Current Effective Date
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- Horatio Underwood
- 5 years ago
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Transcription
1 Drug Form Current Effective Date MAC price Date Updated Acarbose 100mg TABS /26/2008 6/26/2008 Acarbose 25mg TABS /26/2008 6/26/2008 Acarbose 50mg TABS /26/2008 6/26/2008 Accu-check Active Strips STRIPS /22/ /22/2007 Accu-check Advantage Test Strips STRIPS /22/ /22/2007 Accu-check Aviva STRIPS /22/ /22/2007 Accu-check Aviva Kit KIT /4/2006 5/4/2006 Accu-check Comfort Curve Test Strips STRIPS /22/ /22/2007 Accu-check Compact Strips STRIPS /22/ /22/2007 Accu-check Instant Glucose STRIPS /22/ /22/2007 Accu-Chek Multiclix Lancets BOX /5/ /5/2005 Acebutolol HCL Cap 200mg CAPS /31/ /31/2005 Acebutolol HCL Cap 400mg CAPS /31/ /31/2005 Acetaminophen Cap 500mg CAPS /13/2008 3/13/2008 Acetaminophen Chew Tab 160mg TABS /13/2008 3/13/2008 Acetaminophen Chew Tab 80mg TABS /13/2008 3/13/2008 Acetaminophen Elixir 160mg/5ml ELIX /13/2008 3/13/2008 Acetaminophen Liquid 160mg/5ml LIQD /13/2008 3/13/2008 Acetaminophen Soln 100mg/ml SOLN /13/2008 3/13/2008 Acetaminophen Soln 160mg/5ml SOLN /13/2008 3/13/2008 Acetaminophen Suppos 120mg SUPP /13/2008 3/13/2008 Acetaminophen Suppos 325mg SUPP /13/2008 3/13/2008 Acetaminophen Suppos 650mg SUPP /13/2008 3/13/2008 Acetaminophen Suppos 80mg SUPP /13/2008 3/13/2008 Acetaminophen Susp 160mg/5ml SUSP /13/2008 3/13/2008 Acetaminophen Tab 325mg TABS /13/2008 3/13/2008 Acetaminophen Tab 500mg TABS /28/2008 8/28/2008 Acetaminophen Tab CR 650mg TABS /13/2008 3/13/2008 Acetaminophen w/ Butalb / Caffeine TABS /25/2006 5/25/2006 Acetaminophen w/ Codeine Tab mg TABS /23/2009 1/23/2009 Acetaminophen w/ Codeine Tab mg TABS /28/ /28/2007 Acetaminophen w/ Hydrocodone Tab mg TABS /7/2003 7/7/2003 Acetaminophen w/ Hydrocodone Tab mg TABS /7/2003 7/7/2003 Acetaminophen w/ Hydrocodone Tab mg TABS /29/ /29/2005 Acetazolamide Tab 250mg TABS /17/2008 4/24/2008 Acetic Acid Otic Soln 2% SOLN /24/ /24/2008 Acetylcyst Soln 10% 10ml SOLN /2/2006 2/2/2006 Acetylcysteine Inhal Soln 10% SOLN /26/2008 9/26/2008 Acetylcysteine Inhal Soln 20% SOLN /24/2006 8/24/2006 Acyclovir Cap 200mg CAPS /28/2008 8/28/2008 Acyclovir suspension 200mg/5ml SUSP /28/ /28/2007 Acyclovir Tab 400mg TABS /28/2008 8/28/2008 Acyclovir Tab 800mg TABS /28/2008 8/28/2008 Advance Intuition Kit KIT /4/2006 5/4/2006 Advance Intuition Test Strips STRIPS /22/ /22/2007 Advance Micro-Draw Test Strips STRIPS /22/ /22/2007 Advocate Test Strips STRIPS /22/ /22/2007 Albertsons Test Strips STRIPS /22/ /22/2007 Albuterol Inhal Aerosol 90 mcg/act AERS /18/2008 4/24/2008 Albuterol Sulfate 2mg/5ml SOLN /25/2006 5/25/2006 Albuterol Sulfate Soln 2mg SOLN /25/2006 5/25/2006 Albuterol Sulfate Soln Nebu 0.083% NEBU /24/ /24/2008 Albuterol Sulfate Soln Nebu 0.5% (5mg/ml) SOLN /23/2009 1/23/2009 Albuterol Sulfate Soln Nebu 1.25MG/3 ML NEBU /28/2008 8/28/2008 Albuterol-Ipratropium Nebu Soln 2.5(3)-0.5mg/3ml SOLN /28/2008 2/28/2008 Albuterol-Ipratropium Nebu Soln 2.5(3)-0.5mg/3ml SOLN /29/ /29/2008 Alendronate Sodium Tab 10mg TABS /26/2008 9/26/2008 Alendronate Sodium Tab 35mg TABS /29/ /29/2008 Alendronate Sodium Tab 40mg TABS /26/2008 9/26/2008 Alendronate Sodium Tab 5mg TABS /26/2008 9/26/2008 Alendronate Sodium Tab 70mg TABS /29/ /29/2008
2 Allopurinol Tab 300mg TABS /23/2009 1/23/2009 Alprazolam ER 0.5mg TABS /24/2007 8/24/2007 Alprazolam ER 1mg TABS /24/2007 8/24/2007 Alprazolam ER 2mg TABS /24/2007 8/24/2007 Alprazolam ER 3mg TABS /24/2007 8/24/2007 Alprazolam Tab 1mg TABS /27/2009 2/27/2009 Alprazolam Tab 2mg TABS /24/2008 1/24/2008 Alprazolam Tab SR 24HR 1mg TABS /23/2009 1/23/2009 Alprazolam Tab SR 24HR 2mg TABS /23/2009 1/23/2009 Alprazolam Tab SR 24HR 3mg TABS /23/2009 1/23/2009 Alum & Mag Hydroxide-Simethicone Susp mg/5ml SUSP /13/2008 3/13/2008 Alum & Mag Hydroxide-Simethicone Susp mg/5ml SUSP /13/2008 3/13/2008 Aluminum & Magnesium Hydroxides Susp mg/5ml SUSP /13/2008 3/13/2008 Aluminum Hydroxide Gel Susp 320mg/5ml SUSP /13/2008 3/13/2008 Amantadine HCL Cap 100mg CAPS /24/2006 8/24/2006 Amiodarone HCL Tab 200mg TABS /24/2006 8/24/2006 Amitriptyline 100mg TABS /28/ /28/2007 Amitriptyline 150mg TABS /28/ /28/2007 Amlodipine 10mg TABS /24/2008 4/24/2008 Amlodipine 2.5mg TABS /24/2008 4/24/2008 Amlodipine 5mg TABS /24/2008 4/24/2008 Amlodipine Besylate Tab 10mg TABS /23/2009 1/23/2009 Amlodipine Besylate Tab 2.5mg TABS /23/2009 1/23/2009 Amlodipine Besylate Tab 5mg TABS /23/2009 1/23/2009 Amlodipine Besylate-Benazepril HCl Cap 10-20mg CAPS /24/2008 7/24/2008 Amlodipine Besylate-Benazepril HCl Cap mg CAPS /24/2008 7/24/2008 Amlodipine Besylate-Benazepril HCl Cap 5-10mg CAPS /24/2008 7/24/2008 Amlodipine Besylate-Benazepril HCl Cap 5-20mg CAPS /24/2008 7/24/2008 Amlodipine/Benaz mg CAPS /25/ /25/2007 Amlodipine/Benaz 5-10mg CAPS /25/ /25/2007 Ammonium lactate cream 12% CRM /27/2008 3/27/2008 Amoxicillin & K Clavulanate Chew Tab TABS /27/ /27/2008 Amoxicillin & K Clavulanate For Susp mg/5ml SUSR /23/2009 1/23/2009 Amoxicillin & K Clavulanate For Susp mg/5ml SUSR /22/2008 5/22/2008 Amoxicillin & K Clavulanate For Susp mg/5ml SUSR /27/ /27/2008 Amoxicillin & K Clavulanate Tab mg TABS /23/2007 2/23/2007 Amoxicillin & K Clavulanate Tab mg TABS /24/2008 4/24/2008 Amoxicillin & K Clavulanate Tab mg TABS /24/2008 4/24/2008 Amoxicillin (Trihydrate) Chew Tab 200mg CHEW /7/2003 7/7/2003 Amoxicillin (Trihydrate) Chew Tab 400mg CHEW /28/2008 8/28/2008 Amoxicillin (Trihydrate) For Susp 250 mg/5ml SUSR /28/2008 8/28/2008 