| abacavirdrugId:137 |
ANTIVIRALS |
| abacavir / dolutegravir / lamivudinedrugId:4642 |
ANTIVIRALS |
| abacavir / lamivudinedrugId:138 |
ANTIVIRALS |
| abacavir / lamivudine / zidovudinedrugId:139 |
ANTIVIRALS |
| abaloparatidedrugId:6362 - PA |
HORMONE AGENTS |
| abataceptdrugId:140 - PA |
IMMUNOMODULATOR |
| Abelcet (amphotericin B lipid complex) |
ANTIBIOTICS |
| abemaciclibdrugId:6410 - PA |
CHEMOTHERAPY |
| Abilify # (aripiprazole solution) - PA < 6 years or ≥ 18 years and PA > 750 mL/month; See Table 24drugId:91; See Table 71drugId:4240 |
ANTIPSYCHOTIC |
| Abilify # (aripiprazole tablet) - PA < 6 years and PA > 30 units/month; See Table 24drugId:90; See Table 71drugId:4180 |
ANTIPSYCHOTIC |
| Abilify Discmelt (aripiprazole orally disintegrating tablet) - PA; See Table 24drugId:92; See Table 71drugId:4220 |
ANTIPSYCHOTIC |
| Abilify Maintena (aripiprazole extended-release injection) - PA; See Table 24drugId:2717; See Table 71drugId:4200 |
ANTIPSYCHOTIC |
| abiraterone 125 mgdrugId:6824 - PA |
CHEMOTHERAPY |
| abiraterone 250 mg, 500 mgdrugId:2297 BP - PA |
CHEMOTHERAPY |
| abobotulinumtoxinAdrugId:141 - PA |
BIOLOGICAL |
| Abraxane (paclitaxel injectable suspension)drugId:1468 |
CHEMOTHERAPY |
| Absorica (isotretinoin-Absorica)drugId:2881 - PA |
DERMATOLOGICAL |
| Abstral (fentanyl sublingual tablet)drugId:2157 - PA |
OPIOID ANALGESICS |
| acalabrutinibdrugId:6483 - PA |
CHEMOTHERAPY |
| acamprosatedrugId:142 |
ALCOHOL AND DRUG CESSATION AGENT |
| Acanya (clindamycin / benzoyl peroxide-Acanya)drugId:262 - PA |
DERMATOLOGICAL |
| acarbosedrugId:143 |
DIABETIC AGENTS |
| Accolate (zafirlukast)drugId:1816 - PA |
BRONCHODILATORS |
| AccunebdrugId:168 # (albuterol inhalation solution)drugId:168 |
BRONCHODILATORS |
| AccuprildrugId:1620 # (quinapril)drugId:1620 |
CARDIOVASCULAR |
| AccureticdrugId:1621 # (quinapril / hydrochlorothiazide)drugId:1621 |
CARDIOVASCULAR |
| acebutololdrugId:144 |
CARDIOVASCULAR |
| Acetadote (acetylcysteine injection) ^ |
ANTIDOTES |
| acetaminophen / codeinedrugId:146 - PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine |
OPIOID ANALGESICS |
| acetaminophendrugId:145 * - PA > 4 g/day |
ANALGESICS |
| acetazolamidedrugId:147 |
CARDIOVASCULAR |
| acetic aciddrugId:148 |
OTIC PREPARATIONS |
| acetic acid / aluminum acetatedrugId:2107 |
OTIC PREPARATIONS |
| acetic acid / hydrocortisonedrugId:149 |
OTIC PREPARATIONS |
| acetohydroxamic acid |
ANTIBIOTICS |
| acetylcholine chloridedrugId:1982 |
OPHTHALMIC PREPARATIONS |
| acetylcysteine |
MUCOLYTICS |
| acetylcysteine injection ^ |
ANTIDOTES |
| Aciphex (rabeprazole delayed-release tablet)drugId:1624 - PA |
PROTON PUMP INHIBITORS |
| Aciphex Sprinkle (rabeprazole delayed-release capsule)drugId:2882 - PA |
PROTON PUMP INHIBITORS |
| acitretindrugId:153 |
DERMATOLOGICAL |
| aclidiniumdrugId:2649 - PA > 1 inhaler/month |
BRONCHODILATORS |
| acrivastine / pseudoephedrinedrugId:1608 - PA |
DECONGESTANT |
| Actemra (tocilizumab)drugId:1719 - PA |
IMMUNOMODULATOR |
| Acthar (corticotropin)drugId:294 - PA |
HORMONE AGENTS |
| Acthib (haemophilus B conjugate vaccine-Acthib)drugId:693 1 |
BIOLOGICAL |
| ActigalldrugId:1774 # (ursodiol)drugId:1774 |
BILE THERAPY |
| Actimmune (interferon gamma-1b)drugId:829 |
CHEMOTHERAPY |
| Actiq (fentanyl transmucosal system)drugId:844 - PA |
OPIOID ANALGESICS |
| Activase (alteplase) |
CARDIOVASCULAR |
| Activella # (estradiol / norethindrone-Activella) |
HORMONE REPLACEMENT THERAPY |
| Actonel (risedronate)drugId:1439 - PA |
ELECTROLYTES AND NUTRIENTS |
| Actoplus Met (pioglitazone / metformin)drugId:1536 - PA |
DIABETIC AGENTS |
| Actoplus Met XR (pioglitazone / metformin extended-release)drugId:1937 - PA |
DIABETIC AGENTS |
| ActosdrugId:1534 # (pioglitazone)drugId:1534 |
DIABETIC AGENTS |
| AculardrugId:2270 # (ketorolac 0.5% ophthalmic solution)drugId:2270 |
