GuildNet Gold Plus FIDA Plan

Transcript

1 GuildNet Gold Plus FIDA Plan MMP-PS Elenco dei farmaci coperti (Formulario) 2015 Il presente formulario è stato aggiornato in data 8/8/2014. Per informazioni più recenti o altre domande, contattare il Piano al numero oppure, per gli utenti TTY, rari: dal Este lunedì vademécum alla domenica, se actualizó dalle el 8/8/ :00 alle Para 20:00. obtener ppure información visitare más il sito reciente o si tiene otras preguntas, comuníquese con el Plan al o, para usuarios de teléfonos de texto (TTY), al Se atiende de lunes a domingo, de 8 a.m. a 8 p.m., o visite H0811_MEM15_GN56ita_Formulary_Accepted H0811_MEM15_GN56s_Formulary_ v v5

2 Piano GuildNet Gold Plus FIDA 2015 Elenco dei farmaci coperti (Formulario) Il presente è un elenco dei farmaci a cui hanno accesso i Partecipanti al Piano GuildNet Gold Plus FIDA. Il Piano GuildNet Gold Plus FIDA è un piano di Managed Care (assistenza sanitaria gestita) a cui partecipano Medicare e il New York State Department of Health (Ministero della Salute dello Stato di New York, Medicaid) per fornire ai Partecipanti i benefit previsti da entrambi i programmi attraverso la Dimostrazione FIDA (Fully Integrated Duals Advantage). I benefit, l'elenco dei farmaci coperti e il network dei fornitori e delle farmacie potrebbero variare nel corso dell'anno e al 1 o gennaio di ogni anno. L'Elenco dei farmaci coperti aggiornato del Piano GuildNet Gold Plus FIDA può essere consultato online sul sito oppure contattando i Participant Services del Piano al numero Il numero per gli utenti TTY/TDD è Possono applicarsi limitazioni e restrizioni. Per maggiori informazioni, chiamare i Participant Services del Piano GuildNet Gold Plus FIDA o consultare la Guida del Partecipante del Piano. Non è prevista alcuna compartecipazione alle spese da parte dei Partecipanti, per nessuno dei farmaci. Queste informazioni sono disponibili gratuitamente anche in altri formati, quali braille o stampa a caratteri grandi. Chiamare il numero La chiamata è gratuita. È possibile ricevere queste informazioni gratuitamente anche in altre lingue. Chiamare i numeri o, per gli utenti TTY/TDD, , dal lunedì alla domenica, dalle 8:00 alle 20:00. La chiamata è gratuita. Usted puede obtener esta información en otros idiomas gratis. Llame al o TTY/TDD al , de lunes a domingo de 8am a 8pm. La llamada es gratis. 您 可 以 免 費 獲 得 本 信 息 的 其 他 語 言 版 本 請 撥 打 或 聽 障 / 語 障 人 士 專 線 (TTY/TDD) , 星 期 一 至 星 期 日 上 午 8 時 至 晚 上 8 時 撥 打 該 電 話 免 費 Вы можете бесплатно получить эту информацию на других языках. Позвоните по телефону и TTY/TDD Служба работает с понедельника по воскресенье с 08:00 до 20:00 ч. Звонок бесплатный. You can get this information for free in other languages. Call and (TTY/TDD) during Monday through Sunday, 8am to 8pm. The call is free.

3 u kapab jwenn enfòmasyon sa yo gratis nan lòt lang. Rele nimewo oswa TTY/TDD , lendi jiska dimanch, depi 8am jiska 8pm. Koutfil la gratis. 다른 언어로 작성된 이 정보를 무료로 얻으실 수 있습니다. 월요일 - 일요일 오전 8시부터 오후 8시 사이에 번이나 TTY/TDD 번으로 전화주세요. 통화는 무료입니다. Lo Stato di New York ha messo a punto un programma di mediazione chiamato Independent Consumer Advocacy Network (ICAN), al fine di fornire ai Partecipanti assistenza gratuita e anonima per qualsivoglia tipo di servizio previsto dal Piano GuildNet Gold Plus FIDA. È possibile contattare l'ican tramite il numero verde (711 per gli utenti TTY) oppure online, visitando il sito Domande frequenti (FAQ) In questa sezione sono riportate le risposte alle domande relative all'elenco dei farmaci coperti. È possibile leggere tutte le FAQ per avere maggiori informazioni, oppure consultare una domanda specifica per trovare la risposta. 1. Quali farmaci da prescrizione sono presenti nell'elenco dei farmaci coperti? (Per brevità, chiameremo l'elenco dei farmaci coperti Elenco dei farmaci.) I farmaci presenti nell'elenco dei farmaci coperti, che inizia a pagina 3, sono i farmaci coperti dal Piano GuildNet Gold Plus FIDA. Tali farmaci sono reperibili presso le farmacie aderenti al nostro network. Una farmacia fa parte del nostro network se ha stipulato con noi un accordo di tipo collaborativo per fornire dei servizi ai Partecipanti. Tali farmacie verranno indicate con il termine farmacie aderenti al network. Il Piano GuildNet Gold Plus FIDA coprirà tutti i farmaci presenti nell'elenco dei farmaci se: il medico o un altro professionista aderente al network che effettua la prescrizione le ha detto che è necessario affinché lei stia meglio o rimanga in salute, il farmaco è necessario, da un punto di vista medico, per la sua condizione, e lei ritirerà il farmaco prescritto presso una delle farmacie aderenti al network del Piano GuildNet Gold Plus FIDA. Il Piano GuildNet Gold Plus FIDA potrebbe prevedere ulteriori passaggi per accedere a certi farmaci (si veda la domanda n. 5 seguente). In alcuni casi, potrebbero essere necessarie altre azioni prima di ottenere un farmaco, come provare prima altri farmaci. È possibile consultare un elenco aggiornato dei farmaci coperti sul nostro sito web all'indirizzo oppure contattando i Participant Services al numero Il numero per gli utenti TTY/TDD è

4 2. L'Elenco dei farmaci viene modificato? PIAN GUILDNET GLD PLUS FIDA 2015 Sì. Nel corso dell'anno, il Piano GuildNet Gold Plus FIDA può aggiungere o rimuovere farmaci dall'elenco. Generalmente, l'elenco dei farmaci viene modificato se: viene scoperto un nuovo farmaco con la stessa efficacia di uno dei farmaci presenti nell'elenco, oppure si viene a sapere che un farmaco non è sicuro. È anche possibile che le regole sui farmaci vengano modificate. Ad esempio, potremmo: Decidere di chiedere o meno un'approvazione preventiva per un farmaco (con approvazione preventiva si intende il permesso da parte del Piano GuildNet Gold Plus FIDA o dell'interdisciplinary Team (IDT) prima che lei riceva un farmaco). Aggiungere o modificare la quantità di un farmaco che si può richiedere ( limiti di quantità ). Aggiungere o modificare le restrizioni relative alla terapia per fasi di un farmaco (la terapia per fasi prevede che il Partecipante provi un farmaco prima di decidere di coprirne un altro). (Per ulteriori informazioni sulle regole dei farmaci, consultare pagina v.) Nel caso in cui uno dei farmaci che lei assume venisse rimosso dall'elenco dei farmaci, ne riceverà tempestiva comunicazione. La informeremo inoltre di eventuali modifiche alle regole di copertura di un farmaco. Le domande 3, 4 e 7 riportate di seguito forniscono maggiori informazioni su cosa accade quando l'elenco dei farmaci viene modificato. Per l'elenco dei farmaci aggiornato del Piano GuildNet Gold Plus FIDA, visiti il sito In alternativa, può contattare i Participant Services al numero Il numero per gli utenti TTY/TDD è Cosa succede quando viene scoperto un farmaco più economico e con la stessa efficacia di uno già presente nell'elenco dei farmaci? Se si rende disponibile un farmaco più economico con la stessa efficacia di uno già presente nell'elenco dei farmaci: 0000, dal lunedì alla domenica, dalle 8:00 alle 20:00 (utenti TTY/TDD: ). La chiamata è gratuita. Per maggiori informazioni, visitare il sito iii

5 Il farmacista potrebbe consegnarle il farmaco più economico la prossima volta che presenterà la sua prescrizione. Se lei e il suo fornitore decidete che il farmaco più economico non è adatto a lei, il fornitore può comunicare al farmacista di continuare a consegnarle il farmaco che assume attualmente. Il Piano GuildNet Gold Plus FIDA può decidere di eliminare il farmaco più costoso dall'elenco dei farmaci. Se lei sta assumendo un farmaco che viene rimosso dall'elenco dei farmaci in virtù di un nuovo agente più economico e di pari efficacia, ne riceverà comunicazione almeno 60 giorni prima della sua rimozione dall'elenco o non appena richiederà un rifornimento. A quel punto potrà avere una fornitura di 60 giorni del farmaco, prima che venga modificato l'elenco dei farmaci. Riceverà una lettera almeno 60 giorni prima che la modifica diventi effettiva. 4. Cosa succede quando si scopre che un farmaco non è sicuro? Se la Food and Drug Administration (FDA) dichiara che un farmaco che lei sta assumendo non è sicuro, tale farmaco verrà immediatamente rimosso dall'elenco dei farmaci. Le verrà inviata una lettera e verrà contattato telefonicamente per essere informato dell'avvenuta rimozione del farmaco non sicuro dall'elenco dei farmaci. Se riceve questa lettera, contatti il suo Care Manager o il medico prescrittore per avere una prescrizione sostitutiva. 5. Esistono restrizioni o limiti alla copertura dei farmaci? ppure esistono specifiche azioni da assolvere per ottenere determinati farmaci? Sì, alcuni farmaci prevedono delle regole di copertura o dei limiti sulla quantità che si può richiedere. In alcuni casi è necessario mettere in atto delle azioni prima di ottenere il farmaco. Ad esempio: Approvazione preventiva (o autorizzazione preventiva): per alcuni farmaci, lei, il suo medico o un altro professionista che effettua la prescrizione dovete ottenere l'approvazione da parte del Piano GuildNet Gold Plus FIDA o dell'interdisciplinary Team (IDT) prima di ritirare la prescrizione. Senza questa approvazione, il Piano GuildNet Gold Plus FIDA potrebbe non coprire il farmaco. Limiti di quantità: talvolta il Piano GuildNet Gold Plus FIDA limita la quantità di farmaco che si può ottenere. Terapia per fasi: a volte il Piano GuildNet Gold Plus FIDA richiede l'esecuzione di una terapia per fasi. Ciò significa che dovrà provare diversi farmaci, in un ordine preciso, per la sua condizione medica. Potrebbe essere necessario che lei provi un farmaco prima di ottenere la copertura per un altro. Se il suo medico ritiene che il primo farmaco non sia adatto a lei, allora forniremo la copertura per il secondo.

6 PIAN GUILDNET GLD PLUS FIDA 2015 Per sapere se il farmaco che assume presenta altri requisiti o limiti, consulti le tabelle riportate da pagina 3 in avanti. Può ricevere ulteriori informazioni anche visitando il nostro sito web all'indirizzo Abbiamo pubblicato online dei documenti che spiegano l'autorizzazione preventiva e le restrizioni alla terapia per fasi. Può anche richiederne una copia. È possibile richiedere una eccezione a questi limiti. Per ulteriori informazioni sulle eccezioni, legga la domanda 11. Se lei si trova presso una residenza sanitaria o un'altra struttura di assistenza a lungo termine e ha bisogno di un farmaco che non è nell'elenco dei farmaci, o se ha difficoltà a reperire il farmaco di cui ha bisogno, possiamo intervenire in suo aiuto. Copriremo una fornitura d'emergenza di 31 giorni del farmaco in questione (a meno che lei non abbia una prescrizione per un numero di giorni inferiore), indipendentemente dal fatto che lei sia o meno un nuovo Partecipante al Piano GuildNet Gold Plus FIDA. In questo modo avrà tempo per parlare con il suo medico o un altro professionista che effettua la prescrizione, il quale la aiuterà a decidere se nell'elenco dei farmaci esiste un farmaco simile, che potrebbe assumere in alternativa, o se richiedere un'eccezione. Per ulteriori informazioni sulle eccezioni, legga la domanda Come può sapere se un farmaco che desidera presenta delle limitazioni o se sono necessarie azioni specifiche per ottenere il farmaco? L'Elenco dei farmaci coperti a pagina 3 ha una colonna intitolata Azioni necessarie, restrizioni o limiti d'uso. 7. Cosa succede se vengono modificate le regole sulla copertura per alcuni farmaci? Ad esempio, in caso di aggiunta di un'autorizzazione (approvazione) preventiva, di limiti di quantità e/o restrizioni alla terapia per fasi. Nel caso in cui dovessimo aggiungere un'approvazione preventiva, limiti di quantità e /o restrizioni alla terapia per fasi, ne verrebbe informato. Le daremo comunicazione almeno 60 giorni prima che la restrizione venga aggiunta o non appena richiederà un rifornimento. A quel punto, potrà ricevere una fornitura di 60 giorni del farmaco, prima che venga apportata la modifica all'elenco dei farmaci. In questo modo avrà tempo di discutere con il suo medico o un altro professionista che effettua la prescrizione su come procedere. 0000, dal lunedì alla domenica, dalle 8:00 alle 20:00 (utenti TTY/TDD: ). La chiamata è gratuita. Per maggiori informazioni, visitare il sito v

7 8. Come si trova un farmaco nell'elenco dei farmaci? Esistono due modi per trovare un farmaco: Si può eseguire una ricerca alfabetica (se si conosce il nome del farmaco), oppure Si può cercare per condizione medica. Per effettuare una ricerca alfabetica, vada alla sezione dell'elenco alfabetico a pagina 158. Quindi cerchi il nome del farmaco nell'elenco. Per effettuare una ricerca per condizione medica, vada alla sezione Elenco dei farmaci per condizione medica a pagina 3. Quindi cerchi la sua condizione medica. Ad esempio, se soffre di una malattia cardiaca, deve cercare nella categoria corrispondente. Lì troverà i farmaci per il trattamento delle patologie cardiache. 9. Cosa succede se il farmaco che desidera assumere non è presente nell'elenco dei farmaci? Se non trova il suo farmaco nell'elenco dei farmaci, contatti i Participant Services al numero (utenti TTY/TDD: ) e chieda informazioni. Una volta accertato che il Piano GuildNet Gold Plus FIDA non copre il farmaco in questione, può procedere in uno dei seguenti modi: Chiedere ai Participant Services un elenco dei farmaci simili a quello che desidera assumere. Dopodiché, mostrare l'elenco al medico o a un altro professionista che effettua la prescrizione, che potrà prescriverle un farmaco presente nell'elenco dei farmaci simile a quello che desidera assumere. ppure Chiedere al piano o all'interdisciplinary Team (IDT) di fare un'eccezione per coprire il farmaco. Per ulteriori informazioni sulle eccezioni, legga la domanda Cosa succede se lei è un nuovo Partecipante al Piano GuildNet Gold Plus FIDA e non riesce a trovare il farmaco che assume nell'elenco dei farmaci o ha delle difficoltà nel reperire il farmaco? Noi possiamo aiutarla. Nei primi 90 giorni della sua adesione al Piano GuildNet Gold Plus FIDA, siamo tenuti a coprire fino a 90 giorni di fornitura temporanea del suo farmaco, secondo necessità. In questo modo avrà tempo per parlare con il suo medico o un altro professionista che effettua la prescrizione, il quale la aiuterà a decidere se nell'elenco dei farmaci esiste un farmaco simile, che potrebbe assumere in alternativa, o se richiedere un'eccezione. Copriremo forniture temporanee fino a 90 giorni del suo farmaco se: sta assumendo un farmaco non presente nell'elenco dei farmaci, o le regole del piano sanitario non le permettono di ottenere la quantità ordinata dal professionista che ha effettuato la prescrizione, o

8 PIAN GUILDNET GLD PLUS FIDA 2015 il farmaco richiede un'approvazione preventiva da parte del Piano GuildNet Gold Plus FIDA o dell'interdisciplinary Team (IDT), o sta assumendo un farmaco che è parte di una restrizione alla terapia per fasi. Se lei si trova presso una residenza sanitaria o un'altra struttura di assistenza a lungo termine, può chiedere un rifornimento della sua prescrizione per massimo 98 giorni. Durante tale periodo, può richiedere diverse consegne. In questo modo il professionista che effettua la prescrizione avrà il tempo per modificare i suoi farmaci, passando ad agenti presenti nell'elenco dei farmaci, oppure per richiedere un'eccezione. Se lei è un partecipante corrente del piano e si trova in un momento di cambiamento nel livello assistenziale, ad esempio un ricovero o una dimissione dalla struttura di assistenza a lungo termine, le sarà consentito un rifornimento anticipato dei farmaci, in base alle necessità, in modo da assisterla nella transizione al nuovo livello assistenziale. 11. Può richiedere un'eccezione per coprire il suo farmaco? Sì. Lei può chiedere al Piano GuildNet Gold Plus FIDA o all'interdisciplinary Team (IDT) di fare un'eccezione per coprire un farmaco non incluso nell'elenco dei farmaci. Può anche chiedere al Piano GuildNet Gold Plus FIDA o all'idt di modificare le regole relative al suo farmaco. Ad esempio, il Piano GuildNet Gold Plus FIDA può limitare la quantità di farmaco che si può coprire. Se il suo farmaco presenta un limite, può chiedere al Piano o all'idt di modificare tale limite e coprire una quantità maggiore. Altri esempi: può chiedere al Piano o all'idt di eliminare le restrizioni alla terapia per fasi o i requisiti per l'approvazione preventiva. 12. Quanto tempo serve per ottenere un'eccezione? Innanzitutto, il Piano GuildNet Gold Plus FIDA o l'interdisciplinary Team (IDT) devono ricevere una dichiarazione di supporto alla sua richiesta di eccezione da parte del professionista che effettua la prescrizione. Una volta ricevuta la dichiarazione, le verrà inviata una decisione in merito alla sua richiesta di eccezione nell'arco di 72 ore. Se lei o il professionista che effettua la prescrizione ritenete che un'attesa di 72 ore possa danneggiare la sua salute, può richiedere una procedura accelerata. Si tratta di una decisione più 0000, dal lunedì alla domenica, dalle 8:00 alle 20:00 (utenti TTY/TDD: ). La chiamata è gratuita. Per maggiori informazioni, visitare il sito vii

9 rapida. Se il professionista che effettua la prescrizione supporta la sua richiesta, riceverà una decisione entro 24 ore dalla ricezione della dichiarazione di supporto del professionista. 13. Come si richiede un'eccezione? Per richiedere un'eccezione, contatti il suo Care Manager. Il Care Manager aiuterà lei e il professionista che effettua la prescrizione a richiedere un'eccezione. 14. Cosa sono i farmaci generici? I farmaci generici sono composti dagli stessi ingredienti di quelli di marca. In genere costano meno rispetto a questi ultimi e non hanno nomi noti. I farmaci generici sono approvati dalla Food and Drug Administration (FDA). Il Piano GuildNet Gold Plus FIDA copre sia farmaci di marca sia farmaci generici. 15. Cosa sono i farmaci TC? TC sta per over-the-counter (da banco). Il Piano GuildNet Gold Plus FIDA copre alcuni farmaci TC, quando inclusi nelle prescrizioni dei fornitori. Per sapere quali sono i farmaci TC coperti, può consultare l'elenco dei farmaci del Piano GuildNet Gold Plus FIDA. Esempi di farmaci TC coperti sono: aspirina, acetaminofene, ibuprofene, antiacidi, rimedi contro allergia e raffreddore, creme antibiotiche, lassativi, sostituti della nicotina (come cerotti e gomme) e vitamine. 16. Il Piano GuildNet Gold Plus FIDA copre i prodotti TC non farmaceutici? Il Piano GuildNet Gold Plus FIDA copre alcuni prodotti TC non farmaceutici quando inclusi nelle prescrizioni del fornitore. Per sapere quali sono i prodotti TC non farmaceutici coperti, può consultare l'elenco dei farmaci del Piano GuildNet Gold Plus FIDA. Esempi di prodotti TC non farmaceutici coperti sono: bende, kit di primo soccorso, supporti medici calze ad alta e bassa compressione, spazzolini e dentifrici, prodotti per l'incontinenza e prodotti per dentiere. 17. Qual è la quota a suo carico? Non le sarà addebitata alcuna quota per i farmaci presenti nell'elenco dei farmaci.

10 PIAN GUILDNET GLD PLUS FIDA Cosa sono i livelli dei farmaci? Ciascun farmaco presente nell'elenco dei farmaci coperti appartiene a uno di quattro livelli. Livello 1 Farmaci generici Medicare Parte D Livello 2 Farmaci di marca Medicare Parte D Livello 3 Farmaci su prescrizione coperti da Medicaid (non Parte D) Livello 4 Prodotti da banco (TC) Tutti i farmaci e i prodotti presenti nel nostro Elenco dei farmaci prevedono una compartecipazione pari a $0. Elenco dei farmaci coperti L'elenco dei farmaci coperti, che ha inizio alla pagina seguente, fornisce informazioni sui farmaci coperti dal Piano GuildNet Gold Plus FIDA. Se ha difficoltà nel trovare il suo farmaco all'interno dell'elenco, consulti l'indice analitico a pagina 158. La prima colonna della tabella riporta il nome del farmaco. I farmaci di marca sono indicati in lettere maiuscole (ad es. SYNTHRID), mentre i farmaci generici sono elencati in lettere minuscole e in corsivo (ad es. atenololo). Le informazioni contenute nella colonna relativa ad azioni necessarie, restrizioni o limiti d'uso indicano se il Piano GuildNet Gold Plus FIDA prevede delle regole per la copertura del farmaco. 0000, dal lunedì alla domenica, dalle 8:00 alle 20:00 (utenti TTY/TDD: ). La chiamata è gratuita. Per maggiori informazioni, visitare il sito ix

11 Nota: l'asterisco (*) riportato accanto al nome del farmaco indica che il farmaco non è un farmaco della Parte D. Questi farmaci hanno regole diverse per i ricorsi. Un ricorso è un modo formale per richiedere la revisione e modifica della decisione in merito alla copertura se si ritiene che sia stato commesso un errore. Ad esempio, il Piano GuildNet Gold Plus FIDA o l'interdisciplinary Team (IDT) potrebbero decidere che un farmaco che lei desidera non è coperto o non è più coperto da Medicare o Medicaid. Se lei o il suo medico o un altro professionista che effettua la prescrizione non siete d'accordo con la decisione, è possibile fare ricorso. Per chiedere istruzioni su come fare ricorso, contatti i Participant Services al numero (utenti TTY/TDD: ) o l'independent Consumer Advocacy Network (ICAN) al numero (utenti TTY:711) per ricevere assistenza gratuita. Può anche consultare la Guida del Partecipante per sapere come fare ricorso contro una decisione.

12 Di seguito è riportato un elenco delle abbreviazioni che potrebbero comparire nelle pagine seguenti, all'interno della colonna Azioni necessarie, restrizioni o limiti d'uso, nella quale vengono indicati eventuali requisiti specifici per la copertura di un farmaco. Elenco delle abbreviazioni *: l'asterisco (*) riportato accanto al nome del farmaco indica che il farmaco non è un farmaco della Parte D. Questi farmaci hanno regole diverse per i ricorsi. Un ricorso è un modo formale per richiedere la revisione e modifica della decisione in merito alla copertura se si ritiene che sia stato commesso un errore. Ad esempio, il Piano GuildNet Gold Plus FIDA o l'interdisciplinary Team (IDT) potrebbero decidere che un farmaco che lei desidera non è coperto o non è più coperto da Medicare o Medicaid. Se lei o il suo medico o un altro professionista che effettua la prescrizione non siete d'accordo con la decisione, è possibile fare ricorso. Per chiedere istruzioni su come fare ricorso, contatti il Piano GuildNet Gold Plan FIDA al numero ; per gli utenti TTY/TDD il numero è Può anche consultare la Guida del Partecipante per sapere come fare ricorso contro una decisione. B/D PA: questo farmaco da prescrizione può essere coperto da Medicare Parte B o D, in base alle circostanze. Potrebbe essere necessario inviare informazioni che descrivano l'uso e il contesto del farmaco per prendere una decisione. LA: disponibilità limitata (Limited Availability). Questa prescrizione potrebbe essere disponibile solo presso determinate farmacie. Per ulteriori informazioni, contattare il Servizio clienti. M: farmaco venduto per corrispondenza (Mail-rder Drug). Questo farmaco da prescrizione è disponibile tramite il nostro servizio di vendita per corrispondenza, oltre che nelle farmacie di vendita al dettaglio aderenti al network. Consideri la possibilità della vendita per corrispondenza per i farmaci a lungo termine (di mantenimento) (come i farmaci per l'ipertensione). Le farmacie di vendita al dettaglio aderenti al network sono più appropriate per le prescrizioni a breve termine (come gli antibiotici). PA: autorizzazione preventiva (Prior Authorization). Il Piano richiede che lei o il suo medico otteniate un'autorizzazione preventiva per determinati farmaci. Ciò significa che avrà bisogno dell'approvazione prima di poter ritirare le prescrizioni. Senza questa approvazione è possibile che non possiamo provvedere alla copertura del farmaco. 0000, dal lunedì alla domenica, dalle 8:00 alle 20:00. Il numero per gli utenti TTY/TDD è La chiamata è gratuita. Per maggiori informazioni, visitare il sito 1

13 QL: limite di quantità (Quantity Limit). Per certi farmaci, il Piano limita la quantità di farmaco coperta. ST: terapia per fasi (Step Therapy). In alcuni casi, il Piano richiede che lei provi per primi certi farmaci per il trattamento della sua condizione medica prima di coprire un altro farmaco per la stessa condizione. Ad esempio, se un Farmaco A e un Farmaco B sono entrambi utilizzabili per il trattamento della sua condizione medica, il Piano potrebbe non coprire il Farmaco B a meno che lei non provi prima il Farmaco A. Se il Farmaco A con lei non funziona, allora il piano coprirà il Farmaco B. 2

14 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US ANTINFETTIVI ANTIMICTICI ABELCET INTRAVENUS SUSPENSIN 2 $0 B/D PA; M AMBISME INTRAVENUS SUSPENSIN FR 2 $0 B/D PA; M RECNSTITUTIN amphotericin b injection recon soln 1 $0 B/D PA; M CANCIDAS INTRAVENUS RECN SLN 2 $0 B/D PA; M clotrimazole mucous membrane troche 1 $0 M clotrimazole mucous membrane troche 1 $0 M fluconazole oral suspension for reconstitution 1 $0 M fluconazole oral tablet 100 mg, 200 mg, 50 mg 1 $0 M; QL (2 per 7 giorni) fluconazole in dextrose(iso-o) intravenous piggyback 1 $0 B/D PA flucytosine oral capsule 1 $0 M griseofulvin microsize oral suspension 1 $0 M griseofulvin microsize oral tablet 1 $0 M griseofulvin ultramicrosize oral tablet 1 $0 M itraconazole oral capsule 1 $0 M; QL (120 per ketoconazole oral tablet 1 $0 M NXAFIL RAL SUSPENSIN 2 $0 M nystatin oral suspension 1 $0 M nystatin oral tablet 1 $0 M 1 $0 M; QL (90 per terbinafine oral tablet 365 giorni) voriconazole intravenous solution 1 $0 B/D PA; M VRICNAZLE RAL SUSPENSIN FR 2 $0 M RECNSTITUTIN VRICNAZLE RAL TABLET 200 MG 2 $0 M voriconazole oral tablet 50 mg 1 $0 M ANTIVIRALI abacavir oral tablet 1 $0 M abacavir-lamivudine-zidovudine oral tablet 1 $0 M acyclovir oral capsule 1 $0 M acyclovir oral suspension 1 $0 M acyclovir oral tablet 1 $0 M acyclovir sodium intravenous recon soln 1,000 mg 1 $0 B/D

15 NME FARMAC 4 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US acyclovir sodium intravenous solution 1 $0 B/D ADEFVIR RAL TABLET 2 $0 M amantadine hcl oral capsule 1 $0 M amantadine hcl oral syrup 1 $0 M amantadine hcl oral tablet 1 $0 M APTIVUS RAL CAPSULE 2 $0 M APTIVUS RAL SLUTIN 2 $0 ATRIPLA RAL TABLET 2 $0 M BARACLUDE RAL SLUTIN 2 $0 M BARACLUDE RAL TABLET 2 $0 M CIDFVIR INTRAVENUS SLUTIN 2 $0 B/D PA; M CMBIVIR RAL TABLET 2 $0 M CMPLERA RAL TABLET 2 $0 M CRIXIVAN RAL CAPSULE 2 $0 M didanosine oral capsule,delayed release(dr/ec) 1 $0 M EDURANT RAL TABLET 2 $0 M EMTRIVA RAL CAPSULE 2 $0 M EMTRIVA RAL SLUTIN 2 $0 M EPIVIR RAL SLUTIN 2 $0 M EPIVIR HBV RAL SLUTIN 2 $0 M EPZICM RAL TABLET 2 $0 M famciclovir oral tablet 125 mg 1 $0 M; QL (21 per 10 giorni) famciclovir oral tablet 250 mg 1 $0 M; QL (60 per famciclovir oral tablet 500 mg 1 $0 M; QL (21 per 7 giorni) foscarnet intravenous solution 1 $0 M FUZEN SUBCUTANEUS RECN SLN 2 $0 M ganciclovir sodium intravenous recon soln 1 $0 B/D PA; M INTELENCE RAL TABLET 100 MG, 200 MG 2 $0 M INTELENCE RAL TABLET 25 MG 2 $0 INVIRASE RAL CAPSULE 2 $0 M INVIRASE RAL TABLET 2 $0 M ISENTRESS RAL PWDER IN PACKET 2 $0 ISENTRESS RAL TABLET 2 $0 M

16 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US ISENTRESS RAL TABLET,CHEWABLE 2 $0 M KALETRA RAL SLUTIN 2 $0 M KALETRA RAL TABLET 2 $0 M lamivudine oral tablet 1 $0 M LAMIVUDINE-ZIDVUDINE RAL TABLET 2 $0 M LEXIVA RAL SUSPENSIN 2 $0 M LEXIVA RAL TABLET 2 $0 M nevirapine oral suspension 1 $0 M nevirapine oral tablet 1 $0 M nevirapine oral tablet extended release 24 hr 1 $0 M NRVIR RAL CAPSULE 2 $0 M NRVIR RAL SLUTIN 2 $0 M NRVIR RAL TABLET 2 $0 M LYSI RAL CAPSULE 2 $0 PA; M; QL (30 per PREZISTA RAL SUSPENSIN 2 $0 M PREZISTA RAL TABLET 150 MG, 600 MG, 75 MG, 800 MG RELENZA DISKHALER INHALATIN BLISTER WITH DEVICE 2 $0 M 2 $0 M; QL (60 per 180 giorni) RESCRIPTR RAL TABLET 2 $0 M RESCRIPTR RAL TABLET, DISPERSIBLE 2 $0 M RETRVIR INTRAVENUS SLUTIN 2 $0 REYATAZ RAL CAPSULE 2 $0 M ribavirin oral capsule 1 $0 PA; M ribavirin oral tablet 1 $0 PA; M rimantadine oral tablet 1 $0 M SELZENTRY RAL TABLET 2 $0 M SVALDI RAL TABLET 2 $0 PA; M; QL (30 per stavudine oral capsule 1 $0 M stavudine oral recon soln 1 $0 M STRIBILD RAL TABLET 2 $0 M SUSTIVA RAL CAPSULE 2 $0 M

17 NME FARMAC 6 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US SUSTIVA RAL TABLET 2 $0 M SYNAGIS INTRAMUSCULAR SLUTIN 2 $0 PA; M; LA 50 MG/0.5 ML TAMIFLU RAL CAPSULE 30 MG 2 $0 M; QL (84 per 180 giorni) TAMIFLU RAL CAPSULE 45 MG, 75 MG 2 $0 M; QL (42 per 180 giorni) TAMIFLU RAL SUSPENSIN FR RECNSTITUTIN 2 $0 M; QL (600 per 180 giorni) TIVICAY RAL TABLET 2 $0 M TRUVADA RAL TABLET 2 $0 M TYZEKA RAL TABLET 2 $0 M valacyclovir oral tablet 1 $0 M; QL (30 per VALCYTE RAL RECN SLN 2 $0 M VALCYTE RAL TABLET 2 $0 M VIDEX 2 GRAM PEDIATRIC RAL RECN 2 $0 M SLN VIDEX 4 GRAM PEDIATRIC RAL RECN 2 $0 M SLN VIRACEPT RAL TABLET 2 $0 M VIRAMUNE RAL SUSPENSIN 2 $0 M VIRAMUNE XR RAL TABLET EXTENDED 2 $0 M RELEASE 24 HR 100 MG VIRAZLE INHALATIN RECN SLN 2 $0 B/D PA; M VIREAD RAL PWDER 2 $0 M VIREAD RAL TABLET 2 $0 M ZIAGEN RAL SLUTIN 2 $0 M zidovudine oral capsule 1 $0 M zidovudine oral syrup 1 $0 M zidovudine oral tablet 1 $0 M CEFALSPRINE cefaclor oral capsule 1 $0 M cefaclor oral tablet extended release 12 hr 1 $0 M

18 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US cefadroxil oral capsule 1 $0 M cefadroxil oral suspension for reconstitution 1 $0 M cefadroxil oral tablet 1 $0 M cefazolin injection recon soln 1 gram 1 $0 B/D PA; M cefazolin injection recon soln 10 gram, 20 gram, $0 B/D PA mg cefazolin intravenous recon soln 1 $0 B/D PA cefazolin in dextrose (iso-os) intravenous piggyback 1 1 $0 B/D PA; M gram/50 ml cefazolin in dextrose (iso-os) intravenous piggyback 2 1 $0 B/D PA gram/50 ml cefdinir oral capsule 1 $0 M cefdinir oral suspension for reconstitution 1 $0 M cefditoren pivoxil oral tablet 1 $0 cefepime injection recon soln 1 $0 B/D PA; M cefotaxime injection recon soln 1 gram, 2 gram, $0 B/D PA mg cefotaxime injection recon soln 10 gram 1 $0 B/D PA; M cefotetan injection recon soln 1 $0 cefotetan intravenous recon soln 1 $0 cefoxitin intravenous recon soln 1 gram 1 $0 B/D PA; M cefoxitin intravenous recon soln 10 gram, 2 gram 1 $0 B/D PA cefoxitin in dextrose, iso-osm intravenous piggyback 1 $0 B/D PA cefpodoxime oral suspension for reconstitution 1 $0 M cefpodoxime oral tablet 1 $0 M cefprozil oral suspension for reconstitution 1 $0 M cefprozil oral tablet 1 $0 M ceftazidime injection recon soln 1 gram 1 $0 B/D PA ceftazidime injection recon soln 2 gram 1 $0 B/D PA; M ceftazidime injection recon soln 6 gram 1 $0 ceftriaxone injection recon soln 1 gram, 2 gram, $0 B/D PA; M mg, 500 mg ceftriaxone injection recon soln 10 gram 1 $0 B/D PA ceftriaxone intravenous recon soln 1 $0 B/D PA; M ceftriaxone in dextrose,iso-os intravenous piggyback 1 $0 B/D PA; M 1 gram/50 ml cefuroxime axetil oral tablet 1 $0 M

19 NME FARMAC 8 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US cefuroxime sodium injection recon soln 1 $0 B/D PA; M cefuroxime sodium intravenous recon soln 1 $0 B/D PA cephalexin oral capsule 1 $0 M cephalexin oral suspension for reconstitution 1 $0 M cephalexin oral tablet 1 $0 M SUPRAX RAL SUSPENSIN FR 2 $0 M RECNSTITUTIN 100 MG/5 ML, 200 MG/5 ML SUPRAX RAL SUSPENSIN FR 2 $0 RECNSTITUTIN 500 MG/5 ML SUPRAX RAL TABLET 2 $0 M SUPRAX RAL TABLET,CHEWABLE 2 $0 M TEFLAR INTRAVENUS RECN SLN 2 $0 B/D PA; M ERITRMICINE/ALTRI MACRLIDI azithromycin intravenous recon soln 1 $0 B/D PA; M azithromycin oral packet 1 $0 M azithromycin oral suspension for reconstitution 1 $0 M azithromycin oral tablet 1 $0 M clarithromycin oral suspension for reconstitution 1 $0 M clarithromycin oral tablet 1 $0 M clarithromycin oral tablet extended release 24 hr 1 $0 M ERYPED 200 RAL SUSPENSIN FR 2 $0 M RECNSTITUTIN ERYTHRCIN INTRAVENUS RECN SLN 2 $0 B/D PA 500 MG ERYTHRCIN (AS STEARATE) RAL TABLET 2 $0 M erythromycin oral capsule,delayed release(dr/ec) 1 $0 M erythromycin oral tablet 1 $0 M erythromycin ethylsuccinate oral tablet 1 $0 M ANTINFETTIVI VARI ALBENZA RAL TABLET 2 $0 M ALINIA RAL SUSPENSIN FR RECNSTITUTIN 2 $0 M; QL (180 per ALINIA RAL TABLET 2 $0 M; QL (12 per amikacin injection solution 1 $0 B/D PA; M ATVAQUNE RAL SUSPENSIN 2 $0 M

20 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US atovaquone-proguanil oral tablet 1 $0 M aztreonam injection recon soln 1 $0 M baciim intramuscular recon soln 1 $0 B/D PA bacitracin intramuscular recon soln 1 $0 B/D PA; M CAPASTAT INJECTIN RECN SLN 2 $0 B/D PA CAYSTN INHALATIN SLUTIN FR NEBULIZATIN 2 $0 M; QL (84 per 28 giorni) chloramphenicol sod succinate intravenous recon soln 1 $0 B/D PA chloroquine phosphate oral tablet 1 $0 M clindamycin hcl oral capsule 1 $0 M clindamycin palmitate hcl oral recon soln 1 $0 M clindamycin pediatric oral recon soln 1 $0 clindamycin phosphate injection solution 1 $0 B/D PA; M clindamycin phosphate intravenous solution 300 mg/2 1 $0 B/D PA ml, 900 mg/6 ml clindamycin phosphate intravenous solution 600 mg/4 1 $0 B/D PA; M ml CARTEM RAL TABLET 2 $0 M CLISTIN (CLISTIMETHATE NA) INJECTIN 2 $0 B/D PA; M RECN SLN CUBICIN INTRAVENUS RECN SLN 2 $0 B/D PA; M cycloserine oral capsule 1 $0 M DAPSNE RAL TABLET 2 $0 M DARAPRIM RAL TABLET 2 $0 M ethambutol oral tablet 1 $0 M gentamicin injection solution 1 $0 B/D PA; M gentamicin in nacl (iso-osm) intravenous piggyback 100 mg/100 ml, 120 mg/100 ml gentamicin in nacl (iso-osm) intravenous piggyback 60 mg/50 ml, 70 mg/50 ml, 80 mg/50 ml, 90 mg/100 ml 1 $0 B/D PA 1 $0 GENTAMICIN IN NACL (IS-SM) 2 $0 B/D PA INTRAVENUS PIGGYBACK 80 MG/100 ML gentamicin sulfate (ped) (pf) injection solution 1 $0 B/D PA; M gentamicin sulfate (pf) intravenous solution 100 mg/10 ml 1 $0 B/D PA; M

21 NME FARMAC 10 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US GENTAMICIN SULFATE (PF) INTRAVENUS 2 $0 B/D PA SLUTIN 60 MG/6 ML gentamicin sulfate (pf) intravenous solution 80 mg/8 1 $0 B/D PA ml hydroxychloroquine oral tablet 1 $0 M imipenem-cilastatin intravenous recon soln 1 $0 B/D PA; M INVANZ INJECTIN RECN SLN 2 $0 B/D PA; M INVANZ INTRAVENUS RECN SLN 2 $0 B/D PA isoniazid injection solution 1 $0 isoniazid oral solution 1 $0 M isoniazid oral tablet 1 $0 M MALARNE PEDIATRIC RAL TABLET 2 $0 M mefloquine oral tablet 1 $0 M meropenem intravenous recon soln 500 mg 1 $0 B/D PA; M metronidazole oral capsule 1 $0 metronidazole oral tablet 1 $0 M metronidazole in nacl (iso-os) intravenous piggyback 1 $0 M NEBUPENT INHALATIN RECN SLN 2 $0 B/D PA; M neomycin oral tablet 1 $0 M paromomycin oral capsule 1 $0 M PASER RAL GRANULES DR FR SUSP IN 2 $0 M PACKET PENTAM INJECTIN RECN SLN 2 $0 B/D PA; M polymyxin b sulfate injection recon soln 1 $0 M PRIFTIN RAL TABLET 2 $0 M PRIMAQUINE RAL TABLET 2 $0 M pyrazinamide oral tablet 1 $0 M quinine sulfate oral capsule 1 $0 PA; M rifabutin oral capsule 1 $0 M rifampin intravenous recon soln 1 $0 B/D PA; M rifampin oral capsule 1 $0 M STREPTMYCIN INTRAMUSCULAR RECN 2 $0 B/D PA; M SLN STRMECTL RAL TABLET 2 $0 M SYNERCID INTRAVENUS RECN SLN 2 $0 B/D PA tinidazole oral tablet 1 $0 M TBRAMYCIN IN % NACL INHALATIN SLUTIN FR NEBULIZATIN 2 $0 B/D PA; M

22 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US tobramycin in 0.9 % nacl intravenous piggyback 1 $0 M 80 mg/100 ml tobramycin sulfate injection solution 1 $0 B/D PA; M TRECATR RAL TABLET 2 $0 M TYGACIL INTRAVENUS RECN SLN 2 $0 M XIFAXAN RAL TABLET 550 MG 2 $0 M ZYVX INTRAVENUS PARENTERAL 2 $0 PA SLUTIN 200 MG/100 ML ZYVX INTRAVENUS PARENTERAL 2 $0 PA; M SLUTIN 600 MG/300 ML ZYVX RAL SUSPENSIN FR 2 $0 PA; M RECNSTITUTIN ZYVX RAL TABLET 2 $0 PA; M PENICILLINE amoxicillin oral capsule 1 $0 M amoxicillin oral suspension for reconstitution 1 $0 M amoxicillin oral tablet 1 $0 M amoxicillin oral tablet,chewable 1 $0 M amoxicillin-pot clavulanate oral suspension for 1 $0 M reconstitution amoxicillin-pot clavulanate oral tablet 1 $0 M amoxicillin-pot clavulanate oral tablet extended 1 $0 M release 12 hr amoxicillin-pot clavulanate oral tablet,chewable 1 $0 M ampicillin oral capsule 1 $0 M ampicillin oral suspension for reconstitution 1 $0 M ampicillin sodium injection recon soln 1 gram, 1 $0 B/D PA; M 10 gram, 125 mg, 2 gram, 250 mg ampicillin sodium injection recon soln 500 mg 1 $0 B/D PA ampicillin sodium intravenous recon soln 1 $0 B/D PA ampicillin-sulbactam injection recon soln 15 gram 1 $0 B/D PA ampicillin-sulbactam injection recon soln 3 gram 1 $0 B/D PA; M ampicillin-sulbactam intravenous recon soln 3 gram 1 $0 B/D PA BICILLIN C-R INTRAMUSCULAR SYRINGE 2 $0 B/D PA; M BICILLIN L-A INTRAMUSCULAR SYRINGE 2 $0 M dicloxacillin oral capsule 1 $0 M nafcillin injection recon soln 1 gram 1 $0 B/D PA; M

