Drug rider $7/$45

Your drug benefit provides coverage for Tier 1 medications for a $7 copayment and for Tier 2 medications with a $45 copayment. Drugs in Tier 3 are not covered unless your physician and BCN agree that the nonformulary drug is medically necessary. Go to our Drug Formulary for a definition of Tier 1, Tier 2 and Tier 3.

Note that some drugs require prior authorization (PA) or step therapy (ST), and certain clinical criteria must be met prior to coverage. Refer to Some Drugs Require Prior Authorization for more details. The members' rider has specific information regarding the mail order copayment.

Blue Care Network requires that prescriptions for Tier 1 drugs be automatically filled with the generic equivalent, if available. The brand-name version can be dispensed if the member pays the difference between the cost of the brand and generic versions in addition to the required Tier 2 copayment. The following table identifies the tier for some of our more commonly prescribed drugs.

The following table lists the tier and copay for some of our more commonly prescribed drugs. Click on a letter in the index below to find Brand Name drugs beginning with that letter.





Brand Name Generic Name Generic Available PA
/
ST		 Tier Copay
- A -[ Return to Top ]
Abilify, Discmelt, SolutionaripiprazoleNo2$45
Accolate zafirlukastYes1$7
Accunebalbuterol sulfateYes1$7
Accuprilquinapril hclYes1$7
Accureticquinapril/hydrochlorothiazideYes1$7
Accutane (Req Derm Consult) isotretinoinYes1$7
Accuzyme, Ethezyme, Gladasepapain/ureaYes1$7
Aceonperindopril erbumineYes1$7
Acetasol, HC/Vosol, HCacetic acid/hydrocortisoneYes1$7
Aclovatealclometasone dipropionateYes1$7
ActigallursodiolYes1$7
Actimmuneinterferon gamma-1b,recomb.No2$45
Actiqfentanyl citrateYesPA1$7
Activellaestradiol/noreth acYes1$7
Actonel, Weekly, 150MGrisedronate sodiumNoST2$45
Actoplus Metpioglitazone hcl/metformin hclNoST2$45
Actospioglitazone hclNoST2$45
Acular, LSketorolac tromethamineYes1$7
Adderallamphet asp/amphet/d-amphetYes1$7
Adderall XR (Brand)amphet asp/amphet/d-amphetNoPA1$7
Adipex-Pphentermine hclYesPA1$7
Adoxadoxycycline monohydrateYesPA1$7
AdrenaclickepinephrineYes1$7
Adrenalin ChlorideepinephrineNo2$45
Advairfluticasone/salmeterolNo2$45
AfinitoreverolimusNoPA2$45
Ageneraseamprenavir/vitamin e/prop glyNo2$45
Agrylinanagrelide hclYes1$7
Akinetonbiperiden hclNo2$45
Albalonnaphazoline hclYes1$7
Albuterol Nebulizer Solnalbuterol sulfateYes1$7
Alcaineproparacaine hclYes1$7
Aldactazidespironolact/hydrochlorothiazidYes1$7
AldactonespironolactoneYes1$7
AldaraimiquimodYes1$7
AldometmethyldopaYes1$7
Aldorilmethyldopa/hydrochlorothiazideYes1$7
Alenaze-Dphenylephrine/brompheniramineYes1$7
Alesse, Levlitelevonorgestrel-eth estraYes1$7
Alferon Ninterferon alfa-n3No2$45
AlinianitazoxanideNo2$45
AlkeranmelphalanNo2$45
Alocrilnedocromil sodiumNo2$45
Alomidelodoxamide tromethamineNo2$45
AloraestradiolNo2$45
Alpainacetaminophen/phenyltolx citYes1$7
Alphagan P 0.1%brimonidine tartrateNo2$45
Alphagan, Pbrimonidine tartrateYes1$7
Alsumasumatriptan succinateYesPA1$7
Altace CapsuleramiprilYes1$7
Alupentmetaproterenol sulfateYes1$7
AlvescociclesonideNo1$7
AmarylglimepirideYes1$7
Ambienzolpidem tartrateYes1$7
Ambien CRzolpidem tartrateYesPA1$7
Amergenaratriptan hclYesST1$7
AmericainebenzocaineNo2$45
Amicaraminocaproic acidYes1$7
Amoxilamoxicillin trihydrateYes1$7
Ampicillinampicillin trihydrateYes1$7
Amrixcyclobenzaprine hclYesPA1$7
AnacainebenzocaineNo2$45
Anafranilclomipramine hclYes1$7
Analpram HChc acetate/pramoxine hclYes1$7
Anamantle HClidocaine hcl/hcYes1$7
Anaprox, DSnaproxen sodiumYes1$7
AncobonflucytosineYes1$7
AndrodermtestosteroneNo2$45
Androgel, 1.62%testosteroneNo2$45
Androxy 10MGfluoxymesteroneYes1$7
Anexiahydrocodone bit/acetaminophenYes1$7
Anexsia/Lorcet Plushydrocodone bit/acetaminophenYes1$7
Annusol HC, Proctocream HChydrocortisoneYes1$7
AnsaidflurbiprofenYes1$7
AntabusedisulfiramYes1$7
Antivertmeclizine hclYes1$7
Anusol HChydrocortisone acetateYes1$7
Apidrainsulin glulisineNo2$45
Apokynapomorphine hclNo2$45
Apresazidehydralazine/hydrochlorothiazidYes1$7
Apresolinehydralazine hclYes1$7
Aptivus(Must Be Used With Norvir)tipranavirNo2$45
Aquachloralchloral hydrateNo2$45
Aralenchloroquine phosphateYes1$7
AravaleflunomideYes1$7
ArcalystrilonaceptNoPA2$45
Aricept, ODTdonepezil hclYes1$7
ArimidexanastrozoleYesPA1$7
Aristocort, Kenalogtriamcinolone acetonideYes1$7
Arixtra fondaparinux sodiumYes1$7
AromasinexemestaneYesPA1$7
Artanetrihexyphenidyl hclYes1$7
AsacolmesalamineNo2$45
Asacol HDmesalamineNo2$45
AsendinamoxapineYes1$7
Asmanexmometasone furoateNo1$7
Aspirin w/Codeinecodeine phos/aspirinYes1$7
Astelin Nasal Sprayazelastine hclYes1$7
Astepro Nasal Sprayazelastine hclNo2$45
Atarax, VistarilhydroxyzineYes1$7
AtivanlorazepamYes1$7
Atriplaefavirenz/emtricitab/tenofovirNo2$45
Atropine Sulfateatropine sulfate/pfYes1$7
Atrovent Inhaleripratropium bromideNo2$45
Atrovent Nasal Sprayipratropium bromideYes1$7
Atrovent Soln ipratropium bromideYes1$7
Augmentin, ES, XRamox tr/potassium clavulanateYes1$7
Auralganaa/antpy/bcaine/polico/al acetYes1$7
Avelox, ABCmoxifloxacin hclNo2$45
AvodartdutasterideNo2$45
Avonexinterferon beta-1aNo2$45
Avonex Administration Packinterferon beta-1a/albuminNo2$45
Axid (Rx Only)nizatidineYes1$7
Axid SolutionnizatidineYes1$7
Aygestinnorethindrone acetateYes1$7
Azilectrasagiline mesylateNo2$45
AzoptbrinzolamideNo2$45
Azulfidine En-TabsulfasalazineYes1$7
Azulfidine TabsulfasalazineYes1$7
- B -[ Return to Top ]
BacitracinbacitracinYes1$7
Bactocilloxacillin sodiumNo2$45
Bactrim, DS, Septra, DSsulfamethoxazole/trimethoprimYes1$7
Bactroban Cream, Nasalmupirocin calciumNo2$45
Bactroban OintmentmupirocinYes1$7
Bal-Care DHApnv81/sod iron edta& ps/fa/om3Yes1$7
BanzelrufinamideNo2$45
BaracludeentecavirNo2$45
Bellamine/Bellaspasergotamine tart/bellad alk/pbYes1$7
Benadryldiphenhydramine hclYes1$7
Benicarolmesartan medoxomilNoST2$45
Benicar HCTolmesartan/hydrochlorothiazideNoST2$45
Bensal HPbenzoic acid/salicylic acidNo2$45
Bentyldicyclomine hclYes1$7
Benzac W, AC, Washbenzoyl peroxideYes1$7
Benzamycinerythromycin base/benz perYes1$7
Benzoyl Peroxide Rx Onlybenzoyl peroxideYes1$7
Betadinepovidone-iodineNo2$45
Betaganlevobunolol hclYes1$7
Betapace, AFsotalol hclYes1$7
Betoptic Sbetaxolol hclNo2$45
Betoptic Solnbetaxolol hclYes1$7
