OptumRx Vigilant Drug Program - Non-essential drug strategy
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OptumRx Vigilant Drug Program Non-essential drug strategy Effective January 1, 2021 Thousands of medications are available today with even more entering the market — sometimes at a higher cost without additional value. OptumRx can help ensure that your pharmacy benefit dollars cover only the most clinically appropriate and affordable medications. Non-essential drug strategy* — Excludes select products that are available in the market but may not be approved by the U.S. Food and Drug Administration (FDA) or are deemed non-essential by the OptumRx Pharmacy & Therapeutics (P&T) Committee. These high-dollar products offer little clinical value versus other well-tested, FDA-approved agents. *Programs are also available for clients who prefer prior authorization rather than an exclusion strategy.
Drug Name Drug Name
1ST MEDX-PATCH/ LIDOCAINE EXTERNAL adenosine (diagnostic)
PATCH 4-0.0375-5-20 % ADRENALIN NASAL
7T GUMMY ES ADVANCED ALLERGY COLLECTION
7T LIDO ADVANCED BASE PLUS
ACACIA SUBCUTANEOUS ADYPHREN
ACCUCAINE ADYPHREN AMP
ACESO AG ADYPHREN AMP II
ACREMONIUM ADYPHREN II
ACTICOAT 7 AGONEAZE
ACTICOAT ABSORBENT AKOVAZ
ACTICOAT ANTIMICROBIAL ALA-QUIN
ACTICOAT EXTERNAL SHEET 16"X16" , ALBA-DERM
4"X48" , 4"X8" , 5"X5" , 8"X16"
ALBUTEROL SULFATE INHALATION
ACTICOAT FLEX 3 NEBULIZATION SOLUTION (5 MG/ML) 0.5%
ACTICOAT FLEX 3 4"X4" alcohol injection
ACTICOAT FLEX 7 ALCORTIN A
ACTICOAT MOISTURE CONTROL ALDER
EXTERNAL PAD 4"X4" , 4"X8"
ALEVAMAX
ACTICOAT SITE
ALEVICYN ANTIPRURITIC
ACTIVASE
ALEVICYN ANTIPRURITIC SG EXTERNAL
ACTIVE INJECTION BLM-1 GEL
ACTIVE INJECTION BM ALEVICYN DERMAL SPRAY
ACTIVE INJECTION D ALLEVYN AG NON-ADHESIVE EXTERNAL
ACTIVE INJECTION DL PAD 8"X8"
ACTIVE INJECTION DLM ALMOND (DIAGNOSTIC)
ACTIVE INJECTION KET-L ALPAWASH
ACTIVE INJECTION KETMARC-L ALTADERM
ACTIVE INJECTION KIT L ALTAFLUOR
ACTIVE INJECTION KL-3 ALTERNARIA
ACTIVE INJECTION KM ALZAIR ALLERGY NASAL SPRAY
ACTIVE INJECTION LM-2 AMELUZ
ACTIVE INJECTION LM-DEP-1 AMERICAN BEECH
ACTIVE INJECTION LM-DEP-2 AMERICAN COCKROACH
ACTIVE INJECTION M-1 AMERICAN ELM
ACTIVE-PAC/GABAPENTIN AMERICAN SYCAMORE
ACTIVITE aminoamrms
ACUICYN EXTERNAL SOLUTION aminobenzoate potassium oral packet
ACUNOL aminoreliefrms
ADAPALENE-BENZOYL PER-CLINDAMY AMMONIA N 13
ADAPALENE-BENZOYL PER-NIACINAM AMYTAL SODIUM
2Drug Name Drug Name
ANACAINE ATRAPRO CP
ana-lex ATRAPRO HYDROGEL
ANALPRAM HC EXTERNAL atropine sulfate injection solution 0.4 mg/ml, 1
ANALPRAM HC SINGLES EXTERNAL mg/ml, 8 mg/20ml
ANASTIA atropine sulfate injection solution prefilled
syringe 0.5 mg/5ml, 1 mg/10ml
ANDEXXA
ATROPINE SULFATE OPHTHALMIC
ANIMI-3 SOLUTION 0.01 %
ANIMI-3/VITAMIN D AUREOBASIDIUM
ANJESO AUREOBASIDIUM PULLULANS
ANODYNE LPT AUSTRALIAN PINE
anucort-hc AUXIPRO VANISHING
ANUSOL-HC RECTAL SUPPOSITORY AVAR CLEANSER
APOTHESAR 2 AVAR EXTERNAL FOAM
APOTHESAR PLUS AVAR EXTERNAL PAD
APOTHESIL AVAR LS
APPLE (DIAGNOSTIC) AVAR LS CLEANSER
APRIZIO PAK AVAR-E EMOLLIENT
APRIZIO PAK II AVAR-E GREEN
AQUORAL MOUTH/THROAT SOLUTION AVAR-E LS
ARESTIN AVENOVA
argatroban in sodium chloride intravenous AVIDOXY DK
solution 125-0.9 mg/125ml-%, 50-0.9 mg/50ml-
% AVOCADO (DIAGNOSTIC)
ARIDA AXIFOL
ARIDOL AZALGIA
ARIZONA CYPRESS AZEDRA DOSIMETRIC
ARZOL SILVER NIT APPLICATORS AZEDRA THERAPEUTIC
ASCOR AZELAIC ACID-NIACINAMIDE
ASCORBIC ACID INTRAVENOUS AZESCHEW PRENATAL/POSTNATAL
ASCORBIC ACID SOLUTION 500 MG/ML AZESCO
INJECTION B-12 COMPLIANCE INJECTION
ascorbic acid solution 500 mg/ml injection BACTERIOSTATIC WATER(PARABENS)
ASPERGILLUS FUMIGATUS INJECTION BAFIERTAM
ASPERGILLUS FUMIGATUS INTRADERMAL BAHIA
SOLUTION 1:20 BAL-CARE DHA
ASTERO BALD CYPRESS
ASTRINGYN BANANA (DIAGNOSTIC)
ATOPADERM BASADROX
ATOPAVO BASE W301
ATOPICLAIR BAYBERRY (WAX MYRTLE)
3Drug Name Drug Name
B-COMPLEX INJECTION BIO GLO
BEAU RX BIOFREQUENCY INSOLES
BEEF (DIAGNOSTIC) BIONECT EXTERNAL CREAM
belladonna alkaloids-opium BIONECT EXTERNAL GEL
BENSAL HP bio-statin oral powder
BENZ PER-CLIND-NIACIN-TRETIN BIOSTEP
BENZAC AC WASH EXTERNAL LIQUID BIVALIRUDIN RTU
BENZEFOAM BIVALIRUDIN-SODIUM CHLORIDE