OPHTHALMIC PREPARATIONS |
| Acular LSdrugId:2271 # (ketorolac 0.4% ophthalmic solution)drugId:2271 |
OPHTHALMIC PREPARATIONS |
| Acuvail (ketorolac 0.45% ophthalmic solution)drugId:999 - PA |
OPHTHALMIC PREPARATIONS |
| acyclovir / hydrocortisonedrugId:1973 - PA |
DERMATOLOGICAL |
| acyclovir buccal tabletdrugId:2945 - PA |
ANTIVIRALS |
| acyclovir capsule, suspension, tabletdrugId:155 |
ANTIVIRALS |
| acyclovir creamdrugId:157 BP - PA |
ANTIVIRALS |
| acyclovir injectiondrugId:2744 |
ANTIVIRALS |
| acyclovir ointmentdrugId:156 - PA |
ANTIVIRALS |
| Aczone (dapsone gel)drugId:325 BP - PA |
DERMATOLOGICAL |
| Adacel (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:539 1 |
BIOLOGICAL |
| Adagen (pegademase bovine)drugId:2682 - PA |
UNCLASSIFIED DRUG PRODUCTS |
| AdalatdrugId:1213 # (nifedipine tablet)drugId:1213 |
CARDIOVASCULAR |
| adalimumabdrugId:158 PD - PA |
IMMUNOMODULATOR |
| adapalene / benzoyl peroxidedrugId:160 - PA |
DERMATOLOGICAL |
| adapalenedrugId:159 BP - PA |
DERMATOLOGICAL |
| Adcetris (brentuximab)drugId:2374 - PA |
CHEMOTHERAPY |
| Adcirca (tadalafil-Adcirca)drugId:1920 BP - PA |
CARDIOVASCULAR |
| Adderall # (amphetamine salts) - PA < 3 years and PA > 90 units/month; See Table 31drugId:60; See Table 71drugId:3100 |
CEREBRAL STIMULANTS |
| Adderall XR (amphetamine salts extended-release-Adderall XR) BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:59; See Table 71drugId:3000 |
CEREBRAL STIMULANTS |
| adefovirdrugId:161 - PA > 30 units/month |
ANTIVIRALS |
| Adempas (riociguat)drugId:2883 - PA |
CARDIOVASCULAR |
| adenovirus live vaccine delayed-release oral tabletsdrugId:2837 |
BIOLOGICAL |
| Adlyxin (lixisenatide)drugId:5760 - PA |
DIABETIC AGENTS |
| Admelog (insulin lispro-Admelog)drugId:6660 - PA |
DIABETIC AGENTS |
| ado-trastuzumabdrugId:2781 - PA |
CHEMOTHERAPY |
| Adrenalin (epinephrine injection)drugId:606 |
ADRENERGICS |
| AdriamycindrugId:571 # (doxorubicin)drugId:571 |
CHEMOTHERAPY |
| AdrucildrugId:875 # (fluorouracil injection)drugId:875 |
CHEMOTHERAPY |
| Advair (fluticasone / salmeterol inhalation aerosol, powder)drugId:896 BP - PA |
BRONCHODILATORS |
| Advate (antihemophilic factor, recombinant-Advate) |
ANTI-HEMOPHILIA AGENTS |
| Adynovate (antihemophilic factor, recombinant pegylated-Adynovate) |
ANTI-HEMOPHILIA AGENTS |
| Adzenys ER (amphetamine extended-release oral suspension) - PA; See Table 31drugId:6600; See Table 71drugId:6601 |
CEREBRAL STIMULANTS |
| Adzenys XR-ODT (amphetamine extended-release orally disintegrating tablet) - PA; See Table 31drugId:5360; See Table 71drugId:5361 |
CEREBRAL STIMULANTS |
| Aerospan (flunisolide inhalation aerosol)drugId:2920 - PA |
BRONCHODILATORS |
| afatinibdrugId:2843 - PA |
CHEMOTHERAPY |
| Afinitor (everolimus-Afinitor) - PA; See Table 20drugId:448; See Table 57drugId:1954 |
CHEMOTHERAPY |
| Afinitor Disperz (everolimus tablets for oral suspension) - PA; See Table 20drugId:6880; See Table 57drugId:2795 |
CHEMOTHERAPY |
| aflibercept ^ |
OPHTHALMIC PREPARATIONS |
| Afluria (influenza virus vaccine-Afluria)drugId:2046 1 |
BIOLOGICAL |
| Afrezza (insulin human inhalation powder)drugId:4900 - PA |
DIABETIC AGENTS |
| Afstyla (antihemophilic factor, recombinant, single chain-Afstyla) |
ANTI-HEMOPHILIA AGENTS |
| agalsidase betadrugId:162 - PA |
ENZYMES |
| AggrenoxdrugId:100 # (aspirin / extended-release dipyridamole)drugId:100 |
ANTIPLATELET AGENT |
| AgrylindrugId:65 # (anagrelide)drugId:65 |
ANTIPLATELET AGENT |
| A-HydrocortdrugId:730 # (hydrocortisone injection)drugId:730 |
GLUCOCORTICOIDS |
| Aimovig (erenumab-aooe)drugId:6661 - PA |
BIOLOGICAL |
| Airduo (fluticasone / salmeterol inhalation powder)drugId:6120 - PA |
BRONCHODILATORS |
| Ajovy (fremanezumab-vfrm)drugId:7000 - PA |
BIOLOGICAL |
