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Formulary Guide -

Formulary Guide - 1-100 A B C D E F G H I J K L M N O P Q R S T U V W X Z 8-MOP ABELCET ABILIFY ABILIFY DISCMELT ABILIFY OS ABRAXANE ACCOLATE ACCOLATE TABS ACCU-CHEK ACTIVE TEST STRIP ACCU-CHEK AVIVA TEST STRIPS ACCU-CHEK COMF CURV STRIPS ACCU-CHEK COMPACT STRIPS ACCUPRIL ACCUPRIL ACCUPRIL ACCUPRIL TABLET ACCUPRIL TABS ACCURETIC ACCURETIC ACCURETIC TABS ACEBUTOLOL ACEON ACIPHEX ACIPHEX ACTEMRA ACTHAR GEL ACTHAR GEL ACTIMMUNE ACTIQ ORAL TRANSMUCOSAL ACTIVASE ACTIVELLA 1x28 ACTONEL ACTONEL ACTONEL W/ CALCIUM ACTOPLUS MET TM TABLET ACTOS ACULAR LS OPTHTHALMIC SOLUTION 0.4% ACULAR OPTHTHALMIC SOLUTION 0.45 ACUVAIL ACZONE GEL ADACEL INJ ADAGEN INJECTION ADALAT CC ADENOSCAN IV ADRENACLICK ADRUCIL INJECTION ADVAIR DISKUS ADVAIR DISKUS ADVAIR DISKUS ADVAIR HFA ADVAIR HFA ADVATE ADVICOR ER AEROBID INHALER AEROBID M INHALER AEROCHAMBER AEROCHAMBER W/MASK AFINITOR TABS AGGRENOX AGGRENOX CAPS ALAMAST ALBENZA TABLETS ALBENZA TABS ALBUTEROL ALBUTEROL SYRUP (CHILD) ALCAINE .5% ALDACTAZIDE ALDACTAZIDE ALDACTAZIDE TAB ALDACTONE ALDACTONE ALDACTONE ALDACTONE ALDACTONE TABS ALDOMET(Xubex) ALDURAZYME ALENDRONATE 70MG ALIA IV ALINIA SUP ALINIA TABS ALKERAN ALKERAN INJ ALLEGRA ALLEGRA ALLEGRA ODT ALLEGRA OS ALLEGRA-D ALLOPURINOL 100MG ALLOPURINOL 300MG ALODOX ALOMIDE 0.1% ALOXI ALPHAGAN ALPHAGAN OPTHALMIC SOLUTION 0.2% ALPHAGAN P OPTHALMIC SOLUTION O.15% ALPHANATE INJECTION ALPHANINE SD INJECTION ALREX ALTABAX ALTABAX ALTABAX OINT ALTACE ALTACE ALTOPREV AMARYL AMARYL AMARYL AMBIEN AMBIEN AMBIEN CR AMBISOME INJECTION AMEN(Xubex) AMERGE AMERGE TABS AMEVIVE INJECTION 15MG AMICAR AMINOPHYLLINE AMIODARONE 200MG AMITIZA AMITRIPTYLINE AMOX TR-POTASSIUM CLAVULANATE AMOX/CLAV SUSP 200MG/5ML (CHILD) AMOX/CLAV SUSP 400MG/5ML (CHILD) AMOXICILLIN 250MG AMOXICILLIN 500MG AMOXICILLIN SUSP (CHILD) ANADROL-50 ANAFRANIL CAPS ANALPRAM CREAM ANALPRAM LOTION ANALPRAM OINTMENT ANAMANTLE HC ANAPROX DS ANCOBON ANDROGEL ANDROGEL PUMP ANGELIQ ANGIOMAX ANSAID ANTIVERT ANTIVERT ANTIVERT ANTIVERT ANTIVERT TABS ANUSOL HC ANUSOL HC ANUSOL HC SUPPOSITORY ANZEMET CINV TABLETS ANZEMET INJECTION ANZEMET TABLETS APIDRA APIDRA SOLOSTAR APLENZIN APLRAF APRESOLINE(Xubex) APRISO ER APTIVUS CAPS APTIVUS CAPSULES 250 MG APTIVUS OS APTIVUS OS ARALAST INJECTION ARALEN ARANESP ARAVA ARICEPT ARIMIDEX ARIMIDEX ARIXTRA ARIXTRA INJECTION ARMOUR THYROID AROMASIN AROMASIN AROMASIN ARRANON ARTANE(Xubex) ARTHROTEC ARTHROTEC 50 ARTHROTEC 50 ARTHROTEC 75 ARTHROTEC 75 ARZERRA ASACOL ASACOL HD TABLETS ASACOL SR TABLETS ASMANEX PWDR ASMANEX