Drug rider 25%/35%/45%

Your drug benefit provides coverage for Tier 1 medications for a 25% copayment, Tier 2 medications for a 35% copayment and Tier 3 medications for a 45% copayment. 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, SolutionaripiprazoleNo235%
Abstralfentanyl citrateNoPA345%
Acanyaclindamycin phos/benzoyl peroxNo345%
Accolate zafirlukastYes125%
Accunebalbuterol sulfateYes125%
Accuprilquinapril hclYes125%
Accureticquinapril/hydrochlorothiazideYes125%
Accutane (Req Derm Consult) isotretinoinYes125%
Accuzyme, Ethezyme, Gladasepapain/ureaYes125%
Aceonperindopril erbumineYes125%
Acetasol, HC/Vosol, HCacetic acid/hydrocortisoneYes125%
Aciphexrabeprazole sodiumNoPA345%
Aclovatealclometasone dipropionateYes125%
ActigallursodiolYes125%
Actimmuneinterferon gamma-1b,recomb.No235%
Actiqfentanyl citrateYesPA125%
Activellaestradiol/noreth acYes125%
Actonel, Weekly, 150MGrisedronate sodiumNoST235%
Actoplus Metpioglitazone hcl/metformin hclNoST235%
Actoplus Met XRpioglitazone hcl/metformin hclNoST345%
Actospioglitazone hclNoST235%
Acular, LSketorolac tromethamineYes125%
Acuvailketorolac tromethamineNo345%
AczonedapsoneNo345%
AdcircatadalafilNoPA345%
Adderallamphet asp/amphet/d-amphetYes125%
Adderall XR (Brand)amphet asp/amphet/d-amphetNoPA125%
Adipex-Pphentermine hclYesPA125%
Adoxadoxycycline monohydrateYesPA125%
Adoxa 150MG Capsuledoxycycline monohydrateNoPA345%
AdrenaclickepinephrineYes125%
Adrenalin ChlorideepinephrineNo235%
Advairfluticasone/salmeterolNo235%
Advicorniacin/lovastatinNoPA345%
Aerobid, Mflunisolide/mentholNo345%
AfinitoreverolimusNoPA235%
Ageneraseamprenavir/vitamin e/prop glyNo235%
Aggrenoxaspirin/dipyridamoleNo345%
Agrylinanagrelide hclYes125%
Akinetonbiperiden hclNo235%
Akne-Mycinerythromycin baseNo345%
Albalonnaphazoline hclYes125%
AlbenzaalbendazoleNo345%
Albuterol Nebulizer Solnalbuterol sulfateYes125%
Alcaineproparacaine hclYes125%
Alcortin Ahydrocortisone/iodoquin/aloe#2No345%
Aldactazidespironolact/hydrochlorothiazidYes125%
AldactonespironolactoneYes125%
AldaraimiquimodYes125%
Aldex ANdoxylamine succinateNo345%
Aldex-CTphenylephrine/dp-hydram tanNo345%
AldometmethyldopaYes125%
Aldorilmethyldopa/hydrochlorothiazideYes125%
Alenaze-Dphenylephrine/brompheniramineYes125%
Alesse, Levlitelevonorgestrel-eth estraYes125%
Alferon Ninterferon alfa-n3No235%
AlinianitazoxanideNo235%
AlkeranmelphalanNo235%
Alocrilnedocromil sodiumNo235%
Alomidelodoxamide tromethamineNo235%
Aloquiniodoquinol/aloe polysacchar #1No345%
AloraestradiolNo235%
Alpainacetaminophen/phenyltolx citYes125%
Alphagan P 0.1%brimonidine tartrateNo235%
Alphagan, Pbrimonidine tartrateYes125%
Alrexloteprednol etabonateNo345%
Alsumasumatriptan succinateYesPA125%
AltabaxretapamulinNo345%
Altace CapsuleramiprilYes125%
Altace TabletramiprilNoPA345%
AltoprevlovastatinNoPA345%
Alupentmetaproterenol sulfateYes125%
AluveaureaNo345%
AlvescociclesonideNo125%
AmarylglimepirideYes125%
Ambienzolpidem tartrateYes125%
Ambien CRzolpidem tartrateYesPA125%
Amergenaratriptan hclYesST125%
AmericainebenzocaineNo235%
Amicaraminocaproic acidYes125%
AmitizalubiprostoneNoPA345%
Amoxilamoxicillin trihydrateYes125%
Ampicillinampicillin trihydrateYes125%
Ampyrafampridine (4-aminopyridine)NoPA345%
Amrixcyclobenzaprine hclYesPA125%
Amturnidealiskiren/amlodipine/hctzNoST345%
AnacainebenzocaineNo235%
Anadrol-50oxymetholoneNoPA345%
Anafranilclomipramine hclYes125%
Analpram Advancedhc/pramox/diosmin#1/alo#1/pcosNo345%
Analpram HChc acetate/pramoxine hclYes125%
Anamantle HClidocaine hcl/hcYes125%
AnanabromelainsNo345%
Anaprox, DSnaproxen sodiumYes125%
AncobonflucytosineYes125%
AndrodermtestosteroneNo235%
Androgel, 1.62%testosteroneNo235%
Androxy 10MGfluoxymesteroneYes125%
Anexiahydrocodone bit/acetaminophenYes125%
Anexsia/Lorcet Plushydrocodone bit/acetaminophenYes125%
Angeliqestradiol/drospirenoneNo345%
Annusol HC, Proctocream HChydrocortisoneYes125%
AnsaidflurbiprofenYes125%
AntabusedisulfiramYes125%
Antarafenofibrate,micronizedNo345%
Antivertmeclizine hclYes125%
Anusol HChydrocortisone acetateYes125%
Anzemetdolasetron mesylateNo345%
Apexicon Ediflorasone diacetate/emollNo345%
Apidrainsulin glulisineNo235%
Aplenzinbuproprion hbrNoPA345%
Apokynapomorphine hclNo235%
Apresazidehydralazine/hydrochlorothiazidYes125%
Apresolinehydralazine hclYes125%
AprisomesalamineNo345%
Aptivus(Must Be Used With Norvir)tipranavirNo235%
Aquachloralchloral hydrateNo235%
Aralenchloroquine phosphateYes125%
Aranespdarbepoetin alfa in albumn solNoPA345%
AravaleflunomideYes125%
ArcalystrilonaceptNoPA235%
Arcapta Neohalerindacaterol maleateNo345%
Aricept 23MGdonepezil hclNoST345%
Aricept, ODTdonepezil hclYes125%
ArimidexanastrozoleYesPA125%
Aristocort, Kenalogtriamcinolone acetonideYes125%
Arixtra fondaparinux sodiumYes125%
AromasinexemestaneYesPA125%
Artanetrihexyphenidyl hclYes125%
Arthrotecdiclofenac sodium/misoprostolNoPA345%
AsacolmesalamineNo235%
Asacol HDmesalamineNo235%
AsendinamoxapineYes125%
Asmanexmometasone furoateNo125%
Aspirin w/Codeinecodeine phos/aspirinYes125%
Astelin Nasal Sprayazelastine hclYes125%
Astepro Nasal Sprayazelastine hclNo235%
Astringynferric subsulfateNo345%
Atacandcandesartan cilexetilNoPA345%
Atacand, HCTcandesartan/hydrochlorothiazidNoPA345%
Atarax, VistarilhydroxyzineYes125%
Atelviarisedronate sodiumNoPA345%
AtivanlorazepamYes125%
Atriplaefavirenz/emtricitab/tenofovirNo235%
Atropine Sulfateatropine sulfate/pfYes125%
Atrovent Inhaleripratropium bromideNo235%
Atrovent Nasal Sprayipratropium bromideYes125%
Atrovent Soln ipratropium bromideYes125%
Augmentin, ES, XRamox tr/potassium clavulanateYes125%
Auralganaa/antpy/bcaine/polico/al acetYes125%
Avalideirbesartan/hydrochlorothiazideNoPA345%
Avandametrosiglitazone/metformin hclNoST345%
Avandarylrosiglitazone maleate/glimepirNoPA345%
Avandiarosiglitazone maleateNoST345%
AvaproirbesartanNoPA345%
AvcsulfanilamideNo345%
Avelox, ABCmoxifloxacin hclNo235%
Avinzamorphine sulfateNo345%
AvodartdutasterideNo235%
Avonexinterferon beta-1aNo235%
Avonex Administration Packinterferon beta-1a/albuminNo235%
Axertalmotriptan malateNoST345%
Axid (Rx Only)nizatidineYes125%
Axid SolutionnizatidineYes125%
AxirontestosteroneNoPA345%
Aygestinnorethindrone acetateYes125%
AzasiteazithromycinNo345%
Azelexazelaic acidNo345%
Azilectrasagiline mesylateNo235%
AzoptbrinzolamideNo235%
Azoramlodipine bes/olmesartan medNoPA345%
Azulfidine En-TabsulfasalazineYes125%
Azulfidine TabsulfasalazineYes125%
- B -[ Return to Top ]
BacitracinbacitracinYes125%
Bacminfe fumarate/fa/mv-mn/seNo345%
Bactocilloxacillin sodiumNo235%
Bactrim, DS, Septra, DSsulfamethoxazole/trimethoprimYes125%
Bactroban Cream, Nasalmupirocin calciumNo235%
Bactroban OintmentmupirocinYes125%
Bal-Care DHApnv81/sod iron edta& ps/fa/om3Yes125%
BanzelrufinamideNo235%
BaracludeentecavirNo235%
Baros Granulessimethicone/sod bicarb/ttaNo345%
Beconase AQbeclomethasone dipropionateNoST345%
Bellamine/Bellaspasergotamine tart/bellad alk/pbYes125%
Benadryldiphenhydramine hclYes125%
Benicarolmesartan medoxomilNoST235%
Benicar HCTolmesartan/hydrochlorothiazideNoST235%
Bensal HPbenzoic acid/salicylic acidNo235%
Bentyldicyclomine hclYes125%
Benzac W, AC, Washbenzoyl peroxideYes125%
Benzaclinclindamycin phosphate/benz perNo345%
Benzamycinerythromycin base/benz perYes125%
Benzoyl Peroxide Rx Onlybenzoyl peroxideYes125%
Beprevebepotastine besilateNo345%
Besivancebesifloxacin hydrochlorideNo345%
Betadinepovidone-iodineNo235%
Betaganlevobunolol hclYes125%
Betapace, AFsotalol hclYes125%
Betaseroninterferon beta-1bNoPA345%
BetimoltimololNo345%
Betoptic Sbetaxolol hclNo235%
Betoptic Solnbetaxolol hclYes125%
Beyazdrospir/eth estra/levomefol caNo345%
Biaxin, XLclarithromycinYes125%
Bifera RXiron ps/iron hem poly/fa/b12No345%
BiltricidepraziquantelNo235%
Biodec-Dmdm hb/p-ephed hcl/carbinoxYes125%
Bleph-10sulfacetamide sodiumYes125%
Bleph-10, Sodium Sulamydesulfacetamide sodiumYes125%
Blephamide Drops, Ointna sulfacetm/prednisol acNo235%
Blocadrentimolol maleateYes125%
Bonisarastrontium gluconate/b6-b12-faNo345%
Bonivaibandronate sodiumNoST345%
Bontrilphendimetrazine tartrateYesPA125%
Bravelleurofollitropin (fsh)NoPA235%
Brethineterbutaline sulfateYes125%
Brevoxyl Gelbenzoyl peroxideYes125%
BrilintaticagrelorNoST345%
Brofedp-ephed hcl/brompheniraminNo345%
Bromdaybromfenac sodiumNo345%
Broncodurguaifenesin/theophyllineNo235%
Brovanaarformoterol tartrateNoPA345%
BumexbumetanideYes125%
Bupapbutalbital/acetaminophenYes125%
Buphenylsodium phenylbutyrateNo235%
Busparbuspirone hclYes125%
Butisol Sodiumbutabarbital sodiumNo345%
ButransbuprenorphineNoPA345%
ByettaexenatideNoPA345%
Bystolicnebivolol hclNoPA345%
- C -[ Return to Top ]
