1. No category

CVS/caremark
Value Formulary
Effective as of 1/1/2015
Value Formulary
Effective 01/01/2015
INTRODUCTION....................................................................................................................................................................................................... 4
PREFACE ................................................................................................................................................................................................................. 4
PHARMACY AND THERAPEUTICS (P&T) COMMITTEE ...................................................................................................................................... 4
DRUG LIST PRODUCT DESCRIPTIONS ................................................................................................................................................................ 4
GENERIC SUBSTITUTION ...................................................................................................................................................................................... 5
SPECIALTY MEDICATIONS.................................................................................................................................................................................... 6
PLAN DESIGN.......................................................................................................................................................................................................... 6
PREVENTIVE SERVICES ........................................................................................................................................................................................ 7
LEGEND ................................................................................................................................................................................................................... 7
NOTICE..................................................................................................................................................................................................................... 7
ANALGESICS........................................................................................................................................................................................................... 8
ANALGESICS, OTHER .................................................................................................................................................................................. 8
NSAIDs ........................................................................................................................................................................................................... 8
GOUT ............................................................................................................................................................................................................. 8
OPIOID ANALGESICS ................................................................................................................................................................................... 8
VISCOSUPPLEMENTS ................................................................................................................................................................................. 9
ANTI-INFECTIVES ................................................................................................................................................................................................... 9
ANTIBACTERIALS ......................................................................................................................................................................................... 9
ANTIFUNGALS ............................................................................................................................................................................................ 10
ANTIRETROVIRAL AGENTS ...................................................................................................................................................................... 10
ANTITUBERCULAR AGENTS ..................................................................................................................................................................... 11
ANTIVIRALS................................................................................................................................................................................................. 11
MISCELLANEOUS ....................................................................................................................................................................................... 12
ANTINEOPLASTIC AGENTS ................................................................................................................................................................................ 13
ORAL HORMONAL ANTINEOPLASTIC AGENTS ...................................................................................................................................... 13
ORAL NON-HORMONAL ANTINEOPLASTIC AGENTS............................................................................................................................. 13
MISCELLANEOUS ....................................................................................................................................................................................... 14
CARDIOVASCULAR .............................................................................................................................................................................................. 14
ACE INHIBITORS......................................................................................................................................................................................... 14
ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS ........................................................................................................ 15
ACE INHIBITOR/DIURETIC COMBINATIONS ............................................................................................................................................ 15
ADRENOLYTICS, CENTRAL....................................................................................................................................................................... 15
ALDOSTERONE RECEPTOR ANTAGONISTS .......................................................................................................................................... 15
ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS ........................................................................................... 15
ANTIARRHYTHMICS ................................................................................................................................................................................... 15
ANTILIPEMICS............................................................................................................................................................................................. 15
BETA-BLOCKERS ....................................................................................................................................................................................... 16
BETA-BLOCKER/DIURETIC COMBINATIONS ........................................................................................................................................... 16
CALCIUM CHANNEL BLOCKERS .............................................................................................................................................................. 16
DIGITALIS GLYCOSIDES ............................................................................................................................................................................ 17
DIURETICS .................................................................................................................................................................................................. 17
NITRATES .................................................................................................................................................................................................... 17
PULMONARY ARTERIAL HYPERTENSION .............................................................................................................................................. 17
MISCELLANEOUS ....................................................................................................................................................................................... 17
CENTRAL NERVOUS SYSTEM ............................................................................................................................................................................ 18
ANTIANXIETY .............................................................................................................................................................................................. 18
ANTICONVULSANTS .................................................................................................................................................................................. 18
ANTIDEMENTIA ........................................................................................................................................................................................... 18
ANTIDEPRESSANTS .................................................................................................................................................................................. 19
ANTIPARKINSONIAN AGENTS .................................................................................................................................................................. 19
ANTIPSYCHOTICS ...................................................................................................................................................................................... 20
ATTENTION DEFICIT HYPERACTIVITY DISORDER ................................................................................................................................ 20
FIBROMYALGIA........................................................................................................................................................................................... 20
HYPNOTICS................................................................................................................................................................................................. 20
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MIGRAINE .................................................................................................................................................................................................... 21
MOOD STABILIZERS .................................................................................................................................................................................. 21
MULTIPLE SCLEROSIS AGENTS .............................................................................................................................................................. 21
MUSCULOSKELETAL THERAPY AGENTS ............................................................................................................................................... 21
MYASTHENIA GRAVIS ............................................................................................................................................................................... 21
NARCOLEPSY ............................................................................................................................................................................................. 21
PSYCHOTHERAPEUTIC-MISCELLANEOUS ............................................................................................................................................. 21
MISCELLANEOUS ....................................................................................................................................................................................... 22
ENDOCRINE AND METABOLIC ........................................................................................................................................................................... 22
ANDROGENS .............................................................................................................................................................................................. 22
ANTIDIABETICS .......................................................................................................................................................................................... 22
CALCIUM REGULATORS ........................................................................................................................................................................... 23
CONTRACEPTIVES .................................................................................................................................................................................... 23
ENDOMETRIOSIS ....................................................................................................................................................................................... 24
ESTROGENS ............................................................................................................................................................................................... 24
ESTROGEN/PROGESTINS ......................................................................................................................................................................... 24
GLUCOCORTICOIDS .................................................................................................................................................................................. 25
GLUCOSE ELEVATING AGENTS ............................................................................................................................................................... 25
HUMAN GROWTH HORMONES ................................................................................................................................................................. 25
HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS ................................................................................................................. 25
PHOSPHATE BINDER AGENTS ................................................................................................................................................................. 25
PROGESTINS .............................................................................................................................................................................................. 25
SELECTIVE ESTROGEN RECEPTOR MODULATORS ............................................................................................................................. 25
THYROID AGENTS ..................................................................................................................................................................................... 25
VASOPRESSINS ......................................................................................................................................................................................... 25
MISCELLANEOUS ....................................................................................................................................................................................... 25
GASTROINTESTINAL ........................................................................................................................................................................................... 26
ANTIDIARRHEALS ...................................................................................................................................................................................... 26
ANTIEMETICS ............................................................................................................................................................................................. 26
ANTISPASMODICS ..................................................................................................................................................................................... 26
CHOLELITHOLYTICS .................................................................................................................................................................................. 26
H2 RECEPTOR ANTAGONISTS .................................................................................................................................................................. 26
INFLAMMATORY BOWEL DISEASE .......................................................................................................................................................... 26
IRRITABLE BOWEL SYNDROME ............................................................................................................................................................... 27
LAXATIVES .................................................................................................................................................................................................. 27
PANCREATIC ENZYMES ............................................................................................................................................................................ 27
PROSTAGLANDINS .................................................................................................................................................................................... 27
PROTON PUMP INHIBITORS ..................................................................................................................................................................... 27
SALIVA STIMULANTS ................................................................................................................................................................................. 27
STEROIDS, RECTAL ................................................................................................................................................................................... 27
MISCELLANEOUS ....................................................................................................................................................................................... 27
GENITOURINARY .................................................................................................................................................................................................. 27
BENIGN PROSTATIC HYPERPLASIA ........................................................................................................................................................ 27
URINARY ANTISPASMODICS .................................................................................................................................................................... 28
VAGINAL ANTI-INFECTIVES ...................................................................................................................................................................... 28
MISCELLANEOUS ....................................................................................................................................................................................... 28
HEMATOLOGIC ..................................................................................................................................................................................................... 28
ANTICOAGULANTS .................................................................................................................................................................................... 28
PLATELET AGGREGATION INHIBITORS .................................................................................................................................................. 28
PLATELET SYNTHESIS INHIBITORS ........................................................................................................................................................ 28
MISCELLANEOUS ....................................................................................................................................................................................... 28
IMMUNOLOGIC AGENTS...................................................................................................................................................................................... 28
BIOLOGIC DISEASE-MODIFYING AGENTS .............................................................................................................................................. 28
DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs) ................................................................................................................. 29
IMMUNOMODULATORS ............................................................................................................................................................................. 29
IMMUNOSUPPRESSANTS ......................................................................................................................................................................... 29
NUTRITIONAL/SUPPLEMENTS............................................................................................................................................................................ 29
ELECTROLYTES ......................................................................................................................................................................................... 29
VITAMINS AND MINERALS ........................................................................................................................................................................ 29
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RESPIRATORY ...................................................................................................................................................................................................... 30
ANAPHYLAXIS TREATMENT AGENTS ..................................................................................................................................................... 30
ANTICHOLINERGICS .................................................................................................................................................................................. 30
ANTICHOLINERGIC/BETA AGONIST COMBINATIONS ............................................................................................................................ 30
ANTIHISTAMINES, LOW SEDATING.......................................................................................................................................................... 30
ANTIHISTAMINES, NONSEDATING ........................................................................................................................................................... 30
ANTIHISTAMINES, SEDATING ................................................................................................................................................................... 30
ANTIHISTAMINE/DECONGESTANT COMBINATIONS .............................................................................................................................. 30
ANTITUSSIVES............................................................................................................................................................................................ 30
ANTITUSSIVE COMBINATIONS ................................................................................................................................................................. 30
BETA AGONISTS ........................................................................................................................................................................................ 31
CYSTIC FIBROSIS ...................................................................................................................................................................................... 31
LEUKOTRIENE RECEPTOR ANTAGONISTS ............................................................................................................................................ 31
NASAL ANTIHISTAMINES .......................................................................................................................................................................... 31
NASAL STEROIDS ...................................................................................................................................................................................... 31
STEROID/BETA AGONIST COMBINATIONS ............................................................................................................................................. 31
STEROID INHALANTS ................................................................................................................................................................................ 31
XANTHINES ................................................................................................................................................................................................. 31
MISCELLANEOUS ....................................................................................................................................................................................... 31
TOPICAL ................................................................................................................................................................................................................ 32
DERMATOLOGY.......................................................................................................................................................................................... 32
MOUTH/THROAT/DENTAL AGENTS ......................................................................................................................................................... 33
OPHTHALMIC .............................................................................................................................................................................................. 34
OTIC ............................................................................................................................................................................................................. 35
WEBSITES ............................................................................................................................................................................................................. 36
INDEX ..................................................................................................................................................................................................................... 38
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INTRODUCTION
We are pleased to provide the 2015 Value Formulary as a useful reference and informational tool. This
document can assist practitioners in selecting clinically appropriate and cost-effective products for their
patients.
The drugs represented have been reviewed by a National Pharmacy and Therapeutics (P&T) Committee and
are approved for inclusion. The document is reflective of current medical practice as of the date of review.
The information contained in this document and its appendices is provided solely for the convenience of
medical providers. We do not warrant or assure accuracy of such information nor is it intended to be
comprehensive in nature. This document is not intended to be a substitute for the knowledge, expertise, skill
and judgment of the medical provider in his or her choice of prescription drugs. All the information in the
document is provided as a reference for drug therapy selection. Specific drug selection for an individual
patient rests solely with the prescriber.
The document is subject to state-specific regulations and rules, including, but not limited to, those regarding
generic substitution, controlled substance schedules, preference for brands and mandatory generics
whenever applicable.
We assume no responsibility for the actions or omissions of any medical provider based upon reliance, in
whole or in part, on the information contained herein. The medical provider should consult the drug
manufacturer's product literature or standard references for more detailed information.
National guidelines can be found on the National Guideline Clearinghouse site at http://www.guideline.gov,
on the websites listed under each therapeutic class and on the sites listed in the Websites section of this
publication.
PREFACE
The document is organized by sections. Each section is divided by therapeutic drug class primarily defined
by mechanism of action. Products are listed by generic name with brand name for reference only. Unless the
cited drug is available as an injectable or an exception is specifically noted, generally, all applicable dosage
forms and strengths of the drug cited are included in the document.
Drugs represented in this document may have varying cost to the plan member based on the plan's benefit
structure. Generic medications typically are available at the lower cost, brand-name medications on the
document will generally cost more than generics. Generics should be considered the first line of prescribing
subject to applicable rules.
PHARMACY AND THERAPEUTICS (P&T) COMMITTEE
The services of an independent National Pharmacy and Therapeutics Committee ("P&T Committee") are
utilized to approve safe and clinically effective drug therapies. The P&T Committee is an external advisory
body of experts from across the United States. The P&T Committee's voting members include physicians,
pharmacists, a pharmacoeconomist and a medical ethicist, all of whom have a broad background of clinical
and academic expertise regarding prescription drugs. Employees with significant clinical expertise are invited
to meet with the P&T Committee, but no CVS/caremark employee may vote on issues before the P&T
Committee. Voting members of the P&T Committee must disclose any financial relationship or conflicts of
interest with any pharmaceutical manufacturers.
DRUG LIST PRODUCT DESCRIPTIONS
To assist in understanding which specific strengths and dosage forms on the document are covered, examples
are noted below. The general principles shown in the examples can usually be extended to other entries in the
document. Any exceptions are noted.
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Listed products on the document generally include all strengths and all oral dosage forms of the cited
product.
amlodipine
Norvasc
Oral tablets and all strengths of amlodipine would be included in this listing.
Nasal sprays require a separate entry.
sumatriptan nasal spray
Imitrex
Oral disintegrating tablets require a separate entry.
ondansetron orally disintegrating tabs
Zofran ODT
Injectable dosage forms require a separate entry.
sumatriptan inj
Imitrex
When a strength or dosage form is specified, only the specified strength and dosage form is on the
document. Other strengths/dosage forms, including injectable dosage forms of the reference product are
not.
terbinafine tabs
Lamisil
The tablets formulation is listed on the document, but the oral granules are not.
Extended-release and delayed-release products require their own entry.
quetiapine
Seroquel
The immediate-release product listing of Seroquel alone would not include the extended-release product
Seroquel XR.
quetiapine ext-rel
Seroquel XR
A separate entry for Seroquel XR confirms that the extended-release product is on the document.
Dosage forms on the document will be consistent with the category and use where listed.
neomycin/polymyxin B/hydrocortisone
Cortisporin
Since Cortisporin is listed only in the OTIC section, it is limited to the otic solution and suspension. From this
entry the topical cream cannot be assumed to be on the list unless there is an entry for this product in the
DERMATOLOGY section of the document.
