Formulary Drug Listing Sorted by Brand Name

Effective January 2015

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Brand Name

Generic Name

A  (top)

 

ACCUPRIL

QUINAPRIL

ACETEST

KETONE TESTING PRODUCTS

ACTIFED

PSEUDOEPHEDRINE/TRI PROLIDINE

ACTIGALL

URSODIOL

ACTOS

PIOGLITAZONE

ACULAR

KETOROLAC TROMETHAMINE, ophthalmic solution only

ADALAT CC

NIFEDIPINE

ADDERALL/ADDERALL XR    

AMPHETAMINES/DEXTROAMPHETAMINES

ADVAIR

FLUTICASONE/SALMETEROL

AEROBID

FLUNISOLIDE

AEROCHAMBER *

INHALER DEVICE

AK-CON

NAPHAZOLINE

ALAWAY

KETOTIFEN OTC only

ALBENZA

ALBENDASOLE

ALDACTAZIDE

SPIRONOLACTONE/HYDROCHLOROTHIAZIDE

ALDACTONE

SPIRONOLACTONE

ALDARA

IMIQUIMOD

ALDOMET

METHYLDOPA

ALLEGRA

FEXOFENADINE

ALPHAGAN

BRIMONIDE

ALTACE

RAMIPRIL

ALUPENT

METAPROTERENOL

AMARYL

GLIMEPIRIDE

AMBIEN

ZOLPIDEM not CR

AMCILL

AMPICILLIN TRIHYDRATE

AMERGE

NARATRIPTAN

AMOXIL

AMOXICILLIN

AMPHOJEL

ALUMINUM HYDROXIDE

ANAFRANIL

CLOMIPRAMINE

ANAPROX

NAPROSYN

ANCEF, KEFZOL

CEFAZOLIN

ANCOBON

FLUCYTOSINE

ANTABUSE

DISULFIRAM

ANTIVERT

MECLIZINE

ANTURANE

SULFINPYRAZONE

ANZEMET

DOLASETRON MESYLATE

APRESOLINE

HYDRALAZINE

ARALEN

CHLOROQUINE HCL

ARAVA

LEFLUNOMIDE

ARICEPT

DONEPEZIL 5 mg / 10 mg tabs only

ARMOUR

THYROID, DESSICATED

ARTHROTEC

DICLOFENAC/MISOPROSTOL

ASACOL HD

MESALAMINE

ASENDIN

AMOXAPINE

ASMANEX, NASONEX

MOMETASONE nasal up to 4 years old only

ASSESS *

PEAK AIR FLOW METER

ATARAX, VISTARIL

HYDROXYZINE  ALL ORAL FORMS

ATIVAN *

LORAZEPAM

ATROPINE

ATROPINE SULFATE all forms except injectable

ATROVENT

IPRATROPIUM

ATROVENT NASAL SPRAY

IPRATROPIUM NASAL SPRAY

AUGMENTIN

AMOXICILLIN/CLAVULANATE all forms except XR

AURALGAN

ANTIPYRINE/BENZOCAINE

AVAPRO

IRBESARTAN

AZULFIDINE

SULFASALAZINE

(top)

BACIGUENT *

BACITRACIN

BACTROBAN OINTMENT

MUPIROCIN ointment only, except nasal

BAYER ASPIRIN *

ASPIRIN all forms

B-D SWABS

ALCOHOL SWABS

B-D SYRINGES, NEEDLES

INSULIN SYRINGES, NEEDLES

BENADRYL *

DIPHENHYDRAMINE

BENEMID

PROBENECID

BENTYL

DICYCLOMINE

BENZAC

BENZOYL PEROXIDE

BETAGAN

LEVOBUNOLOL 

BETAPACE

SOTALOL

BETOPTIC

BETAXOLOL

BIAXIN

CLARITHROMYCIN

BLEPHAMIDE

SULFACETAMIDE/PREDNISOLONE AC

BRETHINE/BRICANYL

TERBUTALINE SULFATE

BUMEX

BUMETANIDE

BUROW’S OTIC

ACETIC ACID/ALUMINUM ACETATE 2% ear solution only

BURROW’S SOLUTION

ALUMINUM ACETATE

BUSPAR

BUSPIRONE

(top)

