 999 No
CLINDAMYCIN PH 9 G/60 ML VIAL CLINDAMYCIN PHOSPHATE 0 999 No
LINCOCIN 3,000 MG/10 ML VIAL LINCOMYCIN HCL 0 999 No
LINCOCIN 300 MG/ML VIAL LINCOMYCIN HCL 0 999 No
LINCOCIN 600 MG/2 ML VIAL LINCOMYCIN HCL 0 999 No
LINCOMYCIN HCL 3 GM/10 ML VIAL LINCOMYCIN HCL 0 999 No
LINCOMYCIN HCL 600 MG/2 ML VL LINCOMYCIN HCL 0 999 No
W1N POLYMYXIN ANTIBIOTICS AND DERIVATIVES COLISTIMETHATE 150 MG VIAL COLISTIN (COLISTIMETHATE NA) 0 999 No
POLYMYXIN B SULFATE VIAL POLYMYXIN B SULFATE 0 999 No
W1O OXAZOLIDINONE ANTIBIOTICS LINEZOLID 600 MG TABLET LINEZOLID 0 999 No
W1P BETALACTAMS AZACTAM 1 GM VIAL AZTREONAM 0 999 No
AZACTAM 2 GM VIAL AZTREONAM 0 999 No
W1Q QUINOLONE ANTIBIOTICS CIPRO 10% SUSPENSION CIPROFLOXACIN 0 11 No
CIPRO 5% SUSPENSION CIPROFLOXACIN 0 11 No
CIPROFLOXACIN 200 MG/100ML-D5W CIPROFLOXACIN IN 5 % DEXTROSE 0 999 No
CIPROFLOXACIN 400 MG/200ML-D5W CIPROFLOXACIN IN 5 % DEXTROSE 0 999 No
CIPROFLOXACIN HCL 100 MG TAB CIPROFLOXACIN HCL 12 999 No
LEVOFLOXACIN 250 MG TABLET LEVOFLOXACIN 12 999 No
LEVOFLOXACIN 250 MG/50 ML-D5W LEVOFLOXACIN IN DEXTROSE 5 % 0 999 No
W1S CARBAPENEM ANTIBIOTICS (THIENAMYCINS) MEROPENEM IV 1 GM VIAL MEROPENEM 0 999 No
MEROPENEM IV 500 MG VIAL MEROPENEM 0 999 No
MEROPENEM-0.9% NACL 1 GRAM/50 MEROPENEM-0.9% SODIUM CHLORIDE 0 999 No
MEROPENEM-0.9% NACL 500 MG/50 MEROPENEM-0.9% SODIUM CHLORIDE 0 999 No
PRIMAXIN 500 MG VIAL IMIPENEM/CILASTATIN SODIUM 0 999 No
W1W CEPHALOSPORIN ANTIBIOTICS - 1ST GENERATION CEFADROXIL 500 MG CAPSULE CEFADROXIL 0 999 No
CEFAZOLIN 1 GM ADD-VAN VIAL CEFAZOLIN SODIUM 0 999 No
CEFAZOLIN 1 GM VIAL CEFAZOLIN SODIUM 0 999 No
CEFAZOLIN 20 GM BULK VIAL CEFAZOLIN SODIUM 0 999 No
CEFAZOLIN 500 MG VIAL CEFAZOLIN SODIUM 0 999 No
CEPHALEXIN 125 MG/5 ML SUSP CEPHALEXIN 0 999 No
CEPHALEXIN 250 MG CAPSULE CEPHALEXIN 0 999 No
CEPHALEXIN 250 MG/5 ML SUSP CEPHALEXIN 0 999 No
W1X CEPHALOSPORIN ANTIBIOTICS - 2ND GENERATION CEFACLOR 250 MG CAPSULE CEFACLOR 0 999 No
CEFACLOR 500 MG CAPSULE CEFACLOR 0 999 No
W1X CEPHALOSPORIN ANTIBIOTICS - 2ND GENERATION
CEFOTETAN 1 GM VIAL CEFOTETAN DISODIUM 0 999 No
CEFOXITIN 1 GM PIGGYBACK BAG CEFOXITIN SODIUM/DEXTROSE,ISO 0 999 No
CEFOXITIN 1 GM VIAL CEFOXITIN SODIUM 0 999 No
CEFOXITIN 2 GM PIGGYBACK BAG CEFOXITIN SODIUM/DEXTROSE,ISO 0 999 No
CEFPROZIL 125 MG/5 ML SUSP CEFPROZIL 0 999 No
CEFPROZIL 250 MG TABLET CEFPROZIL 0 999 No
CEFPROZIL 250 MG/5 ML SUSP CEFPROZIL 0 999 No
CEFPROZIL 500 MG TABLET CEFPROZIL 0 999 No
CEFUROXIME AXETIL 250 MG TAB CEFUROXIME AXETIL 0 999 No
CEFUROXIME AXETIL 500 MG TAB CEFUROXIME AXETIL 0 999 No
CEFUROXIME SOD 1.5 GM VIAL CEFUROXIME SODIUM 0 999 No
CEFUROXIME SOD 7.5 GM VIAL CEFUROXIME SODIUM 0 999 No
CEFUROXIME SOD 750 MG VIAL CEFUROXIME SODIUM 0 999 No
W1Y CEPHALOSPORIN ANTIBIOTICS - 3RD GENERATION CEFDINIR 125 MG/5 ML SUSP CEFDINIR 0 999 No
CEFDINIR 250 MG/5 ML SUSP CEFDINIR 0 999 No
CEFDINIR 300 MG CAPSULE CEFDINIR 0 999 No
CEFOTAXIME SODIUM 1 GM VIAL CEFOTAXIME SODIUM 0 999 No
CEFTRIAXONE 1 GM ADD-VANT VIAL CEFTRIAXONE SODIUM 0 999 No
