Generics Plus Drug List October 2014 Contents
October 2014 Generics Plus Drug List Click to search for a drug name in this document Contents Therapeutic Class Drug List ........................................ 2 Introduction .................................................................... I Anti-Infective Drugs ........................................................ 2 How to use this list ....................................................... I Cancer Drugs .................................................................. 6 Specialty Products (SP) .............................................. II Hormones, Diabetes and Related Drugs ........................ 9 Abbreviation/acronym key…………………… .............. II Heart and Circulatory Drugs ......................................... 13 Drugs with Safety/Efficacy Concerns ......................... 1 Respiratory Agents ....................................................... 19 Gastrointestinal Drugs .................................................. 20 Genitourinary Drugs ...................................................... 21 Central Nervous System Drugs .................................... 22 Pain Relief Drugs .......................................................... 27 Neuromuscular Drugs ................................................... 30 Supplements ................................................................. 32 Blood Modifying Drugs .................................................. 32 Topical Drugs ................................................................ 35 Miscellaneous Categories (includes supplies and devices) .............................................................. 38 Index............................................................................. 40 Please consider talking to your doctor about prescribing preferred medications, which may help reduce your out-of-pocket costs. This list may help guide you and your doctor in selecting an appropriate medication for you. To search for a drug name within this PDF document, use the Control and F keys on your keyboard, or go to Edit in the drop-down menu and select Find/Search. Type in the word or phrase you are looking for and click on Search. 3463-C © Prime Therapeutics LLC 10/14 Introduction The attached Generics Plus Drug List shows many commonly prescribed and clinically useful generic drugs and selected brand drugs to provide coverage for a broad range of diseases. Brand drugs are included when a generic is not available to treat a specific medical condition or the brand drug offers a significant advantage over available generics. Facts About Generic Drugs Generic drugs deliver effectiveness, safety, quality and savings. In fact, the Food and Drug Administration (FDA) requires all drugs – brand and generic – to pass through a rigorous multi-step review process. When the FDA approves a generic drug it means the generic drug is the same as the brand drug in: Dosage recommendations • Safety Performance • Strength Quality • Usage How to use this list This list is organized into broad therapeutic categories. Within most categories, drugs are grouped based upon drug class, e.g. Macrolides, or use for a specific medical condition, e.g. Diabetes. The first column of the chart lists the drug name. Generic drugs are shown in lower-case boldface type. Most generic drugs are followed by a reference brand drug in (parentheses). Some generic products have no reference brand. Brand prescription drugs are shown in capital letters followed by the generic name. The second column indicates if the drug is a specialty drug. Note: Additional information about specialty drugs can be found in this document under the header for Specialty Products. I Generics Plus Drug List October 2014 Specialty Products (SP) Specialty products are generally prescribed for people with complex or ongoing medical conditions such as multiple sclerosis, hemophilia, hepatitis C and rheumatoid arthritis. These high cost medications also have one or more of the following characteristics: Injected or infused, but some may be taken by mouth Unique storage or shipment requirements Additional education and support required from a health care professional Usually not stocked at retail pharmacies Abbreviation/acronym key caps .................................................................... capsules chew .................................................................. chewable odt .......................................... orally disintegrating tablets oint ...................................................................... ointment conc .............................................................. concentrate cr .......................................................... controlled release ophth ............................................................... ophthalmic osm ......................................................... osmotic release dr ............................................................. delayed release ec ................................................................enteric coated powd ..................................................................... powder sa ............................................................ sustained action effe................................................................. effervescent equiv ................................................................ equivalent sl ...................................................................... sublingual soln ...................................................................... solution er ...........................................................extended release inhal................................................................... inhalation sr .......................................................... sustained release suppos ........................................................ suppositories inj ......................................................................... injection liq .............................................................................. liquid susp ............................................................... suspension tab .......................................................................... tablets lotn ........................................................................... lotion nebu ................................................................... nebulizer td ....................................................................transdermal Generics Plus Drug List October 2014 II Brand or generic drugs that may not be covered in this pharmacy benefit program are noted below. These drugs have been excluded because of safety or efficacy concerns. This list is subject to change. acetaminophen/salicylamide/phenyltoloxamine Nefazodone 50 mg, 100 mg, 150 mg, 200 mg Ala Quin nefazodone 250 mg Alcortin A Novacort Amoxapine Omontys Armour Thyroid opium tincture 1% Avandamet Opium Tincture Avandaryl pentazocine/naloxone Avandia phendimetrazine belladonna alkaloids/phenobarbital Phendimetrazine ext-release benzphetamine Phospholine Iodide Bontril PDM Pramosone Butisol pramoxine carisoprodol 350 mg pramoxine/hydrocortisone topical Carisoprodol 250 mg Regimex carisoprodol/aspirin Reserpine carisoprodol/aspirin/codeine Seconal chlordiazepoxide/clidinium sodium thiosulfate/salicylic acid lotn, 25-1% Demerol tabs Soma Didrex thioridazine diethylpropion thyroid tabs, 30 mg, 60 mg, 90 mg Diethylpropion Thyrolar diethylpropion ext-release ticlopidine Donnatal triazolam Donnatal Extentabs Westhroid Epifoam WP Thyroid Equagesic Zyflo Ergoloid Mesylates Zyflo CR esterified estrogens/methyltestosterone flavoxate Halcion hydrocortisone/iodoquinol isoxsuprine 10 mg Isoxsuprine 20 mg Ketek ketoconazole tabs Librax meperidine tabs Meperidine oral soln meprobamate Nature-Throid Generics Plus Drug List October 2014 1 Specialty Drug Name Specialty 2014 Drug Name ANTI-INFECTIVE AGENTS cefaclor cap 500 mg PENICILLINS cefadroxil cap 500 mg amoxicillin (trihydrate) cap 250 mg cefadroxil for susp 250 mg/5ml amoxicillin (trihydrate) cap 500 mg cefadroxil for susp 500 mg/5ml amoxicillin (trihydrate) for susp 125 mg/5ml cefadroxil tab 1 gm amoxicillin (trihydrate) for susp 200 mg/5ml cefdinir cap 300 mg amoxicillin (trihydrate) for susp 250 mg/5ml cefdinir for susp 125 mg/5ml amoxicillin (trihydrate) for susp 400 mg/5ml cefdinir for susp 250 mg/5ml amoxicillin (trihydrate) tab 500 mg cefpodoxime proxetil for susp 100 mg/5ml amoxicillin (trihydrate) tab 875 mg cefpodoxime proxetil for susp 50 mg/5ml amoxicillin & k clavulanate chew tab 200-28.5 mg cefpodoxime proxetil tab 100 mg amoxicillin & k clavulanate chew tab 400-57 mg cefpodoxime proxetil tab 200 mg amoxicillin & k clavulanate for susp 200-28.5 mg/5ml cefprozil for susp 125 mg/5ml amoxicillin & k clavulanate for susp 250-62.5 mg/5ml (Augmentin) cefprozil tab 250 mg amoxicillin & k clavulanate for susp 400-57 mg/5ml ceftriaxone sodium for inj 1 gm (Rocephin) cefprozil for susp 250 mg/5ml cefprozil tab 500 mg amoxicillin & k clavulanate for susp 600-42.9 mg/5ml (Augmentin es-600) ceftriaxone sodium for inj 2 gm amoxicillin & k clavulanate tab sr 12hr 1000-62.5 mg (Augmentin xr) ceftriaxone sodium for inj 500 mg (Rocephin) amoxicillin & k clavulanate tab 250-125 mg cefuroxime axetil tab 250 mg (Ceftin) amoxicillin & k clavulanate tab 500-125 mg (Augmentin) cefuroxime axetil tab 500 mg (Ceftin) amoxicillin & k clavulanate tab 875-125 mg (Augmentin) cephalexin cap 500 mg (Keflex) ceftriaxone sodium for inj 250 mg cefuroxime axetil for susp 125 mg/5ml (Ceftin) cephalexin cap 250 mg (Keflex) ampicillin cap 250 mg cephalexin for susp 125 mg/5ml ampicillin cap 500 mg cephalexin for susp 250 mg/5ml dicloxacillin sodium cap 250 mg MACROLIDES dicloxacillin sodium cap 500 mg azithromycin for susp 100 mg/5ml (Zithromax) penicillin v potassium for soln 125 mg/5ml azithromycin for susp 200 mg/5ml (Zithromax) penicillin v potassium for soln 250 mg/5ml azithromycin tab 250 mg (Zithromax) penicillin v potassium tab 250 mg azithromycin tab 500 mg (Zithromax) penicillin v potassium tab 500 mg azithromycin tab 600 mg (Zithromax) CEPHALOSPORINS clarithromycin for susp 125 mg/5ml cefaclor cap 250 mg clarithromycin for susp 250 mg/5ml (Biaxin) 2 Generics Plus Drug List October 2014 Drug Name clarithromycin tab sr 24hr 500 mg (Biaxin xl pac) ciprofloxacin hcl tab 250 mg (base equiv) (Cipro) clarithromycin tab 250 mg (Biaxin) ciprofloxacin hcl tab 500 mg (base equiv) (Cipro) clarithromycin tab 500 mg (Biaxin) ciprofloxacin hcl tab 750 mg (base equiv) ERYTHROCIN STEARATE – erythromycin stearate tab 250 mg ciprofloxacin-ciprofloxacin hcl tab sr 24hr 1000 mg(base eq) (Cipro xr) erythromycin w/ delayed release particles cap 250 mg ciprofloxacin-ciprofloxacin hcl tab sr 24hr 500 mg (base eq) (Cipro xr) TETRACYCLINES levofloxacin oral soln 25 mg/ml (Levaquin) demeclocycline hcl tab 150 mg levofloxacin tab 250 mg (Levaquin) demeclocycline hcl tab 300 mg levofloxacin tab 500 mg (Levaquin) doxycycline hyclate cap 100 mg (Vibramycin) levofloxacin tab 750 mg (Levaquin) doxycycline hyclate cap 50 mg ofloxacin tab 200 mg doxycycline hyclate tab 100 mg ofloxacin tab 300 mg doxycycline hyclate tab 20 mg ofloxacin tab 400 mg doxycycline monohydrate cap 100 mg (Monodox) AMINOGLYCOSIDES doxycycline monohydrate cap 150 mg (Adoxa) neomycin sulfate tab 500 mg doxycycline monohydrate cap 50 mg paromomycin sulfate cap 250 mg doxycycline monohydrate cap 75 mg (Monodox) tobramycin nebu soln 300 mg/5ml (Tobi) doxycycline monohydrate tab 100 mg (Adoxa pak 1/100) TUBERCULOSIS doxycycline monohydrate tab 150 mg (Adoxa pak 1/150) ethambutol hcl tab 400 mg (Myambutol) doxycycline monohydrate tab 50 mg (Adoxa) doxycycline monohydrate tab 75 mg (Adoxa) minocycline hcl cap 100 mg (Minocin) minocycline hcl cap 50 mg (Minocin) minocycline hcl cap 75 mg (Minocin) minocycline hcl tab 100 mg minocycline hcl tab 50 mg minocycline hcl tab 75 mg FLUOROQUINOLONES ciprofloxacin for oral susp 250 mg/5ml (5%) (5 gm/100ml) (Cipro) • ethambutol hcl tab 100 mg (Myambutol) isoniazid & rifampin cap 150-300 mg isoniazid tab 100 mg isoniazid tab 300 mg PRIFTIN – rifapentine tab 150 mg pyrazinamide tab 500 mg rifabutin cap 150 mg (Mycobutin) RIFAMATE – isoniazid & rifampin cap 150-300 mg rifampin cap 150 mg (Rifadin) rifampin cap 300 mg (Rifadin) FUNGAL INFECTIONS fluconazole for susp 10 mg/ml (Diflucan) ciprofloxacin for oral susp 500 mg/5ml (10%) (10 gm/100ml) (Cipro) fluconazole for susp 40 mg/ml (Diflucan) ciprofloxacin hcl tab 100 mg (base equiv) fluconazole tab 150 mg (Diflucan) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 fluconazole tab 100 mg (Diflucan) 3 Drug Name Specialty fluconazole tab 200 mg (Diflucan) SOVALDI – sofosbuvir tab 400 mg • fluconazole tab 50 mg (Diflucan) Herpes flucytosine cap 250 mg (Ancobon) acyclovir cap 200 mg (Zovirax) flucytosine cap 500 mg (Ancobon) acyclovir susp 200 mg/5ml (Zovirax) griseofulvin microsize susp 125 mg/5ml acyclovir tab 400 mg (Zovirax) griseofulvin microsize tab 500 mg (Grifulvin v) acyclovir tab 800 mg (Zovirax) itraconazole cap 100 mg (Sporanox) famciclovir tab 125 mg (Famvir) NOXAFIL – posaconazole susp 40 mg/ml famciclovir tab 250 mg (Famvir) nystatin tab 500000 unit famciclovir tab 500 mg (Famvir) terbinafine hcl tab 250 mg (Lamisil) valacyclovir hcl tab 1 gm (Valtrex) voriconazole for susp 40 mg/ml (Vfend) valacyclovir hcl tab 500 mg (Valtrex) voriconazole tab 200 mg (Vfend) HIV/AIDS voriconazole tab 50 mg (Vfend) abacavir sulfate tab 300 mg (base equiv) (Ziagen) VIRAL INFECTIONS Cytomegalovirus abacavir sulfate-lamivudine-zidovudine tab 300-150-300 mg (Trizivir) VALCYTE – valganciclovir hcl tab 450 mg APTIVUS – tipranavir cap 250 mg VALCYTE – valganciclovir hcl for soln 50 mg/ml (base equiv) APTIVUS – tipranavir oral soln 100 mg/ml Drug Name Specialty 2014 ATRIPLA – efavirenz-emtricitabine-tenofovir df tab 600-200-300 mg Hepatitis COMPLERA – emtricitabine-rilpivirine-tenofovir df tab 200-25-300 mg adefovir dipivoxil tab 10 mg (Hepsera) BARACLUDE – entecavir tab 0.5 mg CRIXIVAN – indinavir sulfate cap 200 mg BARACLUDE – entecavir tab 1 mg CRIXIVAN – indinavir sulfate cap 400 mg BARACLUDE – entecavir oral soln 0.05 mg/ml lamivudine tab 100 mg (Epivir hbv) OLYSIO – simeprevir sodium cap 150 mg (base equivalent) • PEGASYS – peginterferon alfa-2a inj 180 mcg/ml • • • PEGASYS – peginterferon alfa-2a inj 180 mcg/0.5ml PEGASYS – peginterferon alfa-2a inj kit 180 mcg/0.5ml didanosine delayed release capsule 125 mg (Videx ec) didanosine delayed release capsule 200 mg (Videx ec) didanosine delayed release capsule 250 mg (Videx ec) didanosine delayed release capsule 400 mg (Videx ec) PEGASYS PROCLICK – peginterferon alfa-2a inj 135 mcg/0.5ml • EDURANT – rilpivirine hcl tab 25 mg (base equivalent) PEGASYS PROCLICK – peginterferon alfa-2a inj 180 mcg/0.5ml • EMTRIVA – emtricitabine caps 200 mg ribavirin cap 200 mg (Rebetol) • • ribavirin tab 200 mg (Copegus) 4 EMTRIVA – emtricitabine soln 10 mg/ml EPIVIR – lamivudine oral soln 10 mg/ml Generics Plus Drug List October 2014 EPZICOM – abacavir sulfate-lamivudine tab 600-300 mg FUZEON – enfuvirtide for inj 90 mg INTELENCE – etravirine tab 25 mg INTELENCE – etravirine tab 100 mg INTELENCE – etravirine tab 200 mg INVIRASE – saquinavir mesylate cap 200 mg INVIRASE – saquinavir mesylate tab 500 mg ISENTRESS – raltegravir potassium tab 400 mg (base equiv) ISENTRESS – raltegravir potassium chew tab 25 mg (base equiv) ISENTRESS – raltegravir potassium chew tab 100 mg (base equiv) ISENTRESS – raltegravir potassium packet for susp 100 mg (base equiv) KALETRA – lopinavir-ritonavir tab 100-25 mg KALETRA – lopinavir-ritonavir tab 200-50 mg KALETRA – lopinavir-ritonavir soln 400-100 mg/5ml (80-20 mg/ml) Drug Name PREZISTA – darunavir ethanolate tab 600 mg (base equiv) • PREZISTA – darunavir ethanolate tab 800 mg (base equiv) PREZISTA – darunavir ethanolate susp 100 mg/ml (base equiv) RESCRIPTOR – delavirdine mesylate tab 100 mg RESCRIPTOR – delavirdine mesylate tab 200 mg REYATAZ – atazanavir sulfate cap 100 mg (base equiv) REYATAZ – atazanavir sulfate cap 150 mg (base equiv) REYATAZ – atazanavir sulfate cap 200 mg (base equiv) REYATAZ – atazanavir sulfate cap 300 mg (base equiv) SELZENTRY – maraviroc tab 150 mg SELZENTRY – maraviroc tab 300 mg stavudine cap 15 mg (Zerit) stavudine cap 20 mg (Zerit) lamivudine tab 150 mg (Epivir) stavudine cap 30 mg (Zerit) lamivudine tab 300 mg (Epivir) stavudine cap 40 mg (Zerit) lamivudine-zidovudine tab 150-300 mg (Combivir) stavudine for oral soln 1 mg/ml (Zerit) LEXIVA – fosamprenavir calcium tab 700 mg (base equiv) STRIBILD – elvitegrav-cobicis-emtricitab-tenofov tab 150-150-200-300 mg LEXIVA – fosamprenavir calcium susp 50 mg/ml (base equiv) SUSTIVA – efavirenz cap 50 mg nevirapine tab sr 24hr 400 mg (Viramune xr) SUSTIVA – efavirenz tab 600 mg nevirapine tab 200 mg (Viramune) TIVICAY – dolutegravir sodium tab 50 mg (base equiv) NORVIR – ritonavir cap 100 mg NORVIR – ritonavir tab 100 mg NORVIR – ritonavir oral soln 80 mg/ml PREZISTA – darunavir ethanolate tab 75 mg (base equiv) PREZISTA – darunavir ethanolate tab 150 mg (base equiv) PREZISTA – darunavir ethanolate tab 400 mg (base equiv) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 SUSTIVA – efavirenz cap 200 mg TRIUMEQ – abacavir-dolutegravir-lamivudine tab 600-50-300 mg TRUVADA – emtricitabine-tenofovir disoproxil fumarate tab 200-300 mg VIDEX – didanosine for soln 2 gm VIDEX – didanosine for soln 4 gm VIRACEPT – nelfinavir mesylate tab 250 mg VIRACEPT – nelfinavir mesylate tab 625 mg 5 Specialty Drug Name Specialty 2014 Drug Name VIRAMUNE – nevirapine susp 50 mg/5ml DAPSONE – dapsone tab 100 mg VIRAMUNE XR – nevirapine tab sr 24hr 100 mg VIREAD – tenofovir disoproxil fumarate tab 150 mg erythromycin-sulfisoxazole for susp 200-600 mg/5ml VIREAD – tenofovir disoproxil fumarate tab 200 mg metronidazole tab 250 mg (Flagyl) VIREAD – tenofovir disoproxil fumarate tab 250 mg metronidazole tab 500 mg (Flagyl) VIREAD – tenofovir disoproxil fumarate tab 300 mg sulfamethoxazole-trimethoprim susp 200-40 mg/5ml VIREAD – tenofovir disoproxil fumarate oral powder 40 mg/gm ZIAGEN – abacavir sulfate soln 20 mg/ml (base equiv) zidovudine cap 100 mg (Retrovir) zidovudine syrup 10 mg/ml (Retrovir) zidovudine tab 300 mg MALARIA atovaquone-proguanil hcl tab 250-100 mg (Malarone) sulfamethoxazole-trimethoprim tab 400-80 mg (Bactrim) sulfamethoxazole-trimethoprim tab 800-160 mg (Bactrim ds) trimethoprim tab 100 mg vancomycin hcl cap 125 mg (Vancocin hcl) vancomycin hcl cap 250 mg (Vancocin hcl) XIFAXAN – rifaximin tab 550 mg ZYVOX – linezolid tab 600 mg atovaquone-proguanil hcl tab 62.5-25 mg (Malarone) ZYVOX – linezolid for susp 100 mg/5ml chloroquine phosphate tab 250 mg BCG VACCINE – bcg vaccine inj chloroquine phosphate tab 500 mg (Aralen) SYNAGIS – palivizumab im soln 50 mg/0.5ml DARAPRIM – pyrimethamine tab 25 mg SYNAGIS – palivizumab im soln 100 mg/ml hydroxychloroquine sulfate tab 200 mg (Plaquenil) CANCER DRUGS IMMUNIZING AGENTS • • ACTIMMUNE – interferon gamma-1b inj 100 mcg/0.5ml (2000000 unit/0.5ml) • PRIMAQUINE PHOSPHATE – primaquine phosphate tab 26.3 mg AFINITOR – everolimus tab 2.5 mg WORM INFECTIONS AFINITOR – everolimus tab 7.5 mg ALBENZA – albendazole tab 200 mg AFINITOR – everolimus tab 10 mg BILTRICIDE – praziquantel tab 600 mg AFINITOR DISPERZ – everolimus tab for oral susp 2 mg • • • • • mefloquine hcl tab 250 mg STROMECTOL – ivermectin tab 3 mg OTHER ANTI-INFECTIVES clindamycin hcl cap 150 mg (Cleocin) clindamycin hcl cap 300 mg (Cleocin) clindamycin hcl cap 75 mg (Cleocin) clindamycin palmitate hcl for soln 75 mg/5ml (base equiv) (Cleocin pediatric gr) DAPSONE – dapsone tab 25 mg 6 AFINITOR – everolimus tab 5 mg AFINITOR DISPERZ – everolimus tab for oral susp 3 mg • AFINITOR DISPERZ – everolimus tab for oral susp 5 mg • ALKERAN – melphalan tab 2 mg anastrozole tab 1 mg (Arimidex) bicalutamide tab 50 mg (Casodex) Generics Plus Drug List October 2014 BOSULIF – bosutinib tab 100 mg BOSULIF – bosutinib tab 500 mg capecitabine tab 150 mg (Xeloda) capecitabine tab 500 mg (Xeloda) CAPRELSA – vandetanib tab 100 mg CAPRELSA – vandetanib tab 300 mg • • • • • • Drug Name GLEEVEC – imatinib mesylate tab 100 mg (base equivalent) • GLEEVEC – imatinib mesylate tab 400 mg (base equivalent) • HEXALEN – altretamine cap 50 mg • • HYCAMTIN – topotecan hcl cap 0.25 mg (base equiv) CEENU – lomustine cap 10 mg HYCAMTIN – topotecan hcl cap 1 mg (base equiv) CEENU – lomustine cap 40 mg hydroxyurea cap 500 mg (Hydrea) CEENU – lomustine cap 100 mg ICLUSIG – ponatinib hcl tab 15 mg (base equiv) COMETRIQ – cabozantinib s-malate cap 3 x 20 mg (60 mg dose) kit • COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 1 x 20 mg (100 dose) kit • IMBRUVICA – ibrutinib cap 140 mg COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 3 x 20 mg (140 dose) kit • INLYTA – axitinib tab 5 mg CYCLOPHOSPHAMIDE – cyclophosphamide cap 50 mg CYCLOPHOSPHAMIDE – cyclophosphamide tab 25 mg CYCLOPHOSPHAMIDE – cyclophosphamide tab 50 mg EMCYT – estramustine phosphate sodium cap 140 mg ERIVEDGE – vismodegib cap 150 mg INLYTA – axitinib tab 1 mg • • • • • • • JAKAFI – ruxolitinib phosphate tab 10 mg (base equivalent) • JAKAFI – ruxolitinib phosphate tab 15 mg (base equivalent) • JAKAFI – ruxolitinib phosphate tab 20 mg (base equivalent) • JAKAFI – ruxolitinib phosphate tab 25 mg (base equivalent) • letrozole tab 2.5 mg (Femara) • ETOPOSIDE – etoposide cap 50 mg LEUCOVORIN CALCIUM – leucovorin calcium tab 10 mg LEUCOVORIN CALCIUM – leucovorin calcium tab 15 mg exemestane tab 25 mg (Aromasin) FARESTON – toremifene citrate tab 60 mg (base equivalent) leucovorin calcium tab 25 mg leucovorin calcium tab 5 mg flutamide cap 125 mg GILOTRIF – afatinib dimaleate tab 20 mg (base equivalent) • GILOTRIF – afatinib dimaleate tab 30 mg (base equivalent) • GILOTRIF – afatinib dimaleate tab 40 mg (base equivalent) • Generics Plus Drug List October 2014 ICLUSIG – ponatinib hcl tab 45 mg (base equiv) JAKAFI – ruxolitinib phosphate tab 5 mg (base equivalent) CYCLOPHOSPHAMIDE – cyclophosphamide cap 25 mg Specialty Drug Name Specialty 2014 LEUKERAN – chlorambucil tab 2 mg LOMUSTINE – lomustine cap 10 mg LOMUSTINE – lomustine cap 40 mg LOMUSTINE – lomustine cap 100 mg LYSODREN – mitotane tab 500 mg MATULANE – procarbazine hcl cap 50 mg • • 7 Specialty Drug Name Specialty 2014 Drug Name MEKINIST – trametinib dimethyl sulfoxide tab 0.5 mg (base equivalent) • SYLATRON – peginterferon alfa-2b for inj kit 4 x 296 mcg • MEKINIST – trametinib dimethyl sulfoxide tab 2 mg (base equivalent) • SYLATRON – peginterferon alfa-2b for inj kit 4 x 444 mcg • • MESNEX – mesna tab 400 mg SYLATRON – peginterferon alfa-2b for inj kit 4 x 888 mcg methotrexate sodium tab 2.5 mg (base equiv) TABLOID – thioguanine tab 40 mg MYLERAN – busulfan tab 2 mg TAFINLAR – dabrafenib mesylate cap 50 mg (base equivalent) • TAFINLAR – dabrafenib mesylate cap 75 mg (base equivalent) • mercaptopurine tab 50 mg (Purinethol) NEXAVAR – sorafenib tosylate tab 200 mg (base equivalent) • NILANDRON – nilutamide tab 150 mg POMALYST – pomalidomide cap 1 mg POMALYST – pomalidomide cap 2 mg POMALYST – pomalidomide cap 3 mg POMALYST – pomalidomide cap 4 mg PURIXAN – mercaptopurine susp 2000 mg/100ml (20 mg/ml) SPRYCEL – dasatinib tab 20 mg SPRYCEL – dasatinib tab 50 mg SPRYCEL – dasatinib tab 70 mg SPRYCEL – dasatinib tab 80 mg SPRYCEL – dasatinib tab 100 mg SPRYCEL – dasatinib tab 140 mg STIVARGA – regorafenib tab 40 mg SUTENT – sunitinib malate cap 12.5 mg (base equivalent) • • • • • tamoxifen citrate tab 10 mg (base equivalent) • • • • • • • • TASIGNA – nilotinib cap 150 mg tamoxifen citrate tab 20 mg (base equivalent) TARCEVA – erlotinib tab 25 mg TARCEVA – erlotinib tab 100 mg TARCEVA – erlotinib tab 150 mg TARGRETIN – bexarotene cap 75 mg TASIGNA – nilotinib cap 200 mg temozolomide cap 100 mg (Temodar) temozolomide cap 140 mg (Temodar) temozolomide cap 180 mg (Temodar) temozolomide cap 20 mg (Temodar) temozolomide cap 250 mg (Temodar) temozolomide cap 5 mg (Temodar) tretinoin cap 10 mg SUTENT – sunitinib malate cap 25 mg (base equivalent) • TYKERB – lapatinib ditosylate tab 250 mg (base equiv) SUTENT – sunitinib malate cap 37.5 mg (base equivalent) • VANDETANIB – vandetanib tab 100 mg SUTENT – sunitinib malate cap 50 mg (base equivalent) • SYLATRON – peginterferon alfa-2b for inj kit 296 mcg • XALKORI – crizotinib cap 200 mg SYLATRON – peginterferon alfa-2b for inj kit 444 mcg • XTANDI – enzalutamide cap 40 mg SYLATRON – peginterferon alfa-2b for inj kit 888 mcg • ZELBORAF – vemurafenib tab 240 mg (base equivalent) 8 VANDETANIB – vandetanib tab 300 mg VOTRIENT – pazopanib hcl tab 200 mg (base equiv) XALKORI – crizotinib cap 250 mg ZOLINZA – vorinostat cap 100 mg Generics Plus Drug List October 2014 • • • • • • • • • • • • • • • • • • • • • • Drug Name ZYDELIG – idelalisib tab 100 mg prednisone tab 20 mg ZYDELIG – idelalisib tab 150 mg prednisone tab 5 mg ZYKADIA – ceritinib cap 150 mg ZYTIGA – abiraterone acetate tab 250 mg • • prednisone tab 5 mg dose pack MALE HORMONES HORMONES, DIABETES AND RELATED DRUGS ANDROGEL – testosterone td gel 25 mg/2.5gm (1%) CORTICOSTEROIDS ANDROGEL – testosterone td gel 50 mg/5gm (1%) budesonide cap sr 24hr 3 mg (Entocort ec) ANDROGEL – testosterone td gel 20.25 mg/1.25gm (1.62%) CORTISONE ACETATE – cortisone acetate tab 25 mg dexamethasone elixir 0.5 mg/5ml dexamethasone tab 0.5 mg dexamethasone tab 0.75 mg ANDROGEL – testosterone td gel 40.5 mg/2.5gm (1.62%) ANDROGEL PUMP – testosterone td gel 12.5 mg/ act (1%) dexamethasone tab 1.5 mg ANDROGEL PUMP – testosterone td gel 20.25 mg/ act (1.62%) dexamethasone tab 4 mg ANDROXY – fluoxymesterone tab 10 mg dexamethasone tab 6 mg danazol cap 100 mg fludrocortisone acetate tab 0.1 mg danazol cap 200 mg hydrocortisone tab 10 mg (Cortef) danazol cap 50 mg hydrocortisone tab 20 mg (Cortef) testosterone cypionate im in oil 100 mg/ml (Depotestosterone) hydrocortisone tab 5 mg (Cortef) methylprednisolone tab 16 mg (Medrol) methylprednisolone tab 32 mg (Medrol) methylprednisolone tab 4 mg (Medrol) methylprednisolone tab 4 mg dose pack (Medrol dosepak) methylprednisolone tab 8 mg (Medrol) prednisolone sod phosph oral soln 6.7 mg/5ml (5 mg/5ml base) (Pediapred) testosterone cypionate im in oil 200 mg/ml (Depotestosterone) testosterone enanthate im in oil 200 mg/ml (Delatestryl) ESTROGENS CLIMARA PRO – estradiol-levonorgestrel td patch weekly 0.045-0.015 mg/day DIVIGEL – estradiol td gel 0.25 mg/0.25gm (0.1%) prednisolone sod phosphate oral soln 15 mg/5ml (base equiv) (Orapred) DIVIGEL – estradiol td gel 0.5 mg/0.5gm (0.1%) prednisolone syrup 15 mg/5ml (usp solution equivalent) (Prelone) estradiol & norethindrone acetate tab 0.5-0.1 mg (Activella) PREDNISONE – prednisone oral soln 5 mg/5ml prednisone tab 1 mg estradiol & norethindrone acetate tab 1-0.5 mg (Activella) prednisone tab 10 mg estradiol tab 0.5 mg (Estrace) prednisone tab 10 mg dose pack estradiol tab 1 mg (Estrace) prednisone tab 2.5 mg estradiol tab 2 mg (Estrace) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 DIVIGEL – estradiol td gel 1 mg/gm (0.1%) 9 estradiol td patch weekly 0.025 mg/24hr (Climara) estradiol td patch weekly 0.0375 mg/24hr (37.5 mcg/24hr) (Climara) estradiol td patch weekly 0.05 mg/24hr (Climara) estradiol td patch weekly 0.06 mg/24hr (Climara) estradiol td patch weekly 0.075 mg/24hr (Climara) estradiol td patch weekly 0.1 mg/24hr (Climara) estropipate tab 0.75 mg estropipate tab 1.5 mg Specialty Drug Name Specialty 2014 Drug Name levonorg-eth est tab 0.1-0.02mg(84) & eth est tab 0.01mg(7) (Loseasonique) levonorg-eth est tab 0.15-0.03mg(84) & eth est tab 0.01mg(7) (Seasonique) levonorgestrel & ethinyl estradiol (91-day) tab 0.15-0.03 mg levonorgestrel & ethinyl estradiol tab 0.1 mg-20 mcg levonorgestrel & ethinyl estradiol tab 0.15 mg-30 mcg norethindrone acetate-ethinyl estradiol tab 1 mg-5 mcg levonorgestrel tab 0.75 mg (Plan b) PROGESTINS levonorgestrel-eth estra tab 0.05-30/0.075-40/0.125-30mg-mcg medroxyprogesterone acetate tab 10 mg (Provera) medroxyprogesterone acetate tab 2.5 mg (Provera) medroxyprogesterone acetate tab 5 mg (Provera) norethindrone acetate tab 5 mg (Aygestin) progesterone micronized cap 100 mg (Prometrium) progesterone micronized cap 200 mg (Prometrium) levonorgestrel tab 1.5 mg (Plan b one-step) MIRENA – levonorgestrel releasing iud 20 mcg/24hr (52 mg total) norelgestromin-ethinyl estradiol td ptwk 150-35 mcg/24hr (Ortho evra) norethindrone & ethinyl estradiol tab 0.4 mg-35 mcg (Ovcon-35) norethindrone & ethinyl estradiol tab 0.5 mg-35 mcg (Brevicon-28) BIRTH CONTROL norethindrone & ethinyl estradiol tab 1 mg-35 mcg (Norinyl 1+35) desogest-eth estrad & eth estrad tab 0.15-0.02/0.01 mg(21/5) (Mircette) norethindrone & ethinyl estradiol-fe chew tab 0.4 mg-35 mcg (Femcon fe) desogest-ethin est tab 0.1-0.025/0.125-0.025/0.15-0.025mg-mg (Cyclessa) norethindrone ac-ethinyl estrad-fe tab 1-20/1-30/1-35 mg-mcg (Estrostep fe) desogestrel & ethinyl estradiol tab 0.15 mg-30 mcg (Desogen) drospirenone-ethinyl estradiol tab 3-0.02 mg (Yaz) drospirenone-ethinyl estradiol tab 3-0.03 mg (Yasmin 28) ELLA – ulipristal acetate tab 30 mg ethynodiol diacetate & ethinyl estradiol tab 1 mg-35 mcg 10 norethindrone ace & ethinyl estradiol tab 1 mg-20 mcg (Loestrin 1/20-21) norethindrone ace & ethinyl estradiol tab 1.5 mg-30 mcg (Loestrin 1.5/30-21) norethindrone ace & ethinyl estradiol-fe tab 1 mg-20 mcg (Loestrin fe 1/20) norethindrone ace & ethinyl estradiol-fe tab 1.5 mg-30 mcg (Loestrin fe 1.5/30) norethindrone tab 0.35 mg (Nor-qd) norethindrone-eth estradiol tab 0.5-35/0.75-35/1-35 mg-mcg (Ortho-novum 7/7/7) Generics Plus Drug List October 2014 Drug Name norethindrone-eth estradiol tab 0.5-35/1-35/0.5-35 mg-mcg (Tri-norinyl 28) glyburide tab 1.25 mg norgestimate & ethinyl estradiol tab 0.25 mg-35 mcg (Ortho-cyclen) glyburide tab 5 mg glyburide tab 2.5 mg glyburide-metformin tab 1.25-250 mg (Glucovance) norgestimate-eth estrad tab 0.18-35/0.215-35/0.25-35 mg-mcg (Ortho tricyclen) glyburide-metformin tab 2.5-500 mg (Glucovance) norgestrel & ethinyl estradiol tab 0.3 mg-30 mcg glyburide-metformin tab 5-500 mg (Glucovance) SKYLA – levonorgestrel releasing iud 13.5 mg metformin hcl tab sr 24hr 500 mg (Glucophage xr) INFERTILITY metformin hcl tab sr 24hr 750 mg (Glucophage xr) clomiphene citrate tab 50 mg (Clomid) metformin hcl tab 1000 mg (Glucophage) FOLLISTIM AQ – follitropin beta inj 75 unit/0.5ml FOLLISTIM AQ – follitropin beta inj 150 unit/0.5ml FOLLISTIM AQ – follitropin beta inj 300 unit/0.36ml FOLLISTIM AQ – follitropin beta inj 600 unit/0.72ml FOLLISTIM AQ – follitropin beta inj 900 unit/1.08ml • • • • • metformin hcl tab 500 mg (Glucophage) metformin hcl tab 850 mg (Glucophage) nateglinide tab 120 mg (Starlix) nateglinide tab 60 mg (Starlix) pioglitazone hcl tab 15 mg (base equiv) (Actos) DIABETES pioglitazone hcl tab 30 mg (base equiv) (Actos) acarbose tab 100 mg (Precose) pioglitazone hcl tab 45 mg (base equiv) (Actos) acarbose tab 25 mg (Precose) pioglitazone hcl-metformin hcl tab 15-500 mg (Actoplus met) acarbose tab 50 mg (Precose) glimepiride tab 1 mg (Amaryl) pioglitazone hcl-metformin hcl tab 15-850 mg (Actoplus met) glimepiride tab 2 mg (Amaryl) repaglinide tab 0.5 mg (Prandin) glimepiride tab 4 mg (Amaryl) repaglinide tab 1 mg (Prandin) glipizide tab sr 24hr 10 mg (Glucotrol xl) repaglinide tab 2 mg (Prandin) glipizide tab sr 24hr 2.5 mg (Glucotrol xl) glipizide tab sr 24hr 5 mg (Glucotrol xl) VICTOZA – liraglutide soln pen-injector 18 mg/3ml (6 mg/ml) glipizide tab 10 mg (Glucotrol) DIABETES - INSULINS glipizide tab 5 mg (Glucotrol) Rapid-Acting Insulins glipizide-metformin hcl tab 2.5-250 mg NOVOLOG – insulin aspart inj 100 unit/ml glipizide-metformin hcl tab 2.5-500 mg glipizide-metformin hcl tab 5-500 mg NOVOLOG FLEXPEN – insulin aspart soln peninjector 100 unit/ml GLUCAGON EMERGENCY KIT – glucagon (rdna) for inj kit 1 mg NOVOLOG PENFILL – insulin aspart soln cartridge 100 unit/ml glyburide micronized tab 1.5 mg (Glynase) Short-Acting Insulins glyburide micronized tab 3 mg (Glynase) NOVOLIN R – insulin regular (human) inj 100 unit/ml glyburide micronized tab 6 mg (Glynase) NOVOLIN R RELION – insulin regular (human) inj 100 unit/ml Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 11 Specialty Drug Name Specialty 2014 Drug Name Intermediate-Acting Insulins liothyronine sodium tab 50 mcg (Cytomel) NOVOLIN N – insulin isophane (human) inj 100 unit/ ml methimazole tab 10 mg (Tapazole) NOVOLIN N RELION – insulin isophane (human) inj 100 unit/ml propylthiouracil tab 50 mg NOVOLIN 70/30 – insulin isophane & regular (human) inj 100 unit/ml (70-30) INCRELEX – mecasermin inj 40 mg/4ml (10 mg/ml) methimazole tab 5 mg (Tapazole) GROWTH HORMONE NOVOLIN 70/30 RELION – insulin isophane & regular (human) inj 100 unit/ml (70-30) OMNITROPE – somatropin inj 5 mg/1.5ml NOVOLOG MIX 70/30 – insulin aspart prot & aspart (human) inj 100 unit/ml (70-30) OMNITROPE – somatropin for inj 5.8 mg NOVOLOG MIX 70/30 PREFILL – insulin aspart prot & aspart sus pen-inj 100 unit/ml (70-30) alendronate sodium tab 10 mg Basal Insulins LANTUS – insulin glargine inj 100 unit/ml LANTUS SOLOSTAR – insulin glargine soln peninjector 100 unit/ml LEVEMIR – insulin detemir inj 100 unit/ml LEVEMIR FLEXPEN – insulin detemir soln peninjector 100 unit/ml OMNITROPE – somatropin inj 10 mg/1.5ml OTHER HORMONES AND RELATED DRUGS alendronate sodium tab 35 mg alendronate sodium tab 5 mg alendronate sodium tab 70 mg (Fosamax) cabergoline tab 0.5 mg calcitonin (salmon) nasal soln 200 unit/act (Miacalcin) calcitriol cap 0.25 mcg (Rocaltrol) LEVEMIR FLEXTOUCH – insulin detemir soln peninjector 100 unit/ml calcitriol cap 0.5 mcg (Rocaltrol) THYROID REGULATION desmopressin acetate inj 4 mcg/ml (Ddavp) levothyroxine sodium tab 100 mcg (Synthroid) desmopressin acetate nasal soln 0.01% (refrigerated) (Ddavp) levothyroxine sodium tab 112 mcg (Synthroid) levothyroxine sodium tab 125 mcg (Synthroid) levothyroxine sodium tab 137 mcg (Synthroid) calcitriol oral soln 1 mcg/ml (Rocaltrol) desmopressin acetate nasal spray soln 0.01% (Ddavp) levothyroxine sodium tab 150 mcg (Synthroid) desmopressin acetate nasal spray soln 0.01% (refrigerated) levothyroxine sodium tab 175 mcg (Synthroid) desmopressin