Caduetamlodipine/atorvastatinYesST125%
Cafergotergotamine tartrate/caffeineNo235%
Calan SR/Isoptin SRverapamil hclYes125%
CalciferolergocalciferolYes125%
Cambiadiclofenac potassiumNoPA345%
Campralacamprosate calciumNoPA345%
CanasamesalamineNo235%
Canges-HCphenylephrine/hydrocodone/bpmYes125%
Cantilmepenzolate bromideNo345%
Capcofchlorpheniramine/pe/codeineNo345%
Capex Shampoofluocinolone acetonideNo235%
CapotencaptoprilYes125%
Capozidecaptopril/hydrochlorothiazideYes125%
CaprelsavandetanibNoPA235%
CaracfluorouracilNo345%
Carafate TabssucralfateYes125%
Carafate, SuspsucralfateYes125%
Carbaglucarglumic acidNoPA235%
CarbatrolcarbamazepineYes125%
Carbatuss-12car-pen/car-pen tan/pe tan/peNo345%
Carbexselegiline hclYes125%
Cardenenicardipine hclYes125%
Cardene SRnicardipine hclNo345%
Cardizem CDdiltiazem hclYes125%
Cardizem LAdiltiazem hclYes125%
Cardizem LA 120MGdiltiazem hclNo345%
Cardizem, SR, CDdiltiazem hclYes125%
Carduradoxazosin mesylateYes125%
Cardura XLdoxazosin mesylateNo345%
CarmolureaYes125%
Carmol HChydrocortisone acetate/ureaNo345%
CarnitorlevocarnitineYes125%
CasodexbicalutamideYes125%
Cataflamdiclofenac potassiumYes125%
Catapresclonidine hclYes125%
Catapres-TTSclonidine hclYes125%
CaverjectalprostadilNoPA235%
Caystonaztreonam lysineNoPA345%
CeclorcefaclorYes125%
Ceclor ERcefaclorYes125%
Cedaxceftibuten dihydrateNo345%
CeenulomustineNo235%
Ceftincefuroxime axetilYes125%
CefzilcefprozilYes125%
CelebrexcelecoxibNoPA345%
CelestonebetamethasoneNo235%
Celexacitalopram hydrobromideYes125%
Cellceptmycophenolate mofetilYes125%
Cellcept Suspensionmycophenolate mofetilNo235%
CelontinmethsuximideNo235%
Cenestinestrogens,conj.,synthetic aNo345%
Centratexfe fumarate/fa/mv, min comb#15No345%
Certussguaifenesin/carbetapentane citNo345%
CerumenextriethanolamineNo235%
CesametnabiloneNo345%
Cetacainetetracaine/benzocaine/butambenNo235%
Cetraxalciprofloxacin hclNo345%
Cetrotidecetrorelix acetateNoPA235%
Chantixvarenicline tartrateNo235%
ChemetsuccimerNo235%
ChenodalchenodiolNoPA345%
Chloral Hydratechloral hydrateYes125%
Chlor-Trimetonchlorpheniramine maleateYes125%
ChlorzoxazonechlorzoxazoneYes125%
Choline Mag Trisalicylatechol sal/magnesium salicylateYes125%
ChronulaclactuloseNo235%
CialistadalafilNoPA235%
Cialis 5MGtadalafilNoPA235%
Ciloxan Dropsciprofloxacin hclYes125%
Ciloxan Ointciprofloxacin hclNo235%
Cimzia SyringecertolizumabNoPA345%
Ciprociprofloxacin hclYes125%
Cipro HCciprofloxacin hcl/hcNo235%
Cipro XRciprofloxacin hcl-betaine combYesPA125%
Ciprodexciprofloxacin hcl/dexamethNo235%
Citracal Prenatal + DHApnv4/iron cbn&gluc/fa/doss/dhaNo345%
Citracal Prenatal 90+DHApnv comb 13/iron cb/fa/dss/dhaNo345%
Citranatal 90 DHApnv comb 22/iron cb/fa/dss/dhaYes125%
Citranatal RXpnv no.22/iron cbn&gluc/fa/dosYes125%
Citrate Phosphate Dextrosecitrate-phos-dex solutionNo345%
Claravis, SotretisotretinoinYes125%
Clarifoam EFsulfacetamide sodium/sulfurYes125%
Clarinex (All)desloratadineNoPA345%
Clarinex-Dp-ephed sul/desloratadineNoPA345%
Claritin, AlavertloratadineYes125%
Claritin-D 12HR, 24HRp-ephed sul/loratadineYes125%
Cleniasulfacetamide sodium/sulfurNo235%
Cleocinclindamycin hclYes125%
Cleocin Palmitateclindamycin palmitateYes125%
Cleocin Tclindamycin phosphateYes125%
Cleocin Vag Creamclindamycin phosphateYes125%
Cleocin Vaginal Ovulesclindamycin phosphateNo345%
ClimaraestradiolYes125%
Climara Proestradiol/levonorgestrelNo345%
Clindagelclindamycin phosphateNo235%
Clindesseclindamycin phosphateNo345%
ClinorilsulindacYes125%
Clobex Shampoo, Lotionclobetasol propionateYesPA125%
Clobex Sprayclobetasol propionateNo345%
Clodermclocortolone pivalateNo235%
Clomidclomiphene citrateYes125%
Clorpresclonidine hcl/chlorthalidoneNo235%
ClozapineclozapineYes125%
ClozarilclozapineYes125%
Coartemartemether/lumefantrineNo235%
Cogentinbenztropine mesylateYes125%
Colbenemidcolchicine/probenecidYes235%
ColcryscolchicineNo235%
Colestidcolestipol hclYes125%
Colestid Flavoredcolestipol hclNo345%
Coly-Mycin Sneomycin sulfate/colist sul/hcNo345%
Colytesod sulf/sod/nahco3/kcl/peg'sYes125%
Colytrolatrop sulf/scopol hb/hyoscyYes125%
Combiganbrimonidine tartrate/timololNo345%
Combipatchestradiol/noreth acNo345%
Combiventalbuterol sulfate/ipratropiumNo235%
Combivirlamivudine/zidovudineYes125%
Combunoxibuprofen/oxycodone hclYesPA125%
Comhistphenylephrine/p-tlox ci/cpNo345%
Commit Lozenge OTC (Bcn Only)nicotine polacrilexYes125%
Compazineprochlorperazine maleateYes125%
Compleraemtricitab/rilpivirine/tenofovNo235%
Complete-RF Prenatalprenatal vit 17/iron cb/fa/dssYes125%
ComtanentacaponeNo235%
Concertamethylphenidate hclYes125%
Condylox GelpodofiloxNo235%
Condylox SolnpodofiloxYes125%
Conexbrompheniramine tannateNo345%
Conpecguaifenesin/phenylephrine hclNo345%
Conziptramadol hclNoPA345%
Copaxoneglatiramer acetateNo235%
CopegusribavirinYesPA125%
Cophene-Spot guaiaco/p-ephed hcl/hcodYes125%
Cordaroneamiodarone hclYes125%
Cordran, Tape, SPflurandrenolideNo235%
Cordron-HCp-ephed hcl/hydrocodone/cpYes125%
CoregcarvedilolYes125%
Coreg CRcarvedilol phosphateNoPA345%
CorgardnadololYes125%
Cortane-Bhc/pramoxine hcl/chloroxylenolNo235%
Cortef, HydrocortisonehydrocortisoneYes125%
Cortenemahydrocortisone acetateYes125%
Corticosteroidssee chapter 7cYes125%
Cortifoamhydrocortisone acetateNo235%
Cortisone Acetatecortisone acetateYes125%
Cortisporinneomy sulf/polymyx b sulf/hcYes125%
Cortisporin-TCneomy sulf/colist sul/hc/thonzNo345%
Corvitairon, carbonyl/fa/c/b-6/b12/znYes125%
Corzidenadolol/bendroflumethiazideYes125%
Cosopttimolol maleate/dorzolam hclYes125%
Coumadinwarfarin sodiumYes125%
Covera-Hsverapamil hclNo235%
Cozaarlosartan potassiumYes125%
Creonamylase/lipase/proteaseNo235%
Crestorrosuvastatin calciumNoST235%
Cresylatecresyl ace/ben alc/butanol/ipaNo345%
Crinoneprogesterone,micronizedNo235%
Crixivanindinavir sulfateNo235%
CupriminepenicillamineNo235%
Cutivatefluticasone propionateYes125%
Cutivate Lotionfluticasone propionateNo345%
CuvposaglycopyrrolateNo345%
Cyanocobalamin InjcyanocobalaminYes125%
Cyclessadesogestrel-ethinyl estradiolYes125%
CyclocortamcinonideYes125%
Cyclogylcyclopentolate hclYes125%
Cyclomydrilphenylephrine/cyclopent hclNo345%
Cyclosetbromocriptine mesylateNo345%
Cyclosporinecyclosporine, modifiedYes125%
Cymbaltaduloxetine hclNoPA345%
CystadanebetaineNo235%
Cystagoncysteamine bitartrateNo235%
Cytomelliothyronine sodiumYes125%
CytotecmisoprostolYes125%
CytoveneganciclovirYes125%
CytoxancyclophosphamideYes125%
Cytra-2, 3, Kcitric acid/potassium citrateYes125%
- D -[ Return to Top ]
D.H.E.45dihydroergotamine mesylateYes125%
DaliresproflumilastNoPA345%
Dalmaneflurazepam hclYes125%
DanocrinedanazolYes125%
Dantriumdantrolene sodiumYes125%
DapsonedapsoneNo235%
DaraprimpyrimethamineNo235%
DayprooxaprozinYes125%
DaytranamethylphenidateNo345%
DDAVP Solndesmopressin acetateNo235%
DDAVP Spraydesmopressin acetateYes125%
DDAVP Tabsdesmopressin acetateYes125%
DecadrondexamethasoneYes125%
Decadron Opthdexamethasone sod phosphateYes125%
De-Chlor HCphenylephrine/hydrocodone/cpYes125%
Declomycindemeclocycline hclYes125%
Delatestryltestosterone enanthateYes125%
Delestrogenestradiol valerateYes125%
Delosbenzoyl peroxideNo345%
DeltasoneprednisoneYes125%
DemadextorsemideYes125%
Demerolmeperidine hclYes125%
DemsermetyrosineNo235%
Demulenethynodiol d-ethinyl estradiolYes125%
DenavirpenciclovirNo345%
Depakenevalproate sodiumYes125%
Depakote, ER, Sprinklesdivalproex sodiumYes125%
DepenpenicillamineNo345%
Depo-Provera 150MGmedroxyprogesterone acetYes125%
Depo-Provera 400MGmedroxyprogesterone acetNo235%
Depo-Subq Provera 104medroxyprogesterone acetNo235%
Dermacort, Hytone (Rx Only)hydrocortisoneYes125%
Derma-Smoothe/FSfluocinolone acetonideYes125%
DermatopprednicarbateYes125%
Dermoticfluocinolone acetonide oilYes125%
Desferaldeferoxamine mesylateYes125%
Desogen, Ortho-Ceptdesogestrel-ethinyl estradiolYes125%
DesonatedesonideNoST345%
Desowen, TridesilondesonideYes125%
Desoxynmethamphetamine hclYes125%
Desyreltrazodone hclYes125%
Detroltolterodine tartrateNo235%
Detrol LAtolterodine tartrateNo235%
Dexchlorpheniramine Maleatedexchlorpheniramine maleateYes125%
Dexedrined-amphetamine sulfateYes125%
DexilantdexlansoprazoleNoST345%
DexpakdexamethasoneYes125%
Diabeta, MicronaseglyburideYes125%
DiabinesechlorpropamideYes125%
DiamoxacetazolamideYes125%
Diamox SequelsacetazolamideYes125%
Diastat 2.5MGdiazepamYes125%
Diastat AcudialdiazepamYes125%
DiazepamdiazepamNo235%
Dibenzylinephenoxybenzamine hclNo235%
Dicloxacillindicloxacillin sodiumYes125%
Didrexbenzphetamine hclYesPA125%
Didroneletidronate disodiumYes125%
Differin 0.1% Cream, GeladapaleneYes125%
Differin 0.1% LotionadapaleneNo345%
