2011 MEDICARE PART D QUANTITY LIMITS MEDICAREPARTDQUANTITYLIMITSSpanish_old_04282011 MEDICAREPARTDQUANTITYLIMITSSpanish Old 04282011
MEDICAREPARTDQUANTITYLIMITS_Old_052711 MEDICAREPARTDQUANTITYLIMITS_Old_052711
User Manual: MEDICAREPARTDQUANTITYLIMITSSpanish_old_04282011
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2011 MEDICARE PART D QUANTITY LIMITS The quantity limit indicates the unit values such as number of tablets, capsules, grams or cc’s, etc for the drug for each filled prescription. The days supply is the quantity limit day amount for the medication. For example: Four Actonel 35mg tablets are to be dispensed for a twenty eight days supply. QUANTITY LIMIT DAYS SUPPLY 300 10 ABILIFY 10 MG TABLET 60 30 ABILIFY 15 MG TABLET 60 30 ABILIFY 20 MG TABLET 30 30 ABILIFY 30 MG TABLET 30 30 ABILIFY 5 MG TABLET 60 30 ABSTRAL 100 MCG SUBLINGUAL TABLET 300 30 ABSTRAL 200 MCG SUBLINGUAL TABLET 300 30 ABSTRAL 300 MCG SUBLINGUAL TABLET 300 30 ABSTRAL 400 MCG SUBLINGUAL TABLET 300 30 ABSTRAL 600 MCG SUBLINGUAL TABLET 300 30 ABSTRAL 800 MCG SUBLINGUAL TABLET 300 30 ACCOLATE 10 MG TABLET 60 30 ACCOLATE 20 MG TABLET 60 30 ACCUNEB 0.63 MG/3 ML INH SOLN 375 30 ACCUNEB 1.25 MG/3 ML INH SOLN 375 30 ACCUPRIL 10 MG TABLET 60 30 ACCUPRIL 20 MG TABLET 60 30 ACCUPRIL 40 MG TABLET 60 30 ACCUPRIL 5 MG TABLET 60 30 ACCURETIC 10-12.5 MG TABLET 60 30 ACCURETIC 20-12.5 MG TABLET 60 30 ACCURETIC 20-25 MG TABLET 60 30 300 30 MEDICATION NAME ABILIFY 1 MG/ML SOLUTION ACETAMINOPHEN-COD #2 TABLET Page 1 of 37 ACETAMINOPHEN-COD #3 TABLET 300 30 ACETAMINOPHEN-COD #4 TABLET 300 30 ACETAMINOPHEN-CODEINE ELIXIR 946 10 ACIPHEX 20 MG TABLET EC 30 30 ACLOVATE 0.05% CREAM 90 30 ACLOVATE 0.05% OINTMENT 120 30 ACTIQ 1,200 MCG LOZENGE 240 30 ACTIQ 1,600 MCG LOZENGE 240 30 ACTIQ 200 MCG LOZENGE 240 30 ACTIQ 400 MCG LOZENGE 240 30 ACTIQ 600 MCG LOZENGE 240 30 ACTIQ 800 MCG LOZENGE 240 30 ACTONEL 150 MG TABLET 1 28 ACTONEL 30 MG TABLET 30 30 ACTONEL 35 MG TABLET 4 28 ACTONEL 5 MG TABLET 30 30 ACTOPLUS MET 15 MG-500 MG TAB 90 30 ACTOPLUS MET 15 MG-850 MG TAB 90 30 ACTOS 15 MG TABLET 30 30 ACTOS 30 MG TABLET 30 30 ACTOS 45 MG TABLET 30 30 ACULAR 0.5% EYE DROPS 10 30 ACULAR LS 0.4% OPHTH SOL 10 30 ADALAT CC 30 MG TABLET 60 30 ADALAT CC 60 MG TABLET 60 30 ADALAT CC 90 MG TABLET 30 30 ADVAIR HFA 115-21 MCG INHALER 12 30 ADVICOR 1,000 MG-20 MG TABLET 60 30 ADVICOR 1,000 MG-40 MG TABLET 60 30 ADVICOR 500 MG-20 MG TABLET 60 30 ADVICOR 750 MG-20 MG TABLET 60 30 AFEDITAB CR 30 MG TABLET 60 30 Page 2 of 37 AFEDITAB CR 60 MG TABLET 60 30 ALAMAST 0.1% DROPS 20 30 ALBUTEROL 0.083% INHAL SOLN 375 30 ALBUTEROL 5 MG/ML SOLUTION 20 30 ALBUTEROL SUL 0.63 MG/3 ML SOL 375 30 ALBUTEROL SUL 1.25 MG/3 ML SOL 375 30 ALDARA 5% CREAM 12 28 ALENDRONATE SODIUM 10 MG TAB 30 30 ALENDRONATE SODIUM 35 MG TAB 4 28 ALENDRONATE SODIUM 40 MG TAB 30 30 ALENDRONATE SODIUM 5 MG TABLET 30 30 ALENDRONATE SODIUM 70 MG TAB 4 28 ALINIA 500 MG TABLET 6 30 30 30 600 30 ALLEGRA 60 MG TABLET 60 30 ALLEGRA-D 12 HOUR TABLET 60 30 ALOCRIL 2% EYE DROPS 10 30 ALORA 0.025 MG PATCH 8 28 ALORA 0.05 MG PATCH 8 28 ALORA 0.075 MG PATCH 8 28 ALORA 0.1 MG PATCH 8 28 ALOXI 0.25 MG/5 ML VIAL 25 21 ALPHAGAN P 0.1% DROPS 10 30 ALPHAGAN P 0.15% EYE DROPS 10 30 ALREX 0.2% EYE DROPS 20 30 ALTABAX 1% OINTMENT 20 30 ALTOPREV 20 MG TABLET 30 30 ALTOPREV 40 MG TABLET 30 30 ALTOPREV 60 MG TABLET 30 30 AMBIEN 10 MG TABLET 30 30 AMBIEN 5 MG TABLET 60 30 ALLEGRA 180 MG TABLET ALLEGRA 30 MG/5 ML SUSPENSION Page 3 of 37 AMBIEN CR 12.5 MG TABLET 30 30 AMBIEN CR 6.25 MG TABLET 30 30 AMERGE 1 MG TABLET 18 30 AMERGE 2.5 MG TABLET 18 30 AMLODIPINE BESYLATE 10 MG TAB 30 30 AMLODIPINE BESYLATE 2.5 MG TAB 30 30 AMLODIPINE BESYLATE 5 MG TAB 45 30 AMLODIPINE-BENAZEPRIL 10-20 MG 60 30 AMLODIPINE-BENAZEPRIL 2.5-10 60 30 AMLODIPINE-BENAZEPRIL 5-10 MG 60 30 AMLODIPINE-BENAZEPRIL 10-40 MG 60 30 AMLODIPINE-BENAZEPRIL 5-40 MG 60 30 AMLODIPINE-BENAZEPRIL 5-20 MG 60 30 ANASTROZOLE 1 MG TABLET 30 30 150 15 ANZEMET 100 MG TABLET 5 30 ANZEMET 50 MG TABLET 5 30 APRI 28 DAY TABLET 28 28 ARANELLE 28 TABLET 28 28 ARANESP 100 MCG/0.5 ML SYRINGE 2 28 ARANESP 100 MCG/ML VIAL 4 28 ARANESP 150 MCG/0.3 ML SYRINGE 1.2 28 ARANESP 200 MCG/0.4 ML SYRINGE 1.6 28 4 28 1.68 28 4 28 0.6 14 1 14 1.6 28 ARANESP 40 MCG/ML VIAL 4 28 ARANESP 500 MCG/1 ML SYRINGE 1 14 ARANESP 60 MCG/0.3 ML SYRINGE 1.2 28 ANDROGEL 1%(5G) GEL PACKET ARANESP 200 MCG/ML VIAL ARANESP 25 MCG/0.42 ML SYRING ARANESP 25 MCG/ML VIAL ARANESP 300 MCG/0.6 ML SYRINGE ARANESP 300 MCG/ML VIAL ARANESP 40 MCG/0.4 ML SYRINGE Page 4 of 37 ARANESP 60 MCG/ML VIAL 4 28 ARAVA 10 MG TABLET 30 30 ARAVA 20 MG TABLET 30 30 AREDIA 30 MG VIAL 3 7 AREDIA 90 