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Supplemental Preferred Drug List (List of Covered Drugs)

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2015

Supplemental Preferred Drug List

(List of Covered Drugs)

WellCare of New Jersey

00

9

Please read: This document contains information about the drugs we cover

in this plan.

Last updated (7/01/2015

)

(2)

WellCare of New Jersey Supplemental Cough & Cold Drug List

Non-Preferred Drugs

Preferred Drugs

ANTITUSSIVES,NON-NARCOTIC

Benzonatate

TESSALON 200 MG CAPSULE BENZONATATE 100 MG CAPSULE BENZONATATE 200 MG CAPSULE

Dextromethorphan Polistirex

DELSYM 30 MG/5 ML EXTENDED-RELEASE SUSPENSION

Dextromethorphan HBr

ROBITUSSIN PEDIATRIC COUGH SYP

Dextromethorphan HBr/Menthol

DELSYM COUGH RELIEF PLUS LOZENGE

NON-NARC ANTITUSS-1ST GEN. ANTIHISTAMINE-DECONGEST

Brompheniramine/Dextromethorphan HBr/Pseudoephedrine HCl

ALLANHIST PDX DROPS BROMFED DM SYRUP

BROMHIST PDX DROPS ENDACOF-PD DROPS

BROTAPP DM LIQUID Q-TAPP DM ELIXIR

Brophenaramine/Dextromethorphan HBr/Phenylephrine HCl

COLD/COUGH CHILDRENS ELIXIR

RYNEX DM DIMAPHEN DM ELIXIR

Chlorpheniramine/Dextromethorphan HBr/Phenylephrine HCl

C-PHEN DM PD-COF SYRUP

RONDEX-DM SYRUP SILDEC PE-DM SYRUP

DE-CHLOR DM LIQUID NOHIST-DM

CORFEN DM TRI-DEX PE

Chlorpheniramine/Dextromethorphan HBr/Pseudoephedrine HCl

PEDIATRIC COUGH-COLD LIQUID MESEHIST DM KIDKARE COUGH/COLD

Dexchlorpheniramine/Pseudoephedrine HCl/Chlophedianol HCl

VANACOF LIQUID

Chlorpheniramine/Dextromethorphan HBr

DIMETAPP LONG-ACTING COUGH LIQ ROBITUSSIN LONG ACTING LIQUID

Promethazine HCl/Dextromethorphan HBr

PROMETHAZINE-DM SYRUP

NON-NARC ANTITUSS-1ST GEN. ANTIHIST-ANALGESIC COMBINATION

Dextromethorphan HBr/Acetaminophen/Doxylamine

DELSYM NIGHTTIME MULTI-SYMPTOM

EXPECTORANTS

DECONGESTANT-EXPECTORANT COMBINATIONS

Guaifenesin/Phenylephrine HCl

(3)

WellCare of New Jersey Supplemental Cough & Cold Drug List

Non-Preferred Drugs

Preferred Drugs

NON-NARCOTIC DECONGESTANT-EXPECTORANT-ANTITUSSIVE

Guaifenesin/Dextromethorphan HBr/Phenylephreine

ROBAFEN CF SYRUP

NON-NARCOTIC ANTITUSSIVE AND EXPECTORANT COMB.

Dextromethorphan HBr/Guaifenesin

DURATUSS DM ELIXIR SU-TUSS DM ELIXIR

SIMUC-DM ELIXIR

MUCUS RELIEF COUGH LIQUID DIABETIC TUSSIN DM LIQUID

GUAIFENESIN DM SYRUP Q-TUSSIN-DM SYRUP

EXTRA ACTION COUGH SILTUSSIN DM COUGH SYRUP

REFENESEN DM SILTUSSIN DM DAS COUGH SYRUP

MUCOSA DM

ROBITUSSIN COUGH CHEST CONGESTION DM LIQUID

NARCOTIC ANTITUSSIVE-1ST GENERATION ANTIHISTAMINE

Chlorpheniramine/Hydrocodone Polistirex

TUSSIONEX PENNKINETIC SUSP TUSSICAPS (min. age 6 years old) HYDROCODONE-CHLORPHENIRAMINE

SUSPENSION (min. age 6 years old)

Codeine Phosphate/Promethazine HCl

PROMETHAZINE-CODEINE SYRUP (min. age 6 years old)

NARCOTIC ANTITUSSIVE-1ST GEN. ANTIHISTAMINE-DECONGESTANT

Dexbrompheniramine/Hydrocodone Bit/Phenylephrine HCl

Codeine/Phenylephrine HCl/Promethazine

CYTUSS-HC NR SYRUP HC/PE/DBROM SYRUP

HC 2.5-PE 5-DBROM 1 MG SYRUP

PROMETH VC W/COD SYRUP PROMETHAZINE VC/COD SYRUP

Pseudoephedrine HCl/Codeine/Chlorpheniramine

PHENYLHISTINE DH

NARCOTIC ANTITUSSIVE-ANTICHOLINERGIC COMBINATION

Hydrocodone Bit/Homatropine

HYDROMET SYRUP HYDROCODONE-HOMATROPINE

NARCOTIC ANTITUSSIVE-EXPECTORANT COMBINATION

Guaifenesin/Hydrocodone Bit

Codeine Phosphate/Guaifenesin

HYDROCODONE-GUAIFENESIN SYRUP

NARCOF SYRUP TUSSICLEAR DH SYRUP

CHERATUSSIN AC SYRUP

GUAIFENESIN-CODEINE SYRUP IOPHEN C-NR

NARCOTIC ANTITUSSIVE-DECONGESTANT-EXPECTORANT COMBINATIONS

Codeine Phosphate/Guaifenesin/Pseudoephedrine HCl

(4)

Drug Name

Preference Details Coverage Details

*Alternative Medicines*

*Alternative Medicine - M's**-*Alternative

Medicine - Me's***

melatonin maximum strength oral tablet 5 mg

P

OTC

*Analgesics - Anti-Inflammatory*

*Nonsteroidal Anti-Inflammatory Agents

(Nsaids)**-*Nonsteroidal Anti-Inflammatory

Agents (Nsaids)***

childrens ibuprofen oral suspension 40 mg/ml

P

OTC

ibuprofen oral suspension 100 mg/5ml

P

OTC

ibuprofen oral tablet 200 mg

P

OTC

*Analgesics - Nonnarcotic*

*Analgesics Other**-*Analgesics Other***

ACEPHEN SUPPOSITORY 325 MG, 650

MG

P

OTC

acetaminophen oral solution 160 mg/5ml

P

OTC

acetaminophen oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

acetaminophen oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

apap extra strength oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

apap oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

childrens non-asa pain relief oral tablet chewable

80 mg

P

OTC

childrens non-aspirin oral tablet chewable 80 mg

P

OTC

childrens pain reliever oral tablet chewable 80

mg

P

OTC

childrens silapap oral liquid† 160 mg/5ml

P

OTC

childrens tactinal oral tablet chewable 80 mg

P

OTC

ed-apap oral liquid† 160 mg/5ml

P

OTC

(5)

mapap arthritis pain oral tablet

extendedrelease* 650 mg

P

OTC; QL (93 EA per 31 days)

