ANTIFUNGALS
(Systemic)
clotrimazole troche (Mycelex® Troche)
fluconazole tablet, oral suspension
(Diflucan®)
grifulvin V tablet
griseofulvin microsize oral suspension
ketoconazole tablet
itraconazole capsule (Sporanox®)*
nystatin
suspension, tablet
terbinafine HCL tablet (Lamisil®)*
voriconazole tablet (Vfend®)
Ancobon® capsule
Gris-Peg® tablet
Vfend® oral suspension
ANTI-INFECTIVES
amoxicillin capsule, suspension, tablet, chews,
drops (Amoxil®)
amoxicillin/pot.
clavulanate tabs, chews, suspension (Augmentin®)
atovaquone-proguanil tablet (Malarone®)
azithromycin tablet, packet, suspension (Zithromax®)
cefaclor capsule, suspension (Ceclor®)
cefadroxil capsule, tablet (Duricef®)
cefdinir capsule, suspension (Omnicef®)
cefditoren tablet (Spectracef®)
cefprozil tablet, suspension (Cefzil®)
cefuroxime tablet (Ceftin®)
cephalexin capsule (Keflex®)
chloroquine tablet (Aralen®)
ciprofloxacin ER tablet (Cipro XR®)
ciprofloxacin tablet, suspension (Cipro®)
clarithromycin tablet (Biaxin®)
clarithromycin ER tablet (Biaxin XL®)
clindamycin capsule (Cleocin®)
dapsone tablet
doxycycline hyclate tablet (Periostat®)
doxycycline capsule, tablet (Vibramycin®)
erythrocin stearate tablet
erythromycin base EC tablet (Emycin®)
erythromycin ethylsuc tablet, suspension (E.E.S.®)
erythromycin/sulfisoxazole suspension
ethambutol tablet (Myambutol®)
hydroxychloroquine tablet (Plaquenil®)
isoniazid tablet
mebendazole chewtabs (Vermox®)
metronidazole tablet (Flagyl®)
minocycline capsule (Minocin®)
minocycline ER tablet (Solodyn®)
nitrofurantoin capsule (Macrodantin®,
Macrobid®)
nitrofurantoin oral suspension (Furadantin®)
ofloxacin tablet
penicillin V potassium tablet,
suspension (Veetids®)
primaquine
phosphate tablet
pyrazinamide tablet
rifampin/isoniazid capsule (Rifamate®)
rifampin capsule (Rifadin®)
sulfamethoxazole/trimethoprim tablet, suspension (Bactrim®, Septra®)
sulfadiazine
tablet
tetracycline
capsule
trimethoprim
tablet
Albenza® tablet
Alinia® tablet, suspension
Avelox® tablet
Biltricide® tablet
Coartem® tablet
Daraprim® tablet
Mepron® oral suspension
Mycobutin® capsule
Seromycin® capsule
Stromectal® tablet
Yodoxin® tablet
Zyvox® tablet, oral suspension
ANTINEOPLASTICS++
anastrozole tablet (Arimidex®)
bicalutamide tablet (Casodex®)
cyclophosphamide tablet
etoposide capsule (Toposar®, Vepesid®)
exemestane tablet (Aromasin®)
flutamide capsule
hydroxyurea capsule (Hydrea®)
letrozole tablet (Femara®)
leucovorin tablet
megestrol tablet, syrup (Megace®)
tamoxifen tablet (Nolvadex®)
tretinoin capsule (Vesanoid®)
Alkeran® tablet
CeeNu® capsule
Droxia® capsule
Emcyt® capsule
Fareston® tablet
Gleevec® tablet, capsule
Hexalen® capsule
Leukeran® tablet
Lysodren® tablet
Matulane® capsule
Mesnex® tablet
Myleran® tablet
Nexavar® tablet
Purinethol® tablet
Revlimid® capsule
Sprycel® tablet
Sutent® capsule
Tabloid® tablet
Tarceva® tablet
Tasigna® capsule
Temodar® capsule
Xeloda® tablet
Zelboraf® tablet
Zytiga™ tablet
ANTI-VIRALS/HIV/AIDS
acyclovir tablet, capsule, suspension (Zovirax®)
amantadine capsule, syrup
didanosine capsule (Videx® EC)
famciclovir tablet (Famvir®)
ganciclovir capsule
ribavirin capsule (Rebetol®)
ribavirin tablet (Copegus®)
rimantadine HCL tablet (Flumadine®)
stavudine capsule, oral solution (Zerit®)
valacyclovir HCL tablet (Valtrex®)
zidovudine capsule, tablet, syrup (Retrovir®)
Atripla® tablet
Baraclude® tablet
Combivir® tablet
Crixivan® capsule