CAFERGOT

ERGOTAMINE TARTRATE/CAFFEINE

CALAMINE *

CALAMINE

CALAN

VERAPAMIL

CALCIMAR

CALCITONIN nasal

CAPOTEN

CAPTOPRIL

CAPOZIDE

CAPTOPRIL/HYDROCHLOROTHIAZIDE

CARAFATE

SUCRALFATE

CARBATROL

CARBAMAZEPINE

CARDIZEM

DILTIAZEM all forms

CATAPRES

CLONIDINE all forms except ER tablets

CECLOR

CEFACLOR all forms except ER tablets

CEFTIN

CEFUROXIME

CELEXA

CITALOPRAM

CELONTIN

METHSUXIMIDE

CEPHULAC

LACTULOSE

CHANTIX

VARENICLINE up to 6 months without TAR

CHLOR-TRIMETON

CHLORPHENIRAMINE

CIPRO, CILOXAN

CIPROFLOXACIN oral, ophthalmic

CIPRO-DEX OTIC

CIPROFLOXACIN/DEXAMETHASONE

CIPRO HC

CIPROFLOXACIN HYDROCORTISONE otic

CLARITIN *

LORATIDINE

CLEOCIN

CLINDAMYCIN HCL

CLEOCIN

CLINDAMYCIN PHOSPHATE

CLEOCIN

CLINDAMYCIN TOPICAL

CLINISTIX

GLUCOSE TESTING (URINE)

CLINORIL

SULINDAC

COAL TAR

COAL TAR SOLUTION

CODEINE

CODEINE tablets

COGENTIN

BENZTROPINE

COLACE *

DOCUSATE SODIUM

COLBENEMID

COLCHICINE/PROBENECID

COLCRYS

COLCHICINE

COLESTID

COLESTIPOL

COLYTE

PEG 3350/ELECTROLYTE SOLUTION

COMBIVENT

IPRATROPIUM/ALBUTEROL

COMPAZINE

PROCHLORPERAZINE MALEATE all forms

COMTAN

ENTACAPONE

CONCEPTROL *

NONOXYNOL 9

CONCERTA

METHYLPHENIDATE restricted to QD

CONDYLOX

PODOFILOX gel and solution

CORDARONE

AMIODARONE

COREG (not CR)

CARVEDILOL

CORTISPORIN

HYDROCORTISONE/POLYMYXIN/NEOMYCIN eye and ear only

CORTONE

CORTISONE

COSOPT

DORZOLAMIDE/TIMOLOL

COUMADIN

WARFARIN SODIUM

COZAAR

LOSARTAN

CREON

AMYLASE/LIPASE/PROTEASE/PANCREATIN

CYCLOGYL

CYCLOPENTOLATE

CYMBALTA

DULOXETINE QL 1 cap per day

CYTOTEC

MISOPROSTOL

(top)

DALMANE *

FLURAZEPAM

DAPSONE

DAPSONE

DARAPRIM

PYRIMETHAMINE

DDAVP

DESMOPRESSIN ACETATE

DECADRON

DEXAMETHASONE

DECADRON PHOSPHATE

DEXAMETHASONE SODIUM PHOSPHATE

DELTASONE

PREDNISONE

DELZICOL

MESALAMINE

DEMADEX

TORSEMIDE

DEMEROL

MEPERIDINE

DEPAKENE

VALPROIC ACID

DEPAKOTE

DIVALPROEX SODIUM not extended release

DEPO-PROVERA

MEDROXYPROGESTERONE

DERMATOP

PREDNICARBATE all forms

DESOWEN

DESONIDE

DESYREL

TRAZODONE not extended release

DETROL/DETROL LA

TOLTERODINE TARTRATE

DIABINESE

CHLORPROPAMIDE

DIAMOX

ACETAZOLAMIDE not extended release

DIDRONEL

ETIDRONATE

DIENESTROL

DIENESTROL

DIFLUCAN

FLUCONAZOLE

DILANTIN

PHENYTOIN SODIUM

DILAUDID

HYDROMORPHONE not extended release

DIMETAPP *

PSEUDOEPHEDRINE/BROMPHENIRAMINE

DIPROSONE

BETAMETHASONE DIPROPIONATE lotion, cream, ointment

DISALCID

SALSALATE

DITROPAN

OXYBUTYNIN

DITROPAN XL

OXYBUTYNIN XL

DOLOPHINE

METHADONE, ql maximum 90 day supply per fill

DOMEBORO

CALCIUM ACETATE/ALUMINUM SULFATE all forms

DONNATAL

BELLADONA ALK/PB

DRAMAMINE *

DIMENHYDRINATE

DULCOLAX *

BISACODYL

DULERA

MOMETASONE FUROATE/FORMOTEROL FUMARATE

DYAZIDE

TRIAMTERENE/HYDROCHLOROTHIAZIDE

DYNAPEN

DICLOXACILLIN

DYRENIUM

TRIAMTERENE

(top)