BENZEFOAMULTRA BLACK WALNUT POLLEN
BENZEPRO CREAMY WASH BLACK WILLOW
BENZEPRO EXTERNAL BOCASAL
BENZEPRO EXTERNAL FOAM 5.2 %, 9.7 % BOTRYTIS
benzepro external foam 5.3 % BOTRYTIS CINEREA
BENZEPRO EXTERNAL LIQUID BOX ELDER
BENZEPRO FOAMING CLOTHS bp 10-1
BENZEPRO SHORT CONTACT BP CLEANSING WASH
BENZODOX bp foam
benzoin compound bp wash external liquid 2.5 %, 7 %
benzoin external tincture bpo
BENZO-LIDOCAINE-TETRACAINE BRETYLIUM TOSYLATE INJECTION
BENZOYL PEROX-HYDROCORTISONE BRIDION
benzoyl peroxide external foam 9.8 % BRIMONIDINE-DORZOLAMIDE
BENZOYL PEROXIDE EXTERNAL GEL 6.5 BROME
%, 8 % BROMPHENIRAMINE MALEATE
BENZOYL PEROXIDE FORTE- HC INTRAMUSCULAR
BERMUDA GRASS BT INJECTION
BESER EXTERNAL KIT BUPIVACAINE HCL INJECTION SOLUTION
BETA 1 KIT 0.125 %, 312.5 MG/10ML
BETALIDO BUPIVACAINE HCL INJECTION SOLUTION
PREFILLED SYRINGE 0.125 % (50 ML), 125
BETALOAN SUIK MG/4ML, 250 MG/8ML, 312.5 MG/10ML, 625
BETAMETHASONE COMBO MG/20ML
BETAMETHASONE DIPROP-MINOXIDIL BUPIVILOG
BETAMETHASONE SOD PHOS & ACET CADIRAMD
BETAMETHASONE SODIUM PHOSPHATE CAFFEINE-SODIUM BENZOATE
INJECTION CALCIPOTRIENE-CLOBETASOL PROP
BEVACIZUMAB calcium chloride
BHI URI-CONTROL CALCIUM GLUCONATE SOLUTION 10 %
BIIFENAC 1000 INTRAVENOUS
BIIFENAC 500 calcium gluconate solution 10 % intravenous
4Drug Name Drug Name
CALCIUM GLUCONATE-NACL CERIANNA
INTRAVENOUS SOLUTION 2-0.675 cerovel external lotion
GM/100ML-%
cervical specimen collection
CALCIUM-FOLIC ACID PLUS D
CETACAINE EXTERNAL AEROSOL
CALIFORNIA PEPPER TREE
CETACAINE EXTERNAL LIQUID
CANDIDA ALBICANS EXTRACT
CHEW-HESIVE
CANTALOUPE (DIAGNOSTIC)
CHICKEN MEAT (DIAGNOSTIC)
CANTHARIDIN EXTERNAL
CHOLECAL DF
CAPHOSOL MOUTH/THROAT SOLUTION
CHONDROITIN SULFATE OPHTHALMIC
CAPSFENAC PAK
CHRYSADERM DAY
CAPSINAC
CHRYSADERM NIGHT
CARDIOPLEGIA DEL NIDO FORMULA
CICASIL
CARDIOPLEGIA IND PLASMA HIGH K
CICATRACE PAD
CARDIOPLEGIA IND PLASMA-TROMET
ciclopirox treatment
CARDIOPLEGIA INDUCTION HIGH K
CICLOPIROX-CLOBETASOL
CARDIOPLEGIA INDUCTION LOW DEX
CICLOPIROX-CLOBETASOL-SAL ACID
CARDIOPLEGIA INDUCTION NON-ENR
CICLOPIROX-SALICYLIC ACID
CARDIOPLEGIA MAIN LOW DEXTROSE
CIFEREX
CARDIOPLEGIA MAIN LOW TROMETHA
CIFRAZOL
CARDIOPLEGIA MAIN PLASMA-TROME
CIMETIDINE-LIDO-SALICYLIC ACID
CARDIOPLEGIA MAINTENANCE
cisatracurium besylate (pf) intravenous
CARDIOPLEGIA REPERFUSATE 4:1 solution 10 mg/5ml
CARDIOVID PLUS cisatracurium besylate intravenous solution 20
CARRASYN HYDROGEL WOUND DRESS mg/10ml, 200 mg/20ml
CASEIN (DIAGNOSTIC) CITRANATAL 90 DHA ORAL 90-1 & 300 MG
CAT HAIR EXTRACT CITRANATAL ASSURE ORAL 35-1 & 300 MG
CATHFLO ACTIVASE CITRANATAL B-CALM
CATTLE EPITHELIUM CITRANATAL BLOOM
CEDAR ELM CITRANATAL BLOOM DHA
CEFTRI-IM CITRANATAL DHA
CEFTRISOL PLUS CITRANATAL ESSENCE
CEFUROXIME SODIUM-NACL CITRANATAL HARMONY ORAL CAPSULE
CELA BASE 27-1-260 MG
CELACYN CITRANATAL MEDLEY
CELLPAD CITRANATAL RX
CEM-UREA CLADOSPORIUM CLADOSPORIOIDES
CENTANY AT CLADOSPORIUM SPHAEROSPERMUM
CERACADE clariscan
CERAMAX CLIN SINGLE USE
CLINDACIN ETZ EXTERNAL KIT
5Drug Name Drug Name
CLINDACIN PAC DAPSONE-NIACINAMIDE-SPIRONOLAC
CLINDAMY-BENZOYL PER-NIACINAM DAVITE
CLINDAMYCIN PHOS-NIACINAMIDE DEBACTEROL
CLINDAMYCIN-NIACIN-TRETINOIN DEFITELIO
CLIND-NIACIN-SPIRONOLAC-TRETIN dehydrated alcohol injection
CLINIMIX N9G20E DELUO
CLOBETASOL PROP-LEVOCETIRIZINE DERMACINRX ANALGESIC COMBOPAK
CLOBETASOL PROP-NIACINAMIDE DERMACINRX AZENASE PAK
CLODAN EXTERNAL KIT DERMACINRX CINLONE-I CPI
CLOPIDOGREL & ASPIRIN DERMACINRX CLORHEXACIN
COATAMAX PATCH DERMACINRX DUOPATCH PHARMAPAK
COCAINE HCL NASAL DERMACINRX EMPRICAINE
COCKLEBUR DERMACINRX LEXITRAL PHARMAPAK
COCOA BEAN (DIAGNOSTIC) DERMACINRX NEUROTRAL PHARMAPAK
COLCIGEL DERMACINRX PHN
COLLATYL DERMACINRX PRIZOPAK
CONTRAST ALLERGY PREMED PACK DERMACINRX PUREFOLIX
CONVENIENCE PAK DERMACINRX SURGICAL COMBOPAK
COPASIL EXTERNAL DERMACINRX SURGICAL PHARMAPAK
CORN POLLEN DERMACINRX THERAZOLE PAK
CORTANE-B EXTERNAL DERMACINRX TICANASE PAK
COVARYX DERMACINRX TOPICAL BASE
COVARYX HS DERMACINRX ZRM
CO-VERATROL DERMASORB HC
CRAB (DIAGNOSTIC) DERMASORB TA
CREAM BASE DERMASORB XM
CREAM BASE NIOSOMES DERMAZENE
CREAM CONCENTRATE DERMAZYL
CREAM-HEAVY BASE NIOSOMES DEXAMETHASONE ACE & SOD PHOS