Emtriva® capsule
Epivir® tablet, oral solution
Epivir HBV® tablet, oral solution
Epzicom ® tablet
Hepsera® tablet
Incivek™ tablet
Intelence® tablet
Invirase® capsule
Invirase® tablet
Isentress™ tablet
Kaletra® tablet, solution
Lexiva® tablet, oral suspension
Norvir®
Prezista® tablet
Rebetol® oral solution
Rescriptor® tablet
Reyataz® capsule
Selzentry™ tablet
Sustiva® capsule, tablet
Tamiflu® capsule, suspension
Trizivir® tablet
Truvada® tablet
Valcyte® tablet, solution
Victrelis™ capsule
Videx® solution
Viracept® tablet, powder for oral solution
Viramune® tablet, oral suspension
Viread® tablet
Ziagen® tablet, oral solution
BEHAVIOR MODIFICATION
dextroamphetamine SR capsule
(Dexedrine Spansule®)
dextroamphetamine
tablet (Dexedrine®)
disulfiram tablet (Antabuse®)
methylphenidate
tablet (Ritalin®)
methylphenidate
ER tablet 10 mg, 20mg (Ritalin® SR)
Adderall XR™ capsule
Metadate® CD capsule
Suboxone® SL film
Vyvanse® capsule
BLOOD MODIFIERS
cilostazol tablet (Pletal®)
dipyridamole tablet (Persantine®)
pentoxifylline tablet (Trental®)
ticlopidine tablet
warfarin tablet (Coumadin®)
Agrylin® capsule
Coumadin® tablet
Mephyton® tablet
Plavix® tablet
Pradaxa® capsule
Xarelto® tablet
BONE & JOINT
alendronate sodium tablet (Fosamax®)
allopurinol tablet (Zyloprim®)
calcitonin-salmon nasal spray (Fortical®, Miacalcin®)
colchicine tablet
etidronate disodium (Didronel®)
ibandronate tablet (Boniva®)
methotrexate tablet (Rheumatrex®)
probenecid
tablet (Benemid®)
sulfasalazine
tablet (Azulfidine® EN-tabs®)
Actonel® tablet
Atelvia™ tablet
Colcrys® tablet
Cuprimine® capsule
Depen® tablet
Evista® tablet
Fosamax® oral solution
Ridaura® capsule
Uloric® tablet
CARDIOVASCULAR
acebutolol capsule (Sectral®)
amiloride tablet (Midamor®)
amiloride/HCTZ tablet
aminocaproic acid tablet (Amicar®)
amiodarone tablet (Cordarone®)
amlodipine besylate/benazepril (Lotrel®)
amlodipine besylate tablet (Norvasc®)
atenolol tablet (Tenormin®)
atenolol/chlorthalidone tablet (Tenoretic®)
benazepril HCL tablet (Lotensin®)
betaxolol tablet (Kerlone®)
bumetanide tablet (Bumex®)
captopril tablet
captopril/HCTZ tablet
carvedilol tablet (Coreg®)
chlorothiazide tablet
chlorthalidone tablet
clonidine patch (Catapres-TTS®)
clonidine tablet (Catapres®)
digoxin tablet, elixir (Lanoxin®)
diltiazem tablet (Cardizem®)
diltiazem SR capsule (Cardizem®
SR)
diltiazem SR capsule (Cardizem®
CD)
diltiazem SR capsule (Dilacor®
XR)
disopyramide & ER capsule (Norpace®, Norpace CR®)
doxazosin
tablet (Cardura®)
enalapril
tablet (Vasotec®)
enalapril/HCTZ
tablet (Vaseretic®)
felodipine
tablet
flecainide
tablet (Tambocor®)
fosinopril
tablet
furosemide
tablet (Lasix®)
guanfacine
tablet (Tenex®)
hydralazine
tablet (Apresoline®)
hydralazine/HCTZ
tablet (Apresazide®)
hydrochlorothiazide
tablet
indapamide
tablet
isradipine (DynaCirc®)
isosorbide
dinitrate & ER tablet (Isordil® &
Dilatrate® SR)
isosorbide mononitrate
& ER tablet (Ismo® & Imdur®)
labetalol tablet (Trandate®)
lisinopril tablet (Zestril®, Prinivil®)
lisinopril/HCTZ tablet (Zestoretic®)
losartan tablet (Cozaar®)
losartan/hctz tablet (Hyzaar®)
methyclothiazide tablet
methyldopa tablet (Aldomet®)
metolazone tablet (Zaroxolyn®)
metoprolol tablet (Lopressor®)
metoprolol succinate tablet (Toprol XL®)
methazolamide tablet
mexiletine capsule
minoxidil tablet
moexipril HCL tablet (Univasc®)
moexipril/HCTZ tablet (Uniretic®)
nadolol tablet (Corgard®)
nicardipine
