myDPCrx Formulary
With over 1,000 medications between our home delivery and same-day pick-up formularies, myDPCrx expands how clinicians can provide the highest level of care to their members.
Chronic Medications |
| ADHD |
| ATOMOXETINE, 10 MG CAP, Max Qty: 90 (Strattera) |
| ATOMOXETINE, 18 MG CAP, Max Qty: 90 (Strattera) |
| ATOMOXETINE, 25 MG CAP, Max Qty: 90 (Strattera) |
| ATOMOXETINE, 40 MG CAP, Max Qty: 90 (Strattera) |
| ATOMOXETINE, 60 MG CAP, Max Qty: 90 (Strattera) |
| ATOMOXETINE, 100 MG CAP, Max Qty: 90 (Strattera) |
| GUANFACINE, 1 MG ER TAB (24HR) , Max Qty: 90 (Intuniv) |
| GUANFACINE, 2 MG ER TAB (24HR) , Max Qty: 90 (Intuniv) |
| GUANFACINE, 3 MG ER TAB (24HR) , Max Qty: 90 (Intuniv) |
| GUANFACINE, 4 MG ER TAB (24HR) , Max Qty: 90 (Intuniv) |
| ANTI-INFECTIVE |
| ACYCLOVIR, 5% OINT, Max Qty: 30 (Zovirax) |
| ACYCLOVIR, 200 MG CAP, Max Qty: 180 (Zovirax) |
| ACYCLOVIR, 400 MG TAB, Max Qty: 180 (Zovirax) |
| ACYCLOVIR, 800 MG TAB, Max Qty: 105 (Zovirax) |
| AMANTADINE, 100 MG CAP, Max Qty: 180 (Gocovri) |
| AMOXICILLIN, 500 MG CAP, Max Qty: 180 (Amoxil) |
| AMOXICILLIN, 875 MG TAB, Max Qty: 56 (Amoxil) |
| AMOXICILLIN, 250 MG CAP, Max Qty: 90 (Amoxil) |
| AMOXICILLIN, 500 MG TAB, Max Qty: 90 (Amoxil) |
| AMOXICILLIN/CLAVULANIC ACID, 500-125 MG TAB, Max Qty: 84 (Augmentin) |
| AMOXICILLIN/CLAVULANIC ACID, 875-125 MG TAB, Max Qty: 84 (Augmentin) |
| AMPICILLIN, 250 MG CAP, Max Qty: 180 (Omnipen) |
| AMPICILLIN, 500 MG CAP, Max Qty: 180 (Omnipen) |
| AZITHROMYCIN, 250 MG TAB, Max Qty: 6 (Zithromax) |
| AZITHROMYCIN, 500 MG TAB, Max Qty: 3 (Zithromax) |
| CEFADROXIL, 500MG CAP, Max Qty: 180 (Duricef) |
| CEFDINIR, 300 MG CAP, Max Qty: 28 (Omnicef) |
| CEFPROZIL, 250 MG TAB, Max Qty: 180 (Cefzil) |
| CEFUROXIME AXETIL, 250 MG TAB, Max Qty: 180 (Ceftin) |
| CEFUROXIME AXETIL, 500 MG TAB, Max Qty: 180 (Ceftin) |
| CEPHALEXIN, 250 MG CAP, Max Qty: 90 (Keflex) |
| CEPHALEXIN, 500 MG CAP, Max Qty: 90 (Keflex) |
| CHLORHEXIDINE, 0.12% SOLN, Max Qty: 473 (Peridex) |
| CIPROFLOXACIN, 250 MG TAB, Max Qty: 60 (Cipro) |
| CIPROFLOXACIN, 500 MG TAB, Max Qty: 60 (Cipro) |
| CIPROFLOXACIN, 750 MG TAB, Max Qty: 60 (Cipro) |
| CLARITHROMYCIN, 250 MG TAB, Max Qty: 60 (Biaxin) |
| CLARITHROMYCIN, 500 MG TAB, Max Qty: 60 (Biaxin) |
| CLINDAMYCIN HCL, 150 MG CAP, Max Qty: 90 (Cleocin) |
| CLINDAMYCIN HCL, 300 MG CAP, Max Qty: 90 (Cleocin) |
| DAPSONE, 25 MG TAB, Max Qty: 180 (Dapsone) |
| DICLOXACILLIN, 250 MG CAP, Max Qty: 180 (Diclocil) |
| ENTECAVIR, 0.5 MG TAB, Max Qty: 90 (Baraclude) |
| ENTECAVIR, 1 MG TAB, Max Qty: 90 (Baraclude) |
| FAMCICLOVIR, 250 MG TAB, Max Qty: 90 (Famvir) |
| FAMCICLOVIR, 500 MG TAB, Max Qty: 90 (Famvir) |
| IMIQUIMOD, 5% CREAM, Max Qty: 24 (Aldara) |
| ISONIAZID, 100 MG TAB, Max Qty: 90 (Hydra) |
| ISONIAZID, 300 MG TAB, Max Qty: 90 (Hydra) |
| LAMIVUDINE, 50 MG TAB, Max Qty: 90 (Epivir) |
| LEVOFLOXACIN, 250 MG TAB, Max Qty: 30 (Levaquin) |
| LEVOFLOXACIN, 500 MG TAB, Max Qty: 30 (Levaquin) |
| LEVOFLOXACIN, 750 MG TAB, Max Qty: 15 (Levaquin) |
| METHENAMINE, 1 G TAB, Max Qty: 270 (Hiprex) |
| METRONIDAZOLE, 250 MG TAB, Max Qty: 90 (Flagyl) |
| METRONIDAZOLE, 500 MG TAB, Max Qty: 90 (Flagyl) |
| NEVIRAPINE, 200 MG TAB, Max Qty: 180 (Viramune) |
| NITROFURANTOIN, 50 MG CAP, Max Qty: 180 (Macrodantin) |
| NITROFURANTOIN, 100 MG CAP, Max Qty: 180 (Macrodantin) |
| PHENAZOPYRIDINE, 100 MG TAB, Max Qty: 36 (Pyridium) |
| PHENAZOPYRIDINE, 200 MG TAB, Max Qty: 18 (Pyridium) |
| SMZ/TMP DS, 800/160 MG TAB, Max Qty: 90 (Bactrim DS) |
| TENOFOVIR, 300 MG TAB, Max Qty: 90 (Viread) |
| TETRACYCLINE, 250 MG CAP, Max Qty: 360 (Sumycin) |
| TETRACYCLINE, 500 MG CAP, Max Qty: 360 (Sumycin) |
| VALACYCLOVIR, 500 MG TAB, Max Qty: 90 (Valtrex) |
| VALACYCLOVIR, 1 GM TAB, Max Qty: 30 (Valtrex) |
| CARDIOVASCULAR |
| ACEBUTOLOL, 200 MG CAP, Max Qty: 180 (Sectral) |
| ACEBUTOLOL, 400 MG CAP, Max Qty: 180 (Sectral) |
| AMILORIDE, 5 MG TAB, Max Qty: 90 (Midamor) |
| AMILORIDE/HCTZ, 5/50 MG TAB, Max Qty: 90 (Midamor/HCTZ) |
| AMIODARONE, 200 MG TAB, Max Qty: 90 (Cordarone) |
| AMLODIPINE, 2.5 MG TAB, Max Qty: 90 (Norvasc) |
| AMLODIPINE, 5 MG TAB, Max Qty: 90 (Norvasc) |
| AMLODIPINE, 10 MG TAB, Max Qty: 90 (Norvasc) |
| AMLODIPINE/BENAZEPRIL, 2.5-10 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/BENAZEPRIL, 5-10 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/BENAZEPRIL, 5-20 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/BENAZEPRIL, 5-40 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/BENAZEPRIL, 10-20 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/BENAZEPRIL, 10-40 MG CAP, Max Qty: 90 (Lotrel) |
| AMLODIPINE/OLMESARTAN, 5-20 MG TAB, Max Qty: 90 (Azor) |
| AMLODIPINE/OLMESARTAN, 5-40 MG TAB, Max Qty: 90 (Azor) |
| AMLODIPINE/OLMESARTAN, 10-20 MG TAB, Max Qty: 90 (Azor) |
| AMLODIPINE/OLMESARTAN, 10-40 MG TAB, Max Qty: 90 (Azor) |
| AMLODIPINE/VALSARTAN, 5-160 MG TAB, Max Qty: 90 (Exforge) |
| AMLODIPINE/VALSARTAN, 5-325 MG TAB, Max Qty: 90 (Exforge) |
| AMLODIPINE/VALSARTAN, 10-160 MG TAB, Max Qty: 90 (Exforge) |
| AMLODIPINE/VALSARTAN, 10-320 MG TAB, Max Qty: 90 (Exforge) |
| ATENOLOL, 25 MG TAB, Max Qty: 90 (Tenormin) ATENOLOL, 50 MG TAB, Max Qty: 90 (Tenormin) |
| ATENOLOL, 100 MG TAB, Max Qty: 90 (Tenormin) |
| ATENOLOL/CHLORTHALIDONE, 100-25MG TAB, Max Qty: 90 (Tenoretic) |
| ATORVASTATIN, 10 MG TAB, Max Qty: 90 (Lipitor) |
| ATORVASTATIN, 20 MG TAB, Max Qty: 90 (Lipitor) |
| ATORVASTATIN, 40 MG TAB, Max Qty: 90 (Lipitor) |
| ATORVASTATIN, 80 MG TAB, Max Qty: 90 (Lipitor) |
| BENAZEPRIL, 5 MG TAB, Max Qty: 90 (Lotensin) |
| BENAZEPRIL, 10 MG TAB, Max Qty: 90 (Lotensin) |
| BENAZEPRIL, 20 MG TAB, Max Qty: 90 (Lotensin) |
| BENAZEPRIL, 40 MG TAB, Max Qty: 90 (Lotensin) |
| BENAZEPRIL/HCTZ, 10-12.5 MG TAB, Max Qty: 90 (Lotensin HCT) |
| BENAZEPRIL/HCTZ, 20-12.5 MG TAB, Max Qty: 90 (Lotensin HCT) |
| BENAZEPRIL/HCTZ, 20-25 MG TAB, Max Qty: 90 (Lotensin HCT) |
| BETAXOLOL, 10 MG TAB, Max Qty: 90 (Kerlone) B |
| BISOPROLOL FUMARATE, 5 MG TAB, Max Qty: 90 (Zebeta) |
| BISOPROLOL FUMARATE, 10 MG TAB, Max Qty: 90 (Zebeta) |
| BISOPROLOL/HCTZ, 2.5-6.25 MG TAB, Max Qty: 90 (Ziac) |
| BISOPROLOL/HCTZ, 5-6.25 MG TAB, Max Qty: 90 (Ziac) |
| BISOPROLOL/HCTZ, 10-6.25 MG TAB, Max Qty: 90 (Ziac) |
| BUMETANIDE, 0.5 MG TAB, Max Qty: 90 (Bumex) |
| BUMETANIDE, 1 MG TAB, Max Qty: 90 (Bumex) |
| BUMETANIDE, 2 MG TAB, Max Qty: 90 (Bumex) |
| CAPTOPRIL, 12.5MG TAB, Max Qty: 180 (Capoten) |
| CAPTOPRIL, 25 MG TAB, Max Qty: 180 (Capoten) |
| CAPTOPRIL, 50 MG TAB, Max Qty: 180 (Capoten) |
| CAPTOPRIL/HCTZ, 25-15 MG TAB, Max Qty: 180 (Capozide) |
| CAPTOPRIL/HCTZ, 25-25 MG TAB, Max Qty: 180 (Capozide) |
| CAPTOPRIL/HCTZ, 50-25 MG TAB, Max Qty: 180 (Capozide) |
| CARVEDILOL, 3.125 MG TAB, Max Qty: 180 (Coreg) |
| CARVEDILOL, 6.25 MG, TAB, Max Qty: 180 (Coreg) |
| CARVEDILOL, 12.5 MG TAB, Max Qty: 180 (Coreg) |
| CARVEDILOL, 25 MG TAB, Max Qty: 180 (Coreg) |
| CHLOROTHIAZIDE, 500 MG TAB, Max Qty: 180 (Diuril) |
| CHLORTHALIDONE, 25 MG TAB, Max Qty: 90 (Hygroton) |
| CHLORTHALIDONE, 50 MG TAB, Max Qty: 90 (Hygroton) |
| CHOLINE FENOFIBRATE, 45 MG CAP, Max Qty: 90 (Trilipix) |
| CHOLINE FENOFIBRATE, 135 MG CAP, Max Qty: 90 (Trilipix) |
| CILOSTAZOL, 50 MG TAB, Max Qty: 180 (Pletal) |
| CILOSTAZOL, 100 MG TAB, Max Qty: 180 (Pletal) |
| CLONIDINE, 0.1 MG TAB, Max Qty: 90 (Catapres) |
