ID,Class,SubClass,HealthPlan,Name,Preferred,FE,DL,PA,ST,NC 1,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/BUTALBITAL,*,,,,, 2,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,*,,,,, 3,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,*,,,,, 4,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,,, 5,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 6,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN//CAFFEINE/DIHYDROCODEINE [Panlor DC],,,,,, 7,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/CODEINE,*,,,,, 8,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,,, 9,Analgesics,Narcotic/Opiate,AETNA,ACETAMINOPHEN/PENTAZOCINE,*,,,,, 10,Analgesics,Narcotic/Opiate,AETNA,ASPIRIN/BUTALBITAL/CAFFEINE,*,,,,, 11,Analgesics,Narcotic/Opiate,AETNA,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,*,,,,, 12,Analgesics,Narcotic/Opiate,AETNA,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [FIorinal with Codeine],,,,,, 13,Analgesics,Narcotic/Opiate,AETNA,BUPRENOPHINE/NALOXONE [Suboxone],,,,,, 14,Analgesics,Narcotic/Opiate,AETNA,BUTORPHANOL nasal spray,*,,DL,,, 15,Analgesics,Narcotic/Opiate,AETNA,CODEINE,*,,,,, 16,Analgesics,Narcotic/Opiate,AETNA,CODEINE/ASPIRIN,*,,,,, 17,Analgesics,Narcotic/Opiate,AETNA,FENTANYL BUCCAL tablets [Fentora],,FE,DL,PA,, 18,Analgesics,Narcotic/Opiate,AETNA,FENTANYL CITRATE lozenge,*,,DL,PA,, 19,Analgesics,Narcotic/Opiate,AETNA,FENTANYL citrate lozenge [Actiq],,FE,DL,PA,, 20,Analgesics,Narcotic/Opiate,AETNA,FENTANYL transdermal patch,*,,DL,,, 21,Analgesics,Narcotic/Opiate,AETNA,FENTANYL transdermal patch [Duragesic],,FE,DL,,ST, 22,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN,*,,,,, 23,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,,, 24,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,,, 25,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,,, 26,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,,, 27,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,,, 28,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,,, 29,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,, 30,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,, 31,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/IBUPROFEN,*,,,,, 32,Analgesics,Narcotic/Opiate,AETNA,HYDROCODONE/IBUPROFEN [Reprexain],,,,,, 33,Analgesics,Narcotic/Opiate,AETNA,HYDROMORPHONE,*,,,,, 34,Analgesics,Narcotic/Opiate,AETNA,HYDROMORPHONE [Dilaudid],,,,,, 35,Analgesics,Narcotic/Opiate,AETNA,LEVORPHANOL,*,,,,, 36,Analgesics,Narcotic/Opiate,AETNA,MEPERIDINE,*,,,,, 37,Analgesics,Narcotic/Opiate,AETNA,MEPERIDINE [Demerol],,,,,, 38,Analgesics,Narcotic/Opiate,AETNA,MEPERIDINE/PROMETHAZINE,*,,,PA,, 39,Analgesics,Narcotic/Opiate,AETNA,METHADONE,*,,,,, 40,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE,*,,,,, 41,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE CR,*,,,,, 42,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE SR,*,,,,, 43,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE [Kadian],*,,,,, 44,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE [MS Contin],,,,,, 45,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE [Oramorph SR],,,,,, 46,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE [Roxanol] ,,,,,, 47,Analgesics,Narcotic/Opiate,AETNA,MORPHINE SULFATE ER [Avinza],*,,,,, 48,Analgesics,Narcotic/Opiate,AETNA,NALOXONE/PENTAZOCINE,*,,,,, 49,Analgesics,Narcotic/Opiate,AETNA,OPIUM TINCTURE,*,,,,, 50,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE,*,,,,, 51,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE [OxyIR],,,,,, 52,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE [Roxicodone],,,,,, 53,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE [Roxicodone Intensol],,,,,, 54,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE ER [Oxycontin],*,,DL,,, 55,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN,*,,,,, 56,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,,, 57,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN [Percocet],,,,,, 58,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,,, 59,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN solution,*,,,,, 60,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 61,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 62,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ASPIRIN,*,,,,, 63,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/ASPIRIN [Percodan],,,,,, 64,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/IBUPROFEN,,,,,, 65,Analgesics,Narcotic/Opiate,AETNA,OXYCODONE/IBUPROFEN [Combunox],,FE,DL,,ST, 66,Analgesics,Narcotic/Opiate,AETNA,OXYMORPHONE [Opana],,FE,,,, 67,Analgesics,Narcotic/Opiate,AETNA,OXYMORPHONE ER [Opana ER],*,,,,, 68,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE HCL,*,,,,, 69,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE HCL [Darvon],,,,,, 70,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE NAPSYLATE [Darvon N],,,,,, 71,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,*,,,,, 72,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE/ACETAMINOPHEN,*,,,,, 73,Analgesics,Narcotic/Opiate,AETNA,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,,, 74,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/BUTALBITAL,*,,,,, 75,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,*,,,,, 76,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,*,,,,, 77,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,,, 78,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,*,,,,, 79,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN//CAFFEINE/DIHYDROCODEINE [Panlor DC],,,,,, 80,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/CODEINE,*,,,,, 81,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,,, 82,Analgesics,Narcotic/Opiate,BCBSMA,ACETAMINOPHEN/PENTAZOCINE,*,,,,, 83,Analgesics,Narcotic/Opiate,BCBSMA,ASPIRIN/BUTALBITAL/CAFFEINE,*,,,,, 84,Analgesics,Narcotic/Opiate,BCBSMA,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,*,,,,, 85,Analgesics,Narcotic/Opiate,BCBSMA,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [FIorinal with Codeine],,,,,, 86,Analgesics,Narcotic/Opiate,BCBSMA,BUPRENOPHINE/NALOXONE [Suboxone],*,,,,, 87,Analgesics,Narcotic/Opiate,BCBSMA,BUTORPHANOL nasal spray,*,,DL,,, 88,Analgesics,Narcotic/Opiate,BCBSMA,CODEINE,*,,,,, 89,Analgesics,Narcotic/Opiate,BCBSMA,CODEINE/ASPIRIN,*,,,,, 90,Analgesics,Narcotic/Opiate,BCBSMA,FENTANYL BUCCAL tablets [Fentora],,,,,,NC 91,Analgesics,Narcotic/Opiate,BCBSMA,FENTANYL CITRATE lozenge,*,,,,, 92,Analgesics,Narcotic/Opiate,BCBSMA,FENTANYL citrate lozenge [Actiq],,,,,, 93,Analgesics,Narcotic/Opiate,BCBSMA,FENTANYL transdermal patch,*,,,,, 94,Analgesics,Narcotic/Opiate,BCBSMA,FENTANYL transdermal patch [Duragesic],,,,,, 95,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN,*,,,,, 96,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,,, 97,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,,, 98,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,,, 99,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,,, 100,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,,,NC 101,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,,,NC 102,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,, 103,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,, 104,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/IBUPROFEN,*,,,,, 105,Analgesics,Narcotic/Opiate,BCBSMA,HYDROCODONE/IBUPROFEN [Reprexain],,,,,, 106,Analgesics,Narcotic/Opiate,BCBSMA,HYDROMORPHONE,*,,,,, 107,Analgesics,Narcotic/Opiate,BCBSMA,HYDROMORPHONE [Dilaudid],,,,,, 108,Analgesics,Narcotic/Opiate,BCBSMA,LEVORPHANOL,*,,,,, 109,Analgesics,Narcotic/Opiate,BCBSMA,MEPERIDINE,*,,,,, 110,Analgesics,Narcotic/Opiate,BCBSMA,MEPERIDINE [Demerol],,,,,, 111,Analgesics,Narcotic/Opiate,BCBSMA,MEPERIDINE/PROMETHAZINE,*,,,,, 112,Analgesics,Narcotic/Opiate,BCBSMA,METHADONE,,,,,, 113,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE,*,,,,, 114,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE CR,*,,,,, 115,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE SR,*,,,,, 116,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE [Kadian],,,,,,NC 117,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE [MS Contin],,,,,, 118,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE [Oramorph SR],,,,,,NC 119,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE [Roxanol] ,,,,,, 120,Analgesics,Narcotic/Opiate,BCBSMA,MORPHINE SULFATE ER [Avinza],,,,,,NC 121,Analgesics,Narcotic/Opiate,BCBSMA,NALOXONE/PENTAZOCINE,*,,,,, 122,Analgesics,Narcotic/Opiate,BCBSMA,OPIUM TINCTURE,,,,,, 123,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE,*,,,,, 124,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE [OxyIR],,,,,, 125,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE [Roxicodone],,,,,, 126,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE [Roxicodone Intensol],,,,,, 127,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE ER [Oxycontin],*,,,,, 128,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN,*,,,,, 129,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,,, 130,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN [Percocet],,,,,,NC 131,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,,, 132,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN solution,*,,,,, 133,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],*,,,,, 134,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],*,,,,, 135,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ASPIRIN,*,,,,, 136,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/ASPIRIN [Percodan],,,,,, 137,Analgesics,Narcotic/Opiate,BCBSMA,OXYCODONE/IBUPROFEN [Combunox],,,,,,NC 138,Analgesics,Narcotic/Opiate,BCBSMA,OXYMORPHONE [Opana],,,,,,NC 139,Analgesics,Narcotic/Opiate,BCBSMA,OXYMORPHONE ER [Opana ER],,,,,,NC 140,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE HCL,*,,,,, 141,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE HCL [Darvon],,,,,, 142,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE NAPSYLATE [Darvon N],*,,,,, 143,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,*,,,,, 144,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE/ACETAMINOPHEN,*,,,,, 145,Analgesics,Narcotic/Opiate,BCBSMA,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,,,NC 146,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN/BUTALBITAL,,,,,, 147,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 148,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 149,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHENE/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 150,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN//CAFFEINE/DIHYDROCODEINE [Panlor DC],,,,,, 151,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN/CODEINE,,,,,, 152,Analgesics,Narcotic/Opiate,BMCHP,ACETAMINOPHEN/PENTAZOCINE,,,,,, 153,Analgesics,Narcotic/Opiate,BMCHP,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 154,Analgesics,Narcotic/Opiate,BMCHP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 155,Analgesics,Narcotic/Opiate,BMCHP,BUPRENOPHINE/NALOXONE [Suboxone],,,DL,PA,, 156,Analgesics,Narcotic/Opiate,BMCHP,BUTORPHANOL nasal spray,,,DL,,, 157,Analgesics,Narcotic/Opiate,BMCHP,CODEINE,,,,,, 158,Analgesics,Narcotic/Opiate,BMCHP,CODEINE/ASPIRIN,,,,,, 159,Analgesics,Narcotic/Opiate,BMCHP,FENTANYL BUCCAL tablets [Fentora],,,DL,PA,, 160,Analgesics,Narcotic/Opiate,BMCHP,FENTANYL CITRATE lozenge,,,,PA,, 161,Analgesics,Narcotic/Opiate,BMCHP,FENTANYL citrate lozenge [Actiq],,,,PA,, 162,Analgesics,Narcotic/Opiate,BMCHP,FENTANYL transdermal patch,,,DL,,, 163,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/ACETAMINOPHEN,,,,,, 164,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,,, 165,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,, 166,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,, 167,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/IBUPROFEN,,,,,, 168,Analgesics,Narcotic/Opiate,BMCHP,HYDROCODONE/IBUPROFEN [Reprexain],,,,,, 169,Analgesics,Narcotic/Opiate,BMCHP,HYDROMORPHONE,,,DL,,, 170,Analgesics,Narcotic/Opiate,BMCHP,LEVORPHANOL,,,DL,,, 171,Analgesics,Narcotic/Opiate,BMCHP,MEPERIDINE,,,DL,,, 172,Analgesics,Narcotic/Opiate,BMCHP,MEPERIDINE/PROMETHAZINE,,,,,,NC 173,Analgesics,Narcotic/Opiate,BMCHP,METHADONE,,,DL,,, 174,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE,,,DL,,, 175,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE CR,,,DL,,, 176,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE SR,,,DL,,, 177,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE [Kadian],,,DL,PA,, 178,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE [Oramorph SR],,,DL,,, 179,Analgesics,Narcotic/Opiate,BMCHP,MORPHINE SULFATE ER [Avinza],,,DL,PA,, 180,Analgesics,Narcotic/Opiate,BMCHP,NALOXONE/PENTAZOCINE,,,,,, 181,Analgesics,Narcotic/Opiate,BMCHP,OPIUM TINCTURE,,,,,, 182,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE,,,DL,,, 183,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE ER [Oxycontin],,,DL,,, 184,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE/ACETAMINOPHEN,,,DL,,, 185,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE/ACETAMINOPHEN solution,,,DL,,, 186,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,DL,,, 187,Analgesics,Narcotic/Opiate,BMCHP,OXYCODONE/ASPIRIN,,,DL,,, 188,Analgesics,Narcotic/Opiate,BMCHP,OXYMORPHONE [Opana],,,DL,PA,, 189,Analgesics,Narcotic/Opiate,BMCHP,OXYMORPHONE ER [Opana ER],,,DL,PA,, 190,Analgesics,Narcotic/Opiate,BMCHP,PROPOXYPHENE HCL,,,,,, 191,Analgesics,Narcotic/Opiate,BMCHP,PROPOXYPHENE NAPSYLATE [Darvon N],,,,,, 192,Analgesics,Narcotic/Opiate,BMCHP,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 193,Analgesics,Narcotic/Opiate,BMCHP,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 194,Analgesics,Narcotic/Opiate,FCHP,ACETAMINOPHEN/BUTALBITAL,,,,,, 195,Analgesics,Narcotic/Opiate,FCHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 196,Analgesics,Narcotic/Opiate,FCHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 197,Analgesics,Narcotic/Opiate,FCHP,ACETOMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 198,Analgesics,Narcotic/Opiate,FCHP,ACETAMINOPHEN/CODEINE,,,,,, 199,Analgesics,Narcotic/Opiate,FCHP,ACETAMINOPHEN/PENTAZOCINE,,,,,, 200,Analgesics,Narcotic/Opiate,FCHP,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 201,Analgesics,Narcotic/Opiate,FCHP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 202,Analgesics,Narcotic/Opiate,FCHP,BUPRENOPHINE/NALOXONE [Suboxone],,,,PA,, 203,Analgesics,Narcotic/Opiate,FCHP,BUTORPHANOL nasal spray,,,,PA,, 204,Analgesics,Narcotic/Opiate,FCHP,CODEINE,,,,,, 205,Analgesics,Narcotic/Opiate,FCHP,CODEINE/ASPIRIN,,,,,, 206,Analgesics,Narcotic/Opiate,FCHP,FENTANYL CITRATE lozenge,,,,PA,, 207,Analgesics,Narcotic/Opiate,FCHP,FENTANYL transdermal patch,,,,,, 208,Analgesics,Narcotic/Opiate,FCHP,HYDROCODONE/ACETAMINOPHEN,,,,,, 209,Analgesics,Narcotic/Opiate,FCHP,HYDROCODONE/IBUPROFEN,,,,,, 210,Analgesics,Narcotic/Opiate,FCHP,HYDROMORPHONE,,,,,, 211,Analgesics,Narcotic/Opiate,FCHP,LEVORPHANOL,,,,,, 212,Analgesics,Narcotic/Opiate,FCHP,MEPERIDINE,,,,,, 213,Analgesics,Narcotic/Opiate,FCHP,MEPERIDINE/PROMETHAZINE,,,,,, 214,Analgesics,Narcotic/Opiate,FCHP,METHADONE,,,,,, 215,Analgesics,Narcotic/Opiate,FCHP,MORPHINE SULFATE,,,,,, 216,Analgesics,Narcotic/Opiate,FCHP,MORPHINE SULFATE CR,,,,,, 217,Analgesics,Narcotic/Opiate,FCHP,MORPHINE SULFATE SR,,,,,, 218,Analgesics,Narcotic/Opiate,FCHP,MORPHINE SULFATE [Roxanol] ,,,,,, 219,Analgesics,Narcotic/Opiate,FCHP,NALOXONE/PENTAZOCINE,,,,,, 220,Analgesics,Narcotic/Opiate,FCHP,OPIUM TINCTURE,,,,,, 221,Analgesics,Narcotic/Opiate,FCHP,OXYCODONE,,,,,, 222,Analgesics,Narcotic/Opiate,FCHP,OXYCODONE/ACETAMINOPHEN,,,,,, 223,Analgesics,Narcotic/Opiate,FCHP,OXYCODONE/ACETAMINOPHEN solution,,,,,, 224,Analgesics,Narcotic/Opiate,FCHP,OXYCODONE/ASPIRIN,,,,,, 225,Analgesics,Narcotic/Opiate,FCHP,PROPOXYPHENE HCL,,,,,, 226,Analgesics,Narcotic/Opiate,FCHP,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 227,Analgesics,Narcotic/Opiate,FCHP,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 228,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/BUTALBITAL,,,,,, 229,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 230,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 231,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,,, 232,Analgesics,Narcotic/Opiate,HPHC,ACETOMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 233,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN//CAFFEINE/DIHYDROCODEINE [Panlor DC],,,,,, 234,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/CODEINE,,,,,, 235,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,,, 236,Analgesics,Narcotic/Opiate,HPHC,ACETAMINOPHEN/PENTAZOCINE,,,,,, 237,Analgesics,Narcotic/Opiate,HPHC,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 238,Analgesics,Narcotic/Opiate,HPHC,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 239,Analgesics,Narcotic/Opiate,HPHC,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [Florinal with Codeine],,,,,, 240,Analgesics,Narcotic/Opiate,HPHC,BUPRENOPHINE/NALOXONE [Suboxone],,,,,, 241,Analgesics,Narcotic/Opiate,HPHC,BUTORPHANOL nasal spray,,,,,, 242,Analgesics,Narcotic/Opiate,HPHC,CODEINE,,,,,, 243,Analgesics,Narcotic/Opiate,HPHC,CODEINE/ASPIRIN,,,,,, 244,Analgesics,Narcotic/Opiate,HPHC,FENTANYL BUCCAL tablets [Fentora],,,,,, 245,Analgesics,Narcotic/Opiate,HPHC,FENTANYL CITRATE lozenge,,,,,, 246,Analgesics,Narcotic/Opiate,HPHC,FENTANYL citrate lozenge [Actiq],,,,,, 247,Analgesics,Narcotic/Opiate,HPHC,FENTANYL transdermal patch,,,,,, 248,Analgesics,Narcotic/Opiate,HPHC,FENTANYL transdermal patch [Duragesic],,,,,, 249,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN,,,,,, 250,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,,, 251,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,,, 252,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,,, 253,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,,, 254,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,,, 255,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,,, 256,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,, 257,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,, 258,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/IBUPROFEN,,,,,, 259,Analgesics,Narcotic/Opiate,HPHC,HYDROCODONE/IBUPROFEN [Reprexain],,,,,, 260,Analgesics,Narcotic/Opiate,HPHC,HYDROMORPHONE,,,,,, 261,Analgesics,Narcotic/Opiate,HPHC,HYDROMORPHONE [Dilaudid],,,,,, 262,Analgesics,Narcotic/Opiate,HPHC,LEVORPHANOL,,,,,, 263,Analgesics,Narcotic/Opiate,HPHC,MEPERIDINE,,,,,, 264,Analgesics,Narcotic/Opiate,HPHC,MEPERIDINE [Demerol],,,,,, 265,Analgesics,Narcotic/Opiate,HPHC,MEPERIDINE/PROMETHAZINE,,,,,, 266,Analgesics,Narcotic/Opiate,HPHC,METHADONE,,,,,, 267,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE,,,,,, 268,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE CR,,,,,, 269,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE SR,,,,,, 270,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE [Kadian],,,,,, 271,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE [MS Contin],,,,,, 272,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE [Oramorph SR],,,,,, 273,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE [Roxanol] ,,,,,, 274,Analgesics,Narcotic/Opiate,HPHC,MORPHINE SULFATE ER [Avinza],,,,,, 275,Analgesics,Narcotic/Opiate,HPHC,NALOXONE/PENTAZOCINE,,,,,, 276,Analgesics,Narcotic/Opiate,HPHC,OPIUM TINCTURE,,,,,, 277,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE,,,,,, 278,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE [OxyIR],,,,,, 279,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE [Roxicodone],,,,,, 280,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE [Roxicodone Intensol],,,,,, 281,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE ER [Oxycontin],,,DL,,, 282,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN,,,,,, 283,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,,, 284,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN [Percocet],,,,,, 285,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,,, 286,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN solution,,,,,, 287,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 288,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 289,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ASPIRIN,,,,,, 290,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/ASPIRIN [Percodan],,,,,, 291,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/IBUPROFEN,,,,,, 292,Analgesics,Narcotic/Opiate,HPHC,OXYCODONE/IBUPROFEN [Combunox],,,,,, 293,Analgesics,Narcotic/Opiate,HPHC,OXYMORPHONE [Opana],,,,,, 294,Analgesics,Narcotic/Opiate,HPHC,OXYMORPHONE ER [Opana ER],,,,,, 295,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE HCL,,,,,, 296,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE HCL [Darvon],,,,,, 297,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE NAPSYLATE [Darvon N],,,,,, 298,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 299,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 300,Analgesics,Narcotic/Opiate,HPHC,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,,, 301,Analgesics,Narcotic/Opiate,HNE,ACETAMINOPHEN/BUTALBITAL,,,,,, 302,Analgesics,Narcotic/Opiate,HNE,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 303,Analgesics,Narcotic/Opiate,HNE,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 304,Analgesics,Narcotic/Opiate,HNE,ACETOMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 305,Analgesics,Narcotic/Opiate,HNE,ACETAMINOPHEN/CODEINE,,,,,, 306,Analgesics,Narcotic/Opiate,HNE,ACETAMINOPHEN/PENTAZOCINE,,,,,, 307,Analgesics,Narcotic/Opiate,HNE,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 308,Analgesics,Narcotic/Opiate,HNE,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 309,Analgesics,Narcotic/Opiate,HNE,BUTORPHANOL nasal spray,,,,,, 310,Analgesics,Narcotic/Opiate,HNE,CODEINE,,,,,, 311,Analgesics,Narcotic/Opiate,HNE,CODEINE/ASPIRIN,,,,,, 312,Analgesics,Narcotic/Opiate,HNE,FENTANYL CITRATE lozenge,,,DL,,, 313,Analgesics,Narcotic/Opiate,HNE,FENTANYL transdermal patch,,,,,, 314,Analgesics,Narcotic/Opiate,HNE,HYDROCODONE/ACETAMINOPHEN,,,,,, 315,Analgesics,Narcotic/Opiate,HNE,HYDROCODONE/IBUPROFEN,,,,,, 316,Analgesics,Narcotic/Opiate,HNE,HYDROMORPHONE,,,,,, 317,Analgesics,Narcotic/Opiate,HNE,LEVORPHANOL,,,,,, 318,Analgesics,Narcotic/Opiate,HNE,MEPERIDINE,,,,,, 319,Analgesics,Narcotic/Opiate,HNE,MEPERIDINE/PROMETHAZINE,,,,,, 320,Analgesics,Narcotic/Opiate,HNE,METHADONE,,,,,, 321,Analgesics,Narcotic/Opiate,HNE,MORPHINE SULFATE,,,,,, 322,Analgesics,Narcotic/Opiate,HNE,MORPHINE SULFATE CR,,,,,, 323,Analgesics,Narcotic/Opiate,HNE,MORPHINE SULFATE SR,,,,,, 324,Analgesics,Narcotic/Opiate,HNE,NALOXONE/PENTAZOCINE,,,,,, 325,Analgesics,Narcotic/Opiate,HNE,OPIUM TINCTURE,,,,,, 326,Analgesics,Narcotic/Opiate,HNE,OXYCODONE,,,,,, 327,Analgesics,Narcotic/Opiate,HNE,OXYCODONE ER [Oxycontin],,,DL,,ST, 328,Analgesics,Narcotic/Opiate,HNE,OXYCODONE/ACETAMINOPHEN,,,,,, 329,Analgesics,Narcotic/Opiate,HNE,OXYCODONE/ACETAMINOPHEN solution,,,,,, 330,Analgesics,Narcotic/Opiate,HNE,OXYCODONE/ASPIRIN,,,,,, 331,Analgesics,Narcotic/Opiate,HNE,PROPOXYPHENE HCL,,,,,, 332,Analgesics,Narcotic/Opiate,HNE,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 333,Analgesics,Narcotic/Opiate,HNE,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 334,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/BUTALBITAL,,,,,, 335,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 336,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 337,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,,,NC 338,Analgesics,Narcotic/Opiate,NHP,ACETOMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 339,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/CODEINE,,,,,, 340,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,,,NC 341,Analgesics,Narcotic/Opiate,NHP,ACETAMINOPHEN/PENTAZOCINE,,,,,, 342,Analgesics,Narcotic/Opiate,NHP,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 343,Analgesics,Narcotic/Opiate,NHP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 344,Analgesics,Narcotic/Opiate,NHP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [FIorinal with Codeine],,,,,,NC 345,Analgesics,Narcotic/Opiate,NHP,BUPRENOPHINE/NALOXONE [Suboxone],,,DL,,, 346,Analgesics,Narcotic/Opiate,NHP,BUTORPHANOL nasal spray,,,DL,,, 347,Analgesics,Narcotic/Opiate,NHP,CODEINE,,,,,, 348,Analgesics,Narcotic/Opiate,NHP,CODEINE/ASPIRIN,,,,,, 349,Analgesics,Narcotic/Opiate,NHP,FENTANYL CITRATE lozenge,,,DL,,, 350,Analgesics,Narcotic/Opiate,NHP,FENTANYL citrate lozenge [Actiq],,,,,,NC 351,Analgesics,Narcotic/Opiate,NHP,FENTANYL transdermal patch,,,DL,,ST, 352,Analgesics,Narcotic/Opiate,NHP,FENTANYL transdermal patch [Duragesic],,,,,,NC 353,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN,,,,,, 354,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,,,NC 355,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,,,NC 356,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,,,NC 357,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,,,NC 358,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,,,NC 359,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,,NC 360,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,,NC 361,Analgesics,Narcotic/Opiate,NHP,HYDROCODONE/IBUPROFEN,,,,,, 362,Analgesics,Narcotic/Opiate,NHP,HYDROMORPHONE,,,,,, 363,Analgesics,Narcotic/Opiate,NHP,HYDROMORPHONE [Dilaudid],,,,,,NC 364,Analgesics,Narcotic/Opiate,NHP,LEVORPHANOL,,,,,, 365,Analgesics,Narcotic/Opiate,NHP,MEPERIDINE,,,,,, 366,Analgesics,Narcotic/Opiate,NHP,MEPERIDINE [Demerol],,,,,,NC 367,Analgesics,Narcotic/Opiate,NHP,MEPERIDINE/PROMETHAZINE,,,,,, 368,Analgesics,Narcotic/Opiate,NHP,METHADONE,,,,,, 369,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE,,,,,, 370,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE CR,,,,,, 371,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE SR,,,DL,,, 372,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE [Kadian],,,DL,,ST, 373,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE [MS Contin],,,,,,NC 374,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE [Oramorph SR],,,,,,NC 375,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE [Roxanol] ,,,,,,NC 376,Analgesics,Narcotic/Opiate,NHP,MORPHINE SULFATE ER [Avinza],,,DL,,ST, 377,Analgesics,Narcotic/Opiate,NHP,NALOXONE/PENTAZOCINE,,,,,, 378,Analgesics,Narcotic/Opiate,NHP,OPIUM TINCTURE,,,,,, 379,Analgesics,Narcotic/Opiate,NHP,OXYCODONE,,,,,, 380,Analgesics,Narcotic/Opiate,NHP,OXYCODONE [OxyIR],,,,,,NC 381,Analgesics,Narcotic/Opiate,NHP,OXYCODONE ER [Oxycontin],,,DL,,ST, 382,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN,,,,,, 383,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,,,NC 384,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN [Percocet],,,,,,NC 385,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,,,NC 386,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN solution,,,,,, 387,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 388,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 389,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ASPIRIN,,,,,, 390,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/ASPIRIN [Percodan],,,,,,NC 391,Analgesics,Narcotic/Opiate,NHP,OXYCODONE/IBUPROFEN [Combunox],,,,,,NC 392,Analgesics,Narcotic/Opiate,NHP,OXYMORPHONE [Opana],,,,,,NC 393,Analgesics,Narcotic/Opiate,NHP,OXYMORPHONE ER [Opana ER],,,,,,NC 394,Analgesics,Narcotic/Opiate,NHP,PROPOXYPHENE HCL,,,,,, 395,Analgesics,Narcotic/Opiate,NHP,PROPOXYPHENE HCL [Darvon],,,,,,NC 396,Analgesics,Narcotic/Opiate,NHP,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 397,Analgesics,Narcotic/Opiate,NHP,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 398,Analgesics,Narcotic/Opiate,NHP,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,,,NC 399,Analgesics,Narcotic/Opiate,NTWK,ACETAMINOPHEN/BUTALBITAL,,,,,, 400,Analgesics,Narcotic/Opiate,NTWK,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 401,Analgesics,Narcotic/Opiate,NTWK,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 402,Analgesics,Narcotic/Opiate,NTWK,ACETAMINOPHEN/CODEINE,,,,,, 403,Analgesics,Narcotic/Opiate,NTWK,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 404,Analgesics,Narcotic/Opiate,NTWK,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 405,Analgesics,Narcotic/Opiate,NTWK,BUPRENOPHINE/NALOXONE [Suboxone],,,DL,,, 406,Analgesics,Narcotic/Opiate,NTWK,BUTORPHANOL nasal spray,,,,,, 407,Analgesics,Narcotic/Opiate,NTWK,CODEINE,,,,,, 408,Analgesics,Narcotic/Opiate,NTWK,CODEINE/ASPIRIN,,,,,, 409,Analgesics,Narcotic/Opiate,NTWK,FENTANYL transdermal patch,,,,,, 410,Analgesics,Narcotic/Opiate,NTWK,HYDROCODONE/ACETAMINOPHEN,,,,,, 411,Analgesics,Narcotic/Opiate,NTWK,HYDROCODONE/IBUPROFEN,,,,,, 412,Analgesics,Narcotic/Opiate,NTWK,HYDROMORPHONE,,,,,, 413,Analgesics,Narcotic/Opiate,NTWK,MEPERIDINE,,,,,, 414,Analgesics,Narcotic/Opiate,NTWK,METHADONE,,,,,, 415,Analgesics,Narcotic/Opiate,NTWK,MORPHINE SULFATE,,,,,, 416,Analgesics,Narcotic/Opiate,NTWK,MORPHINE SULFATE CR,,,,,, 417,Analgesics,Narcotic/Opiate,NTWK,MORPHINE SULFATE SR,,,,,, 418,Analgesics,Narcotic/Opiate,NTWK,OPIUM TINCTURE,,,,,, 419,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE,,,,,, 420,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE ER [Oxycontin],,,DL,,, 421,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE/ACETAMINOPHEN,,,,,, 422,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE/ACETAMINOPHEN solution,,,,,, 423,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 424,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 425,Analgesics,Narcotic/Opiate,NTWK,OXYCODONE/ASPIRIN,,,,,, 426,Analgesics,Narcotic/Opiate,NTWK,PROPOXYPHENE HCL,,,,,, 427,Analgesics,Narcotic/Opiate,NTWK,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 428,Analgesics,Narcotic/Opiate,NTWK,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 429,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/BUTALBITAL,,,,,, 430,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 431,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 432,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,PA,, 433,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/CODEINE,,,,,, 434,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,PA,, 435,Analgesics,Narcotic/Opiate,MAHLTH,ACETAMINOPHEN/PENTAZOCINE,,,,,, 436,Analgesics,Narcotic/Opiate,MAHLTH,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 437,Analgesics,Narcotic/Opiate,MAHLTH,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 438,Analgesics,Narcotic/Opiate,MAHLTH,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [Fiorinal with Codeine],,,,PA,, 439,Analgesics,Narcotic/Opiate,MAHLTH,BUPRENOPHINE/NALOXONE [Suboxone],,,DL,,, 440,Analgesics,Narcotic/Opiate,MAHLTH,BUTORPHANOL nasal spray,,,,PA,, 441,Analgesics,Narcotic/Opiate,MAHLTH,CODEINE,,,DL,,, 442,Analgesics,Narcotic/Opiate,MAHLTH,CODEINE/ASPIRIN,,,,,, 443,Analgesics,Narcotic/Opiate,MAHLTH,FENTANYL BUCCAL tablets [Fentora],,,,PA,, 444,Analgesics,Narcotic/Opiate,MAHLTH,FENTANYL CITRATE lozenge,,,,PA,, 445,Analgesics,Narcotic/Opiate,MAHLTH,FENTANYL citrate lozenge [Actiq],,,,PA,, 446,Analgesics,Narcotic/Opiate,MAHLTH,FENTANYL transdermal patch,,,,PA,, 447,Analgesics,Narcotic/Opiate,MAHLTH,FENTANYL transdermal patch [Duragesic],,,,PA,, 448,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN,,,,,, 449,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,PA,, 450,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,PA,, 451,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,PA,, 452,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,PA,, 453,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,PA,, 454,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,PA,, 455,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,PA,, 456,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,PA,, 457,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/IBUPROFEN,,,,,, 458,Analgesics,Narcotic/Opiate,MAHLTH,HYDROCODONE/IBUPROFEN [Reprexain],,,,PA,, 459,Analgesics,Narcotic/Opiate,MAHLTH,HYDROMORPHONE,,,DL,,, 460,Analgesics,Narcotic/Opiate,MAHLTH,HYDROMORPHONE [Dilaudid],,,,PA,, 461,Analgesics,Narcotic/Opiate,MAHLTH,LEVORPHANOL,,,DL,,, 462,Analgesics,Narcotic/Opiate,MAHLTH,MEPERIDINE,,,,PA,, 463,Analgesics,Narcotic/Opiate,MAHLTH,MEPERIDINE [Demerol],,,,PA,, 464,Analgesics,Narcotic/Opiate,MAHLTH,METHADONE,,,DL,,, 465,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE,,,DL,,, 466,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE CR,,,DL,,, 467,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE SR,,,,PA,, 468,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE [Kadian],,,,PA,, 469,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE [MS Contin],,,,PA,, 470,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE [Oramorph SR],,,DL,,, 471,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE [Roxanol] ,,,DL,,, 472,Analgesics,Narcotic/Opiate,MAHLTH,MORPHINE SULFATE ER [Avinza],,,,PA,, 473,Analgesics,Narcotic/Opiate,MAHLTH,NALOXONE/PENTAZOCINE,,,,PA,, 474,Analgesics,Narcotic/Opiate,MAHLTH,OPIUM TINCTURE,,,,,, 475,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE,,,DL,,, 476,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE [OxyIR],,,DL,,, 477,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE [Roxicodone],,,DL,,, 478,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE [Roxicodone Intensol],,,DL,,, 479,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE ER [Oxycontin],,,,PA,, 480,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN,,,,,, 481,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,PA,, 482,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN [Percocet],,,,PA,, 483,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,PA,, 484,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN solution,,,,,, 485,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 486,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 487,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ASPIRIN,,,,,, 488,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/ASPIRIN [Percodan],,,,PA,, 489,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/IBUPROFEN,,,,PA,, 490,Analgesics,Narcotic/Opiate,MAHLTH,OXYCODONE/IBUPROFEN [Combunox],,,,PA,, 491,Analgesics,Narcotic/Opiate,MAHLTH,OXYMORPHONE [Opana],,,,PA,, 492,Analgesics,Narcotic/Opiate,MAHLTH,OXYMORPHONE ER [Opana ER],,,,PA,, 493,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE HCL,,,,,, 494,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE HCL [Darvon],,,,PA,, 495,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE NAPSYLATE [Darvon N],,,,,, 496,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 497,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 498,Analgesics,Narcotic/Opiate,MAHLTH,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,PA,, 499,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/BUTALBITAL,,,,,, 500,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE,,,,,, 501,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 502,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/BUTALBITAL/CAFFEINE/CODEINE [Fioricet with Codeine],,,,,, 503,Analgesics,Narcotic/Opiate,THP,ACETOMINOPHEN/BUTALBITAL/CAFFEINE/DHE.45,,,,,, 504,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN//CAFFEINE/DIHYDROCODEINE [Panlor DC],,,,,, 505,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/CODEINE,,,,,, 506,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/CODEINE [Tylenol w/Codeine],,,,,, 507,Analgesics,Narcotic/Opiate,THP,ACETAMINOPHEN/PENTAZOCINE,,,,,, 508,Analgesics,Narcotic/Opiate,THP,ASPIRIN/BUTALBITAL/CAFFEINE,,,,,, 509,Analgesics,Narcotic/Opiate,THP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE,,,,,, 510,Analgesics,Narcotic/Opiate,THP,ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE [Florinal with Codeine],,,,,, 511,Analgesics,Narcotic/Opiate,THP,BUPRENOPHINE/NALOXONE [Suboxone],,,,,, 512,Analgesics,Narcotic/Opiate,THP,BUTORPHANOL nasal spray,,,DL,,, 513,Analgesics,Narcotic/Opiate,THP,CODEINE,,,,,, 514,Analgesics,Narcotic/Opiate,THP,CODEINE/ASPIRIN,,,,,, 515,Analgesics,Narcotic/Opiate,THP,FENTANYL BUCCAL tablets [Fentora],,,DL,,,NC 516,Analgesics,Narcotic/Opiate,THP,FENTANYL CITRATE lozenge,,,DL,,, 517,Analgesics,Narcotic/Opiate,THP,FENTANYL citrate lozenge [Actiq],,,DL,,, 518,Analgesics,Narcotic/Opiate,THP,FENTANYL transdermal patch,,,,,, 519,Analgesics,Narcotic/Opiate,THP,FENTANYL transdermal patch [Duragesic],,,,,, 520,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN,,,,,, 521,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Liquicet],,,,,,NC 522,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Lorcet],,,,,, 523,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Lorcet Plus],,,,,, 524,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Lortab],,,,,, 525,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Vicodin],,,,,, 526,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Vicodin ES],,,,,, 527,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Xodol],,,,,, 528,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/ACETAMINOPHEN [Zydone],,,,,, 529,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/IBUPROFEN,,,,,, 530,Analgesics,Narcotic/Opiate,THP,HYDROCODONE/IBUPROFEN [Reprexain],,,,,, 531,Analgesics,Narcotic/Opiate,THP,HYDROMORPHONE,,,,,, 532,Analgesics,Narcotic/Opiate,THP,HYDROMORPHONE [Dilaudid],,,,,, 533,Analgesics,Narcotic/Opiate,THP,LEVORPHANOL,,,,,, 534,Analgesics,Narcotic/Opiate,THP,MEPERIDINE,,,,,, 535,Analgesics,Narcotic/Opiate,THP,MEPERIDINE [Demerol],,,,,, 536,Analgesics,Narcotic/Opiate,THP,MEPERIDINE/PROMETHAZINE,,,,,, 537,Analgesics,Narcotic/Opiate,THP,METHADONE,,,,,, 538,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE,,,,,, 539,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE CR,,,,,, 540,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE SR,,,,,, 541,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE [Kadian],,,,,, 542,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE [MS Contin],,,,,, 543,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE [Oramorph SR],,,,,, 544,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE [Roxanol] ,,,,,, 545,Analgesics,Narcotic/Opiate,THP,MORPHINE SULFATE ER [Avinza],,,,,, 546,Analgesics,Narcotic/Opiate,THP,NALOXONE/PENTAZOCINE,,,,,, 547,Analgesics,Narcotic/Opiate,THP,OPIUM TINCTURE,,,,,, 548,Analgesics,Narcotic/Opiate,THP,OXYCODONE,,,,,, 549,Analgesics,Narcotic/Opiate,THP,OXYCODONE [OxyIR],,,,,, 550,Analgesics,Narcotic/Opiate,THP,OXYCODONE [Roxicodone],,,,,, 551,Analgesics,Narcotic/Opiate,THP,OXYCODONE [Roxicodone Intensol],,,,,, 552,Analgesics,Narcotic/Opiate,THP,OXYCODONE ER [Oxycontin],,,DL,,, 553,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN,,,,,, 554,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN [Magnacet],,,,,,NC 555,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN [Percocet],,,,,, 556,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN [Tylox] ,,,,,, 557,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN solution,,,,,, 558,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN solution [Roxicet oral solution],,,,,, 559,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ACETAMINOPHEN tablets [Roxicet tablets],,,,,, 560,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ASPIRIN,,,,,, 561,Analgesics,Narcotic/Opiate,THP,OXYCODONE/ASPIRIN [Percodan],,,,,, 562,Analgesics,Narcotic/Opiate,THP,OXYCODONE/IBUPROFEN,,,,,, 563,Analgesics,Narcotic/Opiate,THP,OXYCODONE/IBUPROFEN [Combunox],,,,,,NC 564,Analgesics,Narcotic/Opiate,THP,OXYMORPHONE [Opana],,,,,,NC 565,Analgesics,Narcotic/Opiate,THP,OXYMORPHONE ER [Opana ER],,,,,,NC 566,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE HCL,,,,,, 567,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE HCL [Darvon],,,,,, 568,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE NAPSYLATE [Darvon N],,,,,, 569,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE NAPSYLATE/ACETAMINOPHEN,,,,,, 570,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE/ACETAMINOPHEN,,,,,, 571,Analgesics,Narcotic/Opiate,THP,PROPOXYPHENE/ACETAMINOPHEN [Darvocet–N],,,,,, 572,Analgesics,Non-narcotic/Non-opiate,AETNA,ACETAMINOPHEN (OTC),,,,,,NC 573,Analgesics,Non-narcotic/Non-opiate,AETNA,ASPIRIN (OTC),,,,,,NC 574,Analgesics,Non-narcotic/Non-opiate,AETNA,CELECOXIB [Celebrex],,FE,DL,PA,, 575,Analgesics,Non-narcotic/Non-opiate,AETNA,CHOLINE MAGNESIUM TRISALICYLATE,*,,,,, 576,Analgesics,Non-narcotic/Non-opiate,AETNA,DICLOFENAC,*,,,,, 577,Analgesics,Non-narcotic/Non-opiate,AETNA,DICLOFENAC topical gel [Voltaren gel],*,,,,ST, 578,Analgesics,Non-narcotic/Non-opiate,AETNA,DICLOFENAC topical patch [Flector patch],,,DL,,, 579,Analgesics,Non-narcotic/Non-opiate,AETNA,DIFLUNISAL,*,,,,, 580,Analgesics,Non-narcotic/Non-opiate,AETNA,ETODOLAC ,*,,,,, 581,Analgesics,Non-narcotic/Non-opiate,AETNA,ETODOLAC [Lodine],,FE,,,, 582,Analgesics,Non-narcotic/Non-opiate,AETNA,ETODOLAC XR,,FE,,,, 583,Analgesics,Non-narcotic/Non-opiate,AETNA,FENOPROFEN,*,,,,, 584,Analgesics,Non-narcotic/Non-opiate,AETNA,FLURBIPROFEN,*,,,,, 585,Analgesics,Non-narcotic/Non-opiate,AETNA,GABAPENTIN,*,,DL,,, 586,Analgesics,Non-narcotic/Non-opiate,AETNA,IBUPROFEN,*,,,,, 587,Analgesics,Non-narcotic/Non-opiate,AETNA,IBUPROFEN [Motrin],,,,,, 588,Analgesics,Non-narcotic/Non-opiate,AETNA,INDOMETHACIN,*,,,,, 589,Analgesics,Non-narcotic/Non-opiate,AETNA,KETOPROFEN,*,,,,, 590,Analgesics,Non-narcotic/Non-opiate,AETNA,KETOROLAC,*,,DL,,, 591,Analgesics,Non-narcotic/Non-opiate,AETNA,MECLOFENAMATE,*,,,,, 592,Analgesics,Non-narcotic/Non-opiate,AETNA,MEFENAMIC ACID,*,,,,, 593,Analgesics,Non-narcotic/Non-opiate,AETNA,MELOXICAM,*,,,,, 594,Analgesics,Non-narcotic/Non-opiate,AETNA,NABUMETONE,,FE,,,, 595,Analgesics,Non-narcotic/Non-opiate,AETNA,NAPROXEN,*,,,,, 596,Analgesics,Non-narcotic/Non-opiate,AETNA,NAPROXEN [Naprosyn],,,,,, 597,Analgesics,Non-narcotic/Non-opiate,AETNA,NAPROXEN SODIUM,*,,,,, 598,Analgesics,Non-narcotic/Non-opiate,AETNA,NAPROXEN SODIUM [Anaprox],,,,,, 599,Analgesics,Non-narcotic/Non-opiate,AETNA,OXAPROZIN,,FE,,,, 600,Analgesics,Non-narcotic/Non-opiate,AETNA,PIROXICAM,*,,,,, 601,Analgesics,Non-narcotic/Non-opiate,AETNA,SALSALATE,*,,,,, 602,Analgesics,Non-narcotic/Non-opiate,AETNA,SULINDAC,*,,,,, 603,Analgesics,Non-narcotic/Non-opiate,AETNA,TOLMETIN,,FE,,,, 604,Analgesics,Non-narcotic/Non-opiate,AETNA,TRAMADOL HCL,*,,,,, 605,Analgesics,Non-narcotic/Non-opiate,AETNA,TRAMADOL [Ultram],,FE,,,ST, 606,Analgesics,Non-narcotic/Non-opiate,AETNA,TRAMADOL ER [Ultram ER],,FE,,,ST, 607,Analgesics,Non-narcotic/Non-opiate,AETNA,TRAMADOL/ACETAMINOPHEN ,*,,,,, 608,Analgesics,Non-narcotic/Non-opiate,AETNA,TRAMADOL/ACETAMINOPHEN [Ultracet],,FE,,,, 609,Analgesics,Non-narcotic/Non-opiate,BCBSMA,ACETAMINOPHEN (OTC),,,,,,NC 610,Analgesics,Non-narcotic/Non-opiate,BCBSMA,ASPIRIN (OTC),,,,,,NC 611,Analgesics,Non-narcotic/Non-opiate,BCBSMA,CELECOXIB [Celebrex],,,DL,,ST, 612,Analgesics,Non-narcotic/Non-opiate,BCBSMA,CHOLINE MAGNESIUM TRISALICYLATE,*,,,,, 613,Analgesics,Non-narcotic/Non-opiate,BCBSMA,DICLOFENAC,*,,,,, 614,Analgesics,Non-narcotic/Non-opiate,BCBSMA,DICLOFENAC topical gel [Voltaren gel],,,,,,NC 615,Analgesics,Non-narcotic/Non-opiate,BCBSMA,DICLOFENAC topical patch [Flector patch],,,,,,NC 616,Analgesics,Non-narcotic/Non-opiate,BCBSMA,DIFLUNISAL,*,,,,, 617,Analgesics,Non-narcotic/Non-opiate,BCBSMA,ETODOLAC ,*,,,,, 618,Analgesics,Non-narcotic/Non-opiate,BCBSMA,ETODOLAC [Lodine],,,,,,NC 619,Analgesics,Non-narcotic/Non-opiate,BCBSMA,ETODOLAC XR,*,,,,, 620,Analgesics,Non-narcotic/Non-opiate,BCBSMA,FENOPROFEN,*,,,,, 621,Analgesics,Non-narcotic/Non-opiate,BCBSMA,FLURBIPROFEN,*,,,,, 622,Analgesics,Non-narcotic/Non-opiate,BCBSMA,GABAPENTIN,*,,,,, 623,Analgesics,Non-narcotic/Non-opiate,BCBSMA,IBUPROFEN,*,,,,, 624,Analgesics,Non-narcotic/Non-opiate,BCBSMA,IBUPROFEN [Motrin],,,,,, 625,Analgesics,Non-narcotic/Non-opiate,BCBSMA,INDOMETHACIN,*,,,,, 626,Analgesics,Non-narcotic/Non-opiate,BCBSMA,KETOPROFEN,*,,,,, 627,Analgesics,Non-narcotic/Non-opiate,BCBSMA,KETOROLAC,*,,,,, 628,Analgesics,Non-narcotic/Non-opiate,BCBSMA,MECLOFENAMATE,*,,,,, 629,Analgesics,Non-narcotic/Non-opiate,BCBSMA,MEFENAMIC ACID,*,,,,, 630,Analgesics,Non-narcotic/Non-opiate,BCBSMA,MELOXICAM,*,,DL,,, 631,Analgesics,Non-narcotic/Non-opiate,BCBSMA,NABUMETONE,*,,,,, 632,Analgesics,Non-narcotic/Non-opiate,BCBSMA,NAPROXEN,*,,,,, 633,Analgesics,Non-narcotic/Non-opiate,BCBSMA,NAPROXEN [Naprosyn],,,,,,NC 634,Analgesics,Non-narcotic/Non-opiate,BCBSMA,NAPROXEN SODIUM,*,,,,, 635,Analgesics,Non-narcotic/Non-opiate,BCBSMA,NAPROXEN SODIUM [Anaprox],,,,,, 636,Analgesics,Non-narcotic/Non-opiate,BCBSMA,OXAPROZIN,*,,,,, 637,Analgesics,Non-narcotic/Non-opiate,BCBSMA,PIROXICAM,*,,,,, 638,Analgesics,Non-narcotic/Non-opiate,BCBSMA,SALSALATE,*,,,,, 639,Analgesics,Non-narcotic/Non-opiate,BCBSMA,SULINDAC,*,,,,, 640,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TOLMETIN,*,,,,, 641,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TRAMADOL HCL,*,,,,, 642,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TRAMADOL [Ultram],,,,,,NC 643,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TRAMADOL ER [Ultram ER],,,,,,NC 644,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TRAMADOL/ACETAMINOPHEN ,*,,,,, 645,Analgesics,Non-narcotic/Non-opiate,BCBSMA,TRAMADOL/ACETAMINOPHEN [Ultracet],,,,,,NC 646,Analgesics,Non-narcotic/Non-opiate,BMCHP,ACETAMINOPHEN (OTC),,,DL,,, 647,Analgesics,Non-narcotic/Non-opiate,BMCHP,ASPIRIN (OTC),,,DL,,, 648,Analgesics,Non-narcotic/Non-opiate,BMCHP,CELECOXIB [Celebrex],,,,PA,, 649,Analgesics,Non-narcotic/Non-opiate,BMCHP,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 650,Analgesics,Non-narcotic/Non-opiate,BMCHP,DICLOFENAC,,,,,, 651,Analgesics,Non-narcotic/Non-opiate,BMCHP,DICLOFENAC topical gel [Voltaren gel],,,,PA,, 652,Analgesics,Non-narcotic/Non-opiate,BMCHP,DICLOFENAC topical patch [Flector patch],,,,PA,, 653,Analgesics,Non-narcotic/Non-opiate,BMCHP,DIFLUNISAL,,,,,, 654,Analgesics,Non-narcotic/Non-opiate,BMCHP,ETODOLAC ,,,,,, 655,Analgesics,Non-narcotic/Non-opiate,BMCHP,ETODOLAC XR,,,,,, 656,Analgesics,Non-narcotic/Non-opiate,BMCHP,FENOPROFEN,,,,,, 657,Analgesics,Non-narcotic/Non-opiate,BMCHP,FLURBIPROFEN,,,,,, 658,Analgesics,Non-narcotic/Non-opiate,BMCHP,GABAPENTIN,,,,,, 659,Analgesics,Non-narcotic/Non-opiate,BMCHP,IBUPROFEN,,,,,, 660,Analgesics,Non-narcotic/Non-opiate,BMCHP,INDOMETHACIN,,,,,, 661,Analgesics,Non-narcotic/Non-opiate,BMCHP,KETOPROFEN,,,,,, 662,Analgesics,Non-narcotic/Non-opiate,BMCHP,KETOROLAC,,,,,, 663,Analgesics,Non-narcotic/Non-opiate,BMCHP,MECLOFENAMATE,,,,,, 664,Analgesics,Non-narcotic/Non-opiate,BMCHP,MEFENAMIC ACID,,,,,, 665,Analgesics,Non-narcotic/Non-opiate,BMCHP,MELOXICAM,,,,,, 666,Analgesics,Non-narcotic/Non-opiate,BMCHP,NABUMETONE,,,,,, 667,Analgesics,Non-narcotic/Non-opiate,BMCHP,NAPROXEN,,,,,, 668,Analgesics,Non-narcotic/Non-opiate,BMCHP,NAPROXEN SODIUM,,,,,, 669,Analgesics,Non-narcotic/Non-opiate,BMCHP,OXAPROZIN,,,,,, 670,Analgesics,Non-narcotic/Non-opiate,BMCHP,PIROXICAM,,,,,, 671,Analgesics,Non-narcotic/Non-opiate,BMCHP,SALSALATE,,,,,, 672,Analgesics,Non-narcotic/Non-opiate,BMCHP,SULINDAC,,,,,, 673,Analgesics,Non-narcotic/Non-opiate,BMCHP,TOLMETIN,,,,,, 674,Analgesics,Non-narcotic/Non-opiate,BMCHP,TRAMADOL HCL,,,,,, 675,Analgesics,Non-narcotic/Non-opiate,BMCHP,TRAMADOL ER [Ultram ER],,,,PA,, 676,Analgesics,Non-narcotic/Non-opiate,BMCHP,TRAMADOL/ACETAMINOPHEN ,,,,,, 677,Analgesics,Non-narcotic/Non-opiate,FCHP,CELECOXIB [Celebrex],,,,,, 678,Analgesics,Non-narcotic/Non-opiate,FCHP,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 679,Analgesics,Non-narcotic/Non-opiate,FCHP,DICLOFENAC,,,,,, 680,Analgesics,Non-narcotic/Non-opiate,FCHP,DIFLUNISAL,,,,,, 681,Analgesics,Non-narcotic/Non-opiate,FCHP,ETODOLAC ,,,,,, 682,Analgesics,Non-narcotic/Non-opiate,FCHP,ETODOLAC XR,,,,,, 683,Analgesics,Non-narcotic/Non-opiate,FCHP,FENOPROFEN,,,,,, 684,Analgesics,Non-narcotic/Non-opiate,FCHP,FLURBIPROFEN,,,,,, 685,Analgesics,Non-narcotic/Non-opiate,FCHP,GABAPENTIN,,,,,, 686,Analgesics,Non-narcotic/Non-opiate,FCHP,IBUPROFEN,,,,,, 687,Analgesics,Non-narcotic/Non-opiate,FCHP,INDOMETHACIN,,,,,, 688,Analgesics,Non-narcotic/Non-opiate,FCHP,KETOPROFEN,,,,,, 689,Analgesics,Non-narcotic/Non-opiate,FCHP,KETOROLAC,,,,,, 690,Analgesics,Non-narcotic/Non-opiate,FCHP,MECLOFENAMATE,,,,,, 691,Analgesics,Non-narcotic/Non-opiate,FCHP,MEFENAMIC ACID,,,,,, 692,Analgesics,Non-narcotic/Non-opiate,FCHP,MELOXICAM,,,,,, 693,Analgesics,Non-narcotic/Non-opiate,FCHP,NABUMETONE,,,,,, 694,Analgesics,Non-narcotic/Non-opiate,FCHP,NAPROXEN,,,,,, 695,Analgesics,Non-narcotic/Non-opiate,FCHP,NAPROXEN SODIUM,,,,,, 696,Analgesics,Non-narcotic/Non-opiate,FCHP,OXAPROZIN,,,,,, 697,Analgesics,Non-narcotic/Non-opiate,FCHP,PIROXICAM,,,,,, 698,Analgesics,Non-narcotic/Non-opiate,FCHP,SALSALATE,,,,,, 699,Analgesics,Non-narcotic/Non-opiate,FCHP,SULINDAC,,,,,, 700,Analgesics,Non-narcotic/Non-opiate,FCHP,TOLMETIN,,,,,, 701,Analgesics,Non-narcotic/Non-opiate,FCHP,TRAMADOL HCL,,,,,, 702,Analgesics,Non-narcotic/Non-opiate,FCHP,TRAMADOL/ACETAMINOPHEN ,,,,,, 703,Analgesics,Non-narcotic/Non-opiate,HPHC,ACETAMINOPHEN (OTC),,,,,,NC 704,Analgesics,Non-narcotic/Non-opiate,HPHC,ASPIRIN (OTC),,,,,,NC 705,Analgesics,Non-narcotic/Non-opiate,HPHC,CELECOXIB [Celebrex],,,,PA,, 706,Analgesics,Non-narcotic/Non-opiate,HPHC,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 707,Analgesics,Non-narcotic/Non-opiate,HPHC,DICLOFENAC,,,,,, 708,Analgesics,Non-narcotic/Non-opiate,HPHC,DICLOFENAC topical gel [Voltaren gel],,,,,, 709,Analgesics,Non-narcotic/Non-opiate,HPHC,DICLOFENAC topical patch [Flector patch],,,,,, 710,Analgesics,Non-narcotic/Non-opiate,HPHC,DIFLUNISAL,,,,,, 711,Analgesics,Non-narcotic/Non-opiate,HPHC,ETODOLAC ,,,,,, 712,Analgesics,Non-narcotic/Non-opiate,HPHC,ETODOLAC [Lodine],,,,,, 713,Analgesics,Non-narcotic/Non-opiate,HPHC,ETODOLAC XR,,,,,, 714,Analgesics,Non-narcotic/Non-opiate,HPHC,FENOPROFEN,,,,,, 715,Analgesics,Non-narcotic/Non-opiate,HPHC,FLURBIPROFEN,,,,,, 716,Analgesics,Non-narcotic/Non-opiate,HPHC,GABAPENTIN,,,,,, 717,Analgesics,Non-narcotic/Non-opiate,HPHC,IBUPROFEN,,,,,, 718,Analgesics,Non-narcotic/Non-opiate,HPHC,IBUPROFEN [Motrin],,,,,, 719,Analgesics,Non-narcotic/Non-opiate,HPHC,INDOMETHACIN,,,,,, 720,Analgesics,Non-narcotic/Non-opiate,HPHC,KETOPROFEN,,,,,, 721,Analgesics,Non-narcotic/Non-opiate,HPHC,KETOROLAC,,,DL,,, 722,Analgesics,Non-narcotic/Non-opiate,HPHC,MECLOFENAMATE,,,,,, 723,Analgesics,Non-narcotic/Non-opiate,HPHC,MEFENAMIC ACID,,,,,, 724,Analgesics,Non-narcotic/Non-opiate,HPHC,MELOXICAM,,,,PA,, 725,Analgesics,Non-narcotic/Non-opiate,HPHC,NABUMETONE,,,,,, 726,Analgesics,Non-narcotic/Non-opiate,HPHC,NAPROXEN,,,,,, 727,Analgesics,Non-narcotic/Non-opiate,HPHC,NAPROXEN [Naprosyn],,,,,, 728,Analgesics,Non-narcotic/Non-opiate,HPHC,NAPROXEN SODIUM,,,,,, 729,Analgesics,Non-narcotic/Non-opiate,HPHC,NAPROXEN SODIUM [Anaprox],,,,,, 730,Analgesics,Non-narcotic/Non-opiate,HPHC,OXAPROZIN,,,,,, 731,Analgesics,Non-narcotic/Non-opiate,HPHC,PIROXICAM,,,,,, 732,Analgesics,Non-narcotic/Non-opiate,HPHC,SALSALATE,,,,,, 733,Analgesics,Non-narcotic/Non-opiate,HPHC,SULINDAC,,,,,, 734,Analgesics,Non-narcotic/Non-opiate,HPHC,TOLMETIN,,,,,, 735,Analgesics,Non-narcotic/Non-opiate,HPHC,TRAMADOL HCL,,,,,, 736,Analgesics,Non-narcotic/Non-opiate,HPHC,TRAMADOL [Ultram],,,,,, 737,Analgesics,Non-narcotic/Non-opiate,HPHC,TRAMADOL ER [Ultram ER],,,,,, 738,Analgesics,Non-narcotic/Non-opiate,HPHC,TRAMADOL/ACETAMINOPHEN ,,,,,, 739,Analgesics,Non-narcotic/Non-opiate,HPHC,TRAMADOL/ACETAMINOPHEN [Ultracet],,,,,, 740,Analgesics,Non-narcotic/Non-opiate,HNE,CELECOXIB [Celebrex],,,DL,PA,, 741,Analgesics,Non-narcotic/Non-opiate,HNE,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 742,Analgesics,Non-narcotic/Non-opiate,HNE,DICLOFENAC,,,,,, 743,Analgesics,Non-narcotic/Non-opiate,HNE,DIFLUNISAL,,,,,, 744,Analgesics,Non-narcotic/Non-opiate,HNE,ETODOLAC ,,,,,, 745,Analgesics,Non-narcotic/Non-opiate,HNE,ETODOLAC XR,,,,,, 746,Analgesics,Non-narcotic/Non-opiate,HNE,FENOPROFEN,,,,,, 747,Analgesics,Non-narcotic/Non-opiate,HNE,FLURBIPROFEN,,,,,, 748,Analgesics,Non-narcotic/Non-opiate,HNE,GABAPENTIN,,,,,, 749,Analgesics,Non-narcotic/Non-opiate,HNE,IBUPROFEN,,,,,, 750,Analgesics,Non-narcotic/Non-opiate,HNE,INDOMETHACIN,,,,,, 751,Analgesics,Non-narcotic/Non-opiate,HNE,KETOPROFEN,,,,,, 752,Analgesics,Non-narcotic/Non-opiate,HNE,KETOROLAC,,,,,, 753,Analgesics,Non-narcotic/Non-opiate,HNE,MECLOFENAMATE,,,,,, 754,Analgesics,Non-narcotic/Non-opiate,HNE,MEFENAMIC ACID,,,,,, 755,Analgesics,Non-narcotic/Non-opiate,HNE,MELOXICAM,,,,PA,, 756,Analgesics,Non-narcotic/Non-opiate,HNE,NABUMETONE,,,,,, 757,Analgesics,Non-narcotic/Non-opiate,HNE,NAPROXEN,,,,,, 758,Analgesics,Non-narcotic/Non-opiate,HNE,NAPROXEN SODIUM,,,,,, 759,Analgesics,Non-narcotic/Non-opiate,HNE,OXAPROZIN,,,,,, 760,Analgesics,Non-narcotic/Non-opiate,HNE,PIROXICAM,,,,,, 761,Analgesics,Non-narcotic/Non-opiate,HNE,SALSALATE,,,,,, 762,Analgesics,Non-narcotic/Non-opiate,HNE,SULINDAC,,,,,, 763,Analgesics,Non-narcotic/Non-opiate,HNE,TOLMETIN,,,,,, 764,Analgesics,Non-narcotic/Non-opiate,HNE,TRAMADOL HCL,,,,,, 765,Analgesics,Non-narcotic/Non-opiate,HNE,TRAMADOL/ACETAMINOPHEN ,,,,,, 766,Analgesics,Non-narcotic/Non-opiate,NHP,ACETAMINOPHEN (OTC),MassHealth members only,,,,, 767,Analgesics,Non-narcotic/Non-opiate,NHP,ASPIRIN (OTC),MassHealth members only,,,,, 768,Analgesics,Non-narcotic/Non-opiate,NHP,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 769,Analgesics,Non-narcotic/Non-opiate,NHP,DICLOFENAC,,,,,, 770,Analgesics,Non-narcotic/Non-opiate,NHP,DICLOFENAC topical gel [Voltaren gel],,,,,,NC 771,Analgesics,Non-narcotic/Non-opiate,NHP,DICLOFENAC topical patch [Flector patch],,,,,,NC 772,Analgesics,Non-narcotic/Non-opiate,NHP,DIFLUNISAL,,,,,, 773,Analgesics,Non-narcotic/Non-opiate,NHP,ETODOLAC ,,,,,, 774,Analgesics,Non-narcotic/Non-opiate,NHP,ETODOLAC [Lodine],,,,,,NC 775,Analgesics,Non-narcotic/Non-opiate,NHP,ETODOLAC XR,,,,,, 776,Analgesics,Non-narcotic/Non-opiate,NHP,FENOPROFEN,,,,,, 777,Analgesics,Non-narcotic/Non-opiate,NHP,FLURBIPROFEN,,,,,, 778,Analgesics,Non-narcotic/Non-opiate,NHP,GABAPENTIN,,,,,, 779,Analgesics,Non-narcotic/Non-opiate,NHP,IBUPROFEN,,,,,, 780,Analgesics,Non-narcotic/Non-opiate,NHP,IBUPROFEN [Motrin],,,,,,NC 781,Analgesics,Non-narcotic/Non-opiate,NHP,INDOMETHACIN,,,,,, 782,Analgesics,Non-narcotic/Non-opiate,NHP,KETOPROFEN,,,,,, 783,Analgesics,Non-narcotic/Non-opiate,NHP,KETOROLAC,,,,,, 784,Analgesics,Non-narcotic/Non-opiate,NHP,MECLOFENAMATE,,,,,, 785,Analgesics,Non-narcotic/Non-opiate,NHP,MELOXICAM,,,,,, 786,Analgesics,Non-narcotic/Non-opiate,NHP,NABUMETONE,,,,,, 787,Analgesics,Non-narcotic/Non-opiate,NHP,NAPROXEN,,,,,, 788,Analgesics,Non-narcotic/Non-opiate,NHP,NAPROXEN [Naprosyn],,,,,,NC 789,Analgesics,Non-narcotic/Non-opiate,NHP,NAPROXEN SODIUM,,,,,, 790,Analgesics,Non-narcotic/Non-opiate,NHP,NAPROXEN SODIUM [Anaprox],,,,,,NC 791,Analgesics,Non-narcotic/Non-opiate,NHP,OXAPROZIN,,,,,, 792,Analgesics,Non-narcotic/Non-opiate,NHP,PIROXICAM,,,,,, 793,Analgesics,Non-narcotic/Non-opiate,NHP,SALSALATE,,,,,, 794,Analgesics,Non-narcotic/Non-opiate,NHP,SULINDAC,,,,,, 795,Analgesics,Non-narcotic/Non-opiate,NHP,TOLMETIN,,,,,, 796,Analgesics,Non-narcotic/Non-opiate,NHP,TRAMADOL HCL,,,,,, 797,Analgesics,Non-narcotic/Non-opiate,NHP,TRAMADOL [Ultram],,,,,,NC 798,Analgesics,Non-narcotic/Non-opiate,NHP,TRAMADOL ER [Ultram ER],,,,,,NC 799,Analgesics,Non-narcotic/Non-opiate,NHP,TRAMADOL/ACETAMINOPHEN ,,,,,, 800,Analgesics,Non-narcotic/Non-opiate,NHP,TRAMADOL/ACETAMINOPHEN [Ultracet],,,,,,NC 801,Analgesics,Non-narcotic/Non-opiate,NTWK,ACETAMINOPHEN (OTC),,,,,, 802,Analgesics,Non-narcotic/Non-opiate,NTWK,ASPIRIN (OTC),,,,,, 803,Analgesics,Non-narcotic/Non-opiate,NTWK,CELECOXIB [Celebrex],,,,,ST, 804,Analgesics,Non-narcotic/Non-opiate,NTWK,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 805,Analgesics,Non-narcotic/Non-opiate,NTWK,DICLOFENAC,,,,,, 806,Analgesics,Non-narcotic/Non-opiate,NTWK,DICLOFENAC topical gel [Voltaren gel],,,,PA,, 807,Analgesics,Non-narcotic/Non-opiate,NTWK,DICLOFENAC topical patch [Flector patch],,,,PA,, 808,Analgesics,Non-narcotic/Non-opiate,NTWK,DIFLUNISAL,,,,,, 809,Analgesics,Non-narcotic/Non-opiate,NTWK,ETODOLAC ,,,,,, 810,Analgesics,Non-narcotic/Non-opiate,NTWK,ETODOLAC XR,,,,,, 811,Analgesics,Non-narcotic/Non-opiate,NTWK,FENOPROFEN,,,,,, 812,Analgesics,Non-narcotic/Non-opiate,NTWK,FLURBIPROFEN,,,,,, 813,Analgesics,Non-narcotic/Non-opiate,NTWK,GABAPENTIN,,,,,, 814,Analgesics,Non-narcotic/Non-opiate,NTWK,IBUPROFEN,,,,,, 815,Analgesics,Non-narcotic/Non-opiate,NTWK,INDOMETHACIN,,,,,, 816,Analgesics,Non-narcotic/Non-opiate,NTWK,KETOPROFEN,,,,,, 817,Analgesics,Non-narcotic/Non-opiate,NTWK,KETOROLAC,,,,,, 818,Analgesics,Non-narcotic/Non-opiate,NTWK,MECLOFENAMATE,,,,,, 819,Analgesics,Non-narcotic/Non-opiate,NTWK,MEFENAMIC ACID,,,,PA,, 820,Analgesics,Non-narcotic/Non-opiate,NTWK,MELOXICAM,,,,,, 821,Analgesics,Non-narcotic/Non-opiate,NTWK,NABUMETONE,,,,,, 822,Analgesics,Non-narcotic/Non-opiate,NTWK,NAPROXEN,,,,,, 823,Analgesics,Non-narcotic/Non-opiate,NTWK,NAPROXEN SODIUM,,,,,, 824,Analgesics,Non-narcotic/Non-opiate,NTWK,OXAPROZIN,,,,,, 825,Analgesics,Non-narcotic/Non-opiate,NTWK,PIROXICAM,,,,,, 826,Analgesics,Non-narcotic/Non-opiate,NTWK,SALSALATE,,,,,, 827,Analgesics,Non-narcotic/Non-opiate,NTWK,SULINDAC,,,,,, 828,Analgesics,Non-narcotic/Non-opiate,NTWK,TOLMETIN,,,,,, 829,Analgesics,Non-narcotic/Non-opiate,NTWK,TRAMADOL HCL,,,,,, 830,Analgesics,Non-narcotic/Non-opiate,NTWK,TRAMADOL/ACETAMINOPHEN ,,,,,, 831,Analgesics,Non-narcotic/Non-opiate,MAHLTH,ACETAMINOPHEN (OTC),,,,,, 832,Analgesics,Non-narcotic/Non-opiate,MAHLTH,ASPIRIN (OTC),,,,,, 833,Analgesics,Non-narcotic/Non-opiate,MAHLTH,CELECOXIB [Celebrex],,,,PA<=59 yrs old,, 834,Analgesics,Non-narcotic/Non-opiate,MAHLTH,DICLOFENAC,,,,,, 835,Analgesics,Non-narcotic/Non-opiate,MAHLTH,DICLOFENAC topical gel [Voltaren gel],,,,PA,, 836,Analgesics,Non-narcotic/Non-opiate,MAHLTH,DICLOFENAC topical patch [Flector patch],,,,PA,, 837,Analgesics,Non-narcotic/Non-opiate,MAHLTH,DIFLUNISAL,,,,,, 838,Analgesics,Non-narcotic/Non-opiate,MAHLTH,ETODOLAC ,,,,,, 839,Analgesics,Non-narcotic/Non-opiate,MAHLTH,ETODOLAC [Lodine],,,,PA,, 840,Analgesics,Non-narcotic/Non-opiate,MAHLTH,ETODOLAC XR,,,,,, 841,Analgesics,Non-narcotic/Non-opiate,MAHLTH,FENOPROFEN,,,,,, 842,Analgesics,Non-narcotic/Non-opiate,MAHLTH,FLURBIPROFEN,,,,,, 843,Analgesics,Non-narcotic/Non-opiate,MAHLTH,GABAPENTIN,,,,,, 844,Analgesics,Non-narcotic/Non-opiate,MAHLTH,IBUPROFEN,,,,,, 845,Analgesics,Non-narcotic/Non-opiate,MAHLTH,IBUPROFEN [Motrin],,,,PA,, 846,Analgesics,Non-narcotic/Non-opiate,MAHLTH,INDOMETHACIN,,,,,, 847,Analgesics,Non-narcotic/Non-opiate,MAHLTH,KETOPROFEN,,,,,, 848,Analgesics,Non-narcotic/Non-opiate,MAHLTH,KETOROLAC,,,DL,,, 849,Analgesics,Non-narcotic/Non-opiate,MAHLTH,MECLOFENAMATE,,,,,, 850,Analgesics,Non-narcotic/Non-opiate,MAHLTH,MEFENAMIC ACID,,,,PA,, 851,Analgesics,Non-narcotic/Non-opiate,MAHLTH,MELOXICAM,,,,,, 852,Analgesics,Non-narcotic/Non-opiate,MAHLTH,NABUMETONE,,,,,, 853,Analgesics,Non-narcotic/Non-opiate,MAHLTH,NAPROXEN,,,,,, 854,Analgesics,Non-narcotic/Non-opiate,MAHLTH,NAPROXEN [Naprosyn],,,,PA,, 855,Analgesics,Non-narcotic/Non-opiate,MAHLTH,NAPROXEN SODIUM,,,,,, 856,Analgesics,Non-narcotic/Non-opiate,MAHLTH,NAPROXEN SODIUM [Anaprox],,,,PA,, 857,Analgesics,Non-narcotic/Non-opiate,MAHLTH,OXAPROZIN,,,,,, 858,Analgesics,Non-narcotic/Non-opiate,MAHLTH,PIROXICAM,,,,,, 859,Analgesics,Non-narcotic/Non-opiate,MAHLTH,SALSALATE,,,,,, 860,Analgesics,Non-narcotic/Non-opiate,MAHLTH,SULINDAC,,,,,, 861,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TOLMETIN,,,,,, 862,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TRAMADOL HCL,,,,,, 863,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TRAMADOL [Ultram],,,,PA,, 864,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TRAMADOL ER [Ultram ER],,,,PA,, 865,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TRAMADOL/ACETAMINOPHEN ,,,,PA,, 866,Analgesics,Non-narcotic/Non-opiate,MAHLTH,TRAMADOL/ACETAMINOPHEN [Ultracet],,,,PA,, 867,Analgesics,Non-narcotic/Non-opiate,THP,CELECOXIB [Celebrex],,,,PA,, 868,Analgesics,Non-narcotic/Non-opiate,THP,CHOLINE MAGNESIUM TRISALICYLATE,,,,,, 869,Analgesics,Non-narcotic/Non-opiate,THP,DICLOFENAC,,,,,, 870,Analgesics,Non-narcotic/Non-opiate,THP,DICLOFENAC topical gel [Voltaren gel],,,DL,,, 871,Analgesics,Non-narcotic/Non-opiate,THP,DICLOFENAC topical patch [Flector patch],,,,,,NC 872,Analgesics,Non-narcotic/Non-opiate,THP,DIFLUNISAL,,,,,, 873,Analgesics,Non-narcotic/Non-opiate,THP,ETODOLAC ,,,,,, 874,Analgesics,Non-narcotic/Non-opiate,THP,ETODOLAC [Lodine],,,,,, 875,Analgesics,Non-narcotic/Non-opiate,THP,ETODOLAC XR,,,,,, 876,Analgesics,Non-narcotic/Non-opiate,THP,FENOPROFEN,,,,,, 877,Analgesics,Non-narcotic/Non-opiate,THP,FLURBIPROFEN,,,,,, 878,Analgesics,Non-narcotic/Non-opiate,THP,GABAPENTIN,,,,,, 879,Analgesics,Non-narcotic/Non-opiate,THP,IBUPROFEN,,,,,, 880,Analgesics,Non-narcotic/Non-opiate,THP,IBUPROFEN [Motrin],,,,,, 881,Analgesics,Non-narcotic/Non-opiate,THP,INDOMETHACIN,,,,,, 882,Analgesics,Non-narcotic/Non-opiate,THP,KETOPROFEN,,,,,, 883,Analgesics,Non-narcotic/Non-opiate,THP,KETOROLAC,,,,,, 884,Analgesics,Non-narcotic/Non-opiate,THP,MECLOFENAMATE,,,,,, 885,Analgesics,Non-narcotic/Non-opiate,THP,MEFENAMIC ACID,,,,,, 886,Analgesics,Non-narcotic/Non-opiate,THP,MELOXICAM,,,,,, 887,Analgesics,Non-narcotic/Non-opiate,THP,NABUMETONE,,,,,, 888,Analgesics,Non-narcotic/Non-opiate,THP,NAPROXEN,,,,,, 889,Analgesics,Non-narcotic/Non-opiate,THP,NAPROXEN [Naprosyn],,,,,, 890,Analgesics,Non-narcotic/Non-opiate,THP,NAPROXEN SODIUM,,,,,, 891,Analgesics,Non-narcotic/Non-opiate,THP,NAPROXEN SODIUM [Anaprox],,,,,, 892,Analgesics,Non-narcotic/Non-opiate,THP,OXAPROZIN,,,,,, 893,Analgesics,Non-narcotic/Non-opiate,THP,PIROXICAM,,,,,, 894,Analgesics,Non-narcotic/Non-opiate,THP,SALSALATE,,,,,, 895,Analgesics,Non-narcotic/Non-opiate,THP,SULINDAC,,,,,, 896,Analgesics,Non-narcotic/Non-opiate,THP,TOLMETIN,,,,,, 897,Analgesics,Non-narcotic/Non-opiate,THP,TRAMADOL HCL,,,,,, 898,Analgesics,Non-narcotic/Non-opiate,THP,TRAMADOL [Ultram],,,,,, 899,Analgesics,Non-narcotic/Non-opiate,THP,TRAMADOL ER [Ultram ER],,,,,,NC 900,Analgesics,Non-narcotic/Non-opiate,THP,TRAMADOL/ACETAMINOPHEN ,,,,,, 901,Analgesics,Non-narcotic/Non-opiate,THP,TRAMADOL/ACETAMINOPHEN [Ultracet],,,,,, 902,Anticonvulsants,Anticonvulsants,AETNA,ACETAZOLAMIDE,*,,,,, 903,Anticonvulsants,Anticonvulsants,AETNA,CARBAMAZEPINE,*,,,,, 904,Anticonvulsants,Anticonvulsants,AETNA,CARBAMAZEPINE [Carbatrol],,,,,, 905,Anticonvulsants,Anticonvulsants,AETNA,CARBAMAZEPINE [Equetro],,,,,, 906,Anticonvulsants,Anticonvulsants,AETNA,CARBAMAZEPINE [Tegretol] ,,,,,, 907,Anticonvulsants,Anticonvulsants,AETNA,CARBAMAZEPINE [Tegretol XR],,,,,, 908,Anticonvulsants,Anticonvulsants,AETNA,CLONAZEPAM,*,,,,, 909,Anticonvulsants,Anticonvulsants,AETNA,CLONAZEPAM orally disintegrating tablets,*,,,,, 910,Anticonvulsants,Anticonvulsants,AETNA,CLORAZEPATE,*,,,,, 911,Anticonvulsants,Anticonvulsants,AETNA,DIAZEPAM,*,,,,, 912,Anticonvulsants,Anticonvulsants,AETNA,DIAZEPAM [Diastat],,,,,, 913,Anticonvulsants,Anticonvulsants,AETNA,DIVALPROEX SODIUM,*,,,,, 914,Anticonvulsants,Anticonvulsants,AETNA,DIVALPROEX SODIUM [Depakote],,,,,ST, 