Last updated January 1, 2024
Virtual Health – SmithRx Prescription Formulary.
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Rx List Tier 1 - $10 or Less
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
METFORMIN HCL TAB ER 24HR 750 MG
METHADONE HCL TAB 5 MG
METHENAMINE MANDELATE (BULK) POWDER
METHIMAZOLE TAB 5 MG
METHOCARBAMOL TAB 500 MG
METHOCARBAMOL TAB 750 MG
METHOTREXATE SODIUM INJ 50 MG/2ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 100 MG/4ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 50 MG/2ML (25 MG/ML)
METHYLPHENIDATE HCL TAB 20 MG
METHYLPREDNISOLONE SOD SUCC FOR INJ 125 MG (BASE EQUIV)
METHYLPREDNISOLONE SOD SUCC FOR INJ 40 MG (BASE EQUIV)
METHYLPREDNISOLONE TAB THERAPY PACK 4 MG (21)
METOCLOPRAMIDE HCL SOLN 5 MG/5ML (10 MG/10ML) (BASE EQUIV)
METOCLOPRAMIDE HCL TAB 10 MG (BASE EQUIVALENT)
METOCLOPRAMIDE HCL TAB 5 MG (BASE EQUIVALENT)
METOPROLOL TARTRATE IV SOLN 5 MG/5ML
METOPROLOL TARTRATE TAB 100 MG
METOPROLOL TARTRATE TAB 25 MG
METOPROLOL TARTRATE TAB 50 MG
MINOXIDIL SOLN 2%
MIRTAZAPINE TAB 15 MG
NAPROXEN SODIUM CAP 220 MG
NAPROXEN SODIUM TAB 220 MG
NAPROXEN TAB 250 MG
NAPROXEN TAB 375 MG
NEOMYCIN-BACITRACIN-POLYMYXIN OINT
NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCG
NORETHINDRONE TAB 0.35 MG
NORGESTIMATE-ETH ESTRAD TAB 0.18-35/0.215-35/0.25-35 MG-MCG
NORTRIPTYLINE HCL CAP 10 MG
OLMESARTAN MEDOXOMIL TAB 5 MG
ONDANSETRON HCL INJ 4 MG/2ML (2 MG/ML)
OXYBUTYNIN CHLORIDE SYRUP 5 MG/5ML
OXYBUTYNIN CHLORIDE TAB 5 MG
OXYCODONE W/ ACETAMINOPHEN TAB 5-325 MG
PAROXETINE HCL TAB 20 MG
PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML
PENICILLIN V POTASSIUM FOR SOLN 250 MG/5ML
PENICILLIN V POTASSIUM TAB 250 MG
PHENYTOIN SODIUM INJ 50 MG/ML
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1.5 MG
PREDNISONE TAB 1 MG
PREDNISONE TAB 10 MG
PREDNISONE TAB 5 MG
PRENATAL VIT W/ FE FUMARATE-FA TAB 27-0.8 MG
PROMETHAZINE & PHENYLEPHRINE SYRUP 6.25-5 MG/5ML
PROMETHAZINE HCL SYRUP 6.25 MG/5ML
PROMETHAZINE HCL TAB 12.5 MG
PROMETHAZINE HCL TAB 25 MG
PROMETHAZINE W/ CODEINE SYRUP 6.25-10 MG/5ML
PROMETHAZINE-DM SYRUP 6.25-15 MG/5ML
PROMETHAZINE-PHENYLEPHRINE-CODEINE SYRUP 6.25-5-10 MG/5ML
PROPRANOLOL HCL TAB 10 MG
PSEUDOEPHEDRINE-IBUPROFEN TAB 30-200 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MG
RAMIPRIL CAP 10 MG
RAMIPRIL CAP 2.5 MG
RAMIPRIL CAP 5 MG
RANITIDINE HCL SYRUP 15 MG/ML (75 MG/5ML)
RANITIDINE HCL TAB 75 MG
RISPERIDONE TAB 0.25 MG
RISPERIDONE TAB 0.5 MG
RISPERIDONE TAB 3 MG
RIVASTIGMINE TD PATCH 24HR 4.6 MG/24HR
ROPINIROLE HYDROCHLORIDE TAB 0.25 MG
ROPINIROLE HYDROCHLORIDE TAB 0.5 MG
ROPINIROLE HYDROCHLORIDE TAB 1 MG
ROPINIROLE HYDROCHLORIDE TAB 2 MG
SILDENAFIL CITRATE TAB 20 MG
SIMVASTATIN TAB 5 MG
SODIUM FLUORIDE PASTE 1.1%
SODIUM FLUORIDE RINSE 0.2%
SPIRONOLACTONE TAB 100 MG
SPIRONOLACTONE TAB 25 MG
SPIRONOLACTONE TAB 50 MG
SULFAMETHOXAZOLE-TRIMETHOPRIM IV SOLN 400-80 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG
SULFASALAZINE TAB DELAYED RELEASE 500 MG
TEMAZEPAM CAP 15 MG
TERBINAFINE HCL CREAM 1%
TIZANIDINE HCL TAB 2 MG (BASE EQUIVALENT)
TORSEMIDE TAB 5 MG
TRAMADOL HCL TAB 50 MG
TRAZODONE HCL TAB 50 MG
TRIAMTERENE POWDER
VALPROATE SODIUM ORAL SOLN 250 MG/5ML (BASE EQUIV)
VERAPAMIL HCL TAB 120 MG
VERAPAMIL HCL TAB 40 MG
VERAPAMIL HCL TAB 80 MG
VERAPAMIL HCL TAB ER 120 MG
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
METFORMIN HCL TAB ER 24HR 750 MG
METHADONE HCL TAB 5 MG
METHENAMINE MANDELATE (BULK) POWDER
METHIMAZOLE TAB 5 MG
METHOCARBAMOL TAB 500 MG
METHOCARBAMOL TAB 750 MG
METHOTREXATE SODIUM INJ 50 MG/2ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 100 MG/4ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 50 MG/2ML (25 MG/ML)
METHYLPHENIDATE HCL TAB 20 MG