| CLONIDINE, 0.2 MG TAB, Max Qty: 90 (Catapres) |
| CLONIDINE, 0.3 MG TAB, Max Qty: 90 (Catapres) |
| CLOPIDOGREL, 75 MG TAB, Max Qty: 90 (Plavix) |
| DIGOXIN, 125 MCG TAB, Max Qty: 90 (Lanoxin) |
| DIGOXIN, 250 MCG TAB, Max Qty: 90 (Lanoxin) |
| DILTIAZEM, 30 MG TAB, Max Qty: 180 (Cardizem) |
| DILTIAZEM, 60 MG TAB, Max Qty: 180 (Cardizem) |
| DILTIAZEM, 90 MG TAB, Max Qty: 90 (Cardizem) |
| DILTIAZEM, 120 MG TAB, Max Qty: 90 (Cardizem) |
| DILTIAZEM ER, 120 MG ER CAP (24HR), Max Qty: 90 (Cardizem CD) |
| DILTIAZEM ER, 180 MG ER CAP (24HR), Max Qty: 90 (Cardizem CD) |
| DILTIAZEM ER, 240 MG ER CAP (24HR), Max Qty: 90 (Cardizem CD) |
| DILTIAZEM ER, 300 MG ER CAP (24HR), Max Qty: 90 (Cardizem CD) |
| DIPYRIDAMOLE, 25 MG TAB, Max Qty: 90 (Persantin) |
| DIPYRIDAMOLE, 50 MG TAB, Max Qty: 90 (Persantin) |
| DIPYRIDAMOLE, 75 MG TAB, Max Qty: 90 (Persantin) |
| DOFETILIDE, 125 MG CAP, Max Qty: 180 (Tikosyn) |
| DOFETILIDE, 250 MG CAP, Max Qty: 180 (Tikosyn) |
| DOFETILIDE, 500 MG CAP, Max Qty: 180 (Tikosyn) |
| DOXAZOSIN, 1 MG TAB, Max Qty: 90 (Cardura) |
| DOXAZOSIN, 2 MG TAB, Max Qty: 90 (Cardura) |
| DOXAZOSIN, 4 MG TAB, Max Qty: 90 (Cardura) |
| DOXAZOSIN, 8 MG TAB, Max Qty: 90 (Cardura) |
| ENALAPRIL, 2.5 MG TAB, Max Qty: 90 (Vasotec) |
| ENALAPRIL, 5 MG TAB, Max Qty: 90 (Vasotec) |
| ENALAPRIL, 10 MG TAB, Max Qty: 90 (Vasotec) |
| ENALAPRIL, 20 MG TAB, Max Qty: 90 (Vasotec) |
| ENALAPRIL/HCTZ, 5-12.5 MG TAB, Max Qty: 90 (Vaseretic) |
| ENALAPRIL/HCTZ, 10-25 MG TAB, Max Qty: 90 (Vaseretic) |
| EPLERENONE, 25 MG TAB, Max Qty: 90 (Inspra) |
| EZETIMIBE/SIMVASTATIN, 10-10 MG TAB, Max Qty: 90 (Vytorin) |
| EZETIMIBE/SIMVASTATIN, 10-20 MG TAB, Max Qty: 90 (Vytorin) |
| EZETIMIBE/SIMVASTATIN, 10-40 MG TAB, Max Qty: 90 (Vytorin) |
| EZETIMIBE/SIMVASTATIN, 10-80 MG TAB, Max Qty: 90 (Vytorin) |
| FELODIPINE ER, 2.5 MG ER TAB, Max Qty: 90 (Plendil ER) |
| FELODIPINE ER, 5 MG ER TAB, Max Qty: 90 (Plendil ER) |
| FELODIPINE ER, 10 MG ER TAB, Max Qty: 90 (Plendil ER) |
| FENOFIBRATE, 48 MG TAB, Max Qty: 90 (Tricor) |
| FENOFIBRATE, 54 MG TAB, Max Qty: 90 (Tricor) |
| FENOFIBRATE, 145 MG TAB, Max Qty: 90 (Tricor) |
| FENOFIBRATE, 160 MG TAB, Max Qty: 90 (Tricor) |
| FENOFIBRATE (MICRONIZED), 43 MG CAP, Max Qty: 90 (Antara) |
| FENOFIBRATE (MICRONIZED), 67 MG CAP, Max Qty: 90 (Antara) |
| FENOFIBRATE (MICRONIZED), 134 MG CAP, Max Qty: 90 (Antara) |
| FENOFIBRATE (MICRONIZED), 200 MG CAP, Max Qty: 90 (Lofibra) |
| FLECAINIDE, 50 MG TAB, Max Qty: 180 (Tambocor) |
| FLECAINIDE, 100 MG TAB, Max Qty: 180 (Tambocor) |
| FLECAINIDE, 150 MG TAB, Max Qty: 180 (Tambocor) |
| FOSINOPRIL, 10 MG TAB, Max Qty: 90 (Monopril) |
| FOSINOPRIL, 20 MG TAB, Max Qty: 90 (Monopril) |
| FOSINOPRIL, 40 MG TAB, Max Qty: 90 (Monopril) |
| FUROSEMIDE, 20 MG TAB, Max Qty: 90 (Lasix) |
| FUROSEMIDE, 40 MG TAB, Max Qty: 90 (Lasix) |
| FUROSEMIDE, 80 MG TAB, Max Qty: 90 (Lasix) |
| GEMFIBROZIL, 600 MG TAB, Max Qty: 180 (Lopid) |
| HCTZ, 12.5 MG CAP, Max Qty: 90 (Microzide) |
| HCTZ, 12.5 MG TAB, Max Qty: 90 (HydroDiuril) |
| HCTZ, 25 MG TAB, Max Qty: 90 (HydroDiuril) |
| HCTZ, 50 MG TAB, Max Qty: 90 (HydroDiuril) |
| HYDRALAZINE, 10 MG TAB, Max Qty: 270 (Apresoline) |
| HYDRALAZINE, 25 MG TAB, Max Qty: 270 (Apresoline) |
| HYDRALAZINE, 50 MG TAB, Max Qty: 180 (Apresoline) |
| HYDRALAZINE, 100 MG TAB, Max Qty: 90 (Apresoline) |
| HYDRALAZINE/HCTZ, 50-50 MG TAB, Max Qty: 90 (Apresazide) |
| INDAPAMIDE, 1.25 MG TAB, Max Qty: 90 (Lozol) |
| INDAPAMIDE, 2.5 MG TAB, Max Qty: 90 (Lozol) |
| IRBESARTAN, 75 MG TAB, Max Qty: 90 (Avapro) |
| IRBESARTAN, 150 MG TAB, Max Qty: 90 (Avapro) |
| IRBESARTAN, 300 MG TAB, Max Qty: 90 (Avapro) |
| IRBESARTAN/HCTZ, 150/12.5 MG TAB, Max Qty: 90 (Avalide) |
| IRBESARTAN/HCTZ, 300/12.5 MG TAB, Max Qty: 90 (Avalide) |
| ISOSORBIDE MONONITRATE, 30 MG ER TAB (24HR), Max Qty: 90 (Imdur) |
| ISOSORBIDE MONONITRATE, 60 MG ER TAB (24HR), Max Qty: 90 (Imdur) |
| ISOSORBIDE MONONITRATE, 120 MG ER TAB (24HR), Max Qty: 90 (Imdur) |
| JANTOVEN, 1 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 2 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 2.5 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 3 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 4 MG TAB, Max Qty: 30 (Coumadin) |
| JANTOVEN, 5 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 6 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 7.5 MG TAB, Max Qty: 90 (Coumadin) |
| JANTOVEN, 10 MG TAB, Max Qty: 90 (Coumadin) |
| LANOXICAPS, 100 MCG CAP, Max Qty: 90 (Digoxin) |
| LISINOPRIL, 2.5 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL, 5 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL, 10 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL, 20 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL, 30 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL, 40 MG TAB, Max Qty: 90 (Zestril) |
| LISINOPRIL/HCTZ, 10-12.5 MG TAB, Max Qty: 90 (Zestoretic) |
| LISINOPRIL/HCTZ, 20-12.5 MG TAB, Max Qty: 90 (Zestoretic) |
| LISINOPRIL/HCTZ, 20-25 MG TAB, Max Qty: 90 (Zestoretic) |
| LOSARTAN, 25 MG TAB, Max Qty: 90 (Cozaar) |
| LOSARTAN, 50 MG TAB, Max Qty: 90 (Cozaar) |
| LOSARTAN, 100 MG TAB, Max Qty: 90 (Cozaar) |
| LOSARTAN/HCTZ, 50-12.5 MG TAB, Max Qty: 90 (Hyzaar) |
| LOSARTAN/HCTZ, 100-12.5 MG TAB, Max Qty: 90 (Hyzaar) |
| LOSARTAN/HCTZ, 100-25 MG TAB, Max Qty: 90 (Hyzaar) |
| LOVASTATIN, 10 MG TAB, Max Qty: 90 (Mevacor) |
| LOVASTATIN, 20 MG TAB, Max Qty: 90 (Mevacor) |
| LOVASTATIN, 40 MG TAB, Max Qty: 90 (Mevacor) |
| METHYLDOPA, 250 MG TAB, Max Qty: 270 (Aldomet) |
| METHYLDOPA, 500 MG TAB, Max Qty: 270 (Aldomet) |
| METOPROLOL SUCCINATE, 25 MG ER TAB (24HR), Max Qty: 90 (Toprol XL) |
| METOPROLOL SUCCINATE, 50 MG ER TAB (24HR), Max Qty: 90 (Toprol XL) |
| METOPROLOL SUCCINATE, 100 MG ER TAB (24HR), Max Qty: 90 (Toprol XL) |
| METOPROLOL SUCCINATE, 200 MG ER TAB (24HR), Max Qty: 90 (Toprol XL) |
| METOPROLOL TARTRATE, 25 MG TAB, Max Qty: 180 (Lopressor) |
| METOPROLOL TARTRATE, 50 MG TAB, Max Qty: 180 (Lopressor) |
| METOPROLOL TARTRATE, 100 MG TAB, Max Qty: 180 (Lopressor) |
| MIDODRINE, 2.5 MG TAB, Max Qty: 270 (ProAmatine) |
| MIDODRINE, 5 MG TAB, Max Qty: 270 (ProAmatine) |
| MIDODRINE, 10 MG TAB, Max Qty: 270 (ProAmatine) |
| MINOXIDIL, 2.5 MG TAB, Max Qty: 90 (Loniten) |
| MINOXIDIL, 10 MG TAB, Max Qty: 90 (Loniten) |
| NADOLOL, 20 MG TAB, Max Qty: 90 (Corgard) |
| NADOLOL, 80 MG TAB, Max Qty: 90 (Corgard) |
| NADOLOL, 40 MG TAB, Max Qty: 90 (Corgard) |
| NIACIN ER, 500 MG TAB, Max Qty: 90 (Niaspan) |
| NIACIN ER, 750 MG TAB, Max Qty: 90 (Niaspan) |
| NIACIN ER, 1000 MG TAB, Max Qty: 90 (Niaspan) |
| NIFEDIPINE XL, 30 MG ER OSM TAB (24HR), Max Qty: 90 (Procardia XL) |
| NIFEDIPINE XL, 60 MG ER OSM TAB (24HR), Max Qty: 90 (Procardia XL) |
| NIFEDIPINE XL, 90 MG ER OSM TAB (24HR), Max Qty: 90 (Procardia XL) |
| NIFEDIPINE ER, 30 MG ER TAB (24HR), Max Qty: 90 (Adalat CC) |
| NIFEDIPINE ER, 60 MG ER TAB (24HR), Max Qty: 90 (Adalat CC) |
| NIFEDIPINE ER, 90 MG ER TAB (24HR), Max Qty: 90 (Adalat CC) |
| NITROGLYCERIN, 0.1 MG/HR, PATCHES, Max Qty: 90 (Nitro Dur) |
| NITROGLYCERIN, 0.2 MG/HR, PATCHES, Max Qty: 90 (Nitro Dur) |
| NITROGLYCERIN, 0.4 MG/HR, PATCHES, Max Qty: 90 (Nitro Dur) |
| NITROGLYCERIN, 0.6 MG/HR, PATCHES, Max Qty: 90 (Nitro Dur) |
| NITROGLYCERIN, 0.3 MG, SL TAB, Max Qty: 300 (Nitrostat) |