915,Anticonvulsants,Anticonvulsants,AETNA,DIVALPROEX SODIUM [Depakote ER],,,,,ST, 916,Anticonvulsants,Anticonvulsants,AETNA,ETHOSUXIMIDE,*,,,,, 917,Anticonvulsants,Anticonvulsants,AETNA,ETHOSUXIMIDE [Zarontin],,,,,, 918,Anticonvulsants,Anticonvulsants,AETNA,ETHOTOIN [Peganone],,,,,, 919,Anticonvulsants,Anticonvulsants,AETNA,FELBAMATE [Felbatol],,,,,, 920,Anticonvulsants,Anticonvulsants,AETNA,GABAPENTIN,*,,DL,,, 921,Anticonvulsants,Anticonvulsants,AETNA,LAMOTRIGINE,*,,,,, 922,Anticonvulsants,Anticonvulsants,AETNA,LAMOTRIGINE [Lamictal],,,,,ST, 923,Anticonvulsants,Anticonvulsants,AETNA,LAMOTRIGINE chewable dispersable tablets,*,,,,, 924,Anticonvulsants,Anticonvulsants,AETNA,LEVETIRACETAM,*,,,,, 925,Anticonvulsants,Anticonvulsants,AETNA,LEVETIRACETAM [Keppra],*,,,,, 926,Anticonvulsants,Anticonvulsants,AETNA,LEVETIRACETAM [Keppra XR],*,,,,, 927,Anticonvulsants,Anticonvulsants,AETNA,LORAZEPAM,*,,,,, 928,Anticonvulsants,Anticonvulsants,AETNA,MEPHOBARBITAL,*,,,,, 929,Anticonvulsants,Anticonvulsants,AETNA,Mephobarbital [Mebaral],,,,,, 930,Anticonvulsants,Anticonvulsants,AETNA,METHSUXIMIDE [Celontin],,,,,, 931,Anticonvulsants,Anticonvulsants,AETNA,OXCARBAZEPINE tablets,*,,,,, 932,Anticonvulsants,Anticonvulsants,AETNA,OXCARBAZEPINE [Trileptal],,,,,, 933,Anticonvulsants,Anticonvulsants,AETNA,PHENOBARBITAL,*,,,,, 934,Anticonvulsants,Anticonvulsants,AETNA,PHENYTOIN,*,,,,, 935,Anticonvulsants,Anticonvulsants,AETNA,PHENYTOIN [Dilantin],,,,,, 936,Anticonvulsants,Anticonvulsants,AETNA,PHENYTOIN [Dilantin Infatab],,,,,, 937,Anticonvulsants,Anticonvulsants,AETNA,PHENYTOIN [Phenytek],,,,,, 938,Anticonvulsants,Anticonvulsants,AETNA,PHENYTOIN ER,*,,,,, 939,Anticonvulsants,Anticonvulsants,AETNA,PREGABALIN [Lyrica],,FE,DL,,ST, 940,Anticonvulsants,Anticonvulsants,AETNA,PRIMIDONE,*,,,,, 941,Anticonvulsants,Anticonvulsants,AETNA,TIAGABINE [Gabitril],,,,,, 942,Anticonvulsants,Anticonvulsants,AETNA,TOPIRAMATE [Topamax],,,,,ST, 943,Anticonvulsants,Anticonvulsants,AETNA,VALPROATE SODIUM,*,,,,, 944,Anticonvulsants,Anticonvulsants,AETNA,VALPROIC ACID,*,,,,, 945,Anticonvulsants,Anticonvulsants,AETNA,VALPROIC ACID [Depakene],,,,,, 946,Anticonvulsants,Anticonvulsants,AETNA,VALPROIC ACID [Stavzor],,,,,, 947,Anticonvulsants,Anticonvulsants,AETNA,ZONISAMIDE,*,,,,, 948,Anticonvulsants,Anticonvulsants,AETNA,ZONISAMIDE [Zonegran],,,,,, 949,Anticonvulsants,Anticonvulsants,BCBSMA,ACETAZOLAMIDE,*,,,,, 950,Anticonvulsants,Anticonvulsants,BCBSMA,CARBAMAZEPINE,*,,,,, 951,Anticonvulsants,Anticonvulsants,BCBSMA,CARBAMAZEPINE [Carbatrol],*,,,,, 952,Anticonvulsants,Anticonvulsants,BCBSMA,CARBAMAZEPINE [Equetro],,,,,,NC 953,Anticonvulsants,Anticonvulsants,BCBSMA,CARBAMAZEPINE [Tegretol] ,,,,,, 954,Anticonvulsants,Anticonvulsants,BCBSMA,CARBAMAZEPINE [Tegretol XR],*,,,,, 955,Anticonvulsants,Anticonvulsants,BCBSMA,CLONAZEPAM,*,,,,, 956,Anticonvulsants,Anticonvulsants,BCBSMA,CLONAZEPAM orally disintegrating tablets,*,,,,, 957,Anticonvulsants,Anticonvulsants,BCBSMA,CLORAZEPATE,*,,,,, 958,Anticonvulsants,Anticonvulsants,BCBSMA,DIAZEPAM,*,,,,, 959,Anticonvulsants,Anticonvulsants,BCBSMA,DIAZEPAM [Diastat],*,,,,, 960,Anticonvulsants,Anticonvulsants,BCBSMA,DIVALPROEX SODIUM [Depakote],*,,,,, 961,Anticonvulsants,Anticonvulsants,BCBSMA,DIVALPROEX SODIUM [Depakote ER],*,,,,, 962,Anticonvulsants,Anticonvulsants,BCBSMA,ETHOSUXIMIDE,*,,,,, 963,Anticonvulsants,Anticonvulsants,BCBSMA,ETHOSUXIMIDE [Zarontin],,,,,, 964,Anticonvulsants,Anticonvulsants,BCBSMA,ETHOTOIN [Peganone],*,,,,, 965,Anticonvulsants,Anticonvulsants,BCBSMA,FELBAMATE [Felbatol],*,,,,, 966,Anticonvulsants,Anticonvulsants,BCBSMA,GABAPENTIN,*,,,,, 967,Anticonvulsants,Anticonvulsants,BCBSMA,LAMOTRIGINE ,*,,,,, 968,Anticonvulsants,Anticonvulsants,BCBSMA,LAMOTRIGINE [Lamictal],,,,,, 969,Anticonvulsants,Anticonvulsants,BCBSMA,LAMOTRIGINE chewable dispersable tablets,*,,,,, 970,Anticonvulsants,Anticonvulsants,BCBSMA,LEVETIRACETAM ,*,,,,, 971,Anticonvulsants,Anticonvulsants,BCBSMA,LEVETIRACETAM [Keppra],*,,,,, 972,Anticonvulsants,Anticonvulsants,BCBSMA,LEVETIRACETAM [Keppra XR],,,,,,NC 973,Anticonvulsants,Anticonvulsants,BCBSMA,LORAZEPAM,*,,,,, 974,Anticonvulsants,Anticonvulsants,BCBSMA,MEPHOBARBITAL,*,,,,, 975,Anticonvulsants,Anticonvulsants,BCBSMA,Mephobarbital [Mebaral],,,,,, 976,Anticonvulsants,Anticonvulsants,BCBSMA,METHSUXIMIDE [Celontin],*,,,,, 977,Anticonvulsants,Anticonvulsants,BCBSMA,OXCARBAZEPINE tablets,*,,,,, 978,Anticonvulsants,Anticonvulsants,BCBSMA,OXCARBAZEPINE [Trileptal],,,,,, 979,Anticonvulsants,Anticonvulsants,BCBSMA,PHENOBARBITAL,*,,,,, 980,Anticonvulsants,Anticonvulsants,BCBSMA,PHENYTOIN,*,,,,, 981,Anticonvulsants,Anticonvulsants,BCBSMA,PHENYTOIN [Dilantin],*,,,,, 982,Anticonvulsants,Anticonvulsants,BCBSMA,PHENYTOIN [Dilantin Infatab],*,,,,, 983,Anticonvulsants,Anticonvulsants,BCBSMA,PHENYTOIN [Phenytek],*,,,,, 984,Anticonvulsants,Anticonvulsants,BCBSMA,PHENYTOIN ER,*,,,,, 985,Anticonvulsants,Anticonvulsants,BCBSMA,PREGABALIN [Lyrica],,,,PA,, 986,Anticonvulsants,Anticonvulsants,BCBSMA,PRIMIDONE,*,,,,, 987,Anticonvulsants,Anticonvulsants,BCBSMA,TIAGABINE [Gabitril],*,,,,, 988,Anticonvulsants,Anticonvulsants,BCBSMA,TOPIRAMATE [Topamax],*,,,,, 989,Anticonvulsants,Anticonvulsants,BCBSMA,VALPROATE SODIUM,*,,,,, 990,Anticonvulsants,Anticonvulsants,BCBSMA,VALPROIC ACID,*,,,,, 991,Anticonvulsants,Anticonvulsants,BCBSMA,VALPROIC ACID [Depakene],,,,,, 992,Anticonvulsants,Anticonvulsants,BCBSMA,VALPROIC ACID [Stavzor],,,,,,NC 993,Anticonvulsants,Anticonvulsants,BCBSMA,ZONISAMIDE,*,,,,, 994,Anticonvulsants,Anticonvulsants,BCBSMA,ZONISAMIDE [Zonegran],,,,,, 995,Anticonvulsants,Anticonvulsants,BMCHP,ACETAZOLAMIDE,,,,,, 996,Anticonvulsants,Anticonvulsants,BMCHP,CARBAMAZEPINE,,,,,, 997,Anticonvulsants,Anticonvulsants,BMCHP,CARBAMAZEPINE [Carbatrol],,,,,, 998,Anticonvulsants,Anticonvulsants,BMCHP,CARBAMAZEPINE [Equetro],,,,,, 999,Anticonvulsants,Anticonvulsants,BMCHP,CARBAMAZEPINE [Tegretol XR],,,,,, 1000,Anticonvulsants,Anticonvulsants,BMCHP,CLONAZEPAM,,,,,, 1001,Anticonvulsants,Anticonvulsants,BMCHP,CLONAZEPAM orally disintegrating tablets,,,,,, 1002,Anticonvulsants,Anticonvulsants,BMCHP,CLORAZEPATE,,,,,, 1003,Anticonvulsants,Anticonvulsants,BMCHP,DIAZEPAM,,,,,, 1004,Anticonvulsants,Anticonvulsants,BMCHP,DIAZEPAM [Diastat],,,,,, 1005,Anticonvulsants,Anticonvulsants,BMCHP,DIVALPROEX SODIUM [Depakote],,,,,, 1006,Anticonvulsants,Anticonvulsants,BMCHP,DIVALPROEX SODIUM [Depakote ER],,,,,, 1007,Anticonvulsants,Anticonvulsants,BMCHP,ETHOSUXIMIDE,,,,,, 1008,Anticonvulsants,Anticonvulsants,BMCHP,ETHOTOIN [Peganone],,,,,, 1009,Anticonvulsants,Anticonvulsants,BMCHP,FELBAMATE [Felbatol],,,,,, 1010,Anticonvulsants,Anticonvulsants,BMCHP,GABAPENTIN,,,,,, 1011,Anticonvulsants,Anticonvulsants,BMCHP,LAMOTRIGINE [Lamictal],,,,,, 1012,Anticonvulsants,Anticonvulsants,BMCHP,LAMOTRIGINE chewable dispersable tablets,,,,,, 1013,Anticonvulsants,Anticonvulsants,BMCHP,LEVETIRACETAM [Keppra],,,,,, 1014,Anticonvulsants,Anticonvulsants,BMCHP,LORAZEPAM,,,,,, 1015,Anticonvulsants,Anticonvulsants,BMCHP,MEPHOBARBITAL,,,,,, 1016,Anticonvulsants,Anticonvulsants,BMCHP,METHSUXIMIDE [Celontin],,,,,, 1017,Anticonvulsants,Anticonvulsants,BMCHP,OXCARBAZEPINE tablets,,,,,, 1018,Anticonvulsants,Anticonvulsants,BMCHP,PHENOBARBITAL,,,,,, 1019,Anticonvulsants,Anticonvulsants,BMCHP,PHENYTOIN,,,,,, 1020,Anticonvulsants,Anticonvulsants,BMCHP,PHENYTOIN [Dilantin Infatab],,,,,, 1021,Anticonvulsants,Anticonvulsants,BMCHP,PHENYTOIN ER,,,,,, 1022,Anticonvulsants,Anticonvulsants,BMCHP,PREGABALIN [Lyrica],,,,PA,ST, 1023,Anticonvulsants,Anticonvulsants,BMCHP,PRIMIDONE,,,,,, 1024,Anticonvulsants,Anticonvulsants,BMCHP,TIAGABINE [Gabitril],,,,,, 1025,Anticonvulsants,Anticonvulsants,BMCHP,TOPIRAMATE [Topamax],,,,,, 1026,Anticonvulsants,Anticonvulsants,BMCHP,VALPROATE SODIUM,,,,,, 1027,Anticonvulsants,Anticonvulsants,BMCHP,VALPROIC ACID,,,,,, 1028,Anticonvulsants,Anticonvulsants,BMCHP,VALPROIC ACID [Stavzor],,,,PA,, 1029,Anticonvulsants,Anticonvulsants,BMCHP,ZONISAMIDE,,,,,, 1030,Anticonvulsants,Anticonvulsants,FCHP,ACETAZOLAMIDE,,,,,, 1031,Anticonvulsants,Anticonvulsants,FCHP,CARBAMAZEPINE,,,,,, 1032,Anticonvulsants,Anticonvulsants,FCHP,CARBAMAZEPINE [Carbatrol],,,,,, 1033,Anticonvulsants,Anticonvulsants,FCHP,CARBAMAZEPINE [Tegretol],,,,,, 1034,Anticonvulsants,Anticonvulsants,FCHP,CARBAMAZEPINE [Tegretol XR],,,,,, 1035,Anticonvulsants,Anticonvulsants,FCHP,CLONAZEPAM,,,,,, 1036,Anticonvulsants,Anticonvulsants,FCHP,CLONAZEPAM orally disintegrating tablets,,,,,, 1037,Anticonvulsants,Anticonvulsants,FCHP,CLORAZEPATE,,,,,, 1038,Anticonvulsants,Anticonvulsants,FCHP,DIAZEPAM,,,,,, 1039,Anticonvulsants,Anticonvulsants,FCHP,DIAZEPAM [Diastat],,,,,, 1040,Anticonvulsants,Anticonvulsants,FCHP,DIVALPROEX SODIUM [Depakote],,,,,, 1041,Anticonvulsants,Anticonvulsants,FCHP,ETHOSUXIMIDE,,,,,, 1042,Anticonvulsants,Anticonvulsants,FCHP,FELBAMATE [Felbatol],,,,,, 1043,Anticonvulsants,Anticonvulsants,FCHP,GABAPENTIN,,,,,, 1044,Anticonvulsants,Anticonvulsants,FCHP,LAMOTRIGINE [Lamictal],,,,,, 1045,Anticonvulsants,Anticonvulsants,FCHP,LAMOTRIGINE chewable dispersable tablets,,,,,, 1046,Anticonvulsants,Anticonvulsants,FCHP,LEVETIRACETAM ,,,,,, 1047,Anticonvulsants,Anticonvulsants,FCHP,LORAZEPAM,,,,,, 1048,Anticonvulsants,Anticonvulsants,FCHP,MEPHOBARBITAL,,,,,, 1049,Anticonvulsants,Anticonvulsants,FCHP,MEPHOBARBITAL [Mebaral],,,,,, 1050,Anticonvulsants,Anticonvulsants,FCHP,METHSUXIMIDE [Celontin],,,,,, 1051,Anticonvulsants,Anticonvulsants,FCHP,OXCARBAZEPINE tablets,,,,,, 1052,Anticonvulsants,Anticonvulsants,FCHP,PHENOBARBITAL,,,,,, 1053,Anticonvulsants,Anticonvulsants,FCHP,PHENYTOIN,,,,,, 1054,Anticonvulsants,Anticonvulsants,FCHP,PHENYTOIN [Dilantin],,,,,, 1055,Anticonvulsants,Anticonvulsants,FCHP,PHENYTOIN [Dilantin Infatab],,,,,, 1056,Anticonvulsants,Anticonvulsants,FCHP,PHENYTOIN [Phenytek],,,,,, 1057,Anticonvulsants,Anticonvulsants,FCHP,PHENYTOIN ER,,,,,, 1058,Anticonvulsants,Anticonvulsants,FCHP,PREGABALIN [Lyrica],,,,PA,, 1059,Anticonvulsants,Anticonvulsants,FCHP,PRIMIDONE,,,,,, 1060,Anticonvulsants,Anticonvulsants,FCHP,TIAGABINE [Gabitril],,,,,, 1061,Anticonvulsants,Anticonvulsants,FCHP,TOPIRAMATE [Topamax],,,,,, 1062,Anticonvulsants,Anticonvulsants,FCHP,VALPROATE SODIUM,,,,,, 1063,Anticonvulsants,Anticonvulsants,FCHP,VALPROIC ACID,,,,,, 1064,Anticonvulsants,Anticonvulsants,FCHP,VALPROIC ACID [Depakene],,,,,, 1065,Anticonvulsants,Anticonvulsants,FCHP,ZONISAMIDE,,,,,, 1066,Anticonvulsants,Anticonvulsants,HPHC,ACETAZOLAMIDE,,,,,, 1067,Anticonvulsants,Anticonvulsants,HPHC,CARBAMAZEPINE,,,,,, 1068,Anticonvulsants,Anticonvulsants,HPHC,CARBAMAZEPINE [Carbatrol],,,,,, 1069,Anticonvulsants,Anticonvulsants,HPHC,CARBAMAZEPINE [Equetro],,,,,, 1070,Anticonvulsants,Anticonvulsants,HPHC,CARBAMAZEPINE [Tegretol],,,,,, 1071,Anticonvulsants,Anticonvulsants,HPHC,CARBAMAZEPINE [Tegretol XR],,,,,, 1072,Anticonvulsants,Anticonvulsants,HPHC,CLONAZEPAM,,,,,, 1073,Anticonvulsants,Anticonvulsants,HPHC,CLONAZEPAM orally disintegrating tablets,,,,,, 1074,Anticonvulsants,Anticonvulsants,HPHC,CLORAZEPATE,,,,,, 1075,Anticonvulsants,Anticonvulsants,HPHC,DIAZEPAM,,,,,, 1076,Anticonvulsants,Anticonvulsants,HPHC,DIAZEPAM [Diastat],,,,,, 1077,Anticonvulsants,Anticonvulsants,HPHC,DIVALPROEX SODIUM ,,,,,, 1078,Anticonvulsants,Anticonvulsants,HPHC,DIVALPROEX SODIUM [Depakote],,,,,, 1079,Anticonvulsants,Anticonvulsants,HPHC,DIVALPROEX SODIUM [Depakote ER],,,,,, 1080,Anticonvulsants,Anticonvulsants,HPHC,ETHOSUXIMIDE,,,,,, 1081,Anticonvulsants,Anticonvulsants,HPHC,ETHOSUXIMIDE [Zarontin],,,,,, 1082,Anticonvulsants,Anticonvulsants,HPHC,ETHOTOIN [Peganone],,,,,, 1083,Anticonvulsants,Anticonvulsants,HPHC,FELBAMATE [Felbatol],,,,,, 1084,Anticonvulsants,Anticonvulsants,HPHC,GABAPENTIN,,,,,, 1085,Anticonvulsants,Anticonvulsants,HPHC,LAMOTRIGINE ,,,,,, 1086,Anticonvulsants,Anticonvulsants,HPHC,LAMOTRIGINE [Lamictal],,,,,, 1087,Anticonvulsants,Anticonvulsants,HPHC,LAMOTRIGINE chewable dispersable tablets,,,,,, 1088,Anticonvulsants,Anticonvulsants,HPHC,LEVETIRACETAM ,,,,,, 1089,Anticonvulsants,Anticonvulsants,HPHC,LEVETIRACETAM [Keppra],,,,,, 1090,Anticonvulsants,Anticonvulsants,HPHC,LEVETIRACETAM XR [Keppra XR],,,,,, 1091,Anticonvulsants,Anticonvulsants,HPHC,LORAZEPAM,,,,,, 1092,Anticonvulsants,Anticonvulsants,HPHC,MEPHOBARBITAL,,,,,, 1093,Anticonvulsants,Anticonvulsants,HPHC,Mephobarbital [Mebaral],,,,,, 1094,Anticonvulsants,Anticonvulsants,HPHC,METHSUXIMIDE [Celontin],,,,,, 1095,Anticonvulsants,Anticonvulsants,HPHC,OXCARBAZEPINE tablets,,,,,, 1096,Anticonvulsants,Anticonvulsants,HPHC,OXCARBAZEPINE [Trileptal],,,,,, 1097,Anticonvulsants,Anticonvulsants,HPHC,PHENOBARBITAL,,,,,, 1098,Anticonvulsants,Anticonvulsants,HPHC,PHENYTOIN,,,,,, 1099,Anticonvulsants,Anticonvulsants,HPHC,PHENYTOIN [Dilantin],,,,,, 1100,Anticonvulsants,Anticonvulsants,HPHC,PHENYTOIN [Dilantin Infatab],,,,,, 1101,Anticonvulsants,Anticonvulsants,HPHC,PHENYTOIN [Phenytek],,,,,, 1102,Anticonvulsants,Anticonvulsants,HPHC,PHENYTOIN ER,,,,,, 1103,Anticonvulsants,Anticonvulsants,HPHC,PREGABALIN [Lyrica],,,,,ST, 1104,Anticonvulsants,Anticonvulsants,HPHC,PRIMIDONE,,,,,, 1105,Anticonvulsants,Anticonvulsants,HPHC,TIAGABINE [Gabitril],,,,,, 1106,Anticonvulsants,Anticonvulsants,HPHC,TOPIRAMATE [Topamax],,,,,, 1107,Anticonvulsants,Anticonvulsants,HPHC,VALPROATE SODIUM,,,,,, 1108,Anticonvulsants,Anticonvulsants,HPHC,VALPROIC ACID,,,,,, 1109,Anticonvulsants,Anticonvulsants,HPHC,VALPROIC ACID [Depakene],,,,,, 1110,Anticonvulsants,Anticonvulsants,HPHC,VALPROIC ACID [Stavzor],,,,,, 1111,Anticonvulsants,Anticonvulsants,HPHC,ZONISAMIDE,,,,,, 1112,Anticonvulsants,Anticonvulsants,HPHC,ZONISAMIDE [Zonegran],,,,,, 1113,Anticonvulsants,Anticonvulsants,HNE,ACETAZOLAMIDE,,,,,, 1114,Anticonvulsants,Anticonvulsants,HNE,CARBAMAZEPINE,,,,,, 1115,Anticonvulsants,Anticonvulsants,HNE,CARBAMAZEPINE [Tegretol XR],,,,,, 1116,Anticonvulsants,Anticonvulsants,HNE,CLONAZEPAM,,,,,, 1117,Anticonvulsants,Anticonvulsants,HNE,CLONAZEPAM orally disintegrating tablets,,,,,, 1118,Anticonvulsants,Anticonvulsants,HNE,CLORAZEPATE,,,,,, 1119,Anticonvulsants,Anticonvulsants,HNE,DIAZEPAM,,,,,, 1120,Anticonvulsants,Anticonvulsants,HNE,DIVALPROEX SODIUM [Depakote],,,,,, 1121,Anticonvulsants,Anticonvulsants,HNE,DIVALPROEX SODIUM [Depakote ER],,,,,, 1122,Anticonvulsants,Anticonvulsants,HNE,ETHOSUXIMIDE,,,,,, 1123,Anticonvulsants,Anticonvulsants,HNE,GABAPENTIN,,,,,, 1124,Anticonvulsants,Anticonvulsants,HNE,LAMOTRIGINE [Lamictal],,,,,, 1125,Anticonvulsants,Anticonvulsants,HNE,LAMOTRIGINE chewable dispersable tablets,,,,,, 1126,Anticonvulsants,Anticonvulsants,HNE,LORAZEPAM,,,,,, 1127,Anticonvulsants,Anticonvulsants,HNE,MEPHOBARBITAL,,,,,, 1128,Anticonvulsants,Anticonvulsants,HNE,OXCARBAZEPINE tablets,,,,,, 1129,Anticonvulsants,Anticonvulsants,HNE,PHENOBARBITAL,,,,,, 1130,Anticonvulsants,Anticonvulsants,HNE,PHENYTOIN,,,,,, 1131,Anticonvulsants,Anticonvulsants,HNE,PHENYTOIN [Dilantin Infatab],,,,,, 1132,Anticonvulsants,Anticonvulsants,HNE,PHENYTOIN [Phenytek],,,,,, 1133,Anticonvulsants,Anticonvulsants,HNE,PHENYTOIN ER,,,,,, 1134,Anticonvulsants,Anticonvulsants,HNE,PRIMIDONE,,,,,, 1135,Anticonvulsants,Anticonvulsants,HNE,TOPIRAMATE [Topamax],,,,,, 1136,Anticonvulsants,Anticonvulsants,HNE,VALPROIC ACID,,,,,, 1137,Anticonvulsants,Anticonvulsants,HNE,ZONISAMIDE,,,,,, 1138,Anticonvulsants,Anticonvulsants,NHP,ACETAZOLAMIDE,,,,,, 1139,Anticonvulsants,Anticonvulsants,NHP,CARBAMAZEPINE,,,,,, 1140,Anticonvulsants,Anticonvulsants,NHP,CARBAMAZEPINE [Carbatrol],,,,,, 1141,Anticonvulsants,Anticonvulsants,NHP,CARBAMAZEPINE [Tegretol],,,,,,NC 1142,Anticonvulsants,Anticonvulsants,NHP,CARBAMAZEPINE [Tegretol XR],,,,,, 1143,Anticonvulsants,Anticonvulsants,NHP,CLONAZEPAM,,,,,, 1144,Anticonvulsants,Anticonvulsants,NHP,CLONAZEPAM orally disintegrating tablets,,,,,,NC 1145,Anticonvulsants,Anticonvulsants,NHP,CLORAZEPATE,,,,,, 1146,Anticonvulsants,Anticonvulsants,NHP,DIAZEPAM,,,,,, 1147,Anticonvulsants,Anticonvulsants,NHP,DIAZEPAM [Diastat],,,DL,,, 1148,Anticonvulsants,Anticonvulsants,NHP,DIVALPROEX SODIUM [Depakote],,,,,, 1149,Anticonvulsants,Anticonvulsants,NHP,DIVALPROEX SODIUM [Depakote ER],,,,,, 1150,Anticonvulsants,Anticonvulsants,NHP,ETHOSUXIMIDE,,,,,, 1151,Anticonvulsants,Anticonvulsants,NHP,ETHOSUXIMIDE [Zarontin],,,,,,NC 1152,Anticonvulsants,Anticonvulsants,NHP,GABAPENTIN,,,,,, 1153,Anticonvulsants,Anticonvulsants,NHP,LAMOTRIGINE ,,,,,, 1154,Anticonvulsants,Anticonvulsants,NHP,LAMOTRIGINE [Lamictal],,,,,,NC 1155,Anticonvulsants,Anticonvulsants,NHP,LAMOTRIGINE chewable dispersable tablets,,,,,, 1156,Anticonvulsants,Anticonvulsants,NHP,LEVETIRACETAM ,,,,,, 1157,Anticonvulsants,Anticonvulsants,NHP,LEVETIRACETAM [Keppra],,,,,,NC 1158,Anticonvulsants,Anticonvulsants,NHP,LEVETIRACETAM XR [Keppra XR],,,,,, 1159,Anticonvulsants,Anticonvulsants,NHP,LORAZEPAM,,,,,, 1160,Anticonvulsants,Anticonvulsants,NHP,MEPHOBARBITAL,,,,,, 1161,Anticonvulsants,Anticonvulsants,NHP,Mephobarbital [Mebaral],,,,,,NC 1162,Anticonvulsants,Anticonvulsants,NHP,OXCARBAZEPINE tablets,,,,,, 1163,Anticonvulsants,Anticonvulsants,NHP,OXCARBAZEPINE [Trileptal],,,,,,NC 1164,Anticonvulsants,Anticonvulsants,NHP,PHENOBARBITAL,,,,,, 1165,Anticonvulsants,Anticonvulsants,NHP,PHENYTOIN,,,,,, 1166,Anticonvulsants,Anticonvulsants,NHP,PHENYTOIN [Dilantin],,,,,,NC 1167,Anticonvulsants,Anticonvulsants,NHP,PHENYTOIN [Phenytek],,,,,, 1168,Anticonvulsants,Anticonvulsants,NHP,PHENYTOIN ER,,,,,, 1169,Anticonvulsants,Anticonvulsants,NHP,PRIMIDONE,,,,,, 1170,Anticonvulsants,Anticonvulsants,NHP,TIAGABINE [Gabitril],,,,,, 1171,Anticonvulsants,Anticonvulsants,NHP,TOPIRAMATE [Topamax],,,,,, 1172,Anticonvulsants,Anticonvulsants,NHP,VALPROATE SODIUM,,,,,, 1173,Anticonvulsants,Anticonvulsants,NHP,VALPROIC ACID,,,,,, 1174,Anticonvulsants,Anticonvulsants,NHP,VALPROIC ACID [Depakene],,,,,,NC 1175,Anticonvulsants,Anticonvulsants,NHP,ZONISAMIDE,,,,,, 1176,Anticonvulsants,Anticonvulsants,NHP,ZONISAMIDE [Zonegran],,,,,,NC 1177,Anticonvulsants,Anticonvulsants,NTWK,ACETAZOLAMIDE,,,,,, 1178,Anticonvulsants,Anticonvulsants,NTWK,CARBAMAZEPINE,,,,,, 1179,Anticonvulsants,Anticonvulsants,NTWK,CARBAMAZEPINE [Carbatrol],,,,,, 1180,Anticonvulsants,Anticonvulsants,NTWK,CARBAMAZEPINE [Tegretol XR],,,,,, 1181,Anticonvulsants,Anticonvulsants,NTWK,CLONAZEPAM,,,,,, 1182,Anticonvulsants,Anticonvulsants,NTWK,CLORAZEPATE,,,,,, 1183,Anticonvulsants,Anticonvulsants,NTWK,DIAZEPAM,,,,,, 1184,Anticonvulsants,Anticonvulsants,NTWK,DIAZEPAM [Diastat],,,DL,,, 1185,Anticonvulsants,Anticonvulsants,NTWK,DIVALPROEX SODIUM [Depakote ER],,,,,, 1186,Anticonvulsants,Anticonvulsants,NTWK,ETHOSUXIMIDE,,,,,, 1187,Anticonvulsants,Anticonvulsants,NTWK,GABAPENTIN,,,,,, 1188,Anticonvulsants,Anticonvulsants,NTWK,LAMOTRIGINE ,,,DL,,, 1189,Anticonvulsants,Anticonvulsants,NTWK,LAMOTRIGINE chewable dispersable tablets,,,DL,,, 1190,Anticonvulsants,Anticonvulsants,NTWK,LEVETIRACETAM ,,,,,, 1191,Anticonvulsants,Anticonvulsants,NTWK,LEVETIRACETAM XR [Keppra XR],,,,PA,, 1192,Anticonvulsants,Anticonvulsants,NTWK,LORAZEPAM,,,,,, 1193,Anticonvulsants,Anticonvulsants,NTWK,MEPHOBARBITAL,,,,,, 1194,Anticonvulsants,Anticonvulsants,NTWK,Mephobarbital [Mebaral],,,,,, 1195,Anticonvulsants,Anticonvulsants,NTWK,OXCARBAZEPINE tablets,,,,,, 1196,Anticonvulsants,Anticonvulsants,NTWK,PHENOBARBITAL,,,,,, 1197,Anticonvulsants,Anticonvulsants,NTWK,PHENYTOIN,,,,,, 1198,Anticonvulsants,Anticonvulsants,NTWK,PHENYTOIN [Dilantin],,,,,, 1199,Anticonvulsants,Anticonvulsants,NTWK,PHENYTOIN [Dilantin Infatab],,,,,, 1200,Anticonvulsants,Anticonvulsants,NTWK,PHENYTOIN [Phenytek],,,,,, 1201,Anticonvulsants,Anticonvulsants,NTWK,PHENYTOIN ER,,,,,, 1202,Anticonvulsants,Anticonvulsants,NTWK,PREGABALIN [Lyrica],,,,PA,, 1203,Anticonvulsants,Anticonvulsants,NTWK,PRIMIDONE,,,,,, 1204,Anticonvulsants,Anticonvulsants,NTWK,TIAGABINE [Gabitril],,,,,, 1205,Anticonvulsants,Anticonvulsants,NTWK,TOPIRAMATE [Topamax],,,DL,,, 1206,Anticonvulsants,Anticonvulsants,NTWK,VALPROIC ACID,,,,,, 1207,Anticonvulsants,Anticonvulsants,NTWK,ZONISAMIDE,,,,,, 1208,Anticonvulsants,Anticonvulsants,MAHLTH,ACETAZOLAMIDE,,,,,, 1209,Anticonvulsants,Anticonvulsants,MAHLTH,CARBAMAZEPINE,,,,,, 1210,Anticonvulsants,Anticonvulsants,MAHLTH,CARBAMAZEPINE [Carbatrol],,,,,, 1211,Anticonvulsants,Anticonvulsants,MAHLTH,CARBAMAZEPINE [Equetro],,,,,, 1212,Anticonvulsants,Anticonvulsants,MAHLTH,CARBAMAZEPINE [Tegretol],,,,PA,, 1213,Anticonvulsants,Anticonvulsants,MAHLTH,CARBAMAZEPINE [Tegretol XR],,,,,, 1214,Anticonvulsants,Anticonvulsants,MAHLTH,CLONAZEPAM,,,,,, 1215,Anticonvulsants,Anticonvulsants,MAHLTH,CLONAZEPAM orally disintegrating tablets,,,,PA,, 1216,Anticonvulsants,Anticonvulsants,MAHLTH,CLORAZEPATE,,,,,, 1217,Anticonvulsants,Anticonvulsants,MAHLTH,DIAZEPAM,,,,,, 1218,Anticonvulsants,Anticonvulsants,MAHLTH,DIAZEPAM [Diastat],,,DL,,, 1219,Anticonvulsants,Anticonvulsants,MAHLTH,DIVALPROEX SODIUM ,,,,,, 1220,Anticonvulsants,Anticonvulsants,MAHLTH,DIVALPROEX SODIUM [Depakote],,,,PA,, 1221,Anticonvulsants,Anticonvulsants,MAHLTH,DIVALPROEX SODIUM [Depakote ER],,,,PA,, 1222,Anticonvulsants,Anticonvulsants,MAHLTH,ETHOSUXIMIDE,,,,,, 1223,Anticonvulsants,Anticonvulsants,MAHLTH,ETHOSUXIMIDE [Zarontin],,,,PA,, 1224,Anticonvulsants,Anticonvulsants,MAHLTH,ETHOTOIN [Peganone],,,,,, 1225,Anticonvulsants,Anticonvulsants,MAHLTH,FELBAMATE [Felbatol],,,,,, 1226,Anticonvulsants,Anticonvulsants,MAHLTH,GABAPENTIN,,,,,, 1227,Anticonvulsants,Anticonvulsants,MAHLTH,LAMOTRIGINE ,,,,,, 1228,Anticonvulsants,Anticonvulsants,MAHLTH,LAMOTRIGINE [Lamictal],,,,PA,, 1229,Anticonvulsants,Anticonvulsants,MAHLTH,LAMOTRIGINE chewable dispersable tablets,,,,,, 1230,Anticonvulsants,Anticonvulsants,MAHLTH,LEVETIRACETAM ,,,,,, 1231,Anticonvulsants,Anticonvulsants,MAHLTH,LEVETIRACETAM [Keppra],,,,PA,, 1232,Anticonvulsants,Anticonvulsants,MAHLTH,LEVETIRACETAM XR [Keppra XR],,,,PA,, 1233,Anticonvulsants,Anticonvulsants,MAHLTH,LORAZEPAM,,,,,, 1234,Anticonvulsants,Anticonvulsants,MAHLTH,MEPHOBARBITAL,,,,,, 1235,Anticonvulsants,Anticonvulsants,MAHLTH,Mephobarbital [Mebaral],,,,,, 1236,Anticonvulsants,Anticonvulsants,MAHLTH,METHSUXIMIDE [Celontin],,,,,, 1237,Anticonvulsants,Anticonvulsants,MAHLTH,OXCARBAZEPINE tablets,,,,,, 1238,Anticonvulsants,Anticonvulsants,MAHLTH,OXCARBAZEPINE [Trileptal],,,,PA,, 1239,Anticonvulsants,Anticonvulsants,MAHLTH,PHENOBARBITAL,,,,,, 1240,Anticonvulsants,Anticonvulsants,MAHLTH,PHENYTOIN,,,,,, 1241,Anticonvulsants,Anticonvulsants,MAHLTH,PHENYTOIN [Dilantin],,,,,, 1242,Anticonvulsants,Anticonvulsants,MAHLTH,PHENYTOIN [Dilantin Infatab],,,,,, 1243,Anticonvulsants,Anticonvulsants,MAHLTH,PHENYTOIN [Phenytek],,,,,, 1244,Anticonvulsants,Anticonvulsants,MAHLTH,PHENYTOIN ER,,,,,, 1245,Anticonvulsants,Anticonvulsants,MAHLTH,PREGABALIN [Lyrica],,,,PA,, 1246,Anticonvulsants,Anticonvulsants,MAHLTH,PRIMIDONE,,,,,, 1247,Anticonvulsants,Anticonvulsants,MAHLTH,TIAGABINE [Gabitril],,,,PA>=19 yrs old,, 1248,Anticonvulsants,Anticonvulsants,MAHLTH,TOPIRAMATE [Topamax],,,,PA>=19 yrs old,, 1249,Anticonvulsants,Anticonvulsants,MAHLTH,VALPROATE SODIUM,,,,,, 1250,Anticonvulsants,Anticonvulsants,MAHLTH,VALPROIC ACID,,,,,, 1251,Anticonvulsants,Anticonvulsants,MAHLTH,VALPROIC ACID [Depakene],,,,PA,, 1252,Anticonvulsants,Anticonvulsants,MAHLTH,VALPROIC ACID [Stavzor],,,,PA,, 1253,Anticonvulsants,Anticonvulsants,MAHLTH,ZONISAMIDE,,,,,, 1254,Anticonvulsants,Anticonvulsants,MAHLTH,ZONISAMIDE [Zonegran],,,,PA,, 1255,Anticonvulsants,Anticonvulsants,THP,ACETAZOLAMIDE,,,,,, 1256,Anticonvulsants,Anticonvulsants,THP,CARBAMAZEPINE,,,,,, 1257,Anticonvulsants,Anticonvulsants,THP,CARBAMAZEPINE [Carbatrol],,,,,, 1258,Anticonvulsants,Anticonvulsants,THP,CARBAMAZEPINE [Equetro],,,,,, 1259,Anticonvulsants,Anticonvulsants,THP,CARBAMAZEPINE [Tegretol],,,,,, 1260,Anticonvulsants,Anticonvulsants,THP,CARBAMAZEPINE [Tegretol XR],,,,,, 1261,Anticonvulsants,Anticonvulsants,THP,CLONAZEPAM,,,,,, 1262,Anticonvulsants,Anticonvulsants,THP,CLONAZEPAM orally disintegrating tablets,,,,,, 1263,Anticonvulsants,Anticonvulsants,THP,CLORAZEPATE,,,,,, 1264,Anticonvulsants,Anticonvulsants,THP,DIAZEPAM,,,,,, 1265,Anticonvulsants,Anticonvulsants,THP,DIAZEPAM [Diastat],,,DL,,, 1266,Anticonvulsants,Anticonvulsants,THP,DIVALPROEX SODIUM ,,,,,, 1267,Anticonvulsants,Anticonvulsants,THP,DIVALPROEX SODIUM [Depakote],,,,,, 1268,Anticonvulsants,Anticonvulsants,THP,DIVALPROEX SODIUM [Depakote ER],,,,,, 1269,Anticonvulsants,Anticonvulsants,THP,ETHOSUXIMIDE,,,,,, 1270,Anticonvulsants,Anticonvulsants,THP,ETHOSUXIMIDE [Zarontin],,,,,, 1271,Anticonvulsants,Anticonvulsants,THP,ETHOTOIN [Peganone],,,,,, 1272,Anticonvulsants,Anticonvulsants,THP,FELBAMATE [Felbatol],,,,,, 1273,Anticonvulsants,Anticonvulsants,THP,GABAPENTIN,,,,,, 1274,Anticonvulsants,Anticonvulsants,THP,LAMOTRIGINE ,,,,,, 1275,Anticonvulsants,Anticonvulsants,THP,LAMOTRIGINE [Lamictal],,,,,, 1276,Anticonvulsants,Anticonvulsants,THP,LAMOTRIGINE chewable dispersable tablets,,,,,, 1277,Anticonvulsants,Anticonvulsants,THP,LEVETIRACETAM ,,,,,, 1278,Anticonvulsants,Anticonvulsants,THP,LEVETIRACETAM [Keppra],,,,,, 1279,Anticonvulsants,Anticonvulsants,THP,LEVETIRACETAM XR [Keppra XR],,,,,,NC 1280,Anticonvulsants,Anticonvulsants,THP,LORAZEPAM,,,,,, 1281,Anticonvulsants,Anticonvulsants,THP,MEPHOBARBITAL,,,,,, 1282,Anticonvulsants,Anticonvulsants,THP,MEPHOBARBITAL [Mebaral],,,,,, 1283,Anticonvulsants,Anticonvulsants,THP,METHSUXIMIDE [Celontin],,,,,, 1284,Anticonvulsants,Anticonvulsants,THP,OXCARBAZEPINE tablets,,,,,, 1285,Anticonvulsants,Anticonvulsants,THP,OXCARBAZEPINE [Trileptal],,,,,, 1286,Anticonvulsants,Anticonvulsants,THP,PHENOBARBITAL,,,,,, 1287,Anticonvulsants,Anticonvulsants,THP,PHENYTOIN,,,,,, 1288,Anticonvulsants,Anticonvulsants,THP,PHENYTOIN [Dilantin],,,,,, 1289,Anticonvulsants,Anticonvulsants,THP,PHENYTOIN [Dilantin Infatab],,,,,, 1290,Anticonvulsants,Anticonvulsants,THP,PHENYTOIN [Phenytek],,,,,, 1291,Anticonvulsants,Anticonvulsants,THP,PHENYTOIN ER,,,,,, 1292,Anticonvulsants,Anticonvulsants,THP,PREGABALIN [Lyrica],,,,,ST, 1293,Anticonvulsants,Anticonvulsants,THP,PRIMIDONE,,,,,, 1294,Anticonvulsants,Anticonvulsants,THP,TIAGABINE [Gabitril],,,,,, 1295,Anticonvulsants,Anticonvulsants,THP,TOPIRAMATE [Topamax],,,,,, 1296,Anticonvulsants,Anticonvulsants,THP,VALPROATE SODIUM,,,,,, 1297,Anticonvulsants,Anticonvulsants,THP,VALPROIC ACID,,,,,, 1298,Anticonvulsants,Anticonvulsants,THP,VALPROIC ACID [Depakene],,,,,, 1299,Anticonvulsants,Anticonvulsants,THP,VALPROIC ACID [Stavzor],,,,,, 1300,Anticonvulsants,Anticonvulsants,THP,ZONISAMIDE,,,,,, 1301,Anticonvulsants,Anticonvulsants,THP,ZONISAMIDE [Zonegran],,,,,, 1302,Antidepressants,Miscellaneous,AETNA,AMITRIPTYLINE,*,,,,, 1303,Antidepressants,Miscellaneous,AETNA,AMOXAPINE,*,,,,, 1304,Antidepressants,Miscellaneous,AETNA,BUDEPRION XL,*,,,,, 1305,Antidepressants,Miscellaneous,AETNA,BUPROPION,*,,DL,,, 1306,Antidepressants,Miscellaneous,AETNA,BUPROPION SR,*,,,,, 1307,Antidepressants,Miscellaneous,AETNA,BUPROPION SR [Wellbutrin SR],,FE,DL,,ST, 1308,Antidepressants,Miscellaneous,AETNA,BUPROPION XL,*,,DL,,, 1309,Antidepressants,Miscellaneous,AETNA,BUPROPION XL [Wellbutrin XL],*,,DL,,ST, 1310,Antidepressants,Miscellaneous,AETNA,CLOMIPRAMINE,*,,,,, 1311,Antidepressants,Miscellaneous,AETNA,DESIPRAMINE,*,,,,, 1312,Antidepressants,Miscellaneous,AETNA,DESVENLAFAXINE [Pristiq],*,,DL,,ST, 1313,Antidepressants,Miscellaneous,AETNA,DOXEPIN,*,,,,, 1314,Antidepressants,Miscellaneous,AETNA,DULOXETINE [Cymbalta],*,,DL,,ST, 1315,Antidepressants,Miscellaneous,AETNA,FLOVOXAMINE CR [Luvox CR],,,DL,,ST, 1316,Antidepressants,Miscellaneous,AETNA,IMIPRAMINE HYDROCHLORIDE,*,,,,, 1317,Antidepressants,Miscellaneous,AETNA,IMIPRAMINE PAMOATE,*,,,,, 1318,Antidepressants,Miscellaneous,AETNA,IMIPRAMINE PAMOATE [Tofranil PM],,,,,, 1319,Antidepressants,Miscellaneous,AETNA,MAPROTILINE,*,,DL,,, 1320,Antidepressants,Miscellaneous,AETNA,MIRTAZAPINE,*,,DL,,, 1321,Antidepressants,Miscellaneous,AETNA,MIRTAZAPINE orally disintegrating tablets,*,,DL,,, 1322,Antidepressants,Miscellaneous,AETNA,NEFAZODONE,,,,,ST, 1323,Antidepressants,Miscellaneous,AETNA,NORTRIPTYLINE,*,,,,, 1324,Antidepressants,Miscellaneous,AETNA,PHENELZINE [Nardil],,,,,, 1325,Antidepressants,Miscellaneous,AETNA,PROTRIPTYLINE,*,,,,, 1326,Antidepressants,Miscellaneous,AETNA,PROTRIPTYLINE [Vivactil],,,,,, 1327,Antidepressants,Miscellaneous,AETNA,SELEGILINE transdermal [Emsam],,FE,DL,,, 1328,Antidepressants,Miscellaneous,AETNA,TRANYLCYPROMINE ,*,,,,, 1329,Antidepressants,Miscellaneous,AETNA,TRANYLCYPROMINE [Parnate],,,,,, 1330,Antidepressants,Miscellaneous,AETNA,TRAZODONE,*,,,,, 1331,Antidepressants,Miscellaneous,AETNA,TRIMIPRAMINE,*,,,,, 1332,Antidepressants,Miscellaneous,AETNA,TRIMIPRAMINE [Surmontil],,,,,, 1333,Antidepressants,Miscellaneous,AETNA,VENLAFAXINE,*,,DL,,, 1334,Antidepressants,Miscellaneous,AETNA,VENLAFAXINE [Effexor],,FE,DL,,ST, 1335,Antidepressants,Miscellaneous,AETNA,VENLAFAXINE ER tablets,*,,DL,,ST, 1336,Antihistamines,Miscellaneous,AETNA,VENLAFAXINE ER capsules [Effexor XR],*,,DL,,ST, 1337,Antidepressants,Miscellaneous,BCBSMA,AMITRIPTYLINE,*,,,,, 1338,Antidepressants,Miscellaneous,BCBSMA,AMOXAPINE,*,,,,, 1339,Antidepressants,Miscellaneous,BCBSMA,BUDEPRION XL,*,,,,, 1340,Antidepressants,Miscellaneous,BCBSMA,BUPROPION,*,,,,, 1341,Antidepressants,Miscellaneous,BCBSMA,BUPROPION SR,*,,DL,,, 1342,Antidepressants,Miscellaneous,BCBSMA,BUPROPION SR [Wellbutrin SR],,,DL,,ST 200 mg excluded, 1343,Antidepressants,Miscellaneous,BCBSMA,BUPROPION XL,*,,,,, 1344,Antidepressants,Miscellaneous,BCBSMA,BUPROPION XL [Wellbutrin XL],,,DL,,ST,NC 1345,Antidepressants,Miscellaneous,BCBSMA,CLOMIPRAMINE,*,,,,, 1346,Antidepressants,Miscellaneous,BCBSMA,DESIPRAMINE,*,,,,, 1347,Antidepressants,Miscellaneous,BCBSMA,DESVENLAFAXINE [Pristiq],,,,,,NC 1348,Antidepressants,Miscellaneous,BCBSMA,DOXEPIN,*,,,,, 1349,Antidepressants,Miscellaneous,BCBSMA,DULOXETINE [Cymbalta],,,,,ST, 1350,Antidepressants,Miscellaneous,BCBSMA,FLOVOXAMINE CR [Luvox CR],,,,,,NC 1351,Antidepressants,Miscellaneous,BCBSMA,IMIPRAMINE HYDROCHLORIDE,*,,,,, 1352,Antidepressants,Miscellaneous,BCBSMA,IMIPRAMINE PAMOATE,*,,,,, 1353,Antidepressants,Miscellaneous,BCBSMA,IMIPRAMINE PAMOATE [Tofranil PM],,,,,, 1354,Antidepressants,Miscellaneous,BCBSMA,MAPROTILINE,*,,,,, 1355,Antidepressants,Miscellaneous,BCBSMA,MIRTAZAPINE,*,,DL,,, 1356,Antidepressants,Miscellaneous,BCBSMA,MIRTAZAPINE orally disintegrating tablets,*,,DL,,, 1357,Antidepressants,Miscellaneous,BCBSMA,NEFAZODONE,*,,DL,,, 1358,Antidepressants,Miscellaneous,BCBSMA,NORTRIPTYLINE,*,,,,, 1359,Antidepressants,Miscellaneous,BCBSMA,PHENELZINE [Nardil],*,,,,, 1360,Antidepressants,Miscellaneous,BCBSMA,PROTRIPTYLINE,*,,,,, 1361,Antidepressants,Miscellaneous,BCBSMA,PROTRIPTYLINE [Vivactil],*,,,,, 1362,Antidepressants,Miscellaneous,BCBSMA,SELEGILINE transdermal [Emsam],,,,,,NC 1363,Antidepressants,Miscellaneous,BCBSMA,TRANYLCYPROMINE ,*,,,,, 1364,Antidepressants,Miscellaneous,BCBSMA,TRANYLCYPROMINE [Parnate],,,,,, 1365,Antidepressants,Miscellaneous,BCBSMA,TRAZODONE,*,,,,, 1366,Antidepressants,Miscellaneous,BCBSMA,TRIMIPRAMINE,*,,,,, 1367,Antidepressants,Miscellaneous,BCBSMA,TRIMIPRAMINE [Surmontil],,,,,, 1368,Antidepressants,Miscellaneous,BCBSMA,VENLAFAXINE,*,,,,, 1369,Antidepressants,Miscellaneous,BCBSMA,VENLAFAXINE [Effexor],,,,,ST, 1370,Antidepressants,Miscellaneous,BCBSMA,VENLAFAXINE ER tablets,,,,,, 1371,Antihistamines,Miscellaneous,BCBSMA,VENLAFAXINE ER capsules [Effexor XR],,,DL,,ST, 1372,Antidepressants,Miscellaneous,BMCHP,AMITRIPTYLINE,,,,,, 1373,Antidepressants,Miscellaneous,BMCHP,AMOXAPINE,,,,,, 1374,Antidepressants,Miscellaneous,BMCHP,BUDEPRION XL,,,DL,,, 1375,Antidepressants,Miscellaneous,BMCHP,BUPROPION,,,DL,,, 1376,Antidepressants,Miscellaneous,BMCHP,BUPROPION SR,,,DL,,, 1377,Antidepressants,Miscellaneous,BMCHP,BUPROPION XL,,,DL,,, 1378,Antidepressants,Miscellaneous,BMCHP,CLOMIPRAMINE,,,,,, 1379,Antidepressants,Miscellaneous,BMCHP,DESIPRAMINE,,,,,, 1380,Antidepressants,Miscellaneous,BMCHP,DOXEPIN,,,,,, 1381,Antidepressants,Miscellaneous,BMCHP,DULOXETINE [Cymbalta],,,DL,,ST, 1382,Antidepressants,Miscellaneous,BMCHP,FLOVOXAMINE CR [Luvox CR],,,DL,PA,, 1383,Antidepressants,Miscellaneous,BMCHP,IMIPRAMINE HYDROCHLORIDE,,,,,, 1384,Antidepressants,Miscellaneous,BMCHP,IMIPRAMINE PAMOATE,,,,,, 1385,Antidepressants,Miscellaneous,BMCHP,IMIPRAMINE PAMOATE [Tofranil PM],,,,,ST, 1386,Antidepressants,Miscellaneous,BMCHP,MAPROTILINE,,,,,, 1387,Antidepressants,Miscellaneous,BMCHP,MIRTAZAPINE,,,DL,,, 1388,Antidepressants,Miscellaneous,BMCHP,MIRTAZAPINE orally disintegrating tablets,,,DL,,, 1389,Antidepressants,Miscellaneous,BMCHP,NEFAZODONE,,,,,, 1390,Antidepressants,Miscellaneous,BMCHP,NORTRIPTYLINE,,,,,, 1391,Antidepressants,Miscellaneous,BMCHP,PHENELZINE [Nardil],,,,PA,ST, 1392,Antidepressants,Miscellaneous,BMCHP,PROTRIPTYLINE,,,,,, 1393,Antidepressants,Miscellaneous,BMCHP,PROTRIPTYLINE [Vivactil],,,,PA,ST, 1394,Antidepressants,Miscellaneous,BMCHP,SELEGILINE transdermal [Emsam],,,,PA,ST, 1395,Antidepressants,Miscellaneous,BMCHP,TRANYLCYPROMINE ,,,,,, 1396,Antidepressants,Miscellaneous,BMCHP,TRAZODONE,,,,,, 1397,Antidepressants,Miscellaneous,BMCHP,TRIMIPRAMINE,,,,,, 1398,Antidepressants,Miscellaneous,BMCHP,TRIMIPRAMINE [Surmontil],,,,,ST, 1399,Antidepressants,Miscellaneous,BMCHP,VENLAFAXINE,,,DL,,, 1400,Antidepressants,Miscellaneous,BMCHP,VENLAFAXINE ER tablets,,,DL,,, 1401,Antihistamines,Miscellaneous,BMCHP,VENLAFAXINE ER capsules [Effexor XR],,,DL,PA,, 1402,Antidepressants,Miscellaneous,FCHP,AMITRIPTYLINE,,,,,, 1403,Antidepressants,Miscellaneous,FCHP,AMOXAPINE,,,,,, 1404,Antidepressants,Miscellaneous,FCHP,BUPROPION,,,,,, 1405,Antidepressants,Miscellaneous,FCHP,BUPROPION SR,,,,,, 1406,Antidepressants,Miscellaneous,FCHP,BUPROPION SR [Wellbutrin SR],,,,,, 1407,Antidepressants,Miscellaneous,FCHP,BUPROPION XL,,,,,, 1408,Antidepressants,Miscellaneous,FCHP,BUPROPION XL [Wellbutrin XL],,,DL 30,,, 1409,Antidepressants,Miscellaneous,FCHP,CLOMIPRAMINE,,,,,, 1410,Antidepressants,Miscellaneous,FCHP,DESIPRAMINE,,,,,, 1411,Antidepressants,Miscellaneous,FCHP,DOXEPIN,,,,,, 1412,Antidepressants,Miscellaneous,FCHP,IMIPRAMINE HYDROCHLORIDE,,,,,, 1413,Antidepressants,Miscellaneous,FCHP,IMIPRAMINE PAMOATE,,,,,, 1414,Antidepressants,Miscellaneous,FCHP,MAPROTILINE,,,,,, 1415,Antidepressants,Miscellaneous,FCHP,MIRTAZAPINE,,,,,, 1416,Antidepressants,Miscellaneous,FCHP,MIRTAZAPINE orally disintegrating tablets,,,,,, 1417,Antidepressants,Miscellaneous,FCHP,NEFAZODONE,,,,,, 1418,Antidepressants,Miscellaneous,FCHP,NORTRIPTYLINE,,,,,, 1419,Antidepressants,Miscellaneous,FCHP,PHENELZINE [Nardil],,,,,, 1420,Antidepressants,Miscellaneous,FCHP,PROTRIPTYLINE [Vivactil],,,,,, 1421,Antidepressants,Miscellaneous,FCHP,TRANYLCYPROMINE ,,,,,, 1422,Antidepressants,Miscellaneous,FCHP,TRANYLCYPROMINE [Parnate],,,,,, 1423,Antidepressants,Miscellaneous,FCHP,TRAZODONE,,,,,, 1424,Antidepressants,Miscellaneous,FCHP,TRIMIPRAMINE,,,,,, 1425,Antidepressants,Miscellaneous,FCHP,TRIMIPRAMINE [Surmontil],,,,,, 1426,Antidepressants,Miscellaneous,FCHP,VENLAFAXINE,,,,,, 1427,Antihistamines,Miscellaneous,FCHP,VENLAFAXINE ER capsules [Effexor XR],,,DL,,ST, 1428,Antidepressants,Miscellaneous,HPHC,AMITRIPTYLINE,,,,,, 1429,Antidepressants,Miscellaneous,HPHC,AMOXAPINE,,,,,, 1430,Antidepressants,Miscellaneous,HPHC,BUDEPRION XL,,,,,, 1431,Antidepressants,Miscellaneous,HPHC,BUPROPION,,,,,, 1432,Antidepressants,Miscellaneous,HPHC,BUPROPION SR,,,,,, 1433,Antidepressants,Miscellaneous,HPHC,BUPROPION SR [Wellbutrin SR],,,,,ST>=18 yrs old, 1434,Antidepressants,Miscellaneous,HPHC,BUPROPION XL,,,,,, 1435,Antidepressants,Miscellaneous,HPHC,BUPROPION XL [Wellbutrin XL],,,,,ST>=18 yrs old, 1436,Antidepressants,Miscellaneous,HPHC,CLOMIPRAMINE,,,,,, 1437,Antidepressants,Miscellaneous,HPHC,DESIPRAMINE,,,,,, 1438,Antidepressants,Miscellaneous,HPHC,DESVENLAFAXINE [Pristiq],,,,,ST>=18 yrs old, 1439,Antidepressants,Miscellaneous,HPHC,DOXEPIN,,,,,, 1440,Antidepressants,Miscellaneous,HPHC,DULOXETINE [Cymbalta],,,,,ST>=18 yrs old, 1441,Antidepressants,Miscellaneous,HPHC,FLOVOXAMINE CR [Luvox CR],,,,,ST>=18 yrs old, 1442,Antidepressants,Miscellaneous,HPHC,IMIPRAMINE HYDROCHLORIDE,,,,,, 1443,Antidepressants,Miscellaneous,HPHC,IMIPRAMINE PAMOATE,,,,,, 1444,Antidepressants,Miscellaneous,HPHC,IMIPRAMINE PAMOATE [Tofranil PM],,,,,, 1445,Antidepressants,Miscellaneous,HPHC,MAPROTILINE,,,,,, 1446,Antidepressants,Miscellaneous,HPHC,MIRTAZAPINE,,,,,, 1447,Antidepressants,Miscellaneous,HPHC,MIRTAZAPINE orally disintegrating tablets,,,,,, 1448,Antidepressants,Miscellaneous,HPHC,NEFAZODONE,,,,,, 1449,Antidepressants,Miscellaneous,HPHC,NORTRIPTYLINE,,,,,, 1450,Antidepressants,Miscellaneous,HPHC,PHENELZINE [Nardil],,,,,, 1451,Antidepressants,Miscellaneous,HPHC,PROTRIPTYLINE,,,,,, 1452,Antidepressants,Miscellaneous,HPHC,PROTRIPTYLINE [Vivactil],,,,,, 1453,Antidepressants,Miscellaneous,HPHC,SELEGILINE transdermal [Emsam],,,,,, 1454,Antidepressants,Miscellaneous,HPHC,TRANYLCYPROMINE ,,,,,, 1455,Antidepressants,Miscellaneous,HPHC,TRANYLCYPROMINE [Parnate],,,,,, 1456,Antidepressants,Miscellaneous,HPHC,TRAZODONE,,,,,, 1457,Antidepressants,Miscellaneous,HPHC,TRIMIPRAMINE,,,,,, 1458,Antidepressants,Miscellaneous,HPHC,TRIMIPRAMINE [Surmontil],,,,,, 1459,Antidepressants,Miscellaneous,HPHC,VENLAFAXINE,,,,,, 1460,Antidepressants,Miscellaneous,HPHC,VENLAFAXINE [Effexor],,,,,ST>=18 yrs old, 1461,Antidepressants,Miscellaneous,HPHC,VENLAFAXINE ER tablets,,,,,ST>=18 yrs old, 1462,Antihistamines,Miscellaneous,HPHC,VENLAFAXINE ER capsules [Effexor XR],,,,,ST>=18 yrs old, 1463,Antidepressants,Miscellaneous,HNE,AMITRIPTYLINE,,,,,, 1464,Antidepressants,Miscellaneous,HNE,AMOXAPINE,,,,,, 1465,Antidepressants,Miscellaneous,HNE,BUPROPION,,,DL,,, 1466,Antidepressants,Miscellaneous,HNE,BUPROPION SR,,,DL,,, 1467,Antidepressants,Miscellaneous,HNE,BUPROPION XL,,,DL,,, 1468,Antidepressants,Miscellaneous,HNE,CLOMIPRAMINE,,,,,, 1469,Antidepressants,Miscellaneous,HNE,DESIPRAMINE,,,,,, 1470,Antidepressants,Miscellaneous,HNE,DOXEPIN,,,,,, 1471,Antidepressants,Miscellaneous,HNE,IMIPRAMINE HYDROCHLORIDE,,,,,, 1472,Antidepressants,Miscellaneous,HNE,MAPROTILINE,,,,,, 1473,Antidepressants,Miscellaneous,HNE,MIRTAZAPINE,,,,,, 1474,Antidepressants,Miscellaneous,HNE,MIRTAZAPINE orally disintegrating tablets,,,,,, 1475,Antidepressants,Miscellaneous,HNE,NEFAZODONE,,,,,, 1476,Antidepressants,Miscellaneous,HNE,NORTRIPTYLINE,,,,,, 1477,Antidepressants,Miscellaneous,HNE,PHENELZINE [Nardil],,,,,, 1478,Antidepressants,Miscellaneous,HNE,TRANYLCYPROMINE ,,,,,, 1479,Antidepressants,Miscellaneous,HNE,TRAZODONE,,,,,, 1480,Antidepressants,Miscellaneous,HNE,TRIMIPRAMINE,,,,,, 1481,Antidepressants,Miscellaneous,HNE,VENLAFAXINE,,,DL,,, 1482,Antihistamines,Miscellaneous,HNE,VENLAFAXINE ER capsules [Effexor XR],,,DL,,ST, 1483,Antidepressants,Miscellaneous,NHP,AMITRIPTYLINE,,,,,, 1484,Antidepressants,Miscellaneous,NHP,AMOXAPINE,,,,,, 1485,Antidepressants,Miscellaneous,NHP,BUPROPION,,,,,, 1486,Antidepressants,Miscellaneous,NHP,BUPROPION SR,,,,,, 1487,Antidepressants,Miscellaneous,NHP,BUPROPION SR [Wellbutrin SR],,,,,,NC 1488,Antidepressants,Miscellaneous,NHP,BUPROPION XL,,,,,, 1489,Antidepressants,Miscellaneous,NHP,BUPROPION XL [Wellbutrin XL],,,,,,NC 1490,Antidepressants,Miscellaneous,NHP,CLOMIPRAMINE,,,,,, 1491,Antidepressants,Miscellaneous,NHP,DESIPRAMINE,,,,,, 1492,Antidepressants,Miscellaneous,NHP,DOXEPIN,,,,,, 1493,Antidepressants,Miscellaneous,NHP,IMIPRAMINE HYDROCHLORIDE,,,,,, 1494,Antidepressants,Miscellaneous,NHP,MAPROTILINE,,,,,, 1495,Antidepressants,Miscellaneous,NHP,MIRTAZAPINE,,,,,, 1496,Antidepressants,Miscellaneous,NHP,MIRTAZAPINE orally disintegrating tablets,,,,,, 1497,Antidepressants,Miscellaneous,NHP,NEFAZODONE,,,,,, 1498,Antidepressants,Miscellaneous,NHP,NORTRIPTYLINE,,,,,, 1499,Antidepressants,Miscellaneous,NHP,PHENELZINE [Nardil],,,,,, 1500,Antidepressants,Miscellaneous,NHP,PROTRIPTYLINE,,,,,, 1501,Antidepressants,Miscellaneous,NHP,PROTRIPTYLINE [Vivactil],,,,,,NC 1502,Antidepressants,Miscellaneous,NHP,TRANYLCYPROMINE ,,,,,, 1503,Antidepressants,Miscellaneous,NHP,TRAZODONE,,,,,, 1504,Antidepressants,Miscellaneous,NHP,TRIMIPRAMINE,,,,,, 1505,Antidepressants,Miscellaneous,NHP,VENLAFAXINE,,,DL,,ST, 1506,Antidepressants,Miscellaneous,NHP,VENLAFAXINE [Effexor],,,,,,NC 1507,Antidepressants,Miscellaneous,NHP,VENLAFAXINE ER tablets,,,,,,NC 1508,Antihistamines,Miscellaneous,NHP,VENLAFAXINE ER capsules [Effexor XR],,,DL,,ST, 1509,Antidepressants,Miscellaneous,NTWK,AMITRIPTYLINE,,,,,, 1510,Antidepressants,Miscellaneous,NTWK,AMOXAPINE,,,,,, 1511,Antidepressants,Miscellaneous,NTWK,BUPROPION,,,,,, 1512,Antidepressants,Miscellaneous,NTWK,BUPROPION SR,,,,,, 1513,Antidepressants,Miscellaneous,NTWK,BUPROPION XL,,,,,, 1514,Antidepressants,Miscellaneous,NTWK,CLOMIPRAMINE,,,,,, 1515,Antidepressants,Miscellaneous,NTWK,DESIPRAMINE,,,,,, 1516,Antidepressants,Miscellaneous,NTWK,DESVENLAFAXINE [Pristiq],,,DL,,, 1517,Antidepressants,Miscellaneous,NTWK,DOXEPIN,,,,,, 1518,Antidepressants,Miscellaneous,NTWK,DULOXETINE [Cymbalta],,,DL,,ST, 1519,Antidepressants,Miscellaneous,NTWK,IMIPRAMINE HYDROCHLORIDE,,,,,, 1520,Antidepressants,Miscellaneous,NTWK,MAPROTILINE,,,,,, 1521,Antidepressants,Miscellaneous,NTWK,MIRTAZAPINE,,,,,, 1522,Antidepressants,Miscellaneous,NTWK,MIRTAZAPINE orally disintegrating tablets,,,,,, 1523,Antidepressants,Miscellaneous,NTWK,NEFAZODONE,,,,,, 1524,Antidepressants,Miscellaneous,NTWK,NORTRIPTYLINE,,,,,, 1525,Antidepressants,Miscellaneous,NTWK,PHENELZINE [Nardil],,,,,, 1526,Antidepressants,Miscellaneous,NTWK,SELEGILINE transdermal [Emsam],,,,PA,, 1527,Antidepressants,Miscellaneous,NTWK,TRANYLCYPROMINE ,,,,,, 1528,Antidepressants,Miscellaneous,NTWK,TRAZODONE,300 mg excluded,,,,, 1529,Antidepressants,Miscellaneous,NTWK,VENLAFAXINE,,,,,, 1530,Antidepressants,Miscellaneous,NTWK,VENLAFAXINE ER tablets,,,,,, 1531,Antihistamines,Miscellaneous,NTWK,VENLAFAXINE ER capsules [Effexor XR],,,,,, 1532,Antidepressants,Miscellaneous,MAHLTH,AMITRIPTYLINE,,,,,, 1533,Antidepressants,Miscellaneous,MAHLTH,AMOXAPINE,,,,,, 1534,Antidepressants,Miscellaneous,MAHLTH,BUPROPION,,,,,, 1535,Antidepressants,Miscellaneous,MAHLTH,BUPROPION SR,,,,,, 1536,Antidepressants,Miscellaneous,MAHLTH,BUPROPION SR [Wellbutrin SR],,,,PA,, 1537,Antidepressants,Miscellaneous,MAHLTH,BUPROPION XL,,,,PA,, 1538,Antidepressants,Miscellaneous,MAHLTH,BUPROPION XL [Wellbutrin XL],,,,PA,, 1539,Antidepressants,Miscellaneous,MAHLTH,CLOMIPRAMINE,,,,,, 1540,Antidepressants,Miscellaneous,MAHLTH,DESIPRAMINE,,,,,, 1541,Antidepressants,Miscellaneous,MAHLTH,DESVENLAFAXINE [Pristiq],,,,PA,, 1542,Antidepressants,Miscellaneous,MAHLTH,DOXEPIN,,,,,, 1543,Antidepressants,Miscellaneous,MAHLTH,DULOXETINE [Cymbalta],,,,PA,, 1544,Antidepressants,Miscellaneous,MAHLTH,FLOVOXAMINE CR [Luvox CR],,,,PA,, 1545,Antidepressants,Miscellaneous,MAHLTH,IMIPRAMINE HYDROCHLORIDE,,,,,, 1546,Antidepressants,Miscellaneous,MAHLTH,IMIPRAMINE PAMOATE,,,,,, 1547,Antidepressants,Miscellaneous,MAHLTH,MAPROTILINE,,,,,, 1548,Antidepressants,Miscellaneous,MAHLTH,MIRTAZAPINE,,,,,, 1549,Antidepressants,Miscellaneous,MAHLTH,MIRTAZAPINE orally disintegrating tablets,,,,PA,, 1550,Antidepressants,Miscellaneous,MAHLTH,NEFAZODONE,,,,,, 1551,Antidepressants,Miscellaneous,MAHLTH,NORTRIPTYLINE,,,,,, 1552,Antidepressants,Miscellaneous,MAHLTH,PHENELZINE [Nardil],,,,,, 1553,Antidepressants,Miscellaneous,MAHLTH,PROTRIPTYLINE,,,,,, 1554,Antidepressants,Miscellaneous,MAHLTH,PROTRIPTYLINE [Vivactil],,,,PA,, 1555,Antidepressants,Miscellaneous,MAHLTH,SELEGILINE transdermal [Emsam],,,,PA,, 1556,Antidepressants,Miscellaneous,MAHLTH,TRANYLCYPROMINE ,,,,,, 1557,Antidepressants,Miscellaneous,MAHLTH,TRANYLCYPROMINE [Parnate],,,,PA,, 1558,Antidepressants,Miscellaneous,MAHLTH,TRAZODONE,300 mg excluded,,,,, 1559,Antidepressants,Miscellaneous,MAHLTH,TRIMIPRAMINE,,,,,, 1560,Antidepressants,Miscellaneous,MAHLTH,TRIMIPRAMINE [Surmontil],,,,PA,, 1561,Antidepressants,Miscellaneous,MAHLTH,VENLAFAXINE,,,,,, 1562,Antidepressants,Miscellaneous,MAHLTH,VENLAFAXINE [Effexor],,,,PA,, 1563,Antidepressants,Miscellaneous,MAHLTH,VENLAFAXINE ER tablets,,,,,, 1564,Antihistamines,Miscellaneous,MAHLTH,VENLAFAXINE ER capsules [Effexor XR],,,,PA,, 1565,Antidepressants,Miscellaneous,THP,AMITRIPTYLINE,,,,,, 1566,Antidepressants,Miscellaneous,THP,AMOXAPINE,,,,,, 1567,Antidepressants,Miscellaneous,THP,BUDEPRION XL,*,,,,, 1568,Antidepressants,Miscellaneous,THP,BUPROPION,*,,,,, 1569,Antidepressants,Miscellaneous,THP,BUPROPION SR,*,,,,, 1570,Antidepressants,Miscellaneous,THP,BUPROPION SR [Wellbutrin SR],,,,,ST>=19 yrs old, 1571,Antidepressants,Miscellaneous,THP,BUPROPION XL,*,,,,, 1572,Antidepressants,Miscellaneous,THP,BUPROPION XL [Wellbutrin XL],,,,,ST>=19 yrs old, 1573,Antidepressants,Miscellaneous,THP,CLOMIPRAMINE,,,,,, 1574,Antidepressants,Miscellaneous,THP,DESIPRAMINE,,,,,, 1575,Antidepressants,Miscellaneous,THP,DESVENLAFAXINE [Pristiq],*,,,,ST>=19 yrs old, 1576,Antidepressants,Miscellaneous,THP,DOXEPIN,,,,,, 1577,Antidepressants,Miscellaneous,THP,DULOXETINE [Cymbalta],,,DL,,ST>=19 yrs old, 1578,Antidepressants,Miscellaneous,THP,FLOVOXAMINE CR [Luvox CR],,,,,,NC 1579,Antidepressants,Miscellaneous,THP,IMIPRAMINE HYDROCHLORIDE,,,,,, 1580,Antidepressants,Miscellaneous,THP,IMIPRAMINE PAMOATE,,,,,, 1581,Antidepressants,Miscellaneous,THP,IMIPRAMINE PAMOATE [Tofranil PM],,,,,, 1582,Antidepressants,Miscellaneous,THP,MAPROTILINE,,,,,, 1583,Antidepressants,Miscellaneous,THP,MIRTAZAPINE,*,,,,, 1584,Antidepressants,Miscellaneous,THP,MIRTAZAPINE orally disintegrating tablets,,,,,, 1585,Antidepressants,Miscellaneous,THP,NEFAZODONE,,,,,, 1586,Antidepressants,Miscellaneous,THP,NORTRIPTYLINE,,,,,, 1587,Antidepressants,Miscellaneous,THP,PHENELZINE [Nardil],,,,,, 1588,Antidepressants,Miscellaneous,THP,PROTRIPTYLINE,,,,,, 1589,Antidepressants,Miscellaneous,THP,PROTRIPTYLINE [Vivactil],,,,,, 1590,Antidepressants,Miscellaneous,THP,SELEGILINE transdermal [Emsam],,,,,ST>=19 yrs old, 1591,Antidepressants,Miscellaneous,THP,TRANYLCYPROMINE ,,,,,, 1592,Antidepressants,Miscellaneous,THP,TRANYLCYPROMINE [Parnate],,,,,, 1593,Antidepressants,Miscellaneous,THP,TRAZODONE,,,,,, 1594,Antidepressants,Miscellaneous,THP,TRIMIPRAMINE,,,,,, 1595,Antidepressants,Miscellaneous,THP,TRIMIPRAMINE [Surmontil],,,,,, 1596,Antidepressants,Miscellaneous,THP,VENLAFAXINE,*,,,,, 1597,Antidepressants,Miscellaneous,THP,VENLAFAXINE [Effexor],,,,,ST>=19 yrs old, 1598,Antidepressants,Miscellaneous,THP,VENLAFAXINE ER tablets,,,,,ST>=19 yrs old, 1599,Antihistamines,Miscellaneous,THP,VENLAFAXINE ER capsules [Effexor XR],,,,,ST>=19 yrs old, 1600,Anticonvulsants,Anticonvulsants,AETNA,Mephobarbital [Mebaral],,,,,, 1601,Antidepressants,SSRI,AETNA,CITALOPRAM,*,,DL,,, 1602,Antidepressants,SSRI,AETNA,ESCITALOPRAM [Lexapro],,FE,DL,,ST, 1603,Antidepressants,SSRI,AETNA,FLUOXETINE [Sarafem],,,DL,,, 1604,Antidepressants,SSRI,AETNA,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],*,,DL,,, 1605,Antidepressants,SSRI,AETNA,FLUOXETINE [20mg tablet, 40mg capsule],*,,DL,,, 1606,Antidepressants,SSRI,AETNA,FLUOXETINE [Prozac weekly],,FE,DL,,ST, 1607,Antidepressants,SSRI,AETNA,FLUVOXAMINE,*,,DL,,, 1608,Antidepressants,SSRI,AETNA,FLUVOXAMINE [Luvox CR],,,DL,,ST, 1609,Antidepressants,SSRI,AETNA,PAROXETINE,*,,DL,,, 1610,Antidepressants,SSRI,AETNA,PAROXETINE [Paxil CR],,FE,DL,,ST, 1611,Antidepressants,SSRI,AETNA,PAROXETINE [Pexeva],,FE,DL,,ST, 1612,Antidepressants,SSRI,AETNA,PAROXETINE CR,,,DL,,ST, 1613,Antidepressants,SSRI,AETNA,SERTRALINE,*,,DL,,, 1614,Antidepressants,SSRI,AETNA,SERTRALINE [Zoloft] ,,FE,DL,,ST, 1615,Antidepressants,SSRI,BCBSMA,CITALOPRAM,*,,DL,,, 1616,Antidepressants,SSRI,BCBSMA,ESCITALOPRAM [Lexapro],,,DL,,ST, 1617,Antidepressants,SSRI,BCBSMA,FLUOXETINE [Sarafem],,,DL,,ST,NC 1618,Antidepressants,SSRI,BCBSMA,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],*,,DL,,, 1619,Antidepressants,SSRI,BCBSMA,FLUOXETINE [20mg tablet, 40mg capsule],*,,DL,,, 1620,Antidepressants,SSRI,BCBSMA,FLUOXETINE [Prozac weekly],,,DL,,ST,NC 1621,Antidepressants,SSRI,BCBSMA,FLUVOXAMINE,*,,DL,,, 1622,Antidepressants,SSRI,BCBSMA,PAROXETINE,*,,DL,,, 1623,Antidepressants,SSRI,BCBSMA,PAROXETINE [Paxil CR],,,DL,,ST,NC 1624,Antidepressants,SSRI,BCBSMA,PAROXETINE [Pexeva],,,DL,,ST,NC 1625,Antidepressants,SSRI,BCBSMA,PAROXETINE CR,*,,DL,,, 1626,Antidepressants,SSRI,BCBSMA,SERTRALINE,*,,DL,,, 1627,Antidepressants,SSRI,BCBSMA,SERTRALINE [Zoloft] ,,,DL,,ST, 1628,Antidepressants,SSRI,BMCHP,CITALOPRAM,,,DL,,, 1629,Antidepressants,SSRI,BMCHP,ESCITALOPRAM [Lexapro],,,DL,,ST, 1630,Antidepressants,SSRI,BMCHP,FLUOXETINE [Sarafem],,,DL,,ST, 1631,Antidepressants,SSRI,BMCHP,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,DL,,, 1632,Antidepressants,SSRI,BMCHP,FLUOXETINE [20mg tablet, 40mg capsule],,,DL,,, 1633,Antidepressants,SSRI,BMCHP,FLUOXETINE [Prozac weekly],,,DL,PA,, 1634,Antidepressants,SSRI,BMCHP,FLUVOXAMINE,,,DL,,, 1635,Antidepressants,SSRI,BMCHP,FLUVOXAMINE [Luvox CR],,,DL,PA,, 1636,Antidepressants,SSRI,BMCHP,PAROXETINE,,,DL,,, 1637,Antidepressants,SSRI,BMCHP,PAROXETINE [Paxil CR],,,DL,,, 1638,Antidepressants,SSRI,BMCHP,PAROXETINE [Pexeva],,,DL,,ST, 1639,Antidepressants,SSRI,BMCHP,PAROXETINE CR,,,,,, 1640,Antidepressants,SSRI,BMCHP,SERTRALINE,,,DL,,, 1641,Antidepressants,SSRI,FCHP,CITALOPRAM,,,,,, 1642,Antidepressants,SSRI,FCHP,ESCITALOPRAM [Lexapro],,,DL,,ST, 1643,Antidepressants,SSRI,FCHP,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,,,, 1644,Antidepressants,SSRI,FCHP,FLUOXETINE [20mg tablet, 40mg capsule],,,,,, 1645,Antidepressants,SSRI,FCHP,FLUVOXAMINE,,,,,, 1646,Antidepressants,SSRI,FCHP,PAROXETINE,,,,,, 1647,Antidepressants,SSRI,FCHP,PAROXETINE [Paxil CR],,,,,, 1648,Antidepressants,SSRI,FCHP,PAROXETINE [Pexeva],,,,,ST, 1649,Antidepressants,SSRI,FCHP,SERTRALINE,,,,,, 1650,Antidepressants,SSRI,FCHP,SERTRALINE [Zoloft] ,,,DL,,ST, 1651,Antidepressants,SSRI,HPHC,CITALOPRAM,,,,,, 1652,Antidepressants,SSRI,HPHC,ESCITALOPRAM [Lexapro],,,,,ST>=18 yrs old, 1653,Antidepressants,SSRI,HPHC,FLUOXETINE [Sarafem],,,,,ST>=18 yrs old, 1654,Antidepressants,SSRI,HPHC,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,,,, 1655,Antidepressants,SSRI,HPHC,FLUOXETINE [20mg tablet, 40mg capsule],,,,,, 1656,Antidepressants,SSRI,HPHC,FLUOXETINE [Prozac weekly],,,,,ST>=18 yrs old, 1657,Antidepressants,SSRI,HPHC,FLUVOXAMINE,,,,,, 1658,Antidepressants,SSRI,HPHC,FLUVOXAMINE [Luvox CR],,,,,ST>=18 yrs old, 1659,Antidepressants,SSRI,HPHC,PAROXETINE,,,,,, 1660,Antidepressants,SSRI,HPHC,PAROXETINE [Paxil CR],,,,,ST>=18 yrs old, 1661,Antidepressants,SSRI,HPHC,PAROXETINE [Pexeva],,,,,ST>=18 yrs old, 1662,Antidepressants,SSRI,HPHC,PAROXETINE CR,,,,,, 1663,Antidepressants,SSRI,HPHC,SERTRALINE,,,,,, 1664,Antidepressants,SSRI,HPHC,SERTRALINE [Zoloft] ,,,,,ST>=18 yrs old, 1665,Antidepressants,SSRI,HNE,CITALOPRAM,,,DL,,, 1666,Antidepressants,SSRI,HNE,ESCITALOPRAM [Lexapro],,,DL,,ST, 1667,Antidepressants,SSRI,HNE,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,DL,,, 1668,Antidepressants,SSRI,HNE,FLUOXETINE [20mg tablet, 40mg capsule],,,DL,,, 1669,Antidepressants,SSRI,HNE,FLUVOXAMINE,,,DL,,, 1670,Antidepressants,SSRI,HNE,PAROXETINE,,,DL,,, 1671,Antidepressants,SSRI,HNE,SERTRALINE,,,DL,,, 1672,Antidepressants,SSRI,NHP,CITALOPRAM,,,DL,,, 1673,Antidepressants,SSRI,NHP,FLUOXETINE [Sarafem],,,,,,NC 1674,Antidepressants,SSRI,NHP,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,DL,,, 1675,Antidepressants,SSRI,NHP,FLUOXETINE [20mg tablet, 40mg capsule],,,,,,NC 1676,Antidepressants,SSRI,NHP,FLUOXETINE [Prozac weekly],,,,,,NC 1677,Antidepressants,SSRI,NHP,FLUVOXAMINE,,,DL,,ST, 1678,Antidepressants,SSRI,NHP,PAROXETINE,,,DL,,, 1679,Antidepressants,SSRI,NHP,PAROXETINE [Paxil CR],,,,,,NC 1680,Antidepressants,SSRI,NHP,PAROXETINE CR,,,,,, 1681,Antidepressants,SSRI,NHP,SERTRALINE,,,DL,,, 1682,Antidepressants,SSRI,NHP,SERTRALINE [Zoloft] ,,,,,,NC 1683,Antidepressants,SSRI,NTWK,CITALOPRAM,,,,,, 1684,Antidepressants,SSRI,NTWK,ESCITALOPRAM [Lexapro],,,,PA,, 1685,Antidepressants,SSRI,NTWK,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,,,, 1686,Antidepressants,SSRI,NTWK,FLUOXETINE [20mg tablet, 40mg capsule],40 mg capsule requires PA,,,,, 1687,Antidepressants,SSRI,NTWK,FLUVOXAMINE,,,,,, 1688,Antidepressants,SSRI,NTWK,PAROXETINE,,,,,, 1689,Antidepressants,SSRI,NTWK,PAROXETINE [Paxil CR],,,,PA,, 1690,Antidepressants,SSRI,NTWK,SERTRALINE,,,,,, 1691,Antidepressants,SSRI,MAHLTH,CITALOPRAM,,,,,, 1692,Antidepressants,SSRI,MAHLTH,ESCITALOPRAM [Lexapro],,,,PA,, 1693,Antidepressants,SSRI,MAHLTH,FLUOXETINE [Sarafem],,,,PA,, 1694,Antidepressants,SSRI,MAHLTH,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],,,,,, 1695,Antidepressants,SSRI,MAHLTH,FLUOXETINE [20mg tablet, 40mg capsule],,,,PA,, 1696,Antidepressants,SSRI,MAHLTH,FLUOXETINE [Prozac weekly],,,,PA,, 1697,Antidepressants,SSRI,MAHLTH,FLUVOXAMINE,,,,,, 1698,Antidepressants,SSRI,MAHLTH,FLUVOXAMINE [Luvox CR],,,,PA,, 1699,Antidepressants,SSRI,MAHLTH,PAROXETINE,,,,,, 1700,Antidepressants,SSRI,MAHLTH,PAROXETINE [Paxil CR],,,,PA,, 1701,Antidepressants,SSRI,MAHLTH,PAROXETINE [Pexeva],,,,PA,, 1702,Antidepressants,SSRI,MAHLTH,PAROXETINE CR,,,,PA,, 1703,Antidepressants,SSRI,MAHLTH,SERTRALINE,,,,,, 1704,Antidepressants,SSRI,MAHLTH,SERTRALINE [Zoloft] ,,,,PA,, 1705,Antidepressants,SSRI,THP,CITALOPRAM,*,,,,, 1706,Antidepressants,SSRI,THP,ESCITALOPRAM [Lexapro],,,,,ST>=18 yrs old, 1707,Antidepressants,SSRI,THP,FLUOXETINE [Sarafem],,,,,ST>=18 yrs old, 1708,Antidepressants,SSRI,THP,FLUOXETINE [10mg tablet, 10mg capsule, 20mg capsule, solution],*,,,,, 1709,Antidepressants,SSRI,THP,FLUOXETINE [20mg tablet, 40mg capsule],*,,,,, 1710,Antidepressants,SSRI,THP,FLUOXETINE [Prozac weekly],,,,,ST>=18 yrs old, 1711,Antidepressants,SSRI,THP,FLUVOXAMINE,,,,,, 1712,Antidepressants,SSRI,THP,FLUVOXAMINE [Luvox CR],,,,,,NC 1713,Antidepressants,SSRI,THP,PAROXETINE,*,,,,, 1714,Antidepressants,SSRI,THP,PAROXETINE [Paxil CR],,,,,ST>=18 yrs old, 1715,Antidepressants,SSRI,THP,PAROXETINE [Pexeva],,,,,ST>=18 yrs old, 1716,Antidepressants,SSRI,THP,PAROXETINE CR,,,,,, 1717,Antidepressants,SSRI,THP,SERTRALINE,*,,,,, 1718,Antidepressants,SSRI,THP,SERTRALINE [Zoloft] ,,,,,ST>=18 yrs old, 1719,Antihistamines,Non-Sedating/Low-Sedating,AETNA,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,FE,DL,PA,, 1720,Antihistamines,Non-Sedating/Low-Sedating,AETNA,AZELASTINE [Astelin],*,,,,, 1721,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CETIRIZINE (OTC),,,,,,NC 1722,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CETIRIZINE [Zyrtec] (OTC),,,,,,NC 1723,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,,NC 1724,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,,NC 1725,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CLEMASTINE (Rx),*,,,,, 1726,Antihistamines,Non-Sedating/Low-Sedating,AETNA,CLEMASTINE [Tavist] (Rx),*,,,,, 1727,Antihistamines,Non-Sedating/Low-Sedating,AETNA,DESLORATADINE [CLARINEX],,FE,DL,PA,, 1728,Antihistamines,Non-Sedating/Low-Sedating,AETNA,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,FE,DL,PA,, 1729,Antihistamines,Non-Sedating/Low-Sedating,AETNA,FEXOFENADINE,,,,,, 1730,Antihistamines,Non-Sedating/Low-Sedating,AETNA,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,DL,PA,, 1731,Antihistamines,Non-Sedating/Low-Sedating,AETNA,LEVOCETIRIZINE [Xyzal],,FE,DL,PA,, 1732,Antihistamines,Non-Sedating/Low-Sedating,AETNA,LORATADINE (OTC),,,,,,NC 1733,Antihistamines,Non-Sedating/Low-Sedating,AETNA,LORATADINE orally disintegrating tablet (OTC),,,,,,NC 1734,Antihistamines,Non-Sedating/Low-Sedating,AETNA,LORATADINE/PSEUDOEPHEDRINE (OTC),,,,,,NC 1735,Antihistamines,non-Sedating/Low-Sedating,AETNA,OLOPATADINE [Patanase],,,,,, 1736,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1737,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,AZELASTINE [Astelin],*,,DL,,, 1738,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CETIRIZINE (OTC),,,,,,NC 1739,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CETIRIZINE [Zyrtec] (OTC),,,,,,NC 1740,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,,NC 1741,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,,NC 1742,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CLEMASTINE (Rx),,,,,,NC 1743,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,CLEMASTINE [Tavist] (Rx),,,,,,NC 1744,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,DESLORATADINE [CLARINEX],,,,,,NC 1745,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,,,NC 1746,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,FEXOFENADINE,,,,,,NC 1747,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,,,NC 1748,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,LEVOCETIRIZINE [Xyzal],,,,,,NC 1749,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,LORATADINE (OTC),,,,,,NC 1750,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,LORATADINE orally disintegrating tablet (OTC),,,,,,NC 1751,Antihistamines,Non-Sedating/Low-Sedating,BCBSMA,LORATADINE/PSEUDOEPHEDRINE (OTC),,,,,,NC 1752,Antihistamines,non-Sedating/Low-Sedating,BCBSMA,OLOPATADINE [Patanase],,,,,,NC 1753,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1754,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,AZELASTINE [Astelin],,,,,, 1755,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,CETIRIZINE (OTC),,,,,ST, 1756,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,ST=2 yrs old, 1757,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,ST , 1758,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,CLEMASTINE (Rx),,,,,, 1759,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,CLEMASTINE [Tavist] (Rx),,,,,, 1760,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,DESLORATADINE [CLARINEX],,,,,ST, 1761,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,,ST, 1762,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,FEXOFENADINE,,,,,ST, 1763,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,,ST, 1764,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,LEVOCETIRIZINE [Xyzal],,,,,ST, 1765,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,LORATADINE (OTC),*,,,,, 1766,Antihistamines,Non-Sedating/Low-Sedating,BMCHP,LORATADINE orally disintegrating tablet (OTC),*,,,,, 1767,Antihistamines,Non-Sedating/Low-Sedating,FCHP,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1768,Antihistamines,Non-Sedating/Low-Sedating,FCHP,AZELASTINE [Astelin],,,,,, 1769,Antihistamines,Non-Sedating/Low-Sedating,FCHP,CLEMASTINE (Rx),,,,,, 1770,Antihistamines,Non-Sedating/Low-Sedating,FCHP,FEXOFENADINE,,,DL,,, 1771,Antihistamines,Non-Sedating/Low-Sedating,HPHC,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1772,Antihistamines,Non-Sedating/Low-Sedating,HPHC,AZELASTINE [Astelin],,,,,, 1773,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CETIRIZINE (OTC),,,,,,NC 1774,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CETIRIZINE [Zyrtec] (OTC),,,,,,NC 1775,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,,NC 1776,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,,NC 1777,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CLEMASTINE (Rx),,,,,, 1778,Antihistamines,Non-Sedating/Low-Sedating,HPHC,CLEMASTINE [Tavist] (Rx),,,,,, 1779,Antihistamines,Non-Sedating/Low-Sedating,HPHC,DESLORATADINE [CLARINEX],,,,,, 1780,Antihistamines,Non-Sedating/Low-Sedating,HPHC,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,,, 1781,Antihistamines,Non-Sedating/Low-Sedating,HPHC,FEXOFENADINE,,,,,, 1782,Antihistamines,Non-Sedating/Low-Sedating,HPHC,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,,, 1783,Antihistamines,Non-Sedating/Low-Sedating,HPHC,LEVOCETIRIZINE [Xyzal],,,,,, 1784,Antihistamines,Non-Sedating/Low-Sedating,HPHC,LORATADINE (OTC),,,,,,NC 1785,Antihistamines,Non-Sedating/Low-Sedating,HPHC,LORATADINE orally disintegrating tablet (OTC),,,,,,NC 1786,Antihistamines,Non-Sedating/Low-Sedating,HPHC,LORATADINE/PSEUDOEPHEDRINE (OTC),,,,,,NC 1787,Antihistamines,non-Sedating/Low-Sedating,HPHC,OLOPATADINE [Patanase],,,,,, 1788,Antihistamines,Non-Sedating/Low-Sedating,HNE,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1789,Antihistamines,Non-Sedating/Low-Sedating,HNE,AZELASTINE [Astelin],,,,,, 1790,Antihistamines,Non-Sedating/Low-Sedating,HNE,CETIRIZINE (OTC),,,,,, 1791,Antihistamines,Non-Sedating/Low-Sedating,HNE,CETIRIZINE [Zyrtec] (OTC),,,,,, 1792,Antihistamines,Non-Sedating/Low-Sedating,HNE,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,, 1793,Antihistamines,Non-Sedating/Low-Sedating,HNE,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,, 1794,Antihistamines,Non-Sedating/Low-Sedating,HNE,CLEMASTINE (Rx),,,,,, 1795,Antihistamines,Non-Sedating/Low-Sedating,HNE,FEXOFENADINE,,,DL,,, 1796,Antihistamines,Non-Sedating/Low-Sedating,HNE,LORATADINE (OTC),,,,,, 1797,Antihistamines,Non-Sedating/Low-Sedating,HNE,LORATADINE orally disintegrating tablet (OTC),,,,,, 1798,Antihistamines,Non-Sedating/Low-Sedating,HNE,LORATADINE/PSEUDOEPHEDRINE (OTC),,,,,, 1799,Antihistamines,Non-Sedating/Low-Sedating,NHP,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1800,Antihistamines,Non-Sedating/Low-Sedating,NHP,AZELASTINE [Astelin],,,,,, 1801,Antihistamines,Non-Sedating/Low-Sedating,NHP,CETIRIZINE (OTC),,,DL,,, 1802,Antihistamines,Non-Sedating/Low-Sedating,NHP,CETIRIZINE [Zyrtec] (OTC),,,,,,NC 1803,Antihistamines,Non-Sedating/Low-Sedating,NHP,CETIRIZINE [Zyrtec Syrup] (OTC),,,DL,,ST, 1804,Antihistamines,Non-Sedating/Low-Sedating,NHP,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,DL,,, 1805,Antihistamines,Non-Sedating/Low-Sedating,NHP,CLEMASTINE (Rx),,,,,, 1806,Antihistamines,Non-Sedating/Low-Sedating,NHP,CLEMASTINE [Tavist] (Rx),,,,,,NC 1807,Antihistamines,Non-Sedating/Low-Sedating,NHP,FEXOFENADINE,,,DL,,ST, 1808,Antihistamines,Non-Sedating/Low-Sedating,NHP,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,DL,,ST, 1809,Antihistamines,Non-Sedating/Low-Sedating,NHP,LORATADINE (OTC),,,DL,,, 1810,Antihistamines,Non-Sedating/Low-Sedating,NHP,LORATADINE orally disintegrating tablet (OTC),,,DL,,, 1811,Antihistamines,Non-Sedating/Low-Sedating,NHP,LORATADINE/PSEUDOEPHEDRINE (OTC),,,DL,,, 1812,Antihistamines,Non-Sedating/Low-Sedating,NTWK,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,PA,, 1813,Antihistamines,Non-Sedating/Low-Sedating,NTWK,AZELASTINE [Astelin],,,,,, 1814,Antihistamines,Non-Sedating/Low-Sedating,NTWK,CETIRIZINE (OTC),,,,,, 1815,Antihistamines,Non-Sedating/Low-Sedating,NTWK,CETIRIZINE [Zyrtec] (OTC),,,,,, 1816,Antihistamines,Non-Sedating/Low-Sedating,NTWK,CETIRIZINE [Zyrtec Syrup] (OTC),,,,,, 1817,Antihistamines,Non-Sedating/Low-Sedating,NTWK,CETIRIZINE/PSEUDOEPHEDRINE [Zyrtec-D] (OTC),,,,,, 1818,Antihistamines,Non-Sedating/Low-Sedating,NTWK,CLEMASTINE (Rx),,,,,, 1819,Antihistamines,Non-Sedating/Low-Sedating,NTWK,DESLORATADINE [CLARINEX],,,,PA,, 1820,Antihistamines,Non-Sedating/Low-Sedating,NTWK,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,PA,, 1821,Antihistamines,Non-Sedating/Low-Sedating,NTWK,FEXOFENADINE,,,,PA,, 1822,Antihistamines,Non-Sedating/Low-Sedating,NTWK,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,PA,, 1823,Antihistamines,Non-Sedating/Low-Sedating,NTWK,LEVOCETIRIZINE [Xyzal],,,,PA,, 1824,Antihistamines,Non-Sedating/Low-Sedating,NTWK,LORATADINE (OTC),*,,,,, 1825,Antihistamines,Non-Sedating/Low-Sedating,NTWK,LORATADINE orally disintegrating tablet (OTC),,,,,, 1826,Antihistamines,Non-Sedating/Low-Sedating,NTWK,LORATADINE/PSEUDOEPHEDRINE (OTC),*,,,,, 1827,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,PA,, 1828,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,AZELASTINE [Astelin],,,,PA,, 1829,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,CETIRIZINE (OTC),,,,,, 