MCS Classicare 2010 Formulario II (Limites en Cantidad)

Transcripción

1 MCS Classicare 2010 Formulario II () Para algunos medicamentos, MCS Classicare limita la cantidad de medicamento que puede ser cubierta. Esto puede ser en adición al suplido estándar de un mes o tres meses. Si conoce el nombre del medicamento que está buscando, por favor consulte el índice en la página 30 que tiene los nombres de los medicamentos listados en orden alfabético 1

2 Abilify 1 mg/ml Oral Soln Abilify 10 mg Tab Abilify 15 mg Tab Abilify 2 mg Tab Abilify 20 mg Tab Abilify 30 mg Tab Abilify 5 mg Tab Abilify Discmelt 10 mg Abilify Discmelt 15 mg acarbose 100 mg Tab acarbose 25 mg Tab acarbose 50 mg Tab Accolate 10 mg Tab Accolate 20 mg Tab acetaminophen-codeine 300 mg-15 mg Tab acetaminophen-codeine 300 mg-30 mg Tab acetaminophen-codeine 300 mg-60 mg Tab Aciphex 20 mg Tab Actoplus MET 15 mg-500 mg Tab Actoplus MET 15 mg-850 mg Tab Actos 15 mg Tab Actos 30 mg Tab Actos 45 mg Tab Adcirca 20 mg Tab Advair Diskus 100 mcg-50 mcg/dose for Inhalation Advair Diskus 250 mcg-50 mcg/dose for Inhalation Advair Diskus 500 mcg-50 mcg/dose for Inhalation Advair HFA 115 mcg-21 mcg/actuation Aerosol Inhaler Advair HFA 230 mcg-21 mcg/actuation Aerosol Inhaler Advair HFA 45 mcg-21 mcg/actuation Aerosol Inhaler Afeditab CR 30 mg Afeditab CR 60 mg

3 Aggrenox 200 mg-25 mg 12 hr Cap albuterol sulfate 0.63 mg/3 ml Neb Solution albuterol sulfate 1.25 mg/3 ml Neb Solution albuterol sulfate 2.5 mg/3 ml (0.083 %) Neb Solution albuterol sulfate 5 mg/ml (0.5 %) Neb Solution Aldara 5 % Topical Cream Packet alendronate 10 mg Tab alendronate 35 mg Tab alendronate 40 mg Tab alendronate 5 mg Tab alendronate 70 mg Tab Alinia 100 mg/5 ml Oral Susp Alinia 500 mg Tab Alomide 0.1 % Eye Drops Alphagan P 0.15 % Eye Drops Alrex 0.2 % Eye Drops amlodipine 10 mg Tab amlodipine 2.5 mg Tab amlodipine 5 mg Tab amlodipine-benazepril 10 mg-20 mg Cap amlodipine-benazepril 2.5 mg-10 mg Cap amlodipine-benazepril 5 mg-10 mg Cap amlodipine-benazepril 5 mg-20 mg Cap Amphetamine Salt Combo 10 mg Tab Amphetamine Salt Combo 12.5 mg Tab Amphetamine Salt Combo 15 mg Tab Amphetamine Salt Combo 20 mg Tab Amphetamine Salt Combo 30 mg Tab Amphetamine Salt Combo 5 mg Tab Amphetamine Salt Combo 7.5 mg Tab AndroGel 1 % (50 mg/5 gram) Transdermal Packet Apidra SoloStar 100 unit/ml Sub-Q Insulin Pen

4 APOKYN 10 mg/ml SubQ Cartridge apraclonidine 0.5 % Eye Drops Apri 0.15 mg-30 mcg Tab Apriso gram 24 hr Cap Aptivus 100 mg/ml Oral Soln Aptivus 250 mg Cap Aricept 10 mg Tab Aricept 5 mg Tab Aricept ODT 10 mg Tab, Rapid Dissolve Aricept ODT 5 mg Tab, Rapid Dissolve Arixtra 10 mg/0.8 ml Sub-Q Syringe Arixtra 2.5 mg/0.5 ml Sub-Q Syringe Arixtra 5 mg/0.4 ml Sub-Q Syringe Arixtra 7.5 mg/0.6 ml Sub-Q Syringe Asacol 400 mg Tab Ascomp w/codeine 30 mg-50 mg-325 mg-40 mg Cap Asmanex Twisthaler 220 mcg (120 doses) Breath Activated Asmanex Twisthaler 220 mcg (14 doses) Breath Activated Asmanex Twisthaler 220 mcg (30 doses) Breath Activated Asmanex Twisthaler 220 mcg (60 doses) Breath Activated Astelin 137 mcg Nasal Spray Aerosol Astepro 0.15 % (205.5 mcg) Nasal Spray ATRIPLA 600 mg-200 mg-300 mg Tab Atrovent HFA 17 mcg/actuation Aerosol Inhaler AVANDAMET 2 mg-1,000 mg Tab AVANDAMET 2 mg-500 mg Tab AVANDAMET 4 mg-1,000 mg Tab AVANDAMET 4 mg-500 mg Tab Avandaryl 4 mg-1 mg Tab

5 Avandaryl 4 mg-2 mg Tab Avandaryl 4 mg-4 mg Tab Avandaryl 8 mg-2 mg Tab Avandaryl 8 mg-4 mg Tab Avandia 2 mg Tab Avandia 4 mg Tab Avandia 8 mg Tab Aviane 0.1 mg-20 mcg Tab Avodart 0.5 mg Cap Azasite 1 % Eye Drops azelastine 0.05 % Eye Drops AZILECT 0.5 mg Tab AZILECT 1 mg Tab azithromycin 250 mg Tab azithromycin 500 mg Tab azithromycin 600 mg Tab Azopt 1 % Eye Drops Banzel 200 mg Tab Banzel 400 mg Tab Baraclude 0.05 mg/ml Oral Soln Baraclude 0.5 mg Tab Baraclude 1 mg Tab benazepril 10 mg Tab benazepril 20 mg Tab benazepril 40 mg Tab benazepril 5 mg Tab benazepril-hydrochlorothiazide 10 mg-12.5 mg Tab benazepril-hydrochlorothiazide 20 mg-12.5 mg Tab benazepril-hydrochlorothiazide 20 mg-25 mg Tab benazepril-hydrochlorothiazide 5 mg-6.25 mg Tab Betoptic S 0.25 % Eye Drops Brovana 15 mcg/2 ml Neb Solution

