65351 Y0070_NA026578_WCM_FOR_CHI_FINAL_04_NA_10_15_PREFACE.indd

H 2015H 綜合處方藥目錄 承保的藥物清單 Medicare Advantage 計劃 請仔細閱讀 本文件包含了我 們在這個計劃中承保的一些藥 物資訊 此處方藥目錄於 10/01/2015 更新 欲了解更多的最新資訊或有其他 疑問 請撥打本處方藥目錄封面和 封底頁內所列電話號碼 聯絡 Easy Choice 或瀏覽 www.easychoicehealthplan.com Y0070_NA026578_WCM_FOR_CHI_FINAL_04 CMS Approved 08042014 WellCare 2015 NA_10_15 Easy Choice Best Plan (HMO) Easy Choice Value Plan (HMO) HPMS 批准 處方藥目錄檔案 提交 ID 15242 版本編號 18 EC5V04FOR59890C 1015

電話一通, 我們即在! 如果您準備投保或有投保方面的疑問, 請致電 1-866-999-3945, 服務時間為每週 7 天, 早上 8 點至晚上 8 點 如果您已經是會員, 請撥打下列您所在州 / 計劃的電話號碼 California: Easy Choice Best Plan (HMO) Easy Choice Value Plan (HMO)...1-866-999-3945 工作時間為週一至週五, 早上 8 點至晚上 8 點在十月 1 日至二月 14 日期間, 客戶服務代表的工作時間為週一至週日, 早上 8 點至晚上 8 點, 或請隨時訪問我們的網站 www.easychoicehealthplan.com 護士諮詢專線...1-800-581-9952( 每週 7 天, 每天 24 小時 ) 上述所有的 TTY 號碼為... 1-800-735-2929 EC5V04FOR59890C 1015

處方藥目錄自去年已做更改 請查閱本文件, 確保處方藥目錄仍然包含您所服用的藥物 這份藥物清單 ( 處方藥目錄 ) 提及 我們 " 或 我們的 " 時, 指的是 Easy Choice 提及 計劃 " 或 我們的計劃 " 時, 指的是 Easy Choice 本文件包含我們計劃截至 10/01/2015 的藥物清單 ( 處方藥目錄 ) 請聯絡我們以了解最新的處方藥目錄 封面和封底註明了我們的聯絡資訊和處方藥目錄的最後更新日期 通常, 您必須在醫療網內藥房使用您的處方藥福利 福利 處方藥目錄 醫療網內藥房 保費和 / 或共付款 / 共同保險費在 2016 年一月 1 日可能會變更, 并且在該年度內會不時發生變更 甚麼是 Easy Choice Best Plan (HMO) 和 Easy Choice Value Plan (HMO) 綜合處方藥目錄? 處方藥目錄是承保的藥物清單 Easy Choice 與醫療服務提供者團隊合作選定這些藥物 我們認為, 此清單所包含的處方藥物是品質治療方案的必要組成部分 Easy Choice 通常會承保我們處方藥目錄列出的藥物, 前提是 : 1. 藥物是醫療必需的, 2. 在 Easy Choice 醫療網內藥房配處方藥, 並且 3. 遵守其他計劃規則 欲了解更多關於如何處方藥的資訊, 請參閱您的承保證明 處方藥目錄 ( 藥物清單 ) 會更改嗎? 通常, 如果您正在服用年初已被承保并在 2015 年處方藥目錄中的藥物, 我們將不會在 2015 年度停止或減少該藥物的承保 不過, 承保可能會在某些情況下停止或減少 這些情況是 : 當有新的 更便宜的副廠藥時或 當新的有關某種藥物安全性和有效性的負面資訊被公佈時 其他處方藥目錄的變更, 例如從處方藥目錄中刪除某種藥物, 將不會影響目前正在服用該藥物的會員 這些會員仍可在該承保年度剩餘的時間內繼續以同樣的費用分攤獲得該藥物 我們認為有一點非常重要, 即您能在該承保年度剩餘的時間內繼續獲得您在選擇我們計劃時可獲得的處方藥目錄藥物, 除非我們可以保證您的安全情況下, 您可以節省更多的錢 變更處方藥目錄時, 我們必須通知會受影響的會員, 這包括如果我們 : 從處方藥目錄中刪除了藥物 ; 增加了藥物的限制, 如事先授權 數量上限和 / 或階段性療法 ; 將藥物上移至更高的費用分攤層級 2015 年綜合處方藥目錄 I EC5V04FOR59890C 1015

如果上述內容有任何變更, 我們一定會至少在生效前 60 天通知受影響的會員 我們也將在會員要求重新配藥時通知他們 這樣, 會員將獲得該藥物 60 天的供給 如果食品與藥品管理局宣佈處方藥目錄中的某種藥物不安全, 或藥物製造商從市場上撤下某種藥物, 我們會立即將該藥物將從處方藥目錄中刪除, 並通知服用該藥物的會員 隨附的處方藥目為 10/01/2015 最近更新 欲了解 Easy Choice 承保藥物的最新資訊, 請瀏覽我們的網站 www.easychoicehealthplan.com, 或致電客戶服務, 本處方藥目錄的封面和封底頁內註明了您所在州 / 計劃的電話號碼 處方藥目錄印刷本每月都會有增補更新 請聯絡客戶服務或瀏覽我們的網站 www.easychoicehealthplan.com 了解更多資訊 如何使用處方藥目錄? 有兩種方法可在處方藥目錄內查找到您的藥物 : 醫療病況處方藥目錄從第 1 頁開始 處方藥目錄中的藥物是根據藥物被用於治療的醫療病況種類分類 例如, 用於治療心臟病況的藥物在 心血管藥物 " 類別中 如果您知道藥物的用途, 請在從第 1 頁開始的清單類別名稱中查找 然後在您的藥物類別名稱下查找 按英文字母順序排列如果不確定在哪一藥物的類別下查找, 您應在從第 103 頁開始的索引中查找 索引包括本文件所含的所有藥物, 按英文字母順序排列 索引中包含原廠藥和副廠藥 請在索引中查找您的藥物 藥物旁邊注明了頁碼, 該頁面有承保資訊 翻到索引中列出的頁面, 在清單第一豎列中找到您的藥物名稱 甚麼是副廠藥? Easy Choice 承保原廠藥和副廠藥 副廠藥是 FDA 批准的藥物, 具有與原廠藥相同的活性成分 通常, 副廠藥的費用低於原廠藥 我的承保有什麼限制嗎? 某些承保的藥物可能有額外要求或承保限制 這些要求和限制可能包括 : 2015 年綜合處方藥目錄 II

事先授權 : Easy Choice 需要您或您的醫生事先獲得某些藥物的批准授權 這意味著您在配處方藥之前需要獲得我們的批准 如果沒有獲批, 我們可能不承保該藥物 數量上限 : 我們限制某些承保藥物的數量 例如,Easy Choice 對每份處方 sumatriptan 25mg 的限制為 30 天 9 片 這可能是在標準的一個月或三個月供給之外 階段性療法 : 在某些情況下,Easy Choice 需要您先嘗試某些藥物治療您的醫療病況, 然後才能承保其他藥物 例如, 如果藥物 A 和藥物 B 都能治療您的醫療病況, 我們可能不承保藥物 B, 除非您先嘗試藥物 A 如果藥物 A 對您沒有療效, 我們將承保藥物 B 您可從第 1 頁開始的處方藥目錄中查看您的藥物是否有任何額外的要求或限制 也可瀏覽我們的網站 www.easychoicehealthplan.com 了解更多關於具體承保藥物的限制資訊 我們已經在網上發佈文檔解釋我們在事先授權與階段性療法這兩方面的限制 您也可以要求我們給您寄一份副本 封面和封底注明了與我們的聯絡資訊和處方藥目錄的最後更新日期 您可以要求 Easy Choice 批准對這些限制或上限的例外處理, 或提供可治療您健康病況的其他類似藥物清單 請參閱第 IV 頁的 我如何要求 Easy Choice 例外處理處方藥目錄?" 一節, 以獲知有關如何要求例外處理的資訊 如果我的藥物不在處方藥目錄中該怎麼辦? 如果您的藥物不在處方藥目錄 ( 承保藥物清單 ) 中, 應先聯絡客戶服務, 詢問是否承保您的藥物 您可撥打處方藥目錄封面和封底頁內注明的您所在的州 / 計劃電話號碼聯絡客戶服務 如果您獲知 Easy Choice 不承保您的藥物, 您有兩個選擇 : 要求客戶服務提供一份 Easy Choice 承保的類似藥物清單 當您收到清單後, 請出示給您的醫生, 讓您的醫生開立一種 Easy Choice 承保的類似藥物處方 要求 Easy Choice 批准例外處理並承保您的藥物 請參閱下文了解如何申請例外處理的資訊 我們承保哪些疫苗? 您的處方福利可能包括許多疫苗 欲了解詳情, 請參閱免疫藥物部分 疫苗的費用取決於您在哪裡接受疫苗注射的機構 要獲得最佳的承保, 請使用醫療網內藥房 Part D 承保所有的市售疫苗,Medicare Part B 承保的除外, 如流感或肺炎球菌疫苗 2015 年綜合處方藥目錄 III

如何請求對 Easy Choice Best Plan (HMO) 和 Easy Choice Value Plan (HMO) 處方藥目錄的例外處理? 您可要求 Easy Choice 對承保規則的例外處理 您可以要求我們例外處理的類型有幾種 最初承保決定例外處理您可以要求我們保付您的藥物, 即使它不在我們的處方藥目錄裡 如果您的請求獲批, 將按照預先確定的費用分攤水平承保該藥物, 但您將無法要求我們以較低的費用分攤水平提供該藥物 使用限制例外處理您可以要求我們免除對您服用藥物的承保限制或上限 例如, 針對某些藥物, 我們會限制保付的藥物數量 如果您的藥物有數量上限, 您可以要求我們免除限制, 並承保更多的數量 層級界定例外處理您可以要求我們以較低的費用分攤水平承保一種處方藥目錄藥物 ( 前提是該藥物不屬於專用藥物層級 ) 如果獲得批准, 將降低您必須支付的藥物費用 Easy Choice 通常只會批准您的列外處理請求, 如果 : 計劃的處方藥目錄包含的替代藥物對治療您的病況療效不佳 ; 低費用分攤藥物對治療您的病況療效不佳 ; 額外的利用限制對治療您的病況療效不佳和 / 或 ; 替代藥物會對您造成不良醫療效果 您應聯絡我們, 要求我們對最初步承保決定做處方藥目錄例外處理 層級界定例外處理或使用限制例外處理 當您請求任何例外處理時, 應遞交一份您的處方醫生或醫師的聲明支持您的請求 通常, 我們必須在獲得您開立處方醫生的佐證聲明後 72 小時內做出決定 如果您或您的醫生認為多達 72 小時等候決定可能會嚴重傷害您的健康, 您可以要求加速 ( 快速 ) 處理您的例外處理請求 如果您的加速處理要求獲准, 我們必須在收到您的處方開立者或開立處方的醫生的支持聲明後 24 小時之內為您做出一個決定 在我跟我的醫生討論有關改換藥物或要求例外處理之前, 我要怎麼做? 作為我們計劃的新會員或續保會員, 您可能服用的藥物不在我們的處方藥目錄中 或是您服用的藥物在我們的處方藥目錄中, 但您取獲得藥物的能力有限 例如, 您可能需要我們事先授權, 才能持處方配藥 您應與您的醫生討論, 以決定您是否應改換成另一種我們承保的適當藥物, 或是要求例外處理處方藥目錄, 以使我們承保您服用的藥物 當您和您的醫生討論確定適合於您的正確行動時, 在某些情況下, 我們可能會承保您為我們計劃會員第一個 90 天期間的藥物 2015 年綜合處方藥目錄 IV

對於我們處方藥目錄中沒有的藥物, 或您獲得藥物的能力受到限制, 在您去醫療網內藥房時, 我們將承保 30 天的暫時供給 ( 除非您的處方的天數更少 ) 在第一個 30 天的供給後, 我們將不會支付這些藥物, 即使您成為我們計劃的會員還不到 90 天 如果您住在一個長期照護機構內, 我們將允許您繼續配藥, 直到我們為您提供符合配藥指南的 98 天的過渡供給 ( 除非您的處方的天數更少 ) 我們將在您為我們計劃會員的第一個 90 天內承保繼續配這些藥物一次以上 如果您需要的藥物不在我們處方藥目錄中, 或您獲得藥物的能力受到限制, 但您為我們計劃的會員已超過第一個 90 天, 在您要求處方藥目錄例外處理時, 我們將承保 30 天的緊急供給 ( 除非您的處方的天數更少 ) 如果您的照顧等級有變更 ( 例如出院或入住長期護理機構 ), 您的醫生或藥房可以致電我們的醫療服務提供者服務中心要求一次性的優先處理 這種一次性例外處理最多提供 30 天的供給 ( 除非您處方的開具天數更少 ) 進一步詳情有關 Easy Choice 處方藥承保的進一步詳情, 請參閱您的承保證明以及其它的計劃資料 如果您對 Easy Choice 有任何疑問, 請聯絡我們 我們的聯絡資訊列在本文件封面和封底頁內 或瀏覽 www.easychoicehealthplan.com 如果您有關於 Medicare 處方藥承保的一般問題, 請致電 1-800-MEDICARE (1-800-633-4227) 聯絡 Medicare, 每週 7 天, 每天 24 小時提供服務 TTY 使用者應撥打 1-877-486-2048 或瀏覽 www.medicare.gov Easy Choice 處方藥目錄綜合處方藥目錄從第 1 頁開始, 提供關於 Easy Choice 承保藥物的承保資訊 如果在清單中找不到您的藥物, 可從第 103 頁開始的索引內查找 表格的第一豎欄為藥物名稱 原廠藥用粗體和全部大寫 ( 如 COUMADIN) 列出, 副廠藥則用小寫斜體 ( 如 simvastatin) 列出 要求 / 上限一欄中的資訊說明 Easy Choice 是否對藥物承保有任何特殊要求 CG 代表承保缺口 : 我們提供本處方藥在承保缺口時的承保 有關此項承保的更多資訊, 請參閱您的承保證明 MS 是指該藥物可透過郵寄服務獲得 ( 也稱為郵購 ) 請參閱承保證明第 5 章了解更多資訊 ** PA 是指事先授權 : 請參閱第 III 頁了解詳情 2015 年綜合處方藥目錄 V

PA-BvsD 是指用於決定 Part B 還是 Part D 的事先授權限制 : 此藥物可能符合 Medicare Part B 或 Part D 支付資格 要求您 ( 或您的醫師 ) 在為此藥物的處方配藥前事先得到 Easy Choice 的事先授權, 以決定 Medicare Part D 是否承保此藥物 未經事先批准,Easy Choice 可能不承保此藥物 PA-NS 是指對初始治療藥物事先授權限制 : 這種事先授權限制將影響新開始治療的藥物 在投保時服用此藥物的會員無需符合事先授權的先決條件 QL 是指數量上限 : 請參閱第 III 頁了解詳情 LA 是指限制獲得藥物 這種藥物可從某些其他藥房購買 欲了解更多資訊, 請參閱藥房名錄的專用藥房部分, 也可撥打本處方藥目錄的封面和封底頁內註明的您所在的州 / 計劃的電話號碼聯絡客戶服務 ST 是指階段性療法 : 請參閱第 III 頁了解詳情 ST-NS 是指對初始階段性療法的限制 : 這種階段性療法限制將影響新開始治療的藥物 在投保時服用此藥物的會員無需符合階段性療法的先決條件 * = 藥物可能最多有 30 天的供給 ** 您可以通過我們的網絡郵購遞送計劃獲得直接送處方藥上門服務 您應該能夠在在郵購服務藥房收到訂單后的 7-10 個工作日之內收到您的處方藥 如果未在在此此時間內您沒有您的處方藥, 請撥打此處方藥目錄封面和封底頁內列出的電話號碼聯繫我們, 或請瀏覽 www.easychoicehealthplan.com 藥物層級共付款 / 共同保險費金額 Easy Choice 處方藥目錄分為五個層級 層級 1: 首選副廠藥 此計劃提供的費用分攤最低的藥物 層級 2: 非首選副廠藥 Easy Choice 提供的比首選副廠藥費用高的藥物 層級 3: 首選原廠藥 Easy Choice 提供的可能比非首選原廠藥費用低的藥物 層級 4: 非首選原廠藥 Easy Choice 提供的比首選原廠藥費用高的藥物 層級 5: 專用藥物 部分注射藥劑和其他高費用藥物 * 是指專用藥物最多只有 30 天的供給 層級 3 4 和 5 可提供原廠藥 層級 1 2 和 5 可提供副廠藥 有關適用於您的共付額 / 共同保險費和自付額金額的資訊, 請參閱您的承保證明或福利摘要 2015 年綜合處方藥目錄 VI

如何閱讀處方藥目錄列表 : 藥品名稱 藥物層級 規定 / 上限 抗痙攣藥 治療類別 抗痙攣藥, 其他 治療分類 phenobarbital 酏劑 2 PA-NS; MS phenobarbital 片劑 2 PA-NS; MS POTIGA 片劑 50 MG, 200 MG, 300 MG 5* PA-NS; MS* POTIGA 片劑 400 MG 4 PA-NS; MS 藥物層級 * = 藥物可能最多只有 30 天的供給 藥物名稱粗體全大寫 = 原廠藥小寫斜體 = 副廠藥 可在目錄背面的索引內快速查找您的藥物 規定 / 上限代碼 : CG = 承保缺口 LA = 限制獲得 MS = 可提供郵寄服務 PA = 事先授權 PA-BvsD = 僅限於 Part B 對 Part D 決定的事先授權 PA-NS = 新開始治療藥物事先授權限制 QL = 數量上限 ST = 階段性療法 ST-NS = 對新開始階段性療法的限制 2015 年綜合處方藥目錄 VII

acetaminophen-codeine #2 300-15 mg ; QL 30 360 acetaminophen-codeine #3 300-30 mg ; QL 30 360 acetaminophen-codeine #4 300-60 mg ; QL 30 180 acetaminophen-codeine 120-12 mg/5ml 1 MS; CG; QL 30 4500 ML alagesic lq 50-325-40 mg/15ml 1 PA; MS; CG; QL 30 2700 ML ascomp-codeine 50-325-40-30 mg 1 PA; MS; CG; QL 30 180 butalbital-acetaminophen 50-325 mg 1 PA; MS; CG; QL 30 180 butalbital-apap-caff-cod 50-300-40-30 mg, 50-325-40-30 mg butalbital-apap-caffeine 50-300-40 mg, 50-325-40 mg 2 PA; MS; QL 30 180 2 PA; MS; QL 30 180 butalbital-apap-caffeine 50-325-40 mg 1 PA; MS; CG; QL 30 180 butalbital-apap-caffeine 50-325-40 mg 2 PA; MS; QL 30 180 endocet 10-325 mg, 5-325 mg, 7.5-325 mg ; QL 30 360 endodan 4.8355-325 mg ; QL 30 360 hydrocodone-acetaminophen 7.5-325 mg/15ml hydrocodone-acetaminophen 10-300 mg, 5-300 mg, 7.5-300 mg hydrocodone-acetaminophen 10-325 mg, 5-325 mg, 7.5-325 mg ; QL 30 3600 ML 1 MS; CG; QL 30 390 ; QL 30 360 hydrocodone-ibuprofen 7.5-200 mg ; QL 30 150 lorcet hd 10-325 mg ; QL 30 360 lorcet 5-325 mg ; QL 30 360 lorcet plus 7.5-325 mg ; QL 30 360 lortab 10-325 mg, 5-325 mg, 7.5-325 mg ; QL 30 360 oxycodone-acetaminophen 10-325 mg, 2.5-325 mg, 5-325 mg, 7.5-325 mg ; QL 30 360 oxycodone-aspirin 4.8355-325 mg ; QL 30 360 reprexain 2.5-200 mg, 5-200 mg 1 MS; CG; QL 30 150 VII 1

roxicet 5-325 mg ; QL 30 360 tencon 50-325 mg 1 PA; MS; QL 30 180 tramadol-acetaminophen 37.5-325 mg ; QL 30 300 vanatol lq 50-325-40 mg/15ml 1 PA; MS; QL30 2700 ML vicodin es 7.5-300 mg 1 MS; QL 30 390 vicodin hp 10-300 mg 1 MS; QL 30 390 vicodin 5-300 mg 1 MS; QL 30 390 diclofenac potassium 50 mg 1 MS; CG diclofenac sodium er 24 * 100 mg diclofenac sodium 25 mg, 50 mg ; QL 30 60 diclofenac sodium 75 mg ; QL 30 60 diclofenac-misoprostol 50-0.2 mg, 75-0.2 mg diflunisal 500 mg etodolac er 24 * 400 mg, 500 mg, 600 mg etodolac 200 mg, 300 mg etodolac 400 mg, 500 mg fenoprofen calcium 600 mg FLECTOR 1.3 % 3 MS flurbiprofen 100 mg, 50 mg ibuprofen 100 mg/5ml ibuprofen 400 mg, 600 mg, 800 mg 1 MS; CG indomethacin 25 mg, 50 mg 2 ST; MS ketoprofen er 24 200 mg ; QL 30 30 ketoprofen 50 mg, 75 mg ketorolac tromethamine 15 mg/ml 1 PA-BvsD; MS; CG; QL 30 40 ML VII 2

mefenamic acid 250 mg meloxicam 7.5 mg/5ml meloxicam 15 mg 1 MS; CG; QL 30 30 meloxicam 7.5 mg 1 MS; CG; QL 30 60 nabumetone 500 mg, 750 mg naproxen dr 375 mg, 500 mg 1 MS; CG naproxen 125 mg/5ml naproxen 250 mg, 375 mg, 500 mg 1 MS; CG naproxen sodium 275 mg, 550 mg 1 MS; CG oxaprozin 600 mg oxycodone-ibuprofen 5-400 mg ; QL 30 28 piroxicam 10 mg, 20 mg sulindac 150 mg, 200 mg tolmetin sodium 400 mg tolmetin sodium 600 mg duramorph 0.5 mg/ml, 1 mg/ml fentanyl 72 100 mcg 12 mcg25 mcg37.5 mcg 50 mcg62.5 mcg75 mcg 87.5 mcg ; QL 30 20 levorphanol tartrate 2 mg ; QL 30 180 methadone hcl 10 mg/ml methadone hcl 10 mg/5ml, 5 mg/5ml methadone hcl 10 mg, 5 mg 1 MS; CG; QL 30 240 morphine sulfate 20 mg/ml morphine sulfate (pf) 0.5 mg/ml, 1 mg/ml morphine sulfate (pf) * 8 mg/ml morphine sulfate er * 100 mg, 15 mg, 200 mg, 30 mg, 60 mg morphine sulfate 2 mg/ml morphine sulfate 10 mg/5ml, 20 mg/5ml ; QL 30 240 VII 3

morphine sulfate 15 mg, 30 mg 1 MS; CG; QL 30 240 NUCYNTA ER 12 * 100 MG, 150 MG, 200 MG, 250 MG, 50 MG OPANA ER 10 MG, 15 MG, 20 MG, 30 MG, 40 MG, 5 MG, 7.5 MG OXYCONTIN 10 MG, 15 MG, 20 MG, 30 MG, 40 MG, 60 MG 3 MS; QL 30 60 3 MS; QL 30 60 3 MS; QL 30 60 OXYCONTIN 80 MG 3 MS; QL 30 120 oxymorphone hcl er 12 * 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 5 mg, 7.5 mg butorphanol tartrate 1 mg/ml, 2 mg/ml ; QL 30 60 butorphanol tartrate 10 mg/ml ; QL 28 5 ML codeine sulfate 15 mg, 30 mg ; QL 30 360 codeine sulfate 60 mg ; QL 30 180 fentanyl citrate 1200 mcg, 1600 mcg, 200 mcg, 400 mcg, 600 mcg, 800 mcg hydromorphone hcl 1 mg/ml 5* PA; MS; QL 30 120 hydromorphone hcl 2 mg, 4 mg, 8 mg ; QL 30 240 hydromorphone hcl pf 1 mg/ml, 4 mg/ml, 500 mg/50ml LAZANDA 100 MCG/ACT, 400 MCG/ACT 5* PA; MS morphine sulfate (pf) * 2 mg/ml, 4 mg/ml nalbuphine hcl 10 mg/ml, 20 mg/ml 1 MS; CG NUCYNTA 100 MG, 50 MG, 75 MG 3 MS; QL 30 181 oxycodone hcl er 10 mg, 20 mg, 40 mg ; QL 30 60 oxycodone hcl er 80 mg ; QL 30 120 oxycodone hcl 5 mg 1 MS; CG; QL 30 180 oxycodone hcl 濃缩 100 mg/5 ml oxycodone hcl 10 mg, 15 mg, 20 mg, 30 mg, 5 mg ; QL 30 240 VII 4

oxymorphone hcl 10 mg, 5 mg ; QL 30 180 tramadol hcl 50 mg 1 MS; CG; QL 30 240 lidocaine 5 % lidocaine 5 % ; QL 1 3 lidocaine hcl 強 劑 * 20 mg/ml lidocaine hcl (pf) 0.5 %, 1 % lidocaine hcl 2 % lidocaine hcl 4 % 1 MS; CG lidocaine hcl 2 % lidocaine viscous 2 % 1 MS; CG lidocaine-prilocaine 2.5-2.5 % ; QL 30 60 GM LIDODERM 5 % 3 MS; QL 30 90 acamprosate calcium 333 mg disulfiram 250 mg, 500 mg naltrexone hcl 50 mg buprenorphine hcl 0.3 mg/ml 2 PA-BvsD; MS buprenorphine hcl 2 mg, 8 mg 2 PA; MS buprenorphine hcl-naloxone hcl 2-0.5 mg, 8-2 mg SUBOXONE 12-3 MG, 2-0.5 MG, 4-1 MG, 8-2 MG 2 PA; MS; QL 30 90 4 PA; MS naloxone hcl 1 mg/ml 1 MS; CG VII 5