C-TOPICAL DEXAMETHASONE SOD PHOS-BUPIV
CURVULARIA DEXAMETHASONE-MOXIFLOXACIN
CUSHING SYNDROME DIAGNOSTIC DEXAMETH-MOXIFLOX-KETOROLAC
CUTIS PLUS DEXERYL
cyclobenzaprine hcl oral tablet 10 mg DEXIFOL
CYCLOSPORINE IN KLARITY DEXLIDO
CYSTADANE DEXLIDO-M
cytra k crystals dexmedetomidine hcl in nacl intravenous
DANDELION solution 200 mcg/50ml, 400 mcg/100ml
DAPSONE-NIACINAMIDE DEXOPIN
6Drug Name Drug Name
DEXTENZA DUET DHA 400
DFS DR/MS/MENTH/CAP PAK DUET DHA BALANCED ORAL 25-1 & 267 MG
DFS/MS/MENTH/CAP PAK DURACHOL
DIAB EXTERNAL GEL DURYSTA
DIAB F.D.G. FREEZE-DRIED DUST MITE MIXED ALLERGEN EXT
DICLO GEL DYNABAC 5.0
DICLO GEL WITH XRYLIX SHEETS DYURAL-40
TRANSDERMAL DYURAL-80
diclofenac sodium transdermal gel 3 % DYURAL-L
DICLOFENAC-NA HYALURON-NIACIN DYURAL-LM
diclofex dc EASTERN COTTONWOOD
DICLOFONO ECONASIL
diclopak ECONAZOLE NITRATE-NIACINAMIDE
DICLOPR ECZEMOL
diclosaicin EEMT
DICLOSTREAM EEMT HS
DICLOTREX effervescent pot chloride
DICLOVIX EGG WHITE (DIAGNOSTIC)
DICLOVIX M EHA
DICLOZOR ELCYS
DILTIAZEM HCL-DEXTROSE INTRAVENOUS ELETONE
SOLUTION 125-5 MG/125ML-%
ELETONE TWINPACK
DIMENTHO
ELLZIA PAK
DIMERCAPTOPROPANE-SULFONATE
EMERPHED
DITHOL
EMOLIVAN
DIVISTA
EMOLLIENT BASE
DMSA
EMPRICAINE-II
DMT SUIK
EMULSION SB
DOG EPITHELIUM
ENBRACE HR
DOG FENNEL
ENGLISH PLANTAIN
DONNATAL
ENGYSTOL INJECTION
DOTAREM
ENLYTE
DOTATOC GA 68
ENTERO VU ORAL SUSPENSION 24 %
DOUBLEDEX
ENTTY SPRAY EMULSION
DRECHSLERA
ENZADYNE
DRITHO-CREME HP
ENZOCLEAR
DS PREP PAK
ephedrine sulfate injection
DST PLUS PAK
DSUVIA
7Drug Name Drug Name
EPHEDRINE SULFATE-NACL FENTANYL CITRATE INTRAVENOUS
INTRAVENOUS SOLUTION PREFILLED SOLUTION PREFILLED SYRINGE 100
SYRINGE 50-0.9 MG/5ML-% MCG/2ML, 1500 MCG/30ML, 2500
EPICERAM MCG/50ML
EPICOCCUM FENTANYL CITRATE-NACL EPIDURAL
EPICOCCUM NIGRUM FENTANYL CITRATE-NACL INJECTION
EPICYN FENTANYL CITRATE-NACL INTRAVENOUS
SOLUTION 1-0.9 MG/100ML-%, 250-0.9
epinephrine hcl (nasal) MCG/50ML-%, 5-0.9 MG/250ML-%
epinephrine injection solution 30 mg/30ml FENTANYL CITRATE-NACL INTRAVENOUS
epinephrine injection solution prefilled syringe SOLUTION PREFILLED SYRINGE 15-0.9
1 mg/10ml MCG/3ML-%
epinephrine pf injection solution FENTANYL CIT-ROPIVACAINE-NACL
EPINEPHRINE PROFESSIONAL EPIDURAL SOLUTION 0.2-0.15-0.9
MG/100ML-%, 0.2-0.2-0.9 MG/100ML-%, 0.4-
EPINEPHRINE-NACL INTRAVENOUS 0.1-0.9 MG/200ML-%, 0.4-0.2-0.9 MG/200ML-
SOLUTION 5-0.9 MG/250ML-% %, 0.625-0.2-0.9 MG/250ML-%, 1.25-0.2-0.9
EPINEPHRINESNAP-EMS MG/250ML-%
EPINEPHRINESNAP-V FENTANYL-BUPIVACAINE-NACL EPIDURAL
EPISNAP SOLUTION 0.25-0.08-0.9 MG/125ML-%, 0.4-
0.15-0.9 MG/200ML-%, 0.5-0.0625-0.9
EQUAPAX/ATORVASTATIN/COQ10 MG/250ML-%, 0.5-0.125-0.9 MG/250ML-%,
EQUAPAX/IBUPROFEN/MINREX 0.6-0.125-0.9 MG/200ML-%, 0.75-0.1-0.9
ERGOCAL MG/150ML-%, 0.75-0.125-0.9 MG/250ML-%,
1.25-0.075-0.9 MG/250ML-%
ESCAVITE D
FENTANYL-BUPIVACAINE-NACL INJECTION
ESCAVITE LQ ORAL LIQUID
FERIVA 21/7
ESKATA
FERIVAFA
ESOMEP-EZS
FINASTERIDE-MINOXIDIL
est estrogens-methyltest
FIRE ANT
est estrogens-methyltest ds
FITALITE
est estrogens-methyltest hs
FLEXIN
EXYDERM
FLEXIPAK
E-Z-CAT DRY
FLORIVA
E-Z-DISK
FLORIVA PLUS
E-Z-HD
FLUCAINE
E-Z-PAQUE
FLUCON-IBUPROF-ITRACON-TERBINA
E-Z-PASTE
FLUOCINOLONE ACET-NIACINAMIDE
FAGRON LS PLUS
FLUOPAR
FAGRON NATURAL
FLUOVIX
FAGRON SUPREME
FLUOVIX PLUS
FALESSA ORAL KIT 20-1-0.1 MCG-MG
FOLET DHA
FEM PH
FOLET ONE
8Drug Name Drug Name
FOLIC D3 GENADUR
FOLICA-V GENICIN VITA-D
FOLIC-K GENICIN VITA-Q
FOLI-D GENICIN VITA-S
FOLIKA-D GERMAN COCKROACH
FOLIKA-T GHRP2-GHRP6-SERMORELIN
FOLIKA-V GHRP2-SERMORELIN
FOLITE GIAPREZA
FOLIXAPURE GLUTATHIONE INJECTION SOLUTION 6
FOLVIK-D GM/30ML
FOLVITE-D glycolic acid solution
FOLVITE-FE GLYTACTIN BURST
FORAXA GLYTACTIN RESTORE LITE 10
formaldehyde GLYTACTIN RTD 10
FORMA-RAY GLYTACTIN RTD 15
FORTADERM GLYTACTIN RTD LITE 15
FORTADERM ANTIMICROBIAL PHMB GOLDENROD
FOSTEUM PLUS GOPRELTO
FOVEX GORDONS UREA EXTERNAL OINTMENT 40
%
FREEDOM ADAPTADERM EXTERNAL
GPL PAK
FREEDOM DERMA SERUM
grafco silver nit applicator
FREEDOM DERMA-D
GRAFIX CORE 1.5CM X 2CM
FREEDOM DERMA-N
GRAFIX CORE 16MM
FRESENIUS PROPOVEN INTRAVENOUS
EMULSION 2000 MG/100ML GRAFIX CORE 2CM X 3CM
FUL-GLO GRAFIX CORE 3CM X 4CM
FUNGIMEZ GRAFIX CORE 5CM X 5CM
