| LINE
# |
PA |
BRAND
(TRADE) NAME REFERENCE
ONLY |
GEQ ONLY |
DRUG NAME
(COVERED BENEFIT) |
STRENGTH |
ADD DATE |
DELETE DATE |
COMMENTS |
CODE |
OTC AGENTS |
| |
|
|
|
|
|
|
|
|
|
|
| 1 |
|
A/T/S |
* |
ERYTHROMYCIN TOPICAL SOLN |
2% |
|
|
|
TOPICAL - ANTIBIOTIC |
|
| 2 |
|
ACCUBRON |
|
ACCURBRON LIQ |
10MG/ML |
|
|
|
BRONCHODIL - XANTHINE |
|
| 3 |
|
ACCUPRIL |
|
ACCUPRIL TAB |
10 MG |
|
12/31/00 |
|
ACE INH |
|
| 4 |
|
ACCUPRIL |
|
ACCUPRIL TAB |
20 MG |
|
12/31/00 |
|
ACE INH |
|
| 5 |
|
ACCUPRIL |
|
ACCUPRIL TAB |
40 MG |
|
12/31/00 |
|
ACE INH |
|
| 6 |
|
ACCUPRIL |
|
ACCUPRIL TAB |
5 MG |
|
12/31/00 |
|
ACE INH |
|
| 7 |
|
ACHROMYCIN |
* |
TETRACYCLINE HCL
SYRUP |
125 MG/5ML |
|
|
|
ANTIBIOTIC - TCN |
|
| 8 |
|
ACHROMYCIN |
* |
TETRACYCLINE HCL
CAP |
250 MG |
|
|
|
ANTIBIOTIC - TCN |
|
| 9 |
|
ACHROMYCIN |
* |
TETRACYCLINE HCL
CAP |
500 MG |
|
|
|
ANTIBIOTIC - TCN |
|
| 10 |
|
ACHROMYCIN |
|
ACHROMYCIN OPTH
GTT |
1% |
|
|
|
OPTH -
ANTIBIOTIC |
|
| 11 |
|
ACIPHEX |
|
ACIPHEX TAB |
20MG |
10/15/00 |
09/30/01 |
|
PROTON PUMP
INHIBITOR |
|
| 12 |
|
ACTIDIL |
* |
TRIPROLIDINE HCL
SYRUP |
1.25MG/5ML |
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
|
| 13 |
|
ACTIFED |
* |
TRIPROLIDINE/PSEUDOEPHEDRINE |
2.5MG/60MG |
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
OTC |
| 14 |
PA |
ACTIGALL |
|
ACTIGALL CAP |
300 MG |
|
|
|
MISC |
|
| 15 |
|
ADALAT CC |
* |
ADALAT CC TAB |
30 MG |
|
PA - 4/1/00 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 16 |
|
ADALAT CC |
* |
ADALAT CC TAB |
60 MG |
|
PA - 4/1/00 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 17 |
|
ADALAT CC |
* |
ADALAT CC TAB |
90 MG |
|
PA - 4/1/00 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 18 |
|
ADSORBOCARPINE |
|
ADSORBOCARPINE
OPTH |
1% |
|
|
|
OPTH - GLAUCOMA |
|
| 19 |
|
ADSORBOCARPINE |
|
ADSORBOCARPINE
OPTH |
2% |
|
|
|
OPTH - GLAUCOMA |
|
| 20 |
|
ADSORBOCARPINE |
|
ADSORBOCARPINE
OPTH |
4% |
|
|
|
OPTH - GLAUCOMA |
|
| 21 |
|
ADVAIR |
|
ADVAIR |
250-50 MCG |
09/01/01 |
|
Limit 1 per month |
|
|
| 22 |
|
ADVAIR |
|
ADVAIR |
500-50 MCG |
09/01/01 |
|
Limit 1 per month |
|
|
| 23 |
|
ADVAIR |
|
ADVAIR |
100-50 MCG |
09/01/01 |
|
Limit 1 per month |
|
|
| 24 |
|
AGENERASE |
|
AGENERASE SOLN |
15MG/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 25 |
|
AGENERASE |
|
AGENERASE CAP |
50MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 26 |
|
AGENERASE |
|
AGENERASE CAP |
150MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 27 |
|
AKINETONE |
|
AKINETONE TAB |
2 MG |
|
|
|
ANTICHOLINERGIC |
|
| 28 |
|
ALCAINE
|
|
ALCAINE OPTH
SOLN |
0.5% |
|
|
|
OPTH |
|
| 29 |
|
ALCOHOL SWABS |
* |
ALCOHOL SWABS |
|
|
02/01/99 |
|
DIABETIC
SUPPLIES |
OTC |
| 30 |
|
ALDACTAZIDE |
* |
SPIRONOLACTONE
W/HCTZ TAB |
25/25 |
|
|
|
DIURETIC - K+
SPARING |
|
| 31 |
|
ALDACTONE |
* |
SPIRONOLACTONE
TAB |
25 MG |
|
|
|
DIURETIC - K+
SPARING |
|
| 32 |
|
ALDOCLOR |
|
METHYLDOPA W/
CHLOROTHIAZIDE TAB |
250/150 |
|
|
|
HTN - COMBO |
|
| 33 |
|
ALDOCLOR |
|
METHYLDOPA W/
CHLOROTHIAZIDE TAB |
250/250 |
|
|
|
HTN - COMBO |
|
| 34 |
|
ALDOMET |
* |
METHYLDOPA TAB |
125 MG |
|
|
|
HTN - ANTRIADREN
- CENTRAL |
|
| 35 |
|
ALDOMET |
* |
METHYLDOPA TAB |
250 MG |
|
|
|
HTN - ANTRIADREN
- CENTRAL |
|
| 36 |
|
ALDOMET |
* |
METHYLDOPA TAB |
500 MG |
|
|
|
HTN - ANTRIADREN
- CENTRAL |
|
| 37 |
|
ALDORIL |
* |
METHYLDOPA W/
HCTZ TAB |
250/15 |
|
|
|
HTN - COMBO |
|
| 38 |
|
ALDORIL |
* |
METHYLDOPA W/
HCTZ TAB |
250/25 |
|
|
|
HTN - COMBO |
|
| 39 |
|
ALDORIL D |
* |
METHYLDOPA W/
HCTZ TAB |
500/30 |
|
|
|
HTN - COMBO |
|
| 40 |
|
ALDORIL D |
* |
METHYLDOPA W/
HCTZ TAB |
500/50 |
|
|
|
HTN - COMBO |
|
| 41 |
|
ALKERAN |
|
ALKERAN TAB |
2MG |
|
|
|
ANTINEOPLASTIC |
|
| 42 |
|
ALORA |
|
ALORA PATCH |
0.05MG/24HR |
09/01/01 |
|
MAX. 8 PATCHS PER MONTH/FEMALES ONLY |
ESTROGEN |
|
| 43 |
|
ALORA |
|
ALORA PATCH |
0.075MG/24HR |
09/01/01 |
|
MAX. 8 PATCHS PER MONTH/FEMALES ONLY |
ESTROGEN |
|
| 44 |
|
ALORA |
|
ALORA PATCH |
0.1MG/24HR |
09/01/01 |
|
MAX. 8 PATCHS PER MONTH/FEMALES ONLY |
ESTROGEN |
|
| 45 |
|
ALPHAGAN |
|
ALPHAGAN OPHTH |
|
|
|
|
ALPHA-2
ADRENERGIC AGONIST |
|
| 46 |
|
ALTERNAGEL |
* |
ALUM HYDROXIDE
GEL |
4% |
|
|
|
ANTACID |
|
| 47 |
|
ALUPENT |
* |
METAPROTERENOL
SULF TAB |
10 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 48 |
|
ALUPENT |
* |
METAPROTERENOL
SULF SYRUP |
10 MG/5ML |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 49 |
|
ALUPENT |
* |
METAPROTERENOL
SULF TAB |
20 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 50 |
|
ALUPENT |
* |
METAPROTERENOL
SULF SOLN |
0.4% |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 51 |
|
ALUPENT |
* |
METAPROTERENOL
SULF SOLN |
0.6% |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 52 |
|
ALUPENT |
|
ALUPENT
INHALER/REFILL |
15MG/ML |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 53 |
|
ALUPENT |
* |
METAPROTERENOL
SULF SOLN |
5% |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 54 |
|
AMEN |
|
AMEN TAB |
10 MG |
|
|
|
HORMONE -
PROGESTIN |
|
| 55 |
|
AMINO CERV |
|
AMINO CERV VAG
CR |
|
|
|
|
VAGINAL |
|
| 56 |
|
AMINOPHYLLINE |
* |
AMINOPHYLLINE
TAB |
100 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 57 |
|
AMINOPHYLLINE |
* |
AMINOPHYLLINE
TAB |
200 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 58 |
|
AMINOPHYLLINE |
* |
AMINOPHYLLINE
SUPP |
250 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 59 |
|
AMINOPHYLLINE |
* |
AMINOPHYLLINE
VIAL |
250MG/10ML |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 60 |
|