23 NME FARMAC 12 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US NAFCILLIN INJECTIN RECN SLN 10 2 $0 B/D PA; M GRAM, 2 GRAM nafcillin intravenous recon soln 1 gram 1 $0 B/D PA NAFCILLIN INTRAVENUS RECN SLN 2 2 $0 B/D PA; M GRAM NAFCILLIN IN DEXTRSE IS-SM 2 $0 B/D PA INTRAVENUS PIGGYBACK 1 GRAM/50 ML NAFCILLIN IN DEXTRSE IS-SM 2 $0 B/D PA; M INTRAVENUS PIGGYBACK 2 GRAM/100 ML oxacillin injection recon soln 1 gram, 2 gram 1 $0 B/D PA; M XACILLIN INJECTIN RECN SLN 10 2 $0 B/D PA; M GRAM oxacillin intravenous recon soln 1 $0 B/D PA oxacillin in dextrose(iso-osm) intravenous piggyback 1 $0 B/D PA 1 gram/50 ml XACILLIN IN DEXTRSE(IS-SM) 2 $0 B/D PA INTRAVENUS PIGGYBACK 2 GRAM/50 ML penicillin g potassium injection recon soln 5 million 1 $0 B/D PA; M unit penicillin g procaine intramuscular syringe 1 $0 B/D PA; M 1.2 million unit/2 ml penicillin g procaine intramuscular syringe 600,000 1 $0 B/D PA unit/ml penicillin g sodium injection recon soln 1 $0 B/D PA; M penicillin v potassium oral recon soln 1 $0 M penicillin v potassium oral tablet 1 $0 M piperacillin-tazobactam intravenous recon soln 1 $0 B/D PA; M CHINLNI AVELX IN NACL (IS-SMTIC) INTRAVENUS PIGGYBACK 2 $0 B/D PA; M CIPR RAL SUSPENSIN,MICRCAPSULE 2 $0 M RECN ciprofloxacin intravenous solution 400 mg/40 ml 1 $0 B/D PA ciprofloxacin oral suspension,microcapsule recon 1 $0 ciprofloxacin oral tablet 1 $0 M ciprofloxacin (mixture) oral tablet, er multiphase 24 1 $0 M hr ciprofloxacin in 5 % dextrose intravenous piggyback 1 $0 B/D PA; M

24 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 400 mg/200 ml levofloxacin intravenous solution 1 $0 B/D PA; M levofloxacin oral solution 1 $0 M levofloxacin oral tablet 1 $0 M levofloxacin in d5w intravenous piggyback 1 $0 500 mg/100 ml moxifloxacin oral tablet 1 $0 M ofloxacin oral tablet 1 $0 M SULFAMIDICI/AGENTI CRRELATI sulfadiazine oral tablet 1 $0 M sulfamethoxazole-trimethoprim intravenous solution 1 $0 B/D PA; M sulfamethoxazole-trimethoprim oral suspension 1 $0 M sulfamethoxazole-trimethoprim oral tablet 1 $0 M TETRACICLINE demeclocycline oral tablet 1 $0 M doxy-100 intravenous recon soln 1 $0 B/D PA; M doxycycline hyclate intravenous recon soln 1 $0 B/D PA doxycycline hyclate oral capsule 1 $0 M doxycycline hyclate oral tablet 1 $0 M doxycycline hyclate oral tablet,delayed release 1 $0 M (dr/ec) doxycycline monohydrate oral capsule 1 $0 M doxycycline monohydrate oral tablet 1 $0 M minocycline oral capsule 1 $0 M minocycline oral tablet 1 $0 M minocycline oral tablet extended release 24 hr 1 $0 M morgidox oral capsule 1 $0 M RACEA RAL CAPSULE, ER MULTIPHASE 2 $0 M 24 HR tetracycline oral capsule 1 $0 M FARMACI PER LE VIE URINARIE methenamine hippurate oral tablet 1 $0 M nitrofurantoin macrocrystal oral capsule 50 mg 1 $0 PA; M nitrofurantoin monohyd/m-cryst oral capsule 1 $0 PA; M trimethoprim oral tablet 1 $0 M VANCMICINA VANCCIN RAL CAPSULE 2 $0 M

25 NME FARMAC 14 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US vancomycin intravenous recon soln 1 $0 B/D PA; M VANCMYCIN RAL CAPSULE 2 $0 M ANTINEPLASTICI/IMMUNSPPRESSRI ADIUVANTI AMIFSTINE CRYSTALLINE INTRAVENUS RECN SLN 2 $0 B/D PA; M dexrazoxane intravenous recon soln 250 mg 1 $0 B/D PA dexrazoxane intravenous recon soln 500 mg 1 $0 B/D PA; M ELITEK INTRAVENUS RECN SLN 1.5 MG 2 $0 B/D PA leucovorin calcium injection recon soln 100 mg, $0 B/D PA; M mg, 350 mg, 50 mg leucovorin calcium injection recon soln 500 mg 1 $0 B/D PA leucovorin calcium oral tablet 1 $0 M mesna intravenous solution 1 $0 B/D PA; M MESNEX RAL TABLET 2 $0 M XGEVA SUBCUTANEUS SLUTIN 2 $0 B/D PA; M ANTINEPLASTICI/IMMUNSPPRESSRI adriamycin intravenous solution 10 mg/5 ml 1 $0 B/D PA adriamycin intravenous solution 20 mg/10 ml, 1 $0 B/D PA; M 50 mg/25 ml adrucil intravenous solution 2.5 gram/50 ml 1 $0 B/D PA adrucil intravenous solution 5 gram/100 ml, 1 $0 B/D PA; M 500 mg/10 ml AFINITR RAL TABLET 2 $0 PA; M AFINITR DISPERZ RAL TABLET FR 2 $0 PA; M SUSPENSIN ALIMTA INTRAVENUS RECN SLN 500 MG 2 $0 B/D PA; M anastrozole oral tablet 1 $0 M ARZERRA INTRAVENUS SLUTIN 1,000 2 $0 B/D PA; M MG/50 ML ASTAGRAF XL RAL CAPSULE,EXTENDED 2 $0 B/D PA; M RELEASE 24HR AVASTIN INTRAVENUS SLUTIN 2 $0 B/D PA; M AZACITIDINE INJECTIN RECN SLN 2 $0 M AZASAN RAL TABLET 2 $0 B/D PA; M azathioprine oral tablet 1 $0 B/D PA; M bicalutamide oral tablet 1 $0 M BICNU INTRAVENUS RECN SLN 2 $0 B/D PA; M

26 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US bleomycin injection recon soln 30 unit 1 $0 B/D PA; M BSULIF RAL TABLET 2 $0 PA; M BUSULFEX INTRAVENUS SLUTIN 2 $0 B/D PA CAPRELSA RAL TABLET 2 $0 M carboplatin intravenous solution 1 $0 B/D PA; M CELLCEPT RAL SUSPENSIN FR 2 $0 B/D PA; M RECNSTITUTIN CELLCEPT INTRAVENUS INTRAVENUS 2 $0 B/D PA RECN SLN cisplatin intravenous solution 1 $0 B/D PA; M cladribine intravenous solution 1 $0 B/D PA; M CMETRIQ RAL CAPSULE 2 $0 PA; M CSMEGEN INTRAVENUS RECN SLN 2 $0 B/D PA; M CYCLPHSPHAMIDE RAL CAPSULE 2 $0 B/D PA cyclophosphamide oral tablet 1 $0 B/D PA; M cyclosporine intravenous solution 1 $0 B/D PA cyclosporine oral capsule 1 $0 B/D PA; M cyclosporine modified oral capsule 1 $0 B/D PA; M cyclosporine modified oral solution 1 $0 B/D PA; M cytarabine injection solution 1 $0 B/D PA; M dacarbazine intravenous recon soln 200 mg 1 $0 B/D PA; M daunorubicin intravenous solution 1 $0 B/D PA DECITABINE INTRAVENUS RECN SLN 2 $0 B/D PA; M DXIL INTRAVENUS SLUTIN 2 $0 B/D PA; M doxorubicin intravenous solution 1 $0 B/D PA; M DRXIA RAL CAPSULE 2 $0 M ELIGARD SUBCUTANEUS SYRINGE 2 $0 PA; M EMCYT RAL CAPSULE 2 $0 M EPIRUBICIN INTRAVENUS SLUTIN 50 2 $0 B/D PA; M MG/25 ML ERIVEDGE RAL CAPSULE 2 $0 PA; M ERWINAZE INTRAMUSCULAR RECN SLN 2 $0 PA etoposide intravenous solution 1 $0 B/D PA; M exemestane oral tablet 1 $0 M FARESTN RAL TABLET 2 $0 M FASLDEX INTRAMUSCULAR SYRINGE 2 $0 B/D PA; M FLUDARABINE INTRAVENUS RECN SLN 2 $0 B/D PA; M

27 NME FARMAC 16 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US fluorouracil intravenous solution 1 $0 B/D PA; M flutamide oral capsule 1 $0 M GAZYVA INTRAVENUS SLUTIN 2 $0 B/D PA; M GEMCITABINE INTRAVENUS RECN SLN 2 $0 B/D PA; M 1 GRAM GEMCITABINE INTRAVENUS SLUTIN 1 2 $0 B/D PA GRAM/26.3 ML (38 MG/ML) GEMZAR INTRAVENUS RECN SLN 1 2 $0 B/D PA; M GRAM gengraf oral capsule 1 $0 B/D PA; M gengraf oral solution 1 $0 B/D PA; M GILTRIF RAL TABLET 2 $0 PA; M GLEEVEC RAL TABLET 100 MG 2 $0 PA; M GLEEVEC RAL TABLET 400 MG 2 $0 PA; M; QL (60 per hecoria oral capsule 0.5 mg, 1 mg 1 $0 B/D PA; M HERCEPTIN INTRAVENUS RECN SLN 2 $0 B/D PA; M HEXALEN RAL CAPSULE 2 $0 M hydroxyurea oral capsule 1 $0 M ICLUSIG RAL TABLET 2 $0 M idarubicin intravenous solution 1 $0 B/D PA IFEX INTRAVENUS RECN SLN 2 $0 B/D PA; M IFSFAMIDE INTRAVENUS RECN SLN 1 2 $0 B/D PA; M GRAM IMBRUVICA RAL CAPSULE 2 $0 PA; M INLYTA RAL TABLET 2 $0 PA; M IRINTECAN INTRAVENUS SLUTIN $0 B/D PA; M MG/5 ML, 40 MG/2 ML IRINTECAN INTRAVENUS SLUTIN $0 B/D PA MG/25 ML ISTDAX INTRAVENUS RECN SLN 2 $0 B/D PA; M JAKAFI RAL TABLET 10 MG, 15 MG, 20 MG, 5 2 $0 PA; M MG JAKAFI RAL TABLET 25 MG 2 $0 PA; M; QL (60 per KADCYLA INTRAVENUS RECN SLN 2 $0 B/D PA; M

28 NME FARMAC CST FARMAC A SU CARIC letrozole oral tablet 1 $0 M LEUKERAN RAL TABLET 2 $0 M leuprolide subcutaneous kit 1 $0 M LMUSTINE RAL CAPSULE 2 $0 M AZINI RESTRIZINI LIMITI D'US LUPRN DEPT INTRAMUSCULAR SYRINGE 2 $0 PA; M KIT LUPRN DEPT (3 MNTH) INTRAMUSCULAR 2 $0 PA; M SYRINGE KIT LUPRN DEPT (4 MNTH) INTRAMUSCULAR 2 $0 PA; M SYRINGE KIT LUPRN DEPT (6 MNTH) INTRAMUSCULAR 2 $0 PA; M SYRINGE KIT LUPRN DEPT-PED INTRAMUSCULAR KIT 2 $0 PA; M MG, 15 MG LYSDREN RAL TABLET 2 $0 M MATULANE RAL CAPSULE 2 $0 M megestrol oral tablet 1 $0 M MEKINIST RAL TABLET 2 $0 PA; M melphalan intravenous recon soln 1 $0 B/D PA mercaptopurine oral tablet 1 $0 M methotrexate sodium injection solution 1 $0 B/D PA; M methotrexate sodium oral tablet 1 $0 B/D PA; M methotrexate sodium (pf) injection recon soln 1 $0 B/D PA methotrexate sodium (pf) injection solution 1 $0 B/D PA; M mitomycin intravenous recon soln 20 mg 1 $0 B/D PA; M mitoxantrone intravenous concentrate 1 $0 B/D PA; M MUSTARGEN INJECTIN RECN SLN 2 $0 B/D PA; M mycophenolate mofetil oral capsule 1 $0 B/D PA; M mycophenolate mofetil oral tablet 1 $0 B/D PA; M mycophenolate sodium oral tablet,delayed release 1 $0 B/D PA; M (dr/ec) NERAL RAL CAPSULE 2 $0 B/D PA; M NERAL RAL SLUTIN 2 $0 B/D PA; M NEXAVAR RAL TABLET 2 $0 PA; M NILANDRN RAL TABLET 2 $0 M NULJIX INTRAVENUS RECN SLN 2 $0 B/D PA; M CTRETIDE ACETATE INJECTIN SLUTIN 2 $0 PA; M

29 NME FARMAC 1,000 MCG/ML, 500 MCG/ML octreotide acetate injection solution 100 mcg/ml, 200 mcg/ml, 50 mcg/ml octreotide acetate injection syringe 100 mcg/ml (1 ml), 50 mcg/ml (1 ml) CTRETIDE ACETATE INJECTIN SYRINGE 500 MCG/ML (1 ML) 18 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 1 $0 PA; M 1 $0 PA; M 2 $0 PA; M NCASPAR INJECTIN SLUTIN 2 $0 PA; M XALIPLATIN INTRAVENUS SLUTIN $0 B/D PA; M MG/20 ML PACLITAXEL INTRAVENUS CNCENTRATE 2 $0 B/D PA; M PERJETA INTRAVENUS SLUTIN 2 $0 B/D PA; M PMALYST RAL CAPSULE 2 $0 PA; M RAPAMUNE RAL SLUTIN 2 $0 B/D PA; M RAPAMUNE RAL TABLET 2 $0 B/D PA; M REVLIMID RAL CAPSULE 2 $0 PA; M; LA RHEUMATREX RAL TABLETS,DSE PACK 2 $0 B/D PA; M RITUXAN INTRAVENUS CNCENTRATE 2 $0 PA; M SANDIMMUNE RAL CAPSULE 2 $0 B/D PA; M SANDIMMUNE RAL SLUTIN 2 $0 B/D PA; M SANDSTATIN LAR DEPT INTRAMUSCULAR 2 $0 PA; M KIT SIGNIFR SUBCUTANEUS SLUTIN 2 $0 PA; M SIMULECT INTRAVENUS RECN SLN 20 2 $0 B/D PA; M MG sirolimus oral tablet 1 $0 B/D PA; M SLTAMX RAL SLUTIN 2 $0 M SMATULINE DEPT SUBCUTANEUS 2 $0 B/D PA; M SYRINGE SPRYCEL RAL TABLET 100 MG, 140 MG, 80 MG 2 $0 PA; M; QL (30 per SPRYCEL RAL TABLET 20 MG, 50 MG 2 $0 PA; M SPRYCEL RAL TABLET 70 MG 2 $0 PA; M; QL (60 per STIVARGA RAL TABLET 2 $0 PA; M SUTENT RAL CAPSULE 12.5 MG, 25 MG, 50 2 $0 PA; M

30 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US MG SYNRIB SUBCUTANEUS RECN SLN 2 $0 B/D PA; M TABLID RAL TABLET 2 $0 M tacrolimus oral capsule 0.5 mg, 1 mg 1 $0 B/D PA; M TACRLIMUS RAL CAPSULE 5 MG 2 $0 B/D PA; M TAFINLAR RAL CAPSULE 2 $0 PA; M tamoxifen oral tablet 1 $0 M TARCEVA RAL TABLET 100 MG, 25 MG 2 $0 PA; M TARCEVA RAL TABLET 150 MG 2 $0 PA; M; QL (30 per TARGRETIN RAL CAPSULE 2 $0 PA; M TARGRETIN TPICAL GEL 2 $0 M TASIGNA RAL CAPSULE 2 $0 PA; M THALMID RAL CAPSULE 2 $0 PA; M toposar intravenous solution 1 $0 B/D PA; M TPTECAN INTRAVENUS RECN SLN 2 $0 B/D PA; M TREANDA INTRAVENUS RECN SLN 2 $0 B/D PA; M 100 MG TRELSTAR INTRAMUSCULAR SUSPENSIN 2 $0 B/D PA; M FR RECNSTITUTIN TRELSTAR INTRAMUSCULAR SYRINGE $0 B/D PA; M MG/2 ML, 3.75 MG/2 ML TRELSTAR DEPT INTRAMUSCULAR 2 $0 B/D PA SUSPENSIN FR RECNSTITUTIN TRELSTAR LA INTRAMUSCULAR 2 $0 B/D PA SUSPENSIN FR RECNSTITUTIN TRETININ (CHEMTHERAPY) RAL 2 $0 M CAPSULE TRISENX INTRAVENUS SLUTIN 2 $0 B/D PA; M TYKERB RAL TABLET 2 $0 PA; M VELCADE INJECTIN RECN SLN 2 $0 B/D PA; M VIDAZA INJECTIN RECN SLN 2 $0 M VINBLASTINE INTRAVENUS RECN SLN 2 $0 B/D PA; M VINBLASTINE INTRAVENUS SLUTIN 2 $0 B/D PA; M vincristine intravenous solution 1 mg/ml 1 $0 B/D PA; M vinorelbine intravenous solution 50 mg/5 ml 1 $0 B/D PA; M

31 NME FARMAC 20 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US VTRIENT RAL TABLET 2 $0 PA; M XALKRI RAL CAPSULE 2 $0 PA; M XTANDI RAL CAPSULE 2 $0 PA; M; QL (120 per ZALTRAP INTRAVENUS SLUTIN 2 $0 B/D PA; M ZELBRAF RAL TABLET 2 $0 PA; M ZLINZA RAL CAPSULE 2 $0 M ZRTRESS RAL TABLET 2 $0 B/D PA; M ZYKADIA RAL CAPSULE 2 $0 PA; M; QL (150 per ZYTIGA RAL TABLET 2 $0 M FARMACI PER IL SNC/AUTNM, PER NEURLGIA/PSICHIATRIA ANTICNVULSIVANTI APTIM RAL TABLET 2 $0 M BANZEL RAL SUSPENSIN 2 $0 M BANZEL RAL TABLET 2 $0 M carbamazepine oral capsule, er multiphase 12 hr 1 $0 M carbamazepine oral suspension 1 $0 M carbamazepine oral tablet 1 $0 M carbamazepine oral tablet extended release 12 hr 1 $0 M carbamazepine oral tablet,chewable 1 $0 M CELNTIN RAL CAPSULE 2 $0 M clonazepam oral tablet 1 $0 PA; M clonazepam oral tablet,disintegrating 1 $0 PA; M DIASTAT RECTAL KIT 2 $0 PA; M DIASTAT ACUDIAL RECTAL KIT 2 $0 PA; M diazepam rectal kit 1 $0 PA; M DILANTIN RAL CAPSULE 2 $0 M DILANTIN EXTENDED RAL CAPSULE 2 $0 M DILANTIN INFATABS RAL 2 $0 M TABLET,CHEWABLE DILANTIN-125 RAL SUSPENSIN 2 $0 M divalproex oral capsule, sprinkle 1 $0 M divalproex oral tablet extended release 24 hr 1 $0 M divalproex oral tablet,delayed release (dr/ec) 1 $0 M

32 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US epitol oral tablet 1 $0 M ethosuximide oral capsule 1 $0 M ethosuximide oral solution 1 $0 M felbamate oral suspension 1 $0 M felbamate oral tablet 1 $0 M fosphenytoin injection solution 1 $0 B/D PA; M FYCMPA RAL TABLET 2 $0 M gabapentin oral capsule 1 $0 M gabapentin oral solution 250 mg/5 ml 1 $0 M gabapentin oral solution 250 mg/5 ml (5 ml), 1 $0 300 mg/6 ml (6 ml) gabapentin oral tablet 1 $0 M GABITRIL RAL TABLET 12 MG, 16 MG 2 $0 M lamotrigine oral tablet 1 $0 M lamotrigine oral tablet extended release 24hr 1 $0 M lamotrigine oral tablet, chewable dispersible 1 $0 M lamotrigine oral tablets,dose pack 1 $0 levetiracetam intravenous solution 1 $0 B/D PA; M levetiracetam oral solution 100 mg/ml 1 $0 M levetiracetam oral solution 500 mg/5 ml (5 ml) 1 $0 levetiracetam oral tablet 1 $0 M levetiracetam oral tablet extended release 24 hr 1 $0 M LYRICA RAL CAPSULE 2 $0 M LYRICA RAL SLUTIN 2 $0 M NFI RAL SUSPENSIN 2 $0 PA; M NFI RAL TABLET 2 $0 PA; M oxcarbazepine oral suspension 1 $0 M oxcarbazepine oral tablet 1 $0 M XTELLAR XR RAL TABLET EXTENDED 2 $0 M RELEASE 24 HR PEGANNE RAL TABLET 2 $0 M phenobarbital oral elixir 1 $0 M phenobarbital oral tablet 1 $0 M PHENYTEK RAL CAPSULE 2 $0 M phenytoin oral suspension 100 mg/4 ml 1 $0 phenytoin oral suspension 125 mg/5 ml 1 $0 M phenytoin oral tablet,chewable 1 $0 M

33 NME FARMAC 22 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US phenytoin sodium intravenous solution 1 $0 B/D PA; M phenytoin sodium intravenous syringe 1 $0 B/D PA phenytoin sodium extended oral capsule 1 $0 M PTIGA RAL TABLET 2 $0 M primidone oral tablet 1 $0 M QUDEXY XR RAL CAPSULE,SPRINKLE, ER 2 $0 PA 24HR SABRIL RAL PWDER IN PACKET 2 $0 PA; M SABRIL RAL TABLET 2 $0 PA; M TEGRETL XR RAL TABLET EXTENDED 2 $0 M RELEASE 12 HR 100 MG tiagabine oral tablet 1 $0 M topiramate oral capsule, sprinkle 1 $0 PA; M topiramate oral tablet 1 $0 PA; M TRKENDI XR RAL CAPSULE, EXTENDED 2 $0 M RELEASE 24HR valproate sodium intravenous solution 1 $0 B/D PA; M valproic acid oral capsule 1 $0 M valproic acid (as sodium salt) oral solution 250 mg/5 1 $0 M ml valproic acid (as sodium salt) oral solution 250 mg/5 1 $0 ml (5 ml), 500 mg/10 ml (10 ml) VIMPAT INTRAVENUS SLUTIN 2 $0 PA VIMPAT RAL SLUTIN 2 $0 PA; M VIMPAT RAL TABLET 2 $0 PA; M zonisamide oral capsule 1 $0 PA; M FARMACI ANTIPARKINSN APKYN SUBCUTANEUS CARTRIDGE 2 $0 M AZILECT RAL TABLET 2 $0 M benztropine injection solution 1 $0 B/D PA; M benztropine oral tablet 1 $0 PA; M bromocriptine oral capsule 1 $0 M bromocriptine oral tablet 1 $0 M carbidopa oral tablet 1 $0 M carbidopa-levodopa oral tablet 1 $0 M carbidopa-levodopa oral tablet extended release 1 $0 M carbidopa-levodopa oral tablet,disintegrating 1 $0 M carbidopa-levodopa-entacapone oral tablet 1 $0 M

34 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US entacapone oral tablet 1 $0 M NEUPR TRANSDERMAL PATCH 24 HUR 2 $0 PA; M pramipexole oral tablet 1 $0 M ropinirole oral tablet 1 $0 M ropinirole oral tablet extended release 24 hr 1 $0 M selegiline hcl oral capsule 1 $0 M selegiline hcl oral tablet 1 $0 M trihexyphenidyl oral elixir 1 $0 M trihexyphenidyl oral tablet 1 $0 M TERAPIA L'EMICRANIA/CEFALEA A GRAPPL dihydroergotamine injection solution 1 $0 M migergot rectal suppository 1 $0 M naratriptan oral tablet 1 $0 M; QL (18 per 28 giorni) rizatriptan oral tablet 1 $0 M; QL (36 per rizatriptan oral tablet,disintegrating 1 $0 M; QL (36 per sumatriptan nasal spray,non-aerosol 1 $0 M sumatriptan succinate oral tablet 1 $0 M; QL (9 per sumatriptan succinate subcutaneous cartridge 1 $0 M; QL (10 per sumatriptan succinate subcutaneous pen injector 1 $0 M; QL (10 per sumatriptan succinate subcutaneous solution 1 $0 M; QL (10 per zolmitriptan oral tablet 1 $0 M; QL (12 per zolmitriptan oral tablet,disintegrating 1 $0 M; QL (12 per TERAPIA NEURLGICA VARI AMPYRA RAL TABLET EXTENDED RELEASE 12 HR 2 $0 PA; M CPAXNE SUBCUTANEUS SYRINGE 2 $0 PA; M; QL (12 per

35 NME FARMAC 24 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 28 giorni) CPAXNE SUBCUTANEUS SYRINGE KIT 2 $0 PA; M; QL (30 per donepezil oral tablet 1 $0 M; QL (30 per donepezil oral tablet,disintegrating 1 $0 M; QL (30 per EXELN TRANSDERMAL PATCH 24 HUR 2 $0 M; QL (30 per galantamine oral capsule,ext rel. pellets 24 hr 1 $0 M; QL (30 per galantamine oral solution 1 $0 M galantamine oral tablet 1 $0 M GILENYA RAL CAPSULE 2 $0 M HRIZANT RAL TABLET EXTENDED 2 $0 M RELEASE NAMENDA RAL SLUTIN 2 $0 PA; M NAMENDA XR RAL CAP,SPRINKLE,ER 24HR 2 $0 PA; M DSE PACK NAMENDA XR RAL CAPSULE,SPRINKLE,ER 2 $0 PA; M 24HR NUEDEXTA RAL CAPSULE 2 $0 M rivastigmine tartrate oral capsule 1.5 mg 1 $0 M; QL (240 per rivastigmine tartrate oral capsule 3 mg 1 $0 M; QL (120 per rivastigmine tartrate oral capsule 4.5 mg, 6 mg 1 $0 M; QL (60 per TECFIDERA RAL CAPSULE,AYED 2 $0 M RELEASE(DR/EC) TYSABRI INTRAVENUS SLUTIN 2 $0 PA; M XENAZINE RAL TABLET 2 $0 PA; M MIRILASSANTI/ANTISPASTICI

36 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US baclofen oral tablet 1 $0 M carisoprodol oral tablet 250 mg 1 $0 M cyclobenzaprine oral tablet 1 $0 PA; M dantrolene oral capsule 1 $0 M meprobamate oral tablet 1 $0 PA; M MESTINN RAL SYRUP 2 $0 M MESTINN TIMESPAN RAL TABLET 2 $0 M EXTENDED RELEASE metaxalone oral tablet 1 $0 PA; M pyridostigmine bromide oral tablet 1 $0 M regonol injection solution 1 $0 B/D PA tizanidine oral capsule 1 $0 M tizanidine oral tablet 1 $0 M ANALGESICI NARCTICI acetaminophen-codeine oral solution 120 mg-12 mg /5 ml (5 ml), 300 mg-30 mg /12.5 ml 1 $0 QL (4500 per acetaminophen-codeine oral solution mg/5 ml 1 $0 M; QL (4500 per 1 $0 M; QL (360 per acetaminophen-codeine oral tablet mg, mg acetaminophen-codeine oral tablet mg 1 $0 M; QL (180 per buprenorphine injection syringe 1 $0 B/D PA; QL (267 per buprenorphine sublingual tablet 2 mg 1 $0 M; QL (300 per buprenorphine sublingual tablet 8 mg 1 $0 M; QL (75 per butalbital-acetaminop-caf-cod oral capsule 1 $0 PA; M; QL (360 per codeine sulfate oral tablet 1 $0 M; QL (180 per DILAUDID RAL LIQUID 2 $0 M; QL (1500 per DURAMRPH (PF) INJECTIN SLUTIN $0 B/D PA; M;

37 NME FARMAC MG/ML 26 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US QL (4000 per DURAMRPH (PF) INJECTIN SLUTIN 1 MG/ML 2 $0 B/D PA; QL (2000 per endocet oral tablet mg, mg, mg 1 $0 M; QL (360 FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 1,200 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 1,600 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 200 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 400 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 600 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 800 MCG per 2 $0 PA; M; QL (39 per 2 $0 PA; M; QL (29 per 2 $0 PA; M; QL (120 per 2 $0 PA; M; QL (116 per 2 $0 PA; M; QL (77 per 2 $0 PA; M; QL (58 per fentanyl patches transdermal patch 72 hour 100 mcg/hr 1 $0 M; QL (9 per fentanyl patches transdermal patch 72 hour 12 mcg/hr, 25 mcg/hr, 50 mcg/hr, 75 mcg/hr 1 $0 M; QL (10 per hydrocodone-acetaminophen oral solution mg/5 ml 1 $0 QL (5550 per hydrocodone-acetaminophen oral solution mg/15 ml 1 $0 M; QL (5550 per hydrocodone-acetaminophen oral tablet 1 $0 M; QL (360 per hydrocodone-ibuprofen oral tablet 1 $0 M; QL (50 per hydromorphone oral liquid 1 $0 M; QL (1500

38 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US per hydromorphone oral tablet 1 $0 M; QL (180 per hydromorphone (pf) injection solution 10 mg/ml 1 $0 B/D PA; M; QL (120 per ibuprofen-oxycodone oral tablet 1 $0 M; QL (28 per KADIAN RAL CAPSULE,EXTEND.RELEASE PELLETS 10 MG, 100 MG, 20 MG, 30 MG, 50 MG, 80 MG 2 $0 M; QL (60 per KADIAN RAL CAPSULE,EXTEND.RELEASE PELLETS 200 MG 2 $0 M; QL (30 per KADIAN RAL CAPSULE,EXTEND.RELEASE PELLETS 60 MG 2 $0 M; QL (90 per levorphanol tartrate oral tablet 1 $0 M; QL (120 per methadone injection solution 1 $0 B/D PA; QL (160 per methadone oral concentrate 1 $0 QL (120 per methadone oral solution 10 mg/5 ml 1 $0 M; QL (600 per methadone oral solution 5 mg/5 ml 1 $0 M; QL (1200 per methadone oral tablet 10 mg 1 $0 M; QL (120 per methadone oral tablet 5 mg 1 $0 M; QL (240 per methadone oral tablet,soluble 1 $0 QL (30 per methadone intensol oral concentrate 1 $0 M; QL (120 per methadose oral concentrate 1 $0 QL (120 per methadose oral tablet,soluble 1 $0 M; QL (30 per

39 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US morphine oral capsule, er multiphase 24 hr 120 mg 1 $0 M; QL (50 per 28 1 $0 M; QL (60 per morphine oral capsule, er multiphase 24 hr 30 mg, 45 mg, 60 mg, 75 mg, 90 mg morphine oral capsule,extend.release pellets 1 $0 M; QL (60 per morphine oral solution 1 $0 M; QL (900 per morphine oral tablet 1 $0 M; QL (180 per morphine oral tablet extended release 100 mg 1 $0 M; QL (60 per morphine oral tablet extended release 15 mg, 30 mg, 60 mg 1 $0 M; QL (90 per morphine oral tablet extended release 200 mg 1 $0 M; QL (30 per morphine concentrate oral solution 1 $0 M; QL (300 per oxycodone oral capsule 1 $0 M; QL (360 per oxycodone oral concentrate 1 $0 M; QL (180 per oxycodone oral solution 1 $0 M; QL (1200 per oxycodone oral tablet 10 mg, 15 mg, 20 mg 1 $0 M; QL (180 per oxycodone oral tablet 30 mg 1 $0 M; QL (134 per oxycodone oral tablet 5 mg 1 $0 M; QL (360 per oxycodone-acetaminophen oral tablet 1 $0 M; QL (360 per oxycodone-aspirin oral tablet 1 $0 M; QL (360 per oxymorphone oral tablet 10 mg 1 $0 M; QL (200 per oxymorphone oral tablet 5 mg 1 $0 M; QL (180 per

40 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US oxymorphone oral tablet extended release 12 hr 1 $0 M; QL (90 per reprexain oral tablet 1 $0 M; QL (50 per zamicet oral solution 1 $0 M; QL (5550 per ANALGESICI NN NARCTICI 8 HUR PAIN RELIEVER RAL TABLET EXTENDED RELEASE 4 $0 M; * ACEPHEN RECTAL SUPPSITRY 120 MG, $0 M; * MG ACEPHEN RECTAL SUPPSITRY 325 MG 4 $0 * acetaminophen oral drops 4 $0 * acetaminophen oral elixir 4 $0 * acetaminophen oral liquid 4 $0 * acetaminophen oral solution 160 mg/5 ml (5 ml) 4 $0 * acetaminophen oral suspension 4 $0 * acetaminophen oral tablet 4 $0 M; * acetaminophen oral tablet, disintegrating 4 $0 * ADDED STRENGTH PAIN RELIEVER RAL 4 $0 * TABLET ADVIL RAL TABLET 100 MG 4 $0 * ADVIL RAL TABLET,CHEWABLE 4 $0 * ASCRIPTIN RAL TABLET 4 $0 M; * aspirin oral tablet 4 $0 M; * aspirin oral tablet, chewable 4 $0 M; * aspirin oral tablet, delayed release (dr/ec) 325 mg, 81 4 $0 M; * mg BUFFERIN RAL TABLET 4 $0 * buprenorphine-naloxone sublingual tablet 1 $0 M; QL (90 per butorphanol tartrate injection solution 1 mg/ml 1 $0 M; QL (720 per butorphanol tartrate injection solution 2 mg/ml 1 $0 M; QL (360 per butorphanol tartrate nasal spray,non-aerosol 1 $0 M; QL (40 per

41 NME FARMAC 30 CST FARMAC A SU CARIC CELEBREX RAL CAPSULE 2 $0 M CHILDREN'S MAPAP RAL 4 $0 * TABLET,DISINTEGRATING CHILDREN'S PAIN & FEVER RELIEF RAL 4 $0 * TABLET,CHEWABLE diclofenac potassium oral tablet 1 $0 M diclofenac sodium oral tablet extended release 24 hr 1 $0 M diclofenac sodium oral tablet,delayed release (dr/ec) 1 $0 M 25 mg, 50 mg, 75 mg diclofenac sodium topical drops 1 $0 M diclofenac-misoprostol oral tablet,ir & delay 1 $0 M rel,biphasic diflunisal oral tablet 1 $0 M diphenhydramine-acetaminophen oral tablet 4 $0 * EFFERVESCENT PAIN RELIEF RAL TABLET, 4 $0 * EFFERVESCENT etodolac oral capsule 1 $0 M etodolac oral tablet 1 $0 M etodolac oral tablet extended release 24 hr 1 $0 M EXCEDRIN TENSIN HEADACHE RAL 4 $0 * TABLET fenoprofen oral tablet 1 $0 M FEVERALL RECTAL SUPPSITRY 80 MG 4 $0 * flurbiprofen oral tablet 1 $0 M ibuprofen oral capsule 4 $0 * ibuprofen oral suspension 1 $0 M ibuprofen oral tablet 200 mg 4 $0 M; * ibuprofen oral tablet 400 mg, 600 mg, 800 mg 1 $0 M INFANT'S IBUPRFEN RAL 4 $0 * DRPS,SUSPENSIN INFANT'S PAIN RELIEF RAL 4 $0 * DRPS,SUSPENSIN INFANTS' TRIAMINIC FEVER RAL LIQUID 4 $0 * ketoprofen oral capsule 1 $0 M ketoprofen oral capsule,ext rel. pellets 24 hr 1 $0 M MAPAP (ACETAMINPHEN) RAL CAPSULE 4 $0 * meclofenamate oral capsule 1 $0 M mefenamic acid oral capsule 1 $0 M AZINI RESTRIZINI LIMITI D'US

42 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US meloxicam oral suspension 1 $0 M meloxicam oral tablet 1 $0 M nabumetone oral tablet 1 $0 M nalbuphine injection solution 10 mg/ml 1 $0 B/D PA; M; QL (200 per nalbuphine injection solution 20 mg/ml 1 $0 B/D PA; M; QL (100 per naloxone injection syringe 1 mg/ml 1 $0 M naltrexone oral tablet 1 $0 M NAPRELAN CR RAL TABLET, ER 2 $0 M MULTIPHASE 24 HR naproxen oral suspension 1 $0 M naproxen oral tablet 1 $0 M naproxen oral tablet,delayed release (dr/ec) 1 $0 M naproxen sodium oral capsule 4 $0 * naproxen sodium oral tablet 220 mg 4 $0 M; * naproxen sodium oral tablet 275 mg, 550 mg 1 $0 M NUCYNTA RAL TABLET 2 $0 M NUCYNTA ER RAL TABLET EXTENDED 2 $0 M RELEASE 12 HR oxaprozin oral tablet 1 $0 M piroxicam oral capsule 1 $0 M PRE-MENSTRUAL RELIEF RAL TABLET 4 $0 * SUBXNE SUBLINGUAL FILM 12-3 MG 2 $0 M; QL (60 per SUBXNE SUBLINGUAL FILM MG, 4-1 MG, 8-2 MG 2 $0 M; QL (90 per sulindac oral tablet 1 $0 M TENSIN HEADACHE RAL TABLET 4 $0 * tolmetin oral capsule 1 $0 M tolmetin oral tablet 1 $0 M tramadol oral tablet 1 $0 M; QL (240 per tramadol oral tablet extended release 24 hr 1 $0 M; QL (30 per

43 NME FARMAC 32 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US tramadol oral tablet, er multiphase 24 hr 1 $0 M; QL (30 per tramadol-acetaminophen oral tablet 1 $0 M; QL (240 per TRI-BUFFERED ASPIRIN RAL TABLET 4 $0 M; * VIMV RAL TABLET,IR & AY 2 $0 M REL,BIPHASIC VLTAREN GEL TPICAL GEL 2 $0 M FARMACI PSICTERAPEUTICI ABILIFY INTRAMUSCULAR SLUTIN 2 $0 B/D PA; M ABILIFY RAL SLUTIN 2 $0 M ABILIFY RAL TABLET 10 MG 2 $0 M; QL (90 per ABILIFY RAL TABLET 15 MG, 20 MG 2 $0 M; QL (60 per ABILIFY RAL TABLET 2 MG 2 $0 M; QL (450 per ABILIFY RAL TABLET 30 MG 2 $0 M; QL (30 per ABILIFY RAL TABLET 5 MG 2 $0 M; QL (180 per ABILIFY DISCMELT RAL TABLET,DISINTEGRATING 10 MG 2 $0 M; QL (90 per ABILIFY DISCMELT RAL TABLET,DISINTEGRATING 15 MG 2 $0 M; QL (60 per ABILIFY MAINTENA INTRAMUSCULAR 2 $0 B/D PA; M SUSPENSIN,EXTENDED REL RECN alprazolam oral tablet 1 $0 PA; M alprazolam oral tablet extended release 24 hr 1 $0 PA; M alprazolam oral tablet,disintegrating 1 $0 PA; M amitriptyline oral tablet 1 $0 M amoxapine oral tablet 1 $0 M amphetamine salt combo oral tablet 1 $0 M BRINTELLIX RAL TABLET 2 $0 M BRISLE RAL CAPSULE 2 $0 M bupropion hcl oral tablet 1 $0 M bupropion hcl oral tablet extended release 1 $0 M bupropion hcl oral tablet extended release 24 hr 1 $0 M

44 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US buspirone oral tablet 1 $0 M chlorpromazine injection solution 1 $0 M chlorpromazine oral tablet 1 $0 M citalopram oral solution 1 $0 M citalopram oral tablet 1 $0 M clomipramine oral capsule 1 $0 M clonidine hcl oral tablet extended release 12 hr 1 $0 M clorazepate dipotassium oral tablet 1 $0 PA; M clozapine oral tablet 1 $0 clozapine oral tablet,disintegrating 1 $0 desipramine oral tablet 1 $0 M dexmethylphenidate oral tablet 1 $0 M dextroamphetamine oral capsule, extended release 1 $0 M dextroamphetamine oral tablet 1 $0 M dextroamphetamine-amphetamine oral 1 $0 M capsule,extended release 24hr diazepam oral solution 5 mg/5 ml 1 $0 PA; M diazepam oral solution 5 mg/5 ml (5 ml) 1 $0 PA diazepam oral tablet 1 $0 PA; M diazepam intensol oral concentrate 1 $0 PA; M doxepin oral capsule 1 $0 M doxepin oral concentrate 1 $0 M duloxetine oral capsule,delayed release(dr/ec) 1 $0 M EMSAM TRANSDERMAL PATCH 24 HUR 2 $0 M ergoloid oral tablet 1 $0 M escitalopram oxalate oral solution 1 $0 M escitalopram oxalate oral tablet 1 $0 M eszopiclone oral tablet 1 $0 PA; M FANAPT RAL TABLET 2 $0 M FANAPT RAL TABLETS,DSE PACK 2 $0 FAZACL RAL TABLET,DISINTEGRATING 2 $0 FETZIMA RAL CAPSULE,EXT REL 24HR 2 $0 M DSE PACK FETZIMA RAL CAPSULE,EXTENDED 2 $0 M RELEASE 24 HR fluoxetine oral capsule 1 $0 M fluoxetine oral capsule,delayed release(dr/ec) 1 $0 M

