Preferred Drug List & Formulary Updates
Updates are made regularly to the Agency for Health Care Administration Preferred Drug List (PDL).
-
Supplemental Formulary Updates
-
Florida Medicaid Supplemental PDL Updates
Formulary changes include the following:
- Addition/removal of a drug from the formulary
- Addition/removal of quantity limits
- Addition/removal of prior authorization requirements
October 2018
Drug/Product
Change Made
Benzoyl Peroxide
Add to formulary
Betamethasone Dipropionate Augmented
Add to formulary
Budesonide (Nasal)
Add to formulary
Clindamycin Pad 1%
Add to formulary
Differin Gel 0.1% OTC
Add to formulary
Doxycycline (Monohydrate)
Add to formulary
Fluticasone Furoate
Add to formulary
Fluticasone Propionate (Nasal)
Add to formulary
Triamcinolone Acetonide (Nasal)
Add to formulary
September 2018
Drug/Product
Change Made
Clindamycin Phos 1% Gel And Lotion
Add w/ST required through clindamycin phosphate 1% solution.
Clindamycin Phos Gel And Lotion
Add w/ST required through clindamycin phosphate 1% solution.
Famotidine Suspension
Add w/ST through ranitidine syrup.
Montelukast Granules
Add montelukast granules w/ ST required through montelukast chewtab for age 5 years old and older
July 2018
Drug/Product
Change Made
Tolterodine ER
Add w/min age = 5
January 2018
Drug/Product
Change Made
Malathion 0.5% lotion
Added w/QL of 0ml every 30 days;
Maximum of 2 prescription fills every 60 days
Fluocinonide 0.05% cream
Added
December 2017
Drug/Product
Change Made
Methylphenidate ER (Ritalin LA)
Added w/PA required for age < 6 AND QL of:
#30 capsules/30 days (20 mg, 40 mg, 60 mg)
#60 capsules/30 days (30 mg)
Dextroamphetamine ER
Added w/PA required for age < 6 AND QL of:
#120 capsules/30 days (10 mg, 15 mg)
#90 capsules/30 days (5 mg)
Trospium ER
Added w/QL of #30 tablets/30 days (60 mg)
Trospium
Added w/QL of #60 tablets/30 days (20 mg)
Tolterodine
Added w/QL of #60 tablets/30 days (1 mg, 2 mg)
October 2017
Drug/Product
Change Made
Normal Saline Flush
Added w/QL of #150 syringes/30 days
May 2017
Drug/Product
Change Made
Ketostix Reagent Strips
Added w/QL of #1 spacer/365 days
March 2017
Drug/Product
Change Made
Inhaler Assist Devices
Added w/QL of #1 spacer/365 days
-
Healthy Kids Formulary Updates
-
December 2020
Additions: (Note: only certain manufacturers added)
- Acyclovir Cre 5%
- Allergy/Cong Tab 5-120mg
- Aminocapr Ac Tab 500mg
- Atovaquone Sus 750/5ml
- Carbamazepin Tab 100mger
- Carbamazepin Tab 200mg Er
- Carbamazepin Tab 400mg Er
- Carboplatin Inj 450/45ml
- Carboplatin Inj 600/60ml
- Chlorhex Glu Sol 0.12%
- Clozapine Tab 100mg
- Clozapine Tab 200mg
- Clozapine Tab 25mg
- Colchicine Tab 0.6mg
- Cyclophosph Inj 1gm
- Cyclophosph Inj 2gm
- Cyclophosph Inj 500mg
- Cyclosporine Inj 50mg/Ml
- Desmopressin Spr 0.01%
- Dextrose Inj 5%
- Dimethyl Fum Cap 120mg Dr
- Dimethyl Fum Cap 240mg Dr
- Diphen/Atrop Tab 2.5/.025
- Dofetilide Cap 500mcg
- Doxycycl Hyc Cap 50mg
- Drospir/Ethi Tab 3-0.02mg
- Drospir/Ethi Tab 3-0.03mg
- Felodipine Tab 10mg Er
- Felodipine Tab 2.5mg Er
- Felodipine Tab 5mg Er
- Gabapentin Cap 100mg
- Gabapentin Cap 300mg
- Gabapentin Cap 400mg
- Gemfibrozil Tab 600mg
- Hm Aspirin Tab 325mg
- Hm Mucus Dm Tab 60-1200
- Hm Mucus Er Tab 1200mg
- Hm Nicotine Loz 2mg Cinn
- Hm Nicotine Loz 4mg Cinn
- Irinotecan Inj 100/5ml
- Irinotecan Inj 40mg/2ml
- Kcl/D5w/Nacl Inj
- Lamotrigine Chw 5mg
- Levothyroxin Tab 100mcg
- Levothyroxin Tab 112mcg
- Levothyroxin Tab 125mcg
- Levothyroxin Tab 137mcg
- Levothyroxin Tab 150mcg
- Levothyroxin Tab 175mcg
- Levothyroxin Tab 200mcg
- Levothyroxin Tab 25mcg
- Levothyroxin Tab 300mcg
- Levothyroxin Tab 50mcg
- Levothyroxin Tab 75mcg
- Levothyroxin Tab 88mcg
- Lidocaine Sol 4%
- Methocarbam Tab 500mg
- Methocarbam Tab 750mg
- Methylphenid Tab 10mg
- Methylphenid Tab 20mg
- Methylphenid Tab 5mg
- Milrinone/D5 Inj 20/100ml
- Milrinone/D5 Inj 40/200ml
- Mucus Relief Tab 1200mg
- Mucus Relief Tab 600mg Er
- Mucus-Dm Max Tab 60-1200
- Phenazopyrid Tab 200mg
- Phexxi Gel
- Pot Chloride Tab 20meq Er
- Prednisone Tab 10mg
- Roweepra Tab 500mg
- Scopolamine Dis 1mg/3day
- Tacrolimus Cap 0.5mg
- Tacrolimus Cap 1mg
- Tacrolimus Cap 5mg
- Timolol Gel Sol 0.25% Op
- Timolol Gel Sol 0.5% Op
- Torsemide Tab 100mg
- Trazodone Tab 150mg
- Trazodone Tab 50mg
- Vraylar Cap 1.5-3mg
- Vraylar Cap 1.5mg
- Vraylar Cap 3mg
- Vraylar Cap 4.5mg
- Vraylar Cap 6mg
- Zovia 1/35 Tab
- Tussin Dm Liq 20-400mg
- Metformin Tab 500mg Er
- Loratadine Tab 10mg
- Budesonide Sus 1mg/2ml
- Celecoxib Cap 200mg
- Bupropion Tab 150mg Sr
- Sm All Day Tab 10mg
- Mycophenolat Tab 500mg
- Carbamazepin Sus 100/5ml
- Levothyroxin Cap 13mcg
- Levothyroxin Cap 25mcg
- Levothyroxin Cap 50mcg
- Levothyroxin Cap 75mcg
- Levothyroxin Cap 88mcg
- Levothyroxin Cap 100mcg
- Levothyroxin Cap 112mcg
- Levothyroxin Cap 125mcg
- Levothyroxin Cap 137mcg
- Levothyroxin Cap 150mcg
- Levothyroxin Cap 175mcg
- Levothyroxin Cap 200mcg
- Dofetilide Cap 125mcg
- Dofetilide Cap 250mcg
- Sertraline Tab 25mg
- Sertraline Tab 50mg
- Sertraline Tab 100mg
- Bumetanide Tab 1mg
- Doxepin Hcl Cap 10mg
- Ondansetron Sol 4mg/5ml
- Pot Chl/D5w Inj 20meq/L
- Baclofen Tab 10mg
- Baclofen Tab 20mg
- Salsalate Tab 750mg
- Nymyo Tab 0.25-35
- Microgestin Tab 1.5/30
- Clozapine Tab 50mg
- Tamoxifen Tab 10mg
- Tamoxifen Tab 20mg
- Modafinil Tab 100mg
- Metolazone Tab 2.5mg
- Metolazone Tab 5mg
- Metolazone Tab 10mg
- Lidocaine Pad 5%
- Levetiraceta Tab 750mg
- Fenofibrate Tab 145mg
- Sevenfact Inj 1mg
- Sevenfact Inj 5mg
Removals: (Note: only certain manufacturers removed)
- All Day Allg Tab 10mg
- Allopurinol Tab 100mg
- Amantadine Cap 100mg
- Amitriptylin Tab 25mg
- Arthrts Pain Tab 650mg
- Azithromycin Inj 500mg
- Budesonide Cap 3mg Er
- Cabergoline Tab 0.5mg
- Carboplatin Inj 450/45ml
- Carboplatin Inj 600/60ml
- Carvedilol Tab 12.5mg
- Cefazolin Inj 10gm
- Chlorpromaz Tab 100mg
- Chlorpromaz Tab 10mg
- Chlorpromaz Tab 50mg
- Citalopram Tab 10mg
- Citalopram Tab 20mg
- Clonazepam Tab 1mg
- Clonazepam Tab 2mg
- Cyclobenzapr Tab 10mg
- Daunorubicin Inj 20mg
- Diazepam Tab 10mg
- Diazepam Tab 2mg
- Dicyclomine Tab 20mg
- Doxorubicin Inj 10mg/5ml
- Doxorubicin Inj 200/100
- Doxorubicin Inj 50/25ml
- Epirubicin Inj 200mg
- Epirubicin Inj 50/25ml
- Floxuridine Inj 0.5gm
- Fluconazole/ Inj Nacl 200
- Fluconazole/ Inj Nacl 400
- Gabapentin Cap 300mg
- Gabapentin Cap 400mg
- Glyburide Tab 5mg
- Heparin Sod Inj 1000/Ml
- Heparin Sod Inj 10000/Ml
- Heparin Sod Inj 5000/Ml
- Hydroco/Apap Tab 10-300mg
- Hydroco/Apap Tab 7.5-300
- Hydroxychlor Tab 200mg
- Hydroxyz Hcl Tab 10mg
- Hydroxyz Hcl Tab 25mg
- Hydroxyz Hcl Tab 50mg
- Imatinib Mes Tab 100mg
- Imatinib Mes Tab 400mg
- Irbesartan Tab 150mg
- Irbesartan Tab 300mg
- Kcl/D5w/Nacl Inj .15-.45%
- Levetiraceta Tab 1000mg
- Levoflox/D5w Inj 250/50ml
- Levoflox/D5w Inj 500/100m
- Levoflox/D5w Inj 750/150
- Levothyroxin Tab 25mcg
- Lidocaine Oin 5%
- Losartan Pot Tab 50mg
- Manganese Su Inj 0.1mg/Ml
- Melphalan Inj 50mg
- Mesna Inj 1gm
- Methylpr Ss Inj 1000mg
- Methylpr Ss Inj 125mg
- Methylpr Ss Inj 40mg
- Montelukast Tab 10mg
- Multitrace-5 Inj Conc
- Nephramine Inj 5.4%
- Ondansetron Inj 40/20ml
- Pazeo Dro 0.7%
- Perikabiven Emu
- Quetiapine Tab 300mg Er
- Ribavirin Tab 200mg
- Risperidone Sol 1mg/Ml
- Roweepra Tab 500mg
- Sm Aspirin Tab 325mg Ec
- Sod Chloride Inj 2.5/Ml
- Sterile Inj Water
- Terazosin Cap 10mg
- Terazosin Cap 1mg
- Terazosin Cap 2mg
- Terazosin Cap 5mg
- Testosterone Gel 1.62%
- Topotecan Inj 4mg/4ml
- Tranex Acid Inj 1000mg
- Trihexyphen Tab 2mg
- Triveen-Duo Pak Dha
- Vancomycin Inj 5gm
- Venlafaxine Cap 37.5 Er
Other Updates: (Note: only certain manufacturers)
- No Updates
November 2020
Additions: (Note: only certain manufacturers added)
- Acetazolamid Tab 125mg
- Acetazolamid Tab 250mg
- All Day Allg Tab 10mg
- Allergy Relf Tab 10mg
- Allopurinol Tab 100mg
- Alosetron Tab 0.5mg
- Alosetron Tab 1mg
- Amantadine Cap 100mg
- Amlodipine Tab 2.5mg
- Aripiprazole Tab 2mg
- Aripiprazole Tab 5mg
- Atorvastatin Tab 10mg
- Atorvastatin Tab 20mg
- Atorvastatin Tab 40mg
- Atorvastatin Tab 80mg
- Azithromycin Sus 200/5ml
- Brom/Pse/DM Syp
- Brom/Pse/DM Syp 2/30/10
- Buspirone Tab 10mg
- Buspirone Tab 30mg
- Chest Conges Syp Rel Dm
- Chlorhex Glu Sol 0.12%
- Clinimix Inj 6/5
- Clinimix Inj 8/10
- Clinimix Inj 8/14
- Clinimix E Inj 8/10
- Clinimix E Inj 8/14
- Diclofenac Sol 0.1% Op
- Efavirenz Cap 200mg
- Efavirenz Cap 50mg
- Enoxaparin Inj 100mg/Ml
- Enoxaparin Inj 120/0.8
- Enoxaparin Inj 150mg/Ml
- Enoxaparin Inj 30/0.3ml
- Enoxaparin Inj 300/3ml
- Enoxaparin Inj 40/0.4ml
- Enoxaparin Inj 60/0.6ml
- Enoxaparin Inj 80/0.8ml
- Escitalopram Tab 10mg
- Escitalopram Tab 20mg
- Escitalopram Tab 5mg
- Famotidine Inj 10mg/Ml
- Famotidine Tab 20mg
- Famotidine Tab 40mg
- Fenofibrate Tab 48mg
- Gabapentin Cap 100mg
- Gabapentin Cap 300mg
- Gemmily Cap 1/20
- Guaif/Dm Hbr Syp 100-10/5
- Hm Nicotine Gum 2mg
- Hm Nicotine Gum 4mg Frt
- Hm Nicotine Loz 2mg
- Hm Nicotine Loz 4mg Mint
- Hm Pain Rlf Tab 650mg
- Icatibant Inj 30mg/3ml
- Icosapent Cap 1gm
- Levetiraceta Tab 250mg
- Levetiraceta Tab 500mg Er
- Levetiraceta Tab 750mg Er
- Losartan/Hct Tab 100-12.5
- Losartan/Hct Tab 100-25
- Losartan/Hct Tab 50-12.5
- Medroxypr Ac Inj 150mg/Ml
- Medroxypr Ac Tab 2.5mg
- Metformin Tab 500mg Er
- Metformin Tab 750mg Er
- Micrgstin 24 Tab Fe 1/20
- Midodrine Tab 10mg
- Midodrine Tab 2.5mg
- Midodrine Tab 5mg
- Mucinex Liq Freeform
- Mucinex DM Tab 30-600er
- Necon Tab 0.5/35
- Nore/Eth/Fer Cap 1/20
- Sertraline Con 20mg/Ml
- Sildenafil Tab 20mg
- Sod Chloride Inj 23.4%
- Tramadol Hcl Tab 50mg
- Travatan Z Dro 0.004%
- Triamcinolon Pst Den 0.1%
- Tyblume Tab 0.1-0.02
Removals: (Note: only certain manufacturers removed)
- 8 Hour Pain Tab 650mg
- Abacavir Tab 300mg
- Amantadine Cap 100mg
- Amantadine Tab 100mg
- Amiodarone Tab 200mg
- Amox/K Clav Tab 500-125
- Amoxicillin Sus 400/5ml
- Aripiprazole Tab 5mg
- Arthrts Pain Tab 650mg
- Asa/Dipyrida Cap 25-200mg
- Aspirin Tab 325mg
- Aspirin Tab 325mg Ec
- Bupropion Tab 100mg
- Bupropion Tab 100mg Sr
- Bupropion Tab 150mg Sr
- Bupropion Tab 200mg Sr
- Bupropion Tab 75mg
- Carb/Levo Tab 10-100mg
- Carb/Levo Tab 25-250mg
- Carbamazepin Chw 100mg
- Cilostazol Tab 100mg
- Clindamycin Cap 300mg
- Clonazepam Tab 1mg
- Clopidogrel Tab 75mg
- Colchicine Tab 0.6mg
- Deso/Ethinyl Tab Estradio
- Dextrose Inj 5%
- Diazepam Tab 5mg
- Doxazosin Tab 1mg
- Doxazosin Tab 2mg
- Doxazosin Tab 4mg
- Doxazosin Tab 8mg
- Drospir/Ethi Tab 3-0.03mg
- Dyanavel Xr Sus 2.5mg/Ml
- Extra Action Syp 10-100/5
- Fenofibrate Tab 145mg
- Fenofibrate Tab 48mg
- Finasteride Tab 5mg
- Fluoxetine Cap 40mg
- Fluphenazine Tab 5mg
- Furosemide Tab 40mg
- Gabapentin Tab 600mg
- Gabapentin Tab 800mg
- Hydralazine Tab 100mg
- Hydroxychlor Tab 200mg
- Ibuprofen Tab 400mg