AMINOPHYLLINE |
* |
AMINOPHYLLINE
SUPP |
500 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 61 |
|
AMOXIL |
* |
AMOXICILLIN CAP |
250 MG |
|
|
|
ANTIBIOTIC - PCN |
|
| 62 |
|
AMOXIL |
* |
AMOXICILLIN SUSP |
250MG/5ML |
|
|
|
ANTIBIOTIC - PCN |
|
| 63 |
|
AMOXIL |
* |
AMOXICILLIN CAP |
500 MG |
|
|
|
ANTIBIOTIC - PCN |
|
| 64 |
|
ANA KIT |
|
ANA KIT INSECT
STING TREATMT |
|
|
|
|
MISC |
|
| 65 |
|
ANDROID |
* |
METHYLTESTOSTERONE
BUCCAL TAB |
10 MG |
|
|
|
CORTICOSTEROID |
|
| 66 |
|
ANDROID |
* |
METHYLTESTOSTERONE
TAB |
10 MG |
|
|
|
HORMONE -
TESTOSTERONE |
|
| 67 |
|
ANDROID |
* |
METHYLTESTOSTERONE
TAB |
25 MG |
|
|
|
HORMONE -
TESTOSTERONE |
|
| 68 |
|
ANTABUSE |
* |
DISULFIRAM TAB |
250 MG |
|
|
|
ALCOHOLISM |
|
| 69 |
|
ANTABUSE |
* |
DISULFIRAM TAB |
500 MG |
|
|
|
ALCOHOLISM |
|
| 70 |
|
ANTIMINTH |
|
ANTIMINTH PO
SUSP |
50MG/ML |
|
|
|
ANTIHELMINITC |
|
| 71 |
|
ANTIVERT |
* |
MECLIZINE TAB |
12.5 MG |
|
|
|
ANTIEMETIC -
ANTIVERTIGO |
|
| 72 |
|
ANTIVERT |
* |
MECLIZINE TAB |
25 MG |
|
|
|
ANTIEMETIC -
ANTIVERTIGO |
|
| 73 |
|
ANTIVERT |
* |
MECLIZINE TAB |
25 MG CHEW |
|
|
|
ANTIEMETIC -
ANTIVERTIGO |
|
| 74 |
|
ANTURANE |
* |
SULFINPYRAZONE
CAP |
200 MG |
|
|
|
GOUT -
UROCOSURIC |
|
| 75 |
|
ANUSOL HC |
* |
HEMORRHOIDAL HC
SUPP |
25 MG |
|
|
|
RECTAL -
HEMMRHOIDAL |
|
| 76 |
|
APRESAZIDE |
* |
HYDRALAZINE
/HCTZ CAP |
100/50 |
|
|
|
HTN - COMBO |
|
| 77 |
|
APRESAZIDE |
* |
HYDRALAZINE
/HCTZ CAP |
25/15 |
|
|
|
HTN - COMBO |
|
| 78 |
|
APRESAZIDE |
* |
HYDRALAZINE
/HCTZ CAP |
25/25 |
|
|
|
HTN - COMBO |
|
| 79 |
|
APRESAZIDE |
* |
HYDRALAZINE
/HCTZ CAP |
50/50 |
|
|
|
HTN - COMBO |
|
| 80 |
|
APRESOLINE |
* |
HYDRALAZINE TAB |
10 MG |
|
|
|
HTN -
VASODILATOR |
|
| 81 |
|
APRESOLINE |
* |
HYDRALAZINE TAB |
100 MG |
|
|
|
HTN -
VASODILATOR |
|
| 82 |
|
APRESOLINE |
* |
HYDRALAZINE TAB |
25 MG |
|
|
|
HTN -
VASODILATOR |
|
| 83 |
|
APRESOLINE |
* |
HYDRALAZINE TAB |
50 MG |
|
|
|
HTN -
VASODILATOR |
|
| 84 |
|
AQUAPHYLLIN |
* |
THEOPHYLLINE
ELIX |
80MG/15ML |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 85 |
|
ARISTO PAK |
|
ARISTO PAK |
4MG |
|
|
|
CORTICOSTEROID |
|
| 86 |
|
ARISTOCORT |
|
ARISTOCORT TAB |
2 MG |
|
|
|
TOPICAL -
STEROID |
|
| 87 |
|
ARISTOCORT |
|
ARISTOCORT TAB |
4 MG |
|
|
|
TOPICAL -
STEROID |
|
| 88 |
|
ARISTOCORT |
|
ARISTOCORT TAB |
8 MG |
|
|
|
TOPICAL -
STEROID |
|
| 89 |
|
ARLIDIN |
* |
NYLIDRIN |
12 MG |
|
|
|
VASODILATOR -
PERIPH |
|
| 90 |
|
ARLIDIN |
* |
NYLIDRIN |
6 MG |
|
|
|
VASODILATOR -
PERIPH |
|
| 91 |
|
ASA |
* |
ASPIRIN
SUPPOSITORY |
10 GR |
|
|
|
ANALGESIC |
|
| 92 |
|
ASA |
* |
ASPIRIN
SUPPOSITORY |
5 GR |
|
|
|
ANALGESIC |
|
| 93 |
|
ASPIRIN |
* |
ASPIRIN TAB |
10 GR |
|
|
|
ANALGESIC |
OTC |
| 94 |
|
ASPIRIN |
* |
ASPIRIN TAB |
5 GR |
|
|
|
ANALGESIC |
OTC |
| 95 |
|
ASPIRIN |
* |
ASPIRIN TAB |
81 MG |
|
|
|
ANALGESIC |
OTC |
| 96 |
|
ATABRINE |
|
ATABRINE TAB |
100 MG |
|
|
|
MISC |
|
| 97 |
|
ATABRINE |
|
ATABRINE TAB |
100 MG |
|
|
|
MISC |
|
| 98 |
|
ATARAX |
* |
HYDROXYZINE HCL
TAB |
10 MG |
|
|
|
ANTIHISTAMINE -
PSYCH |
|
| 99 |
|
ATARAX |
* |
HYDROXYZINE
SYRUP |
10MG/5ML |
|
|
|
ANTIHISTAMINE -
PSYCH |
|
| 100 |
|
ATARAX |
* |
HYDROXYZINE HCL
TAB |
25 MG |
|
|
|
ANTIHISTAMINE -
PSYCH |
|
| 101 |
|
ATROMID S |
* |
CLOFIBRATE CAP |
500 MG |
|
|
|
ANTIHYPERLIPIDEMIC |
|
| 102 |
|
ATROPINE SULF |
|
ATROPINE SULFATE
OPTH UNG |
0.5% |
|
|
|
OPTH - MYDRIATIC |
|
| 103 |
|
ATROPINE SULF |
|
ATROPINE SULFATE
OPTH UNG |
1% |
|
|
|
OPTH - MYDRIATIC |
|
| 104 |
|
ATROPISOL |
|
ATROPISOL OPTH
SOLN/FS |
|
|
|
|
OPTH - MYDRIATIC |
|
| 105 |
|
ATROPISOL |
|
ATROPISOL OPTH
DROPPERETTE |
1% |
|
|
|
OPTH - MYDRIATIC |
|
| 106 |
|
ATROPISOL |
|
ATROPISOL OPTH
DROPPERETTE |
1/2% |
|
|
|
OPTH - MYDRIATIC |
|
| 107 |
|
ATROPISOL |
|
ATROPISOL OPTH
DROPPERETTE |
2% |
|
|
|
OPTH - MYDRIATIC |
|
| 108 |
|
ATROVENT |
|
ATROVENT INHALER |
|
|
|
|
INH - ANTICHOLIN |
|
| 109 |
PA |
AUGMENTIN |
|
AMOXICILLIN/K
CLAVULANATE |
250MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
PENICILLINS |
|
| 110 |
PA |
AUGMENTIN |
|
AMOXICILLIN/K
CLAVULANATE |
500MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
PENICILLINS |
|
| 111 |
PA |
AUGMENTIN |
|
AMOX
TR/POTASSIUM CLAVULANATE |
875MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
PENICILLINS |
|
| 112 |
|
AURALGEN |
* |
AUR-L-GEN OTIC
GTT |
|
|
|
|
OTIC |
|
| 113 |
|
AVANDIA |
|
AVANDIA |
2 MG |
09/01/01 |
|
|
ANTIDIABETIC -
GLITAZONE |
|
| 114 |
|
AVANDIA |
|
AVANDIA |
4 MG |
09/01/01 |
|
|
ANTIDIABETIC -
GLITAZONE |
|
| 115 |
|
AVANDIA |
|
AVANDIA |
8 MG |
09/01/01 |
|
|
ANTIDIABETIC -
GLITAZONE |
|
| 116 |
|
AVELOX
|
|
MOXIFLOXICIN |
400MG |
10/01/01 |
|
|
|
|
| 117 |
|
AYGESTIN |
|
AYGESTIN |
5 MG |
|
|
|
HORMONE -
PROGESTIN |
|
| 118 |
|
AZMACORT |
|
AZMACORT INHALER |
|
|
|
LIMIT 2 INHALERS PER MONTH |
INJ |
|
| 119 |
|
AZULFIDINE |
|
AZULIFIDINE TAB
EC |
500 MG |
|
|
|
ANTIBIOTIC -
SULFA |
|
| 120 |
|
AZULFIDINE |
* |
SULFASALAZINE
TAB |
500 MG |
|
|
|
ANTIBIOTIC -
SULFA |
|
| 121 |
|
AZULFIDINE |
* |
SULFASALAZINE EC
TAB |
500 MG |
|
|
|
ANTIBIOTIC -
SULFA |
|
| 122 |
|
BACITRACIN OPTH |
* |
BACITRACIN OPTH
UNG |
|
|
|
|
OPTH -
ANTIBIOTIC |
|
| 123 |
|
BACTRIM |
* |
SMZ-TMP SUSP |
|
|
|
|
ANTIBIOTIC -
SULFA |
|
| 124 |
|
BACTRIM |
* |
SMZ-TMP TAB |
400MG/80MG |
|
|
|
ANTIBIOTIC -
SULFA |
|
| 125 |
|
BACTRIM DS |
* |
SMZ-TMP DS TAB |
800MG/160MG |
|
|
|
ANTIBIOTIC -
SULFA |
|
| 126 |
|
BAYCOL |
|
BAYCOL |
0.2 MG |
01/01/99 |
08/10/01 |
Withdrawn from market |
ANTIHYPERLIPIDEMIC |
|
| 127 |
|
BAYCOL |
|
BAYCOL |