Biaxin, XLclarithromycinYes1$7
BiltricidepraziquantelNo2$45
Biodec-Dmdm hb/p-ephed hcl/carbinoxYes1$7
Bleph-10sulfacetamide sodiumYes1$7
Bleph-10, Sodium Sulamydesulfacetamide sodiumYes1$7
Blephamide Drops, Ointna sulfacetm/prednisol acNo2$45
Blocadrentimolol maleateYes1$7
Bontrilphendimetrazine tartrateYesPA1$7
Bravelleurofollitropin (fsh)NoPA2$45
Brethineterbutaline sulfateYes1$7
Brevoxyl Gelbenzoyl peroxideYes1$7
Broncodurguaifenesin/theophyllineNo2$45
BumexbumetanideYes1$7
Bupapbutalbital/acetaminophenYes1$7
Buphenylsodium phenylbutyrateNo2$45
Busparbuspirone hclYes1$7
- C -[ Return to Top ]
Caduetamlodipine/atorvastatinYesST1$7
Cafergotergotamine tartrate/caffeineNo2$45
Calan SR/Isoptin SRverapamil hclYes1$7
CalciferolergocalciferolYes1$7
CanasamesalamineNo2$45
Canges-HCphenylephrine/hydrocodone/bpmYes1$7
Capex Shampoofluocinolone acetonideNo2$45
CapotencaptoprilYes1$7
Capozidecaptopril/hydrochlorothiazideYes1$7
CaprelsavandetanibNoPA2$45
Carafate TabssucralfateYes1$7
Carafate, SuspsucralfateYes1$7
Carbaglucarglumic acidNoPA2$45
CarbatrolcarbamazepineYes1$7
Carbexselegiline hclYes1$7
Cardenenicardipine hclYes1$7
Cardizem CDdiltiazem hclYes1$7
Cardizem LAdiltiazem hclYes1$7
Cardizem, SR, CDdiltiazem hclYes1$7
Carduradoxazosin mesylateYes1$7
CarmolureaYes1$7
CarnitorlevocarnitineYes1$7
CasodexbicalutamideYes1$7
Cataflamdiclofenac potassiumYes1$7
Catapresclonidine hclYes1$7
Catapres-TTSclonidine hclYes1$7
CaverjectalprostadilNoPA2$45
CeclorcefaclorYes1$7
Ceclor ERcefaclorYes1$7
CeenulomustineNo2$45
Ceftincefuroxime axetilYes1$7
CefzilcefprozilYes1$7
CelestonebetamethasoneNo2$45
Celexacitalopram hydrobromideYes1$7
Cellceptmycophenolate mofetilYes1$7
Cellcept Suspensionmycophenolate mofetilNo2$45
CelontinmethsuximideNo2$45
CerumenextriethanolamineNo2$45
Cetacainetetracaine/benzocaine/butambenNo2$45
Cetrotidecetrorelix acetateNoPA2$45
Chantixvarenicline tartrateNo2$45
ChemetsuccimerNo2$45
Chloral Hydratechloral hydrateYes1$7
Chlor-Trimetonchlorpheniramine maleateYes1$7
ChlorzoxazonechlorzoxazoneYes1$7
Choline Mag Trisalicylatechol sal/magnesium salicylateYes1$7
ChronulaclactuloseNo2$45
CialistadalafilNoPA2$45
Cialis 5MGtadalafilNoPA2$45
Ciloxan Dropsciprofloxacin hclYes1$7
Ciloxan Ointciprofloxacin hclNo2$45
Ciprociprofloxacin hclYes1$7
Cipro HCciprofloxacin hcl/hcNo2$45
Cipro XRciprofloxacin hcl-betaine combYesPA1$7
Ciprodexciprofloxacin hcl/dexamethNo2$45
Citranatal 90 DHApnv comb 22/iron cb/fa/dss/dhaYes1$7
Citranatal RXpnv no.22/iron cbn&gluc/fa/dosYes1$7
Claravis, SotretisotretinoinYes1$7
Clarifoam EFsulfacetamide sodium/sulfurYes1$7
Claritin, AlavertloratadineYes1$7
Claritin-D 12HR, 24HRp-ephed sul/loratadineYes1$7
Cleniasulfacetamide sodium/sulfurNo2$45
Cleocinclindamycin hclYes1$7
Cleocin Palmitateclindamycin palmitateYes1$7
Cleocin Tclindamycin phosphateYes1$7
Cleocin Vag Creamclindamycin phosphateYes1$7
ClimaraestradiolYes1$7
Clindagelclindamycin phosphateNo2$45
ClinorilsulindacYes1$7
Clobex Shampoo, Lotionclobetasol propionateYesPA1$7
Clodermclocortolone pivalateNo2$45
Clomidclomiphene citrateYes1$7
Clorpresclonidine hcl/chlorthalidoneNo2$45
ClozapineclozapineYes1$7
ClozarilclozapineYes1$7
Coartemartemether/lumefantrineNo2$45
Cogentinbenztropine mesylateYes1$7
Colbenemidcolchicine/probenecidYes2$45
ColcryscolchicineNo2$45
Colestidcolestipol hclYes1$7
Colytesod sulf/sod/nahco3/kcl/peg'sYes1$7
Colytrolatrop sulf/scopol hb/hyoscyYes1$7
Combiventalbuterol sulfate/ipratropiumNo2$45
Combivirlamivudine/zidovudineYes1$7
Combunoxibuprofen/oxycodone hclYesPA1$7
Commit Lozenge OTC (Bcn Only)nicotine polacrilexYes1$7
Compazineprochlorperazine maleateYes1$7
Compleraemtricitab/rilpivirine/tenofovNo2$45
Complete-RF Prenatalprenatal vit 17/iron cb/fa/dssYes1$7
ComtanentacaponeNo2$45
Concertamethylphenidate hclYes1$7
Condylox GelpodofiloxNo2$45
Condylox SolnpodofiloxYes1$7
Copaxoneglatiramer acetateNo2$45
CopegusribavirinYesPA1$7
Cophene-Spot guaiaco/p-ephed hcl/hcodYes1$7
Cordaroneamiodarone hclYes1$7
Cordran, Tape, SPflurandrenolideNo2$45
Cordron-HCp-ephed hcl/hydrocodone/cpYes1$7
CoregcarvedilolYes1$7
CorgardnadololYes1$7
Cortane-Bhc/pramoxine hcl/chloroxylenolNo2$45
Cortef, HydrocortisonehydrocortisoneYes1$7
Cortenemahydrocortisone acetateYes1$7
Corticosteroidssee chapter 7cYes1$7
Cortifoamhydrocortisone acetateNo2$45
Cortisone Acetatecortisone acetateYes1$7
Cortisporinneomy sulf/polymyx b sulf/hcYes1$7
Corvitairon, carbonyl/fa/c/b-6/b12/znYes1$7
Corzidenadolol/bendroflumethiazideYes1$7
Cosopttimolol maleate/dorzolam hclYes1$7
Coumadinwarfarin sodiumYes1$7
Covera-Hsverapamil hclNo2$45
Cozaarlosartan potassiumYes1$7
Creonamylase/lipase/proteaseNo2$45
Crestorrosuvastatin calciumNoST2$45
Crinoneprogesterone,micronizedNo2$45
Crixivanindinavir sulfateNo2$45
CupriminepenicillamineNo2$45
Cutivatefluticasone propionateYes1$7
Cyanocobalamin InjcyanocobalaminYes1$7
Cyclessadesogestrel-ethinyl estradiolYes1$7
CyclocortamcinonideYes1$7
Cyclogylcyclopentolate hclYes1$7
Cyclosporinecyclosporine, modifiedYes1$7
CystadanebetaineNo2$45
Cystagoncysteamine bitartrateNo2$45
Cytomelliothyronine sodiumYes1$7
CytotecmisoprostolYes1$7
CytoveneganciclovirYes1$7
CytoxancyclophosphamideYes1$7
Cytra-2, 3, Kcitric acid/potassium citrateYes1$7
- D -[ Return to Top ]
D.H.E.45dihydroergotamine mesylateYes1$7
Dalmaneflurazepam hclYes1$7
DanocrinedanazolYes1$7
Dantriumdantrolene sodiumYes1$7
DapsonedapsoneNo2$45
DaraprimpyrimethamineNo2$45
DayprooxaprozinYes1$7
DDAVP Solndesmopressin acetateNo2$45
DDAVP Spraydesmopressin acetateYes1$7
DDAVP Tabsdesmopressin acetateYes1$7
DecadrondexamethasoneYes1$7
Decadron Opthdexamethasone sod phosphateYes1$7
De-Chlor HCphenylephrine/hydrocodone/cpYes1$7
Declomycindemeclocycline hclYes1$7
Delatestryltestosterone enanthateYes1$7
Delestrogenestradiol valerateYes1$7
DeltasoneprednisoneYes1$7
DemadextorsemideYes1$7
Demerolmeperidine hclYes1$7
DemsermetyrosineNo2$45
Demulenethynodiol d-ethinyl estradiolYes1$7
Depakenevalproate sodiumYes1$7
Depakote, ER, Sprinklesdivalproex sodiumYes1$7
Depo-Provera 150MGmedroxyprogesterone acetYes1$7
Depo-Provera 400MGmedroxyprogesterone acetNo2$45
Depo-Subq Provera 104medroxyprogesterone acetNo2$45
Dermacort, Hytone (Rx Only)hydrocortisoneYes1$7
Derma-Smoothe/FSfluocinolone acetonideYes1$7
DermatopprednicarbateYes1$7
Dermoticfluocinolone acetonide oilYes1$7