CHANTIX 1 MG 4 MS; QL 365 340 CHANTIX 0.5 MG, 1 MG 4 MS; QL 365 340 CHANTIX 0.5 MG X 11 1 MG X 42 NICOTROL 10 MG 4 MS NICOTROL NS 10 MG/ML 3 MS amikacin sulfate 500 mg/2ml gentak 0.3 % 1 MS; CG gentamicin saline * 0.8-0.9 mg/ml-%, 1-0.9 mg/ml-%, 1.6-0.9 mg/ml-% gentamicin saline * 0.9-0.9 mg/ml-%, 1.2-0.9 mg/ml-%, 1.4-0.9 mg/ml-% 4 MS; QL 365 106 1 MS; CG gentamicin sulfate 0.1 % 1 MS; CG gentamicin sulfate 0.1 % 1 MS; CG gentamicin sulfate 40 mg/ml gentamicin sulfate * 10 mg/ml gentamicin sulfate 0.3 % 1 MS; CG gentamicin sulfate 0.3 % 1 MS; CG neomycin sulfate 500 mg neomycin-polymyxin b gu 40-200000 paromomycin sulfate 250 mg streptomycin sulfate * 1 gm TOBI PODHALER 28 MG 5* PA; MS; QL 56 28 TOBRADEX 0.3-0.1 % 4 MS tobramycin 300 mg/5ml 5* PA; MS tobramycin 0.3 % 1 MS; CG VII 6

tobramycin sulfate saline * 0.8-0.9 mg/ml-% 1 MS; CG tobramycin sulfate 10 mg/ml, 80 mg/2ml tobramycin sulfate 1.2 gm ZANOSAR * 1 GM 3 MS colistimethate sodium 150 mg 2 PA-BvsD; MS SYNERCID * 150-350 MG 5* MS acetic acid 2 % baciim * 50000 bacitracin * 50000 bacitracin 500 gm chloramphenicol sod succinate * 1 gm clindacin pac 1 % clindamax 1 % clindamycin hcl 150 mg, 300 mg, 75 mg 1 MS; CG clindamycin phosphate 1 % clindamycin phosphate 1 % 1 MS; CG clindamycin phosphate 1 % clindamycin phosphate 1 % clindamycin phosphate 1 % clindamycin phosphate d5w * 300 mg/50ml, 600 mg/50ml, 900 mg/50ml clindamycin phosphate * 600 mg/4ml 1 MS; CG VII 7

clindamycin phosphate 2 % CUBICIN * 500 MG 5* PA; MS global 70% 1 MS; CG linezolid * 2 mg/ml 5* PA; MS linezolid 600 mg 5* PA; MS; QL 30 60 mafenide acetate 5 % methenamine hippurate 1 gm metronidazole 0.75 % metronidazole 0.75 % metronidazole 0.75 % metronidazole nacl * 500-0.79 mg/100ml-% metronidazole 250 mg, 500 mg 1 MS; CG metronidazole 0.75 % mupirocin calcium 2 % mupirocin 2 % 1 MS; CG nitrofurantoin macrocrystal 100 mg, 50 mg 2 PA; MS; QL 365 90 nitrofurantoin monohyd macro 100 mg 2 PA; MS; QL 365 90 polymyxin b sulfate 500000 1 MS; CG sivextro 200 mg 5* PA; MS tinidazole 250 mg, 500 mg trimethoprim 100 mg 1 MS; CG TYGACIL * 50 MG 5* PA; MS vancomycin hcl * 10 gm, 1000 mg, 500 mg, 5000 mg, 750 mg vancomycin hcl 125 mg, 250 mg 5* PA; MS vandazole 0.75 % XIFAXAN 200 MG, 550 MG 5* ST; MS VII 8

ZYVOX 100 MG/5ML 5* PA; MS ZYVOX 600 MG 5* PA; MS; QL 30 60 Beta- 酰 锋 CEDAX 400 MG 4 MS cefaclor er 12 * 500 mg cefaclor 250 mg, 500 mg cefadroxil 500 mg 1 MS; CG cefadroxil 250 mg/5ml, 500 mg/5ml cefadroxil 1 gm cefazolin sodium 1 gm, 10 gm, 500 mg cefazolin sodium * 1-5 gm-% cefdinir 300 mg cefdinir 125 mg/5ml, 250 mg/5ml cefepime hcl 1 gm, 2 gm cefepime-dextrose * 1 gm/50ml, 2 gm/50ml cefixime 100 mg/5ml, 200 mg/5ml cefotaxime sodium 1 gm, 10 gm, 2 gm, 500 mg cefotetan disodium 1 gm, 10 gm, 2 gm cefoxitin sodium 10 gm cefoxitin sodium * 1 gm, 2 gm cefoxitin sodium-dextrose * 1-4 gm-%, 2-2.2 gm-% cefpodoxime proxetil 100 mg/5ml, 50 mg/5ml 1 MS cefpodoxime proxetil 100 mg, 200 mg VII 9

cefprozil 125 mg/5ml, 250 mg/5ml cefprozil 250 mg, 500 mg ceftazidime dextrose * 1 gm/ 50ml, 2 gm/50ml ceftazidime 1 gm, 2 gm, 6 gm ceftriaxone sodium 250 mg, 500 mg ceftriaxone sodium * 1 gm, 10 gm, 2 gm cefuroxime axetil 125 mg/5ml cefuroxime axetil 250 mg, 500 mg 1 MS; CG cefuroxime sodium 1.5 gm, 7.5 gm, 750 mg cephalexin 250 mg, 500 mg 1 MS; CG cephalexin 750 mg 1 MS cephalexin 125 mg/5ml, 250 mg/5ml cephalexin 250 mg, 500 mg SUPRAX 400 MG 4 MS SUPRAX 100 MG/5ML, 200 MG/5ML, 500 MG/5ML 4 MS SUPRAX 400 MG 4 MS SUPRAX 100 MG, 200 MG 4 MS tazicef 1 gm, 2 gm, 6 gm TEFLARO * 400 MG, 600 MG 4 PA; MS Beta - 酰 aztreonam 1 gm CAYSTON 75 MG 5* LA VII 10

DORIBAX * 500 MG 4 PA; MS imipenem-cilastatin * 250 mg, 500 mg INVANZ 1 GM 4 MS meropenem * 1 gm, 500 mg Beta - 酰 amoxicillin 250 mg, 500 mg 1 MS; CG amoxicillin 125 mg/5ml, 200 mg/5ml, 250 mg/5ml, 400 mg/5ml 1 MS; CG amoxicillin 500 mg, 875 mg 1 MS; CG amoxicillin 125 mg, 250 mg 1 MS; CG amoxicillin-pot clavulanate er 12 * 1000-62.5 mg amoxicillin-pot clavulanate 200-28.5 mg/5ml, 250-62.5 mg/5ml, 400-57 mg/5ml, 600-42.9 mg/5ml amoxicillin-pot clavulanate 250-125 mg, 500-125 mg, 875-125 mg amoxicillin-pot clavulanate 200-28.5 mg, 400-57 mg 1 MS; CG ampicillin 250 mg, 500 mg 1 MS; CG ampicillin 125 mg/5ml, 250 mg/5ml ampicillin sodium 1 gm, 125 mg, 2 gm, 250 mg, 500 mg ampicillin sodium * 10 gm ampicillin-sulbactam sodium 3 (2-1) gm ampicillin-sulbactam sodium * 1.5 (1-0.5) gm, 15 (10-5) gm bactocill dextrose * 1 gm/50ml VII 11

bactocill dextrose * 2 gm/50ml 5* MS BICILLIN C-R 900/300 * 900000-300000 2ML 3 MS BICILLIN C-R * 1200000 2ML 3 MS BICILLIN L-A * 1200000 2ML, 2400000 4ML, 600000 ML 3 MS dicloxacillin sodium 250 mg, 500 mg nafcillin sodium 1 gm, 10 gm nallpen dextrose * 1 gm/50ml oxacillin sodium 10 gm 5* MS oxacillin sodium 2 gm penicillin g pot dextrose * 40000 ml, 60000 ml penicillin g potassium 20000000, 5000000 PENICILLIN G PROCAINE * 600000 /ML penicillin v potassium 125 mg/5ml, 250 mg/5ml 3 MS 1 MS; CG penicillin v potassium 250 mg, 500 mg 1 MS; CG piperacillin sod-tazobactam so * 2-0.25 gm, 3-0.375 gm, 36-4.5 gm, 4-0.5 gm TIMENTIN * 3.1 GM 3 MS azithromycin * 500 mg azithromycin 1 gm azithromycin 100 mg/5ml, 200 mg/5ml azithromycin 250 mg, 500 mg, 600 mg VII 12

clarithromycin er 24 * 500 mg clarithromycin 125 mg/5ml, 250 mg/5ml clarithromycin 250 mg, 500 mg DIFICID 200 MG 5* PA; MS e.e.s. 400 400 mg E.E.S. 200 MG/5ML 4 MS e.s.p. 200-600 mg/5ml ery 2 % 1 MS; CG ERYPED 200 200 MG/5ML 4 MS ery-tab 250 mg, 333 mg, 500 mg erythrocin lactobionate * 500 mg erythrocin stearate 250 mg erythromycin base 250 mg, 500 mg erythromycin ethylsuccinate 400 mg erythromycin 2 % erythromycin 2 % erythromycin 5 mg/gm 1 MS; CG ilotycin 5 mg/gm 1 MS KETEK 300 MG, 400 MG 4 MS 喹諾酮類藥物 AVELOX ABC 400 MG 3 MS AVELOX * 400 MG/250ML 4 MS AVELOX 400 MG 3 MS BESIVANCE 0.6 % 4 MS CILOXAN 0.3 % 4 MS ciprofloxacin hcl 0.3 % 1 MS; CG VII 13

ciprofloxacin hcl 100 mg, 250 mg, 500 mg, 750 mg 1 MS; CG ciprofloxacin d5w * 200 mg/100ml ciprofloxacin * 400 mg/40ml ciprofloxacin-ciproflox hcl er 24 * 1000 mg, 500 mg gatifloxacin 0.5 % levofloxacin d5w * 250 mg/50ml, 500 mg/100ml, 750 mg/150ml levofloxacin * 25 mg/ml levofloxacin 0.5 % levofloxacin 25 mg/ml levofloxacin 250 mg, 500 mg, 750 mg 1 MS; CG MOXEZA 0.5 % 4 MS moxifloxacin hcl 400 mg ofloxacin 0.3 % ofloxacin 200 mg, 300 mg, 400 mg ofloxacin 0.3 % VIGAMOX 0.5 % 4 MS bleph-10 10 % 1 MS; CG silver sulfadiazine 1 % ssd 1 % sulfacetamide sodium 10 % sulfacetamide sodium 10 % 1 MS; CG sulfacetamide sodium 10 % sulfadiazine 500 mg sulfamethoxazole-tmp ds 800-160 mg 1 MS; CG sulfamethoxazole-trimethoprim * 400-80 mg/5ml VII 14

sulfamethoxazole-trimethoprim 200-40 mg/5ml sulfamethoxazole-trimethoprim 400-80 mg 1 MS; CG demeclocycline hcl 150 mg, 300 mg doxycycline hyclate 100 mg, 50 mg doxycycline hyclate 100 mg, 20 mg doxycycline hyclate 100 mg, 150 mg, 75 mg doxycycline monohydrate 100 mg, 50 mg, 75 mg doxycycline monohydrate 25 mg/5ml doxycycline monohydrate 100 mg, 150 mg, 50 mg, 75 mg minocycline hcl er 24 * 135 mg, 45 mg, 90 mg minocycline hcl 100 mg, 50 mg, 75 mg minocycline hcl 100 mg, 50 mg, 75 mg tetracycline hcl 250 mg, 500 mg 1 MS; CG diazepam 10 mg, 2.5 mg, 20 mg levetiracetam er 24 * 500 mg, 750 mg levetiracetam nacl * 1000 mg/100ml, 1500 mg/100ml, 500 mg/100ml levetiracetam * 500 mg/5ml levetiracetam 100 mg/ml levetiracetam 1000 mg, 250 mg, 500 mg, 750 mg POTIGA 200 MG, 300 MG, 50 MG 5* PA-NS; MS POTIGA 400 MG 4 PA-NS; MS VII 15

CELONTIN 300 MG 3 MS ethosuximide 250 mg ethosuximide 250 mg/5ml LYRICA 100 MG, 150 MG, 200 MG, 25 MG, 50 MG, 75 MG 3 MS; QL 30 90 LYRICA 225 MG, 300 MG 3 MS; QL 30 60 LYRICA 20 MG/ML 3 MS; QL 30 900 ML zonisamide 100 mg, 25 mg, 50 mg Gamma- (Gaba) divalproex sodium er 24 * 250 mg, 500 mg divalproex sodium 125 mg divalproex sodium 125 mg, 250 mg, 500 mg gabapentin 100 mg, 300 mg 1 MS; CG; QL 30 360 gabapentin 400 mg 1 MS; CG; QL 30 270 gabapentin 250 mg/5ml gabapentin 600 mg ; QL 30 180 gabapentin 800 mg ; QL 30 135 GABITRIL 12 MG, 16 MG 4 MS GRALISE 300 MG, 600 MG 4 ST-NS; MS GRALISE 300 600 MG 4 ST-NS; MS lorazepam intensol 2 mg/ml 1 MS; CG; QL 30 150 ML ONFI 2.5 MG/ML 4 MS ONFI 10 MG 4 MS ONFI 20 MG 5* MS phenobarbital 20 mg/5ml 2 PA-NS; MS phenobarbital 100 mg, 15 mg, 16.2 mg, 30 mg, 32.4 mg, 60 mg, 64.8 mg, 97.2 mg 2 PA-NS; MS primidone 250 mg, 50 mg 1 MS; CG VII 16

SABRIL 500 MG 5* PA-NS; LA; QL 30 180 SABRIL 500 MG 5* PA-NS; LA; QL 30 180 tiagabine hcl 2 mg, 4 mg valproate sodium * 500 mg/5ml valproic acid 250 mg valproic acid 250 mg/5ml 1 MS; CG felbamate 600 mg/5ml 5* MS felbamate 400 mg felbamate 600 mg 5* MS FYCOMPA 10 MG, 12 MG, 2 MG, 4 MG, 6 MG, 8 MG LAMICTAL ODT 100 MG, 200 MG, 25 MG, 50 MG lamotrigine er 24 * 100 mg, 200 mg, 25 mg, 250 mg, 300 mg, 50 mg 4 PA-NS; MS 4 MS lamotrigine 100 mg, 150 mg, 200 mg, 25 mg 1 MS; CG lamotrigine 25 mg, 5 mg lamotrigine 100 mg, 200 mg, 25 mg, 50 mg topiramate 15 mg, 25 mg topiramate 100 mg, 200 mg, 25 mg, 50 mg 1 MS; CG TROKENDI XR 24 100 MG, 25 MG, 50 MG VII 17 4 PA-NS; MS; QL 30 60 TROKENDI XR 24 200 MG 5* PA-NS; MS; QL 30 60 APTIOM 200 MG 4 PA-NS; MS; QL 30 30 APTIOM 400 MG, 800 MG 5* PA-NS; MS; QL 30 30 APTIOM 600 MG 5* PA-NS; MS; QL 30 60 BANZEL 40 MG/ML 5* PA-NS; MS BANZEL 200 MG 4 PA-NS; MS; QL 30 240

BANZEL 400 MG 5* PA-NS; MS; QL 30 240 carbamazepine er 12 * 200 mg, 400 mg carbamazepine 100 mg/5ml carbamazepine 200 mg 1 MS; CG carbamazepine 100 mg 1 MS; CG DILANTIN INFATABS 50 MG 3 MS DILANTIN 30 MG 3 MS epitol 200 mg 1 MS; CG fosphenytoin sodium 100 mg pe/2ml oxcarbazepine 300 mg/5ml oxcarbazepine 150 mg, 300 mg, 600 mg PEGANONE 250 MG 4 MS PHENYTEK 200 MG, 300 MG 3 MS phenytoin 125 mg/5ml phenytoin 50 mg phenytoin sodium 100 mg, 200 mg, 300 mg phenytoin sodium 50 mg/ml TEGRETOL-XR 12 * 100 MG 3 MS VIMPAT * 200 MG/20ML 3 MS VIMPAT 10 MG/ML 3 MS VIMPAT 100 MG, 150 MG, 200 MG, 50 MG 3 MS ergoloid mesylates 1 mg 2 PA; MS donepezil hcl 10 mg, 5 mg 1 MS; CG donepezil hcl 10 mg, 5 mg VII 18

EXELON 24 13.3 MG / 24 4.6 MG / 24 9.5 MG / 24 3 MS; QL 30 30 galantamine hydrobromide er 24 16 mg, 24 mg, 8 mg ; QL 30 30 galantamine hydrobromide 4 mg/ml ; QL 30 180 ML galantamine hydrobromide 12 mg, 4 mg, 8 mg ; QL 30 60 rivastigmine tartrate 1.5 mg, 3 mg, 4.5 mg, 6 mg N--D- (Nmda) mematine hcl 10 mg, 5 mg 2 PA; MS; QL 30 60 mematine hcl 5 (28) - 10 (21) mg 2 PA; MS NAMENDA 10 MG/5ML 3 PA; MS NAMENDA 10 MG, 5 MG 3 PA; MS; QL 30 60 NAMENDA 5 (28) - 10 (21) MG NAMENDA XR 24 14 MG, 21 MG, 28 MG, 7 MG NAMENDA XR 24 7 14 21 28 MG 3 PA; MS VII 19 3 PA; MS; QL 30 30 3 PA; MS fluoxetine hcl 60 mg olanzapine-fluoxetine hcl 12-25 mg, 12-50 mg, 3-25 mg, 6-25 mg, 6-50 mg buproban 12 * 150 mg ; QL 30 60 bupropion hcl er (sr) 12 * 100 mg, 150 mg, 200 mg ; QL 30 60 bupropion hcl er (xl) 24 * 150 mg, 300 mg ; QL 30 30 bupropion hcl 100 mg, 75 mg maprotiline hcl 25 mg, 50 mg, 75 mg

mirtazapine 15 mg, 30 mg, 45 mg, 7.5 mg mirtazapine 15 mg, 30 mg, 45 mg nefazodone hcl 100 mg, 150 mg, 200 mg, 250 mg, 50 mg trazodone hcl 100 mg, 150 mg, 50 mg 1 MS; CG trazodone hcl 300 mg VIIBRYD 10 20 40 MG 4 ST-NS; MS; QL 30 30 EMSAM 24 12 MG/24 6 MG/24 9 MG/24 5* PA-NS; MS; QL 30 30 MARPLAN 10 MG 4 MS phenelzine sulfate 15 mg tranylcypromine sulfate 10 mg SSRIS/SNRIS BRINTELLIX 10 MG, 20 MG, 5 MG 4 PA-NS; MS; QL 30 30 citalopram hydrobromide 10 mg/5ml citalopram hydrobromide 10 mg, 20 mg 1 MS; CG; QL 30 60 citalopram hydrobromide 40 mg 1 MS; CG; QL 30 30 DESVENLAFAXINE ER 24 * 100 MG, 50 MG 4 MS; QL 30 30 duloxetine hcl 20 mg, 30 mg, 60 mg ; QL 30 60 escitalopram oxalate 5 mg/5ml escitalopram oxalate 10 mg, 20 mg, 5 mg 1 MS; CG; QL 30 30 FETZIMA 24 120 MG, 20 MG, 40 MG, 80 MG 4 PA-NS; MS; QL 30 30 FETZIMA 20 40 MG 4 PA-NS; MS; QL 30 30 fluoxetine hcl 10 mg, 20 mg, 40 mg 1 MS; CG fluoxetine hcl 90 mg fluoxetine hcl 20 mg/5ml fluoxetine hcl 10 mg, 20 mg 1 MS; CG VII 20

fluvoxamine maleate er 24 100 mg, 150 mg fluvoxamine maleate 100 mg, 25 mg, 50 mg paroxetine hcl er 24 * 12.5 mg, 25 mg, 37.5 mg paroxetine hcl 10 mg, 20 mg, 30 mg, 40 mg 1 MS; CG; QL 30 60 PAXIL 10 MG/5ML 4 MS PRISTIQ 24 * 100 MG, 25 MG, 50 MG sertraline hcl 濃缩 20 mg/ml sertraline hcl 100 mg, 25 mg, 50 mg 1 MS; CG venlafaxine hcl er 24 150 mg, 37.5 mg, 75 mg venlafaxine hcl er 24 * 150 mg, 37.5 mg, 75 mg VENLAFAXINE HCL ER 24 * 225 MG venlafaxine hcl 100 mg, 25 mg, 37.5 mg, 50 mg, 75 mg VII 21 4 PA-NS; MS; QL 30 30 1 MS; CG; QL 30 30 ; QL 30 30 4 MS VIIBRYD 10 MG, 20 MG, 40 MG 4 ST-NS; MS; QL 30 30 amitriptyline hcl 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg 2 PA-NS; MS amoxapine 100 mg, 150 mg, 25 mg, 50 mg clomipramine hcl 25 mg, 50 mg, 75 mg 2 PA-NS; MS desipramine hcl 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg doxepin hcl 10 mg, 100 mg, 150 mg, 25 mg, 50 mg, 75 mg 2 PA-NS; MS doxepin hcl 濃缩 10 mg/ml 2 PA-NS; MS imipramine hcl 10 mg, 25 mg, 50 mg 2 PA-NS; MS imipramine pamoate 100 mg, 125 mg, 150 mg, 75 mg 2 PA-NS; MS

nortriptyline hcl 10 mg, 25 mg, 50 mg, 75 mg 1 MS; CG nortriptyline hcl 10 mg/5ml protriptyline hcl 10 mg, 5 mg SURMONTIL 100 MG, 25 MG, 50 MG 4 PA-NS; MS compro 25 mg hydroxyzine hcl * 25 mg/ml, 50 mg/ml 2 PA; MS meclizine hcl 12.5 mg, 25 mg 1 MS; CG phenadoz 12.5 mg, 25 mg 2 PA; MS phenergan 12.5 mg, 25 mg, 50 mg 2 PA; MS prochlorperazine 25 mg promethazine hcl 25 mg/ml, 50 mg/ml 2 PA; MS promethazine hcl 6.25 mg/5ml 2 PA; MS promethazine hcl 12.5 mg, 25 mg, 50 mg 2 PA; MS promethazine hcl 12.5 mg, 25 mg, 50 mg 2 PA; MS promethegan 25 mg, 50 mg 2 PA; MS CELLCEPT * 500 MG 4 PA-BvsD; MS CESAMET 1 MG 4 MS; QL 30 180 dronabinol 10 mg 5* PA; MS; QL 30 60 dronabinol 2.5 mg, 5 mg 2 PA; MS; QL 30 60 EMEND 125 MG, 40 MG, 80 125 MG, 80 MG 4 PA-BvsD; MS granisetron hcl * 0.1 mg/ml, 1 mg/ml 2 PA; MS; QL 30 10 ML granisetron hcl 1 mg 2 PA; MS; QL 30 30 granisol 2 mg/10ml 2 PA-BvsD; MS ondansetron hcl 4 mg/2ml 1 MS; CG VII 22

ondansetron hcl 4 mg/5ml 2 PA; MS ondansetron hcl 24 mg, 4 mg, 8 mg 1 MS; CG ondansetron 4 mg, 8 mg 1 MS; CG ABELCET * 5 MG/ML 5* PA-BvsD; MS AMBISOME * 50 MG 5* PA; MS amphotericin b 50 mg 2 PA-BvsD; MS CANCIDAS * 50 MG, 70 MG 5* PA; MS ciclopirox 0.77 % ciclopirox 1 % ciclopirox 8 % ciclopirox olamine 0.77 % ciclopirox olamine 0.77 % clotrimazole 1 % 1 MS; CG clotrimazole 1 % 1 MS; CG clotrimazole 10 mg econazole nitrate 1 % ERAXIS * 100 MG 5* MS EXELDERM 1 % 4 MS EXELDERM 1 % 4 MS fluconazole dextrose * 200 mg/100ml fluconazole dextrose * 400 mg/200ml 1 MS; CG fluconazole sodium chloride * 100-0.9 mg/50ml-% fluconazole 10 mg/ml, 40 mg/ml fluconazole 100 mg, 150 mg, 200 mg, 50 mg 1 MS; CG VII 23

flucytosine 250 mg, 500 mg 5* MS griseofulvin microsize 125 mg/5ml griseofulvin microsize 500 mg griseofulvin ultramicrosize 125 mg, 250 mg itraconazole 100 mg 2 PA; MS ketoconazole 2 % ketoconazole 2 % 1 MS; CG ketoconazole 200 mg 2 PA; MS miconazole 3 200 mg 1 MS; CG MYCAMINE * 100 MG, 50 MG 5* PA; MS naftifine hcl 1 % NAFTIN 1 %, 2 % 3 MS NAFTIN 1 %, 2 % 3 MS NATACYN 5 % 3 MS NOXAFIL 40 MG/ML 5* PA; MS nyamyc 100000 gm nystatin 100000 gm nystatin 100000 gm nystatin 100000 gm nystatin 100000 ml nystatin 500000 nystop 100000 gm pedi-dri 100000 gm SPORANOX 10 MG/ML 4 MS terbinafine hcl 250 mg 1 MS; CG terconazole 0.4 %, 0.8 % terconazole 80 mg voriconazole * 200 mg 2 PA; MS voriconazole 200 mg 5* PA; MS; QL 30 60 voriconazole 50 mg 5* PA; MS; QL 30 180 VII 24

zazole 0.4 %, 0.8 % ZOLINZA 100 MG 5* PA-NS; MS; QL 30 120 allopurinol 100 mg, 300 mg 1 MS; CG colchicine-probenecid 0.5-500 mg COLCRYS 0.6 MG 3 MS probenecid 500 mg ULORIC 40 MG, 80 MG 4 ST; MS methylergonovine maleate 0.2 mg dihydroergotamine mesylate 1 mg/ml ERGOMAR 2 MG 3 MS; QL 28 40 MIGERGOT 2-100 MG 4 MS MIGRANAL 4 MG/ML 4 MS BOTOX 100 单 4 PA; MS; QL 90 4 (5-Ht) 1B/1D naratriptan hcl 1 mg, 2.5 mg ; QL 30 9 rizatriptan benzoate 10 mg, 5 mg ; QL 28 18 rizatriptan benzoate 10 mg, 5 mg ; QL 28 18 sumatriptan 20 mg/act, 5 mg/act ; QL 30 12 sumatriptan succinate 100 mg, 25 mg, 50 mg 1 MS; CG sumatriptan succinate * 4 mg/0.5 ml ; QL 30 8 ML sumatriptan succinate * 6 mg/0.5 ml ; QL 30 8 ML sumatriptan succinate * 6 mg/0.5ml ; QL 30 8 ML VII 25

guanidine hcl 125 mg MESTINON 60 MG/5ML 3 MS MESTINON * 180 MG 3 MS pyridostigmine bromide er* 180 mg pyridostigmine bromide 60 mg DAPSONE 100 MG, 25 MG 3 MS PRIFTIN 150 MG 4 MS rifabutin 150 mg CAPASTAT SULFATE 1 GM 4 MS ethambutol hcl 100 mg, 400 mg isoniazid 100 mg/ml 1 MS; CG isoniazid 50 mg/5ml isoniazid 100 mg, 300 mg 1 MS; CG PASER 4 GM 4 MS pyrazinamide 500 mg rifampin * 600 mg rifampin 150 mg, 300 mg RIFATER 50-120-300 MG 4 MS TRECATOR 250 MG 4 MS BUSULFEX * 6 MG/ML 5* MS cyclophosphamide 1 gm, 2 gm, 500 mg 2 PA-BvsD; MS VII 26

cyclophosphamide 25 mg, 50 mg 2 PA-BvsD; MS cyclophosphamide 25 mg, 50 mg 2 PA-BvsD; MS gleostine 10 mg, 100 mg, 40 mg HEXALEN 50 MG 5* PA-NS; MS LEUKERAN 2 MG 3 MS lomustine 10 mg, 100 mg, 40 mg MATULANE 50 MG 5* LA melphalan hcl * 50 mg 5* LA VALCHLOR 0.016 % 5* PA-NS; MS bicalutamide 50 mg flutamide 125 mg NILANDRON 150 MG 5* MS XTANDI 40 MG 5* PA-NS; LA; QL 30 120 ZYTIGA 250 MG 5* PA-NS; LA; QL 30 120 POMALYST 1 MG, 2 MG, 3 MG, 4 MG 5* PA-NS; LA REVLIMID 10 MG, 15 MG, 25 MG, 5 MG 5* PA-NS; LA THALOMID 100 MG, 150 MG, 200 MG, 50 MG 5* PA-NS; MS EMCYT 140 MG 4 PA-NS; MS FARESTON 60 MG 5* MS; QL 30 30 SOLTAMOX 10 MG/5ML 4 MS tamoxifen citrate 10 mg, 20 mg 1 MS; CG DROXIA 200 MG, 300 MG, 400 MG 3 MS gemcitabine hcl * 1 gm 5* MS hydroxyurea 500 mg TABLOID 40 MG 4 PA-NS; MS VII 27