Amoxicillin (Trihydrate) For Susp 400 mg/5ml SUSR /28/2008 8/28/2008 Amoxicillin (Trihydrate) Tab 875mg TABS /27/2008 3/27/2008 Amoxicillin 500mg Tab TABS /24/2005 2/24/2005 Amoxicillin Suspension 400mg/5ml SUSR /27/2006 7/27/2006 Amphetamine Tab 30mg TABS /25/2008 5/22/2008 Amphetamine-Dextroamphetamine Tab 10mg TABS /28/2007 6/28/2007 Amphetamine-Dextroamphetamine Tab 12.5mg TABS /28/2007 6/28/2007 Amphetamine-Dextroamphetamine Tab 15mg TABS /26/2006 1/26/2006 Amphetamine-Dextroamphetamine Tab 20mg TABS /28/2008 8/28/2008 Amphetamine-Dextroamphetamine Tab 30mg TABS /23/2009 1/23/2009 Amphetamine-Dextroamphetamine Tab 5mg TABS /23/2009 1/23/2009 Amphetamine-Dextroamphetamine Tab 7.5mg TABS /28/2007 6/28/2007 Ampicillin/sulbactam 1.5gm SOLR /27/2007 9/27/2007 Ampicillin/sulbactam 15gm SOLR /27/2007 9/27/2007 Ampicillin/sulbactam 3gm SOLR /27/2007 9/27/2007 Amy-Lip-Prot DR Particles Cap Unit CAPS /26/2008 6/26/2008 Amy-Lip-Prot DR Particles Cap Unit CAPS /23/ /24/2008 Anagrelide 0.5mg CAPS /25/2006 5/25/2006 Anagrelide 1mg CAPS /25/2006 5/25/2006 Anagrelide HCl Cap 0.5mg CAPS /23/2009 1/23/2009 Anagrelide HCl Cap 1mg CAPS /23/2009 1/23/2009 Artificial Saliva - Solution SOLN /13/2008 3/13/2008 Artificial Tear Ophth Ointment OINT /13/2008 3/13/2008
3 Artificial Tear Ophth Solution SOLN /13/2008 3/13/2008 Ascensia Kit Breeze 2 KIT /4/2006 2/23/2007 Ascensia Test Strips STRIPS /22/ /22/2007 Ascorbic Acid Chew Tab 250mg TABS /13/2008 3/13/2008 Ascorbic Acid Chew Tab 500mg TABS /13/2008 3/13/2008 Ascorbic Acid Syrup 500mg/5ml SYRP /13/2008 3/13/2008 Ascorbic Acid Tab 1000mg TABS /13/2008 3/13/2008 Ascorbic Acid Tab 250mg TABS /13/2008 3/13/2008 Ascorbic Acid Tab 500mg TABS /13/2008 3/13/2008 Aspirin Buffered (Ca Carb-Mg Carb-Mg Ox) Tab 325mg TABS /13/2008 3/13/2008 Aspirin Chew Tab 81mg TABS /28/2008 8/28/2008 Aspirin Tab 325mg TABS /13/2008 3/13/2008 Aspirin Tab 81mg TABS /28/2008 8/28/2008 Aspirin Tab Delayed Release 325mg TABS /13/2008 3/13/2008 Aspirin Tab Delayed Release 81mg TABS /13/2008 3/13/2008 Aspirin-Acetaminophen-Caffeine Tab mg TABS /13/2008 3/13/2008 Assure Test Strips STRIPS /22/ /22/2007 At Last Test Strips STRIPS /22/ /22/2007 Atenolol Tab 100 MG TABS /28/2008 8/28/2008 Atenolol Tab 25mg TABS /23/2009 1/23/2009 Augmented Betamethasone Dipropionate Cream 0.05% 50gm CREAM /28/2008 8/28/2008 Augmented Betamethasone Dipropionate Cream 0.05% 15 gm CRM /22/2007 3/22/2007 Augmented Betamethasone Dipropionate Oint 0.05% OINT /7/2003 7/7/2003 Azathioprine Tab 50mg TABS /25/2006 5/25/2006 Azithromycin 100mg/5ml SUSP /30/2007 4/26/2007 Azithromycin 200mg/5ml 15ml SUSP /22/2008 5/22/2008 Azithromycin 200mg/5ml 22.5ml SUSP /22/2008 5/22/2008 Azithromycin 200mg/5ml 30ml SUSP /22/2008 5/22/2008 Azithromycin Tab 250mg TABS /24/2008 4/24/2008 Azithromycin Tab 500mg TABS /26/2008 9/26/2008 Azithromycin Tab 600mg TABS /26/2008 9/26/2008 Bacitracin Oint 500 Unit/GM OINT /13/2008 3/13/2008 Bacitracin-Polymyxin B Ophth Oint OINT /23/2009 1/23/2009 Baclofen Tab 10mg TABS /23/2009 1/23/2009 Baclofen Tab 20mg TABS /23/2009 1/23/2009 Balsalazide 750mg CAPS /26/2008 6/26/2008 B-Complex Vitamin Cap CAPS /13/2008 3/13/2008 B-Complex Vitamin Tab TABS /13/2008 3/13/2008 B-Complex w/ C & Folic Acid Tab 0.8 MG TABS /13/2008 3/13/2008 B-Complex w/ C & Folic Acid Tab 0.8mg TABS /4/2006 5/4/2006 B-Complex w/ C & Folic Acid Tab 1 MG TABS /28/2008 8/28/2008 BD Latitude Kit KIT /4/2006 2/23/2007 BD Logic Kit Monitor KIT /4/2006 2/23/2007 BD Logic Kit Monitor KIT /4/2006 2/23/2007 BD Test Strips STRIPS /22/2007 4/26/2007 Benazepril & Hydrochlorothiazide Tab mg TABS /24/2008 7/24/2008 Benazepril & Hydrochlorothiazide Tab mg TABS /24/2008 7/24/2008 Benazepril & Hydrochlorothiazide Tab 20-25mg TABS /24/2008 7/24/2008 Benazepril & Hydrochlorothiazide Tab mg TABS /24/2008 7/24/2008 Benazepril TABS /31/ /31/2005 Benazepril 10mg TABS /28/2008 2/28/2008 Benazepril TABS /31/ /31/2005 Benazepril 20mg TABS /28/2008 8/28/2008 Benazepril 40mg TABS /28/2008 8/28/2008 Benazepril TABS /31/ /31/2005 Benazepril 5mg TABS /28/2008 2/28/2008 Benzocaine-Antipyrine Otic Soln % OTIC /28/2008 8/28/2008 Benzonatate 100mg CAPS /1/ /3/2003 Benzoyl Per Gel GM /24/2006 8/24/2006 Benzoyl Peroxide - Erythromycin Gel 5-3% 23.3 GM GM /26/2006 1/26/2006 Benzoyl Peroxide - Erythromycin Gel 5-3% 46.6 GM GM /26/2006 1/26/2006 Benzoyl Peroxide Gel 10% GEL /13/2008 3/13/2008 Benzoyl Peroxide Gel 2.5% GEL /28/2008 8/28/2008 Benzoyl Peroxide Gel 5% GEL /28/2008 8/28/2008
4 Benzoyl peroxide liquid wash 10% LIQD /27/2008 3/27/2008 Benzoyl peroxide lotion 5% LOTION /27/2009 2/27/2009 Betameth DP Aug 0.05% cream 15gm CREAM /27/2007 9/27/2007 Betameth DP Aug 0.05% cream 50gm CREAM /27/2007 9/27/2007 Betameth DP Aug 0.05% gel 15gm GEL /27/2007 9/27/2007 Betameth DP Aug 0.05% gel 50gm GEL /27/2007 9/27/2007 Betameth DP Aug 0.05% lotion 30gm LOTN /27/2007 9/27/2007 Betameth DP Aug 0.05% lotion 60gm LOTN /27/2007 9/27/2007 Betameth DP Aug 0.05% oint 15gm OINT /27/2007 9/27/2007 Betameth DP Aug 0.05% oint 50gm OINT /27/2007 9/27/2007 Betamethasone Valerate Cream 0.1% CREAM /23/2009 1/23/2009 Betamethasone Valerate Lotion 0.1% LOTN /23/2009 1/23/2009 Betamethasone Valerate Oint 0.1% OINT /23/2009 1/23/2009 Bethanechol Chloride Tab 10mg TABS /24/2006 8/24/2006 Bethanechol Chloride Tab 25mg TABS /24/2006 8/24/2006 Bethanechol Chloride Tab 50mg TABS /24/2006 8/24/2006 Bioscanner Glucose Test Strips STRIPS /22/ /22/2007 Bisacodyl Suppos 10mg SUPP /13/2008 3/13/2008 Bisacodyl Tab Delayed Release 5mg TABS /13/2008 