capsule (Cardene®)
nifedipine
capsule (Procardia®)
nifedipine
SA tablet (Adalat® CC)
nimodipine capsule (Nimotop®)
nisoldipine tablet (Sular®)
nitroglycerin
patch (Minitran®, Nitro-Dur®)
nitroglycerin
capsule (NitroTime®)
pindolol
tablet
potassium
chloride tablet
potassium chloride CR capsule
prazosin
capsule (Minipress®)
propafenone
tablet (Rythmol®)
propranolol
tablet
propranolol HCL SA capsule (Inderal® LA)
propranolol/HCTZ
tablet
quinidine
gluconate tablet
quinidine
sulfate tablet
ramipril capsule (Altace®)
sotalol
tablet (Betapace®)
spironolactone
tablet (Aldactone®)
spironolactone/HCTZ
tablet (Aldactazide®)
terazosin
capsule
timolol maleate
tablet
trandolapril tablet (Mavik®)
trandolapril/verapamil tablet (Tarka®)
triamterene/HCTZ
tablet (Maxzide®)
verapamil
tablet (Calan®)
Benicar® tablet
Benicar HCT® tablet
K-Tab® tablet
Lanoxin® tablet, elixir
Micardis® tablet
Micardis HCT® tablet
Norpace® CR capsule
Tikosyn® capsule
CHOLESTEROL LOWERING
atorvastatin tablet (Lipitor®)
cholestyramine/sucrose powder (Questran®)
colestipol HCL granules, tablet (Colestid®)
fenofibrate capsule, tablet
gemfibrozil capsule (Lopid®)
lofibra capsule, tablet
lovastatin tablet (Mevacor®)
pravastatin tablet (Pravachol®)
simvastatin tablet (Zocor®)
Colestid® packet
Crestor® tablet
Niaspan® tablet
DIABETES
acarbose tablet (Precose®)
chlorpropamide tablet
glipizide tablet (Glucotrol®)
glipizide ER tablet (Glucotrol®
XL) glyburide tablet (Diabeta®)
glyburide, micronized tablet (Glynase®)
metformin tablet (Glucophage®)
metformin ER tablet (Glucophage®
XR)
nateglinide tablet (Starlix®)
tolazamide tablet
tolbutamide tablet
ACTOplus met® tablet
Actos® tablet
Byetta® injection
Duetact® tablet
Glucagon® injection
Humalog® insulins
Humulin® insulins
Janumet® tablet
Januvia® tablet
Juvisync™ tablet
Lantus® insulin
Lantus® SoloSTAR® insulin
Levemir® insulin
Novolin® insulins
Novolog® insulins
Prandin® tablet
Proglycem® oral suspension
DIABETIC SUPPLIES
| Please check if these are covered by your prescription
benefit: |
| Bayer® test strips*
Bayer Breeze® 2 test strips*
Bayer Contour® test strips*
Lancets, needles, syringes (all products) |
EAR/NOSE/THROAT
acetic acid otic (Acetasol®)
acetic acid/hydrocortisone otic (Acetasol®-HC)
azelastine nasal spray (Astelin®)
benzocaine/antipyrine otic (Aurodex®)
benzonatate capsule (Tessalon®)
bromhist oral syrup
clemastine tablet (Tavist®)
flunisolide nasal spray
fluticasone propionate nasal spray (Flonase®)
hydrocort/polymyx/neomycin otic (Cortisporin®
Otic) ipratropium nasal spray (Atrovent®)
levocetirizine tablet (Xyzal®)
triamcinolone nasal spray (Nasacort AQ®)
Cipro® HC otic suspension
Ciprodex® otic suspension
GASTROINTESTINAL
cimetidine tablet, liquid (Tagamet®)
compro rectal suppository
dicyclomine capsule, tablet (Bentyl®)
diphenoxylate/atropine tablet (Lomotil®)
dronabinol capsule (Marinol®)
famotidine tablet (Pepcid®)
granisetron HCL tablet, solution (Kytril®)
lactulose solution
lansoprazole capsule (Prevacid®)
lansoprazole ODT tablet (Prevacid® solutab)
loperamide capsule
meclizine tablet (Antivert®)
mesalamine enema (Rowasa®)
metoclopramide tablet, syrup (Reglan®)
misoprostil tablet (Cytotec®)
omeprazole capsule (Prilosec®)
omeprazole-sodium bicarbonate capsule (Zegerid®)
ondansetron HCL tablet, oral solution (Zofran®)
ondansetron ODT tablet (Zofran ODT®)
opium tincture
pantoprazole tablet (Protonix®)