MG VIAL 1 1 ARICEPT 10 MG TABLET 30 30 ARICEPT 5 MG TABLET 30 30 ARICEPT ODT 10 MG TABLET 30 30 ARICEPT ODT 5 MG TABLET 30 30 ARICEPT 23 MG TABLET 30 30 ARIMIDEX 1 MG TABLET 30 30 ARIXTRA 10 MG SYRINGE 11.2 7 ARIXTRA 2.5 MG SYRINGE 7 7 ARIXTRA 5 MG SYRINGE 5.6 7 ARIXTRA 7.5 MG SYRINGE 8.4 7 ASCOMP WITH CODEINE CAPSULE 300 30 ASMANEX TWISTHALER 220 MCG #14 0.48 7 ASMANEX TWISTHALER 220 MCG #30 0.96 30 ASMANEX TWISTHALER 220 MCG #60 0.48 30 ASMANEX TWISTHALR 220 MCG #120 0.24 30 ASTELIN 137 MCG NASAL SPRAY 60 30 ASTEPRO 0.15% NASAL SPRAY 60 30 ATACAND 16 MG TABLET 60 30 ATACAND 32 MG TABLET 30 30 ATACAND 4 MG TABLET 60 30 ATACAND 8 MG TABLET 60 30 ATACAND HCT 16-12.5 MG TAB 60 30 ATACAND HCT 32-12.5 MG TAB 30 30 4 28 ATROVENT 0.03% SPRAY 60 30 ATROVENT 0.06% SPRAY 30 30 250 15 ATELVIA DR 35 MG TABLET AUGMENTIN ES-600 SUSPENSION Page 5 of 37 AVALIDE 150-12.5 MG TABLET 30 30 AVALIDE 300-12.5 MG TABLET 30 30 AVALIDE 300-25 MG TABLET 30 30 AVANDIA 2 MG TABLET 60 30 AVANDIA 4 MG TABLET 60 30 AVANDIA 8 MG TABLET 30 30 AVAPRO 150 MG TABLET 30 30 AVAPRO 300 MG TABLET 30 30 AVAPRO 75 MG TABLET 30 30 AVELOX 400 MG TABLET 14 14 AVELOX ABC PACK 400 MG TAB 14 14 AVIANE-28 TABLET 28 28 AVINZA 120 MG CAPSULE 300 30 AVINZA 30 MG CAPSULE 300 30 AVINZA 45 MG CAPSULE 300 30 AVINZA 60 MG CAPSULE 300 30 AVINZA 75 MG CAPSULE 300 30 AVINZA 90 MG CAPSULE 300 30 AVITA 0.025% CREAM 90 30 AVITA 0.025% GEL 90 30 AVODART 0.5 MG SOFTGEL 30 30 AVONEX ADMIN PACK 30 MCG VL 4 28 AVONEX PREFILLED SYR 30 MCG 4 28 AXERT 12.5 MG TABLET 12 30 AXERT 6.25 MG TABLET 12 30 AZASITE 1% EYE DROPS 5 30 AZELASTINE HCL 0.05% DROPS 12 30 AZITHROMYCIN 100 MG/5 ML SUSP 30 15 AZITHROMYCIN 200 MG/5 ML SUSP 45 15 AZOPT 1% EYE DROPS 10 30 BACTROBAN 2% OINTMENT 44 30 BALZIVA 28 TABLET 28 28 Page 6 of 37 BARACLUDE 0.05 MG/ML SOLUTION 420 15 BECONASE AQ 0.042% SPRAY 50 30 BENICAR 20 MG TABLET 60 30 BENICAR 40 MG TABLET 30 30 BENICAR 5 MG TABLET 60 30 BENICAR HCT 20-12.5 MG TABLET 60 30 BENICAR HCT 40-12.5 MG TABLET 30 30 BENICAR HCT 40-25 MG TABLET 30 30 BEPREVE 1.5% EYE DROPS 20 30 BESIVANCE 0.6% SUSP 10 30 BETAGAN 0.5% EYE DROPS 10 30 BETASERON 0.3 MG KIT 15 30 BETAXOLOL HCL 0.5% EYE DROP 5 10 BIAXIN 125 MG/5 ML SUSPENSION 200 10 BIAXIN 250 MG/5 ML SUSPENSION 200 10 20 30 BONIVA 150 MG TABLET 1 30 BOTOX 100 UNITS VIAL 1 30 BREVICON 28 TABLET 28 28 5 15 BUDEPRION XL 150 MG TABLET 90 30 BUDEPRION XL 300 MG TABLET 30 30 BUPRENORPHINE 2 MG TABLET SL 300 30 BUPRENORPHINE 8 MG TABLET SL 300 30 BUTALBITAL-CAFF-APAP-COD CAP 300 30 5 1 BYETTA 10 MCG DOSE PEN INJ 2.4 30 BYETTA 5 MCG DOSE PEN INJ 1.2 30 CABERGOLINE 0.5 MG TABLET 16 28 CAFERGOT TABLET 40 28 CALCIPOTRIENE 0.005% SOLUTION 120 30 CALCIPOTRIENE 0.005% OINTMENT 120 30 BLEPHAMIDE EYE DROPS BRIMONIDINE 0.2% EYE DROP BUTORPHANOL 10 MG/ML SPRAY Page 7 of 37 CALCITONIN-SALMON 200 UNITS SP 3.7 30 CAMILA TABLET 28 28 946 5 CARDIZEM CD 120 MG CAPSULE 60 30 CARDIZEM CD 180 MG CAPSULE 60 30 CARDIZEM CD 240 MG CAPSULE 60 30 CARDIZEM CD 300 MG CAPSULE 60 30 CARDIZEM CD 360 MG CAPSULE 30 30 CARTIA XT 120 MG CAPSULE 60 30 CARTIA XT 180 MG CAPSULE 60 30 CARTIA XT 240 MG CAPSULE 60 30 CARTIA XT 300 MG CAPSULE 60 30 CEFTIN 500 MG TABLET 40 20 CELEBREX 100 MG CAPSULE 60 30 CELEBREX 200 MG CAPSULE 60 30 CELEBREX 400 MG CAPSULE 60 30 CELEBREX 50 MG CAPSULE 60 30 CESIA 28 DAY TABLET 28 28 240 30 CHANTIX 0.5 MG TABLET 56 28 CHANTIX 1 MG TABLET 56 28 CHANTIX STARTING MONTH PAK 53 28 CILOXAN 0.3% EYE DROPS 10 15 7 30 15 30 CITALOPRAM 10 MG/5 ML SOLUTION 480 15 CLARINEX 0.5 MG/ML SYRUP 946 30 CLARINEX 5 MG TABLET 30 30 CLARINEX-D 12 HOUR TABLET 60 30 CLARINEX-D 24 HOUR TABLET 30 30 100 5 80 30 CAPITAL WITH CODEINE SUSP CETIRIZINE HCL 1 MG/ML SYRUP CILOXAN 0.3% OINTMENT CIPRODEX OTIC SUSPENSION CLARITHROMYCIN 125 MG/5 ML SUS CLEOCIN 2% VAGINAL CREAM Page 8 of 37 CLEOCIN T 1% LOTION 120 30 CLEOCIN T 1% SOLUTION 120 30 CLIMARA 0.025 MG/DAY PATCH 4 28 CLIMARA 0.0375 MG/DAY PATCH 4 28 CLIMARA 0.05 MG/DAY PATCH 4 28 CLIMARA 0.06/MG DAY PATCH 4 28 CLIMARA 0.075 MG/DAY PATCH 4 28 CLIMARA 0.1 MG/DAY PATCH 4 28 CLIMARA PRO PATCH 4 28 CODEINE SULFATE 30 MG TABLET 300 30 CODEINE SULFATE 60 MG TABLET 300 30 CODEINE SULFATE 15 MG TABLET 300 30 CO-GESIC 5-500 TABLET 240 30 8000 30 COMBIGAN EYE DROPS 5 15 COMBIPATCH 0.05-0.14 MG PTCH 8 28 COMBIPATCH 0.05-0.25 MG PTCH 8 28 29.4 30 COMBUNOX TABLET 56 14 CONCERTA ER 18 MG TABLET 30 30 CONCERTA ER 27 MG TABLET 30 30 CONCERTA ER 36 MG TABLET 60 30 CONCERTA ER 54 MG TABLET 30 30 CORTISPORIN OINTMENT 30 30 COSOPT EYE DROPS 10 30 CRESTOR 10 MG TABLET 30 30 CRESTOR 20 MG TABLET 30 30 CRESTOR 40 MG TABLET 30 30 CRESTOR 5 MG TABLET 30 30 CRYSELLE-28 TABLET 