FUSARIUM GRAFIX PRIME 1.5CM X 2CM
GABACAINE GRAFIX PRIME 16MM
GABAPAL COMBINATION THERAPY PACK GRAFIX PRIME 2CM X 3CM
100 & 3.88 MG & % GRAFIX PRIME 3CM X 4CM
GATIFLOXACIN-DEXAMETHASONE GRAFIX PRIME 5CM X 5CM
GELCLAIR GRAFIX XC 7.5CM X 15CM
GELFILM OPHTHALMIC GREEN GLO LISSAMINE GREEN
GEL-FLOW HACKBERRY
GELFOAM-JMI POWDER HALUCORT
GELFOAM-JMI SPONGE HEALON PRO
GEN7T HEALON5 PRO
GEN7T PLUS hemenatal ob + dha
9Drug Name Drug Name
HEMETAB HYDROQUINONE-HC-TRETINOIN
HEMMOREX-HC RECTAL SUPPOSITORY 25 HYDROQUINONE-HYDROCORTISONE
MG HYGEL EXTERNAL GEL 2.5 %
HEPMED HYLAGUARD
HONEY BEE VENOM PROTEIN HYLAMIX
HONEY BEE VENOM SUBCUTANEOUS HYLATOPIC PLUS
HORMONE CR HEAVY BASE NIOSOMES HYLAVITE
HORMONE CREAM BASE NIOSOMES HYLINATE
HORSE EPITHELIUM HYOPHEN
HPR hyoscyamine sulfate er oral tablet extended
HPR PLUS release 12 hour
HPR PLUS HYDROGEL hyoscyamine sulfate injection
HPR PLUS-MB HYDROGEL hyoscyamine sulfate oral solution
HYALURONATE-NIACINAM-TRETINOIN hyoscyamine sulfate sublingual
HYALURONATE-NIACIN-TACROLIMUS HYPERLYTE-CR INTRAVENOUS
HYALURONIC ACID-HYDROQUINONE CONCENTRATE
HYCLODEX HYPERRAB
HYDRO 35 HYPERRAB S/D INJECTION
HYDRO 40 HYPERTENSA
hydrocortisone ace-pramoxine external cream HYPOCYN EXTERNAL SOLUTION
2.5-1 % IBU 600-EZS
hydrocortisone acetate rectal IFE-PG20
hydrocortisone-iodoquinol external cream 1-1 ILIDERM
% ILUVIEN INTRAVITREAL
hydrocort-pramoxine (perianal) IMIQUIMOD-LEVOCETIRIZIN-NIACIN
HYDROGEL IMIQUIMOD-LEVOCET-TRETINOIN
HYDROMORPHONE HCL INJECTION IMOGAM RABIES-HT INJECTION
SOLUTION 1 MG/ML
inavix
hydromorphone hcl injection solution 2 mg/ml
INFLAMMACIN
hydromorphone hcl rectal
INFLAMMA-K
HYDROMORPHONE HCL-NACL
INTRAVENOUS SOLUTION 10-0.9 INFLATHERM COMBINATION THERAPY
MG/100ML-%, 18-0.9 MG/30ML-%, 25-0.9 PACK
MG/50ML-%, 5-0.9 MG/50ML-%, 50-0.9 INOVA
MG/50ML-%, 6-0.9 MG/30ML-% INOVA 4/1 ACNE CONTROL THERAPY
HYDROMORPHONE-BUPIVACAINE-NACL INOVA 8/2 ACNE CONTROL THERAPY
EPIDURAL SOLUTION 2.5-0.1-0.9
MG/250ML-% IODOFLEX
HYDROMORPHONE-ROPIVACAINE-NACL IODOQUIMEZ-HC
EPIDURAL SOLUTION 2-0.1-0.9 MG/200ML- iodoquinol-hc-aloe polysacch
% IODOQUINOL-HC-KETOCONAZOLE
HYDROQUINONE EXTERNAL EMULSION iodoquinol-hydrocortisone-aloe
10Drug Name Drug Name
IODOSORB K-PHOS
IONSYS K-PHOS NO 2
IPAMORELIN ACETATE KYBELLA
IROSPAN 24/6 LACTIC ACID-NIACINAMIDE
ISOVUE-300 LACTOJEN
isoxsuprine hcl oral LAMBS QUARTERS
IVERMECTIN-METRONIDAZOL-NIACIN LATANOPROST-TIMOLOL MALEATE
JELMYTO LATRIX XM
JOHNSON GRASS LAVARE WOUND WASH
JTT PHYSICIANS l-cysteine hcl intravenous
JUNE GRASS POLLEN STANDARDIZED LDO PLUS
KAMDOY lecithin oral granules
KAPOK LENSCALE
KCL (IN NACL 0.9%) INTRAVENOUS LEU TECHNELITE
SOLUTION 40 MEQ/500ML LEVATIO
KEDRAB INJECTION LEVBID
k-effervescent LEVICYN
KELARX LEVICYN DERMAL SPRAY
KELOTOP LEVSIN INJECTION
KENDALL AMORPHOUS WOUND LEVSIN ORAL TABLET
KENGREAL LEVSIN/SL
KERAGEL LEXIXRYL
KERAGELT LIDO BDK
KERALAC EXTERNAL CREAM 47 % LIDO GB-300
KERALYT EXTERNAL GEL 6 % lidocaine external ointment
KERALYT SCALP lidocaine hcl external cream 3 %, 3.88 %
KETOCONAZOLE-HYDROCORTISONE LIDOCAINE HCL EXTERNAL CREAM 4.12 %
KETODAN EXTERNAL KIT lidocaine hcl external lotion
KETOROCAINE-L LIDOCAINE-EPINEPHRINE INTRAOCULAR
KETOROCAINE-LM lidocaine-hydrocort (perianal)
KETOROLAC-BUPIV-KETAMINE LIDOCAINE-HYDROCORTISONE ACE
KETOROLAC-ROPIV-KETAMINE EXTERNAL CREAM 1-1 %
KETOVIE lidocaine-hydrocortisone ace rectal cream
KIVIK LIDOCAINE-HYDROCORTISONE ACE
KLARITY-A RECTAL GEL
KLARITY-B lidocaine-hydrocortisone ace rectal kit
KLARITY-L LIDOCAINE-PHENYLEPHRINE
KOCHIA LIDOCAINE-PHENYLEPHRINE-BSS
kosher prenatal plus iron lidocaine-prilocaine external kit
11Drug Name Drug Name
LIDOCAINE-TETRACAINE EXTERNAL LIQUIVIDA HYDRATION
CREAM 23-7 % LIVIXIL PAK
LIDOCANNA LMR PLUS
LIDOCIDEX I loperamide hcl oral solution
LIDO-EPINEPHRINE-TETRACAINE LOPROX EXTERNAL KIT
LIDO-K LORAZEPAM-DEXTROSE
lidolog LORAZEPAM-SODIUM CHLORIDE
LIDOMAR INTRAVENOUS SOLUTION 100-0.9
LIDOPAC MG/100ML-%
lidopin external cream 3 % LORID
LIDOPIN EXTERNAL CREAM 3.25 % LORMATE
LIDOPRIL EXTERNAL KIT LOYON
LIDOPRIL XR LT INJECTION KIT
LIDO-PRILO CAINE PACK LUMASON
LIDOPURE PATCH LUTATHERA
LIDORX LUXAMEND
LIDOSOL-HC LYDEXA
LIDO-SORB LYMPHOMYOSOT X