GENERIC SUBSTITUTION
Generic substitution is a pharmacy action whereby a generic version is dispensed rather than a prescribed
brand-name product. Boldface type indicates generic availability. However, not all strengths or dosage
forms of the generic name in boldface type may be generically available. In most instances, a brand-name
drug for which a generic product becomes available will become non-formulary, with the generic product
covered in its place, upon release of the generic product onto the market. However, the document is subject
to state specific regulations and rules regarding generic substitution and mandatory generic rules apply
where appropriate.
Generic drugs are usually priced lower than their brand-name equivalents. Prescription generic drugs are:
Approved by the U.S. Food and Drug Administration for safety and effectiveness, and are
manufactured under the same strict standards that apply to brand-name drugs.
Tested in humans to assure the generic is absorbed into the bloodstream in a similar rate and
extent compared to the brand-name drug (bioequivalence). Generics may be different from the
brand in size, color and inactive ingredients, but this does not alter their effectiveness or ability to
be absorbed just like the brand-name drug.
Manufactured in the same strength and dosage form as the brand-name drugs.
When a generic drug is substituted for a brand-name drug, you can expect the generic to produce the same
clinical effect and safety profile as the brand-name drug (therapeutic equivalence).
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SPECIALTY MEDICATIONS
A new, rapidly growing category of drugs, specialty medications are the result of continued advances in drug
development technology and design. They are created to target and treat complex chronic or genetic medical
conditions and include bioengineered proteins, blood-derived products and complex molecules. The
therapeutic categories listed below include products that are covered as part of the Specialty benefit.
Acromegaly
Alcohol/Opioid Dependency
Allergic Asthma
Alpha-1 Antitrypsin Deficiency
Anemia
Botulinum Toxins (non-cosmetic use only)
Cardiac Disorders
Contraceptives
Cryopyrin-Associated Periodic Syndromes
Cystic Fibrosis
Dupuytren’s Contracture
Gastrointestinal Disorders-Other
Gout
Growth Hormone & Related Disorders
Hematopoietics
Hemophilia, Von Willebrand Disease &
Related Bleeding Disorders
Hepatitis
Hereditary Angioedema
HIV Medications
Hormonal Therapies
Immune Deficiencies & Related Disorders
Immune (Idiopathic) Thrombocytopenic Purpura
Infectious Disease
Inflammatory Bowel Disease
Iron Overload
Lipid Disorders
Lysosomal Storage Disorders
Movement Disorders
Multiple Sclerosis
Neutropenia
Oncology – Injectable
Oncology – Oral/Topical
Osteoarthritis
Osteoporosis
Pain Management
Paroxysmal Nocturnal Hemoglobinuria
Phenylketonuria
Pre-Term Birth
Psoriasis
Pulmonary Arterial Hypertension
Renal Disease
Respiratory Syncytial Virus
Retinal Disorders
Rheumatoid Arthritis
Seizure Disorders
Systemic Lupus Erythematosus
Transplant
Urea Cycle Disorders
Specialty Guideline Management (SGM)
SGM is our utilization management program that helps ensure appropriate utilization for specialty
medications based on currently accepted evidence-based medicine guidelines. The utilization management
program is available for therapeutic areas dispensed by our specialty pharmacies. SGM is designed to
ensure safety and efficacy while preventing off-guideline utilization. Medications which may be included in
the SGM program are identified in the document as “SP” for your reference. For additional information,
please refer to http://www.cvscaremarkspecialtyrx.com or to submit a prior authorization, please call
866-814-5506.
PLAN DESIGN
The document represents a closed formulary plan design. Certain medications on the list are covered if
utilization management criteria are met (i.e., Step Therapy, Prior Authorization, Quantity Limits, etc.);
requests for use of such medications outside of their listed criteria will be reviewed for medical necessity. If a
medication is not listed on the document, a formulary exception may be requested for coverage. Medical
necessity or formulary exception requests will be reviewed based on drug-specific prior authorization criteria
or standard non-formulary prescription request criteria.
Individual pharmacy benefit plans may impose restrictions or not reimburse some products. In addition, overthe-counter (OTC) products, with the exception of insulin and diabetes monitoring products, are usually not
included in the pharmacy benefit. If covered in the pharmacy benefit, OTC products require a valid
prescription. OTC products are listed for informational purposes.
Log in to www.caremark.com to check coverage.
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PREVENTIVE SERVICES
The U.S. Department of Health and Human Services (HHS) has adopted Guidelines for Preventive Services
under the Affordable Care Act (ACA). Under the ACA, some pharmacy benefit plans may provide a range of
preventive services for $0 member cost share. These items may include:
• Aspirin to Prevent Cardiovascular Disease
• Bowel Preparations for Colorectal Cancer Screening
• Fluoride and/or Iron Supplementation in Children
• Folic Acid Supplementation for Women Expecting or Planning to be Pregnant
• Tobacco Use Counseling and Cessation Intervention
• Immunizations
• Women's Health Preventive Services (i.e., birth control, emergency contraception)
Items that may be covered as preventive services under this formulary will not be specifically noted since
final coverage is determined by the plan sponsor. For additional information regarding preventive services,
please refer to http://www.hhs.gov.
LEGEND
AL
HRM
OTC
PA
QL
SP
ST
boldface
delayed-rel
ext-rel
Age Limit
High Risk Medications require PA for members age 65 and older
Over the counter
Prior Authorization
Quantity Limit
Specialty Drug
Step Therapy
Indicates generic availability; boldface may not apply to every strength or dosage form
under the listed generic name
Delayed-release (also known as enteric-coated), refer to the reference brand listed for
clarification
Extended-release (also known as sustained-release), refer to the reference brand listed
for clarification
NOTICE
The information contained in this document is proprietary. The information may not be copied in whole or in
part without written permission. ©2014 CVS/caremark. All rights reserved.
This document contains references to brand-name prescription drugs that are trademarks or registered
trademarks of pharmaceutical manufacturers not affiliated with CVS/caremark.
CVS/caremark does not operate the websites/organizations listed here, nor is it responsible for the
availability or reliability of the websites' content. These listings do not imply or constitute an endorsement,
sponsorship or recommendation by CVS/caremark.
Please be advised that this document is updated periodically and changes may appear prior to their
effective date to allow for client notification.
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ANALGESICS
Practice guidelines of pain management are available at:
http://www.asahq.org
ANALGESICS, OTHER
Treatment recommendations for osteoarthritis are available at:
http://www.rheumatology.org
OTC
acetaminophen
TYLENOL
diclofenac potassium
diclofenac sodium delayed-rel
diclofenac sodium ext-rel
diflunisal
etodolac
fenoprofen
flurbiprofen
ibuprofen
ibuprofen
ketoprofen
ketoprofen ext-rel
ketorolac
ketorolac inj
meloxicam
nabumetone
naproxen
naproxen delayed-rel
naproxen sodium
naproxen sodium
oxaprozin
piroxicam
sulindac
tolmetin
CATAFLAM
allopurinol
colchicine
probenecid
ZYLOPRIM
COLCRYS
NSAIDs
OTC
OTC
VOLTAREN XR
ADVIL
MOBIC
NAPROSYN
EC-NAPROSYN
ALEVE
ANAPROX
DAYPRO
FELDENE
CLINORIL
GOUT
OPIOID ANALGESICS
Practice Guidelines for Cancer Pain Management (includes WHO analgesic ladder) are available at:
http://www.asahq.org
http://www.nccn.org
Opioid guidelines in the management of chronic non-malignant pain are available at:
http://www.asipp.org/Guidelines.htm
QL, PA
QL
PA, QL
QL, PA
QL
QL
QL, PA
QL
codeine sulfate
codeine/acetaminophen
fentanyl lozenge
fentanyl transdermal
hydrocodone/acetaminophen
hydrocodone/acetaminophen - Vicodin
hydromorphone
levorphanol tartrate
TYLENOL w/CODEINE
ACTIQ
DURAGESIC
NORCO
DILAUDID
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QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
QL
QL
QL
methadone
morphine
morphine ext-rel
morphine ext-rel
morphine supp
oxycodone
oxycodone ext-rel
oxycodone/acetaminophen
tramadol
tramadol ext-rel
VISCOSUPPLEMENTS
PA, SP
sodium hyaluronate
PA, SP
sodium hyaluronate
DOLOPHINE
KADIAN
MS CONTIN
ROXICODONE
OXYCONTIN
PERCOCET
ULTRAM
ULTRAM ER
GEL-ONE
SUPARTZ
ANTI-INFECTIVES
Hepatitis: CDC recommendations on the treatment of hepatitis are available at:
http://www.cdc.gov/hepatitis/Resources/
Guidelines for the management of chronic hepatitis by the American Association for the Study of Liver Disease are available at:
http://www.aasld.org
HIV/AIDS: Guidelines for the treatment of HIV patients by the U.S. Department of Health and Human Services are available at:
http://www.aidsinfo.nih.gov
Infective Endocarditis: American Heart Association recommendations for the prevention of bacterial endocarditis are available at:
http://www.myamericanheart.org
Influenza: Recommendations of the Advisory Committee on Immunization Practices are available at:
http://www.cdc.gov/ncidod/diseases/flu/fluvirus.htm
International Travel: CDC recommendations for international travel are available at:
http://www.cdc.gov/travel
Sexually Transmitted Diseases: CDC Sexually Transmitted Diseases Guidelines are available at:
http://www.cdc.gov/std/treatment/default.htm
Respiratory Tract Infection/Antibiotic Use/Community Acquired Pneumonia/Other: Principles of appropriate antibiotic use
for treatment of nonspecific upper respiratory tract infection in adults are available at:
http://www.cdc.gov/flu/
Practice guidelines and statements developed and endorsed by the Infectious Diseases Society of America are available at:
http://www.idsociety.org
ANTIBACTERIALS
Cephalosporins
First Generation
cefadroxil
cephalexin
KEFLEX
Second Generation
cefprozil
cefuroxime axetil
CEFTIN
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Third Generation
cefdinir
cefpodoxime
Erythromycins/Macrolides
azithromycin
clarithromycin
clarithromycin ext-rel
erythromycin delayed-rel
erythromycin ethylsuccinate
erythromycin stearate
PA
fidaxomicin
Fluoroquinolones
ciprofloxacin
ciprofloxacin ext-rel
levofloxacin
moxifloxacin
VANTIN
ZITHROMAX
BIAXIN
BIAXIN XL
E.E.S.
ERYTHROCIN
DIFICID
CIPRO
LEVAQUIN
AVELOX
Penicillins
amoxicillin
amoxicillin/clavulanate
amoxicillin/clavulanate ext-rel
ampicillin
dicloxacillin
penicillin VK
Tetracyclines
doxycycline hyclate
doxycycline hyclate tabs
doxycycline monohydrate susp
minocycline
minocycline ext-rel
tetracycline
ANTIFUNGALS
clotrimazole troches
fluconazole
griseofulvin microsize
itraconazole
nystatin
posaconazole
terbinafine tabs
voriconazole
ANTIRETROVIRAL AGENTS
Antiretroviral Combinations
abacavir/lamivudine
abacavir/lamivudine/zidovudine
efavirenz/emtricitabine/tenofovir
elvitegravir/cobicistat/emtricitabine/tenofovir
emtricitabine/rilpivirine/tenofovir
emtricitabine/tenofovir
lamivudine/zidovudine
AUGMENTIN
AUGMENTIN XR
VIBRAMYCIN
VIBRAMYCIN
MINOCIN
DIFLUCAN
GRIFULVIN V
SPORANOX
NOXAFIL
LAMISIL
VFEND
EPZICOM
TRIZIVIR
ATRIPLA
STRIBILD
COMPLERA
TRUVADA
COMBIVIR
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Chemokine Receptor Antagonists
maraviroc
SELZENTRY
Integrase Inhibitors
dolutegravir
raltegravir
TIVICAY
ISENTRESS
Non-nucleoside Reverse Transcriptase Inhibitors
delavirdine
efavirenz
etravirine
nevirapine
nevirapine ext-rel
rilpivirine
RESCRIPTOR
SUSTIVA
INTELENCE
VIRAMUNE
VIRAMUNE XR
EDURANT
Nucleoside Reverse Transcriptase Inhibitors
abacavir
didanosine delayed-rel
didanosine soln
emtricitabine
lamivudine
stavudine
zidovudine
ZIAGEN
VIDEX EC
VIDEX
EMTRIVA
EPIVIR
ZERIT
RETROVIR
Nucleotide Reverse Transcriptase Inhibitors
tenofovir
VIREAD
Protease Inhibitors
atazanavir
darunavir
fosamprenavir
indinavir
lopinavir/ritonavir
ritonavir
saquinavir mesylate
REYATAZ
PREZISTA
LEXIVA
CRIXIVAN
KALETRA
NORVIR
INVIRASE
ANTITUBERCULAR AGENTS
capreomycin
cycloserine
ethambutol
ethionamide
isoniazid
isoniazid/rifampin
isoniazid-rifampin w/pyrazinamide
pyrazinamide
rifampin
rifapentine
streptomycin sulfate
ANTIVIRALS
Cytomegalovirus Agents
valganciclovir
CAPASTAT SULFATE
MYAMBUTOL
TRECATOR
RIFAMATE
RIFATER
RIFADIN
PRIFTIN
VALCYTE
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Hepatitis Agents
Hepatitis B
entecavir
lamivudine
Hepatitis C
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
boceprevir
ribavirin caps
ribavirin caps - Ribasphere
ribavirin oral soln
ribavirin tabs
simeprevir
sofosbuvir
BARACLUDE
EPIVIR-HBV
VICTRELIS
REBETOL
REBETOL
COPEGUS
OLYSIO
SOVALDI
Herpes Agents
acyclovir
famciclovir
valacyclovir
ZOVIRAX
FAMVIR
VALTREX
Influenza Agents
amantadine
QL, PA
oseltamivir
rimantadine
QL, PA
zanamivir
TAMIFLU
FLUMADINE
RELENZA
MISCELLANEOUS
albendazole
atovaquone
clindamycin
dapsone
ivermectin
linezolid
metronidazole
nitazoxanide
HRM
nitrofurantoin ext-rel
HRM
nitrofurantoin macrocrystals
rifabutin
rifaximin
PA
rifaximin 550 mg
sulfamethoxazole/trimethoprim
sulfamethoxazole/trimethoprim DS
PA
tedizolid
PA
tedizolid inj
tinidazole
trimethoprim
ST, PA
vancomycin
ALBENZA
MEPRON
CLEOCIN
STROMECTOL
ZYVOX
FLAGYL
ALINIA
MACROBID
MACRODANTIN
MYCOBUTIN
XIFAXAN
XIFAXAN 550 mg
SIVEXTRO
SIVEXTRO
TINDAMAX
VANCOCIN
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ANTINEOPLASTIC AGENTS
Clinical practice guidelines in oncology are available at:
http://www.asco.org
http://www.nccn.org
Most oncology medications are eligible for coverage and some may require prior authorization. Please call the Customer Care
phone number located on the prescription ID card for coverage determination.