3/13/2008 Bismuth Subsalicylate Chew Tab 262mg TABS /13/2008 3/13/2008 Bismuth Subsalicylate Susp 262mg/15ml SUSP /13/2008 3/13/2008 Bismuth Subsalicylate Tab 262mg TABS /13/2008 3/13/2008 Bisoprolol Fumarate Tab 10mg TABS /29/ /29/2005 Bisoprolol Fumarate Tab 5mg TABS /29/ /29/2005 BL Test Strips STRIPS /22/ /22/2007 Blood Glucose Monitoring Kit w/ Device KIT /1/2003 9/30/2003 Blood Glucose Test Strips STRIPS /22/ /22/2007 Boost 1.5Cal Liq Vanilla LIQD /4/2008 2/27/2009 Brimonidine Tart 0.2% Opth Soln SOLN /24/2006 8/24/2006 Brimonidine Tart 0.2% Opth Soln 10ml SOLN /28/2008 2/28/2008 Brimonidine Tart 0.2% Opth Soln 15ml SOLN /28/2008 2/28/2008 Brimonidine Tart 0.2% Opth Soln 5ml SOLN /28/2008 2/28/2008 Bromocriptine Mesylate Tab 2.5mg TABS /24/2006 8/24/2006 Budesonide Inhalation Susp 0.25mg/2ml SUSP /27/ /27/2008 Budesonide Inhalation Susp 0.5mg/2ml SUSP /27/ /27/2008 Bupropion HCL (Smoking Deterrent) Tab SR 12HR 150mg TABS /25/ /25/2007 Bupropion HCL Tab 100mg TABS /24/2006 8/24/2006 Bupropion HCL Tab 75mg TABS /24/2006 8/24/2006 Bupropion HCL Tab SR 12HR 100mg TABS /25/ /25/2007 Bupropion HCL Tab SR 12HR 150mg TABS /26/2008 6/26/2008 Bupropion HCl Tab SR 12HR 200mg TABS /22/2008 5/22/2008 Bupropion HCl Tab SR 24HR 150mg TABS /30/2009 1/30/2009 Bupropion HCl Tab SR 24HR 300mg TABS /23/2009 1/23/2009 Buspirone HCL Tab 10mg TABS /23/2009 1/23/2009 Buspirone HCL Tab 15mg TABS /23/2009 1/23/2009 Buspirone HCL Tab 30mg TABS /28/ /28/2007 Buspirone HCL Tab 5mg TABS /23/2009 1/23/2009 Buspirone HCL Tab 7.5mg TABS /12/2004 9/23/2004 Butalbital CMPD CAPS /24/2006 8/24/2006 Butalbital CMPD TABS /24/2006 8/24/2006 Butalbital-Acetaminophen-Caff w/ COD Cap mg CAPS /27/2008 3/27/2008 Butalbital-Acetaminophen-Caffeine Cap mg CAPS /24/2006 8/24/2006 Butalbital-Acetaminophen-Caffeine Tab mg TABS /28/2008 8/28/2008 Butalbital-Aspirin-Caff w/ Codeine Cap mg CAPS /27/2008 3/27/2008 Butorphanol Tartrate Nasal Soln 10mg/ml SOLN /23/2009 1/23/2009 Cabergoline 0.5mg TABS /22/2006 6/29/2006 Caffeine Citrate Oral Soln 20 MG/ML (10 MG/ML Base Equiv) SOLN /22/2008 5/22/2008 Calcipotriene Soln 0.005% (50 MCG/ML) SOLN /26/2008 6/26/2008 Calcitonin (salmon) Nasal soln SOLN /27/2007 9/27/2007 Calcitriol 1 MCG/ml SOLN /22/2007 3/22/2007 Calcitriol Cap 0.25 MCG CAPS /31/ /31/2005 Calcitriol Cap 0.5 MCG CAPS /31/ /31/2005 Calcium 250mg w/ Vitamin D Tab TABS /13/2008 3/13/2008 Calcium 500mg w/ Vitamin D Tab TABS /13/2008 3/13/2008
5 Calcium 600mg w/ Vitamin D Tab TABS /13/2008 3/13/2008 Calcium Carbonate (Antacid) Chew Tab 1000mg TABS /13/2008 3/13/2008 Calcium Carbonate (Antacid) Chew Tab 500mg TABS /13/2008 3/13/2008 Calcium Carbonate (Antacid) Chew Tab 750mg TABS /13/2008 3/13/2008 Calcium Carbonate (Antacid) Tab 650mg TABS /13/2008 3/13/2008 Calcium Carbonate Chew Tab 1250mg (500 MG Elemental Ca) TABS /13/2008 3/13/2008 Calcium Carbonate Susp 1250mg/5ml SUSP /13/2008 3/13/2008 Calcium Carbonate Tab 1250mg (500mg Elemental Ca) TABS /2/2008 6/26/2008 Calcium Carbonate Tab 1500mg (600 MG Elemental Ca) TABS /13/2008 3/13/2008 Calcium Carbonate Tab 600mg TABS /13/2008 3/13/2008 Calcium Carbonate-Cholecalciferol Tab 600 MG-200 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Chew Tab 500 MG-400 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 250mg-125 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 500mg-125 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 500mg-200 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 600mg-125 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 600mg-200 Unit TABS /13/2008 3/13/2008 Calcium Carbonate-Vitamin D Tab 600mg-400 Unit TABS /13/2008 3/13/2008 Calcium Carb-Vit D w/ Minerals Tabs 600 MG-200 Unit TABS /13/2008 3/13/2008 Calcium Carb-Vit D w/ Minerals Tabs 600 MG-400 Unit TABS /13/2008 3/13/2008 Calcium Citrate Tab 950mg (200mg Elemental Ca) TABS /13/2008 3/13/2008 Calcium Citrate-Vitamin D Tab 1500mg-200 Unit TABS /13/2008 3/13/2008 Calcium Citrate-Vitamin D Tab 200mg-200 Unit (Elemental Ca) TABS /13/2008 3/13/2008 Calcium Citrate-Vitamin D Tab 315mg-200 Unit TABS /13/2008 3/13/2008 Calcium Gluconate 500mg TABS /13/ /2/2004 Calcium Polycarbophil Tab 625mg TABS /13/2008 3/13/2008 Calcium w/ Vitamin D & K Chew Tab 500mg-100 Unit-40mcg TABS /13/2008 3/13/2008 Capsaicin Cream 0.025% CREAM /13/2008 3/13/2008 Capsaicin Cream 0.075% CREAM /13/2008 3/13/2008 Carbamazepine Chew Tab 100mg CHEW /23/2009 1/23/2009 Carbamazepine Tab 200mg TABS /23/2009 1/23/2009 Carbamide Peroxide 6.5% Otic Soln SOLN /13/2008 3/13/2008 Carbidopa & Levodopa Tab mg TABS /24/2006 8/24/2006 Carbidopa & Levodopa Tab mg TABS /24/2006 8/24/2006 Carbidopa & Levodopa Tab mg TABS /24/2006 8/24/2006 Carbidopa & Levodopa Tab CR mg TABS /4/2006 5/4/2006 Carbidopa & Levodopa Tab CR mg TABS /4/2006 5/4/2006 Carbidopa/Levodopa Tab 10/100mg TABS /4/2006 5/4/2006 Carbidopa/Levodopa Tab 25/100mg TABS /4/2006 5/4/2006 Carbidopa/Levodopa Tab 25/250mg TABS /4/2006 5/4/2006 Carboplantin IV Soln 10mg/ml SOLN /9/2006 3/9/2006 Carboxymethylcellulose 0.5% SOLN /22/2007 3/22/2007 Carboxymethylcellulose Sodium Ophth Soln 0.5% SOLN /13/2008 3/13/2008 Carboxymethylcellulose Sodium Ophth Soln 0.5% 15ml SOLN /31/2008 4/24/2008 Carboxymethylcellulose Sodium Ophth Soln 0.5% 30ml SOLN /24/2008 4/24/2008 Carboxymethylcellulose Sodium Ophth Soln 0.5% 50ml SOLN /24/2008 4/24/2008 Carboxymethylcellulose Sodium Ophth Soln 0.5% 70cc SOLN /15/2009 2/27/2009 Carboxymethylcellulose Sodium Ophth Soln 1% SOLN /13/2008 3/13/2008 Carisoprodol Tab 350mg TABS /9/2006 3/9/2006 Carteolol HCL Ophth Soln 1% 10ml SOLN /24/2006 8/24/2006 Carteolol HCL Ophth Soln 1% 15ml SOLN /24/2006 8/24/2006 Carteolol HCL Ophth Soln 1% 5ml SOLN /24/2006 8/24/2006 Carvedilol Tab 12.5mg TABS /22/2008 5/22/2008 Carvedilol Tab 25mg TABS /22/2008 5/22/2008 Carvedilol Tab 3.125mg TABS /22/2008 5/22/2008 Carvedilol Tab 6.25mg TABS /22/2008 5/22/2008 Casanthranol-DSS Cap mg CAPS /13/2008 3/13/2008 CDP/Amitrip 10-25mg TABS /24/2006 8/24/2006 CDP/Amitrip mg TABS /24/2006 8/24/2006 Cefaclor Cap 250mg CAPS /31/ /31/2005 Cefaclor Cap 500mg CAPS /31/ /31/2005 Cefaclor For Susp 125mg/5ml SUSR /7/2003 7/7/2003 Cefaclor For Susp 187mg/5ml SUSR /7/2003 7/7/2003 Cefaclor For Susp 250mg/5ml SUSR /7/2003 7/7/2003