LIDOSTREAM MACI
LIDOTHOL MACRILEN
LIDOTIN manganese sulfate intravenous
LIDOTRAL MARBETA-25
LIDOTRANS 5 PAK MARBETA-L
LIDOTREX GEL 2 % EXTERNAL MARDEX-25
LIDOVIX marlido
LIDOZION MARLIDO-25
LIOPEN ABSORPTION ENHANCING MARNATAL-F
LIPO CREAM BASE MARVONA SUIK
LIPOFOAM RX MAS CARE-PAK
LIPOPEN ULTRA BASE MB HYDROGEL
LIPOSOMAL HEAVY me/naphos/mb/hyo1
LIPOSOMAL REGULAR MEADOW FESCUE GRASS POLLEN
LIPOZYME MEDIDERM
LIPRITIN MEDI-DERM/L-RX
LIPRITIN II COMBINATION THERAPY PACK MEDI-DERM-RX
100 MG MEDIHONEY CA ALGINATE 2"X2"
LIPROZONEPAK MEDIHONEY CA ALGINATE 4"X5"
LIQUID E-Z-PAQUE MEDIHONEY WOUND/BURN DRESSING
LIQUID POLIBAR PLUS MEDI-PATCH RX
12Drug Name Drug Name
MEDOLOR PAK MIXED RAGWEED
MEDROLOAN II SUIK MIXED VESPID VENOM PROTEIN
MEDROLOAN SUIK INJECTION SOLUTION RECONSTITUTED
MELALEUCA mixed vespid venom protein subcutaneous
solution reconstituted 1100-1100-1100 mcg
MENTHO-CAINE
MIXED VESPID VENOM PROTEIN
MESQUITE SUBCUTANEOUS SOLUTION
METAXALL CP RECONSTITUTED 120-120-120 MCG
METHAVER MKO MELT DOSE PACK
METHAZEL mlk f1
methenamine mandelate oral mlk f2
methyl salicylate external liquid mlk f3
METHYLCOBALAMIN INJECTION MLK F4
SOLUTION MONSELS FERRIC SUBSULFATE
methylene blue injection EXTERNAL
METHYLPREDNISOLONE ACE-LIDO MORCIN
METOPIC MORGIDOX COMBINATION
METOPIRONE morphine sulfate intravenous solution 1 mg/ml,
MIC-L-CARNITINE 25 mg/ml, 50 mg/ml
MICROCYN EXTERNAL GEL morphine sulfate rectal
MICROCYN SKIN AND WOUND MOSQUITO (DIAGNOSTIC)
MICROPLEGIA MSA-MSG MOUNTAIN CEDAR
MICROVIX LP MOUSE EPITHELIUM
MIDAZOLAM HCL INTRAVENOUS MOXIFLOXACIN HCL INTRAOCULAR
SOLUTION 150 MG/30ML MOXIFLOXACIN HCL-BSS
MIDAZOLAM HCL-NACL MUCOR
MIDAZOLAM HCL-SODIUM CHLORIDE MUCOSITISRX
INTRAVENOUS SOLUTION 100-0.9 MUGARD
MG/100ML-%, 25-0.9 MG/100ML-%
MUGWORT
MIDAZOLAM-KETAMINE-ONDANSETRON
MULTIBASE
MIGRAINE PACK
MULTIPRO
MIGRANOW
MULTI-SPECIALTY
MIMYX
multitrace-4
MINOXIDIL-PROGEST-TRETINOIN
multitrace-4 concentrate
MIRODERM BIOLOGIC MATRIX FENES
multitrace-4 neonatal
MIRODERM BIOLOGIC WOUND MATRIX
MULTITRACE-4 PEDIATRIC
MITE (D. FARINAE)
multitrace-5
MITE (D. PTERONYSSINUS)
multitrace-5 concentrate
MITOMYCIN INTRAVESICAL
multivitamin/fluoride oral solution
MIXED ASPERGILLUS
MY MDI FINGER PULSE OXIMETER
MIXED FEATHERS
13Drug Name Drug Name
MY MDI PORTABLE NEBULISER nitroprusside sodium
mynephrocaps NITRO-TIME ORAL CAPSULE EXTENDED
NALTREXONE SUBCUTANEOUS RELEASE 6.5 MG, 9 MG
NANDROLONE-TESTOSTERONE CYP NIVATOPIC PLUS
NATACHEW ORAL TABLET CHEWABLE 28- NOPIOID-TC KIT
1 MG NOREPINEPHRINE-SODIUM CHLORIDE
NATELLE ONE ORAL CAPSULE 28-1-250 INTRAVENOUS SOLUTION 16-0.9
MG MG/250ML-%, 4-0.9 MG/250ML-%, 8-0.9
MG/250ML-%
NEEVO DHA ORAL CAPSULE 27-1.13 MG
NORMOSOL-R PH 7.4
NEOCERA
NOURILITE
NEONATAL COMPLETE ORAL TABLET 27-1
MG NOURIVAN ANTIOX BASE
NEOSALUS NOVACORT EXTERNAL GEL 1-2 %
NEOSALUS CP NOXIFOL-D
NEOSTIGMINE METHYLSULFATE NOXI-K
INTRAVENOUS SOLUTION PREFILLED NOXIPAK
SYRINGE 5 MG/5ML NUCARACLINPAK
NEO-SYNALAR EXTERNAL KIT NUCARARXPAK
NESTABS ABC NUCORT
NESTABS DHA NUDERMRXPAK 120
NESTABS ONE NUDERMRXPAK 60
NETSPOT NUDICLO SOLUPAK
NEUAC EXTERNAL KIT NUDICLO TABPAK
NEURALGO-RHEUM NUDROXIPAK
NEURCAINE NUDROXIPAK DSDR-50
NEUT NUDROXIPAK DSDR-75
NEUTRASAL NUDROXIPAK E-400
NIACIN NUDROXIPAK I-800
NIACINAMIDE-SPIRONOLACTONE NUDROXIPAK M-15
NIACINAMIDE-SULFACETAMIDE NUDROXIPAK N-500
NIACINAMIDE-TACROLIMUS NUMBONEX
NIACINAMIDE-TAZAROTENE NUMBRINO
NIACINAMIDE-TRETINOIN NUMOISYN
NIACINAMIDE-TRIAMCINOLONE ACET NUSURGEPAK SURGICAL PREP/CARE
NIACIN-SPIRONOLACTON-TRETINOIN NUTRASEB
NICADAN NUTRIARX CREAMPAK
NICAZEL NUTRIDOX
NICAZEL FORTE NUVAIL
NIPRIDE RTU NUVAKAAN
nitroglycerin er NUVAKAAN-II
14Drug Name Drug Name
NUVAZIL P-CARE D40G
OASIS ULTRA MATRIX FENESTRATED P-CARE D40MX
OASIS ULTRA TRI-LAYER MATRIX P-CARE D80
OASIS WOUND MATRIX FENESTRATED P-CARE D80G COMBINATION
EXTERNAL SHEET 3X3.5CM , 3X7CM P-CARE D80MX
OAT GRAIN (DIAGNOSTIC) P-CARE K40
OB COMPLETE ONE P-CARE K40G
OB COMPLETE PETITE P-CARE K40MX
OB COMPLETE PREMIER P-CARE K80
OCUVEL ORAL CAPSULE 0.5 MG P-CARE K80G
OLIVE TREE P-CARE K80MX
OMEGA-3 RX COMPLETE P-CARE M
OMEGA-3/D-3 WELLNESS PACK P-CARE MG
OMEGAVEN P-CARE X
ONEVITE PCCA ALADERM BASE