ALIMTA * 100 MG, 500 MG 5* PA-BvsD; MS ARRANON * 5 MG/ML 5* MS AVASTIN * 100 MG/4ML 5* PA-BvsD; LA AVASTIN * 400 MG/16 ML 5* PA-BvsD; MS azacitidine 100 mg 5* PA-BvsD; MS BICNU * 100 MG 4 MS bleomycin sulfate 15, 30 2 PA-BvsD; MS BLINCYTO * 35 MCG 5* PA-BvsD; MS carboplatin * 150 mg/15ml cisplatin * 100 mg/100ml 1 MS; CG cladribine * 1 mg/ml 2 PA-BvsD; MS CLOLAR * 1 MG/ML 5* MS cytarabine (pf) 100 mg/ml 1 PA-BvsD; MS; CG cytarabine 20 mg/ml 1 PA-BvsD; MS; CG dacarbazine * 200 mg 1 MS; CG daunorubicin hcl * 5 mg/ml dexrazoxane * 250 mg 1 MS; CG DOCEFREZ * 20 MG, 80 MG 5* MS docetaxel * 80 mg/4ml 5* MS docetaxel * 80 mg/8ml 5* MS ELITEK * 1.5 MG, 7.5 MG 5* PA-BvsD; MS epirubicin hcl * 50 mg/25ml 1 MS; CG ERBITUX * 100 MG/50ML 5* PA-NS; MS FASLODEX * 250 MG/5ML 5* PA-BvsD; MS; QL 28 10 ML FOLOTYN * 40 MG/2ML 5* MS VII 28

HALAVEN * 1 MG/2ML 5* PA-NS; MS; QL 28 24 ML HERCEPTIN * 440 MG 5* PA-NS; LA idarubicin hcl * 10 mg/10ml ifosfamide * 1 gm irinotecan hcl * 100 mg/5ml 5* MS ISTODAX * 10 MG 5* PA-NS; MS IXEMPRA * 15 MG, 45 MG 5* PA-BvsD; MS KADCYLA * 100 MG 5* PA-NS; LA LYNPARZA 50 MG 5* PA-NS; MS mesna * 100 mg/ml MESNEX 400 MG 5* MS mitomycin * 20 mg 1 PA-BvsD; MS; CG MUSTARGEN 10 MG 3 MS oxaliplatin * 100 mg/20ml 5* MS paclitaxel * 300 mg/50ml PERJETA * 420 MG/14ML 5* PA-NS; LA PROLEUKIN * 22000000 5* PA-BvsD; MS TREANDA * 180 MG/2ML, 45 MG/0.5ML 5* PA-BvsD; MS TREANDA * 100 MG, 25 MG 5* PA-BvsD; MS TRISENOX * 10 MG/10ML 5* PA-BvsD; MS VECTIBIX * 100 MG/5ML 5* PA-NS; MS VELCADE 3.5 MG 5* PA-BvsD; MS vinblastine sulfate * 1 mg/ml 2 PA-BvsD; MS vincasar pfs * 1 mg/ml 1 PA-BvsD; MS; CG VII 29

vincristine sulfate * 1 mg/ml 1 PA-BvsD; MS; CG vinorelbine tartrate * 50 mg/5ml 1 MS; CG ABRAXANE * 100 MG 5* MS amifostine * 500 mg 5* PA-BvsD; MS fludarabine phosphate * 50 mg FUSILEV * 50 MG 5* LA leucovorin calcium 100 mg, 200 mg, 350 mg, 50 mg, 500 mg leucovorin calcium * 10 mg/ml leucovorin calcium 10 mg, 15 mg, 25 mg, 5 mg levoleucovorin calcium * 175 mg/17.5ml 5* MS REVLIMID 2.5 MG, 20 MG 5* PA-NS; LA SYNRIBO * 3.5 MG 5* PA-NS; MS YERVOY * 50 MG/10ML 5* PA-NS; LA; QL 21 30 ML ZALTRAP * 100 MG/4ML 5* PA-NS; MS anastrozole 1 mg 1 MS; CG; QL 30 30 exemestane 25 mg letrozole 2.5 mg 1 MS; CG ETOPOPHOS * 100 MG 4 MS etoposide * 500 mg/25ml FARYDAK 10 MG, 15 MG, 20 MG 5* PA-NS; MS toposar * 1 gm/50ml topotecan hcl * 4 mg 5* MS VII 30

AFINITOR 10 MG, 5 MG, 7.5 MG 5* PA-NS; MS; QL 30 30 BOSULIF 100 MG, 500 MG 5* PA-NS; MS CAPRELSA 100 MG 5* PA-NS; LA; QL 30 60 CAPRELSA 300 MG 5* PA-NS; LA; QL 30 30 COMETRIQ 100 MG 1 X 80 1 X 20 MG 5* PA-NS; LA COMETRIQ 140 MG 1 X 80 3 X 20 MG 5* PA-NS; LA COMETRIQ 60 MG 20 MG 5* PA-NS; LA ERIVEDGE 150 MG 5* PA-NS; LA; QL 30 30 GILOTRIF 20 MG, 30 MG, 40 MG 5* PA-NS; LA; QL 30 30 GLEEVEC 100 MG 5* PA-NS; MS; QL 30 180 GLEEVEC 400 MG 5* PA-NS; MS; QL 30 60 IBRANCE 100 MG, 125 MG, 75 MG 5* PA-NS; MS; QL 30 30 ICLUSIG 15 MG, 45 MG 5* PA-NS; MS IMBRUVICA 140 MG 5* PA-NS; LA INLYTA 1 MG, 5 MG 5* PA-NS; LA JAKAFI 10 MG, 15 MG, 20 MG, 25 MG, 5 MG 5* PA-NS; LA LENVIMA 10 MG 10 MG 5* PA-NS; MS LENVIMA 14 MG 10 4 MG 5* PA-NS; MS LENVIMA 20 MG 10 (2) MG 5* PA-NS; MS LENVIMA 24 MG 10 (2) 4 MG 5* PA-NS; MS MEKINIST 0.5 MG, 2 MG 5* PA-NS; LA NEXAVAR 200 MG 5* PA-NS; LA; QL 30 120 SPRYCEL 100 MG, 140 MG, 20 MG, 50 MG, 70 MG, 80 MG 5* PA-NS; MS; QL 30 30 STIVARGA 40 MG 5* PA-NS; LA SUTENT 12.5 MG, 25 MG, 37.5 MG, 50 MG 5* PA-NS; MS; QL 30 30 TAFINLAR 50 MG, 75 MG 5* PA-NS; LA VII 31

TARCEVA 100 MG, 150 MG, 25 MG 5* PA-NS; LA; QL 30 30 TASIGNA 150 MG, 200 MG 5* PA-NS; MS; QL 30 120 TYKERB 250 MG 5* PA-NS; LA; QL 30 180 VOTRIENT 200 MG 5* PA-NS; LA; QL 30 120 XALKORI 200 MG, 250 MG 5* PA-NS; LA; QL 30 60 ZELBORAF 240 MG 5* PA-NS; LA; QL 30 240 ZYDELIG 100 MG, 150 MG 5* PA-NS; LA; QL 30 60 ZYKADIA 150 MG 5* PA-NS; MS; QL 30 150 ARZERRA * 100 MG/5ML 5* PA-NS; MS; LA CYRAMZA * 100 MG/10 ML, 500 MG/50 ML 5* PA-NS; MS KEYTRUDA * 100 MG/4 ML 5* PA-NS; MS KEYTRUDA * 50 MG 5* PA-NS; MS OPDIVO * 100 MG/10ML, 40 MG/4ML 5* PA-NS; MS RITUXAN * 10 MG/ML 5* PA-NS; LA avita 0.025 % avita 0.025 % bexarotene 75 MG 5* PA-NS; MS PANRETIN 0.1 % 5* MS TARGRETIN 1 % 5* PA-NS; MS TARGRETIN 75 MG 5* PA-NS; MS tretinoin 0.01 %, 0.025 % tretinoin 0.025 %, 0.05 %, 0.1 % tretinoin 10 mg 5* MS ALBENZA 200 MG 4 MS VII 32

BILTRICIDE 600 MG 4 MS ivermectin 3 mg ALINIA 100 MG/5ML 4 MS ALINIA 500 MG 4 MS atovaquone 750 mg/5ml 5* MS atovaquone-proguanil hcl 250-100 mg chloroquine phosphate 250 mg, 500 mg COARTEM 20-120 MG 4 MS DARAPRIM 25 MG 3 MS hydroxychloroquine sulfate 200 mg 1 MS; CG mefloquine hcl 250 mg NEBUPENT 300 MG 4 PA-BvsD; MS PENTAM 300 MG 4 PA; MS primaquine phosphate 26.3 mg quinine sulfate 324 mg 2 PA; MS; QL 30 42 EURAX 10 % 4 MS EURAX 10 % 4 MS malathion 0.5 % permethrin 5 % spinosad 0.9 % benztropine mesylate 0.5 mg, 1 mg, 2 mg 2 PA; MS trihexyphenidyl hcl 0.4 mg/ml 2 PA; MS trihexyphenidyl hcl 2 mg, 5 mg 2 PA; MS carbidopa 25 mg VII 33

entacapone 200 mg TASMAR 100 MG 5* MS tolcapone 100 mg 5* MS APOKYN * 10 MG/ML 5* PA; MS; QL 30 90 ML bromocriptine mesylate 5 mg bromocriptine mesylate 2.5 mg NEUPRO 24 1 MG/24 2 MG/24 3 MG/24 4 MG/24 3 ST; MS; QL 30 30 6 MG/24 8 MG/24 pramipexole dihydrochloride 0.125 mg, 0.25 mg, 0.5 mg, 0.75 mg, 1 mg, 1.5 mg ropinirole hcl er 24 * 12 mg, 2 mg, 4 mg, 6 mg, 8 mg ropinirole hcl 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg, 5 mg Dopamine Precursors/L-Amino carbidopa-levodopa er * 25-100 mg, 50-200 mg carbidopa-levodopa 10-100 mg, 25-100 mg, 25-250 mg carbidopa-levodopa 10-100 mg, 25-100 mg, 25-250 mg B (Mao-B) AZILECT 0.5 MG, 1 MG 4 MS selegiline hcl 5 mg selegiline hcl 5 mg ZELAPAR 1.25 MG 5* MS chlorpromazine hcl 25 mg/ml VII 34

chlorpromazine hcl 10 mg, 100 mg, 200 mg, 25 mg, 50 mg fluphenazine decanoate 25 mg/ml fluphenazine hcl 2.5 mg/ml fluphenazine hcl 濃缩 5 mg/ml fluphenazine hcl 2.5 mg/5ml fluphenazine hcl 1 mg, 10 mg, 2.5 mg, 5 mg 1 MS; CG HALDOL DECANOATE * 100 MG/ML, 50 MG/ML haloperidol decanoate * 100 mg/ml, 50 mg/ml 3 MS haloperidol lactate 5 mg/ml haloperidol lactate 2 mg/ml 1 MS; CG haloperidol 0.5 mg, 1 mg, 10 mg, 2 mg, 20 mg, 5 mg loxapine succinate 10 mg, 25 mg, 5 mg, 50 mg ORAP 1 MG, 2 MG 3 MS perphenazine 16 mg, 2 mg, 4 mg, 8 mg prochlorperazine edisylate 5 mg/ml 1 MS; CG prochlorperazine maleate 10 mg, 5 mg 1 MS; CG thioridazine hcl 10 mg, 100 mg, 25 mg, 50 mg thiothixene 1 mg, 10 mg, 2 mg, 5 mg trifluoperazine hcl 1 mg, 10 mg, 2 mg, 5 mg ABILIFY DISCMELT 10 MG 5* PA-NS; MS; QL 30 90 ABILIFY DISCMELT 15 MG 5* PA-NS; MS; QL 30 60 ABILIFY * 9.75 MG/1.3ML 4 PA-NS; MS VII 35

ABILIFY MAINTENA * 300 MG, 400 MG 5* PA-NS; MS; QL 26 1 ABILIFY 1 MG/ML 4 MS; QL 30 1050 ML ABILIFY 10 MG, 15 MG, 2 MG, 20 MG, 30 MG, 5 MG aripiprazole 10 mg, 15 mg, 2 mg, 20 mg, 30 mg, 5 mg 4 MS; QL 30 30 ; QL 30 30 FANAPT 1 MG, 2 MG, 4 MG, 6 MG 4 PA-NS; MS; QL 30 60 FANAPT 10 MG, 12 MG, 8 MG 5* PA-NS; MS; QL 30 60 FANAPT 1 2 4 6 MG 4 PA-NS; MS GEODON * 20 MG 4 MS; QL 30 12 INVEGA 24 * 1.5 MG, 3 MG, 9 MG 5* PA-NS; MS; QL 30 30 INVEGA 24 * 6 MG 5* PA-NS; MS; QL 30 60 INVEGA SUSTENNA * 117 MG/0.75ML, 156 MG/ML, 234 MG/1.5ML, 78 MG/0.5ML 5* MS INVEGA SUSTENNA * 39 MG/0.25ML 4 MS INVEGA TRINZA * 273 MG/0.875ML 5* MS; QL 90 0.88 ML INVEGA TRINZA * 410 MG/1.315ML 5* MS; QL 90 1.32 ML INVEGA TRINZA * 546 MG/1.75ML 5* MS; QL 90 1.75 ML INVEGA TRINZA * 819 MG/2.625ML 5* MS; QL 90 2.63 ML LATUDA 120 MG, 20 MG, 40 MG, 60 MG, 80 MG 4 MS olanzapine * 10 mg olanzapine 10 mg, 15 mg, 2.5 mg, 20 mg, 5 mg, 7.5 mg ; QL 30 30 VII 36

olanzapine 10 mg, 5 mg 2 PA-NS; MS; QL 30 30 olanzapine 15 mg, 20 mg 5* PA-NS; MS; QL 30 30 quetiapine fumarate 100 mg, 200 mg, 25 mg, 300 mg, 400 mg, 50 mg REXULTI 0.25 MG, 0.5 MG, 1 MG, 2 MG, 3 MG, 4 MG RISPERDAL CONSTA * 12.5 MG, 25 MG RISPERDAL CONSTA * 37.5 MG, 50 MG ; QL 30 90 5* PA-NS; MS; QL 30 30 4 MS; QL 28 4 5* MS; QL 28 4 risperidone 1 mg/ml ; QL 30 270 ML risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg risperidone 0.25 mg, 0.5 mg, 1 mg, 2 mg, 3 mg, 4 mg ; QL 30 120 ; QL 30 120 SAPHRIS 10 MG, 2.5 MG, 5 MG 4 ST-NS; MS; QL 30 60 SEROQUEL XR 24 * 150 MG, 200 MG SEROQUEL XR 24 * 300 MG, 400 MG, 50 MG 4 MS; QL 30 30 4 MS; QL 30 60 ziprasidone hcl 20 mg, 40 mg, 60 mg, 80 mg ; QL 30 60 clozapine 100 mg, 200 mg, 25 mg, 50 mg clozapine 100 mg, 12.5 mg, 25 mg 2 PA-NS; MS VERSACLOZ 50 MG/ML 4 PA-NS; MS baclofen 10 mg, 20 mg 1 MS; CG dantrolene sodium 100 mg, 25 mg, 50 mg DYSPORT * 300 4 PA; MS VII 37

tizanidine hcl 2 mg, 4 mg (Cmv) cidofovir * 75 mg/ml 5* MS foscarnet sodium * 24 mg/ml 2 PA; MS ganciclovir sodium * 500 mg 2 PA; MS VALCYTE 50 MG/ML 5* MS valganciclovir hcl 450 mg 5* MS ZIRGAN 0.15 % 4 MS B (Hbv) adefovir dipivoxil 10 mg 5* MS; QL 30 30 BARACLUDE 0.05 MG/ML 4 MS entecavir 0.5 mg, 1 mg 5* MS; QL 30 30 EPIVIR HBV 5 MG/ML 4 MS INTRON A 10000000 ML, 6000000 ML 5* PA-NS; MS INTRON-A 10000000 18000000, 50000000 5* PA-NS; MS lamivudine 10 mg/ml lamivudine 100 mg TYZEKA 600 MG 5* PA; MS VIRAZOLE 6 GM 5* PA-BvsD; MS C (Hcv) HARVONI 90-400 MG 5* PA; MS; QL 28 28 moderiba 200 mg OLYSIO 150 MG 5* PA; MS; QL 28 28 PEGASYS PROCLICK * 135 MCG/0.5ML, 180 MCG/0.5ML 5* PA; MS PEGASYS * 180 MCG/0.5ML, 180 MCG/ML 5* PA; MS VII 38

PEG-INTRON * 120 MCG/0.5ML, 150 MCG/0.5ML, 50 MCG/0.5ML, 80 MCG/0.5ML PEGINTRON REDIPEN * 120 MCG/0.5ML, 150 MCG/0.5ML, 80 MCG/0.5ML 5* PA; MS 5* PA; MS PEG-INTRON * 50 MCG/0.5ML 5* PA; MS ribasphere 200 mg ribasphere 200 mg, 400 mg, 600 mg RIBASPHERE RIBAPAK 400 600 MG, 400 MG, 600 MG 5* MS ribavirin 200 mg ribavirin 200 mg SOVALDI 400 MG 5* PA; MS; QL 28 28 SYLATRON * 200 MCG, 300 MCG, 600 MCG 5* PA-NS; MS VICTRELIS 200 MG 5* PA; MS; QL 28 336 acyclovir 5 % acyclovir 200 mg 1 MS; CG acyclovir 200 mg/5ml acyclovir 400 mg, 800 mg acyclovir sodium * 50 mg/ml 2 PA-BvsD; MS DENAVIR 1 % 3 MS famciclovir 125 mg, 250 mg, 500 mg trifluridine 1 % valacyclovir hcl 1 gm, 500 mg ZOVIRAX 5 % 4 MS HIV (Insti) ISENTRESS 100 MG 4 MS ISENTRESS 400 MG 5* MS; QL 30 60 ISENTRESS 100 MG, 25 MG 3 MS STRIBILD 150-150-200-300 MG 5* MS; QL 30 30 VII 39

TIVICAY 50 MG 5* MS; QL 30 60 VITEKTA 150 MG, 85 MG 5* MS; QL 30 30 HIV (Nnrti) COMPLERA 200-25-300 MG 5* MS EDURANT 25 MG 5* MS; QL 30 30 INTELENCE 100 MG 5* MS; QL 30 120 INTELENCE 200 MG 5* MS; QL 30 60 INTELENCE 25 MG 4 MS; QL 30 120 nevirapine er 24 * 400 mg nevirapine 50 mg/5ml nevirapine 200 mg RESCRIPTOR 100 MG, 200 MG 3 MS SUSTIVA 200 MG 5* MS SUSTIVA 50 MG 4 MS SUSTIVA 600 MG 5* MS VIRAMUNE XR 24 * 100 MG 4 MS HIV TRIUMEQ 600-50-300 MG 5* MS; QL 30 30 HIV (Nrti) abacavir sulfate 300 mg abacavir-lamivudine-zidovudine 300-150-300 mg 5* MS; QL 30 60 ATRIPLA 600-200-300 MG 5* MS; QL 30 30 didanosine 125 mg, 200 mg, 250 mg, 400 mg EMTRIVA 200 MG 3 MS EMTRIVA 10 MG/ML 3 MS EPZICOM 600-300 MG 5* MS VII 40

lamivudine 150 mg, 300 mg lamivudine-zidovudine 150-300 mg 5* MS RETROVIR * 10 MG/ML 4 MS stavudine 15 mg, 20 mg, 30 mg, 40 mg stavudine 1 mg/ml TRUVADA 200-300 MG 5* MS; QL 30 30 VIDEX 2 GM 4 MS VIREAD 40 MG/GM 5* MS VIREAD 150 MG, 200 MG, 250 MG, 300 MG 5* MS ZIAGEN 20 MG/ML 4 MS zidovudine 100 mg zidovudine 50 mg/5ml zidovudine 300 mg HIV FUZEON * 90 MG 5* MS; QL 30 60 SELZENTRY 150 MG, 300 MG 5* MS; QL 30 120 TYBOST 150 MG 4* MS; QL 30 30 HIV APTIVUS 250 MG 5* MS; QL 30 120 APTIVUS 100 MG/ML 5* MS; QL 30 300 ML CRIXIVAN 200 MG, 400 MG 3 MS EVOTAZ 300-150 MG 5* MS; QL 30 30 INVIRASE 200 MG 5* MS INVIRASE 500 MG 5* MS KALETRA 400-100 MG/5ML 5* MS KALETRA 100-25 MG 4 MS KALETRA 200-50 MG 5* MS LEXIVA 50 MG/ML 4 MS LEXIVA 700 MG 5* MS NORVIR 100 MG 4 MS VII 41