1830,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,CLEMASTINE (Rx),,,,,, 1831,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,CLEMASTINE [Tavist] (Rx),,,,PA,, 1832,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,DESLORATADINE [CLARINEX],,,,PA,, 1833,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,PA,, 1834,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,FEXOFENADINE,,,,PA,, 1835,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,PA,, 1836,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,LEVOCETIRIZINE [Xyzal],,,,PA,, 1837,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,LORATADINE (OTC),,,,,, 1838,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,LORATADINE orally disintegrating tablet (OTC),,,,PA,, 1839,Antihistamines,Non-Sedating/Low-Sedating,MAHLTH,LORATADINE/PSEUDOEPHEDRINE (OTC),,,,,, 1840,Antihistamines,non-Sedating/Low-Sedating,MAHLTH,OLOPATADINE [Patanase],,,,PA,, 1841,Antihistamines,Non-Sedating/Low-Sedating,THP,ACRIVASTINE/PSEUDOEPHEDRINE [Semprex-D],,,,,, 1842,Antihistamines,Non-Sedating/Low-Sedating,THP,AZELASTINE [Astelin],*,,DL,,, 1843,Antihistamines,Non-Sedating/Low-Sedating,THP,CLEMASTINE (Rx),,,,,, 1844,Antihistamines,Non-Sedating/Low-Sedating,THP,CLEMASTINE [Tavist] (Rx),,,,,, 1845,Antihistamines,Non-Sedating/Low-Sedating,THP,DESLORATADINE [CLARINEX],,,,,,NC 1846,Antihistamines,Non-Sedating/Low-Sedating,THP,DESLORATADINE / PSEUDOPHEDRINE [Clarinex-D],,,,,,NC 1847,Antihistamines,Non-Sedating/Low-Sedating,THP,FEXOFENADINE,,,,,,NC 1848,Antihistamines,Non-Sedating/Low-Sedating,THP,FEXOFENADINE/PSEUDOEPHEDRINE [Allegra-D],,,,,,NC 1849,Antihistamines,Non-Sedating/Low-Sedating,THP,LEVOCETIRIZINE [Xyzal],,,,,,NC 1850,Antihistamines,Non-Sedating/Low-Sedating,THP,OLOPATADINE [Patanase],,,DL,,,NC 1851,Antihistamines,Sedating,AETNA,BROMPHENIRAMINE (OTC),,,,,,NC 1852,Antihistamines,Sedating,AETNA,BROMPHENIRAMINE (Rx),*,,,,, 1853,Antihistamines,Sedating,AETNA,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),*,,,,, 1854,Antihistamines,Sedating,AETNA,CARBINOXAMINE,*,,,,, 1855,Antihistamines,Sedating,AETNA,CHLORPHENIRAMINE ,*,,,,, 1856,Antihistamines,Sedating,AETNA,CHLORPHENIRAMINE (OTC),,,,,,NC 1857,Antihistamines,Sedating,AETNA,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),*,,,,, 1858,Antihistamines,Sedating,AETNA,CYPROHEPTADINE,*,,,,, 1859,Antihistamines,Sedating,AETNA,DEXCHLORPHENIRAMINE MALEATE,*,,,,, 1860,Antihistamines,Sedating,AETNA,DEXCHLORPHENIRAMINE MALEATE CR,*,,,,, 1861,Antihistamines,Sedating,AETNA,DIPHENHYDRAMINE (OTC),,,,,,NC 1862,Antihistamines,Sedating,AETNA,DIPHENHYDRAMINE (Rx),,,,,,NC 1863,Antihistamines,Sedating,AETNA,HYDROXYZINE,*,,,,, 1864,Antihistamines,Sedating,AETNA,HYDROXYZINE PAMOATE,*,,,,, 1865,Antihistamines,Sedating,AETNA,PROMETHAZINE,*,,,,, 1866,Antihistamines,Sedating,BCBSMA,BROMPHENIRAMINE (OTC),,,,,,NC 1867,Antihistamines,Sedating,BCBSMA,BROMPHENIRAMINE (Rx),,,,,,NC 1868,Antihistamines,Sedating,BCBSMA,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,,NC 1869,Antihistamines,Sedating,BCBSMA,CARBINOXAMINE,*,,,,, 1870,Antihistamines,Sedating,BCBSMA,CHLORPHENIRAMINE ,,,,,,NC 1871,Antihistamines,Sedating,BCBSMA,CHLORPHENIRAMINE (OTC),,,,,,NC 1872,Antihistamines,Sedating,BCBSMA,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,,NC 1873,Antihistamines,Sedating,BCBSMA,CYPROHEPTADINE,*,,,,, 1874,Antihistamines,Sedating,BCBSMA,DEXCHLORPHENIRAMINE MALEATE,*,,,,, 1875,Antihistamines,Sedating,BCBSMA,DEXCHLORPHENIRAMINE MALEATE CR,*,,,,, 1876,Antihistamines,Sedating,BCBSMA,DIPHENHYDRAMINE (OTC),,,,,,NC 1877,Antihistamines,Sedating,BCBSMA,DIPHENHYDRAMINE (Rx),,,,,,NC 1878,Antihistamines,Sedating,BCBSMA,HYDROXYZINE,*,,,,, 1879,Antihistamines,Sedating,BCBSMA,HYDROXYZINE PAMOATE,*,,,,, 1880,Antihistamines,Sedating,BCBSMA,PROMETHAZINE,*,,,,, 1881,Antihistamines,Sedating,BMCHP,BROMPHENIRAMINE (Rx),,,,,, 1882,Antihistamines,Sedating,BMCHP,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1883,Antihistamines,Sedating,BMCHP,CARBINOXAMINE,,,,,, 1884,Antihistamines,Sedating,BMCHP,CHLORPHENIRAMINE ,,,,,, 1885,Antihistamines,Sedating,BMCHP,CHLORPHENIRAMINE (OTC),,,,,, 1886,Antihistamines,Sedating,BMCHP,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1887,Antihistamines,Sedating,BMCHP,CYPROHEPTADINE,,,,,, 1888,Antihistamines,Sedating,BMCHP,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1889,Antihistamines,Sedating,BMCHP,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1890,Antihistamines,Sedating,BMCHP,DIPHENHYDRAMINE (OTC),,,,,, 1891,Antihistamines,Sedating,BMCHP,DIPHENHYDRAMINE (Rx),,,,,, 1892,Antihistamines,Sedating,BMCHP,HYDROXYZINE,,,,,, 1893,Antihistamines,Sedating,BMCHP,HYDROXYZINE PAMOATE,,,,,, 1894,Antihistamines,Sedating,BMCHP,PROMETHAZINE,,,,,, 1895,Antihistamines,Sedating,FCHP,BROMPHENIRAMINE (Rx),,,,,, 1896,Antihistamines,Sedating,FCHP,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1897,Antihistamines,Sedating,FCHP,CARBINOXAMINE,,,,,, 1898,Antihistamines,Sedating,FCHP,CHLORPHENIRAMINE ,,,,,, 1899,Antihistamines,Sedating,FCHP,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1900,Antihistamines,Sedating,FCHP,CYPROHEPTADINE,,,,,, 1901,Antihistamines,Sedating,FCHP,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1902,Antihistamines,Sedating,FCHP,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1903,Antihistamines,Sedating,FCHP,DIPHENHYDRAMINE (Rx),,,,,, 1904,Antihistamines,Sedating,FCHP,HYDROXYZINE,,,,,, 1905,Antihistamines,Sedating,FCHP,HYDROXYZINE PAMOATE,,,,,, 1906,Antihistamines,Sedating,FCHP,PROMETHAZINE,,,,,, 1907,Antihistamines,Sedating,HPHC,BROMPHENIRAMINE (OTC),,,,,,NC 1908,Antihistamines,Sedating,HPHC,BROMPHENIRAMINE (Rx),,,,,, 1909,Antihistamines,Sedating,HPHC,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1910,Antihistamines,Sedating,HPHC,CARBINOXAMINE,,,,,, 1911,Antihistamines,Sedating,HPHC,CHLORPHENIRAMINE ,,,,,, 1912,Antihistamines,Sedating,HPHC,CHLORPHENIRAMINE (OTC),,,,,,NC 1913,Antihistamines,Sedating,HPHC,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1914,Antihistamines,Sedating,HPHC,CYPROHEPTADINE,,,,,, 1915,Antihistamines,Sedating,HPHC,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1916,Antihistamines,Sedating,HPHC,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1917,Antihistamines,Sedating,HPHC,DIPHENHYDRAMINE (OTC),,,,,,NC 1918,Antihistamines,Sedating,HPHC,DIPHENHYDRAMINE (Rx),,,,,, 1919,Antihistamines,Sedating,HPHC,HYDROXYZINE,,,,,, 1920,Antihistamines,Sedating,HPHC,HYDROXYZINE PAMOATE,,,,,, 1921,Antihistamines,Sedating,HPHC,PROMETHAZINE,,,,,, 1922,Antihistamines,Sedating,HNE,BROMPHENIRAMINE (Rx),,,,,, 1923,Antihistamines,Sedating,HNE,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1924,Antihistamines,Sedating,HNE,CYPROHEPTADINE,,,,,, 1925,Antihistamines,Sedating,HNE,DIPHENHYDRAMINE (Rx),,,,,, 1926,Antihistamines,Sedating,HNE,HYDROXYZINE,,,,,, 1927,Antihistamines,Sedating,HNE,HYDROXYZINE PAMOATE,,,,,, 1928,Antihistamines,Sedating,HNE,PROMETHAZINE,,,,,, 1929,Antihistamines,Sedating,NHP,BROMPHENIRAMINE (Rx),,,,,, 1930,Antihistamines,Sedating,NHP,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1931,Antihistamines,Sedating,NHP,CARBINOXAMINE,,,,,, 1932,Antihistamines,Sedating,NHP,CHLORPHENIRAMINE ,,,,,, 1933,Antihistamines,Sedating,NHP,CHLORPHENIRAMINE (OTC),,,,,, 1934,Antihistamines,Sedating,NHP,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1935,Antihistamines,Sedating,NHP,CYPROHEPTADINE,,,,,, 1936,Antihistamines,Sedating,NHP,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1937,Antihistamines,Sedating,NHP,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1938,Antihistamines,Sedating,NHP,DIPHENHYDRAMINE (OTC),,,,,, 1939,Antihistamines,Sedating,NHP,DIPHENHYDRAMINE (Rx),,,,,, 1940,Antihistamines,Sedating,NHP,HYDROXYZINE,,,,,, 1941,Antihistamines,Sedating,NHP,HYDROXYZINE PAMOATE,,,,,, 1942,Antihistamines,Sedating,NHP,PROMETHAZINE,,,,,, 1943,Antihistamines,Sedating,NTWK,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1944,Antihistamines,Sedating,NTWK,CHLORPHENIRAMINE (OTC),,,,,, 1945,Antihistamines,Sedating,NTWK,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1946,Antihistamines,Sedating,NTWK,CYPROHEPTADINE,,,,,, 1947,Antihistamines,Sedating,NTWK,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1948,Antihistamines,Sedating,NTWK,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1949,Antihistamines,Sedating,NTWK,DIPHENHYDRAMINE (OTC),,,,,, 1950,Antihistamines,Sedating,NTWK,DIPHENHYDRAMINE (Rx),,,,,, 1951,Antihistamines,Sedating,NTWK,HYDROXYZINE,,,,,, 1952,Antihistamines,Sedating,NTWK,HYDROXYZINE PAMOATE,,,,,, 1953,Antihistamines,Sedating,NTWK,PROMETHAZINE,,,,,, 1954,Antihistamines,Sedating,MAHLTH,BROMPHENIRAMINE (OTC),,,,,, 1955,Antihistamines,Sedating,MAHLTH,BROMPHENIRAMINE (Rx),,,,,, 1956,Antihistamines,Sedating,MAHLTH,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1957,Antihistamines,Sedating,MAHLTH,CARBINOXAMINE,,,,PA,, 1958,Antihistamines,Sedating,MAHLTH,CHLORPHENIRAMINE ,,,,,, 1959,Antihistamines,Sedating,MAHLTH,CHLORPHENIRAMINE (OTC),,,,,, 1960,Antihistamines,Sedating,MAHLTH,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1961,Antihistamines,Sedating,MAHLTH,CYPROHEPTADINE,,,,,, 1962,Antihistamines,Sedating,MAHLTH,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1963,Antihistamines,Sedating,MAHLTH,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1964,Antihistamines,Sedating,MAHLTH,DIPHENHYDRAMINE (OTC),,,,,, 1965,Antihistamines,Sedating,MAHLTH,DIPHENHYDRAMINE (Rx),,,,,, 1966,Antihistamines,Sedating,MAHLTH,HYDROXYZINE,,,,,, 1967,Antihistamines,Sedating,MAHLTH,HYDROXYZINE PAMOATE,,,,,, 1968,Antihistamines,Sedating,MAHLTH,PROMETHAZINE,,,,,, 1969,Antihistamines,Sedating,THP,BROMPHENIRAMINE (Rx),,,,,, 1970,Antihistamines,Sedating,THP,BROMPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1971,Antihistamines,Sedating,THP,CARBINOXAMINE,,,,,, 1972,Antihistamines,Sedating,THP,CHLORPHENIRAMINE ,,,,,, 1973,Antihistamines,Sedating,THP,CHLORPHENIRAMINE/PSEUDOEPHEDRINE (Rx),,,,,, 1974,Antihistamines,Sedating,THP,CYPROHEPTADINE,,,,,, 1975,Antihistamines,Sedating,THP,DEXCHLORPHENIRAMINE MALEATE,,,,,, 1976,Antihistamines,Sedating,THP,DEXCHLORPHENIRAMINE MALEATE CR,,,,,, 1977,Antihistamines,Sedating,THP,DIPHENHYDRAMINE (Rx),,,,,, 1978,Antihistamines,Sedating,THP,HYDROXYZINE,,,,,, 1979,Antihistamines,Sedating,THP,HYDROXYZINE PAMOATE,,,,,, 1980,Antihistamines,Sedating,THP,PROMETHAZINE,,,,,, 1981,Antihypertensives,ACE Inhibitors,AETNA,BENAZEPRIL,*,,,,, 1982,Antihypertensives,ACE Inhibitors,AETNA,BENAZEPRIL/AMLODIPINE,*,,,,, 1983,Antihypertensives,ACE Inhibitors,AETNA,BENAZEPRIL/AMLODIPINE [Lotrel],,FE,,,ST, 1984,Antihypertensives,ACE Inhibitors,AETNA,BENAZEPRIL/HCTZ,*,,,,, 1985,Antihypertensives,ACE Inhibitors,AETNA,CAPTOPRIL.,*,,,,, 1986,Antihypertensives,ACE Inhibitors,AETNA,CAPTOPRIL/HCTZ,*,,,,, 1987,Antihypertensives,ACE Inhibitors,AETNA,ENALAPRIL,*,,,,, 1988,Antihypertensives,ACE Inhibitors,AETNA,ENALAPRIL/HCTZ,*,,,,, 1989,Antihypertensives,ACE Inhibitors,AETNA,FOSINOPRIL,*,,,,, 1990,Antihypertensives,ACE Inhibitors,AETNA,FOSINOPRIL/HCTZ,*,,,,, 1991,Antihypertensives,ACE Inhibitors,AETNA,LISINOPRIL,*,,,,, 1992,Antihypertensives,ACE Inhibitors,AETNA,LISINOPRIL/HCTZ,*,,,,, 1993,Antihypertensives,ACE Inhibitors,AETNA,MOEXIPRIL,*,,,,, 1994,Antihypertensives,ACE Inhibitors,AETNA,MOEXIPRIL/HCTZ,*,,,,, 1995,Antihypertensives,ACE Inhibitors,AETNA,PERINDOPRIL ERBUMINE [Aceon],,FE,,,, 1996,Antihypertensives,ACE Inhibitors,AETNA,QUINAPRIL,*,,,,, 1997,Antihypertensives,ACE Inhibitors,AETNA,QUINAPRIL/HCTZ,*,,,,, 1998,Antihypertensives,ACE Inhibitors,AETNA,RAMIPRIL ,*,,,,, 1999,Antihypertensives,ACE Inhibitors,AETNA,RAMIPRIL capsules [Altace],,FE,,,ST, 2000,Antihypertensives,ACE Inhibitors,AETNA,TRANDOLAPRIL,*,,,,, 2001,Antihypertensives,ACE Inhibitors,AETNA,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,FE,,,, 2002,Antihypertensives,ACE Inhibitors,BCBSMA,BENAZEPRIL,*,,,,, 2003,Antihypertensives,ACE Inhibitors,BCBSMA,BENAZEPRIL/AMLODIPINE,*,,,,, 2004,Antihypertensives,ACE Inhibitors,BCBSMA,BENAZEPRIL/AMLODIPINE [Lotrel],,,,,, 2005,Antihypertensives,ACE Inhibitors,BCBSMA,BENAZEPRIL/HCTZ,*,,,,, 2006,Antihypertensives,ACE Inhibitors,BCBSMA,CAPTOPRIL.,*,,,,, 2007,Antihypertensives,ACE Inhibitors,BCBSMA,CAPTOPRIL/HCTZ,*,,,,, 2008,Antihypertensives,ACE Inhibitors,BCBSMA,ENALAPRIL,*,,,,, 2009,Antihypertensives,ACE Inhibitors,BCBSMA,ENALAPRIL/HCTZ,*,,,,, 2010,Antihypertensives,ACE Inhibitors,BCBSMA,FOSINOPRIL,*,,,,, 2011,Antihypertensives,ACE Inhibitors,BCBSMA,FOSINOPRIL/HCTZ,*,,,,, 2012,Antihypertensives,ACE Inhibitors,BCBSMA,LISINOPRIL,*,,,,, 2013,Antihypertensives,ACE Inhibitors,BCBSMA,LISINOPRIL/HCTZ,*,,,,, 2014,Antihypertensives,ACE Inhibitors,BCBSMA,MOEXIPRIL,*,,,,, 2015,Antihypertensives,ACE Inhibitors,BCBSMA,MOEXIPRIL/HCTZ,*,,,,, 2016,Antihypertensives,ACE Inhibitors,BCBSMA,PERINDOPRIL ERBUMINE [Aceon],,,,,,NC 2017,Antihypertensives,ACE Inhibitors,BCBSMA,QUINAPRIL,*,,,,, 2018,Antihypertensives,ACE Inhibitors,BCBSMA,QUINAPRIL/HCTZ,*,,,,, 2019,Antihypertensives,ACE Inhibitors,BCBSMA,RAMIPRIL ,*,,,,, 2020,Antihypertensives,ACE Inhibitors,BCBSMA,RAMIPRIL capsules [Altace],,,,,,NC 2021,Antihypertensives,ACE Inhibitors,BCBSMA,TRANDOLAPRIL,*,,,,, 2022,Antihypertensives,ACE Inhibitors,BCBSMA,TRANDOLAPRIL/VERAPAMIL [Tarka] ,*,,,,, 2023,Antihypertensives,ACE Inhibitors,BMCHP,BENAZEPRIL,,,,,, 2024,Antihypertensives,ACE Inhibitors,BMCHP,BENAZEPRIL/AMLODIPINE,,,,,, 2025,Antihypertensives,ACE Inhibitors,BMCHP,BENAZEPRIL/HCTZ,,,,,, 2026,Antihypertensives,ACE Inhibitors,BMCHP,CAPTOPRIL.,,,,,, 2027,Antihypertensives,ACE Inhibitors,BMCHP,CAPTOPRIL/HCTZ,,,,,, 2028,Antihypertensives,ACE Inhibitors,BMCHP,ENALAPRIL,,,,,, 2029,Antihypertensives,ACE Inhibitors,BMCHP,ENALAPRIL/HCTZ,,,,,, 2030,Antihypertensives,ACE Inhibitors,BMCHP,FOSINOPRIL,,,,,, 2031,Antihypertensives,ACE Inhibitors,BMCHP,FOSINOPRIL/HCTZ,,,,,, 2032,Antihypertensives,ACE Inhibitors,BMCHP,LISINOPRIL,,,,,, 2033,Antihypertensives,ACE Inhibitors,BMCHP,LISINOPRIL/HCTZ,,,,,, 2034,Antihypertensives,ACE Inhibitors,BMCHP,MOEXIPRIL,,,,,, 2035,Antihypertensives,ACE Inhibitors,BMCHP,MOEXIPRIL/HCTZ,,,,,, 2036,Antihypertensives,ACE Inhibitors,BMCHP,PERINDOPRIL ERBUMINE [Aceon],,,,,, 2037,Antihypertensives,ACE Inhibitors,BMCHP,QUINAPRIL,,,,,, 2038,Antihypertensives,ACE Inhibitors,BMCHP,QUINAPRIL/HCTZ,,,,,, 2039,Antihypertensives,ACE Inhibitors,BMCHP,RAMIPRIL ,,,,,, 2040,Antihypertensives,ACE Inhibitors,BMCHP,RAMIPRIL capsules [Altace],,,,,, 2041,Antihypertensives,ACE Inhibitors,BMCHP,TRANDOLAPRIL,,,,,, 2042,Antihypertensives,ACE Inhibitors,BMCHP,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,,,,, 2043,Antihypertensives,ACE Inhibitors,FCHP,BENAZEPRIL,,,,,, 2044,Antihypertensives,ACE Inhibitors,FCHP,BENAZEPRIL/AMLODIPINE,,,,,, 2045,Antihypertensives,ACE Inhibitors,FCHP,BENAZEPRIL/HCTZ,,,,,, 2046,Antihypertensives,ACE Inhibitors,FCHP,CAPTOPRIL.,,,,,, 2047,Antihypertensives,ACE Inhibitors,FCHP,CAPTOPRIL/HCTZ,,,,,, 2048,Antihypertensives,ACE Inhibitors,FCHP,ENALAPRIL,,,,,, 2049,Antihypertensives,ACE Inhibitors,FCHP,ENALAPRIL/HCTZ,,,,,, 2050,Antihypertensives,ACE Inhibitors,FCHP,FOSINOPRIL,,,,,, 2051,Antihypertensives,ACE Inhibitors,FCHP,FOSINOPRIL/HCTZ,,,,,, 2052,Antihypertensives,ACE Inhibitors,FCHP,LISINOPRIL,,,,,, 2053,Antihypertensives,ACE Inhibitors,FCHP,LISINOPRIL/HCTZ,,,,,, 2054,Antihypertensives,ACE Inhibitors,FCHP,MOEXIPRIL,,,,,, 2055,Antihypertensives,ACE Inhibitors,FCHP,MOEXIPRIL/HCTZ,,,,,, 2056,Antihypertensives,ACE Inhibitors,FCHP,QUINAPRIL,,,,,, 2057,Antihypertensives,ACE Inhibitors,FCHP,QUINAPRIL/HCTZ,,,,,, 2058,Antihypertensives,ACE Inhibitors,FCHP,RAMIPRIL ,,,,,, 2059,Antihypertensives,ACE Inhibitors,FCHP,TRANDOLAPRIL,,,,,, 2060,Antihypertensives,ACE Inhibitors,HPHC,BENAZEPRIL,,,,,, 2061,Antihypertensives,ACE Inhibitors,HPHC,BENAZEPRIL/AMLODIPINE,,,,,, 2062,Antihypertensives,ACE Inhibitors,HPHC,BENAZEPRIL/AMLODIPINE [Lotrel],,,,,, 2063,Antihypertensives,ACE Inhibitors,HPHC,BENAZEPRIL/HCTZ,,,,,, 2064,Antihypertensives,ACE Inhibitors,HPHC,CAPTOPRIL.,,,,,, 2065,Antihypertensives,ACE Inhibitors,HPHC,CAPTOPRIL/HCTZ,,,,,, 2066,Antihypertensives,ACE Inhibitors,HPHC,ENALAPRIL,,,,,, 2067,Antihypertensives,ACE Inhibitors,HPHC,ENALAPRIL/HCTZ,,,,,, 2068,Antihypertensives,ACE Inhibitors,HPHC,FOSINOPRIL,,,,,, 2069,Antihypertensives,ACE Inhibitors,HPHC,FOSINOPRIL/HCTZ,,,,,, 2070,Antihypertensives,ACE Inhibitors,HPHC,LISINOPRIL,,,,,, 2071,Antihypertensives,ACE Inhibitors,HPHC,LISINOPRIL/HCTZ,,,,,, 2072,Antihypertensives,ACE Inhibitors,HPHC,MOEXIPRIL,,,,,, 2073,Antihypertensives,ACE Inhibitors,HPHC,MOEXIPRIL/HCTZ,,,,,, 2074,Antihypertensives,ACE Inhibitors,HPHC,PERINDOPRIL ERBUMINE [Aceon],,,,,, 2075,Antihypertensives,ACE Inhibitors,HPHC,QUINAPRIL,,,,,, 2076,Antihypertensives,ACE Inhibitors,HPHC,QUINAPRIL/HCTZ,,,,,, 2077,Antihypertensives,ACE Inhibitors,HPHC,RAMIPRIL ,,,,,, 2078,Antihypertensives,ACE Inhibitors,HPHC,RAMIPRIL capsules [Altace],,,,,, 2079,Antihypertensives,ACE Inhibitors,HPHC,TRANDOLAPRIL,,,,,, 2080,Antihypertensives,ACE Inhibitors,HPHC,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,,,,, 2081,Antihypertensives,ACE Inhibitors,HNE,BENAZEPRIL,,,,,, 2082,Antihypertensives,ACE Inhibitors,HNE,BENAZEPRIL/AMLODIPINE,,,,,, 2083,Antihypertensives,ACE Inhibitors,HNE,BENAZEPRIL/HCTZ,,,,,, 2084,Antihypertensives,ACE Inhibitors,HNE,CAPTOPRIL.,,,,,, 2085,Antihypertensives,ACE Inhibitors,HNE,CAPTOPRIL/HCTZ,,,,,, 2086,Antihypertensives,ACE Inhibitors,HNE,ENALAPRIL,,,,,, 2087,Antihypertensives,ACE Inhibitors,HNE,ENALAPRIL/HCTZ,,,,,, 2088,Antihypertensives,ACE Inhibitors,HNE,FOSINOPRIL,,,,,, 2089,Antihypertensives,ACE Inhibitors,HNE,FOSINOPRIL/HCTZ,,,,,, 2090,Antihypertensives,ACE Inhibitors,HNE,LISINOPRIL,,,,,, 2091,Antihypertensives,ACE Inhibitors,HNE,LISINOPRIL/HCTZ,,,,,, 2092,Antihypertensives,ACE Inhibitors,HNE,MOEXIPRIL,,,,,, 2093,Antihypertensives,ACE Inhibitors,HNE,MOEXIPRIL/HCTZ,,,,,, 2094,Antihypertensives,ACE Inhibitors,HNE,QUINAPRIL,,,,,, 2095,Antihypertensives,ACE Inhibitors,HNE,QUINAPRIL/HCTZ,,,,,, 2096,Antihypertensives,ACE Inhibitors,HNE,RAMIPRIL ,,,,,, 2097,Antihypertensives,ACE Inhibitors,HNE,TRANDOLAPRIL,,,,,, 2098,Antihypertensives,ACE Inhibitors,NHP,BENAZEPRIL,,,,,, 2099,Antihypertensives,ACE Inhibitors,NHP,BENAZEPRIL/AMLODIPINE,,,,,, 2100,Antihypertensives,ACE Inhibitors,NHP,BENAZEPRIL/AMLODIPINE [Lotrel],,,,,, 2101,Antihypertensives,ACE Inhibitors,NHP,BENAZEPRIL/HCTZ,,,,,, 2102,Antihypertensives,ACE Inhibitors,NHP,CAPTOPRIL.,,,,,, 2103,Antihypertensives,ACE Inhibitors,NHP,CAPTOPRIL/HCTZ,,,,,, 2104,Antihypertensives,ACE Inhibitors,NHP,ENALAPRIL,,,,,, 2105,Antihypertensives,ACE Inhibitors,NHP,ENALAPRIL/HCTZ,,,,,, 2106,Antihypertensives,ACE Inhibitors,NHP,FOSINOPRIL,,,,,, 2107,Antihypertensives,ACE Inhibitors,NHP,FOSINOPRIL/HCTZ,,,,,, 2108,Antihypertensives,ACE Inhibitors,NHP,LISINOPRIL,,,,,, 2109,Antihypertensives,ACE Inhibitors,NHP,LISINOPRIL/HCTZ,,,,,, 2110,Antihypertensives,ACE Inhibitors,NHP,MOEXIPRIL,,,,,, 2111,Antihypertensives,ACE Inhibitors,NHP,MOEXIPRIL/HCTZ,,,,,, 2112,Antihypertensives,ACE Inhibitors,NHP,QUINAPRIL,,,,,, 2113,Antihypertensives,ACE Inhibitors,NHP,QUINAPRIL/HCTZ,,,,,, 2114,Antihypertensives,ACE Inhibitors,NHP,RAMIPRIL ,,,,,, 2115,Antihypertensives,ACE Inhibitors,NHP,RAMIPRIL capsules [Altace],,,,,,NC 2116,Antihypertensives,ACE Inhibitors,NHP,TRANDOLAPRIL,,,,,, 2117,Antihypertensives,ACE Inhibitors,NHP,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,,,,, 2118,Antihypertensives,ACE Inhibitors,NTWK,BENAZEPRIL,,,,,, 2119,Antihypertensives,ACE Inhibitors,NTWK,BENAZEPRIL/AMLODIPINE,,,DL,,, 2120,Antihypertensives,ACE Inhibitors,NTWK,BENAZEPRIL/HCTZ,,,,,, 2121,Antihypertensives,ACE Inhibitors,NTWK,CAPTOPRIL.,,,,,, 2122,Antihypertensives,ACE Inhibitors,NTWK,CAPTOPRIL/HCTZ,,,,,, 2123,Antihypertensives,ACE Inhibitors,NTWK,ENALAPRIL,,,,,, 2124,Antihypertensives,ACE Inhibitors,NTWK,ENALAPRIL/HCTZ,,,,,, 2125,Antihypertensives,ACE Inhibitors,NTWK,FOSINOPRIL,,,,,ST, 2126,Antihypertensives,ACE Inhibitors,NTWK,FOSINOPRIL/HCTZ,,,,,ST, 2127,Antihypertensives,ACE Inhibitors,NTWK,LISINOPRIL,,,,,, 2128,Antihypertensives,ACE Inhibitors,NTWK,LISINOPRIL/HCTZ,,,,,, 2129,Antihypertensives,ACE Inhibitors,NTWK,MOEXIPRIL,,,,,ST, 2130,Antihypertensives,ACE Inhibitors,NTWK,QUINAPRIL,,,,,ST, 2131,Antihypertensives,ACE Inhibitors,NTWK,QUINAPRIL/HCTZ,,,,,ST, 2132,Antihypertensives,ACE Inhibitors,NTWK,RAMIPRIL ,,,,,ST excludes Altace tabs, 2133,Antihypertensives,ACE Inhibitors,NTWK,TRANDOLAPRIL,,,,,ST, 2134,Antihypertensives,ACE Inhibitors,MAHLTH,BENAZEPRIL,,,,,, 2135,Antihypertensives,ACE Inhibitors,MAHLTH,BENAZEPRIL/AMLODIPINE,,,,PA,, 2136,Antihypertensives,ACE Inhibitors,MAHLTH,BENAZEPRIL/AMLODIPINE [Lotrel],,,,PA,, 2137,Antihypertensives,ACE Inhibitors,MAHLTH,BENAZEPRIL/HCTZ,,,,,, 2138,Antihypertensives,ACE Inhibitors,MAHLTH,CAPTOPRIL.,,,,,, 2139,Antihypertensives,ACE Inhibitors,MAHLTH,CAPTOPRIL/HCTZ,,,,,, 2140,Antihypertensives,ACE Inhibitors,MAHLTH,ENALAPRIL,,,,,, 2141,Antihypertensives,ACE Inhibitors,MAHLTH,ENALAPRIL/HCTZ,,,,,, 2142,Antihypertensives,ACE Inhibitors,MAHLTH,FOSINOPRIL,,,,,, 2143,Antihypertensives,ACE Inhibitors,MAHLTH,FOSINOPRIL/HCTZ,,,,,, 2144,Antihypertensives,ACE Inhibitors,MAHLTH,LISINOPRIL,,,,,, 2145,Antihypertensives,ACE Inhibitors,MAHLTH,LISINOPRIL/HCTZ,,,,,, 2146,Antihypertensives,ACE Inhibitors,MAHLTH,MOEXIPRIL,,,,,, 2147,Antihypertensives,ACE Inhibitors,MAHLTH,MOEXIPRIL/HCTZ,,,,,, 2148,Antihypertensives,ACE Inhibitors,MAHLTH,PERINDOPRIL ERBUMINE [Aceon],,,,PA,, 2149,Antihypertensives,ACE Inhibitors,MAHLTH,QUINAPRIL,,,,,, 2150,Antihypertensives,ACE Inhibitors,MAHLTH,QUINAPRIL/HCTZ,,,,,, 2151,Antihypertensives,ACE Inhibitors,MAHLTH,RAMIPRIL ,,,,PA,, 2152,Antihypertensives,ACE Inhibitors,MAHLTH,RAMIPRIL capsules [Altace],,,,PA,, 2153,Antihypertensives,ACE Inhibitors,MAHLTH,TRANDOLAPRIL,,,,,, 2154,Antihypertensives,ACE Inhibitors,MAHLTH,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,,,PA,, 2155,Antihypertensives,ACE Inhibitors,THP,BENAZEPRIL,,,,,, 2156,Antihypertensives,ACE Inhibitors,THP,BENAZEPRIL/AMLODIPINE,,,,,, 2157,Antihypertensives,ACE Inhibitors,THP,BENAZEPRIL/AMLODIPINE [Lotrel],,,,,, 2158,Antihypertensives,ACE Inhibitors,THP,BENAZEPRIL/HCTZ,,,,,, 2159,Antihypertensives,ACE Inhibitors,THP,CAPTOPRIL.,,,,,, 2160,Antihypertensives,ACE Inhibitors,THP,CAPTOPRIL/HCTZ,,,,,, 2161,Antihypertensives,ACE Inhibitors,THP,ENALAPRIL,,,,,, 2162,Antihypertensives,ACE Inhibitors,THP,ENALAPRIL/HCTZ,,,,,, 2163,Antihypertensives,ACE Inhibitors,THP,FOSINOPRIL,*,,,,, 2164,Antihypertensives,ACE Inhibitors,THP,FOSINOPRIL/HCTZ,*,,,,, 2165,Antihypertensives,ACE Inhibitors,THP,LISINOPRIL,*,,,,, 2166,Antihypertensives,ACE Inhibitors,THP,LISINOPRIL/HCTZ,*,,,,, 2167,Antihypertensives,ACE Inhibitors,THP,MOEXIPRIL,,,,,, 2168,Antihypertensives,ACE Inhibitors,THP,MOEXIPRIL/HCTZ,,,,,, 2169,Antihypertensives,ACE Inhibitors,THP,PERINDOPRIL ERBUMINE [Aceon],,,,,, 2170,Antihypertensives,ACE Inhibitors,THP,QUINAPRIL,*,,,,, 2171,Antihypertensives,ACE Inhibitors,THP,QUINAPRIL/HCTZ,*,,,,, 2172,Antihypertensives,ACE Inhibitors,THP,RAMIPRIL ,* excludes Altace tabs,,,,, 2173,Antihypertensives,ACE Inhibitors,THP,RAMIPRIL capsules [Altace],,,,,, 2174,Antihypertensives,ACE Inhibitors,THP,TRANDOLAPRIL,,,,,, 2175,Antihypertensives,ACE Inhibitors,THP,TRANDOLAPRIL/VERAPAMIL [Tarka] ,,,,,, 2176,Antihypertensives,Alpha Blockers,AETNA,DOXAZOSIN,*,,,,, 2177,Antihypertensives,Alpha Blockers,AETNA,DOXAZOSIN ER [Cardura XL],,,,,, 2178,Antihypertensives,Alpha Blockers,AETNA,PRAZOSIN,*,,,,, 2179,Antihypertensives,Alpha Blockers,AETNA,TERAZOSIN,*,,,,, 2180,Antihypertensives,Alpha Blockers,BCBSMA,DOXAZOSIN,*,,DL,,, 2181,Antihypertensives,Alpha Blockers,BCBSMA,DOXAZOSIN ER [Cardura XL],,,DL,,,NC 2182,Antihypertensives,Alpha Blockers,BCBSMA,PRAZOSIN,*,,,,, 2183,Antihypertensives,Alpha Blockers,BCBSMA,TERAZOSIN,*,,DL,,, 2184,Antihypertensives,Alpha Blockers,BMCHP,DOXAZOSIN,,,,,, 2185,Antihypertensives,Alpha Blockers,BMCHP,DOXAZOSIN ER [Cardura XL],,,,PA,, 2186,Antihypertensives,Alpha Blockers,BMCHP,PRAZOSIN,,,,,, 2187,Antihypertensives,Alpha Blockers,BMCHP,TERAZOSIN,,,,,, 2188,Antihypertensives,Alpha Blockers,FCHP,DOXAZOSIN,,,,,, 2189,Antihypertensives,Alpha Blockers,FCHP,PRAZOSIN,,,,,, 2190,Antihypertensives,Alpha Blockers,FCHP,TERAZOSIN,,,,,, 2191,Antihypertensives,Alpha Blockers,HPHC,DOXAZOSIN,,,,,, 2192,Antihypertensives,Alpha Blockers,HPHC,DOXAZOSIN ER [Cardura XL],,,,,, 2193,Antihypertensives,Alpha Blockers,HPHC,PRAZOSIN,,,,,, 2194,Antihypertensives,Alpha Blockers,HPHC,TERAZOSIN,,,,,, 2195,Antihypertensives,Alpha Blockers,HNE,DOXAZOSIN,,,DL,,, 2196,Antihypertensives,Alpha Blockers,HNE,PRAZOSIN,,,,,, 2197,Antihypertensives,Alpha Blockers,HNE,TERAZOSIN,,,DL,,, 2198,Antihypertensives,Alpha Blockers,NHP,DOXAZOSIN,,,,,, 2199,Antihypertensives,Alpha Blockers,NHP,DOXAZOSIN ER [Cardura XL],,,,,,NC 2200,Antihypertensives,Alpha Blockers,NHP,PRAZOSIN,,,,,, 2201,Antihypertensives,Alpha Blockers,NHP,TERAZOSIN,,,,,, 2202,Antihypertensives,Alpha Blockers,NTWK,DOXAZOSIN,,,,,, 2203,Antihypertensives,Alpha Blockers,NTWK,DOXAZOSIN ER [Cardura XL],,,,,, 2204,Antihypertensives,Alpha Blockers,NTWK,PRAZOSIN,,,,,, 2205,Antihypertensives,Alpha Blockers,NTWK,TERAZOSIN,,,,,, 2206,Antihypertensives,Alpha Blockers,MAHLTH,DOXAZOSIN,,,,,, 2207,Antihypertensives,Alpha Blockers,MAHLTH,DOXAZOSIN ER [Cardura XL],,,,PA,, 2208,Antihypertensives,Alpha Blockers,MAHLTH,PRAZOSIN,,,,,, 2209,Antihypertensives,Alpha Blockers,MAHLTH,TERAZOSIN,,,,,, 2210,Antihypertensives,Alpha Blockers,THP,DOXAZOSIN,*,,,,, 2211,Antihypertensives,Alpha Blockers,THP,DOXAZOSIN ER [Cardura XL],,,,,, 2212,Antihypertensives,Alpha Blockers,THP,PRAZOSIN,,,,,, 2213,Antihypertensives,Alpha Blockers,THP,TERAZOSIN,*,,,,, 2214,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,CANDESARTAN [Atacand],,FE,DL,,ST, 2215,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,CANDESARTAN/HCTZ [Atacand HCT],,FE,DL,,ST, 2216,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,EPROSARTAN [Teveten],,FE,DL,,, 2217,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,EPROSARTAN/HCTZ [Teveten HCT],,FE,,,, 2218,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,IRBESARTAN [Avapro],,FE,DL,,ST, 2219,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,IRBESARTAN/HCTZ [Avalide],,FE,DL,,ST, 2220,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,LOSARTAN [Cozaar],*,,DL,,, 2221,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,LOSARTAN/HCTZ [Hyzaar],*,,DL,,, 2222,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,OLMENSARTAN [Benicar],,FE,DL,,, 2223,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,OLMESARTAN/AMLODIPINE [Azor],,FE,DL,,, 2224,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,OLMENSARTAN/HCTZ [Benicar HCT],,FE,DL,,, 2225,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,TELMISARTAN [Micardis],,FE,DL,,, 2226,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,TELMISARTAN/HCTZ [Micardis HCT],,FE,DL,,, 2227,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,VALSARTAN [Diovan],*,,DL,,, 2228,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,VALSARTAN/AMLODIPINE [Exforge],*,,DL,,, 2229,Antihypertensives,Angiotensin II Receptor Blockers,AETNA,VALSARTAN/HCTZ.[Diovan HCT],*,,DL,,, 2230,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,CANDESARTAN [Atacand],,,,,ST,NC 2231,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,CANDESARTAN/HCTZ [Atacand HCT],,,,,ST,NC 2232,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,EPROSARTAN [Teveten],,,,,ST,NC 2233,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,EPROSARTAN/HCTZ [Teveten HCT],,,,,ST,NC 2234,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,IRBESARTAN [Avapro],*,,,,ST, 2235,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,IRBESARTAN/HCTZ [Avalide],*,,,,ST, 2236,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,LOSARTAN [Cozaar],,,,,ST,NC 2237,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,LOSARTAN/HCTZ [Hyzaar],,,,,ST,NC 2238,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,OLMENSARTAN [Benicar],*,,,,ST, 2239,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,OLMESARTAN/AMLODIPINE [Azor],,,,,ST, 2240,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,OLMENSARTAN/HCTZ [Benicar HCT],*,,,,ST, 2241,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,TELMISARTAN [Micardis],,,,,ST,NC 2242,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,TELMISARTAN/HCTZ [Micardis HCT],,,,,ST,NC 2243,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,VALSARTAN [Diovan],*,,,,ST, 2244,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,VALSARTAN/AMLODIPINE [Exforge],,,,,ST, 2245,Antihypertensives,Angiotensin II Receptor Blockers,BCBSMA,VALSARTAN/HCTZ.[Diovan HCT],*,,,,ST, 2246,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,CANDESARTAN [Atacand],,,,,, 2247,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,CANDESARTAN/HCTZ [Atacand HCT],,,,,, 2248,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,EPROSARTAN [Teveten],,,,,, 2249,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,EPROSARTAN/HCTZ [Teveten HCT],,,,,, 2250,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,IRBESARTAN [Avapro],,,,,, 2251,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,IRBESARTAN/HCTZ [Avalide],,,,,, 2252,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,LOSARTAN [Cozaar],,,,,, 2253,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,LOSARTAN/HCTZ [Hyzaar],,,,,, 2254,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,OLMENSARTAN [Benicar],,,,,, 2255,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,OLMESARTAN/AMLODIPINE [Azor],,,,,, 2256,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,OLMENSARTAN/HCTZ [Benicar HCT],,,,,, 2257,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,TELMISARTAN [Micardis],,,,,, 2258,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,TELMISARTAN/HCTZ [Micardis HCT],,,,,, 2259,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,VALSARTAN [Diovan],,,,,, 2260,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,VALSARTAN/AMLODIPINE [Exforge],,,,,, 2261,Antihypertensives,Angiotensin II Receptor Blockers,BMCHP,VALSARTAN/HCTZ.[Diovan HCT],,,,,, 2262,Antihypertensives,Angiotensin II Receptor Blockers,FCHP,OLMENSARTAN [Benicar],,,,,, 2263,Antihypertensives,Angiotensin II Receptor Blockers,FCHP,OLMENSARTAN/HCTZ [Benicar HCT],,,,,, 2264,Antihypertensives,Angiotensin II Receptor Blockers,FCHP,VALSARTAN [Diovan],,,,,, 2265,Antihypertensives,Angiotensin II Receptor Blockers,FCHP,VALSARTAN/HCTZ.[Diovan HCT],,,,,, 2266,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,CANDESARTAN [Atacand],,,,,, 2267,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,CANDESARTAN/HCTZ [Atacand HCT],,,,,, 2268,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,EPROSARTAN [Teveten],,,,,, 2269,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,EPROSARTAN/HCTZ [Teveten HCT],,,,,, 2270,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,IRBESARTAN [Avapro],,,,,, 2271,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,IRBESARTAN/HCTZ [Avalide],,,,,, 2272,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,LOSARTAN [Cozaar],,,,,, 2273,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,LOSARTAN/HCTZ [Hyzaar],,,,,, 2274,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,OLMENSARTAN [Benicar],,,,,, 2275,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,OLMESARTAN/AMLODIPINE [Azor],,,,,, 2276,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,OLMENSARTAN/HCTZ [Benicar HCT],,,,,, 2277,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,TELMISARTAN [Micardis],,,,,, 2278,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,TELMISARTAN/HCTZ [Micardis HCT],,,,,, 2279,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,VALSARTAN [Diovan],,,,,, 2280,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,VALSARTAN/AMLODIPINE [Exforge],,,,,, 2281,Antihypertensives,Angiotensin II Receptor Blockers,HPHC,VALSARTAN/HCTZ.[Diovan HCT],,,,,, 2282,Antihypertensives,Angiotensin II Receptor Blockers,HNE,IRBESARTAN [Avapro],,,,,ST, 2283,Antihypertensives,Angiotensin II Receptor Blockers,HNE,IRBESARTAN/HCTZ [Avalide],,,,,ST, 2284,Antihypertensives,Angiotensin II Receptor Blockers,HNE,VALSARTAN [Diovan],,,,,ST, 2285,Antihypertensives,Angiotensin II Receptor Blockers,HNE,VALSARTAN/HCTZ.[Diovan HCT],,,,,ST, 2286,Antihypertensives,Angiotensin II Receptor Blockers,NHP,IRBESARTAN [Avapro],,,,,ST, 2287,Antihypertensives,Angiotensin II Receptor Blockers,NHP,IRBESARTAN/HCTZ [Avalide],,,,,ST, 2288,Antihypertensives,Angiotensin II Receptor Blockers,NHP,OLMENSARTAN [Benicar],,,,,ST, 2289,Antihypertensives,Angiotensin II Receptor Blockers,NHP,OLMESARTAN/AMLODIPINE [Azor],,,,,,NC 2290,Antihypertensives,Angiotensin II Receptor Blockers,NHP,OLMENSARTAN/HCTZ [Benicar HCT],,,,,ST, 2291,Antihypertensives,Angiotensin II Receptor Blockers,NHP,VALSARTAN [Diovan],,,,,ST, 2292,Antihypertensives,Angiotensin II Receptor Blockers,NHP,VALSARTAN/AMLODIPINE [Exforge],,,,,,NC 2293,Antihypertensives,Angiotensin II Receptor Blockers,NHP,VALSARTAN/HCTZ.[Diovan HCT],,,,,ST, 2294,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,LOSARTAN [Cozaar],,,,,ST, 2295,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,LOSARTAN/HCTZ [Hyzaar],,,,,ST, 2296,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,OLMENSARTAN [Benicar],,,,,ST, 2297,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,OLMESARTAN/AMLODIPINE [Azor],,,,PA,, 2298,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,OLMENSARTAN/HCTZ [Benicar HCT],,,,,ST, 2299,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,VALSARTAN [Diovan],,,,,ST, 2300,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,VALSARTAN/AMLODIPINE [Exforge],,,,PA,, 2301,Antihypertensives,Angiotensin II Receptor Blockers,NTWK,VALSARTAN/HCTZ.[Diovan HCT],,,,,ST, 2302,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,CANDESARTAN [Atacand],,,,PA,, 2303,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,CANDESARTAN/HCTZ [Atacand HCT],,,,PA,, 2304,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,EPROSARTAN [Teveten],,,,PA,, 2305,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,EPROSARTAN/HCTZ [Teveten HCT],,,,PA,, 2306,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,IRBESARTAN [Avapro],,,,PA,, 2307,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,IRBESARTAN/HCTZ [Avalide],,,,PA,, 2308,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,LOSARTAN [Cozaar],,,,PA,, 2309,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,LOSARTAN/HCTZ [Hyzaar],,,,PA,, 2310,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,OLMENSARTAN [Benicar],,,,PA,, 2311,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,OLMESARTAN/AMLODIPINE [Azor],,,,PA,, 2312,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,OLMENSARTAN/HCTZ [Benicar HCT],,,,PA,, 2313,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,TELMISARTAN [Micardis],,,,PA,, 2314,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,TELMISARTAN/HCTZ [Micardis HCT],,,,PA,, 2315,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,VALSARTAN [Diovan],,,,PA,, 2316,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,VALSARTAN/AMLODIPINE [Exforge],,,,PA,, 2317,Antihypertensives,Angiotensin II Receptor Blockers,MAHLTH,VALSARTAN/HCTZ.[Diovan HCT],,,,PA,, 2318,Antihypertensives,Angiotensin II Receptor Blockers,THP,CANDESARTAN [Atacand],,,,,,NC 2319,Antihypertensives,Angiotensin II Receptor Blockers,THP,CANDESARTAN/HCTZ [Atacand HCT],,,,,,NC 2320,Antihypertensives,Angiotensin II Receptor Blockers,THP,EPROSARTAN [Teveten],,,,,,NC 2321,Antihypertensives,Angiotensin II Receptor Blockers,THP,EPROSARTAN/HCTZ [Teveten HCT],,,,,,NC 2322,Antihypertensives,Angiotensin II Receptor Blockers,THP,IRBESARTAN [Avapro],,,,,,NC 2323,Antihypertensives,Angiotensin II Receptor Blockers,THP,IRBESARTAN/HCTZ [Avalide],,,,,,NC 2324,Antihypertensives,Angiotensin II Receptor Blockers,THP,LOSARTAN [Cozaar],*,,,,, 2325,Antihypertensives,Angiotensin II Receptor Blockers,THP,LOSARTAN/HCTZ [Hyzaar],*,,,,, 2326,Antihypertensives,Angiotensin II Receptor Blockers,THP,OLMENSARTAN [Benicar],*,,,,, 2327,Antihypertensives,Angiotensin II Receptor Blockers,THP,OLMESARTAN/AMLODIPINE [Azor],,,,,, 2328,Antihypertensives,Angiotensin II Receptor Blockers,THP,OLMENSARTAN/HCTZ [Benicar HCT],*,,,,, 2329,Antihypertensives,Angiotensin II Receptor Blockers,THP,TELMISARTAN [Micardis],,,,,,NC 2330,Antihypertensives,Angiotensin II Receptor Blockers,THP,TELMISARTAN/HCTZ [Micardis HCT],,,,,,NC 2331,Antihypertensives,Angiotensin II Receptor Blockers,THP,VALSARTAN [Diovan],*,,,,, 2332,Antihypertensives,Angiotensin II Receptor Blockers,THP,VALSARTAN/AMLODIPINE [Exforge],,,,,, 2333,Antihypertensives,Angiotensin II Receptor Blockers,THP,VALSARTAN/HCTZ.[Diovan HCT],*,,,,, 2334,Antihypertensives,Beta Blockiers,AETNA,ACEBUTOLOL,*,,,,, 2335,Antihypertensives,Beta Blockiers,AETNA,ATENOLOL,*,,,,, 2336,Antihypertensives,Beta Blockiers,AETNA,ATENOLOL/CHLORTHALIDONE,*,,,,, 2337,Antihypertensives,Beta Blockiers,AETNA,BETAXOLOL.,*,,,,, 2338,Antihypertensives,Beta Blockiers,AETNA,BISOPROLOL,*,,,,, 2339,Antihypertensives,Beta Blockiers,AETNA,BISOPROLOL/HCTZ.,*,,,,, 2340,Antihypertensives,Beta Blockiers,AETNA,CARVEDILOL ,*,,,,, 2341,Antihypertensives,Beta Blockiers,AETNA,CARVEDILOL [Coreg],,,,,, 2342,Antihypertensives,Beta Blockiers,AETNA,CARVEDILOL [Coreg CR],*,,,,, 2343,Antihypertensives,Beta Blockiers,AETNA,LABETALOL ,*,,,,, 2344,Antihypertensives,Beta Blockiers,AETNA,METOPROLOL,*,,,,, 2345,Antihypertensives,Beta Blockiers,AETNA,METOPROLOL SUCCINATE ,,FE,,,, 2346,Antihypertensives,Beta Blockiers,AETNA,METOPROLOL SUCCINATE [Toprol XL],,FE,,,, 2347,Antihypertensives,Beta Blockiers,AETNA,METOPROLOL/HCTZ,*,,,,, 2348,Antihypertensives,Beta Blockiers,AETNA,NADOLOL,*,,,,, 2349,Antihypertensives,Beta Blockiers,AETNA,NADOLOL/BENDROFLUMETHIAZIDE,*,,,,, 2350,Antihypertensives,Beta Blockiers,AETNA,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,FE,,,, 2351,Antihypertensives,Beta Blockiers,AETNA,NEBIVOLOL [Bystolic],*,,,,, 2352,Antihypertensives,Beta Blockiers,AETNA,PENBUTOLOL.[Levatol],,FE,,,, 2353,Antihypertensives,Beta Blockiers,AETNA,PINDOLOL,*,,,,, 2354,Antihypertensives,Beta Blockiers,AETNA,PROPRANOLOL,*,,,,, 2355,Antihypertensives,Beta Blockiers,AETNA,PROPRANOLOL [Inderal LA],,,,,, 2356,Antihypertensives,Beta Blockiers,AETNA,PROPRANOLOL [Innopran XL],,,,,, 2357,Antihypertensives,Beta Blockiers,AETNA,PROPRANOLOL/HCTZ,*,,,,, 2358,Antihypertensives,Beta Blockiers,AETNA,PROPRANOLOL SA caps,*,,,,, 2359,Antihypertensives,Beta Blockiers,AETNA,SOTALOL ,*,,,,, 2360,Antihypertensives,Beta Blockiers,AETNA,SOTALOL AF,*,,,,, 2361,Antihypertensives,Beta Blockiers,AETNA,SOTOLOL AF [Betapace AF],,,,,, 2362,Antihypertensives,Beta Blockiers,AETNA,TIMOLOL ,*,,,,, 2363,Antihypertensives,Beta Blockiers,BCBSMA,ACEBUTOLOL,*,,,,, 2364,Antihypertensives,Beta Blockiers,BCBSMA,ATENOLOL,*,,,,, 2365,Antihypertensives,Beta Blockiers,BCBSMA,ATENOLOL/CHLORTHALIDONE,*,,,,, 2366,Antihypertensives,Beta Blockiers,BCBSMA,BETAXOLOL.,*,,,,, 2367,Antihypertensives,Beta Blockiers,BCBSMA,BISOPROLOL,*,,,,, 2368,Antihypertensives,Beta Blockiers,BCBSMA,BISOPROLOL/HCTZ.,*,,,,, 2369,Antihypertensives,Beta Blockiers,BCBSMA,CARVEDILOL ,*,,,,, 2370,Antihypertensives,Beta Blockiers,BCBSMA,CARVEDILOL [Coreg],,,,,, 2371,Antihypertensives,Beta Blockiers,BCBSMA,CARVEDILOL [Coreg CR],,,,,,NC 2372,Antihypertensives,Beta Blockiers,BCBSMA,LABETALOL ,*,,,,, 2373,Antihypertensives,Beta Blockiers,BCBSMA,METOPROLOL,*,,,,, 2374,Antihypertensives,Beta Blockiers,BCBSMA,METOPROLOL SUCCINATE ,*,,,,, 2375,Antihypertensives,Beta Blockiers,BCBSMA,METOPROLOL SUCCINATE [Toprol XL],,,,,, 2376,Antihypertensives,Beta Blockiers,BCBSMA,METOPROLOL/HCTZ,*,,,,, 2377,Antihypertensives,Beta Blockiers,BCBSMA,NADOLOL,*,,,,, 2378,Antihypertensives,Beta Blockiers,BCBSMA,NADOLOL/BENDROFLUMETHIAZIDE,*,,,,, 2379,Antihypertensives,Beta Blockiers,BCBSMA,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,,,,, 2380,Antihypertensives,Beta Blockiers,BCBSMA,NEBIVOLOL [Bystolic],,,,,,NC 2381,Antihypertensives,Beta Blockiers,BCBSMA,PENBUTOLOL.[Levatol],*,,,,, 2382,Antihypertensives,Beta Blockiers,BCBSMA,PINDOLOL,*,,,,, 2383,Antihypertensives,Beta Blockiers,BCBSMA,PROPRANOLOL,*,,,,, 2384,Antihypertensives,Beta Blockiers,BCBSMA,PROPRANOLOL [Inderal LA],*,,,,, 2385,Antihypertensives,Beta Blockiers,BCBSMA,PROPRANOLOL [Innopran XL],,,,,,NC 2386,Antihypertensives,Beta Blockiers,BCBSMA,PROPRANOLOL/HCTZ,*,,,,, 2387,Antihypertensives,Beta Blockiers,BCBSMA,PROPRANOLOL SA caps,*,,,,, 2388,Antihypertensives,Beta Blockiers,BCBSMA,SOTALOL ,*,,,,, 2389,Antihypertensives,Beta Blockiers,BCBSMA,SOTALOL AF,*,,,,, 2390,Antihypertensives,Beta Blockiers,BCBSMA,SOTOLOL AF [Betapace AF],,,,,, 2391,Antihypertensives,Beta Blockiers,BCBSMA,TIMOLOL ,*,,,,, 2392,Antihypertensives,Beta Blockiers,BMCHP,ACEBUTOLOL,,,,,, 2393,Antihypertensives,Beta Blockiers,BMCHP,ATENOLOL,,,,,, 2394,Antihypertensives,Beta Blockiers,BMCHP,ATENOLOL/CHLORTHALIDONE,,,,,, 2395,Antihypertensives,Beta Blockiers,BMCHP,BETAXOLOL.,,,,,, 2396,Antihypertensives,Beta Blockiers,BMCHP,BISOPROLOL,,,,,, 2397,Antihypertensives,Beta Blockiers,BMCHP,BISOPROLOL/HCTZ.,,,,,, 2398,Antihypertensives,Beta Blockiers,BMCHP,CARVEDILOL ,,,,,, 2399,Antihypertensives,Beta Blockiers,BMCHP,CARVEDILOL [Coreg CR],,,,PA,, 2400,Antihypertensives,Beta Blockiers,BMCHP,LABETALOL ,,,,,, 2401,Antihypertensives,Beta Blockiers,BMCHP,METOPROLOL,,,,,, 2402,Antihypertensives,Beta Blockiers,BMCHP,METOPROLOL SUCCINATE ,,,,,, 2403,Antihypertensives,Beta Blockiers,BMCHP,METOPROLOL/HCTZ,,,,,, 2404,Antihypertensives,Beta Blockiers,BMCHP,NADOLOL,,,,,, 2405,Antihypertensives,Beta Blockiers,BMCHP,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2406,Antihypertensives,Beta Blockiers,BMCHP,NEBIVOLOL [Bystolic],,,,,ST, 2407,Antihypertensives,Beta Blockiers,BMCHP,PENBUTOLOL.[Levatol],,,,,, 2408,Antihypertensives,Beta Blockiers,BMCHP,PINDOLOL,,,,,, 2409,Antihypertensives,Beta Blockiers,BMCHP,PROPRANOLOL,,,,,, 2410,Antihypertensives,Beta Blockiers,BMCHP,PROPRANOLOL [Innopran XL],,,,,, 2411,Antihypertensives,Beta Blockiers,BMCHP,PROPRANOLOL/HCTZ,,,,,, 2412,Antihypertensives,Beta Blockiers,BMCHP,PROPRANOLOL SA caps,,,,,, 2413,Antihypertensives,Beta Blockiers,BMCHP,SOTALOL ,,,,,, 2414,Antihypertensives,Beta Blockiers,BMCHP,SOTALOL AF,,,,,, 2415,Antihypertensives,Beta Blockiers,BMCHP,TIMOLOL ,,,,,, 2416,Antihypertensives,Beta Blockiers,FCHP,ACEBUTOLOL,,,,,, 2417,Antihypertensives,Beta Blockiers,FCHP,ATENOLOL,,,,,, 2418,Antihypertensives,Beta Blockiers,FCHP,ATENOLOL/CHLORTHALIDONE,,,,,, 2419,Antihypertensives,Beta Blockiers,FCHP,BETAXOLOL.,,,,,, 2420,Antihypertensives,Beta Blockiers,FCHP,BISOPROLOL,,,,,, 2421,Antihypertensives,Beta Blockiers,FCHP,BISOPROLOL/HCTZ.,,,,,, 2422,Antihypertensives,Beta Blockiers,FCHP,CARVEDILOL ,,,,,, 2423,Antihypertensives,Beta Blockiers,FCHP,CARVEDILOL [Coreg],,,,PA,, 2424,Antihypertensives,Beta Blockiers,FCHP,CARVEDILOL [Coreg CR],,,DL,,ST, 2425,Antihypertensives,Beta Blockiers,FCHP,LABETALOL ,,,,,, 2426,Antihypertensives,Beta Blockiers,FCHP,METOPROLOL,,,,,, 2427,Antihypertensives,Beta Blockiers,FCHP,METOPROLOL SUCCINATE ,,,,,, 2428,Antihypertensives,Beta Blockiers,FCHP,METOPROLOL SUCCINATE [Toprol XL],,,,,, 2429,Antihypertensives,Beta Blockiers,FCHP,METOPROLOL/HCTZ,,,,,, 2430,Antihypertensives,Beta Blockiers,FCHP,NADOLOL,,,,,, 2431,Antihypertensives,Beta Blockiers,FCHP,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2432,Antihypertensives,Beta Blockiers,FCHP,PINDOLOL,,,,,, 2433,Antihypertensives,Beta Blockiers,FCHP,PROPRANOLOL,,,,,, 2434,Antihypertensives,Beta Blockiers,FCHP,PROPRANOLOL [Inderal LA],,,,,, 2435,Antihypertensives,Beta Blockiers,FCHP,PROPRANOLOL/HCTZ,,,,,, 2436,Antihypertensives,Beta Blockiers,FCHP,PROPRANOLOL SA caps,,,,,, 2437,Antihypertensives,Beta Blockiers,FCHP,SOTALOL ,,,,,, 2438,Antihypertensives,Beta Blockiers,FCHP,SOTALOL AF,,,,PA,, 2439,Antihypertensives,Beta Blockiers,FCHP,TIMOLOL ,,,,,, 2440,Antihypertensives,Beta Blockiers,HPHC,ACEBUTOLOL,,,,,, 2441,Antihypertensives,Beta Blockiers,HPHC,ATENOLOL,,,,,, 2442,Antihypertensives,Beta Blockiers,HPHC,ATENOLOL/CHLORTHALIDONE,,,,,, 2443,Antihypertensives,Beta Blockiers,HPHC,BETAXOLOL.,,,,,, 2444,Antihypertensives,Beta Blockiers,HPHC,BISOPROLOL,,,,,, 2445,Antihypertensives,Beta Blockiers,HPHC,BISOPROLOL/HCTZ.,,,,,, 2446,Antihypertensives,Beta Blockiers,HPHC,CARVEDILOL ,,,,,, 2447,Antihypertensives,Beta Blockiers,HPHC,CARVEDILOL [Coreg],,,,,, 2448,Antihypertensives,Beta Blockiers,HPHC,CARVEDILOL [Coreg CR],,,,,, 2449,Antihypertensives,Beta Blockiers,HPHC,LABETALOL ,,,,,, 2450,Antihypertensives,Beta Blockiers,HPHC,METOPROLOL,,,,,, 2451,Antihypertensives,Beta Blockiers,HPHC,METOPROLOL SUCCINATE ,,,,,, 2452,Antihypertensives,Beta Blockiers,HPHC,METOPROLOL SUCCINATE [Toprol XL],,,,,, 2453,Antihypertensives,Beta Blockiers,HPHC,METOPROLOL/HCTZ,,,,,, 2454,Antihypertensives,Beta Blockiers,HPHC,NADOLOL,,,,,, 2455,Antihypertensives,Beta Blockiers,HPHC,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2456,Antihypertensives,Beta Blockiers,HPHC,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,,,,, 2457,Antihypertensives,Beta Blockiers,HPHC,NEBIVOLOL [Bystolic],,,,,, 2458,Antihypertensives,Beta Blockiers,HPHC,PENBUTOLOL.[Levatol],,,,,, 2459,Antihypertensives,Beta Blockiers,HPHC,PINDOLOL,,,,,, 2460,Antihypertensives,Beta Blockiers,HPHC,PROPRANOLOL,,,,,, 2461,Antihypertensives,Beta Blockiers,HPHC,PROPRANOLOL [Inderal LA],,,,,, 2462,Antihypertensives,Beta Blockiers,HPHC,PROPRANOLOL [Innopran XL],,,,,, 2463,Antihypertensives,Beta Blockiers,HPHC,PROPRANOLOL/HCTZ,,,,,, 2464,Antihypertensives,Beta Blockiers,HPHC,PROPRANOLOL SA caps,,,,,, 2465,Antihypertensives,Beta Blockiers,HPHC,SOTALOL ,,,,,, 2466,Antihypertensives,Beta Blockiers,HPHC,SOTALOL AF,,,,,, 2467,Antihypertensives,Beta Blockiers,HPHC,SOTOLOL AF [Betapace AF],,,,,, 2468,Antihypertensives,Beta Blockiers,HPHC,TIMOLOL ,,,,,, 2469,Antihypertensives,Beta Blockiers,HNE,ACEBUTOLOL,,,,,, 2470,Antihypertensives,Beta Blockiers,HNE,ATENOLOL,,,,,, 2471,Antihypertensives,Beta Blockiers,HNE,ATENOLOL/CHLORTHALIDONE,,,,,, 2472,Antihypertensives,Beta Blockiers,HNE,BETAXOLOL.,,,,,, 2473,Antihypertensives,Beta Blockiers,HNE,BISOPROLOL,,,,,, 2474,Antihypertensives,Beta Blockiers,HNE,BISOPROLOL/HCTZ.,,,,,, 2475,Antihypertensives,Beta Blockiers,HNE,CARVEDILOL ,,,,,, 2476,Antihypertensives,Beta Blockiers,HNE,LABETALOL ,,,,,, 2477,Antihypertensives,Beta Blockiers,HNE,METOPROLOL,,,,,, 2478,Antihypertensives,Beta Blockiers,HNE,METOPROLOL SUCCINATE ,,,,,, 2479,Antihypertensives,Beta Blockiers,HNE,METOPROLOL/HCTZ,,,,,, 2480,Antihypertensives,Beta Blockiers,HNE,NADOLOL,,,,,, 2481,Antihypertensives,Beta Blockiers,HNE,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2482,Antihypertensives,Beta Blockiers,HNE,PINDOLOL,,,,,, 2483,Antihypertensives,Beta Blockiers,HNE,PROPRANOLOL,,,,,, 2484,Antihypertensives,Beta Blockiers,HNE,PROPRANOLOL/HCTZ,,,,,, 2485,Antihypertensives,Beta Blockiers,HNE,PROPRANOLOL SA caps,,,,,, 2486,Antihypertensives,Beta Blockiers,HNE,SOTALOL ,,,,,, 2487,Antihypertensives,Beta Blockiers,HNE,SOTALOL AF,,,,,, 2488,Antihypertensives,Beta Blockiers,HNE,TIMOLOL ,,,,,, 2489,Antihypertensives,Beta Blockiers,NHP,ACEBUTOLOL,,,,,, 2490,Antihypertensives,Beta Blockiers,NHP,ATENOLOL,,,,,, 2491,Antihypertensives,Beta Blockiers,NHP,ATENOLOL/CHLORTHALIDONE,,,,,, 2492,Antihypertensives,Beta Blockiers,NHP,BETAXOLOL.,,,,,, 2493,Antihypertensives,Beta Blockiers,NHP,BISOPROLOL,,,,,, 2494,Antihypertensives,Beta Blockiers,NHP,BISOPROLOL/HCTZ.,,,,,, 2495,Antihypertensives,Beta Blockiers,NHP,CARVEDILOL ,,,,,, 2496,Antihypertensives,Beta Blockiers,NHP,CARVEDILOL [Coreg],,,,,,NC 2497,Antihypertensives,Beta Blockiers,NHP,CARVEDILOL [Coreg CR],,,,,, 2498,Antihypertensives,Beta Blockiers,NHP,LABETALOL ,,,,,, 2499,Antihypertensives,Beta Blockiers,NHP,METOPROLOL,,,,,, 2500,Antihypertensives,Beta Blockiers,NHP,METOPROLOL SUCCINATE ,,,,,, 2501,Antihypertensives,Beta Blockiers,NHP,METOPROLOL SUCCINATE [Toprol XL],,,,,,NC 2502,Antihypertensives,Beta Blockiers,NHP,METOPROLOL/HCTZ,,,,,, 2503,Antihypertensives,Beta Blockiers,NHP,NADOLOL,,,,,, 2504,Antihypertensives,Beta Blockiers,NHP,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2505,Antihypertensives,Beta Blockiers,NHP,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,,,,,NC 2506,Antihypertensives,Beta Blockiers,NHP,NEBIVOLOL [Bystolic],,,,,,NC 2507,Antihypertensives,Beta Blockiers,NHP,PINDOLOL,,,,,, 2508,Antihypertensives,Beta Blockiers,NHP,PROPRANOLOL,,,,,, 2509,Antihypertensives,Beta Blockiers,NHP,PROPRANOLOL [Inderal LA],,,,,,NC 2510,Antihypertensives,Beta Blockiers,NHP,PROPRANOLOL [Innopran XL],,,,,, 2511,Antihypertensives,Beta Blockiers,NHP,PROPRANOLOL/HCTZ,,,,,, 2512,Antihypertensives,Beta Blockiers,NHP,PROPRANOLOL SA caps,,,,,, 2513,Antihypertensives,Beta Blockiers,NHP,SOTALOL ,,,,,, 2514,Antihypertensives,Beta Blockiers,NHP,SOTALOL AF,,,,,, 2515,Antihypertensives,Beta Blockiers,NHP,SOTOLOL AF [Betapace AF],,,,,,NC 2516,Antihypertensives,Beta Blockiers,NHP,TIMOLOL ,,,,,, 2517,Antihypertensives,Beta Blockiers,NTWK,ACEBUTOLOL,,,,,, 2518,Antihypertensives,Beta Blockiers,NTWK,ATENOLOL,,,,,, 2519,Antihypertensives,Beta Blockiers,NTWK,ATENOLOL/CHLORTHALIDONE,,,,,, 2520,Antihypertensives,Beta Blockiers,NTWK,BETAXOLOL.,,,,,, 2521,Antihypertensives,Beta Blockiers,NTWK,BISOPROLOL,,,,,, 2522,Antihypertensives,Beta Blockiers,NTWK,BISOPROLOL/HCTZ.,,,,,, 2523,Antihypertensives,Beta Blockiers,NTWK,CARVEDILOL ,,,,,, 2524,Antihypertensives,Beta Blockiers,NTWK,CARVEDILOL [Coreg CR],,,,,ST, 2525,Antihypertensives,Beta Blockiers,NTWK,LABETALOL ,,,,,, 2526,Antihypertensives,Beta Blockiers,NTWK,METOPROLOL,,,,,, 2527,Antihypertensives,Beta Blockiers,NTWK,METOPROLOL SUCCINATE ,,,,,, 2528,Antihypertensives,Beta Blockiers,NTWK,NADOLOL,,,,,, 2529,Antihypertensives,Beta Blockiers,NTWK,PROPRANOLOL,,,,,, 2530,Antihypertensives,Beta Blockiers,NTWK,PROPRANOLOL SA caps,,,,,, 2531,Antihypertensives,Beta Blockiers,NTWK,SOTALOL ,,,,,, 2532,Antihypertensives,Beta Blockiers,NTWK,SOTALOL AF,,,,,, 2533,Antihypertensives,Beta Blockiers,NTWK,TIMOLOL ,,,,,, 2534,Antihypertensives,Beta Blockiers,MAHLTH,ACEBUTOLOL,,,,,, 2535,Antihypertensives,Beta Blockiers,MAHLTH,ATENOLOL,,,,,, 2536,Antihypertensives,Beta Blockiers,MAHLTH,ATENOLOL/CHLORTHALIDONE,,,,,, 2537,Antihypertensives,Beta Blockiers,MAHLTH,BETAXOLOL.,,,,,, 2538,Antihypertensives,Beta Blockiers,MAHLTH,BISOPROLOL,,,,,, 2539,Antihypertensives,Beta Blockiers,MAHLTH,BISOPROLOL/HCTZ.,,,,,, 2540,Antihypertensives,Beta Blockiers,MAHLTH,CARVEDILOL ,,,,,, 2541,Antihypertensives,Beta Blockiers,MAHLTH,CARVEDILOL [Coreg],,,,PA,, 2542,Antihypertensives,Beta Blockiers,MAHLTH,CARVEDILOL [Coreg CR],,,,PA,, 2543,Antihypertensives,Beta Blockiers,MAHLTH,LABETALOL ,,,,,, 2544,Antihypertensives,Beta Blockiers,MAHLTH,METOPROLOL,,,,,, 2545,Antihypertensives,Beta Blockiers,MAHLTH,METOPROLOL SUCCINATE ,,,,,, 2546,Antihypertensives,Beta Blockiers,MAHLTH,METOPROLOL SUCCINATE [Toprol XL],,,,PA,, 2547,Antihypertensives,Beta Blockiers,MAHLTH,METOPROLOL/HCTZ,,,,,, 2548,Antihypertensives,Beta Blockiers,MAHLTH,NADOLOL,,,,,, 2549,Antihypertensives,Beta Blockiers,MAHLTH,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2550,Antihypertensives,Beta Blockiers,MAHLTH,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,,,PA,, 2551,Antihypertensives,Beta Blockiers,MAHLTH,NEBIVOLOL [Bystolic],,,,PA,, 2552,Antihypertensives,Beta Blockiers,MAHLTH,PENBUTOLOL.[Levatol],,,,PA,, 2553,Antihypertensives,Beta Blockiers,MAHLTH,PINDOLOL,,,,,, 2554,Antihypertensives,Beta Blockiers,MAHLTH,PROPRANOLOL,,,,,, 2555,Antihypertensives,Beta Blockiers,MAHLTH,PROPRANOLOL [Inderal LA],,,,PA,, 2556,Antihypertensives,Beta Blockiers,MAHLTH,PROPRANOLOL [Innopran XL],,,,PA,, 2557,Antihypertensives,Beta Blockiers,MAHLTH,PROPRANOLOL/HCTZ,,,,,, 2558,Antihypertensives,Beta Blockiers,MAHLTH,PROPRANOLOL SA caps,,,,,, 2559,Antihypertensives,Beta Blockiers,MAHLTH,SOTALOL ,,,,,, 2560,Antihypertensives,Beta Blockiers,MAHLTH,SOTALOL AF,,,,,, 2561,Antihypertensives,Beta Blockiers,MAHLTH,TIMOLOL ,,,,,, 2562,Antihypertensives,Beta Blockiers,THP,ACEBUTOLOL,,,,,, 2563,Antihypertensives,Beta Blockiers,THP,ATENOLOL,*,,,,, 2564,Antihypertensives,Beta Blockiers,THP,ATENOLOL/CHLORTHALIDONE,,,,,, 2565,Antihypertensives,Beta Blockiers,THP,BETAXOLOL.,,,,,, 2566,Antihypertensives,Beta Blockiers,THP,BISOPROLOL,,,,,, 2567,Antihypertensives,Beta Blockiers,THP,BISOPROLOL/HCTZ.,,,,,, 2568,Antihypertensives,Beta Blockiers,THP,CARVEDILOL ,*,,,,, 2569,Antihypertensives,Beta Blockiers,THP,CARVEDILOL [Coreg],,,,,, 2570,Antihypertensives,Beta Blockiers,THP,CARVEDILOL [Coreg CR],,,,,,NC 2571,Antihypertensives,Beta Blockiers,THP,LABETALOL ,,,,,, 2572,Antihypertensives,Beta Blockiers,THP,METOPROLOL,*,,,,, 2573,Antihypertensives,Beta Blockiers,THP,METOPROLOL SUCCINATE ,*,,,,, 2574,Antihypertensives,Beta Blockiers,THP,METOPROLOL SUCCINATE [Toprol XL],,,,,, 2575,Antihypertensives,Beta Blockiers,THP,METOPROLOL/HCTZ,,,,,, 2576,Antihypertensives,Beta Blockiers,THP,NADOLOL,,,,,, 2577,Antihypertensives,Beta Blockiers,THP,NADOLOL/BENDROFLUMETHIAZIDE,,,,,, 2578,Antihypertensives,Beta Blockiers,THP,NADOLOL/BENDROFLUMETHIAZIDE [Corzide],,,,,, 2579,Antihypertensives,Beta Blockiers,THP,NEBIVOLOL [Bystolic],,,,,,NC 2580,Antihypertensives,Beta Blockiers,THP,PENBUTOLOL.[Levatol],,,,,, 2581,Antihypertensives,Beta Blockiers,THP,PINDOLOL,,,,,, 2582,Antihypertensives,Beta Blockiers,THP,PROPRANOLOL,*,,,,, 2583,Antihypertensives,Beta Blockiers,THP,PROPRANOLOL [Inderal LA],,,,,, 2584,Antihypertensives,Beta Blockiers,THP,PROPRANOLOL [Innopran XL],,,,,, 2585,Antihypertensives,Beta Blockiers,THP,PROPRANOLOL/HCTZ,,,,,, 2586,Antihypertensives,Beta Blockiers,THP,PROPRANOLOL SA caps,,,,,, 2587,Antihypertensives,Beta Blockiers,THP,SOTALOL ,,,,,, 2588,Antihypertensives,Beta Blockiers,THP,SOTALOL AF,,,,,, 2589,Antihypertensives,Beta Blockiers,THP,SOTOLOL AF [Betapace AF],,,,,, 2590,Antihypertensives,Beta Blockiers,THP,TIMOLOL ,,,,,, 2591,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE,*,,,,, 2592,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE [Norvasc],,FE,,,, 2593,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE/ATORVASTATIN [Caduet],,FE,,,ST, 2594,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE/BENAZEPRIL ,*,,,,, 2595,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE/BENAZEPRIL [Lotrel],,FE,,,ST, 2596,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE/OLMESARTAN [Azor],,FE,DL,,, 2597,Antihypertensives,Calcium Channel Blockers,AETNA,AMLODIPINE/VALSARTAN [Exforge],*,,DL,,, 2598,Antihypertensives,Calcium Channel Blockers,AETNA,DILTIAZEM,*,,,,, 2599,Antihypertensives,Calcium Channel Blockers,AETNA,DILTIAZEM CD/LA/SR/XT ,*,,,,, 2600,Antihypertensives,Calcium Channel Blockers,AETNA,DILTIAZEM LA TABS [Cardizem LA],*,,,,, 2601,Antihypertensives,Calcium Channel Blockers,AETNA,DILTIAZEM XT [Tiazac],,,,,, 2602,Antihypertensives,Calcium Channel Blockers,AETNA,FELODIPINE,*,,,,, 2603,Antihypertensives,Calcium Channel Blockers,AETNA,ISRADIPINE,*,,,,, 2604,Antihypertensives,Calcium Channel Blockers,AETNA,ISRADIPINE CR [DynaCirc CR],,FE,,,, 2605,Antihypertensives,Calcium Channel Blockers,AETNA,NICARDIPINE,*,,,,, 2606,Antihypertensives,Calcium Channel Blockers,AETNA,NICARDIPINE SR [Cardene SR],,,,,, 2607,Antihypertensives,Calcium Channel Blockers,AETNA,NIFEDIPINE,*,,,,, 2608,Antihypertensives,Calcium Channel Blockers,AETNA,NIFEDIPINE CC,*,,,,, 2609,Antihypertensives,Calcium Channel Blockers,AETNA,NIFEDIPINE ER,*,,,,, 2610,Antihypertensives,Calcium Channel Blockers,AETNA,NIMODIPINE,*,,,,, 2611,Antihypertensives,Calcium Channel Blockers,AETNA,NISOLDIPINE [Sular],,FE,,,, 2612,Antihypertensives,Calcium Channel Blockers,AETNA,TRANDOLAPRIL/VERAPAMIL [Tarka],,FE,,,, 2613,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL,*,,,,, 2614,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL ER,,,,,, 2615,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL ER [Calan SR],,,,,, 2616,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL ER [Covera HS],,FE,,,, 2617,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL ER [Isoptin SR],,,,,, 2618,Antihypertensives,Calcium Channel Blockers,AETNA,VERAPAMIL ER [Verelan PM],,,,,, 2619,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE,*,,DL,,, 2620,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE [Norvasc],,,DL,,, 2621,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE/ATORVASTATIN [Caduet],,,DL,,,NC 2622,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE/BENAZEPRIL ,*,,,,, 2623,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE/BENAZEPRIL [Lotrel],,,,,, 2624,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE/OLMESARTAN [Azor],,,,,ST, 2625,Antihypertensives,Calcium Channel Blockers,BCBSMA,AMLODIPINE/VALSARTAN [Exforge],,,,,ST, 2626,Antihypertensives,Calcium Channel Blockers,BCBSMA,DILTIAZEM,*,,,,, 2627,Antihypertensives,Calcium Channel Blockers,BCBSMA,DILTIAZEM CD/LA/SR/XT ,*,,,,, 2628,Antihypertensives,Calcium Channel Blockers,BCBSMA,DILTIAZEM LA TABS [Cardizem LA],,,,,,NC 2629,Antihypertensives,Calcium Channel Blockers,BCBSMA,DILTIAZEM XT [Tiazac],,,,,,NC 2630,Antihypertensives,Calcium Channel Blockers,BCBSMA,FELODIPINE,*,,,,, 2631,Antihypertensives,Calcium Channel Blockers,BCBSMA,ISRADIPINE,*,,,,, 2632,Antihypertensives,Calcium Channel Blockers,BCBSMA,ISRADIPINE CR [DynaCirc CR],,,,,,NC 2633,Antihypertensives,Calcium Channel Blockers,BCBSMA,NICARDIPINE,*,,,,, 2634,Antihypertensives,Calcium Channel Blockers,BCBSMA,NICARDIPINE SR [Cardene SR],,,,,,NC 2635,Antihypertensives,Calcium Channel Blockers,BCBSMA,NIFEDIPINE,*,,,,, 2636,Antihypertensives,Calcium Channel Blockers,BCBSMA,NIFEDIPINE CC,*,,,,, 2637,Antihypertensives,Calcium Channel Blockers,BCBSMA,NIFEDIPINE ER,*,,,,, 2638,Antihypertensives,Calcium Channel Blockers,BCBSMA,NIMODIPINE,*,,,,, 2639,Antihypertensives,Calcium Channel Blockers,BCBSMA,NISOLDIPINE [Sular],,,,,,NC 2640,Antihypertensives,Calcium Channel Blockers,BCBSMA,TRANDOLAPRIL/VERAPAMIL [Tarka],*,,,,, 2641,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL,*,,,,, 2642,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL ER,*,,,,, 2643,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL ER [Calan SR],,,,,, 2644,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL ER [Covera HS],*,,,,, 2645,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL ER [Isoptin SR],,,,,, 2646,Antihypertensives,Calcium Channel Blockers,BCBSMA,VERAPAMIL ER [Verelan PM],*,,,,, 2647,Antihypertensives,Calcium Channel Blockers,BMCHP,AMLODIPINE,,,,,, 2648,Antihypertensives,Calcium Channel Blockers,BMCHP,AMLODIPINE/ATORVASTATIN [Caduet],,,,PA,, 2649,Antihypertensives,Calcium Channel Blockers,BMCHP,AMLODIPINE/BENAZEPRIL ,,,,,, 2650,Antihypertensives,Calcium Channel Blockers,BMCHP,AMLODIPINE/OLMESARTAN [Azor],,,,,, 2651,Antihypertensives,Calcium Channel Blockers,BMCHP,AMLODIPINE/VALSARTAN [Exforge],,,,,, 2652,Antihypertensives,Calcium Channel Blockers,BMCHP,DILTIAZEM,,,,,, 2653,Antihypertensives,Calcium Channel Blockers,BMCHP,DILTIAZEM CD/LA/SR/XT ,,,,,, 2654,Antihypertensives,Calcium Channel Blockers,BMCHP,DILTIAZEM LA TABS [Cardizem LA],,,,,, 2655,Antihypertensives,Calcium Channel Blockers,BMCHP,FELODIPINE,,,,,, 2656,Antihypertensives,Calcium Channel Blockers,BMCHP,ISRADIPINE,,,,,, 2657,Antihypertensives,Calcium Channel Blockers,BMCHP,ISRADIPINE CR [DynaCirc CR],,,,,, 2658,Antihypertensives,Calcium Channel Blockers,BMCHP,NICARDIPINE,,,,,, 2659,Antihypertensives,Calcium Channel Blockers,BMCHP,NICARDIPINE SR [Cardene SR],,,,,, 2660,Antihypertensives,Calcium Channel Blockers,BMCHP,NIFEDIPINE,,,,,, 2661,Antihypertensives,Calcium Channel Blockers,BMCHP,NIFEDIPINE CC,,,,,, 2662,Antihypertensives,Calcium Channel Blockers,BMCHP,NIFEDIPINE ER,,,,,, 2663,Antihypertensives,Calcium Channel Blockers,BMCHP,NIMODIPINE,,,,,, 2664,Antihypertensives,Calcium Channel Blockers,BMCHP,NISOLDIPINE [Sular],,,,,, 2665,Antihypertensives,Calcium Channel Blockers,BMCHP,TRANDOLAPRIL/VERAPAMIL [Tarka],,,,,, 2666,Antihypertensives,Calcium Channel Blockers,BMCHP,VERAPAMIL,,,,,, 2667,Antihypertensives,Calcium Channel Blockers,BMCHP,VERAPAMIL ER,,,,,, 2668,Antihypertensives,Calcium Channel Blockers,BMCHP,VERAPAMIL ER [Covera HS],,,,,, 2669,Antihypertensives,Calcium Channel Blockers,FCHP,AMLODIPINE,,,,,, 2670,Antihypertensives,Calcium Channel Blockers,FCHP,AMLODIPINE [Norvasc],,,,,, 2671,Antihypertensives,Calcium Channel Blockers,FCHP,AMLODIPINE/BENAZEPRIL ,,,,,, 2672,Antihypertensives,Calcium Channel Blockers,FCHP,DILTIAZEM,,,,,, 2673,Antihypertensives,Calcium Channel Blockers,FCHP,DILTIAZEM CD/LA/SR/XT ,,,,,, 2674,Antihypertensives,Calcium Channel Blockers,FCHP,FELODIPINE,,,,,, 2675,Antihypertensives,Calcium Channel Blockers,FCHP,ISRADIPINE,,,,,, 2676,Antihypertensives,Calcium Channel Blockers,FCHP,NICARDIPINE,,,,,, 2677,Antihypertensives,Calcium Channel Blockers,FCHP,NIFEDIPINE,,,,,, 2678,Antihypertensives,Calcium Channel Blockers,FCHP,NIFEDIPINE CC,,,,,, 2679,Antihypertensives,Calcium Channel Blockers,FCHP,NIFEDIPINE ER,,,,,, 2680,Antihypertensives,Calcium Channel Blockers,FCHP,NIMODIPINE,,,,,, 2681,Antihypertensives,Calcium Channel Blockers,FCHP,VERAPAMIL,,,,,, 2682,Antihypertensives,Calcium Channel Blockers,FCHP,VERAPAMIL ER,,,,,, 2683,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE,,,,,, 2684,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE [Norvasc],,,,,, 2685,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE/ATORVASTATIN [Caduet],,,,,, 2686,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE/BENAZEPRIL ,,,,,, 2687,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE/BENAZEPRIL [Lotrel],,,,,, 2688,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE/OLMESARTAN [Azor],,,,,, 2689,Antihypertensives,Calcium Channel Blockers,HPHC,AMLODIPINE/VALSARTAN [Exforge],,,,,, 2690,Antihypertensives,Calcium Channel Blockers,HPHC,DILTIAZEM,,,,,, 2691,Antihypertensives,Calcium Channel Blockers,HPHC,DILTIAZEM CD/LA/SR/XT ,,,,,, 2692,Antihypertensives,Calcium Channel Blockers,HPHC,DILTIAZEM LA TABS [Cardizem LA],,,,,, 2693,Antihypertensives,Calcium Channel Blockers,HPHC,DILTIAZEM XT [Tiazac],,,,,, 2694,Antihypertensives,Calcium Channel Blockers,HPHC,FELODIPINE,,,,,, 2695,Antihypertensives,Calcium Channel Blockers,HPHC,ISRADIPINE,,,,,, 2696,Antihypertensives,Calcium Channel Blockers,HPHC,ISRADIPINE CR [DynaCirc CR],,,,,, 2697,Antihypertensives,Calcium Channel Blockers,HPHC,NICARDIPINE,,,,,, 2698,Antihypertensives,Calcium Channel Blockers,HPHC,NICARDIPINE SR [Cardene SR],,,,,, 2699,Antihypertensives,Calcium Channel Blockers,HPHC,NIFEDIPINE,,,,,, 2700,Antihypertensives,Calcium Channel Blockers,HPHC,NIFEDIPINE CC,,,,,, 2701,Antihypertensives,Calcium Channel Blockers,HPHC,NIFEDIPINE ER,,,,,, 2702,Antihypertensives,Calcium Channel Blockers,HPHC,NIMODIPINE,,,,,, 2703,Antihypertensives,Calcium Channel Blockers,HPHC,NISOLDIPINE [Sular],,,,,, 2704,Antihypertensives,Calcium Channel Blockers,HPHC,TRANDOLAPRIL/VERAPAMIL [Tarka],,,,,, 2705,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL,,,,,, 2706,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL ER,,,,,, 2707,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL ER [Calan SR],,,,,, 2708,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL ER [Covera