0.3 MG |
01/01/99 |
08/10/01 |
Withdrawn from market |
ANTIHYPERLIPIDEMIC |
|
| 128 |
|
BECAUSE |
|
BECAUSE
CONTRACEPTIVE |
|
|
|
|
CONTRACEPTIVE |
OTC |
| 129 |
|
BENADRYL |
* |
DIPHENHYDRAMINE
ELIX |
12.5MG/ML |
|
|
|
ANTIHISTAMINE |
|
| 130 |
|
BENADRYL |
* |
DIPHENHYDRAMINE
CAP |
25 MG |
|
|
|
ANTIHISTAMINE |
|
| 131 |
|
BENADRYL |
* |
DIPHENHYDRAMINE
CAP |
50 MG |
|
|
|
ANTIHISTAMINE |
|
| 132 |
|
BENEMID |
* |
PROBENECID TAB |
500 MG |
|
|
|
GOUT -
CHOLINERGIC |
|
| 133 |
|
BENTYL |
* |
DICYCLOMINE
SYRUP |
|
|
|
|
ANTICHOLINERGIC |
|
| 134 |
|
BENTYL |
* |
DICYCLOMINE CAP |
10MG |
|
|
|
ANTICHOLINERGIC |
|
| 135 |
|
BENTYL |
* |
DICYCLOMINE TAB |
20 MG |
|
|
|
ANTICHOLINERGIC |
|
| 136 |
|
BENZAGEL |
* |
BENZOYL PEROXIDE
GEL |
10 % |
|
|
|
TOPICAL - ACNE |
|
| 137 |
|
BENZAGEL |
* |
BENZOYL PEROXIDE
GEL |
5% |
|
|
|
TOPICAL - ACNE |
|
| 138 |
|
BETADINE |
* |
POVIDONE IODINE
SOLN |
10 % |
|
|
|
TOPICAL - MISC |
OTC |
| 139 |
|
BETADINE |
* |
POVIDONE IODINE
OINT |
10 % |
|
|
|
TOPICAL - MISC |
OTC |
| 140 |
|
BETAGAN |
* |
LEVOBUNOLOL OPTH
SOLN |
0.25% |
|
|
|
OPTH - GLAUCOMA
BETA ADREN |
|
| 141 |
|
BETAGAN |
* |
LEVOBUNOLOL OPTH
SOLN |
0.5% |
|
|
|
OPTH - GLAUCOMA
BETA ADREN |
|
| 142 |
|
BETOPTIC |
|
BETOPTIC S OPTH
DROPS |
0.25% |
|
|
|
OPTH - GLAUCOMA
BETA ADREN |
|
| 143 |
|
BETOPTIC |
|
BETOPTIC OPTH
SOLN |
0.5% |
|
|
|
OPTH - GLAUCOMA
BETA ADREN |
|
| 144 |
|
BETOPTIC |
|
BETOPTIC OPTH
SOLN |
0.5% |
|
|
|
OPTH - GLAUCOMA
BETA ADREN |
|
| 145 |
PA |
BIAXIN |
|
CLARITHROMYCIN |
250MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
MACROLIDE |
|
| 146 |
PA |
BIAXIN
|
|
CLARITHROMYCIN |
500MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
MACROLIDE |
|
| 147 |
PA |
BIAXIN XL |
|
CLARITHROMYCIN |
500MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
MACROLIDE |
|
| 148 |
PA |
BICITRA |
|
BICITRA LIQ |
|
|
|
|
SYSTEMIC
ALKALINIZER |
|
| 149 |
|
BLEPHAMIDE |
|
BLEPHAMIDE OPTH
UNG |
|
|
|
|
OPTH - SULFA |
|
| 150 |
|
BLEPHAMIDE |
* |
PREDNISOLONE/SULFACET
OPTH GTT |
0.2% |
|
|
|
OPTH SULFA
STEROID |
|
| 151 |
|
BLOCODREN |
* |
TIMOLOL MALEATE
TAB |
10 MG |
|
|
|
BETA BLOCKER |
|
| 152 |
|
BLOCODREN |
* |
TIMOLOL MALEATE
TAB |
20 MG |
|
|
|
BETA BLOCKER |
|
| 153 |
|
BLOCODREN |
* |
TIMOLOL MALEATE
TAB |
5 MG |
|
|
|
BETA BLOCKER |
|
| 154 |
|
BRETHINE |
|
BRETHINE TAB |
2.5 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 155 |
|
BRETHINE |
|
BRETHINE TAB |
5 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 156 |
|
BRETHINE |
|
BRETHINE AMP |
1MG/ML |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 157 |
|
BRICANYL |
|
BRICANYL AMP |
1 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 158 |
|
BRICANYL |
|
BRICANYL TAB |
2.5 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 159 |
|
BRICANYL |
|
BRICANYL TAB |
5 MG |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 160 |
|
BRONKOMETER |
* |
ISOETHARINE
MESYLATE AERO |
.61% |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 161 |
|
BRONKOSOL |
* |
ISOETHARINE HCL |
1% |
|
|
|
BRONCHODIL -
SYMPATH |
|
| 162 |
|
BRONKOSOL |
* |
ISOETHERINE HCL
1% |
1%/10ML |
|
|
|
INH - BRONCHODIL
- SYMPATH |
|
| 163 |
|
BUFFERIN |
* |
ASPIRIN BUFF
ANTACID COMB |
325 MG |
|
|
|
ANALGESIC |
OTC |
| 164 |
|
BUMEX |
* |
BUMEX TAB |
0.5 MG |
|
|
|
DIURETIC - LOOP |
|
| 165 |
|
BUMEX |
* |
BUMEX TAB |
1 MG |
|
|
|
DIURETIC - LOOP |
|
| 166 |
|
BUMEX |
* |
BUMEX TAB |
2 MG |
|
|
|
DIURETIC - LOOP |
|
| 167 |
|
BUTAZOLIDIN |
* |
PHENYLBUTAZONE
CAP |
100 MG |
|
|
|
ANTIRHEUMATIC |
|
| 168 |
|
BUTAZOLIDIN |
|
PHENYLBUTAZONE
TAB |
100 MG |
|
|
|
ANTIRHEUMATIC |
|
| 169 |
|
CAFERGOT |
* |
ERGOTAMINE
TARTRATE/CAFFEINE TAB |
|
|
|
|
ANALGESIC - MIGRAINE |
|
| 170 |
|
CAFERGOT PB |
* |
ERGOTAMINE/CAFF/BELLADONA/PB
SUPP |
|
|
|
|
ANALGESIC - MIGRAINE |
|
| 171 |
|
CALCIFEROL |
|
CALCIFEROL TAB |
50 MU |
|
|
|
VITAMIN |
|
| 172 |
|
CALDEROL |
|
CALDEROL CAP |
20 MCG |
|
|
|
VITAMIN |
|
| 173 |
|
CALDEROL |
|
CALDEROL CAP |
50 MCG |
|
|
|
VITAMIN |
|
| 174 |
|
CANTHARONE |
|
CANTHARONE LIQ |
|
|
|
|
TOPICAL -
KERATOLYTIC |
|
| 175 |
|
CAPOTEN |
* |
CAPTOPRIL TAB |
100 MG |
|
|
|
ACE INH |
|
| 176 |
|
CAPOTEN |
* |
CAPTOPRIL TAB |
12.5 MG |
|
|
|
ACE INH |
|
| 177 |
|
CAPOTEN |
* |
CAPTOPRIL TAB |
25 MG |
|
|
|
ACE INH |
|
| 178 |
|
CAPOTEN |
* |
CAPTOPRIL TAB |
50 MG |
|
|
|
ACE INH |
|
| 179 |
|
CARAFATE |
* |
CARAFATE TAB |
1 GM |
|
|
|
GI - MISC |
|
| 180 |
|
CARDILATE |
|
CARDILATE SL |
10 MG |
|
|
|
ANTIANGINAL |
|
| 181 |
|
CARDIOQUIN |
|
CARDIOQUIN TAB |
275 MG |
|
|
|
ANTIARRHYTHMIC |
|
| 182 |
|
CARDIZEM |
* |
DILTIAZEM HCL
TAB |
120 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 183 |
|
CARDIZEM |
* |
DILTIAZEM HCL
TAB |
30 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 184 |
|
CARDIZEM |
* |
DILTIAZEM HCL
TAB |
60 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 185 |
|
CARDIZEM |
* |
DILTIAZEM HCL
TAB |
90 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 186 |
|
CARDIZEM CD |
|
CARDIZEM CD CAP |
120 MG |
|
02/01/99 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 187 |
|
CARDIZEM CD |
|
CARDIZEM CD CAP |
180 MG |
|
02/01/99 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 188 |
|
CARDIZEM CD |
|
CARDIZEM CD CAP |
240 MG |
|
02/01/99 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 189 |
|
CARDIZEM CD |
|
CARDIZEM CD CAP |
300 MG |
|
02/01/99 |
|
CALCIUM CHANNEL
BLOCKER |
|
| 190 |
|
CARDIZEM SR |
* |
DILTIAZEM SR CAP |
120 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 191 |
|
CARDIZEM SR |