acetate tab 0.1 mg (Ddavp) levothyroxine sodium tab 200 mcg (Synthroid) desmopressin acetate tab 0.2 mg (Ddavp) levothyroxine sodium tab 25 mcg (Synthroid) ETIDRONATE DISODIUM – etidronate disodium tab 200 mg levothyroxine sodium tab 300 mcg (Synthroid) levothyroxine sodium tab 50 mcg (Synthroid) levothyroxine sodium tab 75 mcg (Synthroid) ibandronate sodium tab 150 mg (base equivalent) (Boniva) levothyroxine sodium tab 88 mcg (Synthroid) levocarnitine oral soln 1 gm/10ml (10%) (Carnitor) liothyronine sodium tab 25 mcg (Cytomel) levocarnitine tab 330 mg (Carnitor) liothyronine sodium tab 5 mcg (Cytomel) methylergonovine maleate tab 0.2 mg 12 Generics Plus Drug List October 2014 • • • • Drug Name octreotide acetate inj 100 mcg/ml (0.1 mg/ml) (Sandostatin) • benazepril hcl tab 5 mg octreotide acetate inj 1000 mcg/ml (1 mg/ml) (Sandostatin) • octreotide acetate inj 200 mcg/ml (0.2 mg/ml) (Sandostatin) • captopril tab 25 mg octreotide acetate inj 50 mcg/ml (0.05 mg/ml) (Sandostatin) • enalapril maleate & hydrochlorothiazide tab 10-25 mg (Vaseretic) octreotide acetate inj 500 mcg/ml (0.5 mg/ml) (Sandostatin) • enalapril maleate & hydrochlorothiazide tab 5-12.5 mg ORFADIN – nitisinone cap 2 mg • • • enalapril maleate tab 10 mg (Vasotec) Drug Name ORFADIN – nitisinone cap 5 mg ORFADIN – nitisinone cap 10 mg captopril tab 100 mg captopril tab 12.5 mg captopril tab 50 mg enalapril maleate tab 2.5 mg (Vasotec) enalapril maleate tab 20 mg (Vasotec) paricalcitol cap 1 mcg (Zemplar) enalapril maleate tab 5 mg (Vasotec) paricalcitol cap 2 mcg (Zemplar) fosinopril sodium & hydrochlorothiazide tab 10-12.5 mg paricalcitol cap 4 mcg (Zemplar) raloxifene hcl tab 60 mg (Evista) fosinopril sodium & hydrochlorothiazide tab 20-12.5 mg risedronate sodium tab 150 mg (Actonel) fosinopril sodium tab 10 mg SENSIPAR – cinacalcet hcl tab 30 mg (base equiv) fosinopril sodium tab 20 mg SENSIPAR – cinacalcet hcl tab 60 mg (base equiv) fosinopril sodium tab 40 mg SENSIPAR – cinacalcet hcl tab 90 mg (base equiv) lisinopril & hydrochlorothiazide tab 10-12.5 mg (Zestoretic) STIMATE – desmopressin acetate nasal soln 1.5 mg/ml SYNAREL – nafarelin acetate nasal soln 2 mg/ml HEART AND CIRCULATORY DRUGS ANGIOTENSIN CONVERTING ENZYME (ACE) INHIBITORS AND COMBINATIONS lisinopril & hydrochlorothiazide tab 20-12.5 mg (Zestoretic) lisinopril & hydrochlorothiazide tab 20-25 mg (Zestoretic) lisinopril tab 10 mg (Prinivil) benazepril & hydrochlorothiazide tab 10-12.5 mg (Lotensin hct) lisinopril tab 2.5 mg (Zestril) benazepril & hydrochlorothiazide tab 20-12.5 mg (Lotensin hct) lisinopril tab 30 mg (Zestril) benazepril & hydrochlorothiazide tab 20-25 mg (Lotensin hct) lisinopril tab 5 mg (Prinivil) lisinopril tab 20 mg (Prinivil) lisinopril tab 40 mg (Zestril) benazepril & hydrochlorothiazide tab 5-6.25 mg moexipril hcl tab 15 mg (Univasc) benazepril hcl tab 10 mg (Lotensin) moexipril hcl tab 7.5 mg (Univasc) benazepril hcl tab 20 mg (Lotensin) moexipril-hydrochlorothiazide tab 15-12.5 mg (Uniretic) benazepril hcl tab 40 mg (Lotensin) Generics Plus Drug List October 2014 Specialty Specialty 2014 moexipril-hydrochlorothiazide tab 15-25 mg 13 Specialty Drug Name Specialty 2014 Drug Name moexipril-hydrochlorothiazide tab 7.5-12.5 mg (Uniretic) losartan potassium tab 100 mg (Cozaar) perindopril erbumine tab 2 mg losartan potassium tab 50 mg (Cozaar) perindopril erbumine tab 4 mg (Aceon) valsartan tab 160 mg (Diovan) perindopril erbumine tab 8 mg (Aceon) valsartan tab 320 mg (Diovan) quinapril hcl tab 10 mg (Accupril) valsartan tab 40 mg (Diovan) quinapril hcl tab 20 mg (Accupril) valsartan tab 80 mg (Diovan) quinapril hcl tab 40 mg (Accupril) quinapril hcl tab 5 mg (Accupril) valsartan-hydrochlorothiazide tab 160-12.5 mg (Diovan hct) quinapril-hydrochlorothiazide tab 10-12.5 mg (Accuretic) valsartan-hydrochlorothiazide tab 160-25 mg (Diovan hct) quinapril-hydrochlorothiazide tab 20-12.5 mg (Accuretic) valsartan-hydrochlorothiazide tab 320-12.5 mg (Diovan hct) quinapril-hydrochlorothiazide tab 20-25 mg (Accuretic) valsartan-hydrochlorothiazide tab 320-25 mg (Diovan hct) ramipril cap 1.25 mg (Altace) ramipril cap 10 mg (Altace) valsartan-hydrochlorothiazide tab 80-12.5 mg (Diovan hct) ramipril cap 2.5 mg (Altace) BETA BLOCKERS AND COMBINATIONS ramipril cap 5 mg (Altace) acebutolol hcl cap 200 mg (Sectral) trandolapril tab 1 mg (Mavik) acebutolol hcl cap 400 mg (Sectral) trandolapril tab 2 mg (Mavik) atenolol & chlorthalidone tab 100-25 mg (Tenoretic 100) trandolapril tab 4 mg (Mavik) ANGIOTENSIN II RECEPTOR ANTAGONISTS (ARBS) AND COMBINATIONS irbesartan tab 150 mg (Avapro) irbesartan tab 300 mg (Avapro) irbesartan tab 75 mg (Avapro) irbesartan-hydrochlorothiazide tab 150-12.5 mg (Avalide) irbesartan-hydrochlorothiazide tab 300-12.5 mg (Avalide) losartan potassium & hydrochlorothiazide tab 100-12.5 mg (Hyzaar) losartan potassium & hydrochlorothiazide tab 100-25 mg (Hyzaar) losartan potassium & hydrochlorothiazide tab 50-12.5 mg (Hyzaar) 14 losartan potassium tab 25 mg (Cozaar) atenolol & chlorthalidone tab 50-25 mg (Tenoretic 50) atenolol tab 100 mg (Tenormin) atenolol tab 25 mg (Tenormin) atenolol tab 50 mg (Tenormin) bisoprolol & hydrochlorothiazide tab 10-6.25 mg (Ziac) bisoprolol & hydrochlorothiazide tab 2.5-6.25 mg (Ziac) bisoprolol & hydrochlorothiazide tab 5-6.25 mg (Ziac) bisoprolol fumarate tab 10 mg (Zebeta) bisoprolol fumarate tab 5 mg (Zebeta) carvedilol tab 12.5 mg (Coreg) carvedilol tab 25 mg (Coreg) Generics Plus Drug List October 2014 carvedilol tab 3.125 mg (Coreg) carvedilol tab 6.25 mg (Coreg) labetalol hcl tab 100 mg (Trandate) labetalol hcl tab 200 mg (Trandate) Drug Name amlodipine besylate-atorvastatin calcium tab 10-20 mg (Caduet) amlodipine besylate-atorvastatin calcium tab 10-40 mg (Caduet) labetalol hcl tab 300 mg (Trandate) amlodipine besylate-atorvastatin calcium tab 10-80 mg (Caduet) metoprolol succinate tab sr 24hr 100 mg (Toprol xl) amlodipine besylate-atorvastatin calcium tab 2.5-10 mg (Caduet) metoprolol succinate tab sr 24hr 200 mg (Toprol xl) amlodipine besylate-atorvastatin calcium tab 2.5-20 mg (Caduet) metoprolol succinate tab sr 24hr 25 mg (Toprol xl) amlodipine besylate-atorvastatin calcium tab 2.5-40 mg (Caduet) metoprolol succinate tab sr 24hr 50 mg (Toprol xl) metoprolol tartrate tab 100 mg (Lopressor) metoprolol tartrate tab 25 mg metoprolol tartrate tab 50 mg (Lopressor) nadolol tab 20 mg (Corgard) nadolol tab 40 mg (Corgard) nadolol tab 80 mg (Corgard) pindolol tab 10 mg pindolol tab 5 mg propranolol hcl cap sr 24hr 120 mg (Inderal la) propranolol hcl cap sr 24hr 160 mg (Inderal la) propranolol hcl cap sr 24hr 60 mg (Inderal la) propranolol hcl cap sr 24hr 80 mg (Inderal la) propranolol hcl tab 10 mg propranolol hcl tab 20 mg propranolol hcl tab 40 mg propranolol hcl tab 60 mg amlodipine besylate-atorvastatin calcium tab 5-10 mg (Caduet) amlodipine besylate-atorvastatin calcium tab 5-20 mg (Caduet) amlodipine besylate-atorvastatin calcium tab 5-40 mg (Caduet) amlodipine besylate-atorvastatin calcium tab 5-80 mg (Caduet) amlodipine besylate-benazepril hcl cap 10-20 mg (Lotrel) amlodipine besylate-benazepril hcl cap 10-40 mg (Lotrel) amlodipine besylate-benazepril hcl cap 2.5-10 mg (Lotrel) amlodipine besylate-benazepril hcl cap 5-10 mg (Lotrel) amlodipine besylate-benazepril hcl cap 5-20 mg (Lotrel) propranolol hcl tab 80 mg amlodipine besylate-benazepril hcl cap 5-40 mg (Lotrel) CALCIUM CHANNEL BLOCKERS AND COMBINATIONS diltiazem hcl cap sr 24hr 120 mg amlodipine besylate tab 10 mg (Norvasc) amlodipine besylate tab 2.5 mg (Norvasc) amlodipine besylate tab 5 mg (Norvasc) amlodipine besylate-atorvastatin calcium tab 10-10 mg (Caduet) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 diltiazem hcl cap sr 24hr 180 mg diltiazem hcl cap sr 24hr 240 mg (Dilacor xr) diltiazem hcl coated beads cap sr 24hr 120 mg (Cardizem cd) diltiazem hcl coated beads cap sr 24hr 180 mg (Cardizem cd) 15 Specialty Drug Name Specialty 2014 Drug Name diltiazem hcl coated beads cap sr 24hr 240 mg (Cardizem cd) verapamil hcl tab cr 120 mg (Calan sr) diltiazem hcl coated beads cap sr 24hr 300 mg (Cardizem cd) verapamil hcl tab cr 240 mg (Calan sr) diltiazem hcl coated beads cap sr 24hr 360 mg (Cardizem cd) verapamil hcl tab 80 mg (Calan) verapamil hcl tab cr 180 mg (Calan sr) verapamil hcl tab 120 mg (Calan) diltiazem hcl extended release beads cap sr 24hr 120 mg (Tiazac) CHEST PAIN diltiazem hcl extended release beads cap sr 24hr 180 mg (Tiazac) isosorbide dinitrate tab 20 mg diltiazem hcl extended release beads cap sr 24hr 240 mg (Tiazac) isosorbide dinitrate tab 5 mg (Isordil titradose) diltiazem hcl extended release beads cap sr 24hr 300 mg (Tiazac) diltiazem hcl extended release beads cap sr 24hr 360 mg (Tiazac) isosorbide dinitrate tab 10 mg isosorbide dinitrate tab 30 mg isosorbide mononitrate tab sr 24hr 120 mg (Imdur) isosorbide mononitrate tab sr 24hr 30 mg (Imdur) isosorbide mononitrate tab sr 24hr 60 mg (Imdur) diltiazem hcl extended release beads cap sr 24hr 420 mg (Tiazac) isosorbide mononitrate tab 10 mg diltiazem hcl tab 120 mg (Cardizem) nitroglycerin td patch 24hr 0.1 mg/hr (Nitro-dur) diltiazem hcl tab 30 mg (Cardizem) nitroglycerin td patch 24hr 0.2 mg/hr (Nitro-dur) diltiazem hcl tab 60 mg (Cardizem) nitroglycerin td patch 24hr 0.4 mg/hr (Nitro-dur) diltiazem hcl tab 90 mg nitroglycerin td patch 24hr 0.6 mg/hr (Nitro-dur) felodipine tab sr 24hr 10 mg NITROSTAT – nitroglycerin sl tab 0.3 mg felodipine tab sr 24hr 2.5 mg NITROSTAT – nitroglycerin sl tab 0.4 mg felodipine tab sr 24hr 5 mg NITROSTAT – nitroglycerin sl tab 0.6 mg nifedipine tab sr 24hr osmotic 30 mg (Procardia xl) CHOLESTEROL LOWERING nifedipine tab sr 24hr osmotic 60 mg (Procardia xl) nifedipine tab sr 24hr osmotic 90 mg (Procardia xl) nifedipine tab sr 24hr 30 mg (Adalat cc) nifedipine tab sr 24hr 60 mg (Adalat cc) isosorbide mononitrate tab 20 mg atorvastatin calcium tab 10 mg (base equivalent) (Lipitor) atorvastatin calcium tab 20 mg (base equivalent) (Lipitor) atorvastatin calcium tab 40 mg (base equivalent) (Lipitor) nifedipine tab sr 24hr 90 mg (Adalat cc) atorvastatin calcium tab 80 mg (base equivalent) (Lipitor) verapamil hcl cap sr 24hr 120 mg (Verelan) cholestyramine light powder packets 4 gm verapamil hcl cap sr 24hr 180 mg (Verelan) cholestyramine light powder 4 gm/dose (Questran light) verapamil hcl cap sr 24hr 240 mg (Verelan) verapamil hcl cap sr 24hr 360 mg (Verelan) 16 cholestyramine powder packets 4 gm (Questran) Generics Plus Drug List October 2014 Drug Name cholestyramine powder 4 gm/dose (Questran) acetazolamide cap sr 12hr 500 mg (Diamox) choline fenofibrate cap dr 135 mg (fenofibric acid equiv) (Trilipix) acetazolamide tab 250 mg choline fenofibrate cap dr 45 mg (fenofibric acid equiv) (Trilipix) amiloride hcl tab 5 mg colestipol hcl granule packets 5 gm (Colestid flavored) bumetanide tab 1 mg amiloride & hydrochlorothiazide tab 5-50 mg bumetanide tab 0.5 mg colestipol hcl granules 5 gm (Colestid flavored) bumetanide tab 2 mg colestipol hcl tab 1 gm (Colestid) chlorothiazide tab 250 mg fenofibrate micronized cap 134 mg (Lofibra) chlorothiazide tab 500 mg fenofibrate micronized cap 200 mg (Lofibra) furosemide oral soln 10 mg/ml fenofibrate micronized cap 67 mg (Lofibra) furosemide tab 20 mg (Lasix) fenofibrate tab 145 mg (Tricor) furosemide tab 40 mg (Lasix) fenofibrate tab 160 mg (Lofibra) furosemide tab 80 mg (Lasix) fenofibrate tab 48 mg (Tricor) hydrochlorothiazide cap 12.5 mg (Microzide) fenofibrate tab 54 mg (Lofibra) hydrochlorothiazide tab 25 mg gemfibrozil tab 600 mg (Lopid) hydrochlorothiazide tab 50 mg lovastatin tab 10 mg indapamide tab 1.25 mg lovastatin tab 20 mg (Mevacor) indapamide tab 2.5 mg lovastatin tab 40 mg (Mevacor) methazolamide tab 25 mg (Neptazane) niacin tab cr 1000 mg (antihyperlipidemic) (Niaspan) methazolamide tab 50 mg (Neptazane) niacin tab cr 500 mg (antihyperlipidemic) (Niaspan) metolazone tab 2.5 mg (Zaroxolyn) niacin tab cr 750 mg (antihyperlipidemic) (Niaspan) spironolactone & hydrochlorothiazide tab 25-25 mg (Aldactazide) pravastatin sodium tab 10 mg spironolactone tab 100 mg (Aldactone) pravastatin sodium tab 20 mg (Pravachol) spironolactone tab 25 mg (Aldactone) pravastatin sodium tab 40 mg (Pravachol) spironolactone tab 50 mg (Aldactone) pravastatin sodium tab 80 mg (Pravachol) torsemide tab 10 mg (Demadex) simvastatin tab 10 mg (Zocor) torsemide tab 100 mg (Demadex) simvastatin tab 20 mg (Zocor) torsemide tab 20 mg (Demadex) simvastatin tab 40 mg (Zocor) torsemide tab 5 mg (Demadex) simvastatin tab 5 mg (Zocor) triamterene & hydrochlorothiazide cap 37.5-25 mg (Dyazide) simvastatin tab 80 mg (Zocor) FLUID RETENTION Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 metolazone tab 10 mg metolazone tab 5 mg (Zaroxolyn) triamterene & hydrochlorothiazide tab 37.5-25 mg (Maxzide-25) 17 Specialty Drug Name Specialty 2014 Drug Name triamterene & hydrochlorothiazide tab 75-50 mg (Maxzide) clonidine hcl td patch weekly 0.1 mg/24hr (Catapres-tts-1) HEART RHYTHM clonidine hcl td patch weekly 0.2 mg/24hr (Catapres-tts-2) amiodarone hcl tab 100 mg amiodarone hcl tab 200 mg (Cordarone) amiodarone hcl tab 400 mg disopyramide phosphate cap 100 mg (Norpace) disopyramide phosphate cap 150 mg (Norpace) flecainide acetate tab 100 mg flecainide acetate tab 150 mg flecainide acetate tab 50 mg mexiletine hcl cap 150 mg mexiletine hcl cap 200 mg mexiletine hcl cap 250 mg propafenone hcl cap sr 12hr 225 mg (Rythmol sr) propafenone hcl cap sr 12hr 325 mg (Rythmol sr) propafenone hcl cap sr 12hr 425 mg (Rythmol sr) propafenone hcl tab 150 mg (Rythmol) propafenone hcl tab 225 mg (Rythmol) propafenone hcl tab 300 mg quinidine gluconate tab cr 324 mg quinidine sulfate tab 200 mg quinidine sulfate tab 300 mg sotalol hcl (afib/afl) tab 120 mg (Betapace af) sotalol hcl (afib/afl) tab 160 mg (Betapace af) sotalol hcl (afib/afl) tab 80 mg (Betapace af) sotalol hcl tab 120 mg (Betapace) sotalol hcl tab 160 mg (Betapace) sotalol hcl tab 240 mg sotalol hcl tab 80 mg (Betapace) OTHER HEART RELATED DRUGS clonidine hcl tab 0.1 mg (Catapres) clonidine hcl tab 0.2 mg (Catapres) clonidine hcl tab 0.3 mg (Catapres) clonidine hcl td patch weekly 0.3 mg/24hr (Catapres-tts-3) DIBENZYLINE – phenoxybenzamine hcl cap 10 mg digoxin tab 125 mcg (0.125 mg) (Lanoxin) digoxin tab 250 mcg (0.25 mg) (Lanoxin) doxazosin mesylate tab 1 mg (Cardura) doxazosin mesylate tab 2 mg (Cardura) doxazosin mesylate tab 4 mg (Cardura) doxazosin mesylate tab 8 mg (Cardura) eplerenone tab 25 mg (Inspra) eplerenone tab 50 mg (Inspra) guanfacine hcl tab 1 mg (Tenex) guanfacine hcl tab 2 mg (Tenex) hydralazine hcl tab 10 mg hydralazine hcl tab 100 mg hydralazine hcl tab 25 mg hydralazine hcl tab 50 mg methyldopa tab 250 mg methyldopa tab 500 mg midodrine hcl tab 10 mg midodrine hcl tab 2.5 mg midodrine hcl tab 5 mg minoxidil tab 10 mg minoxidil tab 2.5 mg OPSUMIT – macitentan tab 10 mg prazosin hcl cap 1 mg (Minipress) prazosin hcl cap 2 mg (Minipress) prazosin hcl cap 5 mg (Minipress) sildenafil citrate tab 20 mg (Revatio) terazosin hcl cap 1 mg terazosin hcl cap 10 mg terazosin hcl cap 2 mg 18 • Generics Plus Drug List October 2014 • terazosin hcl cap 5 mg TRACLEER – bosentan tab 62.5 mg TRACLEER – bosentan tab 125 mg • • Drug Name triamcinolone acetonide nasal inhal 55 mcg/act (Nasacort aq) COUGH/COLD/ALLERGY ERECTILE DYSFUNCTION acetylcysteine inhal soln 10% CIALIS – tadalafil tab 2.5 mg acetylcysteine inhal soln 20% CIALIS – tadalafil tab 5 mg ASTHMA/COPD CIALIS – tadalafil tab 10 mg ADVAIR DISKUS – fluticasone-salmeterol aer powder ba 100-50 mcg/dose CIALIS – tadalafil tab 20 mg BEE STING KITS EPIPEN 2-PAK – epinephrine solution auto-injector 0.3 mg/0.3ml (1:1000) EPIPEN-JR 2-PAK – epinephrine solution autoinjector 0.15 mg/0.3ml (1:2000) RESPIRATORY AGENTS ANTIHISTAMINES cetirizine hcl oral soln 1 mg/ml (5 mg/5ml) cyproheptadine hcl syrup 2 mg/5ml cyproheptadine hcl tab 4 mg promethazine hcl suppos 12.5 mg promethazine hcl suppos 25 mg promethazine hcl suppos 50 mg promethazine hcl syrup 6.25 mg/5ml promethazine hcl tab 12.5 mg promethazine hcl tab 25 mg promethazine hcl tab 50 mg NASAL PRODUCTS azelastine hcl nasal spray 0.15% (205.5 mcg/ spray) (Astepro) azelastine hcl nasal spray 137 mcg/spray (1 mg/ ml) flunisolide nasal soln 0.025% (Flunisolide) fluticasone propionate nasal susp 50 mcg/act (Flonase) ipratropium bromide nasal soln 0.03% (21 mcg/ spray) (Atrovent) Specialty Drug Name Specialty 2014 albuterol sulfate soln nebu 0.083% (2.5 mg/3ml) albuterol sulfate soln nebu 0.5% (5 mg/ml) albuterol sulfate soln nebu 0.63 mg/3ml (base equiv) albuterol sulfate soln nebu 1.25 mg/3ml (base equiv) albuterol sulfate syrup 2 mg/5ml albuterol sulfate tab 2 mg albuterol sulfate tab 4 mg ASMANEX TWISTHALER 120 ME – mometasone furoate inhal powd 220 mcg/inh (breath activated) ASMANEX TWISTHALER 14 MET – mometasone furoate inhal powd 220 mcg/inh (breath activated) ASMANEX TWISTHALER 30 ME – mometasone furoate inhal powd 220 mcg/inh (breath activated) ASMANEX TWISTHALER 30 MET – mometasone furoate inhal powd 110 mcg/inh (breath activated) ASMANEX TWISTHALER 60 MET – mometasone furoate inhal powd 220 mcg/inh (breath activated) budesonide inhalation susp 0.25 mg/2ml (Pulmicort) budesonide inhalation susp 0.5 mg/2ml (Pulmicort) cromolyn sodium soln nebu 20 mg/2ml FORADIL AEROLIZER – formoterol fumarate inhal cap 12 mcg ipratropium bromide inhal soln 0.02% ipratropium-albuterol nebu soln 0.5-2.5(3) mg/3ml (Duoneb) ipratropium bromide nasal soln 0.06% (42 mcg/ spray) (Atrovent) Generics Plus Drug List October 2014 19 Specialty Drug Name Specialty 2014 Drug Name levalbuterol hcl soln nebu conc 1.25 mg/0.5ml (base equiv) (Xopenex concentrate) LAXATIVES levalbuterol hcl soln nebu 0.31 mg/3ml (base equiv) (Xopenex) peg 3350-kcl-na bicarb-nacl-na sulfate for soln 236 gm (Golytely) levalbuterol hcl soln nebu 0.63 mg/3ml (base equiv) (Xopenex) peg 3350-kcl-na bicarb-nacl-na sulfate for soln 240 gm (Colyte-flavor packs) levalbuterol hcl soln nebu 1.25 mg/3ml (base equiv) (Xopenex) peg 3350-kcl-sod bicarb-nacl for soln 420 gm (Nulytely/flavor pack) montelukast sodium chew tab 4 mg (base equiv) (Singulair) ANTIDIARRHEALS lactulose solution 10 gm/15ml diphenoxylate w/ atropine tab 2.5-0.025 mg (Lomotil) montelukast sodium chew tab 5 mg (base equiv) (Singulair) loperamide hcl cap 2 mg montelukast sodium oral granules packet 4 mg (base equiv) (Singulair) ULCER/GERD montelukast sodium tab 10 mg (base equiv) (Singulair) cimetidine hcl soln 300 mg/5ml PROAIR HFA – albuterol sulfate inhal aero 108 mcg/ act (90mcg base equiv) cimetidine tab 400 mg SPIRIVA HANDIHALER – tiotropium bromide monohydrate inhal cap 18 mcg (base equiv) dicyclomine hcl cap 10 mg (Bentyl) SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 80-4.5 mcg/act famotidine tab 20 mg (Pepcid) cimetidine tab 300 mg cimetidine tab 800 mg dicyclomine hcl tab 20 mg (Bentyl) SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 160-4.5 mcg/act famotidine tab 40 mg (Pepcid) terbutaline sulfate tab 2.5 mg glycopyrrolate tab 2 mg (Robinul forte) terbutaline sulfate tab 5 mg hyoscyamine sulfate elixir 0.125 mg/5ml theophylline tab sr 12hr 100 mg hyoscyamine sulfate soln 0.125 mg/ml theophylline tab sr 12hr 200 mg hyoscyamine sulfate tab sl 0.125 mg (Levsin/sl) theophylline tab sr 12hr 300 mg theophylline tab sr 12hr 450 mg hyoscyamine sulfate tab sr 12hr 0.375 mg (Levbid) theophylline tab sr 24hr 400 mg hyoscyamine sulfate tab 0.125 mg (Levsin) theophylline tab sr 24hr 600 mg lansoprazole cap delayed release 15 mg (Prevacid) glycopyrrolate tab 1 mg (Robinul) zafirlukast tab 10 mg (Accolate) lansoprazole cap delayed release 30 mg (Prevacid) zafirlukast tab 20 mg (Accolate) OTHER RESPIRATORY DRUGS KALYDECO – ivacaftor tab 150 mg PULMOZYME – dornase alfa inhal soln 1 mg/ml GASTROINTESTINAL DRUGS 20 • • methscopolamine bromide tab 2.5 mg (Pamine) methscopolamine bromide tab 5 mg (Pamine forte) misoprostol tab 100 mcg (Cytotec) Generics Plus Drug List October 2014 Drug Name misoprostol tab 200 mcg (Cytotec) DIGESTIVE ENZYMES omeprazole cap delayed release 10 mg (Prilosec) ZENPEP – pancrelipase (lip-prot-amyl) dr cap 3000-10000-16000 unit omeprazole cap delayed release 20 mg (Prilosec) omeprazole cap delayed release 40 mg (Prilosec) pantoprazole sodium ec tab 20 mg (base equiv) (Protonix) pantoprazole sodium ec tab 40 mg (base equiv) (Protonix) ranitidine hcl cap 150 mg ranitidine hcl cap 300 mg ranitidine hcl syrup 15 mg/ml (75 mg/5ml) ZENPEP – pancrelipase (lip-prot-amyl) dr cap 5000-17000-27000 unit ZENPEP – pancrelipase (lip-prot-amyl) dr cap 10000-34000-55000 unit ZENPEP – pancrelipase (lip-prot-amyl) dr cap 15000-51000-82000 unit ZENPEP – pancrelipase (lip-prot-amyl) dr cap 20000-68000-109000 unit ranitidine hcl tab 150 mg (Zantac) ZENPEP – pancrelipase (lip-prot-amyl) dr cap 25000-85000-136000 unit ranitidine hcl tab 300 mg (Zantac) OTHER GASTROINTESTINAL DRUGS sucralfate tab 1 gm (Carafate) balsalazide disodium cap 750 mg (Colazal) SYMAX DUOTAB – hyoscyamine sulfate tab cr 0.375 mg (0.125 mg ir/0.25 mg cr) calcium acetate (phosphate binder) cap 667 mg (169 mg ca) (Phoslo) NAUSEA AND VOMITING EMEND – aprepitant capsule 40 mg calcium acetate (phosphate binder) tab 667 mg (Eliphos) EMEND – aprepitant capsule 80 mg CANASA – mesalamine suppos 1000 mg EMEND – aprepitant capsule 125 mg CHENODAL – chenodiol tab 250 mg EMEND – aprepitant capsule therapy pack 80 & 125 mg lactulose (encephalopathy) solution 10 gm/15ml granisetron hcl tab 1 mg metoclopramide hcl soln 5 mg/5ml (10 mg/10ml) meclizine hcl tab 12.5 mg metoclopramide hcl tab 10 mg (Reglan) meclizine hcl tab 25 mg metoclopramide hcl tab 5 mg (Reglan) ondansetron hcl inj 4 mg/2ml (2 mg/ml) ondansetron hcl inj 40 mg/20ml (2 mg/ml) (Zofran) sulfasalazine tab delayed release 500 mg (Azulfidine en-tabs) ondansetron hcl oral soln 4 mg/5ml (Zofran) sulfasalazine tab 500 mg (Azulfidine) ondansetron hcl tab 24 mg ursodiol cap 300 mg (Actigall) ondansetron hcl tab 4 mg (Zofran) ursodiol tab 250 mg (Urso 250) ondansetron hcl tab 8 mg (Zofran) ursodiol tab 500 mg (Urso forte) ondansetron orally disintegrating tab 4 mg (Zofran odt) GENITOURINARY DRUGS ondansetron orally disintegrating tab 8 mg (Zofran odt) nitrofurantoin macrocrystalline cap 100 mg (Macrodantin) trimethobenzamide hcl cap 300 mg (Tigan) nitrofurantoin macrocrystalline cap 50 mg (Macrodantin) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 • mesalamine enema 4 gm URINARY TRACT INFECTIONS 21 Specialty Drug Name Specialty 2014 Drug Name nitrofurantoin monohydrate macrocrystalline cap 100 mg (Macrobid) sodium citrate & citric acid soln 500-334 mg/5ml (Shohls solution modi) nitrofurantoin susp 25 mg/5ml (Furadantin) tamsulosin hcl cap 0.4 mg (Flomax) URINARY TRACT SPASMS TRICITRATES – pot & sod citrates w/ cit ac soln 550-500-334 mg/5ml oxybutynin chloride syrup 5 mg/5ml oxybutynin chloride tab sr 24hr 10 mg (Ditropan xl) CENTRAL NERVOUS SYSTEM DRUGS oxybutynin chloride tab sr 24hr 15 mg (Ditropan xl) alprazolam tab sr 24hr 0.5 mg (Xanax xr) oxybutynin chloride tab sr 24hr 5 mg (Ditropan xl) alprazolam tab sr 24hr 2 mg (Xanax xr) oxybutynin chloride tab 5 mg alprazolam tab sr 24hr 3 mg (Xanax xr) tolterodine tartrate cap sr 24hr 2 mg (Detrol la) alprazolam tab 0.25 mg (Xanax) tolterodine tartrate cap sr 24hr 4 mg (Detrol la) alprazolam tab 0.5 mg (Xanax) tolterodine tartrate tab 1 mg (Detrol) alprazolam tab 1 mg (Xanax) tolterodine tartrate tab 2 mg (Detrol) alprazolam tab 2 mg (Xanax) VAGINAL PRODUCTS buspirone hcl tab 10 mg clindamycin phosphate vaginal cream 2% (Cleocin) buspirone hcl tab 15 mg ANXIETY alprazolam tab sr 24hr 1 mg (Xanax xr) buspirone hcl tab 30 mg ESTRACE – estradiol vaginal cream 0.1 mg/gm buspirone hcl tab 5 mg metronidazole vaginal gel 0.75% (Metrogelvaginal) diazepam tab 10 mg (Valium) terconazole vaginal cream 0.4% (Terazol 7) diazepam tab 2 mg (Valium) terconazole vaginal cream 0.8% (Terazol 3) diazepam tab 5 mg (Valium) terconazole vaginal suppos 80 mg (Terazol 3) hydroxyzine hcl syrup 10 mg/5ml VAGIFEM – estradiol vaginal tab 10 mcg hydroxyzine hcl tab 10 mg OTHER GENITOURINARY DRUGS hydroxyzine hcl tab 25 mg alfuzosin hcl tab sr 24hr 10 mg (Uroxatral) hydroxyzine hcl tab 50 mg CYSTAGON – cysteamine bitartrate cap 50 mg CYSTAGON – cysteamine bitartrate cap 150 mg • • hydroxyzine pamoate cap 25 mg (Vistaril) hydroxyzine pamoate cap 50 mg (Vistaril) finasteride tab 5 mg (Proscar) lorazepam conc 2 mg/ml (Lorazepam intensol) potassium citrate & citric acid powder pack 3300-1002 mg lorazepam tab 0.5 mg (Ativan) potassium citrate tab cr 10 meq (1080 mg) (Urocitk 10) lorazepam tab 2 mg (Ativan) potassium citrate tab cr 5 meq (540 mg) (Urocit-k 5) amitriptyline hcl tab 10 mg 22 lorazepam tab 1 mg (Ativan) DEPRESSION amitriptyline hcl tab 100 mg Generics Plus Drug List October 2014 amitriptyline hcl tab 150 mg amitriptyline hcl tab 25 mg amitriptyline hcl tab 50 mg amitriptyline hcl tab 75 mg bupropion hcl tab sr 12hr 100 mg (Wellbutrin sr) bupropion hcl tab sr 12hr 150 mg (Wellbutrin sr) bupropion hcl tab sr 12hr 200 mg (Wellbutrin sr) Drug Name duloxetine hcl enteric coated pellets cap 60 mg (Cymbalta) escitalopram oxalate soln 5 mg/5ml (base equiv) (Lexapro) escitalopram oxalate tab 10 mg (base equiv) (Lexapro) escitalopram oxalate tab 20 mg (base equiv) (Lexapro) bupropion hcl tab sr 24hr 300 mg (Wellbutrin xl) escitalopram oxalate tab 5 mg (base equiv) (Lexapro) bupropion hcl tab 100 mg (Wellbutrin) fluoxetine hcl cap 10 mg (Prozac) bupropion hcl tab 75 mg (Wellbutrin) fluoxetine hcl cap 20 mg (Prozac) citalopram hydrobromide oral soln 10 mg/5ml fluoxetine hcl cap 40 mg (Prozac) citalopram hydrobromide tab 10 mg (base equiv) (Celexa) fluoxetine hcl solution 20 mg/5ml citalopram hydrobromide tab 20 mg (base equiv) (Celexa) fluoxetine hcl tab 20 mg citalopram hydrobromide tab 40 mg (base equiv) (Celexa) fluvoxamine maleate tab 25 mg bupropion hcl tab sr 24hr 150 mg (Wellbutrin xl) clomipramine hcl cap 25 mg (Anafranil) clomipramine hcl cap 50 mg (Anafranil) clomipramine hcl cap 75 mg (Anafranil) desipramine hcl tab 10 mg (Norpramin) desipramine hcl tab 100 mg (Norpramin) desipramine hcl tab 150 mg (Norpramin) desipramine hcl tab 25 mg (Norpramin) desipramine hcl tab 50 mg (Norpramin) desipramine hcl tab 75 mg (Norpramin) doxepin hcl cap 10 mg doxepin hcl cap 100 mg doxepin hcl cap 25 mg doxepin hcl cap 50 mg doxepin hcl conc 10 mg/ml duloxetine hcl enteric coated pellets cap 20 mg (Cymbalta) duloxetine hcl enteric coated pellets cap 30 mg (Cymbalta) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 fluoxetine hcl tab 10 mg fluvoxamine maleate tab 100 mg fluvoxamine maleate tab 50 mg imipramine hcl tab 10 mg (Tofranil) imipramine hcl tab 25 mg (Tofranil) imipramine hcl tab 50 mg (Tofranil) mirtazapine tab 15 mg (Remeron) mirtazapine tab 30 mg (Remeron) mirtazapine tab 45 mg (Remeron) mirtazapine tab 7.5 mg nortriptyline hcl cap 10 mg (Pamelor) nortriptyline hcl cap 25 mg (Pamelor) nortriptyline hcl cap 50 mg (Pamelor) nortriptyline hcl cap 75 mg (Pamelor) paroxetine hcl tab sr 24hr 12.5 mg (Paxil cr) paroxetine hcl tab sr 24hr 25 mg (Paxil cr) paroxetine hcl tab sr 24hr 37.5 mg (Paxil cr) paroxetine hcl tab 10 mg (Paxil) paroxetine hcl tab 20 mg (Paxil) paroxetine hcl tab 30 mg (Paxil) 23 Specialty Drug Name Specialty 2014 Drug Name paroxetine hcl tab 40 mg (Paxil) clozapine tab 25 mg (Clozaril) phenelzine sulfate tab 15 mg (Nardil) clozapine tab 50 mg sertraline hcl oral conc 20 mg/ml (Zoloft) fluphenazine decanoate inj 25 mg/ml sertraline hcl tab 100 mg (Zoloft) fluphenazine hcl tab 1 mg sertraline hcl tab 25 mg (Zoloft) fluphenazine hcl tab 10 mg sertraline hcl tab 50 mg (Zoloft) fluphenazine hcl tab 2.5 mg tranylcypromine sulfate tab 10 mg (Parnate) fluphenazine hcl tab 5 mg trazodone hcl tab 100 mg haloperidol lactate oral conc 2 mg/ml trazodone hcl tab 150 mg haloperidol tab 0.5 mg trazodone hcl tab 300 mg haloperidol tab 1 mg trazodone hcl tab 50 mg haloperidol tab 10 mg venlafaxine hcl cap sr 24hr 150 mg (base equivalent) (Effexor xr) haloperidol tab 2 mg venlafaxine hcl cap sr 24hr 37.5 mg (base equivalent) (Effexor xr) haloperidol tab 5 mg venlafaxine hcl cap sr 24hr 75 mg (base equivalent) (Effexor xr) lithium carbonate cap 300 mg haloperidol tab 20 mg lithium carbonate cap 150 mg (Lithium carbonate) venlafaxine hcl tab sr 24hr 150 mg (base equivalent) (Venlafaxine hcl er) lithium carbonate cap 600 mg (Lithium carbonate) venlafaxine hcl tab sr 24hr 37.5 mg (base equivalent) (Venlafaxine hcl er) lithium carbonate tab cr 450 mg venlafaxine hcl tab sr 24hr 75 mg (base equivalent) (Venlafaxine hcl er) loxapine succinate cap 10 mg venlafaxine hcl tab 100 mg venlafaxine hcl tab 25 mg venlafaxine hcl tab 37.5 mg venlafaxine hcl tab 50 mg venlafaxine hcl tab 75 mg PSYCHOTIC AND BIPOLAR DISORDERS chlorpromazine hcl tab 10 mg chlorpromazine hcl tab 100 mg chlorpromazine hcl tab 200 mg chlorpromazine hcl tab 25 mg chlorpromazine hcl tab 50 mg clozapine tab 100 mg (Clozaril) clozapine tab 200 mg 24 lithium carbonate tab cr 300 mg (Lithobid) lithium carbonate tab 300 mg loxapine succinate cap 25 mg loxapine succinate cap 5 mg (Loxitane) loxapine succinate cap 50 mg olanzapine orally disintegrating tab 10 mg (Zyprexa zydis) olanzapine orally disintegrating tab 15 mg (Zyprexa zydis) olanzapine orally disintegrating tab 20 mg (Zyprexa zydis) olanzapine orally disintegrating tab 5 mg (Zyprexa zydis) olanzapine tab 10 mg (Zyprexa) olanzapine tab 15 mg (Zyprexa) olanzapine tab 2.5 mg (Zyprexa) olanzapine tab 20 mg (Zyprexa) Generics Plus Drug List October 2014 Drug Name olanzapine tab 5 mg (Zyprexa) thiothixene cap 5 mg olanzapine tab 7.5 mg (Zyprexa) trifluoperazine hcl tab 1 mg perphenazine tab 16 mg trifluoperazine hcl tab 10 mg perphenazine tab 2 mg trifluoperazine hcl tab 2 mg perphenazine tab 4 mg trifluoperazine hcl tab 5 mg perphenazine tab 8 mg ziprasidone hcl cap 20 mg (Geodon) prochlorperazine maleate tab 10 mg (Compazine) ziprasidone hcl cap 40 mg (Geodon) prochlorperazine maleate tab 5 mg (Compazine) ziprasidone hcl cap 60 mg (Geodon) prochlorperazine suppos 25 mg ziprasidone hcl cap 80 mg (Geodon) quetiapine fumarate tab 100 mg (Seroquel) SLEEP AIDS quetiapine fumarate tab 200 mg (Seroquel) estazolam tab 1 mg quetiapine fumarate tab 25 mg (Seroquel) estazolam tab 2 mg quetiapine fumarate tab 300 mg (Seroquel) phenobarbital elixir 20 mg/5ml quetiapine fumarate tab 400 mg (Seroquel) phenobarbital tab 16.2 mg quetiapine fumarate tab 50 mg (Seroquel) phenobarbital tab 32.4 mg risperidone orally disintegrating tab 0.25 mg temazepam cap 15 mg (Restoril) risperidone orally disintegrating tab 0.5 mg (Risperdal m-tab) temazepam cap 22.5 mg (Restoril) risperidone orally disintegrating tab 1 mg (Risperdal m-tab) temazepam cap 7.5 mg (Restoril) risperidone orally disintegrating tab 2 mg (Risperdal m-tab) zaleplon cap 5 mg (Sonata) temazepam cap 30 mg (Restoril) zaleplon cap 10 mg (Sonata) risperidone orally disintegrating tab 3 mg (Risperdal m-tab) zolpidem tartrate tab cr 12.5 mg (Ambien cr) risperidone orally disintegrating tab 4 mg (Risperdal m-tab) zolpidem tartrate tab 10 mg (Ambien) risperidone soln 1 mg/ml (Risperdal) HYPERACTIVITY/NARCOLEPSY risperidone tab 0.25 mg (Risperdal) amphetamine-dextroamphetamine cap sr 24hr 10 mg (Adderall xr) risperidone tab 0.5 mg (Risperdal) risperidone tab 1 mg (Risperdal) risperidone tab 2 mg (Risperdal) risperidone tab 3 mg (Risperdal) risperidone tab 4 mg (Risperdal) thiothixene cap 1 mg thiothixene cap 10 mg thiothixene cap 2 mg Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 zolpidem tartrate tab cr 6.25 mg (Ambien cr) zolpidem tartrate tab 5 mg (Ambien) amphetamine-dextroamphetamine cap sr 24hr 15 mg (Adderall xr) amphetamine-dextroamphetamine cap sr 24hr 20 mg (Adderall xr) amphetamine-dextroamphetamine cap sr 24hr 25 mg (Adderall xr) amphetamine-dextroamphetamine cap sr 24hr 30 mg (Adderall xr) 25 Specialty Drug Name Specialty 2014 Drug Name amphetamine-dextroamphetamine cap sr 24hr 5 mg (Adderall xr) REBIF REBIDOSE – interferon beta-1a inj 22 mcg/0.5ml (12mu/ml) (44 mcg/ml) • amphetamine-dextroamphetamine tab 10 mg (Adderall) REBIF REBIDOSE – interferon beta-1a inj 44 mcg/0.5ml (24mu/ml) (88 mcg/ml) • amphetamine-dextroamphetamine tab 12.5 mg (Adderall) REBIF REBIDOSE TITRATION – interferon beta-1a inj 6 x 8.8 mcg/0.2ml & 6 x 22 mcg/0.5ml • amphetamine-dextroamphetamine tab 15 mg (Adderall) REBIF TITRATION PACK – interferon beta-1a inj 6 x 8.8 mcg/0.2ml & 6 x 22 mcg/0.5ml • amphetamine-dextroamphetamine tab 20 mg (Adderall) TECFIDERA – dimethyl fumarate capsule delayed release 120 mg • amphetamine-dextroamphetamine tab 30 mg (Adderall) TECFIDERA – dimethyl fumarate capsule delayed release 240 mg • amphetamine-dextroamphetamine tab 5 mg (Adderall) TECFIDERA STARTER PACK – dimethyl fumarate capsule dr starter pack 120 mg & 240 mg • amphetamine-dextroamphetamine tab 7.5 mg (Adderall) OTHER CENTRAL NERVOUS SYSTEM DRUGS acamprosate calcium tab delayed release 333 mg (Campral) caffeine citrate oral soln 60 mg/3ml (10 mg/ml base equiv) (Cafcit) bupropion hcl (smoking deterrent) tab sr 12hr 150 mg (Zyban) dextroamphetamine sulfate cap sr 24hr 10 mg (Dexedrine) CHANTIX – varenicline tartrate tab 0.5 mg (base equiv) dextroamphetamine sulfate cap sr 24hr 15 mg (Dexedrine) CHANTIX – varenicline tartrate tab 1 mg (base equiv) dextroamphetamine sulfate cap sr 24hr 5 mg (Dexedrine) CHANTIX CONTINUING MONTH – varenicline tartrate tab 1 mg (base equiv) dextroamphetamine sulfate tab 5 mg methylphenidate hcl tab cr 20 mg (Ritalin sr) methylphenidate hcl tab 10 mg (Ritalin) CHANTIX STARTING MONTH PA – varenicline tartrate tab 0.5 mg x 11 & tab 1 mg x 42 pack methylphenidate hcl tab 20 mg (Ritalin) disulfiram tab 250 mg (Antabuse) methylphenidate hcl tab 5 mg (Ritalin) disulfiram tab 500 mg (Antabuse) modafinil tab 100 mg (Provigil) donepezil hydrochloride orally disintegrating tab 10 mg (Aricept odt) modafinil tab 200 mg (Provigil) MULTIPLE SCLEROSIS donepezil hydrochloride orally disintegrating tab 5 mg (Aricept odt) COPAXONE – glatiramer acetate soln prefilled syringe 40 mg/ml • COPAXONE – glatiramer acetate inj kit 20 mg/ml • • donepezil hydrochloride tab 5 mg (Aricept) • galantamine hydrobromide cap sr 24hr 24 mg (Razadyne er) REBIF – interferon beta-1a inj 22 mcg/0.5ml (12mu/ ml) (44 mcg/ml) REBIF – interferon beta-1a inj 44 mcg/0.5ml (24mu/ ml) (88 mcg/ml) 26 donepezil hydrochloride tab 10 mg (Aricept) galantamine hydrobromide cap sr 24hr 16 mg (Razadyne er) Generics Plus Drug List October 2014 Drug Name galantamine hydrobromide cap sr 24hr 8 mg (Razadyne er) acetaminophen w/ codeine tab 300-60 mg (Tylenol/codeine #4) galantamine hydrobromide oral soln 4 mg/ml (Razadyne) buprenorphine hcl sl tab 2 mg (base equiv) galantamine hydrobromide tab 12 mg (Razadyne) buprenorphine hcl-naloxone hcl sl tab 2-0.5 mg (base equiv) galantamine hydrobromide tab 4 mg (Razadyne) galantamine hydrobromide tab 8 mg (Razadyne) buprenorphine hcl sl tab 8 mg (base equiv) naltrexone hcl tab 50 mg (Revia) buprenorphine hcl-naloxone hcl sl tab 8-2 mg (base equiv) NICOTROL INHALER – nicotine inhaler system 10 mg (4 mg delivered) butalbital-aspirin-caff w/ codeine cap 50-325-40-30 mg (Fiorinal/codeine #3) NICOTROL NS – nicotine nasal spray 10 mg/ml (0.5 mg/spray) fentanyl citrate lollipop 1200 mcg (Actiq) rivastigmine tartrate cap 1.5 mg (Exelon) fentanyl citrate lollipop 200 mcg (Actiq) rivastigmine tartrate cap 3 mg (Exelon) fentanyl citrate lollipop 400 mcg (Actiq) rivastigmine tartrate cap 4.5 mg (Exelon) fentanyl citrate lollipop 600 mcg (Actiq) rivastigmine tartrate cap 6 mg (Exelon) fentanyl citrate lollipop 800 mcg (Actiq) PAIN RELIEF DRUGS fentanyl td patch 72hr 100 mcg/hr (Duragesic) NON-NARCOTIC DRUGS fentanyl td patch 72hr 12 mcg/hr (Duragesic) butalbital-acetaminophen tab 50-325 mg fentanyl td patch 72hr 25 mcg/hr (Duragesic) butalbital-acetaminophen tab 50-650 mg fentanyl td patch 72hr 50 mcg/hr (Duragesic) butalbital-acetaminophen-caffeine cap 50-325-40 mg (Esgic) fentanyl td patch 72hr 75 mcg/hr (Duragesic) butalbital-acetaminophen-caffeine tab 50-325-40 mg (Esgic) butalbital-acetaminophen-caffeine tab 50-500-40 mg butalbital-aspirin-caffeine cap 50-325-40 mg (Fiorinal) fentanyl citrate lollipop 1600 mcg (Actiq) hydrocodone-acetaminophen soln 7.5-325 mg/15ml (Hycet) hydrocodone-acetaminophen tab 10-325 mg (Norco) hydrocodone-acetaminophen tab 5-325 mg (Norco) butalbital-aspirin-caffeine tab 50-325-40 mg hydrocodone-acetaminophen tab 7.5-325 mg (Norco) salsalate tab 500 mg hydrocodone-ibuprofen tab 10-200 mg (Ibudone) salsalate tab 750 mg hydrocodone-ibuprofen tab 5-200 mg (Reprexain) NARCOTIC DRUGS acetaminophen w/ codeine soln 120-12 mg/5ml hydrocodone-ibuprofen tab 7.5-200 mg (Vicoprofen) acetaminophen w/ codeine tab 300-15 mg (Tylenol/codeine) HYDROMORPHONE HCL – hydromorphone hcl suppos 3 mg acetaminophen w/ codeine tab 300-30 mg (Tylenol/codeine #3) hydromorphone hcl liqd 1 mg/ml (Dilaudid) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 hydromorphone hcl tab 2 mg (Dilaudid) 27 Specialty Drug Name Specialty 2014 Drug Name hydromorphone hcl tab 4 mg (Dilaudid) morphine sulfate tab cr 60 mg (Ms contin) hydromorphone hcl tab 8 mg (Dilaudid) oxycodone hcl cap 5 mg methadone hcl conc 10 mg/ml (Methadose) methadone hcl soln 10 mg/5ml (Methadone hcl) oxycodone hcl conc 100 mg/5ml (20 mg/ml) (Oxycodone hcl) methadone hcl soln 5 mg/5ml (Methadone hcl) oxycodone hcl soln 5 mg/5ml (Oxycodone hcl) methadone hcl tab for oral susp 40 mg oxycodone hcl tab 10 mg methadone hcl tab 10 mg (Dolophine) oxycodone hcl tab 15 mg (Roxicodone) methadone hcl tab 5 mg (Dolophine hcl) oxycodone hcl tab 20 mg MORPHINE SULFATE – morphine sulfate tab 15 mg oxycodone hcl tab 30 mg (Roxicodone) MORPHINE SULFATE – morphine sulfate tab 30 mg oxycodone hcl tab 5 mg (Roxicodone) MORPHINE SULFATE – morphine sulfate suppos 5 mg oxycodone w/ acetaminophen cap 5-500 mg MORPHINE SULFATE – morphine sulfate suppos 10 mg oxycodone w/ acetaminophen tab 10-325 mg (Percocet) oxycodone w/ acetaminophen tab 10-650 mg MORPHINE SULFATE – morphine sulfate suppos 20 mg oxycodone w/ acetaminophen tab 5-325 mg (Percocet) MORPHINE SULFATE – morphine sulfate suppos 30 mg oxycodone w/ acetaminophen tab 7.5-325 mg (Percocet) morphine sulfate (concentrate) oral soln 20 mg/ ml oxycodone w/ acetaminophen tab 7.5-500 mg morphine sulfate beads cap sr 24hr 120 mg (Avinza) SUBOXONE – buprenorphine hcl-naloxone hcl sl film 2-0.5 mg (base equiv) morphine sulfate beads cap sr 24hr 30 mg (Avinza) SUBOXONE – buprenorphine hcl-naloxone hcl sl film 4-1 mg (base equiv) morphine sulfate beads cap sr 24hr 45 mg (Avinza) SUBOXONE – buprenorphine hcl-naloxone hcl sl film 8-2 mg (base equiv) morphine sulfate beads cap sr 24hr 60 mg (Avinza) SUBOXONE – buprenorphine hcl-naloxone hcl sl film 12-3 mg (base equiv) morphine sulfate beads cap sr 24hr 75 mg (Avinza) tramadol hcl tab sr 24hr 100 mg (Ultram er) morphine sulfate beads cap sr 24hr 90 mg (Avinza) tramadol hcl tab sr 24hr 300 mg (Ultram er) oxycodone-aspirin tab 4.8355-325 mg (Percodan) tramadol hcl tab sr 24hr 200 mg (Ultram er) morphine sulfate oral soln 10 mg/5ml tramadol hcl tab 50 mg (Ultram) morphine sulfate oral soln 20 mg/5ml tramadol-acetaminophen tab 37.5-325 mg (Ultracet) morphine sulfate tab cr 100 mg (Ms contin) morphine sulfate tab cr 15 mg (Ms contin) morphine sulfate tab cr 200 mg (Ms contin) morphine sulfate tab cr 30 mg (Ms contin) 28 RHEUMATOID AND OSTEOARTHRITIS diclofenac potassium tab 50 mg (Cataflam) diclofenac sodium tab delayed release 25 mg Generics Plus Drug List October 2014 Drug Name diclofenac sodium tab delayed release 50 mg leflunomide tab 10 mg (Arava) diclofenac sodium tab delayed release 75 mg leflunomide tab 20 mg (Arava) diclofenac sodium tab sr 24hr 100 mg (Voltarenxr) meloxicam tab 15 mg (Mobic) ENBREL – etanercept subcutaneous inj 50 mg/ml ENBREL – etanercept subcutaneous inj 25 mg/0.5ml ENBREL – etanercept for subcutaneous inj kit 25 mg ENBREL SURECLICK – etanercept subcutaneous inj 50 mg/ml • • • • meloxicam tab 7.5 mg (Mobic) nabumetone tab 500 mg nabumetone tab 750 mg naproxen sodium tab 275 mg (Anaprox) naproxen sodium tab 550 mg (Anaprox ds) naproxen susp 125 mg/5ml (Naprosyn) etodolac cap 200 mg naproxen tab ec 375 mg (Ec-naprosyn) etodolac cap 300 mg naproxen tab ec 500 mg (Ec-naprosyn) etodolac tab sr 24hr 400 mg naproxen tab 250 mg (Naprosyn) etodolac tab sr 24hr 500 mg naproxen tab 375 mg (Naprosyn) etodolac tab sr 24hr 600 mg naproxen tab 500 mg (Naprosyn) etodolac tab 400 mg oxaprozin tab 600 mg (Daypro) etodolac tab 500 mg piroxicam cap 10 mg (Feldene) flurbiprofen tab 100 mg piroxicam cap 20 mg (Feldene) flurbiprofen tab 50 mg • • sulindac tab 150 mg HUMIRA PEN – adalimumab inj kit 40 mg/0.8ml (50 mg/ml) • acetaminophen-isometheptene-dichloral cap 325-65-100 mg HUMIRA PEN-CROHNS DISEASE – adalimumab inj kit 40 mg/0.8ml (50 mg/ml) • IMITREX – sumatriptan nasal spray 5 mg/act HUMIRA PEN-PSORIASIS STAR – adalimumab inj kit 40 mg/0.8ml (50 mg/ml) • HUMIRA – adalimumab inj kit 20 mg/0.4ml HUMIRA – adalimumab inj kit 40 mg/0.8ml (50 mg/ ml) sulindac tab 200 mg MIGRAINE HEADACHES IMITREX – sumatriptan nasal spray 20 mg/act naratriptan hcl tab 1 mg (base equiv) (Amerge) naratriptan hcl tab 2.5 mg (base equiv) (Amerge) ibuprofen susp 100 mg/5ml rizatriptan benzoate orally disintegrating tab 10 mg (Maxalt-mlt) ibuprofen tab 400 mg ibuprofen tab 600 mg rizatriptan benzoate orally disintegrating tab 5 mg (Maxalt-mlt) ibuprofen tab 800 mg ILARIS – canakinumab for inj 180 mg • rizatriptan benzoate tab 10 mg (Maxalt) indomethacin cap 25 mg rizatriptan benzoate tab 5 mg (Maxalt) indomethacin cap 50 mg sumatriptan succinate inj 6 mg/0.5ml (Imitrex) ketoprofen cap 50 mg sumatriptan succinate solution auto-injector 4 mg/0.5ml (Imitrex statdose sys) ketoprofen cap 75 mg Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 29 Specialty Drug Name Specialty 2014 Drug Name sumatriptan succinate solution auto-injector 6 mg/0.5ml (Imitrex statdose sys) DIASTAT PEDIATRIC – diazepam rectal gel delivery system 2.5 mg sumatriptan succinate solution cartridge 4 mg/0.5ml (Imitrex statdose ref) divalproex sodium cap sprinkle 125 mg (Depakote sprinkles) sumatriptan succinate solution cartridge 6 mg/0.5ml (Imitrex statdose ref) divalproex sodium tab delayed release 125 mg (Depakote) sumatriptan succinate solution prefilled syringe 6 mg/0.5ml divalproex sodium tab delayed release 250 mg (Depakote) sumatriptan succinate tab 100 mg (Imitrex) divalproex sodium tab delayed release 500 mg (Depakote) sumatriptan succinate tab 25 mg (Imitrex) sumatriptan succinate tab 50 mg (Imitrex) GOUT divalproex sodium tab sr 24 hr 250 mg (Depakote er) allopurinol tab 100 mg (Zyloprim) divalproex sodium tab sr 24 hr 500 mg (Depakote er) allopurinol tab 300 mg (Zyloprim) ethosuximide cap 250 mg (Zarontin) colchicine w/ probenecid tab 0.5-500 mg ethosuximide soln 250 mg/5ml (Zarontin) probenecid tab 500 mg gabapentin cap 100 mg (Neurontin) LOCAL ANESTHETICS INJECTABLE gabapentin cap 300 mg (Neurontin) lidocaine hcl local inj 1% (Xylocaine) gabapentin cap 400 mg (Neurontin) lidocaine hcl local preservative free (pf) inj 1% (Xylocaine-mpf) gabapentin oral soln 250 mg/5ml (Neurontin) NEUROMUSCULAR DRUGS SEIZURES carbamazepine cap sr 12hr 100 mg (Carbatrol) carbamazepine cap sr 12hr 200 mg (Carbatrol) gabapentin tab 600 mg (Neurontin) gabapentin tab 800 mg (Neurontin) lamotrigine tab chewable dispersible 25 mg (Lamictal chewable di) carbamazepine cap sr 12hr 300 mg (Carbatrol) lamotrigine tab chewable dispersible 5 mg (Lamictal chewable di) carbamazepine chew tab 100 mg lamotrigine tab 100 mg (Lamictal) carbamazepine susp 100 mg/5ml (Tegretol) lamotrigine tab 150 mg (Lamictal) carbamazepine tab sr 12hr 200 mg (Tegretol-xr) lamotrigine tab 200 mg (Lamictal) carbamazepine tab sr 12hr 400 mg (Tegretol-xr) lamotrigine tab 25 mg (Lamictal) carbamazepine tab 200 mg (Tegretol) levetiracetam oral soln 100 mg/ml (Keppra) clonazepam tab 0.5 mg (Klonopin) levetiracetam tab 1000 mg (Keppra) clonazepam tab 1 mg (Klonopin) levetiracetam tab 250 mg (Keppra) clonazepam tab 2 mg (Klonopin) levetiracetam tab 500 mg (Keppra) DIASTAT ACUDIAL – diazepam rectal gel delivery system 10 mg levetiracetam tab 750 mg (Keppra) DIASTAT ACUDIAL – diazepam rectal gel delivery system 20 mg 30 oxcarbazepine susp 300 mg/5ml (60 mg/ml) (Trileptal) Generics Plus Drug List October 2014 oxcarbazepine tab 150 mg (Trileptal) oxcarbazepine tab 300 mg (Trileptal) oxcarbazepine tab 600 mg (Trileptal) phenytoin chew tab 50 mg (Dilantin infatabs) Drug Name carbidopa & levodopa orally disintegrating tab 25-100 mg carbidopa & levodopa orally disintegrating tab 25-250 mg phenytoin sodium extended cap 100 mg (Dilantin) carbidopa & levodopa tab cr 25-100 mg (Sinemet cr) phenytoin sodium extended cap 200 mg (Phenytek) carbidopa & levodopa tab cr 50-200 mg (Sinemet cr) phenytoin sodium extended cap 300 mg (Phenytek) carbidopa & levodopa tab 10-100 mg (Sinemet) phenytoin susp 125 mg/5ml (Dilantin) primidone tab 250 mg (Mysoline) primidone tab 50 mg (Mysoline) SABRIL – vigabatrin tab 500 mg SABRIL – vigabatrin powd pack 500 mg carbidopa & levodopa tab 25-100 mg (Sinemet) carbidopa & levodopa tab 25-250 mg (Sinemet) entacapone tab 200 mg (Comtan) pramipexole dihydrochloride tab 0.125 mg (Mirapex) topiramate sprinkle cap 15 mg (Topamax sprinkle) pramipexole dihydrochloride tab 0.25 mg (Mirapex) topiramate sprinkle cap 25 mg (Topamax sprinkle) pramipexole dihydrochloride tab 0.5 mg (Mirapex) topiramate tab 100 mg (Topamax) topiramate tab 200 mg (Topamax) pramipexole dihydrochloride tab 0.75 mg (Mirapex) topiramate tab 25 mg (Topamax) pramipexole dihydrochloride tab 1 mg (Mirapex) topiramate tab 50 mg (Topamax) pramipexole dihydrochloride tab 1.5 mg (Mirapex) valproate sodium syrup 250 mg/5ml (base equiv) (Depakene) ropinirole hydrochloride tab 0.25 mg (Requip) valproic acid cap 250 mg (Depakene) ropinirole hydrochloride tab 1 mg (Requip) zonisamide cap 100 mg (Zonegran) ropinirole hydrochloride tab 2 mg (Requip) zonisamide cap 25 mg (Zonegran) ropinirole hydrochloride tab 3 mg (Requip) zonisamide cap 50 mg ropinirole hydrochloride tab 4 mg (Requip) PARKINSON'S DISEASE ropinirole hydrochloride tab 5 mg (Requip) amantadine hcl cap 100 mg selegiline hcl cap 5 mg (Eldepryl) amantadine hcl syrup 50 mg/5ml selegiline hcl tab 5 mg benztropine mesylate tab 0.5 mg trihexyphenidyl hcl elixir 0.4 mg/ml benztropine mesylate tab 1 mg trihexyphenidyl hcl tab 2 mg benztropine mesylate tab 2 mg trihexyphenidyl hcl tab 5 mg bromocriptine mesylate cap 5 mg (Parlodel) MUSCLE RELAXANTS bromocriptine mesylate tab 2.5 mg (Parlodel) baclofen tab 10 mg carbidopa & levodopa orally disintegrating tab 10-100 mg baclofen tab 20 mg Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 ropinirole hydrochloride tab 0.5 mg (Requip) chlorzoxazone tab 500 mg (Parafon forte dsc) 31 cyclobenzaprine hcl tab 10 mg Specialty Drug Name Specialty 2014 Drug Name cyclobenzaprine hcl tab 5 mg potassium chloride microencapsulated crys cr tab 20 meq dantrolene sodium cap 25 mg (Dantrium) potassium chloride oral liq 10% (20 meq/15ml) dantrolene sodium cap 50 mg (Dantrium) potassium chloride oral liq 20% (40 meq/15ml) metaxalone tab 800 mg (Skelaxin) potassium chloride powder packet 20 meq (K-lor hospital pack) methocarbamol tab 500 mg (Robaxin) methocarbamol tab 750 mg (Robaxin-750) orphenadrine citrate tab sr 12hr 100 mg orphenadrine w/ aspirin & caffeine tab 25-385-30 mg tizanidine hcl tab 2 mg tizanidine hcl tab 4 mg (Zanaflex) potassium chloride tab cr 10 meq (K-tab) potassium chloride tab cr 8 meq (600 mg) sodium fluoride chew tab 0.25 mg f (from 0.55 mg naf) (Luride) sodium fluoride chew tab 0.5 mg f (from 1.1 mg naf) (Luride) OTHER NEUROMUSCULAR DRUGS sodium fluoride chew tab 1 mg f (from 2.2 mg naf) (Luride) MESTINON – pyridostigmine bromide syrup 60 mg/5ml sodium fluoride soln 0.125 mg/drop f (0.275 mg/ drop naf) pyridostigmine bromide tab 60 mg (Mestinon) riluzole tab 50 mg (Rilutek) sodium fluoride soln 0.5 mg/ml f (from 1.1 mg/ml naf) (Luride) SUPPLEMENTS BLOOD MODIFYING DRUGS VITAMINS ADVATE – antihemophilic factor rahf-pfm for inj 250 unit • ADVATE – antihemophilic factor rahf-pfm for inj 500 unit • ADVATE – antihemophilic factor rahf-pfm for inj 1000 unit • • pediatric vitamins acd w/ fluoride soln 0.5 mg/ml ADVATE – antihemophilic factor rahf-pfm for inj 1500 unit PRENATAL PLUS – prenatal vit w/ fe fumarate-fa tab 27-1 mg ADVATE – antihemophilic factor rahf-pfm for inj 2000 unit • PRENATAL VITAMINS PLUS – prenatal vit w/ fe fumarate-fa tab 27-1 mg ADVATE – antihemophilic factor rahf-pfm for inj 3000 unit • MINERALS AND ELECTROLYTES ADVATE – antihemophilic factor rahf-pfm for inj 4000 unit • ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 500 unit • ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 1000 unit • ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 2000 unit • ergocalciferol cap 50000 unit (Drisdol) MEPHYTON – phytonadione tab 5 mg MULTIVITAMINS pediatric multiple vitamins w/ fluoride soln 0.25 mg/ml pot bicarbonate & chloride effer tab 25 meq pot phos monobasic w/sod phos di & monobas tab 155-852-130mg (K-phos neutral) potassium chloride cap cr 10 meq (Micro-k) potassium chloride cap cr 8 meq (Micro-k) potassium chloride microencapsulated crys cr tab 10 meq 32 Generics Plus Drug List October 2014 ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 3000 unit • anagrelide hcl cap 0.5 mg (Agrylin) anagrelide hcl cap 1 mg Drug Name Specialty Drug Name Specialty 2014 GRANIX – tbo-filgrastim soln prefilled syringe 300 mcg/0.5ml • GRANIX – tbo-filgrastim soln prefilled syringe 480 mcg/0.8ml • BENEFIX – coagulation factor ix (recombinant) for inj 250 unit • HELIXATE FS – antihemophilic factor (recombinant) for inj kit 250 unit • BENEFIX – coagulation factor ix (recombinant) for inj 500 unit • HELIXATE FS – antihemophilic factor (recombinant) for inj kit 500 unit • BENEFIX – coagulation factor ix (recombinant) for inj 1000 unit • HELIXATE FS – antihemophilic factor (recombinant) for inj kit 1000 unit • BENEFIX – coagulation factor ix (recombinant) for inj 2000 unit • HELIXATE FS – antihemophilic factor (recombinant) for inj kit 2000 unit • BENEFIX – coagulation factor ix (recombinant) for inj 3000 unit • HELIXATE FS – antihemophilic factor (recombinant) for inj kit 3000 unit • HEMOFIL M – antihemophilic factor (human) for inj 220-400 unit • HEMOFIL M – antihemophilic factor (human) for inj 250 unit • HEMOFIL M – antihemophilic factor (human) for inj 401-800 unit • HEMOFIL M – antihemophilic factor (human) for inj 500 unit • HEMOFIL M – antihemophilic factor (human) for inj 1000 unit • HEMOFIL M – antihemophilic factor (human) for inj 1700 unit • HEMOFIL M – antihemophilic factor (human) for inj 801-1500 unit • HEMOFIL M – antihemophilic factor (human) for inj 1501-2000 unit • KOGENATE FS – antihemophilic factor (recombinant) for inj kit 250 unit • KOGENATE FS – antihemophilic factor (recombinant) for inj kit 500 unit • KOGENATE FS – antihemophilic factor (recombinant) for inj kit 1000 unit • KOGENATE FS – antihemophilic factor (recombinant) for inj kit 2000 unit • KOGENATE FS – antihemophilic factor (recombinant) for inj kit 3000 unit • cilostazol tab 100 mg (Pletal) cilostazol tab 50 mg (Pletal) CINRYZE – c1 esterase inhibitor (human) for iv inj 500 unit • clopidogrel bisulfate tab 75 mg (base equiv) (Plavix) cyanocobalamin inj 1000 mcg/ml dipyridamole tab 25 mg (Persantine) dipyridamole tab 50 mg (Persantine) dipyridamole tab 75 mg (Persantine) enoxaparin sodium inj 100 mg/ml (Lovenox) enoxaparin sodium inj 120 mg/0.8ml (Lovenox) enoxaparin sodium inj 150 mg/ml (Lovenox) enoxaparin sodium inj 30 mg/0.3ml (Lovenox) enoxaparin sodium inj 300 mg/3ml (Lovenox) enoxaparin sodium inj 40 mg/0.4ml (Lovenox) enoxaparin sodium inj 60 mg/0.6ml (Lovenox) enoxaparin sodium inj 80 mg/0.8ml (Lovenox) FEIBA NF – antiinhibitor coagulant complex for inj FIRAZYR – icatibant acetate inj 30 mg/3ml (base equivalent) folic acid tab 1 mg Generics Plus Drug List October 2014 • • 33 Specialty Drug Name Specialty 2014 Drug Name KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 250 unit • RECOMBINATE – antihemophilic factor (recombinant) for inj 801-1240 unit • KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 500 unit • RECOMBINATE – antihemophilic factor (recombinant) for inj 1241-1800 unit • KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 1000 unit • RECOMBINATE – antihemophilic factor (recombinant) for inj 1801-2400 unit • KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 2000 unit • RIXUBIS – coagulation factor ix (recombinant) for inj 250 unit • KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 3000 unit • RIXUBIS – coagulation factor ix (recombinant) for inj 500 unit • MONOCLATE-P – antihemophilic factor (human) for inj kit 250 unit • RIXUBIS – coagulation factor ix (recombinant) for inj 1000 unit • MONOCLATE-P – antihemophilic factor (human) for inj kit 500 unit • RIXUBIS – coagulation factor ix (recombinant) for inj 2000 unit • MONOCLATE-P – antihemophilic factor (human) for inj kit 1000 unit • RIXUBIS – coagulation factor ix (recombinant) for inj 3000 unit • MONOCLATE-P – antihemophilic factor (human) for inj kit 1500 unit • TRETTEN – coagulation factor xiii a-subunit for inj 2000-3125 unit • NOVOSEVEN – coagulation factor viia (recomb) for inj 2.4 mg (2400 mcg) • warfarin sodium tab 1 mg (Coumadin) NOVOSEVEN RT – coagulation factor viia (recomb) for inj 1 mg (1000 mcg) • NOVOSEVEN RT – coagulation factor viia (recomb) for inj 2 mg (2000 mcg) • warfarin sodium tab 2.5 mg (Coumadin) NOVOSEVEN RT – coagulation factor viia (recomb) for inj 5 mg (5000 mcg) • warfarin sodium tab 4 mg (Coumadin) NOVOSEVEN RT – coagulation factor viia (recomb) for inj 8 mg (8000 mcg) • PROCRIT – epoetin alfa inj 3000 unit/ml PROCRIT – epoetin alfa inj 4000 unit/ml PROCRIT – epoetin alfa inj 10000 unit/ml PROCRIT – epoetin alfa inj 20000 unit/ml PROCRIT – epoetin alfa inj 40000 unit/ml RECOMBINATE – antihemophilic factor (recombinant) for inj 220-400 unit RECOMBINATE – antihemophilic factor (recombinant) for inj 401-800 unit 34 warfarin sodium tab 2 mg (Coumadin) warfarin sodium tab 3 mg (Coumadin) warfarin sodium tab 5 mg (Coumadin) warfarin sodium tab 6 mg (Coumadin) warfarin sodium tab 7.5 mg (Coumadin) pentoxifylline tab cr 400 mg PROCRIT – epoetin alfa inj 2000 unit/ml warfarin sodium tab 10 mg (Coumadin) • • • • • • • • XYNTHA – antihemophilic factor recombinant paf for inj kit 250 unit • XYNTHA – antihemophilic factor recombinant paf for inj kit 500 unit • XYNTHA – antihemophilic factor recombinant paf for inj kit 1000 unit • XYNTHA – antihemophilic factor recombinant paf for inj kit 2000 unit • XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 250 unit • XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 500 unit • Generics Plus Drug List October 2014 Drug Name XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 1000 unit • sulfacetamide sodium-prednisolone ophth soln 10-0.23(0.25)% XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 2000 unit • tobramycin-dexamethasone ophth susp 0.3-0.1% (Tobradex) XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 3000 unit • Glaucoma TOPICAL PRODUCTS brimonidine tartrate ophth soln 0.15% (Alphagan p) EYE brimonidine tartrate ophth soln 0.2% Anti-infectives carteolol hcl ophth soln 1% BACITRACIN – bacitracin ophth oint 500 unit/gm dorzolamide hcl ophth soln 2% (Trusopt) bacitracin-polymyxin b ophth oint ciprofloxacin hcl ophth soln 0.3% (Ciloxan) dorzolamide hcl-timolol maleate ophth soln 22.3-6.8 mg/ml (Cosopt) erythromycin ophth oint 5 mg/gm latanoprost ophth soln 0.005% (Xalatan) gentamicin sulfate ophth oint 0.3% levobunolol hcl ophth soln 0.5% (Betagan) gentamicin sulfate ophth soln 0.3% (Garamycin) pilocarpine hcl ophth soln 1% (Isopto carpine) NATACYN – natamycin ophth susp 5% pilocarpine hcl ophth soln 2% (Isopto carpine) neomycin-bacitrac zn-polymyx 5(3.5)mg-400unt-10000unt op oin pilocarpine hcl ophth soln 4% (Isopto carpine) neomycin-polymy-gramicid op sol 1.75-10000-0.025mg-unt-mg/ml (Neosporin) ofloxacin ophth soln 0.3% (Ocuflox) timolol maleate ophth gel forming soln 0.25% (Timoptic-xe) timolol maleate ophth gel forming soln 0.5% (Timoptic-xe) polymyxin b-trimethoprim ophth soln 10000 unit/ ml-0.1% (Polytrim) timolol maleate ophth soln 0.25% (Timoptic) sulfacetamide sodium ophth soln 10% (Bleph-10) Other Eye Products tobramycin ophth soln 0.3% (Tobrex) atropine sulfate ophth soln 1% (Isopto atropine) trifluridine ophth soln 1% (Viroptic) azelastine hcl ophth soln 0.05% (Optivar) Steroids and Combination Products cromolyn sodium ophth soln 4% bacitracin-polymyxin-neomycin-hc ophth oint 1% cyclopentolate hcl ophth soln 1% (Cyclogyl) dexamethasone sodium phosphate ophth soln 0.1% diclofenac sodium ophth soln 0.1% fluorometholone ophth susp 0.1% (Fml liquifilm) homatropine hbr ophth soln 5% (Isopto homatropine) neomycin-polymyxin-dexamethasone ophth oint 0.1% (Maxitrol) neomycin-polymyxin-dexamethasone ophth susp 0.1% (Maxitrol) prednisolone acetate ophth susp 1% (Pred forte) Specialty Drug Name Specialty 2014 timolol maleate ophth soln 0.5% (Timoptic) flurbiprofen sodium ophth soln 0.03% (Ocufen) ketorolac tromethamine ophth soln 0.4% (Acular ls) ketorolac tromethamine ophth soln 0.5% (Acular) tropicamide ophth soln 0.5% tropicamide ophth soln 1% (Mydriacyl) Generics Plus Drug List October 2014 35 EAR acetic acid otic soln 2% Specialty Drug Name Specialty 2014 Drug Name clindamycin phosph-benzoyl peroxide (refrig) gel 1.2 (1)-5% (Duac) antipyrine-benzocaine otic soln 54-14 mg/ml (5.4-1.4%) clindamycin phosphate gel 1% (Cleocin-t) hydrocortisone w/ acetic acid otic soln 1-2% (Vosol hc) clindamycin phosphate soln 1% (Cleocin-t) neomycin-polymyxin-hc otic soln 1% (Cortisporin) clindamycin phosphate-benzoyl peroxide gel 1-5% (Benzaclin) neomycin-polymyxin-hc otic susp 3.5 mg/ ml-10000 unit/ml-1% clindamycin phosphate lotion 1% (Cleocin-t) clindamycin phosphate swab 1% (Cleocin-t) erythromycin gel 2% (Erygel) ofloxacin otic soln 0.3% erythromycin pads 2% MOUTH AND THROAT (LOCAL) erythromycin soln 2% cevimeline hcl cap 30 mg (Evoxac) FINACEA – azelaic acid gel 15% chlorhexidine gluconate soln 0.12% (Peridex) isotretinoin cap 10 mg clotrimazole troche 10 mg isotretinoin cap 20 mg lidocaine hcl laryngotracheal soln 4% (Lta 360 kit) isotretinoin cap 40 mg lidocaine hcl viscous soln 2% metronidazole cream 0.75% (Metrocream) nystatin susp 100000 unit/ml metronidazole gel 0.75% pilocarpine hcl tab 5 mg (Salagen) metronidazole gel 1% (Metrogel) pilocarpine hcl tab 7.5 mg (Salagen) metronidazole lotion 0.75% (Metrolotion) sodium fluoride cream 1.1% (Prevident 5000 plus) sulfacetamide sodium lotion 10% (acne) (Klaron) sodium fluoride gel 1.1% (0.5% f) (Prevident fluoride) sulfacetamide sodium w/ sulfur cream 10-5% triamcinolone acetonide dental paste 0.1% ANORECTAL AGENTS CORTIFOAM – hydrocortisone acetate rectal foam 90 mg/dose sulfacetamide sodium w/ sulfur emulsion 10-5% sulfacetamide sodium w/ sulfur lotion 10-5% TAZORAC – tazarotene cream 0.05% TAZORAC – tazarotene cream 0.1% hydrocortisone acetate suppos 25 mg (Anusol-hc) TAZORAC – tazarotene gel 0.05% hydrocortisone enema 100 mg/60ml (Cortenema) TAZORAC – tazarotene gel 0.1% hydrocortisone rectal cream 2.5% (Anusol-hc) tretinoin cream 0.025% (Retin-a) SKIN CONDITIONS/PRODUCTS tretinoin cream 0.05% (Retin-a) Acne tretinoin cream 0.1% (Retin-a) adapalene cream 0.1% (Differin) tretinoin gel 0.01% (Retin-a) adapalene gel 0.1% (Differin) tretinoin gel 0.025% (Retin-a) adapalene gel 0.3% (Differin) tretinoin microsphere gel 0.04% (Retin-a micro) benzoyl peroxide-erythromycin gel 5-3% (Benzamycin) tretinoin microsphere gel 0.1% (Retin-a micro) 36 Anti-infectives Generics Plus Drug List October 2014 Drug Name ciclopirox gel 0.77% (Loprox) clobetasol propionate foam 0.05% (Olux) ciclopirox olamine cream 0.77% (base equiv) clobetasol propionate gel 0.05% (Temovate) ciclopirox olamine susp 0.77% (base equiv) clobetasol propionate oint 0.05% (Temovate) ciclopirox shampoo 1% (Loprox shampoo) clobetasol propionate soln 0.05% (Temovate) ciclopirox solution 8% (Penlac nail lacquer) desonide cream 0.05% (Desowen) econazole nitrate cream 1% desonide lotion 0.05% (Desowen) ketoconazole cream 2% desonide oint 0.05% (Desowen) ketoconazole shampoo 2% (Nizoral) desoximetasone cream 0.25% (Topicort) mupirocin calcium cream 2% (Bactroban) desoximetasone gel 0.05% (Topicort) mupirocin oint 2% (Bactroban) desoximetasone oint 0.25% (Topicort) nystatin cream 100000 unit/gm diflorasone diacetate oint 0.05% nystatin oint 100000 unit/gm fluocinolone acetonide cream 0.01% nystatin topical powder fluocinolone acetonide cream 0.025% (Synalar) silver sulfadiazine cream 1% (Silvadene) fluocinolone acetonide oil 0.01% (Derma-smoothe/ fs bod) Corticosteroids alclometasone dipropionate cream 0.05% (Aclovate) fluocinolone acetonide oint 0.025% (Synalar) alclometasone dipropionate oint 0.05% fluocinonide cream 0.05% amcinonide cream 0.1% fluocinonide emulsified base cream 0.05% betamethasone dipropionate augmented cream 0.05% (Diprolene af) fluocinonide gel 0.05% betamethasone dipropionate augmented gel 0.05% fluocinonide soln 0.05% betamethasone dipropionate augmented lotion 0.05% (Diprolene) fluticasone propionate oint 0.005% (Cutivate) fluocinolone acetonide soln 0.01% (Synalar) fluocinonide oint 0.05% fluticasone propionate cream 0.05% (Cutivate) betamethasone dipropionate augmented oint 0.05% (Diprolene) halobetasol propionate cream 0.05% (Ultravate) betamethasone dipropionate cream 0.05% hydrocortisone cream 2.5% betamethasone dipropionate lotion 0.05% hydrocortisone lotion 2.5% betamethasone dipropionate oint 0.05% hydrocortisone oint 2.5% betamethasone valerate cream 0.1% hydrocortisone valerate cream 0.2% betamethasone valerate lotion 0.1% hydrocortisone valerate oint 0.2% (Westcort) betamethasone valerate oint 0.1% mometasone furoate cream 0.1% (Elocon) clobetasol propionate cream 0.05% (Temovate) mometasone furoate oint 0.1% (Elocon) clobetasol propionate emollient base cream 0.05% (Temovate e) mometasone furoate solution 0.1% (lotion) (Elocon) Generics Plus Drug List October 2014 Specialty Drug Name Specialty 2014 halobetasol propionate oint 0.05% (Ultravate) 37 Specialty Drug Name Specialty 2014 Drug Name nystatin-triamcinolone cream 100000-0.1 unit/gm% DIABETIC SUPPLIES nystatin-triamcinolone oint 100000-0.1 unit/gm-% INSULIN SYRINGES – VARIOUS triamcinolone acetonide cream 0.025% LANCETS – VARIOUS triamcinolone acetonide cream 0.1% triamcinolone acetonide cream 0.5% TEST STRIPS – BAYERAUTODISC, BREEZE 2, CONTOUR, CONTOUR NEXT triamcinolone acetonide lotion 0.025% RESPIRATORY INHALER-ASSIST DEVICES triamcinolone acetonide lotion 0.1% AEROCHAMBER triamcinolone acetonide oint 0.025% MISCELLANEOUS DRUGS triamcinolone acetonide oint 0.1% azathioprine tab 50 mg (Imuran) Other Skin Products acitretin cap 10 mg (Soriatane) CELLCEPT – mycophenolate mofetil for oral susp 200 mg/ml acitretin cap 17.5 mg (Soriatane) CHEMET – succimer cap 100 mg acitretin cap 25 mg (Soriatane) CUPRIMINE – penicillamine cap 250 mg aluminum chloride soln 20% (Drysol) cyclosporine cap 100 mg (Sandimmune) calcipotriene cream 0.005% (Dovonex) cyclosporine cap 25 mg (Sandimmune) calcipotriene soln 0.005% (50 mcg/ml) CYCLOSPORINE MODIFIED – cyclosporine modified cap 50 mg INSULIN PEN NEEDLES – VARIOUS diclofenac sodium (actinic keratoses) gel 3% (Solaraze) cyclosporine modified cap 100 mg (Neoral) fluorouracil cream 5% (Efudex) cyclosporine modified cap 25 mg (Neoral) fluorouracil soln 2% cyclosporine modified oral soln 100 mg/ml (Neoral) fluorouracil soln 5% mycophenolate mofetil cap 250 mg (Cellcept) imiquimod cream 5% (Aldara) mycophenolate mofetil tab 500 mg (Cellcept) lidocaine hcl gel 2% mycophenolate sodium tab dr 180 mg (mycophenolic acid equiv) (Myfortic) lidocaine hcl soln 4% (Xylocaine) lidocaine oint 5% lidocaine patch 5% (Lidoderm) mycophenolate sodium tab dr 360 mg (mycophenolic acid equiv) (Myfortic) lidocaine-prilocaine cream 2.5-2.5% (Emla) REVLIMID – lenalidomide caps 2.5 mg lindane lotion 1% REVLIMID – lenalidomide cap 5 mg malathion lotion 0.5% (Ovide) REVLIMID – lenalidomide cap 10 mg permethrin cream 5% (Elimite) REVLIMID – lenalidomide cap 15 mg podofilox soln 0.5% (Condylox) REVLIMID – lenalidomide cap 20 mg selenium sulfide lotion 2.5% REVLIMID – lenalidomide cap 25 mg VALCHLOR – mechlorethamine hcl gel 0.016% (base equivalent) MISCELLANEOUS CATEGORIES 38 • • sirolimus tab 0.5 mg (Rapamune) sodium polystyrene sulfonate oral susp 15 gm/60ml (Sps) Generics Plus Drug List October 2014 • • • • • • Drug Name Specialty 2014 sodium polystyrene sulfonate powder (Kayexalate) tacrolimus cap 0.5 mg (Prograf) tacrolimus cap 1 mg (Prograf) tacrolimus cap 5 mg (Prograf) THALOMID – thalidomide cap 50 mg THALOMID – thalidomide cap 100 mg THALOMID – thalidomide cap 150 mg THALOMID – thalidomide cap 200 mg Generics Plus Drug List October 2014 • • • • 39 2014 INDEX A abacavir sulfate-lamivudine-zidovudine tab 300-150-300 mg (Trizivir).................................................4 abacavir sulfate tab 300 mg (base equiv) (Ziagen).........4 acamprosate calcium tab delayed release 333 mg (Campral)........................................................................ 26 acarbose tab 100 mg (Precose)..................................... 11 acarbose tab 25 mg (Precose)....................................... 11 acarbose tab 50 mg (Precose)....................................... 11 acebutolol hcl cap 200 mg (Sectral).............................. 14 acebutolol hcl cap 400 mg (Sectral)..............................14 acetaminophen-isometheptene-dichloral cap 325-65-100 mg................................................................ 29 acetaminophen w/ codeine soln 120-12 mg/5ml...........27 acetaminophen w/ codeine tab 300-15 mg (Tylenol/ codeine).......................................................................... 27 acetaminophen w/ codeine tab 300-30 mg (Tylenol/ codeine #3).....................................................................27 acetaminophen w/ codeine tab 300-60 mg (Tylenol/ codeine #4).....................................................................27 acetazolamide cap sr 12hr 500 mg (Diamox)................17 acetazolamide tab 250 mg..............................................17 acetic acid otic soln 2%................................................. 36 acetylcysteine inhal soln 10%........................................19 acetylcysteine inhal soln 20%........................................19 acitretin cap 10 mg (Soriatane)......................................38 acitretin cap 17.5 mg (Soriatane)...................................38 acitretin cap 25 mg (Soriatane)......................................38 ACTIMMUNE – interferon gamma-1b inj 100 mcg/0.5ml (2000000 unit/0.5ml)..........................................................6 acyclovir cap 200 mg (Zovirax)........................................4 acyclovir susp 200 mg/5ml (Zovirax).............................. 4 acyclovir tab 400 mg (Zovirax)........................................ 4 acyclovir tab 800 mg (Zovirax)........................................ 4 adapalene cream 0.1% (Differin)....................................36 adapalene gel 0.1% (Differin)......................................... 36 adapalene gel 0.3% (Differin)......................................... 36 adefovir dipivoxil tab 10 mg (Hepsera)........................... 