Prontuario globale dei farmaci

Transcript

1 Prontuario globale dei farmaci 2016 Piano AbsoluteCare FIDA (piano Medicare-Medicaid) New York Questo prontuario è stato aggiornato il 25/10/2016. Per informazioni più recenti o altri quesiti chiamare il servizio assistiti Healthfirst FIDA al numero (utenti TTY: 711), 7 giorni alla settimana dalle 8 alle 20. Oppure visitare healthfirst.org/mmp. H5441_QIP16_02i_FINAL Approved HPMS Approved Formulary File Submission ID , Version 15, as of 25/10/2016

2 Piano Healthfirst AbsoluteCare FIDA Plan (piano Medicare-Medicaid) 2016 Elenco dei medicinali previsti (prontuario) Questo è un elenco dei medicinali che gli assistiti possono ricevere dal piano Healthfirst AbsoluteCare FIDA. Il Piano Healthfirst AbsoluteCare FIDA (piano Medicare-Medicaid) è un piano di cure gestite che si avvale di Medicare e Dipartimento di Sanità lo Stato di New York (Medicaid) per offrire agli assistiti i vantaggi di entrambi i programmi attraverso il piano integrato dei doppi benefici (Fully Integrated Duals Advantage, FIDA Demonstration). I benefici, l elenco dei farmaci previsti dal piano e le farmacie e i medici convenzionati possono cambiare di quando in quando durante l anno. Invieremo un avviso prima di apportare una modifica che coinvolga il caso l'assistito. I benefici possono cambiare dal 1 gennaio di ogni anno. Si può sempre controllare l'elenco aggiornato dei medicinali previsti di Healthfirst AbsoluteCare FIDA online, aprendo o chiamando il servizio assistiti Healthfirst AbsoluteCare FIDA al numero Possono valere e vincoli. Per maggiori informazioni chiamare il servizio assistiti piano Healthfirst AbsoluteCare FIDA o leggere il relativo manuale l'assistito. Non vi sono quote a l'assistito per i medicinali previsti. È possibile richiedere questo avviso in altri formati, quali ad esempio Braille o stampato a caratteri grandi. Chiami il numero (utenti TTY: 711), 7 giorni alla settimana, dalle 8 alle 20. You can get this information for free in other languages. Call and TTY/TDD 711, 7 days a week from 8 am to 8 pm. The call is free. Usted puede obtener esta información de forma gratuita en otros idiomas. Puede llamar al y al TTY/TDD 711, los 7 días de la semana de 8:00 a.m. a 8:00 p.m. La llamada es gratuita. H5441_QIP16_02i_FINAL Approved ? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 1

3 Вы можете получить эту информацию бесплатно на других языках. Звоните по телефону или 711 (для пользующихся TTY/TDD) 7 дней в неделю с 8 утра до 8 вечера. Звонок бесплатный. 本資訊有其他語言版本供免費索取 請致電 , 聽力語言殘障服務專線 TTY/TDD 711, 服務時間每週七天, 每天上午 8 時至晚上 8 時 以上均為免費電話 이와동일한정보를무상으로다른언어버전으로도얻으실수있습니다. 문의는 (TTY/TDD 711) 으로연중무휴오전 8 시에서오후 8 시사이에연락 주십시오. 통화는무료입니다. Ou kapab jwenn enfòmasyon sa yo gratis nan lòt lang yo. Rele nimewo ak TTY/TDD 711 pandan 7 jou pa semèn depi 8 am jiska to 8 pm. Koutfil la gratis. È possibile ottenere queste informazioni gratuitamente in altre lingue chiamando il numero (utenti TTY/TDD: 711), 7 giorni alla settimana dalle 8 alle 20. La telefonata è gratuita. Lo Stato di New York ha creato un programma di difesa civica, denominato ICAN (Independent Consumer Advocacy Network, rete indipendente di patrocinio dei consumatori), che offre ai partecipanti assistenza gratuita e riservata su tutti i servizi offerti dal piano Healthfirst AbsoluteCare FIDA (piano Medicare-Medicaid). Programma di difesa civica può essere contattata al numero verde (utenti TTY: 711), oppure online all'indirizzo icannys.org.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 2

4 Domande frequenti (FAQ) Quìsi possono trovare risposte ai quesiti sull'elenco dei medicinali previsti. Per saperne di più, leggere tutte le domande frequenti, o cercare una domanda e risposta. 1. Quali medicinali etici si trovano nell'elenco dei medicinali previsti? (Per brevità chiamiamo l'elenco dei medicinali previsti elenco medicinali ) I medicinali l'elenco che comincia a pagina 1 sono quelli previsti dal piano Healthfirst AbsoluteCare FIDA. Questi medicinali sono disponibili nelle farmacie convenzionate. Una farmacia è convenzionata se abbiamo stipulato un contratto di collaborazione con questa per la prestazione di servizi all'assistito. Chiamiamo queste farmacie convenzionate. Il piano Healthfirst AbsoluteCare FIDA copre tutti i medicinali l'elenco medicinali se: il medico l'assistito o altro prescrittore dicono che gli occorrono per stare meglio o rimanere in salute. il è necessario dal punto di vista medico per la sua condizione e l'assistito si serve presso una farmacia convenzionata piano Healthfirst AbsoluteCare FIDA. Il piano Healthfirst AbsoluteCare FIDA può prevedere altri passi per fruire di certi medicinali (vedere la domanda 5 sopra). In alcuni casi è necessario espletare adempimenti prima di avere il medicinale, come provarne altri prima. È anche possibile vedere un elenco aggiornato di medicinali che copriamo nel nostro sito o chiamare il servizio assistiti al numero L'elenco medicinali non cambia mai? Sì. Il piano Healthfirst AbsoluteCare FIDA può aggiungere o eliminare farmaci dall'elenco nel corso l'anno. In genere l'elenco dei medicinali cambia solo se: diventa disponibile un medicinale di efficacia pari a quella di uno sull'elenco, o veniamo a sapere che il medicinale non è sicuro.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 3

5 Può anche avvenire che cambiamo regole sui medicinali. Per esempio può avvenire che: decidiamo che è necessaria o non necessaria l'autorizzazione preliminare per un. (Autorizzazione preliminare è il permesso piano Healthfirst AbsoluteCare FIDA o l'idt che precede l'acquisto medicinale). Aggiungiamo o cambiamo la quantità di un medicinale che l'assistito può ordinare (chiamata di quantità ). Aggiungiamo o cambiamo alla terapia per gradi su un medicinale. (Terapia per gradi significa che l'assistito deve provare un medicinale prima che ne copriamo un altro). (Per maggiori informazioni su queste regole di medicinali, vedere a pagina 6). Diremo all'assistito quando un medicinale assunto è eliminato dall'elenco. Gli diremo anche quando cambiamo le nostre regole di copertura di un medicinale. Le domande 3, 4 e 7 sotto contengono altre informazioni su quello che succede quando cambia l'elenco dei medicinali. È comunque possibile sempre consultare l'elenco medicinali online piano Healthfirst AbsoluteCare FIDA aprendo Si può anche chiamare il servizio assistiti per controllare l'elenco medicinali attuale al numero Cosa succede quando diventa disponibile un medicinale di efficacia pari a quella di uno sull'elenco attuale? Se si rende disponibile un medicinale di efficacia pari a quella di uno sull'elenco attuale: il farmacista alla ripetizione successiva può dare all'assistito quello più economico. Se l'assistito e il fornitore decidono che quello più economico non è adatto, il fornitore può dire al farmacista di continuare a passare il assunto attualmente. Il piano Healthfirst AbsoluteCare FIDA può decidere di eliminare i farmaci più costosi dall'elenco. Se l'assistito assume un che eliminiamo dall'elenco perché se ne rende disponibile uno di pari efficacia e meno costoso, glielo comunicheremo almeno 60 giorni prima di eliminarlo o quando chiede una ripetizione. L'assistito allora ha facoltà di ottenere una scorta di 60 giorni prima che sia apportato il cambio all'elenco medicinali. Riceverà avviso nella spiegazione dei benefici se recentemente ha acquistato un prescritto. Se non l'ha acquistato, ma ha assunto il negli ultimi 180 giorni, gli invieremo? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 4

6 una lettera che lo avvisa la variazione. In entrambi i casi sarà avvertito almeno 60 giorni prima che la variazione entri in effetto. 4. Cosa succede quando scopriamo che un non è sicuro? Se la FDA dichiara che un assunto non è sicuro, lo eliminiamo subito dall'elenco medicinali. Inviamo anche una lettera all'assistito e lo chiamiamo per comunicare che il medicinale rischioso è stato eliminato dall'elenco. Oltre a contattarlo, invieremo una lettera al suo medico che lavorerà con lui per trovare un altro medicinale efficace per la sua condizione. In caso di quesiti si può contattare direttamente il medico, o chiamare Healthfirst al numero Ci sono restrizioni o sulla copertura di un? Ci sono adempimenti da espletare per ottenere certi medicinali? Sì, alcuni farmaci hanno regole di copertura o sulla quantità ottenibile. In alcuni casi l'assistito, il suo medico o chi prescrive i farmaci devono assolvere ad alcuni requisiti prima di ottenere il. Per esempio: Benestare (o autorizzazione preliminare): Per alcuni farmaci l'assistito o relativo medico o altro prescrittore devono ottenere approvazione dal piano Healthfirst AbsoluteCare FIDA o dall'idt prima di acquistare il prescritto. Se non ottiene l'approvazione, Healthfirst AbsoluteCare FIDA ha facoltà di non coprire il medicinale. Limiti di quantità: A volte il piano Healthfirst AbsoluteCare FIDA limita la quantità medicinale che l'assistito può ricevere. Terapia per gradi: A volte il piano Healthfirst AbsoluteCare FIDA richiede all'assistito di seguire la terapia per gradi. Questo significa che dovrà provare dei medicinali in un certo ordine per la sua condizione medica. L'assistito deve talora provare un medicinale prima che ne copriamo un altro. Se il medico ritiene che il primo medicinale non funzioni per l'assistito, ne copriremo un secondo. L'assistito può trovare se un medicinale ha requisiti aggiunti o sfogliando le tabelle che iniziano a pagina 1. Si possono avere maggiori informazioni anche visitando il nostro sito Abbiamo pubblicato online documenti che spiegano la nostra autorizzazione preliminare e i imiti la terapia per gradi. È possibile anche ricevere una copia, chiedendocela.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 5

7 Si può chiedere un'eccezione da questi. Vedere la domanda 11 per maggiori informazioni sulle eccezioni. Se l'assistito è ricoverato in una casa di riposo o altro istituto a lunga durata e richiede un medicinale assente dall'elenco medicinali, o se non può facilmente ottenere il necessario, possiamo aiutare. Copriremo una scorta di emergenza di 31 giorni medicinale necessario (a meno che la ricetta l'assistito non richieda meno giorni), a prescindere dal fatto che l'assistito sia un nuovo sottoscrittore piano Healthfirst AbsoluteCare FIDA o no. Questo darà tempo a sufficienza per parlare con il medico o altro prescrittore. Questi potrà aiutare a decidere se esiste medicinale assumibile analogo sull'elenco medicinali, o se richiedere un'eccezione. Vedere la domanda 11 per maggiori informazioni sulle eccezioni. 6. Come fa l'assistito a sapere se il che desidera ha o se ci sono adempimenti da espletare per ottenerlo? L'elenco dei medicinali previsti a pagina 1 contiene una colonna di nome Adempimenti necessari, restrizioni, o per l'uso. 7. Cosa succede se cambiamo le regole su come copriamo certi farmaci? Per esempio se aggiungiamo l'autorizzazione preliminare (benestare), di quantità e/o restrizioni di terapia per gradi su un. Diremo se aggiungiamo l'autorizzazione preliminare, di quantità e/o restrizioni di terapia per gradi su un. Lo diremo almeno 60 giorni prima l'aggiunta la restrizione o alla successiva richiesta di ripetizione. L'assistito allora ha facoltà di ottenere una scorta di 60 giorni prima che sia apportato il cambio all'elenco medicinali. Questo darà tempo a sufficienza per parlare con il medico o altro prescrittore sulle misure da prendersi. 8. Come si può trovare un sull'elenco dei medicinali? Ci sono due metodi: La ricerca alfabetica (se si conosce il nome esatto), o La ricerca per condizione medica.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 6

8 Per cercare in ordine alfabetico, aprire la sezione elenco alfabetico a pagina 82. Quindi cercare il nome nell'elenco. Per cercare per condizione medica, cercare la sezione di nome Elenco dei medicinali per condizione medica a pagina 12. I farmaci in questa sezione sono raggruppati in categorie, a seconda tipo di condizioni mediche normalmente trattate da tali farmaci. Per esempio, per una cardiopatia cercare in quella categoria, Betabloccanti. In quella si trovano farmaci che trattano le cardiopatie. 9. E se il medicinale che si vuole non è nell'elenco medicinali? Se non lo si vede nell'elenco, chiamare il servizio assistiti al numero e chiedere. Se si viene a sapere che il piano Healthfirst AbsoluteCare FIDA non copre il medicinale, si può fare una le seguenti cose: Chiedere al servizio assistiti un elenco di medicinali equivalenti a quello. Quindi mostrare l'elenco al medico o altro prescrittore. Questi potrà prescrivere un medicinale analogo a quello desiderato tra quelli l'elenco. Oppure È possibile chiedere al piano o all'idt di effettuare un'eccezione e coprire il. Vedere la domanda 11 per maggiori informazioni sulle eccezioni. 10. Che succede quando si è nuovi sottoscrittori piano Healthfirst AbsoluteCare FIDA e non si riesce a trovare il medicinale sull'elenco o si hanno problemi a reperirlo? Possiamo venire in aiuto. Dobbiamo coprire fino a 90 giorni di scorte provvisorie l'assistito, a seconda dei casi, per i primi 90 giorni, se si è sottoscritto il piano Healthfirst AbsoluteCare FIDA. Questo darà tempo a sufficienza per parlare con il medico o altro prescrittore. Questi potrà aiutare a decidere se esiste medicinale assumibile analogo sull'elenco medicinali, o se richiedere un'eccezione. Copriremo un massimo di 90 giorni di scorte provvisorie medicinale se: il medicinale assunto non è nell'elenco medicinali, o le regole piano sanitario non consentono all'assistito di ottenere la quantità ordinata dal prescrittore, o il medicinale richiede benestare piano Healthfirst AbsoluteCare FIDA, o l'ldt, o il medicinale assunto rientra in quelli soggetti a restrizione per terapia per gradi.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 7

9 Se l'assistito è ricoverato in una casa di riposo o altra struttura di cure a lunga durata (LTC), si può riordinare il medicinale prescritto per un massimo di 93 giorni. Si può riordinare il varie volte nel corso dei primi 93 giorni di iscrizione al piano. Questo concede al prescrittore di sostituire i medicinali con quelli l'elenco o chiedere un'eccezione. Cambiamenti livello di cure nelle terapie non di lunga durata Per i ricoverati non LTC (non sottoposti a terapie di lunga durata) è possibile una transizione automatica. In caso contrario, la farmacia otterrà una deroga in modo da sottoporre una richiesta di transizione per il livello di cure. Per i ricoverati non LTC è prevista una fornitura temporanea fino a 30 giorni di medicinali Parte D; si può riordinare il medicinale più volte fino ad una fornitura cumulativa di 30 giorni in modo da soddisfare quantitativi inferiori a quelli prescritti. Queste limitazioni quantitative al piano possono essere superiori in base al complesso dei benefici e verranno limitate dalla quantità prescritta. Cambiamenti livello di cure nelle terapie di lunga durata Per i ricoverati LTC (sottoposti a terapie di lunga durata), la farmacia richiede di permettere le transizioni e di ignorare i rifiuti classificati come Refill Too Soon (riordino precoce) in caso di nuove sottoscrizioni. Le transizioni livello di cure sono permesse fino ad una fornitura minima 31 giorni, ad eccezione dei medicinali solidi orali di marca che sono limitati a riordini di 14 giorni, con le eccezioni previste dalla guida CMS. Per tutti i sottoscrittori che incorrono in un cambiamento livello di cure, se la modifica di una dose provoca un riordino precoce o un rifiuto Refill Too Soon, la farmacia può contattare il Pharmacy Help Desk per ottenere una deroga. Le limitazioni quantitative al piano possono essere superiori in base al complesso dei benefici e verranno limitate dalla quantità prescritta. 11. Si può chiedere un'eccezione per coprire il proprio medicinale? Sì. L'assistito può chiedere al piano Healthfirst AbsoluteCare FIDA o all'idt di fare un'eccezione per coprire un medicinale che non è sull'elenco. Si può anche chiedere al piano Healthfirst AbsoluteCare FIDA o all'idt, di cambiare le regole per il proprio.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 8

10 Per esempio il piano Healthfirst AbsoluteCare FIDA può limitare la quantità di medicinale coperto. Se il medicinale ha un limite, si può chiedere a noi o all'idt, di cambiare il limite e coprire di più. Altri esempi: È possibile chiedere a noi o all'idt di annullare le restrizioni per la terapia per gradi o dei requisiti di approvazione preliminare. 12. Quanto occorre per ottenere un'eccezione? Per prima cosa il piano Healthfirst AbsoluteCare FIDA o l'idt devono ricevere una dichiarazione dal prescrittore a suffragio la richiesta d'eccezione. Dopo il ricevimento la dichiarazione, la decisione sulla richiesta d'eccezione giungerà entro 72 ore. Se l'assistito o il prescrittore ritengono che un'attesa di 72 ore per una decisione può nuocere alla salute l'assistito, possono chiedere un'eccezione spedita. Questa è una decisione più rapida. Se il prescrittore appoggia la richiesta l'assistito, questi riceverà una decisione entro 24 ore dal ricevimento la dichiarazione di appoggio prescrittore. 13. Come si chiede un'eccezione? Per chiedere un'eccezione, chiamare il responsabile terapie. Il responsabile terapie collabora con l'assistito e il suo prescrittore per la richiesta l'eccezione. 14. Cosa sono i farmaci generici? I farmaci generici sono composti degli stessi ingredienti di quelli di marca. In genere costano di meno l'equivalente di marca e non hanno nomi noti. I farmaci generici sono approvati dalla Food and Drug Administration (FDA). Il piano Healthfirst AbsoluteCare FIDA Plan copre sia i medicinali di marca che quelli generici. 15. Cosa sono i farmaci da banco (OTC)? OTC significa over the counter, ovvero da banco. Il piano Healthfirst AbsoluteCare FIDA copre alcuni farmaci OTC quando il fornitore li prescrive in una ricetta. È possibile leggere l'elenco dei medicinali piano Healthfirst AbsoluteCare FIDA per vedere quali farmaci da banco sono coperti.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 9

11 16. Il piano Healthfirst AbsoluteCare FIDA copre i prodotti non logici da banco? Il piano Healthfirst AbsoluteCare FIDA copre alcuni prodotti non logici da banco. Esempi di tali prodotti sono gli integratori di fibre, garza e tamponi per alcol, quando prescritti in una ricetta dal fornitore. È possibile leggere l'elenco dei medicinali piano Healthfirst AbsoluteCare FIDA per vedere quali prodotti non logici da banco sono coperti. 17. Cosa è la quota a l'assistito? L'assistito non ha quote a per medicinali l'elenco. 18. Cosa sono i livelli dei medicinali? I livelli sono gruppi di medicinali. Ogni medicinale l'elenco piano si trova in uno dei 3 livelli. L'assistito non paga ticket per i medicinali di nessun livello. Il livello 1 contiene i medicinali generici (Medicare). Il livello 2 contiene i medicinali di marca (Medicare). Il livello 3 contiene i medicinali non Medicare (Medicaid).? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 10

12 Elenco dei medicinali previsti L'elenco dei medicinali previsti sotto dà all'assistito informazioni dei medicinali coperti dal piano Healthfirst AbsoluteCare FIDA. In caso di difficoltà a trovare il proprio medicinale nell'elenco, consultare l'indice alfabetico che inizia a pagina 82. La prima colonna lo schema elenca il nome. I medicinali di marca hanno lettere maiuscole (p. es. CIPRO) e quelli generici sono elencati in corsivo minuscolo (p. es. ciprofloxacin hcl). Le informazioni nella colonna degli adempimenti necessari, restrizioni o spiegano se il piano Healthfirst AbsoluteCare FIDA ha regole per la copertura medicinale. Nota: Il simbolo * accanto a un medicinale significa che non appartiene alla Parte D. Questi medicinali hanno diverse regole per gli appelli. Un appello è un modo formale d chiederci di riesaminare la decisione di copertura e di cambiarla, se si ritiene che sia stato commesso un errore. Per esempio il piano Healthfirst AbsoluteCare FIDA o l'idt possono decidere che un medicinale desiderato non è coperto, o non lo è più da Medicare o Medicaid. Se l'assistito o il suo medico dissentono dalla decisione, l'assistito può presentare appello. Per chiedere le istruzioni per l'appello, chiamare il servizio assistiti al numero o l'ican (Independent Consumer Advocacy Network: rete indipendente patrocinio consumatori) al numero Per sapere come ricorrere contro una decisione, si può anche leggere il manuale l'assistito. Di seguito sono riportati i significati dei codici usati nella colonna Adempimenti necessari, restrizioni, o per l'uso : NM = no ordine postale: non ordinabile per posta B/D = il medicinale indicato può essere sia di Parte B che di Parte D LA = (limited availability) disponibilità limitata: un medicinale che non può essere venduto senza prescrizione, o senza la supervisione o intervento di un farmacista secondo direttive e regole PA = autorizzazione preliminare (prior authorization): occorre ricevere il benestare dal piano o dall'idt per ottenere questo medicinale. QL = limite sulla quantità (quantity limit): sussiste un limite sulla quantità di medicinale coperta ST = terapia per gradi (step therapy): occorre provare un altro medicinale prima di ottenere questo.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 11

13 Elenco dei medicinali per condizione medica I farmaci in questa sezione sono raggruppati in categorie, a seconda tipo di condizioni mediche normalmente trattate da tali farmaci. Per esempio, per una cardiopatia cercare in quella categoria, Betabloccanti. In quella si trovano farmaci che trattano le cardiopatie.? Per quesiti chiamare il piano Healthfirst AbsoluteCare FIDA al numero , 7 giorni su 7, dalle 8 alle 20. La chiamata è gratuita. Per maggiori informazioni visitare 12

14 Nome l'assistito ANALGESICI - FARMACI PER TRATTARE DOLORI E INFIAMMAZIONI GOUT - DRUGS TO TREAT GOUT allopurinol tab 1 $0 colchicine w/ probenecid 1 $0 COLCRYS 2 $0 QL (120 tabs / 30 probenecid 1 $0 ULORIC 2 $0 ST VARIE acetaminophen CHEW 3 $0 NM; * acetaminophen LIQD 3 $0 NM; * acetaminophen SOLN 3 $0 NM; * ACETAMINOPHEN SUPP 120mg 3 $0 NM; * acetaminophen SUPP 325mg, 3 $0 NM; * 650mg acetaminophen SUSP 3 $0 NM; * acetaminophen TABS 3 $0 NM; * acetaminophen TBCR 3 $0 NM; * acetaminophen TBDP 3 $0 NM; * ACETAMINOPHEN 8 HOUR 3 $0 NM; * APAP $0 NM; * aspirin SUPP 300mg, 600mg 3 $0 NM; * aspirin TABS 3 $0 NM; * aspirin TBEC 325mg, 500mg, 3 $0 NM; * 650mg aspirin buffered (cal carb-mag 3 $0 NM; * carb-mag oxide) FEBROL 3 $0 NM; * FEVERALL INFANTS 3 $0 NM; * ibuprofen CAPS 3 $0 NM; * ibuprofen CHEW 3 $0 NM; * ibuprofen SUSP 50mg/1.25ml, 3 $0 NM; * 100mg/5ml IBUPROFEN TABS 100mg 3 $0 NM; * ibuprofen TABS 200mg 3 $0 NM; * NAPROXEN SODIUM CAPS 3 $0 NM; * naproxen sodium TABS 220mg 3 $0 NM; * TRIAMINIC FEVER REDUCER P 3 $0 NM; * FANS - FARMACI PER TRATTARE DOLORI E INFIAMMAZIONI celecoxib CAPS 1 $0 QL (60 caps / 30 1

15 Nome l'assistito diclofenac potassium 1 $0 diclofenac sodium TB24 1 $0 diclofenac sodium TBEC 1 $0 diflunisal 1 $0 etodolac 1 $0 etodolac er 1 $0 flurbiprofen TABS 1 $0 ibuprofen SUSP 100mg/5ml 1 $0 ibuprofen TABS 400mg, 600mg, 1 $0 800mg ketoprofen CAPS 1 $0 MELOXICAM SUSP 1 $0 meloxicam TABS 1 $0 nabumetone TABS 1 $0 naproxen SUSP; TABS; TBEC 1 $0 naproxen sodium TABS 275mg, 1 $0 550mg piroxicam CAPS 1 $0 sulindac TABS 1 $0 ANALGESICI OPPIACEI - FARMACI PER TRATTARE IL DOLORE acetaminophen w/ codeine SOLN 1 $0 QL (5000 ml / 30 acetaminophen w/ codeine TABS 1 $0 QL (400 tabs / 30 butorphanol tartrate SOLN 1 $0 1mg/ml, 2mg/ml nalbuphine hcl SOLN 1 $0 tramadol hcl TABS 1 $0 QL (240 tabs / 30 tramadol-acetaminophen 1 $0 QL (240 tabs / 30 ANALGESICI OPPIACEI, CII - FARMACI PER TRATTARE IL DOLORE DURAMORPH 1 $0 B/D endocet 1 $0 QL (360 tabs / 30 fentanyl citrate LPOP 2 $0 QL (120 lozenges / 30, PA fentanyl patch 12 mcg/hr 1 $0 QL (10 patches / 30 fentanyl patch 25 mcg/hr 1 $0 QL (10 patches / 30 2

16 Nome l'assistito fentanyl patch 50 mcg/hr 1 $0 QL (10 patches / 30, PA fentanyl patch 75 mcg/hr 1 $0 QL (10 patches / 30, PA fentanyl patch 100 mcg/hr 1 $0 QL (10 patches / 30, PA FENTORA 2 $0 QL (120 tabs / 30, PA hydroco/apap tab 5-325mg 1 $0 QL (360 tabs / 30 hydroco/apap tab $0 QL (360 tabs / 30 hydroco/apap tab mg 1 $0 QL (360 tabs / 30 hydrocodone-acetaminophen $0 QL (5400 ml / mg/15ml hydrocodone-ibuprofen tab $0 QL (150 tabs / mg hydromorphon inj 10mg/ml 1 $0 B/D hydromorphone hcl LIQD 1 $0 hydromorphone hcl TABS 1 $0 QL (270 tabs / 30 lorcet hd tab mg 1 $0 QL (360 tabs / 30 lorcet plus tab $0 QL (360 tabs / 30 lorcet tab 5-325mg 1 $0 QL (360 tabs / 30 lortab tab 5-325mg 1 $0 QL (360 tabs / 30 lortab tab $0 QL (360 tabs / 30 lortab tab mg 1 $0 QL (360 tabs / 30 methadone hcl CONC 1 $0 QL (120 ml / 30 methadone hcl SOLN 5mg/5ml, 1 $0 QL (600 ml / 30 10mg/5ml methadone hcl TABS 1 $0 QL (240 tabs / 30 morphine ext-rel tab 15mg, 30mg, 1 $0 QL (90 tabs / 30 60mg, 100mg morphine ext-rel tab 200mg 1 $0 QL (60 tabs / 30 MORPHINE SUL INJ 1MG/ML 1 $0 B/D 3

17 Nome l'assistito MORPHINE SUL INJ 4MG/ML 1 $0 B/D MORPHINE SUL INJ 10MG/ML 1 $0 B/D MORPHINE SUL INJ 15MG/ML 1 $0 B/D morphine sulfate CP24 10mg, 1 $0 QL (60 caps / 30 20mg, 30mg, 50mg, 60mg morphine sulfate CP24 80mg 2 $0 QL (60 caps / 30 MORPHINE SULFATE SOLN 1 $0 B/D 2mg/ml, 8mg/ml morphine sulfate SOLN.5mg/ml, 1 $0 B/D 1mg/ml, 4mg/ml, 8mg/ml MORPHINE SULFATE TABS 1 $0 QL (180 tabs / 30 morphine sulfate beads 1 $0 QL (60 caps / 30 morphine sulfate cap 100mg er 2 $0 QL (60 caps / 30 MORPHINE SULFATE ORAL SOL 1 $0 oxycodone hcl CAPS 1 $0 QL (180 caps / 30 oxycodone hcl CONC 1 $0 OXYCODONE HCL SOLN 1 $0 oxycodone hcl TABS 1 $0 QL (180 tabs / 30 oxycodone w/ acetaminophen $0 QL (360 tabs / mg oxycodone w/ acetaminophen 5-325mg 1 $0 QL (360 tabs / 30 oxycodone w/ acetaminophen $0 QL (360 tabs / mg oxycodone w/ acetaminophen 10-1 $0 QL (360 tabs / mg oxycodone w/ acetaminophen soln mg/5ml 1 $0 QL (1800 ml / 30 ANESTETICI - FARMACI DESENSIBILIZZANTI ANESTETICI LOCALI lidocaine hcl (local anesth.) 1 $0 B/D lidocaine inj 0.5% 1 $0 B/D lidocaine inj 1% 1 $0 B/D lidocaine inj 1.5% 1 $0 B/D lidocaine inj 2% 1 $0 B/D ANTINFETTIVI - FARMACI PER TRATTARE LE INFEZIONI ANTIBATTERICI - VARIE amikacin sulfate SOLN 1 $0 4