| NITROGLYCERIN, 0.4 MG, SL TAB, Max Qty: 300 (Nitrostat) |
| NITROGLYCERIN, 0.6 MG, SL TAB, Max Qty: 300 (Nitrostat) |
| OLMESARTAN/HCTZ, 20-12.5 MG TAB, Max Qty: 90 (Benicar HCT) |
| OLMESARTAN/HCTZ, 40-12.5 MG TAB, Max Qty: 90 (Benicar HCT) |
| OLMESARTAN/HCTZ, 40-25 MG TAB, Max Qty: 90 (Benicar HCT) |
| OLMESARTAN, 5 MG TAB, Max Qty: 90 (Benicar) |
| OLMESARTAN, 20 MG TAB, Max Qty: 90 (Benicar) |
| OLMESARTAN, 40 MG TAB, Max Qty: 90 (Benicar) |
| OMEGA-3 ETHYL ESTERS, 1 GM CAP, Max Qty: 360 (Lovaza) |
| PENTOXIFYLLINE, 400 MG ER TAB, Max Qty: 270 (Trenta) |
| PINDOLOL, 5 MG TAB, Max Qty: 180 (Visken) |
| PINDOLOL, 10 MG TAB, Max Qty: 180 (Visken) |
| POTASSIUM CHLORIDE, 8 MEQ ER TAB, Max Qty: 90 (Klor-Con) |
| POTASSIUM CHLORIDE, 10 MEQ ER TAB, Max Qty: 90 (Klor-Con) |
| POTASSIUM CHLORIDE, 20 MEQ ER TAB, Max Qty: 90 (Klor-Con) |
| POTASSIUM CHLORIDE, 10 MEQ ER CAP, Max Qty: 90 (Klor-Con) |
| PRASUGREL, 5 MG TAB, Max Qty: 90 (Effient) |
| PRASUGREL, 10 MG TAB, Max Qty: 90 (Effient) |
| PRAVASTATIN, 10 MG TAB, Max Qty: 90 (Pravachol) |
| PRAVASTATIN, 20 MG TAB, Max Qty: 90 (Pravachol) |
| PRAVASTATIN, 40 MG TAB, Max Qty: 90 (Pravachol) |
| PRAVASTATIN, 80 MG TAB, Max Qty: 90 (Pravachol) |
| PRAZOSIN, 1 MG CAP, Max Qty: 90 (Minipres) |
| PRAZOSIN, 2 MG CAP, Max Qty: 90 (Minipres) |
| PRAZOSIN, 5 MG CAP, Max Qty: 90 (Minipres) |
| PROCAINAMIDE, 500 MG TAB, Max Qty: 270 (Pronestyl) |
| PROCAINAMIDE SR, 500 MG TAB, Max Qty: 270 (Pronestyl SR) |
| PROPAFENONE, 150 MG TAB, Max Qty: 270 (Rythmol) |
| PROPAFENONE, 225 MG TAB, Max Qty: 270 (Rythmol) |
| PROPAFENONE, 300 MG TAB, Max Qty: 270 (Rythmol) |
| PROPRANOLOL, 10 MG TAB, Max Qty: 180 (Inderal) |
| ROPRANOLOL, 20 MG TAB, Max Qty: 180 (Inderal) |
| PROPRANOLOL, 40 MG TAB, Max Qty: 180 (Inderal) |
| PROPRANOLOL, 60 MG TAB, Max Qty: 90 (Inderal) |
| PROPRANOLOL, 80 MG TAB, Max Qty: 90 (Inderal) |
| PROPRANOLOL ER, 60 MG ER CAP (24HR), Max Qty: 90 (Inderal LA) |
| PROPRANOLOL ER, 80 MG ER CAP (24HR), Max Qty: 90 (Inderal LA) |
| PROPRANOLOL ER, 120 MG ER CAP (24HR), Max Qty: 90 (Inderal LA) |
| PROPRANOLOL ER, 160 MG ER CAP (24HR), Max Qty: 90 (Inderal LA) |
| PROPRANOLOL/HCTZ, 40-25 MG TAB, Max Qty: 180 (Inderide) |
| PROPRANOLOL/HCTZ, 80-25 MG TAB, Max Qty: 180 (Inderide) |
| QUINAPRIL, 5 MG TAB, Max Qty: 90 (Accupril) |
| QUINAPRIL, 10 MG TAB, Max Qty: 90 (Accupril) |
| QUINAPRIL, 20 MG TAB, Max Qty: 90 (Accupril) |
| QUINAPRIL, 40 MG TAB, Max Qty: 90 (Accupril) |
| QUINAPRIL/HCTZ, 10-12.5 MG TAB, Max Qty: 90 (Accuretic) |
| QUINAPRIL/HCTZ, 20-12.5 MG TAB, Max Qty: 90 (Accuretic) |
| QUINAPRIL/HCTZ, 20-25 MG TAB, Max Qty: 90 (Accuretic) |
| QUINIDINE SULFATE, 200 MG TAB, Max Qty: 270 (Cardioquin) |
| QUINIDINE SULFATE, 300 MG TAB, Max Qty: 270 (Cardioquin) |
| RAMIPRIL, 1.25 MG CAP, Max Qty: 90 (Altace) |
| RAMIPRIL, 2.5 MG CAP, Max Qty: 90 (Altace) |
| RAMIPRIL, 5 MG CAP, Max Qty: 90 (Altace) |
| RAMIPRIL, 10 MG CAP, Max Qty: 90 (Altace) |
| RANOLAZINE ER, 500 MG TAB, Max Qty: 180 (Ranexa) |
| RANOLAZINE ER, 1000 MG TAB, Max Qty: 180 (Ranexa) |
| ROSUVASTATIN, 5 MG TAB, Max Qty: 90 (Crestor) |
| ROSUVASTATIN, 10 MG TAB, Max Qty: 90 (Crestor) |
| ROSUVASTATIN, 20 MG TAB, Max Qty: 90 (Crestor) |
| ROSUVASTATIN, 40 MG TAB, Max Qty: 90 (Crestor) |
| SIMVASTATIN, 5 MG TAB, Max Qty: 90 (Zocor) |
| SIMVASTATIN, 10 MG TAB, Max Qty: 90 (Zocor) |
| SIMVASTATIN, 20 MG TAB, Max Qty: 90 (Zocor) |
| SIMVASTATIN, 40 MG TAB, Max Qty: 90 (Zocor) |
| SIMVASTATIN, 80 MG TAB, Max Qty: 90 (Zocor) |
| SOTALOL, 80 MG TAB, Max Qty: 180 (Betapace) |
| SOTALOL, 120 MG TAB, Max Qty: 180 (Betapace) |
| SOTALOL, 160 MG TAB, Max Qty: 180 (Betapace) |
| SOTALOL, 240 MG TAB, Max Qty: 180 (Betapace) |
| SOTALOL AF, 120 MG TAB, Max Qty: 180 (Betapace AF) |
| SOTALOL AF, 160 MG TAB, Max Qty: 180 (Betapace AF) |
| TELMISARTAN, 20 MG TAB, Max Qty: 90 (Micardis) |
| TELMISARTAN, 40 MG TAB, Max Qty: 90 (Micardis) |
| TELMISARTAN, 80 MG TAB, Max Qty: 90 (Micardis) |
| TERAZOSIN, 1 MG CAP, Max Qty: 90 (Hytrin) |
| TERAZOSIN, 2 MG CAP, Max Qty: 90 (Hytrin) |
| TERAZOSIN, 5 MG CAP, Max Qty: 90 (Hytrin) |
| TERAZOSIN, 10 MG CAP, Max Qty: 90 (Hytrin) |
| TICLOPIDINE, 250 MG TAB, Max Qty: 180 (Ticlid) |
| TORSEMIDE, 5 MG TAB, Max Qty: 90 (Demadex) |
| TORSEMIDE, 10 MG TAB, Max Qty: 90 (Demadex) |
| TORSEMIDE, 20 MG TAB, Max Qty: 90 (Demadex) |
| TORSEMIDE, 100 MG TAB, Max Qty: 90 (Demadex) |
| TRANDOLAPRIL, 1 MG TAB, Max Qty: 90 (Mavik) |
| TRANDOLAPRIL, 2 MG TAB, Max Qty: 90 (Mavik) |
| TRANDOLAPRIL, 4 MG TAB, Max Qty:90 (Mavik) |
| TRIAMTERENE/HCTZ, 37.5-25 MG CAP, Max Qty: 90 (Dyazide) |
| TRIAMTERENE/HCTZ, 37.5-25 MG TAB, Max Qty: 90 (Maxzide) |
| TRIAMTERENE/HCTZ, 75-50 MG TAB, Max Qty: 90 (Maxzide) |
| VALSARTAN, 40 MG TAB, Max Qty: 90 (Diovan) |
| VALSARTAN, 80 MG TAB, Max Qty: 90 (Diovan) |
| VALSARTAN, 160 MG TAB, Max Qty: 90 (Diovan) |
| VALSARTAN, 320 MG TAB, Max Qty: 90 (Diovan) |
| VALSARTAN/HCTZ, 80/12.5 MG TAB, Max Qty: 90 (Diovan HCT) |
| VALSARTAN/HCTZ, 160/25 MG TAB, Max Qty: 90 (Diovan HCT) |
| VALSARTAN/HCTZ, 320/12.5 MG TAB, Max Qty: 90 (Diovan HCT) |
| VALSARTAN/HCTZ, 320/25 MG TAB, Max Qty: 90 (Diovan HCT) |
| VERAPAMIL ER, 120 MG ER CAP (24HR), Max Qty: 90 (Veralan ER) |
| VERAPAMIL ER, 180 MG ER CAP (24HR), Max Qty: 90 (Veralan ER) |
| VERAPAMIL ER, 240 MG ER CAP (24HR), Max Qty: 90 (Veralan ER) |
| VERAPAMIL, 40 MG TAB, Max Qty: 180 (Calan) |
| VERAPAMIL, 80 MG TAB, Max Qty: 180 (Calan) |
| VERAPAMIL, 120 MG TAB, Max Qty: 180 (Calan) |
| VERAPAMIL ER, 120 MG ER TAB, Max Qty: 90 (Calan SR) |
| VERAPAMIL ER, 180 MG ER TAB, Max Qty: 90 (Calan SR) |
| VERAPAMIL ER, 240 MG ER TAB, Max Qty: 90 (Calan SR) |
| WARFARIN, 1 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 2 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 2.5 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 3 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 4 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 5 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 6 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 7.5 MG TAB, Max Qty: 90 (Coumadin) |
| WARFARIN, 10 MG TAB, Max Qty: 90 (Coumadin) |
| DERMATOLOGY |
| ADAPALENE, 0.1% GEL, Max Qty: 45 (Differin) |
| ADAPALENE, 0.3% GEL, Max Qty: 45 (Differin) |
| ADAPALENE/BENZOYL PEROXIDE, 0.1/2.5% GEL, Max Qty: 45 (Epiduo) |
| AMINOBENZOATE, 500 MG TAB, Max Qty:90 (Potaba) |
| BENZOYL PEROXIDE WASH, 5% WASH, Max Qty: 474 (Benzac AC) |
| BENZOYL PEROXIDE WASH, 10% WASH, Max Qty: 474 (Benzac AC) |
| CICLOPIROX, 8% SOLN, Max Qty: 19.8 (Penlac) |
| CLINDAMYCIN PHOSPHATE, 1% SOLN, Max Qty: 180 (Cleocin-T) |
| CLINDAMYCIN PHOSPHATE, 1% GEL, Max Qty: 60 (Clindagel) |
| CLINDAMYCIN/BENZOYL PEROXIDE, 1.2/5% GEL, Max Qty: 135 (Duac) |
| CLINDAMYCIN/BENZOYL PEROXIDE, 1/5% GEL, Max Qty: 150 (Benzaclin) |
| CLOBETASOL, 0.05% CREAM, Max Qty: 60 (Temovate) |
| CLOBETASOL, 0.05% GEL, Max Qty: 60 (Temovate) |
| CLOBETASOL, 0.05% OINT, Max Qty: 60 (Temovate) |
| CLOBETASOL, 0.05% SOLN, Max Qty: 100( Temovate) |
| DESONIDE, 0.05% CREAM, Max Qty: 120 (DesOwen) |
| DESONIDE, 0.05% LOTION, Max Qty: 177 (DesOwen) |
| DESONIDE, 0.05% OINT, Max Qty: 120 (DesOwen) |
| DESOXIMETASONE, 0.25% CREAM, Max Qty: 45 (Topicort) |
| DOXYCYCLINE HYCLATE, 50 MG CAP, Max Qty: 90 (Vibramycin) |
| DOXYCYCLINE HYCLATE, 100 MG CAP, Max Qty: 90 (Vibramycin) |