6 Budeprion SR 100 mg Tab Budeprion SR 150 mg Tab Budeprion XL 150 mg 24 hr Tab Budeprion XL 300 mg 24 hr Tab budesonide 0.25 mg/2 ml Neb Suspension budesonide 0.5 mg/2 ml Neb Suspension bupropion HCl 100 mg Tab bupropion HCl 75 mg Tab bupropion HCl SR 100 mg Tab bupropion HCl SR 150 mg Tab bupropion HCl SR 200 mg Tab Byetta 10 mcg/0.04 ml per dose Sub-Q Pen Injector Byetta 5 mcg/0.02 ml per dose Sub-Q Pen Injector Bystolic 10 mg Tab Bystolic 2.5 mg Tab Bystolic 20 mg Tab Bystolic 5 mg Tab calcipotriene % Topical Soln Camila 0.35 mg Tab Canasa 1,000 mg Rectal Suppository captopril 100 mg Tab captopril 12.5 mg Tab captopril 25 mg Tab captopril 50 mg Tab captopril-hydrochlorothiazide 25 mg-15 mg Tab captopril-hydrochlorothiazide 25 mg-25 mg Tab captopril-hydrochlorothiazide 50 mg-15 mg Tab captopril-hydrochlorothiazide 50 mg-25 mg Tab carteolol 1 % Eye Drops carvedilol 12.5 mg Tab carvedilol 25 mg Tab carvedilol mg Tab

7 carvedilol 6.25 mg Tab Celebrex 100 mg Cap Celebrex 200 mg Cap Celebrex 400 mg Cap Celebrex 50 mg Cap Cesia 0.1/0.125/0.15 mg-25 mcg Tab Ciloxan 0.3 % Eye Ointment CIPRODEX 0.3 %-0.1 % Ear Drops, Susp citalopram 10 mg Tab citalopram 10 mg/5 ml Oral Soln citalopram 20 mg Tab citalopram 40 mg Tab clonidine 0.1 mg/24 hr Weekly Transderm Patch clonidine 0.2 mg/24 hr Weekly Transderm Patch clonidine 0.3 mg/24 hr Weekly Transderm Patch clozapine 100 mg Tab clozapine 200 mg Tab clozapine 25 mg Tab clozapine 50 mg Tab codeine-butalbital-acetaminophen-caffeine 30 mg-50 mg mg-40 mg Cap Co-Gesic 5 mg-500 mg Tab Colcrys 0.6 mg Tab CombiPatch 0.05 mg-0.14 mg/24 hr Transdermal CombiPatch 0.05 mg-0.25 mg/24 hr Transdermal Combivent 18 mcg-103 mcg/actuation Aerosol Inhaler Coreg CR 10 mg 24 hr Cap Coreg CR 20 mg 24 hr Cap Coreg CR 40 mg 24 hr Cap Coreg CR 80 mg 24 hr Cap Cozaar 100 mg Tab Cozaar 25 mg Tab

8 Cozaar 50 mg Tab Crestor 10 mg Tab Crestor 20 mg Tab Crestor 40 mg Tab Crestor 5 mg Tab cromolyn 20 mg/2 ml Neb Solution Cryselle (28) 0.3 mg-30 mcg Tab Cymbalta 20 mg Cap Cymbalta 30 mg Cap Cymbalta 60 mg Cap Detrol 1 mg Tab Detrol 2 mg Tab Detrol LA 2 mg 24 hr Cap Detrol LA 4 mg 24 hr Cap dexmethylphenidate 10 mg Tab dexmethylphenidate 2.5 mg Tab dexmethylphenidate 5 mg Tab dextroamphetamine SR 10 mg Cap dextroamphetamine SR 15 mg Cap dextroamphetamine SR 5 mg Cap diclofenac 0.1 % Eye Drops dihydroergotamine 1 mg/ml Injection Diovan 160 mg Tab Diovan 320 mg Tab Diovan 40 mg Tab Diovan 80 mg Tab Diovan HCT 160 mg-12.5 mg Tab Diovan HCT 160 mg-25 mg Tab Diovan HCT 320 mg-12.5 mg Tab Diovan HCT 320 mg-25 mg Tab Diovan HCT 80 mg-12.5 mg Tab dorzolamide 2 % Eye Drops

9 dorzolamide-timolol 2 %-0.5 % Eye Drops Dovonex % Topical Cream doxazosin 1 mg Tab doxazosin 2 mg Tab doxazosin 4 mg Tab doxazosin 8 mg Tab dronabinol 10 mg Cap dronabinol 2.5 mg Cap dronabinol 5 mg Cap DUETACT 30 mg-2 mg Tab DUETACT 30 mg-4 mg Tab Effexor XR 150 mg 24 hr Cap Effexor XR 37.5 mg 24 hr Cap Effexor XR 75 mg 24 hr Cap Effient 10 mg Tab Effient 5 mg Tab Emend 125 mg (1)-80 mg (1)-80 mg(1) Caps in dose pack Emend 125 mg Cap Emend 40 mg Cap Emend 80 mg Cap Emsam 12 mg/24 hr Transderm 24 hr Patch Emsam 6 mg/24 hr Transderm 24 hr Patch Emsam 9 mg/24 hr Transderm 24 hr Patch enalapril maleate 10 mg Tab enalapril maleate 2.5 mg Tab enalapril maleate 20 mg Tab enalapril maleate 5 mg Tab enalapril-hydrochlorothiazide 10 mg-25 mg Tab enalapril-hydrochlorothiazide 5 mg-12.5 mg Tab Endocet 10 mg-325 mg Tab Endocet 10 mg-650 mg Tab