CEFTRIAXONE 1 GM PIGGYBACK CEFTRIAXONE IN IS-OSM DEXTROSE 0 999 No
CEFTRIAXONE 1 GM VIAL CEFTRIAXONE SODIUM 0 999 No
CEFTRIAXONE 1 GM-D5W BAG CEFTRIAXONE IN IS-OSM DEXTROSE 0 999 No
CEFTRIAXONE 2 GM ADD VIAL CEFTRIAXONE SODIUM 0 999 No
CEFTRIAXONE 2 GM PIGGYBACK CEFTRIAXONE IN IS-OSM DEXTROSE 0 999 No
CEFTRIAXONE 2 GM-D5W BAG CEFTRIAXONE IN IS-OSM DEXTROSE 0 999 No
CEFTRIAXONE 250 MG VIAL CEFTRIAXONE SODIUM 0 999 No
CEFTRIAXONE 500 MG VIAL CEFTRIAXONE SODIUM 0 999 No
W1Z CEPHALOSPORIN ANTIBIOTICS - 4TH GENERATION CEFEPIME HCL 1 GM VIAL CEFEPIME HCL 0 999 No
CEFEPIME HCL 2 GRAM VIAL CEFEPIME HCL 0 999 No
W2A ABSORBABLE SULFONAMIDE ANTIBACTERIAL AGENTS SULFAMETHOXAZOLE-TMP 20 ML CUP SULFAMETHOXAZOLE/TRIMETHOPRIM 0 999 No
SULFAMETHOXAZOLE-TMP DS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM 0 999 No
SULFAMETHOXAZOLE-TMP SS TABLET SULFAMETHOXAZOLE/TRIMETHOPRIM 0 999 No
SULFAMETHOXAZOLE-TMP SUSP SULFAMETHOXAZOLE/TRIMETHOPRIM 0 999 No
W2E ANTI-MYCOBACTERIUM AGENTS ETHAMBUTOL HCL 100 MG TABLET ETHAMBUTOL HCL 0 999 No
ETHAMBUTOL HCL 400 MG TABLET ETHAMBUTOL HCL 0 999 No
ISONIAZID 100 MG TABLET ISONIAZID 0 999 No
ISONIAZID 300 MG TABLET ISONIAZID 0 999 No
ISONIAZID 50 MG/5 ML SOLUTION ISONIAZID 0 999 No
MYCOBUTIN 150 MG CAPSULE RIFABUTIN 0 999 No
PYRAZINAMIDE 500 MG TABLET PYRAZINAMIDE 0 999 No
W2F NITROFURAN DERIVATIVES ANTIBACTERIAL AGENTS NITROFURANTOIN 25 MG/5 ML SUSP NITROFURANTOIN 0 999 No
NITROFURANTOIN 50 MG/5 ML SUSP NITROFURANTOIN 0 999 No
NITROFURANTOIN MCR 100 MG CAP NITROFURANTOIN MACROCRYSTAL 0 999 No
W2F NITROFURAN DERIVATIVES ANTIBACTERIAL AGENTS
NITROFURANTOIN MONO-MCR 100 MG NITROFURANTOIN MONOHYD/M-CRYST 0 999 No
W2G ANTIBIOTIC, ANTIBACTERIAL, MISC. METHENAMINE HIPP 1 GM TABLET METHENAMINE HIPPURATE 0 999 No
METHENAMINE MAND 1 GM TABLET METHENAMINE MANDELATE 0 999 No
METHENAMINE MAND 500 MG TABLET METHENAMINE MANDELATE 0 999 No
TRIMETHOPRIM 100 MG TABLET TRIMETHOPRIM 0 999 No
W3A ANTIFUNGAL ANTIBIOTICS AMPHOTERICIN B 50 MG VIAL AMPHOTERICIN B 0 999 No
GRISEOFULVIN 125 MG/5 ML SUSP GRISEOFULVIN, MICROSIZE 0 999 No
GRISEOFULVIN MICRO 500 MG TAB GRISEOFULVIN, MICROSIZE 0 999 No
NYSTATIN 100,000 UNIT/ML SUSP NYSTATIN 0 999 No
NYSTATIN 500,000 UNIT ORAL TAB NYSTATIN 0 999 No
NYSTATIN 500,000 UNIT/5 ML CUP NYSTATIN 0 999 No
W3B ANTIFUNGAL AGENTS CLOTRIMAZOLE 10 MG TROCHE CLOTRIMAZOLE 0 999 No
FLUCONAZOLE 10 MG/ML SUSP FLUCONAZOLE 0 999 No
FLUCONAZOLE 100 MG TABLET FLUCONAZOLE 0 999 No
FLUCONAZOLE 40 MG/ML SUSP FLUCONAZOLE 0 999 No
FLUCONAZOLE-NACL 100 MG/50 ML FLUCONAZOLE IN NACL,ISO-OSM 0 999 No
ITRACONAZOLE 100 MG CAPSULE ITRACONAZOLE 0 999 No
NOXAFIL DR 100 MG TABLET POSACONAZOLE 0 999 No
TERBINAFINE HCL 250 MG TABLET TERBINAFINE HCL 0 999 No
W4A ANTIMALARIAL DRUGS CHLOROQUINE PH 250 MG TABLET CHLOROQUINE PHOSPHATE 0 999 Auto PA
CHLOROQUINE PH 500 MG TABLET CHLOROQUINE PHOSPHATE 0 999 Auto PA
HYDROXYCHLOROQUINE 100 MG TAB HYDROXYCHLOROQUINE SULFATE 0 999 Auto PA
MEFLOQUINE HCL 250 MG TABLET MEFLOQUINE HCL 0 999 No