4 ADVAIR DISKUS – fluticasone-salmeterol aer powder ba 100-50 mcg/dose............................................................. 19 ADVATE – antihemophilic factor rahf-pfm for inj 1000 unit................................................................................... 32 ADVATE – antihemophilic factor rahf-pfm for inj 1500 unit................................................................................... 32 ADVATE – antihemophilic factor rahf-pfm for inj 2000 unit................................................................................... 32 ADVATE – antihemophilic factor rahf-pfm for inj 250 unit................................................................................... 32 ADVATE – antihemophilic factor rahf-pfm for inj 3000 unit................................................................................... 32 ADVATE – antihemophilic factor rahf-pfm for inj 4000 unit................................................................................... 32 40 ADVATE – antihemophilic factor rahf-pfm for inj 500 unit................................................................................... 32 AEROCHAMBER...............................................................38 AFINITOR DISPERZ – everolimus tab for oral susp 2 mg...................................................................................... 6 AFINITOR DISPERZ – everolimus tab for oral susp 3 mg...................................................................................... 6 AFINITOR DISPERZ – everolimus tab for oral susp 5 mg...................................................................................... 6 AFINITOR – everolimus tab 10 mg.....................................6 AFINITOR – everolimus tab 2.5 mg....................................6 AFINITOR – everolimus tab 5 mg.......................................6 AFINITOR – everolimus tab 7.5 mg....................................6 ALBENZA – albendazole tab 200 mg................................. 6 albuterol sulfate soln nebu 0.083% (2.5 mg/3ml)..........19 albuterol sulfate soln nebu 0.5% (5 mg/ml).................. 19 albuterol sulfate soln nebu 0.63 mg/3ml (base equiv).............................................................................. 19 albuterol sulfate soln nebu 1.25 mg/3ml (base equiv).............................................................................. 19 albuterol sulfate syrup 2 mg/5ml................................... 19 albuterol sulfate tab 2 mg.............................................. 19 albuterol sulfate tab 4 mg.............................................. 19 alclometasone dipropionate cream 0.05% (Aclovate)........................................................................37 alclometasone dipropionate oint 0.05%........................ 37 alendronate sodium tab 10 mg...................................... 12 alendronate sodium tab 35 mg...................................... 12 alendronate sodium tab 5 mg........................................ 12 alendronate sodium tab 70 mg (Fosamax)................... 12 alfuzosin hcl tab sr 24hr 10 mg (Uroxatral).................. 22 ALKERAN – melphalan tab 2 mg....................................... 6 allopurinol tab 100 mg (Zyloprim)................................. 30 allopurinol tab 300 mg (Zyloprim)................................. 30 alprazolam tab 0.25 mg (Xanax).................................... 22 alprazolam tab 0.5 mg (Xanax)...................................... 22 alprazolam tab 1 mg (Xanax)......................................... 22 alprazolam tab 2 mg (Xanax)......................................... 22 alprazolam tab sr 24hr 0.5 mg (Xanax xr)..................... 22 alprazolam tab sr 24hr 1 mg (Xanax xr)........................ 22 alprazolam tab sr 24hr 2 mg (Xanax xr)........................ 22 alprazolam tab sr 24hr 3 mg (Xanax xr)........................ 22 ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 1000 unit..........................................................................32 ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 2000 unit..........................................................................32 ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 3000 unit..........................................................................33 ALPROLIX – coagulation factor ix (recomb) (rfixfc) for inj 500 unit............................................................................32 aluminum chloride soln 20% (Drysol)........................... 38 amantadine hcl cap 100 mg........................................... 31 amantadine hcl syrup 50 mg/5ml...................................31 amcinonide cream 0.1%................................................. 37 amiloride & hydrochlorothiazide tab 5-50 mg...............17 amiloride hcl tab 5 mg....................................................17 Generics Plus Drug List October 2014 2014 amiodarone hcl tab 100 mg........................................... 18 amiodarone hcl tab 200 mg (Cordarone)...................... 18 amiodarone hcl tab 400 mg........................................... 18 amitriptyline hcl tab 100 mg...........................................22 amitriptyline hcl tab 10 mg............................................ 22 amitriptyline hcl tab 150 mg...........................................23 amitriptyline hcl tab 25 mg............................................ 23 amitriptyline hcl tab 50 mg............................................ 23 amitriptyline hcl tab 75 mg............................................ 23 amlodipine besylate-atorvastatin calcium tab 10-10 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 10-20 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 10-40 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 10-80 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 2.5-10 mg (Caduet)....................................................................15 amlodipine besylate-atorvastatin calcium tab 2.5-20 mg (Caduet)....................................................................15 amlodipine besylate-atorvastatin calcium tab 2.5-40 mg (Caduet)....................................................................15 amlodipine besylate-atorvastatin calcium tab 5-10 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 5-20 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 5-40 mg (Caduet).......................................................................... 15 amlodipine besylate-atorvastatin calcium tab 5-80 mg (Caduet).......................................................................... 15 amlodipine besylate-benazepril hcl cap 10-20 mg (Lotrel).............................................................................15 amlodipine besylate-benazepril hcl cap 10-40 mg (Lotrel).............................................................................15 amlodipine besylate-benazepril hcl cap 2.5-10 mg (Lotrel).............................................................................15 amlodipine besylate-benazepril hcl cap 5-10 mg (Lotrel).............................................................................15 amlodipine besylate-benazepril hcl cap 5-20 mg (Lotrel).............................................................................15 amlodipine besylate-benazepril hcl cap 5-40 mg (Lotrel).............................................................................15 amlodipine besylate tab 10 mg (Norvasc).....................15 amlodipine besylate tab 2.5 mg (Norvasc)....................15 amlodipine besylate tab 5 mg (Norvasc)...................... 15 amoxicillin (trihydrate) cap 250 mg................................. 2 amoxicillin (trihydrate) cap 500 mg................................. 2 amoxicillin (trihydrate) for susp 125 mg/5ml.................. 2 amoxicillin (trihydrate) for susp 200 mg/5ml.................. 2 amoxicillin (trihydrate) for susp 250 mg/5ml.................. 2 amoxicillin (trihydrate) for susp 400 mg/5ml.................. 2 amoxicillin (trihydrate) tab 500 mg..................................2 amoxicillin (trihydrate) tab 875 mg..................................2 amoxicillin & k clavulanate chew tab 200-28.5 mg.........2 amoxicillin & k clavulanate chew tab 400-57 mg............2 Generics Plus Drug List October 2014 amoxicillin & k clavulanate for susp 200-28.5 mg/5ml.............................................................................. 2 amoxicillin & k clavulanate for susp 250-62.5 mg/5ml (Augmentin)......................................................................2 amoxicillin & k clavulanate for susp 400-57 mg/5ml...... 2 amoxicillin & k clavulanate for susp 600-42.9 mg/5ml (Augmentin es-600)......................................................... 2 amoxicillin & k clavulanate tab 250-125 mg................... 2 amoxicillin & k clavulanate tab 500-125 mg (Augmentin)......................................................................2 amoxicillin & k clavulanate tab 875-125 mg (Augmentin)......................................................................2 amoxicillin & k clavulanate tab sr 12hr 1000-62.5 mg (Augmentin xr)................................................................. 2 amphetamine-dextroamphetamine cap sr 24hr 10 mg (Adderall xr)................................................................... 25 amphetamine-dextroamphetamine cap sr 24hr 15 mg (Adderall xr)................................................................... 25 amphetamine-dextroamphetamine cap sr 24hr 20 mg (Adderall xr)................................................................... 25 amphetamine-dextroamphetamine cap sr 24hr 25 mg (Adderall xr)................................................................... 25 amphetamine-dextroamphetamine cap sr 24hr 30 mg (Adderall xr)................................................................... 25 amphetamine-dextroamphetamine cap sr 24hr 5 mg (Adderall xr)................................................................... 26 amphetamine-dextroamphetamine tab 10 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 12.5 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 15 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 20 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 30 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 5 mg (Adderall)........................................................................ 26 amphetamine-dextroamphetamine tab 7.5 mg (Adderall)........................................................................ 26 ampicillin cap 250 mg.......................................................2 ampicillin cap 500 mg.......................................................2 anagrelide hcl cap 0.5 mg (Agrylin).............................. 33 anagrelide hcl cap 1 mg................................................. 33 anastrozole tab 1 mg (Arimidex)..................................... 6 ANDROGEL PUMP – testosterone td gel 12.5 mg/act (1%)................................................................................... 9 ANDROGEL PUMP – testosterone td gel 20.25 mg/act (1.62%).............................................................................. 9 ANDROGEL – testosterone td gel 20.25 mg/1.25gm (1.62%).............................................................................. 9 ANDROGEL – testosterone td gel 25 mg/2.5gm (1%)........ 9 ANDROGEL – testosterone td gel 40.5 mg/2.5gm (1.62%).............................................................................. 9 ANDROGEL – testosterone td gel 50 mg/5gm (1%)........... 9 ANDROXY – fluoxymesterone tab 10 mg........................... 9 41 2014 antipyrine-benzocaine otic soln 54-14 mg/ml (5.4-1.4%)........................................................................ 36 APTIVUS – tipranavir cap 250 mg......................................4 APTIVUS – tipranavir oral soln 100 mg/ml......................... 4 ASMANEX TWISTHALER 120 ME – mometasone furoate inhal powd 220 mcg/inh (breath activated)......................19 ASMANEX TWISTHALER 14 MET – mometasone furoate inhal powd 220 mcg/inh (breath activated)......................19 ASMANEX TWISTHALER 30 ME – mometasone furoate inhal powd 220 mcg/inh (breath activated)......................19 ASMANEX TWISTHALER 30 MET – mometasone furoate inhal powd 110 mcg/inh (breath activated)......................19 ASMANEX TWISTHALER 60 MET – mometasone furoate inhal powd 220 mcg/inh (breath activated)......................19 atenolol & chlorthalidone tab 100-25 mg (Tenoretic 100)..................................................................................14 atenolol & chlorthalidone tab 50-25 mg (Tenoretic 50)....................................................................................14 atenolol tab 100 mg (Tenormin).....................................14 atenolol tab 25 mg (Tenormin).......................................14 atenolol tab 50 mg (Tenormin).......................................14 atorvastatin calcium tab 10 mg (base equivalent) (Lipitor)........................................................................... 16 atorvastatin calcium tab 20 mg (base equivalent) (Lipitor)........................................................................... 16 atorvastatin calcium tab 40 mg (base equivalent) (Lipitor)........................................................................... 16 atorvastatin calcium tab 80 mg (base equivalent) (Lipitor)........................................................................... 16 atovaquone-proguanil hcl tab 250-100 mg (Malarone).........................................................................6 atovaquone-proguanil hcl tab 62.5-25 mg (Malarone).........................................................................6 ATRIPLA – efavirenz-emtricitabine-tenofovir df tab 600-200-300 mg................................................................ 4 atropine sulfate ophth soln 1% (Isopto atropine)......... 35 azathioprine tab 50 mg (Imuran)....................................38 azelastine hcl nasal spray 0.15% (205.5 mcg/spray) (Astepro)......................................................................... 19 azelastine hcl nasal spray 137 mcg/spray (1 mg/ ml)....................................................................................19 azelastine hcl ophth soln 0.05% (Optivar).................... 35 azithromycin for susp 100 mg/5ml (Zithromax)..............2 azithromycin for susp 200 mg/5ml (Zithromax)..............2 azithromycin tab 250 mg (Zithromax)............................. 2 azithromycin tab 500 mg (Zithromax)............................. 2 azithromycin tab 600 mg (Zithromax)............................. 2 B BACITRACIN – bacitracin ophth oint 500 unit/gm.............35 bacitracin-polymyxin b ophth oint.................................35 bacitracin-polymyxin-neomycin-hc ophth oint 1%.......35 baclofen tab 10 mg......................................................... 31 baclofen tab 20 mg......................................................... 31 balsalazide disodium cap 750 mg (Colazal)..................21 BARACLUDE – entecavir oral soln 0.05 mg/ml.................. 4 42 BARACLUDE – entecavir tab 0.5 mg................................. 4 BARACLUDE – entecavir tab 1 mg.................................... 4 BCG VACCINE – bcg vaccine inj....................................... 6 benazepril & hydrochlorothiazide tab 10-12.5 mg (Lotensin hct)................................................................. 13 benazepril & hydrochlorothiazide tab 20-12.5 mg (Lotensin hct)................................................................. 13 benazepril & hydrochlorothiazide tab 20-25 mg (Lotensin hct)................................................................. 13 benazepril & hydrochlorothiazide tab 5-6.25 mg..........13 benazepril hcl tab 10 mg (Lotensin).............................. 13 benazepril hcl tab 20 mg (Lotensin).............................. 13 benazepril hcl tab 40 mg (Lotensin).............................. 13 benazepril hcl tab 5 mg.................................................. 13 BENEFIX – coagulation factor ix (recombinant) for inj 1000 unit................................................................................... 33 BENEFIX – coagulation factor ix (recombinant) for inj 2000 unit................................................................................... 33 BENEFIX – coagulation factor ix (recombinant) for inj 250 unit................................................................................... 33 BENEFIX – coagulation factor ix (recombinant) for inj 3000 unit................................................................................... 33 BENEFIX – coagulation factor ix (recombinant) for inj 500 unit................................................................................... 33 benzoyl peroxide-erythromycin gel 5-3% (Benzamycin)..................................................................36 benztropine mesylate tab 0.5 mg...................................31 benztropine mesylate tab 1 mg..................................... 31 benztropine mesylate tab 2 mg..................................... 31 betamethasone dipropionate augmented cream 0.05% (Diprolene af)................................................................. 37 betamethasone dipropionate augmented gel 0.05%...............................................................................37 betamethasone dipropionate augmented lotion 0.05% (Diprolene)...................................................................... 37 betamethasone dipropionate augmented oint 0.05% (Diprolene)...................................................................... 37 betamethasone dipropionate cream 0.05%...................37 betamethasone dipropionate lotion 0.05%................... 37 betamethasone dipropionate oint 0.05%...................... 37 betamethasone valerate cream 0.1%.............................37 betamethasone valerate lotion 0.1%............................. 37 betamethasone valerate oint 0.1%.................................37 bicalutamide tab 50 mg (Casodex).................................. 6 BILTRICIDE – praziquantel tab 600 mg..............................6 bisoprolol & hydrochlorothiazide tab 10-6.25 mg (Ziac)............................................................................... 14 bisoprolol & hydrochlorothiazide tab 2.5-6.25 mg (Ziac)............................................................................... 14 bisoprolol & hydrochlorothiazide tab 5-6.25 mg (Ziac)............................................................................... 14 bisoprolol fumarate tab 10 mg (Zebeta)........................14 bisoprolol fumarate tab 5 mg (Zebeta)..........................14 BOSULIF – bosutinib tab 100 mg....................................... 7 BOSULIF – bosutinib tab 500 mg....................................... 7 Generics Plus Drug List October 2014 2014 brimonidine tartrate ophth soln 0.15% (Alphagan p)......................................................................................35 brimonidine tartrate ophth soln 0.2%............................35 bromocriptine mesylate cap 5 mg (Parlodel)................31 bromocriptine mesylate tab 2.5 mg (Parlodel)..............31 budesonide cap sr 24hr 3 mg (Entocort ec)................... 9 budesonide inhalation susp 0.25 mg/2ml (Pulmicort)...................................................................... 19 budesonide inhalation susp 0.5 mg/2ml (Pulmicort)...................................................................... 19 bumetanide tab 0.5 mg................................................... 17 bumetanide tab 1 mg...................................................... 17 bumetanide tab 2 mg...................................................... 17 buprenorphine hcl-naloxone hcl sl tab 2-0.5 mg (base equiv).............................................................................. 27 buprenorphine hcl-naloxone hcl sl tab 8-2 mg (base equiv).............................................................................. 27 buprenorphine hcl sl tab 2 mg (base equiv)................. 27 buprenorphine hcl sl tab 8 mg (base equiv)................. 27 bupropion hcl (smoking deterrent) tab sr 12hr 150 mg (Zyban)............................................................................ 26 bupropion hcl tab 100 mg (Wellbutrin)......................... 23 bupropion hcl tab 75 mg (Wellbutrin)........................... 23 bupropion hcl tab sr 12hr 100 mg (Wellbutrin sr)........ 23 bupropion hcl tab sr 12hr 150 mg (Wellbutrin sr)........ 23 bupropion hcl tab sr 12hr 200 mg (Wellbutrin sr)........ 23 bupropion hcl tab sr 24hr 150 mg (Wellbutrin xl).........23 bupropion hcl tab sr 24hr 300 mg (Wellbutrin xl).........23 buspirone hcl tab 10 mg................................................ 22 buspirone hcl tab 15 mg................................................ 22 buspirone hcl tab 30 mg................................................ 22 buspirone hcl tab 5 mg.................................................. 22 butalbital-acetaminophen-caffeine cap 50-325-40 mg (Esgic)............................................................................. 27 butalbital-acetaminophen-caffeine tab 50-325-40 mg (Esgic)............................................................................. 27 butalbital-acetaminophen-caffeine tab 50-500-40 mg....................................................................................27 butalbital-acetaminophen tab 50-325 mg...................... 27 butalbital-acetaminophen tab 50-650 mg...................... 27 butalbital-aspirin-caffeine cap 50-325-40 mg (Fiorinal)..........................................................................27 butalbital-aspirin-caffeine tab 50-325-40 mg.................27 butalbital-aspirin-caff w/ codeine cap 50-325-40-30 mg (Fiorinal/codeine #3)......................................................27 C cabergoline tab 0.5 mg................................................... 12 caffeine citrate oral soln 60 mg/3ml (10 mg/ml base equiv) (Cafcit).................................................................26 calcipotriene cream 0.005% (Dovonex).........................38 calcipotriene soln 0.005% (50 mcg/ml)..........................38 calcitonin (salmon) nasal soln 200 unit/act (Miacalcin)...................................................................... 12 calcitriol cap 0.25 mcg (Rocaltrol).................................12 calcitriol cap 0.5 mcg (Rocaltrol)...................................12 Generics Plus Drug List October 2014 calcitriol oral soln 1 mcg/ml (Rocaltrol)........................12 calcium acetate (phosphate binder) cap 667 mg (169 mg ca) (Phoslo)............................................................. 21 calcium acetate (phosphate binder) tab 667 mg (Eliphos)..........................................................................21 CANASA – mesalamine suppos 1000 mg........................ 21 capecitabine tab 150 mg (Xeloda)................................... 7 capecitabine tab 500 mg (Xeloda)................................... 7 CAPRELSA – vandetanib tab 100 mg................................ 7 CAPRELSA – vandetanib tab 300 mg................................ 7 captopril tab 100 mg....................................................... 13 captopril tab 12.5 mg...................................................... 13 captopril tab 25 mg......................................................... 13 captopril tab 50 mg......................................................... 13 carbamazepine cap sr 12hr 100 mg (Carbatrol)............30 carbamazepine cap sr 12hr 200 mg (Carbatrol)............30 carbamazepine cap sr 12hr 300 mg (Carbatrol)............30 carbamazepine chew tab 100 mg.................................. 30 carbamazepine susp 100 mg/5ml (Tegretol)................. 30 carbamazepine tab 200 mg (Tegretol)........................... 30 carbamazepine tab sr 12hr 200 mg (Tegretol-xr)..........30 carbamazepine tab sr 12hr 400 mg (Tegretol-xr)..........30 carbidopa & levodopa orally disintegrating tab 10-100 mg....................................................................................31 carbidopa & levodopa orally disintegrating tab 25-100 mg....................................................................................31 carbidopa & levodopa orally disintegrating tab 25-250 mg....................................................................................31 carbidopa & levodopa tab 10-100 mg (Sinemet)...........31 carbidopa & levodopa tab 25-100 mg (Sinemet)...........31 carbidopa & levodopa tab 25-250 mg (Sinemet)...........31 carbidopa & levodopa tab cr 25-100 mg (Sinemet cr).................................................................................... 31 carbidopa & levodopa tab cr 50-200 mg (Sinemet cr).................................................................................... 31 carteolol hcl ophth soln 1%........................................... 35 carvedilol tab 12.5 mg (Coreg).......................................14 carvedilol tab 25 mg (Coreg)..........................................14 carvedilol tab 3.125 mg (Coreg).....................................15 carvedilol tab 6.25 mg (Coreg).......................................15 CEENU – lomustine cap 100 mg........................................ 7 CEENU – lomustine cap 10 mg.......................................... 7 CEENU – lomustine cap 40 mg.......................................... 7 cefaclor cap 250 mg......................................................... 2 cefaclor cap 500 mg......................................................... 2 cefadroxil cap 500 mg...................................................... 2 cefadroxil for susp 250 mg/5ml....................................... 2 cefadroxil for susp 500 mg/5ml....................................... 2 cefadroxil tab 1 gm........................................................... 2 cefdinir cap 300 mg.......................................................... 2 cefdinir for susp 125 mg/5ml........................................... 2 cefdinir for susp 250 mg/5ml........................................... 2 cefpodoxime proxetil for susp 100 mg/5ml.................... 2 cefpodoxime proxetil for susp 50 mg/5ml...................... 2 cefpodoxime proxetil tab 100 mg.................................... 2 cefpodoxime proxetil tab 200 mg.................................... 2 43 2014 cefprozil for susp 125 mg/5ml......................................... 2 cefprozil for susp 250 mg/5ml......................................... 2 cefprozil tab 250 mg......................................................... 2 cefprozil tab 500 mg......................................................... 2 ceftriaxone sodium for inj 1 gm (Rocephin)................... 2 ceftriaxone sodium for inj 250 mg...................................2 ceftriaxone sodium for inj 2 gm...................................... 2 ceftriaxone sodium for inj 500 mg (Rocephin)............... 2 cefuroxime axetil for susp 125 mg/5ml (Ceftin)..............2 cefuroxime axetil tab 250 mg (Ceftin)............................. 2 cefuroxime axetil tab 500 mg (Ceftin)............................. 2 CELLCEPT – mycophenolate mofetil for oral susp 200 mg/ ml..................................................................................... 38 cephalexin cap 250 mg (Keflex).......................................2 cephalexin cap 500 mg (Keflex).......................................2 cephalexin for susp 125 mg/5ml......................................2 cephalexin for susp 250 mg/5ml......................................2 cetirizine hcl oral soln 1 mg/ml (5 mg/5ml)...................19 cevimeline hcl cap 30 mg (Evoxac)...............................36 CHANTIX CONTINUING MONTH – varenicline tartrate tab 1 mg (base equiv)........................................................... 26 CHANTIX STARTING MONTH PA – varenicline tartrate tab 0.5 mg x 11 & tab 1 mg x 42 pack............................ 26 CHANTIX – varenicline tartrate tab 0.5 mg (base equiv)............................................................................... 26 CHANTIX – varenicline tartrate tab 1 mg (base equiv)......26 CHEMET – succimer cap 100 mg.................................... 38 CHENODAL – chenodiol tab 250 mg................................21 chlorhexidine gluconate soln 0.12% (Peridex)............. 36 chloroquine phosphate tab 250 mg.................................6 chloroquine phosphate tab 500 mg (Aralen).................. 6 chlorothiazide tab 250 mg.............................................. 17 chlorothiazide tab 500 mg.............................................. 17 chlorpromazine hcl tab 100 mg..................................... 24 chlorpromazine hcl tab 10 mg....................................... 24 chlorpromazine hcl tab 200 mg..................................... 24 chlorpromazine hcl tab 25 mg....................................... 24 chlorpromazine hcl tab 50 mg....................................... 24 chlorzoxazone tab 500 mg (Parafon forte dsc).............31 cholestyramine light powder 4 gm/dose (Questran light)................................................................................ 16 cholestyramine light powder packets 4 gm..................16 cholestyramine powder 4 gm/dose (Questran)............ 17 cholestyramine powder packets 4 gm (Questran)........16 choline fenofibrate cap dr 135 mg (fenofibric acid equiv) (Trilipix)............................................................... 17 choline fenofibrate cap dr 45 mg (fenofibric acid equiv) (Trilipix)............................................................... 17 CIALIS – tadalafil tab 10 mg.............................................19 CIALIS – tadalafil tab 2.5 mg............................................19 CIALIS – tadalafil tab 20 mg.............................................19 CIALIS – tadalafil tab 5 mg...............................................19 ciclopirox gel 0.77% (Loprox)........................................ 37 ciclopirox olamine cream 0.77% (base equiv).............. 37 ciclopirox olamine susp 0.77% (base equiv)................ 37 ciclopirox shampoo 1% (Loprox shampoo)..................37 44 ciclopirox solution 8% (Penlac nail lacquer)................ 37 cilostazol tab 100 mg (Pletal).........................................33 cilostazol tab 50 mg (Pletal)...........................................33 cimetidine hcl soln 300 mg/5ml..................................... 20 cimetidine tab 300 mg.................................................... 20 cimetidine tab 400 mg.................................................... 20 cimetidine tab 800 mg.................................................... 20 CINRYZE – c1 esterase inhibitor (human) for iv inj 500 unit................................................................................... 33 ciprofloxacin-ciprofloxacin hcl tab sr 24hr 1000 mg(base eq) (Cipro xr)....................................................3 ciprofloxacin-ciprofloxacin hcl tab sr 24hr 500 mg (base eq) (Cipro xr)......................................................... 3 ciprofloxacin for oral susp 250 mg/5ml (5%) (5 gm/100ml) (Cipro)............................................................ 3 ciprofloxacin for oral susp 500 mg/5ml (10%) (10 gm/100ml) (Cipro)............................................................ 3 ciprofloxacin hcl ophth soln 0.3% (Ciloxan).................35 ciprofloxacin hcl tab 100 mg (base equiv)......................3 ciprofloxacin hcl tab 250 mg (base equiv) (Cipro)......... 3 ciprofloxacin hcl tab 500 mg (base equiv) (Cipro)......... 3 ciprofloxacin hcl tab 750 mg (base equiv)......................3 citalopram hydrobromide oral soln 10 mg/5ml.............23 citalopram hydrobromide tab 10 mg (base equiv) (Celexa)........................................................................... 23 citalopram hydrobromide tab 20 mg (base equiv) (Celexa)........................................................................... 23 citalopram hydrobromide tab 40 mg (base equiv) (Celexa)........................................................................... 23 clarithromycin for susp 125 mg/5ml................................2 clarithromycin for susp 250 mg/5ml (Biaxin)..................2 clarithromycin tab 250 mg (Biaxin)................................. 3 clarithromycin tab 500 mg (Biaxin)................................. 3 clarithromycin tab sr 24hr 500 mg (Biaxin xl pac)..........3 CLIMARA PRO – estradiol-levonorgestrel td patch weekly 0.045-0.015 mg/day...........................................................9 clindamycin hcl cap 150 mg (Cleocin)............................ 6 clindamycin hcl cap 300 mg (Cleocin)............................ 6 clindamycin hcl cap 75 mg (Cleocin).............................. 6 clindamycin palmitate hcl for soln 75 mg/5ml (base equiv) (Cleocin pediatric gr)...........................................6 clindamycin phosphate-benzoyl peroxide gel 1-5% (Benzaclin)......................................................................36 clindamycin phosphate gel 1% (Cleocin-t)................... 36 clindamycin phosphate lotion 1% (Cleocin-t)...............36 clindamycin phosphate soln 1% (Cleocin-t)................. 36 clindamycin phosphate swab 1% (Cleocin-t)................36 clindamycin phosphate vaginal cream 2% (Cleocin)..........................................................................22 clindamycin phosph-benzoyl peroxide (refrig) gel 1.2 (1)-5% (Duac)..................................................................36 clobetasol propionate cream 0.05% (Temovate).......... 37 clobetasol propionate emollient base cream 0.05% (Temovate e).................................................................. 37 clobetasol propionate foam 0.05% (Olux).....................37 clobetasol propionate gel 0.05% (Temovate)................37 Generics Plus Drug List October 2014 2014 clobetasol propionate oint 0.05% (Temovate).............. 37 clobetasol propionate soln 0.05% (Temovate)............. 37 clomiphene citrate tab 50 mg (Clomid)......................... 11 clomipramine hcl cap 25 mg (Anafranil)....................... 23 clomipramine hcl cap 50 mg (Anafranil)....................... 23 clomipramine hcl cap 75 mg (Anafranil)....................... 23 clonazepam tab 0.5 mg (Klonopin)................................30 clonazepam tab 1 mg (Klonopin)...................................30 clonazepam tab 2 mg (Klonopin)...................................30 clonidine hcl tab 0.1 mg (Catapres).............................. 18 clonidine hcl tab 0.2 mg (Catapres).............................. 18 clonidine hcl tab 0.3 mg (Catapres).............................. 18 clonidine hcl td patch weekly 0.1 mg/24hr (Cataprestts-1)................................................................................ 18 clonidine hcl td patch weekly 0.2 mg/24hr (Cataprestts-2)................................................................................ 18 clonidine hcl td patch weekly 0.3 mg/24hr (Cataprestts-3)................................................................................ 