6 Cefaclor For Susp 375mg/5ml SUSR /7/2003 7/7/2003 Cefadroxil Cap 500mg CAPS /27/2008 3/27/2008 Cefadroxil For Susp 250mg/5ml SUSP /27/2008 3/27/2008 Cefadroxil For Susp 500mg/5ml SUSP /27/2008 3/27/2008 Cefadroxil Tab 1 GM TABS /7/2003 7/7/2003 Cefazolin Sodium For Inj 10GM INJ /27/2006 7/27/2006 Cefazolin Sodium For Inj 1GM INJ /23/2009 1/23/2009 Cefdinir Cap 300mg CAPS /24/ /24/2008 Cefdinir For Susp 125mg/5ml SUSP /24/ /24/2008 Cefdinir For Susp 250mg/5ml SUSP /24/ /24/2008 Cefpedoxime 100mg/5cc SUSR /22/ /22/2007 Cefpedoxime 50mg/5cc SUSR /22/ /22/2007 Cefpodoxime Prox 100mg TABS /22/2006 6/29/2006 Cefpodoxime Prox 200mg TABS /23/2007 2/23/2007 Cefpodoxime Proxetil For Susp 100mg/5ml SUSR /27/2008 3/27/2008 Cefprozil 125mg/5CC SUSR /22/ /22/2007 Cefprozil 250mg TABS /27/ /27/2008 Cefprozil 250mg/5CC SUSR /22/ /22/2007 Cefprozil 500mg TABS /27/ /27/2008 Ceftazidime Inj 6gm SOLR /28/2008 2/28/2008 Ceftriaxone Sodium For Inj 10GM INJ /28/2007 6/28/2007 Ceftriaxone Sodium For Inj 1GM INJ /22/2008 5/22/2008 Ceftriaxone Sodium For Inj 2GM INJ /22/2008 5/22/2008 Cefuroxime Axetil Tab 250mg TABS /22/ /22/2007 Cefuroxime Axetil Tab 500mg TABS /22/ /22/2007 Cellulose Powder POWD /13/2008 3/13/2008 Cephalexin Cap 250mg CAPS /27/ /27/2008 Cephalexin Cap 500mg CAPS /27/ /27/2008 Cephalexin For Susp 250mg/5ml SUSR /28/2008 8/28/2008 Cetirizine 10mg Chew Tabs CHEW /26/2008 6/26/2008 Cetirizine 5mg Chew Tabs CHEW /26/2008 6/26/2008 Cetirizine HCl Syrup 1mg/ml (5mg/5ml) SYRUP /26/2008 9/26/2008 Cetirizine HCl Tab 10mg TABS /28/2008 8/28/2008 Cetirizine HCl Tab 5mg TABS /28/2008 8/28/2008 Cetirizine syrup 1mg/ml SYRUP /26/2008 6/26/2008 Chlorhexidine Gluconate Liquid 4% LIQD /13/2008 3/13/2008 Chloroquine 500mg TABS /27/2008 3/27/2008 Chlorpheniramine Maleate Syrup 2mg/5ml SYRP /13/2008 3/13/2008 Chlorpheniramine Maleate Tab 4mg TABS /13/2008 3/13/2008 Chlorpromazine HCL Tab 100mg TABS /26/2006 1/26/2006 Chlorpromazine HCL Tab 10mg TABS /26/2006 1/26/2006 Chlorpromazine HCL Tab 200mg TABS /26/2006 1/26/2006 Chlorpromazine HCL Tab 25mg TABS /26/2006 1/26/2006 Chlorpromazine HCL Tab 50mg TABS /26/2006 1/26/2006 Cholecalciferol Cap 400 Unit CAPS /13/2008 3/13/2008 Cholecalciferol Tab 400 Unit TABS /13/2008 3/13/2008 Cholestyramine Light Powder Packet 4gm PACK /28/2008 2/28/2008 Cholestyramine Powder Packet 4GM PACK /23/2007 2/23/2007 Choline Magnesium Trisal 1000mg TABS /23/2007 2/23/2007 Choline Magnesium Trisal 500mg TABS /23/2007 2/23/2007 Choline Magnesium Trisal 750mg TABS /23/2007 2/23/2007 Ciclopirox 8% 6.6ml topical SOL /27/2008 3/27/2008 Ciclopirox cream 0.77% 15gm CREAM /27/2007 9/27/2007 Ciclopirox cream 0.77% 30gm CREAM /27/2007 9/27/2007 Ciclopirox cream 0.77% 90gm CREAM /27/2007 9/27/2007 Ciclopirox Olamine Cream 0.77% 15ml CRM /24/2006 8/24/2006 Ciclopirox Olamine Cream 0.77% 30ml CRM /24/2006 8/24/2006 Ciclopirox Olamine Cream 0.77% 90ml CRM /24/2006 8/24/2006 Ciclopirox Olamine Susp 0.77% 30ml SUSR /24/2006 8/24/2006 Ciclopirox Olamine Susp 0.77% 60ml SUSR /24/2006 8/24/2006 Cilostazol 100mg TABS /22/2008 5/22/2008 Cilostazol 50mg TABS /22/2008 5/22/2008 Cimetidine Tab 300 MG TABS /23/2009 1/23/2009 Cimetidine Tab 400 MG TABS /23/2009 1/23/2009
7 Cimetidine Tab 800 MG TABS /23/2009 1/23/2009 Ciprofloxacin HCL Ophth Soln 0.3% SOLN /31/ /31/2005 Ciprofloxacin HCL Ophth Soln 0.3% 10ml SOLN /2/2007 8/2/2007 Ciprofloxacin HCL Ophth Soln 0.3% 2.5ml SOLN /2/2007 8/2/2007 Ciprofloxacin HCL Ophth Soln 0.3% 5ml SOLN /2/2007 8/2/2007 Ciprofloxacin HCL Tab 100mg (Base Equiv) TABS /26/2007 4/26/2007 Ciprofloxacin HCL Tab 250mg (Base Equiv) TABS /28/2008 8/28/2008 Ciprofloxacin HCL Tab 500mg (Base Equiv) TABS /28/2008 8/28/2008 Ciprofloxacin HCL Tab 750mg (Base Equiv) TABS /31/ /31/2005 Citalopram Hydrobromide Oral Soln 10mg/5ml SOLN /24/2008 4/24/2008 Citalopram Hydrobromide tab 10mg (Base Equiv) TABS /28/ /28/2007 Citalopram Hydrobromide tab 20mg (Base Equiv) TABS /28/ /28/2007 Citalopram Hydrobromide tab 40mg (Base Equiv) TABS /23/2009 1/23/2009 Clarithromycin Tab 250mg TABS /28/2008 8/28/2008 Clarithromycin Tab 500mg TABS /28/2008 8/28/2008 Clarithromycin Tab 500mg ER TABS /24/ /24/2008 Clemastine Fumarate Tab 1.34mg (1 MG Base Equiv) TABS /13/2008 3/13/2008 Clemastine Fumarate Tab 2.68 MG TABS /27/2008 3/27/2008 Cleocin T Gel 1% GEL /11/ /21/2003 Clever Chek Test Strips STRIPS /22/ /22/2007 Clindamycin HCL Cap 150mg CAPS /28/2008 8/28/2008 Clindamycin HCL Cap 300mg CAPS /24/2008 4/24/2008 Clindamycin Phosphate gel 1% 30gm GEL /27/2007 9/27/2007 Clindamycin Phosphate gel 1% 60gm GEL /27/2007 9/27/2007 Clindamycin Phosphate lotion 1% LOTN /27/2007 9/27/2007 Clindamycin Phosphate pads 1% SWAB /27/2007 9/27/2007 Clindamycin Phosphate soln 1% 30gm SOLN /27/2007 9/27/2007 Clindamycin Phosphate soln 1% 60gm SOLN /27/2007 9/27/2007 Clindamycin Phosphate