- Isoniazid Tab 300mg
- Labetalol Tab 100mg
- Labetalol Tab 300mg
- Levofloxacin Tab 250mg
- Levofloxacin Tab 500mg
- Levofloxacin Tab 750mg
- Lithium Carb Cap 600mg
- Loratadine Syp 5mg/5ml
- Loratadine Tab 10mg
- Losartan Pot Tab 25mg
- Medroxypr Ac Tab 2.5mg
- Memantine Tab Hcl 10mg
- Methimazole Tab 10mg
- Methylpred Tab 4mg
- Montelukast Chw 4mg
- Montelukast Chw 5mg
- Montelukast Tab 10mg
- Mucus-Dm Max Tab 60-1200
- Naproxen Tab 250mg
- Naproxen Tab 375mg
- Naproxen Tab 500mg
- Nevirapine Tab 400mg Er
- Nicotine Td Dis 21mg/24h
- Olmesa Medox Tab 20mg
- Olmesa Medox Tab 40mg
- Olmesa Medox Tab 5mg
- Oxaliplatin Inj 100mg
- Oxaliplatin Inj 50mg
- Paclitaxel Inj 100mg
- Paroxetine Tab 20mg
- Phenobarb Sol 20mg/5ml
- Pyrazinamide Tab 500mg
- Qnapril/Hctz Tab 10-12.5
- Qnapril/Hctz Tab 20-12.5
- Qnapril/Hctz Tab 20-25mg
- Quillichew Chw 20mg Er
- Quillichew Chw 30mg Er
- Quillichew Chw 40mg Er
- Quillivant Sus 25mg/5ml
- Rifampin Cap 150mg
- Robafen Syp 100/5ml
- Robafen Dm Liq 10-100mg
- Sm All Day Tab 10mg
- Sm Nicotine Dis 14mg/24h
- Sm Nicotine Dis 21mg/24h
- Sm Nicotine Dis 7mg/24hr
- Solifenacin Tab 10mg
- Solifenacin Tab 5mg
- Sustiva Cap 200mg
- Sustiva Cap 50mg
- Tenofovir Tab 300mg
- Testost Cyp Inj 100mg/Ml
- Testost Cyp Inj 200mg/Ml
- Theophylline Tab 600mg Er
- Tinidazole Tab 500mg
- Topiramate Tab 100mg
- Topiramate Tab 200mg
- Topiramate Tab 25mg
- Topiramate Tab 50mg
- Travatan Z Dro 0.004%
- Trihexyphen Tab 5mg
- Trizivir Tab
- Ziagen Sol 20mg/Ml
Other Updates: (Note: only certain manufacturers)
- No Updates
October 2020
Additions: (Note: only certain manufacturers added)
- Acetazolamid Tab 125mg
- Acetazolamid Tab 250mg
- Ajovy Inj 225/1.5
- Ambrisentan Tab 10mg
- Ambrisentan Tab 5mg
- Amlodipine Tab 5mg
- Ampicillin Inj 500mg
- Amp-Sulbacta Inj 1.5gm
- Amp-Sulbacta Inj 3gm
- Anastrozole Tab 1mg
- Azithromycin Tab 250mg
- Azithromycin Tab 500mg
- Baclofen Tab 5mg
- Bupropion Tab 100mg Sr
- Bupropion Tab 150mg Sr
- Bupropion Tab 200mg Sr
- Buspirone Tab 10mg
- Buspirone Tab 15mg
- Buspirone Tab 30mg
- Buspirone Tab 5mg
- Cefixime Cap 400mg
- Celecoxib Cap 100mg
- Celecoxib Cap 200mg
- Celecoxib Cap 400mg
- Celecoxib Cap 50mg
- Chest Conges Syp 100/5ml
- Ciprofloxacn Tab 250mg
- Ciprofloxacn Tab 500mg
- Clindamycin Sol 1%
- Clobetasol Cre 0.05%
- Clomipramine Cap 25mg
- Clomipramine Cap 50mg
- Clomipramine Cap 75mg
- Desmopressin Inj 40/10ml
- Dextrose Inj 50%
- Diltiazem Cap 120mg Er
- Diltiazem Cap 180mg Er
- Diltiazem Cap 240mg Er
- Dimethyl Fum Cap 120mg Dr
- Dimethyl Fum Cap 240mg Dr
- Dimethyl Fum Mis Starter
- Doxorubicin Inj 20/10ml
- Doxorubicin Inj 50/25ml
- Doxycycl Hyc Tab 100mg
- Doxycycline Tab 20mg
- Efavir/Lamiv Tab Tenofovi
- Entecavir Tab 0.5mg
- Entecavir Tab 1mg
- Epidiolex Sol 100mg/Ml
- Estradiol Tab 1mg
- Estradiol Tab 2mg
- Ethosuximide Cap 250mg
- Ezetimibe Tab 10mg
- Felodipine Tab 10mg Er
- Felodipine Tab 2.5mg Er
- Felodipine Tab 5mg Er
- Ferrous Sulf Syp 300/5ml
- Fludarabine Inj 50mg/2ml
- Hydroco/Apap Sol 7.5-325
- Hydroxychlor Tab 200mg
- Hydroxyz Pam Cap 25mg
- Ibandronate Tab 150mg
- Imatinib Mes Tab 100mg
- Imatinib Mes Tab 400mg
- Isotretinoin Cap 10mg
- Isotretinoin Cap 20mg
- Isotretinoin Cap 30mg
- Isotretinoin Cap 40mg
- Labetalol Tab 300mg
- Lamotrigine Tab 100mg Er
- Lamotrigine Tab 200mg Er
- Lamotrigine Tab 25mg Er
- Lamotrigine Tab 50mg Er
- Levetiraceta Sol 100mg/Ml
- Levothyroxin Tab 100mcg
- Levothyroxin Tab 112mcg
- Levothyroxin Tab 125mcg
- Levothyroxin Tab 137mcg
- Levothyroxin Tab 150mcg
- Levothyroxin Tab 175mcg
- Levothyroxin Tab 200mcg
- Levothyroxin Tab 25mcg
- Levothyroxin Tab 300mcg
- Levothyroxin Tab 50mcg
- Levothyroxin Tab 75mcg
- Levothyroxin Tab 88mcg
- Lorazepam Inj 2mg/Ml
- Magnesium Su Inj 4g/100ml
- Magnesium Su Inj 80mg/Ml
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Mesalamine Sup 1000mg
- Methylphenid Cap 10mg Er
- Methylphenid Cap 15mg Er
- Methylphenid Cap 20mg Er
- Methylphenid Cap 30mg Er
- Methylphenid Cap 40mg Er
- Methylphenid Cap 50mg Er
- Methylphenid Cap 60mg Er
- Methylphenid Tab 18mg Er
- Methylphenid Tab 27mg Er
- Methylphenid Tab 36mg Er
- Methylphenid Tab 54mg Er
- Midodrine Tab 10mg
- Midodrine Tab 2.5mg
- Midodrine Tab 5mg
- Mucus-Dm Max Tab 60-1200
- Nitrofur Mac Cap 100mg
- Nitrofur Mac Cap 50mg
- Nystatin Sus 100000
- Ofev Cap 100mg
- Ofev Cap 150mg
- Olm Med/Hctz Tab 20-12.5
- Olm Med/Hctz Tab 40-12.5
- Olm Med/Hctz Tab 40-25mg
- Oriahnn Cap
- Oxazepam Cap 10mg
- Oxazepam Cap 15mg
- Oxazepam Cap 30mg
- Peg-3350 Sol Electrol
- Phenazopyrid Tab 100mg
- Phenazopyrid Tab 200mg
- Phenobarb Tab 16.2mg
- Phenobarb Tab 32.4mg
- Phenobarb Tab 64.8mg
- Phenobarb Tab 97.2mg
- Pioglitazone Tab 15mg
- Pioglitazone Tab 30mg
- Pioglitazone Tab 45mg
- Pot Chloride Tab 10meq Er
- Promethazine Sol Dm
- Pyridostigmi Tab 30mg
- Quillichew Chw 20mg Er
- Rukobia Tab 600mg Er
- Sumatriptan Spr 20mg/Act
- Sumatriptan Spr 5mg/Act
- Trazodone Tab 100mg
- Trazodone Tab 50mg
- Venlafaxine Cap 150mg Er
- Venlafaxine Cap 37.5 Er
- Venlafaxine Cap 75mg Er
- Xcopri Pak 12.5-25
- Xcopri Pak 150-200
- Xcopri Pak 50-100mg
- Xcopri Tab 100mg
- Xcopri Tab 150mg
- Xcopri Tab 200mg
- Xcopri Tab 50-200mg
- Xcopri Tab 50mg
- Xiidra Dro 5%
- Zoledronic Inj 4mg/5ml
Removals: (Note: only certain manufacturers removed)
- Acetic Acid Sol 2% Otic
- Alendronate Tab 70mg
- Amantadine Cap 100mg
- Aminosyn Ii Inj 10%
- Amiodarone Tab 200mg
- Amlod/Benazp Cap 10-40mg
- Amphet/Dextr Cap 20mg Er
- Amphet/Dextr Cap 25mg Er
- Ampicillin Inj 500mg
- Anastrozole Tab 1mg
- Arymo Er Tab 15mg
- Arymo Er Tab 30mg
- Arymo Er Tab 60mg
- Buprenorphin Dis 10mcg/Hr
- Buprenorphin Dis 15mcg/Hr
- Buprenorphin Dis 20mcg/Hr
- Buprenorphin Dis 5mcg/Hr
- Buprenorphin Dis 7.5/Hr
- Bupropion Tab 100mg
- Cefixime Cap 400mg
- Child Asa Ls Chw 81mg
- Ciprofloxacn Sol 0.3% Op
- Clonidine Tab 0.1mg
- Clonidine Tab 0.2mg
- Clozaril Tab 100mg
- Clozaril Tab 200mg
- Clozaril Tab 25mg
- Clozaril Tab 50mg
- Crixivan Cap 400mg
- Cyproheptad Tab 4mg
- Diclofenac Sol 0.1% Op
- Disulfiram Tab 250mg
- Disulfiram Tab 500mg
- Docetaxel Inj 160/8ml
- Doxepin Hcl Cap 100mg
- Duloxetine Cap 40mg
- Dutasteride Cap 0.5mg
- Ec-Naproxen Tab 375mg
- Ec-Naproxen Tab 500mg
- Eplerenone Tab 25mg
- Eplerenone Tab 50mg
- Finasteride Tab 5mg
- Fluoxetine Cap 10mg
- Fluoxetine Cap 20mg
- Fluoxetine Cap 40mg
- Gabapentin Cap 300mg
- Guanfacine Tab 3mg Er
- Hydroco/Apap Tab 5-325mg
- Hydroxychlor Tab 200mg
- Hydroxyz Pam Cap 25mg
- Ibuprofen Tab 400mg
- Ibuprofen Tab 600mg
- Labetalol Tab 300mg
- Lamictal Odt Kit
- Levetiraceta Tab 1000mg
- Levo/Liothyr Tab 120mg
- Levo/Liothyr Tab 15mg
- Levo/Liothyr Tab 30mg
- Levo/Liothyr Tab 60mg
- Levo/Liothyr Tab 90mg
- Loratadine Tab 10mg
- Losartan/Hct Tab 100-12.5
- Losartan/Hct Tab 100-25
- Losartan/Hct Tab 50-12.5
- Lotemax Sus 0.5%
- Loteprednol Sus 0.5%
- Lovastatin Tab 10mg
- Lovastatin Tab 20mg
- Makena Inj 250mg/Ml
- Metformin Tab 1000 Er
- Metformin Tab 500mg Er
- Metformin Tab 750mg Er
- Methimazole Tab 5mg
- Metoclopram Tab 5mg
- Movantik Tab 12.5mg
- Movantik Tab 25mg
- Mucus&Chst Liq 100/5ml
- My Way Tab 1.5mg
- Nabumetone Tab 500mg
- Nabumetone Tab 750mg
- Naproxen Tab 250mg
- Naproxen Dr Tab 375mg
- Naproxen Dr Tab 500mg
- Olopatadine Dro 0.1%
- Oracit Sol
- Paricalcitol Cap 2 Mcg
- Paricalcitol Cap 4 Mcg
- Perseris Inj 120mg
- Perseris Inj 90mg
- Ranexa Tab 1000mg
- Ranexa Tab 500mg
- Rebif Inj 22/0.5
- Rebif Inj 44/0.5
- Rebif Rebido Inj 22/0.5
- Rebif Rebido Inj 44/0.5
- Rebif Rebido Inj Titratn
- Rebif Titrtn Inj Pack
- Repaglinide Tab 1mg
- Risperidone Tab 0.25mg
- Risperidone Tab 0.5mg
- Risperidone Tab 1mg
- Risperidone Tab 2mg
- Risperidone Tab 3mg
- Risperidone Tab 4mg
- Sod Chloride Inj 0.9%
- Steril Water Sol Irrig
- Sumatriptan Tab 100mg
- Sumatriptan Tab 25mg
- Symfi Tab
- Symfi Lo Tab
- Telmisa/Hctz Tab 40-12.5
- Telmisa/Hctz Tab 80-12.5
- Telmisa/Hctz Tab 80-25mg
- Telmisartan Tab 20mg
- Telmisartan Tab 40mg
- Telmisartan Tab 80mg
- Timolol Gel Sol 0.25% Op
- Timolol Gel Sol 0.5% Op
- Tizanidine Tab 4mg
- Tranex Acid Inj 100mg/Ml
- Trazodone Tab 100mg
- Trazodone Tab 50mg
- Trifluoperaz Tab 10mg
- Trifluoperaz Tab 1mg
- Trifluoperaz Tab 2mg
- Trifluoperaz Tab 5mg
- Ursodiol Tab 250mg
- Vigabatrin Pak 500mg
- Xyntha Solof Inj 2000unit
- Xyntha Solof Inj 500unit
- Xyntha Solof Kit 250unit
- Zytiga Tab 250mg
- Zytiga Tab 500mg
Other Updates: (Note: only certain manufacturers)
- No Updates
September 2020
Additions: (Note: only certain manufacturers added)
- *Prenatal Vit W/ Fe Fumarate-Fa Tab 60-1 Mg***
- Abiraterone Tab 250mg
- Albendazole Tab 200mg
- Albuterol Aer Hfa
- Allergy Relf Sol 5mg/5ml
- Allergy Relf Tab 10mg
- Allrgy D-12 Tab 5-120mg
- Aminocapr Ac Inj 250mg/Ml
- Aspirin Tab 325mg
- Atenolol Tab 100mg
- Atenolol Tab 25mg
- Atenolol Tab 50mg
- Atorvastatin Tab 10mg
- Atorvastatin Tab 20mg
- Atorvastatin Tab 40mg
- Atorvastatin Tab 80mg
- Azacitidine Inj 100mg
- Benztropine Tab 0.5mg
- Benztropine Tab 1mg
- Benztropine Tab 2mg
- Betaseron Inj 0.3mg
- Bisoprl/Hctz Tab 10/6.25
- Bisoprl/Hctz Tab 2.5/6.25
- Bisoprl/Hctz Tab 5-6.25mg
- Bupren/Nalox Sub 2-0.5mg
- Bupren/Nalox Sub 8-2mg
- Buspirone Tab 10mg
- Buspirone Tab 15mg
- Buspirone Tab 5mg
- Butalbital-Acetaminophen Tab 50-325 Mg
- Calcium Chlo Inj 10%
- Ceftriaxone Inj 1gm
- Chlorpromaz Inj 25mg/Ml
- Chlorpromaz Inj 50mg/2ml
- Chlorthalid Tab 25mg
- Chlorthalid Tab 50mg
- Clomipramine Cap 25mg
- Clomipramine Cap 50mg
- Clomipramine Cap 75mg
- Colchicine Tab 0.6mg
- Dextroamphet Tab 10mg
- Dextroamphet Tab 5mg
- Diazepam Con 5mg/Ml
- Dofetilide Cap 125mcg
- Dofetilide Cap 250mcg
- Dofetilide Cap 500mcg
- Erythrom Eth Sus 200/5ml
- Heparin Sod Inj 10000/Ml
- Jornay Pm Cap 100mg Er
- Jornay Pm Cap 20mg Er
- Jornay Pm Cap 40mg Er
- Jornay Pm Cap 60mg Er
- Jornay Pm Cap 80mg Er
- Leflunomide Tab 10mg
- Leflunomide Tab 20mg
- Leucovor Ca Tab 10mg
- Leucovor Ca Tab 15mg
- Leucovor Ca Tab 25mg
- Leucovor Ca Tab 5mg
- Levonor/Ethi Tab
- Levothyroxin Tab 25mcg
- Lidocaine Sol 4%
- Medroxypr Ac Inj 150mg/Ml
- Memantine Tab 10mg
- Memantine Tab 5mg
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Mesalamine Sup 1000mg
- Methotrexate Tab 2.5mg
- Methylphenid Sol 5mg/5ml
- Miglustat Cap 100mg
- Mitomycin Inj 20mg
- Mitomycin Inj 40mg
- Mycophenolat Inj 500mg
- Neo/Poly/Hc Sus 1% Otic
- Nicotine Pol Gum 2mg
- Nicotine Td Dis 14mg/24h
- Nicotine Td Dis Step 1
- Nicotine Td Dis Step 3
- Nifedipine Cap 10mg
- Normosol-R Inj Ph 7.4
- Nurtec Tab 75mg Odt
- Nystatin Sus 100000
- Olm Med/Hctz Tab 20-12.5
- Olm Med/Hctz Tab 40-12.5
- Olm Med/Hctz Tab 40-25mg
- Paclitaxel Inj 100/16.7
- Paclitaxel Inj 300/50ml
- Paclitaxel Inj 30mg/5ml
- Pantoprazole Pak 40mg
- Pantoprazole Tab 20mg
- Paraplatin Inj 1000mg
- Peg 3350 Pow
- Pilocarpine Tab 5mg