E.E.S

ERYTHROMYCIN ETHYLSUCCINATE

EFFEXOR/EFFEXOR XR

VENLAFAXINE CAPSULES ONLY. QL one per day for ER, two per day for IR

EFUDEX

FLUOROURACIL

ELAVIL

AMITRIPTYLINE

ELDEPRYL, EMSAM

SELEGILINE

ELIMITE

PERMETHRIN

ELLA

ULIPRISTAL

EMLA

LIDOCAINE/PRILOCAINE

EPIPEN

EPINEPHRINE

ERGOSTAT

ERGOTAMINE

ERY-TAB

ERYTHROMYCIN BASE

ERYTHROMYCIN

ERYTHROMYCIN STEARATE

ESGIC

ACETAMINOPHEN/CAFFEINE/BUTALBITAL

ESTRACE

ESTRADIOL

EVISTA

RALOXIFENE

EXCEDRIN MIGRAINE*

ASPIRIN/ACETAMINOPHEN/CAFFEINE

(top)

FELDENE

PIROXICAM

FERGON

FERROUS GLUCONATE

FER-IN-SOL *

FERROUS SULFATE

FLAGYL

METRONIDAZOLE

FLEET’S ENEMA *

SODIUM PHOSPHATE/SODIUM BIPHOSPHATE

FLEXERIL

CYCLOBENZAPRINE

FLOMAX

TAMSULOSIN

FLONASE

FLUTICASONE PROPIONATE

FLORINEF

FLUDROCORTISONE

FLOVENT

FLUTICASONE

FLOXIN

OFLOXACIN oral, otic, ophthalmic

FML

FLUOROMETHOLONE

FOLIC ACID *

FOLIC ACID

FOSAMAX

ALENDRONATE

FULVICIN

GRISEOFULVIN

FURADANTIN

NITROFURANTOIN all forms

(top)

GARAMYCIN

GENTAMICIN ophthalmic and topical

GAVISCON *

SODIUM BICARBONATE/MAGNESIUM TRISILICATE/ALUMINUM HYRDROXIDE/ALGINIC ACID

GLUCAGON

GLUCAGON 1mg emergency kit

GLUCOPHAGE, XR

METFORMIN, METFORMIN XR

GLUCOTROL

GLIPIZIDE

GLYCERIN *

GLYCERIN suppositories

GOLYTELY

PEG 3350/ELECTROLYTE SOLUTION

GRANULEX

TRYPSIN/PERU BALSAM/CASTOR OIL

(top)

HIBICLENS

CHLORHEXIDINE GLUCONATE

HIPREX

METHENAMINE HIPPURATE

HUMALOG

INSULIN all forms, VIALS ONLY

HUMULIN

INSULIN all forms, VIALS ONLY

HYDERGINE

ERGOLOID MESYLATES

HYDROCORTISONE *

HYDROCORTISONE all forms

HYDRODIURIL

HYDROCHLOROTHIAZIDE

HYTRIN

TERAZOSIN

HYZAAR

LOSARTAN/HYDROCHLOROTHIAZIDE

(top)

ILOTYCIN

ERYTHROMYCIN OPHTHALMIC

IMITREX

SUMATRIPTAN QL 2 syringes/30days - 9 tablets per 30 days

IMODIUM *

LOPERAMIDE

IMURAN

AZATHIOPRINE

INDERAL, INDERAL LA

PROPRANOLOL all forms

INDOCIN

INDOMETHACIN

INH

ISONIAZID

INTAL

CROMOLYN all forms

ISOPTO ALKALINE

HYDROXYPROPYLMETHYLCELLULOSE

ISOPTO CARBACHOL

CARBACHOL

ISOPTO CARPINE

PILOCARPINE HYDROCHLORIDE

ISOPTO HOMATROPINE

HOMATROPINE HYDROBROMIDE

ISORDIL

ISOSORBIDE DINITRATE

(top)