Desferaldeferoxamine mesylateYes1$7
Desogen, Ortho-Ceptdesogestrel-ethinyl estradiolYes1$7
Desowen, TridesilondesonideYes1$7
Desoxynmethamphetamine hclYes1$7
Desyreltrazodone hclYes1$7
Detroltolterodine tartrateNo2$45
Detrol LAtolterodine tartrateNo2$45
Dexchlorpheniramine Maleatedexchlorpheniramine maleateYes1$7
Dexedrined-amphetamine sulfateYes1$7
DexpakdexamethasoneYes1$7
Diabeta, MicronaseglyburideYes1$7
DiabinesechlorpropamideYes1$7
DiamoxacetazolamideYes1$7
Diamox SequelsacetazolamideYes1$7
Diastat 2.5MGdiazepamYes1$7
Diastat AcudialdiazepamYes1$7
DiazepamdiazepamNo2$45
Dibenzylinephenoxybenzamine hclNo2$45
Dicloxacillindicloxacillin sodiumYes1$7
Didrexbenzphetamine hclYesPA1$7
Didroneletidronate disodiumYes1$7
Differin 0.1% Cream, GeladapaleneYes1$7
Differin 0.3% GeladapaleneNo2$45
DiflucanfluconazoleYes1$7
Digex NFhyosc sul/phenyltoloxamine citNo2$45
Digoxin ElixirdigoxinYes1$7
Digoxin TabsdigoxinYes1$7
Dilacor XRdiltiazem hclYes1$7
Dilantinphenytoin sodium extendedYes1$7
Dilantin Chew TabsphenytoinNo2$45
Dilatrate-SRisosorbide dinitrateNo2$45
Dilaudidhydromorphone hclYes1$7
Dilaudid-5hydromorphone hclNo2$45
Dilex-G 400guaifenesin/dyphyllineYes1$7
Diprolene AF, Gel, Cr, Lotbetamet diprop/prop glyYes1$7
Diprolene Ointmentbetamet diprop/prop glyYes1$7
Diprosone, Maxivatebetamethasone dipropionateYes1$7
Disalcid, SalflexsalsalateYes1$7
Ditropanoxybutynin chlorideYes1$7
Ditropan XLoxybutynin chlorideYes1$7
DiurilchlorothiazideYes1$7
DolobiddiflunisalYes1$7
Donnamarhyoscyamine sulfateNo2$45
Donnatalbelladonna alkaloids/phenobarbYes1$7
Doryxdoxycycline hyclateYesPA1$7
DostinexcabergolineYes1$7
Dovonex CreamcalcipotrieneNo2$45
Dovonex Oint, SolncalcipotrieneYes1$7
Doxycyclinedoxycycline monohydrateYes1$7
DramaminedimenhydrinateYes1$7
Drithocreme HPanthralinYes1$7
Dritho-ScalpanthralinNo2$45
Drocon-CSp-ephed hcl/hydrocodone/bpmYes1$7
Drotussguaifen/p-ephed hcl/hcod/cpYes1$7
DroxiahydroxyureaNo2$45
Drysolaluminum chlorideYes1$7
Duet DHApnv2/iron bg hcl suc-p/fa/om-3Yes1$7
Duetactpioglitazone/glimepirideNoST2$45
Duleramometasone/formoterolNo2$45
Duonebipratropium/albuterol sulfateYes1$7
DuragesicfentanylYes1$7
Durasal salicylic acidYes1$7
Duricefcefadroxil hydrateYes1$7
Dygaseamylase/lipase/proteaseYes1$7
DynacircisradipineYes1$7
Dyphylline GGguaifenesin/dyphyllineYes1$7
DyreniumtriamtereneNo2$45
Dytan-HCphenylephrine/hcod tan/dphaYes1$7
- E -[ Return to Top ]
E.E.S.erythromycin ethylsuccinateYes1$7
EC-NaprosynnaproxenYes1$7
Edecrinethacrynic acidNo2$45
Edurantrilpivirine hydrochlorideNo2$45
Effexorvenlafaxine hclYes1$7
Effexor XRvenlafaxine hclYes1$7
Effientprasugrel hydrochlorideNo2$45
EfudexfluorouracilYes1$7
Elavilamitriptyline hclYes1$7
Eldeprylselegiline hclNo2$45
Eldercapsmultivitamins w-mineralsYes1$7
Elestatepinastine hclYes1$7
ElidelpimecrolimusNoPA2$45
ElimitepermethrinYes1$7
Elixophyllintheophylline anhydrousNo2$45
Elmironpentosan polysulfate sodiumNo2$45
Eloconmometasone furoateYes1$7
Emcytestramustine phosphate sodiumNo2$45
Emend 80,125MG CapsulesaprepitantNo2$45
Emlalidocaine/prilocaineYes1$7
EmtrivaemtricitabineNo2$45
EnbreletanerceptNoPA2$45
Endometrinprogesterone, micronizedNo2$45
Enjuviaestrogens,conj.,synthetic bNo2$45
Entocort ECbudesonideYes1$7
EnzymaxpancreatinNo2$45
Epifoamhc acetate/pramoxine hclNo2$45
Epipen, JRepinephrineNo2$45
EpivirlamivudineYes1$7
Epivir HBVlamivudineNo2$45
Epzicomabacavir sulfate/lamivudineNo2$45
Ergomarergotamine tartrateNo2$45
Erymaxerythromycin baseYes1$7
Erypederythromycin ethylsuccinateYes1$7
Ery-Taberythromycin baseNo2$45
Erythromycinerythromycin ethylsuccinateYes1$7
Esgic-Plusacetaminophen/caffeine/butalbYes1$7
Eskalithlithium carbonateYes1$7
Eskalith CRlithium carbonateYes1$7
EstraceestradiolYes1$7
EstradermestradiolNo2$45
Estratest, H.S.estrogen,ester/me-testosteroneYes1$7
EstringestradiolNo2$45
Estrogensfirst-line therapy when appropriateYes1$7
Estrostep Fenoreth a-et estra/fe fumarateYes1$7
Ethambutolethambutol hclYes1$7
Ethezymepapain/ureaNo2$45
Ethmozinemoricizine hclNo2$45
Ethyl Chlorideethyl chlorideYes1$7
Etrafonamitriptyline hcl/perphenazineYes1$7
Eudal-Srguaifenesin/p-ephed hclYes1$7
EulexinflutamideYes1$7
EuraxcrotamitonNo2$45
Evistaraloxifene hclNo2$45
Evoclin Foamclindamycin phosphateYes1$7
Exelonrivastigmine tartrateYes1$7
Exodermsodium thiosulfate/sal acidYes1$7
- F -[ Return to Top ]
FamvirfamciclovirYes1$7
FanatrexgabapentinNo2$45
Farestontoremifene citrateNo2$45
FelbatolfelbamateYes1$7
FeldenepiroxicamYes1$7
FemaraletrozoleYes1$7
Femhrtnorethind ac/ethinyl estradiolYes1$7
Femhrt 0.5MG-2.5MCGethinyl estradiol/noreth acNo2$45
FenofibratefenofibrateYes1$7
Ferraplus 90iron/fa/b12/c/docusate sodiumYes1$7
Ferrocite Plusiron/fa/vitamin b comp w-c/minYes1$7
Fertinexurofollitropin (fsh)NoPA2$45
Fexmidcyclobenzaprine hclYes1$7
Fibricorfenofibric acidYes1$7
Fioricet w/Codeinecodeine/butalbut/acetamin/caffYes1$7
Fioricet;Esgic, Plusbutalb/acetaminophen/caffeineYes1$7
Fiorinalbutalbital/aspirin/caffeineYes1$7
Fiorinal w/Codeinecodeine/butalbital/asa/caffeinYes1$7
First-ProgesteroneprogesteroneNo2$45
FlagylmetronidazoleYes1$7
Flagyl ERmetronidazoleNo2$45
Flarexfluorometholone acetateNo2$45
Flexerilcyclobenzaprine hclYes1$7
Flextra-650acetaminophen/phenyltolx citYes1$7
Flomaxtamsulosin hclYes1$7
Flonasefluticasone propionateYes1$7
Florineffludrocortisone acetateYes1$7
Flovent Hfa, Diskusfluticasone propionateNo1$7
FloxinofloxacinYes1$7
Floxin OticofloxacinYes1$7
Flumadinerimantadine hclYes1$7
Fluocinolone Acetonidefluocinolone/shower capYes1$7
Fluphenazine HCLfluphenazine hclYes1$7
Fluvoxamine Maleatefluvoxamine maleateYes1$7
FmlfluorometholoneYes1$7
Fml Forte, S.O.P.fluorometholoneNo2$45
Focalindexmethylphenidate hclYes1$7
Folbecal ca carbonate/vit b12/fa/vit b6Yes1$7
Folcaps Omega-3pnv ca#37/iron cb,as,gl/fa/om3Yes1$7
Folvitefolic acidYes1$7
Foradilformoterol fumarateNo2$45
Fortametmetformin hclYes1$7
Fosamaxalendronate sodiumYes1$7
Fumatinicferrous fumarate/vit c/b12-ifYes1$7
FurosemidefurosemideYes1$7
FuzeonenfuvirtideNo2$45
- G -[ Return to Top ]
GabapentingabapentinNo2$45
Gabitriltiagabine hclNo2$45
Ganirelix Acetateganirelix acetateNoPA2$45
Gantrisin Suspsulfisoxazole acetylNo2$45
Garamycingentamicin sulfateYes1$7
Garimidesulfacetamide sodium/sulfurYes1$7
Gastrinexcell/amy/lip/prote/p-tlox/hyosYes1$7
Gastrocromcromolyn sodiumYes1$7