MAPAP CHILDRENS ORAL

SUSPENSION 160 MG/5ML

P

OTC

mapap oral capsule 500 mg

P

OTC; QL (186 EA per 31 days)

mapap oral liquid† 160 mg/5ml

P

OTC

mapap oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

mapap oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

mapap oral tablet chewable 80 mg

P

OTC

maxapap maximum strength oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

maxapap regular strength oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

non-aspirin extra strength oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

non-aspirin oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

non-aspirin pain relief oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

nortemp infants oral suspension 80 mg/0.8ml

P

OTC

pain & fever childrens oral solution 160 mg/5ml

P

OTC

pain relief extra strength oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

pain relief oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

PHARBETOL EXTRA STRENGTH ORAL

TABLET 500 MG

P

OTC; QL (186 EA per 31 days)

PHARBETOL ORAL TABLET 325 MG

P

OTC; QL (279 EA per 31 days)

q-pap oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

tactinal extra strength oral tablet 500 mg

P

OTC; QL (186 EA per 31 days)

tactinal oral tablet 325 mg

P

OTC; QL (279 EA per 31 days)

*Salicylates**-*Salicylate Combinations***

tri-buffered aspirin oral tablet 325 mg

P

OTC

*Salicylates**-*Salicylates***

aspirin childrens oral tablet chewable 81 mg

P

OTC

aspirin ec low dose oral tablet delayed release 81

mg

P

OTC

aspirin ec oral tablet delayed release 325 mg, 81

mg

P

OTC

aspirin low dose oral tablet 81 mg

P

OTC

aspirin oral tablet 325 mg, 81 mg

P

OTC

aspirin oral tablet chewable 81 mg

P

OTC

(6)

aspirin suppository 300 mg, 600 mg

P

OTC

ECPIRIN ORAL TABLET DELAYED

RELEASE 325 MG

P

OTC

*Anorectal Agents*

*Rectal Combinations**-*Rectal Combinations

- Misc.***

hem-prep suppository 0.25-3-85.5 %

P

OTC

*Antacids*

*Antacid Combinations**-*Antacid &

Simethicone***

alamag plus oral tablet chewable 200-200-25 mg

P

OTC

ALMACONE ORAL SUSPENSION

200-200-20 MG/5ML

P

OTC

antacid anti-gas max strength oral suspension

400-400-40 mg/5ml

P

OTC

antacid anti-gas oral suspension 200-200-20

mg/5ml

P

OTC

antacid extra strength oral suspension

400-400-40 mg/5ml

P

OTC

antacid i oral suspension 200-200-20 mg/5ml

P

OTC

antacid iii oral suspension 400-400-40 mg/5ml

P

OTC

antacid oral suspension 200-200-20 mg/5ml

P

OTC

geri-lanta oral suspension 200-200-20 mg/5ml

P

OTC

MAALOX ADVANCED MAX ST ORAL

SUSPENSION 400-400-40 MG/5ML

P

OTC

MAALOX ADVANCED ORAL

SUSPENSION 200-200-20 MG/5ML

P

OTC

MAALOX MAX ORAL SUSPENSION

400-400-40 MG/5ML

P

OTC

MAALOX MULTI SYMPTOM MAX ST

ORAL SUSPENSION 400-400-40 MG/5ML

P

OTC

MAALOX REGULAR STRENGTH ORAL

SUSPENSION 200-200-20 MG/5ML

P

OTC

milantex extra strength oral suspension

400-400-40 mg/5ml

P

OTC

milantex oral suspension 200-200-20 mg/5ml

P

OTC

MINTOX PLUS ORAL TABLET

(7)

*Antacid Combinations**-*Antacid

Combinations***

ACID GONE ORAL TABLET CHEWABLE

160-105 MG

P

OTC

gnp foaming antacid oral tablet chewable 80-20

mg

P

OTC

MI-ACID ORAL TABLET CHEWABLE

700-300 MG

P

OTC

*Antacids - Aluminum Salts**-*Antacids -

Aluminum Salts***

aluminum hydroxide gel oral suspension 320

mg/5ml

P

OTC

*Antacids - Bicarbonate**-*Antacids -

Bicarbonate***

sodium bicarbonate oral tablet 325 mg, 650 mg

P

OTC

*Antacids - Calcium Salts**-*Antacids -

Calcium Salts***

alcalak oral tablet chewable 420 mg

P

OTC

antacid oral tablet chewable 420 mg, 500 mg

P

OTC

calcium antacid extra strength oral tablet

chewable 750 mg

P

OTC

calcium antacid oral tablet chewable 500 mg

P

OTC

calcium carbonate antacid oral tablet 648 mg

P

OTC

calcium carbonate antacid oral tablet chewable

500 mg

P

OTC

CAL-GEST ANTACID ORAL TABLET

CHEWABLE 500 MG

P

OTC

MAALOX ORAL TABLET CHEWABLE

600 MG

P

OTC

TITRALAC ORAL TABLET CHEWABLE

420 MG

P

OTC

*Antacids - Magnesium Salts**-*Antacids -

Magnesium Salts***

magnesium oxide oral tablet 250 mg, 400 mg,

(8)

*Anthelmintics*

*Anthelmintics**-*Anthelmintics***

reeses pinworm medicine oral suspension 144

mg/ml

P

OTC

*Antidiabetics*

*Diabetic Other**-*Diabetic Other***

BD GLUCOSE ORAL TABLET

CHEWABLE 5 GM

P

OTC

glucose oral tablet chewable 4 gm

P

OTC

*Antidiarrheals*

*Antidiarrheal Agents - Misc.**-*Antidiarrheal

Agents - Misc.***

bismatrol oral suspension 262 mg/15ml

P

OTC

bismatrol oral tablet chewable 262 mg

P

OTC

bismuth oral tablet chewable 262 mg

P

OTC

diotame oral tablet chewable 262 mg

P

OTC

KAOPECTATE EXTRA STRENGTH

ORAL SUSPENSION 525 MG/15ML

P

OTC

KAOPECTATE ORAL SUSPENSION 262

MG/15ML

P

OTC

kao-tin oral suspension 262 mg/15ml

P

OTC

pink bismuth oral suspension 262 mg/15ml

P

OTC

pink bismuth oral tablet chewable 262 mg

P

OTC

stomach relief oral suspension 262 mg/15ml, 527

mg/30ml

P

OTC

stomach relief oral tablet chewable 262 mg

P

OTC

stomach relief plus oral suspension 525 mg/15ml

P

OTC

*Antiperistaltic Agents**-*Antiperistaltic

Agents***

anti-diarrheal oral liquid† 1 mg/5ml

P

OTC

LOPERAMIDE A-D ORAL TABLET 2 MG

P

OTC

loperamide hcl oral liquid† 1 mg/5ml

P

OTC

*Antidotes*

*Antidotes**-*Antidotes***

(9)