10 Endocet 5 mg-325 mg Tab Endocet 7.5 mg-325 mg Tab Endocet 7.5 mg-500 mg Tab Enpresse (6)/75-40(5)/125-30(10) Tab eplerenone 25 mg Tab eplerenone 50 mg Tab ergotamine-caffeine 1 mg-100 mg Tab Errin 0.35 mg Tab estradiol mg/24 hr Weekly Transderm Patch estradiol mg/24 hr Weekly Transderm Patch estradiol 0.05 mg/24 hr Weekly Transderm Patch estradiol 0.06 mg/24 hr Weekly Transderm Patch estradiol mg/24 hr Weekly Transderm Patch estradiol 0.1 mg/24 hr Weekly Transderm Patch Estring 2 mg Vaginal Evista 60 mg Tab Exelon 1.5 mg Cap Exelon 2 mg/ml Oral Soln Exelon 3 mg Cap Exelon 4.5 mg Cap Exelon 4.6 mg/24 hour Transderm 24 hr Patch Exelon 6 mg Cap Exelon 9.5 mg/24 hour Transderm 24 hr Patch famciclovir 125 mg Tab famciclovir 250 mg Tab famciclovir 500 mg Tab FazaClo 100 mg Tab, Rapid Dissolve FazaClo 12.5 mg Tab, Rapid Dissolve FazaClo 25 mg Tab, Rapid Dissolve fenofibrate 160 mg Tab fenofibrate 54 mg Tab fenofibrate micronized 134 mg Cap

11 fenofibrate micronized 200 mg Cap fenofibrate micronized 67 mg Cap Fenoglide 120 mg Tab Fenoglide 40 mg Tab fentanyl 1,200 mcg Lozenge on a Handle fentanyl 1,600 mcg Lozenge on a Handle fentanyl 100 mcg/hr Transderm Patch fentanyl 12 mcg/hr Transderm Patch fentanyl 200 mcg Lozenge on a Handle fentanyl 25 mcg/hr Transderm Patch fentanyl 400 mcg Lozenge on a Handle fentanyl 50 mcg/hr Transderm Patch fentanyl 600 mcg Lozenge on a Handle fentanyl 75 mcg/hr Transderm Patch fentanyl 800 mcg Lozenge on a Handle fexofenadine 180 mg Tab fexofenadine 30 mg Tab fexofenadine 60 mg Tab finasteride 5 mg Tab Flector 1.3 % Adhesive Patch Flomax 0.4 mg 24 hr Cap Flovent Diskus 100 mcg/actuation for Inhalation Flovent Diskus 250 mcg/actuation for Inhalation Flovent Diskus 50 mcg/actuation for Inhalation Flovent HFA 110 mcg/actuation Aerosol Inhaler Flovent HFA 220 mcg/actuation Aerosol Inhaler Flovent HFA 44 mcg/actuation Aerosol Inhaler flunisolide 25 mcg (0.025 %) Nasal Spray fluoxetine 10 mg Cap fluoxetine 10 mg Tab fluoxetine 20 mg Cap fluoxetine 20 mg Tab

12 fluoxetine 20 mg/5 ml Oral Soln fluoxetine 40 mg Cap flurbiprofen 0.03 % Eye Drops fluticasone 50 mcg/actuation Nasal Spray, Susp fluvoxamine 100 mg Tab fluvoxamine 25 mg Tab fluvoxamine 50 mg Tab Foradil Aerolizer 12 mcg inhalation Caps FORTICAL 200 unit/actuation Nasal Spray Aerosol Fosamax 70 mg/75 ml Oral Soln Fosamax Plus D 70 mg-2,800 unit Tab Fosamax Plus D 70 mg-5,600 unit Tab fosinopril 10 mg Tab fosinopril 20 mg Tab fosinopril 40 mg Tab fosinopril-hydrochlorothiazide 10 mg-12.5 mg Tab fosinopril-hydrochlorothiazide 20 mg-12.5 mg Tab FOSRENOL 1,000 mg Chewable Tab FOSRENOL 500 mg Chewable Tab FOSRENOL 750 mg Chewable Tab Fuzeon 90 mg Sub-Q Kit gabapentin 100 mg Cap gabapentin 300 mg Cap gabapentin 400 mg Cap gabapentin 600 mg Tab gabapentin 800 mg Tab Gabitril 12 mg Tab Gabitril 16 mg Tab Gabitril 2 mg Tab Gabitril 4 mg Tab galantamine 12 mg Tab galantamine 4 mg Tab

13 galantamine 4 mg/ml Oral Soln galantamine 8 mg Tab galantamine SR 16 mg 24 hr Cap galantamine SR 24 mg 24 hr Cap galantamine SR 8 mg 24 hr Cap gemfibrozil 600 mg Tab Geodon 20 mg Cap Geodon 40 mg Cap Geodon 60 mg Cap Geodon 80 mg Cap glimepiride 1 mg Tab glimepiride 2 mg Tab glimepiride 4 mg Tab glipizide 10 mg Tab glipizide 5 mg Tab glipizide ER 10 mg 24 hr Tab glipizide ER 2.5 mg 24 hr Tab glipizide ER 5 mg 24 hr Tab glipizide-metformin 2.5 mg-250 mg Tab glipizide-metformin 2.5 mg-500 mg Tab glipizide-metformin 5 mg-500 mg Tab Glucagon Emergency 1 mg Injection Kit glyburide micronized 1.5 mg Tab glyburide micronized 3 mg Tab glyburide micronized 6 mg Tab glyburide-metformin 1.25 mg-250 mg Tab glyburide-metformin 2.5 mg-500 mg Tab glyburide-metformin 5 mg-500 mg Tab Glyset 100 mg Tab Glyset 25 mg Tab Glyset 50 mg Tab granisetron 1 mg Tab