HS],,,,,, 2709,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL ER [Isoptin SR],,,,,, 2710,Antihypertensives,Calcium Channel Blockers,HPHC,VERAPAMIL ER [Verelan PM],,,,,, 2711,Antihypertensives,Calcium Channel Blockers,HNE,AMLODIPINE,,,DL,,, 2712,Antihypertensives,Calcium Channel Blockers,HNE,AMLODIPINE/BENAZEPRIL ,,,,,, 2713,Antihypertensives,Calcium Channel Blockers,HNE,DILTIAZEM,,,,,, 2714,Antihypertensives,Calcium Channel Blockers,HNE,DILTIAZEM CD/LA/SR/XT ,,,,,, 2715,Antihypertensives,Calcium Channel Blockers,HNE,FELODIPINE,,,,,, 2716,Antihypertensives,Calcium Channel Blockers,HNE,ISRADIPINE,,,,,, 2717,Antihypertensives,Calcium Channel Blockers,HNE,NICARDIPINE,,,,,, 2718,Antihypertensives,Calcium Channel Blockers,HNE,NIFEDIPINE,,,,,, 2719,Antihypertensives,Calcium Channel Blockers,HNE,NIFEDIPINE CC,,,,,, 2720,Antihypertensives,Calcium Channel Blockers,HNE,NIFEDIPINE ER,,,,,, 2721,Antihypertensives,Calcium Channel Blockers,HNE,NIMODIPINE,,,,,, 2722,Antihypertensives,Calcium Channel Blockers,HNE,VERAPAMIL,,,,,, 2723,Antihypertensives,Calcium Channel Blockers,HNE,VERAPAMIL ER,,,,,, 2724,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE,,,DL,,, 2725,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE [Norvasc],,,,,,NC 2726,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE/ATORVASTATIN [Caduet],,,,,,NC 2727,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE/BENAZEPRIL ,,,,,, 2728,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE/BENAZEPRIL [Lotrel],,,,,, 2729,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE/OLMESARTAN [Azor],,,,,,NC 2730,Antihypertensives,Calcium Channel Blockers,NHP,AMLODIPINE/VALSARTAN [Exforge],,,,,,NC 2731,Antihypertensives,Calcium Channel Blockers,NHP,DILTIAZEM,,,,,, 2732,Antihypertensives,Calcium Channel Blockers,NHP,DILTIAZEM CD/LA/SR/XT ,,,,,, 2733,Antihypertensives,Calcium Channel Blockers,NHP,DILTIAZEM XT [Tiazac],,,,,,NC 2734,Antihypertensives,Calcium Channel Blockers,NHP,FELODIPINE,,,,,, 2735,Antihypertensives,Calcium Channel Blockers,NHP,ISRADIPINE,,,,,, 2736,Antihypertensives,Calcium Channel Blockers,NHP,NICARDIPINE,,,,,, 2737,Antihypertensives,Calcium Channel Blockers,NHP,NIFEDIPINE,,,,,, 2738,Antihypertensives,Calcium Channel Blockers,NHP,NIFEDIPINE CC,,,,,, 2739,Antihypertensives,Calcium Channel Blockers,NHP,NIFEDIPINE ER,,,,,, 2740,Antihypertensives,Calcium Channel Blockers,NHP,NIMODIPINE,,,,,, 2741,Antihypertensives,Calcium Channel Blockers,NHP,NISOLDIPINE [Sular],,,,,, 2742,Antihypertensives,Calcium Channel Blockers,NHP,TRANDOLAPRIL/VERAPAMIL [Tarka],,,,,, 2743,Antihypertensives,Calcium Channel Blockers,NHP,VERAPAMIL,,,,,, 2744,Antihypertensives,Calcium Channel Blockers,NHP,VERAPAMIL ER,,,,,, 2745,Antihypertensives,Calcium Channel Blockers,NHP,VERAPAMIL ER [Calan SR],,,,,,NC 2746,Antihypertensives,Calcium Channel Blockers,NHP,VERAPAMIL ER [Isoptin SR],,,,,,NC 2747,Antihypertensives,Calcium Channel Blockers,NHP,VERAPAMIL ER [Verelan PM],,,,,,NC 2748,Antihypertensives,Calcium Channel Blockers,NTWK,AMLODIPINE,,,,,, 2749,Antihypertensives,Calcium Channel Blockers,NTWK,AMLODIPINE/ATORVASTATIN [Caduet],,,,PA,, 2750,Antihypertensives,Calcium Channel Blockers,NTWK,AMLODIPINE/BENAZEPRIL ,,,DL,,, 2751,Antihypertensives,Calcium Channel Blockers,NTWK,AMLODIPINE/OLMESARTAN [Azor],,,,PA,, 2752,Antihypertensives,Calcium Channel Blockers,NTWK,AMLODIPINE/VALSARTAN [Exforge],,,,PA,, 2753,Antihypertensives,Calcium Channel Blockers,NTWK,DILTIAZEM,,,,,, 2754,Antihypertensives,Calcium Channel Blockers,NTWK,DILTIAZEM CD/LA/SR/XT ,,,,,, 2755,Antihypertensives,Calcium Channel Blockers,NTWK,DILTIAZEM LA TABS [Cardizem LA],,,,PA,, 2756,Antihypertensives,Calcium Channel Blockers,NTWK,FELODIPINE,,,,,, 2757,Antihypertensives,Calcium Channel Blockers,NTWK,ISRADIPINE,,,,PA,, 2758,Antihypertensives,Calcium Channel Blockers,NTWK,ISRADIPINE CR [DynaCirc CR],,,,PA,, 2759,Antihypertensives,Calcium Channel Blockers,NTWK,NICARDIPINE,,,,,, 2760,Antihypertensives,Calcium Channel Blockers,NTWK,NICARDIPINE SR [Cardene SR],,,,PA,, 2761,Antihypertensives,Calcium Channel Blockers,NTWK,NIFEDIPINE,,,,,, 2762,Antihypertensives,Calcium Channel Blockers,NTWK,NIFEDIPINE CC,,,,,, 2763,Antihypertensives,Calcium Channel Blockers,NTWK,NIFEDIPINE ER,,,,,, 2764,Antihypertensives,Calcium Channel Blockers,NTWK,NIMODIPINE,,,,PA,, 2765,Antihypertensives,Calcium Channel Blockers,NTWK,NISOLDIPINE [Sular],,,,PA,, 2766,Antihypertensives,Calcium Channel Blockers,NTWK,VERAPAMIL,,,,,, 2767,Antihypertensives,Calcium Channel Blockers,NTWK,VERAPAMIL ER,,,,,, 2768,Antihypertensives,Calcium Channel Blockers,NTWK,VERAPAMIL ER [Covera HS],,,,PA,, 2769,Antihypertensives,Calcium Channel Blockers,NTWK,VERAPAMIL ER [Verelan PM],,,,,, 2770,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE,,,,,, 2771,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE [Norvasc],,,,PA,, 2772,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE/ATORVASTATIN [Caduet],,,,PA,, 2773,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE/BENAZEPRIL ,,,,PA,, 2774,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE/BENAZEPRIL [Lotrel],,,,PA,, 2775,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE/OLMESARTAN [Azor],,,,PA,, 2776,Antihypertensives,Calcium Channel Blockers,MAHLTH,AMLODIPINE/VALSARTAN [Exforge],,,,PA,, 2777,Antihypertensives,Calcium Channel Blockers,MAHLTH,DILTIAZEM,,,,,, 2778,Antihypertensives,Calcium Channel Blockers,MAHLTH,DILTIAZEM CD/LA/SR/XT ,,,,,, 2779,Antihypertensives,Calcium Channel Blockers,MAHLTH,DILTIAZEM LA TABS [Cardizem LA],,,,PA,, 2780,Antihypertensives,Calcium Channel Blockers,MAHLTH,DILTIAZEM XT [Tiazac],,,,PA,, 2781,Antihypertensives,Calcium Channel Blockers,MAHLTH,FELODIPINE,,,,,, 2782,Antihypertensives,Calcium Channel Blockers,MAHLTH,ISRADIPINE,,,,,, 2783,Antihypertensives,Calcium Channel Blockers,MAHLTH,ISRADIPINE CR [DynaCirc CR],,,,PA,, 2784,Antihypertensives,Calcium Channel Blockers,MAHLTH,NICARDIPINE,,,,,, 2785,Antihypertensives,Calcium Channel Blockers,MAHLTH,NICARDIPINE SR [Cardene SR],,,,,, 2786,Antihypertensives,Calcium Channel Blockers,MAHLTH,NIFEDIPINE,,,,,, 2787,Antihypertensives,Calcium Channel Blockers,MAHLTH,NIFEDIPINE CC,,,,,, 2788,Antihypertensives,Calcium Channel Blockers,MAHLTH,NIFEDIPINE ER,,,,,, 2789,Antihypertensives,Calcium Channel Blockers,MAHLTH,NIMODIPINE,,,,,, 2790,Antihypertensives,Calcium Channel Blockers,MAHLTH,NISOLDIPINE [Sular],,,,PA,, 2791,Antihypertensives,Calcium Channel Blockers,MAHLTH,TRANDOLAPRIL/VERAPAMIL [Tarka],,,,PA,, 2792,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL,,,,,, 2793,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL ER,,,,,, 2794,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL ER [Calan SR],,,,PA,, 2795,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL ER [Covera HS],,,,,, 2796,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL ER [Isoptin SR],,,,PA,, 2797,Antihypertensives,Calcium Channel Blockers,MAHLTH,VERAPAMIL ER [Verelan PM],,,,,, 2798,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE,*,,,,, 2799,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE [Norvasc],,,,,, 2800,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE/ATORVASTATIN [Caduet],,,,,, 2801,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE/BENAZEPRIL ,,,,,, 2802,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE/BENAZEPRIL [Lotrel],,,,,, 2803,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE/OLMESARTAN [Azor],,,,,, 2804,Antihypertensives,Calcium Channel Blockers,THP,AMLODIPINE/VALSARTAN [Exforge],,,,,, 2805,Antihypertensives,Calcium Channel Blockers,THP,DILTIAZEM,,,,,, 2806,Antihypertensives,Calcium Channel Blockers,THP,DILTIAZEM CD/LA/SR/XT ,*,,,,, 2807,Antihypertensives,Calcium Channel Blockers,THP,DILTIAZEM LA TABS [Cardizem LA],,,,,, 2808,Antihypertensives,Calcium Channel Blockers,THP,DILTIAZEM XT [Tiazac],,,,,, 2809,Antihypertensives,Calcium Channel Blockers,THP,FELODIPINE,,,,,, 2810,Antihypertensives,Calcium Channel Blockers,THP,ISRADIPINE,,,,,, 2811,Antihypertensives,Calcium Channel Blockers,THP,ISRADIPINE CR [DynaCirc CR],,,,,, 2812,Antihypertensives,Calcium Channel Blockers,THP,NICARDIPINE,,,,,, 2813,Antihypertensives,Calcium Channel Blockers,THP,NICARDIPINE SR [Cardene SR],,,,,, 2814,Antihypertensives,Calcium Channel Blockers,THP,NIFEDIPINE,,,,,, 2815,Antihypertensives,Calcium Channel Blockers,THP,NIFEDIPINE CC,*,,,,, 2816,Antihypertensives,Calcium Channel Blockers,THP,NIFEDIPINE ER,*,,,,, 2817,Antihypertensives,Calcium Channel Blockers,THP,NIMODIPINE,,,,,, 2818,Antihypertensives,Calcium Channel Blockers,THP,NISOLDIPINE [Sular],NC,,,,, 2819,Antihypertensives,Calcium Channel Blockers,THP,TRANDOLAPRIL/VERAPAMIL [Tarka],,,,,, 2820,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL,,,,,, 2821,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL ER,*,,,,, 2822,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL ER [Calan SR],,,,,, 2823,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL ER [Covera HS],,,,,, 2824,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL ER [Isoptin SR],,,,,, 2825,Antihypertensives,Calcium Channel Blockers,THP,VERAPAMIL ER [Verelan PM],,,,,, 2826,Anti-infectives ,Antifungals,AETNA,ECONAZOLE topical,*,,,,, 2827,Anti-infectives ,Antifungals,AETNA,FLUCONAZOLE,*,,,PA,, 2828,Anti-infectives ,Antifungals,AETNA,FLUCONAZOLE (150 mg),*,,DL,,, 2829,Anti-infectives ,Antifungals,AETNA,FLUCONAZOLE [Diflucan],,,,PA,, 2830,Anti-infectives ,Antifungals,AETNA,FLUCONAZOLE [Diflucan 150 mg],,,DL,,, 2831,Anti-infectives ,Antifungals,AETNA,GRISEOFULVIN microsize,*,,,,, 2832,Anti-infectives ,Antifungals,AETNA,GRISEOFULVIN ultramicrosize,*,,,,, 2833,Anti-infectives ,Antifungals,AETNA,ITRACONAZOLE capsules,*,,,PA,, 2834,Anti-infectives ,Antifungals,AETNA,ITRACONAZOLE [Sporanox] solution,,FE,,PA,, 2835,Anti-infectives ,Antifungals,AETNA,KETOCONAZOLE oral,*,,,,, 2836,Anti-infectives ,Antifungals,AETNA,MICONAZOLE (OTC),,,,,,NC 2837,Anti-infectives ,Antifungals,AETNA,NYSTATIN oral,*,,,,, 2838,Anti-infectives ,Antifungals,AETNA,TERBINAFINE oral,*,,,PA,, 2839,Anti-infectives ,Antifungals,AETNA,TERBINAFINE oral [Lamisil],,FE,,PA,, 2840,Anti-infectives ,Antifungals,AETNA,TERBINAFINE oral granules [Lamisil oral granules],,,,PA,ST, 2841,Anti-infectives ,Antifungals,AETNA,VORICONAZOLE [Vfend],,FE,,PA,, 2842,Anti-infectives ,Antifungals,BCBSMA,ECONAZOLE topical,*,,,,, 2843,Anti-infectives ,Antifungals,BCBSMA,FLUCONAZOLE,150 mgs tabs limited to 5 tabs/30 days,,,,, 2844,Anti-infectives ,Antifungals,BCBSMA,FLUCONAZOLE (150 mg),*,,,DL,, 2845,Anti-infectives ,Antifungals,BCBSMA,FLUCONAZOLE [Diflucan],,,,,, 2846,Anti-infectives ,Antifungals,BCBSMA,FLUCONAZOLE [Diflucan 150 mg],,,,DL,, 2847,Anti-infectives ,Antifungals,BCBSMA,GRISEOFULVIN microsize,,,,,, 2848,Anti-infectives ,Antifungals,BCBSMA,GRISEOFULVIN ultramicrosize,*,,,,, 2849,Anti-infectives ,Antifungals,BCBSMA,ITRACONAZOLE capsules,*,,DL,PA,, 2850,Anti-infectives ,Antifungals,BCBSMA,ITRACONAZOLE [Sporanox] solution,,,DL,PA,,NC 2851,Anti-infectives ,Antifungals,BCBSMA,KETOCONAZOLE oral,*,,,,, 2852,Anti-infectives ,Antifungals,BCBSMA,MICONAZOLE (OTC),,,,,,NC 2853,Anti-infectives ,Antifungals,BCBSMA,NYSTATIN oral,*,,,,, 2854,Anti-infectives ,Antifungals,BCBSMA,TERBINAFINE oral,*,,DL,PA,, 2855,Anti-infectives ,Antifungals,BCBSMA,TERBINAFINE oral [Lamisil],,,DL,PA,, 2856,Anti-infectives ,Antifungals,BCBSMA,TERBINAFINE oral granules [Lamisil oral granules],,,DL,PA,, 2857,Anti-infectives ,Antifungals,BCBSMA,VORICONAZOLE [Vfend],*,,,,, 2858,Anti-infectives ,Antifungals,BMCHP,ECONAZOLE topical,,,,,, 2859,Anti-infectives ,Antifungals,BMCHP,FLUCONAZOLE,,,,,, 2860,Anti-infectives ,Antifungals,BMCHP,FLUCONAZOLE (150 mg),,,,,, 2861,Anti-infectives ,Antifungals,BMCHP,GRISEOFULVIN microsize,,,,,, 2862,Anti-infectives ,Antifungals,BMCHP,GRISEOFULVIN ultramicrosize,,,,,, 2863,Anti-infectives ,Antifungals,BMCHP,ITRACONAZOLE capsules,,,,PA,, 2864,Anti-infectives ,Antifungals,BMCHP,ITRACONAZOLE [Sporanox] solution,,,,PA,, 2865,Anti-infectives ,Antifungals,BMCHP,KETOCONAZOLE oral,,,,,, 2866,Anti-infectives ,Antifungals,BMCHP,MICONAZOLE (OTC),,,,,, 2867,Anti-infectives ,Antifungals,BMCHP,NYSTATIN oral,,,,,, 2868,Anti-infectives ,Antifungals,BMCHP,TERBINAFINE oral,,,,PA,, 2869,Anti-infectives ,Antifungals,BMCHP,TERBINAFINE oral granules [Lamisil oral granules],,,,PA,, 2870,Anti-infectives ,Antifungals,BMCHP,VORICONAZOLE [Vfend],,,,,, 2871,Anti-infectives ,Antifungals,FCHP,ECONAZOLE topical,,,,,, 2872,Anti-infectives ,Antifungals,FCHP,FLUCONAZOLE,,,DL,,, 2873,Anti-infectives ,Antifungals,FCHP,FLUCONAZOLE (150 mg),,,DL,,, 2874,Anti-infectives ,Antifungals,FCHP,GRISEOFULVIN microsize,,,,,, 2875,Anti-infectives ,Antifungals,FCHP,GRISEOFULVIN ultramicrosize,,,,,, 2876,Anti-infectives ,Antifungals,FCHP,ITRACONAZOLE capsules,,,,PA,, 2877,Anti-infectives ,Antifungals,FCHP,KETOCONAZOLE oral,,,,,, 2878,Anti-infectives ,Antifungals,FCHP,NYSTATIN oral,,,,,, 2879,Anti-infectives ,Antifungals,FCHP,TERBINAFINE oral,,,DL,,, 2880,Anti-infectives ,Antifungals,FCHP,TERBINAFINE oral [Lamisil],,,DL,,, 2881,Anti-infectives ,Antifungals,HPHC,ECONAZOLE topical,,,,,, 2882,Anti-infectives ,Antifungals,HPHC,FLUCONAZOLE,,,,,, 2883,Anti-infectives ,Antifungals,HPHC,FLUCONAZOLE (150 mg),,,,,, 2884,Anti-infectives ,Antifungals,HPHC,FLUCONAZOLE [Diflucan],,,,,, 2885,Anti-infectives ,Antifungals,HPHC,FLUCONAZOLE [Diflucan 150 mg],,,,,, 2886,Anti-infectives ,Antifungals,HPHC,GRISEOFULVIN microsize,,,,,, 2887,Anti-infectives ,Antifungals,HPHC,GRISEOFULVIN ultramicrosize,,,,,, 2888,Anti-infectives ,Antifungals,HPHC,ITRACONAZOLE capsules,,,DL,PA,, 2889,Anti-infectives ,Antifungals,HPHC,ITRACONAZOLE [Sporanox] solution,,,,,, 2890,Anti-infectives ,Antifungals,HPHC,KETOCONAZOLE oral,,,,,, 2891,Anti-infectives ,Antifungals,HPHC,MICONAZOLE (OTC),,,,,,NC 2892,Anti-infectives ,Antifungals,HPHC,NYSTATIN oral,,,,,, 2893,Anti-infectives ,Antifungals,HPHC,TERBINAFINE oral,,,DL,PA,, 2894,Anti-infectives ,Antifungals,HPHC,TERBINAFINE oral [Lamisil],,,DL,PA,, 2895,Anti-infectives ,Antifungals,HPHC,TERBINAFINE oral granules [Lamisil oral granules],,,DL,PA,, 2896,Anti-infectives ,Antifungals,HPHC,VORICONAZOLE [Vfend],,,,,, 2897,Anti-infectives ,Antifungals,HNE,ECONAZOLE topical,,,,,, 2898,Anti-infectives ,Antifungals,HNE,FLUCONAZOLE,,,,,, 2899,Anti-infectives ,Antifungals,HNE,FLUCONAZOLE (150 mg),,,,,, 2900,Anti-infectives ,Antifungals,HNE,GRISEOFULVIN microsize,,,,,, 2901,Anti-infectives ,Antifungals,HNE,GRISEOFULVIN ultramicrosize,,,,,, 2902,Anti-infectives ,Antifungals,HNE,ITRACONAZOLE capsules,,,DL,,, 2903,Anti-infectives ,Antifungals,HNE,KETOCONAZOLE oral,,,,,, 2904,Anti-infectives ,Antifungals,HNE,NYSTATIN oral,,,,,, 2905,Anti-infectives ,Antifungals,HNE,TERBINAFINE oral,,,DL 90 tablets/12 months,,, 2906,Anti-infectives ,Antifungals,NHP,ECONAZOLE topical,,,,,, 2907,Anti-infectives ,Antifungals,NHP,FLUCONAZOLE,,,,,, 2908,Anti-infectives ,Antifungals,NHP,FLUCONAZOLE (150 mg),,,DL 6 tabs/30 days,,, 2909,Anti-infectives ,Antifungals,NHP,FLUCONAZOLE [Diflucan],,,,,,NC 2910,Anti-infectives ,Antifungals,NHP,FLUCONAZOLE [Diflucan 150 mg],,,,,,NC 2911,Anti-infectives ,Antifungals,NHP,GRISEOFULVIN microsize,,,,,, 2912,Anti-infectives ,Antifungals,NHP,GRISEOFULVIN ultramicrosize,,,,,, 2913,Anti-infectives ,Antifungals,NHP,ITRACONAZOLE capsules,,,DL,PA,, 2914,Anti-infectives ,Antifungals,NHP,KETOCONAZOLE oral,,,,,, 2915,Anti-infectives ,Antifungals,NHP,MICONAZOLE (OTC),,,,,, 2916,Anti-infectives ,Antifungals,NHP,NYSTATIN oral,,,,,, 2917,Anti-infectives ,Antifungals,NHP,TERBINAFINE oral,,,DL,PA,, 2918,Anti-infectives ,Antifungals,NHP,TERBINAFINE oral [Lamisil],,,,,,NC 2919,Anti-infectives ,Antifungals,NTWK,ECONAZOLE topical,,,,,, 2920,Anti-infectives ,Antifungals,NTWK,FLUCONAZOLE,,,,,, 2921,Anti-infectives ,Antifungals,NTWK,FLUCONAZOLE (150 mg),,,,,, 2922,Anti-infectives ,Antifungals,NTWK,GRISEOFULVIN microsize,,,,,, 2923,Anti-infectives ,Antifungals,NTWK,GRISEOFULVIN ultramicrosize,,,,,, 2924,Anti-infectives ,Antifungals,NTWK,ITRACONAZOLE capsules,,,,,, 2925,Anti-infectives ,Antifungals,NTWK,ITRACONAZOLE [Sporanox] solution,,,,,, 2926,Anti-infectives ,Antifungals,NTWK,KETOCONAZOLE oral,,,,,, 2927,Anti-infectives ,Antifungals,NTWK,MICONAZOLE (OTC),,,,,, 2928,Anti-infectives ,Antifungals,NTWK,NYSTATIN oral,,,,,, 2929,Anti-infectives ,Antifungals,NTWK,TERBINAFINE oral,,,DL,,, 2930,Anti-infectives ,Antifungals,NTWK,TERBINAFINE oral granules [Lamisil oral granules],,,,PA,, 2931,Anti-infectives ,Antifungals,MAHLTH,ECONAZOLE topical,,,,,, 2932,Anti-infectives ,Antifungals,MAHLTH,FLUCONAZOLE,,,,,, 2933,Anti-infectives ,Antifungals,MAHLTH,FLUCONAZOLE (150 mg),,,,,, 2934,Anti-infectives ,Antifungals,MAHLTH,FLUCONAZOLE [Diflucan],,,,PA,, 2935,Anti-infectives ,Antifungals,MAHLTH,GRISEOFULVIN microsize,,,,,, 2936,Anti-infectives ,Antifungals,MAHLTH,GRISEOFULVIN ultramicrosize,,,,,, 2937,Anti-infectives ,Antifungals,MAHLTH,ITRACONAZOLE capsules,,,,,, 2938,Anti-infectives ,Antifungals,MAHLTH,ITRACONAZOLE [Sporanox] solution,,,,,, 2939,Anti-infectives ,Antifungals,MAHLTH,KETOCONAZOLE oral,,,,,, 2940,Anti-infectives ,Antifungals,MAHLTH,MICONAZOLE (OTC),,,,,, 2941,Anti-infectives ,Antifungals,MAHLTH,NYSTATIN oral,,,,,, 2942,Anti-infectives ,Antifungals,MAHLTH,TERBINAFINE oral,,,,,, 2943,Anti-infectives ,Antifungals,MAHLTH,TERBINAFINE oral [Lamisil],,,,PA,, 2944,Anti-infectives ,Antifungals,MAHLTH,TERBINAFINE oral granules [Lamisil oral granules],,,,PA,, 2945,Anti-infectives ,Antifungals,MAHLTH,VORICONAZOLE [Vfend],,,,PA,, 2946,Anti-infectives ,Antifungals,THP,ECONAZOLE topical,,,,,, 2947,Anti-infectives ,Antifungals,THP,FLUCONAZOLE,*,,,,, 2948,Anti-infectives ,Antifungals,THP,FLUCONAZOLE (150 mg),,,,,, 2949,Anti-infectives ,Antifungals,THP,FLUCONAZOLE [Diflucan],,,,,, 2950,Anti-infectives ,Antifungals,THP,FLUCONAZOLE [Diflucan 150 mg],,,,,, 2951,Anti-infectives ,Antifungals,THP,GRISEOFULVIN microsize,,,,,, 2952,Anti-infectives ,Antifungals,THP,GRISEOFULVIN ultramicrosize,,,,,, 2953,Anti-infectives ,Antifungals,THP,ITRACONAZOLE capsules,,,,,,NC 2954,Anti-infectives ,Antifungals,THP,ITRACONAZOLE [Sporanox] solution,,,,,, 2955,Anti-infectives ,Antifungals,THP,KETOCONAZOLE oral,,,,,, 2956,Anti-infectives ,Antifungals,THP,NYSTATIN oral,,,,,, 2957,Anti-infectives ,Antifungals,THP,TERBINAFINE oral,*,,,PA,, 2958,Anti-infectives ,Antifungals,THP,TERBINAFINE oral [Lamisil],,,,PA,, 2959,Anti-infectives ,Antifungals,THP,TERBINAFINE oral granules [Lamisil oral granules],,,DL,PA for>=18,ST for <18, 2960,Anti-infectives ,Antifungals,THP,VORICONAZOLE [Vfend],,,DL,,, 2961,Anti-infectives ,Antivirals,AETNA,ACYCLOVIR,*,,,,, 2962,Anti-infectives ,Antivirals,AETNA,ADEFOVIR [Hepsera],*,,,,, 2963,Anti-infectives ,Antivirals,AETNA,AMANTADINE,*,,,,, 2964,Anti-infectives ,Antivirals,AETNA,ENTECAVIR [Baraclude],,FE,,,, 2965,Anti-infectives ,Antivirals,AETNA,ENTECAVIR solution [Baraclude],,FE,,,, 2966,Anti-infectives ,Antivirals,AETNA,FAMCICLOVIR ,*,,,,, 2967,Anti-infectives ,Antivirals,AETNA,FAMCICLOVIR [Famvir],,FE,,,, 2968,Anti-infectives ,Antivirals,AETNA,GANCICLOVIR,*,,,,, 2969,Anti-infectives ,Antivirals,AETNA,GANCICLOVIR [Cytovene],Not covered under pharmacy benefit; may be covered under medical benefit,,,,, 2970,Anti-infectives ,Antivirals,AETNA,LAMIVUDINE solution [Epivir HBV],,,,,, 2971,Anti-infectives ,Antivirals,AETNA,LAMIVUDINE tablet [Epivir HBV],,,,,, 2972,Anti-infectives ,Antivirals,AETNA,OSELTAMIVIR [Tamiflu],,,DL,,, 2973,Anti-infectives ,Antivirals,AETNA,PEGINTERFERON ALFA-2A [Pegasys],*,,,PA,, 2974,Anti-infectives ,Antivirals,AETNA,PEGINTERFERON ALFA-2B [PegIntron],*,,,PA,, 2975,Anti-infectives ,Antivirals,AETNA,RIBAVIRIN,*,,,,, 2976,Anti-infectives ,Antivirals,AETNA,RIBAVIRIN [Ribapack],,,,,, 2977,Anti-infectives ,Antivirals,AETNA,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],*,,,,, 2978,Anti-infectives ,Antivirals,AETNA,RIBAVIRIN solution [Rebetol solution],,,,,, 2979,Anti-infectives ,Antivirals,AETNA,RIMANTIDINE,*,,,,, 2980,Anti-infectives ,Antivirals,AETNA,RIMANTIDINE [Flumadine],,,,,, 2981,Anti-infectives ,Antivirals,AETNA,TELBIVUDINE [Tyzeka],,,,,, 2982,Anti-infectives ,Antivirals,AETNA,VALACYCLOVIR [Valcyte],*,,,,, 2983,Anti-infectives ,Antivirals,AETNA,VALACYCLOVIR [Valtrex],*,,,,, 2984,Anti-infectives ,Antivirals,AETNA,ZANAMIVIR [Relenza],*,,DL,,, 2985,Anti-infectives ,Antivirals,BCBSMA,ACYCLOVIR,*,,,,, 2986,Anti-infectives ,Antivirals,BCBSMA,ADEFOVIR [Hepsera],*,,,,, 2987,Anti-infectives ,Antivirals,BCBSMA,AMANTADINE,*,,,,, 2988,Anti-infectives ,Antivirals,BCBSMA,ENTECAVIR [Baraclude],*,,,,, 2989,Anti-infectives ,Antivirals,BCBSMA,ENTECAVIR solution [Baraclude],*,,,,, 2990,Anti-infectives ,Antivirals,BCBSMA,FAMCICLOVIR ,*,,DL,,, 2991,Anti-infectives ,Antivirals,BCBSMA,FAMCICLOVIR [Famvir],,,DL,,,NC 2992,Anti-infectives ,Antivirals,BCBSMA,GANCICLOVIR,*,,,,, 2993,Anti-infectives ,Antivirals,BCBSMA,GANCICLOVIR [Cytovene],,,,,, 2994,Anti-infectives ,Antivirals,BCBSMA,LAMIVUDINE solution [Epivir HBV],*,,,,, 2995,Anti-infectives ,Antivirals,BCBSMA,LAMIVUDINE tablet [Epivir HBV],*,,,,, 2996,Anti-infectives ,Antivirals,BCBSMA,OSELTAMIVIR [Tamiflu],,,DL,PA,, 2997,Anti-infectives ,Antivirals,BCBSMA,PEGINTERFERON ALFA-2A [Pegasys],*,,DL,PA,, 2998,Anti-infectives ,Antivirals,BCBSMA,PEGINTERFERON ALFA-2B [PegIntron],*,,DL,PA,, 2999,Anti-infectives ,Antivirals,BCBSMA,RIBAVIRIN,*,,,,, 3000,Anti-infectives ,Antivirals,BCBSMA,RIBAVIRIN [Ribapack],*,,,,, 3001,Anti-infectives ,Antivirals,BCBSMA,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],*,,,,, 3002,Anti-infectives ,Antivirals,BCBSMA,RIBAVIRIN solution [Rebetol solution],*,,,,, 3003,Anti-infectives ,Antivirals,BCBSMA,RIMANTIDINE,*,,,,, 3004,Anti-infectives ,Antivirals,BCBSMA,RIMANTIDINE [Flumadine],*,,,,, 3005,Anti-infectives ,Antivirals,BCBSMA,TELBIVUDINE [Tyzeka],*,,,,, 3006,Anti-infectives ,Antivirals,BCBSMA,VALACYCLOVIR [Valcyte],*,,,,, 3007,Anti-infectives ,Antivirals,BCBSMA,VALACYCLOVIR [Valtrex],,,DL,,, 3008,Anti-infectives ,Antivirals,BCBSMA,ZANAMIVIR [Relenza],,,DL,PA,, 3009,Anti-infectives ,Antivirals,BMCHP,ACYCLOVIR,,,,,, 3010,Anti-infectives ,Antivirals,BMCHP,ADEFOVIR [Hepsera],,,,,, 3011,Anti-infectives ,Antivirals,BMCHP,AMANTADINE,,,,,, 3012,Anti-infectives ,Antivirals,BMCHP,ENTECAVIR [Baraclude],,,,,, 3013,Anti-infectives ,Antivirals,BMCHP,ENTECAVIR solution [Baraclude],,,,,, 3014,Anti-infectives ,Antivirals,BMCHP,FAMCICLOVIR ,,,,,, 3015,Anti-infectives ,Antivirals,BMCHP,GANCICLOVIR,,,,,, 3016,Anti-infectives ,Antivirals,BMCHP,GANCICLOVIR [Cytovene],,,,,, 3017,Anti-infectives ,Antivirals,BMCHP,LAMIVUDINE solution [Epivir HBV],,,,,, 3018,Anti-infectives ,Antivirals,BMCHP,LAMIVUDINE tablet [Epivir HBV],,,,,, 3019,Anti-infectives ,Antivirals,BMCHP,OSELTAMIVIR [Tamiflu],,,,,, 3020,Anti-infectives ,Antivirals,BMCHP,PEGINTERFERON ALFA-2A [Pegasys],,,,PA,, 3021,Anti-infectives ,Antivirals,BMCHP,PEGINTERFERON ALFA-2B [PegIntron],,,,PA,, 3022,Anti-infectives ,Antivirals,BMCHP,RIBAVIRIN,,,,PA,, 3023,Anti-infectives ,Antivirals,BMCHP,RIBAVIRIN [Ribapack],,,,PA,, 3024,Anti-infectives ,Antivirals,BMCHP,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],,,,PA,, 3025,Anti-infectives ,Antivirals,BMCHP,RIBAVIRIN solution [Rebetol solution],,,,PA,, 3026,Anti-infectives ,Antivirals,BMCHP,RIMANTIDINE,,,,,, 3027,Anti-infectives ,Antivirals,BMCHP,TELBIVUDINE [Tyzeka],,,,,, 3028,Anti-infectives ,Antivirals,BMCHP,VALACYCLOVIR [Valcyte],,,,,, 3029,Anti-infectives ,Antivirals,BMCHP,VALACYCLOVIR [Valtrex],,,,,, 3030,Anti-infectives ,Antivirals,BMCHP,ZANAMIVIR [Relenza],,,,,, 3031,Anti-infectives ,Antivirals,FCHP,ACYCLOVIR,,,,,, 3032,Anti-infectives ,Antivirals,FCHP,ADEFOVIR [Hepsera],,,,PA,, 3033,Anti-infectives ,Antivirals,FCHP,AMANTADINE,,,,,, 3034,Anti-infectives ,Antivirals,FCHP,FAMCICLOVIR ,,,,,, 3035,Anti-infectives ,Antivirals,FCHP,FAMCICLOVIR [Famvir],,,,,, 3036,Anti-infectives ,Antivirals,FCHP,GANCICLOVIR,,,,,, 3037,Anti-infectives ,Antivirals,FCHP,GANCICLOVIR [Cytovene],,,,PA,, 3038,Anti-infectives ,Antivirals,FCHP,LAMIVUDINE solution [Epivir HBV],,,,,, 3039,Anti-infectives ,Antivirals,FCHP,LAMIVUDINE tablet [Epivir HBV],,,,,, 3040,Anti-infectives ,Antivirals,FCHP,PEGINTERFERON ALFA-2A [Pegasys],,,,PA,, 3041,Anti-infectives ,Antivirals,FCHP,PEGINTERFERON ALFA-2B [PegIntron],,,,PA,, 3042,Anti-infectives ,Antivirals,FCHP,RIBAVIRIN,,,,PA,, 3043,Anti-infectives ,Antivirals,FCHP,RIBAVIRIN [Ribapack],,,,PA,, 3044,Anti-infectives ,Antivirals,FCHP,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],,,,PA,, 3045,Anti-infectives ,Antivirals,FCHP,RIBAVIRIN solution [Rebetol solution],,,,PA,, 3046,Anti-infectives ,Antivirals,FCHP,RIMANTIDINE,,,,,, 3047,Anti-infectives ,Antivirals,FCHP,RIMANTIDINE [Flumadine],,,,PA,, 3048,Anti-infectives ,Antivirals,FCHP,VALACYCLOVIR [Valcyte],,,,PA,, 3049,Anti-infectives ,Antivirals,FCHP,VALACYCLOVIR [Valtrex],,,,,, 3050,Anti-infectives ,Antivirals,HPHC,ACYCLOVIR,,,,,, 3051,Anti-infectives ,Antivirals,HPHC,ADEFOVIR [Hepsera],,,,,, 3052,Anti-infectives ,Antivirals,HPHC,AMANTADINE,,,,,, 3053,Anti-infectives ,Antivirals,HPHC,ENTECAVIR [Baraclude],,,,,, 3054,Anti-infectives ,Antivirals,HPHC,ENTECAVIR solution [Baraclude],,,,,, 3055,Anti-infectives ,Antivirals,HPHC,FAMCICLOVIR ,,,,,, 3056,Anti-infectives ,Antivirals,HPHC,FAMCICLOVIR [Famvir],,,,,, 3057,Anti-infectives ,Antivirals,HPHC,GANCICLOVIR,,,,,, 3058,Anti-infectives ,Antivirals,HPHC,GANCICLOVIR [Cytovene],,,,,, 3059,Anti-infectives ,Antivirals,HPHC,LAMIVUDINE solution [Epivir HBV],,,,,, 3060,Anti-infectives ,Antivirals,HPHC,LAMIVUDINE tablet [Epivir HBV],,,,,, 3061,Anti-infectives ,Antivirals,HPHC,OSELTAMIVIR [Tamiflu],,,DL,,, 3062,Anti-infectives ,Antivirals,HPHC,PEGINTERFERON ALFA-2A [Pegasys],,,,,, 3063,Anti-infectives ,Antivirals,HPHC,PEGINTERFERON ALFA-2B [PegIntron],,,,,, 3064,Anti-infectives ,Antivirals,HPHC,RIBAVIRIN,,,,,, 3065,Anti-infectives ,Antivirals,HPHC,RIBAVIRIN [Ribapack],,,,,, 3066,Anti-infectives ,Antivirals,HPHC,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],,,,,, 3067,Anti-infectives ,Antivirals,HPHC,RIBAVIRIN solution [Rebetol solution],,,,,, 3068,Anti-infectives ,Antivirals,HPHC,RIMANTIDINE,,,,,, 3069,Anti-infectives ,Antivirals,HPHC,RIMANTIDINE [Flumadine],,,,,, 3070,Anti-infectives ,Antivirals,HPHC,TELBIVUDINE [Tyzeka],,,,,, 3071,Anti-infectives ,Antivirals,HPHC,VALACYCLOVIR [Valcyte],,,,,, 3072,Anti-infectives ,Antivirals,HPHC,VALACYCLOVIR [Valtrex],,,,,, 3073,Anti-infectives ,Antivirals,HPHC,ZANAMIVIR [Relenza],,,DL,,, 3074,Anti-infectives ,Antivirals,HNE,ACYCLOVIR,,,,,, 3075,Anti-infectives ,Antivirals,HNE,ADEFOVIR [Hepsera],,,,,, 3076,Anti-infectives ,Antivirals,HNE,AMANTADINE,,,,,, 3077,Anti-infectives ,Antivirals,HNE,FAMCICLOVIR ,,,,,, 3078,Anti-infectives ,Antivirals,HNE,GANCICLOVIR,,,,,, 3079,Anti-infectives ,Antivirals,HNE,LAMIVUDINE solution [Epivir HBV],,,,,, 3080,Anti-infectives ,Antivirals,HNE,LAMIVUDINE tablet [Epivir HBV],,,,,, 3081,Anti-infectives ,Antivirals,HNE,PEGINTERFERON ALFA-2A [Pegasys],,,,,, 3082,Anti-infectives ,Antivirals,HNE,PEGINTERFERON ALFA-2B [PegIntron],,,,,, 3083,Anti-infectives ,Antivirals,HNE,RIBAVIRIN,,,,,, 3084,Anti-infectives ,Antivirals,HNE,RIBAVIRIN solution [Rebetol solution],,,,,, 3085,Anti-infectives ,Antivirals,HNE,RIMANTIDINE,,,,,, 3086,Anti-infectives ,Antivirals,HNE,VALACYCLOVIR [Valtrex],,,,,, 3087,Anti-infectives ,Antivirals,NHP,ACYCLOVIR,,,,,, 3088,Anti-infectives ,Antivirals,NHP,ADEFOVIR [Hepsera],,,DL,,, 3089,Anti-infectives ,Antivirals,NHP,AMANTADINE,,,,,, 3090,Anti-infectives ,Antivirals,NHP,ENTECAVIR [Baraclude],,,DL,,, 3091,Anti-infectives ,Antivirals,NHP,ENTECAVIR solution [Baraclude],,,DL,,, 3092,Anti-infectives ,Antivirals,NHP,FAMCICLOVIR ,,,,,, 3093,Anti-infectives ,Antivirals,NHP,FAMCICLOVIR [Famvir],,,,,,NC 3094,Anti-infectives ,Antivirals,NHP,GANCICLOVIR,,,,,, 3095,Anti-infectives ,Antivirals,NHP,LAMIVUDINE solution [Epivir HBV],,,DL,,, 3096,Anti-infectives ,Antivirals,NHP,LAMIVUDINE tablet [Epivir HBV],,,DL,,, 3097,Anti-infectives ,Antivirals,NHP,PEGINTERFERON ALFA-2A [Pegasys],,,DL,,, 3098,Anti-infectives ,Antivirals,NHP,RIBAVIRIN,,,,,, 3099,Anti-infectives ,Antivirals,NHP,RIMANTIDINE,,,,,, 3100,Anti-infectives ,Antivirals,NHP,RIMANTIDINE [Flumadine],,,,,,NC 3101,Anti-infectives ,Antivirals,NHP,TELBIVUDINE [Tyzeka],,,DL,,, 3102,Anti-infectives ,Antivirals,NHP,VALACYCLOVIR [Valcyte],,,,,, 3103,Anti-infectives ,Antivirals,NHP,VALACYCLOVIR [Valtrex],,,,,, 3104,Anti-infectives ,Antivirals,NTWK,ACYCLOVIR,,,,,, 3105,Anti-infectives ,Antivirals,NTWK,ADEFOVIR [Hepsera],,,,,, 3106,Anti-infectives ,Antivirals,NTWK,AMANTADINE,,,,,, 3107,Anti-infectives ,Antivirals,NTWK,ENTECAVIR [Baraclude],,,,,, 3108,Anti-infectives ,Antivirals,NTWK,ENTECAVIR solution [Baraclude],,,,,, 3109,Anti-infectives ,Antivirals,NTWK,GANCICLOVIR,,,,,, 3110,Anti-infectives ,Antivirals,NTWK,LAMIVUDINE solution [Epivir HBV],,,,,, 3111,Anti-infectives ,Antivirals,NTWK,LAMIVUDINE tablet [Epivir HBV],,,,,, 3112,Anti-infectives ,Antivirals,NTWK,OSELTAMIVIR [Tamiflu],,,DL,,, 3113,Anti-infectives ,Antivirals,NTWK,PEGINTERFERON ALFA-2A [Pegasys],,,,,, 3114,Anti-infectives ,Antivirals,NTWK,PEGINTERFERON ALFA-2B [PegIntron],,,,,, 3115,Anti-infectives ,Antivirals,NTWK,RIBAVIRIN,,,,,, 3116,Anti-infectives ,Antivirals,NTWK,RIBAVIRIN solution [Rebetol solution],,,,,, 3117,Anti-infectives ,Antivirals,NTWK,RIMANTIDINE,,,,,, 3118,Anti-infectives ,Antivirals,NTWK,TELBIVUDINE [Tyzeka],,,,,, 3119,Anti-infectives ,Antivirals,NTWK,VALACYCLOVIR [Valcyte],,,,,, 3120,Anti-infectives ,Antivirals,NTWK,VALACYCLOVIR [Valtrex],,,,,, 3121,Anti-infectives ,Antivirals,NTWK,ZANAMIVIR [Relenza],,,DL,,, 3122,Anti-infectives ,Antivirals,MAHLTH,ACYCLOVIR,,,,,, 3123,Anti-infectives ,Antivirals,MAHLTH,ADEFOVIR [Hepsera],,,,PA>=31 units/month,, 3124,Anti-infectives ,Antivirals,MAHLTH,AMANTADINE,,,,,, 3125,Anti-infectives ,Antivirals,MAHLTH,ENTECAVIR [Baraclude],,,,PA>=31 units/month,, 3126,Anti-infectives ,Antivirals,MAHLTH,ENTECAVIR solution [Baraclude],,,,PA>=601 ml/month,, 3127,Anti-infectives ,Antivirals,MAHLTH,FAMCICLOVIR ,,,,,, 3128,Anti-infectives ,Antivirals,MAHLTH,FAMCICLOVIR [Famvir],,,,PA,, 3129,Anti-infectives ,Antivirals,MAHLTH,GANCICLOVIR,,,,,, 3130,Anti-infectives ,Antivirals,MAHLTH,GANCICLOVIR [Cytovene],,,,,, 3131,Anti-infectives ,Antivirals,MAHLTH,LAMIVUDINE solution [Epivir HBV],,,,PA>=601 ml/month,, 3132,Anti-infectives ,Antivirals,MAHLTH,LAMIVUDINE tablet [Epivir HBV],,,,PA>=31 units/month,, 3133,Anti-infectives ,Antivirals,MAHLTH,OSELTAMIVIR [Tamiflu],See MHDL website,,,,, 3134,Anti-infectives ,Antivirals,MAHLTH,PEGINTERFERON ALFA-2A [Pegasys],,,,PA>=5 doses/month,, 3135,Anti-infectives ,Antivirals,MAHLTH,PEGINTERFERON ALFA-2B [PegIntron],,,,PA>=5 doses/month,, 3136,Anti-infectives ,Antivirals,MAHLTH,RIBAVIRIN,,,,,, 3137,Anti-infectives ,Antivirals,MAHLTH,RIBAVIRIN [Ribapack],,,,PA,, 3138,Anti-infectives ,Antivirals,MAHLTH,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],,,,PA,, 3139,Anti-infectives ,Antivirals,MAHLTH,RIBAVIRIN solution [Rebetol solution],,,,PA>=19 yrs old,, 3140,Anti-infectives ,Antivirals,MAHLTH,RIMANTIDINE,,,,,, 3141,Anti-infectives ,Antivirals,MAHLTH,RIMANTIDINE [Flumadine],,,,PA,, 3142,Anti-infectives ,Antivirals,MAHLTH,TELBIVUDINE [Tyzeka],,,,PA>=31 units/month,, 3143,Anti-infectives ,Antivirals,MAHLTH,VALACYCLOVIR [Valcyte],,,,,, 3144,Anti-infectives ,Antivirals,MAHLTH,VALACYCLOVIR [Valtrex],,,,,, 3145,Anti-infectives ,Antivirals,MAHLTH,ZANAMIVIR [Relenza],See MHDL website,,,,, 3146,Anti-infectives ,Antivirals,THP,ACYCLOVIR,*,,,,, 3147,Anti-infectives ,Antivirals,THP,ADEFOVIR [Hepsera],,,,,, 3148,Anti-infectives ,Antivirals,THP,AMANTADINE,,,,,, 3149,Anti-infectives ,Antivirals,THP,ENTECAVIR [Baraclude],,,,,, 3150,Anti-infectives ,Antivirals,THP,ENTECAVIR solution [Baraclude],,,,,, 3151,Anti-infectives ,Antivirals,THP,FAMCICLOVIR ,*,,,,, 3152,Anti-infectives ,Antivirals,THP,FAMCICLOVIR [Famvir],,,,,, 3153,Anti-infectives ,Antivirals,THP,GANCICLOVIR,,,,,, 3154,Anti-infectives ,Antivirals,THP,GANCICLOVIR [Cytovene],,,,,, 3155,Anti-infectives ,Antivirals,THP,LAMIVUDINE solution [Epivir HBV],,,,,, 3156,Anti-infectives ,Antivirals,THP,LAMIVUDINE tablet [Epivir HBV],,,,,, 3157,Anti-infectives ,Antivirals,THP,OSELTAMIVIR [Tamiflu],,,DL,,, 3158,Anti-infectives ,Antivirals,THP,PEGINTERFERON ALFA-2A [Pegasys],*,,DL,PA,, 3159,Anti-infectives ,Antivirals,THP,PEGINTERFERON ALFA-2B [PegIntron],,,DL,PA,, 3160,Anti-infectives ,Antivirals,THP,RIBAVIRIN,,,,,, 3161,Anti-infectives ,Antivirals,THP,RIBAVIRIN [Ribapack],,,,,, 3162,Anti-infectives ,Antivirals,THP,RIBAVIRIN [Ribasphere 400 mg, Ribasphere 600 mg],,,,,, 3163,Anti-infectives ,Antivirals,THP,RIBAVIRIN solution [Rebetol solution],,,,,, 3164,Anti-infectives ,Antivirals,THP,RIMANTIDINE,,,,,, 3165,Anti-infectives ,Antivirals,THP,RIMANTIDINE [Flumadine],,,,,, 3166,Anti-infectives ,Antivirals,THP,TELBIVUDINE [Tyzeka],,,DL,,, 3167,Anti-infectives ,Antivirals,THP,VALACYCLOVIR [Valcyte],,,,,, 3168,Anti-infectives ,Antivirals,THP,VALACYCLOVIR [Valtrex],*,,,,, 3169,Anti-infectives ,Antivirals,THP,ZANAMIVIR [Relenza],,,DL,,, 3170,Anti-infectives,Cephalosporins,AETNA,CEFACLOR,*,,,,, 3171,Anti-infectives,Cephalosporins,AETNA,CEFACLOR SR,*,,,,, 3172,Anti-infectives,Cephalosporins,AETNA,CEFADROXIL,*,,,,, 3173,Anti-infectives,Cephalosporins,AETNA,CEFDINIR,*,,,,, 3174,Anti-infectives,Cephalosporins,AETNA,CEFDINIR [Omnicef],,,,,, 3175,Anti-infectives,Cephalosporins,AETNA,CEFDITOREN [Spectracef],,FE,,,, 3176,Anti-infectives,Cephalosporins,AETNA,CEFIXIME[Suprax],,FE,,,, 3177,Anti-infectives,Cephalosporins,AETNA,CEFPODOXIME,*,,,,, 3178,Anti-infectives,Cephalosporins,AETNA,CEFPROZIL,*,,,,, 3179,Anti-infectives,Cephalosporins,AETNA,CEFTIBUTEN [Cedax],,FE,,,, 3180,Anti-infectives,Cephalosporins,AETNA,CEFUROXIME,*,,,,, 3181,Anti-infectives,Cephalosporins,AETNA,CEFUROXIME [Ceftin suspension],,,,,, 3182,Anti-infectives,Cephalosporins,AETNA,CEPHALEXIN,*,,,,, 3183,Anti-infectives,Cephalosporins,BCBSMA,CEFACLOR,*,,,,, 3184,Anti-infectives,Cephalosporins,BCBSMA,CEFACLOR SR,*,,,,, 3185,Anti-infectives,Cephalosporins,BCBSMA,CEFADROXIL,*,,,,, 3186,Anti-infectives,Cephalosporins,BCBSMA,CEFDINIR,*,,,,, 3187,Anti-infectives,Cephalosporins,BCBSMA,CEFDINIR [Omnicef],,,,,,NC 3188,Anti-infectives,Cephalosporins,BCBSMA,CEFDITOREN [Spectracef],,,,,,NC 3189,Anti-infectives,Cephalosporins,BCBSMA,CEFIXIME[Suprax],*,,,,, 3190,Anti-infectives,Cephalosporins,BCBSMA,CEFPODOXIME,*,,,,, 3191,Anti-infectives,Cephalosporins,BCBSMA,CEFPROZIL,*,,,,, 3192,Anti-infectives,Cephalosporins,BCBSMA,CEFTIBUTEN [Cedax],,,,,,NC 3193,Anti-infectives,Cephalosporins,BCBSMA,CEFUROXIME,*,,,,, 3194,Anti-infectives,Cephalosporins,BCBSMA,CEFUROXIME [Ceftin suspension],,,,,, 3195,Anti-infectives,Cephalosporins,BCBSMA,CEPHALEXIN,*,,,,, 3196,Anti-infectives,Cephalosporins,BMCHP,CEFACLOR,,,,,, 3197,Anti-infectives,Cephalosporins,BMCHP,CEFACLOR SR,,,,,, 3198,Anti-infectives,Cephalosporins,BMCHP,CEFADROXIL,,,,,, 3199,Anti-infectives,Cephalosporins,BMCHP,CEFDINIR,,,,,, 3200,Anti-infectives,Cephalosporins,BMCHP,CEFDITOREN [Spectracef],,,,,, 3201,Anti-infectives,Cephalosporins,BMCHP,CEFIXIME[Suprax],,,,,, 3202,Anti-infectives,Cephalosporins,BMCHP,CEFPODOXIME,,,,,, 3203,Anti-infectives,Cephalosporins,BMCHP,CEFPROZIL,,,,,, 3204,Anti-infectives,Cephalosporins,BMCHP,CEFTIBUTEN [Cedax],,,,,, 3205,Anti-infectives,Cephalosporins,BMCHP,CEFUROXIME,,,,,, 3206,Anti-infectives,Cephalosporins,BMCHP,CEFUROXIME [Ceftin suspension],,,,,, 3207,Anti-infectives,Cephalosporins,BMCHP,CEPHALEXIN,=10 yrs old,,,,, 3208,Anti-infectives,Cephalosporins,FCHP,CEFACLOR,,,,,, 3209,Anti-infectives,Cephalosporins,FCHP,CEFACLOR SR,,,,,, 3210,Anti-infectives,Cephalosporins,FCHP,CEFADROXIL,,,,,, 3211,Anti-infectives,Cephalosporins,FCHP,CEFDINIR,,,,,, 3212,Anti-infectives,Cephalosporins,FCHP,CEFPODOXIME,,,,,, 3213,Anti-infectives,Cephalosporins,FCHP,CEFPROZIL,,,,,, 3214,Anti-infectives,Cephalosporins,FCHP,CEFUROXIME,,,,,, 3215,Anti-infectives,Cephalosporins,FCHP,CEPHALEXIN,=10 yrs old,,,,, 3216,Anti-infectives,Cephalosporins,HPHC,CEFACLOR,,,,,, 3217,Anti-infectives,Cephalosporins,HPHC,CEFACLOR SR,,,,,, 3218,Anti-infectives,Cephalosporins,HPHC,CEFADROXIL,,,,,, 3219,Anti-infectives,Cephalosporins,HPHC,CEFDINIR,,,,,, 3220,Anti-infectives,Cephalosporins,HPHC,CEFDINIR [Omnicef],,,,,, 3221,Anti-infectives,Cephalosporins,HPHC,CEFDITOREN [Spectracef],,,,,, 3222,Anti-infectives,Cephalosporins,HPHC,CEFIXIME[Suprax],,,,,, 3223,Anti-infectives,Cephalosporins,HPHC,CEFPODOXIME,,,,,, 3224,Anti-infectives,Cephalosporins,HPHC,CEFPROZIL,,,,,, 3225,Anti-infectives,Cephalosporins,HPHC,CEFTIBUTEN [Cedax],,,,,, 3226,Anti-infectives,Cephalosporins,HPHC,CEFUROXIME,,,,,, 3227,Anti-infectives,Cephalosporins,HPHC,CEFUROXIME [Ceftin suspension],,,,,, 3228,Anti-infectives,Cephalosporins,HPHC,CEPHALEXIN,,,,,, 3229,Anti-infectives,Cephalosporins,HNE,CEFACLOR,,,,,, 3230,Anti-infectives,Cephalosporins,HNE,CEFACLOR SR,,,,,, 3231,Anti-infectives,Cephalosporins,HNE,CEFADROXIL,,,,,, 3232,Anti-infectives,Cephalosporins,HNE,CEFDINIR,,,,,, 3233,Anti-infectives,Cephalosporins,HNE,CEFIXIME[Suprax],,,,,, 3234,Anti-infectives,Cephalosporins,HNE,CEFPODOXIME,,,,,, 3235,Anti-infectives,Cephalosporins,HNE,CEFPROZIL,,,,,, 3236,Anti-infectives,Cephalosporins,HNE,CEFUROXIME,,,,,, 3237,Anti-infectives,Cephalosporins,HNE,CEPHALEXIN,=10 yrs old,,,,, 3238,Anti-infectives,Cephalosporins,NHP,CEFACLOR,,,,,, 3239,Anti-infectives,Cephalosporins,NHP,CEFACLOR SR,,,,,, 3240,Anti-infectives,Cephalosporins,NHP,CEFADROXIL,,,,,, 3241,Anti-infectives,Cephalosporins,NHP,CEFDINIR,,,,,, 3242,Anti-infectives,Cephalosporins,NHP,CEFDINIR [Omnicef],,,,,,NC 3243,Anti-infectives,Cephalosporins,NHP,CEFPODOXIME,,,,,, 3244,Anti-infectives,Cephalosporins,NHP,CEFPROZIL,,,,,, 3245,Anti-infectives,Cephalosporins,NHP,CEFUROXIME,,,,,, 3246,Anti-infectives,Cephalosporins,NHP,CEPHALEXIN,,,,,, 3247,Anti-infectives,Cephalosporins,NTWK,CEFACLOR,,,,,, 3248,Anti-infectives,Cephalosporins,NTWK,CEFACLOR SR,,,,,, 3249,Anti-infectives,Cephalosporins,NTWK,CEFADROXIL,,,,,, 3250,Anti-infectives,Cephalosporins,NTWK,CEFDINIR,,,,,, 3251,Anti-infectives,Cephalosporins,NTWK,CEFDITOREN [Spectracef],,,,,, 3252,Anti-infectives,Cephalosporins,NTWK,CEFIXIME[Suprax],,,,,, 3253,Anti-infectives,Cephalosporins,NTWK,CEFPODOXIME,,,,,, 3254,Anti-infectives,Cephalosporins,NTWK,CEFPROZIL,,,,,, 3255,Anti-infectives,Cephalosporins,NTWK,CEFTIBUTEN [Cedax],,,,,, 3256,Anti-infectives,Cephalosporins,NTWK,CEFUROXIME,,,,,, 3257,Anti-infectives,Cephalosporins,NTWK,CEPHALEXIN,,,,,, 3258,Anti-infectives,Cephalosporins,MAHLTH,CEFACLOR,,,,,, 3259,Anti-infectives,Cephalosporins,MAHLTH,CEFACLOR SR,,,,PA,, 3260,Anti-infectives,Cephalosporins,MAHLTH,CEFADROXIL,PA required for 1g tablet,,,,, 3261,Anti-infectives,Cephalosporins,MAHLTH,CEFDINIR,,,,,, 3262,Anti-infectives,Cephalosporins,MAHLTH,CEFDINIR [Omnicef],,,,PA,, 3263,Anti-infectives,Cephalosporins,MAHLTH,CEFDITOREN [Spectracef],,,,,, 3264,Anti-infectives,Cephalosporins,MAHLTH,CEFIXIME[Suprax],,,,,, 3265,Anti-infectives,Cephalosporins,MAHLTH,CEFPODOXIME,,,,,, 3266,Anti-infectives,Cephalosporins,MAHLTH,CEFPROZIL,,,,,, 3267,Anti-infectives,Cephalosporins,MAHLTH,CEFTIBUTEN [Cedax],,,,,, 3268,Anti-infectives,Cephalosporins,MAHLTH,CEFUROXIME,,,,,, 3269,Anti-infectives,Cephalosporins,MAHLTH,CEFUROXIME [Ceftin suspension],,,,PA,, 3270,Anti-infectives,Cephalosporins,MAHLTH,CEPHALEXIN,,,,,, 3271,Anti-infectives,Cephalosporins,THP,CEFACLOR,*,,,,, 3272,Anti-infectives,Cephalosporins,THP,CEFACLOR SR,*,,,,, 3273,Anti-infectives,Cephalosporins,THP,CEFADROXIL,,,,,, 3274,Anti-infectives,Cephalosporins,THP,CEFDINIR,*,,,,, 3275,Anti-infectives,Cephalosporins,THP,CEFDINIR [Omnicef],,,,,, 3276,Anti-infectives,Cephalosporins,THP,CEFDITOREN [Spectracef],,,,,, 3277,Anti-infectives,Cephalosporins,THP,CEFIXIME[Suprax],,,,,, 3278,Anti-infectives,Cephalosporins,THP,CEFPODOXIME,,,,,, 3279,Anti-infectives,Cephalosporins,THP,CEFPROZIL,,,,,, 3280,Anti-infectives,Cephalosporins,THP,CEFTIBUTEN [Cedax],,,,,, 3281,Anti-infectives,Cephalosporins,THP,CEFUROXIME,,,,,, 3282,Anti-infectives,Cephalosporins,THP,CEFUROXIME [Ceftin suspension],,,,,, 3283,Anti-infectives,Cephalosporins,THP,CEPHALEXIN,*,,,,, 3284,Anti-infectives,Fluoroquinolones,AETNA,CIPROFLOXACIN,*,,,PA<=10 yrs old,, 3285,Anti-infectives,Fluoroquinolones,AETNA,CIPROFLOXACIN extended release,*,,,PA<=10 yrs old,, 3286,Anti-infectives,Fluoroquinolones,AETNA,CIPROFLOXACIN extended release [Cipro XR],,FE,,PA<=10 yrs old,, 3287,Anti-infectives,Fluoroquinolones,AETNA,GEMIFLOXACIN [Factive],,FE,,PA<=10 yrs old,, 3288,Anti-infectives,Fluoroquinolones,AETNA,LEVOFLOXACIN [Levaquin],,FE,,PA<=10 yrs old,, 3289,Anti-infectives,Fluoroquinolones,AETNA,MOXIFLOXACIN [Avelox] ,*,,,PA<=10 yrs old,, 3290,Anti-infectives,Fluoroquinolones,AETNA,NORFLOXACIN [Noroxin],,FE,,PA<=10 yrs old,, 3291,Anti-infectives,Fluoroquinolones,AETNA,OFLOXACIN,*,,,PA<=10 yrs old,, 3292,Anti-infectives,Fluoroquinolones,BCBSMA,CIPROFLOXACIN,*,,,,, 3293,Anti-infectives,Fluoroquinolones,BCBSMA,CIPROFLOXACIN extended release,*,,,,, 3294,Anti-infectives,Fluoroquinolones,BCBSMA,CIPROFLOXACIN extended release [Cipro XR],,,,,,NC 3295,Anti-infectives,Fluoroquinolones,BCBSMA,GEMIFLOXACIN [Factive],,,,,,NC 3296,Anti-infectives,Fluoroquinolones,BCBSMA,LEVOFLOXACIN [Levaquin],,,,,,NC 3297,Anti-infectives,Fluoroquinolones,BCBSMA,MOXIFLOXACIN [Avelox] ,*,,,,, 3298,Anti-infectives,Fluoroquinolones,BCBSMA,NORFLOXACIN [Noroxin],,,,,,NC 3299,Anti-infectives,Fluoroquinolones,BCBSMA,OFLOXACIN,*,,,,, 3300,Anti-infectives,Fluoroquinolones,BMCHP,CIPROFLOXACIN,,,,,, 3301,Anti-infectives,Fluoroquinolones,BMCHP,CIPROFLOXACIN extended release,,,,,, 3302,Anti-infectives,Fluoroquinolones,BMCHP,GEMIFLOXACIN [Factive],,,,,, 3303,Anti-infectives,Fluoroquinolones,BMCHP,LEVOFLOXACIN [Levaquin],,,,,, 3304,Anti-infectives,Fluoroquinolones,BMCHP,MOXIFLOXACIN [Avelox] ,,,,,, 3305,Anti-infectives,Fluoroquinolones,BMCHP,NORFLOXACIN [Noroxin],,,,,, 3306,Anti-infectives,Fluoroquinolones,BMCHP,OFLOXACIN,,,,,, 3307,Anti-infectives,Fluoroquinolones,FCHP,CIPROFLOXACIN,,,,,, 3308,Anti-infectives,Fluoroquinolones,FCHP,CIPROFLOXACIN extended release,,,,,, 3309,Anti-infectives,Fluoroquinolones,FCHP,MOXIFLOXACIN [Avelox] ,,,,,, 3310,Anti-infectives,Fluoroquinolones,FCHP,NORFLOXACIN [Noroxin],,,,,, 3311,Anti-infectives,Fluoroquinolones,FCHP,OFLOXACIN,,,,,, 3312,Anti-infectives,Fluoroquinolones,HPHC,CIPROFLOXACIN,,,,,, 3313,Anti-infectives,Fluoroquinolones,HPHC,CIPROFLOXACIN extended release,,,,,, 3314,Anti-infectives,Fluoroquinolones,HPHC,CIPROFLOXACIN extended release [Cipro XR],,,,,, 3315,Anti-infectives,Fluoroquinolones,HPHC,GEMIFLOXACIN [Factive],,,,,, 3316,Anti-infectives,Fluoroquinolones,HPHC,LEVOFLOXACIN [Levaquin],,,,,, 3317,Anti-infectives,Fluoroquinolones,HPHC,MOXIFLOXACIN [Avelox] ,,,,,, 3318,Anti-infectives,Fluoroquinolones,HPHC,NORFLOXACIN [Noroxin],,,,,, 3319,Anti-infectives,Fluoroquinolones,HPHC,OFLOXACIN,,,,,, 3320,Anti-infectives,Fluoroquinolones,HNE,CIPROFLOXACIN,,,,,, 3321,Anti-infectives,Fluoroquinolones,HNE,CIPROFLOXACIN extended release,,,,,, 3322,Anti-infectives,Fluoroquinolones,HNE,LEVOFLOXACIN [Levaquin],,,,,, 3323,Anti-infectives,Fluoroquinolones,HNE,OFLOXACIN,,,,,, 3324,Anti-infectives,Fluoroquinolones,NHP,CIPROFLOXACIN,,,,,, 3325,Anti-infectives,Fluoroquinolones,NHP,CIPROFLOXACIN extended release,,,,,, 3326,Anti-infectives,Fluoroquinolones,NHP,CIPROFLOXACIN extended release [Cipro XR],,,,,,NC 3327,Anti-infectives,Fluoroquinolones,NHP,OFLOXACIN,,,,,, 3328,Anti-infectives,Fluoroquinolones,NTWK,CIPROFLOXACIN,,,,,, 3329,Anti-infectives,Fluoroquinolones,NTWK,CIPROFLOXACIN extended release,,,,,, 3330,Anti-infectives,Fluoroquinolones,NTWK,GEMIFLOXACIN [Factive],,,,,, 3331,Anti-infectives,Fluoroquinolones,NTWK,LEVOFLOXACIN [Levaquin],,,,,, 3332,Anti-infectives,Fluoroquinolones,NTWK,MOXIFLOXACIN [Avelox] ,,,,,, 3333,Anti-infectives,Fluoroquinolones,NTWK,NORFLOXACIN [Noroxin],,,,,, 3334,Anti-infectives,Fluoroquinolones,NTWK,OFLOXACIN,,,,,, 3335,Anti-infectives,Fluoroquinolones,MAHLTH,CIPROFLOXACIN,,,,,, 3336,Anti-infectives,Fluoroquinolones,MAHLTH,CIPROFLOXACIN extended release,,,,PA,, 3337,Anti-infectives,Fluoroquinolones,MAHLTH,CIPROFLOXACIN extended release [Cipro XR],,,,PA,, 3338,Anti-infectives,Fluoroquinolones,MAHLTH,GEMIFLOXACIN [Factive],,,,,, 3339,Anti-infectives,Fluoroquinolones,MAHLTH,LEVOFLOXACIN [Levaquin],,,,,, 3340,Anti-infectives,Fluoroquinolones,MAHLTH,MOXIFLOXACIN [Avelox] ,,,,,, 3341,Anti-infectives,Fluoroquinolones,MAHLTH,NORFLOXACIN [Noroxin],,,,,, 3342,Anti-infectives,Fluoroquinolones,MAHLTH,OFLOXACIN,,,,,, 3343,Anti-infectives,Fluoroquinolones,THP,CIPROFLOXACIN,*,,,,, 3344,Anti-infectives,Fluoroquinolones,THP,CIPROFLOXACIN extended release,*,,,,, 3345,Anti-infectives,Fluoroquinolones,THP,CIPROFLOXACIN extended release [Cipro XR],,,,,, 3346,Anti-infectives,Fluoroquinolones,THP,GEMIFLOXACIN [Factive],,,,,,NC 3347,Anti-infectives,Fluoroquinolones,THP,LEVOFLOXACIN [Levaquin],,,,,,NC 3348,Anti-infectives,Fluoroquinolones,THP,MOXIFLOXACIN [Avelox] ,*,,,,, 3349,Anti-infectives,Fluoroquinolones,THP,NORFLOXACIN [Noroxin],,,,,, 3350,Anti-infectives,Fluoroquinolones,THP,OFLOXACIN,,,,,, 3351,Anti-infectives,Macrolides,AETNA,AZITHROMYCIN,*,,,,, 3352,Anti-infectives,Macrolides,AETNA,AZITHROMYCIN [Zithromax],,FE,,,, 3353,Anti-infectives,Macrolides,AETNA,AZITHROMYCIN [Zmax] ,,FE,,,, 3354,Anti-infectives,Macrolides,AETNA,CLARITHROMYCIN,*,,,,, 3355,Anti-infectives,Macrolides,AETNA,CLARITHROMYCIN XL,*,,,,, 3356,Anti-infectives,Macrolides,AETNA,ERYTHROMYCIN oral,*,,,,, 3357,Anti-infectives,Macrolides,AETNA,ERYTHROMYCIN/SULFISOXAZOLE,*,,,,, 3358,Anti-infectives,Macrolides,BCBSMA,AZITHROMYCIN,*,,,,, 3359,Anti-infectives,Macrolides,BCBSMA,AZITHROMYCIN [Zithromax],,,,,, 3360,Anti-infectives,Macrolides,BCBSMA,AZITHROMYCIN [Zmax] ,,,,,,NC 3361,Anti-infectives,Macrolides,BCBSMA,CLARITHROMYCIN,*,,,,, 3362,Anti-infectives,Macrolides,BCBSMA,CLARITHROMYCIN XL,*,,,,, 3363,Anti-infectives,Macrolides,BCBSMA,ERYTHROMYCIN oral,*,,,,, 3364,Anti-infectives,Macrolides,BCBSMA,ERYTHROMYCIN/SULFISOXAZOLE,*,,,,, 3365,Anti-infectives,Macrolides,BMCHP,AZITHROMYCIN,,,,,, 3366,Anti-infectives,Macrolides,BMCHP,CLARITHROMYCIN,,,,,, 3367,Anti-infectives,Macrolides,BMCHP,ERYTHROMYCIN oral,,,,,, 3368,Anti-infectives,Macrolides,BMCHP,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3369,Anti-infectives,Macrolides,FCHP,AZITHROMYCIN,,,,,, 3370,Anti-infectives,Macrolides,FCHP,AZITHROMYCIN [Zmax] ,,,,,, 3371,Anti-infectives,Macrolides,FCHP,CLARITHROMYCIN,,,,,, 3372,Anti-infectives,Macrolides,FCHP,CLARITHROMYCIN XL,,,,,, 3373,Anti-infectives,Macrolides,FCHP,ERYTHROMYCIN oral,,,,,, 3374,Anti-infectives,Macrolides,FCHP,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3375,Anti-infectives,Macrolides,HPHC,AZITHROMYCIN,,,,,, 3376,Anti-infectives,Macrolides,HPHC,AZITHROMYCIN [Zithromax],,,,,, 3377,Anti-infectives,Macrolides,HPHC,AZITHROMYCIN [Zmax] ,,,,,, 3378,Anti-infectives,Macrolides,HPHC,CLARITHROMYCIN,,,,,, 3379,Anti-infectives,Macrolides,HPHC,CLARITHROMYCIN XL,,,,,, 3380,Anti-infectives,Macrolides,HPHC,ERYTHROMYCIN oral,,,,,, 3381,Anti-infectives,Macrolides,HPHC,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3382,Anti-infectives,Macrolides,HNE,AZITHROMYCIN,,,,,, 3383,Anti-infectives,Macrolides,HNE,CLARITHROMYCIN,,,,,, 3384,Anti-infectives,Macrolides,HNE,CLARITHROMYCIN XL,,,,,, 3385,Anti-infectives,Macrolides,HNE,ERYTHROMYCIN oral,,,,,, 3386,Anti-infectives,Macrolides,HNE,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3387,Anti-infectives,Macrolides,NHP,AZITHROMYCIN,,,,,, 3388,Anti-infectives,Macrolides,NHP,CLARITHROMYCIN,,,,,, 3389,Anti-infectives,Macrolides,NHP,CLARITHROMYCIN XL,,,,,, 3390,Anti-infectives,Macrolides,NHP,ERYTHROMYCIN oral,,,,,, 3391,Anti-infectives,Macrolides,NHP,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3392,Anti-infectives,Macrolides,NTWK,AZITHROMYCIN,,,,,, 3393,Anti-infectives,Macrolides,NTWK,AZITHROMYCIN [Zmax] ,,,,,, 3394,Anti-infectives,Macrolides,NTWK,CLARITHROMYCIN,,,,,, 3395,Anti-infectives,Macrolides,NTWK,CLARITHROMYCIN XL,,,,,, 3396,Anti-infectives,Macrolides,NTWK,ERYTHROMYCIN oral,,,,,, 3397,Anti-infectives,Macrolides,NTWK,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3398,Anti-infectives,Macrolides,MAHLTH,AZITHROMYCIN,,,,,, 3399,Anti-infectives,Macrolides,MAHLTH,AZITHROMYCIN [Zithromax],,,,PA,, 3400,Anti-infectives,Macrolides,MAHLTH,AZITHROMYCIN [Zmax] ,,,,,, 3401,Anti-infectives,Macrolides,MAHLTH,CLARITHROMYCIN,,,,,, 3402,Anti-infectives,Macrolides,MAHLTH,CLARITHROMYCIN XL,,,,PA,, 3403,Anti-infectives,Macrolides,MAHLTH,ERYTHROMYCIN oral,,,,,, 3404,Anti-infectives,Macrolides,MAHLTH,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3405,Anti-infectives,Macrolides,THP,AZITHROMYCIN,*,,,,, 3406,Anti-infectives,Macrolides,THP,AZITHROMYCIN [Zithromax],,,,,, 3407,Anti-infectives,Macrolides,THP,AZITHROMYCIN [Zmax] ,,,,,, 3408,Anti-infectives,Macrolides,THP,CLARITHROMYCIN,*,,,,, 3409,Anti-infectives,Macrolides,THP,CLARITHROMYCIN XL,*,,,,, 3410,Anti-infectives,Macrolides,THP,ERYTHROMYCIN oral,*,,,,, 3411,Anti-infectives,Macrolides,THP,ERYTHROMYCIN/SULFISOXAZOLE,,,,,, 3412,Anti-infectives,Miscellaneous,AETNA,ATOVAQUONE [Mepron],*,,,,, 3413,Anti-infectives,Miscellaneous,AETNA,CHLOROQUINE PHOSPHATE,*,,,,, 3414,Anti-infectives,Miscellaneous,AETNA,CLINDAMYCIN oral,*,,,,, 3415,Anti-infectives,Miscellaneous,AETNA,CLINDAMYCIN vaginal,*,,,,, 3416,Anti-infectives,Miscellaneous,AETNA,DAPSONE ,*,,,,, 3417,Anti-infectives,Miscellaneous,AETNA,FOSFOMYCIN [Monurol],,FE,,,, 3418,Anti-infectives,Miscellaneous,AETNA,HYDROXYCHLOROQUINE,*,,,PA,, 3419,Anti-infectives,Miscellaneous,AETNA,LINEZOLID [Zyvox],*,,,PA,, 3420,Anti-infectives,Miscellaneous,AETNA,MEBENDAZOLE,*,,,,, 3421,Anti-infectives,Miscellaneous,AETNA,MEFLOQUINE,*,,,,, 3422,Anti-infectives,Miscellaneous,AETNA,METHENAMINE,*,,,,, 3423,Anti-infectives,Miscellaneous,AETNA,METRONIDAZOLE oral,*,,,,, 3424,Anti-infectives,Miscellaneous,AETNA,METRONIDAZOLE topical,*,,,,, 3425,Anti-infectives,Miscellaneous,AETNA,METRONIDAZOLE vaginal,*,,,,, 3426,Anti-infectives,Miscellaneous,AETNA,NEOMYCIN,*,,,,, 3427,Anti-infectives,Miscellaneous,AETNA,NITAZOXAMIDE [Alinia],,,,,, 3428,Anti-infectives,Miscellaneous,AETNA,NITROFURANTOIN,*,,,,, 3429,Anti-infectives,Miscellaneous,AETNA,NITROFURANTOIN [Macrobid] ,,FE,,,, 3430,Anti-infectives,Miscellaneous,AETNA,NITROFURANTOIN solution,*,,,,, 3431,Anti-infectives,Miscellaneous,AETNA,PENTAMIDINE [Nebupent],*,,,,, 3432,Anti-infectives,Miscellaneous,AETNA,PHENAZOPYRIDINE,*,,,,, 3433,Anti-infectives,Miscellaneous,AETNA,QUININE [Qualaquin],,,,,, 3434,Anti-infectives,Miscellaneous,AETNA,RIFAXIMIN [Xifaxan],,FE,DL,PA,, 3435,Anti-infectives,Miscellaneous,AETNA,TELITHROMYCIN [Ketek],,FE,,,, 3436,Anti-infectives,Miscellaneous,AETNA,TINIDAZOLE [Tindamax],,FE,,,, 3437,Anti-infectives,Miscellaneous,AETNA,TRIMETHOPRIM,*,,,,, 3438,Anti-infectives,Miscellaneous,AETNA,VANCOMYCIN [Vancocin] ,,,,,, 3439,Anti-infectives,Miscellaneous,BCBSMA,ATOVAQUONE [Mepron],*,,,,, 3440,Anti-infectives,Miscellaneous,BCBSMA,CHLOROQUINE PHOSPHATE,*,,,,, 3441,Anti-infectives,Miscellaneous,BCBSMA,CLINDAMYCIN oral,*,,,,, 3442,Anti-infectives,Miscellaneous,BCBSMA,CLINDAMYCIN vaginal,*,,,,, 3443,Anti-infectives,Miscellaneous,BCBSMA,DAPSONE ,*,,,,, 3444,Anti-infectives,Miscellaneous,BCBSMA,FOSFOMYCIN [Monurol],,,,,, 3445,Anti-infectives,Miscellaneous,BCBSMA,HYDROXYCHLOROQUINE,*,,,,, 3446,Anti-infectives,Miscellaneous,BCBSMA,LINEZOLID [Zyvox],*,,,,, 3447,Anti-infectives,Miscellaneous,BCBSMA,MEBENDAZOLE,*,,,,, 3448,Anti-infectives,Miscellaneous,BCBSMA,MEFLOQUINE,*,,,,, 3449,Anti-infectives,Miscellaneous,BCBSMA,METHENAMINE,*,,,,, 3450,Anti-infectives,Miscellaneous,BCBSMA,METRONIDAZOLE oral,*,,,,, 3451,Anti-infectives,Miscellaneous,BCBSMA,METRONIDAZOLE topical,*,,,,, 3452,Anti-infectives,Miscellaneous,BCBSMA,METRONIDAZOLE vaginal,*,,,,, 3453,Anti-infectives,Miscellaneous,BCBSMA,NEOMYCIN,*,,,,, 3454,Anti-infectives,Miscellaneous,BCBSMA,NITAZOXAMIDE [Alinia],*,,,,, 3455,Anti-infectives,Miscellaneous,BCBSMA,NITROFURANTOIN,*,,,,, 3456,Anti-infectives,Miscellaneous,BCBSMA,NITROFURANTOIN [Macrobid] ,,,,,, 3457,Anti-infectives,Miscellaneous,BCBSMA,NITROFURANTOIN solution,*,,,,, 3458,Anti-infectives,Miscellaneous,BCBSMA,PENTAMIDINE [Nebupent],*,,DL,,, 3459,Anti-infectives,Miscellaneous,BCBSMA,PHENAZOPYRIDINE,*,,,,, 3460,Anti-infectives,Miscellaneous,BCBSMA,QUININE [Qualaquin],,,DL,,, 3461,Anti-infectives,Miscellaneous,BCBSMA,RIFAXIMIN [Xifaxan],,,,,,NC 3462,Anti-infectives,Miscellaneous,BCBSMA,TELITHROMYCIN [Ketek],,,,,, 3463,Anti-infectives,Miscellaneous,BCBSMA,TINIDAZOLE [Tindamax],,,,,,NC 3464,Anti-infectives,Miscellaneous,BCBSMA,TRIMETHOPRIM,*,,,,, 3465,Anti-infectives,Miscellaneous,BCBSMA,VANCOMYCIN [Vancocin] ,*,,,,, 3466,Anti-infectives,Miscellaneous,BMCHP,ATOVAQUONE [Mepron],,,,,, 3467,Anti-infectives,Miscellaneous,BMCHP,CHLOROQUINE PHOSPHATE,,,DL,,, 3468,Anti-infectives,Miscellaneous,BMCHP,CLINDAMYCIN oral,,,,,, 3469,Anti-infectives,Miscellaneous,BMCHP,CLINDAMYCIN vaginal,,,,,, 3470,Anti-infectives,Miscellaneous,BMCHP,DAPSONE ,,,,,, 3471,Anti-infectives,Miscellaneous,BMCHP,FOSFOMYCIN [Monurol],,,,,, 3472,Anti-infectives,Miscellaneous,BMCHP,HYDROXYCHLOROQUINE,,,,,, 3473,Anti-infectives,Miscellaneous,BMCHP,LINEZOLID [Zyvox],,,DL,PA,, 3474,Anti-infectives,Miscellaneous,BMCHP,MEBENDAZOLE,,,,,, 3475,Anti-infectives,Miscellaneous,BMCHP,MEFLOQUINE,,,,,, 3476,Anti-infectives,Miscellaneous,BMCHP,METHENAMINE,,,,,, 3477,Anti-infectives,Miscellaneous,BMCHP,METRONIDAZOLE oral,,,,,, 3478,Anti-infectives,Miscellaneous,BMCHP,METRONIDAZOLE topical,,,,,, 3479,Anti-infectives,Miscellaneous,BMCHP,METRONIDAZOLE vaginal,,,,,, 3480,Anti-infectives,Miscellaneous,BMCHP,NEOMYCIN,,,,,, 3481,Anti-infectives,Miscellaneous,BMCHP,NITAZOXAMIDE [Alinia],,,,,, 3482,Anti-infectives,Miscellaneous,BMCHP,NITROFURANTOIN,,,,,, 3483,Anti-infectives,Miscellaneous,BMCHP,NITROFURANTOIN solution,,,,,, 3484,Anti-infectives,Miscellaneous,BMCHP,PENTAMIDINE [Nebupent],,,,,, 3485,Anti-infectives,Miscellaneous,BMCHP,PHENAZOPYRIDINE,,,,,, 3486,Anti-infectives,Miscellaneous,BMCHP,RIFAXIMIN [Xifaxan],,,,,, 3487,Anti-infectives,Miscellaneous,BMCHP,TELITHROMYCIN [Ketek],,,,,, 3488,Anti-infectives,Miscellaneous,BMCHP,TINIDAZOLE [Tindamax],,,,,, 3489,Anti-infectives,Miscellaneous,BMCHP,TRIMETHOPRIM,,,,,, 3490,Anti-infectives,Miscellaneous,BMCHP,VANCOMYCIN [Vancocin] ,,,,,, 3491,Anti-infectives,Miscellaneous,FCHP,ATOVAQUONE [Mepron],,,,,, 3492,Anti-infectives,Miscellaneous,FCHP,CHLOROQUINE PHOSPHATE,,,,,, 3493,Anti-infectives,Miscellaneous,FCHP,CLINDAMYCIN oral,,,,,, 3494,Anti-infectives,Miscellaneous,FCHP,CLINDAMYCIN vaginal,,,,,, 3495,Anti-infectives,Miscellaneous,FCHP,DAPSONE ,,,,,, 3496,Anti-infectives,Miscellaneous,FCHP,HYDROXYCHLOROQUINE,,,,,, 3497,Anti-infectives,Miscellaneous,FCHP,LINEZOLID [Zyvox],,,,PA,, 3498,Anti-infectives,Miscellaneous,FCHP,MEBENDAZOLE,,,,,, 3499,Anti-infectives,Miscellaneous,FCHP,MEFLOQUINE,,,,,, 3500,Anti-infectives,Miscellaneous,FCHP,METHENAMINE,,,,,, 3501,Anti-infectives,Miscellaneous,FCHP,METRONIDAZOLE oral,,,,,, 3502,Anti-infectives,Miscellaneous,FCHP,METRONIDAZOLE topical,,,,,, 3503,Anti-infectives,Miscellaneous,FCHP,METRONIDAZOLE vaginal,,,,,, 3504,Anti-infectives,Miscellaneous,FCHP,NEOMYCIN,,,,,, 3505,Anti-infectives,Miscellaneous,FCHP,NITROFURANTOIN,,,,,, 3506,Anti-infectives,Miscellaneous,FCHP,NITROFURANTOIN [Macrobid] ,,,,,, 3507,Anti-infectives,Miscellaneous,FCHP,NITROFURANTOIN solution,,,,,, 3508,Anti-infectives,Miscellaneous,FCHP,PHENAZOPYRIDINE,,,,,, 3509,Anti-infectives,Miscellaneous,FCHP,TRIMETHOPRIM,,,,,, 3510,Anti-infectives,Miscellaneous,FCHP,VANCOMYCIN [Vancocin] ,,,,PA,, 3511,Anti-infectives,Miscellaneous,HPHC,ATOVAQUONE [Mepron],,,,,, 3512,Anti-infectives,Miscellaneous,HPHC,CHLOROQUINE PHOSPHATE,,,,,, 3513,Anti-infectives,Miscellaneous,HPHC,CLINDAMYCIN oral,,,,,, 3514,Anti-infectives,Miscellaneous,HPHC,CLINDAMYCIN vaginal,,,,,, 3515,Anti-infectives,Miscellaneous,HPHC,DAPSONE ,,,,,, 3516,Anti-infectives,Miscellaneous,HPHC,FOSFOMYCIN [Monurol],,,,,, 3517,Anti-infectives,Miscellaneous,HPHC,HYDROXYCHLOROQUINE,,,,,, 3518,Anti-infectives,Miscellaneous,HPHC,LINEZOLID [Zyvox],,,,PA,, 3519,Anti-infectives,Miscellaneous,HPHC,MEBENDAZOLE,,,,,, 3520,Anti-infectives,Miscellaneous,HPHC,MEFLOQUINE,,,,,, 3521,Anti-infectives,Miscellaneous,HPHC,METHENAMINE,,,,,, 3522,Anti-infectives,Miscellaneous,HPHC,METRONIDAZOLE oral,,,,,, 3523,Anti-infectives,Miscellaneous,HPHC,METRONIDAZOLE topical,,,,,, 3524,Anti-infectives,Miscellaneous,HPHC,METRONIDAZOLE vaginal,,,,,, 3525,Anti-infectives,Miscellaneous,HPHC,NEOMYCIN,,,,,, 3526,Anti-infectives,Miscellaneous,HPHC,NITAZOXAMIDE [Alinia],,,,,, 3527,Anti-infectives,Miscellaneous,HPHC,NITROFURANTOIN,,,,,, 3528,Anti-infectives,Miscellaneous,HPHC,NITROFURANTOIN [Macrobid] ,,,,,, 3529,Anti-infectives,Miscellaneous,HPHC,NITROFURANTOIN solution,,,,,, 3530,Anti-infectives,Miscellaneous,HPHC,PENTAMIDINE [Nebupent],,,,,, 3531,Anti-infectives,Miscellaneous,HPHC,PHENAZOPYRIDINE,,,,,, 3532,Anti-infectives,Miscellaneous,HPHC,QUININE [Qualaquin],,,,,, 3533,Anti-infectives,Miscellaneous,HPHC,RIFAXIMIN [Xifaxan],,,,,, 3534,Anti-infectives,Miscellaneous,HPHC,TELITHROMYCIN [Ketek],,,,,, 3535,Anti-infectives,Miscellaneous,HPHC,TINIDAZOLE [Tindamax],,,,,, 3536,Anti-infectives,Miscellaneous,HPHC,TRIMETHOPRIM,,,,,, 3537,Anti-infectives,Miscellaneous,HPHC,VANCOMYCIN [Vancocin] ,,,,,, 3538,Anti-infectives,Miscellaneous,HNE,ATOVAQUONE [Mepron],,,,,, 3539,Anti-infectives,Miscellaneous,HNE,CHLOROQUINE PHOSPHATE,,,,,, 3540,Anti-infectives,Miscellaneous,HNE,CLINDAMYCIN oral,,,,,, 3541,Anti-infectives,Miscellaneous,HNE,CLINDAMYCIN vaginal,,,,,, 3542,Anti-infectives,Miscellaneous,HNE,DAPSONE ,,,,,, 3543,Anti-infectives,Miscellaneous,HNE,HYDROXYCHLOROQUINE,,,,,, 3544,Anti-infectives,Miscellaneous,HNE,MEBENDAZOLE,,,,,, 3545,Anti-infectives,Miscellaneous,HNE,MEFLOQUINE,,,,,, 3546,Anti-infectives,Miscellaneous,HNE,METHENAMINE,,,,,, 3547,Anti-infectives,Miscellaneous,HNE,METRONIDAZOLE oral,,,,,, 3548,Anti-infectives,Miscellaneous,HNE,METRONIDAZOLE topical,,,,,, 3549,Anti-infectives,Miscellaneous,HNE,METRONIDAZOLE vaginal,,,,,, 3550,Anti-infectives,Miscellaneous,HNE,NEOMYCIN,,,,,, 3551,Anti-infectives,Miscellaneous,HNE,NITROFURANTOIN,,,,,, 3552,Anti-infectives,Miscellaneous,HNE,NITROFURANTOIN solution,,,,,, 3553,Anti-infectives,Miscellaneous,HNE,PENTAMIDINE [Nebupent],,,,,, 3554,Anti-infectives,Miscellaneous,HNE,PHENAZOPYRIDINE,,,,,, 3555,Anti-infectives,Miscellaneous,HNE,TRIMETHOPRIM,,,,,, 3556,Anti-infectives,Miscellaneous,HNE,VANCOMYCIN [Vancocin] ,,,,,, 3557,Anti-infectives,Miscellaneous,NHP,ATOVAQUONE [Mepron],,,DL,,, 3558,Anti-infectives,Miscellaneous,NHP,CHLOROQUINE PHOSPHATE,,,,,, 3559,Anti-infectives,Miscellaneous,NHP,CLINDAMYCIN oral,,,,,, 3560,Anti-infectives,Miscellaneous,NHP,CLINDAMYCIN vaginal,,,,,, 3561,Anti-infectives,Miscellaneous,NHP,HYDROXYCHLOROQUINE,,,,,, 3562,Anti-infectives,Miscellaneous,NHP,MEBENDAZOLE,,,,,, 3563,Anti-infectives,Miscellaneous,NHP,MEFLOQUINE,,,,,, 3564,Anti-infectives,Miscellaneous,NHP,METHENAMINE,,,,,, 3565,Anti-infectives,Miscellaneous,NHP,METRONIDAZOLE oral,,,,,, 3566,Anti-infectives,Miscellaneous,NHP,METRONIDAZOLE topical,,,,,, 3567,Anti-infectives,Miscellaneous,NHP,METRONIDAZOLE vaginal,,,,,, 3568,Anti-infectives,Miscellaneous,NHP,NEOMYCIN,,,,,, 3569,Anti-infectives,Miscellaneous,NHP,NITROFURANTOIN,,,,,, 3570,Anti-infectives,Miscellaneous,NHP,NITROFURANTOIN [Macrobid] ,,,,,,NC 3571,Anti-infectives,Miscellaneous,NHP,PHENAZOPYRIDINE,,,,,, 3572,Anti-infectives,Miscellaneous,NHP,TRIMETHOPRIM,,,,,, 3573,Anti-infectives,Miscellaneous,NHP,VANCOMYCIN [Vancocin] ,,,,,, 3574,Anti-infectives,Miscellaneous,NTWK,ATOVAQUONE [Mepron],,,,,, 3575,Anti-infectives,Miscellaneous,NTWK,CHLOROQUINE PHOSPHATE,,,,,, 3576,Anti-infectives,Miscellaneous,NTWK,CLINDAMYCIN oral,,,,,, 3577,Anti-infectives,Miscellaneous,NTWK,CLINDAMYCIN vaginal,,,,,, 3578,Anti-infectives,Miscellaneous,NTWK,DAPSONE ,,,,,, 3579,Anti-infectives,Miscellaneous,NTWK,FOSFOMYCIN [Monurol],,,,,, 3580,Anti-infectives,Miscellaneous,NTWK,HYDROXYCHLOROQUINE,,,,,, 3581,Anti-infectives,Miscellaneous,NTWK,LINEZOLID [Zyvox],,,DL,,, 3582,Anti-infectives,Miscellaneous,NTWK,MEBENDAZOLE,,,,,, 3583,Anti-infectives,Miscellaneous,NTWK,MEFLOQUINE,,,,,, 3584,Anti-infectives,Miscellaneous,NTWK,METHENAMINE,,,,,, 3585,Anti-infectives,Miscellaneous,NTWK,METRONIDAZOLE oral,,,,,, 3586,Anti-infectives,Miscellaneous,NTWK,METRONIDAZOLE topical,,,,,, 3587,Anti-infectives,Miscellaneous,NTWK,METRONIDAZOLE vaginal,,,,,, 3588,Anti-infectives,Miscellaneous,NTWK,NEOMYCIN,,,,,, 3589,Anti-infectives,Miscellaneous,NTWK,NITAZOXAMIDE [Alinia],,,,,, 3590,Anti-infectives,Miscellaneous,NTWK,NITROFURANTOIN,,,,,, 3591,Anti-infectives,Miscellaneous,NTWK,NITROFURANTOIN solution,,,,,, 3592,Anti-infectives,Miscellaneous,NTWK,PENTAMIDINE [Nebupent],,,,,, 3593,Anti-infectives,Miscellaneous,NTWK,PHENAZOPYRIDINE,,,,,, 3594,Anti-infectives,Miscellaneous,NTWK,QUININE [Qualaquin],,,,PA,, 3595,Anti-infectives,Miscellaneous,NTWK,RIFAXIMIN [Xifaxan],,,DL,,, 3596,Anti-infectives,Miscellaneous,NTWK,TELITHROMYCIN [Ketek],,,,,, 3597,Anti-infectives,Miscellaneous,NTWK,TINIDAZOLE [Tindamax],,,,,, 3598,Anti-infectives,Miscellaneous,NTWK,TRIMETHOPRIM,,,,,, 3599,Anti-infectives,Miscellaneous,NTWK,VANCOMYCIN [Vancocin] ,,,,,, 3600,Anti-infectives,Miscellaneous,MAHLTH,ATOVAQUONE [Mepron],,,,,, 3601,Anti-infectives,Miscellaneous,MAHLTH,CHLOROQUINE PHOSPHATE,,,,,, 3602,Anti-infectives,Miscellaneous,MAHLTH,CLINDAMYCIN oral,PA required for 300 mg capsule,,,,, 3603,Anti-infectives,Miscellaneous,MAHLTH,CLINDAMYCIN vaginal,,,,,, 3604,Anti-infectives,Miscellaneous,MAHLTH,DAPSONE ,,,,,, 3605,Anti-infectives,Miscellaneous,MAHLTH,FOSFOMYCIN [Monurol],,,,,, 3606,Anti-infectives,Miscellaneous,MAHLTH,HYDROXYCHLOROQUINE,,,,,, 3607,Anti-infectives,Miscellaneous,MAHLTH,LINEZOLID [Zyvox],PA required for oral formulations,,,,, 3608,Anti-infectives,Miscellaneous,MAHLTH,MEBENDAZOLE,,,,,, 3609,Anti-infectives,Miscellaneous,MAHLTH,MEFLOQUINE,,,,,, 3610,Anti-infectives,Miscellaneous,MAHLTH,METHENAMINE,,,,,, 3611,Anti-infectives,Miscellaneous,MAHLTH,METRONIDAZOLE oral,PA required for 375 mg capsule and XR formulations,,,,, 3612,Anti-infectives,Miscellaneous,MAHLTH,METRONIDAZOLE topical,,,,,, 3613,Anti-infectives,Miscellaneous,MAHLTH,METRONIDAZOLE vaginal,,,,,, 3614,Anti-infectives,Miscellaneous,MAHLTH,NEOMYCIN,,,,,, 3615,Anti-infectives,Miscellaneous,MAHLTH,NITAZOXAMIDE [Alinia],,,,PA required for suspension>=13 yrs old,, 3616,Anti-infectives,Miscellaneous,MAHLTH,NITROFURANTOIN,,,,,, 3617,Anti-infectives,Miscellaneous,MAHLTH,NITROFURANTOIN [Macrobid] ,,,,PA,, 3618,Anti-infectives,Miscellaneous,MAHLTH,NITROFURANTOIN solution,,,,,, 3619,Anti-infectives,Miscellaneous,MAHLTH,PENTAMIDINE [Nebupent],,,,,, 3620,Anti-infectives,Miscellaneous,MAHLTH,PHENAZOPYRIDINE,,,,,, 3621,Anti-infectives,Miscellaneous,MAHLTH,QUININE [Qualaquin],,,,PA,, 3622,Anti-infectives,Miscellaneous,MAHLTH,RIFAXIMIN [Xifaxan],,,,,, 3623,Anti-infectives,Miscellaneous,MAHLTH,TELITHROMYCIN [Ketek],,,,PA,, 3624,Anti-infectives,Miscellaneous,MAHLTH,TINIDAZOLE [Tindamax],,,,PA,, 3625,Anti-infectives,Miscellaneous,MAHLTH,TRIMETHOPRIM,,,,,, 3626,Anti-infectives,Miscellaneous,MAHLTH,VANCOMYCIN [Vancocin] ,,,,,, 3627,Anti-infectives,Miscellaneous,THP,ATOVAQUONE [Mepron],,,,,, 