| Akten (lidocaine ophthalmic gel) |
OPHTHALMIC PREPARATIONS |
| Akynzeo (fosnetupitant / palonosetron injection)drugId:6620 - PA > 2 vials/28 days |
ANTIEMETICS |
| Akynzeo (netupitant / palonosetron capsule)drugId:4761 - PA > 2 capsules/28 days |
ANTIEMETICS |
| albendazoledrugId:166 BP |
ANTIPARASITICS |
| Albenza (albendazole)drugId:166 BP |
ANTIPARASITICS |
| albiglutidedrugId:2946 - PA |
DIABETIC AGENTS |
| albumin, human solutions |
PLASMA PROTEINS |
| albuterol / ipratropium inhalation solutiondrugId:835 |
BRONCHODILATORS |
| albuterol / ipratropium inhalation spraydrugId:2557 |
BRONCHODILATORS |
| albuterol inhalation powderdrugId:5109 - PA |
BRONCHODILATORS |
| albuterol inhalation solutiondrugId:168 |
BRONCHODILATORS |
| albuterol inhaler-Proair HFAdrugId:1 BP |
BRONCHODILATORS |
| albuterol inhaler-ProventildrugId:2 - PA |
BRONCHODILATORS |
| albuterol inhaler-VentolindrugId:3 - PA |
BRONCHODILATORS |
| albuterol syrup, tabletdrugId:2193 |
BRONCHODILATORS |
| alcaftadinedrugId:2173 - PA |
ANTIHISTAMINES |
| alclometasone cream, ointmentdrugId:4 |
GLUCOCORTICOIDS |
| AldactazidedrugId:1893 # (spironolactone / hydrochlorothiazide)drugId:1893 |
CARDIOVASCULAR |
| AldactonedrugId:1892 # (spironolactone tablet)drugId:1892 |
ALDOSTERONE ANTAGONISTS |
| Aldara (imiquimod 5% cream)drugId:783 - PA |
DERMATOLOGICAL |
| aldesleukindrugId:2307 |
CHEMOTHERAPY |
| Aldurazyme (laronidase)drugId:1026 - PA |
ENZYMES |
| Alecensa (alectinib)drugId:5221 - PA |
CHEMOTHERAPY |
| alectinibdrugId:5221 - PA |
CHEMOTHERAPY |
| alemtuzumab 12 mgdrugId:4782 ^ - PA |
MULTIPLE SCLEROSIS AGENTS |
| alemtuzumab 30 mgdrugId:6110 |
CHEMOTHERAPY |
| alendronate / cholecalciferoldrugId:9 - PA |
ELECTROLYTES AND NUTRIENTS |
| alendronate effervescent tabletdrugId:2638 - PA |
ELECTROLYTES AND NUTRIENTS |
| alendronate solutiondrugId:2796 - PA |
ELECTROLYTES AND NUTRIENTS |
| alendronate tabletdrugId:7 |
ELECTROLYTES AND NUTRIENTS |
| alfuzosin extended-releasedrugId:10 |
URINARY ANTISPASMODICS |
| alglucosidase alfadrugId:11 - PA |
ENZYMES |
| Align (bifidobacterium infantis)drugId:6200 - PA ≥ 19 years |
GASTROINTESTINAL AGENT |
| Alimta (pemetrexed)drugId:1492 |
CHEMOTHERAPY |
| Aliqopa (copanlisib)drugId:6500 - PA |
CHEMOTHERAPY |
| alirocumabdrugId:5119 - PA |
LIPID LOWERING AGENTS |
| aliskiren / hydrochlorothiazidedrugId:14 - PA |
CARDIOVASCULAR |
| aliskirendrugId:13 - PA |
CARDIOVASCULAR |
| alitretinoindrugId:16 - PA |
CHEMOTHERAPY |
| AlkerandrugId:1138 # (melphalan hydrochloride injection)drugId:1138 |
CHEMOTHERAPY |
| AlkerandrugId:5504 # (melphalan tablet)drugId:5504 |
CHEMOTHERAPY |
| allopurinoldrugId:17 |
GOUT AGENTS |
| almotriptandrugId:18 - PA |
TRIPTAN |
| Alocril (nedocromil)drugId:1180 - PA |
OPHTHALMIC PREPARATIONS |
| alogliptin / metformindrugId:2782 - PA |
DIABETIC AGENTS |
| alogliptin / pioglitazonedrugId:2783 - PA |
DIABETIC AGENTS |
| alogliptindrugId:2784 - PA |
DIABETIC AGENTS |
| Alomide (lodoxamide)drugId:1095 - PA |
OPHTHALMIC PREPARATIONS |
| Alora (estradiol-Alora) |
HORMONE REPLACEMENT THERAPY |
| alosetrondrugId:19 - PA |
GASTROINTESTINAL AGENT |
| AloxidrugId:1473 # (palonosetron 0.25 mg/5 mL injection)drugId:1473 - PA > 2 units/28 days |
ANTIEMETICS |
| alpha-1-proteinase inhibitor, human-Aralast |
ENZYMES |
| alpha-1-proteinase inhibitor, human-Aralast NP |
ENZYMES |
| alpha-1-proteinase inhibitor, human-Glassia |
ENZYMES |
| alpha-1-proteinase inhibitor, human-Prolastin |
ENZYMES |
| alpha-1-proteinase inhibitor, human-Zemaira |
ENZYMES |
| Alphagan P (brimonidine 0.1%, 0.15% eye drops)drugId:2505 BP |
OPHTHALMIC PREPARATIONS |
| Alphanate (antihemophilic factor / von willebrand factor complex, human) |
ANTI-HEMOPHILIA AGENTS |
| Alphanine SD (factor IX, human) |
ANTI-HEMOPHILIA AGENTS |