- Pregabalin Cap 100mg
- Pregabalin Cap 150mg
- Pregabalin Cap 200mg
- Pregabalin Cap 225mg
- Pregabalin Cap 25mg
- Pregabalin Cap 300mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Promethazine Hcl Suppos 12.5 Mg
- Promethazine Hcl Suppos 25 Mg
- Promethazine Hcl Suppos 50 Mg
- Ramipril Cap 1.25mg
- Ramipril Cap 10mg
- Ramipril Cap 2.5mg
- Ramipril Cap 5mg
- Risperidone Tab 0.5mg Od
- Rivastigmine Dis 13.3/24
- Rivastigmine Dis 4.6mg/24
- Rivastigmine Dis 9.5mg/24
- Sildenafil Sus 10mg/Ml
- Sod Chloride Inj 0.45%
- Sucralfate Tab 1gm
- Terconazole Cre 0.4%
- Theophylline Tab 400mg Er
- Torsemide Tab 10mg
- Torsemide Tab 20mg
- Torsemide Tab 5mg
- Ubrelvy Tab 100mg
- Ubrelvy Tab 50mg
- Valproic Acd Cap 250mg
- Vancomycin Inj 500mg
- Zaleplon Cap 10mg
- Zaleplon Cap 5mg
Removals: (Note: only certain manufacturers removed)
- Acetazolamid Cap 500mg Er
- Acyclovir Oin 5%
- All Day Allg Tab 10mg
- Allergy Tab 10mg
- Amiodarone Tab 200mg
- Amlodipine Tab 10mg
- Amlodipine Tab 5mg
- Amoxicillin Sus 200/5ml
- Amphet/Dextr Cap 10mg Er
- Amphet/Dextr Cap 30mg Er
- Asa/Dipyrida Cap 25-200mg
- Atorvastatin Tab 40mg
- Azithromycin Inj 500mg
- But/Apap/Caf Tab
- Cal Antacid Chw 1000mg
- Cal Antacid Chw 750mg
- Calcium Tab 600mg
- Carb/Levo Tab 25-100mg
- Ceftriaxone Inj 2gm
- Cellcept Iv Inj 500mg
- Citalopram Tab 40mg
- Cystadane Pow
- Dapsone Tab 100mg
- Dapsone Tab 25mg
- Dextrose Inj 5%
- Dicyclomine Cap 10mg
- E.S. Gran Sus 200/5ml
- Enoxaparin Inj 120/0.8
- Enoxaparin Inj 150mg/Ml
- Enoxaparin Inj 300/3ml
- Fludarabine Inj 50mg
- Fluoxetine Cap 10mg
- Fluphenazine Tab 2.5mg
- Gabapentin Cap 100mg
- Gabapentin Tab 600mg
- Gabapentin Tab 800mg
- Gemcitabine Inj 1gm
- Hep Sod/Nacl Inj 1000unit
- Heparin Sod Inj 10000/Ml
- Hm Tussin Liq Dm Max
- Hydralazine Tab 25mg
- Hydroxyz Pam Cap 25mg
- Imatinib Mes Tab 100mg
- Imatinib Mes Tab 400mg
- Irinotecan Inj 100/5ml
- Jornay Pm Cap 100mg Er
- Jornay Pm Cap 20mg Er
- Jornay Pm Cap 40mg Er
- Jornay Pm Cap 60mg Er
- Jornay Pm Cap 80mg Er
- Ketoconazole Cre 2%
- Klor-Con M10 Tab 10meq Er
- Klor-Con M20 Tab 20meq Er
- Levonor/Ethi Tab
- Lisinopril Tab 40mg
- Losartan Pot Tab 100mg
- Losartan Pot Tab 25mg
- Losartan/Hct Tab 100-12.5
- Losartan/Hct Tab 100-25
- Losartan/Hct Tab 50-12.5
- Lovastatin Tab 20mg
- Lovastatin Tab 40mg
- Magnesium Su Inj 2gm/50ml
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Metformin Tab 1000mg
- Metformin Tab 500mg
- Metformin Tab 850mg
- Metoprol Tar Tab 100mg
- Metoprol Tar Tab 25mg
- Modafinil Tab 100mg
- Nitroglycer Dis 0.6mg/Hr
- Normosol-R Inj Ph 7.4
- Omeprazole Cap 20mg
- Ondansetron Tab 8mg
- Oxycodone Tab 30mg
- Pantoprazole Tab 20mg
- Paricalcitol Cap 4 Mcg
- Polymyxin B Inj 500000
- Pregabalin Cap 100mg
- Pregabalin Cap 25mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Primaquine Tab 26.3mg
- Prochlorper Tab 5mg
- Protonix Pak
- Pyrazinamide Tab 500mg
- Qnapril/Hctz Tab 10-12.5
- Qnapril/Hctz Tab 20-12.5
- Qnapril/Hctz Tab 20-25mg
- Rifabutin Cap 150mg
- Sm All Day Tab Allergy
- Sod Chloride Inj 0.45%
- Stavudine Cap 30mg
- Stavudine Cap 40mg
- Tetrabenazin Tab 12.5mg
- Tetrabenazin Tab 25mg
- Tizanidine Tab 4mg
- Triamcinolon Cre 0.1%
Other Updates: (Note: only certain manufacturers)
- Linezolid Tab 600mg (Prior Authorization added)
August 2020
Additions: (Note: only certain manufacturers added)
- Abiraterone Tab 250mg
- Allrgy D-12 Tab 5-120mg
- Amlodipine Tab 10mg
- Amox/K Clav Sus 600/5ml
- Arthrts Pain Tab 650mg
- Azathioprine Tab 50mg
- Baclofen Tab 10mg
- Baclofen Tab 20mg
- Benzonatate Cap 100mg
- Benzonatate Cap 150mg
- Benzonatate Cap 200mg
- Bpm-Pse-Dm Liq 2-30-10
- Budesonide Sus 1mg/2ml
- Cefdinir Sus 125/5ml
- Cefepime Hcl Inj 1gm
- Cefepime Hcl Inj 2gm
- Cetirizine Tab 10mg
- Chlorzoxazon Tab 500mg
- Cyclophosph Inj 1gm
- Cyclophospha Inj 500mg
- Delflex-Sm/ Sol 2.5% Dex
- Dexamethason Tab 4mg
- Diazoxide Sus 50mg/Ml
- Diclofenac Sodium Soln 1.5% (Step Therapy, Quantity Limit)
- Diphenhydram Inj 50mg/Ml
- Doxepin Hcl Cap 100mg
- Doxepin Hcl Cap 10mg
- Doxepin Hcl Cap 25mg
- Doxepin Hcl Cap 50mg
- Doxepin Hcl Cap 75mg
- Doxycycline Tab 150mg
- Doxycycline Tab 75mg
- Enbrel Inj 25mg
- Enoxaparin Inj 60/0.6ml
- Estradiol Tab 0.5mg
- Ethambutol Tab 100mg
- Ethambutol Tab 400mg
- Ethosuximide Cap 250mg
- Firvanq Sol 50mg/Ml
- Fluoxetine Sol 20mg/5ml
- Folic Acid Tab 1mg
- Hydroxychlor Tab 200mg
- Ibrance Cap 100mg (Prior Authorization, Quantity Limit)
- Ibrance Cap 75mg (Prior Authorization, Quantity Limit)
- Ibrance Tab 100mg (Prior Authorization, Quantity Limit)
- Ibrance Tab 125mg (Prior Authorization, Quantity Limit)
- Ibrance Tab 75mg (Prior Authorization, Quantity Limit)
- Ibrance Cap 125mg (Prior Authorization, Quantity Limit)
- Ibuprofen Tab 400mg
- Ibuprofen Tab 400mg
- Ibuprofen Tab 600mg
- Ibuprofen Tab 600mg
- Ibuprofen Tab 800mg
- Ibuprofen Tab 800mg
- Jencycla Tab 0.35mg
- Leucovor Ca Tab 25mg
- Leucovor Ca Tab 5mg
- Levetiraceta Sol 500/5ml
- Levetiracetm Inj 500/5ml
- Levothyroxin Tab 100mcg
- Levothyroxin Tab 112mcg
- Levothyroxin Tab 125mcg
- Levothyroxin Tab 150mcg
- Levothyroxin Tab 175mcg
- Levothyroxin Tab 50mcg
- Levothyroxin Tab 75mcg
- Levothyroxin Tab 88mcg
- Lidocaine Sol 2% Visc
- Loratadine Tab 10mg
- Loratadine Tab 10mg
- Losartan Pot Tab 100mg
- Losartan Pot Tab 25mg
- Losartan Pot Tab 50mg
- Lubiprostone Cap 24 Mcg (Prior Authorization, Quantity Limit, Age Limit)
- Lubiprostone Cap 8 Mcg (Prior Authorization, Quantity Limit, Age Limit)
- Lynparza Tab 10 (Prior Authorization, Quantity Limit)
- Lynparza Tab 15 (Prior Authorization, Quantity Limit)
- Magnesium Su Inj 4g/100ml
- Mexiletine Cap 150mg
- Mexiletine Cap 200mg
- Mexiletine Cap 250mg
- Milrinone Inj 10/10ml
- Milrinone Inj 20/20ml
- Milrinone Inj 50/50ml
- Mometasone Sol 0.1%
- Muc/Cgh Relf Liq 5-100mg
- Normosol-R Sol /5% Dsw
- Oseltamivir Cap 30mg
- Oseltamivir Cap 45mg
- Oseltamivir Cap 75mg
- Oseltamivir Sus 6mg/Ml
- Pantoprazole Pak 40mg
- Peg 3350 Pow
- Pentamidine Inh 300mg
- Phenobarb Sol 20mg/5ml
- Piper/Tazoba Inj 2-0.25gm
- Piper/Tazoba Inj 3-0.375g
- Piper/Tazoba Inj 4-0.5gm
- Pot Chloride Tab 10meq Er
- Solifenacin Succinate Tab 10 Mg (Step Therapy, Quantity Limit)
- Solifenacin Succinate Tab 5 Mg (Step Therapy, Quantity Limit)
- Sumatriptan Tab 25mg
- Symproic Tab 0.2mg (Prior Authorization, Quantity Limit)
- Testosterone Td Soln 30 Mg/Act (Prior Authorization, Quantity Limit)
- Tranex Acid Inj 1000mg
- Trelegy Aer Ellipta (Step Therapy, Quantity Limit)
- Vancomycin Inj 500mg
- Vancomycin Inj 750mg
Removals: (Note: only certain manufacturers removed)
- Amiodarone Tab 200mg
- Amlod/Benazp Cap 5-20mg
- Amlod/Olmesa Tab 10-20mg
- Amlodipine Tab 10mg
- Amlodipine Tab 5mg
- Amox/K Clav Sus 250/5ml
- Aspir-81 Tab 81mg Ec
- Aspirin Tab 81mg Ec
- Buspirone Tab 7.5mg
- Calc Acetate Cap 667mg
- Calcium Tab 600mg
- Cefdinir Sus 125/5ml
- Cilostazol Tab 100mg
- Cimduo 300-300
- D5w/Nacl Inj 0.225%
- Dextrose Inj 5%
- Dextrose Inj 5%
- Divalproex Tab 250mg Er
- Divalproex Tab 500mg Er
- Doxycycl Hyc Cap 100mg
- Enalapril Tab 10mg
- Enalapril Tab 2.5mg
- Enalapril Tab 20mg
- Enalapril Tab 5mg
- Enoxaparin Inj 60/0.6ml
- Estradiol VG VTB 10mcg
- Estradiol VG VTB 10mcg
- Estradiol VG VTB 10mcg
- Estradiol VG VTB 10mcg
- Estradiol VG VTB 10mcg
- Estradiol VG VTB 10mcg
- Gemcitabine Inj 1gm
- Glyb/Metform Tab 1.25-250
- Glyburid Mcr Tab 6mg
- Glyburide Tab 5mg
- Glycopyrrol Tab 2mg
- Jencycla Tab 0.35mg
- Lisinopril Tab 10mg
- Losartan Pot Tab 100mg
- Metoclopram Tab 10mg
- Metoprol Tar Tab 50mg
- Misoprostol Tab 100mcg
- Misoprostol Tab 200mcg
- Modafinil Tab 100mg
- Nabumetone Tab 500mg
- Nabumetone Tab 750mg
- Neo/Poly Gu Sol 40/Ml Ir
- Nicotine Td Dis 21mg/24h
- Nicotine Td Dis 7mg/24hr
- Normosol -R Inj /D5w
- Nystatin Sus 100000
- Oxycod/Apap Tab 5-325mg
- Peg 3350 Pow
- Ranolazine Tab 1000mg
- Ranolazine Tab 500mg Er
- Solifenacin Tab 10mg
- Solifenacin Tab 5mg
- Stimate Sol 1.5mg/Ml
- Terazosin Cap 1mg
- Terazosin Cap 5mg
- Theophylline Tab 100mg Cr
- Theophylline Tab 200mg Cr
- Theophylline Tab 300mg Er
- Theophylline Tab 450mg Er
Other Updates: (Note: only certain manufacturers)
- Betamethasone Dipropionate Augmented Cream 0.05% (Quantity Limit added)
- Betamethasone Valerate Cream 0.1% (Quantity Limit added)
- Ciclopirox Olamine Cream 0.77% (Quantity Limit added)
- Ciclopirox Olamine Susp 0.77% (Quantity Limit added)
- Clotrimazole Cream 1% (Quantity Limit added)
- Clotrimazole Soln 1% (Quantity Limit added)
- Clotrimazole W/ Betamethasone Cream 1-0.05% (Quantity Limit added)
- Disulfiram Tab 250 Mg (Quantity Limit added)
- Disulfiram Tab 500 Mg (Quantity Limit added)
- Hydrocortisone Cream 1% (Quantity Limit added)
- Hydrocortisone Cream 2.5% (Quantity Limit added)
- Hydrocortisone Oint 1% (Quantity Limit added)
- Hydrocortisone Oint 2.5% (Quantity Limit added)
- Ketoconazole Cream 2% (Quantity Limit added)
- Ketoconazole Shampoo 2% (Quantity Limit added)
- Linaclotide Capsules 145 Mcg (Prior Authorization added)
- Linaclotide Capsules 290 Mcg (Prior Authorization added)
- Linaclotide Capsules 72 Mcg (Prior Authorization added)
- Liothyronine Sodium Tab 25 Mcg (Quantity Limit added)
- Mometasone Furoate Cream 0.1% (Quantity Limit added)
- Mometasone Furoate Oint 0.1% (Quantity Limit added)
- Mometasone Furoate Solution 0.1% (Lotion) (Quantity Limit added)
- Naltrexone Hcl Tab 50 Mg (Quantity Limit added)
- Neomycin-Polymyxin-Hc Otic Soln 1% (Quantity Limit added)
- Neomycin-Polymyxin-Hc Otic Susp 3.5 Mg/Ml-10000 Unit/Ml (Quantity Limit added)
- Nystatin Cream 100000 Unit/Gm (Quantity Limit added)
- Nystatin Oint 100000 Unit/Gm (Quantity Limit added)
- Nystatin Topical Powder 100000 Unit/Gm (Quantity Limit added)
- Ofloxacin Otic Soln 0.3% (Quantity Limit added)
- Permethrin Cream 5% (Quantity Limit added)
- Symtuza Tab (Prior Authorization added)
- Testosterone Gel 1.62% (Prior Authorization, Quantity Limit added)
- Triamcinolone Acetonide Cream 0.025% (Quantity Limit added)
- Triamcinolone Acetonide Cream 0.1% (Quantity Limit added)
- Triamcinolone Acetonide Cream 0.5% (Quantity Limit added)
- Triamcinolone Acetonide Oint 0.025% (Quantity Limit added)
- Triamcinolone Acetonide Oint 0.5% (Quantity Limit added)
July 2020
Additions: (Note: only certain manufacturers added)
- Abaca/Lamivu Tab 600-300
- Abiraterone Tab 250mg
- Acetic Acid Sol 2% Otic
- Acyclovir Oin 5%
- Adderall Xr Cap 10mg
- Adderall Xr Cap 15mg
- Adderall Xr Cap 20mg
- Adderall Xr Cap 25mg
- Adderall Xr Cap 30mg
- Adderall Xr Cap 5mg
- Allergy-D Tab 5-120mg
- Allopurinol Tab 100mg
- Allopurinol Tab 300mg
- Aripiprazole Tab 10mg
- Aripiprazole Tab 15mg
- Aripiprazole Tab 20mg
- Aripiprazole Tab 2mg
- Aripiprazole Tab 30mg
- Aripiprazole Tab 5mg
- Aspirin Tab 325mg
- Atorvastatin Tab 80mg
- Brom/Pse/Dm Syp