peg-3350/kcl sol/sodium (Nulytely®)
polyethylene glycol/electrolyte solution
prochlorperazine tablet
promethazine tablet, suppository
ranitidine tablet, syrup (Zantac®)
sucralfate tablet (Carafate®)
sulfasalazine tablet (Azulfidine®
EN-tabs®)
trimethobenzamide capsule (Tigan®)
ursodiol
capsule (Actigall®)
ursodiol tablet (Urso 250®, Urso Forte®)
Analpram HC® rectal cream, rectal lotion
Asacol® tablet, oral solution
Asacol® HD tablet
Canasa® rectal suppository
Cortifoam® rectal foam
Creon® capsule
Dexilant™ capsule (formerly Kapidex)
Dipentum® capsule
Emend® capsule
Epifoam® topical foam
Helidac® combopak
Kristalose® packet
Pancreaze™ capsule
Pancrecarb MS® capsule
Pentasa® capsule
PrevPac®
ProctoFoam®-HC rectal foam
Ultrase® capsule
Ultrase® MT capsule
Viokase® tablet
Visicol® tablet
Zenpep® capsule
HORMONE/ENDOCRINE (also see
WOMEN'S HEALTH)
calcitriol capsule (Rocaltrol®)
cortisone acetate tablet (Cortone®)
desmopressin tablet, nasal spray, nasal solution (DDAVP®)
dexamethasone intensol oral solution
dexamethasone tablet, elixir
fludrocortisone tablet
folic acid tablet
levothyroxine sodium tablet
liothyronine sodium tablet (Cytomel®)
methimazole tablet (Tapazole®) methylprednisolone
tablet (Medrol®) prednisolone
15mg/5ml syrup (Prelone®)
prednisone intensol oral concentrate
prednisone
tablet, solution
propylthiouracil
tablet
thyroid dessicated tablet
triamcinolone tablet
unithroid tablet
Androgel® gel
Armour® Thyroid tablet
DDAVP® nasal solution, nasal spray
Levothroid® tablet
Levoxyl® tablet
Methitest® tablet
Nilandron® tablet
Orapred® oral solution
Stimate® nasal spray
Synthroid® tablet
Testred® tablet
Thyrolar® tablet
IMMUNOSUPPRESSANTS
azathioprine tablet (Imuran®)
cyclosporine, modified capsule, solution (Neoral®)
cyclosporine capsule, solution (Sandimmune®)
mycophenolate mofetil capsule, tablet (CellCept®)
tacrolimus capsule (Prograf®)
CellCept® suspension
Myfortic® ER tablet
Rapamune® tablet, solution
MENTAL HEALTH
alprazolam tablet (Xanax®)
alprazolam ER tablet (Xanax XR®)
amitriptyline tablet
amoxapine tablet (Asendin®)
budeprion SR tablet (Wellbutrin SR®)
budeprion XL tablet (Wellbutrin XL®)
bupropion SR tablet (Wellbutrin SR®)
bupropion XL tablet (Wellbutrin XL®)
buspirone tablet (BuSpar®)
chloral hydrate capsule
chlordiazepoxide
capsule
chlorpromazine
tablet
citalopram
tablet (Celexa®)
clomipramine
capsule (Anafranil®)
clonazepam
tablet (Klonopin®)
clorazepate
tablet (Tranxene®)
clozapine
tablet (Clozaril®)
desipramine
tablet (Norpramin®)
diazepam
tablet, solution (Valium®)
doxepin
capsule
escitalopram tablet (Lexapro®)
estazolam
tablet
fluoxetine
capsule (Prozac®)
fluphenazine
tablet
flurazepam capsule
fluvoxamine tablet (Luvox®)
haloperidol tablet, solution
hydroxyzine HCL tablet (Atarax®)
hydroxyzine pamoate capsule (Vistaril®)
imipramine tablet (Tofranil®)
lithium carbonate capsule, tablet
lithium citrate syrup
lorazepam intensol oral concentrate
lorazepam
tablet (Ativan®)
loxapine succinate
capsule (Loxitane®)
maprotiline
tablet
mirtazapine
tablet (Remeron®)
nefazodone
tablet
nortriptyline
capsule (Pamelor®)
olanzapine tablet (Zyprexa®)
olanzapine ODT tablet (Zyprexa Zydis®)
oxazepam
capsule
paroxetine
tablet (Paxil®)
perphenazine
tablet
phenelzine tablet (Nardil®)
phenobarbital
tablet, elixir
protriptyline tablet (Vivactil®)
risperidone tablet, solution (Risperdal®)
risperidone M-tab (Riperdal® M-Tab™)
sertraline tablet (Zoloft®)