Swab 1% SWAB /24/2008 4/24/2008 Clindamycin Phosphate Vaginal Cream 2% CRM /27/2008 3/27/2008 Clobetasol Propionate CRM 0.05% 15GM CRM /26/2006 1/26/2006 Clobetasol Propionate CRM 0.05% 30GM CRM /26/2006 1/26/2006 Clobetasol Propionate CRM 0.05% 45GM CRM /26/2006 1/26/2006 Clobetasol Propionate CRM 0.05% 60GM CRM /26/2006 1/26/2006 Clobetasol Propionate Oint 0.05% 15GM OINT /26/2006 1/26/2006 Clobetasol Propionate Oint 0.05% 30GM OINT /26/2006 1/26/2006 Clobetasol Propionate Oint 0.05% 45GM OINT /26/2006 1/26/2006 Clobetasol Propionate Oint 0.05% 60GM OINT /26/2006 1/26/2006 Clobetasol Propionate Soln 0.05% 25ml SOLN /4/2006 5/4/2006 Clobetasol Propionate Soln 0.05% 50ml SOLN /4/2006 5/4/2006 Cloestipol HCL 5GM GRAN /23/2007 2/23/2007 Cloestipol Pack HCL 5GM PACK /23/2007 2/23/2007 Clomipramine Cap 25mg CAPS /24/2006 8/24/2006 Clomipramine Cap 50mg CAPS /24/2006 8/24/2006 Clomipramine Cap 75mg CAPS /24/2006 8/24/2006 Clomipramine HCL Cap 50mg CAPS /26/2005 5/26/2005 Clomipramine HCL Cap 75mg CAPS /26/2005 5/26/2005 Clonazepam ODT Tab 0.125mg TABS /28/ /28/2007 Clonazepam ODT Tab 0.25mg TABS /28/ /28/2007 Clonazepam ODT Tab 0.5mg TABS /28/ /28/2007 Clonazepam ODT Tab 1mg TABS /28/ /28/2007 Clonazepam ODT Tab 2mg TABS /28/ /28/2007 Clonazepam Tab 0.5mg TABS /28/2008 8/28/2008 Clonazepam Tab 1mg TABS /28/2008 8/28/2008 Clonazepam Tab 2mg TABS /28/2008 8/28/2008 Clonidine 0.1mg TABS /28/2008 8/28/2008 Clonidine 0.2mg TABS /28/2008 8/28/2008 Clonidine 0.3mg TABS /28/2008 8/28/2008 Clopidogrel 75mg TABS /28/2006 9/28/2006 Clorazepate Dipotassium Tab 15mg TABS /7/2003 7/7/2003 Clorazepate Dipotassium Tab 3.75mg TABS /7/2003 7/7/2003 Clorazepate Dipotassium Tab 7.5mg TABS /7/2003 7/7/2003 Clotrimazole 1% Troche TABS /22/2007 3/22/2007 Clotrimazole 10mg Troche TROC /24/2007 8/24/2007
8 Clotrimazole Cream 1% 15 gm CREAM /2/2008 5/22/2008 Clotrimazole Cream 1% 30 gm CREAM /29/ /29/2008 Clotrimazole Cream 1% 45 gm CREAM /2/2008 5/22/2008 Clotrimazole Vaginal Cream 1% CREAM /13/2008 3/13/2008 Clotrimazole Vaginal Cream 2% CREAM /13/2008 3/13/2008 Clotrimazole w/ Betamethasone Cream % 15gm CREAM /24/2008 4/24/2008 Clotrimazole w/ Betamethasone Cream % 45gm CREAM /24/2008 5/22/2008 Clotrimozole w/betamethasone cream 15gm CREAM /27/2007 9/27/2007 Clotrimozole w/betamethasone cream 45gm CREAM /27/2007 9/27/2007 Clozapine Tab 100mg TABS /23/2007 2/23/2007 Clozapine Tab 200mg TABS /22/ /22/2007 Clozapine Tab 25mg TABS /12/2004 8/12/2004 Clozapine Tab 50mg TABS /27/2007 9/27/2007 Coal Tar Shampoo 0.5% SHAM /13/2008 3/13/2008 Coenzyme Q10 Cap 100mg CAPS /23/2008 7/24/2008 Coenzyme Q10 Cap 30mg CAPS /13/2008 3/13/2008 Coenzyme Q10 Cap 50mg CAPS /13/2008 3/13/2008 Coenzyme Q10 Tab 60mg TABS /13/2008 3/13/2008 Colestipol 1 gm TABS /29/ /29/2008 Colestipol 5 gm granule packets PACKET /29/ /29/2008 Colestipol 5 gm granules GRAN /29/ /29/2008 Comfort Curve Test Strips STRIPS /22/ /22/2007 Compleat Ped Liq LIQD /8/2008 4/24/2008 Control Kit Monitor KIT /4/2006 2/23/2007 Control Test Strips STRIPS /22/ /22/2007 Cromolyn Sodium Nasal Aerosol Soln 5.2mg/act (4%) SOLN /13/2008 3/13/2008 Cromolyn Sodium Ophth Soln 4% SOLN /23/2009 1/23/2009 CVS Blood Glucose Test Strips STRIPS /22/ /22/2007 Cyanocobalamin Tab 1000mcg TABS /13/2008 3/13/2008 Cyanocobalamin Tab 100mcg TABS /13/2008 3/13/2008 Cyanocobalamin Tab 250mcg TABS /13/2008 3/13/2008 Cyanocobalamin Tab 500mcg TABS /13/2008 3/13/2008 Cyclobenzapine 10mg TABS /28/ /28/2007 Cyclobenzapine 5mg TABS /27/2006 7/27/2006 Cyclosporin Cap 100mg CAPS /11/2008 3/27/2008 Cyclosporin Cap 25mg CAPS /11/2008 3/27/2008 Cyclosporine Modified Cap 100mg CAPS /30/ /28/2006 Cyclosporine Modified Cap 25mg CAPS /28/ /28/2006 Cyproheptadine 4mg TABS /28/2005 7/28/2005 Cyproheptadine HCl Syrup 2mg/5ml SYRUP /27/2008 3/27/2008 Cyproheptadine HCl Tab 4mg TABS /27/2008 3/27/2008 Danazol Cap 200mg CAPS /3/2005 2/24/2005 Dantrolene Sodium Cap 100mg CAPS /27/2008 3/27/2008 Dantrolene Sodium Cap 25mg CAPS /27/2008 3/27/2008 Dantrolene Sodium Cap 50mg CAPS /27/2008 3/27/2008 Demeclocycline HCL Tab 150mg TABS /26/2005 5/26/2005 Demeclocycline HCL Tab 300mg TABS /26/2005 5/26/2005 Desipramine 10 mg TABS /22/2008 5/22/2008 Desipramine 25mg TABS /1/2003 1/30/2004 Desipramine HCl Tab 100mg TABS /27/2008 3/27/2008 Desipramine HCl Tab 150mg TABS /27/2008 3/27/2008 Desipramine HCl Tab 50mg TABS /27/2008 3/27/2008 Desipramine HCl Tab 75mg TABS /27/2008 3/27/2008 Desmopressin Acetate Nasal Spray Soln 0.01% (Refrigerated) SOLN /24/2006 8/24/2006 Desmopressin Acetate Tab 0.1mg TABS /24/2007 8/24/2007 Desmopressin Acetate Tab 0.2mg TABS /24/2007 8/24/2007 Desogest-Eth Estrad & Eth Estrad Tab /.01mg (21/5) TABS /12/2004 8/12/2004 Desogest-Ethin Est Tab / / mg-mg TABS /24/2006 8/24/2006 Desoximetasone Cream 0.25% 15 GM CREAM /4/2008 5/22/2008 Desoximetasone Cream 0.25% 60 GM CREAM /4/2008 5/22/2008 Dexamethasone Tab 0.5mg TABS /27/2008 3/27/2008 Dexamethasone Tab 4mg TABS /26/2005 5/26/2005 Dexamethasone Tab 6mg TABS /27/2008 3/27/2008 Dexmethylphenidate 10mg TABS /27/2008 3/27/2008
