AvMed Medicare Choice

Transcripción

1 AvMed Medicare Choice Formulario 2015 (Lista de s Cubiertos) POR FAVOR LEA: ESTE DOCUMENTO CONTIENE INFORMACIÓN SOBRE LOS MEDICAMENTOS QUE CUBRIMOS EN ESTE PLAN Nota para los afiliados: Este formulario ha cambiado desde el año pasado. Por favor revise este documento para asegurarse de que todavía contiene los medicamentos que toma. Este formulario ha sido actualizado para el 09/01/2015. Para obtener información más reciente o respuestas a sus preguntas, por favor llame al Departamento de Servicios a los Afiliados de AvMed Choice al desde el 1ro de octubre al 14 de febrero: 8:00 am a 8:00 pm, los 7 días de la semana. Y del 15 de febrero al 30 de septiembre: 8:00 am a 8:00 pm, de lunes a viernes, y 9:00 am a 1:00 pm los sábados (para los usuarios de TTY, 711 o el , los 7 días a la semana y las 24 horas del día) o visite Este documento incluye una lista de los medicamentos (el formulario) de nuestro plan cuya actualización parte del 1 de septiembre de Para un formulario actualizado, por favor póngase en contacto con nosotros. La información para comunicarse con nosotros, junto con la fecha de la última vez que actualizamos el formulario, aparece aquí en la portada y la contraportada. Por lo general debe usar las farmacias de la red para tener derecho a su beneficio de medicamentos por receta. Los beneficios, el formulario, la red de farmacias, la prima o los copagos y coaseguros pueden cambiar el 1 de enero de 2016 Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro Departamento de Servicios para Afiliados al número que aparece arriba. HPMS Approved Formulary File Submission ID , Version 24 AvMed Medicare Choice es un plan de HMO con contrato de Medicare. Inscripción en AvMed depende de la renovación del contrato. H1016_PH194SP _final accepted

2 En qué consiste el formulario completo de AvMed Medicare Choice? Un formulario es una lista de medicamentos cubiertos y seleccionados por AvMed para sus planes Medicare Choice en consulta con un equipo de profesionales médicos. Representa las terapias de medicamentos recetados que se consideran parte necesaria de un programa de tratamiento de calidad. AvMed Medicare Choice generalmente cubrirán los medicamentos incluidos en nuestro formulario siempre y cuando los medicamentos sean médicamente necesarios; las recetas se despachen en una farmacia de AvMed Medicare Choice y se siguen otras reglas del plan. Para obtener más información sobre cómo presentar sus recetas, por favor revise su Constancia de Cobertura. El formulario (lista de medicamentos) puede cambiar? En general, si usted está tomando un medicamento que aparece en nuestro formulario del 2015 y que estaba cubierto a principios de año, no vamos a interrumpir o reducir la cobertura del medicamento durante el año de cobertura 2015, excepto cuando un medicamento genérico nuevo y menos costoso esté disponible o cuando nueva información adversa sobre la seguridad o eficacia de un fármaco se dé a conocer. Otros tipos de cambios en el formulario, como la eliminación de un medicamento de nuestro formulario, no afectarán a los afiliados que actualmente están tomando el medicamento. Seguirá disponible al mismo costo compartido para esos afiliados que lo tomen durante el resto del año de cobertura. Creemos que es importante que usted tenga acceso continuo durante el resto del año de cobertura a los medicamentos que estaban disponibles cuando escogió nuestro plan, excepto en los casos en los que usted puede ahorrar dinero adicional o podemos garantizar su seguridad. Si eliminamos medicamentos de nuestro formulario, añadimos el requisito de autorización previa, límites en las cantidades o restricciones de terapias escalonadas para un medicamento, o elevamos un medicamento a un nivel de costo compartido más alto, entonces debemos notificar a los afiliados afectados al menos 60 días antes de que el cambio entre en vigor, o en el momento en que el afiliado solicite una repetición del medicamento; en ese momento el afiliado recibirá un suministro de 60 días del medicamento. Si la Administración de Alimentos y s (del Gobierno Federal) menciona que un medicamento de nuestro formulario puede ser peligroso o el fabricante del medicamento retira el medicamento del mercado, entonces procederemos a eliminar inmediatamente el medicamento de nuestro formulario y avisaremos a los afiliados que toman el medicamento. Este nuevo formulario está vigente a partir del 1 de agosto de Para obtener información actualizada sobre los medicamentos cubiertos por AvMed Medicare Choice, comuníquese con nosotros. Nuestro teléfono y demás información para contactarnos aparece en la portada y contraportada de este formulario. Cómo uso este formulario? Hay dos formas de encontrar su medicamento en el formulario: Problema Médico El formulario comienza en la página 2. Los medicamentos en este formulario están agrupados por categoría, según su aplicación a una enfermedad o problema médico. Por ejemplo, los medicamentos utilizados para tratar una enfermedad del corazón se encuentran dentro de la categoría Cardiovascular, Hipertensión/Lípidos. Si usted sabe para lo que se usa su medicamento, busque el nombre de la categoría en la lista que comienza en la página 2, y bajo esa categoría busque el nombre de su medicamento. Índice Alfabético Si no está seguro de la categoría, debe buscar su medicamento en el índice que comienza en la página 79. En el índice verá una lista alfabética de todos los medicamentos en este formulario. Tanto los medicamentos de marca como los medicamentos genéricos aparecen en el índice. Busque en el índice y encuentre su medicamento. Al lado de su medicamento, usted verá el número de la página donde se puede encontrar ii

3 información sobre la cobertura. Vaya a la página indicada en el índice y busque el nombre de su medicamento en la primera columna de la lista. Qué es un medicamento genérico? AvMed Medicare Choice cubre tanto los medicamentos de marca como los medicamentos genéricos. Un medicamento genérico es aprobado por la agencia federal FDA al comprobar que tiene el mismo ingrediente activo que el medicamento de marca. Por lo general, los medicamentos genéricos cuestan menos que los medicamentos de marca. Hay alguna restricción en la cobertura? Algunos medicamentos cubiertos pueden estar sujetos a requisitos adicionales o límites en la cobertura. Estos requisitos y límites pueden incluir lo siguiente: Autorización Previa: AvMed Medicare Choice t requiere que usted [o su médico] obtenga autorización previa para ciertos medicamentos. Esto significa que usted tendrá que obtener la aprobación de AvMed Medicare Choice t para que le despachen su receta o recetas. Si no obtiene la aprobación, AvMed Medicare Choice y pudiera no cubrir el medicamento. Límites en las Cantidades: Para ciertos medicamentos, AvMed Medicare Choice y limita la cantidad. Por ejemplo, AvMed Medicare Choice proporciona 30 unidades por receta de Zetia. Esto puede ser después de un mes o tres meses de suministro estándar. Terapia Escalonada: En algunos casos, AvMed Medicare Choice t requiere que usted pruebe primero ciertos medicamentos para el problema médico que padece antes de cubrir otro medicamento para ese mismo problema. Por ejemplo, si el medicamento A y el medicamento B son indicados para su situación médica, AvMed Medicare Choice puede no cubrir el medicamento B a menos que usted pruebe primero el medicamento A. Si el medicamento A no le da resultado, entonces AvMed Medicare Choice cubrirá el medicamento B. Usted puede verificar si su medicamento tiene requisitos adicionales o límites buscando en el formulario que comienza en la página 2. También en nuestro sitio Web puede obtener más información acerca de las restricciones a los medicamentos cubiertos. Nuestra información de contacto, junto con la fecha de la última vez que se actualizó el formulario, aparece en la portada y la contraportada de este formulario. Usted puede pedirles al Medicare Choice AvMed que haga una excepción a estas restricciones o límites, o que le faciliten una lista de otros medicamentos similares que estén indicados para su padecimiento. Consulte la sección " Cómo puedo pedir una excepción al formulario de AvMed Medicare Choice " en la página iv para obtener información sobre cómo solicitar este tipo de excepción. Qué pasa si mi medicamento no aparece en el formulario? Si su medicamento no aparece en este formulario (lista de medicamentos cubiertos), primero debe llamar al Departamento de Servicios a los Afiliados y preguntar si su medicamento está cubierto. Si le informan que AvMed Medicare Choice no cubre su medicamento, usted tiene dos opciones: Puede pedir al Departamento de Servicios a los Afiliados una lista de medicamentos similares que estén cubiertos por AvMed Medicare Choice t. Cuando reciba la lista, muéstresela a su médico y pídale que le recete un medicamento similar que esté cubierto por AvMed Medicare Choice. iii

4 Puede pedir al Medicare Choice AvMed que haga una excepción y cubra su medicamento. Vea más abajo la información sobre cómo solicitar una excepción. Cómo puedo pedir una excepción al formulario de AvMed Medicare Choice? Puede solicitar que AvMed Medicare Choice haga una excepción a nuestras reglas de cobertura. Hay varios tipos de excepciones que usted puede pedirnos que hagamos: Puede pedirnos que cubramos un medicamento, incluso si no está en nuestro formulario. Si se aprueba, este medicamento será cubierto en un nivel de costo compartido predeterminado, y usted no podría pedirnos que le proporcionemos el medicamento a un nivel más bajo de costo compartido. Usted puede pedirnos que cubramos un medicamento del formulario en un nivel de costo compartido más bajo si este medicamento no está en el nivel de especialidad. Si se aprueba, esto reduciría la cantidad que debe pagar por su medicamento. Puede solicitarnos que no apliquemos a su medicamento las restricciones o los límites de cobertura. Por ejemplo, para ciertos medicamentos, AvMed Medicare Choice limita la cantidad del medicamento que cubrimos. Si su medicamento tiene un límite en la cantidad, puede solicitarnos que no apliquemos el límite y cubramos una mayor cantidad. Por lo general, AvMed Medicare Choice sólo aprobará su solicitud para una excepción si los medicamentos alternativos incluidos en el formulario del plan, o el medicamento de costo compartido más bajo o las restricciones de utilización adicionales no resultaran ser tan efectivos para tratar su problema médico o causaran efectos médicos adversos. Usted debe comunicarse con nosotros para solicitar una decisión inicial de cobertura para una excepción a la restricción ya sea de formulario, de niveles o de utilización. Cuando usted solicita una excepción a una restricción de formulario, de niveles o de utilización, debe presentar una declaración del que prescribe o del médico que respalde su solicitud. Por lo general, debemos tomar nuestra decisión dentro de las 72 horas de haber recibido la declaración de apoyo de su médico. Usted puede solicitar una excepción acelerada (rápida) si usted o su médico creen que su salud podría verse seriamente afectada si espera hasta el límite de 72 horas para tomar una decisión. Si se aprueba su solicitud de acelerar el trámite, debemos darle una decisión a lo sumo 24 horas después de recibir una declaración de apoyo de su médico u otro proveedor. Qué debo hacer antes de que pueda hablar con mi médico para cambiar mis medicamentos o pedir una excepción? Como afiliado nuevo de nuestro plan, usted puede estar tomando medicamentos que no están en nuestro formulario. O, usted puede estar tomando un medicamento que está en nuestro formulario pero su capacidad para obtener el medicamento es limitada. Por ejemplo, es posible que necesite una autorización previa de nosotros antes de que pueda obtener el medicamento recetado. Usted debe hablar con su médico para decidir si debe cambiar a un medicamento apropiado que nosotros cubramos o solicitar una excepción al formulario para que podamos cubrir el medicamento que usted toma. Mientras usted consulta con su médico para determinar el curso de acción correcto para usted, podemos cubrir su medicamento en ciertos casos durante los primeros 90 días que ser afiliado de nuestro plan. Para cada uno de los medicamentos que no esté en nuestro formulario o si le resulta difícil obtener sus medicamentos, cubriremos un suministro temporal para 31 días (a menos que tenga una receta para menos días) cuando vaya a una farmacia de la red. Después de su primer suministro de 31 días, no pagaremos esos medicamentos, incluso si usted ha sido afiliado del plan por menos de 90 días. iv

5 Si usted es residente de un centro de atención a largo plazo, le permitiremos que repita su receta hasta que le hayamos proporcionado un suministro de transición para 91 días, de acuerdo con el incremento de dispensación (a menos que tenga una receta por menos días). Le cubriremos más de una repetición de esos medicamentos durante los primeros 90 días de usted pertenecer a nuestro plan. Si necesita un medicamento que no está en nuestro formulario o si su habilidad para obtener sus medicamentos es limitada, pero ya pasaron los primeros 90 días de su afiliación a nuestro plan, cubriremos un suministro de emergencia de 31 días de ese medicamento (a menos que usted tenga una receta para menos días) mientras solicita una excepción al formulario. Para más información Para obtener información más detallada acerca de la cobertura de los medicamentos por receta de AvMed Medicare Choice, por favor consulte su Constancia de Cobertura y otros materiales informativos del plan. Si usted tiene preguntas acerca de AvMed Medicare Choice, por favor póngase en contacto con nosotros. Nuestro teléfono y la fecha de la última vez que se actualizó el formulario, aparecen en la portada y la contraportada. Si usted tiene preguntas en general sobre la cobertura de los medicamentos por receta del Medicare, llame al Medicare al MEDICARE ( ) las 24 horas del día y los 7 días de la semana. Los usuarios de TTY deben llamar al O visite v

6 Formulario del AvMed Medicare Choice En este formulario completo que aparece a continuación encontrará la cobertura de los medicamentos cubiertos por AvMed Medicare Choice. Si tiene problemas para encontrar su medicamento en la lista, consulte el índice que comienza en la página 79. La primera columna de la tabla indica el nombre del medicamento. Los medicamentos de marca aparecen en letras mayúsculas (por ejemplo, ZETIA) y los medicamentos genéricos aparecen en cursiva y en minúsculas (por ejemplo, amoxicilina). La información contenida en la columna de Requisitos/Límites le dice si AvMed Medicare Choice tiene algún requisito especial para la cobertura de su medicamento. Lista de Abreviaturas y Su Significado B/D : Este medicamento por receta puede estar cubierto bajo la Parte B o la D del Medicare, dependiendo de las circunstancias. Para tomar una determinación, puede ser que se necesite presentar información que describa el uso y las circunstancias del medicamento. EX : s Realzado. Este medicamento por receta normalmente no está cubierto por ningún plan de Medicare para recetas médicas. La cantidad que usted paga cuando le despachan la receta de este medicamento no cuenta para sus costos totales de medicamentos (es decir, la cantidad que usted paga no le ayuda a calificar para la cobertura catastrófica). Además, si está recibiendo ayuda adicional para pagar sus medicamentos por receta, usted no conseguirá ningún tipo de ayuda adicional para costear este medicamento. GC : Cobertura de Brecha. Proporcionamos cobertura para este medicamento por receta en la Etapa de Falta de Cobertura. Por favor consulte su Constancia de Cobertura para detalles sobre esta cobertura. LA : Disponibilidad Limitada. Este medicamento por receta puede estar disponible sólo en ciertas farmacias. Para obtener más información, por favor llame al Departamento de Servicios a los Afiliados. MO : Encargo por Correo. Este medicamento por receta está disponible a través de nuestro servicio de pedidos por correo, así como a través de nuestra red de farmacias. Considere usar esta opción de envíos por correo para sus medicamentos a largo plazo (de mantenimiento, como las medicinas para la presión arterial). Las farmacias de la red pueden ser más apropiadas para las recetas sin varias repeticiones (como los antibióticos). PA : Autorización Previa. El Plan requiere que usted o su médico obtenga autorización previa para ciertos medicamentos. Esto significa que usted tendrá que obtener la aprobación antes de que le despachen sus recetas. Si no obtiene la aprobación, es posible que el plan no cubra el medicamento. QL : Límite de Cantidad. Para ciertos medicamentos, el Plan limita la cantidad del medicamento que cubrimos. ST : Terapia Escalonada. En algunos casos, el Plan requiere que usted pruebe primero ciertos medicamentos para su problema médico antes de cubrir otro medicamento. Por ejemplo, si el medicamento A y el medicamento B son indicados para su problema médico, es posible que no cubramos el medicamento B a menos que usted primero pruebe el medicamento A. Si el medicamento A no le funciona, entonces le cubriremos el medicamento B. 1

7 AvMed 2015 eff 09/01/2015 ANTI VIRALES AGENTES ANTIMICÓTICOS ABELCET INJ 5MG/ML 4 B/D AMBISOME INJ 50MG 4 B/D amphotericin b for inj 50 2 GC B/D CANCIDAS INJ 50MG 4 CANCIDAS INJ 70MG 4 clotrimazole troche 10 2 GC ERAXIS INJ 100MG 4 fluconazole for susp 10 /ml 2 GC fluconazole for susp 40 /ml 2 GC fluconazole in dextrose inj GC /200ml fluconazole tab 50 2 GC fluconazole tab GC fluconazole tab 150 fluconazole tab GC flucytosine cap flucytosine cap griseofulvin microsize susp 2 GC 125 /5ml griseofulvin microsize tab GC griseofulvin ultramicrosize tab 2 GC 125 griseofulvin ultramicrosize tab 2 GC 250 itraconazole cap 100 PA QL (120 caps / 30 ketoconazole tab GC NOXAFIL SUS 40MG/ML 3 PA NOXAFIL TAB 100MG 3 PA nystatin susp unit/ml 2 GC nystatin tab unit 2 GC terbinafine hcl tab 250 voriconazole for inj GC voriconazole for susp 40 /ml QL (4 bottles / 30 voriconazole tab 50 voriconazole tab 200 ANTIVIRALES abacavir sulfate tab 300 (base equiv) abacavir 5 QL sulfate-lamivudine-zidovudine tab acyclovir cap GC acyclovir sodium iv soln 50 2 GC B/D /ml acyclovir susp 200 /5ml 2 GC acyclovir tab GC acyclovir tab GC adefovir dipivoxil tab 10 5 QL amantadine hcl cap GC amantadine hcl syrup 50 2 GC /5ml amantadine hcl tab GC APTIVUS CAP 250MG 5 QL QL (120 caps / 30 APTIVUS SOL 5 QL QL (300ml / 30 ATRIPLA TAB 5 QL BARACLUDE SOL.05MG/ML 3 QL QL (600ml /30 BARACLUDE TAB 0.5MG 5 QL BARACLUDE TAB 1MG 5 QL cidofovir iv inj 75 /ml 5 COMPLERA TAB 5 QL CRIXIVAN CAP 200MG 3 CRIXIVAN CAP 400MG 3 didanosine delayed release capsule 125 didanosine delayed release capsule 200 2

8 didanosine delayed release capsule 250 didanosine delayed release capsule 400 EDURANT TAB 25MG 5 QL EMTRIVA CAP 200MG EMTRIVA SOL 10MG/ML QL (850ml / 30 entecavir tab QL entecavir tab 1 5 QL EPIVIR HBV SOL 5MG/ML 3 EPIVIR SOL 10MG/ML 3 QL QL (960ml / 30 EPZICOM TAB QL EVOTAZ TAB QL famciclovir tab 125 famciclovir tab 250 famciclovir tab 500 foscarnet sodium inj 24 /ml 2 GC B/D FUZEON INJ 90MG 5 QL QL (60 vials / 30 ganciclovir sodium for inj GC HARVONI TAB MG 5 QL PA QL (28 tabs / 28 INTELENCE TAB 25MG 4 INTELENCE TAB 100MG 5 QL INTELENCE TAB 200MG 5 QL INVIRASE CAP 200MG QL (300 caps / 30 INVIRASE TAB 500MG 5 QL ISENTRESS CHW 25MG QL (180 tabs / 30 3 QL ISENTRESS CHW 100MG 5 QL QL (180 tabs / 30 ISENTRESS POW 100MG 3 QL QL (3 boxes / 30 ISENTRESS TAB 400MG 5 QL KALETRA SOL 5 QL QL (480ml / 30 KALETRA TAB MG QL (300 tabs / 30 KALETRA TAB MG 5 QL lamivudine tab 100 (hbv) 2 GC lamivudine tab 150 lamivudine tab 300 lamivudine-zidovudine tab LEXIVA SUS 50MG/ML QL (1800ml / 30 LEXIVA TAB 700MG 5 QL nevirapine susp 50 /5ml QL (1200ml / 30 nevirapine tab 200 nevirapine tab sr 24hr 400 NORVIR CAP 100MG QL (360 caps / 30 NORVIR SOL 80MG/ML QL (480ml / 30 NORVIR TAB 100MG QL (360 tabs / 30 OLYSIO CAP 150MG 5 QL PA QL (28 caps / 28 PREZCOBIX TAB QL PREZISTA SUS 100MG/ML 5 PREZISTA TAB 75MG QL (300 tabs / 30 PREZISTA TAB 150MG QL (180 tabs / 30 PREZISTA TAB 600MG 5 QL 3

9 PREZISTA TAB 800MG 5 QL REBETOL SOL 40MG/ML 3 PA RELENZA MIS DISKHALE QL (3 boxes / 180 RESCRIPTOR TAB 100 MG QL (360 tabs / 30 RESCRIPTOR TAB 200MG QL (180 tabs / 30 RETROVIR INJ 10MG/ML 4 REYATAZ CAP 150MG 5 QL QL (60 caps / 30 REYATAZ CAP 200MG 5 QL QL (60 caps / 30 REYATAZ CAP 300MG 5 QL REYATAZ POW 50MG 5 QL QL (150 packets / 30 ribasphere cap GC PA ribasphere tab GC PA ribavirin cap GC PA ribavirin tab GC PA rimantadine hydrochloride tab 2 GC 100 SELZENTRY TAB 150MG 5 QL SELZENTRY TAB 300MG 5 QL SOVALDI TAB 400MG 5 QL PA QL (28 tabs / 28 stavudine cap 15 QL (60 caps / 30 stavudine cap 20 QL (60 caps / 30 stavudine cap 30 QL (60 caps / 30 stavudine cap 40 QL (60 caps / 30 stavudine for oral soln 1 /ml QL (2400ml / 30 STRIBILD TAB 5 SUSTIVA CAP 50MG 3 QL QL (210 caps / 30 SUSTIVA CAP 200MG QL (120 caps / 30 3 QL SUSTIVA TAB 600MG 3 QL SYNAGIS INJ 50MG 5 TAMIFLU CAP 30MG 3 QL QL (84 caps / 180 TAMIFLU CAP 45MG 3 QL QL (42 caps / 180 TAMIFLU CAP 75MG 3 QL QL (42 caps / 180 TAMIFLU SUS 6MG/ML 3 QL QL (600ml / 180 TIVICAY TAB 50MG 5 TRIUMEQ TAB 5 QL TRUVADA TAB QL TYBOST TAB 150MG TYZEKA TAB 600MG 5 QL valacyclovir hcl tab 1 gm valacyclovir hcl tab 500 VALCYTE SOL 50MG/ML 5 VALCYTE TAB 450MG 5 valganciclovir hcl tab QL (base equivalent) VIDEX SOL 2GM QL (1200ml / 30 VIRACEPT TAB 250MG 5 QL QL (300 tabs / 30 VIRACEPT TAB 625MG 5 QL VIRAMUNE XR TAB 100MG VIRAZOLE INH 6GM 5 VIREAD POW 40MG/GM 5 QL QL (4 bottles / 30 VIREAD TAB 150MG 5 QL VIREAD TAB 200MG 5 QL VIREAD TAB 250MG 5 QL 4

10 VIREAD TAB 300MG 5 QL VISTIDE INJ 75MG/ML 4 VITEKTA TAB 85MG 5 QL VITEKTA TAB 150MG 5 QL ZERIT SOL 1MG/ML QL (2400ml / 30 ZIAGEN SOL 20MG/ML 3 QL QL (960ml / 30 zidovudine cap 100 QL (180 caps / 30 zidovudine syrup 10 /ml QL (1840ml /30 zidovudine tab 300 CEFALOSPORINAS CEDAX CAP 400MG 4 cefaclor cap GC cefaclor cap GC CEFACLOR ER TAB 500MG 2 GC cefadroxil cap GC cefadroxil for susp 250 /5ml 2 GC cefadroxil for susp 500 /5ml 2 GC cefadroxil tab 1 gm 2 GC CEFAZOLIN INJ 1GM/50ML 2 GC cefazolin sodium for inj 1 gm 2 GC cefazolin sodium for inj 10 gm 2 GC cefazolin sodium for inj GC cefdinir cap GC cefdinir for susp 125 /5ml 2 GC cefdinir for susp 250 /5ml 2 GC cefditoren pivoxil tab GC (base equivalent) cefepime hcl for inj 1 gm 2 GC cefepime hcl for inj 2 gm 2 GC cefixime for susp 100 /5ml 2 GC cefixime for susp 200 /5ml 2 GC cefotaxime sodium for inj 1 gm 2 GC cefotaxime sodium for inj 2 gm 2 GC cefotaxime sodium for inj GC CEFOTETAN INJ 1GM/10ML 2 GC CEFOTETAN INJ 2GM/20ML 2 GC CEFOTETAN INJ 10G 2 GC CEFOXITIN INJ 1GM 2 GC CEFOXITIN INJ 2GM 2 GC cefoxitin sodium for inj 10 gm 2 GC cefoxitin sodium for iv soln 1 2 GC gm cefoxitin sodium for iv soln 2 2 GC gm cefpodoxime proxetil for susp 2 GC 50 /5ml cefpodoxime proxetil for susp 2 GC 100 /5ml cefpodoxime proxetil tab GC cefpodoxime proxetil tab GC cefprozil for susp 125 /5ml 2 GC cefprozil for susp 250 /5ml 2 GC cefprozil tab GC cefprozil tab GC ceftazidime for inj 1 gm 2 GC ceftazidime for inj 2 gm 2 GC ceftazidime for inj 6 gm 2 GC CEFTAZIDIME/ SOL D5W 4 1GM CEFTAZIDIME/ SOL D5W 4 2GM CEFTIN SUS 125/5ML 4 CEFTIN SUS 250/5ML 4 ceftriaxone sodium for inj GC ceftriaxone sodium for inj GC ceftriaxone sodium for iv soln 2 GC 1 gm ceftriaxone sodium for iv soln 2 GC 2 gm cefuroxime axetil tab GC cefuroxime axetil tab GC cefuroxime sodium for inj GC gm cefuroxime sodium for inj GC gm cefuroxime sodium for inj GC cephalexin cap GC cephalexin cap GC 5

11 2 GC cephalexin for susp 125 /5ml cephalexin for susp GC /5ml cephalexin tab GC cephalexin tab GC FORTAZ INJ 1GM 4 FORTAZ INJ 2GM 4 FORTAZ INJ 6GM 4 SUPRAX CAP 400MG 4 SUPRAX CHW 100MG 4 SUPRAX CHW 200MG 4 SUPRAX SUS 100/5ML 4 SUPRAX SUS 200/5ML 4 SUPRAX SUS 500/5ML 4 TEFLARO INJ 400MG 4 TEFLARO INJ 600MG 4 ZERBAXA INJ GM 4 ERITROMICINAS/ OTROS MACRÓLIDOS azithromycin for susp 100 /5ml 2 GC azithromycin for susp GC /5ml azithromycin iv for soln GC azithromycin powd pack for 2 GC susp 1 gm azithromycin tab 250 QL (12 tabs / 30 azithromycin tab 500 QL (12 tabs / 30 azithromycin tab 600 clarithromycin for susp GC /5ml clarithromycin for susp GC /5ml clarithromycin tab GC clarithromycin tab GC clarithromycin tab sr 24hr GC DIFICID TAB 200MG PA QL (20 tabs / 30 e.e.s. 400 tab GC ERY-TAB TAB 250MG EC 2 GC ERY-TAB TAB 333MG EC 2 GC ERY-TAB TAB 500MG EC 3 ERYTHROCIN INJ 500MG 4 erythrocin tab GC erythromycin ethylsuccinate 2 GC tab 400 erythromycin tab GC erythromycin tab GC ZMAX SUS 2GM 3 ANTIINFECCIOSOS MISCELÁNEOS ALBENZA TAB 200MG 4 ALINIA SUS 100/5ML QL (60ml / 7 ALINIA TAB 500MG amikacin sulfate inj GC /2ml (250 /ml) atovaquone susp 750 /5ml 2 GC atovaquone-proguanil hcl tab 2 GC atovaquone-proguanil hcl tab 2 GC AZACTAM/DEX INJ 1GM 4 AZACTAM/DEX INJ 2GM 4 aztreonam for inj 1 gm 2 GC baciim inj 50000unt 2 GC BACITRACIN INJ 50000UNT 2 GC BILTRICIDE TAB 600MG 4 CAPASTAT SUL INJ 1GM 4 CAYSTON INH 75MG 5 QL LA QL (1 vial / 28 chloramphenicol sodium 2 GC succinate for iv inj 1 gm chloroquine phosphate tab 2 GC 250 chloroquine phosphate tab 2 GC 500 CLEOCIN/D5W INJ 900MG 4 clindamycin hcl cap 75 2 GC clindamycin hcl cap GC clindamycin hcl cap GC clindamycin palmitate hcl for 2 GC soln 75 /5ml (base equiv) clindamycin phosphate in d5w iv soln 300 /50ml 2 GC 6

12 clindamycin phosphate in d5w 2 GC iv soln 600 /50ml clindamycin phosphate in d5w 2 GC iv soln 900 /50ml clindamycin phosphate iv soln 2 GC 600 /4ml COARTEM TAB MG 3 QL QL (24 tabs / 30 colistimethate sodium for inj 2 GC 150 CUBICIN SOL 500MG 4 dapsone tab 25 3 dapsone tab DARAPRIM TAB 25MG 3 ethambutol hcl tab GC ethambutol hcl tab GC GENTAM/NACL INJ 2 GC 0.9MG/ML GENTAM/NACL INJ 2 GC 1.4MG/ML gentamicin in saline inj GC /ml gentamicin in saline inj 1 2 GC /ml gentamicin in saline inj GC /ml gentamicin in saline inj GC /ml gentamicin sulfate inj 40 2 GC /ml gentamicin sulfate iv soln 10 2 GC /ml hydroxychloroquine sulfate tab 2 GC 200 imipenem-cilastatin 2 GC intravenous for soln 250 imipenem-cilastatin 2 GC intravenous for soln 500 INVANZ INJ 1GM 4 isoniazid inj 100 /ml 2 GC isoniazid syrup 50 /5ml 2 GC isoniazid tab GC isoniazid tab GC ivermectin tab 3 2 GC KETEK TAB 300MG QL (20 tabs / 30 KETEK TAB 400MG QL (20 tabs / 30 LINCOCIN INJ 300MG/ML 4 linezolid tab QL QL (56 tabs / 28 mefloquine hcl tab GC meropenem iv for soln GC metronidazole cap GC metronidazole in nacl 0.79% iv 2 GC soln 500 /100ml metronidazole tab GC metronidazole tab GC MYCOBUTIN CAP 150MG 3 NEBUPENT INH 300MG 4 B/D neomycin sulfate tab GC paromomycin sulfate cap GC PASER GRA 4GM 3 PENTAM 300 INJ 300MG 4 B/D polymyxin b sulfate for inj 2 GC unit PRIMAQUINE TAB 26.3MG 3 pyrazinamide tab GC quinine sulfate cap GC PA rifabutin cap GC rifampin cap GC rifampin cap GC rifampin for inj GC RIFATER TAB 3 SIRTURO TAB 100MG 5 LA PA SIVEXTRO TAB 200MG 3 QL QL (6 tabs / 6 streptomycin sulfate for inj 1 4 gm STROMECTOL TAB 3MG 3 SYNERCID INJ 500MG 5 tinidazole tab GC tinidazole tab GC TOBI PODHALR CAP 28MG 5 QL QL (224 caps / 28 TOBRA/NACL INJ 80/0.9 2 GC tobramycin nebu soln 300 /5ml QL (56 ampules / 28 5 B/D QL 7

13 tobramycin sulfate inj 10 2 GC /ml tobramycin sulfate inj 80 2 GC /2ml (40 /ml) TRECATOR TAB 250MG 3 TYGACIL INJ 50MG 4 XIFAXAN TAB 200MG PA QL (9 tabs / 30 XIFAXAN TAB 550MG 5 QL PA ZYVOX SOL 2MG/ML 3 ZYVOX SUS 100MG/5M 3 QL QL (1800ml / 28 ZYVOX TAB 600MG 3 QL QL (56 tabs / 28 PENICILINAS amoxicillin & k clavulanate 2 GC chew tab amoxicillin & k clavulanate 2 GC chew tab amoxicillin & k clavulanate for 2 GC susp /5ml amoxicillin & k clavulanate for 2 GC susp /5ml amoxicillin & k clavulanate for 2 GC susp /5ml amoxicillin & k clavulanate for 2 GC susp /5ml amoxicillin & k clavulanate tab 2 GC amoxicillin & k clavulanate tab 2 GC amoxicillin & k clavulanate tab 2 GC amoxicillin & k clavulanate tab 2 GC sr 12hr amoxicillin (trihydrate) cap GC amoxicillin (trihydrate) cap GC amoxicillin (trihydrate) chew 2 GC tab 125 amoxicillin (trihydrate) chew 2 GC tab 250 amoxicillin (trihydrate) for susp 125 /5ml 2 GC amoxicillin (trihydrate) for susp 2 GC 200 /5ml amoxicillin (trihydrate) for susp 2 GC 250 /5ml amoxicillin (trihydrate) for susp 2 GC 400 /5ml amoxicillin (trihydrate) tab GC amoxicillin (trihydrate) tab GC ampicillin & sulbactam sodium 2 GC for inj 2-1 gm ampicillin & sulbactam sodium 2 GC for iv soln gm ampicillin & sulbactam sodium 2 GC for iv soln 10-5 gm ampicillin cap GC ampicillin cap GC ampicillin for susp 125 /5ml 2 GC ampicillin for susp 250 /5ml 2 GC ampicillin sodium for inj 1 gm 2 GC ampicillin sodium for inj GC ampicillin sodium for iv soln 10 2 GC gm BACTOCILL INJ DEX 1GM 2 GC BACTOCILL INJ DEX 2GM 2 GC BICILLIN C-R INJ 900/300 4 BICILLIN C-R INJ dicloxacillin sodium cap GC dicloxacillin sodium cap GC nafcillin sodium for inj 1 gm 2 GC nafcillin sodium for inj 10 gm 2 GC oxacillin sodium for inj 2 gm 2 GC oxacillin sodium for inj 10 gm 2 GC PEN G PROC INJ GC PENICILL GK/ INJ DEX 2MU 2 GC PENICILL GK/ INJ DEX 3MU 2 GC penicillin g potassium for inj 2 GC unit penicillin g sodium for inj 2 GC unit penicillin v potassium for soln 125 /5ml 2 GC 8

14 penicillin v potassium for soln 2 GC 250 /5ml penicillin v potassium tab GC penicillin v potassium tab GC pfizerpen-g inj 5mu 2 GC piperacillin 2 GC sodium-tazobactam sodium for inj gm piperacillin 2 GC sodium-tazobactam sodium for inj gm ZOSYN SOL GM 4 ZOSYN SOL G 4 QUINOLONES AVELOX ABC TAB 400MG 4 AVELOX INJ 4 ciprofloxacin 200 /100ml in 2 GC d5w ciprofloxacin for oral susp GC /5ml (5%) (5 gm/100ml) ciprofloxacin for oral susp GC /5ml (10%) (10 gm/100ml) ciprofloxacin hcl tab GC (base equiv) ciprofloxacin hcl tab GC (base equiv) ciprofloxacin hcl tab GC (base equiv) ciprofloxacin hcl tab GC (base equiv) ciprofloxacin iv soln GC /40ml (1%) ciprofloxacin-ciprofloxacin hcl 2 GC tab sr 24hr 500 (base eq) ciprofloxacin-ciprofloxacin hcl 2 GC tab sr 24hr 1000 (base eq) FACTIVE TAB 320MG 3 levofloxacin in d5w iv soln GC /100ml levofloxacin iv soln 25 /ml 2 GC levofloxacin oral soln 25 /ml 2 GC levofloxacin tab GC levofloxacin tab GC levofloxacin tab GC moxifloxacin hcl tab GC (base equiv) ofloxacin tab GC ofloxacin tab GC SULFAS / FÁRMACOS RELACIONADOS SULFADIAZINE TAB 500MG 2 GC sulfamethoxazole-trimethopri 2 GC m iv soln /5ml sulfamethoxazole-trimethopri 2 GC m susp /5ml sulfamethoxazole-trimethopri 2 GC m tab sulfamethoxazole-trimethopri 2 GC m tab TETRACICLINA demeclocycline hcl tab GC demeclocycline hcl tab GC doxy 100 inj GC doxycycline hyclate cap 50 2 GC doxycycline hyclate cap GC doxycycline hyclate for inj GC doxycycline hyclate tab 20 2 GC doxycycline hyclate tab GC doxycycline hyclate tab 2 GC delayed release 75 doxycycline hyclate tab 2 GC delayed release 100 doxycycline hyclate tab 2 GC delayed release 150 doxycycline monohydrate cap 2 GC 75 doxycycline monohydrate for 2 GC susp 25 /5ml doxycycline monohydrate tab 2 GC 50 doxycycline monohydrate tab 2 GC 75 doxycycline monohydrate tab 2 GC 150 minocycline hcl cap 50 2 GC minocycline hcl cap 75 2 GC minocycline hcl cap GC minocycline hcl tab 50 2 GC minocycline hcl tab 75 2 GC 9

15 minocycline hcl tab GC minocycline hcl tab sr 24hr 45 2 GC minocycline hcl tab sr 24hr 90 2 GC minocycline hcl tab sr 24hr 2 GC 135 FÁRMACOS PARA VÍAS URINARIA MACRODANTIN CAP 25MG 4 methenamine hippurate tab 1 2 GC gm MONUROL PAK GRANULES 3 nitrofurantoin macrocrystalline 2 GC cap 50 nitrofurantoin monohydrate 2 GC macrocrystalline cap 100 nitrofurantoin susp 25 /5ml 2 GC PRIMSOL SOL 50MG/5ML 3 trimethoprim tab GC VANCOMICINA vancomycin hcl cap GC vancomycin hcl cap GC vancomycin hcl for inj 10 gm 2 GC vancomycin hcl for inj GC vancomycin hcl for inj GC ANTIINFECCIOSOS FARMACOS ANTIINFECCIOSOS CRESEMBA CAP 186 MG 5 PA CRESEMBA INJ 372MG 5 PA MEDICAMENTOS ANTINEOPLÁSICOS/ INMUNOSUPRESORES UGS FÁRMACOS ADYUVANTES amifostine crystalline for inj 500 dexrazoxane for inj ELITEK INJ 1.5MG 5 KEPIVANCE INJ 6.25MG 5 leucovorin calcium for inj GC leucovorin calcium for inj GC leucovorin calcium tab 5 2 GC leucovorin calcium tab 10 2 GC leucovorin calcium tab 15 2 GC leucovorin calcium tab 25 2 GC mesna inj 100 /ml 2 GC 5 MESNEX TAB 400MG 5 XGEVA INJ 5 QL QL (4 vials / 28 MEDICAMENTOS ANTINEOPLÁSICOS/ INMUNOSUPRESORES ABRAXANE INJ 100MG 5 AFINITOR DIS TAB 2MG 5 QL PA AFINITOR DIS TAB 3MG 5 QL PA AFINITOR DIS TAB 5MG 5 QL PA AFINITOR TAB 2.5MG 5 QL PA AFINITOR TAB 5MG 5 QL PA AFINITOR TAB 7.5MG 5 QL PA AFINITOR TAB 10MG 5 QL PA ALIMTA INJ 500MG 5 anastrozole tab 1 2 GC ARRANON INJ 5MG/ML 5 ARZERRA CON 100/5ML 5 ASTAGRAF XL CAP 0.5MG 4 B/D ASTAGRAF XL CAP 1MG 4 B/D ASTAGRAF XL CAP 5MG 4 B/D AVASTIN INJ 3 azacitidine for inj azathioprine tab 50 2 GC B/D BELEODAQ INJ 500MG 5 PA bicalutamide tab 50 2 GC BICNU INJ 100MG 4 B/D bleomycin sulfate for inj 30 unit 2 GC B/D BOSULIF TAB 100MG 5 QL PA BOSULIF TAB 500MG 5 QL PA BUSULFEX INJ 6MG/ML 5 CAPRELSA TAB 100MG 5 QL LA PA CAPRELSA TAB 300MG 5 QL LA PA carboplatin iv soln GC /15ml CELLCEPT IV INJ 500MG 3 B/D 10

16 CELLCEPT SUS 200MG/ML 5 B/D cisplatin inj 100 /100ml (1 2 GC /ml) cladribine inj 1 /ml 5 B/D CLOLAR INJ 1MG/ML 5 B/D COMETRIQ KIT 60MG 5 PA COMETRIQ KIT 100MG 5 PA COMETRIQ KIT 140MG 5 PA cyclosporine cap 25 2 GC B/D cyclosporine cap GC B/D cyclosporine iv soln 50 /ml 2 GC B/D cyclosporine modified cap 25 2 GC B/D cyclosporine modified cap 50 2 GC B/D cyclosporine modified cap GC B/D cyclosporine modified oral 2 GC B/D soln 100 /ml cytarabine inj pf 100 /ml 2 GC B/D dacarbazine for inj GC DACOGEN INJ 50MG 5 daunorubicin hcl inj 5 /ml 2 GC B/D (base equiv) decitabine for inj 50 5 DOCEFREZ INJ 20MG 5 docetaxel for inj conc 80 5 /4ml (20 /ml) DOCETAXEL INJ 80MG/8ML 5 doxorubicin hcl inj 2 /ml 2 GC B/D DROXIA CAP 200MG 3 DROXIA CAP 300MG 3 DROXIA CAP 400MG 3 ELIGARD INJ 7.5MG 4 ELIGARD INJ 22.5MG 4 ELIGARD INJ 30MG 4 ELIGARD INJ 45MG 5 EMCYT CAP 140MG 4 epirubicin hcl iv soln 50 2 GC /25ml (2 /ml) ERBITUX INJ 100MG 5 ERIVEDGE CAP 150MG 5 QL PA ERWINAZE INJ 10000UNT 5 ETOPOPHOS INJ 100MG 3 etoposide inj 500/25ml (20 2 GC /ml) exemestane tab 25 2 GC FARESTON TAB 60MG 4 FARYDAK CAP 10MG 5 QL PA QL (12 caps / 28 FARYDAK CAP 15MG 5 QL PA QL (12 caps / 28 FARYDAK CAP 20MG 5 QL PA QL (12 caps / 28 FASLODEX INJ 250MG 5 FIRMAGON INJ 80MG 3 FIRMAGON INJ 120MG 5 fludarabine phosphate for inj 2 GC 50 fluorouracil inj 2.5 gm/50ml (50 2 GC B/D /ml) flutamide cap GC FOLOTYN INJ 40MG/2ML 5 gemcitabine hcl for inj 1 gm 5 gengraf cap 25 2 GC B/D gengraf cap GC B/D gengraf sol 100/ml 2 GC B/D GILOTRIF TAB 20MG 5 QL PA GILOTRIF TAB 30MG 5 QL PA QL (40 tabs / 30 GILOTRIF TAB 40MG 5 QL PA GLEEVEC TAB 100MG 5 PA GLEEVEC TAB 400MG 5 QL PA HALAVEN INJ 1MG/2ML 5 HERCEPTIN INJ 440MG 5 HEXALEN CAP 50MG 5 hydroxyurea cap GC IBRANCE CAP 75MG 5 QL PA QL (21 caps / 28 IBRANCE CAP 100MG 5 QL PA QL (21 caps / 28 IBRANCE CAP 125MG 5 QL PA QL (21 caps / 28 ICLUSIG TAB 15MG 5 QL PA ICLUSIG TAB 45MG 5 QL PA 11