METHYLPREDNISOLONE SOD SUCC FOR INJ 125 MG (BASE EQUIV)
METHYLPREDNISOLONE SOD SUCC FOR INJ 40 MG (BASE EQUIV)
METHYLPREDNISOLONE TAB THERAPY PACK 4 MG (21)
METOCLOPRAMIDE HCL SOLN 5 MG/5ML (10 MG/10ML) (BASE EQUIV)
METOCLOPRAMIDE HCL TAB 10 MG (BASE EQUIVALENT)
METOCLOPRAMIDE HCL TAB 5 MG (BASE EQUIVALENT)
METOPROLOL TARTRATE IV SOLN 5 MG/5ML
METOPROLOL TARTRATE TAB 100 MG
METOPROLOL TARTRATE TAB 25 MG
METOPROLOL TARTRATE TAB 50 MG
MINOXIDIL SOLN 2%
MIRTAZAPINE TAB 15 MG
NAPROXEN SODIUM CAP 220 MG
NAPROXEN SODIUM TAB 220 MG
NAPROXEN TAB 250 MG
NAPROXEN TAB 375 MG
NEOMYCIN-BACITRACIN-POLYMYXIN OINT
NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCG
NORETHINDRONE TAB 0.35 MG
NORGESTIMATE-ETH ESTRAD TAB 0.18-35/0.215-35/0.25-35 MG-MCG
NORTRIPTYLINE HCL CAP 10 MG
OLMESARTAN MEDOXOMIL TAB 5 MG
ONDANSETRON HCL INJ 4 MG/2ML (2 MG/ML)
OXYBUTYNIN CHLORIDE SYRUP 5 MG/5ML
OXYBUTYNIN CHLORIDE TAB 5 MG
OXYCODONE W/ ACETAMINOPHEN TAB 5-325 MG
PAROXETINE HCL TAB 20 MG
PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML
PENICILLIN V POTASSIUM FOR SOLN 250 MG/5ML
PENICILLIN V POTASSIUM TAB 250 MG
PHENYTOIN SODIUM INJ 50 MG/ML
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1.5 MG
PREDNISONE TAB 1 MG
PREDNISONE TAB 10 MG
PREDNISONE TAB 5 MG
PRENATAL VIT W/ FE FUMARATE-FA TAB 27-0.8 MG
PROMETHAZINE & PHENYLEPHRINE SYRUP 6.25-5 MG/5ML
PROMETHAZINE HCL SYRUP 6.25 MG/5ML
PROMETHAZINE HCL TAB 12.5 MG
PROMETHAZINE HCL TAB 25 MG
PROMETHAZINE W/ CODEINE SYRUP 6.25-10 MG/5ML
PROMETHAZINE-DM SYRUP 6.25-15 MG/5ML
PROMETHAZINE-PHENYLEPHRINE-CODEINE SYRUP 6.25-5-10 MG/5ML
PROPRANOLOL HCL TAB 10 MG
PSEUDOEPHEDRINE-IBUPROFEN TAB 30-200 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MG
RAMIPRIL CAP 10 MG
RAMIPRIL CAP 2.5 MG
RAMIPRIL CAP 5 MG
RANITIDINE HCL SYRUP 15 MG/ML (75 MG/5ML)
RANITIDINE HCL TAB 75 MG
RISPERIDONE TAB 0.25 MG
RISPERIDONE TAB 0.5 MG
RISPERIDONE TAB 3 MG
RIVASTIGMINE TD PATCH 24HR 4.6 MG/24HR
ROPINIROLE HYDROCHLORIDE TAB 0.25 MG
ROPINIROLE HYDROCHLORIDE TAB 0.5 MG
ROPINIROLE HYDROCHLORIDE TAB 1 MG
ROPINIROLE HYDROCHLORIDE TAB 2 MG
SILDENAFIL CITRATE TAB 20 MG
SIMVASTATIN TAB 5 MG
SODIUM FLUORIDE PASTE 1.1%
SODIUM FLUORIDE RINSE 0.2%
SPIRONOLACTONE TAB 100 MG
SPIRONOLACTONE TAB 25 MG
SPIRONOLACTONE TAB 50 MG
SULFAMETHOXAZOLE-TRIMETHOPRIM IV SOLN 400-80 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG
SULFASALAZINE TAB DELAYED RELEASE 500 MG
TEMAZEPAM CAP 15 MG
TERBINAFINE HCL CREAM 1%
TIZANIDINE HCL TAB 2 MG (BASE EQUIVALENT)
TORSEMIDE TAB 5 MG
TRAMADOL HCL TAB 50 MG
TRAZODONE HCL TAB 50 MG
TRIAMTERENE POWDER
VALPROATE SODIUM ORAL SOLN 250 MG/5ML (BASE EQUIV)
VERAPAMIL HCL TAB 120 MG
VERAPAMIL HCL TAB 40 MG
VERAPAMIL HCL TAB 80 MG
VERAPAMIL HCL TAB ER 120 MG
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
Rx List Tier 2 - $25 or less
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
METFORMIN HCL TAB ER 24HR 750 MG
METHADONE HCL TAB 5 MG
METHENAMINE MANDELATE (BULK) POWDER
METHIMAZOLE TAB 5 MG
METHOCARBAMOL TAB 500 MG
METHOCARBAMOL TAB 750 MG
METHOTREXATE SODIUM INJ 50 MG/2ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 100 MG/4ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 50 MG/2ML (25 MG/ML)
METHYLPHENIDATE HCL TAB 20 MG
METHYLPREDNISOLONE SOD SUCC FOR INJ 125 MG (BASE EQUIV)
METHYLPREDNISOLONE SOD SUCC FOR INJ 40 MG (BASE EQUIV)
METHYLPREDNISOLONE TAB THERAPY PACK 4 MG (21)
METOCLOPRAMIDE HCL SOLN 5 MG/5ML (10 MG/10ML) (BASE EQUIV)
METOCLOPRAMIDE HCL TAB 10 MG (BASE EQUIVALENT)
METOCLOPRAMIDE HCL TAB 5 MG (BASE EQUIVALENT)
METOPROLOL TARTRATE IV SOLN 5 MG/5ML
METOPROLOL TARTRATE TAB 100 MG
METOPROLOL TARTRATE TAB 25 MG
METOPROLOL TARTRATE TAB 50 MG
MINOXIDIL SOLN 2%
MIRTAZAPINE TAB 15 MG
