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	*