18 Nome l'assistito gentamicin in saline 1 $0 gentamicin sulfate SOLN 1 $0 neomycin sulfate TABS 1 $0 paromomycin sulfate CAPS 1 $0 streptomycin sulfate SOLR 1 $0 sulfadiazine TABS 2 $0 tobramycin NEBU 2 $0 B/D, NM tobramycin sulfate SOLN; SOLR 1 $0 ANTINFETTIVI - VARIE ALBENZA 2 $0 ALINIA 2 $0 atovaquone SUSP 2 $0 AZACTAM/DEX INJ 1GM 2 $0 AZACTAM/DEX INJ 2GM 2 $0 aztreonam 1 $0 BILTRICIDE 2 $0 CAYSTON 2 $0 NM, LA, PA clindamycin cap 75mg 1 $0 clindamycin cap 300mg 1 $0 clindamycin hcl cap 150 mg 1 $0 clindamycin phosphate SOLN 1 $0 clindamycin phosphate in d5w 1 $0 clindamycin phosphate inj 1 $0 clindamycin sol 75mg/5ml 1 $0 colistimethate sodium SOLR 1 $0 CUBICIN 2 $0 dapsone TABS 1 $0 daptomycin 2 $0 DARAPRIM 2 $0 emverm 2 $0 imipenem-cilastatin 1 $0 INVANZ 2 $0 ivermectin TABS 1 $0 linezolid SOLN 2 $0 LINEZOLID SUSR; TABS 2 $0 LINEZOLID IN SODIUM CHLORIDE 2 $0 meropenem 1 $0 methenamine hippurate 1 $0 metronidazole TABS 1 $0 metronidazole in nacl 1 $0 5

19 Nome l'assistito NEBUPENT 2 $0 B/D nitrofurantoin macrocrystal 50mg, 2 $0 PA; PA applies if mg years and older after a 90 day supply in a calendar year nitrofurantoin monohyd macro 2 $0 PA; PA applies if 65 years and older after a 90 day supply in a calendar year PENTAM $0 SIVEXTRO 2 $0 sulfamethoxazole-trimethoprim 1 $0 sulfamethoxazole-trimethoprim inj 1 $0 SYNERCID 2 $0 trimethoprim TABS 1 $0 TYGACIL 2 $0 vancomycin hcl CAPS 2 $0 vancomycin hcl SOLR 1 $0 VANCOMYCIN IN NACL 2 $0 ZYVOX TABS 2 $0 ANTIMICOTICI - FARMACI PER TRATTARE LE INFEZIONI MICOTICHE ABELCET 2 $0 B/D AMBISOME 2 $0 B/D amphotericin b SOLR 1 $0 B/D CANCIDAS 2 $0 fluconazole SUSR; TABS 1 $0 fluconazole in dextrose 1 $0 fluconazole in nacl 1 $0 flucytosine CAPS 2 $0 griseofulvin microsize 1 $0 griseofulvin ultramicrosize 1 $0 itraconazole CAPS 1 $0 PA ketoconazole TABS 1 $0 PA MYCAMINE 2 $0 NOXAFIL SUSP; TBEC 2 $0 nystatin TABS 1 $0 terbinafine hcl TABS 1 $0 QL (90 tabs / 365 voriconazole SOLR 1 $0 voriconazole SUSR; TABS 2 $0 6

20 Nome l'assistito ANTIMALARICI - FARMACI PER TRATTARE LA MALARIA atovaquone-proguanil hcl 1 $0 chloroquine phosphate TABS 1 $0 COARTEM 2 $0 mefloquine hcl 1 $0 PRIMAQUINE PHOSPHATE 2 $0 quinine sulfate CAPS 1 $0 PA AGENTI ANTIRETROVIRALI IN COMBINAZIONE - FARMACI PER SOPPRIMERE L'INFEZIONE DA HIV/AIDS abacavir sulfate 1 $0 APTIVUS 2 $0 CRIXIVAN 2 $0 didanosine 1 $0 EDURANT 2 $0 EMTRIVA 2 $0 FUZEON 2 $0 NM INTELENCE 2 $0 INVIRASE 2 $0 ISENTRESS 2 $0 lamivudine 1 $0 LEXIVA 2 $0 NEVIRAPINE SUSP 1 $0 nevirapine TABS; TB24 1 $0 NORVIR 2 $0 PREZISTA 2 $0 RESCRIPTOR 2 $0 RETROVIR IV INFUSION 2 $0 REYATAZ 2 $0 SELZENTRY 2 $0 stavudine 1 $0 SUSTIVA 2 $0 TIVICAY 2 $0 TYBOST 2 $0 VIDEX PEDIATRIC 2 $0 VIRACEPT 2 $0 VIRAMUNE XR 100mg 2 $0 VIREAD 2 $0 VITEKTA 2 $0 ZIAGEN SOLN 2 $0 zidovudine 1 $0 7

21 Nome l'assistito AGENTI ANTITUBERCOLOTICI - FARMACI PER TRATTARE LA TUBERCOLOSI abacavir sulfate-lamivudinezidovudine 2 $0 ATRIPLA 2 $0 COMPLERA 2 $0 EPZICOM 2 $0 EVOTAZ 2 $0 GENVOYA 2 $0 KALETRA SOL 2 $0 KALETRA TAB MG 2 $0 KALETRA TAB MG 2 $0 lamivudine-zidovudine 2 $0 PREZCOBIX 2 $0 STRIBILD 2 $0 TRIUMEQ 2 $0 TRUVADA TAB $0 QL (60 tabs / 30 TRUVADA TAB $0 QL (30 tabs / 30 TRUVADA TAB $0 QL (30 tabs / 30 TRUVADA TAB $0 QL (30 tabs / 30 ANTIVIRALI - FARMACI PER TRATTARE LE INFEZIONI VIRALI CAPASTAT SULFATE 2 $0 cycloserine CAPS 2 $0 ethambutol hcl TABS 1 $0 isoniazid TABS 1 $0 isoniazid inj 100 mg/ml 1 $0 isoniazid syp 50mg/5ml 1 $0 paser d/r 2 $0 PRIFTIN 2 $0 pyrazinamide TABS 1 $0 rifabutin 1 $0 rifampin CAPS; SOLR 1 $0 RIFATER 2 $0 SIRTURO 2 $0 LA, PA TRECATOR 2 $0 ANTIVIRALI - FARMACI PER TRATTARE LE INFEZIONI VIRALI acyclovir CAPS; SUSP; TABS 1 $0 acyclovir sodium SOLN 1 $0 B/D acyclovir sodium SOLR 500mg 1 $0 B/D adefovir dipivoxil 2 $0 8

22 Nome l'assistito BARACLUDE SOLN 2 $0 DAKLINZA 2 $0 NM, PA entecavir 2 $0 EPIVIR HBV SOLN 2 $0 famciclovir TABS 1 $0 ganciclovir inj 500mg 1 $0 B/D HARVONI 2 $0 NM, PA lamivudine (hbv) 1 $0 moderiba 800 dose pack 2 $0 NM moderiba pak 600/day 2 $0 NM moderiba pak 1000/day 2 $0 NM MODERIBA PAK 1200/DAY 2 $0 NM moderiba tab 200mg 1 $0 NM PEG-INTRON REDIPEN 2 $0 NM, PA PEGASYS 2 $0 NM, PA PEGASYS PROCLICK 2 $0 NM, PA PEGINTRON 2 $0 NM, PA REBETOL SOLN 2 $0 NM RELENZA DISKHALER 2 $0 ribapak mis 600/day 2 $0 NM ribasphere CAPS 1 $0 NM ribasphere TABS 200mg, 400mg 1 $0 NM ribasphere TABS 600mg 2 $0 NM ribasphere ribapak $0 NM ribasphere ribapak $0 NM ribasphere ribapak $0 NM ribavirin 200mg 1 $0 NM rimantadine hydrochloride 1 $0 SOVALDI 2 $0 NM, PA TAMIFLU 2 $0 TYZEKA 2 $0 valacyclovir hcl TABS 1 $0 VALCYTE SOLR 2 $0 valganciclovir hcl 2 $0 CEFALOSPORINE - FARMACI PER TRATTARE LE INFEZIONI cefaclor 1 $0 cefaclor monohydrate er 2 $0 cefadroxil 1 $0 cefazolin in dextrose 1gm/50ml- 5% 2 $0 9

23 Nome l'assistito CEFAZOLIN IN DEXTROSE 2 $0 2GM/100ML-4% cefazolin inj 1 $0 cefazolin sodium 1gm, 20gm 1 $0 cefdinir 1 $0 cefepime hcl 1 $0 cefixime 1 $0 cefotaxime sodium 1gm, 2gm, 1 $0 500mg cefoxitin sodium 1 $0 cefpodoxime proxetil 1 $0 cefprozil 1 $0 ceftazidime 1 $0 CEFTAZIDIME/DEXTROSE 2 $0 ceftriaxone sodium SOLR 1gm, 1 $0 2gm, 10gm, 250mg, 500mg cefuroxime axetil 1 $0 cefuroxime sodium 1.5gm, 7.5gm, 1 $0 750mg cephalexin CAPS 250mg, 500mg 1 $0 cephalexin SUSR 1 $0 SUPRAX CAPS 2 $0 suprax CHEW 2 $0 SUPRAX SUSR 500mg/5ml 2 $0 tazicef SOLR 1 $0 tazicef vial 1 $0 TEFLARO 2 $0 ERITROMICINE/MACROLIDI - FARMACI PER TRATTARE LE INFEZIONI AZITHROMYCIN PACK 1 $0 azithromycin SOLR; SUSR; TABS 1 $0 clarithromycin TABS 1 $0 clarithromycin er 1 $0 clarithromycin for susp 1 $0 DIFICID 2 $0 e.e.s. 1 $0 ery-tab 1 $0 erythrocin lactobionate 2 $0 erythrocin stearate 1 $0 erythromycin base 1 $0 erythromycin cap 250mg ec 1 $0 10

24 Nome l'assistito erythromycin ethylsuccinate 1 $0 FLUOROCHINOLONI - FARMACI PER TRATTARE LE INFEZIONI ciprofloxacin SUSR 1 $0 ciprofloxacin er 1 $0 ciprofloxacin hcl tab 1 $0 ciprofloxacin in d5w 1 $0 ciprofloxacin inj 200mg/20ml 1 $0 ciprofloxacin inj 400mg/40ml 1 $0 levofloxacin TABS 1 $0 levofloxacin in d5w 1 $0 levofloxacin inj 25mg/ml 1 $0 levofloxacin oral soln 25 mg/ml 1 $0 PENICILLINE - FARMACI PER TRATTARE LE INFEZIONI amoxicillin 1 $0 amoxicillin & pot clavulanate 1 $0 ampicillin & sulbactam sodium 1 $0 ampicillin cap 250 mg 1 $0 ampicillin cap 500 mg 1 $0 ampicillin for susp 125 mg/5ml 1 $0 ampicillin for susp 250 mg/5ml 1 $0 ampicillin inj 1 $0 ampicillin sodium 1 $0 BICILLIN L-A 2 $0 dicloxacillin sodium 1 $0 nafcillin sodium 1gm 1 $0 nafcillin sodium 2gm, 10gm 2 $0 oxacillin sodium 1gm, 2gm 1 $0 oxacillin sodium 10gm 2 $0 PENICILLIN G POT IN DEXTROSE 2 $0 penicillin g procaine 2 $0 penicillin g sodium 1 $0 penicillin gk inj 5mu 1 $0 penicillin gk inj 20mu 1 $0 penicillin v potassium 1 $0 pfizerpen-g inj 5mu 1 $0 piperacillin sodium-tazobactam sodium 1 $0 TETRACICLINE - FARMACI PER TRATTARE LE INFEZIONI doxy 1 $0 11

25 Nome l'assistito doxycycline (monohydrate) CAPS 1 $0 50mg, 100mg doxycycline (monohydrate) TABS 1 $0 doxycycline hyclate CAPS; SOLR; 1 $0 TABS minocycline hcl CAPS 1 $0 morgidox 1 $0 AGENTI ANTINEOPLASTICI - FARMACI PER TRATTARE IL TUMORE AGENTI ALCHILANTI BENDEKA 2 $0 B/D, NM BICNU 2 $0 B/D BUSULFEX 2 $0 B/D CYCLOPHOSPHAMIDE CAPS 2 $0 B/D cyclophosphamide SOLR 1gm, 2 $0 B/D 500mg cyclophosphamide SOLR 2gm 1 $0 B/D dacarbazine 1 $0 B/D EMCYT 2 $0 GLEOSTINE 2 $0 HEXALEN 2 $0 IFEX INJ 3GM 2 $0 B/D ifosfamide inj 1gm 1 $0 B/D ifosfamide inj 1gm/20ml 1 $0 B/D IFOSFAMIDE INJ 3GM 2 $0 B/D ifosfamide inj 3gm/60ml 1 $0 B/D LEUKERAN 2 $0 melphalan hcl 2 $0 B/D, NM MUSTARGEN 2 $0 B/D TREANDA 2 $0 B/D, NM ANTRACICLINE daunorubicin hcl 1 $0 B/D doxorubicin hcl for inj 50 mg 1 $0 B/D doxorubicin hcl liposomal inj 2 $0 B/D 2mg/ml doxorubicin inj 50mg 1 $0 B/D epirubicin hcl 1 $0 B/D idarubicin hcl 2 $0 B/D ANTIBIOTICI bleomycin sulfate 1 $0 B/D mitomycin SOLR 1 $0 B/D 12

26 Nome l'assistito ANTIMETABOLITI adrucil 1 $0 B/D ALIMTA 2 $0 B/D azacitidine 2 $0 B/D, NM cladribine 2 $0 B/D cytarabine 20mg/ml 1 $0 B/D fludarabine phosphate 1 $0 B/D fluorouracil SOLN 1 $0 B/D GEMCITABINE HCL SOLN 2 $0 B/D gemcitabine hcl SOLR 2 $0 B/D mercaptopurine TABS 1 $0 METHOTREXATE SODIUM 1 $0 B/D 50mg/2ml methotrexate sodium 50mg/2ml, 1 $0 B/D 100mg/4ml, 200mg/8ml, 250mg/10ml methotrexate sodium inj 1 $0 B/D NIPENT 2 $0 B/D PURIXAN 2 $0 NM TABLOID 2 $0 ANTIMITOTICI, TAXOIDI ABRAXANE 2 $0 B/D DOCETAXEL CONC 20mg/ml, 2 $0 B/D 80mg/4ml docetaxel CONC 140mg/7ml 2 $0 B/D DOCETAXEL SOLN 20mg/2ml 1 $0 B/D DOCETAXEL SOLN 160mg/16ml, 2 $0 B/D 200mg/20ml DOCETAXEL SOLN 80MG/8ML 2 $0 B/D paclitaxel 1 $0 B/D ANTIMITOTICI, ALCALOIDI DELLA VINCA vinblastine sulfate 2 $0 B/D vincasar 1 $0 B/D vincristine sulfate 1 $0 B/D vinorelbine tartrate 1 $0 B/D MODIFICATORI DELLA RISPOSTA BIOLOGICA AVASTIN 2 $0 B/D, NM, LA BELEODAQ 2 $0 NM, PA ERIVEDGE 2 $0 NM, LA, PA FARYDAK 2 $0 NM, LA, PA 13

27 Nome l'assistito HERCEPTIN 2 $0 B/D, NM IBRANCE 2 $0 NM, LA, PA ISTODAX 2 $0 B/D, NM KADCYLA 2 $0 B/D, NM KEYTRUDA 2 $0 NM, PA LYNPARZA 2 $0 NM, LA, PA NINLARO 2 $0 NM, PA PROLEUKIN 2 $0 B/D, NM RITUXAN 2 $0 NM, LA, PA TECENTRIQ 2 $0 NM, LA, PA VELCADE 2 $0 B/D, NM VENCLEXTA 2 $0 NM, LA, PA VENCLEXTA STARTING PACK 2 $0 NM, LA, PA YERVOY 2 $0 NM, PA ZOLINZA 2 $0 NM, PA AGENTI ORMONALI ANTINEOPLASTICI anastrozole TABS 1 $0 bicalutamide 1 $0 DEPO-PROVERA INJ 400/ML 2 $0 B/D exemestane 1 $0 FARESTON 2 $0 FASLODEX 2 $0 B/D flutamide 1 $0 hydroxyprogesterone caproate 2 $0 B/D (antineoplastic) letrozole TABS 1 $0 leuprolide acetate KIT 1 $0 NM, PA LUPRON DEP-PED INJ 7.5MG 2 $0 NM, PA LUPRON DEP-PED INJ 11.25MG 2 $0 NM, PA LUPRON DEP-PED INJ 15MG 2 $0 NM, PA LUPRON DEP-PED INJ 30MG (3-2 $0 NM, PA MONTH) LUPRON DEPOT 3.75mg 2 $0 NM, PA LUPRON DEPOT INJ MG 2 $0 NM, PA LYSODREN 2 $0 megestrol ac sus 40mg/ml 2 $0 PA; PA if 65 years and older megestrol ac tab 20mg 2 $0 PA; PA if 65 years and older megestrol ac tab 40mg 2 $0 PA; PA if 65 years and older 14

28 Nome l'assistito MEGESTROL SUS 625MG/5ML 2 $0 PA NILANDRON 2 $0 nilutamide 2 $0 SOLTAMOX 2 $0 tamoxifen citrate TABS 1 $0 TRELSTAR DEP INJ 3.75MG 2 $0 NM, PA TRELSTAR LA INJ 11.25MG 2 $0 NM, PA XTANDI 2 $0 NM, LA, PA ZYTIGA 2 $0 NM, LA, PA INIBITORI DELLA CHINASI AFINITOR 2 $0 NM, PA AFINITOR DISPERZ 2 $0 NM, PA ALECENSA 2 $0 NM, LA, PA BOSULIF 2 $0 NM, PA CABOMETYX 2 $0 NM, LA, PA CAPRELSA 2 $0 NM, LA, PA COMETRIQ 2 $0 NM, LA, PA COTELLIC 2 $0 NM, LA, PA GILOTRIF TAB 20MG 2 $0 NM, LA, PA GILOTRIF TAB 30MG 2 $0 NM, LA, PA GILOTRIF TAB 40MG 2 $0 NM, LA, PA ICLUSIG 2 $0 NM, LA, PA imatinib mesylate 2 $0 NM, PA IMBRUVICA CAP 140MG 2 $0 NM, LA, PA INLYTA 2 $0 NM, LA, PA IRESSA 2 $0 NM, LA, PA JAKAFI 2 $0 NM, LA, PA LENVIMA 8 MG DAILY DOSE 2 $0 NM, LA, PA LENVIMA 10 MG DAILY DOSE 2 $0 NM, LA, PA LENVIMA 14 MG DAILY DOSE 2 $0 NM, LA, PA LENVIMA 18 MG DAILY DOSE 2 $0 NM, LA, PA LENVIMA 20 MG DAILY DOSE 2 $0 NM, LA, PA LENVIMA 24 MG DAILY DOSE 2 $0 NM, LA, PA MEKINIST 2 $0 NM, LA, PA NEXAVAR 2 $0 NM, LA, PA SPRYCEL 2 $0 NM, PA STIVARGA 2 $0 NM, LA, PA SUTENT 2 $0 NM, PA TAFINLAR 2 $0 NM, LA, PA TAGRISSO 2 $0 NM, LA, PA 15

29 Nome l'assistito TARCEVA 2 $0 NM, LA, PA TASIGNA 2 $0 NM, PA TYKERB 2 $0 NM, LA, PA VOTRIENT 2 $0 NM, LA, PA XALKORI 2 $0 NM, LA, PA ZELBORAF 2 $0 NM, LA, PA ZYDELIG 2 $0 NM, LA, PA ZYKADIA 2 $0 NM, LA, PA VARIE bexarotene 2 $0 NM, PA DROXIA 2 $0 hydroxyurea CAPS 1 $0 LONSURF 2 $0 NM, PA MATULANE 2 $0 LA mitoxantrone hcl 1 $0 B/D, NM ODOMZO 2 $0 NM, LA, PA POMALYST CAP 1MG 2 $0 NM, LA, PA POMALYST CAP 2MG 2 $0 NM, LA, PA POMALYST CAP 3MG 2 $0 NM, LA, PA POMALYST CAP 4MG 2 $0 NM, LA, PA SYLATRON KIT 200MCG 2 $0 NM, PA SYLATRON KIT 300MCG 2 $0 NM, PA SYLATRON KIT 600MCG 2 $0 NM, PA SYNRIBO 2 $0 NM, PA tretinoin (chemotherapy) 2 $0 TRISENOX 2 $0 B/D AGENTI A BASE DI PLATINO carboplatin 1 $0 B/D cisplatin 1 $0 B/D oxaliplatin 2 $0 B/D AGENTI PROTETTIVI amifostine crystalline 2 $0 B/D dexrazoxane 250mg 2 $0 B/D ELITEK 2 $0 B/D FUSILEV 2 $0 B/D, NM leucovorin calcium SOLR 1 $0 B/D leucovorin calcium TABS 1 $0 leucovorin calcium for inj 500 mg 1 $0 B/D levoleucovorin calcium 2 $0 B/D, NM mesna 1 $0 B/D 16

30 Nome l'assistito MESNEX TABS 2 $0 INIBITORI DELLA TOPOISOMERASI etoposide SOLN 500mg/25ml 1 $0 B/D irinotecan inj 40mg/2ml 1 $0 B/D irinotecan inj 100/5ml 1 $0 B/D irinotecan inj 500mg/25ml 1 $0 B/D toposar 1gm/50ml 1 $0 B/D topotecan hcl SOLR 2 $0 B/D CARDIOVASCOLARI - FARMACI PER TRATTARE I DISTURBI CARDIOCIRCOLATORI COMBINAZIONI DI ACE INIBITORI - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA amlodipine--benazepril hcl cap 10-1 $0 QL (30 caps / mg amlodipine-benazepril hcl cap mg 1 $0 QL (30 caps / 30 amlodipine-benazepril hcl cap $0 QL (30 caps / 30 mg amlodipine-benazepril hcl cap $0 QL (30 caps / 30 mg amlodipine-benazepril hcl cap $0 QL (30 caps / 30 mg amlodipine-benazepril hcl cap 10-1 $0 40mg benazepril & hydrochlorothiazide 1 $0 captopril & hydrochlorothiazide 1 $0 enalapril maleate & 1 $0 hydrochlorothiazide fosinopril sodium & 1 $0 hydrochlorothiazide lisinopril & hydrochlorothiazide 1 $0 moexipril-hydrochlorothiazide 1 $0 quinapril-hydrochlorothiazide 1 $0 ACE INIBITORI - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA benazepril hcl TABS 1 $0 captopril TABS 1 $0 enalapril maleate TABS 1 $0 fosinopril sodium 1 $0 lisinopril TABS 1 $0 17

31 Nome l'assistito moexipril hcl 1 $0 perindopril erbumine 1 $0 quinapril hcl 1 $0 ramipril 1 $0 trandolapril 1 $0 ANTAGONISTI DEL RECETTORE DELL'ALDOSTERONE - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA eplerenone 1 $0 spironolactone TABS 1 $0 ALFABLOCCANTI - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA doxazosin mesylate 1mg, 2mg, 1 $0 QL (30 tabs / 30 4mg doxazosin mesylate 8mg 1 $0 prazosin hcl 1 $0 terazosin hcl 1 $0 COMBINAZIONI DI ANTAGONISTI DEL RECETTORE DELL'ANGIOTENSINA II - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA amlodipine besylate-valsartan tab 1 $0 QL (30 tabs / mg amlodipine besylate-valsartan tab 1 $0 QL (30 tabs / mg amlodipine besylate-valsartan tab 1 $0 QL (30 tabs / mg amlodipine besylate-valsartan tab 1 $ mg amlodipine-valsartanhydrochlorothiazide 1 $0 QL (30 tabs / mg amlodipine-valsartanhydrochlorothiazide 1 $0 QL (60 tabs / mg amlodipine-valsartanhydrochlorothiazide 1 $0 QL (30 tabs / mg amlodipine-valsartanhydrochlorothiazide 1 $0 QL (30 tabs / mg amlodipine-valsartanhydrochlorothiazide 1 $ mg AZOR 10-40MG 2 $0 AZOR TAB 5-20MG 2 $0 QL (30 tabs / 30 AZOR TAB 5-40MG 2 $0 QL (30 tabs / 30 18

32 Nome l'assistito AZOR TAB 10-20MG 2 $0 QL (30 tabs / 30 BENICAR HCT 40-25MG 2 $0 BENICAR HCT TAB MG 2 $0 BENICAR HCT TAB MG 2 $0 ENTRESTO 2 $0 PA irbesartan-hydrochlorothiazide 1 $0 losartan-hydrochlorothiazide 1 $0 TRIBENZOR TAB MG 2 $0 QL (30 tabs / 30 TRIBENZOR TAB MG 2 $0 QL (30 tabs / 30 TRIBENZOR TAB MG 2 $0 QL (30 tabs / 30 TRIBENZOR TAB $0 QL (30 tabs / 30 TRIBENZOR TAB MG 2 $0 valsartan & hctz tab mg 1 $0 valsartan & hctz tab mg 1 $0 valsartan & hctz tab mg 1 $0 valsartan & hctz tab mg 1 $0 valsartan & hctz tab mg 1 $0 ANTAGONISTI DEL RECETTORE DELL'ANGIOTENSINA II - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA BENICAR 2 $0 irbesartan 1 $0 losartan potassium 1 $0 valsartan 1 $0 ANTIARITMICI - FARMACI PER IL CONTROLLO DELLA FREQUENZA CARDIACA amiodarone hcl 1 $0 disopyramide phosphate 2 $0 PA; PA if 65 years and older dofetilide 1 $0 NM flecainide acetate 1 $0 mexiletine hcl 1 $0 MULTAQ 2 $0 NORPACE CR 2 $0 PA; PA if 65 years and older pacerone 1 $0 propafenone hcl 1 $0 propafenone hcl 12hr 1 $0 quinidine gluconate TBCR 1 $0 quinidine sulfate TABS 1 $0 sorine 1 $0 19

33 Nome l'assistito sotalol hcl 1 $0 sotalol hcl (afib/afl) 1 $0 TIKOSYN 2 $0 NM ANTILIPEMICI, INIBITORI DELLA HMG-CoA RIDUTTASI - FARMACI PER TRATTARE L'IPERCOLESTEROLEMIA atorvastatin calcium TABS 1 $0 QL (30 tabs / 30 CRESTOR 2 $0 QL (30 tabs / 30 lovastatin 10mg 1 $0 QL (30 tabs / 30 lovastatin 20mg 1 $0 QL (120 tabs / 30 lovastatin 40mg 1 $0 QL (60 tabs / 30 pravastatin sodium 1 $0 QL (30 tabs / 30 simvastatin TABS 1 $0 QL (30 tabs / 30 ANTILIPEMICI, VARIE - FARMACI PER TRATTARE L'IPERCOLESTEROLEMIA cholestyramine 1 $0 cholestyramine light 1 $0 choline fenofibrate 1 $0 colestipol hcl 1 $0 fenofibrate TABS 48mg, 54mg, 1 $0 145mg, 160mg fenofibrate micronized 67mg, 1 $0 134mg, 200mg gemfibrozil TABS 1 $0 JUXTAPID 2 $0 NM, LA, PA KYNAMRO 2 $0 NM, PA niacin er (antihyperlipidemic) 1 $0 QL (90 tabs / mg niacin er (antihyperlipidemic) 1 $0 750mg, 1000mg niacor 1 $0 omega-3-acid ethyl esters 1 $0 PRALUENT 2 $0 NM, PA prevalite 1 $0 VASCEPA 1gm 2 $0 WELCHOL 2 $0 ZETIA TAB 10MG 2 $0 BETA-BLOCKER/DIURETIC COMBINATIONS - DRUGS TO TREAT HIGH BLOOD PRESSURE AND HEART CONDITIONS atenolol & chlorthalidone 1 $0 20

34 Nome l'assistito bisoprolol & hydrochlorothiazide 1 $0 metoprolol & hctz tab 50-25mg 1 $0 metoprolol & hctz tab mg 1 $0 metoprolol & hctz tab mg 1 $0 propranolol & hydrochlorothiazide 1 $0 BETABLOCCANTI - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA E I DISTURBI CARDIACI acebutolol hcl CAPS 1 $0 atenolol TABS 1 $0 bisoprolol fumarate 1 $0 BYSTOLIC 2 $0 carvedilol 1 $0 labetalol hcl TABS 1 $0 metoprolol succinate 25mg, 50mg 1 $0 QL (60 tabs / 30 metoprolol succinate 100mg 1 $0 QL (45 tabs / 30 metoprolol succinate 200mg 1 $0 metoprolol tartrate SOLN 1 $0 metoprolol tartrate TABS 25mg, 1 $0 50mg, 100mg nadolol TABS 1 $0 pindolol 1 $0 propranolol cap er 1 $0 propranolol hcl SOLN; TABS 1 $0 timolol maleate TABS 1 $0 CALCIO-ANTAGONISTI - FARMACI PER TRATTARE L'ALTA PRESSIONE ARTERIOSA E I DISTURBI CARDIACI afeditab cr 30mg 1 $0 QL (60 tabs / 30 afeditab cr 60mg 1 $0 amlodipine besylate TABS 2.5mg, 1 $0 QL (45 tabs / 30 5mg amlodipine besylate TABS 10mg 1 $0 cartia xt cap 120/24hr 1 $0 cartia xt cap 180/24hr 1 $0 cartia xt cap 240/24hr 1 $0 cartia xt cap 300/24hr 1 $0 dilt-xr cap 1 $0 diltiazem cap 1 $0 diltiazem cap 120mg/24hr 1 $0 diltiazem cap 240mg/24hr 1 $0 diltiazem cap er/12hr 1 $0 21