18 clopidogrel bisulfate tab 75 mg (base equiv) (Plavix)............................................................................ 33 clotrimazole troche 10 mg..............................................36 clozapine tab 100 mg (Clozaril)..................................... 24 clozapine tab 200 mg......................................................24 clozapine tab 25 mg (Clozaril)....................................... 24 clozapine tab 50 mg........................................................24 colchicine w/ probenecid tab 0.5-500 mg......................30 colestipol hcl granule packets 5 gm (Colestid flavored)..........................................................................17 colestipol hcl granules 5 gm (Colestid flavored)..........17 colestipol hcl tab 1 gm (Colestid)..................................17 COMETRIQ – cabozantinib s-malate cap 3 x 20 mg (60 mg dose) kit.......................................................................7 COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 1 x 20 mg (100 dose) kit.............................................................. 7 COMETRIQ – cabozantinib s-mal cap 1 x 80 mg & 3 x 20 mg (140 dose) kit.............................................................. 7 COMPLERA – emtricitabine-rilpivirine-tenofovir df tab 200-25-300 mg.................................................................. 4 COPAXONE – glatiramer acetate inj kit 20 mg/ml............ 26 COPAXONE – glatiramer acetate soln prefilled syringe 40 mg/ml............................................................................... 26 CORTIFOAM – hydrocortisone acetate rectal foam 90 mg/ dose................................................................................. 36 CORTISONE ACETATE – cortisone acetate tab 25 mg..... 9 CRIXIVAN – indinavir sulfate cap 200 mg.......................... 4 CRIXIVAN – indinavir sulfate cap 400 mg.......................... 4 cromolyn sodium ophth soln 4%...................................35 cromolyn sodium soln nebu 20 mg/2ml........................19 CUPRIMINE – penicillamine cap 250 mg......................... 38 cyanocobalamin inj 1000 mcg/ml.................................. 33 cyclobenzaprine hcl tab 10 mg......................................32 cyclobenzaprine hcl tab 5 mg........................................32 cyclopentolate hcl ophth soln 1% (Cyclogyl)............... 35 CYCLOPHOSPHAMIDE – cyclophosphamide cap 25 mg...................................................................................... 7 Generics Plus Drug List October 2014 CYCLOPHOSPHAMIDE – cyclophosphamide cap 50 mg...................................................................................... 7 CYCLOPHOSPHAMIDE – cyclophosphamide tab 25 mg...................................................................................... 7 CYCLOPHOSPHAMIDE – cyclophosphamide tab 50 mg...................................................................................... 7 cyclosporine cap 100 mg (Sandimmune)......................38 cyclosporine cap 25 mg (Sandimmune)........................38 cyclosporine modified cap 100 mg (Neoral)................. 38 cyclosporine modified cap 25 mg (Neoral)................... 38 CYCLOSPORINE MODIFIED – cyclosporine modified cap 50 mg...............................................................................38 cyclosporine modified oral soln 100 mg/ml (Neoral)........................................................................... 38 cyproheptadine hcl syrup 2 mg/5ml..............................19 cyproheptadine hcl tab 4 mg......................................... 19 CYSTAGON – cysteamine bitartrate cap 150 mg............. 22 CYSTAGON – cysteamine bitartrate cap 50 mg............... 22 D danazol cap 100 mg..........................................................9 danazol cap 200 mg..........................................................9 danazol cap 50 mg............................................................9 dantrolene sodium cap 25 mg (Dantrium).................... 32 dantrolene sodium cap 50 mg (Dantrium).................... 32 DAPSONE – dapsone tab 100 mg..................................... 6 DAPSONE – dapsone tab 25 mg....................................... 6 DARAPRIM – pyrimethamine tab 25 mg.............................6 demeclocycline hcl tab 150 mg....................................... 3 demeclocycline hcl tab 300 mg....................................... 3 desipramine hcl tab 100 mg (Norpramin)......................23 desipramine hcl tab 10 mg (Norpramin)....................... 23 desipramine hcl tab 150 mg (Norpramin)......................23 desipramine hcl tab 25 mg (Norpramin)....................... 23 desipramine hcl tab 50 mg (Norpramin)....................... 23 desipramine hcl tab 75 mg (Norpramin)....................... 23 desmopressin acetate inj 4 mcg/ml (Ddavp)................ 12 desmopressin acetate nasal soln 0.01% (refrigerated) (Ddavp)............................................................................12 desmopressin acetate nasal spray soln 0.01% (Ddavp)............................................................................12 desmopressin acetate nasal spray soln 0.01% (refrigerated)...................................................................12 desmopressin acetate tab 0.1 mg (Ddavp)................... 12 desmopressin acetate tab 0.2 mg (Ddavp)................... 12 desogest-eth estrad & eth estrad tab 0.15-0.02/0.01 mg(21/5) (Mircette).........................................................10 desogest-ethin est tab 0.1-0.025/0.125-0.025/0.15-0.025mg-mg (Cyclessa)....................................................................... 10 desogestrel & ethinyl estradiol tab 0.15 mg-30 mcg (Desogen)....................................................................... 10 desonide cream 0.05% (Desowen).................................37 desonide lotion 0.05% (Desowen)................................. 37 desonide oint 0.05% (Desowen).................................... 37 desoximetasone cream 0.25% (Topicort)......................37 45 2014 desoximetasone gel 0.05% (Topicort)........................... 37 desoximetasone oint 0.25% (Topicort)..........................37 dexamethasone elixir 0.5 mg/5ml.................................... 9 dexamethasone sodium phosphate ophth soln 0.1%.................................................................................35 dexamethasone tab 0.5 mg.............................................. 9 dexamethasone tab 0.75 mg............................................ 9 dexamethasone tab 1.5 mg.............................................. 9 dexamethasone tab 4 mg................................................. 9 dexamethasone tab 6 mg................................................. 9 dextroamphetamine sulfate cap sr 24hr 10 mg (Dexedrine)..................................................................... 26 dextroamphetamine sulfate cap sr 24hr 15 mg (Dexedrine)..................................................................... 26 dextroamphetamine sulfate cap sr 24hr 5 mg (Dexedrine)..................................................................... 26 dextroamphetamine sulfate tab 5 mg............................26 DIASTAT ACUDIAL – diazepam rectal gel delivery system 10 mg...............................................................................30 DIASTAT ACUDIAL – diazepam rectal gel delivery system 20 mg...............................................................................30 DIASTAT PEDIATRIC – diazepam rectal gel delivery system 2.5 mg................................................................. 30 diazepam tab 10 mg (Valium).........................................22 diazepam tab 2 mg (Valium)...........................................22 diazepam tab 5 mg (Valium)...........................................22 DIBENZYLINE – phenoxybenzamine hcl cap 10 mg........ 18 diclofenac potassium tab 50 mg (Cataflam)................. 28 diclofenac sodium (actinic keratoses) gel 3% (Solaraze)........................................................................38 diclofenac sodium ophth soln 0.1%.............................. 35 diclofenac sodium tab delayed release 25 mg............. 28 diclofenac sodium tab delayed release 50 mg............. 29 diclofenac sodium tab delayed release 75 mg............. 29 diclofenac sodium tab sr 24hr 100 mg (Voltarenxr).................................................................................... 29 dicloxacillin sodium cap 250 mg..................................... 2 dicloxacillin sodium cap 500 mg..................................... 2 dicyclomine hcl cap 10 mg (Bentyl).............................. 20 dicyclomine hcl tab 20 mg (Bentyl)...............................20 didanosine delayed release capsule 125 mg (Videx ec)......................................................................................4 didanosine delayed release capsule 200 mg (Videx ec)......................................................................................4 didanosine delayed release capsule 250 mg (Videx ec)......................................................................................4 didanosine delayed release capsule 400 mg (Videx ec)......................................................................................4 diflorasone diacetate oint 0.05%................................... 37 digoxin tab 125 mcg (0.125 mg) (Lanoxin)....................18 digoxin tab 250 mcg (0.25 mg) (Lanoxin)......................18 diltiazem hcl cap sr 24hr 120 mg...................................15 diltiazem hcl cap sr 24hr 180 mg...................................15 diltiazem hcl cap sr 24hr 240 mg (Dilacor xr)............... 15 diltiazem hcl coated beads cap sr 24hr 120 mg (Cardizem cd)................................................................. 15 46 diltiazem hcl coated beads cap sr 24hr 180 mg (Cardizem cd)................................................................. 15 diltiazem hcl coated beads cap sr 24hr 240 mg (Cardizem cd)................................................................. 16 diltiazem hcl coated beads cap sr 24hr 300 mg (Cardizem cd)................................................................. 16 diltiazem hcl coated beads cap sr 24hr 360 mg (Cardizem cd)................................................................. 16 diltiazem hcl extended release beads cap sr 24hr 120 mg (Tiazac).....................................................................16 diltiazem hcl extended release beads cap sr 24hr 180 mg (Tiazac).....................................................................16 diltiazem hcl extended release beads cap sr 24hr 240 mg (Tiazac).....................................................................16 diltiazem hcl extended release beads cap sr 24hr 300 mg (Tiazac).....................................................................16 diltiazem hcl extended release beads cap sr 24hr 360 mg (Tiazac).....................................................................16 diltiazem hcl extended release beads cap sr 24hr 420 mg (Tiazac).....................................................................16 diltiazem hcl tab 120 mg (Cardizem)............................. 16 diltiazem hcl tab 30 mg (Cardizem)............................... 16 diltiazem hcl tab 60 mg (Cardizem)............................... 16 diltiazem hcl tab 90 mg.................................................. 16 diphenoxylate w/ atropine tab 2.5-0.025 mg (Lomotil)..........................................................................20 dipyridamole tab 25 mg (Persantine)............................ 33 dipyridamole tab 50 mg (Persantine)............................ 33 dipyridamole tab 75 mg (Persantine)............................ 33 disopyramide phosphate cap 100 mg (Norpace)..........18 disopyramide phosphate cap 150 mg (Norpace)..........18 disulfiram tab 250 mg (Antabuse)................................. 26 disulfiram tab 500 mg (Antabuse)................................. 26 divalproex sodium cap sprinkle 125 mg (Depakote sprinkles)........................................................................ 30 divalproex sodium tab delayed release 125 mg (Depakote)...................................................................... 30 divalproex sodium tab delayed release 250 mg (Depakote)...................................................................... 30 divalproex sodium tab delayed release 500 mg (Depakote)...................................................................... 30 divalproex sodium tab sr 24 hr 250 mg (Depakote er).................................................................................... 30 divalproex sodium tab sr 24 hr 500 mg (Depakote er).................................................................................... 30 DIVIGEL – estradiol td gel 0.25 mg/0.25gm (0.1%)............ 9 DIVIGEL – estradiol td gel 0.5 mg/0.5gm (0.1%)................ 9 DIVIGEL – estradiol td gel 1 mg/gm (0.1%)........................9 donepezil hydrochloride orally disintegrating tab 10 mg (Aricept odt).............................................................26 donepezil hydrochloride orally disintegrating tab 5 mg (Aricept odt)................................................................... 26 donepezil hydrochloride tab 10 mg (Aricept)............... 26 donepezil hydrochloride tab 5 mg (Aricept)................. 26 dorzolamide hcl ophth soln 2% (Trusopt).....................35 Generics Plus Drug List October 2014 2014 dorzolamide hcl-timolol maleate ophth soln 22.3-6.8 mg/ml (Cosopt).............................................................. 35 doxazosin mesylate tab 1 mg (Cardura)....................... 18 doxazosin mesylate tab 2 mg (Cardura)....................... 18 doxazosin mesylate tab 4 mg (Cardura)....................... 18 doxazosin mesylate tab 8 mg (Cardura)....................... 18 doxepin hcl cap 100 mg................................................. 23 doxepin hcl cap 10 mg................................................... 23 doxepin hcl cap 25 mg................................................... 23 doxepin hcl cap 50 mg................................................... 23 doxepin hcl conc 10 mg/ml............................................ 23 doxycycline hyclate cap 100 mg (Vibramycin)............... 3 doxycycline hyclate cap 50 mg....................................... 3 doxycycline hyclate tab 100 mg...................................... 3 doxycycline hyclate tab 20 mg........................................ 3 doxycycline monohydrate cap 100 mg (Monodox)........ 3 doxycycline monohydrate cap 150 mg (Adoxa)............. 3 doxycycline monohydrate cap 50 mg............................. 3 doxycycline monohydrate cap 75 mg (Monodox).......... 3 doxycycline monohydrate tab 100 mg (Adoxa pak 1/100).................................................................................3 doxycycline monohydrate tab 150 mg (Adoxa pak 1/150).................................................................................3 doxycycline monohydrate tab 50 mg (Adoxa)................ 3 doxycycline monohydrate tab 75 mg (Adoxa)................ 3 drospirenone-ethinyl estradiol tab 3-0.02 mg (Yaz)..... 10 drospirenone-ethinyl estradiol tab 3-0.03 mg (Yasmin 28)....................................................................................10 duloxetine hcl enteric coated pellets cap 20 mg (Cymbalta)...................................................................... 23 duloxetine hcl enteric coated pellets cap 30 mg (Cymbalta)...................................................................... 23 duloxetine hcl enteric coated pellets cap 60 mg (Cymbalta)...................................................................... 23 E econazole nitrate cream 1%........................................... 37 EDURANT – rilpivirine hcl tab 25 mg (base equivalent)...... 4 ELLA – ulipristal acetate tab 30 mg.................................. 10 EMCYT – estramustine phosphate sodium cap 140 mg..... 7 EMEND – aprepitant capsule 125 mg...............................21 EMEND – aprepitant capsule 40 mg.................................21 EMEND – aprepitant capsule 80 mg.................................21 EMEND – aprepitant capsule therapy pack 80 & 125 mg.................................................................................... 21 EMTRIVA – emtricitabine caps 200 mg.............................. 4 EMTRIVA – emtricitabine soln 10 mg/ml............................ 4 enalapril maleate & hydrochlorothiazide tab 10-25 mg (Vaseretic).......................................................................13 enalapril maleate & hydrochlorothiazide tab 5-12.5 mg....................................................................................13 enalapril maleate tab 10 mg (Vasotec).......................... 13 enalapril maleate tab 2.5 mg (Vasotec)......................... 13 enalapril maleate tab 20 mg (Vasotec).......................... 13 enalapril maleate tab 5 mg (Vasotec)............................ 13 ENBREL – etanercept for subcutaneous inj kit 25 mg...... 29 Generics Plus Drug List October 2014 ENBREL – etanercept subcutaneous inj 25 mg/0.5ml.......29 ENBREL – etanercept subcutaneous inj 50 mg/ml........... 29 ENBREL SURECLICK – etanercept subcutaneous inj 50 mg/ml............................................................................... 29 enoxaparin sodium inj 100 mg/ml (Lovenox)............... 33 enoxaparin sodium inj 120 mg/0.8ml (Lovenox)...........33 enoxaparin sodium inj 150 mg/ml (Lovenox)............... 33 enoxaparin sodium inj 300 mg/3ml (Lovenox)..............33 enoxaparin sodium inj 30 mg/0.3ml (Lovenox).............33 enoxaparin sodium inj 40 mg/0.4ml (Lovenox).............33 enoxaparin sodium inj 60 mg/0.6ml (Lovenox).............33 enoxaparin sodium inj 80 mg/0.8ml (Lovenox).............33 entacapone tab 200 mg (Comtan)..................................31 EPIPEN 2-PAK – epinephrine solution auto-injector 0.3 mg/0.3ml (1:1000)............................................................19 EPIPEN-JR 2-PAK – epinephrine solution auto-injector 0.15 mg/0.3ml (1:2000)................................................... 19 EPIVIR – lamivudine oral soln 10 mg/ml.............................4 eplerenone tab 25 mg (Inspra).......................................18 eplerenone tab 50 mg (Inspra).......................................18 EPZICOM – abacavir sulfate-lamivudine tab 600-300 mg...................................................................................... 5 ergocalciferol cap 50000 unit (Drisdol)......................... 32 ERIVEDGE – vismodegib cap 150 mg............................... 7 ERYTHROCIN STEARATE – erythromycin stearate tab 250 mg...............................................................................3 erythromycin gel 2% (Erygel).........................................36 erythromycin ophth oint 5 mg/gm................................. 35 erythromycin pads 2%....................................................36 erythromycin soln 2%.....................................................36 erythromycin-sulfisoxazole for susp 200-600 mg/5ml.............................................................................. 6 erythromycin w/ delayed release particles cap 250 mg......................................................................................3 escitalopram oxalate soln 5 mg/5ml (base equiv) (Lexapro).........................................................................23 escitalopram oxalate tab 10 mg (base equiv) (Lexapro).........................................................................23 escitalopram oxalate tab 20 mg (base equiv) (Lexapro).........................................................................23 escitalopram oxalate tab 5 mg (base equiv) (Lexapro).........................................................................23 estazolam tab 1 mg.........................................................25 estazolam tab 2 mg.........................................................25 ESTRACE – estradiol vaginal cream 0.1 mg/gm.............. 22 estradiol & norethindrone acetate tab 0.5-0.1 mg (Activella)..........................................................................9 estradiol & norethindrone acetate tab 1-0.5 mg (Activella)..........................................................................9 estradiol tab 0.5 mg (Estrace)..........................................9 estradiol tab 1 mg (Estrace).............................................9 estradiol tab 2 mg (Estrace).............................................9 estradiol td patch weekly 0.025 mg/24hr (Climara)...... 10 estradiol td patch weekly 0.0375 mg/24hr (37.5 mcg/24hr) (Climara)....................................................... 10 estradiol td patch weekly 0.05 mg/24hr (Climara)........ 10 47 2014 estradiol td patch weekly 0.06 mg/24hr (Climara)........ 10 estradiol td patch weekly 0.075 mg/24hr (Climara)...... 10 estradiol td patch weekly 0.1 mg/24hr (Climara).......... 10 estropipate tab 0.75 mg..................................................10 estropipate tab 1.5 mg....................................................10 ethambutol hcl tab 100 mg (Myambutol)........................ 3 ethambutol hcl tab 400 mg (Myambutol)........................ 3 ethosuximide cap 250 mg (Zarontin).............................30 ethosuximide soln 250 mg/5ml (Zarontin).................... 30 ethynodiol diacetate & ethinyl estradiol tab 1 mg-35 mcg..................................................................................10 ETIDRONATE DISODIUM – etidronate disodium tab 200 mg.................................................................................... 12 etodolac cap 200 mg.......................................................29 etodolac cap 300 mg.......................................................29 etodolac tab 400 mg....................................................... 29 etodolac tab 500 mg....................................................... 29 etodolac tab sr 24hr 400 mg.......................................... 29 etodolac tab sr 24hr 500 mg.......................................... 29 etodolac tab sr 24hr 600 mg.......................................... 29 ETOPOSIDE – etoposide cap 50 mg..................................7 exemestane tab 25 mg (Aromasin)..................................7 F famciclovir tab 125 mg (Famvir)...................................... 4 famciclovir tab 250 mg (Famvir)...................................... 4 famciclovir tab 500 mg (Famvir)...................................... 4 famotidine tab 20 mg (Pepcid).......................................20 famotidine tab 40 mg (Pepcid).......................................20 FARESTON – toremifene citrate tab 60 mg (base equivalent)......................................................................... 7 FEIBA NF – antiinhibitor coagulant complex for inj........... 33 felodipine tab sr 24hr 10 mg.......................................... 16 felodipine tab sr 24hr 2.5 mg......................................... 16 felodipine tab sr 24hr 5 mg............................................16 fenofibrate micronized cap 134 mg (Lofibra)................17 fenofibrate micronized cap 200 mg (Lofibra)................17 fenofibrate micronized cap 67 mg (Lofibra)..................17 fenofibrate tab 145 mg (Tricor)...................................... 17 fenofibrate tab 160 mg (Lofibra).................................... 17 fenofibrate tab 48 mg (Tricor)........................................ 17 fenofibrate tab 54 mg (Lofibra)...................................... 17 fentanyl citrate lollipop 1200 mcg (Actiq)..................... 27 fentanyl citrate lollipop 1600 mcg (Actiq)..................... 27 fentanyl citrate lollipop 200 mcg (Actiq)....................... 27 fentanyl citrate lollipop 400 mcg (Actiq)....................... 27 fentanyl citrate lollipop 600 mcg (Actiq)....................... 27 fentanyl citrate lollipop 800 mcg (Actiq)....................... 27 fentanyl td patch 72hr 100 mcg/hr (Duragesic)............ 27 fentanyl td patch 72hr 12 mcg/hr (Duragesic).............. 27 fentanyl td patch 72hr 25 mcg/hr (Duragesic).............. 27 fentanyl td patch 72hr 50 mcg/hr (Duragesic).............. 27 fentanyl td patch 72hr 75 mcg/hr (Duragesic).............. 27 FINACEA – azelaic acid gel 15%..................................... 36 finasteride tab 5 mg (Proscar)....................................... 22 48 FIRAZYR – icatibant acetate inj 30 mg/3ml (base equivalent)....................................................................... 33 flecainide acetate tab 100 mg........................................ 18 flecainide acetate tab 150 mg........................................ 18 flecainide acetate tab 50 mg.......................................... 18 fluconazole for susp 10 mg/ml (Diflucan)....................... 3 fluconazole for susp 40 mg/ml (Diflucan)....................... 3 fluconazole tab 100 mg (Diflucan)................................... 3 fluconazole tab 150 mg (Diflucan)................................... 3 fluconazole tab 200 mg (Diflucan)................................... 4 fluconazole tab 50 mg (Diflucan).....................................4 flucytosine cap 250 mg (Ancobon)..................................4 flucytosine cap 500 mg (Ancobon)..................................4 fludrocortisone acetate tab 0.1 mg..................................9 flunisolide nasal soln 0.025% (Flunisolide).................. 19 fluocinolone acetonide cream 0.01%............................ 37 fluocinolone acetonide cream 0.025% (Synalar).......... 37 fluocinolone acetonide oil 0.01% (Derma-smoothe/fs bod)................................................................................. 37 fluocinolone acetonide oint 0.025% (Synalar).............. 37 fluocinolone acetonide soln 0.01% (Synalar)............... 37 fluocinonide cream 0.05%.............................................. 37 fluocinonide emulsified base cream 0.05%.................. 37 fluocinonide gel 0.05%................................................... 37 fluocinonide oint 0.05%.................................................. 37 fluocinonide soln 0.05%................................................. 37 fluorometholone ophth susp 0.1% (Fml liquifilm)........ 35 fluorouracil cream 5% (Efudex)..................................... 38 fluorouracil soln 2%........................................................38 fluorouracil soln 5%........................................................38 fluoxetine hcl cap 10 mg (Prozac)................................. 23 fluoxetine hcl cap 20 mg (Prozac)................................. 23 fluoxetine hcl cap 40 mg (Prozac)................................. 23 fluoxetine hcl solution 20 mg/5ml................................. 23 fluoxetine hcl tab 10 mg.................................................23 fluoxetine hcl tab 20 mg.................................................23 fluphenazine decanoate inj 25 mg/ml............................24 fluphenazine hcl tab 10 mg............................................ 24 fluphenazine hcl tab 1 mg..............................................24 fluphenazine hcl tab 2.5 mg........................................... 24 fluphenazine hcl tab 5 mg..............................................24 flurbiprofen sodium ophth soln 0.03% (Ocufen).......... 35 flurbiprofen tab 100 mg.................................................. 29 flurbiprofen tab 50 mg.................................................... 29 flutamide cap 125 mg....................................................... 7 fluticasone propionate cream 0.05% (Cutivate)............37 fluticasone propionate nasal susp 50 mcg/act (Flonase)......................................................................... 19 fluticasone propionate oint 0.005% (Cutivate)..............37 fluvoxamine maleate tab 100 mg................................... 23 fluvoxamine maleate tab 25 mg.....................................23 fluvoxamine maleate tab 50 mg.....................................23 folic acid tab 1 mg.......................................................... 33 FOLLISTIM AQ – follitropin beta inj 150 unit/0.5ml........... 11 FOLLISTIM AQ – follitropin beta inj 300 unit/0.36ml......... 11 FOLLISTIM AQ – follitropin beta inj 600 unit/0.72ml......... 11 Generics Plus Drug List October 2014 2014 FOLLISTIM AQ – follitropin beta inj 75 unit/0.5ml............. 11 FOLLISTIM AQ – follitropin beta inj 900 unit/1.08ml......... 11 FORADIL AEROLIZER – formoterol fumarate inhal cap 12 mcg.................................................................................. 19 fosinopril sodium & hydrochlorothiazide tab 10-12.5 mg....................................................................................13 fosinopril sodium & hydrochlorothiazide tab 20-12.5 mg....................................................................................13 fosinopril sodium tab 10 mg.......................................... 13 fosinopril sodium tab 20 mg.......................................... 13 fosinopril sodium tab 40 mg.......................................... 13 furosemide oral soln 10 mg/ml...................................... 17 furosemide tab 20 mg (Lasix)........................................ 17 furosemide tab 40 mg (Lasix)........................................ 17 furosemide tab 80 mg (Lasix)........................................ 17 FUZEON – enfuvirtide for inj 90 mg....................................5 G gabapentin cap 100 mg (Neurontin).............................. 30 gabapentin cap 300 mg (Neurontin).............................. 30 gabapentin cap 400 mg (Neurontin).............................. 30 gabapentin oral soln 250 mg/5ml (Neurontin).............. 30 gabapentin tab 600 mg (Neurontin)...............................30 gabapentin tab 800 mg (Neurontin)...............................30 galantamine hydrobromide cap sr 24hr 16 mg (Razadyne er)................................................................. 26 galantamine hydrobromide cap sr 24hr 24 mg (Razadyne er)................................................................. 26 galantamine hydrobromide cap sr 24hr 8 mg (Razadyne er)................................................................. 27 galantamine hydrobromide oral soln 4 mg/ml (Razadyne)......................................................................27 galantamine hydrobromide tab 12 mg (Razadyne).......27 galantamine hydrobromide tab 4 mg (Razadyne)........ 27 galantamine hydrobromide tab 8 mg (Razadyne)........ 27 gemfibrozil tab 600 mg (Lopid)......................................17 gentamicin sulfate ophth oint 0.3%...............................35 gentamicin sulfate ophth soln 0.3% (Garamycin)........ 35 GILOTRIF – afatinib dimaleate tab 20 mg (base equivalent)......................................................................... 7 GILOTRIF – afatinib dimaleate tab 30 mg (base equivalent)......................................................................... 7 GILOTRIF – afatinib dimaleate tab 40 mg (base equivalent)......................................................................... 7 GLEEVEC – imatinib mesylate tab 100 mg (base equivalent)......................................................................... 7 GLEEVEC – imatinib mesylate tab 400 mg (base equivalent)......................................................................... 7 glimepiride tab 1 mg (Amaryl)....................................... 11 glimepiride tab 2 mg (Amaryl)....................................... 11 glimepiride tab 4 mg (Amaryl)....................................... 11 glipizide-metformin hcl tab 2.5-250 mg......................... 11 glipizide-metformin hcl tab 2.5-500 mg......................... 11 glipizide-metformin hcl tab 5-500 mg............................ 11 glipizide tab 10 mg (Glucotrol)...................................... 11 glipizide tab 5 mg (Glucotrol)........................................ 11 Generics Plus Drug List October 2014 glipizide tab sr 24hr 10 mg (Glucotrol xl)......................11 glipizide tab sr 24hr 2.5 mg (Glucotrol xl).....................11 glipizide tab sr 24hr 5 mg (Glucotrol xl)....................... 11 GLUCAGON EMERGENCY KIT – glucagon (rdna) for inj kit 1 mg............................................................................11 glyburide-metformin tab 1.25-250 mg (Glucovance).................................................................. 11 glyburide-metformin tab 2.5-500 mg (Glucovance)...... 11 glyburide-metformin tab 5-500 mg (Glucovance)......... 11 glyburide micronized tab 1.5 mg (Glynase).................. 11 glyburide micronized tab 3 mg (Glynase)..................... 11 glyburide micronized tab 6 mg (Glynase)..................... 11 glyburide tab 1.25 mg..................................................... 11 glyburide tab 2.5 mg....................................................... 11 glyburide tab 5 mg..........................................................11 glycopyrrolate tab 1 mg (Robinul).................................20 glycopyrrolate tab 2 mg (Robinul forte)........................20 granisetron hcl tab 1 mg................................................ 21 GRANIX – tbo-filgrastim soln prefilled syringe 300 mcg/0.5ml........................................................................ 33 GRANIX – tbo-filgrastim soln prefilled syringe 480 mcg/0.8ml........................................................................ 33 griseofulvin microsize susp 125 mg/5ml........................ 4 griseofulvin microsize tab 500 mg (Grifulvin v)............. 4 guanfacine hcl tab 1 mg (Tenex)................................... 18 guanfacine hcl tab 2 mg (Tenex)................................... 18 H halobetasol propionate cream 0.05% (Ultravate)......... 37 halobetasol propionate oint 0.05% (Ultravate)............. 