- But/Apap/Caf Cap
- Charlotte 24 Chw Fe 1/20
- Clobazam Sus 2.5mg/Ml
- Clomipramine Cap 25mg
- Clomipramine Cap 50mg
- Colchicine Tab 0.6mg
- Concerta Tab 18mg
- Concerta Tab 27mg
- Concerta Tab 36mg
- Concerta Tab 54mg
- Cyclophosph Cap 25mg
- Cyclophosph Cap 50mg
- D5w/Nacl Inj 0.9%
- Dacarbazine Inj 200mg
- Desvenlafax Tab 100mg Er
- Desvenlafax Tab 50mg Er
- Dexameth Pho Inj 120mg/30
- Dexameth Pho Inj 20mg/5ml
- Dexameth Pho Inj 4mg/Ml
- Dextrose Inj 5%
- Doxycycline Tab 150mg
- Doxycycline Tab 75mg
- Epogen Inj 10000/Ml
- Epogen Inj 2000/Ml
- Epogen Inj 20000/Ml
- Epogen Inj 3000/Ml
- Epogen Inj 4000/Ml
- Felbamate Sus 600/5ml
- Flarex Sus 0.1% Op
- Gabapentin Cap 100mg
- Gabapentin Cap 300mg
- Haloperidol Tab 5mg
- Helidac Mis Therapy
- Heparin Sod Inj 5000/0.5
- Hydroxychlor Tab 200mg
- Icatibant Inj 30mg/3ml
- Isosorb Din Tab 10mg
- Isosorb Din Tab 20mg
- Isosorb Din Tab 30mg
- Isosorb Din Tab 40mg
- Isosorb Din Tab 5mg
- Kcl/D5w/Nacl Inj 0.15/0.2
- Lactated Rin Inj
- Lido/Epi 1%- Inj 1:100000
- Metformin Tab 500mg Er
- Methylphenid Sol 10mg/5ml
- Methylphenid Sol 5mg/5ml
- Methylpr Ace Inj 40mg/Ml
- Methylpr Ace Inj 80mg/Ml
- Mexiletine Cap 150mg
- Mexiletine Cap 200mg
- Mexiletine Cap 250mg
- Niva-Plus Tab
- Nuvessa Gel 1.3%
- Olm Med/Hctz Tab 20-12.5
- Olm Med/Hctz Tab 40-12.5
- Olm Med/Hctz Tab 40-25mg
- Paclitaxel Inj 30mg/5ml
- Paricalcitol Inj 2mcg/Ml
- Paricalcitol Inj 5mcg/Ml
- Pot Chloride Sol 10%
- Pot Chloride Tab 10meq Er
- Pot Chloride Tab 20meq Er
- Prazosin Hcl Cap 2mg
- Pregabalin Cap 100mg
- Pregabalin Cap 150mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Pretab Tab 29-1mg
- Provida Ob Cap
- Purefe Cap Plus
- Purefe Ob Cap Plus
- Ramelteon Tab 8mg
- Solifenacin Tab 5mg
- Sotalol Hcl Tab 240mg
- Testosterone Gel 1.62%
- Timolol Mal Sol 0.5% Op
- Triamcin Ace Inj 40mg/Ml
- Valtoco Liq 15mg
- Valtoco Liq 20mg
- Valtoco Spr 10mg
- Valtoco Spr 5mg
- Vancomycin Cap 250mg
- Vitafol-Nano Tab
- Vp-Pnv-Dha Cap
- Zoledronic Inj 4mg/5ml
Removals: (Note: only certain manufacturers removed)
- Acetic Acid Sol 2% Otic
- Amitriptylin Tab 75mg
- Amlod/Olmesa Tab 10-40mg
- Amlodipine Tab 2.5mg
- Amphet/Dextr Cap 15mg Er
- Amphet/Dextr Cap 5mg Er
- Bupropion Tab 450mg Er
- Bupropion Tab 450mg Xl
- Butal/Apap Cap 50-300mg
- Butalb/Aceta Tab 50-300mg
- Cefazolin Inj 10gm
- Cefazolin Inj 1gm
- Citranatal Cap Harmony
- Citranatal Mis 90 Dha
- Citranatal Pak Assure
- Citranatal Pak Dha
- Citranatal Tab Rx
- Clopidogrel Tab 75mg
- Cosentyx Inj 150mg/Ml
- Cosentyx Inj 300dose
- Cosentyx Pen Inj 150mg/Ml
- Cosentyx Pen Inj 300dose
- Coumadin Tab 1mg
- Coumadin Tab 2.5mg
- Coumadin Tab 5mg
- Coumadin Tab 6mg
- Coumadin Tab 7.5mg
- Cyclobenzapr Tab 10mg
- Cyclophosph Inj 1gm
- Cyclophosph Inj 2gm
- Cyclophosph Inj 500mg
- Cyclosporine Inj 50mg/Ml
- D5w/Nacl Inj 0.9%
- Dextrose Inj 5%
- Docetaxel Inj 80mg/4ml
- Fentanyl Dis 100mcg/H
- Ferralet 90 Tab
- Flarex Sus 0.1% Op
- Fluphenazine Tab 1mg
- Glipizide Tab 5mg
- Glyburide Tab 1.25mg
- Glyburide Tab 2.5mg
- Hydrocort Tab 20mg
- Hydromorphon Inj 1mg/Ml
- Hyoscyamine Tab 0.125mg
- Imipenem/Cil Inj 250mg
- Imipenem/Cil Inj 500mg
- Indapamide Tab 2.5mg
- Irinotecan Inj 100/5ml
- Irinotecan Inj 40mg/2ml
- Kcl/D5w/Nacl Inj 0.15/0.2
- Lactated Rin Inj
- Levetiraceta Tab 250mg
- Levetiraceta Tab 500mg
- Levetiraceta Tab 750mg
- Lisinopril Tab 20mg
- Losartan Pot Tab 100mg
- Lovastatin Tab 20mg
- Metformin Tab 500mg Er
- Metformin Tab 750mg Er
- Metformin Er Tab 1000mg
- Methimazole Tab 10mg
- Methimazole Tab 5mg
- Metoprol Tar Tab 100mg
- Nabumetone Tab 750mg
- Nicorette Gum 2mg
- Nicorette Gum 4mg
- Noreth/Ethin Chw Fe 1/20
- Omeprazole Cap 40mg
- Ondansetron Tab 4mg
- Oxaliplatin Inj 100mg
- Oxaliplatin Inj 50/10ml
- Oyster Shell Tab 500mg
- Paclitaxel Inj 30mg/5ml
- Pentamidine Inh 300mg
- Phenazopyrid Tab 200mg
- Phospha 250 Tab Neutral
- Pnv-Dha Cap Docusate
- Prednisolone Tab 10mg Odt
- Prednisolone Tab 15mg Odt
- Prednisolone Tab 30mg Odt
- Prenaissance Cap Plus
- Primidone Tab 250mg
- Primidone Tab 50mg
- Procrit Inj 10000/Ml
- Procrit Inj 2000/Ml
- Procrit Inj 20000/Ml
- Procrit Inj 3000/Ml
- Procrit Inj 4000/Ml
- Procrit Inj 40000/Ml
- Proctozone Cre -Hc 2.5%
- Prolastin-C Inj 1000mg
- Quetiapine Tab 150mg Er
- Quetiapine Tab 50mg Er
- Select-Ob Chw
- Solifenacin Tab 5mg
- Synthamin 17 Sol 10%
- Telmisartan Tab 20mg
- Telmisartan Tab 40mg
- Telmisartan Tab 80mg
- Thrivite 19 Tab
- Transderm Sc Dis 1.5mg
- Trazodone Tab 100mg
- Trazodone Tab 150mg
- Trazodone Tab 50mg
- Trinatal Rx Tab 1
- Tums Chw 500mg
- Tums Chw Del Chw 1177mg
- Tums E-X Chw 750mg
- Tums Extra Chw 750mg
- Tums Fresher Chw 500mg
- Tums Kids Chw 750mg
- Tums Smoothi Chw 750mg
- Tums Ultra Chw 1000mg
- Venlafaxine Tab 100mg
- Venlafaxine Tab 25mg
- Venlafaxine Tab 50mg
- Zemaira Inj 1000mg
- Ziprasidone Cap 40mg
- Ziprasidone Cap 80mg
June 2020
Additions: (Note: only certain manufacturers added)
- Abiraterone Tab 250mg
- Acyclovir Oin 5%
- Ajovy Inj 225/1.5
- Allergy D Tab 5-120mg
- Allergy Relf Tab 10mg
- Allrgy D-12 Tab 5-120mg
- Amantadine Cap 100mg
- Amox/K Clav Tab 875-125
- Ampicillin Inj 250mg
- Ampicillin Inj 2gm
- Aripiprazole Sol 1mg/Ml
- Atovaquone-Proguanil Tablets 250-100mg (Quantity Limit)
- Atovaquone-Proguanil Tablets 62.5-25mg (Quantity Limit)
- Benzoyl Peroxide Gel 2.5%
- Benzoyl Peroxide Lotion 10%
- Betameth Val Cre 0.1%
- Bupropn Hcl Tab 150mg Xl
- Bupropn Hcl Tab 300mg Xl
- Cefdinir Sus 250/5ml
- Ceftriaxone Inj 2gm
- Cetirizine Tab 10mg
- Ciclopirox Cre 0.77%
- Ciclopirox Sol 8%
- Clindamy/Ben Gel 1.2-5%
- Clobetasol Cre 0.05%
- Clobetasol Oin 0.05%
- Colchicine Tab 0.6mg
- Dextrose Inj 5%
- Dialyvite Tab 800/Iron
- Dicyclomine Sol 10mg/5ml
- Diphen/Atrop Tab
- Dofetilide Cap 125mcg
- Dofetilide Cap 250mcg
- Dofetilide Cap 500mcg
- Dorzol/Timol Sol 22.3-6.8
- Dovato Tab 50-300mg (Quantity Limit)
- Doxercalcif Inj 4mcg/2ml
- Dw5-Nacl Inj 0.225%
- Dysport Inj 300unit
- Dysport Inj 500unit
- Enoxaparin Inj 120/0.8
- Estrad Val Inj 20mg/Ml
- Estrad Val Inj 40mg/Ml
- Fasenra Inj 30mg/Ml
- Fasenra Pen Inj 30mg/Ml
- Fluconazole Tab 200mg
- Fluticasone Cre 0.05%
- Fluticasone Oin 0.005%
- Gentamicin Cre 0.1%
- Gnp Aspirin Tab 81mg Ec
- Hailey Fe Tab 1.5/30
- Hailey Fe Tab 1/20
- Halobetasol Cre 0.05%
- Ipratropium/ Sol Albuter
- Irbesar/Hctz Tab 150-12.5
- Irbesar/Hctz Tab 300-12.5
- Irinotecan Inj 100/5ml
- Isosorb Din Tab 10mg
- Isosorb Din Tab 20mg
- Isosorb Din Tab 5mg
- Kcl/D5w/Nacl Inj 0.15/0.9
- Ketoconazole Cre 2%
- Lamotrigine Tab 200mg
- Levetiracetm Inj 500/5ml
- Lido/Epi Inj 2%
- Liothyronine Tab 25mcg
- Liothyronine Tab 50mcg
- Liothyronine Tab 5mcg
- Methylphenid Cap 10mg Er
- Methylphenid Cap 15mg Er
- Methylphenid Cap 20mg Er
- Methylphenid Cap 30mg Er
- Methylphenid Cap 40mg Er
- Methylphenid Cap 50mg Er
- Methylphenid Cap 60mg Er
- Metoprol Suc Tab 25mg Er
- Metronidazol Cre 0.75%
- Metronidazol Gel 0.75%
- Metronidazol Tab 250mg
- Metronidazol Tab 500mg
- Mometasone Cre 0.1%
- Mometasone Oin 0.1%
- Moxifloxacin Sol Hcl 0.5%
- Mucus Relief Tab 1200mg
- Naltrexone Tab 50mg
- Nayzilam Spr 5mg
- Nicotine Gum 2mg
- Nicotine Gum 4mg
- Nicotine Loz 2mg Mint
- Nicotine Pol Loz 4mg Mint
- Normosol -R Inj
- Nystatin Cre 100000
- Nystatin Oin 100000
- Olm Med/Hctz Tab 20-12.5
- Olm Med/Hctz Tab 40-12.5
- Olm Med/Hctz Tab 40-25mg
- Olmesa Medox Tab 20mg
- Olmesa Medox Tab 40mg
- Olmesa Medox Tab 5mg
- Omeprazole Cap 20mg Dr
- Oriahnn Cap
- Oxaliplatin Inj 100/20ml
- Oxaliplatin Inj 50/10ml
- Pilocarpine Tab 5mg
- Pilocarpine Tab 7.5mg
- Pot Chl/Nacl Inj 20meq/L
- Pot Chl/Nacl Inj 40meq/L
- Pot Chloride Sol 10%
- Potassium Inj Phosphat
- Prazosin Hcl Cap 1mg
- Prazosin Hcl Cap 5mg
- Promethegan Sup 12.5mg
- Promethegan Sup 50mg
- Ribavirin Inh 6gm
- Sevelamer Tab 800mg
- Sod Bicarb Inj 4.2%
- Sodium Chlor Sol 0.9% Irr
- Sotalol Hcl Tab 120mg
- Sotalol Hcl Tab 160mg
- Sotalol Hcl Tab 80mg
- Tivicay Pd Tab 5mg
- Tobramycin Neb 300/5ml
- Tolnaftate Aerosol 1% (Quantity Limit)
- Tolnaftate Powder 1% (Quantity Limit)
- Triamcinolon Cre 0.025%
- Triamcinolon Cre 0.1%
- Triamcinolon Oin 0.025%
- Triamcinolon Oin 0.05%
- Triamcinolon Oin 0.1%
- Triamcinolon Pst 0.1%
- Udenyca Inj 6mg/.6ml
- Vancomycin Cap 125mg
- Vancomycin Inj 1 Gm
- Visiv Inj 5%
- Removals: (Note: only certain manufacturers removed)
- Admelog Inj 100u/Ml
- Admelog Solo Inj 100u/Ml
- Adzenys Xr Tab 12.5mg
- Adzenys Xr Tab 15.7 Mg
- Adzenys Xr Tab 18.8mg
- Adzenys Xr Tab 3.1mg
- Adzenys Xr Tab 6.3mg
- Adzenys Xr Tab 9.4mg
- Allergy Relf Tab 10mg
- Amitriptylin Tab 100mg
- Amp-Sulbacta Inj 3gm
- Aspir-81 Tab 81mg Ec
- Atorvastatin Tab 20mg
- Azopt Sus 1% Op
- Basaglar Inj 100unit
- Benazepril Tab 20mg
- Bivigam Inj 10%
- Calcitriol Oin 3mcg/Gm
- Capecitabine Tab 500mg
- Carb/Levo Tab 25-250mg
- Cefaclor Cap 250mg
- Cefaclor Cap 500mg
- Cefadroxil Cap 500mg
- Cefdinir Sus 250/5ml
- Celontin Cap 300mg
- Cinryze Sol 500 Unit
- Clearlax Pow
- Clindamy/Ben Gel 1-5%
- Clobetasol Gel 0.05%
- Clonazepam Tab 0.5mg
- Corvita Tab
- Coumadin Tab 4mg
- Cyclobenzapr Tab 10mg
- D5w/Nacl Inj 0.225%
- Dextrose Inj 5%
- Diltiazem Tab 30mg
- Doxazosin Tab 2mg
- Doxazosin Tab 4mg
- Ecpirin Tab 325mg Ec
- Emgality Inj 100mg/Ml
- Enoxaparin Inj 120/0.8
- Eplerenone Tab 25mg
- Epogen Inj 10000/Ml
- Epogen Inj 2000/Ml
- Epogen Inj 20000/Ml
- Epogen Inj 3000/Ml
- Epogen Inj 4000/Ml
- Fluoxetine Cap 40mg
- Fosinop/Hctz Tab 10/12.5
- Fosinop/Hctz Tab 20/12.5
- Gammagard Inj 10gm/100
- Gammagard Inj 1gm/10ml
- Gammagard Inj 2.5gm/25
- Gammagard Inj 20gm/200
- Gammagard Inj 30gm/300
- Gammagard Inj 5gm/50ml
- Gammagard Sd Inj 10gm Hu
- Gammagard Sd Inj 5gm Hu
- Gammaked Inj 10gm/100
- Gammaked Inj 1gm/10ml
- Gammaked Inj 20gm/200
- Gammaked Inj 5gm/50ml
- Gamunex-C Inj 10gm/100
- Gamunex-C Inj 1gm/10ml
- Gamunex-C Inj 2.5gm/25
- Gamunex-C Inj 20gm/200
- Gamunex-C Inj 40/400ml
- Gamunex-C Inj 5gm/50ml
- Glimepiride Tab 2mg
- Glimepiride Tab 4mg
- Glipizide Tab 10mg
- Glucagen Inj 1mg
- Guaifenesin Liq 100/5ml
- Guaifenesin Sol 100/5ml
- Guaifenesin Sol 200/10ml
- Halobetasol Oin 0.05%
- Haloperidol Con 2mg/Ml
- Humalog Kwik Inj 200/Ml
- Hydroc/Homat Tab 5-1.5mg
- Hydrochlorot Tab 50mg
- Hydroco/Apap Tab 5-325mg
- Hydroco/Apap Tab 7.5-325
- Hyperhep B Inj S/D
- Imiquimod Cre 5%
- Kcl/D5w/Nacl Inj 0.15/0.9
- Lamotrigine Tab 25mg
- Levetiraceta Tab 750mg
- Lisinop/Hctz Tab 20-12.5
- Lisinopril Tab 10mg
- Lisinopril Tab 2.5mg
- Lovastatin Tab 10mg
- Lovastatin Tab 40mg
- Megestrol Sus 625mg/5m
- Metformin Tab 500mg Er
- Metformin Tab 750mg Er
- Metformin Tab 850mg
- Methylphenid Tab 10mg
- Methylphenid Tab 20mg
- Modafinil Tab 200mg
- Nabi-Hb Inj
- Nateglinide Tab 120mg
- Nateglinide Tab 60mg
- Nebupent Inh 300mg
- Neulasta Inj 6mg/0.6m
- Neulasta Kit 6mg/0.6m
- Nexplanon Imp 68mg
- Nivestym Inj 300/0.5