Differin 0.3% GeladapaleneNo235%
DificidfidaxomicinNo345%
DiflucanfluconazoleYes125%
Digesplen Pluspep/cell/simeth/bile/pancreatNo345%
Digex NFhyosc sul/phenyltoloxamine citNo235%
Digoxin ElixirdigoxinYes125%
Digoxin TabsdigoxinYes125%
Dilacor XRdiltiazem hclYes125%
Dilantinphenytoin sodium extendedYes125%
Dilantin Chew TabsphenytoinNo235%
Dilatrate-SRisosorbide dinitrateNo235%
Dilaudidhydromorphone hclYes125%
Dilaudid-5hydromorphone hclNo235%
Dilex-G 400guaifenesin/dyphyllineYes125%
DiovanvalsartanNoPA345%
Diovan HCTvalsartan/hydrochlorothiazideNoPA345%
Dipentumolsalazine sodiumNo345%
Diprolene AF, Gel, Cr, Lotbetamet diprop/prop glyYes125%
Diprolene Ointmentbetamet diprop/prop glyYes125%
Diprosone, Maxivatebetamethasone dipropionateYes125%
Disalcid, SalflexsalsalateYes125%
Ditropanoxybutynin chlorideYes125%
Ditropan XLoxybutynin chlorideYes125%
DiurilchlorothiazideYes125%
DivigelestradiolNo345%
Dolgic Plusbutalb/acetaminophen/caffeineNo345%
DolobiddiflunisalYes125%
Dologesicacetaminophen/phenyltolx citNo345%
Donnamarhyoscyamine sulfateNo235%
Donnatalbelladonna alkaloids/phenobarbYes125%
DoralquazepamNo345%
Doryxdoxycycline hyclateYesPA125%
Doryx 150MGdoxycycline hyclateNoPA345%
DostinexcabergolineYes125%
Dovonex CreamcalcipotrieneNo235%
Dovonex Oint, SolncalcipotrieneYes125%
Doxycyclinedoxycycline monohydrateYes125%
DramaminedimenhydrinateYes125%
Drithocreme HPanthralinYes125%
Dritho-ScalpanthralinNo235%
Drocon-CSp-ephed hcl/hydrocodone/bpmYes125%
Drotussguaifen/p-ephed hcl/hcod/cpYes125%
DroxiahydroxyureaNo235%
Drysolaluminum chlorideYes125%
Duacclindamycin phosphate/benz perNo345%
Duet DHApnv2/iron bg hcl suc-p/fa/om-3Yes125%
Duet Stuart Natalpnv/iron fum&bis-gly/fa/aspNo345%
Duetactpioglitazone/glimepirideNoST235%
Duexisibuprofen/famotidineNoPA345%
Duleramometasone/formoterolNo235%
Duonebipratropium/albuterol sulfateYes125%
Duotan PDpseudoephed tan/dexchlor tanNo345%
DuragesicfentanylYes125%
Duramaxguaifen/d-methorphan hb/peNo345%
Durasal salicylic acidYes125%
DurezoldifluprednateNo345%
Duricefcefadroxil hydrateYes125%
Dutoprolmetoprolol succinate/hctzNoPA345%
Dygaseamylase/lipase/proteaseYes125%
DynacircisradipineYes125%
Dynacirc CRisradipineNo345%
Dyphylline GGguaifenesin/dyphyllineYes125%
DyreniumtriamtereneNo235%
Dytan-HCphenylephrine/hcod tan/dphaYes125%
- E -[ Return to Top ]
E.E.S.erythromycin ethylsuccinateYes125%
EC-NaprosynnaproxenYes125%
Edarbiazilsartan medoxomilNoPA345%
Edarbyclorazilsartan med/chlorthalidoneNoPA345%
Edecrinethacrynic acidNo235%
EdexalprostadilNoPA345%
Edluarzolpidem tartrateNoPA345%
Edurantrilpivirine hydrochlorideNo235%
Effexorvenlafaxine hclYes125%
Effexor XRvenlafaxine hclYes125%
Effientprasugrel hydrochlorideNo235%
EfudexfluorouracilYes125%
Efudex Occlusionfluorouracil/adhesive bandageNo345%
Egriftatesamorelin acetateNoPA345%
Elavilamitriptyline hclYes125%
Eldeprylselegiline hclNo235%
Eldercapsmultivitamins w-mineralsYes125%
Elestatepinastine hclYes125%
ElestrinestradiolNo345%
ElidelpimecrolimusNoPA235%
Eligardleuprolide acetateNo345%
ElimitepermethrinYes125%
Elixophyllintheophylline anhydrousNo235%
Ellaulipristal acetateNo345%
Elmironpentosan polysulfate sodiumNo235%
Eloconmometasone furoateYes125%
Emadineemedastine difumarateNo345%
Emcytestramustine phosphate sodiumNo235%
Emend 80,125MG CapsulesaprepitantNo235%
Emlalidocaine/prilocaineYes125%
EmsamselegilineNo345%
EmtrivaemtricitabineNo235%
Enablexdarifenacin hydrobromideNo345%
EnbreletanerceptNoPA235%
Endometrinprogesterone, micronizedNo235%
Enjuviaestrogens,conj.,synthetic bNo235%
Entocort ECbudesonideYes125%
EnzymaxpancreatinNo235%
Epiduoadapalene/benzoyl peroxideNo345%
Epifoamhc acetate/pramoxine hclNo235%
Epipen, JRepinephrineNo235%
EpivirlamivudineYes125%
Epivir HBVlamivudineNo235%
Epogenepoetin alfaNoPA345%
Epzicomabacavir sulfate/lamivudineNo235%
Ergomarergotamine tartrateNo235%
Eritrogenfeso4ex/c/b12/lv-stm/if/faNo345%
Ertaczosertaconazole nitrateNo345%
Erymaxerythromycin baseYes125%
Erypederythromycin ethylsuccinateYes125%
Ery-Taberythromycin baseNo235%
Erythromycinerythromycin ethylsuccinateYes125%
Esgic-Plusacetaminophen/caffeine/butalbYes125%
Eskalithlithium carbonateYes125%
Eskalith CRlithium carbonateYes125%
EstraceestradiolYes125%
Estrace Vaginal CreamestradiolNo345%
EstradermestradiolNo235%
EstrasorbestradiolNo345%
Estratest, H.S.estrogen,ester/me-testosteroneYes125%
EstringestradiolNo235%
EstrogelestradiolNo345%
Estrogensfirst-line therapy when appropriateYes125%
Estrostep Fenoreth a-et estra/fe fumarateYes125%
Ethambutolethambutol hclYes125%
Ethezymepapain/ureaNo235%
Ethmozinemoricizine hclNo235%
Ethyl Chlorideethyl chlorideYes125%
Etrafonamitriptyline hcl/perphenazineYes125%
Eudal-Srguaifenesin/p-ephed hclYes125%
EulexinflutamideYes125%
EuraxcrotamitonNo235%
Evamistestradiol transdermal sprayNo345%
Evistaraloxifene hclNo235%
Evoclin Foamclindamycin phosphateYes125%
Evoxaccevimeline hclNo345%
Exalgohydromorphone hclNoPA345%
Exelderm Soln, Crsulconazole nitrateNo345%
Exelonrivastigmine tartrateYes125%
Exforge, HCTamlodipine/valsartanNoPA345%
ExjadedeferasiroxNoPA345%
Exodermsodium thiosulfate/sal acidYes125%
Extaviainterferon beta-1bNo345%
ExtinaketoconazoleNo345%
- F -[ Return to Top ]
Factivegemifloxacin mesylateNo345%
FamvirfamciclovirYes125%
FanaptiloperidoneNo345%
FanatrexgabapentinNo235%
Farestontoremifene citrateNo235%
FaslodexfulvestrantNo345%
FazacloclozapineNo345%
FelbatolfelbamateYes125%
FeldenepiroxicamYes125%
FemaraletrozoleYes125%
Femhrtnorethind ac/ethinyl estradiolYes125%
Femhrt 0.5MG-2.5MCGethinyl estradiol/noreth acNo235%
Femringestradiol acetateNo345%
Femtraceestradiol acetateNo345%
FenofibratefenofibrateYes125%
FenoglidefenofibrateNo345%
Fentorafentanyl citrateNoPA345%
Feocyte FAfe/vit c/vit b12/fa/vit b6/cuNo345%
Ferraplus 90iron/fa/b12/c/docusate sodiumYes125%
FerriproxdeferiproneNoPA345%
Ferrocite Plusiron/fa/vitamin b comp w-c/minYes125%
Ferromarferrous fumarateNo345%
Fertinexurofollitropin (fsh)NoPA235%
Fetrinferrous fumarate/vit c/b12-ifNo345%
Fexmidcyclobenzaprine hclYes125%
Fibricorfenofibric acidYes125%
Finaceaazelaic acidNo345%
Fioricet w/Codeinecodeine/butalbut/acetamin/caffYes125%
Fioricet;Esgic, Plusbutalb/acetaminophen/caffeineYes125%
Fiorinalbutalbital/aspirin/caffeineYes125%
Fiorinal w/Codeinecodeine/butalbital/asa/caffeinYes125%
Firazyricatibant acetateNoPA345%
First-ProgesteroneprogesteroneNo235%
FlagylmetronidazoleYes125%
Flagyl ERmetronidazoleNo235%
Flarexfluorometholone acetateNo235%
Flector Patchdiclofenac epolamineNoPA345%
Flexerilcyclobenzaprine hclYes125%
Flextra-650acetaminophen/phenyltolx citYes125%
Flomaxtamsulosin hclYes125%
Flonasefluticasone propionateYes125%
Flo-Predprednisolone acetateNo345%
Florineffludrocortisone acetateYes125%
Flovent Hfa, Diskusfluticasone propionateNo125%
FloxinofloxacinYes125%
Floxin OticofloxacinYes125%
Flumadinerimantadine hclYes125%
Fluocinolone Acetonidefluocinolone/shower capYes125%
Fluoxetine HCLfluoxetine hclNo345%
Fluphenazine HCLfluphenazine hclYes125%
Fluvoxamine Maleatefluvoxamine maleateYes125%
FmlfluorometholoneYes125%
Fml Forte, S.O.P.fluorometholoneNo235%
Focalindexmethylphenidate hclYes125%
Focalin XRdexmethylphenidate hclNo345%
Folbecal ca carbonate/vit b12/fa/vit b6Yes125%
Folcaps Omega-3pnv ca#37/iron cb,as,gl/fa/om3Yes125%
Follistim AQfollitropin beta,recombNoPA345%
Folmorfa/pyridox hcl/vit b12/mv-ao5No345%
Folpace RXmgox/e ac succ/b-12/fa/b6No345%
Foltratecyanocobalamin/folic acidNo345%
Folvitefolic acidYes125%
Folysinelysine/vitamin b complex/faNo345%
Foradilformoterol fumarateNo235%
Fortametmetformin hclYes125%
Fortavitmv/dietary 4/dna/rnaNo345%
ForteoteriparatideNoPA345%
FortestatestosteroneNoPA345%
Fosamaxalendronate sodiumYes125%
Fosamax Plus Dalendronate sodium/vitamin d3NoST345%
Fosrenollanthanum carbonateNo345%
Fragmindalteparin sodium,porcineNo345%
Frovafrovatriptan succinateNoST345%
Fumatinicferrous fumarate/vit c/b12-ifYes125%
FurosemidefurosemideYes125%
FuzeonenfuvirtideNo235%
- G -[ Return to Top ]
GabapentingabapentinNo235%
Gabitriltiagabine hclNo235%
Galzinzinc acetateNo345%
Ganirelix Acetateganirelix acetateNoPA235%
Gantrisin Suspsulfisoxazole acetylNo235%
Garamycingentamicin sulfateYes125%
Garimidesulfacetamide sodium/sulfurYes125%
Gastrinexcell/amy/lip/prote/p-tlox/hyosYes125%
Gastrocromcromolyn sodiumYes125%
Gelclairpot sor/hy-ethylcel/pvp/hyalurNo235%
Gel-Kamstannous fluorideYes125%
Gelniqueoxybutynin chlorideNo345%
Genepatussguaifen/d-methorphan hb/pe/cpYes125%
Generess FEnoreth-ethinyl estradiol/ironNo235%
Genhematfe fum/doss na/c/e/b12-if/faYes125%
GenotropinsomatropinNoPA235%