JANUMET, XR

SITAGLIPTIN/METAFORMIN ST T/F or intolerance to metformin AND SU

JANUVIA

SITAGLIPTIN ST T/F or intolerance to metformin AND SU

JENTADUETO

LINAGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

(top)

KAYEXALATE

SODIUM POLYSTYRENE SULFONATE

KAZANO

ALOGLIPTIN/METAFORMIN ST T/F or intolerance to metformin AND SU

K-DUR

POTASSIUM CHLORIDE

KEFLEX

CEPHALEXIN

KENALOG

TRIAMCINOLONE ACETONIDE TOPICAL ONLY

KEPPRA

LEVETIRACETAM

KETO-DIASTIX

GLUCOSE/KETONE TEST COMBO (URINE)

KLONOPIN *

CLONAZEPAM

KOMBIGLYZE XR

SAXAGLIPTIN/METFORMIN ST T/F or intolerance to metformin AND SU

K-Y JELLY *

GLYCERIN/HYDROXYETHYLCELLULOSE

KYTRIL

GRANISETRON

(top)

LAMICTAL

LAMOTRIGINE

LAMISIL *

TERBINAFINE TABLETS & CREAM

LANOXIN

DIGOXIN

LANTUS

INSULIN all forms, VIALS ONLY

LASIX

FUROSEMIDE

LEVAQUIN

LEVOFLOXACIN TABLETS ONLY

LEVOXYL

LEVOTHYROXINE SODIUM

LIDEX

FLUOCINONIDE 0.05% only

LIORESAL

BACLOFEN

LIPITOR

ATORVASTATIN

LODINE

ETODOLAC

LOFIBRA

FENOFIBRATE

LOMOTIL

DIPHENOXYLATE/ATROPINE SULFATE

LONITEN

MINOXIDIL

LOPID

GEMFIBROZIL

LOPRESSOR

METOPROLOL TARTRATE

LOTENSIN HCT/LOTENSIN

BENAZEPRIL/HYDROCHLOROTHIAZIDE & BENAZEPRIL

LOTRIMIN *

CLOTRIMAZOLE

LOTRISONE

CLOTRIMAZOLE/BETAMETHASONE

LOVENOX

ENOXAPARIN QL maximum 7 days

LUDIOMIL

MAPROTILINE

LURIDE

SODIUM FLUORIDE not dental paste

M (top)

MAALOX *

MAGNESIUM HYDROXIDE/ALUMINUM HYDROXIDE

MACROBID

NITROFURANTOIN/NITROFURAN MACROCRYSTALS

MAG-OXIDE *

MAGNESIUM OXIDE

MANDELAMINE

METHENAMINE MANDELATE

MAVIK

TRANDOLAPRIL

MAXALT

RIZATRIPTAN **oral tablets only, not ODT

MEDROL

METHYLPREDNISOLONE oral

MEPHYTON *

PHYTONADIONE

MEPRON

ATOVAQUONE

MESTINON

PYRIDOSTIGMINE

METADATE CD

METHYLPHENIDATE QL 1 per day for CD

METHERGINE

METHYLERGONOVINE

METHOTREXATE

METHOTREXATE

METROGEL

METRONIDAZOLE topical only

MEVACOR

LOVASTATIN

MEXITIL

MEXILETINE

MICRONASE

GLYBURIDE

MIDRIN *

ISOMETHEPTENE/DICHLORALPHENAZONE/ACETAMINOPHEN

MILK OF MAGNESIA *

MAGNESIUM HYDROXIDE

MINIPRESS

PRAZOSIN

MINOCIN

MINOCYCLINE

MIRALAX POWDER

PEG 3350

MIRAPEX

PRAMIPEXOLE IR only

MOBIC

MELOXICAM

MONISTAT

MICONAZOLE NITRATE

MONOPRIL

FOSINOPRIL

MOTRIN

IBUPROFEN

MS CONTIN

MORPHINE EXTENDED RELEASE TABLETS ONLY

MYAMBUTOL

ETHAMBUTOL

MYCOLOG II

NYSTATIN/TRIAMCINOLONE

MYCOSTATIN

NYSTATIN

MYSOLINE

PRIMIDONE

(top)