*Antiemetics*

*Antiemetics - Anticholinergic**-*Antiemetics -

Anticholinergic***

meclizine hcl oral tablet 12.5 mg, 25 mg

P

OTC

travel sickness oral tablet chewable 25 mg

P

OTC

*Antihistamines*

*Antihistamines -

Alkylamines**-*Antihistamines -

Alkylamines***

aller-chlor oral syrup 2 mg/5ml

P

OTC

aller-chlor oral tablet 4 mg

P

OTC

allergy oral tablet 4 mg

P

OTC

allergy relief oral tablet 4 mg

P

OTC

chlorhist oral tablet 4 mg

P

OTC

chlorphen oral tablet 4 mg

P

OTC

DIABETIC TUSSIN ALLERGY ORAL

SYRUP 2 MG/5ML

P

OTC

*Antihistamines -

Ethanolamines**-*Antihistamines -

Ethanolamines***

aler-cap oral capsule 25 mg

P

OTC

aler-dryl oral tablet 50 mg

P

OTC

alertab oral tablet 25 mg

P

OTC

allergy relief childrens oral liquid† 12.5 mg/5ml

P

OTC

altaryl oral elixir 12.5 mg/5ml

P

OTC

altaryl oral syrup 12.5 mg/5ml

P

OTC

anti-hist allergy oral tablet 25 mg

P

OTC

BANOPHEN ORAL CAPSULE 25 MG

P

OTC

BANOPHEN ORAL LIQUID† 12.5

MG/5ML

P

OTC

BANOPHEN ORAL TABLET 25 MG

P

OTC

BENADRYL ALLERGY CHILDRENS

ORAL LIQUID† 12.5 MG/5ML

P

OTC

complete allergy medication oral tablet 25 mg

P

OTC

complete allergy relief oral tablet 25 mg

P

OTC

diphenhist oral capsule 25 mg

P

OTC

(10)

diphenhist oral tablet 25 mg

P

OTC

diphenhydramine hcl oral capsule 25 mg, 50 mg

P

OTC

diphenhydramine hcl oral tablet 25 mg

P

OTC

DORMIN ORAL CAPSULE 25 MG

P

OTC

genahist oral capsule 25 mg

P

OTC

pharbedryl oral capsule 25 mg, 50 mg

P

OTC

q-dryl oral capsule 25 mg

P

OTC

q-dryl oral liquid† 12.5 mg/5ml

P

OTC

quenalin oral syrup 12.5 mg/5ml

P

OTC

SCOT-TUSSIN ALLERGY RELIEF ORAL

LIQUID† 12.5 MG/5ML

P

OTC

siladryl allergy oral liquid† 12.5 mg/5ml

P

OTC

silphen cough oral syrup 12.5 mg/5ml

P

OTC

SIMPLY ALLERGY ORAL TABLET 25

MG

P

OTC

TOTAL ALLERGY MEDICINE ORAL

LIQUID† 12.5 MG/5ML

P

OTC

total allergy oral tablet 25 mg

P

OTC

*Antihistamines -

Non-Sedating**-*Antihistamines -

Non-Sedating***

ALLEGRA ALLERGY CHILDRENS

ORAL TABLET 30 MG

P

OTC

allergy oral tablet dispersible 10 mg

P

OTC

cetirizine hcl childrens alrgy oral syrup 1 mg/ml

P

OTC; QL (300 ML per 31 days)

cetirizine hcl childrens oral solution 1 mg/ml

P

OTC; QL (300 ML per 31 days)

cetirizine hcl oral syrup 5 mg/5ml

P

OTC; QL (300 ML per 31 days)

cetirizine hcl oral tablet 10 mg, 5 mg

P

OTC

childrens loratadine oral syrup 5 mg/5ml

P

OTC; QL (300 ML per 31 days)

fexofenadine hcl oral tablet 180 mg, 60 mg

P

OTC

loratadine childrens oral solution 5 mg/5ml

P

OTC; QL (310 ML per 31 days)

loratadine hives relief oral solution 5 mg/5ml

P

OTC; QL (300 ML per 31 days)

(11)

*Antiseptics & Disinfectants*

*Chlorine Antiseptics**-*Chlorine Antiseptic

Combinations***

dakins (1/2 strength) external solution 0.2-0.25

%

P

OTC

dakins (1/4 strength) external solution 0.125 %

P

OTC

dakins external solution 0.4-0.5 %

P

OTC

*Chlorine Antiseptics**-*Chlorine

Antiseptics***

chlorhexidine gluconate external liquid† 4 %

P

OTC; QL (480 ML per 31 days)

*Iodine Antiseptics**-*Iodine Antiseptics***

OPERAND POVIDONE-IODINE

EXTERNAL SOLUTION 10 %

P

OTC

povidone-iodine external solution 10 %

P

OTC

*Cough/Cold/Allergy*

*Cough/Cold/Allergy

Combinations**-*Decongestant &

Antihistamine***

ALAVERT ALLERGY/SINUS ORAL

TABLET EXTENDED RELEASE 12 HR*

5-120 MG

P

OTC

ALLEGRA-D ALLERGY & CONGESTION

ORAL TABLET EXTENDED RELEASE 12

HR* 60-120 MG

P

OTC

allergy relief/nasal decongest oral tablet

extended release 24 hr* 10-240 mg

P

OTC

BROTAPP ORAL LIQUID† 1-15 MG/5ML

P

OTC

cetirizine-pseudoephedrine er oral tablet

extended release 12 hr* 5-120 mg

P

OTC

fexofenadine-pseudoephed er oral tablet

extended release 24 hr* 180-240 mg

P

OTC

Q-TAPP ORAL ELIXIR 1-15 MG/5ML

P

OTC

triprolidine-pse oral tablet 2.5-60 mg

P

OTC

*Expectorants**-*Expectorants***

chest congestion relief oral tablet 400 mg

P

OTC

mucus relief oral tablet 400 mg

P

OTC

refenesen 400 oral tablet 400 mg

P

OTC

(12)

robafen oral syrup 100 mg/5ml

P

OTC

*Misc. Respiratory Inhalants**-*Misc.

Respiratory Inhalants***

BRONCHO SALINE INHALATION

AEROSOL, SOLUTION 0.9 %

P

OTC

sodium chloride inhalation nebulization solution

0.9 %

P

*Dermatologicals*

*Acne Products**-*Acne Products***

acne medication 5 external lotion 5 %

P

OTC

benzoyl peroxide external 10 %, 5 %

P

OTC

PANOXYL WASH EXTERNAL LIQUID†

10 %

P

OTC

*Antibiotics - Topical**-*Antibiotic Mixtures

Topical***

bacitracin-neomycin-polymyxin external

ointment 400-5-5000

P

OTC

double antibiotic external ointment 500-10000

unit/gm

P

OTC

triple antibiotic external ointment 3.5-400-5000 ,

5-400-5000

P

OTC

*Antibiotics - Topical**-*Antibiotics -

Topical***

bacitracin external ointment 500 unit/gm

P

OTC

bacitracin zinc external ointment 500 unit/gm

P

OTC

*Antifungals - Topical**-*Antifungals -

Topical***

anti-fungal external powder 1 %

P

OTC

terbinafine hcl external cream 1 %

P

OTC

*Antifungals - Topical**-*Imidazole-Related

Antifungals - Topical***

clotrimazole external cream 1 %

P

OTC

clotrimazole external solution 1 %

P

OTC

*Antihistamines-Topical**-*Antihistamines -

Topical***

anti-itch maximum strength external cream 2 %

P

OTC

BENADRYL ITCH STOPPING

(13)

itch relief external cream 2 %

P

OTC

*Corticosteroids - Topical**-*Corticosteroids -

Topical***

AVEENO ANTI-ITCH MAX ST

EXTERNAL CREAM 1 %

P

OTC

hydrocortisone external cream 0.5 %, 1 %

P

OTC

hydrocortisone external lotion 1 %

P

OTC

hydrocortisone external ointment 0.5 %, 1 %

P

OTC

hydrocortisone max st external cream 1 %

P

OTC

hydrocortisone max st/12 moist external cream 1

%

P

OTC

HYDROSKIN EXTERNAL CREAM 1 %

P

OTC

kp hydrocortisone external cream 1 %

P

OTC

PREPARATION H HYDROCORTISONE

EXTERNAL CREAM 1 %

P

OTC

tgt anti-itch/aloe/vit e external cream 1 %

P

OTC

*Corticosteroids - Topical**-*Topical Steroid

Combinations***

hydrocortisone-aloe external cream 1 %

P

OTC

sm hydrocortisone plus external cream 1 %

P

OTC

*Emollients**-*Emollients***

AMLACTIN EXTERNAL LOTION 12 %

P

OTC; QL (400 GM per 31 days)

ammonium lactate external cream 12 %

P

OTC; QL (400 GM per 31 days)

ammonium lactate external lotion 12 %

P

OTC; QL (400 GM per 31 days)