45 NME FARMAC INVEGA RAL TABLET EXTENDED RELEASE 2 $0 M 24HR INVEGA SUSTENNA INTRAMUSCULAR 2 $0 B/D PA; M SYRINGE KHEDEZLA RAL TABLET EXTENDED 2 $0 M RELEASE 24HR LATUDA RAL TABLET 2 $0 M lithium carbonate oral capsule 1 $0 M lithium carbonate oral tablet 1 $0 M lithium carbonate oral tablet extended release 1 $0 M lithium citrate oral solution 1 $0 M lorazepam oral tablet 1 $0 PA; M lorazepam intensol oral concentrate 1 $0 PA; M loxapine succinate oral capsule 1 $0 M maprotiline oral tablet 1 $0 M MARPLAN RAL TABLET 2 $0 M metadate er oral tablet extended release 1 $0 M methamphetamine oral tablet 1 $0 M 34 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US fluoxetine oral solution 1 $0 M fluoxetine oral tablet 10 mg, 20 mg 1 $0 M FLUXETINE RAL TABLET 60 MG 2 $0 M fluphenazine decanoate injection solution 1 $0 B/D PA; M fluphenazine hcl injection solution 1 $0 B/D PA; M fluphenazine hcl oral concentrate 1 $0 M fluphenazine hcl oral elixir 1 $0 M fluphenazine hcl oral tablet 1 $0 M fluvoxamine oral capsule,extended release 24hr 1 $0 M fluvoxamine oral tablet 1 $0 M FRFIV XL RAL TABLET EXTENDED 2 $0 M RELEASE 24 HR GEDN INTRAMUSCULAR RECN SLN 2 $0 B/D PA; M guanidine oral tablet 1 $0 M haloperidol oral tablet 1 $0 M haloperidol decanoate intramuscular solution 1 $0 B/D PA; M haloperidol lactate injection solution 1 $0 B/D PA; M haloperidol lactate oral concentrate 1 $0 M imipramine hcl oral tablet 1 $0 M imipramine pamoate oral capsule 1 $0 M

46 NME FARMAC CST FARMAC A SU CARIC methylphenidate oral capsule, er biphasic $0 M 10 mg, 50 mg, 60 mg methylphenidate oral capsule,er biphasic $0 M methylphenidate oral solution 1 $0 M methylphenidate oral tablet 1 $0 M methylphenidate oral tablet extended release 1 $0 M AZINI RESTRIZINI LIMITI D'US methylphenidate oral tablet extended release 24hr 1 $0 M 18 mg mirtazapine oral tablet 1 $0 M mirtazapine oral tablet,disintegrating 1 $0 M modafinil oral tablet 1 $0 PA; M nefazodone oral tablet 1 $0 M nortriptyline oral capsule 1 $0 M nortriptyline oral solution 1 $0 M NUVIGIL RAL TABLET 150 MG, 250 MG, 2 $0 PA; M 50 MG olanzapine intramuscular recon soln 1 $0 M olanzapine oral tablet 1 $0 M olanzapine oral tablet,disintegrating 1 $0 M olanzapine-fluoxetine oral capsule 1 $0 M RAP RAL TABLET 2 $0 M oxazepam oral capsule 1 $0 PA; M paroxetine hcl oral tablet 1 $0 M paroxetine hcl oral tablet extended release 24 hr 1 $0 M PAXIL RAL SUSPENSIN 2 $0 M perphenazine oral tablet 1 $0 M perphenazine-amitriptyline oral tablet 1 $0 M phenelzine oral tablet 1 $0 M PRISTIQ RAL TABLET EXTENDED RELEASE 2 $0 M 24 HR protriptyline oral tablet 1 $0 M quetiapine oral tablet 1 $0 M RISPERDAL CNSTA INTRAMUSCULAR 2 $0 B/D PA; M SYRINGE risperidone oral solution 1 $0 M risperidone oral tablet 1 $0 M risperidone oral tablet,disintegrating 1 $0 M

47 NME FARMAC 36 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US RZEREM RAL TABLET 2 $0 M; QL (30 per SAPHRIS SUBLINGUAL TABLET 2 $0 M SAPHRIS (BLACK CHERRY) SUBLINGUAL 2 $0 M TABLET SERQUEL XR RAL TABLET EXTENDED 2 $0 M RELEASE 24 HR sertraline oral concentrate 1 $0 M sertraline oral tablet 1 $0 M STRATTERA RAL CAPSULE 2 $0 M SURMNTIL RAL CAPSULE 2 $0 PA; M temazepam oral capsule 1 $0 PA; M thioridazine oral tablet 1 $0 PA; M thiothixene oral capsule 1 $0 M tranylcypromine oral tablet 1 $0 M trazodone oral tablet 1 $0 M trifluoperazine oral tablet 1 $0 M venlafaxine oral capsule,extended release 24hr 1 $0 M venlafaxine oral tablet 1 $0 M venlafaxine oral tablet extended release 24hr 150 mg, 1 $0 M 37.5 mg, 75 mg VENLAFAXINE RAL TABLET EXTENDED 2 $0 M RELEASE 24HR 225 MG VERSACLZ RAL SUSPENSIN 2 $0 VIIBRYD RAL TABLET 2 $0 M VIIBRYD RAL TABLETS,DSE PACK 2 $0 M; QL (30 per XYREM RAL SLUTIN 2 $0 M; LA ziprasidone hcl oral capsule 1 $0 M zolpidem oral tablet 1 $0 M; QL (30 per zolpidem oral tablet,ext release multiphase 1 $0 M; QL (30 per ZYPREXA INTRAMUSCULAR RECN SLN 2 $0 M AGENTI CARDIVASCLARI, IPERTENSINE/LIPIDI ANTIARITMICI amiodarone intravenous solution 1 $0 B/D PA; M

48 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US amiodarone intravenous syringe 1 $0 B/D PA amiodarone oral tablet 1 $0 M flecainide oral tablet 1 $0 M mexiletine oral capsule 1 $0 M MULTAQ RAL TABLET 2 $0 M pacerone oral tablet 1 $0 M procainamide injection solution 100 mg/ml 1 $0 M procainamide injection solution 500 mg/ml 1 $0 propafenone oral capsule,extended release 12 hr 1 $0 M propafenone oral tablet 1 $0 M quinidine gluconate injection solution 1 $0 M quinidine gluconate oral tablet extended release 1 $0 M quinidine sulfate oral tablet 1 $0 M quinidine sulfate oral tablet extended release 1 $0 M sorine oral tablet 120 mg, 160 mg, 80 mg 1 $0 M sorine oral tablet 240 mg 1 $0 sotalol oral tablet 1 $0 M sotalol af oral tablet 1 $0 M TIKSYN RAL CAPSULE 2 $0 M ANTIPERTENSIVI acebutolol oral capsule 1 $0 M afeditab cr oral tablet extended release 1 $0 M amiloride oral tablet 1 $0 M amiloride-hydrochlorothiazide oral tablet 1 $0 M amlodipine oral tablet 1 $0 M amlodipine-benazepril oral capsule 1 $0 M AMTURNIDE RAL TABLET 2 $0 M atenolol oral tablet 1 $0 M atenolol-chlorthalidone oral tablet 1 $0 M AZR RAL TABLET 2 $0 M benazepril oral tablet 1 $0 M benazepril-hydrochlorothiazide oral tablet 1 $0 M BENICAR RAL TABLET 2 $0 M; QL (30 per BENICAR HCT RAL TABLET 2 $0 M betaxolol oral tablet 1 $0 M bisoprolol fumarate oral tablet 1 $0 M

49 NME FARMAC CREG CR RAL CAPSULE, ER MULTIPHASE 2 $0 ST; M 24 HR DEMSER RAL CAPSULE 2 $0 PA; M dilt-xr oral capsule,ext release degradablev 1 $0 M diltiazem hcl intravenous recon soln 1 $0 B/D PA diltiazem hcl intravenous solution 1 $0 B/D PA diltiazem hcl oral capsule, extended release 1 $0 M diltiazem hcl oral capsule,ext release degradable 1 $0 M diltiazem hcl oral capsule,extended release 12 hr 1 $0 M diltiazem hcl oral capsule,extended release 24hr 1 $0 M diltiazem hcl oral tablet 1 $0 M diltiazem hcl oral tablet extended release 24 hr 1 $0 DIVAN RAL TABLET 2 $0 M; QL (30 per doxazosin oral tablet 1 $0 M enalapril maleate oral tablet 1 $0 M enalapril-hydrochlorothiazide oral tablet 1 $0 M EPANED RAL RECN SLN 2 $0 M eplerenone oral tablet 1 $0 M eprosartan oral tablet 1 $0 M EXFRGE HCT RAL TABLET 2 $0 M felodipine oral tablet extended release 24 hr 1 $0 M fosinopril oral tablet 1 $0 M 38 CST FARMAC A SU CARIC bisoprolol-hydrochlorothiazide oral tablet 1 $0 M bumetanide injection solution 1 $0 M bumetanide oral tablet 1 $0 M BYSTLIC RAL TABLET 2 $0 M candesartan oral tablet 1 $0 M candesartan-hydrochlorothiazid oral tablet 1 $0 M captopril oral tablet 1 $0 M captopril-hydrochlorothiazide oral tablet 1 $0 M cartia xt oral capsule,extended release 24hr 1 $0 M carvedilol oral tablet 1 $0 M chlorothiazide oral tablet 1 $0 M chlorothiazide sodium intravenous recon soln 1 $0 M chlorthalidone oral tablet 1 $0 M clonidine transdermal patch weekly 1 $0 M clonidine hcl oral tablet 1 $0 M AZINI RESTRIZINI LIMITI D'US

50 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US fosinopril-hydrochlorothiazide oral tablet 1 $0 M furosemide injection solution 1 $0 B/D PA; M furosemide injection syringe 1 $0 B/D PA; M furosemide oral solution 1 $0 M furosemide oral tablet 1 $0 M hydralazine injection solution 1 $0 B/D PA; M hydralazine oral tablet 1 $0 M hydrochlorothiazide oral capsule 1 $0 M hydrochlorothiazide oral tablet 1 $0 M indapamide oral tablet 1 $0 M irbesartan oral tablet 1 $0 M irbesartan-hydrochlorothiazide oral tablet 1 $0 M isradipine oral capsule 1 $0 M labetalol intravenous solution 1 $0 B/D PA; M labetalol intravenous syringe 1 $0 B/D PA labetalol oral tablet 1 $0 M lisinopril oral tablet 1 $0 M lisinopril-hydrochlorothiazide oral tablet 1 $0 M losartan oral tablet 1 $0 M losartan-hydrochlorothiazide oral tablet 1 $0 M matzim la oral tablet extended release 24 hr 1 $0 M methyclothiazide oral tablet 1 $0 M methyldopa-hydrochlorothiazide oral tablet 1 $0 PA; M metolazone oral tablet 1 $0 M metoprolol succinate oral tablet extended release 1 $0 M 24 hr metoprolol ta-hydrochlorothiaz oral tablet 1 $0 M metoprolol tartrate intravenous solution 1 $0 B/D PA; M metoprolol tartrate intravenous syringe 1 $0 B/D PA metoprolol tartrate oral tablet 1 $0 M minoxidil oral tablet 1 $0 M moexipril oral tablet 1 $0 M moexipril-hydrochlorothiazide oral tablet 1 $0 M nadolol oral tablet 1 $0 M nadolol-bendroflumethiazide oral tablet 1 $0 M nicardipine intravenous solution 1 $0 M nicardipine oral capsule 1 $0 M

51 NME FARMAC torsemide intravenous solution 20 mg/2 ml (10 1 $0 mg/ml) TRSEMIDE INTRAVENUS SLUTIN 50 2 $0 MG/5 ML (10 MG/ML) torsemide oral tablet 1 $0 M trandolapril oral tablet 1 $0 M triamterene-hydrochlorothiazid oral capsule 1 $0 M triamterene-hydrochlorothiazid oral tablet 1 $0 M TRIBENZR RAL TABLET 2 $0 M valsartan-hydrochlorothiazide oral tablet 1 $0 M 40 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US nifedical xl oral tablet extended release 24hr 1 $0 M nifedipine oral tablet extended release 1 $0 M nifedipine oral tablet extended release 24hr 1 $0 M nimodipine oral capsule 1 $0 M nisoldipine oral tablet extended release 24 hr 1 $0 M perindopril erbumine oral tablet 1 $0 M pindolol oral tablet 1 $0 M prazosin oral capsule 1 $0 M propranolol intravenous solution 1 $0 B/D PA propranolol oral capsule,extended release 24 hr 1 $0 M propranolol oral solution 1 $0 M propranolol oral tablet 1 $0 M propranolol-hydrochlorothiazid oral tablet 1 $0 M quinapril oral tablet 1 $0 M quinapril-hydrochlorothiazide oral tablet 1 $0 M ramipril oral capsule 1 $0 M REMDULIN INJECTIN SLUTIN 2 $0 B/D PA; M reserpine oral tablet 1 $0 PA; M spironolacton-hydrochlorothiaz oral tablet 1 $0 M spironolactone oral tablet 1 $0 M taztia xt oral capsule, extended release 1 $0 M TEKAML RAL TABLET 2 $0 M TEKTURNA RAL TABLET 2 $0 M TEKTURNA HCT RAL TABLET 2 $0 M telmisartan oral tablet 1 $0 M telmisartan-hydrochlorothiazid oral tablet 1 $0 M terazosin oral capsule 1 $0 M timolol maleate oral tablet 1 $0 M

52 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US verapamil intravenous solution 1 $0 B/D PA; M verapamil intravenous syringe 1 $0 B/D PA verapamil oral capsule, 24 hr er pellet ct 1 $0 M verapamil oral capsule,ext rel. pellets 24 hr 1 $0 M verapamil oral tablet 1 $0 M verapamil oral tablet extended release 1 $0 M GLICSIDI CARDIACI digox oral tablet 1 $0 M digoxin injection solution 1 $0 M digoxin oral solution 1 $0 M digoxin oral tablet 1 $0 M LANXIN RAL TABLET 125 MCG, 250 MCG, 2 $0 PA; M 62.5 MCG LANXIN RAL TABLET MCG 2 $0 PA CAGULANTI AGGRENX RAL CAPSULE, ER MULTIPHASE 12 HR 2 $0 M BRILINTA RAL TABLET 2 $0 M cilostazol oral tablet 1 $0 M clopidogrel oral tablet 300 mg 1 $0 M; QL (1 per 30 giorno) clopidogrel oral tablet 75 mg 1 $0 M CUMADIN RAL TABLET 2 $0 M EFFIENT RAL TABLET 2 $0 M ELIQUIS RAL TABLET 2 $0 M enoxaparin subcutaneous solution 1 $0 M; QL (180 per enoxaparin subcutaneous syringe 100 mg/ml, 150 mg/ml 1 $0 M; QL (60 per enoxaparin subcutaneous syringe 120 mg/0.8 ml, 80 mg/0.8 ml 1 $0 M; QL (48 per enoxaparin subcutaneous syringe 30 mg/0.3 ml 1 $0 M; QL (18 per enoxaparin subcutaneous syringe 40 mg/0.4 ml 1 $0 M; QL (24 per enoxaparin subcutaneous syringe 60 mg/0.6 ml 1 $0 M; QL (36 per

53 NME FARMAC 42 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US FNDAPARINUX SUBCUTANEUS SYRINGE 10 MG/0.8 ML 2 $0 M; QL (24 per fondaparinux subcutaneous syringe 2.5 mg/0.5 ml 1 $0 M; QL (15 per fondaparinux subcutaneous syringe 5 mg/0.4 ml 1 $0 M; QL (12 per FNDAPARINUX SUBCUTANEUS SYRINGE 7.5 MG/0.6 ML 2 $0 M; QL (18 per FRAGMIN SUBCUTANEUS SLUTIN 2 $0 M; QL (30 per FRAGMIN SUBCUTANEUS SYRINGE 10,000 UNIT/ML 2 $0 M; QL (30 per FRAGMIN SUBCUTANEUS SYRINGE 12,500 UNIT/0.5 ML 2 $0 M; QL (15 per FRAGMIN SUBCUTANEUS SYRINGE 15,000 UNIT/0.6 ML 2 $0 M; QL (18 per FRAGMIN SUBCUTANEUS SYRINGE 18,000 UNIT/0.72 ML 2 $0 M; QL (21.6 per FRAGMIN SUBCUTANEUS SYRINGE 2,500 UNIT/0.2 ML, 5,000 UNIT/0.2 ML 2 $0 M; QL (6 per FRAGMIN SUBCUTANEUS SYRINGE 7,500 UNIT/0.3 ML 2 $0 M; QL (9 per heparin (porcine) injection cartridge 1 $0 B/D PA; M heparin (porcine) injection solution 1 $0 B/D PA; M HEPARIN (PRCINE) IN 5 % DEX INTRAVENUS PARENTERAL SLUTIN 12,500 UNIT/250 ML 2 $0 B/D PA heparin (porcine) in 5 % dex intravenous parenteral solution 20,000 unit/500 ml (40 unit/ml), 25,000 unit/250 ml(100 unit/ml) heparin (porcine) in 5 % dex intravenous parenteral solution 25,000 unit/500 ml (50 unit/ml) heparin (porcine) in nacl (pf) intravenous parenteral solution 1,000 unit/500 ml HEPARIN (PRCINE) IN NACL (PF) INTRAVENUS PARENTERAL SLUTIN 2,000 UNIT/1,000 ML 1 $0 B/D PA 1 $0 B/D PA; M 1 $0 B/D PA 2 $0 B/D PA HEPARIN(PRCINE) IN 0.45% NACL 2 $0 B/D PA

54 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US INTRAVENUS PARENTERAL SLUTIN 12,500 UNIT/250 ML, 25,000 UNIT/250 ML, 25,000 UNIT/500 ML heparin, porcine (pf) injection solution 1,000 unit/ml 1 $0 B/D PA heparin, porcine (pf) injection solution 5,000 unit/0.5 1 $0 B/D PA; M ml heparin, porcine (pf) injection syringe 1 $0 B/D PA; M jantoven oral tablet 1 $0 M MEPHYTN RAL TABLET 3 $0 M; * pentoxifylline oral tablet extended release 1 $0 M PRMACTA RAL TABLET 2 $0 PA; M tranexamic acid intravenous solution 1 $0 B/D PA; M VITAMIN K INJECTIN SLUTIN 3 $0 M; * VITAMIN K1 INJECTIN SLUTIN 3 $0 M; * warfarin oral tablet 1 $0 M XARELT RAL TABLET 2 $0 M IPLIPEMIZZANTI/IPCLESTERLEMIZZ ANTI amlodipine-atorvastatin oral tablet 1 $0 M ANTARA RAL CAPSULE 30 MG 2 $0 ANTARA RAL CAPSULE 90 MG 2 $0 M atorvastatin oral tablet 1 $0 M cholestyramine (with sugar) oral powder 1 $0 M cholestyramine (with sugar) oral powder in packet 1 $0 M cholestyramine light oral powder 1 $0 M cholestyramine light oral powder in packet 1 $0 M colestipol oral granules 1 $0 M colestipol oral packet 1 $0 M colestipol oral tablet 1 $0 M CRESTR RAL TABLET 2 $0 M fenofibrate oral tablet 1 $0 M fenofibrate micronized oral capsule 1 $0 M fenofibrate nanocrystallized oral tablet 1 $0 M fenofibric acid (choline) oral capsule,delayed 1 $0 M release(dr/ec) fluvastatin oral capsule 1 $0 M gemfibrozil oral tablet 1 $0 M

55 NME FARMAC 44 CST FARMAC A SU CARIC lovastatin oral tablet 1 $0 M LVAZA RAL CAPSULE 2 $0 M niacin oral tablet 4 $0 M; * niacin oral tablet extended release 1,000 mg, 750 mg 4 $0 M; * niacin oral tablet extended release 24 hr 1 $0 M omega-3 acid ethyl esters oral capsule 1 $0 M pravastatin oral tablet 1 $0 M prevalite oral powder 1 $0 M prevalite oral powder in packet 1 $0 M SIMCR RAL TABLET, ER MULTIPHASE 24 HR 1, MG, MG, MG, MG 2 $0 M simvastatin oral tablet 1 $0 M VYTRIN RAL TABLET 2 $0 M VYTRIN RAL TABLET 2 $0 M VYTRIN RAL TABLET 2 $0 M VYTRIN RAL TABLET 2 $0 M WELCHL RAL PWDER IN PACKET 2 $0 M WELCHL RAL TABLET 2 $0 M ZETIA RAL TABLET 2 $0 M AGENTI CARDIVASCLARI VARI RANEXA RAL TABLET EXTENDED RELEASE 12 HR 2 $0 M VECAMYL RAL TABLET 2 $0 NITRATI ISRDIL RAL TABLET 2 $0 M isosorbide dinitrate oral tablet 1 $0 M isosorbide dinitrate oral tablet extended release 1 $0 M isosorbide mononitrate oral tablet 1 $0 M AZINI RESTRIZINI LIMITI D'US isosorbide mononitrate oral tablet extended release 24 1 $0 M hr nitro-bid transdermal ointment 1 $0 M nitroglycerin intravenous solution 1 $0 B/D PA nitroglycerin transdermal patch 24 hour 1 $0 M nitroglycerin translingual aerosol,spray 1 $0 M nitroglycerin translingual spray,non-aerosol 1 $0 M NITRLINGUAL TRANSLINGUAL SPRAY,NN-AERSL 2 $0 M

56 NME FARMAC CST FARMAC A SU CARIC NITRSTAT SUBLINGUAL TABLET 2 $0 M DERMATLGICI/TERAPIA TPICA ANTIPSRIASICI/ANTISEBRRICI acitretin oral capsule 10 mg 1 $0 M ACITRETIN RAL CAPSULE 17.5 MG, 25 MG 2 $0 M calcipotriene topical cream 1 $0 M calcipotriene topical ointment 1 $0 M calcipotriene topical solution 1 $0 M CALCITRENE TPICAL INTMENT 2 $0 M calcitriol topical ointment 1 $0 M selenium sulfide topical suspension 1 $0 M TERAPIA LE USTINI silver sulfadiazine topical cream 1 $0 M ssd topical cream 1 $0 M CHERATLITICI HYDRISALIC TPICAL GEL 4 $0 * MEDIPLAST CRN-CALLUS-WART TPICAL 4 $0 M; * ADHESIVE PATCH,MEDICATED SEBEX TPICAL SHAMP 4 $0 * DERMATLGICI VARI A + D (LAN, PET) TPICAL INTMENT 4 $0 M; * ammonium lactate topical cream 1 $0 M ammonium lactate topical lotion 1 $0 M AZINI RESTRIZINI LIMITI D'US ANTI-ITCH (DIPHENHYDRAMINE) TPICAL 4 $0 * AERSL,SPRAY ASTRINGENT TPICAL PWDER IN PACKET 4 $0 * BANPHEN ANTI-ITCH TPICAL CREAM 4 $0 * BETASEPT SURGICAL SCRUB TPICAL 4 $0 M; * LIQUID capsaicin topical cream % 4 $0 M; * capsaicin topical cream 0.1 % 4 $0 * CARAC TPICAL CREAM 2 $0 M diclofenac sodium topical gel 1 $0 PA; M DR. SMITH'S DIAPER TPICAL INTMENT 4 $0 M; * ELI TPICAL CREAM 2 $0 M fluorouracil topical cream 1 $0 M fluorouracil topical solution 1 $0 M

57 NME FARMAC ZYCLARA TPICAL CREAM IN METERED- 2 $0 M DSE PUMP ZYCLARA TPICAL CREAM IN PACKET 2 $0 M TERAPIA L'ACNE adapalene topical cream 1 $0 PA; M adapalene topical gel 0.1 % 1 $0 PA; M amnesteem oral capsule 1 $0 M benzoyl peroxide topical cleanser 10 %, 5 %, 6 % 4 $0 M; * benzoyl peroxide topical gel 4 $0 M; * benzoyl peroxide topical lotion 4 $0 M; * BP TPICAL LTIN 4 $0 * BP TPICAL SUSPENSIN 4 $0 M; * claravis oral capsule 1 $0 M clindacin etz topical swab 1 $0 M clindacin p topical swab 1 $0 M clindamycin phosphate topical foam 1 $0 M clindamycin phosphate topical gel 1 $0 M clindamycin phosphate topical lotion 1 $0 M clindamycin phosphate topical solution 1 $0 M clindamycin phosphate topical swab 1 $0 M clindamycin-benzoyl peroxide topical gel 1 $0 M clindamycin-benzoyl peroxide topical gel,extended 1 $0 M 46 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US imiquimod topical cream in packet 1 $0 M methoxsalen rapid oral capsule 1 $0 XSRALEN ULTRA RAL CAPSULE 2 $0 M PANRETIN TPICAL GEL 2 $0 M PETRLEUM JELLY TPICAL GEL 4 $0 M; * podofilox topical solution 1 $0 M PRTPIC TPICAL INTMENT 2 $0 M REGRANEX TPICAL GEL 2 $0 M; QL (30 per RESINL TPICAL INTMENT 4 $0 M; * SECURA EXTRA PRTECTIVE TPICAL 4 $0 * CREAM TRIXAICIN TPICAL CREAM 4 $0 M; * vits a & d-white pet-lanolin topical ointment in packet 4 $0 * zinc oxide topical ointment 4 $0 M; * ZSTRIX DIABETIC TPICAL CREAM 4 $0 *

58 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US release ery pads topical swab 1 $0 M erythromycin with ethanol topical gel 1 $0 M erythromycin with ethanol topical solution 1 $0 M erythromycin with ethanol topical swab 1 $0 M erythromycin-benzoyl peroxide topical gel 1 $0 M INVISIBLE ACNE TPICAL CREAM 4 $0 * metronidazole topical cream 1 $0 M metronidazole topical gel 1 $0 M metronidazole topical gel with pump 1 $0 M metronidazole topical lotion 1 $0 M PANXYL TPICAL BAR 4 $0 M; * PANXYL-4 TPICAL CLEANSER 4 $0 M; * rosadan topical cream 1 $0 M rosadan topical gel 1 $0 M TAZRAC TPICAL CREAM 2 $0 M TAZRAC TPICAL GEL 2 $0 M tretinoin topical cream 1 $0 PA; M tretinoin topical gel 1 $0 PA; M tretinoin microsphere topical gel 1 $0 PA; M ANESTETICI TPICI ANECREAM TPICAL CREAM 4 $0 M; * CALDYPHEN TPICAL LTIN 4 $0 * lidocaine topical adhesive patch,medicated 1 $0 PA; M lidocaine topical ointment 1 $0 M lidocaine (pf) injection solution 10 mg/ml (1 %), 20 1 $0 B/D PA; M mg/ml (2 %), 40 mg/ml (4 %), 5 mg/ml (0.5 %) lidocaine (pf) injection solution 15 mg/ml (1.5 %) 1 $0 B/D PA lidocaine hcl injection solution 1 $0 B/D PA; M lidocaine hcl laryngotracheal solution 1 $0 M lidocaine hcl mucous membrane gel 1 $0 M lidocaine hcl mucous membrane jelly in applicator 1 $0 M lidocaine hcl mucous membrane solution 2 % 1 $0 lidocaine hcl mucous membrane solution 4 % 1 $0 M lidocaine viscous mucous membrane solution 1 $0 M lidocaine-prilocaine topical cream 1 $0 M lidocaine-prilocaine topical kit 1 $0

59 NME FARMAC 48 CST FARMAC A SU CARIC lta pre-attached laryngotracheal solution 1 $0 ANTIBATTERICI TPICI bacitracin topical ointment 4 $0 M; * bacitracin zinc topical packet 4 $0 * bacitracin-polymyxin b topical packet 4 $0 * BETADINE SPRAY TPICAL AERSL 4 $0 * FIRST AID ANTISEPTIC TPICAL SLUTIN 4 $0 * gentamicin topical cream 1 $0 M gentamicin topical ointment 1 $0 M GRX DYNE TPICAL SLUTIN 7.5 % 4 $0 * mupirocin topical ointment 1 $0 M mupirocin calcium topical cream 1 $0 M povidone-iodine topical ointment 4 $0 M; * povidone-iodine topical swab 10 % 4 $0 * sulfacetamide sodium (acne) topical suspension 1 $0 M TRIPLE ANTIBITIC TPICAL PACKET 4 $0 * TRIPLE ANTIBITIC PLUS TPICAL 4 $0 * INTMENT ANTIMICTICI TPICI ALE VESTA TPICAL INTMENT 2 % 4 $0 * ANTIFUNGAL (TLNAFTATE) TPICAL 4 $0 * AERSL,SPRAY ANTIFUNGAL (TLNAFTATE) TPICAL 4 $0 M; * PWDER ANTIFUNGAL CREAM TPICAL CREAM 4 $0 * ANTIFUNGAL SPRAY TPICAL AERSL 4 $0 * PWDER ATHLETE'S FT (TERBINAFINE) TPICAL 4 $0 * CREAM ATHLETE'S FT (TLNAFTATE) TPICAL 4 $0 * AERSL PWDER ATHLETE'S FT (TLNAFTATE) TPICAL 4 $0 * CREAM AZLEN TINCTURE TPICAL TINCTURE 4 $0 * ciclodan topical cream 1 $0 M ciclodan topical solution 1 $0 M ciclopirox topical cream 1 $0 M ciclopirox topical gel 1 $0 M AZINI RESTRIZINI LIMITI D'US

60 NME FARMAC CST FARMAC A SU CARIC ciclopirox topical shampoo 1 $0 M ciclopirox topical solution 1 $0 M ciclopirox topical suspension 1 $0 M clotrimazole topical cream 1 $0 M clotrimazole topical solution 1 $0 M clotrimazole-betamethasone topical cream 1 $0 M clotrimazole-betamethasone topical lotion 1 $0 M DESENEX TPICAL PWDER 4 $0 M; * econazole topical cream 1 $0 M ketoconazole topical cream 1 $0 M ketoconazole topical shampoo 1 $0 M ketodan topical foam 1 $0 M ketodan kit topical combo pack 1 $0 M LAMISIL (AERSL) TPICAL 4 $0 M; * AERSL,SPRAY LAMISIL AT TPICAL GEL 4 $0 M; * nyamyc topical powder 1 $0 M nystatin topical cream 1 $0 M nystatin topical ointment 1 $0 M nystatin topical powder 1 $0 M nystatin-triamcinolone topical cream 1 $0 M nystatin-triamcinolone topical ointment 1 $0 M nystop topical powder 1 $0 M pedi-dri topical powder 1 $0 M tolnaftate topical solution 4 $0 M; * ANTIVIRALI TPICI ABREVA TPICAL CREAM 4 $0 M; * acyclovir topical ointment 1 $0 M DENAVIR TPICAL CREAM 2 $0 M ZVIRAX TPICAL CREAM 2 $0 M CRTICSTERIDI TPICI alclometasone topical cream 1 $0 M alclometasone topical ointment 1 $0 M amcinonide topical cream 1 $0 M amcinonide topical lotion 1 $0 M amcinonide topical ointment 1 $0 M ANTI-ITCH (HC) TPICAL CREAM 4 $0 * AZINI RESTRIZINI LIMITI D'US

61 NME FARMAC ANTI-ITCH (HC) WITH ATMEAL TPICAL 4 $0 * CREAM betamethasone dipropionate topical cream 1 $0 M betamethasone dipropionate topical lotion 1 $0 M betamethasone dipropionate topical ointment 1 $0 M betamethasone valerate topical cream 1 $0 M betamethasone valerate topical foam 1 $0 M betamethasone valerate topical lotion 1 $0 M betamethasone valerate topical ointment 1 $0 M betamethasone, augmented topical cream 1 $0 M betamethasone, augmented topical gel 1 $0 M betamethasone, augmented topical lotion 1 $0 M betamethasone, augmented topical ointment 1 $0 M clobetasol topical cream 1 $0 M clobetasol topical foam 1 $0 M clobetasol topical gel 1 $0 M clobetasol topical lotion 1 $0 M clobetasol topical ointment 1 $0 M clobetasol topical shampoo 1 $0 M clobetasol topical solution 1 $0 M clobetasol-emollient topical cream 1 $0 M clobetasol-emollient topical foam 1 $0 M cormax topical solution 1 $0 M desonide topical cream 1 $0 M desonide topical lotion 1 $0 M desonide topical ointment 1 $0 M desoximetasone topical cream 1 $0 M desoximetasone topical gel 1 $0 M desoximetasone topical ointment 1 $0 M diflorasone topical cream 1 $0 M diflorasone topical ointment 1 $0 M fluocinolone topical cream 1 $0 M fluocinolone topical oil 1 $0 M fluocinolone topical ointment 1 $0 M fluocinolone topical solution 1 $0 M fluocinolone-shower cap topical oil 1 $0 M fluocinonide topical cream 1 $0 M fluocinonide topical gel 1 $0 M 50 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US

62 NME FARMAC CST FARMAC A SU CARIC fluocinonide topical ointment 1 $0 M fluocinonide topical solution 1 $0 M fluocinonide-e topical cream 1 $0 M fluticasone topical cream 1 $0 M fluticasone topical lotion 1 $0 M fluticasone topical ointment 1 $0 M halobetasol propionate topical cream 1 $0 M halobetasol propionate topical ointment 1 $0 M HYDR SKIN TPICAL LTIN 4 $0 M; * hydrocortisone topical cream 0.5 %, 1 % 4 $0 M; * hydrocortisone topical cream 1 %, 2.5 % 1 $0 M hydrocortisone topical lotion 2.5 % 1 $0 M hydrocortisone topical ointment 0.5 %, 1 % 4 $0 M; * hydrocortisone topical ointment 1 %, 2.5 % 1 $0 M hydrocortisone butyr-emollient topical cream 1 $0 M hydrocortisone butyrate topical cream 1 $0 M hydrocortisone butyrate topical ointment 1 $0 M hydrocortisone butyrate topical solution 1 $0 M hydrocortisone valerate topical cream 1 $0 M hydrocortisone valerate topical ointment 1 $0 M hydrocortisone-min oil-wht pet topical ointment 1 $0 M MEDI-CRTISNE TPICAL CREAM 4 $0 * mometasone topical cream 1 $0 M mometasone topical ointment 1 $0 M mometasone topical solution 1 $0 M prednicarbate topical cream 1 $0 M prednicarbate topical ointment 1 $0 M SCALPICIN TPICAL SLUTIN 4 $0 * triamcinolone acetonide topical cream 1 $0 M triamcinolone acetonide topical lotion 1 $0 M triamcinolone acetonide topical ointment 1 $0 M trianex topical ointment 1 $0 M triderm topical cream 1 $0 M ENZIMI TPICI SANTYL TPICAL INTMENT 2 $0 M SCABICIDI/PEDICULICIDI TPICI LICE CMPLETE KIT TPICAL KIT 4 $0 * AZINI RESTRIZINI LIMITI D'US

63 NME FARMAC 52 CST FARMAC A SU CARIC LICE KILLING TPICAL SHAMP 4 $0 * LICE TREATMENT TPICAL LIQUID 4 $0 * lindane topical lotion 1 $0 M lindane topical shampoo 1 $0 M malathion topical lotion 1 $0 M permethrin topical cream 1 $0 M permethrin topical liquid 4 $0 M; * AZINI RESTRIZINI LIMITI D'US PYRETHRIN LICE TREATMENT M TPICAL 4 $0 * LIQUID AGENTI DIAGNSTICI/VARI SLUZINI PER IRRIGAZINE lactated ringers irrigation solution 1 $0 M neomycin-polymyxin b gu irrigation solution 1 $0 M AGENTI VARI acamprosate oral tablet,delayed release (dr/ec) 1 $0 M ADAGEN INTRAMUSCULAR SLUTIN 2 $0 B/D PA; M alendronate oral tablet 40 mg 1 $0 M; QL (30 per anagrelide oral capsule 1 $0 M ARALAST NP INTRAVENUS RECN SLN 2 $0 B/D PA; M cevimeline oral capsule 1 $0 M CHEMET RAL CAPSULE 2 $0 M CLINIMIX 4.25%/D5W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 2.75%/D10W SUL FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 2.75%/D5W SULF FREE INTRAVENUS PARENTERAL SLUTIN d10 % & 0.45 % sodium chloride intravenous parenteral solution d2.5 %-0.45 % sodium chloride intravenous parenteral solution d5 % and 0.9 % sodium chloride intravenous parenteral solution d5 %-0.45 % sodium chloride intravenous parenteral solution dextrose 10 % & 0.2 % nacl intravenous parenteral solution 2 $0 B/D PA 2 $0 B/D PA 2 $0 B/D PA 1 $0 1 $0 B/D PA 1 $0 B/D PA; M 1 $0 B/D PA; M 1 $0 B/D PA

64 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US dextrose 10 % in water (d10w) intravenous 1 $0 B/D PA; M parenteral solution dextrose 20 % in water (d20w) intravenous 1 $0 B/D PA parenteral solution dextrose 25 % in water (d25w) intravenous syringe 1 $0 B/D PA dextrose 30 % in water (d30w) intravenous 1 $0 B/D PA parenteral solution dextrose 40 % in water (d40w) intravenous 1 $0 B/D PA parenteral solution dextrose 5 % in water (d5w) intravenous parenteral 1 $0 B/D PA; M solution dextrose 5 % in water (d5w) intravenous piggyback 1 $0 B/D PA; M dextrose 5 %-lactated ringers intravenous parenteral 1 $0 B/D PA; M solution dextrose 5%-0.2 % sod chloride intravenous 1 $0 B/D PA parenteral solution dextrose 5%-0.3 % sod.chloride intravenous 1 $0 B/D PA parenteral solution dextrose 50 % in water (d50w) intravenous 1 $0 B/D PA; M parenteral solution dextrose 50 % in water (d50w) intravenous syringe 1 $0 B/D PA dextrose 70 % in water (d70w) intravenous 1 $0 B/D PA parenteral solution disulfiram oral tablet 1 $0 M etidronate disodium oral tablet 1 $0 M EXJADE RAL TABLET, DISPERSIBLE 2 $0 M FSRENL RAL TABLET,CHEWABLE 2 $0 M INCRELEX SUBCUTANEUS SLUTIN 2 $0 B/D PA; M KINEX RAL PWDER 2 $0 M kionex oral suspension 1 $0 M levocarnitine intravenous solution 1 $0 B/D PA; M levocarnitine oral tablet 1 $0 B/D PA; M levocarnitine (with sugar) oral solution 1 $0 B/D PA; M midodrine oral tablet 1 $0 M pilocarpine hcl oral tablet 1 $0 M RENVELA RAL PWDER IN PACKET 2 $0 M RENVELA RAL TABLET 2 $0 M

65 NME FARMAC 54 CST FARMAC A SU CARIC riluzole oral tablet 1 $0 M sevelamer carbonate oral tablet 1 $0 M sodium chloride irrigation solution 1 $0 M AZINI RESTRIZINI LIMITI D'US sodium chloride 0.9 % intravenous parenteral 1 $0 M solution sodium chloride 0.9 % intravenous piggyback 1 $0 M sodium polystyrene (sorb free) oral suspension 1 $0 sodium polystyrene sulfonate oral powder 1 $0 M sodium polystyrene sulfonate oral suspension 1 $0 sps oral suspension 1 $0 M SYPRINE RAL CAPSULE 2 $0 M zoledronic acid-mannitol-water intravenous solution 1 $0 B/D PA; M NUTRACEUTICI CENTRAL VITE RAL TABLET 4 $0 * DETERRENTI FUM buproban oral tablet extended release 1 $0 M CHANTIX RAL TABLET 2 $0 M CHANTIX CNTINUING MNTH BX RAL 2 $0 M TABLET CHANTIX STARTING MNTH BX RAL 2 $0 M TABLETS,DSE PACK NICDERM CQ TRANSDERMAL PATCH 24 4 $0 M; * HUR nicotine transdermal patch 24 hour 4 $0 M; * nicotine transdermal patch, td daily, sequential 4 $0 M; * nicotine (polacrilex) buccal gum 4 $0 M; * nicotine (polacrilex) buccal lozenge 2 mg 4 $0 * nicotine (polacrilex) buccal lozenge 4 mg 4 $0 M; * NICTRL INHALATIN CARTRIDGE 2 $0 M NICTRL NS NASAL SPRAY,NN- AERSL 2 $0 M FARMACI PER RECCHI, NAS E GLA AGENTI VARI 4 WAY NASAL SPRAY, NN-AERSL 4 $0 * azelastine nasal aerosol,spray 1 $0 M; QL (60 per azelastine nasal spray,non-aerosol 1 $0 M; QL (60 per chlorhexidine gluconate mucous membrane 1 $0 M

66 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US mouthwash DRISTAN LNG LASTING NASAL MIST 4 $0 * ipratropium bromide nasal spray,non-aerosol 0.03 % 1 $0 M; QL (60 per ipratropium bromide nasal spray,non-aerosol 0.06 % 1 $0 M; QL (60 per oralone dental paste 1 $0 M periogard mucous membrane mouthwash 1 $0 M SALINE MIST NASAL AERSL, SPRAY 4 $0 M; * sf 5000 plus dental cream 1 $0 M sodium fluoride dental solution 1 $0 M triamcinolone acetonide dental paste 1 $0 M PREPARATI PER RECCHI VARI acetasol hc otic drops 1 $0 M acetic acid otic solution 1 $0 M EAR WAX REMVAL DRPS TIC DRPS 4 $0 * fluocinolone acetonide oil otic drops 1 $0 M hydrocortisone-acetic acid otic drops 1 $0 M ofloxacin otic drops 1 $0 M STERIDI/ANTIBITICI PER RECCHI CRTISPRIN-TC TIC DRPS, SUSPENSIN 2 $0 M neomycin-polymyxin-hc otic drops,suspension 1 $0 M neomycin-polymyxin-hc otic solution 1 $0 M MALATTIE ENDCRINE/DIABETE RMNI SURRENALICI A-HYDRCRT INJECTIN RECN SLN 2 $0 B/D PA; M a-methapred injection recon soln 1 $0 B/D PA ACTHAR H.P. INJECTIN GEL 2 $0 PA; M cortisone oral tablet 1 $0 M dexamethasone oral elixir 1 $0 M dexamethasone oral solution 1 $0 M dexamethasone oral tablet 1 $0 M dexamethasone intensol oral drops 1 $0 M dexamethasone sodium phos (pf) injection solution 1 $0 B/D PA; M dexamethasone sodium phosphate injection solution 1 $0 B/D PA; M fludrocortisone oral tablet 1 $0 M hydrocortisone oral tablet 1 $0 M