3628,Anti-infectives,Miscellaneous,THP,CHLOROQUINE PHOSPHATE,,,,,, 3629,Anti-infectives,Miscellaneous,THP,CLINDAMYCIN oral,,,,,, 3630,Anti-infectives,Miscellaneous,THP,CLINDAMYCIN vaginal,,,,,, 3631,Anti-infectives,Miscellaneous,THP,DAPSONE ,,,,,, 3632,Anti-infectives,Miscellaneous,THP,FOSFOMYCIN [Monurol],,,,,, 3633,Anti-infectives,Miscellaneous,THP,HYDROXYCHLOROQUINE,,,,,, 3634,Anti-infectives,Miscellaneous,THP,LINEZOLID [Zyvox],,,,,, 3635,Anti-infectives,Miscellaneous,THP,MEBENDAZOLE,,,,,, 3636,Anti-infectives,Miscellaneous,THP,MEFLOQUINE,,,,,, 3637,Anti-infectives,Miscellaneous,THP,METHENAMINE,,,,,, 3638,Anti-infectives,Miscellaneous,THP,METRONIDAZOLE oral,*,,,,, 3639,Anti-infectives,Miscellaneous,THP,METRONIDAZOLE topical,,,,,, 3640,Anti-infectives,Miscellaneous,THP,METRONIDAZOLE vaginal,,,,,, 3641,Anti-infectives,Miscellaneous,THP,NEOMYCIN,,,,,, 3642,Anti-infectives,Miscellaneous,THP,NITAZOXAMIDE [Alinia],,,,,, 3643,Anti-infectives,Miscellaneous,THP,NITROFURANTOIN,,,,,, 3644,Anti-infectives,Miscellaneous,THP,NITROFURANTOIN [Macrobid] ,,,,,, 3645,Anti-infectives,Miscellaneous,THP,NITROFURANTOIN solution,,,,,, 3646,Anti-infectives,Miscellaneous,THP,PENTAMIDINE [Nebupent],,,,,, 3647,Anti-infectives,Miscellaneous,THP,PHENAZOPYRIDINE,,,,,, 3648,Anti-infectives,Miscellaneous,THP,QUININE [Qualaquin],,,,,, 3649,Anti-infectives,Miscellaneous,THP,RIFAXIMIN [Xifaxan],,,DL,PA,, 3650,Anti-infectives,Miscellaneous,THP,TELITHROMYCIN [Ketek],,,,,, 3651,Anti-infectives,Miscellaneous,THP,TINIDAZOLE [Tindamax],,,,,, 3652,Anti-infectives,Miscellaneous,THP,TRIMETHOPRIM,,,,,, 3653,Anti-infectives,Miscellaneous,THP,VANCOMYCIN [Vancocin] ,,,,,, 3655,Anti-infectives,Penicillins,AETNA,AMOXICILLIN,*,,,,, 3656,Anti-infectives,Penicillins,AETNA,AMOXICILLIN/CLAVULANATE,*,,,,, 3657,Anti-infectives,Penicillins,AETNA,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,FE,,,, 3658,Anti-infectives,Penicillins,AETNA,AMOXICILLIN/CLAVULANATE [Augmentin XR],,FE,,,, 3659,Anti-infectives,Penicillins,AETNA,AMPICILLIN,*,,,,, 3660,Anti-infectives,Penicillins,AETNA,DICLOXACILLIN,*,,,,, 3661,Anti-infectives,Penicillins,AETNA,PENICILLIN VK,*,,,,, 3662,Anti-infectives,Penicillins,BCBSMA,AMOXICILLIN,*,,,,, 3663,Anti-infectives,Penicillins,BCBSMA,AMOXICILLIN/CLAVULANATE,*,,,,, 3664,Anti-infectives,Penicillins,BCBSMA,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,,,,, 3665,Anti-infectives,Penicillins,BCBSMA,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,,NC 3666,Anti-infectives,Penicillins,BCBSMA,AMPICILLIN,*,,,,, 3667,Anti-infectives,Penicillins,BCBSMA,DICLOXACILLIN,*,,,,, 3668,Anti-infectives,Penicillins,BCBSMA,PENICILLIN VK,*,,,,, 3669,Anti-infectives,Penicillins,BMCHP,AMOXICILLIN,,,,,, 3670,Anti-infectives,Penicillins,BMCHP,AMOXICILLIN/CLAVULANATE,,,,,, 3671,Anti-infectives,Penicillins,BMCHP,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3672,Anti-infectives,Penicillins,BMCHP,AMPICILLIN,,,,,, 3673,Anti-infectives,Penicillins,BMCHP,DICLOXACILLIN,,,,,, 3674,Anti-infectives,Penicillins,BMCHP,PENICILLIN VK,,,,,, 3675,Anti-infectives,Penicillins,FCHP,AMOXICILLIN,,,,,, 3676,Anti-infectives,Penicillins,FCHP,AMOXICILLIN/CLAVULANATE,,,,,, 3677,Anti-infectives,Penicillins,FCHP,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3678,Anti-infectives,Penicillins,FCHP,AMPICILLIN,,,,,, 3679,Anti-infectives,Penicillins,FCHP,DICLOXACILLIN,,,,,, 3680,Anti-infectives,Penicillins,FCHP,PENICILLIN VK,,,,,, 3681,Anti-infectives,Penicillins,HPHC,AMOXICILLIN,,,,,, 3682,Anti-infectives,Penicillins,HPHC,AMOXICILLIN/CLAVULANATE,,,,,, 3683,Anti-infectives,Penicillins,HPHC,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,,,,, 3684,Anti-infectives,Penicillins,HPHC,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3685,Anti-infectives,Penicillins,HPHC,AMPICILLIN,,,,,, 3686,Anti-infectives,Penicillins,HPHC,DICLOXACILLIN,,,,,, 3687,Anti-infectives,Penicillins,HPHC,PENICILLIN VK,,,,,, 3688,Anti-infectives,Penicillins,HNE,AMOXICILLIN,,,,,, 3689,Anti-infectives,Penicillins,HNE,AMOXICILLIN/CLAVULANATE,,,,,, 3690,Anti-infectives,Penicillins,HNE,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3691,Anti-infectives,Penicillins,HNE,AMPICILLIN,,,,,, 3692,Anti-infectives,Penicillins,HNE,DICLOXACILLIN,,,,,, 3693,Anti-infectives,Penicillins,HNE,PENICILLIN VK,,,,,, 3694,Anti-infectives,Penicillins,NHP,AMOXICILLIN,,,,,, 3695,Anti-infectives,Penicillins,NHP,AMOXICILLIN/CLAVULANATE,,,,,, 3696,Anti-infectives,Penicillins,NHP,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,,,,,NC 3697,Anti-infectives,Penicillins,NHP,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3698,Anti-infectives,Penicillins,NHP,AMPICILLIN,,,,,, 3699,Anti-infectives,Penicillins,NHP,DICLOXACILLIN,,,,,, 3700,Anti-infectives,Penicillins,NHP,PENICILLIN VK,,,,,, 3701,Anti-infectives,Penicillins,NTWK,AMOXICILLIN,,,,,, 3702,Anti-infectives,Penicillins,NTWK,AMOXICILLIN/CLAVULANATE,,,,,, 3703,Anti-infectives,Penicillins,NTWK,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3704,Anti-infectives,Penicillins,NTWK,AMPICILLIN,,,,,, 3705,Anti-infectives,Penicillins,NTWK,DICLOXACILLIN,,,,,, 3706,Anti-infectives,Penicillins,NTWK,PENICILLIN VK,,,,,, 3707,Anti-infectives,Penicillins,MAHLTH,AMOXICILLIN,,,,,, 3708,Anti-infectives,Penicillins,MAHLTH,AMOXICILLIN/CLAVULANATE,,,,,, 3709,Anti-infectives,Penicillins,MAHLTH,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,,,,, 3710,Anti-infectives,Penicillins,MAHLTH,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,PA,, 3711,Anti-infectives,Penicillins,MAHLTH,AMPICILLIN,,,,,, 3712,Anti-infectives,Penicillins,MAHLTH,DICLOXACILLIN,,,,,, 3713,Anti-infectives,Penicillins,MAHLTH,PENICILLIN VK,,,,,, 3714,Anti-infectives,Penicillins,THP,AMOXICILLIN,*,,,,, 3715,Anti-infectives,Penicillins,THP,AMOXICILLIN/CLAVULANATE,*,,,,, 3716,Anti-infectives,Penicillins,THP,AMOXICILLIN/CLAVULANATE [Augmentin ES-600],,,,,, 3717,Anti-infectives,Penicillins,THP,AMOXICILLIN/CLAVULANATE [Augmentin XR],,,,,, 3718,Anti-infectives,Penicillins,THP,AMPICILLIN,*,,,,, 3719,Anti-infectives,Penicillins,THP,DICLOXACILLIN,*,,,,, 3720,Anti-infectives,Penicillins,THP,PENICILLIN VK,*,,,,, 3722,Anti-infectives,Sulfas,AETNA,SULFADIAZINE,*,,,,, 3723,Anti-infectives,Sulfas,AETNA,SULFASALAZINE,*,,DL,,, 3724,Anti-infectives,Sulfas,AETNA,SULFASALAZINE ENTERIC COATED,*,,DL,,, 3725,Anti-infectives,Sulfas,AETNA,SULFISOXAZOLE,*,,,,, 3726,Anti-infectives,Sulfas,AETNA,SULFISOXAZOLE/ERYTHROMYCIN,*,,,,, 3727,Anti-infectives,Sulfas,AETNA,SULFAMETHOXAZOLE/TMP,*,,,,, 3728,Anti-infectives,Sulfas,BCBSMA,SULFADIAZINE,*,,,,, 3729,Anti-infectives,Sulfas,BCBSMA,SULFASALAZINE,*,,,,, 3730,Anti-infectives,Sulfas,BCBSMA,SULFASALAZINE ENTERIC COATED,*,,,,, 3731,Anti-infectives,Sulfas,BCBSMA,SULFISOXAZOLE,*,,,,, 3732,Anti-infectives,Sulfas,BCBSMA,SULFISOXAZOLE/ERYTHROMYCIN,*,,,,, 3733,Anti-infectives,Sulfas,BCBSMA,SULFAMETHOXAZOLE/TMP,*,,,,, 3734,Anti-infectives,Sulfas,BMCHP,SULFADIAZINE,,,,,, 3735,Anti-infectives,Sulfas,BMCHP,SULFASALAZINE,,,,,, 3736,Anti-infectives,Sulfas,BMCHP,SULFASALAZINE ENTERIC COATED,,,,,, 3737,Anti-infectives,Sulfas,BMCHP,SULFISOXAZOLE,,,,,, 3738,Anti-infectives,Sulfas,BMCHP,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3739,Anti-infectives,Sulfas,BMCHP,SULFAMETHOXAZOLE/TMP,,,,,, 3740,Anti-infectives,Sulfas,FCHP,SULFADIAZINE,,,,,, 3741,Anti-infectives,Sulfas,FCHP,SULFASALAZINE,,,,,, 3742,Anti-infectives,Sulfas,FCHP,SULFASALAZINE ENTERIC COATED,,,,,, 3743,Anti-infectives,Sulfas,FCHP,SULFISOXAZOLE,,,,,, 3744,Anti-infectives,Sulfas,FCHP,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3745,Anti-infectives,Sulfas,FCHP,SULFAMETHOXAZOLE/TMP,,,,,, 3746,Anti-infectives,Sulfas,HPHC,SULFADIAZINE,,,,,, 3747,Anti-infectives,Sulfas,HPHC,SULFASALAZINE,,,,,, 3748,Anti-infectives,Sulfas,HPHC,SULFASALAZINE ENTERIC COATED,,,,,, 3749,Anti-infectives,Sulfas,HPHC,SULFISOXAZOLE,,,,,, 3750,Anti-infectives,Sulfas,HPHC,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3751,Anti-infectives,Sulfas,HPHC,SULFAMETHOXAZOLE/TMP,,,,,, 3752,Anti-infectives,Sulfas,HNE,SULFADIAZINE,,,,,, 3753,Anti-infectives,Sulfas,HNE,SULFASALAZINE,,,,,, 3754,Anti-infectives,Sulfas,HNE,SULFASALAZINE ENTERIC COATED,,,,,, 3755,Anti-infectives,Sulfas,HNE,SULFISOXAZOLE,,,,,, 3756,Anti-infectives,Sulfas,HNE,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3757,Anti-infectives,Sulfas,HNE,SULFAMETHOXAZOLE/TMP,,,,,, 3758,Anti-infectives,Sulfas,NHP,SULFADIAZINE,,,,,, 3759,Anti-infectives,Sulfas,NHP,SULFASALAZINE,,,,,, 3760,Anti-infectives,Sulfas,NHP,SULFASALAZINE ENTERIC COATED,,,,,, 3761,Anti-infectives,Sulfas,NHP,SULFISOXAZOLE,,,,,, 3762,Anti-infectives,Sulfas,NHP,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3763,Anti-infectives,Sulfas,NHP,SULFAMETHOXAZOLE/TMP,,,,,, 3764,Anti-infectives,Sulfas,NTWK,SULFADIAZINE,,,,,, 3765,Anti-infectives,Sulfas,NTWK,SULFASALAZINE,,,,,, 3766,Anti-infectives,Sulfas,NTWK,SULFASALAZINE ENTERIC COATED,,,,,, 3767,Anti-infectives,Sulfas,NTWK,SULFISOXAZOLE,,,,,, 3768,Anti-infectives,Sulfas,NTWK,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3769,Anti-infectives,Sulfas,NTWK,SULFAMETHOXAZOLE/TMP,,,,,, 3770,Anti-infectives,Sulfas,MAHLTH,SULFADIAZINE,,,,,, 3771,Anti-infectives,Sulfas,MAHLTH,SULFASALAZINE,,,,,, 3772,Anti-infectives,Sulfas,MAHLTH,SULFASALAZINE ENTERIC COATED,,,,,, 3773,Anti-infectives,Sulfas,MAHLTH,SULFISOXAZOLE,,,,,, 3774,Anti-infectives,Sulfas,MAHLTH,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3775,Anti-infectives,Sulfas,MAHLTH,SULFAMETHOXAZOLE/TMP,,,,,, 3776,Anti-infectives,Sulfas,THP,SULFADIAZINE,,,,,, 3777,Anti-infectives,Sulfas,THP,SULFASALAZINE,,,,,, 3778,Anti-infectives,Sulfas,THP,SULFASALAZINE ENTERIC COATED,,,,,, 3779,Anti-infectives,Sulfas,THP,SULFISOXAZOLE,,,,,, 3780,Anti-infectives,Sulfas,THP,SULFISOXAZOLE/ERYTHROMYCIN,,,,,, 3781,Anti-infectives,Sulfas,THP,SULFAMETHOXAZOLE/TMP,*,,,,, 3782,Anti-infectives,Tetracyclines,AETNA,DEMECLOCYLCINE,*,,,PA<=8 yrs old,, 3783,Anti-infectives,Tetracyclines,AETNA,DOXYCYCLINE HYCLATE,*,,,PA<=8 yrs old,, 3784,Anti-infectives,Tetracyclines,AETNA,DOXYCYCLINE MONOHYDRATE,*,,,PA<=8 yrs old,, 3785,Anti-infectives,Tetracyclines,AETNA,DOXYCYCLINE MONOHYDRATE [Adoxa],,FE,,PA<=8 yrs old,, 3786,Anti-infectives,Tetracyclines,AETNA,DOXYCYCLINE MONOHYDRATE [Oracea],,FE,DL,,, 3787,Anti-infectives,Tetracyclines,AETNA,MINOCYCLINE,*,,,PA<=8 yrs old,, 3788,Anti-infectives,Tetracyclines,AETNA,MINOCYCLINE [Solodyn],*,,,PA<=8 yrs old,, 3789,Anti-infectives,Tetracyclines,AETNA,TETRACYCLINE ,*,,,PA<=8 yrs old,, 3790,Anti-infectives,Tetracyclines,BCBSMA,DEMECLOCYLCINE,*,,,,, 3791,Anti-infectives,Tetracyclines,BCBSMA,DOXYCYCLINE HYCLATE,*,,,,, 3792,Anti-infectives,Tetracyclines,BCBSMA,DOXYCYCLINE MONOHYDRATE,*,,,,, 3793,Anti-infectives,Tetracyclines,BCBSMA,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,,, 3794,Anti-infectives,Tetracyclines,BCBSMA,DOXYCYCLINE MONOHYDRATE [Oracea],,,,,,NC 3795,Anti-infectives,Tetracyclines,BCBSMA,MINOCYCLINE,*,,,,, 3796,Anti-infectives,Tetracyclines,BCBSMA,MINOCYCLINE [Solodyn],,,,,,NC 3797,Anti-infectives,Tetracyclines,BCBSMA,TETRACYCLINE ,*,,,,, 3798,Anti-infectives,Tetracyclines,BMCHP,DEMECLOCYLCINE,,,,,, 3799,Anti-infectives,Tetracyclines,BMCHP,DOXYCYCLINE HYCLATE,,,,,, 3800,Anti-infectives,Tetracyclines,BMCHP,DOXYCYCLINE MONOHYDRATE,,,,,, 3801,Anti-infectives,Tetracyclines,BMCHP,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,PA,, 3802,Anti-infectives,Tetracyclines,BMCHP,DOXYCYCLINE MONOHYDRATE [Oracea],,,,PA,, 3803,Anti-infectives,Tetracyclines,BMCHP,MINOCYCLINE,,,,,, 3804,Anti-infectives,Tetracyclines,BMCHP,MINOCYCLINE [Solodyn],,,,PA,, 3805,Anti-infectives,Tetracyclines,BMCHP,TETRACYCLINE ,,,,,, 3806,Anti-infectives,Tetracyclines,FCHP,DEMECLOCYLCINE,,,,,, 3807,Anti-infectives,Tetracyclines,FCHP,DOXYCYCLINE HYCLATE,,,,,, 3808,Anti-infectives,Tetracyclines,FCHP,DOXYCYCLINE MONOHYDRATE,,,,,, 3809,Anti-infectives,Tetracyclines,FCHP,MINOCYCLINE,,,,,, 3810,Anti-infectives,Tetracyclines,FCHP,TETRACYCLINE ,,,,,, 3811,Anti-infectives,Tetracyclines,HPHC,DEMECLOCYLCINE,,,,,, 3812,Anti-infectives,Tetracyclines,HPHC,DOXYCYCLINE HYCLATE,,,,,, 3813,Anti-infectives,Tetracyclines,HPHC,DOXYCYCLINE MONOHYDRATE,,,,,, 3814,Anti-infectives,Tetracyclines,HPHC,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,,, 3815,Anti-infectives,Tetracyclines,HPHC,DOXYCYCLINE MONOHYDRATE [Oracea],,,,,, 3816,Anti-infectives,Tetracyclines,HPHC,MINOCYCLINE,,,,,, 3817,Anti-infectives,Tetracyclines,HPHC,MINOCYCLINE [Solodyn],,,,PA,, 3818,Anti-infectives,Tetracyclines,HPHC,TETRACYCLINE ,,,,,, 3819,Anti-infectives,Tetracyclines,HNE,DEMECLOCYLCINE,,,,,, 3820,Anti-infectives,Tetracyclines,HNE,DOXYCYCLINE HYCLATE,,,,,, 3821,Anti-infectives,Tetracyclines,HNE,DOXYCYCLINE MONOHYDRATE,,,,,, 3822,Anti-infectives,Tetracyclines,HNE,MINOCYCLINE,,,,,, 3823,Anti-infectives,Tetracyclines,HNE,TETRACYCLINE ,,,,,, 3824,Anti-infectives,Tetracyclines,NHP,DEMECLOCYLCINE,,,,,, 3825,Anti-infectives,Tetracyclines,NHP,DOXYCYCLINE HYCLATE,,,,,, 3826,Anti-infectives,Tetracyclines,NHP,DOXYCYCLINE MONOHYDRATE,,,,,, 3827,Anti-infectives,Tetracyclines,NHP,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,,,NC 3828,Anti-infectives,Tetracyclines,NHP,DOXYCYCLINE MONOHYDRATE [Oracea],,,,,,NC 3829,Anti-infectives,Tetracyclines,NHP,MINOCYCLINE,,,,,, 3830,Anti-infectives,Tetracyclines,NHP,MINOCYCLINE [Solodyn],,,,,,NC 3831,Anti-infectives,Tetracyclines,NHP,TETRACYCLINE ,,,,,, 3832,Anti-infectives,Tetracyclines,NTWK,DOXYCYCLINE HYCLATE,,,,,, 3833,Anti-infectives,Tetracyclines,NTWK,DOXYCYCLINE MONOHYDRATE,,,,,, 3834,Anti-infectives,Tetracyclines,NTWK,MINOCYCLINE,,,,,, 3835,Anti-infectives,Tetracyclines,NTWK,TETRACYCLINE ,,,,,, 3836,Anti-infectives,Tetracyclines,MAHLTH,DEMECLOCYLCINE,,,,,, 3837,Anti-infectives,Tetracyclines,MAHLTH,DOXYCYCLINE HYCLATE,,,,,, 3838,Anti-infectives,Tetracyclines,MAHLTH,DOXYCYCLINE MONOHYDRATE,,,,,, 3839,Anti-infectives,Tetracyclines,MAHLTH,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,PA,, 3840,Anti-infectives,Tetracyclines,MAHLTH,DOXYCYCLINE MONOHYDRATE [Oracea],,,,PA,, 3841,Anti-infectives,Tetracyclines,MAHLTH,MINOCYCLINE,,,,,, 3842,Anti-infectives,Tetracyclines,MAHLTH,MINOCYCLINE [Solodyn],,,,PA,, 3843,Anti-infectives,Tetracyclines,MAHLTH,TETRACYCLINE ,,,,,, 3844,Anti-infectives,Tetracyclines,THP,DEMECLOCYLCINE,,,,,, 3845,Anti-infectives,Tetracyclines,THP,DOXYCYCLINE HYCLATE,*,,,,, 3846,Anti-infectives,Tetracyclines,THP,DOXYCYCLINE MONOHYDRATE,,,,,, 3847,Anti-infectives,Tetracyclines,THP,DOXYCYCLINE MONOHYDRATE [Adoxa],,,,,, 3848,Anti-infectives,Tetracyclines,THP,DOXYCYCLINE MONOHYDRATE [Oracea],,,,,,NC 3849,Anti-infectives,Tetracyclines,THP,MINOCYCLINE,*,,,,, 3850,Anti-infectives,Tetracyclines,THP,MINOCYCLINE [Solodyn],,,,,,NC 3851,Anti-infectives,Tetracyclines,THP,TETRACYCLINE ,*,,,,, 3853,Antipsychotics,Antipsychotics,AETNA,ARIPIPRAZOLE [Abilify],,,DL,,, 3854,Antipsychotics,Antipsychotics,AETNA,ARIPIPRAZOLE injection [Abilify],Not covered under pharmacy benefit; may be covered under medical benefit,,,,, 3855,Antipsychotics,Antipsychotics,AETNA,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,DL,,, 3856,Antipsychotics,Antipsychotics,AETNA,CHLORPROMAZINE,*,,,,, 3857,Antipsychotics,Antipsychotics,AETNA,CLOZAPINE,*,,DL,,, 3858,Antipsychotics,Antipsychotics,AETNA,CLOZAPINE orally disintegrating tablet [FazaClo],,FE,DL,,, 3859,Antipsychotics,Antipsychotics,AETNA,FLUPHENAZINE,*,,,,, 3860,Antipsychotics,Antipsychotics,AETNA,HALOPERIDOL ,*,,,,, 3861,Antipsychotics,Antipsychotics,AETNA,LITHIUM CARBONATE/SR,*,,,,, 3862,Antipsychotics,Antipsychotics,AETNA,LOXAPINE,*,,,,, 3863,Antipsychotics,Antipsychotics,AETNA,MOLINDONE [Moban],,,,,, 3864,Antipsychotics,Antipsychotics,AETNA,OLANZAPINE [Zyprexa],*,,DL,,, 3865,Antipsychotics,Antipsychotics,AETNA,OLANZAPINE injection [Zyprexa IM],Not covered under pharmacy benefit; may be medical benefit,,,,, 3866,Antipsychotics,Antipsychotics,AETNA,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],*,,DL,,, 3867,Antipsychotics,Antipsychotics,AETNA,PALIPERIDONE [Invega],,FE,DL,,ST, 3868,Antipsychotics,Antipsychotics,AETNA,PERPHENAZINE,*,,,,, 3869,Antipsychotics,Antipsychotics,AETNA,PERPHENAZINE/AMITRIPTYLINE,*,,,,, 3870,Antipsychotics,Antipsychotics,AETNA,PIMOZIDE [Orap],,,,,, 3871,Antipsychotics,Antipsychotics,AETNA,PROCHLORPERAZINE,*,,,,, 3872,Antipsychotics,Antipsychotics,AETNA,QUETIAPINE [Seroquel],*,,DL,,, 3873,Antipsychotics,Antipsychotics,AETNA,QUETIAPINE XR [Seroquel XR],*,,DL,,, 3874,Antipsychotics,Antipsychotics,AETNA,RISPERDONE,*,,DL,,, 3875,Antipsychotics,Antipsychotics,AETNA,RISPERIDONE [Risperdal],,,DL,,ST, 3876,Antipsychotics,Antipsychotics,AETNA,RISPERIDONE injection [Risperdal Consta],Covered under medical benefit,,,,, 3877,Antipsychotics,Antipsychotics,AETNA,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,DL,,, 3878,Antipsychotics,Antipsychotics,AETNA,THIORIDAZINE,*,,,,, 3879,Antipsychotics,Antipsychotics,AETNA,THIOTHIXENE (1mg, 2mg, 5mg,10mg),*,,,,, 3880,Antipsychotics,Antipsychotics,AETNA,THIOTHIXENE [Navane] (20mg),,,,,, 3881,Antipsychotics,Antipsychotics,AETNA,TRIFLUOPERAZINE,*,,,,, 3882,Antipsychotics,Antipsychotics,AETNA,ZIPRASIDONE [Geodon],,FE,DL,,, 3883,Antipsychotics,Antipsychotics,AETNA,ZIPRASIDONE injection [Geodon],Not covered under pharmacy benefit; may be medical benefit,,,,, 3884,Antipsychotics,Antipsychotics,BCBSMA,ARIPIPRAZOLE [Abilify],*,,,,, 3885,Antipsychotics,Antipsychotics,BCBSMA,ARIPIPRAZOLE injection [Abilify],,,,,,NC 3886,Antipsychotics,Antipsychotics,BCBSMA,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,,,,NC 3887,Antipsychotics,Antipsychotics,BCBSMA,CHLORPROMAZINE,*,,,,, 3888,Antipsychotics,Antipsychotics,BCBSMA,CLOZAPINE,*,,,,, 3889,Antipsychotics,Antipsychotics,BCBSMA,CLOZAPINE orally disintegrating tablet [FazaClo],,,,,,NC 3890,Antipsychotics,Antipsychotics,BCBSMA,FLUPHENAZINE,*,,,,, 3891,Antipsychotics,Antipsychotics,BCBSMA,HALOPERIDOL ,*,,,,, 3892,Antipsychotics,Antipsychotics,BCBSMA,LITHIUM CARBONATE/SR,*,,,,, 3893,Antipsychotics,Antipsychotics,BCBSMA,LOXAPINE,*,,,,, 3894,Antipsychotics,Antipsychotics,BCBSMA,MOLINDONE [Moban],*,,,,, 3895,Antipsychotics,Antipsychotics,BCBSMA,OLANZAPINE [Zyprexa],*,,,,, 3896,Antipsychotics,Antipsychotics,BCBSMA,OLANZAPINE injection [Zyprexa IM],,,,,,NC 3897,Antipsychotics,Antipsychotics,BCBSMA,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],*,,,,, 3898,Antipsychotics,Antipsychotics,BCBSMA,PALIPERIDONE [Invega],,,,,,NC 3899,Antipsychotics,Antipsychotics,BCBSMA,PERPHENAZINE,*,,,,, 3900,Antipsychotics,Antipsychotics,BCBSMA,PERPHENAZINE/AMITRIPTYLINE,*,,,,, 3901,Antipsychotics,Antipsychotics,BCBSMA,PIMOZIDE [Orap],*,,,,, 3902,Antipsychotics,Antipsychotics,BCBSMA,PROCHLORPERAZINE,*,,,,, 3903,Antipsychotics,Antipsychotics,BCBSMA,QUETIAPINE [Seroquel],*,,,,, 3904,Antipsychotics,Antipsychotics,BCBSMA,QUETIAPINE XR [Seroquel XR],*,,,,, 3905,Antipsychotics,Antipsychotics,BCBSMA,RISPERDONE,*,,,,, 3906,Antipsychotics,Antipsychotics,BCBSMA,RISPERIDONE [Risperdal],*,,,,, 3907,Antipsychotics,Antipsychotics,BCBSMA,RISPERIDONE injection [Risperdal Consta],*,,,,, 3908,Antipsychotics,Antipsychotics,BCBSMA,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,,,NC 3909,Antipsychotics,Antipsychotics,BCBSMA,THIORIDAZINE,*,,,,, 3910,Antipsychotics,Antipsychotics,BCBSMA,THIOTHIXENE (1mg, 2mg, 5mg,10mg),*,,,,, 3911,Antipsychotics,Antipsychotics,BCBSMA,THIOTHIXENE [Navane] (20mg),,,,,, 3912,Antipsychotics,Antipsychotics,BCBSMA,TRIFLUOPERAZINE,*,,,,, 3913,Antipsychotics,Antipsychotics,BCBSMA,ZIPRASIDONE [Geodon],,,,,, 3914,Antipsychotics,Antipsychotics,BCBSMA,ZIPRASIDONE injection [Geodon],,,,,, 3915,Antipsychotics,Antipsychotics,BMCHP,ARIPIPRAZOLE [Abilify],,,DL,,, 3916,Antipsychotics,Antipsychotics,BMCHP,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,DL,PA,, 3917,Antipsychotics,Antipsychotics,BMCHP,CHLORPROMAZINE,,,,,, 3918,Antipsychotics,Antipsychotics,BMCHP,CLOZAPINE,,,,,, 3919,Antipsychotics,Antipsychotics,BMCHP,CLOZAPINE orally disintegrating tablet [FazaClo],,,,,, 3920,Antipsychotics,Antipsychotics,BMCHP,FLUPHENAZINE,,,,,, 3921,Antipsychotics,Antipsychotics,BMCHP,HALOPERIDOL ,,,,,, 3922,Antipsychotics,Antipsychotics,BMCHP,LITHIUM CARBONATE/SR,,,,,, 3923,Antipsychotics,Antipsychotics,BMCHP,LOXAPINE,,,,,, 3924,Antipsychotics,Antipsychotics,BMCHP,MOLINDONE [Moban],,,,,, 3925,Antipsychotics,Antipsychotics,BMCHP,OLANZAPINE [Zyprexa],,,DL,,, 3926,Antipsychotics,Antipsychotics,BMCHP,OLANZAPINE injection [Zyprexa IM],,,DL,,, 3927,Antipsychotics,Antipsychotics,BMCHP,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,DL,PA,, 3928,Antipsychotics,Antipsychotics,BMCHP,PALIPERIDONE [Invega],,,DL,,ST, 3929,Antipsychotics,Antipsychotics,BMCHP,PERPHENAZINE,,,,,, 3930,Antipsychotics,Antipsychotics,BMCHP,PERPHENAZINE/AMITRIPTYLINE,,,,,, 3931,Antipsychotics,Antipsychotics,BMCHP,PIMOZIDE [Orap],,,,,, 3932,Antipsychotics,Antipsychotics,BMCHP,PROCHLORPERAZINE,,,,,, 3933,Antipsychotics,Antipsychotics,BMCHP,QUETIAPINE [Seroquel],,,DL,,, 3934,Antipsychotics,Antipsychotics,BMCHP,QUETIAPINE XR [Seroquel XR],,,DL,,, 3935,Antipsychotics,Antipsychotics,BMCHP,RISPERIDONE [Risperdal],,,DL,,, 3936,Antipsychotics,Antipsychotics,BMCHP,RISPERIDONE injection [Risperdal Consta],,,DL,,, 3937,Antipsychotics,Antipsychotics,BMCHP,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,DL,PA,, 3938,Antipsychotics,Antipsychotics,BMCHP,THIORIDAZINE,,,,,, 3939,Antipsychotics,Antipsychotics,BMCHP,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 3940,Antipsychotics,Antipsychotics,BMCHP,THIOTHIXENE [Navane] (20mg),,,,,, 3941,Antipsychotics,Antipsychotics,BMCHP,TRIFLUOPERAZINE,,,,,, 3942,Antipsychotics,Antipsychotics,BMCHP,ZIPRASIDONE [Geodon],,,DL,,, 3943,Antipsychotics,Antipsychotics,FCHP,CHLORPROMAZINE,,,,,, 3944,Antipsychotics,Antipsychotics,FCHP,CLOZAPINE,,,,,, 3945,Antipsychotics,Antipsychotics,FCHP,FLUPHENAZINE,,,,,, 3946,Antipsychotics,Antipsychotics,FCHP,HALOPERIDOL ,,,,,, 3947,Antipsychotics,Antipsychotics,FCHP,LITHIUM CARBONATE/SR,,,,,, 3948,Antipsychotics,Antipsychotics,FCHP,LOXAPINE,,,,,, 3949,Antipsychotics,Antipsychotics,FCHP,MOLINDONE [Moban],,,,,, 3950,Antipsychotics,Antipsychotics,FCHP,OLANZAPINE [Zyprexa],,,,,, 3951,Antipsychotics,Antipsychotics,FCHP,OLANZAPINE injection [Zyprexa IM],Covered under medical benefit,,,,, 3952,Antipsychotics,Antipsychotics,FCHP,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,,,, 3953,Antipsychotics,Antipsychotics,FCHP,PERPHENAZINE,,,,,, 3954,Antipsychotics,Antipsychotics,FCHP,PERPHENAZINE/AMITRIPTYLINE,,,,,, 3955,Antipsychotics,Antipsychotics,FCHP,PIMOZIDE [Orap],,,,,, 3956,Antipsychotics,Antipsychotics,FCHP,PROCHLORPERAZINE,,,,,, 3957,Antipsychotics,Antipsychotics,FCHP,QUETIAPINE [Seroquel],,,,,, 3958,Antipsychotics,Antipsychotics,FCHP,RISPERIDONE [Risperdal],,,DL,,, 3959,Antipsychotics,Antipsychotics,FCHP,RISPERIDONE injection [Risperdal Consta],Covered under medical benefit,,,,, 3960,Antipsychotics,Antipsychotics,FCHP,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,,, 3961,Antipsychotics,Antipsychotics,FCHP,THIORIDAZINE,,,,,, 3962,Antipsychotics,Antipsychotics,FCHP,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 3963,Antipsychotics,Antipsychotics,FCHP,THIOTHIXENE [Navane] (20mg),,,,,, 3964,Antipsychotics,Antipsychotics,FCHP,TRIFLUOPERAZINE,,,,,, 3965,Antipsychotics,Antipsychotics,FCHP,ZIPRASIDONE [Geodon],,,,,, 3966,Antipsychotics,Antipsychotics,HPHC,ARIPIPRAZOLE [Abilify],,,,,, 3967,Antipsychotics,Antipsychotics,HPHC,ARIPIPRAZOLE injection [Abilify],Covered under medical benefit,,,,, 3968,Antipsychotics,Antipsychotics,HPHC,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,,,, 3969,Antipsychotics,Antipsychotics,HPHC,CHLORPROMAZINE,,,,,, 3970,Antipsychotics,Antipsychotics,HPHC,CLOZAPINE,,,,,, 3971,Antipsychotics,Antipsychotics,HPHC,CLOZAPINE orally disintegrating tablet [FazaClo],,,,,, 3972,Antipsychotics,Antipsychotics,HPHC,FLUPHENAZINE,,,,,, 3973,Antipsychotics,Antipsychotics,HPHC,HALOPERIDOL ,,,,,, 3974,Antipsychotics,Antipsychotics,HPHC,LITHIUM CARBONATE/SR,,,,,, 3975,Antipsychotics,Antipsychotics,HPHC,LOXAPINE,,,,,, 3976,Antipsychotics,Antipsychotics,HPHC,MOLINDONE [Moban],,,,,, 3977,Antipsychotics,Antipsychotics,HPHC,OLANZAPINE [Zyprexa],,,,,, 3978,Antipsychotics,Antipsychotics,HPHC,OLANZAPINE injection [Zyprexa IM],Covered under medical benefit,,,,, 3979,Antipsychotics,Antipsychotics,HPHC,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,,,, 3980,Antipsychotics,Antipsychotics,HPHC,PALIPERIDONE [Invega],,,,,, 3981,Antipsychotics,Antipsychotics,HPHC,PERPHENAZINE,,,,,, 3982,Antipsychotics,Antipsychotics,HPHC,PERPHENAZINE/AMITRIPTYLINE,,,,,, 3983,Antipsychotics,Antipsychotics,HPHC,PIMOZIDE [Orap],,,,,, 3984,Antipsychotics,Antipsychotics,HPHC,PROCHLORPERAZINE,,,,,, 3985,Antipsychotics,Antipsychotics,HPHC,QUETIAPINE [Seroquel],,,,,, 3986,Antipsychotics,Antipsychotics,HPHC,QUETIAPINE XR [Seroquel XR],,,,,, 3987,Antipsychotics,Antipsychotics,HPHC,RISPERDONE,,,,,, 3988,Antipsychotics,Antipsychotics,HPHC,RISPERIDONE [Risperdal],,,,,, 3989,Antipsychotics,Antipsychotics,HPHC,RISPERIDONE injection [Risperdal Consta],Covered under medical benefit,,,,, 3990,Antipsychotics,Antipsychotics,HPHC,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,,, 3991,Antipsychotics,Antipsychotics,HPHC,THIORIDAZINE,,,,,, 3992,Antipsychotics,Antipsychotics,HPHC,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 3993,Antipsychotics,Antipsychotics,HPHC,THIOTHIXENE [Navane] (20mg),,,,,, 3994,Antipsychotics,Antipsychotics,HPHC,TRIFLUOPERAZINE,,,,,, 3995,Antipsychotics,Antipsychotics,HPHC,ZIPRASIDONE [Geodon],,,,,, 3996,Antipsychotics,Antipsychotics,HPHC,ZIPRASIDONE injection [Geodon],Covered under medical benefit,,,,, 3997,Antipsychotics,Antipsychotics,HNE,CHLORPROMAZINE,,,,,, 3998,Antipsychotics,Antipsychotics,HNE,CLOZAPINE,,,DL,,, 3999,Antipsychotics,Antipsychotics,HNE,FLUPHENAZINE,,,,,, 4000,Antipsychotics,Antipsychotics,HNE,HALOPERIDOL ,,,,,, 4001,Antipsychotics,Antipsychotics,HNE,LITHIUM CARBONATE/SR,,,,,, 4002,Antipsychotics,Antipsychotics,HNE,LOXAPINE,,,,,, 4003,Antipsychotics,Antipsychotics,HNE,OLANZAPINE [Zyprexa],,,,,, 4004,Antipsychotics,Antipsychotics,HNE,PERPHENAZINE,,,,,, 4005,Antipsychotics,Antipsychotics,HNE,PERPHENAZINE/AMITRIPTYLINE,,,,,, 4006,Antipsychotics,Antipsychotics,HNE,PIMOZIDE [Orap],,,,,, 4007,Antipsychotics,Antipsychotics,HNE,PROCHLORPERAZINE,,,,,, 4008,Antipsychotics,Antipsychotics,HNE,QUETIAPINE [Seroquel],,,,,, 4009,Antipsychotics,Antipsychotics,HNE,RISPERIDONE [Risperdal],,,,,, 4010,Antipsychotics,Antipsychotics,HNE,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,,, 4011,Antipsychotics,Antipsychotics,HNE,THIORIDAZINE,,,,,, 4012,Antipsychotics,Antipsychotics,HNE,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 4013,Antipsychotics,Antipsychotics,HNE,TRIFLUOPERAZINE,,,,,, 4014,Antipsychotics,Antipsychotics,NHP,ARIPIPRAZOLE [Abilify],,,DL,,, 4015,Antipsychotics,Antipsychotics,NHP,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,DL,,, 4016,Antipsychotics,Antipsychotics,NHP,CHLORPROMAZINE,,,,,, 4017,Antipsychotics,Antipsychotics,NHP,CLOZAPINE,,,DL,,, 4018,Antipsychotics,Antipsychotics,NHP,CLOZAPINE orally disintegrating tablet [FazaClo],,,,,,NC 4019,Antipsychotics,Antipsychotics,NHP,FLUPHENAZINE,,,,,, 4020,Antipsychotics,Antipsychotics,NHP,HALOPERIDOL ,,,,,, 4021,Antipsychotics,Antipsychotics,NHP,LITHIUM CARBONATE/SR,,,,,, 4022,Antipsychotics,Antipsychotics,NHP,LOXAPINE,,,,,, 4023,Antipsychotics,Antipsychotics,NHP,OLANZAPINE [Zyprexa],,,DL,,, 4024,Antipsychotics,Antipsychotics,NHP,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,DL,,, 4025,Antipsychotics,Antipsychotics,NHP,PERPHENAZINE,,,,,, 4026,Antipsychotics,Antipsychotics,NHP,PERPHENAZINE/AMITRIPTYLINE,,,,,, 4027,Antipsychotics,Antipsychotics,NHP,PIMOZIDE [Orap],,,,,, 4028,Antipsychotics,Antipsychotics,NHP,PROCHLORPERAZINE,,,,,, 4029,Antipsychotics,Antipsychotics,NHP,QUETIAPINE [Seroquel],,,DL,,, 4030,Antipsychotics,Antipsychotics,NHP,QUETIAPINE XR [Seroquel XR],,,DL,,, 4031,Antipsychotics,Antipsychotics,NHP,RISPERDONE,,,,,, 4032,Antipsychotics,Antipsychotics,NHP,RISPERIDONE [Risperdal],,,,,,NC 4033,Antipsychotics,Antipsychotics,NHP,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,DL,,, 4034,Antipsychotics,Antipsychotics,NHP,THIORIDAZINE,,,,,, 4035,Antipsychotics,Antipsychotics,NHP,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 4036,Antipsychotics,Antipsychotics,NHP,TRIFLUOPERAZINE,,,,,, 4037,Antipsychotics,Antipsychotics,NTWK,ARIPIPRAZOLE [Abilify],,,DL,,, 4038,Antipsychotics,Antipsychotics,NTWK,ARIPIPRAZOLE injection [Abilify],,,DL,,, 4039,Antipsychotics,Antipsychotics,NTWK,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,DL,,, 4040,Antipsychotics,Antipsychotics,NTWK,CHLORPROMAZINE,,,,,, 4041,Antipsychotics,Antipsychotics,NTWK,CLOZAPINE,,,,,, 4042,Antipsychotics,Antipsychotics,NTWK,FLUPHENAZINE,,,,,, 4043,Antipsychotics,Antipsychotics,NTWK,HALOPERIDOL ,,,,,, 4044,Antipsychotics,Antipsychotics,NTWK,LITHIUM CARBONATE/SR,,,,,, 4045,Antipsychotics,Antipsychotics,NTWK,LOXAPINE,,,,,, 4046,Antipsychotics,Antipsychotics,NTWK,OLANZAPINE [Zyprexa],,,DL,,, 4047,Antipsychotics,Antipsychotics,NTWK,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,DL,,, 4048,Antipsychotics,Antipsychotics,NTWK,PALIPERIDONE [Invega],,,,PA,, 4049,Antipsychotics,Antipsychotics,NTWK,PERPHENAZINE,,,,,, 4050,Antipsychotics,Antipsychotics,NTWK,PROCHLORPERAZINE,,,,,, 4051,Antipsychotics,Antipsychotics,NTWK,QUETIAPINE [Seroquel],,,DL,,, 4052,Antipsychotics,Antipsychotics,NTWK,QUETIAPINE XR [Seroquel XR],,,DL,,, 4053,Antipsychotics,Antipsychotics,NTWK,RISPERDONE,,,DL,,, 4054,Antipsychotics,Antipsychotics,NTWK,RISPERIDONE injection [Risperdal Consta],,,DL,,, 4055,Antipsychotics,Antipsychotics,NTWK,THIORIDAZINE,,,,,, 4056,Antipsychotics,Antipsychotics,NTWK,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 4057,Antipsychotics,Antipsychotics,NTWK,THIOTHIXENE [Navane] (20mg),,,,,, 4058,Antipsychotics,Antipsychotics,NTWK,TRIFLUOPERAZINE,,,,,, 4059,Antipsychotics,Antipsychotics,NTWK,ZIPRASIDONE [Geodon],,,DL,,, 4060,Antipsychotics,Antipsychotics,NTWK,ZIPRASIDONE injection [Geodon],,,DL,,, 4061,Antipsychotics,Antipsychotics,MAHLTH,ARIPIPRAZOLE [Abilify],,,DL,,, 4062,Antipsychotics,Antipsychotics,MAHLTH,ARIPIPRAZOLE injection [Abilify],,,,,, 4063,Antipsychotics,Antipsychotics,MAHLTH,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,,PA,, 4064,Antipsychotics,Antipsychotics,MAHLTH,CHLORPROMAZINE,,,,,, 4065,Antipsychotics,Antipsychotics,MAHLTH,CLOZAPINE,,,,,, 4066,Antipsychotics,Antipsychotics,MAHLTH,CLOZAPINE orally disintegrating tablet [FazaClo],,,,PA,, 4067,Antipsychotics,Antipsychotics,MAHLTH,FLUPHENAZINE,,,,,, 4068,Antipsychotics,Antipsychotics,MAHLTH,HALOPERIDOL ,,,,,, 4069,Antipsychotics,Antipsychotics,MAHLTH,LITHIUM CARBONATE/SR,,,,,, 4070,Antipsychotics,Antipsychotics,MAHLTH,LOXAPINE,,,,,, 4071,Antipsychotics,Antipsychotics,MAHLTH,MOLINDONE [Moban],,,,,, 4072,Antipsychotics,Antipsychotics,MAHLTH,OLANZAPINE [Zyprexa],,,DL,,, 4073,Antipsychotics,Antipsychotics,MAHLTH,OLANZAPINE injection [Zyprexa IM],,,,PA,, 4074,Antipsychotics,Antipsychotics,MAHLTH,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,,PA,, 4075,Antipsychotics,Antipsychotics,MAHLTH,PALIPERIDONE [Invega],,,DL,,, 4076,Antipsychotics,Antipsychotics,MAHLTH,PERPHENAZINE,,,,,, 4077,Antipsychotics,Antipsychotics,MAHLTH,PERPHENAZINE/AMITRIPTYLINE,,,,,, 4078,Antipsychotics,Antipsychotics,MAHLTH,PIMOZIDE [Orap],,,,,, 4079,Antipsychotics,Antipsychotics,MAHLTH,PROCHLORPERAZINE,,,,,, 4080,Antipsychotics,Antipsychotics,MAHLTH,QUETIAPINE [Seroquel],,,DL,,, 4081,Antipsychotics,Antipsychotics,MAHLTH,QUETIAPINE XR [Seroquel XR],,,DL,,, 4082,Antipsychotics,Antipsychotics,MAHLTH,RISPERDONE,,,DL,,, 4083,Antipsychotics,Antipsychotics,MAHLTH,RISPERIDONE [Risperdal],,,,PA,, 4084,Antipsychotics,Antipsychotics,MAHLTH,RISPERIDONE injection [Risperdal Consta],,,,,, 4085,Antipsychotics,Antipsychotics,MAHLTH,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,PA,, 4086,Antipsychotics,Antipsychotics,MAHLTH,THIORIDAZINE,,,,,, 4087,Antipsychotics,Antipsychotics,MAHLTH,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 4088,Antipsychotics,Antipsychotics,MAHLTH,THIOTHIXENE [Navane] (20mg),,,,,, 4089,Antipsychotics,Antipsychotics,MAHLTH,TRIFLUOPERAZINE,,,,,, 4090,Antipsychotics,Antipsychotics,MAHLTH,ZIPRASIDONE [Geodon],,,DL,,, 4091,Antipsychotics,Antipsychotics,MAHLTH,ZIPRASIDONE injection [Geodon],,,,,, 4092,Antipsychotics,Antipsychotics,THP,ARIPIPRAZOLE [Abilify],,,,,, 4093,Antipsychotics,Antipsychotics,THP,ARIPIPRAZOLE injection [Abilify],,,,,, 4094,Antipsychotics,Antipsychotics,THP,ARIPIPRAZOLE orally disintegrating tablet [Abilify Discmelt],,,,,,NC 4095,Antipsychotics,Antipsychotics,THP,CHLORPROMAZINE,,,,,, 4096,Antipsychotics,Antipsychotics,THP,CLOZAPINE,,,,,, 4097,Antipsychotics,Antipsychotics,THP,CLOZAPINE orally disintegrating tablet [FazaClo],,,,,, 4098,Antipsychotics,Antipsychotics,THP,FLUPHENAZINE,,,,,, 4099,Antipsychotics,Antipsychotics,THP,HALOPERIDOL ,,,,,, 4100,Antipsychotics,Antipsychotics,THP,LITHIUM CARBONATE/SR,,,,,, 4101,Antipsychotics,Antipsychotics,THP,LOXAPINE,,,,,, 4102,Antipsychotics,Antipsychotics,THP,MOLINDONE [Moban],,,,,, 4103,Antipsychotics,Antipsychotics,THP,OLANZAPINE [Zyprexa],,,,,, 4104,Antipsychotics,Antipsychotics,THP,OLANZAPINE injection [Zyprexa IM],,,,,, 4105,Antipsychotics,Antipsychotics,THP,OLANZAPINE orally disintegrating tablet [Zyprexa Zydis],,,,,, 4106,Antipsychotics,Antipsychotics,THP,PALIPERIDONE [Invega],,,,,,NC 4107,Antipsychotics,Antipsychotics,THP,PERPHENAZINE,,,,,, 4108,Antipsychotics,Antipsychotics,THP,PERPHENAZINE/AMITRIPTYLINE,,,,,, 4109,Antipsychotics,Antipsychotics,THP,PIMOZIDE [Orap],,,,,, 4110,Antipsychotics,Antipsychotics,THP,PROCHLORPERAZINE,,,,,, 4111,Antipsychotics,Antipsychotics,THP,QUETIAPINE [Seroquel],,,,,, 4112,Antipsychotics,Antipsychotics,THP,QUETIAPINE XR [Seroquel XR],,,,,, 4113,Antipsychotics,Antipsychotics,THP,RISPERDONE,,,,,, 4114,Antipsychotics,Antipsychotics,THP,RISPERIDONE [Risperdal],,,,,, 4115,Antipsychotics,Antipsychotics,THP,RISPERIDONE injection [Risperdal Consta],,,,,, 4116,Antipsychotics,Antipsychotics,THP,RISPERIDONE, orally disintegrating tablet [Risperdal M],,,,,, 4117,Antipsychotics,Antipsychotics,THP,THIORIDAZINE,,,,,, 4118,Antipsychotics,Antipsychotics,THP,THIOTHIXENE (1mg, 2mg, 5mg,10mg),,,,,, 4119,Antipsychotics,Antipsychotics,THP,THIOTHIXENE [Navane] (20mg),,,,,, 4120,Antipsychotics,Antipsychotics,THP,TRIFLUOPERAZINE,,,,,, 4121,Antipsychotics,Antipsychotics,THP,ZIPRASIDONE [Geodon],,,,,, 4122,Antipsychotics,Antipsychotics,THP,ZIPRASIDONE injection [Geodon],,,,,, 4123,Anti-ulcer/Motility,H2 Antagonists,AETNA,CIMETIDINE (OTC),,,,,,NC 4124,Anti-ulcer/Motility,H2 Antagonists,AETNA,CIMETIDINE (Rx),*,,,,, 4125,Anti-ulcer/Motility,H2 Antagonists,AETNA,FAMOTIDINE,20 mg excluded,,,,, 4126,Anti-ulcer/Motility,H2 Antagonists,AETNA,FAMOTIDINE (40mg),*,,,,, 4127,Anti-ulcer/Motility,H2 Antagonists,AETNA,FAMOTIDINE (OTC),,,,,,NC 4128,Anti-ulcer/Motility,H2 Antagonists,AETNA,NIZATIDINE,*,,,,, 4129,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE (150mg capsules),,,,,,NC 4130,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE (150mg tablets),,,,,,NC 4131,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE (300mg capsules),*,,,,, 4132,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE (300mg tablets),*,,,,, 4133,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE (OTC),,,,,,NC 4134,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE [Zantac],,,,,, 4135,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,,, 4136,Anti-ulcer/Motility,H2 Antagonists,AETNA,RANITIDINE syrup,*,,,,, 4137,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,CIMETIDINE (OTC),,,,,,NC 4138,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,CIMETIDINE (Rx),*,,,,, 4139,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,FAMOTIDINE,,,,,,NC 4140,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,FAMOTIDINE (40mg),*,,,,, 4141,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,FAMOTIDINE (OTC),,,,,,NC 4142,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,NIZATIDINE,*,,,,, 4143,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE (150mg capsules),,,,,,NC 4144,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE (150mg tablets),,,,,,NC 4145,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE (300mg capsules),*,,,,, 4146,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE (300mg tablets),*,,,,, 4147,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE (OTC),,,,,,NC 4148,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE [Zantac],,,,,,NC 4149,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,,,NC 4150,Anti-ulcer/Motility,H2 Antagonists,BCBSMA,RANITIDINE syrup,*,,,,, 4151,Anti-ulcer/Motility,H2 Antagonists,BMCHP,CIMETIDINE (Rx),,,,,, 4152,Anti-ulcer/Motility,H2 Antagonists,BMCHP,FAMOTIDINE,,,,,, 4153,Anti-ulcer/Motility,H2 Antagonists,BMCHP,FAMOTIDINE (40mg),,,,,, 4154,Anti-ulcer/Motility,H2 Antagonists,BMCHP,FAMOTIDINE (OTC),,,,,, 4155,Anti-ulcer/Motility,H2 Antagonists,BMCHP,NIZATIDINE,,,,,, 4156,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE (150mg capsules),,,,,, 4157,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE (150mg tablets),,,,,, 4158,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE (300mg capsules),,,,,, 4159,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE (300mg tablets),,,,,, 4160,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE (OTC),,,,,, 4161,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE [Zantac],,,,,, 4162,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,,, 4163,Anti-ulcer/Motility,H2 Antagonists,BMCHP,RANITIDINE syrup,,,,,, 4164,Anti-ulcer/Motility,H2 Antagonists,FCHP,CIMETIDINE (Rx),,,,,, 4165,Anti-ulcer/Motility,H2 Antagonists,FCHP,FAMOTIDINE,,,,,, 4166,Anti-ulcer/Motility,H2 Antagonists,FCHP,FAMOTIDINE (40mg),,,,,, 4167,Anti-ulcer/Motility,H2 Antagonists,FCHP,NIZATIDINE,,,,,, 4168,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE (150mg capsules),,,,,, 4169,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE (150mg tablets),,,,,, 4170,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE (300mg capsules),,,,,, 4171,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE (300mg tablets),,,,,, 4172,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE [Zantac],,,,,, 4173,Anti-ulcer/Motility,H2 Antagonists,FCHP,RANITIDINE syrup,,,,,, 4174,Anti-ulcer/Motility,H2 Antagonists,HPHC,CIMETIDINE (OTC),,,,,,NC 4175,Anti-ulcer/Motility,H2 Antagonists,HPHC,CIMETIDINE (Rx),,,,,, 4176,Anti-ulcer/Motility,H2 Antagonists,HPHC,FAMOTIDINE,,,,,, 4177,Anti-ulcer/Motility,H2 Antagonists,HPHC,FAMOTIDINE (40mg),,,,,, 4178,Anti-ulcer/Motility,H2 Antagonists,HPHC,FAMOTIDINE (OTC),,,,,,NC 4179,Anti-ulcer/Motility,H2 Antagonists,HPHC,NIZATIDINE,,,,,, 4180,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE (150mg capsules),,,,,, 4181,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE (150mg tablets),,,,,, 4182,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE (300mg capsules),,,,,, 4183,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE (300mg tablets),,,,,, 4184,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE (OTC),,,,,,NC 4185,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE [Zantac],,,,,, 4186,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,,, 4187,Anti-ulcer/Motility,H2 Antagonists,HPHC,RANITIDINE syrup,,,,,, 4188,Anti-ulcer/Motility,H2 Antagonists,HNE,CIMETIDINE (Rx),,,,,, 4189,Anti-ulcer/Motility,H2 Antagonists,HNE,FAMOTIDINE,,,,,, 4190,Anti-ulcer/Motility,H2 Antagonists,HNE,FAMOTIDINE (40mg),,,,,, 4191,Anti-ulcer/Motility,H2 Antagonists,HNE,NIZATIDINE,,,,,, 4192,Anti-ulcer/Motility,H2 Antagonists,HNE,RANITIDINE (150mg capsules),,,,,, 4193,Anti-ulcer/Motility,H2 Antagonists,HNE,RANITIDINE (150mg tablets),,,,,, 4194,Anti-ulcer/Motility,H2 Antagonists,HNE,RANITIDINE (300mg capsules),,,,,, 4195,Anti-ulcer/Motility,H2 Antagonists,HNE,RANITIDINE syrup,,,,,, 4196,Anti-ulcer/Motility,H2 Antagonists,NHP,CIMETIDINE (OTC),,,,,,NC 4197,Anti-ulcer/Motility,H2 Antagonists,NHP,CIMETIDINE (Rx),,,,,, 4198,Anti-ulcer/Motility,H2 Antagonists,NHP,FAMOTIDINE,,,,,, 4199,Anti-ulcer/Motility,H2 Antagonists,NHP,FAMOTIDINE (40mg),,,,,, 4200,Anti-ulcer/Motility,H2 Antagonists,NHP,FAMOTIDINE (OTC),,,,,, 4201,Anti-ulcer/Motility,H2 Antagonists,NHP,NIZATIDINE,,,,,, 4202,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE (150mg capsules),,,,,,NC 4203,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE (150mg tablets),,,,,, 4204,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE (300mg capsules),,,,,,NC 4205,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE (300mg tablets),,,,,, 4206,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE (OTC),,,,,, 4207,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE [Zantac],,,,,,NC 4208,Anti-ulcer/Motility,H2 Antagonists,NHP,RANITIDINE syrup,,,,,, 4209,Anti-ulcer/Motility,H2 Antagonists,NTWK,CIMETIDINE (OTC),,,,,, 4210,Anti-ulcer/Motility,H2 Antagonists,NTWK,CIMETIDINE (Rx),,,,,, 4211,Anti-ulcer/Motility,H2 Antagonists,NTWK,FAMOTIDINE,,,,,, 4212,Anti-ulcer/Motility,H2 Antagonists,NTWK,FAMOTIDINE (40mg),,,,,, 4213,Anti-ulcer/Motility,H2 Antagonists,NTWK,FAMOTIDINE (OTC),,,,,, 4214,Anti-ulcer/Motility,H2 Antagonists,NTWK,NIZATIDINE,,,,,, 4215,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE (150mg capsules),,,,,, 4216,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE (150mg tablets),,,,,, 4217,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE (300mg capsules),,,,,, 4218,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE (300mg tablets),,,,,, 4219,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE (OTC),,,,,, 4220,Anti-ulcer/Motility,H2 Antagonists,NTWK,RANITIDINE syrup,,,,,, 4221,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,CIMETIDINE (OTC),,,,,, 4222,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,CIMETIDINE (Rx),,,,,, 4223,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,FAMOTIDINE,,,,,, 4224,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,FAMOTIDINE (40mg),,,,,, 4225,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,FAMOTIDINE (OTC),,,,,, 4226,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,NIZATIDINE,,,,PA,, 4227,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE (150mg capsules),,,,PA,, 4228,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE (150mg tablets),,,,,, 4229,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE (300mg capsules),,,,PA,, 4230,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE (300mg tablets),,,,,, 4231,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE (OTC),,,,,, 4232,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE [Zantac],,,,PA,, 4233,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,PA,, 4234,Anti-ulcer/Motility,H2 Antagonists,MAHLTH,RANITIDINE syrup,,,,,, 4235,Anti-ulcer/Motility,H2 Antagonists,THP,CIMETIDINE (Rx),,,,,, 4236,Anti-ulcer/Motility,H2 Antagonists,THP,FAMOTIDINE,,,,,, 4237,Anti-ulcer/Motility,H2 Antagonists,THP,FAMOTIDINE (40mg),,,,,, 4238,Anti-ulcer/Motility,H2 Antagonists,THP,NIZATIDINE,,,,,, 4239,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE (150mg capsules),,,,,, 4240,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE (150mg tablets),*,,,,, 4241,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE (300mg capsules),,,,,, 4242,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE (300mg tablets),*,,,,, 4243,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE [Zantac],,,,,, 4244,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE EFFERVESCENT tablets [Zantac EFFERdose],,,,,, 4245,Anti-ulcer/Motility,H2 Antagonists,THP,RANITIDINE syrup,,,,,, 4247,Anti-ulcer/Motility,Miscellaneous,AETNA,ALOSETRON [Lotronex],,FE,,PA,, 4248,Anti-ulcer/Motility,Miscellaneous,AETNA,DICYCLOMINE,*,,,,, 4249,Anti-ulcer/Motility,Miscellaneous,AETNA,GLYCOPYRROLATE,*,,,,, 4250,Anti-ulcer/Motility,Miscellaneous,AETNA,HYOSCYAMINE,*,,,,, 4251,Anti-ulcer/Motility,Miscellaneous,AETNA,LUBIPROSTONE [Amitiza],,FE,,PA,, 4252,Anti-ulcer/Motility,Miscellaneous,AETNA,METOCLOPRAMIDE,*,,,,, 4253,Anti-ulcer/Motility,Miscellaneous,AETNA,MISOPROSTOL,*,,,,, 4254,Anti-ulcer/Motility,Miscellaneous,AETNA,SUCRALFATE,*,,,,, 4255,Anti-ulcer/Motility,Miscellaneous,AETNA,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,FE,DL,,, 4256,Anti-ulcer/Motility,Miscellaneous,AETNA,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],*,,DL,,, 4257,Anti-ulcer/Motility,Miscellaneous,AETNA,URSODIOL,*,,,,, 4258,Anti-ulcer/Motility,Miscellaneous,AETNA,URSODIOL [Urso/Urso Forte],*,,,,, 4259,Anti-ulcer/Motility,Miscellaneous,BCBSMA,ALOSETRON [Lotronex],*,,DL,,, 4260,Anti-ulcer/Motility,Miscellaneous,BCBSMA,DICYCLOMINE,*,,,,, 4261,Anti-ulcer/Motility,Miscellaneous,BCBSMA,GLYCOPYRROLATE,*,,,,, 4262,Anti-ulcer/Motility,Miscellaneous,BCBSMA,HYOSCYAMINE,*,,,,, 4263,Anti-ulcer/Motility,Miscellaneous,BCBSMA,LUBIPROSTONE [Amitiza],,,,PA,, 4264,Anti-ulcer/Motility,Miscellaneous,BCBSMA,METOCLOPRAMIDE,*,,,,, 4265,Anti-ulcer/Motility,Miscellaneous,BCBSMA,MISOPROSTOL,*,,,,, 4266,Anti-ulcer/Motility,Miscellaneous,BCBSMA,SUCRALFATE,*,,,,, 4267,Anti-ulcer/Motility,Miscellaneous,BCBSMA,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],*,,,,, 4268,Anti-ulcer/Motility,Miscellaneous,BCBSMA,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],*,,,,, 4269,Anti-ulcer/Motility,Miscellaneous,BCBSMA,URSODIOL,*,,,,, 4270,Anti-ulcer/Motility,Miscellaneous,BCBSMA,URSODIOL [Urso/Urso Forte],,,,,, 4271,Anti-ulcer/Motility,Miscellaneous,BMCHP,ALOSETRON [Lotronex],,,,,, 4272,Anti-ulcer/Motility,Miscellaneous,BMCHP,DICYCLOMINE,,,,,, 4273,Anti-ulcer/Motility,Miscellaneous,BMCHP,GLYCOPYRROLATE,,,,,, 4274,Anti-ulcer/Motility,Miscellaneous,BMCHP,HYOSCYAMINE,,,,,, 4275,Anti-ulcer/Motility,Miscellaneous,BMCHP,LUBIPROSTONE [Amitiza],,,,PA,, 4276,Anti-ulcer/Motility,Miscellaneous,BMCHP,METOCLOPRAMIDE,,,,,, 4277,Anti-ulcer/Motility,Miscellaneous,BMCHP,MISOPROSTOL,,,,,, 4278,Anti-ulcer/Motility,Miscellaneous,BMCHP,SUCRALFATE,,,,,, 4279,Anti-ulcer/Motility,Miscellaneous,BMCHP,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,,,,, 4280,Anti-ulcer/Motility,Miscellaneous,BMCHP,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],,,,PA,, 4281,Anti-ulcer/Motility,Miscellaneous,BMCHP,URSODIOL,,,,,, 4282,Anti-ulcer/Motility,Miscellaneous,BMCHP,URSODIOL [Urso/Urso Forte],,,,,, 4283,Anti-ulcer/Motility,Miscellaneous,FCHP,DICYCLOMINE,,,,,, 4284,Anti-ulcer/Motility,Miscellaneous,FCHP,GLYCOPYRROLATE,,,,,, 4285,Anti-ulcer/Motility,Miscellaneous,FCHP,HYOSCYAMINE,,,,,, 4286,Anti-ulcer/Motility,Miscellaneous,FCHP,LUBIPROSTONE [Amitiza],,,,PA,, 4287,Anti-ulcer/Motility,Miscellaneous,FCHP,METOCLOPRAMIDE,,,,,, 4288,Anti-ulcer/Motility,Miscellaneous,FCHP,MISOPROSTOL,,,,,, 4289,Anti-ulcer/Motility,Miscellaneous,FCHP,SUCRALFATE,,,,,, 4290,Anti-ulcer/Motility,Miscellaneous,FCHP,URSODIOL,,,,,, 4291,Anti-ulcer/Motility,Miscellaneous,FCHP,URSODIOL [Urso/Urso Forte],,,,,, 4292,Anti-ulcer/Motility,Miscellaneous,HPHC,ALOSETRON [Lotronex],,,,,, 4293,Anti-ulcer/Motility,Miscellaneous,HPHC,DICYCLOMINE,,,,,, 4294,Anti-ulcer/Motility,Miscellaneous,HPHC,GLYCOPYRROLATE,,,,,, 4295,Anti-ulcer/Motility,Miscellaneous,HPHC,HYOSCYAMINE,,,,,, 4296,Anti-ulcer/Motility,Miscellaneous,HPHC,LUBIPROSTONE [Amitiza],,,,PA,, 4297,Anti-ulcer/Motility,Miscellaneous,HPHC,METOCLOPRAMIDE,,,,,, 4298,Anti-ulcer/Motility,Miscellaneous,HPHC,MISOPROSTOL,,,,,, 4299,Anti-ulcer/Motility,Miscellaneous,HPHC,SUCRALFATE,,,,,, 4300,Anti-ulcer/Motility,Miscellaneous,HPHC,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,,,,, 4301,Anti-ulcer/Motility,Miscellaneous,HPHC,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],,,,,, 4302,Anti-ulcer/Motility,Miscellaneous,HPHC,URSODIOL,,,,,, 4303,Anti-ulcer/Motility,Miscellaneous,HPHC,URSODIOL [Urso/Urso Forte],,,,,, 4304,Anti-ulcer/Motility,Miscellaneous,HNE,DICYCLOMINE,,,,,, 4305,Anti-ulcer/Motility,Miscellaneous,HNE,GLYCOPYRROLATE,,,,,, 4306,Anti-ulcer/Motility,Miscellaneous,HNE,HYOSCYAMINE,,,,,, 4307,Anti-ulcer/Motility,Miscellaneous,HNE,METOCLOPRAMIDE,,,,,, 4308,Anti-ulcer/Motility,Miscellaneous,HNE,MISOPROSTOL,,,,,, 4309,Anti-ulcer/Motility,Miscellaneous,HNE,SUCRALFATE,,,,,, 4310,Anti-ulcer/Motility,Miscellaneous,HNE,URSODIOL,,,,,, 4311,Anti-ulcer/Motility,Miscellaneous,NHP,DICYCLOMINE,,,,,, 4312,Anti-ulcer/Motility,Miscellaneous,NHP,GLYCOPYRROLATE,,,,,, 4313,Anti-ulcer/Motility,Miscellaneous,NHP,HYOSCYAMINE,,,,,, 4314,Anti-ulcer/Motility,Miscellaneous,NHP,METOCLOPRAMIDE,,,,,, 4315,Anti-ulcer/Motility,Miscellaneous,NHP,MISOPROSTOL,,,,,, 4316,Anti-ulcer/Motility,Miscellaneous,NHP,SUCRALFATE,,,,,, 4317,Anti-ulcer/Motility,Miscellaneous,NHP,URSODIOL,,,,,, 4318,Anti-ulcer/Motility,Miscellaneous,NHP,URSODIOL [Urso/Urso Forte],,,,,, 4319,Anti-ulcer/Motility,Miscellaneous,NTWK,DICYCLOMINE,,,,,, 4320,Anti-ulcer/Motility,Miscellaneous,NTWK,GLYCOPYRROLATE,,,,,, 4321,Anti-ulcer/Motility,Miscellaneous,NTWK,HYOSCYAMINE,,,,,, 4322,Anti-ulcer/Motility,Miscellaneous,NTWK,LUBIPROSTONE [Amitiza],,,,PA,, 4323,Anti-ulcer/Motility,Miscellaneous,NTWK,METOCLOPRAMIDE,,,,,, 4324,Anti-ulcer/Motility,Miscellaneous,NTWK,MISOPROSTOL,,,,,, 4325,Anti-ulcer/Motility,Miscellaneous,NTWK,SUCRALFATE,,,,,, 4326,Anti-ulcer/Motility,Miscellaneous,NTWK,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,,,,, 4327,Anti-ulcer/Motility,Miscellaneous,NTWK,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],,,,,, 4328,Anti-ulcer/Motility,Miscellaneous,NTWK,URSODIOL,,,,,, 4329,Anti-ulcer/Motility,Miscellaneous,NTWK,URSODIOL [Urso/Urso Forte],,,,,, 4330,Anti-ulcer/Motility,Miscellaneous,MAHLTH,ALOSETRON [Lotronex],,,,PA,, 4331,Anti-ulcer/Motility,Miscellaneous,MAHLTH,DICYCLOMINE,,,,,, 4332,Anti-ulcer/Motility,Miscellaneous,MAHLTH,GLYCOPYRROLATE,,,,,, 4333,Anti-ulcer/Motility,Miscellaneous,MAHLTH,HYOSCYAMINE,,,,,, 4334,Anti-ulcer/Motility,Miscellaneous,MAHLTH,LUBIPROSTONE [Amitiza],,,,PA,, 4335,Anti-ulcer/Motility,Miscellaneous,MAHLTH,METOCLOPRAMIDE,,,,,, 4336,Anti-ulcer/Motility,Miscellaneous,MAHLTH,MISOPROSTOL,,,,,, 4337,Anti-ulcer/Motility,Miscellaneous,MAHLTH,SUCRALFATE,,,,,, 4338,Anti-ulcer/Motility,Miscellaneous,MAHLTH,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,,,PA,, 4339,Anti-ulcer/Motility,Miscellaneous,MAHLTH,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],,,,PA,, 4340,Anti-ulcer/Motility,Miscellaneous,MAHLTH,URSODIOL,,,,,, 4341,Anti-ulcer/Motility,Miscellaneous,THP,ALOSETRON [Lotronex],,,,,, 4342,Anti-ulcer/Motility,Miscellaneous,THP,DICYCLOMINE,,,,,, 4343,Anti-ulcer/Motility,Miscellaneous,THP,GLYCOPYRROLATE,,,,,, 4344,Anti-ulcer/Motility,Miscellaneous,THP,HYOSCYAMINE,,,,,, 4345,Anti-ulcer/Motility,Miscellaneous,THP,LUBIPROSTONE [Amitiza],,,,PA,, 4346,Anti-ulcer/Motility,Miscellaneous,THP,METOCLOPRAMIDE,,,,,, 4347,Anti-ulcer/Motility,Miscellaneous,THP,MISOPROSTOL,,,,,, 4348,Anti-ulcer/Motility,Miscellaneous,THP,SUCRALFATE,,,,,, 4349,Anti-ulcer/Motility,Miscellaneous,THP,TETRACYCLINE/BISMUTH METRONIDAZOLE [Helidac],,,,,, 4350,Anti-ulcer/Motility,Miscellaneous,THP,TETRACYCLINE/BISMUTH METRONIDAZOLE [Pylera],,,,,, 4351,Anti-ulcer/Motility,Miscellaneous,THP,URSODIOL,,,,,, 4352,Anti-ulcer/Motility,Miscellaneous,THP,URSODIOL [Urso/Urso Forte],,,,,, 4354,Anti-ulcer/Motility,PPI,AETNA,ESOMEPRAZOLE [Nexium],*,,DL,PA,, 4355,Anti-ulcer/Motility,PPI,AETNA,LANSOPRAZOLE [Prevacid],*,,DL,PA,, 4356,Anti-ulcer/Motility,PPI,AETNA,LANSOPRAZOLE injection [Prevacid IV],Not covered under pharmacy benefit; may be a medical beneift,,,,, 4357,Anti-ulcer/Motility,PPI,AETNA,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],*,,DL,,, 4358,Anti-ulcer/Motility,PPI,AETNA,OMEPRAZOLE (10 mg),*,,DL,PA,, 4359,Anti-ulcer/Motility,PPI,AETNA,OMEPRAZOLE [Prilosec (Rx)] ,,FE,DL,PA,ST, 4360,Anti-ulcer/Motility,PPI,AETNA,OMEPRAZOLE (Rx),*,,DL,PA,, 4361,Anti-ulcer/Motility,PPI,AETNA,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,,,,NC 4362,Anti-ulcer/Motility,PPI,AETNA,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,DL,PA,ST, 4363,Anti-ulcer/Motility,PPI,AETNA,PANTOPRAZOLE,,FE,DL,PA,, 4364,Anti-ulcer/Motility,PPI,AETNA,PANTOPRAZOLE [Protonix Suspension],,,DL,PA,ST, 4365,Anti-ulcer/Motility,PPI,AETNA,PANTOPRAZOLE injection[Protonix IV],Not covered under pharmacy benefit; may be a medical beneift,,,,, 4366,Anti-ulcer/Motility,PPI,AETNA,RABEPRAZOLE [Aciphex],,,DL,PA,ST, 4367,Anti-ulcer/Motility,PPI,BCBSMA,ESOMEPRAZOLE [Nexium],,,DL,,ST,NC 4368,Anti-ulcer/Motility,PPI,BCBSMA,LANSOPRAZOLE [Prevacid],*,,DL,,ST, 4369,Anti-ulcer/Motility,PPI,BCBSMA,LANSOPRAZOLE injection [Prevacid IV],,,,,, 4370,Anti-ulcer/Motility,PPI,BCBSMA,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],*,,DL,,, 4371,Anti-ulcer/Motility,PPI,BCBSMA,OMEPRAZOLE (10 mg),*,,DL,,, 4372,Anti-ulcer/Motility,PPI,BCBSMA,OMEPRAZOLE [Prilosec (Rx)] ,,,DL,,ST,NC 4373,Anti-ulcer/Motility,PPI,BCBSMA,OMEPRAZOLE (Rx),*,,DL,,, 4374,Anti-ulcer/Motility,PPI,BCBSMA,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,,,,NC 4375,Anti-ulcer/Motility,PPI,BCBSMA,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,DL,,ST,NC 4376,Anti-ulcer/Motility,PPI,BCBSMA,PANTOPRAZOLE,,,DL,,ST, 4377,Anti-ulcer/Motility,PPI,BCBSMA,PANTOPRAZOLE [Protonix Suspension],,,DL,,ST, 4378,Anti-ulcer/Motility,PPI,BCBSMA,PANTOPRAZOLE injection[Protonix IV],,,,,, 4379,Anti-ulcer/Motility,PPI,BCBSMA,RABEPRAZOLE [Aciphex],,,DL,,ST,NC 4380,Anti-ulcer/Motility,PPI,BMCHP,ESOMEPRAZOLE [Nexium],,,DL,,ST, 4381,Anti-ulcer/Motility,PPI,BMCHP,LANSOPRAZOLE [Prevacid],,,DL,,ST, 4382,Anti-ulcer/Motility,PPI,BMCHP,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],,,,PA,, 4383,Anti-ulcer/Motility,PPI,BMCHP,OMEPRAZOLE (10 mg),,,DL,,ST, 4384,Anti-ulcer/Motility,PPI,BMCHP,OMEPRAZOLE (Rx),,,DL,,ST, 4385,Anti-ulcer/Motility,PPI,BMCHP,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,,,, 4386,Anti-ulcer/Motility,PPI,BMCHP,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,DL,,ST, 4387,Anti-ulcer/Motility,PPI,BMCHP,PANTOPRAZOLE,,,DL,,ST, 4388,Anti-ulcer/Motility,PPI,BMCHP,PANTOPRAZOLE [Protonix Suspension],,,,,ST, 4389,Anti-ulcer/Motility,PPI,BMCHP,RABEPRAZOLE [Aciphex],,,DL,,ST, 4390,Anti-ulcer/Motility,PPI,FCHP,LANSOPRAZOLE [Prevacid],,,,,, 4391,Anti-ulcer/Motility,PPI,FCHP,OMEPRAZOLE (10 mg),,,DL,PA,, 4392,Anti-ulcer/Motility,PPI,FCHP,OMEPRAZOLE (Rx),,,,,, 4393,Anti-ulcer/Motility,PPI,FCHP,PANTOPRAZOLE,,,,,, 4394,Anti-ulcer/Motility,PPI,FCHP,PANTOPRAZOLE [Protonix Suspension],,,,,, 4395,Anti-ulcer/Motility,PPI,HPHC,ESOMEPRAZOLE [Nexium],,,,,, 4396,Anti-ulcer/Motility,PPI,HPHC,LANSOPRAZOLE [Prevacid],,,,,, 4397,Anti-ulcer/Motility,PPI,HPHC,LANSOPRAZOLE injection [Prevacid IV],Not covered under pharmacy benefit, may be covered under medical benefit,,,,, 4398,Anti-ulcer/Motility,PPI,HPHC,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],,,,,, 4399,Anti-ulcer/Motility,PPI,HPHC,OMEPRAZOLE (10 mg),,,,,, 4400,Anti-ulcer/Motility,PPI,HPHC,OMEPRAZOLE [Prilosec (Rx)] ,,,,,, 4401,Anti-ulcer/Motility,PPI,HPHC,OMEPRAZOLE (Rx),,,,,, 4402,Anti-ulcer/Motility,PPI,HPHC,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,,,,NC 4403,Anti-ulcer/Motility,PPI,HPHC,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,,,, 4404,Anti-ulcer/Motility,PPI,HPHC,PANTOPRAZOLE,,,,,, 4405,Anti-ulcer/Motility,PPI,HPHC,PANTOPRAZOLE [Protonix Suspension],,,,,, 4406,Anti-ulcer/Motility,PPI,HPHC,PANTOPRAZOLE injection[Protonix IV],Not covered under pharmacy benefit, may be covered under medical benefit,,,,, 4407,Anti-ulcer/Motility,PPI,HPHC,RABEPRAZOLE [Aciphex],,,,,, 4408,Anti-ulcer/Motility,PPI,HNE,OMEPRAZOLE (10 mg),,,DL,,, 4409,Anti-ulcer/Motility,PPI,HNE,OMEPRAZOLE (Rx),,,DL,,, 4410,Anti-ulcer/Motility,PPI,HNE,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,DL,,, 4411,Anti-ulcer/Motility,PPI,HNE,PANTOPRAZOLE,,,DL,,, 4412,Anti-ulcer/Motility,PPI,HNE,PANTOPRAZOLE [Protonix Suspension],,,DL,,, 4413,Anti-ulcer/Motility,PPI,HNE,PANTOPRAZOLE injection[Protonix IV],,,,,, 4414,Anti-ulcer/Motility,PPI,NHP,OMEPRAZOLE (10 mg),,,DL,,ST, 4415,Anti-ulcer/Motility,PPI,NHP,OMEPRAZOLE [Prilosec (Rx)] ,,,,,,NC 4416,Anti-ulcer/Motility,PPI,NHP,OMEPRAZOLE (Rx),,,DL,,, 4417,Anti-ulcer/Motility,PPI,NHP,OMEPRAZOLE Magnesium [Prilosec (OTC)],,,DL,,, 4418,Anti-ulcer/Motility,PPI,NHP,PANTOPRAZOLE,,,DL,,ST, 4419,Anti-ulcer/Motility,PPI,NHP,PANTOPRAZOLE [Protonix Suspension],,,DL,,ST, 4420,Anti-ulcer/Motility,PPI,NTWK,ESOMEPRAZOLE [Nexium],,,,PA,, 4421,Anti-ulcer/Motility,PPI,NTWK,LANSOPRAZOLE [Prevacid],,,,PA,, 4422,Anti-ulcer/Motility,PPI,NTWK,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],,,,,, 4423,Anti-ulcer/Motility,PPI,NTWK,OMEPRAZOLE (10 mg),,,,PA >=17 yrs old,, 4424,Anti-ulcer/Motility,PPI,NTWK,OMEPRAZOLE (Rx),,,,PA >=17 yrs old,, 4425,Anti-ulcer/Motility,PPI,NTWK,OMEPRAZOLE Magnesium [Prilosec (OTC)],*,,,,, 4426,Anti-ulcer/Motility,PPI,NTWK,PANTOPRAZOLE,,,,PA >=17 yrs old,, 4427,Anti-ulcer/Motility,PPI,NTWK,PANTOPRAZOLE [Protonix Suspension],,,,PA >=17 yrs old,, 4428,Anti-ulcer/Motility,PPI,NTWK,RABEPRAZOLE [Aciphex],,,,PA ,, 4429,Anti-ulcer/Motility,PPI,MAHLTH,ESOMEPRAZOLE [Nexium],,,,PA,, 4430,Anti-ulcer/Motility,PPI,MAHLTH,LANSOPRAZOLE [Prevacid],,,,PA >=2 yrs old,, 4431,Anti-ulcer/Motility,PPI,MAHLTH,LANSOPRAZOLE injection [Prevacid IV],,,,PA,, 4432,Anti-ulcer/Motility,PPI,MAHLTH,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],,,,PA,, 4433,Anti-ulcer/Motility,PPI,MAHLTH,OMEPRAZOLE (10 mg),20 mg covered; 40 mg requires PA,,,,, 4434,Anti-ulcer/Motility,PPI,MAHLTH,OMEPRAZOLE [Prilosec (Rx)] ,,,,PA,, 4435,Anti-ulcer/Motility,PPI,MAHLTH,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,,PA,, 4436,Anti-ulcer/Motility,PPI,MAHLTH,PANTOPRAZOLE,,,,PA,, 4437,Anti-ulcer/Motility,PPI,MAHLTH,PANTOPRAZOLE [Protonix Suspension],,,,PA,, 4438,Anti-ulcer/Motility,PPI,MAHLTH,PANTOPRAZOLE injection[Protonix IV],,,,,, 4439,Anti-ulcer/Motility,PPI,MAHLTH,RABEPRAZOLE [Aciphex],,,,PA,, 4440,Anti-ulcer/Motility,PPI,THP,ESOMEPRAZOLE [Nexium],*,,DL 90 caps/90 days or 90 tabs/90 days,,, 4441,Anti-ulcer/Motility,PPI,THP,LANSOPRAZOLE [Prevacid],=16 yrs old, except LTC members,,DL 90 caps/90 days or 90 tabs/90 days,,, 4442,Anti-ulcer/Motility,PPI,THP,LANSOPRAZOLE injection [Prevacid IV],,,,,, 4443,Anti-ulcer/Motility,PPI,THP,LANSOPRAZOLE/CLARITHROMYCIN/AMOXICILLIN KIT [PrevPac],,,,,, 4444,Anti-ulcer/Motility,PPI,THP,OMEPRAZOLE (10 mg),,,DL 90 caps/90 days or 90 tabs/90 days,,, 4445,Anti-ulcer/Motility,PPI,THP,OMEPRAZOLE [Prilosec (Rx)] ,,,DL 90 caps/90 days or 90 tabs/90 days,,,NC 4446,Anti-ulcer/Motility,PPI,THP,OMEPRAZOLE (Rx),*,,DL 90 caps/90 days or 90 tabs/90 days,,, 4447,Anti-ulcer/Motility,PPI,THP,OMEPRAZOLE/SODIUM BICARBONATE [Zegerid],,,,,,NC 4448,Anti-ulcer/Motility,PPI,THP,PANTOPRAZOLE,,,DL 90 caps/90 days or 90 tabs/90 days,,, 4449,Anti-ulcer/Motility,PPI,THP,PANTOPRAZOLE [Protonix Suspension],,,DL 90 packets/90 days,,, 4450,Anti-ulcer/Motility,PPI,THP,PANTOPRAZOLE injection[Protonix IV],,,,,, 4451,Anti-ulcer/Motility,PPI,THP,RABEPRAZOLE [Aciphex],,,DL 90 caps/90 days or 90 tabs/90 days,,,NC 4452,Asthma Oral Agents,Asthma Oral Agents,AETNA,ALBUTEROL,*,,,,, 4453,Asthma Oral Agents,Asthma Oral Agents,AETNA,ALBUTEROL/ER,*,,,,, 4454,Asthma Oral Agents,Asthma Oral Agents,AETNA,AMINOPHYLLINE,*,,,,, 4455,Asthma Oral Agents,Asthma Oral Agents,AETNA,METAPROTERENOL,,FE,,,, 4456,Asthma Oral Agents,Asthma Oral Agents,AETNA,MONTELUKAST [Singulair],*,,DL,,, 4457,Asthma Oral Agents,Asthma Oral Agents,AETNA,MONTELUKAST [Singulair] (for allergies),*,,DL,,, 4458,Asthma Oral Agents,Asthma Oral Agents,AETNA,TERBUTALINE,*,,,,, 4459,Asthma Oral Agents,Asthma Oral Agents,AETNA,THEOPHYLLINE,*,,,,, 4460,Asthma Oral Agents,Asthma Oral Agents,AETNA,THEOPHYLLINE [Theo-24],,FE,,,, 4461,Asthma Oral Agents,Asthma Oral Agents,AETNA,ZAFIRLUKAST [Accolate],,FE,DL,,, 4462,Asthma Oral Agents,Asthma Oral Agents,AETNA,ZILEUTON (Zyllo CR),,,DL,,, 4463,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,ALBUTEROL,*,,,,, 4464,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,ALBUTEROL/ER,*,,,,, 4465,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,AMINOPHYLLINE,*,,,,, 4466,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,METAPROTERENOL,*,,,,, 4467,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,MONTELUKAST [Singulair],*,,,,ST, 4468,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,MONTELUKAST [Singulair] (for allergies),,,,,,NC 4469,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,TERBUTALINE,*,,,,, 4470,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,THEOPHYLLINE,*,,,,, 4471,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,THEOPHYLLINE [Theo-24],*,,,,, 4472,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,ZAFIRLUKAST [Accolate],,,,,ST,NC 4473,Asthma Oral Agents,Asthma Oral Agents,BCBSMA,ZILEUTON (Zyllo CR),,,,,,NC 4474,Asthma Oral Agents,Asthma Oral Agents,BMCHP,ALBUTEROL,,,,,, 4475,Asthma Oral Agents,Asthma Oral Agents,BMCHP,ALBUTEROL/ER,,,,,, 4476,Asthma Oral Agents,Asthma Oral Agents,BMCHP,AMINOPHYLLINE,,,,,, 4477,Asthma Oral Agents,Asthma Oral Agents,BMCHP,METAPROTERENOL,,,,,, 4478,Asthma Oral Agents,Asthma Oral Agents,BMCHP,MONTELUKAST [Singulair],,,,,ST, 4479,Asthma Oral Agents,Asthma Oral Agents,BMCHP,MONTELUKAST [Singulair] (for allergies),,,,,ST, 4480,Asthma Oral Agents,Asthma Oral Agents,BMCHP,TERBUTALINE,,,,,, 4481,Asthma Oral Agents,Asthma Oral Agents,BMCHP,THEOPHYLLINE,,,,,, 4482,Asthma Oral Agents,Asthma Oral Agents,BMCHP,THEOPHYLLINE [Theo-24],,,,,, 4483,Asthma Oral Agents,Asthma Oral Agents,BMCHP,ZAFIRLUKAST [Accolate],,,,,ST, 4484,Asthma Oral Agents,Asthma Oral Agents,FCHP,ALBUTEROL,,,,,, 4485,Asthma Oral Agents,Asthma Oral Agents,FCHP,ALBUTEROL/ER,,,,,, 4486,Asthma Oral Agents,Asthma Oral Agents,FCHP,AMINOPHYLLINE,,,,,, 4487,Asthma Oral Agents,Asthma Oral Agents,FCHP,METAPROTERENOL,,,,,, 4488,Asthma Oral Agents,Asthma Oral Agents,FCHP,MONTELUKAST [Singulair],,,,,ST, 4489,Asthma Oral Agents,Asthma Oral Agents,FCHP,MONTELUKAST [Singulair] (for allergies),,,,,, 4490,Asthma Oral Agents,Asthma Oral Agents,FCHP,TERBUTALINE,,,,,, 4491,Asthma Oral Agents,Asthma Oral Agents,FCHP,THEOPHYLLINE,,,,,, 4492,Asthma Oral Agents,Asthma Oral Agents,FCHP,THEOPHYLLINE [Theo-24],,,,,, 4493,Asthma Oral Agents,Asthma Oral Agents,HPHC,ALBUTEROL,,,,,, 4494,Asthma Oral Agents,Asthma Oral Agents,HPHC,ALBUTEROL/ER,,,,,, 4495,Asthma Oral Agents,Asthma Oral Agents,HPHC,AMINOPHYLLINE,,,,,, 4496,Asthma Oral Agents,Asthma Oral Agents,HPHC,METAPROTERENOL,,,,,, 4497,Asthma Oral Agents,Asthma Oral Agents,HPHC,MONTELUKAST [Singulair],,,,,, 4498,Asthma Oral Agents,Asthma Oral Agents,HPHC,MONTELUKAST [Singulair] (for allergies),,,,,, 4499,Asthma Oral Agents,Asthma Oral Agents,HPHC,TERBUTALINE,,,,,, 4500,Asthma Oral Agents,Asthma Oral Agents,HPHC,THEOPHYLLINE,,,,,, 4501,Asthma Oral Agents,Asthma Oral Agents,HPHC,THEOPHYLLINE [Theo-24],,,,,, 4502,Asthma Oral Agents,Asthma Oral Agents,HPHC,ZAFIRLUKAST [Accolate],,,,,, 4503,Asthma Oral Agents,Asthma Oral Agents,HPHC,ZILEUTON (Zyllo CR),,,,,, 4504,Asthma Oral Agents,Asthma Oral Agents,HNE,ALBUTEROL,,,,,, 4505,Asthma Oral Agents,Asthma Oral Agents,HNE,ALBUTEROL/ER,,,,,, 4506,Asthma Oral Agents,Asthma Oral Agents,HNE,AMINOPHYLLINE,,,,,, 4507,Asthma Oral Agents,Asthma Oral Agents,HNE,METAPROTERENOL,,,,,, 4508,Asthma Oral Agents,Asthma Oral Agents,HNE,MONTELUKAST [Singulair],,,,,, 4509,Asthma Oral Agents,Asthma Oral Agents,HNE,TERBUTALINE,,,,,, 