NAPHCON-A *

NAPHAZOLINE HYDROCHLORIDE/PHENIRAMINE

NAPROSYN

NAPROXEN

NASOCORT OTC

TRIAMCINOLONE ACETONIDE nasal spray

NASAREL

FLUNISOLIDE

NASONEX

MOMETASONE FUROATE up to 4 years old without TAR

NATACYN

NATAMYCIN

NEBCIN

TOBRAMYCIN 

NEOFRIN

PHENYLEPHRINE ophthalmic only

NEOSPORIN

NEOMYCIN/POLYMYXIN/BACITRACIN

NEPHRO-VITE *

VITAMIN B COMBO/VITAMIN C/FOLIC ACID

NESINA

ALOGLIPTIN ST T/F or intolerance to metformin AND SU

NEURONTIN

GABAPENTIN

NIACIN *

NIACIN all forms

NICORETTE *

NICOTINE POLACRILEX QL 12 weeks / 365 days and smoking cessation class certificate

NICOTROL *

NICOTINE  PATCH QL 12 weeks / 365 days and smoking cessation class certificate

NITROGLYCERIN

NITROGLYCERIN sublingual tabs, 2% ointment (no rectal)

NIZORAL

KETOCONAZOLE

NOLVADEX

TAMOXIFEN

NORCO

HYDROCODONE/APAP  5/325, 7.5/325, 10/325 QL maximum 120 tablets per 30 days

NORDETTE-28

LEVONORGESTREL/ETHINYL ESTRADIOL

NORMODYNE

LABETOLOL

NORPACE

DISOPYRAMIDE

NORPLANT

LEVONORGESTREL long acting

NORPRAMIN

DESIPRAMINE

NORVASC

AMLODIPINE

NUVARING

ETONOGESTREL/ETHINYL ESTRADIOL

(top)

OMNICEF susp only

CEFDINIR

ONGLYZA

SAXAGLIPTIN ST T/F of both metformin and SU

OPTIPRANOLOL

METIPRANOLOL

ORTHO-DIAPHRAGM

DIAPHRAGM

ORTHO EVRA

NORELGESTROMIN/ETHINYL ESTRADIOL

ORTHO-GYNOL *

OCTOXYNOL 9

ORUDIS

KETOPROFEN

OSCAL *

CALCIUM all forms that have a generic available

OSCAL-D *

CALCIUM/VITAMIN D all forms that have a generic available

OVIDE

MALATHION

(top)