14 Hepsera 10 mg Tab Humalog 100 unit/ml Sub-Q Humalog Mix unit/ml (50-50) Sub-Q Pen Humalog Mix unit/ml (50-50) Susp, Sub-Q Inj Humalog Mix unit/ml (75-25) Sub-Q Pen Humalog Mix unit/ml (75-25) Susp, Sub-Q Inj Humalog Pen 100 unit/ml SubQ Humulin 70/ unit/ml (70-30) Susp, Sub-Q Inj Humulin 70/30 Pen 100 unit/ml (70-30) SubQ Humulin N 100 unit/ml Susp, Sub-Q Inj Humulin N Pen 100 unit/ml (3 ml) SubQ Humulin R 100 unit/ml Injection Humulin R U-500 "Concentrated" Insulin 500 unit/ml Injection hydrocodone-acetaminophen 10 mg-325 mg Tab hydrocodone-acetaminophen 10 mg-500 mg Tab hydrocodone-acetaminophen 10 mg-660 mg Tab hydrocodone-acetaminophen 10 mg-750 mg Tab hydrocodone-acetaminophen mg Tab hydrocodone-acetaminophen 2.5 mg-500 mg Tab hydrocodone-acetaminophen 5 mg-325 mg Tab hydrocodone-acetaminophen 5 mg-500 mg Tab hydrocodone-acetaminophen 7.5 mg-325 mg Tab hydrocodone-acetaminophen 7.5 mg-500 mg Tab hydrocodone-acetaminophen 7.5 mg-650 mg Tab hydrocodone-acetaminophen 7.5 mg-750 mg Tab hydrocodone-ibuprofen 7.5 mg-200 mg Tab Hyzaar 100 mg-12.5 mg Tab Hyzaar 100 mg-25 mg Tab Hyzaar 50 mg-12.5 mg Tab ibuprofen-oxycodone 400 mg-5 mg Tab Insulin Pen Needle

15 insulin syringe-needle U ml insulin syringe-needle U ml insulin syringe-needle U-100 1/2 ml Intelence 100 mg Tab Invega 1.5 mg 24 hr Tab Invega 3 mg 24 hr Tab Invega 6 mg 24 hr Tab Invega 9 mg 24 hr Tab Invega Sustenna 117 mg/0.75 ml IM Syringe Invega Sustenna 156 mg/ml (1 ml) IM Syringe Invega Sustenna 234 mg/1.5 ml IM Syringe Invega Sustenna 39 mg/0.25 ml IM Syringe Invega Sustenna 78 mg/0.5 ml IM Syringe ipratropium bromide 0.02 % Soln for Inhalation ipratropium bromide 0.03 % Nasal Spray ipratropium bromide 0.06 % Nasal Spray ipratropium-albuterol 0.5 mg-3 mg(2.5 mg base)/3 ml Neb Solution Isentress 400 mg Tab Janumet 50 mg-1,000 mg Tab Janumet 50 mg-500 mg Tab Januvia 100 mg Tab Januvia 25 mg Tab Januvia 50 mg Tab Jolivette 0.35 mg Tab Junel 1.5/30 (21) 1.5 mg-30 mcg Tab Junel 1/20 (21) 1 mg-20 mcg Tab Junel FE 1.5/30 (28) 1.5 mg-30 mcg Tab Junel FE 1/20 (28) 1 mg-20 mcg Tab Kariva 0.15 mg-0.02 mg x21/0.01 mgx5 Tab Kelnor 1/35 (28) 1 mg-35 mcg Tab Keppra XR 500 mg 24 hr Tab

16 Keppra XR 750 mg 24 hr Tab ketorolac 0.4 % Eye Drops ketorolac 0.5 % Eye Drops ketorolac 10 mg Tab ketorolac 15 mg/ml Injection ketorolac 30 mg/ml (1 ml) Injection Lacrisert 5 mg Eye Inserts lansoprazole 15 mg Cap, Delayed Release lansoprazole 30 mg Cap, Delayed Release Lantus 100 unit/ml Sub-Q Lantus Solostar 100 unit/ml (3 ml) Sub-Q Insulin Pen Leena /1/0.5 mg-35 mcg Tab leflunomide 10 mg Tab leflunomide 20 mg Tab Lessina 0.1 mg-20 mcg Tab Letairis 10 mg Tab Letairis 5 mg Tab Levemir 100 unit/ml Sub-Q Levemir Flexpen 100 unit/ml Sub-Q Insulin Pen levetiracetam 1,000 mg Tab levetiracetam 250 mg Tab levetiracetam 500 mg Tab levetiracetam 750 mg Tab levobunolol 0.25 % Eye Drops levobunolol 0.5 % Eye Drops Levora mg-30 mcg Tab Lexapro 10 mg Tab Lexapro 20 mg Tab Lexapro 5 mg Tab Lexapro 5 mg/5 ml Oral Soln Lidoderm 5 % (700 mg/patch) Adhesive Patch lisinopril 10 mg Tab