| DOXYCYCLINE MONOHYDRATE, 50 MG CAP, Max Qty: 90 (Monodox) |
| DOXYCYCLINE MONOHYDRATE, 100 MG CAP, Max Qty: 90 (Monodox) |
| ECONAZOLE NITRATE, 1% CREAM, Max Qty: 60 (Spectazole) |
| FLUOCINONIDE, 0.05% CREAM, Max Qty: 180 (Vanos) |
| FLUOCINONIDE, 0.10% CREAM, Max Qty: 120 (Vanos) |
| FLUOCINONIDE, 0.05% OINT, Max Qty: 90 (Vanos) |
| HYDROCORTISONE, 1.0% CREAM, Max Qty: 84 (Cortaid) |
| HYDROCORTISONE, 1.0% OINT, Max Qty: 85 (Ala-Cort) |
| HYDROCORTISONE, 2.5% CREAM, Max Qty: 85 (Ala-cort) |
| HYDROCORTISONE, 2.5% OINT, Max Qty: 60 (Ala-Cort) |
| HYDROCORTISONE, 2.5% CREAM, Max Qty: 30 (Anusol HC) |
| HYDROQUINONE, 4% CREAM, Max Qty: 90 (Lustra) |
| HYDROXYZINE HCL, 10 MG TAB, Max Qty: 180 (Atarax) |
| HYDROXYZINE HCL, 25 MG TAB, Max Qty: 180 (Atarax) |
| HYDROXYZINE HCL, 50 MG TAB, Max Qty: 90 (Atarax) |
| KETOCONAZOLE, 200 MG TAB, Max Qty: 60 (Nizoral) |
| KETOCONAZOLE, 2% CREAM, Max Qty: 90 (Nizoral) |
| KETOCONAZOLE, 2% SHAMPOO, Max Qty: 360 (Nizoral) |
| LIDOCAINE, 5% OINT, Max Qty: 106 (Xylocaine) |
| LIDOCAINE/PRILOCAINE, 2.5%/2.5% CREAM, Max Qty: 90 (Emla) |
| METRONIDAZOLE, 0.75% CREAM, Max Qty: 135 (ROSADAN) |
| METRONIDAZOLE, 0.75% GEL, Max Qty: 135 (ROSADAN) |
| MINOCYCLINE, 50 MG CAP, Max Qty: 90 (Minocin) |
| MINOCYCLINE, 75 MG CAP, Max Qty: 90 (Minocin) |
| MINOCYCLINE, 100 MG CAP, Max Qty: 90 (Minocin) |
| MUPIROCIN, 2% OINT, Max Qty: 90 (Bactroban) |
| NYSTATIN, 100 MU CREAM, Max Qty: 90 (Mycostatin) |
| NYSTATIN, 100 MU OINT, Max Qty: 45 (Mycostatin) |
| NYSTATIN, 100 MU POWDER, Max Qty: 180 (Nystop) |
| NYSTATIN/TRIAMCINOLONE, 100 MU CREAM, Max Qty: 90 (Mycolog-II) |
| SILVER SULFADIAZINE, 1% CREAM, Max Qty: 150 (Silvadene) |
| SPIRONOLACTONE, 25 MG TAB, Max Qty: 90 (Aldactone) |
| SPIRONOLACTONE, 50 MG TAB, Max Qty: 90 (Aldactone) |
| SPIRONOLACTONE, 100 MG TAB, Max Qty: 90 (Aldactone) |
| SULFACETAMIDE/SULFUR, 10%/5% CLEANSER, Max Qty: 170.3 (Plexion) |
| TERBINAFINE, 250 MG TAB, Max Qty: 90 (Lamisil) |
| TERBINAFINE, 1% CREAM, Max Qty: 90 (Lamisil) |
| TRIAMCINOLONE, 0.025% OINT, Max Qty: 240 (Kenalog) |
| TRIAMCINOLONE, 0.1% OINT, Max Qty: 240 (Kenalog) |
| TRIAMCINOLONE, 0.5% OINT, Max Qty: 45 (Kenalog) |
| TRIAMCINOLONE, 0.025% CREAM, Max Qty: 270 (Kenalog) |
| TRIAMCINOLONE, 0.1% CREAM, Max Qty: 270 (Kenalog) |
| TRIAMCINOLONE, 0.5% CREAM, Max Qty: 45 (Kenalog) |
| DIABETES |
| ACARBOSE, 25 MG TAB, Max Qty: 270 (Precose |
| ACARBOSE, 50 MG TAB, Max Qty: 270 (Precose) |
| ACARBOSE, 100 MG TAB, Max Qty: 270 (Precose) |
| CHLORPROPAMIDE, 250 MG CAP, Max Qty: 180 (Diabinese) |
| GLIMEPIRIDE, 1 MG TAB, Max Qty: 90 (Amaryl) |
| GLIMEPIRIDE, 2 MG TAB, Max Qty: 90 (Amaryl) |
| GLIMEPIRIDE, 4 MG TAB, Max Qty: 90 (Amaryl) |
| GLIPIZIDE, 5 MG TAB, Max Qty: 180 (Glucotrol) |
| GLIPIZIDE, 10 MG TAB, Max Qty: 180 (Glucotrol) |
| GLIPIZIDE, 2.5 MG ER TAB (24HR), Max Qty: 90 (Glucotrol XL) |
| GLIPIZIDE, 5 MG ER TAB (24HR), Max Qty: 90 (Glucotrol XL) |
| GLIPIZIDE, 10 MG ER TAB (24HR), Max Qty: 90 (Glucotrol XL) |
| GLIPIZIDE/METFORMIN, 2.5-250 MG TAB, Max Qty: 180 (Metaglip) |
| GLIPIZIDE/METFORMIN, 5-500 MG TAB, Max Qty: 180 (Metaglip) |
| GLYBURIDE, 1.25 MG TAB, Max Qty: 90 (Glynase) |
| GLYBURIDE, 2.5 MG TAB, Max Qty: 90 (Glynase) |
| GLYBURIDE, 5 MG TAB, Max Qty: 90 (Glynase) |
| GLYBURIDE/METFORMIN, 1.25-250 MG TAB, Max Qty: 180 (Glucovance) |
| GLYBURIDE/METFORMIN, 2.5-500 MG TAB, Max Qty: 180 (Glucovance) |
| GLYBURIDE/METFORMIN, 5-500 MG TAB, Max Qty: 180 (Glucovance) |
| METFORMIN, 500 MG TAB, Max Qty: 180 (Glucophage) |
| METFORMIN, 850 MG TAB, Max Qty: 180 (Glucophage) |
| METFORMIN, 1000 MG TAB, Max Qty: 180 (Glucophage) |
| METFORMIN, 500 MG ER TAB (24HR), Max Qty: 180 (Glucophage XR) |
| METFORMIN, 750 MG ER TAB (24HR), Max Qty: 180 (Glucophage XR) |
| NATEGLINIDE, 60 MG TAB, Max Qty: 270 (Starlix) |
| NATEGLINIDE, 120 MG TAB, Max Qty: 270 (Starlix) |
| PIOGLITAZONE, 15 MG TAB, Max Qty: 90 (Actos) |
| PIOGLITAZONE, 30 MG TAB, Max Qty: 90 (Actos) |
| PIOGLITAZONE, 45 MG TAB, Max Qty: 90 (Actos) |
| PIOGLITAZONE/METFORMIN, 15/500 MG TAB, Max Qty: 180 (Actoplus Met) |
| PIOGLITAZONE/METFORMIN, 15/850 MG TAB, Max Qty: 180 (Actoplus Met) |
| PRODIGY DIABETIC TEST STRIPS, STRIPS, Max Qty: 150 |
| PRODIGY GLUCOSE METER, METER, Max Qty: 1 |
| PRODIGY DIABETIC LANCETS, Max Qty: 200 |
| REPAGLINIDE, 0.5 MG TAB, Max Qty: 270 (Prandin) |
| REPAGLINIDE, 1 MG TAB, Max Qty: 270 (Prandin) |
| REPAGLINIDE, 2 MG TAB, Max Qty: 270 (Prandin) |
| ENDOCRINOLOGY |
| CINACALCET, 30 MG TAB, Max Qty: 90 (Sensipar) |
| DESMOPRESSIN, 0.1 MG TAB, Max Qty: 90 (DDAVP) |
| DESMOPRESSIN, 0.2 MG TAB, Max Qty: 90 (DDAVP) |
| LEVOTHYROXINE, 25 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 50 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 75 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 88 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 100 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 112 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 125 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 137 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 150 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 175 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 200 MCG TAB, Max Qty: 90 (Synthroid) |
| LEVOTHYROXINE, 300 MCG TAB, Max Qty: 90 (Synthroid) |
| LIOTHYRONINE, 5 MCG TAB, Max Qty: 90 (Cytomel) |
| LIOTHYRONINE, 25 MCG TAB, Max Qty: 90 (Cytomel) |
| LIOTHYRONINE, 50 MCG TAB, Max Qty: 90 (Cytomel) |
| METHIMAZOLE, 5 MG TAB, Max Qty: 90 (Tapazole) |
| METHIMAZOLE, 10 MG TAB, Max Qty: 90 (Tapazole) |
| GASTROINTESTINAL |
| CIMETIDINE, 200 MG TAB, Max Qty: 180 (Tagament) |
| CIMETIDINE, 300 MG TAB, Max Qty: 180 (Tagament) |
| CIMETIDINE, 400 MG TAB, Max Qty: 180 (Tagament) |
| CIMETIDINE, 800 MG TAB, Max Qty: 180 (Tagament) |
| DICYCLOMINE, 10 MG CAP, Max Qty: 180 (Bentyl) |
| DICYCLOMINE, 20 MG TAB, Max Qty: 90 (Bentyl) |
| DOCUSATE SODIUM, 100 MG CAP, Max Qty: 90 (Colace) |
| ESOMEPRAZOLE, 20 MG DR CAP, Max Qty: 90 (Nexium) |
| ESOMEPRAZOLE, 40 MG DR CAP, Max Qty: 90 (Nexium) |
| FAMOTIDINE, 20 MG TAB, Max Qty: 180 Pepcid) |
| FAMOTIDINE, 40 MG TAB, Max Qty: 90 (Pepcid) |
| GLYCOPYRROLATE, 1 MG TAB, Max Qty: 90 (Robinul) |
| GLYCOPYRROLATE, 2 MG TAB, Max Qty: 90 (Robinul) |
| HYOSCYAMINE, 0.125 MG TAB, Max Qty: 360 (Levsin) |
| HYOSCYAMINE, 0.125 MG ODT TAB, Max Qty: 360 (Anaspaz) |
| HYOSCYAMINE SR, 0.375 MG SR TAB (12HR), Max Qty: 90 (Levbid) |
| LANSOPRAZOLE, 15 MG DR CAP, Max Qty: 90 (Prevacid) |
| LANSOPRAZOLE, 30 MG DR CAP, Max Qty: 90 (Prevacid) |
| LIDOCAINE, 2% SOLN, Max Qty: 300 (Xylocaine) |
| LOPERAMIDE, 2 MG CAP, Max Qty: 90 (Imodium) |
| METOCLOPRAMIDE, 5 MG TAB, Max Qty: 180 (Reglan) |
| METOCLOPRAMIDE, 10 MG TAB, Max Qty: 180 (Reglan) |
| OMEPRAZOLE, 10 MG DR CAP, Max Qty: 90 (Prilosec) |
| OMEPRAZOLE, 20 MG DR CAP, Max Qty: 90 (Prilosec) |
| OMEPRAZOLE, 40 MG DR CAP, Max Qty: 90 (Prilosec) |
| ONDANSETRON, 4 MG TAB, Max Qty: 90 (Zofran) |
| ONDANSETRON, 8 MG TAB, Max Qty: 90 (Zofran) |
| ONDANSETRON, 4 MG ODT TAB, Max Qty: 90 (Zofran ODT) |
| ONDANSETRON, 8 MG ODT TAB, Max Qty: 90 (Zofran ODT) |
| PANTOPRAZOLE, 20 MG DR TAB, Max Qty: 90 (Protonix) |
| PANTOPRAZOLE, 40 MG DR TAB, Max Qty: 90 (Protonix) |
| POLYETHYLENE GLYCOL, 17 GM POWDER, Max Qty: 476 (Miralax) |
| PROMETHAZINE, 12.5 MG TAB, Max Qty: 90 (Phenergan) |