67 NME FARMAC 56 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US KENALG INJECTIN SUSPENSIN 2 $0 M methylprednisolone oral tablet 1 $0 M methylprednisolone oral tablets,dose pack 1 $0 M methylprednisolone acetate injection suspension 1 $0 B/D PA; M methylprednisolone sodium succ injection recon soln 1 $0 B/D PA; M 125 mg methylprednisolone sodium succ injection recon soln 1 $0 B/D PA 40 mg methylprednisolone sodium succ intravenous recon 1 $0 B/D PA; M soln millipred oral tablet 1 $0 M prednisolone oral solution 1 $0 M prednisolone sodium phosphate oral solution 15 mg/5 1 $0 M ml, 5 mg base/5 ml (6.7 mg/5 ml) prednisolone sodium phosphate oral solution 25 mg/5 1 $0 ml (5 mg/ml) prednisone oral solution 1 $0 M prednisone oral tablet 1 $0 M prednisone oral tablets,dose pack 1 $0 M prednisone intensol oral concentrate 1 $0 M RAYS RAL TABLET,AYED RELEASE 2 $0 M (DR/EC) SLU-CRTEF (PF) INJECTIN RECN SLN 100 MG/2 ML, 250 MG/2 ML triamcinolone acetonide injection suspension 10 1 $0 M mg/ml triamcinolone acetonide injection suspension 40 1 $0 mg/ml veripred 20 oral solution 1 $0 M AGENTI ANTITIRIDEI methimazole oral tablet 1 $0 M propylthiouracil oral tablet 1 $0 M TERAPIA DIABETE acarbose oral tablet 1 $0 M ACTPLUS MET XR RAL TABLET, ER MULTIPHASE 24 HR 15-1,000 MG ACTPLUS MET XR RAL TABLET, ER MULTIPHASE 24 HR 30-1,000 MG 2 $0 B/D PA; M 2 $0 M; QL (60 per 2 $0 M; QL (30 per

68 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US ALCHL PADS TPICAL PADS, MEDICATED 2 $0 BYETTA SUBCUTANEUS PEN INJECTR 2 $0 M CYCLSET RAL TABLET 2 $0 M gauze pads 2 x 2 2 $0 glimepiride oral tablet 1 $0 M glipizide oral tablet 1 $0 M glipizide oral tablet extended release 24hr 1 $0 M glipizide-metformin oral tablet mg 1 $0 M; QL (240 per glipizide-metformin oral tablet mg, mg 1 $0 M; QL (120 per GLUCAGEN INJECTIN RECN SLN 2 $0 GLUCAGEN HYPKIT INJECTIN RECN 2 $0 M SLN GLUCAGN EMERGENCY INJECTIN KIT 2 $0 M HUMALG SUBCUTANEUS CARTRIDGE 2 $0 M HUMALG SUBCUTANEUS SLUTIN 2 $0 M HUMALG KWIKPEN SUBCUTANEUS 2 $0 M INSULIN PEN HUMALG MIX SUBCUTANEUS 2 $0 M SUSPENSIN HUMALG MIX KWIKPEN 2 $0 M SUBCUTANEUS INSULIN PEN HUMALG MIX SUBCUTANEUS 2 $0 M SUSPENSIN HUMALG MIX KWIKPEN 2 $0 M SUBCUTANEUS INSULIN PEN HUMULIN 70/30 SUBCUTANEUS 2 $0 M SUSPENSIN HUMULIN 70/30 KWIKPEN SUBCUTANEUS 2 $0 M INSULIN PEN HUMULIN 70/30 PEN SUBCUTANEUS 2 $0 M INSULIN PEN HUMULIN N SUBCUTANEUS SUSPENSIN 2 $0 M HUMULIN N KWIKPEN SUBCUTANEUS 2 $0 M INSULIN PEN HUMULIN N PEN SUBCUTANEUS INSULIN 2 $0 M

69 NME FARMAC 58 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US PEN HUMULIN R INJECTIN SLUTIN 2 $0 M HUMULIN R U-500 "CNCENTRATED" 2 $0 M SUBCUTANEUS SLUTIN insulin pen needle 2 $0 M insulin syringe (disp) u ml 2 $0 M insulin syringe (disp) u ml 2 $0 insulin syringe (disp) u-100 1/2 ml 2 $0 M INVKANA RAL TABLET 2 $0 M JANUMET RAL TABLET 2 $0 M; QL (60 per JANUMET XR RAL TABLET, ER MULTIPHASE 24 HR 2 $0 M; QL (60 per JANUVIA RAL TABLET 2 $0 M; QL (30 per KMBIGLYZE XR RAL TABLET, ER MULTIPHASE 24 HR 2.5-1,000 MG 2 $0 M; QL (60 per KMBIGLYZE XR RAL TABLET, ER MULTIPHASE 24 HR 5-1,000 MG, MG 2 $0 M; QL (30 per LEVEMIR SUBCUTANEUS SLUTIN 2 $0 M LEVEMIR FLEXPEN SUBCUTANEUS INSULIN 2 $0 M PEN LEVEMIR FLEXTUCH SUBCUTANEUS 2 $0 M INSULIN PEN metformin oral tablet 1 $0 M metformin oral tablet extended release 24 hr 1 $0 M metformin oral tablet extended release 24hr 1 $0 M nateglinide oral tablet 1 $0 M needles, insulin disp.,safety 2 $0 NVFINE NEEDLE 2 $0 M NVLIN 70/30 SUBCUTANEUS SUSPENSIN 2 $0 M NVLIN N SUBCUTANEUS SUSPENSIN 2 $0 M NVLIN R INJECTIN SLUTIN 2 $0 M NVLG SUBCUTANEUS SLUTIN 2 $0 M NVLG FLEXPEN SUBCUTANEUS INSULIN PEN NVLG MIX SUBCUTANEUS SLUTIN 2 $0 M 2 $0 M

70 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US NVLG MIX FLEXPEN 2 $0 M SUBCUTANEUS INSULIN PEN NVLG PENFILL SUBCUTANEUS 2 $0 M CARTRIDGE NVTWIST NEEDLE 2 $0 M NGLYZA RAL TABLET 2 $0 M; QL (30 per pioglitazone oral tablet 1 $0 M pioglitazone-glimepiride oral tablet 1 $0 M; QL (30 per pioglitazone-metformin oral tablet 1 $0 M; QL (90 per PRGLYCEM RAL SUSPENSIN 2 $0 M repaglinide oral tablet 0.5 mg 1 $0 M; QL (930 per repaglinide oral tablet 1 mg 1 $0 M; QL (480 per repaglinide oral tablet 2 mg 1 $0 M; QL (240 per SYMLINPEN 120 SUBCUTANEUS PEN 2 $0 M INJECTR SYMLINPEN 60 SUBCUTANEUS PEN 2 $0 M INJECTR tolazamide oral tablet 1 $0 M tolbutamide oral tablet 1 $0 M VICTZA 2-PAK SUBCUTANEUS PEN 2 $0 M INJECTR VICTZA 3-PAK SUBCUTANEUS PEN 2 $0 M INJECTR RMNI VARI ALDURAZYME INTRAVENUS SLUTIN 2 $0 B/D PA; M ANDRGEL TRANSDERMAL GEL 2 $0 M ANDRID RAL CAPSULE 2 $0 M ANDRXY RAL TABLET 2 $0 M cabergoline oral tablet 1 $0 M; QL (20 per calcitonin (salmon) nasal spray,non-aerosol 1 $0 M

71 NME FARMAC FABRAZYME INTRAVENUS RECN SLN 35 2 $0 B/D PA; M MG fortical nasal spray,non-aerosol 1 $0 M KUVAN RAL TABLET,SLUBLE 2 $0 PA; M MIACALCIN INJECTIN SLUTIN 2 $0 B/D PA; M MYZYME INTRAVENUS RECN SLN 2 $0 B/D PA; M NAGLAZYME INTRAVENUS SLUTIN 2 $0 B/D PA; M novarel intramuscular recon soln 1 $0 PA; M XANDRLNE RAL TABLET 10 MG 2 $0 M oxandrolone oral tablet 2.5 mg 1 $0 M pamidronate intravenous recon soln 1 $0 B/D PA; M pamidronate intravenous solution 1 $0 B/D PA; M paricalcitol oral capsule 1 $0 B/D PA; M PREGNYL INTRAMUSCULAR RECN SLN 2 $0 PA; M SENSIPAR RAL TABLET 2 $0 M SMAVERT SUBCUTANEUS RECN SLN 2 $0 B/D PA; M SYNAREL NASAL SPRAY,NN-AERSL 2 $0 M TESTIM TRANSDERMAL GEL 2 $0 M testosterone cypionate intramuscular oil 1 $0 B/D PA; M testosterone enanthate intramuscular oil 1 $0 B/D PA; M VPRIV INTRAVENUS RECN SLN 2 $0 B/D PA; M ZAVESCA RAL CAPSULE 2 $0 M ZEMPLAR INTRAVENUS SLUTIN 2 $0 B/D PA; M zoledronic acid intravenous recon soln 1 $0 B/D PA 60 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US calcitriol intravenous solution 1 $0 B/D PA; M calcitriol oral capsule 1 $0 B/D PA; M calcitriol oral solution 1 $0 B/D PA; M CEREZYME INTRAVENUS RECN SLN 2 $0 B/D PA; M chorionic gonadotropin, human intramuscular recon 1 $0 PA; M soln danazol oral capsule 1 $0 M desmopressin injection solution 1 $0 M desmopressin nasal aerosol,spray 1 $0 M desmopressin nasal solution 1 $0 M desmopressin nasal spray,non-aerosol 1 $0 M desmopressin oral tablet 1 $0 M ELAPRASE INTRAVENUS SLUTIN 2 $0 B/D PA; M ELELYS INTRAVENUS RECN SLN 2 $0 B/D PA; M

72 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US zoledronic acid intravenous solution 1 $0 B/D PA; M ZMETA INTRAVENUS SLUTIN 4 MG/100 2 $0 B/D PA; M ML RMNI TIRIDEI LEVTHYRXINE INTRAVENUS RECN SLN 100 MCG 2 $0 B/D PA; M levothyroxine oral tablet 1 $0 M levoxyl oral tablet 1 $0 M liothyronine intravenous solution 1 $0 liothyronine oral tablet 1 $0 M SYNTHRID RAL TABLET 2 $0 M unithroid oral tablet 100 mcg, 112 mcg, 125 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg GASTRENTERLGIA ANTIDIARRICI/ANTISPASMDICI ANTI-DIARRHEAL (LPERAMIDE) RAL LIQUID 1 $0 M 4 $0 * ANTI-DIARRHEAL (LPERAMIDE) RAL 4 $0 * TABLET atropine injection syringe 1 $0 BISMATRL RAL SUSPENSIN 262 MG/15 4 $0 M; * ML BISMATRL RAL SUSPENSIN 525 MG/15 4 $0 * ML BISMATRL RAL TABLET,CHEWABLE 4 $0 * dicyclomine oral capsule 1 $0 M dicyclomine oral solution 1 $0 M dicyclomine oral tablet 1 $0 M glycopyrrolate injection solution 1 $0 M glycopyrrolate oral tablet 1 $0 M loperamide oral capsule 1 $0 M loperamide oral liquid 1 mg/7.5 ml 4 $0 * loperamide oral tablet 4 $0 * methscopolamine oral tablet 1 $0 M PEPT-BISML RAL TABLET 4 $0 M; * AGENTI GASTRINTESTINALI VARI

73 NME FARMAC 62 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US ACID GNE ANTACID RAL SUSPENSIN 4 $0 * ADVANCED ANTACID-ANTIGAS RAL 4 $0 * SUSPENSIN ALAMAG-PLUS RAL TABLET,CHEWABLE 4 $0 * ALMACNE RAL SUSPENSIN 4 $0 * ALMACNE-2 RAL SUSPENSIN 4 $0 * aluminum hydroxide gel oral suspension 320 mg/5 ml 4 $0 M; * AMITIZA RAL CAPSULE 2 $0 M; QL (60 per ANTACID EXTRA STRENGTH RAL 4 $0 * TABLET,CHEWABLE APRIS RAL CAPSULE,EXTENDED RELEASE 2 $0 M 24HR ASACL HD RAL TABLET,AYED 2 $0 M RELEASE (DR/EC) balsalazide oral capsule 1 $0 M bisacodyl oral tablet,delayed release (dr/ec) 4 $0 M; * BUDESNIDE RAL CAPSULE, AYED & 2 $0 M EXT.RELEASE CANASA RECTAL SUPPSITRY 2 $0 M CHILDREN'S PEPT RAL 4 $0 * TABLET,CHEWABLE CIMZIA SUBCUTANEUS SYRINGE KIT 2 $0 ST; M CIMZIA PWDER FR RECNST SUBCUTANEUS KIT 2 $0 B/D PA; ST; M CITRATE F MAGNESIA RAL SLUTIN 4 $0 * CITRUCEL RAL TABLET 4 $0 M; * CITRUCEL SUGAR FREE RAL PWDER 4 $0 M; * CLEARLAX RAL PWDER 4 $0 M; * CLEARLAX RAL PWDER IN PACKET 4 $0 * CLACE RAL CAPSULE 50 MG 4 $0 M; * compro rectal suppository 1 $0 M constulose oral solution 1 $0 M cromolyn oral solution 1 $0 M CYSTADANE RAL PWDER 2 $0 M ZICL RAL CAPSULE,AYED 2 $0 M RELEASE(DR/EC) dimenhydrinate oral tablet 4 $0 M; *

74 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US DICT RAL LIQUID 4 $0 * DIPENTUM RAL CAPSULE 2 $0 M DC-Q-LACE RAL CAPSULE 4 $0 M; * DCUPRENE RAL TABLET 4 $0 * docusate calcium oral capsule 4 $0 M; * docusate sodium oral capsule 250 mg 4 $0 M; * DK PLUS RAL TABLET 4 $0 * DRNABINL RAL CAPSULE 10 MG 2 $0 B/D PA; M; QL (60 per dronabinol oral capsule 2.5 mg, 5 mg 1 $0 B/D PA; M; QL (60 per EMEND RAL CAPSULE 125 MG 2 $0 B/D PA; M; QL (2 per EMEND RAL CAPSULE 40 MG 2 $0 B/D PA; M; QL (1 per 1 giorno) EMEND RAL CAPSULE 80 MG 2 $0 B/D PA; M; QL (4 per EMEND RAL CAPSULE,DSE PACK 2 $0 B/D PA; M; QL (3 per 3 giorni) enulose oral solution 1 $0 M EPSM SALT RAL GRANULES 4 $0 * EX-LAX (SENNSIDES) RAL TABLET 4 $0 M; * EX-LAX MAXIMUM STRENGTH RAL TABLET 4 $0 * FIBER (PSYLLIUM HUSK/SUGAR) RAL 4 $0 * PWDER FIBER (WITH ASPARTAME) RAL PWDER 4 $0 * FIBER LAXATIVE RAL TABLET 4 $0 * FIBER LAXATIVE (PSYLLIUM HUSK) RAL 4 $0 * CAPSULE FIBER THERAPY RAL PWDER 4 $0 * FLEET GLYCERIN (ADULT) RECTAL 4 $0 *

75 NME FARMAC 64 CST FARMAC A SU CARIC SUPPSITRY GAS RELIEF RAL CAPSULE 4 $0 * GAS RELIEF RAL TABLET,CHEWABLE 4 $0 M; * GAS RELIEF EXTRA STRENGTH RAL 4 $0 * CAPSULE gavilyte-c oral recon soln 1 $0 M gavilyte-g oral recon soln 1 $0 M gavilyte-n oral recon soln 1 $0 M GAVISCN RAL TABLET,CHEWABLE 4 $0 M; * AZINI RESTRIZINI LIMITI D'US GAVISCN EXTRA STRENGTH RAL 4 $0 M; * SUSPENSIN generlac oral solution 1 $0 M GERI-MUCIL RAL PWDER 4 $0 * granisetron intravenous solution 1 $0 B/D PA; M granisetron oral tablet 1 $0 B/D PA; M; QL (2 per 1 giorno) granisetron (pf) intravenous solution 1 mg/ml (1 ml) 1 $0 B/D PA; M granisetron (pf) intravenous solution 100 mcg/ml 1 $0 B/D PA granisol oral solution 1 $0 B/D PA; M; QL (30 per 3 giorni) hydrocortisone rectal enema 1 $0 M INFANTS GAS RELIEF RAL 4 $0 * DRPS,SUSPENSIN KNSYL RAL PWDER IN PACKET 4 $0 M; * KNSYL (SUGAR) RAL PWDER $0 * GRAM/11 GRAM KNSYL (SUGAR) RAL PWDER IN PACKET 4 $0 * KNSYL (WITH ASPARTAME) RAL PWDER 4 $0 * KNSYL EASY MIX RAL PWDER 4 $0 * KNSYL FRMULA-D RAL PWDER 4 $0 * lactulose oral solution 10 gram/15 ml, 20 gram/30 ml 1 $0 M lactulose oral solution 10 gram/15 ml (15 ml) 1 $0 LAXATIVE MAXIMUM STRENGTH RAL TABLET LIALDA RAL TABLET,AYED RELEASE (DR/EC) 4 $0 * 2 $0 M

76 NME FARMAC CST FARMAC A SU CARIC LTRNEX RAL TABLET 2 $0 M meclizine oral tablet 1 $0 M meclizine oral tablet,chewable 4 $0 M; * mesalamine rectal enema 1 $0 M mesalamine with cleansing wipe rectal enema kit 1 $0 M AZINI RESTRIZINI LIMITI D'US METAMUCIL FIBER SINGLES RAL PWDER 4 $0 M; * IN PACKET metoclopramide hcl injection solution 1 $0 B/D PA; M metoclopramide hcl injection syringe 1 $0 B/D PA metoclopramide hcl oral solution 1 $0 M metoclopramide hcl oral tablet 1 $0 M MI-ACID RAL TABLET,CHEWABLE 4 $0 * MILK F MAGNESIA RAL SUSPENSIN 4 $0 M; * MILK F MAGNESIA CNCENTRATED RAL 4 $0 M; * SUSPENSIN mineral oil oral oil 4 $0 M; * MTIN RELIEF (MECLIZINE) RAL TABLET 4 $0 * MTIN SICKNESS RAL TABLET 4 $0 * MVIPREP RAL PWDER IN PACKET 2 $0 M ondansetron oral tablet,disintegrating 1 $0 B/D PA; M; QL (12 per 5 giorni) ondansetron hcl intravenous solution 1 $0 B/D PA; M ondansetron hcl oral solution 1 $0 B/D PA; M; QL (150 per 5 giorni) ondansetron hcl oral tablet 24 mg 1 $0 B/D PA; QL (1 per 1 giorno) ondansetron hcl oral tablet 4 mg, 8 mg 1 $0 B/D PA; M; QL (12 per 5 giorni) ondansetron hcl (pf) injection solution 1 $0 B/D PA; M ondansetron hcl (pf) injection syringe 1 $0 B/D PA PEDIA-LAX STL SFTENER RAL SYRUP 4 $0 * peg 3350-electrolytes oral recon soln $0 M gram peg-3350 with flavor packs oral recon soln 1 $0 M

77 NME FARMAC 66 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US peg-electrolyte soln oral recon soln 1 $0 PENTASA RAL CAPSULE, EXTENDED 2 $0 M RELEASE polyethylene glycol 3350 oral powder 1 $0 M polyethylene glycol 3350 oral powder in packet 1 $0 M prochlorperazine rectal suppository 1 $0 M prochlorperazine edisylate injection solution 1 $0 M prochlorperazine maleate oral tablet 1 $0 M procto-pak rectal cream 1 $0 M proctozone-hc rectal cream 1 $0 M REGULID RAL PWDER 4 $0 M; * RELISTR SUBCUTANEUS KIT 2 $0 M RELISTR SUBCUTANEUS SLUTIN 2 $0 M RELISTR SUBCUTANEUS SYRINGE 2 $0 M REMICADE INTRAVENUS RECN SLN 2 $0 PA; M SANCUS TRANSDERMAL PATCH WEEKLY 2 $0 B/D PA; M; QL (2 per 15 giorni) SANI-SUPP (ADULT) RECTAL SUPPSITRY 4 $0 M; * SENEXN RAL SYRUP 4 $0 * SENNA RAL TABLET 4 $0 * SENKTXTRA RAL TABLET 4 $0 M; * sodium bicarbonate oral tablet 4 $0 M; * sulfasalazine oral tablet 1 $0 M sulfasalazine oral tablet,delayed release (dr/ec) 1 $0 M sulfazine oral tablet 1 $0 M sulfazine ec oral tablet,delayed release (dr/ec) 1 $0 M TRANSDERM-SCP TRANSDERMAL PATCH 72 HUR trilyte with flavor packets oral recon soln 1 $0 M ursodiol oral capsule 1 $0 M ursodiol oral tablet 1 $0 M 2 $0 M; QL (10 per ZENPEP RAL CAPSULE,AYED 2 $0 M RELEASE(DR/EC) TERAPIA L'ULCERA ACID CNTRL (RANITIDINE) RAL TABLET 4 $0 * ACID CNTRLLER RAL TABLET 4 $0 * amoxicil-clarithromy-lansopraz oral combo pack 1 $0 M

78 NME FARMAC CST FARMAC A SU CARIC AXID AR 4 $0 * CARAFATE RAL SUSPENSIN 2 $0 M cimetidine oral tablet 1 $0 M cimetidine hcl oral solution 1 $0 M CMPLETE RAL TABLET,CHEWABLE 4 $0 * AZINI RESTRIZINI LIMITI D'US DEXILANT RAL CAPSULE,BIPHASE 2 $0 M AYED RELEAS esomeprazole sodium intravenous recon soln 1 $0 B/D PA famotidine intravenous solution 1 $0 B/D PA; M famotidine oral suspension 1 $0 M famotidine oral tablet 20 mg, 40 mg 1 $0 M famotidine (pf) intravenous solution 1 $0 B/D PA; M famotidine (pf)-nacl (iso-os) intravenous piggyback 1 $0 B/D PA lansoprazole oral capsule,delayed release(dr/ec) 15 1 $0 M mg, 30 mg lansoprazole oral capsule,delayed release(dr/ec) 15 4 $0 M; * mg misoprostol oral tablet 1 $0 M NEXIUM IV INTRAVENUS RECN SLN 20 2 $0 B/D PA MG NEXIUM IV INTRAVENUS RECN SLN 40 2 $0 B/D PA; M MG nizatidine oral capsule 1 $0 M nizatidine oral solution 1 $0 M omeprazole oral capsule,delayed release(dr/ec) 1 $0 M omeprazole oral tablet,delayed release (dr/ec) 4 $0 M; * omeprazole-sodium bicarbonate oral capsule 1 $0 M pantoprazole oral tablet,delayed release (dr/ec) 1 $0 M PEPCID AC RAL TABLET 20 MG 4 $0 M; * PEPCID AC RAL TABLET,CHEWABLE 4 $0 * PRILSEC TC RAL TABLET,AYED 4 $0 M; * RELEASE (DR/EC) rabeprazole oral tablet,delayed release (dr/ec) 1 $0 M ranitidine hcl injection solution 1 $0 B/D PA; M ranitidine hcl oral capsule 1 $0 M ranitidine hcl oral syrup 1 $0 M ranitidine hcl oral tablet 150 mg, 300 mg 1 $0 M

79 NME FARMAC 68 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US sucralfate oral suspension 1 $0 M sucralfate oral tablet 1 $0 M TAGAMET HB RAL TABLET 4 $0 M; * ZANTAC 75 RAL TABLET 4 $0 M; * IMMUNLGIA, VACCINI/BITECNLGIA FARMACI BITECNLGICI ACTIMMUNE SUBCUTANEUS SLUTIN 2 $0 PA; M ARCALYST SUBCUTANEUS RECN SLN 2 $0 PA; M AVNEX INTRAMUSCULAR KIT 2 $0 PA; M; QL (4 per 28 giorni) AVNEX INTRAMUSCULAR PEN INJECTR KIT 2 $0 PA; M; QL (2 per 28 giorni) AVNEX INTRAMUSCULAR SYRINGE 2 $0 PA; M; QL (2 per 28 giorni) AVNEX ADMINISTRATIN PACK INTRAMUSCULAR KIT 2 $0 PA; M; QL (2 per 28 giorni) EGRIFTA SUBCUTANEUS RECN SLN 2 $0 PA; M EXTAVIA SUBCUTANEUS KIT 2 $0 PA; M; QL (15 per ILARIS (PF) SUBCUTANEUS RECN SLN 2 $0 PA; M; LA INTRN A INJECTIN RECN SLN 10 2 $0 B/D PA; M MILLIN UNIT (1 ML) INTRN A INJECTIN SLUTIN 6 MILLIN 2 $0 B/D PA; M UNIT/ML LEUKINE INJECTIN RECN SLN 2 $0 PA; M MZBIL SUBCUTANEUS SLUTIN 2 $0 B/D PA; M NEUMEGA SUBCUTANEUS RECN SLN 2 $0 B/D PA; M; QL (21 per 21 giorni) NEUPGEN INJECTIN SLUTIN $0 PA; M MCG/1.6 ML NEUPGEN INJECTIN SYRINGE 2 $0 PA; M NRDITRPIN FLEXPR SUBCUTANEUS 2 $0 PA; M PEN INJECTR NRDITRPIN NRDIFLEX SUBCUTANEUS 2 $0 PA; M

80 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US PEN INJECTR PEGINTRN SUBCUTANEUS KIT 2 $0 PA; M; QL (5 per PEGINTRN REDIPEN SUBCUTANEUS PEN INJECTR KIT PRCRIT INJECTIN SLUTIN 10,000 UNIT/ML, 2,000 UNIT/ML, 20,000 UNIT/2 ML, 20,000 UNIT/ML, 3,000 UNIT/ML, 4,000 UNIT/ML 2 $0 PA; M; QL (5 per 2 $0 PA; M; QL (24 per PRCRIT INJECTIN SLUTIN 40,000 UNIT/ML 2 $0 PA; M; QL (6 per PRLEUKIN INTRAVENUS RECN SLN 2 $0 B/D PA; M REBIF (WITH ALBUMIN) SUBCUTANEUS SYRINGE 2 $0 PA; M; QL (6 per 28 giorni) REBIF TITRATIN PACK SUBCUTANEUS SYRINGE 2 $0 PA; M; QL (6 per 28 giorni) SYLATRN SUBCUTANEUS KIT 2 $0 PA; M SYLATRN 4-PACK SUBCUTANEUS KIT 2 $0 PA; M VACCINI/IMMUNLGICI VARI ACTHIB (PF) INTRAMUSCULAR RECN SLN 2 $0 M ADACEL(TDAP ADLESN/ADULT)(PF) 2 $0 M INTRAMUSCULAR SUSPENSIN ADACEL(TDAP ADLESN/ADULT)(PF) 2 $0 M INTRAMUSCULAR SYRINGE BCG VACCINE, LIVE (PF) PERCUTANEUS 2 $0 B/D PA SUSPENSIN FR RECNSTITUTIN BSTRIX TDAP INTRAMUSCULAR 2 $0 M SUSPENSIN BSTRIX TDAP INTRAMUSCULAR SYRINGE 2 $0 M CERVARIX VACCINE (PF) INTRAMUSCULAR 2 $0 M SYRINGE CMVAX (PF) INTRAMUSCULAR SUSPENSIN 2 $0 M DAPTACEL (DTAP PEDIATRIC) (PF) 2 $0 M INTRAMUSCULAR SUSPENSIN ENGERIX-B (PF) INTRAMUSCULAR 2 $0 B/D PA; M SUSPENSIN ENGERIX-B (PF) INTRAMUSCULAR SYRINGE 2 $0 B/D PA; M ENGERIX-B PEDIATRIC (PF) 2 $0 B/D PA; M

81 NME FARMAC INTRAMUSCULAR SUSPENSIN ENGERIX-B PEDIATRIC (PF) INTRAMUSCULAR SYRINGE 70 CST FARMAC A SU CARIC 2 $0 B/D PA AZINI RESTRIZINI LIMITI D'US fomepizole intravenous solution 1 $0 B/D PA; M GAMMAGARD LIQUID INTRAVENUS 2 $0 PA; M SLUTIN GAMUNEX-C INJECTIN SLUTIN 1 2 $0 PA; M GRAM/10 ML (10 %) GARDASIL (PF) INTRAMUSCULAR 2 $0 M SUSPENSIN GARDASIL (PF) INTRAMUSCULAR SYRINGE 2 $0 M HAVRIX (PF) INTRAMUSCULAR SUSPENSIN 2 $0 B/D PA; M HAVRIX (PF) INTRAMUSCULAR SYRINGE 2 $0 B/D PA; M 1,440 ELISA UNIT/ML HAVRIX (PF) INTRAMUSCULAR SYRINGE $0 B/D PA ELISA UNIT/0.5 ML IMVAX RABIES VACCINE (PF) 2 $0 M INTRAMUSCULAR RECN SLN INFANRIX (DTAP) (PF) INTRAMUSCULAR 2 $0 SUSPENSIN INFANRIX (DTAP) (PF) INTRAMUSCULAR 2 $0 M SYRINGE IPL INJECTIN SUSPENSIN 2 $0 M IPL INJECTIN SYRINGE 2 $0 M IXIAR (PF) INTRAMUSCULAR SYRINGE 2 $0 M M-M-R II (PF) SUBCUTANEUS RECN SLN 2 $0 M MENACTRA (PF) INTRAMUSCULAR SLUTIN MENMUNE - A/C/Y/W-135 SUBCUTANEUS RECN SLN MENMUNE - A/C/Y/W-135 (PF) SUBCUTANEUS RECN SLN MENVE A-C-Y-W-135-DIP (PF) INTRAMUSCULAR KIT PEDVAX HIB (PF) INTRAMUSCULAR SLUTIN PRQUAD (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN 2 $0 M 2 $0 2 $0 M 2 $0 M 2 $0 M 2 $0

82 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US RABAVERT (PF) INTRAMUSCULAR KIT 2 $0 M RECMBIVAX HB (PF) INTRAMUSCULAR 2 $0 B/D PA; M SUSPENSIN 10 MCG/ML, 40 MCG/ML RECMBIVAX HB (PF) INTRAMUSCULAR 2 $0 B/D PA; M SYRINGE 10 MCG/ML RTARIX RAL SUSPENSIN FR 2 $0 RECNSTITUTIN RTATEQ VACCINE RAL SUSPENSIN 2 $0 tetanus toxoid,adsorbed (pf) intramuscular suspension 1 $0 B/D PA; M TETANUS,DIPHTHERIA TX PED(PF) 2 $0 M INTRAMUSCULAR SUSPENSIN TETANUS-DIPHTHERIA TXIDS-TD 2 $0 B/D PA; M INTRAMUSCULAR SUSPENSIN TWINRIX (PF) INTRAMUSCULAR SUSPENSIN 2 $0 B/D PA; M TWINRIX (PF) INTRAMUSCULAR SYRINGE 2 $0 B/D PA; M TYPHIM VI INTRAMUSCULAR SLUTIN 2 $0 TYPHIM VI INTRAMUSCULAR SYRINGE 2 $0 M VAQTA (PF) INTRAMUSCULAR SUSPENSIN 2 $0 B/D PA; M 25 UNIT/0.5 ML VAQTA (PF) INTRAMUSCULAR SYRINGE 25 2 $0 B/D PA UNIT/0.5 ML VARIVAX (PF) SUBCUTANEUS SUSPENSIN 2 $0 M FR RECNSTITUTIN YF-VAX (PF) SUBCUTANEUS SUSPENSIN 2 $0 M FR RECNSTITUTIN ZSTAVAX (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN 2 $0 M; QL (1 per 365 giorni) MALATTIE MUSCLSCHELETRICHE/REUMATICHE TERAPIA LA GTTA allopurinol oral tablet 1 $0 M colchicine-probenecid oral tablet 1 $0 M CLCRYS RAL TABLET 2 $0 M probenecid oral tablet 1 $0 M ULRIC RAL TABLET 2 $0 M TERAPIA L'STEPRSI alendronate oral solution 1 $0 M; QL (375

83 NME FARMAC 72 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US per alendronate oral tablet 10 mg, 5 mg 1 $0 M; QL (30 per alendronate oral tablet 35 mg, 70 mg 1 $0 M; QL (5 per FRTE SUBCUTANEUS PEN INJECTR 2 $0 M; QL (2.4 per 28 giorni) ibandronate oral tablet 1 $0 M; QL (1 per PRLIA SUBCUTANEUS SYRINGE 2 $0 B/D PA; M raloxifene oral tablet 1 $0 M risedronate oral tablet 1 $0 M ALTRI REUMATLGICI ACTEMRA INTRAVENUS SLUTIN 200 MG/10 ML (20 MG/ML) 2 $0 B/D PA; ST; M 2 $0 B/D PA; M BENLYSTA INTRAVENUS RECN SLN 120 MG CUPRIMINE RAL CAPSULE 2 $0 M DEPEN TITRATABS RAL TABLET 2 $0 PA; M ENBREL SUBCUTANEUS KIT 2 $0 M; QL (8 per 28 giorni) ENBREL SUBCUTANEUS SYRINGE 25 MG/0.5ML (0.51) 2 $0 M; QL (4 per 28 giorni) ENBREL SUBCUTANEUS SYRINGE 50 MG/ML (0.98 ML) 2 $0 M; QL (8 per 28 giorni) ENBREL SURECLICK SUBCUTANEUS PEN INJECTR 2 $0 M; QL (8 per 28 giorni) HUMIRA SUBCUTANEUS KIT 20 MG/0.4 ML 2 $0 M; QL (1.6 per 28 giorni) HUMIRA SUBCUTANEUS KIT 40 MG/0.8 ML 2 $0 M; QL (4.8 per 28 giorni) HUMIRA CRHN'S DIS START PCK SUBCUTANEUS PEN INJECTR KIT 2 $0 M; QL (4.8 per 180 giorni) HUMIRA PEN SUBCUTANEUS PEN INJECTR KIT 2 $0 M; QL (1.6 per 28 giorni) HUMIRA PSRIASIS STARTER PACK SUBCUTANEUS PEN INJECTR KIT 2 $0 M; QL (3.2 per 21 giorni) leflunomide oral tablet 1 $0 M; QL (30 per

84 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US SAVELLA RAL TABLET 2 $0 M; QL (60 per SAVELLA RAL TABLETS,DSE PACK 2 $0 M; QL (60 per STETRICIA/GINECLGIA ESTRGENI/PRGESTINICI camila oral tablet 1 $0 M CMBIPATCH TRANSDERMAL PATCH 2 $0 M SEMIWEEKLY DEP-PRVERA INTRAMUSCULAR 2 $0 B/D PA; M SLUTIN DEP-SUBQ PRVERA 104 SUBCUTANEUS 2 $0 M SYRINGE errin oral tablet 1 $0 M ESTRACE VAGINAL CREAM 2 $0 M estradiol oral tablet 1 $0 PA; M estradiol transdermal patch weekly 1 $0 M estradiol valerate intramuscular oil 1 $0 B/D PA; M heather oral tablet 1 $0 M jencycla oral tablet 1 $0 M jolivette oral tablet 1 $0 M lyza oral tablet 1 $0 medroxyprogesterone intramuscular suspension 1 $0 M; QL (1 per 90 giorni) medroxyprogesterone intramuscular syringe 1 $0 M; QL (1 per 90 giorni) medroxyprogesterone oral tablet 1 $0 M norethindrone (contraceptive) oral tablet 1 $0 M norethindrone acetate oral tablet 1 $0 M PREMARIN INJECTIN RECN SLN 2 $0 B/D PA; M PREMARIN VAGINAL CREAM 2 $0 M progesterone micronized oral capsule 1 $0 M VAGIFEM VAGINAL TABLET 2 $0 M VIVELLE-DT TRANSDERMAL PATCH SEMIWEEKLY STETRICIA/GINECLGIA VARI 2 $0 M

85 NME FARMAC 74 CST FARMAC A SU CARIC 3 DAY VAGINAL VAGINAL CREAM 4 $0 * 3-DAY VAGINAL VAGINAL CREAM 4 $0 * CLECIN VAGINAL SUPPSITRY 2 $0 M clindamycin phosphate vaginal cream 1 $0 M clotrimazole vaginal cream 4 $0 M; * metronidazole vaginal gel 1 $0 M AZINI RESTRIZINI LIMITI D'US miconazole nitrate vaginal comb pack,prefill appl & cream 4 $0 *; QL (24 per miconazole nitrate vaginal cream 4 $0 M; *; QL (45 per miconazole nitrate vaginal kit 4 $0 *; QL (1 per miconazole nitrate vaginal suppository 4 $0 *; QL (7 per MICNAZLE-3 VAGINAL KIT 4 $0 *; QL (24 per miconazole-3 vaginal suppository 1 $0 M; QL (3 per 3 giorni) NUVARING VAGINAL RING 2 $0 M RTH EVRA TRANSDERMAL PATCH 2 $0 M WEEKLY terconazole vaginal cream 0.4 % 1 $0 M; QL (45 per 7 giorni) terconazole vaginal cream 0.8 % 1 $0 M terconazole vaginal suppository 1 $0 M; QL (3 per 3 giorni) tioconazole vaginal ointment 4 $0 * tranexamic acid oral tablet 1 $0 M vandazole vaginal gel 1 $0 M CNTRACCETTIVI RALI/AGENTI CRRELATI altavera (28) oral tablet 1 $0 M alyacen 1/35 (28) oral tablet 1 $0 M alyacen 7/7/7 (28) oral tablet 1 $0 M amethia oral tablets,dose pack,3 month 1 $0 M amethia lo oral tablets,dose pack,3 month 1 $0 M amethyst oral tablet 1 $0 M apri oral tablet 1 $0 M

86 NME FARMAC CST FARMAC A SU CARIC aranelle (28) oral tablet 1 $0 M aubra oral tablet 1 $0 M aviane oral tablet 1 $0 M azurette (28) oral tablet 1 $0 M balziva (28) oral tablet 1 $0 M briellyn oral tablet 1 $0 M camrese oral tablets,dose pack,3 month 1 $0 M camrese lo oral tablets,dose pack,3 month 1 $0 M CAZIANT (28) RAL TABLET 2 $0 M chateal oral tablet 1 $0 M cryselle (28) oral tablet 1 $0 M cyclafem 1/35 (28) oral tablet 1 $0 M cyclafem 7/7/7 (28) oral tablet 1 $0 M dasetta 1/35 (28) oral tablet 1 $0 M dasetta 7/7/7 (28) oral tablet 1 $0 M daysee oral tablets,dose pack,3 month 1 $0 M elinest oral tablet 1 $0 M ELLA RAL TABLET 2 $0 M emoquette oral tablet 1 $0 M enpresse oral tablet 1 $0 M enskyce oral tablet 1 $0 M estarylla oral tablet 1 $0 M falmina (28) oral tablet 1 $0 M gildess oral tablet 1 $0 M gildess fe oral tablet 1 $0 M introvale oral tablets,dose pack,3 month 1 $0 M jolessa oral tablets,dose pack,3 month 1 $0 M junel 1.5/30 (21) oral tablet 1 $0 M junel 1/20 (21) oral tablet 1 $0 M junel fe 1.5/30 (28) oral tablet 1 $0 M junel fe 1/20 (28) oral tablet 1 $0 M kariva (28) oral tablet 1 $0 M kelnor 1/35 (28) oral tablet 1 $0 M kurvelo oral tablet 1 $0 M l norgest&e estradiol-e estrad oral tablets,dose 1 $0 M pack,3 month lessina oral tablet 1 $0 M AZINI RESTRIZINI LIMITI D'US

87 NME FARMAC levonorgestrel oral tablet 1.5 mg 1 $0 levonorgestrel-ethinyl estrad oral tablet mgmcg 1 $0 levonorgestrel-ethinyl estrad oral tablet mgmcg 1 $0 M levonorgestrel-ethinyl estrad oral tablets,dose pack,3 1 $0 M month levora-28 oral tablet 1 $0 M low-ogestrel (28) oral tablet 1 $0 M lutera (28) oral tablet 1 $0 M marlissa oral tablet 1 $0 M microgestin 1.5/30 (21) oral tablet 1 $0 M microgestin 1/20 (21) oral tablet 1 $0 M microgestin fe 1.5/30 (28) oral tablet 1 $0 M microgestin fe 1/20 (28) oral tablet 1 $0 M mono-linyah oral tablet 1 $0 M mononessa (28) oral tablet 1 $0 M myzilra oral tablet 1 $0 M necon 0.5/35 (28) oral tablet 1 $0 M necon 1/35 (28) oral tablet 1 $0 M necon 10/11 (28) oral tablet 1 $0 M necon 7/7/7 (28) oral tablet 1 $0 M NEXT CHICE NE DSE RAL TABLET 3 $0 * norgestimate-ethinyl estradiol oral tablet 1 $0 M nortrel 0.5/35 (28) oral tablet 1 $0 M nortrel 1/35 (21) oral tablet 1 $0 M nortrel 1/35 (28) oral tablet 1 $0 M nortrel 7/7/7 (28) oral tablet 1 $0 M ogestrel (28) oral tablet 1 $0 M orsythia oral tablet 1 $0 M RTH TRI-CYCLEN L (28) RAL TABLET 2 $0 M philith oral tablet 1 $0 M pirmella oral tablet 1 $0 M portia oral tablet 1 $0 M previfem oral tablet 1 $0 M quasense oral tablets,dose pack,3 month 1 $0 M reclipsen (28) oral tablet 1 $0 M 76 CST FARMAC A SU CARIC levonorgestrel oral tablet 0.75 mg 3 $0 * AZINI RESTRIZINI LIMITI D'US

88 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US sprintec (28) oral tablet 1 $0 M sronyx oral tablet 1 $0 M syeda oral tablet 1 $0 M tilia fe oral tablet 1 $0 M tri-estarylla oral tablet 1 $0 M tri-legest fe oral tablet 1 $0 M tri-linyah oral tablet 1 $0 M tri-previfem (28) oral tablet 1 $0 M tri-sprintec (28) oral tablet 1 $0 M trinessa (28) oral tablet 1 $0 M trivora (28) oral tablet 1 $0 M velivet triphasic regimen (28) oral tablet 1 $0 M vestura (28) oral tablet 1 $0 M viorele (28) oral tablet 1 $0 M wera (28) oral tablet 1 $0 M wymzya fe oral tablet,chewable 1 $0 M zarah oral tablet 1 $0 M zenchent (28) oral tablet 1 $0 M zenchent fe oral tablet,chewable 1 $0 M zeosa oral tablet,chewable 1 $0 M zovia 1/35e (28) oral tablet 1 $0 M zovia 1/50e (28) oral tablet 1 $0 M SSITCINA METHYLERGNVINE INJECTIN SLUTIN 2 $0 B/D PA; M methylergonovine oral tablet 1 $0 M FTALMLGIA ANTIBITICI ak-poly-bac ophthalmic ointment 1 $0 M AZASITE PHTHALMIC DRPS 2 $0 M bacitracin ophthalmic ointment 1 $0 M bacitracin-polymyxin b ophthalmic ointment 1 $0 M CILXAN PHTHALMIC INTMENT 2 $0 M ciprofloxacin ophthalmic drops 1 $0 M erythromycin ophthalmic ointment 1 $0 M garamycin ophthalmic drops 1 $0 gatifloxacin ophthalmic drops 1 $0 M gentak ophthalmic drops 1 $0 M