17 lisinopril 2.5 mg Tab lisinopril 20 mg Tab lisinopril 30 mg Tab lisinopril 40 mg Tab lisinopril 5 mg Tab lisinopril-hydrochlorothiazide 10 mg-12.5 mg Tab lisinopril-hydrochlorothiazide 20 mg-12.5 mg Tab lisinopril-hydrochlorothiazide 20 mg-25 mg Tab Lotemax 0.5 % Eye Drops Lotronex 0.5 mg Tab Lotronex 1 mg Tab lovastatin 10 mg Tab lovastatin 20 mg Tab lovastatin 40 mg Tab Lovenox 100 mg/ml Sub-Q Syringe Lovenox 120 mg/0.8 ml Sub-Q Syringe Lovenox 150 mg/ml Sub-Q Syringe Lovenox 30 mg/0.3 ml Sub-Q Syringe Lovenox 300 mg/3 ml Sub-Q Lovenox 40 mg/0.4 ml Sub-Q Syringe Lovenox 60 mg/0.6 ml Sub-Q Syringe Lovenox 80 mg/0.8 ml Sub-Q Syringe Low-Ogestrel (28) 0.3 mg-30 mcg Tab Lutera (28) 0.1 mg-20 mcg Tab Lyrica 100 mg Cap Lyrica 150 mg Cap Lyrica 200 mg Cap Lyrica 225 mg Cap Lyrica 25 mg Cap Lyrica 300 mg Cap Lyrica 50 mg Cap Lyrica 75 mg Cap

18 maprotiline 25 mg Tab maprotiline 50 mg Tab Margesic-H 5 mg-500 mg Cap Maxalt 10 mg Tab Maxalt 5 mg Tab Maxalt-MLT 10 mg Tab, Rapid Dissolve Maxalt-MLT 5 mg Tab, Rapid Dissolve meloxicam 15 mg Tab meloxicam 7.5 mg Tab meloxicam 7.5 mg/5 ml Oral Susp METADATE ER 20 mg Tab metformin 1,000 mg Tab metformin 500 mg Tab metformin 850 mg Tab metformin ER 500 mg 24 hr Tab metformin ER 750 mg 24 hr Tab Methylin 10 mg Tab Methylin 20 mg Tab Methylin 5 mg Tab Methylin ER 10 mg Tab Methylin ER 20 mg Tab methylphenidate 10 mg Tab methylphenidate 20 mg Tab methylphenidate 5 mg Tab methylphenidate SR 20 mg Tab Microgestin 1.5/30 (21) 1.5 mg-30 mcg Tab Microgestin 1/20 (21) 1 mg-20 mcg Tab Microgestin Fe 1.5/30 (28) 1.5 mg-30 mcg Tab Microgestin FE 1/20 (28) 1 mg-20 mcg Tab Migergot 2 mg-100 mg Rectal Suppository mirtazapine 15 mg Tab mirtazapine 15 mg Tab, Rapid Dissolve

19 mirtazapine 30 mg Tab mirtazapine 30 mg Tab, Rapid Dissolve mirtazapine 45 mg Tab mirtazapine 45 mg Tab, Rapid Dissolve mirtazapine 7.5 mg Tab moexipril 15 mg Tab moexipril 7.5 mg Tab moexipril-hydrochlorothiazide 15 mg-12.5 mg Tab moexipril-hydrochlorothiazide 15 mg-25 mg Tab moexipril-hydrochlorothiazide 7.5 mg-12.5 mg Tab Mononessa (28) 0.25 mg-35 mcg Tab Namenda 10 mg Tab Namenda 10 mg/5 ml Oral Soln Namenda 5 mg Tab nateglinide 120 mg Tab nateglinide 60 mg Tab Necon 0.5/35 (28) 0.5 mg-35 mcg Tab Necon 1/35 (28) 1 mg-35 mcg Tab Necon 7/7/7 (28) 0.5/0.75/1 mg-35 mcg Tab nefazodone 100 mg Tab nefazodone 150 mg Tab nefazodone 200 mg Tab nefazodone 250 mg Tab nefazodone 50 mg Tab Neumega 5 mg Sub-Q Soln Neurontin 250 mg/5 ml Oral Soln Niaspan Extended-Release 1,000 mg Tab Niaspan Extended-Release 500 mg Tab Niaspan Extended-Release 750 mg Tab Nifediac CC 30 mg Tab Nifediac CC 60 mg Tab Nifediac CC 90 mg Tab

20 Nifedical XL 30 mg 24 hr Tab Nifedical XL 60 mg 24 hr Tab nisoldipine SR 20 mg 24 hr Tab nisoldipine SR 30 mg 24 hr Tab nisoldipine SR 40 mg 24 hr Tab Nora-BE 0.35 mg Tab Nortrel 0.5/35 (28) 0.5 mg-35 mcg Tab Nortrel 1/35 (21) 1 mg-35 mcg Tab Nortrel 1/35 (28) 1 mg-35 mcg Tab Nortrel 7/7/7 (28) 0.5/0.75/1 mg-35 mcg Tab Novolin 70/ unit/ml (70-30) Susp, Sub-Q Inj Novolin 70/30 InnoLet 100 unit/ml (70-30) Sub-Q Pen Novolin N 100 unit/ml Susp, Sub-Q Inj Novolin R 100 unit/ml Injection Novolin R 100 unit/ml Injection Novolog 100 unit/ml Sub-Q Novolog Flexpen 100 unit/ml Sub-Q Novolog Mix unit/ml (70-30) Sub-Q Novolog Mix FlexPen 100 unit/ml (70-30) Sub-Q Ocella 3 mg-0.03 mg Tab omeprazole 10 mg Cap, Delayed Release omeprazole 20 mg Cap, Delayed Release omeprazole 40 mg Cap, Delayed Release ondansetron 4 mg Tab, Rapid Dissolve ondansetron 8 mg Tab, Rapid Dissolve ondansetron HCl 24 mg Tab ondansetron HCl 4 mg Tab ondansetron HCl 4 mg/5 ml Oral Soln ondansetron HCl 8 mg Tab Onglyza 2.5 mg Tab Onglyza 5 mg Tab Optivar 0.05 % Eye Drops