28 28 CYCLAFEM 1-35-28 TABLET 28 28 CYCLAFEM 7-7-7-28 TABLET 28 28 COLYTE WITH FLAVOR PACKETS COMBIVENT INHALER Page 9 of 37 CUTIVATE 0.005% OINTMENT 120 30 CYCLESSA 28 DAY TABLET 28 28 CYMBALTA 20 MG CAPSULE 60 30 CYMBALTA 30 MG CAPSULE 60 30 CYMBALTA 60 MG CAPSULE 30 30 D.H.E.45 1 MG/ML AMPUL 6 7 DDAVP 0.01% SOLUTION 5 30 DEMEROL 100 MG TABLET 300 30 DEMEROL 50 MG TABLET 300 30 DENAVIR 1% CREAM 3 30 DEPO-PROVERA 150 MG/ML VIAL 1 90 DESMOPRESSIN 0.1 MG/ML SOL 5 1 DESMOPRESSIN 0.1 MG/ML SPRAY 10 30 DESOGEN 28 DAY TABLET 28 28 DETROL 1 MG TABLET 60 30 DETROL 2 MG TABLET 60 30 DETROL LA 2 MG CAPSULE 30 30 DETROL LA 4 MG CAPSULE 30 30 DICLOFENAC 0.1% EYE DROPS 10 30 1 30 DILACOR XR 120 MG CAPSULE 60 30 DILACOR XR 180 MG CAPSULE 60 30 DILACOR XR 240 MG CAPSULE 60 30 DILAUDID 2 MG TABLET 300 30 DILAUDID 4 MG TABLET 300 30 DILAUDID 8 MG TABLET 300 30 DILAUDID-5 1 MG/ML LIQUID 946 15 DILT XR 180 MG CAPSULE 60 30 DILT XR 240 MG CAPSULE 60 30 DILT-CD 120 MG CAPSULE 60 30 DILT-CD ER 300 MG CAPSULE 60 30 DILTIAZEM 24HR ER 120 MG CAP 60 30 DIFLUCAN 150 MG TABLET Page 10 of 37 DILTIAZEM 24HR ER 240 MG CAP 60 30 DILTIAZEM 24HR ER 300 MG CAP 60 30 DILTIAZEM HCL ER 360 MG CAP 60 30 DILTIAZEM HCL ER 420 MG CAP 60 30 DILTZAC ER 120 MG CAPSULE 60 30 DILTZAC ER 180 MG CAPSULE 60 30 DILTZAC ER 240 MG CAPSULE 60 30 DILTZAC ER 300 MG CAPSULE 60 30 DILTZAC ER 360 MG CAPSULE 60 30 DIOVAN 160 MG TABLET 60 30 DIOVAN 320 MG TABLET 30 30 DIOVAN 40 MG TABLET 60 30 DIOVAN 80 MG TABLET 60 30 DIOVAN HCT 160-12.5 MG TAB 60 30 DIOVAN HCT 160-25 MG TABLET 60 30 DIOVAN HCT 320-12.5 MG TAB 30 30 DIOVAN HCT 320-25 MG TABLET 30 30 DIOVAN HCT 80-12.5 MG TABLET 60 30 DIPROLENE 0.05% LOTION 120 30 DIPROLENE 0.05% OINTMENT 100 30 DIPROLENE AF 0.05% CREAM 100 30 DITROPAN XL 10 MG TABLET 60 30 DITROPAN XL 15 MG TABLET 60 30 DITROPAN XL 5 MG TABLET 60 30 DOLOPHINE HCL 5 MG TABLET 300 30 DONEPEZIL HCL 10 MG TABLET 30 30 DONEPEZIL HCL 5 MG TABLET 30 30 DONEPEZIL HCL ODT 10 MG TABLET 30 30 DONEPEZIL HCL ODT 5 MG TABLET 30 30 DORZOLAMIDE HCL 2% EYE DROPS 10 30 DORZOLAMIDE-TIMOLOL EYE DROPS 10 30 120 30 DOVONEX 0.005% CREAM Page 11 of 37 DOVONEX 0.005% SOLUTION 120 30 DULERA 100 MCG/5 MCG INHALER 26 30 DULERA 200 MCG/5 MCG INHALER 13 30 360 30 DUREZOL 0.05% EYE DROPS 10 30 EGRIFTA 1 MG VIAL 60 30 EFUDEX 5% CREAM 80 30 ELESTAT 0.05% EYE DROPS 10 30 ELIDEL 1% CREAM 60 30 ELOCON 0.1% CREAM 90 30 ELOCON 0.1% LOTION 120 30 ELOCON 0.1% OINTMENT 90 30 ELOCON 0.1% SOLUTION 120 30 EMADINE 0.05% EYE DROPS 10 30 EMBEDA 20-0.8 MG CAPSULE 300 30 EMBEDA 30-1.2 MG CAPSULE 300 30 EMBEDA 50-2 MG CAPSULE 300 30 16 28 ENBREL 25 MG/0.5 ML SYRINGE 8.16 30 ENBREL 50 MG/ML SYRINGE 7.84 28 ENDOCET 10-325 MG TABLET 300 30 ENDOCET 10-650 MG TABLET 180 30 ENDOCET 5-325 TABLET 300 30 ENDOCET 7.5-325 MG TABLET 300 30 ENDOCET 7.5-500 MG TABLET 240 30 ENOXAPARIN 100 MG/ML SYR 14 7 11.2 7 ENOXAPARIN 150 MG/ML SYR 14 7 ENOXAPARIN 30 MG/0.3 ML SYR 4.2 7 ENOXAPARIN 40 MG/0.4 ML SYR 5.6 7 ENOXAPARIN 60 MG/0.6 ML SYR 8.4 7 ENOXAPARIN 80 MG/0.8 ML SYR 11.2 7 DUONEB 2.5-0.5 MG/3 ML SOLN ENBREL 25 MG KIT ENOXAPARIN 120 MG/0.8 ML SYR Page 12 of 37 ENDODAN 4.83-325 MG TABLET 300 30 ENPRESSE-28 TABLET 28 28 EPIDUO GEL 90 30 EPIPEN 0.3 MG AUTO-INJECTOR 1 30 EPIPEN JR 0.15 MG AUTO-INJCT 1 30 EPOGEN 2,000 UNITS/ML VIAL 1 1 EPOGEN 20,000 UNITS/2 ML VIAL 1 1 EPOGEN 20,000 UNITS/ML VIAL 4 30 EPOGEN 3,000 UNITS/ML VIAL 1 1 EPOGEN 4,000 UNITS/ML VIAL 1 1 EPOGEN 40,000 UNITS/ML VIAL 1 1 ERGOTAMINE-CAFFEINE TABLET 40 28 ERRIN 0.35 MG TABLET 28 28 ESTRADERM 0.05 MG PATCH 8 28 ESTRADERM 0.1 MG PATCH 8 28 ESTRADIOL 0.05 MG/DAY PATCH 4 28 ESTRADIOL 0.1 MG/DAY PATCH 4 28 ESTRADIOL TDS 0.025 MG/DAY 4 28 ESTRADIOL TDS 0.0375 MG/DAY 4 28 ESTRADIOL TDS 0.06 MG/DAY 4 28 ESTRADIOL TDS 0.075 MG/DAY 4 28 ESTRING 2 MG VAGINAL RING 1 90 ESTROSTEP FE-28 TABLET 28 28 EXALGO ER 12 MG TABLET 300 30 EXALGO ER 16 MG TABLET 300 30 EXALGO ER 8 MG TABLET 300 30 30 30 240 30 FACTIVE 320 MG TABLET 5 15 FASLODEX 250 MG/5 ML SYRINGE 5 30 FELODIPINE ER 10 MG TABLET 30 30 FELODIPINE ER 2.5 MG TABLET 30 30 EVISTA 60 MG TABLET EXELON 2 MG/ML ORAL SOLUTION Page 13 of 37 FELODIPINE ER 5 MG TABLET 30 30 FEMARA 2.5 MG TABLET 30 30 FENTANYL 100 MCG/HR PATCH 10 30 FENTANYL 12 MCG/HR PATCH 10 30 FENTANYL 25 MCG/HR PATCH 10 30 FENTANYL 50 MCG/HR PATCH 10 30 FENTANYL 75 MCG/HR PATCH 10 30 FENTANYL CIT OTFC 1,200 MCG 300 30 FENTANYL CIT OTFC 1,600 MCG 300 30 FENTANYL CITRATE OTFC 200 MCG 300 30 FENTANYL CITRATE OTFC 400 MCG 300 30 FENTANYL CITRATE OTFC 600 MCG 300 30 FENTANYL CITRATE OTFC 800 MCG 300 30 FENTORA 100 MCG BUCCAL TABLET 240 30 FENTORA 200 MCG BUCCAL TABLET 240 30 FENTORA 300 