37 haloperidol lactate oral conc 2 mg/ml...........................24 haloperidol tab 0.5 mg....................................................24 haloperidol tab 10 mg.....................................................24 haloperidol tab 1 mg.......................................................24 haloperidol tab 20 mg.....................................................24 haloperidol tab 2 mg.......................................................24 haloperidol tab 5 mg.......................................................24 HELIXATE FS – antihemophilic factor (recombinant) for inj kit 1000 unit..................................................................... 33 HELIXATE FS – antihemophilic factor (recombinant) for inj kit 2000 unit..................................................................... 33 HELIXATE FS – antihemophilic factor (recombinant) for inj kit 250 unit.......................................................................33 HELIXATE FS – antihemophilic factor (recombinant) for inj kit 3000 unit..................................................................... 33 HELIXATE FS – antihemophilic factor (recombinant) for inj kit 500 unit.......................................................................33 HEMOFIL M – antihemophilic factor (human) for inj 1000 unit................................................................................... 33 HEMOFIL M – antihemophilic factor (human) for inj 1501-2000 unit.................................................................33 HEMOFIL M – antihemophilic factor (human) for inj 1700 unit................................................................................... 33 HEMOFIL M – antihemophilic factor (human) for inj 220-400 unit.....................................................................33 49 2014 HEMOFIL M – antihemophilic factor (human) for inj 250 unit................................................................................... 33 HEMOFIL M – antihemophilic factor (human) for inj 401-800 unit.....................................................................33 HEMOFIL M – antihemophilic factor (human) for inj 500 unit................................................................................... 33 HEMOFIL M – antihemophilic factor (human) for inj 801-1500 unit...................................................................33 HEXALEN – altretamine cap 50 mg................................... 7 homatropine hbr ophth soln 5% (Isopto homatropine).................................................................. 35 HUMIRA – adalimumab inj kit 20 mg/0.4ml...................... 29 HUMIRA – adalimumab inj kit 40 mg/0.8ml (50 mg/ml).....29 HUMIRA PEN – adalimumab inj kit 40 mg/0.8ml (50 mg/ ml).................................................................................... 29 HUMIRA PEN-CROHNS DISEASE – adalimumab inj kit 40 mg/0.8ml (50 mg/ml).................................................. 29 HUMIRA PEN-PSORIASIS STAR – adalimumab inj kit 40 mg/0.8ml (50 mg/ml)....................................................... 29 HYCAMTIN – topotecan hcl cap 0.25 mg (base equiv)....... 7 HYCAMTIN – topotecan hcl cap 1 mg (base equiv)............7 hydralazine hcl tab 100 mg............................................ 18 hydralazine hcl tab 10 mg.............................................. 18 hydralazine hcl tab 25 mg.............................................. 18 hydralazine hcl tab 50 mg.............................................. 18 hydrochlorothiazide cap 12.5 mg (Microzide)...............17 hydrochlorothiazide tab 25 mg...................................... 17 hydrochlorothiazide tab 50 mg...................................... 17 hydrocodone-acetaminophen soln 7.5-325 mg/15ml (Hycet).............................................................................27 hydrocodone-acetaminophen tab 10-325 mg (Norco)............................................................................ 27 hydrocodone-acetaminophen tab 5-325 mg (Norco)............................................................................ 27 hydrocodone-acetaminophen tab 7.5-325 mg (Norco)............................................................................ 27 hydrocodone-ibuprofen tab 10-200 mg (Ibudone)........27 hydrocodone-ibuprofen tab 5-200 mg (Reprexain)...... 27 hydrocodone-ibuprofen tab 7.5-200 mg (Vicoprofen)....................................................................27 hydrocortisone acetate suppos 25 mg (Anusol-hc)..... 36 hydrocortisone cream 2.5%........................................... 37 hydrocortisone enema 100 mg/60ml (Cortenema)....... 36 hydrocortisone lotion 2.5%............................................ 37 hydrocortisone oint 2.5%............................................... 37 hydrocortisone rectal cream 2.5% (Anusol-hc)............ 36 hydrocortisone tab 10 mg (Cortef).................................. 9 hydrocortisone tab 20 mg (Cortef).................................. 9 hydrocortisone tab 5 mg (Cortef).................................... 9 hydrocortisone valerate cream 0.2%.............................37 hydrocortisone valerate oint 0.2% (Westcort).............. 37 hydrocortisone w/ acetic acid otic soln 1-2% (Vosol hc)....................................................................................36 HYDROMORPHONE HCL – hydromorphone hcl suppos 3 mg.................................................................................... 27 hydromorphone hcl liqd 1 mg/ml (Dilaudid)................. 27 50 hydromorphone hcl tab 2 mg (Dilaudid)....................... 27 hydromorphone hcl tab 4 mg (Dilaudid)....................... 28 hydromorphone hcl tab 8 mg (Dilaudid)....................... 28 hydroxychloroquine sulfate tab 200 mg (Plaquenil)...... 6 hydroxyurea cap 500 mg (Hydrea).................................. 7 hydroxyzine hcl syrup 10 mg/5ml..................................22 hydroxyzine hcl tab 10 mg.............................................22 hydroxyzine hcl tab 25 mg.............................................22 hydroxyzine hcl tab 50 mg.............................................22 hydroxyzine pamoate cap 25 mg (Vistaril)....................22 hydroxyzine pamoate cap 50 mg (Vistaril)....................22 hyoscyamine sulfate elixir 0.125 mg/5ml...................... 20 hyoscyamine sulfate soln 0.125 mg/ml......................... 20 hyoscyamine sulfate tab 0.125 mg (Levsin)................. 20 hyoscyamine sulfate tab sl 0.125 mg (Levsin/sl)..........20 hyoscyamine sulfate tab sr 12hr 0.375 mg (Levbid).....20 I ibandronate sodium tab 150 mg (base equivalent) (Boniva)...........................................................................12 ibuprofen susp 100 mg/5ml............................................29 ibuprofen tab 400 mg......................................................29 ibuprofen tab 600 mg......................................................29 ibuprofen tab 800 mg......................................................29 ICLUSIG – ponatinib hcl tab 15 mg (base equiv)................ 7 ICLUSIG – ponatinib hcl tab 45 mg (base equiv)................ 7 ILARIS – canakinumab for inj 180 mg.............................. 29 IMBRUVICA – ibrutinib cap 140 mg....................................7 imipramine hcl tab 10 mg (Tofranil).............................. 23 imipramine hcl tab 25 mg (Tofranil).............................. 23 imipramine hcl tab 50 mg (Tofranil).............................. 23 imiquimod cream 5% (Aldara)........................................38 IMITREX – sumatriptan nasal spray 20 mg/act.................29 IMITREX – sumatriptan nasal spray 5 mg/act...................29 INCRELEX – mecasermin inj 40 mg/4ml (10 mg/ml)........ 12 indapamide tab 1.25 mg................................................. 17 indapamide tab 2.5 mg................................................... 17 indomethacin cap 25 mg................................................ 29 indomethacin cap 50 mg................................................ 29 INLYTA – axitinib tab 1 mg.................................................7 INLYTA – axitinib tab 5 mg.................................................7 INSULIN PEN NEEDLES – VARIOUS..............................38 INSULIN SYRINGES – VARIOUS.................................... 38 INTELENCE – etravirine tab 100 mg.................................. 5 INTELENCE – etravirine tab 200 mg.................................. 5 INTELENCE – etravirine tab 25 mg.................................... 5 INVIRASE – saquinavir mesylate cap 200 mg.................... 5 INVIRASE – saquinavir mesylate tab 500 mg.....................5 ipratropium-albuterol nebu soln 0.5-2.5(3) mg/3ml (Duoneb)......................................................................... 19 ipratropium bromide inhal soln 0.02%.......................... 19 ipratropium bromide nasal soln 0.03% (21 mcg/spray) (Atrovent)........................................................................19 ipratropium bromide nasal soln 0.06% (42 mcg/spray) (Atrovent)........................................................................19 Generics Plus Drug List October 2014 2014 irbesartan-hydrochlorothiazide tab 150-12.5 mg (Avalide)..........................................................................14 irbesartan-hydrochlorothiazide tab 300-12.5 mg (Avalide)..........................................................................14 irbesartan tab 150 mg (Avapro)..................................... 14 irbesartan tab 300 mg (Avapro)..................................... 14 irbesartan tab 75 mg (Avapro)....................................... 14 ISENTRESS – raltegravir potassium chew tab 100 mg (base equiv).......................................................................5 ISENTRESS – raltegravir potassium chew tab 25 mg (base equiv).......................................................................5 ISENTRESS – raltegravir potassium packet for susp 100 mg (base equiv).................................................................5 ISENTRESS – raltegravir potassium tab 400 mg (base equiv)................................................................................. 5 isoniazid & rifampin cap 150-300 mg.............................. 3 isoniazid tab 100 mg.........................................................3 isoniazid tab 300 mg.........................................................3 isosorbide dinitrate tab 10 mg.......................................16 isosorbide dinitrate tab 20 mg.......................................16 isosorbide dinitrate tab 30 mg.......................................16 isosorbide dinitrate tab 5 mg (Isordil titradose)........... 16 isosorbide mononitrate tab 10 mg................................ 16 isosorbide mononitrate tab 20 mg................................ 16 isosorbide mononitrate tab sr 24hr 120 mg (Imdur).....16 isosorbide mononitrate tab sr 24hr 30 mg (Imdur).......16 isosorbide mononitrate tab sr 24hr 60 mg (Imdur).......16 isotretinoin cap 10 mg....................................................36 isotretinoin cap 20 mg....................................................36 isotretinoin cap 40 mg....................................................36 itraconazole cap 100 mg (Sporanox)...............................4 J JAKAFI – ruxolitinib phosphate tab 10 mg (base equivalent)......................................................................... 7 JAKAFI – ruxolitinib phosphate tab 15 mg (base equivalent)......................................................................... 7 JAKAFI – ruxolitinib phosphate tab 20 mg (base equivalent)......................................................................... 7 JAKAFI – ruxolitinib phosphate tab 25 mg (base equivalent)......................................................................... 7 JAKAFI – ruxolitinib phosphate tab 5 mg (base equivalent)......................................................................... 7 K KALETRA – lopinavir-ritonavir soln 400-100 mg/5ml (80-20 mg/ml).................................................................... 5 KALETRA – lopinavir-ritonavir tab 100-25 mg.................... 5 KALETRA – lopinavir-ritonavir tab 200-50 mg.................... 5 KALYDECO – ivacaftor tab 150 mg..................................20 ketoconazole cream 2%..................................................37 ketoconazole shampoo 2% (Nizoral)............................. 37 ketoprofen cap 50 mg.....................................................29 ketoprofen cap 75 mg.....................................................29 ketorolac tromethamine ophth soln 0.4% (Acular ls).....................................................................................35 Generics Plus Drug List October 2014 ketorolac tromethamine ophth soln 0.5% (Acular).......35 KOGENATE FS – antihemophilic factor (recombinant) for inj kit 1000 unit................................................................ 33 KOGENATE FS – antihemophilic factor (recombinant) for inj kit 2000 unit................................................................ 33 KOGENATE FS – antihemophilic factor (recombinant) for inj kit 250 unit.................................................................. 33 KOGENATE FS – antihemophilic factor (recombinant) for inj kit 3000 unit................................................................ 33 KOGENATE FS – antihemophilic factor (recombinant) for inj kit 500 unit.................................................................. 33 KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 1000 unit....................................34 KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 2000 unit....................................34 KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 250 unit......................................34 KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 3000 unit....................................34 KOGENATE FS BIO-SET – antihemophilic factor (recombinant) for inj kit 500 unit......................................34 L labetalol hcl tab 100 mg (Trandate)...............................15 labetalol hcl tab 200 mg (Trandate)...............................15 labetalol hcl tab 300 mg (Trandate)...............................15 lactulose (encephalopathy) solution 10 gm/15ml.........21 lactulose solution 10 gm/15ml....................................... 20 lamivudine tab 100 mg (Epivir hbv).................................4 lamivudine tab 150 mg (Epivir)........................................ 5 lamivudine tab 300 mg (Epivir)........................................ 5 lamivudine-zidovudine tab 150-300 mg (Combivir)........ 5 lamotrigine tab 100 mg (Lamictal)................................. 30 lamotrigine tab 150 mg (Lamictal)................................. 30 lamotrigine tab 200 mg (Lamictal)................................. 30 lamotrigine tab 25 mg (Lamictal)................................... 30 lamotrigine tab chewable dispersible 25 mg (Lamictal chewable di)................................................................... 30 lamotrigine tab chewable dispersible 5 mg (Lamictal chewable di)................................................................... 30 LANCETS – VARIOUS..................................................... 38 lansoprazole cap delayed release 15 mg (Prevacid)........................................................................20 lansoprazole cap delayed release 30 mg (Prevacid)........................................................................20 LANTUS – insulin glargine inj 100 unit/ml.........................12 LANTUS SOLOSTAR – insulin glargine soln pen-injector 100 unit/ml....................................................................... 12 latanoprost ophth soln 0.005% (Xalatan)...................... 35 leflunomide tab 10 mg (Arava).......................................29 leflunomide tab 20 mg (Arava).......................................29 letrozole tab 2.5 mg (Femara).......................................... 7 LEUCOVORIN CALCIUM – leucovorin calcium tab 10 mg...................................................................................... 7 LEUCOVORIN CALCIUM – leucovorin calcium tab 15 mg...................................................................................... 7 51 2014 leucovorin calcium tab 25 mg..........................................7 leucovorin calcium tab 5 mg........................................... 7 LEUKERAN – chlorambucil tab 2 mg................................. 7 levalbuterol hcl soln nebu 0.31 mg/3ml (base equiv) (Xopenex)........................................................................20 levalbuterol hcl soln nebu 0.63 mg/3ml (base equiv) (Xopenex)........................................................................20 levalbuterol hcl soln nebu 1.25 mg/3ml (base equiv) (Xopenex)........................................................................20 levalbuterol hcl soln nebu conc 1.25 mg/0.5ml (base equiv) (Xopenex concentrate)...................................... 20 LEVEMIR FLEXPEN – insulin detemir soln pen-injector 100 unit/ml....................................................................... 12 LEVEMIR FLEXTOUCH – insulin detemir soln pen-injector 100 unit/ml....................................................................... 12 LEVEMIR – insulin detemir inj 100 unit/ml........................ 12 levetiracetam oral soln 100 mg/ml (Keppra)................. 30 levetiracetam tab 1000 mg (Keppra)..............................30 levetiracetam tab 250 mg (Keppra)................................30 levetiracetam tab 500 mg (Keppra)................................30 levetiracetam tab 750 mg (Keppra)................................30 levobunolol hcl ophth soln 0.5% (Betagan)..................35 levocarnitine oral soln 1 gm/10ml (10%) (Carnitor)...... 12 levocarnitine tab 330 mg (Carnitor)...............................12 levofloxacin oral soln 25 mg/ml (Levaquin)....................3 levofloxacin tab 250 mg (Levaquin)................................ 3 levofloxacin tab 500 mg (Levaquin)................................ 3 levofloxacin tab 750 mg (Levaquin)................................ 3 levonorgestrel & ethinyl estradiol (91-day) tab 0.15-0.03 mg................................................................... 10 levonorgestrel & ethinyl estradiol tab 0.15 mg-30 mcg..................................................................................10 levonorgestrel & ethinyl estradiol tab 0.1 mg-20 mcg..................................................................................10 levonorgestrel-eth estra tab 0.05-30/0.075-40/0.125-30mg-mcg................................ 10 levonorgestrel tab 0.75 mg (Plan b).............................. 10 levonorgestrel tab 1.5 mg (Plan b one-step).................10 levonorg-eth est tab 0.1-0.02mg(84) & eth est tab 0.01mg(7) (Loseasonique)............................................ 10 levonorg-eth est tab 0.15-0.03mg(84) & eth est tab 0.01mg(7) (Seasonique)................................................ 10 levothyroxine sodium tab 100 mcg (Synthroid)........... 12 levothyroxine sodium tab 112 mcg (Synthroid)........... 12 levothyroxine sodium tab 125 mcg (Synthroid)........... 12 levothyroxine sodium tab 137 mcg (Synthroid)........... 12 levothyroxine sodium tab 150 mcg (Synthroid)........... 12 levothyroxine sodium tab 175 mcg (Synthroid)........... 12 levothyroxine sodium tab 200 mcg (Synthroid)........... 12 levothyroxine sodium tab 25 mcg (Synthroid)............. 12 levothyroxine sodium tab 300 mcg (Synthroid)........... 12 levothyroxine sodium tab 50 mcg (Synthroid)............. 12 levothyroxine sodium tab 75 mcg (Synthroid)............. 12 levothyroxine sodium tab 88 mcg (Synthroid)............. 12 LEXIVA – fosamprenavir calcium susp 50 mg/ml (base equiv)................................................................................. 5 52 LEXIVA – fosamprenavir calcium tab 700 mg (base equiv)................................................................................. 5 lidocaine hcl gel 2%........................................................38 lidocaine hcl laryngotracheal soln 4% (Lta 360 kit)......36 lidocaine hcl local inj 1% (Xylocaine)............................30 lidocaine hcl local preservative free (pf) inj 1% (Xylocaine-mpf).............................................................. 30 lidocaine hcl soln 4% (Xylocaine)..................................38 lidocaine hcl viscous soln 2%....................................... 36 lidocaine oint 5%.............................................................38 lidocaine patch 5% (Lidoderm)...................................... 38 lidocaine-prilocaine cream 2.5-2.5% (Emla)..................38 lindane lotion 1%.............................................................38 liothyronine sodium tab 25 mcg (Cytomel)...................12 liothyronine sodium tab 50 mcg (Cytomel)...................12 liothyronine sodium tab 5 mcg (Cytomel).....................12 lisinopril & hydrochlorothiazide tab 10-12.5 mg (Zestoretic)..................................................................... 13 lisinopril & hydrochlorothiazide tab 20-12.5 mg (Zestoretic)..................................................................... 13 lisinopril & hydrochlorothiazide tab 20-25 mg (Zestoretic)..................................................................... 13 lisinopril tab 10 mg (Prinivil)..........................................13 lisinopril tab 2.5 mg (Zestril).......................................... 13 lisinopril tab 20 mg (Prinivil)..........................................13 lisinopril tab 30 mg (Zestril)........................................... 13 lisinopril tab 40 mg (Zestril)........................................... 13 lisinopril tab 5 mg (Prinivil)............................................13 lithium carbonate cap 150 mg (Lithium carbonate)......24 lithium carbonate cap 300 mg....................................... 24 lithium carbonate cap 600 mg (Lithium carbonate)......24 lithium carbonate tab 300 mg........................................ 24 lithium carbonate tab cr 300 mg (Lithobid)...................24 lithium carbonate tab cr 450 mg....................................24 LOMUSTINE – lomustine cap 100 mg................................7 LOMUSTINE – lomustine cap 10 mg..................................7 LOMUSTINE – lomustine cap 40 mg..................................7 loperamide hcl cap 2 mg................................................20 lorazepam conc 2 mg/ml (Lorazepam intensol)............22 lorazepam tab 0.5 mg (Ativan)....................................... 22 lorazepam tab 1 mg (Ativan).......................................... 22 lorazepam tab 2 mg (Ativan).......................................... 22 losartan potassium & hydrochlorothiazide tab 100-12.5 mg (Hyzaar).....................................................14 losartan potassium & hydrochlorothiazide tab 100-25 mg (Hyzaar).................................................................... 14 losartan potassium & hydrochlorothiazide tab 50-12.5 mg (Hyzaar).................................................................... 14 losartan potassium tab 100 mg (Cozaar)...................... 14 losartan potassium tab 25 mg (Cozaar)........................ 14 losartan potassium tab 50 mg (Cozaar)........................ 14 lovastatin tab 10 mg....................................................... 17 lovastatin tab 20 mg (Mevacor)..................................... 17 lovastatin tab 40 mg (Mevacor)..................................... 17 loxapine succinate cap 10 mg....................................... 24 loxapine succinate cap 25 mg....................................... 24 Generics Plus Drug List October 2014 2014 loxapine succinate cap 50 mg....................................... 24 loxapine succinate cap 5 mg (Loxitane)....................... 24 LYSODREN – mitotane tab 500 mg................................... 7 M malathion lotion 0.5% (Ovide)........................................38 MATULANE – procarbazine hcl cap 50 mg........................ 7 meclizine hcl tab 12.5 mg...............................................21 meclizine hcl tab 25 mg..................................................21 medroxyprogesterone acetate tab 10 mg (Provera).....10 medroxyprogesterone acetate tab 2.5 mg (Provera)......................................................................... 10 medroxyprogesterone acetate tab 5 mg (Provera).......10 mefloquine hcl tab 250 mg...............................................6 MEKINIST – trametinib dimethyl sulfoxide tab 0.5 mg (base equivalent)............................................................... 8 MEKINIST – trametinib dimethyl sulfoxide tab 2 mg (base equivalent)......................................................................... 8 meloxicam tab 15 mg (Mobic)........................................29 meloxicam tab 7.5 mg (Mobic).......................................29 MEPHYTON – phytonadione tab 5 mg............................. 32 mercaptopurine tab 50 mg (Purinethol).......................... 8 mesalamine enema 4 gm................................................21 MESNEX – mesna tab 400 mg...........................................8 MESTINON – pyridostigmine bromide syrup 60 mg/5ml............................................................................. 32 metaxalone tab 800 mg (Skelaxin).................................32 metformin hcl tab 1000 mg (Glucophage).....................11 metformin hcl tab 500 mg (Glucophage)...................... 11 metformin hcl tab 850 mg (Glucophage)...................... 11 metformin hcl tab sr 24hr 500 mg (Glucophage xr)......11 metformin hcl tab sr 24hr 750 mg (Glucophage xr)......11 methadone hcl conc 10 mg/ml (Methadose).................28 methadone hcl soln 10 mg/5ml (Methadone hcl)..........28 methadone hcl soln 5 mg/5ml (Methadone hcl)............28 methadone hcl tab 10 mg (Dolophine).......................... 28 methadone hcl tab 5 mg (Dolophine hcl)......................28 methadone hcl tab for oral susp 40 mg........................ 28 methazolamide tab 25 mg (Neptazane)......................... 17 methazolamide tab 50 mg (Neptazane)......................... 17 methimazole tab 10 mg (Tapazole)................................12 methimazole tab 5 mg (Tapazole)..................................12 methocarbamol tab 500 mg (Robaxin).......................... 32 methocarbamol tab 750 mg (Robaxin-750)................... 32 methotrexate sodium tab 2.5 mg (base equiv)............... 8 methscopolamine bromide tab 2.5 mg (Pamine)..........20 methscopolamine bromide tab 5 mg (Pamine forte)................................................................................20 methyldopa tab 250 mg.................................................. 18 methyldopa tab 500 mg.................................................. 18 methylergonovine maleate tab 0.2 mg.......................... 12 methylphenidate hcl tab 10 mg (Ritalin)....................... 26 methylphenidate hcl tab 20 mg (Ritalin)....................... 26 methylphenidate hcl tab 5 mg (Ritalin)......................... 26 methylphenidate hcl tab cr 20 mg (Ritalin sr)...............26 methylprednisolone tab 16 mg (Medrol)......................... 9 Generics Plus Drug List October 2014 methylprednisolone tab 32 mg (Medrol)......................... 9 methylprednisolone tab 4 mg (Medrol)........................... 9 methylprednisolone tab 4 mg dose pack (Medrol dosepak)........................................................................... 9 methylprednisolone tab 8 mg (Medrol)........................... 9 metoclopramide hcl soln 5 mg/5ml (10 mg/10ml).........21 metoclopramide hcl tab 10 mg (Reglan)....................... 21 metoclopramide hcl tab 5 mg (Reglan)......................... 21 metolazone tab 10 mg.................................................... 17 metolazone tab 2.5 mg (Zaroxolyn)............................... 17 metolazone tab 5 mg (Zaroxolyn).................................. 17 metoprolol succinate tab sr 24hr 100 mg (Toprol xl).....................................................................................15 metoprolol succinate tab sr 24hr 200 mg (Toprol xl).....................................................................................15 metoprolol succinate tab sr 24hr 25 mg (Toprol xl)..... 15 metoprolol succinate tab sr 24hr 50 mg (Toprol xl)..... 15 metoprolol tartrate tab 100 mg (Lopressor)..................15 metoprolol tartrate tab 25 mg........................................ 15 metoprolol tartrate tab 50 mg (Lopressor)....................15 metronidazole cream 0.75% (Metrocream)....................36 metronidazole gel 0.75%................................................ 36 metronidazole gel 1% (Metrogel)................................... 36 metronidazole lotion 0.75% (Metrolotion)..................... 36 metronidazole tab 250 mg (Flagyl).................................. 6 metronidazole tab 500 mg (Flagyl).................................. 6 metronidazole vaginal gel 0.75% (Metrogelvaginal)........................................................................... 22 mexiletine hcl cap 150 mg............................................. 18 mexiletine hcl cap 200 mg............................................. 18 mexiletine hcl cap 250 mg............................................. 18 midodrine hcl tab 10 mg................................................ 18 midodrine hcl tab 2.5 mg............................................... 18 midodrine hcl tab 5 mg.................................................. 18 minocycline hcl cap 100 mg (Minocin)............................3 minocycline hcl cap 50 mg (Minocin)............................. 3 minocycline hcl cap 75 mg (Minocin)............................. 3 minocycline hcl tab 100 mg............................................. 3 minocycline hcl tab 50 mg............................................... 3 minocycline hcl tab 75 mg............................................... 3 minoxidil tab 10 mg........................................................ 18 minoxidil tab 2.5 mg....................................................... 18 MIRENA – levonorgestrel releasing iud 20 mcg/24hr (52 mg total)...........................................................................10 mirtazapine tab 15 mg (Remeron)................................. 23 mirtazapine tab 30 mg (Remeron)................................. 23 mirtazapine tab 45 mg (Remeron)................................. 23 mirtazapine tab 7.5 mg................................................... 23 misoprostol tab 100 mcg (Cytotec)............................... 20 misoprostol tab 200 mcg (Cytotec)............................... 21 modafinil tab 100 mg (Provigil)......................................26 modafinil tab 200 mg (Provigil)......................................26 moexipril hcl tab 15 mg (Univasc).................................13 moexipril hcl tab 7.5 mg (Univasc)................................13 moexipril-hydrochlorothiazide tab 15-12.5 mg (Uniretic)......................................................................... 13 53 2014 moexipril-hydrochlorothiazide tab 15-25 mg................ 13 moexipril-hydrochlorothiazide tab 7.5-12.5 mg (Uniretic)......................................................................... 14 mometasone furoate cream 0.1% (Elocon)................... 37 mometasone furoate oint 0.1% (Elocon).......................37 mometasone furoate solution 0.1% (lotion) (Elocon)...........................................................................37 MONOCLATE-P – antihemophilic factor (human) for inj kit 1000 unit..........................................................................34 MONOCLATE-P – antihemophilic factor (human) for inj kit 1500 unit..........................................................................34 MONOCLATE-P – antihemophilic factor (human) for inj kit 250 unit............................................................................34 MONOCLATE-P – antihemophilic factor (human) for inj kit 500 unit............................................................................34 montelukast sodium chew tab 4 mg (base equiv) (Singulair)....................................................................... 20 montelukast sodium chew tab 5 mg (base equiv) (Singulair)....................................................................... 20 montelukast sodium oral granules packet 4 mg (base equiv) (Singulair)........................................................... 20 montelukast sodium tab 10 mg (base equiv) (Singulair)....................................................................... 20 morphine sulfate (concentrate) oral soln 20 mg/ml..... 28 morphine sulfate beads cap sr 24hr 120 mg (Avinza)........................................................................... 28 morphine sulfate beads cap sr 24hr 30 mg (Avinza)........................................................................... 28 morphine sulfate beads cap sr 24hr 45 mg (Avinza)........................................................................... 28 morphine sulfate beads cap sr 24hr 60 mg (Avinza)........................................................................... 28 morphine sulfate beads cap sr 24hr 75 mg (Avinza)........................................................................... 28 morphine sulfate beads cap sr 24hr 90 mg (Avinza)........................................................................... 28 MORPHINE SULFATE – morphine sulfate suppos 10 mg.................................................................................... 28 MORPHINE SULFATE – morphine sulfate suppos 20 mg.................................................................................... 28 MORPHINE SULFATE – morphine sulfate suppos 30 mg.................................................................................... 28 MORPHINE SULFATE – morphine sulfate suppos 5 mg.................................................................................... 28 MORPHINE SULFATE – morphine sulfate tab 15 mg.......28 MORPHINE SULFATE – morphine sulfate tab 30 mg.......28 morphine sulfate oral soln 10 mg/5ml...........................28 morphine sulfate oral soln 20 mg/5ml...........................28 morphine sulfate tab cr 100 mg (Ms contin)................. 