* |
DILTIAZEM SR CAP |
60 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 192 |
|
CARDIZEM SR |
* |
DILTIAZEM SR CAP |
90 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 193 |
PA |
CARDURA
|
* |
DOXAZOSIN |
1 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 194 |
PA |
CARDURA
|
* |
DOXAZOSIN |
2 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 195 |
PA |
CARDURA
|
* |
DOXAZOSIN |
4 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 196 |
PA |
CARDURA
|
* |
DOXAZOSIN |
8 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 197 |
|
CATAPRES |
* |
CLONIDINE TAB |
0.1 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 198 |
|
CATAPRES |
* |
CLONIDINE TAB |
0.2 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 199 |
|
CATAPRES |
* |
CLONIDINE TAB |
0.3 MG |
|
|
|
HTN - ANTIADREN
- CENTRAL |
|
| 200 |
|
CECLOR |
* |
CEFACLOR CAP |
250 MG |
|
|
|
ANTIBIOTIC -
CEPHALOSPORIN |
|
| 201 |
|
CECLOR |
* |
CEFACLOR CAP |
500 MG |
|
|
|
ANTIBIOTIC -
CEPHALOSPORIN |
|
| 202 |
|
CEENU |
|
CEENU CAP |
10 MG |
|
|
|
ANTINEOPLASTIC |
|
| 203 |
|
CEENU |
|
CEENU CAP |
100 MG |
|
|
|
ANTINEOPLASTIC |
|
| 204 |
|
CEENU |
|
CEENU DOSE PAK |
10-40-100 |
|
|
|
ANTINEOPLASTIC |
|
| 205 |
|
CEENU |
|
CEENU CAP |
40 MG |
|
|
|
ANTINEOPLASTIC |
|
| 206 |
PA |
CEFZIL
|
|
CEFPROZIL |
250MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
CEPHALOSPORIN |
|
| 207 |
PA |
CEFZIL
|
|
CEFPROZIL |
500MG |
10/01/01 |
|
NO PA WITH PREREQUISITE STEP THERAPY |
ANTIBIOTIC -
CEPHALOSPORIN |
|
| 208 |
|
CELESTONE |
|
CELESTONE SOSE
PK |
0.6 MG |
|
|
|
ADRENAL CORTICAL
STEROIDS |
|
| 209 |
|
CELESTONE |
|
CELESTONE TAB |
0.6 MG |
|
|
|
ADRENAL CORTICAL
STEROIDS |
|
| 210 |
|
CELESTONE |
|
CELESTONE SYRUP |
6MG/5ML |
|
|
|
ADRENAL CORTICAL
STEROIDS |
|
| 211 |
|
CELESTONE |
|
CELESTONE SOLUSPAN |
6MG/ML |
|
|
|
ADRENAL CORTICAL
STEROIDS |
|
| 212 |
|
CELONTIN |
|
CELONTIN CAP |
150 MG |
|
|
|
ANTICONVULSANT -
SUCCINAMIDE |
|
| 213 |
|
CELONTIN |
|
CELONTIN CAP |
300 MG |
|
|
|
ANTICONVULSANT -
SUCCINAMIDE |
|
| 214 |
|
CERUMENEX |
|
CERUMENEX OTIC
GTT |
|
|
|
|
OTIC |
|
| 215 |
|
CHEMET |
|
CHEMET CAP |
100 MG |
|
|
|
CHELATING AGENT |
|
| 216 |
|
CHENIX |
|
CHENIX TAB |
250 MG |
|
|
|
MISC |
|
| 217 |
|
CHIBROXIN |
|
CHIBROXIN OPTH
SOLN |
0.3% |
|
|
|
OPTH -
ANTIBIOTIC |
|
| 218 |
|
CHLOROMYCETIN |
|
CHLOROMYCETIN
PALMITATE |
|
|
|
|
ANTIBIOTIC -
CHLORAMPHENICOL |
|
| 219 |
|
CHLOROMYCETIN |
* |
CHLOROMYCETIN
CAP |
250 MG |
|
|
|
ANTIBIOTIC -
CHLORAMPHENICOL |
|
| 220 |
|
CHLOROMYCETIN |
* |
CHLORAMPHENICOL
OPTH SOLN |
5MG/ML |
|
|
|
OPTH -
ANTIBIOTIC |
|
| 221 |
|
CHLOROMYCETIN |
|
CHLOROMYCETIN HC
OPTH SUSP |
|
|
|
|
OPTH -
CHLORAMPHENICOL |
|
| 222 |
|
CHLOROMYCETIN |
|
CHLOROMYCETIN
OPTH UNG |
1% |
|
|
|
OPTH -
CHLORAMPHENICOL |
|
| 223 |
|
CHLOROMYCETIN |
|
CHLOROMYCETIN
OPTH PKG |
25MG/5ML |
|
|
|
OPTH -
CHLORAMPHENICOL |
|
| 224 |
|
CHLOROMYCETIN |
|
CHLOROMYCETIN
OTIC GTT |
|
|
|
|
OTIC -
ANTIBIOTIC |
|
| 225 |
|
CHLOROQUINE |
|
CHLOROQUINE
POSPHATE TAB |
250 MG |
|
|
|
HTN - COMBO |
|
| 226 |
|
CHLOROSERPINE |
* |
CHLOROTHIAZIDE
W/RESERPINE |
250 MG |
|
|
|
HTN - COMBO |
|
| 227 |
|
CHLOROSERPINE |
* |
CHLOROTHIAZIDE
W/RESERPINE |
500 MG |
|
|
|
HTN - COMBO |
|
| 228 |
|
CHLOR-TRIMETON |
* |
CHLORPHENARAMINE
MALEATE TAB |
12 MG |
|
|
|
ANTIHISTAMINE |
OTC |
| 229 |
|
CHLOR-TRIMETON |
* |
CHLORPHENARAMINE
MALEATE ELIX |
2MG/5ML |
|
|
|
ANTIHISTAMINE |
OTC |
| 230 |
|
CHLOR-TRIMETON |
* |
CHLORPHENARAMINE
MALEATE TAB |
4 MG |
|
|
|
ANTIHISTAMINE |
|
| 231 |
|
CHOLAN HMB |
|
CHOLAN HMB TAB |
|
|
|
|
MISC |
|
| 232 |
|
CHOLEDYL |
* |
OXITRIPHYLLINE
TAB |
100 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 233 |
PA |
CHRONULAC |
* |
LACTULOSE SYRUP |
10 GM/15ML |
|
|
|
SYSTEMIC
ALKALINIZER |
|
| 234 |
|
CILOXIN OPTH
SOLN |
|
CILOXIN OPTH
SOLN |
0.03% |
|
|
|
OPTH -
ANTIBIOTIC |
|
| 235 |
|
CINOBAC |
* |
CINOXACIN CAP |
250 MG |
|
|
|
UTI -
ANTIINFECTIVE |
|
| 236 |
|
CINOBAC |
* |
CINOXACIN CAP |
500 MG |
|
|
|
UTI -
ANTIINFECTIVE |
|
| 237 |
|
CIPRO |
|
CIPROFLOXACIN
HCL |
250MG |
10/01/01 |
|
|
|
|
| 238 |
|
CIPRO |
|
CIPROFLOXACIN
HCL |
750MG |
10/01/01 |
|
|
|
|
| 239 |
|
CIPRO
|
|
CIPROFLOXACIN
HCL |
100MG |
10/01/01 |
|
|
|
|
| 240 |
|
CIPRO
|
|
CIPROFLOXACIN
HCL |
500MG |
10/01/01 |
|
|
|
|
| 241 |
|
CITRACAL |
|
CITRACAL TAB |
950 MG |
|
|
|
VITAMIN |
|
| 242 |
|
CLEOCIN |
* |
CLINDAMYCIN HCL
CAP |
150 MG |
|
|
|
ANTIBIOTIC -
CLINDAMYCIN |
|
| 243 |
|
CLEOCIN |
* |
CLINDAMYCIN HCL
CAP |
75 MG |
|
|
|
ANTIBIOTIC -
CLINDAMYCIN |
|
| 244 |
|
CLEOCIN |
* |
CLINDAMYCIN PHOS
VIAL |
150 MG/ML |
|
|
|
INJ |
|
| 245 |
|
CLEOCIN VAGINAL |
|
CLEOCIN VAGINAL
CREAM |
2 % |
|
|
|
VAGINAL -
ANTIBIOTIC |
|
| 246 |
|
CLINORIL |
* |
SULINDAC TAB |
150 MG |
|
|
|
NSAI - ACETIC |
|
| 247 |
|
CLINORIL |
* |
SULINDAC TAB |
200 MG |
|
|
|
NSAI - ACETIC |
|
| 248 |
|
CODEINE |
* |
CODEINE SULF OR
PHOS TAB |
30 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 249 |
|
CODEINE |
* |
CODEINE SULF OR
PHOS TAB |
60 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 250 |
|
COGENTIN |
* |
BENZTROPINE
MESYL TAB |
0.5 MG |
|
|
|
ANTICHOLINERGIC |
|
| 251 |
|
COGENTIN |
* |
BENZTROPINE
MESYL TAB |
1 MG |
|
|
|
ANTICHOLINERGIC |
|
| 252 |
|
COGENTIN |
* |
BENZTROPINE
MESYL TAB |
2 MG |
|
|
|
ANTICHOLINERGIC |
|
| 253 |
|
COL BENEMID |
* |
PROBENECID
W/COLCHICINE TAB |
0.5GM/0.5MG |
|
|
|
GOUT COMBO |
|
| 254 |
|
COLACE |
* |
DOCUSATE SODIUM
CAP |
100 MG |
|
|
|
LAXATIVE |
OTC |
| 255 |
|
COLACE |
* |
DOCUSATE SODIUM
CAP |
250 MG |
|