Gentamicin Cr, Ointgentamicin sulfateYes125%
Gentex HCguaifenesin/phenylephrine/hcodNo345%
Gentex Laguaifenesin/phenylephrine hclNo345%
Geocillincarbenicillin indanyl sodiumNo235%
Geodonziprasidone hclNo235%
Gerefsermorelin acetateNo235%
Gilenyafingolimod hydrochlorideNoPA345%
Gleevecimatinib mesylateNo235%
Glucagenglucagon,human recombinantNo235%
Glucagon Emergency Kitglucagon,human recombinantNo235%
Glucophagemetformin hclYes125%
Glucophage XRmetformin hclYes125%
GlucotrolglipizideYes125%
Glucotrol XLglipizideYes125%
Glucovanceglyburide/metformin hclYes125%
Glumetzametformin hclNo345%
Glycolaxpolyethylene glycol 3350Yes125%
Glynaseglyburide,micronizedYes125%
GlysetmiglitolNo345%
Golytelypeg 3350/na sulf,bicarb,cl/kclYes125%
Golytely Packetpeg 3350/na sulf,bicarb,cl/kclNo235%
Gonal-Ffollitropin alpha,recombNo235%
GralisegabapentinNoPA345%
Granulextrypsin/balsam peru/castor oilYes125%
Grifulvin V 500MGgriseofulvin,microsizeNo235%
Grifulvin V Suspgriseofulvin,microsizeYes125%
Gris Peggriseofulvin ultramicrosizeNo235%
Guanidine HCLguanidine hclYes125%
Guiaolex HCguaifenesin/phenylephrine/hcodYes125%
Gynazole-1butoconazole nitrateNo345%
GynodiolestradiolNo235%
- H -[ Return to Top ]
HalciontriazolamYes125%
HaldolhaloperidolYes125%
Halfanhalofantrine hclNo345%
Halflytelybisac/nacl/nahco3/kcl/peg 3350No345%
Halflytely-Bisacodylbisac/nacl/nahco3/kcl/peg 3350No345%
HaloghalcinonideNo345%
Haloperidol Decanoatehaloperidol decanoateYes125%
Hc Acetate/Pramoxine HCLhc acetate/pramoxine hclYes125%
HectoroldoxercalciferolNo345%
Helidactetracyc hcl/bis ss/metronidNo235%
Hematogen FAfe fumarate/vit c/vit b12/faYes125%
Hematron-AFiron,carb/dss/b12if/fa/mv-mnNo345%
Heparinheparin sodium,porcineYes125%
Heparin Sodiumheparin sodium,porcine/pfNo345%
Hepseraadefovir dipivoxilNo235%
HexalenaltretamineNo235%
Hiprex/Urexmethenamine hippurateYes125%
Histacol LAphenylephrine/cpmm/bellad alkYes125%
Histex PDcarbinoxamine maleateYes125%
Histinex HCphenylephrine/hydrocodone/cpYes125%
HividzalcitabineNo235%
Horizantgabapentin enacarbilNoPA345%
Humabid DMguaifenesin/d-methorphan hbYes125%
Humalog, Mixinsulin lispro,human rec.anlogNo235%
Humatinparomomycin sulfateYes125%
HumatropesomatropinNoPA345%
HumiraadalimumabNoPA235%
Humulin 70/30humulinNo235%
Humulin Nnph, human insulin isophaneNo235%
Humulin Rinsulin regular human recNo235%
Hycamtintopotecan hclNoPA235%
Hycethydrocodone bit/acetaminophenNo235%
Hycotussguaifenesin/hydrocodone bitYes125%
HydreahydroxyureaYes125%
HydrochlorothiazidehydrochlorothiazideYes125%
Hydrocodone Bit/Acetaminophenhydrocodone bit/acetaminophenYes125%
Hydrocortisonehydrocortisone acetateYes125%
Hydrodiuril, MicrozidehydrochlorothiazideYes125%
Hygroton, ThalitonechlorthalidoneYes125%
Hyperrho S-Drho(d) immune globulinNo235%
Hyper-Salsodium cl for inhalationYes125%
Hytrinterazosin hclYes125%
Hyzaarlosartan/hydrochlorothiazideYes125%
- I -[ Return to Top ]
Iberet-Folic 500ferrous sulfate/fa/vit bcomp&cYes125%
Ib-Stathyoscyamine sulfateNo235%
Ilotycinerythromycin baseYes125%
Imdurisosorbide mononitrateYes125%
Imitrex Injectionsumatriptan succinateYes125%
Imitrex Nasal SpraysumatriptanYes125%
Imitrex Tabletssumatriptan succinateYes125%
Imodiumloperamide hclYes125%
ImuranazathioprineYes125%
IncivektelaprevirNoPA235%
IncrelexmecaserminNoPA345%
Inderalpropranolol hclYes125%
Inderal LApropranolol hclYes125%
Inderidepropranolol/hydrochlorothiazideYes125%
IndocinindomethacinNo235%
Indocin SuppositoryindomethacinNo235%
Indocin, SRindomethacinYes125%
Infergeninterferon alfacon-1NoPA235%
Inflamase, Forteprednisolone sod phosphateYes125%
Innopran XLpropranolol hclNo345%
InspraeplerenoneYes125%
Intal Solutioncromolyn sodiumYes125%
Integra Firon fum & ps cmp/fa/vit c/b3Yes125%
Integra Plusiron fum & p/fa/vit b & c no.9Yes125%
IntelenceetravirineNo235%
Intron Ainterferon alfa-2b,recomb.NoPA235%
Intunivguanfacine hclNoPA345%
InvegapaliperidoneNoPA345%
Invirasesaquinavir mesylateNo235%
Ionaminphentermine resinNoPA235%
Iopidine Droperetteapraclonidine hclNo345%
Iopidine Dropsapraclonidine hclYes125%
Iplexmecasermin rinfabate/pfNoPA345%
IprivaskdesirudinNo345%
Irofoliron/folic acidNo345%
Irospaniron bisgly & ps/fa/b&c#12/sucNo345%
Isentressraltegravir potassiumNo235%
Ismo, Monoketisosorbide mononitrateYes125%
Isometheptene-Caff-Acetaminophisometheptene/acetaminoph/caffYes125%
IsoniazidisoniazidYes125%
Isopto Atropineatropine sulfateYes125%
Isopto CarbacholcarbacholYes125%
Isopto Carpinepilocarpine hclNo235%
Isopto Homatropinehomatropine hbrYes125%
Isopto Hyoscinescopolamine hydrobromideNo235%
Isordilisosorbide dinitrateYes125%
Istaloltimolol maleateNo235%
- J -[ Return to Top ]
Jakafiruxolitinib phosphateNoPA345%
Jalyndutasteride/tamsulosin hclNoST235%
Janumetsitagliptin phos/metformin hclNoPA345%
Januviasitagliptin phosphateNoPA345%
- K -[ Return to Top ]
Kadianmorphine sulfateYes125%
Kadian 200MGmorphine sulfateNo345%
Kaletraritonavir/lopinavirNo235%
Kaochlor-EFFpotassium chloride/pot bicarbNo345%
Kapvayclonidine hclNoPA345%
Kayciel, Kaon-Cl, Kaon Liquidpotassium chlorideYes125%
Kayexalatesodium polystyrene sulfonateYes125%
K-Dur, Slow-Kpotassium chlorideYes125%
Keflexcephalexin monohydrateYes125%
Keflex 750MGcephalexin monohydrateNo345%
Kemadrinprocyclidine hclNo235%
Kenalogtriamcinolone acetonideYes125%
KeppralevetiracetamYes125%
Keppra XRlevetiracetamYes125%
KeralacureaYes125%
Keralyt Scalpsalicylic acidNo345%
Kerlonebetaxolol hclYes125%
Kerolurea/lactic ac/zn undecylenateYes125%
KetektelithromycinNo345%
KetoconazoleketoconazoleYes125%
KetoprofenketoprofenYes125%
KineretanakinraNoPA345%
Klonopin, WaferclonazepamYes125%
Klor-Conpotassium chlorideYes125%
K-Lyte DSpot bicarb/potassium cit/caNo345%
K-Lyte, Klor-Con/EFpotassium bicarbonate/cit acYes125%
Kombiglyze XRsaxagliptin hcl/metformin hclNoPA345%
Kuvansapropterin dihydrochlorideNoPA235%
Kytrilgranisetron hclYes125%
- L -[ Return to Top ]
Lacriserthydroxypropyl celluloseNo235%
LactuloselactuloseYes125%
Lamictal DispertabslamotrigineYes125%
Lamictal ODTlamotrigineNo345%
Lamictal TabslamotrigineYes125%
Lamictal XRlamotrigineNo345%
Lamisil Granulesterbinafine hclNoPA345%
Lamisil Tabletsterbinafine hclYes125%
LanoxicapsdigoxinNo345%
LanoxindigoxinNo235%
Lantusinsulin glargine,hum.rec.anlogNo235%
Lantus Solostarinsulin glargine,hum.rec.anlogNo235%
Lapaseamylase/lipase/proteaseYes125%
Lariammefloquine hclYes125%
LasixfurosemideYes125%
LastacaftalcaftadineNo345%
Latudalurasidone hclNo345%
Lazandafentanyl citrateNoPA345%
Lescol, XLfluvastatin sodiumNoPA345%
LetairisambrisentanNoPA235%
Leucovorinleucovorin calciumYes125%
LeukeranchlorambucilNo235%
LeukinesargramostimNo235%
Levacetasa/sal-amide/apap/caffeinNo235%
LevaquinlevofloxacinYes125%
Levatolpenbutolol sulfateNo345%
Levbidhyoscyamine sulfateYes125%
Levemirinsulin detemirNo235%
Levitravardenafil hclNoPA345%
Levothyroxinelevothyroxine sodiumYes125%
Levsin, SLhyoscyamine sulfateYes125%
Levsinexhyoscyamine sulfateYes125%
Lexaproescitalopram oxalateNoST235%
Lexivafosamprenavir calciumNo235%
Lexxelenalapril maleate/felodipineNo345%
LialdamesalamineNo345%
Libraxclidinium br/chlordiazepoxideYes125%
LibritabschlordiazepoxideNo345%
Libriumchlordiazepoxide hclYes125%
Lidex, EfluocinonideYes125%
Lidocaine-HChydrocortisone ac/lidocaineYes125%
Lidocaine-Prilocainelidocaine/prilocaineYes125%
Lidocorthc acetate/lidocaine hclNo345%
Lidoderm PatchlidocaineNo345%
Lidositelidocaine hcl/epinephrineNo235%
Limbitrol, DSamitrip hcl/chlordiazepoxideYes125%
LindanelindaneYes125%
LioresalbaclofenYes125%
Lipitoratorvastatin calciumYesST125%
LipofenfenofibrateNo345%
Lithium Carbonatelithium carbonateYes125%
Lithium Citratelithium citrateYes125%
Lithobidlithium carbonateYes125%
Lithostatacetohydroxamic acidNo235%
Livalopitavastatin calciumNoST345%
Lo Loestrin Fenoreth a-et estra/fe fumarateNo345%
Lo/Ovralnorgestrel-ethinyl estradiolYes125%
Locoid Cr, Oint, Solnhydrocortisone butyrateYes125%
Locoid Lipocreamhydrocortisone butyrate/emollYes125%
Locoid Lotionhydrocortisone butyrateNo345%
LodineetodolacYes125%
Lodine XLetodolacYes125%
LodosyncarbidopaNo235%
Loestrin 24 Fenoreth a-et estra/fe fumarateNo345%
Loestrin, Fenoreth a-et estra/fe fumarateYes125%
Lofibrafenofibrate,micronizedYes125%
Lomotildiphenoxylate hcl/atrop sulfYes125%
LonitenminoxidilYes125%
LopidgemfibrozilYes125%
Lopressormetoprolol tartrateYes125%
Lopressor HCTmetoprolol/hydrochlorothiazideYes125%
LoproxciclopiroxYes125%
LoratadineloratadineYes125%
Lorcet-Hdhydrocodone bit/acetaminophenYes125%
Lorct 10-650hydrocodone bit/acetaminophenYes125%
LorzonechlorzoxazoneNo345%
Loseasoniquel-norgest-eth estr/ethin estraYes125%