MCG BUCCAL TABLET 240 30 FENTORA 400 MCG BUCCAL TABLET 240 30 FENTORA 600 MCG BUCCAL TABLET 240 30 FENTORA 800 MCG BUCCAL TABLET 240 30 FEXOFENADINE HCL 180 MG TABLET 30 30 FEXOFENADINE HCL 30 MG TABLET 60 30 FEXOFENADINE HCL 60 MG TABLET 60 30 FINASTERIDE 5 MG TABLET 30 30 FIORICET-COD 30-50-325-40 CAP 300 30 FIORINAL-COD 30-50-325-40 CAP 300 30 FLAREX 0.1% EYE DROPS 10 15 FLOMAX 0.4 MG CAPSULE 60 30 FLONASE 0.05% NASAL SPRAY 32 30 FLUCONAZOLE 150 MG TABLET 1 14 50 30 240 5 5 30 FLUNISOLIDE 0.025% SPRAY FLUOXETINE 20 MG/5 ML SOLUTION FLURBIPROFEN 0.03% EYE DROP Page 14 of 37 FLUTICASONE PROP 50 MCG SPRAY 32 30 FML LIQUIFILM 0.1% EYE DROP 20 30 FORTEO 600 MCG/2.4 ML PEN INJ 2.4 28 FORTICAL 200 UNITS NASAL SPRAY 3.7 30 FOSAMAX 10 MG TABLET 30 30 FOSAMAX 35 MG TABLET 4 28 FOSAMAX 40 MG TABLET 30 30 FOSAMAX 5 MG TABLET 30 30 600 30 FOSAMAX 70 MG TABLET 4 28 FOSAMAX PLUS D 70 MG-2,800 IU 4 28 FOSAMAX PLUS D 70 MG-5,600 IU 4 28 FOSINOPRIL SODIUM 10 MG TAB 60 30 FOSINOPRIL SODIUM 20 MG TAB 60 30 FOSINOPRIL SODIUM 40 MG TAB 60 30 FOSINOPRIL-HCTZ 10-12.5 MG TAB 120 30 FOSINOPRIL-HCTZ 20-12.5 MG TAB 60 30 FRAGMIN 10,000 UNITS SYRINGE 30 30 FRAGMIN 2,500 UNITS SYRINGE 2.8 7 FRAGMIN 25,000 UNITS/ML VIAL 7.6 30 FRAGMIN 5,000 UNITS SYRINGE 2.8 7 FRAGMIN 7,500 UNITS SYRINGE 4.2 7 FROVA 2.5 MG TABLET 18 30 GAVILYTE-C SOLUTION 4000 1 GAVILYTE-G SOLUTION 4000 1 GAVILYTE-N SOLUTION 4000 1 GILENYA 0.5 MG CAPSULE 30 30 GLUCAGEN 1 MG HYPOKIT 4 30 GLUCAGON 1 MG EMERGENCY KIT 2 30 60 30 8000 30 5 14 FOSAMAX 70 MG ORAL SOLUTION GLUCOPHAGE XR 750 MG TAB GOLYTELY SOLUTION GRANISETRON HCL 0.1 MG/ML VIAL Page 15 of 37 GRANISETRON HCL 1 MG TABLET 4 2 GRANISETRON HCL 4 MG/4 ML VIAL 5 14 30 5 HUMATROPE 5 MG VIAL 1 30 HUMIRA 20 MG/0.4 ML SYRINGE 8 28 HUMIRA 40 MG/0.8 ML SYRINGE 8 28 HUMIRA CROHN'S STARTER PACK 6 28 HYCET SOLUTION 946 5 HYDROCODONE BT-IBUPROFEN TAB 300 30 HYDROCODONE-APAP 10-325 TABLET 300 30 HYDROCODONE-APAP 10-500 TABLET 240 30 HYDROCODONE-APAP 10-650 TABLET 180 30 HYDROCODONE-APAP 10-660 TABLET 180 30 HYDROCODONE-APAP 10-750 TABLET 150 30 HYDROCODONE-APAP 2.5-500 TAB 240 30 HYDROCODONE-APAP 5-325 TABLET 300 30 HYDROCODONE-APAP 5-500 TABLET 240 30 HYDROCODONE-APAP 7.5-325 TAB 300 30 HYDROCODONE-APAP 7.5-500 MG/15 472 5 HYDROCODONE-APAP 7.5-500 TAB 240 30 HYDROCODONE-APAP 7.5-650 TAB 180 30 HYDROCODONE-APAP 7.5-750 TAB 150 30 HYDROCODONE-APAP SOLUTION 30 30 HYDROMORPHONE 2 MG TABLET 300 30 HYDROMORPHONE 4 MG TABLET 300 30 HYDROMORPHONE 8 MG TABLET 300 30 18 30 6 30 18 30 4 30 IMITREX 5 MG NASAL SPRAY 12 30 IMITREX 50 MG TABLET 18 30 GRANISOL 2 MG/10 ML SOLUTION IMITREX 100 MG TABLET IMITREX 20 MG NASAL SPRAY IMITREX 25 MG TABLET IMITREX 4 MG/0.5 ML KIT REFILL Page 16 of 37 IMITREX 6 MG/0.5 ML KIT REFILL 4 30 IMITREX 6 MG/0.5 ML VIAL 4 30 INFERGEN 9 MCG/0.3 ML VIAL 0.6 1 INNOHEP 20,000 UNIT/ML VIAL 14 7 INSULIN PEN NEEDLE 100 30 INSULIN SYRINGE (DISP) U-100 0.3 ML 100 30 INSULIN SYRINGE (DISP) U-100 1 ML 100 30 INTRON A 3 MILLION UNIT/ML PEN 1 1 IOPIDINE 0.5% EYE DROPS 5 30 360 30 IPRATROPIUM 0.03% SPRAY 60 30 IPRATROPIUM 0.06% SPRAY 30 30 375 30 IQUIX 1.5% EYE DROPS 10 15 ISTALOL 0.5% EYE DROPS 2.5 30 JOLIVETTE TABLET 28 28 JUNEL 1.5-30 TABLET 28 28 JUNEL 1-20 TABLET 28 28 JUNEL FE 1.5-30 TABLET 28 28 JUNEL FE 1-20 TABLET 28 28 KADIAN ER 10 MG CAPSULE 300 30 KADIAN ER 100 MG CAPSULE 300 30 KADIAN ER 20 MG CAPSULE 300 30 KADIAN ER 200 MG CAPSULE 300 30 KADIAN ER 30 MG CAPSULE 300 30 KADIAN ER 50 MG CAPSULE 300 30 KADIAN ER 60 MG CAPSULE 300 30 KADIAN ER 80 MG CAPSULE 300 30 KARIVA 28 DAY TABLET 28 28 KELNOR 1-35 28 TABLET 28 28 KETOROLAC 10 MG TABLET 20 5 KETOROLAC 15 MG/ML VIAL 2 1 IPRAT-ALBUT 0.5-3(2.5) MG/3 ML IPRATROPIUM BR 0.02% SOLN Page 17 of 37 KETOROLAC 30 MG/ML VIAL 2 1 19 28 4 2 LAMISIL 125 MG GRANULES PACKET 30 30 LAMISIL 187.5 MG GRANULES PACK 30 30 LAMISIL 250 MG TABLET 30 30 LANSOPRAZOLE ODT 15 MG TABLET 30 30 LANSOPRAZOLE ODT 30 MG TABLET 30 30 LANSOPRAZOLE DR 15 MG CAPSULE 30 30 LANSOPRAZOLE DR 30 MG CAPSULE 30 30 6 30 LEENA 28 TABLET 28 28 LEFLUNOMIDE 10 MG TABLET 30 30 LEFLUNOMIDE 20 MG TABLET 30 30 LESCOL 20 MG CAPSULE 60 30 LESCOL 40 MG CAPSULE 60 30 LESCOL XL 80 MG TABLET 30 30 LESSINA-28 TABLET 28 28 LEVOBUNOLOL 0.25% EYE DROPS 5 15 LEVOBUNOLOL 0.5% EYE DROPS 5 15 28 28 LEXAPRO 5 MG/5 ML SOLUTION 480 15 LIDOCAINE-PRILOCAINE CREAM 60 30 LIDODERM 5% PATCH 90 30 LINDANE 1% LOTION 120 30 LINDANE 1% SHAMPOO 120 30 LIPITOR 10 MG TABLET 30 30 LIPITOR 20 MG TABLET 30 30 LIPITOR 40 MG TABLET 30 30 LIPITOR 80 MG TABLET 30 30 LISINOPRIL 2.5 MG TABLET 60 30 LISINOPRIL 20 MG TABLET 60 30 KINERET 100 MG/0.67 ML SYR KYTRIL 1 MG TABLET LASTACAFT 0.25% EYE