PRIMAQUINE 26.3 MG TABLET PRIMAQUINE PHOSPHATE 0 999 No
W4C AMEBICIDES PAROMOMYCIN 250 MG CAPSULE PAROMOMYCIN SULFATE 0 999 No
W4E ANAEROBIC ANTIPROTOZOAL-ANTIBACTERIAL AGENTS METRONIDAZOLE 250 MG TABLET METRONIDAZOLE 0 999 No
METRONIDAZOLE 500 MG TABLET METRONIDAZOLE 0 999 No
METRONIDAZOLE 500 MG/100 ML METRONIDAZOLE/SODIUM CHLORIDE 0 999 No
W4G 2ND GEN. ANAEROBIC ANTIPROTOZOAL-ANTIBACTERIAL SOLOSEC 2 GM GRANULE PACKET SECNIDAZOLE 12 999 No
TINIDAZOLE 250 MG TABLET TINIDAZOLE 0 999 No
TINIDAZOLE 500 MG TABLET TINIDAZOLE 0 999 No
W4K ANTIPROTOZOAL DRUGS,MISCELLANEOUS ATOVAQUONE 1,500 MG/10 ML CUP ATOVAQUONE 0 999 No
ATOVAQUONE 750 MG/5 ML SUSP ATOVAQUONE 0 999 No
ATOVAQUONE 750 MG/5ML SUSP CUP ATOVAQUONE 0 999 No
PENTAMIDINE 300 MG INHAL POWDR PENTAMIDINE ISETHIONATE 0 999 No
W4L ANTHELMINTICS ALBENDAZOLE 200 MG TABLET ALBENDAZOLE 0 999 No
BILTRICIDE 600 MG TABLET PRAZIQUANTEL 0 999 No
IVERMECTIN 3 MG TABLET IVERMECTIN 0 999 No
W4P ANTILEPROTICS DAPSONE 100 MG TABLET DAPSONE 0 999 No
DAPSONE 25 MG TABLET DAPSONE 0 999 No
W50 ANTIVIRALS, HIV-SPECIFIC, CD4 ATTACHMENT INHIBITOR RUKOBIA ER 600 MG TABLET FOSTEMSAVIR TROMETHAMINE 18 999 Auto PA
W5A ANTIVIRALS, GENERAL ACYCLOVIR 200 MG CAPSULE ACYCLOVIR 0 999 No
HIC3
W5A HIC3 Desc ANTIVIRALS, GENERAL Label Name Generic Name Min Age Max Age PA Required
ACYCLOVIR 200 MG/5 ML SUSP ACYCLOVIR 0 17 No
ACYCLOVIR 400 MG TABLET ACYCLOVIR 0 999 No
ACYCLOVIR 800 MG TABLET ACYCLOVIR 0 999 No
GANCICLOVIR 500 MG VIAL GANCICLOVIR SODIUM 0 999 No
GANCICLOVIR 500 MG/10 ML VIAL GANCICLOVIR SODIUM 0 999 No
OSELTAMIVIR 6 MG/ML SUSPENSION OSELTAMIVIR PHOSPHATE 0 12 No
OSELTAMIVIR PHOS 30 MG CAPSULE OSELTAMIVIR PHOSPHATE 0 999 No
RIBAVIRIN 6 GM INHALATION VIAL RIBAVIRIN 5 999 Auto PA
TAMIFLU 6 MG/ML SUSPENSION OSELTAMIVIR PHOSPHATE 0 12 No
VALACYCLOVIR HCL 1 GRAM TABLET VALACYCLOVIR HCL 0 999 No
VALACYCLOVIR HCL 500 MG TABLET VALACYCLOVIR HCL 0 999 No
VALCYTE 50 MG/ML SOLUTION VALGANCICLOVIR HCL 0 999 No
VALGANCICLOVIR 450 MG TABLET VALGANCICLOVIR HCL 0 999 No
VALGANCICLOVIR HCL 50 MG/ML VALGANCICLOVIR HCL 0 999 No
W5C ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITORS ATAZANAVIR SULFATE 150 MG CAP ATAZANAVIR SULFATE 0 999 Auto PA
ATAZANAVIR SULFATE 200 MG CAP ATAZANAVIR SULFATE 0 999 Auto PA
ATAZANAVIR SULFATE 300 MG CAP ATAZANAVIR SULFATE 0 999 Auto PA
EVOTAZ 300 MG-150 MG TABLET ATAZANAVIR SULFATE/COBICISTAT 12 999 Auto PA
FOSAMPRENAVIR 700 MG TABLET FOSAMPRENAVIR CALCIUM 0 999 Auto PA
LEXIVA 50 MG/ML SUSPENSION FOSAMPRENAVIR CALCIUM 0 999 Auto PA
NORVIR 100 MG POWDER PACKET RITONAVIR 0 999 Auto PA
NORVIR 100 MG TABLET RITONAVIR 0 999 Auto PA
REYATAZ 50 MG POWDER PACKET ATAZANAVIR SULFATE 0 999 Auto PA
VIRACEPT 250 MG TABLET NELFINAVIR MESYLATE 0 999 Auto PA
VIRACEPT 625 MG TABLET NELFINAVIR MESYLATE 0 999 Auto PA
W5F HEPATITIS B TREATMENT AGENTS ENTECAVIR 0.5 MG TABLET ENTECAVIR 0 999 No
ENTECAVIR 1 MG TABLET ENTECAVIR 0 999 No
EPIVIR HBV 25 MG/5 ML SOLN LAMIVUDINE 0 11 No
LAMIVUDINE HBV 100 MG TABLET LAMIVUDINE 0 999 No