ORAL HORMONAL ANTINEOPLASTIC AGENTS
Antiandrogens
PA, SP
abiraterone
bicalutamide
PA, SP
enzalutamide
flutamide
nilutamide
Antiestrogens/Selective Estrogen Receptor Modifiers
fulvestrant
tamoxifen
toremifene
Aromatase Inhibitors
anastrozole
exemestane
letrozole
ZYTIGA
XTANDI
NILANDRON
FASLODEX
FARESTON
ARIMIDEX
AROMASIN
FEMARA
Progestins
megestrol acetate
ORAL NON-HORMONAL ANTINEOPLASTIC AGENTS
Alkylating Agents
altretamine
busulfan
chlorambucil
cyclophosphamide tabs
estramustine
lomustine
melphalan
PA, SP
temozolomide
Antimetabolites
PA, SP
capecitabine
mercaptopurine
thioguanine
MEGACE
HEXALEN
MYLERAN
LEUKERAN
EMCYT
ALKERAN
TEMODAR
XELODA
PURINETHOL
Immunomodulators
PA, SP
lenalidomide
PA, SP
pomalidomide
PA, SP
thalidomide
REVLIMID
POMALYST
THALOMID
Kinase Inhibitors
PA, SP
afatinib
PA, SP
axitinib
PA, SP
bosutinib
PA, SP
cabozantinib
PA, SP
ceritinib
GILOTRIF
INLYTA
BOSULIF
COMETRIQ
ZYKADIA
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PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
crizotinib
dabrafenib
dasatinib
erlotinib
everolimus
ibrutinib
idelalisib
imatinib mesylate
lapatinib
nilotinib
pazopanib
ponatinib
regorafenib
ruxolitinib
sorafenib
sunitinib
trametinib
vandetanib
vemurafenib
Topoisomerase Inhibitors
topotecan caps
MISCELLANEOUS
PA, SP
bexarotene caps
etoposide caps
hydroxyurea
mitotane
procarbazine
tretinoin caps
PA, SP
vismodegib
PA, SP
vorinostat
XALKORI
TAFINLAR
SPRYCEL
TARCEVA
AFINITOR
IMBRUVICA
ZYDELIG
GLEEVEC
TYKERB
TASIGNA
VOTRIENT
ICLUSIG
STIVARGA
JAKAFI
NEXAVAR
SUTENT
MEKINIST
CAPRELSA
ZELBORAF
HYCAMTIN
TARGRETIN
HYDREA
LYSODREN
MATULANE
ERIVEDGE
ZOLINZA
CARDIOVASCULAR
The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure
is available at:
http://www.nhlbi.nih.gov/guidelines/hypertension
Guidelines for the evaluation and management of cardiovascular diseases in adults are available at:
http://www.acc.org
http://www.heartfailureguideline.org
http://www.myamericanheart.org
ACE INHIBITORS
Guidelines for the use of ACE inhibitors are available at:
http://professional.diabetes.org
http://www.acc.org
http://www.myamericanheart.org
http://www.nhlbi.nih.gov/guidelines/hypertension
captopril
enalapril
lisinopril
perindopril
ramipril
trandolapril
VASOTEC
ZESTRIL
ACEON
ALTACE
MAVIK
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ACE INHIBITOR/CALCIUM CHANNEL BLOCKER COMBINATIONS
amlodipine/benazepril
LOTREL
ACE INHIBITOR/DIURETIC COMBINATIONS
captopril/hydrochlorothiazide
enalapril/hydrochlorothiazide
lisinopril/hydrochlorothiazide
VASERETIC
ZESTORETIC
ADRENOLYTICS, CENTRAL
clonidine
clonidine transdermal
CATAPRES
CATAPRES-TTS
ALDOSTERONE RECEPTOR ANTAGONISTS
eplerenone
spironolactone
INSPRA
ALDACTONE
ANGIOTENSIN II RECEPTOR ANTAGONISTS/DIURETIC COMBINATIONS
Guidelines for the use of angiotensin II receptor antagonists in various patient populations are available at:
http://professional.diabetes.org
http://www.nhlbi.nih.gov/guidelines/hypertension
irbesartan
irbesartan/hydrochlorothiazide
losartan
losartan/hydrochlorothiazide
valsartan
valsartan/hydrochlorothiazide
AVAPRO
AVALIDE
COZAAR
HYZAAR
DIOVAN
DIOVAN HCT
ANTIARRHYTHMICS
Guidelines for the use of antiarrhythmics and cardiac glycosides in various patient populations are available at:
http://www.acc.org
PA, SP
acebutolol
amiodarone
amiodarone - Pacerone
disopyramide
disopyramide ext-rel
dofetilide
flecainide
ibutilide
propafenone
propafenone ext-rel
sotalol
sotalol
SECTRAL
CORDARONE
NORPACE
NORPACE CR
TIKOSYN
CORVERT
RYTHMOL
RYTHMOL SR
BETAPACE
BETAPACE AF
ANTILIPEMICS
The Third Report of the Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult
Treatment Panel III) is available at:
http://www.nhlbi.nih.gov/guidelines/cholesterol/index.htm
Bile Acid Resins
cholestyramine
colestipol
QUESTRAN/QUESTRAN LIGHT
COLESTID
Fibrates
fenofibrate
fenofibrate
LOFIBRA
TRICOR
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gemfibrozil
HMG-CoA Reductase Inhibitors
atorvastatin
pravastatin
simvastatin
LOPID
LIPITOR
PRAVACHOL
ZOCOR
Niacins
niacin ext-rel
NIASPAN
BETA-BLOCKERS
Guidelines for the use of beta-blockers and beta-blocker combinations in various patient populations are available at:
http://www.acc.org
http://www.nhlbi.nih.gov/guidelines/hypertension
atenolol
bisoprolol
carvedilol
labetalol
metoprolol
metoprolol ext-rel
nadolol
pindolol
propranolol
propranolol ext-rel
TENORMIN
ZEBETA
COREG
TRANDATE
LOPRESSOR
TOPROL-XL
CORGARD
INDERAL LA
BETA-BLOCKER/DIURETIC COMBINATIONS
Guidelines for the use of beta-blockers and diuretic combinations in various patient populations are available at:
http://www.acc.org
http://www.nhlbi.nih.gov/guidelines/hypertension
atenolol/chlorthalidone
bisoprolol/hydrochlorothiazide
metoprolol/hydrochlorothiazide
nadolol/bendroflumethiazide
propranolol/hydrochlorothiazide
TENORETIC
ZIAC
LOPRESSOR HCT
CORZIDE
CALCIUM CHANNEL BLOCKERS
Guidelines for the use of calcium channel blockers in various patient populations are available at:
http://www.acc.org
http://www.nhlbi.nih.gov/guidelines/hypertension
Dihydropyridines
amlodipine
felodipine ext-rel
isradipine
nicardipine
nifedipine ext-rel
nifedipine ext-rel
Nondihydropyridines
diltiazem ext-rel
diltiazem ext-rel
diltiazem ext-rel
verapamil ext-rel
verapamil ext-rel
verapamil ext-rel
NORVASC
ADALAT CC
PROCARDIA XL
CARDIZEM CD
CARDIZEM LA
TIAZAC
CALAN SR
VERELAN
VERELAN PM
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DIGITALIS GLYCOSIDES
digoxin
digoxin ped elixir
DIURETICS
Loop Diuretics
bumetanide
furosemide
torsemide
LANOXIN
LASIX
DEMADEX
Potassium-sparing Diuretics
amiloride
Thiazides and Thiazide-like Diuretics
chlorthalidone
hydrochlorothiazide
indapamide
metolazone
ZAROXOLYN
Diuretic Combinations
amiloride/hydrochlorothiazide
spironolactone/hydrochlorothiazide
triamterene/hydrochlorothiazide
triamterene/hydrochlorothiazide
ALDACTAZIDE
DYAZIDE
MAXZIDE
NITRATES
Oral
isosorbide dinitrate
isosorbide dinitrate ext-rel tabs
isosorbide mononitrate
isosorbide mononitrate ext-rel
ISORDIL
nitroglycerin sublingual
NITROSTAT
IMDUR
Sublingual
Transdermal
nitroglycerin transdermal
NITRO-DUR
PULMONARY ARTERIAL HYPERTENSION
Endothelin Receptor Antagonists
PA, SP
ambrisentan
PA, SP
bosentan
LETAIRIS
TRACLEER
Phosphodiesterase Inhibitors
PA, SP
sildenafil
REVATIO
MISCELLANEOUS
hydralazine
methyldopa
midodrine
ST, PA
ranolazine ext-rel
RANEXA
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CENTRAL NERVOUS SYSTEM
Practice guidelines for psychiatric disorders are available at:
http://www.psych.org
ANTIANXIETY
Benzodiazepines
QL
alprazolam
QL
alprazolam orally disintegrating tabs
QL
clorazepate
QL
diazepam
QL
lorazepam
QL
oxazepam
XANAX
TRANXENE T-TAB
VALIUM
ATIVAN
Miscellaneous
buspirone
fluvoxamine
ANTICONVULSANTS
Practice guidelines for the treatment of epilepsy are available at:
http://www.aan.com
carbamazepine
carbamazepine ext-rel
clobazam
clonazepam tabs
divalproex sodium delayed-rel
divalproex sodium ext-rel
divalproex sodium sprinkle caps
ethosuximide
ezogabine
felbamate
gabapentin caps, tabs
lacosamide
lamotrigine
lamotrigine ext-rel
levetiracetam
levetiracetam ext-rel
oxcarbazepine
phenobarbital
phenytoin chewable tabs
phenytoin sodium extended
phenytoin susp
primidone
rufinamide
tiagabine
topiramate
topiramate sprinkle caps
valproic acid
zonisamide
TEGRETOL
TEGRETOL-XR
ONFI
KLONOPIN
DEPAKOTE
DEPAKOTE ER
DEPAKOTE SPRINKLE
ZARONTIN
POTIGA
FELBATOL
NEURONTIN
VIMPAT
LAMICTAL
LAMICTAL XR
KEPPRA
KEPPRA XR
TRILEPTAL
DILANTIN INFATABS
DILANTIN
DILANTIN
MYSOLINE
BANZEL
GABITRIL
TOPAMAX
TOPAMAX SPRINKLE CAPS
DEPAKENE
ZONEGRAN
ANTIDEMENTIA
Practice guidelines for the management of dementia are available at:
http://www.aan.com
donepezil
donepezil orally disintegrating tabs
ARICEPT
ARICEPT ODT
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galantamine
galantamine ext-rel
memantine ext-rel
memantine soln
rivastigmine
RAZADYNE
RAZADYNE ER
NAMENDA XR
NAMENDA
EXELON
ANTIDEPRESSANTS
Although these agents are primarily indicated for depression, some of these are also approved for other indications, including
bipolar disorder, obsessive-compulsive disorder, panic disorder and premenstrual dysphoric disorder.