| PROMETHAZINE, 50 MG TAB, Max Qty: 90 (Phenergan) |
| RABEPRAZOLE, 20 MG TAB, Max Qty: 90 (Aciphex) |
| SUCRALFATE, 1 GM TAB, Max Qty: 360 (Carafate) |
| MEN'S HEALTH |
| ALFUZOSIN, 10 MG TAB, Max Qty: 90 (Uroxatrol) |
| BETHANECHOL, 5 MG TAB, Max Qty: 180 (Urecholine) |
| BETHANECHOL, 10 MG TAB, Max Qty: 180 (Urecholine) |
| BETHANECHOL, 25 MG TAB, Max Qty: 180 (Urecholine) |
| BETHANECHOL, 50 MG TAB, Max Qty: 180 (Urecholine) |
| BICALUTAMIDE, 50 MG CAP, Max Qty: 90 (Casodex) |
| DUTASTERIDE, 0.5 MG CAP, Max Qty: 90 (Avodart) |
| EMTRICITABINE-TENOFOVIR, 200-300 MG TAB, Max Qty: 90 (Truvada) |
| FINASTERIDE, 1 MG TAB, Max Qty: 90 (Propecia) |
| FINASTERIDE, 5 MG TAB, Max Qty: 90 (Proscar) |
| MINOXIDIL, 2% SOLN, Max Qty: 90 (Rogaine) |
| OXYBUTYNIN, 5 MG TAB, Max Qty: 180 (Ditropan) |
| OXYBUTYNIN, 5 MG ER TAB (24HR), Max Qty: 90 (Ditropan XL) |
| OXYBUTYNIN, 10 MG ER TAB (24HR), Max Qty: 90 (Ditropan XL) |
| OXYBUTYNIN, 15 MG ER TAB (24HR), Max Qty: 90 (Ditropan XL) |
| SILDENAFIL, 20 MG TAB, Max Qty: 90 (Revatio) |
| SILDENAFIL, 25 MG TAB, Max Qty: 90 (Viagra) |
| SILDENAFIL, 50 MG TAB, Max Qty: 90 (Viagra) |
| SILDENAFIL, 100 MG TAB, Max Qty: 90 (Viagra) |
| SILODOSIN, 4 MG CAP, Max Qty: 90 (Rapaflo) |
| SILODOSIN, 8 MG CAP, Max Qty: 90 (Rapaflo) |
| SOLIFENACIN, 5 MG TAB, Max Qty: 90 (VESICARE) |
| SOLIFENACIN, 10 MG TAB, Max Qty: 90 (VESICARE) |
| TADALAFIL, 2.5 MG TAB, Max Qty: 90 (Cialis) |
| TADALAFIL, 5 MG TAB, Max Qty: 90 (Cialis) |
| TADALAFIL, 10 MG TAB, Max Qty: 90 (Cialis) |
| TADALAFIL, 20 MG TAB, Max Qty: 90 (Cialis) |
| TAMSULOSIN, 0.4 MG CAP, Max Qty: 90 (Flomax) |
| TOLTERODINE ER, 2 MG CAP, Max Qty: 90 (Detrol LA) |
| TROSPIUM, 20 MG TAB, Max Qty: 90 (Sanctura) |
| YOHIMBINE, 5.4 MG TAB, Max Qty: 180 (Yocon) |
| MENTAL HEALTH |
| AMITRIPTYLINE, 10 MG TAB, Max Qty: 90 (Elavil) |
| AMITRIPTYLINE, 25 MG TAB, Max Qty: 90 (Elavil) |
| AMITRIPTYLINE, 50 MG TAB, Max Qty: 90 (Elavil) |
| AMITRIPTYLINE, 75 MG TAB, Max Qty: 90 (Elavil) |
| AMITRIPTYLINE, 100 MG TAB, Max Qty: 90 (Elavil) |
| AMITRIPTYLINE, 150 MG TAB, Max Qty: 90 (Elavil) |
| ARIPIPRAZOLE, 2 MG TAB, Max Qty: 90 (Abilify) |
| ARIPIPRAZOLE, 5 MG TAB, Max Qty: 90 (Abilify) |
| ARIPIPRAZOLE, 10 MG TAB, Max Qty: 90 (Abilify) |
| ARIPIPRAZOLE, 15 MG TAB, Max Qty: 90 (Abilify) |
| ARIPIPRAZOLE, 20 MG TAB, Max Qty: 90 (Abilify) |
| ARIPIPRAZOLE, 30 MG TAB, Max Qty: 90 (Abilify) |
| BENZTROPINE, 0.5 MG TAB, Max Qty: 180 (Cogentin) |
| BENZTROPINE, 1 MG TAB, Max Qty: 180 (Cogentin) |
| BENZTROPINE, 2 MG TAB, Max Qty: 180 (Cogentin) |
| BUPROPION, 75 MG TAB, Max Qty: 270 (Wellbutrin) |
| BUPROPION, 100 MG TAB, Max Qty: 270 (Wellbutrin) |
| BUPROPION, 100 MG SR TAB (12HR), Max Qty: 180 (Wellbutrin SR) |
| BUPROPION, 150 MG SR TAB (12HR), Max Qty: 180 (Wellbutrin SR) |
| BUPROPION, 200 MG SR TAB (12HR), Max Qty: 180 (Wellbutrin SR) |
| BUPROPION, 150 MG XL TAB (24HR), Max Qty: 90 (Wellbutrin XL) |
| BUPROPION, 300 MG XL TAB (24HR), Max Qty: 90 (Wellbutrin XL) |
| BUSPIRONE, 5 MG TAB, Max Qty: 270 (Buspar) |
| BUSPIRONE, 7.5 MG TAB, Max Qty: 270 (Buspar) |
| BUSPIRONE, 10 MG TAB, Max Qty: 270 (Buspar) |
| BUSPIRONE, 15 MG TAB, Max Qty: 270 (Buspar) |
| BUSPIRONE, 30 MG TAB, Max Qty: 180 (Buspar) |
| CARBAMAZEPINE, 200 MG TAB, Max Qty: 180 (Tegretol) |
| CARBIDOPA, 25 MG TAB, Max Qty: 360 (Lodosyn) |
| CARBIDOPA/LEVODOPA, 10-100 MG TAB, Max Qty: 270 (Sinemet) |
| CARBIDOPA/LEVODOPA, 25-100 MG TAB, Max Qty: 270 (Sinemet) |
| CARBIDOPA/LEVODOPA, 25-250 MG TAB, Max Qty: 270 (Sinemet) |
| CARBIDOPA/LEVODOPA, 25-100 MG ER TAB, Max Qty: 180 (Sinemet CR) |
| CARBIDOPA/LEVODOPA, 50-200 MG ER TAB, Max Qty: 180 (Sinemet CR) |
| CHLORPROMAZINE, 25 MG CAP, Max Qty: 180 (Thorazine) |
| CITALOPRAM, 10 MG TAB, Max Qty: 90 (Celexa) |
| CITALOPRAM, 20 MG TAB, Max Qty: 90 (Celexa) |
| CITALOPRAM, 40 MG TAB, Max Qty: 90 (Celexa) |
| CLOMIPRAMINE, 25 MG CAP, Max Qty: 90 (Anafranil) |
| CLOMIPRAMINE, 50 MG CAP, Max Qty: 90 (Anafranil) |
| CLOMIPRAMINE, 75 MG CAP, Max Qty: 90 (Anafranil) |
| DESIPRAMINE, 10 MG TAB, Max Qty: 90 (Norpramin) |
| DESIPRAMINE, 25 MG TAB, Max Qty: 90 (Norpramin) |
| DESIPRAMINE, 50 MG TAB, Max Qty: 90 (Norpramin) |
| DESIPRAMINE, 100 MG TAB, Max Qty: 90 (Norpramin) |
| DESVENLAFAXINE ER, 25 MG ER TAB, Max Qty: 90 (Pristiq) |
| DESVENLAFAXINE ER, 50 MG ER TAB, Max Qty: 90 (Pristiq) |
| DESVENLAFAXINE ER, 100 MG ER TAB, Max Qty: 90 (Pristiq) |
| DIVALPROEX, 125 MG DR TAB, Max Qty: 180 (Depakote) |
| DIVALPROEX, 250 MG DR TAB, Max Qty: 180 (Depakote) |
| DIVALPROEX, 500 MG DR TAB, Max Qty: 180 (Depakote) |
| DIVALPROEX, 250 MG ER TAB (24HR), Max Qty: 90 (Depakote ER) |
| DIVALPROEX, 500 MG ER TAB (24HR), Max Qty: 90 (Depakote ER) |
| DONEPEZIL, 5 MG TAB, Max Qty: 90 (Aricept) |
| DONEPEZIL, 10 MG TAB, Max Qty: 90 (Aricept) |
| DONEPEZIL, 23 MG TAB, Max Qty: 90 (Aricept) |
| DONEPEZIL, 5 MG ODT TAB, Max Qty: 90 (Aricept) |
| DONEPEZIL, 10 MG ODT TAB, Max Qty: 90 (Aricep) |
| DOXEPIN, 25 MG CAP, Max Qty: 90 (Silenor) |
| DOXEPIN, 50 MG CAP, Max Qty: 90 (Silenor) |
| DOXEPIN, 75 MG CAP, Max Qty: 90 (Silenor) |
| DOXEPIN, 100 MG CAP, Max Qty: 90 (Silenor) |
| DULOXETINE, 20 MG DR CAP, Max Qty: 90 (Cymbalta) |
| DULOXETINE, 30 MG DR CAP, Max Qty: 90 (Cymbalta) |
| DULOXETINE, 60 MG DR CAP, Max Qty: 90 (Cymbalta) |
| ESCITALOPRAM, 5 MG TAB, Max Qty: 90 (Lexapro) |
| ESCITALOPRAM, 10 MG TAB, Max Qty: 90 (Lexapro) |
| ESCITALOPRAM, 20 MG TAB, Max Qty: 90 (Lexapro) |
| ETHOSUXIMIDE, 250 MG CAP, Max Qty: 90 (Zarontin) |
| FLUOXETINE, 10 MG CAP, Max Qty: 90 (Prozac) |
| FLUOXETINE, 20 MG CAP, Max Qty: 90 (Prozac) |
| FLUOXETINE, 40 MG CAP, Max Qty: 90 (Prozac) |
| FLUOXETINE, 10 MG TAB, Max Qty: 90 (Prozac) |
| FLUOXETINE, 20 MG TAB, Max Qty: 90 (Prozac) |
| FLUOXETINE, 60 MG TAB, Max Qty: 90 (Prozac) |
| FLUPHENAZINE, 2.5 MG TAB, Max Qty: 270 (Modecate) |
| FLUPHENAZINE, 5 MG TAB, Max Qty: 270 (Modecate) |
| FLUVOXAMINE, 25 MG TAB, Max Qty: 90 (Luvox) |
| FLUVOXAMINE, 50 MG TAB, Max Qty: 90 (Luvox) |
| FLUVOXAMINE, 100 MG TAB, Max Qty: 90 (Luvox) |
| GALANTAMINE, 4 MG TAB, Max Qty: 180 (Razadyne) |
| GALANTAMINE, 8 MG TAB, Max Qty: 180 (Razadyne) |
| GALANTAMINE, 12 MG TAB, Max Qty: 180 (Razadyne) |
| HALOPERIDOL, 0.5 MG TAB, Max Qty: 270 (Haldol) |
| HALOPERIDOL, 1 MG TAB, Max Qty: 270 (Haldol) |
| HYDROXYZINE PAMOATE, 25 MG CAP, Max Qty: 90 (Vistaril) |
| HYDROXYZINE PAMOATE, 50 MG CAP, Max Qty: 90 (Vistaril) |
| IMIPRAMINE, 10 MG TAB, Max Qty: 180 (Tofranil) |
| IMIPRAMINE, 25 MG TAB, Max Qty: 180 (Tofranil) |
| IMIPRAMINE, 50 MG TAB, Max Qty: 180 (Tofranil) |
| LAMOTRIGINE, 25 MG TAB, Max Qty: 90 (Lamictal) |
| LAMOTRIGINE, 100 MG TAB, Max Qty: 90 (Lamictal) |
| LAMOTRIGINE, 150 MG TAB, Max Qty: 90 (Lamictal) |
| LAMOTRIGINE, 200 MG TAB, Max Qty: 90 (Lamictal) |
| LAMOTRIGINE ER, 25 MG TAB, Max Qty: 90 (Lamictal ER) |
| LAMOTRIGINE ER, 50MG TAB, Max Qty: 90 (Lamictal ER) |
| LAMOTRIGINE ER, 100 MG TAB, Max Qty: 90 (Lamictal ER) |
| LAMOTRIGINE ER, 200 MG TAB, Max Qty: 90 (Lamictal ER) |
| LEVETIRACETAM, 250 MG TAB, Max Qty: 180 (Keppra) |
| LEVETIRACETAM, 500 MG TAB, Max Qty: 180 (Keppra) |
| LEVETIRACETAM, 750 MG TAB, Max Qty: 180 (Keppra) |
| LEVETIRACETAM, 1000 MG TAB, Max Qty: 90 (Keppra) |
| LEVETIRACETAM XR, 500 MG TAB, Max Qty: 90 (Keppra XR) |
| LITHIUM, 150 MG CAP, Max Qty: 270 (Lithobid) |
| LITHIUM, 300 MG CAP, Max Qty: 270 (Lithobid) |