DROPS LEVORA-28 TABLET Page 18 of 37 LISINOPRIL 30 MG TABLET 60 30 LISINOPRIL 40 MG TABLET 60 30 LISINOPRIL 5 MG TABLET 60 30 LISINOPRIL-HCTZ 10-12.5 MG TAB 60 30 LISINOPRIL-HCTZ 20-12.5 MG TAB 60 30 LISINOPRIL-HCTZ 20-25 MG TAB 60 30 LOCOID 0.1% OINTMENT 30 30 LOCOID 0.1% SOLUTION 120 30 LOESTRIN 21 1.5-30 TABLET 28 28 LOESTRIN 21 1-20 TABLET 28 28 LOESTRIN 24 FE TABLET 28 28 LOESTRIN FE 1.5-30 TABLET 28 28 LOESTRIN FE 1-20 TABLET 28 28 LO-OVRAL-28 TABLET 28 28 LORCET 10-650 TABLET 180 30 LORCET PLUS TABLET 180 30 LORTAB 10-500 TABLET 240 30 LORTAB 5-500 TABLET 240 30 LORTAB 7.5-500 TABLET 240 30 LORTAB ELIXIR 946 5 LOTEMAX 0.5% EYE DROPS 20 30 LOTREL 10-20 MG CAPSULE 60 30 LOTREL 10-40 MG CAPSULE 60 30 LOTREL 2.5-10 MG CAPSULE 60 30 LOTREL 5-10 MG CAPSULE 60 30 LOTREL 5-20 MG CAPSULE 60 30 LOTREL 5-40 MG CAPSULE 60 30 LOTRISONE CREAM 90 30 LOTRISONE LOTION 60 30 LOTRONEX 0.5 MG TABLET 60 30 LOTRONEX 1 MG TABLET 60 30 LOVASTATIN 10 MG TABLET 30 30 Page 19 of 37 LOVASTATIN 20 MG TABLET 30 30 LOVASTATIN 40 MG TABLET 60 30 LOVENOX 100 MG PREFILLED SYR 14 7 LOVENOX 120 MG PREFILLED SYR 11.2 7 LOVENOX 150 MG PREFILLED SYR 14 7 LOVENOX 30 MG PREFILLED SYRN 4.2 7 6 30 LOVENOX 40 MG PREFILLED SYRN 5.6 7 LOVENOX 60 MG PREFILLED SYRN 8.4 7 LOVENOX 80 MG PREFILLED SYRN 11.2 7 LOW-OGESTREL-28 TABLET 28 28 LUMIGAN 0.03% EYE DROPS 2.5 30 LUMIGAN 0.01% EYE DROPS 5 30 LUNESTA 1 MG TABLET 30 30 LUNESTA 2 MG TABLET 30 30 LUNESTA 3 MG TABLET 30 30 LUTERA-28 TABLET 28 28 LUVOX CR 100 MG CAPSULE 30 15 LUVOX CR 150 MG CAPSULE 30 15 LYBREL TABLET 28 28 MAGNACET 10 MG-400 MG TABLET 300 30 MAGNACET 2.5 MG-400 MG TABLET 300 30 MAGNACET 5 MG-400 MG TABLET 300 30 MAGNACET 7.5 MG-400 MG TABLET 300 30 MARGESIC H 5-500 CAPSULE 300 30 MAXALT 10 MG TABLET 12 30 MAXALT 5 MG TABLET 12 30 MAXALT MLT 10 MG TABLET 12 30 MAXALT MLT 5 MG TABLET 12 30 150 30 1 90 30 30 LOVENOX 300 MG VIAL MAXIDONE 10-750 MG TABLET MEDROXYPROGESTERONE 150 MG/ML MELOXICAM 15 MG TABLET Page 20 of 37 MELOXICAM 7.5 MG TABLET 30 30 200 15 4 28 MEPERIDINE 100 MG TABLET 300 30 MEPERIDINE 50 MG TABLET 300 30 1000 30 60 30 METHADONE 10 MG/5 ML SOLUTION 1000 15 METHADONE 10 MG/ML ORAL CONC 1892 30 METHADONE 5 MG/5 ML SOLUTION 1000 15 METHADONE HCL 10 MG TABLET 300 30 METHADONE HCL 5 MG TABLET 300 30 METHADOSE 10 MG TABLET 300 30 METHADOSE 5 MG TABLET 300 30 METHYLIN 10 MG/5 ML SOLUTION 300 5 METHYLIN 5 MG/5 ML SOLUTION 300 5 METROGEL-VAGINAL 0.75% GEL 140 30 MEVACOR 20 MG TABLET 30 30 MEVACOR 40 MG TABLET 60 30 MIACALCIN 200 UNIT NASAL SPRAY 3.7 30 MICARDIS 20 MG TABLET 60 30 MICARDIS 40 MG TABLET 60 30 MICARDIS 80 MG TABLET 60 30 MICARDIS HCT 40-12.5 MG TABLET 60 30 MICARDIS HCT 80-12.5 MG TABLET 60 30 MICARDIS HCT 80-25 MG TABLET 60 30 MICROGESTIN 21 1.5-30 TAB 28 28 MICROGESTIN 21 1-20 TABLET 28 28 MICROGESTIN FE 1.5-30 TAB 28 28 MICROGESTIN FE 1-20 TABLET 28 28 8 30 30 30 MELOXICAM 7.5 MG/5 ML SUSP MENOSTAR 14 MCG/DAY PATCH MEPERIDINE 50 MG/5 ML SOLUTION METFORMIN HCL ER 750 MG TABLET MIGRANAL NASAL SPRAY MINITRAN 0.1 MG/HR PATCH Page 21 of 37 MINITRAN 0.2 MG/HR PATCH 30 30 MINITRAN 0.4 MG/HR PATCH 30 30 MINITRAN 0.6 MG/HR PATCH 30 30 MOBIC 15 MG TABLET 30 30 MOBIC 7.5 MG TABLET 30 30 200 15 MODICON 28 TABLET 28 28 MONONESSA 28 TABLET 28 28 MONOPRIL 10 MG TABLET 60 30 MONOPRIL 40 MG TABLET 60 30 MORPHINE SULF ER 100 MG TABLET 300 30 MORPHINE SULF ER 15 MG TABLET 300 30 MORPHINE SULF ER 200 MG TABLET 300 30 MORPHINE SULF ER 30 MG TABLET 300 30 MORPHINE SULF ER 60 MG TABLET 300 30 MORPHINE SULFATE IR 15 MG TAB 300 30 MORPHINE SULFATE IR 30 MG TAB 300 30 MS CONTIN 100 MG TABLET 300 30 MS CONTIN 15 MG TABLET 300 30 MS CONTIN 200 MG TABLET 300 30 MS CONTIN 60 MG TABLET 300 30 MS CONTIN CR 30 MG TABLET 300 30 15 30 120 30 NARATRIPTAN HCL 2.5 MG TABLET 18 30 NARATRIPTAN HCL 1 MG TABLET 18 30 NAMENDA 10 MG/5 ML SOLUTION 720 30 NASACORT AQ NASAL SPRAY 33 30 NASONEX 50 MCG NASAL SPRAY 34 30 NECON 0.5-35-28 TABLET 28 28 NECON 10-11-28 TABLET 28 28 NECON 1-35-28 TABLET 28 28 MOBIC 7.5 MG/5 ML SUSPENSION MYDRIACYL 1% EYE DROPS NAFTIN 1% GEL Page 22 of 37 NECON 7-7-7-28 TABLET 28 28 NEOSPORIN EYE DROPS 20 30 NEULASTA 6 MG/0.6 ML SYRINGE 1.2 28 NEUMEGA 5 MG VIAL 21 30 NEUPOGEN 300 MCG/0.5 ML SYR 10 30 NEUPOGEN 480 MCG/0.8 ML SYR 16 30 NEUPOGEN 480 MCG/1.6 ML VIAL 32 30 6 30 NEXIUM 10 MG PACKET 30 30 NEXIUM 20 MG CAPSULE 30 30 NEXIUM 20 MG PACKET 30 30 NEXIUM 40 MG CAPSULE 30 30 NEXIUM 40 MG PACKET 30 30 NIASPAN ER 1,000 MG TABLET 60 30 NIASPAN ER 500 MG TABLET 60 30 NIASPAN ER 750 MG TABLET 60 30 NICOTROL NS 10 MG/ML SPRAY 20 15 NIFEDIAC CC 30 MG TABLET 60 30 NIFEDIAC CC 60 MG TABLET 60 30 NIFEDIAC CC 90 MG TABLET 30 30 NIFEDICAL