NORVIR 80 MG/ML 4 MS NORVIR 100 MG 4 MS PREZCOBIX 800-150 MG 5* MS; QL 30 30 PREZISTA 100 MG/ML 5* MS; QL 30 360 ML PREZISTA 150 MG 4 MS PREZISTA 600 MG, 800 MG 5* MS; QL 30 60 PREZISTA 75 MG 3 MS; QL 30 60 REYATAZ 150 MG, 200 MG 3 MS; QL 30 60 REYATAZ 300 MG 3 MS; QL 30 30 REYATAZ 50 MG 3 MS VIRACEPT 250 MG, 625 MG 5* MS amantadine hcl 100 mg amantadine hcl 50 mg/5ml amantadine hcl 100 mg RELENZA DISKHALER 5 MG 3 MS; QL 365 120 rimantadine hcl 100 mg TAMIFLU 30 MG 3 MS; QL 365 112 TAMIFLU 45 MG, 75 MG 3 MS; QL 365 56 TAMIFLU 6 MG/ML 3 MS; QL 365 720 ML buspirone hcl 10 mg, 15 mg, 30 mg, 5 mg, 7.5 mg meprobamate 200 mg, 400 mg 2 ST-NS; MS oxazepam 10 mg, 15 mg, 30 mg ; QL 30 120 SILENOR 3 MG, 6 MG 3 MS; QL 30 30 triazolam 0.125 mg 1 MS; CG; QL 30 30 triazolam 0.25 mg 1 MS; CG; QL 30 60 VII 42

alprazolam er 24 * 0.5 mg, 1 mg, 2 mg, 3 mg 1 MS; CG alprazolam 0.25 mg, 0.5 mg, 1 mg, 2 mg 1 MS; CG alprazolam 0.25 mg, 0.5 mg, 1 mg, 2 mg 1 MS; CG chlordiazepoxide hcl 10 mg, 25 mg, 5 mg 1 MS; CG; QL 30 120 clonazepam 0.5 mg 1 MS; CG; QL 30 90 clonazepam 1 mg 1 MS; CG; QL 30 120 clonazepam 2 mg 1 MS; CG; QL 30 300 clonazepam 0.125 mg, 0.25 mg ; QL 30 60 clonazepam 0.5 mg ; QL 30 90 clonazepam 1 mg ; QL 30 120 clonazepam 2 mg ; QL 30 300 clorazepate dipotassium 15 mg, 3.75 mg, 7.5 mg 1 MS; CG diazepam intensol 5 mg/ml diazepam 1 mg/ml diazepam 10 mg, 2 mg, 5 mg 1 MS; CG; QL 30 120 lorazepam 0.5 mg, 1 mg, 2 mg 1 MS; CG; QL 30 90 carbamazepine er 12 100 mg, 200 mg, 300 mg lithium carbonate er * 300 mg, 450 mg lithium carbonate 150 mg, 300 mg, 600 mg 1 MS; CG lithium carbonate 300 mg 1 MS; CG lithium 8 meg/5 ml 1 MS; CG VII 43

acarbose 100 mg, 25 mg, 50 mg AVANDIA 2 MG, 4 MG, 8 MG 4 PA; MS; QL 30 30 BYDUREON * 2 MG 4 MS BYDUREON * 2 MG 4 MS BYETTA 10 MCG * 10 MCG/0.04ML 4 MS BYETTA 5 MCG * 5 MCG/0.02ML 4 MS CYCLOSET 0.8 MG 4 PA; MS glimepiride 1 mg, 2 mg, 4 mg 1 MS; CG; QL 30 60 glipizide er 24 * 10 mg, 2.5 mg, 5 mg ; QL 30 60 glipizide 10 mg, 5 mg 1 MS; CG; QL 30 120 glyburide micronized 1.5 mg, 3 mg, 6 mg 2 ST; MS; QL 30 60 glyburide 1.25 mg, 2.5 mg, 5 mg 2 ST; MS; QL 30 120 GLYSET 100 MG, 25 MG, 50 MG 4 MS; QL 30 90 INVOKAMET 150-1000 MG, 150-500 MG, 50-1000 MG, 50-500 MG 4 ST; MS INVOKANA 100 MG, 300 MG 4 ST; MS JANUVIA 100 MG 4 MS; QL 30 30 JANUVIA 25 MG, 50 MG 4 MS; QL 30 60 JARDIANCE 10 MG, 25 MG 4 ST; MS JENTADUETO 2.5-1000 MG, 2.5-500 MG, 2.5-850 MG metformin hcl er (osm) 24 * 500 mg 3 MS; QL 30 60 ; QL 30 120 metformin hcl er 24 * 500 mg ; QL 30 120 metformin hcl er 24 * 750 mg ; QL 30 75 metformin hcl 1000 mg 1 MS; CG; QL 30 75 VII 44

metformin hcl 500 mg 1 MS; CG; QL 30 150 metformin hcl 850 mg 1 MS; CG; QL 30 90 nateglinide 120 mg, 60 mg ONGLYZA 2.5 MG, 5 MG 3 MS pioglitazone hcl 15 mg, 30 mg, 45 mg ; QL 30 30 repaglinide 0.5 mg, 1 mg, 2 mg RIOMET 500 MG/5ML 3 MS SYMLINPEN 120 * 2700 MCG/2.7ML 5* PA; MS SYMLINPEN 60 * 1500 MCG/1.5ML 4 PA; MS tolazamide 250 mg, 500 mg ; QL 30 60 tolbutamide 500 mg ; QL 30 180 TRADJENTA 5 MG 3 MS; QL 30 30 VICTOZA * 18 MG/3ML 4 PA; MS; QL 28 9 ML ACTOPLUS MET XR 24 * 15-1000 MG, 30-1000 MG AVANDAMET 2-1000 MG, 2-500 MG, 4-1000 MG, 4-500 MG AVANDARYL 4-1 MG, 4-2 MG, 4-4 MG, 8-2 MG, 8-4 MG glipizide-metformin hcl 2.5-250 mg, 2.5-500 mg, 5-500 mg glyburide-metformin 1.25-250 mg, 2.5-500 mg, 5-500 mg 3 MS; QL 30 60 4 PA; MS; QL 30 60 4 PA; MS; QL 30 30 ; QL 30 120 2 ST; MS; QL 30 120 JANUMET 50-1000 MG, 50-500 MG 4 MS; QL 30 60 JANUMET XR 24 * 100-1000 MG JANUMET XR 24 * 50-1000 MG, 50-500 MG KOMBIGLYZE XR 24 * 2.5-1000 MG KOMBIGLYZE XR 24 * 5-1000 MG, 5-500 MG 4 MS; QL 30 30 4 MS; QL 30 60 4 MS; QL 30 60 4 MS; QL 30 30 VII 45

metformin hcl er (osm) 24 * 1000 mg ; QL 30 60 pioglitazone hcl-glimepiride 30-2 mg, 30-4 mg ; QL 30 30 pioglitazone hcl-metformin hcl 15-500 mg, 15-850 mg PRANDIMET 1-500 MG, 2-500 MG 4 MS ; QL 30 90 ACCU-CHEK ACTIVE GLUCOSE Part B MS; NDC (50924047602) ACCU-CHEK ACTIVE Part B MS; NDC (50924047550); QL 25 100 ACCU-CHEK AVIVA Part B MS; NDC (65702010710) ACCU-CHEK AVIVA PLUS ACCU-CHEK AVIVA PLUS Part B Part B MS; NDC (65702040710, 65702040810); QL 25 100 MS; NDC (65702010110); QL 365 1 ACCU-CHEK COMFORT CURVE Part B MS; NDC (50924041102) ACCU-CHEK COMFORT CURVE Part B MS; NDC (50924037350, 50924038110); QL 25 100 ACCU-CHEK COMPACT BLUE Part B MS; NDC (65702036910) ACCU-CHEK COMPACT PLUS ACCU-CHEK COMPACT PLUS Part B Part B MS; NDC (50924001901); QL 365 1 MS; NDC (50924098850, 50924088401); QL 25 102 ACCU-CHEK FASTCLIX Part B MS; NDC (65702048110) ACCU-CHEK MULTICLIX Part B MS; NDC (50924044601) ACCU-CHEK MULTICLIX ACCU-CHEK NANO SMARTVIEW Part B Part B MS; NDC (50924045001, 50924098101) MS; NDC (65702048310); QL 365 1 VII 46

ACCU-CHEK SAFE-T PRO Part B MS; NDC (50924095120, 50924007920) ACCU-CHEK SMARTVIEW Part B MS; NDC (65702048810) ACCU-CHEK SMARTVIEW ACCU-CHEK SOFT TOUCH Part B Part B MS; NDC (65702049210, 65702049310); QL 25 100 MS; NDC (50924058510, 50924093720) ACCU-CHEK SOFTCLIX Part B MS; NDC (50924095701) ACCU-CHEK SOFTCLIX Part B MS; NDC (65702040010) ACCU-CHEK SOFTCLIX Part B MS; NDC (50924097110, 65702012410) FREESTYLE Part B MS; NDC (99073014002) FREESTYLE FREEDOM LITE FREESTYLE INSULINX FREESTYLE INSULINX FREESTYLE LITE FREESTYLE LITE FREESTYLE Part B Part B Part B Part B Part B Part B MS; NDC (99073070914); QL 365 1 MS; NDC (99073071143); QL 365 1 MS; NDC (99073071231, 99073071227); QL 25 100 MS; NDC (99073070805); QL 365 1 MS; NDC (99073070822, 99073070827); QL 25 100 MS; NDC (99073012050, 99073012101); QL 25 100 MEDISENSE / / Part B MS; NDC (57599055101) PRECISION XTRA Part B MS; NDC (57599972804, 57599987705); QL 25 100 VII 47

PRECISION XTRA Part B MS; NDC (57599881401); QL 365 1 PRECISION XTRA KETONE Part B MS; NDC (57599074501) GLUCAGEN HYPOKIT 1 MG 3 MS; QL 30 4 GLUCAGON 1 MG 3 MS; QL 30 4 KORLYM 300 MG 5* PA; MS; QL 30 120 PROGLYCEM 50 MG/ML 4 MS ASSURE ID 29G X 1/2" 1 ML 3 MS BD U-100 1 ML 3 MS BD SAFETYGLIDE 29G X 1/2" 0.5 ML 3 MS COMFORT ASSIST 31G X 5/16" 0.3 ML 3 MS COMFORT EZ 33G X 5 MM, 33G X 6 MM, 33G X 8 MM 3 MS CURITY 2"X2" 3 MS EXCEL COMFORT POINT 31 G X 4 MM, 31 G X 8 MM 3 MS HUMALOG KWIKPEN * 100 /ML 3 MS; QL 30 60 ML HUMALOG KWIKPEN * 200 /ML 3 MS; QL 30 30 ML HUMALOG MIX 50/50 KWIKPEN * (50-50) 100 /ML 3 MS; QL 30 60 ML HUMALOG MIX 50/50 * (50-50) 100 /ML 3 MS; QL 30 60 ML HUMALOG MIX 75/25 KWIKPEN * (75-25) 100 ML 3 MS; QL 30 60 ML HUMALOG MIX 75/25 * (75-25) 100 ML 3 MS; QL 30 60 ML HUMALOG * 100 ML 3 MS; QL 30 60 ML HUMALOG * 100 ML 3 MS; QL 30 60 ML VII 48

HUMULIN 70/30 KWIKPEN * (70-30) 100 /ML 3 MS; QL 30 60 ML HUMULIN 70/30 * (70-30) 100 ML 3 MS; QL 30 60 ML HUMULIN N KWIKPEN * 100 ML 3 MS; QL 30 60 ML HUMULIN N * 100 ML 3 MS; QL 30 60 ML HUMULIN R 100 ML 3 MS; QL 30 60 ML HUMULIN R U-500* 500 ML 28G X 1/2" 0.5 ML 3 MS 5* PA-BvsD; MS; QL 30 40 ML LANTUS SOLOSTAR * 100 ML 3 MS; QL 30 60 ML LANTUS * 100 ML 3 MS; QL 30 60 ML LEVEMIR FLEXTOUCH * 100 /ML 3 MS; QL 30 60 ML LEVEMIR * 100 ML 3 MS; QL 30 60 ML NOVOLIN 70/30 * (70-30) 100 /ML 3 MS; QL 30 60 ML NOVOLIN N * 100 /ML 3 MS; QL 30 60 ML NOVOLIN R 100 /ML 3 MS; QL 30 60 ML NOVOLOG FLEXPEN * 100 /ML 3 MS; QL 30 60 ML NOVOLOG MIX 70/30 FLEXPEN * (70-30) 100 /ML NOVOLOG MIX 70/30 * (70-30) 100 /ML 3 MS; QL 30 60 ML 3 MS; QL 30 60 ML NOVOLOG PENFILL * 100 /ML 3 MS; QL 30 60 ML NOVOLOG * 100 /ML 3 MS; QL 30 60 ML ULTICARE 29G X 1/2" 0.3 ML, 29G X 1/2" 0.5 ML 3 MS V-GO 20 4 MS V-GO 30 4 MS V-GO 40 4 MS VII 49

COUMADIN * 5 MG 3 MS COUMADIN 1 MG, 10 MG, 2 MG, 2.5 MG, 3 MG, 4 MG, 5 MG, 6 MG, 7.5 MG 3 MS ELIQUIS 2.5 MG, 5 MG 3 MS enoxaparin sodium 300 mg/3ml ; QL 30 24 ML enoxaparin sodium * 100 mg/ml, 150 mg/ml 5* MS; QL 30 28 ML enoxaparin sodium * 120 mg/0.8ml 5* MS; QL 30 22.4 ML enoxaparin sodium * 30 mg/0.3ml, 40 mg/0.4ml ; QL 30 8.4 ML enoxaparin sodium * 60 mg/0.6ml ; QL 30 16.8 ML enoxaparin sodium * 80 mg/0.8ml ; QL 30 22.4 ML fondaparinux sodium * 10 mg/0.8ml 5* MS; QL 30 11.2 ML fondaparinux sodium * 2.5 mg/0.5ml ; QL 30 16 ML fondaparinux sodium * 5 mg/0.4ml 5* MS; QL 30 5.6 ML fondaparinux sodium * 7.5 mg/0.6ml 5* MS; QL 30 8.4 ML heparin (porcine) d5w * 40-5 ml-%, 50-5 ml-% heparin (porcine) nacl 2-0.9 ml-% heparin sod (porcine) d5w * 100 ml heparin sodium (porcine) 1000 ml, 10000 ml, 20000 ml, 2500 ml, 5000 ml VII 50

heparin sodium (porcine) * 2000 ml jantoven 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg 1 MS; CG PRADAXA 150 MG, 75 MG 3 MS warfarin sodium 1 mg, 10 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg 1 MS; CG XARELTO 15 MG 3 MS; QL 21 42 XARELTO 20 MG 3 MS; QL 30 30 XARELTO 15 20 MG 3 MS; QL 365 51 anagrelide hcl 0.5 mg, 1 mg EPOGEN 10000 ML, 2000 ML, 20000 ML, 3000 ML, 4000 ML 3 PA; MS LEUKINE * 250 MCG 5* PA; MS MOZOBIL * 24 MG/1.2ML 5* PA; MS; QL 1 9.6 ML NEULASTA * 6 MG/0.6ML 5* MS NEUMEGA * 5 MG 5* PA; MS NEUPOGEN 300 MCG/0.5ML, 300 MCG/ML, 480 MCG/0.8ML, 480 MCG/1.6ML PROCRIT 10000 ML, 2000 ML, 3000 ML, 4000 ML 5* PA; MS 3 PA; MS PROCRIT 20000 ML, 40000 ML 5* PA; MS PROMACTA 12.5 MG, 25 MG, 50 MG, 75 MG 5* PA; LA; QL 30 60 tranexamic acid * 100 mg/ml tranexamic acid 650 mg VII 51

AGGRENOX 12 25-200 MG 4 MS aspirin-dipyridamole er 12 25-200 mg BRILINTA 90 MG 3 MS cilostazol 100 mg, 50 mg 1 MS; CG clopidogrel bisulfate 300 mg ; QL 30 1 clopidogrel bisulfate 75 mg 1 MS; CG; QL 30 30 dipyridamole 25 mg, 50 mg, 75 mg 2 PA; MS EFFIENT 10 MG, 5 MG 3 MS ticlopidine hcl 250 mg Alpha- clonidine hcl 0.1 mg, 0.2 mg, 0.3 mg 1 MS; CG clonidine hcl 0.1 mg /24 0.2 mg /24 ; QL 28 4 clonidine hcl 0.3 mg /24 ; QL 28 8 guanfacine hcl 1 mg, 2 mg 2 PA; MS methyldopa 250 mg, 500 mg 2 PA; MS midodrine hcl 10 mg, 2.5 mg, 5 mg Alpha- prazosin hcl 1 mg, 2 mg, 5 mg terazosin hcl 1 mg, 10 mg, 2 mg, 5 mg 1 MS; CG Ii BENICAR 20 MG, 40 MG, 5 MG 3 ST; MS DIOVAN 160 MG, 40 MG, 80 MG 4 MS; QL 30 60 DIOVAN 320 MG 4 MS; QL 30 30 EDARBI 40 MG, 80 MG 4 MS; QL 30 30 eprosartan mesylate 600 mg irbesartan 150 mg, 300 mg, 75 mg losartan potassium 100 mg 1 MS; CG; QL 30 30 VII 52

losartan potassium 25 mg, 50 mg 1 MS; CG; QL 30 60 telmisartan 20 mg, 40 mg, 80 mg ; QL 30 30 valsartan 160 mg, 40 mg, 80 mg ; QL 30 60 valsartan 320 mg ; QL 30 30 (Ace) benazepril hcl 10 mg, 20 mg, 40 mg, 5 mg 1 MS; CG captopril 100 mg, 12.5 mg, 25 mg, 50 mg 1 MS; CG enalapril maleate 10 mg, 2.5 mg, 20 mg, 5 mg 1 MS; CG fosinopril sodium 10 mg, 20 mg, 40 mg 1 MS; CG lisinopril 10 mg, 2.5 mg, 20 mg, 30 mg, 40 mg, 5 mg 1 MS; CG moexipril hcl 15 mg, 7.5 mg perindopril erbumine 2 mg, 4 mg, 8 mg quinapril hcl 10 mg, 20 mg, 40 mg, 5 mg 1 MS; CG ramipril 1.25 mg, 10 mg, 2.5 mg, 5 mg 1 MS; CG trandolapril 1 mg, 2 mg, 4 mg 1 MS; CG amiodarone hcl * 150 mg/3ml 1 MS; CG amiodarone hcl 100 mg, 200 mg, 400 mg disopyramide phosphate 100 mg, 150 mg flecainide acetate 100 mg, 150 mg, 50 mg mexiletine hcl 150 mg, 200 mg, 250 mg MULTAQ 400 MG 4 MS NORPACE CR 12 100 MG, 150 MG 4 PA; MS pacerone 100 mg, 200 mg, 400 mg procainamide hcl 100 mg/ml, 500 mg/ml 1 MS; CG propafenone hcl er 12 225 mg, 325 mg, 425 mg propafenone hcl 150 mg, 225 mg, 300 mg VII 53

quinidine gluconate er * 324 mg quinidine gluconate 80 mg/ml 1 MS; CG quinidine sulfate er * 300 mg quinidine sulfate 200 mg, 300 mg 1 MS; CG sorine 120 mg, 160 mg, 240 mg, 80 mg 1 MS; CG sotalol hcl (af) 120 mg, 160 mg, 80 mg 1 MS; CG sotalol hcl 120 mg, 160 mg, 240 mg, 80 mg 1 MS; CG TIKOSYN 125 MCG, 250 MCG, 500 MCG 4 MS Beta- acebutolol hcl 200 mg, 400 mg atenolol 100 mg, 25 mg, 50 mg 1 MS; CG betaxolol hcl 10 mg, 20 mg bisoprolol fumarate 10 mg, 5 mg BYSTOLIC 10 MG, 2.5 MG, 20 MG, 5 MG 4 MS carvedilol 12.5 mg, 25 mg, 3.125 mg, 6.25 mg 1 MS; CG COREG CR 24 10 MG, 20 MG, 40 MG, 80 MG labetalol hcl * 5 mg/ml 1 MS; CG labetalol hcl 100 mg, 200 mg, 300 mg metoprolol succinate er 24 * 100 mg, 200 mg, 25 mg, 50 mg 3 MS; QL 30 30 metoprolol tartrate * 1 mg/ml metoprolol tartrate 100 mg, 25 mg, 50 mg 1 MS; CG nadolol 20 mg, 40 mg, 80 mg pindolol 10 mg, 5 mg propranolol hcl er 24 120 mg, 160 mg, 60 mg, 80 mg propranolol hcl * 1 mg/ml propranolol hcl 20 mg/5ml, 40 mg/5ml VII 54

propranolol hcl 10 mg, 20 mg, 40 mg, 60 mg, 80 mg 1 MS; CG timolol maleate 10 mg, 20 mg, 5 mg afeditab cr 24 * 30 mg, 60 mg ; QL 30 60 amlodipine besylate 10 mg, 2.5 mg, 5 mg 1 MS; CG cartia xt 24 120 mg, 180 mg, 240 mg, 300 mg diltiazem hcl er 24 180 mg, 360 mg, 420 mg diltiazem hcl er 24 120 mg, 240 mg, 300 mg diltiazem hcl er 12 120 mg, 60 mg, 90 mg diltiazem hcl * 50 mg/10ml 1 MS; CG diltiazem hcl * 100 mg 1 MS; CG diltiazem hcl 120 mg, 30 mg, 60 mg, 90 mg dilt-xr 24 120 mg 1 MS; CG dilt-xr 24 180 mg, 240 mg felodipine er 24 * 10 mg, 2.5 mg, 5 mg isradipine 2.5 mg, 5 mg matzim la 24 * 180 mg, 240 mg, 300 mg, 360 mg, 420 mg ; QL 30 30 nicardipine hcl * 2.5 mg/ml 1 MS; CG nicardipine hcl 20 mg, 30 mg nifedical xl 24 * 30 mg, 60 mg ; QL 30 60 nifedipine er 24 * 30 mg, 60 mg, 90 mg nifedipine 10 mg, 20 mg 2 PA; MS nimodipine 30 mg ; QL 30 60 VII 55

taztia xt 24 120 mg, 180 mg, 240 mg, 300 mg, 360 mg verapamil hcl er 24 100 mg, 120 mg, 180 mg, 200 mg, 240 mg, 300 mg, 360 mg verapamil hcl er * 120 mg, 180 mg, 240 mg verapamil hcl * 2.5 mg/ml 1 MS; CG verapamil hcl 120 mg, 40 mg, 80 mg 1 MS; CG ADVICOR 24 * 1000-20 MG, 1000-40 MG, 500-20 MG, 750-20 MG 4 MS amiloride-hydrochlorothiazide 5-50 mg 1 MS; CG amlodipine besy-benazepril hcl 10-20 mg, 10-40 mg, 2.5-10 mg, 5-10 mg, 5-20 mg, 5-40 mg amlodipine besylate-valsartan 10-160 mg, 10-320 mg, 5-160 mg, 5-320 mg amlodipine-valsartan-hctz 10-160-12.5 mg, 10-160-25 mg, 10-320-25 mg, 5-160-12.5 mg, 5-160-25 mg ; QL 30 30 atenolol-chlorthalidone 100-25 mg, 50-25 mg 1 MS; CG AZOR 10-20 MG, 10-40 MG, 5-20 MG, 5-40 MG benazepril-hydrochlorothiazide 10-12.5 mg, 20-12.5 mg, 20-25 mg, 5-6.25 mg BENICAR HCT 20-12.5 MG, 40-12.5 MG, 40-25 MG bisoprolol-hydrochlorothiazide 10-6.25 mg, 2.5-6.25 mg, 5-6.25 mg candesartan cilexetil-hctz 16-12.5 mg, 32-12.5 mg, 32-25 mg captopril-hydrochlorothiazide 25-15 mg, 25-25 mg, 50-15 mg, 50-25 mg 3 ST; MS 1 MS; CG 3 ST; MS 1 MS; CG clorpres 0.1-15 mg, 0.2-15 mg, 0.3-15 mg VII 56

DEMSER 250 MG 4 MS; QL 30 480 DUTOPROL 24 * 100-12.5 MG, 25-12.5 MG, 50-12.5 MG 3 MS EDARBYCLOR 40-12.5 MG, 40-25 MG 4 MS; QL 30 30 enalapril-hydrochlorothiazide 10-25 mg, 5-12.5 mg 1 MS; CG fosinopril sodium-hctz 10-12.5 mg, 20-12.5 mg irbesartan-hydrochlorothiazide 150-12.5 mg, 300-12.5 mg lisinopril-hydrochlorothiazide 10-12.5 mg, 20-12.5 mg, 20-25 mg losartan potassium-hctz 100-12.5 mg, 100-25 mg 1 MS; CG 1 MS; CG; QL 30 30 losartan potassium-hctz 50-12.5 mg 1 MS; CG; QL 30 60 methyldopa-hydrochlorothiazide 250-15 mg, 250-25 mg metoprolol-hydrochlorothiazide 100-25 mg, 100-50 mg, 50-25 mg moexipril-hydrochlorothiazide 15-12.5 mg, 15-25 mg, 7.5-12.5 mg 2 PA; MS propranolol-hctz 40-25 mg, 80-25 mg quinapril-hydrochlorothiazide 10-12.5 mg, 20-12.5 mg, 20-25 mg reserpine 0.1 mg, 0.25 mg spironolactone-hctz 25-25 mg TEKTURNA HCT 150-12.5 MG, 150-25 MG, 300-12.5 MG, 300-25 MG telmisartan-amlodipine 40-10 mg, 40-5 mg, 80-10 mg, 80-5 mg telmisartan-hctz 40-12.5 mg, 80-12.5 mg, 80-25 mg TEVETEN HCT 600-12.5 MG, 600-25 MG 4 ST; MS 4 MS; QL 30 30 ; QL 30 30 ; QL 30 30 VII 57

triamterene-hctz 37.5-25 mg 1 MS; CG triamterene-hctz 37.5-25 mg, 75-50 mg 1 MS; CG TRIBENZOR 20-5-12.5 MG, 40-10-12.5 MG, 40-10-25 MG, 40-5-12.5 MG, 40-5-25 MG valsartan-hydrochlorothiazide 160-12.5 mg, 80-12.5 mg valsartan-hydrochlorothiazide 160-25 mg, 320-12.5 mg, 320-25 mg 3 ST; MS ; QL 30 60 ; QL 30 30 digitek 125 mcg 1 MS; QL 30 30 digitek 250 mcg 1 PA; MS; QL 30 30 digoxin 0.25 mg/ml digoxin 0.05 mg/ml digoxin 0.125 mg 1 MS; CG; QL 30 30 digoxin 250 mcg 1 PA; MS; CG; QL 30 30 LANOXIN 0.25 MG/ML 3 MS LANOXIN 0.0625 MG 3 MS LANOXIN 0.125 MG 3 MS; QL 30 30 LANOXIN 0.25 MG, 187.5 MCG 3 PA; MS; QL 30 30 LANOXIN 0.1 MG/ML 3 MS pentoxifylline er * 400 mg RANEXA 12 * 1000 MG, 500 MG 4 MS; QL 30 60 TEKTURNA 150 MG, 300 MG 4 MS; QL 30 30 acetazolamide er 12 500 mg acetazolamide 125 mg, 250 mg acetazolamide sodium 500 mg methazolamide 25 mg, 50 mg VII 58

bumetanide 0.25 mg/ml 1 MS; CG bumetanide 0.5 mg, 1 mg, 2 mg 1 MS; CG furosemide 10 mg/ml 1 MS; CG furosemide 10 mg/ml, 8 mg/ml furosemide 20 mg, 40 mg, 80 mg 1 MS; CG torsemide * 20 mg/2ml 1 MS; CG torsemide 10 mg, 100 mg, 20 mg, 5 mg 钾 amiloride hcl 5 mg DYRENIUM 100 MG, 50 MG 4 MS eplerenone 25 mg, 50 mg spironolactone 100 mg, 25 mg, 50 mg 噻 chlorothiazide 250 mg, 500 mg 1 MS; CG chlorothiazide sodium * 500 mg chlorthalidone 25 mg, 50 mg 1 MS; CG hydrochlorothiazide 12.5 mg 1 MS; CG hydrochlorothiazide 12.5 mg, 25 mg, 50 mg 1 MS; CG indapamide 1.25 mg, 2.5 mg 1 MS; CG methyclothiazide 5 mg metolazone 10 mg, 2.5 mg, 5 mg fenofibrate micronized 134 mg, 200 mg, 67 mg fenofibrate 145 mg, 160 mg, 48 mg, 54 mg gemfibrozil 600 mg 1 MS; CG Hmg Coa ALTOPREV 24 * 20 MG, 40 MG, 60 MG 4 MS atorvastatin calcium 10 mg, 20 mg, 40 mg 1 MS; CG; QL 30 45 VII 59

atorvastatin calcium 80 mg 1 MS; CG; QL 30 30 CRESTOR 10 MG, 20 MG, 40 MG, 5 MG 3 MS; QL 30 30 fluvastatin sodium 20 mg, 40 mg LIVALO 1 MG, 2 MG, 4 MG 4 MS lovastatin 10 mg, 20 mg, 40 mg 1 MS; CG pravastatin sodium 10 mg, 20 mg, 40 mg 1 MS; CG; QL 30 45 pravastatin sodium 80 mg 1 MS; CG; QL 30 30 simvastatin 10 mg, 20 mg, 40 mg, 5 mg 1 MS; CG; QL 30 45 simvastatin 80 mg 1 MS; CG; QL 30 30 cholestyramine light 4 gm cholestyramine light 4 gm cholestyramine 4 gm cholestyramine 4 gm colestipol hcl 5 gm colestipol hcl 1 gm JUXTAPID 10 MG, 20 MG, 5 MG 5* PA; LA JUXTAPID 30 MG, 40 MG, 60 MG 5* PA; MS KYNAMRO * 200 MG/ML 5* PA; LA; QL 28 4 ML niacin er * 1000 mg, 500 mg, 750 mg NIACOR 500 MG 3 MS omega-3-acid ethyl esters 1 gm prevalite 4 gm VASCEPA 1 GM 3 MS WELCHOL 3.75 GM 4 MS WELCHOL 625 MG 4 MS ZETIA 10 MG 3 MS hydralazine hcl 20 mg/ml hydralazine hcl 10 mg, 100 mg, 25 mg, 50 mg VII 60

minoxidil 10 mg, 2.5 mg isosorbide dinitrate er * 40 mg isosorbide dinitrate 10 mg, 20 mg, 30 mg, 5 mg isosorbide mononitrate er 24 * 120 mg, 30 mg, 60 mg isosorbide mononitrate 10 mg, 20 mg minitran 24 0.1 mg 0.2 mg0.4 mg0.6 mg NITRO-BID 2 % 3 MS nitroglycerin * 5 mg/ml 1 MS; CG nitroglycerin 24 0.1 mg 0.2 mg0.4 mg0.6 mg NITROSTAT 0.3 MG, 0.4 MG, 0.6 MG 3 MS amphetamine-dextroamphet er 24 10 mg, 15 mg, 5 mg amphetamine-dextroamphet er 24 20 mg, 25 mg, 30 mg amphetamine-dextroamphetamine 10 mg, 12.5 mg, 15 mg, 20 mg, 30 mg, 5 mg, 7.5 mg dexedrine 10 mg, 5 mg 2 PA; MS dextroamphetamine sulfate er 24 10 mg, 15 mg, 5 mg ; QL 30 30 ; QL 30 60 2 PA; MS; QL 30 60 2 PA; MS dextroamphetamine sulfate 10 mg, 5 mg 2 PA; MS zenzedi 10 mg, 5 mg 2 PA; MS VII 61

clonidine hcl er 12 * 0.1 mg 2 PA; MS dexmethylphenidate hcl 10 mg, 2.5 mg, 5 mg ; QL 30 120 metadate er * 20 mg ; QL 30 90 methylphenidate hcl er (cd) * 10 mg, 50 mg, 60 mg methylphenidate hcl er (la) 24 20 mg, 40 mg methylphenidate hcl er (la) 24 30 mg ; QL 30 30 ; QL 30 30 ; QL 30 60 methylphenidate hcl er * 20 mg ; QL 30 90 methylphenidate hcl er * 27 mg, 54 mg ; QL 30 30 methylphenidate hcl er * 36 mg ; QL 30 60 methylphenidate hcl 5 mg/5ml ; QL 30 2160 ML methylphenidate hcl 10 mg, 20 mg, 5 mg ; QL 30 90 STRATTERA 10 MG, 18 MG, 25 MG, 40 MG 4 PA; MS; QL 30 60 STRATTERA 100 MG, 60 MG, 80 MG 4 PA; MS; QL 30 30 estazolam 1 mg, 2 mg 1 MS; CG NUEDEXTA 20-10 MG 3 PA; MS riluzole 50 mg 5* MS VECAMYL 2.5 MG 5* MS XENAZINE 12.5 MG 5* PA; LA; QL 30 210 XENAZINE 25 MG 5* PA; LA; QL 30 120 SAVELLA 100 MG, 12.5 MG, 25 MG, 50 MG 3 MS VII 62