W5G HEPATITIS C TREATMENT AGENTS PEGASYS 180 MCG/0.5 ML SYRINGE PEGINTERFERON ALFA-2A 3 999 Auto PA
PEGASYS 180 MCG/ML VIAL PEGINTERFERON ALFA-2A 3 999 Auto PA
RIBAVIRIN 200 MG CAPSULE RIBAVIRIN 5 999 Auto PA
RIBAVIRIN 200 MG TABLET RIBAVIRIN 5 999 Auto PA
W5I ANTIVIRALS, HIV-SPECIFIC, NUCLEOTIDE ANALOG, RTI TENOFOVIR DISOP FUM 300 MG TB TENOFOVIR DISOPROXIL FUMARATE 0 999 No
VIREAD 150 MG TABLET TENOFOVIR DISOPROXIL FUMARATE 0 999 No
VIREAD POWDER TENOFOVIR DISOPROXIL FUMARATE 0 999 No
W5J ANTIVIRALS, HIV-SPECIFIC, NUCLEOSIDE ANALOG, RTI ABACAVIR 20 MG/ML SOLUTION ABACAVIR SULFATE 0 999 Auto PA
ABACAVIR 300 MG TABLET ABACAVIR SULFATE 0 999 Auto PA
DIDANOSINE DR 250 MG CAPSULE DIDANOSINE 0 999 Auto PA
DIDANOSINE DR 400 MG CAPSULE DIDANOSINE 0 999 Auto PA
EMTRICITABINE 200 MG CAPSULE EMTRICITABINE 0 999 Auto PA
EMTRIVA 10 MG/ML SOLUTION EMTRICITABINE 0 999 Auto PA
LAMIVUDINE 10 MG/ML ORAL SOLN LAMIVUDINE 0 999 Auto PA
LAMIVUDINE 150 MG TABLET LAMIVUDINE 0 999 Auto PA
LAMIVUDINE 300 MG TABLET LAMIVUDINE 0 999 Auto PA
RETROVIR 200 MG/20 ML VIAL ZIDOVUDINE 0 999 Auto PA
STAVUDINE 40 MG CAPSULE STAVUDINE 0 999 Auto PA
ZIDOVUDINE 100 MG CAPSULE ZIDOVUDINE 0 999 Auto PA
ZIDOVUDINE 300 MG TABLET ZIDOVUDINE 0 999 Auto PA
ZIDOVUDINE 50 MG/5 ML SYRUP ZIDOVUDINE 0 999 Auto PA
W5K ANTIVIRALS, HIV-SPECIFIC, NON-NUCLEOSIDE, RTI EDURANT 25 MG TABLET RILPIVIRINE HCL 12 999 Auto PA
EFAVIRENZ 200 MG CAPSULE EFAVIRENZ 0 999 Auto PA
EFAVIRENZ 50 MG CAPSULE EFAVIRENZ 0 999 Auto PA
EFAVIRENZ 600 MG TABLET EFAVIRENZ 0 999 Auto PA
INTELENCE 100 MG TABLET ETRAVIRINE 2 999 Auto PA
NEVIRAPINE 200 MG TABLET NEVIRAPINE 0 999 Auto PA
NEVIRAPINE 50 MG/5 ML SUSP NEVIRAPINE 0 999 Auto PA
NEVIRAPINE ER 100 MG TABLET NEVIRAPINE 0 999 Auto PA
NEVIRAPINE ER 400 MG TABLET NEVIRAPINE 0 999 Auto PA
PIFELTRO 100 MG TABLET DORAVIRINE 12 999 Auto PA
W5L ANTIVIRALS, HIV-SPEC., NUCLEOSIDE ANALOG, RTI COMB ABACAVIR-LAMIVUDINE 600-300 MG ABACAVIR SULFATE/LAMIVUDINE 0 999 Auto PA
LAMIVUDINE-ZIDOVUDINE TABLET LAMIVUDINE/ZIDOVUDINE 0 999 Auto PA
W5M ANTIVIRALS, HIV-SPECIFIC, PROTEASE INHIBITOR COMB KALETRA 100-25 MG TABLET LOPINAVIR/RITONAVIR 0 999 Auto PA
KALETRA 200-50 MG TABLET LOPINAVIR/RITONAVIR 0 999 Auto PA
LOPINAVIR-RITONAVIR 80-20MG/ML LOPINAVIR/RITONAVIR 0 999 Auto PA
W5N ANTIVIRALS, HIV-SPECIFIC, FUSION INHIBITORS FUZEON 90 MG VIAL ENFUVIRTIDE 6 999 Clinical PA
W5O ANTIVIRALS, HIV-SPEC, NUCLEOSIDE-NUCLEOTIDE ANALOG CIMDUO 300-300 MG TABLET LAMIVUDINE/TENOFOVIR DISOP FUM 12 999 Auto PA
DESCOVY 120-15 MG TABLET EMTRICITABINE/TENOFOV ALAFENAM 0 999 No
DESCOVY 200-25 MG TABLET EMTRICITABINE/TENOFOV ALAFENAM 0 999 No
EMTRICITABINE-TENOFV 100-150MG EMTRICITABINE/TENOFOVIR (TDF) 0 999 No
W5P ANTIVIRALS, HIV-SPEC, NON-PEPTIDIC PROTEASE INHIB APTIVUS 250 MG CAPSULE TIPRANAVIR 0 999 Auto PA
PREZCOBIX 800 MG-150 MG TABLET DARUNAVIR/COBICISTAT 12 999 Auto PA
PREZISTA 100 MG/ML SUSPENSION DARUNAVIR ETHANOLATE 0 999 Auto PA
PREZISTA 150 MG TABLET DARUNAVIR ETHANOLATE 0 999 Auto PA