4510,Asthma Oral Agents,Asthma Oral Agents,HNE,THEOPHYLLINE,,,,,, 4511,Asthma Oral Agents,Asthma Oral Agents,NHP,ALBUTEROL,,,,,, 4512,Asthma Oral Agents,Asthma Oral Agents,NHP,ALBUTEROL/ER,,,,,, 4513,Asthma Oral Agents,Asthma Oral Agents,NHP,AMINOPHYLLINE,,,,,, 4514,Asthma Oral Agents,Asthma Oral Agents,NHP,METAPROTERENOL,,,,,, 4515,Asthma Oral Agents,Asthma Oral Agents,NHP,MONTELUKAST [Singulair],,,DL,,ST, 4516,Asthma Oral Agents,Asthma Oral Agents,NHP,MONTELUKAST [Singulair] (for allergies),,,,,ST, 4517,Asthma Oral Agents,Asthma Oral Agents,NHP,TERBUTALINE,,,,,, 4518,Asthma Oral Agents,Asthma Oral Agents,NHP,THEOPHYLLINE,,,,,, 4519,Asthma Oral Agents,Asthma Oral Agents,NHP,THEOPHYLLINE [Theo-24],,,,,, 4520,Asthma Oral Agents,Asthma Oral Agents,NTWK,ALBUTEROL,,,,,, 4521,Asthma Oral Agents,Asthma Oral Agents,NTWK,ALBUTEROL/ER,,,,,, 4522,Asthma Oral Agents,Asthma Oral Agents,NTWK,AMINOPHYLLINE,,,,,, 4523,Asthma Oral Agents,Asthma Oral Agents,NTWK,METAPROTERENOL,,,,,, 4524,Asthma Oral Agents,Asthma Oral Agents,NTWK,MONTELUKAST [Singulair],,,,,ST, 4525,Asthma Oral Agents,Asthma Oral Agents,NTWK,MONTELUKAST [Singulair] (for allergies),,,,PA,, 4526,Asthma Oral Agents,Asthma Oral Agents,NTWK,TERBUTALINE,,,,,, 4527,Asthma Oral Agents,Asthma Oral Agents,NTWK,THEOPHYLLINE,,,,,, 4528,Asthma Oral Agents,Asthma Oral Agents,NTWK,ZAFIRLUKAST [Accolate],,,,,, 4529,Asthma Oral Agents,Asthma Oral Agents,MAHLTH,ALBUTEROL,,,,,, 4530,Asthma Oral Agents,Asthma Oral Agents,NHP,ALBUTEROL/ER,,,,,, 4531,Asthma Oral Agents,Asthma Oral Agents,NHP,AMINOPHYLLINE,,,,,, 4532,Asthma Oral Agents,Asthma Oral Agents,NHP,METAPROTERENOL,,,,,, 4533,Asthma Oral Agents,Asthma Oral Agents,MAHLTH,MONTELUKAST [Singulair],,,,PA>=17 yrs old,, 4534,Asthma Oral Agents,Asthma Oral Agents,NHP,TERBUTALINE,,,,,, 4535,Asthma Oral Agents,Asthma Oral Agents,NHP,THEOPHYLLINE,,,,,, 4536,Asthma Oral Agents,Asthma Oral Agents,NHP,THEOPHYLLINE [Theo-24],,,,,, 4537,Asthma Oral Agents,Asthma Oral Agents,MAHLTH,ZAFIRLUKAST [Accolate],,,,PA>=17 yrs old,, 4538,Asthma Oral Agents,Asthma Oral Agents,NHP,ZILEUTON (Zyllo CR),,,,PA ,, 4539,Asthma Oral Agents,Asthma Oral Agents,THP,ALBUTEROL,,,,,, 4540,Asthma Oral Agents,Asthma Oral Agents,THP,ALBUTEROL/ER,,,,,, 4541,Asthma Oral Agents,Asthma Oral Agents,THP,AMINOPHYLLINE,,,,,, 4542,Asthma Oral Agents,Asthma Oral Agents,THP,METAPROTERENOL,,,,,, 4543,Asthma Oral Agents,Asthma Oral Agents,THP,MONTELUKAST [Singulair],*,,,,, 4544,Asthma Oral Agents,Asthma Oral Agents,THP,MONTELUKAST [Singulair] (for allergies),,,,,, 4545,Asthma Oral Agents,Asthma Oral Agents,THP,TERBUTALINE,,,,,, 4546,Asthma Oral Agents,Asthma Oral Agents,THP,THEOPHYLLINE,,,,,, 4547,Asthma Oral Agents,Asthma Oral Agents,THP,THEOPHYLLINE [Theo-24],,,,,, 4548,Asthma Oral Agents,Asthma Oral Agents,THP,ZAFIRLUKAST [Accolate],,,,,, 4549,Asthma Oral Agents,Asthma Oral Agents,THP,ZILEUTON (Zyllo CR),,,,,,NC 4550,Asthma Inhalers,Bronchodilators,AETNA,ALBUTEROL solution,*,,,,, 4551,Asthma Inhalers,Bronchodilators,AETNA,ALBUTEROL [Accuneb],,FE,,,, 4552,Asthma Inhalers,Bronchodilators,AETNA,ALBUTEROL [ProAir HFA],*,,,,, 4553,Asthma Inhalers,Bronchodilators,AETNA,ALBUTEROL [Proventil HFA],*,,,,, 4554,Asthma Inhalers,Bronchodilators,AETNA,ALBUTEROL [Ventolin HFA],,FE,,,, 4555,Asthma Inhalers,Bronchodilators,AETNA,ARFORMOTEROL [Brovana] ,,FE,,,ST, 4556,Asthma Inhalers,Bronchodilators,AETNA,FORMOTEROL [Foradil],*,,,,ST, 4557,Asthma Inhalers,Bronchodilators,AETNA,FORMOTEROL [Perforomist],*,FE,,,ST, 4558,Asthma Inhalers,Bronchodilators,AETNA,IPRATROPIUM,*,,,,, 4559,Asthma Inhalers,Bronchodilators,AETNA,IPRATROPIUM AEROSOL [Atrovent HFA],,FE,,,, 4560,Asthma Inhalers,Bronchodilators,AETNA,IPRATROPIUM/Albuterol,*,,,,, 4561,Asthma Inhalers,Bronchodilators,AETNA,IPRATROPIUM/ALBUTEROL [Combivent],*,,,,, 4562,Asthma Inhalers,Bronchodilators,AETNA,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,,, 4563,Asthma Inhalers,Bronchodilators,AETNA,LEVALBUTEROL [Xopenex],,FE,,,ST, 4564,Asthma Inhalers,Bronchodilators,AETNA,LEVALBUTEROL HFA [Xopenex HFA],,FE,,,, 4565,Asthma Inhalers,Bronchodilators,AETNA,METAPROTERENOL,,FE,,,, 4566,Asthma Inhalers,Bronchodilators,AETNA,METAPROTERENOL [Alupent],,FE,,,, 4567,Asthma Inhalers,Bronchodilators,AETNA,PIRBUTEROL [Maxair],*,,,,, 4568,Asthma Inhalers,Bronchodilators,AETNA,SALMETEROL [Serevent Diskus],*,,,,ST, 4569,Asthma Inhalers,Bronchodilators,AETNA,SALMETEROL/FLUTICASONE [Advair],*,,,,, 4570,Asthma Inhalers,Bronchodilators,AETNA,TIOTROPIUM [Spiriva],*,,,,, 4571,Asthma Inhalers,Bronchodilators,BCBSMA,ALBUTEROL solution,*,,DL,,, 4572,Asthma Inhalers,Bronchodilators,BCBSMA,ALBUTEROL [Accuneb],,,,,,NC 4573,Asthma Inhalers,Bronchodilators,BCBSMA,ALBUTEROL [ProAir HFA],*,,DL,,, 4574,Asthma Inhalers,Bronchodilators,BCBSMA,ALBUTEROL [Proventil HFA],,,DL,,,NC 4575,Asthma Inhalers,Bronchodilators,BCBSMA,ALBUTEROL [Ventolin HFA],,,DL,,,NC 4576,Asthma Inhalers,Bronchodilators,BCBSMA,ARFORMOTEROL [Brovana] ,,,,,,NC 4577,Asthma Inhalers,Bronchodilators,BCBSMA,FORMOTEROL [Foradil],*,,DL,,, 4578,Asthma Inhalers,Bronchodilators,BCBSMA,FORMOTEROL [Perforomist],,,,,,NC 4579,Asthma Inhalers,Bronchodilators,BCBSMA,IPRATROPIUM,*,,,,, 4580,Asthma Inhalers,Bronchodilators,BCBSMA,IPRATROPIUM AEROSOL [Atrovent HFA],*,,DL,,, 4581,Asthma Inhalers,Bronchodilators,BCBSMA,IPRATROPIUM/Albuterol,*,,,,, 4582,Asthma Inhalers,Bronchodilators,BCBSMA,IPRATROPIUM/ALBUTEROL [Combivent],*,,DL,,, 4583,Asthma Inhalers,Bronchodilators,BCBSMA,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,,, 4584,Asthma Inhalers,Bronchodilators,BCBSMA,LEVALBUTEROL [Xopenex],,,,,,NC 4585,Asthma Inhalers,Bronchodilators,BCBSMA,LEVALBUTEROL HFA [Xopenex HFA],,,DL,,,NC 4586,Asthma Inhalers,Bronchodilators,BCBSMA,METAPROTERENOL,*,,,,, 4587,Asthma Inhalers,Bronchodilators,BCBSMA,METAPROTERENOL [Alupent],,,DL,,, 4588,Asthma Inhalers,Bronchodilators,BCBSMA,PIRBUTEROL [Maxair],,,DL,,,NC 4589,Asthma Inhalers,Bronchodilators,BCBSMA,SALMETEROL [Serevent Diskus],*,,DL,,, 4590,Asthma Inhalers,Bronchodilators,BCBSMA,SALMETEROL/FLUTICASONE [Advair],,,DL,,ST, 4591,Asthma Inhalers,Bronchodilators,BCBSMA,TIOTROPIUM [Spiriva],*,,DL,,, 4592,Asthma Inhalers,Bronchodilators,BMCHP,ALBUTEROL solution,,,DL,,, 4593,Asthma Inhalers,Bronchodilators,BMCHP,ALBUTEROL [Accuneb],,,DL,,, 4594,Asthma Inhalers,Bronchodilators,BMCHP,ALBUTEROL [ProAir HFA],,,DL,,, 4595,Asthma Inhalers,Bronchodilators,BMCHP,ALBUTEROL [Proventil HFA],,,DL,,, 4596,Asthma Inhalers,Bronchodilators,BMCHP,ALBUTEROL [Ventolin HFA],,,DL,,, 4597,Asthma Inhalers,Bronchodilators,BMCHP,ARFORMOTEROL [Brovana] ,,,,,, 4598,Asthma Inhalers,Bronchodilators,BMCHP,FORMOTEROL [Foradil],,,DL,,, 4599,Asthma Inhalers,Bronchodilators,BMCHP,FORMOTEROL [Perforomist],,,,,, 4600,Asthma Inhalers,Bronchodilators,BMCHP,IPRATROPIUM,,,,,, 4601,Asthma Inhalers,Bronchodilators,BMCHP,IPRATROPIUM AEROSOL [Atrovent HFA],,,DL,,, 4602,Asthma Inhalers,Bronchodilators,BMCHP,IPRATROPIUM/Albuterol,,,DL,,, 4603,Asthma Inhalers,Bronchodilators,BMCHP,IPRATROPIUM/ALBUTEROL [Combivent],,,DL,,, 4604,Asthma Inhalers,Bronchodilators,BMCHP,IPRATROPIUM/ALBUTEROL [DuoNeb],,,DL,,, 4605,Asthma Inhalers,Bronchodilators,BMCHP,LEVALBUTEROL [Xopenex],,,DL,,, 4606,Asthma Inhalers,Bronchodilators,BMCHP,LEVALBUTEROL HFA [Xopenex HFA],,,DL,,ST, 4607,Asthma Inhalers,Bronchodilators,BMCHP,METAPROTERENOL,,,,,, 4608,Asthma Inhalers,Bronchodilators,BMCHP,METAPROTERENOL [Alupent],,,DL,,, 4609,Asthma Inhalers,Bronchodilators,BMCHP,PIRBUTEROL [Maxair],,,DL,,, 4610,Asthma Inhalers,Bronchodilators,BMCHP,SALMETEROL [Serevent Diskus],,,DL,,, 4611,Asthma Inhalers,Bronchodilators,BMCHP,SALMETEROL/FLUTICASONE [Advair],,,DL,,ST, 4612,Asthma Inhalers,Bronchodilators,BMCHP,TIOTROPIUM [Spiriva],,,DL,,, 4613,Asthma Inhalers,Bronchodilators,FCHP,ALBUTEROL solution,,,,,, 4614,Asthma Inhalers,Bronchodilators,FCHP,ALBUTEROL [Accuneb],,,,,, 4615,Asthma Inhalers,Bronchodilators,FCHP,ALBUTEROL [ProAir HFA],,,,,, 4616,Asthma Inhalers,Bronchodilators,FCHP,FORMOTEROL [Foradil],,,,,, 4617,Asthma Inhalers,Bronchodilators,FCHP,IPRATROPIUM,,,,,, 4618,Asthma Inhalers,Bronchodilators,FCHP,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4619,Asthma Inhalers,Bronchodilators,FCHP,IPRATROPIUM/Albuterol,,,,,, 4620,Asthma Inhalers,Bronchodilators,FCHP,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4621,Asthma Inhalers,Bronchodilators,FCHP,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,,, 4622,Asthma Inhalers,Bronchodilators,FCHP,METAPROTERENOL,,,,,, 4623,Asthma Inhalers,Bronchodilators,FCHP,METAPROTERENOL [Alupent],,,,,, 4624,Asthma Inhalers,Bronchodilators,FCHP,PIRBUTEROL [Maxair],,,,,, 4625,Asthma Inhalers,Bronchodilators,FCHP,SALMETEROL [Serevent Diskus],,,,,, 4626,Asthma Inhalers,Bronchodilators,FCHP,TIOTROPIUM [Spiriva],,,,,, 4627,Asthma Inhalers,Bronchodilators,HPHC,ALBUTEROL solution,,,,,, 4628,Asthma Inhalers,Bronchodilators,HPHC,ALBUTEROL [Accuneb],,,,,, 4629,Asthma Inhalers,Bronchodilators,HPHC,ALBUTEROL [ProAir HFA],,,,,, 4630,Asthma Inhalers,Bronchodilators,HPHC,ALBUTEROL [Proventil HFA],,,,,, 4631,Asthma Inhalers,Bronchodilators,HPHC,ALBUTEROL [Ventolin HFA],,,,,, 4632,Asthma Inhalers,Bronchodilators,HPHC,ARFORMOTEROL [Brovana] ,,,,,, 4633,Asthma Inhalers,Bronchodilators,HPHC,FORMOTEROL [Foradil],,,DL,,, 4634,Asthma Inhalers,Bronchodilators,HPHC,FORMOTEROL [Perforomist],,,,,, 4635,Asthma Inhalers,Bronchodilators,HPHC,IPRATROPIUM,,,,,, 4636,Asthma Inhalers,Bronchodilators,HPHC,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4637,Asthma Inhalers,Bronchodilators,HPHC,IPRATROPIUM/Albuterol,,,,,, 4638,Asthma Inhalers,Bronchodilators,HPHC,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4639,Asthma Inhalers,Bronchodilators,HPHC,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,,, 4640,Asthma Inhalers,Bronchodilators,HPHC,LEVALBUTEROL [Xopenex],,,,,, 4641,Asthma Inhalers,Bronchodilators,HPHC,LEVALBUTEROL HFA [Xopenex HFA],,,,,, 4642,Asthma Inhalers,Bronchodilators,HPHC,METAPROTERENOL,,,,,, 4643,Asthma Inhalers,Bronchodilators,HPHC,METAPROTERENOL [Alupent],,,,,, 4644,Asthma Inhalers,Bronchodilators,HPHC,PIRBUTEROL [Maxair],,,,,, 4645,Asthma Inhalers,Bronchodilators,HPHC,SALMETEROL [Serevent Diskus],,,DL,,, 4646,Asthma Inhalers,Bronchodilators,HPHC,SALMETEROL/FLUTICASONE [Advair],,,DL,,, 4647,Asthma Inhalers,Bronchodilators,HPHC,TIOTROPIUM [Spiriva],,,DL,,, 4648,Asthma Inhalers,Bronchodilators,HNE,ALBUTEROL solution,,,,,, 4649,Asthma Inhalers,Bronchodilators,HNE,ALBUTEROL [ProAir HFA],,,,,, 4650,Asthma Inhalers,Bronchodilators,HNE,FORMOTEROL [Foradil],,,DL,,, 4651,Asthma Inhalers,Bronchodilators,HNE,FORMOTEROL [Perforomist],,,DL,,, 4652,Asthma Inhalers,Bronchodilators,HNE,IPRATROPIUM,,,,,, 4653,Asthma Inhalers,Bronchodilators,HNE,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4654,Asthma Inhalers,Bronchodilators,HNE,IPRATROPIUM/Albuterol,,,,,, 4655,Asthma Inhalers,Bronchodilators,HNE,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4656,Asthma Inhalers,Bronchodilators,HNE,METAPROTERENOL,,,,,, 4657,Asthma Inhalers,Bronchodilators,HNE,PIRBUTEROL [Maxair],,,,,, 4658,Asthma Inhalers,Bronchodilators,HNE,SALMETEROL/FLUTICASONE [Advair],,,DL,,, 4659,Asthma Inhalers,Bronchodilators,HNE,TIOTROPIUM [Spiriva],,,,,, 4660,Asthma Inhalers,Bronchodilators,NHP,ALBUTEROL solution,,,,,, 4661,Asthma Inhalers,Bronchodilators,NHP,ALBUTEROL [Accuneb],,,,,,NC 4662,Asthma Inhalers,Bronchodilators,NHP,ALBUTEROL [ProAir HFA],,,DL>= 17 yrs old,,, 4663,Asthma Inhalers,Bronchodilators,NHP,ALBUTEROL [Proventil HFA],,,DL>= 17 yrs old,,, 4664,Asthma Inhalers,Bronchodilators,NHP,ALBUTEROL [Ventolin HFA],,,DL>= 17 yrs old,,, 4665,Asthma Inhalers,Bronchodilators,NHP,FORMOTEROL [Foradil],,,,,, 4666,Asthma Inhalers,Bronchodilators,NHP,FORMOTEROL [Perforomist],,,,,, 4667,Asthma Inhalers,Bronchodilators,NHP,IPRATROPIUM,,,,,, 4668,Asthma Inhalers,Bronchodilators,NHP,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4669,Asthma Inhalers,Bronchodilators,NHP,IPRATROPIUM/Albuterol,,,,,, 4670,Asthma Inhalers,Bronchodilators,NHP,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4671,Asthma Inhalers,Bronchodilators,NHP,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,,,nc 4672,Asthma Inhalers,Bronchodilators,NHP,METAPROTERENOL,,,,,, 4673,Asthma Inhalers,Bronchodilators,NHP,PIRBUTEROL [Maxair],,,,,, 4674,Asthma Inhalers,Bronchodilators,NHP,SALMETEROL [Serevent Diskus],,,,,, 4675,Asthma Inhalers,Bronchodilators,NHP,SALMETEROL/FLUTICASONE [Advair],,,,,, 4676,Asthma Inhalers,Bronchodilators,NHP,TIOTROPIUM [Spiriva],,,,,, 4677,Asthma Inhalers,Bronchodilators,NTWK,ALBUTEROL solution,,,,,, 4678,Asthma Inhalers,Bronchodilators,NTWK,ALBUTEROL [ProAir HFA],,,,,, 4679,Asthma Inhalers,Bronchodilators,NTWK,ALBUTEROL [Proventil HFA],,,,,, 4680,Asthma Inhalers,Bronchodilators,NTWK,ALBUTEROL [Ventolin HFA],,,,,, 4681,Asthma Inhalers,Bronchodilators,NTWK,FORMOTEROL [Foradil],,,,,, 4682,Asthma Inhalers,Bronchodilators,NTWK,FORMOTEROL [Perforomist],,,,,, 4683,Asthma Inhalers,Bronchodilators,NTWK,IPRATROPIUM,,,,,, 4684,Asthma Inhalers,Bronchodilators,NTWK,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4685,Asthma Inhalers,Bronchodilators,NTWK,IPRATROPIUM/Albuterol,,,,,, 4686,Asthma Inhalers,Bronchodilators,NTWK,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4687,Asthma Inhalers,Bronchodilators,NTWK,LEVALBUTEROL [Xopenex],,,,,, 4688,Asthma Inhalers,Bronchodilators,NTWK,LEVALBUTEROL HFA [Xopenex HFA],,,,PA,, 4689,Asthma Inhalers,Bronchodilators,NTWK,METAPROTERENOL,,,,,, 4690,Asthma Inhalers,Bronchodilators,NTWK,PIRBUTEROL [Maxair],,,,,, 4691,Asthma Inhalers,Bronchodilators,NTWK,SALMETEROL [Serevent Diskus],,,,,, 4692,Asthma Inhalers,Bronchodilators,NTWK,SALMETEROL/FLUTICASONE [Advair],,,,,, 4693,Asthma Inhalers,Bronchodilators,NTWK,TIOTROPIUM [Spiriva],,,,,, 4694,Asthma Inhalers,Bronchodilators,MAHLTH,ALBUTEROL solution,,,,,, 4695,Asthma Inhalers,Bronchodilators,MAHLTH,ALBUTEROL [Accuneb],,,,PA,, 4696,Asthma Inhalers,Bronchodilators,MAHLTH,ALBUTEROL [ProAir HFA],,,,,, 4697,Asthma Inhalers,Bronchodilators,MAHLTH,ALBUTEROL [Proventil HFA],,,,PA,, 4698,Asthma Inhalers,Bronchodilators,MAHLTH,ALBUTEROL [Ventolin HFA],,,,PA,, 4699,Asthma Inhalers,Bronchodilators,MAHLTH,ARFORMOTEROL [Brovana] ,,,,PA,, 4700,Asthma Inhalers,Bronchodilators,MAHLTH,FORMOTEROL [Foradil],,,,PA,, 4701,Asthma Inhalers,Bronchodilators,MAHLTH,FORMOTEROL [Perforomist],,,,PA,, 4702,Asthma Inhalers,Bronchodilators,MAHLTH,IPRATROPIUM,,,,,, 4703,Asthma Inhalers,Bronchodilators,MAHLTH,IPRATROPIUM AEROSOL [Atrovent HFA],,,,,, 4704,Asthma Inhalers,Bronchodilators,MAHLTH,IPRATROPIUM/Albuterol,,,,,, 4705,Asthma Inhalers,Bronchodilators,MAHLTH,IPRATROPIUM/ALBUTEROL [Combivent],,,,,, 4706,Asthma Inhalers,Bronchodilators,MAHLTH,IPRATROPIUM/ALBUTEROL [DuoNeb],,,,PA,, 4707,Asthma Inhalers,Bronchodilators,MAHLTH,LEVALBUTEROL [Xopenex],,,,PA,, 4708,Asthma Inhalers,Bronchodilators,MAHLTH,LEVALBUTEROL HFA [Xopenex HFA],,,,PA,, 4709,Asthma Inhalers,Bronchodilators,MAHLTH,METAPROTERENOL,,,,,, 4710,Asthma Inhalers,Bronchodilators,MAHLTH,METAPROTERENOL [Alupent],,,,PA,, 4711,Asthma Inhalers,Bronchodilators,MAHLTH,PIRBUTEROL [Maxair],,,,PA,, 4712,Asthma Inhalers,Bronchodilators,MAHLTH,SALMETEROL [Serevent Diskus],,,,PA,, 4713,Asthma Inhalers,Bronchodilators,MAHLTH,SALMETEROL/FLUTICASONE [Advair],,,,PA,, 4714,Asthma Inhalers,Bronchodilators,MAHLTH,TIOTROPIUM [Spiriva],,,,,, 4715,Asthma Inhalers,Bronchodilators,THP,ALBUTEROL solution,,,DL,,, 4716,Asthma Inhalers,Bronchodilators,THP,ALBUTEROL [Accuneb],,,DL,,, 4717,Asthma Inhalers,Bronchodilators,THP,ALBUTEROL [ProAir HFA],*,,DL,,, 4718,Asthma Inhalers,Bronchodilators,THP,ALBUTEROL [Proventil HFA],,,DL,,, 4719,Asthma Inhalers,Bronchodilators,THP,ALBUTEROL [Ventolin HFA],*,,DL,,, 4720,Asthma Inhalers,Bronchodilators,THP,ARFORMOTEROL [Brovana] ,,,DL,PA,, 4721,Asthma Inhalers,Bronchodilators,THP,FORMOTEROL [Foradil],*,,DL,,, 4722,Asthma Inhalers,Bronchodilators,THP,FORMOTEROL [Perforomist],,,DL,PA,, 4723,Asthma Inhalers,Bronchodilators,THP,IPRATROPIUM,,,DL,,, 4724,Asthma Inhalers,Bronchodilators,THP,IPRATROPIUM AEROSOL [Atrovent HFA],*,,DL,,, 4725,Asthma Inhalers,Bronchodilators,THP,IPRATROPIUM/Albuterol,*,,DL,,, 4726,Asthma Inhalers,Bronchodilators,THP,IPRATROPIUM/ALBUTEROL [Combivent],*,,DL,,, 4727,Asthma Inhalers,Bronchodilators,THP,IPRATROPIUM/ALBUTEROL [DuoNeb],,,DL,,, 4728,Asthma Inhalers,Bronchodilators,THP,LEVALBUTEROL [Xopenex],,,DL,,ST, 4729,Asthma Inhalers,Bronchodilators,THP,LEVALBUTEROL HFA [Xopenex HFA],,,DL,,, 4730,Asthma Inhalers,Bronchodilators,THP,METAPROTERENOL,,,DL,,, 4731,Asthma Inhalers,Bronchodilators,THP,METAPROTERENOL [Alupent],,,DL,,, 4732,Asthma Inhalers,Bronchodilators,THP,PIRBUTEROL [Maxair],,,DL,,, 4733,Asthma Inhalers,Bronchodilators,THP,SALMETEROL [Serevent Diskus],*,,DL,,, 4734,Asthma Inhalers,Bronchodilators,THP,SALMETEROL/FLUTICASONE [Advair],*,,DL,,, 4735,Asthma Inhalers,Bronchodilators,THP,TIOTROPIUM [Spiriva],*,,DL,,, 4736,Asthma Inhalers,Other,AETNA,CROMOLYN solution,*,,,,, 4737,Asthma Inhalers,Other,AETNA,CROMOLYN [Intal],,FE,,,, 4738,Asthma Inhalers,Other,BCBSMA,CROMOLYN solution,*,,,,, 4739,Asthma Inhalers,Other,BCBSMA,CROMOLYN [Intal],*,,DL,,, 4740,Asthma Inhalers,Other,BMCHP,CROMOLYN solution,,,,,, 4741,Asthma Inhalers,Other,BMCHP,CROMOLYN [Intal],,,,,, 4742,Asthma Inhalers,Other,FCHP,CROMOLYN solution,,,,,, 4743,Asthma Inhalers,Other,HPHC,CROMOLYN solution,,,,,, 4744,Asthma Inhalers,Other,HPHC,CROMOLYN [Intal],,,,,, 4745,Asthma Inhalers,Other,HNE,CROMOLYN solution,,,,,, 4746,Asthma Inhalers,Other,HNE,CROMOLYN [Intal],,,,,, 4747,Asthma Inhalers,Other,NHP,CROMOLYN solution,,,,,, 4748,Asthma Inhalers,Other,NTWK,CROMOLYN solution,,,,,, 4749,Asthma Inhalers,Other,NTWK,CROMOLYN [Intal],,,,,, 4750,Asthma Inhalers,Other,MAHLTH,CROMOLYN solution,,,,,, 4751,Asthma Inhalers,Other,MAHLTH,CROMOLYN [Intal],,,,,, 4752,Asthma Inhalers,Other,THP,CROMOLYN solution,,,DL,,, 4753,Asthma Inhalers,Other,THP,CROMOLYN [Intal],,,DL,,, 4755,Asthma Inhalers,Steroids,AETNA,BECLOMETHASONE [Qvar],,FE,,,, 4756,Asthma Inhalers,Steroids,AETNA,BUDESONIDE [Pulmicort Flexhaler] ,,FE,,,, 4757,Asthma Inhalers,Steroids,AETNA,BUDESONIDE SUSPENSION [Pulmicort Respules] ,*,,,,, 4758,Asthma Inhalers,Steroids,AETNA,BUDESONIDE/FORMOTEROL [Symbicort],*,,,,, 4759,Asthma Inhalers,Steroids,AETNA,CICESONIDE [Alvesco],,,,,, 4760,Asthma Inhalers,Steroids,AETNA,FLUNISOLIDE [Aerobid/M],*,,,,, 4761,Asthma Inhalers,Steroids,AETNA,FLUTICASONE [Flovent HFA],*,,,,, 4762,Asthma Inhalers,Steroids,AETNA,FLUTICASONE/SALMETEROL [Advair],*,,,,, 4763,Asthma Inhalers,Steroids,AETNA,MOMETASONE [Asmanex],*,,,,, 4764,Asthma Inhalers,Steroids,AETNA,TRIAMCINOLONE [Azmacort],,FE,,,, 4765,Asthma Inhalers,Steroids,BCBSMA,BECLOMETHASONE [Qvar],*,,DL,,, 4766,Asthma Inhalers,Steroids,BCBSMA,BUDESONIDE [Pulmicort Flexhaler] ,*,,DL,,, 4767,Asthma Inhalers,Steroids,BCBSMA,BUDESONIDE SUSPENSION [Pulmicort Respules] ,*,,DL,,, 4768,Asthma Inhalers,Steroids,BCBSMA,BUDESONIDE/FORMOTEROL [Symbicort],*,,DL,,ST, 4769,Asthma Inhalers,Steroids,BCBSMA,CICESONIDE [Alvesco],,,DL,,,NC 4770,Asthma Inhalers,Steroids,BCBSMA,FLUNISOLIDE [Aerobid/M],,,DL,,,NC 4771,Asthma Inhalers,Steroids,BCBSMA,FLUTICASONE [Flovent HFA],*,,DL,,, 4772,Asthma Inhalers,Steroids,BCBSMA,FLUTICASONE/SALMETEROL [Advair],,,DL,,ST, 4773,Asthma Inhalers,Steroids,BCBSMA,MOMETASONE [Asmanex],,,DL,,,NC 4774,Asthma Inhalers,Steroids,BCBSMA,TRIAMCINOLONE [Azmacort],,,DL,,,NC 4775,Asthma Inhalers,Steroids,BMCHP,BECLOMETHASONE [Qvar],,,DL,,, 4776,Asthma Inhalers,Steroids,BMCHP,BUDESONIDE [Pulmicort Flexhaler] ,,,DL,,, 4777,Asthma Inhalers,Steroids,BMCHP,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,DL,,, 4778,Asthma Inhalers,Steroids,BMCHP,BUDESONIDE/FORMOTEROL [Symbicort],*,,DL,,ST, 4779,Asthma Inhalers,Steroids,BMCHP,FLUNISOLIDE [Aerobid/M],,,DL,,, 4780,Asthma Inhalers,Steroids,BMCHP,FLUTICASONE [Flovent HFA],,,DL,,, 4781,Asthma Inhalers,Steroids,BMCHP,FLUTICASONE/SALMETEROL [Advair],,,DL,,ST, 4782,Asthma Inhalers,Steroids,BMCHP,MOMETASONE [Asmanex],,,,,, 4783,Asthma Inhalers,Steroids,BMCHP,TRIAMCINOLONE [Azmacort],,,DL,,, 4784,Asthma Inhalers,Steroids,FCHP,BECLOMETHASONE [Qvar],,,,,, 4785,Asthma Inhalers,Steroids,FCHP,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4786,Asthma Inhalers,Steroids,FCHP,FLUTICASONE [Flovent HFA],,,,,, 4787,Asthma Inhalers,Steroids,FCHP,FLUTICASONE/SALMETEROL [Advair],,,,,, 4788,Asthma Inhalers,Steroids,FCHP,TRIAMCINOLONE [Azmacort],,,,,, 4789,Asthma Inhalers,Steroids,HPHC,BECLOMETHASONE [Qvar],,,,,, 4790,Asthma Inhalers,Steroids,HPHC,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4791,Asthma Inhalers,Steroids,HPHC,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,,,, 4792,Asthma Inhalers,Steroids,HPHC,BUDESONIDE/FORMOTEROL [Symbicort],,,DL,,, 4793,Asthma Inhalers,Steroids,HPHC,CICESONIDE [Alvesco],,,,,, 4794,Asthma Inhalers,Steroids,HPHC,FLUNISOLIDE [Aerobid/M],,,,,, 4795,Asthma Inhalers,Steroids,HPHC,FLUTICASONE [Flovent HFA],,,,,, 4796,Asthma Inhalers,Steroids,HPHC,FLUTICASONE/SALMETEROL [Advair],,,DL,,, 4797,Asthma Inhalers,Steroids,HPHC,MOMETASONE [Asmanex],,,,,, 4798,Asthma Inhalers,Steroids,HPHC,TRIAMCINOLONE [Azmacort],,,,,, 4799,Asthma Inhalers,Steroids,HNE,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4800,Asthma Inhalers,Steroids,HNE,BUDESONIDE/FORMOTEROL [Symbicort],,,DL,,, 4801,Asthma Inhalers,Steroids,HNE,FLUTICASONE [Flovent HFA],,,,,, 4802,Asthma Inhalers,Steroids,HNE,FLUTICASONE/SALMETEROL [Advair],,,DL,,, 4803,Asthma Inhalers,Steroids,HNE,MOMETASONE [Asmanex],,,,,, 4804,Asthma Inhalers,Steroids,NHP,BECLOMETHASONE [Qvar],,,,,, 4805,Asthma Inhalers,Steroids,NHP,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4806,Asthma Inhalers,Steroids,NHP,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,,,, 4807,Asthma Inhalers,Steroids,NHP,BUDESONIDE/FORMOTEROL [Symbicort],,,,,, 4808,Asthma Inhalers,Steroids,NHP,CICESONIDE [Alvesco],,,,,, 4809,Asthma Inhalers,Steroids,NHP,FLUNISOLIDE [Aerobid/M],,,,,, 4810,Asthma Inhalers,Steroids,NHP,FLUTICASONE [Flovent HFA],,,,,, 4811,Asthma Inhalers,Steroids,NHP,FLUTICASONE/SALMETEROL [Advair],,,,,, 4812,Asthma Inhalers,Steroids,NHP,MOMETASONE [Asmanex],,,,,, 4813,Asthma Inhalers,Steroids,NTWK,BECLOMETHASONE [Qvar],,,,,, 4814,Asthma Inhalers,Steroids,NTWK,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4815,Asthma Inhalers,Steroids,NTWK,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,,,, 4816,Asthma Inhalers,Steroids,NTWK,BUDESONIDE/FORMOTEROL [Symbicort],,,,,, 4817,Asthma Inhalers,Steroids,NTWK,FLUTICASONE [Flovent HFA],,,,,, 4818,Asthma Inhalers,Steroids,NTWK,FLUTICASONE/SALMETEROL [Advair],,,,,, 4819,Asthma Inhalers,Steroids,NTWK,MOMETASONE [Asmanex],,,,,, 4820,Asthma Inhalers,Steroids,NTWK,TRIAMCINOLONE [Azmacort],,,,,, 4821,Asthma Inhalers,Steroids,MAHLTH,BECLOMETHASONE [Qvar],,,,,, 4822,Asthma Inhalers,Steroids,MAHLTH,BUDESONIDE [Pulmicort Flexhaler] ,,,,,, 4823,Asthma Inhalers,Steroids,MAHLTH,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,,,, 4824,Asthma Inhalers,Steroids,MAHLTH,BUDESONIDE/FORMOTEROL [Symbicort],,,,PA,, 4825,Asthma Inhalers,Steroids,MAHLTH,CICESONIDE [Alvesco],,,,,, 4826,Asthma Inhalers,Steroids,MAHLTH,FLUNISOLIDE [Aerobid/M],,,,,, 4827,Asthma Inhalers,Steroids,MAHLTH,FLUTICASONE [Flovent HFA],,,,,, 4828,Asthma Inhalers,Steroids,MAHLTH,FLUTICASONE/SALMETEROL [Advair],,,,PA,, 4829,Asthma Inhalers,Steroids,MAHLTH,MOMETASONE [Asmanex],,,,,, 4830,Asthma Inhalers,Steroids,MAHLTH,TRIAMCINOLONE [Azmacort],,,,,, 4831,Asthma Inhalers,Steroids,THP,BECLOMETHASONE [Qvar],*,,DL,,, 4832,Asthma Inhalers,Steroids,THP,BUDESONIDE [Pulmicort Flexhaler] ,,,DL,,, 4833,Asthma Inhalers,Steroids,THP,BUDESONIDE SUSPENSION [Pulmicort Respules] ,,,DL>=18 yrs old,,ST, 4834,Asthma Inhalers,Steroids,THP,BUDESONIDE/FORMOTEROL [Symbicort],*,,DL,,, 4835,Asthma Inhalers,Steroids,THP,CICESONIDE [Alvesco],,,DL,,, 4836,Asthma Inhalers,Steroids,THP,FLUNISOLIDE [Aerobid/M],,,DL,,, 4837,Asthma Inhalers,Steroids,THP,FLUTICASONE [Flovent HFA],*,,DL,,, 4838,Asthma Inhalers,Steroids,THP,FLUTICASONE/SALMETEROL [Advair],*,,DL,,, 4839,Asthma Inhalers,Steroids,THP,MOMETASONE [Asmanex],*,,DL,,, 4840,Asthma Inhalers,Steroids,THP,TRIAMCINOLONE [Azmacort], ,,DL,,, 4841,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,ATOMOXETINE [Strattera],,FE,DL,,ST, 4842,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXMETHYLPHENIDATE ,*,,DL,,, 4843,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXMETHYLPHENIDATE [Focalin],,FE,DL,,ST, 4844,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXMETHYLPHENIDATE ER [Focalin XR],,FE,DL,,ST, 4845,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXTROAMPHETAMINE,*,,DL,,, 4846,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXTROAMPHETAMINE ER,*,,DL,,, 4847,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXTROAMPHETAMINE solution [Liquadd],,,DL,,ST, 4848,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXTROAMPHETAMINE/AMPHETAMINE,*,,DL,,, 4849,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],*,,DL,,, 4850,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,LISDEXAMFETAMINE [Vyvanse] ,*,,DL,,, 4851,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHAMPHETAMINE [Desoxyn],,FE,DL,,ST, 4852,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLIN ER,*,,DL,,, 4853,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE,*,,DL,,, 4854,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE [Concerta],,FE,DL,,ST, 4855,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE [Metadate CD],,FE,DL,,ST, 4856,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE [Metadate ER],,,DL,,ST, 4857,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE [Ritalin LA],,FE,DL,,ST, 4858,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE ER,*,,DL,,, 4859,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE SR,*,,DL,,, 4860,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,AETNA,METHYLPHENIDATE transdermal [Daytrana],*,,DL,,, 4861,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,ATOMOXETINE [Strattera],,,DL,PA,, 4862,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXMETHYLPHENIDATE ,*,,,,, 4863,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXMETHYLPHENIDATE [Focalin],,,,,,NC 4864,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXMETHYLPHENIDATE ER [Focalin XR],,,,,,NC 4865,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXTROAMPHETAMINE,*,,,PA,, 4866,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXTROAMPHETAMINE ER,*,,,PA,, 4867,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXTROAMPHETAMINE solution [Liquadd],*,,,PA,, 4868,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXTROAMPHETAMINE/AMPHETAMINE,*,,,,, 4869,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4870,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,LISDEXAMFETAMINE [Vyvanse] ,,,,,,NC 4871,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHAMPHETAMINE [Desoxyn],,,,PA,, 4872,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLIN ER,*,,,,, 4873,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE,*,,,,, 4874,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE [Concerta],,,DL,,, 4875,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE [Metadate CD],,,,,, 4876,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE [Metadate ER],,,,,, 4877,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE [Ritalin LA],,,,,,NC 4878,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE ER,*,,,,, 4879,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE SR,*,,,,, 4880,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BCBSMA,METHYLPHENIDATE transdermal [Daytrana],,,,,,NC 4881,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,ATOMOXETINE [Strattera],,,DL,,, 4882,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXMETHYLPHENIDATE ,,,DL,,, 4883,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXMETHYLPHENIDATE ER [Focalin XR],,,DL,,, 4884,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXTROAMPHETAMINE,,,DL,,, 4885,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXTROAMPHETAMINE ER,,,DL,,, 4886,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXTROAMPHETAMINE/AMPHETAMINE,,,DL,,, 4887,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4888,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,LISDEXAMFETAMINE [Vyvanse] ,,,,PA,, 4889,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHAMPHETAMINE [Desoxyn],,,,,, 4890,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLIN ER,,,D,,, 4891,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE,,,D,,, 4892,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE [Concerta],,,D,,, 4893,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE [Metadate CD],,,D,,, 4894,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE [Metadate ER],,,D,,, 4895,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE [Ritalin LA],,,D,,, 4896,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE ER,,,D,,, 4897,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE SR,,,D,,, 4898,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,BMCHP,METHYLPHENIDATE transdermal [Daytrana],,,,,, 4899,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXMETHYLPHENIDATE ,,,,,, 4900,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXMETHYLPHENIDATE [Focalin],,,,,, 4901,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXMETHYLPHENIDATE ER [Focalin XR],,,,,, 4902,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXTROAMPHETAMINE,,,,,, 4903,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXTROAMPHETAMINE ER,,,,,, 4904,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXTROAMPHETAMINE/AMPHETAMINE,,,,,, 4905,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,,,, 4906,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLIN ER,,,,,, 4907,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE,,,,,, 4908,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE [Metadate CD],,,,,, 4909,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE [Metadate ER],,,,,, 4910,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE [Ritalin LA],,,,,, 4911,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE ER,,,,,, 4912,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,FCHP,METHYLPHENIDATE SR,,,,,, 4913,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,ATOMOXETINE [Strattera],,,,,, 4914,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXMETHYLPHENIDATE ,,,,,, 4915,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXMETHYLPHENIDATE [Focalin],,,,,, 4916,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXMETHYLPHENIDATE ER [Focalin XR],,,,,, 4917,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXTROAMPHETAMINE,,,,,, 4918,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXTROAMPHETAMINE ER,,,,,, 4919,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXTROAMPHETAMINE solution [Liquadd],,,,,, 4920,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXTROAMPHETAMINE/AMPHETAMINE,,,,,, 4921,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,,,, 4922,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,LISDEXAMFETAMINE [Vyvanse] ,,,,,, 4923,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHAMPHETAMINE [Desoxyn],,,,,, 4924,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLIN ER,,,,,, 4925,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE,,,,,, 4926,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE [Concerta],,,,,, 4927,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE [Metadate CD],,,,,, 4928,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE [Metadate ER],,,,,, 4929,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE [Ritalin LA],,,,,, 4930,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE ER,,,,,, 4931,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE SR,,,,,, 4932,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HPHC,METHYLPHENIDATE transdermal [Daytrana],,,,,, 4933,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,DEXMETHYLPHENIDATE ,,,,,, 4934,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,DEXTROAMPHETAMINE,,,,,, 4935,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,DEXTROAMPHETAMINE/AMPHETAMINE,,,DL,,, 4936,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4937,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,METHYLPHENIDATE,,,,,, 4938,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,METHYLPHENIDATE [Concerta],,,DL,,, 4939,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,METHYLPHENIDATE ER,,,,,, 4940,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,HNE,METHYLPHENIDATE SR,,,,,, 4941,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXMETHYLPHENIDATE ,,,,,, 4942,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXMETHYLPHENIDATE [Focalin],,,,,,NC 4943,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXMETHYLPHENIDATE ER [Focalin XR],,,DL,,, 4944,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXTROAMPHETAMINE,,,,,, 4945,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXTROAMPHETAMINE ER,,,,,, 4946,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXTROAMPHETAMINE/AMPHETAMINE,,,,,, 4947,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4948,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,LISDEXAMFETAMINE [Vyvanse] ,,,DL,,, 4949,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHAMPHETAMINE [Desoxyn],,,,,,NC 4950,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLIN ER,,,,,, 4951,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE,,,,,, 4952,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE [Metadate CD],,,DL,,, 4953,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE [Metadate ER],,,,,,NC 4954,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE [Ritalin LA],,,DL,,, 4955,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE ER,,,,,, 4956,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NHP,METHYLPHENIDATE SR,,,,,, 4957,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,ATOMOXETINE [Strattera],,,,PA,, 4958,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXMETHYLPHENIDATE ,,,,,, 4959,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXMETHYLPHENIDATE ER [Focalin XR],,,DL,,, 4960,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXTROAMPHETAMINE,,,,,, 4961,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXTROAMPHETAMINE ER,,,,,, 4962,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXTROAMPHETAMINE solution [Liquadd],,,DL,,, 4963,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXTROAMPHETAMINE/AMPHETAMINE,,,,,, 4964,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4965,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,LISDEXAMFETAMINE [Vyvanse] ,,,,,, 4966,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLIN ER,,,,,, 4967,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE,,,,,, 4968,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE [Concerta],,,DL,,, 4969,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE [Metadate CD],,,DL,,, 4970,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE [Ritalin LA],,,DL,,, 4971,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE ER,,,,,, 4972,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE SR,,,,,, 4973,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,NTWK,METHYLPHENIDATE transdermal [Daytrana],,,,PA,, 4974,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,ATOMOXETINE [Strattera],,,,PA,, 4975,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXMETHYLPHENIDATE ,,,DL,,, 4976,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXMETHYLPHENIDATE [Focalin],,,,PA,, 4977,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXMETHYLPHENIDATE ER [Focalin XR],,,DL,,, 4978,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXTROAMPHETAMINE,,,DL,,, 4979,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXTROAMPHETAMINE ER,,,DL,,, 4980,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXTROAMPHETAMINE solution [Liquadd],,,DL,,, 4981,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXTROAMPHETAMINE/AMPHETAMINE,,,DL,,, 4982,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,DL,,, 4983,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,LISDEXAMFETAMINE [Vyvanse] ,,,,PA,, 4984,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHAMPHETAMINE [Desoxyn],,,,PA,, 4985,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLIN ER,,,DL,,, 4986,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE,,,DL,,, 4987,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE [Concerta],,,DL,,, 4988,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE [Metadate CD],,,DL,,, 4989,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE [Metadate ER],,,,PA,, 4990,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE [Ritalin LA],,,DL,,, 4991,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE ER,,,DL,,, 4992,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE SR,,,DL,,, 4993,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,MAHLTH,METHYLPHENIDATE transdermal [Daytrana],,,,PA,, 4994,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,ATOMOXETINE [Strattera],,,DL,,, 4995,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXMETHYLPHENIDATE ,,,,,, 4996,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXMETHYLPHENIDATE [Focalin],,,,,ST, 4997,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXMETHYLPHENIDATE ER [Focalin XR],,,,,, 4998,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXTROAMPHETAMINE,,,,,, 4999,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXTROAMPHETAMINE ER,,,,,ST, 5000,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXTROAMPHETAMINE solution [Liquadd],,,,,, 5001,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXTROAMPHETAMINE/AMPHETAMINE,,,,,, 5002,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,DEXTROAMPHETAMINE/AMPHETAMINE [Adderall XR],,,,,, 5003,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,LISDEXAMFETAMINE [Vyvanse] ,,,,,ST, 5004,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHAMPHETAMINE [Desoxyn],,,,,, 5005,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLIN ER,,,,,, 5006,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE,,,,,, 5007,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE [Concerta],,,,,, 5008,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE [Metadate CD],,,,,, 5009,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE [Metadate ER],,,,,, 5010,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE [Ritalin LA],,,,,, 5011,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE ER,,,,,, 5012,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE SR,,,,,, 5013,Attention Deficit Hyperactivity Disorder,Attention Deficit Hyperactivity Disorder,THP,METHYLPHENIDATE transdermal [Daytrana],,,,,ST, 5015,Dermatologic Agents ,Acne Treatments,AETNA,ADAPALENE [Differin],*,,,,, 5016,Dermatologic Agents ,Acne Treatments,AETNA,AZELAIC ACID cream [Azelex],,FE,,,, 5017,Dermatologic Agents ,Acne Treatments,AETNA,AZELAIC ACID gel [Finacea],,FE,,,, 5018,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE topical,*,,,,, 5019,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE [Benzac AC],,FE,,,, 5020,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE [Oscion],*,,,,, 5021,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],*,,,,, 5022,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],*,,,,, 5023,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/ERYTHROMYCIN ,*,,,,, 5024,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,FE,,,, 5025,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,, 5026,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/SULFUR [NuOx],,FE,,,, 5027,Dermatologic Agents ,Acne Treatments,AETNA,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,FE,,,, 5028,Dermatologic Agents ,Acne Treatments,AETNA,CLINDAMYCIN PHOSPHATE [Evoclin],,FE,,,, 5029,Dermatologic Agents ,Acne Treatments,AETNA,CLINDAMYCIN topical,*,,,,, 5030,Dermatologic Agents ,Acne Treatments,AETNA,CLINDAMYCIN topical [Cleocin T],,,,,, 5031,Dermatologic Agents ,Acne Treatments,AETNA,CLINDAMYCIN/TRETINOIN gel [Ziana],*,,,PA,, 5032,Dermatologic Agents ,Acne Treatments,AETNA,ERYTHROMYCIN topical,*,,,,, 5033,Dermatologic Agents ,Acne Treatments,AETNA,ERYTHROMYCIN topical [Akne-Mycin],,FE,,,, 5034,Dermatologic Agents ,Acne Treatments,AETNA,ISOTRETINOIN,*,,,PA,, 5035,Dermatologic Agents ,Acne Treatments,AETNA,ISOTRETINOIN [Amnesteem],,,,PA,, 5036,Dermatologic Agents ,Acne Treatments,AETNA,ISOTRETINOIN [Sotret],*,,,PA,, 5037,Dermatologic Agents ,Acne Treatments,AETNA,METRONIDAZOLE,*,,,,, 5038,Dermatologic Agents ,Acne Treatments,AETNA,METRONIDAZOLE gel 0.75%,*,,,,, 5039,Dermatologic Agents ,Acne Treatments,AETNA,METRONIDAZOLE gel 1% [Metrogel],,FE,,,, 5040,Dermatologic Agents ,Acne Treatments,AETNA,SODIUM SULFACETAMIDE/SULFUR topical,*,,,,, 5041,Dermatologic Agents ,Acne Treatments,AETNA,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],*,,,,, 5042,Dermatologic Agents ,Acne Treatments,AETNA,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,, 5043,Dermatologic Agents ,Acne Treatments,AETNA,SULFACETAMIDE SODIUM 10%,*,,,,, 5044,Dermatologic Agents ,Acne Treatments,AETNA,SULFACETAMIDE SODIUM 10% [Klaron],,FE,,,, 5045,Dermatologic Agents ,Acne Treatments,AETNA,SULFACETAMIDE/ SULFUR [Clarifoam EF],,FE,,,, 5046,Dermatologic Agents ,Acne Treatments,AETNA,SULFACETAMIDE/ SULFUR [Plexion TS],,FE,,,, 5047,Dermatologic Agents ,Acne Treatments,AETNA,SULFACETAMIDE/ SULFUR [Sulfacet-R],,FE,,,, 5048,Dermatologic Agents ,Acne Treatments,AETNA,TAZAROTENE [Tazorac],*,,,,, 5049,Dermatologic Agents ,Acne Treatments,AETNA,TRETINOIN cream, gel ,*,,,PA,, 5050,Dermatologic Agents ,Acne Treatments,AETNA,TRETINOIN [Avita],*,,,PA,, 5051,Dermatologic Agents ,Acne Treatments,AETNA,TRETINOIN [Retin-A],,,,PA,, 5052,Dermatologic Agents ,Acne Treatments,AETNA,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],*,,,PA,, 5053,Dermatologic Agents ,Acne Treatments,BCBSMA,ADAPALENE [Differin],,,,,, 5054,Dermatologic Agents ,Acne Treatments,BCBSMA,AZELAIC ACID cream [Azelex],,,,,, 5055,Dermatologic Agents ,Acne Treatments,BCBSMA,AZELAIC ACID gel [Finacea],,,,,, 5056,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE topical,,,,,,NC 5057,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE [Benzac AC],,,,,,NC 5058,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE [Oscion],,,,,,NC 5059,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,,, 5060,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],,,,,, 5061,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,, 5062,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,,, 5063,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,, 5064,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/SULFUR [NuOx],,,,,, 5065,Dermatologic Agents ,Acne Treatments,BCBSMA,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,,, 5066,Dermatologic Agents ,Acne Treatments,BCBSMA,CLINDAMYCIN PHOSPHATE [Evoclin],,,,,, 5067,Dermatologic Agents ,Acne Treatments,BCBSMA,CLINDAMYCIN topical,*,,,,, 5068,Dermatologic Agents ,Acne Treatments,BCBSMA,CLINDAMYCIN topical [Cleocin T],,,,,, 5069,Dermatologic Agents ,Acne Treatments,BCBSMA,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,,,NC 5070,Dermatologic Agents ,Acne Treatments,BCBSMA,ERYTHROMYCIN topical,*,,,,, 5071,Dermatologic Agents ,Acne Treatments,BCBSMA,ERYTHROMYCIN topical [Akne-Mycin],,,,,, 5072,Dermatologic Agents ,Acne Treatments,BCBSMA,ISOTRETINOIN,*,,,,, 5073,Dermatologic Agents ,Acne Treatments,BCBSMA,ISOTRETINOIN [Amnesteem],*,,,,, 5074,Dermatologic Agents ,Acne Treatments,BCBSMA,ISOTRETINOIN [Sotret],*,,,,, 5075,Dermatologic Agents ,Acne Treatments,BCBSMA,METRONIDAZOLE,*,,,,, 5076,Dermatologic Agents ,Acne Treatments,BCBSMA,METRONIDAZOLE gel 0.75%,*,,,,, 5077,Dermatologic Agents ,Acne Treatments,BCBSMA,METRONIDAZOLE gel 1% [Metrogel],,,,,, 5078,Dermatologic Agents ,Acne Treatments,BCBSMA,SODIUM SULFACETAMIDE/SULFUR topical,*,,,,, 5079,Dermatologic Agents ,Acne Treatments,BCBSMA,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],,,,,, 5080,Dermatologic Agents ,Acne Treatments,BCBSMA,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,, 5081,Dermatologic Agents ,Acne Treatments,BCBSMA,SULFACETAMIDE SODIUM 10%,*,,,,, 5082,Dermatologic Agents ,Acne Treatments,BCBSMA,SULFACETAMIDE SODIUM 10% [Klaron],,,,,, 5083,Dermatologic Agents ,Acne Treatments,BCBSMA,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,,, 5084,Dermatologic Agents ,Acne Treatments,BCBSMA,SULFACETAMIDE/ SULFUR [Plexion TS],,,,,, 5085,Dermatologic Agents ,Acne Treatments,BCBSMA,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,,, 5086,Dermatologic Agents ,Acne Treatments,BCBSMA,TAZAROTENE [Tazorac],,,,,, 5087,Dermatologic Agents ,Acne Treatments,BCBSMA,TRETINOIN cream, gel ,*,,,PA,, 5088,Dermatologic Agents ,Acne Treatments,BCBSMA,TRETINOIN [Avita],,,,PA,,NC 5089,Dermatologic Agents ,Acne Treatments,BCBSMA,TRETINOIN [Retin-A],,,,PA,, 5090,Dermatologic Agents ,Acne Treatments,BCBSMA,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],,,,PA,,NC 5091,Dermatologic Agents ,Acne Treatments,BMCHP,ADAPALENE [Differin],,,,,ST>=26 yrs, 5092,Dermatologic Agents ,Acne Treatments,BMCHP,AZELAIC ACID cream [Azelex],,,,,, 5093,Dermatologic Agents ,Acne Treatments,BMCHP,AZELAIC ACID gel [Finacea],,,,,, 5094,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE topical,,,,,, 5095,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE [Benzac AC],,,,,, 5096,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE [Oscion],,,,,, 5097,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,,, 5098,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],,,,,, 5099,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,, 5100,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,,, 5101,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,, 5102,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/SULFUR [NuOx],,,,,, 5103,Dermatologic Agents ,Acne Treatments,BMCHP,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,,, 5104,Dermatologic Agents ,Acne Treatments,BMCHP,CLINDAMYCIN PHOSPHATE [Evoclin],,,,,, 5105,Dermatologic Agents ,Acne Treatments,BMCHP,CLINDAMYCIN topical,,,,,, 5106,Dermatologic Agents ,Acne Treatments,BMCHP,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,PA>=26 yrs,, 5107,Dermatologic Agents ,Acne Treatments,BMCHP,ERYTHROMYCIN topical,,,,,, 5108,Dermatologic Agents ,Acne Treatments,BMCHP,ERYTHROMYCIN topical [Akne-Mycin],,,,,, 5109,Dermatologic Agents ,Acne Treatments,BMCHP,ISOTRETINOIN,,,,,, 5110,Dermatologic Agents ,Acne Treatments,BMCHP,ISOTRETINOIN [Amnesteem],,,,,, 5111,Dermatologic Agents ,Acne Treatments,BMCHP,ISOTRETINOIN [Sotret],,,,,, 5112,Dermatologic Agents ,Acne Treatments,BMCHP,METRONIDAZOLE,,,,,, 5113,Dermatologic Agents ,Acne Treatments,BMCHP,METRONIDAZOLE gel 0.75%,,,,,, 5114,Dermatologic Agents ,Acne Treatments,BMCHP,METRONIDAZOLE gel 1% [Metrogel],,,,,, 5115,Dermatologic Agents ,Acne Treatments,BMCHP,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5116,Dermatologic Agents ,Acne Treatments,BMCHP,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],,,,,, 5117,Dermatologic Agents ,Acne Treatments,BMCHP,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,, 5118,Dermatologic Agents ,Acne Treatments,BMCHP,SULFACETAMIDE SODIUM 10%,,,,,, 5119,Dermatologic Agents ,Acne Treatments,BMCHP,SULFACETAMIDE SODIUM 10% [Klaron],,,,,, 5120,Dermatologic Agents ,Acne Treatments,BMCHP,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,,, 5121,Dermatologic Agents ,Acne Treatments,BMCHP,SULFACETAMIDE/ SULFUR [Plexion TS],,,,,, 5122,Dermatologic Agents ,Acne Treatments,BMCHP,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,,, 5123,Dermatologic Agents ,Acne Treatments,BMCHP,TAZAROTENE [Tazorac],,,,,, 5124,Dermatologic Agents ,Acne Treatments,BMCHP,TRETINOIN cream, gel ,,,,PA>=26 yrs,, 5125,Dermatologic Agents ,Acne Treatments,BMCHP,TRETINOIN [Avita],,,,PA>=26 yrs,, 5126,Dermatologic Agents ,Acne Treatments,BMCHP,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],,,,PA>=26 yrs,, 5127,Dermatologic Agents ,Acne Treatments,FCHP,BENZOYL PEROXIDE topical,,,,,, 5128,Dermatologic Agents ,Acne Treatments,FCHP,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,, 5129,Dermatologic Agents ,Acne Treatments,FCHP,CLINDAMYCIN topical,,,,,, 5130,Dermatologic Agents ,Acne Treatments,FCHP,ERYTHROMYCIN topical,,,,,, 5131,Dermatologic Agents ,Acne Treatments,FCHP,ERYTHROMYCIN topical [Akne-Mycin],,,,,, 5132,Dermatologic Agents ,Acne Treatments,FCHP,ISOTRETINOIN,,,,,, 5133,Dermatologic Agents ,Acne Treatments,FCHP,ISOTRETINOIN [Amnesteem],,,,,, 5134,Dermatologic Agents ,Acne Treatments,FCHP,METRONIDAZOLE,,,,,, 5135,Dermatologic Agents ,Acne Treatments,FCHP,METRONIDAZOLE gel 0.75%,,,,,, 5136,Dermatologic Agents ,Acne Treatments,FCHP,METRONIDAZOLE gel 1% [Metrogel],,,,,, 5137,Dermatologic Agents ,Acne Treatments,FCHP,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5138,Dermatologic Agents ,Acne Treatments,FCHP,SULFACETAMIDE SODIUM 10%,,,,,, 5139,Dermatologic Agents ,Acne Treatments,FCHP,TRETINOIN cream, gel ,,,,,, 5140,Dermatologic Agents ,Acne Treatments,HPHC,ADAPALENE [Differin],,,,PA>=22 yrs,, 5141,Dermatologic Agents ,Acne Treatments,HPHC,AZELAIC ACID cream [Azelex],,,,,, 5142,Dermatologic Agents ,Acne Treatments,HPHC,AZELAIC ACID gel [Finacea],,,,,, 5143,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE topical,,,,,, 5144,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE [Benzac AC],,,,,, 5145,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE [Oscion],,,,,, 5146,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,,, 5147,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],,,,,, 5148,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,, 5149,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,,, 5150,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,,NC 5151,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/SULFUR [NuOx],,,,,, 5152,Dermatologic Agents ,Acne Treatments,HPHC,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,,, 5153,Dermatologic Agents ,Acne Treatments,HPHC,CLINDAMYCIN PHOSPHATE [Evoclin],,,,,, 5154,Dermatologic Agents ,Acne Treatments,HPHC,CLINDAMYCIN topical,,,,,, 5155,Dermatologic Agents ,Acne Treatments,HPHC,CLINDAMYCIN topical [Cleocin T],,,,,, 5156,Dermatologic Agents ,Acne Treatments,HPHC,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,PA>=30 yrs,, 5157,Dermatologic Agents ,Acne Treatments,HPHC,ERYTHROMYCIN topical,,,,,, 5158,Dermatologic Agents ,Acne Treatments,HPHC,ERYTHROMYCIN topical [Akne-Mycin],,,,,, 5159,Dermatologic Agents ,Acne Treatments,HPHC,ISOTRETINOIN,,,,,, 5160,Dermatologic Agents ,Acne Treatments,HPHC,ISOTRETINOIN [Amnesteem],,,,,, 5161,Dermatologic Agents ,Acne Treatments,HPHC,ISOTRETINOIN [Sotret],,,,,, 5162,Dermatologic Agents ,Acne Treatments,HPHC,METRONIDAZOLE,,,,,, 5163,Dermatologic Agents ,Acne Treatments,HPHC,METRONIDAZOLE gel 0.75%,,,,,, 5164,Dermatologic Agents ,Acne Treatments,HPHC,METRONIDAZOLE gel 1% [Metrogel],,,,,, 5165,Dermatologic Agents ,Acne Treatments,HPHC,SODIUM SULFACETAMIDE/SULFUR topical,,,,,,NC 5166,Dermatologic Agents ,Acne Treatments,HPHC,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],,,,,,NC 5167,Dermatologic Agents ,Acne Treatments,HPHC,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,,NC 5168,Dermatologic Agents ,Acne Treatments,HPHC,SULFACETAMIDE SODIUM 10%,,,,,,NC 5169,Dermatologic Agents ,Acne Treatments,HPHC,SULFACETAMIDE SODIUM 10% [Klaron],,,,,, 5170,Dermatologic Agents ,Acne Treatments,HPHC,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,,,NC 5171,Dermatologic Agents ,Acne Treatments,HPHC,SULFACETAMIDE/ SULFUR [Plexion TS],,,,,,NC 5172,Dermatologic Agents ,Acne Treatments,HPHC,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,,,NC 5173,Dermatologic Agents ,Acne Treatments,HPHC,TAZAROTENE [Tazorac],,,,PA>=30 yrs,, 5174,Dermatologic Agents ,Acne Treatments,HPHC,TRETINOIN cream, gel ,,,,PA>=30 yrs,, 5175,Dermatologic Agents ,Acne Treatments,HPHC,TRETINOIN [Avita],,,,PA>=30 yrs,, 5176,Dermatologic Agents ,Acne Treatments,HPHC,TRETINOIN [Retin-A],,,,PA>=30 yrs,, 5177,Dermatologic Agents ,Acne Treatments,HPHC,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],,,,PA>=30 yrs,, 5178,Dermatologic Agents ,Acne Treatments,HNE,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,, 5179,Dermatologic Agents ,Acne Treatments,HNE,CLINDAMYCIN topical,,,,,, 5180,Dermatologic Agents ,Acne Treatments,HNE,ERYTHROMYCIN topical,,,,,, 5181,Dermatologic Agents ,Acne Treatments,HNE,ISOTRETINOIN,,,,,, 5182,Dermatologic Agents ,Acne Treatments,HNE,ISOTRETINOIN [Sotret],,,,,, 5183,Dermatologic Agents ,Acne Treatments,HNE,METRONIDAZOLE,,,,,, 5184,Dermatologic Agents ,Acne Treatments,HNE,METRONIDAZOLE gel 0.75%,,,,,, 5185,Dermatologic Agents ,Acne Treatments,HNE,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5186,Dermatologic Agents ,Acne Treatments,HNE,SULFACETAMIDE SODIUM 10%,,,,,, 5187,Dermatologic Agents ,Acne Treatments,HNE,TRETINOIN cream, gel ,,,,PA,, 5188,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE topical,,,,,, 5189,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE [Benzac AC],,,,,,NC 5190,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE [Oscion],,,,,,NC 5191,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,,,NC 5192,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],,,,,,NC 5193,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,,,NC 5194,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,,,NC 5195,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,,NC 5196,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/SULFUR [NuOx],,,,,,NC 5197,Dermatologic Agents ,Acne Treatments,NHP,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,,,NC 5198,Dermatologic Agents ,Acne Treatments,NHP,CLINDAMYCIN topical,,,,,, 5199,Dermatologic Agents ,Acne Treatments,NHP,CLINDAMYCIN topical [Cleocin T],,,,,,NC 5200,Dermatologic Agents ,Acne Treatments,NHP,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,,,NC 5201,Dermatologic Agents ,Acne Treatments,NHP,ERYTHROMYCIN topical,,,,,, 5202,Dermatologic Agents ,Acne Treatments,NHP,ERYTHROMYCIN topical [Akne-Mycin],,,,,,NC 5203,Dermatologic Agents ,Acne Treatments,NHP,ISOTRETINOIN,,,,,, 5204,Dermatologic Agents ,Acne Treatments,NHP,ISOTRETINOIN [Amnesteem],,,,,, 5205,Dermatologic Agents ,Acne Treatments,NHP,ISOTRETINOIN [Sotret],,,,,, 5206,Dermatologic Agents ,Acne Treatments,NHP,METRONIDAZOLE,,,,,, 5207,Dermatologic Agents ,Acne Treatments,NHP,METRONIDAZOLE gel 0.75%,,,,,, 5208,Dermatologic Agents ,Acne Treatments,NHP,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5209,Dermatologic Agents ,Acne Treatments,NHP,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],,,,,,NC 5210,Dermatologic Agents ,Acne Treatments,NHP,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,,NC 5211,Dermatologic Agents ,Acne Treatments,NHP,SULFACETAMIDE SODIUM 10%,,,,,, 5212,Dermatologic Agents ,Acne Treatments,NHP,SULFACETAMIDE SODIUM 10% [Klaron],,,,,,NC 5213,Dermatologic Agents ,Acne Treatments,NHP,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,,,NC 5214,Dermatologic Agents ,Acne Treatments,NHP,SULFACETAMIDE/ SULFUR [Plexion TS],,,,,,NC 5215,Dermatologic Agents ,Acne Treatments,NHP,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,,,NC 5216,Dermatologic Agents ,Acne Treatments,NHP,TRETINOIN cream, gel ,,,,PA>=26 yrs,, 5217,Dermatologic Agents ,Acne Treatments,NHP,TRETINOIN [Avita],,,,PA>=26 yrs,, 5218,Dermatologic Agents ,Acne Treatments,NHP,TRETINOIN [Retin-A],,,,,,NC 5219,Dermatologic Agents ,Acne Treatments,NTWK,ADAPALENE [Differin],,,,,, 5220,Dermatologic Agents ,Acne Treatments,NTWK,AZELAIC ACID cream [Azelex],,,DL,,, 5221,Dermatologic Agents ,Acne Treatments,NTWK,AZELAIC ACID gel [Finacea],,,DL,,, 5222,Dermatologic Agents ,Acne Treatments,NTWK,BENZOYL PEROXIDE topical,,,,,, 5223,Dermatologic Agents ,Acne Treatments,NTWK,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,DL,,, 5224,Dermatologic Agents ,Acne Treatments,NTWK,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,DL,,, 5225,Dermatologic Agents ,Acne Treatments,NTWK,CLINDAMYCIN topical,,,,,, 5226,Dermatologic Agents ,Acne Treatments,NTWK,ERYTHROMYCIN topical,,,,,, 5227,Dermatologic Agents ,Acne Treatments,NTWK,ISOTRETINOIN,,,,PA,, 5228,Dermatologic Agents ,Acne Treatments,NTWK,METRONIDAZOLE,,,,,, 5229,Dermatologic Agents ,Acne Treatments,NTWK,METRONIDAZOLE gel 0.75%,,,,,, 5230,Dermatologic Agents ,Acne Treatments,NTWK,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5231,Dermatologic Agents ,Acne Treatments,NTWK,SULFACETAMIDE SODIUM 10%,,,,,, 5232,Dermatologic Agents ,Acne Treatments,NTWK,TAZAROTENE [Tazorac],,,,,, 5233,Dermatologic Agents ,Acne Treatments,NTWK,TRETINOIN cream, gel ,,,,,, 5234,Dermatologic Agents ,Acne Treatments,MAHLTH,ADAPALENE [Differin],,,,PA,, 5235,Dermatologic Agents ,Acne Treatments,MAHLTH,AZELAIC ACID cream [Azelex],,,,PA,, 5236,Dermatologic Agents ,Acne Treatments,MAHLTH,AZELAIC ACID gel [Finacea],,,,PA,, 5237,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE topical,,,,PA>=22 yrs,, 5238,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE [Benzac AC],,,,PA,, 5239,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,PA,, 5240,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],,,,PA,, 5241,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/ERYTHROMYCIN ,,,,PA,, 5242,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,PA,, 5243,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,PA,, 5244,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/SULFUR [NuOx],,,,PA,, 5245,Dermatologic Agents ,Acne Treatments,MAHLTH,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,PA,, 5246,Dermatologic Agents ,Acne Treatments,MAHLTH,CLINDAMYCIN PHOSPHATE [Evoclin],,,,PA,, 5247,Dermatologic Agents ,Acne Treatments,MAHLTH,CLINDAMYCIN topical,,,,PA>=22 yrs,, 5248,Dermatologic Agents ,Acne Treatments,MAHLTH,CLINDAMYCIN topical [Cleocin T],,,,PA,, 5249,Dermatologic Agents ,Acne Treatments,MAHLTH,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,PA,, 5250,Dermatologic Agents ,Acne Treatments,MAHLTH,ERYTHROMYCIN topical,,,,PA>=22 yrs,, 5251,Dermatologic Agents ,Acne Treatments,MAHLTH,ERYTHROMYCIN topical [Akne-Mycin],,,,PA,, 5252,Dermatologic Agents ,Acne Treatments,MAHLTH,ISOTRETINOIN,,,,PA>=22 yrs,, 5253,Dermatologic Agents ,Acne Treatments,MAHLTH,METRONIDAZOLE gel 0.75%,,,,,, 5254,Dermatologic Agents ,Acne Treatments,MAHLTH,METRONIDAZOLE gel 1% [Metrogel],,,,PA,, 5255,Dermatologic Agents ,Acne Treatments,MAHLTH,SODIUM SULFACETAMIDE/SULFUR topical,,,,PA,, 5256,Dermatologic Agents ,Acne Treatments,MAHLTH,SULFACETAMIDE SODIUM 10%,,,,PA,, 5257,Dermatologic Agents ,Acne Treatments,MAHLTH,SULFACETAMIDE SODIUM 10% [Klaron],,,,PA,, 5258,Dermatologic Agents ,Acne Treatments,MAHLTH,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,PA,, 5259,Dermatologic Agents ,Acne Treatments,MAHLTH,SULFACETAMIDE/ SULFUR [Plexion TS],,,,PA,, 5260,Dermatologic Agents ,Acne Treatments,MAHLTH,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,PA,, 5261,Dermatologic Agents ,Acne Treatments,MAHLTH,TAZAROTENE [Tazorac],,,,PA,, 5262,Dermatologic Agents ,Acne Treatments,MAHLTH,TRETINOIN cream, gel ,,,,PA>=22 yrs,, 5263,Dermatologic Agents ,Acne Treatments,MAHLTH,TRETINOIN [Avita],,,,PA,, 5264,Dermatologic Agents ,Acne Treatments,MAHLTH,TRETINOIN [Retin-A],,,,PA,, 5265,Dermatologic Agents ,Acne Treatments,MAHLTH,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],,,,PA,, 5266,Dermatologic Agents ,Acne Treatments,THP,ADAPALENE [Differin],,,,PA>=26 yrs,, 5267,Dermatologic Agents ,Acne Treatments,THP,AZELAIC ACID cream [Azelex],,,,,, 5268,Dermatologic Agents ,Acne Treatments,THP,AZELAIC ACID gel [Finacea],,,,,, 5269,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE topical,,,,,, 5270,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE [Benzac AC],,,,,, 5271,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE [Oscion],,,,,, 5272,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Benzaclin gel],,,,,, 5273,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/CLINDAMYCIN PHOSPHATE [Duac CS],*,,,,, 5274,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/ERYTHROMYCIN ,*,,,,, 5275,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/ERYTHROMYCIN [Benzamycin],,,,,, 5276,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/hydrocortisone [Vanoxide-HC],,,,,, 5277,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/SULFUR [NuOx],,,,,, 5278,Dermatologic Agents ,Acne Treatments,THP,BENZOYL PEROXIDE/SULFUR [Sulfoxyl],,,,,, 5279,Dermatologic Agents ,Acne Treatments,THP,CLINDAMYCIN PHOSPHATE [Evoclin],,,,,, 5280,Dermatologic Agents ,Acne Treatments,THP,CLINDAMYCIN topical,,,,,, 5281,Dermatologic Agents ,Acne Treatments,THP,CLINDAMYCIN topical [Cleocin T],,,,,, 5282,Dermatologic Agents ,Acne Treatments,THP,CLINDAMYCIN/TRETINOIN gel [Ziana],,,,,,NC 5283,Dermatologic Agents ,Acne Treatments,THP,ERYTHROMYCIN topical,,,,,, 5284,Dermatologic Agents ,Acne Treatments,THP,ERYTHROMYCIN topical [Akne-Mycin],,,,,, 5285,Dermatologic Agents ,Acne Treatments,THP,ISOTRETINOIN,,,,,, 5286,Dermatologic Agents ,Acne Treatments,THP,ISOTRETINOIN [Amnesteem],,,,,, 5287,Dermatologic Agents ,Acne Treatments,THP,ISOTRETINOIN [Sotret],,,,,, 5288,Dermatologic Agents ,Acne Treatments,THP,METRONIDAZOLE,,,,,, 5289,Dermatologic Agents ,Acne Treatments,THP,METRONIDAZOLE gel 0.75%,,,,,, 5290,Dermatologic Agents ,Acne Treatments,THP,METRONIDAZOLE gel 1% [Metrogel],,,,,, 5291,Dermatologic Agents ,Acne Treatments,THP,SODIUM SULFACETAMIDE/SULFUR topical,,,,,, 5292,Dermatologic Agents ,Acne Treatments,THP,SODIUM SULFACETAMIDE/SULFUR [Prascion RA],,,,,, 5293,Dermatologic Agents ,Acne Treatments,THP,SODIUM SULFACETAMIDE/SULFUR [Rosanil],,,,,, 5294,Dermatologic Agents ,Acne Treatments,THP,SULFACETAMIDE SODIUM 10%,,,,,, 5295,Dermatologic Agents ,Acne Treatments,THP,SULFACETAMIDE SODIUM 10% [Klaron],,,,,, 5296,Dermatologic Agents ,Acne Treatments,THP,SULFACETAMIDE/ SULFUR [Clarifoam EF],,,,,, 5297,Dermatologic Agents ,Acne Treatments,THP,SULFACETAMIDE/ SULFUR [Plexion TS],,,,,, 5298,Dermatologic Agents ,Acne Treatments,THP,SULFACETAMIDE/ SULFUR [Sulfacet-R],,,,,, 5299,Dermatologic Agents ,Acne Treatments,THP,TAZAROTENE [Tazorac],,,,PA>=26 yrs,, 5300,Dermatologic Agents ,Acne Treatments,THP,TRETINOIN cream, gel ,,,,PA>=26 yrs,, 5301,Dermatologic Agents ,Acne Treatments,THP,TRETINOIN [Avita],,,,PA>=26 yrs,, 5302,Dermatologic Agents ,Acne Treatments,THP,TRETINOIN [Retin-A],,,,PA>=26 yrs,, 5303,Dermatologic Agents ,Acne Treatments,THP,TRETINOIN TRANS-RETINOIC ACID; VITAMIN A ACID [Retin-A Micro],,,,PA>=26 yrs,, 5304,Dermatologic Agents ,Antifungals,AETNA,BUTENAFINE [Mentax],,,,,,NC 5305,Dermatologic Agents ,Antifungals,AETNA,CICLOPIROX [0.77% cream, suspension],*,,,PA,, 5306,Dermatologic Agents ,Antifungals,AETNA,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,FE,,,, 5307,Dermatologic Agents ,Antifungals,AETNA,CICLOPIROX nail lacquer,*,,,PA,, 5308,Dermatologic Agents ,Antifungals,AETNA,CICLOPIROX nail lacquer [Penlac],,FE,,PA,, 5309,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE (OTC),,,,,,NC 5310,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE (Rx),*,,,,, 5311,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE solution,*,,,,, 5312,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,,NC 