35 Nome l'assistito diltiazem hcl SOLN; TABS 1 $0 diltiazem hcl coated beads CP24 1 $0 felodipine 2.5mg 1 $0 QL (30 tabs / 30 felodipine 5mg 1 $0 QL (60 tabs / 30 felodipine 10mg 1 $0 isradipine 1 $0 nicardipine hcl CAPS 1 $0 nifedical 30mg 1 $0 QL (30 tabs / 30 nifedical 60mg 1 $0 nifedipine TB24 30mg 1 $0 QL (60 tabs / 30 nifedipine TB24 60mg, 90mg 1 $0 nifedipine er 30mg 1 $0 QL (30 tabs / 30 nifedipine er 60mg, 90mg 1 $0 nimodipine CAPS 2 $0 NYMALIZE 2 $0 taztia 1 $0 verapamil cap er 100mg, 120mg, 1 $0 180mg, 200mg, 240mg, 300mg VERAPAMIL CAP ER 360mg 1 $0 verapamil hcl SOLN; TABS; TBCR 1 $0 verapamil tab er 1 $0 GLICOSIDI DIGITALICI - FARMACI PER TRATTARE I DISTURBI CARDIACI digitek.25mg 1 $0 PA; PA if 65 years and older digitek.125mg 1 $0 QL (30 tabs / 30 digox 125mcg 1 $0 QL (30 tabs / 30 digox 250mcg 1 $0 PA; PA if 65 years and older digoxin TABS 125mcg 1 $0 QL (30 tabs / 30 digoxin TABS 250mcg 1 $0 PA; PA if 65 years and older digoxin inj 1 $0 DIGOXIN SOL 50MCG/ML 1 $0 PA; PA if 65 years and older INIBITORI/COMBINAZIONI DIRETTI DELLA RENINA - FARMACI PER TRATTARE I DISTURBI CARDIACI TEKTURNA 150mg 2 $0 QL (30 tabs / 30 TEKTURNA 300mg 2 $0 TEKTURNA HCT TAB MG 2 $0 QL (30 tabs / 30 22

36 Nome l'assistito TEKTURNA HCT TAB MG 2 $0 QL (60 tabs / 30 TEKTURNA HCT TAB MG 2 $0 QL (30 tabs / 30 TEKTURNA HCT TAB MG 2 $0 DIURETICI - FARMACI PER TRATTARE I DISTURBI CARDIACI acetazolamide CP12; TABS 1 $0 amiloride & hydrochlorothiazide 1 $0 amiloride hcl TABS 1 $0 bumetanide 1 $0 chlorothiazide tabs 1 $0 chlorthalidone 25mg, 50mg 1 $0 furosemide SOLN; TABS 1 $0 furosemide inj 10mg/ml 1 $0 FUROSEMIDE INJ 10mg/ml 1 $0 hydrochlorothiazide CAPS; TABS 1 $0 indapamide 1 $0 methazolamide TABS 1 $0 methyclothiazide 1 $0 metolazone 1 $0 spironolactone & 1 $0 hydrochlorothiazide torsemide inj 1 $0 torsemide tabs 1 $0 triamterene & hydrochlorothiazide 1 $0 TABS triamterene & hydrochlorothiazide 1 $0 cap mg VARIE clonidine hcl PTWK; TABS 1 $0 DEMSER 2 $0 hydralazine hcl SOLN; TABS 1 $0 midodrine hcl 1 $0 minoxidil TABS 1 $0 RANEXA 2 $0 NITRATI - FARMACI PER TRATTARE I DISTURBI CARDIACI isosorb mononitrate tab 1 $0 isosorbide dinitrate 1 $0 isosorbide dinitrate er 1 $0 isosorbide mononitrate er 1 $0 minitran 1 $0 nitro-bid 2 $0 23

37 Nome l'assistito NITRO-DUR DIS 0.3MG/HR 2 $0 NITRO-DUR DIS 0.8MG/HR 2 $0 nitroglycerin PT24; SUBL 1 $0 NITROSTAT 2 $0 IPERTESIONE ARTERIOSA POLMONARE - FARMACI PER TRATTARE L'IPERTENSIONE POLMONARE ADEMPAS 2 $0 QL (90 tabs / 30, NM, LA, PA LETAIRIS 2 $0 QL (30 tabs / 30, NM, LA, PA OPSUMIT 2 $0 QL (30 tabs / 30, NM, LA, PA REMODULIN 2 $0 B/D, NM, LA REVATIO SUSR 2 $0 QL (224 ml / 30, NM, PA sildenafil citrate (pulmonary hypertension) TABS 1 $0 QL (90 tabs / 30, NM, PA TRACLEER 62.5mg 2 $0 QL (120 tabs / 30, NM, LA, PA TRACLEER 125mg 2 $0 QL (60 tabs / 30, NM, LA, PA UPTRAVI TABS 200mcg 2 $0 QL (480 tabs / 30, NM, LA, PA UPTRAVI TABS 400mcg 2 $0 QL (240 tabs / 30, NM, LA, PA UPTRAVI TABS 600mcg 2 $0 QL (150 tabs / 30, NM, LA, PA UPTRAVI TABS 800mcg 2 $0 QL (120 tabs / 30, NM, LA, PA UPTRAVI TABS 1000mcg 2 $0 QL (90 tabs / 30, NM, LA, PA 2 $0 QL (60 tabs / 30, NM, LA, PA UPTRAVI TABS 1200mcg, 1400mcg, 1600mcg UPTRAVI TBPK 2 $0 NM, LA, PA SISTEMA NERVOSO CENTRALE - FARMACI PER TRATTARE I DISTURBI DEL SISTEMA NERVOSO ANSIOLITICI - FARMACI PER TRATTARE L'ANSIA alprazolam tab 0.5mg 1 $0 QL (240 tabs / 30 alprazolam tab 0.25mg 1 $0 QL (480 tabs / 30 24

38 Nome l'assistito alprazolam tab 1mg 1 $0 QL (120 tabs / 30 alprazolam tab 2mg 1 $0 QL (150 tabs / 30 buspirone hcl TABS 1 $0 fluvoxamine maleate TABS 25mg, 1 $0 QL (45 tabs / 30 50mg fluvoxamine maleate TABS 100mg 1 $0 lorazepam CONC 1 $0 QL (150 ml / 30 lorazepam SOLN 1 $0 lorazepam TABS 1 $0 QL (150 tabs / 30 ANTICONVULSIVANTI - FARMACI PER TRATTARE LE CRISI EPILETTICHE APTIOM 200mg 2 $0 QL (180 tabs / 30 APTIOM 400mg 2 $0 QL (90 tabs / 30 APTIOM 600mg 2 $0 QL (60 tabs / 30 APTIOM 800mg 2 $0 QL (30 tabs / 30 BANZEL SUS 40MG/ML 2 $0 PA BANZEL TAB 200MG 2 $0 PA BANZEL TAB 400MG 2 $0 PA BRIVIACT INJ 2 $0 PA BRIVIACT SOLN 10MG/ML 2 $0 PA BRIVIACT TABS 2 $0 PA carbamazepine CHEW; CP12; 1 $0 SUSP; TABS; TB12 CELONTIN 2 $0 clonazepam TABS 1mg 1 $0 QL (120 tabs / 30 clonazepam TABS 2mg 1 $0 QL (300 tabs / 30 clonazepam TABS.5mg 1 $0 QL (240 tabs / 30 clonazepam TBDP 1mg 1 $0 QL (120 tabs / 30 clonazepam TBDP 2mg 1 $0 QL (300 tabs / 30 clonazepam TBDP.5mg 1 $0 QL (240 tabs / 30 clonazepam TBDP.25mg 1 $0 QL (480 tabs / 30 25

39 Nome l'assistito clonazepam TBDP.125mg 1 $0 QL (960 tabs / 30 clorazepate dipotassium 3.75mg, 1 $0 QL (120 tabs / mg, PA clorazepate dipotassium 15mg 1 $0 QL (180 tabs / 30, PA diazepam CONC 1 $0 QL (240 ml / 30, PA diazepam SOLN 1 $0 QL (1200 ml / 30, PA diazepam TABS 1 $0 QL (120 tabs / 30, PA DIAZEPAM GEL 1 $0 diazepam inj 1 $0 dilantin 2 $0 DILANTIN-125 SUS 125/5ML 2 $0 divalproex sodium 1 $0 epitol 1 $0 ethosuximide CAPS; SOLN 1 $0 felbamate SUSP 2 $0 felbamate TABS 1 $0 FYCOMPA SUSP 2 $0 QL (720 ml / 30, PA FYCOMPA TABS 2mg 2 $0 QL (180 tabs / 30, PA FYCOMPA TABS 4mg 2 $0 QL (90 tabs / 30, PA FYCOMPA TABS 6mg 2 $0 QL (60 tabs / 30, PA FYCOMPA TABS 8mg, 10mg, 12mg 2 $0 QL (30 tabs / 30, PA gabapentin CAPS 100mg 1 $0 QL (1080 caps / 30 gabapentin CAPS 300mg 1 $0 QL (360 caps / 30 gabapentin CAPS 400mg 1 $0 QL (270 caps / 30 gabapentin SOLN 1 $0 QL (2160 ml / 30 gabapentin TABS 600mg 1 $0 QL (180 tabs / 30 26

40 Nome l'assistito gabapentin TABS 800mg 1 $0 QL (120 tabs / 30 GABITRIL 12mg, 16mg 2 $0 lamotrigine CHEW; TABS; TB24 1 $0 levetiracetam SOLN; TABS; TB24 1 $0 LEVETIRACETAM IV 2 $0 levetiracetam oral soln 100 mg/ml 1 $0 LYRICA CAPS 25mg, 50mg, 75mg, 2 $0 QL (120 caps / mg, 150mg LYRICA CAPS 200mg 2 $0 QL (90 caps / 30 LYRICA CAPS 225mg, 300mg 2 $0 QL (60 caps / 30 LYRICA SOLN 2 $0 QL (946 ml / 30 ONFI 2 $0 PA oxcarbazepine 1 $0 PEGANONE 2 $0 phenobarbital ELIX; TABS 2 $0 PA; PA if 65 years and older PHENOBARBITAL SODIUM SOLN 65mg/ml 2 $0 PA; PA if 65 years and older phenobarbital sodium SOLN 130mg/ml 2 $0 PA; PA if 65 years and older phenytek 2 $0 phenytoin CHEW; SUSP 1 $0 phenytoin sodium SOLN 1 $0 phenytoin sodium extended 1 $0 POTIGA 50mg 2 $0 POTIGA 200mg 2 $0 QL (180 tabs / 30 POTIGA 300mg, 400mg 2 $0 QL (90 tabs / 30 primidone TABS 1 $0 SABRIL PACK 2 $0 QL (180 packets / 30, NM, LA, PA SABRIL TABS 2 $0 QL (180 tabs / 30, NM, LA, PA SPRITAM 2 $0 TEGRETOL 2 $0 TEGRETOL-XR 2 $0 tiagabine hcl 1 $0 topiramate CPSP; TABS 1 $0 valproate sodium SOLN; SYRP 1 $0 valproic acid 1 $0 27

41 Nome l'assistito VIMPAT SOLN 10mg/ml 2 $0 QL (1200 ml / 30 VIMPAT SOLN 200mg/20ml 2 $0 VIMPAT TABS 50mg 2 $0 QL (180 tabs / 30 VIMPAT TABS 100mg, 150mg, 2 $0 QL (60 tabs / mg zonisamide CAPS 1 $0 ANTIDEMENZA - FARMACI PER TRATTARE DEMENZA E PERDITA DI MEMORIA donepezil hydrochloride TABS 5mg 1 $0 QL (30 tabs / 30 donepezil hydrochloride TABS 10mg, 23mg 1 $0 donepezil hydrochloride TBDP 5mg 1 $0 QL (30 tabs / 30 donepezil hydrochloride TBDP 1 $0 10mg EXELON PATCHES 2 $0 QL (30 patches / 30 galantamine hydrobromide SOLN 1 $0 galantamine hydrobromide TABS 4mg 1 $0 QL (180 tabs / 30 galantamine hydrobromide TABS 1 $0 QL (90 tabs / 30 8mg galantamine hydrobromide TABS 1 $0 12mg galantamine hydrobromide er 1 $0 QL (30 caps / 30 8mg, 16mg galantamine hydrobromide er 1 $0 24mg memantine hcl 1 $0 PA; PA if < 30 yrs NAMENDA XR 2 $0 PA; PA if < 30 yrs NAMENDA XR TITRATION PACK 2 $0 PA; PA if < 30 yrs NAMZARIC 2 $0 rivastigmine tartrate 1 $0 rivastigmine td patch 24hr 4.6 mg/24hr 1 $0 QL (30 patches / 30 rivastigmine td patch 24hr 9.5 mg/24hr 1 $0 QL (30 patches / 30 rivastigmine td patch 24hr 13.3 mg/24hr 1 $0 QL (30 patches / 30 28

42 Nome l'assistito ANTIDEPRESSIVI - FARMACI PER TRATTARE LA DEPRESSIONE amitriptyline hcl TABS 2 $0 PA; PA if 65 years and older amoxapine tab 25mg 1 $0 amoxapine tab 50mg 1 $0 amoxapine tab 100mg 1 $0 amoxapine tab 150mg 1 $0 BRINTELLIX 5mg 2 $0 QL (120 tabs / 30 BRINTELLIX 10mg 2 $0 QL (60 tabs / 30 BRINTELLIX 20mg 2 $0 QL (30 tabs / 30 bupropion hcl TABS 1 $0 bupropion hcl TB12 1 $0 bupropion hcl TB24 150mg 1 $0 QL (90 tabs / 30 bupropion hcl TB24 300mg 1 $0 QL (30 tabs / 30 citalopram hydrobromide SOLN 1 $0 citalopram hydrobromide TABS 1 $0 QL (45 tabs / 30 10mg, 20mg citalopram hydrobromide TABS 1 $0 QL (30 tabs / 30 40mg clomipramine hcl CAPS 2 $0 PA; PA if 65 years and older desipramine hcl TABS 1 $0 doxepin hcl CAPS; CONC 2 $0 PA; PA if 65 years and older duloxetine hcl CPEP 20mg, 30mg, 1 $0 QL (60 caps / 30 60mg EMSAM 2 $0 QL (30 patches / 30, PA escitalopram oxalate SOLN 1 $0 QL (600 ml / 30 escitalopram oxalate TABS 5mg, 1 $0 QL (45 tabs / 30 10mg escitalopram oxalate TABS 20mg 1 $0 QL (60 tabs / 30 FETZIMA 20mg 2 $0 QL (180 caps / 30 FETZIMA 40mg 2 $0 QL (90 caps / 30 FETZIMA 80mg, 120mg 2 $0 QL (30 caps / 30 FETZIMA TITRATION PACK 2 $0 fluoxetine cap 10mg 1 $0 QL (30 caps / 30 fluoxetine cap 20mg 1 $0 QL (120 caps / 30 fluoxetine cap 40mg 1 $0 29

43 Nome l'assistito fluoxetine hcl SOLN 1 $0 fluoxetine hcl TABS 10mg 1 $0 QL (45 tabs / 30 fluoxetine hcl TABS 20mg 1 $0 imipramine hcl TABS 2 $0 PA; PA if 65 years and older maprotiline hcl 1 $0 MARPLAN TAB 10MG 2 $0 QL (180 tabs / 30 mirtazapine TABS 7.5mg, 15mg 1 $0 QL (45 tabs / 30 mirtazapine TABS 30mg, 45mg 1 $0 mirtazapine TBDP 15mg 1 $0 QL (30 tabs / 30 mirtazapine TBDP 30mg, 45mg 1 $0 nefazodone hcl 1 $0 nortriptyline hcl CAPS; SOLN 1 $0 paroxetine hcl tabs 10mg, 20mg, 1 $0 QL (45 tabs / 30 40mg paroxetine hcl tabs 30mg 1 $0 QL (60 tabs / 30 PAXIL SUSP 2 $0 QL (900 ml / 30 phenelzine sulfate TABS 1 $0 PRISTIQ 2 $0 QL (30 tabs / 30 protriptyline hcl 1 $0 sertraline hcl CONC 1 $0 sertraline hcl TABS 25mg, 50mg 1 $0 QL (45 tabs / 30 sertraline hcl TABS 100mg 1 $0 SURMONTIL CAP 25MG 2 $0 QL (240 caps / 30, PA; PA if 65 years and older SURMONTIL CAP 50MG 2 $0 QL (120 caps / 30, PA; PA if 65 years and older SURMONTIL CAP 100MG 2 $0 QL (60 caps / 30, PA; PA if 65 years and older tranylcypromine sulfate 1 $0 trazodone hcl TABS 50mg, 100mg, 150mg 1 $0 trimipramine maleate CAPS 25mg 2 $0 QL (240 caps / 30, PA; PA if 65 years and older trimipramine maleate CAPS 50mg 2 $0 QL (120 caps / 30, PA; PA if 65 years and older 30

44 Nome trimipramine maleate CAPS 100mg l'assistito 2 $0 QL (60 caps / 30, PA; PA if 65 years and older 1 $0 QL (30 caps / 30 venlafaxine hcl CP mg, 75mg venlafaxine hcl CP24 150mg 1 $0 QL (60 caps / 30 venlafaxine hcl TABS 1 $0 VIIBRYD KIT 2 $0 VIIBRYD TABS 2 $0 QL (30 tabs / 30 VIIBRYD STARTER PACK 2 $0 AGENTI ANTIPARKINSON - FARMACI PER TRATTARE IL MORBO DI PARKINSON amantadine hcl CAPS; SYRP; 1 $0 TABS APOKYN 2 $0 NM, LA, PA AZILECT 2 $0 BENZTROPINE MESYLATE SOLN 1 $0 benztropine mesylate TABS 2 $0 PA; PA if 65 years and older bromocriptine mesylate CAPS; 1 $0 TABS carbidopa-levodopa 1 $0 CARBIDOPA/LEVODOPA/ENTACAPO1 $0 NE ENTACAPONE 1 $0 NEUPRO 2 $0 pramipexole dihydrochloride TABS 1 $0 ropinirole hydrochloride TABS 1 $0 selegiline hcl CAPS; TABS 1 $0 trihexyphenidyl hcl 2 $0 PA; PA if 65 years and older NEUROLETTICI - FARMACI PER TRATTARE LE PSICOSI ABILIFY DISCMELT TAB 10MG 2 $0 QL (60 tabs / 30 ABILIFY MAINTENA 2 $0 QL (1 injection / 28 aripiprazole 2 $0 QL (60 tabs / 30 aripiprazole oral solution 1 mg/ml 2 $0 QL (900ml / 30 aripiprazole tabs 2 $0 QL (30 tabs / 30 chlorpromazine hcl TABS 1 $0 chlorpromazine inj 2 $0 clozapine TABS 25mg, 50mg 1 $0 31

45 Nome l'assistito clozapine TABS 100mg 1 $0 QL (270 tabs / 30 clozapine TABS 200mg 1 $0 QL (135 tabs / 30 CLOZAPINE TBDP 12.5mg, 25mg 1 $0 PA CLOZAPINE TBDP 100mg 1 $0 QL (270 tabs / 30, PA CLOZAPINE TBDP 150mg 2 $0 QL (180 tabs / 30, PA CLOZAPINE TBDP 200mg 2 $0 QL (135 tabs / 30, PA FANAPT 2 $0 QL (60 tabs / 30, ST FANAPT TITRATION PACK 2 $0 ST FAZACLO TAB 150MG 2 $0 QL (180 tabs / 30, PA FAZACLO TAB 200MG 2 $0 QL (135 tabs / 30, PA fluphenazine decanoate SOLN 1 $0 fluphenazine hcl 1 $0 GEODON SOLR 2 $0 QL (6 ml / 3 haloperidol TABS 1 $0 haloperidol decanoate SOLN 1 $0 haloperidol lactate inj 5 mg/ml 1 $0 haloperidol lactate oral conc 2 1 $0 mg/ml INVEGA 1.5mg, 3mg, 9mg 2 $0 QL (30 tabs / 30 INVEGA 6mg 2 $0 QL (60 tabs / 30 INVEGA SUST INJ 39 MG/0.25 ML 2 $0 QL (1 injection / 28 INVEGA SUST INJ 78 MG/0.5 ML 2 $0 QL (1 injection / 28 INVEGA SUST INJ 117 MG/0.75 ML 2 $0 QL (1 injection / 28 INVEGA SUST INJ 156MG/ML 2 $0 QL (1 injection / 28 INVEGA SUST INJ 234 MG/1.5 ML 2 $0 QL (1 injection / 28 INVEGA TRINZA 2 $0 QL (1 syringe / 90 LATUDA 20mg 2 $0 QL (240 tabs / 30 32

46 Nome l'assistito LATUDA 40mg, 120mg 2 $0 QL (30 tabs / 30 LATUDA 60mg, 80mg 2 $0 QL (60 tabs / 30 loxapine succinate 1 $0 molindone hcl 1 $0 NUPLAZID 2 $0 QL (60 tabs / 30, NM, LA, PA olanzapine SOLR 1 $0 QL (3 vials / 1 day) olanzapine TABS 2.5mg, 5mg, 1 $0 QL (30 tabs / mg olanzapine TABS 10mg, 15mg, 1 $0 QL (60 tabs / 30 20mg olanzapine TBDP 5mg 1 $0 QL (30 tabs / 30 olanzapine TBDP 10mg, 15mg, 1 $0 QL (60 tabs / 30 20mg paliperidone 1.5mg, 3mg, 9mg 1 $0 QL (30 tabs / 30 paliperidone 6mg 1 $0 QL (60 tabs / 30 perphenazine TABS 1 $0 pimozide 1 $0 quetiapine fumarate 1 $0 QL (90 tabs / 30 REXULTI 1mg 2 $0 QL (90 tabs / 30, ST REXULTI 2mg 2 $0 QL (60 tabs / 30, ST REXULTI 3mg, 4mg 2 $0 QL (30 tabs / 30, ST REXULTI.5mg 2 $0 QL (180 tabs / 30, ST REXULTI.25mg 2 $0 QL (360 tabs / 30, ST RISPERDAL INJ 12.5MG 2 $0 QL (2 injections / 28 RISPERDAL INJ 25MG 2 $0 QL (2 injections / 28 RISPERDAL INJ 37.5MG 2 $0 QL (2 injections / 28 RISPERDAL INJ 50MG 2 $0 QL (2 injections / 28 risperidone SOLN 1 $0 QL (240 ml / 30 risperidone TABS 1mg, 2mg, 3mg 1 $0 QL (60 tabs / 30 risperidone TABS 4mg 1 $0 QL (120 tabs / 30 risperidone TABS.25mg,.5mg 1 $0 QL (90 tabs / 30 33

47 Nome l'assistito risperidone TBDP 1mg, 2mg, 3mg 1 $0 QL (60 tabs / 30 risperidone TBDP 4mg 1 $0 QL (120 tabs / 30 risperidone TBDP.25mg,.5mg 1 $0 QL (90 tabs / 30 SAPHRIS 2.5mg 2 $0 QL (240 tabs / 30 SAPHRIS 5mg 2 $0 QL (120 tabs / 30 SAPHRIS 10mg 2 $0 QL (60 tabs / 30 SEROQUEL XR 50mg 2 $0 QL (120 tabs / 30 SEROQUEL XR 150mg, 200mg 2 $0 QL (30 tabs / 30 SEROQUEL XR 300mg, 400mg 2 $0 QL (60 tabs / 30 thioridazine hcl TABS 2 $0 PA; PA if 65 years and older thiothixene 1 $0 trifluoperazine hcl 1 $0 VERSACLOZ 2 $0 QL (600 ml / 30, PA VRAYLAR CAPS 1.5mg 2 $0 QL (120 caps / 30, ST VRAYLAR CAPS 3mg 2 $0 QL (60 caps / 30, ST VRAYLAR CAPS 4.5mg, 6mg 2 $0 QL (30 caps / 30, ST VRAYLAR CPPK 2 $0 ST ziprasidone hcl 20mg, 40mg 1 $0 QL (60 caps / 30 ziprasidone hcl 60mg, 80mg 1 $0 QL (90 caps / 30 ZYPREXA RELPREVV 300mg 2 $0 QL (2 vials / 28, PA ZYPREXA RELPREVV 405mg 2 $0 QL (1 vial / 28, PA ZYPREXA RELPREVV INJ 210MG 2 $0 QL (2 vials / 28, PA DISTURBO DA DEFICIT D'ATTENZIONE E IPERATTIVITÀ (ADHD) - FARMACI PER TRATTARE L'ADHD amphetamine-dextroamphetamine 1 $0 QL (90 caps / 30 cap sr 24hr 5 mg amphetamine-dextroamphetamine 1 $0 QL (90 caps / 30 cap sr 24hr 10 mg amphetamine-dextroamphetamine 1 $0 QL (30 caps / 30 cap sr 24hr 15 mg 34

48 Nome l'assistito amphetamine-dextroamphetamine 1 $0 QL (30 caps / 30 cap sr 24hr 20 mg amphetamine-dextroamphetamine 1 $0 QL (30 caps / 30 cap sr 24hr 25 mg amphetamine-dextroamphetamine 1 $0 QL (30 caps / 30 cap sr 24hr 30 mg amphetamine-dextroamphetamine 1 $0 QL (360 tabs / 30 tab 5 mg amphetamine-dextroamphetamine 1 $0 QL (240 tabs / 30 tab 7.5 mg amphetamine-dextroamphetamine 1 $0 QL (180 tabs / 30 tab 10 mg amphetamine-dextroamphetamine 1 $0 QL (144 tabs / 30 tab 12.5 mg amphetamine-dextroamphetamine 1 $0 QL (120 tabs / 30 tab 15 mg amphetamine-dextroamphetamine 1 $0 QL (90 tabs / 30 tab 20 mg amphetamine-dextroamphetamine 1 $0 QL (60 tabs / 30 tab 30 mg guanfacine er (adhd) 2 $0 PA; PA if 65 years and older metadate er tab 20mg 1 $0 QL (90 tabs / 30 methylphenidate hcl TABS 5mg, 10mg 1 $0 QL (180 tabs / 30 methylphenidate hcl TABS 20mg 1 $0 QL (90 tabs / 30 methylphenidate hcl TBCR 1 $0 QL (90 tabs / 30 methylphenidate hcl oral soln 5mg/5ml 1 $0 QL (1800 ml / 30 methylphenidate hcl oral soln 1 $0 QL (900 ml / 30 10mg/5ml STRATTERA 10mg, 18mg, 25mg 2 $0 QL (120 caps / 30 STRATTERA 40mg 2 $0 QL (60 caps / 30 STRATTERA 60mg, 80mg, 100mg 2 $0 QL (30 caps / 30 IPNOTICI - FARMACI PER TRATTARE L'INSONNIA HETLIOZ 2 $0 NM, LA, PA ROZEREM 2 $0 QL (30 tabs / 30 SILENOR 3mg 2 $0 QL (60 tabs / 30 SILENOR 6mg 2 $0 QL (30 tabs / 30 35

49 Nome l'assistito temazepam 7.5mg 1 $0 QL (30 caps / 30, PA; PA applies if 65 years and older after a 90 day supply in a calendar year temazepam 15mg 1 $0 QL (60 caps / 30, PA; PA applies if 65 years and older after a 90 day supply in a calendar year zolpidem tartrate TABS 2 $0 QL (30 tabs / 30, PA; PA applies if 65 years and older after a 90 day supply in a calendar year EMICRANIA - FARMACI PER CEFALEE GRAVI dihydroergotamine mesylate 1 $0 1mg/ml naratriptan hcl 1 $0 QL (9 tabs / 30 RELPAX 2 $0 QL (12 tabs / 30 rizatriptan benzoate 1 $0 QL (18 tabs / 30 SUMATRIPTAN SOLN 5mg/act 1 $0 QL (24 inhalers / 30 SUMATRIPTAN SOLN 20mg/act 1 $0 QL (12 inhalers / 30 sumatriptan inj 4mg/0.5ml SOAJ 1 $0 QL (12 injections / 30 SUMATRIPTAN INJ 4MG/0.5ML SOCT 1 $0 QL (12 injections / 30 sumatriptan inj 6mg/0.5ml SOAJ; 1 $0 QL (12 injections / 30 SOLN; SOSY SUMATRIPTAN INJ 6MG/0.5ML SOCT 1 $0 QL (12 injections / 30 sumatriptan succinate TABS 1 $0 QL (9 tabs / 30 zolmitriptan TABS 1 $0 QL (12 tabs / 30 zolmitriptan odt 1 $0 QL (12 tabs / 30 VARIE lithium carbonate CAPS; TABS 1 $0 lithium carbonate er 1 $0 LITHIUM SOLN 8MEQ/5ML 2 $0 NUEDEXTA 2 $0 PA pyridostigmine bromide TABS 1 $0 36

50 Nome l'assistito riluzole 1 $0 tetrabenazine 12.5mg 2 $0 QL (240 tabs / 30, NM, PA tetrabenazine 25mg 2 $0 QL (120 tabs / 30, NM, PA AGENTI ANTISCLEROSI MULTIPLA - FARMACI PER TRATTARE LA SCLEROSI MULTIPLA AMPYRA 2 $0 NM, LA, PA BETASERON 2 $0 QL (14 syringes / 28, NM, PA COPAXONE INJ 40MG/ML 2 $0 QL (12 syringes / 28, NM, PA GILENYA CAP 0.5MG 2 $0 QL (28 caps / 28, NM, PA glatopa 2 $0 QL (30 syringes / 30, NM, PA TYSABRI 2 $0 NM, LA, PA AGENTI TERAPIA MUSCOLOSCHELETRICA - FARMACI PER TRATTARE GLI SPASMI MUSCOLARI baclofen TABS 1 $0 dantrolene sodium CAPS 1 $0 tizanidine hcl TABS 1 $0 NARCOLESSIA/CATAPLESSIA - FARMACI PER I DISTURBI DEL SONNO armodafinil 50mg 1 $0 QL (150 tabs / 30, PA armodafinil 150mg 1 $0 QL (60 tabs / 30, PA ARMODAFINIL 200mg 1 $0 QL (30 tabs / 30, PA armodafinil 250mg 1 $0 QL (30 tabs / 30, PA NUVIGIL 50mg 2 $0 QL (150 tabs / 30, PA NUVIGIL 150mg 2 $0 QL (60 tabs / 30, PA NUVIGIL 200mg, 250mg 2 $0 QL (30 tabs / 30, PA XYREM 2 $0 QL (540 ml / 30, LA, PA 37