XL 30 MG TABLET 60 30 NIFEDICAL XL 60 MG TABLET 60 30 NIFEDIPINE ER 30 MG TABLET 60 30 NIFEDIPINE ER 60 MG TABLET 60 30 NIFEDIPINE ER 90 MG TABLET 30 30 NITRO-DUR 0.1 MG/HR PATCH 30 30 NITRO-DUR 0.2 MG/HR PATCH 30 30 NITRO-DUR 0.3 MG/HR PATCH 30 30 NITRO-DUR 0.4 MG/HR PATCH 30 30 NITRO-DUR 0.6 MG/HR PATCH 30 30 NITRO-DUR 0.8 MG/HR PATCH 30 30 240 30 NEVANAC 0.1% DROPTAINER NIZORAL 2% SHAMPOO Page 23 of 37 NORA-BE TABLET 28 28 NORCO 10-325 TABLET 300 30 NORCO 5-325 TABLET 300 30 NORCO 7.5-325 TABLET 300 30 NORDETTE-28 TABLET 28 28 NORINYL 1+35-28 TABLET 28 28 NOR-Q-D TABLET 28 28 NORTREL 0.5-35 TABLET 28 28 NORTREL 1-35 TABLET 28 28 NORTREL 1-35 TABLET 28 28 NORTREL 7-7-7-28 TABLET 28 28 NORVASC 10 MG TABLET 30 30 NORVASC 2.5 MG TABLET 30 30 NORVASC 5 MG TABLET 45 30 NUCYNTA 100 MG TABLET 300 30 NUCYNTA 50 MG TABLET 300 30 NUCYNTA 75 MG TABLET 300 30 8000 30 NUTROPIN 10 MG VIAL 4 30 NUTROPIN 5 MG VIAL 4 30 NUTROPIN AQ 20 MG/2ML PEN CART 4 30 NUTROPIN AQ PEN CARTRIDGE 4 30 28 28 OCUFEN 0.03% EYE DROPS 5 30 OCUFLOX 0.3% EYE DROPS 10 30 OFLOXACIN 0.3% EYE DROPS 10 30 OGESTREL TABLET 28 28 OMEPRAZOLE 20 MG CAPSULE DR 30 30 OMEPRAZOLE DR 10 MG CAPSULE 30 30 OMEPRAZOLE DR 40 MG CAPSULE 30 30 OMNARIS 50 MCG NASAL SPRAY 25 30 OMNIPRED 1% EYE DROPS 20 30 NULYTELY WITH FLAVOR PACKS SOL OCELLA TABLET Page 24 of 37 ONDANSETRON 4 MG/5 ML SOLUTION 100 5 ONDANSETRON HCL 24 MG TABLET 18 30 ONDANSETRON ODT 4 MG TABLET 18 5 ONDANSETRON ODT 8 MG TABLET 18 5 ONSOLIS 1,200 MCG SOLUBLE FILM 240 30 ONSOLIS 200 MCG SOLUBLE FILM 240 30 ONSOLIS 400 MCG SOLUBLE FILM 240 30 ONSOLIS 600 MCG SOLUBLE FILM 240 30 ONSOLIS 800 MCG SOLUBLE FILM 240 30 OPANA 10 MG TABLET 300 30 OPANA 5 MG TABLET 300 30 OPANA ER 10 MG TABLET 300 30 OPANA ER 15 MG TABLET 300 30 OPANA ER 20 MG TABLET 300 30 OPANA ER 30 MG TABLET 300 30 OPANA ER 40 MG TABLET 300 30 OPANA ER 5 MG TABLET 300 30 OPANA ER 7.5 MG TABLET 300 30 5 15 12 30 ORAMORPH SR 100 MG TABLET 300 30 ORAMORPH SR 15 MG TABLET 300 30 ORAMORPH SR 30 MG TABLET 300 30 ORAMORPH SR 60 MG TABLET 300 30 3 28 ORTHO MICRONOR TABLET 28 28 ORTHO TRI-CYCLEN LO TABLET 28 28 ORTHO-CEPT 28 DAY TABLET 28 28 ORTHO-CYCLEN 28 TABLET 28 28 ORTHO-NOVUM 7-7-7-28 TABLET 28 28 OVCON-35 28 TABLET 28 28 OVCON-50 28 TABLET 28 28 OPTIPRANOLOL 0.3% EYE DROPS OPTIVAR 0.05% DROPS ORTHO EVRA PATCH Page 25 of 37 OXYBUTYNIN CL ER 10 MG TABLET 60 30 OXYBUTYNIN CL ER 15 MG TABLET 60 30 OXYBUTYNIN CL ER 5 MG TABLET 60 30 OXYCODONE HCL 15 MG TABLET 300 30 OXYCODONE HCL 30 MG TABLET 300 30 OXYCODONE HCL 5 MG TABLET 300 30 OXYCODONE-APAP 10-325 MG TAB 300 30 OXYCODONE-APAP 10-650 MG TAB 180 30 OXYCODONE-APAP 2.5-325 MG TAB 300 30 OXYCODONE-APAP 5-325 MG TAB 300 30 OXYCODONE-APAP 5-500 MG CAP 240 30 OXYCODONE-APAP 7.5-325 MG TAB 300 30 OXYCODONE-APAP 7.5-500 MG TAB 240 30 OXYCODONE-ASA 4.5-0.38-325 TAB 300 30 56 14 OXYCONTIN 10 MG TABLET 300 30 OXYCONTIN 15 MG TABLET 300 30 OXYCONTIN 20 MG TABLET 300 30 OXYCONTIN 30 MG TABLET 300 30 OXYCONTIN 40 MG TABLET 300 30 OXYCONTIN 60 MG TABLET 300 30 OXYCONTIN 80 MG TABLET 300 30 OXYMORPHONE HCL 10 MG TABLET 300 30 OXYMORPHONE HCL 5 MG TABLET 300 30 PANLOR DC CAPSULE 300 30 PANLOR SS TABLET 300 30 PANTOPRAZOLE SOD DR 20 MG TAB 30 30 PANTOPRAZOLE SOD DR 40 MG TAB 30 30 PAROXETINE HCL 10 MG/5 ML SUSP 500 15 5 30 PATANASE 0.6% NASAL SPRAY 61 30 PATANOL 0.1% EYE DROPS 10 30 OXYCODONE-IBUPROFEN 5-400 TAB PATADAY 0.2% EYE DROPS Page 26 of 37 PAXIL 10 MG/5 ML SUSPENSION 500 15 PEGASYS 180 MCG/0.5 ML CONV.PK 2 28 PEGASYS 180 MCG/ML VIAL 4 28 PEGINTRON REDIPEN 120 MCG 4 28 PEGINTRON REDIPEN 150 MCG 4 28 PEGINTRON REDIPEN 50 MCG 4 28 PEGINTRON REDIPEN 80 MCG 4 28 PENTAZOCINE-APAP 25-650 TABLET 180 30 PENTAZOCINE-NALOXONE TABLET 300 30 PERCOCET 10-325 MG TABLET 300 30 PERCOCET 10-650 MG TABLET 180 30 PERCOCET 2.5-325 MG TABLET 300 30 PERCOCET 5-325 MG TABLET 300 30 PERCOCET 7.5-325 MG TABLET 300 30 PERCOCET 7.5-500 MG TABLET 240 30 PERCODAN TABLET 300 30 PERFOROMIST 20 MCG/2 ML SOLN 120 30 PERIDEX 0.12% LIQUID 946 30 PHISOHEX 3% CLEANSER 946 30 PLAVIX 300 MG TABLET 1 1 PLAVIX 75 MG TABLET 30 30 POLYTRIM EYE DROPS 20 30 PORTIA-28 TABLET 28 28 PRAVACHOL 10 MG TABLET 30 30 PRAVACHOL 20 MG TABLET 30 30 PRAVACHOL 40 MG TABLET 30 30 PRAVACHOL 80 MG TABLET 30 30 PRAVASTATIN SODIUM 10 MG TAB 30 30 PRAVASTATIN SODIUM 20 MG TAB 30 30 PRAVASTATIN SODIUM 40 MG TAB 30 30 PRAVASTATIN SODIUM 80 MG TAB 30 30 PRED FORTE 1% EYE DROPS 20 30 Page 27 of 37 PRED-G 1% EYE DROPS 20 30 PREVACID 15 MG SOLUTAB 30 30 PREVACID 30 MG SOLUTAB 30 30 PREVACID DR 15 MG CAPSULE 30 30 PREVACID DR 30 MG CAPSULE 30 30 PREVIFEM TABLET 28 28 PREVPAC PATIENT PACK 14 14 PRILOSEC DR 10 MG