17 idarubicin hcl iv inj 10 /10ml 2 GC B/D LUPRON DEPOT INJ 45MG 5 PA (1 /ml) LYNPARZA CAP 50MG 5 QL PA ifosfamide for inj 1 gm 2 GC QL (480 caps / 30 IMBRUVICA CAP 140MG 5 PA LYSODREN TAB 500MG 3 INLYTA TAB 1MG 5 PA MATULANE CAP 50MG 5 INLYTA TAB 5MG 5 QL PA MEGACE ES SUS 625/5ML 3 PA megestrol acetate susp 40 2 GC PA irinotecan hcl inj 100 /5ml 5 /ml (20 /ml) megestrol acetate tab 20 2 GC PA ISTODAX INJ 10MG 5 megestrol acetate tab 40 2 GC PA IXEMPRA KIT INJ 45MG 5 MEKINIST TAB 0.5MG 5 QL LA PA JAKAFI TAB 5MG 5 QL PA MEKINIST TAB 2MG 5 QL LA PA JAKAFI TAB 10MG 5 QL PA melphalan hcl for inj 50 5 JAKAFI TAB 15MG 5 QL PA (base equiv) mercaptopurine tab 50 2 GC JAKAFI TAB 20MG 5 QL PA methotrexate sodium for inj 1 2 GC gm JAKAFI TAB 25MG 5 QL PA methotrexate sodium inj pf 25 2 GC /ml JEVTANA INJ 60/1.5ML 5 PA methotrexate sodium tab GC B/D KADCYLA INJ 100MG 5 PA (base equiv) KEYTRUDA SOL 50MG 5 PA mitomycin for iv soln 20 2 GC LENVIMA CAP 10MG 5 QL PA mitoxantrone hcl inj conc 25 2 GC QL (60 Caps / 30 /12.5ml (2 /ml) LENVIMA CAP 14MG 5 QL PA MUSTARGEN INJ 10MG 3 QL (90 Caps / 30 mycophenolate mofetil cap 2 GC B/D LENVIMA CAP 20MG 5 QL PA 250 QL (30 Caps / 30 mycophenolate mofetil for oral 2 GC LENVIMA CAP 24MG 5 QL PA susp 200 /ml QL (90 Caps / 30 mycophenolate mofetil tab GC B/D letrozole tab GC LEUKERAN TAB 2MG 3 mycophenolate sodium tab dr 2 GC B/D leuprolide acetate inj kit 5 2 GC 180 (mycophenolic acid /ml equiv) lomustine cap 10 4 mycophenolate sodium tab dr 2 GC B/D lomustine cap (mycophenolic acid lomustine cap equiv) NEORAL CAP 25MG 4 B/D LUPR DEP-PED INJ 11.25MG 5 PA NEORAL CAP 100MG 4 B/D LUPR DEP-PED INJ 15MG 5 PA NEORAL SOL 100MG/ML 4 B/D LUPRON DEPOT INJ 3.75MG 5 PA NEXAVAR TAB 200MG 5 QL LA PA LUPRON DEPOT INJ 7.5MG 5 PA LUPRON DEPOT INJ 5 PA NILANDRON TAB 150MG 3 QL 11.25MG QL (40 tabs / 30 LUPRON DEPOT INJ 22.5MG 5 PA NULOJIX INJ 250MG 5 B/D LUPRON DEPOT INJ 30MG 5 PA 12

18 octreotide acetate inj 50 2 GC mcg/ml (0.05 /ml) octreotide acetate inj GC mcg/ml (0.1 /ml) octreotide acetate inj GC mcg/ml (0.2 /ml) octreotide acetate inj mcg/ml (0.5 /ml) octreotide acetate inj mcg/ml (1 /ml) ONCASPAR INJ 750/ML 5 OPDIVO INJ 40MG/4ML 5 PA oxaliplatin iv soln 100 /20ml 5 B/D paclitaxel iv conc 300 /50ml 2 GC (6 /ml) PERJETA INJ 420/14ML 5 PA POMALYST CAP 1MG 5 LA PA POMALYST CAP 2MG 5 LA PA POMALYST CAP 3MG 5 LA PA POMALYST CAP 4MG 5 LA PA PROGRAF INJ 5MG/ML 3 B/D PURIXAN SUS 20MG/ML 5 RAPAMUNE SOL 1MG/ML 3 B/D RAPAMUNE TAB 1MG 3 B/D RAPAMUNE TAB 2MG 5 B/D REVLIMID CAP 2.5MG 5 QL LA PA QL (28 caps / 28 REVLIMID CAP 5MG 5 QL LA PA QL (28 caps / 28 REVLIMID CAP 10MG 5 QL LA PA QL (28 caps / 28 REVLIMID CAP 15MG 5 QL LA PA QL (28 caps / 28 REVLIMID CAP 20MG 5 QL LA PA QL (28 caps / 28 REVLIMID CAP 25MG 5 QL LA PA QL (28 caps / 28 RITUXAN INJ 500MG 5 LA PA SANDIMMUNE CAP 25MG 4 B/D SANDIMMUNE CAP 100MG 4 B/D SANDIMMUNE INJ 50MG/ML 4 B/D SANDIMMUNE SOL 4 B/D 100MG/ML SIGNIFOR INJ 0.3MG/ML 5 PA SIGNIFOR INJ 0.6MG/ML 5 PA SIGNIFOR INJ 0.9MG/ML 5 PA SIMULECT INJ 20MG 5 B/D sirolimus tab GC B/D sirolimus tab 1 2 GC B/D sirolimus tab 2 2 GC B/D SOLTAMOX SOL 10MG/5ML 4 SOMATULINE INJ 60/0.2ML 5 SOMATULINE INJ 90/0.3ML 5 SOMATULINE INJ 120/.5ML 5 SPRYCEL TAB 20MG 5 QL PA SPRYCEL TAB 50MG 5 QL PA SPRYCEL TAB 70MG 5 QL PA SPRYCEL TAB 80MG 5 QL PA SPRYCEL TAB 100MG 5 QL PA SPRYCEL TAB 140MG 5 QL PA STIVARGA TAB 40MG 5 QL PA QL (84 tabs / 28 SUTENT CAP 12.5MG 5 QL PA QL (90 caps / 30 SUTENT CAP 25MG 5 QL PA QL (60 caps / 30 SUTENT CAP 37.5MG 5 QL PA QL (60 caps / 30 SUTENT CAP 50MG 5 QL PA SYLVANT SOL 100MG 5 PA SYNRIBO INJ 3.5MG 5 PA TABLOID TAB 40MG 4 tacrolimus cap GC B/D tacrolimus cap 1 2 GC B/D tacrolimus cap 5 5 B/D TAFINLAR CAP 50MG 5 QL LA PA QL (180 caps / 30 TAFINLAR CAP 75MG 5 QL LA PA QL (120 caps / 30 tamoxifen citrate tab 10 2 GC (base equivalent) tamoxifen citrate tab 20 2 GC (base equivalent) TARCEVA TAB 25MG 5 QL PA TARCEVA TAB 100MG 5 QL PA 13

19 TARCEVA TAB 150MG 5 QL PA TARGRETIN CAP 75MG 5 PA TASIGNA CAP 150MG 5 QL PA QL (112 caps / 28 TASIGNA CAP 200MG 5 QL PA QL (112 caps / 28 THALOMID CAP 50MG 5 PA THALOMID CAP 100MG 5 PA THALOMID CAP 150MG 5 PA THALOMID CAP 200MG 5 PA topotecan hcl for inj 4 5 TORISEL SOL 25MG/ML 5 PA TREANDA INJ 45/0.5ML 5 TREANDA INJ 100MG 5 TRELSTAR MIX INJ 3.75MG 5 TRELSTAR MIX INJ 11.25MG 5 TRELSTAR MIX INJ 22.5MG 5 tretinoin cap 10 5 TRISENOX SOL 10MG/10M 5 TYKERB TAB 250MG 5 QL LA PA QL (150 tabs / 30 VALCHLOR GEL 0.016% 5 PA VECTIBIX INJ 100MG 5 VELCADE INJ 3.5MG 5 VIDAZA INJ 100MG 5 VINBLASTINE INJ 1MG/ML 2 GC B/D vincasar pfs inj 1/ml 2 GC vincristine sulfate iv soln 1 2 GC /ml vinorelbine tartrate inj 50 2 GC /5ml (10 /ml) (base equiv) VOTRIENT TAB 200MG 5 QL PA XALKORI CAP 200MG 5 QL PA QL (60 caps / 30 XALKORI CAP 250MG 5 QL PA QL (60 caps / 30 XTANDI CAP 40MG 5 QL PA QL (120 caps / 30 YERVOY INJ 50MG 5 PA ZALTRAP INJ 100/4ML 5 PA ZANOSAR INJ 1GM 3 ZELBORAF TAB 240MG QL (240 tabs / 30 5 QL PA ZOLINZA CAP 100MG 5 QL QL (120 caps / 30 ZORTRESS TAB 0.5MG 5 B/D QL ZORTRESS TAB 0.25MG 3 B/D QL ZORTRESS TAB 0.75MG 5 B/D QL ZYDELIG TAB 100MG 5 QL PA ZYDELIG TAB 150MG 5 QL PA ZYKADIA CAP 150MG 5 QL PA QL (150 caps / 30 ZYTIGA TAB 250MG 5 QL LA PA MEDICAMENTOS AUTONÓMICOS / SNC, NEUROLOGÍA / SICO ANTICONVULSIVOS APTIOM TAB 200MG 4 APTIOM TAB 400MG 4 APTIOM TAB 600MG 4 APTIOM TAB 800MG 4 BANZEL SUS 40MG/ML QL (2400ml / 30 BANZEL TAB 200MG QL (480 tabs / 30 BANZEL TAB 400MG QL (240 tabs / 30 carbamazepine cap sr 12hr 2 GC 100 carbamazepine cap sr 12hr 2 GC 200 carbamazepine cap sr 12hr 2 GC 300 carbamazepine chew tab GC carbamazepine susp GC /5ml carbamazepine tab GC carbamazepine tab sr 12hr 2 GC 200 carbamazepine tab sr 12hr 2 GC 400 CELONTIN CAP 300MG 3 clonazepam orally disintegrating tab GC 14

20 clonazepam orally 2 GC disintegrating tab 0.25 clonazepam orally 2 GC disintegrating tab clonazepam orally 2 GC disintegrating tab 1 clonazepam orally 2 GC disintegrating tab 2 clonazepam tab GC clonazepam tab 1 2 GC clonazepam tab 2 2 GC diazepam rectal gel delivery 2 GC system 2.5 diazepam rectal gel delivery 2 GC system 10 diazepam rectal gel delivery 2 GC system 20 DILANTIN CAP 30MG 3 DILANTIN CAP 100MG 4 DILANTIN CHW 50MG 4 DILANTIN-125 SUS 125/5ML 4 divalproex sodium cap 2 GC sprinkle 125 divalproex sodium tab delayed 2 GC release 125 divalproex sodium tab delayed 2 GC release 250 divalproex sodium tab delayed 2 GC release 500 divalproex sodium tab sr 24 hr 2 GC 250 divalproex sodium tab sr 24 hr 2 GC 500 epitol tab GC ethosuximide cap GC ethosuximide soln 250 /5ml 2 GC felbamate susp 600 /5ml 2 GC felbamate tab GC felbamate tab GC fosphenytoin sodium inj GC /2ml (phenytoin equiv) FYCOMPA TAB 2MG 4 FYCOMPA TAB 4MG 4 FYCOMPA TAB 6MG 4 FYCOMPA TAB 8MG 4 FYCOMPA TAB 10MG 4 FYCOMPA TAB 12MG 4 gabapentin cap GC gabapentin cap GC gabapentin cap GC gabapentin oral soln 250 /5ml QL (2160ml / 30 gabapentin tab GC gabapentin tab GC GABITRIL TAB 12MG 3 GABITRIL TAB 16MG 3 lamotrigine tab 25 2 GC lamotrigine tab GC lamotrigine tab GC lamotrigine tab GC lamotrigine tab chewable 2 GC dispersible 5 lamotrigine tab chewable 2 GC dispersible 25 lamotrigine tab sr 24hr 25 2 GC lamotrigine tab sr 24hr 50 2 GC lamotrigine tab sr 24hr GC lamotrigine tab sr 24hr GC lamotrigine tab sr 24hr GC lamotrigine tab sr 24hr GC levetiracetam inj 500 /5ml 2 GC (100 /ml) levetiracetam oral soln GC /ml levetiracetam tab 250 levetiracetam tab 500 QL (180 tabs / 30 levetiracetam tab 750 levetiracetam tab 1000 levetiracetam tab sr 24hr 500 QL (180 tabs / 30 levetiracetam tab sr 24hr 750 LYRICA CAP 25MG PA QL (150 caps / 30 LYRICA CAP 50MG QL (150 caps / 30 PA 15

21 LYRICA CAP 75MG PA QL (150 caps / 30 LYRICA CAP 100MG PA QL (150 caps / 30 LYRICA CAP 150MG PA QL (120 caps / 30 LYRICA CAP 200MG PA QL (90 caps / 30 LYRICA CAP 225MG PA QL (60 caps / 30 LYRICA CAP 300MG PA QL (60 caps / 30 LYRICA SOL 20MG/ML 4 PA ONFI SUS 2.5MG/ML 3 ONFI TAB 10MG 3 ONFI TAB 20MG 3 oxcarbazepine susp GC /5ml (60 /ml) oxcarbazepine tab GC oxcarbazepine tab GC oxcarbazepine tab GC PEGANONE TAB 250MG 3 phenobarbital elixir 20 /5ml 2 GC PA phenobarbital tab 15 2 GC PA phenobarbital tab GC PA phenobarbital tab 30 2 GC PA phenobarbital tab GC PA phenobarbital tab 60 2 GC PA phenobarbital tab GC PA phenobarbital tab GC PA phenobarbital tab GC PA PHENYTEK CAP 200MG 4 PHENYTEK CAP 300MG 4 phenytoin chew tab 50 2 GC phenytoin sodium extended 2 GC cap 100 phenytoin sodium extended 2 GC cap 200 phenytoin sodium extended 2 GC cap 300 phenytoin sodium inj 50 /ml 2 GC phenytoin susp 125 /5ml 2 GC POTIGA TAB 50MG 4 POTIGA TAB 200MG 4 POTIGA TAB 300MG 4 POTIGA TAB 400MG 4 primidone tab 50 2 GC primidone tab GC SABRIL POW 500MG 5 QL LA QL (180 packets / 30 SABRIL TAB 500MG 5 QL LA QL (180 tabs / 30 TEGRETOL-XR TAB 100MG 3 tiagabine hcl tab 2 2 GC tiagabine hcl tab 4 2 GC topiramate sprinkle cap 15 2 GC topiramate sprinkle cap 25 2 GC topiramate tab 25 2 GC topiramate tab 50 2 GC topiramate tab GC topiramate tab GC valproate sodium inj GC /ml valproate sodium syrup GC /5ml (base equiv) valproic acid cap GC VIMPAT INJ 200MG/20 QL (60 vials / 30 VIMPAT SOL 10MG/ML QL (1800ml / 30 VIMPAT TAB 50MG VIMPAT TAB 100MG VIMPAT TAB 150MG VIMPAT TAB 200MG zonisamide cap 25 2 GC zonisamide cap 50 2 GC zonisamide cap GC FÁRMACOS ANTIPARKINSONIANOS APOKYN INJ 10MG/ML 5 QL LA QL (20 cartridges / 30 AZILECT TAB 0.5MG 3 QL AZILECT TAB 1MG 3 QL benztropine mesylate tab GC PA benztropine mesylate tab 1 2 GC PA 16

22 benztropine mesylate tab 2 2 GC PA bromocriptine mesylate cap 5 2 GC bromocriptine mesylate tab 2 GC 2.5 carbidopa & levodopa orally 2 GC disintegrating tab carbidopa & levodopa orally 2 GC disintegrating tab carbidopa & levodopa orally 2 GC disintegrating tab carbidopa & levodopa tab 2 GC carbidopa & levodopa tab 2 GC carbidopa & levodopa tab 2 GC carbidopa & levodopa tab cr 2 GC carbidopa & levodopa tab cr 2 GC carbidopa tab 25 2 GC carbidopa-levodopa-entacapo 2 GC ne tabs carbidopa-levodopa-entacapo 2 GC ne tabs carbidopa-levodopa-entacapo 2 GC ne tabs carbidopa-levodopa-entacapo 2 GC ne tabs carbidopa-levodopa-entacapo 2 GC ne tabs carbidopa-levodopa-entacapo 2 GC ne tabs entacapone tab GC MIRAPEX ER TAB 0.75MG 4 MIRAPEX ER TAB 0.375MG 4 MIRAPEX ER TAB 1.5MG 4 MIRAPEX ER TAB 2.25MG MIRAPEX ER TAB 3.75MG MIRAPEX ER TAB 3MG 4 MIRAPEX ER TAB 4.5MG NEUPRO DIS 1MG/24HR 3 NEUPRO DIS 2MG/24HR 3 NEUPRO DIS 3MG/24HR 3 NEUPRO DIS 4MG/24HR 3 NEUPRO DIS 6MG/24HR 3 NEUPRO DIS 8MG/24HR 3 pramipexole dihydrochloride 2 GC tab 0.5 pramipexole dihydrochloride 2 GC tab 0.25 pramipexole dihydrochloride 2 GC tab 0.75 pramipexole dihydrochloride 2 GC tab pramipexole dihydrochloride 2 GC tab 1 pramipexole dihydrochloride 2 GC tab 1.5 pramipexole dihydrochloride 2 GC tab sr 24hr 0.75 pramipexole dihydrochloride 2 GC tab sr 24hr 1.5 ropinirole hydrochloride tab 2 GC 0.5 ropinirole hydrochloride tab 2 GC 0.25 ropinirole hydrochloride tab 1 2 GC ropinirole hydrochloride tab 2 2 GC ropinirole hydrochloride tab 3 2 GC ropinirole hydrochloride tab 4 2 GC ropinirole hydrochloride tab 5 2 GC ropinirole hydrochloride tab sr 24hr 2 (base equivalent) ropinirole hydrochloride tab sr 24hr 4 (base equivalent) ropinirole hydrochloride tab sr 24hr 6 (base equivalent) ropinirole hydrochloride tab sr 24hr 8 (base equivalent) 17

23 ropinirole hydrochloride tab sr 24hr 12 (base equivalent) selegiline hcl cap 5 2 GC selegiline hcl tab 5 2 GC TASMAR TAB 100MG 3 tolcapone tab trihexyphenidyl hcl elixir GC PA /ml trihexyphenidyl hcl tab 2 2 GC PA trihexyphenidyl hcl tab 5 2 GC PA TERAPIA PARA MIGRAŇA / CEFALEA EN BROTES dihydroergotamine mesylate inj 1 /ml QL (30ml / 30 FROVA TAB 2.5MG QL (12 tabs / 30 migergot sup 2/100 2 GC MIGRANAL SPR 4MG/ML QL (8 vials / 28 naratriptan hcl tab 1 (base equiv) QL (18 tabs / 30 naratriptan hcl tab 2.5 (base equiv) QL (18 tabs / 30 RELPAX TAB 20MG 3 QL QL (12 tabs / 30 RELPAX TAB 40MG 3 QL QL (12 tabs / 30 rizatriptan benzoate orally disintegrating tab 5 QL (18 tabs / 30 rizatriptan benzoate orally disintegrating tab 10 QL (18 tabs / 30 rizatriptan benzoate tab 5 QL (18 tabs / 30 rizatriptan benzoate tab 10 QL (18 tabs / 30 sumatriptan nasal spray 5 /act QL (36 sprays / 28 sumatriptan nasal spray 20 /act QL (18 sprays / 28 sumatriptan succinate inj 6 /0.5ml QL (16 injections / 30 Day) sumatriptan succinate solution auto-injector 6 /0.5ml QL (4 cartridges / 30 sumatriptan succinate tab 25 QL (18 tabs / 30 sumatriptan succinate tab 50 QL (18 tabs / 30 sumatriptan succinate tab 100 QL (9 tabs / 30 zolmitriptan orally disintegrating tab 2.5 QL (12 tabs / 30 zolmitriptan orally disintegrating tab 5 QL (9 tabs / 30 zolmitriptan tab 2.5 QL (12 tabs / 30 zolmitriptan tab 5 QL (9 tabs / 30 ZOMIG NASAL SPR 5MG QL (8 sprays / 30 ZOMIG SPR 2.5MG QL (8 sprays / 30 TERAPIA NEUROLÓGICA MISCELÁNEA AMPYRA TAB 10MG AUBAGIO TAB 7MG QL (28 tabs / 28 AUBAGIO TAB 14MG QL (28 tabs / 28 COPAXONE INJ 20MG/ML QL (30 syringes / 30 COPAXONE INJ 40MG/ML QL (12 syringes / 28 donepezil hydrochloride orally disintegrating tab 5 5 QL LA PA 5 QL PA 5 QL PA 5 QL 5 QL 18

24 donepezil hydrochloride orally disintegrating tab 10 donepezil hydrochloride tab 5 donepezil hydrochloride tab 10 donepezil hydrochloride tab 23 EXELON DIS 4.6MG/24 3 QL QL (30 patches / 30 EXELON DIS 9.5MG/24 3 QL QL (30 patches / 30 EXELON DIS 13.3/24 3 QL QL (30 patches / 30 galantamine hydrobromide cap sr 24hr 8 galantamine hydrobromide cap sr 24hr 16 galantamine hydrobromide cap sr 24hr 24 galantamine hydrobromide oral soln 4 /ml QL (600ml / 30 galantamine hydrobromide tab 4 galantamine hydrobromide tab 8 galantamine hydrobromide tab 12 GILENYA CAP 0.5MG 5 QL PA NAMENDA SOL 10MG/5ML 3 QL QL (300ml / 30 NAMENDA TAB 5-10MG QL (49 tabs / 28 3 QL NAMENDA TAB 5MG 3 QL NAMENDA TAB 10MG 3 QL NAMENDA XR CAP 7MG 3 QL PA NAMENDA XR CAP 14MG 3 QL PA NAMENDA XR CAP 21MG 3 QL PA NAMENDA XR CAP 28MG 3 QL PA NAMENDA XR CAP 3 PA TITRATIO NUEDEXTA CAP 20-10MG 3 QL PA QL (60 caps / 30 rivastigmine tartrate cap 1.5 QL (60 caps / 30 rivastigmine tartrate cap 3 QL (60 caps / 30 rivastigmine tartrate cap 4.5 QL (60 caps / 30 rivastigmine tartrate cap 6 QL (60 caps / 30 TECFIDERA CAP 120MG 5 PA TECFIDERA CAP 240MG 5 PA TECFIDERA MIS STARTER 5 PA TYSABRI INJ 300/15ML 5 LA PA XENAZINE TAB 12.5MG 5 LA PA XENAZINE TAB 25MG 5 LA PA RELAJANTES MUSCULARES/TERAPIA ANTIPASMÓDICA baclofen tab 10 2 GC baclofen tab 20 2 GC carisoprodol tab GC PA chlorzoxazone tab GC PA cyclobenzaprine hcl tab 5 2 GC PA cyclobenzaprine hcl tab GC PA cyclobenzaprine hcl tab 10 2 GC PA dantrolene sodium cap 25 2 GC dantrolene sodium cap 50 2 GC dantrolene sodium cap GC meprobamate tab GC PA 19

25 meprobamate tab GC PA MESTINON SYP 60MG/5ML 4 metaxalone tab GC PA methocarbamol tab GC PA methocarbamol tab GC PA orphenadrine citrate tab sr 2 GC PA 12hr 100 pyridostigmine bromide tab 60 2 GC tizanidine hcl cap 2 (base 2 GC equivalent) tizanidine hcl cap 4 (base 2 GC equivalent) tizanidine hcl cap 6 (base 2 GC equivalent) tizanidine hcl tab 2 (base 2 GC equivalent) tizanidine hcl tab 4 (base 2 GC equivalent) ANALGÉSICOS NARCÓTICOS ABSTRAL SUB 100MCG 5 QL PA ABSTRAL SUB 200MCG 5 QL PA ABSTRAL SUB 300MCG 5 QL PA ABSTRAL SUB 400MCG 5 QL PA QL (116 tabs / 30 ABSTRAL SUB 600MCG 5 QL PA QL (77 tabs / 30 ABSTRAL SUB 800MCG 5 QL PA QL (58 tabs / 30 acetaminophen w/ codeine soln /5ml QL (4500ml / 30 acetaminophen w/ codeine tab QL (360 tabs / 30 acetaminophen w/ codeine tab QL (360 tabs / 30 acetaminophen w/ codeine tab QL (180 tabs / 30 ascomp/cod cap 30 QL (360 caps / 30 buprenorphine hcl sl tab 2 (base equiv) QL (300 tabs / 30 buprenorphine hcl sl tab 8 (base equiv) QL (75 tabs / 30 butalbital-acetaminophen-caff w/ cod cap QL (360 caps / 30 codeine sulfate tab 15 QL (180 tabs / 30 codeine sulfate tab 30 QL (180 tabs / 30 codeine sulfate tab 60 QL (180 tabs / 30 duramorph inj 0.5/ml QL (400 vials / 30 duramorph inj 1/ml QL (200 vials / 30 endocet tab QL (360 tabs / 30 endocet tab QL (360 tabs / 30 endocet tab QL (360 tabs / 30 endodan tab QL (360 tabs / 30 fentanyl citrate lozenge on a PA handle 200 mcg QL (120 lpop / 30 fentanyl citrate lozenge on a 5 QL PA handle 400 mcg QL (116 lozenges / 30 fentanyl citrate lozenge on a 5 QL PA handle 600 mcg QL (77 lozenges / 30 fentanyl citrate lozenge on a 5 QL PA handle 800 mcg QL (58 lpop / 30 fentanyl citrate lozenge on a 5 QL PA handle 1200 mcg QL (39 lpop / 30 fentanyl citrate lozenge on a handle 1600 mcg QL (29 lpop / 30 5 QL PA 20

26 fentanyl td patch 72hr 12 mcg/hr QL (10 patches / 30 fentanyl td patch 72hr 25 mcg/hr QL (10 patches / 30 fentanyl td patch 72hr 50 mcg/hr QL (10 patches / 30 fentanyl td patch 72hr 75 mcg/hr QL (10 patches / 30 fentanyl td patch 72hr 100 mcg/hr QL (10 patches / 30 FENTORA TAB 100MCG FENTORA TAB 200MCG FENTORA TAB 400MCG QL (116 tabs / 30 FENTORA TAB 600MCG QL (77 tabs / 30 FENTORA TAB 800MCG QL (58 tabs / 30 hydrocodone-acetaminophen soln /15ml QL (5550ml / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 5 QL PA 5 QL PA 5 QL PA 5 QL PA 5 QL PA hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-acetaminophen tab QL (360 tabs / 30 hydrocodone-ibuprofen tab QL (50 tabs / 30 hydromorphone hcl liqd 1 /ml QL (1200ml /30 hydromorphone hcl preservative free (pf) inj 10 /ml QL (120ml / 30 hydromorphone hcl tab 2 QL (180 tabs / 30 hydromorphone hcl tab 4 QL (180 tabs / 30 hydromorphone hcl tab 8 QL (180 tabs / 30 hydromorphone hcl tab er 24hr deter 8 QL (60 tabs / 30 Day) hydromorphone hcl tab er 24hr deter 12 QL (60 tabs / 30 Day) hydromorphone hcl tab er 24hr deter 16 QL (60 tabs / 30 Day) hydromorphone hcl tab er 24hr deter 32 KADIAN CAP 10MG ER ST QL (90 caps / 30 KADIAN CAP 40MG ER 4 ST KADIAN CAP 200MG ER ST LAZANDA SPR 100MCG 5 QL PA QL (23 sprays / 30 LAZANDA SPR 400MCG 5 QL PA QL (23 sprays / 30 lorcet hd tab QL (360 tabs / 30 lorcet plus tab QL (360 tabs / 30 21

27 lorcet tab QL (360 tabs / 30 lortab tab QL (360 tabs / 30 lortab tab QL (360 tabs / 30 lortab tab QL (360 tabs / 30 meperidine hcl oral soln 50 2 GC PA /5ml meperitab tab 50 2 GC PA meperitab tab GC PA methadone hcl soln 5 /5ml QL (1200ml / 30 methadone hcl soln 10 /5ml QL (600ml / 30 methadone hcl tab 5 QL (240 tabs / 30 methadone hcl tab 10 METHADONE INJ 10MG/ML QL (400ml / 30 MORPHINE SUL INJ 2MG/ML 2 GC B/D MORPHINE SUL INJ 4MG/ML 2 GC B/D MORPHINE SUL INJ 8MG/ML 2 GC morphine sulfate (concentrate) oral soln 20 /ml QL (300ml / 30 morphine sulfate beads cap sr 24hr 30 QL (60 caps / 30 morphine sulfate beads cap sr 24hr 45 QL (60 caps / 30 morphine sulfate beads cap sr 24hr 60 QL (90 caps / 30 morphine sulfate beads cap sr 24hr 75 QL (60 caps / 30 morphine sulfate beads cap sr 24hr 90 QL (60 caps / 30 morphine sulfate beads cap sr 24hr 120 QL (50 caps / 30 morphine sulfate cap sr 24hr 10 QL (90 caps / 30 morphine sulfate cap sr 24hr 20 QL (90 caps / 30 morphine sulfate cap sr 24hr 30 QL (90 caps / 30 morphine sulfate cap sr 24hr 50 QL (90 caps / 30 morphine sulfate cap sr 24hr 60 QL (90 caps / 30 morphine sulfate cap sr 24hr 80 QL (75 caps / 30 morphine sulfate cap sr 24hr 100 QL (60 caps / 30 morphine sulfate iv soln pf 10 /ml morphine sulfate oral soln 10 /5ml QL (900ml / 30 morphine sulfate oral soln 20 /5ml QL (900ml / 30 morphine sulfate tab 15 QL (180 tabs / 30 morphine sulfate tab 30 QL (180 tabs / 30 morphine sulfate tab cr 15 morphine sulfate tab cr 30 morphine sulfate tab cr 60 QL (100 tabs / 30 morphine sulfate tab cr 100 morphine sulfate tab cr 200 OPANA ER TAB 5MG 2 GC ST 22

28 OPANA ER TAB 7.5MG ST OPANA ER TAB 10MG ST OPANA ER TAB 15MG ST OPANA ER TAB 20MG ST OPANA ER TAB 30MG ST QL (67 tabs / 30 OPANA ER TAB 40MG ST QL (50 tabs / 30 oxycodone hcl cap 5 QL (360 caps / 30 oxycodone hcl conc 100 /5ml (20 /ml) QL (180 ml / 30 oxycodone hcl soln 5 /5ml QL (1200ml / 30 oxycodone hcl tab 5 QL (360 tabs / 30 oxycodone hcl tab 10 QL (180 tabs / 30 oxycodone hcl tab 15 QL (180 tabs / 30 oxycodone hcl tab 20 QL (180 tabs / 30 oxycodone hcl tab 30 QL (134 tabs / 30 oxycodone w/ acetaminophen tab QL (360 tabs / 30 oxycodone w/ acetaminophen tab QL (360 tabs / 30 oxycodone w/ acetaminophen tab QL (360 tabs / 30 oxycodone w/ acetaminophen tab QL (360 tabs / 30 oxycodone-aspirin tab QL (360 tabs / 30 oxycodone-ibuprofen tab QL (28 tabs / 30 OXYCONTIN TAB 10MG CR ST OXYCONTIN TAB 15MG CR ST OXYCONTIN TAB 20MG CR ST OXYCONTIN TAB 30MG CR ST OXYCONTIN TAB 40MG CR ST OXYCONTIN TAB 60MG CR ST QL (67 tabs / 30 OXYCONTIN TAB 80MG CR ST QL (50 tabs / 30 oxymorphone hcl tab 5 QL (180 tabs / 30 oxymorphone hcl tab 10 QL (200 tabs / 30 oxymorphone hcl tab sr 12hr 5 oxymorphone hcl tab sr 12hr 7.5 oxymorphone hcl tab sr 12hr 10 oxymorphone hcl tab sr 12hr 15 oxymorphone hcl tab sr 12hr 20 oxymorphone hcl tab sr 12hr 30 QL (67 tabs / 30 oxymorphone hcl tab sr 12hr 40 QL (50 tabs / 30 ANALGÉSICOS NO-NARCÓTICOS buprenorphine hcl-naloxone PA hcl sl tab (base equiv) QL (360 tabs / 30 buprenorphine hcl-naloxone hcl sl tab 8-2 (base equiv) PA 23

29 CAMBIA POW 50MG QL (1 box / 30 CELEBREX CAP 50MG PA QL (60 caps / 30 CELEBREX CAP 100MG PA QL (60 caps / 30 CELEBREX CAP 200MG PA QL (60 caps / 30 CELEBREX CAP 400MG PA QL (60 caps / 30 celecoxib cap 50 QL (60 caps / 30 celecoxib cap 100 QL (60 caps / 30 celecoxib cap 200 QL (60 caps / 30 celecoxib cap 400 QL (60 caps / 30 diclofenac potassium tab 50 2 GC diclofenac sodium soln 1.5% 2 GC diclofenac sodium tab delayed 2 GC release 25 diclofenac sodium tab delayed 2 GC release 50 diclofenac sodium tab delayed 2 GC release 75 diclofenac sodium tab sr 24hr 2 GC 100 diclofenac w/ misoprostol tab 2 GC delayed release diclofenac w/ misoprostol tab 2 GC delayed release diflunisal tab GC etodolac cap GC etodolac cap GC etodolac tab GC etodolac tab GC etodolac tab sr 24hr GC etodolac tab sr 24hr GC etodolac tab sr 24hr GC fenoprofen calcium tab GC FLECTOR DIS 1.3% PA QL (60 patches / 30 flurbiprofen tab 50 2 GC flurbiprofen tab GC ibuprofen tab GC ibuprofen tab GC ibuprofen tab GC indomethacin cap 25 2 GC PA indomethacin cap 50 2 GC PA indomethacin cap cr 75 2 GC PA ketoprofen cap 50 2 GC ketoprofen cap 75 2 GC ketoprofen cap sr 24hr GC ketorolac tromethamine inj 15 2 GC PA /ml ketorolac tromethamine inj 30 2 GC PA /ml ketorolac tromethamine tab 10 2 GC PA meclofenamate sodium cap 50 2 GC meclofenamate sodium cap 2 GC 100 mefenamic acid cap GC meloxicam susp 7.5 /5ml QL (300ml / 30 meloxicam tab 7.5 meloxicam tab 15 nabumetone tab GC nabumetone tab GC naloxone hcl inj 1 /ml 2 GC naltrexone hcl tab 50 2 GC naproxen dr tab GC naproxen dr tab GC naproxen sodium tab GC naproxen sodium tab GC naproxen susp 125 /5ml 2 GC naproxen tab GC naproxen tab GC naproxen tab GC oxaprozin tab GC PENNSAID SOL 2% 4 ST pentazocine w/ naloxone tab PA QL (325 tabs / 30 piroxicam cap 10 2 GC piroxicam cap 20 2 GC 24

30 SUBOXONE MIS 2-0.5MG PA QL (12 boxes / 30 SUBOXONE MIS 4-1MG PA QL (6 boxes / 30 SUBOXONE MIS 8-2MG PA QL (3 boxes / 30 SUBOXONE MIS 12-3MG PA QL (2 boxes / 30 sulindac tab GC sulindac tab GC tolmetin sodium cap GC tolmetin sodium tab GC tolmetin sodium tab GC tramadol hcl tab 50 QL (240 tabs / 30 tramadol hcl tab sr 24hr 100 tramadol hcl tab sr 24hr 200 tramadol hcl tab sr 24hr biphasic release 300 tramadol-acetaminophen tab QL (240 tabs / 30 VIMOVO TAB MG 3 QL VIMOVO TAB MG 3 QL VOLTAREN GEL 1% 3 MEDICAMENTOS SICOTERAPÉUTICOS ABILIFY MAIN INJ 300MG 4 PA ABILIFY MAIN INJ 400MG 4 PA ABILIFY TAB 2MG PA ABILIFY TAB 5MG PA ABILIFY TAB 10MG PA ABILIFY TAB 15MG PA ABILIFY TAB 20MG PA ABILIFY TAB 30MG PA alprazolam tab 0.5 alprazolam tab 0.25 alprazolam tab 1 alprazolam tab 2 QL (150 tabs / 30 amitriptyline hcl tab 10 2 GC PA amitriptyline hcl tab 25 2 GC PA amitriptyline hcl tab 50 2 GC PA amitriptyline hcl tab 75 2 GC PA amitriptyline hcl tab GC PA amitriptyline hcl tab GC PA amoxapine tab 25 2 GC amoxapine tab 50 2 GC amoxapine tab GC amoxapine tab GC amphetamine-dextroampheta mine cap sr 24hr 5 QL (60 caps / 30 amphetamine-dextroampheta mine cap sr 24hr 10 QL (60 caps / 30 amphetamine-dextroampheta mine cap sr 24hr 15 QL (60 caps / 30 amphetamine-dextroampheta mine cap sr 24hr 20 QL (60 caps / 30 amphetamine-dextroampheta mine cap sr 24hr 25 QL (60 caps / 30 amphetamine-dextroampheta mine cap sr 24hr 30 QL (60 caps / 30 amphetamine-dextroampheta mine tab 5 amphetamine-dextroampheta mine tab 7.5 amphetamine-dextroampheta mine tab 10 amphetamine-dextroampheta mine tab

31 amphetamine-dextroampheta mine tab 15 amphetamine-dextroampheta mine tab 20 amphetamine-dextroampheta mine tab 30 BRINTELLIX TAB 5MG 4 BRINTELLIX TAB 10MG 4 BRINTELLIX TAB 20MG 4 bupropion hcl tab 75 2 GC bupropion hcl tab GC bupropion hcl tab sr 12hr 100 bupropion hcl tab sr 12hr 150 bupropion hcl tab sr 12hr 200 bupropion hcl tab sr 24hr 150 bupropion hcl tab sr 24hr 300 buspirone hcl tab 5 2 GC buspirone hcl tab GC buspirone hcl tab 10 2 GC buspirone hcl tab 15 2 GC buspirone hcl tab 30 2 GC CELEXA TAB 10MG CELEXA TAB 20MG CELEXA TAB 40MG chlordiazepoxide hcl cap 5 PA QL (120 caps / 30 chlordiazepoxide hcl cap 10 QL (120 caps / 30 PA chlordiazepoxide hcl cap 25 PA QL (120 caps / 30 chlordiazepoxide-amitriptyline 2 GC PA tab chlordiazepoxide-amitriptyline 2 GC PA tab CHLORPROMAZ INJ 2 GC 50MG/2ML chlorpromazine hcl tab 10 2 GC chlorpromazine hcl tab 25 2 GC chlorpromazine hcl tab 50 2 GC chlorpromazine hcl tab GC chlorpromazine hcl tab GC citalopram hydrobromide oral 2 GC soln 10 /5ml citalopram hydrobromide tab 10 (base equiv) citalopram hydrobromide tab 20 (base equiv) citalopram hydrobromide tab 40 (base equiv) clomipramine hcl cap 25 2 GC PA clomipramine hcl cap 50 2 GC PA clomipramine hcl cap 75 2 GC PA clonidine hcl tab sr 12hr GC clorazepate dipotassium tab 3.75 clorazepate dipotassium tab 7.5 clorazepate dipotassium tab 15 clozapine orally disintegrating 2 GC tab 12.5 clozapine orally disintegrating 2 GC tab 25 clozapine orally disintegrating 2 GC tab 100 clozapine tab 25 2 GC clozapine tab 50 2 GC clozapine tab GC 26

32 clozapine tab GC desipramine hcl tab 10 2 GC desipramine hcl tab 25 2 GC desipramine hcl tab 50 2 GC desipramine hcl tab 75 2 GC desipramine hcl tab GC desipramine hcl tab GC DESVENLAFAX TAB 50MG ER DESVENLAFAX TAB 100MG ER dexedrine tab 5 QL (180 tabs / 30 dexedrine tab 10 QL (180 tabs / 30 dexmethylphenidate hcl cap sr 24 hr 5 dexmethylphenidate hcl cap sr 24 hr 10 dexmethylphenidate hcl cap sr 24 hr 15 dexmethylphenidate hcl cap sr 24 hr 20 dexmethylphenidate hcl cap sr 24 hr 30 dexmethylphenidate hcl cap sr 24 hr 40 dexmethylphenidate hcl tab 2.5 dexmethylphenidate hcl tab 5 dexmethylphenidate hcl tab 10 dextroamphetamine sulfate cap sr 24hr 5 QL (90 caps / 30 dextroamphetamine sulfate cap sr 24hr 10 QL (120 caps / 30 dextroamphetamine sulfate cap sr 24hr 15 QL (120 caps / 30 dextroamphetamine sulfate tab 5 QL (180 tabs / 30 dextroamphetamine sulfate tab 10 QL (180 tabs / 30 DIAZEPAM CON 5MG/ML 2 GC diazepam soln 1 /ml 2 GC diazepam tab 2 diazepam tab 5 diazepam tab 10 doxepin hcl cap 10 2 GC PA doxepin hcl cap 25 2 GC PA doxepin hcl cap 50 2 GC PA doxepin hcl cap 75 2 GC PA doxepin hcl cap GC PA doxepin hcl cap GC PA doxepin hcl conc 10 /ml 2 GC PA duloxetine hcl enteric coated pellets cap 20 QL (180 caps / 30 duloxetine hcl enteric coated pellets cap 30 QL (120 caps / 30 duloxetine hcl enteric coated pellets cap 60 QL (60 caps / 30 EFFEXOR XR CAP 37.5MG EFFEXOR XR CAP 75MG QL (90 caps / 30 EFFEXOR XR CAP 150MG EMSAM DIS 6MG/24HR QL (30 patches / 30 EMSAM DIS 9MG/24HR QL (30 patches / 30 27

33 EMSAM DIS 12MG/24H QL (30 patches / 30 ergoloid mesylates tab 1 2 GC escitalopram oxalate soln 5 /5ml (base equiv) QL (600ml / 30 escitalopram oxalate tab 5 (base equiv) escitalopram oxalate tab 10 (base equiv) QL (45 tabs / 30 escitalopram oxalate tab 20 (base equiv) estazolam tab 1 PA estazolam tab 2 PA eszopiclone tab 1 ST eszopiclone tab 2 ST eszopiclone tab 3 ST FANAPT PAK 4 FANAPT TAB 1MG FANAPT TAB 2MG FANAPT TAB 4MG FANAPT TAB 6MG FANAPT TAB 8MG FANAPT TAB 10MG FANAPT TAB 12MG FAZACLO TAB 150MG 3 FAZACLO TAB 200MG 3 FETZIMA CAP 20MG 4 FETZIMA CAP 40MG 4 FETZIMA CAP 80MG 4 FETZIMA CAP 120MG 4 FETZIMA CAP TITRATIO 4 fluoxetine hcl cap 10 QL (240 caps / 30 fluoxetine hcl cap 20 QL (120 caps / 30 fluoxetine hcl cap 40 QL (60 caps / 30 fluoxetine hcl cap delayed release 90 QL (4 caps / 28 fluoxetine hcl solution 20 2 GC /5ml fluoxetine hcl tab 10 QL (240 tabs / 30 fluoxetine hcl tab 20 2 GC fluphenazine decanoate inj 25 2 GC /ml fluphenazine hcl elixir GC /5ml fluphenazine hcl inj 2.5 /ml 2 GC fluphenazine hcl oral conc 5 2 GC /ml fluphenazine hcl tab 1 2 GC fluphenazine hcl tab GC fluphenazine hcl tab 5 2 GC fluphenazine hcl tab 10 2 GC flurazepam hcl cap 15 PA flurazepam hcl cap 30 PA fluvoxamine maleate cap sr 24hr 100 QL (90 caps / 30 fluvoxamine maleate cap sr 24hr 150 QL (60 caps / 30 fluvoxamine maleate tab 25 fluvoxamine maleate tab 50 fluvoxamine maleate tab 100 FOCALIN XR CAP 5MG 28