Gelclairpot sor/hy-ethylcel/pvp/hyalurNo2$45
Gel-Kamstannous fluorideYes1$7
Genepatussguaifen/d-methorphan hb/pe/cpYes1$7
Generess FEnoreth-ethinyl estradiol/ironNo2$45
Genhematfe fum/doss na/c/e/b12-if/faYes1$7
GenotropinsomatropinNoPA2$45
Gentamicin Cr, Ointgentamicin sulfateYes1$7
Geocillincarbenicillin indanyl sodiumNo2$45
Geodonziprasidone hclNo2$45
Gerefsermorelin acetateNo2$45
Gleevecimatinib mesylateNo2$45
Glucagenglucagon,human recombinantNo2$45
Glucagon Emergency Kitglucagon,human recombinantNo2$45
Glucophagemetformin hclYes1$7
Glucophage XRmetformin hclYes1$7
GlucotrolglipizideYes1$7
Glucotrol XLglipizideYes1$7
Glucovanceglyburide/metformin hclYes1$7
Glycolaxpolyethylene glycol 3350Yes1$7
Glynaseglyburide,micronizedYes1$7
Golytelypeg 3350/na sulf,bicarb,cl/kclYes1$7
Golytely Packetpeg 3350/na sulf,bicarb,cl/kclNo2$45
Gonal-Ffollitropin alpha,recombNo2$45
Granulextrypsin/balsam peru/castor oilYes1$7
Grifulvin V 500MGgriseofulvin,microsizeNo2$45
Grifulvin V Suspgriseofulvin,microsizeYes1$7
Gris Peggriseofulvin ultramicrosizeNo2$45
Guanidine HCLguanidine hclYes1$7
Guiaolex HCguaifenesin/phenylephrine/hcodYes1$7
GynodiolestradiolNo2$45
- H -[ Return to Top ]
HalciontriazolamYes1$7
HaldolhaloperidolYes1$7
Haloperidol Decanoatehaloperidol decanoateYes1$7
Hc Acetate/Pramoxine HCLhc acetate/pramoxine hclYes1$7
Helidactetracyc hcl/bis ss/metronidNo2$45
Hematogen FAfe fumarate/vit c/vit b12/faYes1$7
Heparinheparin sodium,porcineYes1$7
Hepseraadefovir dipivoxilNo2$45
HexalenaltretamineNo2$45
Hiprex/Urexmethenamine hippurateYes1$7
Histacol LAphenylephrine/cpmm/bellad alkYes1$7
Histex PDcarbinoxamine maleateYes1$7
Histinex HCphenylephrine/hydrocodone/cpYes1$7
HividzalcitabineNo2$45
Humabid DMguaifenesin/d-methorphan hbYes1$7
Humalog, Mixinsulin lispro,human rec.anlogNo2$45
Humatinparomomycin sulfateYes1$7
HumiraadalimumabNoPA2$45
Humulin 70/30humulinNo2$45
Humulin Nnph, human insulin isophaneNo2$45
Humulin Rinsulin regular human recNo2$45
Hycamtintopotecan hclNoPA2$45
Hycethydrocodone bit/acetaminophenNo2$45
Hycotussguaifenesin/hydrocodone bitYes1$7
HydreahydroxyureaYes1$7
HydrochlorothiazidehydrochlorothiazideYes1$7
Hydrocodone Bit/Acetaminophenhydrocodone bit/acetaminophenYes1$7
Hydrocortisonehydrocortisone acetateYes1$7
Hydrodiuril, MicrozidehydrochlorothiazideYes1$7
Hygroton, ThalitonechlorthalidoneYes1$7
Hyperrho S-Drho(d) immune globulinNo2$45
Hyper-Salsodium cl for inhalationYes1$7
Hytrinterazosin hclYes1$7
Hyzaarlosartan/hydrochlorothiazideYes1$7
- I -[ Return to Top ]
Iberet-Folic 500ferrous sulfate/fa/vit bcomp&cYes1$7
Ib-Stathyoscyamine sulfateNo2$45
Ilotycinerythromycin baseYes1$7
Imdurisosorbide mononitrateYes1$7
Imitrex Injectionsumatriptan succinateYes1$7
Imitrex Nasal SpraysumatriptanYes1$7
Imitrex Tabletssumatriptan succinateYes1$7
Imodiumloperamide hclYes1$7
ImuranazathioprineYes1$7
IncivektelaprevirNoPA2$45
Inderalpropranolol hclYes1$7
Inderal LApropranolol hclYes1$7
Inderidepropranolol/hydrochlorothiazideYes1$7
IndocinindomethacinNo2$45
Indocin SuppositoryindomethacinNo2$45
Indocin, SRindomethacinYes1$7
Infergeninterferon alfacon-1NoPA2$45
Inflamase, Forteprednisolone sod phosphateYes1$7
InspraeplerenoneYes1$7
Intal Solutioncromolyn sodiumYes1$7
Integra Firon fum & ps cmp/fa/vit c/b3Yes1$7
Integra Plusiron fum & p/fa/vit b & c no.9Yes1$7
IntelenceetravirineNo2$45
Intron Ainterferon alfa-2b,recomb.NoPA2$45
Invirasesaquinavir mesylateNo2$45
Ionaminphentermine resinNoPA2$45
Iopidine Dropsapraclonidine hclYes1$7
Isentressraltegravir potassiumNo2$45
Ismo, Monoketisosorbide mononitrateYes1$7
Isometheptene-Caff-Acetaminophisometheptene/acetaminoph/caffYes1$7
IsoniazidisoniazidYes1$7
Isopto Atropineatropine sulfateYes1$7
Isopto CarbacholcarbacholYes1$7
Isopto Carpinepilocarpine hclNo2$45
Isopto Homatropinehomatropine hbrYes1$7
Isopto Hyoscinescopolamine hydrobromideNo2$45
Isordilisosorbide dinitrateYes1$7
Istaloltimolol maleateNo2$45
- J -[ Return to Top ]
Jalyndutasteride/tamsulosin hclNoST2$45
- K -[ Return to Top ]
Kadianmorphine sulfateYes1$7
Kaletraritonavir/lopinavirNo2$45
Kayciel, Kaon-Cl, Kaon Liquidpotassium chlorideYes1$7
Kayexalatesodium polystyrene sulfonateYes1$7
K-Dur, Slow-Kpotassium chlorideYes1$7
Keflexcephalexin monohydrateYes1$7
Kemadrinprocyclidine hclNo2$45
Kenalogtriamcinolone acetonideYes1$7
KeppralevetiracetamYes1$7
Keppra XRlevetiracetamYes1$7
KeralacureaYes1$7
Kerlonebetaxolol hclYes1$7
Kerolurea/lactic ac/zn undecylenateYes1$7
KetoconazoleketoconazoleYes1$7
KetoprofenketoprofenYes1$7
Klonopin, WaferclonazepamYes1$7
Klor-Conpotassium chlorideYes1$7
K-Lyte, Klor-Con/EFpotassium bicarbonate/cit acYes1$7
Kuvansapropterin dihydrochlorideNoPA2$45
Kytrilgranisetron hclYes1$7
- L -[ Return to Top ]
Lacriserthydroxypropyl celluloseNo2$45
LactuloselactuloseYes1$7
Lamictal DispertabslamotrigineYes1$7
Lamictal TabslamotrigineYes1$7
Lamisil Tabletsterbinafine hclYes1$7
LanoxindigoxinNo2$45
Lantusinsulin glargine,hum.rec.anlogNo2$45
Lantus Solostarinsulin glargine,hum.rec.anlogNo2$45
Lapaseamylase/lipase/proteaseYes1$7
Lariammefloquine hclYes1$7
LasixfurosemideYes1$7
LetairisambrisentanNoPA2$45
Leucovorinleucovorin calciumYes1$7
LeukeranchlorambucilNo2$45
LeukinesargramostimNo2$45
Levacetasa/sal-amide/apap/caffeinNo2$45
LevaquinlevofloxacinYes1$7
Levbidhyoscyamine sulfateYes1$7
Levemirinsulin detemirNo2$45
Levothyroxinelevothyroxine sodiumYes1$7
Levsin, SLhyoscyamine sulfateYes1$7
Levsinexhyoscyamine sulfateYes1$7
Lexaproescitalopram oxalateNoST2$45
Lexivafosamprenavir calciumNo2$45
Libraxclidinium br/chlordiazepoxideYes1$7
Libriumchlordiazepoxide hclYes1$7
Lidex, EfluocinonideYes1$7
Lidocaine-HChydrocortisone ac/lidocaineYes1$7
Lidocaine-Prilocainelidocaine/prilocaineYes1$7
Lidositelidocaine hcl/epinephrineNo2$45
Limbitrol, DSamitrip hcl/chlordiazepoxideYes1$7
LindanelindaneYes1$7
LioresalbaclofenYes1$7
Lipitoratorvastatin calciumYesST1$7
Lithium Carbonatelithium carbonateYes1$7
Lithium Citratelithium citrateYes1$7
Lithobidlithium carbonateYes1$7
Lithostatacetohydroxamic acidNo2$45
Lo/Ovralnorgestrel-ethinyl estradiolYes1$7
Locoid Cr, Oint, Solnhydrocortisone butyrateYes1$7
Locoid Lipocreamhydrocortisone butyrate/emollYes1$7
LodineetodolacYes1$7
Lodine XLetodolacYes1$7
LodosyncarbidopaNo2$45
Loestrin, Fenoreth a-et estra/fe fumarateYes1$7