ONYCHO-MED PCCA ANHYDROUS LIPODERM BASE
opium PCCA BIOPEPTIDE BASE
ORACIT PCCA LIPODERM BASE
ORAFATE PCCA MVC BASE
ORANGE (DIAGNOSTIC) PCCA NATACREAM
ORCHARD GRASS POLLEN PCCA POLYPEG BASE
ORMECA PCCA VANISHING CREAM BASE
ORTHO DF PCCA VANISHING CREAM LIGHT
oscimin sr PCCA VANPEN BASE
OTIPRIO PCP 100
OVACE PLUS PEANUT (DIAGNOSTIC)
OVACE PLUS WASH PECAN NUT (DIAGNOSTIC)
OVACE WASH PECAN POLLEN
OVEEZA PEDIZOLPAK
OXYTOCIN-SODIUM CHLORIDE PENCREAM
INTRAVENOUS SOLUTION 30-0.9
UT/500ML-% PENDERM
PAINGO KFT PENICILLIUM NOTATUM
papaverine hcl injection PENLEN
PAPAVERINE-PHENTOLAMINE PENTAPHENE BASE
PAPAV-PHENTOLAMINE-ALPROSTADIL PENTICAN
paregoric PENTOSAN POLYSULFATE SODIUM ORAL
pb-hyoscy-atropine-scopolamine PERCURA
P-CARE 100MX PERENNIAL RYE GRASS POLLEN
P-CARE D40 PHARMABASE COSMETIC
15Drug Name Drug Name
PHARMABASE HEAVY POLIDOCANOL
phenobarbital-belladonna alk oral elixir POLYOXYL 40 STEARATE PELLET
PHENOHYTRO POLY-PREP
PHENOL INJECTION POLYTOZA PATCH
PHENYLBUTAZONE POLY-VI-FLOR ORAL TABLET CHEWABLE
PHENYLEPHRINE HCL-NACL POLY-VI-FLOR/IRON ORAL TABLET
INTRAVENOUS SOLUTION 10-0.9 CHEWABLE
MG/250ML-%, 25-0.9 MG/250ML-%, 50-0.9 PORK (DIAGNOSTIC)
MG/500ML-%
PORT-PREP
PHLAG SPRAY
POTABA ORAL CAPSULE
PHOMA EXIGUA
POTASSIUM CHLORIDE IN D5W
PHOSPHASAL INTRAVENOUS SOLUTION 20 MEQ/250ML
PHOXILLUM B22K4/0 potassium citrate-citric acid oral solution
PHOXILLUM BK4/2.5 potassium phosphates
PHYSICIANS EZ USE B-12 potassium phosphates(66 meq k)
PHYSICIANS EZ USE JOINT/TUNNEL POTASSIUM PHOSPHATES-NACL
PHYSICIANS EZ USE M-PRED INTRAVENOUS SOLUTION 10
PHYSOSTIGMINE SALICYLATE INJECTION MMOL/100ML, 15 MMOL/150ML
PHYTOBASE PR BENZOYL PEROXIDE
PICO WOUND THERAPY SYSTEM PR BENZOYL PEROXIDE WASH
PISTACHIO NUT (DIAGNOSTIC) PR CREAM
PLEXION PR NATAL 400
PLEXION CLEANSER EXTERNAL LIQUID PR NATAL 400 EC
PLEXION CLEANSING CLOTH EXTERNAL PR NATAL 430
PAD PRAMOSONE E
pnv folic acid + iron PRAMOSONE EXTERNAL CREAM 1-2.5 %
pnv ob+dha PRAMOSONE EXTERNAL OINTMENT
POD-CARE 100C pramox
POD-CARE 100CG PRASTERA
POD-CARE 100CMX PRAXBIND
POD-CARE 100K PRE & POST SX POUCH
POD-CARE 100KG PRECEDEX INTRAVENOUS SOLUTION
POD-CARE 100KMX 1000 MCG/250ML, 200 MCG/50ML, 400
MCG/100ML, 80 MCG/20ML
podocon
PREDNISOL ACE-MOXIFLOX-BROMFEN
POINT OF CARE KM
prednisolone acetate p-f
POINT OF CARE L.2
PREDNISOLONE ACETATE-NEPAFENAC
POINT OF CARE L.5
PREDNISOLONE ACET-MOXIFLOXACIN
POINT OF CARE LM DEP 2
PREDNISOLONE-BROMFENAC
POINT OF CARE LM-2.2
PREDNISOLONE-GATIFLOXACIN
POINT OF CARE LM-2.5
16Drug Name Drug Name
PREDNISOLONE-MOXIFLOXACIN PRILOVIX ULTRALITE
PREDNISOLON-GATIFLOX-BROMFENAC PRILOVIX ULTRALITE PLUS
PREDNISOLON-MOXIFLOX-BROMFENAC PRILOVIXIL
OPHTHALMIC SOLUTION 1-0.5-0.075 % PRILOXX LP
PREDNISOLON-MOXIFLOX-NEPAFENAC PRIMACARE ORAL CAPSULE
PREGENNA PRIVET
PREMESISRX PRIZOPAK II
premium lidocaine PRIZOTRAL
PREMIUM SCAR PRIZOTRAL-II
PRENAISSANCE PROBICHEW
PRENARA PROBUPHINE IMPLANT KIT
prenatal oral tablet 27-1 mg PRO-C-DURE 5
PRENATE PRO-C-DURE 6
PRENATE AM PROCORT EXTERNAL
PRENATE DHA ORAL CAPSULE 18-0.6-0.4- PRO-CRITIC
300 MG
PROCTOCORT RECTAL SUPPOSITORY
PRENATE ELITE ORAL TABLET 20-0.6-0.4
MG PRODIGEN
PRENATE ENHANCE PROGESTERONE-MINOXIDIL
PRENATE ESSENTIAL ORAL CAPSULE 18- PROMACTIN AA PLUS 20PE
0.6-0.4-300 MG PROMELLA IN PREBIOTIC
PRENATE MINI ORAL CAPSULE 18-0.6-0.4- PROMISEB
350 MG PROMISEB COMPLETE
PRENATE PIXIE PROPEL
PRENATE RESTORE PROPEL MINI
PRENATRIX PROSILK
PRENATVITE COMPLETE PROTEXA
PRESERA PROTHELIAL
PREVELEAK SURGICAL SEALANT PROTYL AG
PREVIDOLRX ANALGESIC PROVAD
previdolrx plus analgesic PRUCLAIR
PRIKAAN PRUMYX
PRIKAAN LITE PRUTECT
PRILO PATCH P-SILOXAN DS
PRILOLID PSORIZIDE FORTE
PRILOPENTIN PSORIZIDE ULTRA
PRILOVIX PURAPLY
PRILOVIX LITE PURAPLY 1.6CM
PRILOVIX LITE PLUS PURAPLY ANTIMICROBIAL 2X2CM
PRILOVIX PLUS PURAPLY ANTIMICROBIAL 2X4CM
17Drug Name Drug Name
PURAPLY ANTIMICROBIAL 5X5CM RED TOP GRASS POLLEN
PURAPLY ANTIMICROBIAL 6X9CM REJUVACARE PLUS
PURAPLY ANTIMICROBIAL 8X16CM RELADOR PAK EXTERNAL KIT
PURAPLY XT ANTIMICROBIAL 5X5CM RELADOR PAK PLUS
PURAPLY XT ANTIMICROBIAL 6X9CM RELAGARD
PUREFE OB PLUS RELIZORB
PUREFE PLUS REMIFENTANIL HCL-NACL
PYRIDIUM REMIGEN
PYRIDOXAL-5 PHOSPHATE INJECTION RENOVO