28 morphine sulfate tab cr 15 mg (Ms contin)...................28 morphine sulfate tab cr 200 mg (Ms contin)................. 28 morphine sulfate tab cr 30 mg (Ms contin)...................28 morphine sulfate tab cr 60 mg (Ms contin)...................28 mupirocin calcium cream 2% (Bactroban)....................37 mupirocin oint 2% (Bactroban)......................................37 mycophenolate mofetil cap 250 mg (Cellcept)............. 38 54 mycophenolate mofetil tab 500 mg (Cellcept).............. 38 mycophenolate sodium tab dr 180 mg (mycophenolic acid equiv) (Myfortic).................................................... 38 mycophenolate sodium tab dr 360 mg (mycophenolic acid equiv) (Myfortic).................................................... 38 MYLERAN – busulfan tab 2 mg..........................................8 N nabumetone tab 500 mg.................................................29 nabumetone tab 750 mg.................................................29 nadolol tab 20 mg (Corgard).......................................... 15 nadolol tab 40 mg (Corgard).......................................... 15 nadolol tab 80 mg (Corgard).......................................... 15 naltrexone hcl tab 50 mg (Revia)...................................27 naproxen sodium tab 275 mg (Anaprox)...................... 29 naproxen sodium tab 550 mg (Anaprox ds)................. 29 naproxen susp 125 mg/5ml (Naprosyn)........................ 29 naproxen tab 250 mg (Naprosyn).................................. 29 naproxen tab 375 mg (Naprosyn).................................. 29 naproxen tab 500 mg (Naprosyn).................................. 29 naproxen tab ec 375 mg (Ec-naprosyn)........................ 29 naproxen tab ec 500 mg (Ec-naprosyn)........................ 29 naratriptan hcl tab 1 mg (base equiv) (Amerge)........... 29 naratriptan hcl tab 2.5 mg (base equiv) (Amerge)........ 29 NATACYN – natamycin ophth susp 5%............................35 nateglinide tab 120 mg (Starlix).....................................11 nateglinide tab 60 mg (Starlix).......................................11 neomycin-bacitrac zn-polymyx 5(3.5)mg-400unt-10000unt op oin.................................35 neomycin-polymy-gramicid op sol 1.75-10000-0.025mg-unt-mg/ml (Neosporin)............... 35 neomycin-polymyxin-dexamethasone ophth oint 0.1% (Maxitrol).........................................................................35 neomycin-polymyxin-dexamethasone ophth susp 0.1% (Maxitrol)............................................................... 35 neomycin-polymyxin-hc otic soln 1% (Cortisporin).....36 neomycin-polymyxin-hc otic susp 3.5 mg/ml-10000 unit/ml-1%.......................................................................36 neomycin sulfate tab 500 mg...........................................3 nevirapine tab 200 mg (Viramune)...................................5 nevirapine tab sr 24hr 400 mg (Viramune xr)................. 5 NEXAVAR – sorafenib tosylate tab 200 mg (base equivalent)......................................................................... 8 niacin tab cr 1000 mg (antihyperlipidemic) (Niaspan).........................................................................17 niacin tab cr 500 mg (antihyperlipidemic) (Niaspan).........................................................................17 niacin tab cr 750 mg (antihyperlipidemic) (Niaspan).........................................................................17 NICOTROL INHALER – nicotine inhaler system 10 mg (4 mg delivered)...................................................................27 NICOTROL NS – nicotine nasal spray 10 mg/ml (0.5 mg/ spray)............................................................................... 27 nifedipine tab sr 24hr 30 mg (Adalat cc).......................16 nifedipine tab sr 24hr 60 mg (Adalat cc).......................16 nifedipine tab sr 24hr 90 mg (Adalat cc).......................16 Generics Plus Drug List October 2014 2014 nifedipine tab sr 24hr osmotic 30 mg (Procardia xl).....................................................................................16 nifedipine tab sr 24hr osmotic 60 mg (Procardia xl).....................................................................................16 nifedipine tab sr 24hr osmotic 90 mg (Procardia xl).....................................................................................16 NILANDRON – nilutamide tab 150 mg............................... 8 nitrofurantoin macrocrystalline cap 100 mg (Macrodantin)................................................................. 21 nitrofurantoin macrocrystalline cap 50 mg (Macrodantin)................................................................. 21 nitrofurantoin monohydrate macrocrystalline cap 100 mg (Macrobid)................................................................ 22 nitrofurantoin susp 25 mg/5ml (Furadantin)................. 22 nitroglycerin td patch 24hr 0.1 mg/hr (Nitro-dur)......... 16 nitroglycerin td patch 24hr 0.2 mg/hr (Nitro-dur)......... 16 nitroglycerin td patch 24hr 0.4 mg/hr (Nitro-dur)......... 16 nitroglycerin td patch 24hr 0.6 mg/hr (Nitro-dur)......... 16 NITROSTAT – nitroglycerin sl tab 0.3 mg.........................16 NITROSTAT – nitroglycerin sl tab 0.4 mg.........................16 NITROSTAT – nitroglycerin sl tab 0.6 mg.........................16 norelgestromin-ethinyl estradiol td ptwk 150-35 mcg/24hr (Ortho evra)................................................... 10 norethindrone & ethinyl estradiol-fe chew tab 0.4 mg-35 mcg (Femcon fe)................................................ 10 norethindrone & ethinyl estradiol tab 0.4 mg-35 mcg (Ovcon-35)...................................................................... 10 norethindrone & ethinyl estradiol tab 0.5 mg-35 mcg (Brevicon-28).................................................................. 10 norethindrone & ethinyl estradiol tab 1 mg-35 mcg (Norinyl 1+35).................................................................10 norethindrone ace & ethinyl estradiol-fe tab 1.5 mg-30 mcg (Loestrin fe 1.5/30)................................................ 10 norethindrone ace & ethinyl estradiol-fe tab 1 mg-20 mcg (Loestrin fe 1/20)................................................... 10 norethindrone ace & ethinyl estradiol tab 1.5 mg-30 mcg (Loestrin 1.5/30-21)............................................... 10 norethindrone ace & ethinyl estradiol tab 1 mg-20 mcg (Loestrin 1/20-21)........................................................... 10 norethindrone acetate-ethinyl estradiol tab 1 mg-5 mcg..................................................................................10 norethindrone acetate tab 5 mg (Aygestin).................. 10 norethindrone ac-ethinyl estrad-fe tab 1-20/1-30/1-35 mg-mcg (Estrostep fe).................................................. 10 norethindrone-eth estradiol tab 0.5-35/0.75-35/1-35 mg-mcg (Ortho-novum 7/7/7)....................................... 10 norethindrone-eth estradiol tab 0.5-35/1-35/0.5-35 mgmcg (Tri-norinyl 28).......................................................11 norethindrone tab 0.35 mg (Nor-qd)..............................10 norgestimate & ethinyl estradiol tab 0.25 mg-35 mcg (Ortho-cyclen)................................................................ 11 norgestimate-eth estrad tab 0.18-35/0.215-35/0.25-35 mg-mcg (Ortho tri-cyclen)............................................ 11 norgestrel & ethinyl estradiol tab 0.3 mg-30 mcg........ 11 nortriptyline hcl cap 10 mg (Pamelor)...........................23 nortriptyline hcl cap 25 mg (Pamelor)...........................23 Generics Plus Drug List October 2014 nortriptyline hcl cap 50 mg (Pamelor)...........................23 nortriptyline hcl cap 75 mg (Pamelor)...........................23 NORVIR – ritonavir cap 100 mg......................................... 5 NORVIR – ritonavir oral soln 80 mg/ml...............................5 NORVIR – ritonavir tab 100 mg.......................................... 5 NOVOLIN 70/30 – insulin isophane & regular (human) inj 100 unit/ml (70-30).......................................................... 12 NOVOLIN 70/30 RELION – insulin isophane & regular (human) inj 100 unit/ml (70-30)....................................... 12 NOVOLIN N – insulin isophane (human) inj 100 unit/ ml..................................................................................... 12 NOVOLIN N RELION – insulin isophane (human) inj 100 unit/ml.............................................................................. 12 NOVOLIN R – insulin regular (human) inj 100 unit/ml....... 11 NOVOLIN R RELION – insulin regular (human) inj 100 unit/ml.............................................................................. 11 NOVOLOG FLEXPEN – insulin aspart soln pen-injector 100 unit/ml....................................................................... 11 NOVOLOG – insulin aspart inj 100 unit/ml........................11 NOVOLOG MIX 70/30 – insulin aspart prot & aspart (human) inj 100 unit/ml (70-30)....................................... 12 NOVOLOG MIX 70/30 PREFILL – insulin aspart prot & aspart sus pen-inj 100 unit/ml (70-30).............................12 NOVOLOG PENFILL – insulin aspart soln cartridge 100 unit/ml.............................................................................. 11 NOVOSEVEN – coagulation factor viia (recomb) for inj 2.4 mg (2400 mcg)................................................................ 34 NOVOSEVEN RT – coagulation factor viia (recomb) for inj 1 mg (1000 mcg).............................................................34 NOVOSEVEN RT – coagulation factor viia (recomb) for inj 2 mg (2000 mcg).............................................................34 NOVOSEVEN RT – coagulation factor viia (recomb) for inj 5 mg (5000 mcg).............................................................34 NOVOSEVEN RT – coagulation factor viia (recomb) for inj 8 mg (8000 mcg).............................................................34 NOXAFIL – posaconazole susp 40 mg/ml.......................... 4 nystatin cream 100000 unit/gm......................................37 nystatin oint 100000 unit/gm..........................................37 nystatin susp 100000 unit/ml......................................... 36 nystatin tab 500000 unit................................................... 4 nystatin topical powder.................................................. 37 nystatin-triamcinolone cream 100000-0.1 unit/gm%......................................................................................38 nystatin-triamcinolone oint 100000-0.1 unit/gm-%....... 38 O octreotide acetate inj 1000 mcg/ml (1 mg/ml) (Sandostatin).................................................................. 13 octreotide acetate inj 100 mcg/ml (0.1 mg/ml) (Sandostatin).................................................................. 13 octreotide acetate inj 200 mcg/ml (0.2 mg/ml) (Sandostatin).................................................................. 13 octreotide acetate inj 500 mcg/ml (0.5 mg/ml) (Sandostatin).................................................................. 13 octreotide acetate inj 50 mcg/ml (0.05 mg/ml) (Sandostatin).................................................................. 13 55 2014 ofloxacin ophth soln 0.3% (Ocuflox)............................. 35 ofloxacin otic soln 0.3%................................................. 36 ofloxacin tab 200 mg........................................................ 3 ofloxacin tab 300 mg........................................................ 3 ofloxacin tab 400 mg........................................................ 3 olanzapine orally disintegrating tab 10 mg (Zyprexa zydis)...............................................................................24 olanzapine orally disintegrating tab 15 mg (Zyprexa zydis)...............................................................................24 olanzapine orally disintegrating tab 20 mg (Zyprexa zydis)...............................................................................24 olanzapine orally disintegrating tab 5 mg (Zyprexa zydis)...............................................................................24 olanzapine tab 10 mg (Zyprexa).................................... 24 olanzapine tab 15 mg (Zyprexa).................................... 24 olanzapine tab 2.5 mg (Zyprexa)................................... 24 olanzapine tab 20 mg (Zyprexa).................................... 24 olanzapine tab 5 mg (Zyprexa)...................................... 25 olanzapine tab 7.5 mg (Zyprexa)................................... 25 OLYSIO – simeprevir sodium cap 150 mg (base equivalent)......................................................................... 4 omeprazole cap delayed release 10 mg (Prilosec)....... 21 omeprazole cap delayed release 20 mg (Prilosec)....... 21 omeprazole cap delayed release 40 mg (Prilosec)....... 21 OMNITROPE – somatropin for inj 5.8 mg.........................12 OMNITROPE – somatropin inj 10 mg/1.5ml..................... 12 OMNITROPE – somatropin inj 5 mg/1.5ml....................... 12 ondansetron hcl inj 40 mg/20ml (2 mg/ml) (Zofran)..... 21 ondansetron hcl inj 4 mg/2ml (2 mg/ml)....................... 21 ondansetron hcl oral soln 4 mg/5ml (Zofran)............... 21 ondansetron hcl tab 24 mg............................................ 21 ondansetron hcl tab 4 mg (Zofran)................................21 ondansetron hcl tab 8 mg (Zofran)................................21 ondansetron orally disintegrating tab 4 mg (Zofran odt).................................................................................. 21 ondansetron orally disintegrating tab 8 mg (Zofran odt).................................................................................. 21 OPSUMIT – macitentan tab 10 mg................................... 18 ORFADIN – nitisinone cap 10 mg.....................................13 ORFADIN – nitisinone cap 2 mg.......................................13 ORFADIN – nitisinone cap 5 mg.......................................13 orphenadrine citrate tab sr 12hr 100 mg.......................32 orphenadrine w/ aspirin & caffeine tab 25-385-30 mg....................................................................................32 oxaprozin tab 600 mg (Daypro)..................................... 29 oxcarbazepine susp 300 mg/5ml (60 mg/ml) (Trileptal).........................................................................30 oxcarbazepine tab 150 mg (Trileptal)............................ 31 oxcarbazepine tab 300 mg (Trileptal)............................ 31 oxcarbazepine tab 600 mg (Trileptal)............................ 31 oxybutynin chloride syrup 5 mg/5ml.............................22 oxybutynin chloride tab 5 mg........................................ 22 oxybutynin chloride tab sr 24hr 10 mg (Ditropan xl).....................................................................................22 oxybutynin chloride tab sr 24hr 15 mg (Ditropan xl).....................................................................................22 56 oxybutynin chloride tab sr 24hr 5 mg (Ditropan xl)......22 oxycodone-aspirin tab 4.8355-325 mg (Percodan)....... 28 oxycodone hcl cap 5 mg................................................ 28 oxycodone hcl conc 100 mg/5ml (20 mg/ml) (Oxycodone hcl).............................................................28 oxycodone hcl soln 5 mg/5ml (Oxycodone hcl)........... 28 oxycodone hcl tab 10 mg...............................................28 oxycodone hcl tab 15 mg (Roxicodone)....................... 28 oxycodone hcl tab 20 mg...............................................28 oxycodone hcl tab 30 mg (Roxicodone)....................... 28 oxycodone hcl tab 5 mg (Roxicodone)......................... 28 oxycodone w/ acetaminophen cap 5-500 mg............... 28 oxycodone w/ acetaminophen tab 10-325 mg (Percocet)....................................................................... 28 oxycodone w/ acetaminophen tab 10-650 mg.............. 28 oxycodone w/ acetaminophen tab 5-325 mg (Percocet)....................................................................... 28 oxycodone w/ acetaminophen tab 7.5-325 mg (Percocet)....................................................................... 28 oxycodone w/ acetaminophen tab 7.5-500 mg............. 28 P pantoprazole sodium ec tab 20 mg (base equiv) (Protonix)........................................................................ 21 pantoprazole sodium ec tab 40 mg (base equiv) (Protonix)........................................................................ 21 paricalcitol cap 1 mcg (Zemplar)................................... 13 paricalcitol cap 2 mcg (Zemplar)................................... 13 paricalcitol cap 4 mcg (Zemplar)................................... 13 paromomycin sulfate cap 250 mg................................... 3 paroxetine hcl tab 10 mg (Paxil).................................... 23 paroxetine hcl tab 20 mg (Paxil).................................... 23 paroxetine hcl tab 30 mg (Paxil).................................... 23 paroxetine hcl tab 40 mg (Paxil).................................... 24 paroxetine hcl tab sr 24hr 12.5 mg (Paxil cr)................ 23 paroxetine hcl tab sr 24hr 25 mg (Paxil cr)...................23 paroxetine hcl tab sr 24hr 37.5 mg (Paxil cr)................ 23 pediatric multiple vitamins w/ fluoride soln 0.25 mg/ml ......................................................................................... 32 pediatric vitamins acd w/ fluoride soln 0.5 mg/ml ....... 32 peg 3350-kcl-na bicarb-nacl-na sulfate for soln 236 gm (Golytely)........................................................................ 20 peg 3350-kcl-na bicarb-nacl-na sulfate for soln 240 gm (Colyte-flavor packs)..................................................... 20 peg 3350-kcl-sod bicarb-nacl for soln 420 gm (Nulytely/flavor pack).................................................... 20 PEGASYS – peginterferon alfa-2a inj 180 mcg/0.5ml......... 4 PEGASYS – peginterferon alfa-2a inj 180 mcg/ml.............. 4 PEGASYS – peginterferon alfa-2a inj kit 180 mcg/0.5ml.....4 PEGASYS PROCLICK – peginterferon alfa-2a inj 135 mcg/0.5ml.......................................................................... 4 PEGASYS PROCLICK – peginterferon alfa-2a inj 180 mcg/0.5ml.......................................................................... 4 penicillin v potassium for soln 125 mg/5ml.................... 2 penicillin v potassium for soln 250 mg/5ml.................... 2 penicillin v potassium tab 250 mg...................................2 Generics Plus Drug List October 2014 2014 penicillin v potassium tab 500 mg...................................2 pentoxifylline tab cr 400 mg...........................................34 perindopril erbumine tab 2 mg...................................... 14 perindopril erbumine tab 4 mg (Aceon)........................ 14 perindopril erbumine tab 8 mg (Aceon)........................ 14 permethrin cream 5% (Elimite)...................................... 38 perphenazine tab 16 mg................................................. 25 perphenazine tab 2 mg................................................... 25 perphenazine tab 4 mg................................................... 25 perphenazine tab 8 mg................................................... 25 phenelzine sulfate tab 15 mg (Nardil)............................24 phenobarbital elixir 20 mg/5ml...................................... 25 phenobarbital tab 16.2 mg............................................. 25 phenobarbital tab 32.4 mg............................................. 25 phenytoin chew tab 50 mg (Dilantin infatabs).............. 31 phenytoin sodium extended cap 100 mg (Dilantin)......31 phenytoin sodium extended cap 200 mg (Phenytek).......................................................................31 phenytoin sodium extended cap 300 mg (Phenytek).......................................................................31 phenytoin susp 125 mg/5ml (Dilantin).......................... 31 pilocarpine hcl ophth soln 1% (Isopto carpine)............35 pilocarpine hcl ophth soln 2% (Isopto carpine)............35 pilocarpine hcl ophth soln 4% (Isopto carpine)............35 pilocarpine hcl tab 5 mg (Salagen)................................36 pilocarpine hcl tab 7.5 mg (Salagen).............................36 pindolol tab 10 mg.......................................................... 15 pindolol tab 5 mg............................................................ 15 pioglitazone hcl-metformin hcl tab 15-500 mg (Actoplus met)............................................................... 11 pioglitazone hcl-metformin hcl tab 15-850 mg (Actoplus met)............................................................... 11 pioglitazone hcl tab 15 mg (base equiv) (Actos).......... 11 pioglitazone hcl tab 30 mg (base equiv) (Actos).......... 11 pioglitazone hcl tab 45 mg (base equiv) (Actos).......... 11 piroxicam cap 10 mg (Feldene)..................................... 29 piroxicam cap 20 mg (Feldene)..................................... 29 podofilox soln 0.5% (Condylox).....................................38 polymyxin b-trimethoprim ophth soln 10000 unit/ ml-0.1% (Polytrim)......................................................... 35 POMALYST – pomalidomide cap 1 mg.............................. 8 POMALYST – pomalidomide cap 2 mg.............................. 8 POMALYST – pomalidomide cap 3 mg.............................. 8 POMALYST – pomalidomide cap 4 mg.............................. 8 potassium chloride cap cr 10 meq (Micro-k)................ 32 potassium chloride cap cr 8 meq (Micro-k).................. 32 potassium chloride microencapsulated crys cr tab 10 meq..................................................................................32 potassium chloride microencapsulated crys cr tab 20 meq..................................................................................32 potassium chloride oral liq 10% (20 meq/15ml)............32 potassium chloride oral liq 20% (40 meq/15ml)............32 potassium chloride powder packet 20 meq (K-lor hospital pack)................................................................ 32 potassium chloride tab cr 10 meq (K-tab).................... 32 potassium chloride tab cr 8 meq (600 mg)................... 32 Generics Plus Drug List October 2014 potassium citrate & citric acid powder pack 3300-1002 mg....................................................................................22 potassium citrate tab cr 10 meq (1080 mg) (Urocit-k 10)....................................................................................22 potassium citrate tab cr 5 meq (540 mg) (Urocit-k 5)......................................................................................22 pot bicarbonate & chloride effer tab 25 meq................ 32 pot phos monobasic w/sod phos di & monobas tab 155-852-130mg (K-phos neutral).................................. 32 pramipexole dihydrochloride tab 0.125 mg (Mirapex)......................................................................... 31 pramipexole dihydrochloride tab 0.25 mg (Mirapex)......................................................................... 31 pramipexole dihydrochloride tab 0.5 mg (Mirapex)......31 pramipexole dihydrochloride tab 0.75 mg (Mirapex)......................................................................... 31 pramipexole dihydrochloride tab 1.5 mg (Mirapex)......31 pramipexole dihydrochloride tab 1 mg (Mirapex)........ 31 pravastatin sodium tab 10 mg....................................... 17 pravastatin sodium tab 20 mg (Pravachol)................... 17 pravastatin sodium tab 40 mg (Pravachol)................... 17 pravastatin sodium tab 80 mg (Pravachol)................... 17 prazosin hcl cap 1 mg (Minipress)................................ 18 prazosin hcl cap 2 mg (Minipress)................................ 18 prazosin hcl cap 5 mg (Minipress)................................ 18 prednisolone acetate ophth susp 1% (Pred forte)........35 prednisolone sod phosphate oral soln 15 mg/5ml (base equiv) (Orapred).................................................... 9 prednisolone sod phosph oral soln 6.7 mg/5ml (5 mg/5ml base) (Pediapred)...............................................9 prednisolone syrup 15 mg/5ml (usp solution equivalent) (Prelone)....................................................... 9 PREDNISONE – prednisone oral soln 5 mg/5ml................ 9 prednisone tab 10 mg.......................................................9 prednisone tab 10 mg dose pack.................................... 9 prednisone tab 1 mg.........................................................9 prednisone tab 2.5 mg......................................................9 prednisone tab 20 mg.......................................................9 prednisone tab 5 mg.........................................................9 prednisone tab 5 mg dose pack...................................... 9 PRENATAL PLUS – prenatal vit w/ fe fumarate-fa tab 27-1 mg.................................................................................... 32 PRENATAL VITAMINS PLUS – prenatal vit w/ fe fumarate-fa tab 27-1 mg..................................................32 PREZISTA – darunavir ethanolate susp 100 mg/ml (base equiv)................................................................................. 5 PREZISTA – darunavir ethanolate tab 150 mg (base equiv)................................................................................. 5 PREZISTA – darunavir ethanolate tab 400 mg (base equiv)................................................................................. 5 PREZISTA – darunavir ethanolate tab 600 mg (base equiv)................................................................................. 5 PREZISTA – darunavir ethanolate tab 75 mg (base equiv)................................................................................. 5 PREZISTA – darunavir ethanolate tab 800 mg (base equiv)................................................................................. 5 57 2014 PRIFTIN – rifapentine tab 150 mg...................................... 3 PRIMAQUINE PHOSPHATE – primaquine phosphate tab 26.3 mg..............................................................................6 primidone tab 250 mg (Mysoline).................................. 31 primidone tab 50 mg (Mysoline).................................... 31 PROAIR HFA – albuterol sulfate inhal aero 108 mcg/act (90mcg base equiv).........................................................20 probenecid tab 500 mg...................................................30 prochlorperazine maleate tab 10 mg (Compazine).......25 prochlorperazine maleate tab 5 mg (Compazine).........25 prochlorperazine suppos 25 mg....................................25 PROCRIT – epoetin alfa inj 10000 unit/ml........................ 34 PROCRIT – epoetin alfa inj 20000 unit/ml........................ 34 PROCRIT – epoetin alfa inj 2000 unit/ml.......................... 34 PROCRIT – epoetin alfa inj 3000 unit/ml.......................... 34 PROCRIT – epoetin alfa inj 40000 unit/ml........................ 34 PROCRIT – epoetin alfa inj 4000 unit/ml.......................... 34 progesterone micronized cap 100 mg (Prometrium).................................................................. 10 progesterone micronized cap 200 mg (Prometrium).................................................................. 10 promethazine hcl suppos 12.5 mg................................ 19 promethazine hcl suppos 25 mg................................... 19 promethazine hcl suppos 50 mg................................... 19 promethazine hcl syrup 6.25 mg/5ml............................ 19 promethazine hcl tab 12.5 mg........................................19 promethazine hcl tab 25 mg...........................................19 promethazine hcl tab 50 mg...........................................19 propafenone hcl cap sr 12hr 225 mg (Rythmol sr)....... 18 propafenone hcl cap sr 12hr 325 mg (Rythmol sr)....... 18 propafenone hcl cap sr 12hr 425 mg (Rythmol sr)....... 18 propafenone hcl tab 150 mg (Rythmol).........................18 propafenone hcl tab 225 mg (Rythmol).........................18 propafenone hcl tab 300 mg.......................................... 18 propranolol hcl cap sr 24hr 120 mg (Inderal la)........... 15 propranolol hcl cap sr 24hr 160 mg (Inderal la)........... 15 propranolol hcl cap sr 24hr 60 mg (Inderal la)............. 15 propranolol hcl cap sr 24hr 80 mg (Inderal la)............. 15 propranolol hcl tab 10 mg..............................................15 propranolol hcl tab 20 mg..............................................15 propranolol hcl tab 40 mg..............................................15 propranolol hcl tab 60 mg..............................................15 propranolol hcl tab 80 mg..............................................15 propylthiouracil tab 50 mg............................................. 12 PULMOZYME – dornase alfa inhal soln 1 mg/ml..............20 PURIXAN – mercaptopurine susp 2000 mg/100ml (20 mg/ ml)...................................................................................... 8 pyrazinamide tab 500 mg................................................. 3 pyridostigmine bromide tab 60 mg (Mestinon).............32 Q quetiapine fumarate tab 100 mg (Seroquel)..................25 quetiapine fumarate tab 200 mg (Seroquel)..................25 quetiapine fumarate tab 25 mg (Seroquel)....................25 quetiapine fumarate tab 300 mg (Seroquel)..................25 quetiapine fumarate tab 400 mg (Seroquel)..................25 58 quetiapine fumarate tab 50 mg (Seroquel)....................25 quinapril hcl tab 10 mg (Accupril)................................. 14 quinapril hcl tab 20 mg (Accupril)................................. 14 quinapril hcl tab 40 mg (Accupril)................................. 14 quinapril hcl tab 5 mg (Accupril)................................... 14 quinapril-hydrochlorothiazide tab 10-12.5 mg (Accuretic)...................................................................... 14 quinapril-hydrochlorothiazide tab 20-12.5 mg (Accuretic)...................................................................... 14 quinapril-hydrochlorothiazide tab 20-25 mg (Accuretic)...................................................................... 14 quinidine gluconate tab cr 324 mg................................18 quinidine sulfate tab 200 mg..........................................18 quinidine sulfate tab 300 mg..........................................18 R raloxifene hcl tab 60 mg (Evista)................................... 13 ramipril cap 1.25 mg (Altace)......................................... 14 ramipril cap 10 mg (Altace)............................................ 14 ramipril cap 2.5 mg (Altace)........................................... 14 ramipril cap 5 mg (Altace)..............................................14 ranitidine hcl cap 150 mg...............................................21 ranitidine hcl cap 300 mg...............................................21 ranitidine hcl syrup 15 mg/ml (75 mg/5ml)................... 21 ranitidine hcl tab 150 mg (Zantac).................................21 ranitidine hcl tab 300 mg (Zantac).................................21 REBIF – interferon beta-1a inj 22 mcg/0.5ml (12mu/ml) (44 mcg/ml)......................................................................26 REBIF – interferon beta-1a inj 44 mcg/0.5ml (24mu/ml) (88 mcg/ml)......................................................................26 REBIF REBIDOSE – interferon beta-1a inj 22 mcg/0.5ml (12mu/ml) (44 mcg/ml).................................................... 26 REBIF REBIDOSE – interferon beta-1a inj 44 mcg/0.5ml (24mu/ml) (88 mcg/ml).................................................... 26 REBIF REBIDOSE TITRATION – interferon beta-1a inj 6 x 8.8 mcg/0.2ml & 6 x 22 mcg/0.5ml..................................26 REBIF TITRATION PACK – interferon beta-1a inj 6 x 8.8 mcg/0.2ml & 6 x 22 mcg/0.5ml........................................26 RECOMBINATE – antihemophilic factor (recombinant) for inj 1241-1800 unit............................................................34 RECOMBINATE – antihemophilic factor (recombinant) for inj 1801-2400 unit............................................................34 RECOMBINATE – antihemophilic factor (recombinant) for inj 220-400 unit................................................................34 RECOMBINATE – antihemophilic factor (recombinant) for inj 401-800 unit................................................................34 RECOMBINATE – antihemophilic factor (recombinant) for inj 801-1240 unit..............................................................34 repaglinide tab 0.5 mg (Prandin)................................... 11 repaglinide tab 1 mg (Prandin)...................................... 11 repaglinide tab 2 mg (Prandin)...................................... 11 RESCRIPTOR – delavirdine mesylate tab 100 mg............. 5 RESCRIPTOR – delavirdine mesylate tab 200 mg............. 5 REVLIMID – lenalidomide cap 10 mg............................... 38 REVLIMID – lenalidomide cap 15 mg............................... 38 REVLIMID – lenalidomide cap 20 mg............................... 38 Generics Plus Drug List October 2014 2014 REVLIMID – lenalidomide cap 25 mg............................... 38 REVLIMID – lenalidomide cap 5 mg................................. 38 REVLIMID – lenalidomide caps 2.5 mg............................ 38 REYATAZ – atazanavir sulfate cap 100 mg (base equiv)................................................................................. 5 REYATAZ – atazanavir sulfate cap 150 mg (base equiv)................................................................................. 5 REYATAZ – atazanavir sulfate cap 200 mg (base equiv)................................................................................. 5 REYATAZ – atazanavir sulfate cap 300 mg (base equiv)................................................................................. 