9 Dexmethylphenidate 2.5mg TABS /27/2008 3/27/2008 Dexmethylphenidate 5mg TABS /27/2008 3/27/2008 Dextroamphetamine Sulfate Cap SR 24HR 10mg CAPS /22/2008 9/26/2008 Dextroamphetamine Sulfate Cap SR 24HR 15mg CAPS /20/ /24/2008 Dextroamphetamine Sulfate Cap SR 24HR 5mg CAPS /12/2004 8/12/2004 Dextroamphetamine Sulfate Tab 10mg TABS /26/ /26/2006 Dextroamphetamine Sulfate Tab 5mg TABS /26/ /26/2006 Dextromethorphan-Guaifenesin Syrup mg/5ml SYRP /13/2008 3/13/2008 Diabetic.com Test Strips STRIPS /22/ /22/2007 Diazepam Inj 5mg/ml INJ /19/ /7/2006 Dibucaine Oint 1% OINT /13/2008 3/13/2008 Diclofenac 25mg EC TABS /24/2005 2/24/2005 Diclofenac 50mg EC TABS /24/2005 2/24/2005 Diclofenac 75mg EC TABS /24/2005 2/24/2005 Diclofenac Potassium Tab 50mg TABS /26/2006 1/26/2006 Diclofenac Sodium EC Tab 50mg TABS /12/2004 8/12/2004 Diclofenac Sodium EC Tab 75mg TABS /12/2004 8/12/2004 Diclofenac Sodium Tab Delayed Release 50mg TABS /15/2008 9/26/2008 Diclofenac Sodium Tab Delayed Release 75mg TABS /5/2008 6/26/2008 Diclofenac Sodium Tab SR 24HR 100mg TABS /27/2008 3/27/2008 Dicloxacillin sodium 250mg CAPS /29/ /29/2005 Dicloxacillin sodium 500mg CAPS /29/ /29/2005 Dicyclomine HCL Cap 10mg CAPS /29/ /29/2008 Dicyclomine HCL Cap 20mg CAPS /29/ /29/2008 Didanosine 200mg CAPS /25/2006 5/25/2006 Didanosine 250mg CAPS /25/2006 5/25/2006 Didanosine 400mg CAPS /25/2006 5/25/2006 Diflorasone 0.05% 15gm cream CREAM /27/2007 9/27/2007 Diflorasone 0.05% 30gm oint OINT /27/2007 9/27/2007 Diflorasone 0.05% 60gm cream CREAM /27/2007 9/27/2007 Diflorasone Diacetate Emollient Base Cream 0.05% CREAM /27/2007 9/27/2007 Diflunisal Tabs 500mg TABS /7/ /7/2006 Digoxin 0.125mg TABS /28/2008 8/28/2008 Digoxin 0.25mg TABS /28/2008 8/28/2008 Diltiazem HCL Cap SR 24HR 120mg CAPS /28/ /28/2007 Diltiazem HCL Cap SR 24HR 180mg CAPS /28/ /28/2007 Diltiazem HCL Cap SR 24HR 240mg CAPS /28/ /28/2007 Diltiazem HCL Coated Beads Cap SR 24HR 120mg CAPS /27/2007 9/27/2007 Diltiazem HCL Coated Beads Cap SR 24HR 180mg CAPS /27/2007 9/27/2007 Diltiazem HCL Coated Beads Cap SR 24HR 240mg CAPS /27/2007 9/27/2007 Diltiazem HCL Coated Beads Cap SR 24HR 300mg CAPS /27/2007 9/27/2007 Diltiazem HCL Extended Release Beads Cap 24HR 120mg CAPS /23/2007 2/23/2007 Diltiazem HCL Extended Release Beads Cap 24HR 180mg CAPS /23/2007 2/23/2007 Diltiazem HCL Extended Release Beads Cap 24HR 240mg CAPS /23/2007 2/23/2007 Diltiazem HCL Extended Release Beads Cap 24HR 300mg CAPS /23/2007 2/23/2007 Diltiazem HCL Extended Release Beads Cap 24HR 360mg CAPS /23/2007 2/23/2007 Diltiazem HCL Extended Release Beads Cap SR 24HR 420mg CAPS /28/2007 6/28/2007 Diphenhydramine HCl Cap 25mg CAPS /13/2008 3/13/2008 Diphenhydramine HCl Cap 50mg CAPS /13/2008 3/13/2008 Diphenhydramine HCl Elixir 12.5mg/5ml ELIX /13/2008 3/13/2008 Diphenhydramine HCl Liquid 12.5mg/5ml LIQD /13/2008 3/13/2008 Diphenhydramine HCl Syrup 12.5mg/5ml SYRP /13/2008 3/13/2008 Diphenhydramine HCl Tab 25mg TABS /13/2008 3/13/2008 Diphenhydramine w/ APAP Tab mg (sleep) TABS /13/2008 3/13/2008 Diphenoxylate w/ Atropine Tab mg TABS /25/2006 5/25/2006 Dipyridamole 25mg TABS /26/2006 1/26/2006 Dipyridamole 50mg TABS /25/2006 5/25/2006 Dipyridamole 75mg TABS /15/2005 8/25/2005 Discount Drug Mart Test Strips STRIPS /22/ /22/2007 Disopyramide 150mg ER CAPS /1/ /3/2003 Disopyramide Phosphate Cap CR 150mg CAPS /7/2003 7/7/2003 Divalproex Sodium Tab Delayed Release 125mg TABS /24/ /24/2008 Divalproex Sodium Tab Delayed Release 250mg TABS /24/ /24/2008 Divalproex Sodium Tab Delayed Release 500mg TABS /24/ /24/2008
10 Docusate Calcium Cap 240mg CAPS /13/2008 3/13/2008 Docusate Sodium Cap 100mg CAPS /13/2008 3/13/2008 Docusate Sodium Cap 250mg CAPS /13/2008 3/13/2008 Docusate Sodium Liquid 150mg/15ml LIQD /13/2008 3/13/2008 Docusate Sodium Syrup 60mg/15ml SYRP /13/2008 3/13/2008 Dorzolamide HCl Ophth Soln 2% SOLN /23/2009 1/23/2009 Dorzolamide-Timolol Ophth Soln 2-0.5% (Base Equiv) SOLN /27/2009 2/27/2009 Doxazosin 1mg TABS /22/2008 5/22/2008 Doxazosin 2mg TABS /22/2008 5/22/2008 Doxazosin 4mg TABS /22/2008 5/22/2008 Doxazosin 8mg TABS /22/2008 5/22/2008 Doxazosin Mesylate Tab 1mg TABS /23/2009 1/23/2009 Doxazosin Mesylate Tab 2mg TABS /23/2009 1/23/2009 Doxazosin Mesylate Tab 4mg TABS /23/2009 1/23/2009 Doxazosin Mesylate Tab 8mg TABS /23/2009 1/23/2009 Doxepin HCL Cap 25mg CAPS /7/2003 7/2/2003 Doxycycline Hyclate Cap 100mg CAPS /27/2008 3/27/2008 Doxycycline Hyclate Tab 100mg TABS /27/2008 3/27/2008 Drug Emporium Test Strips STRIPS /22/ /22/2007 Duane Reade Test Strips STRIPS /22/ /22/2007 Duet Glucose Test Strips STRIPS /22/ /22/2007 Dulcolax 10mg SUSR /5/ /21/2003 Duo-Care Test Strips STRIPS /22/ /22/2007 Easygluco Test Strips STRIPS /22/ /22/2007 Easypro Blood Glucose Test Strips STRIPS /22/ /22/2007 Easypro Kit Monitor KIT /4/2006 2/23/2007 Econazole Nitrate CRM 1% 15GM CRM /28/ /28/2007 Econazole Nitrate CRM 1% 30GM CRM /28/ /28/2007 Econazole Nitrate CRM 1% 85 GM CRM /28/ /28/2007 Elecare Powder POWD /2/2008 5/22/2008 Emollient - Lotion LOTN /13/2008 3/13/2008 Emollient - Ointment OINT /13/2008 3/13/2008 Enalapril 10mg Tab TABS /28/ /28/2007 Enalapril 2.5mg Tab TABS /28/ /28/2007 Enalapril 20mg Tab TABS /28/ /28/2007 Enalapril 5mg Tab TABS /28/ /28/2007 Enalapril Maleate & Hydrochlorothiazide Tab 10-25mg TABS /28/ /28/2007 Enalapril Maleate & Hydrochlorothiazide Tab mg TABS /28/ /28/2007 Endocet mg TABS /1/ /3/2003 Endocet mg TABS /26/2003 9/26/2003 Endodan TABS /1/ /3/2003 Enfa Nutrami Pow Lipil PWDR /3/2009 2/27/2009 Enfa Nutramigen Pow Lipil PWDR /17/2007 8/24/2007 Enfamil 22 Liquid LIQD /25/2006 8/24/2006 Enfamil/Iron LIQ LIQD /3/ /28/2006 EO28 Splash Liq Grape LIQD /28/ /28/2007 Eplerenone Tab 25 mg TABS /24/ /24/2008 Eplerenone Tab 50 mg TABS /24/ /24/2008 Ergocalciferol Soln 8000 Unit/ml SOLN /25/2008 7/24/2008 Erythromycin Gel 2% GEL /7/2003 7/7/2003 Erythromycin Ophth Oint 5mg/GM OINT /28/2008 8/28/2008 Erythromycin Pad 2% PAD /10/ /28/2006 Erythromycin/Benzoyl Peroxide Gel 5-3% GEL /22/2007 3/22/2007 Erythromycin/Benzoyl Peroxide Gel 5-3% GEL /22/2007 3/22/2007 Estazolam Tab 1mg TABS /27/2008 3/27/2008 Estazolam Tab 2mg TABS /27/2008 3/27/2008 Estradiol Tab 2mg TABS /7/2003 7/7/2003 Estradiol TD Patch Weekly 0.05mg/24HR PATCH /23/2007 2/23/2007 Estradiol Transdermal Patch 0.1mg PATCH /25/2007 2/23/2007 Estropipate Tab 0.75mg TABS /7/2003 7/2/2003 Estropipate Tab 1.5mg TABS /7/2003 7/2/2003 Estropipate Tab 3mg TABS /7/2003 7/2/2003 Ethambutol HCl Tab 400mg TABS /27/2008 3/27/2008 Ethynodiol Diacetate & Ethinyl Estradiol Tab 1mg-35mcg TABS /1/2008 6/26/2008