NAPROXEN SODIUM CAP 220 MG
NAPROXEN SODIUM TAB 220 MG
NAPROXEN TAB 250 MG
NAPROXEN TAB 375 MG
NEOMYCIN-BACITRACIN-POLYMYXIN OINT
NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCG
NORETHINDRONE TAB 0.35 MG
NORGESTIMATE-ETH ESTRAD TAB 0.18-35/0.215-35/0.25-35 MG-MCG
NORTRIPTYLINE HCL CAP 10 MG
OLMESARTAN MEDOXOMIL TAB 5 MG
ONDANSETRON HCL INJ 4 MG/2ML (2 MG/ML)
OXYBUTYNIN CHLORIDE SYRUP 5 MG/5ML
OXYBUTYNIN CHLORIDE TAB 5 MG
OXYCODONE W/ ACETAMINOPHEN TAB 5-325 MG
PAROXETINE HCL TAB 20 MG
PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML
PENICILLIN V POTASSIUM FOR SOLN 250 MG/5ML
PENICILLIN V POTASSIUM TAB 250 MG
PHENYTOIN SODIUM INJ 50 MG/ML
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1.5 MG
PREDNISONE TAB 1 MG
PREDNISONE TAB 10 MG
PREDNISONE TAB 5 MG
PRENATAL VIT W/ FE FUMARATE-FA TAB 27-0.8 MG
PROMETHAZINE & PHENYLEPHRINE SYRUP 6.25-5 MG/5ML
PROMETHAZINE HCL SYRUP 6.25 MG/5ML
PROMETHAZINE HCL TAB 12.5 MG
PROMETHAZINE HCL TAB 25 MG
PROMETHAZINE W/ CODEINE SYRUP 6.25-10 MG/5ML
PROMETHAZINE-DM SYRUP 6.25-15 MG/5ML
PROMETHAZINE-PHENYLEPHRINE-CODEINE SYRUP 6.25-5-10 MG/5ML
PROPRANOLOL HCL TAB 10 MG
PSEUDOEPHEDRINE-IBUPROFEN TAB 30-200 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MG
RAMIPRIL CAP 10 MG
RAMIPRIL CAP 2.5 MG
RAMIPRIL CAP 5 MG
RANITIDINE HCL SYRUP 15 MG/ML (75 MG/5ML)
RANITIDINE HCL TAB 75 MG
RISPERIDONE TAB 0.25 MG
RISPERIDONE TAB 0.5 MG
RISPERIDONE TAB 3 MG
RIVASTIGMINE TD PATCH 24HR 4.6 MG/24HR
ROPINIROLE HYDROCHLORIDE TAB 0.25 MG
ROPINIROLE HYDROCHLORIDE TAB 0.5 MG
ROPINIROLE HYDROCHLORIDE TAB 1 MG
ROPINIROLE HYDROCHLORIDE TAB 2 MG
SILDENAFIL CITRATE TAB 20 MG
SIMVASTATIN TAB 5 MG
SODIUM FLUORIDE PASTE 1.1%
SODIUM FLUORIDE RINSE 0.2%
SPIRONOLACTONE TAB 100 MG
SPIRONOLACTONE TAB 25 MG
SPIRONOLACTONE TAB 50 MG
SULFAMETHOXAZOLE-TRIMETHOPRIM IV SOLN 400-80 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG
SULFASALAZINE TAB DELAYED RELEASE 500 MG
TEMAZEPAM CAP 15 MG
TERBINAFINE HCL CREAM 1%
TIZANIDINE HCL TAB 2 MG (BASE EQUIVALENT)
TORSEMIDE TAB 5 MG
TRAMADOL HCL TAB 50 MG
TRAZODONE HCL TAB 50 MG
TRIAMTERENE POWDER
VALPROATE SODIUM ORAL SOLN 250 MG/5ML (BASE EQUIV)
VERAPAMIL HCL TAB 120 MG
VERAPAMIL HCL TAB 40 MG
VERAPAMIL HCL TAB 80 MG
VERAPAMIL HCL TAB ER 120 MG
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
METFORMIN HCL TAB ER 24HR 750 MG
METHADONE HCL TAB 5 MG
METHENAMINE MANDELATE (BULK) POWDER
METHIMAZOLE TAB 5 MG
METHOCARBAMOL TAB 500 MG
METHOCARBAMOL TAB 750 MG
METHOTREXATE SODIUM INJ 50 MG/2ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 100 MG/4ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 50 MG/2ML (25 MG/ML)
METHYLPHENIDATE HCL TAB 20 MG
METHYLPREDNISOLONE SOD SUCC FOR INJ 125 MG (BASE EQUIV)
METHYLPREDNISOLONE SOD SUCC FOR INJ 40 MG (BASE EQUIV)
METHYLPREDNISOLONE TAB THERAPY PACK 4 MG (21)
METOCLOPRAMIDE HCL SOLN 5 MG/5ML (10 MG/10ML) (BASE EQUIV)
METOCLOPRAMIDE HCL TAB 10 MG (BASE EQUIVALENT)
METOCLOPRAMIDE HCL TAB 5 MG (BASE EQUIVALENT)
METOPROLOL TARTRATE IV SOLN 5 MG/5ML
METOPROLOL TARTRATE TAB 100 MG
METOPROLOL TARTRATE TAB 25 MG
METOPROLOL TARTRATE TAB 50 MG
MINOXIDIL SOLN 2%
MIRTAZAPINE TAB 15 MG
NAPROXEN SODIUM CAP 220 MG
NAPROXEN SODIUM TAB 220 MG
NAPROXEN TAB 250 MG
NAPROXEN TAB 375 MG
NEOMYCIN-BACITRACIN-POLYMYXIN OINT
NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1 MG-20 MCG
NORETHINDRONE TAB 0.35 MG
NORGESTIMATE-ETH ESTRAD TAB 0.18-35/0.215-35/0.25-35 MG-MCG
NORTRIPTYLINE HCL CAP 10 MG
OLMESARTAN MEDOXOMIL TAB 5 MG
ONDANSETRON HCL INJ 4 MG/2ML (2 MG/ML)
OXYBUTYNIN CHLORIDE SYRUP 5 MG/5ML
OXYBUTYNIN CHLORIDE TAB 5 MG
OXYCODONE W/ ACETAMINOPHEN TAB 5-325 MG
PAROXETINE HCL TAB 20 MG
PENICILLIN V POTASSIUM FOR SOLN 125 MG/5ML