Guidelines for the evaluation and management of bipolar and depressive disorders are available at:
http://www.psych.org
Monoamine Oxidase Inhibitors (MAOIs)
phenelzine
tranylcypromine
NARDIL
PARNATE
Selective Serotonin Reuptake Inhibitors (SSRIs)
citalopram
escitalopram
fluoxetine
paroxetine HCl
paroxetine HCl ext-rel
sertraline
CELEXA
LEXAPRO
PROZAC
PAXIL
PAXIL CR
ZOLOFT
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
duloxetine delayed-rel
venlafaxine
venlafaxine ext-rel
Tricyclic Antidepressants (TCAs)
amitriptyline
desipramine
doxepin
imipramine HCl
nortriptyline
Miscellaneous Agents
bupropion
bupropion ext-rel
bupropion ext-rel
mirtazapine
mirtazapine orally disintegrating tabs
trazodone
CYMBALTA
EFFEXOR XR
NORPRAMIN
TOFRANIL
PAMELOR
WELLBUTRIN
WELLBUTRIN SR
WELLBUTRIN XL
REMERON
REMERON SOLTAB
ANTIPARKINSONIAN AGENTS
Practice guidelines for the diagnosis and treatment of Parkinson's disease are available at:
http://www.aan.com
PA, SP
apomorphine
benztropine
bromocriptine
carbidopa/levodopa
carbidopa/levodopa ext-rel
carbidopa/levodopa orally disintegrating tabs
carbidopa/levodopa/entacapone
entacapone
APOKYN
PARLODEL
SINEMET
SINEMET CR
STALEVO
COMTAN
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pramipexole
rasagiline mesylate
ropinirole
rotigotine transdermal
selegiline
trihexyphenidyl
ANTIPSYCHOTICS
Atypicals
ST, PA
aripiprazole
clozapine
ST, PA
lurasidone
olanzapine
quetiapine
ST, PA
quetiapine ext-rel
risperidone
risperidone inj
risperidone orally disintegrating tabs
ziprasidone
MIRAPEX
AZILECT
REQUIP
NEUPRO
ABILIFY
CLOZARIL
LATUDA
ZYPREXA
SEROQUEL
SEROQUEL XR
RISPERDAL
RISPERDAL CONSTA
RISPERDAL M-TAB
GEODON
Miscellaneous
chlorpromazine
fluphenazine
haloperidol
trifluoperazine
ATTENTION DEFICIT HYPERACTIVITY DISORDER
Guidelines for the evaluation and management of attention deficit disorder are available at:
http://www.aacap.org
http://www.aap.org
QL, PA
QL, PA
QL
QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
QL, PA
amphetamine/dextroamphetamine mixed salts
amphetamine/dextroamphetamine mixed salts ext-rel
atomoxetine
dexmethylphenidate
dextroamphetamine
dextroamphetamine ext-rel
methylphenidate
methylphenidate ext-rel
methylphenidate ext-rel
methylphenidate ext-rel
FIBROMYALGIA
ST, PA
pregabalin
ADDERALL
ADDERALL XR
STRATTERA
FOCALIN
DEXEDRINE SPANSULE
CONCERTA
RITALIN LA
LYRICA
HYPNOTICS
Practice parameters for the treatment of sleep disorders and clinical guidelines for the evaluation and management of chronic
insomnia are available at:
http://www.aasmnet.org
Benzodiazepines
QL
temazepam
RESTORIL
Nonbenzodiazepines
QL, PA
zaleplon
QL, PA
zolpidem
QL, PA
zolpidem ext-rel
SONATA
AMBIEN
AMBIEN CR
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MIGRAINE
Guidelines for prevention and management of migraine headaches are available at:
http://www.aan.com
Ergotamine Derivatives
dihydroergotamine spray
ergotamine/caffeine
MIGRANAL
CAFERGOT
Selective Serotonin Agonists
QL, PA
naratriptan
QL, PA
rizatriptan
QL, PA
rizatriptan orally disintegrating tabs
QL, PA
sumatriptan
QL, PA
sumatriptan inj
QL, PA
sumatriptan nasal spray
QL, PA
zolmitriptan orally disintegrating tabs
QL, PA
zolmitriptan tabs
AMERGE
MAXALT
MAXALT-MLT
IMITREX
IMITREX
IMITREX
ZOMIG-ZMT
ZOMIG
MOOD STABILIZERS
lithium carbonate
lithium carbonate ext-rel tabs 300 mg
lithium carbonate ext-rel tabs 450 mg
LITHOBID
MULTIPLE SCLEROSIS AGENTS
Practice guidelines for multiple sclerosis are available at:
http://www.aan.com
PA, SP
PA, SP
PA, SP
PA, SP
PA, SP
dimethyl fumarate delayed-rel
fingolimod
glatiramer
interferon beta-1a
interferon beta-1b
MUSCULOSKELETAL THERAPY AGENTS
baclofen
cyclobenzaprine 5 mg, 10 mg
dantrolene
methocarbamol
orphenadrine/aspirin/caffeine
tizanidine tabs
TECFIDERA
GILENYA
COPAXONE
AVONEX
EXTAVIA
DANTRIUM
ROBAXIN
ZANAFLEX
MYASTHENIA GRAVIS
pyridostigmine
MESTINON
NARCOLEPSY
PA
armodafinil
NUVIGIL
PSYCHOTHERAPEUTIC-MISCELLANEOUS
Opioid Antagonists
naltrexone
REVIA
Partial Opioid Agonists
buprenorphine
Partial Opioid Agonist/Opioid Antagonist Combinations
PA
buprenorphine/naloxone sublingual tabs
PA
buprenorphine/naloxone sublingual tabs
ZUBSOLV
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Smoking Deterrents
bupropion ext-rel
OTC
nicotine polacrilex gum
OTC
nicotine transdermal
varenicline
ZYBAN
NICORETTE
NICODERM CQ
CHANTIX
MISCELLANEOUS
riluzole
RILUTEK
ENDOCRINE AND METABOLIC
ANDROGENS
Clinical practice guidelines for the treatment of hypogonadism are available at:
http://www.aace.com
testosterone cypionate inj
testosterone enanthate inj
testosterone soln
testosterone transdermal
DEPO-TESTOSTERONE
DELATESTRYL
AXIRON
ANDRODERM
ANTIDIABETICS
Guidelines of treatment and management of diabetes are available at:
http://professional.diabetes.org
Biguanides
metformin
metformin ext-rel
GLUCOPHAGE
GLUCOPHAGE XR
Biguanide/Sulfonylurea Combinations
glipizide/metformin
METAGLIP
Dipeptidyl Peptidase-4 (DPP-4) Inhibitors
ST, PA
sitagliptin phosphate
JANUVIA
Incretin Mimetic Agents
ST, PA
albiglutide
ST, PA
exenatide ext-rel
TANZEUM
BYDUREON
Insulins
OTC
OTC
OTC
insulin aspart
insulin aspart protamine 70%/insulin aspart 30%
insulin detemir
insulin human
insulin human, concentrated
insulin isophane human
insulin isophane human 70%/regular 30%
NOVOLOG
NOVOLOG MIX 70/30
LEVEMIR
NOVOLIN R
HUMULIN R U-500
NOVOLIN N
NOVOLIN 70/30
Insulin Sensitizers
pioglitazone
ACTOS
Insulin Sensitizer/Biguanide Combinations
pioglitazone/metformin
ACTOPLUS MET
Insulin Sensitizer/Sulfonylurea Combinations
pioglitazone/glimepiride
DUETACT
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Sulfonylureas
glimepiride
glipizide
glipizide ext-rel
HRM
glyburide
HRM
glyburide, micronized
AMARYL
GLUCOTROL
GLUCOTROL XL
DIABETA
GLYNASE
Supplies*
* A OneTouch blood glucose meter will be provided at no charge by the manufacturer to those individuals currently using a
meter other than OneTouch. For more information on how to obtain a blood glucose meter, call toll-free: 1-800-588-4456.
Members must have CVS Caremark Mail Service Pharmacy benefits to qualify.
OTC
OTC
OTC
blood glucose monitoring kits, test strips
insulin syringes, needles
lancets
ONETOUCH kits and test strips
BD insulin syringes and needles
LANCETS
CALCIUM REGULATORS
Guidelines of treatment and management of osteoporosis are available at:
http://www.aace.com
http://www.nof.org
Bisphosphonates
alendronate
ibandronate
risedronate 150 mg
FOSAMAX
BONIVA
ACTONEL 150 mg
CONTRACEPTIVES
EE = ethinyl estradiol
ME = mestranol
Monophasic
20 mcg Estrogen
drospirenone/EE 3/20
levonorgestrel/EE 0.1/20 - Lessina
norethindrone acetate/EE 1/20
norethindrone acetate/EE 1/20 and iron
30 mcg Estrogen
desogestrel/EE 0.15/30
drospirenone/EE 3/30
levonorgestrel/EE 0.15/30 - Levora
norethindrone acetate/EE 1.5/30
norethindrone acetate/EE 1.5/30 and iron
norgestrel/EE 0.3/30 - Low-Ogestrel
YAZ
LOESTRIN 1/20
LOESTRIN FE 1/20
ORTHO-CEPT
YASMIN
LOESTRIN 1.5/30
LOESTRIN FE 1.5/30
35 mcg Estrogen
ethynodiol diacetate/EE 1/35 - Zovia 1/35
norethindrone/EE 0.5/35
norethindrone/EE 0.5/35
norethindrone/EE 1/35
norethindrone/EE 1/35
norgestimate/EE 0.25/35
BREVICON
MODICON
NORINYL 1+35
ORTHO-NOVUM 1/35
ORTHO-CYCLEN
50 mcg Estrogen
ethynodiol diacetate/EE 1/50 - Zovia 1/50
norethindrone/ME 1/50
NORINYL 1+50
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Biphasic
desogestrel/EE
MIRCETTE
desogestrel/EE
levonorgestrel/EE - Trivora
norethindrone/EE
norethindrone/EE
norgestimate/EE
CYCLESSA
Triphasic
ORTHO-NOVUM 7/7/7
TRI-NORINYL
ORTHO TRI-CYCLEN
Extended Cycle
levonorgestrel/EE 0.15/30 - Jolessa
Progestin Only
norethindrone
norethindrone
NOR-QD
ORTHO MICRONOR
Emergency Contraception
levonorgestrel 0.75 mg
levonorgestrel - Next Choice One Dose
ulipristal
PLAN B ONE-STEP
ELLA
Injectable
medroxyprogesterone acetate 150 mg/mL
DEPO-PROVERA
Transdermal
norelgestromin/EE
ORTHO EVRA
ENDOMETRIOSIS
danazol
nafarelin
SYNAREL
ESTROGENS
Guidelines of treatment and management of hormone therapy and menopause are available at:
http://www.menopause.org
Oral
HRM
estradiol
estropipate
Transdermal
HRM
estradiol
ESTRACE
CLIMARA
Vaginal
estradiol vaginal crm
ESTROGEN/PROGESTINS
Oral
EE/norethindrone acetate
EE/norethindrone acetate - Jinteli
estradiol/norethindrone
Transdermal
estradiol/norethindrone acetate
ESTRACE
FEMHRT
COMBIPATCH
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GLUCOCORTICOIDS
dexamethasone
fludrocortisone
hydrocortisone
methylprednisolone
prednisolone sodium phosphate
prednisolone syrup
prednisone
GLUCOSE ELEVATING AGENTS
glucagon, human recombinant
glucagon, human recombinant
CORTEF
MEDROL
PRELONE
GLUCAGEN HYPOKIT
GLUCAGON EMERGENCY KIT
HUMAN GROWTH HORMONES
Guidelines for use of growth hormone are available at:
http://www.aace.com/publications/guidelines
PA, SP
somatropin
HUMATROPE
HYPERPARATHYROID TREATMENT, VITAMIN D ANALOGS
calcitriol (1,25-D3)
doxercalciferol
paricalcitol
ROCALTROL
HECTOROL
ZEMPLAR
PHOSPHATE BINDER AGENTS
calcium acetate
sevelamer carbonate
PHOSLO
RENVELA
PROGESTINS
Oral
medroxyprogesterone acetate
norethindrone acetate
progesterone, micronized
PROVERA
AYGESTIN
PROMETRIUM
Vaginal
progesterone gel
SELECTIVE ESTROGEN RECEPTOR MODULATORS
ospemifene
raloxifene
THYROID AGENTS
Antithyroid Agents
methimazole
propylthiouracil
Thyroid Supplements
levothyroxine
levothyroxine
levothyroxine - Levoxyl
VASOPRESSINS
desmopressin nasal spray
desmopressin tabs
CRINONE
OSPHENA
EVISTA
TAPAZOLE
SYNTHROID
DDAVP
DDAVP
MISCELLANEOUS
cabergoline
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GASTROINTESTINAL
Guidelines for the treatment and management of various gastrointestinal diseases/conditions are available at:
http://www.acg.gi.org
http://www.gastro.org
ANTIDIARRHEALS
HRM
diphenoxylate/atropine
loperamide
ANTIEMETICS
QL, PA
aprepitant
dronabinol
granisetron
meclizine
metoclopramide
ondansetron
ondansetron orally disintegrating tabs
prochlorperazine
HRM
promethazine
trimethobenzamide
ANTISPASMODICS
chlordiazepoxide/clidinium
dicyclomine
hyoscyamine sulfate
hyoscyamine sulfate ext-rel
hyoscyamine sulfate ext-rel caps
hyoscyamine sulfate orally disintegrating tabs
LOMOTIL
EMEND
MARINOL
ANTIVERT
REGLAN
ZOFRAN
ZOFRAN ODT
TIGAN
BENTYL
LEVSIN
LEVBID
CHOLELITHOLYTICS
ursodiol
ursodiol
ACTIGALL
URSO
H2 RECEPTOR ANTAGONISTS
cimetidine
OTC
cimetidine
famotidine
OTC
famotidine
ranitidine
OTC
ranitidine
TAGAMET HB
PEPCID
PEPCID AC
ZANTAC
ZANTAC
INFLAMMATORY BOWEL DISEASE
Oral Agents
balsalazide
budesonide delayed-rel caps
mesalamine ext-rel caps
sulfasalazine
sulfasalazine delayed-rel
ENTOCORT EC
APRISO
AZULFIDINE
AZULFIDINE EN-TABS
Rectal Agents
hydrocortisone enema
mesalamine rectal susp
mesalamine supp
ROWASA
CANASA
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IRRITABLE BOWEL SYNDROME
Irritable Bowel Syndrome with Constipation
linaclotide
LINZESS
Irritable Bowel Syndrome with Diarrhea
*
alosetron
LOTRONEX
* For safety reasons, to prescribe Lotronex, the physician must be enrolled in the Prescribing Program for Lotronex. Physicians
must understand the benefits and risks of treatment with Lotronex for severe diarrhea-predominant IBS, including the
information in the Prescribing Information, Medication Guide and Patient-Physician Agreement for Lotronex.
To enroll or for more information on the Prescribing Program for Lotronex, call toll-free 1-888-423-5227 or visit
www.lotronex.com to complete the Physician Enrollment Form.