51 Nome l'assistito PSICOTERAPEUTICI - VARIE acamprosate calcium 1 $0 buprenorphine hcl SUBL 1 $0 PA buprenorphine hcl-naloxone hcl sl 1 $0 QL (120 tabs / 30, PA buproban tab (smoking deterrent) 1 $0 bupropion hcl (smoking deterrent) 1 $0 CHANTIX 2 $0 PA CHANTIX CONTINUING MONTH 2 $0 PA CHANTIX STARTER PACK 2 $0 PA diphenhydramine hcl (sleep) 3 $0 NM; * diphenhydramine-acetaminophen 3 $0 NM; * (sleep) disulfiram TABS 1 $0 doxylamine succinate (sleep) 3 $0 NM; * ibuprofen-diphenhydramine citrate 3 $0 NM; * naloxone inj 0.4mg/ml 1 $0 naloxone inj 1mg/ml 1 $0 naltrexone hcl TABS 1 $0 nicotine 3 $0 NM; * nicotine polacrilex GUM 3 $0 NM; * nicotine polacrilex LOZG 2mg, 3 $0 NM; * 4mg NICOTINE POLACRILEX LOZG 3 $0 NM; * 2mg, 4mg NICOTINE TRANSDERMAL SYST 3 $0 NM; * NICOTROL INHALER 2 $0 NICOTROL NS 2 $0 SUBOXONE MIS 2-0.5MG 2 $0 QL (120 SL films / 30, PA SUBOXONE MIS 4-1MG 2 $0 QL (120 SL films / 30, PA SUBOXONE MIS 8-2MG 2 $0 QL (120 SL films / 30, PA SUBOXONE MIS 12-3MG 2 $0 QL (60 SL films / 30, PA ENDOCRINI E METABOLICI - FARMACI PER TRATTARE IL DIABETE E REGOLARE GLI ORMONI ANDROGENI - FARMACI PER REGOLARE GLI ORMONI MASCHILI ANDRODERM 2 $0 QL (30 patches / 30, PA 38

52 Nome l'assistito AXIRON 2 $0 QL (440 ml / 30, PA oxandrolone TABS 2.5mg 1 $0 PA oxandrolone TABS 10mg 2 $0 PA testosterone cypionate SOLN 1 $0 PA testosterone enanthate SOLN 1 $0 PA ANTIDIABETICI, INIETTABILI - FARMACI PER TRATTARE IL DIABETE ALCOHOL SWABS 2 $0 BYDUREON 2 $0 QL (4 vials / 28 BYDUREON PEN 2 $0 QL (4 pens / 28 BYETTA 2 $0 QL (1 pen / 30 GAUZE PADS 2" X 2" 2 $0 HUMULIN R U-500 VIAL 2 $0 B/D (CONCENTRATE) INSULIN PEN NEEDLE 2 $0 INSULIN SAFETY NEEDLES 2 $0 INSULIN SYRINGE 2 $0 LANTUS 2 $0 LANTUS SOLOSTAR 2 $0 LEVEMIR 2 $0 LEVEMIR FLEXTOUCH 2 $0 NOVOLIN 70/30 2 $0 (brand RELION not covered) NOVOLIN N 2 $0 (brand RELION not covered) NOVOLIN R 2 $0 (brand RELION not covered) NOVOLOG 2 $0 NOVOLOG FLEXPEN 2 $0 NOVOLOG MIX 70/30 2 $0 NOVOLOG MIX 70/30 PREFILL 2 $0 NOVOLOG PENFILL 2 $0 SYMLINPEN 60 2 $0 QL (8 pens / 30, PA SYMLINPEN $0 QL (4 pens / 30, PA TOUJEO SOLOSTAR 2 $0 TRESIBA FLEXTOUCH 2 $0 TRULICITY 2 $0 QL (4 pens / 28 VICTOZA 2 $0 QL (3 pens / 30 39

53 Nome l'assistito ANTIDIABETICI, ORALI - FARMACI PER TRATTARE IL DIABETE acarbose 1 $0 FARXIGA 5mg 2 $0 QL (60 tabs / 30 FARXIGA 10mg 2 $0 QL (30 tabs / 30 glimepiride 1mg 1 $0 QL (240 tabs / 30 glimepiride 2mg 1 $0 QL (120 tabs / 30 glimepiride 4mg 1 $0 QL (60 tabs / 30 glip/metform tab 5-500mg 1 $0 QL (120 tabs / 30 glipizide TABS 5mg 1 $0 QL (240 tabs / 30 glipizide TABS 10mg 1 $0 QL (120 tabs / 30 glipizide TB24 2.5mg 1 $0 QL (240 tabs / 30 glipizide TB24 5mg 1 $0 QL (120 tabs / 30 glipizide TB24 10mg 1 $0 QL (60 tabs / 30 GLIPIZIDE XL TB24 2.5MG 1 $0 QL (240 tabs / 30 GLIPIZIDE XL TB24 5MG 1 $0 QL (120 tabs / 30 glipizide-metformin hcl tab $0 QL (240 tabs / 30 mg glipizide-metformin hcl tab $0 QL (120 tabs / 30 mg INVOKAMET TAB MG 2 $0 QL (120 tabs / 30 INVOKAMET TAB $0 QL (60 tabs / 30 INVOKAMET TAB $0 QL (60 tabs / 30 INVOKAMET TAB $0 QL (60 tabs / 30 INVOKANA 100mg 2 $0 QL (90 tabs / 30 INVOKANA 300mg 2 $0 QL (30 tabs / 30 JANUMET 2 $0 QL (60 tabs / 30 JANUMET XR TAB MG 2 $0 QL (60 tabs / 30 JANUMET XR TAB $0 QL (60 tabs / 30 JANUMET XR TAB $0 QL (30 tabs / 30 JANUVIA 2 $0 QL (30 tabs / 30 JENTADUETO 2 $0 QL (60 tabs / 30 JENTADUETO XR MG 2 $0 QL (60 tabs / 30 40

54 Nome l'assistito JENTADUETO XR MG 2 $0 QL (30 tabs / 30 metformin er 500mg 1 $0 QL (120 tabs / 30 metformin er 750mg 1 $0 QL (60 tabs / 30 metformin hcl TABS 500mg 1 $0 QL (150 tabs / 30 metformin hcl TABS 850mg 1 $0 QL (90 tabs / 30 metformin hcl TABS 1000mg 1 $0 QL (75 tabs / 30 nateglinide 1 $0 QL (90 tabs / 30 pioglitazone hcl 1 $0 QL (30 tabs / 30 repaglinide 2mg 1 $0 QL (240 tabs / 30 repaglinide.5mg, 1mg 1 $0 QL (120 tabs / 30 TRADJENTA 2 $0 QL (30 tabs / 30 XIGDUO XR TAB 5-500MG 2 $0 QL (60 tabs / 30 XIGDUO XR TAB MG 2 $0 QL (60 tabs / 30 XIGDUO XR TAB MG 2 $0 QL (30 tabs / 30 XIGDUO XR TAB MG 2 $0 QL (30 tabs / 30 BISFOSFONATI - FARMACI PER TRATTARE LA PERDITA OSSEA alendronate sodium TABS 5mg, 1 $0 10mg, 40mg alendronate sodium TABS 35mg, 1 $0 QL (4 tabs / 28 70mg ibandronate tab 150mg 1 $0 B/D, QL (1 tab / 30 pamidronate disodium SOLN 1 $0 B/D zoledronic acid SOLN 5mg/100ml 1 $0 B/D, NM zoledronic inj 4mg/5ml 1 $0 B/D, NM AGONISTI DEI RECETTORI DEL CALCIO SENSIPAR 30mg, 90mg 2 $0 QL (120 tabs / 30, NM SENSIPAR 60mg 2 $0 QL (60 tabs / 30, NM AGENTI CHELANTI CHEMET 2 $0 DEPEN TITRATABS 2 $0 EXJADE 2 $0 NM, LA, PA FERRIPROX 2 $0 NM, LA, PA kionex 1 $0 sodium polystyrene sulfonate 1 $0 41

55 Nome l'assistito sps 1 $0 SYPRINE 2 $0 CONTRACCETTIVI - FARMACI PER IL CONTROLLO DELLE NASCITE altavera 1 $0 apri 28 day 1 $0 aranelle 28 1 $0 aubra 28 day 1 $0 aviane 28 1 $0 balziva 28 day 1 $0 bekyree 28 day 1 $0 blisovi 21 fe 1.5/30 28 day pack 1 $0 blisovi 21 fe 1/20 28 day pack 1 $0 briellyn 28 day 1 $0 camila 28 day 1 $0 caziant 28 day 1 $0 cryselle 28 1 $0 cyclafem 1/35 28 day 1 $0 cyclafem 7/7/7 28 day 1 $0 cyred tab 1 $0 deblitane 28 day 1 $0 yla 28 day 1 $0 desogestrel-ethinyl estradiol 1 $0 (biphasic) drospirenone-ethinyl estradiol 1 $0 ELLA 2 $0 emoquette 1 $0 enpresse 28 day 1 $0 errin 28 day 1 $0 estarylla tab $0 falmina 28 day 1 $0 GIANVI 1 $0 gildagia 1 $0 gildess 1.5/30 21 day 1 $0 heather 1 $0 introvale 91 day 1 $0 JOLESSA TAB MG 1 $0 JOLIVETTE 1 $0 juleber 28 day 1 $0 junel 1.5/30 21 day 1 $0 junel 1/20 21 day 1 $0 42

56 Nome l'assistito junel fe 1.5/30 28 day 1 $0 junel fe 1/20 28 day 1 $0 kariva 28 day 1 $0 kelnor 1/35 28 day 1 $0 kimidess 28 day 1 $0 larin 1.5/30 1 $0 larin 1/20 1 $0 larin fe 1.5/30 1 $0 larin fe 1/20 1 $0 larissia 28 day pack 1 $0 leena tab 1 $0 lessina 28 day 1 $0 levonest 28 day 1 $0 levonor/ethi tab 1 $0 levonorgestrel & eth estradiol 1 $0 levonorgestrel (emergency oc) 3 $0 NM; * 1.5mg levonorgestrel (emergency oc) 1 $0.75mg, 1.5mg levonorgestrel-ethinyl estradiol 1 $0 (91-day) levora 0.15/30 28 day 1 $0 loryna 28 day 1 $0 low-ogestrel 1 $0 lutera 28 day 1 $0 lyza 1 $0 marlissa 28 day 1 $0 medroxyprogesterone acetate $0 mg/ml MEDROXYPROGESTERONE 1 $0 ACETATE (CONTRACEPTIVE) MICROGESTIN 1.5/30 1 $0 MICROGESTIN 1/20 1 $0 MICROGESTIN FE 1.5/30 1 $0 MICROGESTIN FE 1/20 1 $0 mono-linyah tab $0 MONONESSA 1 $0 myzilra 1 $0 necon 0.5/35 28 day 1 $0 necon 1/35 28 day 1 $0 NECON 7/7/7 1 $0 43

57 Nome l'assistito necon 10/11 28 day 2 $0 NECON TAB 1/ $0 nikki 28 day 1 $0 NORA-BE TAB 1 $0 norethindrone (contraceptive) 1 $0 norgest/ethi tab 0.25/35 1 $0 norgestimate-ethinyl estradiol 1 $0 (triphasic) norlyroc 28 day 1 $0 nortrel 0.5/35 28 day 1 $0 nortrel 1/35 21 day 1 $0 nortrel 1/35 28 day 1 $0 nortrel 7/7/7 28 day 1 $0 NUVARING 2 $0 OCELLA TAB MG 1 $0 orsythia 28 day 1 $0 philith 1 $0 pimtrea pack 1 $0 pirmella 1/35 28 day 1 $0 portia 28 day 1 $0 previfem 28 day 1 $0 quasense 91 day 1 $0 reclipsen 28 day 1 $0 setlakin tab 1 $0 sharobel 28 day 1 $0 sprintec 28 day 1 $0 sronyx 1 $0 syeda 1 $0 tarina fe 1/20 28 day 1 $0 tri-legest 28 day 1 $0 tri-linyah tab 1 $0 tri-previfem 28 day 1 $0 tri-sprintec 28 day 1 $0 TRINESSA 1 $0 trivora 28 day 1 $0 velivet 28 day 1 $0 vestura 1 $0 vienva 28 day 1 $0 viorele 1 $0 vyfemla 28 day 1 $0 xulane 1 $0 44

58 Nome l'assistito zarah 1 $0 zenchent 28 day 1 $0 zovia 1/35e 28 day 1 $0 zovia 1/50e 28 day 1 $0 ENDOMETRIOSI danazol CAPS 1 $0 SYNAREL 2 $0 SOSTITUZIONI ENZIMATICHE - FARMACI PER TRATTARE LE CARENZE ENZIMATICHE ADAGEN 2 $0 NM, LA, PA ALDURAZYME 2 $0 NM, LA, PA BUPHENYL TABS 2 $0 NM, LA, PA CARBAGLU 2 $0 NM, LA, PA CERDELGA 2 $0 NM, PA CEREZYME 2 $0 NM, LA, PA CYSTADANE 2 $0 NM, LA CYSTAGON 2 $0 NM, LA, PA FABRAZYME 2 $0 NM, LA, PA KUVAN 2 $0 NM, LA, PA levocarnitine (metabolic modifiers) 1 $0 B/D LUMIZYME 2 $0 NM, LA, PA MYOZYME 2 $0 NM, LA, PA NAGLAZYME 2 $0 NM, LA, PA ORFADIN 2 $0 NM, LA, PA RAVICTI 2 $0 NM, PA sodium phenylbutyrate 2 $0 NM ZAVESCA 2 $0 NM, LA, PA ESTROGENI - FARMACI PER REGOLARE GLI ORMONI FEMMINILI DELESTROGEN 10mg/ml 2 $0 estrace CREA 2 $0 estradiol PTWK 2 $0 PA; PA if 65 years and older estradiol TABS 2 $0 PA; PA if 65 years and older estradiol valerate OIL 1 $0 fyavolv tab 1 mg-5 mcg 2 $0 PA; PA if 65 years and older jinteli 2 $0 PA; PA if 65 years and older 45

59 Nome l'assistito norethindrone acetate-ethinyl estradiol 2 $0 PA; PA if 65 years and older VAGIFEM 2 $0 GLUCOCORTICOIDI - FARMACI PER TRATTARE LA RISPOSTA INFIAMMATORIA a-hydrocort 1 $0 cortisone acetate TABS 1 $0 dexamethasone CONC; ELIX; SOLN; TABS 1 $0 dexamethasone sodium phosphate 1 $0 fludrocortisone acetate TABS 1 $0 hydrocortisone TABS 1 $0 methylpr ace inj 40mg/ml 1 $0 B/D methylpr ace inj 80mg/ml 1 $0 B/D methylpr ss inj 1gm 1 $0 B/D methylpr ss inj 40mg 1 $0 B/D methylpr ss inj 125mg 1 $0 B/D methylpred pak 4mg 1 $0 methylpred tab 4mg 1 $0 B/D methylpred tab 8mg 1 $0 B/D methylpred tab 16mg 1 $0 B/D methylpred tab 32mg 1 $0 B/D pred sod pho sol 5mg/5ml 1 $0 B/D prednisolone sol 15mg/5ml 1 $0 B/D prednisolone sol 25mg/5ml 1 $0 B/D prednisolone syp 15mg/5ml 1 $0 B/D prednisone con 5mg/ml 2 $0 B/D prednisone pak 5mg 1 $0 prednisone pak 10mg 1 $0 prednisone sol 5mg/5ml 1 $0 B/D prednisone tab 1mg 1 $0 B/D prednisone tab 2.5mg 1 $0 B/D prednisone tab 5mg 1 $0 B/D prednisone tab 10mg 1 $0 B/D prednisone tab 20mg 1 $0 B/D prednisone tab 50mg 1 $0 B/D SOLU-CORTEF 250mg 2 $0 AGENTI CHE AUMENTANO IL GLUCOSIO - FARMACI PER TRATTARE L'IPOGLICEMIA GLUCAGEN HYPOKIT 2 $0 46

60 Nome l'assistito GLUCAGON EMERGENCY KIT 2 $0 KORLYM 2 $0 NM, LA, PA PROGLYCEM SUS 50MG/ML 2 $0 ORMONI DELLA CRESCITA UMANA - FARMACI PER REGOLARE GLI ORMONI PITUITARI NORDITROPIN FLEXPRO 2 $0 NM, PA VARIE cabergoline 1 $0 calcitonin (salmon) 1 $0 FORTICAL 2 $0 INCRELEX 2 $0 NM, LA, PA methylergonovine maleate TABS 1 $0 MIACALCIN 200unit/ml 2 $0 B/D octreotide acetate 50mcg/ml, 1 $0 NM, PA 100mcg/ml octreotide acetate 200mcg/ml, 2 $0 NM, PA 500mcg/ml, 1000mcg/ml PROLIA 2 $0 QL (1 syringe / 180, NM raloxifene hcl 1 $0 SANDOSTATIN LAR DEPOT 2 $0 NM, PA SIGNIFOR 2 $0 NM, LA, PA SOMATULINE DEPOT 2 $0 NM, PA SOMAVERT 2 $0 NM, LA, PA XGEVA 2 $0 NM, PA PARATORMONI - FARMACI PER REGOLARE I LIVELLI DELLA PARATIROIDE FORTEO 2 $0 QL (1 pen / 28, NM, PA NATPARA 2 $0 NM, PA AGENTI LEGANTI DEL FOSFATO - FARMACI PER REGOLARE I LIVELLI DI CALCIO E FOSFORO calcium acetate (phosphate binder) 1 $0 RENVELA PAK 0.8GM 2 $0 RENVELA PAK 2.4GM 2 $0 RENVELA TAB 800MG 2 $0 PROGESTINE - FARMACI PER REGOLARE GLI ORMONI FEMMINILI medroxyprogesterone acetate tab 1 $0 norethindrone acetate TABS 1 $0 47

61 Nome l'assistito AGENTI PER IPO/IPERTIROIDISMO - FARMACI PER REGOLARE I LIVELLI DELLA TIROIDE levothyroxine sodium TABS 1 $0 LEVOXYL 1 $0 liothyronine sodium TABS 1 $0 methimazole TABS 1 $0 propylthiouracil TABS 1 $0 SYNTHROID 2 $0 UNITHROID 1 $0 VASOPRESSINE - FARMACI PER REGOLARE GLI ORMONI PITUITARI desmopressin acetate spray 1 $0 desmopressin acetate spray 1 $0 refrigerated desmopressin acetate tabs 1 $0 desmopressin inj 4mcg/ml 1 $0 DESMOPRESSIN SOL 0.01% 1 $0 GASTROINTESTINALI - FARMACI PER TRATTARE DISTURBI DI STOMACO E INTESTINO ANTACIDI alum & mag hydrox-simethicone 3 $0 NM; * ALUMINUM HYDROXIDE 3 $0 NM; * aluminum hydroxide-mag carb 3 $0 NM; * aluminum hydroxide-mag trisil 3 $0 NM; * calcium carbonate (antacid) 3 $0 NM; * calcium carbonate-simethicone 3 $0 NM; * GAVISCON CHEW 3 $0 NM; * GAVISCON EXTRA STRENGTH R 3 $0 NM; * MAG-AL 3 $0 NM; * MAGNESIUM OXIDE CAPS 3 $0 NM; * magnesium oxide TABS 250mg, 3 $0 NM; * 400mg, 420mg mi-acid 3 $0 NM; * SODIUM BICARBONATE POWD 3 $0 NM; * ANTIDIARROICI bismuth subsalicylate CHEW; 3 $0 NM; * SUSP; TABS FLORASTOR KIDS 3 $0 NM; * lactobacillus 3 $0 NM; * lactobacillus rhamnosus (gg) 3 $0 NM; * loperamide hcl LIQD; SUSP; TABS 3 $0 NM; * 48

62 Nome l'assistito RA PROBIOTIC COMPLEX CAPS 3 $0 NM; * RISA-BID PROBIOTIC 3 $0 NM; * ANTIEMETICI - FARMACI PER LA NAUSEA E IL VOMITO compro 1 $0 dimenhydrinate TABS 3 $0 NM; * dronabinol 2.5mg, 5mg 1 $0 B/D, QL (60 caps / 30 dronabinol 10mg 2 $0 B/D, QL (60 caps / 30 EMEND SUSR 2 $0 B/D EMEND CAP 40MG 2 $0 B/D EMEND CAP 80MG 2 $0 B/D EMEND CAP 125MG 2 $0 B/D EMEND PAK 80 & $0 B/D granisetron hcl SOLN 1 $0 granisetron hcl TABS 1 $0 B/D meclizine hcl CHEW 3 $0 NM; * meclizine hcl TABS 12.5mg, 25mg 1 $0 meclizine hcl TABS 25mg 3 $0 NM; * metoclopramide hcl SOLN; TABS 1 $0 metoclopramide inj 1 $0 ondansetron hcl TABS 1 $0 B/D ondansetron hcl inj 1 $0 ondansetron hcl oral soln 1 $0 B/D ondansetron odt 1 $0 B/D phenadoz 2 $0 PA; PA if 65 years and older phenergan SUPP 2 $0 PA; PA if 65 years and older prochlorperazine inj 1 $0 prochlorperazine maleate TABS 1 $0 prochlorperazine supp 1 $0 promethazine hcl SOLN; SUPP; SYRP; TABS 2 $0 PA; PA if 65 years and older promethegan 2 $0 PA; PA if 65 years and older TRANSDERM-SCOP 2 $0 QL (10 patches / 30, PA; PA if 65 years and older ANTISPASMODICI - FARMACI PER GLI SPASMI ALLO STOMACO CUVPOSA 2 $0 49

63 Nome l'assistito dicyclomine hcl CAPS 1 $0 dicyclomine hcl SOLN 10mg/5ml 1 $0 dicyclomine hcl TABS 1 $0 glycopyrrolate TABS 1 $0 glycopyrrolate inj 1 $0 ANTAGONISTI DEI RECETTORI H2 - FARMACI PER ULCERE E ACIDI DELLO STOMACO AXID AR 3 $0 NM; * famotidine SUSR 1 $0 famotidine TABS 10mg, 20mg 3 $0 NM; * famotidine TABS 20mg, 40mg 1 $0 famotidine inj 1 $0 PEPCID AC CHEW 3 $0 NM; * ranitidine hcl SOLN 1 $0 ranitidine hcl TABS 75mg, 150mg 3 $0 NM; * ranitidine hcl TABS 150mg, 300mg1 $0 ranitidine hcl inj 1 $0 ranitidine syrup 1 $0 MALATTIE INFIAMMATORIE CRONICHE INTESTINALI APRISO 2 $0 ASACOL HD 2 $0 balsalazide disodium 1 $0 budesonide ec 2 $0 CANASA 2 $0 colocort enema 100mg 1 $0 DELZICOL 2 $0 DIPENTUM 2 $0 HYDROCORTISONE 1 $0 (INTRARECTAL) MESALAMINE TBEC 1 $0 mesalamine enema 1 $0 mesalamine w/ cleanser 1 $0 sulfasalazine TABS 1 $0 sulfasalazine ec 1 $0 UCERIS TB24 2 $0 LASSATIVI bisacodyl SUPP; TBEC 3 $0 NM; * calcium polycarbophil 3 $0 NM; * constulose 1 $0 corn dextrin 3 $0 NM; * 50

64 Nome l'assistito docusate calcium 3 $0 NM; * docusate sodium CAPS 50mg, 3 $0 NM; * 100mg docusate sodium LIQD 3 $0 NM; * docusate sodium SYRP 3 $0 NM; * docusate sodium TABS 3 $0 NM; * enemeez mini 3 $0 NM; * enemeez plus 3 $0 NM; * enulose 1 $0 EQUALACTIN 3 $0 NM; * FIBER CHEW 3 $0 NM; * fiber POWD 3 $0 NM; * FLEET BISACODYL 3 $0 NM; * gaviltye-g 1 $0 gavilyte-c 1 $0 gavilyte-h 1 $0 gavilyte-n 1 $0 generlac 1 $0 GOLYTELY 2 $0 HYDROCIL INSTANT PACK 3 $0 NM; * KONSYL PACK 28.3%, 100% 3 $0 NM; * KONSYL POWD 60.3%, 71.67% 3 $0 NM; * KONSYL-D 3 $0 NM; * lactulose 1 $0 lactulose (encephalopathy) 1 $0 magnesium citrate SOLN 3 $0 NM; * magnesium hydroxide SUSP 3 $0 NM; * magnesium oxide (laxative) 3 $0 NM; * magnesium sulfate (laxative) 3 $0 NM; * METAMUCIL WAFR 3 $0 NM; * METAMUCIL MULTIHEALTH FIB 3 $0 NM; * POWD 63% METAMUCIL SMOOTH TEXTURE 3 $0 NM; * methylcellulose (laxative) 3 $0 NM; * MILK OF MAGNESIA CONCENTR 3 $0 NM; * mineral oil ENEM 3 $0 NM; * MINERAL OIL OIL 3 $0 NM; * MOVIPREP 2 $0 NULYTELY/FLAVOR PACKS 2 $0 NUTRISOURCE FIBER 3 $0 NM; * PEDIA-LAX LIQD 3 $0 NM; * 51

65 Nome l'assistito PEG 3350-KCL-SOD BICARB-SOD 1 $0 CHLORIDE-SOD SULFATE peg 3350-potassium chloride-sod 1 $0 bicarbonate-sod chloride PEG 3350/ELECTROLYTES 1 $0 polyethylene glycol 3350 PACK; 1 $0 POWD psyllium 3 $0 NM; * RELISTOR SOLN 2 $0 PA SENNA SYRP 3 $0 NM; * SENNA PROMPT 3 $0 NM; * sennosides 3 $0 NM; * sennosides-docusate sodium 3 $0 NM; * sodium phosphates 3 $0 NM; * SUPREP BOWEL PREP 2 $0 trilyte 1 $0 wheat dextrin-calcium 3 $0 NM; * VARIE alosetron hcl 2 $0 PA AMITIZA CAP 8MCG 2 $0 QL (60 caps / 30 AMITIZA CAP 24MCG 2 $0 QL (60 caps / 30 cromolyn sodium (mastocytosis) 2 $0 diphenoxylate w/ atropine 1 $0 GATTEX 2 $0 NM, LA, PA LINZESS 145mcg 2 $0 QL (60 caps / 30 LINZESS 290mcg 2 $0 QL (30 caps / 30 loperamide hcl CAPS 1 $0 misoprostol TABS 1 $0 MOVANTIK 12.5mg 2 $0 QL (60 tabs / 30 MOVANTIK 25mg 2 $0 QL (30 tabs / 30 SUCRAID 2 $0 LA sucralfate TABS 1 $0 ursodiol CAPS; TABS 1 $0 XIFAXAN 550mg 2 $0 PA ENZIMI PANCREATICI CREON 2 $0 ZENPEP 2 $0 INIBITORI DELLA POMPA PROTONICA - FARMACI PER ULCERE E ACIDI DELLO STOMACO DEXILANT 2 $0 QL (30 caps / 30 52

66 Nome l'assistito esomeprazole magnesium 1 $0 QL (30 caps / 30 esomeprazole sodium inj 1 $0 famotidine-calcium carbonatemagnesium 3 $0 NM; * hydroxide lansoprazole CPDR 15mg 3 $0 NM; * NEXIUM CAP 20MG 2 $0 QL (30 caps / 30 NEXIUM CAP 40MG 2 $0 QL (30 caps / 30 NEXIUM GRA 2.5MG DR 2 $0 NEXIUM GRA 5MG DR 2 $0 NEXIUM GRA 10MG DR 2 $0 QL (30 packets / 30 NEXIUM GRA 20MG DR 2 $0 QL (30 packets / 30 NEXIUM GRA 40MG DR 2 $0 QL (30 packets / 30 omeprazole CPDR 10mg, 40mg 1 $0 QL (30 caps / 30 omeprazole CPDR 20mg 1 $0 QL (60 caps / 30 OMEPRAZOLE TBEC 3 $0 NM; * omeprazole-sodium bicarbonate 3 $0 NM; * CAPS pantoprazole sodium tbec 1 $0 QL (30 tabs / 30 PRILOSEC OTC 3 $0 NM; * GENITO-URINARI - FARMACI PER TRATTARE DISTURBI GENITALI E DEL TRATTO URINARIO IPERPLASIA PROSTATICA BENIGNA - FARMACI PER TRATTARE L'INGRANDIMENTO PROSTATICO alfuzosin hcl 1 $0 QL (30 tabs / 30 dutasteride 1 $0 QL (30 caps / 30 dutasteride-tamsulosin hcl 1 $0 QL (30 caps / 30 finasteride TABS 5mg 1 $0 tamsulosin hcl 1 $0 VARIE bethanechol chloride TABS 1 $0 ELMIRON 2 $0 potassium citrate (alkalinizer) 1 $0 15meq POTASSIUM CITRATE (ALKALINIZER) 540mg, 1080mg 1 $0 53