Lotemaxloteprednol etabonateNo345%
Lotensinbenazepril hclYes125%
Lotensin HCTbenazepril/hydrochlorothiazideYes125%
Lotrelamlodipine besylate/benazeprilYes125%
LotriminclotrimazoleYes125%
Lotrisone Cr, Lotionclotrimazole/betamet dipropYes125%
Lotronexalosetron hclNoPA345%
Lovazaomega-3 acid ethyl estersNo345%
Lovenoxenoxaparin sodiumYes125%
Lovenox 300MG/3MLenoxaparin sodiumNo235%
Loxitaneloxapine succinateYes125%
LozolindapamideYes125%
LufyllindyphyllineNo235%
LumiganbimatoprostNo235%
LunestaeszopicloneNoPA345%
Lupronleuprolide acetateYes125%
Lupron Depotleuprolide acetateNo235%
Lupron Depot-Pedleuprolide acetateNo235%
Luridesodium fluorideYes125%
Luverislutropin alphaNoPA345%
Luvox CRfluvoxamine maleateNoST345%
Luxiqbetamethasone valerateNo345%
Lybrellevonorgestrel-eth estraYes125%
LyricapregabalinNoPA345%
LysodrenmitotaneNo235%
Lystedatranexamic acidNo345%
- M -[ Return to Top ]
MacrobidnitrofurantoinYes125%
Macrodantinnitrofurantoin macrocrystalYes125%
Maganmagnesium salicylateNo235%
Magnacetoxycodone hcl/acetaminophenNo345%
Magnebind 400 RXcalcium carbonate/mag carb/faNo345%
Malaroneatovaquone/proguanil hclYes125%
Mandelaminemethenamine mandelateYes125%
Maprotiline HCLmaprotiline hclYes125%
MarinoldronabinolYes125%
MaviktrandolaprilYes125%
Maxair Autohalerpirbuterol acetateNo345%
Maxalt, MLTrizatriptan benzoateNoST235%
Maxaquinlomefloxacin hclNo345%
MaxidexdexamethasoneNo345%
Maxidonehydrocodone bit/acetaminophenYes125%
Maxitrolneo/polymyx b sulf/dexamethYes125%
Maxzide, Dyazidetriamterene/hydrochlorothiazidYes125%
Meclomenmeclofenamate sodiumYes125%
Medent-PEguaifenesin/phenylephrine hclNo345%
MedrolmethylprednisoloneYes125%
Medrol, DosepakmethylprednisoloneYes125%
Megacemegestrol acetateYes125%
Megace ESmegestrol acetateNo345%
Mellarilthioridazine hclYes125%
M-End PEbrompheniramin/pe/codeine phosNo345%
Menestestrogens,esterifiedNo345%
MenopurmenotropinsNoPA345%
MenostarestradiolNo345%
Mentaxbutenafine hclNo345%
MephytonphytonadioneNo235%
MepronatovaquoneNo235%
Mesnex TabsmesnaNo235%
Mestinonpyridostigmine bromideYes125%
Mestinon Timespan, Syruppyridostigmine bromideNo235%
Metadate CDmethylphenidate hclNo235%
Metaglipglipizide/metformin hclYes125%
Metaproterenol Solnmetaproterenol sulfateYes125%
Methadonemethadone hclYes125%
Metherginemethylergonovine maleateYes125%
MethitestmethyltestosteroneNoPA345%
Methotrexatemethotrexate sodium/pfYes125%
Methylin Chewmethylphenidate hclNo345%
Methylin Solnmethylphenidate hclYes125%
Metoclopramide HCLmetoclopramide hclNo235%
Metozolv Odtmetoclopramide hclNo345%
Metrocream, Gel, LotionmetronidazoleYes125%
Metrogel Topical 1%metronidazoleNo235%
Metrogel-VaginalmetronidazoleYes125%
Metvixiamethyl aminolevulinate hclNo345%
MevacorlovastatinYes125%
Mexitilmexiletine hclYes125%
Miacalcin Injectioncalcitonin,salmon,syntheticNo235%
Miacalcin Nasal Spraycalcitonin,salmon,syntheticYes125%
MicardistelmisartanNoPA345%
Micardis HCTtelmisartan/hydrochlorothiazidNoPA345%
Micro-Kpotassium chlorideYes125%
Midamoramiloride hclYes125%
Midrinisometheptene/apap/dichlphenYes125%
Migergotergotamine tartrate/caffeineNo235%
Migranaldihydroergotamine mesylateNo235%
MillipredprednisoloneYes125%
Miltown, EquanilmeprobamateYes125%
Minipressprazosin hclYes125%
Minizideprazosin hcl/polythiazideNo345%
Minocin, Dynacinminocycline hclYes125%
MintezolthiabendazoleNo235%
Mirapexpramipexole di-hclYes125%
Mirapex Erpramipexole di-hclNoPA345%
Mircettedesog-et estra/ethin estraYes125%
Mobanmolindone hclNo235%
MobicmeloxicamYes125%
Modiconnorethindrone-ethinyl estradYes125%
Modureticamiloride/hydrochlorothiazideYes125%
Monistat 3miconazole nitrateYes125%
Monistat-Dermmiconazole nitrateYes125%
Monodoxdoxycycline monohydrateYes125%
Monoject Insulin Syringesyringe w-ndl, disp,insul,1mlYes125%
Monopril, HCTfosinopril/hydrochlorothiazideYes125%
Monurolfosfomycin tromethamineNo345%
Morphine Sulfatemorphine sulfateYes125%
Motofendifenoxin hcl/atropine sulfateNo345%
MotrinibuprofenYes125%
Movipreppeg3350/sod sul/nacl/asb/c/kclNo345%
Moxatagamoxicillin trihydrateNo345%
Moxezamoxifloxacin hclNo235%
Ms Contin/Oramorph SRmorphine sulfateYes125%
Msirmorphine sulfateYes125%
MucomystacetylcysteineYes125%
Multaqdronedarone hydrochlorideNo235%
Multichewmultivit, iron, min #4, faNo345%
MusealprostadilNoPA235%
Mycelex TrocheclotrimazoleYes125%
MycobutinrifabutinNo235%
MycostatinnystatinYes125%
MydriacyltropicamideYes125%
Myforticmycophenolate sodiumNo345%
MylocelhydroxyureaNo345%
Mynatalprenatal vit/fe fumarate/faYes125%
MysolineprimidoneYes125%
Mytelaseambenonium chlorideNo345%
- N -[ Return to Top ]
Naftinnaftifine hclNo345%
Nalbuphine HCLnalbuphine hclYes125%
Nalfonfenoprofen calciumNo235%
Nalfrxpseudoeph/pyril/dexchlor tannNo345%
Namenda, Solnmemantine hclNo235%
Naprelannaproxen sodiumNo345%
NaprosynnaproxenYes125%
Nardilphenelzine sulfateYes125%
Nasacort AQtriamcinolone acetonideYesST125%
Nasalideflunisolide 0.025% sprayYes125%
NasarelflunisolideYes125%
Nasatab LAguaifenesin/p-ephed hclYes125%
Nascobal GelcyanocobalaminNo345%
Nascobal SpraycyanocobalaminNo345%
Nasex-Gguaifenesin/phenylephrine hclYes125%
Nasonexmometasone furoateNoST345%
Nasop, 12phenylephrine tannateNo345%
Natacapspnv w-o ca no3/fe fumarate/faYes125%
Natachewpv w-o cal/ferrous fumarate/faYes125%
NatacynnatamycinNo235%
Natafortpnv without ca no.9/iron/faNo345%
Nataziaestradiol valerate/dienogestNo345%
Natelle Cpnv w-o ca.1/fe bisgly/faYes125%
NatrobaspinosadNo345%
Naturetin-5bendroflumethiazideNo345%
NavanethiothixeneYes125%
Nebupent Aerosolpentamidine isethionateNo235%
Necon 10/11norethindrone-ethinyl estradYes125%
Neevopnv with ca8/iron/fa/lm-folateYes125%
Neevo DHApnv#79/iron/fa/lmfolate ca/dhaYes345%
Neo-Fradinneomycin sulfateNo235%
Neomycinneomycin sulfateYes125%
Neoralcyclosporine, modifiedYes125%
Neosporin Ophth Solnneomycin/gramicidin/polymyxn bYes125%
Neosporin Opth Ointneomy sulf/bacitra/polymyxin bYes125%
Neo-Synephrinephenylephrine hclYes125%
Neoticantipyrine/benzocaine/zinc acNo345%
Neotuss-Dguaifen/dm hb/p-ephedrine/cpNo345%
Nephron FAfe fumarate/doss/fa/bcomp&cYes125%
Nephro-Vite RXfolic acid/vitamin b comp w-cYes125%
NeptazanemethazolamideYes125%
Nestabspnv comb.no.86/iron bisgly/faNo345%
Nestabs DHApnv #87/iron bisgly/fa/dhaNo345%
NeulastapegfilgrastimNo345%
NeumegaoprelvekinNo235%
NeupogenfilgrastimNo235%
Neurin-Slcyanocobalamin/mecobalaminNo345%
NeurontingabapentinYes125%
NevanacnepafenacNo345%
Nexa Selectpnv80/iron fumarate/fa/dss/dhaNo345%
Nexavarsorafenib tosylateNoPA235%
Nexiclon XRclonidine hclNoPA345%
Nexiumesomeprazole mag trihydrateNoPA345%
NiacorniacinNo235%
NiaspanniacinNo235%
Nicotine Gum, Nicorettenicotine polacrilexYes125%
Nicotine PatchnicotineYes125%
Nicotrol, NSnicotineNo345%
NifedipinenifedipineYes125%
Niferex, Forte, Goldiron aspgly&ps/c/b12/fa/ca/sucYes125%
NilandronnilutamideNo235%
NimotopnimodipineYes125%
NiravamalprazolamYes125%
Nitro-Bid OintmentnitroglycerinNo235%
Nitro-DurnitroglycerinNo345%
NitrofurantoinnitrofurantoinYes125%
Nitroglycerin PatchnitroglycerinYes125%
Nitroglycerin Sa CapnitroglycerinYes125%
NitromistnitroglycerinNo345%
NitrostatnitroglycerinNo235%
Nizoral, Cr, Shampoo 2%ketoconazoleYes125%
Noctecchloral hydrateYes125%
Norcohydrocodone bit/acetaminophenYes125%
Nordette, Levlenlevonorgestrel-eth estraYes125%
Norditropin NordiflexsomatropinNoPA345%
Norflexorphenadrine citrateYes125%
Norgesic, Forteorphenadrine/aspirin/caffeineYes125%
Norinyl 1/35, Ortho-Novum 1/35norethindrone-mestranolYes125%
Norinyl 1/50, Ortho-Novum 1/50norethindrone-ethinyl estradYes125%
NoritatemetronidazoleNo345%
Normodynelabetalol hclYes125%
NoroxinnorfloxacinNo345%
Norpacedisopyramide phosphateYes125%
Norpace CRdisopyramide phosphateNo235%
Norpramindesipramine hclYes125%
Norvascamlodipine besylateYes125%
NorvirritonavirNo235%
Novacorthc acetate/pramox hcl/aloe psNo235%
Novaferrumiron ps cmplx/fa/vit b12/vit cNo345%
Novarel, Pregnyl, Profasigonadotropin,chorionic,humanNoPA235%
Novasushydrocodone tannate/chlor-tanNo235%
Novolininsulin regular human recNo235%
Novologinsulin aspartNo235%
Novolog Mix insuln asp prt/insulin aspartNo235%
NoxafilposaconazoleNo235%
Nucorthydrocortisone acetate/alo verYes125%
Nucyntatapentadol hydrochlorideNoPA345%
Nucynta ERtapentadol hclNoPA345%
Nuedextadextromethorphan hbr/quinidineNoPA235%
Nu-Iron-Vfe ps cmplx/cal/e/fa/multivitNo345%
Nulytelysod sulf/sod/nahco3/kcl/peg'sYes125%
Nuoxbenzoyl peroxide/sulfurYes125%
Nutracareprenatal vitamins/iron/faNo345%
Nutricapfolic acid/mv,fe,other minNo345%
Nutrifac ZXfolic acid/multivits-minYes125%
Nutrivitiron/lysine/vit b comp/faNo345%
NutropinsomatropinNoPA235%