LAXATIVES
lactulose
peg 3350/electrolytes
peg 3350/electrolytes
polyethylene glycol 3350
sodium sulfate/potassium sulfate/magnesium sulfate
SUCLEAR
SUPREP
PANCREATIC ENZYMES
pancrelipase
pancrelipase delayed-rel
pancrelipase delayed-rel
pancrelipase delayed-rel
VIOKACE
CREON
ULTRESA
ZENPEP
PROSTAGLANDINS
misoprostol
CYTOTEC
PROTON PUMP INHIBITORS
lansoprazole
lansoprazole soluble tabs
omeprazole delayed-rel
omeprazole granules
OTC
omeprazole magnesium delayed-rel
OTC
omeprazole/sodium bicarbonate
omeprazole/sodium bicarbonate caps
pantoprazole delayed-rel
PREVACID
PREVACID SOLUTAB
PRILOSEC
PRILOSEC
PRILOSEC OTC
ZEGERID OTC
ZEGERID
PROTONIX
SALIVA STIMULANTS
pilocarpine tabs
SALAGEN
STEROIDS, RECTAL
hydrocortisone crm
ANUSOL-HC
MISCELLANEOUS
AL
glycopyrrolate
CUVPOSA
GENITOURINARY
BENIGN PROSTATIC HYPERPLASIA
Guidelines for the management of BPH are available at:
http://www.auanet.org/guidelines
alfuzosin ext-rel
doxazosin
finasteride
UROXATRAL
CARDURA
PROSCAR
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tamsulosin
terazosin
URINARY ANTISPASMODICS
oxybutynin
oxybutynin ext-rel
trospium
FLOMAX
DITROPAN XL
VAGINAL ANTI-INFECTIVES
clindamycin crm
clindamycin supp
metronidazole
terconazole
terconazole
CLEOCIN
CLEOCIN
METROGEL-VAGINAL
TERAZOL 3
TERAZOL 7
MISCELLANEOUS
bethanechol
phenazopyridine
potassium citrate ext-rel
URECHOLINE
PYRIDIUM
UROCIT-K
HEMATOLOGIC
ANTICOAGULANTS
Injectable
enoxaparin
LOVENOX
Oral
apixaban
rivaroxaban
warfarin
ELIQUIS
XARELTO
COUMADIN
Synthetic Heparinoid-like Agents
fondaparinux
ARIXTRA
PLATELET AGGREGATION INHIBITORS
clopidogrel
dipyridamole
dipyridamole ext-rel/aspirin
prasugrel
ticagrelor
vorapaxar
PLAVIX
PERSANTINE
AGGRENOX
EFFIENT
BRILINTA
ZONTIVITY
PLATELET SYNTHESIS INHIBITORS
anagrelide
AGRYLIN
MISCELLANEOUS
OTC
aspirin
cilostazol
PLETAL
IMMUNOLOGIC AGENTS
BIOLOGIC DISEASE-MODIFYING AGENTS
PA, SP
adalimumab
PA, SP
etanercept
HUMIRA
ENBREL
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DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDs)
Guidelines for the management of rheumatic diseases are available at:
http://www.rheumatology.org
hydroxychloroquine
leflunomide
methotrexate
PLAQUENIL
ARAVA
IMMUNOMODULATORS
CDC recommendations on the treatment of hepatitis are available at:
http://www.cdc.gov/hepatitis/Resources/
Guidelines for the management of hepatitis are available at:
http://www.aasld.org
Interferons
PA, SP
peginterferon alfa-2b
PEGINTRON
IMMUNOSUPPRESSANTS
Antimetabolites
azathioprine
mycophenolate mofetil
IMURAN
CELLCEPT
Calcineurin Inhibitors
cyclosporine, modified
tacrolimus
NEORAL
PROGRAF
Rapamycin Derivatives
everolimus
sirolimus
ZORTRESS
RAPAMUNE
NUTRITIONAL/SUPPLEMENTS
ELECTROLYTES
Potassium
potassium chloride ext-rel
potassium chloride ext-rel
potassium chloride liquid
K-TAB
VITAMINS AND MINERALS
Folic Acid/Combinations
folic acid
folic acid/vitamin B6/vitamin B12
Prenatal Vitamins
prenatal vitamins/DHA/docusate/folic acid
prenatal vitamins/DHA/docusate/folic acid
prenatal vitamins/DHA/docusate/folic acid
prenatal vitamins/docusate/folic acid
prenatal vitamins/docusate/folic acid + DHA
prenatal vitamins/folic acid + pyridoxine
prenatal vitamin/minerals
Miscellaneous
cyanocobalamin inj
ergocalciferol (D2)
OTC
ferrous sulfate
CITRANATAL 90 DHA
CITRANATAL DHA
CITRANATAL HARMONY
CITRANATAL RX
CITRANATAL ASSURE
CITRANATAL B-CALM
DRISDOL
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fluoride drops, tabs
multivitamins/fluoride drops, tabs
multivitamins/fluoride/iron drops, tabs
phytonadione
vitamin ADC/fluoride drops
vitamin ADC/fluoride/iron drops
MEPHYTON
RESPIRATORY
Guidelines to the management, prevention, or treatment of COPD and asthma are available at:
http://www.aaaai.org
http://www.ginasthma.com
http://www.goldcopd.com
http://www.nhlbi.nih.gov
The Allergy Report and guidelines for allergy-related conditions are available at:
http://www.aaaai.org
ANAPHYLAXIS TREATMENT AGENTS
epinephrine
epinephrine pen
AUVI-Q
ANTICHOLINERGICS
ipratropium inhalation solution
tiotropium
SPIRIVA
ANTICHOLINERGIC/BETA AGONIST COMBINATIONS
ipratropium/albuterol soln
ipratropium/albuterol, CFC-free aerosol
COMBIVENT RESPIMAT
ANTIHISTAMINES, LOW SEDATING
OTC
cetirizine
ZYRTEC
ANTIHISTAMINES, NONSEDATING
OTC
fexofenadine
OTC
loratadine
OTC
loratadine orally disintegrating tabs
ALLEGRA
CLARITIN
CLARITIN REDITABS
ANTIHISTAMINES, SEDATING
cyproheptadine
hydroxyzine HCl
ANTIHISTAMINE/DECONGESTANT COMBINATIONS
OTC
cetirizine/pseudoephedrine ext-rel
OTC
fexofenadine/pseudoephedrine ext-rel
OTC
loratadine/pseudoephedrine ext-rel
ZYRTEC-D 12 HOUR
ALLEGRA-D
CLARITIN-D
ANTITUSSIVES
benzonatate
TESSALON
ANTITUSSIVE COMBINATIONS
Opioid
codeine/chlorpheniramine/pseudoephedrine
codeine/guaifenesin liquid
codeine/guaifenesin/pseudoephedrine
codeine/promethazine
codeine/promethazine/phenylephrine
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hydrocodone/homatropine
Non-opioid
dextromethorphan/promethazine
BETA AGONISTS
Inhalants
Short Acting
albuterol inhalation soln
albuterol inhalation soln
albuterol sulfate, CFC-free aerosol
levalbuterol nebulizer soln concentrate
ACCUNEB
PROAIR HFA
XOPENEX SOLUTION
Long Acting
QL
formoterol inhalation caps
QL
formoterol inhalation soln
FORADIL
PERFOROMIST
CYSTIC FIBROSIS
PA, SP
tobramycin inhalation soln
TOBI
LEUKOTRIENE RECEPTOR ANTAGONISTS
montelukast
SINGULAIR
NASAL ANTIHISTAMINES
azelastine spray
azelastine spray
ASTELIN
ASTEPRO
NASAL STEROIDS
flunisolide spray
fluticasone spray
triamcinolone acetonide spray
FLONASE
NASACORT AQ
STEROID/BETA AGONIST COMBINATIONS
QL, ST, PA fluticasone/salmeterol
QL, ST, PA fluticasone/salmeterol, CFC-free aerosol
ADVAIR
ADVAIR HFA
STEROID INHALANTS
QL
budesonide
QL
budesonide inh susp
QL
mometasone
PULMICORT FLEXHALER
PULMICORT RESPULES
ASMANEX
XANTHINES
theophylline ext-rel tabs
MISCELLANEOUS
ipratropium spray
ATROVENT
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TOPICAL
DERMATOLOGY
Acne
Guidelines for the care and treatment of acne vulgaris are available at:
http://www.aad.org/education-and-quality-care/clinical-guidelines
Oral
isotretinoin - Claravis
Topical
benzoyl peroxide
benzoyl peroxide
clindamycin gel, lotion, soln
erythromycin gel 2%
erythromycin soln
erythromycin/benzoyl peroxide
sulfacetamide lotion 10%
sulfacetamide/sulfur crm, gel, lotion, pads
tazarotene
tretinoin
tretinoin
Actinic Keratosis
fluorouracil crm 5%
fluorouracil soln 2%, 5%
imiquimod crm
BENZAC AC
CLEOCIN T
BENZAMYCIN
KLARON
TAZORAC
AVITA
RETIN-A
ALDARA
Antibiotics
gentamicin
mupirocin
silver sulfadiazine
BACTROBAN
SILVADENE
Antifungals
ciclopirox
clotrimazole
econazole
ketoconazole
nystatin
LOPROX
Antipsoriatics
Guidelines of care for the management and treatment of psoriasis with topical therapies are available at:
http://www.aad.org
Topical
calcipotriene
DOVONEX
Antiseborrheics
ketoconazole shampoo 2%
selenium sulfide shampoo 2.5%
NIZORAL SHAMPOO
Corticosteroids
Low Potency
alclometasone crm, oint 0.05%
desonide crm, lotion, oint 0.05%
fluocinolone acetonide soln 0.01%
hydrocortisone crm 2.5%
ACLOVATE
DESOWEN
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OTC
hydrocortisone lotion 1%
Medium Potency
betamethasone valerate crm, lotion, oint 0.1%
desoximetasone crm 0.05%
fluocinolone acetonide crm, oint 0.025%
fluticasone propionate crm 0.05%, oint 0.005%
hydrocortisone butyrate crm, oint, soln 0.1%
hydrocortisone valerate crm, oint 0.2%
mometasone crm, lotion, oint 0.1%
triamcinolone acetonide crm, lotion 0.025%
triamcinolone acetonide crm, lotion, oint 0.1%
High Potency
amcinonide crm, lotion, oint 0.1%
betamethasone dipropionate augmented crm 0.05%
betamethasone dipropionate augmented lotion 0.05%
betamethasone dipropionate crm, lotion, oint 0.05%
desoximetasone crm, oint 0.25%, gel 0.05%
diflorasone diacetate crm 0.05%
fluocinonide crm, gel, oint, soln 0.05%
triamcinolone acetonide crm 0.5%
Very High Potency
betamethasone dipropionate augmented gel, oint 0.05%
clobetasol propionate crm, gel, oint 0.05%
clobetasol propionate foam 0.05%
clobetasol propionate lotion 0.05%
diflorasone diacetate oint 0.05%
halobetasol propionate crm, oint 0.05%
TOPICORT LP
CUTIVATE
LOCOID
WESTCORT
ELOCON
DIPROLENE AF
DIPROLENE
TOPICORT
DIPROLENE
TEMOVATE
OLUX
CLOBEX
ULTRAVATE
Emollients
ammonium lactate 12%
LAC-HYDRIN
Immunomodulators
Guidelines for the treatment of atopic dermatitis are available at:
http://www.aad.org
pimecrolimus
tacrolimus
Miscellaneous Skin and Mucous Membrane
collagenase
Scabicides and Pediculicides
malathion
OTC
permethrin
permethrin 5%
OTC
pyrethrins/piperonyl butoxide
OTC
pyrethrins/piperonyl butoxide
ELIDEL
PROTOPIC
SANTYL
OVIDE
NIX
GOOD SENSE COMPLETE
RID
MOUTH/THROAT/DENTAL AGENTS
Anesthetics - Topical Oral
lidocaine viscous
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Steroids - Mouth/Throat
triamcinolone paste
OPHTHALMIC
Preferred Practice Pattern Guidelines for the treatment of various ophthalmic conditions are available at:
http://one.aao.org
Antiallergics
cromolyn sodium
OTC
ketotifen
ZADITOR
Antifungals
natamycin
Anti-infectives
bacitracin
ciprofloxacin
erythromycin
gentamicin
moxifloxacin
neomycin/polymyxin B/gramicidin
ofloxacin
polymyxin B/bacitracin
polymyxin B/trimethoprim
sulfacetamide soln 10%
tobramycin
Anti-infective/Anti-inflammatory Combinations
neomycin/polymyxin B/bacitracin/hydrocortisone oint
neomycin/polymyxin B/dexamethasone
neomycin/polymyxin B/hydrocortisone susp
sulfacetamide/prednisolone phosphate
tobramycin/dexamethasone susp 0.3%/0.1%
Anti-inflammatories
Nonsteroidal
diclofenac sodium
ketorolac 0.5%
NATACYN
CILOXAN
VIGAMOX
NEOSPORIN
OCUFLOX
POLYTRIM
BLEPH-10
TOBREX
MAXITROL
TOBRADEX SUSPENSION
ACULAR
Steroidal
dexamethasone sodium phosphate
fluorometholone 0.1% susp
prednisolone acetate 0.12%
prednisolone acetate 1%
prednisolone phosphate 1%
FML LIQUIFILM
PRED MILD
PRED FORTE
trifluridine
VIROPTIC
Antivirals
Beta-blockers
Nonselective
timolol maleate
timolol maleate gel
TIMOPTIC
TIMOPTIC-XE
Selective
betaxolol
betaxolol solution
BETOPTIC S
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Carbonic Anhydrase Inhibitors
Topical
dorzolamide
TRUSOPT
Carbonic Anhydrase Inhibitor/Beta-blocker Combinations
dorzolamide/timolol maleate
COSOPT
Prostaglandins