34 FOCALIN XR CAP 10MG FOCALIN XR CAP 15MG FOCALIN XR CAP 20MG FOCALIN XR CAP 25MG FOCALIN XR CAP 30MG FOCALIN XR CAP 35MG FOCALIN XR CAP 40MG GEODON INJ 20MG 4 guanfacine hcl tab sr 24hr 1 (base equiv) guanfacine hcl tab sr 24hr 2 (base equiv) guanfacine hcl tab sr 24hr 3 (base equiv) guanfacine hcl tab sr 24hr 4 (base equiv) GUANIDINE TAB 125MG 2 GC haloperidol decanoate im soln 2 GC 50 /ml haloperidol decanoate im soln 2 GC 100 /ml haloperidol lactate inj 5 /ml 2 GC haloperidol lactate oral conc 2 2 GC /ml haloperidol tab GC haloperidol tab 1 2 GC haloperidol tab 2 2 GC haloperidol tab 5 2 GC haloperidol tab 10 2 GC haloperidol tab 20 2 GC imipramine hcl tab 10 2 GC PA imipramine hcl tab 25 2 GC PA imipramine hcl tab 50 2 GC PA imipramine pamoate cap 75 2 GC PA imipramine pamoate cap GC PA imipramine pamoate cap GC PA imipramine pamoate cap GC PA INTUNIV TAB 1MG INTUNIV TAB 2MG INTUNIV TAB 3MG INTUNIV TAB 4MG INVEGA SUST INJ 39/0.25 QL (2 syringes / 30 INVEGA SUST INJ 78/0.5ML QL (2 syringes / 30 INVEGA SUST INJ 117/0.75 QL (2 syringes / 30 INVEGA SUST INJ 156MG/ML QL (1 syringe / 30 INVEGA SUST INJ 234/1.5 QL (1 syringe / 30 INVEGA TAB 1.5MG PA INVEGA TAB 3MG PA INVEGA TAB 6MG PA INVEGA TAB 9MG PA KHEDEZLA TAB 50MG ER KHEDEZLA TAB 100MG ER LATUDA TAB 20MG LATUDA TAB 40MG LATUDA TAB 60MG LATUDA TAB 80MG LATUDA TAB 120MG 29

35 LEXAPRO SOL 5MG/5ML QL (600ml / 30 LEXAPRO TAB 5MG LEXAPRO TAB 10MG QL (45 tabs / 30 LEXAPRO TAB 20MG lithium carbonate cap GC lithium carbonate cap GC lithium carbonate cap GC lithium carbonate tab GC lithium carbonate tab cr GC lithium carbonate tab cr GC LITHIUM SOL 8MEQ/5ML 2 GC lorazepam con 2/ml 2 GC lorazepam tab 0.5 lorazepam tab 1 lorazepam tab 2 loxapine succinate cap 5 2 GC loxapine succinate cap 10 2 GC loxapine succinate cap 25 2 GC loxapine succinate cap 50 2 GC maprotiline hcl tab 25 2 GC maprotiline hcl tab 50 2 GC maprotiline hcl tab 75 2 GC MARPLAN TAB 10MG 4 metadate tab 20 er methylphenidate hcl cap cr 10 2 GC methylphenidate hcl cap cr 50 2 GC methylphenidate hcl cap cr 60 2 GC methylphenidate hcl cap sr 24hr 20 (la) QL (60 caps / 30 methylphenidate hcl cap sr 24hr 30 (la) QL (60 caps / 30 methylphenidate hcl cap sr 24hr 40 (la) QL (60 caps / 30 methylphenidate hcl soln 5 /5ml QL (2160ml / 30 methylphenidate hcl soln 10 /5ml QL (1080ml / 30 methylphenidate hcl tab 5 methylphenidate hcl tab 10 methylphenidate hcl tab 20 methylphenidate hcl tab cr 20 methylphenidate hcl tab sa osm 18 methylphenidate hcl tab sa osm 27 methylphenidate hcl tab sa osm 36 methylphenidate hcl tab sa osm 54 mirtazapine orally disintegrating tab 15 mirtazapine orally disintegrating tab 30 mirtazapine orally disintegrating tab 45 mirtazapine tab 7.5 mirtazapine tab 15 mirtazapine tab 30 mirtazapine tab 45 30

36 modafinil tab 100 PA olanzapine tab 10 QL (150 tabs / 30 modafinil tab 200 PA olanzapine tab 15 nefazodone hcl tab 50 olanzapine tab 20 nefazodone hcl tab 100 olanzapine-fluoxetine hcl cap nefazodone hcl tab olanzapine-fluoxetine hcl cap nefazodone hcl tab nefazodone hcl tab 250 olanzapine-fluoxetine hcl cap nortriptyline hcl cap 10 2 GC 6-50 nortriptyline hcl cap 25 2 GC olanzapine-fluoxetine hcl cap nortriptyline hcl cap 50 2 GC nortriptyline hcl cap 75 2 GC nortriptyline hcl soln 10 2 GC olanzapine-fluoxetine hcl cap /5ml NUVIGIL TAB 50MG PA ORAP TAB 1MG 3 NUVIGIL TAB 150MG PA ORAP TAB 2MG 3 oxazepam cap 10 PA NUVIGIL TAB 200MG PA QL (120 caps / 30 oxazepam cap 15 PA NUVIGIL TAB 250MG PA QL (120 caps / 30 oxazepam cap 30 PA olanzapine for im inj 10 2 GC QL (120 caps / 30 olanzapine orally paroxetine hcl tab 10 disintegrating tab 5 paroxetine hcl tab 20 olanzapine orally disintegrating tab 10 paroxetine hcl tab 30 olanzapine orally paroxetine hcl tab 40 disintegrating tab 15 paroxetine hcl tab sr 24hr 12.5 olanzapine orally disintegrating tab 20 paroxetine hcl tab sr 24hr 25 olanzapine tab 2.5 olanzapine tab 5 paroxetine hcl tab sr 24hr 37.5 olanzapine tab 7.5 PAXIL SUS 10MG/5ML 4 perphenazine tab 2 2 GC 31

37 perphenazine tab 4 2 GC perphenazine tab 8 2 GC perphenazine tab 16 2 GC perphenazine-amitriptyline tab 2 GC PA 2-10 perphenazine-amitriptyline tab 2 GC PA 2-25 perphenazine-amitriptyline tab 2 GC PA 4-10 perphenazine-amitriptyline tab 2 GC PA 4-25 perphenazine-amitriptyline tab 2 GC PA 4-50 phenelzine sulfate tab 15 2 GC PRISTIQ TAB 25MG PRISTIQ TAB 50MG PRISTIQ TAB 100MG protriptyline hcl tab 5 2 GC protriptyline hcl tab 10 2 GC PROZAC CAP 10MG QL (240 caps / 30 PROZAC CAP 20MG QL (120 caps / 30 PROZAC CAP 40MG QL (60 caps / 30 quetiapine fumarate tab 25 quetiapine fumarate tab 50 quetiapine fumarate tab 100 quetiapine fumarate tab 200 quetiapine fumarate tab 300 quetiapine fumarate tab 400 RISPERDAL INJ 12.5MG QL (4 injections / 28 3 QL RISPERDAL INJ 25MG QL (4 injections / 28 RISPERDAL INJ 37.5MG QL (4 injections / 28 RISPERDAL INJ 50MG QL (4 injections / 28 risperidone orally disintegrating tab 0.5 risperidone orally disintegrating tab 0.25 risperidone orally disintegrating tab 1 risperidone orally disintegrating tab 2 risperidone orally disintegrating tab 3 risperidone orally disintegrating tab 4 risperidone soln 1 /ml QL (480ml / 30 risperidone tab 0.5 risperidone tab 0.25 risperidone tab 1 risperidone tab 2 risperidone tab 3 risperidone tab 4 RITALIN LA CAP 10MG QL (120 caps / 30 ROZEREM TAB 8MG SAPHRIS SUB 5MG 3 QL 3 QL 3 QL 32

38 SAPHRIS SUB 10MG thioridazine hcl tab 50 2 GC PA thioridazine hcl tab GC PA SEROQUEL XR TAB 50MG 3 QL thiothixene cap 1 2 GC thiothixene cap 2 2 GC SEROQUEL XR TAB 150MG 3 QL thiothixene cap 5 2 GC thiothixene cap 10 2 GC SEROQUEL XR TAB 200MG 3 QL tranylcypromine sulfate tab 10 2 GC SEROQUEL XR TAB 300MG 3 QL trazodone hcl tab 50 2 GC trazodone hcl tab GC SEROQUEL XR TAB 400MG 3 QL trazodone hcl tab GC trazodone hcl tab GC sertraline hcl oral conc 20 triazolam tab 0.25 PA /ml QL (300 ml / 30 triazolam tab PA sertraline hcl tab 25 trifluoperazine hcl tab 1 2 GC sertraline hcl tab 50 trifluoperazine hcl tab 2 2 GC trifluoperazine hcl tab 5 2 GC sertraline hcl tab 100 trifluoperazine hcl tab 10 2 GC venlafaxine hcl cap sr 24hr STRATTERA CAP 10MG 3 QL 37.5 (base equivalent) STRATTERA CAP 18MG 3 QL venlafaxine hcl cap sr 24hr 75 (base equivalent) STRATTERA CAP 25MG 3 QL QL (90 caps / 30 venlafaxine hcl cap sr 24hr STRATTERA CAP 40MG 3 QL 150 (base equivalent) QL (60 caps / 30 STRATTERA CAP 60MG 3 QL venlafaxine hcl tab 25 STRATTERA CAP 80MG 3 QL venlafaxine hcl tab 37.5 STRATTERA CAP 100MG 3 QL venlafaxine hcl tab 50 SURMONTIL CAP 25MG 4 PA venlafaxine hcl tab 75 SURMONTIL CAP 50MG 4 PA QL (150 tabs / 30 SURMONTIL CAP 100MG 4 PA venlafaxine hcl tab 100 temazepam cap 7.5 QL (120 caps / 30 venlafaxine hcl tab sr 24hr temazepam cap (base equivalent) QL (60 caps / 30 temazepam cap 22.5 venlafaxine hcl tab sr 24hr 75 (base equivalent) temazepam cap 30 thioridazine hcl tab 10 2 GC PA thioridazine hcl tab 25 2 GC PA 33

39 venlafaxine hcl tab sr 24hr 150 (base equivalent) VENLAFAXINE TAB 225MG ER VERSACLOZ SUS 50MG/ML 3 VIIBRYD KIT 4 VIIBRYD TAB 10MG VIIBRYD TAB 20MG VIIBRYD TAB 40MG WELLBUTRIN TAB 75MG 4 WELLBUTRIN TAB 100MG 4 WELLBUTRIN TAB 100MG SR WELLBUTRIN TAB 150MG SR WELLBUTRIN TAB 200MG SR WELLBUTRIN TAB XL 150MG WELLBUTRIN TAB XL 300MG XYREM SOL 500MG/ML 5 LA PA zaleplon cap 5 2 GC ST zaleplon cap 10 2 GC ST ziprasidone hcl cap 20 QL (60 caps / 30 ziprasidone hcl cap 40 QL (60 caps / 30 ziprasidone hcl cap 60 QL (60 caps / 30 ziprasidone hcl cap 80 QL (60 caps / 30 ZOLOFT CON 20MG/ML QL (300 ml / 30 ZOLOFT TAB 25MG ZOLOFT TAB 50MG ZOLOFT TAB 100MG zolpidem tartrate tab 5 2 GC ST zolpidem tartrate tab 10 2 GC ST zolpidem tartrate tab cr GC ST zolpidem tartrate tab cr GC ST FÁRMACOS CARDIOVASCULARES, HIPERTENSIÓN / LÍPIDOS AGENTES ANTIARRÍTMICOS amiodarone hcl tab GC amiodarone hcl tab GC disopyramide phosphate cap 2 GC PA 100 disopyramide phosphate cap 2 GC PA 150 flecainide acetate tab 50 2 GC flecainide acetate tab GC flecainide acetate tab GC mexiletine hcl cap GC mexiletine hcl cap GC mexiletine hcl cap GC MULTAQ TAB 400MG pacerone tab GC pacerone tab GC pacerone tab GC propafenone hcl cap sr 12hr 2 GC 225 propafenone hcl cap sr 12hr 2 GC 325 propafenone hcl cap sr 12hr 2 GC 425 propafenone hcl tab GC propafenone hcl tab GC propafenone hcl tab GC quinidine gluconate tab cr GC quinidine sulfate tab GC quinidine sulfate tab GC sorine tab 80 2 GC sorine tab GC sorine tab GC sorine tab GC 34

40 sotalol hcl (afib/afl) tab GC sotalol hcl tab 80 2 GC sotalol hcl tab GC sotalol hcl tab GC TIKOSYN CAP 125MCG 3 TIKOSYN CAP 250MCG 3 TIKOSYN CAP 500MCG 3 TERAPIA ANTIHIPERTENSIVA ACCUPRIL TAB 5MG 4 ACCUPRIL TAB 10MG 4 ACCUPRIL TAB 20MG 4 ACCUPRIL TAB 40MG 4 ACCURETIC TAB ACCURETIC TAB ACCURETIC TAB 20-25MG acebutolol hcl cap GC acebutolol hcl cap GC afeditab tab 30 cr 2 GC afeditab tab 60 cr 2 GC ALTACE CAP 1.25MG 4 ALTACE CAP 2.5MG 4 ALTACE CAP 5MG 4 ALTACE CAP 10MG 4 amiloride & 2 GC hydrochlorothiazide tab 5-50 amiloride hcl tab 5 2 GC amlodipine besylate tab 2.5 amlodipine besylate tab 5 amlodipine besylate tab 10 amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap 5-10 amlodipine besylate-benazepril hcl cap 5-20 amlodipine besylate-benazepril hcl cap 5-40 amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-valsartan tab amlodipine besylate-valsartan tab amlodipine besylate-valsartan tab amlodipine besylate-valsartan tab amlodipine-valsartan-hydrochl orothiazide tab amlodipine-valsartan-hydrochl orothiazide tab amlodipine-valsartan-hydrochl orothiazide tab amlodipine-valsartan-hydrochl orothiazide tab amlodipine-valsartan-hydrochl orothiazide tab ATACAND HCT TAB ATACAND HCT TAB

41 ATACAND HCT TAB 32-25MG ATACAND TAB 4MG ATACAND TAB 8MG ATACAND TAB 16MG ATACAND TAB 32MG atenolol & chlorthalidone tab 2 GC atenolol & chlorthalidone tab 2 GC atenolol tab 25 2 GC atenolol tab 50 2 GC atenolol tab GC AVALIDE TAB AVALIDE TAB AVAPRO TAB 75MG AVAPRO TAB 150MG AVAPRO TAB 300MG AZOR TAB 5-20MG AZOR TAB 5-40MG AZOR TAB 10-20MG AZOR TAB 10-40MG benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab GC 1 GC 1 GC 1 GC benazepril hcl tab 5 1 GC benazepril hcl tab 10 1 GC benazepril hcl tab 20 1 GC benazepril hcl tab 40 1 GC BENICAR HCT TAB QL BENICAR HCT TAB QL BENICAR HCT TAB 40-25MG 3 QL BENICAR TAB 5MG 3 QL BENICAR TAB 20MG 3 QL BENICAR TAB 40MG 3 QL betaxolol hcl tab 10 2 GC betaxolol hcl tab 20 2 GC BIDIL TAB 4 bisoprolol & 2 GC hydrochlorothiazide tab bisoprolol & 2 GC hydrochlorothiazide tab bisoprolol & 2 GC hydrochlorothiazide tab bisoprolol fumarate tab 5 2 GC bisoprolol fumarate tab 10 2 GC bumetanide tab GC bumetanide tab 1 2 GC bumetanide tab 2 2 GC BYSTOLIC TAB 2.5MG 3 BYSTOLIC TAB 5MG 3 BYSTOLIC TAB 10MG 3 QL BYSTOLIC TAB 20MG 3 QL candesartan cilexetil tab 4 candesartan cilexetil tab 8 candesartan cilexetil tab 16 36

42 candesartan cilexetil tab 32 candesartan cilexetil-hydrochlorothiazide tab candesartan cilexetil-hydrochlorothiazide tab candesartan cilexetil-hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab GC 1 GC 1 GC 1 GC captopril tab GC captopril tab 25 1 GC captopril tab 50 1 GC captopril tab GC CARDIZEM LA TAB 120MG 4 cartia xt cap 120/24hr 2 GC cartia xt cap 180/24hr 2 GC cartia xt cap 240/24hr 2 GC cartia xt cap 300/24hr 2 GC carvedilol tab carvedilol tab 6.25 carvedilol tab 12.5 carvedilol tab 25 chlorothiazide sodium for inj 2 GC 500 chlorothiazide tab GC chlorothiazide tab GC chlorthalidone tab 25 2 GC chlorthalidone tab 50 2 GC clonidine hcl tab GC clonidine hcl tab GC clonidine hcl tab GC clonidine hcl td patch weekly 0.1 /24hr QL (4 patches / 28 clonidine hcl td patch weekly 0.2 /24hr QL (4 patches / 28 clonidine hcl td patch weekly 0.3 /24hr QL (8 patches / 28 COREG CR CAP 10MG 3 QL COREG CR CAP 20MG 3 QL COREG CR CAP 40MG 3 QL COREG CR CAP 80MG 3 QL COZAAR TAB 25MG COZAAR TAB 50MG COZAAR TAB 100MG DEMSER CAP 250MG 4 dilt-xr cap GC dilt-xr cap GC dilt-xr cap GC diltiazem hcl cap sr 12hr 60 2 GC diltiazem hcl cap sr 12hr 90 2 GC diltiazem hcl cap sr 12hr GC diltiazem hcl coated beads cap 2 GC sr 24hr 120 diltiazem hcl coated beads cap 2 GC sr 24hr 240 diltiazem hcl coated beads cap 2 GC sr 24hr 300 diltiazem hcl extended release beads cap sr 24hr GC 37

43 diltiazem hcl extended release 2 GC beads cap sr 24hr 360 diltiazem hcl extended release 2 GC beads cap sr 24hr 420 diltiazem hcl iv soln 50 2 GC /10ml (5 /ml) diltiazem hcl tab 30 2 GC diltiazem hcl tab 60 2 GC diltiazem hcl tab 90 2 GC diltiazem hcl tab GC DILTIAZEM INJ 100MG 2 GC DIOVAN HCT TAB 80/12.5 DIOVAN HCT TAB DIOVAN HCT TAB MG DIOVAN HCT TAB DIOVAN HCT TAB MG DIOVAN TAB 40MG DIOVAN TAB 80MG DIOVAN TAB 160MG DIOVAN TAB 320MG doxazosin mesylate tab 1 doxazosin mesylate tab 2 doxazosin mesylate tab 4 doxazosin mesylate tab 8 DUTOPROL TAB DUTOPROL TAB DUTOPROL TAB DYRENIUM CAP 50MG 3 DYRENIUM CAP 100MG 3 EDARBI TAB 40MG 4 EDARBI TAB 80MG 4 EDARBYCLOR TAB EDARBYCLOR TAB 40-25MG 4 enalapril maleate & 1 GC hydrochlorothiazide tab enalapril maleate & 1 GC hydrochlorothiazide tab enalapril maleate tab GC enalapril maleate tab 5 1 GC enalapril maleate tab 10 1 GC enalapril maleate tab 20 1 GC EPANED SOL 1MG/ML 4 eplerenone tab 25 2 GC eplerenone tab 50 2 GC eprosartan mesylate tab GC EXFORGE TAB 5-160MG EXFORGE TAB 5-320MG EXFORGE TAB MG EXFORGE TAB MG EXFORGEH/5- TAB EXFORGEH/5- TAB EXFORGEH/10- TAB EXFORGEH/10- TAB EXFORGEH/10- TAB felodipine tab sr 24hr GC felodipine tab sr 24hr 5 2 GC felodipine tab sr 24hr 10 2 GC fosinopril sodium & hydrochlorothiazide tab fosinopril sodium & hydrochlorothiazide tab fosinopril sodium tab 10 1 GC fosinopril sodium tab 20 1 GC 38

44 fosinopril sodium tab 40 1 GC furosemide inj 10 /ml 2 GC furosemide oral soln 10 /ml 2 GC FUROSEMIDE SOL 8MG/ML 2 GC furosemide tab 20 2 GC furosemide tab 40 2 GC furosemide tab 80 2 GC guanfacine hcl tab 1 2 GC PA guanfacine hcl tab 2 2 GC PA hydralazine hcl inj 20 /ml 2 GC hydralazine hcl tab 10 2 GC hydralazine hcl tab 25 2 GC hydralazine hcl tab 50 2 GC hydralazine hcl tab GC hydrochlorothiazide cap GC hydrochlorothiazide tab GC hydrochlorothiazide tab 25 2 GC hydrochlorothiazide tab 50 2 GC HYZAAR TAB HYZAAR TAB HYZAAR TAB indapamide tab GC indapamide tab GC irbesartan tab 75 irbesartan tab 150 irbesartan tab 300 irbesartan-hydrochlorothiazide tab irbesartan-hydrochlorothiazide tab isradipine cap GC isradipine cap 5 2 GC labetalol hcl iv soln 5 /ml 2 GC labetalol hcl tab GC labetalol hcl tab GC labetalol hcl tab GC LASIX TAB 20MG 4 LASIX TAB 40MG 4 LASIX TAB 80MG 4 lisinopril & hydrochlorothiazide 1 GC tab lisinopril & hydrochlorothiazide 1 GC tab lisinopril & hydrochlorothiazide 1 GC tab lisinopril tab GC lisinopril tab 5 1 GC lisinopril tab 10 1 GC lisinopril tab 20 1 GC lisinopril tab 30 1 GC lisinopril tab 40 1 GC losartan potassium & hydrochlorothiazide tab losartan potassium & hydrochlorothiazide tab losartan potassium & hydrochlorothiazide tab losartan potassium tab 25 losartan potassium tab 50 losartan potassium tab 100 LOTENSIN TAB 20MG 4 LOTENSIN TAB 40MG 4 LOTREL CAP MG LOTREL CAP 5-10MG LOTREL CAP 5-20MG LOTREL CAP 5-40MG LOTREL CAP 10-20MG LOTREL CAP 10-40MG matzim la tab 180/24 2 GC 39

45 matzim la tab 240/24 2 GC matzim la tab 300/24 2 GC matzim la tab 360/24 matzim la tab 420/24 methyclothiazide tab 5 2 GC methyldopa & 2 GC hydrochlorothiazide tab methyldopa & 2 GC hydrochlorothiazide tab methyldopa tab GC PA methyldopa tab GC PA metolazone tab GC metolazone tab 5 2 GC metolazone tab 10 2 GC metoprolol & 2 GC hydrochlorothiazide tab metoprolol & hydrochlorothiazide tab GC MICARDIS TAB 40MG MICARDIS TAB 80MG MICROZIDE CAP 12.5MG 4 minoxidil tab GC minoxidil tab 10 2 GC moexipril hcl tab GC moexipril hcl tab 15 1 GC moexipril-hydrochlorothiazide 1 GC tab moexipril-hydrochlorothiazide 1 GC tab moexipril-hydrochlorothiazide 1 GC tab nadolol & bendroflumethiazide 2 GC tab 40-5 nadolol & bendroflumethiazide 2 GC tab 80-5 nadolol tab 20 2 GC nadolol tab 40 2 GC nadolol tab 80 2 GC nicardipine hcl cap 20 2 GC nicardipine hcl cap 30 2 GC nifedical xl tab 30 2 GC nifedical xl tab 60 2 GC nifedipine cap 10 2 GC PA metoprolol & 2 GC hydrochlorothiazide tab metoprolol succinate tab sr 2 GC nifedipine cap 20 2 GC PA 24hr 25 nifedipine tab sr 24hr osmotic 2 GC metoprolol succinate tab sr 2 GC 30 24hr 50 nifedipine tab sr 24hr osmotic 2 GC metoprolol succinate tab sr 2 GC 60 24hr 100 nifedipine tab sr 24hr osmotic 2 GC metoprolol succinate tab sr 2 GC 90 24hr 200 nimodipine cap 30 2 GC metoprolol tartrate inj 1 /ml 2 GC nisoldipine tab sr 24hr 8.5 metoprolol tartrate tab 25 2 GC metoprolol tartrate tab 50 2 GC nisoldipine tab sr 24hr 17 metoprolol tartrate tab GC MICARDIS HCT TAB 40/12.5 nisoldipine tab sr 24hr 20 MICARDIS HCT TAB nisoldipine tab sr 24hr MG nisoldipine tab sr 24hr 30 MICARDIS HCT TAB 80/12.5 nisoldipine tab sr 24hr 34 MICARDIS TAB 20MG 40

46 nisoldipine tab sr 24hr 40 perindopril erbumine tab 2 perindopril erbumine tab 4 perindopril erbumine tab 8 pindolol tab 5 2 GC pindolol tab 10 2 GC prazosin hcl cap 1 2 GC prazosin hcl cap 2 2 GC prazosin hcl cap 5 2 GC PRINIVIL TAB 5MG 4 PRINIVIL TAB 10MG 4 PRINIVIL TAB 20MG 4 propranolol & 2 GC hydrochlorothiazide tab propranolol & 2 GC hydrochlorothiazide tab propranolol hcl cap sr 24hr 60 2 GC propranolol hcl cap sr 24hr 80 2 GC propranolol hcl cap sr 24hr 2 GC 120 propranolol hcl cap sr 24hr 2 GC 160 propranolol hcl inj 1 /ml 2 GC propranolol hcl oral soln 20 2 GC /5ml propranolol hcl oral soln 40 2 GC /5ml propranolol hcl tab 10 2 GC propranolol hcl tab 20 2 GC propranolol hcl tab 40 2 GC propranolol hcl tab 60 2 GC propranolol hcl tab 80 2 GC quinapril hcl tab 5 1 GC quinapril hcl tab 10 1 GC quinapril hcl tab 20 1 GC quinapril hcl tab 40 1 GC quinapril-hydrochlorothiazide tab quinapril-hydrochlorothiazide tab quinapril-hydrochlorothiazide tab ramipril cap GC ramipril cap GC ramipril cap 5 1 GC ramipril cap 10 1 GC reserpine tab GC PA reserpine tab GC PA spironolactone & 2 GC hydrochlorothiazide tab spironolactone tab 25 2 GC spironolactone tab 50 2 GC spironolactone tab GC TARKA TAB CR TARKA TAB CR TARKA TAB CR TARKA TAB CR taztia xt cap 120/24 2 GC taztia xt cap 180/24 2 GC taztia xt cap 240/24 2 GC taztia xt cap 300/24 2 GC taztia xt cap 360/24 2 GC TEKAMLO TAB 150-5MG 3 QL TEKAMLO TAB MG 3 QL TEKAMLO TAB 300-5MG 3 QL TEKAMLO TAB MG 3 QL TEKTURNA HCT TAB TEKTURNA HCT TAB MG 3 QL 3 QL 41

47 TEKTURNA HCT TAB QL TEKTURNA HCT TAB 3 QL MG TEKTURNA TAB 150MG 3 QL TEKTURNA TAB 300MG 3 QL telmisartan tab 20 telmisartan tab 40 telmisartan tab 80 telmisartan-amlodipine tab 1 GC 40-5 telmisartan-amlodipine tab 1 GC telmisartan-amlodipine tab 1 GC 80-5 telmisartan-amlodipine tab 1 GC telmisartan-hydrochlorothiazid e tab telmisartan-hydrochlorothiazid e tab telmisartan-hydrochlorothiazid e tab TENORETIC TAB 50 4 TENORETIC TAB TENORMIN TAB 25MG 4 TENORMIN TAB 50MG 4 TENORMIN TAB 100MG 4 terazosin hcl cap 1 QL (60 caps / 30 terazosin hcl cap 2 QL (60 caps / 30 terazosin hcl cap 5 QL (60 caps / 30 terazosin hcl cap 10 QL (60 caps / 30 TEVETEN HCT TAB TEVETEN HCT TAB MG TEVETEN TAB 600MG 4 timolol maleate tab 5 2 GC timolol maleate tab 10 2 GC timolol maleate tab 20 2 GC TOPROL XL TAB 25MG 4 TOPROL XL TAB 50MG 4 TOPROL XL TAB 100MG 4 TOPROL XL TAB 200MG 4 torsemide tab 5 2 GC torsemide tab 10 2 GC torsemide tab 20 2 GC torsemide tab GC trandolapril tab 1 1 GC trandolapril tab 2 1 GC trandolapril tab 4 1 GC trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr triamterene & 2 GC hydrochlorothiazide cap triamterene & 2 GC hydrochlorothiazide cap triamterene & 2 GC hydrochlorothiazide tab triamterene & 2 GC hydrochlorothiazide tab TRIBENZOR20- TAB MG 42

48 TRIBENZOR40- TAB MG TRIBENZOR40- TAB 5-25MG TRIBENZOR40- TAB TRIBENZOR40- TAB 10-25MG valsartan tab 40 valsartan tab 80 valsartan tab 160 valsartan tab 320 valsartan-hydrochlorothiazide tab valsartan-hydrochlorothiazide tab valsartan-hydrochlorothiazide tab valsartan-hydrochlorothiazide tab valsartan-hydrochlorothiazide tab VASERETIC TAB 10-25MG 4 VASOTEC TAB 2.5MG 4 VASOTEC TAB 5MG 4 VASOTEC TAB 10MG 4 VASOTEC TAB 20MG 4 verapamil hcl cap sr 24hr 100 verapamil hcl cap sr 24hr 120 verapamil hcl cap sr 24hr 180 verapamil hcl cap sr 24hr GC 2 GC 2 GC 2 GC verapamil hcl cap sr 24hr GC verapamil hcl cap sr 24hr GC verapamil hcl cap sr 24hr GC verapamil hcl iv soln 2.5 /ml 2 GC verapamil hcl tab 40 2 GC verapamil hcl tab 80 2 GC verapamil hcl tab GC verapamil hcl tab cr GC verapamil hcl tab cr GC verapamil hcl tab cr GC ZESTORETIC TAB ZESTORETIC TAB ZESTORETIC TAB 20-25MG 4 ZESTRIL TAB 2.5MG 4 ZESTRIL TAB 5MG 4 ZESTRIL TAB 10MG 4 ZESTRIL TAB 20MG 4 ZESTRIL TAB 30MG 4 ZESTRIL TAB 40MG 4 GLICÓSIDOS CARDÍACOS digoxin inj 0.25 /ml 2 GC digoxin oral soln 0.05 /ml 2 GC digoxin tab 125 mcg ( GC ) digoxin tab 250 mcg (0.25 ) 2 GC LANOXIN TAB 0.25MG 4 LANOXIN TAB 0.125MG 4 LANOXIN TAB MG 4 LANOXIN TAB MG 4 TERAPIA DE COAGULACIÓN AGGRENOX CAP MG 3 QL QL (60 caps / 30 BRILINTA TAB 90MG 3 cilostazol tab 50 2 GC cilostazol tab GC clopidogrel bisulfate tab 75 (base equiv) QL (33 tabs / 30 clopidogrel bisulfate tab GC (base equiv) COUMADIN TAB 1MG 3 COUMADIN TAB 2.5MG 3 43

49 COUMADIN TAB 2MG 3 COUMADIN TAB 3MG 3 COUMADIN TAB 4MG 3 COUMADIN TAB 5MG 3 COUMADIN TAB 6MG 3 COUMADIN TAB 7.5MG 3 COUMADIN TAB 10MG 3 dipyridamole tab 25 2 GC PA dipyridamole tab 50 2 GC PA dipyridamole tab 75 2 GC PA EFFIENT TAB 5MG 3 QL QL (35 tabs / 30 EFFIENT TAB 10MG 3 QL QL (35 tabs / 30 ELIQUIS TAB 2.5MG 3 ELIQUIS TAB 5MG 3 enoxaparin sodium inj 30 /0.3ml QL (42 syringes / 60 enoxaparin sodium inj 40 /0.4ml QL (42 syringes / 60 enoxaparin sodium inj 60 /0.6ml QL (42 syringes / 60 enoxaparin sodium inj 80 /0.8ml QL (42 syringes / 60 enoxaparin sodium inj 100 /ml QL (42 syringes / 60 enoxaparin sodium inj 120 /0.8ml QL (42 syringes / 60 enoxaparin sodium inj 150 /ml QL (42 syringes / 60 enoxaparin sodium inj 300 /3ml QL (7 vials / 60 fondaparinux sodium subcutaneous inj 2.5 /0.5ml QL (21 syringes / 60 fondaparinux sodium subcutaneous inj 5 /0.4ml QL (21 syringes / 60 fondaparinux sodium subcutaneous inj 7.5 /0.6ml QL (21 syringes / 60 fondaparinux sodium subcutaneous inj 10 /0.8ml QL (21 syringes / 60 FRAGMIN INJ 2500/0.2 QL (21 syringes / 60 FRAGMIN INJ 5000/0.2 QL (21 syringes / 60 FRAGMIN INJ 7500/0.3 5 QL QL (21 syringes / 60 FRAGMIN INJ 10000/ML 5 QL QL (21 syringes / 60 FRAGMIN INJ 12500UNT 5 QL QL (21 syringes / 60 FRAGMIN INJ 15000UNT 5 QL QL (21 syringes / 60 FRAGMIN INJ 18000UNT 5 QL QL (21 syringes / 60 FRAGMIN INJ 95000UNT 5 QL QL (21 syringes / 60 HEP SOD/D5W INJ 2 GC 25000UNT heparin sodium (porcine) 40 2 GC unit/ml in d5w heparin sodium (porcine) inj 2 GC 1000 unit/ml heparin sodium (porcine) inj 5000 unit/ml 2 GC 44

50 heparin sodium (porcine) inj 2 GC unit/ml heparin sodium (porcine) inj 2 GC unit/ml jantoven tab 1 2 GC jantoven tab GC jantoven tab 2 2 GC jantoven tab 3 2 GC jantoven tab 4 2 GC jantoven tab 5 2 GC jantoven tab 6 2 GC jantoven tab GC jantoven tab 10 2 GC MEPHYTON TAB 5MG 4 ED QL pentoxifylline tab cr GC PRADAXA CAP 75MG 3 QL QL (60 caps / 30 PRADAXA CAP 150MG 3 QL QL (60 caps / 30 PROMACTA TAB 12.5MG 5 QL LA PA PROMACTA TAB 25MG 5 QL LA PA PROMACTA TAB 50MG 5 QL LA PA PROMACTA TAB 75MG 5 QL LA PA ticlopidine hcl tab GC PA tranexamic acid inj 100 /ml 2 GC warfarin sodium tab 1 2 GC warfarin sodium tab 2 2 GC warfarin sodium tab GC warfarin sodium tab 3 2 GC warfarin sodium tab 4 2 GC warfarin sodium tab 5 2 GC warfarin sodium tab 6 2 GC warfarin sodium tab GC warfarin sodium tab 10 2 GC XARELTO STAR TAB 3 QL 15/20MG QL (1 kit / 30 XARELTO TAB 10MG 3 XARELTO TAB 15MG 3 XARELTO TAB 20MG 3 ZONTIVITY TAB 2.08MG 3 FÁRMACOS REDUCTORES DE LÍPIDOS / COLESTEROL ADVICOR TAB MG ADVICOR TAB MG ADVICOR TAB ADVICOR TAB amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab 5-10 amlodipine besylate-atorvastatin calcium tab 5-20 amlodipine besylate-atorvastatin calcium tab 5-40 amlodipine besylate-atorvastatin calcium tab 5-80 amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab

51 amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab atorvastatin calcium tab 10 (base equivalent) atorvastatin calcium tab 20 (base equivalent) QL (45 tabs / 30 atorvastatin calcium tab 40 (base equivalent) atorvastatin calcium tab 80 (base equivalent) CADUET TAB MG CADUET TAB MG CADUET TAB MG CADUET TAB 5-10MG CADUET TAB 5-20MG CADUET TAB 5-40MG CADUET TAB 5-80MG CADUET TAB 10-10MG CADUET TAB 10-20MG CADUET TAB 10-40MG CADUET TAB 10-80MG cholestyramine light powder 2 GC packets 4 gm choline fenofibrate cap dr 45 (fenofibric acid equiv) choline fenofibrate cap dr 135 (fenofibric acid equiv) colestipol hcl granules 5 gm 2 GC colestipol hcl tab 1 gm 2 GC CRESTOR TAB 5MG 3 QL CRESTOR TAB 10MG 3 QL CRESTOR TAB 20MG 3 QL CRESTOR TAB 40MG 3 QL fenofibrate micronized cap 43 fenofibrate micronized cap 67 fenofibrate micronized cap 130 fenofibrate micronized cap 134 fenofibrate micronized cap 200 fenofibrate tab 48 fenofibrate tab 54 fenofibrate tab 145 fenofibrate tab 160 fluvastatin sodium cap 20 fluvastatin sodium cap 40 QL (60 caps / 30 gemfibrozil tab 600 JUXTAPID CAP 5MG 5 LA PA JUXTAPID CAP 10MG 5 LA PA JUXTAPID CAP 20MG 5 LA PA JUXTAPID CAP 30MG 5 LA PA JUXTAPID CAP 40MG 5 LA PA JUXTAPID CAP 60MG 5 LA PA 46

52 KYNAMRO INJ 200MG/ML 5 LA PA omega-3-acid ethyl esters cap LESCOL CAP 20MG 1 gm QL (120 caps / 30 LESCOL CAP 40MG PRAVACHOL TAB 20MG QL (60 caps / 30 LESCOL XL TAB 80MG PRAVACHOL TAB 40MG LIPITOR TAB 10MG PRAVACHOL TAB 80MG LIPITOR TAB 20MG pravastatin sodium tab 10 QL (45 tabs / 30 LIPITOR TAB 40MG pravastatin sodium tab 20 LIPITOR TAB 80MG pravastatin sodium tab 40 LIPTRUZET TAB 10-10MG pravastatin sodium tab 80 LIPTRUZET TAB 10-20MG prevalite pow 4gm 2 GC QUESTRAN POW 4GM 2 GC LIPTRUZET TAB 10-40MG SIMCOR TAB MG LIPTRUZET TAB 10-80MG SIMCOR TAB MG LIVALO TAB 1MG SIMCOR TAB MG LIVALO TAB 2MG SIMCOR TAB LIVALO TAB 4MG SIMCOR TAB lovastatin tab 10 simvastatin tab 5 lovastatin tab 20 simvastatin tab 10 lovastatin tab 40 simvastatin tab 20 LOVAZA CAP 1GM 3 QL simvastatin tab 40 QL (120 caps / 30 niacin tab cr 500 simvastatin tab 80 (antihyperlipidemic) VASCEPA CAP 1GM 3 niacin tab cr 750 VYTORIN TAB 10-10MG (antihyperlipidemic) VYTORIN TAB 10-20MG niacin tab cr 1000 (antihyperlipidemic) VYTORIN TAB 10-40MG VYTORIN TAB 10-80MG 47

53 WELCHOL PAK 3.75GM 3 WELCHOL TAB 625MG 3 ZETIA TAB 10MG ZOCOR TAB 5MG ZOCOR TAB 10MG ZOCOR TAB 20MG ZOCOR TAB 40MG ZOCOR TAB 80MG FÁRMACOS CARDIOVASCULARES MISCELÁNEOS RANEXA TAB 500MG 3 QL RANEXA TAB 1000MG 3 QL NITRATOS ISORDIL TAB 40MG 4 isosorbide dinitrate tab 5 2 GC isosorbide dinitrate tab 10 2 GC isosorbide dinitrate tab 20 2 GC isosorbide dinitrate tab 30 2 GC isosorbide dinitrate tab cr 40 2 GC isosorbide mononitrate tab 10 2 GC isosorbide mononitrate tab 20 2 GC isosorbide mononitrate tab sr 2 GC 24hr 30 isosorbide mononitrate tab sr 2 GC 24hr 60 isosorbide mononitrate tab sr 2 GC 24hr 120 NITRO-BID OIN 2% 2 GC NITRO-DUR DIS 0.1MG/HR 4 NITRO-DUR DIS 0.2MG/HR 4 NITRO-DUR DIS 0.3MG/HR 4 NITRO-DUR DIS 0.4MG/HR 4 NITRO-DUR DIS 0.6MG/HR 4 NITRO-DUR DIS 0.8MG/HR 4 nitroglycerin td patch 24hr GC /hr nitroglycerin td patch 24hr GC /hr nitroglycerin td patch 24hr GC /hr nitroglycerin td patch 24hr GC /hr nitroglycerin tl soln GC /spray (400 mcg/spray) NITROMIST AER 400MCG 3 NITROSTAT SUB 0.3MG 2 GC NITROSTAT SUB 0.4MG 2 GC NITROSTAT SUB 0.6MG 2 GC SISTEMA NERVIOSO CENTRAL ANTISORIÁSICOS aripiprazole tab 2 PA aripiprazole tab 5 PA aripiprazole tab 10 PA aripiprazole tab 15 PA aripiprazole tab 20 PA aripiprazole tab 30 PA clozapine orally disintegrating 2 GC tab 150 clozapine orally disintegrating 2 GC tab 200 SAPHRIS SUB 2.5MG TERAPIA DERMATOLÓGICOS /TÓPICOS ANTISORIÁSICOS / ANTISEBORREICOS acitretin cap 10 2 GC acitretin cap acitretin cap 25 5 calcipotriene cream 0.005% QL (120 gm / 30 calcipotriene oint 0.005% QL (120 gm / 30 calcipotriene soln 0.005% (50 mcg/ml) QL (1 bottle / 30 48

54 calcipotriene-betamethasone 2 GC dipropionate oint % calcitriol oint 3 mcg/gm 2 GC selenium sulfide lotion 2.5% 2 GC TACLONEX SUS QL (480ml / 30 TERAPIA PARA QUEMADAS silver sulfadiazine cream 1% 2 GC ssd cre 1% 2 GC DERMATOLÓGICOS MISCELÁNEOS CARAC CRE 0.5% 3 CONDYLOX GEL 0.5% 3 diclofenac sodium (actinic PA keratoses) gel 3% QL (100 gm / 30 ELIDEL CRE 1% 3 PA fluorouracil cream 0.5% 2 GC fluorouracil cream 5% 2 GC fluorouracil soln 2% 2 GC fluorouracil soln 5% 2 GC imiquimod cream 5% QL (12 packets / 30 lactic acid (ammonium lactate) 2 GC cream 12% lactic acid (ammonium lactate) 2 GC lotion 12% methoxsalen rapid cap 10 2 GC OXSORALEN-UL CAP 10MG 5 PANRETIN GEL 0.1% 5 PICATO GEL 0.05% 4 PICATO GEL 0.015% 4 podofilox soln 0.5% 2 GC PROTOPIC OIN 0.1% 4 PA PROTOPIC OIN 0.03% 4 PA prudoxin cre 5% 2 GC REGRANEX GEL 0.01% QL (15 gm / 30 tacrolimus oint 0.1% 2 GC PA tacrolimus oint 0.03% 2 GC PA UVADEX INJ 20MCG/ML 3 VEREGEN OIN 15% QL (15 gm / 30 TERAPIA PARA ACNÉ ACZONE GEL 5% 4 adapalene cream 0.1% 2 GC PA adapalene gel 0.1% 2 GC PA adapalene gel 0.3% 2 GC PA amnesteem cap 10 2 GC amnesteem cap 20 2 GC amnesteem cap 40 2 GC AZELEX CRE 20% 4 claravis cap 10 2 GC claravis cap 20 2 GC claravis cap 30 5 claravis cap 40 2 GC clindamycin phosphate foam 2 GC 1% clindamycin phosphate gel 1% 2 GC clindamycin phosphate lotion 2 GC 1% clindamycin phosphate soln 2 GC 1% clindamycin phosphate swab 2 GC 1% ery pad 2% 2 GC erythromycin gel 2% 2 GC erythromycin soln 2% 2 GC FINACEA GEL 15% 4 metronidazole cream 0.75% 2 GC metronidazole gel 0.75% 2 GC metronidazole gel 1% 2 GC metronidazole lotion 0.75% 2 GC MIRVASO GEL 0.33% 4 PA myorisan cap 10 2 GC myorisan cap 20 2 GC myorisan cap 40 2 GC neuac gel 1.2-5% 2 GC TAZORAC CRE 0.1% 4 PA TAZORAC CRE 0.05% 4 PA TAZORAC GEL 0.1% 4 PA TAZORAC GEL 0.05% 4 PA tretinoin cream 0.1% 2 GC PA tretinoin cream 0.05% 2 GC PA tretinoin cream 0.025% 2 GC PA tretinoin gel 0.01% 2 GC PA tretinoin gel 0.025% 2 GC PA ANESTÉSICOS TÓPICOS lidocaine hcl gel 2% 2 GC lidocaine hcl local inj 2% 2 GC 49