21 oxandrolone 10 mg Tab oxandrolone 2.5 mg Tab oxybutynin chloride ER 10 mg 24 hr Tab oxybutynin chloride ER 15 mg 24 hr Tab oxybutynin chloride ER 5 mg 24 hr Tab oxycodone HCl-oxycodone ter-aspirin 4.5 mg-0.38 mg mg Tab oxycodone-acetaminophen 10 mg-325 mg Tab oxycodone-acetaminophen 2.5 mg-325 mg Tab oxycodone-acetaminophen 5 mg-325 mg Tab oxycodone-acetaminophen 5 mg-500 mg Cap oxycodone-acetaminophen 7.5 mg-325 mg Tab oxycodone-acetaminophen 7.5 mg-500 mg Tab OxyContin 10 mg 12 hr Tab OxyContin 15 mg 12 hr Tab OxyContin 20 mg 12 hr Tab OxyContin 30 mg 12 hr Tab OxyContin 40 mg 12 hr Tab OxyContin 60 mg 12 hr Tab OxyContin 80 mg 12 hr Tab pantoprazole 20 mg Tab, Delayed Release pantoprazole 40 mg Tab, Delayed Release paroxetine 10 mg Tab paroxetine 10 mg/5 ml Oral Susp paroxetine 20 mg Tab paroxetine 30 mg Tab paroxetine 40 mg Tab paroxetine SR 12.5 mg 24 hr Tab paroxetine SR 25 mg 24 hr Tab Pataday 0.2 % Eye Drops Patanol 0.1 % Eye Drops Pentasa 250 mg Cap

22 Pentasa 500 mg Cap pentazocine-acetaminophen 25 mg-650 mg Tab perindopril erbumine 2 mg Tab perindopril erbumine 4 mg Tab perindopril erbumine 8 mg Tab Portia 0.15 mg-30 mcg Tab Prandin 0.5 mg Tab Prandin 1 mg Tab Prandin 2 mg Tab pravastatin 10 mg Tab pravastatin 20 mg Tab pravastatin 40 mg Tab pravastatin 80 mg Tab prazosin 1 mg Cap prazosin 2 mg Cap prazosin 5 mg Cap Premphase mg(14)/0.625 mg-5mg(14) Tab Prempro 0.3 mg-1.5 mg Tab Prempro 0.45 mg-1.5 mg Tab Prempro mg-2.5 mg Tab Prempro mg-5 mg Tab Previfem 0.25 mg-35 mcg Tab Pristiq 100 mg 24 hr Tab Pristiq 50 mg 24 hr Tab ProAir HFA 90 mcg/actuation Aerosol Inhaler Promacta 25 mg Tab Promacta 50 mg Tab propoxyphene N-acetaminophen 100 mg-500 mg Tab propoxyphene N-acetaminophen 100 mg-650 mg Tab propoxyphene N-acetaminophen 50 mg-325 mg Tab propoxyphene-acetaminophen 65 mg-650 mg Tab Provigil 100 mg Tab

23 Provigil 200 mg Tab Quasense 0.15 mg-30 mcg Tabs,3 month dose pack quinapril 10 mg Tab quinapril 20 mg Tab quinapril 40 mg Tab quinapril 5 mg Tab quinapril-hydrochlorothiazide 10 mg-12.5 mg Tab quinapril-hydrochlorothiazide 20 mg-12.5 mg Tab quinapril-hydrochlorothiazide 20 mg-25 mg Tab Qvar 40 mcg/actuation Aerosol Inhaler Qvar 80 mcg/actuation Aerosol Inhaler ramipril 1.25 mg Cap ramipril 10 mg Cap ramipril 2.5 mg Cap ramipril 5 mg Cap Ranexa 1,000 mg 12 hr Tab Ranexa 500 mg 12 hr Tab Reclipsen (28) 0.15 mg-30 mcg Tab Relistor 12 mg/0.6 ml Sub-Q Relpax 20 mg Tab Relpax 40 mg Tab Renvela 0.8 gram Oral PwPk Renvela 2.4 gram Oral PwPk Renvela 800 mg Tab Restasis 0.05 % Eye Dropperette Revatio 20 mg Tab risperidone 0.25 mg Tab risperidone 0.25 mg Tab, Rapid Dissolve risperidone 0.5 mg Tab risperidone 0.5 mg Tab, Rapid Dissolve risperidone 1 mg Tab risperidone 1 mg Tab, Rapid Dissolve

24 risperidone 1 mg/ml Oral Soln risperidone 2 mg Tab risperidone 2 mg Tab, Rapid Dissolve risperidone 3 mg Tab risperidone 3 mg Tab, Rapid Dissolve risperidone 4 mg Tab risperidone 4 mg Tab, Rapid Dissolve Roxicet 5 mg-325 mg Tab Sabril 500 mg Oral Powder in Packet Sabril 500 mg Tab safety needles 18 x 1 1/2" Samsca 15 mg Tab Samsca 30 mg Tab Saphris 10 mg Sublingual Tab Saphris 5 mg Sublingual Tab Savella 100 mg Tab Savella 12.5 mg (5)-25 mg(8)-50mg(42) Tabs in a Dose Pack Savella 12.5 mg Tab Savella 25 mg Tab Savella 50 mg Tab Selzentry 150 mg Tab Selzentry 300 mg Tab Sensipar 30 mg Tab Sensipar 60 mg Tab Sensipar 90 mg Tab Serevent Diskus 50 mcg/dose for Inhalation Seroquel 100 mg Tab Seroquel 200 mg Tab Seroquel 25 mg Tab Seroquel 300 mg Tab Seroquel 400 mg Tab