|
|
LAXATIVE |
OTC |
| 256 |
|
COLACE |
* |
DOCUSATE SODIUM
CAP |
50 MG |
|
|
|
LAXATIVE |
OTC |
| 257 |
|
COLACE |
* |
DOCUSATE SODIUM
SYRUP |
60MG/15ML |
|
|
|
LAXATIVE |
OTC |
| 258 |
|
COL-BENEMID |
* |
COL-PROBENECID
TAB |
|
|
|
|
GOUT |
|
| 259 |
|
COLCHICINE |
* |
COLCHICINE TAB |
0.5 MG |
|
|
|
GOUT |
|
| 260 |
|
COLCHICINE |
* |
COLCHICINE TAB |
0.6 MG |
|
|
|
GOUT |
|
| 261 |
|
COLESTID |
|
COLESTID PACKETS |
|
|
|
|
ANTIHYPERLIPIDEMIC |
|
| 262 |
|
COLESTID |
|
COLESTID TAB |
1 GM |
|
|
|
ANTIHYPERLIPIDEMIC |
|
| 263 |
|
COLESTID |
|
COLESTID
GRANULES |
500 GM/BTL |
|
|
|
ANTIHYPERLIPIDEMIC |
|
| 264 |
|
COLYMYCIN S |
|
COLYMYCIN S OTIC |
|
|
|
|
OTIC |
|
| 265 |
|
COMBIPRES |
* |
CLONIDINE/CHLORTHALIDONE
TAB |
0.1/15 |
|
|
|
HTN - COMBO |
|
| 266 |
|
COMBIPRES |
* |
CLONIDINE/CHLORTHALIDONE
TAB |
0.2/15 |
|
|
|
HTN - COMBO |
|
| 267 |
|
COMBIPRES |
* |
CLONIDINE/CHLORTHALIDONE
TAB |
0.3/15 |
|
|
|
HTN - COMBO |
|
| 268 |
|
COMBIVIR |
|
COMBIVIR |
300/150 |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 269 |
|
COMPAZINE |
|
COMPAZINE TAB |
10 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 270 |
|
COMPAZINE |
|
COMPAZINE TAB |
25 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 271 |
|
COMPAZINE |
|
COMPAZINE SUPP |
25 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 272 |
|
COMPAZINE |
|
COMPAZINE SUPP |
2.5 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 273 |
|
COMPAZINE |
|
COMPAZINE TAB |
5 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 274 |
|
COMPAZINE |
|
COMPAZINE SUPP |
5 MG |
|
|
|
ANTIEMETIC -
PSYCH |
|
| 275 |
|
CONDOMS - LATEX |
* |
CONDOMS - LATEX |
|
|
|
MAX 12/RX AND 36/MONTH |
CONTRACEPTIVE |
OTC |
| 276 |
|
CONDYLOX |
|
CONDYLOX TOPICAL
SOLN |
0.5% |
|
|
|
TOPICAL - MISC |
|
| 277 |
|
CORDARONE |
|
CORDARONE TAB |
200 MG |
|
|
|
ANTIARRHYTHMIC |
|
| 278 |
PA |
CORTENEMA |
|
CORTENEMA |
100 MG |
|
|
|
TOPICAL -
STEROID |
|
| 279 |
|
CORTISPORIN |
* |
BACIT/NE0/PLYMX/HC
OPTH UNG |
|
|
|
|
OTIC -
ANTIBIOTIC |
|
| 280 |
|
CORTISPORIN OPTH |
|
CORTISPORIN OPTH
UNG |
|
|
|
|
OPTH - STEROID |
|
| 281 |
|
CORTISPORIN OPTH |
|
CORTISPORIN OPTH
SUSP |
|
|
|
|
OPTH - STEROID |
|
| 282 |
|
CORTISPORIN OTIC |
|
HYDROCORTISON/NEOM/POLYMX
OTIC SOLN |
|
|
|
|
OTIC -
ANTIBIOTIC/STEROID |
|
| 283 |
|
CORTISPORIN OTIC |
|
HYDROCORTISO/NEOM/POLYMX
OTIC SUSP |
|
|
|
|
OTIC -
ANTIBIOTIC/STEROID |
|
| 284 |
|
CORTONE |
* |
CORTISONE
ACETATE TAB |
10 MG |
|
|
|
CORTICOSTEROID |
|
| 285 |
|
CORTONE |
* |
CORTISONE
ACETATE TAB |
25 MG |
|
|
|
CORTICOSTEROID |
|
| 286 |
|
CORTONE |
* |
CORTISONE
ACETATE TAB |
5 MG |
|
|
|
CORTICOSTEROID |
|
| 287 |
|
COTAZYM |
|
COTAZYM CAP |
|
|
|
|
DIGESTIVE ENZYME |
|
| 288 |
|
COTAZYM S |
|
COTAZYM S CAP |
|
|
|
|
DIGESTIVE ENZYME |
|
| 289 |
|
COUMADIN |
|
COUMADIN TAB |
1MG |
|
|
|
WARFARIN |
|
| 290 |
|
COUMADIN |
|
COUMADIN TAB |
10 MG |
|
|
|
WARFARIN |
|
| 291 |
|
COUMADIN |
|
COUMADIN TAB |
2 MG |
|
|
|
WARFARIN |
|
| 292 |
|
COUMADIN |
|
WARFARIN SODIUM
TAB |
2 MG |
|
|
|
WARFARIN |
|
| 293 |
|
COUMADIN |
|
WARFARIN SODIUM
TAB |
2.5 MG |
|
|
|
WARFARIN |
|
| 294 |
|
COUMADIN |
|
COUMADIN TAB |
2.5 MG |
|
|
|
WARFARIN |
|
| 295 |
|
COUMADIN |
|
WARFARIN SODIUM
TAB |
5 MG |
|
|
|
WARFARIN |
|
| 296 |
|
COUMADIN |
|
COUMADIN TAB |
5 MG |
|
|
|
WARFARIN |
|
| 297 |
|
COUMADIN |
|
COUMADIN TAB |
7.5 MG |
|
|
|
WARFARIN |
|
| 298 |
|
COUMADIN |
|
WARFARIN SODIUM
TAB |
7.5MG |
|
|
|
WARFARIN |
|
| 299 |
|
CRIXIVAN |
|
CRIXIVAN CAP |
400 MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 300 |
|
CRIXIVAN |
|
CRIXIVAN CAP |
100 MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 301 |
|
CRIXIVAN |
|
CRIXIVAN CAP |
200 MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 302 |
|
CRIXIVAN |
|
CRIXIVAN CAP |
333MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 303 |
|
CRYSTODIGIN |
* |
DIGITOXIN TAB |
0.1 MG |
|
|
|
CARDIAC
GLYCOSIDE |
|
| 304 |
|
CUPRIMINE |
|
CUPRIMINE CAP |
125 MG |
|
|
|
PENICILLAMINE |
|
| 305 |
|
CUPRIMINE |
|
CUPRIMINE CAP |
250 MG |
|
|
|
PENICILLAMINE |
|
| 306 |
|
CYCLOGYL |
|
CYCLOGYL OPTH
SOLN |
1% |
|
|
|
OPTH |
|
| 307 |
|
CYCLOPENOLATE |
|
CYCLOPENOLATE |
1% |
|
|
|
OPTH |
|
| 308 |
|
CYCLOSPASMOL |
* |
CYCLANDELATE CAP |
200 MG |
|
|
|
VASODILATOR -
PERIPH |
|
| 309 |
|
CYCLOSPASMOL |
* |
CYCLANDELATE CAP |
400 MG |
|
|
|
VASODILATOR -
PERIPH |
|
| 310 |
|
CYSTOSPAZ |
|
CYSTOSPAZ-M CAP |
|
|
|
|
ANTICHOLIN -
ANTISPAS |
|
| 311 |
|
CYSTOSPAZ |
|
CYSTOSPAZ TAB |
0.15 MG |
|
|
|
ANTICHOLIN -
ANTISPAS |
|
| 312 |
|
CYTADREN |
|
CYTADREN TAB |
250 MG |
|
|
|
ADRENAL STEROID
INHIB |
|
| 313 |
|
CYTOMEL |
|
CYTOMEL TAB |
25 MCG |
|
|
|
THYROID HORMONE |
|
| 314 |
|
CYTOMEL |
|
CYTOMEL TAB |
5 MCG |
|
|
|
THYROID HORMONE |
|
| 315 |
|
CYTOMEL |
|
CYTOMEL TAB |
50 MCG |
|
|
|
THYROID HORMONE |
|
| 316 |
|
CYTOTEC |
|
CYTOTEC TAB |
100 MCG |
|
|
|
GI - MISC |
|
| 317 |
|
CYTOTEC |
|
CYTOTEC |
200 MCG |
|
|
|
GI - MISC |
|
| 318 |
|
CYTOXAN |
|
CYTOXAN TAB |
50 MG |
|
|
|
ANTICONVULSANT -
SUCCINAMIDE |
|
| 319 |
|
CYTOXAN |
|
CYTOXAN TAB |
25 MG |
|
|
|
ANTINEOPLASTIC |
|
| 320 |
|
DANOCRINE |
|
DANOCRINE CAP |
100 MG |
|
|
|
ANTINEOPLASTIC |
|
| 321 |
|
DANOCRINE |
|
DANOCRINE CAP |
200 MG |
|
|
|
ANTINEOPLASTIC |
|
| 322 |
|
DANOCRINE |
|
DANOCRINE CAP |
50 MG |
|
|
|
ANTINEOPLASTIC |
|
| 323 |
PA |
DAPSONE |
|
DAPSONE TAB |
100 MG |
|
|
|
AIDS/ANTIMALARIAL |
|
| 324 |
PA |
DAPSONE |
|
DAPSONE TAB |
25 MG |
|
|
|
AIDS/ANTIMALARIAL |
|
| 325 |
|
DARANIDE |
|
DARANIDE TAB |
50 MG |
|
|
|
CARBONIC ANHYDR.