89 NME FARMAC BETPTIC S PHTHALMIC 2 $0 M DRPS,SUSPENSIN carteolol ophthalmic drops 1 $0 M levobunolol ophthalmic drops 1 $0 M metipranolol ophthalmic drops 1 $0 M timolol maleate ophthalmic drops 1 $0 M timolol maleate ophthalmic gel forming solution 1 $0 M MITICI INIBITRI LA CLINESTERASI PHSPHLINE IDIDE PHTHALMIC DRPS 2 $0 M MIDRIATICI CICLPLEGICI cyclopentolate ophthalmic drops 1 % 1 $0 M cyclopentolate ophthalmic drops 2 % 1 $0 tropicamide ophthalmic drops 1 $0 M MITICI AD AZINE DIRETTA pilocarpine hcl ophthalmic drops 1 $0 M FTALMLGIA VARI AKWA TEARS PHTHALMIC INTMENT 4 $0 M; * 78 CST FARMAC A SU CARIC gentak ophthalmic ointment 1 $0 M gentamicin ophthalmic drops 1 $0 M gentamicin ophthalmic ointment 1 $0 levofloxacin ophthalmic drops 1 $0 M NATACYN PHTHALMIC DRPS,SUSPENSIN 2 $0 M neo-polycin ophthalmic ointment 1 $0 neomycin-bacitracin-polymyxin ophthalmic ointment 1 $0 M neomycin-polymyxin-gramicidin ophthalmic drops 1 $0 M ofloxacin ophthalmic drops 1 $0 M polycin ophthalmic ointment 1 $0 polymyxin b sulf-trimethoprim ophthalmic drops 1 $0 M tobramycin ophthalmic drops 1 $0 M TBREX PHTHALMIC INTMENT 2 $0 M VIGAMX PHTHALMIC DRPS 2 $0 M ANTIVIRALI trifluridine ophthalmic drops 1 $0 M ZIRGAN PHTHALMIC GEL 2 $0 M BETA-BLCCANTI betaxolol ophthalmic drops 1 $0 M BETIML PHTHALMIC DRPS 0.25 % 2 $0 M AZINI RESTRIZINI LIMITI D'US

90 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US AKWA TEARS (PLYVINYL ALCHL) 4 $0 M; * PHTHALMIC DRPS ALAWAY PHTHALMIC DRPS 4 $0 M; * ARTIFICIAL TEARS PHTHALMIC DRPS 4 $0 * ARTIFICIAL TEARS (PETR/MIN) 4 $0 * PHTHALMIC INTMENT azelastine ophthalmic drops 1 $0 M cromolyn ophthalmic drops 1 $0 M epinastine ophthalmic drops 1 $0 M LASTACAFT PHTHALMIC DRPS 2 $0 M MUR 128 PHTHALMIC DRPS 4 $0 M; * MUR 128 PHTHALMIC INTMENT 4 $0 M; * NATURAL BALANCE PHTHALMIC DRPS 4 $0 M; * PATADAY PHTHALMIC DRPS 2 $0 ST; M PATANL PHTHALMIC DRPS 2 $0 ST; M proparacaine ophthalmic drops 1 $0 M REFRESH CLASSIC (PF) PHTHALMIC 4 $0 M; * DRPPERETTE REFRESH PTIVE SENSITIVE (PF) 4 $0 M; * PHTHALMIC DRPPERETTE RESTASIS PHTHALMIC DRPPERETTE 2 $0 M; QL (60 per SYSTANE GEL PHTHALMIC DRPS,GEL 4 $0 M; * TEARS PURE PHTHALMIC DRPS 4 $0 * FARMACI ANTINFIAMMATRI NN STERIDEI bromfenac ophthalmic drops 1 $0 M diclofenac sodium ophthalmic drops 1 $0 M flurbiprofen sodium ophthalmic drops 1 $0 M ketorolac ophthalmic drops 1 $0 M FARMACI RALI PER IL GLAUCMA acetazolamide oral capsule, extended release 1 $0 M acetazolamide oral tablet 1 $0 M acetazolamide sodium injection recon soln 1 $0 methazolamide oral tablet 1 $0 M ALTRI FARMACI PER IL GLAUCMA AZPT PHTHALMIC DRPS,SUSPENSIN 2 $0 M

91 NME FARMAC neomycin-polymyxin-dexameth ophthalmic 1 $0 M drops,suspension neomycin-polymyxin-dexameth ophthalmic ointment 1 $0 M neomycin-polymyxin-hc ophthalmic drops,suspension 1 $0 M tobramycin-dexamethasone ophthalmic 1 $0 M drops,suspension STERIDI ALREX PHTHALMIC DRPS,SUSPENSIN 2 $0 M dexamethasone sodium phosphate ophthalmic drops 1 $0 M fluorometholone ophthalmic drops,suspension 1 $0 M FML S..P. PHTHALMIC INTMENT 2 $0 M prednisolone acetate ophthalmic drops,suspension 1 $0 M prednisolone sodium phosphate ophthalmic drops 1 $0 M CMBINAZINI DI STERIDI-SULFAMIDICI BLEPHAMIDE S..P. PHTHALMIC INTMENT 2 $0 M sulfacetamide-prednisolone ophthalmic drops 1 $0 M SULFAMIDICI sulfacetamide sodium ophthalmic drops 1 $0 M sulfacetamide sodium ophthalmic ointment 1 $0 M SIMPATICMIMETICI ALPHAGAN P PHTHALMIC DRPS 0.1 % 2 $0 M apraclonidine ophthalmic drops 1 $0 M brimonidine ophthalmic drops 1 $0 M DECNGESTINANTI A BASE DI VASCSTRITTRI naphazoline ophthalmic drops 1 $0 M RESPIRAZINE E ALLERGIA ANTISTAMINICI/ANTIALLERGICI 80 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US CMBIGAN PHTHALMIC DRPS 2 $0 M dorzolamide ophthalmic drops 1 $0 M dorzolamide-timolol ophthalmic drops 1 $0 M latanoprost ophthalmic drops 1 $0 M LUMIGAN PHTHALMIC DRPS 2 $0 M; QL (2.5 per travoprost (benzalkonium) ophthalmic drops 1 $0 M CMBINAZINI DI STERIDI-ANTIBITICI neo-polycin hc ophthalmic ointment 1 $0 neomycin-bacitracin-poly-hc ophthalmic ointment 1 $0 M

92 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 12 HUR DECNGESTANT RAL TABLET 4 $0 * EXTENDED RELEASE ADT RBITUSSIN PEAK CLD DM MAX RAL 4 $0 * LIQUID ADULT RBITUSSIN LINGERING CLD RAL 4 $0 * SYRUP ADULT RBITUSSIN M-S CLD RAL LIQUID 4 $0 * ADULT RBITUSSIN NASAL RELIEF RAL 4 $0 M; * TABLET ADULT RBITUSSIN NIGHT M-S CLD RAL 4 $0 * LIQUID ADULT RBITUSSIN PEAK CLD M-S RAL 4 $0 * LIQUID ADVIL CLD & SINUS RAL CAPSULE 4 $0 M; * ADVIL CLD & SINUS RAL TABLET 4 $0 * ALA-HIST IR RAL TABLET 4 $0 M; * ALA-HIST PE RAL TABLET 4 $0 M; * ALAVERT RAL TABLET,DISINTEGRATING 4 $0 M; *; QL (34 per ALAVERT D-12 ALLERGY-SINUS RAL TABLET EXTENDED RELEASE 12 HR 4 $0 M; *; QL (68 per ALDEX GS RAL TABLET 4 $0 * ALL DAY ALLERGY (CETIRIZINE) RAL 4 $0 * SLUTIN ALL DAY ALLERGY (CETIRIZINE) RAL TABLET 4 $0 M; *; QL (34 per ALL DAY ALLERGY-D RAL TABLET EXTENDED RELEASE 12 HR 4 $0 M; *; QL (68 per ALLER-CHLR RAL SYRUP 4 $0 M; * ALLER-CHLR RAL TABLET 4 $0 * ALLER-EASE RAL TABLET 180 MG 4 $0 *; QL (34 per ALLER-EASE RAL TABLET 60 MG 4 $0 *; QL (68 per ALLERCLEAR RAL TABLET 4 $0 *; QL (34 per ALLERCLEAR D-24HR RAL TABLET 4 $0 M; *; QL (34

93 NME FARMAC 82 CST FARMAC A SU CARIC EXTENDED RELEASE 24 HR ALLERGY (DIPHENHYDRAMINE) RAL 4 $0 * CAPSULE ALLERGY (DIPHENHYDRAMINE) RAL 4 $0 * TABLET ALLERGY MULTI-SYMPTM RAL TABLET 4 $0 * ALLERGY RELIEF (LRATADINE) RAL 4 $0 * SLUTIN ALLERHIST-1 RAL TABLET 4 $0 * ALLFEN DM RAL TABLET 4 $0 M; * APRDINE RAL TABLET 4 $0 M; * benzonatate oral capsule 3 $0 M; * BICLRA RAL LIQUID 4 $0 * BICLRA RAL TABLET 4 $0 * BP 8 CUGH RAL SUSPENSIN 4 $0 * BRHIST D RAL TABLET 4 $0 * AZINI RESTRIZINI LIMITI D'US per brompheniramin-phenylephrin-dm oral liquid $0 * 20 mg/5 ml brompheniramine-pseudoeph-dm oral liquid $0 * mg/5 ml brompheniramine-pseudoeph-dm oral syrup 4 $0 * BRTAPP RAL LIQUID 4 $0 M; * BRTAPP DM RAL ELIXIR 4 $0 * CAPMIST DM RAL TABLET MG 4 $0 M; * CARDEC RAL DRPS 4 $0 * cetirizine oral solution 1 mg/ml 1 $0 M cetirizine oral tablet 5 mg 4 $0 M; *; QL (34 per cetirizine oral tablet,chewable 10 mg 4 $0 M; *; QL (34 per cetirizine oral tablet,chewable 5 mg 4 $0 *; QL (34 per CHEST CNGESTIN RELIEF RAL TABLET 4 $0 * CHEST CNGESTIN RELIEF PE RAL 4 $0 * TABLET CHILD ALLERGY RELIEF (DIPHEN) RAL 4 $0 * TABLET,DISINTEGRATING CHILD SYM NIGHTTIME C-C RAL 4 $0 *

94 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US LIQUID CHILD MUCUS RELIEF CUGH RAL LIQUID 4 $0 * CHILD MUCUS RELIEF EXPECTRANT RAL 4 $0 * LIQUID CHILD WAL-TAP CLD-ALLERGY RAL 4 $0 * SLUTIN CHILD'S BENADRYL-D ALLERGY-SIN RAL 4 $0 * SLUTIN CHILDREN'S ALLEGRA ALLERGY RAL 4 $0 M; * SUSPENSIN CHILDREN'S ALLERGY (DIPHENHYD) RAL 4 $0 * TABLET,DISINTEGRATING CHILDREN'S CLARITIN RAL TABLET,CHEWABLE 4 $0 M; *; QL (34 per CHILDREN'S CLD & CUGH DM RAL 4 $0 * SLUTIN CHILDREN'S DIMETAPP CLD &FLU RAL 4 $0 * LIQUID CHILDREN'S MUCINEX CLD-FEVER RAL 4 $0 * LIQUID CHILDREN'S MUCINEX MULTI-SYMP RAL 4 $0 * LIQUID CHILDREN'S SILFEDRINE RAL LIQUID 4 $0 * CHILDREN'S WAL-DRYL ALLERGY RAL 4 $0 * TABLET,DISINTEGRATING CHILDRENS PLUS CLD RAL SUSPENSIN 4 $0 * CHL TUSS EX RAL LIQUID 4 $0 * chlorpheniramine maleate oral tablet extended 4 $0 M; * release CLARINEX RAL SYRUP 2 $0 M CLARITIN LIQUI-GEL RAL CAPSULE 4 $0 M; *; QL (34 per CLARITIN REDITABS RAL 4 $0 M; * TABLET,DISINTEGRATING 5 MG clemastine oral syrup 1 $0 PA; M clemastine oral tablet 2.68 mg 1 $0 PA; M CLFERA RAL LIQUID 4 $0 *

95 NME FARMAC 84 CST FARMAC A SU CARIC CDITUSS DM RAL LIQUID 4 $0 M; * CLD & ALLERGY PE RAL TABLET 4 $0 * CLD HEAD CNGESTIN DAY/NITE RAL 4 $0 * TABLETS, SEQUENTIAL CLD HEAD CNGESTIN DAYTIME RAL 4 $0 * TABLET CLD HEAD CNGESTIN NIGHTTIME RAL 4 $0 * TABLET CLD HEAD CNGESTIN SEVER DAY RAL 4 $0 * TABLET CNEX RAL SLUTIN 4 $0 * CNEX RAL TABLET 4 $0 * CNGESTAC RAL TABLET 4 $0 * CRFEN-DM RAL LIQUID 4 $0 M; * AZINI RESTRIZINI LIMITI D'US CUGH DM ER RAL SUSPENSIN,EXTENDED 4 $0 * REL 12 HR CUGH SUPPRESSANT-EXPECTRANT RAL 4 $0 * SYRUP CUGHTAB RAL TABLET 4 $0 * cyproheptadine oral syrup 1 $0 PA; M cyproheptadine oral tablet 1 $0 PA; M DALLERGY (CHLRCYCLIZINE-PE) RAL 4 $0 M; * LIQUID DAYTIME CLD & FLU RELIEF RAL 4 $0 * CAPSULE DAYTIME CLD-FLU RAL LIQUID 4 $0 * DE-CHLR DM RAL SYRUP 4 $0 M; * SYM CUGH & CLD RAL LIQUID 4 $0 * SYM MULTI-SYMPTM RAL LIQUID 4 $0 * SYM NIGHTTIME MULTI-SYMPTM RAL 4 $0 * LIQUID desloratadine oral tablet 1 $0 M desloratadine oral tablet,disintegrating 1 $0 M DICEL CD RAL LIQUID 4 $0 * DIMETANE-DX RAL SYRUP 4 $0 * DIMETAPP LNG-ACTING (CPM-DM) RAL 4 $0 * LIQUID DIPHENHIST RAL TABLET 50 MG 4 $0 *

96 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US diphenhydramine hcl injection solution 1 $0 B/D PA; M diphenhydramine hcl oral capsule 50 mg 4 $0 M; * ED A-HIST RAL LIQUID 4 $0 M; * ED BRN GP RAL LIQUID 4 $0 * ED CHLRPED D RAL DRPS 4 $0 * ED-CHLRPED RAL DRPS 4 $0 * ENDACF - DM RAL SLUTIN 4 $0 * ENTRE-CUGH RAL LIQUID 4 $0 * epinephrine injection auto-injector 0.3 mg/0.3 ml (1:1,000) 1 $0 B/D PA; M; QL (4 per 2 giorni) epinephrine injection solution 1 mg/ml (1:1,000) 1 $0 B/D PA; M epinephrine injection syringe 1 $0 B/D PA; M epinephrine (pf) injection solution 1 $0 B/D PA; M EPIPEN 2-PAK INJECTIN AUT-INJECTR 2 $0 M; QL (4 per 2 giorni) EPIPEN JR 2-PAK INJECTIN AUT- INJECTR 2 $0 M; QL (4 per 2 giorni) EXEFEN DMX RAL TABLET 4 $0 * EXEFEN-IR RAL TABLET 4 $0 * FLU & SRE THRAT RAL PACKET 4 $0 * guaifenesin oral tablet extended release 4 $0 M; * HIST-PSE RAL LIQUID 4 $0 * hydroxyzine hcl intramuscular solution 1 $0 B/D PA; M IBUPRFEN CLD RAL SUSPENSIN 4 $0 * KIDKARE CUGH/CLD RAL LIQUID 4 $0 * levocetirizine oral solution 1 $0 M levocetirizine oral tablet 1 $0 M; QL (30 per LHIST - D RAL LIQUID 4 $0 M; * LHIST-PEB RAL LIQUID 4 $0 * LRTUSS DM RAL LIQUID 4 $0 M; * LRTUSS LQ RAL LIQUID 4 $0 * M-END DMX RAL LIQUID 4 $0 * MUCINEX RAL TABLET,ER BIPHASIC 12 HR 4 $0 M; * 1,200 MG MUCINEX CLD & SINUS RAL LIQUID 4 $0 *

97 NME FARMAC 86 CST FARMAC A SU CARIC MUCINEX CUGH MINI-MELTS RAL 4 $0 M; * GRANULES IN PACKET MUCINEX D RAL TABLET EXTENDED 4 $0 M; * RELEASE 12 HR MUCINEX D MAXIMUM STRENGTH RAL 4 $0 M; * TABLET EXTENDED RELEASE 12 HR MUCINEX DM RAL TABLET EXTENDED 4 $0 M; * RELEASE 12 HR MUCINEX DM RAL TABLET, ER 4 $0 M; * MULTIPHASE 12 HR MUCINEX MINI-MELTS RAL GRANULES IN 4 $0 * PACKET 100 MG MUCINEX MINI-MELTS RAL GRANULES IN 4 $0 M; * PACKET 50 MG NASAL DECNGESTANT RAL LIQUID 4 $0 * NASAL DECNGESTANT RAL TABLET 4 $0 * NASAL DECNGESTANT (PE) RAL TABLET 4 $0 * NIGHT-TIME RAL LIQUID 4 $0 * NIGHTTIME CUGH RAL SLUTIN 4 $0 * NIGHTTIME SINUS RAL CAPSULE 4 $0 * NREL AD RAL TABLET 4 $0 M; * NREL CS RAL LIQUID 4 $0 * PEDIATEX TDM RAL LIQUID 4 $0 * PRIMATENE ASTHMA RAL TABLET 4 $0 M; * PR-CHL RAL LIQUID 4 $0 * pseudoephedrine hcl oral liquid 4 $0 M; * pseudoephedrine hcl oral tablet 60 mg 4 $0 * PYRIL DM RAL SUSPENSIN 4 $0 * pyrilamine-phenylephrine oral suspension 4 $0 * RESCN RAL TABLET 4 $0 * RESCN-DM RAL LIQUID 4 $0 M; * RBAFEN CUGH RAL CAPSULE 4 $0 M; * RBITUSSIN CUGH & CLD CF RAL 4 $0 * LIQUID RBITUSSIN LNG-ACTING RAL LIQUID 4 $0 * RBITUSSIN PEDIATRIC RAL SYRUP 4 $0 M; * RU-HIST-D (WITH PYRILAMINE) RAL TABLET 4 $0 M; * AZINI RESTRIZINI LIMITI D'US

98 NME FARMAC CST FARMAC A SU CARIC RYMED RAL TABLET 4 $0 M; * SCT-TUSSIN DM RAL LIQUID 4 $0 * SCT-TUSSIN SENIR RAL LIQUID 4 $0 * SILPHEN DM CUGH LIQUID 10 MG/5 ML 4 $0 * SILTUSSIN SA RAL LIQUID 4 $0 M; * SINUS CNG & PAIN DAY-NIGHT RAL 4 $0 * TABLETS, SEQUENTIAL STAHIST AD RAL TABLET 4 $0 M; * SUDGEST CLD & ALLERGY RAL TABLET 4 $0 * THERAFLU NIGHTTIME CLD-CUGH RAL 4 $0 * PWDER IN PACKET TRIACTING CUGH & CLD RAL LIQUID 4 $0 * TRIAMINIC CHEST-NASAL CNGESTI RAL 4 $0 * LIQUID TRIAMINIC CLD & CUGH (PE) RAL 4 $0 * LIQUID TRIAMINIC CLD- ALLERGY PE RAL LIQUID 4 $0 * TUSNEL NEW FRMULA RAL TABLET 4 $0 * TUSNEL PEDIATRIC RAL DRPS 4 $0 * TUSSIN CF RAL LIQUID 4 $0 M; * TUSSIN CUGH (DM NLY) RAL LIQUID 4 $0 * TUSSIN DM RAL SYRUP 4 $0 * VICKS VAPSTEAM LIQUID 4 $0 * VIRDEC DM RAL DRPS 4 $0 * AZINI RESTRIZINI LIMITI D'US WAL-DRYL SEVERE ALLERGY-SINUS RAL 4 $0 * TABLET WAL-DRYL-D ALLERGY & SINUS RAL 4 $0 * TABLET Z-CF I RAL SUSPENSIN 4 $0 * AGENTI PLMNARI acetylcysteine solution 1 $0 B/D PA; M ADCIRCA RAL TABLET 2 $0 PA; M; QL (60 per ADVAIR DISKUS INHALATIN BLISTER WITH 2 $0 M; QL (120 DEVICE per ADVAIR HFA INHALATIN HFA AERSL 2 $0 M; QL (24 per

99 NME FARMAC INHALER albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 2.5 mg/0.5 ml albuterol sulfate inhalation solution for nebulization 5 mg/ml 88 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 1 $0 B/D PA; M; QL (360 per 1 $0 B/D PA; M; QL (60 per albuterol sulfate oral syrup 1 $0 M albuterol sulfate oral tablet 1 $0 M albuterol sulfate oral tablet extended release 12 hr 1 $0 M aminophylline intravenous solution 250 mg/10 ml 1 $0 B/D PA; M aminophylline intravenous solution 500 mg/20 ml 1 $0 B/D PA ASMANEX TWISTHALER INHALATIN AERSL PWDR BREATH ACTIVATED 110 MCG (30 DSES), 220 MCG (120 DSES), 220 MCG (30 DSES), 220 MCG (60 DSES) ASMANEX TWISTHALER INHALATIN AERSL PWDR BREATH ACTIVATED 110 MCG (7 DSES), 220 MCG (14 DSES) 2 $0 M; QL (2 per 2 $0 QL (2 per ATRVENT HFA INHALATIN HFA AERSL INHALER 2 $0 M; QL (26 per budesonide inhalation suspension for nebulization 1 $0 B/D PA; M; QL (120 per budesonide nasal spray,non-aerosol 1 $0 M CINRYZE INTRAVENUS RECN SLN 2 $0 PA; M CMBIVENT RESPIMAT INHALATIN AERSL 2 $0 M; QL (8 per cromolyn inhalation solution for nebulization 1 $0 B/D PA; M; QL (240 per cromolyn nasal spray,non-aerosol 4 $0 M; * DALIRESP RAL TABLET 2 $0 M DULERA INHALATIN HFA AERSL INHALER ELIXPHYLLIN RAL ELIXIR 2 $0 M ephedrine sulfate oral capsule 4 $0 M; * 2 $0 M; QL (13 per

100 NME FARMAC FLVENT DISKUS INHALATIN BLISTER WITH DEVICE 100 MCG/ACTUATIN, 50 MCG/ACTUATIN FLVENT DISKUS INHALATIN BLISTER WITH DEVICE 250 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 110 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 220 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 44 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 2 $0 M; QL (120 per 2 $0 M; QL (300 per 2 $0 M; QL (12 per 2 $0 M; QL (36 per 2 $0 M; QL (21 per MCG/ACTUATIN flunisolide nasal spray,non-aerosol 1 $0 M; QL (50 per fluticasone nasal spray,suspension 1 $0 M; QL (16 per FRADIL AERLIZER INHALATIN CAPSULE, W/INHALATIN DEVICE 2 $0 M; QL (60 per ipratropium bromide inhalation solution 1 $0 B/D PA; M; QL (315 per ipratropium-albuterol inhalation solution for nebulization 1 $0 B/D PA; M; QL (540 per LETAIRIS RAL TABLET 2 $0 PA; M levalbuterol hcl inhalation solution for nebulization 0.31 mg/3 ml, 0.63 mg/3 ml levalbuterol hcl inhalation solution for nebulization 1.25 mg/0.5 ml, 1.25 mg/3 ml 1 $0 B/D PA; M 1 $0 B/D PA; M; QL (90 per metaproterenol oral syrup 1 $0 M metaproterenol oral tablet 1 $0 M montelukast oral granules in packet 1 $0 M montelukast oral tablet 1 $0 M montelukast oral tablet,chewable 1 $0 M NASACRT AQ NASAL AERSL,SPRAY 2 $0 M; QL (17 per NASNEX NASAL SPRAY,NN-AERSL 2 $0 M; QL (51 per

101 NME FARMAC PERFRMIST INHALATIN SLUTIN FR NEBULIZATIN 90 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 2 $0 B/D PA; M; QL (120 per PRAIR HFA INHALATIN HFA AERSL INHALER 2 $0 M; QL (18 per PRVENTIL HFA INHALATIN HFA AERSL INHALER 2 $0 M; QL (20 per PULMZYME INHALATIN SLUTIN 2 $0 B/D PA; M QVAR INHALATIN AERSL 2 $0 M; QL (24 per SEREVENT DISKUS INHALATIN BLISTER WITH DEVICE 2 $0 M; QL (120 per sildenafil oral tablet 1 $0 PA; M; QL (90 per SYMBICRT INHALATIN HFA AERSL INHALER 2 $0 M; QL (20 per terbutaline oral tablet 1 $0 M terbutaline subcutaneous solution 1 $0 B/D PA; M theophylline oral solution 1 $0 theophylline oral tablet extended release 1 $0 M theophylline oral tablet extended release 12 hr 1 $0 M TRACLEER RAL TABLET 2 $0 PA; M; LA triamcinolone acetonide nasal aerosol,spray 1 $0 M; QL (17 per TUDRZA PRESSAIR INHALATIN AERSL 2 $0 M PWDR BREATH ACTIVATED VENTLIN HFA INHALATIN HFA AERSL INHALER 2 $0 M; QL (54 per VERAMYST NASAL SPRAY,SUSPENSIN 2 $0 M; QL (20 per XLAIR SUBCUTANEUS RECN SLN 2 $0 PA; M; QL (8.4 per 28 giorni) zafirlukast oral tablet 1 $0 M URLGIA ANTICLINERGICI/ANTISPASMDICI

102 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US flavoxate oral tablet 1 $0 M GELNIQUE TRANSDERMAL GEL IN PACKET 2 $0 ST; M MYRBETRIQ RAL TABLET EXTENDED 2 $0 M RELEASE 24 HR oxybutynin chloride oral syrup 1 $0 M oxybutynin chloride oral tablet 1 $0 M oxybutynin chloride oral tablet extended release24hr 1 $0 M tolterodine oral capsule,extended release 24hr 1 $0 M tolterodine oral tablet 1 $0 M TVIAZ RAL TABLET EXTENDED RELEASE 2 $0 M 24 HR trospium oral capsule,extended release 24hr 1 $0 M trospium oral tablet 1 $0 M VESICARE RAL TABLET 2 $0 M TERAPIA L'IPERPLASIA PRSTATICA BENIGNA (IPB) alfuzosin oral tablet extended release 24 hr 1 $0 M AVDART RAL CAPSULE 2 $0 M finasteride oral tablet 5 mg 1 $0 M tamsulosin oral capsule,extended release 24hr 1 $0 M STIMLANTI CLINERGICI bethanechol chloride oral tablet 1 $0 M URLGIA VARI CIALIS RAL TABLET 2.5 MG, 5 MG 2 $0 PA; M; QL (30 per CYSTAGN RAL CAPSULE 2 $0 M ELMIRN RAL CAPSULE 2 $0 M potassium citrate oral tablet extended release 10 meq, 1 $0 M 5 meq VITAMINE, EMATINICI/ELETTRLITI ELETTRLITI ALCALAK RAL TABLET,CHEWABLE 4 $0 * ANTACID EXTRA-STRENGTH RAL TABLET,CHEWABLE ANTACID ULTRA STRENGTH RAL TABLET,CHEWABLE 4 $0 * 4 $0 *

103 NME FARMAC 92 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US calcium acetate oral capsule 1 $0 M calcium acetate oral tablet 1 $0 M CALCIUM ANTACID RAL 4 $0 * TABLET,CHEWABLE 300 MG (750 MG) calcium gluconate oral tablet 45 mg (500 mg) 4 $0 M; * eliphos oral tablet 1 $0 M ENFALYTE RAL SLUTIN 4 $0 * klor-con oral packet 1 $0 M klor-con 10 oral tablet extended release 1 $0 M klor-con 8 oral tablet extended release 1 $0 M klor-con m10 oral tablet,er particles/crystals 1 $0 M klor-con m15 oral tablet,er particles/crystals 1 $0 M klor-con m20 oral tablet,er particles/crystals 1 $0 M lactated ringers intravenous parenteral solution 1 $0 M magnesium oxide oral tablet 420 mg 4 $0 M; * magnesium sulfate injection solution 1 $0 B/D PA; M magnesium sulfate injection syringe 1 $0 B/D PA NRMSL-R IN 5 % DEXTRSE 2 $0 B/D PA INTRAVENUS PARENTERAL SLUTIN PEDIALYTE RAL SLUTIN 4 $0 M; * PEDIATRIC ELECTRLYTE RAL SLUTIN 4 $0 * potassium bicarb & chloride oral tablet, effervescent 1 $0 M potassium chlorid-d5-0.45%nacl intravenous 1 $0 B/D PA parenteral solution 10 meq/l, 30 meq/l, 40 meq/l potassium chlorid-d5-0.45%nacl intravenous 1 $0 B/D PA; M parenteral solution 20 meq/l potassium chloride intravenous parenteral solution 1 $0 M potassium chloride intravenous piggyback 1 $0 potassium chloride oral capsule, extended release 1 $0 M potassium chloride oral liquid 1 $0 M potassium chloride oral tablet extended release 10 1 $0 M meq, 8 meq potassium chloride oral tablet extended release 20 1 $0 meq potassium chloride oral tablet,er particles/crystals 1 $0 M potassium chloride in 0.9%nacl intravenous 1 $0 B/D PA parenteral solution potassium chloride in 5 % dex intravenous parenteral 1 $0 B/D PA

104 NME FARMAC solution potassium chloride in lr-d5 intravenous parenteral solution 20 meq/l potassium chloride in lr-d5 intravenous parenteral solution 40 meq/l potassium chloride-0.45 % nacl intravenous parenteral solution potassium chloride-d5-0.2%nacl intravenous parenteral solution 20 meq/l potassium chloride-d5-0.2%nacl intravenous parenteral solution 30 meq/l, 40 meq/l potassium chloride-d5-0.3%nacl intravenous parenteral solution potassium chloride-d5-0.9%nacl intravenous parenteral solution CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 1 $0 B/D PA; M 1 $0 B/D PA 1 $0 1 $0 B/D PA; M 1 $0 B/D PA 1 $0 B/D PA 1 $0 B/D PA ringers intravenous parenteral solution 1 $0 B/D PA sodium chloride intravenous parenteral solution 1 $0 M sodium chloride 0.45 % intravenous parenteral 1 $0 M solution sodium chloride 0.45 % intravenous piggyback 1 $0 sodium chloride 3 % intravenous parenteral solution 1 $0 M sodium chloride 5 % intravenous parenteral solution 1 $0 sodium lactate intravenous solution 1 $0 TITRALAC RAL TABLET,CHEWABLE 4 $0 M; * TPN ELECTRLYTES INTRAVENUS 2 $0 B/D PA SLUTIN TUMS ULTRA RAL TABLET,CHEWABLE 4 $0 M; * PRDTTI PER LA NUTRIZINE VARI amino acids 15 % intravenous parenteral solution 1 $0 B/D AMINSYN 10 % INTRAVENUS PARENTERAL SLUTIN AMINSYN 8.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN 8.5 %-ELECTRLYTES INTRAVENUS PARENTERAL SLUTIN AMINSYN II 10 % INTRAVENUS PARENTERAL SLUTIN 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D

105 NME FARMAC AMINSYN II 15 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 7 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 8.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 8.5 %-ELECTRLYTES INTRAVENUS PARENTERAL SLUTIN AMINSYN M 3.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN-HBC 7% INTRAVENUS PARENTERAL SLUTIN AMINSYN-PF 10 % INTRAVENUS PARENTERAL SLUTIN AMINSYN-PF 7 % (SULFITE-FREE) INTRAVENUS PARENTERAL SLUTIN CLINIMIX 5%/D15W SULFITE FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 5%/D25W SULFITE-FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 2.75%/D5W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%-D20W SULF-FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%-D25W SULF-FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%/D10W SULF FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 5%-D20W(SULFITE-FREE) INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 4.25%/D25W SUL FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 4.25%/D5W SULF FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 5%/D15W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 5%/D20W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CST FARMAC A SU CARIC 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D 2 $0 B/D AZINI RESTRIZINI LIMITI D'US 94

106 NME FARMAC CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US CLINIMIX E 5%/D25W SULFIT FREE 2 $0 B/D INTRAVENUS PARENTERAL SLUTIN CLINISL SF 15 % INTRAVENUS 2 $0 B/D PA; M PARENTERAL SLUTIN electrolyte-48 in d5w intravenous parenteral solution 1 $0 B/D HEPATAMINE 8% INTRAVENUS 2 $0 B/D PARENTERAL SLUTIN HEPATASL 8 % INTRAVENUS 2 $0 B/D PARENTERAL SLUTIN INTRALIPID INTRAVENUS EMULSIN 20 % 2 $0 B/D PA; M INTRALIPID INTRAVENUS EMULSIN 30 % 2 $0 B/D INSL-B IN D5W INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN INSL-MB IN D5W INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN ISLYTE-P IN 5 % DEXTRSE INTRAVENUS 2 $0 PARENTERAL SLUTIN ISLYTE-S INTRAVENUS PARENTERAL 2 $0 SLUTIN LIPSYN II INTRAVENUS EMULSIN 2 $0 B/D PA liposyn iii intravenous emulsion 1 $0 B/D PA NEPHRAMINE 5.4 % INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN NRMSL-M IN 5 % DEXTRSE 2 $0 B/D PA INTRAVENUS PARENTERAL SLUTIN NRMSL-R PH 7.4 INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN PLASMA-LYTE 148 INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN PLASMA-LYTE A INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN PLASMA-LYTE-56 IN 5 % DEXTRSE 2 $0 B/D PA INTRAVENUS PARENTERAL SLUTIN PREMASL 10 % INTRAVENUS 2 $0 B/D PA PARENTERAL SLUTIN PREMASL 6 % INTRAVENUS PARENTERAL 2 $0 B/D PA SLUTIN PRCALAMINE 3% INTRAVENUS 2 $0 B/D PA

107 NME FARMAC PARENTERAL SLUTIN PRSL 20 % INTRAVENUS PARENTERAL SLUTIN TRAVASL 10 % INTRAVENUS PARENTERAL SLUTIN TRPHAMINE 10 % INTRAVENUS PARENTERAL SLUTIN TRPHAMINE 6% INTRAVENUS C CMPLEX RAL TABLET EXTENDED 4 $0 * RELEASE 1,000 MG CALCIDL RAL DRPS 4 $0 * CEMILL-1000 RAL TABLET 4 $0 * 96 CST FARMAC A SU CARIC AZINI RESTRIZINI LIMITI D'US 2 $0 B/D PA; M 2 $0 B/D PA 2 $0 B/D PA 2 $0 B/D PA PARENTERAL SLUTIN VITAMINE/EMATINICI ANIMAL CHEWS RAL TABLET,CHEWABLE 4 $0 * ANIMAL SHAPES CMPLETE CHEW TABLET 4 $0 * ANIMAL SHAPES PLUS C RAL 4 $0 * TABLET,CHEWABLE ANIMAL SHAPES PLUS IRN RAL 4 $0 * TABLET,CHEWABLE ANTIXIDANT FRMULA RAL CAPSULE 4 $0 M; * APATATE RAL LIQUID 4 $0 M; * AQUADEKS PEDIATRIC RAL DRPS 4 $0 M; * ascorbic acid oral tablet 4 $0 * B CMPLETE RAL TABLET 4 $0 * b complex vitamins oral capsule 4 $0 * b complex-vitamin c-folic acid oral tablet 4 $0 M; * B-50 CMPLEX RAL TABLET EXTENDED 4 $0 * RELEASE b-complex with vitamin c oral tablet 4 $0 * b-complex with vitamin c oral tablet extended release 4 $0 * B100 BALANCED RAL TABLET EXTENDED 4 $0 * RELEASE BALANCED B-100 RAL TABLET 4 $0 * beta carotene oral capsule 4 $0 M; * BI-D-MULSIN RAL DRPS 4 $0 * biotin oral capsule 5 mg 4 $0 * biotin oral tablet 300 mcg 4 $0 *

108 NME FARMAC CST FARMAC A SU CARIC CENTRUM KIDS RAL TABLET,CHEWABLE 4 $0 M; * CENTRUM SILVER RAL TABLET,CHEWABLE 4 $0 M; * CHEWABLE MULTI VITAMIN RAL 4 $0 * TABLET,CHEWABLE cholecalciferol (vitamin d3) oral capsule 10,000 unit, 4 $0 * 400 unit cholecalciferol (vitamin d3) oral capsule 5,000 unit, 4 $0 M; * 50,000 unit cholecalciferol (vitamin d3) oral drops 4 $0 M; * cholecalciferol (vitamin d3) oral tablet 2,000 unit 4 $0 M; * cholecalciferol (vitamin d3) oral tablet,chewable 4 $0 * CMPLEX B-100 RAL TABLET EXTENDED 4 $0 M; * RELEASE CRVITA 150 RAL TABLET 3 $0 M; * cyanocobalamin (vitamin b-12) injection solution 3 $0 M; * D3 DTS RAL TABLET 4 $0 * DAILY MULTIPLE RAL TABLET 4 $0 * DAILY VITAMIN WITH IRN RAL TABLET 4 $0 * DECARA RAL CAPSULE 25,000 UNIT 4 $0 M; * TA D3 RAL TABLET 4 $0 M; * DEXFERRUM INTRAVENUS SLUTIN $0 M; * MG/2 ML (50 MG/ML) DIALYVITE 800 WITH ZINC 50 RAL TABLET 4 $0 M; * DIN-LIFE WITH IRN-ZINC RAL 4 $0 * TABLET,CHEWABLE ECEE PLUS RAL TABLET 4 $0 M; * ELDERTNIC RAL ELIXIR 4 $0 M; * ergocalciferol (vitamin d2) oral drops 4 $0 M; * FER-IN-SL RAL DRPS 4 $0 M; * FER-IRN RAL DRPS 4 $0 * ferrous sulfate oral liquid 4 $0 M; * ferrous sulfate oral solution 4 $0 M; * ferrous sulfate oral tablet 4 $0 M; * ferrous sulfate oral tablet,delayed release (dr/ec) 4 $0 M; * FLINTSTNES PLUS CALCIUM RAL 4 $0 * TABLET,CHEWABLE FLGARD RAL TABLET 4 $0 M; * AZINI RESTRIZINI LIMITI D'US

109 NME FARMAC 98 CST FARMAC A SU CARIC folic acid injection solution 3 $0 M; * folic acid oral tablet 1 mg 3 $0 M; * folic acid oral tablet 400 mcg, 800 mcg 4 $0 M; * FLTABS 800 RAL TABLET 4 $0 M; * FRMULA E 400 RAL CAPSULE 4 $0 * GERIATN RAL LIQUID 4 $0 * HALLS DEFENSE RAL LZENGE 4 $0 * HIGH PTENCY IRN RAL TABLET 4 $0 * HNEY BEARS RAL TABLET,CHEWABLE 4 $0 * hydroxocobalamin intramuscular solution 3 $0 M; * ICAPS RAL TABLET EXTENDED RELEASE 4 $0 M; * IRMIN-G MG 4 $0 * IRN (FERRUS SULFATE) RAL TABLET 4 $0 * K-PAX IMMUNE SUPPRT RAL TABLET 4 $0 * MULTI-YN RAL LIQUID 4 $0 M; * MULTI-YN WITH IRN RAL LIQUID 4 $0 * MYKIDZ IRN RAL SUSPENSIN 10-1, $0 * MG -UNIT-UNIT/2 ML NAIL-EX 2.5 MG TABLET 4 $0 * NATURAL B-100 CMPLEX RAL TABLET 4 $0 * NEPHRNEX RAL LIQUID 4 $0 * CUVITE EXTRA TABLET 4 $0 * NE DAILY WMEN'S HEALTH RAL TABLET 4 $0 * NE-A-DAY MEN'S MULTIVITAMIN RAL 4 $0 M; * TABLET NE-A-DAY WMENS FRMULA RAL 4 $0 M; * TABLET 18 MG IRN-400 MCG-500 MG CA pantothenic acid oral tablet 4 $0 M; * PLY-VI-SL RAL DRPS 4 $0 M; * PLY-VI-SL WITH IRN RAL DRPS 4 $0 M; * PLY-VITAMIN RAL DRPS 4 $0 * prenatal vitamins oral tablet 1 $0 PRESERVISIN AREDS 2 (MEGA-3) RAL 4 $0 M; * CAPSULE pyridoxine injection solution 3 $0 M; * pyridoxine oral tablet 100 mg, 25 mg, 50 mg 4 $0 * SLW RELEASE IRN RAL TABLET EXTENDED RELEASE 140 MG (45 MG IRN), 4 $0 * AZINI RESTRIZINI LIMITI D'US