W5Q ARTV NUCLEOSIDE,NUCLEOTIDE,NON-NUCLEOSIDE RTI COMB COMPLERA TABLET EMTRICITA/RILPIVIRINE/TENOF DF 12 999 Auto PA
DELSTRIGO 100-300-300 MG TAB DORAVIRINE/LAMIVU/TENOFOV DISO 12 999 Auto PA
EFAVIR-EMTRI-TENOF 600-200-300 EFAVIRENZ/EMTRICIT/TENOFOVR DF 12 999 Auto PA
EFAVIR-LAMIV-TENOF 400-300-300 EFAVIRENZ/LAMIVU/TENOFOV DISOP 12 999 Auto PA
EFAVIR-LAMIV-TENOF 600-300-300 EFAVIRENZ/LAMIVU/TENOFOV DISOP 12 999 Auto PA
ODEFSEY TABLET EMTRICITAB/RILPIVIRI/TENOF ALA 12 999 Auto PA
W5T ANTIVIRALS, HIV-SPECIFIC, CCR5 CO-RECEPTOR ANTAG. SELZENTRY 150 MG TABLET MARAVIROC 0 999 Clinical PA
SELZENTRY 20 MG/ML ORAL SOLN MARAVIROC 0 999 Clinical PA
SELZENTRY 25 MG TABLET MARAVIROC 0 999 Clinical PA
W5U ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR APRETUDE ER 600 MG/3 ML VIAL CABOTEGRAVIR 12 999 No
CABOTEGRAVIR ER 400 MG/2 ML VL CABOTEGRAVIR 12 999 No
CABOTEGRAVIR ER 600 MG/3 ML VL CABOTEGRAVIR 12 999 No
W5U ANTIVIRALS,HIV-1 INTEGRASE STRAND TRANSFER INHIBTR
ISENTRESS 100 MG POWDER PACKET RALTEGRAVIR POTASSIUM 0 999 Auto PA
ISENTRESS 100 MG TABLET CHEW RALTEGRAVIR POTASSIUM 0 999 Auto PA
ISENTRESS 25 MG TABLET CHEW RALTEGRAVIR POTASSIUM 0 999 Auto PA
ISENTRESS 400 MG TABLET RALTEGRAVIR POTASSIUM 0 999 Auto PA
ISENTRESS HD 600 MG TABLET RALTEGRAVIR POTASSIUM 0 999 Auto PA
TIVICAY 10 MG TABLET DOLUTEGRAVIR SODIUM 0 999 Auto PA
TIVICAY PD 5 MG TAB FOR SUSP DOLUTEGRAVIR SODIUM 0 999 Auto PA
W5X ARV-NUCLEOSIDE,NUCLEOTIDE RTI,INTEGRASE INHIBITORS BIKTARVY 30-120-15 MG TABLET BICTEGRAV/EMTRICIT/TENOFOV ALA 3 999 Auto PA
BIKTARVY 50-200-25 MG TABLET BICTEGRAV/EMTRICIT/TENOFOV ALA 3 999 Auto PA
GENVOYA TABLET ELVITEG/COB/EMTRI/TENOF ALAFEN 6 999 Auto PA
STRIBILD TABLET ELVITEG/COB/EMTRI/TENOFO DISOP 12 999 Auto PA
W5Z ANTIRETROVIRAL-NRTIS AND INTEGRASE INHIBITORS COMB TRIUMEQ 600-50-300 MG TABLET ABACAVIR/DOLUTEGRAVIR/LAMIVUDI 6 999 Auto PA
TRIUMEQ PD 60-5-30 MG TAB SUSP ABACAVIR/DOLUTEGRAVIR/LAMIVUDI 0 999 Auto PA
W8F IRRIGANTS ACETIC ACID 0.25% IRRIG SOLN ACETIC ACID 0 999 No
LACTATED RINGERS IRRIGATION RINGER'S SOLUTION,LACTATED 0 999 No
NEOMY-POLYMYXIN B 40 MG/ML AMP NEOMYCIN SULF/POLYMYXIN B SULF 0 999 No
NEOMY-POLYMYXIN B 40 MG/ML VL NEOMYCIN SULF/POLYMYXIN B SULF 0 999 No
RINGERS IRRIGATION SOLUTION RINGER'S SOLUTION 0 999 No
SODIUM CHLORIDE 0.9% IRRIG SODIUM CHLORIDE IRRIG SOLUTION 0 999 No
SODIUM CHLORIDE 0.9% IRRIG. SODIUM CHLORIDE IRRIG SOLUTION 0 999 No
SODIUM CHLORIDE 0.9% PRCSS SOL SODIUM CHLORIDE IRRIG SOLUTION 0 999 No
SORBITOL 3% UROLOGIC IRRIG SORBITOL SOLUTION 0 999 No
SORBITOL-MANNITOL IRRIG MANNITOL/SORBITOL SOLUTION 0 999 No
Z1G GLUCOSYLCERAMIDE SYNTHASE (GCS) INHIBITOR ZAVESCA 100 MG CAPSULE MIGLUSTAT 18 999 Auto PA
Z1H METABOLIC DISEASE ENZYME REPLACEMENT, FABRY'S DX FABRAZYME 35 MG VIAL AGALSIDASE BETA 2 999 Auto PA
FABRAZYME 5 MG VIAL AGALSIDASE BETA 2 999 Auto PA
Z1I METABOLIC DISEASE ENZYME REPLACEMENT, GAUCHER'S DX ELELYSO 200 UNITS VIAL TALIGLUCERASE ALFA 4 999 Auto PA