PENICILLIN V POTASSIUM FOR SOLN 250 MG/5ML
PENICILLIN V POTASSIUM TAB 250 MG
PHENYTOIN SODIUM INJ 50 MG/ML
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.125 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.25 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.5 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 0.75 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1 MG
PRAMIPEXOLE DIHYDROCHLORIDE TAB 1.5 MG
PREDNISONE TAB 1 MG
PREDNISONE TAB 10 MG
PREDNISONE TAB 5 MG
PRENATAL VIT W/ FE FUMARATE-FA TAB 27-0.8 MG
PROMETHAZINE & PHENYLEPHRINE SYRUP 6.25-5 MG/5ML
PROMETHAZINE HCL SYRUP 6.25 MG/5ML
PROMETHAZINE HCL TAB 12.5 MG
PROMETHAZINE HCL TAB 25 MG
PROMETHAZINE W/ CODEINE SYRUP 6.25-10 MG/5ML
PROMETHAZINE-DM SYRUP 6.25-15 MG/5ML
PROMETHAZINE-PHENYLEPHRINE-CODEINE SYRUP 6.25-5-10 MG/5ML
PROPRANOLOL HCL TAB 10 MG
PSEUDOEPHEDRINE-IBUPROFEN TAB 30-200 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 20-25 MG
RAMIPRIL CAP 10 MG
RAMIPRIL CAP 2.5 MG
RAMIPRIL CAP 5 MG
RANITIDINE HCL SYRUP 15 MG/ML (75 MG/5ML)
RANITIDINE HCL TAB 75 MG
RISPERIDONE TAB 0.25 MG
RISPERIDONE TAB 0.5 MG
RISPERIDONE TAB 3 MG
RIVASTIGMINE TD PATCH 24HR 4.6 MG/24HR
ROPINIROLE HYDROCHLORIDE TAB 0.25 MG
ROPINIROLE HYDROCHLORIDE TAB 0.5 MG
ROPINIROLE HYDROCHLORIDE TAB 1 MG
ROPINIROLE HYDROCHLORIDE TAB 2 MG
SILDENAFIL CITRATE TAB 20 MG
SIMVASTATIN TAB 5 MG
SODIUM FLUORIDE PASTE 1.1%
SODIUM FLUORIDE RINSE 0.2%
SPIRONOLACTONE TAB 100 MG
SPIRONOLACTONE TAB 25 MG
SPIRONOLACTONE TAB 50 MG
SULFAMETHOXAZOLE-TRIMETHOPRIM IV SOLN 400-80 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM SUSP 200-40 MG/5ML
SULFAMETHOXAZOLE-TRIMETHOPRIM TAB 400-80 MG
SULFASALAZINE TAB DELAYED RELEASE 500 MG
TEMAZEPAM CAP 15 MG
TERBINAFINE HCL CREAM 1%
TIZANIDINE HCL TAB 2 MG (BASE EQUIVALENT)
TORSEMIDE TAB 5 MG
TRAMADOL HCL TAB 50 MG
TRAZODONE HCL TAB 50 MG
TRIAMTERENE POWDER
VALPROATE SODIUM ORAL SOLN 250 MG/5ML (BASE EQUIV)
VERAPAMIL HCL TAB 120 MG
VERAPAMIL HCL TAB 40 MG
VERAPAMIL HCL TAB 80 MG
VERAPAMIL HCL TAB ER 120 MG
LORAZEPAM INJ 4 MG/ML
LORAZEPAM TAB 0.5 MG
LORAZEPAM TAB 1 MG
LORAZEPAM TAB 2 MG
LOVASTATIN TAB 10 MG
LOVASTATIN TAB 20 MG
LOVASTATIN TAB 40 MG
MEPERIDINE HCL INJ 100 MG/ML
MEPERIDINE HCL INJ 25 MG/ML
MEPERIDINE HCL INJ 50 MG/ML
METFORMIN HCL TAB 1000 MG
METFORMIN HCL TAB 500 MG
METFORMIN HCL TAB 850 MG
METFORMIN HCL TAB ER 24HR 500 MG
Rx List Tier 3 - $50 or Less
DOXYCYCLINE MONOHYDRATE CAP 100 MG
DOXYCYCLINE MONOHYDRATE TAB 100 MG
DROSPIRENONE-ETHINYL ESTRADIOL TAB 3-0.03 MG
DULOXETINE HCL ENTERIC COATED PELLETS CAP 30 MG (BASE EQ)
ENALAPRIL MALEATE & HYDROCHLOROTHIAZIDE TAB 10-25 MG
ESCITALOPRAM OXALATE TAB 20 MG (BASE EQUIV)
ESZOPICLONE TAB 1 MG
ETODOLAC TAB 400 MG
FAMCICLOVIR TAB 125 MG
FAMOTIDINE TAB 40 MG
FENOFIBRATE TAB 145 MG
FLECAINIDE ACETATE TAB 100 MG
FLUCONAZOLE FOR SUSP 10 MG/ML
FLUDROCORTISONE ACETATE TAB 0.1 MG
FLUOXETINE HCL CAP 40 MG
GLIPIZIDE-METFORMIN HCL TAB 2.5-500 MG
GLIPIZIDE-METFORMIN HCL TAB 5-500 MG
GUANFACINE HCL TAB 2 MG
GUANFACINE HCL TAB ER 24HR 3 MG (BASE EQUIV)
HYDROCODONE-IBUPROFEN TAB 7.5-200 MG
HYDROCORTISONE LOTION 2.5%
HYDROMORPHONE HCL LIQD 1 MG/ML
HYDROMORPHONE HCL TAB 8 MG
HYDROXYCHLOROQUINE SULFATE TAB 200 MG
IRBESARTAN TAB 300 MG
IRBESARTAN-HYDROCHLOROTHIAZIDE TAB 150-12.5 MG
IRBESARTAN-HYDROCHLOROTHIAZIDE TAB 300-12.5 MG
LAMOTRIGINE TAB CHEWABLE DISPERSIBLE 25 MG
LAMOTRIGINE TAB CHEWABLE DISPERSIBLE 5 MG
LEVETIRACETAM TAB 1000 MG
LEVETIRACETAM TAB ER 24HR 500 MG
LEVONORGESTREL & ETHINYL ESTRADIOL TAB 0.1 MG-20 MCG
LEVOTHYROXINE SODIUM TAB 175 MCG
LEVOTHYROXINE SODIUM TAB 200 MCG
LIOTHYRONINE SODIUM TAB 25 MCG
MIDODRINE HCL TAB 2.5 MG
MINOCYCLINE HCL CAP 100 MG
MINOXIDIL TAB 10 MG
MISOPROSTOL TAB 100 MCG