67 Nome l'assistito ANTISPASMODICI URINARI - FARMACI PER TRATTARE L'INCONTINENZA URINARIA MYRBETRIQ 25mg 2 $0 QL (60 tabs / 30 MYRBETRIQ 50mg 2 $0 QL (30 tabs / 30 oxybutynin chloride SYRP 1 $0 oxybutynin chloride TABS 1 $0 oxybutynin chloride TB24 5mg 1 $0 QL (30 tabs / 30 oxybutynin chloride TB24 10mg, 1 $0 QL (60 tabs / 30 15mg tolterodine tartrate cap er 1 $0 QL (30 caps / 30 tolterodine tartrate tabs 1 $0 TOVIAZ 2 $0 QL (30 tabs / 30 trospium chloride TABS 1 $0 QL (60 tabs / 30 VESICARE 2 $0 QL (30 tabs / 30 ANTISETTICI GINECOLOGICI clindamycin phosphate vaginal 1 $0 clotrimazole vaginal 3 $0 NM; * metronidazole vaginal 1 $0 miconazole nitrate vaginal CREA 3 $0 NM; * miconazole nitrate vaginal KIT 3 $0 NM; * miconazole nitrate vaginal SUPP 3 $0 NM; * 100mg povidone-iodine vaginal 3 $0 NM; * terconazole vaginal 1 $0 tioconazole vaginal 3 $0 NM; * VANDAZOLE 1 $0 zazole.4% 1 $0 ZAZOLE.8% 1 $0 EMATOLOGICI - FARMACI PER TRATTARE I DISTURBI DEL SANGUE ANTICOAGULANTI - FLUIDIFICANTI DEL SANGUE COUMADIN 2 $0 ELIQUIS 2 $0 enoxaparin sodium 30mg/0.3ml, 1 $0 40mg/0.4ml, 60mg/0.6ml, 80mg/0.8ml, 300mg/3ml enoxaparin sodium 100mg/ml, 120mg/0.8ml, 150mg/ml 2 $0 fondaparinux sodium 2.5mg/0.5ml 1 $0 fondaparinux sodium 5mg/0.4ml, 2 $0 7.5mg/0.6ml, 10mg/0.8ml 54

68 Nome l'assistito HEPARIN SOD (PORCINE) IN D5W 2 $0 heparin sod inj 1000/ml 1 $0 B/D heparin sod inj 5000/ml 1 $0 B/D heparin sod inj 10000/ml 1 $0 B/D heparin sod inj 20000/ml 1 $0 B/D HEPARIN SODIUM/D5W 2 $0 HEPARIN SODIUM/NACL 0.45% 2 $0 jantoven 1 $0 PRADAXA 2 $0 warfarin sodium 1 $0 XARELTO 2 $0 XARELTO STARTER PACK 2 $0 FATTORI DI CRESCITA EMATOPOIETICA GRANIX 2 $0 NM, PA LEUKINE 2 $0 NM, PA MOZOBIL 2 $0 NM, PA NEUMEGA 2 $0 NM NEUPOGEN 2 $0 NM, PA PROCRIT 2 $0 NM, PA FERRO carbonyl iron 3 $0 NM; * ferretts 3 $0 NM; * FERRETTS IPS 3 $0 NM; * FERRIMIN $0 NM; * FERROUS FUMARATE TABS 3 $0 NM; * FERROUS GLUCONATE TABS 3 $0 NM; * 225mg, 324mg ferrous gluconate TABS 240mg, 3 $0 NM; * 324mg ferrous sulfate ELIX 3 $0 NM; * FERROUS SULFATE LIQD 3 $0 NM; * ferrous sulfate SOLN 3 $0 NM; * FERROUS SULFATE SYRP 3 $0 NM; * ferrous sulfate TABS 3 $0 NM; * ferrous sulfate TBCR 45mg, 47.5mg 3 $0 NM; * FERROUS SULFATE TBCR 140mg 3 $0 NM; * FERROUS SULFATE TBEC 324mg 3 $0 NM; * ferrous sulfate TBEC 325mg 3 $0 NM; * ferrous sulfate dried 3 $0 NM; * 55

69 Nome l'assistito FOLGARD 3 $0 NM; * folic acid-vitamin b6-vitamin b12 3 $0 NM; * FOLITAB $0 NM; * INTEGRA 3 $0 NM; * IRON TABS 90mg, 256mg 3 $0 NM; * IRON CHEWS PEDIATRIC 3 $0 NM; * IRON UP 3 $0 NM; * iron-vitamin c 3 $0 NM; * iron-vitamin c-vitamin b12-folic 3 $0 NM; * acid MYKIDZ IRON 10 3 $0 NM; * NOVAFERRUM $0 NM; * NOVAFERRUM PEDIATRIC DROP 3 $0 NM; * polysaccharide iron complex 3 $0 NM; * PROFE 3 $0 NM; * slow release iron 50mg 3 $0 NM; * SLOW RELEASE IRON 140mg 3 $0 NM; * SM SLOW RELEASE IRON 3 $0 NM; * VITAMIN B12/FOLIC ACID 3 $0 NM; * VARIE anagrelide hcl 1 $0 cilostazol 1 $0 CINRYZE 2 $0 NM, LA, PA FIRAZYR 2 $0 NM, PA pentoxifylline TBCR 1 $0 PROMACTA 12.5mg 2 $0 QL (360 tabs / 30, NM, LA, PA PROMACTA 25mg 2 $0 QL (180 tabs / 30, NM, LA, PA PROMACTA 50mg 2 $0 QL (90 tabs / 30, NM, LA, PA PROMACTA 75mg 2 $0 QL (60 tabs / 30, NM, LA, PA tranexamic acid SOLN; TABS 1 $0 INIBITORI DELL'AGGREGAZIONE PIASTRINICA AGGRENOX 2 $0 ASPIRIN-DIPYRIDAMOLE 1 $0 BRILINTA 2 $0 clopidogrel bisulfate 75mg 1 $0 EFFIENT 2 $0 ZONTIVITY 2 $0 56

70 Nome l'assistito AGENTI IMMUNOLOGICI - FARMACI PER TRATTARE I DISTURBI DEL SISTEMA IMMUNITARIO FARMACI ANTIREUMATICI CHE MODIFICANO L'ANDAMENTO DELLA MALATTIA (DMARD) - FARMACI PER TRATTARE L'ARTRITE REUMATOIDE CIMZIA 2 $0 NM, PA CIMZIA STARTER KIT 2 $0 NM, PA HUMIRA INJ 10MG/0.2ML 2 $0 NM, PA HUMIRA KIT 20MG/0.4ML 2 $0 NM, PA HUMIRA KIT 40MG/0.8ML 2 $0 NM, PA HUMIRA PEDIATRIC CROHNS 2 $0 NM, PA HUMIRA PEN 2 $0 NM, PA HUMIRA PEN-CROHNS DISEASE 2 $0 NM, PA HUMIRA PEN-PSORIASIS STAR 2 $0 NM, PA hydroxychloroquine sulfate 1 $0 leflunomide TABS 1 $0 methotrexate sodium tabs 1 $0 REMICADE 2 $0 NM, PA IMMUNOGLOBULINE BIVIGAM 2 $0 NM, PA CARIMUNE NANOFILTERED 2 $0 NM, PA FLEBOGAMMA 2 $0 NM, PA FLEBOGAMMA DIF 2 $0 NM, PA GAMASTAN S/D 2 $0 B/D, NM GAMMAGARD LIQUID 2 $0 NM, PA GAMMAGARD S/D 2 $0 NM, PA GAMMAKED 2 $0 NM, PA GAMMAPLEX 2.5gm/50ml, 2 $0 NM, PA 5gm/100ml, 10gm/200ml GAMUNEX-C 2 $0 NM, PA OCTAGAM 1gm/20ml, 2gm/20ml, 2 $0 NM, PA 2.5gm/50ml, 5gm/100ml, 10gm/200ml, 25gm/500ml PRIVIGEN 2 $0 NM, PA IMMUNOMODULATORI ACTIMMUNE 2 $0 NM, LA, PA ARCALYST 2 $0 NM, PA INTRON-A INJ 10MU 2 $0 B/D, NM INTRON-A INJ 18MU 2 $0 B/D, NM INTRON-A INJ 25MU 2 $0 B/D, NM 57

71 Nome l'assistito INTRON-A INJ 50MU 2 $0 B/D, NM REVLIMID 2 $0 NM, LA, PA THALOMID 2 $0 NM, PA IMMUNOSOPPRESSORI azathioprine TABS 1 $0 B/D BENLYSTA 2 $0 NM, PA cyclosporine CAPS; SOLN 1 $0 B/D cyclosporine modified (for 1 $0 B/D microemulsion) gengraf 1 $0 B/D mycophenolate mofetil CAPS; 1 $0 B/D TABS mycophenolate mofetil SUSR 2 $0 B/D mycophenolate sodium 180mg 1 $0 B/D mycophenolate sodium 360mg 2 $0 B/D NEORAL 2 $0 B/D NULOJIX 2 $0 B/D PROGRAF CAPS 2 $0 B/D RAPAMUNE SOLN 2 $0 B/D SANDIMMUNE SOLN 100mg/ml 2 $0 B/D SIROLIMUS TABS 2mg 2 $0 B/D sirolimus TABS.5mg, 1mg 1 $0 B/D tacrolimus CAPS 5mg 2 $0 B/D tacrolimus CAPS.5mg, 1mg 1 $0 B/D ZORTRESS TAB 0.5MG 2 $0 B/D ZORTRESS TAB 0.25MG 2 $0 B/D ZORTRESS TAB 0.75MG 2 $0 B/D VACCINES ACTHIB 2 $0 ADACEL 2 $0 BCG VACCINE 2 $0 BEXSERO 2 $0 BOOSTRIX 2 $0 CERVARIX 2 $0 COMVAX 2 $0 DAPTACEL 2 $0 DIPHTHERIA/TETANUS TOXOID 2 $0 B/D ENGERIX-B SUSP 2 $0 B/D GARDASIL 2 $0 GARDASIL 9 2 $0 58

72 Nome l'assistito HAVRIX 2 $0 HIBERIX 2 $0 IMOVAX RABIES (H.D.C.V.) 2 $0 INFANRIX 2 $0 IPOL INACTIVATED IPV 2 $0 IXIARO 2 $0 KINRIX 2 $0 M-M-R II 2 $0 MENACTRA 2 $0 MENHIBRIX 2 $0 MENOMUNE-A/C/Y/W $0 MENVEO 2 $0 PEDIARIX 2 $0 PEDVAX HIB 2 $0 PENTACEL 2 $0 PROQUAD 2 $0 QUADRACEL 2 $0 RABAVERT 2 $0 RECOMBIVAX HB 2 $0 B/D ROTARIX 2 $0 ROTATEQ 2 $0 SYNAGIS 2 $0 NM TENIVAC 2 $0 B/D TETANUS/DIPHTHERIA TOXOID 2 $0 B/D TRUMENBA 2 $0 TWINRIX INJ 2 $0 TYPHIM VI 2 $0 VAQTA 2 $0 VARIVAX 2 $0 YF-VAX 2 $0 ZOSTAVAX 2 $0 QL (1 vial per lifetime) NUTRIZIONISTICA/INTEGRATORI - VITAMINE E INTEGRATORI ELECTROLITI KLOR-CON 8 1 $0 KLOR-CON 10 1 $0 klor-con m10 1 $0 klor-con m15 1 $0 klor-con m20 1 $0 klor-con pow 20meq 1 $0 klor-con spr cap 8meq 1 $0 59

73 Nome l'assistito klor-con spr cap 10meq 1 $0 MAGNESIUM SULFATE SOLN 2 $0 2gm/50ml, 4gm/100ml, 4gm/50ml, 20gm/500ml, 40gm/1000ml magnesium sulfate SOLN 2gm/50ml, 50% 1 $0 MAGNESIUM SULFATE SOLN 50% 1 $0 MAGNESIUM SULFATE IN D5W 2 $0 oral electrolytes 3 $0 NM; * potassium chloride CPCR 1 $0 POTASSIUM CHLORIDE SOLN 1 $0 10%, 20% potassium chloride TBCR 8meq 1 $0 POTASSIUM CHLORIDE TBCR 1 $0 20meq potassium chloride microencapsulated crystals cr 1 $0 POTASSIUM CHLORIDE TAB CR 10 1 $0 MEQ SODIUM CHLORIDE SOLN 1 $0 2.5meq/ml SODIUM FLUORIDE CHEW; TAB; 1 $0 1.1 (0.5 F) MG/ML SOLN TPN ELECTROLYTES 2 $0 B/D NUTRIZIONE EV AMINOSYN 2 $0 B/D AMINOSYN 7%/ELECTROLYTES 2 $0 B/D AMINOSYN 8.5%/ELECTROLYTE 2 $0 B/D AMINOSYN II 2 $0 B/D AMINOSYN II 8.5%/ELECTROL 2 $0 B/D AMINOSYN M 2 $0 B/D AMINOSYN-HBC 2 $0 B/D AMINOSYN-PF 7% 2 $0 B/D AMINOSYN-PF INJ 10% 2 $0 B/D AMINOSYN-RF 2 $0 B/D CLINIMIX 2.75%/DEXTROSE 5% 2 $0 B/D CLINIMIX 4.25%/DEXTROSE 5% 2 $0 B/D CLINIMIX 4.25%/DEXTROSE 25% 2 $0 B/D CLINIMIX 5%/DEXTROSE 15% 2 $0 B/D CLINIMIX 5%/DEXTROSE 20% 2 $0 B/D 60

74 Nome l'assistito CLINIMIX 5%/DEXTROSE 25% 2 $0 B/D CLINIMIX INJ 4.25/D10 2 $0 B/D CLINIMIX INJ 4.25/D20 2 $0 B/D FREAMINE HBC 6.9% 2 $0 B/D FREAMINE III 2 $0 B/D HEPATAMINE 2 $0 B/D INTRALIPID INJ 20% 2 $0 B/D INTRALIPID INJ 30% 2 $0 B/D NEPHRAMINE 2 $0 B/D NUTRILIPID INJ 20% 2 $0 B/D premasol sol 6% 1 $0 B/D premasol sol 10% 2 $0 B/D PROCALAMINE 2 $0 B/D PROSOL 2 $0 B/D TRAVASOL 2 $0 B/D TROPHAMINE INJ 10% 2 $0 B/D SOLUZIONI EV PER SOSTITUZIONE FLUIDI DEXTROSE 2.5%/NACL 0.45% 1 $0 DEXTROSE 5% 1 $0 DEXTROSE 5% /ELECTROLYTE 2 $0 DEXTROSE 5%/LACTATED RING 1 $0 DEXTROSE 5%/NACL 0.2% 1 $0 DEXTROSE 5%/NACL 0.3% 1 $0 DEXTROSE 5%/NACL 0.9% 1 $0 DEXTROSE 5%/NACL 0.33% 1 $0 DEXTROSE 5%/NACL 0.45% 1 $0 DEXTROSE 5%/NACL 0.225% 1 $0 DEXTROSE 5%/POTASSIUM CHL 1 $0 DEXTROSE 10% FLEX CONTAIN 1 $0 DEXTROSE 10%/NACL 0.2% 2 $0 DEXTROSE 10%/NACL 0.45% 1 $0 DEXTROSE 50% 1 $0 DEXTROSE INJ 70% 1 $0 IONOSOL-B/DEXTROSE 5% 2 $0 IONOSOL-MB/DEXTROSE 5% 2 $0 ISOLYTE P 2 $0 ISOLYTE S 2 $0 KCL0.15%/D5W/NACL0.2% 1 $0 KCL0.15%/D5W/NACL0.225% 2 $0 KCL 0.3%/D5W/NACL 0.9% 1 $0 61

75 Nome l'assistito KCL 0.3%/D5W/NACL 0.45% 1 $0 KCL 0.15%/D5W/NACL 0.9% 1 $0 KCL 0.075%/D5W/NACL 0.45% 1 $0 KCL IN NACL INJ $0 KCL/D5W INJ 0.3% 1 $0 KCL/D5W/NACL INJ 0.22%/0.45% 1 $0 KCL/D5W/NACL INJ.15/.33% 1 $0 KCL/D5W/NACL INJ.15/.45% 1 $0 KCL/NACL INJ $0 KCL/NACL INJ 0.15%-0.9% 1 $0 LACTATED RINGER'S INJ 1 $0 NORMOSOL-M IN D5W 1 $0 NORMOSOL-R 2 $0 NORMOSOL-R IN D5W 2 $0 PLASMA-LYTE A 2 $0 PLASMA-LYTE-56/D5W 2 $0 PLASMA-LYTE $0 pot chloride inj 2meq/ml 1 $0 POTASSIUM CHLORIDE SOLN 1 $0.4meq/ml, 10meq/100ml, 10meq/50ml, 20meq/100ml, 40meq/100ml potassium chloride in nacl 1 $0 RINGER'S 1 $0 SODIUM CHLORIDE SOLN 3%, 5% 1 $0 SODIUM CHLORIDE 0.45% VIA 1 $0 SODIUM CHLORIDE INJ 0.9% 1 $0 MINERALI ADVANCED CALCIUM FORMULA 3 $0 NM; * BONE DENSITY 3 $0 NM; * bone meal w/ vitamin d 3 $0 NM; * CAL-CITRATE PLUS VITAMIN 3 $0 NM; * CAL-QUICK 3 $0 NM; * CAL/MAG 3 $0 NM; * CALCET CREAMY BITES 3 $0 NM; * CALCET PETITES 3 $0 NM; * CALCI-MIX 3 $0 NM; * CALCIONATE 3 $0 NM; * calcium TABS 500mg 3 $0 NM; * CALCIUM $0 NM; * CALCIUM D 3 $0 NM; * 62

76 Nome l'assistito CALCIUM & MAGNESIUM 3 $0 NM; * CALCIUM CARBONATE CHEW 3 $0 NM; * CALCIUM CARBONATE POWD 3 $0 NM; * calcium carbonate SUSP 3 $0 NM; * calcium carbonate TABS 600mg, 3 $0 NM; * 1250mg calcium carbonate-cholecalciferol 3 $0 NM; * calcium carbonate-vitamin d 3 $0 NM; * calcium carbonate-vitamin d w/ 3 $0 NM; * minerals CALCIUM CITRATE GRAN 3 $0 NM; * CALCIUM CITRATE TABS 250mg 3 $0 NM; * CALCIUM CITRATE MALATE/VI 3 $0 NM; * CALCIUM CITRATE W/D 3 $0 NM; * calcium citrate-vitamin d 3 $0 NM; * CALCIUM GLUCONATE TABS 3 $0 NM; * 50mg, 500mg calcium gluconate TABS 500mg 3 $0 NM; * CALCIUM GUMMIES 3 $0 NM; * CALCIUM LACTATE 100mg, 648mg 3 $0 NM; * calcium lactate 650mg 3 $0 NM; * calcium w/ magnesium 3 $0 NM; * calcium w/ vitamins d & k 3 $0 NM; * calcium-magnesium w/ vitamin d 3 $0 NM; * calcium-magnesium-zinc 3 $0 NM; * CALCIUM/C/D 3 $0 NM; * CALCIUM/MAGNESIUM/VITAMIN 3 $0 NM; * CALCIUM/MAGNESIUM/ZINC 3 $0 NM; * CALMAG THINS 3 $0 NM; * CALTRATE 600+D3 SOFT CHEW 3 $0 NM; * CHELATED CALCIUM 3 $0 NM; * CITRACAL CALCIUM GUMMIES 3 $0 NM; * CITRACAL PLUS HEART HEALT 3 $0 NM; * CORAL CALCIUM CAPS 3 $0 NM; * CORAL CALCIUM PLUS 3 $0 NM; * coral calcium-magnesium w/ 3 $0 NM; * vitamin d CVS CALCIUM CITRATE 3 $0 NM; * EQL CALCIUM/VITAMIN D 3 $0 NM; * EQL CHILDRENS CALCIUM GUM 3 $0 NM; * LIQUID CALCIUM WITH D3 MA 3 $0 NM; * 63

77 Nome l'assistito LOCALNESIUM 3 $0 NM; * LOCALNESIUM-C 3 $0 NM; * MAG-TAB SR 3 $0 NM; * MAGINEX 3 $0 NM; * MAGNEBIND $0 NM; * MAGNESIUM CAPS 400mg 3 $0 NM; * magnesium TABS 200mg 3 $0 NM; * magnesium chloride TBCR 3 $0 NM; * magnesium chloride-calcium 3 $0 NM; * carbonate MAGNESIUM CITRATE TABS 3 $0 NM; * MAGNESIUM ELEMENTAL 3 $0 NM; * magnesium oxide (mg supplement) 3 $0 NM; * OSTEO-PORETICAL 3 $0 NM; * oyster shell 3 $0 NM; * PARVA-CAL 3 $0 NM; * PHOS-NAK POWDER CONCENTRA 3 $0 NM; * RA CALCIUM/BORON 3 $0 NM; * ra oyster shell calcium/v 3 $0 NM; * RA OYSTER SHELL CALCIUM/V 3 $0 NM; * selenium TABS 100mcg 3 $0 NM; * SELENIUM TBCR 3 $0 NM; * SLOW-MAG 3 $0 NM; * SM CORAL CALCIUM 3 $0 NM; * UPCAL D 3 $0 NM; * VITAMINE ACEROLA C $0 NM; * ANTIOXIDANT FORMULA SG 3 $0 NM; * AQUA-E 3 $0 NM; * ascorbic acid CHEW 3 $0 NM; * ascorbic acid LOZG 3 $0 NM; * ASCORBIC ACID POWD 3 $0 NM; * ascorbic acid TABS 100mg, 3 $0 NM; * 250mg, 500mg ascorbic acid TBCR 3 $0 NM; * b complex w/ c 3 $0 NM; * B-12 DOTS 3 $0 NM; * B-12 QUICK DISSOLVE 3 $0 NM; * b-complex vitamins 3 $0 NM; * b-complex w/ c & calcium 3 $0 NM; * b-complex w/ c & e + zn 3 $0 NM; * 64

78 Nome l'assistito b-complex w/ c & folic acid 3 $0 NM; * b-complex w/ minerals 3 $0 NM; * B-NATAL 3 $0 NM; * beta carotene CAPS 15mg, 3 $0 NM; * 25000unit biotin CAPS 5mg 3 $0 NM; * biotin TABS 300mcg 3 $0 NM; * calcitriol CAPS 1 $0 B/D calcitriol inj 1 $0 B/D calcitriol oral soln 1 mcg/ml 1 $0 B/D calcium ascorbate TABS 3 $0 NM; * calcium pantothenate TABS 3 $0 NM; * 500mg CENTRUM SILVER CHEW 3 $0 NM; * cholecalciferol CAPS 3 $0 NM; * cholecalciferol CHEW 3 $0 NM; * cholecalciferol LIQD 3 $0 NM; * cholecalciferol TABS 400unit, 3 $0 NM; * 1000unit, 2000unit, 5000unit CHOLECALCIFEROL TABS 3 $0 NM; * 50000unit CLASSIC PRENATAL 3 $0 NM; * cod liver oil CAPS 3 $0 NM; * CVS VITAMIN C CHEW 3 $0 NM; * cyanocobalamin LIQD; SOLN; 3 $0 NM; * SUBL; TABS; TBCR; TBDP CYTO B2 3 $0 NM; * DIALYVITE 800/ZINC 15 3 $0 NM; * ELDERTONIC 3 $0 NM; * EQL CHILDRENS MULTIVITAMI 3 $0 NM; * ergocalciferol CAPS 3 $0 NM; * EZFE FORTE 3 $0 NM; * FOLIC ACID CAPS 20mg 3 $0 NM; * folic acid SOLN 3 $0 NM; * FOLIC ACID TABS 1mg 3 $0 NM; * folic acid TABS 1mg, 400mcg, 3 $0 NM; * 800mcg HONEY BEARS 3 $0 NM; * HONEY BEARS W/IRON AND ZI 3 $0 NM; * hydroxocobalamin SOLN 3 $0 NM; * ICAPS LUTEIN/ZEAXANTHIN F 3 $0 NM; * 65

79 Nome l'assistito iron w/ vitamins 3 $0 NM; * KPN PRENATAL 3 $0 NM; * LUMITENE 3 $0 NM; * MEPHYTON 3 $0 NM; * MISSION PRENATAL 3 $0 NM; * MISSION PRENATAL HP 3 $0 NM; * MULTI-DELYN/IRON 3 $0 NM; * multiple vitamins w/ iron 3 $0 NM; * multiple vitamins w/ minerals 3 $0 NM; * MYKIDZ IRON 3 $0 NM; * NASCOBAL 3 $0 NM; * NEPHRONEX LIQD 3 $0 NM; * niacin CPCR 3 $0 NM; * niacin TABS 50mg, 100mg, 3 $0 NM; * 500mg niacin TBCR 3 $0 NM; * NIACIN TR 3 $0 NM; * niacinamide TABS 3 $0 NM; * paricalcitol CAPS 1 $0 B/D pediatric multiple vitamin w/ c 3 $0 NM; * pediatric multiple vitamin w/ c & fa 3 $0 NM; * pediatric multiple vitamin w/ extra 3 $0 NM; * c & fa pediatric multiple vitamin w/ 3 $0 NM; * minerals & c pediatric multiple vitamins 3 $0 NM; * pediatric multiple vitamins w/ iron 3 $0 NM; * pediatric vitamins adc 3 $0 NM; * PERRY PRENATAL 3 $0 NM; * phytonadione SOLN; TABS 3 $0 NM; * PRENATAL 3 $0 NM; * PRENATAL VITAMIN/FOLIC ACID > 1 $0 0.8 MG (GENERIC) pyridoxine hcl SOLN; TABS; TBCR 3 $0 NM; * riboflavin TABS 25mg, 50mg 3 $0 NM; * SCOOBY-DOO ONE A DAY 3 $0 NM; * SM VITAMIN D3 MAXIMUM STR 3 $0 NM; * specialty vitamins products 3 $0 NM; * THERA-D $0 NM; * THERA/BETA-CAROTENE 3 $0 NM; * THERANATAL CORE NUTRITION 3 $0 NM; * 66

80 Nome l'assistito thiamine hcl SOLN; TABS 3 $0 NM; * thiamine mononitrate 3 $0 NM; * TRI-VI-SOL 3 $0 NM; * VITALETS 3 $0 NM; * VITAMIN A PALMITATE TABS 3 $0 NM; * 15000unit VITAMIN C SOLR 3 $0 NM; * vitamin c SYRP 3 $0 NM; * VITAMIN D2 3 $0 NM; * VITAMIN D3 LIQD 1200unit/15ml 3 $0 NM; * VITAMIN D3 TABS 3000unit 3 $0 NM; * vitamin e CAPS 100unit, 200unit, 3 $0 NM; * 1000unit vitamin e OIL 3 $0 NM; * vitamin e SOLN 3 $0 NM; * VITAMIN E TABS 100unit 3 $0 NM; * vitamin mixture 3 $0 NM; * vitamins a & d CAPS 3 $0 NM; * ZOO FRIENDS COMPLETE 3 $0 NM; * OFTALMICI - FARMACI PER DISTURBI DELLA VISTA ANTINFETTIVI /ANTINFIAMMATORI - FARMACI PER TRATTARE INFEZIONI E INFIAMMAZIONI bacitracin-poly-neomycin-hc 1 $0 blephamide OINT 2 $0 neomycin-polymy-dexameth 1 $0 neomycin-polymyxin-hc (ophth) 1 $0 sulfacetamide sod-prednisolone 1 $0 TOBRADEX OINT 2 $0 TOBRADEX ST 2 $0 tobramycin-dexamethasone 1 $0 ZYLET 2 $0 ANTINFETTIVI - FARMACI PER TRATTARE LE INFEZIONI bacitracin (ophthalmic) 1 $0 bacitracin-polymyxin b (ophth) 1 $0 BESIVANCE 2 $0 CILOXAN OINT 2 $0 ciprofloxacin hcl (ophth) 1 $0 erythromycin (ophth) 1 $0 gatifloxacin (ophth) 1 $0 gentak 1 $0 67

81 Nome l'assistito gentamicin sulfate (ophth) 1 $0 ilotycin 1 $0 MOXEZA 2 $0 NATACYN 2 $0 neomycin-bacitracin zn-polymyxin 1 $0 neomycin-polymyxin-gramicidin 1 $0 ofloxacin (ophth) 1 $0 polymyxin b-trimethoprim 1 $0 sulfacet sod oin 10% op 1 $0 sulfacetamide sodium (ophth) 1 $0 tobramycin (ophth) 1 $0 TOBREX OINT 2 $0 trifluridine SOLN 1 $0 VIGAMOX 2 $0 ZIRGAN 2 $0 ANTINFIAMMATORI - FARMACI PER TRATTARE LE INFIAMMAZIONI ALREX 2 $0 bromfenac sodium (ophth) 1 $0 BROMFENAC SODIUM (OPHTH)(ONCE-DAILY) 1 $0 dexamethasone sodium phosphate 1 $0 (ophth) diclofenac sodium (ophth) 1 $0 DUREZOL 2 $0 FLUOROMETHOLONE 1 $0 flurbiprofen sodium 1 $0 ILEVRO 2 $0 ketorolac tromethamine (ophth) 1 $0 LOTEMAX 2 $0 MAXIDEX 2 $0 PREDNISOLONE ACETATE (OPHTH) 1 $0 prednisolone sodium phosphate (ophth) 2 $0 ANTIALLERGICI - FARMACI PER TRATTARE LE ALLERGIE azelastine drop 0.05% 1 $0 BEPREVE 2 $0 cromolyn sodium (ophth) 1 $0 ketotifen fumarate (ophth) 3 $0 NM; * LASTACAFT 2 $0 NAPHAZOLINE W/ PHENIRAMINE 3 $0 NM; * 68