temazepam capsule (Restoril®)
thioridazine tablet,
solution
thiothixene
capsule (Navane®)
tranylcypromine sulfate tablet (Parnate®)
trazodone
tablet
triazolam
tablet (Halcion®)
trifluoperazine
tablet
venlafaxine ER capsule, tablet (Effexor XR®)
venlafaxine HCL tablet (Effexor®)
zaleplon capsule (Sonata®)
zolpidem tartrate ER tablet (Ambien CR®)
zolpidem tartrate tablet (Ambien®)
Abilify® tablet, solution
Abilify Discmelt® tablet
Geodon® capsule
Lithobid® tablet
Moban® tablet
Orap® tablet
Seroquel® tablet
Seroquel XR™ tablet
|
MUSCLE
RELAXANTS
baclofen tablet
carisoprodol tablet (Soma®)
carisoprodol/ASA tablet
cyclobenzaprine ER capsule (Amrix®)
cyclobenzaprine tablet
(Flexeril®)
dantrolene capsule (Dantrium®)
metaxalone tablet (Skelaxin®)
methocarbamol tablet
(Robaxin®)
NEUROLOGICAL
benztropine tablet (Cogentin®)
bromocriptine tablet (Parlodel®)
carbamazepine capsule (Carbatrol®)
carbamazepine tablet, chews, suspension (Tegretol®)
carbidopa/levodopa tablet (Sinemet®)
divalproex sodium tablet (Depakote®)
divalproex sodium ER tablet (Depakote® ER)
divalproex sodium sprinkle capsule (Depakote Sprinkle®)
donepezil tablet (Aricept®)
donepezil ODT tablet (Aricept ODT®)
epitol tablet
ethosuximide syrup (Zarontin®)
galantamine HBR tablet, oral solution (Razadyne™)
lamotrigine (Lamictal®)
levetiracetam tablet, solution (Keppra®)
oxcarbazepine tablet (Trileptal®)
pramipexole tablet (Mirapex®)
phenytoin sodium capsule (Dilantin®)
primidone tablet (Mysoline®)
rivastigmine capsule (Exelon®)
ropinirole HCL tablet (Requip®)
selegiline tablet, capsule (Eldepryl®)
topiramate capsule (Topamax® Sprinkle)
topiramate tablet (Topamax®)
trihexyphenidyl tablet (Artane®)
valproic acid capsule, syrup (Depakene®)
Aricept® 23 mg tablet
Azilect® tablet
Celontin® tablet, capsule
Comtan® tablet
Diastat® rectal gel
Dilantin® capsule, chews, suspension
Exelon® solution, patch
Felbatol® tablet, oral suspension
Gabitril® tablet
Mebaral® tablet
Mestinon® tablet, syrup
Mysoline® tablet
Neurontin® capsule, tablet, solution
Parlodel® capsule only
Phenytek® capsule
Reminyl® tablet, solution
Rilutek® tablet
Stalevo® tablet
Tegretol® XR tablet
Zarontin® capsule, syrup
Zonegran® capsule
OPHTHALMIC
acetazolamide SR capsule (Diamox Sequels®)
acetazolamide tablet
apraclonidine ophthalmic solution (Iopidine®)
atropine ophthalmic solution
bacitracin/polymyxin ophthalmic ointment
bacitracin ophthalmic solution
betaxolol ophthalmic solution
brimonidine ophthalmic solution (Alphagan®)
bromfenac ophthalmic solution (Xibrom®)
carteolol ophthalmic solution
ciprofloxacin HCL ophthalmic solution (Ciloxan®)
cromolyn ophthalmic solution (Crolom®)
dexamethasone sod phos ophthalmic suspension
diclofenac sod ophthalmic solution
dorzolamide HCL ophthalmic solution (Trusopt®)
dorzolamide-timolol ophthalmic solution (Cosopt®)
epinastine ophthalmic solution (Elestat®)
erythromycin base ophthalmic ointment
fluorometholone ophthalmic suspension (Fluor-Op®)
flurbiprofen ophthalmic solution (Ocufen®)
gentamicin ophthalmic solution
homatropine ophthalmic solution
isopto homatropine ophthalmic solution
ketorolac 0.5% ophthalmic solution (Acular®)
ketorolac 0.4% ophthalmic solution (Acular LS®)
ketotifen fumarate ophthalmic solution (Zaditor®)
latanoprost ophthalmic solution (Xalatan®)
levobunolol ophthalmic solution(Betagan®)
levofloxacin ophthalmic solution (Quixin®)
metipranolol ophthalmic solution (OptiPranolol®)