55 lidocaine hcl local preservative 2 GC free (pf) inj 0.5% lidocaine hcl soln 4% 2 GC lidocaine hcl viscous soln 2% 2 GC lidocaine oint 5% 2 GC lidocaine patch 5% (700 ) PA QL (90 patches / 30 lidocaine-prilocaine cream 2 GC % SYNERA DIS 70-70MG 3 ANTIBACTERIALES TÓPICOS ALTABAX OIN 1% 4 GARAMYCIN SOL 0.3% OP 2 GC gentamicin sulfate cream 2 GC 0.1% gentamicin sulfate oint 0.1% 2 GC mupirocin calcium cream 2% 2 GC mupirocin oint 2% 2 GC ANTIMICÓTICOS TÓPICOS ciclopirox gel 0.77% 2 GC ciclopirox olamine cream 2 GC 0.77% (base equiv) ciclopirox olamine susp 0.77% 2 GC (base equiv) ciclopirox shampoo 1% 2 GC ciclopirox solution 8% 2 GC clotrimazole cream 1% 2 GC clotrimazole soln 1% 2 GC clotrimazole w/ 2 GC betamethasone cream % clotrimazole w/ 2 GC betamethasone lotion % econazole nitrate cream 1% 2 GC EXELDERM CRE 1% 4 EXELDERM SOL 1% 4 ketoconazole cream 2% 2 GC ketoconazole shampoo 2% 2 GC naftifine hcl cream 1% 3 NAFTIN CRE 1% 3 NAFTIN CRE 2% 3 NAFTIN GEL 1% 3 NAFTIN GEL 2% 3 nystatin cream unit/gm 2 GC nystatin oint unit/gm 2 GC nystatin topical powder 2 GC nystatin-triamcinolone cream 2 GC unit/gm-% nystatin-triamcinolone oint 2 GC unit/gm-% nystop pow GC OXISTAT CRE 1% 4 OXISTAT LOT 1% 4 ANTIVIRALES TÓPICOS acyclovir oint 5% QL (30 gm / 30 DENAVIR CRE 1% 4 ZOVIRAX CRE 5% 3 QL QL (15 gm / 30 CORTICOSTEROIDES TÓPICOS alclometasone dipropionate 2 GC cream 0.05% alclometasone dipropionate 2 GC oint 0.05% amcinonide cream 0.1% 2 GC amcinonide lotion 0.1% 2 GC AMCINONIDE OIN 0.1% 2 GC APEXICON E CRE 0.05% 2 GC betamethasone dipropionate 2 GC augmented cream 0.05% betamethasone dipropionate 2 GC augmented gel 0.05% betamethasone dipropionate 2 GC augmented lotion 0.05% betamethasone dipropionate 2 GC augmented oint 0.05% betamethasone dipropionate 2 GC cream 0.05% betamethasone dipropionate 2 GC lotion 0.05% betamethasone dipropionate 2 GC oint 0.05% betamethasone valerate 2 GC aerosol foam 0.12% betamethasone valerate 2 GC cream 0.1% betamethasone valerate lotion 2 GC 0.1% betamethasone valerate oint 2 GC 0.1% CAPEX SHA 0.01% 3 50

56 clobetasol e cre 0.05% 2 GC clobetasol propionate foam 2 GC 0.05% clobetasol propionate gel 2 GC 0.05% clobetasol propionate lotion 2 GC 0.05% clobetasol propionate oint 2 GC 0.05% clobetasol propionate 2 GC shampoo 0.05% clobetasol propionate soln 2 GC 0.05% clodan sha 0.05% 2 GC CORDRAN 80X3 TAP 4 4MCG/CM desonide cream 0.05% 2 GC desonide lotion 0.05% 2 GC desonide oint 0.05% 2 GC desoximetasone cream 0.05% 2 GC desoximetasone cream 0.25% 2 GC desoximetasone gel 0.05% 2 GC desoximetasone oint 0.05% 2 GC desoximetasone oint 0.25% 2 GC diflorasone diacetate cream 2 GC 0.05% diflorasone diacetate oint 2 GC 0.05% fluocin acet oil body 2 GC fluocinolone acetonide cream 2 GC 0.01% fluocinolone acetonide cream 2 GC 0.025% fluocinolone acetonide oint 2 GC 0.025% fluocinolone acetonide soln 2 GC 0.01% fluocinonide cream 0.1% 2 GC fluocinonide emulsified base 2 GC cream 0.05% fluocinonide gel 0.05% 2 GC fluocinonide oint 0.05% 2 GC fluocinonide soln 0.05% 2 GC fluticasone propionate cream 2 GC 0.05% fluticasone propionate lotion 0.05% 2 GC fluticasone propionate oint 2 GC 0.005% halobetasol propionate cream 2 GC 0.05% halobetasol propionate oint 2 GC 0.05% HALOG CRE 0.1% 3 HALOG OIN 0.1% 3 hydrocortisone butyrate 2 GC hydrophilic lipo base cream 0.1% hydrocortisone butyrate oint 2 GC 0.1% hydrocortisone butyrate soln 2 GC 0.1% hydrocortisone cream 1% 2 GC hydrocortisone cream 2.5% 2 GC hydrocortisone lotion 2.5% 2 GC hydrocortisone oint 1% 2 GC hydrocortisone oint 2.5% 2 GC hydrocortisone valerate cream 2 GC 0.2% hydrocortisone valerate oint 2 GC 0.2% lokara lot 0.05% 2 GC mometasone furoate cream 2 GC 0.1% mometasone furoate oint 0.1% 2 GC mometasone furoate solution 2 GC 0.1% (lotion) prednicarbate cream 0.1% 2 GC prednicarbate oint 0.1% 2 GC triamcinolone acetonide 2 GC cream 0.1% triamcinolone acetonide 2 GC cream 0.5% triamcinolone acetonide 2 GC cream 0.025% triamcinolone acetonide lotion 2 GC 0.1% triamcinolone acetonide lotion 2 GC 0.025% triamcinolone acetonide oint 2 GC 0.1% triamcinolone acetonide oint 0.5% 2 GC 51

57 triamcinolone acetonide oint 2 GC 0.025% triderm cre 0.1% 2 GC ENZIMAS TÓPICAS SANTYL OIN 250/GM 3 ESCABICIDAS/PEDICULICIDAS TÓPICOS EURAX CRE 10% 4 EURAX LOT 10% 4 lindane lotion 1% 2 GC lindane shampoo 1% 2 GC permethrin cream 5% 2 GC FÁRMACOS DIAGNÓSTICOS / MISCELÁNEOS SOLUCIONES IRRIGANTES lactated ringer's for irrigation 2 GC neomycin-polymyxin b gu 2 GC irrigation soln ringer's solution for irrigation 2 GC FÁRMACOS MISCELÁNEOS acamprosate calcium tab 2 GC delayed release 333 ACTONEL TAB 30MG ADAGEN INJ 250/ML 5 LA alendronate sodium tab 40 anagrelide hcl cap GC anagrelide hcl cap 1 2 GC ARALAST NP INJ 400MG 5 LA PA CARBAGLU TAB 200MG 5 LA cevimeline hcl cap 30 2 GC CLINIMIX E INJ 2.75/D5W 3 CLINIMIX E INJ 2.75/D10 3 CLINIMIX INJ 4.25/D5W 3 B/D D10W/NACL INJ 0.2% 2 GC dextrose 2.5% w/ sodium 2 GC chloride 0.45% dextrose 5% in lactated 2 GC ringers dextrose 5% w/ sodium 2 GC chloride 0.2% dextrose 5% w/ sodium 2 GC chloride 0.9% dextrose 5% w/ sodium chloride 0.33% 2 GC dextrose 5% w/ sodium 2 GC chloride 0.45% dextrose 5% w/ sodium 2 GC chloride 0.225% dextrose 10% w/ sodium 2 GC chloride 0.45% dextrose inj 5% 2 GC dextrose inj 10% 2 GC disulfiram tab GC disulfiram tab GC etidronate disodium tab GC etidronate disodium tab GC EXJADE TAB 125MG 3 LA EXJADE TAB 250MG 5 LA EXJADE TAB 500MG 5 LA FERRIPROX TAB 500MG 5 FOSRENOL CHW 500MG 3 FOSRENOL CHW 750MG 3 FOSRENOL CHW 1000MG 3 GLASSIA INJ 5 LA PA INCRELEX INJ 40MG/4ML 5 LA PA kionex pow 2 GC levocarnitine tab GC midodrine hcl tab GC midodrine hcl tab 5 2 GC midodrine hcl tab 10 2 GC ORFADIN CAP 2MG 5 ORFADIN CAP 5MG 5 ORFADIN CAP 10MG 5 pilocarpine hcl tab 5 2 GC pilocarpine hcl tab GC PROLASTIN-C INJ 1000MG 5 LA PA RAVICTI LIQ 1.1GM/ML 5 PA RENAGEL TAB 400MG 4 RENAGEL TAB 800MG 4 RENVELA PAK 0.8GM QL (525 packets / 30 RENVELA PAK 2.4GM QL (175 packets / 30 RENVELA TAB 800MG QL (525 tabs / 30 riluzole tab

58 sodium chloride irrigation soln 2 GC 0.9% sodium chloride iv soln 0.9% 2 GC sodium phenylbutyrate oral 2 GC powder 3 gm/teaspoonful sodium polystyrene sulfonate 2 GC oral susp 15 gm/60ml SYPRINE CAP 250MG 5 water for irrigation, sterile 2 GC irrigation soln ZEMAIRA INJ 1000MG 5 LA PA zoledronic acid iv soln 5 2 GC PA /100ml PARA DEJAR DE FUMAR buproban tab 150 CHANTIX PAK 0.5& 1MG 4 PA CHANTIX PAK 1MG PA QL (56 tabs / 28 CHANTIX TAB 0.5MG PA QL (56 tabs / 28 CHANTIX TAB 1MG PA QL (56 tabs / 28 NICOTROL INH 3 QL PA QL (3 inhalers / 30 NICOTROL NS SPR 3 QL PA 10MG/ML QL (4 bottles / 30 MEDICAMENTOS DE OIDO, NARIZ / GARGANTA FÁRMACOS MISCELÁNEOS azelastine hcl nasal spray 0.1% (137 mcg/spray) QL (2 inhalers / 30 azelastine hcl nasal spray 0.15% (205.5 mcg/spray) QL (2 inhalers / 30 BACTROBAN OIN NASAL 2% 4 chlorhexidine gluconate soln 2 GC 0.12% ipratropium bromide nasal soln 0.03% (21 mcg/spray) QL (1 bottle / 30 ipratropium bromide nasal soln 0.06% (42 mcg/spray) QL (2 inhalers / 30 olopatadine hcl nasal soln 0.6% QL (1 bottle / 30 PATANASE SPR 0.6% QL (1 bottle / 30 periogard sol 0.12% 2 GC triamcinolone acetonide dental 2 GC paste 0.1% TYZINE PED DRO 0.05% 4 PREPARACIONES ÓTICAS MISCELÁNEAS acetasol hc sol otic 2 GC acetic acid otic soln 2% 2 GC fluocinolone acetonide (otic) 2 GC oil 0.01% hydrocortisone w/ acetic acid 2 GC otic soln 1-2% ofloxacin otic soln 0.3% 2 GC ESTEROIDES / ANTIBIÓTICOS ÓTICOS CIPRO HC SUS OTIC 4 CIPRODEX SUS % 4 neomycin-polymyxin-hc otic 2 GC soln 1% neomycin-polymyxin-hc otic 2 GC susp 3.5 /ml unit/ml-1% ENDOCRINOS Y METABOLICOS ANTIDIABETICOS, ORALES GLYXAMBI TAB 10-5 MG GLYXAMBI TAB 25-5 MG BISFOSFONATOS risedronate sodium tab delayed release 35 QL (4 tabs / 28 ESTROGENOS norethindrone acetate-ethinyl 2 GC PA estradiol tab 1-5 mcg AGENTES DE FOSFATO BINDER FOSRENOL POW 750MG 3 FOSRENOL POW 1000MG 3 ENDOCRINO/DIABETES HORMONAS ADRENALES a-hydrocort inj GC cortisone acetate tab 25 2 GC 53

59 DEPO-MEDROL INJ 4 20MG/ML DEPO-MEDROL INJ 4 40MG/ML DEPO-MEDROL INJ 4 80MG/ML DEXAMETHASON CON 2 GC 1MG/ML dexamethasone elixir GC /5ml dexamethasone sodium 2 GC phosphate inj 10 /ml dexamethasone sodium 2 GC phosphate inj 120 /30ml dexamethasone tab GC dexamethasone tab GC dexamethasone tab 1 2 GC dexamethasone tab GC dexamethasone tab 2 2 GC dexamethasone tab 4 2 GC dexamethasone tab 6 2 GC DEXPAK PAK 13 DAY 4 FLO-PRED SUS 4 fludrocortisone acetate tab GC H.P. ACTHAR INJ 80UNIT 5 PA hydrocortisone tab 5 2 GC hydrocortisone tab 10 2 GC hydrocortisone tab 20 2 GC methylprednisolone acetate inj 2 GC susp 40 /ml methylprednisolone acetate inj 2 GC susp 80 /ml methylprednisolone sodium 2 GC succinate for inj 40 methylprednisolone sodium 2 GC succinate for inj 125 methylprednisolone tab 4 2 GC B/D methylprednisolone tab 4 2 GC dose pack methylprednisolone tab 8 2 GC B/D methylprednisolone tab 16 2 GC B/D methylprednisolone tab 32 2 GC B/D prednisolone sod phos orally 2 GC disintegr tab 10 (base eq) prednisolone sod phos orally disintegr tab 15 (base eq) 2 GC prednisolone sod phos orally 2 GC disintegr tab 30 (base eq) prednisolone sod phosph oral 2 GC soln 6.7 /5ml (5 /5ml base) prednisolone sod phosphate 2 GC oral soln 15 /5ml (base equiv) prednisolone sodium 2 GC phosphate oral soln 25 /5ml (base eq) PREDNISONE CON 5MG/ML 2 GC B/D prednisone oral soln 5 /5ml 2 GC B/D prednisone tab 1 2 GC B/D prednisone tab GC B/D prednisone tab 5 2 GC B/D prednisone tab 10 2 GC B/D prednisone tab 20 2 GC B/D prednisone tab 50 2 GC B/D SOLU-CORTEF INJ 100MG 4 SOLU-CORTEF INJ 250MG 4 SOLU-MEDROL INJ 2GM 4 SOLU-MEDROL INJ 40MG 4 SOLU-MEDROL INJ 125MG 4 SOLU-MEDROL INJ 500MG 4 triamcinolone acetonide inj 2 GC susp 10 /ml triamcinolone acetonide inj 2 GC susp 40 /ml FÁRMACOS ANTITIROIDEOS methimazole tab 5 2 GC methimazole tab 10 2 GC propylthiouracil tab 50 2 GC TERAPIA PARA DIABETES acarbose tab 25 acarbose tab 50 acarbose tab 100 ACTOPLUS MET TAB MG ACTOPLUS MET TAB MG 54

60 ACTOPLUS MET TAB XR 3 QL ACTOPLUS MET TAB XR 3 QL ACTOS TAB 15MG ACTOS TAB 30MG ACTOS TAB 45MG ALCOHOL SWABS 3 AMARYL TAB 1MG QL (240 tabs / 30 AMARYL TAB 2MG AMARYL TAB 4MG APIDRA INJ SOLOSTAR ST QL (20 pens / 30 APIDRA INJ U-100 ST QL (6 vials / 30 AVANDAMET TAB MG LA AVANDIA TAB 2MG LA AVANDIA TAB 4MG LA AVANDIA TAB 8MG LA BYDUREON INJ 3 QL QL (4 pens / 28 BYDUREON INJ 3 QL QL (4 vials / 30 BYETTA INJ 5MCG 3 QL QL (2 pens / 30 BYETTA INJ 10MCG 3 QL QL (1 pen / 30 CYCLOSET TAB 0.8MG QL (180 tabs / 30 DUETACT TAB 30-2MG DUETACT TAB 30-4MG FARXIGA TAB 5MG 3 QL FARXIGA TAB 10MG 3 QL GAUZE PADS 2" X 2" 3 glimepiride tab 1 QL (240 tabs / 30 glimepiride tab 2 glimepiride tab 4 glipizide tab 5 QL (240 tabs / 30 glipizide tab 10 glipizide tab sr 24hr 2.5 QL (240 tabs / 30 glipizide tab sr 24hr 5 glipizide tab sr 24hr 10 glipizide-metformin hcl tab QL (240 tabs / 30 glipizide-metformin hcl tab glipizide-metformin hcl tab GLUCAGEN INJ HYPOKIT 3 GLUCAGON KIT 1MG 3 QL QL (2 boxes / 30 GLUCOPHAGE TAB 500MG QL (150 tabs / 30 GLUCOPHAGE TAB 500MG XR GLUCOPHAGE TAB 750MG XR GLUCOPHAGE TAB 850MG GLUCOPHAGE TAB 1000MG GLUCOTROL TAB 5MG QL (240 tabs / 30 GLUCOTROL TAB 10MG GLUCOTROL XL TAB 2.5MG QL (240 tabs / 30 55

61 GLUCOTROL XL TAB 5MG GLUCOTROL XL TAB 10MG GLUMETZA TAB 500MG GLUMETZA TAB 1000MG glyburide micronized tab 1.5 ST QL (240 tabs / 30 glyburide micronized tab 3 ST glyburide micronized tab 6 ST glyburide tab 1.25 ST QL (480 tabs / 30 glyburide tab 2.5 ST QL (240 tabs / 30 glyburide tab 5 ST glyburide-metformin tab ST QL (240 tabs / 30 glyburide-metformin tab ST glyburide-metformin tab ST GLYSET TAB 25MG 3 QL GLYSET TAB 50MG 3 QL GLYSET TAB 100MG 3 QL HUMALOG INJ 100/ML ST QL (6 vials / 30 HUMALOG KWIK INJ 100/ML ST QL (20 pens / 30 HUMALOG MIX INJ 50/50 QL (6 vials / 30 HUMALOG MIX INJ 50/50KWP QL (20 pens / 30 HUMALOG MIX INJ 75/25KWP QL (20 pens / 30 ST HUMALOG MIX SUS 75/25 ST QL (6 vials / 30 HUMULIN INJ 70/30 ST QL (6 vials / 30 HUMULIN INJ 70/30KWP ST QL (20 pens / 30 HUMULIN N INJ U-100 ST QL (6 vials / 30 HUMULIN N INJ U-100KWP ST QL (20 pens / 30 HUMULIN R INJ U-100 ST QL (6 vials / 30 HUMULIN R INJ U-500 QL (3 vials / 30 INSULIN PEN NEEDLE 3 INSULIN SYRINGE 3 INVOKAMET TAB MG 3 QL INVOKAMET TAB QL INVOKAMET TAB QL INVOKAMET TAB QL INVOKANA TAB 100MG 3 QL INVOKANA TAB 300MG 3 QL JANUMET TAB MG 3 QL JANUMET TAB QL JANUMET XR TAB MG 3 QL JANUMET XR TAB QL JANUMET XR TAB QL JANUVIA TAB 25MG 3 QL JANUVIA TAB 50MG 3 QL JANUVIA TAB 100MG 3 QL JARDIANCE TAB 10MG 56

62 JARDIANCE TAB 25MG JENTADUETO TAB JENTADUETO TAB JENTADUETO TAB KAZANO TAB 500MG KAZANO TAB 1000MG KOMBIGLYZE TAB QL KOMBIGLYZE TAB 5-500MG 3 QL KOMBIGLYZE TAB 3 QL MG LANTUS INJ 100/ML 3 QL QL (3 vials / 30 LANTUS INJ SOLOSTAR 3 QL QL (10 pens / 30 LEVEMIR INJ 3 QL QL (3 vials / 30 LEVEMIR INJ FLEXTOUC 3 QL QL (10 pens / 30 metformin hcl tab 500 QL (150 tabs / 30 metformin hcl tab 850 metformin hcl tab 1000 metformin hcl tab sr 24hr 500 metformin hcl tab sr 24hr 750 metformin hcl tab sr 24hr osmotic 1000 nateglinide tab 60 nateglinide tab 120 NESINA TAB 6.25MG NESINA TAB 12.5MG NESINA TAB 25MG NOVOLIN INJ 70/30 3 QL QL (6 vials / 30 NOVOLIN N INJ U QL QL (6 vials / 30 NOVOLIN R INJ U QL QL (6 vials / 30 NOVOLOG INJ 100/ML 3 QL QL (6 vials / 30 NOVOLOG INJ FLEXPEN 3 QL QL (20 pens / 30 NOVOLOG MIX INJ 70/30 3 QL QL (6 vials / 30 NOVOLOG MIX INJ 3 QL FLEXPEN QL (20 pens / 30 ONGLYZA TAB 2.5MG 3 QL ONGLYZA TAB 5MG 3 QL OSENI TAB OSENI TAB OSENI TAB OSENI TAB 25-15MG OSENI TAB 25-30MG OSENI TAB 25-45MG pioglitazone hcl tab 15 (base equiv) pioglitazone hcl tab 30 (base equiv) pioglitazone hcl tab 45 (base equiv) pioglitazone hcl-glimepiride tab

63 pioglitazone hcl-glimepiride tab 30-4 pioglitazone hcl-metformin hcl tab pioglitazone hcl-metformin hcl tab PRANDIN TAB 0.5MG PRANDIN TAB 1MG PRANDIN TAB 2MG QL (240 tabs / 30 PROGLYCEM SUS 50MG/ML 3 repaglinide tab 0.5 repaglinide tab 1 repaglinide tab 2 QL (240 tabs / 30 STARLIX TAB 60MG STARLIX TAB 120MG SYMLINPEN 60 INJ 1000MCG 3 QL QL (8 pens / 30 XIGDUO XR TAB 5-500MG 3 QL XIGDUO XR TAB MG 3 QL XIGDUO XR TAB MG 3 QL XIGDUO XR TAB QL HORMONAS MISCELÁNEAS ALDURAZYME INJ 2.9MG/5M 5 ANDRODERM DIS 3 PA 2MG/24HR ANDRODERM DIS 3 PA 4MG/24HR ANDROGEL GEL 1%(25MG) 3 QL PA QL (150 gm / 30 ANDROGEL GEL 1%(50MG) 3 QL PA QL (300 gm / 30 ANDROGEL GEL 1.62% 3 QL PA QL (150 gm / 30 ANDROGEL GEL 1.62% 3 QL PA QL (300 gm / 30 ANDROGEL GEL PUMP 1% 3 QL PA QL (300 gm / 30 cabergoline tab 0.5 QL (16 tabs / 28 calcitonin (salmon) nasal soln 200 unit/act QL (1 bottle / 28 SYMLNPEN 120 INJ 3 QL calcitriol cap 0.5 mcg 2 GC 1000MCG calcitriol cap 0.25 mcg 2 GC QL (4 pens / 30 calcitriol inj 1 mcg/ml 2 GC TANZEUM INJ 30MG 4 calcitriol oral soln 1 mcg/ml 2 GC TANZEUM INJ 50MG 4 CERDELGA CAP 84MG 5 QL PA tolazamide tab 250 QL (112 caps / 28 CEREZYME INJ 400UNIT 5 LA tolazamide tab 500 danazol cap 50 2 GC danazol cap GC tolbutamide tab 500 danazol cap GC QL (180 tabs / 30 DEPO-TESTOST INJ 4 PA TRADJENTA TAB 5MG 100MG/ML desmopressin acetate inj 4 2 GC TRULICITY INJ 0.75/0.5 mcg/ml QL (4 pens / 28 desmopressin acetate nasal 2 GC TRULICITY INJ 1.5/0.5 spray soln 0.01% QL (4 pens / 28 (refrigerated) VICTOZA INJ 18MG/3ML 3 QL QL (3 pens / 30 58

64 desmopressin acetate tab GC SOMAVERT INJ 20MG 5 LA PA SOMAVERT INJ 25MG 5 PA desmopressin acetate tab GC SOMAVERT INJ 30MG 5 PA SYNAREL SOL 2MG/ML 5 PA doxercalciferol cap 0.5 mcg 2 GC VPRIV INJ 400UNIT 5 doxercalciferol cap 1 mcg 2 GC ZAVESCA CAP 100MG 5 LA doxercalciferol cap 2.5 mcg 2 GC zoledronic acid inj conc for iv 2 GC doxercalciferol inj 4 mcg/2ml 2 GC infusion 4 /5ml (2 mcg/ml) ZOMETA INJ 4MG/5ML 5 ELAPRASE INJ 6MG/3ML 5 ZOMETA INJ 4MG/100 5 ELELYSO INJ 200UNIT 5 HORMONAS TIROIDEAS FABRAZYME INJ 35MG 5 LA CYTOMEL TAB 5MCG 4 FORTICAL SPR 200/ACT CYTOMEL TAB 25MCG 4 QL (1 bottle / 28 CYTOMEL TAB 50MCG 4 KORLYM TAB 300MG 5 PA KUVAN POW 500MG 5 LA PA levothyroxine sodium tab 25 2 GC mcg KUVAN TAB 100MG 5 LA PA levothyroxine sodium tab 50 2 GC LUMIZYME INJ 50MG 5 LA mcg MIACALCIN INJ 200/ML 4 levothyroxine sodium tab 75 2 GC MYOZYME INJ 50MG 5 mcg NAGLAZYME INJ 1MG/ML 5 LA levothyroxine sodium tab 88 2 GC oxandrolone tab 2.5 PA mcg levothyroxine sodium tab GC oxandrolone tab 10 5 QL PA mcg levothyroxine sodium tab GC pamidronate disodium iv soln 2 GC mcg 3 /ml levothyroxine sodium tab GC pamidronate disodium iv soln 2 GC mcg 9 /ml levothyroxine sodium tab GC PAMIDRONATE INJ 6MG/ML 2 GC mcg paricalcitol cap 1 mcg 2 GC levothyroxine sodium tab GC paricalcitol cap 2 mcg 2 GC mcg paricalcitol cap 4 mcg 2 GC levothyroxine sodium tab GC PARICALCITOL INJ 2 GC mcg 2MCG/ML levothyroxine sodium tab GC SAMSCA TAB 15MG 5 QL PA mcg levothyroxine sodium tab GC SAMSCA TAB 30MG 5 QL PA mcg levoxyl tab 25mcg 2 GC SENSIPAR TAB 30MG 3 QL levoxyl tab 50mcg 2 GC levoxyl tab 75mcg 2 GC SENSIPAR TAB 60MG 5 QL levoxyl tab 88mcg 2 GC QL (150 tabs / 30 levoxyl tab 100mcg 2 GC SENSIPAR TAB 90MG 5 QL levoxyl tab 112mcg 2 GC levoxyl tab 125mcg 2 GC SOMAVERT INJ 10MG 5 LA PA levoxyl tab 137mcg 2 GC SOMAVERT INJ 15MG 5 LA PA levoxyl tab 150mcg 2 GC 59

65 levoxyl tab 175mcg 2 GC levoxyl tab 200mcg 2 GC liothyronine sodium tab 5 mcg 2 GC liothyronine sodium tab 25 2 GC mcg liothyronine sodium tab 50 2 GC mcg SYNTHROID TAB 25MCG 3 SYNTHROID TAB 50MCG 3 SYNTHROID TAB 75MCG 3 SYNTHROID TAB 88MCG 3 SYNTHROID TAB 100MCG 3 SYNTHROID TAB 112MCG 3 SYNTHROID TAB 125MCG 3 SYNTHROID TAB 137MCG 3 SYNTHROID TAB 150MCG 3 SYNTHROID TAB 175MCG 3 SYNTHROID TAB 200MCG 3 SYNTHROID TAB 300MCG 3 THYROLAR-1 TAB 60MG 4 THYROLAR-1/2 TAB 30MG 4 THYROLAR-1/4 TAB 15MG 4 THYROLAR-2 TAB 120MG 4 THYROLAR-3 TAB 180MG 4 TIROSINT CAP 13MCG 3 TIROSINT CAP 25MCG 3 TIROSINT CAP 50MCG 3 TIROSINT CAP 75MCG 3 TIROSINT CAP 88MCG 3 TIROSINT CAP 100MCG 3 TIROSINT CAP 112MCG 3 TIROSINT CAP 125MCG 3 TIROSINT CAP 137MCG 3 TIROSINT CAP 150MCG 3 unithroid tab 25mcg 2 GC unithroid tab 50mcg 2 GC unithroid tab 75mcg 2 GC unithroid tab 88mcg 2 GC unithroid tab 100mcg 2 GC unithroid tab 112mcg 2 GC unithroid tab 125mcg 2 GC unithroid tab 150mcg 2 GC unithroid tab 175mcg 2 GC unithroid tab 200mcg 2 GC unithroid tab 300mcg 2 GC GASTROENTEROLOGÍA ANTIDIARREICOS / ANTIPASMÓDICOS atropine sulfate inj 0.1 /ml 2 GC atropine sulfate inj 0.05 /ml 2 GC BENTYL INJ 10MG/ML 4 CUVPOSA SOL 1MG/5ML 4 dicyclomine hcl cap 10 2 GC dicyclomine hcl oral soln 10 2 GC /5ml dicyclomine hcl tab 20 2 GC diphenoxylate w/ atropine liq 2 GC /5ml diphenoxylate w/ atropine tab 2 GC FULYZAQ TAB 125MG 4 PA glycopyrrolate tab 1 2 GC glycopyrrolate tab 2 2 GC loperamide hcl cap 2 2 GC methscopolamine bromide tab 2 GC 2.5 methscopolamine bromide tab 2 GC 5 propantheline bromide tab 15 2 GC FÁRMACOS GASTROINTESTINALES MISCELÁNEOS AKYNZEO CAP 4 B/D QL QL (4 caps / 28 alosetron hcl tab 0.5 (base 5 QL equiv) alosetron hcl tab 1 (base 5 QL equiv) AMITIZA CAP 8MCG 3 QL QL (60 caps / 30 AMITIZA CAP 24MCG 3 QL QL (60 caps / 30 ANZEMET TAB 50MG QL (7 tabs / 30 ANZEMET TAB 100MG QL (7 tabs / 30 APRISO CAP 0.375GM QL (120 caps / 30 ASACOL HD TAB 800MG 3 60

66 balsalazide disodium cap GC budesonide cap sr 24hr 3 5 CANASA SUP 1000MG 3 QL QL (60 supp / 30 CESAMET CAP 1MG 4 B/D CIMZIA KIT 5 QL PA QL (6 boxes / 28 CIMZIA PREFL KIT 5 QL PA 200MG/ML QL (6 boxes / 28 COLYTE/FLAVR SOL PACKS 4 compro sup 25 2 GC constulose sol 10gm/15 2 GC CORTIFOAM AER 90MG 4 CREON CAP 3000UNIT 3 CREON CAP 6000UNIT 3 CREON CAP 12000UNT 3 CREON CAP 24000UNT 3 CREON CAP 36000UNT 3 cromolyn sodium oral conc 2 GC 100 /5ml DELZICOL CAP 400MG 3 QL QL (360 caps / 30 DIPENTUM CAP 250MG 4 dronabinol cap GC B/D dronabinol cap 5 2 GC B/D dronabinol cap 10 2 GC B/D EMEND CAP 40MG 3 B/D QL QL (1 cap / 30 EMEND CAP 80MG 3 B/D QL QL (8 caps / 30 EMEND CAP 125MG 3 B/D QL QL (2 caps / 30 EMEND PAK 80 & B/D QL QL (6 caps / 30 enulose sol 10gm/15 2 GC GATTEX KIT 5MG 5 PA gavilyte-c sol 2 GC gavilyte-g sol 2 GC gavilyte-n sol flav pk 2 GC generlac sol 10gm/15 2 GC GOLYTELY SOL 4 granisetron hcl tab 1 2 GC B/D QL hydrocortisone enema GC /60ml KRISTALOSE PAK 10GM 4 KRISTALOSE PAK 20GM 4 lactulose solution 10 gm/15ml 2 GC LIALDA TAB 1.2GM 3 QL LINZESS CAP 145MCG 3 LINZESS CAP 290MCG 3 LOTRONEX TAB 0.5MG 5 QL LOTRONEX TAB 1MG 5 QL meclizine hcl tab GC meclizine hcl tab 25 2 GC mesalamine rectal enema 4 2 GC gm & cleanser wipe kit metoclopramide hcl inj 5 2 GC /ml metoclopramide hcl soln 5 2 GC /5ml (10 /10ml) metoclopramide hcl tab 5 2 GC metoclopramide hcl tab 10 2 GC MOVIPREP SOL 4 ondansetron hcl inj 4 /2ml 2 GC (2 /ml) ondansetron hcl oral soln 4 2 GC B/D QL /5ml QL (450ml / 30 ondansetron hcl tab 4 2 GC B/D QL QL (45 tabs / 30 ondansetron hcl tab 8 2 GC B/D QL QL (45 tabs / 30 ondansetron hcl tab 24 2 GC B/D QL QL (15 tabs / 30 ondansetron orally disintegrating tab 4 QL (45 tabs / 30 2 GC B/D QL ondansetron orally 2 GC B/D QL disintegrating tab 8 QL (45 tabs / 30 OSMOPREP TAB 1.5GM 4 PANCREAZE CAP 4200UNIT 3 PANCREAZE CAP 10500UNT 3 PANCREAZE CAP 16800UNT 3 PANCREAZE CAP 21000UNT 3 61

67 PENTASA CAP 250MG CR 3 QL QL (240 caps / 30 PENTASA CAP 500MG CR 3 QL QL (240 caps / 30 PERTZYE CAP 4 polyethylene glycol 3350 oral 2 GC powder PREPOPIK PAK 3 prochlorperazine edisylate inj 2 GC 5 /ml prochlorperazine maleate tab 2 GC 5 (base equivalent) prochlorperazine maleate tab 2 GC 10 (base equivalent) prochlorperazine suppos 25 2 GC procto-pak cre 1% 2 GC proctosol hc cre 2.5% 2 GC proctozone cre -hc 2.5% 2 GC RELISTOR INJ 12/0.6ML QL (18 vials / 30 REMICADE INJ 100MG 5 PA SANCUSO DIS 3.1MG QL (2 patches / 28 SUCLEAR KIT 3 sulfasalazine tab GC sulfazine ec tab GC SUPREP BOWEL SOL PREP 4 TRANSDERM-SC DIS 1MG 4 trilyte sol 2 GC trimethobenzamide hcl cap 2 GC PA 300 UCERIS TAB 9MG 5 ULTRESA CAP 13800UNT 4 ULTRESA CAP 20700UNT 4 ULTRESA CAP 23000UNT 4 ursodiol cap GC ursodiol tab GC ursodiol tab GC VIOKACE TAB 4 VIOKACE TAB ZENPEP CAP 3000UNIT 3 ZENPEP CAP 10000UNT 3 ZENPEP CAP 15000UNT 3 ZENPEP CAP 20000UNT 3 ZENPEP CAP 25000UNT 3 ZENPEP CAP 40000UNT 3 TERAPIA PARA ÚLCERAS amoxicillin cap-clarithro 2 GC tab-lansopraz cap dr therapy pack CARAFATE SUS 1GM/10ML 2 GC DEXILANT CAP 30MG DR DEXILANT CAP 60MG DR esomeprazole sodium for 2 GC intravenous soln 20 (base equiv) esomeprazole sodium for 2 GC intravenous soln 40 (base equiv) famotidine for susp 40 /5ml 2 GC famotidine in nacl 0.9% iv soln 2 GC 20 /50ml famotidine inj 20 /2ml 2 GC famotidine tab 20 2 GC famotidine tab 40 2 GC lansoprazole cap delayed release 15 lansoprazole cap delayed release 30 QL (60 caps / 30 misoprostol tab 100 mcg 2 GC misoprostol tab 200 mcg 2 GC NEXIUM CAP 20MG NEXIUM CAP 40MG NEXIUM GRA 2.5MG DR 3 QL QL (1 box / 30 NEXIUM GRA 5MG DR 3 QL QL (1 box / 30 NEXIUM GRA 10MG DR 3 QL QL (1 box / 30 NEXIUM GRA 20MG DR 3 QL QL (1 box / 30 NEXIUM GRA 40MG DR 3 QL QL (1 box / 30 nizatidine cap GC nizatidine cap GC nizatidine oral soln 15 /ml 2 GC 62

68 omeprazole cap delayed release 10 QL (60 caps / 30 omeprazole cap delayed release 20 QL (60 caps / 30 omeprazole cap delayed release 40 QL (60 caps / 30 omeprazole-sodium bicarbonate cap omeprazole-sodium bicarbonate cap pantoprazole sodium ec tab 20 (base equiv) pantoprazole sodium ec tab 40 (base equiv) PREVACID TAB 15MG STB PREVACID TAB 30MG STB PROTONIX INJ 40MG 4 PROTONIX PAK QL (1 box / 30 PYLERA CAP 3 QL QL (120 caps / 30 rabeprazole sodium ec tab 20 MOVANTIK TAB 12.5MG 3 MOVANTIK TAB 25MG 3 HEMATOLOGICA ANTICOAGULANTES SAVAYSA TAB 15MG SAVAYSA TAB 30MG SAVAYSA TAB 60MG MEDICAMENTOS IMMUNOLOGIC VACUNAS BEXSERO INJ 3 INMUNOLOGÍA, VACUNAS / BIOTECNOLOGÍA MEDICAMENTOS BIOTECNOLÓGICOS ACTIMMUNE INJ 2MU/0.5 5 LA PA ARANESP INJ 10MCG QL (4 syringes / 28 ARANESP INJ 25MCG QL (8 syringes / 30 ARANESP INJ 40MCG QL (8 syringes / 30 ARANESP INJ 60MCG QL (8 syringes / 30 ARANESP INJ 100MCG QL (4 syringes / 30 ARANESP INJ 100MCG PA PA PA PA 5 QL PA 5 QL PA ranitidine hcl cap GC QL (4 syringes / 30 ranitidine hcl cap GC ARANESP INJ 150MCG 5 QL PA ranitidine hcl inj 150 /6ml 2 GC QL (4 syringes / 30 (25 /ml) ranitidine hcl syrup 15 /ml 2 GC ARANESP INJ 200MCG 5 QL PA (75 /5ml) QL (4 syringes / 30 ranitidine hcl tab GC ARANESP INJ 300MCG 5 QL PA ranitidine hcl tab GC QL (4 syringes / 30 sucralfate tab 1 gm 2 GC ZEGERID POW ARANESP INJ 500MCG 5 QL PA QL (1 packet / 30 QL (1 syringe / 30 ZEGERID POW ARCALYST INJ 220MG 5 LA PA QL (1 packet / 30 AVONEX KIT 30MCG 5 QL PA GASTROINTESTINALL QL (4 boxes / 30 MISCELÁNEOS 63

69 AVONEX PREFL KIT 30MCG 5 QL PA PEGASYS INJ 180MCG/M 5 QL PA QL (4 boxes / 30 QL (4 vials / 28 BETASERON INJ 0.3MG 5 QL PA PEGASYS INJ PROCLICK 5 QL PA QL (15 syringes / 30 QL (4 syringes / 28 Day) PEGINTRON KIT 80MCG 5 QL PA EPOGEN INJ 2000/ML PA QL (4 boxes / 28 QL (12 vials / 30 PEGINTRON KIT 120MCG 5 QL PA EPOGEN INJ 3000/ML PA QL (4 boxes / 28 QL (12 vials / 30 PEGINTRON KIT 150MCG 5 QL PA EPOGEN INJ 4000/ML PA QL (4 boxes / 28 QL (12 vials / 30 PLEGRIDY INJ 5 QL PA EPOGEN INJ 10000/ML PA QL (2 pens / 28 QL (24 vials / 30 PLEGRIDY PEN INJ 5 QL PA EPOGEN INJ 20000/ML PA STARTER QL (12 vials / 30 QL (1 pen / 28 ILARIS INJ 180MG 5 LA PA PROCRIT INJ 2000/ML 4 PA INTRON A INJ 10MU 5 PA PROCRIT INJ 3000/ML 4 PA INTRON A INJ 18MU 4 PA PROCRIT INJ 4000/ML 4 PA INTRON A INJ 18MU 5 PA PROCRIT INJ 10000/ML 4 PA INTRON A INJ 50MU 5 PA PROCRIT INJ 20000/ML 5 PA LEUKINE INJ 250MCG 5 PA PROCRIT INJ 40000/ML 5 QL PA MOZOBIL INJ 5 PA QL (6 vials / 30 NEULASTA INJ 6MG/0.6M 5 QL PA PROLEUKIN INJ 22MU 5 QL (2 syringes / 30 REBIF INJ 22/0.5 5 QL NEUMEGA INJ 5MG 5 QL PA QL (12 syringes / 28 QL (21 vials / 30 Days) NEUPOGEN INJ 300/0.5 5 QL PA REBIF INJ 44/0.5 5 QL QL (14 syringes / 30 QL (12 syringes / 28 Days) NEUPOGEN INJ 480/0.8 5 QL PA REBIF TITRTN SOL PACK 5 QL QL (14 syringes / 30 QL (12 syringes / 28 NEUPOGEN INJ 480MCG 5 QL PA SYLATRON KIT 200MCG 5 PA QL (14 vials / 30 SYLATRON KIT 300MCG 5 PA OMNITROPE INJ 5.8MG 5 LA PA SYLATRON KIT 600MCG 5 PA PEG-INTRON KIT 50MCG 5 QL PA VACUNAS / INMUNOLÓGICOS QL (4 boxes / 28 MISCELÁNEOS PEG-INTRON KIT 50MCG RP 5 QL PA ACTHIB INJ 3 QL (4 boxes / 28 ADACEL INJ 3 PEG-INTRON KIT 80MCG RP 5 QL PA ATGAM INJ 250MG 3 B/D QL (4 boxes / 28 BCG VACCINE INJ 4 PEG-INTRON KIT 120 RP 5 QL PA QL (4 boxes / 28 BIVIGAM INJ 10% 5 PA PEG-INTRON KIT 150 RP 5 QL PA BOOSTRIX INJ 3 QL (4 boxes / 28 BOTOX INJ 100UNIT 4 PA PEGASYS INJ 5 QL PA BOTOX INJ 200UNIT 4 PA QL (4 syringes / 28 Day) CERVARIX INJ 3 COMVAX INJ 3 64