| alprazolam extended-release - PA < 6 years and PA > 60 units/month; See Table 69drugId:26; See Table 71drugId:4359 |
BENZODIAZEPINES |
| alprazolam orally disintegrating tablet - PA; See Table 69drugId:24; See Table 71drugId:4357 |
BENZODIAZEPINES |
| alprazolam - PA < 6 years; See Table 69drugId:25; See Table 71drugId:4358 |
BENZODIAZEPINES |
| alprazolam powder - PA; See Table 69drugId:27; See Table 71drugId:4360 |
BENZODIAZEPINES |
| Alprolix (factor IX recombinant, Fc fusion protein) |
ANTI-HEMOPHILIA AGENTS |
| Alrex (loteprednol 0.2%)drugId:1105 - PA |
OPHTHALMIC PREPARATIONS |
| AltacedrugId:2588 # (ramipril)drugId:2588 |
CARDIOVASCULAR |
| alteplase |
CARDIOVASCULAR |
| Altoprev (lovastatin extended-release)drugId:1107 - PA |
LIPID LOWERING AGENTS |
| Altreno (tretinoin 0.05% lotion)drugId:6900 - PA |
DERMATOLOGICAL |
| aluminum carbonate * |
GASTROINTESTINAL AGENT |
| aluminum hydroxidedrugId:28 * |
ANTACIDS |
| Alunbrig (brigatinib)drugId:6180 - PA |
CHEMOTHERAPY |
| Alvesco (ciclesonide)drugId:230 |
BRONCHODILATORS |
| amantadine extended-release capsuledrugId:6402 - PA |
ANTIPARKINSON |
| amantadine extended-release tabletdrugId:7006 - PA |
ANTIPARKINSON |
| amantadine immediate-release capsule, solution, tabletdrugId:29 |
ANTIPARKINSON |
| AmaryldrugId:931 # (glimepiride)drugId:931 |
DIABETIC AGENTS |
| Ambien # (zolpidem 10 mg tablet) - PA < 6 years and PA > 30 units/month; See Table 15drugId:1932; See Table 71drugId:4342 |
SEDATIVES |
| Ambien # (zolpidem 5 mg tablet) - PA < 6 years and PA > 45 units/month; See Table 15drugId:1933; See Table 71drugId:4344 |
SEDATIVES |
| Ambien CR (zolpidem extended-release tablet) - PA; See Table 15drugId:1934; See Table 71drugId:4345 |
SEDATIVES |
| Ambisome (amphotericin B liposome) |
ANTIBIOTICS |
| ambrisentandrugId:30 - PA |
CARDIOVASCULAR |
| amcinonide creamdrugId:31 - PA |
GLUCOCORTICOIDS |
| amcinonide lotiondrugId:4916 |
GLUCOCORTICOIDS |
| amcinonide ointmentdrugId:4917 - PA |
GLUCOCORTICOIDS |
| Ameluz (aminolevulinic acid) ^ |
CHEMOTHERAPY |
| Amerge (naratriptan)drugId:1175 - PA |
TRIPTAN |
| Amicar (aminocaproic acid) BP |
HEMATINIC AGENT |
| amifostinedrugId:2670 |
ANTIDOTES |
| amikacindrugId:32 |
ANTIBIOTICS |
| amiloridedrugId:33 |
CARDIOVASCULAR |
| amiloride / hydrochlorothiazidedrugId:34 |
CARDIOVASCULAR |
| amino acid and electrolyte IV infusion |
ELECTROLYTES AND NUTRIENTS |
| aminocaproic acid BP |
HEMATINIC AGENT |
| aminolevulinic acid ^ |
CHEMOTHERAPY |
| aminophylline |
BRONCHODILATORS |
| aminosalicylic aciddrugId:2500 |
TB PREPARATIONS |
| amiodarone |
CARDIOVASCULAR |
| Amitiza (lubiprostone)drugId:1110 - PA |
CONSTIPATION AGENTS |
| amitriptyline / chlordiazepoxidedrugId:40 - PA < 6 years |
ANTIDEPRESSANTS |
| amitriptyline / perphenazine - PA < 6 years; See Table 24drugId:6320; See Table 71drugId:1512 |
ANTIPSYCHOTIC |
| amitriptyline powder - PA; See Table 17drugId:6368; See Table 71drugId:6369 |
ANTIDEPRESSANTS |
| amitriptyline tablet - PA < 6 years; See Table 17drugId:39; See Table 71drugId:4000 |
ANTIDEPRESSANTS |
| amlodipinedrugId:41 |
CARDIOVASCULAR |
| amlodipine / atorvastatin - PA; See Table 13drugId:42; See Table 18drugId:43 |
CARDIOVASCULAR/STATIN |
| amlodipine / benazeprildrugId:44 |
CARDIOVASCULAR |
| amlodipine / olmesartan / hydrochlorothiazidedrugId:1969 - PA |
CARDIOVASCULAR |
| amlodipine / olmesartandrugId:46 - PA |
CARDIOVASCULAR |
| amlodipine / telmisartandrugId:1661 - PA |
CARDIOVASCULAR |
| amlodipine / valsartandrugId:48 |
CARDIOVASCULAR |
| amlodipine / valsartan / hydrochlorothiazidedrugId:50 - PA |
CARDIOVASCULAR |
| ammonium lactate |
DERMATOLOGICAL |
| Ammonul # (sodium phenylacetate / sodium benzoate) |
ELECTROLYTES AND NUTRIENTS |
| amoxapine - PA < 6 years; See Table 17drugId:56; See Table 71drugId:4001 |
ANTIDEPRESSANTS |
| amoxicillindrugId:57 |
ANTIBIOTICS |