- Nivestym Inj 480/0.8
- Normosol -R Inj
- Nystat/Triam Oin
- Nystatin Sus 100000
- Oriahnn Cap
- Oseltamivir Cap 30mg
- Oseltamivir Cap 45mg
- Oseltamivir Cap 75mg
- Oxycod/Apap Tab 10-325mg
- Oyster Shell Tab 500mg
- Pantoprazole Tab 20mg
- Pantoprazole Tab 40mg
- Paragard Iud T380a
- Pentamidine Inh 300mg
- Pot Chl/Nacl Inj 20meq/L
- Pot Chl/Nacl Inj 40meq/L
- Pot Chloride Tab 20meq Er
- Propanthelin Tab 15mg
- Quetiapine Tab 200mg Er
- Risperidone Tab 0.25mg
- Sevelamer Tab 800mg
- Simvastatin Tab 20mg
- Simvastatin Tab 40mg
- Sodium Chlor Sol 0.9% Irr
- Strovite One Tab
- Symlinpen 60 Inj 1000mcg
- Symlnpen 120 Inj 1000mcg
- Testost Cyp Inj 200mg/Ml
- Tracleer Tab 32mg
- Valsart/Hctz Tab 160-25mg
- Venlafaxine Tab 25mg
- Venlafaxine Tab 37.5mg
- Venlafaxine Tab 75mg
- Viramune Xr Tab 400mg
- Vitafol Fe+ Cap
- Yuvafem Tab 10mcg
Other Updates:
- Primaquine Tablet 26.3 Mg (Quantity Limit)
May 2020
Additions: (Note: only certain manufacturers added)
- Acetaminophe Liq 160/5ml
- Allergy Relf Tab 10mg
- Allergy-D Tab 5-120mg
- Amiodarone Tab 200mg
- Amlod/Olmesa Tab 10-20mg
- Amlod/Olmesa Tab 10-40mg
- Amlod/Olmesa Tab 5-20mg
- Amlod/Olmesa Tab 5-40mg
- Amphet/Dextr Tab 10mg
- Amphet/Dextr Tab 12.5mg
- Amphet/Dextr Tab 15mg
- Amphet/Dextr Tab 20mg
- Amphet/Dextr Tab 30mg
- Amphet/Dextr Tab 5mg
- Amphet/Dextr Tab 7.5mg
- Atorvastatin Tab 10mg
- Atorvastatin Tab 20mg
- Atorvastatin Tab 40mg
- Atovaquone Sus 750/5ml
- Azathioprine Tab 50mg
- Azithromycin Tab 250mg
- Azithromycin Tab 500mg
- Baclofen Tab 20mg
- Bumetanide Tab 1mg
- Bumetanide Tab 2mg
- Bupropion Tab 100mg Sr
- Bupropion Tab 150mg Sr
- Bupropion Tab 200mg Sr
- Bupropion Tab 450mg Xl
- But/Apap/Caf Cap
- Caffeine Cit Sol 60mg/3ml
- Carb/Levo Tab 10-100mg
- Carbamazepin Tab 200mg
- Chloroquine Tab 250mg
- Citranatal Cap Harmony
- Citranatal Mis 90 Dha
- Citranatal Pak Assure
- Citranatal Pak Dha
- Citranatal Tab Rx
- Cladribine Inj 1mg/Ml
- Clobazam Sus 2.5mg/Ml
- Clobetasol Cre 0.05%
- Colchicine Tab 0.6mg
- Cyclophosph Inj 1gm
- Cyclophosph Inj 500mg
- Cyproheptad Tab 4mg
- Desmopressin Inj 4mcg/Ml
- Dextrose Inj 5%
- Diazoxide Sus 50mg/Ml
- Dofetilide Cap 125mcg
- Dofetilide Cap 250mcg
- Dofetilide Cap 500mcg
- Donepezil Tab 10mg
- Donepezil Tab 5mg
- Dw5-Nacl Inj 0.225%
- Enoxaparin Inj 40/0.4ml
- Epinephrine Inj 0.3mg
- Ferralet 90 Tab
- Fluconazole Tab 100mg
- Fluphenazine Elx 2.5/5ml
- Folic Acid Inj 50/10ml
- Furosemide Inj 10mg/Ml
- Haloper Dec Inj 500/5ml
- Heparin Sod Inj 1000/Ml
- Heparin Sod Inj 10000/Ml
- Hydroxychlor Tab 200mg
- Hydroxyurea Cap 500mg
- Hyoscyamine Sub 0.125mg
- Hyoscyamine Tab 0.125mg
- Irinotecan Inj 40mg/2ml
- Kaletra Tab 100-25mg
- Kaletra Tab 200-50mg
- Kcl/D5w/Nacl Inj 0.3/0.45
- Labetalol Tab 100mg
- Labetalol Tab 200mg
- Lidocaine Pad 5%
- Meclizine Tab 12.5mg
- Meclizine Tab 25mg
- Medroxypr Ac Inj 150mg/Ml
- Medroxypr Ac Tab 10mg
- Memantine Tab Hcl 10mg
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Metformin Tab 1000mg
- Metformin Tab 500mg
- Metformin Tab 850mg
- Methotrexate Tab 2.5mg
- Microgestin Tab 1.5/30
- Microgestin Tab 1/20
- Microgestin Tab Fe 1/20
- Montelukast Tab 10mg
- Nicotine Td Dis 21mg/24h
- Phenobarb Sol 20mg/5ml
- Phenytoin Sus 125/5ml
- Pioglitazone Tab 15mg
- Pnv-Dha Cap Docusate
- Pot Chl/Nacl Inj 20meq/L
- Pot Chloride Inj 40meq
- Pot Phosphat Inj 3mm/Ml
- Prenaissance Cap Plus
- Propranolol Tab 20mg
- Ringers Inj
- Selenium Sul Sha 2.25%
- Smz-Tmp Sus 200-40/5
- Sod Chloride Inj 0.45%
- Sod Chloride Inj 0.9%
- Sod Poly Sul Pow
- Sodium Chlor Sol 0.9% Irr
- Sodium Fluor Cre 5000 Ppm
- Sodium Fluor Gel 1.1%
- Solifenacin Tab 10mg
- Solifenacin Tab 5mg
- Tamoxifen Tab 10mg
- Theophylline Tab 600mg Er
- Thrivite 19 Tab
- Tramadol Hcl Tab 50mg
- Transderm-Sc Dis 1.5mg
- Vancomycin Inj 750mg
- Venlafaxine Tab 100mg
- Venlafaxine Tab 25mg
- Venlafaxine Tab 37.5mg
- Venlafaxine Tab 50mg
- Venlafaxine Tab 75mg
- Vigabatrin Pak 500mg
- Vitafol Fe+ Cap
- Zinc Sulfate Inj 1mg/Ml
- Zoledronic Inj 5/100ml
Removals: (Note: only certain manufacturers removed)
- Abacavir Tab 300mg
- Adzenys Xr Tab 12.5mg
- Adzenys Xr Tab 15.7 Mg
- Adzenys Xr Tab 18.8mg
- Adzenys Xr Tab 3.1mg
- Adzenys Xr Tab 6.3mg
- Adzenys Xr Tab 9.4mg
- Ala-Quin Cre 3-0.5%
- All Day Allg Tab 10mg
- Alphanate Inj Vwf/Hum
- Alphanine Sd Inj 1000unit
- Amlod/Benazp Cap 10-20mg
- Amlod/Benazp Cap 5-10mg
- Amlod/Olmesa Tab 5-20mg
- Amlod/Olmesa Tab 5-40mg
- Amlod/Valsar Tab 10-160mg
- Amlod/Valsar Tab 5-160mg
- Amlodipine Tab 10mg
- Amox/K Clav Sus 600/5ml
- Atenol/Chlor Tab 100-25mg
- Atenol/Chlor Tab 50-25mg
- Atenolol Tab 50mg
- Atgam Inj 250mg
- Azacitidine Inj 100mg
- Azathioprine Tab 50mg
- Azithromycin Tab 500mg
- Azopt Sus 1% Op
- Benztropine Tab 2mg
- Betameth Val Cre 0.1%
- Betapace Af Tab 120mg
- Bethanechol Tab 10mg
- Bethanechol Tab 25mg
- Bethanechol Tab 50mg
- Bethanechol Tab 5mg
- Bivigam Inj 10%
- Bupivacaine Inj Spinal
- Bupren/Nalox Sub 8-2mg
- Bupropn Hcl Tab 150mg Xl
- Bupropn Hcl Tab 300mg Xl
- Buspirone Tab 7.5mg
- Calc Acetate Tab 667mg
- Camila Tab 0.35mg
- Carbamazepin Chw 100mg
- Cefotetan Inj 2gm
- Celontin Cap 300mg
- Cetiriz/Pse Tab 5-120mg
- Ciclopirox Cre 0.77%
- Ciclopirox Sol 8%
- Cinryze Sol 500 Unit
- Ciprofloxacn Tab 250mg
- Clindamycin Inj 150mg/Ml
- Clindamycin Inj 600mg
- Clobetasol Oin 0.05%
- Clomipramine Cap 75mg
- Clonazepam Tab 2mg
- Clotrimazole Cre 1%
- Coumadin Tab 10mg
- Coumadin Tab 1mg
- Coumadin Tab 2.5mg
- Coumadin Tab 2mg
- Coumadin Tab 3mg
- Coumadin Tab 4mg
- Coumadin Tab 5mg
- Coumadin Tab 6mg
- Coumadin Tab 7.5mg
- Cyanocobalam Inj 1000mcg
- Cyclobenzapr Tab 10mg
- D5w/Nacl Inj 0.45%
- Diclofenac Gel 1%
- Diclofenac Tab 50mg Dr
- Diclofenac Tab 75mg Dr
- Doxercalcif Cap 0.5mcg
- Doxercalcif Cap 1mcg
- Doxercalcif Cap 2.5mcg
- Doxorubicin Inj 20/10ml
- Doxorubicin Inj 50/25ml
- Doxycycline Tab 150mg
- Elixophyllin Elx 80/15ml
- Enoxaparin Inj 40/0.4ml
- Epinephrine Inj 0.15mg
- Epinephrine Inj 0.3mg
- Epirubicin Inj 200mg
- Epogen Inj 10000/Ml
- Epogen Inj 2000/Ml
- Epogen Inj 20000/Ml
- Epogen Inj 3000/Ml
- Epogen Inj 4000/Ml
- Epzicom Tab 600-300
- Errin Tab 0.35mg
- Erythromycin Oin 5mg/Gm
- Fentanyl Dis 25mcg/Hr
- Fentanyl Dis 50mcg/Hr
- Fentanyl Dis 75mcg/Hr
- Finasteride Tab 5mg
- Fluticasone Cre 0.05%
- Fluticasone Oin 0.005%
- Gabapentin Tab 800mg
- Gammagard Inj 10gm/100
- Gammagard Inj 1gm/10ml
- Gammagard Inj 2.5gm/25
- Gammagard Inj 20gm/200
- Gammagard Inj 30gm/300
- Gammagard Inj 5gm/50ml
- Gammaked Inj 10gm/100
- Gammaked Inj 1gm/10ml
- Gammaked Inj 20gm/200
- Gammaked Inj 5gm/50ml
- Gamunex-C Inj 10gm/100
- Gamunex-C Inj 1gm/10ml
- Gamunex-C Inj 2.5gm/25
- Gamunex-C Inj 20gm/200
- Gamunex-C Inj 40/400ml
- Gamunex-C Inj 5gm/50ml
- Gemcitabine Inj 200mg
- Gemcitabine Inj 2gm
- Gentamicin Cre 0.1%
- Glycopyrrol Tab 1mg
- Glycopyrrol Tab 2mg
- Griseofulvin Tab Micr 500
- Guanfacine Tab 4mg Er
- Halobetasol Cre 0.05%
- Halobetasol Oin 0.05%
- Hydroc/Homat Tab 5-1.5mg
- Hydrocort Cre 1%
- Hydrocort Cre 2.5%
- Hydroxychlor Tab 200mg
- Hydroxyz Pam Cap 50mg
- Hyperhep B Inj S/D
- Ipratropium/ Sol Albuter
- Kcl In Nacl Inj
- Kcl/D5w/Nacl Inj 0.3/0.45
- Ketoconazole Cre 2%
- Ketoconazole Sha 2%
- Lamotrigine Tab 100mg
- Levetiraceta Tab 250mg
- Lido/Prilocn Cre 2.5-2.5%
- Lidocaine Gel 2% Jelly
- Liletta Iud 52mg
- Lisinopril Tab 2.5mg
- Lisinopril Tab 30mg
- Lisinopril Tab 5mg
- Losartan Pot Tab 100mg
- Losartan Pot Tab 25mg
- Losartan Pot Tab 50mg
- Losartan/Hct Tab 100-25
- Losartan/Hct Tab 50-12.5
- Medroxypr Ac Tab 10mg
- Memantine Tab Hcl 10mg
- Meropenem Inj 1gm
- Metformin Tab 1000mg
- Metformin Tab 500mg
- Metformin Tab 500mg Er
- Metformin Tab 850mg
- Methotrexate Tab 2.5mg
- Methylpred Tab 8mg
- Metolazone Tab 2.5mg
- Metronidazol Cre 0.75%
- Metronidazol Gel 0.75%
- Metronidazol Tab 250mg
- Metronidazol Tab 500mg
- Modafinil Tab 200mg
- Mometasone Cre 0.1%
- Mometasone Oin 0.1%
- Morphabond Tab 100mg Er
- Morphabond Tab 15mg Er
- Morphabond Tab 60mg Er
- Mucus-Dm Max Tab 60-1200
- Nabi-Hb Inj
- Nateglinide Tab 120mg
- Nateglinide Tab 60mg
- Nexplanon Imp 68mg
- Nitrofurantn Sus 25mg/5ml
- Nivestym Inj 300/0.5
- Nivestym Inj 480/0.8
- Nystat/Triam Cre
- Nystatin Cre 100000
- Nystatin Oin 100000
- Ogestrel Tab
- Olanzapine Tab 10mg
- Olanzapine Tab 5mg
- Olanzapine Tab 7.5mg
- Omeprazole Cap 20mg
- Ondansetron Tab 8mg
- Ortho-Novum Tab 1/35
- Oxybutynin Tab 5mg Er
- Oxycod/Apap Tab 10-325mg
- Oxycod/Apap Tab 7.5-325
- Oxycodone Tab 5mg
- Oysco 500 Tab 500mg
- Paragard Iud T380a
- Paroxetine Tab 10mg
- Paroxetine Tab 20mg
- Paroxetine Tab 30mg
- Phenytek Cap 200mg
- Phenytek Cap 300mg
- Phenytoin Sus 125/5ml
- Pot Chloride Inj 40meq
- Prochlorper Tab 10mg
- Proglycem Sus 50mg/Ml
- Promethazine Sol 6.25/5ml
- Promethegan Sup 12.5mg
- Promethegan Sup 50mg
- Pyrazinamide Tab 500mg
- Quetiapine Tab 200mg
- Qvar Aer 40mcg
- Ramipril Cap 10mg
- Ranitidine Syp 150/10ml
- Ranitidine Syp 15mg/Ml
- Ranitidine Syp 75mg/5ml
- Ranitidine Tab 150mg
- Ranitidine Tab 300mg
- Risperidone Tab 2mg
- Risperidone Tab 4mg
- Sildenafil Tab 20mg
- Simvastatin Tab 10mg
- Sirolimus Tab 0.5mg
- Sod Chloride Inj 0.45%
- Sod Chloride Inj 0.9%
- Sodium Chlor Sol 0.9% Irr
- Steril Water Inj
- Symlinpen 60 Inj 1000mcg
- Symlnpen 120 Inj 1000mcg
- Temozolomide Cap 100mg
- Temozolomide Cap 140mg
- Temozolomide Cap 180mg
- Temozolomide Cap 20mg
- Temozolomide Cap 250mg
- Temozolomide Cap 5mg
- Tenofovir Tab 300mg
- Tikosyn Cap 125mcg
- Tikosyn Cap 250mcg
- Tikosyn Cap 500mcg
- Tracleer Tab 32mg
- Trazodone Tab 150mg
- Triamcinolon Cre 0.025%
- Triamcinolon Cre 0.1%
- Triamcinolon Oin 0.025%
- Triamcinolon Oin 0.1%
- Triamcinolon Pst 0.1%
- Triderm Cre 0.1%
- Trust Natal Pak Dha
- Tums Chw 500mg
- Tums E-X Chw 750mg
- Valcyte Sol 50mg/Ml
- Valcyte Tab 450mg
- Valproic Acd Sol 250/5ml
- Valproic Acd Syp 250/5ml
- Venlafaxine Tab 100mg
- Venlafaxine Tab 25mg
- Venlafaxine Tab 37.5mg
- Venlafaxine Tab 50mg
- Venlafaxine Tab 75mg
- Vicodin Hp Tab 10-300mg
- Viramune Xr Tab 400mg
- Zoladex Imp 3.6mg
April 2020
Additions: (Note: only certain manufacturers added)
- 8 Hr Arthrts Tab 650mg
- Abacavir Sol 20mg/Ml
- Acetylcyst Inj 200mg/Ml
- Acetylcyst Sol 10%
- Acetylcyst Sol 20%
- Acyclovir Oin 5%
- Admelog Inj 100u/Ml
- Advair Disku Aer 100/50
- Advair Disku Aer 250/50
- Advair Disku Aer 500/50
- Aggrenox Cap 25-200mg
- Albuterol Neb 1.25mg/3
- Allergy Chld Sol 5mg/5ml
- Allergy Relf Tab 10mg
- Allergy Relf Tab Deconges
- Amethia Lo Tab
- Amicar Sol 0.25/Ml
- Amicar Tab 1000mg
- Amicar Tab 500mg
- Aminocapr Ac Inj 250mg/Ml
- Amnesteem Cap 20mg
- Amnesteem Cap 40mg
- Amoxicillin Cap 250mg
- Amoxicillin Cap 500mg
- Amphet/Dextr Cap 10mg Er
- Amphet/Dextr Cap 15mg Er
- Amphet/Dextr Cap 20mg Er
- Amphet/Dextr Cap 25mg Er
- Amphet/Dextr Cap 30mg Er