*Keratolytic/Antimitotic

Agents**-*Keratolytic/Antimitotic Agents***

CLEAR AWAY 1-STEP WART REMOVER

EXTERNAL PAD 40 %

P

OTC

COMPOUND W EXTERNAL LIQUID† 17

%

P

OTC

COMPOUND W MAXIMUM STRENGTH

EXTERNAL 17 %

P

OTC

FREEZONE EXTERNAL LIQUID† 17.6 %

P

OTC

SALACTIC FILM EXTERNAL SOLUTION

(14)

*Local Anesthetics - Topical**-*Local

Anesthetics - Topical***

capsaicin external cream 0.025 %

P

OTC

*Scabicides & Pediculicides**-*Scabicides &

Pediculicides***

permethrin external lotion 1 %

P

OTC; QL (60 ML per 31 days)

*Tar Products**-*Tar Products***

TERA-GEL TAR EXTERNAL SHAMPOO

0.5 %

P

OTC

*Gastrointestinal Agents - Misc.*

*Antiflatulents**-*Antiflatulents***

mi-acid gas relief oral tablet chewable 80 mg

P

OTC

mytab gas oral tablet chewable 80 mg

P

OTC

simethicone oral suspension 40 mg/0.6ml

P

OTC

simethicone oral tablet chewable 80 mg

P

OTC

*Genitourinary Agents - Miscellaneous*

*Urinary Analgesics**-*Urinary Analgesics***

phenazopyridine hcl oral tablet 100 mg, 200 mg

P

*Hematopoietic Agents*

*Cobalamins**-*Cobalamins***

cyanocobalamin injection solution 1000 mcg/ml

P

vitamin b-12 er oral tablet extendedrelease*

1000 mcg

P

OTC

vitamin b-12 oral tablet 1000 mcg, 250 mcg, 500

mcg

P

OTC

vitamin b-12 sublingual tablet sublingual 1000

mcg

P

OTC

*Folic Acid/Folates**-*Folic Acid/Folates***

folic acid oral tablet 1 mg, 400 mcg, 800 mcg

P

OTC

*Iron**-*Iron***

ferro-bob oral tablet 325 (65 fe) mg

P

OTC

ferrous sulfate oral elixir 220 (44 fe) mg/5ml

P

OTC

ferrous sulfate oral tablet 325 (65 fe) mg

P

OTC

ferrous sulfate oral tablet delayed release 324

(65 fe) mg, 325 (65 fe) mg

P

OTC

(15)

iron oral tablet 325 (65 fe) mg, 90 (18 fe) mg

P

OTC

POLY-IRON 150 ORAL CAPSULE 150 MG

P

OTC

slow release iron oral tablet extendedrelease*

160 (50 fe) mg

P

OTC

*Hypnotics/Sedatives/Sleep Disorder Agents*

*Antihistamine Hypnotics**-*Antihistamine

Hypnotic Combinations***

headache pm oral tablet 25-500 mg

P

OTC; QL (62 EA per 31 days)

mapap pm oral tablet 500-25 mg

P

OTC; QL (62 EA per 31 days)

pain relief pm extra strength oral tablet 500-25

mg

P

OTC; QL (62 EA per 31 days)

pain reliever pm oral tablet 500-25 mg

P

OTC; QL (62 EA per 31 days)

*Antihistamine Hypnotics**-*Antihistamine

Hypnotics***

compoz oral capsule 50 mg

P

OTC

compoz oral tablet 50 mg

P

OTC

NYTOL ORAL TABLET 25 MG

P

OTC

SIMPLY SLEEP ORAL TABLET 25 MG

P

OTC

sleep tabs oral tablet 25 mg

P

OTC

sleep-tabs oral tablet 25 mg

P

OTC

SOMINEX MAXIMUM STRENGTH

ORAL TABLET 50 MG

P

OTC

SOMINEX ORAL TABLET 25 MG

P

OTC

tetra-formula nighttime sleep oral tablet 50 mg

P

OTC

*Laxatives*

*Bulk Laxatives**-*Bulk Laxatives***

fiber laxative oral tablet 625 mg

P

OTC

fiber oral tablet 625 mg

P

OTC

fiber therapy oral powder 58.6 %

P

OTC

FIBERGEN ORAL TABLET 625 MG

P

OTC

fiber-lax oral tablet 625 mg

P

OTC

KONSYL FIBER ORAL TABLET 625 MG

P

OTC

KONSYL ORAL PACKET 100 %

P

OTC

METAMUCIL MULTIHEALTH FIBER

ORAL POWDER 58.6 %

P

OTC

(16)

METAMUCIL ORAL POWDER 30.9 %

P

OTC

METAMUCIL ORAL WAFER

P

OTC

METAMUCIL SMOOTH TEXTURE ORAL

PACKET 28 %

P

OTC

METAMUCIL SMOOTH TEXTURE ORAL

POWDER 28.3 %, 58.6 %

P

OTC

natural fiber therapy oral powder 30.9 %, 48.57

%

P

OTC

natural vegetable fiber oral powder 48.57 %

P

OTC

REGULOID ORAL CAPSULE 0.52 GM

P

OTC

*Laxative Combinations**-*Laxatives &

Dss***

DOC-Q-LAX ORAL TABLET 8.6-50 MG

P

OTC

PERI-COLACE ORAL TABLET 8.6-50 MG

P

OTC

senna plus oral tablet 8.6-50 mg

P

OTC

senna s oral tablet 8.6-50 mg

P

OTC

senna-docusate sodium oral tablet 8.6-50 mg

P

OTC

SENNALAX-S ORAL TABLET 8.6-50 MG

P

OTC

senna-s oral tablet 8.6-50 mg

P

OTC

senna-time s oral tablet 8.6-50 mg

P

OTC

sennosides-docusate sodium oral tablet 8.6-50

mg

P

OTC

*Laxatives - Miscellaneous**-*Laxatives -

Miscellaneous***

sorbitol oral solution 70 %

P

OTC

*Saline Laxatives**-*Saline Laxative

Mixtures***

enema enema 7-19 gm/118ml

P

OTC

phosphate laxative oral solution 0.9-2.4 gm/5ml

P

OTC

*Saline Laxatives**-*Saline Laxatives***

citrate of magnesia oral solution 1.745 gm/30ml

P

OTC

CITROMA ORAL SOLUTION 1.745

GM/30ML

P

OTC

DULCOLAX MILK OF MAGNESIA ORAL

SUSPENSION 400 MG/5ML

P

OTC

(17)