latanoprost
XALATAN
Sympathomimetics
brimonidine 0.15%
brimonidine 0.2%
Sympathomimetic/Beta-blocker Combinations
brimonidine/timolol
ALPHAGAN P 0.15%
COMBIGAN
OTIC
Clinical practice guidelines for the treatment of otitis media are available at:
http://www.aap.org
Anti-infectives
acetic acid
acetic acid/aluminum acetate
ofloxacin otic
Anti-infective/Anti-inflammatory Combinations
ciprofloxacin/dexamethasone
neomycin/polymyxin B/hydrocortisone
CIPRODEX
CORTISPORIN OTIC
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WEBSITES
Agency for Healthcare Research and Quality
http://www.ahrq.gov
Alzheimer's Association
http://www.alz.org
American Academy of Allergy, Asthma and
Immunology
http://www.aaaai.org
American Academy of Child & Adolescent Psychiatry
http://www.aacap.org
American Academy of Dermatology
http://www.aad.org
American Academy of Neurology
http://www.aan.com
American Academy of Ophthalmology
http://www.aao.org
American Academy of Pediatrics
http://www.aap.org
American Association for the Study of Liver Disease
http://www.aasld.org
American Association of Clinical Endocrinologists
http://www.aace.com
American Association of Diabetes Educators
http://www.diabeteseducator.org
American Cancer Society
http://www.cancer.org
American College of Allergy, Asthma and Immunology
http://www.acaai.org
American College of Cardiology
http://www.acc.org
American College of Chest Physicians
http://www.chestnet.org
American Congress of Obstetricians and
Gynecologists
http://www.acog.org
American Diabetes Association
http://www.diabetes.org
American Gastroenterological Association
http://www.gastro.org
American Headache Society Committee for Headache
Education
http://www.achenet.org
American Heart Association
http://www.myamericanheart.org
American Lung Association
http://www.lungusa.org
American Medical Association
http://www.ama-assn.org
American Psychiatric Association
http://www.psych.org
American Society of Anesthesiologists
http://www.asahq.org
American Society of Clinical Oncology
http://www.asco.org
American Society of Interventional Pain Physicians
http://www.asipp.org
American Urological Association
http://www.auanet.org
Centers for Disease Control and Prevention
http://www.cdc.gov
Centers for Disease Control and Prevention
Guideline topics: AIDS
http://www.cdc.gov/hiv/resources/guidelines/index.htm
American College of Gastroenterology
http://www.acg.gi.org
Centers for Disease Control and Prevention
Guideline topics: Sexually Transmitted Diseases
http://www.cdc.gov/std/treatment/default.htm
American College of Physicians
http://www.acponline.org
CVS/caremark
http://www.caremark.com
American College of Rheumatology
http://www.rheumatology.org
The Food and Drug Administration
http://www.fda.gov
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36
Global Initiative for Asthma
http://www.ginasthma.com
National Foundation for Infectious Diseases
http://www.nfid.org
Infectious Diseases Society of America
http://www.idsociety.org
National Guideline Clearinghouse
http://www.guideline.gov
Institute for Safe Medication Practices
http://www.ismp.org
National Heart, Lung and Blood Institute
http://www.nhlbi.nih.gov
Johns Hopkins AIDS Service
http://www.thebody.com/content/art12096.html
National Institutes of Health
http://www.nih.gov
Juvenile Diabetes Research Foundation International
http://www.jdf.org
National Kidney Foundation
http://www.kidney.org
MedWatch
http://www.fda.gov/medwatch
National Osteoporosis Foundation
http://www.nof.org
National Agricultural Library
http://www.nal.usda.gov
North American Menopause Society
http://www.menopause.org
National Cancer Institute
http://www.cancer.gov/cancerinformation
United States Department of Health and Human
Services
http://www.hhs.gov
National Comprehensive Cancer Network
http://www.nccn.org
World Health Organization
http://www.who.int
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37
INDEX
A
abacavir, 11
abacavir/lamivudine, 10
abacavir/lamivudine/zidovudine, 10
ABILIFY, 20
abiraterone, 13
ACCUNEB, 31
acebutolol, 15
ACEON, 14
acetaminophen, 8
acetic acid, 35
acetic acid/aluminum acetate, 35
ACLOVATE, 32
ACTIGALL, 26
ACTIQ, 8
ACTONEL 150 mg, 23
ACTOPLUS MET, 22
ACTOS, 22
ACULAR, 34
acyclovir, 12
ADALAT CC, 16
adalimumab, 28
ADDERALL, 20
ADDERALL XR, 20
ADVAIR, 31
ADVAIR HFA, 31
ADVIL, 8
afatinib, 13
AFINITOR, 14
AGGRENOX, 28
AGRYLIN, 28
albendazole, 12
ALBENZA, 12
albiglutide, 22
albuterol inhalation soln, 31
albuterol sulfate, CFC-free aerosol, 31
alclometasone crm, oint 0.05%, 32
ALDACTAZIDE, 17
ALDACTONE, 15
ALDARA, 32
alendronate, 23
ALEVE, 8
alfuzosin ext-rel, 27
ALINIA, 12
ALKERAN, 13
ALLEGRA, 30
ALLEGRA-D, 30
allopurinol, 8
alosetron, 27
ALPHAGAN P 0.15%, 35
alprazolam, 18
alprazolam orally disintegrating tabs, 18
ALTACE, 14
altretamine, 13
amantadine, 12
AMARYL, 23
AMBIEN, 20
AMBIEN CR, 20
ambrisentan, 17
amcinonide crm, lotion, oint 0.1%, 33
AMERGE, 21
amiloride, 17
amiloride/hydrochlorothiazide, 17
amiodarone, 15
amiodarone - Pacerone, 15
amitriptyline, 19
amlodipine, 16
amlodipine/benazepril, 15
ammonium lactate 12%, 33
amoxicillin, 10
amoxicillin/clavulanate, 10
amoxicillin/clavulanate ext-rel, 10
amphetamine/dextroamphetamine mixed salts, 20
amphetamine/dextroamphetamine mixed salts ext-rel, 20
ampicillin, 10
anagrelide, 28
ANAPROX, 8
anastrozole, 13
ANDRODERM, 22
ANTIVERT, 26
ANUSOL-HC, 27
apixaban, 28
APOKYN, 19
apomorphine, 19
aprepitant, 26
APRISO, 26
ARAVA, 29
ARICEPT, 18
ARICEPT ODT, 18
ARIMIDEX, 13
aripiprazole, 20
ARIXTRA, 28
armodafinil, 21
AROMASIN, 13
ASMANEX, 31
aspirin, 28
ASTELIN, 31
ASTEPRO, 31
atazanavir, 11
atenolol, 16
atenolol/chlorthalidone, 16
ATIVAN, 18
atomoxetine, 20
atorvastatin, 16
atovaquone, 12
ATRIPLA, 10
ATROVENT, 31
AUGMENTIN, 10
AUGMENTIN XR, 10
AUVI-Q, 30
AVALIDE, 15
AVAPRO, 15
AVELOX, 10
AVITA, 32
AVONEX, 21
AXIRON, 22
axitinib, 13
AYGESTIN, 25
azathioprine, 29
azelastine spray, 31
AZILECT, 20
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38
azithromycin, 10
AZULFIDINE, 26
AZULFIDINE EN-TABS, 26
B
bacitracin, 34
baclofen, 21
BACTROBAN, 32
balsalazide, 26
BANZEL, 18
BARACLUDE, 12
BD insulin syringes and needles, 23
BENTYL, 26
BENZAC AC, 32
BENZAMYCIN, 32
benzonatate, 30
benzoyl peroxide, 32
benztropine, 19
betamethasone dipropionate augmented crm 0.05%, 33
betamethasone dipropionate augmented gel, oint 0.05%, 33
betamethasone dipropionate augmented lotion 0.05%, 33
betamethasone dipropionate crm, lotion, oint 0.05%, 33
betamethasone valerate crm, lotion, oint 0.1%, 33
BETAPACE, 15
BETAPACE AF, 15
betaxolol, 34
betaxolol solution, 34
bethanechol, 28
BETOPTIC S, 34
bexarotene caps, 14
BIAXIN, 10
BIAXIN XL, 10
bicalutamide, 13
bisoprolol, 16
bisoprolol/hydrochlorothiazide, 16
BLEPH-10, 34
blood glucose monitoring kits, test strips, 23
boceprevir, 12
BONIVA, 23
bosentan, 17
BOSULIF, 13
bosutinib, 13
BREVICON, 23
BRILINTA, 28
brimonidine 0.15%, 35
brimonidine 0.2%, 35
brimonidine/timolol, 35
bromocriptine, 19
budesonide, 31
budesonide delayed-rel caps, 26
budesonide inh susp, 31
bumetanide, 17
buprenorphine, 21
buprenorphine/naloxone sublingual tabs, 21
bupropion, 19
bupropion ext-rel, 19, 22
buspirone, 18
busulfan, 13
BYDUREON, 22
C
cabergoline, 25
cabozantinib, 13
CAFERGOT, 21
CALAN SR, 16
calcipotriene, 32
calcitriol (1,25-D3), 25
calcium acetate, 25
CANASA, 26
CAPASTAT SULFATE, 11
capecitabine, 13
CAPRELSA, 14
capreomycin, 11
captopril, 14
captopril/hydrochlorothiazide, 15
carbamazepine, 18
carbamazepine ext-rel, 18
carbidopa/levodopa, 19
carbidopa/levodopa ext-rel, 19
carbidopa/levodopa orally disintegrating tabs, 19
carbidopa/levodopa/entacapone, 19
CARDIZEM CD, 16
CARDIZEM LA, 16
CARDURA, 27
carvedilol, 16
CATAFLAM, 8
CATAPRES, 15
CATAPRES-TTS, 15
cefadroxil, 9
cefdinir, 10
cefpodoxime, 10
cefprozil, 9
CEFTIN, 9
cefuroxime axetil, 9
CELEXA, 19
CELLCEPT, 29
cephalexin, 9
ceritinib, 13
cetirizine, 30
cetirizine/pseudoephedrine ext-rel, 30
CHANTIX, 22
chlorambucil, 13
chlordiazepoxide/clidinium, 26
chlorpromazine, 20
chlorthalidone, 17
cholestyramine, 15
ciclopirox, 32
cilostazol, 28
CILOXAN, 34
cimetidine, 26
CIPRO, 10
CIPRODEX, 35
ciprofloxacin, 10, 34
ciprofloxacin ext-rel, 10
ciprofloxacin/dexamethasone, 35
citalopram, 19
CITRANATAL 90 DHA, 29
CITRANATAL ASSURE, 29
CITRANATAL B-CALM, 29
CITRANATAL DHA, 29
CITRANATAL HARMONY, 29
CITRANATAL RX, 29
clarithromycin, 10
clarithromycin ext-rel, 10
CLARITIN, 30
CLARITIN REDITABS, 30
CLARITIN-D, 30
CLEOCIN, 12, 28
CLEOCIN T, 32
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39
CLIMARA, 24
clindamycin, 12
clindamycin crm, 28
clindamycin gel, lotion, soln, 32
clindamycin supp, 28
CLINORIL, 8
clobazam, 18
clobetasol propionate crm, gel, oint 0.05%, 33
clobetasol propionate foam 0.05%, 33
clobetasol propionate lotion 0.05%, 33
CLOBEX, 33
clonazepam tabs, 18
clonidine, 15
clonidine transdermal, 15
clopidogrel, 28
clorazepate, 18
clotrimazole, 32
clotrimazole troches, 10
clozapine, 20
CLOZARIL, 20
codeine sulfate, 8
codeine/acetaminophen, 8
codeine/chlorpheniramine/pseudoephedrine, 30
codeine/guaifenesin liquid, 30
codeine/guaifenesin/pseudoephedrine, 30
codeine/promethazine, 30
codeine/promethazine/phenylephrine, 30
colchicine, 8
COLCRYS, 8
COLESTID, 15
colestipol, 15
collagenase, 33
COMBIGAN, 35
COMBIPATCH, 24
COMBIVENT RESPIMAT, 30
COMBIVIR, 10
COMETRIQ, 13
COMPLERA, 10
COMTAN, 19
CONCERTA, 20
COPAXONE, 21
COPEGUS, 12
CORDARONE, 15
COREG, 16
CORGARD, 16
CORTEF, 25
CORTISPORIN OTIC, 35
CORVERT, 15
CORZIDE, 16
COSOPT, 35
COUMADIN, 28
COZAAR, 15
CREON, 27
CRINONE, 25
CRIXIVAN, 11
crizotinib, 14
cromolyn sodium, 34
CUTIVATE, 33
CUVPOSA, 27
cyanocobalamin inj, 29
CYCLESSA, 24
cyclobenzaprine 5 mg, 10 mg, 21
cyclophosphamide tabs, 13
cycloserine, 11
cyclosporine, modified, 29
CYMBALTA, 19
cyproheptadine, 30
CYTOTEC, 27
D
dabrafenib, 14
danazol, 24
DANTRIUM, 21
dantrolene, 21
dapsone, 12
darunavir, 11
dasatinib, 14
DAYPRO, 8
DDAVP, 25
DELATESTRYL, 22
delavirdine, 11
DEMADEX, 17
DEPAKENE, 18
DEPAKOTE, 18
DEPAKOTE ER, 18
DEPAKOTE SPRINKLE, 18
DEPO-PROVERA, 24
DEPO-TESTOSTERONE, 22
desipramine, 19
desmopressin nasal spray, 25
desmopressin tabs, 25
desogestrel/EE, 24
desogestrel/EE 0.15/30, 23
desonide crm, lotion, oint 0.05%, 32
DESOWEN, 32