TWISTHALER ATACAND ATACAND ATACAND HCT ATACAND HCT ATENOLOL 100MG ATENOLOL 25MG ATENOLOL 50MG ATENOLOL/CORTHALIDONE 50/25MG ATGAM SERILE SOLU ATIVAN ATIVAN ATRIPLA ATROVENT ATROVENT ATROVENT HFA AUGMENTIN ES AUGMENTIN ES 600TM AUGMENTIN OS AUGMENTIN OS AUGMENTIN PWD AUGMENTIN PWDR SUSP AUGMENTIN TAB AUGMENTIN TABLETS AUGMENTIN XR AUGMENTIN XR AVALIDE AVANDAMET AVANDAMET TAB AVANDARYL AVANDARYL TAB AVANDIA AVANDIA TAB AVAPRO AVASTIN AVELOX AVELOX TABLETS AVODART AVODART AVODART AVONEX INJECTION AVONEX POWEDER FOR INJECTION AXERT AXID CAPS AZASAN TABLETS AZILECT AZITHROMYCIN 250MG AZITHROMYCIN SUSP 200MG/5ML (CHILD) AZOPT AZOPT AZOR AZULFIDINE AZULFIDINE AZULFIDINE AZULFIDINE EN TABS AZULFIDINE EN TABS DR AZULFIDINE TABE BACITRACIN STERILE PWDR BACTRIM DS BACTRIM DS BACTROBAN CREAM BACTROBAN CRM BACTROBAN NASAL OINT BACTROBAN NASAL OINTMENT BACTROBAN OINT BACTROBAN OINTMENT BANZEL BARACLUDE OS BARACLUDE TABLETS BECONASE AQ BECONASE AQ NASAL BENAZEPRIL BENAZEPRIL/HYDROCOROTHIAZIDE BENEFIX BENICAR BENICAR HCT BENTYL BENTYL BENZACLIN TOPICAL GEL BENZTROPINE BERINERT BETAGAN BETAGAN DROPS BETAMETHASONE CREAM BETAPACE BETAPACE BETAPACE AF BETASERON BETIMOL BETOPTIC OPHTHALMIC BETOPTIC S BEXXAR BIAFINE BICNU BIDIL BILTRICIDE BION TEARS EYE DROPS BISOPROLOL/HYDROCOROTHIAZIDE 10-6.25MG BISOPROLOL/HYDROCOROTHIAZIDE 2.5-6.25MG BISOPROLOL/HYDROCOROTHIAZIDE 5-6.25MG BLEOMYCIN SULFATE INJ BLOCADREN(Xubex) BLOOD GLUCO BONIVA BONIVA BONIVA IV BOTOX BREVOXYL CREAM WASH BREVOXYL GEL BREVOXYL-4 ACNE WASH BREVOXYL-4 CREAMY WASH BREVOXYL-4 GEL BREVOXYL-8 GEL BRONTEX III TABLETS BRONTEX SYRUP BROVANA BUMETANIDE BUMEX BUMEX BUPAP BUPHENYL BUSPAR BUSPAR BUSPIRONE 10MG BUSPIRONE 5MG BYETTA BYSTOLIC TAB CADUET CADUET CADUET CALAN CALAN CALAN CALAN CALAN SR CALAN SR CALAN SR CALAN SR CALAN SR CALCILO XD POWDER 14.1 OZ CAMPRAL CAMPTOSAR CAMPTOSAR INJ CANASA SUPPOSITORY CANCIDAS INJ CANCIDAS PWDR CANTIL CAPEX SHAMPOO CAPHOSOL OS CAPHOSOL OS (REIMBURSMENT) CAPOTEN CAPOTEN CAPOZIDE CARAC CREAM CARBATROL Carboplatin CARBOPLATIN LYOPHILIZED POWDER CARDARONE(Xubex) CARDENE CARDIZEM CARDIZEM CD CARDIZEM CD CARDIZEM LA CARDURA CARDURA CARDURA CARDURA CARDURA CARDURA XL CARDURA XL CARDURA XL CARIMUNE NF CARMOL CREAM CARMOL GEL CARMOL LOTION 8OZ CARMOL SCALP TREATMENT LOTION CARNITOR INJECTION CARNITOR SOLUTION CARNITOR TABS CARTEOLOL HCL 1% CASODEX CATAFLAM CATAPRES CATAPRES CATAPRES-TTS 1 CATAPRES-TTS 2 CATAPRES-TTS 3 CATAPRES-TTS1 CATAPRES-TTS2 CATAPRES-TTS3 CATHFLO CEENU CEFTIN ORAL SUSPENSION CEFTIN OS CEFTIN TAB CEFTIN TABLETS CELEBREX CELEBREX CELEBREX CELEXA