70 DAPTACEL INJ 3 DIP/TET PED INJ 25-5LFU 3 DYSPORT INJ 300UNIT 4 PA ENGERIX-B INJ 10/0.5ML 3 B/D ENGERIX-B INJ 20MCG/ML 3 B/D fomepizole inj 1 gm/ml (for iv 2 GC TYPHIM VI INJ 3 VAQTA INJ 25/0.5ML 3 VAQTA INJ 50UNT/ML 3 VARIVAX INJ 3 XEOMIN INJ 50 UNIT 4 PA YF-VAX INJ 3 ZOSTAVAX INJ 3 MUSCU-ESQUELÉTICOS/REUMATOLOGÍA TERAPIA PARA GOTA allopurinol tab GC allopurinol tab GC infusion) GAMMAGARD INJ 2.5GM/25 5 PA GAMMAPLEX INJ 10GM 5 PA GAMUNEX-C INJ 1GM/10ML 3 PA GARDASIL 9 INJ 3 GARDASIL INJ 3 ALOPRIM INJ 500MG 2 GC GRASTEK SUB 2800BAU 4 colchicine tab 0.6 HAVRIX INJ 720UNIT 3 HAVRIX INJ 1440UNIT 3 colchicine w/ probenecid tab 2 GC IMOVAX RABIE INJ 2.5/ML INFANRIX INJ 3 COLCRYS TAB 0.6MG IPOL INJ INACTIVE 3 IXIARO INJ 3 probenecid tab GC ULORIC TAB 40MG 3 QL M-M-R II INJ 3 MENACTRA INJ 3 ULORIC TAB 80MG 3 QL MENOMUNE INJ A/C/Y/W 3 MENVEO INJ 3 TERAPIA DE OSTEOPOROSIS PEDVAX HIB INJ 3 ACTONEL TAB 5MG PRIVIGEN INJ 20GRAMS 5 PA PROQUAD INJ 3 ACTONEL TAB 35MG QUADRACEL INJ 3 QL (4 tabs / 28 RABAVERT INJ 3 ACTONEL TAB 150MG RAGWITEK SUB 4 QL (1 tab / 30 RECOMBIVA HB INJ 3 alendronate sodium oral soln 5MCG/ /75ml QL (1286ml / 30 RECOMBIVA HB INJ 3 10MCG/ML alendronate sodium tab 5 RECOMBIVA HB INJ 3 B/D 10MCG/ML alendronate sodium tab 10 RECOMBIVA-HB INJ 3 B/D 40MCG/ML alendronate sodium tab 35 QL (4 tabs / 28 ROTARIX SUS 3 alendronate sodium tab 70 ROTATEQ SOL 3 QL (4 tabs / 28 TET/DIP TOX INJ 2-2 LF 3 FORTEO SOL 600/2.4 5 QL TETANUS TOX INJ 5LF ADS 2 GC QL (1 pen / 30 THYMOGLOBULN INJ 25MG 5 FOSAMAX TAB 70MG TRUMENBA INJ 3 QL (4 tabs / 28 TWINRIX INJ 3 ibandronate sodium iv soln 3 2 GC /3ml (base equivalent) 65

71 ibandronate sodium tab 150 (base equivalent) QL (1 tab / 30 PROLIA SOL 60MG/ML QL (1 syringe / 180 raloxifene hcl tab 60 risedronate sodium tab 5 risedronate sodium tab 30 risedronate sodium tab 35 QL (12 tabs / 84 risedronate sodium tab 35 QL (4 tabs / 28 risedronate sodium tab 150 QL (1 tabs / 30 3 QL OTROS REUMATOLÓGICOS ACTEMRA INJ 162/0.9 5 PA ACTEMRA INJ 200/10ML 5 PA BENLYSTA INJ 120MG 5 PA DEPEN TITRA TAB 250MG 4 ENBREL INJ 25/0.5ML 5 QL PA QL (200 / 30 Day) ENBREL INJ 25MG 5 QL PA QL (200 / 30 ENBREL INJ 50MG/ML 5 QL PA QL (200 / 30 Day) HUMIRA INJ 10MG/0.2 5 QL PA QL (2 boxes / 28 HUMIRA INJ 40MG/0.8 5 QL PA QL (10 syringes / 28 HUMIRA KIT 20MG/0.4 5 QL PA QL (2 syringes / 30 HUMIRA PEN INJ CROHNS 5 PA KINERET INJ 5 PA leflunomide tab 10 leflunomide tab 20 ORENCIA INJ 125MG/ML 5 QL PA QL (4 syringes / 28 ORENCIA INJ 250MG 5 PA OTEZLA TAB 10/20/30 5 QL PA QL (27 tabs / 14 OTEZLA TAB 10/20/30 5 QL PA QL (55 tabs / 28 OTEZLA TAB 30MG 5 QL PA RIDAURA CAP 3MG 3 SAVELLA MIS TITR PAK 3 QL QL (1 kit / 28 SAVELLA TAB 12.5MG 3 QL SAVELLA TAB 25MG 3 QL SAVELLA TAB 50MG 3 QL SAVELLA TAB 100MG 3 QL SIMPONI ARIA SOL 5 PA 50MG/4ML SIMPONI INJ 50/0.5ML 5 QL PA QL (1 syringe / 30 SIMPONI INJ 100MG/ML 5 QL PA QL (4 syringes / 30 STELARA INJ 45MG/0.5 5 PA STELARA INJ 90MG/ML 5 PA XELJANZ TAB 5MG 5 PA OBSTETRICIA / GINECOLOGÍA ESTRÓGENOS / PROGESTINAS ALORA DIS 0.1MG 3 QL PA QL (8 patches / 28 ALORA DIS 0.05MG 3 QL PA QL (8 patches / 28 ALORA DIS 0.025MG 3 QL PA QL (8 patches / 28 ALORA DIS 0.075MG 3 QL PA QL (8 patches / 28 ANGELIQ TAB 0.5-1MG 3 PA ANGELIQ TAB PA camila tab GC CLIMARA PRO DIS WEEKLY PA QL (4 patches / 28 COMBIPATCH DIS.05/.14 3 QL PA QL (8 patches / 28 COMBIPATCH DIS.05/.25 3 QL PA QL (8 patches / 28 DEPO-PROVERA INJ 400/ML 3 66

72 DIVIGEL GEL 0.5MG QL (30 packets / 30 DUAVEE TAB PA PA ENJUVIA TAB 0.3MG 4 PA ENJUVIA TAB 0.9MG 4 PA ENJUVIA TAB 0.45MG 4 PA ENJUVIA TAB 0.625MG 4 PA ENJUVIA TAB 1.25MG 4 PA errin tab GC ESTRACE VAG CRE 3 0.1MG/GM estradiol & norethindrone 2 GC PA acetate tab estradiol & norethindrone 2 GC PA acetate tab estradiol tab GC PA estradiol tab 1 2 GC PA estradiol tab 2 2 GC PA estradiol td patch twice weekly 0.1 /24hr QL (8 patches / 28 estradiol td patch twice weekly 0.05 /24hr QL (8 patches / 28 estradiol td patch twice weekly /24hr QL (8 patches / 28 estradiol td patch twice weekly /24hr QL (8 patches / 28 estradiol td patch twice weekly /24hr QL (8 patches / 28 estradiol td patch weekly 0.1 /24hr QL (4 patches / 28 estradiol td patch weekly 0.05 /24hr QL (4 patches / 28 estradiol td patch weekly 0.06 /24hr QL (4 patches / 28 estradiol td patch weekly /24hr QL (8 patches / 28 PA PA PA PA PA PA PA PA PA estradiol td patch weekly /24hr QL (8 patches / 28 PA estradiol td patch weekly PA /24hr (37.5 mcg/24hr) QL (4 patches / 28 estradiol valerate im in oil 20 2 GC /ml estradiol valerate im in oil 40 2 GC /ml ESTRING MIS 2MG QL (1 ring / 84 estropipate tab GC PA estropipate tab GC PA estropipate tab 3 2 GC PA EVAMIST SPR 1.53MG QL (2 bottles / 30 FEMRING MIS 0.1MG/24 QL (1 ring / 84 FEMRING MIS 0.05/24H QL (1 ring / 84 jinteli tab 1-5mcg 2 GC PA jolivette tab GC lyza tab GC medroxyprogesterone acetate 2 GC im susp 150 /ml medroxyprogesterone acetate 2 GC tab 2.5 medroxyprogesterone acetate 2 GC tab 5 medroxyprogesterone acetate 2 GC tab 10 MENEST TAB 0.3MG 3 PA MENEST TAB 0.625MG 3 PA MENEST TAB 1.25MG 3 PA MENEST TAB 2.5MG 3 PA mimvey lo tab GC nora-be tab GC norethindrone acetate tab 5 2 GC norethindrone tab GC PREFEST TAB 3 PREMARIN INJ 25MG 3 PA PREMARIN TAB 0.3MG 3 PA PREMARIN TAB 0.9MG 3 PA PREMARIN TAB 0.45MG 3 PA 67

73 PREMARIN TAB 0.625MG 3 PA terconazole vaginal suppos 80 PREMARIN TAB 1.25MG 3 PA PREMARIN VAG CRE 3 QL (30 supp / MG tranexamic acid tab GC PREMPHASE TAB 3 QL PA vandazole gel 0.75% 2 GC QL (28 tabs / 28 xulane dis PREMPRO TAB QL PA QL (3 patches / 28 QL (28 tabs / 28 zazole cre 0.4% 2 GC PREMPRO TAB QL PA zazole cre 0.8% 2 GC QL (28 tabs / 28 ANTICONCEPTIVOS ORALES / PREMPRO TAB QL PA FÁRMACOS RELACIONADOS QL (28 tabs / 28 amethia tab PREMPRO TAB QL PA QL (91 tabs / 91 QL (28 tabs / 28 amethyst tab 90-20mcg 2 GC progesterone micronized cap 2 GC apri tab 2 GC 100 aubra tab GC progesterone micronized cap 2 GC aviane tab 2 GC 200 BEYAZ TAB 3 VAGIFEM TAB 10MCG 3 briellyn tab 2 GC VIVELLE-DOT DIS 0.1MG 3 QL PA cryselle-28 tab 28 tabs 2 GC QL (8 patches / 28 cyclafem tab 1/35 2 GC VIVELLE-DOT DIS 0.05MG 3 QL PA cyclafem tab 7/7/7 2 GC QL (8 patches / 28 deblitane tab GC VIVELLE-DOT DIS 0.025MG 3 QL PA delyla tab GC QL (8 patches / 28 desogest-eth estrad & eth 2 GC VIVELLE-DOT DIS 0.075MG 3 QL PA estrad tab /0.01 QL (8 patches / 28 (21/5) VIVELLE-DOT DIS MG 3 QL PA drospirenone-ethinyl estradiol 2 GC QL (8 patches / 28 tab OBSTETRICIA/GINEC. MISCELÁNEA ELLA TAB 30MG 3 QL CLEOCIN SUP 100MG 3 QL (1 tab / 30 clindamycin phosphate 2 GC emoquette tab 2 GC vaginal cream 2% enpresse-28 tab 2 GC LYSTEDA TAB 650MG 4 falmina tab 2 GC metronidazole vaginal gel 2 GC GENERESS FE CHW % gianvi tab GC miconazole 3 sup GC gildagia tab GC NUVARING MIS 3 QL gildess 24 tab fe 1/20 2 GC QL (1 ring / 28 gildess tab 1.5/30 2 GC NUVESSA GEL 1.3% 4 introvale tab terconazole vaginal cream QL (91 tabs / % junel 1.5/30 tab 2 GC QL (90 gm / 30 junel 1/20 tab 2 GC terconazole vaginal cream 2 GC junel fe tab 1.5/30 2 GC 0.8% junel fe tab 1/20 2 GC kariva tab 28 day 2 GC kelnor tab 1/35 2 GC 68

74 larin fe tab 1.5/30 2 GC larin fe tab 1/20 2 GC larin tab 1.5/30 2 GC larin tab 1/20 2 GC leena tab 2 GC lessina tab 2 GC levonest tab 2 GC levonorgestrel & ethinyl estradiol (91-day) tab QL (91 tabs / 91 levonorgestrel & ethinyl 2 GC estradiol tab mcg levonorgestrel-ethinyl 2 GC estradiol (continuous) tab mcg levora-28 tab 0.15/30 2 GC LO LOESTRIN TAB 4 lomedia 24 tab fe 4 loryna tab GC low-ogestrel tab 2 GC lutera tab 2 GC marlissa tab 0.15/30 2 GC microgestin tab 1.5/30 2 GC microgestin tab 1/20 2 GC microgestin tab fe1.5/30 2 GC microgestin tab fe 1/20 2 GC MINASTRIN 24 CHW FE 4 mononessa tab 2 GC NATAZIA TAB 4 necon tab 0.5/35 2 GC necon tab 1/35 2 GC necon tab 7/7/7 2 GC NECON TAB 10/ GC nikki tab GC norethindrone & ethinyl 2 GC estradiol-fe chew tab mcg norethindrone ace-ethinyl estradiol-fe tab 1-20 mcg 2 GC orsythia tab 2 GC pimtrea tab 2 GC pirmella tab 1/35 2 GC portia-28 tab 2 GC previfem tab 2 GC QUARTETTE TAB QL (91 tabs / 91 quasense tab QL (91 tabs / 91 reclipsen tab 2 GC SAFYRAL TAB 4 sharobel tab GC sprintec 28 tab 28 day 2 GC tarina fe tab 1/20 2 GC tri-legest tab fe 2 GC tri-previfem tab 2 GC tri-sprintec tab 2 GC trinessa tab 2 GC trivora-28 tab 2 GC velivet pak 2 GC vestura tab GC vyfemla tab GC wymzya fe chw GC zenchent fe chw GC zenchent tab 2 GC zovia 1/35e tab 2 GC zovia 1/50e tab 2 GC OXYTOCICOS methylergonovine maleate tab 0.2 OFTALMOLOGÍA ANTIBIÓTICOS AZASITE SOL 1% 4 2 GC bacitracin ophth oint GC unit/gm bacitracin-polymyxin b ophth 2 GC oint BESIVANCE SUS 0.6% 4 CILOXAN OIN 0.3% OP 3 ciprofloxacin hcl ophth soln 2 GC (24) 0.3% norlyroc tab GC erythromycin ophth oint 5 2 GC nortrel tab 0.5/35 2 GC /gm nortrel tab 1/35 2 GC gatifloxacin ophth soln 0.5% 2 GC nortrel tab 7/7/7 2 GC gentak oin 0.3% op 2 GC ocella tab GC ogestrel tab 2 GC 69

75 gentamicin sulfate ophth oint 2 GC 0.3% gentamicin sulfate ophth soln 2 GC 0.3% levofloxacin ophth soln 0.5% 2 GC MOXEZA SOL 0.5% 3 NATACYN SUS 5% OP 4 neomycin-bacitrac zn-polymyx 2 GC 5(3.5)-400unt-10000unt op oin neomycin-polymy-gramicid op 2 GC sol unt-/ ml ofloxacin ophth soln 0.3% 2 GC polymyxin b-trimethoprim 2 GC ophth soln unit/ml-0.1% tobramycin ophth soln 0.3% 2 GC TOBREX OIN 0.3% OP 3 VIGAMOX DRO 0.5% 3 ANTIVIRALES trifluridine ophth soln 1% 2 GC ZIRGAN GEL 0.15% 4 BLOQUEADORES BETA betaxolol hcl ophth soln 0.5% 2 GC BETIMOL SOL 0.5% 3 BETOPTIC-S SUS 0.25% OP 4 carteolol hcl ophth soln 1% 2 GC ISTALOL SOL 0.5% OP 3 levobunolol hcl ophth soln 2 GC 0.5% metipranolol ophth soln 0.3% 2 GC timolol maleate ophth gel 2 GC forming soln 0.5% timolol maleate ophth gel 2 GC forming soln 0.25% timolol maleate ophth soln 2 GC 0.5% timolol maleate ophth soln 2 GC 0.25% Inhibidor De Colinesterasa Mioticos PHOSPHOLINE SOL %OP CICLOPLÉJICO MIDRIATICOS atropine sulfate ophth soln 1% 2 GC MIÓTICOS DE ACCIÓN DIRECTA pilocarpine hcl ophth soln 1% 2 GC pilocarpine hcl ophth soln 2% 2 GC pilocarpine hcl ophth soln 4% 2 GC OFTALMOLÓGICOS MISCELÁNEOS ALOCRIL SOL 2% 4 ALOMIDE SOL 0.1% OP 3 azelastine hcl ophth soln 2 GC 0.05% BEPREVE DRO 1.5% 3 cromolyn sodium ophth soln 2 GC 4% CYSTARAN SOL 0.44% 4 EMADINE SOL 0.05% OP 4 epinastine hcl ophth soln 2 GC 0.05% LACRISERT MIS 5MG OP 4 LASTACAFT SOL 0.25% 4 PATADAY SOL 0.2% 3 PATANOL SOL 0.1% OP 3 QL QL (2 bottles / 30 proparacaine hcl ophth soln 2 GC 0.5% RESTASIS EMU 0.05% 3 QL QL (64 vials / 30 FÁRMACOS ANTIINFLAMATORIOS NO ESTEROIDES bromfenac sodium ophth soln 2 GC 0.09% (base equivalent) diclofenac sodium ophth soln 2 GC 0.1% flurbiprofen sodium ophth soln 2 GC 0.03% ILEVRO DRO 0.3% OP 4 ketorolac tromethamine ophth soln 0.4% QL (2 bottles / 30 ketorolac tromethamine ophth soln 0.5% QL (1 bottle / 30 NEVANAC SUS 0.1% 4 PROLENSA SOL 0.07% 4 s Orales Para Glaucoma acetazolamide cap sr 12hr GC acetazolamide tab GC acetazolamide tab GC 70

76 methazolamide tab 25 2 GC methazolamide tab 50 2 GC Otros s Para Glaucoma AZOPT SUS 1% OP 3 QL QL (10ml / 30 bimatoprost ophth soln 0.03% QL (5ml / 30 COMBIGAN SOL 0.2/0.5% 4 dorzolamide hcl ophth soln 2% QL (1 bottle / 30 dorzolamide hcl-timolol maleate ophth soln /ml QL (1 bottle / 30 latanoprost ophth soln 0.005% QL (2 bottles / 30 LUMIGAN SOL 0.01% 3 QL QL (1 bottle / 30 SIMBRINZA SUS 1-0.2% 3 TRAVATAN Z DRO 0.004% 3 QL QL (2 bottles / 30 travoprost ophth soln 0.004% 2 GC Combinaciones De Esteroides Antibióticos bacitracin-polymyxin-neomyci 2 GC n-hc ophth oint 1% neomycin-polymyxin-dexamet 2 GC hasone ophth oint 0.1% neomycin-polymyxin-dexamet 2 GC hasone ophth susp 0.1% neomycin-polymyxin-hc ophth 2 GC susp PRED-G S.O.P OIN OP 4 PRED-G SUS OP 4 TOBRADEX OIN % 4 TOBRADEX ST SUS tobramycin-dexamethasone 2 GC ophth susp % ZYLET SUS % 4 ESTEROIDES-SULFONAMIDA COMBINACIONES BLEPHAMIDE OIN S.O.P. 3 BLEPHAMIDE SUS OP 3 sulfacetamide 2 GC sodium-prednisolone ophth soln (0.25)% ESTEROIDES ALREX SUS 0.2% 4 dexamethasone sodium 2 GC phosphate ophth soln 0.1% DUREZOL EMU 0.05% 4 FLAREX SUS 0.1% OP 4 fluorometholone ophth susp 2 GC 0.1% FML FORTE SUS 0.25% OP 3 FML OIN 0.1% OP 3 LOTEMAX GEL 0.5% 4 LOTEMAX OIN 0.5% 4 LOTEMAX SUS 0.5% 4 PRED FORTE SUS 1% OP 4 PRED MILD SUS 0.12% OP 3 PRED SOD PHO SOL 1% OP 2 GC prednisolone acetate ophth 2 GC susp 1% VEXOL SUS 1% OP 4 SULFONAMIDAS BLEPH-10 SOL 10% OP 4 sulfacetamide sodium ophth 2 GC oint 10% sulfacetamide sodium ophth 2 GC soln 10% SIMPATOMIMÉTICOS ALPHAGAN P SOL 0.1% 4 apraclonidine hcl ophth soln 2 GC 0.5% (base equivalent) brimonidine tartrate ophth soln 2 GC 0.2% brimonidine tartrate ophth soln 2 GC 0.15% IOPIDINE SOL 1% OP 4 Decongetionates Vasoconstrictors naphazoline hcl ophth soln 2 GC 0.1% RESPIRATORIA AGONISTAS BETA PROAIR RESPI AER 3 QL QL (4 inhalers / 30 RESPIRATORIO Y ALERGIAS FÁRMACOS DE ANTI-ESTAMÍNEOS /ANTIALÉRGICOS ADRENALIN INJ 1MG/ML 2 GC 71

77 AUVI-Q INJ 0.3MG 3 QL promethazine hcl inj 50 /ml 2 GC PA QL (1 pen / 30 promethazine hcl suppos GC PA AUVI-Q INJ 0.15MG 3 QL QL (1 pen / 30 promethazine hcl suppos 25 2 GC PA cetirizine hcl oral soln 1 /ml 2 GC (5 /5ml) promethazine hcl suppos 50 2 GC PA cyproheptadine hcl syrup 2 2 GC PA /5ml promethazine hcl syrup GC PA cyproheptadine hcl tab 4 2 GC PA /5ml desloratadine tab 5 promethazine hcl tab GC PA promethazine hcl tab 25 2 GC PA desloratadine tab orally promethazine hcl tab 50 2 GC PA disintegrating 2.5 promethegan sup 25 2 GC PA promethegan sup 50 2 GC PA desloratadine tab orally FÁRMACOS PULMONARES disintegrating 5 acetylcysteine inhal soln 10% 2 GC B/D acetylcysteine inhal soln 20% 2 GC B/D diphenhydramine hcl inj 50 2 GC ADCIRCA TAB 20MG 5 QL PA /ml epinephrine solution 2 GC ADEMPAS TAB 0.5MG 5 QL LA PA auto-injector 0.15 /0.15ml (1:1000) ADEMPAS TAB 1.5MG 5 QL LA PA EPIPEN 2-PAK INJ 0.3MG 3 QL QL (1 pen / 30 ADEMPAS TAB 1MG 5 QL LA PA EPIPEN-JR INJ 2-PAK 3 QL QL (1 pen / 30 ADEMPAS TAB 2.5MG 5 QL LA PA hydroxyzine hcl syrup 10 2 GC PA /5ml ADEMPAS TAB 2MG 5 QL LA PA hydroxyzine hcl tab 10 2 GC PA hydroxyzine hcl tab 25 2 GC PA ADVAIR DISKU AER 100/50 3 QL hydroxyzine hcl tab 50 2 GC PA QL (1 kit / 30 hydroxyzine pamoate cap 25 2 GC PA ADVAIR DISKU AER 250/50 3 QL QL (1 kit / 30 hydroxyzine pamoate cap 50 2 GC PA ADVAIR DISKU AER 500/50 3 QL QL (1 kit / 30 hydroxyzine pamoate cap GC PA ADVAIR HFA AER 45/21 3 QL QL (1 inhaler / 30 levocetirizine dihydrochloride 2 GC ADVAIR HFA AER 115/21 3 QL soln 2.5 /5ml (0.5 /ml) QL (1 inhaler / 30 levocetirizine dihydrochloride ADVAIR HFA AER 230/21 3 QL tab 5 QL (1 inhaler / 30 AEROSPAN AER 80MCG 4 phenadoz sup GC PA albuterol sulfate soln nebu 2 GC B/D QL phenergan sup GC PA 0.5% (5 /ml) phenergan sup 25 2 GC PA QL (3 bottles / 30 phenergan sup 50 2 GC PA prometh vc syp plain 2 GC PA promethazine hcl inj 25 /ml 2 GC PA 72

78 albuterol sulfate soln nebu 0.63 /3ml (base equiv) QL (125 vials / 30 albuterol sulfate soln nebu 0.083% (2.5 /3ml) QL (125 vials / 30 albuterol sulfate soln nebu 1.25 /3ml (base equiv) QL (125 vials / 30 2 GC B/D QL 2 GC B/D QL 2 GC B/D QL albuterol sulfate syrup 2 2 GC /5ml albuterol sulfate tab 2 2 GC albuterol sulfate tab 4 2 GC albuterol sulfate tab sr 12hr 4 2 GC albuterol sulfate tab sr 12hr 8 2 GC ALVESCO AER 80MCG QL (1 inhaler / 30 ALVESCO AER 160MCG QL (2 inhalers / 30 ANORO ELLIPT AER QL (1 kit / 30 ARCAPTA CAP 75MCG ARNUITY ELPT INH 100MCG QL (1 inhaler / 30 ARNUITY ELPT INH 200MCG QL (1 inhaler / 30 ASMANEX 30 AER 110MCG QL (1 inhaler / 30 ASMANEX 30 AER 220MCG QL (1 inhaler / 30 ASMANEX 60 AER 220MCG QL (1 inhaler / 30 ASMANEX 120 AER 220MCG QL (1 inhaler / 30 ASMANEX HFA AER 100 MCG QL (1 inhaler / 30 ASMANEX HFA AER 200 MCG QL (1 inhaler / 30 ATROVENT HFA AER 17MCG QL (2 inhalers / 30 3 QL 3 QL 3 QL BECONASE AQ SUS 0.042% QL (2 inhalers / 30 BREO ELLIPTA INH BREO ELLIPTA INH BROVANA NEB 15MCG 4 B/D budesonide inhalation susp 2 GC B/D 0.5 /2ml budesonide inhalation susp 2 GC B/D 0.25 /2ml budesonide nasal susp 32 mcg/act QL (2 inhalers / 30 CINRYZE SOL 500 UNIT 5 PA COMBIVENT AER 3 QL RESPIMAT QL (2 inhalers / 30 cromolyn sodium soln nebu 20 2 GC B/D /2ml DALIRESP TAB 500MCG PA DULERA AER 100-5MCG 3 QL QL (1 inhaler / 30 DULERA AER 200-5MCG 3 QL QL (1 inhaler / 30 DYMISTA SPR QL (1 bottle / 30 ELIXOPHYLLIN ELX 80/15ML 4 ESBRIET CAP 267MG 5 QL PA QL (270 caps / 30 FIRAZYR INJ 30MG/3ML 5 PA FLOVENT DISK AER 50MCG 3 QL QL (2 inhalers / 30 FLOVENT DISK AER 3 QL 100MCG QL (2 inhalers / 30 FLOVENT DISK AER 3 QL 250MCG QL (2 inhalers / 30 FLOVENT HFA AER 44MCG 3 QL QL (2 inhalers / 30 FLOVENT HFA AER 110MCG 3 QL QL (2 inhalers / 30 FLOVENT HFA AER 220MCG QL (2 inhalers / 30 3 QL 73

79 flunisolide nasal soln 25 OFEV CAP 150MG 5 QL PA mcg/act (0.025%) QL (2 inhalers / 30 QL (60 caps / 30 OMNARIS SPR fluticasone propionate nasal QL (1 inhaler / 30 susp 50 mcg/act OPSUMIT TAB 10MG 5 QL LA PA QL (1 bottle / 30 FORADIL CAP AEROLIZE 3 QL PERFOROMIST NEB 20MCG 4 B/D QL (60 caps / 30 PROAIR HFA AER 3 QL ipratropium bromide inhal soln 2 GC B/D QL (4 inhalers / % ipratropium-albuterol nebu 2 GC B/D QL PROVENTIL AER HFA soln (3) /3ml QL (180 vials / 30 QL (4 inhalers / 30 PULMICORT INH 90MCG KALYDECO PAK 50MG 5 QL PA QL (2 inhalers / 30 QL (56 packets / 28 PULMICORT INH 180MCG QL (2 inhalers / 30 KALYDECO PAK 75MG 5 QL PA PULMICORT SUS 1MG/2ML 4 B/D QL (56 packets / 28 PULMOZYME SOL 1MG/ML 5 B/D QNASL AER 80MCG KALYDECO TAB 150MG 5 QL PA QL (1 inhaler / 30 QNASL CHILD SPR 40MCG LETAIRIS TAB 5MG 5 QL LA PA QL (1 inhaler / 30 QVAR AER 40MCG LETAIRIS TAB 10MG 5 QL LA PA QL (29.2gm / 30 QVAR AER 80MCG levalbuterol hcl soln nebu GC B/D QL (2 inhalers / 30 /3ml (base equiv) REVATIO INJ 5 QL PA levalbuterol hcl soln nebu GC B/D QL (90 vials / 30 /3ml (base equiv) RUCONEST INJ 2100UNIT 5 PA levalbuterol hcl soln nebu conc 2 GC B/D SEREVENT DIS AER 50MCG 3 QL 1.25 /0.5ml (base equiv) QL (1 inhaler / 30 montelukast sodium chew tab sildenafil citrate tab 20 PA 4 (base equiv) SPIRIVA CAP HANDIHLR 3 QL montelukast sodium chew tab 5 (base equiv) SPIRIVA SPR RESPIMAT 3 QL QL (60 doses / 30 montelukast sodium oral STRIVERDI AER RESPIMAT granules packet 4 (base QL (1 inhaler / 30 equiv) SYMBICORT AER QL QL (1 box / 30 QL (1 inhaler / 30 montelukast sodium tab 10 SYMBICORT AER QL (base equiv) QL (1 inhaler / 30 terbutaline sulfate tab GC NASONEX SPR 50MCG/AC 3 QL terbutaline sulfate tab 5 2 GC QL (2 inhalers / 30 theophylline soln 80 /15ml 2 GC OFEV CAP 100MG 5 QL PA theophylline tab sr 12hr GC QL (60 caps / 30 74

80 theophylline tab sr 12hr GC theophylline tab sr 12hr GC theophylline tab sr 12hr GC theophylline tab sr 24hr GC theophylline tab sr 24hr GC TRACLEER TAB 62.5MG 5 QL LA PA TRACLEER TAB 125MG 5 QL LA PA triamcinolone acetonide nasal aerosol suspension 55 mcg/act QL (1 bottle / 30 TUDORZA PRES AER 3 QL 400/ACT QL (1 inhaler / 15 TUDORZA PRES AER 3 QL 400/ACT QL (1 inhaler / 30 TYVASO SOL 0.6MG/ML 5 PA VENTAVIS SOL 10MCG/ML 5 PA VENTAVIS SOL 20MCG/ML 5 PA VENTOLIN HFA AER 3 QL QL (2 inhalers / 30 VERAMYST SPR 27.5MCG QL (1 bottle / 30 XOLAIR SOL 150MG 5 LA PA XOPENEX HFA AER QL (2 inhalers / 30 zafirlukast tab 10 zafirlukast tab 20 ZETONNA AER 37MCG QL (1 inhaler / 30 ZYFLO CR TAB 600MG 3 QL ZYFLO TAB 600MG 3 QL TOPICOS DERMATOLOGY, ANTIPSORIÀTICOS COSENTYX PEN INJ 5 PA 150MG/ML DERMATOLÓGICOS MEMBRANA MUCOSA MISCELÁNEOS TARGRETIN GEL 1% 5 PA UROLÓGICOS ANTICOLINÉRGICOS ANTISPAMÓDICOS ENABLEX TAB 7.5MG ENABLEX TAB 15MG flavoxate hcl tab GC GELNIQUE GEL 3% QL (184 gm / 30 GELNIQUE GEL 10% QL (30 gm / 30 MYRBETRIQ TAB 25MG 3 QL MYRBETRIQ TAB 50MG 3 QL oxybutynin chloride syrup 5 2 GC /5ml oxybutynin chloride tab 5 oxybutynin chloride tab sr 24hr 5 oxybutynin chloride tab sr 24hr 10 oxybutynin chloride tab sr 24hr 15 tolterodine tartrate cap sr 24hr 2 tolterodine tartrate cap sr 24hr 4 tolterodine tartrate tab 1 tolterodine tartrate tab 2 TOVIAZ TAB 4MG 3 QL TOVIAZ TAB 8MG 3 QL 75

81 trospium chloride cap sr 24hr 60 trospium chloride tab 20 VESICARE TAB 5MG 3 QL VESICARE TAB 10MG 3 QL TERAPIA DE HIPERPLASIA BENIGNA DE LA PRÓSTATA alfuzosin hcl tab sr 24hr 10 AVODART CAP 0.5MG 3 QL finasteride tab 5 JALYN CAP 3 QL RAPAFLO CAP 4MG 4 RAPAFLO CAP 8MG 4 tamsulosin hcl cap 0.4 QL (60 caps / 30 ESTIMULANTES COLINÉRGICOS bethanechol chloride tab 5 2 GC bethanechol chloride tab 10 2 GC bethanechol chloride tab 25 2 GC bethanechol chloride tab 50 2 GC UROLÓGICOS MISCELÁNEOS CIALIS TAB 2.5MG 3 QL PA CIALIS TAB 5MG 3 QL PA CIALIS TAB 10MG 3 ED QL QL (4 tabs / 30 CIALIS TAB 20MG 3 ED QL QL (4 tabs / 30 CYSTAGON CAP 50MG 3 LA CYSTAGON CAP 150MG 3 LA ELMIRON CAP 100MG 4 LEVITRA TAB 2.5MG 4 ED QL QL (4 tabs / 30 LEVITRA TAB 5MG QL (4 tabs / 30 4 ED QL LEVITRA TAB 10MG 4 ED QL QL (4 tabs / 30 LEVITRA TAB 20MG 4 ED QL QL (4 tabs / 30 potassium citrate tab cr 5 meq 2 GC (540 ) potassium citrate tab cr 10 2 GC meq (1080 ) potassium citrate tab cr 15 2 GC meq (1620 ) PROCYSBI CAP 25MG 5 PA PROCYSBI CAP 75MG 5 PA STAXYN TAB 10MG 4 ED QL QL (4 tabs / 30 UROCIT-K 15 TAB 4 VIAGRA TAB 25MG 4 ED QL QL (4 tabs / 30 VIAGRA TAB 50MG 4 ED QL QL (4 tabs / 30 VIAGRA TAB 100MG 4 ED QL QL (4 tabs / 30 VITAMINAS, HEMATÍNICOS / ELECTROLITOS ELECTROLITOS calcium acetate (phosphate 2 GC binder) cap 667 (169 ca) K-TAB TAB 10MEQ CR 4 K-TAB TAB 20MEQ 4 kcl 10 meq/l (0.075%) in 2 GC dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in 2 GC dextrose 5% & nacl 0.2% inj kcl 20 meq/l (0.15%) in 2 GC dextrose 5% & nacl 0.9% inj kcl 20 meq/l (0.15%) in 2 GC dextrose 5% & nacl 0.33% inj kcl 20 meq/l (0.15%) in 2 GC dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in nacl 2 GC 0.9% inj kcl 20 meq/l (0.15%) in nacl 2 GC 0.45% inj kcl 30 meq/l (0.224%) in 2 GC dextrose 5% & nacl 0.45% inj kcl 40 meq/l (0.3%) in dextrose 5% & nacl 0.45% inj 2 GC 76

82 kcl 40 meq/l (0.3%) in nacl 2 GC 0.9% inj KCL/D5W/LR INJ 0.15% 2 GC KCL/D5W/NACL INJ 0.3/0.9% 2 GC KCL/D5W/NACL INJ 0.15/0.2 2 GC klor-con 8 tab 8meq er 2 GC klor-con 10 tab 10meq er 2 GC KLOR-CON M15 TAB 15MEQ 2 GC ER klor-con m20 tab 20meq er 2 GC lactated ringer's solution 2 GC magnesium sulfate inj 50% 2 GC NORMOSOL -R INJ /D5W 2 GC PHOSLYRA SOL 4 potassium chloride 20 meq/l 2 GC (0.15%) in dextrose 5% inj potassium chloride 40 meq/l 2 GC (0.3%) in dextrose 5% inj potassium chloride cap cr 8 2 GC meq potassium chloride cap cr 10 2 GC meq potassium chloride inj 2 2 GC meq/ml potassium chloride inj 10 2 GC meq/100 ml potassium chloride inj 20 2 GC meq/100 ml potassium chloride inj 40 2 GC meq/100 ml potassium chloride 2 GC microencapsulated crys cr tab 10 meq potassium chloride 2 GC microencapsulated crys cr tab 20 meq potassium chloride oral liq 2 GC 10% (20 meq/15ml) potassium chloride oral liq 2 GC 20% (40 meq/15ml) potassium chloride tab cr 8 2 GC meq (600 ) ringer's solution 2 GC sodium chloride inj 0.45% 2 GC sodium chloride inj 2.5 meq/ml 2 GC (14.6%) sodium chloride inj 3% 2 GC sodium chloride inj 5% 2 GC tpn electrol inj 3 PRODUCTOS NUTRITIVOS MISCELÁNEOS AMINOSYN 7% INJ /LYTES 3 AMINOSYN II INJ 7% 3 B/D AMINOSYN II INJ 8.5% 3 B/D aminosyn ii inj 8.5/lyte 3 B/D AMINOSYN II INJ 10% 3 B/D AMINOSYN II INJ 15% 3 B/D aminosyn inj 8.5/lyte 3 B/D AMINOSYN M INJ 3.5% 3 B/D AMINOSYN-HBC INJ 7% 3 B/D AMINOSYN-PF INJ 7% 3 B/D AMINOSYN-PF INJ 10% 3 B/D AMINOSYN-RF INJ 5.2% 3 CLINIMIX E INJ 4.25/D5W 3 CLINIMIX E INJ 4.25/D10 3 CLINIMIX E INJ 4.25/D25 3 CLINIMIX E INJ 5%/D15W 3 CLINIMIX E INJ 5%/D20W 3 CLINIMIX E INJ 5%/D25W 3 CLINIMIX INJ 2.75/D5W 3 B/D CLINIMIX INJ 4.25/D10 3 B/D CLINIMIX INJ 4.25/D20 3 B/D CLINIMIX INJ 4.25/D25 3 B/D CLINIMIX INJ 5%/D15W 3 B/D CLINIMIX INJ 5%/D20W 3 B/D CLINIMIX INJ 5%/D25W 3 B/D clinisol sf inj 15% 3 B/D FREAMINE HBC INJ 6.9% 3 hepatamine sol 8% 3 B/D intralipid inj 20% 2 GC B/D INTRALIPID INJ 30% 4 B/D ISOLYTE-P INJ /D5W 3 ISOLYTE-S INJ 3 LIPOSYN III INJ 10% 2 GC B/D LIPOSYN III INJ 20% 2 GC B/D NEPHRAMINE INJ 5.4% 3 B/D normosol -m inj /d5w 3 NORMOSOL-R INJ PH nutrilipid emu 20% 2 GC B/D PLASMA-LYTE INJ 56/D5W 3 PLASMA-LYTE INJ PLASMA-LYTE INJ -A 3 77

83 premasol sol 6% 3 B/D PREMASOL SOL 10% 2 GC B/D PROCALAMINE INJ 3% 3 B/D PROSOL INJ 20% 3 B/D TRAVASOL INJ 10% 2 GC B/D TROPHAMINE INJ 6% 4 B/D TROPHAMINE INJ 10% 4 B/D VITAMINAS / HEMATÍNICOS folic acid tab 1 1 ED GC QL PRENATAL VITAMIN/FOLIC 2 GC ACID > 0.8 MG (GENERIC) SOD FLUORIDE 2.2MG TAB 2 GC VITAMIN D2 TAB 400UNIT 2 ED GC QL VITAMIN D2 TAB 2000UNIT 2 ED GC QL 78

84 Index A abacavir sulfate tab 300 (base equiv)... 2 abacavir sulfate-lamivudine-zidovudin e tab ABELCET INJ 5MG/ML... 2 ABILIFY MAIN INJ 300MG 26 ABILIFY MAIN INJ 400MG 26 ABILIFY TAB 10MG ABILIFY TAB 15MG ABILIFY TAB 20MG ABILIFY TAB 2MG ABILIFY TAB 30MG ABILIFY TAB 5MG ABRAXANE INJ 100MG ABSTRAL SUB 100MCG.. 20 ABSTRAL SUB 200MCG.. 20 ABSTRAL SUB 300MCG.. 20 ABSTRAL SUB 400MCG.. 21 ABSTRAL SUB 600MCG.. 21 ABSTRAL SUB 800MCG.. 21 acamprosate calcium tab delayed release acarbose tab acarbose tab acarbose tab ACCUPRIL TAB 10MG ACCUPRIL TAB 20MG ACCUPRIL TAB 40MG ACCUPRIL TAB 5MG ACCURETIC TAB ACCURETIC TAB ACCURETIC TAB 20-25MG acebutolol hcl cap acebutolol hcl cap acetaminophen w/ codeine soln /5ml acetaminophen w/ codeine tab acetaminophen w/ codeine tab acetaminophen w/ codeine tab acetasol hc sol otic acetazolamide cap sr 12hr acetazolamide tab acetazolamide tab acetic acid otic soln 2% acetylcysteine inhal soln 10% acetylcysteine inhal soln 20% acitretin cap acitretin cap acitretin cap ACTEMRA INJ 162/ ACTEMRA INJ 200/10ML. 68 ACTHIB INJ ACTIMMUNE INJ 2MU/ ACTONEL TAB 150MG ACTONEL TAB 30MG ACTONEL TAB 35MG ACTONEL TAB 5MG ACTOPLUS MET TAB MG ACTOPLUS MET TAB MG ACTOPLUS MET TAB XR 56 ACTOS TAB 15MG ACTOS TAB 30MG ACTOS TAB 45MG acyclovir cap acyclovir oint 5% acyclovir sodium iv soln 50 /ml... 2 acyclovir susp 200 /5ml.. 2 acyclovir tab acyclovir tab ACZONE GEL 5% ADACEL INJ ADAGEN INJ 250/ML adapalene cream 0.1% adapalene gel 0.1% adapalene gel 0.3% ADCIRCA TAB 20MG adefovir dipivoxil tab 10 2 ADEMPAS TAB 0.5MG ADEMPAS TAB 1.5MG ADEMPAS TAB 1MG ADEMPAS TAB 2.5MG ADEMPAS TAB 2MG ADRENALIN INJ 1MG/ML 74 ADVAIR DISKU AER 100/ ADVAIR DISKU AER 250/ ADVAIR DISKU AER 500/ ADVAIR HFA AER 115/21 75 ADVAIR HFA AER 230/21 75 ADVAIR HFA AER 45/ ADVICOR TAB ADVICOR TAB ADVICOR TAB MG 46 ADVICOR TAB MG 46 AEROSPAN AER 80MCG 75 afeditab tab 30 cr afeditab tab 60 cr AFINITOR DIS TAB 2MG. 10 AFINITOR DIS TAB 3MG. 10 AFINITOR DIS TAB 5MG. 10 AFINITOR TAB 10MG AFINITOR TAB 2.5MG AFINITOR TAB 5MG AFINITOR TAB 7.5MG AGGRENOX CAP MG a-hydrocort inj AKYNZEO CAP ALBENZA TAB 200MG... 6 albuterol sulfate soln nebu 0.083% (2.5 /3ml) albuterol sulfate soln nebu 0.5% (5 /ml) albuterol sulfate soln nebu 0.63 /3ml (base equiv). 75 albuterol sulfate soln nebu 1.25 /3ml (base equiv). 75 albuterol sulfate syrup 2 /5ml albuterol sulfate tab albuterol sulfate tab albuterol sulfate tab sr 12hr albuterol sulfate tab sr 12hr alclometasone dipropionate cream 0.05% alclometasone dipropionate oint 0.05% ALCOHOL SWABS ALDURAZYME INJ 2.9MG/5M

85 alendronate sodium oral soln 70 /75ml alendronate sodium tab alendronate sodium tab alendronate sodium tab alendronate sodium tab alendronate sodium tab alfuzosin hcl tab sr 24hr ALIMTA INJ 500MG ALINIA SUS 100/5ML... 6 ALINIA TAB 500MG... 6 allopurinol tab allopurinol tab ALOCRIL SOL 2% ALOMIDE SOL 0.1% OP.. 72 ALOPRIM INJ 500MG ALORA DIS 0.025MG ALORA DIS 0.05MG ALORA DIS 0.075MG ALORA DIS 0.1MG alosetron hcl tab 0.5 (base equiv) alosetron hcl tab 1 (base equiv) ALPHAGAN P SOL 0.1%.. 74 alprazolam tab alprazolam tab alprazolam tab alprazolam tab ALREX SUS 0.2% ALTABAX OIN 1% ALTACE CAP 1.25MG ALTACE CAP 10MG ALTACE CAP 2.5MG ALTACE CAP 5MG ALVESCO AER 160MCG. 75 ALVESCO AER 80MCG amantadine hcl cap amantadine hcl syrup 50 /5ml... 2 amantadine hcl tab AMARYL TAB 1MG AMARYL TAB 2MG AMARYL TAB 4MG AMBISOME INJ 50MG... 2 amcinonide cream 0.1% amcinonide lotion 0.1% AMCINONIDE OIN 0.1%.. 52 amethia tab amethyst tab 90-20mcg amifostine crystalline for inj amikacin sulfate inj 500 /2ml (250 /ml)... 6 amiloride & hydrochlorothiazide tab amiloride hcl tab AMINOSYN 7% INJ /LYTES AMINOSYN II INJ 10% AMINOSYN II INJ 15% AMINOSYN II INJ 7% AMINOSYN II INJ 8.5% aminosyn ii inj 8.5/lyte aminosyn inj 8.5/lyte AMINOSYN M INJ 3.5% AMINOSYN-HBC INJ 7%. 80 AMINOSYN-PF INJ 10%.. 80 AMINOSYN-PF INJ 7% AMINOSYN-RF INJ 5.2%. 80 amiodarone hcl tab amiodarone hcl tab AMITIZA CAP 24MCG AMITIZA CAP 8MCG amitriptyline hcl tab amitriptyline hcl tab amitriptyline hcl tab amitriptyline hcl tab amitriptyline hcl tab amitriptyline hcl tab amlodipine besylate tab amlodipine besylate tab amlodipine besylate tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-atorvastatin calcium tab amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-benazepril hcl cap amlodipine besylate-valsartan tab 80