MONTELUKAST SODIUM CHEW TAB 4 MG (BASE EQUIV)
MONTELUKAST SODIUM CHEW TAB 5 MG (BASE EQUIV)
MONTELUKAST SODIUM TAB 10 MG (BASE EQUIV)
MYCOPHENOLATE MOFETIL TAB 500 MG
NAPROXEN TAB EC 500 MG
NIFEDIPINE TAB ER 24HR OSMOTIC RELEASE 90 MG
NITROFURANTOIN MACROCRYSTALLINE CAP 50 MG
NORETHINDRONE & ETHINYL ESTRADIOL TAB 0.4 MG-35 MCG
NORETHINDRONE & ETHINYL ESTRADIOL TAB 1 MG-35 MCG
NORETHINDRONE ACE & ETHINYL ESTRADIOL TAB 1 MG-20 MCG
NORETHINDRONE ACE & ETHINYL ESTRADIOL-FE TAB 1.5 MG-30 MCG
NORETHINDRONE-ETH ESTRADIOL TAB 0.5-35/0.75-35/1-35 MG-MCG
NORTRIPTYLINE HCL CAP 75 MG
NYSTATIN TOPICAL POWDER 100000 UNIT/GM
OLMESARTAN MEDOXOMIL TAB 20 MG
OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 40-12.5 MG
OLMESARTAN MEDOXOMIL-HYDROCHLOROTHIAZIDE TAB 40-25 MG
ONDANSETRON HCL ORAL SOLN 4 MG/5ML
OXCARBAZEPINE TAB 600 MG
OXYCODONE HCL TAB 30 MG
PHENYTOIN CHEW TAB 50 MG
PRAVASTATIN SODIUM TAB 40 MG
PRAZOSIN HCL CAP 2 MG
PRIMIDONE TAB 250 MG
PROPAFENONE HCL TAB 225 MG
QUETIAPINE FUMARATE TAB 100 MG
RISPERIDONE SOLN 1 MG/ML
RISPERIDONE TAB 2 MG
ROSUVASTATIN CALCIUM TAB 10 MG
ROSUVASTATIN CALCIUM TAB 40 MG
ROSUVASTATIN CALCIUM TAB 5 MG
SULINDAC TAB 200 MG
TACROLIMUS CAP 0.5 MG
TACROLIMUS CAP 1 MG
TAMOXIFEN CITRATE TAB 20 MG (BASE EQUIVALENT)
TELMISARTAN TAB 20 MG
TELMISARTAN TAB 80 MG
TORSEMIDE TAB 100 MG
TRANDOLAPRIL TAB 4 MG
VALACYCLOVIR HCL TAB 500 MG
VALSARTAN TAB 160 MG
VALSARTAN TAB 320 MG
VALSARTAN TAB 80 MG
VALSARTAN-HYDROCHLOROTHIAZIDE TAB 160-25 MG
VALSARTAN-HYDROCHLOROTHIAZIDE TAB 320-12.5 MG
VALSARTAN-HYDROCHLOROTHIAZIDE TAB 320-25 MG
VENLAFAXINE HCL CAP ER 24HR 150 MG (BASE EQUIVALENT)
VERAPAMIL HCL TAB ER 240 MG
ZIPRASIDONE HCL CAP 20 MG
ZOLPIDEM TARTRATE TAB ER 6.25 MG
ACETAZOLAMIDE SODIUM FOR INJ 500 MG
ALPRAZOLAM TAB ER 24HR 3 MG
AMANTADINE HCL CAP 100 MG
AMANTADINE HCL TAB 100 MG
AMIODARONE HCL IN DEXTROSE 5% IV SOLN 900 MG/500ML
AMIODARONE HCL INJ 150 MG/3ML (50 MG/ML)
AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 10-20 MG
AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 5-20 MG
AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 5-40 MG
AMOXICILLIN & K CLAVULANATE TAB 500-125 MG
AZITHROMYCIN FOR SUSP 200 MG/5ML
BALSALAZIDE DISODIUM CAP 750 MG
BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 10-12.5 MG
BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 20-25 MG
BENZTROPINE MESYLATE INJ 1 MG/ML
BETHANECHOL CHLORIDE TAB 25 MG
BUMETANIDE TAB 0.5 MG
BUTALBITAL-ACETAMINOPHEN-CAFF W/ COD CAP 50-325-40-30 MG
BUTALBITAL-ASPIRIN-CAFFEINE CAP 50-325-40 MG
CAPTOPRIL TAB 25 MG
CAPTOPRIL TAB 50 MG
CARBAMAZEPINE CAP ER 12HR 200 MG
CARBIDOPA & LEVODOPA ORALLY DISINTEGRATING TAB 25-100 MG
CARBIDOPA & LEVODOPA TAB ER 50-200 MG
CEFDINIR CAP 300 MG
CEFUROXIME AXETIL TAB 250 MG
CEFUROXIME SODIUM FOR INJ 7.5 GM
CHLORDIAZEPOXIDE-AMITRIPTYLINE TAB 5-12.5 MG
CLARITHROMYCIN FOR SUSP 125 MG/5ML
CLARITHROMYCIN FOR SUSP 250 MG/5ML
CLINDAMYCIN PHOSPHATE INJ 9 GM/60ML
CLONAZEPAM ORALLY DISINTEGRATING TAB 0.125 MG
CLONAZEPAM ORALLY DISINTEGRATING TAB 0.25 MG
CLONAZEPAM ORALLY DISINTEGRATING TAB 0.5 MG
CLONAZEPAM ORALLY DISINTEGRATING TAB 1 MG
CLONIDINE HCL INJ (FOR EPIDURAL INFUSION) 100 MCG/ML
CODEINE SULFATE TAB 30 MG
CYCLOSPORINE MODIFIED CAP 25 MG
DANTROLENE SODIUM CAP 25 MG
DANTROLENE SODIUM CAP 50 MG
DEXAMETHASONE SODIUM PHOSPHATE OPHTH SOLN 0.1%
DEXMETHYLPHENIDATE HCL TAB 10 MG
DICYCLOMINE HCL INJ 10 MG/ML
DIGOXIN TAB 250 MCG (0.25 MG)
DILTIAZEM HCL 125 MG/125ML IN DEXTROSE 5% IV SOLN (1 MG/ML)
DILTIAZEM HCL CAP ER 24HR 120 MG
DILTIAZEM HCL CAP ER 24HR 180 MG
DILTIAZEM HCL CAP ER 24HR 240 MG
DILTIAZEM HCL COATED BEADS CAP ER 24HR 300 MG
DILTIAZEM HCL EXTENDED RELEASE BEADS CAP ER 24HR 240 MG
DIPHENOXYLATE W/ ATROPINE LIQ 2.5-0.025 MG/5ML