Lofibrafenofibrate,micronizedYes1$7
Lomotildiphenoxylate hcl/atrop sulfYes1$7
LonitenminoxidilYes1$7
LopidgemfibrozilYes1$7
Lopressormetoprolol tartrateYes1$7
Lopressor HCTmetoprolol/hydrochlorothiazideYes1$7
LoproxciclopiroxYes1$7
LoratadineloratadineYes1$7
Lorcet-Hdhydrocodone bit/acetaminophenYes1$7
Lorct 10-650hydrocodone bit/acetaminophenYes1$7
Loseasoniquel-norgest-eth estr/ethin estraYes1$7
Lotensinbenazepril hclYes1$7
Lotensin HCTbenazepril/hydrochlorothiazideYes1$7
Lotrelamlodipine besylate/benazeprilYes1$7
LotriminclotrimazoleYes1$7
Lotrisone Cr, Lotionclotrimazole/betamet dipropYes1$7
Lovenoxenoxaparin sodiumYes1$7
Lovenox 300MG/3MLenoxaparin sodiumNo2$45
Loxitaneloxapine succinateYes1$7
LozolindapamideYes1$7
LufyllindyphyllineNo2$45
LumiganbimatoprostNo2$45
Lupronleuprolide acetateYes1$7
Lupron Depotleuprolide acetateNo2$45
Lupron Depot-Pedleuprolide acetateNo2$45
Luridesodium fluorideYes1$7
Lybrellevonorgestrel-eth estraYes1$7
LysodrenmitotaneNo2$45
- M -[ Return to Top ]
MacrobidnitrofurantoinYes1$7
Macrodantinnitrofurantoin macrocrystalYes1$7
Maganmagnesium salicylateNo2$45
Malaroneatovaquone/proguanil hclYes1$7
Mandelaminemethenamine mandelateYes1$7
Maprotiline HCLmaprotiline hclYes1$7
MarinoldronabinolYes1$7
MaviktrandolaprilYes1$7
Maxalt, MLTrizatriptan benzoateNoST2$45
Maxidonehydrocodone bit/acetaminophenYes1$7
Maxitrolneo/polymyx b sulf/dexamethYes1$7
Maxzide, Dyazidetriamterene/hydrochlorothiazidYes1$7
Meclomenmeclofenamate sodiumYes1$7
MedrolmethylprednisoloneYes1$7
Medrol, DosepakmethylprednisoloneYes1$7
Megacemegestrol acetateYes1$7
Mellarilthioridazine hclYes1$7
MephytonphytonadioneNo2$45
MepronatovaquoneNo2$45
Mesnex TabsmesnaNo2$45
Mestinonpyridostigmine bromideYes1$7
Mestinon Timespan, Syruppyridostigmine bromideNo2$45
Metadate CDmethylphenidate hclNo2$45
Metaglipglipizide/metformin hclYes1$7
Metaproterenol Solnmetaproterenol sulfateYes1$7
Methadonemethadone hclYes1$7
Metherginemethylergonovine maleateYes1$7
Methotrexatemethotrexate sodium/pfYes1$7
Methylin Solnmethylphenidate hclYes1$7
Metoclopramide HCLmetoclopramide hclNo2$45
Metrocream, Gel, LotionmetronidazoleYes1$7
Metrogel Topical 1%metronidazoleNo2$45
Metrogel-VaginalmetronidazoleYes1$7
MevacorlovastatinYes1$7
Mexitilmexiletine hclYes1$7
Miacalcin Injectioncalcitonin,salmon,syntheticNo2$45
Miacalcin Nasal Spraycalcitonin,salmon,syntheticYes1$7
Micro-Kpotassium chlorideYes1$7
Midamoramiloride hclYes1$7
Midrinisometheptene/apap/dichlphenYes1$7
Migergotergotamine tartrate/caffeineNo2$45
Migranaldihydroergotamine mesylateNo2$45
MillipredprednisoloneYes1$7
Miltown, EquanilmeprobamateYes1$7
Minipressprazosin hclYes1$7
Minocin, Dynacinminocycline hclYes1$7
MintezolthiabendazoleNo2$45
Mirapexpramipexole di-hclYes1$7
Mircettedesog-et estra/ethin estraYes1$7
Mobanmolindone hclNo2$45
MobicmeloxicamYes1$7
Modiconnorethindrone-ethinyl estradYes1$7
Modureticamiloride/hydrochlorothiazideYes1$7
Monistat 3miconazole nitrateYes1$7
Monistat-Dermmiconazole nitrateYes1$7
Monodoxdoxycycline monohydrateYes1$7
Monoject Insulin Syringesyringe w-ndl, disp,insul,1mlYes1$7
Monopril, HCTfosinopril/hydrochlorothiazideYes1$7
Morphine Sulfatemorphine sulfateYes1$7
MotrinibuprofenYes1$7
Moxezamoxifloxacin hclNo2$45
Ms Contin/Oramorph SRmorphine sulfateYes1$7
Msirmorphine sulfateYes1$7
MucomystacetylcysteineYes1$7
Multaqdronedarone hydrochlorideNo2$45
MusealprostadilNoPA2$45
Mycelex TrocheclotrimazoleYes1$7
MycobutinrifabutinNo2$45
MycostatinnystatinYes1$7
MydriacyltropicamideYes1$7
Mynatalprenatal vit/fe fumarate/faYes1$7
MysolineprimidoneYes1$7
- N -[ Return to Top ]
Nalbuphine HCLnalbuphine hclYes1$7
Nalfonfenoprofen calciumNo2$45
Namenda, Solnmemantine hclNo2$45
NaprosynnaproxenYes1$7
Nardilphenelzine sulfateYes1$7
Nasacort AQtriamcinolone acetonideYesST1$7
Nasalideflunisolide 0.025% sprayYes1$7
NasarelflunisolideYes1$7
Nasatab LAguaifenesin/p-ephed hclYes1$7
Nasex-Gguaifenesin/phenylephrine hclYes1$7
Natacapspnv w-o ca no3/fe fumarate/faYes1$7
Natachewpv w-o cal/ferrous fumarate/faYes1$7
NatacynnatamycinNo2$45
Natelle Cpnv w-o ca.1/fe bisgly/faYes1$7
NavanethiothixeneYes1$7
Nebupent Aerosolpentamidine isethionateNo2$45
Necon 10/11norethindrone-ethinyl estradYes1$7
Neevopnv with ca8/iron/fa/lm-folateYes1$7
Neo-Fradinneomycin sulfateNo2$45
Neomycinneomycin sulfateYes1$7
Neoralcyclosporine, modifiedYes1$7
Neosporin Ophth Solnneomycin/gramicidin/polymyxn bYes1$7
Neosporin Opth Ointneomy sulf/bacitra/polymyxin bYes1$7
Neo-Synephrinephenylephrine hclYes1$7
Nephron FAfe fumarate/doss/fa/bcomp&cYes1$7
Nephro-Vite RXfolic acid/vitamin b comp w-cYes1$7
NeptazanemethazolamideYes1$7
NeumegaoprelvekinNo2$45
NeupogenfilgrastimNo2$45
NeurontingabapentinYes1$7
Nexavarsorafenib tosylateNoPA2$45
NiacorniacinNo2$45
NiaspanniacinNo2$45
Nicotine Gum, Nicorettenicotine polacrilexYes1$7
Nicotine PatchnicotineYes1$7
NifedipinenifedipineYes1$7
Niferex, Forte, Goldiron aspgly&ps/c/b12/fa/ca/sucYes1$7
NilandronnilutamideNo2$45
NimotopnimodipineYes1$7
NiravamalprazolamYes1$7
Nitro-Bid OintmentnitroglycerinNo2$45
NitrofurantoinnitrofurantoinYes1$7
Nitroglycerin PatchnitroglycerinYes1$7
Nitroglycerin Sa CapnitroglycerinYes1$7
NitrostatnitroglycerinNo2$45
Nizoral, Cr, Shampoo 2%ketoconazoleYes1$7
Noctecchloral hydrateYes1$7
Norcohydrocodone bit/acetaminophenYes1$7
Nordette, Levlenlevonorgestrel-eth estraYes1$7
Norflexorphenadrine citrateYes1$7
Norgesic, Forteorphenadrine/aspirin/caffeineYes1$7
Norinyl 1/35, Ortho-Novum 1/35norethindrone-mestranolYes1$7
Norinyl 1/50, Ortho-Novum 1/50norethindrone-ethinyl estradYes1$7
Normodynelabetalol hclYes1$7
Norpacedisopyramide phosphateYes1$7
Norpace CRdisopyramide phosphateNo2$45
Norpramindesipramine hclYes1$7
Norvascamlodipine besylateYes1$7
NorvirritonavirNo2$45
Novacorthc acetate/pramox hcl/aloe psNo2$45
Novarel, Pregnyl, Profasigonadotropin,chorionic,humanNoPA2$45
Novasushydrocodone tannate/chlor-tanNo2$45
Novolininsulin regular human recNo2$45
Novologinsulin aspartNo2$45
Novolog Mix insuln asp prt/insulin aspartNo2$45
NoxafilposaconazoleNo2$45
Nucorthydrocortisone acetate/alo verYes1$7
Nuedextadextromethorphan hbr/quinidineNoPA2$45
Nulytelysod sulf/sod/nahco3/kcl/peg'sYes1$7
Nuoxbenzoyl peroxide/sulfurYes1$7
Nutrifac ZXfolic acid/multivits-minYes1$7
NutropinsomatropinNoPA2$45
Nutropin AQ NuspinsomatropinNoPA2$45
NystatinnystatinYes1$7