| amoxicillin / clavulanate 125/31.25 mg/5 mL suspensiondrugId:54 - PA |
ANTIBIOTICS |
| amoxicillin / clavulanate chewable tablet, 200/28.5, 250/62.5, 400/57, 600/42.9 mg/5 mL suspension, tabletdrugId:6420 |
ANTIBIOTICS |
| amoxicillin / clavulanate extended-releasedrugId:55 - PA |
ANTIBIOTICS |
| amphetamine extended-release orally disintegrating tablet - PA; See Table 31drugId:5360; See Table 71drugId:5361 |
CEREBRAL STIMULANTS |
| amphetamine extended-release oral suspension - PA; See Table 31drugId:6600; See Table 71drugId:6601 |
CEREBRAL STIMULANTS |
| amphetamine salts extended-release-Adderall XR BP PD - PA < 3 years and PA > 60 units/month; See Table 31drugId:59; See Table 71drugId:3000 |
CEREBRAL STIMULANTS |
| amphetamine salts extended-release-Mydayis - PA; See Table 31drugId:6285; See Table 71drugId:6286 |
CEREBRAL STIMULANTS |
| amphetamine salts - PA < 3 years and PA > 90 units/month; See Table 31drugId:60; See Table 71drugId:3100 |
CEREBRAL STIMULANTS |
| amphetamine sulfate - PA; See Table 31drugId:4901; See Table 71drugId:4920 |
CEREBRAL STIMULANTS |
| amphotericin B |
ANTIBIOTICS |
| amphotericin B lipid complex |
ANTIBIOTICS |
| amphotericin B liposome |
ANTIBIOTICS |
| ampicillin; See Table 35drugId:63; See Table 66drugId:2623 |
ANTIBIOTICS |
| ampicillin / sulbactamdrugId:64 |
ANTIBIOTICS |
| Ampyra (dalfampridine)drugId:320 - PA |
MULTIPLE SCLEROSIS AGENTS |
| Amrix (cyclobenzaprine extended-release)drugId:304 - PA |
MUSCLE RELAXANT |
| Anadrol-50 (oxymetholone) |
ANABOLIC STEROID |
| Anafranil (clomipramine) - PA; See Table 17drugId:272; See Table 71drugId:4002 |
ANTIDEPRESSANTS |
| anagrelidedrugId:65 |
ANTIPLATELET AGENT |
| anakinradrugId:66 - PA |
IMMUNOMODULATOR |
| Anascorp (centruroides immune F(ab’)2, equine) ^ |
ANTIDOTES |
| anastrozoledrugId:69 |
CHEMOTHERAPY |
| AncobondrugId:861 # (flucytosine)drugId:861 |
ANTIBIOTICS |
| Androderm (testosterone patch)drugId:1682 - PA |
HORMONE REPLACEMENT THERAPY |
| Androgel (testosterone 1.62% gel packet, pump)drugId:2280 BP - PA |
HORMONE REPLACEMENT THERAPY |
| Androgel (testosterone 1% gel packet)drugId:2248 BP - PA |
HORMONE REPLACEMENT THERAPY |
| Androxy (fluoxymesterone) |
ANABOLIC STEROID |
| Angeliq (estradiol / drospirenone) |
HORMONE REPLACEMENT THERAPY |
| anidulafungin |
ANTIBIOTICS |
| Anoro (umeclidinium / vilanterol)drugId:2952 - PA |
BRONCHODILATORS |
| AntabusedrugId:549 # (disulfiram)drugId:549 |
ALCOHOL AND DRUG CESSATION AGENT |
| Antara (fenofibrate capsule 30 mg, 90 mg)drugId:468 - PA |
LIPID LOWERING AGENTS |
| antihemophilic factor, human-Humate-P |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, human-Koate-DVI |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, human-Monoclate-P |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant, porcine sequence-Obizur |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant, single chain-Afstyla |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Advate |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Helixate |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Hemofil-M |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Kogenate |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Kovaltry |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Novoeight |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Nuwiq |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant pegylated-Adynovate |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant pegylated-aucl-Jivi |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Recombinate |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor, recombinant-Xyntha |
ANTI-HEMOPHILIA AGENTS |
| antihemophilic factor / von willebrand factor complex, human |
ANTI-HEMOPHILIA AGENTS |
| anti-inhibitor coagulant complex-Feiba NF |