naphazoline ophthalmic solution
neo/polymyx/dexamethasone
ophthalmic suspension,
ointment
ofloxacin ophthalmic solution (Ocuflox®)
phenylephrine ophthalmic solution
pilocarpine ophthalmic solution (Isopto Carpine®)
prednisolone acetate ophthalmic suspension (Pred Forte®)
prednisolone sod phosphate
ophthalmic solution
sulfacetamide/prednisolone ophthalmic suspension (Blephamide®)
sulfacetamide
ophthalmic solution (Bleph®-10)
timolol maleate ophthalmic solution (Timoptic®)
timolol maleate ophthalmic gel solution (Timoptic-XE®)
tobramycin ophthalmic solution (Tobrex®)
tobramycin/dexamethasone ophthalmic suspension (Tobradex®)
trifluridine ophthalmic solution (Viroptic®)
Alocril® ophthalmic solution
Alphagan® P ophthalmic solution
Alrex® ophthalmic suspension
Azopt® ophthalmic suspension
Betimol® ophthalmic solution
Betoptic S® ophthalmic suspension
Blephamide® S.O.P. ophthalmic ointment
Ciloxan® ophthalmic ointment
Cyclogyl® ophthalmic solution
FML® S.O.P. ophthalmic ointment
Isopto® Atropine ophthalmic solution
Lotemax® ophthalmic suspension
Lumigan® ophthalmic solution
Pataday™ ophthalmic solution
Patanol® ophthalmic solution
Pilopine HS® ophthalmic gel
Pred-Mild® ophthalmic suspension
TobraDex® ophthalmic suspension, ointment
Travatan Z® ophthalmic solution
PAIN & INFLAMMATORY DISEASE
choline mag trisalicylate tablet
codeine/APAP tablet (Tylenol® #3)
diclofenac tablet
diflunisal tablet
ergotamine/caffeine tablet, suppository (Cafergot®)
etodolac capsule, tablet
fenoprofen tablet
fentanyl patch(Duragesic®)
flurbiprofen tablet (Ansaid®)
hydrocodone/APAP tablet (Vicodin®)
hydrocodone/chlorpheniramine suspension (Tussionex® Pennkinetic)
hydrocodone/homatropine tablet, syrup
hydromorphone tablet (Dilaudid®)
ibuprofen tablet (Motrin®)
indomethacin capsule
ketoprofen capsule
ketoprofen ER capsule
meclofenamate capsule
mefenamic acid capsule (Ponstel®)
meperidine tablet, syrup (Demerol®)
methadone tablet, solution, concentrate (Dolophine®)
morphine SR tablet (MS
Contin®)
nabumetone tablet
naproxen tablet (Naprosyn®)
naratriptan tablet (Amerge®)
oxaprozin tablet (Daypro®)
oxycodone capsule
oxycodone/APAP tablet (Percocet®)
oxycodone/ASA tablet (Percodan®)
oxymorphone tablet (Opana®)
piroxicam capsule (Feldene®)
salsalate tablet
sulindac tablet (Clinoril®)
sumatriptan succinate injection,
tablet (Imitrex®)
sumatriptan nasal spray (Imitrex®)
tolmetin tablet
tramadol tablet (Ultram®)
tramadol/APAP tablet (Ultracet®)
tramadol ER tablet (Ultram ER®)
tramadol ER biphasic tablet (Ryzolt®)
Ergomar® tablet
Maxalt® tablet
Maxalt®-MLT tablet
Migranal® nasal spray
Phrenalin® with caffeine/codeine capsule
Relpax® tablet
RESPIRATORY
acetylcysteine solution
albuterol inhalation solution,
tablet, syrup (Proventil®)
aminophylline
tablet, liquid
cromolyn sodium solution
dyphylline
tablet (Lufyllin®) ipratropium
bromide solution (Atrovent®)
ipratropium-albuterol inhalation solution (Duoneb®)
metaproterenol
tablet, syrup, inhalation solution (Alupent®)
theophylline tablet, capsule, elixir
zafirlukast tablet (Accolate®)
Advair Diskus® oral inhaler
Advair® HFA oral inhaler
Alvesco® oral inhaler
Atrovent HFA® oral inhaler
Cayston® inhalation solution
Combivent® oral inhaler
Dulera® oral inhaler
Flovent® Diskus® oral inhaler
Flovent® HFA oral inhaler
Foradil® oral inhaler
Letairis™ tablet
Nebupent® powder for inhalation
Peak Flow Meters
ProAir® HFA oral inhaler