milk of magnesia oral suspension 400 mg/5ml,

7.75 %

P

OTC

*Stimulant Laxatives**-*Stimulant

Laxatives***

BISAC-EVAC SUPPOSITORY 10 MG

P

OTC

biscolax suppository 10 mg

P

OTC

CARTERS LITTLE PILLS ORAL TABLET

DELAYED RELEASE 5 MG

P

OTC

correct oral tablet delayed release 5 mg

P

OTC

CORRECTOL ORAL TABLET DELAYED

RELEASE 5 MG

P

OTC

ducodyl oral tablet delayed release 5 mg

P

OTC

EX-LAX ORAL TABLET CHEWABLE 15

MG

P

OTC

EX-LAX ULTRA ORAL TABLET

DELAYED RELEASE 5 MG

P

OTC

FEENAMINT ORAL TABLET DELAYED

RELEASE 5 MG

P

OTC

FLEET LAXATIVE ORAL TABLET

DELAYED RELEASE 5 MG

P

OTC

gentle laxative oral tablet delayed release 5 mg

P

OTC

laxative suppository 10 mg

P

OTC

natural senna laxative oral tablet 64.8-324 mg

P

OTC

senexon oral liquid† 8.8 mg/5ml

P

OTC

senexon oral tablet 8.6 mg

P

OTC

senna lax oral tablet 8.6 mg

P

OTC

senna laxative oral tablet 25 mg, 8.6 mg

P

OTC

senna oral syrup 8.8 mg/5ml

P

OTC

senna oral tablet 8.6 mg

P

OTC

SENNA SMOOTH ORAL TABLET 15 MG

P

OTC

SENNACON ORAL TABLET 8.6 MG

P

OTC

senna-lax oral tablet 8.6 mg

P

OTC

senna-tabs oral tablet 8.6 mg

P

OTC

senna-time oral tablet 8.6 mg

P

OTC

SENNO ORAL TABLET 8.6 MG

P

OTC

stimulant laxative oral tablet delayed release 5

(18)

womens laxative oral tablet delayed release 5 mg

P

OTC

*Surfactant Laxatives**-*Surfactant

Laxatives***

CORRECTOL EXTRA GENTLE ORAL

CAPSULE 100 MG

P

OTC

d.o.s. oral capsule 250 mg

P

OTC

diocto oral liquid† 50 mg/5ml

P

OTC

diocto oral syrup 60 mg/15ml

P

OTC

docqlace oral capsule 100 mg

P

OTC

docu soft oral capsule 100 mg

P

OTC

docusate calcium oral capsule 240 mg

P

OTC

docusate sodium oral capsule 250 mg

P

OTC

docusate sodium oral tablet 100 mg

P

OTC

DOCUSIL ORAL CAPSULE 100 MG

P

OTC

DOK ORAL CAPSULE 100 MG, 250 MG

P

OTC

DOK ORAL TABLET 100 MG

P

OTC

dss oral capsule 100 mg, 250 mg

P

OTC

DULCOLAX STOOL SOFTENER ORAL

CAPSULE 100 MG

P

OTC

kao-tin oral capsule 240 mg

P

OTC

laxa basic oral capsule 100 mg

P

OTC

silace oral liquid† 150 mg/15ml

P

OTC

silace oral syrup 60 mg/15ml

P

OTC

SOF-LAX ORAL CAPSULE 100 MG

P

OTC

stool softener laxative dc oral capsule 240 mg

P

OTC

stool softener oral capsule 100 mg, 250 mg

P

OTC

SURFAK ORAL CAPSULE 240 MG

P

OTC

sur-q-lax oral capsule 240 mg

P

OTC

*Medical Devices*

*Respiratory Therapy Supplies**-*Respiratory

Therapy Supplies***

ACE AEROSOL CLOUD ENHANCER

P

QL (2 EA per 365 days)

IN-CHECK DIAL FLOW TRAINER

DEVICE

P

QL (2 EA per 365 days)

PFLEX

P

QL (2 EA per 365 days)

(19)

THRESHOLD PEP DEVICE

P

QL (2 EA per 365 days)

WINDMILL TRAINER

P

QL (2 EA per 365 days)

*Respiratory Therapy

Supplies**-*Spacer/Aerosol-Holding Chambers

& Supplies***

AEROCHAMBER MV

P

QL (2 EA per 365 days)

AEROCHAMBER PLUS FLO-VU

P

QL (2 EA per 365 days)

AEROCHAMBER PLUS FLO-VU LARGE

P

QL (2 EA per 365 days)

AEROCHAMBER PLUS FLO-VU SMALL

P

QL (2 EA per 365 days)

AEROCHAMBER PLUS FLO-VU

W/MASK

P

QL (2 EA per 365 days)

AEROCHAMBER W/FLOWSIGNAL

P

QL (2 EA per 365 days)

AEROCHAMBER Z-STAT PLUS

P

QL (2 EA per 365 days)

AEROCHAMBER Z-STAT PLUS

CHAMBR

P

QL (2 EA per 365 days)

EASIVENT

P

QL (2 EA per 365 days)

MICROCHAMBER

P

QL (2 EA per 365 days)

MICROSPACER

P

QL (2 EA per 365 days)

OPTICHAMBER ADVANTAGE

P

QL (2 EA per 365 days)

OPTICHAMBER FACE MASK-LARGE

P

OTC; QL (2 EA per 365 days)

OPTICHAMBER FACE MASK-MEDIUM

P

OTC; QL (2 EA per 365 days)

OPTICHAMBER FACE MASK-SMALL

P

OTC; QL (2 EA per 365 days)

OPTIHALER

P

QL (2 EA per 365 days)

OPTIHALER DEVICE

P

QL (2 EA per 365 days)

POCKET CHAMBER DEVICE

P

QL (2 EA per 365 days)

POCKET SPACER DEVICE

P

QL (2 EA per 365 days)

WATCHHALER DEVICE

P

QL (2 EA per 365 days)

*Minerals & Electrolytes*

*Calcium**-*Calcium Combinations***

calcium + d3 oral tablet 600-200 mg-unit

P

OTC

calcium 600-d oral tablet 600-400 mg-unit

P

OTC

calcium carbonate-vitamin d oral tablet 500-400

mg-unit, 600-400 mg-unit

P

OTC

calcium high potency/vitamin d oral tablet

600-200 mg-unit

P

OTC

(20)