ANTI-HEMOPHILIA AGENTS |
| anti-inhibitor coagulant complex-Feiba VH |
ANTI-HEMOPHILIA AGENTS |
| antithymocyte globulin, equinedrugId:1112 |
BIOLOGICAL |
| antithymovyte globulin, rabbitdrugId:1111 |
BIOLOGICAL |
| Anusol-HCdrugId:740 # (hydrocortisone hemorrhoidal cream)drugId:740 |
GLUCOCORTICOIDS |
| Anzemet (dolasetron injection)drugId:558 |
ANTIEMETICS |
| Anzemet (dolasetron tablet)drugId:557 - PA |
ANTIEMETICS |
| apalutamidedrugId:6682 - PA |
CHEMOTHERAPY |
| Apexicon-E (diflorasone cream / emollient)drugId:520 - PA |
GLUCOCORTICOIDS |
| Apidra (insulin glulisine)drugId:810 |
DIABETIC AGENTS |
| apixabandrugId:2721 - PA |
ANTICOAGULANTS |
| Aplenzin (bupropion hydrobromide extended-release) - PA; See Table 17drugId:395; See Table 71drugId:3640 |
ANTIDEPRESSANTS |
| Apokyn (apomorphine)drugId:83 |
ANTIPARKINSON |
| apomorphinedrugId:83 |
ANTIPARKINSON |
| apraclonidinedrugId:84 |
OPHTHALMIC PREPARATIONS |
| apremilastdrugId:2941 - PA |
IMMUNOMODULATOR |
| aprepitant 125 mg powder for oral suspensiondrugId:5726 - PA > 6 units/28 days |
ANTIEMETICS |
| aprepitant 40 mg and 125 mg capsuledrugId:86 - PA > 2 capsules/28 days |
ANTIEMETICS |
| aprepitant 80 mgdrugId:85 - PA > 4 capsules/28 days |
ANTIEMETICS |
| aprepitant injectable emulsiondrugId:6604 |
ANTIEMETICS |
| aprepitant trifold packdrugId:87 BP - PA > 2 packs/28 days |
ANTIEMETICS |
| Apriso (mesalamine extended-release)drugId:1150 |
GI ANTI-INFLAMMATORY |
| Aptensio XR (methylphenidate extended-release-Aptensio XR) - PA; See Table 31drugId:5100; See Table 71drugId:5101 |
CEREBRAL STIMULANTS |
| Aptiom (eslicarbazepine) - PA; See Table 20drugId:2953; See Table 71drugId:3380 |
ANTICONVULSANTS |
| Aptivus (tipranavir)drugId:1709 |
ANTIVIRALS |
| Aquadeks (multivitamins / minerals / coenzyme Q10-Aquadeks)drugId:2380 - PA |
HEMATINIC AGENT |
| Aquadeks (multivitamins / minerals / folic acid / coenzyme Q10-Aquadeks)drugId:2385 - PA |
HEMATINIC AGENT |
| Aralast (alpha-1-proteinase inhibitor, human-Aralast) |
ENZYMES |
| Aralast NP (alpha-1-proteinase inhibitor, human-Aralast NP) |
ENZYMES |
| Aranesp (darbepoetin alfa)drugId:327 - PA |
HEMATINIC AGENT |
| Arava # (leflunomide) |
IMMUNOMODULATOR |
| Arcalyst (rilonacept)drugId:1434 - PA |
BIOLOGICAL |
| Arcapta (indacaterol)drugId:2357 - PA |
BRONCHODILATORS |
| ArediadrugId:1474 # (pamidronate)drugId:1474 |
ELECTROLYTES AND NUTRIENTS |
| arformoteroldrugId:88 - PA |
BRONCHODILATORS |
| Aricept (donepezil 23 mg tablet)drugId:2247 - PA |
ALZHEIMER'S THERAPY |
| AriceptdrugId:2422 # (donepezil 10 mg tablet)drugId:2422 - PA < 18 years and PA > 60 units/month |
ALZHEIMER'S THERAPY |
| AriceptdrugId:559 # (donepezil 5 mg tablet)drugId:559 - PA < 18 years and PA > 30 units/month |
ALZHEIMER'S THERAPY |
| ArimidexdrugId:69 # (anastrozole)drugId:69 |
CHEMOTHERAPY |
| aripiprazole extended-release injection - PA; See Table 24drugId:2717; See Table 71drugId:4200 |
ANTIPSYCHOTIC |
| aripiprazole lauroxil 1,064 mg PD - PA < 6 years and PA > 1 injection/2 months; See Table 24drugId:6300; See Table 71drugId:6301 |
ANTIPSYCHOTIC |
| aripiprazole lauroxil 441 mg, 662 mg, 882 mg PD - PA < 6 years and PA > 1 injection/month; See Table 24drugId:5240; See Table 71drugId:5241 |
ANTIPSYCHOTIC |
| aripiprazole lauroxil 675 mg PD - PA < 6 years and PA > 1 injection/month; See Table 24drugId:6861; See Table 71drugId:6860 |
ANTIPSYCHOTIC |
| aripiprazole orally disintegrating tablet - PA; See Table 24drugId:92; See Table 71drugId:4220 |
ANTIPSYCHOTIC |
| aripiprazole solution - PA < 6 years or ≥ 18 years and PA > 750 mL/month; See Table 24drugId:91; See Table 71drugId:4240 |
ANTIPSYCHOTIC |
| aripiprazole tablet - PA < 6 years and PA > 30 units/month; See Table 24drugId:90; See Table 71drugId:4180 |
ANTIPSYCHOTIC |