Nutropin AQ NuspinsomatropinNoPA235%
Nuvaringetonogestrel/ethinyl estradiolNo345%
NuvigilarmodafinilNoPA345%
NystatinnystatinYes125%
Nystatin w/Triamcinolonenystatin/triamcinYes125%
- O -[ Return to Top ]
Ocufenflurbiprofen sodiumYes125%
OcufloxofloxacinYes125%
Ocupresscarteolol hclYes125%
Ogen, Ortho-EstestropipateYes125%
Oleptrotrazodone hclNoPA345%
Oluxclobetasol propionateYes125%
Olux-Eclobetasol propionate/emollNo345%
Omeprazole OTComeprazoleYes125%
OmnarisciclesonideNoST345%
OmnicefcefdinirYes125%
OmnitropesomatropinNoPA345%
Onglyzasaxagliptin hydrochlorideNoPA345%
Onsolisfentanyl citrateNoPA345%
Opanaoxymorphone hclYesPA125%
Opana Er 7.5, 15MG oxymorphone hclNoPA345%
Opana ER 7.5, 15MG oxymorphone hclYes125%
Optasetrypsin/balsam peru/castor oilNo345%
Opticromcromolyn sodiumYes125%
OptipranololmetipranololYes125%
Optivarazelastine hclYes125%
Oraceadoxycycline monohydrateNoPA345%
Oracitcitric acid/sodium citrateNo345%
OrappimozideNo235%
Orapredprednisolone sod phosphateYes125%
Orapred ODTprednisolone sod phosphateNo345%
Orbivanbutalb/acetaminophen/caffeineNo345%
OrenciaabataceptNoPA345%
OrfadinnitisinoneNo345%
OrinasetolbutamideYes125%
Ortho Evraethinyl estradiol/norelgestNo235%
Ortho Micronor, Nor-QDnorethindroneYes125%
Ortho Tri-Cyclennorgestimate-ethinyl estradiolYes125%
Ortho Tri-Cyclen Lonorgestimate-ethinyl estradiolNo235%
Ortho-Cyclennorgestimate-ethinyl estradiolYes125%
Ortho-Novum 7/7/7norethindrone-ethinyl estradYes125%
OsmoglynglycerinNo235%
Osmoprep, Visicolnaphos m-b m-h/na phos,di-baNo345%
Ovacesulfacetamide sodiumYes125%
Ovcon 35norethindrone-ethinyl estradYes125%
Ovcon-50, Fenorethindrone-ethinyl estradNo345%
OvidemalathionYes125%
Ovidrelhcg alpha,recombinantNoPA235%
Ovralnorgestrel-ethinyl estradiolYes125%
Oxalisoxalic acidNo235%
OxandrinoxandroloneYesPA125%
Oxiplenvitamin e/folic acid/zinc/seNo235%
Oxistatoxiconazole nitrateNo345%
Oxsoralen, Ultramethoxsalen, rapidNo235%
Oxycodone Immediate Releaseoxycodone hclYes125%
Oxycontinoxycodone hclNoPA345%
Oxyiroxycodone hclYes125%
OxytroloxybutyninNo345%
- P -[ Return to Top ]
Paceroneamiodarone hclYes125%
Pacnexbenzoyl peroxideYes125%
Pahominbelladonna alkaloidsNo235%
Palgiccarbinoxamine maleateYes125%
Pamelor, Aventylnortriptyline hclYes125%
Panafilpapain/urea/chlorophyllinYes125%
Pancreazelipase/protease/amylaseNo235%
Pancrecarb MSamylase/lipase/proteaseNo345%
Pandelhydrocortisone probutateNo345%
Panixinecephalexin monohydrateNo345%
PanretinalitretinoinNo235%
Papaverine Capspapaverine hclYes125%
Papfyllpapain/urea/chlrph cppr cmp soNo345%
Parafon Forte DSCchlorzoxazoneYes125%
Parcopacarbidopa/levodopaYes125%
ParegoricparegoricYes125%
Paremydhydroxyamphetamine/tropicamideNo345%
Parlodelbromocriptine mesylateYes125%
Parnatetranylcypromine sulfateYes125%
Paseraminosalicylic acidNo235%
Patadayolopatadine hclNo345%
Patanaseolopatadine hclNo345%
Patanololopatadine hclNo235%
Paxilparoxetine hclYes125%
Paxil CRparoxetine hclYes125%
Pediazoleery e-succ/sulfisoxazoleYes125%
Pediox-Schlorpheniramine tannateNo345%
PeganoneethotoinNo235%
Pegasyspeginterferon alfa-2aNoPA235%
Pegasys Proclickpeginterferon alfa-2aNo235%
Peg-Intron, Redipenpeginterferon alfa-2bNoPA235%
Penicillin VKpenicillin v potassiumYes125%
PenlacciclopiroxYes125%
Pennsaiddiclofenac sodiumNoPA345%
PentasamesalamineNo235%
PepcidfamotidineYes125%
Pepcid (Rx Only)famotidineYes125%
Percocetoxycodone hcl/acetaminophenYes125%
Percodanoxycodone hcl/aspirinYes125%
Perforomistformoterol fumarateNoPA345%
Periactincyproheptadine hclYes125%
Peridexchlorhexidine gluconateYes125%
Periostatdoxycycline hyclateYes125%
Permaxpergolide mesylateNo235%
PerphenazineperphenazineYes125%
PersantinedipyridamoleYes125%
Pexevaparoxetine mesylateNoPA345%
PhanasinguaifenesinYes125%
Phanatuss HCguaifenesin/hydrocodone bitNo345%
Phena-Plusphenylephrine/pyril mal/cpNo345%
Phena-Sphenylephrine/pyril mal/cpYes125%
Phenerganpromethazine hclYes125%
Phenergan DMd-methorphan hb/prometh hclYes125%
Phenergan VCphenylephrine hcl/prometh hclYes125%
Phenergan w/Codeinecodeine/promethazine hclYes125%
PhenobarbitalphenobarbitalYes125%
Phentermine HCLphentermine hclNo235%
Phenydexguaifen/d-methorphan hb/pe/pyrNo345%
Phenytekphenytoin sodium extendedYes125%
PhisohexhexachloropheneNo235%
Phoslocalcium acetateYes125%
Phoslyracalcium acetateNo345%
Phospholine Iodideechothiophate iodideNo235%
Phrenilinbutalbital/acetaminophenYes125%
Pilocar, Isopto-Carpinepilocarpine hclYes125%
Pilopine HSpilocarpine hclNo235%
Pimapotassium iodideNo235%
PindololpindololYes125%
Plan BlevonorgestrelYes125%
Plaquenilhydroxychloroquine sulfateYes125%
Plavixclopidogrel bisulfateNo235%
PlendilfelodipineYes125%
PletalcilostazolYes125%
Plexion SCTsulfacet sod/sulfur/witch hazYes125%
Plexion, TSsulfacetamide sodium/sulfurYes125%
Podocon-25podophyllum resinNo235%
Polaraminedexchlorpheniramine maleateYes125%
Polycitrasod/potass/k cit/sod cit/caYes125%
Ponstel mefenamic acidYes125%
Pontocainetetracaine hclNo235%
Pradaxadabigatran etexilate mesylateNo235%
Pramosonehc acetate/pramoxine hclYes125%
Pramosone Ehydrocort ace/pramox hcl/emollNo345%
Pramosone Oint, Lotionhc acetate/pramoxine hclNo345%
Pramoxpramoxine hclYes125%
Prandimetrepaglinide/metformin hclNoPA345%
PrandinrepaglinideNo235%
Pravacholpravastatin sodiumYes125%
Precarepv w-o vit a/fe fumarate/faYes125%
Pred Forteprednisolone acetateYes125%
Pred Mildprednisolone acetateNo235%
Pred-Ggentamicin/prednisol acNo345%
PrednisoneprednisoneYes125%
Prefera-OB Plus DHApn vits.w-o ca #8, iron,faYes125%
Prefera-OB Plus DHApnv combo #8/iron/folic ac/dhaYes125%
Premarin, Creamestrogens,conjugatedNo235%
Prempro/Premphaseestrogen,con/m-progest acetNo235%
Prenaissancepnv80/iron fumarate/fa/dss/dhaYes125%
Prenatal 19prenatal vit/fe fumarate/faYes125%
Prenatal Low Ironpnv with ca,no.74/iron/faYes125%
Prenatal Plus, Stuartnatal, Prenapluspnv with ca,no.71/iron/faYes125%
PrevacidlansoprazoleYesST125%
Prevacid Solutab lansoprazoleYesST125%
Previdentsodium fluorideYes125%
Prevpaclansoprazole/amox tr/clarithNo235%
Prezista(Must Be Used With Norvir)darunavir ethanolateNo235%
PriftinrifapentineNo345%
Prilosec Suspensionomeprazole magnesiumNoPA345%
Prilosec, OTComeprazole magnesiumYes125%
PrimsoltrimethoprimNo235%
Prinivil, ZestrillisinoprilYes125%
Prinzide, Zestoreticlisinopril/hydrochlorothiazideYes125%
Pristiqdesvenlafaxine succinateNoST345%
Proair HFA, Ventolin HFAalbuterolNo235%
Proamatinemidodrine hclYes125%
Pro-Banthine 15MGpropantheline bromideYes125%
ProbenecidprobenecidYes125%
Procainamide HCLprocainamide hclNo235%
Procanbidprocainamide hclNo235%
Procardia, XL;Adalat CCnifedipineYes125%
Procentrad-amphetamine sulfateNoPA345%
Pro-Clear Caps guaifenesin/codeine phosYes125%
Procritepoetin alfaNoPA235%
ProctocorthydrocortisoneYes125%
Proctocort Suppositoryhydrocortisone acetateYes125%
Proctofoampramoxine hclYes125%
Proctofoam-HChc acetate/pramoxine hclNo235%
Procto-KithydrocortisoneNo235%
Prodrinisometheptene/acetaminoph/caffNo345%
Profasi 5000Unitsgonadotropin,chorionic,humanNoPA235%
Proferrin-Fortefe heme polypeptide/folic acidNo345%
Progesterone In Oil (Inj)progesteroneYes125%
Prograftacrolimus anhydrousYes125%
Prolex DHpot guaiaco/hydrocodone bitYes125%
Prolixinfluphenazine hclYes125%
Promactaeltrombopag olamineNoPA235%
Promarmultivits w-iron,hematinicNo345%
Prometriumprogesterone,micronizedNo235%
Pronestyl, SRprocainamide hclYes125%
Propranolol HCLpropranolol hclYes125%
PropylthiouracilpropylthiouracilYes125%
ProscarfinasterideYes125%
ProsomestazolamYes125%
Prostigminneostigmine bromideNo235%
Protect Natalpnv82/feps/fa/om3/dha/epa/fishNo345%
Protidphenylephrine/acetaminophn/cpNo345%
Protonixpantoprazole sodiumYes125%
Protonix Suspensionpantoprazole sodiumNoST345%
ProtopictacrolimusNoST345%
Proventil HFAalbuterolNo345%
Proventil Solutionalbuterol sulfateYes125%
Proveramedroxyprogesterone acetYes125%
ProvigilmodafinilNoPA235%
Provocholinemethacholine chlorideNo235%
Prozac Weeklyfluoxetine hclYesPA125%
Prozac, Sarafemfluoxetine hclYes125%
Psorcon Ediflorasone diacetate/emollNo345%
Psorcon, Floronediflorasone diacetateYes125%
Pulmicort Inh (Tier 1-Bcn Only)budesonideNo125%
Pulmicort SolnbudesonideNo125%
Pulmozymedornase alfaNo235%
PurinetholmercaptopurineYes125%
Pylerabismuth/metronid/tetracyclineNo345%
PyrazinamidepyrazinamideYes125%
Pyridiumphenazopyridine hclYes125%
Pyril Dphenylephrine/pyrilamineNo345%
Pyrogallic AcidpyrogallolNo235%
- Q -[ Return to Top ]
Qualaquinquinine sulfateNo345%
Questran, Questran LightcholestyramineYes125%
Quinidexquinidine sulfateYes125%
Quinidine Gluconate SAquinidine gluconateYes125%
Quinidine Sulfatequinidine sulfateYes125%