calcium-carb 600 + d oral tablet 600-125

mg-unit

P

OTC

calcium-vitamin d oral tablet 500-125 mg-unit,

600-125 mg-unit, 600-200 mg-unit

P

OTC

CALTRATE 600+D ORAL TABLET 600-800

MG-UNIT

P

OTC

liquid calcium/vitamin d oral capsule 600-200

mg-unit

P

OTC

OYSCO 500+D ORAL TABLET 500-200

MG-UNIT

P

OTC

OYSCO D ORAL TABLET 250-125

MG-UNIT

P

OTC

oyst-cal d oral tablet 250-125 mg-unit

P

OTC

oyster calcium + d oral tablet 250-125 mg-unit

P

OTC

oyster shell calcium + d oral tablet 500-400

mg-unit

P

OTC

oyster shell calcium 500 + d oral tablet 500-125

mg-unit

P

OTC

oyster shell calcium/d oral tablet 250-125

mg-unit, 500-200 mg-unit

P

OTC

oyster shell calcium/vitamin d oral tablet

500-200 mg-unit

P

OTC

oyster shell/vitamin d oral tablet 600-125

mg-unit

P

OTC

*Calcium**-*Calcium***

calcarb 600 oral tablet 1500 mg

P

OTC

CAL-CARB FORTE ORAL TABLET 1250

MG

P

OTC

CALCI-CHEW ORAL TABLET

CHEWABLE 1250 MG

P

OTC

calcium 600 oral tablet 600 mg

P

OTC

calcium carbonate oral suspension 1250 mg/5ml

P

OTC

calcium carbonate oral tablet 1250 mg, 600 mg

P

OTC

calcium high potency oral tablet 600 mg

P

OTC

calcium lactate oral tablet 648 mg

P

OTC

calcium oral tablet 600 mg

P

OTC

calcium oyster shell oral tablet 1250 mg

P

OTC

(21)

cal-lac oral capsule 500 mg

P

OTC

CALTRATE 600 ORAL TABLET 1500 MG

P

OTC

OYSCO 500 ORAL TABLET 500 MG

P

OTC

OYSTERCAL ORAL TABLET 500 MG

P

OTC

*Electrolyte Mixtures**-*Electrolytes Oral***

ORALYTE FREEZER POPS ORAL

SOLUTION

P

OTC; QL (4000 ML per 31 days)

ORALYTE ORAL SOLUTION

P

OTC; QL (4000 ML per 31 days)

*Magnesium**-*Magnesium***

MAG64 ORAL TABLET

EXTENDEDRELEASE* 535 (64 MG) MG

P

OTC

mag-delay oral tablet extendedrelease* 535 (64

mg) mg

P

OTC

magnacaps oral capsule 100 mg

P

OTC

magnesium oral tablet 250 mg

P

OTC

magnesium oxide oral tablet 400 (240 mg) mg

P

OTC

MAGNESIUM-OXIDE ORAL TABLET 400

(241.3 MG) MG

P

OTC

mag-sr oral tablet extendedrelease* 535 (64

mg) mg

P

OTC

MAG-TAB SR ORAL TABLET

EXTENDEDRELEASE* 84 MG (7MEQ)

P

OTC

*Sodium**-*Sodium***

sodium chloride oral tablet 1 gm

P

OTC

*Zinc**-*Zinc***

ORAZINC ORAL CAPSULE 220 MG

P

OTC

zinc gluconate oral tablet 50 mg

P

OTC

zinc oral tablet 50 mg

P

OTC

zinc sulfate oral capsule 220 mg

P

OTC

zinc sulfate oral tablet 220 (50 zn) mg

P

OTC

zinc-220 oral capsule 220 mg

P

OTC

*Multivitamins*

*B-Complex W/ C**-*B-Complex W/ C***

(22)

*B-Complex W/ Folic Acid**-*B-Complex W/

C & Folic Acid***

NEPHRONEX ORAL TABLET

P

RENAL ORAL CAPSULE 1 MG

P

rena-vite rx oral tablet 1 mg

P

reno caps oral capsule 1 mg

P

*Multiple Vitamins W/ Minerals**-*Multiple

Vitamins W/ Minerals***

centamin oral liquid†

P

OTC

centavite a-z complete-mineral oral tablet

P

OTC

centavite oral liquid†

P

OTC

CEROVITE ADVANCED FORMULA

ORAL TABLET

P

OTC

CERTAVITE/ANTIOXIDANTS ORAL

LIQUID†

P

OTC

formula twenty-one oral tablet

P

OTC

gerivite complete oral tablet

P

OTC

multivitamin & mineral oral liquid†

P

OTC

SUPER NU-THERA ORAL TABLET

P

OTC

thera vital m oral tablet

P

OTC

therabasic-m oral tablet

P

OTC

thera-m oral tablet

P

OTC

therapeutic liquid oral solution

P

OTC

therapeutic-m oral tablet

P

OTC

TOTAL FORMULA 3 ORAL TABLET

P

OTC

*Multivitamins**-*Multivitamins***

daily multiple vitamins oral tablet

P

OTC

daily vite oral tablet

P

OTC

daily vites oral tablet

P

OTC

multi-day oral tablet

P

OTC

multi-vitamin oral tablet

P

OTC

multi-vitamins oral tablet

P

OTC

once daily oral tablet

P

OTC

one-daily multi vitamins oral tablet

P

OTC

(23)

THERA/BETA-CAROTENE ORAL

TABLET

P

OTC

therapeutic oral tablet

P

OTC

thera-tabs oral tablet

P

OTC

*Ped Mv W/ Fluoride**-*Ped Mv W/

Fluoride***

multi-vit/fluoride oral solution 0.25 mg/ml, 0.5

mg/ml

P

multivitamin/fluoride oral tablet chewable 0.25

mg, 0.5 mg, 1 mg

P

multi-vitamin/fluoride oral tablet chewable 0.5

mg

P

multivitamins/fluoride oral tablet chewable 0.25

mg

P

*Ped Mv W/ Iron**-*Ped Mv W/ Iron***

polyvitamin/iron oral solution 10 mg/ml

P

OTC

*Pediatric Multiple Vitamins**-*Pediatric

Multiple Vitamins W/ C***

polyvitamin oral solution 35 mg/ml

P

OTC

*Pediatric Vitamins**-*Pediatric Vitamins A &

D W/ C***

tri-vitamin oral solution 1500-400-35

P

OTC

*Prenatal Vitamins**-*Prenatal Mv & Min

W/Fe-Fa***

prenatal low iron oral tablet 27-0.8 mg

P

OTC

*Specialty Vitamins Products**-*Specialty

Vitamins Products***

vitamins for hair oral tablet

P

OTC

*Nasal Agents - Systemic And Topical*

*Nasal Agents - Misc.**-*Nasal Agents -

Misc.***

altamist spray nasal solution 0.65 %

P

OTC

AYR NASAL SOLUTION 0.65 %

P

OTC

deep sea nasal spray nasal solution 0.65 %

P

OTC

HUMIST NASAL SOLUTION 0.65 %

P

OTC

LITTLE NOSES SALINE NASAL

(24)

NASAL MOIST NASAL SOLUTION 0.65 %

P

OTC

na-zone nasal solution 0.65 %

P

OTC

OCEAN FOR KIDS NASAL SOLUTION

0.65 %

P

OTC

saline mist spray nasal solution 0.65 %

P

OTC

saline nasal spray nasal solution 0.65 %

P

OTC

sea soft nasal mist nasal solution 0.65 %

P

OTC

*Nasal Antiallergy**-*Nasal Mast Cell

Stabilizers***

cromolyn sodium nasal aerosol, solution 5.2

mg/act

P

OTC

*Sympathomimetic Decongestants**-*Systemic

Decongestants***

pseudoephedrine hcl oral tablet 30 mg, 60 mg

P

OTC

SUDAFED 12 HOUR ORAL TABLET

EXTENDED RELEASE 12 HR* 120 MG

P

OTC

*Ophthalmic Agents*

*Artificial Tears And Lubricants**-*Artificial

Tear And Lubricant Combinations***

artificial tears ophthalmic ointment 83-15 %

P

OTC

HYPOTEARS OPHTHALMIC SOLUTION

1-1 %

P

OTC

*Artificial Tears And Lubricants**-*Artificial

Tear Ointments***

tears again ophthalmic ointment

P

OTC

ULTRA FRESH PM OPHTHALMIC

OINTMENT

P

OTC

*Artificial Tears And Lubricants**-*Artificial

Tear Solutions***

tears again ophthalmic solution

P

OTC

*Artificial Tears And Lubricants**-*Artificial

Tears And Lubricants***

artificial tears ophthalmic solution 1.4 %

P

OTC; QL (15 ML per 31 days)

liquitears ophthalmic solution 1.4 %

P

OTC; QL (15 ML per 31 Days)