INH. |
|
| 326 |
PA |
DARAPRIM |
|
DARAPRIM TAB |
25 MG |
|
|
|
ANTIMALARIAL |
|
| 327 |
|
DARVOCENT N |
* |
PROPOXYPHENE
NAPSYLATE W/APAP |
100/650 |
|
|
|
ANALGESIC - C.S. |
|
| 328 |
|
DARVON |
* |
PROPOXYPEHENE
CAP |
32 MG |
|
|
|
ANALGESIC - C.S. |
|
| 329 |
|
DARVON |
* |
PROPOXYPEHENE
CAP |
65 MG |
|
|
|
ANALGESIC - C.S. |
|
| 330 |
|
DARVON CMPD |
* |
PROPOXYPEHEN
CMPD |
65 MG |
|
|
|
ANALGESIC - C.S. |
|
| 331 |
PA |
DDAVP |
|
DDAVP SOLN VIAL |
0.1MG/ML |
|
|
|
HORMONE - POST.
PITUITARY |
|
| 332 |
PA |
DDAVP |
|
DDAVP NASAL
SPRAY |
0.1MG/ML |
|
|
|
HORMONE - POST.
PITUITARY |
|
| 333 |
PA |
DDAVP |
|
DDAVP AMP |
4MCG/ML |
|
|
|
HORMONE - POST.
PITUITARY |
|
| 334 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
0.25 MG |
|
|
|
CORTICOSTEROID |
|
| 335 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
0.5 MG |
|
|
|
CORTICOSTEROID |
|
| 336 |
|
DECADRON |
* |
DEXAMETHASONE
ELIX |
0.5MG/ML |
|
|
|
CORTICOSTEROID |
|
| 337 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
0.75 MG |
|
|
|
CORTICOSTEROID |
|
| 338 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
1.5 MG |
|
|
|
CORTICOSTEROID |
|
| 339 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
2 MG |
|
|
|
CORTICOSTEROID |
|
| 340 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
4 MG |
|
|
|
CORTICOSTEROID |
|
| 341 |
|
DECADRON |
* |
DEXAMETHASONE
TAB |
6 MG |
|
|
|
CORTICOSTEROID |
|
| 342 |
|
DECADRON |
* |
DEXAMETHASONE
OPTH SOLN |
0.01% |
|
|
|
OPTH - STEROID |
|
| 343 |
|
DECADRON |
* |
DEXAMETHASONE
OPTH UNG |
0.05% |
|
|
|
OPTH - STEROID |
|
| 344 |
|
DECADRON
|
|
DECADRON
RESPIHALER |
|
|
|
|
INH - STEROID |
|
| 345 |
|
DECADRON
|
|
DECADRON
TERBINAIRE |
|
|
|
|
INH - STEROID |
|
| 346 |
|
DECONAMINE SR |
* |
PSEUODEPHDRINE/CHLORPHEN
SR |
120MG/8MG CAP |
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
|
| 347 |
|
DELATIN |
|
DELTALIN CAP |
50 MU |
|
|
|
VITAMIN |
|
| 348 |
|
DELFEN |
|
DELFEN
CONTRACEPTIVE FOAM |
12.5% |
|
|
|
CONTRACEPTIVE |
OTC |
| 349 |
|
DELTA CORTEF |
* |
PREDNISOLONE TAB |
5 MG |
|
|
|
STEROID |
|
| 350 |
|
DEMEROL |
* |
MEPERIDINE TAB |
100 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 351 |
|
DEMEROL |
* |
MEPERIDINE TAB |
50 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 352 |
|
DEPAKENE |
|
DEPAKENE CAP |
250 MG |
|
|
|
ANTICONVULSANT |
|
| 353 |
|
DEPAKENE |
|
VALPROIC ACID
CAP |
250 MG |
|
|
|
ANTICONVULSANT |
|
| 354 |
|
DEPAKENE |
|
VALPROIC ACID
SYRUP |
250MG/5ML |
|
|
|
ANTICONVULSANT |
|
| 355 |
|
DEPAKENE |
|
DEPAKENE SYRUP |
250MG/5ML |
|
|
|
ANTICONVULSANT |
|
| 356 |
|
DEPAKOTE |
|
DEPAKOTE TAB |
125 MG |
|
|
|
ANTICONVULSANT |
|
| 357 |
|
DEPAKOTE |
* |
DIVALPROEX SOD
TAB |
125 MG |
|
|
|
ANTICONVULSANT |
|
| 358 |
|
DEPAKOTE |
|
DEPAKOTE TAB |
250 MG |
|
|
|
ANTICONVULSANT |
|
| 359 |
|
DEPAKOTE |
* |
DIVALPROEX SOD
TAB |
250 MG |
|
|
|
ANTICONVULSANT |
|
| 360 |
|
DEPAKOTE |
|
DEPAKOTE TAB |
500 MG |
|
|
|
ANTICONVULSANT |
|
| 361 |
|
DEPAKOTE |
* |
DIVALPROEX SOD
TAB |
500 MG |
|
|
|
ANTICONVULSANT |
|
| 362 |
|
DEPEN |
|
DEPEN TITRATABS |
250 MG |
|
|
|
PENICILLAMINE |
|
| 363 |
|
DES |
|
DIETHYLSTILBESTEROL
TAB |
1 MG |
|
|
|
HORMONE |
|
| 364 |
|
DES |
|
DIETHYLSTILBESTEROL
EC TAB |
1 MG |
|
|
|
HORMONE |
|
| 365 |
|
DES |
|
DIETHYLSTILBESTEROL
EC TAB |
5 MG |
|
|
|
HORMONE |
|
| 366 |
|
DES |
|
DIETHYLSTILBESTEROL
TAB |
5 MG |
|
|
|
HORMONE |
|
| 367 |
|
DESOGEN |
|
DESOGEN 28 DAY
TAB |
0.15/30 |
|
|
|
CONTRACEPTIVE |
|
| 368 |
|
DEXONE |
|
DEXONE TAB |
4 MG |
|
|
|
CORTICOSTEROID |
|
| 369 |
|
DHT |
|
DIHYDROTACHYSTEROL
TAB |
0.2 MG |
|
|
|
VITAMIN |
|
| 370 |
|
DHT |
|
DIHYDROTACHYSTEROL
TAB |
0.4 MG |
|
|
|
VITAMIN |
|
| 371 |
|
DIABENESE |
* |
CHLORPROPAMIDE
TAB |
100 MG |
|
|
|
SULFONOUREA |
|
| 372 |
|
DIABENESE |
* |
CHLORPROPAMIDE
TAB |
250 MG |
|
|
|
SULFONOUREA |
|
| 373 |
|
DIABETA |
* |
GLYBURIDE TAB |
5 MG |
|
|
|
SULFONOUREA |
|
| 374 |
|
DIABETA |
* |
DIABETA TAB |
2.5 MG |
|
|
|
SULFONOUREA |
|
| 375 |
|
DIABETA |
* |
DIABETA TAB |
5 MG |
|
|
|
SULFONOUREA |
|
| 376 |
|
DIABETA |
* |
GLYBURIDE TAB |
1.25 MG |
|
|
|
SULFONOUREA |
|
| 377 |
|
DIABETA |
* |
GLYBURIDE TAB |
2.5 MG |
|
|
|
SULFONOUREA |
|
| 378 |
PA |
DIABETIC
SUPPLIES |
* |
GLUCOSE STRIP -
BLOOD |
|
|
|
Only with Plan approved meter (Max. Qty 50) |
DIABETIC
SUPPLIES |
OTC |
| 379 |
PA |
DIABETIC
SUPPLIES |
* |
GLUCOSE STRIP -
AUTOMATED TEST |
|
|
|
Only with Plan approved meter (Max. Qty 50) |
DIABETIC
SUPPLIES |
OTC |
| 380 |
|
DIABETIC
SUPPLIES |
* |
GLUCOSE STRIP -
URINE |
|
|
|
|
DIABETIC
SUPPLIES |
OTC |
| 381 |
|
DIABETIC
SUPPLIES |
* |
GLUCOSE/KETONE
STRIP - URINE |
|
|
|
|
DIABETIC
SUPPLIES |
OTC |
| 382 |
|
DIAMOX |
|
DIAMOX TAB |
250 MG |
|
|
|
ANITCONVULSANT/DIURETIC |
|
| 383 |
|
DIAMOX |
* |
ACETAZOLAMIDE
TAB |
125 MG |
|
|
|
CARBONIC ANHYDR.