25 Seroquel 50 mg Tab Seroquel XR 150 mg 24 hr Tab Seroquel XR 200 mg 24 hr Tab Seroquel XR 300 mg 24 hr Tab Seroquel XR 400 mg 24 hr Tab Seroquel XR 50 mg 24 hr Tab sertraline 100 mg Tab sertraline 20 mg/ml Oral Concentrate sertraline 25 mg Tab sertraline 50 mg Tab Simcor 1,000 mg-20 mg 24 hr Tab Simcor 500 mg-20 mg 24 hr Tab Simcor 750 mg-20 mg 24 hr Tab simvastatin 10 mg Tab simvastatin 20 mg Tab simvastatin 40 mg Tab simvastatin 5 mg Tab simvastatin 80 mg Tab Singulair 10 mg Tab Singulair 4 mg Chewable Tab Singulair 4 mg Oral Granules in Packet Singulair 5 mg Chewable Tab Solia 0.15 mg-30 mcg Tab Spiriva with HandiHaler 18 mcg & inhalation Caps Sprintec (28) 0.25 mg-35 mcg Tab sumatriptan 100 mg Tab sumatriptan 25 mg Tab sumatriptan 4 mg/0.5 ml Sub-Q sumatriptan 50 mg Tab sumatriptan 6 mg/0.5 ml Sub-Q Symbicort 160 mcg-4.5 mcg/actuation Inhalation HFA Aerosol Inhaler

26 Symbicort 80 mcg-4.5 mcg/actuation Inhalation HFA Aerosol Inhaler Symlin 600 mcg/ml Sub-Q SymlinPen 120 2,700 mcg/2.7 ml Sub-Q Pen Injector SymlinPen 60 1,500 mcg/1.5 ml Sub-Q Pen Injector Tamiflu 12 mg/ml Oral Susp Tamiflu 30 mg Cap Tamiflu 45 mg Cap Tamiflu 75 mg Cap terazosin 1 mg Cap terazosin 10 mg Cap terazosin 2 mg Cap terazosin 5 mg Cap terbinafine 250 mg Tab ticlopidine 250 mg Tab timolol maleate 0.25 % Eye Drops timolol maleate 0.5 % Eye Drops tobramycin-dexamethasone 0.3 %-0.1 % Eye Drops, Susp Tracleer 125 mg Tab Tracleer 62.5 mg Tab tramadol 50 mg Tab tramadol ER 100 mg 24 hr Tab tramadol ER 200 mg 24 hr Tab tramadol-acetaminophen 37.5 mg-325 mg Tab trandolapril 1 mg Tab trandolapril 2 mg Tab trandolapril 4 mg Tab Travatan Z % Eye Drops Tricor 145 mg Tab Tricor 48 mg Tab Trilipix 135 mg Cap Trilipix 45 mg Cap

27 TriNessa (28) 0.18/0.215/0.25 mg-35 mcg(28) Tab Tri-Previfem (28) 0.18/0.215/0.25 mg-35 mcg(28) Tab Tri-Sprintec (28) 0.18/0.215/0.25 mg-35 mcg(28) Tab Trivora (28) (6)/75-40(5)/125-30(10) Tab Twinject Autoinjector 0.15 mg/0.15 ml (1:1,000) IM Pen Twinject Autoinjector 0.3 mg/0.3 ml (1:1,000) IM Pen Tyzeka 600 mg Tab Uloric 40 mg Tab Uloric 80 mg Tab Uroxatral 10 mg 24 hr Tab valacyclovir 1 g Tab valacyclovir 500 mg Tab Valtrex 1 g Tab Valtrex 500 mg Tab Velivet 0.1/0.125/0.15 mg-25 mcg Tab venlafaxine 100 mg Tab venlafaxine 25 mg Tab venlafaxine 37.5 mg Tab venlafaxine 50 mg Tab venlafaxine 75 mg Tab venlafaxine ER 150 mg 24 hr Tab venlafaxine ER 225 mg 24 hr Tab venlafaxine ER 37.5 mg 24 hr Tab venlafaxine ER 75 mg 24 hr Tab Veregen 15 % Ointment Vfend 200 mg Tab Vfend 200 mg/5 ml (40 mg/ml) Oral Susp Vfend 50 mg Tab Victoza 0.6 mg/0.1 ml (18 mg/3 ml) Sub-Q Pen Injector Vimpat 100 mg Tab Vimpat 150 mg Tab Vimpat 200 mg Tab

28 Vimpat 200 mg/20 ml IV Vimpat 50 mg Tab Vivelle-Dot mg/24 hr Transderm Patch Vivelle-Dot mg/24 hr Transderm Patch Vivelle-Dot 0.05 mg/24 hr Transderm Patch Vivelle-Dot mg/24 hr Transderm Patch Vivelle-Dot 0.1 mg/24 hr Transderm Patch Xalatan % Eye Drops Xenazine 12.5 mg Tab Xenazine 25 mg Tab Xopenex HFA 45 mcg/actuation Aerosol Inhaler zaleplon 10 mg Cap zaleplon 5 mg Cap Zegerid 20 mg-1,680 mg Oral Packet Zegerid 20 mg-1.1 gram Cap Zegerid 40 mg-1,680 mg Oral Packet Zegerid 40 mg-1.1 gram Cap Zetia 10 mg Tab zolpidem 10 mg Tab zolpidem 5 mg Tab Zonalon 5 % Topical Cream Zovia 1/35E (28) 1 mg-35 mcg Tab Zovia 1/50E (28) 1 mg-50 mcg Tab Zovirax 5 % Ointment Zovirax 5 % Topical Cream Zyprexa 10 mg Tab Zyprexa 15 mg Tab Zyprexa 2.5 mg Tab Zyprexa 20 mg Tab Zyprexa 5 mg Tab Zyprexa 7.5 mg Tab Zyprexa Zydis 10 mg Tab, Rapid Dissolve

29 Zyprexa Zydis 15 mg Tab, Rapid Dissolve Zyprexa Zydis 20 mg Tab, Rapid Dissolve Zyprexa Zydis 5 mg Tab, Rapid Dissolve