Nystatin w/Triamcinolonenystatin/triamcinYes1$7
- O -[ Return to Top ]
Ocufenflurbiprofen sodiumYes1$7
OcufloxofloxacinYes1$7
Ocupresscarteolol hclYes1$7
Ogen, Ortho-EstestropipateYes1$7
Oluxclobetasol propionateYes1$7
Omeprazole OTComeprazoleYes1$7
OmnicefcefdinirYes1$7
Opanaoxymorphone hclYesPA1$7
Opana ER 7.5, 15MG oxymorphone hclYes1$7
Opticromcromolyn sodiumYes1$7
OptipranololmetipranololYes1$7
Optivarazelastine hclYes1$7
OrappimozideNo2$45
Orapredprednisolone sod phosphateYes1$7
OrinasetolbutamideYes1$7
Ortho Evraethinyl estradiol/norelgestNo2$45
Ortho Micronor, Nor-QDnorethindroneYes1$7
Ortho Tri-Cyclennorgestimate-ethinyl estradiolYes1$7
Ortho Tri-Cyclen Lonorgestimate-ethinyl estradiolNo2$45
Ortho-Cyclennorgestimate-ethinyl estradiolYes1$7
Ortho-Novum 7/7/7norethindrone-ethinyl estradYes1$7
OsmoglynglycerinNo2$45
Ovacesulfacetamide sodiumYes1$7
Ovcon 35norethindrone-ethinyl estradYes1$7
OvidemalathionYes1$7
Ovidrelhcg alpha,recombinantNoPA2$45
Ovralnorgestrel-ethinyl estradiolYes1$7
Oxalisoxalic acidNo2$45
OxandrinoxandroloneYesPA1$7
Oxiplenvitamin e/folic acid/zinc/seNo2$45
Oxsoralen, Ultramethoxsalen, rapidNo2$45
Oxycodone Immediate Releaseoxycodone hclYes1$7
Oxyiroxycodone hclYes1$7
- P -[ Return to Top ]
Paceroneamiodarone hclYes1$7
Pacnexbenzoyl peroxideYes1$7
Pahominbelladonna alkaloidsNo2$45
Palgiccarbinoxamine maleateYes1$7
Pamelor, Aventylnortriptyline hclYes1$7
Panafilpapain/urea/chlorophyllinYes1$7
Pancreazelipase/protease/amylaseNo2$45
PanretinalitretinoinNo2$45
Papaverine Capspapaverine hclYes1$7
Parafon Forte DSCchlorzoxazoneYes1$7
Parcopacarbidopa/levodopaYes1$7
ParegoricparegoricYes1$7
Parlodelbromocriptine mesylateYes1$7
Parnatetranylcypromine sulfateYes1$7
Paseraminosalicylic acidNo2$45
Patanololopatadine hclNo2$45
Paxilparoxetine hclYes1$7
Paxil CRparoxetine hclYes1$7
Pediazoleery e-succ/sulfisoxazoleYes1$7
PeganoneethotoinNo2$45
Pegasyspeginterferon alfa-2aNoPA2$45
Pegasys Proclickpeginterferon alfa-2aNo2$45
Peg-Intron, Redipenpeginterferon alfa-2bNoPA2$45
Penicillin VKpenicillin v potassiumYes1$7
PenlacciclopiroxYes1$7
PentasamesalamineNo2$45
PepcidfamotidineYes1$7
Pepcid (Rx Only)famotidineYes1$7
Percocetoxycodone hcl/acetaminophenYes1$7
Percodanoxycodone hcl/aspirinYes1$7
Periactincyproheptadine hclYes1$7
Peridexchlorhexidine gluconateYes1$7
Periostatdoxycycline hyclateYes1$7
Permaxpergolide mesylateNo2$45
PerphenazineperphenazineYes1$7
PersantinedipyridamoleYes1$7
PhanasinguaifenesinYes1$7
Phena-Sphenylephrine/pyril mal/cpYes1$7
Phenerganpromethazine hclYes1$7
Phenergan DMd-methorphan hb/prometh hclYes1$7
Phenergan VCphenylephrine hcl/prometh hclYes1$7
Phenergan w/Codeinecodeine/promethazine hclYes1$7
PhenobarbitalphenobarbitalYes1$7
Phentermine HCLphentermine hclNo2$45
Phenytekphenytoin sodium extendedYes1$7
PhisohexhexachloropheneNo2$45
Phoslocalcium acetateYes1$7
Phospholine Iodideechothiophate iodideNo2$45
Phrenilinbutalbital/acetaminophenYes1$7
Pilocar, Isopto-Carpinepilocarpine hclYes1$7
Pilopine HSpilocarpine hclNo2$45
Pimapotassium iodideNo2$45
PindololpindololYes1$7
Plan BlevonorgestrelYes1$7
Plaquenilhydroxychloroquine sulfateYes1$7
Plavixclopidogrel bisulfateNo2$45
PlendilfelodipineYes1$7
PletalcilostazolYes1$7
Plexion SCTsulfacet sod/sulfur/witch hazYes1$7
Plexion, TSsulfacetamide sodium/sulfurYes1$7
Podocon-25podophyllum resinNo2$45
Polaraminedexchlorpheniramine maleateYes1$7
Polycitrasod/potass/k cit/sod cit/caYes1$7
Ponstel mefenamic acidYes1$7
Pontocainetetracaine hclNo2$45
Pradaxadabigatran etexilate mesylateNo2$45
Pramosonehc acetate/pramoxine hclYes1$7
Pramoxpramoxine hclYes1$7
PrandinrepaglinideNo2$45
Pravacholpravastatin sodiumYes1$7
Precarepv w-o vit a/fe fumarate/faYes1$7
Pred Forteprednisolone acetateYes1$7
Pred Mildprednisolone acetateNo2$45
PrednisoneprednisoneYes1$7
Prefera-OB Plus DHApn vits.w-o ca #8, iron,faYes1$7
Prefera-OB Plus DHApnv combo #8/iron/folic ac/dhaYes1$7
Premarin, Creamestrogens,conjugatedNo2$45
Prempro/Premphaseestrogen,con/m-progest acetNo2$45
Prenaissancepnv80/iron fumarate/fa/dss/dhaYes1$7
Prenatal 19prenatal vit/fe fumarate/faYes1$7
Prenatal Low Ironpnv with ca,no.74/iron/faYes1$7
Prenatal Plus, Stuartnatal, Prenapluspnv with ca,no.71/iron/faYes1$7
PrevacidlansoprazoleYesST1$7
Prevacid Solutab lansoprazoleYesST1$7
Previdentsodium fluorideYes1$7
Prevpaclansoprazole/amox tr/clarithNo2$45
Prezista(Must Be Used With Norvir)darunavir ethanolateNo2$45
Prilosec, OTComeprazole magnesiumYes1$7
PrimsoltrimethoprimNo2$45
Prinivil, ZestrillisinoprilYes1$7
Prinzide, Zestoreticlisinopril/hydrochlorothiazideYes1$7
Proair HFA, Ventolin HFAalbuterolNo2$45
Proamatinemidodrine hclYes1$7
Pro-Banthine 15MGpropantheline bromideYes1$7
ProbenecidprobenecidYes1$7
Procainamide HCLprocainamide hclNo2$45
Procanbidprocainamide hclNo2$45
Procardia, XL;Adalat CCnifedipineYes1$7
Pro-Clear Caps guaifenesin/codeine phosYes1$7
Procritepoetin alfaNoPA2$45
ProctocorthydrocortisoneYes1$7
Proctocort Suppositoryhydrocortisone acetateYes1$7
Proctofoampramoxine hclYes1$7
Proctofoam-HChc acetate/pramoxine hclNo2$45
Procto-KithydrocortisoneNo2$45
Profasi 5000Unitsgonadotropin,chorionic,humanNoPA2$45
Progesterone In Oil (Inj)progesteroneYes1$7
Prograftacrolimus anhydrousYes1$7
Prolex DHpot guaiaco/hydrocodone bitYes1$7
Prolixinfluphenazine hclYes1$7
Promactaeltrombopag olamineNoPA2$45
Prometriumprogesterone,micronizedNo2$45
Pronestyl, SRprocainamide hclYes1$7
Propranolol HCLpropranolol hclYes1$7
PropylthiouracilpropylthiouracilYes1$7
ProscarfinasterideYes1$7
ProsomestazolamYes1$7
Prostigminneostigmine bromideNo2$45
Protonixpantoprazole sodiumYes1$7
Proventil Solutionalbuterol sulfateYes1$7
Proveramedroxyprogesterone acetYes1$7
ProvigilmodafinilNoPA2$45
Provocholinemethacholine chlorideNo2$45
Prozac Weeklyfluoxetine hclYesPA1$7
Prozac, Sarafemfluoxetine hclYes1$7
Psorcon, Floronediflorasone diacetateYes1$7
Pulmicort Inh (Tier 1-Bcn Only)budesonideNo1$7
Pulmicort SolnbudesonideNo1$7
Pulmozymedornase alfaNo2$45
PurinetholmercaptopurineYes1$7
PyrazinamidepyrazinamideYes1$7
Pyridiumphenazopyridine hclYes1$7
Pyrogallic AcidpyrogallolNo2$45
- Q -[ Return to Top ]
Questran, Questran LightcholestyramineYes1$7
Quinidexquinidine sulfateYes1$7
Quinidine Gluconate SAquinidine gluconateYes1$7
Quinidine Sulfatequinidine sulfateYes1$7
QuixinlevofloxacinYes1$7