(25)

*Ophthalmics - Misc.**-*Ophthalmic

Antiallergic***

ALAWAY OPHTHALMIC SOLUTION

0.025 %

P

OTC

ketotifen fumarate ophthalmic solution 0.025 %

P

OTC

*Otic Agents*

*Otic Agents - Miscellaneous**-*Otic Agents -

Miscellaneous***

auraphene-b otic solution 6.5 %

P

OTC

ear drops earwax aid otic solution 6.5 %

P

OTC

earwax treatment drops otic solution 6.5 %

P

OTC

E-R-O EAR DROPS OTIC SOLUTION 6.5

%

P

OTC

E-R-O EAR WAX REMOVAL SYSTEM

OTIC SOLUTION 6.5 %

P

OTC

MURINE EAR OTIC SOLUTION 6.5 %

P

OTC

MURINE EAR WAX REMOVAL SYSTEM

OTIC SOLUTION 6.5 %

P

OTC

OTIX OTIC SOLUTION 6.5 %

P

OTC

thera-ear otic solution 6.5 %

P

OTC

*Psychotherapeutic And Neurological Agents -

Misc.*

*Smoking Deterrents**-*Smoking

Deterrents***

nicotine polacrilex mouth/throat gum 2 mg, 4 mg

P

OTC; QL (4032 EA per 365

days)

nicotine transdermal patch 24 hr 14 mg/24hr, 21

mg/24hr, 7 mg/24hr

P

OTC; QL (140 EA per 365 days)

*Ulcer Drugs*

*H-2 Antagonists**-*H-2 Antagonists***

acid reducer oral tablet 75 mg

P

OTC

cimetidine oral tablet 200 mg

P

OTC

famotidine oral tablet 10 mg

P

OTC

*Proton Pump Inhibitors**-*Proton Pump

Inhibitors***

(26)

*Vaginal Products*

*Vaginal Anti-Infectives**-*Imidazole-Related

Antifungals***

GYNE-LOTRIMIN 3 VAGINAL CREAM 2

%

P

OTC

miconazole 3 combo pack vaginal kit 200-2

mg-% (9gm)

P

OTC

miconazole nitrate vaginal cream 2 %

P

OTC

miconazole nitrate vaginal suppository 100 mg

P

OTC

MONISTAT 3 VAGINAL CREAM 4 %

P

OTC

*Vitamins*

*Oil Soluble Vitamins**-*Vitamin A***

vitamin a oral capsule 10000 unit, 8000 unit

P

OTC

*Oil Soluble Vitamins**-*Vitamin D***

CALCIFEROL ORAL SOLUTION 8000

UNIT/ML

P

OTC

vitamin d (ergocalciferol) oral capsule 50000

unit

P

QL (4 EA per 28 days)

vitamin d oral capsule 1000 unit, 400 unit

P

OTC

vitamin d oral tablet 400 unit

P

OTC

vitamin d3 oral capsule 2000 unit

P

OTC

vitamin d3 oral tablet 1000 unit, 400 unit

P

OTC

vitamin d3 oral tablet chewable 400 unit

P

OTC

vitamin d-400 oral tablet 400 unit

P

OTC

*Oil Soluble Vitamins**-*Vitamin E***

vitamin e oral capsule 400 unit

P

OTC

vitamin e oral tablet chewable 400 unit

P

OTC

*Oil Soluble Vitamins**-*Vitamin K***

vitamin k (phytonadione) oral tablet 100 mcg

P

OTC

*Water Soluble Vitamins**-*Vitamin B-1***

vitamin b-1 oral tablet 100 mg, 250 mg, 50 mg

P

OTC

*Water Soluble Vitamins**-*Vitamin B-2***

vitamin b-2 oral tablet 100 mg

P

OTC

*Water Soluble Vitamins**-*Vitamin B-3***

ENDUR-ACIN ORAL TABLET

(27)

niacin er oral capsule extended release* 250 mg,

500 mg

P

OTC

niacin er oral tablet extendedrelease* 250 mg

P

OTC

niacin oral tablet 100 mg, 250 mg, 50 mg, 500

mg

P

OTC

*Water Soluble Vitamins**-*Vitamin B-6***

vitamin b-6 er oral tablet extendedrelease* 200

mg

P

OTC

vitamin b-6 oral tablet 100 mg, 25 mg, 250 mg,

50 mg, 500 mg

P

OTC

*Water Soluble Vitamins**-*Vitamin C***

ascorbic acid oral tablet 1000 mg, 250 mg, 500

mg

P

OTC

ascorbic acid oral tablet chewable 250 mg

P

OTC

c-500 oral tablet chewable 500 mg

P

OTC

vitamin c oral syrup 500 mg/5ml

P

OTC

vitamin c oral tablet 100 mg, 1000 mg, 250 mg,

500 mg

P

OTC

(28)

Index

ACE AEROSOL CLOUD

ENHANCER

...

15

ACEPHEN

...

1

acetaminophen

...

1

ACID GONE

...

4

acid reducer

...

22

acne medication 5

...

9

AEROCHAMBER MV

...

16

AEROCHAMBER PLUS

FLO-VU

...

16

AEROCHAMBER PLUS

FLO-VU LARGE

...

16

AEROCHAMBER PLUS

FLO-VU SMALL

...

16

AEROCHAMBER PLUS

FLO-VU W/MASK

...

16

AEROCHAMBER

W/FLOWSIGNAL

...

16

AEROCHAMBER Z-STAT

PLUS

...

16

AEROCHAMBER Z-STAT

PLUS CHAMBR

...

16

alamag plus

...

3

ALAVERT ALLERGY/SINUS

...

8

ALAWAY

...

22

alcalak

...

4

aler-cap

...

6

aler-dryl

...

6

alertab

...

6

ALLEGRA ALLERGY

CHILDRENS

...

7

ALLEGRA-D ALLERGY &

CONGESTION

...

8

aller-chlor

...

6

allergy

...

6, 7

allergy relief

...

6

allergy relief childrens

...

6

allergy relief/nasal decongest

...

8

ALMACONE

...

3

altamist spray

...

20

altaryl

...

6

aluminum hydroxide gel

...

4

AMLACTIN

...

10

ammonium lactate

...

10

antacid

...

3, 4

antacid anti-gas

...

3

antacid anti-gas max strength

...

3

antacid extra strength

...

3

antacid i

...

3

Index

antacid iii

...

3

anti-diarrheal

...

5

anti-fungal

...

9

anti-hist allergy

...

6

anti-itch maximum strength

...

9

apap

...

1

apap extra strength

...

1

artificial tears

...

21

ascorbic acid

...

24

aspirin

...