INH. |
|
| 384 |
|
DIAMOX |
* |
ACETAZOLAMIDE
TAB |
250 MG |
|
|
|
CARBONIC ANHYDR.
INH. |
|
| 385 |
|
DIAPHRAGM |
|
RAMSES BENDEX
DIAPHRAGM |
|
|
|
|
CONTRACEPTIVE |
|
| 386 |
|
DICARDIN |
|
DICARDIN TAB |
50 MG |
|
|
|
MISC |
|
| 387 |
|
DICUMAROL |
|
DICUMAROL TAB |
25 MG |
|
|
|
WARFARIN |
|
| 388 |
|
DICUMAROL |
|
DICUMAROL TAB |
50 MG |
|
|
|
WARFARIN |
|
| 389 |
|
DIFLUCAN |
|
DIFLUCAN TAB |
150MG |
10/01/01 |
|
LIMIT ONE TAB PER MONTH |
ANTIBIOTIC -
ANTIFUNGAL |
|
| 390 |
|
DIFLUCAN |
|
DIFLUCAN TAB |
100 MG |
|
|
PA STATUS REMOVED 10/1/01 |
ANTIBIOTIC -
ANTIFUNGAL |
|
| 391 |
|
DIFLUCAN |
|
DIFLUCAN TAB |
200MG |
|
|
PA STATUS REMOVED 10/1/01 |
ANTIBIOTIC -
ANTIFUNGAL |
|
| 392 |
|
DIFLUCAN |
|
DIFLUCAN TAB |
50MG |
|
|
PA STATUS REMOVED 10/1/01 |
ANTIBIOTIC -
ANTIFUNGAL |
|
| 393 |
|
DILACOR XR |
* |
DILACOR XR CAP |
120 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 394 |
|
DILACOR XR |
* |
DILACOR XR CAP |
180 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 395 |
|
DILACOR XR |
* |
DILACOR XR CAP |
240 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 396 |
|
DILANTIN |
|
PHENYTOIN SOD
CAP |
100 MG |
|
|
|
ANTICONVULSANT |
|
| 397 |
|
DILANTIN |
|
DIPHENYHYDANTOIN
SOD CAP |
100 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 398 |
|
DILANTIN |
|
DILANTIN CAP |
100 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 399 |
|
DILANTIN |
|
DILANTIN SUSP |
125MG/5ML |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 400 |
|
DILANTIN |
|
DILANTIN W/PB
CAP |
15 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 401 |
|
DILANTIN |
|
DILANTIN CAP |
30 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 402 |
|
DILANTIN |
|
DILANTIN W/PB
CAP |
30 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 403 |
|
DILANTIN |
|
DILANTIN INFATAB |
50 MG |
|
|
|
ANTICONVULSANT -
HYDANTOIN |
|
| 404 |
|
DILAUDID |
* |
HYDROMORPHONE
TAB |
2 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 405 |
|
DILAUDID |
* |
HYDROMORPHONE
TAB |
4 MG |
|
|
|
ANALGESIC -
NARCOTIC |
|
| 406 |
|
DIMETANE |
* |
BROMPHENARAMINE
MAL. TAB |
12 MG |
|
|
|
ANTIHISTAMINE |
OTC |
| 407 |
|
DIMETANE |
* |
BROMPHENARAMINE
MAL. TAB |
4 MG |
|
|
|
ANTIHISTAMINE |
OTC |
| 408 |
|
DIMETANE |
* |
BROMPHENARAMINE
MAL. TAB |
8 MG |
|
|
|
ANTIHISTAMINE |
OTC |
| 409 |
|
DIMETANE DC |
* |
BROMPHEN/PSEUDO/DM
SYRUP |
|
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
|
| 410 |
|
DIMETANE DX |
* |
BROMPHEN/PSEUDO/DM
SYRUP |
|
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
OTC |
| 411 |
|
DIPROSONE |
* |
BETAMETHASONE
DIPROP. LOT |
0.05% |
|
|
|
TOPICAL -
STEROID |
|
| 412 |
|
DIPROSONE |
* |
BETAMETHASONE
DIPROP. CR |
0.05% |
|
|
|
TOPICAL -
STEROID |
|
| 413 |
|
DIPROSONE |
* |
BETAMETHASONE
DIPROP. UNG |
0.05% |
|
|
|
TOPICAL -
STEROID |
|
| 414 |
|
DISALCID |
* |
SALSALATE TAB |
500 MG |
|
|
|
ANALGESIC |
|
| 415 |
|
DISALCID |
* |
SALSALATE TAB |
750 MG |
|
|
|
ANALGESIC |
|
| 416 |
|
DISALCID |
* |
MONO-GESIC TAB |
750 MG |
|
|
|
ANALGESIC -
SALICYLATE |
|
| 417 |
|
DITROPAN |
* |
OXYBUTYNIN CL
TAB |
5 MG |
|
|
|
UTI -
CHOLINERGIC |
|
| 418 |
|
DIUCARDIN |
* |
HYDROFLUMETHIAZIDE
TAB |
50 MG |
|
|
|
DIURETIC -
THIAZIDE |
|
| 419 |
|
DIURIL |
* |
CHLOROTHIAZIDE
TAB |
250 MG |
|
|
|
DIURETIC -
THIAZIDE |
|
| 420 |
|
DIURIL |
* |
CHLOROTHIAZIDE
TAB |
500 MG |
|
|
|
DIURETIC -
THIAZIDE |
|
| 421 |
|
DOLOBID |
* |
DIFLUNISAL TAB |
250 MG |
|
|
|
ANALGESIC |
|
| 422 |
|
DOLOBID |
* |
DIFLUNISAL TAB |
500 MG |
|
|
|
ANALGESIC |
|
| 423 |
|
DOMEBORO |
|
DOMEBORO OTIC
SOLN |
2% |
|
|
|
OTIC |
|
| 424 |
|
DONNATAL |
* |
BELLADONA
ALKALOIDS TAB |
|
|
|
|
ANTICHOLIN -
ANTISPAS |
|
| 425 |
|
DONNATAL |
* |
BELLADONNA
ALKALOIDS ELIX |
|
|
|
|
ANTICHOLIN -
ANTISPAS |
|
| 426 |
|
DOPAR |
|
DOPAR CAP |
250 MG |
|
|
|
ANTIPARKINSONISM |
|
| 427 |
|
DOPAR |
|
DOPAR CAP |
500 MG |
|
|
|
ANTIPARKINSONISM |
|
| 428 |
|
DRISLOL |
|
DRISDOL CAP |
50 MU |
|
|
|
VITAMIN |
|
| 429 |
|
DRIXORAL |
* |
BROMPHENARAMINE/PSEUDO
TAB |
|
|
|
|
ANTIHISTAMINE -
DECONGESTANT |
OTC |
| 430 |
|
DULCOLAX |
* |
BISACODYL
SUPPOSITORY |
10 MG |
|
|
|
LAXATIVE |
OTC |
| 431 |
|
DULCOLAX |
* |
BISACODYL EX TAB |
5 MG |
|
|
|
LAXATIVE |
OTC |
| 432 |
|
DUOFILM |
|
DUOFILM |
17% |
|
|
|
TOPICAL |
|
| 433 |
PA |
DURAGESIC |
|
DURAGESIC
TRANSDERMAL |
25MCG/HR |
09/01/01 |
|
|
|
|
| 434 |
PA |
DURAGESIC |
|
DURAGESIC
TRANSDERMAL |
50MCG/HR |
09/01/01 |
|
|
|
|
| 435 |
PA |
DURAGESIC |
|
DURAGESIC
TRANSDERMAL |
75MCG/HR |
09/01/01 |
|
|
|
|
| 436 |
PA |
DURAGESIC |
|
DURAGESIC
TRANSDERMAL |
100MCG/HR |
09/01/01 |
|
|
|
|
| 437 |
|
DYMELOR |
* |
ACETOHEXAMIDE
TAB |
250 MG |
|
|
|
SULFONOUREA |
|
| 438 |
|
DYMELOR |
* |
ACETOHEXAMIDE
TAB |
50O MG |
|
|
|
SULFONOUREA |
|
| 439 |
|
DYNACIRC |
|
DYNACIRC CAP |
2.5 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 440 |
|
DYNACIRC |
|
DYNACIRC CAP |
5 MG |
|
|
|
CALCIUM CHANNEL
BLOCKER |
|
| 441 |
|
DYNAPEN |
* |
DICLOXACILLIN
CAP |
250 MG |
|
|
|
ANTIBIOTIC - PCN |
|
| 442 |
|
DYNAPEN |
* |
DICLOXACILLIN
CAP |
500 MG |
|
|
|
ANTIBIOTIC - PCN |
|
| 443 |
|
E PILO |
|
E PILO OPTH SOLN |
2% |
|
|
|
OPTH - GLAUCOMA
COMBO |
|
| 444 |
|
E PILO |
|
E PILO OPTH SOLN |
4% |
|
|
|
OPTH - GLAUCOMA
COMBO |
|
| 445 |
|
E.E.S. 400 |
* |
ERYTHROMYCIN
ETHYLSUCCINATE TAB |
400 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 446 |
|
EASPRIN |
* |
EASPRIN EC TAB |
975 MG |
|
|
|
ANALGESIC |
|
| 447 |
|
EASPRIN |
* |
ASPIRIN EC TAB |
975 MG |
|
|
|
ANALGESIC |
|
| 448 |
|
ECONOPRED |
|
ECONOPRED OPTH
SOLN |
1/8% |
|
|
|
OPTH - STEROID |
|
| 449 |
|
ECONOPRED PLUS |
|
ECONOPRED PLUS
OPTH SOLN |
1% |
|
|
|
OPTH - STEROID |
|
| 450 |
|
ECOTRIN |
* |
ASPIRIN TAB EC |
10 GR |