| LITHIUM, 600 MG CAP, Max Qty: 270 (Lithobid) |
| LITHIUM, 300 MG ER TAB, Max Qty: 180 (Lithobid) |
| LITHIUM, 450 MG ER TAB, Max Qty: 180 (Lithobid) |
| LOXAPINE, 5 MG CAP, Max Qty: 180 (Loxitane) |
| LOXAPINE, 10 MG CAP, Max Qty: 180 (Loxitane) |
| MEMANTINE, 5 MG TAB, Max Qty: 180 (Namenda) |
| MEMANTINE, 10 MG TAB, Max Qty: 180 (Namenda) |
| MIRTAZAPINE, 15 MG TAB, Max Qty: 90 (Remeron) |
| MIRTAZAPINE, 30 MG TAB, Max Qty: 90 (Remeron) |
| MIRTAZAPINE, 45 MG TAB, Max Qty: 90 (Remeron) |
| NEFAZODONE, 50 MG TAB, Max Qty: 180 (Serzone) |
| NEFAZODONE, 100 MG TAB, Max Qty: 180 (Serzone) |
| NEFAZODONE, 150 MG TAB, Max Qty: 180 (Serzone) |
| NEFAZODONE, 200 MG TAB, Max Qty: 180 (Serzone) |
| NEFAZODONE, 250 MG TAB, Max Qty: 180 (Serzone) |
| NORTRIPTYLINE, 10 MG CAP, Max Qty: 90 (Pamelor) |
| NORTRIPTYLINE, 25 MG CAP, Max Qty: 90 (Pamelor) |
| NORTRIPTYLINE, 50 MG CAP, Max Qty: 90 (Pamelor) |
| NORTRIPTYLINE, 75 MG CAP, Max Qty: 90 (Pamelor) |
| OLANZAPINE, 5 MG ODT TAB, Max Qty: 90 (Zyprexa Zydis) |
| OLANZAPINE, 10 MG ODT TAB, Max Qty: 90 (Zyprexa Zydis) |
| OLANZAPINE, 15 MG ODT TAB, Max Qty: 90 (Zyprexa Zydis) |
| OLANZAPINE, 20 MG ODT TAB, Max Qty: 90 (Zyprexa Zydis) |
| OLANZAPINE, 2.5 MG TAB, Max Qty: 90 (Zyprexa) |
| OLANZAPINE, 5 MG TAB, Max Qty: 90 (Zyprexa) |
| OLANZAPINE, 7.5 MG TAB, Max Qty: 90 (Zyprexa) |
| OLANZAPINE, 10 MG TAB, Max Qty: 90 (Zyprexa) |
| OLANZAPINE, 15 MG TAB, Max Qty: 90 (Zyprexa) |
| OLANZAPINE, 20 MG TAB, Max Qty: 90 (Zyprexa) |
| OXCARBAZEPINE, 150 MG TAB, Max Qty: 180 (Trileptal) |
| OXCARBAZEPINE, 300 MG TAB, Max Qty: 180 (Trileptal) |
| OXCARBAZEPINE, 600 MG TAB, Max Qty: 180 (Trileptal) |
| PAROXETINE, 10 MG TAB, Max Qty: 90 (Paxil) |
| PAROXETINE, 20 MG TAB, Max Qty: 90 (Paxil) |
| PAROXETINE, 30 MG TAB, Max Qty: 90 (Paxil) |
| PAROXETINE, 40 MG TAB, Max Qty: 90 (Paxil) |
| PERPHANAZINE, 2 MG TAB, Max Qty: 270 (Trilafon) |
| PERPHENAZINE, 4 MG TAB, Max Qty: 270 (Trilafon) |
| PERPHENAZINE, 8 MG TAB, Max Qty: 270 (Trilafon) |
| PHENYTOIN ER, 100 MG ER CAP, Max Qty: 270 (Dilantin ER) |
| PRAMIPEXOLE, 0.125 MG TAB, Max Qty: 270 (Mirapex) |
| PRAMIPEXOLE, 0.25 MG TAB, Max Qty: 270 (Mirapex) |
| PRAMIPEXOLE, 0.5 MG TAB, Max Qty: 270 (Mirapex) |
| PRAMIPEXOLE, 1 MG TAB, Max Qty: 180 (Mirapex) |
| PRAMIPEXOLE, 1.5 MG TAB, Max Qty: 180 (Mirapex) |
| PRIMIDONE, 50 MG TAB, Max Qty: 90 (Mysoline) |
| PRIMIDONE, 250 MG TAB, Max Qty: 90 (Mysoline) |
| PROCHLORPERAZINE, 5 MG TAB, Max Qty: 270 (Compazine) |
| PROCHLORPERAZINE, 10 MG TAB, Max Qty: 270 (Compazine) |
| PYRIDOSTIGMINE, 60 MG TAB, Max Qty: 270 (Rifater) |
| QUETIAPINE, 25 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 50 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 100 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 200 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 300 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 400 MG TAB, Max Qty: 90 (Seroquel) |
| QUETIAPINE, 50 MG ER TAB (24HR), Max Qty: 90 (Seroquel XR) |
| QUETIAPINE, 150 MG ER TAB (24HR), Max Qty: 90 (Seroquel XR) |
| QUETIAPINE, 200 MG ER TAB (24HR), Max Qty: 90 (Seroquel XR) |
| QUETIAPINE, 300 MG ER TAB (24HR), Max Qty: 90 (Seroquel XR) |
| QUETIAPINE, 400 MG ER TAB (24HR), Max Qty: 90 (Seroquel XR) |
| RILUZOLE, 50 MG TAB, Max Qty: 180 (Rilutek) |
| RISPERIDONE, 0.25 MG TAB, Max Qty: 180 (Risperdal) |
| RISPERIDONE, 0.5 MG TAB, Max Qty: 180 (Risperdal) |
| RISPERIDONE, 1 MG TAB, Max Qty: 180 (Risperdal) |
| RISPERIDONE, 2 MG TAB, Max Qty: 180 (Risperdal) |
| RISPERIDONE, 3 MG TAB, Max Qty: 90 (Risperdal) |
| RISPERIDONE, 4 MG TAB, Max Qty: 90 (Risperdal) |
| RIVASTIGMINE, 1.5 MG CAP, Max Qty: 180 (Exelon) |
| RIVASTIGMINE, 3 MG CAP, Max Qty: 180 (Exelon) |
| RIVASTIGMINE, 4.5 MG CAP, Max Qty: 180 (Exelon) |
| RIVASTIGMINE, 6 MG CAP, Max Qty: 180 (Exelon) |
| SELEGILINE, 5 MG TAB, Max Qty: 90 (Eldepryl) |
| SERTRALINE, 25 MG TAB, Max Qty: 90 (Zoloft) |
| SERTRALINE, 50 MG TAB, Max Qty: 90 (Zoloft) |
| SERTRALINE, 100 MG TAB, Max Qty: 90 (Zoloft) |
| THIORIDAZINE, 10 MG TAB, Max Qty: 270 (Mellaril) |
| THIORIDAZINE, 25 MG TAB, Max Qty: 270 (Mellaril) |
| THIORIDAZINE, 100 MG TAB, Max Qty: 270 (Mellaril) |
| THIOTHIXENE, 1 MG CAP, Max Qty: 180 (Navane) |
| THIOTHIXENE, 2 MG CAP, Max Qty: 180 (Navane) |
| THIOTHIXENE, 5 MG CAP, Max Qty: 180 (Navane) |
| TOPIRAMATE, 25 MG TAB, Max Qty: 180 (Topamax) |
| TOPIRAMATE, 50 MG TAB, Max Qty: 180 (Topamax) |
| TOPIRAMATE, 100 MG TAB, Max Qty: 180 (Topamax) |
| TOPIRAMATE, 200 MG TAB, Max Qty: 90 (Topamax) |
| TRAZODONE, 50 MG TAB, Max Qty: 90 (Oleptro) |
| TRAZODONE, 100 MG TAB, Max Qty: 90 (Oleptro) |
| TRAZODONE, 150 MG TAB, Max Qty: 90 (Oleptro) |
| TRIHEXYPHENIDYL, 2 MG TAB, Max Qty: 180 (Artane) |
| TRIHEXYPHENIDYL, 5 MG TAB, Max Qty: 180 (Artane) |
| VALPROIC ACID, 250 MG CAP, Max Qty: 180 (Dapakene) |
| VENLAFAXINE, 25 MG TAB, Max Qty: 180 (Effexor) |
| VENLAFAXINE, 37.5 MG TAB, Max Qty: 180 (Effexor) |
| VENLAFAXINE, 50 MG TAB, Max Qty: 180 (Effexor) |
| VENLAFAXINE, 75 MG TAB, Max Qty: 180 (Effexor) |
| VENLAFAXINE, 100 MG TAB, Max Qty: 180 (Effexor) |
| VENLAFAXINE XR, 37.5 MG ER CAP (24HR), Max Qty: 90 (Effexor XR) |
| VENLAFAXINE XR, 75 MG ER CAP (24HR), Max Qty: 90 (Effexor XR) |
| VENLAFAXINE XR, 150 MG ER CAP (24HR), Max Qty: 90 (Effexor XR) |
| ZIPRASIDONE, 20 MG CAP, Max Qty: 180 (Geodon) |
| ZIPRASIDONE, 40 MG CAP, Max Qty: 180 (Geodon) |
| ZIPRASIDONE, 60 MG CAP, Max Qty: 180 (Geodon) |
| ZIPRASIDONE, 80 MG CAP, Max Qty: 180 (Geodon) |
| ZONISAMIDE, 25 MG CAP, Max Qty: 180 (Zonegran) |
| ZONISAMIDE, 50 MG CAP, Max Qty: 180 (Zonegran) |
| ZONISAMIDE, 100 MG CAP, Max Qty: 180 (Zonegran) |
| MIGRAINE |
| NARATRIPTAN, 1 MG TAB, Max Qty: 27 (Amerge) |
| NARATRIPTAN, 2.5 MG TAB, Max Qty: 27 (Amerge) |
| RIZATRIPTAN, 5 MG TAB, Max Qty: 27 (Maxalt) |
| RIZATRIPTAN, 10 MG TAB, Max Qty: 27 (Maxalt) |
| RIZATRIPTAN, 5 MG ODT TAB, Max Qty: 27 (Maxalt MLT) |
| RIZATRIPTAN, 10 MG ODT TAB, Max Qty: 27 (Maxalt MLT) |
| SUMATRIPTAN, 25 MG TAB, Max Qty: 27 (Imitrex) |
| SUMATRIPTAN, 50 MG TAB, Max Qty: 27 (Imitrex) |
| SUMATRIPTAN, 100 MG TAB, Max Qty: 27 (Imitrex) |
| ONCOLOGY |
| CAPECITABINE, 150 MG TAB, Max Qty: 180 (Xeloda) |
| HYDROXYUREA, 500 MG CAP, Max Qty: 180 (Hydrea) |
| PILOCARPINE, 5 MG TAB, Max Qty: 270 (Salagen) |
| OPTHALMIC |
| ACETAZOLAMIDE, 125 MG TAB, Max Qty: 270 (Diamox) |
| ACETAZOLAMIDE, 250 MG TAB, Max Qty: 270 (Diamox) |
| BRIMONIDINE TARTRATE, 0.2% OPTH SOLN, Max Qty: 15 (Alphagan) |
| CIPROFLOXACIN, 0.3% OPTH SOLN, Max Qty: 5 (Ciloxan) |
| DICLOFENAC, 0.1% OPTH SOLN, Max Qty: 15 (Voltaren) |
| DORZOLAMIDE, 2% OPTH SOLN, Max Qty: 20 (Trusopt) |
| DORZOLAMIDE/TIMOLOL, 2%/0.5% OPTH SOLN, Max Qty: 20 (Cosopt) |
| ERYTHROMYCIN, 0.5% OPTH OINT, Max Qty: 3.5 (Illotycin) |
| GENTAMICIN, 0.3% OPTH SOLN, Max Qty: 5 (Garamycin) |
| LATANOPROST, 0.005% OPTH SOLN, Max Qty: 7.5 (Xalatan) |
| METHAZOLAMIDE, 25 MG TAB, Max Qty: 270 (Neptazane) |
| METHAZOLAMIDE, 50 MG TAB, Max Qty: 270 (Neptazane) |
| MOXIFLOXACIN, 0.5% OPTH SOLN, Max Qty: 6 (Vigamox) |
| NEOMYCIN/POLY/DEX, OPTH SUSP, Max Qty: 15 (Maxitrol) |
| NEOMYCIN/POLY/DEX, OPTH OINT, Max Qty: 10.5 (Maxitrol) |
| OFLOXACIN, 0.3% OPTH SOLN, Max Qty: 5 (Ocuflox) |
| OLOPATADINE, 0.01% OPTH SOLN, Max Qty: 10 (Pataday) |
| SULFACETAMIDE/PREDNISOLONE, 10%/0.23% OPTH SOLN, Max Qty: 1 (Blephamide) |