PAMELOR

NORTRIPTYLINE

PANCREASE

AMYLASE/LIPASE/PROTEASE

PARLODEL

BROMOCRIPTINE MESYLATE

PAXIL

PAROXETINE

PEDIAZOLE

ERYTHROMYCIN ETHYLSUCCINATE/SULFISOXAZOLE

PEN VK

PENICILLIN V POTASSIUM

PENLAC

CICLOPIROX 8% SOLUTION

PEPCID

FAMOTIDINE

PEPTO-BISMOL *

BISMUTH SUBSALICYLATE

PERCOCET

OXYCODONE/ACETAMINOPHEN QL maximum 100 per 30 days

PERCODAN

OXYCODONE/ASPIRIN QL maximum 100 per 30 days

PERIOGARD

CHLORHEXIDINE

PERSANTINE

DIPYRIDAMOLE

PHENERGAN

PROMETHAZINE

PHENOBARBITAL *

PHENOBARBITAL all oral forms

PHOSLO

CALCIUM ACETATE

PHOSPHOLINE

ECHOTHIOPHATE IODIDE

PLAN B

LEVONORGESTREL

PLAQUENIL

HYDROXYCHLOROQUINE

PLAVIX

CLOPIDOGREL

POLY-PRED

NEOMYCIN/POLYMYXIN/PREDNISOLONE

POLYSPORIN

POLYMYXIN B SULFATE/BACITRACIN drops and ointment

POLYTRIM

POLYMYXIN/TRIMETHOPRIM

POLY-VI-FLOR

MULTIVITAMINS W/FLUORIDE ** for children under 5 years old

PRAVACHOL

PRAVASTATIN

PRECOSE

ACARBOSE

PRED FORTE, PRED MILD

PREDNISOLONE ACETATE

PREDNISONE

PREDNISONE

PRELONE

PREDNISOLONE

PRENAVITE

PRENATAL VITAMINS

PREVACID          

LANSOPRAZOLE

PRILOSEC 10 & 20mg  *

OMEPRAZOLE

PRIMAQUINE

PRIMAQUINE

PRINIVIL

LISINOPRIL

PRINIZIDE

LISINOPRIL/HYDROCHLOROTHIAZIDE

PROAMATINE

MIDODRINE

PROCARDIA/XL

NIFEDIPINE/NIFEDIPINE XL

PROLOPRIM

TRIMETHOPRIM

PROPYLTHIOURACIL

PROPYLTHIOURACIL, PTU

PROSCAR

FINASTERIDE 5 mg

PROSOM

ESTAZOLAM

PROSTIGMIN

NEOSTIGMINE BROMIDE

PROTONIX

PANTOPRAZOLE

PROVERA

MEDROXYPROGESTERONE

PROZAC

FLUOXETINE

PULMICORT, FLEXHALER

BUDESONIDE TAR required for nebs if 6 years old or older

PYRAZINAMIDE

PYRAZINAMIDE 

PYRIDIUM

PHENAZOPYRIDINE

(top

QUESTRAN

CHOLESTYRAMINE/SUCROSE bulk only

QUINIDEX

QUINIDINE SULFATE

QVAR

BECLOMETHASONE inhaler

R (top)

REGLAN

METOCLOPRAMIDE

RELAFEN

NABUMETONE

RELENZA

ZANAMIVIR QL 5 day course x 2

REMERON

MIRTAZAPINE

RENVELA

SEVELAMER

REQUIP not XL

ROPINIROLE

RESTORIL

TEMAZEPAM 15mg and 30mg strengths only (not 7.5 mg<)

RETIN-A *

TRETINOIN cream only

RID *

PIPERONYL BUTOXIDE/PYRETHRINS

RIFADIN

RIFAMPIN

RIFAMATE

RIFAMPIN/ISONIAZID

RIOPAN  *

MAGALDRATE/SIMETHICONE

RITALIN

METHYLPHENIDATE IR limited to #2/day, ER limited to #1/day

ROBAXIN

METHOCARBAMOL

ROBINUL

GLYCOPYRROLATE

ROBITUSSIN  *

GUAIFENESIN

ROBITUSSIN DM *

GUAIFENESIN/DEXTROMETHORPHAN

ROBITUSSIN A-C *

GUAIFENESIN/CODEINE 

ROCALTROL

CALCITRIOL ORAL CAPSULES ONLY

ROXANOL

MORPHINE IR: all forms of generic; ER: generic tablets only (not capsules)

ROXICODONE

OXYCODONE

RYTHMOL

PROPAFENONE

(top)

SANTYL

COLLAGENASE

SELSUN

SELENIUM SULFIDE

SENOKOT *

SENNA

SEPTRA, SEPTRA DS

SULFAMETHOXAZOLE/TRIMETHOPRIM all forms

SEREVENT

SALMETEROL

SERZONE

NEFAZODONE 

SINEMET

CARBIDOPA/LEVODOPA

SINEQUAN

DOXEPIN

SINGULAIR

MONTELUKAST

SODIUM CHLORIDE

SODIUM CHLORIDE ophthalmic nasal, 0.9% inhaled

SOMNOTE

CHLORAL HYDRATE

SONATA

ZALEPLON

SPECTAZOLE 1% CREAM

ECONAZOLE NITRATE 1% CREAM

SPIRIVA

TIOTROPIUM

SSKI

POTASSIUM IODIDE

STARLIX

NATEGLINIDE

STRATTERA

ATOMEXETINE QL one capsule per day

STROMECTOL

IVERMECTIN oral

SUDAFED *

PSEUDOEPHEDRINE HCL all forms

SULAMYD

SULFACETAMIDE SODIUM all forms

SUMYCIN

TETRACYCLINE

SUPRAX

CEFIXIME

SURFAK *

DOCUSATE CALCIUM

SYMBICORT INHALER

BUDESONIDE/FORMOTEROL

SYNALAR

FLUOCINOLONE ACETONIDE

SYNTHROID

LEVOTHYROXINE

SYSTANE

ARTIFICIAL TEARS

(top)