|
|
|
ANALGESIC |
OTC |
| 451 |
|
ECOTRIN |
* |
ASPIRIN TAB EC |
5 GR |
|
|
|
ANALGESIC |
OTC |
| 452 |
|
ELDAPRYL |
|
ELDAPRYL TAB |
5 MG |
|
|
|
ANTIPARKINSONISM |
|
| 453 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN GG |
|
|
|
|
BRONCHODIL -
XANTHINE |
|
| 454 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN KI
ELIX |
|
|
|
|
BRONCHODIL -
XANTHINE |
|
| 455 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN CAP |
100 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 456 |
|
ELIXOPHYLLIN |
* |
AMINOPHYLLINE
LIQUID |
105 MG/5 ML |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 457 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN SR
CAP |
125 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 458 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN CAP |
200 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 459 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN SR
CAP |
250 MG |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 460 |
|
ELIXOPHYLLIN |
|
ELIXOPHYLLIN
ELIX |
80MG/15ML |
|
|
|
BRONCHODIL -
XANTHINE |
|
| 461 |
|
EMKO |
|
EMKO FOAM
W/APPLICATOR |
|
|
|
|
CONTRACEPTIVE |
OTC |
| 462 |
|
EMKO |
|
EMKO FOAM REFILL |
|
|
|
|
CONTRACEPTIVE |
OTC |
| 463 |
|
EMPIRIN
W/CODEINE |
* |
ASPIRIN
W/CODEINE TAB |
15/325 |
|
|
|
ANALGESIC - C.S. |
|
| 464 |
|
EMPIRIN
W/CODEINE |
* |
ASPIRIN
W/CODEINE TAB |
30/325 |
|
|
|
ANALGESIC - C.S. |
|
| 465 |
|
EMPIRIN
W/CODEINE |
* |
ASPIRIN
W/CODEINE TAB |
60/325 |
|
|
|
ANALGESIC - C.S. |
|
| 466 |
|
ENCARE |
|
ENCARE OVAL VAG
INSERT |
|
|
|
|
CONTRACEPTIVE |
OTC |
| 467 |
|
ENDURON |
* |
METHYLCHLOTHIAZIDE
TAB |
2.5 MG |
|
|
|
DIURETIC -
THIAZIDE |
|
| 468 |
|
ENDURON |
* |
METHYLCHLOTHIAZIDE
TAB |
5 MG |
|
|
|
DIURETIC -
THIAZIDE |
|
| 469 |
|
ENDURONYL |
|
ENDURONYL TAB |
5/0.25 MG |
|
|
|
HTN - COMBO |
|
| 470 |
|
ENDURONYL FORTE |
|
ENDURONYL FORTE |
0.5 MG |
|
|
|
HTN - COMBO |
|
| 471 |
|
ENTEX LA |
* |
GUIFENESIN LA
/PPA TAB |
|
|
|
|
COUGH/COLD |
|
| 472 |
|
EPI PEN |
|
EPI PEN AUTO
INJECTOR JR |
0.15MG/ML |
|
|
|
MISC |
|
| 473 |
|
EPI PEN |
|
EPI PEN
AUTOJECTOR |
O.3 MG |
|
|
|
MISC |
|
| 474 |
|
EPIFRIN |
|
EPIFRIN OPTH
SOLN |
0.5% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 475 |
|
EPIFRIN |
|
EPIFRIN OPTH
SOLN |
1% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 476 |
|
EPIFRIN |
|
EPIFRIN OPTH
SOLN |
2% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 477 |
|
EPINAL |
|
EPINAL GTT |
1% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 478 |
|
EPIVIR |
|
EPIVIR SOLN |
10MG/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 479 |
|
EPIVIR
|
|
EPIVIR TAB |
150 MG |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 480 |
PA |
EPOGEN |
|
EPOGEN |
10,000U/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 481 |
PA |
EPOGEN |
|
EPOGEN |
2,000U/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 482 |
PA |
EPOGEN |
|
EPOGEN |
3,000U/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 483 |
PA |
EPOGEN |
|
EPOGEN |
4,000U/ML |
|
|
DISP RESTRICTED TO KNIGHT -DRH |
AIDS |
|
| 484 |
|
EPPY N |
|
EPPY N |
1% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 485 |
|
EPPY N |
|
EPPY N |
1/2% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 486 |
|
EPPY N |
|
EPPY N |
2% |
|
|
|
OPTH - GLAUCOMA
SYMPATH |
|
| 487 |
|
ERGAMISOL |
|
ERGAMISOL TAB |
50MG |
|
|
|
ANTINEOPLASTIC |
|
| 488 |
|
ERGOMAR SL |
|
ERGOMAR SL TAB |
2 MG |
|
|
|
ANALGESIC - MIGRAINE |
|
| 489 |
|
ERGOSTAT SL |
|
ERGOSTAT SL TAB |
2 MG |
|
|
|
ANALGESIC - MIGRAINE |
|
| 490 |
|
ERGOTRATE |
|
ERGOTRATE TAB |
0.2 MG |
|
|
|
MISC - OXYTOCICS |
|
| 491 |
|
ERYC |
* |
ERYTHROMYCIN CAP |
250 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 492 |
|
ERYPED |
* |
ERYTHROMYCIN
ETHYLSUCCINATE SUSP |
400MG/5ML |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 493 |
|
ERY-TAB |
* |
ERYTHROMYCIN
BASE TAB |
250 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 494 |
|
ERY-TAB |
* |
ERYTHROMYCIN
BASE TAB |
333 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 495 |
|
ERYTHROCIN |
* |
ERYTHROMYCIN STEARATE TAB |
250 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 496 |
|
ERYTHROCIN |
* |
ERYTHROMYCIN
STEARATE FILMTAB |
250 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 497 |
|
ERYTHROCIN |
* |
ERYTHROMYCIN STEARATE TAB |
500 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 498 |
|
ERYTHROCIN |
* |
ERYTHROMYCIN
STEARATE FILMTAB |
500 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 499 |
|
ERYTHROMYCIN |
|
ERYTHROMYCIN
BASE FILMTAB |
250 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 500 |
|
ERYTHROMYCIN |
|
ERYTHROMYCIN
BASE FILMTAB |
500 MG |
|
|
|
ANTIBIOTIC -
MACROLIDE |
|
| 501 |
|
ESERINE |
|
ESERINE OPTH UNG |
0.25% |
|
|
|
OPTH - GLAUCOMA
MIOTIC |
|
| 502 |
|
ESGIC |
* |
APAP/BUTALBITAL/CAFF
TAB |
|
|
|
|
ANALGESIC |
|
| 503 |
|
ESTINYL |
|
ESTINYL TAB |
0.02 MG |
|
|
|
HORMONE -
ESTROGEN |
|
| 504 |
|
ESTINYL |
|
ESTINYL TAB |
0.05 MG |
|
|
|
HORMONE -
ESTROGEN |
|
| 505 |
|
ESTINYL |
|
ESTINYL TAB |
0.5 MG |
|
|
|
HORMONE -
ESTROGEN |
|
| 506 |
|
ESTRACE |
* |
ESTRACE TAB |
1 MG |
|
|
|
HORMONE -
ESTROGEN |
|
| 507 |
|
ESTRACE |
* |
ESTRACE TAB |
2 MG |
|
|
|
HORMONE -
ESTROGEN |
|
| 508 |
|
ESTRACE |
* |
ESTRACE CREAM |
0.01% |
|
|
|
TOPICAL -
HORMONE |
|
| 509 |
|
ESTROVIS |
|
ESTROVIS TAB |
100 MCG |
|
|
|
HORMONE -
ESTORGEN |
|
| 510 |
|
ETHAQUIN |
* |
ETHAVERINE TAB |
100 MG |
|
|
|
PERIPHERAL
VASODILATOR |
|
| 511 |
|
ETHATAB |
|
ETHATAB |
100 MG |
|
|
|
MUSC RELAX |
|
| 512 |
|
ETHMOZINE |
|
ETHMOZINE TAB |
200 MG |
|
|
|
ANTIARRHYTHMIC |
|
| 513 |
|
ETHMOZINE |
|
ETHMOZINE TAB |
250 MG |
|
|
|
ANTIARRHYTHMIC |
|