Pulmicort Respules®
Pulmicort® oral inhaler
Pulmozyme® inhalation solution
QVAR® oral inhaler
Serevent Diskus® oral inhaler
Singulair® tablet, granules, chews
Spacer devices
Spiriva® oral inhaler
Tobi® oral inhalation solution
Tracleer® tablet
Ventolin® HFA oral inhaler
SKIN/TOPICAL
adapalene cream (Differin®)
amcinonide cream, ointment, lotion
betamethasone
dipropionate cream, gel, lotion, ointment (Diprolene®)
betamethasone dipropionate augmented cream (Diprolene® AF cream)
betamethasone valerate liquid, lotion (Beta-val®)
betamethasone/clotrimazole cream (Lotrisone®)
calcipotriene solution (Dovonex®)
centany ointment
ciclopirox cream, gel, shampoo, topical suspension (Loprox®)
ciclopirox topical solution (Penlac®)
clindamycin topical gel, lotion, solution (Cleocin®)
clindamycin/benzoyl peroxide (BenzaClin®)
clobetasol propionate cream,
lotion, ointment (Temovate®)
desonide
cream
desoximetasone gel, cream, ointment (Topicort®, Topicort LP®)
diflorasone
diacetate ointment, cream
erythromycin base/benzoyl peroxide gel (Benzamycin®)
fluocinolone acetonide cream, ointment
fluocinolone acetonide oil (Derma-Smoothe/FS® oil)
fluocinonide cream, ointment, solution, gel
fluorouracil cream, solution (Efudex®)
gentamicin cream, ointment
halobetasol propionate cream, ointment (Ultravate®)
hydrocortisone cream, ointment, lotion (Ala-cort®)
imiquimod (Aldara®)
isotretinoin (claravis, sotret, amnesteem) capsule (Accutane®)
ketoconazole shampoo
lidocaine viscous solution (Xylocaine®)
lindane lotion, shampoo
malathion lotion (Ovide®)
metronidazole cream (MetroCream®)
metronidazole lotion (MetroLotion®)
mometasone cream, lotion, ointment (Elocon®)
mupirocin ointment (Bactroban®)
prednicarbate cream, ointment (Dermatop®)
permethrin 5% cream (Elimite®)
silver sulfadiazine cream (Silvadene®)
sulfacetamide sodium topical suspension (Klaron®)
tretinoin cream, gel, lotion (Retin
A®)*
triamcinolone acetonide cream,
ointment
Aclovate® cream, ointment
Azelex® cream
Bactroban® cream
Bactroban® nasal ointment
Capex® shampoo
Carac® cream
Cloderm® cream
Condylox® gel, solution
Cordran® lotion, tape, ointment, cream
Cutivate® cream, lotion, ointment
Differin® gel
Eurax® cream, lotion
Fluoroplex® cream
Locoid® cream, ointment, solution
Luxiq® foam
MetroGel®
Natroba™ topical suspension
Noritate® cream
Phisohex® liquid
Retin A Micro® gel*
Soriatane® capsule
Soriatane® CK kit
Tazorac® cream, gel
Ulesfia™ lotion
UROLOGY
alfuzosin tablet (Uroxatral®)
citric acid/sodium citrate solution (Bicitra®)
bethanechol tablet (Urecholine®)
finasteride tablet (Proscar®)
methenamine hippurate tablet (Hiprex®)
methenamine mandelate tablet
oxybutynin tablet (Ditropan®)
oxybutynin chloride ER (Ditropan XL®)
phenazopyridine tablet (Pyridium®)
tamsulosin capsule (Flomax®)
trospium tablet (Sanctura®)
Avodart® capsule
Detrol® LA capsule
Elmiron® capsule
Jalyn™ capsule
Toviaz® tablet
WOMEN’S HEALTH
altavera tablet* (Nordette®)
amethia tablet* (Seasonique®)
amethyst tablet* (Lybrel®)
apri tablet* (Ortho Cept®)
aranelle tablet* (Tri-Norinyl®)
aviane tablet*
azurette tablet* (Mircette®)
balziva tablet* (Ovcon-35®)
briellyn tablet* (Ovcon-35®)
camila tablet* (Ortho Micronor®)
camrese tablet* (Seasonique®*)
caziant tablet* (Cyclessa®)
clomiphene citrate tablet (Clomid®)*
cryselle tablet* (Lo/Ovral-28®)
cyclafem tablet* (Ortho Novum®)
danazol capsule
emoquette tablet* (Ortho Cept®)