5313,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE lotion [Lotrimin] OTC,,,,,,NC 5314,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE TROCHE,*,,,,, 5315,Dermatologic Agents ,Antifungals,AETNA,CLOTRIMAZOLE/BETAMETHASONE,*,,,,, 5316,Dermatologic Agents ,Antifungals,AETNA,ECONAZOLE,*,,,,, 5317,Dermatologic Agents ,Antifungals,AETNA,HALOPROGIN [Halotin],,,,,, 5318,Dermatologic Agents ,Antifungals,AETNA,KETOCONAZOLE topical,*,,,,, 5319,Dermatologic Agents ,Antifungals,AETNA,KETOCONAZOLE topical [Extina],,FE,,,, 5320,Dermatologic Agents ,Antifungals,AETNA,KETOCONAZOLE topical [Nizoral] ,,,,,, 5321,Dermatologic Agents ,Antifungals,AETNA,KETOCONAZOLE topical [Xolegel] ,,FE,,,, 5322,Dermatologic Agents ,Antifungals,AETNA,MICONAZOLE ,* Rx,,,,, 5323,Dermatologic Agents ,Antifungals,AETNA,MICONAZOLE/ZINC OXIDE [Vusion],,,,,, 5324,Dermatologic Agents ,Antifungals,AETNA,NAFTIFINE [Naftin],,FE,,,, 5325,Dermatologic Agents ,Antifungals,AETNA,NYSTATIN cream, ointment, powder,*,,,,, 5326,Dermatologic Agents ,Antifungals,AETNA,NYSTATIN/TRIAMCINOLONE,*,,,,, 5327,Dermatologic Agents ,Antifungals,AETNA,OXICONAZOLE [Oxistat],,FE,,,, 5328,Dermatologic Agents ,Antifungals,AETNA,SERTACONAZOLE NITRATE [Ertaczo],,FE,,,, 5329,Dermatologic Agents ,Antifungals,AETNA,SULCONAZOLE [Exelderm],,FE,,,, 5330,Dermatologic Agents ,Antifungals,AETNA,TERBINAFINE (OTC),,,,,,NC 5331,Dermatologic Agents ,Antifungals,AETNA,TERBINAFINE spray [Lamisil] (OTC),,,,,,NC 5332,Dermatologic Agents ,Antifungals,AETNA,TERBINAFINE topical [Lamisil] (Rx),,,,PA,, 5333,Dermatologic Agents ,Antifungals,AETNA,TOLNAFTATE (OTC),*,,,,,NC 5334,Dermatologic Agents ,Antifungals,BCBSMA,BUTENAFINE [Mentax],,,,,,NC 5335,Dermatologic Agents ,Antifungals,BCBSMA,CICLOPIROX [0.77% cream, suspension],*,,,,, 5336,Dermatologic Agents ,Antifungals,BCBSMA,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,,, 5337,Dermatologic Agents ,Antifungals,BCBSMA,CICLOPIROX nail lacquer,*,,DL,PA,, 5338,Dermatologic Agents ,Antifungals,BCBSMA,CICLOPIROX nail lacquer [Penlac],,,DL,PA,, 5339,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE (OTC),,,,,,NC 5340,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE (Rx),*,,,,, 5341,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE solution,*,,,,, 5342,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,, 5343,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE lotion [Lotrimin] OTC,,,,,,NC 5344,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE TROCHE,*,,,,, 5345,Dermatologic Agents ,Antifungals,BCBSMA,CLOTRIMAZOLE/BETAMETHASONE,*,,,,, 5346,Dermatologic Agents ,Antifungals,BCBSMA,ECONAZOLE,*,,,,, 5347,Dermatologic Agents ,Antifungals,BCBSMA,HALOPROGIN [Halotin],,,,,,NC 5348,Dermatologic Agents ,Antifungals,BCBSMA,KETOCONAZOLE topical,*,,,,, 5349,Dermatologic Agents ,Antifungals,BCBSMA,KETOCONAZOLE topical [Extina],,,,,,NC 5350,Dermatologic Agents ,Antifungals,BCBSMA,KETOCONAZOLE topical [Nizoral] ,,,,,, 5351,Dermatologic Agents ,Antifungals,BCBSMA,KETOCONAZOLE topical [Xolegel] ,,,,,,NC 5352,Dermatologic Agents ,Antifungals,BCBSMA,MICONAZOLE ,,,,,,NC OTC 5353,Dermatologic Agents ,Antifungals,BCBSMA,MICONAZOLE/ZINC OXIDE [Vusion],,,,,,NC 5354,Dermatologic Agents ,Antifungals,BCBSMA,NAFTIFINE [Naftin],,,,,, 5355,Dermatologic Agents ,Antifungals,BCBSMA,NYSTATIN cream, ointment, powder,*,,,,, 5356,Dermatologic Agents ,Antifungals,BCBSMA,NYSTATIN/TRIAMCINOLONE,*,,,,, 5357,Dermatologic Agents ,Antifungals,BCBSMA,OXICONAZOLE [Oxistat],,,,,, 5358,Dermatologic Agents ,Antifungals,BCBSMA,SERTACONAZOLE NITRATE [Ertaczo],,,,,,NC 5359,Dermatologic Agents ,Antifungals,BCBSMA,SULCONAZOLE [Exelderm],,,,,, 5360,Dermatologic Agents ,Antifungals,BCBSMA,TERBINAFINE (OTC),,,,,,NC 5361,Dermatologic Agents ,Antifungals,BCBSMA,TERBINAFINE spray [Lamisil] (OTC),,,,,,NC 5362,Dermatologic Agents ,Antifungals,BCBSMA,TERBINAFINE topical [Lamisil] (Rx),,,,,,NC 5363,Dermatologic Agents ,Antifungals,BCBSMA,TOLNAFTATE (OTC),,,,,,NC 5364,Dermatologic Agents ,Antifungals,BMCHP,BUTENAFINE [Mentax],,,,,, 5365,Dermatologic Agents ,Antifungals,BMCHP,CICLOPIROX [0.77% cream, suspension],,,,,, 5366,Dermatologic Agents ,Antifungals,BMCHP,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,,, 5367,Dermatologic Agents ,Antifungals,BMCHP,CICLOPIROX nail lacquer,,,,PA,, 5368,Dermatologic Agents ,Antifungals,BMCHP,CLOTRIMAZOLE (OTC),,,,,, 5369,Dermatologic Agents ,Antifungals,BMCHP,CLOTRIMAZOLE (Rx),,,,,, 5370,Dermatologic Agents ,Antifungals,BMCHP,CLOTRIMAZOLE solution,,,,,, 5371,Dermatologic Agents ,Antifungals,BMCHP,CLOTRIMAZOLE TROCHE,,,,,, 5372,Dermatologic Agents ,Antifungals,BMCHP,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5373,Dermatologic Agents ,Antifungals,BMCHP,ECONAZOLE,,,,,, 5374,Dermatologic Agents ,Antifungals,BMCHP,HALOPROGIN [Halotin],,,,,, 5375,Dermatologic Agents ,Antifungals,BMCHP,KETOCONAZOLE topical,,,,,, 5376,Dermatologic Agents ,Antifungals,BMCHP,KETOCONAZOLE topical [Xolegel] ,,,,,, 5377,Dermatologic Agents ,Antifungals,BMCHP,MICONAZOLE ,,,,,, 5378,Dermatologic Agents ,Antifungals,BMCHP,MICONAZOLE/ZINC OXIDE [Vusion],,,,,, 5379,Dermatologic Agents ,Antifungals,BMCHP,NAFTIFINE [Naftin],,,,,, 5380,Dermatologic Agents ,Antifungals,BMCHP,NYSTATIN cream, ointment, powder,,,,,, 5381,Dermatologic Agents ,Antifungals,BMCHP,NYSTATIN/TRIAMCINOLONE,,,,,, 5382,Dermatologic Agents ,Antifungals,BMCHP,OXICONAZOLE [Oxistat],,,,,, 5383,Dermatologic Agents ,Antifungals,BMCHP,SERTACONAZOLE NITRATE [Ertaczo],,,,,, 5384,Dermatologic Agents ,Antifungals,BMCHP,SULCONAZOLE [Exelderm],,,,,, 5385,Dermatologic Agents ,Antifungals,BMCHP,TERBINAFINE (OTC),,,,,, 5386,Dermatologic Agents ,Antifungals,BMCHP,TOLNAFTATE (OTC),,,,,, 5387,Dermatologic Agents ,Antifungals,FCHP,CICLOPIROX [0.77% cream, suspension],,,,,, 5388,Dermatologic Agents ,Antifungals,FCHP,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,,, 5389,Dermatologic Agents ,Antifungals,FCHP,CICLOPIROX nail lacquer,,,,,, 5390,Dermatologic Agents ,Antifungals,FCHP,CLOTRIMAZOLE (Rx),,,,,, 5391,Dermatologic Agents ,Antifungals,FCHP,CLOTRIMAZOLE solution,,,,,, 5392,Dermatologic Agents ,Antifungals,FCHP,CLOTRIMAZOLE TROCHE,,,,,, 5393,Dermatologic Agents ,Antifungals,FCHP,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5394,Dermatologic Agents ,Antifungals,FCHP,ECONAZOLE,,,,,, 5395,Dermatologic Agents ,Antifungals,FCHP,KETOCONAZOLE topical,,,,,, 5396,Dermatologic Agents ,Antifungals,FCHP,KETOCONAZOLE topical [Nizoral] ,,,,,, 5397,Dermatologic Agents ,Antifungals,FCHP,NAFTIFINE [Naftin],,,,,, 5398,Dermatologic Agents ,Antifungals,FCHP,NYSTATIN cream, ointment, powder,,,,,, 5399,Dermatologic Agents ,Antifungals,FCHP,NYSTATIN/TRIAMCINOLONE,,,,,, 5400,Dermatologic Agents ,Antifungals,HPHC,BUTENAFINE [Mentax],,,,,, 5401,Dermatologic Agents ,Antifungals,HPHC,CICLOPIROX [0.77% cream, suspension],,,,,, 5402,Dermatologic Agents ,Antifungals,HPHC,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,,, 5403,Dermatologic Agents ,Antifungals,HPHC,CICLOPIROX nail lacquer,,,,PA,, 5404,Dermatologic Agents ,Antifungals,HPHC,CICLOPIROX nail lacquer [Penlac],,,,PA,, 5405,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE (OTC),,,,,,NC 5406,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE (Rx),,,,,, 5407,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE solution,Rx,,,,, 5408,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,, 5409,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE lotion [Lotrimin] OTC,,,,,,NC 5410,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE TROCHE,,,,,, 5411,Dermatologic Agents ,Antifungals,HPHC,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5412,Dermatologic Agents ,Antifungals,HPHC,ECONAZOLE,,,,,, 5413,Dermatologic Agents ,Antifungals,HPHC,HALOPROGIN [Halotin],,,,,, 5414,Dermatologic Agents ,Antifungals,HPHC,KETOCONAZOLE topical,,,,,, 5415,Dermatologic Agents ,Antifungals,HPHC,KETOCONAZOLE topical [Extina],,,,,, 5416,Dermatologic Agents ,Antifungals,HPHC,KETOCONAZOLE topical [Nizoral] ,,,,,, 5417,Dermatologic Agents ,Antifungals,HPHC,KETOCONAZOLE topical [Xolegel] ,,,,,, 5418,Dermatologic Agents ,Antifungals,HPHC,MICONAZOLE ,Rx,,,,, 5419,Dermatologic Agents ,Antifungals,HPHC,MICONAZOLE/ZINC OXIDE [Vusion],,,,,, 5420,Dermatologic Agents ,Antifungals,HPHC,NAFTIFINE [Naftin],,,,,, 5421,Dermatologic Agents ,Antifungals,HPHC,NYSTATIN cream, ointment, powder,,,,,, 5422,Dermatologic Agents ,Antifungals,HPHC,NYSTATIN/TRIAMCINOLONE,,,,,, 5423,Dermatologic Agents ,Antifungals,HPHC,OXICONAZOLE [Oxistat],,,,,, 5424,Dermatologic Agents ,Antifungals,HPHC,SERTACONAZOLE NITRATE [Ertaczo],,,,,, 5425,Dermatologic Agents ,Antifungals,HPHC,SULCONAZOLE [Exelderm],,,,,, 5426,Dermatologic Agents ,Antifungals,HPHC,TERBINAFINE (OTC),,,,,,NC 5427,Dermatologic Agents ,Antifungals,HPHC,TERBINAFINE spray [Lamisil] (OTC),,,,,,NC 5428,Dermatologic Agents ,Antifungals,HPHC,TERBINAFINE topical [Lamisil] (Rx),,,,,, 5429,Dermatologic Agents ,Antifungals,HPHC,TOLNAFTATE (OTC),,,,,,NC 5430,Dermatologic Agents ,Antifungals,HNE,CICLOPIROX nail lacquer,,,,,,NC 5431,Dermatologic Agents ,Antifungals,HNE,CICLOPIROX nail lacquer [Penlac],,,,,,NC 5432,Dermatologic Agents ,Antifungals,HNE,CLOTRIMAZOLE (Rx),,,,,, 5433,Dermatologic Agents ,Antifungals,HNE,CLOTRIMAZOLE solution,,,,,, 5434,Dermatologic Agents ,Antifungals,HNE,CLOTRIMAZOLE TROCHE,,,,,, 5435,Dermatologic Agents ,Antifungals,HNE,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5436,Dermatologic Agents ,Antifungals,HNE,KETOCONAZOLE topical,,,,,, 5437,Dermatologic Agents ,Antifungals,HNE,NAFTIFINE [Naftin],,,,,, 5438,Dermatologic Agents ,Antifungals,HNE,NYSTATIN cream, ointment, powder,,,,,, 5439,Dermatologic Agents ,Antifungals,HNE,NYSTATIN/TRIAMCINOLONE,,,,,, 5440,Dermatologic Agents ,Antifungals,NHP,CICLOPIROX [0.77% cream, suspension],,,,,, 5441,Dermatologic Agents ,Antifungals,NHP,CICLOPIROX nail lacquer,,,DL,,, 5442,Dermatologic Agents ,Antifungals,NHP,CICLOPIROX nail lacquer [Penlac],,,,,,NC 5443,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE (OTC),,,,,, 5444,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE (Rx),,,,,, 5445,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE solution,,,,,, 5446,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,,NC 5447,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE lotion [Lotrimin] OTC,,,,,,NC 5448,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE TROCHE,,,,,, 5449,Dermatologic Agents ,Antifungals,NHP,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5450,Dermatologic Agents ,Antifungals,NHP,ECONAZOLE,,,,,, 5451,Dermatologic Agents ,Antifungals,NHP,KETOCONAZOLE topical,,,,,, 5452,Dermatologic Agents ,Antifungals,NHP,KETOCONAZOLE topical [Extina],,,,,,NC 5453,Dermatologic Agents ,Antifungals,NHP,KETOCONAZOLE topical [Nizoral] ,,,,,,NC 5454,Dermatologic Agents ,Antifungals,NHP,MICONAZOLE ,,,,,, 5455,Dermatologic Agents ,Antifungals,NHP,NYSTATIN cream, ointment, powder,,,,,, 5456,Dermatologic Agents ,Antifungals,NHP,NYSTATIN/TRIAMCINOLONE,,,,,, 5457,Dermatologic Agents ,Antifungals,NHP,TERBINAFINE (OTC),,,,,,NC 5458,Dermatologic Agents ,Antifungals,NHP,TERBINAFINE spray [Lamisil] (OTC),,,,,,NC 5459,Dermatologic Agents ,Antifungals,NHP,TERBINAFINE topical [Lamisil] (Rx),,,,,,NC 5460,Dermatologic Agents ,Antifungals,NHP,TOLNAFTATE (OTC),,,,,, 5461,Dermatologic Agents ,Antifungals,NTWK,CICLOPIROX [0.77% cream, suspension],,,,,, 5462,Dermatologic Agents ,Antifungals,NTWK,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,PA,, 5463,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE (OTC),,,,,, 5464,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE (Rx),,,,,, 5465,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE solution,,,,,, 5466,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,, 5467,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE lotion [Lotrimin] OTC,,,,,, 5468,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE TROCHE,,,,,, 5469,Dermatologic Agents ,Antifungals,NTWK,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5470,Dermatologic Agents ,Antifungals,NTWK,ECONAZOLE,,,,,, 5471,Dermatologic Agents ,Antifungals,NTWK,KETOCONAZOLE topical,,,,,, 5472,Dermatologic Agents ,Antifungals,NTWK,MICONAZOLE ,OTC,,,,, 5473,Dermatologic Agents ,Antifungals,NTWK,NAFTIFINE [Naftin],,,,PA,, 5474,Dermatologic Agents ,Antifungals,NTWK,NYSTATIN cream, ointment, powder,,,,,, 5475,Dermatologic Agents ,Antifungals,NTWK,NYSTATIN/TRIAMCINOLONE,,,,,, 5476,Dermatologic Agents ,Antifungals,NTWK,SULCONAZOLE [Exelderm],,,,PA,, 5477,Dermatologic Agents ,Antifungals,NTWK,TERBINAFINE (OTC),,,,,, 5478,Dermatologic Agents ,Antifungals,NTWK,TERBINAFINE spray [Lamisil] (OTC),,,,PA,, 5479,Dermatologic Agents ,Antifungals,MAHLTH,BUTENAFINE [Mentax],,,,PA,, 5480,Dermatologic Agents ,Antifungals,MAHLTH,CICLOPIROX [0.77% cream, suspension],,,,,, 5481,Dermatologic Agents ,Antifungals,MAHLTH,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,PA,, 5482,Dermatologic Agents ,Antifungals,MAHLTH,CICLOPIROX nail lacquer,,,,PA,, 5483,Dermatologic Agents ,Antifungals,MAHLTH,CICLOPIROX nail lacquer [Penlac],,,,PA,, 5484,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE (OTC),,,,,, 5485,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE (Rx),,,,,, 5486,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE solution,,,,,, 5487,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,PA,, 5488,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE TROCHE,,,,,, 5489,Dermatologic Agents ,Antifungals,MAHLTH,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5490,Dermatologic Agents ,Antifungals,MAHLTH,ECONAZOLE,,,,,, 5491,Dermatologic Agents ,Antifungals,MAHLTH,HALOPROGIN [Halotin],,,,PA,, 5492,Dermatologic Agents ,Antifungals,MAHLTH,KETOCONAZOLE topical,,,,,, 5493,Dermatologic Agents ,Antifungals,MAHLTH,KETOCONAZOLE topical [Extina],,,,PA,, 5494,Dermatologic Agents ,Antifungals,MAHLTH,KETOCONAZOLE topical [Nizoral] ,,,,PA,, 5495,Dermatologic Agents ,Antifungals,MAHLTH,KETOCONAZOLE topical [Xolegel] ,,,,PA,, 5496,Dermatologic Agents ,Antifungals,MAHLTH,MICONAZOLE ,,,,,, 5497,Dermatologic Agents ,Antifungals,MAHLTH,MICONAZOLE/ZINC OXIDE [Vusion],,,,PA,, 5498,Dermatologic Agents ,Antifungals,MAHLTH,NAFTIFINE [Naftin],,,,PA,, 5499,Dermatologic Agents ,Antifungals,MAHLTH,NYSTATIN cream, ointment, powder,,,,,, 5500,Dermatologic Agents ,Antifungals,MAHLTH,NYSTATIN/TRIAMCINOLONE,,,,,, 5501,Dermatologic Agents ,Antifungals,MAHLTH,OXICONAZOLE [Oxistat],,,,PA,, 5502,Dermatologic Agents ,Antifungals,MAHLTH,SERTACONAZOLE NITRATE [Ertaczo],,,,PA,, 5503,Dermatologic Agents ,Antifungals,MAHLTH,SULCONAZOLE [Exelderm],,,,PA,, 5504,Dermatologic Agents ,Antifungals,MAHLTH,TERBINAFINE spray [Lamisil] (OTC),,,,PA,, 5505,Dermatologic Agents ,Antifungals,MAHLTH,TERBINAFINE topical [Lamisil] (Rx),,,,PA,, 5506,Dermatologic Agents ,Antifungals,MAHLTH,TOLNAFTATE (OTC),,,,,, 5507,Dermatologic Agents ,Antifungals,THP,BUTENAFINE [Mentax],,,,,, 5508,Dermatologic Agents ,Antifungals,THP,CICLOPIROX [0.77% cream, suspension],,,,,, 5509,Dermatologic Agents ,Antifungals,THP,CICLOPIROX [Loprox 1% shampoo, Loprox 0.77% Gel],,,,,, 5510,Dermatologic Agents ,Antifungals,THP,CICLOPIROX nail lacquer,,,,PA,, 5511,Dermatologic Agents ,Antifungals,THP,CICLOPIROX nail lacquer [Penlac],,,,PA,, 5512,Dermatologic Agents ,Antifungals,THP,CLOTRIMAZOLE (Rx),,,,,, 5513,Dermatologic Agents ,Antifungals,THP,CLOTRIMAZOLE solution,,,,,, 5514,Dermatologic Agents ,Antifungals,THP,CLOTRIMAZOLE lotion [Lotrimin] (Rx),,,,,, 5515,Dermatologic Agents ,Antifungals,THP,CLOTRIMAZOLE TROCHE,,,,,, 5516,Dermatologic Agents ,Antifungals,THP,CLOTRIMAZOLE/BETAMETHASONE,,,,,, 5517,Dermatologic Agents ,Antifungals,THP,ECONAZOLE,,,,,, 5518,Dermatologic Agents ,Antifungals,THP,HALOPROGIN [Halotin],,,,,, 5519,Dermatologic Agents ,Antifungals,THP,KETOCONAZOLE topical,,,,,, 5520,Dermatologic Agents ,Antifungals,THP,KETOCONAZOLE topical [Extina],,,,,,NC 5521,Dermatologic Agents ,Antifungals,THP,KETOCONAZOLE topical [Nizoral] ,,,,,, 5522,Dermatologic Agents ,Antifungals,THP,KETOCONAZOLE topical [Xolegel] ,,,,,,NC 5523,Dermatologic Agents ,Antifungals,THP,MICONAZOLE ,OTC,,,,, 5524,Dermatologic Agents ,Antifungals,THP,MICONAZOLE/ZINC OXIDE [Vusion],,,,,,NC 5525,Dermatologic Agents ,Antifungals,THP,NAFTIFINE [Naftin],,,,,, 5526,Dermatologic Agents ,Antifungals,THP,NYSTATIN cream, ointment, powder,,,,,, 5527,Dermatologic Agents ,Antifungals,THP,NYSTATIN/TRIAMCINOLONE,,,,,, 5528,Dermatologic Agents ,Antifungals,THP,OXICONAZOLE [Oxistat],,,,,, 5529,Dermatologic Agents ,Antifungals,THP,SERTACONAZOLE NITRATE [Ertaczo],,,,,, 5530,Dermatologic Agents ,Antifungals,THP,SULCONAZOLE [Exelderm],,,,,, 5531,Dermatologic Agents ,Antifungals,THP,TERBINAFINE topical [Lamisil] (Rx),,,,,, 5532,Dermatologic Agents ,Steroids-Low Potency,AETNA,ALCLOMETASONE DIPROPIONATE,*,,,,, 5533,Dermatologic Agents ,Steroids-Low Potency,AETNA,ALCLOMETASONE DIPROPIONATE [Aclovate],*,,,,, 5534,Dermatologic Agents ,Steroids-Low Potency,AETNA,DESONIDE cream, lotion, ointment,*,,,,, 5535,Dermatologic Agents ,Steroids-Low Potency,AETNA,DESONIDE [Desonate],,FE,,,, 5536,Dermatologic Agents ,Steroids-Low Potency,AETNA,DESONIDE [Verdeso],,FE,,,, 5537,Dermatologic Agents ,Steroids-Low Potency,AETNA,DESONIDE 0.05% [Desowen],,FE,,,, 5538,Dermatologic Agents ,Steroids-Low Potency,AETNA,FLUOCINOLONE ACETONIDE 0.01% cream, solution,*,,,,, 5539,Dermatologic Agents ,Steroids-Low Potency,AETNA,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,, 5540,Dermatologic Agents ,Steroids-Low Potency,AETNA,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,, 5541,Dermatologic Agents ,Steroids-Low Potency,AETNA,HYDROCORTISONE ,*,,,,, 5542,Dermatologic Agents ,Steroids-Low Potency,AETNA,HYDROCORTISONE 2.5% cream, lotion ointment,*,,,,, 5543,Dermatologic Agents ,Steroids-Low Potency,AETNA,HYDROCORTISONE ACETATE [NuZon],,FE,,,, 5544,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,ALCLOMETASONE DIPROPIONATE,*,,,,, 5545,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,ALCLOMETASONE DIPROPIONATE [Aclovate],,,,,, 5546,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,DESONIDE cream, lotion, ointment,*,,,,, 5547,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,DESONIDE [Desonate],,,,,, 5548,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,DESONIDE [Verdeso],,,,,, 5549,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,DESONIDE 0.05% [Desowen],,,,,, 5550,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,FLUOCINOLONE ACETONIDE 0.01% cream, solution,*,,,,, 5551,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,, 5552,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,,NC 5553,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,HYDROCORTISONE ,,,,,,NC 5554,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,HYDROCORTISONE 2.5% cream, lotion ointment,*,,,,, 5555,Dermatologic Agents ,Steroids-Low Potency,BCBSMA,HYDROCORTISONE ACETATE [NuZon],,,,,, 5556,Dermatologic Agents ,Steroids-Low Potency,BMCHP,ALCLOMETASONE DIPROPIONATE,,,,,, 5557,Dermatologic Agents ,Steroids-Low Potency,BMCHP,DESONIDE cream, lotion, ointment,,,,,, 5558,Dermatologic Agents ,Steroids-Low Potency,BMCHP,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5559,Dermatologic Agents ,Steroids-Low Potency,BMCHP,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,, 5560,Dermatologic Agents ,Steroids-Low Potency,BMCHP,HYDROCORTISONE ,,,,,, 5561,Dermatologic Agents ,Steroids-Low Potency,BMCHP,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5562,Dermatologic Agents ,Steroids-Low Potency,BMCHP,HYDROCORTISONE ACETATE [NuZon],,,,,, 5563,Dermatologic Agents ,Steroids-Low Potency,FCHP,ALCLOMETASONE DIPROPIONATE,,,,,, 5564,Dermatologic Agents ,Steroids-Low Potency,FCHP,DESONIDE cream, lotion, ointment,,,,,, 5565,Dermatologic Agents ,Steroids-Low Potency,FCHP,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5566,Dermatologic Agents ,Steroids-Low Potency,FCHP,HYDROCORTISONE ,,,,,, 5567,Dermatologic Agents ,Steroids-Low Potency,FCHP,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5568,Dermatologic Agents ,Steroids-Low Potency,HPHC,ALCLOMETASONE DIPROPIONATE,,,,,, 5569,Dermatologic Agents ,Steroids-Low Potency,HPHC,ALCLOMETASONE DIPROPIONATE [Aclovate],,,,,, 5570,Dermatologic Agents ,Steroids-Low Potency,HPHC,DESONIDE cream, lotion, ointment,,,,,, 5571,Dermatologic Agents ,Steroids-Low Potency,HPHC,DESONIDE [Desonate],,,,,, 5572,Dermatologic Agents ,Steroids-Low Potency,HPHC,DESONIDE [Verdeso],,,,,, 5573,Dermatologic Agents ,Steroids-Low Potency,HPHC,DESONIDE 0.05% [Desowen],,,,,, 5574,Dermatologic Agents ,Steroids-Low Potency,HPHC,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5575,Dermatologic Agents ,Steroids-Low Potency,HPHC,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,, 5576,Dermatologic Agents ,Steroids-Low Potency,HPHC,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,, 5577,Dermatologic Agents ,Steroids-Low Potency,HPHC,HYDROCORTISONE ,,,,,, 5578,Dermatologic Agents ,Steroids-Low Potency,HPHC,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5579,Dermatologic Agents ,Steroids-Low Potency,HPHC,HYDROCORTISONE ACETATE [NuZon],,,,,, 5580,Dermatologic Agents ,Steroids-Low Potency,HNE,ALCLOMETASONE DIPROPIONATE,,,,,, 5581,Dermatologic Agents ,Steroids-Low Potency,HNE,DESONIDE cream, lotion, ointment,,,,,, 5582,Dermatologic Agents ,Steroids-Low Potency,HNE,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5583,Dermatologic Agents ,Steroids-Low Potency,HNE,HYDROCORTISONE ,,,,,, 5584,Dermatologic Agents ,Steroids-Low Potency,HNE,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5585,Dermatologic Agents ,Steroids-Low Potency,NHP,ALCLOMETASONE DIPROPIONATE,,,,,, 5586,Dermatologic Agents ,Steroids-Low Potency,NHP,ALCLOMETASONE DIPROPIONATE [Aclovate],,,,,,NC 5587,Dermatologic Agents ,Steroids-Low Potency,NHP,DESONIDE cream, lotion, ointment,,,,,, 5588,Dermatologic Agents ,Steroids-Low Potency,NHP,DESONIDE [Desonate],,,,,,NC 5589,Dermatologic Agents ,Steroids-Low Potency,NHP,DESONIDE 0.05% [Desowen],,,,,,NC 5590,Dermatologic Agents ,Steroids-Low Potency,NHP,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5591,Dermatologic Agents ,Steroids-Low Potency,NHP,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,ST, 5592,Dermatologic Agents ,Steroids-Low Potency,NHP,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,ST, 5593,Dermatologic Agents ,Steroids-Low Potency,NHP,HYDROCORTISONE ,,,,,, 5594,Dermatologic Agents ,Steroids-Low Potency,NHP,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5595,Dermatologic Agents ,Steroids-Low Potency,NHP,HYDROCORTISONE ACETATE [NuZon],,,,,,NC 5596,Dermatologic Agents ,Steroids-Low Potency,NTWK,ALCLOMETASONE DIPROPIONATE,,,,,, 5597,Dermatologic Agents ,Steroids-Low Potency,NTWK,DESONIDE cream, lotion, ointment,,,,,, 5598,Dermatologic Agents ,Steroids-Low Potency,NTWK,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5599,Dermatologic Agents ,Steroids-Low Potency,NTWK,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,PA,, 5600,Dermatologic Agents ,Steroids-Low Potency,NTWK,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,, 5601,Dermatologic Agents ,Steroids-Low Potency,NTWK,HYDROCORTISONE ,,,,,, 5602,Dermatologic Agents ,Steroids-Low Potency,NTWK,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5603,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,ALCLOMETASONE DIPROPIONATE,,,,,, 5604,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,ALCLOMETASONE DIPROPIONATE [Aclovate],,,,PA,, 5605,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,DESONIDE cream, lotion, ointment,,,,,, 5606,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,DESONIDE [Desonate],,,,PA,, 5607,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,DESONIDE [Verdeso],,,,PA,, 5608,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,DESONIDE 0.05% [Desowen],,,,PA,, 5609,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5610,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,PA,, 5611,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,PA,, 5612,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,HYDROCORTISONE ,,,,,, 5613,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5614,Dermatologic Agents ,Steroids-Low Potency,MAHLTH,HYDROCORTISONE ACETATE [NuZon],,,,PA,, 5615,Dermatologic Agents ,Steroids-Low Potency,THP,ALCLOMETASONE DIPROPIONATE,,,,,, 5616,Dermatologic Agents ,Steroids-Low Potency,THP,ALCLOMETASONE DIPROPIONATE [Aclovate],,,,,, 5617,Dermatologic Agents ,Steroids-Low Potency,THP,DESONIDE cream, lotion, ointment,,,,,, 5618,Dermatologic Agents ,Steroids-Low Potency,THP,DESONIDE [Desonate],,,,,,NC 5619,Dermatologic Agents ,Steroids-Low Potency,THP,DESONIDE [Verdeso],,,,,,NC 5620,Dermatologic Agents ,Steroids-Low Potency,THP,DESONIDE 0.05% [Desowen],,,,,, 5621,Dermatologic Agents ,Steroids-Low Potency,THP,FLUOCINOLONE ACETONIDE 0.01% cream, solution,,,,,, 5622,Dermatologic Agents ,Steroids-Low Potency,THP,FLUOCINOLONE ACETONIDE shampoo [Capex],,,,,, 5623,Dermatologic Agents ,Steroids-Low Potency,THP,FLUOCINOLONE ACETONIDE shampoo [Derma-Smoothe/FS],,,,,, 5624,Dermatologic Agents ,Steroids-Low Potency,THP,HYDROCORTISONE ,,,,,, 5625,Dermatologic Agents ,Steroids-Low Potency,THP,HYDROCORTISONE 2.5% cream, lotion ointment,,,,,, 5626,Dermatologic Agents ,Steroids-Low Potency,THP,HYDROCORTISONE ACETATE [NuZon],,,,,, 5628,Dermatologic Agents ,Steriods-Medium Potency,AETNA,BETAMETHASONE DIPROPIONATE,*,,,,, 5629,Dermatologic Agents ,Steriods-Medium Potency,AETNA,BETAMETHASONE VALERATE [Luxiq],*,,,,, 5630,Dermatologic Agents ,Steriods-Medium Potency,AETNA,BETAMETHASONE VALERATE 0.1% cream, lotion,*,,,,, 5631,Dermatologic Agents ,Steriods-Medium Potency,AETNA,Clocortolone Pivalate [Cloderm],,FE,,,, 5632,Dermatologic Agents ,Steriods-Medium Potency,AETNA,Desoximetasone 0.05% cream, gel,*,,,,, 5633,Dermatologic Agents ,Steriods-Medium Potency,AETNA,DESOXIMETASONE [Topicort LP] ,,,,,, 5634,Dermatologic Agents ,Steriods-Medium Potency,AETNA,FLUOCINOLONE ACETONIDE cream, ointment,*,,,,, 5635,Dermatologic Agents ,Steriods-Medium Potency,AETNA,Flurandrenolide [Cordran],,FE,,,, 5636,Dermatologic Agents ,Steriods-Medium Potency,AETNA,Flurandrenolide [Cordran SP],,FE,,,, 5637,Dermatologic Agents ,Steriods-Medium Potency,AETNA,FLUTICASONE PROPIONATE cream, ointment,*,,,,, 5638,Dermatologic Agents ,Steriods-Medium Potency,AETNA,FLUTICASONE PROPIONATE [Cutivate],*,,,,, 5639,Dermatologic Agents ,Steriods-Medium Potency,AETNA,HYDROCORTISONE BUTYRATE,*,,,,, 5640,Dermatologic Agents ,Steriods-Medium Potency,AETNA,HYDROCORTISONE BUTYRATE [Locoid],,,,,, 5641,Dermatologic Agents ,Steriods-Medium Potency,AETNA,HYDROCORTISONE PROBUTATE [Pandel],,,,,, 5642,Dermatologic Agents ,Steriods-Medium Potency,AETNA,HYDROCORTISONE VALERATE ,*,,,,, 5643,Dermatologic Agents ,Steriods-Medium Potency,AETNA,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,,, 5644,Dermatologic Agents ,Steriods-Medium Potency,AETNA,MOMETASONE FUROATE 0.1% ,*,,,,, 5645,Dermatologic Agents ,Steriods-Medium Potency,AETNA,MOMETASONE FUROATE 0.1% [Elocon],,,,,, 5646,Dermatologic Agents ,Steriods-Medium Potency,AETNA,PREDNICARBATE 0.1% cream, ointment,*,,,,, 5647,Dermatologic Agents ,Steriods-Medium Potency,AETNA,TRIAMCINOLONE [Zytopic],,,,,, 5648,Dermatologic Agents ,Steriods-Medium Potency,AETNA,TRIAMCINOLONE ACETONIDE,*,,,,, 5649,Dermatologic Agents ,Steriods-Medium Potency,AETNA,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,, 5650,Dermatologic Agents ,Steriods-Medium Potency,AETNA,TRIAMCINOLONEspray [Kenalog],,,,,, 5651,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,BETAMETHASONE DIPROPIONATE,*,,,,, 5652,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,BETAMETHASONE VALERATE [Luxiq],,,,,, 5653,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,BETAMETHASONE VALERATE 0.1% cream, lotion,*,,,,, 5654,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,Clocortolone Pivalate [Cloderm],,,,,, 5655,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,Desoximetasone 0.05% cream, gel,*,,,,, 5656,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,DESOXIMETASONE [Topicort LP] ,,,,,, 5657,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,FLUOCINOLONE ACETONIDE cream, ointment,*,,,,, 5658,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,Flurandrenolide [Cordran],,,,,, 5659,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,Flurandrenolide [Cordran SP],,,,,, 5660,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,FLUTICASONE PROPIONATE cream, ointment,*,,,,, 5661,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,FLUTICASONE PROPIONATE [Cutivate],,,,,, 5662,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,HYDROCORTISONE BUTYRATE,*,,,,, 5663,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,HYDROCORTISONE BUTYRATE [Locoid],,,,,, 5664,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,HYDROCORTISONE PROBUTATE [Pandel],,,,,, 5665,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,HYDROCORTISONE VALERATE ,*,,,,, 5666,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,,, 5667,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,MOMETASONE FUROATE 0.1% ,*,,,,, 5668,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,MOMETASONE FUROATE 0.1% [Elocon],,,,,, 5669,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,PREDNICARBATE 0.1% cream, ointment,*,,,,, 5670,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,TRIAMCINOLONE [Zytopic],,,,,,NC 5671,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,TRIAMCINOLONE ACETONIDE,*,,,,, 5672,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,, 5673,Dermatologic Agents ,Steriods-Medium Potency,BCBSMA,TRIAMCINOLONEspray [Kenalog],,,,,, 5674,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,BETAMETHASONE DIPROPIONATE,,,,,, 5675,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,BETAMETHASONE VALERATE [Luxiq],,,,,, 5676,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5677,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,Clocortolone Pivalate [Cloderm],,,,,, 5678,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,Desoximetasone 0.05% cream, gel,,,,,, 5679,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5680,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,Flurandrenolide [Cordran],,,,,, 5681,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,Flurandrenolide [Cordran SP],,,,,, 5682,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5683,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,HYDROCORTISONE BUTYRATE,,,,,, 5684,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,HYDROCORTISONE BUTYRATE [Locoid],,,,,, 5685,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,HYDROCORTISONE PROBUTATE [Pandel],,,,,, 5686,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,HYDROCORTISONE VALERATE ,,,,,, 5687,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,MOMETASONE FUROATE 0.1% ,,,,,, 5688,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,PREDNICARBATE 0.1% cream, ointment,,,,,, 5689,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,TRIAMCINOLONE [Zytopic],,,,,, 5690,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,TRIAMCINOLONE ACETONIDE,,,,,, 5691,Dermatologic Agents ,Steriods-Medium Potency,BMCHP,TRIAMCINOLONEspray [Kenalog],,,,,, 5692,Dermatologic Agents ,Steriods-Medium Potency,FCHP,BETAMETHASONE DIPROPIONATE,,,,,, 5693,Dermatologic Agents ,Steriods-Medium Potency,FCHP,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5694,Dermatologic Agents ,Steriods-Medium Potency,FCHP,Desoximetasone 0.05% cream, gel,,,,,, 5695,Dermatologic Agents ,Steriods-Medium Potency,FCHP,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5696,Dermatologic Agents ,Steriods-Medium Potency,FCHP,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5697,Dermatologic Agents ,Steriods-Medium Potency,FCHP,HYDROCORTISONE BUTYRATE,,,,,, 5698,Dermatologic Agents ,Steriods-Medium Potency,FCHP,HYDROCORTISONE VALERATE ,,,,,, 5699,Dermatologic Agents ,Steriods-Medium Potency,FCHP,MOMETASONE FUROATE 0.1% ,,,,,, 5700,Dermatologic Agents ,Steriods-Medium Potency,FCHP,PREDNICARBATE 0.1% cream, ointment,,,,,, 5701,Dermatologic Agents ,Steriods-Medium Potency,FCHP,TRIAMCINOLONE ACETONIDE,,,,,, 5702,Dermatologic Agents ,Steriods-Medium Potency,FCHP,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,, 5703,Dermatologic Agents ,Steriods-Medium Potency,HPHC,BETAMETHASONE DIPROPIONATE,,,,,, 5704,Dermatologic Agents ,Steriods-Medium Potency,HPHC,BETAMETHASONE VALERATE [Luxiq],,,,,, 5705,Dermatologic Agents ,Steriods-Medium Potency,HPHC,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5706,Dermatologic Agents ,Steriods-Medium Potency,HPHC,Clocortolone Pivalate [Cloderm],,,,,, 5707,Dermatologic Agents ,Steriods-Medium Potency,HPHC,Desoximetasone 0.05% cream, gel,,,,,, 5708,Dermatologic Agents ,Steriods-Medium Potency,HPHC,DESOXIMETASONE [Topicort LP] ,,,,,, 5709,Dermatologic Agents ,Steriods-Medium Potency,HPHC,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5710,Dermatologic Agents ,Steriods-Medium Potency,HPHC,Flurandrenolide [Cordran],,,,,, 5711,Dermatologic Agents ,Steriods-Medium Potency,HPHC,Flurandrenolide [Cordran SP],,,,,, 5712,Dermatologic Agents ,Steriods-Medium Potency,HPHC,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5713,Dermatologic Agents ,Steriods-Medium Potency,HPHC,FLUTICASONE PROPIONATE [Cutivate],,,,,, 5714,Dermatologic Agents ,Steriods-Medium Potency,HPHC,HYDROCORTISONE BUTYRATE,,,,,, 5715,Dermatologic Agents ,Steriods-Medium Potency,HPHC,HYDROCORTISONE BUTYRATE [Locoid],,,,,, 5716,Dermatologic Agents ,Steriods-Medium Potency,HPHC,HYDROCORTISONE PROBUTATE [Pandel],,,,,, 5717,Dermatologic Agents ,Steriods-Medium Potency,HPHC,HYDROCORTISONE VALERATE ,,,,,, 5718,Dermatologic Agents ,Steriods-Medium Potency,HPHC,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,,, 5719,Dermatologic Agents ,Steriods-Medium Potency,HPHC,MOMETASONE FUROATE 0.1% ,,,,,, 5720,Dermatologic Agents ,Steriods-Medium Potency,HPHC,MOMETASONE FUROATE 0.1% [Elocon],,,,,, 5721,Dermatologic Agents ,Steriods-Medium Potency,HPHC,PREDNICARBATE 0.1% cream, ointment,,,,,, 5722,Dermatologic Agents ,Steriods-Medium Potency,HPHC,TRIAMCINOLONE [Zytopic],,,,,, 5723,Dermatologic Agents ,Steriods-Medium Potency,HPHC,TRIAMCINOLONE ACETONIDE,,,,,, 5724,Dermatologic Agents ,Steriods-Medium Potency,HPHC,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,, 5725,Dermatologic Agents ,Steriods-Medium Potency,HPHC,TRIAMCINOLONEspray [Kenalog],,,,,, 5726,Dermatologic Agents ,Steriods-Medium Potency,HNE,BETAMETHASONE DIPROPIONATE,,,,,, 5727,Dermatologic Agents ,Steriods-Medium Potency,HNE,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5728,Dermatologic Agents ,Steriods-Medium Potency,HNE,Desoximetasone 0.05% cream, gel,,,,,, 5729,Dermatologic Agents ,Steriods-Medium Potency,HNE,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5730,Dermatologic Agents ,Steriods-Medium Potency,HNE,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5731,Dermatologic Agents ,Steriods-Medium Potency,HNE,HYDROCORTISONE BUTYRATE,,,,,, 5732,Dermatologic Agents ,Steriods-Medium Potency,HNE,HYDROCORTISONE VALERATE ,,,,,, 5733,Dermatologic Agents ,Steriods-Medium Potency,HNE,MOMETASONE FUROATE 0.1% ,,,,,, 5734,Dermatologic Agents ,Steriods-Medium Potency,HNE,PREDNICARBATE 0.1% cream, ointment,,,,,, 5735,Dermatologic Agents ,Steriods-Medium Potency,HNE,TRIAMCINOLONE ACETONIDE,,,,,, 5736,Dermatologic Agents ,Steriods-Medium Potency,NHP,BETAMETHASONE DIPROPIONATE,,,,,, 5737,Dermatologic Agents ,Steriods-Medium Potency,NHP,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5738,Dermatologic Agents ,Steriods-Medium Potency,NHP,Clocortolone Pivalate [Cloderm],,,,,ST, 5739,Dermatologic Agents ,Steriods-Medium Potency,NHP,Desoximetasone 0.05% cream, gel,,,,,, 5740,Dermatologic Agents ,Steriods-Medium Potency,NHP,DESOXIMETASONE [Topicort LP] ,,,,,,NC 5741,Dermatologic Agents ,Steriods-Medium Potency,NHP,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5742,Dermatologic Agents ,Steriods-Medium Potency,NHP,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5743,Dermatologic Agents ,Steriods-Medium Potency,NHP,FLUTICASONE PROPIONATE [Cutivate],,,,,,NC 5744,Dermatologic Agents ,Steriods-Medium Potency,NHP,HYDROCORTISONE BUTYRATE,,,,,, 5745,Dermatologic Agents ,Steriods-Medium Potency,NHP,HYDROCORTISONE BUTYRATE [Locoid],,,,,,NC 5746,Dermatologic Agents ,Steriods-Medium Potency,NHP,HYDROCORTISONE VALERATE ,,,,,, 5747,Dermatologic Agents ,Steriods-Medium Potency,NHP,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,,,NC 5748,Dermatologic Agents ,Steriods-Medium Potency,NHP,MOMETASONE FUROATE 0.1% ,,,,,, 5749,Dermatologic Agents ,Steriods-Medium Potency,NHP,MOMETASONE FUROATE 0.1% [Elocon],,,,,,NC 5750,Dermatologic Agents ,Steriods-Medium Potency,NHP,PREDNICARBATE 0.1% cream, ointment,,,,,, 5751,Dermatologic Agents ,Steriods-Medium Potency,NHP,TRIAMCINOLONE [Zytopic],,,,,,NC 5752,Dermatologic Agents ,Steriods-Medium Potency,NHP,TRIAMCINOLONE ACETONIDE,,,,,, 5753,Dermatologic Agents ,Steriods-Medium Potency,NHP,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,,NC 5754,Dermatologic Agents ,Steriods-Medium Potency,NTWK,BETAMETHASONE DIPROPIONATE,,,,,, 5755,Dermatologic Agents ,Steriods-Medium Potency,NTWK,BETAMETHASONE VALERATE [Luxiq],,,,PA,, 5756,Dermatologic Agents ,Steriods-Medium Potency,NTWK,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5757,Dermatologic Agents ,Steriods-Medium Potency,NTWK,Clocortolone Pivalate [Cloderm],,,,PA,, 5758,Dermatologic Agents ,Steriods-Medium Potency,NTWK,Desoximetasone 0.05% cream, gel,,,,,, 5759,Dermatologic Agents ,Steriods-Medium Potency,NTWK,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5760,Dermatologic Agents ,Steriods-Medium Potency,NTWK,Flurandrenolide [Cordran],,,,PA,, 5761,Dermatologic Agents ,Steriods-Medium Potency,NTWK,Flurandrenolide [Cordran SP],,,,PA,, 5762,Dermatologic Agents ,Steriods-Medium Potency,NTWK,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5763,Dermatologic Agents ,Steriods-Medium Potency,NTWK,FLUTICASONE PROPIONATE [Cutivate],,,,PA,, 5764,Dermatologic Agents ,Steriods-Medium Potency,NTWK,HYDROCORTISONE BUTYRATE,,,,,, 5765,Dermatologic Agents ,Steriods-Medium Potency,NTWK,HYDROCORTISONE BUTYRATE [Locoid],,,,PA,, 5766,Dermatologic Agents ,Steriods-Medium Potency,NTWK,HYDROCORTISONE VALERATE ,,,,,, 5767,Dermatologic Agents ,Steriods-Medium Potency,NTWK,MOMETASONE FUROATE 0.1% ,,,,,, 5768,Dermatologic Agents ,Steriods-Medium Potency,NTWK,TRIAMCINOLONE ACETONIDE,,,,,, 5769,Dermatologic Agents ,Steriods-Medium Potency,NTWK,TRIAMCINOLONEspray [Kenalog],,,,PA,, 5770,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,BETAMETHASONE DIPROPIONATE,,,,,, 5771,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,BETAMETHASONE VALERATE [Luxiq],,,,PA,, 5772,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5773,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,Clocortolone Pivalate [Cloderm],,,,PA,, 5774,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,Desoximetasone 0.05% cream, gel,,,,,, 5775,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,DESOXIMETASONE [Topicort LP] ,,,,PA,, 5776,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5777,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,Flurandrenolide [Cordran],,,,PA,, 5778,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,Flurandrenolide [Cordran SP],,,,PA,, 5779,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5780,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,FLUTICASONE PROPIONATE [Cutivate],,,,PA,, 5781,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,HYDROCORTISONE BUTYRATE,,,,,, 5782,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,HYDROCORTISONE BUTYRATE [Locoid],,,,PA,, 5783,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,HYDROCORTISONE PROBUTATE [Pandel],,,,PA,, 5784,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,HYDROCORTISONE VALERATE ,,,,,, 5785,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,PA,, 5786,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,MOMETASONE FUROATE 0.1% ,,,,,, 5787,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,MOMETASONE FUROATE 0.1% [Elocon],,,,PA,, 5788,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,PREDNICARBATE 0.1% cream, ointment,,,,,, 5789,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,TRIAMCINOLONE [Zytopic],,,,PA,, 5790,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,TRIAMCINOLONE ACETONIDE,,,,,, 5791,Dermatologic Agents ,Steriods-Medium Potency,MAHLTH,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,PA,, 5792,Dermatologic Agents ,Steriods-Medium Potency,THP,BETAMETHASONE DIPROPIONATE,,,,,, 5793,Dermatologic Agents ,Steriods-Medium Potency,THP,BETAMETHASONE VALERATE [Luxiq],,,,,, 5794,Dermatologic Agents ,Steriods-Medium Potency,THP,BETAMETHASONE VALERATE 0.1% cream, lotion,,,,,, 5795,Dermatologic Agents ,Steriods-Medium Potency,THP,Clocortolone Pivalate [Cloderm],,,,,, 5796,Dermatologic Agents ,Steriods-Medium Potency,THP,Desoximetasone 0.05% cream, gel,,,,,, 5797,Dermatologic Agents ,Steriods-Medium Potency,THP,DESOXIMETASONE [Topicort LP] ,,,,,, 5798,Dermatologic Agents ,Steriods-Medium Potency,THP,FLUOCINOLONE ACETONIDE cream, ointment,,,,,, 5799,Dermatologic Agents ,Steriods-Medium Potency,THP,Flurandrenolide [Cordran],,,,,, 5800,Dermatologic Agents ,Steriods-Medium Potency,THP,Flurandrenolide [Cordran SP],,,,,, 5801,Dermatologic Agents ,Steriods-Medium Potency,THP,FLUTICASONE PROPIONATE cream, ointment,,,,,, 5802,Dermatologic Agents ,Steriods-Medium Potency,THP,FLUTICASONE PROPIONATE [Cutivate],,,,,, 5803,Dermatologic Agents ,Steriods-Medium Potency,THP,HYDROCORTISONE BUTYRATE,,,,,, 5804,Dermatologic Agents ,Steriods-Medium Potency,THP,HYDROCORTISONE BUTYRATE [Locoid],,,,,, 5805,Dermatologic Agents ,Steriods-Medium Potency,THP,HYDROCORTISONE PROBUTATE [Pandel],,,,,, 5806,Dermatologic Agents ,Steriods-Medium Potency,THP,HYDROCORTISONE VALERATE ,,,,,, 5807,Dermatologic Agents ,Steriods-Medium Potency,THP,HYDROCORTISONE VALERATE 0.2% cream [Westcort],,,,,, 5808,Dermatologic Agents ,Steriods-Medium Potency,THP,MOMETASONE FUROATE 0.1% ,,,,,, 5809,Dermatologic Agents ,Steriods-Medium Potency,THP,MOMETASONE FUROATE 0.1% [Elocon],,,,,, 5810,Dermatologic Agents ,Steriods-Medium Potency,THP,PREDNICARBATE 0.1% cream, ointment,,,,,, 5811,Dermatologic Agents ,Steriods-Medium Potency,THP,TRIAMCINOLONE [Zytopic],,,,,,NC 5812,Dermatologic Agents ,Steriods-Medium Potency,THP,TRIAMCINOLONE ACETONIDE,,,,,, 5813,Dermatologic Agents ,Steriods-Medium Potency,THP,TRIAMCINOLONE ACETONIDE 0.1% [Kenalog],,,,,, 5814,Dermatologic Agents ,Steriods-Medium Potency,THP,TRIAMCINOLONEspray [Kenalog],,,,,, 5816,Dermatologic Agents ,Steroids-High Potency,AETNA,AMCINONIDE,*,,,,, 5817,Dermatologic Agents,Steroids-High Potency,AETNA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,*,,,,, 5818,Dermatologic Agents ,Steroids-High Potency,AETNA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,FE,,,, 5819,Dermatologic Agents ,Steroids-High Potency,AETNA,BETAMETHASONE DIPROPIONATE cream, ointment,*,,,,, 5820,Dermatologic Agents ,Steroids-High Potency,AETNA,BETAMETHASONE DIPROPIONATE [Diprolene],,FE,,,, 5821,Dermatologic Agents ,Steroids-High Potency,AETNA,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,FE,,,, 5822,Dermatologic Agents ,Steroids-High Potency,AETNA,BETAMETHASONE VALERATE 0.1% ointment,*,,,,, 5823,Dermatologic Agents ,Steroids-High Potency,AETNA,DESOXIMETASONE 0.25% cream, ointment,*,,,,, 5824,Dermatologic Agents ,Steroids-High Potency,AETNA,DESOXIMETASONE 0.05% gel,*,,,,, 5825,Dermatologic Agents ,Steroids-High Potency,AETNA,DESOXIMETASONE 0.25% [Topicort] ,,,,,, 5826,Dermatologic Agents ,Steroids-High Potency,AETNA,DIFLORASONE DIACETATE 0.05% cream,*,,,,, 5827,Dermatologic Agents ,Steroids-High Potency,AETNA,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,,, 5828,Dermatologic Agents ,Steroids-High Potency,AETNA,FLUOCINONIDE 0.05% cream, gel, ointment, solution,*,,,,, 5829,Dermatologic Agents ,Steroids-High Potency,AETNA,FLUOCINONIDE emollient base 0.05% cream,*,,,,, 5830,Dermatologic Agents ,Steroids-High Potency,AETNA,HALCINONIDE 0.1% cream, ointment, solution [Halog],,FE,,,, 5831,Dermatologic Agents ,Steroids-High Potency,AETNA,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,*,,,,, 5832,Dermatologic Agents ,Steroids-High Potency,BCBSMA,AMCINONIDE,*,,,,, 5833,Dermatologic Agents ,Steroids-High Potency,BCBSMA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,*,,,,, 5834,Dermatologic Agents ,Steroids-High Potency,BCBSMA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,,,,, 5835,Dermatologic Agents ,Steroids-High Potency,BCBSMA,BETAMETHASONE DIPROPIONATE cream, ointment,*,,,,, 5836,Dermatologic Agents ,Steroids-High Potency,BCBSMA,BETAMETHASONE DIPROPIONATE [Diprolene],,,,,, 5837,Dermatologic Agents ,Steroids-High Potency,BCBSMA,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,,, 5838,Dermatologic Agents ,Steroids-High Potency,BCBSMA,BETAMETHASONE VALERATE 0.1% ointment,*,,,,, 5839,Dermatologic Agents ,Steroids-High Potency,BCBSMA,DESOXIMETASONE 0.25% cream, ointment,*,,,,, 5840,Dermatologic Agents ,Steroids-High Potency,BCBSMA,DESOXIMETASONE 0.05% gel,*,,,,, 5841,Dermatologic Agents,Steroids-High Potency,BCBSMA,DESOXIMETASONE 0.25% [Topicort] ,,,,,, 5842,Dermatologic Agents,Steroids-High Potency,BCBSMA,DIFLORASONE DIACETATE 0.05% cream,*,,,,, 5843,Dermatologic Agents,Steroids-High Potency,BCBSMA,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,,, 5844,Dermatologic Agents,Steroids-High Potency,BCBSMA,FLUOCINONIDE 0.05% cream, gel, ointment, solution,*,,,,, 5845,Dermatologic Agents,Steroids-High Potency,BCBSMA,FLUOCINONIDE emollient base 0.05% cream,*,,,,, 5846,Dermatologic Agents,Steroids-High Potency,BCBSMA,HALCINONIDE 0.1% cream, ointment, solution [Halog],,,,,, 5847,Dermatologic Agents,Steroids-High Potency,BCBSMA,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,*,,,,, 5848,Dermatologic Agents ,Steroids-High Potency,BMCHP,AMCINONIDE,,,,,, 5849,Dermatologic Agents,Steroids-High Potency,BMCHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5850,Dermatologic Agents,Steroids-High Potency,BMCHP,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5851,Dermatologic Agents,Steroids-High Potency,BMCHP,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5852,Dermatologic Agents,Steroids-High Potency,BMCHP,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5853,Dermatologic Agents,Steroids-High Potency,BMCHP,DESOXIMETASONE 0.05% gel,,,,,, 5854,Dermatologic Agents,Steroids-High Potency,BMCHP,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5855,Dermatologic Agents,Steroids-High Potency,BMCHP,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5856,Dermatologic Agents,Steroids-High Potency,BMCHP,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5857,Dermatologic Agents,Steroids-High Potency,BMCHP,HALCINONIDE 0.1% cream, ointment, solution [Halog],,,,,, 5858,Dermatologic Agents,Steroids-High Potency,BMCHP,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5859,Dermatologic Agents ,Steroids-High Potency,FCHP,AMCINONIDE,,,,,, 5860,Dermatologic Agents,Steroids-High Potency,FCHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5861,Dermatologic Agents,Steroids-High Potency,FCHP,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5862,Dermatologic Agents,Steroids-High Potency,FCHP,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,,, 5863,Dermatologic Agents,Steroids-High Potency,FCHP,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5864,Dermatologic Agents,Steroids-High Potency,FCHP,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5865,Dermatologic Agents,Steroids-High Potency,FCHP,DESOXIMETASONE 0.05% gel,,,,,, 5866,Dermatologic Agents,Steroids-High Potency,FCHP,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5867,Dermatologic Agents,Steroids-High Potency,FCHP,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5868,Dermatologic Agents,Steroids-High Potency,FCHP,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5869,Dermatologic Agents,Steroids-High Potency,FCHP,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5870,Dermatologic Agents ,Steroids-High Potency,HPHC,AMCINONIDE,,,,,, 5871,Dermatologic Agents,Steroids-High Potency,HPHC,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5872,Dermatologic Agents,Steroids-High Potency,HPHC,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,,,,, 5873,Dermatologic Agents,Steroids-High Potency,HPHC,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5874,Dermatologic Agents,Steroids-High Potency,HPHC,BETAMETHASONE DIPROPIONATE [Diprolene],,,,,, 5875,Dermatologic Agents,Steroids-High Potency,HPHC,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,,, 5876,Dermatologic Agents,Steroids-High Potency,HPHC,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5877,Dermatologic Agents,Steroids-High Potency,HPHC,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5878,Dermatologic Agents,Steroids-High Potency,HPHC,DESOXIMETASONE 0.05% gel,,,,,, 5879,Dermatologic Agents,Steroids-High Potency,HPHC,DESOXIMETASONE 0.25% [Topicort] ,,,,,, 5880,Dermatologic Agents,Steroids-High Potency,HPHC,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5881,Dermatologic Agents,Steroids-High Potency,HPHC,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,,, 5882,Dermatologic Agents,Steroids-High Potency,HPHC,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5883,Dermatologic Agents,Steroids-High Potency,HPHC,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5884,Dermatologic Agents,Steroids-High Potency,HPHC,HALCINONIDE 0.1% cream, ointment, solution [Halog],,,,,, 5885,Dermatologic Agents,Steroids-High Potency,HPHC,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5886,Dermatologic Agents ,Steroids-High Potency,HNE,AMCINONIDE,,,,,, 5887,Dermatologic Agents,Steroids-High Potency,HNE,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5888,Dermatologic Agents,Steroids-High Potency,HNE,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5889,Dermatologic Agents,Steroids-High Potency,HNE,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5890,Dermatologic Agents,Steroids-High Potency,HNE,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5891,Dermatologic Agents,Steroids-High Potency,HNE,DESOXIMETASONE 0.05% gel,,,,,, 5892,Dermatologic Agents,Steroids-High Potency,HNE,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5893,Dermatologic Agents,Steroids-High Potency,HNE,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5894,Dermatologic Agents,Steroids-High Potency,HNE,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5895,Dermatologic Agents,Steroids-High Potency,HNE,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5896,Dermatologic Agents ,Steroids-High Potency,NHP,AMCINONIDE,,,,,, 5897,Dermatologic Agents,Steroids-High Potency,NHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5898,Dermatologic Agents,Steroids-High Potency,NHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,,,,,NC 5899,Dermatologic Agents,Steroids-High Potency,NHP,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5900,Dermatologic Agents,Steroids-High Potency,NHP,BETAMETHASONE DIPROPIONATE [Diprolene],,,,,,NC 5901,Dermatologic Agents,Steroids-High Potency,NHP,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,,,NC 5902,Dermatologic Agents,Steroids-High Potency,NHP,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5903,Dermatologic Agents,Steroids-High Potency,NHP,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5904,Dermatologic Agents,Steroids-High Potency,NHP,DESOXIMETASONE 0.05% gel,,,,,, 5905,Dermatologic Agents,Steroids-High Potency,NHP,DESOXIMETASONE 0.25% [Topicort] ,,,,,,NC 5906,Dermatologic Agents,Steroids-High Potency,NHP,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5907,Dermatologic Agents,Steroids-High Potency,NHP,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,,,NC 5908,Dermatologic Agents,Steroids-High Potency,NHP,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5909,Dermatologic Agents,Steroids-High Potency,NHP,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5910,Dermatologic Agents,Steroids-High Potency,NHP,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5911,Dermatologic Agents ,Steroids-High Potency,NTWK,AMCINONIDE,,,,,, 5912,Dermatologic Agents,Steroids-High Potency,NTWK,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5913,Dermatologic Agents,Steroids-High Potency,NTWK,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5914,Dermatologic Agents,Steroids-High Potency,NTWK,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,PA,, 5915,Dermatologic Agents,Steroids-High Potency,NTWK,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5916,Dermatologic Agents,Steroids-High Potency,NTWK,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5917,Dermatologic Agents,Steroids-High Potency,NTWK,DESOXIMETASONE 0.05% gel,,,,,, 5918,Dermatologic Agents,Steroids-High Potency,NTWK,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5919,Dermatologic Agents,Steroids-High Potency,NTWK,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5920,Dermatologic Agents,Steroids-High Potency,NTWK,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5921,Dermatologic Agents,Steroids-High Potency,NTWK,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5922,Dermatologic Agents ,Steroids-High Potency,MAHLTH,AMCINONIDE,,,,,, 5923,Dermatologic Agents,Steroids-High Potency,MAHLTH,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5924,Dermatologic Agents,Steroids-High Potency,MAHLTH,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,,,PA,, 5925,Dermatologic Agents,Steroids-High Potency,MAHLTH,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5926,Dermatologic Agents,Steroids-High Potency,MAHLTH,BETAMETHASONE DIPROPIONATE [Diprolene],,,,PA,, 5927,Dermatologic Agents,Steroids-High Potency,MAHLTH,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,PA,, 5928,Dermatologic Agents,Steroids-High Potency,MAHLTH,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5929,Dermatologic Agents,Steroids-High Potency,MAHLTH,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5930,Dermatologic Agents,Steroids-High Potency,MAHLTH,DESOXIMETASONE 0.05% gel,,,,,, 5931,Dermatologic Agents,Steroids-High Potency,MAHLTH,DESOXIMETASONE 0.25% [Topicort] ,,,,PA,, 5932,Dermatologic Agents,Steroids-High Potency,MAHLTH,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5933,Dermatologic Agents,Steroids-High Potency,MAHLTH,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,PA,, 5934,Dermatologic Agents,Steroids-High Potency,MAHLTH,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5935,Dermatologic Agents,Steroids-High Potency,MAHLTH,HALCINONIDE 0.1% cream, ointment, solution [Halog],,,,PA,, 5936,Dermatologic Agents,Steroids-High Potency,MAHLTH,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5937,Dermatologic Agents ,Steroids-High Potency,THP,AMCINONIDE,,,,,, 5938,Dermatologic Agents,Steroids-High Potency,THP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream, lotion,,,,,, 5939,Dermatologic Agents,Steroids-High Potency,THP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% cream [Diprolene AF],,,,,, 5940,Dermatologic Agents,Steroids-High Potency,THP,BETAMETHASONE DIPROPIONATE cream, ointment,,,,,, 5941,Dermatologic Agents,Steroids-High Potency,THP,BETAMETHASONE DIPROPIONATE [Diprolene],,,,,, 5942,Dermatologic Agents,Steroids-High Potency,THP,BETAMETHASONE DIPROPIONATE 0.05% lotion [Diprolene],,,,,, 5943,Dermatologic Agents,Steroids-High Potency,THP,BETAMETHASONE VALERATE 0.1% ointment,,,,,, 5944,Dermatologic Agents,Steroids-High Potency,THP,DESOXIMETASONE 0.25% cream, ointment,,,,,, 5945,Dermatologic Agents,Steroids-High Potency,THP,DESOXIMETASONE 0.05% gel,,,,,, 5946,Dermatologic Agents,Steroids-High Potency,THP,DESOXIMETASONE 0.25% [Topicort] ,,,,,, 5947,Dermatologic Agents,Steroids-High Potency,THP,DIFLORASONE DIACETATE 0.05% cream,,,,,, 5948,Dermatologic Agents,Steroids-High Potency,THP,DIFLORASONE DIACETATE cream [Psorcon E cream],,,,,, 5949,Dermatologic Agents,Steroids-High Potency,THP,FLUOCINONIDE 0.05% cream, gel, ointment, solution,,,,,, 5950,Dermatologic Agents,Steroids-High Potency,THP,FLUOCINONIDE emollient base 0.05% cream,,,,,, 5951,Dermatologic Agents,Steroids-High Potency,THP,HALCINONIDE 0.1% cream, ointment, solution [Halog],,,,,, 5952,Dermatologic Agents,Steroids-High Potency,THP,TRIAMCINOLONE ACETONIDE cream,ointment, lotion,,,,,, 5954,Dermatologic Agents,Steroids-Very High Potency,AETNA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,*,,,,, 5955,Dermatologic Agents,Steroids-Very High Potency,AETNA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,FE,,,, 5956,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL PROPIONATE 0.05%,*,,,,, 5957,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],*,,,,, 5958,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL [Cormax] ,*,,,,, 5959,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL PROPIONATE 0.05% [Olux],*,,,,, 5960,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],*,,,,, 5961,Dermatologic Agents,Steroids-Very High Potency,AETNA,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,, 5962,Dermatologic Agents,Steroids-Very High Potency,AETNA,Diflorasone diacetate 0.05% ointment,*,,,,, 5963,Dermatologic Agents,Steroids-Very High Potency,AETNA,Diflorasone diacetate [Apexicon],,,,,, 5964,Dermatologic Agents,Steroids-Very High Potency,AETNA,Diflorasone diacetate [Psorcon],,,,,, 5965,Dermatologic Agents,Steroids-Very High Potency,AETNA,Fluocinonide 0.1% [Vanos],*,,,,,NC 5966,Dermatologic Agents,Steroids-Very High Potency,AETNA,HALOBETASOL PROPIONATE 0.05%,*,,,,, 5967,Dermatologic Agents,Steroids-Very High Potency,AETNA,HALOBETASOL PROPIONATE [Ultravate],,FE,,,, 5968,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,*,,,,, 5969,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,,,,, 5970,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL PROPIONATE 0.05%,*,,,,, 5971,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,,, 5972,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL [Cormax] ,,,,,, 5973,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL PROPIONATE 0.05% [Olux],,,,,, 5974,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],,,,,, 5975,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,, 5976,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,Diflorasone diacetate 0.05% ointment,*,,,,, 5977,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,Diflorasone diacetate [Apexicon],,,,,, 5978,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,Diflorasone diacetate [Psorcon],,,,,, 5979,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,Fluocinonide 0.1% [Vanos],,,,,,NC 5980,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,HALOBETASOL PROPIONATE 0.05%,*,,,,, 5981,Dermatologic Agents,Steroids-Very High Potency,BCBSMA,HALOBETASOL PROPIONATE [Ultravate],,,,,, 5982,Dermatologic Agents,Steroids-Very High Potency,BMCHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 5983,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL PROPIONATE 0.05%,,,,,, 5984,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,,, 5985,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL [Cormax] ,,,,,, 5986,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL PROPIONATE 0.05% [Olux],,,,,, 5987,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],,,,,, 5988,Dermatologic Agents,Steroids-Very High Potency,BMCHP,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,, 5989,Dermatologic Agents,Steroids-Very High Potency,BMCHP,Diflorasone diacetate 0.05% ointment,,,,,, 5990,Dermatologic Agents,Steroids-Very High Potency,BMCHP,Diflorasone diacetate [Apexicon],,,,,, 5991,Dermatologic Agents,Steroids-Very High Potency,BMCHP,Diflorasone diacetate [Psorcon],,,,,, 5992,Dermatologic Agents,Steroids-Very High Potency,BMCHP,Fluocinonide 0.1% [Vanos],,,,,, 5993,Dermatologic Agents,Steroids-Very High Potency,BMCHP,HALOBETASOL PROPIONATE 0.05%,,,,,, 5994,Dermatologic Agents,Steroids-Very High Potency,FCHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 5995,Dermatologic Agents,Steroids-Very High Potency,FCHP,CLOBETASOL PROPIONATE 0.05%,,,,,, 5996,Dermatologic Agents,Steroids-Very High Potency,FCHP,Diflorasone diacetate 0.05% ointment,,,,,, 5997,Dermatologic Agents,Steroids-Very High Potency,FCHP,HALOBETASOL PROPIONATE 0.05%,,,,,, 5998,Dermatologic Agents,Steroids-Very High Potency,HPHC,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 5999,Dermatologic Agents,Steroids-Very High Potency,HPHC,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,,,,, 6000,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL PROPIONATE 0.05%,,,,,, 6001,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,,, 6002,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL [Cormax] ,,,,,, 6003,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL PROPIONATE 0.05% [Olux],,,,,, 6004,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],,,,,, 6005,Dermatologic Agents,Steroids-Very High Potency,HPHC,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,, 6006,Dermatologic Agents,Steroids-Very High Potency,HPHC,Diflorasone diacetate 0.05% ointment,,,,,, 6007,Dermatologic Agents,Steroids-Very High Potency,HPHC,Diflorasone diacetate [Apexicon],,,,,, 6008,Dermatologic Agents,Steroids-Very High Potency,HPHC,Diflorasone diacetate [Psorcon],,,,,, 6009,Dermatologic Agents,Steroids-Very High Potency,HPHC,Fluocinonide 0.1% [Vanos],,,,,, 6010,Dermatologic Agents,Steroids-Very High Potency,HPHC,HALOBETASOL PROPIONATE 0.05%,,,,,, 6011,Dermatologic Agents,Steroids-Very High Potency,HPHC,HALOBETASOL PROPIONATE [Ultravate],,,,,, 6012,Dermatologic Agents,Steroids-Very High Potency,HNE,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 6013,Dermatologic Agents,Steroids-Very High Potency,HNE,CLOBETASOL PROPIONATE 0.05%,,,,,, 6014,Dermatologic Agents,Steroids-Very High Potency,HNE,Diflorasone diacetate 0.05% ointment,,,,,, 6015,Dermatologic Agents,Steroids-Very High Potency,HNE,HALOBETASOL PROPIONATE 0.05%,,,,,, 6016,Dermatologic Agents,Steroids-Very High Potency,NHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 6017,Dermatologic Agents,Steroids-Very High Potency,NHP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,,,,,NC 6018,Dermatologic Agents,Steroids-Very High Potency,NHP,CLOBETASOL PROPIONATE 0.05%,,,,,, 6019,Dermatologic Agents,Steroids-Very High Potency,NHP,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,,ST, 6020,Dermatologic Agents,Steroids-Very High Potency,NHP,CLOBETASOL [Cormax] ,,,,,, 6021,Dermatologic Agents,Steroids-Very High Potency,NHP,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,,NC 6022,Dermatologic Agents,Steroids-Very High Potency,NHP,Diflorasone diacetate 0.05% ointment,,,,,, 6023,Dermatologic Agents,Steroids-Very High Potency,NHP,Diflorasone diacetate [Apexicon],,,,,,NC 6024,Dermatologic Agents,Steroids-Very High Potency,NHP,Diflorasone diacetate [Psorcon],,,,,,NC 6025,Dermatologic Agents,Steroids-Very High Potency,NHP,HALOBETASOL PROPIONATE 0.05%,,,,,, 6026,Dermatologic Agents,Steroids-Very High Potency,NHP,HALOBETASOL