QUEEN PALM RESET FOR ANDROID APP
QUFLORA FE PEDIATRIC RESET FOR IOS APP
QUFLORA GUMMIES RESET FOR IOS OR ANDROID APP
QUFLORA PEDIATRIC RESET-O FOR ANDROID APP
QUINIXIL RESET-O FOR IOS APP
QUINJA RESET-O FOR IOS OR ANDROID APP
QUTENZA RESORCINOL-SULFUR
QUTENZA (2 PATCH) RESTORA SPRINKLES
QUZYTTIR RETISERT INTRAVITREAL
RABBIT EPITHELIUM REVESTA
RADIAGEL REXAPHENAC
RADIAPLEXRX REXASIL PATCH & VITAMIN E LIQ
RAPID GEL RX REZESOL
READYSHARP ANESTH + BETAMETH RHEUMATE
READYSHARP ANESTH + DEXAMETH RHIZOPUS
READYSHARP ANESTH + KETOROLAC RIBOZEL
READYSHARP ANESTH + METHYLPRED RICE (DIAGNOSTIC)
READYSHARP BETAMETHASONE ROPIDEX
READYSHARP DEXAMETHASONE ROPIVACAINE HCL INJECTION SOLUTION
READYSHARP KETOROLAC 2 MG/ML
READYSHARP LIDOCAINE ROPIVACAINE HCL INJECTION SOLUTION
33.4 MG/ML
READYSHARP-A
ROPIVACAINE HCL INJECTION SOLUTION
READYSHARP-K PREFILLED SYRINGE
RECEDO ROPIVACAINE HCL-NACL INJECTION
RECK SOLUTION 0.2-0.9 %
RECURA ROPIV-CLONIDINE-KETOROLAC
RED BIRCH ROSADAN EXTERNAL KIT
RED CEDAR ROSANIL CLEANSER
RED MAPLE ROUGH MARSH ELDER
RED MULBERRY ROUGH PIGWEED
18Drug Name Drug Name
ROXIFOL-D SCARCARE GEL-PAD KIT/LARGE
RRB PAK SCARCIN EXTERNAL GEL
RUSSIAN THISTLE SCARCIN EXTERNAL LIQUID
RYNODERM SCARCINPAD
SA3 DERM SCARSILK
SACCHAROMYCES CEREVISIAE SCARZEN SKIN REPAIR
SAGEBRUSH SEBUDERM
SALEX EXTERNAL KIT 6 % (CREAM), 6 % SEDANARE
(LOTION) SELECT-OB
SALEX EXTERNAL SHAMPOO SELECT-OB+DHA
salicylic acid er SELENIOUS ACID INTRAVENOUS
salicylic acid external cream SELENIUM INTRAVENOUS
salicylic acid external foam selenium sulfide external shampoo
salicylic acid external gel SELRX
salicylic acid external liquid 27.5 % SENTRA AM
salicylic acid external lotion SENTRA PM
salicylic acid external shampoo SERAQUA
salicylic acid external solution 26 % SESAME SEED (DIAGNOSTIC)
salicylic acid wart remover SHAGBARK HICKORY
salicylic acid-cleanser SHEEP SORREL
SALICYLIC ACID-SULFACETAMIDE SHORT RAGWEED POLLEN EXT
salimez SHRIMP (DIAGNOSTIC)
SALIMEZ FORTE SILA III
saline bacteriostatic SILALITE PAK
SALISOL SILIPAC
salisol forte SILIVEX
SALITECH SIL-K PAD LARGE
salitech forte SIL-K PAD MEDIUM
SALIVAMAX SIL-K PAD SMALL
SALRIX SILPROTEX PLUS
salsalate oral SILTREX
SALT DURABLE CREAM silver nitrate external solution
SALT STABLE LS ADVANCED SITZMARKS
SALTSTABLE LO SITZMARKS COMBO PACKAGE
SALVAX sod citrate-citric acid
SALVAX DUO PLUS sodium acetate intravenous solution 4 meq/ml
SANADERMRX SKIN REPAIR sodium bicarbonate intravenous solution 4.2
SANARE SCAR THERAPY %, 8.4 %
SCALACORT DK
19Drug Name Drug Name
SODIUM BICARBONATE-DEXTROSE STRATA XRT
INTRAVENOUS SOLUTION 150-5 MEQ/L-% STRAWBERRY (DIAGNOSTIC)
sodium chloride (pf) STRONTIUM CHLORIDE SR-89
sodium chloride intravenous solution 4 meq/ml STROVITE FORTE ORAL TABLET
SODIUM CITRATE-GENTAMICIN SULF STROVITE ONE
sodium hyaluronate external gel SUCCINYLCHOLINE CHLORIDE
sodium phosphates intravenous solution 45 INTRAVENOUS SOLUTION PREFILLED
mmole/15ml SYRINGE 100 MG/5ML
sodium sulfacetamide external shampoo sulfacetamide sodium external gel
sodium sulfacetamide wash liquid 10 % sulfacetamide sodium external liquid
external sulfacetamide sodium-sulfur external cream
SODIUM SULFACETAMIDE WASH LIQUID sulfacetamide sodium-sulfur external emulsion
10 % EXTERNAL
sulfacetamide sodium-sulfur external liquid
sodium tetradecyl sulfate intravenous
sulfacetamide sodium-sulfur external lotion
SOLARAVIX
sulfacetamide sodium-sulfur external pad 10-4
SOLOX %
SOLU-K sulfacetamide sodium-sulfur external
SOLULINE suspension
SOLUPAK sulfacetamide sod-sulfur wash external kit
SOLUPICC sulfacetamide-sulfur in urea external emulsion
SOLU-PREF sulfacetamide-sulfur-sunscreen
SOLYDRA SULFACLEANSE 8/4
SOOTHEE EXTERNAL PATCH 0.5-0.0375-5- sulfamez wash
2% SUMADAN
SORREL/DOCK MIX SUMADAN WASH
SOTRADECOL SUMADAN XLT
SOYBEAN (DIAGNOSTIC) SUMAXIN
SPASCUPREEL INJECTION SUMAXIN CP
SPECIMEN COLLECTION SUMAXIN WASH
SPEEDGEL RX SUPER TRI-MIX
SPINY PIGWEED sure result dss premium pack
SSKI SURE RESULT O3D3 SYSTEM
sss 10-5 external cream SUVICORT
SSS 10-5 EXTERNAL FOAM SWEET CORN (DIAGNOSTIC)
STEMPHYLIUM SWEET GUM
sterile water for injection injection SWEET VERNAL GRASS POLLEN
STRATA CTX SX1 MEDICATED POST-OPERATIVE