5 ribavirin cap 200 mg (Rebetol).........................................4 ribavirin tab 200 mg (Copegus)....................................... 4 rifabutin cap 150 mg (Mycobutin)....................................3 RIFAMATE – isoniazid & rifampin cap 150-300 mg............ 3 rifampin cap 150 mg (Rifadin)..........................................3 rifampin cap 300 mg (Rifadin)..........................................3 riluzole tab 50 mg (Rilutek)............................................ 32 risedronate sodium tab 150 mg (Actonel).....................13 risperidone orally disintegrating tab 0.25 mg...............25 risperidone orally disintegrating tab 0.5 mg (Risperdal m-tab).............................................................................. 25 risperidone orally disintegrating tab 1 mg (Risperdal m-tab).............................................................................. 25 risperidone orally disintegrating tab 2 mg (Risperdal m-tab).............................................................................. 25 risperidone orally disintegrating tab 3 mg (Risperdal m-tab).............................................................................. 25 risperidone orally disintegrating tab 4 mg (Risperdal m-tab).............................................................................. 25 risperidone soln 1 mg/ml (Risperdal)............................25 risperidone tab 0.25 mg (Risperdal).............................. 25 risperidone tab 0.5 mg (Risperdal)................................ 25 risperidone tab 1 mg (Risperdal)................................... 25 risperidone tab 2 mg (Risperdal)................................... 25 risperidone tab 3 mg (Risperdal)................................... 25 risperidone tab 4 mg (Risperdal)................................... 25 rivastigmine tartrate cap 1.5 mg (Exelon)..................... 27 rivastigmine tartrate cap 3 mg (Exelon)........................27 rivastigmine tartrate cap 4.5 mg (Exelon)..................... 27 rivastigmine tartrate cap 6 mg (Exelon)........................27 RIXUBIS – coagulation factor ix (recombinant) for inj 1000 unit................................................................................... 34 RIXUBIS – coagulation factor ix (recombinant) for inj 2000 unit................................................................................... 34 RIXUBIS – coagulation factor ix (recombinant) for inj 250 unit................................................................................... 34 RIXUBIS – coagulation factor ix (recombinant) for inj 3000 unit................................................................................... 34 RIXUBIS – coagulation factor ix (recombinant) for inj 500 unit................................................................................... 34 rizatriptan benzoate orally disintegrating tab 10 mg (Maxalt-mlt).....................................................................29 rizatriptan benzoate orally disintegrating tab 5 mg (Maxalt-mlt).....................................................................29 rizatriptan benzoate tab 10 mg (Maxalt)........................29 Generics Plus Drug List October 2014 rizatriptan benzoate tab 5 mg (Maxalt)..........................29 ropinirole hydrochloride tab 0.25 mg (Requip).............31 ropinirole hydrochloride tab 0.5 mg (Requip)...............31 ropinirole hydrochloride tab 1 mg (Requip)................. 31 ropinirole hydrochloride tab 2 mg (Requip)................. 31 ropinirole hydrochloride tab 3 mg (Requip)................. 31 ropinirole hydrochloride tab 4 mg (Requip)................. 31 ropinirole hydrochloride tab 5 mg (Requip)................. 31 S SABRIL – vigabatrin powd pack 500 mg.......................... 31 SABRIL – vigabatrin tab 500 mg...................................... 31 salsalate tab 500 mg....................................................... 27 salsalate tab 750 mg....................................................... 27 selegiline hcl cap 5 mg (Eldepryl)................................. 31 selegiline hcl tab 5 mg................................................... 31 selenium sulfide lotion 2.5%.......................................... 38 SELZENTRY – maraviroc tab 150 mg................................ 5 SELZENTRY – maraviroc tab 300 mg................................ 5 SENSIPAR – cinacalcet hcl tab 30 mg (base equiv)......... 13 SENSIPAR – cinacalcet hcl tab 60 mg (base equiv)......... 13 SENSIPAR – cinacalcet hcl tab 90 mg (base equiv)......... 13 sertraline hcl oral conc 20 mg/ml (Zoloft).....................24 sertraline hcl tab 100 mg (Zoloft).................................. 24 sertraline hcl tab 25 mg (Zoloft).................................... 24 sertraline hcl tab 50 mg (Zoloft).................................... 24 sildenafil citrate tab 20 mg (Revatio).............................18 silver sulfadiazine cream 1% (Silvadene)..................... 37 simvastatin tab 10 mg (Zocor)....................................... 17 simvastatin tab 20 mg (Zocor)....................................... 17 simvastatin tab 40 mg (Zocor)....................................... 17 simvastatin tab 5 mg (Zocor)......................................... 17 simvastatin tab 80 mg (Zocor)....................................... 17 sirolimus tab 0.5 mg (Rapamune)..................................38 SKYLA – levonorgestrel releasing iud 13.5 mg.................11 sodium citrate & citric acid soln 500-334 mg/5ml (Shohls solution modi)..................................................22 sodium fluoride chew tab 0.25 mg f (from 0.55 mg naf) (Luride)............................................................................32 sodium fluoride chew tab 0.5 mg f (from 1.1 mg naf) (Luride)............................................................................32 sodium fluoride chew tab 1 mg f (from 2.2 mg naf) (Luride)............................................................................32 sodium fluoride cream 1.1% (Prevident 5000 plus)......36 sodium fluoride gel 1.1% (0.5% f) (Prevident fluoride)...........................................................................36 sodium fluoride soln 0.125 mg/drop f (0.275 mg/drop naf).................................................................................. 32 sodium fluoride soln 0.5 mg/ml f (from 1.1 mg/ml naf) (Luride)............................................................................32 sodium polystyrene sulfonate oral susp 15 gm/60ml (Sps)................................................................................ 38 sodium polystyrene sulfonate powder (Kayexalate)....................................................................39 sotalol hcl (afib/afl) tab 120 mg (Betapace af).............. 18 sotalol hcl (afib/afl) tab 160 mg (Betapace af).............. 18 59 2014 sotalol hcl (afib/afl) tab 80 mg (Betapace af)................ 18 sotalol hcl tab 120 mg (Betapace)................................. 18 sotalol hcl tab 160 mg (Betapace)................................. 18 sotalol hcl tab 240 mg.................................................... 18 sotalol hcl tab 80 mg (Betapace)................................... 18 SOVALDI – sofosbuvir tab 400 mg.....................................4 SPIRIVA HANDIHALER – tiotropium bromide monohydrate inhal cap 18 mcg (base equiv)...................20 spironolactone & hydrochlorothiazide tab 25-25 mg (Aldactazide)...................................................................17 spironolactone tab 100 mg (Aldactone)........................ 17 spironolactone tab 25 mg (Aldactone).......................... 17 spironolactone tab 50 mg (Aldactone).......................... 17 SPRYCEL – dasatinib tab 100 mg......................................8 SPRYCEL – dasatinib tab 140 mg......................................8 SPRYCEL – dasatinib tab 20 mg........................................8 SPRYCEL – dasatinib tab 50 mg........................................8 SPRYCEL – dasatinib tab 70 mg........................................8 SPRYCEL – dasatinib tab 80 mg........................................8 stavudine cap 15 mg (Zerit)............................................. 5 stavudine cap 20 mg (Zerit)............................................. 5 stavudine cap 30 mg (Zerit)............................................. 5 stavudine cap 40 mg (Zerit)............................................. 5 stavudine for oral soln 1 mg/ml (Zerit)............................5 STIMATE – desmopressin acetate nasal soln 1.5 mg/ ml..................................................................................... 13 STIVARGA – regorafenib tab 40 mg...................................8 STRIBILD – elvitegrav-cobicis-emtricitab-tenofov tab 150-150-200-300 mg......................................................... 5 STROMECTOL – ivermectin tab 3 mg................................6 SUBOXONE – buprenorphine hcl-naloxone hcl sl film 12-3 mg (base equiv)...............................................................28 SUBOXONE – buprenorphine hcl-naloxone hcl sl film 2-0.5 mg (base equiv)..................................................... 28 SUBOXONE – buprenorphine hcl-naloxone hcl sl film 4-1 mg (base equiv)...............................................................28 SUBOXONE – buprenorphine hcl-naloxone hcl sl film 8-2 mg (base equiv)...............................................................28 sucralfate tab 1 gm (Carafate)....................................... 21 sulfacetamide sodium lotion 10% (acne) (Klaron)........36 sulfacetamide sodium ophth soln 10% (Bleph-10).......35 sulfacetamide sodium-prednisolone ophth soln 10-0.23(0.25)%................................................................ 35 sulfacetamide sodium w/ sulfur cream 10-5%.............. 36 sulfacetamide sodium w/ sulfur emulsion 10-5%......... 36 sulfacetamide sodium w/ sulfur lotion 10-5%...............36 sulfamethoxazole-trimethoprim susp 200-40 mg/5ml.............................................................................. 6 sulfamethoxazole-trimethoprim tab 400-80 mg (Bactrim)........................................................................... 6 sulfamethoxazole-trimethoprim tab 800-160 mg (Bactrim ds)......................................................................6 sulfasalazine tab 500 mg (Azulfidine)........................... 21 sulfasalazine tab delayed release 500 mg (Azulfidine en-tabs)........................................................................... 21 sulindac tab 150 mg........................................................29 60 sulindac tab 200 mg........................................................29 sumatriptan succinate inj 6 mg/0.5ml (Imitrex)............ 29 sumatriptan succinate solution auto-injector 4 mg/0.5ml (Imitrex statdose sys)................................... 29 sumatriptan succinate solution auto-injector 6 mg/0.5ml (Imitrex statdose sys)................................... 30 sumatriptan succinate solution cartridge 4 mg/0.5ml (Imitrex statdose ref)..................................................... 30 sumatriptan succinate solution cartridge 6 mg/0.5ml (Imitrex statdose ref)..................................................... 30 sumatriptan succinate solution prefilled syringe 6 mg/0.5ml......................................................................... 30 sumatriptan succinate tab 100 mg (Imitrex)................. 30 sumatriptan succinate tab 25 mg (Imitrex)................... 30 sumatriptan succinate tab 50 mg (Imitrex)................... 30 SUSTIVA – efavirenz cap 200 mg...................................... 5 SUSTIVA – efavirenz cap 50 mg........................................ 5 SUSTIVA – efavirenz tab 600 mg.......................................5 SUTENT – sunitinib malate cap 12.5 mg (base equivalent)......................................................................... 8 SUTENT – sunitinib malate cap 25 mg (base equivalent)......................................................................... 8 SUTENT – sunitinib malate cap 37.5 mg (base equivalent)......................................................................... 8 SUTENT – sunitinib malate cap 50 mg (base equivalent)......................................................................... 8 SYLATRON – peginterferon alfa-2b for inj kit 296 mcg....... 8 SYLATRON – peginterferon alfa-2b for inj kit 444 mcg....... 8 SYLATRON – peginterferon alfa-2b for inj kit 4 x 296 mcg.................................................................................... 8 SYLATRON – peginterferon alfa-2b for inj kit 4 x 444 mcg.................................................................................... 8 SYLATRON – peginterferon alfa-2b for inj kit 4 x 888 mcg.................................................................................... 8 SYLATRON – peginterferon alfa-2b for inj kit 888 mcg....... 8 SYMAX DUOTAB – hyoscyamine sulfate tab cr 0.375 mg (0.125 mg ir/0.25 mg cr)..................................................21 SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 160-4.5 mcg/act.................................................. 20 SYMBICORT – budesonide-formoterol fumarate dihyd aerosol 80-4.5 mcg/act.................................................... 20 SYNAGIS – palivizumab im soln 100 mg/ml....................... 6 SYNAGIS – palivizumab im soln 50 mg/0.5ml.................... 6 SYNAREL – nafarelin acetate nasal soln 2 mg/ml............ 13 T TABLOID – thioguanine tab 40 mg.....................................8 tacrolimus cap 0.5 mg (Prograf).................................... 39 tacrolimus cap 1 mg (Prograf)....................................... 39 tacrolimus cap 5 mg (Prograf)....................................... 39 TAFINLAR – dabrafenib mesylate cap 50 mg (base equivalent)......................................................................... 8 TAFINLAR – dabrafenib mesylate cap 75 mg (base equivalent)......................................................................... 8 tamoxifen citrate tab 10 mg (base equivalent)............... 8 tamoxifen citrate tab 20 mg (base equivalent)............... 8 Generics Plus Drug List October 2014 2014 tamsulosin hcl cap 0.4 mg (Flomax)............................. 22 TARCEVA – erlotinib tab 100 mg....................................... 8 TARCEVA – erlotinib tab 150 mg....................................... 8 TARCEVA – erlotinib tab 25 mg......................................... 8 TARGRETIN – bexarotene cap 75 mg............................... 8 TASIGNA – nilotinib cap 150 mg........................................ 8 TASIGNA – nilotinib cap 200 mg........................................ 8 TAZORAC – tazarotene cream 0.05%..............................36 TAZORAC – tazarotene cream 0.1%................................36 TAZORAC – tazarotene gel 0.05%................................... 36 TAZORAC – tazarotene gel 0.1%.....................................36 TECFIDERA – dimethyl fumarate capsule delayed release 120 mg.............................................................................26 TECFIDERA – dimethyl fumarate capsule delayed release 240 mg.............................................................................26 TECFIDERA STARTER PACK – dimethyl fumarate capsule dr starter pack 120 mg & 240 mg...................... 26 temazepam cap 15 mg (Restoril)................................... 25 temazepam cap 22.5 mg (Restoril)................................ 25 temazepam cap 30 mg (Restoril)................................... 25 temazepam cap 7.5 mg (Restoril).................................. 25 temozolomide cap 100 mg (Temodar).............................8 temozolomide cap 140 mg (Temodar).............................8 temozolomide cap 180 mg (Temodar).............................8 temozolomide cap 20 mg (Temodar)...............................8 temozolomide cap 250 mg (Temodar).............................8 temozolomide cap 5 mg (Temodar).................................8 terazosin hcl cap 10 mg................................................. 18 terazosin hcl cap 1 mg................................................... 18 terazosin hcl cap 2 mg................................................... 18 terazosin hcl cap 5 mg................................................... 19 terbinafine hcl tab 250 mg (Lamisil)................................4 terbutaline sulfate tab 2.5 mg........................................ 20 terbutaline sulfate tab 5 mg........................................... 20 terconazole vaginal cream 0.4% (Terazol 7)................. 22 terconazole vaginal cream 0.8% (Terazol 3)................. 22 terconazole vaginal suppos 80 mg (Terazol 3)............. 22 testosterone cypionate im in oil 100 mg/ml (Depotestosterone).................................................................... 9 testosterone cypionate im in oil 200 mg/ml (Depotestosterone).................................................................... 9 testosterone enanthate im in oil 200 mg/ml (Delatestryl)...................................................................... 9 TEST STRIPS – BAYERAUTODISC, BREEZE 2, CONTOUR, CONTOUR NEXT........................................38 THALOMID – thalidomide cap 100 mg............................. 39 THALOMID – thalidomide cap 150 mg............................. 39 THALOMID – thalidomide cap 200 mg............................. 39 THALOMID – thalidomide cap 50 mg............................... 39 theophylline tab sr 12hr 100 mg.................................... 20 theophylline tab sr 12hr 200 mg.................................... 20 theophylline tab sr 12hr 300 mg.................................... 20 theophylline tab sr 12hr 450 mg.................................... 20 theophylline tab sr 24hr 400 mg.................................... 20 theophylline tab sr 24hr 600 mg.................................... 20 thiothixene cap 10 mg.................................................... 25 Generics Plus Drug List October 2014 thiothixene cap 1 mg...................................................... 25 thiothixene cap 2 mg...................................................... 25 thiothixene cap 5 mg...................................................... 25 timolol maleate ophth gel forming soln 0.25% (Timoptic-xe).................................................................. 35 timolol maleate ophth gel forming soln 0.5% (Timoptic-xe).................................................................. 35 timolol maleate ophth soln 0.25% (Timoptic)............... 35 timolol maleate ophth soln 0.5% (Timoptic)................. 35 TIVICAY – dolutegravir sodium tab 50 mg (base equiv)......5 tizanidine hcl tab 2 mg................................................... 32 tizanidine hcl tab 4 mg (Zanaflex)................................. 32 tobramycin-dexamethasone ophth susp 0.3-0.1% (Tobradex)...................................................................... 35 tobramycin nebu soln 300 mg/5ml (Tobi)....................... 3 tobramycin ophth soln 0.3% (Tobrex)........................... 35 tolterodine tartrate cap sr 24hr 2 mg (Detrol la)........... 22 tolterodine tartrate cap sr 24hr 4 mg (Detrol la)........... 22 tolterodine tartrate tab 1 mg (Detrol).............................22 tolterodine tartrate tab 2 mg (Detrol).............................22 topiramate sprinkle cap 15 mg (Topamax sprinkle)..... 31 topiramate sprinkle cap 25 mg (Topamax sprinkle)..... 31 topiramate tab 100 mg (Topamax).................................31 topiramate tab 200 mg (Topamax).................................31 topiramate tab 25 mg (Topamax)...................................31 topiramate tab 50 mg (Topamax)...................................31 torsemide tab 100 mg (Demadex)..................................17 torsemide tab 10 mg (Demadex)....................................17 torsemide tab 20 mg (Demadex)....................................17 torsemide tab 5 mg (Demadex)......................................17 TRACLEER – bosentan tab 125 mg................................. 19 TRACLEER – bosentan tab 62.5 mg................................ 19 tramadol-acetaminophen tab 37.5-325 mg (Ultracet)......................................................................... 28 tramadol hcl tab 50 mg (Ultram).................................... 28 tramadol hcl tab sr 24hr 100 mg (Ultram er).................28 tramadol hcl tab sr 24hr 200 mg (Ultram er).................28 tramadol hcl tab sr 24hr 300 mg (Ultram er).................28 trandolapril tab 1 mg (Mavik)......................................... 14 trandolapril tab 2 mg (Mavik)......................................... 14 trandolapril tab 4 mg (Mavik)......................................... 14 tranylcypromine sulfate tab 10 mg (Parnate)............... 24 trazodone hcl tab 100 mg...............................................24 trazodone hcl tab 150 mg...............................................24 trazodone hcl tab 300 mg...............................................24 trazodone hcl tab 50 mg.................................................24 tretinoin cap 10 mg...........................................................8 tretinoin cream 0.025% (Retin-a)................................... 36 tretinoin cream 0.05% (Retin-a)..................................... 36 tretinoin cream 0.1% (Retin-a)....................................... 36 tretinoin gel 0.01% (Retin-a)...........................................36 tretinoin gel 0.025% (Retin-a).........................................36 tretinoin microsphere gel 0.04% (Retin-a micro)..........36 tretinoin microsphere gel 0.1% (Retin-a micro)............36 TRETTEN – coagulation factor xiii a-subunit for inj 2000-3125 unit.................................................................34 61 2014 triamcinolone acetonide cream 0.025%........................ 38 triamcinolone acetonide cream 0.1%............................ 38 triamcinolone acetonide cream 0.5%............................ 38 triamcinolone acetonide dental paste 0.1%.................. 36 triamcinolone acetonide lotion 0.025%......................... 38 triamcinolone acetonide lotion 0.1%............................. 38 triamcinolone acetonide nasal inhal 55 mcg/act (Nasacort aq)..................................................................19 triamcinolone acetonide oint 0.025%............................ 38 triamcinolone acetonide oint 0.1%................................ 38 triamterene & hydrochlorothiazide cap 37.5-25 mg (Dyazide)......................................................................... 17 triamterene & hydrochlorothiazide tab 37.5-25 mg (Maxzide-25)................................................................... 17 triamterene & hydrochlorothiazide tab 75-50 mg (Maxzide).........................................................................18 TRICITRATES – pot & sod citrates w/ cit ac soln 550-500-334 mg/5ml........................................................22 trifluoperazine hcl tab 10 mg......................................... 25 trifluoperazine hcl tab 1 mg........................................... 25 trifluoperazine hcl tab 2 mg........................................... 25 trifluoperazine hcl tab 5 mg........................................... 25 trifluridine ophth soln 1% (Viroptic).............................. 35 trihexyphenidyl hcl elixir 0.4 mg/ml.............................. 31 trihexyphenidyl hcl tab 2 mg......................................... 31 trihexyphenidyl hcl tab 5 mg......................................... 31 trimethobenzamide hcl cap 300 mg (Tigan)..................21 trimethoprim tab 100 mg.................................................. 6 TRIUMEQ – abacavir-dolutegravir-lamivudine tab 600-50-300 mg.................................................................. 5 tropicamide ophth soln 0.5%......................................... 35 tropicamide ophth soln 1% (Mydriacyl)........................ 35 TRUVADA – emtricitabine-tenofovir disoproxil fumarate tab 200-300 mg................................................................. 5 TYKERB – lapatinib ditosylate tab 250 mg (base equiv)..... 8 U ursodiol cap 300 mg (Actigall).......................................21 ursodiol tab 250 mg (Urso 250)..................................... 21 ursodiol tab 500 mg (Urso forte)................................... 21 V VAGIFEM – estradiol vaginal tab 10 mcg......................... 22 valacyclovir hcl tab 1 gm (Valtrex).................................. 4 valacyclovir hcl tab 500 mg (Valtrex).............................. 4 VALCHLOR – mechlorethamine hcl gel 0.016% (base equivalent)....................................................................... 38 VALCYTE – valganciclovir hcl for soln 50 mg/ml (base equiv)................................................................................. 4 VALCYTE – valganciclovir hcl tab 450 mg......................... 4 valproate sodium syrup 250 mg/5ml (base equiv) (Depakene)......................................................................31 valproic acid cap 250 mg (Depakene)........................... 31 valsartan-hydrochlorothiazide tab 160-12.5 mg (Diovan hct).................................................................... 14 62 valsartan-hydrochlorothiazide tab 160-25 mg (Diovan hct).................................................................................. 14 valsartan-hydrochlorothiazide tab 320-12.5 mg (Diovan hct).................................................................... 14 valsartan-hydrochlorothiazide tab 320-25 mg (Diovan hct).................................................................................. 14 valsartan-hydrochlorothiazide tab 80-12.5 mg (Diovan hct).................................................................................. 14 valsartan tab 160 mg (Diovan)....................................... 14 valsartan tab 320 mg (Diovan)....................................... 14 valsartan tab 40 mg (Diovan)......................................... 14 valsartan tab 80 mg (Diovan)......................................... 14 vancomycin hcl cap 125 mg (Vancocin hcl)................... 6 vancomycin hcl cap 250 mg (Vancocin hcl)................... 6 VANDETANIB – vandetanib tab 100 mg............................ 8 VANDETANIB – vandetanib tab 300 mg............................ 8 venlafaxine hcl cap sr 24hr 150 mg (base equivalent) (Effexor xr)..................................................................... 24 venlafaxine hcl cap sr 24hr 37.5 mg (base equivalent) (Effexor xr)..................................................................... 24 venlafaxine hcl cap sr 24hr 75 mg (base equivalent) (Effexor xr)..................................................................... 24 venlafaxine hcl tab 100 mg............................................ 24 venlafaxine hcl tab 25 mg.............................................. 24 venlafaxine hcl tab 37.5 mg........................................... 24 venlafaxine hcl tab 50 mg.............................................. 24 venlafaxine hcl tab 75 mg.............................................. 24 venlafaxine hcl tab sr 24hr 150 mg (base equivalent) (Venlafaxine hcl er)....................................................... 24 venlafaxine hcl tab sr 24hr 37.5 mg (base equivalent) (Venlafaxine hcl er)....................................................... 24 venlafaxine hcl tab sr 24hr 75 mg (base equivalent) (Venlafaxine hcl er)....................................................... 24 verapamil hcl cap sr 24hr 120 mg (Verelan)................. 16 verapamil hcl cap sr 24hr 180 mg (Verelan)................. 16 verapamil hcl cap sr 24hr 240 mg (Verelan)................. 16 verapamil hcl cap sr 24hr 360 mg (Verelan)................. 16 verapamil hcl tab 120 mg (Calan).................................. 16 verapamil hcl tab 80 mg (Calan).................................... 16 verapamil hcl tab cr 120 mg (Calan sr)......................... 16 verapamil hcl tab cr 180 mg (Calan sr)......................... 16 verapamil hcl tab cr 240 mg (Calan sr)......................... 16 VICTOZA – liraglutide soln pen-injector 18 mg/3ml (6 mg/ ml).................................................................................... 11 VIDEX – didanosine for soln 2 gm......................................5 VIDEX – didanosine for soln 4 gm......................................5 VIRACEPT – nelfinavir mesylate tab 250 mg..................... 5 VIRACEPT – nelfinavir mesylate tab 625 mg..................... 5 VIRAMUNE – nevirapine susp 50 mg/5ml.......................... 6 VIRAMUNE XR – nevirapine tab sr 24hr 100 mg............... 6 VIREAD – tenofovir disoproxil fumarate oral powder 40 mg/gm................................................................................ 6 VIREAD – tenofovir disoproxil fumarate tab 150 mg........... 6 VIREAD – tenofovir disoproxil fumarate tab 200 mg........... 6 VIREAD – tenofovir disoproxil fumarate tab 250 mg........... 6 VIREAD – tenofovir disoproxil fumarate tab 300 mg........... 6 Generics Plus Drug List October 2014 2014 voriconazole for susp 40 mg/ml (Vfend)......................... 4 voriconazole tab 200 mg (Vfend).....................................4 voriconazole tab 50 mg (Vfend).......................................4 VOTRIENT – pazopanib hcl tab 200 mg (base equiv)........ 8 W warfarin warfarin warfarin warfarin warfarin warfarin warfarin warfarin warfarin sodium sodium sodium sodium sodium sodium sodium sodium sodium tab 10 mg (Coumadin)........................34 tab 1 mg (Coumadin)..........................34 tab 2.5 mg (Coumadin).......................34 tab 2 mg (Coumadin)..........................34 tab 3 mg (Coumadin)..........................34 tab 4 mg (Coumadin)..........................34 tab 5 mg (Coumadin)..........................34 tab 6 mg (Coumadin)..........................34 tab 7.5 mg (Coumadin).......................34 X XALKORI – crizotinib cap 200 mg...................................... 8 XALKORI – crizotinib cap 250 mg...................................... 8 XIFAXAN – rifaximin tab 550 mg........................................ 6 XTANDI – enzalutamide cap 40 mg................................... 8 XYNTHA – antihemophilic factor recombinant paf for inj kit 1000 unit..........................................................................34 XYNTHA – antihemophilic factor recombinant paf for inj kit 2000 unit..........................................................................34 XYNTHA – antihemophilic factor recombinant paf for inj kit 250 unit............................................................................34 XYNTHA – antihemophilic factor recombinant paf for inj kit 500 unit............................................................................34 XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 1000 unit.................................................... 35 XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 2000 unit.................................................... 35 XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 250 unit...................................................... 34 XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 3000 unit.................................................... 35 XYNTHA SOLOFUSE – antihemophilic factor recombinant paf for inj kit 500 unit...................................................... 34 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 25000-85000-136000 unit................................................21 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 3000-10000-16000 unit....................................................21 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 5000-17000-27000 unit....................................................21 ZIAGEN – abacavir sulfate soln 20 mg/ml (base equiv)...... 6 zidovudine cap 100 mg (Retrovir)................................... 6 zidovudine syrup 10 mg/ml (Retrovir).............................6 zidovudine tab 300 mg..................................................... 6 ziprasidone hcl cap 20 mg (Geodon)............................ 25 ziprasidone hcl cap 40 mg (Geodon)............................ 25 ziprasidone hcl cap 60 mg (Geodon)............................ 25 ziprasidone hcl cap 80 mg (Geodon)............................ 25 ZOLINZA – vorinostat cap 100 mg..................................... 8 zolpidem tartrate tab 10 mg (Ambien)...........................25 zolpidem tartrate tab 5 mg (Ambien).............................25 zolpidem tartrate tab cr 12.5 mg (Ambien cr)............... 25 zolpidem tartrate tab cr 6.25 mg (Ambien cr)............... 25 zonisamide cap 100 mg (Zonegran).............................. 31 zonisamide cap 25 mg (Zonegran)................................ 31 zonisamide cap 50 mg....................................................31 ZYDELIG – idelalisib tab 100 mg........................................9 ZYDELIG – idelalisib tab 150 mg........................................9 ZYKADIA – ceritinib cap 150 mg........................................ 9 ZYTIGA – abiraterone acetate tab 250 mg......................... 9 ZYVOX – linezolid for susp 100 mg/5ml............................. 6 ZYVOX – linezolid tab 600 mg........................................... 6 Y Z zafirlukast tab 10 mg (Accolate).................................... 20 zafirlukast tab 20 mg (Accolate).................................... 20 zaleplon cap 10 mg (Sonata)..........................................25 zaleplon cap 5 mg (Sonata)........................................... 25 ZELBORAF – vemurafenib tab 240 mg (base equivalent)......................................................................... 8 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 10000-34000-55000 unit..................................................21 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 15000-51000-82000 unit..................................................21 ZENPEP – pancrelipase (lip-prot-amyl) dr cap 20000-68000-109000 unit................................................21 Generics Plus Drug List October 2014 63
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