2, 3

aspirin childrens

...

2

aspirin ec

...

2

aspirin ec low dose

...

2

aspirin low dose

...

2

auraphene-b

...

22

AVEENO ANTI-ITCH MAX

ST

...

10

AYR

...

20

bacitracin

...

9

bacitracin zinc

...

9

bacitracin-neomycin-polymyxin

...

9

BANOPHEN

...

6

BD GLUCOSE

...

5

BENADRYL ALLERGY

CHILDRENS

...

6

BENADRYL ITCH

STOPPING

...

9

benzoyl peroxide

...

9

BISAC-EVAC

...

14

biscolax

...

14

bismatrol

...

5

bismuth

...

5

BRONCHO SALINE

...

9

BROTAPP

...

8

c-500

...

24

calcarb 600

...

17

CAL-CARB FORTE

...

17

CALCI-CHEW

...

17

CALCIFEROL

...

23

calcium

...

16, 17

calcium + d3

...

16

calcium 600

...

17

calcium 600-d

...

16

calcium antacid

...

4

calcium antacid extra strength

...

4

calcium carbonate

...

17

calcium carbonate antacid

...

4

calcium carbonate-vitamin d

...

16

calcium high potency

...

17

Index

calcium high potency/vitamin d

...

16

calcium lactate

...

17

calcium oyster shell

...

17

calcium-carb 600

...

17

calcium-carb 600 + d

...

17

calcium-vitamin d

...

17

CAL-GEST ANTACID

...

4

cal-lac

...

18

CALTRATE 600

...

18

CALTRATE 600+D

...

17

capsaicin

...

11

CARTERS LITTLE PILLS

...

14

centamin

...

19

centavite

...

19

centavite a-z complete-mineral

...

19

CEROVITE ADVANCED

FORMULA

...

19

CERTAVITE/ANTIOXIDANT

S

...

19

cetirizine hcl

...

7

cetirizine hcl childrens

...

7

cetirizine hcl childrens alrgy

...

7

cetirizine-pseudoephedrine er

...

8

chest congestion relief

...

8

childrens ibuprofen

...

1

childrens loratadine

...

7

childrens non-asa pain relief

...

1

childrens non-aspirin

...

1

childrens pain reliever

...

1

childrens silapap

...

1

childrens tactinal

...

1

chlorhexidine gluconate

...

8

chlorhist

...

6

chlorphen

...

6

cimetidine

...

22

citrate of magnesia

...

13

CITROMA

...

13

CLEAR AWAY 1-STEP WART

REMOVER

...

10

clotrimazole

...

9

complete allergy medication

...

6

complete allergy relief

...

6

COMPOUND W

...

10

COMPOUND W MAXIMUM

STRENGTH

...

10

compoz

...

12

correct

...

14

CORRECTOL

...

14

(29)

GENTLE

...

15

cromolyn sodium

...

21

cyanocobalamin

...

11

d.o.s.

...

15

daily multiple vitamins

...

19

daily vite

...

19

daily vites

...

19

dakins

...

8

dakins (1/2 strength)

...

8

dakins (1/4 strength)

...

8

deep sea nasal spray

...

20

DIABETIC TUSSIN

ALLERGY

...

6

diocto

...

15

diotame

...

5

diphenhist

...

6, 7

diphenhydramine hcl

...

7

docqlace

...

15

DOC-Q-LAX

...

13

docu soft

...

15

docusate calcium

...

15

docusate sodium

...

15

DOCUSIL

...

15

DOK

...

15

DORMIN

...

7

double antibiotic

...

9

dss

...

15

ducodyl

...

14

DULCOLAX MILK OF

MAGNESIA

...

13

DULCOLAX STOOL

SOFTENER

...

15

ear drops earwax aid

...

22

earwax treatment drops

...

22

EASIVENT

...

16

ECPIRIN

...

3

ed-apap

...

1

ENDUR-ACIN

...

23

enema

...

13

E-R-O EAR DROPS

...

22

E-R-O EAR WAX REMOVAL

SYSTEM

...

22

EX-LAX

...

14

EX-LAX ULTRA

...

14

famotidine

...

22

FEENAMINT

...

14

ferro-bob

...

11

ferrous sulfate

...

11

ferrousul

...

11

fexofenadine hcl

...

7

fexofenadine-pseudoephed er

...

8

fiber laxative

...

12

fiber therapy

...

12

FIBERGEN

...

12

fiber-lax

...

12

FLEET LAXATIVE

...

14

folic acid

...

11

formula twenty-one

...

19

FREEZONE

...

10

genahist

...

7

gentle laxative

...

14

geri-lanta

...

3

gerivite complete

...

19

glucose

...

5

gnp foaming antacid

...

4

GYNE-LOTRIMIN 3

...

23

headache pm

...

12

hem-prep

...

3

HUMIST

...

20

hydrocortisone

...

10

hydrocortisone max st

...

10

hydrocortisone max st/12 moist

...

10

hydrocortisone-aloe

...

10

HYDROSKIN

...

10

HYPOTEARS

...

21

ibuprofen

...

1

IN-CHECK DIAL FLOW

TRAINER

...

15

infants silapap

...

1

ipecac

...

5

iron

...

12

itch relief

...

10

KAOPECTATE

...

5

KAOPECTATE EXTRA

STRENGTH

...

5

kao-tin

...

5, 15

ketotifen fumarate

...

22

KONSYL

...

12

KONSYL FIBER

...

12

kp hydrocortisone

...

10

laxa basic

...

15

laxative

...

14

liquid calcium/vitamin d

...

17

liquitears

...

21

LITTLE NOSES SALINE

...

20

LOPERAMIDE A-D

...

5

loperamide hcl

...

5

loratadine

...

7

loratadine childrens

...

7

loratadine hives relief

...

7

MAALOX

...

4

MAALOX ADVANCED MAX

ST

...

3

MAALOX MAX

...

3

MAALOX MULTI SYMPTOM

MAX ST

...

3

MAALOX REGULAR

STRENGTH

...

3

MAG64

...

18

mag-delay

...

18

magnacaps

...

18

magnesium

...

18

magnesium citrate

...

13

magnesium oxide

...

4, 18

MAGNESIUM-OXIDE

...

18

mag-sr

...

18

MAG-TAB SR

...

18

mapap

...

2

mapap arthritis pain

...

2

MAPAP CHILDRENS

...

2

mapap pm

...

12

maxapap maximum strength

...

2

maxapap regular strength

...

2

meclizine hcl

...

6

melatonin maximum strength

...

1

METAMUCIL

...

12, 13

METAMUCIL

MULTIHEALTH FIBER

...

12

METAMUCIL SMOOTH

TEXTURE

...

13

MI-ACID

...

4

mi-acid gas relief

...

11

miconazole 3 combo pack

...

23

miconazole nitrate

...

23

MICROCHAMBER

...

16

MICROSPACER

...

16

milantex

...

3

milantex extra strength

...

3

milk of magnesia

...

14

MINTOX PLUS

...

3

MONISTAT 3

...

23

mucus relief

...

8

multi-day

...

19

multi-vit/fluoride

...

20

multi-vitamin

...

19

multivitamin & mineral

...

19

multivitamin/fluoride

...

20

multi-vitamin/fluoride

...

20

multi-vitamins

...

19

multivitamins/fluoride

...

20

References

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