| TIMOLOL, 0.25% OPTH SOLN, Max Qty: 15 (Timoptic) |
| TIMOLOL, 0.50% OPTH SOLN, Max Qty: 15 (Timoptic) |
| TOBRAMYCIN, 0.3% OPTH SOLN, Max Qty: 15 (Tobrex) |
| PAIN MANAGEMENT |
| BACLOFEN, 10 MG TAB, Max Qty: 200 (Lioresal) |
| BACLOFEN, 20 MG TAB, Max Qty: 200 (Lioresal) |
| CELECOXIB, 50 MG CAP, Max Qty: 180 (Celebrex) |
| CELECOXIB, 100 MG CAP, Max Qty: 180 (Celebrex) |
| CELECOXIB, 200 MG CAP, Max Qty: 90 (Celebrex) |
| CELECOXIB, 400 MG CAP, Max Qty: 90 (Celebrex) |
| CHLORZOXAZONE, 500 MG TAB, Max Qty: 180 (Lorzone) |
| CHOLINE MAG TRISALICYLATE, 500 MG TAB, Max Qty: 180 (Trilisate) |
| CHOLINE MAG TRISALICYLATE, 750 MG TAB, Max Qty: 180 (Trilisate) |
| CHOLINE MAG TRISALICYLATE, 1000 MG TAB, Max Qty: 180 (Trilisate) |
| CYCLOBENZAPRINE, 5 MG TAB, Max Qty: 90 (Flexeril) |
| CYCLOBENZAPRINE, 10 MG TAB, Max Qty: 90 (Flexeril) |
| DANTROLENE SODIUM, 25 MG CAP, Max Qty: 90 (Dantrium) |
| DICLOFENAC, 1.0% GEL, Max Qty: 200 (Voltaren) |
| DICLOFENAC, 50 MG DR TAB, Max Qty: 180 (Voltaren) |
| DICLOFENAC, 75 MG DR TAB, Max Qty: 180 (Voltaren) |
| ETODOLAC, 200 MG CAP, Max Qty: 180 (Lodine) |
| ETODOLAC, 300 MG CAP, Max Qty: 180 (Lodine) |
| ETODOLAC, 400 MG TAB, Max Qty: 180 (Lodine) |
| ETODOLAC, 500 MG TAB, Max Qty: 180 (Lodine) |
| FENOPROFEN, 600 MG TAB, Max Qty: 270 (Nalfon) |
| FLURBIPROFEN, 50 MG TAB, Max Qty: 270 (Ansaid) |
| FLURBIPROFEN, 100 MG TAB, Max Qty: 270 (Ansaid) |
| IBUPROFEN, 400 MG TAB, Max Qty: 180 (Motrin) |
| IBUPROFEN, 600 MG TAB, Max Qty: 180 (Motrin) |
| IBUPROFEN, 800 MG TAB, Max Qty: 180 (Motrin) |
| INDOMETHACIN, 25 MG CAP, Max Qty: 90 (Indocin) |
| INDOMETHACIN, 50 MG CAP, Max Qty: 90 (Indocin) |
| KETOROLAC, 10 MG TAB, Max Qty: 180 (Toradol) |
| MELOXICAM, 7.5 MG TAB, Max Qty: 90 (Mobic) |
| MELOXICAM, 15 MG TAB, Max Qty: 90 (Mobic) |
| METAXALONE, 800 MG TAB, Max Qty: 180 (Skelaxin) |
| METHOCARBAMOL, 500 MG TAB, Max Qty: 180 (Robaxin) |
| METHOCARBAMOL, 750 MG TAB, Max Qty: 180 (Robaxin) |
| NABUMETONE, 500 MG TAB, Max Qty: 180 (Relafen) |
| NABUMETONE, 750 MG TAB, Max Qty: 180 (Relafen) |
| NAPROXEN, 250 MG TAB, Max Qty: 180 (Naprosyn) |
| NAPROXEN, 375 MG TAB, Max Qty: 180 (Naprosyn) |
| NAPROXEN, 500 MG TAB, Max Qty: 180 (Naprosyn) |
| NAPROXEN, 550 MG TAB, Max Qty: 180 (Anaprox-DS) |
| ORPHENADRINE ER, 100 MG ER TAB, Max Qty: 180 (Norflex) |
| OXAPROZIN, 600 MG TAB, Max Qty: 180 (Daypro) |
| PIROXICAM, 10 MG CAP, Max Qty: 90 (Feldene) |
| PIROXICAM, 20 MG CAP, Max Qty: 90 (Feldene) |
| ROPINIROLE, 0.25 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 0.5 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 1 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 2 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 3 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 4 MG TAB, Max Qty: 90 (Requip) |
| ROPINIROLE, 5 MG TAB, Max Qty: 90 (Requip) |
| SALSALATE, 500 MG TAB, Max Qty: 180 (Disalcid) |
| SALSALATE, 750 MG TAB, Max Qty: 180 (Disalcid) |
| SULFASALAZINE, 500 MG TAB, Max Qty: 180 (Azulfidine) |
| SULINDAC, 150 MG TAB, Max Qty: 180 (Clinoril) |
| SULINDAC, 200 MG TAB, Max Qty: 180 (Clinoral) |
| TIZANIDINE, 2 MG TAB, Max Qty: 180 (Zanaflex) |
| TIZANIDINE, 4 MG TAB, Max Qty: 180 (Zanaflex) |
| TIZANIDINE, 2 MG CAP, Max Qty: 180 (Zanaflex) |
| TIZANIDINE, 4 MG CAP, Max Qty: 90 (Zanaflex) |
| TIZANIDINE, 6 MG CAP, Max Qty: 90 (Zanaflex) |
| RESPIRATORY/ALLERGY |
| ALBUTEROL HFA, 90 MCG INHALER, Max Qty: 1 (Proventil HFA) |
| ALBUTEROL INH SOLN, 2.5 MG/3 ML, Max Qty: 3 (Proventil) |
| AMINOPHYLLINE, 100 MG TAB, Max Qty: 180 (Norphyl) |
| AMINOPHYLLINE, 200 MG TAB, Max Qty: 180 (Norphyl) |
| AZELASTINE, 137 MCG NASAL SPRAY, Max Qty: 3 (Astepro) |
| BENZONATATE, 100 MG CAP, Max Qty: 90 (Tessalon Perles) |
| BENZONATATE, 200 MG CAP, Max Qty: 90 (Tessalon Perles) |
| BUDESONIDE, 32 MCG NASAL SPRAY, Max Qty: 3 (Rhinocort) |
| CARBINOXAMINE, 4 MG TAB, Max Qty: 180 (Palgic) |
| CETIRIZINE, 5 MG TAB, Max Qty: 90 (Zyrtec) |
| CETIRIZINE, 10 MG TAB, Max Qty: 90 (Zyrtec) |
| CHLORPHENIRAMINE, 4 MG TAB, Max Qty: 180 (ChlorTabs) |
| CLEMASTINE FUMARATE, 2.68 MG TAB, Max Qty: 180 (Tavist) |
| CYPROHEPTADINE, 4 MG TAB, Max Qty: 180 (Periactin) |
| DESLORATIDINE, 5 MG TAB, Max Qty: 90 (Clarinex) |
| DEXAMETHASONE, 0.5 MG TAB, Max Qty: 90 (Decadron) |
| DEXAMETHASONE, 0.75 MG TAB, Max Qty: 90 (Decadron) |
| DEXAMETHASONE, 1 MG TAB, Max Qty: 90 (Decadron) |
| DEXAMETHASONE, 4 MG TAB, Max Qty: 90 (Decadron) |
| DEXCHLORPHENIRAMINE, 4 MG CAP, Max Qty: 90 (DexPhen) |
| DEXCHLORPHENIRAMINE, 6 MG CAP, Max Qty: 90 (DexPhen) |
| DIMENHYDRINATE, 50 MG TAB, Max Qty: 180 (Dramamine) |
| DIPHENHYDRAMINE, 25 MG TAB, Max Qty: 270 (Benadryl) |
| DIPHENHYDRAMINE, 50 MG TAB, Max Qty: 270 (Benadryl) |
| FEXOFENADINE, 60 MG TAB, Max Qty: 90 (Allegra) |
| FEXOFENADINE, 180 MG TAB, Max Qty: 90 (Allegra) |
| FLUTICASONE, 50 MCG/ACT NASAL SPRAY, Max Qty: 3 (Flonase) |
| GUAIFEN/DM, 600-30MG TAB, Max Qty: 40 (Mucinex DM) |
| IPRATROPIUM, 0.02% (0.5MG/3ML) NEBULES, Max Qty: 180 (Atrovent) |
| IPRATROPIUM, 0.03% NASAL SPRAY, Max Qty: 3 (Atrovent) |
| IPRATROPIUM, 0.06% NASAL SPRAY, Max Qty: 3 (Atrovent) |
| IPRATROPIUM/ALBUTEROL INH SOLN 0.5-3 MG/ 3ML, Max. Qty: 3 (Duoneb) |
| LEVALBUTEROL INH SOLN, 0.31 MG/3 ML NEBULES, Max Qty: 144 (Xopenex) |
| LEVALBUTEROL INH SOLN, 0.63 MG/3 ML NEBULES, Max Qty: 150 (Xopenex) |
| LEVALBUTEROL INH SOLN, 1.25 MG/3 ML NEBULES, Max Qty: 180 (Xopenex) |
| LEVOCETIRIZINE, 5 MG TAB, Max Qty: 90 (Xyzal) |
| LORATIDINE, 10 MG TAB, Max Qty: 90 (Claritin) |
| MECLIZINE, 12.5 MG TAB, Max Qty: 90 (Antivert) |
| MECLIZINE, 25 MG TAB, Max Qty: 90 (Antivert) |
| METHYLPREDNISOLONE, 4 MG DOSE PACK, Max Qty: 63 (Medrol DosePack) |
| MONTELUKAST, 4 MG CHEWABLE TAB, Max Qty: 90 (Singulair) |
| MONTELUKAST, 5 MG CHEWABLE TAB, Max Qty: 90 (Singulair) |
| MONTELUKAST, 10 MG TAB, Max Qty: 90 (Singulair) |
| PREDNISONE, 1 MG TAB, Max Qty: 90 (Deltasone) |
| PREDNISONE, 2.5 MG TAB, Max Qty: 90 (Deltasone) |
| PREDNISONE, 5 MG TAB, Max Qty: 90 (Deltasone) |
| PREDNISONE, 10 MG TAB, Max Qty: 90 (Deltasone) |
| THEOPHYLLINE ER, 100 MG ER TAB, Max Qty: 180 (Uniphyl) |
| THEOPHYLLINE ER, 200 MG ER TAB, Max Qty: 180 (Uniphyl) |
| THEOPHYLLINE ER, 300 MG ER TAB, Max Qty: 180 (Uniphyl) |
| TRIAMCINOLONE, 55 MCG NASAL SPRAY, Max Qty: 3 (Nasacort) |
| RHEUMATOLOGY |
| ALLOPURINOL, 100 MG TAB, Max Qty: 180 (Zyloprim) |
| ALLOPURINOL, 300 MG TAB, Max Qty: 90 (Zyloprim) |
| AZATHIOPRINE, 50 MG TAB, Max Qty: 90 (Imuran) |
| CALCITRIOL, 0.25 MCG CAP, Max Qty: 180 (Rocaltrol) |
| CALCITRIOL, 0.5 MCG CAP, Max Qty: 180 (Rocaltrol) |
| COLCHICINE, 0.6 MG TAB, Max Qty: 90 (Colcrys) |
| FEBUXOSTAT, 40 MG TAB, Max Qty: 90 (Uloric) |
| FEBUXOSTAT, 80 MG TAB, Max Qty: 90 (Uloric) |
| HYDROXYCHLOROQUINE, 200 MG TAB, Max Qty: 90 (Plaquenil) |
| LEFLUNOMIDE, 10 MG TAB, Max Qty: 90 (Arava) |
| LEFLUNOMIDE, 20 MG TAB, Max Qty: 90 (Arava) |
| MERCAPTOPURINE, 50 MG TAB, Max Qty: 180 (Purinethol) |
| METHOTREXATE, 2.5 MG TAB, Max Qty: 120 (Trexall) |
| VITAMIN |
| ASPIRIN, 81 MG CHEWABLE TAB, Max Qty: 90 |
| ASPIRIN, 81 MG EC TAB, Max Qty: 90 |
| ASPIRIN, 325 MG EC TAB, Max Qty: 90 |
| CHOLECALCIFEROL, (Vit D3) 1000 IU TAB, Max Qty: 90 |
| CYANOCOBALAMIN, 1000 MCG/ML SOLN, Max Qty: 3 |
| ERGOCALCIFEROL, (VIT D2) 1.25 MG CAP, Max Qty: 13 FABB, 25-2.2-1 MG TAB, Max Qty: 90 |