DONEPEZIL HYDROCHLORIDE ORALLY DISINTEGRATING TAB 5 MG
DOXAZOSIN MESYLATE (BULK) POWDER
DOXYCYCLINE MONOHYDRATE TAB 50 MG
ERGOCALCIFEROL SOLN 200 MCG/ML (8000 UNIT/ML)
ETHAMBUTOL HCL TAB 400 MG
ETHOSUXIMIDE CAP 250 MG
ETHYNODIOL DIACETATE & ETHINYL ESTRADIOL TAB 1 MG-35 MCG
ETHYNODIOL DIACETATE & ETHINYL ESTRADIOL TAB 1 MG-50 MCG
ETODOLAC TAB 500 MG
FLECAINIDE ACETATE TAB 150 MG
FLUCONAZOLE TAB 50 MG
FLUOXETINE HCL TAB 20 MG
FLUVOXAMINE MALEATE TAB 100 MG
FLUVOXAMINE MALEATE TAB 25 MG
FLUVOXAMINE MALEATE TAB 50 MG
FOLIC ACID INJ 5 MG/ML
HALOPERIDOL TAB 10 MG
HYDRALAZINE HCL INJ 20 MG/ML
HYDROCODONE-ACETAMINOPHEN TAB 5-300 MG
HYDROCORTISONE PERIANAL CREAM 2.5%
HYDROCORTISONE TAB 20 MG
HYDROMORPHONE HCL-NACL SOLN PREF SYR 25 MG/50ML-0.9%
HYDROMORPHONE HCL-NACL SOLN PREF SYR 50 MG/50ML-0.9%
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% INJ 18 MG/30ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% INJ 6 MG/30ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 10 MG/50ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 15 MG/30ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 20 MG/100ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 30 MG/30ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 50 MG/50ML
HYDROXYZINE HCL IM SOLN 25 MG/ML
HYDROXYZINE PAMOATE CAP 100 MG
INDOMETHACIN CAP ER 75 MG
INFLUENZA VAC TISS-CULT SUBUNT QUAD SUSP PREF SYR 0.5 ML
ISOSORBIDE DINITRATE TAB 30 MG
ISOSORBIDE DINITRATE TAB 5 MG
LABETALOL HCL-DEXTROSE IV SOLN 200 MG/200ML-5%
LEVETIRACETAM IN SODIUM CHLORIDE IV SOLN 1000 MG/100ML
LEVETIRACETAM IN SODIUM CHLORIDE IV SOLN 1500 MG/100ML
LEVETIRACETAM TAB ER 24HR 750 MG
LEVOFLOXACIN IV SOLN 25 MG/ML
LEVONORGESTREL & ETHINYL ESTRADIOL (91-DAY) TAB 0.15-0.03 MG
LORAZEPAM CONC 2 MG/ML
LOXAPINE SUCCINATE CAP 10 MG
LOXAPINE SUCCINATE CAP 25 MG
MEPERIDINE HCL TAB 50 MG
METHENAMINE MANDELATE TAB 0.5 GM
METHENAMINE POWDER
METHOCARBAMOL INJ 1000 MG/10ML
METHOTREXATE SODIUM INJ 250 MG/10ML (25 MG/ML)
METHOTREXATE SODIUM INJ PF 1000 MG/40ML (25 MG/ML)
METHOTREXATE SODIUM TAB 2.5 MG (BASE EQUIV)
METHYLDOPA & HYDROCHLOROTHIAZIDE TAB 250-25 MG
METHYLPREDNISOLONE SOD SUCC FOR INJ 1000 MG (BASE EQUIV)
METHYLPREDNISOLONE SOD SUCC FOR INJ 500 MG (BASE EQUIV)
METOPROLOL TARTRATE TAB 37.5 MG
MIDODRINE HCL TAB 5 MG
MINOCYCLINE HCL CAP 75 MG
MINOXIDIL FOAM 5%
MINOXIDIL SOLN 5%
NAPROXEN SODIUM TAB 275 MG
NAPROXEN SODIUM TAB 550 MG
NATEGLINIDE TAB 120 MG
NATEGLINIDE TAB 60 MG
NEOMYCIN SULFATE TAB 500 MG
NEOMYCIN-BACITRAC ZN-POLYMYX 5(3.5)MG-400UNT-10000UNT OP OIN
NIFEDIPINE CAP 10 MG
NIFEDIPINE TAB ER 24HR 90 MG
NORETHINDRONE & ETHINYL ESTRADIOL TAB 0.5 MG-35 MCG
NYSTATIN TAB 500000 UNIT
OLANZAPINE FOR IM INJ 10 MG
OXCARBAZEPINE SUSP 300 MG/5ML (60 MG/ML)
OXYCODONE HCL CAP 5 MG
PERPHENAZINE TAB 2 MG
PERPHENAZINE TAB 4 MG
PERPHENAZINE-AMITRIPTYLINE TAB 2-10 MG
PERPHENAZINE-AMITRIPTYLINE TAB 2-25 MG
PHENYTOIN SODIUM EXTENDED CAP 200 MG
PINDOLOL TAB 5 MG
PIROXICAM CAP 10 MG
PREDNISOLONE ACETATE OPHTH SUSP 1%
PREDNISONE TAB 50 MG
PREDNISONE TAB THERAPY PACK 10 MG (21)
PROGESTERONE IM IN OIL 50 MG/ML
PROMETHAZINE HCL SUPPOS 50 MG
PROPRANOLOL & HYDROCHLOROTHIAZIDE TAB 40-25 MG
PROPRANOLOL & HYDROCHLOROTHIAZIDE TAB 80-25 MG
PROPRANOLOL HCL CAP ER 24HR 60 MG
PROPRANOLOL HCL CAP ER 24HR 80 MG
PROPRANOLOL HCL TAB 60 MG
PYRIDOSTIGMINE BROMIDE TAB 60 MG
QUETIAPINE FUMARATE TAB ER 24HR 150 MG
QUETIAPINE FUMARATE TAB ER 24HR 300 MG
QUINAPRIL-HYDROCHLOROTHIAZIDE TAB 10-12.5 MG
RALOXIFENE HCL TAB 60 MG
RANITIDINE HCL CAP 150 MG
RIVASTIGMINE TARTRATE CAP 1.5 MG (BASE EQUIVALENT)
RIVASTIGMINE TARTRATE CAP 3 MG (BASE EQUIVALENT)
SPIRONOLACTONE & HYDROCHLOROTHIAZIDE TAB 25-25 MG
TERCONAZOLE VAGINAL CREAM 0.8%