CAPSULE 30 30 PRILOSEC DR 20 MG CAPSULE 30 30 PRILOSEC DR 40 MG CAPSULE 30 30 PRINIVIL 10 MG TABLET 60 30 PRINIVIL 20 MG TABLET 60 30 PRINIVIL 5 MG TABLET 60 30 PROAIR HFA 90 MCG INHALER 17 30 PROCARDIA XL 30 MG TABLET 60 30 PROCARDIA XL 60 MG TABLET 60 30 PROCARDIA XL 90 MG TABLET 30 30 PROCRIT 10,000 UNITS/ML VIAL 12 28 PROCRIT 2,000 UNITS/ML VIAL 12 28 PROCRIT 3,000 UNITS/ML VIAL 12 28 PROCRIT 4,000 UNITS/ML VIAL 12 28 PROPINE 0.1% EYE DROPS 10 30 PROSCAR 5 MG TABLET 30 30 PROTONIX 40 MG SUSPENSION 30 30 PROTONIX DR 20 MG TABLET 30 30 PROTONIX DR 40 MG TABLET 30 30 PROTOPIC 0.03% OINTMENT 200 30 PROTOPIC 0.1% OINTMENT 120 30 PROZAC WEEKLY 90 MG CAPSULE 4 28 PULMICORT 0.25 MG/2 ML RESPUL 120 30 PULMICORT 0.5 MG/2 ML RESPULE 120 30 PULMICORT 1 MG/2 ML RESPULE 120 30 Page 28 of 37 PULMICORT 180 MCG FLEXHALER 1 30 PULMICORT 90 MCG FLEXHALER 1 30 QUASENSE 0.15-0.03 MG TABLET 91 91 QUINAPRIL 10 MG TABLET 60 30 QUINAPRIL 20 MG TABLET 60 30 QUINAPRIL 40 MG TABLET 60 30 QUINAPRIL 5 MG TABLET 60 30 QUINAPRIL-HCTZ 10-12.5 MG TAB 60 30 QUINAPRIL-HCTZ 20-12.5 MG TAB 60 30 QUINAPRIL-HCTZ 20-25 MG TAB 60 30 RAZADYNE 4 MG/ML ORAL SOLUTION 60 5 REBIF 22 MCG/0.5 ML SYRINGE 6 28 REBIF 44 MCG/0.5 ML SYRINGE 6 28 REBIF TITRATION PACK 6 28 RECLIPSEN 28 DAY TABLET 28 28 REGRANEX 0.01% GEL 30 15 RELENZA 5 MG DISKHALER 56 28 RELPAX 20 MG TABLET 12 30 RELPAX 40 MG TABLET 12 30 REPREXAIN 10-200 MG TABLET 300 30 REPREXAIN 2.5-200 MG TABLET 300 30 REPREXAIN 5-200 MG TABLET 300 30 RESTASIS 0.05% EYE EMULSION 64 30 RETIN-A 0.01% GEL 90 30 RETIN-A 0.025% CREAM 90 30 RETIN-A 0.025% GEL 90 30 RETIN-A 0.05% CREAM 90 30 RETIN-A 0.1% CREAM 90 30 RETIN-A MICRO 0.04% GEL 90 30 RETIN-A MICRO 0.1% GEL 90 30 RHINOCORT AQUA NASAL SPRAY 17.2 30 RISPERDAL 1 MG/ML SOLUTION 120 5 Page 29 of 37 RISPERDAL CONSTA 12.5 MG SYR 4 28 RISPERDAL CONSTA 25 MG SYR 4 28 RISPERDAL CONSTA 37.5 MG SYR 4 28 RISPERDAL CONSTA 50 MG SYR 4 28 240 30 ROWASA 4 GM/60 ML ENEMA KIT 1800 30 ROXICET 5-325 ORAL SOLUTION 1000 30 ROXICET 5-325 TABLET 300 30 ROXICET 5-500 CAPLET 240 30 ROXICODONE 15 MG TABLET 300 30 ROXICODONE 30 MG TABLET 300 30 RYZOLT ER 100 MG TABLET 300 30 RYZOLT ER 200 MG TABLET 300 30 RYZOLT ER 300 MG TABLET 300 30 SANTYL OINTMENT 30 30 SEASONALE 0.15-0.03 MG TAB 91 91 SEASONIQUE 0.15-0.03-0.01 TAB 91 91 SELSUN RX 2.5% SHAMPOO 240 30 SEREVENT DISKUS 50 MCG 60 30 120 2 SIMCOR 1,000-20 MG TABLET 60 30 SIMCOR 500-20 MG TABLET 60 30 SIMCOR 750-20 MG TABLET 60 30 SIMCOR 1,000-40 MG TABLET 60 30 SIMCOR 500-40 MG TABLET 60 30 SIMPONI 50 MG/0.5 ML SYRINGE 0.5 30 SIMVASTATIN 10 MG TABLET 30 30 SIMVASTATIN 20 MG TABLET 30 30 SIMVASTATIN 40 MG TABLET 30 30 SIMVASTATIN 5 MG TABLET 30 30 SIMVASTATIN 80 MG TABLET 30 30 SINGULAIR 10 MG TABLET 30 30 RISPERIDONE 1 MG/ML SOLUTION SERTRALINE 20 MG/ML ORAL CONC Page 30 of 37 SINGULAIR 4 MG GRANULES 30 30 SINGULAIR 4 MG TABLET CHEW 30 30 SINGULAIR 5 MG TABLET CHEW 30 30 200 5 28 28 SOMATULINE 120 MG/0.5 ML SYRGE 1 30 SOMATULINE 90 MG/0.3 ML SYRING 0.6 1 SOMAVERT 10 MG VIAL 1 1 SOMAVERT 15 MG VIAL 1 1 SOMAVERT 20 MG VIAL 1 1 SONATA 10 MG CAPSULE 60 30 SONATA 5 MG CAPSULE 90 30 300 15 SPRINTEC 28 DAY TABLET 28 28 STAGESIC 5-500 CAPSULE 240 30 SUBOXONE 2 MG-0.5 MG TABLET 300 30 SUBOXONE 8 MG-2 MG TABLET SL 120 30 SUBOXONE 2 MG-0.5 MG SL FILM 300 30 SUBOXONE 8 MG-2 MG SL FILM 300 30 SUBUTEX 2 MG TABLET SL 240 30 SUBUTEX 8 MG TABLET SL 90 30 SUMATRIPTAN 6 MG/0.5 ML VIAL 4 30 SUMATRIPTAN SUCC 100 MG TABLET 9 30 SUMATRIPTAN SUCC 25 MG TABLET 9 30 SUMATRIPTAN SUCC 50 MG TABLET 9 30 SUPRAX 400 MG TABLET 14 14 SUTENT 50 MG CAPSULE 28 28 SYMBICORT 160-4.5 MCG INHALER 10.2 30 SYMBICORT 80-4.5 MCG INHALER 6.9 30 SYMLIN 0.6 MG/ML VIAL 20 30 10.8 30 6 30 SOLARAZE 3% GEL SOLIA TABLET SPORANOX 10 MG/ML SOLUTION SYMLINPEN 120 PEN INJECTOR SYMLINPEN 60 PEN INJECTOR Page 31 of 37 TACLONEX OINTMENT 120 30 TACLONEX SCALP SUSPENSION 120 30 TALACEN CAPLET 180 30 28 28 120 30 TARKA 1-240 MG TABLET SA 60 30 TARKA 2-180 MG TABLET SA 60 30 TARKA 2-240 MG TABLET SA 60 30 TARKA 4-240 MG TABLET SA 60 30 TAZORAC 0.05% CREAM 120 30 TAZORAC 0.05% GEL 200 30 TAZORAC 0.1% CREAM 120 30 TAZORAC 0.1% GEL 200 30 TAZTIA XT 120 MG CAPSULE 60 30 TAZTIA XT 180 MG CAPSULE 60 30 TAZTIA XT 240 MG CAPSULE 60 30 TAZTIA XT 300 MG CAPSULE 60 30 TAZTIA XT 360 MG CAPSULE 60 30 TEMOVATE 0.05% CREAM 120 30 TEMOVATE 0.05% GEL 120 30 TEMOVATE 0.05% OINTMENT 60 30 TEMOVATE 0.05% SOLUTION 100 30 6 30 TERAZOL 3 CREAM 40 30 TERAZOL 7 CREAM 90 30 TERBINAFINE HCL 250 MG TABLET 30 30 TERCONAZOLE 0.4% CREAM 90 30 TERCONAZOLE 0.8% CREAM 40 30 150 15 TEVETEN 400 MG TABLET 60 30 TEVETEN 600 MG TABLET 30 30 TEVETEN HCT 600-12.5 MG TAB 30 