30 A Abilify... 2 acarbose... 2 Accolate... 2 acetaminophen-codeine... 2 Aciphex... 2 Actoplus MET... 2 Actos... 2 Adcirca... 2 Advair Diskus... 2 Advair HFA... 2 Afeditab... 2 Aggrenox... 3 albuterol sulfate... 3 Aldara... 3 alendronate... 3 Alinia... 3 Alomide... 3 Alphagan... 3 Alrex... 3 amlodipine... 3 amlodipine-benazepril... 3 Amphetamine Salt Combo... 3 AndroGel... 3 Apidra SoloStar... 3 APOKYN... 4 apraclonidine... 4 Apri... 4 Apriso... 4 Aptivus... 4 Aricept... 4 Arixtra... 4 Asacol... 4 Ascomp w/codeine... 4 Asmanex Twisthaler... 4 Astelin... 4 Astepro... 4 ATRIPLA... 4 Atrovent... 4 AVANDAMET... 4 Avandaryl... 4, 5 Avandia... 5 Aviane... 5 Avodart... 5 Azasite... 5 azelastine... 5 AZILECT... 5 azithromycin... 5 Azopt... 5 B Banzel... 5 Baraclude... 5 benazepril... 5 benazepril-hydrochlorothiazide 5 Betoptic... 5 Brovana... 5 Budeprion SR... 6 Budeprion XL... 6 budesonide... 6 bupropion HCl... 6 Byetta... 6 Bystolic... 6 C calcipotriene... 6 Camila... 6 Canasa... 6 captopril... 6 captopril-hydrochlorothiazide... 6 carteolol... 6 carvedilol... 6, 7 Celebrex... 7 Cesia... 7 Ciloxan... 7 CIPRODEX... 7 citalopram... 7 clonidine... 7 clozapine... 7 codeine-butalbitalacetaminophen-caffeine 30 mg-50 mg-325 mg-40 mg Cap... 7 Co-Gesic... 7 Colcrys... 7 CombiPatch... 7 Combivent... 7 Coreg CR... 7 Cozaar... 7, 8 Crestor... 8 cromolyn... 8 Cryselle... 8 Cymbalta D Detrol... 8 Detrol LA... 8 dexmethylphenidate... 8 dextroamphetamine SR... 8 diclofenac... 8 dihydroergotamine... 8 Diovan... 8 dorzolamide... 8 dorzolamide-timolol... 9 Dovonex... 9 doxazosin... 9 dronabinol... 9 DUETACT... 9 E Effexor XR... 9 Effient... 9 Emend... 9 Emsam... 9 enalapril maleate... 9 enalapril-hydrochlorothiazide... 9 Endocet... 9, 10

31 Enpresse eplerenone ergotamine-caffeine Errin estradiol Estring Evista Exelon F famciclovir FazaClo fenofibrate... 10, 11 Fenoglide fentanyl fexofenadine finasteride Flector Flomax Flovent Diskus Flovent HFA flunisolide fluoxetine... 11, 12 flurbiprofen fluticasone fluvoxamine Foradil Aerolizer FORTICAL Fosamax Fosamax Plus D fosinopril FOSRENOL Fuzeon G gabapentin Gabitril galantamine... 12, 13 gemfibrozil Geodon glimepiride glipizide Glucagon glyburide micronized glyburide-metformin Glyset granisetron H Hepsera Humalog Humulin hydrocodone-acetaminophen. 14 hydrocodone-ibuprofen Hyzaar I ibuprofen-oxycodone Insulin... 3, 14, 16 insulin syringe-needle Intelence Invega ipratropium bromide ipratropium-albuterol Isentress J Janumet Januvia Jolivette Junel K Kariva Kelnor Keppra XR... 15, 16 ketorolac L Lacrisert lansoprazole Lantus Leena leflunomide Lessina Letairis Levemir levetiracetam levobunolol Levora Lexapro Lidoderm lisinopril... 16, 17 lisinopril-hydrochlorothiazide Lotemax Lotronex lovastatin Lovenox Low-Ogestrel Lutera Lyrica M maprotiline Margesic-H Maxalt meloxicam METADATE metformin... 13, 18 Methylin methylphenidate Microgestin Migergot

32 mirtazapine... 18, 19 moexipril Mononessa N Namenda nateglinide Necon nefazodone Neumega Neurontin Niaspan Extended-Release Nifediac CC Nifedical XL nisoldipine SR Nora-BE Nortrel Novolin Novolog O Ocella omeprazole ondansetron Onglyza Optivar oxandrolone oxybutynin chloride ER oxycodone HCl-oxycodone teraspirin oxycodone-acetaminophen OxyContin P pantoprazole paroxetine Pataday Patanol Pentasa... 21, 22 pentazocine-acetaminophen perindopril erbumine Portia Prandin pravastatin prazosin Premphase Prempro Previfem Pristiq ProAir HFA Promacta propoxyphene N-acetaminophen propoxyphene-acetaminophen 22 Provigil... 22, 23 Q Quasense quinapril Qvar R ramipril Ranexa Reclipsen Relistor Relpax Renvela Restasis Revatio risperidone... 23, 24 Roxicet S Sabril safety needles Samsca Saphris Savella Selzentry Sensipar Serevent Diskus Seroquel... 24, 25 Seroquel XR sertraline Simcor simvastatin Singulair Solia Spiriva Sprintec sumatriptan Symbicort... 25, 26 Symlin SymlinPen T Tamiflu terazosin terbinafine ticlopidine timolol maleate tobramycin-dexamethasone Tracleer tramadol tramadol ER tramadol-acetaminophen trandolapril Travatan Tricor Trilipix TriNessa Tri-Previfem... 27

33 Tri-Sprintec Trivora Twinject Autoinjector Tyzeka U Uloric Uroxatral V valacyclovir Valtrex Velivet venlafaxine Veregen Vfend Victoza Vimpat... 27, 28 Vivelle-Dot X Xalatan Xenazine Xopenex HFA Z zaleplon Zegerid Zetia zolpidem Zonalon Zovia Zovirax Zyprexa... 28, 29 33