Qvarbeclomethasone dipropionateNo1$7
- R -[ Return to Top ]
Rapamune Tabs, SolutionsirolimusNo2$45
Razadyne Solutiongalantamine hydrobromideYes1$7
Razadyne, ERgalantamine hydrobromideYes1$7
RebetolribavirinYesPA1$7
Rebetol SolutionribavirinNoPA2$45
Rebifinterferon beta-1a/albuminNo2$45
Reglan Tab, Solutionmetoclopramide hclYes1$7
Relacon Laxguaifenesin/d-methorphan hbYes1$7
RelafennabumetoneYes1$7
RelenzazanamivirNo2$45
RelistormethylnaltrexoneNoPA2$45
Relnate DHApnv 11-iron fum-folic acid-om3Yes1$7
RemeronmirtazapineYes1$7
Remeron SoltabmirtazapineYes1$7
Remodulintreprostinil sodiumNo2$45
Renacidinmag carb/citric acid/g-lactoneNo2$45
Renagelsevelamer hclNo2$45
Renate DHA Extrapnv55/iron b-g su ch-p/fa/om-3Yes1$7
Renvela Packet 2.4Gsevelamer carbonateNo2$45
Renvela Tabletsevelamer carbonateNo2$45
Repliva 21-7iron ag&fum/c/fa/mv cmb11/ca-tYes1$7
Reprexainhydrocodone/ibuprofenYes1$7
RepronexmenotropinsNoPA2$45
Requipropinirole hclYes1$7
Rescriptordelavirdine mesylateNo2$45
ResectisolmannitolNo2$45
ReserpinereserpineYes1$7
Respaire-60guaifenesin/p-ephed hclYes1$7
Respi-Tann PDcar-b-pen ta/p-epd tanYes1$7
RestasiscyclosporineNo2$45
RestoriltemazepamYes1$7
Retin-A Microtretinoin microspheresNo2$45
Retin-A, AvitatretinoinYes1$7
RetrovirzidovudineYes1$7
Revatiosildenafil citrateNoPA2$45
Revianaltrexone hclYes1$7
Reyatazatazanavir sulfateNo2$45
Rheumatrex, Trexallmethotrexate sodiumNo2$45
RibapakribavirinYesPA1$7
RibavirinribavirinYesPA1$7
RidauraauranofinNo2$45
RifadinrifampinYes1$7
Rifamaterifampin/isoniazidYes1$7
RilutekriluzoleNo2$45
Rimso-50dimethyl sulfoxideNo2$45
Risperdal M-TabrisperidoneYes1$7
Ritalin Lamethylphenidate hclYesPA1$7
Ritalin, SR; Methylin, ERmethylphenidate hclYes1$7
RobaxinmethocarbamolYes1$7
Robinul, ForteglycopyrrolateYes1$7
RocaltrolcalcitriolYes1$7
Roferon-Ainterferon alfa-2a,recomb.No2$45
Rosanilsulfacetamide sodium/sulfurYes1$7
Rosula Cleansersulfacetamide sod/sulfur/ureaYes1$7
Rowasamesalamine w/cleansing wipesYes1$7
Rowasa EnemamesalamineYes1$7
Roxanolmorphine sulfateYes1$7
Roxicetoxycodone hcl/acetaminophenNo2$45
Rum-Kpotassium chlorideNo2$45
Rythmolpropafenone hclYes1$7
Rythmol SRpropafenone hclYes1$7
Ryzolttramadol hclYesPA1$7
- S -[ Return to Top ]
SabrilvigabatrinNo2$45
Salacynsalicylic acidYes1$7
Salagenpilocarpine hclYes1$7
Salexsalicylic acid/ceramidesYes1$7
Salkerasalicylic acidYes1$7
SamscatolvaptanNo2$45
Sancturatrospium chlorideYes1$7
SandimmunecyclosporineNo2$45
Sandostatinoctreotide acetateYes1$7
Sandostatin LARoctreotide acetateNoPA2$45
SantylcollagenaseNo2$45
Seasonalelevonorgestrel-eth estraYes1$7
Seasoniquel-norgest-eth estr/ethin estraYes1$7
Sectralacebutolol hclYes1$7
Selsun RXselenium sulfideYes1$7
Sensiparcinacalcet hclNo2$45
SeraxoxazepamYes1$7
Serevent Diskussalmeterol xinafoateNo2$45
SeromycincycloserineNo2$45
Seroquelquetiapine fumarateNo2$45
Serzonenefazodone hclYesPA1$7
Silvadenesilver sulfadiazineYes1$7
Silver Nitratesilver nitrateNo2$45
Sinemetcarbidopa/levodopaYes1$7
Sinemet, CRcarbidopa/levodopaYes1$7
Sinequan, Adapindoxepin hclYes1$7
Singulairmontelukast sodiumNo2$45
SkelaxinmetaxaloneYes1$7
Sodium Chloridesodium cl for inhalationYes1$7
Solodyn 45, 90, 135MGminocycline hclYesPA1$7
SomacarisoprodolYes1$7
Soma Compoundcarisoprodol/aspirinYes1$7
Soma Compound w/Codeinecodeine phos/carisoprodol/asaYes1$7
Somatuline Depotlanreotide acetateNo2$45
SomavertpegvisomantNoPA2$45
SonatazaleplonYes1$7
Sorbitol-Mannitolmannitol/sorbitol solutionNo2$45
SoriataneacitretinNo2$45
Spacolbelladonna alkaloidsNo2$45
Spectazoleeconazole nitrateYes1$7
Spectracefcefditoren pivoxilYes1$7
Spirivatiotropium bromideNo2$45
Sporanox CapsitraconazoleYes1$7
Sporanox SolnitraconazoleNo2$45
SpryceldasatinibNoPA2$45
Sskipotassium iodideYes1$7
Stadolbutorphanol tartrateYes1$7
Stadol NSbutorphanol tartrateYes1$7
Stalevocarbidopa/levodopa/entacaponeNo2$45
StarlixnateglinideYes1$7
Staticinerythromycin base/ethanolYes1$7
Stelazinetrifluoperazine hclYes1$7
Stimatedesmopressin acetateNo2$45
Stromectrol - Single DoseivermectinNo2$45
Suboxone Filmbuprenorphine hcl/naloxone hclNoPA2$45
Suboxone Tabsbuprenorphine hcl/naloxone hclNoPA2$45
SucraidsacrosidaseNo2$45
SularnisoldipineYes1$7
Sulfacet-Rsulfacetamide sodium/sulfurYes1$7
SulfadiazinesulfadiazineYes1$7
Sulfamylonmafenide acetateNo2$45
Sumaxinsulfacetamide sodium/sulfurYes1$7
Sumycintetracycline hclYes1$7
Surmontiltrimipramine maleateYes1$7
SustivaefavirenzNo2$45
Sutentsunitinib malateNoPA2$45
Symax Duotabhyoscyamine sulfateYes1$7
Symbicortbudesonide/formoterol fumarateNo2$45
Symmetrelamantadine hclYes1$7
Synalar 0.025% Cream, Ointfluocinolone acetonideYes1$7
Synalgos-DCdihydrocodeine/aspirin/caffeinNo2$45
Synarelnafarelin acetateNo2$45
Syneralidocaine/tetracaineNo2$45
- T -[ Return to Top ]
Tagamet (Rx Only)cimetidineYes1$7
Talacenpentazocine hcl/acetaminophenYes1$7
Talwin Nxpentazocine hcl/naloxone hclYes1$7
Tambocorflecainide acetateYes1$7
Tamiflu Cap, Susposeltamivir phosphateNo2$45
Tamoxifen Citratetamoxifen citrateYes1$7
TapazolemethimazoleYes1$7
Tarcevaerlotinib hclNoPA2$45
Tarkatrandolapril/verapamil hclYes1$7
Taron Prenatalpnv39/iron fumarate/fa/dss/dhaYes1$7
Taron-BCpnv with ca,no63/iron/fa/b6Yes1$7
Tavist Rx (2.68MG, Syrup)clemastine fumarateYes1$7
TazoractazaroteneNo2$45
Tegretol XR 100MGcarbamazepineNo2$45
Tegretol, XRcarbamazepineYes1$7
TemodartemozolomideNo2$45
Temovate Emollientclobetasol propionate/emollYes1$7
Temovate, Clobevateclobetasol propionateYes1$7
Tenexguanfacine hclYes1$7
Tenoreticatenolol/chlorthalidoneYes1$7
TenorminatenololYes1$7
Tenuatediethylpropion hclYesPA1$7
Terazol- 3, 7terconazoleYes1$7
Terramycin w/Polymyxinoxy-tcn hcl/polymyx b sulfNo2$45
Tesamone-100testosteroneYes1$7
Tessalon, PerlesbenzonatateYes1$7
Tetracyclinetetracycline hclYes1$7
Teveteneprosartan mesylateYes1$7
TexacorthydrocortisoneNo2$45
ThalitonechlorthalidoneNo2$45
ThalomidthalidomideNo2$45
Theo-24theophylline anhydrousNo2$45
Theophylline Anhydroustheophylline anhydrousYes1$7
ThioguaninethioguanineNo2$45
ThiolatioproninNo2$45
Thorazinechlorpromazine hclYes1$7
ThyrolarliotrixNo2$45
Tiazacdiltiazem hclYes1$7
Ticlidticlopidine hclYes1$7
Tigantrimethobenzamide hclYes1$7
TikosyndofetilideNo2$45
Tiladenedocromil sodiumYes1$7
Timoptictimolol maleateYes1$7
Timoptic - XEtimolol maleateYes1$7
TindamaxtinidazoleNo2$45