| Aristada (aripiprazole lauroxil 1,064 mg) PD - PA < 6 years and PA > 1 injection/2 months; See Table 24drugId:6300; See Table 71drugId:6301 |
ANTIPSYCHOTIC |
| Aristada (aripiprazole lauroxil 441 mg, 662 mg, 882 mg) PD - PA < 6 years and PA > 1 injection/month; See Table 24drugId:5240; See Table 71drugId:5241 |
ANTIPSYCHOTIC |
| Aristada Initio (aripiprazole lauroxil 675 mg) PD - PA < 6 years and PA > 1 injection/month; See Table 24drugId:6861; See Table 71drugId:6860 |
ANTIPSYCHOTIC |
| Aristospan (triamcinolone injection)drugId:1750 |
GLUCOCORTICOIDS |
| ArixtradrugId:904 # (fondaparinux)drugId:904 |
ANTICOAGULANTS |
| armodafinildrugId:94 - PA |
CEREBRAL STIMULANTS |
| Armonair (fluticasone propionate inhalation powder-Armonair)drugId:6340 - PA |
BRONCHODILATORS |
| Arnuity (fluticasone furoate inhalation powder)drugId:4760 - PA |
BRONCHODILATORS |
| AromasindrugId:450 # (exemestane)drugId:450 |
CHEMOTHERAPY |
| Arranon (nelarabine)drugId:1182 - PA |
CHEMOTHERAPY |
| arsenic trioxidedrugId:2697 |
CHEMOTHERAPY |
| artemether / lumefantrinedrugId:95 - PA > 24 units/365 days |
ANTIMALARIALS |
| ArthrotecdrugId:514 # (diclofenac / misoprostol)drugId:514 - PA < 60 years |
NONSTEROIDAL ANTI-INFLAMMATORY |
| Artificial Tears (glycerin / propylene glycol)drugId:678 * |
OPHTHALMIC PREPARATIONS |
| Arymo ER (morphine extended-release tablet-Arymo ER)drugId:6040 - PA |
OPIOID ANALGESICS |
| Arzerra (ofatumumab)drugId:1270 - PA |
CHEMOTHERAPY |
| Asacol HD (mesalamine high dose delayed-release)drugId:1152 BP |
GI ANTI-INFLAMMATORY |
| Asclera (polidocanol)drugId:2934 - PA |
CARDIOVASCULAR |
| ascorbic aciddrugId:96 * |
ELECTROLYTES AND NUTRIENTS |
| asenapine - PA; See Table 24drugId:97; See Table 71drugId:4260 |
ANTIPSYCHOTIC |
| asfotase alfadrugId:5300 - PA |
ENZYMES |
| Asmanex HFA (mometasone inhalation aerosol)drugId:5102 |
BRONCHODILATORS |
| Asmanex Twisthaler (mometasone 110 mcg inhalation powder)drugId:2663 - PA ≥ 12 years |
BRONCHODILATORS |
| Asmanex Twisthaler (mometasone 220 mcg inhalation powder)drugId:1379 - PA < 12 years |
BRONCHODILATORS |
| asparaginase erwinia chrysanthemidrugId:2420 ^ - PA |
CHEMOTHERAPY |
| aspirin / extended-release dipyridamoledrugId:100 |
ANTIPLATELET AGENT |
| aspirin / omeprazoledrugId:5770 - PA |
ANTIPLATELET AGENT |
| aspirin * |
ANALGESICS |
| aspirin extended-releasedrugId:5245 - PA |
ANTIPLATELET AGENT |
| aspirin with buffers * |
ANALGESICS |
| Astagraf XL (tacrolimus extended-release capsule)drugId:2838 |
IMMUNOMODULATOR |
| Astepro (azelastine 0.15% nasal spray)drugId:116 - PA |
NASAL PREPARATIONS |
| Astramorph-PF (morphine, injection-Astramorph-PF)drugId:1391 - PA > 120 mg/day |
OPIOID ANALGESICS |
| Atacand (candesartan)drugId:433 - PA |
CARDIOVASCULAR |
| Atacand HCT (candesartan / hydrochlorothiazide)drugId:434 - PA |
CARDIOVASCULAR |
| atazanavirdrugId:101 |
ANTIVIRALS |
| atazanavir / cobicistatdrugId:4768 |
ANTIVIRALS |
| Atelvia (risedronate delayed-release)drugId:2101 - PA |
ELECTROLYTES AND NUTRIENTS |
| atenololdrugId:102 |
CARDIOVASCULAR |
| atenolol / chlorthalidonedrugId:103 |
CARDIOVASCULAR |
| atezolizumabdrugId:5593 - PA |
CHEMOTHERAPY |
| Atgam (antithymocyte globulin, equine)drugId:1112 |
BIOLOGICAL |
| Ativan # (lorazepam solution, tablet) - PA < 6 years; See Table 69drugId:1100; See Table 71drugId:4400 |
BENZODIAZEPINES |
| atomoxetine - PA < 6 years; See Table 31drugId:104; See Table 71drugId:3080 |
NONSTIMULANT ADHD AGENTS |
| atorvastatin 10 mg, 20 mg, 40 mgdrugId:105 - PA > 45 units/month |
LIPID LOWERING AGENTS |
| atorvastatin 80 mgdrugId:2933 - PA > 30 units/month |
LIPID LOWERING AGENTS |
| atovaquonedrugId:106 |
ANTIPARASITICS |
| atovaquone / proguanil |
ANTIMALARIALS |
| Atralin (tretinoin 0.05% gel)drugId:2432 - PA |
DERMATOLOGICAL |
| Atripla (efavirenz / emtricitabine / tenofovir)drugId:591 |
ANTIVIRALS |