86 amlodipine besylate-valsartan tab amlodipine besylate-valsartan tab amlodipine besylate-valsartan tab amlodipine-valsartan-hydroc hlorothiazide tab amlodipine-valsartan-hydroc hlorothiazide tab amlodipine-valsartan-hydroc hlorothiazide tab amlodipine-valsartan-hydroc hlorothiazide tab amlodipine-valsartan-hydroc hlorothiazide tab amnesteem cap amnesteem cap amnesteem cap amoxapine tab amoxapine tab amoxapine tab amoxapine tab amoxicillin & k clavulanate chew tab amoxicillin & k clavulanate chew tab amoxicillin & k clavulanate for susp /5ml... 8 amoxicillin & k clavulanate for susp /5ml... 8 amoxicillin & k clavulanate for susp /5ml... 8 amoxicillin & k clavulanate for susp /5ml... 8 amoxicillin & k clavulanate tab amoxicillin & k clavulanate tab amoxicillin & k clavulanate tab amoxicillin & k clavulanate tab sr 12hr amoxicillin (trihydrate) cap amoxicillin (trihydrate) cap amoxicillin (trihydrate) chew tab amoxicillin (trihydrate) chew tab amoxicillin (trihydrate) for susp 125 /5ml... 8 amoxicillin (trihydrate) for susp 200 /5ml... 8 amoxicillin (trihydrate) for susp 250 /5ml... 8 amoxicillin (trihydrate) for susp 400 /5ml... 8 amoxicillin (trihydrate) tab amoxicillin (trihydrate) tab amoxicillin cap-clarithro tab-lansopraz cap dr therapy pack amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine cap sr 24hr amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphetamine-dextroamphet amine tab amphotericin b for inj 50 2 ampicillin & sulbactam sodium for inj 2-1 gm... 8 ampicillin & sulbactam sodium for iv soln gm. 8 ampicillin & sulbactam sodium for iv soln 10-5 gm.. 8 ampicillin cap ampicillin cap ampicillin for susp 125 /5ml... 8 ampicillin for susp 250 /5ml... 8 ampicillin sodium for inj 1 gm... 8 ampicillin sodium for inj ampicillin sodium for iv soln 10 gm... 8 AMPYRA TAB 10MG anagrelide hcl cap anagrelide hcl cap anastrozole tab ANDRODERM DIS 2MG/24HR ANDRODERM DIS 4MG/24HR ANDROGEL GEL 1%(25MG) ANDROGEL GEL 1%(50MG) ANDROGEL GEL 1.62%.. 60 ANDROGEL GEL PUMP 1% ANGELIQ TAB ANGELIQ TAB 0.5-1MG ANORO ELLIPT AER ANZEMET TAB 100MG ANZEMET TAB 50MG APEXICON E CRE 0.05% 52 APIDRA INJ SOLOSTAR. 56 APIDRA INJ U APOKYN INJ 10MG/ML apraclonidine hcl ophth soln 0.5% (base equivalent) apri tab APRISO CAP 0.375GM APTIOM TAB 200MG

87 APTIOM TAB 400MG APTIOM TAB 600MG APTIOM TAB 800MG APTIVUS CAP 250MG... 2 APTIVUS SOL... 2 ARALAST NP INJ 400MG. 53 ARANESP INJ 100MCG ARANESP INJ 10MCG ARANESP INJ 150MCG ARANESP INJ 200MCG ARANESP INJ 25MCG ARANESP INJ 300MCG ARANESP INJ 40MCG ARANESP INJ 500MCG ARANESP INJ 60MCG ARCALYST INJ 220MG ARCAPTA CAP 75MCG aripiprazole tab aripiprazole tab aripiprazole tab aripiprazole tab aripiprazole tab aripiprazole tab ARNUITY ELPT INH 100MCG ARNUITY ELPT INH 200MCG ARRANON INJ 5MG/ML ARZERRA CON 100/5ML. 11 ASACOL HD TAB 800MG. 62 ascomp/cod cap ASMANEX 120 AER 220MCG ASMANEX 30 AER 110MCG ASMANEX 30 AER 220MCG ASMANEX 60 AER 220MCG ASMANEX HFA AER 100 MCG ASMANEX HFA AER 200 MCG ASTAGRAF XL CAP 0.5MG ASTAGRAF XL CAP 1MG 11 ASTAGRAF XL CAP 5MG 11 ATACAND HCT TAB ATACAND HCT TAB ATACAND HCT TAB 32-25MG ATACAND TAB 16MG ATACAND TAB 32MG ATACAND TAB 4MG ATACAND TAB 8MG atenolol & chlorthalidone tab atenolol & chlorthalidone tab atenolol tab atenolol tab atenolol tab ATGAM INJ 250MG atorvastatin calcium tab 10 (base equivalent) atorvastatin calcium tab 20 (base equivalent) atorvastatin calcium tab 40 (base equivalent) atorvastatin calcium tab 80 (base equivalent) atovaquone susp 750 /5ml... 6 atovaquone-proguanil hcl tab atovaquone-proguanil hcl tab ATRIPLA TAB... 2 atropine sulfate inj 0.05 /ml atropine sulfate inj 0.1 /ml atropine sulfate ophth soln 1% ATROVENT HFA AER 17MCG AUBAGIO TAB 14MG AUBAGIO TAB 7MG aubra tab AUVI-Q INJ 0.15MG AUVI-Q INJ 0.3MG AVALIDE TAB AVALIDE TAB AVANDAMET TAB MG AVANDIA TAB 2MG AVANDIA TAB 4MG AVANDIA TAB 8MG AVAPRO TAB 150MG AVAPRO TAB 300MG AVAPRO TAB 75MG AVASTIN INJ AVELOX ABC TAB 400MG 9 AVELOX INJ... 9 aviane tab AVODART CAP 0.5MG AVONEX KIT 30MCG AVONEX PREFL KIT 30MCG azacitidine for inj AZACTAM/DEX INJ 1GM... 6 AZACTAM/DEX INJ 2GM... 6 AZASITE SOL 1% azathioprine tab azelastine hcl nasal spray 0.1% (137 mcg/spray) azelastine hcl nasal spray 0.15% (205.5 mcg/spray).. 55 azelastine hcl ophth soln 0.05% AZELEX CRE 20% AZILECT TAB 0.5MG AZILECT TAB 1MG azithromycin for susp 100 /5ml... 6 azithromycin for susp 200 /5ml... 6 azithromycin iv for soln azithromycin powd pack for susp 1 gm... 6 azithromycin tab azithromycin tab azithromycin tab AZOPT SUS 1% OP AZOR TAB 10-20MG AZOR TAB 10-40MG AZOR TAB 5-20MG AZOR TAB 5-40MG aztreonam for inj 1 gm... 6 B baciim inj 50000unt... 6 BACITRACIN INJ 50000UNT... 6 bacitracin ophth oint 500 unit/gm bacitracin-polymyxin b ophth oint

88 bacitracin-polymyxin-neomyc in-hc ophth oint 1% baclofen tab baclofen tab BACTOCILL INJ DEX 1GM. 8 BACTOCILL INJ DEX 2GM. 8 BACTROBAN OIN NASAL 2% balsalazide disodium cap BANZEL SUS 40MG/ML BANZEL TAB 200MG BANZEL TAB 400MG BARACLUDE SOL.05MG/ML... 2 BARACLUDE TAB 0.5MG.. 2 BARACLUDE TAB 1MG... 2 BCG VACCINE INJ BECONASE AQ SUS 0.042% BELEODAQ INJ 500MG benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab benazepril & hydrochlorothiazide tab benazepril hcl tab benazepril hcl tab benazepril hcl tab benazepril hcl tab BENICAR HCT TAB BENICAR HCT TAB BENICAR HCT TAB 40-25MG BENICAR TAB 20MG BENICAR TAB 40MG BENICAR TAB 5MG BENLYSTA INJ 120MG BENTYL INJ 10MG/ML benztropine mesylate tab benztropine mesylate tab benztropine mesylate tab BEPREVE DRO 1.5% BESIVANCE SUS 0.6% betamethasone dipropionate augmented cream 0.05%.. 52 betamethasone dipropionate augmented gel 0.05% betamethasone dipropionate augmented lotion 0.05% betamethasone dipropionate augmented oint 0.05% betamethasone dipropionate cream 0.05% betamethasone dipropionate lotion 0.05% betamethasone dipropionate oint 0.05% betamethasone valerate aerosol foam 0.12% betamethasone valerate cream 0.1% betamethasone valerate lotion 0.1% betamethasone valerate oint 0.1% BETASERON INJ 0.3MG.. 66 betaxolol hcl ophth soln 0.5% betaxolol hcl tab betaxolol hcl tab bethanechol chloride tab bethanechol chloride tab bethanechol chloride tab bethanechol chloride tab BETIMOL SOL 0.5% BETOPTIC-S SUS 0.25% OP BEXSERO INJ BEYAZ TAB bicalutamide tab BICILLIN C-R INJ BICILLIN C-R INJ 900/ BICNU INJ 100MG BIDIL TAB BILTRICIDE TAB 600MG... 6 bimatoprost ophth soln 0.03% bisoprolol & hydrochlorothiazide tab bisoprolol & hydrochlorothiazide tab bisoprolol & hydrochlorothiazide tab bisoprolol fumarate tab bisoprolol fumarate tab BIVIGAM INJ 10% bleomycin sulfate for inj 30 unit BLEPH-10 SOL 10% OP.. 74 BLEPHAMIDE OIN S.O.P. 73 BLEPHAMIDE SUS OP BOOSTRIX INJ BOSULIF TAB 100MG BOSULIF TAB 500MG BOTOX INJ 100UNIT BOTOX INJ 200UNIT BREO ELLIPTA INH BREO ELLIPTA INH briellyn tab BRILINTA TAB 90MG brimonidine tartrate ophth soln 0.15% brimonidine tartrate ophth soln 0.2% BRINTELLIX TAB 10MG.. 26 BRINTELLIX TAB 20MG.. 26 BRINTELLIX TAB 5MG bromfenac sodium ophth soln 0.09% (base equivalent) bromocriptine mesylate cap bromocriptine mesylate tab BROVANA NEB 15MCG.. 75 budesonide cap sr 24hr

89 budesonide inhalation susp 0.25 /2ml budesonide inhalation susp 0.5 /2ml budesonide nasal susp 32 mcg/act bumetanide tab bumetanide tab bumetanide tab buprenorphine hcl sl tab 2 (base equiv) buprenorphine hcl sl tab 8 (base equiv) buprenorphine hcl-naloxone hcl sl tab (base equiv) buprenorphine hcl-naloxone hcl sl tab 8-2 (base equiv) buproban tab bupropion hcl tab bupropion hcl tab bupropion hcl tab sr 12hr bupropion hcl tab sr 12hr bupropion hcl tab sr 12hr bupropion hcl tab sr 24hr bupropion hcl tab sr 24hr buspirone hcl tab buspirone hcl tab buspirone hcl tab buspirone hcl tab buspirone hcl tab BUSULFEX INJ 6MG/ML.. 11 butalbital-acetaminophen-caf f w/ cod cap BYDUREON INJ BYETTA INJ 10MCG BYETTA INJ 5MCG BYSTOLIC TAB 10MG BYSTOLIC TAB 2.5MG BYSTOLIC TAB 20MG BYSTOLIC TAB 5MG C cabergoline tab CADUET TAB 10-10MG CADUET TAB 10-20MG CADUET TAB 10-40MG CADUET TAB 10-80MG CADUET TAB MG.. 47 CADUET TAB MG.. 47 CADUET TAB MG.. 47 CADUET TAB 5-10MG CADUET TAB 5-20MG CADUET TAB 5-40MG CADUET TAB 5-80MG calcipotriene cream 0.005% calcipotriene oint 0.005%.. 50 calcipotriene soln 0.005% (50 mcg/ml) calcipotriene-betamethasone dipropionate oint % calcitonin (salmon) nasal soln 200 unit/act calcitriol cap 0.25 mcg calcitriol cap 0.5 mcg calcitriol inj 1 mcg/ml calcitriol oint 3 mcg/gm calcitriol oral soln 1 mcg/ml calcium acetate (phosphate binder) cap 667 (169 ca) CAMBIA POW 50MG camila tab CANASA SUP 1000MG CANCIDAS INJ 50MG... 2 CANCIDAS INJ 70MG... 2 candesartan cilexetil tab candesartan cilexetil tab candesartan cilexetil tab candesartan cilexetil tab candesartan cilexetil-hydrochlorothiazide tab candesartan cilexetil-hydrochlorothiazide tab candesartan cilexetil-hydrochlorothiazide tab CAPASTAT SUL INJ 1GM.. 6 CAPEX SHA 0.01% CAPRELSA TAB 100MG.. 11 CAPRELSA TAB 300MG.. 11 captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril & hydrochlorothiazide tab captopril tab captopril tab captopril tab captopril tab CARAC CRE 0.5% CARAFATE SUS 1GM/10ML CARBAGLU TAB 200MG. 53 carbamazepine cap sr 12hr carbamazepine cap sr 12hr carbamazepine cap sr 12hr carbamazepine chew tab carbamazepine susp 100 /5ml carbamazepine tab carbamazepine tab sr 12hr carbamazepine tab sr 12hr carbidopa & levodopa orally disintegrating tab carbidopa & levodopa orally disintegrating tab carbidopa & levodopa orally disintegrating tab

90 carbidopa & levodopa tab carbidopa & levodopa tab carbidopa & levodopa tab carbidopa & levodopa tab cr carbidopa & levodopa tab cr carbidopa tab carbidopa-levodopa-entacap one tabs carbidopa-levodopa-entacap one tabs carbidopa-levodopa-entacap one tabs carbidopa-levodopa-entacap one tabs carbidopa-levodopa-entacap one tabs carbidopa-levodopa-entacap one tabs carboplatin iv soln 150 /15ml CARDIZEM LA TAB 120MG carisoprodol tab carteolol hcl ophth soln 1% cartia xt cap 120/24hr cartia xt cap 180/24hr cartia xt cap 240/24hr cartia xt cap 300/24hr carvedilol tab carvedilol tab carvedilol tab carvedilol tab CAYSTON INH 75MG... 6 CEDAX CAP 400MG... 5 cefaclor cap cefaclor cap CEFACLOR ER TAB 500MG... 5 cefadroxil cap cefadroxil for susp 250 /5ml... 5 cefadroxil for susp 500 /5ml... 5 cefadroxil tab 1 gm... 5 CEFAZOLIN INJ 1GM/50ML... 5 cefazolin sodium for inj 1 gm... 5 cefazolin sodium for inj 10 gm... 5 cefazolin sodium for inj cefdinir cap cefdinir for susp 125 /5ml... 5 cefdinir for susp 250 /5ml... 5 cefditoren pivoxil tab 200 (base equivalent)... 5 cefepime hcl for inj 1 gm... 5 cefepime hcl for inj 2 gm... 5 cefixime for susp 100 /5ml... 5 cefixime for susp 200 /5ml... 5 cefotaxime sodium for inj 1 gm... 5 cefotaxime sodium for inj 2 gm... 5 cefotaxime sodium for inj CEFOTETAN INJ 10G... 5 CEFOTETAN INJ 1GM/10ML... 5 CEFOTETAN INJ 2GM/20ML... 5 CEFOXITIN INJ 1GM... 5 CEFOXITIN INJ 2GM... 5 cefoxitin sodium for inj 10 gm... 5 cefoxitin sodium for iv soln 1 gm... 5 cefoxitin sodium for iv soln 2 gm... 5 cefpodoxime proxetil for susp 100 /5ml... 5 cefpodoxime proxetil for susp 50 /5ml... 5 cefpodoxime proxetil tab cefpodoxime proxetil tab cefprozil for susp 125 /5ml... 5 cefprozil for susp 250 /5ml... 5 cefprozil tab cefprozil tab ceftazidime for inj 1 gm... 5 ceftazidime for inj 2 gm... 5 ceftazidime for inj 6 gm... 5 CEFTAZIDIME/ SOL D5W 1GM... 5 CEFTAZIDIME/ SOL D5W 2GM... 5 CEFTIN SUS 125/5ML... 5 CEFTIN SUS 250/5ML... 5 ceftriaxone sodium for inj ceftriaxone sodium for inj ceftriaxone sodium for iv soln 1 gm... 5 ceftriaxone sodium for iv soln 2 gm... 6 cefuroxime axetil tab cefuroxime axetil tab cefuroxime sodium for inj 1.5 gm... 6 cefuroxime sodium for inj 7.5 gm... 6 cefuroxime sodium for inj CELEBREX CAP 100MG. 24 CELEBREX CAP 200MG. 24 CELEBREX CAP 400MG. 24 CELEBREX CAP 50MG celecoxib cap celecoxib cap celecoxib cap celecoxib cap CELEXA TAB 10MG CELEXA TAB 20MG CELEXA TAB 40MG CELLCEPT IV INJ 500MG 11 CELLCEPT SUS 200MG/ML CELONTIN CAP 300MG.. 15 cephalexin cap cephalexin cap

91 cephalexin for susp 125 /5ml... 6 cephalexin for susp 250 /5ml... 6 cephalexin tab cephalexin tab CERDELGA CAP 84MG CEREZYME INJ 400UNIT 60 CERVARIX INJ CESAMET CAP 1MG cetirizine hcl oral soln 1 /ml (5 /5ml) cevimeline hcl cap CHANTIX PAK 0.5& 1MG. 54 CHANTIX PAK 1MG CHANTIX TAB 0.5MG CHANTIX TAB 1MG chloramphenicol sodium succinate for iv inj 1 gm... 7 chlordiazepoxide hcl cap chlordiazepoxide hcl cap chlordiazepoxide hcl cap chlordiazepoxide-amitriptylin e tab chlordiazepoxide-amitriptylin e tab chlorhexidine gluconate soln 0.12% chloroquine phosphate tab chloroquine phosphate tab chlorothiazide sodium for inj chlorothiazide tab chlorothiazide tab CHLORPROMAZ INJ 50MG/2ML chlorpromazine hcl tab chlorpromazine hcl tab chlorpromazine hcl tab chlorpromazine hcl tab chlorpromazine hcl tab chlorthalidone tab chlorthalidone tab chlorzoxazone tab cholestyramine light powder packets 4 gm choline fenofibrate cap dr 135 (fenofibric acid equiv).. 47 choline fenofibrate cap dr 45 (fenofibric acid equiv).. 47 CIALIS TAB 10MG CIALIS TAB 2.5MG CIALIS TAB 20MG CIALIS TAB 5MG ciclopirox gel 0.77% ciclopirox olamine cream 0.77% (base equiv) ciclopirox olamine susp 0.77% (base equiv) ciclopirox shampoo 1% ciclopirox solution 8% cidofovir iv inj 75 /ml... 2 cilostazol tab cilostazol tab CILOXAN OIN 0.3% OP CIMZIA KIT CIMZIA PREFL KIT 200MG/ML CINRYZE SOL 500 UNIT.. 75 CIPRO HC SUS OTIC CIPRODEX SUS % 55 ciprofloxacin 200 /100ml in d5w... 9 ciprofloxacin for oral susp 250 /5ml (5%) (5 gm/100ml)... 9 ciprofloxacin for oral susp 500 /5ml (10%) (10 gm/100ml)... 9 ciprofloxacin hcl ophth soln 0.3% ciprofloxacin hcl tab 100 (base equiv)... 9 ciprofloxacin hcl tab 250 (base equiv)... 9 ciprofloxacin hcl tab 500 (base equiv)... 9 ciprofloxacin hcl tab 750 (base equiv)... 9 ciprofloxacin iv soln 400 /40ml (1%)... 9 ciprofloxacin-ciprofloxacin hcl tab sr 24hr 1000 (base eq)... 9 ciprofloxacin-ciprofloxacin hcl tab sr 24hr 500 (base eq)... 9 cisplatin inj 100 /100ml (1 /ml) citalopram hydrobromide oral soln 10 /5ml citalopram hydrobromide tab 10 (base equiv) citalopram hydrobromide tab 20 (base equiv) citalopram hydrobromide tab 40 (base equiv) cladribine inj 1 /ml claravis cap claravis cap claravis cap claravis cap clarithromycin for susp 125 /5ml... 6 clarithromycin for susp 250 /5ml... 6 clarithromycin tab clarithromycin tab clarithromycin tab sr 24hr CLEOCIN SUP 100MG CLEOCIN/D5W INJ 900MG 7 CLIMARA PRO DIS WEEKLY clindamycin hcl cap clindamycin hcl cap clindamycin hcl cap clindamycin palmitate hcl for soln 75 /5ml (base equiv)... 7 clindamycin phosphate foam 1% clindamycin phosphate gel 1% clindamycin phosphate in d5w iv soln 300 /50ml... 7 clindamycin phosphate in d5w iv soln 600 /50ml... 7 clindamycin phosphate in d5w iv soln 900 /50ml

92 clindamycin phosphate iv soln 600 /4ml... 7 clindamycin phosphate lotion 1% clindamycin phosphate soln 1% clindamycin phosphate swab 1% clindamycin phosphate vaginal cream 2% CLINIMIX E INJ 2.75/D CLINIMIX E INJ 2.75/D5W 53 CLINIMIX E INJ 4.25/D CLINIMIX E INJ 4.25/D CLINIMIX E INJ 4.25/D5W 80 CLINIMIX E INJ 5%/D15W 80 CLINIMIX E INJ 5%/D20W 80 CLINIMIX E INJ 5%/D25W 80 CLINIMIX INJ 2.75/D5W CLINIMIX INJ 4.25/D CLINIMIX INJ 4.25/D CLINIMIX INJ 4.25/D CLINIMIX INJ 4.25/D5W CLINIMIX INJ 5%/D15W CLINIMIX INJ 5%/D20W CLINIMIX INJ 5%/D25W clinisol sf inj 15% clobetasol e cre 0.05% clobetasol propionate foam 0.05% clobetasol propionate gel 0.05% clobetasol propionate lotion 0.05% clobetasol propionate oint 0.05% clobetasol propionate shampoo 0.05% clobetasol propionate soln 0.05% clodan sha 0.05% CLOLAR INJ 1MG/ML clomipramine hcl cap clomipramine hcl cap clomipramine hcl cap clonazepam orally disintegrating tab clonazepam orally disintegrating tab clonazepam orally disintegrating tab clonazepam orally disintegrating tab clonazepam orally disintegrating tab clonazepam tab clonazepam tab clonazepam tab clonidine hcl tab clonidine hcl tab clonidine hcl tab clonidine hcl tab sr 12hr clonidine hcl td patch weekly 0.1 /24hr clonidine hcl td patch weekly 0.2 /24hr clonidine hcl td patch weekly 0.3 /24hr clopidogrel bisulfate tab 300 (base equiv) clopidogrel bisulfate tab 75 (base equiv) clorazepate dipotassium tab clorazepate dipotassium tab clorazepate dipotassium tab clotrimazole cream 1% clotrimazole soln 1% clotrimazole troche clotrimazole w/ betamethasone cream % clotrimazole w/ betamethasone lotion % clozapine orally disintegrating tab clozapine orally disintegrating tab clozapine orally disintegrating tab clozapine orally disintegrating tab clozapine orally disintegrating tab clozapine tab clozapine tab clozapine tab clozapine tab COARTEM TAB MG 7 codeine sulfate tab codeine sulfate tab codeine sulfate tab colchicine tab colchicine w/ probenecid tab COLCRYS TAB 0.6MG colestipol hcl granules 5 gm colestipol hcl tab 1 gm colistimethate sodium for inj COLYTE/FLAVR SOL PACKS COMBIGAN SOL 0.2/0.5% COMBIPATCH DIS.05/ COMBIPATCH DIS.05/ COMBIVENT AER RESPIMAT COMETRIQ KIT 100MG COMETRIQ KIT 140MG COMETRIQ KIT 60MG COMPLERA TAB... 2 compro sup COMVAX INJ CONDYLOX GEL 0.5% constulose sol 10gm/ COPAXONE INJ 20MG/ML COPAXONE INJ 40MG/ML CORDRAN 80X3 TAP 4MCG/CM COREG CR CAP 10MG COREG CR CAP 20MG COREG CR CAP 40MG COREG CR CAP 80MG CORTIFOAM AER 90MG. 63 cortisone acetate tab

93 COSENTYX PEN INJ 150MG/ML COUMADIN TAB 10MG COUMADIN TAB 1MG COUMADIN TAB 2.5MG COUMADIN TAB 2MG COUMADIN TAB 3MG COUMADIN TAB 4MG COUMADIN TAB 5MG COUMADIN TAB 6MG COUMADIN TAB 7.5MG COZAAR TAB 100MG COZAAR TAB 25MG COZAAR TAB 50MG CREON CAP 12000UNT.. 63 CREON CAP 24000UNT.. 63 CREON CAP 3000UNIT CREON CAP 36000UNT.. 63 CREON CAP 6000UNIT CRESEMBA CAP 186 MG 10 CRESEMBA INJ 372MG CRESTOR TAB 10MG CRESTOR TAB 20MG CRESTOR TAB 40MG CRESTOR TAB 5MG CRIXIVAN CAP 200MG... 2 CRIXIVAN CAP 400MG... 2 cromolyn sodium ophth soln 4% cromolyn sodium oral conc 100 /5ml cromolyn sodium soln nebu 20 /2ml cryselle-28 tab 28 tabs CUBICIN SOL 500MG... 7 CUVPOSA SOL 1MG/5ML 62 cyclafem tab 1/ cyclafem tab 7/7/ cyclobenzaprine hcl tab cyclobenzaprine hcl tab cyclobenzaprine hcl tab CYCLOSET TAB 0.8MG cyclosporine cap cyclosporine cap cyclosporine iv soln 50 /ml cyclosporine modified cap cyclosporine modified cap cyclosporine modified cap cyclosporine modified oral soln 100 /ml cyproheptadine hcl syrup 2 /5ml cyproheptadine hcl tab CYSTAGON CAP 150MG. 78 CYSTAGON CAP 50MG CYSTARAN SOL 0.44% cytarabine inj pf 100 /ml CYTOMEL TAB 25MCG CYTOMEL TAB 50MCG CYTOMEL TAB 5MCG D D10W/NACL INJ 0.2% dacarbazine for inj DACOGEN INJ 50MG DALIRESP TAB 500MCG. 76 danazol cap danazol cap danazol cap dantrolene sodium cap dantrolene sodium cap dantrolene sodium cap dapsone tab dapsone tab DAPTACEL INJ DARAPRIM TAB 25MG... 7 daunorubicin hcl inj 5 /ml (base equiv) deblitane tab decitabine for inj delyla tab DELZICOL CAP 400MG demeclocycline hcl tab demeclocycline hcl tab DEMSER CAP 250MG DENAVIR CRE 1% DEPEN TITRA TAB 250MG DEPO-MEDROL INJ 20MG/ML DEPO-MEDROL INJ 40MG/ML DEPO-MEDROL INJ 80MG/ML DEPO-PROVERA INJ 400/ML DEPO-TESTOST INJ 100MG/ML desipramine hcl tab desipramine hcl tab desipramine hcl tab desipramine hcl tab desipramine hcl tab desipramine hcl tab desloratadine tab desloratadine tab orally disintegrating desloratadine tab orally disintegrating desmopressin acetate inj 4 mcg/ml desmopressin acetate nasal spray soln 0.01% (refrigerated) desmopressin acetate tab desmopressin acetate tab desogest-eth estrad & eth estrad tab /0.01 (21/5) desonide cream 0.05% desonide lotion 0.05% desonide oint 0.05% desoximetasone cream 0.05% desoximetasone cream 0.25% desoximetasone gel 0.05% desoximetasone oint 0.05% desoximetasone oint 0.25% DESVENLAFAX TAB 100MG 88

94 ER DESVENLAFAX TAB 50MG ER DEXAMETHASON CON 1MG/ML dexamethasone elixir 0.5 /5ml dexamethasone sodium phosphate inj 10 /ml dexamethasone sodium phosphate inj 120 /30ml dexamethasone sodium phosphate ophth soln 0.1% dexamethasone tab dexamethasone tab dexamethasone tab dexamethasone tab dexamethasone tab dexamethasone tab dexamethasone tab dexedrine tab dexedrine tab DEXILANT CAP 30MG DR DEXILANT CAP 60MG DR dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl cap sr 24 hr dexmethylphenidate hcl tab dexmethylphenidate hcl tab dexmethylphenidate hcl tab DEXPAK PAK 13 DAY dexrazoxane for inj dextroamphetamine sulfate cap sr 24hr dextroamphetamine sulfate cap sr 24hr dextroamphetamine sulfate cap sr 24hr dextroamphetamine sulfate tab dextroamphetamine sulfate tab dextrose 10% w/ sodium chloride 0.45% dextrose 2.5% w/ sodium chloride 0.45% dextrose 5% in lactated ringers dextrose 5% w/ sodium chloride 0.2% dextrose 5% w/ sodium chloride 0.225% dextrose 5% w/ sodium chloride 0.33% dextrose 5% w/ sodium chloride 0.45% dextrose 5% w/ sodium chloride 0.9% dextrose inj 10% dextrose inj 5% DIAZEPAM CON 5MG/ML 28 diazepam rectal gel delivery system diazepam rectal gel delivery system diazepam rectal gel delivery system diazepam soln 1 /ml diazepam tab diazepam tab diazepam tab diclofenac potassium tab diclofenac sodium (actinic keratoses) gel 3% diclofenac sodium ophth soln 0.1% diclofenac sodium soln 1.5% diclofenac sodium tab delayed release diclofenac sodium tab delayed release diclofenac sodium tab delayed release diclofenac sodium tab sr 24hr diclofenac w/ misoprostol tab delayed release diclofenac w/ misoprostol tab delayed release dicloxacillin sodium cap dicloxacillin sodium cap dicyclomine hcl cap dicyclomine hcl oral soln 10 /5ml dicyclomine hcl tab didanosine delayed release capsule didanosine delayed release capsule didanosine delayed release capsule didanosine delayed release capsule DIFICID TAB 200MG... 6 diflorasone diacetate cream 0.05% diflorasone diacetate oint 0.05% diflunisal tab digoxin inj 0.25 /ml digoxin oral soln 0.05 /ml digoxin tab 125 mcg (0.125 ) digoxin tab 250 mcg (0.25 ) dihydroergotamine mesylate inj 1 /ml DILANTIN CAP 100MG DILANTIN CAP 30MG DILANTIN CHW 50MG DILANTIN-125 SUS 125/5ML diltiazem hcl cap sr 12hr diltiazem hcl cap sr 12hr 60 89

95 diltiazem hcl cap sr 12hr diltiazem hcl coated beads cap sr 24hr diltiazem hcl coated beads cap sr 24hr diltiazem hcl coated beads cap sr 24hr diltiazem hcl extended release beads cap sr 24hr diltiazem hcl extended release beads cap sr 24hr diltiazem hcl extended release beads cap sr 24hr diltiazem hcl iv soln 50 /10ml (5 /ml) diltiazem hcl tab diltiazem hcl tab diltiazem hcl tab diltiazem hcl tab DILTIAZEM INJ 100MG dilt-xr cap dilt-xr cap dilt-xr cap DIOVAN HCT TAB DIOVAN HCT TAB MG DIOVAN HCT TAB DIOVAN HCT TAB MG DIOVAN HCT TAB 80/ DIOVAN TAB 160MG DIOVAN TAB 320MG DIOVAN TAB 40MG DIOVAN TAB 80MG DIP/TET PED INJ 25-5LFU DIPENTUM CAP 250MG.. 63 diphenhydramine hcl inj 50 /ml diphenoxylate w/ atropine liq /5ml diphenoxylate w/ atropine tab dipyridamole tab dipyridamole tab dipyridamole tab disopyramide phosphate cap disopyramide phosphate cap disulfiram tab disulfiram tab divalproex sodium cap sprinkle divalproex sodium tab delayed release divalproex sodium tab delayed release divalproex sodium tab delayed release divalproex sodium tab sr 24 hr divalproex sodium tab sr 24 hr DIVIGEL GEL 0.5MG DOCEFREZ INJ 20MG docetaxel for inj conc 80 /4ml (20 /ml) DOCETAXEL INJ 80MG/8ML donepezil hydrochloride orally disintegrating tab donepezil hydrochloride orally disintegrating tab donepezil hydrochloride tab donepezil hydrochloride tab donepezil hydrochloride tab dorzolamide hcl ophth soln 2% dorzolamide hcl-timolol maleate ophth soln /ml doxazosin mesylate tab doxazosin mesylate tab doxazosin mesylate tab doxazosin mesylate tab doxepin hcl cap doxepin hcl cap doxepin hcl cap doxepin hcl cap doxepin hcl cap doxepin hcl cap doxepin hcl conc 10 /ml 28 doxercalciferol cap 0.5 mcg doxercalciferol cap 1 mcg. 60 doxercalciferol cap 2.5 mcg doxercalciferol inj 4 mcg/2ml (2 mcg/ml) doxorubicin hcl inj 2 /ml 11 doxy 100 inj doxycycline hyclate cap doxycycline hyclate cap doxycycline hyclate for inj doxycycline hyclate tab doxycycline hyclate tab doxycycline hyclate tab delayed release doxycycline hyclate tab delayed release doxycycline hyclate tab delayed release doxycycline monohydrate cap doxycycline monohydrate for susp 25 /5ml doxycycline monohydrate tab doxycycline monohydrate tab doxycycline monohydrate tab dronabinol cap dronabinol cap dronabinol cap drospirenone-ethinyl estradiol tab

96 DROXIA CAP 200MG DROXIA CAP 300MG DROXIA CAP 400MG DUAVEE TAB DUETACT TAB 30-2MG DUETACT TAB 30-4MG DULERA AER 100-5MCG. 76 DULERA AER 200-5MCG. 76 duloxetine hcl enteric coated pellets cap duloxetine hcl enteric coated pellets cap duloxetine hcl enteric coated pellets cap duramorph inj 0.5/ml duramorph inj 1/ml DUREZOL EMU 0.05% DUTOPROL TAB DUTOPROL TAB DUTOPROL TAB DYMISTA SPR DYRENIUM CAP 100MG.. 39 DYRENIUM CAP 50MG DYSPORT INJ 300UNIT E e.e.s. 400 tab econazole nitrate cream 1% EDARBI TAB 40MG EDARBI TAB 80MG EDARBYCLOR TAB EDARBYCLOR TAB 40-25MG EDURANT TAB 25MG... 3 EFFEXOR XR CAP 150MG EFFEXOR XR CAP 37.5MG EFFEXOR XR CAP 75MG 28 EFFIENT TAB 10MG EFFIENT TAB 5MG ELAPRASE INJ 6MG/3ML 60 ELELYSO INJ 200UNIT ELIDEL CRE 1% ELIGARD INJ 22.5MG ELIGARD INJ 30MG ELIGARD INJ 45MG ELIGARD INJ 7.5MG ELIQUIS TAB 2.5MG ELIQUIS TAB 5MG ELITEK INJ 1.5MG ELIXOPHYLLIN ELX 80/15ML ELLA TAB 30MG ELMIRON CAP 100MG EMADINE SOL 0.05% OP 72 EMCYT CAP 140MG EMEND CAP 125MG EMEND CAP 40MG EMEND CAP 80MG EMEND PAK 80 & emoquette tab EMSAM DIS 12MG/24H EMSAM DIS 6MG/24HR EMSAM DIS 9MG/24HR EMTRIVA CAP 200MG... 3 EMTRIVA SOL 10MG/ML... 3 ENABLEX TAB 15MG ENABLEX TAB 7.5MG enalapril maleate & hydrochlorothiazide tab enalapril maleate & hydrochlorothiazide tab enalapril maleate tab enalapril maleate tab enalapril maleate tab enalapril maleate tab 5 39 ENBREL INJ 25/0.5ML ENBREL INJ 25MG ENBREL INJ 50MG/ML endocet tab endocet tab endocet tab endodan tab ENGERIX-B INJ 10/0.5ML 67 ENGERIX-B INJ 20MCG/ML ENJUVIA TAB 0.3MG ENJUVIA TAB 0.45MG ENJUVIA TAB 0.625MG ENJUVIA TAB 0.9MG ENJUVIA TAB 1.25MG enoxaparin sodium inj 100 /ml enoxaparin sodium inj 120 /0.8ml enoxaparin sodium inj 150 /ml enoxaparin sodium inj 30 /0.3ml enoxaparin sodium inj 300 /3ml enoxaparin sodium inj 40 /0.4ml enoxaparin sodium inj 60 /0.6ml enoxaparin sodium inj 80 /0.8ml enpresse-28 tab entacapone tab entecavir tab entecavir tab enulose sol 10gm/ EPANED SOL 1MG/ML epinastine hcl ophth soln 0.05% epinephrine solution auto-injector 0.15 /0.15ml (1:1000) EPIPEN 2-PAK INJ 0.3MG EPIPEN-JR INJ 2-PAK epirubicin hcl iv soln 50 /25ml (2 /ml) epitol tab EPIVIR HBV SOL 5MG/ML. 3 EPIVIR SOL 10MG/ML... 3 eplerenone tab eplerenone tab EPOGEN INJ 10000/ML EPOGEN INJ 2000/ML EPOGEN INJ 20000/ML EPOGEN INJ 3000/ML EPOGEN INJ 4000/ML eprosartan mesylate tab EPZICOM TAB ERAXIS INJ 100MG... 2 ERBITUX INJ 100MG ergoloid mesylates tab ERIVEDGE CAP 150MG.. 11 errin tab

97 ERWINAZE INJ 10000UNT ery pad 2% ERY-TAB TAB 250MG EC.. 6 ERY-TAB TAB 333MG EC.. 6 ERY-TAB TAB 500MG EC.. 6 ERYTHROCIN INJ 500MG. 6 erythrocin tab erythromycin ethylsuccinate tab erythromycin gel 2% erythromycin ophth oint 5 /gm erythromycin soln 2% erythromycin tab erythromycin tab ESBRIET CAP 267MG escitalopram oxalate soln 5 /5ml (base equiv) escitalopram oxalate tab 10 (base equiv) escitalopram oxalate tab 20 (base equiv) escitalopram oxalate tab 5 (base equiv) esomeprazole sodium for intravenous soln 20 (base equiv) esomeprazole sodium for intravenous soln 40 (base equiv) estazolam tab estazolam tab ESTRACE VAG CRE 0.1MG/GM estradiol & norethindrone acetate tab estradiol & norethindrone acetate tab estradiol tab estradiol tab estradiol tab estradiol td patch twice weekly /24hr estradiol td patch twice weekly /24hr estradiol td patch twice weekly 0.05 /24hr estradiol td patch twice weekly /24hr estradiol td patch twice weekly 0.1 /24hr estradiol td patch weekly /24hr estradiol td patch weekly /24hr (37.5 mcg/24hr) estradiol td patch weekly 0.05 /24hr estradiol td patch weekly 0.06 /24hr estradiol td patch weekly /24hr estradiol td patch weekly 0.1 /24hr estradiol valerate im in oil 20 /ml estradiol valerate im in oil 40 /ml ESTRING MIS 2MG estropipate tab estropipate tab estropipate tab eszopiclone tab eszopiclone tab eszopiclone tab ethambutol hcl tab ethambutol hcl tab ethosuximide cap ethosuximide soln 250 /5ml etidronate disodium tab etidronate disodium tab etodolac cap etodolac cap etodolac tab etodolac tab etodolac tab sr 24hr etodolac tab sr 24hr etodolac tab sr 24hr ETOPOPHOS INJ 100MG 11 etoposide inj 500/25ml (20 /ml) EURAX CRE 10% EURAX LOT 10% EVAMIST SPR 1.53MG EVOTAZ TAB EXELDERM CRE 1% EXELDERM SOL 1% EXELON DIS 13.3/ EXELON DIS 4.6MG/ EXELON DIS 9.5MG/ exemestane tab EXFORGE TAB MG EXFORGE TAB MG EXFORGE TAB 5-160MG 39 EXFORGE TAB 5-320MG 39 EXFORGEH/10- TAB EXFORGEH/10- TAB EXFORGEH/10- TAB EXFORGEH/5- TAB EXFORGEH/5- TAB EXJADE TAB 125MG EXJADE TAB 250MG EXJADE TAB 500MG F FABRAZYME INJ 35MG FACTIVE TAB 320MG... 9 falmina tab famciclovir tab famciclovir tab famciclovir tab famotidine for susp 40 /5ml famotidine in nacl 0.9% iv soln 20 /50ml famotidine inj 20 /2ml famotidine tab famotidine tab FANAPT PAK FANAPT TAB 10MG FANAPT TAB 12MG FANAPT TAB 1MG FANAPT TAB 2MG FANAPT TAB 4MG FANAPT TAB 6MG FANAPT TAB 8MG FARESTON TAB 60MG

98 FARXIGA TAB 10MG FARXIGA TAB 5MG FARYDAK CAP 10MG FARYDAK CAP 15MG FARYDAK CAP 20MG FASLODEX INJ 250MG FAZACLO TAB 150MG FAZACLO TAB 200MG felbamate susp 600 /5ml felbamate tab felbamate tab felodipine tab sr 24hr felodipine tab sr 24hr felodipine tab sr 24hr 5 40 FEMRING MIS 0.05/24H.. 69 FEMRING MIS 0.1MG/ fenofibrate micronized cap fenofibrate micronized cap fenofibrate micronized cap fenofibrate micronized cap fenofibrate micronized cap fenofibrate tab fenofibrate tab fenofibrate tab fenofibrate tab fenoprofen calcium tab fentanyl citrate lozenge on a handle 1200 mcg fentanyl citrate lozenge on a handle 1600 mcg fentanyl citrate lozenge on a handle 200 mcg fentanyl citrate lozenge on a handle 400 mcg fentanyl citrate lozenge on a handle 600 mcg fentanyl citrate lozenge on a handle 800 mcg fentanyl td patch 72hr 100 mcg/hr fentanyl td patch 72hr 12 mcg/hr fentanyl td patch 72hr 25 mcg/hr fentanyl td patch 72hr 50 mcg/hr fentanyl td patch 72hr 75 mcg/hr FENTORA TAB 100MCG. 21 FENTORA TAB 200MCG. 21 FENTORA TAB 400MCG. 21 FENTORA TAB 600MCG. 22 FENTORA TAB 800MCG. 22 FERRIPROX TAB 500MG 54 FETZIMA CAP 120MG FETZIMA CAP 20MG FETZIMA CAP 40MG FETZIMA CAP 80MG FETZIMA CAP TITRATIO. 29 FINACEA GEL 15% finasteride tab FIRAZYR INJ 30MG/3ML. 76 FIRMAGON INJ 120MG FIRMAGON INJ 80MG FLAREX SUS 0.1% OP flavoxate hcl tab flecainide acetate tab flecainide acetate tab flecainide acetate tab FLECTOR DIS 1.3% FLO-PRED SUS FLOVENT DISK AER 100MCG FLOVENT DISK AER 250MCG FLOVENT DISK AER 50MCG FLOVENT HFA AER 110MCG FLOVENT HFA AER 220MCG FLOVENT HFA AER 44MCG fluconazole for susp 10 /ml... 2 fluconazole for susp 40 /ml... 2 fluconazole in dextrose inj 400 /200ml... 2 fluconazole tab fluconazole tab fluconazole tab fluconazole tab flucytosine cap flucytosine cap fludarabine phosphate for inj fludrocortisone acetate tab flunisolide nasal soln 25 mcg/act (0.025%) fluocin acet oil body fluocinolone acetonide (otic) oil 0.01% fluocinolone acetonide cream 0.01% fluocinolone acetonide cream 0.025% fluocinolone acetonide oint 0.025% fluocinolone acetonide soln 0.01% fluocinonide cream 0.1%.. 53 fluocinonide emulsified base cream 0.05% fluocinonide gel 0.05% fluocinonide oint 0.05% fluocinonide soln 0.05% fluorometholone ophth susp 0.1% fluorouracil cream 0.5% fluorouracil cream 5% fluorouracil inj 2.5 gm/50ml (50 /ml) fluorouracil soln 2% fluorouracil soln 5% fluoxetine hcl cap fluoxetine hcl cap fluoxetine hcl cap fluoxetine hcl cap delayed release fluoxetine hcl solution 20 /5ml fluoxetine hcl tab fluoxetine hcl tab fluphenazine decanoate inj 25 /ml fluphenazine hcl elixir