Tobitobramycin/0.25 normal salineNo2$45
Tobradex Ointtobramycin sulfate/dexamethNo2$45
Tobradex Susptobramycin sulfate/dexamethYes1$7
Tobrextobramycin sulfateYes1$7
Tofranilimipramine hclYes1$7
Tofranil-Pmimipramine pamoateYes1$7
TolazamidetolazamideYes1$7
Tolectin, DStolmetin sodiumYes1$7
TolinasetolazamideYes1$7
TopamaxtopiramateYes1$7
Topamax SprinkletopiramateYes1$7
Topicort Cr, Gel, OintdesoximetasoneYes1$7
Topicort LPdesoximetasoneYes1$7
Toprol XLmetoprolol succinateYes1$7
Toradolketorolac tromethamineYes1$7
TracleerbosentanNoPA2$45
Transderm-Scopscopolamine hydrobromideNo2$45
Tranxeneclorazepate dipotassiumYes1$7
Travatan, ZtravoprostNo2$45
Trelstar Depot, LAtriptorelin pamoateNo2$45
TrentalpentoxifyllineYes1$7
Tretinointretinoin/emollientNo2$45
Triamcinolone Acetonidetriamcinolone acetonideYes1$7
Tricorfenofibrate nanocrystallizedNo2$45
TrileptaloxcarbazepineYes1$7
Trileptal SuspoxcarbazepineYes1$7
Trilisatecholine magnesium trisalicylateYes1$7
Trimethobenzamide HCLtrimethobenzamide hclYes1$7
TrimethoprimtrimethoprimYes1$7
Tri-Norinylnorethindrone-ethinyl estradYes1$7
Trioxinchloroxylenol/benzoc/hydrocortYes1$7
Triphasil, Trilevlenlevonorgestrel-eth estraYes1$7
Tri-Vi-Florfluoride ion/vit a,c&dYes1$7
Tri-Vit With Fluoride-Ironfluoride ion/iron/vit a,c&dYes1$7
Trizivirabacavir/lamivudine/zidovudineNo2$45
Trusoptdorzolamide hclYes1$7
Truvadaemtricitabine/tenofovirNo2$45
T-Staterythromycin base/ethanolYes1$7
T-Tanna DMd-methorp tan/p-epd tan/cpYes1$7
Tussar SFguaifenesin/p-ephed hcl/codYes1$7
Tussionexhydrocodone/chlorphen polisYes1$7
Tussiorganidinguaifenesin/codeine phosYes1$7
TwinjectepinephrineNo2$45
Tykerblapatinib ditosylateNoPA2$45
Tylenol w/Codeinecodeine phos/acetaminophenYes1$7
Tyloxoxycodone hcl/acetaminophenYes1$7
TyvasotreprostinilNoPA2$45
Tyzinetetrahydrozoline hclNo2$45
- U -[ Return to Top ]
UloricfebuxostatNoPA2$45
Ultracettramadol hcl/acetaminophenYes1$7
Ultramtramadol hclYes1$7
Ultram ERtramadol hclYesST1$7
Ultrase MTamylase/lipase/proteaseNo2$45
Ultravatehalobetasol propionateYes1$7
UmectaureaYes1$7
Uniphyltheophylline anhydrousYes1$7
Unireticmoexipril/hydrochlorothiazideYes1$7
Univascmoexipril hclYes1$7
UramaxinureaYes1$7
UreaureaYes1$7
Urecholinebethanechol chlorideYes1$7
Urellemth/me blue/salicy/na phos/hyoNo2$45
Uretron D-Smth/me blue/ba/salicy/atp/hyosNo2$45
Uribelmth/me blue/sod phos/phen/hyosNo2$45
Urispasflavoxate hclYes1$7
Urisymmth/me blue/salicy/na phos/hyoNo2$45
Uritact-Ecmth/me blue/ba/salicy/atp/hyosNo2$45
Uro Bluemethenamine/hyoscyamineNo2$45
Urocit-Kpotassium citrateYes1$7
Urogesicmethen/sod phos/meth blue/hyosYes1$7
Urogesic-Bluemth/me blue/salicy/na phos/hyoYes1$7
Urolene Bluemethylene blueNo2$45
Uroxatralalfuzosin hclYes1$7
UrsoursodiolYes1$7
Urso ForteursodiolYes1$7
- V -[ Return to Top ]
VagifemestradiolNo2$45
Valcytevalganciclovir hydrochlorideNo2$45
Valisone Cr, Lotion, Ointbetamethasone valerateYes1$7
ValiumdiazepamYes1$7
Valproic Acidvalproate sodiumYes1$7
Valtrexvalacyclovir hclYes1$7
Vancocin HCLvancomycin hclNo2$45
Vanoxide-HCbenz perox/hc/skin clnsr no.14Yes1$7
Vantincefpodoxime proxetilYes1$7
Vasereticenalapril/hydrochlorothiazideYes1$7
Vasocidinna sulfacetm/prednis spYes1$7
Vasodilanisoxsuprine hclYes1$7
Vasotecenalapril maleateYes1$7
VelosefcephradineNo2$45
Venlafaxine HCL ERvenlafaxine hclYes1$7
VentavisiloprostNoPA2$45
VepesidetoposideYes1$7
Verelanverapamil hclYes1$7
Verelan PMverapamil hclYes1$7
Veripred 20prednisolone sod phosphateYes1$7
VermoxmebendazoleYes1$7
VexolrimexoloneNo2$45
VfendvoriconazoleYes1$7
Viagrasildenafil citrateNoPA2$45
Vibramycin, Vibratabsdoxycycline hyclateYes1$7
Vicodin EShydrocodone bit/acetaminophenYes1$7
Vicodin, Lortabhydrocodone bit/acetaminophenYes1$7
Vicoprofenhydrocodone/ibuprofenYes1$7
VictrelisboceprevirNoPA2$45
VidexdidanosineNo2$45
Videx ECdidanosineYes1$7
Vigamoxmoxifloxacin hclNo2$45
VimpatlacosamideNo2$45
Vinate IIprenatal vitamins/fe bisgly/faYes1$7
Viokaseamylase/lipase/proteaseNo2$45
Viraceptnelfinavir mesylateNo2$45
ViramunenevirapineYes2$45
VirazoleribavirinNoPA2$45
Vireadtenofovir disoproxil fumarateNo2$45
ViroptictrifluridineYes1$7
Vistarilhydroxyzine pamoateYes1$7
Vivactilprotriptyline hclYes1$7
VivelleestradiolYes1$7
Vivelle-DotestradiolNo2$45
Vol-Natepnv with ca,no.73/iron/faYes1$7
Vol-Tab Rxprenatal vit #76/iron,carb/faYes1$7
Voltarendiclofenac sodiumYes1$7
Voltaren-XRdiclofenac sodiumYes1$7
Vopaccodeine phos/acetaminophenYes1$7
Vospire ERalbuterol sulfateYes1$7
Votrientpazopanib hydrochlorideNoPA2$45
- W -[ Return to Top ]
Welcholcolesevelam hclNo2$45
Wellbutrin XL bupropion hclYes1$7
Wellbutrin, SRbupropion hclYes1$7
Westcorthydrocortisone valerateYes1$7
- X -[ Return to Top ]
XalatanlatanoprostYes1$7
XanaxalprazolamNo2$45
Xanax, XRalprazolamYes1$7
XareltorivaroxabanNo2$45
XelodacapecitabineNo2$45
XenazinetetrabenazineNoPA2$45
Xibrombromfenac sodiumYes1$7
Xodolhydrocodone bit/acetaminophenYes1$7
Xopenex 1.25MG/0.5MLlevalbuterol hclYes1$7
Xylocaine (Rx Only)lidocaine hclYes1$7
Xylocaine Viscouslidocaine hclYes1$7
Xyzallevocetirizine dihydrochlorideYes1$7
- Y -[ Return to Top ]
Yasmin 28ethinyl estradiol/drospirenoneYes1$7
Yazethinyl estradiol/drospirenoneYes1$7
Yohimbine HCLyohimbine hclYes1$7
- Z -[ Return to Top ]
Zaditorketotifen fumarateYes1$7
Zanaflex Capstizanidine hclNoPA1$7
Zanaflex Tabstizanidine hclYesPA1$7
Zantac (Rx Only)ranitidine hclYes1$7
ZarontinethosuximideYes1$7
ZaroxolynmetolazoneYes1$7
Zebetabisoprolol fumarateYes1$7
Zebutalbutalb/acetaminophen/caffeineYes1$7
Zegerid RXomeprazole/sodium bicarbonateYesPA1$7
ZelborafvemurafenibNoPA2$45
Zenpepamylase/lipase/proteaseNo2$45
Zeosacontraceptives,oralYes1$7
ZeritstavudineYes1$7
ZetiaezetimibeNoST2$45
Ziacbisoprol/hydrochlorothiazideYes1$7
Ziagenabacavir sulfateNo2$45
ZirganganciclovirNo2$45
ZithromaxazithromycinYes1$7
ZocorsimvastatinYes1$7
Zofranondansetron hclYes1$7
Zofran, ODTondansetronYes1$7
Zoladexgoserelin acetateNo2$45
ZolinzavorinostatNoPA2$45
Zoloftsertraline hclYes1$7
Zonalon, Prudoxindoxepin hclNo2$45
ZonegranzonisamideYes1$7
ZoviraxacyclovirYes1$7
Zovirax Cream, OintacyclovirNo2$45
Z-Pramhc acetate/pramoxine hclYes1$7
Zybanbupropion hclYes1$7
ZyloprimallopurinolYes1$7
Zyprexa, ZydisolanzapineYes1$7
Zyrteccetirizine hclYes1$7
Zyrtec-Dp-ephed hcl/cetirizine hclYes1$7
ZyvoxlinezolidNo2$45

page modified 09/23/2011