THYROID TAB 60 MG (1 GRAIN)
TIZANIDINE HCL CAP 4 MG (BASE EQUIVALENT)
TOLTERODINE TARTRATE TAB 2 MG
TROSPIUM CHLORIDE TAB 20 MG
ZIPRASIDONE HCL CAP 40 MG
ZIPRASIDONE HCL CAP 60 MG
ZIPRASIDONE HCL CAP 80 MG
ZOLPIDEM TARTRATE TAB ER 12.5 MG
ALENDRONATE SODIUM TAB 35 MG
AMPHETAMINE-DEXTROAMPHETAMINE TAB 7.5 MG
BACITRACIN-POLYMYXIN-NEOMYCIN-HC OPHTH OINT 1%
BENAZEPRIL & HYDROCHLOROTHIAZIDE TAB 5-6.25 MG
BETHANECHOL CHLORIDE TAB 50 MG
CLONAZEPAM ORALLY DISINTEGRATING TAB 2 MG
CLOZAPINE TAB 50 MG
DESMOPRESSIN ACETATE TAB 0.1 MG
DIAZEPAM CONC 5 MG/ML
ENTACAPONE TAB 200 MG
ETODOLAC CAP 300 MG
FENOFIBRATE MICRONIZED CAP 200 MG
FENOFIBRATE MICRONIZED CAP 43 MG
FLUCONAZOLE TAB 100 MG
FOSINOPRIL SODIUM & HYDROCHLOROTHIAZIDE TAB 10-12.5 MG
HALOPERIDOL DECANOATE IM SOLN 100 MG/ML
HYDROCODONE-ACETAMINOPHEN TAB 7.5-300 MG
HYDROCORTISONE VALERATE CREAM 0.2%
LEVOFLOXACIN ORAL SOLN 25 MG/ML
LIDOCAINE-HYDROCORTISONE ACETATE PERIANAL CREAM 3-0.5%
MEDROXYPROGESTERONE ACETATE IM SUSP 150 MG/ML
METOCLOPRAMIDE HCL INJ 5 MG/ML (BASE EQUIVALENT)
METOPROLOL & HYDROCHLOROTHIAZIDE TAB 50-25 MG
NAPROXEN SUSP 125 MG/5ML
NORETHINDRONE-ETH ESTRADIOL TAB 0.5-35/1-35/0.5-35 MG-MCG
PILOCARPINE HCL TAB 5 MG
PIROXICAM CAP 20 MG
PROMETHAZINE HCL INJ 25 MG/ML
PROPRANOLOL HCL CAP ER 24HR 120 MG
QUETIAPINE FUMARATE TAB ER 24HR 200 MG
QUETIAPINE FUMARATE TAB ER 24HR 400 MG
ACETAZOLAMIDE CAP ER 12HR 500 MG
CELECOXIB CAP 400 MG
CLINDAMYCIN PHOSPHATE LOTION 1%
Rx List Tier 4 - $75 or Less
B-COMPLEX W/ C & FOLIC ACID TAB
PIOGLITAZONE HCL TAB 45 MG (BASE EQUIV)
AMLODIPINE BESYLATE-VALSARTAN TAB 5-320 MG
ANASTROZOLE TAB 1 MG
ESZOPICLONE TAB 2 MG
ESZOPICLONE TAB 3 MG
GUANFACINE HCL TAB ER 24HR 1 MG (BASE EQUIV)
NAPROXEN TAB EC 375 MG
NIZATIDINE CAP 150 MG
OLANZAPINE TAB 2.5 MG
OLANZAPINE TAB 5 MG
OLMESARTAN MEDOXOMIL TAB 40 MG
PIOGLITAZONE HCL TAB 30 MG (BASE EQUIV)
PROGESTERONE MICRONIZED CAP 100 MG
QUETIAPINE FUMARATE TAB 200 MG
TERBINAFINE HCL TAB 250 MG
AMLODIPINE BESYLATE-OLMESARTAN MEDOXOMIL TAB 10-40 MG
AMLODIPINE BESYLATE-VALSARTAN TAB 10-160 MG
AMLODIPINE BESYLATE-VALSARTAN TAB 5-160 MG
ATENOLOL & CHLORTHALIDONE TAB 100-25 MG
BUMETANIDE TAB 2 MG
CARBAMAZEPINE CAP ER 12HR 300 MG
CARBAMAZEPINE TAB ER 12HR 200 MG
CEFUROXIME AXETIL TAB 500 MG
CLARITHROMYCIN TAB 500 MG
CLINDAMYCIN PHOSPHATE SOLN 1%
CLORAZEPATE DIPOTASSIUM TAB 3.75 MG
CLOZAPINE TAB 100 MG
DESMOPRESSIN ACETATE TAB 0.2 MG
DESVENLAFAXINE SUCCINATE TAB ER 24HR 100 MG (BASE EQUIV)
DESVENLAFAXINE SUCCINATE TAB ER 24HR 50 MG (BASE EQUIV)
DEXTROAMPHETAMINE SULFATE TAB 10 MG
DEXTROAMPHETAMINE SULFATE TAB 5 MG
DILTIAZEM HCL EXTENDED RELEASE BEADS CAP ER 24HR 300 MG
DILTIAZEM HCL EXTENDED RELEASE BEADS CAP ER 24HR 360 MG
DONEPEZIL HYDROCHLORIDE ORALLY DISINTEGRATING TAB 10 MG
FAMCICLOVIR TAB 250 MG
FLUCONAZOLE FOR SUSP 40 MG/ML
GALANTAMINE HYDROBROMIDE TAB 4 MG
GUANFACINE HCL TAB ER 24HR 2 MG (BASE EQUIV)
GUANFACINE HCL TAB ER 24HR 4 MG (BASE EQUIV)
HYDROCORTISONE BUTYRATE CREAM 0.1%
MIRTAZAPINE ORALLY DISINTEGRATING TAB 30 MG
MISOPROSTOL TAB 200 MCG
NORETHINDRONE ACE & ETHINYL ESTRADIOL TAB 1.5 MG-30 MCG
PERPHENAZINE TAB 8 MG
PIOGLITAZONE HCL-METFORMIN HCL TAB 15-500 MG
PRAZOSIN HCL CAP 5 MG
RIFAMPIN CAP 300 MG
RIVASTIGMINE TARTRATE CAP 4.5 MG (BASE EQUIVALENT)
RIVASTIGMINE TARTRATE CAP 6 MG (BASE EQUIVALENT)
TELMISARTAN TAB 40 MG
VERAPAMIL HCL CAP ER 24HR 120 MG
VERAPAMIL HCL CAP ER 24HR 180 MG
VERAPAMIL HCL CAP ER 24HR 240 MG
ALPRAZOLAM ORALLY DISINTEGRATING TAB 0.5 MG
AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 5-160-25 MG
AMPHETAMINE-DEXTROAMPHETAMINE TAB 12.5 MG
ARMODAFINIL TAB 50 MG
AZITHROMYCIN FOR SUSP 100 MG/5ML
AZITHROMYCIN POWD PACK FOR SUSP 1 GM
AZITHROMYCIN TAB 250 MG
BACLOFEN TAB 5 MG
BUTALBITAL-ACETAMINOPHEN TAB 50-325 MG