99 /5ml fluphenazine hcl inj 2.5 /ml fluphenazine hcl oral conc 5 /ml fluphenazine hcl tab fluphenazine hcl tab fluphenazine hcl tab fluphenazine hcl tab flurazepam hcl cap flurazepam hcl cap flurbiprofen sodium ophth soln 0.03% flurbiprofen tab flurbiprofen tab flutamide cap fluticasone propionate cream 0.05% fluticasone propionate lotion 0.05% fluticasone propionate nasal susp 50 mcg/act fluticasone propionate oint 0.005% fluvastatin sodium cap fluvastatin sodium cap fluvoxamine maleate cap sr 24hr fluvoxamine maleate cap sr 24hr fluvoxamine maleate tab fluvoxamine maleate tab fluvoxamine maleate tab FML FORTE SUS 0.25% OP FML OIN 0.1% OP FOCALIN XR CAP 10MG. 29 FOCALIN XR CAP 15MG. 29 FOCALIN XR CAP 20MG. 30 FOCALIN XR CAP 25MG. 30 FOCALIN XR CAP 30MG. 30 FOCALIN XR CAP 35MG. 30 FOCALIN XR CAP 40MG. 30 FOCALIN XR CAP 5MG folic acid tab FOLOTYN INJ 40MG/2ML 11 fomepizole inj 1 gm/ml (for iv infusion) fondaparinux sodium subcutaneous inj 10 /0.8ml fondaparinux sodium subcutaneous inj 2.5 /0.5ml fondaparinux sodium subcutaneous inj 5 /0.4ml fondaparinux sodium subcutaneous inj 7.5 /0.6ml FORADIL CAP AEROLIZE FORTAZ INJ 1GM... 6 FORTAZ INJ 2GM... 6 FORTAZ INJ 6GM... 6 FORTEO SOL 600/ FORTICAL SPR 200/ACT. 60 FOSAMAX TAB 70MG foscarnet sodium inj 24 /ml... 3 fosinopril sodium & hydrochlorothiazide tab fosinopril sodium & hydrochlorothiazide tab fosinopril sodium tab fosinopril sodium tab fosinopril sodium tab fosphenytoin sodium inj 100 /2ml (phenytoin equiv).. 15 FOSRENOL CHW 1000MG FOSRENOL CHW 500MG 54 FOSRENOL CHW 750MG 54 FOSRENOL POW 1000MG FOSRENOL POW 750MG 55 FRAGMIN INJ 10000/ML.. 46 FRAGMIN INJ 12500UNT. 46 FRAGMIN INJ 15000UNT 46 FRAGMIN INJ 18000UNT 46 FRAGMIN INJ 2500/ FRAGMIN INJ 5000/ FRAGMIN INJ 7500/ FRAGMIN INJ 95000UNT 46 FREAMINE HBC INJ 6.9% FROVA TAB 2.5MG FULYZAQ TAB 125MG furosemide inj 10 /ml furosemide oral soln 10 /ml FUROSEMIDE SOL 8MG/ML furosemide tab furosemide tab furosemide tab FUZEON INJ 90MG... 3 FYCOMPA TAB 10MG FYCOMPA TAB 12MG FYCOMPA TAB 2MG FYCOMPA TAB 4MG FYCOMPA TAB 6MG FYCOMPA TAB 8MG G gabapentin cap gabapentin cap gabapentin cap gabapentin oral soln 250 /5ml gabapentin tab gabapentin tab GABITRIL TAB 12MG GABITRIL TAB 16MG galantamine hydrobromide cap sr 24hr galantamine hydrobromide cap sr 24hr galantamine hydrobromide cap sr 24hr galantamine hydrobromide oral soln 4 /ml galantamine hydrobromide tab galantamine hydrobromide tab galantamine hydrobromide tab GAMMAGARD INJ 2.5GM/25 94

100 GAMMAPLEX INJ 10GM.. 67 GAMUNEX-C INJ 1GM/10ML ganciclovir sodium for inj GARAMYCIN SOL 0.3% OP GARDASIL 9 INJ GARDASIL INJ gatifloxacin ophth soln 0.5% GATTEX KIT 5MG GAUZE PADS 2" X 2" gavilyte-c sol gavilyte-g sol gavilyte-n sol flav pk GELNIQUE GEL 10% GELNIQUE GEL 3% gemcitabine hcl for inj 1 gm gemfibrozil tab GENERESS FE CHW generlac sol 10gm/ gengraf cap gengraf cap gengraf sol 100/ml gentak oin 0.3% op GENTAM/NACL INJ 0.9MG/ML... 7 GENTAM/NACL INJ 1.4MG/ML... 7 gentamicin in saline inj 0.8 /ml... 7 gentamicin in saline inj 1 /ml... 7 gentamicin in saline inj 1.2 /ml... 7 gentamicin in saline inj 1.6 /ml... 7 gentamicin sulfate cream 0.1% gentamicin sulfate inj 40 /ml... 7 gentamicin sulfate iv soln 10 /ml... 7 gentamicin sulfate oint 0.1% gentamicin sulfate ophth oint 0.3% gentamicin sulfate ophth soln 0.3% GEODON INJ 20MG gianvi tab gildagia tab gildess 24 tab fe 1/ gildess tab 1.5/ GILENYA CAP 0.5MG GILOTRIF TAB 20MG GILOTRIF TAB 30MG GILOTRIF TAB 40MG GLASSIA INJ GLEEVEC TAB 100MG GLEEVEC TAB 400MG glimepiride tab glimepiride tab glimepiride tab glipizide tab glipizide tab glipizide tab sr 24hr glipizide tab sr 24hr glipizide tab sr 24hr glipizide-metformin hcl tab glipizide-metformin hcl tab glipizide-metformin hcl tab GLUCAGEN INJ HYPOKIT GLUCAGON KIT 1MG GLUCOPHAGE TAB 1000MG GLUCOPHAGE TAB 500MG GLUCOPHAGE TAB 500MG XR GLUCOPHAGE TAB 750MG XR GLUCOPHAGE TAB 850MG GLUCOTROL TAB 10MG. 57 GLUCOTROL TAB 5MG GLUCOTROL XL TAB 10MG GLUCOTROL XL TAB 2.5MG GLUCOTROL XL TAB 5MG GLUMETZA TAB 1000MG 57 GLUMETZA TAB 500MG. 57 glyburide micronized tab glyburide micronized tab glyburide micronized tab glyburide tab glyburide tab glyburide tab glyburide-metformin tab glyburide-metformin tab glyburide-metformin tab glycopyrrolate tab glycopyrrolate tab GLYSET TAB 100MG GLYSET TAB 25MG GLYSET TAB 50MG GLYXAMBI TAB 10-5 MG 55 GLYXAMBI TAB 25-5 MG 55 GOLYTELY SOL granisetron hcl tab GRASTEK SUB 2800BAU 67 griseofulvin microsize susp 125 /5ml... 2 griseofulvin microsize tab griseofulvin ultramicrosize tab griseofulvin ultramicrosize tab guanfacine hcl tab guanfacine hcl tab guanfacine hcl tab sr 24hr 1 (base equiv) guanfacine hcl tab sr 24hr 2 (base equiv) guanfacine hcl tab sr 24hr 3 (base equiv) guanfacine hcl tab sr 24hr 4 (base equiv) GUANIDINE TAB 125MG. 30 H H.P. ACTHAR INJ 80UNIT 55 HALAVEN INJ 1MG/2ML.. 12 halobetasol propionate 95

101 cream 0.05% halobetasol propionate oint 0.05% HALOG CRE 0.1% HALOG OIN 0.1% haloperidol decanoate im soln 100 /ml haloperidol decanoate im soln 50 /ml haloperidol lactate inj 5 /ml haloperidol lactate oral conc 2 /ml haloperidol tab haloperidol tab haloperidol tab haloperidol tab haloperidol tab haloperidol tab HARVONI TAB MG.. 3 HAVRIX INJ 1440UNIT HAVRIX INJ 720UNIT HEP SOD/D5W INJ 25000UNT heparin sodium (porcine) 40 unit/ml in d5w heparin sodium (porcine) inj 1000 unit/ml heparin sodium (porcine) inj unit/ml heparin sodium (porcine) inj unit/ml heparin sodium (porcine) inj 5000 unit/ml hepatamine sol 8% HERCEPTIN INJ 440MG.. 12 HEXALEN CAP 50MG HUMALOG INJ 100/ML HUMALOG KWIK INJ 100/ML HUMALOG MIX INJ 50/50 58 HUMALOG MIX INJ 50/50KWP HUMALOG MIX INJ 75/25KWP HUMALOG MIX SUS 75/ HUMIRA INJ 10MG/ HUMIRA INJ 40MG/ HUMIRA KIT 20MG/ HUMIRA PEN INJ CROHNS HUMULIN INJ 70/ HUMULIN INJ 70/30KWP. 58 HUMULIN N INJ U HUMULIN N INJ U-100KWP HUMULIN R INJ U HUMULIN R INJ U hydralazine hcl inj 20 /ml hydralazine hcl tab hydralazine hcl tab hydralazine hcl tab hydralazine hcl tab hydrochlorothiazide cap hydrochlorothiazide tab hydrochlorothiazide tab hydrochlorothiazide tab hydrocodone-acetaminophen soln /15ml hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-acetaminophen tab hydrocodone-ibuprofen tab hydrocortisone butyrate hydrophilic lipo base cream 0.1% hydrocortisone butyrate oint 0.1% hydrocortisone butyrate soln 0.1% hydrocortisone cream 1%. 53 hydrocortisone cream 2.5% hydrocortisone enema 100 /60ml hydrocortisone lotion 2.5% 53 hydrocortisone oint 1% hydrocortisone oint 2.5%.. 53 hydrocortisone tab hydrocortisone tab hydrocortisone tab hydrocortisone valerate cream 0.2% hydrocortisone valerate oint 0.2% hydrocortisone w/ acetic acid otic soln 1-2% hydromorphone hcl liqd 1 /ml hydromorphone hcl preservative free (pf) inj 10 /ml hydromorphone hcl tab hydromorphone hcl tab hydromorphone hcl tab hydromorphone hcl tab er 24hr deter hydromorphone hcl tab er 24hr deter hydromorphone hcl tab er 24hr deter hydromorphone hcl tab er 24hr deter hydroxychloroquine sulfate tab hydroxyurea cap hydroxyzine hcl syrup 10 /5ml hydroxyzine hcl tab hydroxyzine hcl tab hydroxyzine hcl tab hydroxyzine pamoate cap hydroxyzine pamoate cap hydroxyzine pamoate cap HYZAAR TAB

102 HYZAAR TAB HYZAAR TAB I ibandronate sodium iv soln 3 /3ml (base equivalent).. 68 ibandronate sodium tab 150 (base equivalent) IBRANCE CAP 100MG IBRANCE CAP 125MG IBRANCE CAP 75MG ibuprofen tab ibuprofen tab ibuprofen tab ICLUSIG TAB 15MG ICLUSIG TAB 45MG idarubicin hcl iv inj 10 /10ml (1 /ml) ifosfamide for inj 1 gm ILARIS INJ 180MG ILEVRO DRO 0.3% OP IMBRUVICA CAP 140MG. 12 imipenem-cilastatin intravenous for soln imipenem-cilastatin intravenous for soln imipramine hcl tab imipramine hcl tab imipramine hcl tab imipramine pamoate cap imipramine pamoate cap imipramine pamoate cap imipramine pamoate cap imiquimod cream 5% IMOVAX RABIE INJ 2.5/ML INCRELEX INJ 40MG/4ML indapamide tab indapamide tab indomethacin cap indomethacin cap indomethacin cap cr INFANRIX INJ INLYTA TAB 1MG INLYTA TAB 5MG INSULIN PEN NEEDLE INSULIN SYRINGE INTELENCE TAB 100MG... 3 INTELENCE TAB 200MG... 3 INTELENCE TAB 25MG... 3 intralipid inj 20% INTRALIPID INJ 30% INTRON A INJ 10MU INTRON A INJ 18MU INTRON A INJ 50MU introvale tab INTUNIV TAB 1MG INTUNIV TAB 2MG INTUNIV TAB 3MG INTUNIV TAB 4MG INVANZ INJ 1GM... 7 INVEGA SUST INJ 117/ INVEGA SUST INJ 156MG/ML INVEGA SUST INJ 234/ INVEGA SUST INJ 39/ INVEGA SUST INJ 78/0.5ML INVEGA TAB 1.5MG INVEGA TAB 3MG INVEGA TAB 6MG INVEGA TAB 9MG INVIRASE CAP 200MG... 3 INVIRASE TAB 500MG... 3 INVOKAMET TAB INVOKAMET TAB INVOKAMET TAB INVOKAMET TAB MG INVOKANA TAB 100MG INVOKANA TAB 300MG IOPIDINE SOL 1% OP IPOL INJ INACTIVE ipratropium bromide inhal soln 0.02% ipratropium bromide nasal soln 0.03% (21 mcg/spray) ipratropium bromide nasal soln 0.06% (42 mcg/spray) ipratropium-albuterol nebu soln (3) /3ml irbesartan tab irbesartan tab irbesartan tab irbesartan-hydrochlorothiazid e tab irbesartan-hydrochlorothiazid e tab irinotecan hcl inj 100 /5ml (20 /ml) ISENTRESS CHW 100MG. 3 ISENTRESS CHW 25MG... 3 ISENTRESS POW 100MG. 3 ISENTRESS TAB 400MG... 3 ISOLYTE-P INJ /D5W ISOLYTE-S INJ isoniazid inj 100 /ml... 7 isoniazid syrup 50 /5ml.. 7 isoniazid tab isoniazid tab ISORDIL TAB 40MG isosorbide dinitrate tab isosorbide dinitrate tab isosorbide dinitrate tab isosorbide dinitrate tab isosorbide dinitrate tab cr isosorbide mononitrate tab isosorbide mononitrate tab isosorbide mononitrate tab sr 24hr isosorbide mononitrate tab sr 24hr isosorbide mononitrate tab sr 24hr isradipine cap isradipine cap ISTALOL SOL 0.5% OP ISTODAX INJ 10MG itraconazole cap ivermectin tab

103 IXEMPRA KIT INJ 45MG.. 12 IXIARO INJ J JAKAFI TAB 10MG JAKAFI TAB 15MG JAKAFI TAB 20MG JAKAFI TAB 25MG JAKAFI TAB 5MG JALYN CAP jantoven tab jantoven tab jantoven tab jantoven tab jantoven tab jantoven tab jantoven tab jantoven tab jantoven tab JANUMET TAB JANUMET TAB MG JANUMET XR TAB JANUMET XR TAB JANUMET XR TAB MG JANUVIA TAB 100MG JANUVIA TAB 25MG JANUVIA TAB 50MG JARDIANCE TAB 10MG JARDIANCE TAB 25MG JENTADUETO TAB JENTADUETO TAB JENTADUETO TAB JEVTANA INJ 60/1.5ML jinteli tab 1-5mcg jolivette tab junel 1.5/30 tab junel 1/20 tab junel fe tab 1.5/ junel fe tab 1/ JUXTAPID CAP 10MG JUXTAPID CAP 20MG JUXTAPID CAP 30MG JUXTAPID CAP 40MG JUXTAPID CAP 5MG JUXTAPID CAP 60MG K KADCYLA INJ 100MG KADIAN CAP 10MG ER KADIAN CAP 200MG ER. 22 KADIAN CAP 40MG ER KALETRA SOL... 3 KALETRA TAB MG.. 3 KALETRA TAB MG.. 3 KALYDECO PAK 50MG KALYDECO PAK 75MG KALYDECO TAB 150MG.. 76 kariva tab 28 day KAZANO TAB 1000MG KAZANO TAB 500MG kcl 10 meq/l (0.075%) in dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.2% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.33% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.45% inj kcl 20 meq/l (0.15%) in dextrose 5% & nacl 0.9% inj kcl 20 meq/l (0.15%) in nacl 0.45% inj kcl 20 meq/l (0.15%) in nacl 0.9% inj kcl 30 meq/l (0.224%) in dextrose 5% & nacl 0.45% inj kcl 40 meq/l (0.3%) in dextrose 5% & nacl 0.45% inj kcl 40 meq/l (0.3%) in nacl 0.9% inj KCL/D5W/LR INJ 0.15% KCL/D5W/NACL INJ 0.15/ KCL/D5W/NACL INJ 0.3/0.9% kelnor tab 1/ KEPIVANCE INJ 6.25MG. 10 KETEK TAB 300MG... 7 KETEK TAB 400MG... 7 ketoconazole cream 2% ketoconazole shampoo 2% ketoconazole tab ketoprofen cap ketoprofen cap ketoprofen cap sr 24hr ketorolac tromethamine inj 15 /ml ketorolac tromethamine inj 30 /ml ketorolac tromethamine ophth soln 0.4% ketorolac tromethamine ophth soln 0.5% ketorolac tromethamine tab KEYTRUDA SOL 50MG KHEDEZLA TAB 100MG ER KHEDEZLA TAB 50MG ER KINERET INJ kionex pow klor-con 10 tab 10meq er.. 79 klor-con 8 tab 8meq er KLOR-CON M15 TAB 15MEQ ER klor-con m20 tab 20meq er KOMBIGLYZE TAB KOMBIGLYZE TAB MG KOMBIGLYZE TAB 5-500MG KORLYM TAB 300MG KRISTALOSE PAK 10GM 63 KRISTALOSE PAK 20GM 63 K-TAB TAB 10MEQ CR K-TAB TAB 20MEQ KUVAN POW 500MG KUVAN TAB 100MG KYNAMRO INJ 200MG/ML

104 L labetalol hcl iv soln 5 /ml labetalol hcl tab labetalol hcl tab labetalol hcl tab LACRISERT MIS 5MG OP 72 lactated ringer's for irrigation lactated ringer's solution lactic acid (ammonium lactate) cream 12% lactic acid (ammonium lactate) lotion 12% lactulose solution 10 gm/15ml lamivudine tab 100 (hbv)... 3 lamivudine tab lamivudine tab lamivudine-zidovudine tab lamotrigine tab lamotrigine tab lamotrigine tab lamotrigine tab lamotrigine tab chewable dispersible lamotrigine tab chewable dispersible lamotrigine tab sr 24hr lamotrigine tab sr 24hr lamotrigine tab sr 24hr lamotrigine tab sr 24hr lamotrigine tab sr 24hr lamotrigine tab sr 24hr LANOXIN TAB MG. 45 LANOXIN TAB 0.125MG.. 45 LANOXIN TAB MG. 45 LANOXIN TAB 0.25MG lansoprazole cap delayed release lansoprazole cap delayed release LANTUS INJ 100/ML LANTUS INJ SOLOSTAR. 59 larin fe tab 1.5/ larin fe tab 1/ larin tab 1.5/ larin tab 1/ LASIX TAB 20MG LASIX TAB 40MG LASIX TAB 80MG LASTACAFT SOL 0.25%.. 72 latanoprost ophth soln 0.005% LATUDA TAB 120MG LATUDA TAB 20MG LATUDA TAB 40MG LATUDA TAB 60MG LATUDA TAB 80MG LAZANDA SPR 100MCG.. 22 LAZANDA SPR 400MCG.. 22 leena tab leflunomide tab leflunomide tab LENVIMA CAP 10MG LENVIMA CAP 14MG LENVIMA CAP 20MG LENVIMA CAP 24MG LESCOL CAP 20MG LESCOL CAP 40MG LESCOL XL TAB 80MG lessina tab LETAIRIS TAB 10MG LETAIRIS TAB 5MG letrozole tab leucovorin calcium for inj leucovorin calcium for inj leucovorin calcium tab leucovorin calcium tab leucovorin calcium tab leucovorin calcium tab LEUKERAN TAB 2MG LEUKINE INJ 250MCG leuprolide acetate inj kit 5 /ml levalbuterol hcl soln nebu 0.31 /3ml (base equiv). 76 levalbuterol hcl soln nebu 0.63 /3ml (base equiv). 76 levalbuterol hcl soln nebu conc 1.25 /0.5ml (base equiv) LEVEMIR INJ LEVEMIR INJ FLEXTOUC 59 levetiracetam inj 500 /5ml (100 /ml) levetiracetam oral soln 100 /ml levetiracetam tab levetiracetam tab levetiracetam tab levetiracetam tab levetiracetam tab sr 24hr levetiracetam tab sr 24hr LEVITRA TAB 10MG LEVITRA TAB 2.5MG LEVITRA TAB 20MG LEVITRA TAB 5MG levobunolol hcl ophth soln 0.5% levocarnitine tab levocetirizine dihydrochloride soln 2.5 /5ml (0.5 /ml) levocetirizine dihydrochloride tab levofloxacin in d5w iv soln 500 /100ml... 9 levofloxacin iv soln 25 /ml... 9 levofloxacin ophth soln 0.5% levofloxacin oral soln 25 /ml... 9 levofloxacin tab levofloxacin tab levofloxacin tab levonest tab levonorgestrel & ethinyl estradiol (91-day) tab levonorgestrel & ethinyl estradiol tab mcg

105 levonorgestrel-ethinyl estradiol (continuous) tab mcg levora-28 tab 0.15/ levothyroxine sodium tab 100 mcg levothyroxine sodium tab 112 mcg levothyroxine sodium tab 125 mcg levothyroxine sodium tab 137 mcg levothyroxine sodium tab 150 mcg levothyroxine sodium tab 175 mcg levothyroxine sodium tab 200 mcg levothyroxine sodium tab 25 mcg levothyroxine sodium tab 300 mcg levothyroxine sodium tab 50 mcg levothyroxine sodium tab 75 mcg levothyroxine sodium tab 88 mcg levoxyl tab 100mcg levoxyl tab 112mcg levoxyl tab 125mcg levoxyl tab 137mcg levoxyl tab 150mcg levoxyl tab 175mcg levoxyl tab 200mcg levoxyl tab 25mcg levoxyl tab 50mcg levoxyl tab 75mcg levoxyl tab 88mcg LEXAPRO SOL 5MG/5ML 31 LEXAPRO TAB 10MG LEXAPRO TAB 20MG LEXAPRO TAB 5MG LEXIVA SUS 50MG/ML... 3 LEXIVA TAB 700MG... 3 LIALDA TAB 1.2GM lidocaine hcl gel 2% lidocaine hcl local inj 2% lidocaine hcl local preservative free (pf) inj 0.5% lidocaine hcl soln 4% lidocaine hcl viscous soln 2% lidocaine oint 5% lidocaine patch 5% (700 ) lidocaine-prilocaine cream % LINCOCIN INJ 300MG/ML.. 7 lindane lotion 1% lindane shampoo 1% linezolid tab LINZESS CAP 145MCG LINZESS CAP 290MCG liothyronine sodium tab 25 mcg liothyronine sodium tab 5 mcg liothyronine sodium tab 50 mcg LIPITOR TAB 10MG LIPITOR TAB 20MG LIPITOR TAB 40MG LIPITOR TAB 80MG LIPOSYN III INJ 10% LIPOSYN III INJ 20% LIPTRUZET TAB 10-10MG LIPTRUZET TAB 10-20MG LIPTRUZET TAB 10-40MG LIPTRUZET TAB 10-80MG lisinopril & hydrochlorothiazide tab lisinopril & hydrochlorothiazide tab lisinopril & hydrochlorothiazide tab lisinopril tab lisinopril tab lisinopril tab lisinopril tab lisinopril tab lisinopril tab lithium carbonate cap lithium carbonate cap lithium carbonate cap lithium carbonate tab lithium carbonate tab cr lithium carbonate tab cr LITHIUM SOL 8MEQ/5ML 31 LIVALO TAB 1MG LIVALO TAB 2MG LIVALO TAB 4MG LO LOESTRIN TAB lokara lot 0.05% lomedia 24 tab fe lomustine cap lomustine cap lomustine cap loperamide hcl cap lorazepam con 2/ml lorazepam tab lorazepam tab lorazepam tab lorcet hd tab lorcet plus tab lorcet tab lortab tab lortab tab lortab tab loryna tab losartan potassium & hydrochlorothiazide tab losartan potassium & hydrochlorothiazide tab losartan potassium & hydrochlorothiazide tab losartan potassium tab losartan potassium tab losartan potassium tab LOTEMAX GEL 0.5%

106 LOTEMAX OIN 0.5% LOTEMAX SUS 0.5% LOTENSIN TAB 20MG LOTENSIN TAB 40MG LOTREL CAP 10-20MG LOTREL CAP 10-40MG LOTREL CAP MG LOTREL CAP 5-10MG LOTREL CAP 5-20MG LOTREL CAP 5-40MG LOTRONEX TAB 0.5MG LOTRONEX TAB 1MG lovastatin tab lovastatin tab lovastatin tab LOVAZA CAP 1GM low-ogestrel tab loxapine succinate cap loxapine succinate cap loxapine succinate cap loxapine succinate cap LUMIGAN SOL 0.01% LUMIZYME INJ 50MG LUPR DEP-PED INJ 11.25MG LUPR DEP-PED INJ 15MG LUPRON DEPOT INJ 11.25MG LUPRON DEPOT INJ 22.5MG LUPRON DEPOT INJ 3.75MG LUPRON DEPOT INJ 30MG LUPRON DEPOT INJ 45MG LUPRON DEPOT INJ 7.5MG lutera tab LYNPARZA CAP 50MG LYRICA CAP 100MG LYRICA CAP 150MG LYRICA CAP 200MG LYRICA CAP 225MG LYRICA CAP 25MG LYRICA CAP 300MG LYRICA CAP 50MG LYRICA CAP 75MG LYRICA SOL 20MG/ML LYSODREN TAB 500MG. 12 LYSTEDA TAB 650MG lyza tab M MACRODANTIN CAP 25MG magnesium sulfate inj 50% maprotiline hcl tab maprotiline hcl tab maprotiline hcl tab marlissa tab 0.15/ MARPLAN TAB 10MG MATULANE CAP 50MG matzim la tab 180/ matzim la tab 240/ matzim la tab 300/ matzim la tab 360/ matzim la tab 420/ meclizine hcl tab meclizine hcl tab meclofenamate sodium cap meclofenamate sodium cap medroxyprogesterone acetate im susp 150 /ml medroxyprogesterone acetate tab medroxyprogesterone acetate tab medroxyprogesterone acetate tab mefenamic acid cap mefloquine hcl tab MEGACE ES SUS 625/5ML megestrol acetate susp 40 /ml megestrol acetate tab megestrol acetate tab MEKINIST TAB 0.5MG MEKINIST TAB 2MG meloxicam susp 7.5 /5ml meloxicam tab meloxicam tab melphalan hcl for inj 50 (base equiv) MENACTRA INJ MENEST TAB 0.3MG MENEST TAB 0.625MG MENEST TAB 1.25MG MENEST TAB 2.5MG MENOMUNE INJ A/C/Y/W 67 MENVEO INJ meperidine hcl oral soln 50 /5ml meperitab tab meperitab tab MEPHYTON TAB 5MG meprobamate tab meprobamate tab mercaptopurine tab meropenem iv for soln mesalamine rectal enema 4 gm & cleanser wipe kit mesna inj 100 /ml MESNEX TAB 400MG MESTINON SYP 60MG/5ML metadate tab 20 er metaxalone tab metformin hcl tab metformin hcl tab metformin hcl tab metformin hcl tab sr 24hr metformin hcl tab sr 24hr metformin hcl tab sr 24hr osmotic methadone hcl soln 10 /5ml methadone hcl soln 5 /5ml methadone hcl tab methadone hcl tab METHADONE INJ 10MG/ML methazolamide tab

107 methazolamide tab methenamine hippurate tab 1 gm methimazole tab methimazole tab methocarbamol tab methocarbamol tab methotrexate sodium for inj 1 gm methotrexate sodium inj pf 25 /ml methotrexate sodium tab 2.5 (base equiv) methoxsalen rapid cap methscopolamine bromide tab methscopolamine bromide tab methyclothiazide tab 5 41 methyldopa & hydrochlorothiazide tab methyldopa & hydrochlorothiazide tab methyldopa tab methyldopa tab methylergonovine maleate tab methylphenidate hcl cap cr methylphenidate hcl cap cr methylphenidate hcl cap cr methylphenidate hcl cap sr 24hr 20 (la) methylphenidate hcl cap sr 24hr 30 (la) methylphenidate hcl cap sr 24hr 40 (la) methylphenidate hcl soln 10 /5ml methylphenidate hcl soln 5 /5ml methylphenidate hcl tab methylphenidate hcl tab methylphenidate hcl tab methylphenidate hcl tab cr methylphenidate hcl tab sa osm methylphenidate hcl tab sa osm methylphenidate hcl tab sa osm methylphenidate hcl tab sa osm methylprednisolone acetate inj susp 40 /ml methylprednisolone acetate inj susp 80 /ml methylprednisolone sodium succinate for inj methylprednisolone sodium succinate for inj methylprednisolone tab methylprednisolone tab methylprednisolone tab methylprednisolone tab 4 dose pack methylprednisolone tab metipranolol ophth soln 0.3% metoclopramide hcl inj 5 /ml metoclopramide hcl soln 5 /5ml (10 /10ml) metoclopramide hcl tab metoclopramide hcl tab metolazone tab metolazone tab metolazone tab metoprolol & hydrochlorothiazide tab metoprolol & hydrochlorothiazide tab metoprolol & hydrochlorothiazide tab metoprolol succinate tab sr 24hr metoprolol succinate tab sr 24hr metoprolol succinate tab sr 24hr metoprolol succinate tab sr 24hr metoprolol tartrate inj 1 /ml metoprolol tartrate tab metoprolol tartrate tab metoprolol tartrate tab metronidazole cap metronidazole cream 0.75% metronidazole gel 0.75%.. 51 metronidazole gel 1% metronidazole in nacl 0.79% iv soln 500 /100ml... 7 metronidazole lotion 0.75% metronidazole tab metronidazole tab metronidazole vaginal gel 0.75% mexiletine hcl cap mexiletine hcl cap mexiletine hcl cap MIACALCIN INJ 200/ML MICARDIS HCT TAB 40/ MICARDIS HCT TAB 80/ MICARDIS HCT TAB 80-25MG MICARDIS TAB 20MG MICARDIS TAB 40MG MICARDIS TAB 80MG miconazole 3 sup microgestin tab 1.5/ microgestin tab 1/ microgestin tab fe 1/

108 microgestin tab fe1.5/ MICROZIDE CAP 12.5MG 41 midodrine hcl tab midodrine hcl tab midodrine hcl tab migergot sup 2/ MIGRANAL SPR 4MG/ML 18 mimvey lo tab MINASTRIN 24 CHW FE.. 71 minocycline hcl cap minocycline hcl cap minocycline hcl cap minocycline hcl tab minocycline hcl tab minocycline hcl tab minocycline hcl tab sr 24hr minocycline hcl tab sr 24hr minocycline hcl tab sr 24hr minoxidil tab minoxidil tab MIRAPEX ER TAB 0.375MG MIRAPEX ER TAB 0.75MG MIRAPEX ER TAB 1.5MG 18 MIRAPEX ER TAB 2.25MG MIRAPEX ER TAB 3.75MG MIRAPEX ER TAB 3MG MIRAPEX ER TAB 4.5MG 18 mirtazapine orally disintegrating tab mirtazapine orally disintegrating tab mirtazapine orally disintegrating tab mirtazapine tab mirtazapine tab mirtazapine tab mirtazapine tab MIRVASO GEL 0.33% misoprostol tab 100 mcg misoprostol tab 200 mcg mitomycin for iv soln mitoxantrone hcl inj conc 25 /12.5ml (2 /ml) M-M-R II INJ modafinil tab modafinil tab moexipril hcl tab moexipril hcl tab moexipril-hydrochlorothiazid e tab moexipril-hydrochlorothiazid e tab moexipril-hydrochlorothiazid e tab mometasone furoate cream 0.1% mometasone furoate oint 0.1% mometasone furoate solution 0.1% (lotion) mononessa tab montelukast sodium chew tab 4 (base equiv) montelukast sodium chew tab 5 (base equiv) montelukast sodium oral granules packet 4 (base equiv) montelukast sodium tab 10 (base equiv) MONUROL PAK GRANULES MORPHINE SUL INJ 2MG/ML MORPHINE SUL INJ 4MG/ML MORPHINE SUL INJ 8MG/ML morphine sulfate (concentrate) oral soln 20 /ml morphine sulfate beads cap sr 24hr morphine sulfate beads cap sr 24hr morphine sulfate beads cap sr 24hr morphine sulfate beads cap sr 24hr morphine sulfate beads cap sr 24hr morphine sulfate beads cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate cap sr 24hr morphine sulfate iv soln pf 10 /ml morphine sulfate oral soln 10 /5ml morphine sulfate oral soln 20 /5ml morphine sulfate tab morphine sulfate tab morphine sulfate tab cr morphine sulfate tab cr morphine sulfate tab cr morphine sulfate tab cr morphine sulfate tab cr MOVANTIK TAB 12.5MG. 65 MOVANTIK TAB 25MG MOVIPREP SOL MOXEZA SOL 0.5% moxifloxacin hcl tab 400 (base equiv)... 9 MOZOBIL INJ MULTAQ TAB 400MG mupirocin calcium cream 2% mupirocin oint 2% MUSTARGEN INJ 10MG.. 13 MYCOBUTIN CAP 150MG

109 mycophenolate mofetil cap mycophenolate mofetil for oral susp 200 /ml mycophenolate mofetil tab mycophenolate sodium tab dr 180 (mycophenolic acid equiv) mycophenolate sodium tab dr 360 (mycophenolic acid equiv) myorisan cap myorisan cap myorisan cap MYOZYME INJ 50MG MYRBETRIQ TAB 25MG.. 78 MYRBETRIQ TAB 50MG.. 78 N nabumetone tab nabumetone tab nadolol & bendroflumethiazide tab nadolol & bendroflumethiazide tab nadolol tab nadolol tab nadolol tab nafcillin sodium for inj 1 gm. 9 nafcillin sodium for inj 10 gm... 9 naftifine hcl cream 1% NAFTIN CRE 1% NAFTIN CRE 2% NAFTIN GEL 1% NAFTIN GEL 2% NAGLAZYME INJ 1MG/ML naloxone hcl inj 1 /ml naltrexone hcl tab NAMENDA SOL 10MG/5ML NAMENDA TAB 10MG NAMENDA TAB 5-10MG.. 20 NAMENDA TAB 5MG NAMENDA XR CAP 14MG NAMENDA XR CAP 21MG NAMENDA XR CAP 28MG NAMENDA XR CAP 7MG. 20 NAMENDA XR CAP TITRATIO naphazoline hcl ophth soln 0.1% naproxen dr tab naproxen dr tab naproxen sodium tab naproxen sodium tab naproxen susp 125 /5ml naproxen tab naproxen tab naproxen tab naratriptan hcl tab 1 (base equiv) naratriptan hcl tab 2.5 (base equiv) NASONEX SPR 50MCG/AC NATACYN SUS 5% OP NATAZIA TAB nateglinide tab nateglinide tab NEBUPENT INH 300MG... 7 necon tab 0.5/ necon tab 1/ NECON TAB 10/ necon tab 7/7/ nefazodone hcl tab nefazodone hcl tab nefazodone hcl tab nefazodone hcl tab nefazodone hcl tab neomycin sulfate tab neomycin-bacitrac zn-polymyx 5(3.5)-400unt-10000unt op oin neomycin-polymy-gramicid op sol unt- /ml neomycin-polymyxin b gu irrigation soln neomycin-polymyxin-dexame thasone ophth oint 0.1% neomycin-polymyxin-dexame thasone ophth susp 0.1%. 73 neomycin-polymyxin-hc ophth susp neomycin-polymyxin-hc otic soln 1% neomycin-polymyxin-hc otic susp 3.5 /ml unit/ml-1% NEORAL CAP 100MG NEORAL CAP 25MG NEORAL SOL 100MG/ML 13 NEPHRAMINE INJ 5.4%.. 80 NESINA TAB 12.5MG NESINA TAB 25MG NESINA TAB 6.25MG neuac gel 1.2-5% NEULASTA INJ 6MG/0.6M NEUMEGA INJ 5MG NEUPOGEN INJ 300/ NEUPOGEN INJ 480/ NEUPOGEN INJ 480MCG 66 NEUPRO DIS 1MG/24HR 18 NEUPRO DIS 2MG/24HR 18 NEUPRO DIS 3MG/24HR 18 NEUPRO DIS 4MG/24HR 18 NEUPRO DIS 6MG/24HR 18 NEUPRO DIS 8MG/24HR 18 NEVANAC SUS 0.1% nevirapine susp 50 /5ml. 3 nevirapine tab nevirapine tab sr 24hr NEXAVAR TAB 200MG NEXIUM CAP 20MG NEXIUM CAP 40MG NEXIUM GRA 10MG DR.. 64 NEXIUM GRA 2.5MG DR. 64 NEXIUM GRA 20MG DR.. 64 NEXIUM GRA 40MG DR.. 64 NEXIUM GRA 5MG DR niacin tab cr

110 (antihyperlipidemic) niacin tab cr 500 (antihyperlipidemic) niacin tab cr 750 (antihyperlipidemic) nicardipine hcl cap nicardipine hcl cap NICOTROL INH NICOTROL NS SPR 10MG/ML nifedical xl tab nifedical xl tab nifedipine cap nifedipine cap nifedipine tab sr 24hr osmotic nifedipine tab sr 24hr osmotic nifedipine tab sr 24hr osmotic nikki tab NILANDRON TAB 150MG 13 nimodipine cap nisoldipine tab sr 24hr nisoldipine tab sr 24hr nisoldipine tab sr 24hr nisoldipine tab sr 24hr nisoldipine tab sr 24hr nisoldipine tab sr 24hr nisoldipine tab sr 24hr NITRO-BID OIN 2% NITRO-DUR DIS 0.1MG/HR NITRO-DUR DIS 0.2MG/HR NITRO-DUR DIS 0.3MG/HR NITRO-DUR DIS 0.4MG/HR NITRO-DUR DIS 0.6MG/HR NITRO-DUR DIS 0.8MG/HR nitrofurantoin macrocrystalline cap nitrofurantoin monohydrate macrocrystalline cap nitrofurantoin susp 25 /5ml nitroglycerin td patch 24hr 0.1 /hr nitroglycerin td patch 24hr 0.2 /hr nitroglycerin td patch 24hr 0.4 /hr nitroglycerin td patch 24hr 0.6 /hr nitroglycerin tl soln 0.4 /spray (400 mcg/spray) 50 NITROMIST AER 400MCG NITROSTAT SUB 0.3MG. 50 NITROSTAT SUB 0.4MG. 50 NITROSTAT SUB 0.6MG. 50 nizatidine cap nizatidine cap nizatidine oral soln 15 /ml nora-be tab norethindrone & ethinyl estradiol-fe chew tab mcg norethindrone ace-ethinyl estradiol-fe tab 1-20 mcg (24) norethindrone acetate tab norethindrone acetate-ethinyl estradiol tab 1-5 mcg.. 55 norethindrone tab norlyroc tab normosol -m inj /d5w NORMOSOL -R INJ /D5W 79 NORMOSOL-R INJ PH nortrel tab 0.5/ nortrel tab 1/ nortrel tab 7/7/ nortriptyline hcl cap nortriptyline hcl cap nortriptyline hcl cap nortriptyline hcl cap nortriptyline hcl soln 10 /5ml NORVIR CAP 100MG... 3 NORVIR SOL 80MG/ML... 3 NORVIR TAB 100MG... 3 NOVOLIN INJ 70/ NOVOLIN N INJ U NOVOLIN R INJ U NOVOLOG INJ 100/ML NOVOLOG INJ FLEXPEN 59 NOVOLOG MIX INJ 70/30 59 NOVOLOG MIX INJ FLEXPEN NOXAFIL SUS 40MG/ML... 2 NOXAFIL TAB 100MG... 2 NUEDEXTA CAP 20-10MG NULOJIX INJ 250MG nutrilipid emu 20% NUVARING MIS NUVESSA GEL 1.3% NUVIGIL TAB 150MG NUVIGIL TAB 200MG NUVIGIL TAB 250MG NUVIGIL TAB 50MG nystatin cream unit/gm nystatin oint unit/gm nystatin susp unit/ml... 2 nystatin tab unit... 2 nystatin topical powder nystatin-triamcinolone cream unit/gm-% nystatin-triamcinolone oint unit/gm-% nystop pow O ocella tab octreotide acetate inj 100 mcg/ml (0.1 /ml) octreotide acetate inj 1000 mcg/ml (1 /ml) octreotide acetate inj 200 mcg/ml (0.2 /ml) octreotide acetate inj 50 mcg/ml (0.05 /ml) octreotide acetate inj

111 mcg/ml (0.5 /ml) OFEV CAP 100MG OFEV CAP 150MG ofloxacin ophth soln 0.3%. 72 ofloxacin otic soln 0.3% ofloxacin tab ofloxacin tab ogestrel tab olanzapine for im inj olanzapine orally disintegrating tab olanzapine orally disintegrating tab olanzapine orally disintegrating tab olanzapine orally disintegrating tab olanzapine tab olanzapine tab olanzapine tab olanzapine tab olanzapine tab olanzapine tab olanzapine-fluoxetine hcl cap olanzapine-fluoxetine hcl cap olanzapine-fluoxetine hcl cap olanzapine-fluoxetine hcl cap olanzapine-fluoxetine hcl cap olopatadine hcl nasal soln 0.6% OLYSIO CAP 150MG... 3 omega-3-acid ethyl esters cap 1 gm omeprazole cap delayed release omeprazole cap delayed release omeprazole cap delayed release omeprazole-sodium bicarbonate cap omeprazole-sodium bicarbonate cap OMNARIS SPR OMNITROPE INJ 5.8MG.. 66 ONCASPAR INJ 750/ML.. 13 ondansetron hcl inj 4 /2ml (2 /ml) ondansetron hcl oral soln 4 /5ml ondansetron hcl tab ondansetron hcl tab ondansetron hcl tab ondansetron orally disintegrating tab ondansetron orally disintegrating tab ONFI SUS 2.5MG/ML ONFI TAB 10MG ONFI TAB 20MG ONGLYZA TAB 2.5MG ONGLYZA TAB 5MG OPANA ER TAB 10MG OPANA ER TAB 15MG OPANA ER TAB 20MG OPANA ER TAB 30MG OPANA ER TAB 40MG OPANA ER TAB 5MG OPANA ER TAB 7.5MG OPDIVO INJ 40MG/4ML OPSUMIT TAB 10MG ORAP TAB 1MG ORAP TAB 2MG ORENCIA INJ 125MG/ML 68 ORENCIA INJ 250MG ORFADIN CAP 10MG ORFADIN CAP 2MG ORFADIN CAP 5MG orphenadrine citrate tab sr 12hr orsythia tab OSENI TAB OSENI TAB OSENI TAB OSENI TAB 25-15MG OSENI TAB 25-30MG OSENI TAB 25-45MG OSMOPREP TAB 1.5GM. 63 OTEZLA TAB 10/20/ OTEZLA TAB 30MG oxacillin sodium for inj 10 gm... 9 oxacillin sodium for inj 2 gm 9 oxaliplatin iv soln 100 /20ml oxandrolone tab oxandrolone tab oxaprozin tab oxazepam cap oxazepam cap oxazepam cap oxcarbazepine susp 300 /5ml (60 /ml) oxcarbazepine tab oxcarbazepine tab oxcarbazepine tab OXISTAT CRE 1% OXISTAT LOT 1% OXSORALEN-UL CAP 10MG oxybutynin chloride syrup 5 /5ml oxybutynin chloride tab oxybutynin chloride tab sr 24hr oxybutynin chloride tab sr 24hr oxybutynin chloride tab sr 24hr oxycodone hcl cap oxycodone hcl conc 100 /5ml (20 /ml) oxycodone hcl soln 5 /5ml oxycodone hcl tab oxycodone hcl tab oxycodone hcl tab oxycodone hcl tab oxycodone hcl tab oxycodone w/ acetaminophen tab oxycodone w/ acetaminophen tab oxycodone w/ acetaminophen tab oxycodone w/ acetaminophen tab