82 Nome l'assistito naphazoline-glycerin 3 $0 NM; * PATADAY 2 $0 PAZEO 2 $0 tetrahydrozoline hcl (ophth) 3 $0 NM; * tetrahydrozoline w/ zinc sulfate 3 $0 NM; * VISINE-LR 3 $0 NM; * ANTIGLAUCOMA - FARMACI PER TRATTARE IL GLAUCOMA ALPHAGAN P SOL 0.1% 2 $0 AZOPT 2 $0 betaxolol hcl (ophth) 1 $0 BETOPTIC-S 2 $0 brimonidine sol 0.2% 1 $0 BRIMONIDINE SOL 0.15% 1 $0 carteolol hcl (ophth) 1 $0 COMBIGAN 2 $0 dorzolamide hcl 1 $0 dorzolamide hcl-timolol maleate 1 $0 ISTALOL 2 $0 latanoprost SOLN 1 $0 levobunolol hcl.5% 1 $0 LUMIGAN 2 $0 metipranolol 1 $0 PHOSPHOLINE IODIDE 2 $0 PILOCARPINE HCL SOLN 1 $0 SIMBRINZA 2 $0 timolol maleate (ophth) 1 $0 TIMOLOL MALEATE GEL 1 $0 TRAVATAN Z 2 $0 VARIE artificial tear ointment 3 $0 NM; * carboxymethylcellulose sodium 3 $0 NM; * (ophth) carboxymethylcellulose-glycerin 3 $0 NM; * ENUCLENE 3 $0 NM; * FRESHKOTE 3 $0 NM; * glycerin-hypromellosepolyethylene 3 $0 NM; * glycol 400 HYPOTEARS 3 $0 NM; * hypromellose (gonioscopic) 3 $0 NM; * hypromellose (ophth) 3 $0 NM; * 69

83 Nome l'assistito ISOPTO TEARS 3 $0 NM; * MURO 128 SOLN 2% 3 $0 NM; * naphazoline hcl SOLN 1 $0 ophthalmic irrigation solution 3 $0 NM; * polyethylene glycol-propylene 3 $0 NM; * glycol (ophth) polyvinyl alcohol SOLN 3 $0 NM; * polyvinyl alcohol-povidone (ophth) 3 $0 NM; * PROLENSA 2 $0 proparacaine hcl SOLN 1 $0 propylene glycol-glycerin 3 $0 NM; * REFRESH CELLUVISC 3 $0 NM; * REFRESH OPTIVE ADVANCED 3 $0 NM; * RESTASIS 2 $0 QL (64 vials / 30 RETAINE MGD 3 $0 NM; * sodium chloride hypertonic 3 $0 NM; * SOOTHE 3 $0 NM; * STERILE LUBRICANT DROPS 3 $0 NM; * SYSTANE BALANCE RESTORATI 3 $0 NM; * SYSTANE OVERNIGHT THERAPY 3 $0 NM; * TEARS AGAIN NIGHT & DAY 3 $0 NM; * THERATEARS SOLN 3 $0 NM; * white petrolatum-mineral oil 3 $0 NM; * RESPIRATORI - FARMACI PER TRATTARE I DISTURBI DELLA RESPIRAZIONE COMBINAZIONI ANTICOLINERGICI/BETA AGONISTI - FARMACI PER TRATTARE LA BPCO ANORO ELLIPTA 2 $0 QL (60 inhalations / 30 COMBIVENT RESPIMAT 2 $0 QL (2 inhalers / 30 ipratropium-albuterol nebu 1 $0 B/D ANTICOLINERGICI - FARMACI PER TRATTARE LA BPCO ATROVENT HFA 2 $0 QL (2 inhalers / 30 INCRUSE ELLIPTA 2 $0 QL (1 inhaler / 30 ipratropium bromide SOLN 1 $0 B/D ipratropium bromide (nasal) 1 $0 70

84 Nome l'assistito ANTISTAMINE - FARMACI PER TRATTARE LE ALLERGIE ALA-HIST IR 3 $0 NM; * ALLEGRA ALLERGY CHILDRENS 3 $0 NM; * TABS ASTEPRO 2 $0 azelastine spr 0.1% 1 $0 azelastine spr 0.15% 1 $0 cetirizine hcl 3 $0 NM; * cetirizine syrup 1 $0 chlorpheniramine maleate SYRP; 3 $0 NM; * TBCR CLARITIN CHEW 3 $0 NM; * CLARITIN REDITABS 5mg 3 $0 NM; * diphenhydramine hcl CAPS 3 $0 NM; * diphenhydramine hcl CHEW 3 $0 NM; * diphenhydramine hcl LIQD 3 $0 NM; * diphenhydramine hcl TABS 25mg 3 $0 NM; * diphenhydramine hcl TBDP 3 $0 NM; * diphenhydramine inj 1 $0 ED CHLORPED 3 $0 NM; * fexofenadine hcl SUSP; TABS 3 $0 NM; * hydroxyzine hcl SOLN; SYRP; TABS 2 $0 PA; PA if 65 years and older hydroxyzine pamoate CAPS 2 $0 PA; PA if 65 years and older J-TAN PD 3 $0 NM; * levocetirizine dihydrochloride 1 $0 loratadine SYRP; TABS 3 $0 NM; * olopatadine hcl (nasal) 1 $0 TRIAMINIC COUGH & RUNNY N STRP 3 $0 NM; * BETA AGONISTI - FARMACI PER TRATTARE ASMA E BPCO albuterol sulfate NEBU 1 $0 B/D albuterol sulfate SYRP; TABS; 1 $0 TB12 levalbuterol conc 1.25mg/0.5ml 1 $0 B/D PERFOROMIST 2 $0 B/D SEREVENT DISKUS 2 $0 QL (60 inhalations / 30 terbutaline sulfate SOLN 2 $0 terbutaline sulfate TABS 1 $0 71

85 Nome l'assistito VENTOLIN HFA 2 $0 QL (2 inhalers / 30 XOPENEX HFA 2 $0 QL (2 inhalers / 30 TOSSE E MALATTIE DA RAFFREDDAMENTO acetaminophen w/ dm 3 $0 NM; * ADVIL ALLERGY & CONGESTIO 3 $0 NM; * ADVIL ALLERGY SINUS 3 $0 NM; * ADVIL COLD & SINUS CAPS 3 $0 NM; * ALA-HIST PE 3 $0 NM; * AYR NASAL DROPS 3 $0 NM; * benzonatate 100mg, 200mg 3 $0 NM; * BIOSPEC DMX 3 $0 NM; * BROHIST D 3 $0 NM; * brompheniramine & phenyleph 3 $0 NM; * brompheniramine & pseudoeph 3 $0 NM; * cetirizine-pseudoephedrine 3 $0 NM; * childrens plus cold 3 $0 NM; * CHLO TUSS EX 3 $0 NM; * chlorpheniramine & phenylephrine 3 $0 NM; * chlorpheniramine & pseudoeph 3 $0 NM; * chlorpheniramine-dm 3 $0 NM; * chlorpheniramine-phenylephrineacetaminophen 3 $0 NM; * CODITUSS DM 3 $0 NM; * COMPLETE SINUS RELIEF 3 $0 NM; * CONEX COLD/ALLERGY 3 $0 NM; * CONTAC COLD/FLU MAXIMUM S 3 $0 NM; * cromolyn sodium (nasal) 3 $0 NM; * CVS NASAL MIST.9% 3 $0 NM; * DELTUSS DP 3 $0 NM; * dextromethorphan hbr CAPS; 3 $0 NM; * LIQD; SYRP dextromethorphan polistirex 3 $0 NM; * dextromethorphan-guaifenesin 3 $0 NM; * dextromethorphan-phenylephrineacetaminophen 3 $0 NM; * DIMETAPP LONG ACTING COUG 3 $0 NM; * diphenhydramine-acetaminophen 3 $0 NM; * diphenhydramine-phenylephrine 3 $0 NM; * 72

86 Nome l'assistito diphenhydramine-phenylephrineacetaminophen 3 $0 NM; * doxylamine-phenylephrineacetaminophen 3 $0 NM; * DURAFLU 3 $0 NM; * ed bron gp 3 $0 NM; * ED CHLORPED D 3 $0 NM; * entre-cough 3 $0 NM; * fexofenadine-pseudoephedrine 3 $0 NM; * guaifenesin LIQD; TABS; TB12 3 $0 NM; * guaifenesin-codeine 3 $0 NM; * J-MAX 3 $0 NM; * J-TAN D PD 3 $0 NM; * LODRANE D 3 $0 NM; * LOHIST-D 3 $0 NM; * loratadine & pseudoephedrine 3 $0 NM; * M-END DMX 3 $0 NM; * MUCINEX COUGH FOR KIDS 3 $0 NM; * MUCINEX D 3 $0 NM; * MUCINEX D MAXIMUM STRENGT 3 $0 NM; * MUCINEX FOR KIDS 3 $0 NM; * MUCINEX MAXIMUM STRENGTH 3 $0 NM; * NASAL DECONGESTANT LIQD 3 $0 NM; * NASOPEN PE 3 $0 NM; * NEXAFED SINUS PRESSURE + 3 $0 NM; * NOREL AD 3 $0 NM; * oxymetazoline hcl SOLN 3 $0 NM; * PHENAGIL 3 $0 NM; * phenylephrine hcl SOLN.25% 3 $0 NM; * phenylephrine hcl (oral) 3 $0 NM; * phenylephrine w/ acetaminophen 3 $0 NM; * phenylephrine w/ dm-gg 3 $0 NM; * phenylephrine-acetaminophenguaifenesin 3 $0 NM; * phenylephrine-brompheniraminedm 3 $0 NM; * phenylephrine-chlorphen-dm 3 $0 NM; * phenylephrine-chlorpheniraminedm 3 $0 NM; * w/ apap phenylephrine-dm 3 $0 NM; * phenylephrine-dm-gg w/ apap 3 $0 NM; * 73

87 Nome l'assistito phenylephrine-doxylaminedextromethorphan-acetaminophen 3 $0 NM; * phenylephrine-guaifenesin 3 $0 NM; * PRETZ 3 $0 NM; * PRO-CHLO 3 $0 NM; * pseudoephed-bromphen-dm 3 $0 NM; * pseudoephed-doxyl-dm w/apap 3 $0 NM; * pseudoephedrine hcl LIQD 3 $0 NM; * pseudoephedrine hcl SYRP 3 $0 NM; * pseudoephedrine hcl TABA 3 $0 NM; * pseudoephedrine hcl TABS 60mg 3 $0 NM; * pseudoephedrine hcl TB12 3 $0 NM; * pseudoephedrine w/ dm-gg 3 $0 NM; * pseudoephedrine-chlorphen-dm 3 $0 NM; * pseudoephedrinedexchlorpheniramine-chlophedianol 3 $0 NM; * pseudoephedrine-guaifenesin 3 $0 NM; * pyrilamine maleate-phenylephrine 3 $0 NM; * hcl tannate pyrilamine-phenylephrine 3 $0 NM; * RESCON 3 $0 NM; * RESCON DM 3 $0 NM; * RESPAIRE-30 3 $0 NM; * RHINARIS 3 $0 NM; * ROBITUSSIN CHILDRENS COUG 3 $0 NM; * ROBITUSSIN PEAK COLD NIGH 3 $0 NM; * LIQD RYMED 3 $0 NM; * saline GEL 3 $0 NM; * SCOT-TUSSIN SENIOR 3 $0 NM; * STAHIST AD 3 $0 NM; * TRIAMINIC NIGHT TIME COLD 3 $0 NM; * triprolidine & pseudoephedrine 3 $0 NM; * TUSNEL LIQD 3 $0 NM; * TUSNEL PEDIATRIC 3 $0 NM; * TUSNEL-DM PEDIATRIC 3 $0 NM; * VICKS VAPORUB 3 $0 NM; * zonatuss 3 $0 NM; * 74

88 Nome l'assistito ANTAGONISTI DEL RECETTORE DEL LEUCOTRIENE - FARMACI PER TRATTARE ASMA E ALLERGIE montelukast sodium CHEW; PACK; 1 $0 TABS zafirlukast 1 $0 STABILIZZATORI DEI MASTOCITI - FARMACI PER TRATTARE LE ALLERGIE cromolyn sodium nebu 1 $0 B/D VARIE acetylcysteine SOLN 10%, 20% 1 $0 B/D ARALAST NP 2 $0 NM, LA, PA DALIRESP 2 $0 EPIPEN 2-PAK 2 $0 EPIPEN-JR 2-PAK 2 $0 ESBRIET 2 $0 NM, PA KALYDECO 2 $0 NM, PA OFEV 2 $0 NM, PA ORKAMBI 2 $0 NM, PA PROLASTIN-C 2 $0 NM, LA, PA PULMOZYME 2 $0 B/D, NM XOLAIR 2 $0 NM, LA, PA ZEMAIRA 2 $0 NM, LA, PA STEROIDI NASALI - FARMACI PER TRATTARE LE ALLERGIE flunisolide (nasal) 1 $0 QL (2 bottles / 30 fluticasone propionate (nasal) 1 $0 QL (1 bottle / 30 mometasone furoate (nasal) 1 $0 QL (2 bottles / 30 NASONEX 2 $0 QL (2 inhalers / 30 STEROIDI INALANTI - FARMACI PER TRATTARE L'ASMA ARNUITY ELLIPTA 2 $0 QL (30 inhalations / 30 budesonide (inhalation) 1 $0 B/D.25mg/2ml,.5mg/2ml FLOVENT DISKUS 50mcg/blist, 100mcg/blist 2 $0 QL (120 inhalations / 30 FLOVENT DISKUS 250mcg/blist 2 $0 QL (240 inhalations / 30 FLOVENT HFA 2 $0 QL (2 inhalers / 30 75

89 Nome l'assistito PULMICORT FLEXHALER 2 $0 QL (2 inhalers / 30 COMBINAZIONI STEROIDI/BETA AGONISTI - FARMACI PER TRATTARE ASMA E BPCO ADVAIR DISKUS 2 $0 QL (60 inhalations / 30 ADVAIR HFA 2 $0 QL (1 inhaler / 30 BREO ELLIPTA 2 $0 QL (60 blisters / 30 SYMBICORT 2 $0 QL (1 inhaler / 30 XANTINE - FARMACI PER TRATTARE LA BPCO aminophylline inj 1 $0 elixophyllin 2 $0 theo-24 2 $0 theophylline 1 $0 TOPICI - FARMACI PER TRATTARE DISTURBI DELL'ORECCHIO E DELLA PELLE DERMATOLOGIA, ACNE adapalene CREA 1 $0 adapalene GEL.1% 1 $0 amnesteem 1 $0 AVITA 1 $0 benzoyl peroxide-erythromycin 1 $0 claravis 1 $0 clindacin-p 1 $0 clindamax 1 $0 clindamycin phosphate (topical) 1 $0 GEL; LOTN; SOLN; SWAB ery pad 2% 1 $0 erythromycin (acne aid) 1 $0 myorisan 1 $0 sulfacetamide sodium (acne) 1 $0 tretinoin CREA 1 $0 TRETINOIN GEL.01% 1 $0 tretinoin GEL.025% 1 $0 zenatane 1 $0 DERMATOLOGIA, ANTIBIOTICI ACNE MEDICATION 3 $0 NM; * 76

90 Nome l'assistito ACNE MEDICATION 5 3 $0 NM; * bacitracin (topical) 3 $0 NM; * bacitracin zinc OINT 3 $0 NM; * bacitracin-polymyxin b 3 $0 NM; * benzoyl peroxide BAR 3 $0 NM; * BENZOYL PEROXIDE GEL 2.5% 3 $0 NM; * benzoyl peroxide GEL 5%, 10% 3 $0 NM; * benzoyl peroxide LIQD 3 $0 NM; * benzoyl peroxide LOTN 3 $0 NM; * gentamicin sulfate (topical) 1 $0 mupirocin OINT 1 $0 neomycin-bacitracin-polymyxin 3 $0 NM; * PANOXYL-4 CREAMY WASH 3 $0 NM; * SILVER SULFADIAZINE CREA 1 $0 SSD 1 $0 SULFAMYLON 2 $0 DERMATOLOGIA, ANTIMICOTICI castellani paint 3 $0 NM; * ciclopirox CREA; GEL; SUSP 1 $0 ciclopirox shampoo 1% 1 $0 clotrimazole (topical) CREA 1 $0 clotrimazole (topical) SOLN 1% 1 $0 clotrimazole (topical) SOLN 1% 3 $0 NM; * econazole nitrate CREA 1 $0 FUNGOID TINCTURE 3 $0 NM; * GENTIAN VIOLET SOLN 3 $0 NM; * hydrocortisone (topical) CREA 1% 3 $0 NM; * ketoconazole cream 1 $0 LAMISIL ADVANCED 3 $0 NM; * LOTRIMIN ULTRA 3 $0 NM; * miconazole nitrate (topical) 3 $0 NM; * nyamyc 1 $0 nystatin (topical) 1 $0 nystop 1 $0 terbinafine hcl (topical) 3 $0 NM; * tolnaftate 3 $0 NM; * zinc oxide (topical) OINT 40% 3 $0 NM; * DERMATOLOGIA, ANTIPRURITO DOXEPIN HCL (ANTIPRURITIC) 1 $0 procto-med 1 $0 77

91 Nome l'assistito procto-pak 1 $0 proctosol hc cre 2.5% 1 $0 proctozone hc 1 $0 PRUDOXIN CRE 5% 1 $0 DERMATOLOGIA, ANTIPSORIASI acitretin 2 $0 PA calcipotriene CREA; OINT; SOLN 1 $0 calcitrene oin 0.005% 1 $0 8-MOP 2 $0 TAZORAC CREA 2 $0 PA DERMATOLOGIA, ANTISEBORROICI ketoconazole shampoo 1 $0 selenium sulfide LOTN 1 $0 DERMATOLOGIA, CORTICOSTEROIDI ala-cort 1 $0 alclometasone dipropionate 1 $0 betamethasone dipropionate 1 $0 (topical) betamethasone dipropionate 1 $0 augmented betamethasone valerate CREA; 1 $0 LOTN; OINT clobetasol e cream 0.05% 1 $0 clobetasol propionate CREA 1 $0 clobetasol propionate GEL 1 $0 clobetasol propionate OINT 1 $0 clobetasol propionate SOLN 1 $0 cormax 1 $0 CVS HDYROCORTISONE ACETAT 3 $0 NM; * DESONIDE CREA 1 $0 desonide LOTN; OINT 1 $0 desoximetasone CREA 1 $0 desoximetasone GEL 1 $0 DESOXIMETASONE OINT.05% 1 $0 desoximetasone OINT.25% 1 $0 diflorasone diacetate 1 $0 fluocinolone acetonide CREA; OIL; 1 $0 OINT; SOLN fluocinonide CREA.05% 1 $0 fluocinonide GEL 1 $0 78

92 Nome l'assistito fluocinonide OINT 1 $0 fluocinonide SOLN 1 $0 fluocinonide-e 0.05% cream 1 $0 fluticasone propionate CREA 1 $0 fluticasone propionate OINT 1 $0 halobetasol propionate 1 $0 hydrocortisone (topical) CREA 1%, 1 $0 2.5% hydrocortisone (topical) CREA.5% 3 $0 NM; * hydrocortisone (topical) GEL 3 $0 NM; * hydrocortisone (topical) LOTN 1% 3 $0 NM; * hydrocortisone (topical) LOTN 2.5% 1 $0 hydrocortisone (topical) OINT 1%, 1 $0 2.5% hydrocortisone (topical) OINT 3 $0 NM; *.5%, 1% hydrocortisone acetate-aloe vera 3 $0 NM; * hydrocortisone butyrate 1 $0 hydrocortisone valerate 1 $0 hydrocortisone-aloe vera 3 $0 NM; * lokara 1 $0 mometasone furoate CREA; OINT; 1 $0 SOLN texacort soln 2.5% 2 $0 triamcinolone acetonide (topical) 1 $0 CREA; LOTN; OINT triderm 1 $0 DERMATOLOGIA, ANESTETICI LOCALI lidocaine PTCH 1 $0 QL (3 patches / 1 day), PA lidocaine hcl GEL 1 $0 lidocaine hcl SOLN 4% 1 $0 lidocaine oint 5% 1 $0 lidocaine-prilocaine 1 $0 B/D DERMATOLOGIA, VARI PER PELLE E MEMBRANA MUCOSA ABREVA 3 $0 NM; * acyclovir topical 1 $0 ammonium lactate CREA; LOTN 1 $0 BOUDREAUXS BUTT PASTE 3 $0 NM; * diclofenac sodium (topical) 1% gel 1 $0 79

93 Nome l'assistito ELIDEL 2 $0 PA fluorouracil (topical) CREA 5% 1 $0 fluorouracil (topical) SOLN 1 $0 imiquimod CREA 1 $0 metronidazole (topical) CREA; 1 $0 LOTN metronidazole gel 0.75% 1 $0 MEXSANA 3 $0 NM; * PANRETIN 2 $0 podofilox SOLN 1 $0 RA CALAMINE LOTN 3 $0 NM; * RISAMINE 3 $0 NM; * rosadan cre 0.75% 1 $0 SECURA EXTRA PROTECTIVE 3 $0 NM; * SENSI-CARE PROTECTIVE BAR 3 $0 NM; * tacrolimus (topical) 1 $0 PA TARGRETIN GEL 2 $0 NM, PA TRIPLE PASTE 3 $0 NM; * VALCHLOR 2 $0 NM, LA, PA VOLTAREN 2 $0 ZINC OXIDE PSTE 3 $0 NM; * zinc oxide (topical) CREA 10% 3 $0 NM; * ZINC OXIDE (TOPICAL) CREA 13% 3 $0 NM; * zinc oxide (topical) OINT 20% 3 $0 NM; * DERMATOLOGIA, SCABBICIDI E ANTIPEDICULOSI EURAX 2 $0 malathion 1 $0 permethrin CREA 1 $0 permethrin LIQD; LOTN 3 $0 NM; * permethrin & pyrethrins-piperonyl 3 $0 NM; * butoxide PYRETHINS/PIPERONYL BUTO 3 $0 NM; * pyrethrins-piperonyl butoxide 3 $0 NM; * RID ESSENTIAL LICE ELIMIN 3 $0 NM; * DERMATOLOGIA, AGENTI PER TRATTARE LE LESIONI acetic acid.25% 1 $0 REGRANEX 2 $0 PA SANTYL 2 $0 SODIUM CHLORIDE 0.9% 1 $0 STERILE WATER IRRIGATION 1 $0 80

94 Nome l'assistito AGENTI OROFARINGEI/ODONTOIATRICI cevimeline hcl 1 $0 chlorhexidine gluconate (mouththroat) 1 $0 clotrimazole TROC 1 $0 lidocaine hcl (mouth-throat) 1 $0 nystatin (mouth-throat) 1 $0 paroex sol 0.12% 1 $0 periogard 1 $0 PILOCARPINE HCL (ORAL) 5mg 1 $0 pilocarpine hcl (oral) 7.5mg 1 $0 triamcinolone acetonide (mouth) 1 $0 OTICI - FARMACI PER TRATTARE I DISTURBI DELL'ORECCHIO acetic acid (otic) 1 $0 acetic acid-aluminum acetate 1 $0 CIPRODEX 2 $0 fluocinolone acetonide (otic) 1 $0 neomycin-polymyxin-hc (otic) 1 $0 ofloxacin (otic) 1 $0 PARTE B METRI E STRISCE REATTIVE DIABETICA Breeze 2 Kits, Strips Contour Kits, Strips Contour Next EZ Kits, Strips Contour Next USB Kits, Strips 81

95 Index 8 8-MOP...78 A abacavir sulfate... 7 abacavir sulfate-lamivudine-zidovudine 8 ABELCET... 6 ABILIFY DISCMELT TAB 10MG...31 ABILIFY MAINTENA...31 ABRAXANE...13 ABREVA...79 acamprosate calcium...38 acarbose...40 acebutolol hcl...21 ACEROLA C acetaminophen... 1 ACETAMINOPHEN... 1 ACETAMINOPHEN 8 HOUR... 1 acetaminophen w/ codeine... 2 acetaminophen w/ dm...72 acetazolamide...23 acetic acid...80 acetic acid (otic)...81 acetic acid-aluminum acetate...81 acetylcysteine...75 acitretin...78 ACNE MEDICATION...76 ACNE MEDICATION ACTHIB...58 ACTIMMUNE...57 acyclovir... 8 acyclovir sodium... 8 acyclovir topical...79 ADACEL...58 ADAGEN...45 adapalene...76 adefovir dipivoxil... 8 ADEMPAS...24 adrucil...13 ADVAIR DISKUS...76 ADVAIR HFA...76 ADVANCED CALCIUM FORMULA...62 ADVIL ALLERGY & CONGESTIO...72 ADVIL ALLERGY SINUS...72 ADVIL COLD & SINUS...72 afeditab cr...21 AFINITOR...15 AFINITOR DISPERZ AGGRENOX a-hydrocort ala-cort ALA-HIST IR ALA-HIST PE ALBENZA... 5 albuterol sulfate alclometasone dipropionate ALCOHOL SWABS ALDURAZYME ALECENSA alendronate sodium alfuzosin hcl ALIMTA ALINIA... 5 ALLEGRA ALLERGY CHILDRENS allopurinol tab... 1 alosetron hcl ALPHAGAN P SOL 0.1% alprazolam tab 0.25mg alprazolam tab 0.5mg alprazolam tab 1mg alprazolam tab 2mg ALREX altavera alum & mag hydrox-simethicone ALUMINUM HYDROXIDE aluminum hydroxide-mag carb aluminum hydroxide-mag trisil amantadine hcl AMBISOME... 6 amifostine crystalline amikacin sulfate... 4 amiloride & hydrochlorothiazide amiloride hcl aminophylline inj AMINOSYN AMINOSYN 7%/ELECTROLYTES AMINOSYN 8.5%/ELECTROLYTE AMINOSYN II AMINOSYN II 8.5%/ELECTROL AMINOSYN M AMINOSYN-HBC AMINOSYN-PF 7% AMINOSYN-PF INJ 10%

96 AMINOSYN-RF...60 amiodarone hcl...19 AMITIZA CAP 24MCG...52 AMITIZA CAP 8MCG...52 amitriptyline hcl...29 amlodipine besylate...21 amlodipine besylate-valsartan tab mg...18 amlodipine besylate-valsartan tab mg...18 amlodipine besylate-valsartan tab mg...18 amlodipine besylate-valsartan tab mg...18 amlodipine--benazepril hcl cap mg...17 amlodipine-benazepril hcl cap 10-40mg...17 amlodipine-benazepril hcl cap mg...17 amlodipine-benazepril hcl cap 5-10 mg 17 amlodipine-benazepril hcl cap 5-20 mg 17 amlodipine-benazepril hcl cap 5-40 mg 17 amlodipine-valsartan-hydrochlorothiazide mg...18 amlodipine-valsartan-hydrochlorothiazide mg...18 amlodipine-valsartan-hydrochlorothiazide mg...18 amlodipine-valsartan-hydrochlorothiazide mg...18 amlodipine-valsartan-hydrochlorothiazide mg...18 ammonium lactate...79 amnesteem...76 amoxapine tab 100mg...29 amoxapine tab 150mg...29 amoxapine tab 25mg...29 amoxapine tab 50mg...29 amoxicillin...11 amoxicillin & pot clavulanate...11 amphetamine-dextroamphetamine cap sr 24hr 10 mg...34 amphetamine-dextroamphetamine cap sr 24hr 15 mg...34 amphetamine-dextroamphetamine cap sr 24hr 20 mg...35 amphetamine-dextroamphetamine cap sr 24hr 25 mg amphetamine-dextroamphetamine cap sr 24hr 30 mg amphetamine-dextroamphetamine cap sr 24hr 5 mg amphetamine-dextroamphetamine tab 10 mg amphetamine-dextroamphetamine tab 12.5 mg amphetamine-dextroamphetamine tab 15 mg amphetamine-dextroamphetamine tab 20 mg amphetamine-dextroamphetamine tab 30 mg amphetamine-dextroamphetamine tab 5 mg amphetamine-dextroamphetamine tab 7.5 mg amphotericin b... 6 ampicillin & sulbactam sodium ampicillin cap 250 mg ampicillin cap 500 mg ampicillin for susp 125 mg/5ml ampicillin for susp 250 mg/5ml ampicillin inj ampicillin sodium AMPYRA anagrelide hcl anastrozole ANDRODERM ANORO ELLIPTA ANTIOXIDANT FORMULA SG APAP APOKYN apri 28 day APRISO APTIOM APTIVUS... 7 AQUA-E ARALAST NP aranelle ARCALYST aripiprazole aripiprazole oral solution 1 mg/ml aripiprazole tabs