TAGAMET

CIMETIDINE

TAMBOCOR

FLECAINIDE ACETATE

TAMIFLU

OSELTAMIVIR QL 5 day course x 2

TAPAZOLE

METHIMAZOLE

TAVIST-1 *

CLEMASTINE FUMARATE

TEGRETOL, TEGRETOL XR

CARBAMAZEPINE

TEMOVATE        

CLOBETASOL all forms except spray

TENEX

GUANFACINE

TENORMIN

ATENOLOL

TERAZOL *

TERCONAZOLE

TESSALON

BENZONATATE

THEO-DUR

THEOPHYLLINE oral forms except elixir

TIMOPTIC

TIMOLOL

TINACTIN

TOLNAFTATE

TOBRADEX

TOBRAMYCIN SULFATE/DEXAMETHASONE

TOFRANIL

IMIPRAMINE HYDROCHLORIDE

TOPAMAX

TOPIRAMATE

TRADJENTA

LINAGLIPTIN ST T/F or intolerance to metformin and SU

TRANDATE

LABETOLOL

TRICOR

FENOFIBRATE

TRILEPTAL

OXCARBAZEPINE

TRI-VI-FLOR

TRIPLE VITAMINS W/FLUORIDE ** for children under 5 years old

TRI-VI-FLOR/IRON

TRIPLE VITS W/FLUORIDE & IRON ** for children under 5 years old

TROJAN

CONDOMS, MALE

TRUETRACK or TRUETEST

GLUCOSE TEST STRIPS (BLOOD)

TRUETRACK or TRUETEST

GLUCOSE MONITOR

TRUSOPT

DORZOLAMIDE

TYLENOL *

ACETAMINOPHEN all forms

TYLENOL W/CODEINE  

CODEINE PHOSPHATE/ACETAMINOPHEN 15 & 30 mg codeine only; QL maximum 120 tablets per 30 days

(top)

ULTRAM

TRAMADOL

UNIRETIC

MOEXIPRIL/HYDROCHLOROTHIAZIDE

UNIVASC

MOEXIPRIL

URECHOLINE

BETHANECHOL CHLORIDE

(top)

VALISONE

BETAMETHASONE VALERATE all forms except foam

VALIUM

DIAZEPAM

VASERETIC

ENALAPRIL/HYDROCHLOROTHIAZIDE

VASOCON-A

NAPHAZOLINE HYDROCHLORIDE/ANTAZOLINE

VASOLEX

TRYPSIN/PERU BALSAM, CASTOR OIL

VASOTEC

ENALAPRIL

VENTOLIN HFA  

ALBUTEROL HFA

VIBRAMYCIN

DOXYCYCLINE HYCLATE

VICODIN & VICODIN ES

HYDROCODONE BITARTRATE/ACETAMINOPHEN 5/500 & 7.5/750 generic strength QL maximum. 120 tablets per 30 days

VIGAMOX

MOXIFLOXACIN, ophthalmic only

VIROPTIC

TRIFLURIDINE

VISTARIL / ATARAX

HYDROXYZINE all oral forms

VITAMIN B-1 *

THIAMINE

VITAMIN B-6 *

PYRIDOXINE

VITAMIN B-12 *

CYANCOCOBALAMIN

VITAMIN D *

ERGOCALCIFEROL

VITAMIN E *

ALPHA-TOCOPHERYL

VIVACTIL

PROTRIPTYLINE

VOLTAREN

DICLOFENAC SODIUM ORAL ONLY

VOSOL

ACETIC ACID

VOSOL HC

ACETIC ACID/HYDROCORTISONE

(top)

WELLBUTRIN /SR

BUPROPION

(top)

XALATAN

LATANOPROST

XYLOCAINE

LIDOCAINE except transdermal patch

(top)

ZADITOR, OTC only

KETOTIFEN FUMARATE, OTC only

ZANAFLEX

TIZANIDINE

ZANTAC

RANITIDINE 

ZARONTIN

ETHOSUXIMIDE

ZAROXOLYN

METOLAZONE

ZESTRIL/ZESTORETIC

LISINOPRIL & LISINOPRIL/HYDROCHLOROTHIAZIDE

ZITHROMAX

AZITHROMYCIN

ZOCOR

SIMVASTATIN

ZOFRAN

ONDANSETRON

ZOLOFT

SERTRALINE

ZONEGRAN

ZONISAMIDE

ZOSTRIX *

CAPSAICIN

ZOVIRAX

ACYCLOVIR all oral forms

ZYBAN

BUPROPION

ZYLOPRIM

ALLOPURINOL

ZYRTEC OTC

CETIRIZINE