QuixinlevofloxacinYes125%
Qvarbeclomethasone dipropionateNo125%
- R -[ Return to Top ]
RanexaranolazineNoPA345%
RapaflosilodosinNo345%
Rapamune Tabs, SolutionsirolimusNo235%
Razadyne Solutiongalantamine hydrobromideYes125%
Razadyne, ERgalantamine hydrobromideYes125%
RebetolribavirinYesPA125%
Rebetol SolutionribavirinNoPA235%
Rebetronribavirin/interferon a-2bNoPA345%
Rebifinterferon beta-1a/albuminNo235%
Reglan Tab, Solutionmetoclopramide hclYes125%
RegranexbecaplerminNoPA345%
Relacon Laxguaifenesin/d-methorphan hbYes125%
Relacon-HCphenylephrine/hydrocodone/cpNo345%
RelafennabumetoneYes125%
Relamineglucosam/chondroitin/mv antox5No345%
RelenzazanamivirNo235%
RelistormethylnaltrexoneNoPA235%
Relnate DHApnv 11-iron fum-folic acid-om3Yes125%
Relpaxeletriptan hydrobromideNoST345%
RemeronmirtazapineYes125%
Remeron SoltabmirtazapineYes125%
Remodulintreprostinil sodiumNo235%
Renacidinmag carb/citric acid/g-lactoneNo235%
Renagelsevelamer hclNo235%
Renate DHA Extrapnv55/iron b-g su ch-p/fa/om-3Yes125%
Renvela Packet 0.8Gsevelamer carbonateNo345%
Renvela Packet 2.4Gsevelamer carbonateNo235%
Renvela Tabletsevelamer carbonateNo235%
Repliva 21-7iron ag&fum/c/fa/mv cmb11/ca-tYes125%
Reprexainhydrocodone/ibuprofenYes125%
RepronexmenotropinsNoPA235%
Req49+mv, min cmb#16/fa/lutein/lycopNo345%
Requipropinirole hclYes125%
Requip XLropinirole hclNo345%
Rescriptordelavirdine mesylateNo235%
ResectisolmannitolNo235%
ReserpinereserpineYes125%
Respaire-60guaifenesin/p-ephed hclYes125%
Respa-PEguaifenesin/phenylephrine hclNo345%
Respi-Tann PDcar-b-pen ta/p-epd tanYes125%
RestasiscyclosporineNo235%
RestoriltemazepamYes125%
Retin-A Microtretinoin microspheresNo235%
Retin-A, AvitatretinoinYes125%
RetrovirzidovudineYes125%
Revatiosildenafil citrateNoPA235%
Revianaltrexone hclYes125%
RevlimidlenalidomideNoPA345%
Reyatazatazanavir sulfateNo235%
Rezirap-ephed hcl/hydrocodone bitNo345%
Rheumatrex, Trexallmethotrexate sodiumNo235%
Rhinocort AquabudesonideNoST345%
RibapakribavirinYesPA125%
RibavirinribavirinYesPA125%
Ricobidphenylephrine/chlor-tanNo345%
RidauraauranofinNo235%
RifadinrifampinYes125%
Rifamaterifampin/isoniazidYes125%
Rifaterrifampin/inh/pyrazinamideNo345%
RilutekriluzoleNo235%
Rimso-50dimethyl sulfoxideNo235%
Riometmetformin hclNo345%
Risperdal M-TabrisperidoneYes125%
Ritalin Lamethylphenidate hclYesPA125%
Ritalin, SR; Methylin, ERmethylphenidate hclYes125%
RobaxinmethocarbamolYes125%
Robinul, ForteglycopyrrolateYes125%
RocaltrolcalcitriolYes125%
Roferon-Ainterferon alfa-2a,recomb.No235%
Rosanilsulfacetamide sodium/sulfurYes125%
Rosula Cleansersulfacetamide sod/sulfur/ureaYes125%
Rovin-A DHApnv#31/iron,el.&glu/fa/dss/dhaNo345%
Rowasamesalamine w/cleansing wipesYes125%
Rowasa EnemamesalamineYes125%
Roxanolmorphine sulfateYes125%
Roxicetoxycodone hcl/acetaminophenNo235%
RozeremramelteonNoPA345%
Rum-Kpotassium chlorideNo235%
Rybix ODTtramadol hclNoPA345%
Rythmolpropafenone hclYes125%
Rythmol SRpropafenone hclYes125%
Ryzolttramadol hclYesPA125%
- S -[ Return to Top ]
SabrilvigabatrinNo235%
Safyraldrospir/eth estra/levomefol caNo345%
SaizensomatropinNoPA345%
Salacynsalicylic acidYes125%
Salagenpilocarpine hclYes125%
Salexsalicylic acid/ceramidesYes125%
Salkerasalicylic acidYes125%
SamscatolvaptanNo235%
Sancturatrospium chlorideYes125%
Sanctura XRtrospium chlorideNo345%
SancusogranisetronNoST345%
SandimmunecyclosporineNo235%
Sandostatinoctreotide acetateYes125%
Sandostatin LARoctreotide acetateNoPA235%
SantylcollagenaseNo235%
SaphrisasenapineNo345%
Sarafem Tabletfluoxetine hclNo345%
Savellamilnacipran hclNoPA345%
Seasonalelevonorgestrel-eth estraYes125%
Seasoniquel-norgest-eth estr/ethin estraYes125%
Sectralacebutolol hclYes125%
Selsun RXselenium sulfideYes125%
Sensiparcinacalcet hclNo235%
SeraxoxazepamYes125%
Serevent Diskussalmeterol xinafoateNo235%
SeromycincycloserineNo235%
Seroquelquetiapine fumarateNo235%
Seroquel XRquetiapine fumarateNoPA345%
SerostimsomatropinNoPA345%
Serzonenefazodone hclYesPA125%
Sideroliron/liver ext/vit bcomp&c/minNo345%
Silenordoxepin hclNoPA345%
Silvadenesilver sulfadiazineYes125%
Silver Nitratesilver nitrateNo235%
Simcorniacin/simvastatinNoST345%
Simetylsimethicone/bellad alkNo345%
SimponigolimumabNoPA345%
Sinemetcarbidopa/levodopaYes125%
Sinemet, CRcarbidopa/levodopaYes125%
Sinequan, Adapindoxepin hclYes125%
Singulairmontelukast sodiumNo235%
Sitrexguaifenesin/phenylephrine hclNo345%
SkelaxinmetaxaloneYes125%
Sodium Chloridesodium cl for inhalationYes125%
Solarazediclofenac sodiumNo345%
Solodyn 45, 90, 135MGminocycline hclYesPA125%
Solodyn 55, 65, 80, 105, 115MGminocycline hclNoPA345%
Soltamoxtamoxifen citrateNo345%
SomacarisoprodolYes125%
Soma Compoundcarisoprodol/aspirinYes125%
Soma Compound w/Codeinecodeine phos/carisoprodol/asaYes125%
Somatuline Depotlanreotide acetateNo235%
SomavertpegvisomantNoPA235%
SonatazaleplonYes125%
Sorbitol-Mannitolmannitol/sorbitol solutionNo235%
Sorbutussguaifen/d-methorphan hb/k citNo345%
SoriataneacitretinNo235%
Spacolbelladonna alkaloidsNo235%
Spectazoleeconazole nitrateYes125%
Spectracefcefditoren pivoxilYes125%
Spirivatiotropium bromideNo235%
Sporanox CapsitraconazoleYes125%
Sporanox SolnitraconazoleNo235%
Sprixketorolac tromethamineNo345%
SpryceldasatinibNoPA235%
Sskipotassium iodideYes125%
Stadolbutorphanol tartrateYes125%
Stadol NSbutorphanol tartrateYes125%
Stahistp-ephed hcl/cpmm/atp/scop/hyosNo345%
Stalevocarbidopa/levodopa/entacaponeNo235%
StarlixnateglinideYes125%
Staticinerythromycin base/ethanolYes125%
Statuss Greenpe/p-ephedrine/hcod/pyril/cpNo345%
Stavzorvalproic acidNo345%
Staxynvardenafil hclNoPA345%
Stelazinetrifluoperazine hclYes125%
Stimatedesmopressin acetateNo235%
Stratteraatomoxetine hclNoPA345%
StrianttestosteroneNo345%
Stromectrol - Single DoseivermectinNo235%
Suboxone Filmbuprenorphine hcl/naloxone hclNoPA235%
Suboxone Tabsbuprenorphine hcl/naloxone hclNoPA235%
SucraidsacrosidaseNo235%
SularnisoldipineYes125%
Sulfacet-Rsulfacetamide sodium/sulfurYes125%
SulfadiazinesulfadiazineYes125%
Sulfamylonmafenide acetateNo235%
Sumavel Doseprosumatriptan succinateNoPA345%
Sumaxinsulfacetamide sodium/sulfurYes125%
Sumycintetracycline hclYes125%
SupraxcefiximeNo345%
Surmontiltrimipramine maleateYes125%
SustivaefavirenzNo235%
Sutentsunitinib malateNoPA235%
Sylatronpeginterferon alfa-2bNoPA345%
Symax Duotabhyoscyamine sulfateYes125%
Symbicortbudesonide/formoterol fumarateNo235%
Symbyaxolanzapine/fluoxetine hclNo345%
Symlinpramlintide acetateNoST345%
Symmetrelamantadine hclYes125%
Synalar 0.025% Cream, Ointfluocinolone acetonideYes125%
Synalgos-DCdihydrocodeine/aspirin/caffeinNo235%
Synarelnafarelin acetateNo235%
Syneralidocaine/tetracaineNo235%
Syprinetrientine hclNo345%
- T -[ Return to Top ]
Taclonex, Scalpbetamet diprop/calcipotrieneNoPA345%
Tagamet (Rx Only)cimetidineYes125%
Talacenpentazocine hcl/acetaminophenYes125%
Talwin Nxpentazocine hcl/naloxone hclYes125%
Tambocorflecainide acetateYes125%
Tamiflu Cap, Susposeltamivir phosphateNo235%
Tamoxifen Citratetamoxifen citrateYes125%
TapazolemethimazoleYes125%
Tarcevaerlotinib hclNoPA235%
TargretinbexaroteneNo345%
Tarkatrandolapril/verapamil hclYes125%
Taron Prenatalpnv39/iron fumarate/fa/dss/dhaYes125%
Taron-BCpnv with ca,no63/iron/fa/b6Yes125%
TasmartolcaponeNo345%
Tavist Rx (2.68MG, Syrup)clemastine fumarateYes125%
TazoractazaroteneNo235%
Tegretol XR 100MGcarbamazepineNo235%
Tegretol, XRcarbamazepineYes125%
Tekamloaliskiren/amlodipineNoST345%
Tekturnaaliskiren hemifumarateNoPA345%
Tekturna HCTaliskiren/hydrochlorothiazideNoPA345%
TemodartemozolomideNo235%
Temovate Emollientclobetasol propionate/emollYes125%
Temovate, Clobevateclobetasol propionateYes125%
Tenexguanfacine hclYes125%
Tenoreticatenolol/chlorthalidoneYes125%
TenorminatenololYes125%
Tenuatediethylpropion hclYesPA125%
Terazol- 3, 7terconazoleYes125%
Terramycin w/Polymyxinoxy-tcn hcl/polymyx b sulfNo235%
Tesamone-100testosteroneYes125%
Tessalon, PerlesbenzonatateYes125%
TestimtestosteroneNo345%
Testred, AndroidmethyltestosteroneNo345%
Tetracyclinetetracycline hclYes125%
Teveteneprosartan mesylateYes125%
Teveten 400MGeprosartan mesylateNoPA345%
Teveten HCTeprosartan/hydrochlorothiazideNoPA345%
Tev-TropinsomatropinNoPA345%
TexacorthydrocortisoneNo235%
ThalitonechlorthalidoneNo235%
ThalomidthalidomideNo235%
Theo-24theophylline anhydrousNo235%
Theophylline Anhydroustheophylline anhydrousYes125%
ThioguaninethioguanineNo235%
ThiolatioproninNo235%
Thorazinechlorpromazine hclYes125%
ThyrolarliotrixNo235%
Tiazacdiltiazem hclYes125%
Ticlidticlopidine hclYes125%
Tigantrimethobenzamide hclYes125%
TikosyndofetilideNo235%
Tiladenedocromil sodiumYes125%
Timoptictimolol maleateYes125%