Z1M ANTIFIBROTIC THERAPY - PYRIDONE ANALOGS PIRFENIDONE 267 MG CAPSULE PIRFENIDONE 18 999 No
PIRFENIDONE 267 MG TABLET PIRFENIDONE 18 999 No
Z21 MAST CELL STABILIZERS, ORALLY INHALED CROMOLYN 20 MG/2 ML NEB SOLN CROMOLYN SODIUM 0 999 No
Z23 INTERLEUKIN-5(IL-5) RECEPTOR ALPHA ANTAGONIST, MAB FASENRA 30 MG/ML SYRINGE BENRALIZUMAB 12 999 Clinical PA
FASENRA PEN 30 MG/ML BENRALIZUMAB 12 999 Clinical PA
Z2D HISTAMINE H2-RECEPTOR INHIBITORS FAMOTIDINE 20 MG PIGGYBACK FAMOTIDINE IN NACL,ISO-OSM/PF 0 999 No
FAMOTIDINE 20 MG TABLET FAMOTIDINE 0 999 No
FAMOTIDINE 20 MG/2 ML VIAL FAMOTIDINE/PF 0 999 No
FAMOTIDINE 200 MG/20 ML VIAL FAMOTIDINE 0 999 No
FAMOTIDINE 40 MG TABLET FAMOTIDINE 0 999 No
FAMOTIDINE 40 MG/4 ML VIAL FAMOTIDINE 0 999 No
FAMOTIDINE 40 MG/5 ML SUSP FAMOTIDINE 0 11 No
Z2E IMMUNOSUPPRESSIVES AZATHIOPRINE 100 MG TABLET AZATHIOPRINE 0 999 No
AZATHIOPRINE 50 MG TABLET AZATHIOPRINE 0 999 No
AZATHIOPRINE 75 MG TABLET AZATHIOPRINE 0 999 No
CELLCEPT 200 MG/ML ORAL SUSP MYCOPHENOLATE MOFETIL 0 11 No
CYCLOSPORINE 250 MG/5 ML AMPUL CYCLOSPORINE 0 999 No
CYCLOSPORINE MODIFIED 100 MG CYCLOSPORINE, MODIFIED 0 999 No
CYCLOSPORINE MODIFIED 100MG/ML CYCLOSPORINE, MODIFIED 0 11 No
Z2E IMMUNOSUPPRESSIVES
EVEROLIMUS 1 MG TABLET EVEROLIMUS 18 999 No
MYCOPHENOLATE 250 MG CAPSULE MYCOPHENOLATE MOFETIL 0 999 No
MYCOPHENOLATE 500 MG TABLET MYCOPHENOLATE MOFETIL 0 999 No
MYCOPHENOLATE 500 MG VIAL MYCOPHENOLATE MOFETIL HCL 0 999 No
MYCOPHENOLIC ACID DR 180 MG TB MYCOPHENOLATE SODIUM 0 999 No
MYCOPHENOLIC ACID DR 360 MG TB MYCOPHENOLATE SODIUM 0 999 No
RAPAMUNE 0.5 MG TABLET SIROLIMUS 0 999 No
RAPAMUNE 1 MG TABLET SIROLIMUS 0 999 No
RAPAMUNE 1 MG/ML ORAL SOLN SIROLIMUS 0 999 No
RAPAMUNE 2 MG TABLET SIROLIMUS 0 999 No
SANDIMMUNE 50 MG/ML AMPUL CYCLOSPORINE 0 999 No
TACROLIMUS 0.5 MG CAPSULE (IR) TACROLIMUS 0 999 No
TACROLIMUS 1 MG CAPSULE (IR) TACROLIMUS 0 999 No
TACROLIMUS 5 MG CAPSULE (IR) TACROLIMUS 0 999 No
Z2F MAST CELL STABILIZERS CROMOLYN 100 MG/5 ML ORAL CONC CROMOLYN SODIUM 0 999 No
Z2G IMMUNOMODULATORS ACTIMMUNE 100 MCG/0.5 ML VIAL INTERFERON GAMMA-1B,RECOMB. 0 999 No
IMIQUIMOD 5% CREAM PACKET IMIQUIMOD 12 999 No
Z2H SYSTEMIC ENZYME INHIBITORS ARALAST NP 1,000 MG VIAL ALPHA-1-PROTEINASE INHIBITOR 18 999 Auto PA
ARALAST NP 500 MG VIAL ALPHA-1-PROTEINASE INHIBITOR 18 999 Auto PA
Z2L MONOCLONAL ANTIBODIES TO IMMUNOGLOBULIN E (IGE) XOLAIR 150 MG/ML SYRINGE OMALIZUMAB 6 999 Clinical PA
XOLAIR 75 MG/0.5 ML SYRINGE OMALIZUMAB 6 999 Clinical PA
Z2N 1ST GEN ANTIHISTAMINE AND DECONGESTANT COMBINATION PROMETHAZINE VC SOLUTION PHENYLEPHRINE HCL/PROMETH HCL 0 20 No
Z2O 2ND GEN ANTIHISTAMINE AND DECONGESTANT COMBINATION ALL DAY ALLERGY-D TABLET CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
ALLERGY RELIEF D-12 TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
ALLERGY RELIEF D-24HR TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
ALLERGY RELIEF-D TABLET CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
ALLERGY RELIEF-NASAL DECONG TB LORATADINE/PSEUDOEPHEDRINE 0 20 No