enpresse tablet* (Triphasil®)
errin tablet* (Ortho Micronor®)
estradiol-norethindrone tablet (Activella®)
estradiol tablet (Estrace®)
estradiol transdermal patch (Climara®)
estropipate tablet
gianvi tablet* (Yaz®)*
gildess fe tablet* (Loestrin Fe®)
introvale tablet* (Seasonale®)
jolessa tablet* (Seasonale®)*
jolivette tablet* (Ortho Micronor®)
junel tablet* (Loestrin®)
junel fe tablet* (Loestrin Fe®)
kariva tablet* (Mircette®)
kelnor tablet*
leena tablet* (Tri-Norinyl®)
lessina tablet*
levora-28 tablet* (Nordette®)
loryna tablet* (Yaz®)
low-ogestrel tablet* (Lo/Ovral-28®)
lutera tablet*
marlissa tablet* (Nordette®)
medroxyprogesterone
acetate tablet
methylergonovine tablet (Methergine®)
microgestin tablet* (Loestrin®)
microgestin fe tablet* (Loestrin® Fe)
mimvey tablet (Activella®)
mononessa tablet* (Ortho-Cyclen®)
necon tablet*
next choice tablet* (Plan B®)
nora-BE tablet* (Ortho Micronor®)
nortrel tablet* (Modicon®)
ocella tablet (Yasmin®)*
ogestrel tablet*
orsythia tablet*
portia tablet* (Nordette®)
previfem tablet* (Ortho Cyclen®)
quasense tablet* (Seasonale®)*
reclipsen tablet* (Ortho Cept®)
solia tablet* (Ortho Cept®)
sprintec tablet* (Ortho Cyclen®)
sronyx tablet*
syeda tablet* (Yasmin®)
tilia FE tablet (Estrostep® FE)
tri-legest FE tablet (Estrostep® FE)
trinessa tablet* (Ortho Tri-Cyclen®)
tri-previfem tablet* (Ortho Tri-Cyclen®)
tri-sprintec tablet* (Ortho Tri-Cyclen®)
trivora-28 tablet* (Triphasil®)
velivet tablet* (Cyclessa®)
vestura tablet* (Yaz®*)
viorele tablet* (Mircette®)
zarah tablet* (Yasmin®)
zenchent fe chew tab* (Femcon Fe®)
zenchent tablet* (Ovcon-35®)
zeosa chew tab* (Femcon Fe®)
zovia tablet*
Alora® patch
Desogen® tablet*
Diaphragms*
Divigel®
Enjuvia® tablet
Estraderm® patch
FemHRT® tablet
Loestrin® tablet*
Loestrin® Fe tablet*
Lo/Ovral-28® tablet*
MetroGel-Vaginal®
Micronor® tablet*
Modicon® tablet*
Nora-BE® tablet*
Nordette® tablet*
Norinyl® tablet*
Nor-QD® tablet*
Ortho Cept® tablet*
Ortho Cyclen® tablet*
Ortho Evra® patch*
Ortho Micronor® tablet*
Ortho Novum® tablet*
Ortho Tri-Cyclen® tablet*
Ortho Tri-Cyclen® Lo tablet*
Prefest® tablet
Premarin® tablet
Premarin® vaginal cream
Premphase® tablet
Prempro® tablet
Serophene® tablet*
Terazol® vaginal cream
Tri-Norinyl® tablet*
Triphasil® tablet*
Vagifem® vaginal tablet
Vivelle-DOT® patch
SELF-INJECTED
calcitonin salmon injection
cyanocobalamin injection
enoxaparin injection (Lovenox®)
fondaparinux injection (Arixtra®)
heparin sodium injection
leuprolide non-depot injection
octreotide acetate injection (Sandostatin®)
Apokyn® injection
Aranesp® injection
Avonex® injection
Copaxone® injection
Enbrel® injection
Epipen® injection
Epipen® Jr injection
Epogen® injection
Firazyr® injection
Fragmin® injection
Fuzeon® injection
Humira® injection
Intron® A injection
Leukine® injection
Miacalcin® injection
Neupogen® injection
Nutropin AQ® injection*•
Nutropin® injection*•
Omnitrope® injection*•
Pegasys® injection
Peg-Intron® injection
Procrit® injection
Protropin® injection*•
Rebif® injection
Simponi® injection
OTHER
calcium acetate capsule (PhosLo®)
chlorhexidine gluconate oral rinse (Peridex®)
fluoride drops
periogard oral liquid
Buphenyl® tablet, powder
Carnitor® tablet, liquid
Chemet® capsule
Cystadane® oral powder
Dialyvite® tablet
Eliphos™ tablet
Evoxac® tablet
Galzin® capsule
Salagen® tablet
Syprine® capsule
Viagra® tablet
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