SAVELLA 12.5 25 50 MG 3 MS AMPYRA 12 * 10 MG 5* PA; LA; QL 30 60 AUBAGIO 14 MG, 7 MG 5* PA; LA; QL 30 30 AVONEX * 30 MCG 5* PA; MS AVONEX * 30 MCG /0.5ML 5* PA; MS AVONEX * 30 MCG/0.5ML 5* PA; MS COPAXONE * 20 MG/ML 5* PA; MS; QL 30 30 ML COPAXONE * 40 MG/ML 5* PA; MS; QL 28 12 ML EXTAVIA * 0.3 MG 5* PA; MS GILENYA 0.5 MG 5* PA; MS; QL 30 30 mitoxantrone hcl * 25 mg/12.5ml REBIF REBIDOSE * 22 MCG/0.5ML, 44 MCG/0.5ML REBIF REBIDOSE * 6X8.8 6X22 MCG 5* PA; MS; QL 28 6 ML 5* PA; MS; QL 28 4.2 ML REBIF * 22 MCG/0.5ML, 44 MCG/0.5ML 5* PA; MS; QL 28 6 ML REBIF * 6X8.8 6X22 MCG 5* PA; MS; QL 28 4.2 ML TECFIDERA 120 240 MG 5* PA; MS TECFIDERA 120 MG, 240 MG 5* PA; MS TYSABRI * 300 MG/15ML 5* PA; LA cevimeline hcl 30 mg chlorhexidine gluconate 0.12 % 1 MS; CG VII 63

KEPIVANCE * 6.25 MG 5* MS periogard 0.12 % 1 MS; CG pilocarpine hcl 5 mg, 7.5 mg triamcinolone acetonide 软 0.1 % 8-MOP 10 MG 5* MS acitretin 10 mg, 17.5 mg, 25 mg 5* MS; QL 30 60 adapalene 0.1 % adapalene 0.1 % adrucil * 500 mg/10ml 2 PA-BvsD; MS ammonium lactate 12 % 1 MS; CG ammonium lactate 12 % amnesteem 10 mg, 20 mg, 40 mg apexicon 0.05 % AZELEX 20 % 3 MS benzoyl peroxide-erythromycin 5-3 % betamethasone dipropionate 0.05 % calcipotriene 0.005 % calcipotriene 0.005 % calcipotriene 0.005 % CARAC 0.5 % 4 MS claravis 10 mg, 20 mg, 30 mg, 40 mg clindamycin phos-benzoyl perox 1-5 % clotrimazole-betamethasone 1-0.05 % clotrimazole-betamethasone 1-0.05 % CONDYLOX 0.5 % 4 MS ELIDEL 1 % 4 PA; MS FINACEA 15 % 3 MS FLUOROURACIL 0.5 % 4 MS VII 64

fluorouracil 5 % fluorouracil 2 %, 5 % fluorouracil * 2.5 gm/50ml 2 PA-BvsD; MS imiquimod 5 % 2 PA-NS; MS methoxsalen 10 mg 5* PA; MS myorisan 10 mg, 20 mg, 40 mg nystatin-triamcinolone 100000-0.1 gm-% nystatin-triamcinolone 100000-0.1 gm-% PICATO 0.015 % 3 MS; QL 56 3 PICATO 0.05 % 3 MS; QL 56 2 podofilox 0.5 % prednicarbate 0.1 % REGRANEX 0.01 % 4 PA; MS SANTYL 250 GM 4 MS selenium sulfide 2.5 % 1 MS; CG STELARA * 45 MG/0.5ML 5* PA; MS; QL 360 10 ML STELARA * 90 MG/ML 5* PA; MS; QL 360 5 ML tacrolimus 0.03 %, 0.1 % 2 PA; MS TAZORAC 0.05 %, 0.1 % 4 MS TAZORAC 0.05 %, 0.1 % 4 MS UVADEX 20 MCG/ML 4 MS VEREGEN 15 % 4 MS VOLTAREN 1 % 3 MS zenatane 10 mg, 20 mg, 30 mg, 40 mg ZYCLARA 3.75 % 4 PA-NS; MS ADAGEN * 250 ML 5* PA-BvsD; LA ALDURAZYME * 2.9 MG/5ML 5* PA-BvsD; LA VII 65

CEREZYME * 400 5* PA; LA CREON 12000 24000 3000-9500 36000 6000 4 MS CYSTADANE 5* LA CYSTAGON 150 MG, 50 MG 3 PA; LA ELAPRASE * 6 MG/3ML 5* PA-BvsD; LA ELELYSO * 200 5* LA FABRAZYME * 35 MG, 5 MG 5* PA-BvsD; LA KUVAN 500 MG 5* PA; LA KUVAN 100 MG 5* PA; LA MYOZYME * 50 MG 5* PA-BvsD; LA NAGLAZYME * 1 MG/ML 5* PA-BvsD; LA ORFADIN 10 MG, 2 MG, 5 MG 5* PA; LA PANCREAZE 10500 16800 21000 4200 PERTZYE 16000 8000 4 MS 4 MS RAVICTI 1.1 GM/ML 5* PA; LA SUCRAID 8500 ML 5* LA VPRIV * 400 5* PA; MS ZAVESCA 100 MG 5* PA; LA; QL 30 90 ZENPEP 10000 15000 20000 25000 3000-10000 40000 5000 4 MS VII 66

atropine sulfate 0.05 mg/ml, 0.1 mg/ml dicyclomine hcl 10 mg 1 MS; CG dicyclomine hcl 10 mg/5ml dicyclomine hcl 20 mg 1 MS; CG glycopyrrolate 4 mg/20ml glycopyrrolate 1 mg, 2 mg methscopolamine bromide 2.5 mg, 5 mg propantheline bromide 15 mg TRANSDERM-SCOP 72 1 MG/3 4 MS; QL 30 10 CHENODAL 250 MG 5* PA; MS diphenoxylate-atropine 2.5-0.025 mg/5ml diphenoxylate-atropine 2.5-0.025 mg 1 MS; CG FULYZAQ 125 MG 4 MS; QL 30 60 loperamide hcl 2 mg 1 MS; CG metoclopramide hcl 5 mg/ml 1 MS; CG metoclopramide hcl 5 mg/5ml 1 MS; CG metoclopramide hcl 10 mg, 5 mg 1 MS; CG proctosol hc 2.5 % 1 MS RELISTOR * 12 MG/0.6ML, 8 MG/0.4ML 4 PA; MS ursodiol 300 mg ursodiol 250 mg, 500 mg ZORBTIVE * 8.8 MG 5* PA; MS 2 (H2) cimetidine hcl 300 mg/5ml cimetidine 200 mg, 300 mg, 400 mg, 800 mg VII 67

famotidine * 20 mg/2ml 1 MS; CG famotidine 40 mg/5ml famotidine 20 mg, 40 mg 1 MS; CG famotidine * 20-0.9 mg/50ml-% 1 MS; CG nizatidine 150 mg, 300 mg 1 MS; CG nizatidine 15 mg/ml ranitidine hcl 150 mg/6ml, 50 mg/2ml ranitidine hcl 150 mg, 300 mg 1 MS; CG ranitidine hcl 15 mg/ml 1 MS; CG ranitidine hcl 150 mg, 300 mg 1 MS; CG alosetron hcl 0.5 mg, 1 mg 5* PA; MS; QL 30 60 AMITIZA 24 MCG, 8 MCG 3 MS budesonide er 24 3 mg 5* MS LINZESS 145 MCG, 290 MCG 3 MS; QL 30 30 LOTRONEX 0.5 MG, 1 MG 5* PA; MS; QL 30 60 UCERIS 24 * 9 MG 5* ST; MS constulose 10 gm/15ml enulose 10 gm/15ml 1 MS; CG gavilyte-c 240 gm 1 MS; CG gavilyte-g 236 gm 1 MS; CG gavilyte-n 420 gm 1 MS; CG generlac 10 gm/15ml 1 MS; CG lactulose 10 gm/15ml MOVIPREP 100 GM 4 MS peg 3350/electrolytes 240 gm 1 MS; CG VII 68

peg-3350/electrolytes 236 gm 1 MS; CG polyethylene glycol 3350 trilyte 420 gm 1 MS; CG CARAFATE 1 GM/10ML 4 MS misoprostol 100 mcg, 200 mcg sucralfate 1 gm DEXILANT 30 MG, 60 MG 3 MS; QL 30 30 esomeprazole sodium * 20 mg, 40 mg lansoprazole 15 mg, 30 mg NEXIUM 20 MG, 40 MG 3 MS NEXIUM 10 MG, 2.5 MG, 20 MG, 40 MG, 5 MG 3 MS omeprazole 10 mg, 20 mg, 40 mg 1 MS; CG pantoprazole sodium * 40 mg pantoprazole sodium 20 mg, 40 mg 1 MS; CG DETROL LA 24 2 MG, 4 MG 3 MS flavoxate hcl 100 mg GELNIQUE 10 % 4 MS; QL 30 30 GM GELNIQUE 3 (28) % (MG/ACT) 4 MS MYRBETRIQ 24 * 25 MG, 50 MG 4 MS VII 69

oxybutynin chloride er 24 * 10 mg, 15 mg, 5 mg oxybutynin chloride 5 mg/5ml oxybutynin chloride 5 mg OXYTROL 3.9 MG 24 4 MS; QL 28 8 tolterodine tartrate er 24 2 mg, 4 mg tolterodine tartrate 1 mg, 2 mg TOVIAZ 24 * 4 MG, 8 MG 3 MS trospium chloride er 24 60 mg trospium chloride 20 mg VESICARE 10 MG, 5 MG 3 MS alfuzosin hcl er 24 * 10 mg AVODART 0.5 MG 3 MS; QL 30 30 CIALIS 2.5 MG, 5 MG 4 PA; MS; QL 30 30 doxazosin mesylate 1 mg, 2 mg, 4 mg, 8 mg 1 MS; CG finasteride 5 mg 1 MS; CG JALYN 0.5-0.4 MG 3 MS; QL 30 30 RAPAFLO 4 MG, 8 MG 4 MS; QL 30 30 tamsulosin hcl 0.4 mg 1 MS; CG bethanechol chloride 10 mg, 25 mg, 5 mg, 50 mg CUPRIMINE 250 MG 4 MS ELMIRON 100 MG 4 MS potassium citrate er * 10 meq (1080 mg), 15 meq (1620 mg), 5 meq (540 mg) sodium phenylbutyrate 3 gm/tsp 5* MS VII 70

calcium acetate 667 mg eliphos 667 mg FOSRENOL 1000 MG, 750 MG 4 MS FOSRENOL 1000 MG, 500 MG, 750 MG 4 MS RENAGEL 400 MG, 800 MG 3 MS RENVELA 0.8 GM, 2.4 GM 3 MS RENVELA 800 MG 3 MS ala cort 1 % 1 MS; CG ala scalp 2 % 1 MS; CG alclometasone dipropionate 0.05 % alclometasone dipropionate 0.05 % amcinonide 0.1 % amcinonide 0.1 % amcinonide 0.1 % betamethasone dipropionate aug 0.05 % betamethasone dipropionate aug 0.05 % betamethasone dipropionate aug 0.05 % betamethasone dipropionate aug 0.05 % betamethasone dipropionate 0.05 % betamethasone dipropionate 0.05 % betamethasone valerate 0.1 % betamethasone valerate 0.12 % betamethasone valerate 0.1 % betamethasone valerate 0.1 % clobetasol propionate e 0.05 % VII 71

clobetasol propionate 0.05 % clobetasol propionate 0.05 % clobetasol propionate 0.05 % clobetasol propionate 0.05 % clobetasol propionate 0.05 % clobetasol propionate 0.05 % clobetasol propionate 0.05 % clocortolone pivalate 0.1 % clodan 0.05 % CLODERM 0.1 % 4 MS CORDRAN 4 MCG/SQCM 4 MS cormax 0.05 % cortisone acetate 25 mg desonide 0.05 % desonide 0.05 % desonide 0.05 % desoximetasone 0.05 % desoximetasone 0.05 %, 0.25 % desoximetasone 0.05 %, 0.25 % dexamethasone intensol 1 mg/ml dexamethasone 0.5 mg/5ml dexamethasone 0.5 mg/5ml dexamethasone 0.5 mg, 0.75 mg, 1 mg, 1.5 mg, 2 mg, 4 mg, 6 mg 1 MS; CG dexamethasone sod phosphate pf 10 mg/ml dexamethasone sodium phosphate 10 mg/ml, 120 mg/30ml diflorasone diacetate 0.05 % diflorasone diacetate 0.05 % fludrocortisone acetate 0.1 mg fluocinolone acetonide 0.01 % VII 72

fluocinolone acetonide 0.01 %, 0.025 % fluocinolone acetonide 0.025 % fluocinolone acetonide 0.01 % fluocinolone acetonide 0.01 % fluocinonide 0.05 % fluocinonide 0.05 % fluocinonide 0.05 % fluocinonide 0.05 % fluocinonide-e 0.05 % 1 MS; CG fluticasone propionate 0.05 % fluticasone propionate 0.005 % halobetasol propionate 0.05 % halobetasol propionate 0.05 % HP ACTHAR 80 /ML 5* PA; MS; QL 28 35 ML hydrocortisone butyrate 0.1 % hydrocortisone butyrate 0.1 % 1 MS; CG hydrocortisone 1 %, 2.5 % 1 MS; CG hydrocortisone 2.5 % hydrocortisone 1 %, 2.5 % 1 MS; CG hydrocortisone 10 mg, 20 mg, 5 mg hydrocortisone valerate 0.2 % hydrocortisone valerate 0.2 % lokara 0.05 % MEDROL 2 MG 4 MS methylprednisolone (pak) 4 mg methylprednisolone acetate 40 mg/ml, 80 mg/ml methylprednisolone 16 mg, 32 mg, 4 mg, 8 mg methylprednisolone sodium succ 1000 mg, 125 mg, 40 mg 1 MS; CG millipred 5 mg VII 73

mometasone furoate 0.1 % mometasone furoate 0.1 % 1 MS; CG mometasone furoate 0.1 % prednicarbate 0.1 % prednisolone 15 mg/5ml prednisolone sodium phosphate 15 mg/5ml, 25 mg/5ml, 6.7 5 mg/5ml prednisone intensol 5 mg/ml prednisone 5 mg/5ml prednisone 1 mg, 10 mg, 2.5 mg, 20 mg, 5 mg, 50 mg 1 MS; CG procto-pak 1 % 1 MS; CG proctozone-hc 2.5 % 1 MS; CG psorcon 0.05 % RAYOS 1 MG, 2 MG, 5 MG 4 PA-BvsD; MS triamcinolone acetonide 0.025 %, 0.1 %, 0.5 % 1 MS; CG triamcinolone acetonide 0.025 %, 0.1 % triamcinolone acetonide 0.025 %, 0.1 %, 0.5 % 1 MS; CG triderm 0.1 % 1 MS; CG u-cort 1-10 % chorionic gonadotropin * 10000 2 PA-BvsD; MS desmopressin ace 0.01 % ; QL 30 15 ML desmopressin ace 0.01 % ; QL 30 15 ML desmopressin acetate 4 mcg/ml desmopressin acetate 0.1 mg, 0.2 mg VII 74

desmopressin acetate 0.01 % ; QL 30 15 ML EGRIFTA * 2 MG 5* PA; LA; QL 30 30 GENOTROPIN MINIQUICK * 0.2 MG 4 PA; LA GENOTROPIN MINIQUICK * 0.4 MG, 0.6 MG, 0.8 MG, 1 MG, 1.2 MG, 1.4 MG, 1.6 MG, 1.8 MG, 2 MG 5* PA; LA GENOTROPIN * 12 MG, 5 MG 5* PA; LA HUMATROPE 12 MG, 24 MG, 5 MG, 6 MG 5* PA; LA INCRELEX * 40 MG/4ML 5* PA; LA NORDITROPIN FLEXPRO * 10 MG/1.5ML 5* PA; LA NORDITROPIN FLEXPRO * 15 MG/1.5ML, 30 MG/3ML, 5 MG/1.5ML 5* PA; MS novarel * 10000 2 PA-BvsD; MS NUTROPIN AQ NUSPIN 5 * 5 MG/2ML 5* PA; LA NUTROPIN AQ * 10 MG/2ML, 20 MG/2ML 5* PA; MS OMNITROPE * 10 MG/1.5ML, 5 G/1.5ML 5* PA; LA OMNITROPE * 5.8 MG 5* PA; LA pregnyl * 10000 2 PA-BvsD; MS SAIZEN CLICK.EASY 8.8 MG 5* PA; LA SAIZEN 5 MG 5* PA; LA SAIZEN 8.8 MG 5* PA; MS SEROSTIM * 4 MG, 5 MG, 6 MG 5* PA; MS VII 75

STIMATE 1.5 MG/ML 4 MS 興奮劑 ANADROL-50 50 MG 5* PA; MS oxandrolone 10 mg 5* PA; MS; QL 30 60 oxandrolone 2.5 mg 2 PA; MS; QL 30 120 ANDRODERM 24 2 MG 24 4 MG 24 3 PA; MS; QL 30 30 ANDROGEL 20.25 MG/ACT (1.62%) 3 PA; MS ANDROGEL 20.25 MG/1.25GM (1.62%), 25 MG/2.5GM (1%), 40.5 MG/2.5GM (1.62%), 3 PA; MS 50 MG/5GM (1%) androxy 10 mg AXIRON 30 MG/ACT 3 PA; MS; QL 28 180 ML danazol 100 mg, 200 mg, 50 mg TESTIM 50 MG/5GM (1%) 3 PA; MS testosterone cypionate * 100 mg/ml, 200 mg/ml testosterone enanthate * 200 mg/ml testosterone 25 mg/2.5gm (1%), 50 mg/5gm (1%) 2 PA; MS VOGELXO 50 MG/5GM (1%) 3 PA; MS DUAVEE 0.45-20 MG 3 MS ESTRACE 0.1 MG/GM 4 MS estradiol 0.5 mg, 1 mg, 2 mg 2 PA; MS estradiol 0.025 mg/24 0.0375 mg/24 0.05 mg/24 0.075 mg/24 0.1 mg/24 2 PA VII 76

estradiol 0.025 mg/24 0.0375 mg/24 0.05 mg/24 0.06 mg/24 0.075 mg/24 0.1 mg/24 2 PA; MS estropipate 0.75 mg, 1.5 mg, 3 mg 2 PA; MS marlissa 0.15-30 mg-mcg MENEST 0.3 MG, 0.625 MG, 1.25 MG, 2.5 MG 4 MS PREMARIN 25 MG 3 MS PREMARIN 0.3 MG, 0.45 MG, 0.625 MG, 0.9 MG, 1.25 MG PREMARIN 0.625 MG/GM 3 MS amethia 0.15-0.03 0.01 mg amethyst 90-20 mcg apri 0.15-30 mg-mcg aranelle 0.5/1/0.5-35 mg-mcg ashlyna 0.15-0.03 0.01 mg aubra 0.1-20 mg-mcg aviane 0.1-20 mg-mcg balziva 0.4-35 mg-mcg briellyn 0.4-35 mg-mcg COMBIPATCH 0.05-0.14 MG 0.05-0.25 MG 3 MS; QL 30 30 4 MS cryselle-28 0.3-30 mg-mcg cyclafem 1/35 1-35 mg-mcg cyclafem 7/7/7 0.5/0.75/1-35 mg-mcg delyla 0.1-20 mg-mcg desogestrel-ethinyl estradiol 0.15-0.02/0.01 mg (21/5) drospirenone-ethinyl estradiol 3-0.03 mg emoquette 0.15-30 mg-mcg VII 77

enpresse-28 estradiol-norethindrone acet 0.5-0.1 mg, 1-0.5 mg 2 PA; MS falmina 0.1-20 mg-mcg gianvi 3-0.02 mg gildagia 0.4-35 mg-mcg gildess 1.5/30 1.5-30 mg-mcg introvale 0.15-0.03 mg jinteli 1-5 mg-mcg jolessa 0.15-0.03 mg junel 1.5/30 1.5-30 mg-mcg junel 1/20 1-20 mg-mcg junel fe 1.5/30 1.5-30 mg-mcg junel fe 1/20 1-20 mg-mcg kariva 0.15-0.02/0.01 mg (21/5) kelnor 1/35 1-35 mg-mcg kimidess 0.15-0.02/0.01 mg (21/5) larin 1.5/30 1.5-30 mg-mcg larin 1/20 1-20 mg-mcg larin fe 1.5/30 1.5-30 mg-mcg larin fe 1/20 1-20 mg-mcg leena 0.5/1/0.5-35 mg-mcg lessina 0.1-20 mg-mcg levonest levonorgest-eth estrad 91 0.15-0.03 0.01 mg, 0.15-0.03 mg levonorgestrel-ethinyl estrad 0.1-20 mg-mcg, 90-20 mcg levora 0.15/30 (28) 0.15-30 mg-mcg lopreeza 0.5-0.1 mg, 1-0.5 mg 2 PA; MS loryna 3-0.02 mg low-ogestrel 0.3-30 mg-mcg VII 78

lutera 0.1-20 mg-mcg microgestin 1.5/30 1.5-30 mg-mcg microgestin 1/20 1-20 mg-mcg microgestin fe 1.5/30 1.5-30 mg-mcg microgestin fe 1/20 1-20 mg-mcg mimvey lo 0.5-0.1 mg mimvey 1-0.5 mg 2 PA; MS mononessa 0.25-35 mg-mcg necon 0.5/35 (28) 0.5-35 mg-mcg necon 1/35 (28) 1-35 mg-mcg necon 1/50 (28) 1-50 mg-mcg necon 10/11 (28) 35 mcg necon 7/7/7 0.5/0.75/1-35 mg-mcg nikki 3-0.02 mg nora-be 0.35 mg norethindrone-eth estradiol 1-5 mg-mcg norinyl 1+50 (28) 1-50 mg-mcg nortrel 0.5/35 (28) 0.5-35 mg-mcg nortrel 1/35 (21) 1-35 mg-mcg nortrel 1/35 (28) 1-35 mg-mcg nortrel 7/7/7 0.5/0.75/1-35 mg-mcg ocella 3-0.03 mg ogestrel 0.5-50 mg-mcg orsythia 0.1-20 mg-mcg pimtrea 0.15-0.02/0.01 mg (21/5) pirmella 1/35 1-35 mg-mcg portia-28 0.15-30 mg-mcg prefest 1/1-0.09 mg (15/15) PREMPHASE 0.625-5 MG 3 MS PREMPRO 0.3-1.5 MG, 0.45-1.5 MG, 0.625-2.5 MG, 0.625-5 MG 3 MS VII 79

previfem 0.25-35 mg-mcg quasense 0.15-0.03 mg reclipsen 0.15-30 mg-mcg sprintec 28 0.25-35 mg-mcg sronyx 0.1-20 mg-mcg tarina fe 1/20 1-20 mg-mcg tri-legest fe 1-20/1-30/1-35 mg-mcg trinessa (28) 0.18/0.215/0.25 mg-35 mcg tri-previfem 0.18/0.215/0.25 mg-35 mcg tri-sprintec 0.18/0.215/0.25 mg-35 mcg trivora (28) velivet 0.1/0.125/0.15-0.025 mg vestura 3-0.02 mg vyfemla 0.4-35 mg-mcg wymzya fe 0.4-35 mg-mcg zenchent fe 0.4-35 mg-mcg zenchent 0.4-35 mg-mcg zovia 1/35e (28) 1-35 mg-mcg zovia 1/50e (28) 1-50 mg-mcg ELLA 30 MG 3 MS; QL 30 1 camila 0.35 mg deblitane 0.35 mg DEPO-PROVERA * 400 MG/ML 4 MS; QL 28 10 ML errin 0.35 mg jolivette 0.35 mg lyza 0.35 mg medroxyprogesterone acetate * 150 mg/ml VII 80

medroxyprogesterone acetate 10 mg, 2.5 mg, 5 mg 1 MS; CG megestrol acetate 40 mg/ml megestrol acetate 20 mg, 40 mg norethindrone acetate 5 mg norethindrone 0.35 mg norlyroc 0.35 mg progesterone micronized 100 mg 1 MS sharobel 0.35 mg raloxifene hcl 60 mg ; QL 30 30 ARMOUR THYROID 120 MG, 15 MG, 180 MG, 240 MG, 30 MG, 300 MG, 60 MG, 90 MG 3 MS levothyroxine sodium * 100 mcg levothyroxine sodium * 200 mcg, 500 mcg levothyroxine sodium 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg levoxyl 100 mcg, 112 mcg, 125 mcg, 137 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 50 mcg, 75 mcg, 88 mcg 5* MS 1 MS; CG 1 MS; CG liothyronine sodium * 10 mcg/ml liothyronine sodium 25 mcg, 5 mcg, 50 mcg NATURE-THROID 113.75 MG, 130 MG, 146.25 MG, 16.25 MG, 162.5 MG, 195 MG, 260 MG, 32.5 MG, 325 MG, 48.75 MG, 65 MG, 81.25 MG, 97.5 MG 3 MS np thyroid 30 mg, 60 mg, 90 mg VII 81