97 armodafinil...37 ARMODAFINIL...37 ARNUITY ELLIPTA...75 artificial tear ointment...69 ASACOL HD...50 ascorbic acid...64 ASCORBIC ACID...64 aspirin... 1 aspirin buffered (cal carb-mag carb-mag oxide)... 1 ASPIRIN-DIPYRIDAMOLE...56 ASTEPRO...71 atenolol...21 atenolol & chlorthalidone...20 atorvastatin calcium...20 atovaquone... 5 atovaquone-proguanil hcl... 7 ATRIPLA... 8 ATROVENT HFA...70 aubra 28 day...42 AVASTIN...13 aviane AVITA...76 AXID AR...50 AXIRON...39 AYR NASAL DROPS...72 azacitidine...13 AZACTAM/DEX INJ 1GM... 5 AZACTAM/DEX INJ 2GM... 5 azathioprine...58 azelastine drop 0.05%...68 azelastine spr 0.1%...71 azelastine spr 0.15%...71 AZILECT...31 azithromycin SOLR; SUSR; TABS...10 AZITHROMYCIN PACK...10 AZOPT...69 AZOR 10-40MG...18 AZOR TAB 10-20MG...19 AZOR TAB 5-20MG...18 AZOR TAB 5-40MG...18 aztreonam... 5 B b complex w/ c...64 B-12 DOTS...64 B-12 QUICK DISSOLVE...64 bacitracin (ophthalmic)...67 bacitracin (topical) bacitracin zinc bacitracin-polymyxin b bacitracin-polymyxin b (ophth) bacitracin-poly-neomycin-hc baclofen balsalazide disodium balziva 28 day BANZEL SUS 40MG/ML BANZEL TAB 200MG BANZEL TAB 400MG BARACLUDE... 9 BCG VACCINE b-complex vitamins b-complex w/ c & calcium b-complex w/ c & e + zn b-complex w/ c & folic acid b-complex w/ minerals bekyree 28 day BELEODAQ benazepril & hydrochlorothiazide benazepril hcl BENDEKA BENICAR BENICAR HCT 40-25MG BENICAR HCT TAB MG BENICAR HCT TAB MG BENLYSTA benzonatate benzoyl peroxide BENZOYL PEROXIDE benzoyl peroxide-erythromycin benztropine mesylate BENZTROPINE MESYLATE BEPREVE BESIVANCE beta carotene betamethasone dipropionate (topical). 78 betamethasone dipropionate augmented betamethasone valerate BETASERON betaxolol hcl (ophth) bethanechol chloride BETOPTIC-S bexarotene BEXSERO

98 bicalutamide...14 BICILLIN L-A...11 BICNU...12 BILTRICIDE... 5 BIOSPEC DMX...72 biotin...65 bisacodyl...50 bismuth subsalicylate...48 bisoprolol & hydrochlorothiazide...21 bisoprolol fumarate...21 BIVIGAM...57 bleomycin sulfate...12 blephamide...67 blisovi 21 fe 1.5/30 28 day pack...42 blisovi 21 fe 1/20 28 day pack...42 B-NATAL...65 BONE DENSITY...62 bone meal w/ vitamin d...62 BOOSTRIX...58 BOSULIF...15 BOUDREAUXS BUTT PASTE...79 BREO ELLIPTA...76 briellyn 28 day...42 BRILINTA...56 BRIMONIDINE SOL 0.15%...69 brimonidine sol 0.2%...69 BRINTELLIX...29 BRIVIACT INJ...25 BRIVIACT SOLN 10MG/ML...25 BRIVIACT TABS...25 BROHIST D...72 bromfenac sodium (ophth)...68 BROMFENAC SODIUM (OPHTH)(ONCE- DAILY)...68 bromocriptine mesylate...31 brompheniramine & phenyleph...72 brompheniramine & pseudoeph...72 budesonide (inhalation)...75 budesonide ec...50 bumetanide...23 BUPHENYL...45 buprenorphine hcl...38 buprenorphine hcl-naloxone hcl sl...38 buproban tab (smoking deterrent)...38 bupropion hcl...29 bupropion hcl (smoking deterrent)...38 buspirone hcl...25 BUSULFEX butorphanol tartrate... 2 BYDUREON BYDUREON PEN BYETTA BYSTOLIC C cabergoline CABOMETYX CAL/MAG CALCET CREAMY BITES CALCET PETITES CALCI-MIX CALCIONATE calcipotriene calcitonin (salmon) CAL-CITRATE PLUS VITAMIN calcitrene oin 0.005% calcitriol calcitriol inj calcitriol oral soln 1 mcg/ml calcium CALCIUM & MAGNESIUM CALCIUM D CALCIUM calcium acetate (phosphate binder) calcium ascorbate calcium carbonate CALCIUM CARBONATE calcium carbonate (antacid) calcium carbonate-cholecalciferol calcium carbonate-simethicone calcium carbonate-vitamin d calcium carbonate-vitamin d w/ minerals CALCIUM CITRATE CALCIUM CITRATE MALATE/VI CALCIUM CITRATE W/D calcium citrate-vitamin d calcium gluconate CALCIUM GLUCONATE CALCIUM GUMMIES calcium lactate CALCIUM LACTATE calcium pantothenate calcium polycarbophil calcium w/ magnesium

99 calcium w/ vitamins d & k...63 CALCIUM/C/D...63 CALCIUM/MAGNESIUM/VITAMIN...63 CALCIUM/MAGNESIUM/ZINC...63 calcium-magnesium w/ vitamin d...63 calcium-magnesium-zinc...63 CALMAG THINS...63 CAL-QUICK...62 CALTRATE 600+D3 SOFT CHEW...63 camila 28 day...42 CANASA...50 CANCIDAS... 6 CAPASTAT SULFATE... 8 CAPRELSA...15 captopril...17 captopril & hydrochlorothiazide...17 CARBAGLU...45 carbamazepine...25 CARBIDOPA/LEVODOPA/ENTACAPONE.31 carbidopa-levodopa...31 carbonyl iron...55 carboplatin...16 carboxymethylcellulose sodium (ophth)...69 carboxymethylcellulose-glycerin...69 CARIMUNE NANOFILTERED...57 carteolol hcl (ophth)...69 cartia xt cap 120/24hr...21 cartia xt cap 180/24hr...21 cartia xt cap 240/24hr...21 cartia xt cap 300/24hr...21 carvedilol...21 castellani paint...77 CAYSTON... 5 caziant 28 day...42 cefaclor... 9 cefaclor monohydrate er... 9 cefadroxil... 9 cefazolin in dextrose 1gm/50ml-5%... 9 CEFAZOLIN IN DEXTROSE 2GM/100ML- 4%...10 cefazolin inj...10 cefazolin sodium...10 cefdinir...10 cefepime hcl...10 cefixime...10 cefotaxime sodium...10 cefoxitin sodium cefpodoxime proxetil cefprozil ceftazidime CEFTAZIDIME/DEXTROSE ceftriaxone sodium cefuroxime axetil cefuroxime sodium celecoxib... 1 CELONTIN CENTRUM SILVER cephalexin CERDELGA CEREZYME CERVARIX cetirizine hcl cetirizine syrup cetirizine-pseudoephedrine cevimeline hcl CHANTIX CHANTIX CONTINUING MONTH CHANTIX STARTER PACK CHELATED CALCIUM CHEMET childrens plus cold CHLO TUSS EX chlorhexidine gluconate (mouth-throat) chloroquine phosphate... 7 chlorothiazide tabs chlorpheniramine & phenylephrine chlorpheniramine & pseudoeph chlorpheniramine maleate chlorpheniramine-dm chlorpheniramine-phenylephrineacetaminophen chlorpromazine hcl chlorpromazine inj chlorthalidone cholecalciferol CHOLECALCIFEROL cholestyramine cholestyramine light choline fenofibrate ciclopirox ciclopirox shampoo 1% cilostazol

100 CILOXAN...67 CIMZIA...57 CIMZIA STARTER KIT...57 CINRYZE...56 CIPRODEX...81 ciprofloxacin...11 ciprofloxacin er...11 ciprofloxacin hcl (ophth)...67 ciprofloxacin hcl tab...11 ciprofloxacin in d5w...11 ciprofloxacin inj 200mg/20ml...11 ciprofloxacin inj 400mg/40ml...11 cisplatin...16 citalopram hydrobromide...29 CITRACAL CALCIUM GUMMIES...63 CITRACAL PLUS HEART HEALT...63 cladribine...13 claravis...76 clarithromycin er...10 clarithromycin for susp...10 clarithromycin TABS...10 CLARITIN...71 CLARITIN REDITABS...71 CLASSIC PRENATAL...65 clindacin-p...76 clindamax...76 clindamycin cap 300mg... 5 clindamycin cap 75mg... 5 clindamycin hcl cap 150 mg... 5 clindamycin phosphate... 5 clindamycin phosphate (topical)...76 clindamycin phosphate in d5w... 5 clindamycin phosphate inj... 5 clindamycin phosphate vaginal...54 clindamycin sol 75mg/5ml... 5 CLINIMIX 2.75%/DEXTROSE 5%...60 CLINIMIX 4.25%/DEXTROSE 25%...60 CLINIMIX 4.25%/DEXTROSE 5%...60 CLINIMIX 5%/DEXTROSE 15%...60 CLINIMIX 5%/DEXTROSE 20%...60 CLINIMIX 5%/DEXTROSE 25%...61 CLINIMIX INJ 4.25/D CLINIMIX INJ 4.25/D clobetasol e cream 0.05%...78 clobetasol propionate...78 clomipramine hcl...29 clonazepam... 25, 26 clonidine hcl clopidogrel bisulfate clorazepate dipotassium clotrimazole clotrimazole (topical) clotrimazole vaginal clozapine... 31, 32 CLOZAPINE COARTEM... 7 cod liver oil CODITUSS DM colchicine w/ probenecid... 1 COLCRYS... 1 colestipol hcl colistimethate sodium... 5 colocort enema 100mg COMBIGAN COMBIVENT RESPIMAT COMETRIQ COMPLERA... 8 COMPLETE SINUS RELIEF compro COMVAX CONEX COLD/ALLERGY constulose CONTAC COLD/FLU MAXIMUM S COPAXONE INJ 40MG/ML CORAL CALCIUM CORAL CALCIUM PLUS coral calcium-magnesium w/ vitamin d 63 cormax corn dextrin cortisone acetate COTELLIC COUMADIN CREON CRESTOR CRIXIVAN... 7 cromolyn sodium (mastocytosis) cromolyn sodium (nasal) cromolyn sodium (ophth) cromolyn sodium nebu cryselle CUBICIN... 5 CUVPOSA CVS CALCIUM CITRATE CVS HDYROCORTISONE ACETAT

101 CVS NASAL MIST...72 CVS VITAMIN C...65 cyanocobalamin...65 cyclafem 1/35 28 day...42 cyclafem 7/7/7 28 day...42 cyclophosphamide...12 CYCLOPHOSPHAMIDE...12 cycloserine... 8 cyclosporine...58 cyclosporine modified (for microemulsion)...58 cyred tab...42 CYSTADANE...45 CYSTAGON...45 cytarabine...13 CYTO B D dacarbazine...12 DAKLINZA... 9 DALIRESP...75 danazol...45 dantrolene sodium...37 dapsone... 5 DAPTACEL...58 daptomycin... 5 DARAPRIM... 5 daunorubicin hcl...12 deblitane 28 day...42 DELESTROGEN...45 DELTUSS DP...72 yla 28 day...42 DELZICOL...50 DEMSER...23 DEPEN TITRATABS...41 DEPO-PROVERA INJ 400/ML...14 desipramine hcl...29 desmopressin acetate spray...48 desmopressin acetate spray refrigerated...48 desmopressin acetate tabs...48 desmopressin inj 4mcg/ml...48 DESMOPRESSIN SOL 0.01%...48 desogestrel-ethinyl estradiol (biphasic) 42 desonide...78 DESONIDE...78 desoximetasone...78 DESOXIMETASONE...78 dexamethasone dexamethasone sodium phosphate dexamethasone sodium phosphate (ophth) DEXILANT dexrazoxane dextromethorphan hbr dextromethorphan polistirex dextromethorphan-guaifenesin dextromethorphan-phenylephrineacetaminophen DEXTROSE 10% FLEX CONTAIN DEXTROSE 10%/NACL 0.2% DEXTROSE 10%/NACL 0.45% DEXTROSE 2.5%/NACL 0.45% DEXTROSE 5% DEXTROSE 5% /ELECTROLYTE DEXTROSE 5%/LACTATED RING DEXTROSE 5%/NACL 0.2% DEXTROSE 5%/NACL 0.225% DEXTROSE 5%/NACL 0.3% DEXTROSE 5%/NACL 0.33% DEXTROSE 5%/NACL 0.45% DEXTROSE 5%/NACL 0.9% DEXTROSE 5%/POTASSIUM CHL DEXTROSE 50% DEXTROSE INJ 70% DIALYVITE 800/ZINC diazepam DIAZEPAM GEL diazepam inj diclofenac potassium... 2 diclofenac sodium (ophth) diclofenac sodium (topical) 1% gel diclofenac sodium TB diclofenac sodium TBEC... 2 dicloxacillin sodium dicyclomine hcl didanosine... 7 DIFICID diflorasone diacetate diflunisal... 2 digitek digox digoxin digoxin inj DIGOXIN SOL 50MCG/ML

102 dihydroergotamine mesylate...36 dilantin...26 DILANTIN-125 SUS 125/5ML...26 diltiazem cap...21 diltiazem cap 120mg/24hr...21 diltiazem cap 240mg/24hr...21 diltiazem cap er/12hr...21 diltiazem hcl...22 diltiazem hcl coated beads...22 dilt-xr cap...21 dimenhydrinate...49 DIMETAPP LONG ACTING COUG...72 DIPENTUM...50 diphenhydramine hcl...71 diphenhydramine hcl (sleep)...38 diphenhydramine inj...71 diphenhydramine-acetaminophen...72 diphenhydramine-acetaminophen (sleep)...38 diphenhydramine-phenylephrine...72 diphenhydramine-phenylephrineacetaminophen...73 diphenoxylate w/ atropine...52 DIPHTHERIA/TETANUS TOXOID...58 disopyramide phosphate...19 disulfiram...38 divalproex sodium...26 docetaxel...13 DOCETAXEL...13 DOCETAXEL SOLN 80MG/8ML...13 docusate calcium...51 docusate sodium...51 dofetilide...19 donepezil hydrochloride...28 dorzolamide hcl...69 dorzolamide hcl-timolol maleate...69 doxazosin mesylate...18 doxepin hcl...29 DOXEPIN HCL (ANTIPRURITIC)...77 doxorubicin hcl for inj 50 mg...12 doxorubicin hcl liposomal inj 2mg/ml...12 doxorubicin inj 50mg...12 doxy...11 doxycycline (monohydrate)...12 doxycycline hyclate...12 doxylamine succinate (sleep)...38 doxylamine-phenylephrineacetaminophen dronabinol drospirenone-ethinyl estradiol DROXIA duloxetine hcl DURAFLU DURAMORPH... 2 DUREZOL dutasteride dutasteride-tamsulosin hcl E e.e.s econazole nitrate ed bron gp ED CHLORPED ED CHLORPED D EDURANT... 7 EFFIENT ELDERTONIC ELIDEL ELIQUIS ELITEK elixophyllin ELLA ELMIRON EMCYT EMEND EMEND CAP 125MG EMEND CAP 40MG EMEND CAP 80MG EMEND PAK 80 & emoquette EMSAM EMTRIVA... 7 emverm... 5 enalapril maleate enalapril maleate & hydrochlorothiazide endocet... 2 enemeez mini enemeez plus ENGERIX-B enoxaparin sodium enpresse 28 day ENTACAPONE entecavir... 9 entre-cough

103 ENTRESTO...19 ENUCLENE...69 enulose...51 EPIPEN 2-PAK...75 EPIPEN-JR 2-PAK...75 epirubicin hcl...12 epitol...26 EPIVIR HBV... 9 eplerenone...18 EPZICOM... 8 EQL CALCIUM/VITAMIN D...63 EQL CHILDRENS CALCIUM GUM...63 EQL CHILDRENS MULTIVITAMI...65 EQUALACTIN...51 ergocalciferol...65 ERIVEDGE...13 errin 28 day...42 ery pad 2%...76 ery-tab...10 erythrocin lactobionate...10 erythrocin stearate...10 erythromycin (acne aid)...76 erythromycin (ophth)...67 erythromycin base...10 erythromycin cap 250mg ec...10 erythromycin ethylsuccinate...11 ESBRIET...75 escitalopram oxalate...29 esomeprazole magnesium...53 esomeprazole sodium inj...53 estarylla tab estrace...45 estradiol...45 estradiol valerate...45 ethambutol hcl... 8 ethosuximide...26 etodolac... 2 etodolac er... 2 etoposide...17 EURAX...80 EVOTAZ... 8 EXELON PATCHES...28 exemestane...14 EXJADE...41 EZFE FORTE...65 F FABRAZYME...45 falmina 28 day famciclovir... 9 famotidine famotidine inj famotidine-calcium carbonatemagnesium hydroxide FANAPT FANAPT TITRATION PACK FARESTON FARXIGA FARYDAK FASLODEX FAZACLO TAB 150MG FAZACLO TAB 200MG FEBROL... 1 felbamate felodipine fenofibrate fenofibrate micronized fentanyl citrate... 2 fentanyl patch 100 mcg/hr... 3 fentanyl patch 12 mcg/hr... 2 fentanyl patch 25 mcg/hr... 2 fentanyl patch 50 mcg/hr... 3 fentanyl patch 75 mcg/hr... 3 FENTORA... 3 ferretts FERRETTS IPS FERRIMIN FERRIPROX FERROUS FUMARATE ferrous gluconate FERROUS GLUCONATE ferrous sulfate FERROUS SULFATE ferrous sulfate dried FETZIMA FETZIMA TITRATION PACK FEVERALL INFANTS... 1 fexofenadine hcl fexofenadine-pseudoephedrine fiber FIBER finasteride FIRAZYR FLEBOGAMMA FLEBOGAMMA DIF

104 flecainide acetate...19 FLEET BISACODYL...51 FLORASTOR KIDS...48 FLOVENT DISKUS...75 FLOVENT HFA...75 fluconazole... 6 fluconazole in dextrose... 6 fluconazole in nacl... 6 flucytosine... 6 fludarabine phosphate...13 fludrocortisone acetate...46 flunisolide (nasal)...75 fluocinolone acetonide...78 fluocinolone acetonide (otic)...81 fluocinonide... 78, 79 fluocinonide-e 0.05% cream...79 FLUOROMETHOLONE...68 fluorouracil...13 fluorouracil (topical)...80 fluoxetine cap 10mg...29 fluoxetine cap 20mg...29 fluoxetine cap 40mg...29 fluoxetine hcl...30 fluphenazine decanoate...32 fluphenazine hcl...32 flurbiprofen... 2 flurbiprofen sodium...68 flutamide...14 fluticasone propionate...79 fluticasone propionate (nasal)...75 fluvoxamine maleate...25 FOLGARD...56 folic acid...65 FOLIC ACID...65 folic acid-vitamin b6-vitamin b FOLITAB fondaparinux sodium...54 FORTEO...47 FORTICAL...47 fosinopril sodium...17 fosinopril sodium & hydrochlorothiazide...17 FREAMINE HBC 6.9%...61 FREAMINE III...61 FRESHKOTE...69 FUNGOID TINCTURE...77 furosemide...23 furosemide inj FUROSEMIDE INJ FUSILEV FUZEON... 7 fyavolv tab 1 mg-5 mcg FYCOMPA G gabapentin... 26, 27 GABITRIL galantamine hydrobromide galantamine hydrobromide er GAMASTAN S/D GAMMAGARD LIQUID GAMMAGARD S/D GAMMAKED GAMMAPLEX GAMUNEX-C ganciclovir inj 500mg... 9 GARDASIL GARDASIL gatifloxacin (ophth) GATTEX GAUZE PADS 2" X 2" gaviltye-g gavilyte-c gavilyte-h gavilyte-n GAVISCON GAVISCON EXTRA STRENGTH R gemcitabine hcl GEMCITABINE HCL gemfibrozil generlac gengraf gentak gentamicin in saline... 5 gentamicin sulfate... 5 gentamicin sulfate (ophth) gentamicin sulfate (topical) GENTIAN VIOLET GENVOYA... 8 GEODON GIANVI gildagia gildess 1.5/30 21 day GILENYA CAP 0.5MG GILOTRIF TAB 20MG

105 GILOTRIF TAB 30MG...15 GILOTRIF TAB 40MG...15 glatopa...37 GLEOSTINE...12 glimepiride...40 glip/metform tab 5-500mg...40 glipizide...40 GLIPIZIDE XL TB24 2.5MG...40 GLIPIZIDE XL TB24 5MG...40 glipizide-metformin hcl tab mg...40 glipizide-metformin hcl tab mg...40 GLUCAGEN HYPOKIT...46 GLUCAGON EMERGENCY KIT...47 glycerin-hypromellose-polyethylene glycol glycopyrrolate...50 glycopyrrolate inj...50 GOLYTELY...51 granisetron hcl...49 GRANIX...55 griseofulvin microsize... 6 griseofulvin ultramicrosize... 6 guaifenesin...73 guaifenesin-codeine...73 guanfacine er (adhd)...35 H halobetasol propionate...79 haloperidol...32 haloperidol decanoate...32 haloperidol lactate inj 5 mg/ml...32 haloperidol lactate oral conc 2 mg/ml..32 HARVONI... 9 HAVRIX...59 heather...42 HEPARIN SOD (PORCINE) IN D5W...55 heparin sod inj 1000/ml...55 heparin sod inj 10000/ml...55 heparin sod inj 20000/ml...55 heparin sod inj 5000/ml...55 HEPARIN SODIUM/D5W...55 HEPARIN SODIUM/NACL 0.45%...55 HEPATAMINE...61 HERCEPTIN...14 HETLIOZ...35 HEXALEN...12 HIBERIX HONEY BEARS HONEY BEARS W/IRON AND ZI HUMIRA INJ 10MG/0.2ML HUMIRA KIT 20MG/0.4ML HUMIRA KIT 40MG/0.8ML HUMIRA PEDIATRIC CROHNS HUMIRA PEN HUMIRA PEN-CROHNS DISEASE HUMIRA PEN-PSORIASIS STAR HUMULIN R U-500 VIAL (CONCENTRATE) hydralazine hcl hydrochlorothiazide HYDROCIL INSTANT hydroco/apap tab mg... 3 hydroco/apap tab 5-325mg... 3 hydroco/apap tab hydrocodone-acetaminophen mg/15ml... 3 hydrocodone-ibuprofen tab mg 3 hydrocortisone HYDROCORTISONE (INTRARECTAL) hydrocortisone (topical)... 77, 79 hydrocortisone acetate-aloe vera hydrocortisone butyrate hydrocortisone valerate hydrocortisone-aloe vera hydromorphon inj 10mg/ml... 3 hydromorphone hcl... 3 hydroxocobalamin hydroxychloroquine sulfate hydroxyprogesterone caproate (antineoplastic) hydroxyurea hydroxyzine hcl hydroxyzine pamoate HYPOTEARS hypromellose (gonioscopic) hypromellose (ophth) I ibandronate tab 150mg IBRANCE ibuprofen... 1, 2 IBUPROFEN... 1 ibuprofen-diphenhydramine citrate ICAPS LUTEIN/ZEAXANTHIN F

106 ICLUSIG...15 idarubicin hcl...12 IFEX INJ 3GM...12 ifosfamide inj 1gm...12 ifosfamide inj 1gm/20ml...12 IFOSFAMIDE INJ 3GM...12 ifosfamide inj 3gm/60ml...12 ILEVRO...68 ilotycin...68 imatinib mesylate...15 IMBRUVICA CAP 140MG...15 imipenem-cilastatin... 5 imipramine hcl...30 imiquimod...80 IMOVAX RABIES (H.D.C.V.)...59 INCRELEX...47 INCRUSE ELLIPTA...70 indapamide...23 INFANRIX...59 INLYTA...15 INSULIN PEN NEEDLE...39 INSULIN SAFETY NEEDLES...39 INSULIN SYRINGE...39 INTEGRA...56 INTELENCE... 7 INTRALIPID INJ 20%...61 INTRALIPID INJ 30%...61 INTRON-A INJ 10MU...57 INTRON-A INJ 18MU...57 INTRON-A INJ 25MU...57 INTRON-A INJ 50MU...58 introvale 91 day...42 INVANZ... 5 INVEGA...32 INVEGA SUST INJ 117 MG/0.75 ML...32 INVEGA SUST INJ 156MG/ML...32 INVEGA SUST INJ 234 MG/1.5 ML...32 INVEGA SUST INJ 39 MG/0.25 ML...32 INVEGA SUST INJ 78 MG/0.5 ML...32 INVEGA TRINZA...32 INVIRASE... 7 INVOKAMET TAB INVOKAMET TAB INVOKAMET TAB INVOKAMET TAB MG...40 INVOKANA...40 IONOSOL-B/DEXTROSE 5%...61 IONOSOL-MB/DEXTROSE 5% IPOL INACTIVATED IPV ipratropium bromide ipratropium bromide (nasal) ipratropium-albuterol nebu irbesartan irbesartan-hydrochlorothiazide IRESSA irinotecan inj 100/5ml irinotecan inj 40mg/2ml irinotecan inj 500mg/25ml IRON IRON CHEWS PEDIATRIC IRON UP iron w/ vitamins iron-vitamin c iron-vitamin c-vitamin b12-folic acid ISENTRESS... 7 ISOLYTE P ISOLYTE S isoniazid... 8 isoniazid inj 100 mg/ml... 8 isoniazid syp 50mg/5ml... 8 ISOPTO TEARS isosorb mononitrate tab isosorbide dinitrate isosorbide dinitrate er isosorbide mononitrate er isradipine ISTALOL ISTODAX itraconazole... 6 ivermectin... 5 IXIARO J JAKAFI jantoven JANUMET JANUMET XR TAB JANUMET XR TAB JANUMET XR TAB MG JANUVIA JENTADUETO JENTADUETO XR MG JENTADUETO XR MG jinteli J-MAX

107 JOLESSA TAB MG...42 JOLIVETTE...42 J-TAN D PD...73 J-TAN PD...71 juleber 28 day...42 junel 1.5/30 21 day...42 junel 1/20 21 day...42 junel fe 1.5/30 28 day...43 junel fe 1/20 28 day...43 JUXTAPID...20 K KADCYLA...14 KALETRA SOL... 8 KALETRA TAB MG... 8 KALETRA TAB MG... 8 KALYDECO...75 kariva 28 day...43 KCL 0.075%/D5W/NACL 0.45%...62 KCL 0.15%/D5W/NACL 0.9%...62 KCL 0.3%/D5W/NACL 0.45%...62 KCL 0.3%/D5W/NACL 0.9%...61 KCL IN NACL INJ KCL/D5W INJ 0.3%...62 KCL/D5W/NACL INJ.15/.33%...62 KCL/D5W/NACL INJ.15/.45%...62 KCL/D5W/NACL INJ 0.22%/0.45%...62 KCL/NACL INJ 0.15%-0.9%...62 KCL/NACL INJ KCL0.15%/D5W/NACL0.2%...61 KCL0.15%/D5W/NACL0.225%...61 kelnor 1/35 28 day...43 ketoconazole... 6 ketoconazole cream...77 ketoconazole shampoo...78 ketoprofen... 2 ketorolac tromethamine (ophth)...68 ketotifen fumarate (ophth)...68 KEYTRUDA...14 kimidess 28 day...43 KINRIX...59 kionex...41 KLOR-CON KLOR-CON klor-con m klor-con m klor-con m klor-con pow 20meq...59 klor-con spr cap 10meq klor-con spr cap 8meq KONSYL KONSYL-D KORLYM KPN PRENATAL KUVAN KYNAMRO L labetalol hcl LACTATED RINGER'S INJ lactobacillus lactobacillus rhamnosus (gg) lactulose lactulose (encephalopathy) LAMISIL ADVANCED lamivudine... 7 lamivudine (hbv)... 9 lamivudine-zidovudine... 8 lamotrigine lansoprazole LANTUS LANTUS SOLOSTAR larin 1.5/ larin 1/ larin fe 1.5/ larin fe 1/ larissia 28 day pack LASTACAFT latanoprost LATUDA... 32, 33 leena tab leflunomide LENVIMA 10 MG DAILY DOSE LENVIMA 14 MG DAILY DOSE LENVIMA 18 MG DAILY DOSE LENVIMA 20 MG DAILY DOSE LENVIMA 24 MG DAILY DOSE LENVIMA 8 MG DAILY DOSE lessina 28 day LETAIRIS letrozole leucovorin calcium leucovorin calcium for inj 500 mg LEUKERAN LEUKINE leuprolide acetate

108 levalbuterol conc 1.25mg/0.5ml...71 LEVEMIR...39 LEVEMIR FLEXTOUCH...39 levetiracetam...27 LEVETIRACETAM IV...27 levetiracetam oral soln 100 mg/ml...27 levobunolol hcl...69 levocarnitine (metabolic modifiers)...45 levocetirizine dihydrochloride...71 levofloxacin...11 levofloxacin in d5w...11 levofloxacin inj 25mg/ml...11 levofloxacin oral soln 25 mg/ml...11 levoleucovorin calcium...16 levonest 28 day...43 levonor/ethi tab...43 levonorgestrel & eth estradiol...43 levonorgestrel (emergency oc)...43 levonorgestrel-ethinyl estradiol (91-day)...43 levora 0.15/30 28 day...43 levothyroxine sodium...48 LEVOXYL...48 LEXIVA... 7 lidocaine...79 lidocaine hcl...79 lidocaine hcl (local anesth.)... 4 lidocaine hcl (mouth-throat)...81 lidocaine inj 0.5%... 4 lidocaine inj 1%... 4 lidocaine inj 1.5%... 4 lidocaine inj 2%... 4 lidocaine oint 5%...79 lidocaine-prilocaine...79 linezolid SOLN... 5 LINEZOLID IN SODIUM CHLORIDE... 5 LINEZOLID SUSR; TABS... 5 LINZESS...52 liothyronine sodium...48 LIQUID CALCIUM WITH D3 MA...63 lisinopril...17 lisinopril & hydrochlorothiazide...17 lithium carbonate...36 lithium carbonate er...36 LITHIUM SOLN 8MEQ/5ML...36 LOCALNESIUM...64 LOCALNESIUM-C...64 LODRANE D LOHIST-D lokara LONSURF loperamide hcl... 48, 52 loratadine loratadine & pseudoephedrine lorazepam lorcet hd tab mg... 3 lorcet plus tab lorcet tab 5-325mg... 3 lortab tab mg... 3 lortab tab 5-325mg... 3 lortab tab loryna 28 day losartan potassium losartan-hydrochlorothiazide LOTEMAX LOTRIMIN ULTRA lovastatin low-ogestrel loxapine succinate LUMIGAN LUMITENE LUMIZYME LUPRON DEPOT LUPRON DEPOT INJ MG LUPRON DEP-PED INJ 11.25MG LUPRON DEP-PED INJ 15MG LUPRON DEP-PED INJ 30MG (3-MONTH) LUPRON DEP-PED INJ 7.5MG lutera 28 day LYNPARZA LYRICA LYSODREN lyza M MAG-AL MAGINEX MAGNEBIND magnesium MAGNESIUM magnesium chloride magnesium chloride-calcium carbonate magnesium citrate