- Amphet/Dextr Cap 5mg Er
- Amphet/Dextr Tab 10mg
- Amphet/Dextr Tab 12.5mg
- Amphet/Dextr Tab 15mg
- Amphet/Dextr Tab 20mg
- Amphet/Dextr Tab 30mg
- Amphet/Dextr Tab 5mg
- Amphet/Dextr Tab 7.5mg
- Ampicillin Inj 1gm
- Ampicillin Inj 250mg
- Ampicillin Inj 2gm
- Ampicillin Inj 500mg
- Androderm Dis 2mg/24hr
- Androderm Dis 4mg/24hr
- Androgel Gel 1.62%
- Antacid Chw 750mg
- Apap/Codeine Sol 120-12/5
- Aripiprazole Tab 10mg
- Aripiprazole Tab 15mg
- Aripiprazole Tab 20mg
- Aripiprazole Tab 2mg
- Aripiprazole Tab 30mg
- Aripiprazole Tab 5mg
- Aspirin Tab 325mg
- Aspirin Tab 81mg Ec
- Aspirin Low Chw 81mg
- Aspirin Low Tab 81mg Ec
- Azacitidine Inj 100mg
- Azactam Inj 1gm
- Azactam Inj 2gm
- Azithromycin Inj 500mg
- Azithromycin Tab 250mg
- Azithromycin Tab 500mg
- Azurette Tab 28 Day
- Bethanechol Tab 10mg
- Bethanechol Tab 25mg
- Bethanechol Tab 50mg
- Bethanechol Tab 5mg
- Bicnu Inj 100mg
- Biltricide Tab 600mg
- Bivigam Inj 10%
- Brimonidine Sol 0.2% Op
- Budesonide Sus 0.5mg/2
- Bupivacaine Inj 0.25%
- Bupivacaine Inj 0.5%
- Bupivacaine/ Inj Epi 0.25
- Bupivacaine/ Inj Epi 0.5%
- Bupren/Nalox Mis 12-3mg
- Bupren/Nalox Mis 2-0.5mg
- Bupren/Nalox Mis 4-1mg
- Bupren/Nalox Mis 8-2mg
- Bupren/Nalox Sub 2-0.5mg
- Bupren/Nalox Sub 8-2mg
- Bupropion Tab 100mg
- Bupropion Tab 100mg Sr
- Bupropion Tab 75mg
- Butal/Apap Tab 50-325mg
- Caffeine Cit Sol 60mg/3ml
- Camila Tab 0.35mg
- Carb/Levo Tab 25-250mg
- Carbamazepin Cap 100mg Er
- Carbamazepin Cap 200mg Er
- Carbamazepin Cap 300mg Er
- Carmustine Inj 100mg
- Catapres-Tts Dis 0.1/24hr
- Catapres-Tts Dis 0.2/24hr
- Catapres-Tts Dis 0.3/24hr
- Caziant Pak
- Cefepime Inj 2gm
- Cefoxitin Inj 1gm
- Cefoxitin Inj 2gm
- Ceftriaxone Inj 1gm
- Ceftriaxone Inj 250mg
- Ceftriaxone Inj 2gm
- Ceftriaxone Inj 500mg
- Cellcept Sus 200mg/Ml
- Centratex Cap
- Cephalexin Cap 750mg
- Cetiriz/Pse Tab 5-120mg
- Cetirizine Tab 10mg
- Chest Conges Tab 400mg
- Chlorhex Glu Sol 0.12%
- Chlorthalid Tab 25mg
- Chlorthalid Tab 50mg
- Cipro (10%) Sus 500mg/5
- Cipro (5%) Sus 250mg/5
- Cisplatin Inj 100mg
- Cisplatin Inj 50/50ml
- Claravis Cap 30mg
- Clearlax Pow
- Clindamycin Sol 1%
- Clindamycin Sol 75mg/5ml
- Clobazam Tab 10mg
- Clobazam Tab 20mg
- Clobetasol Cre 0.05%
- Clobetasol Oin 0.05%
- Clomipramine Cap 25mg
- Clonazepam Tab 0.5mg
- Clonazepam Tab 2mg
- Clonidine Dis 0.2/24hr
- Clonidine Dis 0.3/24hr
- Coagadex Inj 250unit
- Coagadex Inj 500unit
- Colchicine Tab 0.6mg
- Copaxone Inj 20mg/Ml
- Cyanocobalam Inj 1000mcg
- Cyclophosph Inj 1gm
- Cyclophosph Inj 2gm
- Cyclophosph Inj 500mg
- Cyclosporine Cap 100mg Md
- Cyclosporine Cap 25mg Mod
- Cyclosporine Cap 50mg Mod
- Cyproheptad Tab 4mg
- Cytarabine Inj 20mg/Ml
- D5w/Nacl Inj 0.45%
- Daytrana Dis 10mg/9hr
- Daytrana Dis 20mg/9hr
- Decitabine Inj 50mg
- Derma-Smooth Oil /Fs Body
- Derma-Smooth Oil /Fs Sclp
- Desmopressin Tab 0.1mg
- Desmopressin Tab 0.2mg
- Dexameth Pho Inj 10mg/Ml
- Dexameth Pho Inj 20mg/5ml
- Dexameth Pho Inj 4mg/Ml
- Dextrose Inj 5%
- Diastat Acdl Gel 12.5-20
- Diastat Acdl Gel 5-10mg
- Diastat Ped Gel 2.5m Gel
- Diclegis Tab 10-10mg
- Diclofenac Gel 1%
- Differin Cre 0.1%
- Differin Lot 0.1%
- Diltiazem Cap 360mg Er
- Diphenhydram Inj 50mg/Ml
- Dobutamine Inj 250mg
- Dofetilide Cap 125mcg
- Dofetilide Cap 250mcg
- Dofetilide Cap 500mcg
- Donepezil Tab Odt 10mg
- Donepezil Tab Odt 5mg
- Dorzol/Timol Sol 22.3-6.8
- Doxycycline Tab 20mg
- Dros/Eth Est Tab Levomefo
- Drospir/Ethi Tab 3-0.02mg
- Drospir/Ethi Tab 3-0.03mg
- Drospire/Eth Tab Estr/Lev
- Duloxetine Cap 30mg
- E.S. Gran Sus 200/5ml
- Effer-K Tab 20meq
- Elidel Cre 1%
- Eloctate Inj 1000unit
- Eloctate Inj 1500unit
- Eloctate Inj 2000unit
- Eloctate Inj 250unit
- Eloctate Inj 3000unit
- Eloctate Inj 4000unit
- Eloctate Inj 5000unit
- Eloctate Inj 500unit
- Eloctate Inj 6000unit
- Eloctate Inj 750unit
- Enbrel Mini Inj 50mg/Ml
- Enoxaparin Inj 100mg/Ml
- Enoxaparin Inj 120/0.8
- Enoxaparin Inj 150mg/Ml
- Enoxaparin Inj 30/0.3ml
- Enoxaparin Inj 40/0.4ml
- Enoxaparin Inj 60/0.6ml
- Enoxaparin Inj 80/0.8ml
- Errin Tab 0.35mg
- Erythromycin Oin 5mg/Gm
- Esomeprazole Gra 10mg Dr
- Esomeprazole Gra 20mg Dr
- Esomeprazole Gra 40mg Dr
- Estradiol Dis 0.025mg
- Estradiol Dis 0.0375mg
- Estradiol Dis 0.05mg
- Estradiol Dis 0.06mg
- Estradiol Dis 0.075mg
- Estradiol Dis 0.1mg
- Estradiol Tab 10mcg
- Ethynodiol Tab 1-50
- Exelon Dis 13.3/24
- Exelon Dis 4.6mg/24
- Exelon Dis 9.5mg/24
- Famotidine Sus 40mg/5ml
- Fentanyl Dis 100mcg/H
- Ferrous Sulf Liq 44mg/5ml
- Finacea Gel 15%
- Firazyr Inj 30mg/3ml
- Flac Oil 0.01%
- Fluconazole Tab 150mg
- Fluconazole/ Inj Nacl 200
- Fluconazole/ Inj Nacl 400
- Fluocin Acet Oil 0.01%
- Fluocin Acet Oil Ear0.01%
- Fluorouracil Sol 2%
- Focalin Xr Cap 10mg
- Focalin Xr Cap 15mg
- Focalin Xr Cap 20mg
- Focalin Xr Cap 25mg
- Focalin Xr Cap 30mg
- Focalin Xr Cap 35mg
- Focalin Xr Cap 40mg
- Focalin Xr Cap 5mg
- Furosemide Inj 100/10ml
- Furosemide Inj 10mg/Ml
- Gabapentin Cap 100mg
- Gabapentin Cap 300mg
- Gemcitabine Inj 1gm
- Gemcitabine Inj 1gm/10ml
- Gemcitabine Inj 200mg
- Gemcitabine Inj 2gm/20ml
- Gentamicin Inj 40mg/Ml
- Glassia Inj
- Glucagon Inj 1mg
- Glyburide Tab 5mg
- Glyset Tab 100mg
- Glyset Tab 25mg
- Glyset Tab 50mg
- Gnp Nicotine Loz 4mg Mint
- Guaifenesin Sol 100/5ml
- Haloper Dec Inj 100mg/Ml
- Haloper Dec Inj 50mg/Ml
- Haloperidol Tab 10mg
- Haloperidol Tab 5mg
- Hep Sod/Nacl Inj 1000unit
- Heparin Sod Inj 1000/Ml
- Heparin Sod Inj 20000/Ml
- Heparin Sod Inj 5000/Ml
- Humalog Inj 100/Ml
- Humalog Kwik Inj 100/Ml
- Humulin Inj 70/30kwp
- Hydralazine Tab 100mg
- Hydralazine Tab 25mg
- Hydralazine Tab 50mg
- Hydroco/Apap Sol 7.5-325
- Hydroco/Apap Tab 10-325mg
- Hydrocort Ene 100mg
- Hydroxychlor Tab 200mg
- Hyoscyamine Dro 0.125/Ml
- Hyperrho S/D Inj 300mcg
- Icatibant Inj 30mg/3ml
- Imatinib Mes Tab 100mg
- Imatinib Mes Tab 400mg
- Insulin Lisp Inj 100/Ml
- Ipratropium Sol 0.02%Inh
- Ipratropium/ Sol Albuter
- Irinotecan Inj 100/5ml
- Irinotecan Inj 40mg/2ml
- Kcl/D5w/Lact Inj 20meq/L
- Kcl/D5w/Nacl Inj
- Ketorolac Inj 15mg/Ml
- Ketorolac Inj 30mg/Ml
- Ketorolac Inj 60mg/2ml
- Kitabis Pak Neb 300/5ml
- Klor-Con 10 Tab 10meq Er
- Klor-Con 8 Tab 8meq Er
- Klor-Con M10 Tab 10meq Er
- Klor-Con M15 Tab 15meq Er
- Klor-Con M20 Tab 20meq Er
- Kovaltry Inj 1000unit
- Kovaltry Inj 2000unit
- Kovaltry Inj 250unit
- Kovaltry Inj 3000unit
- Kovaltry Inj 500unit
- Kurvelo Tab 0.15/30
- Lactulose Sol 10gm/15
- Lamictal Kit Start 35
- Lamictal Kit Start 49
- Lamictal Kit Start 98
- Lamictal Odt Tab 100mg
- Lamictal Odt Tab 200mg
- Lamictal Odt Tab 25mg
- Lamictal Odt Tab 50mg
- Lantus Solos Inj 100/Ml
- Leena Tab
- Levetiraceta Tab 1000mg
- Levoflox/D5w Inj 250/50ml
- Levoflox/D5w Inj 500/100m
- Levoflox/D5w Inj 750/150
- Levonor/Ethi Tab Estradio
- Levora-28 Tab 0.15/30
- Lido/Epi Inj 1.5%
- Lido/Prilocn Cre 2.5-2.5%
- Lidocaine Inj 0.5%
- Lidocaine Inj 1%
- Lidocaine Inj 2%
- Lidocaine Inj 4%
- Lidocaine Pad 5%
- Lorazepam Inj 2mg/Ml
- Losartan Pot Tab 25mg
- Losartan Pot Tab 50mg
- Losartan/Hct Tab 100-25
- Lotemax Sus 0.5%
- Magnesium Su Inj 50%
- Medroxypr Ac Inj 150mg/Ml
- Melphalan Inj 50mg
- Melphalan Tab 2mg
- Memantine Tab Hcl 10mg
- Memantine Tab Hcl 5mg
- Mephyton Tab 5mg
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Metformin Tab 500mg Er
- Metformin Er Tab 1000mg
- Methotrexate Inj 25mg/Ml
- Methylpr Ss Inj 125mg
- Methylpr Ss Inj 40mg
- Metronidazol Gel 1%
- Mibelas 24 Chw Fe
- Minocycline Cap 50mg
- Modafinil Tab 100mg
- Modafinil Tab 200mg
- Morphine Sul Sol 20mg/5ml
- Mucus Relief Tab 600mg Er
- Mucus+Chst Liq 100/5ml
- Naloxone Inj 0.4mg/Ml
- Naproxen Tab 250mg
- Naproxen Tab 375mg
- Naproxen Tab 500mg
- Natroba Sus 0.9%
- Nephron Fa Tab
- Nexium Gra 10mg Dr
- Nexium Gra 20mg Dr
- Nexium Gra 40mg Dr
- Nicotine Loz 2mg Mint
- Nicotine Loz 4mg Mint
- Nicotine Td Dis 14mg/24h
- Nicotine Td Dis 21mg/24h
- Nicotine Td Dis 7mg/24hr
- Nitrofur Mac Cap 100mg
- Nitroglycer Dis 0.1mg/Hr
- Nitroglycer Dis 0.2mg/Hr
- Nitroglycer Dis 0.4mg/Hr
- Nitroglycer Dis 0.6mg/Hr
- Nitroglycern Sub 0.4mg
- Norditropin Inj 15/1.5ml
- Nore/Eth/Fer Chw 0.4mg-35
- Noreth/Ethin Chw Fe
- Noreth/Ethin Tab 0.5-2.5
- Noreth/Ethin Tab 1mg-5mcg
- Norvir Tab 100mg
- Nystatin Sus 100000
- Octreotide Inj 1000/5ml
- Octreotide Inj 5000/5ml
- Ofloxacin Dro 0.3%Otic
- Olanzapine Tab 10mg Odt
- Oncaspar Inj 750/Ml
- Onfi Sus 2.5mg/Ml
- Onfi Tab 10mg
- Onfi Tab 20mg
- Orsythia Tab
- Oxycodone Sol 5mg/5ml
- Oxycodone Tab 15mg
- Oxycodone Tab 30mg
- Paclitaxel Inj 100mg
- Pain & Fever Sus 160/5ml
- Pantoprazole Tab 20mg
- Paricalcitol Inj 2mcg/Ml
- Paricalcitol Inj 5mcg/Ml
- Pentamidine Inh 300mg
- Phenobarb Tab 100mg
- Phenobarb Tab 15mg
- Phenobarb Tab 30mg
- Phenobarb Tab 60mg
- Piper/Tazoba Inj 2-0.25gm
- Piper/Tazoba Inj 3-0.375g
- Piper/Tazoba Inj 36-4.5gm
- Piper/Tazoba Inj 4-0.5gm
- Polyeth Glyc Pow 3350 Nf
- Pot Acetate Inj 2meq/Ml
- Pot Chloride Pow 20meq
- Pot Chloride Sol 10%
- Pot Phosphat Inj 3mm/Ml
- Pregabalin Cap 100mg
- Pregabalin Cap 150mg
- Pregabalin Cap 200mg
- Pregabalin Cap 225mg
- Pregabalin Cap 25mg
- Pregabalin Cap 300mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Prevacid Tab 15mg Stb
- Prevacid Tab 30mg Stb
- Proair Hfa Aer
- Procto-Med Cre Hc 2.5%
- Promethazine Sol 6.25/5ml
- Promethazine Sol Dm
- Promethegan Sup 12.5mg
- Promethegan Sup 50mg
- Protopic Oin 0.03%
- Protopic Oin 0.1%
- Pyridostigmi Sol 60mg/5ml
- Ramipril Cap 1.25mg
- Ramipril Cap 10mg
- Ramipril Cap 2.5mg
- Ramipril Cap 5mg
- Ranexa Tab 1000mg
- Ranexa Tab 500mg
- Ranolazine Tab 1000mg
- Ranolazine Tab 500mg Er
- Rapamune Sol 1mg/Ml
- Rebif Inj 22/0.5
- Rebif Inj 44/0.5
- Rebif Rebido Inj 22/0.5
- Rebif Rebido Inj 44/0.5
- Renvela Pak 0.8gm
- Renvela Pak 2.4gm
- Retin-A Cre 0.025%
- Retin-A Cre 0.05%
- Retin-A Cre 0.1%
- Ribavirin Inh 6gm
- Risperidone Tab 1mg Odt
- Risperidone Tab 2mg Odt
- Risperidone Tab 3mg Odt
- Risperidone Tab 4mg Odt
- Rivastigmine Dis 13.3/24
- Rivastigmine Dis 4.6mg/24
- Rivastigmine Dis 9.5mg/24
- Rizatriptan Tab 10mg
- Rizatriptan Tab 10mg Odt
- Rizatriptan Tab 5mg
- Rizatriptan Tab 5mg Odt
- Rozerem Tab 8mg
- Safyral Tab
- Scopolamine Dis 1mg/3day
- Se-Natal 19 Tab
- Sirolimus Sol 1mg/Ml
- Smz-Tmp Ds Tab 800-160
- Sod Acetate Inj 2meq/Ml
- Sod Chloride Inj 0.9%
- Sod Chloride Inj 0.9%Bact
- Sod Citrate Sol Citr Acd
- Sod Phosphat Inj 3mm/Ml
- Sod Poly Sul Sus 15gm/60
- Sodium Chlor Sol 0.9% Irr
- Solifenacin Tab 10mg
- Spirono/Hctz Tab 25/25
- Sronyx Tab
- Steril Water Inj
- Stiolto Aer 2.5-2.5
- Sublocade Inj 100/0.5
- Sublocade Inj 300/1.5
- Suboxone Mis 12-3mg
- Suboxone Mis 2-0.5mg
- Suboxone Mis 4-1mg
- Suboxone Mis 8-2mg
- Sulfasalazin Tab 500mg
- Sulfasalazin Tab 500mg Dr
- Sumatriptan Tab 100mg
- Sumatriptan Tab 25mg
- Sumatriptan Tab 50mg
- Tacrolimus Cap 0.5mg