11 Etodolac Cap 300mg CAPS /25/2006 5/25/2006 Etodolac Tab 400mg TABS /25/2006 5/25/2006 Etodolac Tab 500mg TABS /25/2006 5/25/2006 Etodolac Tab SR 24HR 400mg TABS /20/2004 1/20/2005 Etodolac Tab SR 24HR 500mg TABS /12/2004 8/12/2004 Etodolac Tab SR 24HR 600mg TABS /27/2009 2/27/2009 Etoposide Cap 50mg CAPS /25/2007 9/27/2007 Evencare Blood Glucose Test Strips STRIPS /22/ /22/2007 Exactech Test Strips STRIPS /22/ /22/2007 Exel G Test Strips STRIPS /22/ /22/2007 Express Med Test Strips STRIPS /22/ /22/2007 Expressview Glucose Test Strips STRIPS /22/ /22/2007 EZ Smart Blood Glucose Test Strips STRIPS /22/ /22/2007 Famciclovir 125mg TABS /22/ /22/2007 Famciclovir 250mg TABS /22/ /22/2007 Famciclovir 500mg TABS /22/ /22/2007 Famotidine Tab 10mg TABS /23/2009 1/23/2009 Famotidine Tab 20mg TABS /23/2009 1/23/2009 Famotidine Tab 40mg TABS /23/2009 1/23/2009 Fasttake Test Strips STRIPS /22/ /22/2007 Felodipine TAB SR 24HR 10mg TABS /22/ /22/2007 Felodipine Tab SR 24HR 2.5mg TABS /25/ /25/2007 Felodipine Tab SR 24HR 5mg TABS /25/ /25/2007 Fenofibrate 160mg TABS /23/2007 2/23/2007 Fenofibrate 54mg TABS /23/2007 2/23/2007 Fenofibrate Micronized Cap 134mg CAPS /4/2006 5/4/2006 Fenofibrate Micronized Cap 200mg CAPS /4/2006 5/4/2006 Fenofibrate Micronized Cap 67mg CAPS /4/2006 5/4/2006 Fentanyl Citrate Lollipop 1200 MCG LPOP /23/2009 1/23/2009 Fentanyl Citrate Lollipop 1600 MCG LPOP /23/2009 1/23/2009 Fentanyl Citrate Lollipop 200 MCG LPOP /23/2009 1/23/2009 Fentanyl Citrate Lollipop 400 MCG LPOP /23/2009 1/23/2009 Fentanyl Citrate Lollipop 600 MCG LPOP /23/2009 1/23/2009 Fentanyl Citrate Lollipop 800 MCG LPOP /23/2009 1/23/2009 Fentanyl TD Patch 72HR 100 MCG/HR PATCH /20/2008 4/24/2008 Fentanyl TD Patch 72HR 12.5 MCG/HR PATCH /28/ /28/2007 Fentanyl TD Patch 72HR 25 MCG/HR PATCH /22/2008 5/22/2008 Fentanyl TD Patch 72HR 50 MCG/HR PATCH /28/ /28/2007 Fentanyl TD Patch 72HR 75 MCG/HR PATCH /22/2008 5/22/2008 Ferrous Gluconate Tab 324mg TABS /13/2008 3/13/2008 Ferrous Sulfate Elixir 220mg/5ml (44mg/5ml Elemental Fe) ELIX /13/2008 3/13/2008 Ferrous Sulfate Soln 75mg/0.6ml (15mg/0.6ml Elemental Fe) SOLN /13/2008 3/13/2008 Ferrous Sulfate Tab 325mg (65mg Elemental Fe) TABS /13/2008 3/13/2008 Ferrous Sulfate Tab EC 325mg (65mg Fe Equivalent) TABS /13/2008 3/13/2008 Fexofenadine HCL Tab 180mg TABS /29/ /29/2008 Fexofenadine HCL Tab 30mg TABS /26/2006 1/26/2006 Fexofenadine HCL Tab 60mg TABS /24/2008 4/24/2008 Finasteride 5mg TABS /22/2008 5/22/2008 Flecainide 100mg tabs TABS /27/2007 9/27/2007 Flecainide 150mg tabs TABS /27/2007 9/27/2007 Flecainide 50mg tabs TABS /27/2007 9/27/2007 Flecainide Acetate Tab 100mg TABS /31/ /31/2005 Flecainide Acetate Tab 50mg TABS /31/ /31/2005 Fluconazole 100mg TABS /28/2008 8/28/2008 Fluconazole 150mg TABS /24/2008 4/24/2008 Fluconazole 200mg TABS /28/2008 8/28/2008 Fluconazole 50mg TABS /24/2008 4/24/2008 Fluconazole for Susp 10mg/ml SUSP /23/2009 1/23/2009 Fluconazole for Susp 40mg/ml SUSP /23/2007 2/23/2007 Fludrocortisone Acetate Tab 0.1mg TABS /12/2004 8/12/2004 Flunisolide Nasal Soln 0.025% SOLN /28/2008 8/28/2008 Fluocinonide emollient cream 0.05% 15 gm CRM /28/2008 8/28/2008 Fluocinonide emollient cream 0.05% 15 gm CRM /28/2008 8/28/2008 Fluocinonide emollient cream 0.05% 15 gm CRM /28/2008 8/28/2008
12 Fluocinonide emollient cream 0.05% 30 gm CRM /28/2008 8/28/2008 Fluocinonide emollient cream 0.05% 60 gm CRM /28/2008 8/28/2008 Fluocinonide oint 0.05% 15 gm OINT /22/2007 3/22/2007 Fluocinonide oint 0.05% 30 gm OINT /22/2007 3/22/2007 Fluocinonide oint 0.05% 60 gm OINT /22/2007 3/22/2007 Fluorometholone 0.1% 10ml OP Susp SUSP /27/2007 9/27/2007 Fluorometholone 0.1% 15ml OP Susp SUSP /27/2007 9/27/2007 Fluorometholone 0.1% 5ml OP Susp SUSP /27/2007 9/27/2007 Fluorouracil Inj 50mg/ml INJ /17/ /21/2005 Fluoxetine 40mg CAPS /26/2003 9/26/2003 Fluoxetine HCL Cap 10mg CAPS /26/2006 1/26/2006 Fluoxetine HCL Cap 20mg TABS /29/ /29/2008 Fluoxetine HCL Liquid 20mg/5ml LIQD /26/2006 1/26/2006 Fluoxetine HCL Tab 10mg TABS /28/2008 8/28/2008 Fluoxetine HCL Tab 20mg TABS /28/2008 8/28/2008 Fluoxymesterone Tab 10mg TABS /7/2003 7/7/2003 Fluphenazine Deconoate Inj 25mg/ml INJ /26/2006 1/26/2006 Fluphenazine HCL Tab 10mg TABS /26/2006 1/26/2006 Fluphenazine HCL Tab 1mg TABS /26/2006 1/26/2006 Fluphenazine HCL Tab 2.5mg TABS /26/2006 1/26/2006 Fluphenazine HCL Tab 5mg TABS /26/2006 1/26/2006 Flutamide Cap 125mg CAPS /4/2006 5/4/2006 Fluticasone Prop CRM 0.05% 15gm CREAM /28/2008 2/28/2008 Fluticasone Prop CRM 0.05% 30gm CREAM /28/2008 2/28/2008 Fluticasone Prop CRM 0.05% 60gm CREAM /28/2008 2/28/2008 Fluticasone Prop Oint 0.005% 15gm OINT /28/2008 2/28/2008 Fluticasone Prop Oint 0.005% 30gm OINT /28/2008 2/28/2008 Fluticasone Prop Oint 0.005% 60gm OINT /28/2008 2/28/2008 Fluticasone Propionate 50mcg SUSP /2/2007 8/2/2007 Fluticasone Propionate nasal spray SOLN /24/2008 1/24/2008 Fluticasone Propionate Nasal Susp 50mcg/act SUSP /29/ /29/2008 Fluvoxamine Maleate Tab 100mg TABS /28/ /28/2007 