STRATA GRT SYMAX DUOTAB
STRATA MARK SYMAX-SL
STRATA TRIZ SYMAX-SR
20Drug Name Drug Name
SYNALAR (CREAM) TORONOVA II SUIK
SYNALAR (OINTMENT) TORONOVA SUIK
SYNALAR TS TOVET EXTERNAL KIT
SYNERDERM TRACE ELEMENTS 4/PEDIATRIC
SYNTHAMIN 17 TRANSCYTE
SYNVEXIA TC TRANZGEL
SZOSIL 15 DAY SUPPLY TRAUMEEL EXTERNAL OINTMENT
SZOSIL 8 DAY SUPPLY TRAUMEEL INJECTION
TACROLIMUS EXTERNAL CREAM TRAUMEEL ORAL TABLET
TALIVA TREPADONE
TALL RAGWEED TRIAMCINOLONE ACETONIDE INJECTION
TANDEM F SUSPENSION 40 MG/ML
taron-crystals TRIAMCINOLONE ACETONIDE INJECTION
SUSPENSION 50 MG/ML
TASOPROL
TRIAMCINOLONE DIACETATE INJECTION
TECHNELITE SUSPENSION 40 MG/ML
TESTONE CIK TRIAMCINOLONE DIACETATE PF
TESTOSTERONE CYPIONATE & PROP INJECTION SUSPENSION 80 MG/2ML
TESTOSTERONE CYPIONATE INJECTION TRIAMCINOLONE-MOXIFLOXACIN
TESTOSTERONE ENANTHATE INJECTION TRIAMSIL COMBIPAK EXTERNAL THERAPY
TESTOSTERONE IMPLANT PELLET 100 PACK
MG, 200 MG, 25 MG, 50 MG TRIAMSIL MULTIPAK
TESTOSTERONE PROPIONATE INJECTION TRICHOPHYTON SUBCUTANEOUS
tetracaine hcl injection tricitrates
TETRIX EXTERNAL CREAM TRILOAN II SUIK
THERAHONEY EXTERNAL GEL TRILOAN SUIK
THERAMINE TRI-MIX
THRIVACIN 30 TRINAZ
THRIVACIN DETOX TRISTART DHA
TICALAST TRISTART ONE
TICASPRAY TRIVIX
TIGHTENING BASE TRIXYLITRAL
TIMOLOL-BRIMON-DORZOL-LATANOPR TRONVITE
TIMOLOL-BRIMONIDINE-DORZOLAMID TROPICAMIDE-CYCLOPENTOLATE-PE
TIMOLOL-DORZOLAMID-LATANOPROST TROPICAMIDE-PHENYLEPHRINE
TIMOTHY GRASS POLLEN ALLERGEN TROPIC-PROPARACA-PE-KETOROLAC
TISSUEBLUE TRUSKIN
TOBAKIENT tryptophan oral
TOMATO (DIAGNOSTIC) T-SUPPORT MAX
TOPIDEX turpentine external
21Drug Name Drug Name
TYLACTIN RESTORE 10 VARIBAR THIN HONEY
TYLACTIN RTD 15 VARIBAR THIN LIQUID
ULTRADERM VAROPHEN
ULTRASAL-ER VASCUDERM HYDROGEL
UMECTA MOUSSE VENIPUNCTURE CPI
URALISS VENOMIL HONEY BEE VENOM
URAMAXIN EXTERNAL GEL VENOMIL MIXED VESPID VENOM
urea external cream 39 %, 40 %, 41 %, 45 %, VENOMIL WASP VENOM
47 % VENOMIL WHITE FACED HORNET
UREA EXTERNAL FOAM VENOMIL YELLOW HORNET VENOM
urea external lotion 40 % VENOMIL YELLOW JACKET VENOM
urea external suspension 40 % VERSAJET EXACT 14MM
urea hydrating VERSAJET EXACT 8MM
urea nail external gel 45 % VERSAJET II EXACT 14MM
urea-c40 VERSAJET II EXACT 8MM
uredeb VERSAJET II PLUS 14MM
ure-k VERSAJET II PLUS 8MM
URELLE VERSAJET PLUS 14MM
UREMEZ-40 VERSAJET PLUS 8MM
URESOL VERSAPRO EXTERNAL CREAM
URIBEL VEXASYN
URIMAR-T VEXATROL
URO-458 VILAMIT MB
UROGESIC-BLUE VILEVEV MB
uro-mp VINATE DHA RF
URYL VIRASAL
USTELL VIRGINIA LIVE OAK
UTA VISBIOME
UTICAP VITAFOL FE+
UTIRA-C VITAFOL GUMMIES
UTOPIC VITAFOL ORAL TABLET
VANCOSOL PACK VITAFOL ULTRA
VANISHING VITAFOL-NANO
VANISHING CREAM BOTANICAL BASE VITAFOL-OB
VANISH-PEN VITAFOL-OB+DHA
VANOXIDE-HC VITAFOL-ONE
VARIBAR HONEY VITAMEDMD ONE RX/QUATREFOLIC
VARIBAR NECTAR VITAMEDMD REDICHEW RX ORAL TABLET
VARIBAR PUDDING CHEWABLE 1.4 MG
22Drug Name Drug Name
VITAMEZ XOLEGEL COREPAK
vitamin b complex 100 XOLEGEL DUO/HEAD & SHOULDERS
VITAMIN B COMPLEX-HYDROXOCOBAL XOLEGEL DUO/XOLEX
vitamin b-complex 100 XRYLIDERM
VITAMIN DEFICIENCY SYSTEM-B12 XRYLIX
VITAPEARL xurea
VITA-RX DIABETIC VITAMIN XVITE
VITASURE XYZMUNE
VITATHELY WITH GINGER YBUPHEN
VITATRUE YELLOW DOCK
VITAXYME YELLOW HORNET VENOM PROTEIN
VITREXYL INJECTION SOLUTION RECONSTITUTED
550 MCG
VITREXYL + IRON
YELLOW HORNET VENOM PROTEIN
VIZAMYL SUBCUTANEOUS
VOLUMEN YELLOW JACKET VENOM PROTEIN
VP DERMABASE INJECTION SOLUTION RECONSTITUTED
VSL#3 DS 1300 MCG, 550 MCG
VYTONE YELLOW JACKET VENOM PROTEIN
SUBCUTANEOUS
WASP VENOM PROTEIN INJECTION
SOLUTION RECONSTITUTED 1300 MCG, YUTIQ
550 MCG ZACARE
WASP VENOM PROTEIN SUBCUTANEOUS ZACLIR CLEANSING EXTERNAL LOTION 8
WESTERN JUNIPER %
wheat germ oil oral oil ZALVIT
WHITE ASH ZANABIN HYDROGEL
WHITE BIRCH ZAVARA
WHITE FACED HORNET VENOM ZEEL INJECTION
WHITE MULBERRY ZELAC
WHITE OAK ZENEVIX
WHITE PINE ZERUVIA
WHITE-FACED HORNET VENOM ZEYOCAINE
WHOLE EGG (DIAGNOSTIC) ZILACAINE PATCH
WPR PLUS WOUND HEALING SYSTEM ZINC SULFATE INTRAVENOUS
xelitral ZIONODIL
XEMATOP BASE ZIONODIL 100
xenaflamm ZITHRANOL
XERALUX ZOE SCRIPTS IDEALBASE
XEROSTOMIA RELIEF SPRAY ZOLPAK
XILAPAK
23About OptumRx
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