PROPIONATE [Ultravate],,,,,,NC 6027,Dermatologic Agents,Steroids-Very High Potency,NTWK,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 6028,Dermatologic Agents,Steroids-Very High Potency,NTWK,CLOBETASOL PROPIONATE 0.05%,,,,,, 6029,Dermatologic Agents,Steroids-Very High Potency,NTWK,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,PA,, 6030,Dermatologic Agents,Steroids-Very High Potency,NTWK,CLOBETASOL PROPIONATE 0.05% [Olux],,,,PA,, 6031,Dermatologic Agents,Steroids-Very High Potency,NTWK,Diflorasone diacetate 0.05% ointment,,,,,, 6032,Dermatologic Agents,Steroids-Very High Potency,NTWK,Fluocinonide 0.1% [Vanos],,,,PA,, 6033,Dermatologic Agents,Steroids-Very High Potency,NTWK,HALOBETASOL PROPIONATE 0.05%,,,,,, 6034,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 6035,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,,,PA,, 6036,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL PROPIONATE 0.05%,,,,,, 6037,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],,,,PA,, 6038,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL [Cormax] ,,,,PA,, 6039,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL PROPIONATE 0.05% [Olux],,,,PA,, 6040,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],,,,PA,, 6041,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,PA,, 6042,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,Diflorasone diacetate 0.05% ointment,,,,,, 6043,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,Diflorasone diacetate [Psorcon],,,,PA,, 6044,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,Fluocinonide 0.1% [Vanos],,,,PA,, 6045,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,HALOBETASOL PROPIONATE 0.05%,,,,,, 6046,Dermatologic Agents,Steroids-Very High Potency,MAHLTH,HALOBETASOL PROPIONATE [Ultravate],,,,PA,, 6047,Dermatologic Agents,Steroids-Very High Potency,THP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% ointment,,,,,, 6048,Dermatologic Agents,Steroids-Very High Potency,THP,AUGMENTED BETAMETHASONE DIPROPIONATE 0.05% gel, lotion, ointment [Diprolene],,,,,, 6049,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL PROPIONATE 0.05%,,,,,, 6050,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL PROPIONATE lotion, shampoo, spray [Clobex],Clobex spray NC,,,,, 6051,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL [Cormax] ,,,,,, 6052,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL PROPIONATE 0.05% [Olux],,,,,, 6053,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL PROPIONATE 0.05% emollient [Olux-E],,,,,,nc 6054,Dermatologic Agents,Steroids-Very High Potency,THP,CLOBETASOL PROPIONATE 0.05% [Temovate],,,,,, 6055,Dermatologic Agents,Steroids-Very High Potency,THP,Diflorasone diacetate 0.05% ointment,,,,,, 6056,Dermatologic Agents,Steroids-Very High Potency,THP,Diflorasone diacetate [Apexicon],,,,,, 6057,Dermatologic Agents,Steroids-Very High Potency,THP,Diflorasone diacetate [Psorcon],,,,,, 6058,Dermatologic Agents,Steroids-Very High Potency,THP,Fluocinonide 0.1% [Vanos],,,,,, 6059,Dermatologic Agents,Steroids-Very High Potency,THP,HALOBETASOL PROPIONATE 0.05%,,,,,, 6060,Dermatologic Agents,Steroids-Very High Potency,THP,HALOBETASOL PROPIONATE [Ultravate],,,,,, 6061,Diabetes Management,Insulin/Other,AETNA,EXENATIDE [Byetta],*,,DL,,, 6062,Diabetes Management,Insulin/Other,AETNA,INSULIN ASPART [Novolog prefilled],*,,,,, 6063,Diabetes Management,Insulin/Other,AETNA,INSULIN ASPART [Novolog vials],*,,,,, 6064,Diabetes Management,Insulin/Other,AETNA,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],*,,,,, 6065,Diabetes Management,Insulin/Other,AETNA,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],*,,,,, 6066,Diabetes Management,Insulin/Other,AETNA,INSULIN DETEMIR [Levemir prefilled],*,,,,, 6067,Diabetes Management,Insulin/Other,AETNA,INSULIN DETEMIR [Levemir vials],*,,,,, 6068,Diabetes Management,Insulin/Other,AETNA,INSULIN GLARGINE [Lantus prefilled],*,,,,, 6069,Diabetes Management,Insulin/Other,AETNA,INSULIN GLARGINE [Lantus vials],*,,,,, 6070,Diabetes Management,Insulin/Other,AETNA,INSULIN GLULISINE [Apidra prefilled],,FE,,,, 6071,Diabetes Management,Insulin/Other,AETNA,INSULIN GLULISINE [Apidra vials],,FE,,,, 6072,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO [Humalog prefilled],*,,,,, 6073,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO [Humalog vials],*,,,,, 6074,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],*,,,,, 6075,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],*,,,,, 6076,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],*,,,,, 6077,Diabetes Management,Insulin/Other,AETNA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],*,,,,, 6078,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH [Humulin N prefilled],*,,,,, 6079,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH [Humulin N vials],*,,,,, 6080,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH [Novolin N prefilled],,FE,,,ST, 6081,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH [Novolin N vials],,FE,,,ST, 6082,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],*,,,,, 6083,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],*,,,,, 6084,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],*,,,,, 6085,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,FE,,,ST, 6086,Diabetes Management,Insulin/Other,AETNA,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,FE,,,ST, 6087,Diabetes Management,Insulin/Other,AETNA,INSULIN REGULAR [Humulin R prefilled],*,,,,, 6088,Diabetes Management,Insulin/Other,AETNA,INSULIN REGULAR [Humulin R vials],*,,,,, 6089,Diabetes Management,Insulin/Other,AETNA,INSULIN REGULAR [Novolin R vials] ,,FE,,,ST, 6090,Diabetes Management,Insulin/Other,AETNA,PRAMLINTIDE [Symlin] ,*,,,PA,, 6091,Diabetes Management,Insulin/Other,BCBSMA,EXENATIDE [Byetta],*,,,,, 6092,Diabetes Management,Insulin/Other,BCBSMA,INSULIN ASPART [Novolog prefilled],*,,,,, 6093,Diabetes Management,Insulin/Other,BCBSMA,INSULIN ASPART [Novolog vials],*,,,,, 6094,Diabetes Management,Insulin/Other,BCBSMA,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],*,,,,, 6095,Diabetes Management,Insulin/Other,BCBSMA,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],*,,,,, 6096,Diabetes Management,Insulin/Other,BCBSMA,INSULIN DETEMIR [Levemir prefilled],*,,,,, 6097,Diabetes Management,Insulin/Other,BCBSMA,INSULIN DETEMIR [Levemir vials],*,,,,, 6098,Diabetes Management,Insulin/Other,BCBSMA,INSULIN GLARGINE [Lantus prefilled],*,,,,, 6099,Diabetes Management,Insulin/Other,BCBSMA,INSULIN GLARGINE [Lantus vials],*,,,,, 6100,Diabetes Management,Insulin/Other,BCBSMA,INSULIN GLULISINE [Apidra prefilled],,,,,,NC 6101,Diabetes Management,Insulin/Other,BCBSMA,INSULIN GLULISINE [Apidra vials],,,,,,NC 6102,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO [Humalog prefilled],*,,,,, 6103,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO [Humalog vials],*,,,,, 6104,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],*,,,,, 6105,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],*,,,,, 6106,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],*,,,,, 6107,Diabetes Management,Insulin/Other,BCBSMA,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],*,,,,, 6108,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH [Humulin N prefilled],*,,,,, 6109,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH [Humulin N vials],*,,,,, 6110,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH [Novolin N prefilled],*,,,,, 6111,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH [Novolin N vials],*,,,,, 6112,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],*,,,,, 6113,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],*,,,,, 6114,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],*,,,,, 6115,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],*,,,,, 6116,Diabetes Management,Insulin/Other,BCBSMA,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],*,,,,, 6117,Diabetes Management,Insulin/Other,BCBSMA,INSULIN REGULAR [Humulin R prefilled],*,,,,, 6118,Diabetes Management,Insulin/Other,BCBSMA,INSULIN REGULAR [Humulin R vials],*,,,,, 6119,Diabetes Management,Insulin/Other,BCBSMA,INSULIN REGULAR [Novolin R vials] ,*,,,,, 6120,Diabetes Management,Insulin/Other,BCBSMA,PRAMLINTIDE [Symlin] ,*,,,,, 6121,Diabetes Management,Insulin/Other,BMCHP,EXENATIDE [Byetta],,,,,, 6122,Diabetes Management,Insulin/Other,BMCHP,INSULIN ASPART [Novolog prefilled],,,,,, 6123,Diabetes Management,Insulin/Other,BMCHP,INSULIN ASPART [Novolog vials],,,,,, 6124,Diabetes Management,Insulin/Other,BMCHP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6125,Diabetes Management,Insulin/Other,BMCHP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6126,Diabetes Management,Insulin/Other,BMCHP,INSULIN DETEMIR [Levemir prefilled],,,,,, 6127,Diabetes Management,Insulin/Other,BMCHP,INSULIN DETEMIR [Levemir vials],,,,,, 6128,Diabetes Management,Insulin/Other,BMCHP,INSULIN GLARGINE [Lantus prefilled],,,,,, 6129,Diabetes Management,Insulin/Other,BMCHP,INSULIN GLARGINE [Lantus vials],,,,,, 6130,Diabetes Management,Insulin/Other,BMCHP,INSULIN GLULISINE [Apidra prefilled],,,,,, 6131,Diabetes Management,Insulin/Other,BMCHP,INSULIN GLULISINE [Apidra vials],,,,,, 6132,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO [Humalog prefilled],,,,,, 6133,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO [Humalog vials],,,,,, 6134,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6135,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6136,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6137,Diabetes Management,Insulin/Other,BMCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6138,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH [Humulin N prefilled],,,,,, 6139,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH [Humulin N vials],,,,,, 6140,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH [Novolin N prefilled],,,,,, 6141,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH [Novolin N vials],,,,,, 6142,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6143,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6144,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6145,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6146,Diabetes Management,Insulin/Other,BMCHP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6147,Diabetes Management,Insulin/Other,BMCHP,INSULIN REGULAR [Humulin R prefilled],,,,,, 6148,Diabetes Management,Insulin/Other,BMCHP,INSULIN REGULAR [Humulin R vials],,,,,, 6149,Diabetes Management,Insulin/Other,BMCHP,INSULIN REGULAR [Novolin R vials] ,,,,,, 6150,Diabetes Management,Insulin/Other,BMCHP,PRAMLINTIDE [Symlin] ,,,,,, 6151,Diabetes Management,Insulin/Other,FCHP,EXENATIDE [Byetta],,,,,ST, 6152,Diabetes Management,Insulin/Other,FCHP,INSULIN GLARGINE [Lantus prefilled],,,,,, 6153,Diabetes Management,Insulin/Other,FCHP,INSULIN GLARGINE [Lantus vials],,,,,, 6154,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO [Humalog prefilled],,,,,, 6155,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO [Humalog vials],,,,,, 6156,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,ST, 6157,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,ST, 6158,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,ST, 6159,Diabetes Management,Insulin/Other,FCHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6160,Diabetes Management,Insulin/Other,FCHP,INSULIN NPH [Humulin N prefilled],,,,,, 6161,Diabetes Management,Insulin/Other,FCHP,INSULIN NPH [Humulin N vials],,,,,, 6162,Diabetes Management,Insulin/Other,FCHP,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6163,Diabetes Management,Insulin/Other,FCHP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6164,Diabetes Management,Insulin/Other,FCHP,INSULIN REGULAR [Humulin R prefilled],,,,,, 6165,Diabetes Management,Insulin/Other,FCHP,INSULIN REGULAR [Humulin R vials],,,,,, 6166,Diabetes Management,Insulin/Other,FCHP,INSULIN REGULAR [Novolin R vials] ,,,,,, 6167,Diabetes Management,Insulin/Other,FCHP,PRAMLINTIDE [Symlin] ,,,,PA,, 6168,Diabetes Management,Insulin/Other,HPHC,EXENATIDE [Byetta],,,,,ST, 6169,Diabetes Management,Insulin/Other,HPHC,INSULIN ASPART [Novolog prefilled],,,,,, 6170,Diabetes Management,Insulin/Other,HPHC,INSULIN ASPART [Novolog vials],,,,,, 6171,Diabetes Management,Insulin/Other,HPHC,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6172,Diabetes Management,Insulin/Other,HPHC,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6173,Diabetes Management,Insulin/Other,HPHC,INSULIN DETEMIR [Levemir prefilled],,,,,, 6174,Diabetes Management,Insulin/Other,HPHC,INSULIN DETEMIR [Levemir vials],,,,,, 6175,Diabetes Management,Insulin/Other,HPHC,INSULIN GLARGINE [Lantus prefilled],,,,,, 6176,Diabetes Management,Insulin/Other,HPHC,INSULIN GLARGINE [Lantus vials],,,,,, 6177,Diabetes Management,Insulin/Other,HPHC,INSULIN GLULISINE [Apidra prefilled],,,,,, 6178,Diabetes Management,Insulin/Other,HPHC,INSULIN GLULISINE [Apidra vials],,,,,, 6179,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO [Humalog prefilled],,,,,, 6180,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO [Humalog vials],,,,,, 6181,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6182,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6183,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6184,Diabetes Management,Insulin/Other,HPHC,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6185,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH [Humulin N prefilled],,,,,, 6186,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH [Humulin N vials],,,,,, 6187,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH [Novolin N prefilled],,,,,, 6188,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH [Novolin N vials],,,,,, 6189,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6190,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6191,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6192,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6193,Diabetes Management,Insulin/Other,HPHC,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6194,Diabetes Management,Insulin/Other,HPHC,INSULIN REGULAR [Humulin R prefilled],,,,,, 6195,Diabetes Management,Insulin/Other,HPHC,INSULIN REGULAR [Humulin R vials],,,,,, 6196,Diabetes Management,Insulin/Other,HPHC,INSULIN REGULAR [Novolin R vials] ,,,,,, 6197,Diabetes Management,Insulin/Other,HPHC,PRAMLINTIDE [Symlin] ,,,,,, 6198,Diabetes Management,Insulin/Other,HNE,EXENATIDE [Byetta],,,DL,,ST, 6199,Diabetes Management,Insulin/Other,HNE,INSULIN ASPART [Novolog prefilled],,,,,, 6200,Diabetes Management,Insulin/Other,HNE,INSULIN ASPART [Novolog vials],,,,,, 6201,Diabetes Management,Insulin/Other,HNE,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6202,Diabetes Management,Insulin/Other,HNE,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6203,Diabetes Management,Insulin/Other,HNE,INSULIN DETEMIR [Levemir prefilled],,,,,, 6204,Diabetes Management,Insulin/Other,HNE,INSULIN DETEMIR [Levemir vials],,,,,, 6205,Diabetes Management,Insulin/Other,HNE,INSULIN GLARGINE [Lantus prefilled],,,,,, 6206,Diabetes Management,Insulin/Other,HNE,INSULIN GLARGINE [Lantus vials],,,,,, 6207,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO [Humalog prefilled],,,,,, 6208,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO [Humalog vials],,,,,, 6209,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6210,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6211,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6212,Diabetes Management,Insulin/Other,HNE,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6213,Diabetes Management,Insulin/Other,HNE,INSULIN NPH [Humulin N prefilled],,,,,, 6214,Diabetes Management,Insulin/Other,HNE,INSULIN NPH [Humulin N vials],,,,,, 6215,Diabetes Management,Insulin/Other,HNE,INSULIN NPH [Novolin N prefilled],,,,,, 6216,Diabetes Management,Insulin/Other,HNE,INSULIN NPH [Novolin N vials],,,,,, 6217,Diabetes Management,Insulin/Other,HNE,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6218,Diabetes Management,Insulin/Other,HNE,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6219,Diabetes Management,Insulin/Other,HNE,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6220,Diabetes Management,Insulin/Other,HNE,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6221,Diabetes Management,Insulin/Other,HNE,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6222,Diabetes Management,Insulin/Other,HNE,INSULIN REGULAR [Humulin R prefilled],,,,,, 6223,Diabetes Management,Insulin/Other,HNE,INSULIN REGULAR [Humulin R vials],,,,,, 6224,Diabetes Management,Insulin/Other,HNE,INSULIN REGULAR [Novolin R vials] ,,,,,, 6225,Diabetes Management,Insulin/Other,HNE,PRAMLINTIDE [Symlin] ,,,DL,PA,, 6226,Diabetes Management,Insulin/Other,NHP,INSULIN ASPART [Novolog prefilled],,,,,, 6227,Diabetes Management,Insulin/Other,NHP,INSULIN ASPART [Novolog vials],,,,,, 6228,Diabetes Management,Insulin/Other,NHP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6229,Diabetes Management,Insulin/Other,NHP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6230,Diabetes Management,Insulin/Other,NHP,INSULIN DETEMIR [Levemir prefilled],,,,,, 6231,Diabetes Management,Insulin/Other,NHP,INSULIN DETEMIR [Levemir vials],,,,,, 6232,Diabetes Management,Insulin/Other,NHP,INSULIN GLARGINE [Lantus prefilled],,,,,, 6233,Diabetes Management,Insulin/Other,NHP,INSULIN GLARGINE [Lantus vials],,,,,, 6234,Diabetes Management,Insulin/Other,NHP,INSULIN GLULISINE [Apidra prefilled],,,,,, 6235,Diabetes Management,Insulin/Other,NHP,INSULIN GLULISINE [Apidra vials],,,,,, 6236,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO [Humalog prefilled],,,,,, 6237,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO [Humalog vials],,,,,, 6238,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6239,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6240,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6241,Diabetes Management,Insulin/Other,NHP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6242,Diabetes Management,Insulin/Other,NHP,INSULIN NPH [Humulin N prefilled],,,,,, 6243,Diabetes Management,Insulin/Other,NHP,INSULIN NPH [Humulin N vials],,,,,, 6244,Diabetes Management,Insulin/Other,NHP,INSULIN NPH [Novolin N prefilled],,,,,, 6245,Diabetes Management,Insulin/Other,NHP,INSULIN NPH [Novolin N vials],,,,,, 6246,Diabetes Management,Insulin/Other,NHP,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6247,Diabetes Management,Insulin/Other,NHP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6248,Diabetes Management,Insulin/Other,NHP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6249,Diabetes Management,Insulin/Other,NHP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6250,Diabetes Management,Insulin/Other,NHP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6251,Diabetes Management,Insulin/Other,NHP,INSULIN REGULAR [Humulin R prefilled],,,,,, 6252,Diabetes Management,Insulin/Other,NHP,INSULIN REGULAR [Humulin R vials],,,,,, 6253,Diabetes Management,Insulin/Other,NHP,INSULIN REGULAR [Novolin R vials] ,,,,,, 6254,Diabetes Management,Insulin/Other,NTWK,EXENATIDE [Byetta],,,,,, 6255,Diabetes Management,Insulin/Other,NTWK,INSULIN ASPART [Novolog prefilled],,,,,, 6256,Diabetes Management,Insulin/Other,NTWK,INSULIN ASPART [Novolog vials],,,,,, 6257,Diabetes Management,Insulin/Other,NTWK,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6258,Diabetes Management,Insulin/Other,NTWK,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6259,Diabetes Management,Insulin/Other,NTWK,INSULIN DETEMIR [Levemir prefilled],,,,,, 6260,Diabetes Management,Insulin/Other,NTWK,INSULIN DETEMIR [Levemir vials],,,,,, 6261,Diabetes Management,Insulin/Other,NTWK,INSULIN GLARGINE [Lantus prefilled],,,,,, 6262,Diabetes Management,Insulin/Other,NTWK,INSULIN GLARGINE [Lantus vials],,,,,, 6263,Diabetes Management,Insulin/Other,NTWK,INSULIN GLULISINE [Apidra prefilled],,,,,, 6264,Diabetes Management,Insulin/Other,NTWK,INSULIN GLULISINE [Apidra vials],,,,,, 6265,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO [Humalog prefilled],,,,,, 6266,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO [Humalog vials],,,,,, 6267,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6268,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6269,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6270,Diabetes Management,Insulin/Other,NTWK,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6271,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH [Humulin N prefilled],,,,,, 6272,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH [Humulin N vials],,,,,, 6273,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH [Novolin N prefilled],,,,,, 6274,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH [Novolin N vials],,,,,, 6275,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6276,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6277,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6278,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6279,Diabetes Management,Insulin/Other,NTWK,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6280,Diabetes Management,Insulin/Other,NTWK,INSULIN REGULAR [Humulin R prefilled],,,,,, 6281,Diabetes Management,Insulin/Other,NTWK,INSULIN REGULAR [Humulin R vials],,,,,, 6282,Diabetes Management,Insulin/Other,NTWK,INSULIN REGULAR [Novolin R vials] ,,,,,, 6283,Diabetes Management,Insulin/Other,NTWK,PRAMLINTIDE [Symlin] ,,,,,, 6284,Diabetes Management,Insulin/Other,MAHLTH,EXENATIDE [Byetta],,,,PA,, 6285,Diabetes Management,Insulin/Other,MAHLTH,INSULIN ASPART [Novolog prefilled],,,,PA,, 6286,Diabetes Management,Insulin/Other,MAHLTH,INSULIN ASPART [Novolog vials],,,,,, 6287,Diabetes Management,Insulin/Other,MAHLTH,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,PA,, 6288,Diabetes Management,Insulin/Other,MAHLTH,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],,,,,, 6289,Diabetes Management,Insulin/Other,MAHLTH,INSULIN DETEMIR [Levemir prefilled],,,,PA,, 6290,Diabetes Management,Insulin/Other,MAHLTH,INSULIN DETEMIR [Levemir vials],,,,,, 6291,Diabetes Management,Insulin/Other,MAHLTH,INSULIN GLARGINE [Lantus prefilled],,,,PA,, 6292,Diabetes Management,Insulin/Other,MAHLTH,INSULIN GLARGINE [Lantus vials],,,,,, 6293,Diabetes Management,Insulin/Other,MAHLTH,INSULIN GLULISINE [Apidra prefilled],,,,PA,, 6294,Diabetes Management,Insulin/Other,MAHLTH,INSULIN GLULISINE [Apidra vials],,,,,, 6295,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO [Humalog prefilled],,,,PA,, 6296,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO [Humalog vials],,,,,, 6297,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,PA,, 6298,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],,,,,, 6299,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,PA,, 6300,Diabetes Management,Insulin/Other,MAHLTH,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],,,,,, 6301,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH [Humulin N prefilled],,,,PA,, 6302,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH [Humulin N vials],,,,,, 6303,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH [Novolin N prefilled],,,,PA,, 6304,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH [Novolin N vials],,,,,, 6305,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],,,,,, 6306,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,PA,, 6307,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],,,,,, 6308,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,PA,, 6309,Diabetes Management,Insulin/Other,MAHLTH,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],,,,,, 6310,Diabetes Management,Insulin/Other,MAHLTH,INSULIN REGULAR [Humulin R prefilled],,,,PA,, 6311,Diabetes Management,Insulin/Other,MAHLTH,INSULIN REGULAR [Humulin R vials],,,,,, 6312,Diabetes Management,Insulin/Other,MAHLTH,INSULIN REGULAR [Novolin R vials] ,,,,,, 6313,Diabetes Management,Insulin/Other,MAHLTH,PRAMLINTIDE [Symlin] ,,,,PA,, 6314,Diabetes Management,Insulin/Other,THP,EXENATIDE [Byetta],*,,,,, 6315,Diabetes Management,Insulin/Other,THP,INSULIN ASPART [Novolog prefilled],,,,,, 6316,Diabetes Management,Insulin/Other,THP,INSULIN ASPART [Novolog vials],*,,,,, 6317,Diabetes Management,Insulin/Other,THP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 prefilled],,,,,, 6318,Diabetes Management,Insulin/Other,THP,INSULIN ASPART PROTAMINE/INSULIN ASPART [Novolog 70/30 vial],*,,,,, 6319,Diabetes Management,Insulin/Other,THP,INSULIN DETEMIR [Levemir prefilled],,,,,, 6320,Diabetes Management,Insulin/Other,THP,INSULIN DETEMIR [Levemir vials],*,,,,, 6321,Diabetes Management,Insulin/Other,THP,INSULIN GLARGINE [Lantus prefilled],,,,,, 6322,Diabetes Management,Insulin/Other,THP,INSULIN GLARGINE [Lantus vials],*,,,,, 6323,Diabetes Management,Insulin/Other,THP,INSULIN GLULISINE [Apidra prefilled],,,,,, 6324,Diabetes Management,Insulin/Other,THP,INSULIN GLULISINE [Apidra vials],*,,,,, 6325,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO [Humalog prefilled],,,,,, 6326,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO [Humalog vials],*,,,,, 6327,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 prefilled],,,,,, 6328,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 50/50 vials],*,,,,, 6329,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 prefilled],,,,,, 6330,Diabetes Management,Insulin/Other,THP,INSULIN LISPRO PROTAMINE/INSULIN LISPRO [Humalog 75/25 vials],*,,,,, 6331,Diabetes Management,Insulin/Other,THP,INSULIN NPH [Humulin N prefilled],,,,,, 6332,Diabetes Management,Insulin/Other,THP,INSULIN NPH [Humulin N vials],*,,,,, 6333,Diabetes Management,Insulin/Other,THP,INSULIN NPH [Novolin N prefilled],,,,,, 6334,Diabetes Management,Insulin/Other,THP,INSULIN NPH [Novolin N vials],*,,,,, 6335,Diabetes Management,Insulin/Other,THP,INSULIN NPH/INSULIN REGULAR [Humulin 50/50 vials],*,,,,, 6336,Diabetes Management,Insulin/Other,THP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 prefilled],,,,,, 6337,Diabetes Management,Insulin/Other,THP,INSULIN NPH/INSULIN REGULAR [Humulin 70/30 vials],*,,,,, 6338,Diabetes Management,Insulin/Other,THP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 prefilled],,,,,, 6339,Diabetes Management,Insulin/Other,THP,INSULIN NPH/INSULIN REGULAR [Novolin 70/30 vials],*,,,,, 6340,Diabetes Management,Insulin/Other,THP,INSULIN REGULAR [Humulin R prefilled],,,,,, 6341,Diabetes Management,Insulin/Other,THP,INSULIN REGULAR [Humulin R vials],*,,,,, 6342,Diabetes Management,Insulin/Other,THP,INSULIN REGULAR [Novolin R vials] ,*,,,,, 6343,Diabetes Management,Insulin/Other,THP,PRAMLINTIDE [Symlin] ,,,,,, 6344,Diabetes Management,Oral,AETNA,ACARBOSE ,*,,,,, 6345,Diabetes Management,Oral,AETNA,ACARBOSE [Precose],,FE,,,, 6346,Diabetes Management,Oral,AETNA,ACETOHEXAMIDE,*,,,,, 6347,Diabetes Management,Oral,AETNA,CHLORPROPAMIDE,*,,,,, 6348,Diabetes Management,Oral,AETNA,GLIMEPIRIDE,*,,,,, 6349,Diabetes Management,Oral,AETNA,GLIMEPRIDE/PIOGLITAZONE [Duetact],*,,,,, 6350,Diabetes Management,Oral,AETNA,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],*,,,,, 6351,Diabetes Management,Oral,AETNA,GLIPIZIDE,*,,,,, 6352,Diabetes Management,Oral,AETNA,GLIPIZIDE ER,*,,,,, 6353,Diabetes Management,Oral,AETNA,GLIPIZIDE/METFORMIN,*,,,,, 6354,Diabetes Management,Oral,AETNA,GLYBURIDE/METFORMIN,*,,,,, 6355,Diabetes Management,Oral,AETNA,GLYBURIDE/MICRO,*,,,,, 6356,Diabetes Management,Oral,AETNA,METFORMIN,*,,,,, 6357,Diabetes Management,Oral,AETNA,METFORMIN solution (Riomet),,,,,, 6358,Diabetes Management,Oral,AETNA,METFORMIN XR,*,,,,, 6359,Diabetes Management,Oral,AETNA,METFORMIN XR [Fortamet],,FE,,,, 6360,Diabetes Management,Oral,AETNA,METFORMIN XR [Glumetza],,FE,,,, 6361,Diabetes Management,Oral,AETNA,METFORMIN/PIOGLITAZONE [ActosPlus Met],*,,,,, 6362,Diabetes Management,Oral,AETNA,METFORMIN/ROSIGLITAZONE [Avandamet],*,,,,, 6363,Diabetes Management,Oral,AETNA,MIGLITOL [Glyset],,FE,,,, 6364,Diabetes Management,Oral,AETNA,NATEGLINIDE [Starlix],*,,,,, 6365,Diabetes Management,Oral,AETNA,PIOGLITAZONE [Actos],*,,,,, 6366,Diabetes Management,Oral,AETNA,REPAGLINIDE [Prandin],*,,,,, 6367,Diabetes Management,Oral,AETNA,ROSIGLITAZONE [Avandia],*,,,,, 6368,Diabetes Management,Oral,AETNA,SITAGLIPTIN [Januvia],*,,,,, 6369,Diabetes Management,Oral,AETNA,SITAGLIPTIN/METFORMIN [Janumet],*,,,,, 6370,Diabetes Management,Oral,AETNA,TOLAZAMIDE,*,,,,, 6371,Diabetes Management,Oral,AETNA,TOLBUTAMIDE,*,,,,, 6372,Diabetes Management,Oral,BCBSMA,ACARBOSE ,*,,,,, 6373,Diabetes Management,Oral,BCBSMA,ACARBOSE [Precose],*,,,,, 6374,Diabetes Management,Oral,BCBSMA,ACETOHEXAMIDE,*,,,,, 6375,Diabetes Management,Oral,BCBSMA,CHLORPROPAMIDE,*,,,,, 6376,Diabetes Management,Oral,BCBSMA,GLIMEPIRIDE,*,,,,, 6377,Diabetes Management,Oral,BCBSMA,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6378,Diabetes Management,Oral,BCBSMA,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],*,,,,, 6379,Diabetes Management,Oral,BCBSMA,GLIPIZIDE,*,,,,, 6380,Diabetes Management,Oral,BCBSMA,GLIPIZIDE ER,*,,,,, 6381,Diabetes Management,Oral,BCBSMA,GLIPIZIDE/METFORMIN,*,,,,, 6382,Diabetes Management,Oral,BCBSMA,GLYBURIDE/METFORMIN,*,,,,, 6383,Diabetes Management,Oral,BCBSMA,GLYBURIDE/MICRO,*,,,,, 6384,Diabetes Management,Oral,BCBSMA,METFORMIN,*,,,,, 6385,Diabetes Management,Oral,BCBSMA,METFORMIN solution (Riomet),,,,,, 6386,Diabetes Management,Oral,BCBSMA,METFORMIN XR,*,,,,, 6387,Diabetes Management,Oral,BCBSMA,METFORMIN XR [Fortamet],,,,,,NC 6388,Diabetes Management,Oral,BCBSMA,METFORMIN XR [Glumetza],,,,,,NC 6389,Diabetes Management,Oral,BCBSMA,METFORMIN/PIOGLITAZONE [ActosPlus Met],*,,DL,,, 6390,Diabetes Management,Oral,BCBSMA,METFORMIN/ROSIGLITAZONE [Avandamet],*,,DL,,, 6391,Diabetes Management,Oral,BCBSMA,MIGLITOL [Glyset],,,,,, 6392,Diabetes Management,Oral,BCBSMA,NATEGLINIDE [Starlix],,,,,, 6393,Diabetes Management,Oral,BCBSMA,PIOGLITAZONE [Actos],*,,DL,,, 6394,Diabetes Management,Oral,BCBSMA,REPAGLINIDE [Prandin],*,,,,, 6395,Diabetes Management,Oral,BCBSMA,ROSIGLITAZONE [Avandia],*,,DL,,, 6396,Diabetes Management,Oral,BCBSMA,SITAGLIPTIN [Januvia],*,,,,ST, 6397,Diabetes Management,Oral,BCBSMA,SITAGLIPTIN/METFORMIN [Janumet],*,,,,ST, 6398,Diabetes Management,Oral,BCBSMA,TOLAZAMIDE,*,,,,, 6399,Diabetes Management,Oral,BCBSMA,TOLBUTAMIDE,*,,,,, 6400,Diabetes Management,Oral,BMCHP,ACARBOSE ,,,,,, 6401,Diabetes Management,Oral,BMCHP,ACARBOSE [Precose],,,,,, 6402,Diabetes Management,Oral,BMCHP,ACETOHEXAMIDE,,,,,, 6403,Diabetes Management,Oral,BMCHP,CHLORPROPAMIDE,,,,,, 6404,Diabetes Management,Oral,BMCHP,GLIMEPIRIDE,,,,,, 6405,Diabetes Management,Oral,BMCHP,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6406,Diabetes Management,Oral,BMCHP,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,, 6407,Diabetes Management,Oral,BMCHP,GLIPIZIDE,,,,,, 6408,Diabetes Management,Oral,BMCHP,GLIPIZIDE ER,,,,,, 6409,Diabetes Management,Oral,BMCHP,GLIPIZIDE/METFORMIN,,,,,, 6410,Diabetes Management,Oral,BMCHP,GLYBURIDE/METFORMIN,,,,,, 6411,Diabetes Management,Oral,BMCHP,GLYBURIDE/MICRO,,,,,, 6412,Diabetes Management,Oral,BMCHP,METFORMIN,,,,,, 6413,Diabetes Management,Oral,BMCHP,METFORMIN solution (Riomet),,,,,, 6414,Diabetes Management,Oral,BMCHP,METFORMIN XR,,,,,, 6415,Diabetes Management,Oral,BMCHP,METFORMIN XR [Fortamet],,,,,, 6416,Diabetes Management,Oral,BMCHP,METFORMIN XR [Glumetza],,,,,, 6417,Diabetes Management,Oral,BMCHP,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,, 6418,Diabetes Management,Oral,BMCHP,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,, 6419,Diabetes Management,Oral,BMCHP,MIGLITOL [Glyset],,,,,, 6420,Diabetes Management,Oral,BMCHP,NATEGLINIDE [Starlix],,,,,, 6421,Diabetes Management,Oral,BMCHP,PIOGLITAZONE [Actos],,,,,, 6422,Diabetes Management,Oral,BMCHP,REPAGLINIDE [Prandin],,,,,, 6423,Diabetes Management,Oral,BMCHP,ROSIGLITAZONE [Avandia],,,,,, 6424,Diabetes Management,Oral,BMCHP,SITAGLIPTIN [Januvia],,,,,ST, 6425,Diabetes Management,Oral,BMCHP,SITAGLIPTIN/METFORMIN [Janumet],,,,,ST, 6426,Diabetes Management,Oral,BMCHP,TOLAZAMIDE,,,,,, 6427,Diabetes Management,Oral,BMCHP,TOLBUTAMIDE,,,,,, 6428,Diabetes Management,Oral,FCHP,ACETOHEXAMIDE,,,,,, 6429,Diabetes Management,Oral,FCHP,CHLORPROPAMIDE,,,,,, 6430,Diabetes Management,Oral,FCHP,GLIMEPIRIDE,,,,,, 6431,Diabetes Management,Oral,FCHP,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6432,Diabetes Management,Oral,FCHP,GLIPIZIDE,,,,,, 6433,Diabetes Management,Oral,FCHP,GLIPIZIDE ER,,,,,, 6434,Diabetes Management,Oral,FCHP,GLIPIZIDE/METFORMIN,,,,,, 6435,Diabetes Management,Oral,FCHP,GLYBURIDE/METFORMIN,,,,,, 6436,Diabetes Management,Oral,FCHP,GLYBURIDE/MICRO,,,,,, 6437,Diabetes Management,Oral,FCHP,METFORMIN,,,,,, 6438,Diabetes Management,Oral,FCHP,METFORMIN XR,,,,,, 6439,Diabetes Management,Oral,FCHP,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,, 6440,Diabetes Management,Oral,FCHP,NATEGLINIDE [Starlix],,,,,, 6441,Diabetes Management,Oral,FCHP,PIOGLITAZONE [Actos],,,,,, 6442,Diabetes Management,Oral,FCHP,TOLAZAMIDE,,,,,, 6443,Diabetes Management,Oral,FCHP,TOLBUTAMIDE,,,,,, 6444,Diabetes Management,Oral,HPHC,ACARBOSE ,,,,,, 6445,Diabetes Management,Oral,HPHC,ACARBOSE [Precose],,,,,, 6446,Diabetes Management,Oral,HPHC,ACETOHEXAMIDE,,,,,, 6447,Diabetes Management,Oral,HPHC,CHLORPROPAMIDE,,,,,, 6448,Diabetes Management,Oral,HPHC,GLIMEPIRIDE,,,,,, 6449,Diabetes Management,Oral,HPHC,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6450,Diabetes Management,Oral,HPHC,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,, 6451,Diabetes Management,Oral,HPHC,GLIPIZIDE,,,,,, 6452,Diabetes Management,Oral,HPHC,GLIPIZIDE ER,,,,,, 6453,Diabetes Management,Oral,HPHC,GLIPIZIDE/METFORMIN,,,,,, 6454,Diabetes Management,Oral,HPHC,GLYBURIDE/METFORMIN,,,,,, 6455,Diabetes Management,Oral,HPHC,GLYBURIDE/MICRO,,,,,, 6456,Diabetes Management,Oral,HPHC,METFORMIN,,,,,, 6457,Diabetes Management,Oral,HPHC,METFORMIN solution (Riomet),,,,,, 6458,Diabetes Management,Oral,HPHC,METFORMIN XR,,,,,, 6459,Diabetes Management,Oral,HPHC,METFORMIN XR [Fortamet],,,,,, 6460,Diabetes Management,Oral,HPHC,METFORMIN XR [Glumetza],,,,,, 6461,Diabetes Management,Oral,HPHC,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,, 6462,Diabetes Management,Oral,HPHC,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,, 6463,Diabetes Management,Oral,HPHC,MIGLITOL [Glyset],,,,,, 6464,Diabetes Management,Oral,HPHC,NATEGLINIDE [Starlix],,,,,, 6465,Diabetes Management,Oral,HPHC,PIOGLITAZONE [Actos],,,,,, 6466,Diabetes Management,Oral,HPHC,REPAGLINIDE [Prandin],,,,,, 6467,Diabetes Management,Oral,HPHC,ROSIGLITAZONE [Avandia],,,,,, 6468,Diabetes Management,Oral,HPHC,SITAGLIPTIN [Januvia],,,,,, 6469,Diabetes Management,Oral,HPHC,SITAGLIPTIN/METFORMIN [Janumet],,,,,, 6470,Diabetes Management,Oral,HPHC,TOLAZAMIDE,,,,,, 6471,Diabetes Management,Oral,HPHC,TOLBUTAMIDE,,,,,, 6472,Diabetes Management,Oral,HNE,ACARBOSE [Precose],,,,,, 6473,Diabetes Management,Oral,HNE,ACETOHEXAMIDE,,,,,, 6474,Diabetes Management,Oral,HNE,CHLORPROPAMIDE,,,,,, 6475,Diabetes Management,Oral,HNE,GLIMEPIRIDE,,,,,, 6476,Diabetes Management,Oral,HNE,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6477,Diabetes Management,Oral,HNE,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,, 6478,Diabetes Management,Oral,HNE,GLIPIZIDE,,,,,, 6479,Diabetes Management,Oral,HNE,GLIPIZIDE ER,,,,,, 6480,Diabetes Management,Oral,HNE,GLIPIZIDE/METFORMIN,,,,,, 6481,Diabetes Management,Oral,HNE,GLYBURIDE/METFORMIN,,,,,, 6482,Diabetes Management,Oral,HNE,GLYBURIDE/MICRO,,,,,, 6483,Diabetes Management,Oral,HNE,METFORMIN,,,,,, 6484,Diabetes Management,Oral,HNE,METFORMIN solution (Riomet),,,,,, 6485,Diabetes Management,Oral,HNE,METFORMIN XR,,,,,, 6486,Diabetes Management,Oral,HNE,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,ST, 6487,Diabetes Management,Oral,HNE,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,ST, 6488,Diabetes Management,Oral,HNE,PIOGLITAZONE [Actos],,,,,ST, 6489,Diabetes Management,Oral,HNE,REPAGLINIDE [Prandin],,,,,, 6490,Diabetes Management,Oral,HNE,ROSIGLITAZONE [Avandia],,,,,ST, 6491,Diabetes Management,Oral,HNE,SITAGLIPTIN [Januvia],,,DL,,ST, 6492,Diabetes Management,Oral,HNE,SITAGLIPTIN/METFORMIN [Janumet],,,DL,,ST, 6493,Diabetes Management,Oral,HNE,TOLAZAMIDE,,,,,, 6494,Diabetes Management,Oral,HNE,TOLBUTAMIDE,,,,,, 6495,Diabetes Management,Oral,NHP,ACARBOSE ,,,,,, 6496,Diabetes Management,Oral,NHP,ACARBOSE [Precose],,,,,,NC 6497,Diabetes Management,Oral,NHP,ACETOHEXAMIDE,,,,,, 6498,Diabetes Management,Oral,NHP,CHLORPROPAMIDE,,,,,, 6499,Diabetes Management,Oral,NHP,GLIMEPIRIDE,,,,,, 6500,Diabetes Management,Oral,NHP,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,ST, 6501,Diabetes Management,Oral,NHP,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,ST, 6502,Diabetes Management,Oral,NHP,GLIPIZIDE,,,,,, 6503,Diabetes Management,Oral,NHP,GLIPIZIDE ER,,,,,, 6504,Diabetes Management,Oral,NHP,GLIPIZIDE/METFORMIN,,,,,, 6505,Diabetes Management,Oral,NHP,GLYBURIDE/METFORMIN,,,,,, 6506,Diabetes Management,Oral,NHP,GLYBURIDE/MICRO,,,,,, 6507,Diabetes Management,Oral,NHP,METFORMIN,,,,,, 6508,Diabetes Management,Oral,NHP,METFORMIN XR,,,,,, 6509,Diabetes Management,Oral,NHP,METFORMIN XR [Glumetza],,,,,,NC 6510,Diabetes Management,Oral,NHP,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,, 6511,Diabetes Management,Oral,NHP,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,, 6512,Diabetes Management,Oral,NHP,NATEGLINIDE [Starlix],,,,,, 6513,Diabetes Management,Oral,NHP,PIOGLITAZONE [Actos],,,,,ST, 6514,Diabetes Management,Oral,NHP,ROSIGLITAZONE [Avandia],,,,,ST, 6515,Diabetes Management,Oral,NHP,SITAGLIPTIN [Januvia],,,DL,,ST, 6516,Diabetes Management,Oral,NHP,SITAGLIPTIN/METFORMIN [Janumet],,,DL,,ST, 6517,Diabetes Management,Oral,NHP,TOLAZAMIDE,,,,,, 6518,Diabetes Management,Oral,NHP,TOLBUTAMIDE,,,,,, 6519,Diabetes Management,Oral,NTWK,ACETOHEXAMIDE,,,,,, 6520,Diabetes Management,Oral,NTWK,CHLORPROPAMIDE,,,,,, 6521,Diabetes Management,Oral,NTWK,GLIMEPIRIDE,,,,,, 6522,Diabetes Management,Oral,NTWK,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,,, 6523,Diabetes Management,Oral,NTWK,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,, 6524,Diabetes Management,Oral,NTWK,GLIPIZIDE,,,,,, 6525,Diabetes Management,Oral,NTWK,GLIPIZIDE ER,,,,,, 6526,Diabetes Management,Oral,NTWK,GLIPIZIDE/METFORMIN,,,,,, 6527,Diabetes Management,Oral,NTWK,GLYBURIDE/METFORMIN,,,,,, 6528,Diabetes Management,Oral,NTWK,GLYBURIDE/MICRO,,,,,, 6529,Diabetes Management,Oral,NTWK,METFORMIN,,,,,, 6530,Diabetes Management,Oral,NTWK,METFORMIN solution (Riomet),,,,,, 6531,Diabetes Management,Oral,NTWK,METFORMIN XR,,,,,, 6532,Diabetes Management,Oral,NTWK,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,,, 6533,Diabetes Management,Oral,NTWK,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,, 6534,Diabetes Management,Oral,NTWK,MIGLITOL [Glyset],,,,,, 6535,Diabetes Management,Oral,NTWK,NATEGLINIDE [Starlix],,,,,, 6536,Diabetes Management,Oral,NTWK,PIOGLITAZONE [Actos],,,,,, 6537,Diabetes Management,Oral,NTWK,REPAGLINIDE [Prandin],,,,,, 6538,Diabetes Management,Oral,NTWK,ROSIGLITAZONE [Avandia],,,,,, 6539,Diabetes Management,Oral,NTWK,SITAGLIPTIN [Januvia],,,,PA,, 6540,Diabetes Management,Oral,NTWK,SITAGLIPTIN/METFORMIN [Janumet],,,,PA,, 6541,Diabetes Management,Oral,NTWK,TOLAZAMIDE,,,,,, 6542,Diabetes Management,Oral,NTWK,TOLBUTAMIDE,,,,,, 6543,Diabetes Management,Oral,MAHLTH,ACARBOSE ,,,,,, 6544,Diabetes Management,Oral,MAHLTH,ACARBOSE [Precose],,,,PA,, 6545,Diabetes Management,Oral,MAHLTH,ACETOHEXAMIDE,,,,,, 6546,Diabetes Management,Oral,MAHLTH,CHLORPROPAMIDE,,,,,, 6547,Diabetes Management,Oral,MAHLTH,GLIMEPIRIDE,,,,,, 6548,Diabetes Management,Oral,MAHLTH,GLIMEPRIDE/PIOGLITAZONE [Duetact],,,,PA,, 6549,Diabetes Management,Oral,MAHLTH,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,PA,, 6550,Diabetes Management,Oral,MAHLTH,GLIPIZIDE,,,,,, 6551,Diabetes Management,Oral,MAHLTH,GLIPIZIDE ER,,,,,, 6552,Diabetes Management,Oral,MAHLTH,GLIPIZIDE/METFORMIN,,,,PA,, 6553,Diabetes Management,Oral,MAHLTH,GLYBURIDE/METFORMIN,,,,PA,, 6554,Diabetes Management,Oral,MAHLTH,GLYBURIDE/MICRO,,,,,, 6555,Diabetes Management,Oral,MAHLTH,METFORMIN,,,,,, 6556,Diabetes Management,Oral,MAHLTH,METFORMIN solution (Riomet),,,,,, 6557,Diabetes Management,Oral,MAHLTH,METFORMIN XR,,,,,, 6558,Diabetes Management,Oral,MAHLTH,METFORMIN XR [Fortamet],,,,PA,, 6559,Diabetes Management,Oral,MAHLTH,METFORMIN XR [Glumetza],,,,PA,, 6560,Diabetes Management,Oral,MAHLTH,METFORMIN/PIOGLITAZONE [ActosPlus Met],,,,PA,, 6561,Diabetes Management,Oral,MAHLTH,METFORMIN/ROSIGLITAZONE [Avandamet],,,,PA,, 6562,Diabetes Management,Oral,MAHLTH,MIGLITOL [Glyset],,,,PA,, 6563,Diabetes Management,Oral,MAHLTH,NATEGLINIDE [Starlix],,,,PA,, 6564,Diabetes Management,Oral,MAHLTH,PIOGLITAZONE [Actos],,,,,, 6565,Diabetes Management,Oral,MAHLTH,REPAGLINIDE [Prandin],,,,PA,, 6566,Diabetes Management,Oral,MAHLTH,ROSIGLITAZONE [Avandia],,,,,, 6567,Diabetes Management,Oral,MAHLTH,SITAGLIPTIN [Januvia],,,,PA,, 6568,Diabetes Management,Oral,MAHLTH,SITAGLIPTIN/METFORMIN [Janumet],,,,PA,, 6569,Diabetes Management,Oral,MAHLTH,TOLAZAMIDE,,,,,, 6570,Diabetes Management,Oral,MAHLTH,TOLBUTAMIDE,,,,,, 6571,Diabetes Management,Oral,THP,ACARBOSE ,,,,,, 6572,Diabetes Management,Oral,THP,ACARBOSE [Precose],,,,,, 6573,Diabetes Management,Oral,THP,ACETOHEXAMIDE,,,,,, 6574,Diabetes Management,Oral,THP,CHLORPROPAMIDE,,,,,, 6575,Diabetes Management,Oral,THP,GLIMEPIRIDE,,,,,, 6576,Diabetes Management,Oral,THP,GLIMEPRIDE/PIOGLITAZONE [Duetact],*,,,,, 6577,Diabetes Management,Oral,THP,GLIMEPIRIDE/ROSIGLITAZONE [Avandryl],,,,,, 6578,Diabetes Management,Oral,THP,GLIPIZIDE,*,,,,, 6579,Diabetes Management,Oral,THP,GLIPIZIDE ER,*,,,,, 6580,Diabetes Management,Oral,THP,GLIPIZIDE/METFORMIN,*,,,,, 6581,Diabetes Management,Oral,THP,GLYBURIDE/METFORMIN,*,,,,, 6582,Diabetes Management,Oral,THP,GLYBURIDE/MICRO,*,,,,, 6583,Diabetes Management,Oral,THP,METFORMIN,*,,,,, 6584,Diabetes Management,Oral,THP,METFORMIN solution (Riomet),,,,,, 6585,Diabetes Management,Oral,THP,METFORMIN XR,*,,,,, 6586,Diabetes Management,Oral,THP,METFORMIN XR [Fortamet],,,,,,NC 6587,Diabetes Management,Oral,THP,METFORMIN XR [Glumetza],,,,,,NC 6588,Diabetes Management,Oral,THP,METFORMIN/PIOGLITAZONE [ActosPlus Met],*,,,,, 6589,Diabetes Management,Oral,THP,METFORMIN/ROSIGLITAZONE [Avandamet],,,,,, 6590,Diabetes Management,Oral,THP,MIGLITOL [Glyset],,,,,, 6591,Diabetes Management,Oral,THP,NATEGLINIDE [Starlix],,,,,, 6592,Diabetes Management,Oral,THP,PIOGLITAZONE [Actos],*,,,,, 6593,Diabetes Management,Oral,THP,REPAGLINIDE [Prandin],*,,,,, 6594,Diabetes Management,Oral,THP,ROSIGLITAZONE [Avandia],,,,,, 6595,Diabetes Management,Oral,THP,SITAGLIPTIN [Januvia],,,,,, 6596,Diabetes Management,Oral,THP,SITAGLIPTIN/METFORMIN [Janumet],,,,,, 6597,Diabetes Management,Oral,THP,TOLAZAMIDE,,,,,, 6598,Diabetes Management,Oral,THP,TOLBUTAMIDE,,,,,, 6599,Hormone Replacement,Hormone Replacement,AETNA,CONJUGATED ESTROGENS [Cenestin],,,,,, 6600,Hormone Replacement,Hormone Replacement,AETNA,CONJUGATED ESTROGENS [Enjuvia],*,,,,, 6601,Hormone Replacement,Hormone Replacement,AETNA,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6602,Hormone Replacement,Hormone Replacement,AETNA,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],,,,,, 6603,Hormone Replacement,Hormone Replacement,AETNA,DROSPIRENONE/ESTRADIOL [Angeliq],,FE,,,, 6604,Hormone Replacement,Hormone Replacement,AETNA,ESTERIFIED ESTROGEN [Menest],*,,,,, 6605,Hormone Replacement,Hormone Replacement,AETNA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,*,,,,, 6606,Hormone Replacement,Hormone Replacement,AETNA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,, 6607,Hormone Replacement,Hormone Replacement,AETNA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,*,,,,, 6608,Hormone Replacement,Hormone Replacement,AETNA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,, 6609,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL tablets ,*,,,,, 6610,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL tablets [Femtrace] ,,FE,,,, 6611,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL topical [Estrasorb] ,,FE,,,, 6612,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL topical [EstroGel] ,,FE,,,, 6613,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL vaginal [Estrace] ,*,,,,, 6614,Hormone Replacement,Hormone Replacement,AETNA,Estradiol vaginal [Premarin Vaginal],*,,,,, 6615,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL transdermal patch ,*,,DL,,, 6616,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL transdermal patch [Alora],,FE,DL,,, 6617,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL transdermal patch [Climara],,FE,DL,,, 6618,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL transdermal patch [Estraderm],,FE,DL,,, 6619,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL transdermal patch [Menostar],,FE,DL,,, 6620,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL/ESTRADIOL transdermal patch [Vivelle DOT],,FE,DL,,, 6621,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL vaginal ring [Estring] ,,,,,, 6622,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL vaginal ring [Femring] ,*,,,,, 6623,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL vaginal tablets [Vagifem] ,,,,,, 6624,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL CYPIONATE injection [Depo-Estradiol],Not covered under pharmacy benefit; may be covered under medical benefit,,,,, 6625,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL/LEVONORGESTROL transdermal patch [Climara Pro],,FE,DL,,, 6626,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL/NORETHINDRONE tablets [Activella],,,,,, 6627,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,FE,DL,,, 6628,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL/NORGESTIMATE [Prefest],,FE,,,, 6629,Hormone Replacement,Hormone Replacement,AETNA,ESTRADIOL VALERATE injection [Delestrogen],Not covered under pharmacy benefit; may be covered under medical benefit,,,,, 6630,Hormone Replacement,Hormone Replacement,AETNA,ESTROPIPATE ,*,,,,, 6631,Hormone Replacement,Hormone Replacement,AETNA,ESTROPIPATE [Ogen] ,,,,,, 6632,Hormone Replacement,Hormone Replacement,AETNA,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],,,,,, 6633,Hormone Replacement,Hormone Replacement,AETNA,MEDROXYPROGESTERONE ,*,,,,, 6634,Hormone Replacement,Hormone Replacement,AETNA,MICRONIZED PROGESTERONE [Prometrium],*,,,,, 6635,Hormone Replacement,Hormone Replacement,AETNA,NORETHINDRONE ,*,,,,, 6636,Hormone Replacement,Hormone Replacement,AETNA,NORETHINDRONE [Aygestin] ,,,,,, 6637,Hormone Replacement,Hormone Replacement,AETNA,PROGESTERONE capsules,*,,,,, 6638,Hormone Replacement,Hormone Replacement,AETNA,PROGESTERONE suppositories,*,,,,, 6639,Hormone Replacement,Hormone Replacement,AETNA,PROGESTERONE vaginal [Crinone],,,,,, 6640,Hormone Replacement,Hormone Replacement,AETNA,PROGESTERONE vaginal [Prochieve],,,,,, 6641,Hormone Replacement,Hormone Replacement,AETNA,RALOXIFENE [Evista],*,,,,, 6642,Hormone Replacement,Hormone Replacement,BCBSMA,CONJUGATED ESTROGENS [Cenestin],,,,,,NC 6643,Hormone Replacement,Hormone Replacement,BCBSMA,CONJUGATED ESTROGENS [Enjuvia],,,,,,NC 6644,Hormone Replacement,Hormone Replacement,BCBSMA,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6645,Hormone Replacement,Hormone Replacement,BCBSMA,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],*,,,,, 6646,Hormone Replacement,Hormone Replacement,BCBSMA,DROSPIRENONE/ESTRADIOL [Angeliq],,,,,,NC 6647,Hormone Replacement,Hormone Replacement,BCBSMA,ESTERIFIED ESTROGEN [Menest],*,,,,, 6648,Hormone Replacement,Hormone Replacement,BCBSMA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,*,,,,, 6649,Hormone Replacement,Hormone Replacement,BCBSMA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,, 6650,Hormone Replacement,Hormone Replacement,BCBSMA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,*,,,,, 6651,Hormone Replacement,Hormone Replacement,BCBSMA,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,, 6652,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL tablets ,*,,,,, 6653,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL tablets [Femtrace] ,,,,,,NC 6654,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL topical [Estrasorb] ,,,DL,,,NC 6655,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL topical [EstroGel] ,,,DL,,,NC 6656,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL vaginal [Estrace] ,,,,,, 6657,Hormone Replacement,Hormone Replacement,BCBSMA,Estradiol vaginal [Premarin Vaginal],*,,,,, 6658,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL transdermal patch ,*,,DL,,, 6659,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL transdermal patch [Alora],,,DL,,,NC 6660,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL transdermal patch [Climara],,,DL,,, 6661,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL transdermal patch [Estraderm],*,,DL,,, 6662,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL transdermal patch [Menostar],,,DL,,,NC 6663,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL/ESTRADIOL transdermal patch [Vivelle DOT],,,DL,,, 6664,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL vaginal ring [Estring] ,,,,,, 6665,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL vaginal ring [Femring] ,,,,,, 6666,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL vaginal tablets [Vagifem] ,*,,,,, 6667,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL CYPIONATE injection [Depo-Estradiol],*,,,,, 6668,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL/LEVONORGESTROL transdermal patch [Climara Pro],*,,DL,,, 6669,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL/NORETHINDRONE tablets [Activella],,,,,,NC 6670,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,,,,, 6671,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL/NORGESTIMATE [Prefest],,,,,,NC 6672,Hormone Replacement,Hormone Replacement,BCBSMA,ESTRADIOL VALERATE injection [Delestrogen],,,,,, 6673,Hormone Replacement,Hormone Replacement,BCBSMA,ESTROPIPATE ,*,,,,, 6674,Hormone Replacement,Hormone Replacement,BCBSMA,ESTROPIPATE [Ogen] ,,,,,, 6675,Hormone Replacement,Hormone Replacement,BCBSMA,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],*,,,,, 6676,Hormone Replacement,Hormone Replacement,BCBSMA,MEDROXYPROGESTERONE ,*,,,,, 6677,Hormone Replacement,Hormone Replacement,BCBSMA,MICRONIZED PROGESTERONE [Prometrium],,,,,, 6678,Hormone Replacement,Hormone Replacement,BCBSMA,NORETHINDRONE ,*,,,,, 6679,Hormone Replacement,Hormone Replacement,BCBSMA,NORETHINDRONE [Aygestin] ,,,,,, 6680,Hormone Replacement,Hormone Replacement,BCBSMA,PROGESTERONE capsules,,,,,, 6681,Hormone Replacement,Hormone Replacement,BCBSMA,PROGESTERONE suppositories,,,,,, 6682,Hormone Replacement,Hormone Replacement,BCBSMA,PROGESTERONE vaginal [Crinone],*,,,,, 6683,Hormone Replacement,Hormone Replacement,BCBSMA,PROGESTERONE vaginal [Prochieve],*,,,,, 6684,Hormone Replacement,Hormone Replacement,BCBSMA,RALOXIFENE [Evista],*,,,,, 6685,Hormone Replacement,Hormone Replacement,BMCHP,CONJUGATED ESTROGENS [Cenestin],,,,,, 6686,Hormone Replacement,Hormone Replacement,BMCHP,CONJUGATED ESTROGENS [Enjuvia],,,,,, 6687,Hormone Replacement,Hormone Replacement,BMCHP,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6688,Hormone Replacement,Hormone Replacement,BMCHP,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],,,,,, 6689,Hormone Replacement,Hormone Replacement,BMCHP,DROSPIRENONE/ESTRADIOL [Angeliq],,,,,, 6690,Hormone Replacement,Hormone Replacement,BMCHP,ESTERIFIED ESTROGEN [Menest],,,,,, 6691,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL tablets ,,,,,, 6692,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL tablets [Femtrace] ,,,,,, 6693,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL topical [Estrasorb] ,,,,,, 6694,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL topical [EstroGel] ,,,,,, 6695,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL vaginal [Estrace] ,,,,,, 6696,Hormone Replacement,Hormone Replacement,BMCHP,Estradiol vaginal [Premarin Vaginal],,,,,, 6697,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL transdermal patch ,,,,,, 6698,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL transdermal patch [Alora],,,,,, 6699,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL transdermal patch [Estraderm],,,,,, 6700,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL transdermal patch [Menostar],,,,,, 6701,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL/ESTRADIOL transdermal patch [Vivelle DOT],,,,,, 6702,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL vaginal ring [Estring] ,,,,,, 6703,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL vaginal ring [Femring] ,,,,,, 6704,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL vaginal tablets [Vagifem] ,,,,,, 6705,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL CYPIONATE injection [Depo-Estradiol],,,,,, 6706,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL/LEVONORGESTROL transdermal patch [Climara Pro],,,,,, 6707,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL/NORETHINDRONE tablets [Activella],,,,,, 6708,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,,,,, 6709,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL/NORGESTIMATE [Prefest],,,,,, 6710,Hormone Replacement,Hormone Replacement,BMCHP,ESTRADIOL VALERATE injection [Delestrogen],,,,,, 6711,Hormone Replacement,Hormone Replacement,BMCHP,ESTROPIPATE ,,,,,, 6712,Hormone Replacement,Hormone Replacement,BMCHP,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],,,,,, 6713,Hormone Replacement,Hormone Replacement,BMCHP,MEDROXYPROGESTERONE ,,,,,, 6714,Hormone Replacement,Hormone Replacement,BMCHP,MICRONIZED PROGESTERONE [Prometrium],,,,,, 6715,Hormone Replacement,Hormone Replacement,BMCHP,NORETHINDRONE ,,,,,, 6716,Hormone Replacement,Hormone Replacement,BMCHP,PROGESTERONE capsules,,,,,, 6717,Hormone Replacement,Hormone Replacement,BMCHP,PROGESTERONE suppositories,,,,,, 6718,Hormone Replacement,Hormone Replacement,BMCHP,RALOXIFENE [Evista],,,,,, 6719,Hormone Replacement,Hormone Replacement,FCHP,CONJUGATED ESTROGENS [Cenestin],,,,,, 6720,Hormone Replacement,Hormone Replacement,FCHP,ESTERIFIED ESTROGEN [Menest],,,,,, 6721,Hormone Replacement,Hormone Replacement,FCHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,,,,,, 6722,Hormone Replacement,Hormone Replacement,FCHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,, 6723,Hormone Replacement,Hormone Replacement,FCHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,,,,,, 6724,Hormone Replacement,Hormone Replacement,FCHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,, 6725,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL tablets ,,,,,, 6726,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL vaginal [Estrace] ,,,,,, 6727,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL transdermal patch ,,,,,, 6728,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL transdermal patch [Climara],,,,,, 6729,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL transdermal patch [Estraderm],,,,,, 6730,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL vaginal ring [Estring] ,,,,,, 6731,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL vaginal tablets [Vagifem] ,,,,,, 6732,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL/LEVONORGESTROL transdermal patch [Climara Pro],,,,,, 6733,Hormone Replacement,Hormone Replacement,FCHP,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,,,,, 6734,Hormone Replacement,Hormone Replacement,FCHP,ESTROPIPATE ,,,,,, 6735,Hormone Replacement,Hormone Replacement,FCHP,ESTROPIPATE [Ogen] ,,,,,, 6736,Hormone Replacement,Hormone Replacement,FCHP,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],,,,,, 6737,Hormone Replacement,Hormone Replacement,FCHP,MEDROXYPROGESTERONE ,,,,,, 6738,Hormone Replacement,Hormone Replacement,FCHP,MICRONIZED PROGESTERONE [Prometrium],,,,,, 6739,Hormone Replacement,Hormone Replacement,FCHP,NORETHINDRONE ,,,,,, 6740,Hormone Replacement,Hormone Replacement,FCHP,NORETHINDRONE [Aygestin] ,,,,,, 6741,Hormone Replacement,Hormone Replacement,FCHP,PROGESTERONE capsules,,,,,, 6742,Hormone Replacement,Hormone Replacement,FCHP,PROGESTERONE suppositories,,,,,, 6743,Hormone Replacement,Hormone Replacement,FCHP,RALOXIFENE [Evista],,,,PA,ST, 6744,Hormone Replacement,Hormone Replacement,HPHC,CONJUGATED ESTROGENS [Cenestin],,,,,, 6745,Hormone Replacement,Hormone Replacement,HPHC,CONJUGATED ESTROGENS [Enjuvia],,,,,, 6746,Hormone Replacement,Hormone Replacement,HPHC,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6747,Hormone Replacement,Hormone Replacement,HPHC,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],,,,,, 6748,Hormone Replacement,Hormone Replacement,HPHC,DROSPIRENONE/ESTRADIOL [Angeliq],,,,,, 6749,Hormone Replacement,Hormone Replacement,HPHC,ESTERIFIED ESTROGEN [Menest],,,,,, 6750,Hormone Replacement,Hormone Replacement,HPHC,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,,,,,, 6751,Hormone Replacement,Hormone Replacement,HPHC,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,, 6752,Hormone Replacement,Hormone Replacement,HPHC,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,,,,,, 6753,Hormone Replacement,Hormone Replacement,HPHC,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,, 6754,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL tablets ,,,,,, 6755,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL tablets [Femtrace] ,,,,,, 6756,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL topical [Estrasorb] ,,,,,, 6757,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL topical [EstroGel] ,,,,,, 6758,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL vaginal [Estrace] ,,,,,, 6759,Hormone Replacement,Hormone Replacement,HPHC,Estradiol vaginal [Premarin Vaginal],,,,,, 6760,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL transdermal patch ,,,,,, 6761,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL transdermal patch [Alora],,,,,, 6762,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL transdermal patch [Climara],,,,,, 6763,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL transdermal patch [Estraderm],,,,,, 6764,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL transdermal patch [Menostar],,,,,, 6765,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL/ESTRADIOL transdermal patch [Vivelle DOT],,,,,, 6766,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL vaginal ring [Estring] ,,,,,, 6767,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL vaginal ring [Femring] ,,,,,, 6768,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL vaginal tablets [Vagifem] ,,,,,, 6769,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL CYPIONATE injection [Depo-Estradiol],,,,,, 6770,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL/LEVONORGESTROL transdermal patch [Climara Pro],,,,,, 6771,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL/NORETHINDRONE tablets [Activella],,,,,, 6772,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,,,,, 6773,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL/NORGESTIMATE [Prefest],,,,,, 6774,Hormone Replacement,Hormone Replacement,HPHC,ESTRADIOL VALERATE injection [Delestrogen],Not covered under pharmacy benefit; may be covered under medical benefit,,,,, 6775,Hormone Replacement,Hormone Replacement,HPHC,ESTROPIPATE ,,,,,, 6776,Hormone Replacement,Hormone Replacement,HPHC,ESTROPIPATE [Ogen] ,,,,,, 6777,Hormone Replacement,Hormone Replacement,HPHC,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],,,,,, 6778,Hormone Replacement,Hormone Replacement,HPHC,MEDROXYPROGESTERONE ,,,,,, 6779,Hormone Replacement,Hormone Replacement,HPHC,MICRONIZED PROGESTERONE [Prometrium],,,,,, 6780,Hormone Replacement,Hormone Replacement,HPHC,NORETHINDRONE ,,,,,, 6781,Hormone Replacement,Hormone Replacement,HPHC,NORETHINDRONE [Aygestin] ,,,,,, 6782,Hormone Replacement,Hormone Replacement,HPHC,PROGESTERONE capsules,,,,,, 6783,Hormone Replacement,Hormone Replacement,HPHC,PROGESTERONE suppositories,,,,,, 6784,Hormone Replacement,Hormone Replacement,HPHC,PROGESTERONE vaginal [Crinone],,,,,, 6785,Hormone Replacement,Hormone Replacement,HPHC,PROGESTERONE vaginal [Prochieve],,,,,, 6786,Hormone Replacement,Hormone Replacement,HPHC,RALOXIFENE [Evista],,,,,, 6787,Hormone Replacement,Hormone Replacement,HNE,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6788,Hormone Replacement,Hormone Replacement,HNE,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],,,,,, 6789,Hormone Replacement,Hormone Replacement,HNE,ESTERIFIED ESTROGEN [Menest],,,,,, 6790,Hormone Replacement,Hormone Replacement,HNE,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,,,,,, 6791,Hormone Replacement,Hormone Replacement,HNE,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,, 6792,Hormone Replacement,Hormone Replacement,HNE,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,,,,,, 6793,Hormone Replacement,Hormone Replacement,HNE,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,, 6794,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL tablets ,,,,,, 6795,Hormone Replacement,Hormone Replacement,HNE,Estradiol vaginal [Premarin Vaginal],,,,,, 6796,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL transdermal patch ,,,,,, 6797,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL vaginal ring [Estring] ,,,,,, 6798,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL vaginal ring [Femring] ,,,,,, 6799,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL vaginal tablets [Vagifem] ,,,,,, 6800,Hormone Replacement,Hormone Replacement,HNE,ESTRADIOL/NORETHINDRONE transdermal patch [Combipatch],,,,,, 6801,Hormone Replacement,Hormone Replacement,HNE,ESTROPIPATE ,,,,,, 6802,Hormone Replacement,Hormone Replacement,HNE,ETHINYL ESTRADIOL/NORETHINDRONE [FemHrt],,,,,, 6803,Hormone Replacement,Hormone Replacement,HNE,MEDROXYPROGESTERONE ,,,,,, 6804,Hormone Replacement,Hormone Replacement,HNE,NORETHINDRONE ,,,,,, 6805,Hormone Replacement,Hormone Replacement,HNE,PROGESTERONE capsules,,,,,, 6806,Hormone Replacement,Hormone Replacement,HNE,PROGESTERONE vaginal [Crinone],,,,,, 6807,Hormone Replacement,Hormone Replacement,HNE,RALOXIFENE [Evista],,,,,, 6808,Hormone Replacement,Hormone Replacement,NHP,CONJUGATED ESTROGENS [Cenestin],,,,,, 6809,Hormone Replacement,Hormone Replacement,NHP,CONJUGATED ESTROGENS [Premarin] ,,,,,, 6810,Hormone Replacement,Hormone Replacement,NHP,CONJUGATED ESTROGENS/ MEDROXYPROGESTERONE [Premphase],,,,,, 6811,Hormone Replacement,Hormone Replacement,NHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE,,,,,, 6812,Hormone Replacement,Hormone Replacement,NHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE [Estratest],,,,,,NC 6813,Hormone Replacement,Hormone Replacement,NHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S.,,,,,, 6814,Hormone Replacement,Hormone Replacement,NHP,ESTERIFIED ESTROGEN/METHYLTESTOSTERONE H.S. [Estratest HS],,,,,,NC 6815,Hormone Replacement,Hormone Replacement,NHP,ESTRADIOL tablets ,,,,,, 6816,Hormone Replacement,Hormone Replacement,NHP,ESTRADIOL tablets [Femtrace] ,,,,,,NC 6817,Hormone Replacement,Hormone Replacement,NHP,ESTRADIOL vaginal [Estrace] ,,,,,, 6818,Hormone Replacement,Hormone Replacement,NHP,Estradiol vaginal [Premarin Vaginal],,,,,, 6819,