110 NME FARMAC 142 MG (45 MG IRN), 143 MG (45 MG IRN), 47.5 MG IRN SLW RELEASE IRN RAL TABLET EXTENDED RELEASE 160 MG (50 MG IRN) CST FARMAC A SU CARIC 4 $0 M; * sodium fluoride oral tablet 1 $0 SPECTRAVITE RAL LIQUID 4 $0 * SPECTRAVITE RAL TABLET,CHEWABLE 4 $0 * STRESS FRMULA RAL TABLET 4 $0 * STRESS FRMULA WITH ZINC RAL TABLET 4 $0 M; * SUPER B/C RAL CAPSULE 4 $0 * THERA-PLUS RAL LIQUID 4 $0 M; * thiamine hcl injection solution 3 $0 M; * TL G-FL S RAL TABLET 3 $0 M; * TRI-VI-SL RAL DRPS 4 $0 M; * TRI-VI-SL WITH IRN RAL DRPS 4 $0 M; * TRI-VITA RAL DRPS 4 $0 * TRI-VITAMIN RAL DRPS 4 $0 M; * VISIN FRMULA RAL TABLET 4 $0 * VITALETS RAL TABLET,CHEWABLE 4 $0 * vitamin a oral capsule 10,000 unit 4 $0 M; * vitamin a oral capsule 25,000 unit, 8,000 unit 4 $0 * VITAMIN C RAL CAPSULE, EXTENDED 4 $0 M; * RELEASE VITAMIN C RAL TABLET,CHEWABLE 500 MG 4 $0 M; * VITAMIN D2 RAL CAPSULE 3 $0 M; * VITAMIN D3 RAL CAPSULE 2,000 UNIT 4 $0 M; * VITAMIN D3 RAL TABLET 1,000 UNIT 4 $0 M; * VITAMIN D3 RAL TABLET 5,000 UNIT 4 $0 * VITAMIN D3 RAL TABLET,CHEWABLE 1,000 4 $0 M; * UNIT Z CHEWS RAL TABLET,CHEWABLE 4 $0 * AZINI RESTRIZINI LIMITI D'US

111 Indice 1 12 HUR DECNGESTANT RAL TABLET EXTENDED RELEASE DAY VAGINAL VAGINAL CREAM DAY VAGINAL VAGINAL CREAM WAY NASAL SPRAY, NN- AERSL HUR PAIN RELIEVER RAL TABLET EXTENDED RELEASE A A + D (LAN, PET) TPICAL INTMENT abacavir oral tablet... 3 abacavir-lamivudine-zidovudine oral tablet... 3 ABELCET INTRAVENUS SUSPENSIN... 3 ABILIFY DISCMELT RAL TABLET,DISINTEGRATIN G 10 MG ABILIFY DISCMELT RAL TABLET,DISINTEGRATIN G 15 MG ABILIFY INTRAMUSCULAR SLUTIN ABILIFY MAINTENA INTRAMUSCULAR SUSPENSIN,EXTENDED REL RECN ABILIFY RAL SLUTIN 32 ABILIFY RAL TABLET 10 MG ABILIFY RAL TABLET 15 MG, 20 MG ABILIFY RAL TABLET 2 MG ABILIFY RAL TABLET 30 MG ABILIFY RAL TABLET 5 MG ABREVA TPICAL CREAM 49 acamprosate oral tablet,delayed release (dr/ec) acarbose oral tablet acebutolol oral capsule ACEPHEN RECTAL SUPPSITRY 120 MG, 650 MG ACEPHEN RECTAL SUPPSITRY 325 MG acetaminophen oral drops acetaminophen oral elixir acetaminophen oral liquid acetaminophen oral solution 160 mg/5 ml (5 ml) acetaminophen oral suspension acetaminophen oral tablet acetaminophen oral tablet, disintegrating acetaminophen-codeine oral solution 120 mg-12 mg /5 ml (5 ml), 300 mg-30 mg /12.5 ml acetaminophen-codeine oral solution mg/5 ml acetaminophen-codeine oral tablet mg, mg acetaminophen-codeine oral tablet mg acetasol hc otic drops acetazolamide oral capsule, extended release acetazolamide oral tablet acetazolamide sodium injection recon soln acetic acid otic solution acetylcysteine solution ACID CNTRL (RANITIDINE) RAL TABLET ACID CNTRLLER RAL TABLET ACID GNE ANTACID RAL SUSPENSIN acitretin oral capsule 10 mg ACITRETIN RAL CAPSULE 17.5 MG, 25 MG ACTEMRA INTRAVENUS SLUTIN 200 MG/10 ML (20 MG/ML) ACTHAR H.P. INJECTIN GEL ACTHIB (PF) INTRAMUSCULAR RECN SLN ACTIMMUNE SUBCUTANEUS SLUTIN ACTPLUS MET XR RAL TABLET, ER MULTIPHASE 24 HR 15-1,000 MG ACTPLUS MET XR RAL TABLET, ER MULTIPHASE 24 HR 30-1,000 MG acyclovir oral capsule... 3 acyclovir oral suspension... 3 acyclovir oral tablet... 3 acyclovir sodium intravenous recon soln 1,000 mg... 3 acyclovir sodium intravenous solution... 4 acyclovir topical ointment ADACEL(TDAP ADLESN/ADULT)(PF) INTRAMUSCULAR SUSPENSIN ADACEL(TDAP ADLESN/ADULT)(PF) INTRAMUSCULAR SYRINGE... 69

112 ADAGEN INTRAMUSCULAR SLUTIN adapalene topical cream adapalene topical gel 0.1 % ADCIRCA RAL TABLET ADDED STRENGTH PAIN RELIEVER RAL TABLET ADEFVIR RAL TABLET.. 4 adriamycin intravenous solution 10 mg/5 ml adriamycin intravenous solution 20 mg/10 ml, 50 mg/25 ml.. 14 adrucil intravenous solution 2.5 gram/50 ml adrucil intravenous solution 5 gram/100 ml, 500 mg/10 ml 14 ADT RBITUSSIN PEAK CLD DM MAX RAL LIQUID. 81 ADULT RBITUSSIN LINGERING CLD RAL SYRUP ADULT RBITUSSIN M-S CLD RAL LIQUID ADULT RBITUSSIN NASAL RELIEF RAL TABLET.. 81 ADULT RBITUSSIN NIGHT M-S CLD RAL LIQUID. 81 ADULT RBITUSSIN PEAK CLD M-S RAL LIQUID81 ADVAIR DISKUS INHALATIN BLISTER WITH DEVICE ADVAIR HFA INHALATIN HFA AERSL INHALER ADVANCED ANTACID- ANTIGAS RAL SUSPENSIN ADVIL CLD & SINUS RAL CAPSULE ADVIL CLD & SINUS RAL TABLET ADVIL RAL TABLET 100 MG ADVIL RAL TABLET,CHEWABLE afeditab cr oral tablet extended release AFINITR DISPERZ RAL TABLET FR SUSPENSIN AFINITR RAL TABLET.. 14 AGGRENX RAL CAPSULE, ER MULTIPHASE 12 HR. 41 A-HYDRCRT INJECTIN RECN SLN ak-poly-bac ophthalmic ointment AKWA TEARS (PLYVINYL ALCHL) PHTHALMIC DRPS AKWA TEARS PHTHALMIC INTMENT ALA-HIST IR RAL TABLET ALA-HIST PE RAL TABLET ALAMAG-PLUS RAL TABLET,CHEWABLE ALAVERT D-12 ALLERGY- SINUS RAL TABLET EXTENDED RELEASE 12 HR ALAVERT RAL TABLET,DISINTEGRATIN G ALAWAY PHTHALMIC DRPS ALBENZA RAL TABLET... 8 albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 2.5 mg/0.5 ml albuterol sulfate inhalation solution for nebulization 5 mg/ml albuterol sulfate oral syrup albuterol sulfate oral tablet albuterol sulfate oral tablet extended release 12 hr ALCALAK RAL TABLET,CHEWABLE alclometasone topical cream alclometasone topical ointment 49 ALCHL PADS TPICAL PADS, MEDICATED ALDEX GS RAL TABLET. 81 ALDURAZYME INTRAVENUS SLUTIN alendronate oral solution alendronate oral tablet 10 mg, 5 mg alendronate oral tablet 35 mg, 70 mg alendronate oral tablet 40 mg. 52 alfuzosin oral tablet extended release 24 hr ALIMTA INTRAVENUS RECN SLN 500 MG ALINIA RAL SUSPENSIN FR RECNSTITUTIN... 8 ALINIA RAL TABLET... 8 ALL DAY ALLERGY (CETIRIZINE) RAL SLUTIN ALL DAY ALLERGY (CETIRIZINE) RAL TABLET ALL DAY ALLERGY-D RAL TABLET EXTENDED RELEASE 12 HR ALLER-CHLR RAL SYRUP ALLER-CHLR RAL TABLET ALLERCLEAR D-24HR RAL TABLET EXTENDED RELEASE 24 HR ALLERCLEAR RAL TABLET ALLER-EASE RAL TABLET 180 MG... 81

113 ALLER-EASE RAL TABLET 60 MG ALLERGY (DIPHENHYDRAMINE) RAL CAPSULE ALLERGY (DIPHENHYDRAMINE) RAL TABLET ALLERGY MULTI-SYMPTM RAL TABLET ALLERGY RELIEF (LRATADINE) RAL SLUTIN ALLERHIST-1 RAL TABLET ALLFEN DM RAL TABLET allopurinol oral tablet ALMACNE RAL SUSPENSIN ALMACNE-2 RAL SUSPENSIN ALE VESTA TPICAL INTMENT 2 % ALPHAGAN P PHTHALMIC DRPS 0.1 % alprazolam oral tablet alprazolam oral tablet extended release 24 hr alprazolam oral tablet,disintegrating ALREX PHTHALMIC DRPS,SUSPENSIN altavera (28) oral tablet aluminum hydroxide gel oral suspension 320 mg/5 ml alyacen 1/35 (28) oral tablet alyacen 7/7/7 (28) oral tablet.. 74 amantadine hcl oral capsule... 4 amantadine hcl oral syrup... 4 amantadine hcl oral tablet... 4 AMBISME INTRAVENUS SUSPENSIN FR RECNSTITUTIN... 3 amcinonide topical cream amcinonide topical lotion amcinonide topical ointment a-methapred injection recon soln amethia lo oral tablets,dose pack,3 month amethia oral tablets,dose pack,3 month amethyst oral tablet AMIFSTINE CRYSTALLINE INTRAVENUS RECN SLN amikacin injection solution... 8 amiloride oral tablet amiloride-hydrochlorothiazide oral tablet amino acids 15 % intravenous parenteral solution aminophylline intravenous solution 250 mg/10 ml aminophylline intravenous solution 500 mg/20 ml AMINSYN 10 % INTRAVENUS PARENTERAL SLUTIN AMINSYN 8.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN 8.5 %- ELECTRLYTES INTRAVENUS PARENTERAL SLUTIN AMINSYN II 10 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 15 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 7 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 8.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN II 8.5 %- ELECTRLYTES INTRAVENUS PARENTERAL SLUTIN AMINSYN M 3.5 % INTRAVENUS PARENTERAL SLUTIN AMINSYN-HBC 7% INTRAVENUS PARENTERAL SLUTIN AMINSYN-PF 10 % INTRAVENUS PARENTERAL SLUTIN AMINSYN-PF 7 % (SULFITE-FREE) INTRAVENUS PARENTERAL SLUTIN amiodarone intravenous solution amiodarone intravenous syringe amiodarone oral tablet AMITIZA RAL CAPSULE. 62 amitriptyline oral tablet amlodipine oral tablet amlodipine-atorvastatin oral tablet amlodipine-benazepril oral capsule ammonium lactate topical cream ammonium lactate topical lotion amnesteem oral capsule amoxapine oral tablet amoxicil-clarithromy-lansopraz oral combo pack... 66

114 amoxicillin oral capsule amoxicillin oral suspension for reconstitution amoxicillin oral tablet amoxicillin oral tablet,chewable amoxicillin-pot clavulanate oral suspension for reconstitution amoxicillin-pot clavulanate oral tablet amoxicillin-pot clavulanate oral tablet extended release 12 hr amoxicillin-pot clavulanate oral tablet,chewable amphetamine salt combo oral tablet amphotericin b injection recon soln... 3 ampicillin oral capsule ampicillin oral suspension for reconstitution ampicillin sodium injection recon soln 1 gram, 10 gram, 125 mg, 2 gram, 250 mg ampicillin sodium injection recon soln 500 mg ampicillin sodium intravenous recon soln ampicillin-sulbactam injection recon soln 15 gram ampicillin-sulbactam injection recon soln 3 gram ampicillin-sulbactam intravenous recon soln 3 gram AMPYRA RAL TABLET EXTENDED RELEASE 12 HR AMTURNIDE RAL TABLET anagrelide oral capsule anastrozole oral tablet ANDRGEL TRANSDERMAL GEL ANDRID RAL CAPSULE 59 ANDRXY RAL TABLET. 59 ANECREAM TPICAL CREAM ANIMAL CHEWS RAL TABLET,CHEWABLE ANIMAL SHAPES CMPLETE CHEW TABLET ANIMAL SHAPES PLUS C RAL TABLET,CHEWABLE ANIMAL SHAPES PLUS IRN RAL TABLET,CHEWABLE ANTACID EXTRA STRENGTH RAL TABLET,CHEWABLE ANTACID EXTRA- STRENGTH RAL TABLET,CHEWABLE ANTACID ULTRA STRENGTH RAL TABLET,CHEWABLE ANTARA RAL CAPSULE 30 MG ANTARA RAL CAPSULE 90 MG ANTI-DIARRHEAL (LPERAMIDE) RAL LIQUID ANTI-DIARRHEAL (LPERAMIDE) RAL TABLET ANTIFUNGAL (TLNAFTATE) TPICAL AERSL,SPRAY ANTIFUNGAL (TLNAFTATE) TPICAL PWDER ANTIFUNGAL CREAM TPICAL CREAM ANTIFUNGAL SPRAY TPICAL AERSL PWDER ANTI-ITCH (DIPHENHYDRAMINE) TPICAL AERSL,SPRAY ANTI-ITCH (HC) TPICAL CREAM ANTI-ITCH (HC) WITH ATMEAL TPICAL CREAM ANTIXIDANT FRMULA RAL CAPSULE APATATE RAL LIQUID APKYN SUBCUTANEUS CARTRIDGE apraclonidine ophthalmic drops apri oral tablet APRIS RAL CAPSULE,EXTENDED RELEASE 24HR APRDINE RAL TABLET. 82 APTIM RAL TABLET APTIVUS RAL CAPSULE... 4 APTIVUS RAL SLUTIN. 4 AQUADEKS PEDIATRIC RAL DRPS ARALAST NP INTRAVENUS RECN SLN aranelle (28) oral tablet ARCALYST SUBCUTANEUS RECN SLN ARTIFICIAL TEARS (PETR/MIN) PHTHALMIC INTMENT ARTIFICIAL TEARS PHTHALMIC DRPS ARZERRA INTRAVENUS SLUTIN 1,000 MG/50 ML ASACL HD RAL TABLET,AYED RELEASE (DR/EC) ascorbic acid oral tablet ASCRIPTIN RAL TABLET 29

115 ASMANEX TWISTHALER INHALATIN AERSL PWDR BREATH ACTIVATED 110 MCG (30 DSES), 220 MCG (120 DSES), 220 MCG (30 DSES), 220 MCG (60 DSES) ASMANEX TWISTHALER INHALATIN AERSL PWDR BREATH ACTIVATED 110 MCG (7 DSES), 220 MCG (14 DSES) aspirin oral tablet aspirin oral tablet, chewable aspirin oral tablet, delayed release (dr/ec) 325 mg, 81 mg ASTAGRAF XL RAL CAPSULE,EXTENDED RELEASE 24HR ASTRINGENT TPICAL PWDER IN PACKET atenolol oral tablet atenolol-chlorthalidone oral tablet ATHLETE'S FT (TERBINAFINE) TPICAL CREAM ATHLETE'S FT (TLNAFTATE) TPICAL AERSL PWDER ATHLETE'S FT (TLNAFTATE) TPICAL CREAM atorvastatin oral tablet ATVAQUNE RAL SUSPENSIN... 8 atovaquone-proguanil oral tablet... 9 ATRIPLA RAL TABLET... 4 atropine injection syringe ATRVENT HFA INHALATIN HFA AERSL INHALER aubra oral tablet AVASTIN INTRAVENUS SLUTIN AVELX IN NACL (IS- SMTIC) INTRAVENUS PIGGYBACK aviane oral tablet AVDART RAL CAPSULE AVNEX ADMINISTRATIN PACK INTRAMUSCULAR KIT AVNEX INTRAMUSCULAR KIT AVNEX INTRAMUSCULAR PEN INJECTR KIT AVNEX INTRAMUSCULAR SYRINGE AXID AR AZACITIDINE INJECTIN RECN SLN AZASAN RAL TABLET AZASITE PHTHALMIC DRPS azathioprine oral tablet azelastine nasal aerosol,spray 54 azelastine nasal spray,nonaerosol azelastine ophthalmic drops AZILECT RAL TABLET azithromycin intravenous recon soln... 8 azithromycin oral packet... 8 azithromycin oral suspension for reconstitution... 8 azithromycin oral tablet... 8 AZLEN TINCTURE TPICAL TINCTURE AZPT PHTHALMIC DRPS,SUSPENSIN AZR RAL TABLET aztreonam injection recon soln. 9 azurette (28) oral tablet B B CMPLETE RAL TABLET b complex vitamins oral capsule b complex-vitamin c-folic acid oral tablet B100 BALANCED RAL TABLET EXTENDED RELEASE B-50 CMPLEX RAL TABLET EXTENDED RELEASE baciim intramuscular recon soln 9 bacitracin intramuscular recon soln... 9 bacitracin ophthalmic ointment77 bacitracin topical ointment bacitracin zinc topical packet.. 48 bacitracin-polymyxin b ophthalmic ointment bacitracin-polymyxin b topical packet baclofen oral tablet BALANCED B-100 RAL TABLET balsalazide oral capsule balziva (28) oral tablet BANPHEN ANTI-ITCH TPICAL CREAM BANZEL RAL SUSPENSIN BANZEL RAL TABLET BARACLUDE RAL SLUTIN... 4 BARACLUDE RAL TABLET... 4 BCG VACCINE, LIVE (PF) PERCUTANEUS SUSPENSIN FR RECNSTITUTIN b-complex with vitamin c oral tablet b-complex with vitamin c oral tablet extended release benazepril oral tablet... 37

116 benazepril-hydrochlorothiazide oral tablet BENICAR HCT RAL TABLET BENICAR RAL TABLET BENLYSTA INTRAVENUS RECN SLN 120 MG benzonatate oral capsule benzoyl peroxide topical cleanser 10 %, 5 %, 6 % benzoyl peroxide topical gel benzoyl peroxide topical lotion 46 benztropine injection solution. 22 benztropine oral tablet beta carotene oral capsule BETADINE SPRAY TPICAL AERSL betamethasone dipropionate topical cream betamethasone dipropionate topical lotion betamethasone dipropionate topical ointment betamethasone valerate topical cream betamethasone valerate topical foam betamethasone valerate topical lotion betamethasone valerate topical ointment betamethasone, augmented topical cream betamethasone, augmented topical gel betamethasone, augmented topical lotion betamethasone, augmented topical ointment BETASEPT SURGICAL SCRUB TPICAL LIQUID betaxolol ophthalmic drops betaxolol oral tablet bethanechol chloride oral tablet BETIML PHTHALMIC DRPS 0.25 % BETPTIC S PHTHALMIC DRPS,SUSPENSIN bicalutamide oral tablet BICILLIN C-R INTRAMUSCULAR SYRINGE BICILLIN L-A INTRAMUSCULAR SYRINGE BICLRA RAL LIQUID BICLRA RAL TABLET BI-D-MULSIN RAL DRPS biotin oral capsule 5 mg biotin oral tablet 300 mcg bisacodyl oral tablet,delayed release (dr/ec) BISMATRL RAL SUSPENSIN 262 MG/15 ML BISMATRL RAL SUSPENSIN 525 MG/15 ML BISMATRL RAL TABLET,CHEWABLE bisoprolol fumarate oral tablet 37 bisoprolol-hydrochlorothiazide oral tablet bleomycin injection recon soln 30 unit BLEPHAMIDE S..P. PHTHALMIC INTMENT BSTRIX TDAP INTRAMUSCULAR SUSPENSIN BSTRIX TDAP INTRAMUSCULAR SYRINGE BSULIF RAL TABLET BP 8 CUGH RAL SUSPENSIN BP TPICAL LTIN BP TPICAL SUSPENSIN. 46 briellyn oral tablet BRILINTA RAL TABLET.. 41 brimonidine ophthalmic drops. 80 BRINTELLIX RAL TABLET BRISLE RAL CAPSULE BRHIST D RAL TABLET 82 bromfenac ophthalmic drops bromocriptine oral capsule bromocriptine oral tablet brompheniramine-pseudoeph-dm oral liquid mg/5 ml82 brompheniramine-pseudoeph-dm oral syrup brompheniramin-phenylephrindm oral liquid mg/5 ml BRTAPP DM RAL ELIXIR BRTAPP RAL LIQUID budesonide inhalation suspension for nebulization budesonide nasal spray,nonaerosol BUDESNIDE RAL CAPSULE, AYED & EXT.RELEASE BUFFERIN RAL TABLET. 29 bumetanide injection solution.. 38 bumetanide oral tablet buprenorphine injection syringe buprenorphine sublingual tablet 2 mg buprenorphine sublingual tablet 8 mg buprenorphine-naloxone sublingual tablet buproban oral tablet extended release... 54

117 bupropion hcl oral tablet bupropion hcl oral tablet extended release bupropion hcl oral tablet extended release 24 hr buspirone oral tablet BUSULFEX INTRAVENUS SLUTIN butalbital-acetaminop-caf-cod oral capsule butorphanol tartrate injection solution 1 mg/ml butorphanol tartrate injection solution 2 mg/ml butorphanol tartrate nasal spray,non-aerosol BYETTA SUBCUTANEUS PEN INJECTR BYSTLIC RAL TABLET. 38 C C CMPLEX RAL TABLET EXTENDED RELEASE 1,000 MG cabergoline oral tablet CALCIDL RAL DRPS calcipotriene topical cream calcipotriene topical ointment. 45 calcipotriene topical solution.. 45 calcitonin (salmon) nasal spray,non-aerosol CALCITRENE TPICAL INTMENT calcitriol intravenous solution. 60 calcitriol oral capsule calcitriol oral solution calcitriol topical ointment calcium acetate oral capsule calcium acetate oral tablet CALCIUM ANTACID RAL TABLET,CHEWABLE 300 MG (750 MG) calcium gluconate oral tablet 45 mg (500 mg) CALDYPHEN TPICAL LTIN camila oral tablet camrese lo oral tablets,dose pack,3 month camrese oral tablets,dose pack,3 month CANASA RECTAL SUPPSITRY CANCIDAS INTRAVENUS RECN SLN... 3 candesartan oral tablet candesartan-hydrochlorothiazid oral tablet CAPASTAT INJECTIN RECN SLN... 9 CAPMIST DM RAL TABLET MG CAPRELSA RAL TABLET 15 capsaicin topical cream % capsaicin topical cream 0.1 % 45 captopril oral tablet captopril-hydrochlorothiazide oral tablet CARAC TPICAL CREAM.. 45 CARAFATE RAL SUSPENSIN carbamazepine oral capsule, er multiphase 12 hr carbamazepine oral suspension carbamazepine oral tablet carbamazepine oral tablet extended release 12 hr carbamazepine oral tablet,chewable carbidopa oral tablet carbidopa-levodopa oral tablet 22 carbidopa-levodopa oral tablet extended release carbidopa-levodopa oral tablet,disintegrating carbidopa-levodopa-entacapone oral tablet carboplatin intravenous solution CARDEC RAL DRPS carisoprodol oral tablet 250 mg carteolol ophthalmic drops cartia xt oral capsule,extended release 24hr carvedilol oral tablet CAYSTN INHALATIN SLUTIN FR NEBULIZATIN... 9 CAZIANT (28) RAL TABLET cefaclor oral capsule... 6 cefaclor oral tablet extended release 12 hr... 6 cefadroxil oral capsule... 7 cefadroxil oral suspension for reconstitution... 7 cefadroxil oral tablet... 7 cefazolin in dextrose (iso-os) intravenous piggyback 1 gram/50 ml... 7 cefazolin in dextrose (iso-os) intravenous piggyback 2 gram/50 ml... 7 cefazolin injection recon soln 1 gram... 7 cefazolin injection recon soln 10 gram, 20 gram, 500 mg... 7 cefazolin intravenous recon soln 7 cefdinir oral capsule... 7 cefdinir oral suspension for reconstitution... 7 cefditoren pivoxil oral tablet... 7 cefepime injection recon soln... 7 cefotaxime injection recon soln 1 gram, 2 gram, 500 mg... 7 cefotaxime injection recon soln 10 gram... 7 cefotetan injection recon soln... 7 cefotetan intravenous recon soln 7 cefoxitin in dextrose, iso-osm intravenous piggyback... 7 cefoxitin intravenous recon soln 1 gram... 7 cefoxitin intravenous recon soln 10 gram, 2 gram... 7

118 cefpodoxime oral suspension for reconstitution... 7 cefpodoxime oral tablet... 7 cefprozil oral suspension for reconstitution... 7 cefprozil oral tablet... 7 ceftazidime injection recon soln 1 gram... 7 ceftazidime injection recon soln 2 gram... 7 ceftazidime injection recon soln 6 gram... 7 ceftriaxone in dextrose,iso-os intravenous piggyback 1 gram/50 ml... 7 ceftriaxone injection recon soln 1 gram, 2 gram, 250 mg, 500 mg... 7 ceftriaxone injection recon soln 10 gram... 7 ceftriaxone intravenous recon soln... 7 cefuroxime axetil oral tablet... 7 cefuroxime sodium injection recon soln... 8 cefuroxime sodium intravenous recon soln... 8 CELEBREX RAL CAPSULE CELLCEPT INTRAVENUS INTRAVENUS RECN SLN CELLCEPT RAL SUSPENSIN FR RECNSTITUTIN CELNTIN RAL CAPSULE CEMILL-1000 RAL TABLET CENTRAL VITE RAL TABLET CENTRUM KIDS RAL TABLET,CHEWABLE CENTRUM SILVER RAL TABLET,CHEWABLE cephalexin oral capsule... 8 cephalexin oral suspension for reconstitution... 8 cephalexin oral tablet... 8 CEREZYME INTRAVENUS RECN SLN CERVARIX VACCINE (PF) INTRAMUSCULAR SYRINGE cetirizine oral solution 1 mg/ml82 cetirizine oral tablet 5 mg cetirizine oral tablet,chewable 10 mg cetirizine oral tablet,chewable 5 mg cevimeline oral capsule CHANTIX CNTINUING MNTH BX RAL TABLET CHANTIX RAL TABLET CHANTIX STARTING MNTH BX RAL TABLETS,DSE PACK chateal oral tablet CHEMET RAL CAPSULE.. 52 CHEST CNGESTIN RELIEF RAL TABLET CHEST CNGESTIN RELIEF PE RAL TABLET CHEWABLE MULTI VITAMIN RAL TABLET,CHEWABLE CHILD ALLERGY RELIEF (DIPHEN) RAL TABLET,DISINTEGRATIN G CHILD SYM NIGHTTIME C-C RAL LIQUID CHILD MUCUS RELIEF CUGH RAL LIQUID CHILD MUCUS RELIEF EXPECTRANT RAL LIQUID CHILD WAL-TAP CLD- ALLERGY RAL SLUTIN CHILDREN'S ALLEGRA ALLERGY RAL SUSPENSIN CHILDREN'S ALLERGY (DIPHENHYD) RAL TABLET,DISINTEGRATIN G CHILDREN'S CLARITIN RAL TABLET,CHEWABLE CHILDREN'S CLD & CUGH DM RAL SLUTIN CHILDREN'S DIMETAPP CLD &FLU RAL LIQUID CHILDREN'S MAPAP RAL TABLET,DISINTEGRATIN G CHILDREN'S MUCINEX CLD-FEVER RAL LIQUID CHILDREN'S MUCINEX MULTI-SYMP RAL LIQUID CHILDREN'S PAIN & FEVER RELIEF RAL TABLET,CHEWABLE CHILDREN'S PEPT RAL TABLET,CHEWABLE CHILDRENS PLUS CLD RAL SUSPENSIN CHILDREN'S SILFEDRINE RAL LIQUID CHILDREN'S WAL-DRYL ALLERGY RAL TABLET,DISINTEGRATIN G CHILD'S BENADRYL-D ALLERGY-SIN RAL SLUTIN... 83

119 CHL TUSS EX RAL LIQUID chloramphenicol sod succinate intravenous recon soln... 9 chlorhexidine gluconate mucous membrane mouthwash chloroquine phosphate oral tablet... 9 chlorothiazide oral tablet chlorothiazide sodium intravenous recon soln chlorpheniramine maleate oral tablet extended release chlorpromazine injection solution chlorpromazine oral tablet chlorthalidone oral tablet cholecalciferol (vitamin d3) oral capsule 10,000 unit, 400 unit cholecalciferol (vitamin d3) oral capsule 5,000 unit, 50,000 unit cholecalciferol (vitamin d3) oral drops cholecalciferol (vitamin d3) oral tablet 2,000 unit cholecalciferol (vitamin d3) oral tablet,chewable cholestyramine (with sugar) oral powder cholestyramine (with sugar) oral powder in packet cholestyramine light oral powder cholestyramine light oral powder in packet chorionic gonadotropin, human intramuscular recon soln CIALIS RAL TABLET 2.5 MG, 5 MG ciclodan topical cream ciclodan topical solution ciclopirox topical cream ciclopirox topical gel ciclopirox topical shampoo ciclopirox topical solution ciclopirox topical suspension.. 49 CIDFVIR INTRAVENUS SLUTIN... 4 cilostazol oral tablet CILXAN PHTHALMIC INTMENT cimetidine hcl oral solution cimetidine oral tablet CIMZIA PWDER FR RECNST SUBCUTANEUS KIT CIMZIA SUBCUTANEUS SYRINGE KIT CINRYZE INTRAVENUS RECN SLN CIPR RAL SUSPENSIN,MICRCAPS ULE RECN ciprofloxacin (mixture) oral tablet, er multiphase 24 hr.. 12 ciprofloxacin in 5 % dextrose intravenous piggyback 400 mg/200 ml ciprofloxacin intravenous solution 400 mg/40 ml ciprofloxacin ophthalmic drops77 ciprofloxacin oral suspension,microcapsule recon ciprofloxacin oral tablet cisplatin intravenous solution.. 15 citalopram oral solution citalopram oral tablet CITRATE F MAGNESIA RAL SLUTIN CITRUCEL RAL TABLET. 62 CITRUCEL SUGAR FREE RAL PWDER cladribine intravenous solution 15 claravis oral capsule CLARINEX RAL SYRUP clarithromycin oral suspension for reconstitution... 8 clarithromycin oral tablet clarithromycin oral tablet extended release 24 hr... 8 CLARITIN LIQUI-GEL RAL CAPSULE CLARITIN REDITABS RAL TABLET,DISINTEGRATIN G 5 MG CLEARLAX RAL PWDER CLEARLAX RAL PWDER IN PACKET clemastine oral syrup clemastine oral tablet 2.68 mg 83 CLECIN VAGINAL SUPPSITRY clindacin etz topical swab clindacin p topical swab clindamycin hcl oral capsule... 9 clindamycin palmitate hcl oral recon soln... 9 clindamycin pediatric oral recon soln... 9 clindamycin phosphate injection solution... 9 clindamycin phosphate intravenous solution 300 mg/2 ml, 900 mg/6 ml... 9 clindamycin phosphate intravenous solution 600 mg/4 ml... 9 clindamycin phosphate topical foam clindamycin phosphate topical gel clindamycin phosphate topical lotion clindamycin phosphate topical solution clindamycin phosphate topical swab clindamycin phosphate vaginal cream clindamycin-benzoyl peroxide topical gel clindamycin-benzoyl peroxide topical gel,extended release 46

120 CLINIMIX 5%/D15W SULFITE FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 5%/D25W SULFITE-FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 2.75%/D5W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%/D10W SULF FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%/D5W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%-D20W SULF- FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 4.25%-D25W SULF- FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX 5%- D20W(SULFITE-FREE) INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 2.75%/D10W SUL FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 2.75%/D5W SULF FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 4.25%/D25W SUL FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 4.25%/D5W SULF FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 5%/D15W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 5%/D20W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINIMIX E 5%/D25W SULFIT FREE INTRAVENUS PARENTERAL SLUTIN CLINISL SF 15 % INTRAVENUS PARENTERAL SLUTIN clobetasol topical cream clobetasol topical foam clobetasol topical gel clobetasol topical lotion clobetasol topical ointment clobetasol topical shampoo clobetasol topical solution clobetasol-emollient topical cream clobetasol-emollient topical foam CLFERA RAL LIQUID clomipramine oral capsule clonazepam oral tablet clonazepam oral tablet,disintegrating clonidine hcl oral tablet clonidine hcl oral tablet extended release 12 hr clonidine transdermal patch weekly clopidogrel oral tablet 300 mg 41 clopidogrel oral tablet 75 mg.. 41 clorazepate dipotassium oral tablet clotrimazole mucous membrane troche... 3 clotrimazole topical cream clotrimazole topical solution clotrimazole vaginal cream clotrimazole-betamethasone topical cream clotrimazole-betamethasone topical lotion clozapine oral tablet clozapine oral tablet,disintegrating CARTEM RAL TABLET... 9 codeine sulfate oral tablet CDITUSS DM RAL LIQUID CLACE RAL CAPSULE 50 MG colchicine-probenecid oral tablet CLCRYS RAL TABLET.. 71 CLD HEAD CNGESTIN DAY/NITE RAL TABLETS, SEQUENTIAL 84 CLD HEAD CNGESTIN DAYTIME RAL TABLET CLD HEAD CNGESTIN NIGHTTIME RAL TABLET CLD HEAD CNGESTIN SEVER DAY RAL TABLET colestipol oral granules colestipol oral packet colestipol oral tablet... 43

121 CLISTIN (CLISTIMETHATE NA) INJECTIN RECN SLN 9 CMBIGAN PHTHALMIC DRPS CMBIPATCH TRANSDERMAL PATCH SEMIWEEKLY CMBIVENT RESPIMAT INHALATIN AERSL 88 CMBIVIR RAL TABLET.. 4 CMETRIQ RAL CAPSULE CMPLERA RAL TABLET 4 CMPLETE RAL TABLET,CHEWABLE CMPLEX B-100 RAL TABLET EXTENDED RELEASE compro rectal suppository CMVAX (PF) INTRAMUSCULAR SUSPENSIN CNEX RAL SLUTIN.. 84 CNEX RAL TABLET CNGESTAC RAL TABLET constulose oral solution CPAXNE SUBCUTANEUS SYRINGE CPAXNE SUBCUTANEUS SYRINGE KIT CREG CR RAL CAPSULE, ER MULTIPHASE 24 HR. 38 CRFEN-DM RAL LIQUID cormax topical solution cortisone oral tablet CRTISPRIN-TC TIC DRPS, SUSPENSIN CRVITA 150 RAL TABLET CSMEGEN INTRAVENUS RECN SLN CUGH DM ER RAL SUSPENSIN,EXTENDED REL 12 HR CUGH SUPPRESSANT- EXPECTRANT RAL SYRUP CUGHTAB RAL TABLET CUMADIN RAL TABLET41 CRESTR RAL TABLET CRIXIVAN RAL CAPSULE 4 cromolyn inhalation solution for nebulization cromolyn nasal spray,nonaerosol cromolyn ophthalmic drops cromolyn oral solution cryselle (28) oral tablet CUBICIN INTRAVENUS RECN SLN... 9 CUPRIMINE RAL CAPSULE cyanocobalamin (vitamin b-12) injection solution cyclafem 1/35 (28) oral tablet. 75 cyclafem 7/7/7 (28) oral tablet 75 cyclobenzaprine oral tablet cyclopentolate ophthalmic drops 1 % cyclopentolate ophthalmic drops 2 % CYCLPHSPHAMIDE RAL CAPSULE cyclophosphamide oral tablet.. 15 cycloserine oral capsule... 9 CYCLSET RAL TABLET 57 cyclosporine intravenous solution cyclosporine modified oral capsule cyclosporine modified oral solution cyclosporine oral capsule cyproheptadine oral syrup cyproheptadine oral tablet CYSTADANE RAL PWDER CYSTAGN RAL CAPSULE cytarabine injection solution D d10 % & 0.45 % sodium chloride intravenous parenteral solution d2.5 %-0.45 % sodium chloride intravenous parenteral solution D3 DTS RAL TABLET d5 % and 0.9 % sodium chloride intravenous parenteral solution d5 %-0.45 % sodium chloride intravenous parenteral solution dacarbazine intravenous recon soln 200 mg DAILY MULTIPLE RAL TABLET DAILY VITAMIN WITH IRN RAL TABLET DALIRESP RAL TABLET.. 88 DALLERGY (CHLRCYCLIZINE-PE) RAL LIQUID danazol oral capsule dantrolene oral capsule DAPSNE RAL TABLET... 9 DAPTACEL (DTAP PEDIATRIC) (PF) INTRAMUSCULAR SUSPENSIN DARAPRIM RAL TABLET.. 9 dasetta 1/35 (28) oral tablet dasetta 7/7/7 (28) oral tablet daunorubicin intravenous solution daysee oral tablets,dose pack,3 month DAYTIME CLD & FLU RELIEF RAL CAPSULE 84

122 DAYTIME CLD-FLU RAL LIQUID DECARA RAL CAPSULE 25,000 UNIT DE-CHLR DM RAL SYRUP DECITABINE INTRAVENUS RECN SLN SYM CUGH & CLD RAL LIQUID SYM MULTI-SYMPTM RAL LIQUID SYM NIGHTTIME MULTI-SYMPTM RAL LIQUID TA D3 RAL TABLET.. 97 ZICL RAL CAPSULE,AYED RELEASE(DR/EC) demeclocycline oral tablet DEMSER RAL CAPSULE.. 38 DENAVIR TPICAL CREAM DEPEN TITRATABS RAL TABLET DEP-PRVERA INTRAMUSCULAR SLUTIN DEP-SUBQ PRVERA 104 SUBCUTANEUS SYRINGE DESENEX TPICAL PWDER desipramine oral tablet desloratadine oral tablet desloratadine oral tablet,disintegrating desmopressin injection solution desmopressin nasal aerosol,spray desmopressin nasal solution desmopressin nasal spray,nonaerosol desmopressin oral tablet desonide topical cream desonide topical lotion desonide topical ointment desoximetasone topical cream. 50 desoximetasone topical gel desoximetasone topical ointment dexamethasone intensol oral drops dexamethasone oral elixir dexamethasone oral solution dexamethasone oral tablet dexamethasone sodium phos (pf) injection solution dexamethasone sodium phosphate injection solution 55 dexamethasone sodium phosphate ophthalmic drops DEXFERRUM INTRAVENUS SLUTIN 100 MG/2 ML (50 MG/ML) DEXILANT RAL CAPSULE,BIPHASE AYED RELEAS dexmethylphenidate oral tablet 33 dexrazoxane intravenous recon soln 250 mg dexrazoxane intravenous recon soln 500 mg dextroamphetamine oral capsule, extended release dextroamphetamine oral tablet 33 dextroamphetamineamphetamine oral capsule,extended release 24hr dextrose 10 % & 0.2 % nacl intravenous parenteral solution dextrose 10 % in water (d10w) intravenous parenteral solution dextrose 20 % in water (d20w) intravenous parenteral solution dextrose 25 % in water (d25w) intravenous syringe dextrose 30 % in water (d30w) intravenous parenteral solution dextrose 40 % in water (d40w) intravenous parenteral solution dextrose 5 % in water (d5w) intravenous parenteral solution dextrose 5 % in water (d5w) intravenous piggyback dextrose 5 %-lactated ringers intravenous parenteral solution dextrose 5%-0.2 % sod chloride intravenous parenteral solution dextrose 5%-0.3 % sod.chloride intravenous parenteral solution dextrose 50 % in water (d50w) intravenous parenteral solution dextrose 50 % in water (d50w) intravenous syringe dextrose 70 % in water (d70w) intravenous parenteral solution DIALYVITE 800 WITH ZINC 50 RAL TABLET DIASTAT ACUDIAL RECTAL KIT DIASTAT RECTAL KIT diazepam intensol oral concentrate diazepam oral solution 5 mg/5 ml diazepam oral solution 5 mg/5 ml (5 ml) diazepam oral tablet... 33

123 diazepam rectal kit DICEL CD RAL LIQUID diclofenac potassium oral tablet diclofenac sodium ophthalmic drops diclofenac sodium oral tablet extended release 24 hr diclofenac sodium oral tablet,delayed release (dr/ec) 25 mg, 50 mg, 75 mg diclofenac sodium topical drops diclofenac sodium topical gel. 45 diclofenac-misoprostol oral tablet,ir & delay rel,biphasic dicloxacillin oral capsule dicyclomine oral capsule dicyclomine oral solution dicyclomine oral tablet didanosine oral capsule,delayed release(dr/ec)... 4 diflorasone topical cream diflorasone topical ointment diflunisal oral tablet digox oral tablet digoxin injection solution digoxin oral solution digoxin oral tablet dihydroergotamine injection solution DILANTIN EXTENDED RAL CAPSULE DILANTIN INFATABS RAL TABLET,CHEWABLE DILANTIN RAL CAPSULE 20 DILANTIN-125 RAL SUSPENSIN DILAUDID RAL LIQUID.. 25 diltiazem hcl intravenous recon soln diltiazem hcl intravenous solution diltiazem hcl oral capsule, extended release diltiazem hcl oral capsule,ext release degradable diltiazem hcl oral capsule,extended release 12 hr diltiazem hcl oral capsule,extended release 24hr diltiazem hcl oral tablet diltiazem hcl oral tablet extended release 24 hr dilt-xr oral capsule,ext release degradablev dimenhydrinate oral tablet DIMETANE-DX RAL SYRUP DIMETAPP LNG-ACTING (CPM-DM) RAL LIQUID84 DIN-LIFE WITH IRN-ZINC RAL TABLET,CHEWABLE DICT RAL LIQUID DIVAN RAL TABLET DIPENTUM RAL CAPSULE DIPHENHIST RAL TABLET 50 MG diphenhydramine hcl injection solution diphenhydramine hcl oral capsule 50 mg diphenhydramine-acetaminophen oral tablet disulfiram oral tablet divalproex oral capsule, sprinkle divalproex oral tablet extended release 24 hr divalproex oral tablet,delayed release (dr/ec) DC-Q-LACE RAL CAPSULE DCUPRENE RAL TABLET docusate calcium oral capsule docusate sodium oral capsule 250 mg DK PLUS RAL TABLET. 63 donepezil oral tablet donepezil oral tablet,disintegrating dorzolamide ophthalmic drops 80 dorzolamide-timolol ophthalmic drops doxazosin oral tablet doxepin oral capsule doxepin oral concentrate DXIL INTRAVENUS SLUTIN doxorubicin intravenous solution doxy-100 intravenous recon soln doxycycline hyclate intravenous recon soln doxycycline hyclate oral capsule doxycycline hyclate oral tablet 13 doxycycline hyclate oral tablet,delayed release (dr/ec) doxycycline monohydrate oral capsule doxycycline monohydrate oral tablet DR. SMITH'S DIAPER TPICAL INTMENT DRISTAN LNG LASTING NASAL MIST DRNABINL RAL CAPSULE 10 MG dronabinol oral capsule 2.5 mg, 5 mg DRXIA RAL CAPSULE DULERA INHALATIN HFA AERSL INHALER duloxetine oral capsule,delayed release(dr/ec) DURAMRPH (PF) INJECTIN SLUTIN 0.5 MG/ML... 25