- Telmisartan Tab 20mg
- Telmisartan Tab 40mg
- Telmisartan Tab 80mg
- Temazepam Cap 15mg
- Temozolomide Cap 100mg
- Temozolomide Cap 140mg
- Temozolomide Cap 180mg
- Temozolomide Cap 20mg
- Temozolomide Cap 250mg
- Temozolomide Cap 5mg
- Terbutaline Inj 1mg/Ml
- Testosterone Gel 1.62%
- Tetrabenazin Tab 12.5mg
- Tetrabenazin Tab 25mg
- Theophylline Tab 400mg Er
- Theophylline Tab 600mg Er
- Thiotepa Inj 100mg
- Thiotepa Inj 15mg
- Tilia Fe Tab
- Tobradex Oin 0.3-0.1%
- Tobradex Sus 0.3-0.1%
- Tobramycin Neb 300/5ml
- Tranexamic Inj 100mg/Ml
- Transderm-Sc Dis 1mg
- Travatan Z Dro 0.004%
- Trazodone Tab 150mg
- Trivora-28 Tab
- Trizivir Tab
- Tums Extra Chw 750mg
- Ursodiol Cap 300mg
- Vagifem Tab 10mcg
- Valganciclov Tab 450mg
- Valproic Acd Cap 250mg
- Valproic Acd Sol 250/5ml
- Valproic Acd Syp 250/5ml
- Vancomycin Cap 125mg
- Vancomycin Inj 1 Gm
- Vancomycin Inj 1000mg
- Vancomycin Inj 500mg
- Vancomycin Sol 250/5ml
- Verapamil Tab 180mg Er
- Verapamil Tab 240mg Er
- Wixela Inhub Aer 100/50
- Wixela Inhub Aer 250/50
- Wixela Inhub Aer 500/50
- Xarelto Tab 2.5mg
- Xeloda Tab 150mg
- Xeloda Tab 500mg
- Xulane Dis 150-35
- Zavesca Cap 100mg
- Zolpidem Tab 10mg
- Zolpidem Tab 5mg
- Zovia 1/35e Tab
- Zovirax Cre 5%
- Zovirax Oin 5%
- Zubsolv Sub 0.7-0.18
- Zubsolv Sub 1.4-0.36
- Zubsolv Sub 11.4-2.9
- Zubsolv Sub 2.9-0.71
- Zubsolv Sub 5.7-1.4
- Zubsolv Sub 8.6-2.1
- Zytiga Tab 250mg
Removals: (Note: only certain manufacturers removed)
- Admelog Inj 100u/Ml
- Allergy-D Tab 5-120mg
- Alprazolam Tab 0.25mg
- Amantadine Cap 100mg
- Amlod/Olmesa Tab 5-20mg
- Amlod/Olmesa Tab 5-40mg
- Amlodipine Tab 10mg
- Amlodipine Tab 2.5mg
- Amlodipine Tab 5mg
- Apap/Codeine Tab 300-30mg
- Aspirin Tab 325mg Ec
- Aspir-Low Tab 81mg Ec
- Bupropion Tab 150mg Er
- Calc Acetate Cap 667mg
- Cetiriz/Pse Tab 5-120mg
- Ciprofloxacn Inj 400mg
- Ciprofloxacn Tab 500mg
- Citranatal Cap Harmony
- Citranatal Mis 90 Dha
- Citranatal Pak Assure
- Citranatal Pak Dha
- Citranatal Tab Rx
- Clonazepam Tab 2mg
- Colestid Gra 5gm
- Colestid Pow 5gm
- Colestid Fla Gra 5gm
- D5w/Nacl Inj 0.45%
- Diclofenac Tab 75mg Dr
- Digoxin Tab 0.125mg
- Digoxin Tab 0.25mg
- Diltiazem Tab 90mg
- Erythromycin Oin 5mg/Gm
- Ethosuximide Sol 250/5ml
- Fentanyl Dis 50mcg/Hr
- Ferralet 90 Tab
- Ferrous Sulf Dro 15mg/Ml
- Flecainide Tab 100mg
- Flecainide Tab 150mg
- Fluvoxamine Tab 100mg
- Fluvoxamine Tab 50mg
- Fortamet Tab 1000mg
- Fortamet Tab 500mg
- Freamine Hbc Inj 6.9%
- Gabapentin Tab 600mg
- Gemcitabine Inj 1gm
- Glumetza Tab 1000mg
- Glumetza Tab 500mg
- Glyburid Mcr Tab 6mg
- Haloper Dec Inj 50mg/Ml
- Hydrocort Tab 10mg
- Hydrocort Tab 5mg
- Hydroxyz Pam Cap 50mg
- Ibuprofen Tab 800mg
- Insulin Lisp Inj 100/Ml
- Isosorb Mono Tab 30mg Er
- Kcl/D5w/Lact Inj 20meq/L
- Kcl/D5w/Nacl Inj .15-.45%
- Kurvelo Tab 0.15/30
- Labetalol Tab 100mg
- Labetalol Tab 200mg
- Labetalol Tab 300mg
- Lamotrigine Tab 200mg
- Levocetirizi Tab 5mg
- Levonor/Ethi Tab Estradio
- Lidocaine Gel 2% Jelly
- Lisinopril Tab 20mg
- Lisinopril Tab 40mg
- Losartan Pot Tab 50mg
- Lovastatin Tab 10mg
- Lovastatin Tab 20mg
- Methimazole Tab 10mg
- Metoclopram Tab 10mg
- Metoclopram Tab 5mg
- Metronidazol Tab 500mg
- Mibelas 24 Chw Fe
- Mirtazapine Tab 15mg
- Mirtazapine Tab 45mg
- Morphabond Tab 30mg Er
- Nifedipine Tab 30mg Er
- Nifedipine Tab 60mg Er
- Nifedipine Tab 90mg Er
- Nitrofurantn Cap 100mg
- Olanzapine Tab 10mg
- Olanzapine Tab 5mg
- Olanzapine Tab 7.5mg
- Omeprazole Cap 40mg
- Oxycodone Tab 15mg
- Oxycodone Tab 30mg
- Oxycodone Tab 5mg
- Paclitaxel Inj 100mg
- Pain Relief Sus 160/5ml
- Pilocarpine Tab 5mg
- Pilocarpine Tab 7.5mg
- Pnv-Dha Cap Docusate
- Prenaissance Cap Plus
- Propranolol Cap 160mg Er
- Propranolol Cap 60mg Er
- Propranolol Cap 80mg Er
- Ramipril Cap 1.25mg
- Ranitidine Syp 150/10ml
- Ranitidine Syp 15mg/Ml
- Ranitidine Syp 75mg/5ml
- Ranitidine Tab 150mg
- Ranitidine Tab 300mg
- Ringers Inj
- Risperidone Tab 2mg
- Risperidone Tab 3mg
- Sod Chloride Inj 0.9%
- Sodium Chlor Sol 0.9% Irr
- Solifenacin Tab 10mg
- Steril Water Inj
- Sulfasalazin Tab 500mg
- Sulfasalazin Tab 500mg Dr
- Temazepam Cap 15mg
- Temazepam Cap 30mg
- Thrivite 19 Tab
- Tizanidine Tab 2mg
- Trazodone Tab 150mg
- Tums E-X Chw 750mg
- Vancomycin Sol 250/5ml
- Videx Sol 2gm
- Vitafol Fe+ Cap
March 2020
Additions: (Note: only certain manufacturers added)
- Acetaminophe Tab 650mg Er
- Acetazolamid Cap 500mg Er
- Acetazolamid Tab 125mg
- Acetazolamid Tab 250mg
- Acetic Acid Sol 0.25%Irr
- Albuterol Aer Hfa
- Alprazolam Tab 0.25mg
- Alprazolam Tab 0.5mg
- Alprazolam Tab 1mg
- Alprazolam Tab 2mg
- Aminocaproic Sol 0.25/Ml
- Aminosyn-Pf Inj 10%
- Ampicillin Inj 10gm
- Ampicillin Inj 1gm
- Ampicillin Inj 250mg
- Ampicillin Inj 2gm
- Ampicillin Inj 500mg
- Asa/Dipyrida Cap 25-200mg
- Aspirin Tab 81mg Ec
- Atorvastatin Tab 10mg
- Atorvastatin Tab 40mg
- Atorvastatin Tab 80mg
- Azelastine Spr 0.15%
- Beta-Phos/Ac Inj 3-3mg/Ml
- Bumetanide Tab 1mg
- Buspirone Tab 10mg
- Buspirone Tab 15mg
- Buspirone Tab 30mg
- Buspirone Tab 5mg
- Butal/Apap Cap 50-300mg
- Calcium Carb Sus 1250/5ml
- Capecitabine Tab 150mg
- Capecitabine Tab 500mg
- Celecoxib Cap 200mg
- Clobetasol Cre 0.05%
- Clomipramine Cap 25mg
- Clomipramine Cap 50mg
- Clomipramine Cap 75mg
- Clotrimazole Cre 2%
- Colestid Gra 5gm
- Colestid Pow 5gm
- Colestid Fla Gra 5gm
- Colestipol Gra 5gm
- Cyanocobalam Inj 1000mcg
- D5w/Lr Inj
- Decitabine Inj 50mg
- Dextrose Inj 5%
- Diazepam Tab 2mg
- Diazepam Tab 5mg
- Dicyclomine Cap 10mg
- Diltiazem Tab 120mg
- Diltiazem Tab 30mg
- Diltiazem Tab 60mg
- Diltiazem Tab 90mg
- Dorzolamide Sol 2% Op
- Doxepin Hcl Cap 100mg
- Doxepin Hcl Cap 10mg
- Doxepin Hcl Cap 25mg
- Doxepin Hcl Cap 50mg
- Doxepin Hcl Cap 75mg
- Enoxaparin Inj 300/3ml
- Enoxaparin Inj 80/0.8ml
- Ethosuximide Sol 250/5ml
- Etoposide Inj 100/5ml
- Fortamet Tab 1000mg
- Fortamet Tab 500mg
- Glucagon Emr Sol 1mg
- Glumetza Tab 1000mg
- Glumetza Tab 500mg
- Hydroxyprog Inj 250mg/Ml
- Icatibant Inj 30mg/3ml
- Ionosol-Mb Inj D5w
- Ipratropium Sol 0.02%Inh
- Jaimiess Tab
- Kcl/D5w/Nacl Inj 0.3/0.9%
- Labetalol Tab 100mg
- Labetalol Tab 200mg
- Labetalol Tab 300mg
- Lactated Rin Inj
- Lamotrigine Tab 100mg
- Lamotrigine Tab 25mg
- Latanoprost Sol 0.005%
- Leucovor Ca Inj 200mg
- Levothyroxin Tab 100mcg
- Levothyroxin Tab 112mcg
- Levothyroxin Tab 125mcg
- Levothyroxin Tab 150mcg
- Levothyroxin Tab 175mcg
- Levothyroxin Tab 88mcg
- Lido/Epi 1%- Inj 1:100000
- Lisinopril Tab 40mg
- Lithium Carb Tab 300mg Er
- Lojaimiess Tab
- Medroxypr Ac Tab 5mg
- Mesalamine Sup 1000mg
- Metformin Tab 1000 Er
- Metformin Tab 500mg Er
- Metformin Er Tab 1000mg
- Methotrexate Inj 1gm
- Metolazone Tab 2.5mg
- Moxifloxacin Sol 0.5%
- Naloxone Inj 2mg/2ml
- Nicotine Pol Gum 4mg Mint
- Noreth/Ethin Chw Fe 1/20
- Normosol-R Inj Ph 7.4
- Nortriptylin Cap 10mg
- Nortriptylin Cap 25mg
- Nortriptylin Cap 50mg
- Nortriptylin Cap 75mg
- Nystatin Sus 100000
- Paclitaxel Inj 100mg
- Paclitaxel Inj 150/25ml
- Paclitaxel Inj 300/50ml
- Pantoprazole Tab 20mg
- Pantoprazole Tab 40mg
- Peg 3350 Pow
- Perphenazine Tab 16mg
- Perphenazine Tab 2mg
- Perphenazine Tab 4mg
- Perphenazine Tab 8mg
- Phenobarb Tab 15mg
- Phenobarb Tab 30mg
- Pot Chloride Cap 10meq Er
- Pot Chloride Cap 8meq Er
- Pot Citrate Tab 1080mg
- Pot Citrate Tab 1620mg
- Pot Phosphat Inj 3mm/Ml
- Prednisone Tab 10mg
- Propafenone Tab 150mg
- Propafenone Tab 225mg
- Propafenone Tab 300mg
- Robafen Dm Liq Cgh/Cong
- Rosuvastatin Tab 10mg
- Rosuvastatin Tab 20mg
- Rosuvastatin Tab 40mg
- Sod Chloride Inj 0.45%
- Sodium Chlor Sol 0.9% Irr
- Sodium Fluor Gel 1.1%
- Sorbitol-Man Sol
- Sotalol Af Tab 120mg
- Sotalol Af Tab 160mg
- Sotalol Af Tab 80mg
- Steril Water Sol Irrig
- Trazodone Tab 150mg
- Triamcinolon Oin 0.05%
- Valganciclov Sol 50mg/Ml
- Valproic Acd Sol 250/5ml
- Volnea Tab
Removals: (Note: only certain manufacturers removed)
- Acetic Acid Sol 0.25%Irr
- Acyclovir Tab 400mg
- Amicar Sol 0.25/Ml
- Aminosyn-Pf Inj 10%
- Amlod/Valsar Tab 5-320mg
- Amlodipine Tab 10mg
- Amlodipine Tab 2.5mg
- Antacid Chw 500mg
- Antacid Chw 750mg
- Budesonide Cap 3mg Dr
- Cal Antacid Chw 1000mg
- Calcium Gluc Inj 10%
- Celecoxib Cap 200mg
- Clinimix Inj 4.25/D25
- Clinimix Inj 5%/D25w
- Clobetasol Cre 0.05%
- Clonazepam Tab 1mg
- Clonazepam Tab 2mg
- Clonidine Tab 0.3mg
- Colchicine Tab 0.6mg
- Cyclobenzapr Tab 5mg
- Cyclobenzapr Tab 7.5mg
- D5w/Lr Inj
- Dextrose Inj 5%
- Diclofenac Sol 0.1% Op
- Diclofenac Tab 50mg Dr
- Dobutamine Inj 500mg
- Donepezil Tab 5mg
- Duloxetine Cap 30mg
- Duloxetine Cap 60mg
- Enoxaparin Inj 300/3ml
- Enoxaparin Inj 80/0.8ml
- Famotidine Tab 20mg
- Firazyr Inj 30mg/3ml
- Flutamide Cap 125mg
- Furosemide Tab 80mg
- Gabapentin Tab 800mg
- Gemcitabine Inj 200mg
- Gemfibrozil Tab 600mg
- Guanfacine Tab 1mg Er
- Guanfacine Tab 3mg Er
- Hydroc Iodo Cre 1%
- Ionosol-Mb Inj /D5w
- Kcl/D5w/Nacl Inj 0.3/0.9%
- Labetalol Tab 200mg
- Lactated Rin Inj
- Levothyroxin Tab 25mcg
- Losartan Pot Tab 25mg
- Lovastatin Tab 40mg
- Medroxypr Ac Tab 5mg
- Methyldopa Tab 500mg
- Metoprolol Tab 25mg Er
- Microgestin Tab 1/20
- Microgestin Tab Fe 1/20
- Mirtazapine Tab 15mg
- Mirtazapine Tab 30mg
- Moxeza Sol 0.5%
- Nabumetone Tab 500mg
- Nabumetone Tab 750mg
- Nicotine Td Dis 14mg/24h
- Nicotine Td Dis 7mg/24hr
- Ondansetron Inj 4mg/2ml
- Oxaliplatin Inj 100mg
- Paclitaxel Inj 100mg
- Paclitaxel Inj 150/25ml
- Paclitaxel Inj 300/50ml
- Penicilln Vk Tab 250mg
- Pot Cl Micro Tab 10meq Er
- Proleukin Inj 22mu
- Promethazine Sup 12.5mg
- Promethazine Sup 25mg
- Ramipril Cap 2.5mg
- Ranitidine Tab 150mg
- Ranitidine Tab 300mg
- Rescriptor Tab 200mg
- Riluzole Tab 50mg
- Sod Chloride Inj 0.45%
- Sod Chloride Inj 0.9%
- Sodium Chlor Sol 0.9% Irr
- Steril Water Sol Irrig
- Tamoxifen Tab 10mg
- Temozolomide Cap 100mg
- Temozolomide Cap 140mg
- Temozolomide Cap 180mg
- Temozolomide Cap 20mg
- Temozolomide Cap 250mg
- Temozolomide Cap 5mg
- Trazodone Tab 150mg
- Triamt/Hctz Tab 37.5-25
- Trophamine Inj 6%
- Tussin Dm Mx Liq 10-200/5
- Valproic Acd Sol 250/5ml
- Xeloda Tab 150mg
- Xeloda Tab 500mg
- Zinc Sulfate Inj 1mg/Ml
- Zinc Sulfate Inj 5mg/Ml
- Zoledronic Inj 4mg/5ml
February 2020
Additions: (Note: only certain manufacturers added)
- Abaca/Lamivu Tab 600-300
- Acetazolamid Tab 125mg
- Acetazolamid Tab 250mg
- Acetic Acid Sol 0.25%Irr
- All Day Allg Sol 1mg/Ml
- Amlod/Olmesa Tab 10-20mg
- Amlod/Olmesa Tab 10-40mg
- Amlod/Olmesa Tab 5-20mg
- Amlod/Olmesa Tab 5-40mg
- Ampicillin Inj 10gm
- Antacid Chw 1000mg
- Antacid Chw 750mg
- Atorvastatin Tab 20mg
- Atorvastatin Tab 40mg
- Azacitidine Inj 100mg
- Azithromycin Inj 500mg
- Benazepril Tab 20mg
- Benazepril Tab 40mg
- Bisoprol Fum Tab 10mg
- Bisoprol Fum Tab 5mg
- Buspirone Tab 10mg
- Buspirone Tab 15mg
- Buspirone Tab 30mg
- Buspirone Tab 5mg
- But/Apap/Caf Cap