BUTALBITAL-ACETAMINOPHEN-CAFFEINE CAP 50-300-40 MG
CAPTOPRIL & HYDROCHLOROTHIAZIDE TAB 25-25 MG
CARBAMAZEPINE CAP ER 12HR 100 MG
CARBIDOPA & LEVODOPA ORALLY DISINTEGRATING TAB 25-250 MG
CARBIDOPA POWDER
CEFPROZIL TAB 250 MG
CEFPROZIL TAB 500 MG
CHLORDIAZEPOXIDE-AMITRIPTYLINE TAB 10-25 MG
CLARITHROMYCIN TAB 250 MG
CLINDAMYCIN PHOSPHATE GEL 1%
CYCLOSPORINE IV SOLN 50 MG/ML
DANTROLENE SODIUM CAP 100 MG
DESVENLAFAXINE SUCCINATE TAB ER 24HR 25 MG (BASE EQUIV)
DIAZEPAM ORAL SOLN 1 MG/ML
EPLERENONE TAB 25 MG
FOSINOPRIL SODIUM & HYDROCHLOROTHIAZIDE TAB 20-12.5 MG
FOSPHENYTOIN SODIUM INJ 500 MG/10ML (PHENYTOIN EQUIV)
FUROSEMIDE-SODIUM CHLORIDE 0.9% IV SOLN 100 MG/100ML
GALANTAMINE HYDROBROMIDE TAB 12 MG
GALANTAMINE HYDROBROMIDE TAB 8 MG
HEPATITIS B VACCINE (RECOMBINANT) SUSP 20 MCG/ML
HYDROCORTISONE PERIANAL CREAM 1%
HYDROMORPHONE HCL INJ 2 MG/ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% INJ 20 MG/100ML
HYDROMORPHONE HCL-SODIUM CHLORIDE 0.9% IV SOLN 100 MG/50ML
HYDROXYPROGESTERONE CAPROATE (BULK) POWDER
INFLUENZA VAC RECOMB HA QUAD PF SOLN PREF SYR 0.5 ML
INFLUENZA VAC TYPE A&B SURFACE ANT ADJ SUSP PREF SYR 0.5 ML
LEVOFLOXACIN (BULK) POWDER
LEVOFLOXACIN HEMIHYDRATE (BULK) POWDER
LOXAPINE SUCCINATE CAP 50 MG
MEMANTINE HCL ORAL SOLUTION 2 MG/ML
METAXALONE TAB 800 MG
METHOTREXATE SODIUM FOR INJ 1 GM
METHYLDOPA & HYDROCHLOROTHIAZIDE TAB 250-15 MG
METHYLPREDNISOLONE ACETATE INJ SUSP 40 MG/ML
METHYLPREDNISOLONE TAB 8 MG
METOPROLOL & HYDROCHLOROTHIAZIDE TAB 100-50 MG
METOPROLOL SUCC CAP ER 24HR SPRINKLE 50 MG (TARTRATE EQUIV)
METOPROLOL TARTRATE TAB 75 MG
MIDODRINE HCL TAB 10 MG
MINOCYCLINE HCL TAB 50 MG
MIRTAZAPINE ORALLY DISINTEGRATING TAB 15 MG
MIRTAZAPINE TAB 7.5 MG
NEOMYCIN-POLYMY-GRAMICID OP SOL 1.75-10000-0.025MG-UNT-MG/ML
NORETHINDRONE & ETHINYL ESTRADIOL-FE CHEW TAB 0.4 MG-35 MCG
OLANZAPINE ORALLY DISINTEGRATING TAB 5 MG
OXYCODONE-IBUPROFEN TAB 5-400 MG
PENICILLIN G PROCAINE INTRAMUSCULAR SUSP 600000 UNIT/ML
PENICILLIN G SODIUM FOR INJ 5000000 UNIT
PERPHENAZINE-AMITRIPTYLINE TAB 4-10 MG
PERPHENAZINE-AMITRIPTYLINE TAB 4-25 MG
PERPHENAZINE-AMITRIPTYLINE TAB 4-50 MG
PHENDIMETRAZINE TARTRATE CAP ER 24HR 105 MG
PILOCARPINE HCL TAB 7.5 MG
PILOCARPINE NITRATE (BULK) POWDER
PINDOLOL TAB 10 MG
PIOGLITAZONE HCL-METFORMIN HCL TAB 15-850 MG
PRAZOSIN HCL POWDER
PROPAFENONE HCL TAB 300 MG
RIFAMPIN CAP 150 MG
RIZATRIPTAN BENZOATE TAB 5 MG (BASE EQUIVALENT)
ROPINIROLE HYDROCHLORIDE TAB ER 24HR 2 MG (BASE EQUIVALENT)
ROPIVACAINE-CLONIDINE-KETOROLAC PREF SYR 123-0.04-15 MG/50ML
SERTRALINE HCL ORAL CONCENTRATE FOR SOLUTION 20 MG/ML
TET TOX-DIPH-ACELL PERTUSS AD INJ 5-2.5-18.5 LF-LF-MCG/0.5ML
TET TOX-DIPH-ACELL PERTUSS AD INJ 5-2-15.5 LF-LF-MCG/0.5ML
URSODIOL TAB 250 MG
AMITRIPTYLINE HCL TAB 150 MG
AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-160-12.5 MG
AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-160-25 MG
AMLODIPINE-VALSARTAN-HYDROCHLOROTHIAZIDE TAB 10-320-25 MG
AZITHROMYCIN IV FOR SOLN 500 MG
CANDESARTAN CILEXETIL TAB 4 MG
CANDESARTAN CILEXETIL-HYDROCHLOROTHIAZIDE TAB 16-12.5 MG
CAPTOPRIL TAB 100 MG
CARBIDOPA-LEVODOPA-ENTACAPONE TABS 50-200-200 MG
CLARITHROMYCIN TAB ER 24HR 500 MG
CLORAZEPATE DIPOTASSIUM TAB 7.5 MG
CLOZAPINE ORALLY DISINTEGRATING TAB 25 MG
COLCHICINE TAB 0.6 MG
CYCLOBENZAPRINE HCL TAB 7.5 MG
CYCLOSPORINE MODIFIED CAP 50 MG
DAPSONE TAB 100 MG
DAPSONE TAB 25 MG
DEXMETHYLPHENIDATE HCL CAP ER 24 HR 10 MG
DIAZEPAM RECTAL GEL DELIVERY SYSTEM 20 MG
DILTIAZEM HCL EXTENDED RELEASE BEADS CAP ER 24HR 420 MG
DISOPYRAMIDE PHOSPHATE CAP 100 MG
DOXYCYCLINE MONOHYDRATE TAB 75 MG
ESTRADIOL & NORETHINDRONE ACETATE TAB 0.5-0.1 MG
ETODOLAC TAB ER 24HR 400 MG
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