124 DURAMRPH (PF) INJECTIN SLUTIN 1 MG/ML E EAR WAX REMVAL DRPS TIC DRPS ECEE PLUS RAL TABLET 97 econazole topical cream ED A-HIST RAL LIQUID.. 85 ED BRN GP RAL LIQUID ED CHLRPED D RAL DRPS ED-CHLRPED RAL DRPS EDURANT RAL TABLET... 4 EFFERVESCENT PAIN RELIEF RAL TABLET, EFFERVESCENT EFFIENT RAL TABLET EGRIFTA SUBCUTANEUS RECN SLN ELAPRASE INTRAVENUS SLUTIN ELDERTNIC RAL ELIXIR electrolyte-48 in d5w intravenous parenteral solution ELELYS INTRAVENUS RECN SLN ELI TPICAL CREAM. 45 ELIGARD SUBCUTANEUS SYRINGE elinest oral tablet eliphos oral tablet ELIQUIS RAL TABLET ELITEK INTRAVENUS RECN SLN 1.5 MG ELIXPHYLLIN RAL ELIXIR ELLA RAL TABLET ELMIRN RAL CAPSULE 91 EMCYT RAL CAPSULE EMEND RAL CAPSULE 125 MG EMEND RAL CAPSULE 40 MG EMEND RAL CAPSULE 80 MG EMEND RAL CAPSULE,DSE PACK emoquette oral tablet EMSAM TRANSDERMAL PATCH 24 HUR EMTRIVA RAL CAPSULE.. 4 EMTRIVA RAL SLUTIN 4 enalapril maleate oral tablet enalapril-hydrochlorothiazide oral tablet ENBREL SUBCUTANEUS KIT ENBREL SUBCUTANEUS SYRINGE 25 MG/0.5ML (0.51) ENBREL SUBCUTANEUS SYRINGE 50 MG/ML (0.98 ML) ENBREL SURECLICK SUBCUTANEUS PEN INJECTR ENDACF - DM RAL SLUTIN endocet oral tablet mg, mg, mg ENFALYTE RAL SLUTIN ENGERIX-B (PF) INTRAMUSCULAR SUSPENSIN ENGERIX-B (PF) INTRAMUSCULAR SYRINGE ENGERIX-B PEDIATRIC (PF) INTRAMUSCULAR SUSPENSIN ENGERIX-B PEDIATRIC (PF) INTRAMUSCULAR SYRINGE enoxaparin subcutaneous solution enoxaparin subcutaneous syringe 100 mg/ml, 150 mg/ml enoxaparin subcutaneous syringe 120 mg/0.8 ml, 80 mg/0.8 ml41 enoxaparin subcutaneous syringe 30 mg/0.3 ml enoxaparin subcutaneous syringe 40 mg/0.4 ml enpresse oral tablet enskyce oral tablet entacapone oral tablet ENTRE-CUGH RAL LIQUID enulose oral solution EPANED RAL RECN SLN ephedrine sulfate oral capsule. 88 epinastine ophthalmic drops epinephrine (pf) injection solution epinephrine injection autoinjector 0.3 mg/0.3 ml (1 1,000) epinephrine injection solution 1 mg/ml (1 1,000) epinephrine injection syringe.. 85 EPIPEN 2-PAK INJECTIN AUT-INJECTR EPIPEN JR 2-PAK INJECTIN AUT- INJECTR EPIRUBICIN INTRAVENUS SLUTIN 50 MG/25 ML 15 epitol oral tablet EPIVIR HBV RAL SLUTIN... 4 EPIVIR RAL SLUTIN... 4 eplerenone oral tablet eprosartan oral tablet EPSM SALT RAL GRANULES EPZICM RAL TABLET... 4 ergocalciferol (vitamin d2) oral drops ergoloid oral tablet... 33

125 ERIVEDGE RAL CAPSULE errin oral tablet ERWINAZE INTRAMUSCULAR RECN SLN ery pads topical swab ERYPED 200 RAL SUSPENSIN FR RECNSTITUTIN... 8 ERYTHRCIN (AS STEARATE) RAL TABLET... 8 ERYTHRCIN INTRAVENUS RECN SLN 500 MG... 8 erythromycin ethylsuccinate oral tablet... 8 erythromycin ophthalmic ointment erythromycin oral capsule,delayed release(dr/ec)... 8 erythromycin oral tablet... 8 erythromycin with ethanol topical gel erythromycin with ethanol topical solution erythromycin with ethanol topical swab erythromycin-benzoyl peroxide topical gel escitalopram oxalate oral solution escitalopram oxalate oral tablet esomeprazole sodium intravenous recon soln estarylla oral tablet ESTRACE VAGINAL CREAM estradiol oral tablet estradiol transdermal patch weekly estradiol valerate intramuscular oil eszopiclone oral tablet ethambutol oral tablet... 9 ethosuximide oral capsule ethosuximide oral solution etidronate disodium oral tablet 53 etodolac oral capsule etodolac oral tablet etodolac oral tablet extended release 24 hr etoposide intravenous solution 15 EXCEDRIN TENSIN HEADACHE RAL TABLET EXEFEN DMX RAL TABLET EXEFEN-IR RAL TABLET 85 EXELN TRANSDERMAL PATCH 24 HUR exemestane oral tablet EXFRGE HCT RAL TABLET EXJADE RAL TABLET, DISPERSIBLE EX-LAX (SENNSIDES) RAL TABLET EX-LAX MAXIMUM STRENGTH RAL TABLET EXTAVIA SUBCUTANEUS KIT F FABRAZYME INTRAVENUS RECN SLN 35 MG falmina (28) oral tablet famciclovir oral tablet 125 mg.. 4 famciclovir oral tablet 250 mg.. 4 famciclovir oral tablet 500 mg.. 4 famotidine (pf) intravenous solution famotidine (pf)-nacl (iso-os) intravenous piggyback famotidine intravenous solution famotidine oral suspension famotidine oral tablet 20 mg, 40 mg FANAPT RAL TABLET FANAPT RAL TABLETS,DSE PACK FARESTN RAL TABLET 15 FASLDEX INTRAMUSCULAR SYRINGE FAZACL RAL TABLET,DISINTEGRATIN G felbamate oral suspension felbamate oral tablet felodipine oral tablet extended release 24 hr fenofibrate micronized oral capsule fenofibrate nanocrystallized oral tablet fenofibrate oral tablet fenofibric acid (choline) oral capsule,delayed release(dr/ec) fenoprofen oral tablet FENTANYL CITRATE BUCCAL LZENGE FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 1,200 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 1,600 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 200 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 400 MCG FENTANYL CITRATE BUCCAL LZENGE N A HANDLE 600 MCG fentanyl patches transdermal patch 72 hour 100 mcg/hr fentanyl patches transdermal patch 72 hour 12 mcg/hr, 25

126 mcg/hr, 50 mcg/hr, 75 mcg/hr FER-IN-SL RAL DRPS. 97 FER-IRN RAL DRPS ferrous sulfate oral liquid ferrous sulfate oral solution ferrous sulfate oral tablet ferrous sulfate oral tablet,delayed release (dr/ec) FETZIMA RAL CAPSULE,EXT REL 24HR DSE PACK FETZIMA RAL CAPSULE,EXTENDED RELEASE 24 HR FEVERALL RECTAL SUPPSITRY 80 MG FIBER (PSYLLIUM HUSK/SUGAR) RAL PWDER FIBER (WITH ASPARTAME) RAL PWDER FIBER LAXATIVE (PSYLLIUM HUSK) RAL CAPSULE FIBER LAXATIVE RAL TABLET FIBER THERAPY RAL PWDER finasteride oral tablet 5 mg FIRST AID ANTISEPTIC TPICAL SLUTIN flavoxate oral tablet flecainide oral tablet FLEET GLYCERIN (ADULT) RECTAL SUPPSITRY 63 FLINTSTNES PLUS CALCIUM RAL TABLET,CHEWABLE FLVENT DISKUS INHALATIN BLISTER WITH DEVICE 100 MCG/ACTUATIN, 50 MCG/ACTUATIN FLVENT DISKUS INHALATIN BLISTER WITH DEVICE 250 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 110 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 220 MCG/ACTUATIN FLVENT HFA INHALATIN AERSL 44 MCG/ACTUATIN FLU & SRE THRAT RAL PACKET fluconazole in dextrose(iso-o) intravenous piggyback... 3 fluconazole oral suspension for reconstitution... 3 fluconazole oral tablet 100 mg, 200 mg, 50 mg... 3 flucytosine oral capsule... 3 FLUDARABINE INTRAVENUS RECN SLN fludrocortisone oral tablet flunisolide nasal spray,nonaerosol fluocinolone acetonide oil otic drops fluocinolone topical cream fluocinolone topical oil fluocinolone topical ointment.. 50 fluocinolone topical solution fluocinolone-shower cap topical oil fluocinonide topical cream fluocinonide topical gel fluocinonide topical ointment.. 51 fluocinonide topical solution fluocinonide-e topical cream fluorometholone ophthalmic drops,suspension fluorouracil intravenous solution fluorouracil topical cream fluorouracil topical solution fluoxetine oral capsule fluoxetine oral capsule,delayed release(dr/ec) fluoxetine oral solution fluoxetine oral tablet 10 mg, 20 mg FLUXETINE RAL TABLET 60 MG fluphenazine decanoate injection solution fluphenazine hcl injection solution fluphenazine hcl oral concentrate fluphenazine hcl oral elixir fluphenazine hcl oral tablet flurbiprofen oral tablet flurbiprofen sodium ophthalmic drops flutamide oral capsule fluticasone nasal spray,suspension fluticasone topical cream fluticasone topical lotion fluticasone topical ointment fluvastatin oral capsule fluvoxamine oral capsule,extended release 24hr fluvoxamine oral tablet FML S..P. PHTHALMIC INTMENT FLGARD RAL TABLET.. 97 folic acid injection solution folic acid oral tablet 1 mg folic acid oral tablet 400 mcg, 800 mcg FLTABS 800 RAL TABLET fomepizole intravenous solution... 70

127 FNDAPARINUX SUBCUTANEUS SYRINGE 10 MG/0.8 ML. 42 fondaparinux subcutaneous syringe 2.5 mg/0.5 ml fondaparinux subcutaneous syringe 5 mg/0.4 ml FNDAPARINUX SUBCUTANEUS SYRINGE 7.5 MG/0.6 ML 42 FRADIL AERLIZER INHALATIN CAPSULE, W/INHALATIN DEVICE 89 FRFIV XL RAL TABLET EXTENDED RELEASE 24 HR FRMULA E 400 RAL CAPSULE FRTE SUBCUTANEUS PEN INJECTR fortical nasal spray,non-aerosol foscarnet intravenous solution.. 4 fosinopril oral tablet fosinopril-hydrochlorothiazide oral tablet fosphenytoin injection solution 21 FSRENL RAL TABLET,CHEWABLE FRAGMIN SUBCUTANEUS SLUTIN FRAGMIN SUBCUTANEUS SYRINGE 10,000 UNIT/ML FRAGMIN SUBCUTANEUS SYRINGE 12,500 UNIT/0.5 ML FRAGMIN SUBCUTANEUS SYRINGE 15,000 UNIT/0.6 ML FRAGMIN SUBCUTANEUS SYRINGE 18,000 UNIT/0.72 ML FRAGMIN SUBCUTANEUS SYRINGE 2,500 UNIT/0.2 ML, 5,000 UNIT/0.2 ML FRAGMIN SUBCUTANEUS SYRINGE 7,500 UNIT/0.3 ML furosemide injection solution furosemide injection syringe furosemide oral solution furosemide oral tablet FUZEN SUBCUTANEUS RECN SLN... 4 FYCMPA RAL TABLET. 21 G gabapentin oral capsule gabapentin oral solution 250 mg/5 ml gabapentin oral solution 250 mg/5 ml (5 ml), 300 mg/6 ml (6 ml) gabapentin oral tablet GABITRIL RAL TABLET 12 MG, 16 MG galantamine oral capsule,ext rel. pellets 24 hr galantamine oral solution galantamine oral tablet GAMMAGARD LIQUID INTRAVENUS SLUTIN GAMUNEX-C INJECTIN SLUTIN 1 GRAM/10 ML (10 %) ganciclovir sodium intravenous recon soln... 4 garamycin ophthalmic drops GARDASIL (PF) INTRAMUSCULAR SUSPENSIN GARDASIL (PF) INTRAMUSCULAR SYRINGE GAS RELIEF EXTRA STRENGTH RAL CAPSULE GAS RELIEF RAL CAPSULE GAS RELIEF RAL TABLET,CHEWABLE gatifloxacin ophthalmic drops. 77 gauze pads 2 x gavilyte-c oral recon soln gavilyte-g oral recon soln gavilyte-n oral recon soln GAVISCN EXTRA STRENGTH RAL SUSPENSIN GAVISCN RAL TABLET,CHEWABLE GAZYVA INTRAVENUS SLUTIN GELNIQUE TRANSDERMAL GEL IN PACKET GEMCITABINE INTRAVENUS RECN SLN 1 GRAM GEMCITABINE INTRAVENUS SLUTIN 1 GRAM/26.3 ML (38 MG/ML) gemfibrozil oral tablet GEMZAR INTRAVENUS RECN SLN 1 GRAM generlac oral solution gengraf oral capsule gengraf oral solution gentak ophthalmic drops gentak ophthalmic ointment gentamicin in nacl (iso-osm) intravenous piggyback 100 mg/100 ml, 120 mg/100 ml... 9 gentamicin in nacl (iso-osm) intravenous piggyback 60 mg/50 ml, 70 mg/50 ml, 80 mg/50 ml, 90 mg/100 ml... 9 GENTAMICIN IN NACL (IS- SM) INTRAVENUS PIGGYBACK 80 MG/100 ML... 9 gentamicin injection solution... 9 gentamicin ophthalmic drops.. 78 gentamicin ophthalmic ointment... 78

128 gentamicin sulfate (ped) (pf) injection solution... 9 gentamicin sulfate (pf) intravenous solution 100 mg/10 ml... 9 GENTAMICIN SULFATE (PF) INTRAVENUS SLUTIN 60 MG/6 ML.. 10 gentamicin sulfate (pf) intravenous solution 80 mg/8 ml gentamicin topical cream gentamicin topical ointment GEDN INTRAMUSCULAR RECN SLN GERIATN RAL LIQUID. 98 GERI-MUCIL RAL PWDER gildess fe oral tablet gildess oral tablet GILENYA RAL CAPSULE 24 GILTRIF RAL TABLET.. 16 GLEEVEC RAL TABLET 100 MG GLEEVEC RAL TABLET 400 MG glimepiride oral tablet glipizide oral tablet glipizide oral tablet extended release 24hr glipizide-metformin oral tablet mg glipizide-metformin oral tablet mg, mg GLUCAGEN HYPKIT INJECTIN RECN SLN GLUCAGEN INJECTIN RECN SLN GLUCAGN EMERGENCY INJECTIN KIT glycopyrrolate injection solution glycopyrrolate oral tablet granisetron (pf) intravenous solution 1 mg/ml (1 ml) granisetron (pf) intravenous solution 100 mcg/ml granisetron intravenous solution granisetron oral tablet granisol oral solution griseofulvin microsize oral suspension... 3 griseofulvin microsize oral tablet... 3 griseofulvin ultramicrosize oral tablet... 3 GRX DYNE TPICAL SLUTIN 7.5 % guaifenesin oral tablet extended release guanidine oral tablet H HALLS DEFENSE RAL LZENGE halobetasol propionate topical cream halobetasol propionate topical ointment haloperidol decanoate intramuscular solution haloperidol lactate injection solution haloperidol lactate oral concentrate haloperidol oral tablet HAVRIX (PF) INTRAMUSCULAR SUSPENSIN HAVRIX (PF) INTRAMUSCULAR SYRINGE 1,440 ELISA UNIT/ML HAVRIX (PF) INTRAMUSCULAR SYRINGE 720 ELISA UNIT/0.5 ML heather oral tablet hecoria oral capsule 0.5 mg, 1 mg HEPARIN (PRCINE) IN 5 % DEX INTRAVENUS PARENTERAL SLUTIN 12,500 UNIT/250 ML heparin (porcine) in 5 % dex intravenous parenteral solution 20,000 unit/500 ml (40 unit/ml), 25,000 unit/250 ml(100 unit/ml) heparin (porcine) in 5 % dex intravenous parenteral solution 25,000 unit/500 ml (50 unit/ml) heparin (porcine) in nacl (pf) intravenous parenteral solution 1,000 unit/500 ml HEPARIN (PRCINE) IN NACL (PF) INTRAVENUS PARENTERAL SLUTIN 2,000 UNIT/1,000 ML heparin (porcine) injection cartridge heparin (porcine) injection solution HEPARIN(PRCINE) IN 0.45% NACL INTRAVENUS PARENTERAL SLUTIN 12,500 UNIT/250 ML, 25,000 UNIT/250 ML, 25,000 UNIT/500 ML heparin, porcine (pf) injection solution 1,000 unit/ml heparin, porcine (pf) injection solution 5,000 unit/0.5 ml heparin, porcine (pf) injection syringe HEPATAMINE 8% INTRAVENUS PARENTERAL SLUTIN HEPATASL 8 % INTRAVENUS

129 PARENTERAL SLUTIN HERCEPTIN INTRAVENUS RECN SLN HEXALEN RAL CAPSULE 16 HIGH PTENCY IRN RAL TABLET HIST-PSE RAL LIQUID HNEY BEARS RAL TABLET,CHEWABLE HUMALG KWIKPEN SUBCUTANEUS INSULIN PEN HUMALG MIX KWIKPEN SUBCUTANEUS INSULIN PEN HUMALG MIX SUBCUTANEUS SUSPENSIN HUMALG MIX KWIKPEN SUBCUTANEUS INSULIN PEN HUMALG MIX SUBCUTANEUS SUSPENSIN HUMALG SUBCUTANEUS CARTRIDGE HUMALG SUBCUTANEUS SLUTIN HUMIRA CRHN'S DIS START PCK SUBCUTANEUS PEN INJECTR KIT HUMIRA PEN SUBCUTANEUS PEN INJECTR KIT HUMIRA PSRIASIS STARTER PACK SUBCUTANEUS PEN INJECTR KIT HUMIRA SUBCUTANEUS KIT 20 MG/0.4 ML HUMIRA SUBCUTANEUS KIT 40 MG/0.8 ML HUMULIN 70/30 KWIKPEN SUBCUTANEUS INSULIN PEN HUMULIN 70/30 PEN SUBCUTANEUS INSULIN PEN HUMULIN 70/30 SUBCUTANEUS SUSPENSIN HUMULIN N KWIKPEN SUBCUTANEUS INSULIN PEN HUMULIN N PEN SUBCUTANEUS INSULIN PEN HUMULIN N SUBCUTANEUS SUSPENSIN HUMULIN R INJECTIN SLUTIN HUMULIN R U hydralazine injection solution. 39 hydralazine oral tablet HYDRISALIC TPICAL GEL HYDR SKIN TPICAL LTIN hydrochlorothiazide oral capsule hydrochlorothiazide oral tablet 39 hydrocodone-acetaminophen oral solution mg/5 ml hydrocodone-acetaminophen oral solution mg/15 ml hydrocodone-acetaminophen oral tablet hydrocodone-ibuprofen oral tablet hydrocortisone butyrate topical cream hydrocortisone butyrate topical ointment hydrocortisone butyrate topical solution hydrocortisone butyr-emollient topical cream hydrocortisone oral tablet hydrocortisone rectal enema hydrocortisone topical cream 0.5 %, 1 % hydrocortisone topical cream 1 %, 2.5 % hydrocortisone topical lotion 2.5 % hydrocortisone topical ointment 0.5 %, 1 % hydrocortisone topical ointment 1 %, 2.5 % hydrocortisone valerate topical cream hydrocortisone valerate topical ointment hydrocortisone-acetic acid otic drops hydrocortisone-min oil-wht pet topical ointment hydromorphone (pf) injection solution 10 mg/ml hydromorphone oral liquid hydromorphone oral tablet hydroxocobalamin intramuscular solution hydroxychloroquine oral tablet 10 hydroxyurea oral capsule hydroxyzine hcl intramuscular solution I ibandronate oral tablet IBUPRFEN CLD RAL SUSPENSIN ibuprofen oral capsule ibuprofen oral suspension ibuprofen oral tablet 200 mg ibuprofen oral tablet 400 mg, 600 mg, 800 mg ibuprofen-oxycodone oral tablet ICAPS RAL TABLET EXTENDED RELEASE... 98

130 ICLUSIG RAL TABLET idarubicin intravenous solution 16 IFEX INTRAVENUS RECN SLN IFSFAMIDE INTRAVENUS RECN SLN 1 GRAM ILARIS (PF) SUBCUTANEUS RECN SLN IMBRUVICA RAL CAPSULE imipenem-cilastatin intravenous recon soln imipramine hcl oral tablet imipramine pamoate oral capsule imiquimod topical cream in packet IMVAX RABIES VACCINE (PF) INTRAMUSCULAR RECN SLN INCRELEX SUBCUTANEUS SLUTIN indapamide oral tablet INFANRIX (DTAP) (PF) INTRAMUSCULAR SUSPENSIN INFANRIX (DTAP) (PF) INTRAMUSCULAR SYRINGE INFANTS GAS RELIEF RAL DRPS,SUSPENSIN INFANT'S IBUPRFEN RAL DRPS,SUSPENSIN INFANT'S PAIN RELIEF RAL DRPS,SUSPENSIN INFANTS' TRIAMINIC FEVER RAL LIQUID INLYTA RAL TABLET insulin pen needle insulin syringe (disp) u ml insulin syringe (disp) u ml insulin syringe (disp) u-100 1/2 ml INTELENCE RAL TABLET 100 MG, 200 MG... 4 INTELENCE RAL TABLET 25 MG... 4 INTRALIPID INTRAVENUS EMULSIN 20 % INTRALIPID INTRAVENUS EMULSIN 30 % INTRN A INJECTIN RECN SLN 10 MILLIN UNIT (1 ML) INTRN A INJECTIN SLUTIN 6 MILLIN UNIT/ML introvale oral tablets,dose pack,3 month INVANZ INJECTIN RECN SLN INVANZ INTRAVENUS RECN SLN INVEGA RAL TABLET EXTENDED RELEASE 24HR INVEGA SUSTENNA INTRAMUSCULAR SYRINGE INVIRASE RAL CAPSULE. 4 INVIRASE RAL TABLET... 4 INVISIBLE ACNE TPICAL CREAM INVKANA RAL TABLET 58 INSL-B IN D5W INTRAVENUS PARENTERAL SLUTIN INSL-MB IN D5W INTRAVENUS PARENTERAL SLUTIN IPL INJECTIN SUSPENSIN IPL INJECTIN SYRINGE 70 ipratropium bromide inhalation solution ipratropium bromide nasal spray,non-aerosol 0.03 % ipratropium bromide nasal spray,non-aerosol 0.06 % ipratropium-albuterol inhalation solution for nebulization irbesartan oral tablet irbesartan-hydrochlorothiazide oral tablet IRINTECAN INTRAVENUS SLUTIN 100 MG/5 ML, 40 MG/2 ML IRINTECAN INTRAVENUS SLUTIN 500 MG/25 ML IRMIN-G MG IRN (FERRUS SULFATE) RAL TABLET ISENTRESS RAL PWDER IN PACKET... 4 ISENTRESS RAL TABLET.. 4 ISENTRESS RAL TABLET,CHEWABLE... 5 ISLYTE-P IN 5 % DEXTRSE INTRAVENUS PARENTERAL SLUTIN ISLYTE-S INTRAVENUS PARENTERAL SLUTIN isoniazid injection solution isoniazid oral solution isoniazid oral tablet ISRDIL RAL TABLET isosorbide dinitrate oral tablet 44 isosorbide dinitrate oral tablet extended release isosorbide mononitrate oral tablet isosorbide mononitrate oral tablet extended release 24 hr... 44

131 isradipine oral capsule ISTDAX INTRAVENUS RECN SLN itraconazole oral capsule... 3 IXIAR (PF) INTRAMUSCULAR SYRINGE J JAKAFI RAL TABLET 10 MG, 15 MG, 20 MG, 5 MG 16 JAKAFI RAL TABLET 25 MG jantoven oral tablet JANUMET RAL TABLET.. 58 JANUMET XR RAL TABLET, ER MULTIPHASE 24 HR JANUVIA RAL TABLET jencycla oral tablet jolessa oral tablets,dose pack,3 month jolivette oral tablet junel 1.5/30 (21) oral tablet junel 1/20 (21) oral tablet junel fe 1.5/30 (28) oral tablet 75 junel fe 1/20 (28) oral tablet K KADCYLA INTRAVENUS RECN SLN KADIAN RAL CAPSULE,EXTEND.RELEA SE KADIAN RAL CAPSULE,EXTEND.RELEA SE PELLETS 200 MG KADIAN RAL CAPSULE,EXTEND.RELEA SE PELLETS 60 MG KALETRA RAL SLUTIN 5 KALETRA RAL TABLET... 5 kariva (28) oral tablet kelnor 1/35 (28) oral tablet KENALG INJECTIN SUSPENSIN ketoconazole oral tablet... 3 ketoconazole topical cream ketoconazole topical shampoo. 49 ketodan kit topical combo pack 49 ketodan topical foam ketoprofen oral capsule ketoprofen oral capsule,ext rel. pellets 24 hr ketorolac ophthalmic drops KHEDEZLA RAL TABLET EXTENDED RELEASE 24HR KIDKARE CUGH/CLD RAL LIQUID KINEX RAL PWDER kionex oral suspension klor-con 10 oral tablet extended release klor-con 8 oral tablet extended release klor-con m10 oral tablet,er particles/crystals klor-con m15 oral tablet,er particles/crystals klor-con m20 oral tablet,er particles/crystals klor-con oral packet KMBIGLYZE XR RAL TABLET, ER MULTIPHASE 24 HR 2.5-1,000 MG KMBIGLYZE XR RAL TABLET, ER MULTIPHASE 24 HR 5-1,000 MG, MG KNSYL (SUGAR) RAL PWDER 3.4 GRAM/11 GRAM KNSYL (SUGAR) RAL PWDER IN PACKET KNSYL (WITH ASPARTAME) RAL PWDER KNSYL EASY MIX RAL PWDER KNSYL FRMULA-D RAL PWDER KNSYL RAL PWDER IN PACKET K-PAX IMMUNE SUPPRT RAL TABLET kurvelo oral tablet KUVAN RAL TABLET,SLUBLE L l norgest&e estradiol-e estrad oral tablets,dose pack,3 month labetalol intravenous solution. 39 labetalol intravenous syringe labetalol oral tablet lactated ringers intravenous parenteral solution lactated ringers irrigation solution lactulose oral solution 10 gram/15 ml (15 ml) lactulose oral solution 10 gram/15 ml, 20 gram/30 ml 64 LAMISIL (AERSL) TPICAL AERSL,SPRAY LAMISIL AT TPICAL GEL 49 lamivudine oral tablet... 5 LAMIVUDINE-ZIDVUDINE RAL TABLET... 5 lamotrigine oral tablet lamotrigine oral tablet extended release 24hr lamotrigine oral tablet, chewable dispersible lamotrigine oral tablets,dose pack LANXIN RAL TABLET 125 MCG, 250 MCG, 62.5 MCG LANXIN RAL TABLET MCG lansoprazole oral capsule,delayed release(dr/ec) 15 mg... 67

132 lansoprazole oral capsule,delayed release(dr/ec) 15 mg, 30 mg LASTACAFT PHTHALMIC DRPS latanoprost ophthalmic drops. 80 LATUDA RAL TABLET LAXATIVE MAXIMUM STRENGTH RAL TABLET leflunomide oral tablet lessina oral tablet LETAIRIS RAL TABLET letrozole oral tablet leucovorin calcium injection recon soln 100 mg, 200 mg, 350 mg, 50 mg leucovorin calcium injection recon soln 500 mg leucovorin calcium oral tablet 14 LEUKERAN RAL TABLET 17 LEUKINE INJECTIN RECN SLN leuprolide subcutaneous kit levalbuterol hcl inhalation solution for nebulization 0.31 mg/3 ml, 0.63 mg/3 ml levalbuterol hcl inhalation solution for nebulization 1.25 mg/0.5 ml, 1.25 mg/3 ml LEVEMIR FLEXPEN SUBCUTANEUS INSULIN PEN LEVEMIR FLEXTUCH SUBCUTANEUS INSULIN PEN LEVEMIR SUBCUTANEUS SLUTIN levetiracetam intravenous solution levetiracetam oral solution 100 mg/ml levetiracetam oral solution 500 mg/5 ml (5 ml) levetiracetam oral tablet levetiracetam oral tablet extended release 24 hr levobunolol ophthalmic drops. 78 levocarnitine (with sugar) oral solution levocarnitine intravenous solution levocarnitine oral tablet levocetirizine oral solution levocetirizine oral tablet levofloxacin in d5w intravenous piggyback 500 mg/100 ml levofloxacin intravenous solution levofloxacin ophthalmic drops 78 levofloxacin oral solution levofloxacin oral tablet levonorgestrel oral tablet 0.75 mg levonorgestrel oral tablet 1.5 mg levonorgestrel-ethinyl estrad oral tablet mg-mcg levonorgestrel-ethinyl estrad oral tablet mg-mcg levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month levora-28 oral tablet levorphanol tartrate oral tablet 27 LEVTHYRXINE INTRAVENUS RECN SLN 100 MCG levothyroxine oral tablet levoxyl oral tablet LEXIVA RAL SUSPENSIN 5 LEXIVA RAL TABLET... 5 LIALDA RAL TABLET,AYED RELEASE (DR/EC) LICE CMPLETE KIT TPICAL KIT LICE KILLING TPICAL SHAMP LICE TREATMENT TPICAL LIQUID lidocaine (pf) injection solution 10 mg/ml (1 %), 20 mg/ml (2 %), 40 mg/ml (4 %), 5 mg/ml (0.5 %) lidocaine (pf) injection solution 15 mg/ml (1.5 %) lidocaine hcl injection solution 47 lidocaine hcl laryngotracheal solution lidocaine hcl mucous membrane gel lidocaine hcl mucous membrane jelly in applicator lidocaine hcl mucous membrane solution 2 % lidocaine hcl mucous membrane solution 4 % lidocaine topical adhesive patch,medicated lidocaine topical ointment lidocaine viscous mucous membrane solution lidocaine-prilocaine topical cream lidocaine-prilocaine topical kit 47 lindane topical lotion lindane topical shampoo liothyronine intravenous solution liothyronine oral tablet LIPSYN II INTRAVENUS EMULSIN liposyn iii intravenous emulsion lisinopril oral tablet lisinopril-hydrochlorothiazide oral tablet lithium carbonate oral capsule 34 lithium carbonate oral tablet lithium carbonate oral tablet extended release lithium citrate oral solution LHIST - D RAL LIQUID.. 85 LHIST-PEB RAL LIQUID 85

133 LMUSTINE RAL CAPSULE loperamide oral capsule loperamide oral liquid 1 mg/7.5 ml loperamide oral tablet lorazepam intensol oral concentrate lorazepam oral tablet LRTUSS DM RAL LIQUID LRTUSS LQ RAL LIQUID losartan oral tablet losartan-hydrochlorothiazide oral tablet LTRNEX RAL TABLET 65 lovastatin oral tablet LVAZA RAL CAPSULE. 44 low-ogestrel (28) oral tablet loxapine succinate oral capsule lta pre-attached laryngotracheal solution LUMIGAN PHTHALMIC DRPS LUPRN DEPT (3 MNTH) INTRAMUSCULAR SYRINGE KIT LUPRN DEPT (4 MNTH) INTRAMUSCULAR SYRINGE KIT LUPRN DEPT (6 MNTH) INTRAMUSCULAR SYRINGE KIT LUPRN DEPT INTRAMUSCULAR SYRINGE KIT LUPRN DEPT-PED INTRAMUSCULAR KIT MG, 15 MG lutera (28) oral tablet LYRICA RAL CAPSULE LYRICA RAL SLUTIN. 21 LYSDREN RAL TABLET 17 lyza oral tablet M magnesium oxide oral tablet 420 mg magnesium sulfate injection solution magnesium sulfate injection syringe MALARNE PEDIATRIC RAL TABLET malathion topical lotion MAPAP (ACETAMINPHEN) RAL CAPSULE maprotiline oral tablet marlissa oral tablet MARPLAN RAL TABLET. 34 MATULANE RAL CAPSULE matzim la oral tablet extended release 24 hr meclizine oral tablet meclizine oral tablet,chewable 65 meclofenamate oral capsule MEDI-CRTISNE TPICAL CREAM MEDIPLAST CRN-CALLUS- WART TPICAL ADHESIVE PATCH,MEDICATED medroxyprogesterone intramuscular suspension medroxyprogesterone intramuscular syringe medroxyprogesterone oral tablet mefenamic acid oral capsule mefloquine oral tablet megestrol oral tablet MEKINIST RAL TABLET.. 17 meloxicam oral suspension meloxicam oral tablet melphalan intravenous recon soln MENACTRA (PF) INTRAMUSCULAR SLUTIN M-END DMX RAL LIQUID MENMUNE - A/C/Y/W-135 (PF) SUBCUTANEUS RECN SLN MENMUNE - A/C/Y/W-135 SUBCUTANEUS RECN SLN MENVE A-C-Y-W-135-DIP (PF) INTRAMUSCULAR KIT MEPHYTN RAL TABLET meprobamate oral tablet mercaptopurine oral tablet meropenem intravenous recon soln 500 mg mesalamine rectal enema mesalamine with cleansing wipe rectal enema kit mesna intravenous solution MESNEX RAL TABLET MESTINN RAL SYRUP MESTINN TIMESPAN RAL TABLET EXTENDED RELEASE metadate er oral tablet extended release METAMUCIL FIBER SINGLES RAL PWDER IN PACKET metaproterenol oral syrup metaproterenol oral tablet metaxalone oral tablet metformin oral tablet metformin oral tablet extended release 24 hr metformin oral tablet extended release 24hr methadone injection solution methadone intensol oral concentrate methadone oral concentrate methadone oral solution 10 mg/5 ml methadone oral solution 5 mg/5 ml methadone oral tablet 10 mg... 27

134 methadone oral tablet 5 mg methadone oral tablet,soluble. 27 methadose oral concentrate methadose oral tablet,soluble.. 27 methamphetamine oral tablet.. 34 methazolamide oral tablet methenamine hippurate oral tablet methimazole oral tablet methotrexate sodium (pf) injection recon soln methotrexate sodium (pf) injection solution methotrexate sodium injection solution methotrexate sodium oral tablet methoxsalen rapid oral capsule 46 methscopolamine oral tablet methyclothiazide oral tablet methyldopa-hydrochlorothiazide oral tablet METHYLERGNVINE INJECTIN SLUTIN.. 77 methylergonovine oral tablet methylphenidate oral capsule, er biphasic mg, 50 mg, 60 mg methylphenidate oral capsule,er biphasic methylphenidate oral solution. 35 methylphenidate oral tablet methylphenidate oral tablet extended release methylphenidate oral tablet extended release 24hr 18 mg methylprednisolone acetate injection suspension methylprednisolone oral tablet 56 methylprednisolone oral tablets,dose pack methylprednisolone sodium succ injection recon soln 125 mg 56 methylprednisolone sodium succ injection recon soln 40 mg.. 56 methylprednisolone sodium succ intravenous recon soln metipranolol ophthalmic drops 78 metoclopramide hcl injection solution metoclopramide hcl injection syringe metoclopramide hcl oral solution metoclopramide hcl oral tablet 65 metolazone oral tablet metoprolol succinate oral tablet extended release 24 hr metoprolol ta-hydrochlorothiaz oral tablet metoprolol tartrate intravenous solution metoprolol tartrate intravenous syringe metoprolol tartrate oral tablet. 39 metronidazole in nacl (iso-os) intravenous piggyback metronidazole oral capsule metronidazole oral tablet metronidazole topical cream metronidazole topical gel metronidazole topical gel with pump metronidazole topical lotion metronidazole vaginal gel mexiletine oral capsule MIACALCIN INJECTIN SLUTIN MI-ACID RAL TABLET,CHEWABLE miconazole nitrate vaginal comb pack,prefill appl & cream miconazole nitrate vaginal cream miconazole nitrate vaginal kit. 74 miconazole nitrate vaginal suppository MICNAZLE-3 VAGINAL KIT miconazole-3 vaginal suppository microgestin 1.5/30 (21) oral tablet microgestin 1/20 (21) oral tablet microgestin fe 1.5/30 (28) oral tablet microgestin fe 1/20 (28) oral tablet midodrine oral tablet migergot rectal suppository MILK F MAGNESIA CNCENTRATED RAL SUSPENSIN MILK F MAGNESIA RAL SUSPENSIN millipred oral tablet mineral oil oral oil minocycline oral capsule minocycline oral tablet minocycline oral tablet extended release 24 hr minoxidil oral tablet mirtazapine oral tablet mirtazapine oral tablet,disintegrating misoprostol oral tablet mitomycin intravenous recon soln 20 mg mitoxantrone intravenous concentrate M-M-R II (PF) SUBCUTANEUS RECN SLN modafinil oral tablet moexipril oral tablet moexipril-hydrochlorothiazide oral tablet mometasone topical cream mometasone topical ointment.. 51 mometasone topical solution mono-linyah oral tablet... 76

135 mononessa (28) oral tablet montelukast oral granules in packet montelukast oral tablet montelukast oral tablet,chewable morgidox oral capsule morphine concentrate oral solution morphine oral capsule, er multiphase 24 hr 120 mg morphine oral capsule, er multiphase 24 hr 30 mg, 45 mg, 60 mg, 75 mg, 90 mg morphine oral capsule,extend.release pellets morphine oral solution morphine oral tablet morphine oral tablet extended release 100 mg morphine oral tablet extended release 15 mg, 30 mg, 60 mg morphine oral tablet extended release 200 mg MTIN RELIEF (MECLIZINE) RAL TABLET MTIN SICKNESS RAL TABLET MVIPREP RAL PWDER IN PACKET moxifloxacin oral tablet MZBIL SUBCUTANEUS SLUTIN MUCINEX CLD & SINUS RAL LIQUID MUCINEX CUGH MINI- MELTS RAL GRANULES IN PACKET MUCINEX D MAXIMUM STRENGTH RAL TABLET EXTENDED RELEASE 12 HR MUCINEX D RAL TABLET EXTENDED RELEASE 12 HR MUCINEX DM RAL TABLET EXTENDED RELEASE 12 HR MUCINEX DM RAL TABLET, ER MULTIPHASE 12 HR MUCINEX MINI-MELTS RAL GRANULES IN PACKET 100 MG MUCINEX MINI-MELTS RAL GRANULES IN PACKET 50 MG MUCINEX RAL TABLET,ER BIPHASIC 12 HR 1,200 MG MULTAQ RAL TABLET MULTI-YN RAL LIQUID MULTI-YN WITH IRN RAL LIQUID mupirocin calcium topical cream mupirocin topical ointment MUR 128 PHTHALMIC DRPS MUR 128 PHTHALMIC INTMENT MUSTARGEN INJECTIN RECN SLN mycophenolate mofetil oral capsule mycophenolate mofetil oral tablet mycophenolate sodium oral tablet,delayed release (dr/ec) MYKIDZ IRN RAL SUSPENSIN 10-1, MG -UNIT-UNIT/2 ML MYZYME INTRAVENUS RECN SLN MYRBETRIQ RAL TABLET EXTENDED RELEASE 24 HR myzilra oral tablet N nabumetone oral tablet nadolol oral tablet nadolol-bendroflumethiazide oral tablet NAFCILLIN IN DEXTRSE IS-SM INTRAVENUS PIGGYBACK 1 GRAM/50 ML NAFCILLIN IN DEXTRSE IS-SM INTRAVENUS PIGGYBACK 2 GRAM/100 ML nafcillin injection recon soln 1 gram NAFCILLIN INJECTIN RECN SLN 10 GRAM, 2 GRAM nafcillin intravenous recon soln 1 gram NAFCILLIN INTRAVENUS RECN SLN 2 GRAM NAGLAZYME INTRAVENUS SLUTIN NAIL-EX 2.5 MG TABLET nalbuphine injection solution 10 mg/ml nalbuphine injection solution 20 mg/ml naloxone injection syringe 1 mg/ml naltrexone oral tablet NAMENDA RAL SLUTIN NAMENDA XR RAL CAP,SPRINKLE,ER 24HR DSE PACK NAMENDA XR RAL CAPSULE,SPRINKLE,ER 24HR