desoximetasone crm 0.05%, 33
desoximetasone crm, oint 0.25%, gel 0.05%, 33
dexamethasone, 25
dexamethasone sodium phosphate, 34
DEXEDRINE SPANSULE, 20
dexmethylphenidate, 20
dextroamphetamine, 20
dextroamphetamine ext-rel, 20
dextromethorphan/promethazine, 31
DIABETA, 23
diazepam, 18
diclofenac potassium, 8
diclofenac sodium, 34
diclofenac sodium delayed-rel, 8
diclofenac sodium ext-rel, 8
dicloxacillin, 10
dicyclomine, 26
didanosine delayed-rel, 11
didanosine soln, 11
DIFICID, 10
diflorasone diacetate crm 0.05%, 33
diflorasone diacetate oint 0.05%, 33
DIFLUCAN, 10
diflunisal, 8
digoxin, 17
digoxin ped elixir, 17
dihydroergotamine spray, 21
DILANTIN, 18
DILANTIN INFATABS, 18
DILAUDID, 8
diltiazem ext-rel, 16
dimethyl fumarate delayed-rel, 21
DIOVAN, 15
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DIOVAN HCT, 15
diphenoxylate/atropine, 26
DIPROLENE, 33
DIPROLENE AF, 33
dipyridamole, 28
dipyridamole ext-rel/aspirin, 28
disopyramide, 15
disopyramide ext-rel, 15
DITROPAN XL, 28
divalproex sodium delayed-rel, 18
divalproex sodium ext-rel, 18
divalproex sodium sprinkle caps, 18
dofetilide, 15
DOLOPHINE, 9
dolutegravir, 11
donepezil, 18
donepezil orally disintegrating tabs, 18
dorzolamide, 35
dorzolamide/timolol maleate, 35
DOVONEX, 32
doxazosin, 27
doxepin, 19
doxercalciferol, 25
doxycycline hyclate, 10
doxycycline hyclate tabs, 10
doxycycline monohydrate susp, 10
DRISDOL, 29
dronabinol, 26
drospirenone/EE 3/20, 23
drospirenone/EE 3/30, 23
DUETACT, 22
duloxetine delayed-rel, 19
DURAGESIC, 8
DYAZIDE, 17
E
E.E.S., 10
EC-NAPROSYN, 8
econazole, 32
EDURANT, 11
EE/norethindrone acetate, 24
EE/norethindrone acetate - Jinteli, 24
efavirenz, 11
efavirenz/emtricitabine/tenofovir, 10
EFFEXOR XR, 19
EFFIENT, 28
ELIDEL, 33
ELIQUIS, 28
ELLA, 24
ELOCON, 33
elvitegravir/cobicistat/emtricitabine/tenofovir, 10
EMCYT, 13
EMEND, 26
emtricitabine, 11
emtricitabine/rilpivirine/tenofovir, 10
emtricitabine/tenofovir, 10
EMTRIVA, 11
enalapril, 14
enalapril/hydrochlorothiazide, 15
ENBREL, 28
enoxaparin, 28
entacapone, 19
entecavir, 12
ENTOCORT EC, 26
enzalutamide, 13
epinephrine, 30
epinephrine pen, 30
EPIVIR, 11
EPIVIR-HBV, 12
eplerenone, 15
EPZICOM, 10
ergocalciferol (D2), 29
ergotamine/caffeine, 21
ERIVEDGE, 14
erlotinib, 14
ERYTHROCIN, 10
erythromycin, 34
erythromycin delayed-rel, 10
erythromycin ethylsuccinate, 10
erythromycin gel 2%, 32
erythromycin soln, 32
erythromycin stearate, 10
erythromycin/benzoyl peroxide, 32
escitalopram, 19
ESTRACE, 24
estradiol, 24
estradiol vaginal crm, 24
estradiol/norethindrone, 24
estradiol/norethindrone acetate, 24
estramustine, 13
estropipate, 24
etanercept, 28
ethambutol, 11
ethionamide, 11
ethosuximide, 18
ethynodiol diacetate/EE 1/35 - Zovia 1/35, 23
ethynodiol diacetate/EE 1/50 - Zovia 1/50, 23
etodolac, 8
etoposide caps, 14
etravirine, 11
everolimus, 14, 29
EVISTA, 25
EXELON, 19
exemestane, 13
exenatide ext-rel, 22
EXTAVIA, 21
ezogabine, 18
F
famciclovir, 12
famotidine, 26
FAMVIR, 12
FARESTON, 13
FASLODEX, 13
felbamate, 18
FELBATOL, 18
FELDENE, 8
felodipine ext-rel, 16
FEMARA, 13
FEMHRT, 24
fenofibrate, 15
fenoprofen, 8
fentanyl lozenge, 8
fentanyl transdermal, 8
ferrous sulfate, 29
fexofenadine, 30
fexofenadine/pseudoephedrine ext-rel, 30
fidaxomicin, 10
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41
finasteride, 27
fingolimod, 21
FLAGYL, 12
flecainide, 15
FLOMAX, 28
FLONASE, 31
fluconazole, 10
fludrocortisone, 25
FLUMADINE, 12
flunisolide spray, 31
fluocinolone acetonide crm, oint 0.025%, 33
fluocinolone acetonide soln 0.01%, 32
fluocinonide crm, gel, oint, soln 0.05%, 33
fluoride drops, tabs, 30
fluorometholone 0.1% susp, 34
fluorouracil crm 5%, 32
fluorouracil soln 2%, 5%, 32
fluoxetine, 19
fluphenazine, 20
flurbiprofen, 8
flutamide, 13
fluticasone propionate crm 0.05%, oint 0.005%, 33
fluticasone spray, 31
fluticasone/salmeterol, 31
fluticasone/salmeterol, CFC-free aerosol, 31
fluvoxamine, 18
FML LIQUIFILM, 34
FOCALIN, 20
folic acid, 29
folic acid/vitamin B6/vitamin B12, 29
fondaparinux, 28
FORADIL, 31
formoterol inhalation caps, 31
formoterol inhalation soln, 31
FOSAMAX, 23
fosamprenavir, 11
fulvestrant, 13
furosemide, 17
G
gabapentin caps, tabs, 18
GABITRIL, 18
galantamine, 19
galantamine ext-rel, 19
GEL-ONE, 9
gemfibrozil, 16
gentamicin, 32, 34
GEODON, 20
GILENYA, 21
GILOTRIF, 13
glatiramer, 21
GLEEVEC, 14
glimepiride, 23
glipizide, 23
glipizide ext-rel, 23
glipizide/metformin, 22
GLUCAGEN HYPOKIT, 25
GLUCAGON EMERGENCY KIT, 25
glucagon, human recombinant, 25
GLUCOPHAGE, 22
GLUCOPHAGE XR, 22
GLUCOTROL, 23
GLUCOTROL XL, 23
glyburide, 23
glyburide, micronized, 23
glycopyrrolate, 27
GLYNASE, 23
GOOD SENSE COMPLETE, 33
granisetron, 26
GRIFULVIN V, 10
griseofulvin microsize, 10
H
halobetasol propionate crm, oint 0.05%, 33
haloperidol, 20
HECTOROL, 25
HEXALEN, 13
HUMATROPE, 25
HUMIRA, 28
HUMULIN R U-500, 22
HYCAMTIN, 14
hydralazine, 17
HYDREA, 14
hydrochlorothiazide, 17
hydrocodone/acetaminophen, 8
hydrocodone/acetaminophen - Vicodin, 8
hydrocodone/homatropine, 31
hydrocortisone, 25
hydrocortisone butyrate crm, oint, soln 0.1%, 33
hydrocortisone crm, 27
hydrocortisone crm 2.5%, 32
hydrocortisone enema, 26
hydrocortisone lotion 1%, 33
hydrocortisone valerate crm, oint 0.2%, 33
hydromorphone, 8
hydroxychloroquine, 29
hydroxyurea, 14
hydroxyzine HCl, 30
hyoscyamine sulfate, 26
hyoscyamine sulfate ext-rel, 26
hyoscyamine sulfate ext-rel caps, 26
hyoscyamine sulfate orally disintegrating tabs, 26
HYZAAR, 15
I
ibandronate, 23
ibrutinib, 14
ibuprofen, 8
ibutilide, 15
ICLUSIG, 14
idelalisib, 14
imatinib mesylate, 14
IMBRUVICA, 14
IMDUR, 17
imipramine HCl, 19
imiquimod crm, 32
IMITREX, 21
IMURAN, 29
indapamide, 17
INDERAL LA, 16
indinavir, 11
INLYTA, 13
INSPRA, 15
insulin aspart, 22
insulin aspart protamine 70%/insulin aspart 30%, 22
insulin detemir, 22
insulin human, 22
insulin human, concentrated, 22
insulin isophane human, 22
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42
insulin isophane human 70%/regular 30%, 22
insulin syringes, needles, 23
INTELENCE, 11
interferon beta-1a, 21
interferon beta-1b, 21
INVIRASE, 11
ipratropium inhalation solution, 30
ipratropium spray, 31
ipratropium/albuterol soln, 30
ipratropium/albuterol, CFC-free aerosol, 30
irbesartan, 15
irbesartan/hydrochlorothiazide, 15
ISENTRESS, 11
isoniazid, 11
isoniazid/rifampin, 11
isoniazid-rifampin w/pyrazinamide, 11
ISORDIL, 17
isosorbide dinitrate, 17
isosorbide dinitrate ext-rel tabs, 17
isosorbide mononitrate, 17
isosorbide mononitrate ext-rel, 17
isotretinoin - Claravis, 32
isradipine, 16
itraconazole, 10
ivermectin, 12
J
JAKAFI, 14
JANUVIA, 22
K
KADIAN, 9
KALETRA, 11
KEFLEX, 9
KEPPRA, 18
KEPPRA XR, 18
ketoconazole, 32
ketoconazole shampoo 2%, 32
ketoprofen, 8
ketoprofen ext-rel, 8
ketorolac, 8
ketorolac 0.5%, 34
ketorolac inj, 8
ketotifen, 34
KLARON, 32
KLONOPIN, 18
K-TAB, 29
L
labetalol, 16
LAC-HYDRIN, 33
lacosamide, 18
lactulose, 27
LAMICTAL, 18
LAMICTAL XR, 18
LAMISIL, 10
lamivudine, 11, 12
lamivudine/zidovudine, 10
lamotrigine, 18
lamotrigine ext-rel, 18
lancets, 23
LANCETS, 23
LANOXIN, 17
lansoprazole, 27
lansoprazole soluble tabs, 27
lapatinib, 14
LASIX, 17
latanoprost, 35
LATUDA, 20
leflunomide, 29
lenalidomide, 13
LETAIRIS, 17
letrozole, 13
LEUKERAN, 13
levalbuterol nebulizer soln concentrate, 31
LEVAQUIN, 10
LEVBID, 26
LEVEMIR, 22
levetiracetam, 18
levetiracetam ext-rel, 18
levofloxacin, 10
levonorgestrel - Next Choice One Dose, 24
levonorgestrel 0.75 mg, 24
levonorgestrel/EE - Trivora, 24
levonorgestrel/EE 0.1/20 - Lessina, 23
levonorgestrel/EE 0.15/30 - Jolessa, 24
levonorgestrel/EE 0.15/30 - Levora, 23
levorphanol tartrate, 8
levothyroxine, 25
levothyroxine - Levoxyl, 25
LEVSIN, 26
LEXAPRO, 19
LEXIVA, 11
lidocaine viscous, 33
linaclotide, 27
linezolid, 12
LINZESS, 27
LIPITOR, 16
lisinopril, 14
lisinopril/hydrochlorothiazide, 15
lithium carbonate, 21
lithium carbonate ext-rel tabs 300 mg, 21
lithium carbonate ext-rel tabs 450 mg, 21
LITHOBID, 21
LOCOID, 33
LOESTRIN 1.5/30, 23
LOESTRIN 1/20, 23
LOESTRIN FE 1.5/30, 23
LOESTRIN FE 1/20, 23
LOFIBRA, 15
LOMOTIL, 26
lomustine, 13
loperamide, 26
LOPID, 16
lopinavir/ritonavir, 11
LOPRESSOR, 16
LOPRESSOR HCT, 16
LOPROX, 32
loratadine, 30
loratadine orally disintegrating tabs, 30
loratadine/pseudoephedrine ext-rel, 30
lorazepam, 18
losartan, 15
losartan/hydrochlorothiazide, 15
LOTREL, 15
LOTRONEX, 27
LOVENOX, 28
lurasidone, 20
LYRICA, 20
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43
LYSODREN, 14
M
MACROBID, 12
MACRODANTIN, 12
malathion, 33
maraviroc, 11
MARINOL, 26
MATULANE, 14
MAVIK, 14
MAXALT, 21
MAXALT-MLT, 21
MAXITROL, 34
MAXZIDE, 17
meclizine, 26
MEDROL, 25
medroxyprogesterone acetate, 25
medroxyprogesterone acetate 150 mg/mL, 24
MEGACE, 13
megestrol acetate, 13
MEKINIST, 14
meloxicam, 8
melphalan, 13
memantine ext-rel, 19
memantine soln, 19
MEPHYTON, 30
MEPRON, 12
mercaptopurine, 13
mesalamine ext-rel caps, 26
mesalamine rectal susp, 26
mesalamine supp, 26
MESTINON, 21
METAGLIP, 22
metformin, 22
metformin ext-rel, 22
methadone, 9
methimazole, 25
methocarbamol, 21
methotrexate, 29
methyldopa, 17
methylphenidate, 20
methylphenidate ext-rel, 20
methylprednisolone, 25
metoclopramide, 26
metolazone, 17
metoprolol, 16
metoprolol ext-rel, 16
metoprolol/hydrochlorothiazide, 16
METROGEL-VAGINAL, 28
metronidazole, 12, 28
midodrine, 17
MIGRANAL, 21
MINOCIN, 10
minocycline, 10
minocycline ext-rel, 10
MIRAPEX, 20
MIRCETTE, 24
mirtazapine, 19
mirtazapine orally disintegrating tabs, 19
misoprostol, 27
mitotane, 14
MOBIC, 8
MODICON, 23
mometasone, 31
mometasone crm, lotion, oint 0.1%, 33
montelukast, 31
morphine, 9
morphine ext-rel, 9
morphine supp, 9
moxifloxacin, 10, 34
MS CONTIN, 9
multivitamins/fluoride drops, tabs, 30
multivitamins/fluoride/iron drops, tabs, 30
mupirocin, 32
MYAMBUTOL, 11
MYCOBUTIN, 12
mycophenolate mofetil, 29
MYLERAN, 13
MYSOLINE, 18
N
nabumetone, 8
nadolol, 16
nadolol/bendroflumethiazide, 16
nafarelin, 24
naltrexone, 21
NAMENDA, 19
NAMENDA XR, 19
NAPROSYN, 8
naproxen, 8
naproxen delayed-rel, 8
naproxen sodium, 8
naratriptan, 21
NARDIL, 19
NASACORT AQ, 31
NATACYN, 34
natamycin, 34
neomycin/polymyxin B/bacitracin/hydrocortisone oint, 34
neomycin/polymyxin B/dexamethasone, 34
neomycin/polymyxin B/gramicidin, 34