ALLERGY RLF-DECONG ER 5-120 MG CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
ALLERGY-CONGES RELF ER TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
CETIRIZINE-PSE ER 5-120 MG TAB CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
GS ALL DAY ALLERGY-D TABLET CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
HM ALLERGY RLF-NASAL DECONG TB LORATADINE/PSEUDOEPHEDRINE 0 20 No
HM ALLERGY-CONGESTION 12HR TAB LORATADINE/PSEUDOEPHEDRINE 0 20 No
LORATADINE-D 12 HOUR TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
LORATADINE-D 24HR TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
SM ALL DAY ALLERGY-D TABLET CETIRIZINE HCL/PSEUDOEPHEDRINE 0 20 No
SM LORATA-DINE D 24HR TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
SM LORATADINE-D 12 HOUR TABLET LORATADINE/PSEUDOEPHEDRINE 0 20 No
Z2P ANTIHISTAMINES - 1ST GENERATION CARBINOXAMINE 4 MG/5 ML LIQUID CARBINOXAMINE MALEATE 0 999 No
CARBINOXAMINE MALEATE 4 MG TAB CARBINOXAMINE MALEATE 0 999 No
CLEMASTINE FUM 2.68 MG TAB CLEMASTINE FUMARATE 0 999 No
CYPROHEPTADINE 2 MG/5 ML SOLN CYPROHEPTADINE HCL 0 999 No
CYPROHEPTADINE 2 MG/5 ML SYRUP CYPROHEPTADINE HCL 0 999 No
CYPROHEPTADINE 4 MG TABLET CYPROHEPTADINE HCL 0 999 No
DIPHENHYDRAMINE 12.5MG/5ML CUP DIPHENHYDRAMINE HCL 0 999 No
Z2P ANTIHISTAMINES - 1ST GENERATION
DIPHENHYDRAMINE 25 MG/10ML CUP DIPHENHYDRAMINE HCL 0 999 No
DIPHENHYDRAMINE 50 MG/ML SYRNG DIPHENHYDRAMINE HCL 0 999 No
DIPHENHYDRAMINE 50 MG/ML VIAL DIPHENHYDRAMINE HCL 0 999 No
HYDROXYZINE 10 MG/5 ML SOLN HYDROXYZINE HCL 0 999 No
HYDROXYZINE 10 MG/5 ML SYRUP HYDROXYZINE HCL 0 999 No
HYDROXYZINE 100 MG/2 ML VIAL HYDROXYZINE HCL 0 999 No
HYDROXYZINE 25 MG/ML VIAL HYDROXYZINE HCL 0 999 No
HYDROXYZINE 50 MG/ML VIAL HYDROXYZINE HCL 0 999 No
HYDROXYZINE HCL 10 MG TABLET HYDROXYZINE HCL 0 999 No
HYDROXYZINE PAM 100 MG CAP HYDROXYZINE PAMOATE 0 999 No
PROMETHAZINE 12.5 MG TABLET PROMETHAZINE HCL 0 999 No
PROMETHAZINE 25 MG TABLET PROMETHAZINE HCL 0 999 No
PROMETHAZINE 25 MG/ML AMPUL PROMETHAZINE HCL 0 999 No
PROMETHAZINE 25 MG/ML VIAL PROMETHAZINE HCL 0 999 No
PROMETHAZINE 50 MG TABLET PROMETHAZINE HCL 0 999 No
PROMETHAZINE 50 MG/ML AMPUL PROMETHAZINE HCL 0 999 No
PROMETHAZINE 50 MG/ML VIAL PROMETHAZINE HCL 0 999 No
PROMETHAZINE 6.25 MG/5 ML SOLN PROMETHAZINE HCL 0 999 No
PROMETHAZINE 6.25 MG/5 ML SYRP PROMETHAZINE HCL 0 999 No
Z2Q ANTIHISTAMINES - 2ND GENERATION ALL DAY ALLERGY 10 MG TABLET CETIRIZINE HCL 0 20 No
ALLERGY (LORATADINE) 10 MG TAB LORATADINE 0 20 No
ALLERGY RELIEF 10 MG TABLET LORATADINE 0 20 No
ALLERGY RELIEF 5 MG/5 ML SOLN LORATADINE 0 20 No
ALLERGY RLF (CETRZN) 10 MG TAB CETIRIZINE HCL 0 20 No
ALLERGY RLF (CETRZN) 5 MG TAB CETIRIZINE HCL 0 20 No
CETIRIZINE HCL 1 MG/ML SOLN CETIRIZINE HCL 0 11 No
CETIRIZINE HCL 1 MG/ML SYRUP CETIRIZINE HCL 0 11 No
CETIRIZINE HCL 10 MG TABLET CETIRIZINE HCL 0 20 No
CETIRIZINE HCL 5 MG TABLET CETIRIZINE HCL 0 20 No
CHILD ALL DAY ALLERGY 1 MG/ML CETIRIZINE HCL 0 11 No