| FEOGEN, 324 MG TAB, Max Qty: 90 |
| FEROCON, 110-0.5 MG CAP, Max Qty: 90 |
| FERROCITE PLUS, 106 MG-1MG TAB, Max Qty: 90 |
| FERROCITE-F, 106 MG-1 MG TAB, Max Qty: 90 |
| FERROUS SULFATE, 325 MG TAB, Max Qty: 90 |
| FOLBIC, 2-2.5-25 MG TAB, Max Qty: 90 |
| FOLIC ACID, 1 MG TAB, Max Qty: 90 |
| FOLIVANE-F, 125-1-40-3 MG CAP, Max Qty: 90 |
| FOLIVANE-PLUS, 125MG-1 MG CAP, Max Qty: 90 |
| HEMATINIC F, 106-1 MG TAB, Max Qty: 90 |
| HEMATOGEN, 200-250-10 MG CAP, Max Qty: 90 |
| HEMATOGEN FA, 200-250 MG CAP, Max Qty: 90 |
| MAGNESIUM, 400 MG TAB, Max Qty: 90 |
| MULTI VIT/FL/IRON CHEW, 0.5 MG TAB, Max Qty: 90 |
| NATACAP, 106-1 MG CAP, Max Qty: 90 |
| NATALCARE ADVANCE, 90-1-50 MG TAB, Max Qty: 90 |
| NATALCARE PLUS, 27-1 MG TAB, Max Qty: 90 |
| NATATAB FA, 29-1 MG TAB, Max Qty: 90 |
| NIFEREX-PN, 60-1 MG TAB, Max Qty: 90 |
| NIFEREX-PN FORTE, 60-1 MG TAB, Max Qty: 90 |
| NIVA-FOL, 2.5-25 MG TAB, Max Qty: 90 |
| NIVA-PLUS, 1-25-60 MG TAB, Max Qty: 90 |
| NUFOL, 2-2.5-25 MG CAP, Max Qty: 90 |
| POLY-IRON 150 FORTE, 150-25-1 MG CAP, Max Qty: 90 |
| PRENATAL VITAMIN PLUS IRON, 1/27 MG TAB, Max Qty: 90 |
| ZINC SULFATE, 50 MG CAP, Max Qty: 90 |
| WOMEN'S HEALTH |
| ALENDRONATE, 10 MG TAB, Max Qty: 90 (Fosamax) |
| ALENDRONATE, 35 MG TAB, Max Qty: 12 (Fosamax) |
| ALENDRONATE, 70 MG TAB, Max Qty: 12 (Fosamax) |
| CLOMIPHENE, 50 MG TAB, Max Qty: 25 (Clomid) |
| DESOGESTREL-ETH ESTRADIOL, 0.15 MG/0.03 MG (BCP) TAB, Max Qty: 84 (Desogen, Apri, Isibloom) |
| DESOGESTREL-ETH ESTRADIOL, 0.15 MG/0.02 MG - 0.15 MG/0.01 MG (BCP) TAB, Max Qty: 84 (Mircette, Kariva) |
| DROSPIRENONE-ETH ESTRADIOL, 3 MG/0.02 MG (BCP) TAB, Max Qty: 84 (Yaz, Gianvi) |
| DROSPIRENONE-ETH ESTRADIOL, 3 MG/0.03 MG (BCP) TAB, Max Qty: 84 (Yasmin, Ocella) |
| ESTRADIOL, 0.5 MG TAB, Max Qty: 90 (Estrace) |
| ESTRADIOL, 1 MG TAB, Max Qty: 90 (Estrace) |
| ESTRADIOL, 2 MG TAB, Max Qty: 90 (Estrace) |
| ESTRADIOL VAGINAL, 0.01% CREAM, Max Qty: 3 (Estrace) |
| ESTROPIPATE, 1.5 MG TAB, Max Qty: 90 (Ogen) |
| FLUCONAZOLE, 50 MG TAB, Max Qty: 60 (Diflucan) |
| FLUCONAZOLE, 100 MG TAB, Max Qty: 21 (Diflucan) |
| FLUCONAZOLE, 150 MG TAB, Max Qty: 3 (Diflucan) |
| FLUCONAZOLE, 200 MG TAB, Max Qty: 18 (Diflucan) |
| GYNODIOL, 0.5 MG TAB, Max Qty: 90 (Estrace) |
| GYNODIOL, 1 MG TAB, Max Qty: 90 (Estrace) |
| IBANDRONATE, 150 MG TAB, Max Qty: 3 (Boniva) |
| LETROZOLE, 2.5 MG TAB, Max Qty: 90 (Femara) |
| MEDROXYPROGESTERONE, 2.5 MG TAB, Max Qty: 90 (Provera) |
| MEDROXYPROGESTERONE, 5 MG TAB, Max Qty: 90 (Provera) |
| MEDROXYPROGESTERONE, 10 MG TAB, Max Qty: 90 (Provera) |
| MEDROXYPROGESTERONE DEPOT, 150 MG INJ, Max Qty: 1 (Depo-Provera) |
| NORETHINDRONE, 5 MG TAB, Max Qty: 60 (Aygestin) |
| NORETHINDRONE, 0.35 MG (BCP) TAB, Max Qty: 84 (Ortho-Micronor, Camila, Heather) |
| NORETHINDRONE-ETH ESTRADIOL, 1 MG/20 MCG (BCP) TAB, Max Qty: 63 (Loestrin 21, Microgestin) |
| NORGESTIMATE-ETH ESTRADIOL, 0.25 MG/35 MCG (BCP) TAB, Max Qty: 84 (OrthoCyclen, Sprintec) |
|
NORGESTIMATE-ETH ESTRADIOL, 0.18 MG/35 MCG - 0.215 MG/35 MCG - 0.25 MG/35 MCG (BCP) TAB, Max Qty: 84 (OrthoTriCyclen, Tri-Sprintec)
|
|
NORGESTIMATE-ETH ESTRADIOL, 0.18 MG/25 MCG - 0.215 MG/25 MCG - 0.25 MG/25 MCG (BCP) TAB, Max Qty: 84 (OrthoTriCyclen-Lo, Tri-Lo Sprintec)
|
| PROGESTERONE, 100 MG CAP, Max Qty: 36 (Prometrium) |
| PROGESTERONE, 200 MG CAP, Max Qty: 30 (Prometrium) |
| RALOXIFENE, 60 MG TAB, Max Qty: 90 (Evista) |
| TAMOXIFEN, 10 MG TAB, Max Qty: 90 (Nolvadex) |
| TAMOXIFEN, 20 MG TAB, Max Qty: 90 (Nolvadex) |
Acute Medications |
| ANTIBIOTIC |
| AMOXICILLIN, 250 MG, CAP, Max Qty: 60, (Amoxil) |
| AMOXICILLIN, 500 MG, CAP, Max Qty: 30, (Amoxil) |
| AMOXICILLIN, 875 MG, TAB, Max Qty: 28, (Amoxil) |
| AMOXICILLIN, 250 MG/5ML, SUSP, Max Qty: 200, (Amoxil) |
| AMOXICILLIN, 400 MG/5ML, SUSP, Max Qty: 200, (Amoxil) |
| AMOXICILLIN/CLAVULANIC ACID, 500-125 MG, TAB, Max Qty: 28, (Augmentin) |
| AMOXICILLIN/CLAVULANIC ACID, 875-125 MG, TAB, Max Qty: 28, (Augmentin) |
| AMOXICILLIN/CLAVULANIC ACID, 400-57 MG/5ML, SUSP, Max Qty: 200, (Augmentin) |
| AMOXICILLIN/CLAVULANIC ACID, 600-42.9 MG/5ML, SUSP, Max Qty: 200, (Augmentin) |
| AZITHROMYCIN, 250 MG, TAB, Max Qty: 6, (Zithromax) |
| AZITHROMYCIN, 500 MG, TAB, Max Qty: 3, (Zithromax) |
| AZITHROMYCIN, 100 MG/5ML, SUSP, Max Qty: 15, (Zithromax) |
| AZITHROMYCIN, 200 MG/5ML, SUSP, Max Qty: 30, (Zithromax) |
| CEFDINIR, 300 MG, CAP, Max Qty: 14, (Omnicef) |
| CEPHALEXIN, 250 MG, CAP, Max Qty: 56, (Keflex) |
| CEPHALEXIN, 500 MG, CAP, Max Qty: 28, (Keflex) |
| CEPHALEXIN, 250 MG/5ML, SUSP, Max Qty: 200, (Keflex) |
| CIPROFLOXACIN, 250 MG, TAB, Max Qty: 28, (Cipro) |
| CIPROFLOXACIN, 500 MG, TAB, Max Qty: 28, (Cipro) |
| CLINDAMYCIN, 150 MG, CAP, Max Qty: 28, (Cleocin) |
| CLINDAMYCIN, 300 MG, CAP, Max Qty: 28, (Cleocin) |
| DOXYCYCLINE HYCLATE, 100 MG, TAB, Max Qty: 28, (Vibramycin) |
| LEVOFLOXACIN, 250 MG, TAB, Max Qty: 21, (Levaquin) |
| LEVOFLOXACIN, 500 MG, TAB, Max Qty: 21, (Levaquin) |
| METRONIDAZOLE, 500 MG, TAB, Max Qty: 28, (Flagyl) |
| NITROFURANTOIN, 100 MG, CAP, Max Qty: 28, (Macrobid) |
| PENICILLIN VK, 500MG, TAB, Max Qty: 28, (Veetids) |
| PENICILLIN VK, 250 MG/5ML, SUSP, Max Qty: 200, (Veetids) |
| SMZ/TMP DS, 800-160 MG, TAB, Max Qty: 28, (Bactrim) |
| SMZ/TMP, 200-40 MG/5ML, SUSP, Max Qty: 120, (Bactrim) |
| ANTIBIOTIC TOPICAL |
| ERYTHROMYCIN, 0.5%, OPTH OINT, Max Qty: 3.5, (Illotycin) |
| MUPIROCIN, 2%, OINT, Max Qty: 22, (Bactroban) |
| NEO/POLY/HC,, OTIC SOLN, Max Qty: 10, (Cortisporin) |
| POLYMYXIN B/TRIMETH,, OPTH SOLN, Max Qty: 10, (Polytrim) |
| SILVER SULFADIAZINE, 1%, CREAM, Max Qty: 50, (Silvadene) |
| TOBRAMYCIN, 0.3%, OPTH SUSP, Max Qty: 5, (Tobrex) |
| ANTIFUNGAL |
| FLUCONAZOLE, 150 MG, TAB, Max Qty: 1, (Diflucan) |
| NYSTATIN, 100,000 USP, CREAM, Max Qty: 30, (Mycostatin) |
| NYSTATIN, 100,000 USP, OINT, Max Qty: 30, (Mycostatin) |
| ANTIHISTAMINE |
| HYDROXYZINE, 25 MG, TAB, Max Qty: 30, (Atarax) |
| CARCIOVASCULAR |
| NITROGLYCERIN, 0.4 MG, SL TAB, Max Qty: 25, (Nitrostat) |
| CORTICOSTEROID |
| METHYLPREDNISOLONE, 4 MG, PACK, Max Qty: 21, (Medrol Dosepak) |
| PREDNISONE, 10 MG, TAB, Max Qty: 20, (Deltasone) |
| PREDNISONE, 20 MG, TAB, Max Qty: 20, (Deltasone) |
| PREDNISOLONE, 15 MG/5ML, SOLN, Max Qty: 120, (Orapred) |
| CORTICOSTEROID TOPICAL |
| HYDROCORTISONE, 2.5%, CREAM, Max Qty: 30, (Hytone) |
| PREDNISOLONE, 1%, OPTH SOLN, Max Qty: 5, (Pred Forte) |
| TRIAMCINOLONE, 0.1%, CREAM, Max Qty: 30, (Kenalog) |
| TRIAMCINOLONE, 0.1%, OINT, Max Qty: 30, (Kenalog) |
| COUGH SUPPRESSANT |
| BENZONATATE, 100 MG, CAP, Max Qty: 20, (Tessalon Perles) |
| BENZONATATE, 200 MG, CAP, Max Qty: 20, (Tessalon Perles) |
| GASTROINTESTINAL |
| DICYCLOMINE, 20 MG, TAB, Max Qty: 60, (Bentyl) |
| DIPHENOX-ATROPINE, 2.5-0.025 MG, TAB, Max Qty: 30, (Lomotil) |
| PANTOPROZOLE, 40 MG, TAB, Max Qty: 21, (Protonix) |
| PROMETHAZINE, 25 MG, TAB, Max Qty: 30, (Phenergan) |
| GOUT |
| ALLOPURINOL, 100 MG, TAB, Max Qty: 21, (Zyloprim) |
| ALLOPURINOL, 300 MG, TAB, Max Qty: 21, (Zyloprim) |
| MIGRAINE |
| SUMATRIPTAN, 50 MG, TAB, Max Qty: 9, (Imitrex) |
| SUMATRIPTAN, 100 MG, TAB, Max Qty: 9, (Imitrex) |
| MUSCLE RELAXANT |
| CYCLOBENZAPRINE, 10 MG, TAB, Max Qty: 30, (Flexeril) |
| PAIN MANAGEMENT |
| BUPROFEN, 800 MG, TAB, Max Qty: 60, (Motrin) |
| NAPROXEN, 500 MG, TAB, Max Qty: 30, (Naprosyn) |
| TRAMADOL, 50 MG, TAB, Max Qty: 30, (Ultram) |