SYNTHROID 100 MCG, 112 MCG, 125 MCG, 137 MCG, 150 MCG, 175 MCG, 200 MCG, 25 MCG, 300 MCG, 50 MCG, 75 MCG, 88 MCG 3 MS THYROLAR-1 60 (12.5-50) MG (MCG) 3 MS THYROLAR-1/2 30 (6.25-25) MG (MCG) 3 MS THYROLAR-1/4 15 (3.1-12.5) MG (MCG) 3 MS THYROLAR-2 120 (25-100) MG (MCG) 3 MS THYROLAR-3 180 (37.5-150) MG (MCG) 3 MS unithroid 100 mcg, 112 mcg, 125 mcg, 150 mcg, 175 mcg, 200 mcg, 25 mcg, 300 mcg, 50 mcg, 75 mcg, 88 mcg 1 MS; CG LYSODREN 500 MG 3 MS SENSIPAR 30 MG 3 MS; QL 30 60 SENSIPAR 60 MG 5* MS; QL 30 60 SENSIPAR 90 MG 5* MS; QL 30 120 cabergoline 0.5 mg ELIGARD * 22.5 MG, 30 MG, 7.5 MG 4 PA-NS; MS ELIGARD * 45 MG 5* PA-NS; MS FIRMAGON * 120 MG, 80 MG 4 MS leuprolide acetate 1 mg/0.2ml 2 PA-NS; MS LUPRON DEPOT * 11.25 MG, 22.5 MG 5* MS; QL 84 1 LUPRON DEPOT * 3.75 MG, 7.5 MG 5* MS; QL 28 1 VII 82

LUPRON DEPOT * 30 MG 5* MS; QL 112 1 LUPRON DEPOT * 45 MG 5* MS; QL 168 1 LUPRON DEPOT-PED * 11.25 MG, 15 MG 5* MS; QL 28 1 octreotide acetate 100 mcg/ml, 200 mcg/ml, 50 mcg/ml octreotide acetate 1000 mcg/ml, 500 mcg/ml SANDOSTATIN LAR DEPOT * 10 MG, 20 MG, 30 MG SIGNIFOR * 0.3 MG/ML, 0.6 MG/ML, 0.9 MG/ML SOMATULINE DEPOT * 120 MG/0.5ML, 60 MG/0.2ML, 90 MG/0.3ML SOMAVERT * 10 MG, 15 MG, 20 MG, 25 MG, 30 MG 2 PA; MS 5* PA; MS 5* PA; MS VII 83 5* MS; QL 30 60 ML 5* PA; MS 5* PA; LA SYNAREL 2 MG/ML 5* MS TRELSTAR MIXJECT * 11.25 MG 5* PA-BvsD; LA; QL 84 1 TRELSTAR MIXJECT * 22.5 MG 5* PA-BvsD; MS; QL 168 1 TRELSTAR MIXJECT * 3.75 MG methimazole 10 mg, 5 mg propylthiouracil 50 mg (Hae) CINRYZE * 500 5* PA; MS FIRAZYR * 30 MG/3ML 5* MS kalbitor * 10 mg/ml 5* PA; MS 5* PA-BvsD; LA; QL 28 1

AFINITOR DISPERZ 2 MG, 3 MG, 5 MG 5* PA-NS; MS; QL 28 56 AFINITOR 2.5 MG 5* PA-NS; MS; QL 30 30 ASTAGRAF XL 24 0.5 MG, 1 MG, 5 MG 4 PA-NS; MS azathioprine 50 mg 1 PA-BvsD; MS; CG BENLYSTA * 120 MG 5* PA; MS CIMZIA * 2 X 200 MG/ML 5* PA; MS CIMZIA * 2 X 200 MG 5* PA; MS cyclosporine * 50 mg/ml 2 PA-BvsD; MS cyclosporine modified 100 mg, 25 mg, 50 mg 2 PA-BvsD; MS cyclosporine modified 100 mg/ml 2 PA-BvsD; MS cyclosporine 100 mg, 25 mg 2 PA-BvsD; MS ENBREL * 25 MG/0.5ML, 50 MG/ML 5* PA; MS; QL 28 8 ML ENBREL * 25 MG 5* PA; MS; QL 28 8 ENBREL SURECLICK * 50 MG/ML 5* PA; MS; QL 28 8 ML gengraf 100 mg, 25 mg 2 PA-BvsD; MS gengraf 100 mg/ml 2 PA-BvsD; MS hecoria 0.5 mg, 1 mg 2 PA-BvsD; MS hecoria 5 mg 5* PA-BvsD; MS HUMIRA * 40 MG/0.8ML 5* PA; MS HUMIRA * 10 MG/0.2ML, 20 MG/0.4ML, 40 MG/0.8ML 5* PA; MS KINERET * 100 MG/0.67ML 5* PA; MS; QL 28 18.76 ML mercaptopurine 50 mg methotrexate 2.5 mg methotrexate sodium (pf) 1 gm/40ml 1 PA-BvsD; MS; CG VII 84

methotrexate sodium 1 gm 2 PA-BvsD; MS mycophenolate mofetil 250 mg 2 PA-BvsD; MS mycophenolate mofetil 200 mg/ml 5* PA-BvsD; MS mycophenolate mofetil 500 mg 2 PA-BvsD; MS mycophenolic acid 180 mg, 360 mg 2 PA-BvsD; MS NULOJIX * 250 MG 5* PA-BvsD; MS ORENCIA * 250 MG 5* PA; MS ORENCIA * 125 MG/ML 5* PA; MS; QL 28 4 ML PROGRAF * 5 MG/ML 3 PA-BvsD; MS PURIXAN 2000 MG/100ML 5* PA-NS; MS RAPAMUNE 1 MG/ML 5* PA-BvsD; MS REMICADE * 100 MG 5* PA; MS SANDIMMUNE 100 MG/ML 4 PA-BvsD; MS SIMPONI * 50 MG/0.5ML 5* PA; MS; QL 28 0.5 ML SIMULECT * 20 MG 5* PA-BvsD; MS sirolimus 0.5 mg, 1 mg 2 PA-BvsD; MS sirolimus 2 mg 5* PA-BvsD; MS tacrolimus 0.5 mg, 1 mg 2 PA-BvsD; MS tacrolimus 5 mg 5* PA-BvsD; MS TORISEL * 25 MG/ML 5* PA-BvsD; MS; QL 28 4 ML TREXALL 10 MG, 15 MG, 5 MG, 7.5 MG 4 MS XELJANZ 5 MG 5* PA; MS; QL 30 60 ZORTRESS 0.25 MG 4 PA-BvsD; MS ZORTRESS 0.5 MG, 0.75 MG 5* PA-BvsD; MS VII 85

CARIMUNE NF * 12 GM, 6 GM 5* PA; MS GAMASTAN S/D * 3 PA-BvsD; MS GAMMAGARD 2.5 GM/25ML 5* PA; MS GAMMAPLEX * 10 GM/200ML 5* PA-BvsD; MS PRIVIGEN * 20 GM/200ML 5* PA-BvsD; MS SYNAGIS * 50 MG/0.5ML 5* MS THYMOGLOBULIN * 25 MG 3 PA-NS; MS ACTEMRA * 200 MG/10ML, 400 MG/20ML, 80 MG/4ML 5* PA; MS; QL 30 40 ML ACTIMMUNE * 2000000 0.5ML 5* PA-NS; LA ARCALYST * 220 MG 5* PA; MS ILARIS * 180 MG 5* PA; MS leflunomide 10 mg, 20 mg RIDAURA 3 MG 5* MS SIMPONI * 100 MG/ML 5* PA; MS; QL 28 1 ML SIMPONI * 50 MG/0.5ML 5* PA; MS; QL 28 0.5 ML ACTHIB * 3 ADACEL * 5-2-15.5 LF-MCG/0.5 3 BEXSERO * 4 BOOSTRIX * 5-2.5-18.5 3 CERVARIX * 3 VII 86

COMVAX * 7.5-5 MCG/0.5ML 3 DAPTACEL * 10-15-5 3 DIPHTHERIA-TETANUS TOXOIDS DT * 25-5 LFU/0.5ML ENGERIX-B 10 MCG/0.5ML, 20 MCG/ML 3 3 PA-BvsD GARDASIL 9 * 3 GARDASIL 9 * 3 GARDASIL * 3 HAVRIX * 1440 EL U/ML, 720 EL U/0.5ML 3 HIBERIX 10 MCG 4 MS IMOVAX * 2.5 ML 3 PA-BvsD INFANRIX * 25-58-10 3 IPOL 3 IXIARO * 3 KINRIX * 4 MENACTRA * 4 MENOMUNE * 3 MENVEO * 4 M-M-R II * 4 PEDIARIX * 3 PA-BvsD PEDVAX HIB * 7.5 MCG/0.5ML 3 PENTACEL * 4 PA-BvsD PROQUAD * 3 QUADRACEL * 4 VII 87

RABAVERT * 4 PA-BvsD RECOMBIVAX HB 10 MCG/ML, 40 MCG/ML, 5 MCG/0.5ML ROTARIX 4 ROTATEQ 3 TENIVAC * 5-2 LFU 3 TETANUS TOXOID * 5 LFU TETANUS-DIPHTHERIA TOXOIDS TD * 2-2 LF/0.5ML TRUMENBA * 4 3 PA-BvsD 3 PA-BvsD TWINRIX * 720-20 3 PA-BvsD TYPHIM VI * 25 MCG/0.5ML 3 3 VAQTA * 25 /0.5ML, 50 /ML 3 VARIVAX * 1350 PFU/0.5ML 3 VARIZIG * 125 1.2ML 4 VARIZIG * 125 4 MS YF-VAX * 3 ZOSTAVAX * 19400 0.65ML 4 QL 365 1 APRISO 24 0.375 GM 3 MS ASACOL HD 800 MG 4 MS balsalazide disodium 750 mg DIPENTUM 250 MG 5* MS VII 88

LIALDA 1.2 GM 3 MS mesalamine- 4 gm a-hydrocort 100 mg 1 MS; CG colocort 100 mg/60ml CORTIFOAM 90 MG 4 MS hydrocortisone 100 mg/60ml SOLU-CORTEF 100 MG, 250 MG 4 MS SOLU-MEDROL 40 MG 4 MS sulfasalazine 500 mg sulfazine ec 500 mg ACTONEL 30 MG, 5 MG 3 MS; QL 30 30 ACTONEL 35 MG 3 MS; QL 28 4 alendronate sodium 70 mg/75ml alendronate sodium 10 mg, 5 mg 1 MS; CG alendronate sodium 35 mg, 70 mg 1 MS; CG; QL 28 4 alendronate sodium 40 mg ATELVIA 35 MG 4 MS; QL 28 4 calcitonin (salmon) 200 act calcitriol * 1 mcg/ml calcitriol 0.25 mcg, 0.5 mcg calcitriol 1 mcg/ml doxercalciferol * 4 mcg/2ml 2 PA-BvsD; MS doxercalciferol 0.5 mcg, 1 mcg, 2.5 mcg 2 PA-BvsD; MS etidronate disodium 200 mg, 400 mg FORTEO * 600 MCG/2.4ML 5* PA; MS; QL 28 2.4 ML HECTOROL * 4 MCG/2ML 3 PA-BvsD; MS VII 89

HECTOROL 0.5 MCG, 1 MCG, 2.5 MCG 3 PA-BvsD; MS ibandronate sodium * 3 mg/3ml 2 PA; MS; QL 84 3 ML ibandronate sodium 150 mg ; QL 28 1 MIACALCIN 200 ML 4 PA; MS pamidronate disodium * 30 mg/10ml, 90 mg/10ml pamidronate disodium * 6 mg/ml 1 PA-BvsD; MS; CG paricalcitol * 2 mcg/ml, 5 mcg/ml paricalcitol 1 mcg, 2 mcg, 4 mcg PROLIA * 60 MG/ML 4 ST; MS; QL 180 1 ML risedronate sodium 150 mg ; QL 28 1 risedronate sodium 30 mg, 5 mg ; QL 30 30 risedronate sodium 35 mg ; QL 28 4 risedronate sodium 35 mg ; QL 28 4 XGEVA * 120 MG/1.7ML 5* PA-NS; MS zoledronic acid * 4 mg/5ml 2 PA; MS zoledronic acid * 5 mg/100ml 2 PA-BvsD; MS ZOMETA * 4 MG/100ML 5* PA; MS bacitracin-polymyxin b 500-10000 gm bacitra-neomycin-polymyxin-hc 1 % BLEPHAMIDE 10-0.2 % 4 MS BLEPHAMIDE S.O.P. 10-0.2 % 3 MS neomycin-bacitracin zn-polymyx 5-400-10000 neomycin-polymyxin-dexameth 3.5-10000-0.1 1 MS; CG neomycin-polymyxin-dexameth 3.5-10000-0.1 VII 90

neomycin-polymyxin-gramicidin 1.75-10000-0.25 neomycin-polymyxin-hc 3.5-10000-1 polymyxin b-trimethoprim 10000-0.1 ml-% 1 MS; CG sulfacetamide-prednisolone 10-0.23 % 1 MS; CG tobramycin-dexamethasone 0.3-0.1 % ZYLET 0.5-0.3 % 4 MS alcaine 0.5 % 1 MS; CG LACRISERT 5 MG 4 MS naphazoline hcl 0.1 % 1 MS; CG proparacaine hcl 0.5 % 1 MS; CG RESTASIS 0.05 % 3 MS tropicamide 0.5 %, 1 % ALOCRIL 2 % 3 MS azelastine hcl 0.05 % BEPREVE 1.5 % 4 MS cromolyn sodium 4 % 1 MS; CG epinastine hcl 0.05 % PATADAY 0.2 % 3 MS PATANOL 0.1 % 3 MS ALPHAGAN P 0.1 %, 0.15 % 4 MS apraclonidine hcl 0.5 % AZOPT 1 % 3 MS betaxolol hcl 0.5 % BETOPTIC-S 0.25 % 4 MS VII 91

brimonidine tartrate 0.15 %, 0.2 % carteolol hcl 1 % COMBIGAN 0.2-0.5 % 3 MS dorzolamide hcl 2 % dorzolamide hcl-timolol mal 22.3-6.8 mg/ml ISTALOL 0.5 % 4 MS levobunolol hcl 0.25 %, 0.5 % metipranolol 0.3 % PHOSPHOLINE IODIDE 0.125 % 4 MS pilocarpine hcl 1 %, 2 %, 4 % SIMBRINZA 1-0.2 % 4 MS timolol maleate 0.25 %, 0.5 % timolol maleate 0.25 %, 0.5 % 1 MS; CG ALREX 0.2 % 4 MS bromfenac sodium 0.09 % dexamethasone sodium phosphate 0.1 % diclofenac sodium 0.1 % 1 MS; CG DUREZOL 0.05 % 4 MS fluorometholone 0.1 % flurbiprofen sodium 0.03 % 1 MS; CG ILEVRO 0.3 % 4 MS ketorolac tromethamine 0.4 %, 0.5 % LOTEMAX 0.5 % 4 MS LOTEMAX 0.5 % 4 MS LOTEMAX 0.5 % 4 MS NEVANAC 0.1 % 4 MS VII 92

prednisolone acetate 1 % PROLENSA 0.07 % 4 MS 酰 latanoprost 0.005 % 1 MS; CG LUMIGAN 0.01 % 3 MS TRAVATAN Z 0.004 % 3 MS travoprost 0.004 % ; QL 25 2.5 ML ZIOPTAN 0.0015 % 4 MS; QL 30 30 acetasol hc 2-1 % acetic acid-aluminum acetate 2 % CIPRO HC 0.2-1 % 3 MS CIPRODEX 0.3-0.1 % 4 MS COLY-MYCIN S 3.3-3-10-0.5 MG/ML 4 MS CORTISPORIN-TC 3.3-3-10-0.5 MG/ML 4 MS hydrocortisone-acetic acid 1-2 % neomycin-polymyxin-hc 1 % neomycin-polymyxin-hc 3.5-10000-1 arbinoxa 4 mg/5ml 2 PA; MS arbinoxa 4 mg 2 PA; MS azelastine hcl 0.1 % azelastine hcl 0.15 % ; QL 25 30 ML carbinoxamine maleate 4 mg/5ml 2 PA; MS carbinoxamine maleate 4 mg 2 PA; MS clemastine fumarate 2.68 mg 2 PA; MS cyproheptadine hcl 2 mg/5ml 2 PA; MS cyproheptadine hcl 4 mg 2 PA; MS VII 93

diphenhydramine hcl 50 mg/ml hydroxyzine hcl 10 mg/5ml 2 PA; MS hydroxyzine hcl 10 mg, 25 mg, 50 mg 2 PA; MS hydroxyzine pamoate 100 mg, 25 mg, 50 mg 2 PA; MS levocetirizine dihydrochloride 2.5 mg/5ml levocetirizine dihydrochloride 5 mg 1 MS; CG; QL 30 30 olopatadine hcl 0.6 % ADVAIR DISKUS 100-50 MCG250-50 MCG 500-50 MCG ADVAIR HFA 115-21 MCG/ACT, 230-21 MCG/ACT, 45-21 MCG/ACT ARNUITY ELLIPTA 100 MCG/ACT, 200 MCG/ACT ASMANEX 120 220 MCG/INH ASMANEX 30 110 MCG/INH, 220 MCG/INH ASMANEX 60 220 MCG/INH ASMANEX HFA 100 MCG/ACT, 200 MCG/ACT FLOVENT DISKUS 100 MCG/BLIST, 250 MCG/BLIST, 50 MCG/BLIST 3 MS; QL 30 60 3 MS; QL 30 16 GM 3 MS 3 MS 3 MS 3 MS 3 MS 3 MS; QL 30 60 FLOVENT HFA 110 MCG/ACT 3 MS; QL 30 12 GM FLOVENT HFA 220 MCG/ACT 3 MS; QL 30 24 GM FLOVENT HFA 44 MCG/ACT 3 MS; QL 30 10.6 GM flunisolide 25 mcg/act (0.025%) VII 94

fluticasone propionate 50 mcg/act 1 MS; CG NASONEX 50 MCG/ACT 4 MS PULMICORT FLEXHALER 180 MCG/ACT, 90 MCG/ACT 4 MS; QL 30 1 QNASL 80 MCG/ACT 3 MS; QL 28 8.7 GM triamcinolone acetonide 55 mcg/act ; QL 30 16.5 GM montelukast sodium 10 mg 1 MS; CG; QL 30 30 montelukast sodium 5 mg 1 MS; CG; QL 30 30 zafirlukast 10 mg, 20 mg ; QL 30 60 ATROVENT HFA 17 MCG/ACT 3 MS; QL 30 25.8 GM INCRUSE ELLIPTA 62.5 MCG/INH 3 MS ipratropium bromide 0.02 % 2 PA-BvsD; MS ipratropium bromide 0.03 %, 0.06 % TUDORZA PRESSAIR 400 MCG/ACT albuterol sulfate er 12 * 4 mg, 8 mg albuterol sulfate (2.5 mg/3ml) 0.083 %, ( 5 mg/ml) 0.5 %, 0.63 mg/3ml, 1.25 mg/3ml 3 MS; QL 30 1 2 PA-BvsD; MS albuterol sulfate 2 mg/5ml 1 MS; CG albuterol sulfate 2 mg, 4 mg ARCAPTA NEOHALER 75 MCG 4 MS AUVI-Q 0.15 MG/0.15ML, 0.3 MG/0.3ML 3 MS BREO ELLIPTA 100-25 MCG/INH, 200-25 MCG/INH 3 MS; QL 30 60 VII 95

DULERA 100-5 MCG/ACT, 200-5 MCG/ACT 3 MS; QL 30 17.6 GM epinephrine 0.15 mg/0.15ml, 0.3 mg/0.3ml EPIPEN 2-PAK 0.3 MG/0.3ML 4 MS EPIPEN JR 2-PAK 0.15 MG/0.3ML 4 MS FORADIL AEROLIZER 12 MCG 3 MS; QL 30 62 metaproterenol sulfate 10 mg/5ml 1 MS; CG metaproterenol sulfate 10 mg, 20 mg PROAIR HFA 108 90 MCG/ACT 3 MS; QL 25 17 GM PROAIR RESPICLICK 108 90 MCG/ACT 3 MS; QL 25 2 SEREVENT DISKUS 50 MCG 3 MS; QL 30 60 terbutaline sulfate 1 mg/ml terbutaline sulfate 2.5 mg, 5 mg VENTOLIN HFA 108 90 MCG/ACT 3 MS; QL 30 36 GM KALYDECO 50 MG, 75 MG 5* PA; MS; QL 30 60 KALYDECO 150 MG 5* PA; MS; QL 30 60 cromolyn sodium 20 mg/2ml 2 PA-BvsD; MS cromolyn sodium 100 mg/5ml aminophylline * 25 mg/ml DALIRESP 500 MCG 4 MS; QL 30 30 elixophyllin 80 mg/15ml 1 MS; CG THEO-24 24 100 MG, 200 MG, 300 MG, 400 MG theophylline er 12 * 100 mg, 200 mg, 300 mg, 450 mg 3 MS VII 96

theophylline er 24 * 400 mg, 600 mg ADCIRCA 20 MG 5* PA; MS; QL 30 60 LETAIRIS 10 MG, 5 MG 5* PA; LA; QL 30 30 REMODULIN 1 MG/ML, 10 MG/ML, 2.5 MG/ML, 5 MG/ML 5* PA; LA REVATIO * 10 MG/12.5ML 5* PA; MS; QL 1 37.5 ML sildenafil citrate * 10 mg/12.5ml 5* PA; MS; QL 1 37.5 ML sildenafil citrate 20 mg 5* PA; MS; QL 30 90 TRACLEER 125 MG, 62.5 MG 5* PA; LA VENTAVIS 10 MCG/ML, 20 MCG/ML 5* PA-BvsD; LA acetylcysteine 10 %, 20 % 2 PA-BvsD; MS ANORO ELLIPTA 62.5-25 MCG/INH 3 MS ARALAST NP * 400 MG 5* LA LUMIZYME * 50 MG 5* PA-BvsD; LA PROLASTIN-C * 1000 MG 5* PA-BvsD; LA TYZINE 0.05 % 4 MS ZEMAIRA * 1000 MG 5* PA-BvsD; LA COMBIVENT RESPIMAT 20-100 MCG/ACT 3 MS; QL 20 8 GM ipratropium-albuterol 0.5-2.5 (3) mg/3ml 2 PA-BvsD; MS promethazine vc 6.25-5 mg/5ml 2 PA; MS PULMOZYME 1 MG/ML 5* PA-BvsD; MS VII 97

SYMBICORT 160-4.5 MCG/ACT, 80-4.5 MCG/ACT 4 MS; QL 25 11 GM SYMBICORT 80-4.5 MCG/ACT 4 MS; QL 30 13.8 GM XOLAIR * 150 MG 5* PA; LA carisoprodol 350 mg 2 ST; MS; QL 30 120 cyclobenzaprine hcl 10 mg, 5 mg 2 ST; MS; QL 30 90 methocarbamol 500 mg, 750 mg 2 ST; MS Gaba flurazepam hcl 15 mg 1 MS; CG; QL 30 60 flurazepam hcl 30 mg 1 MS; CG; QL 30 30 temazepam 15 mg, 30 mg 1 MS; CG; QL 30 30 zaleplon 10 mg, 5 mg 2 PA; MS; QL 365 90 zolpidem tartrate 10 mg, 5 mg 2 PA; MS; QL 365 90 modafinil 100 mg 2 PA; MS; QL 30 60 modafinil 200 mg 5* PA; MS; QL 30 60 ROZEREM 8 MG 3 MS XYREM 500 MG/ML 5* PA; LA; QL 30 540 ML EXJADE 125 MG, 250 MG, 500 MG 5* PA; LA FERRIPROX 500 MG 5* MS JADENU 180 MG, 360 MG, 90 MG 5* PA; MS kionex SAMSCA 15 MG, 30 MG 5* PA; MS VII 98

sodium polystyrene sulfonate 15 gm/60ml SYPRINE 250 MG 5* MS ammonium chloride * 5 meq/ml 1 MS; CG CARBAGLU 200 MG 5* MS ISOLYTE-S * 4 MS klor-con 10 * 10 meq klor-con m10 * 10 meq 1 MS; CG klor-con m15 * 15 meq klor-con m20 * 20 meq 1 MS; CG klor-con * 8 meq magnesium sulfate 50 % NORMOSOL-R PH 7.4 * 3 MS PHYSIOLYTE 4 MS PHYSIOSOL IRRIGATION 4 MS PLASMA-LYTE 148 * 4 MS PLASMA-LYTE A * 4 MS potassium chloride crys er * 10 meq, 20 meq potassium chloride er * 10 meq, 8 meq potassium chloride er * 10 meq, 20 meq, 8 meq POTASSIUM CHLORIDE NACL * 20-0.45 MEQ/L-%, 20-0.9 MEQ/L-%, 40-0.9 MEQ/L-% potassium chloride * 0.4 meq/ml, 10 meq/50ml POTASSIUM CHLORIDE * 10 MEQ/100ML, 20 MEQ/100ML, 40 MEQ/100ML 1 MS; CG 1 MS 4 MS 4 MS potassium chloride * 2 meq/ml 1 MS; CG sodium chloride 2.5 meq/ml 1 MS; CG VII 99

sodium chloride * 0.45 %, 0.9 %, 3 %, 5 % 1 MS; CG sodium chloride 0.9 % 1 MS; CG SUPREP 3 MS AMINOSYN II * 10 %, 8.5 % 4 PA-BvsD; MS AMINOSYN II * 15 %, 7 % 3 PA-BvsD; MS AMINOSYN II/ELECTROLYTES * 8.5 % 3 PA-BvsD; MS AMINOSYN M * 3.5 % 3 PA-BvsD; MS AMINOSYN/ELECTROLYTES * 8.5 % 3 PA-BvsD; MS AMINOSYN-HBC * 7 % 3 PA-BvsD; MS AMINOSYN-PF * 10 % 4 PA-BvsD; MS AMINOSYN-PF * 7 % 3 PA-BvsD; MS CLINIMIX E/DEXTROSE (2.75/10) * 2.75 % 4 MS CLINIMIX E/DEXTROSE (2.75/5) * 2.75 % 4 MS CLINIMIX E/DEXTROSE (4.25/25) * 4.25 % 4 MS CLINIMIX E/DEXTROSE (4.25/5) * 4.25 % 4 MS CLINIMIX E/DEXTROSE (5/15) * 5 % 4 MS CLINIMIX E/DEXTROSE (5/20) * 5 % 4 MS CLINIMIX E/DEXTROSE (5/25) * 5 % 4 MS CLINIMIX/DEXTROSE (2.75/5) * 2.75 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (4.25/10) * 4.25 % 4 PA-BvsD; MS VII 100