112 oxycodone-aspirin tab oxycodone-ibuprofen tab OXYCONTIN TAB 10MG CR OXYCONTIN TAB 15MG CR OXYCONTIN TAB 20MG CR OXYCONTIN TAB 30MG CR OXYCONTIN TAB 40MG CR OXYCONTIN TAB 60MG CR OXYCONTIN TAB 80MG CR oxymorphone hcl tab oxymorphone hcl tab 5 24 oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr oxymorphone hcl tab sr 12hr P pacerone tab pacerone tab pacerone tab paclitaxel iv conc 300 /50ml (6 /ml) pamidronate disodium iv soln 3 /ml pamidronate disodium iv soln 9 /ml PAMIDRONATE INJ 6MG/ML PANCREAZE CAP 10500UNT PANCREAZE CAP 16800UNT PANCREAZE CAP 21000UNT PANCREAZE CAP 4200UNIT PANRETIN GEL 0.1% pantoprazole sodium ec tab 20 (base equiv) pantoprazole sodium ec tab 40 (base equiv) paricalcitol cap 1 mcg paricalcitol cap 2 mcg paricalcitol cap 4 mcg PARICALCITOL INJ 2MCG/ML paromomycin sulfate cap paroxetine hcl tab paroxetine hcl tab paroxetine hcl tab paroxetine hcl tab paroxetine hcl tab sr 24hr paroxetine hcl tab sr 24hr paroxetine hcl tab sr 24hr PASER GRA 4GM... 7 PATADAY SOL 0.2% PATANASE SPR 0.6% PATANOL SOL 0.1% OP.. 72 PAXIL SUS 10MG/5ML PEDVAX HIB INJ PEGANONE TAB 250MG. 16 PEGASYS INJ PEGASYS INJ 180MCG/M PEGASYS INJ PROCLICK PEG-INTRON KIT 120 RP 66 PEGINTRON KIT 120MCG PEG-INTRON KIT 150 RP 66 PEGINTRON KIT 150MCG PEG-INTRON KIT 50MCG 66 PEG-INTRON KIT 50MCG RP PEGINTRON KIT 80MCG. 66 PEG-INTRON KIT 80MCG RP PEN G PROC INJ PENICILL GK/ INJ DEX 2MU... 9 PENICILL GK/ INJ DEX 3MU... 9 penicillin g potassium for inj unit... 9 penicillin g sodium for inj unit... 9 penicillin v potassium for soln 125 /5ml... 9 penicillin v potassium for soln 250 /5ml... 9 penicillin v potassium tab penicillin v potassium tab PENNSAID SOL 2% PENTAM 300 INJ 300MG... 7 PENTASA CAP 250MG CR PENTASA CAP 500MG CR pentazocine w/ naloxone tab pentoxifylline tab cr PERFOROMIST NEB 20MCG perindopril erbumine tab perindopril erbumine tab perindopril erbumine tab periogard sol 0.12% PERJETA INJ 420/14ML.. 13 permethrin cream 5% perphenazine tab perphenazine tab perphenazine tab perphenazine tab perphenazine-amitriptyline tab perphenazine-amitriptyline tab perphenazine-amitriptyline tab perphenazine-amitriptyline 107

113 tab perphenazine-amitriptyline tab PERTZYE CAP pfizerpen-g inj 5mu... 9 phenadoz sup phenelzine sulfate tab phenergan sup phenergan sup phenergan sup phenobarbital elixir 20 /5ml phenobarbital tab phenobarbital tab phenobarbital tab phenobarbital tab phenobarbital tab phenobarbital tab phenobarbital tab phenobarbital tab PHENYTEK CAP 200MG.. 16 PHENYTEK CAP 300MG.. 16 phenytoin chew tab phenytoin sodium extended cap phenytoin sodium extended cap phenytoin sodium extended cap phenytoin sodium inj 50 /ml phenytoin susp 125 /5ml PHOSLYRA SOL PHOSPHOLINE SOL 0.125%OP PICATO GEL 0.015% PICATO GEL 0.05% pilocarpine hcl ophth soln 1% pilocarpine hcl ophth soln 2% pilocarpine hcl ophth soln 4% pilocarpine hcl tab pilocarpine hcl tab pimtrea tab pindolol tab pindolol tab pioglitazone hcl tab 15 (base equiv) pioglitazone hcl tab 30 (base equiv) pioglitazone hcl tab 45 (base equiv) pioglitazone hcl-glimepiride tab pioglitazone hcl-glimepiride tab pioglitazone hcl-metformin hcl tab pioglitazone hcl-metformin hcl tab piperacillin sodium-tazobactam sodium for inj gm... 9 piperacillin sodium-tazobactam sodium for inj gm... 9 pirmella tab 1/ piroxicam cap piroxicam cap PLASMA-LYTE INJ PLASMA-LYTE INJ 56/D5W PLASMA-LYTE INJ -A PLEGRIDY INJ PLEGRIDY PEN INJ STARTER podofilox soln 0.5% polyethylene glycol 3350 oral powder polymyxin b sulfate for inj unit... 7 polymyxin b-trimethoprim ophth soln unit/ml-0.1% POMALYST CAP 1MG POMALYST CAP 2MG POMALYST CAP 3MG POMALYST CAP 4MG portia-28 tab potassium chloride 20 meq/l (0.15%) in dextrose 5% inj 79 potassium chloride 40 meq/l (0.3%) in dextrose 5% inj.. 79 potassium chloride cap cr 10 meq potassium chloride cap cr 8 meq potassium chloride inj 10 meq/100 ml potassium chloride inj 2 meq/ml potassium chloride inj 20 meq/100 ml potassium chloride inj 40 meq/100 ml potassium chloride microencapsulated crys cr tab 10 meq potassium chloride microencapsulated crys cr tab 20 meq potassium chloride oral liq 10% (20 meq/15ml) potassium chloride oral liq 20% (40 meq/15ml) potassium chloride tab cr 8 meq (600 ) potassium citrate tab cr 10 meq (1080 ) potassium citrate tab cr 15 meq (1620 ) potassium citrate tab cr 5 meq (540 ) POTIGA TAB 200MG POTIGA TAB 300MG POTIGA TAB 400MG POTIGA TAB 50MG PRADAXA CAP 150MG PRADAXA CAP 75MG pramipexole dihydrochloride tab pramipexole dihydrochloride tab pramipexole dihydrochloride tab pramipexole dihydrochloride tab pramipexole dihydrochloride tab pramipexole dihydrochloride tab pramipexole dihydrochloride tab sr 24hr pramipexole dihydrochloride tab sr 24hr PRANDIN TAB 0.5MG

114 PRANDIN TAB 1MG PRANDIN TAB 2MG PRAVACHOL TAB 20MG. 49 PRAVACHOL TAB 40MG. 49 PRAVACHOL TAB 80MG. 49 pravastatin sodium tab pravastatin sodium tab pravastatin sodium tab pravastatin sodium tab prazosin hcl cap prazosin hcl cap prazosin hcl cap PRED FORTE SUS 1% OP PRED MILD SUS 0.12% OP PRED SOD PHO SOL 1% OP PRED-G S.O.P OIN OP PRED-G SUS OP prednicarbate cream 0.1% 53 prednicarbate oint 0.1% prednisolone acetate ophth susp 1% prednisolone sod phos orally disintegr tab 10 (base eq) prednisolone sod phos orally disintegr tab 15 (base eq) prednisolone sod phos orally disintegr tab 30 (base eq) prednisolone sod phosph oral soln 6.7 /5ml (5 /5ml base) prednisolone sod phosphate oral soln 15 /5ml (base equiv) prednisolone sodium phosphate oral soln 25 /5ml (base eq) PREDNISONE CON 5MG/ML prednisone oral soln 5 /5ml prednisone tab prednisone tab prednisone tab prednisone tab prednisone tab prednisone tab PREFEST TAB PREMARIN INJ 25MG PREMARIN TAB 0.3MG PREMARIN TAB 0.45MG. 70 PREMARIN TAB 0.625MG PREMARIN TAB 0.9MG PREMARIN TAB 1.25MG. 70 PREMARIN VAG CRE 0.625MG PREMASOL SOL 10% premasol sol 6% PREMPHASE TAB PREMPRO TAB PREMPRO TAB PREMPRO TAB PREMPRO TAB PRENATAL VITAMIN/FOLIC ACID > 0.8 MG (GENERIC) PREPOPIK PAK PREVACID TAB 15MG STB PREVACID TAB 30MG STB prevalite pow 4gm previfem tab PREZCOBIX TAB PREZISTA SUS 100MG/ML... 3 PREZISTA TAB 150MG... 4 PREZISTA TAB 600MG... 4 PREZISTA TAB 75MG... 3 PREZISTA TAB 800MG... 4 PRIMAQUINE TAB 26.3MG 7 primidone tab primidone tab PRIMSOL SOL 50MG/5ML PRINIVIL TAB 10MG PRINIVIL TAB 20MG PRINIVIL TAB 5MG PRISTIQ TAB 100MG PRISTIQ TAB 25MG PRISTIQ TAB 50MG PRIVIGEN INJ 20GRAMS 67 PROAIR HFA AER PROAIR RESPI AER probenecid tab PROCALAMINE INJ 3% prochlorperazine edisylate inj 5 /ml prochlorperazine maleate tab 10 (base equivalent) prochlorperazine maleate tab 5 (base equivalent) prochlorperazine suppos PROCRIT INJ 10000/ML.. 66 PROCRIT INJ 2000/ML PROCRIT INJ 20000/ML.. 66 PROCRIT INJ 3000/ML PROCRIT INJ 4000/ML PROCRIT INJ 40000/ML.. 66 procto-pak cre 1% proctosol hc cre 2.5% proctozone cre -hc 2.5% PROCYSBI CAP 25MG PROCYSBI CAP 75MG progesterone micronized cap progesterone micronized cap PROGLYCEM SUS 50MG/ML PROGRAF INJ 5MG/ML PROLASTIN-C INJ 1000MG PROLENSA SOL 0.07% PROLEUKIN INJ 22MU PROLIA SOL 60MG/ML PROMACTA TAB 12.5MG 46 PROMACTA TAB 25MG PROMACTA TAB 50MG PROMACTA TAB 75MG prometh vc syp plain promethazine hcl inj 25 /ml promethazine hcl inj 50 /ml promethazine hcl suppos promethazine hcl suppos

115 promethazine hcl suppos promethazine hcl syrup 6.25 /5ml promethazine hcl tab promethazine hcl tab promethazine hcl tab promethegan sup promethegan sup propafenone hcl cap sr 12hr propafenone hcl cap sr 12hr propafenone hcl cap sr 12hr propafenone hcl tab propafenone hcl tab propafenone hcl tab propantheline bromide tab proparacaine hcl ophth soln 0.5% propranolol & hydrochlorothiazide tab propranolol & hydrochlorothiazide tab propranolol hcl cap sr 24hr propranolol hcl cap sr 24hr propranolol hcl cap sr 24hr propranolol hcl cap sr 24hr propranolol hcl inj 1 /ml 42 propranolol hcl oral soln 20 /5ml propranolol hcl oral soln 40 /5ml propranolol hcl tab propranolol hcl tab propranolol hcl tab propranolol hcl tab propranolol hcl tab propylthiouracil tab PROQUAD INJ PROSOL INJ 20% PROTONIX INJ 40MG PROTONIX PAK PROTOPIC OIN 0.03% PROTOPIC OIN 0.1% protriptyline hcl tab protriptyline hcl tab PROVENTIL AER HFA PROZAC CAP 10MG PROZAC CAP 20MG PROZAC CAP 40MG prudoxin cre 5% PULMICORT INH 180MCG PULMICORT INH 90MCG 77 PULMICORT SUS 1MG/2ML PULMOZYME SOL 1MG/ML PURIXAN SUS 20MG/ML. 13 PYLERA CAP pyrazinamide tab pyridostigmine bromide tab Q QNASL AER 80MCG QNASL CHILD SPR 40MCG QUADRACEL INJ QUARTETTE TAB quasense tab QUESTRAN POW 4GM quetiapine fumarate tab quetiapine fumarate tab quetiapine fumarate tab quetiapine fumarate tab quetiapine fumarate tab quetiapine fumarate tab quinapril hcl tab quinapril hcl tab quinapril hcl tab quinapril hcl tab quinapril-hydrochlorothiazide tab quinapril-hydrochlorothiazide tab quinapril-hydrochlorothiazide tab quinidine gluconate tab cr quinidine sulfate tab quinidine sulfate tab quinine sulfate cap QVAR AER 40MCG QVAR AER 80MCG R RABAVERT INJ rabeprazole sodium ec tab RAGWITEK SUB raloxifene hcl tab ramipril cap ramipril cap ramipril cap ramipril cap RANEXA TAB 1000MG RANEXA TAB 500MG ranitidine hcl cap ranitidine hcl cap ranitidine hcl inj 150 /6ml (25 /ml) ranitidine hcl syrup 15 /ml (75 /5ml) ranitidine hcl tab ranitidine hcl tab RAPAFLO CAP 4MG RAPAFLO CAP 8MG RAPAMUNE SOL 1MG/ML RAPAMUNE TAB 1MG RAPAMUNE TAB 2MG RAVICTI LIQ 1.1GM/ML REBETOL SOL 40MG/ML.. 4 REBIF INJ 22/ REBIF INJ 44/ REBIF TITRTN SOL PACK reclipsen tab

116 RECOMBIVA HB INJ 10MCG/ML RECOMBIVA HB INJ 5MCG/ RECOMBIVA-HB INJ 40MCG/ML REGRANEX GEL 0.01%.. 50 RELENZA MIS DISKHALE. 4 RELISTOR INJ 12/0.6ML.. 64 RELPAX TAB 20MG RELPAX TAB 40MG REMICADE INJ 100MG RENAGEL TAB 400MG RENAGEL TAB 800MG RENVELA PAK 0.8GM RENVELA PAK 2.4GM RENVELA TAB 800MG repaglinide tab repaglinide tab repaglinide tab RESCRIPTOR TAB 100 MG... 4 RESCRIPTOR TAB 200MG 4 reserpine tab reserpine tab RESTASIS EMU 0.05% RETROVIR INJ 10MG/ML.. 4 REVATIO INJ REVLIMID CAP 10MG REVLIMID CAP 15MG REVLIMID CAP 2.5MG REVLIMID CAP 20MG REVLIMID CAP 25MG REVLIMID CAP 5MG REYATAZ CAP 150MG... 4 REYATAZ CAP 200MG... 4 REYATAZ CAP 300MG... 4 REYATAZ POW 50MG... 4 ribasphere cap ribasphere tab ribavirin cap ribavirin tab RIDAURA CAP 3MG rifabutin cap rifampin cap rifampin cap rifampin for inj RIFATER TAB... 7 riluzole tab rimantadine hydrochloride tab ringer's solution ringer's solution for irrigation risedronate sodium tab risedronate sodium tab risedronate sodium tab risedronate sodium tab risedronate sodium tab delayed release RISPERDAL INJ 12.5MG. 33 RISPERDAL INJ 25MG RISPERDAL INJ 37.5MG. 33 RISPERDAL INJ 50MG risperidone orally disintegrating tab risperidone orally disintegrating tab risperidone orally disintegrating tab risperidone orally disintegrating tab risperidone orally disintegrating tab risperidone orally disintegrating tab risperidone soln 1 /ml risperidone tab risperidone tab risperidone tab risperidone tab risperidone tab risperidone tab RITALIN LA CAP 10MG RITUXAN INJ 500MG rivastigmine tartrate cap rivastigmine tartrate cap rivastigmine tartrate cap rivastigmine tartrate cap rizatriptan benzoate orally disintegrating tab rizatriptan benzoate orally disintegrating tab rizatriptan benzoate tab rizatriptan benzoate tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab ropinirole hydrochloride tab sr 24hr 12 (base equivalent) ropinirole hydrochloride tab sr 24hr 2 (base equivalent) ropinirole hydrochloride tab sr 24hr 4 (base equivalent) ropinirole hydrochloride tab sr 24hr 6 (base equivalent) ropinirole hydrochloride tab sr 24hr 8 (base equivalent) ROTARIX SUS ROTATEQ SOL ROZEREM TAB 8MG RUCONEST INJ 2100UNIT S SABRIL POW 500MG SABRIL TAB 500MG SAFYRAL TAB SAMSCA TAB 15MG SAMSCA TAB 30MG SANCUSO DIS 3.1MG SANDIMMUNE CAP 100MG SANDIMMUNE CAP 25MG

117 SANDIMMUNE INJ 50MG/ML SANDIMMUNE SOL 100MG/ML SANTYL OIN 250/GM SAPHRIS SUB 10MG SAPHRIS SUB 2.5MG SAPHRIS SUB 5MG SAVAYSA TAB 15MG SAVAYSA TAB 30MG SAVAYSA TAB 60MG SAVELLA MIS TITR PAK.. 68 SAVELLA TAB 100MG SAVELLA TAB 12.5MG SAVELLA TAB 25MG SAVELLA TAB 50MG selegiline hcl cap selegiline hcl tab selenium sulfide lotion 2.5% SELZENTRY TAB 150MG.. 4 SELZENTRY TAB 300MG.. 4 SENSIPAR TAB 30MG SENSIPAR TAB 60MG SENSIPAR TAB 90MG SEREVENT DIS AER 50MCG SEROQUEL XR TAB 150MG SEROQUEL XR TAB 200MG SEROQUEL XR TAB 300MG SEROQUEL XR TAB 400MG SEROQUEL XR TAB 50MG sertraline hcl oral conc 20 /ml sertraline hcl tab sertraline hcl tab sertraline hcl tab sharobel tab SIGNIFOR INJ 0.3MG/ML. 13 SIGNIFOR INJ 0.6MG/ML. 13 SIGNIFOR INJ 0.9MG/ML. 13 sildenafil citrate tab silver sulfadiazine cream 1% SIMBRINZA SUS 1-0.2%.. 73 SIMCOR TAB SIMCOR TAB SIMCOR TAB MG.. 49 SIMCOR TAB MG.. 49 SIMCOR TAB MG.. 49 SIMPONI ARIA SOL 50MG/4ML SIMPONI INJ 100MG/ML.. 68 SIMPONI INJ 50/0.5ML SIMULECT INJ 20MG simvastatin tab simvastatin tab simvastatin tab simvastatin tab simvastatin tab sirolimus tab sirolimus tab sirolimus tab SIRTURO TAB 100MG... 7 SIVEXTRO TAB 200MG... 8 SOD FLUORIDE 2.2MG TAB sodium chloride inj 0.45%. 79 sodium chloride inj 2.5 meq/ml (14.6%) sodium chloride inj 3% sodium chloride inj 5% sodium chloride irrigation soln 0.9% sodium chloride iv soln 0.9% sodium phenylbutyrate oral powder 3 gm/teaspoonful.. 54 sodium polystyrene sulfonate oral susp 15 gm/60ml SOLTAMOX SOL 10MG/5ML SOLU-CORTEF INJ 100MG SOLU-CORTEF INJ 250MG SOLU-MEDROL INJ 125MG SOLU-MEDROL INJ 2GM 56 SOLU-MEDROL INJ 40MG SOLU-MEDROL INJ 500MG SOMATULINE INJ 120/.5ML SOMATULINE INJ 60/0.2ML SOMATULINE INJ 90/0.3ML SOMAVERT INJ 10MG SOMAVERT INJ 15MG SOMAVERT INJ 20MG SOMAVERT INJ 25MG SOMAVERT INJ 30MG sorine tab sorine tab sorine tab sorine tab sotalol hcl (afib/afl) tab sotalol hcl tab sotalol hcl tab sotalol hcl tab SOVALDI TAB 400MG... 4 SPIRIVA CAP HANDIHLR 77 SPIRIVA SPR RESPIMAT 77 spironolactone & hydrochlorothiazide tab spironolactone tab spironolactone tab spironolactone tab sprintec 28 tab 28 day SPRYCEL TAB 100MG SPRYCEL TAB 140MG SPRYCEL TAB 20MG SPRYCEL TAB 50MG SPRYCEL TAB 70MG SPRYCEL TAB 80MG ssd cre 1% STARLIX TAB 120MG STARLIX TAB 60MG stavudine cap stavudine cap stavudine cap stavudine cap stavudine for oral soln 1 /ml... 4 STAXYN TAB 10MG STELARA INJ 45MG/ STELARA INJ 90MG/ML.. 68 STIVARGA TAB 40MG STRATTERA CAP 100MG 34 STRATTERA CAP 10MG. 34 STRATTERA CAP 18MG

118 STRATTERA CAP 25MG.. 34 STRATTERA CAP 40MG.. 34 STRATTERA CAP 60MG.. 34 STRATTERA CAP 80MG.. 34 streptomycin sulfate for inj 1 gm... 8 STRIBILD TAB... 4 STRIVERDI AER RESPIMAT STROMECTOL TAB 3MG.. 8 SUBOXONE MIS 12-3MG 25 SUBOXONE MIS 2-0.5MG SUBOXONE MIS 4-1MG.. 25 SUBOXONE MIS 8-2MG.. 25 SUCLEAR KIT sucralfate tab 1 gm sulfacetamide sodium ophth oint 10% sulfacetamide sodium ophth soln 10% sulfacetamide sodium-prednisolone ophth soln (0.25)% SULFADIAZINE TAB 500MG... 9 sulfamethoxazole-trimethopri m iv soln /5ml... 9 sulfamethoxazole-trimethopri m susp /5ml... 9 sulfamethoxazole-trimethopri m tab sulfamethoxazole-trimethopri m tab sulfasalazine tab sulfazine ec tab sulindac tab sulindac tab sumatriptan nasal spray 20 /act sumatriptan nasal spray 5 /act sumatriptan succinate inj 6 /0.5ml sumatriptan succinate solution auto-injector 6 /0.5ml sumatriptan succinate tab sumatriptan succinate tab sumatriptan succinate tab SUPRAX CAP 400MG... 6 SUPRAX CHW 100MG... 6 SUPRAX CHW 200MG... 6 SUPRAX SUS 100/5ML... 6 SUPRAX SUS 200/5ML... 6 SUPRAX SUS 500/5ML... 6 SUPREP BOWEL SOL PREP SURMONTIL CAP 100MG 34 SURMONTIL CAP 25MG.. 34 SURMONTIL CAP 50MG.. 34 SUSTIVA CAP 200MG... 4 SUSTIVA CAP 50MG... 4 SUSTIVA TAB 600MG... 4 SUTENT CAP 12.5MG SUTENT CAP 25MG SUTENT CAP 37.5MG SUTENT CAP 50MG SYLATRON KIT 200MCG. 66 SYLATRON KIT 300MCG. 66 SYLATRON KIT 600MCG. 66 SYLVANT SOL 100MG SYMBICORT AER SYMBICORT AER SYMLINPEN 60 INJ 1000MCG SYMLNPEN 120 INJ 1000MCG SYNAGIS INJ 50MG... 4 SYNAREL SOL 2MG/ML.. 61 SYNERA DIS 70-70MG SYNERCID INJ 500MG... 8 SYNRIBO INJ 3.5MG SYNTHROID TAB 100MCG SYNTHROID TAB 112MCG SYNTHROID TAB 125MCG SYNTHROID TAB 137MCG SYNTHROID TAB 150MCG SYNTHROID TAB 175MCG SYNTHROID TAB 200MCG SYNTHROID TAB 25MCG 61 SYNTHROID TAB 300MCG SYNTHROID TAB 50MCG 61 SYNTHROID TAB 75MCG 61 SYNTHROID TAB 88MCG 61 SYPRINE CAP 250MG T TABLOID TAB 40MG TACLONEX SUS tacrolimus cap tacrolimus cap tacrolimus cap tacrolimus oint 0.03% tacrolimus oint 0.1% TAFINLAR CAP 50MG TAFINLAR CAP 75MG TAMIFLU CAP 30MG... 4 TAMIFLU CAP 45MG... 4 TAMIFLU CAP 75MG... 4 TAMIFLU SUS 6MG/ML... 4 tamoxifen citrate tab 10 (base equivalent) tamoxifen citrate tab 20 (base equivalent) tamsulosin hcl cap TANZEUM INJ 30MG TANZEUM INJ 50MG TARCEVA TAB 100MG TARCEVA TAB 150MG TARCEVA TAB 25MG TARGRETIN CAP 75MG.. 14 TARGRETIN GEL 1% tarina fe tab 1/ TARKA TAB CR TARKA TAB CR TARKA TAB CR TARKA TAB CR TASIGNA CAP 150MG TASIGNA CAP 200MG TASMAR TAB 100MG TAZORAC CRE 0.05% TAZORAC CRE 0.1% TAZORAC GEL 0.05% TAZORAC GEL 0.1% taztia xt cap 120/ taztia xt cap 180/ taztia xt cap 240/ taztia xt cap 300/

119 taztia xt cap 360/ TECFIDERA CAP 120MG. 20 TECFIDERA CAP 240MG. 20 TECFIDERA MIS STARTER TEFLARO INJ 400MG... 6 TEFLARO INJ 600MG... 6 TEGRETOL-XR TAB 100MG TEKAMLO TAB MG TEKAMLO TAB 150-5MG. 43 TEKAMLO TAB MG TEKAMLO TAB 300-5MG. 43 TEKTURNA HCT TAB TEKTURNA HCT TAB MG TEKTURNA HCT TAB TEKTURNA HCT TAB MG TEKTURNA TAB 150MG.. 43 TEKTURNA TAB 300MG.. 43 telmisartan tab telmisartan tab telmisartan tab telmisartan-amlodipine tab telmisartan-amlodipine tab telmisartan-amlodipine tab telmisartan-amlodipine tab telmisartan-hydrochlorothiazi de tab telmisartan-hydrochlorothiazi de tab telmisartan-hydrochlorothiazi de tab temazepam cap temazepam cap temazepam cap temazepam cap TENORETIC TAB TENORETIC TAB TENORMIN TAB 100MG.. 43 TENORMIN TAB 25MG TENORMIN TAB 50MG terazosin hcl cap terazosin hcl cap terazosin hcl cap terazosin hcl cap terbinafine hcl tab terbutaline sulfate tab terbutaline sulfate tab terconazole vaginal cream 0.4% terconazole vaginal cream 0.8% terconazole vaginal suppos TET/DIP TOX INJ 2-2 LF.. 67 TETANUS TOX INJ 5LF ADS TEVETEN HCT TAB TEVETEN HCT TAB MG TEVETEN TAB 600MG THALOMID CAP 100MG.. 14 THALOMID CAP 150MG.. 14 THALOMID CAP 200MG.. 14 THALOMID CAP 50MG theophylline soln 80 /15ml theophylline tab sr 12hr theophylline tab sr 12hr theophylline tab sr 12hr theophylline tab sr 12hr theophylline tab sr 24hr theophylline tab sr 24hr thioridazine hcl tab thioridazine hcl tab thioridazine hcl tab thioridazine hcl tab thiothixene cap thiothixene cap thiothixene cap thiothixene cap THYMOGLOBULN INJ 25MG THYROLAR-1 TAB 60MG 62 THYROLAR-1/2 TAB 30MG THYROLAR-1/4 TAB 15MG THYROLAR-2 TAB 120MG THYROLAR-3 TAB 180MG tiagabine hcl tab tiagabine hcl tab ticlopidine hcl tab TIKOSYN CAP 125MCG.. 36 TIKOSYN CAP 250MCG.. 36 TIKOSYN CAP 500MCG.. 36 timolol maleate ophth gel forming soln 0.25% timolol maleate ophth gel forming soln 0.5% timolol maleate ophth soln 0.25% timolol maleate ophth soln 0.5% timolol maleate tab timolol maleate tab timolol maleate tab tinidazole tab tinidazole tab TIROSINT CAP 100MCG. 62 TIROSINT CAP 112MCG. 62 TIROSINT CAP 125MCG. 62 TIROSINT CAP 137MCG. 62 TIROSINT CAP 13MCG TIROSINT CAP 150MCG. 62 TIROSINT CAP 25MCG TIROSINT CAP 50MCG TIROSINT CAP 75MCG TIROSINT CAP 88MCG TIVICAY TAB 50MG... 4 tizanidine hcl cap 2 (base equivalent) tizanidine hcl cap 4 (base equivalent) tizanidine hcl cap 6 (base equivalent) tizanidine hcl tab 2 (base equivalent)

120 tizanidine hcl tab 4 (base equivalent) TOBI PODHALR CAP 28MG... 8 TOBRA/NACL INJ 80/ TOBRADEX OIN % 73 TOBRADEX ST SUS tobramycin nebu soln 300 /5ml... 8 tobramycin ophth soln 0.3% tobramycin sulfate inj 10 /ml... 8 tobramycin sulfate inj 80 /2ml (40 /ml)... 8 tobramycin-dexamethasone ophth susp % TOBREX OIN 0.3% OP tolazamide tab tolazamide tab tolbutamide tab tolcapone tab tolmetin sodium cap tolmetin sodium tab tolmetin sodium tab tolterodine tartrate cap sr 24hr tolterodine tartrate cap sr 24hr tolterodine tartrate tab tolterodine tartrate tab topiramate sprinkle cap topiramate sprinkle cap topiramate tab topiramate tab topiramate tab topiramate tab topotecan hcl for inj TOPROL XL TAB 100MG. 43 TOPROL XL TAB 200MG. 43 TOPROL XL TAB 25MG TOPROL XL TAB 50MG TORISEL SOL 25MG/ML.. 14 torsemide tab torsemide tab torsemide tab torsemide tab TOVIAZ TAB 4MG TOVIAZ TAB 8MG tpn electrol inj TRACLEER TAB 125MG.. 77 TRACLEER TAB 62.5MG. 77 TRADJENTA TAB 5MG tramadol hcl tab tramadol hcl tab sr 24hr tramadol hcl tab sr 24hr tramadol hcl tab sr 24hr biphasic release tramadol-acetaminophen tab trandolapril tab trandolapril tab trandolapril tab trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr trandolapril-verapamil hcl tab cr tranexamic acid inj 100 /ml tranexamic acid tab TRANSDERM-SC DIS 1MG tranylcypromine sulfate tab TRAVASOL INJ 10% TRAVATAN Z DRO 0.004% travoprost ophth soln 0.004% trazodone hcl tab trazodone hcl tab trazodone hcl tab trazodone hcl tab TREANDA INJ 100MG TREANDA INJ 45/0.5ML.. 14 TRECATOR TAB 250MG... 8 TRELSTAR MIX INJ 11.25MG TRELSTAR MIX INJ 22.5MG TRELSTAR MIX INJ 3.75MG tretinoin cap tretinoin cream 0.025% tretinoin cream 0.05% tretinoin cream 0.1% tretinoin gel 0.01% tretinoin gel 0.025% triamcinolone acetonide cream 0.025% triamcinolone acetonide cream 0.1% triamcinolone acetonide cream 0.5% triamcinolone acetonide dental paste 0.1% triamcinolone acetonide inj susp 10 /ml triamcinolone acetonide inj susp 40 /ml triamcinolone acetonide lotion 0.025% triamcinolone acetonide lotion 0.1% triamcinolone acetonide nasal aerosol suspension 55 mcg/act triamcinolone acetonide oint 0.025% triamcinolone acetonide oint 0.1% triamcinolone acetonide oint 0.5% triamterene & hydrochlorothiazide cap triamterene & hydrochlorothiazide cap triamterene & hydrochlorothiazide tab triamterene & hydrochlorothiazide tab

121 triazolam tab triazolam tab TRIBENZOR20- TAB MG TRIBENZOR40- TAB TRIBENZOR40- TAB 10-25MG TRIBENZOR40- TAB MG TRIBENZOR40- TAB 5-25MG triderm cre 0.1% trifluoperazine hcl tab trifluoperazine hcl tab trifluoperazine hcl tab trifluoperazine hcl tab trifluridine ophth soln 1% trihexyphenidyl hcl elixir 0.4 /ml trihexyphenidyl hcl tab trihexyphenidyl hcl tab tri-legest tab fe trilyte sol trimethobenzamide hcl cap trimethoprim tab trinessa tab tri-previfem tab TRISENOX SOL 10MG/10M tri-sprintec tab TRIUMEQ TAB... 4 trivora-28 tab TROPHAMINE INJ 10% TROPHAMINE INJ 6% trospium chloride cap sr 24hr trospium chloride tab TRULICITY INJ 0.75/ TRULICITY INJ 1.5/ TRUMENBA INJ TRUVADA TAB TUDORZA PRES AER 400/ACT TWINRIX INJ TYBOST TAB 150MG... 4 TYGACIL INJ 50MG... 8 TYKERB TAB 250MG TYPHIM VI INJ TYSABRI INJ 300/15ML TYVASO SOL 0.6MG/ML. 77 TYZEKA TAB 600MG... 4 TYZINE PED DRO 0.05%. 55 U UCERIS TAB 9MG ULORIC TAB 40MG ULORIC TAB 80MG ULTRESA CAP 13800UNT ULTRESA CAP 20700UNT ULTRESA CAP 23000UNT unithroid tab 100mcg unithroid tab 112mcg unithroid tab 125mcg unithroid tab 150mcg unithroid tab 175mcg unithroid tab 200mcg unithroid tab 25mcg unithroid tab 300mcg unithroid tab 50mcg unithroid tab 75mcg unithroid tab 88mcg UROCIT-K 15 TAB ursodiol cap ursodiol tab ursodiol tab UVADEX INJ 20MCG/ML. 50 V VAGIFEM TAB 10MCG valacyclovir hcl tab 1 gm... 4 valacyclovir hcl tab VALCHLOR GEL 0.016%. 14 VALCYTE SOL 50MG/ML... 4 VALCYTE TAB 450MG... 4 valganciclovir hcl tab 450 (base equivalent)... 4 valproate sodium inj 100 /ml valproate sodium syrup 250 /5ml (base equiv) valproic acid cap valsartan tab valsartan tab valsartan tab valsartan tab valsartan-hydrochlorothiazid e tab valsartan-hydrochlorothiazid e tab valsartan-hydrochlorothiazid e tab valsartan-hydrochlorothiazid e tab valsartan-hydrochlorothiazid e tab vancomycin hcl cap vancomycin hcl cap vancomycin hcl for inj 10 gm vancomycin hcl for inj vancomycin hcl for inj vandazole gel 0.75% VAQTA INJ 25/0.5ML VAQTA INJ 50UNT/ML VARIVAX INJ VASCEPA CAP 1GM VASERETIC TAB 10-25MG VASOTEC TAB 10MG VASOTEC TAB 2.5MG VASOTEC TAB 20MG VASOTEC TAB 5MG VECTIBIX INJ 100MG VELCADE INJ 3.5MG velivet pak venlafaxine hcl cap sr 24hr 150 (base equivalent). 34 venlafaxine hcl cap sr 24hr 37.5 (base equivalent) 34 venlafaxine hcl cap sr 24hr 75 (base equivalent) venlafaxine hcl tab venlafaxine hcl tab venlafaxine hcl tab

122 venlafaxine hcl tab venlafaxine hcl tab venlafaxine hcl tab sr 24hr 150 (base equivalent). 35 venlafaxine hcl tab sr 24hr 37.5 (base equivalent) 35 venlafaxine hcl tab sr 24hr 75 (base equivalent) VENLAFAXINE TAB 225MG ER VENTAVIS SOL 10MCG/ML VENTAVIS SOL 20MCG/ML VENTOLIN HFA AER VERAMYST SPR 27.5MCG verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl cap sr 24hr verapamil hcl iv soln 2.5 /ml verapamil hcl tab verapamil hcl tab verapamil hcl tab verapamil hcl tab cr verapamil hcl tab cr verapamil hcl tab cr VEREGEN OIN 15% VERSACLOZ SUS 50MG/ML VESICARE TAB 10MG VESICARE TAB 5MG vestura tab VEXOL SUS 1% OP VIAGRA TAB 100MG VIAGRA TAB 25MG VIAGRA TAB 50MG VICTOZA INJ 18MG/3ML. 60 VIDAZA INJ 100MG VIDEX SOL 2GM... 4 VIGAMOX DRO 0.5% VIIBRYD KIT VIIBRYD TAB 10MG VIIBRYD TAB 20MG VIIBRYD TAB 40MG VIMOVO TAB MG.. 26 VIMOVO TAB MG.. 26 VIMPAT INJ 200MG/ VIMPAT SOL 10MG/ML VIMPAT TAB 100MG VIMPAT TAB 150MG VIMPAT TAB 200MG VIMPAT TAB 50MG VINBLASTINE INJ 1MG/ML vincasar pfs inj 1/ml vincristine sulfate iv soln 1 /ml vinorelbine tartrate inj 50 /5ml (10 /ml) (base equiv) VIOKACE TAB VIOKACE TAB VIRACEPT TAB 250MG... 4 VIRACEPT TAB 625MG... 4 VIRAMUNE XR TAB 100MG... 4 VIRAZOLE INH 6GM... 4 VIREAD POW 40MG/GM... 4 VIREAD TAB 150MG... 5 VIREAD TAB 200MG... 5 VIREAD TAB 250MG... 5 VIREAD TAB 300MG... 5 VISTIDE INJ 75MG/ML... 5 VITAMIN D2 TAB 2000UNIT VITAMIN D2 TAB 400UNIT VITEKTA TAB 150MG... 5 VITEKTA TAB 85MG... 5 VIVELLE-DOT DIS 0.025MG VIVELLE-DOT DIS MG VIVELLE-DOT DIS 0.05MG VIVELLE-DOT DIS 0.075MG VIVELLE-DOT DIS 0.1MG 70 VOLTAREN GEL 1% voriconazole for inj voriconazole for susp 40 /ml... 2 voriconazole tab voriconazole tab VOTRIENT TAB 200MG VPRIV INJ 400UNIT vyfemla tab VYTORIN TAB 10-10MG.. 49 VYTORIN TAB 10-20MG.. 49 VYTORIN TAB 10-40MG.. 49 VYTORIN TAB 10-80MG.. 49 W warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab warfarin sodium tab water for irrigation, sterile irrigation soln WELCHOL PAK 3.75GM.. 49 WELCHOL TAB 625MG WELLBUTRIN TAB 100MG WELLBUTRIN TAB 100MG SR WELLBUTRIN TAB 150MG SR WELLBUTRIN TAB 200MG SR WELLBUTRIN TAB 75MG 35 WELLBUTRIN TAB XL 150MG WELLBUTRIN TAB XL 300MG wymzya fe chw X XALKORI CAP 200MG XALKORI CAP 250MG

123 XARELTO STAR TAB 15/20MG XARELTO TAB 10MG XARELTO TAB 15MG XARELTO TAB 20MG XELJANZ TAB 5MG XENAZINE TAB 12.5MG.. 20 XENAZINE TAB 25MG XEOMIN INJ 50 UNIT XGEVA INJ XIFAXAN TAB 200MG... 8 XIFAXAN TAB 550MG... 8 XIGDUO XR TAB XIGDUO XR TAB MG XIGDUO XR TAB MG XIGDUO XR TAB 5-500MG XOLAIR SOL 150MG XOPENEX HFA AER XTANDI CAP 40MG xulane dis XYREM SOL 500MG/ML.. 35 Y YERVOY INJ 50MG YF-VAX INJ Z zafirlukast tab zafirlukast tab zaleplon cap zaleplon cap ZALTRAP INJ 100/4ML ZANOSAR INJ 1GM ZAVESCA CAP 100MG zazole cre 0.4% zazole cre 0.8% ZEGERID POW ZEGERID POW ZELBORAF TAB 240MG.. 14 ZEMAIRA INJ 1000MG zenchent fe chw zenchent tab ZENPEP CAP 10000UNT. 64 ZENPEP CAP 15000UNT. 64 ZENPEP CAP 20000UNT. 64 ZENPEP CAP 25000UNT. 64 ZENPEP CAP 3000UNIT.. 64 ZENPEP CAP 40000UNT. 64 ZERBAXA INJ GM... 6 ZERIT SOL 1MG/ML... 5 ZESTORETIC TAB ZESTORETIC TAB ZESTORETIC TAB 20-25MG ZESTRIL TAB 10MG ZESTRIL TAB 2.5MG ZESTRIL TAB 20MG ZESTRIL TAB 30MG ZESTRIL TAB 40MG ZESTRIL TAB 5MG ZETIA TAB 10MG ZETONNA AER 37MCG ZIAGEN SOL 20MG/ML... 5 zidovudine cap zidovudine syrup 10 /ml. 5 zidovudine tab ziprasidone hcl cap ziprasidone hcl cap ziprasidone hcl cap ziprasidone hcl cap ZIRGAN GEL 0.15% ZMAX SUS 2GM... 6 ZOCOR TAB 10MG ZOCOR TAB 20MG ZOCOR TAB 40MG ZOCOR TAB 5MG ZOCOR TAB 80MG zoledronic acid inj conc for iv infusion 4 /5ml zoledronic acid iv soln 5 /100ml ZOLINZA CAP 100MG zolmitriptan orally disintegrating tab zolmitriptan orally disintegrating tab zolmitriptan tab zolmitriptan tab ZOLOFT CON 20MG/ML.. 35 ZOLOFT TAB 100MG ZOLOFT TAB 25MG ZOLOFT TAB 50MG zolpidem tartrate tab zolpidem tartrate tab 5 35 zolpidem tartrate tab cr zolpidem tartrate tab cr ZOMETA INJ 4MG/ ZOMETA INJ 4MG/5ML ZOMIG NASAL SPR 5MG 19 ZOMIG SPR 2.5MG zonisamide cap zonisamide cap zonisamide cap ZONTIVITY TAB 2.08MG. 46 ZORTRESS TAB 0.25MG 14 ZORTRESS TAB 0.5MG.. 14 ZORTRESS TAB 0.75MG 15 ZOSTAVAX INJ ZOSYN SOL GM... 9 ZOSYN SOL G... 9 zovia 1/35e tab zovia 1/50e tab ZOVIRAX CRE 5% ZYDELIG TAB 100MG ZYDELIG TAB 150MG ZYFLO CR TAB 600MG ZYFLO TAB 600MG ZYKADIA CAP 150MG ZYLET SUS % ZYTIGA TAB 250MG ZYVOX SOL 2MG/ML... 8 ZYVOX SUS 100MG/5M... 8 ZYVOX TAB 600MG

124 Este formulario ha sido actualizado para el 09/01/2015. Para obtener información más reciente o respuestas a sus preguntas, por favor llame al Departamento de Servicios a los Afiliados de AvMed Choice al desde el 1ro de octubre al 14 de febrero: 8:00 am a 8:00 pm, los 7 días de la semana. Y del 15 de febrero al 30 de septiembre: 8:00 am a 8:00 pm, de lunes a viernes, y 9:00 am a 1:00 pm los sábados (para los usuarios de TTY, 711 o el , los 7 días a la semana y las 24 horas del día) o visite