| atropine injection |
ANTISPASMODICS,ANTICHOLINERGIC |
| atropine ophthalmic |
OPHTHALMIC PREPARATIONS |
| Atrovent # (ipratropium nasal spray) |
NASAL PREPARATIONS |
| Atrovent HFA (ipratropium inhalation aerosol)drugId:833 |
BRONCHODILATORS |
| Aubagio (teriflunomide)drugId:2657 - PA |
MULTIPLE SCLEROSIS AGENTS |
| Augmentin (amoxicillin / clavulanate 125/31.25 mg/5 mL suspension)drugId:54 - PA |
ANTIBIOTICS |
| AugmentindrugId:6420 # (amoxicillin / clavulanate chewable tablet, 200/28.5, 250/62.5, 400/57, 600/42.9 mg/5 mL suspension, tablet)drugId:6420 |
ANTIBIOTICS |
| Augmentin XR (amoxicillin / clavulanate extended-release)drugId:55 - PA |
ANTIBIOTICS |
| auranofin |
IMMUNOMODULATOR |
| Auryxia (ferric citrate) |
ELECTROLYTES AND NUTRIENTS |
| Austedo (deutetrabenazine)drugId:6121 - PA |
NEUROLOGIC AGENT |
| AvalidedrugId:969 # (irbesartan / hydrochlorothiazide)drugId:969 |
CARDIOVASCULAR |
| Avandia (rosiglitazone)drugId:1456 - PA |
DIABETIC AGENTS |
| AvaprodrugId:968 # (irbesartan)drugId:968 |
CARDIOVASCULAR |
| Avastin (bevacizumab)drugId:360 - PA |
CHEMOTHERAPY |
| avatrombopagdrugId:6990 - PA |
HEMATOLOGIC |
| AVC (sulfanilamide)drugId:1909 |
ANTIBIOTICS |
| Aveed (testosterone undecanoate)drugId:2954 ^ - PA |
HORMONE REPLACEMENT THERAPY |
| Avelox (moxifloxacin injection)drugId:2748 |
ANTIBIOTICS |
| Avelox (moxifloxacin tablet)drugId:1398 - PA |
ANTIBIOTICS |
| avelumabdrugId:6100 - PA |
CHEMOTHERAPY |
| AvitadrugId:1747 # (tretinoin-Avita)drugId:1747 - PA ≥ 22 years |
DERMATOLOGICAL |
| Avodart (dutasteride)drugId:586 - PA |
BENIGN PROSTATIC HYPERPLASIA AGENTS |
| Avonex (interferon beta-1a-Avonex)drugId:825 |
MULTIPLE SCLEROSIS AGENTS |
| Avycaz (ceftazidime / avibactam)drugId:4902 - PA |
ANTIBIOTICS |
| Axert (almotriptan)drugId:18 - PA |
TRIPTAN |
| axicabtagene ciloleuceldrugId:6414 CO ^ - PA |
CHEMOTHERAPY |
| Axiron (testosterone 2% solution)drugId:2237 - PA |
HORMONE REPLACEMENT THERAPY |
| axitinibdrugId:2484 - PA |
CHEMOTHERAPY |
| Aygestin (norethindrone 5 mg) |
HORMONE REPLACEMENT THERAPY |
| azacitidinedrugId:110 |
CHEMOTHERAPY |
| AzactamdrugId:120 # (aztreonam injection)drugId:120 |
ANTIBIOTICS |
| Azasite (azithromycin ophthalmic solution)drugId:119 BP - PA |
OPHTHALMIC PREPARATIONS |
| azathioprine 50 mg tabletdrugId:111 |
IMMUNOMODULATOR |
| azathioprine 75 mg, 100 mg tabletdrugId:2857 - PA |
IMMUNOMODULATOR |
| azathioprine injectiondrugId:5501 |
IMMUNOMODULATOR |
| Azedra (iobenguane I 131)drugId:6980 ^ |
CHEMOTHERAPY |
| azelaic acid creamdrugId:112 - PA |
DERMATOLOGICAL |
| azelaic acid foamdrugId:5106 - PA |
DERMATOLOGICAL |
| azelaic acid geldrugId:113 BP - PA |
DERMATOLOGICAL |
| azelastine/fluticasone propionatedrugId:2580 - PA |
NASAL PREPARATIONS |
| azelastine 0.15% nasal spraydrugId:116 - PA |
NASAL PREPARATIONS |
| azelastine 137 mcg nasal spraydrugId:115 - PA > 1 inhaler/month |
NASAL PREPARATIONS |
| azelastine ophthalmic solutiondrugId:114 |
ANTIHISTAMINES |
| Azelex (azelaic acid cream)drugId:112 - PA |
DERMATOLOGICAL |
| Azilect (rasagiline)drugId:1640 - PA |
ANTIPARKINSON |
| azilsartan / chlorthalidonedrugId:2480 - PA |
CARDIOVASCULAR |
| azilsartandrugId:2240 - PA |
CARDIOVASCULAR |
| azithromycin; See Table 35drugId:117; See Table 66drugId:2622 |
ANTIBIOTICS |
| azithromycin extended-releasedrugId:118 - PA |
ANTIBIOTICS |
| azithromycin ophthalmic solutiondrugId:119 BP - PA |
OPHTHALMIC PREPARATIONS |
| Azopt (brinzolamide)drugId:375 - PA |
OPHTHALMIC PREPARATIONS |
| Azor (amlodipine / olmesartan)drugId:46 - PA |
CARDIOVASCULAR |
| aztreonam |
ANTIBIOTICS |
| aztreonam injectiondrugId:120 |
ANTIBIOTICS |
| AzulfidinedrugId:1910 # (sulfasalazine)drugId:1910 |
GI ANTI-INFLAMMATORY |
| Azulfidine EN-TabsdrugId:4864 # (sulfasalazine delayed-release)drugId:4864 |
GI ANTI-INFLAMMATORY |