CLINIMIX/DEXTROSE (4.25/20) * 4.25 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (4.25/25) * 4.25 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (4.25/5) * 4.25 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (5/15) * 5 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (5/20) * 5 % 4 PA-BvsD; MS CLINIMIX/DEXTROSE (5/25) * 5 % 4 PA-BvsD; MS CLINISOL SF * 15 % 3 PA-BvsD; MS DEXTROSE LACTATED RINGERS * 5 % 3 MS DEXTROSE * 10 %, 5 % 3 MS DEXTROSE-NACL * 10-0.2 %, 10-0.45 %, 2.5-0.45 %, 5-0.2 %, 5-0.225 %, 5-0.33 %, 5-0.45 %, 5-0.9 % 3 MS fomepizole * 1 gm/ml 5* MS HEPATAMINE * 8 % 4 PA-BvsD; MS HEPATASOL * 8 % 4 PA-BvsD; MS INTRALIPID * 20 %, 30 % 4 PA-BvsD; MS IONOSOL-B D5W * 4 MS IONOSOL-MB D5W * 4 MS ISOLYTE-P D5W * 4 MS KCL DEXTROSE-NACL * 10-5-0.45 MEQ/L-%-%, 20-5-0.2 MEQ/L-%-%, 20-5-0.225 MEQ/L-%-%, 20-5-0.33 MEQ/L-%-%, 20-5-0.45 MEQ/L-%-%, 20-5-0.9 MEQ/L-%-%, 30-5-0.45 MEQ/L-%-%, 40-5-0.45 MEQ/L-%-%, 40-5-0.9 MEQ/L-%-% 4 MS KCL-LACTATED RINGERS-D5W * 20 MEQ/L 4 MS VII 101

LACTATED RINGERS * 3 MS LACTATED RINGERS 3 MS levocarnitine * 200 mg/ml 2 PA-BvsD; MS levocarnitine 1 gm/10ml 2 PA-BvsD; MS levocarnitine 330 mg 2 PA-BvsD; MS LIPOSYN III * 10 % 3 PA-BvsD; MS LIPOSYN III * 20 % 4 PA-BvsD; MS NEPHRAMINE * 5.4 % 4 PA-BvsD; MS NORMOSOL-M D5W * 4 MS NORMOSOL-R D5W * 3 MS nutrilipid * 20 % 4 PA-BvsD; MS PLASMA-LYTE-56 D5W * 4 MS POTASSIUM CHLORIDE DEXTROSE * 20-5 MEQ/L-%, 40-5 MEQ/L-% 4 MS PREMASOL * 10 %, 6 % 4 PA-BvsD; MS 27-1 mg 1 MS; CG PROCALAMINE * 3 % 4 PA-BvsD; MS prosol * 20 % 2 PA-BvsD; MS RINGERS * 4 MS RINGERS IRRIGATION 4 MS SODIUM LACTATE * 5 MEQ/ML 4 MS 1 MS; CG tpn electrolytes * TRAVASOL * 10 % 4 PA-BvsD; MS TROPHAMINE * 10 %, 6 % 4 PA-BvsD; MS VII 102

8-MOP...64 abacavir sulfate...40 abacavir-lamivudine-zidovudine...40 ABELCET...23 ABILIFY...35, 36 ABILIFY DISCMELT...35 ABILIFY MAINTENA...36 ABRAXANE...30 acamprosate calcium...5 acarbose...44 ACCU-CHEK ACTIVE...46 ACCU-CHEK ACTIVE GLUCOSE CONT...46 ACCU-CHEK AVIVA...46 ACCU-CHEK AVIVA PLUS...46 ACCU-CHEK COMFORT CURVE...46 ACCU-CHEK COMPACT BLUE...46 ACCU-CHEK COMPACT PLUS...46 ACCU-CHEK COMPACT PLUS...46 ACCU-CHEK FASTCLIX...46 ACCU-CHEK MULTICLIX...46 ACCU-CHEK MULTICLIX...46 ACCU-CHEK NANO SMARTVIEW...46 ACCU-CHEK SAFE-T PRO...47 ACCU-CHEK SMARTVIEW...47 ACCU-CHEK SMARTVIEW...47 ACCU-CHEK SOFT TOUCH...47 ACCU-CHEK SOFTCLIX...47 ACCU-CHEK SOFTCLIX...47 acebutolol hcl...54 acetaminophen-codeine...1 acetaminophen-codeine #2...1 acetaminophen-codeine #3...1 acetaminophen-codeine #4...1 acetasol hc...93 acetazolamide...58 acetazolamide er...58 acetazolamide sodium...58 acetic acid...7 acetic acid-aluminum acetate...93 acetylcysteine...97 acitretin...64 ACTEMRA...86 ACTHIB...86 ACTIMMUNE...86 ACTONEL...89 ACTOPLUS MET XR...45 acyclovir...39 acyclovir sodium...39 ADACEL...86 ADAGEN...65 adapalene...64 ADCIRCA...97 adefovir dipivoxil...38 adrucil...64 ADVAIR DISKUS...94 ADVAIR HFA...94 ADVICOR...56 afeditab cr...55 AFINITOR...31, 84 AFINITOR DISPERZ...84 AGGRENOX...52 a-hydrocort...89 ala cort...71 ala scalp...71 alagesic lq...1 ALBENZA...32 albuterol sulfate...95 albuterol sulfate er...95 alcaine...91 alclometasone dipropionate...71 ALDURAZYME...65 alendronate sodium...89 alfuzosin hcl er...70 ALIMTA...28 ALINIA...33 allopurinol...25 103 ALOCRIL...91 alosetron hcl...68 ALPHAGAN P...91 alprazolam...43 alprazolam er...43 ALREX...92 ALTOPREV...59 amantadine hcl...42 AMBISOME...23 amcinonide...71 amethia...77 amethyst...77 amifostine...30 amikacin sulfate...6 amiloride hcl...59 amiloride-hydrochlorothiazide...56 aminophylline...96 AMINOSYN II...100 AMINOSYN II/ELECTROLYTES...100 AMINOSYN M...100 AMINOSYN/ELECTROLYTES...100 AMINOSYN-HBC...100 AMINOSYN-PF...100 amiodarone hcl...53 AMITIZA...68 amitriptyline hcl...21 amlodipine besy-benazepril hcl...56 amlodipine besylate...55 amlodipine besylate-valsartan...56 amlodipine-valsartan-hctz...56 ammonium chloride...99 ammonium lactate...64 amnesteem...64 amoxapine...21 amoxicillin...11 amoxicillin-pot clavulanate...11 amoxicillin-pot clavulanate er...11 amphetamine-dextroamphet er...61

amphetaminedextroamphetamine...61 amphotericin b...23 ampicillin...11 ampicillin sodium...11 ampicillin-sulbactam sodium...11 AMPYRA...63 ANADROL-50...76 anagrelide hcl...51 anastrozole...30 ANDRODERM...76 ANDROGEL...76 ANDROGEL...76 androxy...76 ANORO ELLIPTA...97 apexicon...64 APOKYN...34 apraclonidine hcl...91 apri...77 APRISO...88 APTIOM...17 APTIVUS...41 ARALAST NP...97 aranelle...77 arbinoxa...93 ARCALYST...86 ARCAPTA NEOHALER...95 aripiprazole...36 ARMOUR THYROID...81 ARNUITY ELLIPTA...94 ARRANON...28 ARZERRA...32 ASACOL HD...88 ascomp-codeine...1 ashlyna...77 ASMANEX 120...94 ASMANEX 30...94 ASMANEX 60...94 ASMANEX HFA...94 aspirin-dipyridamole er...52 ASSURE ID...48 ASTAGRAF XL...84 ATELVIA...89 atenolol...54 atenolol-chlorthalidone...56 atorvastatin calcium...59, 60 atovaquone...33 atovaquone-proguanil hcl...33 ATRIPLA...40 atropine sulfate...67 ATROVENT HFA...95 AUBAGIO...63 aubra...77 AUVI-Q...95 AVANDAMET...45 AVANDARYL...45 AVANDIA...44 AVASTIN...28 AVELOX...13 AVELOX ABC...13 aviane...77 avita...32 AVODART...70 AVONEX...63 AVONEX...63 AVONEX...63 AXIRON...76 azacitidine...28 azathioprine...84 azelastine hcl...91, 93 AZELEX...64 AZILECT...34 azithromycin...12 AZOPT...91 AZOR...56 aztreonam...10 baciim...7 bacitracin...7 bacitracin-polymyxin b...90 bacitra-neomycin-polymyxin-hc...90 baclofen...37 bactocill dextrose...11, 12 balsalazide disodium...88 balziva...77 BANZEL...17, 18 BARACLUDE...38 BD...48 BD SAFETYGLIDE...48 benazepril hcl...53 104 benazepril-hydrochlorothiazide...56 BENICAR...52 BENICAR HCT...56 BENLYSTA...84 benzoyl peroxide-erythromycin...64 benztropine mesylate...33 BEPREVE...91 BESIVANCE...13 betamethasone dipropionate...64, 71 betamethasone dipropionate aug...71 betamethasone valerate...71 betaxolol hcl...54, 91 bethanechol chloride...70 BETOPTIC-S...91 bexarotene...32 BEXSERO...86 bicalutamide...27 BICILLIN C-R...12 BICILLIN C-R 900/300...12 BICILLIN L-A...12 BICNU...28 BILTRICIDE...33 bisoprolol fumarate...54 bisoprolol-hydrochlorothiazide...56 bleomycin sulfate...28 bleph-10...14 BLEPHAMIDE...90 BLEPHAMIDE S.O.P...90 BLINCYTO...28 BOOSTRIX...86 BOSULIF...31 BOTOX...25 BREO ELLIPTA...95 briellyn...77 BRILINTA...52 brimonidine tartrate...92 BRINTELLIX...20 bromfenac sodium...92 bromocriptine mesylate...34 budesonide er...68 bumetanide...59 buprenorphine hcl...5

buprenorphine hcl-naloxone hcl...5 buproban...19 bupropion hcl...19 bupropion hcl er (sr)...19 bupropion hcl er (xl)...19 buspirone hcl...42 BUSULFEX...26 butalbital-acetaminophen...1 butalbital-apap-caff-cod...1 butalbital-apap-caffeine...1 butalbital-aspirin-caffeine...1 butorphanol tartrate...4 BYDUREON...44 BYETTA 10 MCG...44 BYETTA 5 MCG...44 BYSTOLIC...54 cabergoline...82 calcipotriene...64 calcitonin (salmon)...89 calcitriol...89 calcium acetate...71 camila...80 CANCIDAS...23 candesartan cilexetil-hctz...56 CAPASTAT SULFATE...26 CAPRELSA...31 captopril...53 captopril-hydrochlorothiazide...56 CARAC...64 CARAFATE...69 CARBAGLU...99 carbamazepine...18 carbamazepine er...18, 43 carbidopa...33 carbidopa-levodopa...34 carbidopa-levodopa er...34 carbinoxamine maleate...93 carboplatin...28 CARIMUNE NF...86 carisoprodol...98 carteolol hcl...92 cartia xt...55 carvedilol...54 CAYSTON...10 CEDAX...9 cefaclor...9 cefaclor er...9 cefadroxil...9 cefazolin sodium...9 cefdinir...9 cefepime hcl...9 cefepime-dextrose...9 cefixime...9 cefotaxime sodium...9 cefotetan disodium...9 cefoxitin sodium...9 cefoxitin sodium-dextrose...9 cefpodoxime proxetil...9 cefprozil...10 ceftazidime...10 ceftazidime dextrose...10 ceftriaxone sodium...10 cefuroxime axetil...10 cefuroxime sodium...10 CELLCEPT...22 CELONTIN...16 cephalexin...10 CEREZYME...66 CERVARIX...86 CESAMET...22 cevimeline hcl...63 CHANTIX...6 CHANTIX...6 CHANTIX...6 CHENODAL...67 chloramphenicol sod succinate...7 chlordiazepoxide hcl...43 chlorhexidine gluconate...63 chloroquine phosphate...33 chlorothiazide...59 chlorothiazide sodium...59 chlorpromazine hcl...34, 35 chlorthalidone...59 cholestyramine...60 cholestyramine light...60 chorionic gonadotropin...74 CIALIS...70 ciclopirox...23 ciclopirox olamine...23 cidofovir...38 cilostazol...52 105 CILOXAN...13 cimetidine...67 cimetidine hcl...67 CIMZIA...84 CIMZIA...84 CINRYZE...83 CIPRO HC...93 CIPRODEX...93 ciprofloxacin...14 ciprofloxacin hcl...13, 14 ciprofloxacin d5w...14 ciprofloxacin-ciproflox hcl er...14 cisplatin...28 citalopram hydrobromide...20 cladribine...28 claravis...64 clarithromycin...13 clarithromycin er...13 clemastine fumarate...93 clindacin pac...7 clindamax...7 clindamycin hcl...7 clindamycin phos-benzoyl perox...64 clindamycin phosphate...7, 8 clindamycin phosphate d5w...7 CLINIMIX E/DEXTROSE (2.75/10)...100 CLINIMIX E/DEXTROSE (2.75/5)...100 CLINIMIX E/DEXTROSE (4.25/25)...100 CLINIMIX E/DEXTROSE (4.25/5)...100 CLINIMIX E/DEXTROSE (5/15)...100 CLINIMIX E/DEXTROSE (5/20)...100 CLINIMIX E/DEXTROSE (5/25)...100 CLINIMIX/DEXTROSE (2.75/5)...100 CLINIMIX/DEXTROSE (4.25/10)...100 CLINIMIX/DEXTROSE (4.25/20)...101

CLINIMIX/DEXTROSE (4.25/25)...101 CLINIMIX/DEXTROSE (4.25/5)...101 CLINIMIX/DEXTROSE (5/15)...101 CLINIMIX/DEXTROSE (5/20)...101 CLINIMIX/DEXTROSE (5/25)...101 CLINISOL SF...101 clobetasol propionate...72 clobetasol propionate e...71 clocortolone pivalate...72 clodan...72 CLODERM...72 CLOLAR...28 clomipramine hcl...21 clonazepam...43 clonidine hcl...52 clonidine hcl er...62 clopidogrel bisulfate...52 clorazepate dipotassium...43 clorpres...56 clotrimazole...23 clotrimazole-betamethasone...64 clozapine...37 COARTEM...33 codeine sulfate...4 colchicine-probenecid...25 COLCRYS...25 colestipol hcl...60 colistimethate sodium...7 colocort...89 COLY-MYCIN S...93 COMBIGAN...92 COMBIPATCH...77 COMBIVENT RESPIMAT...97 COMETRIQ ( 100 MG)...31 COMETRIQ ( 140 MG)...31 COMETRIQ ( 60 MG)...31 COMFORT ASSIST...48 COMFORT EZ...48 COMPLERA...40 compro...22 COMVAX...87 CONDYLOX...64 constulose...68 COPAXONE...63 CORDRAN...72 COREG CR...54 cormax...72 CORTIFOAM...89 cortisone acetate...72 CORTISPORIN-TC...93 COUMADIN...50 CREON...66 CRESTOR...60 CRIXIVAN...41 cromolyn sodium...91, 96 cryselle-28...77 CUBICIN...8 CUPRIMINE...70 CURITY...48 cyclafem 1/35...77 cyclafem 7/7/7...77 cyclobenzaprine hcl...98 cyclophosphamide...26, 27 CYCLOSET...44 cyclosporine...84 cyclosporine modified...84 cyproheptadine hcl...93 CYRAMZA...32 CYSTADANE...66 CYSTAGON...66 cytarabine...28 cytarabine (pf)...28 dacarbazine...28 DALIRESP...96 danazol...76 dantrolene sodium...37 DAPSONE...26 DAPTACEL...87 DARAPRIM...33 daunorubicin hcl...28 deblitane...80 delyla...77 demeclocycline hcl...15 DEMSER...57 DENAVIR...39 DEPO-PROVERA...80 106 desipramine hcl...21 desmopressin ace...74 desmopressin ace...74 desmopressin acetate...74 desmopressin acetate...75 desogestrel-ethinyl estradiol...77 desonide...72 desoximetasone...72 DESVENLAFAXINE ER...20 DETROL LA...69 dexamethasone...72 dexamethasone intensol...72 dexamethasone sod phosphate pf...72 dexamethasone sodium phosphate...72, 92 dexedrine...61 DEXILANT...69 dexmethylphenidate hcl...62 dexrazoxane...28 dextroamphetamine sulfate...61 dextroamphetamine sulfate er...61 DEXTROSE...101 DEXTROSE 在 LACTATED RINGERS 中...101 DEXTROSE-NACL...101 diazepam...15, 43 diazepam intensol...43 diclofenac potassium...2 diclofenac sodium... 2, 92 diclofenac sodium er...2 diclofenac-misoprostol...2 dicloxacillin sodium...12 dicyclomine hcl...67 didanosine...40 DIFICID...13 diflorasone diacetate...72 diflunisal...2 digitek...58 digoxin...58 dihydroergotamine mesylate...25 DILANTIN...18 DILANTIN INFATABS...18 diltiazem hcl...55 diltiazem hcl er...55

diltiazem hcl er...55 diltiazem hcl er...55 dilt-xr...55 DIOVAN...52 DIPENTUM...88 diphenhydramine hcl...94 diphenoxylate-atropine...67 DIPHTHERIA-TETANUS TOXOIDS DT...87 dipyridamole...52 disopyramide phosphate...53 disulfiram...5 divalproex sodium...16 divalproex sodium er...16 DOCEFREZ...28 docetaxel...28 donepezil hcl...18 DORIBAX...11 dorzolamide hcl...92 dorzolamide hcl-timolol mal...92 doxazosin mesylate...70 doxepin hcl...21 doxercalciferol...89 doxycycline hyclate...15 doxycycline monohydrate...15 dronabinol...22 drospirenone-ethinyl estradiol...77 DROXIA...27 DUAVEE...76 DULERA...96 duloxetine hcl...20 duramorph...3 DUREZOL...92 DUTOPROL...57 DYRENIUM...59 DYSPORT...37 e.e.s. 400...13 E.E.S....13 e.s.p...13 econazole nitrate...23 EDARBI...52 EDARBYCLOR...57 EDURANT...40 EFFIENT...52 EGRIFTA...75 ELAPRASE...66 ELELYSO...66 ELIDEL...64 ELIGARD...82 eliphos...71 ELIQUIS...50 ELITEK...28 elixophyllin...96 ELLA...80 ELMIRON...70 EMCYT...27 EMEND...22 emoquette...77 EMSAM...20 EMTRIVA...40 enalapril maleate...53 enalapril-hydrochlorothiazide...57 ENBREL...84 ENBREL SURECLICK...84 endocet...1 endodan...1 ENGERIX-B...87 enoxaparin sodium...50 enpresse-28...78 entacapone...34 entecavir...38 enulose...68 epinastine hcl...91 epinephrine...96 EPIPEN 2-PAK...96 EPIPEN JR 2-PAK...96 epirubicin hcl...28 epitol...18 EPIVIR HBV...38 eplerenone...59 EPOGEN...51 eprosartan mesylate...52 EPZICOM...40 ERAXIS...23 ERBITUX...28 ergoloid mesylates...18 ERGOMAR...25 ERIVEDGE...31 errin...80 ery...13 ERYPED 200...13 ery-tab...13 erythrocin lactobionate...13 107 erythrocin stearate...13 erythromycin...13 erythromycin base...13 erythromycin ethylsuccinate...13 escitalopram oxalate...20 esomeprazole sodium...69 estazolam...62 ESTRACE...76 estradiol...76, 77 estradiol-norethindrone acet...78 estropipate...77 ethambutol hcl...26 ethosuximide...16 etidronate disodium...89 etodolac...2 etodolac er...2 ETOPOPHOS...30 etoposide...30 EURAX...33 EVOTAZ...41 EXCEL COMFORT POINT...48 EXELDERM...23 EXELON...19 exemestane...30 EXJADE...98 EXTAVIA...63 FABRAZYME...66 falmina...78 famciclovir...39 famotidine...68 famotidine...68 FANAPT...36 FANAPT...36 FARESTON...27 FARYDAK...30 FASLODEX...28 felbamate...17 felodipine er...55 fenofibrate...59 fenofibrate micronized...59 fenoprofen calcium...2 fentanyl...3 fentanyl citrate...4 FERRIPROX...98 FETZIMA...20 FETZIMA...20 FINACEA...64

finasteride...70 FIRAZYR...83 FIRMAGON...82 flavoxate hcl...69 flecainide acetate...53 FLECTOR...2 FLOVENT DISKUS...94 FLOVENT HFA...94 fluconazole...23 fluconazole dextrose...23 fluconazole sodium chloride...23 flucytosine...24 fludarabine phosphate...30 fludrocortisone acetate...72 flunisolide...94 fluocinolone acetonide...73 fluocinolone acetonide...72 fluocinonide...73 fluocinonide-e...73 fluorometholone...92 FLUOROURACIL...64 fluorouracil...65 fluoxetine hcl...19, 20 fluphenazine decanoate...35 fluphenazine hcl...35 flurazepam hcl...98 flurbiprofen...2 flurbiprofen sodium...92 flutamide...27 fluticasone propionate...73, 95 fluvastatin sodium...60 fluvoxamine maleate...21 fluvoxamine maleate er...21 FOLOTYN...28 fomepizole...101 fondaparinux sodium...50 FORADIL AEROLIZER...96 FORTEO...89 foscarnet sodium...38 fosinopril sodium...53 fosinopril sodium-hctz...57 fosphenytoin sodium...18 FOSRENOL...71 FREESTYLE...47 FREESTYLE FREEDOM LITE...47 FREESTYLE INSULINX...47 FREESTYLE INSULINX...47 FREESTYLE LITE...47 FREESTYLE LITE...47 FREESTYLE...47 FULYZAQ...67 furosemide...59 FUSILEV...30 FUZEON...41 FYCOMPA...17 gabapentin...16 GABITRIL...16 galantamine hydrobromide...19 galantamine hydrobromide er...19 GAMASTAN S/D...86 GAMMAGARD...86 GAMMAPLEX...86 ganciclovir sodium...38 GARDASIL...87 GARDASIL 9...87 gatifloxacin...14 gavilyte-c...68 gavilyte-g...68 gavilyte-n...68 GELNIQUE...69 gemcitabine hcl...27 gemfibrozil...59 generlac...68 gengraf...84 GENOTROPIN...75 GENOTROPIN MINIQUICK...75 gentak...6 gentamicin saline...6 gentamicin sulfate...6 GEODON...36 gianvi...78 gildagia...78 gildess 1.5/30...78 GILENYA...63 GILOTRIF...31 GLEEVEC...31 gleostine...27 glimepiride...44 glipizide...44 glipizide er...44 108 glipizide-metformin hcl...45 global 酒精准备舒適...8 GLUCAGEN HYPOKIT...48 GLUCAGON...48 glyburide...44 glyburide micronized...44 glyburide-metformin...45 glycopyrrolate...67 GLYSET...44 GRALISE...16 GRALISE...16 granisetron hcl...22 granisol...22 griseofulvin microsize...24 griseofulvin ultramicrosize...24 guanfacine hcl...52 guanidine hcl...26 HALAVEN...29 HALDOL DECANOATE...35 halobetasol propionate...73 haloperidol...35 haloperidol decanoate...35 haloperidol lactate...35 HARVONI...38 HAVRIX...87 hecoria...84 HECTOROL...89, 90 heparin (porcine) d5w...50 heparin (porcine) nacl...50 heparin sod (porcine) d5w...50 heparin sodium (porcine)...50, 51 HEPATAMINE...101 HEPATASOL...101 HERCEPTIN...29 HEXALEN...27 HIBERIX...87 HP ACTHAR...73 HUMALOG...48 HUMALOG KWIKPEN...48 HUMALOG MIX 50/50...48 HUMALOG MIX 50/50 KWIKPEN...48 HUMALOG MIX 75/25...48 HUMALOG MIX 75/25 KWIKPEN...48 HUMATROPE...75 HUMIRA...84