30 TAMIFLU 75 MG GELCAP TARGRETIN 1% GEL TERAZOL 3 80 MG SUPPOSITORY TESTIM 1%(50MG) GEL Page 32 of 37 TEVETEN HCT 600-25 MG TAB 30 30 TIAZAC ER 120 MG CAPSULE 60 30 TIAZAC ER 180 MG CAPSULE 60 30 TIAZAC ER 240 MG CAPSULE 60 30 TIAZAC ER 300 MG CAPSULE 60 30 TIAZAC ER 360 MG CAPSULE 60 30 TIAZAC ER 420 MG CAPSULE 60 30 TIMOLOL 0.25% EYE DROPS 10 30 TIMOLOL 0.5% EYE DROPS 5 30 TIMOPTIC 0.25% OCUDOSE DROP 5 15 TIMOPTIC 0.5% OCUDOSE DROP 5 15 TIMOPTIC-XE 0.25% EYE SOLN 5 30 TIMOPTIC-XE 0.5% EYE SOLN 5 30 TOBRADEX ST EYE DROPS 20 30 TOBRADEX EYE DROPS 10 15 7 30 20 30 TOPICORT 0.05% GEL 120 30 TOPICORT 0.25% CREAM 120 30 TOPICORT 0.25% OINTMENT 120 30 TOPICORT LP 0.05% CREAM 120 30 TRACLEER 125 MG TABLET 60 30 TRACLEER 62.5 MG TABLET 60 30 TRANDOLAPR-VERAPAM ER 1-240 MG 60 30 240 30 TRAMADOL HCL ER 100 MG TABLET 90 30 TRAMADOL HCL ER 200 MG TABLET 60 30 TRAMADOL-APAP 37.5-325 MG TAB 300 30 TRANSDERM-SCOP 1.5 MG/72HR 10 30 TRAVATAN Z 0.004% EYE DROP 2.5 15 TRETINOIN 0.01% GEL 90 30 TRETINOIN 0.025% CREAM 90 30 TOBRADEX EYE OINTMENT TOBRAMYCIN-DEXAMETH OPTH SUSP TRAMADOL HCL 50 MG TABLET Page 33 of 37 TRETINOIN 0.025% GEL 90 30 TRETINOIN 0.05% CREAM 90 30 TRETINOIN 0.1% CREAM 90 30 TREXIMET 85-500 MG TABLET 18 30 TRINESSA TABLET 28 28 TRI-NORINYL 28 TABLET 28 28 TRI-PREVIFEM TABLET 28 28 TRI-SPRINTEC TABLET 28 28 TRIVORA-28 TABLET 28 28 TRUSOPT 2% EYE DROPS 10 30 TWINJECT 0.15 MG AUTO-INJECTOR 2 30 TWINJECT 0.3 MG AUTO-INJECTOR 2 30 TYLENOL WITH CODEINE #3 TABLET 300 30 TYLENOL WITH CODEINE #4 TABLET 300 30 TYLOX 5-500 CAPSULE 240 30 ULTRACET TABLET 300 30 ULTRAM ER 100 MG TABLET 90 30 ULTRAM ER 200 MG TABLET 60 30 ULTRAM ER 300 MG TABLET 60 30 ULTRAVATE 0.05% CREAM 100 30 ULTRAVATE 0.05% OINTMENT 100 30 UROXATRAL 10 MG TABLET 30 30 VELIVET 28 DAY TABLET 28 28 VERAMYST 27.5 MCG NASAL SPRAY 20 30 VEREGEN 15% OINTMENT 30 30 VFEND 40 MG/ML SUSPENSION 150 15 VICODIN 5-500 TABLET 240 30 VICODIN ES 7.5-750 MG TABLET 150 30 VICODIN HP TABLET 180 30 VICOPROFEN 200-7.5 MG TAB 300 30 18 30 6 30 VICTOZA 18 MG/3 ML INJECT PEN VIGAMOX 0.5% EYE DROPS Page 34 of 37 VIROPTIC 1% EYE DROPS 15 30 VIVELLE-DOT 0.025 MG PATCH 8 28 VIVELLE-DOT 0.0375 MG PATCH 8 28 VIVELLE-DOT 0.05 MG PATCH 8 28 VIVELLE-DOT 0.075 MG PATCH 8 28 VIVELLE-DOT 0.1 MG PATCH 8 28 VOLTAREN 0.1% EYE DROPS 10 30 VYTORIN 10-10 MG TABLET 30 30 VYTORIN 10-20 MG TABLET 30 30 VYTORIN 10-40 MG TABLET 30 30 VYTORIN 10-80 MG TABLET 30 30 WELLBUTRIN XL 150 MG TABLET 90 30 WELLBUTRIN XL 300 MG TABLET 30 30 WESTCORT 0.2% OINTMENT 90 30 XALATAN 0.005% EYE DROPS 2.5 15 XIBROM 0.09% EYE DROPS 10 30 9 30 XODOL 10-300 TABLET 300 30 XODOL 5-300 TABLET 300 30 XODOL 7.5-300 MG TABLET 300 30 XOPENEX 0.31 MG/3 ML SOLUTION 360 30 XOPENEX 0.63 MG/3 ML SOLUTION 360 30 XOPENEX 1.25 MG/3 ML SOLUTION 288 30 XYREM 500 MG/ML ORAL SOLUTION 360 15 XYZAL 2.5 MG/5 ML SOLUTION 592 30 YASMIN 28 TABLET 28 28 YAZ 28 TABLET 28 28 ZAFIRLUKAST 10 MG TABLET 60 30 ZAFIRLUKAST 20 MG TABLET 60 30 ZALEPLON 10 MG CAPSULE 60 30 ZALEPLON 5 MG CAPSULE 90 30 ZAZOLE 0.8% VAGINAL CREAM 40 30 XIFAXAN 200 MG TABLET Page 35 of 37 ZAZOLE VAGINAL 0.4% CREAM 90 30 ZEGERID 20 MG CAPSULE 30 30 ZEGERID 20 MG PACKET 30 30 ZEGERID 40 MG CAPSULE 30 30 ZEGERID 40 MG PACKET 30 30 150 30 ZESTORETIC 10-12.5 TABLET 60 30 ZESTORETIC 20-12.5 TABLET 60 30 ZESTORETIC 20-25 TABLET 60 30 ZESTRIL 10 MG TABLET 60 30 ZESTRIL 2.5 MG TABLET 60 30 ZESTRIL 20 MG TABLET 60 30 ZESTRIL 30 MG TABLET 60 30 ZESTRIL 40 MG TABLET 60 30 ZESTRIL 5 MG TABLET 60 30 ZETIA 10 MG TABLET 30 30 ZITHROMAX 100 MG/5 ML SUSP 30 15 ZITHROMAX 200 MG/5 ML SUSP 45 15 ZOCOR 10 MG TABLET 30 30 ZOCOR 20 MG TABLET 30 30 ZOCOR 40 MG TABLET 30 30 ZOCOR 5 MG TABLET 30 30 ZOCOR 80 MG TABLET 30 30 ZOFRAN 2 MG/ML VIAL 20 1 ZOFRAN 4 MG TABLET 9 3 100 3 9 3 ZOFRAN ODT 4 MG TABLET 18 3 ZOFRAN ODT 8 MG TABLET 18 3 120 5 ZOLPIDEM TARTRATE 10 MG TABLET 30 30 ZOLPIDEM TARTRATE 5 MG TABLET 60 30 ZERLOR TABLET ZOFRAN 4 MG/5 ML ORAL SOLN ZOFRAN 8 MG TABLET ZOLOFT 20 MG/ML ORAL CONC Page 36 of 37 ZOLPIDEM TART ER 6.25 MG TAB 30 30 ZOLPIDEM TART ER 12.5 MG TAB 30 30 ZOLPIMIST 5 MG ORAL SPRAY 7.7 30 ZOMIG 2.5 MG TABLET 12 30 ZOMIG 5 MG NASAL SPRAY 6 30 ZOMIG 5 MG TABLET 6 30 12 30 6 30 90 30 1 30 ZOVIA 1-35E TABLET 28 28 ZOVIA 1-50E TABLET 28 28 ZOVIRAX 5% CREAM 10 1 ZOVIRAX 5% OINTMENT 30 30 ZYDONE 10-400 MG TABLET 300 30 ZYDONE 5-400 MG TABLET 300 30 ZYDONE 7.5-400 MG TABLET 300 30 ZYLET EYE DROPS 20 30 ZYMAR 0.3% EYE DROPS 10 30 ZYVOX 600 MG TABLET 28 14 4 28 ZOMIG ZMT 2.5 MG TABLET ZOMIG ZMT 5 MG TABLET ZONALON 5% CREAM ZOSTAVAX VIAL FLUOXETINE DR 90 MG CAPSULE Page 37 of 37
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