neomycin/polymyxin B/hydrocortisone, 35
neomycin/polymyxin B/hydrocortisone susp, 34
NEORAL, 29
NEOSPORIN, 34
NEUPRO, 20
NEURONTIN, 18
nevirapine, 11
nevirapine ext-rel, 11
NEXAVAR, 14
niacin ext-rel, 16
NIASPAN, 16
nicardipine, 16
NICODERM CQ, 22
NICORETTE, 22
nicotine polacrilex gum, 22
nicotine transdermal, 22
nifedipine ext-rel, 16
NILANDRON, 13
nilotinib, 14
nilutamide, 13
nitazoxanide, 12
NITRO-DUR, 17
nitrofurantoin ext-rel, 12
nitrofurantoin macrocrystals, 12
nitroglycerin sublingual, 17
nitroglycerin transdermal, 17
NITROSTAT, 17
NIX, 33
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44
NIZORAL SHAMPOO, 32
NORCO, 8
norelgestromin/EE, 24
norethindrone, 24
norethindrone acetate, 25
norethindrone acetate/EE 1.5/30, 23
norethindrone acetate/EE 1.5/30 and iron, 23
norethindrone acetate/EE 1/20, 23
norethindrone acetate/EE 1/20 and iron, 23
norethindrone/EE, 24
norethindrone/EE 0.5/35, 23
norethindrone/EE 1/35, 23
norethindrone/ME 1/50, 23
norgestimate/EE, 24
norgestimate/EE 0.25/35, 23
norgestrel/EE 0.3/30 - Low-Ogestrel, 23
NORINYL 1+35, 23
NORINYL 1+50, 23
NORPACE, 15
NORPACE CR, 15
NORPRAMIN, 19
NOR-QD, 24
nortriptyline, 19
NORVASC, 16
NORVIR, 11
NOVOLIN 70/30, 22
NOVOLIN N, 22
NOVOLIN R, 22
NOVOLOG, 22
NOVOLOG MIX 70/30, 22
NOXAFIL, 10
NUVIGIL, 21
nystatin, 10, 32
O
OCUFLOX, 34
ofloxacin, 34
ofloxacin otic, 35
olanzapine, 20
OLUX, 33
OLYSIO, 12
omeprazole delayed-rel, 27
omeprazole granules, 27
omeprazole magnesium delayed-rel, 27
omeprazole/sodium bicarbonate, 27
omeprazole/sodium bicarbonate caps, 27
ondansetron, 26
ondansetron orally disintegrating tabs, 26
ONETOUCH kits and test strips, 23
ONFI, 18
orphenadrine/aspirin/caffeine, 21
ORTHO EVRA, 24
ORTHO MICRONOR, 24
ORTHO TRI-CYCLEN, 24
ORTHO-CEPT, 23
ORTHO-CYCLEN, 23
ORTHO-NOVUM 1/35, 23
ORTHO-NOVUM 7/7/7, 24
oseltamivir, 12
ospemifene, 25
OSPHENA, 25
OVIDE, 33
oxaprozin, 8
oxazepam, 18
oxcarbazepine, 18
oxybutynin, 28
oxybutynin ext-rel, 28
oxycodone, 9
oxycodone ext-rel, 9
oxycodone/acetaminophen, 9
OXYCONTIN, 9
P
PAMELOR, 19
pancrelipase, 27
pancrelipase delayed-rel, 27
pantoprazole delayed-rel, 27
paricalcitol, 25
PARLODEL, 19
PARNATE, 19
paroxetine HCl, 19
paroxetine HCl ext-rel, 19
PAXIL, 19
PAXIL CR, 19
pazopanib, 14
peg 3350/electrolytes, 27
peginterferon alfa-2b, 29
PEGINTRON, 29
penicillin VK, 10
PEPCID, 26
PEPCID AC, 26
PERCOCET, 9
PERFOROMIST, 31
perindopril, 14
permethrin, 33
permethrin 5%, 33
PERSANTINE, 28
phenazopyridine, 28
phenelzine, 19
phenobarbital, 18
phenytoin chewable tabs, 18
phenytoin sodium extended, 18
phenytoin susp, 18
PHOSLO, 25
phytonadione, 30
pilocarpine tabs, 27
pimecrolimus, 33
pindolol, 16
pioglitazone, 22
pioglitazone/glimepiride, 22
pioglitazone/metformin, 22
piroxicam, 8
PLAN B ONE-STEP, 24
PLAQUENIL, 29
PLAVIX, 28
PLETAL, 28
polyethylene glycol 3350, 27
polymyxin B/bacitracin, 34
polymyxin B/trimethoprim, 34
POLYTRIM, 34
pomalidomide, 13
POMALYST, 13
ponatinib, 14
posaconazole, 10
potassium chloride ext-rel, 29
potassium chloride liquid, 29
potassium citrate ext-rel, 28
POTIGA, 18
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pramipexole, 20
prasugrel, 28
PRAVACHOL, 16
pravastatin, 16
PRED FORTE, 34
PRED MILD, 34
prednisolone acetate 0.12%, 34
prednisolone acetate 1%, 34
prednisolone phosphate 1%, 34
prednisolone sodium phosphate, 25
prednisolone syrup, 25
prednisone, 25
pregabalin, 20
PRELONE, 25
prenatal vitamin/minerals, 29
prenatal vitamins/DHA/docusate/folic acid, 29
prenatal vitamins/docusate/folic acid, 29
prenatal vitamins/docusate/folic acid + DHA, 29
prenatal vitamins/folic acid + pyridoxine, 29
PREVACID, 27
PREVACID SOLUTAB, 27
PREZISTA, 11
PRIFTIN, 11
PRILOSEC, 27
PRILOSEC OTC, 27
primidone, 18
PROAIR HFA, 31
probenecid, 8
procarbazine, 14
PROCARDIA XL, 16
prochlorperazine, 26
progesterone gel, 25
progesterone, micronized, 25
PROGRAF, 29
promethazine, 26
PROMETRIUM, 25
propafenone, 15
propafenone ext-rel, 15
propranolol, 16
propranolol ext-rel, 16
propranolol/hydrochlorothiazide, 16
propylthiouracil, 25
PROSCAR, 27
PROTONIX, 27
PROTOPIC, 33
PROVERA, 25
PROZAC, 19
PULMICORT FLEXHALER, 31
PULMICORT RESPULES, 31
PURINETHOL, 13
pyrazinamide, 11
pyrethrins/piperonyl butoxide, 33
PYRIDIUM, 28
pyridostigmine, 21
Q
QUESTRAN/QUESTRAN LIGHT, 15
quetiapine, 20
quetiapine ext-rel, 20
R
raloxifene, 25
raltegravir, 11
ramipril, 14
RANEXA, 17
ranitidine, 26
ranolazine ext-rel, 17
RAPAMUNE, 29
rasagiline mesylate, 20
RAZADYNE, 19
RAZADYNE ER, 19
REBETOL, 12
REGLAN, 26
regorafenib, 14
RELENZA, 12
REMERON, 19
REMERON SOLTAB, 19
RENVELA, 25
REQUIP, 20
RESCRIPTOR, 11
RESTORIL, 20
RETIN-A, 32
RETROVIR, 11
REVATIO, 17
REVIA, 21
REVLIMID, 13
REYATAZ, 11
ribavirin caps, 12
ribavirin caps - Ribasphere, 12
ribavirin oral soln, 12
ribavirin tabs, 12
RID, 33
rifabutin, 12
RIFADIN, 11
RIFAMATE, 11
rifampin, 11
rifapentine, 11
RIFATER, 11
rifaximin, 12
rifaximin 550 mg, 12
rilpivirine, 11
RILUTEK, 22
riluzole, 22
rimantadine, 12
risedronate 150 mg, 23
RISPERDAL, 20
RISPERDAL CONSTA, 20
RISPERDAL M-TAB, 20
risperidone, 20
risperidone inj, 20
risperidone orally disintegrating tabs, 20
RITALIN LA, 20
ritonavir, 11
rivaroxaban, 28
rivastigmine, 19
rizatriptan, 21
rizatriptan orally disintegrating tabs, 21
ROBAXIN, 21
ROCALTROL, 25
ropinirole, 20
rotigotine transdermal, 20
ROWASA, 26
ROXICODONE, 9
rufinamide, 18
ruxolitinib, 14
RYTHMOL, 15
RYTHMOL SR, 15
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S
T
SALAGEN, 27
SANTYL, 33
saquinavir mesylate, 11
SECTRAL, 15
selegiline, 20
selenium sulfide shampoo 2.5%, 32
SELZENTRY, 11
SEROQUEL, 20
SEROQUEL XR, 20
sertraline, 19
sevelamer carbonate, 25
sildenafil, 17
SILVADENE, 32
silver sulfadiazine, 32
simeprevir, 12
simvastatin, 16
SINEMET, 19
SINEMET CR, 19
SINGULAIR, 31
sirolimus, 29
sitagliptin phosphate, 22
SIVEXTRO, 12
sodium hyaluronate, 9
sodium sulfate/potassium sulfate/magnesium sulfate, 27
sofosbuvir, 12
somatropin, 25
SONATA, 20
sorafenib, 14
sotalol, 15
SOVALDI, 12
SPIRIVA, 30
spironolactone, 15
spironolactone/hydrochlorothiazide, 17
SPORANOX, 10
SPRYCEL, 14
STALEVO, 19
stavudine, 11
STIVARGA, 14
STRATTERA, 20
streptomycin sulfate, 11
STRIBILD, 10
STROMECTOL, 12
SUCLEAR, 27
sulfacetamide lotion 10%, 32
sulfacetamide soln 10%, 34
sulfacetamide/prednisolone phosphate, 34
sulfacetamide/sulfur crm, gel, lotion, pads, 32
sulfamethoxazole/trimethoprim, 12
sulfamethoxazole/trimethoprim DS, 12
sulfasalazine, 26
sulfasalazine delayed-rel, 26
sulindac, 8
sumatriptan, 21
sumatriptan inj, 21
sumatriptan nasal spray, 21
sunitinib, 14
SUPARTZ, 9
SUPREP, 27
SUSTIVA, 11
SUTENT, 14
SYNAREL, 24
SYNTHROID, 25
tacrolimus, 29, 33
TAFINLAR, 14
TAGAMET HB, 26
TAMIFLU, 12
tamoxifen, 13
tamsulosin, 28
TANZEUM, 22
TAPAZOLE, 25
TARCEVA, 14
TARGRETIN, 14
TASIGNA, 14
tazarotene, 32
TAZORAC, 32
TECFIDERA, 21
tedizolid, 12
tedizolid inj, 12
TEGRETOL, 18
TEGRETOL-XR, 18
temazepam, 20
TEMODAR, 13
TEMOVATE, 33
temozolomide, 13
tenofovir, 11
TENORETIC, 16
TENORMIN, 16
TERAZOL 3, 28
TERAZOL 7, 28
terazosin, 28
terbinafine tabs, 10
terconazole, 28
TESSALON, 30
testosterone cypionate inj, 22
testosterone enanthate inj, 22
testosterone soln, 22
testosterone transdermal, 22
tetracycline, 10
thalidomide, 13
THALOMID, 13
theophylline ext-rel tabs, 31
thioguanine, 13
tiagabine, 18
TIAZAC, 16
ticagrelor, 28
TIGAN, 26
TIKOSYN, 15
timolol maleate, 34
timolol maleate gel, 34
TIMOPTIC, 34
TIMOPTIC-XE, 34
TINDAMAX, 12
tinidazole, 12
tiotropium, 30
TIVICAY, 11
tizanidine tabs, 21
TOBI, 31
TOBRADEX SUSPENSION, 34
tobramycin, 34
tobramycin inhalation soln, 31
tobramycin/dexamethasone susp 0.3%/0.1%, 34
TOBREX, 34
TOFRANIL, 19
tolmetin, 8
TOPAMAX, 18
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47
TOPAMAX SPRINKLE CAPS, 18
TOPICORT, 33
TOPICORT LP, 33
topiramate, 18
topiramate sprinkle caps, 18
topotecan caps, 14
TOPROL-XL, 16
toremifene, 13
torsemide, 17
TRACLEER, 17
tramadol, 9
tramadol ext-rel, 9
trametinib, 14
TRANDATE, 16
trandolapril, 14
TRANXENE T-TAB, 18
tranylcypromine, 19
trazodone, 19
TRECATOR, 11
tretinoin, 32
tretinoin caps, 14
triamcinolone acetonide crm 0.5%, 33
triamcinolone acetonide crm, lotion 0.025%, 33
triamcinolone acetonide crm, lotion, oint 0.1%, 33
triamcinolone acetonide spray, 31
triamcinolone paste, 34
triamterene/hydrochlorothiazide, 17
TRICOR, 15
trifluoperazine, 20
trifluridine, 34
trihexyphenidyl, 20
TRILEPTAL, 18
trimethobenzamide, 26
trimethoprim, 12
TRI-NORINYL, 24
TRIZIVIR, 10
trospium, 28
TRUSOPT, 35
TRUVADA, 10
TYKERB, 14
TYLENOL, 8
TYLENOL w/CODEINE, 8
U
ulipristal, 24
ULTRAM, 9
ULTRAM ER, 9
ULTRAVATE, 33
ULTRESA, 27
URECHOLINE, 28
UROCIT-K, 28
UROXATRAL, 27
URSO, 26
ursodiol, 26
V
valacyclovir, 12
VALCYTE, 11
valganciclovir, 11
VALIUM, 18
valproic acid, 18
valsartan, 15
valsartan/hydrochlorothiazide, 15
VALTREX, 12
VANCOCIN, 12
vancomycin, 12
vandetanib, 14
VANTIN, 10
varenicline, 22
VASERETIC, 15
VASOTEC, 14
vemurafenib, 14
venlafaxine, 19
venlafaxine ext-rel, 19
verapamil ext-rel, 16
VERELAN, 16
VERELAN PM, 16
VFEND, 10
VIBRAMYCIN, 10
VICTRELIS, 12
VIDEX, 11
VIDEX EC, 11
VIGAMOX, 34
VIMPAT, 18
VIOKACE, 27
VIRAMUNE, 11
VIRAMUNE XR, 11
VIREAD, 11
VIROPTIC, 34
vismodegib, 14
vitamin ADC/fluoride drops, 30
vitamin ADC/fluoride/iron drops, 30
VOLTAREN XR, 8
vorapaxar, 28
voriconazole, 10
vorinostat, 14
VOTRIENT, 14
W
warfarin, 28
WELLBUTRIN, 19
WELLBUTRIN SR, 19
WELLBUTRIN XL, 19
WESTCORT, 33
X
XALATAN, 35
XALKORI, 14
XANAX, 18
XARELTO, 28
XELODA, 13
XIFAXAN, 12
XIFAXAN 550 mg, 12
XOPENEX SOLUTION, 31
XTANDI, 13
Y
YASMIN, 23
YAZ, 23
Z
ZADITOR, 34
zaleplon, 20
ZANAFLEX, 21
zanamivir, 12
ZANTAC, 26
ZARONTIN, 18
ZAROXOLYN, 17
ZEBETA, 16
ZEGERID, 27
ZEGERID OTC, 27
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48
ZELBORAF, 14
ZEMPLAR, 25
ZENPEP, 27
ZERIT, 11
ZESTORETIC, 15
ZESTRIL, 14
ZIAC, 16
ZIAGEN, 11
zidovudine, 11
ziprasidone, 20
ZITHROMAX, 10
ZOCOR, 16
ZOFRAN, 26
ZOFRAN ODT, 26
ZOLINZA, 14
zolmitriptan orally disintegrating tabs, 21
zolmitriptan tabs, 21
ZOLOFT, 19
zolpidem, 20
zolpidem ext-rel, 20
ZOMIG, 21
ZOMIG-ZMT, 21
ZONEGRAN, 18
zonisamide, 18
ZONTIVITY, 28
ZORTRESS, 29
ZOVIRAX, 12
ZUBSOLV, 21
ZYBAN, 22
ZYDELIG, 14
ZYKADIA, 13
ZYLOPRIM, 8
ZYPREXA, 20
ZYRTEC, 30
ZYRTEC-D 12 HOUR, 30
ZYTIGA, 13
ZYVOX, 12
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49