HUMIRA...84 HUMULIN 70/30...49 HUMULIN 70/30 KWIKPEN...49 HUMULIN N...49 HUMULIN N KWIKPEN...49 HUMULIN R...49 HUMULIN R U-500...49 hydralazine hcl...60 hydrochlorothiazide...59 hydrocodone-acetaminophen...1 hydrocodone-ibuprofen...1 hydrocortisone...73, 89 hydrocortisone butyrate...73 hydrocortisone valerate...73 hydrocortisone-acetic acid...93 hydromorphone hcl...4 hydromorphone hcl pf...4 hydroxychloroquine sulfate...33 hydroxyurea...27 hydroxyzine hcl...22, 94 hydroxyzine pamoate...94 ibandronate sodium...90 IBRANCE...31 ibuprofen...2 ICLUSIG...31 idarubicin hcl...29 ifosfamide...29 ILARIS...86 ILEVRO...92 ilotycin...13 IMBRUVICA...31 imipenem-cilastatin...11 imipramine hcl...21 imipramine pamoate...21 imiquimod...65 IMOVAX...87 INCRELEX...75 INCRUSE ELLIPTA...95 indapamide...59 indomethacin...2 INFANRIX...87 INLYTA...31...49 INTELENCE...40 INTRALIPID...101 INTRON A...38 introvale...78 INVANZ...11 INVEGA...36 INVEGA SUSTENNA...36 INVEGA TRINZA...36 INVIRASE...41 INVOKAMET...44 INVOKANA...44 IONOSOL-B D5W...101 IONOSOL-MB D5W...101 IPOL...87 ipratropium bromide...95 ipratropium-albuterol...97 irbesartan...52 irbesartan-hydrochlorothiazide...57 irinotecan hcl...29 ISENTRESS...39 ISOLYTE-P D5W...101 ISOLYTE-S...99 isoniazid...26 isosorbide dinitrate...61 isosorbide dinitrate er...61 isosorbide mononitrate...61 isosorbide mononitrate er...61 isradipine...55 ISTALOL...92 ISTODAX...29 itraconazole...24 ivermectin...33 IXEMPRA...29 IXIARO...87 JADENU...98 JAKAFI...31 JALYN...70 jantoven...51 JANUMET...45 JANUMET XR...45 JANUVIA...44 JARDIANCE...44 JENTADUETO...44 jinteli...78 jolessa...78 jolivette...80 junel 1.5/30...78 junel 1/20...78 junel fe 1.5/30...78 junel fe 1/20...78 109 JUXTAPID...60 KADCYLA...29 kalbitor...83 KALETRA...41 KALYDECO...96 kariva...78 KCL DEXTROSE-NACL...101 KCL-LACTATED RINGERS-D5W...101 kelnor 1/35...78 KEPIVANCE...64 KETEK...13 ketoconazole...24 ketoprofen...2 ketoprofen er...2 ketorolac tromethamine... 2, 92 KEYTRUDA...32 kimidess...78 KINERET...84 KINRIX...87 kionex...98 klor-con...99 klor-con 10...99 klor-con m10...99 klor-con m15...99 klor-con m20...99 KOMBIGLYZE XR...45 KORLYM...48 KUVAN...66 KYNAMRO...60 labetalol hcl...54 LACRISERT...91 LACTATED RINGERS...102 lactulose...68 LAMICTAL ODT...17 lamivudine...38, 41 lamivudine-zidovudine...41 lamotrigine...17 lamotrigine er...17 LANOXIN...58 LANOXIN...58 lansoprazole...69 LANTUS...49 LANTUS SOLOSTAR...49 larin 1.5/30...78 larin 1/20...78 larin fe 1.5/30...78 larin fe 1/20...78

latanoprost...93 LATUDA...36 LAZANDA...4 leena...78 leflunomide...86 LENVIMA 10 MG...31 LENVIMA 14 MG...31 LENVIMA 20 MG...31 LENVIMA 24 MG...31 lessina...78 LETAIRIS...97 letrozole...30 leucovorin calcium...30 LEUKERAN...27 LEUKINE...51 leuprolide acetate...82 LEVEMIR...49 LEVEMIR FLEXTOUCH...49 levetiracetam...15 levetiracetam er...15 levetiracetam nacl...15 levobunolol hcl...92 levocarnitine...102 levocetirizine dihydrochloride...94 levofloxacin...14 levofloxacin d5w...14 levoleucovorin calcium...30 levonest...78 levonorgest-eth estrad 91-...78 levonorgestrel-ethinyl estrad...78 levora 0.15/30 (28)...78 levorphanol tartrate...3 levothyroxine sodium...81 levoxyl...81 LEXIVA...41 LIALDA...89 lidocaine...5 lidocaine hcl...5 lidocaine hcl...5 lidocaine hcl (pf)...5 lidocaine viscous...5 lidocaine-prilocaine...5 LIDODERM...5 linezolid...8 LINZESS...68 liothyronine sodium...81 LIPOSYN III...102 lisinopril...53 lisinopril-hydrochlorothiazide...57 lithium...43 lithium carbonate...43 lithium carbonate er...43 LIVALO...60 lokara...73 lomustine...27 loperamide hcl...67 lopreeza...78 lorazepam...43 lorazepam intensol...16 lorcet...1 lorcet hd...1 lorcet plus...1 lortab...1 loryna...78 losartan potassium...52, 53 losartan potassium-hctz...57 LOTEMAX...92 LOTRONEX...68 lovastatin...60 low-ogestrel...78 loxapine succinate...35 LUMIGAN...93 LUMIZYME...97 LUPRON DEPOT...82, 83 LUPRON DEPOT-PED...83 lutera...79 LYNPARZA...29 LYRICA...16 LYSODREN...82 lyza...80 mafenide acetate...8 magnesium sulfate...99 malathion...33 maprotiline hcl...19 marlissa...77 MARPLAN...20 MATULANE...27 matzim la...55 meclizine hcl...22 110 MEDISENSE / /...47 MEDROL...73 medroxyprogesterone acetate...80, 81 mefenamic acid...3 mefloquine hcl...33 megestrol acetate...81 MEKINIST...31 meloxicam...3 melphalan hcl...27 memantine hcl...19 MENACTRA...87 MENEST...77 MENOMUNE...87 MENVEO...87 meprobamate...42 mercaptopurine...84 meropenem...11 mesalamine-...89 mesna...29 MESNEX...29 MESTINON...26 metadate er...62 metaproterenol sulfate...96 metformin hcl...44, 45 metformin hcl er...44 metformin hcl er (osm)...44, 46 methadone hcl...3 methazolamide...58 methenamine hippurate...8 methimazole...83 methocarbamol...98 methotrexate...84 methotrexate sodium...85 methotrexate sodium (pf)...84 methoxsalen...65 methscopolamine bromide...67 methyclothiazide...59 methyldopa...52 methyldopa-hydrochlorothiazide...57 methylergonovine maleate...25 methylphenidate hcl...62 methylphenidate hcl er...62 methylphenidate hcl er (cd)...62 methylphenidate hcl er (la)...62 methylprednisolone...73

methylprednisolone (pak)...73 methylprednisolone acetate...73 methylprednisolone sodium succ...73 metipranolol...92 metoclopramide hcl...67 metolazone...59 metoprolol succinate er...54 metoprolol tartrate...54 metoprolol-hydrochlorothiazide...57 metronidazole...8 metronidazole nacl...8 mexiletine hcl...53 MIACALCIN...90 miconazole 3...24 microgestin 1.5/30...79 microgestin 1/20...79 microgestin fe 1.5/30...79 microgestin fe 1/20...79 midodrine hcl...52 MIGERGOT...25 MIGRANAL...25 millipred...73 mimvey...79 mimvey lo...79 minitran...61 minocycline hcl...15 minocycline hcl er...15 minoxidil...61 mirtazapine...20 misoprostol...69 mitomycin...29 mitoxantrone hcl...63 M-M-R II...87 modafinil...98 moderiba...38 moexipril hcl...53 moexiprilhydrochlorothiazide...57 mometasone furoate...74 mononessa...79 montelukast sodium...95 morphine sulfate...3, 4 morphine sulfate...3 morphine sulfate (pf)...3, 4 morphine sulfate er...3 MOVIPREP...68 MOXEZA...14 moxifloxacin hcl...14 MOZOBIL...51 MULTAQ...53 mupirocin...8 mupirocin calcium...8 MUSTARGEN...29 MYCAMINE...24 mycophenolate mofetil...85 mycophenolic acid...85 myorisan...65 MYOZYME...66 MYRBETRIQ...69 nabumetone...3 nadolol...54 nafcillin sodium...12 naftifine hcl...24 NAFTIN...24 NAGLAZYME...66 nalbuphine hcl...4 nallpen dextrose...12 naloxone hcl...5 naltrexone hcl...5 NAMENDA...19 NAMENDA...19 NAMENDA XR...19 NAMENDA XR...19 naphazoline hcl...91 naproxen...3 naproxen dr...3 naproxen sodium...3 naratriptan hcl...25 NASONEX...95 NATACYN...24 nateglinide...45 NATURE-THROID...81 NEBUPENT...33 necon 0.5/35 (28)...79 necon 1/35 (28)...79 necon 1/50 (28)...79 necon 10/11 (28)...79 necon 7/7/7...79 nefazodone hcl...20 neomycin sulfate...6 neomycin-bacitracin zn-polymyx...90 111 neomycin-polymyxin b gu...6 neomycin-polymyxin-dexameth...90 neomycin-polymyxin-gramicidin...91 neomycin-polymyxin-hc...91, 93 NEPHRAMINE...102 NEULASTA...51 NEUMEGA...51 NEUPOGEN...51 NEUPRO...34 NEVANAC...92 nevirapine...40 nevirapine er...40 NEXAVAR...31 NEXIUM...69 niacin er...60 NIACOR...60 nicardipine hcl...55 NICOTROL...6 NICOTROL NS...6 nifedical xl...55 nifedipine...55 nifedipine er...55 nikki...79 NILANDRON...27 nimodipine...55 NITRO-BID...61 nitrofurantoin macrocrystal...8 nitrofurantoin monohyd macro...8 nitroglycerin...61 NITROSTAT...61 nizatidine...68 nora-be...79 NORDITROPIN FLEXPRO...75 norethindrone...81 norethindrone acetate...81 norethindrone-eth estradiol...79 norinyl 1+50 (28)...79 norlyroc...81 NORMOSOL-M D5W...102 NORMOSOL-R D5W...102 NORMOSOL-R PH 7.4...99 NORPACE CR...53 nortrel 0.5/35 (28)...79 nortrel 1/35 (21)...79

nortrel 1/35 (28)...79 nortrel 7/7/7...79 nortriptyline hcl...22 NORVIR...41, 42 novarel...75 NOVOLIN 70/30...49 NOVOLIN N...49 NOVOLIN R...49 NOVOLOG...49 NOVOLOG FLEXPEN...49 NOVOLOG MIX 70/30...49 NOVOLOG MIX 70/30 FLEXPEN...49 NOVOLOG PENFILL...49 NOXAFIL...24 np thyroid...81 NUCYNTA...4 NUCYNTA ER...4 NUEDEXTA...62 NULOJIX...85 nutrilipid...102 NUTROPIN AQ NUSPIN 5...75 NUTROPIN AQ...75 nyamyc...24 nystatin...24 nystatin-triamcinolone...65 nystop...24 ocella...79 octreotide acetate...83 ofloxacin...14 ogestrel...79 olanzapine...36, 37 olanzapine-fluoxetine hcl...19 olopatadine hcl...94 OLYSIO...38 omega-3-acid ethyl esters...60 omeprazole...69 OMNITROPE...75 ondansetron...23 ondansetron hcl...22, 23 ONFI...16 ONGLYZA...45 OPANA ER...4 OPDIVO...32 ORAP...35 ORENCIA...85 ORFADIN...66 orsythia...79 oxacillin sodium...12 oxaliplatin...29 oxandrolone...76 oxaprozin...3 oxazepam...42 oxcarbazepine...18 oxybutynin chloride...70 oxybutynin chloride er...70 oxycodone hcl...4 oxycodone hcl er...4 oxycodone-acetaminophen...1 oxycodone-aspirin...1 oxycodone-ibuprofen...3 OXYCONTIN...4 oxymorphone hcl...5 oxymorphone hcl er...4 OXYTROL...70 pacerone...53 paclitaxel...29 pamidronate disodium...90 PANCREAZE...66 PANRETIN...32 pantoprazole sodium...69 paricalcitol...90 paromomycin sulfate...6 paroxetine hcl...21 paroxetine hcl er...21 PASER...26 PATADAY...91 PATANOL...91 PAXIL...21 PEDIARIX...87 pedi-dri...24 PEDVAX HIB...87 peg 3350/electrolytes...68 peg-3350/electrolytes...69 PEGANONE...18 PEGASYS...38 PEGASYS PROCLICK...38 PEGINTRON...39 PEG-INTRON...39 PEG-INTRON REDIPEN...39 penicillin g pot dextrose...12 penicillin g potassium...12 PENICILLIN G PROCAINE...12 penicillin v potassium...12 PENTACEL...87 PENTAM...33 112 pentoxifylline er...58 perindopril erbumine...53 periogard...64 PERJETA...29 permethrin...33 perphenazine...35 PERTZYE...66 phenadoz...22 phenelzine sulfate...20 phenergan...22 phenobarbital...16 PHENYTEK...18 phenytoin...18 phenytoin sodium...18 phenytoin sodium extended...18 PHOSPHOLINE IODIDE...92 PHYSIOLYTE...99 PHYSIOSOL...99 PICATO...65 pilocarpine hcl...64, 92 pimtrea...79 pindolol...54 pioglitazone hcl...45 pioglitazone hcl-glimepiride...46 pioglitazone hcl-metformin hcl...46 piperacillin sod-tazobactam so...12 pirmella 1/35...79 piroxicam...3 PLASMA-LYTE 148...99 PLASMA-LYTE A...99 PLASMA-LYTE-56 D5W...102 podofilox...65 polyethylene glycol 3350...69 polymyxin b sulfate...8 polymyxin b-trimethoprim...91 POMALYST...27 portia-28...79 potassium chloride...99 POTASSIUM CHLORIDE...99 potassium chloride crys er...99 potassium chloride er...99 POTASSIUM CHLORIDE DEXTROSE...102 POTASSIUM CHLORIDE NACL...99

potassium citrate er...70 POTIGA...15 PRADAXA...51 pramipexole dihydrochloride...34 PRANDIMET...46 pravastatin sodium...60 prazosin hcl...52 PRECISION XTRA...48 PRECISION XTRA...47 PRECISION XTRA KETONE...48 prednicarbate...65, 74 prednisolone...74 prednisolone acetate...93 prednisolone sodium phosphate...74 prednisone...74 prednisone intensol...74 prefest...79 pregnyl...75 PREMARIN...77 PREMASOL...102 PREMPHASE...79 PREMPRO...79...102 prevalite...60 previfem...80 PREZCOBIX...42 PREZISTA...42 PRIFTIN...26 primaquine phosphate...33 primidone...16 PRISTIQ...21 PRIVIGEN...86 PROAIR HFA...96 PROAIR RESPICLICK...96 probenecid...25 procainamide hcl...53 PROCALAMINE...102 prochlorperazine...22 prochlorperazine edisylate...35 prochlorperazine maleate...35 PROCRIT...51 procto-pak...74 proctosol hc...67 proctozone-hc...74 progesterone micronized...81 PROGLYCEM...48 PROGRAF...85 PROLASTIN-C...97 PROLENSA...93 PROLEUKIN...29 PROLIA...90 PROMACTA...51 promethazine hcl...22 promethazine vc...97 promethegan...22 propafenone hcl...53 propafenone hcl er...53 propantheline bromide...67 proparacaine hcl...91 propranolol hcl...54, 55 propranolol hcl er...54 propranolol-hctz...57 propylthiouracil...83 PROQUAD...87 prosol...102 protriptyline hcl...22 psorcon...74 PULMICORT FLEXHALER...95 PULMOZYME...97 PURIXAN...85 pyrazinamide...26 pyridostigmine bromide...26 pyridostigmine bromide er...26 QNASL...95 QUADRACEL...87 quasense...80 quetiapine fumarate...37 quinapril hcl...53 quinapril-hydrochlorothiazide...57 quinidine gluconate...54 quinidine gluconate er...54 quinidine sulfate...54 quinidine sulfate er...54 quinine sulfate...33 RABAVERT...88 raloxifene hcl...81 ramipril...53 RANEXA...58 ranitidine hcl...68 RAPAFLO...70 RAPAMUNE...85 RAVICTI...66 RAYOS...74 113 REBIF...63 REBIF REBIDOSE...63 REBIF REBIDOSE...63 REBIF...63 reclipsen...80 RECOMBIVAX HB...88 REGRANEX...65 RELENZA DISKHALER...42 RELISTOR...67 REMICADE...85 REMODULIN...97 RENAGEL...71 RENVELA...71 repaglinide...45 reprexain...1 RESCRIPTOR...40 reserpine...57 RESTASIS...91 RETROVIR...41 REVATIO...97 REVLIMID...27, 30 REXULTI...37 REYATAZ...42 ribasphere...39 RIBASPHERE RIBAPAK...39 ribavirin...39 RIDAURA...86 rifabutin...26 rifampin...26 RIFATER...26 riluzole...62 rimantadine hcl...42 RINGERS...102 RINGERS...102 RIOMET...45 risedronate sodium...90 RISPERDAL CONSTA...37 risperidone...37 RITUXAN...32 rivastigmine tartrate...19 rizatriptan benzoate...25 ropinirole hcl...34 ropinirole hcl er...34 ROTARIX...88 ROTATEQ...88 roxicet...2 ROZEREM...98

SABRIL...17 SAIZEN...75 SAIZEN CLICK EASY...75 SAMSCA...98 SANDIMMUNE...85 SANDOSTATIN LAR DEPOT...83 SANTYL...65 SAPHRIS...37 SAVELLA...62 SAVELLA...63 selegiline hcl...34 selenium sulfide...65 SELZENTRY...41 SENSIPAR...82 SEREVENT DISKUS...96 SEROQUEL XR...37 SEROSTIM...75 sertraline hcl...21 sharobel...81 SIGNIFOR...83 sildenafil citrate...97 SILENOR...42 silver sulfadiazine...14 SIMBRINZA...92 SIMPONI...85, 86 SIMULECT...85 simvastatin...60 sirolimus...85 sivextro...8 sodium chloride...99, 100 SODIUM LACTATE...102 sodium phenylbutyrate...70 sodium polystyrene sulfonate...99 SOLTAMOX...27 SOLU-CORTEF...89 SOLU-MEDROL...89 SOMATULINE DEPOT...83 SOMAVERT...83 sorine...54 sotalol hcl...54 sotalol hcl (af)...54 SOVALDI...39 spinosad...33 spironolactone...59 spironolactone-hctz...57 SPORANOX...24 sprintec 28...80 SPRYCEL...31 sronyx...80 ssd...14 stavudine...41 STELARA...65...102 STIMATE...76 STIVARGA...31 STRATTERA...62 streptomycin sulfate...6 STRIBILD...39 SUBOXONE...5 SUCRAID...66 sucralfate...69 sulfacetamide sodium...14 sulfacetamide-prednisolone...91 sulfadiazine...14 sulfamethoxazole-tmp ds...14 sulfamethoxazole-trimethoprim...14, 15 sulfasalazine...89 sulfazine ec...89 sulindac...3 sumatriptan...25 sumatriptan succinate...25 sumatriptan succinate refill...25 SUPRAX...10 SUPREP...100 SURMONTIL...22 SUSTIVA...40 SUTENT...31 SYLATRON...39 SYMBICORT...98 SYMLINPEN 120...45 SYMLINPEN 60...45 SYNAGIS...86 SYNAREL...83 SYNERCID...7 SYNRIBO...30 SYNTHROID...82 SYPRINE...99 TABLOID...27 tacrolimus...65, 85 TAFINLAR...31 TAMIFLU...42 tamoxifen citrate...27 tamsulosin hcl...70 TARCEVA...32 114 TARGRETIN...32 tarina fe 1/20...80 TASIGNA...32 TASMAR...34 tazicef...10 TAZORAC...65 taztia xt...56 TECFIDERA...63 TEFLARO...10 TEGRETOL-XR...18 TEKTURNA...58 TEKTURNA HCT...57 telmisartan...53 telmisartan-amlodipine...57 telmisartan-hctz...57 temazepam...98 tencon...2 TENIVAC...88 terazosin hcl...52 terbinafine hcl...24 terbutaline sulfate...96 terconazole...24 TESTIM...76 testosterone...76 testosterone cypionate...76 testosterone enanthate...76 TETANUS TOXOID...88 TETANUS-DIPHTHERIA TOXOIDS TD...88 tetracycline hcl...15 TEVETEN HCT...57 THALOMID...27 THEO-24...96 theophylline er...96, 97 thioridazine hcl...35 thiothixene...35 THYMOGLOBULIN...86 THYROLAR-1...82 THYROLAR-1/2...82 THYROLAR-1/4...82 THYROLAR-2...82 THYROLAR-3...82 tiagabine hcl...17 ticlopidine hcl...52 TIKOSYN...54 TIMENTIN...12 timolol maleate...55, 92

tinidazole...8 TIVICAY...40 tizanidine hcl...38 TOBI PODHALER...6 TOBRADEX...6 tobramycin...6 tobramycin sulfate...7 tobramycin sulfate saline...7 tobramycin-dexamethasone...91 tolazamide...45 tolbutamide...45 tolcapone...34 tolmetin sodium...3 tolterodine tartrate...70 tolterodine tartrate er...70 topiramate...17 toposar...30 topotecan hcl...30 TORISEL...85 torsemide...59 TOVIAZ...70 tpn electrolytes...102 TRACLEER...97 TRADJENTA...45 tramadol hcl...5 tramadol-acetaminophen...2 trandolapril...53 tranexamic acid...51 TRANSDERM-SCOP...67 tranylcypromine sulfate...20 TRAVASOL...102 TRAVATAN Z...93 travoprost...93 trazodone hcl...20 TREANDA...29 TRECATOR...26 TRELSTAR MIXJECT...83 tretinoin...32 TREXALL...85 triamcinolone acetonide... 64, 74, 95 triamterene-hctz...58 triazolam...42 TRIBENZOR...58 triderm...74 trifluoperazine hcl...35 trifluridine...39 trihexyphenidyl hcl...33 tri-legest fe...80 trilyte...69 trimethoprim...8 trinessa (28)...80 tri-previfem...80 TRISENOX...29 tri-sprintec...80 TRIUMEQ...40 trivora (28)...80 TROKENDI XR...17 TROPHAMINE...102 tropicamide...91 trospium chloride...70 trospium chloride er...70 TRUMENBA...88 TRUVADA...41 TUDORZA PRESSAIR...95 TWINRIX...88 TYBOST...41 TYGACIL...8 TYKERB...32 TYPHIM VI...88 TYSABRI...63 TYZEKA...38 TYZINE...97 UCERIS...68 u-cort...74 ULORIC...25 ULTICARE...49 unithroid...82 ursodiol...67 UVADEX...65 valacyclovir hcl...39 VALCHLOR...27 VALCYTE...38 valganciclovir hcl...38 valproate sodium...17 valproic acid...17 valsartan...53 valsartan-hydrochlorothiazide...58 vanatol lq...2 vancomycin hcl...8 vandazole...8 VAQTA...88 VARIVAX...88 VARIZIG...88 115 VASCEPA...60 VECAMYL...62 VECTIBIX...29 VELCADE...29 velivet...80 venlafaxine hcl...21 venlafaxine hcl er...21 VENLAFAXINE HCL ER...21 VENTAVIS...97 VENTOLIN HFA...96 verapamil hcl...56 verapamil hcl er...56 VEREGEN...65 VERSACLOZ...37 VESICARE...70 vestura...80 V-GO 20...49 V-GO 30...49 V-GO 40...49 vicodin...2 vicodin es...2 vicodin hp...2 VICTOZA...45 VICTRELIS...39 VIDEX...41 VIGAMOX...14 VIIBRYD...20, 21 VIMPAT...18 vinblastine sulfate...29 vincasar pfs...29 vincristine sulfate...30 vinorelbine tartrate...30 VIRACEPT...42 VIRAMUNE XR...40 VIRAZOLE...38 VIREAD...41 VITEKTA...40 VOGELXO...76 VOLTAREN...65 voriconazole...24 VOTRIENT...32 VPRIV...66 vyfemla...80 warfarin sodium...51 WELCHOL...60 wymzya fe...80 XALKORI...32 XARELTO...51

XARELTO...51 XELJANZ...85 XENAZINE...62 XGEVA...90 XIFAXAN...8 XOLAIR...98 XTANDI...27 XYREM...98 YERVOY...30 YF-VAX...88 zafirlukast...95 zaleplon...98 ZALTRAP...30 ZANOSAR...7 ZAVESCA...66 zazole...25 ZELAPAR...34 ZELBORAF...32 ZEMAIRA...97 zenatane...65 zenchent...80 zenchent fe...80 ZENPEP...66 zenzedi...61 ZETIA...60 ZIAGEN...41 zidovudine...41 ZIOPTAN...93 ziprasidone hcl...37 ZIRGAN...38 zoledronic acid...90 ZOLINZA...25 zolpidem tartrate...98 ZOMETA...90 zonisamide...16 ZORBTIVE...67 ZORTRESS...85 ZOSTAVAX...88 zovia 1/35e (28)...80 zovia 1/50e (28)...80 ZOVIRAX...39 ZYCLARA...65 ZYDELIG...32 ZYKADIA...32 ZYLET...91 ZYTIGA...27 ZYVOX...9 116

電話一通, 我們即在! 1-866-999-3945 7 8 8 California: Easy Choice Best Plan (HMO) Easy Choice Value Plan (HMO)...1-866-999-3945 8 8 1 14 8 8 www.easychoicehealthplan.com 護士諮詢專線...1-800-581-9952 7 24 上述所有的 TTY 號碼為... 1-800-735-2929

This information is available for free in other languages. Please call our Customer Service number at 1-866-999-3945, Monday Friday, 8 a.m. to 8 p.m. Between October 1 and February 14, representatives are available Monday Sunday, 8 a.m. to 8 p.m. TTY users should call 1-800-735-2929. Esta información está disponible gratis en otros idiomas. Por favor llame a nuestro número de Servicio al Cliente al 1-866-999-3945, de lunes a viernes, de 8 a.m. a 8 p.m. Entre el 1 de octubre y el 14 de febrero, los representantes están disponibles de lunes a domingo de 8 a.m. a 8 p.m. Los usuarios de TTY deben llamar al 1-800-735-2929. 1-866-999-3945 8 8 1 14 8 8 TTY 1-800-735-2929 이정보는다른언어로무료로제공됩니다. 고객서비스부전화번호 1-866-999-3945 번으로월요일금요일, 오전 8 시부터오후 8 시사에에전화주십시오. 10 월 1 일부터 2 월 14 일까지는월요일 - 일요일, 오전 8 시부터오후 8 시까지상담이가능합니다. TTY 사용자들은 1-800-735-2929 번으로연락주십시오. Thông tin này hiện có miễn phí bằng các ngôn ngữ khác. Xin gọi Dịch Vụ Khách Hàng của chúng tôi tại số 1-866-999-3945, Thứ Hai Thứ Sáu, 8 sáng tới 8 tối Trong khoảng Ngày 1 Tháng Mười và 14 Tháng Hai, các đại diện có sẵn Thứ Hai Chủ Nhật, 8 sáng tới 8 tối những người sử dụng TTY nên gọi số 1-800-735-2929. Easy Choice Health Plan (HMO) WellCare Medicare Medicare Advantage Easy Choice (HMO) Easy Choice 1 10/01/2015 Easy Choice www.easychoicehealthplan.com P.O. Box 31389 Tampa, FL 33631-3389 65351