109 MAGNESIUM CITRATE...64 MAGNESIUM ELEMENTAL...64 magnesium hydroxide...51 magnesium oxide...48 MAGNESIUM OXIDE...48 magnesium oxide (laxative)...51 magnesium oxide (mg supplement)...64 magnesium sulfate...60 MAGNESIUM SULFATE...60 magnesium sulfate (laxative)...51 MAGNESIUM SULFATE IN D5W...60 MAG-TAB SR...64 malathion...80 maprotiline hcl...30 marlissa 28 day...43 MARPLAN TAB 10MG...30 MATULANE...16 MAXIDEX...68 meclizine hcl...49 MEDROXYPROGESTERONE ACETATE (CONTRACEPTIVE)...43 medroxyprogesterone acetate 150 mg/ml...43 medroxyprogesterone acetate tab...47 mefloquine hcl... 7 megestrol ac sus 40mg/ml...14 megestrol ac tab 20mg...14 megestrol ac tab 40mg...14 MEGESTROL SUS 625MG/5ML...15 MEKINIST...15 meloxicam... 2 MELOXICAM... 2 melphalan hcl...12 memantine hcl...28 MENACTRA...59 M-END DMX...73 MENHIBRIX...59 MENOMUNE-A/C/Y/W MENVEO...59 MEPHYTON...66 mercaptopurine...13 meropenem... 5 MESALAMINE...50 mesalamine enema...50 mesalamine w/ cleanser...50 mesna...16 MESNEX...17 metadate er tab 20mg METAMUCIL METAMUCIL MULTIHEALTH FIB METAMUCIL SMOOTH TEXTURE metformin er metformin hcl methadone hcl... 3 methazolamide methenamine hippurate... 5 methimazole methotrexate sodium METHOTREXATE SODIUM 50mg/2ml methotrexate sodium inj methotrexate sodium tabs methyclothiazide methylcellulose (laxative) methylergonovine maleate methylphenidate hcl methylphenidate hcl oral soln methylpr ace inj 40mg/ml methylpr ace inj 80mg/ml methylpr ss inj 125mg methylpr ss inj 1gm methylpr ss inj 40mg methylpred pak 4mg methylpred tab 16mg methylpred tab 32mg methylpred tab 4mg methylpred tab 8mg metipranolol metoclopramide hcl metoclopramide inj metolazone metoprolol & hctz tab mg metoprolol & hctz tab mg metoprolol & hctz tab 50-25mg metoprolol succinate metoprolol tartrate metronidazole... 5 metronidazole (topical) metronidazole gel 0.75% metronidazole in nacl... 5 metronidazole vaginal mexiletine hcl MEXSANA MIACALCIN mi-acid

110 miconazole nitrate (topical)...77 miconazole nitrate vaginal...54 MICROGESTIN 1.5/ MICROGESTIN 1/ MICROGESTIN FE 1.5/ MICROGESTIN FE 1/ midodrine hcl...23 MILK OF MAGNESIA CONCENTR...51 mineral oil...51 MINERAL OIL...51 minitran...23 minocycline hcl...12 minoxidil...23 mirtazapine...30 misoprostol...52 MISSION PRENATAL...66 MISSION PRENATAL HP...66 mitomycin...12 mitoxantrone hcl...16 M-M-R II...59 moderiba 800 dose pack... 9 moderiba pak 1000/day... 9 MODERIBA PAK 1200/DAY... 9 moderiba pak 600/day... 9 moderiba tab 200mg... 9 moexipril hcl...18 moexipril-hydrochlorothiazide...17 molindone hcl...33 mometasone furoate...79 mometasone furoate (nasal)...75 mono-linyah tab MONONESSA...43 montelukast sodium...75 morgidox...12 morphine ext-rel tab... 3 MORPHINE SUL INJ 10MG/ML... 4 MORPHINE SUL INJ 15MG/ML... 4 MORPHINE SUL INJ 1MG/ML... 3 MORPHINE SUL INJ 4MG/ML... 4 morphine sulfate... 4 MORPHINE SULFATE... 4 morphine sulfate beads... 4 morphine sulfate cap 100mg er... 4 MORPHINE SULFATE ORAL SOL... 4 MOVANTIK...52 MOVIPREP...51 MOXEZA...68 MOZOBIL MUCINEX COUGH FOR KIDS MUCINEX D MUCINEX D MAXIMUM STRENGT MUCINEX FOR KIDS MUCINEX MAXIMUM STRENGTH MULTAQ MULTI-DELYN/IRON multiple vitamins w/ iron multiple vitamins w/ minerals mupirocin MURO MUSTARGEN MYCAMINE... 6 mycophenolate mofetil mycophenolate sodium MYKIDZ IRON MYKIDZ IRON myorisan MYOZYME MYRBETRIQ myzilra N nabumetone... 2 nadolol nafcillin sodium NAGLAZYME nalbuphine hcl... 2 naloxone inj 0.4mg/ml naloxone inj 1mg/ml naltrexone hcl NAMENDA XR NAMENDA XR TITRATION PACK NAMZARIC naphazoline hcl NAPHAZOLINE W/ PHENIRAMINE naphazoline-glycerin naproxen... 2 naproxen sodium... 1, 2 NAPROXEN SODIUM... 1 naratriptan hcl NASAL DECONGESTANT NASCOBAL NASONEX NASOPEN PE NATACYN nateglinide

111 NATPARA...47 NEBUPENT... 6 necon 0.5/35 28 day...43 necon 1/35 28 day...43 necon 10/11 28 day...44 NECON 7/7/ NECON TAB 1/ nefazodone hcl...30 neomycin sulfate... 5 neomycin-bacitracin zn-polymyxin...68 neomycin-bacitracin-polymyxin...77 neomycin-polymy-dexameth...67 neomycin-polymyxin-gramicidin...68 neomycin-polymyxin-hc (ophth)...67 neomycin-polymyxin-hc (otic)...81 NEORAL...58 NEPHRAMINE...61 NEPHRONEX...66 NEUMEGA...55 NEUPOGEN...55 NEUPRO...31 nevirapine... 7 NEVIRAPINE... 7 NEXAFED SINUS PRESSURE NEXAVAR...15 NEXIUM CAP 20MG...53 NEXIUM CAP 40MG...53 NEXIUM GRA 10MG DR...53 NEXIUM GRA 2.5MG DR...53 NEXIUM GRA 20MG DR...53 NEXIUM GRA 40MG DR...53 NEXIUM GRA 5MG DR...53 niacin...66 niacin er (antihyperlipidemic)...20 NIACIN TR...66 niacinamide...66 niacor...20 nicardipine hcl...22 nicotine...38 nicotine polacrilex...38 NICOTINE POLACRILEX...38 NICOTINE TRANSDERMAL SYST...38 NICOTROL INHALER...38 NICOTROL NS...38 nifedical...22 nifedipine...22 nifedipine er...22 nikki 28 day NILANDRON nilutamide nimodipine NINLARO NIPENT nitro-bid NITRO-DUR DIS 0.3MG/HR NITRO-DUR DIS 0.8MG/HR nitrofurantoin macrocrystal... 6 nitrofurantoin monohyd macro... 6 nitroglycerin NITROSTAT NORA-BE TAB NORDITROPIN FLEXPRO NOREL AD norethindrone (contraceptive) norethindrone acetate norethindrone acetate-ethinyl estradiol 46 norgest/ethi tab 0.25/ norgestimate-ethinyl estradiol (triphasic) norlyroc 28 day NORMOSOL-M IN D5W NORMOSOL-R NORMOSOL-R IN D5W NORPACE CR nortrel 0.5/35 28 day nortrel 1/35 21 day nortrel 1/35 28 day nortrel 7/7/7 28 day nortriptyline hcl NORVIR... 7 NOVAFERRUM NOVAFERRUM PEDIATRIC DROP NOVOLIN 70/ NOVOLIN N NOVOLIN R NOVOLOG NOVOLOG FLEXPEN NOVOLOG MIX 70/ NOVOLOG MIX 70/30 PREFILL NOVOLOG PENFILL NOXAFIL... 6 NUEDEXTA NULOJIX NULYTELY/FLAVOR PACKS

112 NUPLAZID...33 NUTRILIPID INJ 20%...61 NUTRISOURCE FIBER...51 NUVARING...44 NUVIGIL...37 nyamyc...77 NYMALIZE...22 nystatin... 6 nystatin (mouth-throat)...81 nystatin (topical)...77 nystop...77 O OCELLA TAB MG...44 OCTAGAM...57 octreotide acetate...47 ODOMZO...16 OFEV...75 ofloxacin (ophth)...68 ofloxacin (otic)...81 olanzapine...33 olopatadine hcl (nasal)...71 omega-3-acid ethyl esters...20 omeprazole...53 OMEPRAZOLE...53 omeprazole-sodium bicarbonate...53 ondansetron hcl...49 ondansetron hcl inj...49 ondansetron hcl oral soln...49 ondansetron odt...49 ONFI...27 ophthalmic irrigation solution...70 OPSUMIT...24 oral electrolytes...60 ORFADIN...45 ORKAMBI...75 orsythia 28 day...44 OSTEO-PORETICAL...64 oxacillin sodium...11 oxaliplatin...16 oxandrolone...39 oxcarbazepine...27 oxybutynin chloride...54 oxycodone hcl... 4 OXYCODONE HCL... 4 oxycodone w/ acetaminophen mg... 4 oxycodone w/ acetaminophen mg... 4 oxycodone w/ acetaminophen 5-325mg 4 oxycodone w/ acetaminophen mg... 4 oxycodone w/ acetaminophen soln mg/5ml... 4 oxymetazoline hcl oyster shell P pacerone paclitaxel paliperidone pamidronate disodium PANOXYL-4 CREAMY WASH PANRETIN pantoprazole sodium tbec paricalcitol paroex sol 0.12% paromomycin sulfate... 5 paroxetine hcl tabs PARVA-CAL paser d/r... 8 PATADAY PAXIL PAZEO PEDIA-LAX PEDIARIX pediatric multiple vitamin w/ c pediatric multiple vitamin w/ c & fa pediatric multiple vitamin w/ extra c & fa pediatric multiple vitamin w/ minerals & c pediatric multiple vitamins pediatric multiple vitamins w/ iron pediatric vitamins adc PEDVAX HIB PEG 3350/ELECTROLYTES PEG 3350-KCL-SOD BICARB-SOD CHLORIDE-SOD SULFATE peg 3350-potassium chloride-sod bicarbonate-sod chloride PEGANONE PEGASYS... 9 PEGASYS PROCLICK... 9 PEGINTRON... 9 PEG-INTRON REDIPEN

113 PENICILLIN G POT IN DEXTROSE...11 penicillin g procaine...11 penicillin g sodium...11 penicillin gk inj 20mu...11 penicillin gk inj 5mu...11 penicillin v potassium...11 PENTACEL...59 PENTAM pentoxifylline...56 PEPCID AC...50 PERFOROMIST...71 perindopril erbumine...18 periogard...81 permethrin...80 permethrin & pyrethrins-piperonyl butoxide...80 perphenazine...33 PERRY PRENATAL...66 pfizerpen-g inj 5mu...11 phenadoz...49 PHENAGIL...73 phenelzine sulfate...30 phenergan...49 phenobarbital...27 phenobarbital sodium...27 PHENOBARBITAL SODIUM...27 phenylephrine hcl...73 phenylephrine hcl (oral)...73 phenylephrine w/ acetaminophen...73 phenylephrine w/ dm-gg...73 phenylephrine-acetaminophenguaifenesin...73 phenylephrine-brompheniramine-dm...73 phenylephrine-chlorphen-dm...73 phenylephrine-chlorpheniramine-dm w/ apap...73 phenylephrine-dm...73 phenylephrine-dm-gg w/ apap...73 phenylephrine-doxylaminedextromethorphan-acetaminophen...74 phenylephrine-guaifenesin...74 phenytek...27 phenytoin...27 phenytoin sodium...27 phenytoin sodium extended...27 philith...44 PHOS-NAK POWDER CONCENTRA...64 PHOSPHOLINE IODIDE phytonadione PILOCARPINE HCL pilocarpine hcl (oral) PILOCARPINE HCL (ORAL) pimozide pimtrea pack pindolol pioglitazone hcl piperacillin sodium-tazobactam sodium 11 pirmella 1/35 28 day piroxicam... 2 PLASMA-LYTE A PLASMA-LYTE PLASMA-LYTE-56/D5W podofilox polyethylene glycol polyethylene glycol-propylene glycol (ophth) polymyxin b-trimethoprim polysaccharide iron complex polyvinyl alcohol polyvinyl alcohol-povidone (ophth) POMALYST CAP 1MG POMALYST CAP 2MG POMALYST CAP 3MG POMALYST CAP 4MG portia 28 day pot chloride inj 2meq/ml potassium chloride POTASSIUM CHLORIDE... 60, 62 potassium chloride in nacl potassium chloride microencapsulated crystals cr POTASSIUM CHLORIDE TAB CR 10 MEQ potassium citrate (alkalinizer) POTASSIUM CITRATE (ALKALINIZER). 53 POTIGA povidone-iodine vaginal PRADAXA PRALUENT pramipexole dihydrochloride pravastatin sodium prazosin hcl pred sod pho sol 5mg/5ml PREDNISOLONE ACETATE (OPHTH)

114 prednisolone sodium phosphate (ophth)...68 prednisolone sol 15mg/5ml...46 prednisolone sol 25mg/5ml...46 prednisolone syp 15mg/5ml...46 prednisone con 5mg/ml...46 prednisone pak 10mg...46 prednisone pak 5mg...46 prednisone sol 5mg/5ml...46 prednisone tab 10mg...46 prednisone tab 1mg...46 prednisone tab 2.5mg...46 prednisone tab 20mg...46 prednisone tab 50mg...46 prednisone tab 5mg...46 premasol sol 10%...61 premasol sol 6%...61 PRENATAL...66 PRENATAL VITAMIN/FOLIC ACID > 0.8 MG (GENERIC)...66 PRETZ...74 prevalite...20 previfem 28 day...44 PREZCOBIX... 8 PREZISTA... 7 PRIFTIN... 8 PRILOSEC OTC...53 PRIMAQUINE PHOSPHATE... 7 primidone...27 PRISTIQ...30 PRIVIGEN...57 probenecid... 1 PROCALAMINE...61 PRO-CHLO...74 prochlorperazine inj...49 prochlorperazine maleate...49 prochlorperazine supp...49 PROCRIT...55 procto-med...77 procto-pak...78 proctosol hc cre 2.5%...78 proctozone hc...78 PROFE...56 PROGLYCEM SUS 50MG/ML...47 PROGRAF...58 PROLASTIN-C...75 PROLENSA...70 PROLEUKIN PROLIA PROMACTA promethazine hcl promethegan propafenone hcl propafenone hcl 12hr proparacaine hcl propranolol & hydrochlorothiazide propranolol cap er propranolol hcl propylene glycol-glycerin propylthiouracil PROQUAD PROSOL protriptyline hcl PRUDOXIN CRE 5% pseudoephed-bromphen-dm pseudoephed-doxyl-dm w/apap pseudoephedrine hcl pseudoephedrine w/ dm-gg pseudoephedrine-chlorphen-dm pseudoephedrine-dexchlorpheniraminechlophedianol pseudoephedrine-guaifenesin psyllium PULMICORT FLEXHALER PULMOZYME PURIXAN pyrazinamide... 8 PYRETHINS/PIPERONYL BUTO pyrethrins-piperonyl butoxide pyridostigmine bromide pyridoxine hcl pyrilamine maleate-phenylephrine hcl tannate pyrilamine-phenylephrine Q QUADRACEL quasense 91 day quetiapine fumarate quinapril hcl quinapril-hydrochlorothiazide quinidine gluconate quinidine sulfate quinine sulfate

115 R RA CALAMINE...80 RA CALCIUM/BORON...64 ra oyster shell calcium/v...64 RA OYSTER SHELL CALCIUM/V...64 RA PROBIOTIC COMPLEX...49 RABAVERT...59 raloxifene hcl...47 ramipril...18 RANEXA...23 ranitidine hcl...50 ranitidine hcl inj...50 ranitidine syrup...50 RAPAMUNE...58 RAVICTI...45 REBETOL SOLN... 9 reclipsen 28 day...44 RECOMBIVAX HB...59 REFRESH CELLUVISC...70 REFRESH OPTIVE ADVANCED...70 REGRANEX...80 RELENZA DISKHALER... 9 RELISTOR...52 RELPAX...36 REMICADE...57 REMODULIN...24 RENVELA PAK 0.8GM...47 RENVELA PAK 2.4GM...47 RENVELA TAB 800MG...47 repaglinide...41 RESCON...74 RESCON DM...74 RESCRIPTOR... 7 RESPAIRE RESTASIS...70 RETAINE MGD...70 RETROVIR IV INFUSION... 7 REVATIO...24 REVLIMID...58 REXULTI...33 REYATAZ... 7 RHINARIS...74 ribapak mis 600/day... 9 ribasphere... 9 ribasphere ribapak ribasphere ribapak ribasphere ribapak ribavirin 200mg... 9 riboflavin RID ESSENTIAL LICE ELIMIN rifabutin... 8 rifampin... 8 RIFATER... 8 riluzole rimantadine hydrochloride... 9 RINGER'S RISA-BID PROBIOTIC RISAMINE RISPERDAL INJ 12.5MG RISPERDAL INJ 25MG RISPERDAL INJ 37.5MG RISPERDAL INJ 50MG risperidone... 33, 34 RITUXAN rivastigmine tartrate rivastigmine td patch 24hr 13.3 mg/24hr rivastigmine td patch 24hr 4.6 mg/24hr rivastigmine td patch 24hr 9.5 mg/24hr rizatriptan benzoate ROBITUSSIN CHILDRENS COUG ROBITUSSIN PEAK COLD NIGH ropinirole hydrochloride rosadan cre 0.75% ROTARIX ROTATEQ ROZEREM RYMED S SABRIL saline SANDIMMUNE SANDOSTATIN LAR DEPOT SANTYL SAPHRIS SCOOBY-DOO ONE A DAY SCOT-TUSSIN SENIOR SECURA EXTRA PROTECTIVE selegiline hcl selenium SELENIUM selenium sulfide

116 SELZENTRY... 7 SENNA...52 SENNA PROMPT...52 sennosides...52 sennosides-docusate sodium...52 SENSI-CARE PROTECTIVE BAR...80 SENSIPAR...41 SEREVENT DISKUS...71 SEROQUEL XR...34 sertraline hcl...30 setlakin tab...44 sharobel 28 day...44 SIGNIFOR...47 sildenafil citrate (pulmonary hypertension)...24 SILENOR...35 SILVER SULFADIAZINE...77 SIMBRINZA...69 simvastatin...20 sirolimus...58 SIROLIMUS...58 SIRTURO... 8 SIVEXTRO... 6 slow release iron...56 SLOW RELEASE IRON...56 SLOW-MAG...64 SM CORAL CALCIUM...64 SM SLOW RELEASE IRON...56 SM VITAMIN D3 MAXIMUM STR...66 SODIUM BICARBONATE...48 SODIUM CHLORIDE... 60, 62 SODIUM CHLORIDE 0.45% VIA...62 SODIUM CHLORIDE 0.9%...80 sodium chloride hypertonic...70 SODIUM CHLORIDE INJ 0.9%...62 SODIUM FLUORIDE CHEW TAB 1.1 (0.5 F) MG/ML SOLN...60 sodium phenylbutyrate...45 sodium phosphates...52 sodium polystyrene sulfonate...41 SOLTAMOX...15 SOLU-CORTEF...46 SOMATULINE DEPOT...47 SOMAVERT...47 SOOTHE...70 sorine...19 sotalol hcl...20 sotalol hcl (afib/afl) SOVALDI... 9 specialty vitamins products spironolactone spironolactone & hydrochlorothiazide.. 23 sprintec 28 day SPRITAM SPRYCEL sps sronyx SSD STAHIST AD stavudine... 7 STERILE LUBRICANT DROPS STERILE WATER IRRIGATION STIVARGA STRATTERA streptomycin sulfate... 5 STRIBILD... 8 SUBOXONE MIS 12-3MG SUBOXONE MIS 2-0.5MG SUBOXONE MIS 4-1MG SUBOXONE MIS 8-2MG SUCRAID sucralfate sulfacet sod oin 10% op sulfacetamide sodium (acne) sulfacetamide sodium (ophth) sulfacetamide sod-prednisolone sulfadiazine... 5 sulfamethoxazole-trimethoprim... 6 sulfamethoxazole-trimethoprim inj... 6 SULFAMYLON sulfasalazine sulfasalazine ec sulindac... 2 SUMATRIPTAN sumatriptan inj 4mg/0.5ml SUMATRIPTAN INJ 4MG/0.5ML sumatriptan inj 6mg/0.5ml SUMATRIPTAN INJ 6MG/0.5ML sumatriptan succinate suprax SUPRAX SUPREP BOWEL PREP SURMONTIL CAP 100MG SURMONTIL CAP 25MG

117 SURMONTIL CAP 50MG...30 SUSTIVA... 7 SUTENT...15 syeda...44 SYLATRON KIT 200MCG...16 SYLATRON KIT 300MCG...16 SYLATRON KIT 600MCG...16 SYMBICORT...76 SYMLINPEN SYMLINPEN SYNAGIS...59 SYNAREL...45 SYNERCID... 6 SYNRIBO...16 SYNTHROID...48 SYPRINE...42 SYSTANE BALANCE RESTORATI...70 SYSTANE OVERNIGHT THERAPY...70 T TABLOID...13 tacrolimus...58 tacrolimus (topical)...80 TAFINLAR...15 TAGRISSO...15 TAMIFLU... 9 tamoxifen citrate...15 tamsulosin hcl...53 TARCEVA...16 TARGRETIN...80 tarina fe 1/20 28 day...44 TASIGNA...16 tazicef...10 tazicef vial...10 TAZORAC...78 taztia...22 TEARS AGAIN NIGHT & DAY...70 TECENTRIQ...14 TEFLARO...10 TEGRETOL...27 TEGRETOL-XR...27 TEKTURNA...22 TEKTURNA HCT TAB MG...22 TEKTURNA HCT TAB MG...23 TEKTURNA HCT TAB MG...23 TEKTURNA HCT TAB MG...23 temazepam...36 TENIVAC...59 terazosin hcl terbinafine hcl... 6 terbinafine hcl (topical) terbutaline sulfate terconazole vaginal testosterone cypionate testosterone enanthate TETANUS/DIPHTHERIA TOXOID tetrabenazine tetrahydrozoline hcl (ophth) tetrahydrozoline w/ zinc sulfate texacort soln 2.5% THALOMID theo theophylline THERA/BETA-CAROTENE THERA-D THERANATAL CORE NUTRITION THERATEARS thiamine hcl thiamine mononitrate thioridazine hcl thiothixene tiagabine hcl TIKOSYN timolol maleate timolol maleate (ophth) TIMOLOL MALEATE GEL tioconazole vaginal TIVICAY... 7 tizanidine hcl TOBRADEX TOBRADEX ST tobramycin... 5 tobramycin (ophth) tobramycin sulfate... 5 tobramycin-dexamethasone TOBREX tolnaftate tolterodine tartrate cap er tolterodine tartrate tabs topiramate toposar topotecan hcl torsemide inj torsemide tabs TOUJEO SOLOSTAR

118 TOVIAZ...54 TPN ELECTROLYTES...60 TRACLEER...24 TRADJENTA...41 tramadol hcl... 2 tramadol-acetaminophen... 2 trandolapril...18 tranexamic acid...56 TRANSDERM-SCOP...49 tranylcypromine sulfate...30 TRAVASOL...61 TRAVATAN Z...69 trazodone hcl...30 TREANDA...12 TRECATOR... 8 TRELSTAR DEP INJ 3.75MG...15 TRELSTAR LA INJ 11.25MG...15 TRESIBA FLEXTOUCH...39 tretinoin...76 TRETINOIN...76 tretinoin (chemotherapy)...16 triamcinolone acetonide (mouth)...81 triamcinolone acetonide (topical)...79 TRIAMINIC COUGH & RUNNY N...71 TRIAMINIC FEVER REDUCER P... 1 TRIAMINIC NIGHT TIME COLD...74 triamterene & hydrochlorothiazide...23 triamterene & hydrochlorothiazide cap mg...23 TRIBENZOR TAB MG...19 TRIBENZOR TAB TRIBENZOR TAB MG...19 TRIBENZOR TAB MG...19 TRIBENZOR TAB MG...19 triderm...79 trifluoperazine hcl...34 trifluridine...68 trihexyphenidyl hcl...31 tri-legest 28 day...44 tri-linyah tab...44 trilyte...52 trimethoprim... 6 trimipramine maleate... 30, 31 TRINESSA...44 TRIPLE PASTE...80 tri-previfem 28 day...44 triprolidine & pseudoephedrine...74 TRISENOX tri-sprintec 28 day TRIUMEQ... 8 TRI-VI-SOL trivora 28 day TROPHAMINE INJ 10% trospium chloride TRULICITY TRUMENBA TRUVADA TAB TRUVADA TAB TRUVADA TAB TRUVADA TAB TUSNEL TUSNEL PEDIATRIC TUSNEL-DM PEDIATRIC TWINRIX INJ TYBOST... 7 TYGACIL... 6 TYKERB TYPHIM VI TYSABRI TYZEKA... 9 U UCERIS ULORIC... 1 UNITHROID UPCAL D UPTRAVI ursodiol V VAGIFEM valacyclovir hcl... 9 VALCHLOR VALCYTE... 9 valganciclovir hcl... 9 valproate sodium valproic acid valsartan valsartan & hctz tab mg valsartan & hctz tab mg valsartan & hctz tab mg valsartan & hctz tab mg valsartan & hctz tab mg vancomycin hcl... 6 VANCOMYCIN IN NACL... 6 VANDAZOLE

119 VAQTA...59 VARIVAX...59 VASCEPA...20 VELCADE...14 velivet 28 day...44 VENCLEXTA...14 VENCLEXTA STARTING PACK...14 venlafaxine hcl...31 VENTOLIN HFA...72 verapamil cap er...22 VERAPAMIL CAP ER...22 verapamil hcl...22 verapamil tab er...22 VERSACLOZ...34 VESICARE...54 vestura...44 VICKS VAPORUB...74 VICTOZA...39 VIDEX PEDIATRIC... 7 vienva 28 day...44 VIGAMOX...68 VIIBRYD...31 VIIBRYD STARTER PACK...31 VIMPAT...28 vinblastine sulfate...13 vincasar...13 vincristine sulfate...13 vinorelbine tartrate...13 viorele...44 VIRACEPT... 7 VIRAMUNE XR... 7 VIREAD... 7 VISINE-LR...69 VITALETS...67 VITAMIN A PALMITATE...67 VITAMIN B12/FOLIC ACID...56 vitamin c...67 VITAMIN C...67 VITAMIN D VITAMIN D vitamin e...67 VITAMIN E...67 vitamin mixture...67 vitamins a & d...67 VITEKTA... 7 VOLTAREN...80 voriconazole... 6 VOTRIENT VRAYLAR vyfemla 28 day W warfarin sodium WELCHOL wheat dextrin-calcium white petrolatum-mineral oil X XALKORI XARELTO XARELTO STARTER PACK XGEVA XIFAXAN XIGDUO XR TAB MG XIGDUO XR TAB MG XIGDUO XR TAB MG XIGDUO XR TAB 5-500MG XOLAIR XOPENEX HFA XTANDI xulane XYREM Y YERVOY YF-VAX Z zafirlukast zarah ZAVESCA zazole ZAZOLE ZELBORAF ZEMAIRA zenatane zenchent 28 day ZENPEP ZETIA TAB 10MG ZIAGEN... 7 zidovudine... 7 ZINC OXIDE zinc oxide (topical)... 77, 80 ZINC OXIDE (TOPICAL) ziprasidone hcl ZIRGAN zoledronic acid zoledronic inj 4mg/5ml

120 ZOLINZA...14 zolmitriptan...36 zolmitriptan odt...36 zolpidem tartrate...36 zonatuss...74 zonisamide...28 ZONTIVITY...56 ZOO FRIENDS COMPLETE...67 ZORTRESS TAB 0.25MG...58 ZORTRESS TAB 0.5MG...58 ZORTRESS TAB 0.75MG...58 ZOSTAVAX zovia 1/35e 28 day zovia 1/50e 28 day ZYDELIG ZYKADIA ZYLET ZYPREXA RELPREVV ZYPREXA RELPREVV INJ 210MG ZYTIGA ZYVOX TABS

121 Call Healthfirst toll free today at: Healthfirst FIDA Participant Services PO Box 5165 New York, NY Servizio assistiti Utenti TTY/TDD 711 (per pazienti con carenze uditive o di espressione) 7 giorni alla settimana dalle 8 alle 20 Questo prontuario è stato aggiornato il 25/10/2016. Per informazioni più recenti o altri quesiti chiamare il servizio assistiti Healthfirst FIDA al numero (utenti TTY: 711), 7 giorni alla settimana dalle 8 alle 20. Oppure visitare healthfirst.org/mmp.