CHILD ALLERGY (FEXO) 30 MG/5ML FEXOFENADINE HCL 0 999 Cystic Fib Diag Auto PA
CHILD ALLERGY RELIEF 1 MG/ML CETIRIZINE HCL 0 11 No
CHILD ALLERGY RELIEF 5 MG/5 ML LORATADINE 0 20 No
CHILD CETIRIZINE HCL 1 MG/ML CETIRIZINE HCL 0 11 No
CHILD LORATADINE 5 MG/5 ML SOL LORATADINE 0 20 No
CHILD LORATADINE 5 MG/5 ML SYR LORATADINE 0 20 No
CVS CHILD ALLERGY(FEX) 30 MG/5 FEXOFENADINE HCL 0 999 Cystic Fib Diag Auto PA
DESLORATADINE 5 MG TABLET DESLORATADINE 0 999 No
FEXOFENADINE HCL 180 MG TABLET FEXOFENADINE HCL 0 999 Cystic Fib Diag Auto PA
FEXOFENADINE HCL 60 MG TABLET FEXOFENADINE HCL 0 999 Cystic Fib Diag Auto PA
FT AD ALLERGY (CETRZN) 10MG TB CETIRIZINE HCL 0 20 No
FT AD ALLERGY (LORAT) 10 MG TB LORATADINE 0 20 No
GNP LORATADINE 10 MG ODT LORATADINE 0 20 No
GNP LORATADINE 10 MG TABLET LORATADINE 0 20 No
GS ALL DAY ALLERGY 10 MG TAB CETIRIZINE HCL 0 999 No
GS ALL DAY ALLERGY 10 MG TAB CETIRIZINE HCL 0 20 No
GS ALLERGY RELIEF 10 MG TABLET LORATADINE 0 20 No
GS CHILD ALL DAY ALLER 1 MG/ML CETIRIZINE HCL 0 11 No
GS CHILD ALLERGY RLF 5 MG/5 ML LORATADINE 0 20 No
HM ALLERGY RELIEF 10 MG TABLET CETIRIZINE HCL 0 20 No
HM CHILD LORATADINE 5 MG/5 ML LORATADINE 0 20 No
HM LORATADINE 10 MG TABLET LORATADINE 0 20 No
LEVOCETIRIZINE 2.5 MG/5 ML SOL LEVOCETIRIZINE DIHYDROCHLORIDE 0 999 Cystic Fib Diag Auto PA
LEVOCETIRIZINE 5 MG TABLET LEVOCETIRIZINE DIHYDROCHLORIDE 0 999 Cystic Fib Diag Auto PA
LORATADINE 10 MG ODT LORATADINE 0 20 No
LORATADINE 10 MG TABLET LORATADINE 0 20 No
LORATADINE 5 MG/5 ML SOLUTION LORATADINE 0 20 No
LORATADINE 5 MG/5 ML SYRUP LORATADINE 0 20 No
LORATADINE ALLERGY 5 MG/5 ML LORATADINE 0 20 No
SM ALL DAY ALLERGY 10 MG TAB CETIRIZINE HCL 0 20 No
SM ALL DAY ALLERGY 10 MG TAB LORATADINE 0 20 No
SM CHILD ALL DAY ALLER 1 MG/ML CETIRIZINE HCL 0 11 No
SM CHILD ALLERGY 5 MG/5 ML SOL LORATADINE 0 20 No
SM FEXOFENADINE HCL 180 MG TAB FEXOFENADINE HCL 0 999 Cystic Fib Diag Auto PA
SM LORATADINE 10 MG TABLET LORATADINE 0 20 No
SM LORATADINE 5 MG/5 ML SYRUP LORATADINE 0 20 No
Z2W ANTI-CD20 (B LYMPHOCYTE) MONOCLONAL ANTIBODY ARZERRA 1,000 MG/50 ML VIAL OFATUMUMAB 0 999 No
ARZERRA 100 MG/5 ML VIAL OFATUMUMAB 0 999 No
RUXIENCE 100 MG/10 ML VIAL RITUXIMAB-PVVR 18 999 Auto PA
RUXIENCE 500 MG/50 ML VIAL RITUXIMAB-PVVR 18 999 Auto PA
Z2Z JANUS KINASE (JAK) INHIBITORS XELJANZ 1 MG/ML SOLUTION TOFACITINIB CITRATE 2 12 Auto PA
XELJANZ 10 MG TABLET TOFACITINIB CITRATE 2 999 Auto PA
XELJANZ 5 MG TABLET TOFACITINIB CITRATE 2 999 Auto PA
Z4B LEUKOTRIENE RECEPTOR ANTAGONISTS MONTELUKAST SOD 10 MG TABLET MONTELUKAST SODIUM 0 999 No
MONTELUKAST SOD 4 MG TAB CHEW MONTELUKAST SODIUM 0 999 No
MONTELUKAST SOD 5 MG TAB CHEW MONTELUKAST SODIUM 0 999 No
Z9D DIAGNOSTIC PREPARATIONS,MISCELLANEOUS GLUCAGON 1 MG VIAL GLUCAGON HCL 0 999 No

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Florida Medicaid Preferred Drug List

Effective October 1, 2023

Auto PA In-Progress: Abilify Asimtufii, Uzedy, Caplyta

Prior Authorization (PA) Column Definitions:

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