Fluvoxamine Maleate Tab 25mg TABS /24/2006 8/24/2006 Fluvoxamine Maleate Tab 50mg TABS /24/2006 8/24/2006 Folic Acid Tab 1mg TABS /28/2008 8/28/2008 Folic Acid Tab 400mcg TABS /13/2008 3/13/2008 Folic Acid Tab 800mcg TABS /13/2008 3/13/2008 Fosinopril Sodium -hctztab mg TABS /24/2006 8/24/2006 Fosinopril Sodium Tab 10mg TABS /23/2009 1/23/2009 Fosinopril Sodium Tab 20mg TABS /23/2009 1/23/2009 Fosinopril Sodium Tab 40mg TABS /23/2009 1/23/2009 Fosinopril Sodium-hctz Tab mg TABS /7/ /7/2006 Fosinopril Sodium-hctz Tab mg TABS /24/2006 8/24/2006 Freestyle Test Strips STRIPS /22/ /22/2007 Gabapentin Cap 100mg CAPS /24/2006 8/24/2006 Gabapentin Cap 300mg CAPS /24/2006 8/24/2006 Gabapentin Cap 400mg CAPS /24/2006 8/24/2006 Gabapentin Tab 100mg TABS /20/2005 1/20/2005 Gabapentin Tab 300mg TABS /24/2008 4/24/2008 Gabapentin Tab 400mg TABS /24/2008 4/24/2008 Gabapentin Tab 600mg TABS /26/2008 6/26/2008 Gabapentin Tab 800mg TABS /24/2008 4/24/2008 Galantamine Hydrobromide Tab 12mg TABS /29/ /29/2008 Galantamine Hydrobromide Tab 4mg TABS /29/ /29/2008 Galantamine Hydrobromide Tab 8mg TABS /29/ /29/2008 Gammagard SD 10gm Inj INJ /1/ /24/2005 Gammagard SD 2.5gm Inj INJ /1/ /24/2005 Gammagard SD 5gm Inj INJ /1/ /24/2005 Gammunex 10% IV SOLN /2/2004 7/27/2006 Ganciclovir 500mg TABS /31/ /31/2005 Gemfibrozil 600mg TABS /27/ /27/2008 Gentamicin Sulfate Ophth Soln 0.3% SOLN /7/2003 7/7/2003 Giant Eagle Pharmacy Test Strips STRIPS /22/ /22/2007 Glimepiride Tab 1mg TABS /23/2009 1/23/2009
13 Glimepiride Tab 2mg TABS /23/2009 1/23/2009 Glimepiride Tab 4mg TABS /23/2009 1/23/2009 Glipizide Tab 5mg TABS /26/2005 5/26/2005 Glipizide Tab SR 24HR 10mg TABS /24/2008 1/24/2008 Glipizide Tab SR 24HR 2.5mg TABS /24/2008 1/24/2008 Glipizide Tab SR 24HR 5mg TABS /24/2008 1/24/2008 Glipizide-Metformin HCl Tab MG TABS /27/2008 3/27/2008 Glipizide-Metformin HCl Tab MG TABS /27/2008 3/27/2008 Glipizide-Metformin HCl Tab MG TABS /27/2008 3/27/2008 Gluburide 2.5mg TABS /28/ /28/2007 Glucocom Kit Monitor KIT /4/2006 2/23/2007 Glucocom Kit Monitor KIT /4/2006 2/23/2007 Glucocom Test Strips STRIPS /22/ /22/2007 Glucofilm Test Strips STRIPS /22/ /22/2007 Glucolab Test Strips STRIPS /22/ /22/2007 Glucometer Dex Test Sensor Strips STRIPS /22/ /22/2007 Glucometer Elite Test Strips STRIPS /22/ /22/2007 Glucometer Encore Test Strips STRIPS /22/ /22/2007 Glucometer Kit Encore KIT /4/2006 2/23/2007 Glucoprotein Test Strips STRIPS /22/ /22/2007 Glucosamine Sulfate Cap 500mg CAPS /13/2008 3/13/2008 Glucosamine Sulfate Cap 750mg CAPS /13/2008 3/13/2008 Glucosamine Sulfate Tab 750mg TABS /13/2008 3/13/2008 Glucosamine-Chondroitin Cap mg CAPS /29/ /29/2008 Glucose Blood Test Strip STRIP /1/2003 9/30/2003 Glucose Chew Tab 4gm TABS /13/2008 3/13/2008 Glucose Gel 40% GEL /13/2008 3/13/2008 Glucostix STRIPS /22/ /22/2007 Glyb/metform Tab 1.25/250 TABS /28/ /28/2007 Glyb/metform Tab 2.5/500 TABS /28/ /28/2007 Glyb/metform Tab 5/500 TABS /28/ /28/2007 Glyburide 2.5mg TABS /27/ /27/2008 Glyburide 5mg TABS /27/ /27/2008 Glyburide Micronized Tab 1.5mg TABS /7/2003 7/2/2003 Glyburide Micronized Tab 3mg TABS /7/2003 7/2/2003 Glyburide Micronized Tab 6mg TABS /7/2003 7/2/2003 Glycerin Suppos 1.5gm SUPP /13/2008 3/13/2008 Glycerin Suppos 3gm SUPP /13/2008 3/13/2008 Glycerin-Polysorbate 80 Ophth Soln 1-1% SOLN /13/2008 3/13/2008 Glycopyrrolate 1mg TABS /22/2007 3/22/2007 Glycopyrrolate 2mg TABS /22/2007 3/22/2007 GNP Test Strips STRIPS /22/ /22/2007 GNP Truetrack Smart System STRIPS /22/ /22/2007 Granisetron HCl Tab 1mg TABS /5/ /24/2008 Griseofulvin 125mg/5ml SUSP /27/2007 9/27/2007 Guaifenesin Syrup 100mg/5ml SYRP /13/2008 3/13/2008 Guanfacine HCl Tab 1mg TABS /27/2008 3/27/2008 Guanfacine HCl Tab 2mg TABS /27/2008 3/27/2008 Halobetasol Propionate Cream 0.05% 15gm CRM /27/2008 3/27/2008 Halobetasol Propionate Cream 0.05% 50gm CRM /27/2008 3/27/2008 Halobetasol Propionate Oint 0.05% 15gm OINT /27/2008 3/27/2008 Halobetasol Propionate Oint 0.05% 50gm OINT /27/2008 3/27/2008 Haloperidol 10mg TABS /26/2003 9/26/2003 Haloperidol 1mg TABS /28/ /2/2004 Haloperidol 2mg TABS /26/2003 9/26/2003 Haloperidol 5mg TABS /1/2003 1/1/2003 Haloperidol Decanoate IM Soln 100mg/ml INJ /23/2009 1/23/2009 Haloperidol Decanoate IM Soln 50mg/ml INJ /23/2009 1/23/2009 Haloperidol Lactate 2mg/ml CONC /23/2009 1/23/2009 Haloperidol Lactate 5mg/ml INJ /23/2009 1/23/2009 HCA Test Strips STRIPS /22/ /22/2007 HCU Cooler Liq LIQD /3/ /29/2008 Health Alliance Strips STRIPS /22/ /22/2007 Heparin Sodium (Porcine) Lock Flush IV Soln 10 U/ml 10ml INJ /27/2006 7/27/2006
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Important Roanoke Rapids Extensions Gene Minton (Owner, CEO) x140 Drew Huggins (COO) - x114 Angela Coggins (Pharmacy Manager) x111 Dial All Pharmacists on Duty x168 (No waiting on hold!!) DRUGCO GENERICS
Highlighted medications are NOT covered by Wal-Mart's Plan!!
Important Roanoke Rapids Extensions Gene Minton (Owner, CEO) x140 Drew Huggins (COO) - x114 Angela Coggins (Pharmacy Manager) x111 Dial All Pharmacists on Duty x168 (No waiting on hold!!) DRUGCO GENERICS
GCN NDC Label Name MAC Price Effective Date Prev Price Reason DICYCLOMINE 20 MG/2 ML VIAL /23/2018 New Add Newly Added NDC
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OXYCODON ACETAMINOPHEN /11/2018 New Add Newly Added NDC
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PRSMEDDPRSMCC1 PRSMEDDPRSMPACE PRSMEDCPRSMPACE
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HPMMCR MHPMICOMP MHPILCOMPB
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