CELEXA CELEXA CELLCEPT CAPSULES CELLCEPT ORAL CELLCEPT TABLETS CELONTIN CELONTIN CELONTIN CENESTIN CEPHALEXIN 250MG CEPHALEXIN 500MG CEPHALEXIN SUSP 250MG/5ML (CHILD) CEREBYX CEREDASE IV CEREZYME CETACAINE GEL CETACAINE LIQUID CETACAINE SPRAY CHANTIX CHANTIX CHANTIX CHANTIX 1MG CONT MONTH PAK CHANTIX 1MG CONT MONTH PAK CHANTIX 1MG CONT MONTH PAK CHANTIX STARTING MONTH PAK CHANTIX STARTING MONTH PAK CHANTIX STARTING MONTH PAK CHEMET CIALIS CIALIS CILOXAN ONT. 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no starch but company won't verify that product is GF Cromolyn (Teva) Cycloset Cryselle Cyclobenzaprine (Mylan, Schein, Watson) Cylert chewable Cymbalta (all strengths) Cystex Cystospaz Cystospaz M Cytadren Cytomel Cytomel Danazol (Barr) Dapsone Daypro Dayquil DDAVP Decadron Deconamine caps Deconamine SR Deconsal Decorel Forte Plus #2 Delsym-see note #2 below Demerol Denavir Depakote (all forms) Desferal Desogen Desyrel Detrol Detrol LA Dexacidin Dexamethasone (Taro) Dexedrine (Smith-Kline-Beecham) Dexilant Dexone Diabeta Diastat Diazepam (Mylan)#1 Dicel CD Dicel Chewable Dicel DM Chewables Dicloxacillin (Bristol-Myers-Squibb) Dicyclomine (, West-Ward)#2 Didronel Diflucan Diflucan tabs Del liquid & tabs Ditek Dihydergo Dilantin Dimetane tabs-contains gluten Dimetapp elixir Dimetapp tabs-contain gluten Diovan / Diovan HCT Disney Princess Gummies Vitamins Ditropan Ditropan XL Diuril Divalproex Sodium (Apotex, Mylan, Dr Reddy's, Sandoz, Teva)#2 Dolobid Doryx all strengths-contains wheat Dostinex Doxepin (Mylan) Doxycycline (Mylan, Watson, West-Ward) Drixoral Duphalac Durabac Forte Duraflu Durahist D caplets Duraphen 100 caplets Duraphen Forte Dura Tan DM Susp Dura Tan Forte Susp Duricef Dyazide Ecotrin (all strengths) Edecrin Effexor (all strengths) Elavil Elidel Elspar Emadine Emend Enablex Endafed Endagen-D Endocet Endodan Enjuvia Enpresse-28 Entex Entex LA Entocort EC Entuss D Equate Allergy Relief #2 Errin Erythromycin tabs (Abbott labs) Esgic (all forms) Esidrex Eskalith Eskalith CR Estrace Estraderm Estratab-possible gluten in active ingredient Estratest-possible gluten in active ingredient Estring Estrostep Etodolac (Taro) Eudal SR Evista Excedrin Extra Strength Excedrin Mraine Exelon Extendryl syrup, JR and SR caps Famvir (all strengths) Feldene-contains gluten Femara Fem HRT Fenesin Fenesin DM Fexofenadine (Teva) Fentora Feosol Feostat Fer In Sol Ferro-Sequels Ferrous Gluconate (Paddock) Ferrous Sulfate (Goldline, Major, Paddock) #2, (Perro, Walgreens)#1 Fiber Con Fiberlax Fioricet / with Codeine Fiorinal Fiorinal caps-generic (West-Ward) Fiorinal tabs-generic (West-Ward) Fiorinal with Codeine Flagyl tabs Flexeril Flomax Flonase Florastor Florinef Flovent Flovent Rotadisk Floxin Floxin Flubriprofen (Novapharm) Fluconazole (Apotex, Barr, mark, Greenstone, Teva)#2 Flumadine Fluoxetine-all strengths/forms(Barr, Par, Sandoz)#2 Flurazepam (West-Ward) FML FML Forte Focalin Folgard Folgard RX Folic Acid (Schein, West-Ward) Foradil Aerolizer Fosamax Fosrenol Freeda's Vitamins Frova Furosemide (Watson-doesn't test but uses corn starch) Furosemide (Ivax, Sandoz) Furoxone (tabs & liquid) Gabapentin (Apotex, Greenstone) Gabitril (all strengths) Gas-X Gaviscon Gen Teal eye drops Gen Teal eye gel Geodon Gleevec Glipizide (Novapharm) Glivec Glucophage Glucotrol Glucotrol XL Glucovance (all strenghts) Glyburide (Novapharm) Glypyrrolate tab (URL, Mikart) Glynase Glyset Gonisol Grifulvin 5- "weak" gluten content Guaifenesin (URL) Guaifenesin LA 600 mg (URL/Mutual) Halcion Haldol (tabs, concentrate) Herplex Humatin Hycodan Hycomine Hydergine Hydrocorothiazide (Ivax, Qualitest, Teva)#2 Hydrocodone/APAP all strengths (Mallinckrodt, Watson) Hydrocortisone tablets (Qualitest) Hydrocortone Hydro Diuril Hydroxycoroquin (Mylan) Hygroton Hyoscyamine 0.375mg tab (Amide) Hyzaar Ibuprofen (Amneal, Pharm. 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Drugs A to Z

Drugs A to Z Abilify Abraxane ABREVA Abstral Abthrax Accolate Accolate Accretropin Aciphex Actemra Actemra Actemra Actiq Activella Actonel ACTOplus met ACTOS Acular Acular Acuvail Acyclovir Capsules Adcetris Adcirca Adderall Adderall XR Addyi Adempas Adlyxin Advair Advicor Afinitor Afinitor Afinitor Afinitor Afrezza Afstyla Agenerase Aggrenox Agrylin Agrylin AK-Con-A Akten Akynzeo Alamast Albenza Aldara Aldurazyme Alecensa Alesse Alia Alinia Allegra Allegra-D Alora Aloxi Alphagan Alpha Nine SD Coagulation Factor IX Alprolix [Coagulation Factor IX Alrex Altabax Altocor Alvesco Amaryl Ameluz Amerge Amevive Amitiza Amoxil Ampyra Amrix Aurnide Androderm Andro Gel testosterone gel Aneu Vysion Assay Anexsia Angiomax Anoro Ellipta Anthim Antizol Injection Anturol Anzemet Anzemet Aphthasol Aplenzin Apokyn Apthasol Aptiom Aptivus Aptivus Arava Arcapta Aredia Arestin Argatroban Injection ARICEPT Arimidex Aristada Arixtra Arnuity Ellipta Aromasin Tablets Arranon Arthrotec Arzerra Asacol Astelin nasal spray Astepro Atacand Atacand Atacand Atracurium Besylate Injection Atridox Atridox Atrovent Atryn Aubagio Augmentin Auryxia Avandamet Avandia Avastin Avastin Aveed Avelox I. 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