- Caffeine Cit Inj 60mg/3ml
- Celecoxib Cap 200mg
- Chlorpromaz Tab 100mg
- Chlorpromaz Tab 10mg
- Chlorpromaz Tab 200mg
- Chlorpromaz Tab 25mg
- Chlorpromaz Tab 50mg
- Clindamycin Inj 300/2ml
- Clindamycin Inj 600/4ml
- Clindamycin Inj 900/6ml
- Clindamycin Inj 9gm/60ml
- Clobetasol Oin 0.05%
- Colchicine Tab 0.6mg
- Cyproheptad Tab 4mg
- D5w/Nacl Inj 0.3%
- D5w/Nacl Inj 0.45%
- D5w/Nacl Inj 0.9%
- Daunorubicin Inj 20mg/4ml
- Decitabine Inj 50mg
- Descovy Tab 200/25
- Dextrose Inj 5%
- Dextrose Inj 70%
- Diclofenac Gel 1%
- Dicyclomine Tab 20mg
- Docetaxel Inj 160/8ml
- Docetaxel Inj 20mg/Ml
- Docetaxel Inj 80mg/4ml
- Doxycycline Tab 20mg
- Doxyl/Pyrid Tab 10-10mg
- Dulera Aer 50-5mcg
- Enoxaparin Inj 30/0.3ml
- Enskyce Tab
- Esperoct Inj 1000unit
- Esperoct Inj 1500unit
- Esperoct Inj 2000unit
- Esperoct Inj 3000unit
- Esperoct Inj 500unit
- Exemestane Tab 25mg
- Gabapentin Sol 300/6ml
- Ganciclovir Inj 500mg
- Gemcitabine Inj 1gm
- Gemcitabine Inj 200mg
- Gemcitabine Inj 2gm
- Glimepiride Tab 1mg
- Glimepiride Tab 2mg
- Glimepiride Tab 4mg
- Glipizide Er Tab 10mg
- Haloper Dec Inj 100mg/Ml
- Haloper Dec Inj 50mg/Ml
- Haloperidol Tab 0.5mg
- Haloperidol Tab 10mg
- Haloperidol Tab 1mg
- Haloperidol Tab 20mg
- Haloperidol Tab 2mg
- Haloperidol Tab 5mg
- Hydroxychlor Tab 200mg
- Ingrezza Cap 40mg
- Ingrezza Cap 80mg
- Ketorolac Inj 15mg/Ml
- Ketorolac Inj 30mg/Ml
- Ketorolac Inj 60mg/2ml
- Lactated Rin Sol Irrigat
- Lactulose Sol 10gm/15
- Levothyroxin Tab 25mcg
- Levothyroxin Tab 50mcg
- Levothyroxin Tab 75mcg
- Lidocaine Inj 1%
- Lidocaine Inj 2%
- Lidocaine Oin 5%
- Metoprolol Tab 50mg Er
- Midodrine Tab 10mg
- Midodrine Tab 2.5mg
- Midodrine Tab 5mg
- Mometasone Cre 0.1%
- Mucus Rel Dm Liq
- Mucus Relief Tab 60-1200
- Nabumetone Tab 500mg
- Nabumetone Tab 750mg
- Naloxone Inj 0.4mg/Ml
- Neurontin Sol 250/5ml
- Nicotine Pol Loz 4mg Mint
- Nicotine Td Dis 14mg/24h
- Nicotine Td Dis 21mg/24h
- Nicotine Td Dis 7mg/24hr
- Nitrofur Mac Cap 50mg
- Olopatadine Dro 0.1%
- Omeprazole Cap 10mg
- Omeprazole Cap 20mg
- Omeprazole Cap 40mg
- Ondansetron Tab 4mg
- Ondansetron Tab 8mg
- Pantoprazole Tab 40mg
- Paraplatin Inj 150/15ml
- Paraplatin Inj 450/45ml
- Paraplatin Inj 50mg/5ml
- Paraplatin Inj 600/60ml
- Perphenazine Tab 16mg
- Perphenazine Tab 2mg
- Perphenazine Tab 4mg
- Perphenazine Tab 8mg
- Piper/Tazoba Inj 4-0.5gm
- Pot Chloride Cap 10meq Er
- Pot Chloride Tab 20meq Er
- Prednisone Tab 20mg
- Pregabalin Cap 100mg
- Pregabalin Cap 150mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Propranolol Cap 120mg Er
- Propranolol Cap 160mg Er
- Propranolol Cap 60mg Er
- Propranolol Cap 80mg Er
- Pyridostigmi Sol 60mg/5ml
- Ranolazine Tab 1000mg
- Ranolazine Tab 500mg Er
- Risperdal Inj 12.5mg
- Risperdal Inj 25mg
- Risperdal Inj 37.5mg
- Risperdal Inj 50mg
- Rivastigmine Dis 13.3/24
- Rivastigmine Dis 4.6mg/24
- Rivastigmine Dis 9.5mg/24
- Sod Chloride Inj 0.45%
- Sod Chloride Inj 0.9%
- Sod Chloride Inj 3%
- Steril Water Inj
- Sucralfate Sus 1gm/10ml
- Tussin Adult Liq Cgh/Cong
- Valganciclov Tab 450mg
- Vancomycin Inj 1 Gm
- Virt-Fefa Cap Plus
- Zinc Sulfate Inj 3mg/Ml
- Zinc Sulfate Inj 5mg/Ml
Removals: (Note: only certain manufacturers removed)
- Acetamin Liq 160/5ml
- Acyclovir Tab 800mg
- Antacid Chw 750mg
- Aripiprazole Tab 20mg
- Azelex Cre 20%
- Azithromycin Tab 250mg
- Bupivacaine Inj Spinal
- Bupren/Nalox Sub 2-0.5mg
- Bupren/Nalox Sub 8-2mg
- Bupropion Tab 100mg Er
- Bupropion Tab 200mg Er
- Carb/Levo Tab 25-250mg
- Carbinoxamin Sol 4mg/5ml
- Carbinoxamin Tab 4mg
- Ceftriaxone Inj 1gm
- Celecoxib Cap 200mg
- Clindamycin Inj 300mg
- Clindamycin Inj 900mg
- Clinimix Sol 2.75%
- Clinimix E Inj 5%/D25w
- Clobetasol Cre 0.05%
- Clonazepam Tab 1mg
- Clonazepam Tab 2mg
- Desipramine Tab 10mg
- Dextrose Inj 5%
- Diclegis Tab 10-10mg
- Dipyridamole Tab 50mg
- Duloxetine Cap 30mg
- Enoxaparin Inj 30/0.3ml
- Enskyce Tab
- Escitalopram Tab 20mg
- Fluocin Acet Oil 0.01% Sc
- Fluocin Acet Oil 0.01%Bdy
- Fluoride Chw 0.5mg F
- Fluoxetine Cap 20mg
- Gabapentin Cap 100mg
- Gabapentin Cap 300mg
- Gabapentin Cap 400mg
- Gabapentin Tab 600mg
- Hydroco/Apap Tab 10-325mg
- Hyoscyamine Sub 0.125mg
- Ibuprofen Tab 600mg
- Ketorolac Inj 30mg/Ml
- Kyleena Iud 19.5mg
- Lactated Rin Sol Irrigat
- Levetiraceta Tab 1000mg
- Levetiraceta Tab 500mg
- Levetiraceta Tab 750mg
- Levobunolol Sol 0.5% Op
- Levofloxacin Tab 750mg
- Lisinopril Tab 10mg
- Lisinopril Tab 40mg
- Lisinopril Tab 5mg
- Lorazepam Tab 0.5mg
- Lorazepam Tab 2mg
- Mapap Liq 160/5ml
- Meclizine Tab 12.5mg
- Meclizine Tab 25mg
- Meropenem Inj 1gm
- Meropenem Inj 500mg
- Methyldopa Tab 250mg
- Microgestin Tab 1.5/30
- Mirena Iud System
- Multivitamin Cap Plus Zn
- Nystatin Cre 100000
- Omeprazole Cap 20mg
- Omeprazole Cap 40mg
- Ondansetron Inj 4mg/2ml
- Oxybutynin Tab 10mg Er
- Oxycod/Apap Tab 7.5-325
- Pioglitazone Tab 15mg
- Pioglitazone Tab 30mg
- Piper/Tazoba Inj 3-0.375g
- Piper/Tazoba Inj 4-0.5gm
- Pot Chloride Cap 10meq Er
- Pravastatin Tab 10mg
- Pravastatin Tab 20mg
- Pravastatin Tab 40mg
- Pravastatin Tab 80mg
- Prednisone Tab 20mg
- Premasol Sol 6%
- Promethazine Syp Dm
- Ramipril Cap 10mg
- Ranexa Tab 1000mg
- Ranexa Tab 500mg
- Repaglinide Tab 2mg
- Ribapak Pak 1000/Day
- Ribapak Pak 1200/Day
- Ribasphere Cap 200mg
- Ribasphere Tab 600mg
- Risperidone Tab 0.5mg
- Risperidone Tab 1mg Odt
- Risperidone Tab 2mg Odt
- Risperidone Tab 3mg Odt
- Risperidone Tab 4mg Odt
- Roweepra Xr Tab 500mg Xr
- Roweepra Xr Tab 750mg Xr
- Sildenafil Tab 20mg
- Skyla Iud 13.5mg
- Sod Chloride Inj 0.45%
- Sod Chloride Inj 0.9%
- Sod Fluoride Chw 1mg F
- Sorbitol-Man Sol
- Steril Water Sol Irrig
- Venlafaxine Tab 50mg
January 2020
Additions: (Note: only certain manufacturers added)
- Ak-Poly-Bac Oin Op
- Amox/K Clav Tab 875-125
- Aprepitant Cap 125mg
- Balsalazide Cap 750mg
- Benzonatate Cap 100mg
- Bethkis Neb 300/4ml
- Budes/Formot Aer 160-4.5
- Budes/Formot Aer 80-4.5
- Ciprofloxacn Inj 200mg
- Ciprofloxacn Inj 400mg
- Clobetasol Sol 0.05%
- Clobetasol E Cre 0.05%
- Clozaril Tab 200mg
- Clozaril Tab 50mg
- Decitabine Inj 50mg
- Dexameth Pho Inj 4mg/Ml
- Dextrose Inj 5%
- Diclofenac Gel 1%
- Eluryng Mis
- Enoxaparin Inj 100mg/Ml
- Enoxaparin Inj 120/0.8
- Enoxaparin Inj 150mg/Ml
- Enoxaparin Inj 30/0.3ml
- Enoxaparin Inj 40/0.4ml
- Enoxaparin Inj 60/0.6ml
- Enoxaparin Inj 80/0.8ml
- Etonogestere Mis Ethy Est
- Firvanq Sol 25mg/Ml
- Firvanq Sol 50mg/Ml
- Fluconazole Tab 150mg
- Fluoxetine Cap 10mg
- Fluoxetine Cap 20mg
- Fluoxetine Cap 40mg
- Fluvoxamine Tab 100mg
- Fluvoxamine Tab 25mg
- Fluvoxamine Tab 50mg
- Gabapentin Sol 250/5ml
- Isosorb Din Tab 10mg
- Isosorb Din Tab 20mg
- Isosorb Din Tab 30mg
- Isosorb Din Tab 40mg
- Isosorb Din Tab 5mg
- Lactulose Sol 10gm/15
- Levetiraceta Tab 500mg
- Lisinop/Hctz Tab 10-12.5
- Lisinop/Hctz Tab 20-12.5
- Lisinop/Hctz Tab 20-25mg
- Lovastatin Tab 10mg
- Naloxone Inj 0.4mg/Ml
- Nitrofur Mac Cap 100mg
- Nitrofurantn Cap 100mg
- Nor/Est/Ff Tab 1.5/30
- Oxycodone Sol 5mg/5ml
- Polycin Oin Op
- Pregabalin Cap 100mg
- Pregabalin Cap 150mg
- Pregabalin Cap 200mg
- Pregabalin Cap 225mg
- Pregabalin Cap 25mg
- Pregabalin Cap 300mg
- Pregabalin Cap 50mg
- Pregabalin Cap 75mg
- Pyridostigmi Sol 60mg/5ml
- Ranolazine Tab 1000mg
- Ranolazine Tab 500mg Er
- Rosuvastatin Tab 5mg
- Sod Chloride Inj 0.9%
- Sofos/Velpat Tab 400-100
- Tadalafil Tab 20mg
- Temazepam Cap 15mg
- Temazepam Cap 30mg
- Testosterone Gel 1.62%
- Travoprost Dro 0.004%
- Triamcinolon Oin 0.05%
- Tri-Lo- Tab Marzia
- Tusnel Diabt Liq 10-100/5
- Vanalice Gel 0.3-3.5%
Removals: (Note: only certain manufacturers removed)
- Acarbose Tab 50mg
- Acetic Acid Sol 0.25%Irr
- Acyclovir Cap 200mg
- Amifostine Inj 500mg
- Aminocapr Ac Inj 250mg/Ml
- Amlod/Valsar Tab 10-160mg
- Amlod/Valsar Tab 10-320mg
- Amlod/Valsar Tab 5-160mg
- Amlod/Valsar Tab 5-320mg
- Androgel Gel 1.62%
- Aripiprazole Tab 10mg
- Aripiprazole Tab 15mg
- Aspirin Tab 325mg
- Aspirin Low Chw 81mg
- Avonex Kit 30mcg
- Azelex Cre 20%
- Baclofen Tab 10mg
- Baclofen Tab 20mg
- Calc Acetate Cap 667mg
- Calc Antacid Chw 750mg
- Calcium Gluc Tab 500mg
- Cephalexin Cap 250mg
- Cephalexin Cap 500mg
- Cephalexin Sus 125/5ml
- Ciprofloxacn Tab 750mg
- Clarithromyc Tab 500mg
- Clobazam Tab 10mg
- Clobazam Tab 20mg
- Clonidine Tab 0.1mg
- Clonidine Tab 0.2mg
- Clonidine Tab 0.3mg
- D5w/Nacl Inj 0.3%
- D5w/Nacl Inj 0.45%
- D5w/Nacl Inj 0.9%
- Decitabine Inj 50mg
- Dexmethylph Tab 2.5mg
- Dextrose Inj 5%
- Dextrose Inj 70%
- Diclofenac Tab 50mg Dr
- Dicyclomine Cap 10mg
- Diltiazem Er Cap 360mg
- Donepezil Tab 10mg
- Doxycycl Hyc Cap 100mg
- Doxycycl Hyc Cap 50mg
- Drospir/Ethi Tab 3-0.02mg
- Duloxetine Cap 30mg
- Duloxetine Cap 60mg
- Finasteride Tab 5mg
- Fluoxetine Cap 40mg
- Fosinopril Tab 10mg
- Gabapentin Sol 250/5ml
- Gabapentin Tab 800mg
- Glipizide Tab 10mg
- Glyburid Mcr Tab 6mg
- Haloperidol Tab 1mg
- Haloperidol Tab 20mg
- Humira Pedia Inj Crohns
- Hydrochlorot Tab 25mg
- Hydroco/Apap Tab 2.5-325
- Hydroco/Apap Tab 5-325mg
- Hydroco/Apap Tab 7.5-325
- Irbesartan Tab 75mg
- Irinotecan Inj 40mg/2ml
- Isosorb Din Tab 5mg
- Lamotrigine Tab 150mg
- Lamotrigine Tab 25mg
- L-Cysteine Inj 50mg/Ml
- Letrozole Tab 2.5mg
- Levetiraceta Tab 250mg
- Lidocaine Sol 2% Visc
- Lisinopril Tab 10mg
- Lisinopril Tab 5mg
- Loratadine Tab 10mg
- Lorazepam Tab 1mg
- Lovastatin Tab 10mg
- Lovastatin Tab 20mg
- Lovastatin Tab 40mg
- Mapap Liq 160/5ml
- Meclizine Tab 12.5mg
- Megestrol Ac Sus 40mg/Ml
- Megestrol Ac Tab 20mg
- Megestrol Ac Tab 40mg
- Melphalan Inj 50mg
- Mesna Inj 1gm
- Metformin Tab 1000mg
- Metformin Tab 500mg
- Metformin Tab 850mg
- Metolazone Tab 5mg
- Metoprol Tar Tab 100mg
- Metronidazol Tab 500mg
- Montelukast Tab 10mg
- Neurontin Sol 250/5ml
- Nicotine Td Dis 14mg/24h
- Nicotine Td Dis 21mg/24h
- Nifedipine Cap 10mg
- Nitroglycer Dis 0.2mg/Hr
- Olmesa Medox Tab 20mg
- Olmesa Medox Tab 40mg
- Ondansetron Inj 4mg/2ml
- Ondansetron Tab 8mg Odt
- Oxycod/Apap Tab 5-325mg
- Oxycodone Tab 10mg
- Perphenazine Tab 16mg
- Perphenazine Tab 2mg
- Perphenazine Tab 4mg
- Perphenazine Tab 8mg
- Pot Chloride Cap 10meq Er
- Pot Chloride Tab 8meq Er
- Ramipril Cap 5mg
- Ranexa Tab 1000mg
- Ranexa Tab 500mg
- Risperidone Tab 0.25mg
- Ritonavir Tab 100mg
- Ropinirole Tab 0.5mg
- Ropinirole Tab 1mg
- Ropinirole Tab 2mg
- Simvastatin Tab 10mg
- Simvastatin Tab 20mg
- Simvastatin Tab 40mg
- Simvastatin Tab 5mg
- Simvastatin Tab 80mg
- Sod Chloride Inj 0.9%
- Sod Poly Sul Sus 15gm/60
- Sod Poly Sul Sus 30/120ml
- Sod Poly Sul Sus 50/200ml
- Stavudine Cap 15mg
- Stavudine Cap 20mg
- Stavudine Cap 30mg
- Stavudine Cap 40mg
- Steril Water Inj
- Telmisartan Tab 40mg
- Travatan Z Dro 0.004%
- Trazodone Tab 100mg
- Tri-Lo- Tab Marzia
- Valacyclovir Tab 1gm
- Valacyclovir Tab 500mg
- Zolpidem Tab 10mg
- Zolpidem Tab 5mg