Timoptic - XEtimolol maleateYes125%
TindamaxtinidazoleNo235%
Tirosintlevothyroxine sodiumNo345%
Tobitobramycin/0.25 normal salineNo235%
Tobradex Ointtobramycin sulfate/dexamethNo235%
Tobradex Susptobramycin sulfate/dexamethYes125%
Tobrextobramycin sulfateYes125%
Tofranilimipramine hclYes125%
Tofranil-Pmimipramine pamoateYes125%
TolazamidetolazamideYes125%
Tolectin, DStolmetin sodiumYes125%
TolinasetolazamideYes125%
TopamaxtopiramateYes125%
Topamax SprinkletopiramateYes125%
Topicort Cr, Gel, OintdesoximetasoneYes125%
Topicort LPdesoximetasoneYes125%
Toprol XLmetoprolol succinateYes125%
Toradolketorolac tromethamineYes125%
Toviazfesoterodine fumarateNo345%
TracleerbosentanNoPA235%
TradjentalinagliptinNoPA345%
Transderm-Scopscopolamine hydrobromideNo235%
Tranxeneclorazepate dipotassiumYes125%
Travatan, ZtravoprostNo235%
TrecatorethionamideNo345%
Trelstar Depot, LAtriptorelin pamoateNo235%
TrentalpentoxifyllineYes125%
Tretinointretinoin/emollientNo235%
Treximetsumatriptan succ/naproxen sodNoPA345%
Triamcinolone Acetonidetriamcinolone acetonideYes125%
Tribenzorolmesartan med/amlodipine/hctzNoST345%
Tricorfenofibrate nanocrystallizedNo235%
Triglidefenofibrate nanocrystallizedNo345%
TrileptaloxcarbazepineYes125%
Trileptal SuspoxcarbazepineYes125%
Trilipixfenofibric acidNoPA345%
Trilisatecholine magnesium trisalicylateYes125%
Trimethobenzamide HCLtrimethobenzamide hclYes125%
TrimethoprimtrimethoprimYes125%
Tri-Norinylnorethindrone-ethinyl estradYes125%
Trioxinchloroxylenol/benzoc/hydrocortYes125%
Triphasil, Trilevlenlevonorgestrel-eth estraYes125%
Tri-Vi-Florfluoride ion/vit a,c&dYes125%
Tri-Vit With Fluoride-Ironfluoride ion/iron/vit a,c&dYes125%
Trizivirabacavir/lamivudine/zidovudineNo235%
Trusoptdorzolamide hclYes125%
Truvadaemtricitabine/tenofovirNo235%
T-Staterythromycin base/ethanolYes125%
T-Tanna DMd-methorp tan/p-epd tan/cpYes125%
Tusnel Ped-Cguaifenesin/p-ephed hcl/codNo345%
Tussar SFguaifenesin/p-ephed hcl/codYes125%
Tussionexhydrocodone/chlorphen polisYes125%
Tussiorganidinguaifenesin/codeine phosYes125%
TwinjectepinephrineNo235%
Twynstatelmisartan/amlodipineNoPA345%
Tykerblapatinib ditosylateNoPA235%
Tylenol w/Codeinecodeine phos/acetaminophenYes125%
Tyloxoxycodone hcl/acetaminophenYes125%
TyvasotreprostinilNoPA235%
TyzekatelbivudineNo345%
Tyzinetetrahydrozoline hclNo235%
- U -[ Return to Top ]
Udaminfa/multivits-min/min aa chelNo345%
UloricfebuxostatNoPA235%
Ultracettramadol hcl/acetaminophenYes125%
Ultramtramadol hclYes125%
Ultram ERtramadol hclYesST125%
Ultrase MTamylase/lipase/proteaseNo235%
Ultravatehalobetasol propionateYes125%
UmectaureaYes125%
Uniphyltheophylline anhydrousYes125%
Unireticmoexipril/hydrochlorothiazideYes125%
Univascmoexipril hclYes125%
UramaxinureaYes125%
UreaureaYes125%
Urecholinebethanechol chlorideYes125%
Urellemth/me blue/salicy/na phos/hyoNo235%
Uretron D-Smth/me blue/ba/salicy/atp/hyosNo235%
Uribelmth/me blue/sod phos/phen/hyosNo235%
Urispasflavoxate hclYes125%
Urisymmth/me blue/salicy/na phos/hyoNo235%
Uritact-Ecmth/me blue/ba/salicy/atp/hyosNo235%
Uro Bluemethenamine/hyoscyamineNo235%
Urocit-Kpotassium citrateYes125%
Urogesicmethen/sod phos/meth blue/hyosYes125%
Urogesic-Bluemth/me blue/salicy/na phos/hyoYes125%
Urolene Bluemethylene blueNo235%
Uroxatralalfuzosin hclYes125%
UrsoursodiolYes125%
Urso ForteursodiolYes125%
- V -[ Return to Top ]
VagifemestradiolNo235%
Valcytevalganciclovir hydrochlorideNo235%
Valisone Cr, Lotion, Ointbetamethasone valerateYes125%
ValiumdiazepamYes125%
Valproic Acidvalproate sodiumYes125%
Valtrexvalacyclovir hclYes125%
Valturnaaliskiren/valsartanNoPA345%
Vancocin HCLvancomycin hclNo235%
Vanos 0.1% CrfluocinonideNo345%
Vanoxide-HCbenz perox/hc/skin clnsr no.14Yes125%
Vantincefpodoxime proxetilYes125%
Vasereticenalapril/hydrochlorothiazideYes125%
Vasocidinna sulfacetm/prednis spYes125%
Vasodilanisoxsuprine hclYes125%
Vasotecenalapril maleateYes125%
VecticalcalcitriolNo345%
VelosefcephradineNo235%
Veltinclindamycin/tretinoinNoPA345%
Venlafaxine HCL ERvenlafaxine hclYes125%
VentavisiloprostNoPA235%
VepesidetoposideYes125%
Veramystfluticasone furoateNoST345%
VerdesodesonideNoST345%
VeregensinecatechinsNo345%
Verelanverapamil hclYes125%
Verelan PMverapamil hclYes125%
Veripred 20prednisolone sod phosphateYes125%
VermoxmebendazoleYes125%
Vesicaresolifenacin succinateNo345%
VexolrimexoloneNo235%
VfendvoriconazoleYes125%
Viagrasildenafil citrateNoPA235%
Vibramycin, Vibratabsdoxycycline hyclateYes125%
Vicodin EShydrocodone bit/acetaminophenYes125%
Vicodin, Lortabhydrocodone bit/acetaminophenYes125%
Vicoprofenhydrocodone/ibuprofenYes125%
VictozaliraglutideNoPA345%
VictrelisboceprevirNoPA235%
VidexdidanosineNo235%
Videx ECdidanosineYes125%
Vigamoxmoxifloxacin hclNo235%
Viibrydvilazodone hydrochlorideNoPA345%
Vimovonaproxen/esomeprazole magNoPA345%
VimpatlacosamideNo235%
Vinate IIprenatal vitamins/fe bisgly/faYes125%
Viokaseamylase/lipase/proteaseNo235%
Viraceptnelfinavir mesylateNo235%
ViramunenevirapineYes235%
Viramune XRnevirapineNo345%
VirazoleribavirinNoPA235%
Vireadtenofovir disoproxil fumarateNo235%
ViroptictrifluridineYes125%
Vistarilhydroxyzine pamoateYes125%
Vivactilprotriptyline hclYes125%
VivelleestradiolYes125%
Vivelle-DotestradiolNo235%
Vol-Natepnv with ca,no.73/iron/faYes125%
Vol-Pluspnv with ca,no.71/iron/faNo345%
Vol-Tab Rxprenatal vit #76/iron,carb/faYes125%
Voltarendiclofenac sodiumYes125%
Voltaren Geldiclofenac sodiumNoPA345%
Voltaren-XRdiclofenac sodiumYes125%
Vopaccodeine phos/acetaminophenYes125%
Vospire ERalbuterol sulfateYes125%
Votrientpazopanib hydrochlorideNoPA235%
Vusionmiconazole nitrate/zinc oxideNo345%
Vytorinezetimibe/simvastatinNoPA345%
Vyvanselisdexamfetamine dimesylateNoPA345%
- W -[ Return to Top ]
Welcholcolesevelam hclNo235%
Wellbutrin XL bupropion hclYes125%
Wellbutrin, SRbupropion hclYes125%
Westcorthydrocortisone valerateYes125%
- X -[ Return to Top ]
XalatanlatanoprostYes125%
XalkoricrizotinibNoPA345%
XanaxalprazolamNo235%
Xanax, XRalprazolamYes125%
XareltorivaroxabanNo235%
XelodacapecitabineNo235%
XenazinetetrabenazineNoPA235%
XenicalorlistatNoPA345%
Xereseacyclovir/hydrocortisoneNo345%
Xibrombromfenac sodiumYes125%
Xifaxan 200MGrifaximinNo345%
Xifaxan 550MGrifaximinNoPA345%
Xodolhydrocodone bit/acetaminophenYes125%
XolegelketoconazoleNo345%
Xopenex 1.25MG/0.5MLlevalbuterol hclYes125%
Xopenex HFAlevalbuterol tartrateNo345%
Xopenex Solutionlevalbuterol hclNo345%
Xpect-HCguaifenesin/hydrocodone bitNo345%
Xylocaine (Rx Only)lidocaine hclYes125%
Xylocaine Viscouslidocaine hclYes125%
Xyremsodium oxybateNoPA345%
Xyzallevocetirizine dihydrochlorideYes125%
- Y -[ Return to Top ]
Yasmin 28ethinyl estradiol/drospirenoneYes125%
Yazethinyl estradiol/drospirenoneYes125%
Yohimbine HCLyohimbine hclYes125%
- Z -[ Return to Top ]
Zaditorketotifen fumarateYes125%
Zanaflex Capstizanidine hclNoPA125%
Zanaflex Tabstizanidine hclYesPA125%
Zantac (Rx Only)ranitidine hclYes125%
ZarontinethosuximideYes125%
ZaroxolynmetolazoneYes125%
ZavescamiglustatNo345%
Zebetabisoprolol fumarateYes125%
Zebutalbutalb/acetaminophen/caffeineYes125%
Zegerid Packetomeprazole/sodium bicarbonateNoPA345%
Zegerid RXomeprazole/sodium bicarbonateYesPA125%
Zelaparselegiline hclNo345%
ZelborafvemurafenibNoPA235%
ZemplarparicalcitolNo345%
Zenpepamylase/lipase/proteaseNo235%
Zeosacontraceptives,oralYes125%
ZeritstavudineYes125%
ZetiaezetimibeNoST235%
Ziacbisoprol/hydrochlorothiazideYes125%
Ziagenabacavir sulfateNo235%
Ziana Gelclindamycin/tretinoinNoPA345%
Zipsordiclofenac potassiumNo345%
ZirganganciclovirNo235%
Zithranol-RRanthralinNo345%
ZithromaxazithromycinYes125%
ZmaxazithromycinNo345%
ZocorsimvastatinYes125%
Zofranondansetron hclYes125%
Zofran, ODTondansetronYes125%
Zoladexgoserelin acetateNo235%
ZolinzavorinostatNoPA235%
Zoloftsertraline hclYes125%
Zolpimistzolpidem tartrateNoPA345%
Zolvithydrocodone bit/acetaminophenNo345%
Zomig Nasal SprayzolmitriptanNoST345%
Zomig, ZMTzolmitriptanNoST345%
Zonalon, Prudoxindoxepin hclNo235%
ZonatussbenzonatateNo345%
ZonegranzonisamideYes125%
ZorbtivesomatropinNoPA345%
ZortresseverolimusNo345%
ZoviraxacyclovirYes125%
Zovirax Cream, OintacyclovirNo235%
Z-Pramhc acetate/pramoxine hclYes125%
ZuplenzondansetronNoST345%
Zutriprop-ephed hcl/hydrocodone/cpNo345%
Zybanbupropion hclYes125%
ZyclaraimiquimodNo345%
Zydonehydrocodone bit/acetaminophenNo345%
Zyflo, CRzileutonNo345%
Zylettobramycin/lotepred etabNo345%
ZyloprimallopurinolYes125%
ZymaxidgatifloxacinNo345%
Zyprexa, ZydisolanzapineYes125%
Zyrteccetirizine hclYes125%
Zyrtec-Dp-ephed hcl/cetirizine hclYes125%
Zytigaabiraterone acetateNoPA345%
ZyvoxlinezolidNo235%

page modified 09/23/2011