136 naphazoline ophthalmic drops 80 NAPRELAN CR RAL TABLET, ER MULTIPHASE 24 HR naproxen oral suspension naproxen oral tablet naproxen oral tablet,delayed release (dr/ec) naproxen sodium oral capsule 31 naproxen sodium oral tablet 220 mg naproxen sodium oral tablet 275 mg, 550 mg naratriptan oral tablet NASACRT AQ NASAL AERSL,SPRAY NASAL DECNGESTANT (PE) RAL TABLET NASAL DECNGESTANT RAL LIQUID NASAL DECNGESTANT RAL TABLET NASNEX NASAL SPRAY,NN-AERSL.. 89 NATACYN PHTHALMIC DRPS,SUSPENSIN nateglinide oral tablet NATURAL B-100 CMPLEX RAL TABLET NATURAL BALANCE PHTHALMIC DRPS NEBUPENT INHALATIN RECN SLN necon 0.5/35 (28) oral tablet necon 1/35 (28) oral tablet necon 10/11 (28) oral tablet necon 7/7/7 (28) oral tablet needles, insulin disp.,safety nefazodone oral tablet neomycin oral tablet neomycin-bacitracin-poly-hc ophthalmic ointment neomycin-bacitracin-polymyxin ophthalmic ointment neomycin-polymyxin b gu irrigation solution neomycin-polymyxin-dexameth ophthalmic drops,suspension neomycin-polymyxin-dexameth ophthalmic ointment neomycin-polymyxin-gramicidin ophthalmic drops neomycin-polymyxin-hc ophthalmic drops,suspension neomycin-polymyxin-hc otic drops,suspension neomycin-polymyxin-hc otic solution neo-polycin hc ophthalmic ointment neo-polycin ophthalmic ointment NERAL RAL CAPSULE.. 17 NERAL RAL SLUTIN 17 NEPHRAMINE 5.4 % INTRAVENUS PARENTERAL SLUTIN NEPHRNEX RAL LIQUID NEUMEGA SUBCUTANEUS RECN SLN NEUPGEN INJECTIN SLUTIN 480 MCG/1.6 ML NEUPGEN INJECTIN SYRINGE NEUPR TRANSDERMAL PATCH 24 HUR nevirapine oral suspension... 5 nevirapine oral tablet... 5 nevirapine oral tablet extended release 24 hr... 5 NEXAVAR RAL TABLET. 17 NEXIUM IV INTRAVENUS RECN SLN 20 MG NEXIUM IV INTRAVENUS RECN SLN 40 MG NEXT CHICE NE DSE RAL TABLET niacin oral tablet niacin oral tablet extended release 1,000 mg, 750 mg niacin oral tablet extended release 24 hr nicardipine intravenous solution nicardipine oral capsule NICDERM CQ TRANSDERMAL PATCH 24 HUR nicotine (polacrilex) buccal gum nicotine (polacrilex) buccal lozenge 2 mg nicotine (polacrilex) buccal lozenge 4 mg nicotine transdermal patch 24 hour nicotine transdermal patch, td daily, sequential NICTRL INHALATIN CARTRIDGE NICTRL NS NASAL SPRAY,NN- AERSL. 54 nifedical xl oral tablet extended release 24hr nifedipine oral tablet extended release nifedipine oral tablet extended release 24hr NIGHTTIME CUGH RAL SLUTIN NIGHT-TIME RAL LIQUID86 NIGHTTIME SINUS RAL CAPSULE NILANDRN RAL TABLET nimodipine oral capsule nisoldipine oral tablet extended release 24 hr... 40

137 nitro-bid transdermal ointment 44 nitrofurantoin macrocrystal oral capsule 50 mg nitrofurantoin monohyd/m-cryst oral capsule nitroglycerin intravenous solution nitroglycerin transdermal patch 24 hour nitroglycerin translingual aerosol,spray nitroglycerin translingual spray,non-aerosol NITRLINGUAL TRANSLINGUAL SPRAY,NN-AERSL.. 44 NITRSTAT SUBLINGUAL TABLET nizatidine oral capsule nizatidine oral solution NRDITRPIN FLEXPR SUBCUTANEUS PEN INJECTR NRDITRPIN NRDIFLEX SUBCUTANEUS PEN INJECTR NREL AD RAL TABLET 86 NREL CS RAL LIQUID norethindrone (contraceptive) oral tablet norethindrone acetate oral tablet norgestimate-ethinyl estradiol oral tablet NRMSL-M IN 5 % DEXTRSE INTRAVENUS PARENTERAL SLUTIN NRMSL-R IN 5 % DEXTRSE INTRAVENUS PARENTERAL SLUTIN NRMSL-R PH 7.4 INTRAVENUS PARENTERAL SLUTIN nortrel 0.5/35 (28) oral tablet. 76 nortrel 1/35 (21) oral tablet nortrel 1/35 (28) oral tablet nortrel 7/7/7 (28) oral tablet nortriptyline oral capsule nortriptyline oral solution NRVIR RAL CAPSULE... 5 NRVIR RAL SLUTIN... 5 NRVIR RAL TABLET... 5 novarel intramuscular recon soln NVFINE NEEDLE NVLIN 70/30 SUBCUTANEUS SUSPENSIN NVLIN N SUBCUTANEUS SUSPENSIN NVLIN R INJECTIN SLUTIN NVLG FLEXPEN SUBCUTANEUS INSULIN PEN NVLG MIX FLEXPEN SUBCUTANEUS INSULIN PEN NVLG MIX SUBCUTANEUS SLUTIN NVLG PENFILL SUBCUTANEUS CARTRIDGE NVLG SUBCUTANEUS SLUTIN NVTWIST NEEDLE NXAFIL RAL SUSPENSIN... 3 NUCYNTA ER RAL TABLET EXTENDED RELEASE 12 HR NUCYNTA RAL TABLET. 31 NUEDEXTA RAL CAPSULE NULJIX INTRAVENUS RECN SLN NUVARING VAGINAL RING NUVIGIL RAL TABLET 150 MG, 250 MG, 50 MG nyamyc topical powder nystatin oral suspension... 3 nystatin oral tablet... 3 nystatin topical cream nystatin topical ointment nystatin topical powder nystatin-triamcinolone topical cream nystatin-triamcinolone topical ointment nystop topical powder CTRETIDE ACETATE INJECTIN SLUTIN 1,000 MCG/ML, 500 MCG/ML octreotide acetate injection solution 100 mcg/ml, 200 mcg/ml, 50 mcg/ml octreotide acetate injection syringe 100 mcg/ml (1 ml), 50 mcg/ml (1 ml) CTRETIDE ACETATE INJECTIN SYRINGE 500 MCG/ML (1 ML) CUVITE EXTRA TABLET. 98 ofloxacin ophthalmic drops ofloxacin oral tablet ofloxacin otic drops ogestrel (28) oral tablet olanzapine intramuscular recon soln olanzapine oral tablet olanzapine oral tablet,disintegrating olanzapine-fluoxetine oral capsule LYSI RAL CAPSULE... 5

138 omega-3 acid ethyl esters oral capsule omeprazole oral capsule,delayed release(dr/ec) omeprazole oral tablet,delayed release (dr/ec) omeprazole-sodium bicarbonate oral capsule NCASPAR INJECTIN SLUTIN ondansetron hcl (pf) injection solution ondansetron hcl (pf) injection syringe ondansetron hcl intravenous solution ondansetron hcl oral solution. 65 ondansetron hcl oral tablet 24 mg ondansetron hcl oral tablet 4 mg, 8 mg ondansetron oral tablet,disintegrating NE DAILY WMEN'S HEALTH RAL TABLET 98 NE-A-DAY MEN'S MULTIVITAMIN RAL TABLET NE-A-DAY WMENS FRMULA RAL TABLET 18 MG IRN-400 MCG-500 MG CA NFI RAL SUSPENSIN.. 21 NFI RAL TABLET NGLYZA RAL TABLET. 59 RACEA RAL CAPSULE, ER MULTIPHASE 24 HR. 13 oralone dental paste RAP RAL TABLET orsythia oral tablet RTH EVRA TRANSDERMAL PATCH WEEKLY RTH TRI-CYCLEN L (28) RAL TABLET otassium chloride oral liquid.. 92 oxacillin in dextrose(iso-osm) intravenous piggyback 1 gram/50 ml XACILLIN IN DEXTRSE(IS-SM) INTRAVENUS PIGGYBACK 2 GRAM/50 ML oxacillin injection recon soln 1 gram, 2 gram XACILLIN INJECTIN RECN SLN 10 GRAM. 12 oxacillin intravenous recon soln XALIPLATIN INTRAVENUS SLUTIN 100 MG/20 ML XANDRLNE RAL TABLET 10 MG oxandrolone oral tablet 2.5 mg 60 oxaprozin oral tablet oxazepam oral capsule oxcarbazepine oral suspension 21 oxcarbazepine oral tablet XSRALEN ULTRA RAL CAPSULE XTELLAR XR RAL TABLET EXTENDED RELEASE 24 HR oxybutynin chloride oral syrup 91 oxybutynin chloride oral tablet 91 oxybutynin chloride oral tablet extended release24hr oxycodone oral capsule oxycodone oral concentrate oxycodone oral solution oxycodone oral tablet 10 mg, 15 mg, 20 mg oxycodone oral tablet 30 mg oxycodone oral tablet 5 mg oxycodone-acetaminophen oral tablet oxycodone-aspirin oral tablet.. 28 oxymorphone oral tablet 10 mg28 oxymorphone oral tablet 5 mg. 28 oxymorphone oral tablet extended release 12 hr P pacerone oral tablet PACLITAXEL INTRAVENUS CNCENTRATE pamidronate intravenous recon soln pamidronate intravenous solution PANXYL TPICAL BAR PANXYL-4 TPICAL CLEANSER PANRETIN TPICAL GEL pantoprazole oral tablet,delayed release (dr/ec) pantothenic acid oral tablet paricalcitol oral capsule paromomycin oral capsule paroxetine hcl oral tablet paroxetine hcl oral tablet extended release 24 hr PASER RAL GRANULES DR FR SUSP IN PACKET PATADAY PHTHALMIC DRPS PATANL PHTHALMIC DRPS PAXIL RAL SUSPENSIN 35 PEDIA-LAX STL SFTENER RAL SYRUP PEDIALYTE RAL SLUTIN PEDIATEX TDM RAL LIQUID PEDIATRIC ELECTRLYTE RAL SLUTIN pedi-dri topical powder PEDVAX HIB (PF) INTRAMUSCULAR SLUTIN peg 3350-electrolytes oral recon soln gram... 65

139 peg-3350 with flavor packs oral recon soln PEGANNE RAL TABLET 21 peg-electrolyte soln oral recon soln PEGINTRN REDIPEN SUBCUTANEUS PEN INJECTR KIT PEGINTRN SUBCUTANEUS KIT penicillin g potassium injection recon soln 5 million unit penicillin g procaine intramuscular syringe 1.2 million unit/2 ml penicillin g procaine intramuscular syringe 600,000 unit/ml penicillin g sodium injection recon soln penicillin v potassium oral recon soln penicillin v potassium oral tablet PENTAM INJECTIN RECN SLN PENTASA RAL CAPSULE, EXTENDED RELEASE pentoxifylline oral tablet extended release PEPCID AC RAL TABLET 20 MG PEPCID AC RAL TABLET,CHEWABLE PEPT-BISML RAL TABLET PERFRMIST INHALATIN SLUTIN FR NEBULIZATIN perindopril erbumine oral tablet periogard mucous membrane mouthwash PERJETA INTRAVENUS SLUTIN permethrin topical cream permethrin topical liquid perphenazine oral tablet perphenazine-amitriptyline oral tablet PETRLEUM JELLY TPICAL GEL phenelzine oral tablet phenobarbital oral elixir phenobarbital oral tablet PHENYTEK RAL CAPSULE phenytoin oral suspension 100 mg/4 ml phenytoin oral suspension 125 mg/5 ml phenytoin oral tablet,chewable 21 phenytoin sodium extended oral capsule phenytoin sodium intravenous solution phenytoin sodium intravenous syringe philith oral tablet PHSPHLINE IDIDE PHTHALMIC DRPS pilocarpine hcl ophthalmic drops pilocarpine hcl oral tablet pindolol oral tablet pioglitazone oral tablet pioglitazone-glimepiride oral tablet pioglitazone-metformin oral tablet piperacillin-tazobactam intravenous recon soln pirmella oral tablet piroxicam oral capsule PLASMA-LYTE 148 INTRAVENUS PARENTERAL SLUTIN PLASMA-LYTE A INTRAVENUS PARENTERAL SLUTIN PLASMA-LYTE-56 IN 5 % DEXTRSE INTRAVENUS PARENTERAL SLUTIN podofilox topical solution polycin ophthalmic ointment polyethylene glycol 3350 oral powder polyethylene glycol 3350 oral powder in packet polymyxin b sulfate injection recon soln polymyxin b sulf-trimethoprim ophthalmic drops PLY-VI-SL RAL DRPS PLY-VI-SL WITH IRN RAL DRPS PLY-VITAMIN RAL DRPS PMALYST RAL CAPSULE portia oral tablet potassium bicarb & chloride oral tablet, effervescent potassium chlorid-d5-0.45%nacl intravenous parenteral solution 10 meq/l, 30 meq/l, 40 meq/l potassium chlorid-d5-0.45%nacl intravenous parenteral solution 20 meq/l potassium chloride in 0.9%nacl intravenous parenteral solution potassium chloride in 5 % dex intravenous parenteral solution potassium chloride in lr-d5 intravenous parenteral solution 20 meq/l potassium chloride in lr-d5 intravenous parenteral solution 40 meq/l... 93

140 potassium chloride intravenous parenteral solution potassium chloride intravenous piggyback potassium chloride oral capsule, extended release potassium chloride oral tablet extended release 10 meq, 8 meq potassium chloride oral tablet extended release 20 meq potassium chloride oral tablet,er particles/crystals potassium chloride-0.45 % nacl intravenous parenteral solution potassium chloride-d5-0.2%nacl intravenous parenteral solution 20 meq/l potassium chloride-d5-0.2%nacl intravenous parenteral solution 30 meq/l, 40 meq/l. 93 potassium chloride-d5-0.3%nacl intravenous parenteral solution potassium chloride-d5-0.9%nacl intravenous parenteral solution potassium citrate oral tablet extended release 10 meq, 5 meq PTIGA RAL TABLET povidone-iodine topical ointment povidone-iodine topical swab 10 % pramipexole oral tablet pravastatin oral tablet prazosin oral capsule prednicarbate topical cream prednicarbate topical ointment 51 prednisolone acetate ophthalmic drops,suspension prednisolone oral solution prednisolone sodium phosphate ophthalmic drops prednisolone sodium phosphate oral solution 15 mg/5 ml, 5 mg base/5 ml (6.7 mg/5 ml) prednisolone sodium phosphate oral solution 25 mg/5 ml (5 mg/ml) prednisone intensol oral concentrate prednisone oral solution prednisone oral tablet prednisone oral tablets,dose pack PREGNYL INTRAMUSCULAR RECN SLN PREMARIN INJECTIN RECN SLN PREMARIN VAGINAL CREAM PREMASL 10 % INTRAVENUS PARENTERAL SLUTIN PREMASL 6 % INTRAVENUS PARENTERAL SLUTIN PRE-MENSTRUAL RELIEF RAL TABLET prenatal vitamins oral tablet PRESERVISIN AREDS 2 (MEGA-3) RAL CAPSULE prevalite oral powder prevalite oral powder in packet previfem oral tablet PREZISTA RAL SUSPENSIN... 5 PREZISTA RAL TABLET 150 MG, 600 MG, 75 MG, 800 MG... 5 PRIFTIN RAL TABLET PRILSEC TC RAL TABLET,AYED RELEASE (DR/EC) PRIMAQUINE RAL TABLET PRIMATENE ASTHMA RAL TABLET primidone oral tablet PRISTIQ RAL TABLET EXTENDED RELEASE 24 HR PRAIR HFA INHALATIN HFA AERSL INHALER probenecid oral tablet procainamide injection solution 100 mg/ml procainamide injection solution 500 mg/ml PRCALAMINE 3% INTRAVENUS PARENTERAL SLUTIN PR-CHL RAL LIQUID.. 86 prochlorperazine edisylate injection solution prochlorperazine maleate oral tablet prochlorperazine rectal suppository PRCRIT INJECTIN SLUTIN 10,000 UNIT/ML, 2,000 UNIT/ML, 20,000 UNIT/2 ML, 20,000 UNIT/ML, 3,000 UNIT/ML, 4,000 UNIT/ML PRCRIT INJECTIN SLUTIN 40,000 UNIT/ML procto-pak rectal cream proctozone-hc rectal cream progesterone micronized oral capsule PRGLYCEM RAL SUSPENSIN... 59

141 PRLEUKIN INTRAVENUS RECN SLN PRLIA SUBCUTANEUS SYRINGE PRMACTA RAL TABLET propafenone oral capsule,extended release 12 hr propafenone oral tablet proparacaine ophthalmic drops propranolol intravenous solution propranolol oral capsule,extended release 24 hr propranolol oral solution propranolol oral tablet propranolol-hydrochlorothiazid oral tablet propylthiouracil oral tablet PRQUAD (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN PRSL 20 % INTRAVENUS PARENTERAL SLUTIN PRTPIC TPICAL INTMENT protriptyline oral tablet PRVENTIL HFA INHALATIN HFA AERSL INHALER pseudoephedrine hcl oral liquid pseudoephedrine hcl oral tablet 60 mg PULMZYME INHALATIN SLUTIN pyrazinamide oral tablet PYRETHRIN LICE TREATMENT M TPICAL LIQUID pyridostigmine bromide oral tablet pyridoxine injection solution pyridoxine oral tablet 100 mg, 25 mg, 50 mg PYRIL DM RAL SUSPENSIN pyrilamine-phenylephrine oral suspension Q quasense oral tablets,dose pack,3 month QUDEXY XR RAL CAPSULE,SPRINKLE, ER 24HR quetiapine oral tablet quinapril oral tablet quinapril-hydrochlorothiazide oral tablet quinidine gluconate injection solution quinidine gluconate oral tablet extended release quinidine sulfate oral tablet quinidine sulfate oral tablet extended release quinine sulfate oral capsule QVAR INHALATIN AERSL R RABAVERT (PF) INTRAMUSCULAR KIT.. 71 rabeprazole oral tablet,delayed release (dr/ec) raloxifene oral tablet ramipril oral capsule RANEXA RAL TABLET EXTENDED RELEASE 12 HR ranitidine hcl injection solution 67 ranitidine hcl oral capsule ranitidine hcl oral syrup ranitidine hcl oral tablet 150 mg, 300 mg RAPAMUNE RAL SLUTIN RAPAMUNE RAL TABLET RAYS RAL TABLET,AYED RELEASE (DR/EC) REBIF (WITH ALBUMIN) SUBCUTANEUS SYRINGE REBIF TITRATIN PACK SUBCUTANEUS SYRINGE reclipsen (28) oral tablet RECMBIVAX HB (PF) INTRAMUSCULAR SUSPENSIN 10 MCG/ML, 40 MCG/ML RECMBIVAX HB (PF) INTRAMUSCULAR SYRINGE 10 MCG/ML REFRESH CLASSIC (PF) PHTHALMIC DRPPERETTE REFRESH PTIVE SENSITIVE (PF) PHTHALMIC DRPPERETTE regonol injection solution REGRANEX TPICAL GEL 46 REGULID RAL PWDER RELEASE RELENZA DISKHALER INHALATIN BLISTER WITH DEVICE... 5 RELISTR SUBCUTANEUS KIT RELISTR SUBCUTANEUS SLUTIN RELISTR SUBCUTANEUS SYRINGE REMICADE INTRAVENUS RECN SLN REMDULIN INJECTIN SLUTIN... 40

142 RENVELA RAL PWDER IN PACKET RENVELA RAL TABLET.. 53 repaglinide oral tablet 0.5 mg. 59 repaglinide oral tablet 1 mg repaglinide oral tablet 2 mg reprexain oral tablet RESCN RAL TABLET RESCN-DM RAL LIQUID RESCRIPTR RAL TABLET... 5 RESCRIPTR RAL TABLET, DISPERSIBLE... 5 reserpine oral tablet RESINL TPICAL INTMENT RESTASIS PHTHALMIC DRPPERETTE RETRVIR INTRAVENUS SLUTIN... 5 REVLIMID RAL CAPSULE REYATAZ RAL CAPSULE. 5 RHEUMATREX RAL TABLETS,DSE PACK ribavirin oral capsule... 5 ribavirin oral tablet... 5 rifabutin oral capsule rifampin intravenous recon soln rifampin oral capsule riluzole oral tablet rimantadine oral tablet... 5 ringers intravenous parenteral solution risedronate oral tablet RISPERDAL CNSTA INTRAMUSCULAR SYRINGE risperidone oral solution risperidone oral tablet risperidone oral tablet,disintegrating RITUXAN INTRAVENUS CNCENTRATE rivastigmine tartrate oral capsule 1.5 mg rivastigmine tartrate oral capsule 3 mg rivastigmine tartrate oral capsule 4.5 mg, 6 mg rizatriptan oral tablet rizatriptan oral tablet,disintegrating RBAFEN CUGH RAL CAPSULE RBITUSSIN CUGH & CLD CF RAL LIQUID 86 RBITUSSIN LNG-ACTING RAL LIQUID RBITUSSIN PEDIATRIC RAL SYRUP ropinirole oral tablet ropinirole oral tablet extended release 24 hr rosadan topical cream rosadan topical gel RTARIX RAL SUSPENSIN FR RECNSTITUTIN RTATEQ VACCINE RAL SUSPENSIN RZEREM RAL TABLET.. 36 RU-HIST-D (WITH PYRILAMINE) RAL TABLET RYMED RAL TABLET S SABRIL RAL PWDER IN PACKET SABRIL RAL TABLET SALINE MIST NASAL AERSL, SPRAY SANCUS TRANSDERMAL PATCH WEEKLY SANDIMMUNE RAL CAPSULE SANDIMMUNE RAL SLUTIN SANDSTATIN LAR DEPT INTRAMUSCULAR KIT.. 18 SANI-SUPP (ADULT) RECTAL SUPPSITRY SANTYL TPICAL INTMENT SAPHRIS (BLACK CHERRY) SUBLINGUAL TABLET.. 36 SAPHRIS SUBLINGUAL TABLET SAVELLA RAL TABLET SAVELLA RAL TABLETS,DSE PACK SCALPICIN TPICAL SLUTIN SCT-TUSSIN DM RAL LIQUID SCT-TUSSIN SENIR RAL LIQUID SEBEX TPICAL SHAMP SECURA EXTRA PRTECTIVE TPICAL CREAM selegiline hcl oral capsule selegiline hcl oral tablet selenium sulfide topical suspension SELZENTRY RAL TABLET 5 SENEXN RAL SYRUP SENNA RAL TABLET SENKTXTRA RAL TABLET SENSIPAR RAL TABLET.. 60 SEREVENT DISKUS INHALATIN BLISTER WITH DEVICE SERQUEL XR RAL TABLET EXTENDED RELEASE 24 HR sertraline oral concentrate sertraline oral tablet... 36

143 sevelamer carbonate oral tablet sf 5000 plus dental cream SIGNIFR SUBCUTANEUS SLUTIN sildenafil oral tablet SILPHEN DM CUGH LIQUID 10 MG/5 ML SILTUSSIN SA RAL LIQUID silver sulfadiazine topical cream SIMCR RAL TABLET, ER MULTIPHASE 24 HR 1, MG, MG, MG, MG SIMULECT INTRAVENUS RECN SLN 20 MG simvastatin oral tablet SINUS CNG & PAIN DAY- NIGHT RAL TABLETS, SEQUENTIAL sirolimus oral tablet SLW RELEASE IRN RAL TABLET EXTENDED RELEASE 140 MG (45 MG IRN), 142 MG (45 MG IRN), 143 MG (45 MG IRN), 47.5 MG IRN SLW RELEASE IRN RAL TABLET EXTENDED RELEASE 160 MG (50 MG IRN) sodium bicarbonate oral tablet 66 sodium chloride 0.45 % intravenous parenteral solution sodium chloride 0.45 % intravenous piggyback sodium chloride 0.9 % intravenous parenteral solution sodium chloride 0.9 % intravenous piggyback sodium chloride 3 % intravenous parenteral solution sodium chloride 5 % intravenous parenteral solution sodium chloride intravenous parenteral solution sodium chloride irrigation solution sodium fluoride dental solution sodium fluoride oral tablet sodium lactate intravenous solution sodium polystyrene (sorb free) oral suspension sodium polystyrene sulfonate oral powder sodium polystyrene sulfonate oral suspension SLTAMX RAL SLUTIN SLU-CRTEF (PF) INJECTIN RECN SLN 100 MG/2 ML, 250 MG/2 ML SMATULINE DEPT SUBCUTANEUS SYRINGE SMAVERT SUBCUTANEUS RECN SLN sorine oral tablet 120 mg, 160 mg, 80 mg sorine oral tablet 240 mg sotalol af oral tablet sotalol oral tablet SVALDI RAL TABLET... 5 SPECTRAVITE RAL LIQUID SPECTRAVITE RAL TABLET,CHEWABLE spironolactone oral tablet spironolacton-hydrochlorothiaz oral tablet sprintec (28) oral tablet SPRYCEL RAL TABLET 100 MG, 140 MG, 80 MG SPRYCEL RAL TABLET 20 MG, 50 MG SPRYCEL RAL TABLET 70 MG sps oral suspension sronyx oral tablet ssd topical cream STAHIST AD RAL TABLET stavudine oral capsule... 5 stavudine oral recon soln... 5 STIVARGA RAL TABLET. 18 STRATTERA RAL CAPSULE STREPTMYCIN INTRAMUSCULAR RECN SLN STRESS FRMULA RAL TABLET STRESS FRMULA WITH ZINC RAL TABLET STRIBILD RAL TABLET... 5 STRMECTL RAL TABLET SUBXNE SUBLINGUAL FILM 12-3 MG SUBXNE SUBLINGUAL FILM MG, 4-1 MG, 8-2 MG sucralfate oral suspension sucralfate oral tablet SUDGEST CLD & ALLERGY RAL TABLET sulfacetamide sodium (acne) topical suspension sulfacetamide sodium ophthalmic drops sulfacetamide sodium ophthalmic ointment sulfacetamide-prednisolone ophthalmic drops sulfadiazine oral tablet sulfamethoxazole-trimethoprim intravenous solution... 13

144 sulfamethoxazole-trimethoprim oral suspension sulfamethoxazole-trimethoprim oral tablet sulfasalazine oral tablet sulfasalazine oral tablet,delayed release (dr/ec) sulfazine ec oral tablet,delayed release (dr/ec) sulfazine oral tablet sulindac oral tablet sumatriptan nasal spray,nonaerosol sumatriptan succinate oral tablet sumatriptan succinate subcutaneous cartridge sumatriptan succinate subcutaneous pen injector sumatriptan succinate subcutaneous solution SUPER B/C RAL CAPSULE SUPRAX RAL SUSPENSIN FR RECNSTITUTIN 100 MG/5 ML, 200 MG/5 ML... 8 SUPRAX RAL SUSPENSIN FR RECNSTITUTIN 500 MG/5 ML... 8 SUPRAX RAL TABLET... 8 SUPRAX RAL TABLET,CHEWABLE... 8 SURMNTIL RAL CAPSULE SUSTIVA RAL CAPSULE... 5 SUSTIVA RAL TABLET... 6 SUTENT RAL CAPSULE 12.5 MG, 25 MG, 50 MG syeda oral tablet SYLATRN 4-PACK SUBCUTANEUS KIT SYLATRN SUBCUTANEUS KIT SYMBICRT INHALATIN HFA AERSL INHALER SYMLINPEN 120 SUBCUTANEUS PEN INJECTR SYMLINPEN 60 SUBCUTANEUS PEN INJECTR SYNAGIS INTRAMUSCULAR SLUTIN 50 MG/0.5 ML 6 SYNAREL NASAL SPRAY,NN-AERSL.. 60 SYNERCID INTRAVENUS RECN SLN SYNRIB SUBCUTANEUS RECN SLN SYNTHRID RAL TABLET SYPRINE RAL CAPSULE. 54 SYSTANE GEL PHTHALMIC DRPS,GEL T TABLID RAL TABLET tacrolimus oral capsule 0.5 mg, 1 mg TACRLIMUS RAL CAPSULE 5 MG TAFINLAR RAL CAPSULE TAGAMET HB RAL TABLET TAMIFLU RAL CAPSULE 30 MG... 6 TAMIFLU RAL CAPSULE 45 MG, 75 MG... 6 TAMIFLU RAL SUSPENSIN FR RECNSTITUTIN... 6 tamoxifen oral tablet tamsulosin oral capsule,extended release 24hr TARCEVA RAL TABLET 100 MG, 25 MG TARCEVA RAL TABLET 150 MG TARGRETIN RAL CAPSULE TARGRETIN TPICAL GEL 19 TASIGNA RAL CAPSULE. 19 TAZRAC TPICAL CREAM TAZRAC TPICAL GEL taztia xt oral capsule, extended release TEARS PURE PHTHALMIC DRPS TECFIDERA RAL CAPSULE,AYED RELEASE(DR/EC) TEFLAR INTRAVENUS RECN SLN... 8 TEGRETL XR RAL TABLET EXTENDED RELEASE 12 HR 100 MG. 22 TEKAML RAL TABLET. 40 TEKTURNA HCT RAL TABLET TEKTURNA RAL TABLET 40 telmisartan oral tablet telmisartan-hydrochlorothiazid oral tablet temazepam oral capsule TENSIN HEADACHE RAL TABLET terazosin oral capsule terbinafine oral tablet... 3 terbutaline oral tablet terbutaline subcutaneous solution terconazole vaginal cream 0.4 % terconazole vaginal cream 0.8 % terconazole vaginal suppository TESTIM TRANSDERMAL GEL... 60

145 testosterone cypionate intramuscular oil testosterone enanthate intramuscular oil tetanus toxoid,adsorbed (pf) intramuscular suspension TETANUS,DIPHTHERIA TX PED(PF) INTRAMUSCULAR SUSPENSIN TETANUS-DIPHTHERIA TXIDS-TD INTRAMUSCULAR SUSPENSIN tetracycline oral capsule THALMID RAL CAPSULE theophylline oral solution theophylline oral tablet extended release theophylline oral tablet extended release 12 hr THERAFLU NIGHTTIME CLD-CUGH RAL PWDER IN PACKET THERA-PLUS RAL LIQUID thiamine hcl injection solution 99 thioridazine oral tablet thiothixene oral capsule tiagabine oral tablet TIKSYN RAL CAPSULE 37 tilia fe oral tablet timolol maleate ophthalmic drops timolol maleate ophthalmic gel forming solution timolol maleate oral tablet tinidazole oral tablet tioconazole vaginal ointment.. 74 TITRALAC RAL TABLET,CHEWABLE TIVICAY RAL TABLET... 6 tizanidine oral capsule tizanidine oral tablet TL G-FL S RAL TABLET TBRAMYCIN IN % NACL INHALATIN SLUTIN FR NEBULIZATIN tobramycin in 0.9 % nacl intravenous piggyback 80 mg/100 ml tobramycin ophthalmic drops.. 78 tobramycin sulfate injection solution tobramycin-dexamethasone ophthalmic drops,suspension TBREX PHTHALMIC INTMENT tolazamide oral tablet tolbutamide oral tablet tolmetin oral capsule tolmetin oral tablet tolnaftate topical solution tolterodine oral capsule,extended release 24hr tolterodine oral tablet topiramate oral capsule, sprinkle topiramate oral tablet toposar intravenous solution TPTECAN INTRAVENUS RECN SLN torsemide intravenous solution 20 mg/2 ml (10 mg/ml) TRSEMIDE INTRAVENUS SLUTIN 50 MG/5 ML (10 MG/ML) torsemide oral tablet TVIAZ RAL TABLET EXTENDED RELEASE 24 HR TPN ELECTRLYTES INTRAVENUS SLUTIN TRACLEER RAL TABLET 90 tramadol oral tablet tramadol oral tablet extended release 24 hr tramadol oral tablet, er multiphase 24 hr tramadol-acetaminophen oral tablet trandolapril oral tablet tranexamic acid intravenous solution tranexamic acid oral tablet TRANSDERM-SCP TRANSDERMAL PATCH 72 HUR tranylcypromine oral tablet TRAVASL 10 % INTRAVENUS PARENTERAL SLUTIN travoprost (benzalkonium) ophthalmic drops trazodone oral tablet TREANDA INTRAVENUS RECN SLN 100 MG TRECATR RAL TABLET 11 TRELSTAR DEPT INTRAMUSCULAR SUSPENSIN FR RECNSTITUTIN TRELSTAR INTRAMUSCULAR SUSPENSIN FR RECNSTITUTIN TRELSTAR INTRAMUSCULAR SYRINGE MG/2 ML, 3.75 MG/2 ML TRELSTAR LA INTRAMUSCULAR SUSPENSIN FR RECNSTITUTIN TRETININ (CHEMTHERAPY) RAL CAPSULE tretinoin microsphere topical gel tretinoin topical cream... 47

146 tretinoin topical gel TRIACTING CUGH & CLD RAL LIQUID triamcinolone acetonide dental paste triamcinolone acetonide injection suspension 10 mg/ml triamcinolone acetonide injection suspension 40 mg/ml triamcinolone acetonide nasal aerosol,spray triamcinolone acetonide topical cream triamcinolone acetonide topical lotion triamcinolone acetonide topical ointment TRIAMINIC CHEST-NASAL CNGESTI RAL LIQUID TRIAMINIC CLD & CUGH (PE) RAL LIQUID TRIAMINIC CLD- ALLERGY PE RAL LIQUID triamterene-hydrochlorothiazid oral capsule triamterene-hydrochlorothiazid oral tablet trianex topical ointment TRIBENZR RAL TABLET TRI-BUFFERED ASPIRIN RAL TABLET triderm topical cream tri-estarylla oral tablet trifluoperazine oral tablet trifluridine ophthalmic drops.. 78 trihexyphenidyl oral elixir trihexyphenidyl oral tablet tri-legest fe oral tablet tri-linyah oral tablet trilyte with flavor packets oral recon soln trimethoprim oral tablet trinessa (28) oral tablet TRIPLE ANTIBITIC PLUS TPICAL INTMENT TRIPLE ANTIBITIC TPICAL PACKET tri-previfem (28) oral tablet TRISENX INTRAVENUS SLUTIN tri-sprintec (28) oral tablet TRI-VI-SL RAL DRPS.. 99 TRI-VI-SL WITH IRN RAL DRPS TRI-VITA RAL DRPS TRI-VITAMIN RAL DRPS trivora (28) oral tablet TRIXAICIN TPICAL CREAM TRKENDI XR RAL CAPSULE, EXTENDED RELEASE 24HR TRPHAMINE 10 % INTRAVENUS PARENTERAL SLUTIN TRPHAMINE 6% INTRAVENUS PARENTERAL SLUTIN tropicamide ophthalmic drops. 78 trospium oral capsule,extended release 24hr trospium oral tablet TRUVADA RAL TABLET... 6 TUDRZA PRESSAIR INHALATIN AERSL PWDR BREATH ACTIVATED TUMS ULTRA RAL TABLET,CHEWABLE TUSNEL NEW FRMULA RAL TABLET TUSNEL PEDIATRIC RAL DRPS TUSSIN CF RAL LIQUID.. 87 TUSSIN CUGH (DM NLY) RAL LIQUID TUSSIN DM RAL SYRUP.. 87 TWINRIX (PF) INTRAMUSCULAR SUSPENSIN TWINRIX (PF) INTRAMUSCULAR SYRINGE TYGACIL INTRAVENUS RECN SLN TYKERB RAL TABLET TYPHIM VI INTRAMUSCULAR SLUTIN TYPHIM VI INTRAMUSCULAR SYRINGE TYSABRI INTRAVENUS SLUTIN TYZEKA RAL TABLET... 6 U ULRIC RAL TABLET unithroid oral tablet 100 mcg, 112 mcg, 125 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg ursodiol oral capsule ursodiol oral tablet V VAGIFEM VAGINAL TABLET valacyclovir oral tablet... 6 VALCYTE RAL RECN SLN... 6 VALCYTE RAL TABLET... 6 valproate sodium intravenous solution valproic acid (as sodium salt) oral solution 250 mg/5 ml valproic acid (as sodium salt) oral solution 250 mg/5 ml (5 ml), 500 mg/10 ml (10 ml)... 22

147 valproic acid oral capsule valsartan-hydrochlorothiazide oral tablet VANCCIN RAL CAPSULE vancomycin intravenous recon soln VANCMYCIN RAL CAPSULE vandazole vaginal gel VAQTA (PF) INTRAMUSCULAR SUSPENSIN 25 UNIT/0.5 ML VAQTA (PF) INTRAMUSCULAR SYRINGE 25 UNIT/0.5 ML VARIVAX (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN VECAMYL RAL TABLET. 44 VELCADE INJECTIN RECN SLN velivet triphasic regimen (28) oral tablet venlafaxine oral capsule,extended release 24hr venlafaxine oral tablet venlafaxine oral tablet extended release 24hr 150 mg, 37.5 mg, 75 mg VENLAFAXINE RAL TABLET EXTENDED RELEASE 24HR 225 MG.. 36 VENTLIN HFA INHALATIN HFA AERSL INHALER VERAMYST NASAL SPRAY,SUSPENSIN verapamil intravenous solution 41 verapamil intravenous syringe 41 verapamil oral capsule, 24 hr er pellet ct verapamil oral capsule,ext rel. pellets 24 hr verapamil oral tablet verapamil oral tablet extended release veripred 20 oral solution VERSACLZ RAL SUSPENSIN VESICARE RAL TABLET. 91 vestura (28) oral tablet VICKS VAPSTEAM LIQUID VICTZA 2-PAK SUBCUTANEUS PEN INJECTR VICTZA 3-PAK SUBCUTANEUS PEN INJECTR VIDAZA INJECTIN RECN SLN VIDEX 2 GRAM PEDIATRIC RAL RECN SLN... 6 VIDEX 4 GRAM PEDIATRIC RAL RECN SLN... 6 VIGAMX PHTHALMIC DRPS VIIBRYD RAL TABLET VIIBRYD RAL TABLETS,DSE PACK VIMV RAL TABLET,IR & AY REL,BIPHASIC.. 32 VIMPAT INTRAVENUS SLUTIN VIMPAT RAL SLUTIN. 22 VIMPAT RAL TABLET VINBLASTINE INTRAVENUS RECN SLN VINBLASTINE INTRAVENUS SLUTIN vincristine intravenous solution 1 mg/ml vinorelbine intravenous solution 50 mg/5 ml viorele (28) oral tablet VIRACEPT RAL TABLET... 6 VIRAMUNE RAL SUSPENSIN... 6 VIRAMUNE XR RAL TABLET EXTENDED RELEASE 24 HR 100 MG... 6 VIRAZLE INHALATIN RECN SLN... 6 VIRDEC DM RAL DRPS. 87 VIREAD RAL PWDER... 6 VIREAD RAL TABLET... 6 VISIN FRMULA RAL TABLET VITALETS RAL TABLET,CHEWABLE vitamin a oral capsule 10,000 unit vitamin a oral capsule 25,000 unit, 8,000 unit VITAMIN C RAL CAPSULE, EXTENDED RELEASE VITAMIN C RAL TABLET,CHEWABLE 500 MG VITAMIN D2 RAL CAPSULE VITAMIN D3 RAL CAPSULE 2,000 UNIT VITAMIN D3 RAL TABLET 1,000 UNIT VITAMIN D3 RAL TABLET 5,000 UNIT VITAMIN D3 RAL TABLET,CHEWABLE 1,000 UNIT VITAMIN K INJECTIN SLUTIN VITAMIN K1 INJECTIN SLUTIN vits a & d-white pet-lanolin topical ointment in packet VIVELLE-DT TRANSDERMAL PATCH SEMIWEEKLY VLTAREN GEL TPICAL GEL... 32

148 voriconazole intravenous solution... 3 VRICNAZLE RAL SUSPENSIN FR RECNSTITUTIN... 3 VRICNAZLE RAL TABLET 200 MG... 3 voriconazole oral tablet 50 mg. 3 VTRIENT RAL TABLET. 20 VPRIV INTRAVENUS RECN SLN VYTRIN RAL TABLET VYTRIN RAL TABLET VYTRIN RAL TABLET VYTRIN RAL TABLET W WAL-DRYL SEVERE ALLERGY-SINUS RAL TABLET WAL-DRYL-D ALLERGY & SINUS RAL TABLET warfarin oral tablet WELCHL RAL PWDER IN PACKET WELCHL RAL TABLET. 44 wera (28) oral tablet wymzya fe oral tablet,chewable X XALKRI RAL CAPSULE 20 XARELT RAL TABLET.. 43 XENAZINE RAL TABLET 24 XGEVA SUBCUTANEUS SLUTIN XIFAXAN RAL TABLET 550 MG XLAIR SUBCUTANEUS RECN SLN XTANDI RAL CAPSULE XYREM RAL SLUTIN.. 36 Y YF-VAX (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN Z zafirlukast oral tablet ZALTRAP INTRAVENUS SLUTIN zamicet oral solution ZANTAC 75 RAL TABLET 68 zarah oral tablet ZAVESCA RAL CAPSULE 60 Z-CF I RAL SUSPENSIN ZELBRAF RAL TABLET 20 ZEMPLAR INTRAVENUS SLUTIN zenchent (28) oral tablet zenchent fe oral tablet,chewable ZENPEP RAL CAPSULE,AYED RELEASE(DR/EC) zeosa oral tablet,chewable ZETIA RAL TABLET ZIAGEN RAL SLUTIN... 6 zidovudine oral capsule... 6 zidovudine oral syrup... 6 zidovudine oral tablet... 6 zinc oxide topical ointment ziprasidone hcl oral capsule ZIRGAN PHTHALMIC GEL zoledronic acid intravenous recon soln zoledronic acid intravenous solution zoledronic acid-mannitol-water intravenous solution ZLINZA RAL CAPSULE. 20 zolmitriptan oral tablet zolmitriptan oral tablet,disintegrating zolpidem oral tablet zolpidem oral tablet,ext release multiphase ZMETA INTRAVENUS SLUTIN 4 MG/100 ML 61 zonisamide oral capsule Z CHEWS RAL TABLET,CHEWABLE ZRTRESS RAL TABLET. 20 ZSTAVAX (PF) SUBCUTANEUS SUSPENSIN FR RECNSTITUTIN ZSTRIX DIABETIC TPICAL CREAM zovia 1/35e (28) oral tablet zovia 1/50e (28) oral tablet ZVIRAX TPICAL CREAM ZYCLARA TPICAL CREAM IN METERED- DSE PUMP ZYCLARA TPICAL CREAM IN PACKET ZYKADIA RAL CAPSULE 20 ZYPREXA INTRAMUSCULAR RECN SLN ZYTIGA RAL TABLET ZYVX INTRAVENUS PARENTERAL SLUTIN 200 MG/100 ML ZYVX INTRAVENUS PARENTERAL SLUTIN 600 MG/300 ML ZYVX RAL SUSPENSIN FR RECNSTITUTIN. 11 ZYVX RAL TABLET... 11

149 Il presente formulario è stato aggiornato in data 8/8/2014. Per informazioni più recenti o altre domande, contattare il Piano al numero oppure, per gli utenti TTY, rari: dal lunedì alla domenica, dalle 8:00 alle 20:00. ppure visitare il sito 15 West 65th Street New York, NY Lun-Dom, dalle 8:00 alle 20: TTY: