MassHealth Drug List A - Z

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This is a listing of all of the drugs covered by MassHealth. Please select a letter to see drugs listed by that letter, or enter the name of the drug you wish to search for.

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MassHealth Drug List table

Drug - Brand Name (Generic Name)	PA Status	Class	Drug Notes
Abecma (idecabtagene vicleucel)drugId:7877	PA	CHEMOTHERAPY	CO, MB
Abelcet (amphotericin B lipid complex)		ANTIBIOTICS
AbilifydrugId:90 (aripiprazole tablet)drugId:90	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
Abilify Maintena (aripiprazole extended-release injection)drugId:2717	PA	ANTIPSYCHOTIC
Abilify Mycite (aripiprazole tablet with sensor)drugId:7230	PA	ANTIPSYCHOTIC
Abraxane (paclitaxel injectable suspension)drugId:1468		CHEMOTHERAPY	MB
Absorica (isotretinoin-Absorica)drugId:2881	PA	DERMATOLOGICAL	BP, A90
Absorica LD (isotretinoin micronized)drugId:7368	PA	DERMATOLOGICAL	A90
acamprosatedrugId:142		ALCOHOL AND DRUG CESSATION AGENT
Acanya (clindamycin / benzoyl peroxide-Acanya)drugId:262	PA	DERMATOLOGICAL	A90
Accolate (zafirlukast)drugId:1816	PA	BRONCHODILATORS	M90
Accrufer (ferric maltol)drugId:7918	PA	HEMATINIC AGENT
AccunebdrugId:168 (albuterol inhalation solution)drugId:168		BRONCHODILATORS	A90, #
AccuprildrugId:1620 (quinapril)drugId:1620		CARDIOVASCULAR	M90, #
AccureticdrugId:1621 (quinapril / hydrochlorothiazide)drugId:1621		CARDIOVASCULAR	M90, #
acebutololdrugId:144		CARDIOVASCULAR	M90
Acetadote (acetylcysteine injection)		ANTIDOTES	MB
acetaminophen / codeinedrugId:146	PA < 12 years and PA > 4 g/day acetaminophen and PA > 360 mg/day codeine	OPIOID ANALGESICS
acetaminophendrugId:145	PA > 4 g/day	ANALGESICS	*, A90
acetazolamidedrugId:147		CARDIOVASCULAR	A90
acetic acid / hydrocortisonedrugId:149		OTIC PREPARATIONS	A90
acetic aciddrugId:148		OTIC PREPARATIONS	A90
acetylcysteine		MUCOLYTICS
AciphexdrugId:1624 (rabeprazole delayed-release tablet)drugId:1624	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Aciphex Sprinkle (rabeprazole delayed-release capsule)drugId:2882	PA	PROTON PUMP INHIBITORS
acitretindrugId:153		DERMATOLOGICAL	A90
Actemra (tocilizumab auto-injection, prefilled syringe)drugId:8381	PA	IMMUNOMODULATOR
Actemra (tocilizumab vial)drugId:1719	PA	IMMUNOMODULATOR	MB
Actemra (tocilizumab vial COVID EUA – June 24, 2021)		COVID - 19 related Treatments and Vaccines	PHE, MB
Acthar (corticotropin)drugId:294	PA	HORMONE AGENTS
Acthib (haemophilus B conjugate vaccine-Acthib)drugId:693		BIOLOGICAL	1
Actimmune (interferon gamma-1b)drugId:829		CHEMOTHERAPY
Actiq (fentanyl transmucosal system)drugId:844	PA	OPIOID ANALGESICS
Activella (estradiol / norethindrone-Activella)		HORMONE REPLACEMENT THERAPY	M90, #
Actonel (risedronate)drugId:1439	PA	ELECTROLYTES AND NUTRIENTS	M90
Actoplus MetdrugId:1536 (pioglitazone / metformin)drugId:1536		DIABETIC AGENTS	M90, #
ActosdrugId:1534 (pioglitazone)drugId:1534		DIABETIC AGENTS	M90, #
AculardrugId:2270 (ketorolac 0.5% ophthalmic solution)drugId:2270		OPHTHALMIC PREPARATIONS	A90, #
Acular LSdrugId:2271 (ketorolac 0.4% ophthalmic solution)drugId:2271		OPHTHALMIC PREPARATIONS	A90, #
Acuvail (ketorolac 0.45% ophthalmic solution)drugId:999		OPHTHALMIC PREPARATIONS
acyclovir capsule, tabletdrugId:155		ANTIVIRALS	A90
acyclovir injectiondrugId:2744		ANTIVIRALS
Aczone (dapsone gel)drugId:325	PA	DERMATOLOGICAL	A90
Adacel (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:539		BIOLOGICAL	1
Adakveo (crizanlizumab-tmca)drugId:7326	PA	HEMATOLOGIC	MB
AdalatdrugId:1213 (nifedipine tablet)drugId:1213		CARDIOVASCULAR	M90, #
adapalene 0.1% / benzoyl peroxide 2.5%drugId:160	PA	DERMATOLOGICAL	A90
adapalene 0.3% / benzoyl peroxide 2.5%drugId:8077	PA	DERMATOLOGICAL	A90
adapalenedrugId:7678	PA	DERMATOLOGICAL	A90
Adbry (tralokinumab-ldrm)drugId:8203	PA	IMMUNOMODULATOR
Adcetris (brentuximab)drugId:2374	PA	CHEMOTHERAPY	MB
Adcirca (tadalafil tablet-Adcirca)drugId:1920	PA	CARDIOVASCULAR	A90
AdderalldrugId:3100 (amphetamine salts)drugId:3100	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Adderall XR (amphetamine salts extended-release-Adderall XR)drugId:59	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
Adempas (riociguat)drugId:2883	PA	CARDIOVASCULAR
adenovirus live vaccine delayed-release oral tabletsdrugId:2837		BIOLOGICAL
Adhansia XR (methylphenidate extended-release-Adhansia XR)drugId:7232	PA	CEREBRAL STIMULANTS
Adlarity (donepezil patch)drugId:8294	PA	ALZHEIMER'S THERAPY
Adlyxin (lixisenatide)drugId:5760	PA	DIABETIC AGENTS
Admelog (insulin lispro-Admelog)drugId:6660	PA	DIABETIC AGENTS
Adrenalin (epinephrine injection)drugId:606		ADRENERGICS
Adriamycin (doxorubicin)drugId:571		CHEMOTHERAPY	MB
Aduhelm (aducanumab-avwa)drugId:8110	PA	BIOLOGICAL
Advair (fluticasone / salmeterol inhalation-Advair)drugId:896		BRONCHODILATORS	BP, A90
Advate (antihemophilic factor, recombinant-Advate)		ANTI-HEMOPHILIA AGENTS
Adynovate (antihemophilic factor, recombinant pegylated-Adynovate)		ANTI-HEMOPHILIA AGENTS
Adzenys ER (amphetamine extended-release 1.25 mg/mL oral suspension)drugId:6600	PA	CEREBRAL STIMULANTS
Adzenys XR-ODT (amphetamine extended-release orally disintegrating tablet)drugId:5360	PA	CEREBRAL STIMULANTS
Aemcolo (rifamycin)drugId:8339	PA	ANTIBIOTICS
Afinitor (everolimus 2.5 mg, 5 mg, 7.5 mg, 10 mg)drugId:448	PA	CHEMOTHERAPY	BP, A90
Afinitor Disperz (everolimus tablets for oral suspension)drugId:2795	PA	CHEMOTHERAPY	BP, A90
Afluria (influenza virus vaccine-Afluria)drugId:2046		BIOLOGICAL	1
Afrezza (insulin human inhalation powder)drugId:4900	PA	DIABETIC AGENTS
Afstyla (antihemophilic factor, recombinant, single chain-Afstyla)		ANTI-HEMOPHILIA AGENTS
AgrylindrugId:65 (anagrelide)drugId:65		ANTIPLATELET AGENT	A90, #
Aimovig (erenumab-aooe)drugId:6661	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR
Airduo Digihaler (fluticasone / salmeterol inhalation powder-Airduo Digihaler)drugId:7485	PA	BRONCHODILATORS
Airduo Respiclick (fluticasone / salmeterol inhalation powder-Airduo Respiclick)drugId:6120	PA	BRONCHODILATORS	BP, A90
Ajovy (fremanezumab-vfrm for migraine prophylaxis)drugId:7000	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Akten (lidocaine ophthalmic gel)		OPHTHALMIC PREPARATIONS
Akynzeo (fosnetupitant / palonosetron injection)drugId:6620	PA > 2 vials/28 days	ANTIEMETICS
Akynzeo (netupitant / palonosetron capsule)drugId:4761	PA > 2 capsules/28 days	ANTIEMETICS
AlbenzadrugId:166 (albendazole)drugId:166		ANTIPARASITICS	A90, #
albumin, human solutions		PLASMA PROTEINS	MB
albuterol / ipratropium inhalation solutiondrugId:835		BRONCHODILATORS	A90
albuterol inhalerdrugId:8291	PA	BRONCHODILATORS
albuterol syrup, tabletdrugId:2193		BRONCHODILATORS	A90
alclometasone cream, ointmentdrugId:4		GLUCOCORTICOIDS	A90
AldactazidedrugId:1893 (spironolactone / hydrochlorothiazide)drugId:1893		CARDIOVASCULAR	M90, #
AldactonedrugId:1892 (spironolactone tablet)drugId:1892		ALDOSTERONE ANTAGONISTS	M90, #
AldaradrugId:783 (imiquimod 5% cream)drugId:783		DERMATOLOGICAL	A90, #
Aldurazyme (laronidase)drugId:1026	PA	ENZYMES	MB
Alecensa (alectinib)drugId:5221	PA	CHEMOTHERAPY
alendronate solutiondrugId:2796		ELECTROLYTES AND NUTRIENTS	M90
alfuzosin extended-releasedrugId:10		URINARY ANTISPASMODICS	A90
Align (bifidobacterium infantis)drugId:6200	PA ≥ 22 years	GASTROINTESTINAL AGENT
Alimta (pemetrexed disodium)drugId:1492		CHEMOTHERAPY	MB
Alinia (nitazoxanide)drugId:7576	PA	ANTIPARASITICS
Aliqopa (copanlisib)drugId:6500	PA	CHEMOTHERAPY	MB
Alkeran (melphalan hydrochloride injection)drugId:1138		CHEMOTHERAPY	MB
AlkerandrugId:5504 (melphalan tablet)drugId:5504		CHEMOTHERAPY	A90, #
Alkindi (hydrocortisone sprinkle capsule)drugId:7639	PA	GLUCOCORTICOIDS
almotriptandrugId:18	PA	TRIPTAN	A90
Alocril (nedocromil)drugId:1180		OPHTHALMIC PREPARATIONS
Alomide (lodoxamide)drugId:1095		OPHTHALMIC PREPARATIONS
AloprimdrugId:7545 (allopurinol sodium)drugId:7545		CHEMOTHERAPY	#
Alora (estradiol-Alora)		HORMONE REPLACEMENT THERAPY	M90
AloxidrugId:1473 (palonosetron 0.25 mg/5 mL injection)drugId:1473	PA > 2 units/28 days	ANTIEMETICS	#
Alphagan P (brimonidine 0.1%, 0.15% eye drops)drugId:2505		OPHTHALMIC PREPARATIONS	BP, M90
Alphanate (antihemophilic factor / von willebrand factor complex, human)		ANTI-HEMOPHILIA AGENTS
Alphanine SD (factor IX, human)		ANTI-HEMOPHILIA AGENTS
alprazolam orally disintegrating tabletdrugId:24	PA	BENZODIAZEPINES
alprazolam powderdrugId:27	PA	BENZODIAZEPINES
Alprolix (factor IX recombinant, Fc fusion protein)		ANTI-HEMOPHILIA AGENTS
Alrex (loteprednol 0.2%)drugId:1105		OPHTHALMIC PREPARATIONS
AltacedrugId:2588 (ramipril)drugId:2588		CARDIOVASCULAR	M90, #
Altoprev (lovastatin extended-release)drugId:1107	PA	LIPID LOWERING AGENTS
Altreno (tretinoin 0.05% lotion)drugId:6900	PA ≥ 22 years	DERMATOLOGICAL
aluminum carbonate		GASTROINTESTINAL AGENT	*, A90
aluminum hydroxidedrugId:28		ANTACIDS	*, A90
Alunbrig (brigatinib)drugId:6180	PA	CHEMOTHERAPY
Alvesco (ciclesonide inhaler)drugId:230	PA	BRONCHODILATORS
Alymsys (bevacizumab-maly)drugId:8331	PA	CHEMOTHERAPY	MB
amantadine immediate-release capsule, solution, tabletdrugId:29		ANTIPARKINSON	A90
AmaryldrugId:931 (glimepiride)drugId:931		DIABETIC AGENTS	M90, #
AmbiendrugId:1932 (zolpidem 10 mg tablet)drugId:1932	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
AmbiendrugId:1933 (zolpidem 5 mg tablet)drugId:1933	PA < 6 years and PA > 1.5 units/day	SEDATIVES	#
Ambien CRdrugId:1934 (zolpidem extended-release tablet)drugId:1934	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
Ambisome (amphotericin B liposome)		ANTIBIOTICS
amcinonide creamdrugId:31	PA	GLUCOCORTICOIDS	A90
Ameluz (aminolevulinic acid)drugId:6841		CHEMOTHERAPY	MB
Amerge (naratriptan)drugId:1175	PA	TRIPTAN	A90
Amicar (aminocaproic acid)		HEMATINIC AGENT	A90, #
amikacindrugId:32		ANTIBIOTICS
amiloride / hydrochlorothiazidedrugId:34		CARDIOVASCULAR	M90
amiloridedrugId:33		CARDIOVASCULAR	M90
aminophylline		BRONCHODILATORS
amiodarone injectiondrugId:37		CARDIOVASCULAR	MB
amiodarone tabletdrugId:38		CARDIOVASCULAR	M90
Amitiza (lubiprostone)drugId:1110	PA	CONSTIPATION AGENTS	BP, M90
amitriptyline / chlordiazepoxidedrugId:7366	PA	ANTIDEPRESSANTS
amitriptyline / perphenazinedrugId:1512	PA	ANTIPSYCHOTIC	A90
amitriptyline powderdrugId:6368	PA	ANTIDEPRESSANTS
amitriptyline tabletdrugId:39	PA < 6 years	ANTIDEPRESSANTS	A90
ammonium lactate		DERMATOLOGICAL
Ammonul (sodium phenylacetate / sodium benzoate)		ELECTROLYTES AND NUTRIENTS	#
Amondys 45 (casimersen)drugId:7878	PA	BIOLOGICAL
amoxapinedrugId:56	PA < 6 years	ANTIDEPRESSANTS	A90
amoxicillindrugId:57		ANTIBIOTICS	A90
Amphadase (hyaluronidase)		ENZYMES	MB
amphetamine sulfatedrugId:4901	PA	CEREBRAL STIMULANTS
amphotericin B		ANTIBIOTICS
ampicillindrugId:63		ANTIBIOTICS	A90
Ampyra (dalfampridine)drugId:320	PA	MULTIPLE SCLEROSIS AGENTS	A90
Amrix (cyclobenzaprine extended-release)drugId:304	PA	MUSCLE RELAXANT	A90
Amvuttra (vutrisiran)drugId:8295	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Amzeeq (minocycline 4% foam)drugId:7344	PA	ANTIBIOTICS
Anafranil (clomipramine)drugId:272	PA	ANTIDEPRESSANTS	A90
Anascorp (centruroides immune F(ab’)2, equine)		ANTIDOTES	MB
Ancobon (flucytosine)drugId:861		ANTIBIOTICS	BP, A90
Androderm (testosterone patch)drugId:1682	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1.62% gel packet)drugId:2280	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1.62% gel pump)drugId:7573	PA	HORMONE REPLACEMENT THERAPY
Androgel (testosterone 1% gel packet)drugId:2248	PA	HORMONE REPLACEMENT THERAPY
Angeliq (estradiol / drospirenone)		HORMONE REPLACEMENT THERAPY
Annovera (segesterone / ethinyl estradiol)		CONTRACEPTIVES
Anoro (umeclidinium / vilanterol)drugId:2952	PA	BRONCHODILATORS
AntabusedrugId:549 (disulfiram)drugId:549		ALCOHOL AND DRUG CESSATION AGENT	#
Antivert (meclizine)		ANTIEMETICS	*, A90, #
Anusol-HCdrugId:740 (hydrocortisone hemorrhoidal cream)drugId:740		GLUCOCORTICOIDS	A90, #
Apadaz (benzhydrocodone / acetaminophen)drugId:7234	PA	OPIOID ANALGESICS
Apexicon-E (diflorasone cream / emollient)drugId:520	PA	GLUCOCORTICOIDS	A90
Apidra (insulin glulisine)drugId:810		DIABETIC AGENTS
Aplenzin (bupropion hydrobromide extended-release)drugId:395	PA < 6 years and PA > 1 unit/day	ANTIDEPRESSANTS
ApokyndrugId:83 (apomorphine injection)drugId:83		ANTIPARKINSON	#
aprepitant 40 mg, 125 mg capsuledrugId:7498	PA > 2 capsules/28 days	ANTIEMETICS	A90
Apretude (cabotegravir injection)drugId:8250	PA	ANTIVIRALS
Apriso (mesalamine extended-release)drugId:1150		GI ANTI-INFLAMMATORY	BP, A90
Aptensio XR (methylphenidate extended-release-Aptensio XR)drugId:5100	PA	CEREBRAL STIMULANTS
Aptiom (eslicarbazepine)drugId:2953	PA	ANTICONVULSANTS
Aptivus (tipranavir)drugId:1709		ANTIVIRALS
Aquadeks (multivitamins / minerals / coenzyme Q10-Aquadeks)drugId:2380	PA	HEMATINIC AGENT
Aquadeks (multivitamins / minerals / folic acid / coenzyme Q10-Aquadeks)drugId:2385	PA	HEMATINIC AGENT
Aralast NP (alpha-1-proteinase inhibitor, human-Aralast NP)		ENZYMES	MB
Aranesp (darbepoetin alfa)drugId:327	PA	HEMATINIC AGENT
Arava (leflunomide)		IMMUNOMODULATOR	A90, #
Arazlo (tazarotene lotion)drugId:7365	PA	DERMATOLOGICAL
Arcalyst (rilonacept)drugId:1434	PA	BIOLOGICAL
AriceptdrugId:7399 (donepezil 10 mg tablet)drugId:7399	PA < 6 years and PA > 2 units/day	ALZHEIMER'S THERAPY	A90, #
AriceptdrugId:559 (donepezil 5 mg, 23 mg tablet)drugId:559	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90, #
Arikayce (amikacin liposome inhalation)drugId:7040	PA	ANTIBIOTICS
ArimidexdrugId:69 (anastrozole)drugId:69		CHEMOTHERAPY	A90, #
aripiprazole orally disintegrating tabletdrugId:92	PA	ANTIPSYCHOTIC	A90
aripiprazole solutiondrugId:4240	PA < 6 years or ≥ 18 years and PA > 25 mL/day	ANTIPSYCHOTIC	A90
Aristada (aripiprazole lauroxil 1,064 mg)drugId:6301	PA < 6 years and PA > 1 injection/56 days	ANTIPSYCHOTIC	PD
Aristada (aripiprazole lauroxil 441 mg, 662 mg, 882 mg)drugId:5241	PA < 6 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
Aristada Initio (aripiprazole lauroxil 675 mg)drugId:6860	PA < 6 years and PA > 1 injection/28 days	ANTIPSYCHOTIC	PD
ArixtradrugId:904 (fondaparinux)drugId:904		ANTICOAGULANTS	#
Armonair Digihaler (fluticasone propionate inhalation powder-Armonair Digihaler)drugId:7486	PA	BRONCHODILATORS
Arnuity (fluticasone furoate inhalation powder)drugId:4760	PA	BRONCHODILATORS
AromasindrugId:450 (exemestane)drugId:450		CHEMOTHERAPY	A90, #
Arranon (nelarabine)drugId:1182	PA	CHEMOTHERAPY	MB
artesunatedrugId:8042	PA	ANTIMALARIALS
ArthrotecdrugId:514 (diclofenac / misoprostol)drugId:514	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
artificial tearsdrugId:678		OPHTHALMIC PREPARATIONS	*, A90
Arzerra (ofatumumab vial)drugId:1270	PA	CHEMOTHERAPY	MB
Asacol HD (mesalamine high dose delayed-release)drugId:1152		GI ANTI-INFLAMMATORY	BP, A90
Asceniv (immune globulin IV, human-slra)drugId:7327	PA	BIOLOGICAL
Asclera (polidocanol)drugId:2934	PA	CARDIOVASCULAR	MB
ascorbic acid powderdrugId:7339	PA	ELECTROLYTES AND NUTRIENTS
Asmanex HFA (mometasone inhalation aerosol)drugId:5102		BRONCHODILATORS
Asmanex Twisthaler (mometasone 110 mcg inhalation powder)drugId:2663	PA ≥ 12 years	BRONCHODILATORS
Asmanex Twisthaler (mometasone 220 mcg inhalation powder)drugId:1379	PA < 12 years	BRONCHODILATORS
Asparlas (calaspargase pegol-mknl)drugId:7328	PA	CHEMOTHERAPY	MB
aspirin / extended-release dipyridamoledrugId:100		ANTIPLATELET AGENT	M90
aspirin / omeprazoledrugId:5770	PA	ANTIPLATELET AGENT	A90
aspirin 325 mg, 500 mg, 650 mgdrugId:8221		ANALGESICS	*, A90
aspirin 81 mgdrugId:98		ANTIPLATELET AGENT	*, M90
aspirin suppositorydrugId:8220		ANALGESICS	*
aspirin with buffersdrugId:99		ANALGESICS	*, A90
Astagraf XL (tacrolimus extended-release capsule)drugId:2838		IMMUNOMODULATOR
Astramorph-PF (morphine, injection-Astramorph-PF)drugId:1391	PA > 120 mg/day	OPIOID ANALGESICS
Atacand (candesartan)drugId:433	PA	CARDIOVASCULAR	M90
Atacand HCT (candesartan / hydrochlorothiazide)drugId:434	PA	CARDIOVASCULAR	M90
Atelvia (risedronate delayed-release)drugId:2101	PA	ELECTROLYTES AND NUTRIENTS	BP, M90
Atgam (antithymocyte globulin, equine)drugId:1112		BIOLOGICAL
AtivandrugId:7662 (lorazepam injection)drugId:7662		BENZODIAZEPINES	#
AtivandrugId:4400 (lorazepam solution, tablet)drugId:4400	PA < 6 years	BENZODIAZEPINES	#
Atralin (tretinoin 0.05% gel)drugId:2432	PA	DERMATOLOGICAL	A90
AtripladrugId:591 (efavirenz / emtricitabine / tenofovir)drugId:591		ANTIVIRALS	A90, #
atropine injection		ANTISPASMODICS,ANTICHOLINERGIC
Atrovent (ipratropium nasal spray)		NASAL PREPARATIONS	A90, #
Atrovent HFA (ipratropium inhalation aerosol)drugId:833		BRONCHODILATORS
Aubagio (teriflunomide)drugId:2657	PA	MULTIPLE SCLEROSIS AGENTS	A90
Augmentin (amoxicillin / clavulanate 125/31.25 mg/5 mL suspension)drugId:54	PA	ANTIBIOTICS
AugmentindrugId:6420 (amoxicillin / clavulanate chewable tablet, 200/28.5, 250/62.5, 400/57, 600/42.9 mg/5 mL suspension, tablet)drugId:6420		ANTIBIOTICS	A90, #
Augmentin XR (amoxicillin / clavulanate extended-release)drugId:55	PA	ANTIBIOTICS	A90
Auryxia (ferric citrate)drugId:4762	PA	HEMATINIC AGENT
Austedo (deutetrabenazine)drugId:6121	PA	NEUROLOGIC AGENT
Auvelity (dextromethorphan / bupropion)drugId:8522	PA	ANTIDEPRESSANTS
Auvi-Q (epinephrine auto-injection-Auvi-Q)drugId:2718	PA	ADRENERGICS
AvalidedrugId:969 (irbesartan / hydrochlorothiazide)drugId:969		CARDIOVASCULAR	M90, #
AvaprodrugId:968 (irbesartan)drugId:968		CARDIOVASCULAR	M90, #
Avastin (bevacizumab)drugId:360	PA	CHEMOTHERAPY	MB
Aveed (testosterone undecanoate injection)drugId:2954	PA	HORMONE REPLACEMENT THERAPY	MB
Avelox (moxifloxacin injection)drugId:2748		ANTIBIOTICS
AvitadrugId:1747 (tretinoin-Avita)drugId:1747	PA ≥ 22 years	DERMATOLOGICAL	A90, #
AvodartdrugId:586 (dutasteride)drugId:586		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90, #
Avonex (interferon beta-1a-Avonex)drugId:825		MULTIPLE SCLEROSIS AGENTS
Avsola (infliximab-axxq)drugId:7386	PA	IMMUNOMODULATOR
Avycaz (ceftazidime / avibactam)drugId:4902	PA	ANTIBIOTICS
Aygestin (norethindrone 5 mg)		HORMONE REPLACEMENT THERAPY	A90
Ayvakit (avapritinib)drugId:7360	PA	CHEMOTHERAPY
AzactamdrugId:120 (aztreonam injection)drugId:120		ANTIBIOTICS	#
Azasite (azithromycin ophthalmic solution)drugId:119	PA	OPHTHALMIC PREPARATIONS	BP
azathioprine 75 mg, 100 mg tabletdrugId:2857	PA	IMMUNOMODULATOR	A90
azathioprine injectiondrugId:5501		IMMUNOMODULATOR	MB
Azedra (iobenguane I 131)drugId:6980		CHEMOTHERAPY	MB
azelastine 0.15% nasal spraydrugId:116	PA	NASAL PREPARATIONS	A90
azelastine 137 mcg nasal spraydrugId:115		NASAL PREPARATIONS	A90
azelastine ophthalmic solutiondrugId:114		ANTIHISTAMINES	A90
Azilect (rasagiline)drugId:1640	PA > 1 unit/day	ANTIPARKINSON	A90
Azopt (brinzolamide)drugId:375		OPHTHALMIC PREPARATIONS	BP, M90
AzordrugId:46 (amlodipine / olmesartan)drugId:46		CARDIOVASCULAR	M90, #
Azstarys (serdexmethylphenidate / dexmethylphenidate)drugId:7978	PA	CEREBRAL STIMULANTS
AzulfidinedrugId:1910 (sulfasalazine)drugId:1910		GI ANTI-INFLAMMATORY	A90, #
Azulfidine EN-TabsdrugId:4864 (sulfasalazine delayed-release)drugId:4864		GI ANTI-INFLAMMATORY	A90, #
bacitracin / polymyxin B ophthalmic ointmentdrugId:123		OPHTHALMIC PREPARATIONS	A90
bacitracindrugId:1989		ANTIBIOTICS	*, A90
bacitracin ophthalmic ointmentdrugId:122	PA	OPHTHALMIC PREPARATIONS	A90
baclofen oral solutiondrugId:7857	PA	MUSCLE RELAXANT	A90
baclofen powderdrugId:6688	PA	MUSCLE RELAXANT
baclofen tabletdrugId:124		MUSCLE RELAXANT	A90
BactrimdrugId:1907 (sulfamethoxazole / trimethoprim tablet)drugId:1907		ANTIBIOTICS	#
Bafiertam (monomethyl fumarate)drugId:7717	PA	MULTIPLE SCLEROSIS AGENTS
Balcoltra (levonorgestrel / ethinyl estradiol / ferrous bisglycinate)		CONTRACEPTIVES	M90
BAL in Oil (dimercaprol)		ANTIDOTES	MB
Balversa (erdafitinib)drugId:7129	PA	CHEMOTHERAPY
Banzel (rufinamide)drugId:1826	PA	ANTICONVULSANTS	BP, A90
Baqsimi (glucagon nasal powder)drugId:7367		DIABETIC AGENTS	PD
Baraclude (entecavir solution)drugId:604	PA > 20 mL/day	ANTIVIRALS
BaracludedrugId:603 (entecavir tablet)drugId:603	PA > 1 unit/day	ANTIVIRALS	A90, #
Basaglar (insulin glargine-Basaglar)drugId:5761	PA	DIABETIC AGENTS
Basaglar Tempo (insulin glargine-Basaglar)drugId:8521	PA	DIABETIC THERAPY
Bavencio (avelumab)drugId:6100	PA	CHEMOTHERAPY	MB
Baxdela (delafloxacin injection)drugId:6480	PA	ANTIBIOTICS
Baxdela (delafloxacin tablet)drugId:6481	PA	ANTIBIOTICS
BCG live, intravesicaldrugId:127		CHEMOTHERAPY	MB
BCG Vaccine (BCG live vaccine)drugId:5180		BIOLOGICAL
Beconase AQ (beclomethasone nasal spray)drugId:131	PA > 1 inhaler/30 days	NASAL PREPARATIONS
Belbuca (buprenorphine buccal film)drugId:5362	PA	OPIOID ANALGESICS
Beleodaq (belinostat)drugId:4621	PA	CHEMOTHERAPY	MB
Belrapzo (bendamustine)drugId:7130		CHEMOTHERAPY	MB
Belsomra (suvorexant)drugId:4903	PA	SEDATIVE, NON-BARBITURATE
Benadryl  drugId:541 (diphenhydramine)drugId:541		ANTIHISTAMINES	*, A90, #
Bendeka (bendamustine)drugId:5380		CHEMOTHERAPY	MB
Benefix (factor IX human recombinant-Benefix)		ANTI-HEMOPHILIA AGENTS	PD
BenicardrugId:1281 (olmesartan)drugId:1281		CARDIOVASCULAR	M90, #
Benicar HCTdrugId:1282 (olmesartan / hydrochlorothiazide)drugId:1282		CARDIOVASCULAR	M90, #
Benlysta (belimumab auto-injection, prefilled syringe)drugId:8382	PA	BIOLOGICAL
Benlysta (belimumab vial)drugId:2238	PA	BIOLOGICAL	MB
BentyldrugId:516 (dicyclomine)drugId:516		ANTISPASMODICS,ANTICHOLINERGIC	A90, #
Benzaclin (clindamycin / benzoyl peroxide-Benzaclin)drugId:263	PA	DERMATOLOGICAL	A90
Benzamycin (benzoyl peroxide / erythromycin)drugId:627	PA	ANTIBIOTICS	A90
benznidazoledrugId:6502		ANTIPARASITICS
benzoyl peroxidedrugId:2106		DERMATOLOGICAL	*, A90
benzoyl peroxide 9.8% foamdrugId:2182	PA	DERMATOLOGICAL	A90
benztropinedrugId:348		ANTIPARKINSON	A90
Beovu (brolucizumab-dbll)		OPHTHALMIC PREPARATIONS	MB
Bepreve (bepotastine)drugId:350		ANTIHISTAMINES	BP, A90
Berinert (c1 esterase inhibitor, human-Berinert)drugId:1938	PA	ENZYMES
Besivance (besifloxacin ophthalmic suspension)drugId:351		OPHTHALMIC PREPARATIONS
Besponsa (inotuzumab ozogamicin)drugId:6341	PA	CHEMOTHERAPY	MB
Besremi (ropeginterferon alfa-2b-njft)drugId:8251	PA	CHEMOTHERAPY
betamethasone augmented geldrugId:5034		GLUCOCORTICOIDS	A90
betamethasone dipropionate, augmented cream, lotiondrugId:2204		GLUCOCORTICOIDS	A90
betamethasone dipropionate creamdrugId:5023		GLUCOCORTICOIDS	A90
betamethasone dipropionate lotion, ointmentdrugId:2992		GLUCOCORTICOIDS	A90
betamethasone dipropionate powderdrugId:7270	PA	GLUCOCORTICOIDS
betamethasone valerate creamdrugId:356		GLUCOCORTICOIDS	A90
betamethasone valerate lotiondrugId:5026		GLUCOCORTICOIDS	A90
betamethasone valerate ointmentdrugId:5027		GLUCOCORTICOIDS	A90
BetapacedrugId:1891 (sotalol tablet)drugId:1891		CARDIOVASCULAR	M90, #
Betaseron (interferon beta-1b-Betaseron)drugId:827		MULTIPLE SCLEROSIS AGENTS
betaxolol 0.5%drugId:2506		OPHTHALMIC PREPARATIONS	M90
betaxolol tabletdrugId:358		CARDIOVASCULAR	M90
bethanecholdrugId:359		PARASYMPATHETIC AGENTS	A90
Bethkis (tobramycin inhalation solution-Bethkis)drugId:2884	PA	ANTIBIOTICS	BP, A90
Betimol (timolol-Betimol)drugId:8180	PA	OPHTHALMIC PREPARATIONS
Betoptic S (betaxolol 0.25%)drugId:1981		OPHTHALMIC PREPARATIONS
Bevespi (glycopyrrolate / formoterol)drugId:5700	PA	BRONCHODILATORS
Bexsero (meningococcal group B vaccine-Bexsero)drugId:4905		BIOLOGICAL	1
Beyaz (ethinyl estradiol / drospirenone / levomefolate-Beyaz)		CONTRACEPTIVES	M90, #
Bicillin CR (penicillin G benzathine / penicillin G procaine)drugId:2624		ANTIBIOTICS
Bicillin LA (penicillin G 0.6 million, 1.2 million, 2.4 million units)drugId:2625		ANTIBIOTICS
Bicnu (carmustine)drugId:183		CHEMOTHERAPY	MB
BidildrugId:982 (isosorbide dinitrate / hydralazine)drugId:982		CARDIOVASCULAR	M90, #
Bijuva (estradiol / progesterone)drugId:7281	PA	HORMONE REPLACEMENT THERAPY
Biktarvy (bictegravir / emtricitabine / tenofovir alafenamide)drugId:6603		ANTIVIRALS	PD
Biltricide (praziquantel)drugId:2358		ANTIPARASITICS	BP, A90
bimatoprost 0.03% ophthalmic solutiondrugId:4906	PA	OPHTHALMIC PREPARATIONS	M90
Binaxnow (COVID-19 antigen self-test)drugId:8169 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
biotin powderdrugId:7462	PA	ELECTROLYTES AND NUTRIENTS
bisacodyl enema, suppositorydrugId:8222		CONSTIPATION AGENTS	*, A90
bisacodyl tabletdrugId:364		CONSTIPATION AGENTS	*, M90
bismuth subsalicylate / metronidazole / tetracyclinedrugId:7364	PA	H. PYLORI AGENTS	A90
bismuth subsalicylatedrugId:366		ANTIDIARRHEALS	*, A90
bisoprololdrugId:368		CARDIOVASCULAR	M90
Bivigam (immune globulin IV, human-Bivigam)drugId:2817	PA	BIOLOGICAL
Blenrep (belantamab mafodotin-blmf)drugId:7657	PA	CHEMOTHERAPY
bleomycindrugId:370		CHEMOTHERAPY	MB
Blincyto (blinatumomab)drugId:4763	PA	CHEMOTHERAPY	MB
BonivadrugId:770 (ibandronate tablet)drugId:770		ELECTROLYTES AND NUTRIENTS	M90, #
Bonjesta (doxylamine / pyridoxine extended-release)drugId:6680	PA	ANTIEMETICS
Boostrix (tetanus toxoids / diphtheria / acellular pertussis vaccine)drugId:540		BIOLOGICAL	1
bortezomibdrugId:6482		CHEMOTHERAPY	MB
Bosulif (bosutinib)drugId:2639	PA	CHEMOTHERAPY
Botox (onabotulinumtoxinA)drugId:1290	PA	BIOLOGICAL
Braftovi (encorafenib)drugId:6800	PA	CHEMOTHERAPY
Breo (fluticasone / vilanterol)drugId:2860	PA	BRONCHODILATORS	BP, A90
BreviblocdrugId:631 (esmolol)drugId:631		CARDIOVASCULAR	#
Brexafemme (ibrexafungerp)drugId:8019	PA	FUNGICIDES
Breyanzi (lisocabtagene maraleucel)drugId:7778	PA	CHEMOTHERAPY	CO, MB
Breztri (budesonide / glycopyrrolate / formoterol)drugId:7487	PA	BRONCHODILATORS
Brilinta (ticagrelor)drugId:2359		ANTIPLATELET AGENT
brimonidine 0.2% eye dropsdrugId:2209		OPHTHALMIC PREPARATIONS	M90
brimonidine topical gel, 0.33%drugId:2891	PA	DERMATOLOGICAL	A90
Brisdelle (paroxetine mesylate capsule)drugId:2839	PA	UNCLASSIFIED DRUG PRODUCTS	A90
Briviact (brivaracetam solution, tablet)drugId:5581	PA	ANTICONVULSANTS
bromfenac 0.09%drugId:2084	PA	OPHTHALMIC PREPARATIONS	A90
Bromsite (bromfenac 0.075%)drugId:5762	PA	OPHTHALMIC PREPARATIONS
Bronchitol (mannitol inhalation powder)drugId:7879	PA	MUCOLYTICS
Brovana (arformoterol)drugId:88	PA	BRONCHODILATORS	A90
Brukinsa (zanubrutinib)drugId:7345	PA	CHEMOTHERAPY
Bryhali (halobetasol lotion)drugId:7001	PA	GLUCOCORTICOIDS
budesonide 3 mg delayed-release capsuledrugId:379		GLUCOCORTICOIDS	A90
budesonide OTC nasal spraydrugId:6240	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
bumetanidedrugId:384		CARDIOVASCULAR	M90
Bunavail (buprenorphine / naloxone buccal film)drugId:4622	PA	ALCOHOL AND DRUG CESSATION AGENT
Buphenyl (sodium phenylbutyrate powder, tablet)drugId:1871		ENZYMES	BP, A90
Buprenex (buprenorphine injection)drugId:388	PA	OPIOID ANALGESICS
buprenorphine / naloxone sublingual tabletdrugId:2057	PA	ALCOHOL AND DRUG CESSATION AGENT
buprenorphine sublingual tabletdrugId:389	PA	ALCOHOL AND DRUG CESSATION AGENT
bupropion hydrochloridedrugId:396	PA < 6 years	ANTIDEPRESSANTS	A90
buspironedrugId:399	PA < 6 years	ANTI-ANXIETY AGENT	A90
buspirone powderdrugId:7021	PA	ANTI-ANXIETY AGENT
Busulfex (busulfan injection)drugId:2537		CHEMOTHERAPY	MB
butalbital / aspirin / caffeine / codeinedrugId:411	PA	OPIOID ANALGESICS
butalbital / aspirin / caffeine capsuledrugId:2797	PA	ANALGESICS
butalbital / aspirin / caffeine tabletdrugId:6292	PA < 18 years and PA > 20 units/month	ANALGESICS
butalbital 25 mg / acetaminophen 325 mg tabletdrugId:5583	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mg / codeine 30 mgdrugId:2982	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mg / caffeine 40 mgdrugId:2980	PA	ANALGESICS
butalbital 50 mg / acetaminophen 300 mgdrugId:2981	PA	ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mgdrugId:2119	PA < 18 years and PA > 20 units/month	OPIOID ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg capsuledrugId:8215	PA	ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg solutiondrugId:6293	PA	ANALGESICS
butalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg tabletdrugId:2118	PA < 18 years and PA > 20 units/month	ANALGESICS
butalbital 50 mg / acetaminophen 325 mgdrugId:2621	PA	ANALGESICS
butorphanol injection		OPIOID ANALGESICS
butorphanol nasal spraydrugId:414	PA	OPIOID ANALGESICS
Butrans (buprenorphine transdermal)drugId:2160	PA > 20 mcg/hr and PA > 4 patches/28 days	OPIOID ANALGESICS	BP
Bydureon (exenatide extended-release pen)drugId:2478		DIABETIC AGENTS
Bydureon Bcise (exenatide extended-release auto-injection)drugId:6940	PA	DIABETIC AGENTS
Byetta (exenatide)drugId:451		DIABETIC AGENTS	BP
Byfavo (remimazolam)drugId:7718	PA	BENZODIAZEPINES	MB
Bylvay (odevixibat)drugId:8020	PA	BILE THERAPY
Bynfezia (octreotide prefilled syringe)drugId:7658		ENDOCRINE/METABOLIC AGENTS
Byooviz (ranibizumab-nuna)		OPHTHALMIC PREPARATIONS	MB
Bystolic (nebivolol)drugId:1179		CARDIOVASCULAR	BP, M90
Cabenuva (cabotegravir / rilpivirine)drugId:7719		ANTIVIRALS	PD
cabergoline		HORMONE AGENTS	A90
Cablivi (caplacizumab-yhdp)drugId:7180	PA	BIOLOGICAL
Cabometyx (cabozantinib tablet)drugId:5585	PA	CHEMOTHERAPY
Caduet (amlodipine / atorvastatin)drugId:42	PA	CARDIOVASCULAR/STATIN	M90
cafcit (caffeine citrate injection)		BRONCHODILATORS	MB
caffeine citrate solution		BRONCHODILATORS
calamine lotion		DERMATOLOGICAL	*
Calan SRdrugId:2742 (verapamil sustained-release)drugId:2742		CARDIOVASCULAR	M90, #
calcipotriene ointmentdrugId:2563	PA > 60 grams/month	DERMATOLOGICAL	A90
calcipotriene scalp solutiondrugId:2562		DERMATOLOGICAL	A90
calcitonin salmon nasal spraydrugId:423		HORMONE AGENTS	M90
calcitriol injectiondrugId:425		ELECTROLYTES AND NUTRIENTS	MB
calcitriol ointmentdrugId:424	PA	DERMATOLOGICAL	A90
calcium acetate		ELECTROLYTES AND NUTRIENTS	M90
calcium replacementdrugId:428		ELECTROLYTES AND NUTRIENTS	*, M90
Calquence (acalabrutinib)drugId:6483	PA	CHEMOTHERAPY
Camcevi (leuprolide)drugId:8332	PA	HORMONE AGENTS
Campath (alemtuzumab 30 mg)drugId:6110		CHEMOTHERAPY
Camptosar (irinotecan)drugId:970		CHEMOTHERAPY	MB
Camzyos (mavacamten)drugId:8252	PA	CARDIOVASCULAR
Canasa (mesalamine suppository)drugId:2095		GI ANTI-INFLAMMATORY	BP
Cancidas (caspofungin)		ANTIBIOTICS	#
Capastat (capreomycin)drugId:2490		TB PREPARATIONS
Caplyta (lumateperone)drugId:7362	PA	ANTIPSYCHOTIC
Caprelsa (vandetanib)drugId:2281	PA	CHEMOTHERAPY
capsaicin		DERMATOLOGICAL	*, A90
captopril / hydrochlorothiazidedrugId:438	PA	CARDIOVASCULAR	M90
captoprildrugId:437	PA	CARDIOVASCULAR	M90
Carac (fluorouracil 0.5% cream)drugId:876		CHEMOTHERAPY	BP, A90
Carafate (sucralfate suspension)		ANTACIDS	BP, A90
Carafate (sucralfate tablet)		ANTACIDS	A90, #
Carbaglu (carglumic acid)drugId:2161	PA	ENZYMES	BP, PD, A90
carbamide peroxide		OTIC PREPARATIONS	*, A90
CarbatroldrugId:439 (carbamazepine extended-release)drugId:439	PA < 6 years	ANTICONVULSANTS	A90, #
carbidopa / levodopa extended-release tabletdrugId:1997		ANTIPARKINSON	A90
carbidopa / levodopa orally disintegrating tabletdrugId:174	PA	ANTIPARKINSON	A90
carbinoxamine 4 mg/5 mL solution, 4 mg tabletdrugId:2267		ANTIHISTAMINES	A90
carbinoxamine 6 mg tabletdrugId:7229	PA	ANTIHISTAMINES	A90
Carbocaine (mepivacaine)		ANESTHETICS	MB
carboplatindrugId:179		CHEMOTHERAPY	MB
CardizemdrugId:528 (diltiazem-Cardizem)drugId:528		CARDIOVASCULAR	M90, #
Cardizem CD (diltiazem 360 mg-Cardizem CD)drugId:2299	PA	CARDIOVASCULAR	M90
Cardizem CDdrugId:531 (diltiazem 120 mg, 180 mg, 240 mg, 300 mg-Cardizem CD)drugId:531		CARDIOVASCULAR	M90, #
Cardizem LAdrugId:529 (diltiazem extended-release tablet)drugId:529		CARDIOVASCULAR	M90, #
CarduradrugId:565 (doxazosin immediate-release)drugId:565		CARDIOVASCULAR	M90, #
Cardura XL (doxazosin extended-release)drugId:566		BENIGN PROSTATIC HYPERPLASIA AGENTS
Carestart (COVID-19 antigen self-test)drugId:8174 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
carisoprodol / aspirin / codeinedrugId:182	PA	OPIOID ANALGESICS/MUSCLE RELAXANTS
carisoprodol / aspirindrugId:181	PA	MUSCLE RELAXANT
Carnitor (levocarnitine injection)		ELECTROLYTES AND NUTRIENTS	MB
Carnitor (levocarnitine tablet, solution)		ELECTROLYTES AND NUTRIENTS	A90, #
Carospir (spironolactone suspension)drugId:6280	PA	ALDOSTERONE ANTAGONISTS
carteololdrugId:184		OPHTHALMIC PREPARATIONS	M90
Carvykti (ciltacabtagene autoleucel)drugId:8204	PA	CHEMOTHERAPY	CO, MB
CasodexdrugId:362 (bicalutamide)drugId:362		CHEMOTHERAPY	A90, #
Catapres-TTS (clonidine patch)drugId:2194	PA	CARDIOVASCULAR
Cayston (aztreonam)		ANTIBIOTICS
cefaclor capsuledrugId:189		ANTIBIOTICS	A90
cefaclor extended-releasedrugId:190	PA	ANTIBIOTICS	A90
cefaclor suspensiondrugId:8338	PA	CEPHALOSPORINS	A90
cefadroxil capsule, suspensiondrugId:191		ANTIBIOTICS	A90
cefadroxil tabletdrugId:1986	PA	ANTIBIOTICS	A90
cefazolindrugId:192		ANTIBIOTICS
cefdinirdrugId:193		ANTIBIOTICS	A90
cefepimedrugId:195		ANTIBIOTICS
cefotetandrugId:5200		ANTIBIOTICS
cefoxitindrugId:198		ANTIBIOTICS
cefpodoxime suspensiondrugId:8039	PA	ANTIBIOTICS	A90
cefpodoxime tabletdrugId:199		ANTIBIOTICS	A90
cefprozildrugId:200		ANTIBIOTICS	A90
ceftazidimedrugId:202		ANTIBIOTICS
ceftriaxonedrugId:204		ANTIBIOTICS
cefuroxime axetildrugId:205		ANTIBIOTICS	A90
cefuroxime sodiumdrugId:206		ANTIBIOTICS
CelebrexdrugId:207 (celecoxib)drugId:207		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
CelestonedrugId:357 (betamethasone injection)drugId:357		GLUCOCORTICOIDS	#
CelexadrugId:248 (citalopram solution, tablet)drugId:248	PA < 6 years	ANTIDEPRESSANTS	A90, #
CellceptdrugId:1410 (mycophenolate mofetil)drugId:1410		IMMUNOMODULATOR	A90, #
Celontin (methsuximide)drugId:948		ANTICONVULSANTS
Centany (mupirocin ointment)drugId:2564		ANTIBIOTICS	A90
cephalexin 250 mg, 500 mg capsule, suspensiondrugId:208		ANTIBIOTICS	A90
cephalexin 750 mg capsuledrugId:209	PA	ANTIBIOTICS	A90
Ceprotin (protein C concentrate)drugId:1605	PA	HEMATINIC AGENT	MB
Cequa (cyclosporine 0.09% ophthalmic solution)drugId:7282	PA	OPHTHALMIC PREPARATIONS
Cerdelga (eliglustat)drugId:4764	PA	ENZYMES
CerebyxdrugId:2681 (fosphenytoin)drugId:2681		ANTICONVULSANTS	#
Cerezyme (imiglucerase)drugId:780	PA	ENZYMES	MB
cetirizine / pseudoephedrinedrugId:2265		ANTIHISTAMINES	*, A90
cetirizine syrup, tabletdrugId:211		ANTIHISTAMINES	*, M90
Chantix (varenicline tablet)		SMOKING CESSATION	A90, #
Chemet (succimer)		CHELATING AGENT
chenodioldrugId:1956	PA	BILE THERAPY	A90
cherry syrupdrugId:214		COMPOUNDING AGENT	*
chloramphenicoldrugId:217		ANTIBIOTICS	MB
chlordiazepoxidedrugId:4361	PA < 6 years	BENZODIAZEPINES
chlorhexidine gluconatedrugId:1990		ANTISEPTICS	*, A90
chloroquine phosphate		ANTIMALARIALS	A90
chlorpheniraminedrugId:222		ANTIHISTAMINES	*, A90
chlorpromazinedrugId:223	PA < 6 years	ANTIPSYCHOTIC	A90
chlorthalidonedrugId:225		CARDIOVASCULAR	M90
chlorzoxazone 250 mg, 375 mg, 750 mgdrugId:2360	PA	MUSCLE RELAXANT	A90
chlorzoxazone 500 mgdrugId:226	PA < 18 years	MUSCLE RELAXANT	A90, #
Cholbam (cholic acid)drugId:4907	PA	BILE THERAPY
cholestyramine / aspartamedrugId:228		LIPID LOWERING AGENTS	M90
cholestyramine / sucrosedrugId:229		LIPID LOWERING AGENTS	M90
cholestyramine resin powderdrugId:7110	PA	LIPID LOWERING AGENTS
Cialis (tadalafil tablet-Cialis)drugId:2373	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
Cibinqo (abrocitinib)drugId:8205	PA	IMMUNOMODULATOR
ciclopirox 8% nail lacquerdrugId:233		FUNGICIDES	A90
ciclopirox powderdrugId:7737	PA	FUNGICIDES
cidofovirdrugId:234		ANTIVIRALS
cilostazoldrugId:235		ANTIPLATELET AGENT	A90
CiloxandrugId:244 (ciprofloxacin ophthalmic ointment, solution)drugId:244		OPHTHALMIC PREPARATIONS	A90, #
Cimduo (lamivudine / tenofovir disoproxil fumarate)drugId:6780	PA	ANTIVIRALS
Cimerli (ranibizumab-eqrn)		OPHTHALMIC PREPARATIONS	MB
cimetidinedrugId:236		H2 ANTAGONISTS	*, M90
cimetidine powderdrugId:7271	PA	H2 ANTAGONISTS
Cimzia (certolizumab)drugId:210	PA	IMMUNOMODULATOR
Cinqair (reslizumab)drugId:5586	PA	BIOLOGICAL	MB
Cinryze (c1 esterase inhibitor, human-Cinryze)drugId:416	PA	ENZYMES
Cinvanti (aprepitant injectable emulsion)drugId:6604	PA	ANTIEMETICS
CiprodrugId:5663 (ciprofloxacin injection, suspension, 250 mg, 500 mg, 750 mg tablet)drugId:5663		ANTIBIOTICS	A90, #
Ciprodex (ciprofloxacin / dexamethasone)drugId:245		OTIC PREPARATIONS	BP, A90
ciprofloxacin 0.2% otic solutiondrugId:2895	PA	OTIC PREPARATIONS	A90
ciprofloxacin 100 mg tabletdrugId:8040	PA	ANTIBIOTICS	A90
Cipro HC (ciprofloxacin / hydrocortisone)drugId:246		OTIC PREPARATIONS
cisplatindrugId:247		CHEMOTHERAPY	MB
citalopram capsuledrugId:8183	PA	ANTIDEPRESSANTS	A90
citric acid / potassium citrate		ELECTROLYTES AND NUTRIENTS	A90
citric acid / sodium citrate / potassium citrate		ELECTROLYTES AND NUTRIENTS	A90
cladribine injectiondrugId:2673		CHEMOTHERAPY	MB
ClaforandrugId:197 (cefotaxime)drugId:197		ANTIBIOTICS	#
Clarinex (desloratadine tablet)drugId:339	PA	ANTIHISTAMINES	M90
Clarinex-D (desloratadine / pseudoephedrine)drugId:474	PA	ANTIHISTAMINES
clarithromycindrugId:252		ANTIBIOTICS	A90
clarithromycin extended-releasedrugId:253	PA	ANTIBIOTICS	A90
clemastine tabletdrugId:254		ANTIHISTAMINES	A90
Clenpiq (sodium picosulfate / magnesium oxide / anhydrous citric acid-Clenpiq)drugId:6380	PA	LAXATIVES
CleocindrugId:2626 (clindamycin capsule, injection, oral solution)drugId:2626		ANTIBIOTICS	A90, #
CleocindrugId:5000 (clindamycin vaginal cream-Cleocin)drugId:5000		ANTIBIOTICS	A90, #
Cleocin TdrugId:257 (clindamycin gel, lotion, solution)drugId:257		ANTIBIOTICS	A90, #
Cleocin Vaginal Ovule (clindamycin vaginal suppository)drugId:4915		ANTIBIOTICS
Climara (estradiol-Climara)		HORMONE REPLACEMENT THERAPY	M90, #
Clindagel (clindamycin gel-Clindagel)drugId:258	PA	ANTIBIOTICS
clindamycin 1.2% / benzoyl peroxide 5%drugId:264	PA	DERMATOLOGICAL	A90
clindamycin pledgetsdrugId:256		ANTIBIOTICS	A90
clindamycin powderdrugId:7738	PA	ANTIBIOTICS
Clindesse (clindamycin vaginal cream-Clindesse)drugId:260	PA	ANTIBIOTICS
clobetasol propionate cream / emollientdrugId:5035		GLUCOCORTICOIDS	A90
clobetasol propionate gel, solutiondrugId:5080		GLUCOCORTICOIDS	A90
clobetasol propionate lotion, shampoo, spraydrugId:7858		GLUCOCORTICOIDS	A90
clobetasol propionate powderdrugId:7160	PA	GLUCOCORTICOIDS
clobetasol propionate shampoo kitdrugId:5033	PA	GLUCOCORTICOIDS	A90
Cloderm (clocortolone cream)drugId:270	PA	GLUCOCORTICOIDS	A90
Clolar (clofarabine)drugId:271		CHEMOTHERAPY	MB
clonazepam 0.125 mg, 0.25 mg, 0.5 mg, 1 mg orally disintegrating tabletdrugId:273	PA < 6 years and PA > 3 units/day	BENZODIAZEPINES
clonazepam 2 mg orally disintegrating tabletdrugId:2909	PA < 6 years and PA > 2 units/day	BENZODIAZEPINES
clonazepam powderdrugId:7023	PA	BENZODIAZEPINES
clonidine extended-release 0.17 mg tabletdrugId:8341	PA	CARDIOVASCULAR	A90
clonidine extended-release 0.1 mg tabletdrugId:3081	PA	NONSTIMULANT ADHD AGENTS	A90
clonidine powderdrugId:6370	PA	CARDIOVASCULAR
clonidine tabletdrugId:5161	PA < 3 years	CARDIOVASCULAR	A90
Clorotekal (chloroprocaine)		ANESTHETICS	MB
clotrimazole / betamethasone creamdrugId:280		FUNGICIDES	A90
clotrimazole / betamethasone lotiondrugId:2856	PA	FUNGICIDES	A90
clotrimazoledrugId:279		FUNGICIDES	*, A90
clotrimazole trochedrugId:1995		FUNGICIDES	A90
clozapine orally disintegrating tabletdrugId:282	PA	ANTIPSYCHOTIC	A90
ClozarildrugId:281 (clozapine tablet)drugId:281	PA < 6 years	ANTIPSYCHOTIC	A90, #
Coagadex (coagulation factor X, human)		ANTI-HEMOPHILIA AGENTS
Coartem (artemether / lumefantrine)drugId:95	PA > 24 units/365 days	ANTIMALARIALS
codeinedrugId:285	PA < 12 years and PA > 360 mg/day	OPIOID ANALGESICS
codeine powderdrugId:286	PA	OPIOID ANALGESICS
cod liver oil		ELECTROLYTES AND NUTRIENTS	*, M90
coenzyme Q10drugId:6202	PA ≥ 22 years	ELECTROLYTES AND NUTRIENTS
ColazaldrugId:126 (balsalazide)drugId:126		GI ANTI-INFLAMMATORY	A90, #
ColcrysdrugId:2162 (colchicine tablet)drugId:2162		GOUT AGENTS	A90, #
ColestiddrugId:290 (colestipol)drugId:290		LIPID LOWERING AGENTS	M90, #
colloidal oatmeal		DERMATOLOGICAL	*
Coly-Mycin MdrugId:291 (colistimethate sodium injection)drugId:291		ANTIBIOTICS	#
Combigan (brimonidine / timolol, ophthalmic)drugId:374		OPHTHALMIC PREPARATIONS	BP, M90
Combipatch (estradiol / norethindrone-Combipatch)		HORMONE REPLACEMENT THERAPY
Combivent (albuterol / ipratropium inhalation spray)drugId:2557		BRONCHODILATORS
CombivirdrugId:1012 (lamivudine / zidovudine)drugId:1012		ANTIVIRALS	A90, #
Cometriq (cabozantinib capsule)drugId:2719	PA	CHEMOTHERAPY
Comirnaty (COVID-19 Pfizer vaccine, bivalent COVID EUA – August 31, 2022 for members ≥ 6 months of age)		COVID - 19 related Treatments and Vaccines	PHE
Complera (emtricitabine / rilpivirine / tenofovir disoproxil fumarate)drugId:2361		ANTIVIRALS
ComtandrugId:602 (entacapone)drugId:602		ANTIPARKINSON	A90, #
Concerta (methylphenidate extended-release-Concerta)drugId:2662	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP
CondyloxdrugId:2261 (podofilox)drugId:2261		DERMATOLOGICAL	#
Conzip (tramadol extended-release capsule)drugId:2362	PA	ANALGESICS
Copaxone (glatiramer)drugId:930		MULTIPLE SCLEROSIS AGENTS	BP
Copiktra (duvelisib)drugId:7002	PA	CHEMOTHERAPY
CoregdrugId:185 (carvedilol)drugId:185		CARDIOVASCULAR	M90, #
Coreg CR (carvedilol extended-release)drugId:186	PA	CARDIOVASCULAR	BP, M90
CorgarddrugId:1416 (nadolol)drugId:1416		CARDIOVASCULAR	M90, #
Corifact (factor XIII concentrate, human)		ANTI-HEMOPHILIA AGENTS
Corlanor (ivabradine)drugId:5124	PA	CARDIOVASCULAR
CortefdrugId:736 (hydrocortisone tablet)drugId:736		GLUCOCORTICOIDS	A90, #
CortenemadrugId:2983 (hydrocortisone enema)drugId:2983		GLUCOCORTICOIDS	A90, #
Cortifoam (hydrocortisone foam)drugId:731		GLUCOCORTICOIDS
Cortisporin-TC (colistin / neomycin / thonzonium / hydrocortisone)drugId:2108		OTIC PREPARATIONS	A90
Cortrophin (corticotropin)drugId:8185	PA	HORMONE AGENTS
Cortrosyn (cosyntropin)		DIAGNOSTICS	#
Cosela (trilaciclib)drugId:7897	PA	CHEMOTHERAPY	MB
Cosentyx (secukinumab)drugId:4908	PA	IMMUNOMODULATOR
Cosmegen (dactinomycin)drugId:2674		CHEMOTHERAPY	MB
CosoptdrugId:564 (dorzolamide / timolol)drugId:564		OPHTHALMIC PREPARATIONS	M90, #
Cosopt PF (dorzolamide / timolol, preservative free)drugId:2517	PA	OPHTHALMIC PREPARATIONS	BP, M90
Cotellic (cobimetinib)drugId:5243	PA	CHEMOTHERAPY
Cotempla XR-ODT (methylphenidate extended-release orally disintegrating tablet)drugId:6281	PA	CEREBRAL STIMULANTS
CozaardrugId:1103 (losartan)drugId:1103		CARDIOVASCULAR	M90, #
Creon DR (pancrelipase-Creon DR)drugId:1082		ENZYMES
Cresemba (isavuconazonium)drugId:4909	PA	FUNGICIDES
CrestordrugId:5601 (rosuvastatin 40 mg)drugId:5601	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
CrestordrugId:1459 (rosuvastatin 5 mg, 10 mg, 20 mg)drugId:1459	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
Crinone (progesterone gel)drugId:2587	PA	HORMONE REPLACEMENT THERAPY
cromolyn inhalationdrugId:298		BRONCHODILATORS	A90
cromolyn ophthalmicdrugId:299		OPHTHALMIC PREPARATIONS	A90
Crysvita (burosumab-twza)drugId:6740	PA	BIOLOGICAL	MB
CubicindrugId:326 (daptomycin)drugId:326		ANTIBIOTICS	#
Culturelle (lactobacillus rhamnosus GG)drugId:6204	PA ≥ 22 years	GASTROINTESTINAL AGENT
Cuprimine (penicillamine capsule)		CHELATING AGENT	BP, A90
Cutaquig (immune globulin subcutaneous injection, human-hipp)drugId:7131	PA	BIOLOGICAL
Cuvitru (immune globulin subcutaneous injection, human-Cuvitru)drugId:5720	PA	BIOLOGICAL
Cuvposa (glycopyrrolate oral solution)drugId:2163	PA	ANTISPASMODICS,ANTICHOLINERGIC	A90
CVS COVID-19 At-Home Test (COVID-19 antigen self-test)drugId:8330 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
Cyanokit (hydroxocobalamin)		ANTIDOTES
cyclobenzaprine 5 mg, 10 mgdrugId:305	PA < 15 years	MUSCLE RELAXANT	A90
cyclobenzaprine 7.5 mgdrugId:306	PA	MUSCLE RELAXANT	A90
cyclopentolate / phenylephrine		OPHTHALMIC PREPARATIONS
cyclopentolate		OPHTHALMIC PREPARATIONS	A90
cyclophosphamide capsule, tabletdrugId:310		CHEMOTHERAPY	A90
cyclophosphamide injectiondrugId:8364		CHEMOTHERAPY	MB
cycloserinedrugId:2498		TB PREPARATIONS	A90
Cycloset (bromocriptine 0.8 mg tablet)drugId:2984		DIABETIC AGENTS
CymbaltadrugId:585 (duloxetine 20 mg, 30 mg, 60 mg capsule)drugId:585	PA < 6 years	ANTIDEPRESSANTS	A90, #
cyproheptadinedrugId:315		ANTIHISTAMINES	A90
Cyramza (ramucirumab)drugId:2955	PA	CHEMOTHERAPY	MB
Cystadane (betaine)		ELECTROLYTES AND NUTRIENTS	BP
Cystadrops (cysteamine 0.37% ophthalmic solution)drugId:7659	PA	OPHTHALMIC PREPARATIONS
Cystagon (cysteamine immediate-release capsule)drugId:316		ENZYMES
Cystaran (cysteamine 0.44% ophthalmic solution)drugId:2818	PA	OPHTHALMIC PREPARATIONS
cytarabinedrugId:317		CHEMOTHERAPY	MB
Cytogam (cytomegalovirus immune globulin IV, human)drugId:318		BIOLOGICAL	MB
Cytomel (liothyronine)		THYROID PREPARATIONS	M90, #
Cytotec (misoprostol)		ANTACIDS	A90, #
Cytra-2 (sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-3 (potassium citrate / sodium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
Cytra-K (potassium citrate / citric acid)		ELECTROLYTES AND NUTRIENTS	A90
D.H.E. 45 (dihydroergotamine injection)drugId:526	PA	ANALGESICS
dacarbazinedrugId:319		CHEMOTHERAPY	MB
Dacogen (decitabine)drugId:332		CHEMOTHERAPY	MB
Daliresp (roflumilast tablet)drugId:2282	PA	IMMUNOMODULATOR	M90
Dalvance (dalbavancin)drugId:4623	PA	ANTIBIOTICS
danazol		HORMONE AGENTS	A90
Dantrium (dantrolene injection solution)drugId:4645		MUSCLE RELAXANT	MB
DantriumdrugId:323 (dantrolene capsule)drugId:323		MUSCLE RELAXANT	A90, #
Danyelza (naxitamab-gqgk)drugId:7725	PA	CHEMOTHERAPY	MB
dapsone tabletdrugId:324		ANTIBIOTICS	A90
Daptacel (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:536		BIOLOGICAL	1
daptomycindrugId:6744		ANTIBIOTICS
Daraprim (pyrimethamine)drugId:1614	PA	ANTIMALARIALS	BP, A90
darifenacindrugId:328	PA	URINARY ANTISPASMODICS	A90
Dartisla ODT (glycopyrrolate orally disintegrating tablet)drugId:8206	PA	ANTISPASMODICS,ANTICHOLINERGIC
Darzalex (daratumumab)drugId:5244	PA	CHEMOTHERAPY	MB
Darzalex Faspro (daratumumab / hyaluronidase-fihj)drugId:7387	PA	CHEMOTHERAPY
daunorubicindrugId:2676		CHEMOTHERAPY	MB
Daurismo (glasdegib)drugId:7100	PA	CHEMOTHERAPY
DayprodrugId:1309 (oxaprozin)drugId:1309		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Daytrana (methylphenidate transdermal)drugId:3060	PA < 3 years or ≥ 21 years and PA > 1 unit/day	CEREBRAL STIMULANTS	BP
Dayvigo (lemborexant)drugId:7388	PA	SEDATIVE, NON-BARBITURATE
DDAVPdrugId:476 (desmopressin-DDAVP)drugId:476		HORMONE AGENTS	A90, #
DecadrondrugId:2491 (dexamethasone solution, tablet)drugId:2491		GLUCOCORTICOIDS	A90, #
Dekas Bariatric (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Bariatric)drugId:6605	PA	ELECTROLYTES AND NUTRIENTS	M90
Dekas Essential (multivitamin-Dekas Essential)drugId:5623	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / coenzyme Q10-Dekas Plus)drugId:5621	PA	HEMATINIC AGENT	M90
Dekas Plus (multivitamins / minerals / folic acid / coenzyme Q10-Dekas Plus)drugId:5622	PA	HEMATINIC AGENT	M90
Delestrogen (estradiol-Delestrogen)		HORMONE REPLACEMENT THERAPY	#
Delstrigo (doravirine / lamivudine / tenofovir disoproxil fumarate)drugId:6981		ANTIVIRALS	PD
Delzicol DR (mesalamine capsule)drugId:2720		GI ANTI-INFLAMMATORY	BP, A90
demeclocyclinedrugId:337		ANTIBIOTICS	A90
Demerol (meperidine)drugId:1144	PA	OPIOID ANALGESICS
Demser (metyrosine)drugId:1349		CARDIOVASCULAR	BP
Denavir (penciclovir)drugId:1495		ANTIVIRALS	BP, A90
Dengvaxia (dengue tetravalent vaccine, live)drugId:8021		BIOLOGICALS
DepakenedrugId:4506 (valproic acid)drugId:4506	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote (divalproex sprinkle capsule)drugId:3360	PA < 6 years	ANTICONVULSANTS	BP, A90
DepakotedrugId:552 (divalproex immediate-release)drugId:552	PA < 6 years	ANTICONVULSANTS	A90, #
Depakote ERdrugId:550 (divalproex extended-release)drugId:550	PA < 6 years	ANTICONVULSANTS	A90, #
Depen (penicillamine tablet)		CHELATING AGENT	A90, #
Depo-estradiol (estradiol-Depo-estradiol)		HORMONE REPLACEMENT THERAPY
Depo-MedroldrugId:966 (methylprednisolone acetate)drugId:966		GLUCOCORTICOIDS	#
Depo-Provera (medroxyprogesterone injection)		CONTRACEPTIVES	#
Depo-SubQ Provera 104 (medroxyprogesterone injection)		CONTRACEPTIVES
Depo-Testosterone (testosterone cypionate)drugId:1680	PA	HORMONE REPLACEMENT THERAPY
Derma-Smoothe-FSdrugId:867 (fluocinolone body oil, scalp oil)drugId:867		GLUCOCORTICOIDS	A90, #
Dermotic (fluocinolone oil, otic drops)drugId:870		OTIC PREPARATIONS	BP, A90
Descovy (emtricitabine / tenofovir alafenamide)drugId:5381		ANTIVIRALS	PD
DesferaldrugId:334 (deferoxamine)drugId:334		CHELATING AGENT	#
desloratadine orally disintegrating tabletdrugId:2749	PA	ANTIHISTAMINES	M90
desonide creamdrugId:484		GLUCOCORTICOIDS	A90
desonide lotiondrugId:2528	PA	GLUCOCORTICOIDS	A90
desonide ointmentdrugId:7960		GLUCOCORTICOIDS	A90
desoximetasone 0.25% creamdrugId:7961		GLUCOCORTICOIDS	A90
Desoxyn (methamphetamine)drugId:1165	PA	CEREBRAL STIMULANTS
desvenlafaxine extended-releasedrugId:2777	PA	ANTIDEPRESSANTS	A90
DetroldrugId:1726 (tolterodine immediate-release)drugId:1726		URINARY ANTISPASMODICS	A90, #
Detrol LAdrugId:1725 (tolterodine extended-release)drugId:1725		URINARY ANTISPASMODICS	A90, #
dexamethasone injectiondrugId:5131		GLUCOCORTICOIDS
dexamethasone sodium phosphate ophthalmic solutiondrugId:4919		OPHTHALMIC PREPARATIONS	A90
dexamethasone tablet packdrugId:492	PA	GLUCOCORTICOIDS	A90
dexchlorpheniramine solutiondrugId:7220	PA	ANTIHISTAMINES	A90
Dexedrine SpansuledrugId:3140 (dextroamphetamine 5 mg, 10 mg, 15 mg capsule)drugId:3140	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Dexilant (dexlansoprazole)drugId:496		PROTON PUMP INHIBITORS	BP, M90
Dextenza (dexamethasone ophthalmic insert)drugId:7181		OPHTHALMIC PREPARATIONS	MB
dextrindrugId:6205		GASTROINTESTINAL AGENT	*, A90
dextroamphetamine 2.5 mg, 7.5 mg, 15 mg, 20 mg, 30 mg tabletdrugId:3121	PA	CEREBRAL STIMULANTS
dextroamphetamine 5 mg, 10 mg tabletdrugId:3120	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
dextroamphetamine solutiondrugId:3141	PA < 3 years or ≥ 21 years and PA > 40 mL/day	CEREBRAL STIMULANTS
dextrose		ELECTROLYTES AND NUTRIENTS
Diacomit (stiripentol)drugId:7132	PA	ANTICONVULSANTS
DiastatdrugId:503 (diazepam rectal gel)drugId:503	PA > 5 kits (10 syringes)/30 days	BENZODIAZEPINES	#
diazepam injectiondrugId:7663		BENZODIAZEPINES
diazepam powderdrugId:506	PA	BENZODIAZEPINES
Diclegis (doxylamine / pyridoxine delayed-release)drugId:2778	PA	ANTIEMETICS	BP, A90
diclofenac 1% geldrugId:512		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac 3% geldrugId:508		CHEMOTHERAPY	A90
diclofenac extended-releasedrugId:513		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac ophthalmic solutiondrugId:2269		OPHTHALMIC PREPARATIONS	A90
diclofenac potassium 25 mg tabletdrugId:8186	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac potassium 50 mg tabletdrugId:8199		NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac powder for solutiondrugId:1953	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
diclofenac sodium tabletdrugId:2117		NONSTEROIDAL ANTI-INFLAMMATORY	A90
dicloxacillindrugId:515		ANTIBIOTICS	A90
didanosinedrugId:517		ANTIVIRALS	A90
Dificid (fidaxomicin)drugId:2283	PA	ANTIBIOTICS
diflorasone creamdrugId:4918	PA	GLUCOCORTICOIDS	A90
diflorasone ointmentdrugId:2207	PA	GLUCOCORTICOIDS	A90
DiflucandrugId:860 (fluconazole)drugId:860		FUNGICIDES	A90, #
diflunisaldrugId:521		NONSTEROIDAL ANTI-INFLAMMATORY	A90
dihydrocodeine / acetaminophen / caffeinedrugId:5142	PA	OPIOID ANALGESICS
DilantindrugId:1525 (phenytoin extended 30 mg and 100 mg capsule)drugId:1525		ANTICONVULSANTS	A90, #
Dilantin-125drugId:2938 (phenytoin suspension)drugId:2938		ANTICONVULSANTS	A90, #
Dilantin InfatabdrugId:1523 (phenytoin chewable tablet)drugId:1523		ANTICONVULSANTS	A90, #
DilaudiddrugId:754 (hydromorphone)drugId:754	PA > 24 mg/day	OPIOID ANALGESICS	#
dimenhydrinate injectiondrugId:2677		ANTIHISTAMINES
dimethyl sulfoxide liquiddrugId:7161	PA	ANALGESICS
DiovandrugId:1785 (valsartan tablet)drugId:1785		CARDIOVASCULAR	M90, #
Diovan HCTdrugId:1786 (valsartan / hydrochlorothiazide)drugId:1786		CARDIOVASCULAR	M90, #
Dipentum (olsalazine)drugId:1286		GI ANTI-INFLAMMATORY
diphtheria / tetanus toxoids vaccinedrugId:7777		BIOLOGICALS	1
DiprolenedrugId:5022 (betamethasone dipropionate, augmented ointment)drugId:5022		GLUCOCORTICOIDS	A90, #
dipyridamoledrugId:545		ANTIPLATELET AGENT	M90
Ditropan XLdrugId:1314 (oxybutynin extended-release tablet)drugId:1314		URINARY ANTISPASMODICS	A90, #
DiurildrugId:221 (chlorothiazide)drugId:221		CARDIOVASCULAR	M90, #
Divigel (estradiol-Divigel)		HORMONE REPLACEMENT THERAPY	BP, A90
Docefrez (docetaxel)drugId:2985		CHEMOTHERAPY	MB
docetaxeldrugId:553		CHEMOTHERAPY	MB
docusate sodium capsule, tabletdrugId:554		CONSTIPATION AGENTS	*, M90
docusate sodium solution, syrupdrugId:8223		CONSTIPATION AGENTS	*, A90
Dojolvi (triheptanoin)drugId:7488	PA	ELECTROLYTES AND NUTRIENTS
Dolophine (methadone oral-Dolophine)drugId:1163	PA	OPIOID ANALGESICS
donepezil orally disintegrating tabletdrugId:560	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90
Doptelet (avatrombopag)drugId:6990	PA	HEMATOLOGIC
Doral (quazepam)drugId:8415	PA	BENZODIAZEPINES
Doryx (doxycycline hyclate delayed-release 50 mg, 60 mg, 80 mg, 120 mg, 200 mg tablet)drugId:2900	PA	ANTIBIOTICS	A90
double antibiotic ointment (bacitracin / polymyxin B topical ointment)drugId:6260		ANTIBIOTICS	*, A90
Dovato (dolutegravir / lamivudine)drugId:7240		ANTIVIRALS	PD
DovonexdrugId:420 (calcipotriene cream)drugId:420	PA > 60 grams/month	DERMATOLOGICAL	A90, #
doxepin capsule, oral concentratedrugId:2040	PA < 6 years	ANTIDEPRESSANTS	A90
doxercalciferol capsuledrugId:570	PA	ELECTROLYTES AND NUTRIENTS	M90
Doxil (doxorubicin liposomal injection)drugId:2689		CHEMOTHERAPY	MB
doxycycline hyclate 20 mg, 100 mg tabletdrugId:2902		ANTIBIOTICS	A90
doxycycline hyclate 50 mg capsuledrugId:2901		ANTIBIOTICS	A90
doxycycline hyclate 50 mg tabletdrugId:8045	PA	ANTIBIOTICS	A90
doxycycline hyclate 75 mg, 150 mg tabletdrugId:6141	PA	ANTIBIOTICS	A90
doxycycline hyclate delayed-release 75 mg, 100 mg, 150 mg tabletdrugId:574	PA	ANTIBIOTICS	A90
doxycycline hyclate injectiondrugId:2301		ANTIBIOTICS
doxycycline monohydrate 150 mg capsuledrugId:576	PA	ANTIBIOTICS	A90
doxycycline monohydrate 150 mg tabletdrugId:2905	PA	ANTIBIOTICS	A90
doxycycline monohydrate 40 mg capsuledrugId:579	PA	ANTIBIOTICS	A90
doxycycline monohydrate 50 mg, 100 mg capsuledrugId:2899		ANTIBIOTICS	A90
doxycycline monohydrate 50 mg, 75 mg, 100 mg tabletdrugId:2300		ANTIBIOTICS	A90
doxycycline monohydrate 75 mg capsuledrugId:2906	PA	ANTIBIOTICS	A90
doxylamine		SEDATIVE, NON-BARBITURATE	*, A90
Drizalma (duloxetine sprinkle capsule)drugId:7347	PA	CEREBRAL STIMULANTS
droperidol		ANTIPSYCHOTIC
Droxia (hydroxyurea capsule)drugId:760		HEMATOLOGIC
Drysol (aluminum chloride)drugId:8408	PA	DERMATOLOGICAL
Duaklir (aclidinium / formoterol)drugId:7330	PA	BRONCHODILATORS
Duavee (estrogens, conjugated/bazedoxifene)		ESTROGENS
Duetact (glimepiride / pioglitazone)drugId:1535	PA	DIABETIC AGENTS	BP, M90
DuexisdrugId:2363 (ibuprofen / famotidine)drugId:2363	PA < 60 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
Dulera (mometasone / formoterol)drugId:1958		BRONCHODILATORS	BP
duloxetine 40 mg capsuledrugId:4911	PA	PSYCHOSTIMULANTS-ANTIDEPRESSAN	A90
Duobrii (halobetasol / tazarotene lotion)drugId:7134	PA	GLUCOCORTICOIDS
Duopa (carbidopa / levodopa enteral suspension)drugId:5104	PA	ANTIPARKINSON
Dupixent (dupilumab)drugId:6101	PA	BIOLOGICAL	PD
DuraclondrugId:2750 (clonidine injection)drugId:2750		ANALGESICS	#
Duramorph (morphine, injection-Duramorph)drugId:1392	PA > 120 mg/day	OPIOID ANALGESICS
DurezoldrugId:522 (difluprednate)drugId:522		OPHTHALMIC PREPARATIONS	A90, #
Durolane (hyaluronate, stabilized)drugId:6381	PA	HYALURONAN	MB
Durysta (bimatoprost implant)drugId:7489	PA	OPHTHALMIC PREPARATIONS
Dyanavel XR (amphetamine extended-release 2.5 mg/mL oral suspension)drugId:5383	PA	CEREBRAL STIMULANTS
Dyanavel XR (amphetamine extended-release chewable tablet)drugId:8525	PA	AMPHETAMINE PREPARATIONS
Dymista (azelastine / fluticasone propionate)drugId:2580		NASAL PREPARATIONS	BP, M90
Dysport (abobotulinumtoxinA)drugId:141	PA	BIOLOGICAL
econazole 1% creamdrugId:588		FUNGICIDES	A90
Edarbi (azilsartan)drugId:2240		CARDIOVASCULAR
Edarbyclor (azilsartan / chlorthalidone)drugId:2480		CARDIOVASCULAR
Edecrin (ethacrynic acid tablet)drugId:664	PA	CARDIOVASCULAR	M90
Edluar (zolpidem 5 mg, 10 mg sublingual tablet)drugId:4340	PA	SEDATIVES
Edurant (rilpivirine)drugId:2284		ANTIVIRALS	BP
Effexor XRdrugId:3901 (venlafaxine extended-release capsule)drugId:3901	PA < 6 years	ANTIDEPRESSANTS	A90, #
EffientdrugId:1571 (prasugrel)drugId:1571		ANTIPLATELET AGENT	A90, #
Efudex (fluorouracil 5% cream)drugId:2260		CHEMOTHERAPY	BP, A90
Egaten (triclabendazole)drugId:7283	PA	ANTIPARASITICS
Egrifta SV (tesamorelin)drugId:5626	PA	OTHER HORMONES
Elaprase (idursulfase)drugId:776	PA	ENZYMES	MB
electrolye solution, pediatric		ELECTROLYTES AND NUTRIENTS	*, A90
Elelyso (taliglucerase alfa)drugId:2558	PA	ENZYMES	MB
Elepsia XR (levetiracetam extended-release-Elepsia XR)drugId:8187	PA	ANTICONVULSANTS
Elestrin (estradiol-Elestrin)		HORMONE REPLACEMENT THERAPY
Elidel (pimecrolimus)drugId:1531		DERMATOLOGICAL	BP, A90
Eligard (leuprolide)drugId:1034	PA	CHEMOTHERAPY
ElimitedrugId:4700 (permethrin cream)drugId:4700		ANTIPARASITICS	A90, #
Eliquis (apixaban)drugId:2721		ANTICOAGULANTS
Elitek (rasburicase)		ENZYMES	MB
Ella (ulipristal acetate)		CONTRACEPTIVES
EllencedrugId:608 (epirubicin)drugId:608		CHEMOTHERAPY	#
Elmiron (pentosan)		ANALGESICS
Eloctate (factor VIII recombinant, Fc fusion protein)		ANTI-HEMOPHILIA AGENTS
Elyxyb (celecoxib oral solution)drugId:8188	PA	NONSTEROIDAL ANTI-INFLAMMATORY
Elzonris (tagraxofusp-erzs)drugId:7182	PA	CHEMOTHERAPY	MB
Emcyt (estramustine)drugId:656		CHEMOTHERAPY
Emend (aprepitant 125 mg powder for oral suspension)drugId:5726	PA > 6 units/28 days	ANTIEMETICS	A90
Emend (aprepitant trifold pack)drugId:87	PA > 2 packs/28 days	ANTIEMETICS	BP, A90
EmenddrugId:85 (aprepitant 80 mg)drugId:85	PA > 4 capsules/28 days	ANTIEMETICS	A90, #
EmenddrugId:909 (fosaprepitant injection)drugId:909	PA > 2 vials/28 days	ANTIEMETICS	#
Emflaza (deflazacort)drugId:6720	PA	GLUCOCORTICOIDS
Emgality (galcanezumab-gnlm)drugId:7385	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Empaveli (pegcetacoplan)drugId:7919	PA	BIOLOGICAL
Empliciti (elotuzumab)drugId:5246	PA	CHEMOTHERAPY	MB
Emsam (selegiline transdermal patch)drugId:1840	PA	ANTIDEPRESSANTS
Emtriva (emtricitabine)drugId:596		ANTIVIRALS	BP, A90
Enbrel (etanercept)drugId:663	PA	IMMUNOMODULATOR	PD
Endari (l-glutamine)drugId:6503	PA	ELECTROLYTES AND NUTRIENTS
Endometrin (progesterone vaginal insert)drugId:8361	PA	PROGESTERONE
Enemeez (docusate enema)drugId:555		CONSTIPATION AGENTS	A90
Engerix-B (hepatitis B recombinant vaccine)drugId:2579		BIOLOGICAL	1
Enhertu (fam-trastuzumab deruxtecan-nxki)drugId:7390	PA	CHEMOTHERAPY
Enjaymo (sutimlimab-jome)drugId:8207	PA	BIOLOGICAL
Enspryng (satralizumab-mwge)drugId:7525	PA	BIOLOGICAL
Enstilar (betamethasone / calcipotriene foam)drugId:5248		GLUCOCORTICOIDS
Entadfi (finasteride / tadalafil)drugId:8296	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS
Entresto (sacubitril / valsartan)drugId:5125	PA	CARDIOVASCULAR
Entyvio (vedolizumab)drugId:2957	PA	UNCLASSIFIED DRUG PRODUCTS
Envarsus XR (tacrolimus extended-release tablet)drugId:5249	PA	IMMUNOMODULATOR
Epaned (enalapril solution)drugId:2858	PA	CARDIOVASCULAR	M90
Epclusa (sofosbuvir / velpatasvir)drugId:5540	PA	ANTIVIRALS	PD
Epidiolex (cannabidiol)drugId:6901	PA	ANTICONVULSANTS
epinastinedrugId:605	PA	ANTIHISTAMINES	A90
epinephrine auto-injectiondrugId:6109		ADRENERGICS
EpipendrugId:607 (epinephrine 0.3 mg auto-injection-Epipen)drugId:607		ADRENERGICS	#
Epipen JrdrugId:4680 (epinephrine 0.15 mg auto-injection-Epipen Jr)drugId:4680		ADRENERGICS	#
EpivirdrugId:2541 (lamivudine 10 mg/mL solution)drugId:2541		ANTIVIRALS	A90, #
EpivirdrugId:1009 (lamivudine 150 mg, 300 mg tablet)drugId:1009		ANTIVIRALS	A90, #
Epivir HBV (lamivudine 5 mg/mL solution)drugId:1011	PA > 20 mL/day	ANTIVIRALS	A90
Epivir HBVdrugId:1010 (lamivudine 100 mg tablet)drugId:1010	PA > 1 unit/day	ANTIVIRALS	A90, #
Epogen (epoetin alfa-Epogen)drugId:610	PA	HEMATINIC AGENT
Eprontia (topiramate solution)drugId:8189	PA	ANTICONVULSANTS
eprosartandrugId:613	PA	CARDIOVASCULAR	M90
EpzicomdrugId:138 (abacavir / lamivudine)drugId:138		ANTIVIRALS	A90, #
Equetro (carbamazepine extended-release)drugId:171	PA < 6 years	ANTICONVULSANTS
Eraxis (anidulafungin)		ANTIBIOTICS
Erbitux (cetuximab)drugId:212		CHEMOTHERAPY	MB
ergocalciferol capsuledrugId:616		ELECTROLYTES AND NUTRIENTS	M90
ergoloid		CARDIOVASCULAR	A90
ergotamine / caffeine suppositorydrugId:6060	PA	ANALGESICS	A90
ergotamine / caffeine tabletdrugId:618	PA	ANALGESICS	A90
Erivedge (vismodegib)drugId:2481	PA	CHEMOTHERAPY
Erleada (apalutamide)drugId:6682	PA	CHEMOTHERAPY
Ermeza (levothyroxine-Ermeza)		THYROID PREPARATIONS
Ertaczo (sertaconazole)drugId:1843		FUNGICIDES
Erwinase (asparaginase erwinia chrysanthemi)drugId:8407	PA	ANTINEOPLASTICS	MB
ErygeldrugId:5880 (erythromycin gel)drugId:5880		ANTIBIOTICS	A90, #
ErypeddrugId:621 (erythromycin ethylsuccinate suspension)drugId:621		ANTIBIOTICS	A90, #
Erythrocin (erythromycin injection)drugId:2679		ANTIBIOTICS
erythromycin / ethanol pads, pledgetsdrugId:628	PA	ANTIBIOTICS	A90
erythromycin delayed-release capsule, tabletdrugId:623		ANTIBIOTICS	A90
erythromycin ophthalmic ointmentdrugId:625		OPHTHALMIC PREPARATIONS	A90
erythromycin solutiondrugId:2437		ANTIBIOTICS	A90
erythromycin stearate tabletdrugId:8022		ANTIBIOTICS	A90
erythromycin tabletdrugId:624		ANTIBIOTICS	A90
Esbriet (pirfenidone)drugId:4767	PA	PULMONARY FIBROSIS AGENTS	A90
Esperoct (factor VIII recombinant, glycopegylated-exei)		ANTI-HEMOPHILIA AGENTS
estazolamdrugId:634	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES
Estrace (estradiol cream-Estrace)		HORMONE REPLACEMENT THERAPY	A90, #
Estrace (estradiol tablet-Estrace)		HORMONE REPLACEMENT THERAPY	M90, #
Estring (estradiol-Estring)		HORMONE REPLACEMENT THERAPY
Estrostep FE (ethinyl estradiol / norethindrone / ferrous fumarate)		CONTRACEPTIVES	M90, #
ethinyl estradiol / desogestrel		CONTRACEPTIVES	M90
ethinyl estradiol / ethynodiol		CONTRACEPTIVES	M90
ethinyl estradiol / norelgestromin patch		CONTRACEPTIVES	M90
ethinyl estradiol / norethindrone / ferrous fumarate		CONTRACEPTIVES	M90
ethinyl estradiol / norethindrone		CONTRACEPTIVES	M90
ethinyl estradiol / norgestimate		CONTRACEPTIVES	M90
ethinyl estradiol 5 mcg / norethindrone 1 mg		HORMONE REPLACEMENT THERAPY	M90
etidronatedrugId:442		ELECTROLYTES AND NUTRIENTS	M90
etodolacdrugId:443		NONSTEROIDAL ANTI-INFLAMMATORY	A90
etodolac extended-releasedrugId:2065	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Etopophos (etoposide phosphate)drugId:7391	PA	CHEMOTHERAPY	MB
etoposide capsuledrugId:446		CHEMOTHERAPY	A90
etoposide injectiondrugId:8365		CHEMOTHERAPY	MB
Eucrisa (crisaborole)drugId:6041	PA	DERMATOLOGICAL	PD
Euflexxa (hyaluronate-Euflexxa)drugId:4801	PA	HYALURONAN	MB
Eurax (crotamiton cream)drugId:7338		ANTIPARASITICS
Eurax (crotamiton lotion)drugId:300	PA	ANTIPARASITICS	BP
Euthyrox (levothyroxine-Euthyrox)		THYROID PREPARATIONS	M90, #
Evamist (estradiol-Evamist)		HORMONE REPLACEMENT THERAPY
Evekeo ODT (amphetamine sulfate orally disintegrating tablet)drugId:7236	PA	CEREBRAL STIMULANTS
Evenity (romosozumab-aqqg)drugId:7221	PA	BIOLOGICAL
EvistadrugId:1629 (raloxifene)drugId:1629		HORMONE REPLACEMENT THERAPY	M90, #
Evkeeza (evinacumab-dgnb)drugId:7880	PA	LIPID LOWERING AGENTS	MB
Evoclin (clindamycin foam)drugId:261	PA	ANTIBIOTICS	A90
Evomela (melphalan injection)drugId:5385		CHEMOTHERAPY	MB
Evotaz (atazanavir / cobicistat)drugId:4768		ANTIVIRALS
Evoxac (cevimeline)		PARASYMPATHETIC AGENTS	A90, #
Evrysdi (risdiplam)drugId:7524	PA	BIOLOGICAL
Exelderm (sulconazole)drugId:1898	PA	FUNGICIDES	BP, A90
Exelon (rivastigmine patch)drugId:1449	PA > 1 unit/day	ALZHEIMER'S THERAPY	BP, A90
ExforgedrugId:48 (amlodipine / valsartan)drugId:48		CARDIOVASCULAR	M90, #
Exforge HCTdrugId:50 (amlodipine / valsartan / hydrochlorothiazide)drugId:50		CARDIOVASCULAR	M90, #
Exjade (deferasirox 125 mg, 250 mg, 500 mg)drugId:333		CHELATING AGENT	BP, A90
Exkivity (mobocertinib)drugId:8111	PA	CHEMOTHERAPY
Exondys 51 (eteplirsen)drugId:5721	PA	BIOLOGICAL
Exservan (riluzole film)drugId:7881	PA	AMYOTROPHIC LATERAL SCLEROSIS AGENTS
Extavia (interferon beta-1b-Extavia)drugId:828	PA	MULTIPLE SCLEROSIS AGENTS
Extina (ketoconazole foam)drugId:994	PA	FUNGICIDES	A90
Eylea (aflibercept)		OPHTHALMIC PREPARATIONS	MB
Eysuvis (loteprednol 0.25% suspension)drugId:7779	PA	OPHTHALMIC PREPARATIONS
Ezallor (rosuvastatin sprinkle capsule)drugId:7222	PA	LIPID LOWERING AGENTS
Fabior (tazarotene foam)drugId:2841	PA	DERMATOLOGICAL
Fabrazyme (agalsidase beta)drugId:162	PA	ENZYMES
famciclovirdrugId:460		ANTIVIRALS	A90
famotidine injectiondrugId:5603		H2 ANTAGONISTS
famotidine suspensiondrugId:5602	PA	H2 ANTAGONISTS	A90
Fanapt (iloperidone)drugId:777	PA	ANTIPSYCHOTIC
FarestondrugId:1731 (toremifene)drugId:1731		CHEMOTHERAPY	A90, #
Farxiga (dapagliflozin)drugId:2923		DIABETIC AGENTS
Fasenra (benralizumab)drugId:6520	PA	BIOLOGICAL
Faslodex (fulvestrant)drugId:915	PA	CHEMOTHERAPY	MB
Feiba NF (anti-inhibitor coagulant complex-Feiba NF)		ANTI-HEMOPHILIA AGENTS
FelbatoldrugId:465 (felbamate)drugId:465		ANTICONVULSANTS	A90, #
FeldenedrugId:1540 (piroxicam)drugId:1540		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
felodipine extended-releasedrugId:466		CARDIOVASCULAR	M90
FemaradrugId:1031 (letrozole)drugId:1031		CHEMOTHERAPY	A90, #
Femhrt (ethinyl estradiol 2.5 mcg / norethindrone 0.5 mg-Femhrt)		HORMONE REPLACEMENT THERAPY	M90, #
Femring (estradiol-Femring)		HORMONE REPLACEMENT THERAPY
fenofibrate 30 mg, 90 mg capsuledrugId:468		LIPID LOWERING AGENTS	M90
fenofibrate 43 mg, 67 mg, 130 mg, 134 mg, 200 mg capsuledrugId:5461		LIPID LOWERING AGENTS	M90
fenofibrate 54 mg, 160 mg tabletdrugId:471		LIPID LOWERING AGENTS	M90
Fenoglide (fenofibrate 40 mg, 120 mg tablet)drugId:2986	PA	LIPID LOWERING AGENTS	M90
fenoprofen tabletdrugId:838	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Fensolvi (leuprolide)drugId:7426	PA	HORMONE AGENTS
fentanyl 12, 25, 50 mcg/hr transdermal systemdrugId:845	PA > 50 mcg/hr and PA > 10 patches/30 days	OPIOID ANALGESICS
fentanyl 37.5, 62.5, 87.5 mcg/hr transdermal systemdrugId:4769	PA	OPIOID ANALGESICS
fentanyl 75, 100 mcg/hr transdermal systemdrugId:4800	PA	OPIOID ANALGESICS
fentanyl injectiondrugId:842		OPIOID ANALGESICS
fentanyl powderdrugId:843	PA	OPIOID ANALGESICS
Fentora (fentanyl buccal tablet)drugId:840	PA	OPIOID ANALGESICS
Feraheme (ferumoxytol)drugId:849	PA	HEMATINIC AGENT
Ferriprox (deferiprone)drugId:2483	PA	CHELATING AGENT	A90
FerrlecitdrugId:1865 (sodium ferric gluconate complex)drugId:1865		HEMATINIC AGENT	#
ferrous fumaratedrugId:846		HEMATINIC AGENT	*, M90
ferrous gluconatedrugId:847		HEMATINIC AGENT	*, M90
ferrous sulfatedrugId:848		HEMATINIC AGENT	*, M90
Fetroja (cefiderocol)drugId:7392	PA	ANTIBIOTICS
Fetzima (levomilnacipran)drugId:2886	PA	ANTIDEPRESSANTS
fexofenadine / pseudoephedrinedrugId:854		ANTIHISTAMINES	*, A90
fexofenadine tabletdrugId:853		ANTIHISTAMINES	*, M90
Fiasp (insulin aspart-Fiasp)drugId:6400	PA	DIABETIC AGENTS
FibricordrugId:473 (fenofibric acid)drugId:473		LIPID LOWERING AGENTS	M90, #
Fibryga (fibrinogen)		ANTI-HEMOPHILIA AGENTS
Finacea (azelaic acid foam)drugId:5106	PA	DERMATOLOGICAL
Finacea (azelaic acid gel)drugId:113	PA	DERMATOLOGICAL	BP, A90
Fintepla (fenfluramine)drugId:7464	PA	ANTICONVULSANTS
Firazyr (icatibant)drugId:2364	PA	ENZYMES
Firdapse (amifampridine)drugId:7041	PA	POTASSIUM CHANNEL BLOCKER
Firmagon (degarelix)drugId:335	PA	CHEMOTHERAPY
First-Omeprazole (omeprazole suspension compounding kit)drugId:8402	PA	PROTON PUMP INHIBITORS
Firvanq (vancomycin oral solution)drugId:6683		ANTIBIOTICS	BP
Flagyl (metronidazole 375 mg capsule)drugId:1988	PA	ANTIBIOTICS	A90
Flarex (fluorometholone acetate)drugId:873		OPHTHALMIC PREPARATIONS
flavoxatedrugId:858		URINARY ANTISPASMODICS	A90
Flebogamma (immune globulin IV, human-Flebogamma)drugId:786	PA	BIOLOGICAL
flecainidedrugId:859		CARDIOVASCULAR	M90
Flector (diclofenac topical patch-Flector)drugId:509	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
Fleqsuvy (baclofen suspension)drugId:8297	PA	MUSCLE RELAXANT
FlolandrugId:612 (epoprostenol-Flolan)drugId:612		CARDIOVASCULAR	#
FlomaxdrugId:1922 (tamsulosin)drugId:1922		BENIGN PROSTATIC HYPERPLASIA AGENTS	M90, #
Florastor (saccharomyces boulardii)drugId:6207	PA ≥ 22 years	GASTROINTESTINAL AGENT
Flovent (fluticasone propionate inhalation aerosol)drugId:7940		BRONCHODILATORS	BP, A90
Flovent (fluticasone propionate inhalation powder)drugId:893		BRONCHODILATORS
Flowflex (COVID-19 antigen self-test)drugId:8170 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
floxuridinedrugId:2680		CHEMOTHERAPY	MB
Fluad (influenza virus vaccine, adjuvanted)drugId:5386	PA < 65 years	BIOLOGICAL	1
Fluarix (influenza virus vaccine-Fluarix)drugId:796		BIOLOGICAL	1
Flublok (influenza virus vaccine-Flublok)drugId:2863		BIOLOGICAL	1
Flucelvax (influenza virus vaccine-Flucelvax)drugId:2652		BIOLOGICAL	1
fluconazole powderdrugId:7162	PA	FUNGICIDES
fludarabinedrugId:2538		CHEMOTHERAPY
fludrocortisonedrugId:863		GLUCOCORTICOIDS	A90
Flulaval (influenza virus vaccine-Flulaval)drugId:795		BIOLOGICAL	1
Flumist (influenza virus vaccine-Flumist)drugId:800		BIOLOGICAL	1
flunisolide nasal spraydrugId:866	PA	NASAL PREPARATIONS	M90
fluocinolone 0.01% creamdrugId:2529		GLUCOCORTICOIDS	A90
fluocinonide / emollientdrugId:2910		GLUCOCORTICOIDS	A90
fluocinonide cream, gel, ointment, solutiondrugId:2577		GLUCOCORTICOIDS	A90
fluorescein / benoxinate		OPHTHALMIC PREPARATIONS	A90
fluorouracil injectiondrugId:875		CHEMOTHERAPY	MB
fluorouracil solutiondrugId:877		CHEMOTHERAPY	A90
fluoxetine 10 mg, 20 mg tablet for premenstrual dysphoric disorderdrugId:881	PA < 6 years	ANTIDEPRESSANTS	A90
fluoxetine 60 mg tabletdrugId:4580	PA	ANTIDEPRESSANTS	A90
fluoxetine 90 mg delayed-release capsuledrugId:880	PA	ANTIDEPRESSANTS	A90
fluphenazinedrugId:883	PA < 6 years	ANTIPSYCHOTIC	A90
flurandrenolide cream, lotiondrugId:5520	PA	GLUCOCORTICOIDS	A90
flurandrenolide ointmentdrugId:5941	PA	GLUCOCORTICOIDS	A90
flurazepamdrugId:885	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES
flurbiprofendrugId:887		NONSTEROIDAL ANTI-INFLAMMATORY	A90
flurbiprofen ophthalmic solutiondrugId:886		OPHTHALMIC PREPARATIONS	A90
flutamidedrugId:888		CHEMOTHERAPY	A90
fluticasone creamdrugId:5065		GLUCOCORTICOIDS	A90
fluticasone lotiondrugId:892	PA	GLUCOCORTICOIDS	A90
fluticasone ointmentdrugId:5066		GLUCOCORTICOIDS	A90
fluticasone propionate 50 mcg nasal spraydrugId:889	PA > 1 inhaler/30 days	NASAL PREPARATIONS	M90
fluvoxamine extended-releasedrugId:901	PA	ANTIDEPRESSANTS	A90
fluvoxamine immediate-releasedrugId:900	PA < 6 years	ANTIDEPRESSANTS	A90
Fluzone (influenza virus vaccine, high dose)drugId:798	PA < 65 years	BIOLOGICAL	1
Fluzone (influenza virus vaccine-Fluzone)drugId:797		BIOLOGICAL	1
FMLdrugId:874 (fluorometholone)drugId:874		OPHTHALMIC PREPARATIONS	A90, #
FocalindrugId:3101 (dexmethylphenidate)drugId:3101	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS	#
Focalin XR (dexmethylphenidate extended-release)drugId:498	PA < 3 years or ≥ 21 years and PA > 2 units/day	CEREBRAL STIMULANTS	BP, PD
folic aciddrugId:902		ELECTROLYTES AND NUTRIENTS	*, M90
Folotyn (pralatrexate)drugId:1568		CHEMOTHERAPY	MB
Foltrate (cyanocobalamin / folic acid)drugId:303	PA	ELECTROLYTES AND NUTRIENTS
Forfivo XL (bupropion hydrochloride extended-release 450 mg tablet)drugId:2640	PA	ANTIDEPRESSANTS	BP, A90
Forteo (teriparatide-Forteo)drugId:1678	PA	HORMONE AGENTS	BP
Fortesta (testosterone 2% gel pump)drugId:2241	PA	HORMONE REPLACEMENT THERAPY	BP
FosamaxdrugId:7 (alendronate tablet)drugId:7		ELECTROLYTES AND NUTRIENTS	M90, #
Fosamax Plus D (alendronate / cholecalciferol)drugId:9	PA	ELECTROLYTES AND NUTRIENTS
foscarnetdrugId:910		ANTIVIRALS	MB
fosinopril / hydrochlorothiazidedrugId:913		CARDIOVASCULAR	M90
fosinoprildrugId:912		CARDIOVASCULAR	M90
Fosrenol (lanthanum)		ELECTROLYTES AND NUTRIENTS	A90, #
Fotivda (tivozanib)drugId:7882	PA	CHEMOTHERAPY
Fragmin (dalteparin)drugId:321		ANTICOAGULANTS
Frova (frovatriptan)drugId:914	PA	TRIPTAN	BP, A90
Fulphila (pegfilgrastim-jmdb)drugId:6903		HEMATINIC AGENT
Furadantin (nitrofurantoin suspension)drugId:1223	PA	ANTIBIOTICS	A90
Fusilev (levoleucovorin powder for injection)drugId:1047	PA	ANTIDOTES
Fuzeon (enfuvirtide)drugId:600		ANTIVIRALS
Fyarro (sirolimus injection)drugId:8298	PA	IMMUNOMODULATOR
Fycompa (perampanel)drugId:7566	PA	ANTICONVULSANTS
Fylnetra (pegfilgrastim-pbbk)drugId:8527		HEMATINICS & BLOOD CELL STIMULATORS
gabapentin powderdrugId:6373	PA	ANTICONVULSANTS
Gabitril (tiagabine)drugId:2617	PA	ANTICONVULSANTS	A90
GablofendrugId:2166 (baclofen injection)drugId:2166		MUSCLE RELAXANT	#
Galafold (migalastat)drugId:6982	PA	ENZYMES
galantamine solutiondrugId:2251	PA	ALZHEIMER'S THERAPY	A90
galantamine tabletdrugId:920	PA > 2 units/day	ALZHEIMER'S THERAPY	A90
Gamastan S/D (immune globulin IM, human-Gamastan S/D)drugId:2683	PA	BIOLOGICAL
Gamifant (emapalumab-lzsg)drugId:7223	PA	BIOLOGICAL
Gammagard (immune globulin injection, human-Gammagard)drugId:2198	PA	BIOLOGICAL
Gammagard S/D (immune globulin IV, human-Gammagard S/D)drugId:787	PA	BIOLOGICAL
Gammaked (immune globulin injection, human-Gammaked)drugId:2641	PA	BIOLOGICAL
Gammaplex (immune globulin IV, human-Gammaplex)drugId:2381	PA	BIOLOGICAL
Gamunex-C (immune globulin injection, human-Gamunex-C)drugId:2167	PA	BIOLOGICAL
ganciclovir injectiondrugId:922		ANTIVIRALS
Gardasil 9 (human papillomavirus 9-valent vaccine)drugId:4770	PA < 9 years and PA ≥ 46 years	BIOLOGICAL	1
Gastrocrom (cromolyn oral)		BRONCHODILATORS	A90, #
Gattex (teduglutide injection)drugId:2722	PA	GASTROINTESTINAL AGENT	BP
Gavreto (pralsetinib)drugId:7660	PA	CHEMOTHERAPY
Gazyva (obinutuzumab)drugId:2887	PA	CHEMOTHERAPY	MB
gelatin capsule, emptydrugId:925		COMPOUNDING AGENT
Gelnique (oxybutynin gel)drugId:1315		URINARY ANTISPASMODICS	BP
Gel-One (hyaluronate, crossed-linked)drugId:4802	PA	HYALURONAN	MB
Gelsyn (hyaluronate-Gelsyn)drugId:5620	PA	HYALURONAN	MB
gemcitabine vialdrugId:926		CHEMOTHERAPY	MB
Gemtesa (vibegron)drugId:7781	PA	ADRENERGICS
Genabio (COVID-19 antigen self-test)drugId:8461 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
Generess Fe (ethinyl estradiol / norethindrone / ferrous fumarate chewable 0.8 mg / 25 mcg)		CONTRACEPTIVES	M90, #
Genotropin (somatropin-Genotropin)drugId:1880	PA	HORMONE AGENTS	PD
gentamicin injectiondrugId:2636		ANTIBIOTICS
gentamicin ophthalmic ointment, solutiondrugId:928		OPHTHALMIC PREPARATIONS	A90
gentamicin topical cream, ointmentdrugId:5901		ANTIBIOTICS	A90
Genvisc (hyaluronate-Genvisc)drugId:5340	PA	HYALURONAN	MB
Genvoya (elvitegravir / cobicistat / emtricitabine / tenofovir alafenamide)drugId:5250		ANTIVIRALS	PD
GeodondrugId:4290 (ziprasidone capsule)drugId:4290	PA < 6 years and PA > 2 units/day	ANTIPSYCHOTIC	A90, #
GeodondrugId:1925 (ziprasidone injection)drugId:1925		ANTIPSYCHOTIC	#
Gilenya (fingolimod capsule)drugId:2102	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR	BP, A90
Gilotrif (afatinib)drugId:2843	PA	CHEMOTHERAPY
Gimoti (metoclopramide nasal spray)drugId:8112	PA	GASTROINTESTINAL AGENT
Givlaari (givosiran)drugId:7504	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Glassia (alpha-1-proteinase inhibitor, human-Glassia)		ENZYMES	MB
GleevecdrugId:779 (imatinib)drugId:779		CHEMOTHERAPY	A90, #
Gleostine (lomustine)drugId:8405	PA	ONCOLOGY AGENTS
glipizide / metformindrugId:935		DIABETIC AGENTS	M90
Gloperba (colchicine solution)drugId:7331	PA	GOUT AGENTS
Glucagen (glucagon vial-Glucagen)drugId:7370		DIABETIC AGENTS
glucagon vialdrugId:671		DIABETIC AGENTS
glucose productsdrugId:6745	PA ≥ 19 years	DIABETIC AGENTS	A90
GlucotroldrugId:932 (glipizide)drugId:932		DIABETIC AGENTS	M90, #
Glucotrol XLdrugId:933 (glipizide extended-release)drugId:933		DIABETIC AGENTS	M90, #
Glumetza (metformin extended-release, gastric tablet)drugId:2987	PA	DIABETIC AGENTS	BP, M90
glyburide / metformindrugId:676		DIABETIC AGENTS	M90
glyburidedrugId:674		DIABETIC AGENTS	M90
glycerin		COMPOUNDING AGENT	*
glycopyrrolate 1.5 mg tabletdrugId:2888	PA	ANTISPASMODICS,ANTICHOLINERGIC	A90
glycopyrrolate 1 mg, 2 mg tabletdrugId:679		ANTISPASMODICS,ANTICHOLINERGIC	A90
glycopyrrolate injectiondrugId:5940	PA	ANTISPASMODICS,ANTICHOLINERGIC
glycopyrrolate powderdrugId:7188	PA	ANTISPASMODICS,ANTICHOLINERGIC
GlynasedrugId:675 (glyburide, micronized)drugId:675		DIABETIC AGENTS	M90, #
Glyxambi (empagliflozin / linagliptin)drugId:4771	PA	DIABETIC AGENTS
Gocovri (amantadine extended-release capsule)drugId:6402	PA	ANTIPARKINSON
gold sodium thiomalate		IMMUNOMODULATOR
GolytelydrugId:1549 (polyethylene glycol-electrolyte solution-Golytely)drugId:1549		LAXATIVES	A90, #
Gonitro (nitroglycerin sublingual powder)drugId:5722	PA	CARDIOVASCULAR
Gralise (gabapentin extended-release)drugId:2366	PA	GABA ANALOGS
granisetron injectiondrugId:683		ANTIEMETICS
granisetron tabletdrugId:684	PA > 2 tablets/28 days	ANTIEMETICS	A90
Granix (TBO-filgrastim)drugId:2889	PA	HEMATINIC AGENT
Grastek (timothy grass pollen allergen extract)drugId:8501	PA	ALLERGENS
griseofulvin powderdrugId:7739	PA	FUNGICIDES
griseofulvin suspension, tabletdrugId:2306		FUNGICIDES	A90
guanfacinedrugId:691	PA < 3 years	CARDIOVASCULAR	A90
Gvoke (glucagon auto-injection, prefilled syringe, vial-Gvoke)drugId:7363		DIABETIC AGENTS
Gynazole-1 (butoconazole)		ANTIBIOTICS	A90
Haegarda (c1 esterase inhibitor, human-Haegarda)drugId:6283	PA	ENZYMES
Halaven (eribulin)drugId:2168	PA	CHEMOTHERAPY	MB
HalciondrugId:1757 (triazolam)drugId:1757	PA < 6 years and PA > 1 unit/day	BENZODIAZEPINES	#
HaldoldrugId:696 (haloperidol)drugId:696	PA < 6 years	ANTIPSYCHOTIC	A90, #
halobetasol cream, ointmentdrugId:2041		GLUCOCORTICOIDS	A90
Halog (halcinonide cream, solution)drugId:695	PA	GLUCOCORTICOIDS	A90
Halog (halcinonide ointment)drugId:7859		GLUCOCORTICOIDS
Harvoni (ledipasvir / sofosbuvir)drugId:4600	PA	ANTIVIRALS	PD
Havrix (hepatitis A vaccine, inactivated - Havrix)drugId:2578		BIOLOGICAL	1
Hectorol (doxercalciferol injection)drugId:5780		ELECTROLYTES AND NUTRIENTS	MB
Helixate (antihemophilic factor, recombinant-Helixate)		ANTI-HEMOPHILIA AGENTS
Hemady (dexamethasone 20 mg tablet)drugId:8023	PA	GLUCOCORTICOIDS
Hemangeol (propranolol solution)drugId:2959	PA	CARDIOVASCULAR	M90
Hemlibra (emicizumab-kxwh)		ANTI-HEMOPHILIA AGENTS
Hemofil-M (antihemophilic factor, recombinant-Hemofil-M)		ANTI-HEMOPHILIA AGENTS
Hepagam B (hepatitis B immune globulin IV, human-Hepagam B)drugId:2685		BIOLOGICAL
heparindrugId:704		ANTICOAGULANTS
heparin lock flushdrugId:703		ANTICOAGULANTS
Heplisav-B (hepatitis B recombinant vaccine, adjuvanted)drugId:6403		BIOLOGICAL	1
HepseradrugId:161 (adefovir)drugId:161	PA > 1 unit/day	ANTIVIRALS	A90, #
Herceptin (trastuzumab)drugId:1742	PA	CHEMOTHERAPY	MB
Herceptin Hylecta (trastuzumab / hyaluronidase-oysk)drugId:7782	PA	CHEMOTHERAPY	MB
Herzuma (trastuzumab-pkrb)drugId:7783	PA	CHEMOTHERAPY	MB
Hetlioz (tasimelteon)drugId:2960	PA	SEDATIVE, NON-BARBITURATE	BP, A90
Hiberix (haemophilus B conjugate vaccine-Hiberix)drugId:5624		BIOLOGICAL	1
HiprexdrugId:938 (methenamine)drugId:938		ANTIBACTERIAL	A90, #
Hizentra (immune globulin subcutaneous injection, human-Hizentra)drugId:1940	PA	BIOLOGICAL
Horizant (gabapentin enacarbil)drugId:2285	PA	GABA ANALOGS
Humalog (insulin lispro 100 units/mL cartridge)drugId:8104		DIABETIC AGENTS
Humalog (insulin lispro 100 units/mL prefilled syringe, vial-Humalog)drugId:815	PA	DIABETIC AGENTS
Humalog (insulin lispro 200 units/mL)drugId:8105		DIABETIC AGENTS
Humalog (insulin lispro 50/50)drugId:811		DIABETIC AGENTS
Humalog (insulin lispro 75/25 prefilled syringe-Humalog)drugId:814	PA	DIABETIC AGENTS
Humalog (insulin lispro 75/25 vial)drugId:813		DIABETIC AGENTS
Humalog Tempo (insulin lispro 100 units/mL prefilled syringe-Humalog Tempo)drugId:8528	PA	DIABETIC THERAPY
Humate-P (antihemophilic factor, human-Humate-P)		ANTI-HEMOPHILIA AGENTS
Humatrope (somatropin-Humatrope)drugId:1881	PA	HORMONE AGENTS
Humira (adalimumab)drugId:158	PA	IMMUNOMODULATOR	BP, PD
Humulin (insulin NPH / regular insulin 70/30)drugId:817		DIABETIC AGENTS
Humulin N (insulin NPH)drugId:1263	PA	DIABETIC AGENTS
Humulin R (insulin regular)drugId:821		DIABETIC AGENTS
Hyalgan (hyaluronate-Hyalgan)drugId:4803	PA	HYALURONAN	MB
Hycamtin (topotecan capsule)drugId:1730		CHEMOTHERAPY
Hycamtin (topotecan injection)drugId:8366		CHEMOTHERAPY	MB
hydralazinedrugId:715		CARDIOVASCULAR	M90
HydreadrugId:761 (hydroxyurea capsule)drugId:761		CHEMOTHERAPY	A90, #
hydrochlorothiazide / triamterenedrugId:1755		CARDIOVASCULAR	M90
hydrochlorothiazidedrugId:716		CARDIOVASCULAR	M90
hydrocodone / acetaminophen 300 mgdrugId:5143	PA	OPIOID ANALGESICS
hydrocodone / acetaminophendrugId:723	PA > 80 mg/day hydrocodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
hydrocodone 5 mg, 10 mg / ibuprofendrugId:726	PA	OPIOID ANALGESICS
hydrocodone 7.5 mg / ibuprofendrugId:728	PA > 80 mg/day hydrocodone and PA > 3.2 g/day ibuprofen	OPIOID ANALGESICS
hydrocodone powderdrugId:717	PA	OPIOID ANALGESICS
hydrocortisone / pramoxine foamdrugId:2310		ANESTHETICS	A90
hydrocortisone butyrate cream, ointment, solutiondrugId:2531		GLUCOCORTICOIDS	A90
hydrocortisone cream, lotion, ointmentdrugId:2530		GLUCOCORTICOIDS	*, A90
hydrocortisone solutiondrugId:739	PA	GLUCOCORTICOIDS	A90
hydrocortisone valerate creamdrugId:2048		GLUCOCORTICOIDS	A90
hydrocortisone valerate ointmentdrugId:5025	PA	GLUCOCORTICOIDS	A90
hydrogen peroxidedrugId:753		ANTISEPTICS	*, A90
hydromorphone extended-releasedrugId:1939	PA	OPIOID ANALGESICS
hydromorphone powderdrugId:755	PA	OPIOID ANALGESICS
hydrophilic ointment		DERMATOLOGICAL	*, A90
hydroxychloroquine		ANTIMALARIALS	A90
hydroxyprogesterone caproate injection - DelalutindrugId:759	PA	HORMONE REPLACEMENT THERAPY
hydroxyzine hydrochloridedrugId:6000		ANTIHISTAMINES	A90
Hyftor (sirolimus gel)drugId:8333	PA	IMMUNOMODULATOR
Hylenex (hyaluronidase, human recombinant)		ENZYMES	MB
Hymovis (hyaluronate, modified)drugId:5500	PA	HYALURONAN	MB
hyoscyamine oraldrugId:768		ANTISPASMODICS,ANTICHOLINERGIC	A90
Hyperhep B (hepatitis B immune globulin IM, human-Hyperhep B)drugId:706		BIOLOGICAL
Hyperrab (rabies immune globulin IM, human-Hyperrab)drugId:1625		BIOLOGICAL
Hyperrho (rho(d) immune globulin IM, human-Hyperrho)drugId:1647		BIOLOGICAL
Hyper-Sal (sodium chloride 3.5%, 7% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
Hypertet (tetanus immune globulin IM, human)drugId:1687		BIOLOGICAL
Hyqvia (immune globulin subcutaneous injection, human / hyaluronidase human recombinant)drugId:4626	PA	BIOLOGICAL
Hysingla ER (hydrocodone extended-release tablet)drugId:4772	PA	OPIOID ANALGESICS
HyzaardrugId:1104 (losartan / hydrochlorothiazide)drugId:1104		CARDIOVASCULAR	M90, #
ibandronate injectiondrugId:769	PA	ELECTROLYTES AND NUTRIENTS
Ibrance (palbociclib)drugId:4940	PA	CHEMOTHERAPY	PD
Ibsrela (tenapanor)drugId:8208	PA	CONSTIPATION AGENTS
ibuprofendrugId:773		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
ibuprofen powderdrugId:6689	PA	NONSTEROIDAL ANTI-INFLAMMATORY
Iclusig (ponatinib)drugId:2724	PA	CHEMOTHERAPY
Idamycin PFS (idarubicin)drugId:2687		CHEMOTHERAPY	MB
Idelvion (factor IX recombinant, albumin fusion protein)		ANTI-HEMOPHILIA AGENTS
Idhifa (enasidenib)drugId:6284	PA	CHEMOTHERAPY
Ifex (ifosfamide)drugId:2457		CHEMOTHERAPY	MB
Igalmi (dexmedetomidine)		ALPHA-2 ADRENERGIC AGONIST	MB
Ihealth (COVID-19 antigen self-test)drugId:8171 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
Ilaris (canakinumab)drugId:432	PA	IMMUNOMODULATOR
Ilevro (nepafenac 0.3% ophthalmic suspension)drugId:2725	PA	OPHTHALMIC PREPARATIONS
Ilumya (tildrakizumab-asmn)drugId:7004	PA	IMMUNOMODULATOR
Iluvien (fluocinolone ophthalmic implant-Iluvien)		OPHTHALMIC PREPARATIONS	MB
Imbruvica (ibrutinib)drugId:2927	PA	CHEMOTHERAPY
Imcivree (setmelanotide)drugId:7724	PA	BIOLOGICAL
Imfinzi (durvalumab)drugId:6122	PA	CHEMOTHERAPY	MB
imipramine hydrochloridedrugId:782	PA < 6 years	ANTIDEPRESSANTS	A90
imipramine pamoatedrugId:4080	PA	ANTIDEPRESSANTS	A90
Imitrex (sumatriptan 5 mg, 20 mg nasal spray)drugId:1913	PA	TRIPTAN	BP, A90
Imitrex (sumatriptan injection-Imitrex)drugId:1914	PA	TRIPTAN
ImitrexdrugId:1915 (sumatriptan tablet)drugId:1915	PA > 18 units/30 days	TRIPTAN	A90, #
Imjudo (tremelimumab-actl)drugId:8529	PA	ANTINEOPLASTICS	MB
Imlygic (talimogene laherparepvec)drugId:5440	PA	CHEMOTHERAPY	MB
Imovax Rabies (rabies virus vaccine-Imovax Rabies)drugId:1627		BIOLOGICAL
Impeklo (clobetasol propionate lotion pump)drugId:7920	PA	GLUCOCORTICOIDS
ImurandrugId:111 (azathioprine 50 mg tablet)drugId:111		IMMUNOMODULATOR	A90, #
Inbrija (levodopa)drugId:7237	PA	ANTIPARKINSON
Increlex (mecasermin)drugId:1124	PA	HORMONE AGENTS
Incruse (umeclidinium)drugId:4774		BRONCHODILATORS
indapamidedrugId:790		CARDIOVASCULAR	M90
Inderal LAdrugId:1601 (propranolol extended-release)drugId:1601		CARDIOVASCULAR	M90, #
Inderal XL (propranolol long-acting capsule)drugId:6562	PA	CARDIOVASCULAR
Indocin (indomethacin suspension)drugId:792	PA	NONSTEROIDAL ANTI-INFLAMMATORY
indomethacin 25 mg, 50 mgdrugId:2862		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin extended-releasedrugId:2066		NONSTEROIDAL ANTI-INFLAMMATORY	A90
indomethacin suppositorydrugId:5130		NONSTEROIDAL ANTI-INFLAMMATORY
Infanrix (diphtheria / tetanus toxoids / acellular pertussis vaccine)drugId:537		BIOLOGICAL	1
Infed (low molecular weight iron dextran)drugId:972		HEMATINIC AGENT
Inflectra (infliximab-dyyb)drugId:5763	PA	IMMUNOMODULATOR
infliximab, unbrandeddrugId:8216	PA	IMMUNOMODULATOR
Infugem (gemcitabine premixed infusion)drugId:7284	PA	CHEMOTHERAPY	MB
Infumorph (morphine infusion)drugId:1393		OPIOID ANALGESICS
Ingrezza (valbenazine)drugId:6123	PA	NEUROLOGIC AGENT
Injectafer (ferric carboxymaltose injection)drugId:2844	PA	HEMATINIC AGENT	MB
Inlyta (axitinib)drugId:2484	PA	CHEMOTHERAPY
Innopran XL (propranolol long-acting capsule)drugId:1602	PA	CARDIOVASCULAR
Inqovi (decitabine / cedazuridine)drugId:7597		CHEMOTHERAPY
Inrebic (fedratinib)drugId:7332	PA	CHEMOTHERAPY
Inspra (eplerenone)drugId:609		ALDOSTERONE ANTAGONISTS	BP, M90
insulin aspartdrugId:8106		DIABETIC AGENTS
insulin aspart 70/30drugId:8107		DIABETIC AGENTS
insulin lispro 100 units/mL prefilled syringe, vialdrugId:8103		DIABETIC AGENTS
insulin lispro 75/25 prefilled syringedrugId:8102		DIABETIC AGENTS
Intelence (etravirine)drugId:447		ANTIVIRALS	BP
Inteliswab (COVID-19 antigen self-test)drugId:8172 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
Intermezzo (zolpidem 1.75 mg, 3.5 mg sublingual tablet)drugId:4341	PA	SEDATIVES
Intralipid (fat emulsions, intravenous- intralipid)		ELECTROLYTES AND NUTRIENTS
Intron A (interferon alfa-2b)		CHEMOTHERAPY
IntunivdrugId:692 (guanfacine extended-release)drugId:692	PA < 3 years	NONSTIMULANT ADHD AGENTS	A90, #
InvanzdrugId:620 (ertapenem)drugId:620		ANTIBIOTICS	#
Invega (paliperidone tablet)drugId:1471	PA	ANTIPSYCHOTIC	BP, PD, A90
Invega Hafyera (paliperidone extended-release 6-month injection)drugId:8114	PA < 6 years and PA > 1 injection/168 days	ANTIPSYCHOTIC	PD
Invega Sustenna (paliperidone extended-release 1-month injection)drugId:1470	PA < 6 years, PA > 2 injections/28 days within the first 28 days of therapy and PA > 1 injection/28 days after 28 days of therapy	ANTIPSYCHOTIC	PD
Invega Trinza (paliperidone extended-release 3-month injection)drugId:5121	PA < 6 years and PA > 1 injection/84 days	ANTIPSYCHOTIC	PD
Inveltys (loteprednol 1% suspension)drugId:7285	PA	OPHTHALMIC PREPARATIONS
Invirase (saquinavir)drugId:1832		ANTIVIRALS
Invokamet (canagliflozin / metformin)drugId:4775		DIABETIC AGENTS
Invokamet XR (canagliflozin / metformin extended-release)drugId:5723		DIABETIC AGENTS
Invokana (canagliflozin)drugId:2780		DIABETIC AGENTS
iodinedrugId:1992		ANTISEPTICS	*, A90
IopidinedrugId:84 (apraclonidine)drugId:84		OPHTHALMIC PREPARATIONS	M90, #
Ipol (poliovirus vaccine, inactivated)drugId:1546		BIOLOGICAL	1
ipratropium inhalation solution		BRONCHODILATORS	A90
Iressa (gefitinib)drugId:924	PA	CHEMOTHERAPY	A90
Isentress (raltegravir)drugId:2701		ANTIVIRALS
isoniaziddrugId:975		ANTIBIOTICS	A90
isopropyl alcoholdrugId:976		ANTISEPTICS	*, A90
Isopto Atropine (atropine ophthalmic)		OPHTHALMIC PREPARATIONS	A90, #
Isopto CarpinedrugId:2635 (pilocarpine 1%, 2%, 4% ophthalmic solution)drugId:2635		OPHTHALMIC PREPARATIONS	M90, #
Isordil (isosorbide dinitrate 40 mg tablet)drugId:978	PA	CARDIOVASCULAR	BP, M90
IsordildrugId:6290 (isosorbide dinitrate 5 mg, 10 mg, 20 mg, 30 mg tablet)drugId:6290		CARDIOVASCULAR	M90, #
isosorbide mononitratedrugId:979		CARDIOVASCULAR	M90
isotretinoindrugId:983	PA ≥ 22 years	DERMATOLOGICAL	A90
isradipine immediate-releasedrugId:987	PA	CARDIOVASCULAR	M90
Istalol (timolol-Istalol)drugId:1703		OPHTHALMIC PREPARATIONS	BP, M90
Istodax (romidepsin)drugId:1959	PA	CHEMOTHERAPY	MB
Isturisa (osilodrostat)drugId:7466	PA	ENDOCRINE/METABOLIC AGENTS
itraconazole powderdrugId:7741	PA	FUNGICIDES
ivermectin creamdrugId:4813	PA	DERMATOLOGICAL	A90
Ixempra (ixabepilone)drugId:990		CHEMOTHERAPY	MB
Ixiaro (japanese encephalitis vaccine)drugId:2044		BIOLOGICAL
Ixinity (factor IX human recombinant-Ixinity)		ANTI-HEMOPHILIA AGENTS
JadenudrugId:4942 (deferasirox 90 mg, 180 mg, 360 mg)drugId:4942		CHELATING AGENT	A90, #
Jakafi (ruxolitinib tablet)drugId:2418	PA	CHEMOTHERAPY
Jalyn (dutasteride / tamsulosin)drugId:1960	PA	BENIGN PROSTATIC HYPERPLASIA AGENTS	M90
Janssen COVID-19 Vaccine (COVID EUA – February 27, 2021)		COVID - 19 related Treatments and Vaccines	PHE
Janumet (sitagliptin / metformin)drugId:1859		DIABETIC AGENTS
Janumet XR (sitagliptin / metformin extended-release)drugId:2485		DIABETIC AGENTS
Januvia (sitagliptin)drugId:1858		DIABETIC AGENTS
Jardiance (empagliflozin)drugId:4627		DIABETIC AGENTS
Jelmyto (mitomycin pyelocalyceal solution)drugId:7453	PA	CHEMOTHERAPY	MB
Jemperli (dostarlimab-gxly)drugId:7921	PA	ANTINEOPLASTICS	MB
Jentadueto (linagliptin / metformin)drugId:2486		DIABETIC AGENTS
Jentadueto XR (linagliptin / metformin extended-release)drugId:5724		DIABETIC AGENTS
Jevtana (cabazitaxel)drugId:1961	PA	CHEMOTHERAPY	MB
Jivi (antihemophilic factor, recombinant pegylated-aucl-Jivi)		ANTI-HEMOPHILIA AGENTS	PD
Jornay PM (methylphenidate extended-release-Jornay PM)drugId:7238	PA	CEREBRAL STIMULANTS
Jublia (efinaconazole)drugId:4628	PA	FUNGICIDES
Juluca (dolutegravir / rilpivirine)drugId:6781		ANTIVIRALS	PD
Juxtapid (lomitapide)drugId:2727	PA	LIPID LOWERING AGENTS
Jynarque (tolvaptan-Jynarque)drugId:6801	PA	VASOPRESSIN ANTAGONISTS
Kadcyla (ado-trastuzumab)drugId:2781	PA	CHEMOTHERAPY	MB
Kalbitor (ecallantide)drugId:1941	PA	ENZYMES	MB
KaletradrugId:1098 (lopinavir / ritonavir)drugId:1098		ANTIVIRALS	A90, #
Kalydeco (ivacaftor)drugId:2487	PA	CYSTIC FIBROSIS AGENTS	PD
Kanjinti (trastuzumab-anns)drugId:7784	PA	CHEMOTHERAPY	MB
Kanuma (sebelipase alfa)drugId:5388	PA	ENZYMES	MB
Kaochlor (potassium chloride-Kaochlor)		ELECTROLYTES AND NUTRIENTS	A90
Kaon-CL (potassium chloride-Kaon-CL)		ELECTROLYTES AND NUTRIENTS	A90
Kapspargo (metoprolol extended-release capsule)drugId:7135	PA	CARDIOVASCULAR
Karbinal ER (carbinoxamine extended-release)drugId:2962	PA	ANTIHISTAMINES
Katerzia (amlodipine suspension)drugId:7260	PA	CARDIOVASCULAR
Kazano (alogliptin / metformin)drugId:2782	PA	DIABETIC AGENTS	BP, M90
Kcentra (prothrombin complex concentrate, human)		HEMOSTATICS
Kedrab (rabies immune globulin IM, human-Kedrab)drugId:6741		BIOLOGICAL
Kenalog (triamcinolone spray)drugId:2526	PA	GLUCOCORTICOIDS	A90
KenalogdrugId:6460 (triamcinolone injection)drugId:6460		GLUCOCORTICOIDS	#
Kepivance (palifermin)		ANTIDOTES	MB
KeppradrugId:1037 (levetiracetam injection, solution, tablet)drugId:1037		ANTICONVULSANTS	A90, #
Keppra XRdrugId:1038 (levetiracetam extended-release-Keppra XR)drugId:1038		ANTICONVULSANTS	A90, #
Kerendia (finerenone)drugId:8117	PA	ALDOSTERONE ANTAGONISTS
Kerydin (tavaborole)drugId:4629	PA	FUNGICIDES	A90
Kesimpta (ofatumumab prefilled syringe)drugId:7544	PA	MULTIPLE SCLEROSIS AGENTS
ketoconazole cream, shampoodrugId:2047		FUNGICIDES	A90
ketoconazole tabletdrugId:1996		FUNGICIDES	A90
ketoprofendrugId:997		NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketoprofen extended-releasedrugId:2067	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
ketorolac tablets and injectiondrugId:2189	PA > 20 units/month	NONSTEROIDAL ANTI-INFLAMMATORY
ketotifendrugId:6208		ANTIHISTAMINES	*, A90
ketotifen powderdrugId:7052	PA	ANTIHISTAMINES
Keveyis (dichlorphenamide)drugId:5260	PA	UNCLASSIFIED DRUG PRODUCTS
Kevzara (sarilumab)drugId:6181	PA	IMMUNOMODULATOR
Keytruda (pembrolizumab)drugId:4780	PA	CHEMOTHERAPY	MB
Khapzory (levoleucovorin powder for injection)drugId:7286	PA	ANTIDOTES
Kimmtrak (tebentafusp-tebn)drugId:8209	PA	CHEMOTHERAPY
Kimyrsa (oritavancin)drugId:8191	PA	ANTIBIOTICS
Kineret (anakinra)drugId:66	PA	IMMUNOMODULATOR
Kinrix (diphtheria / tetanus toxoids / acellular pertussis / poliovirus, inactivated vaccine)drugId:535		BIOLOGICAL	1
Kisqali (ribociclib)drugId:6102	PA	CHEMOTHERAPY
Kisqali-Femara Co-Pack (ribociclib / letrozole)drugId:6103	PA	CHEMOTHERAPY
Kitabis Pak (tobramycin inhalation solution-Kitabis Pak)drugId:4781		ANTIBIOTICS	BP, A90
KlarondrugId:1899 (sulfacetamide 10% lotion)drugId:1899	PA ≥ 22 years	DERMATOLOGICAL	A90, #
KlonopindrugId:274 (clonazepam tablet)drugId:274	PA < 6 years	BENZODIAZEPINES	#
Klor-Con (potassium chloride-Klor-Con)		ELECTROLYTES AND NUTRIENTS	A90, #
Kloxxado (naloxone 8 mg nasal spray)drugId:7979		ANTIDOTES	PD
Koate-DVI (antihemophilic factor, human-Koate-DVI)		ANTI-HEMOPHILIA AGENTS
Kogenate (antihemophilic factor, recombinant-Kogenate)		ANTI-HEMOPHILIA AGENTS	PD
Kombiglyze XR (saxagliptin / metformin extended-release)drugId:2103		DIABETIC AGENTS	BP
Korlym (mifepristone 300 mg)drugId:2519	PA	DIABETIC AGENTS
Korsuva (difelikefalin)		ANTIPRURITIC	MB
Koselugo (selumetinib)drugId:7467	PA	CHEMOTHERAPY
Kovaltry (antihemophilic factor, recombinant-Kovaltry)		ANTI-HEMOPHILIA AGENTS	PD
K-phos Neutral (potassium phosphate / dibasic sodium phosphate / monobasic sodium phosphate)		ELECTROLYTES AND NUTRIENTS	A90
K-phos No.2 (potassium phosphate / sodium phosphate / phosphorus)		ELECTROLYTES AND NUTRIENTS
Krazati (adagrasib)drugId:8530	PA	ANTINEOPLASTICS
Krintafel (tafenoquine)drugId:7261	PA > 2 units/365 days	ANTIMALARIALS
Krystexxa (pegloticase)drugId:6294	PA	GOUT AGENTS	MB
K-Tab (potassium chloride-K-Tab)		ELECTROLYTES AND NUTRIENTS	A90
Kuvan (sapropterin)drugId:1831	PA	ENZYMES
Kyleena (levonorgestrel-releasing intrauterine system 19.5 mg)		CONTRACEPTIVES
Kymriah (tisagenlecleucel)drugId:6404	PA	CHEMOTHERAPY	CO, MB
Kynmobi (apomorphine film)drugId:7490	PA	ANTIPARKINSON
Kyprolis (carfilzomib)drugId:2581	PA	CHEMOTHERAPY	MB
labetaloldrugId:1001		CARDIOVASCULAR	M90
Lacrisert (hydroxypropyl cellulose ophthalmic insert)drugId:2172		OPHTHALMIC PREPARATIONS
lactase		GASTROINTESTINAL AGENT	*, A90
lactulose packetdrugId:1007	PA	CONSTIPATION AGENTS
lactulose solutiondrugId:1008		GASTROINTESTINAL AGENT	A90
Lagevrio (molnupiravir COVID EUA – December 23, 2021)		COVID - 19 related Treatments and Vaccines	PHE
Lamictal (lamotrigine tablet starter kit)drugId:4284	PA	ANTICONVULSANTS
LamictaldrugId:2216 (lamotrigine dispersible tablet)drugId:2216	PA < 6 years	ANTICONVULSANTS	A90, #
LamictaldrugId:1013 (lamotrigine tablet)drugId:1013	PA < 6 years	ANTICONVULSANTS	A90, #
Lamictal ODT (lamotrigine orally disintegrating tablet)drugId:1014	PA	ANTICONVULSANTS	A90
Lamictal ODT (lamotrigine orally disintegrating tablet starter kit)drugId:1015	PA	ANTICONVULSANTS
Lamictal XR (lamotrigine extended-release tablet)drugId:1017	PA	ANTICONVULSANTS	A90
Lamictal XR (lamotrigine extended-release tablet starter kit)drugId:1018	PA	ANTICONVULSANTS
lamotrigine powderdrugId:7190	PA	ANTICONVULSANTS
Lampit (nifurtimox)drugId:7598	PA	ANTIBIOTICS
lanolin		COMPOUNDING AGENT	*
LanoxindrugId:524 (digoxin)drugId:524		CARDIOVASCULAR	M90, #
lanreotidedrugId:8502		ENDOCRINE/METABOLIC AGENTS
lansoprazole / amoxicillin / clarithromycindrugId:1023	PA	H. PYLORI AGENTS	A90
Lantus (insulin glargine-Lantus)drugId:807		DIABETIC AGENTS	BP
LasixdrugId:916 (furosemide)drugId:916		CARDIOVASCULAR	M90, #
Lastacaft (alcaftadine)drugId:2173		ANTIHISTAMINES
Latuda (lurasidone)drugId:2174	PA	ANTIPSYCHOTIC	A90
L-Carnitine (levocarnitine)		ELECTROLYTES AND NUTRIENTS
Lemtrada (alemtuzumab 12 mg)drugId:4782	PA	MULTIPLE SCLEROSIS AGENTS	MB
Lenvima (lenvatinib)drugId:4943	PA	CHEMOTHERAPY
Leqvio (inclisiran)drugId:8192	PA	LIPID LOWERING AGENTS
Lescol (fluvastatin)drugId:899	PA	LIPID LOWERING AGENTS	M90
Lescol XL (fluvastatin extended-release)drugId:898	PA	LIPID LOWERING AGENTS	M90
Letairis (ambrisentan)drugId:30	PA	CARDIOVASCULAR	A90
leucovorindrugId:1032		ANTIDOTES	A90
Leukeran (chlorambucil)drugId:216	PA	CHEMOTHERAPY
Leukine (sargramostim)drugId:1833		HEMATINIC AGENT
levamlodipinedrugId:8200	PA	CARDIOVASCULAR	M90
Levemir (insulin detemir)drugId:805		DIABETIC AGENTS
levobunololdrugId:1040		OPHTHALMIC PREPARATIONS	M90
levocarnitine powderdrugId:7340	PA	ELECTROLYTES AND NUTRIENTS
levocetirizine solutiondrugId:5960	PA	ANTIHISTAMINES	M90
levocetirizine tabletdrugId:1043		ANTIHISTAMINES	M90, #
levofloxacindrugId:1044		ANTIBIOTICS	A90
levofloxacin ophthalmic solutiondrugId:1046	PA	OPHTHALMIC PREPARATIONS	A90
levofloxacin powderdrugId:7053	PA	ANTIBIOTICS
levoleucovorin injectiondrugId:4944	PA	ANTIDOTES
levonorgestrel / ethinyl estradiol 0.10/0.02 mg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol 0.15/0.03 mg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol 90/20 mcg		CONTRACEPTIVES	M90
levonorgestrel / ethinyl estradiol triphasic		CONTRACEPTIVES	M90
levonorgestrel 1.5 mg tablet		CONTRACEPTIVES	*
levorphanol powderdrugId:1063	PA	OPIOID ANALGESICS
levorphanol tabletdrugId:1064	PA	OPIOID ANALGESICS
Levo-T (levothyroxine-Levo-T)		THYROID PREPARATIONS	M90, #
levothyroxine		THYROID PREPARATIONS	M90
Levoxyl (levothyroxine-Levoxyl)		THYROID PREPARATIONS	M90, #
Levulan (aminolevulinic acid)		CHEMOTHERAPY	MB
LexaprodrugId:630 (escitalopram)drugId:630	PA < 6 years	ANTIDEPRESSANTS	A90, #
Lexette (halobetasol foam)drugId:6983	PA	GLUCOCORTICOIDS	A90
Lexiva (fosamprenavir)drugId:908		ANTIVIRALS	BP, A90
Lialda (mesalamine delayed-release)drugId:1153		GI ANTI-INFLAMMATORY	BP, A90
Librax (chlordiazepoxide / clidinium)drugId:6843	PA	ANTISPASMODICS,ANTICHOLINERGIC
Libtayo (cemiplimab-rwlc)drugId:7005	PA	CHEMOTHERAPY	MB
Licart (diclofenac topical patch-Licart)drugId:7454	PA	NONSTEROIDAL ANTI-INFLAMMATORY
lidocaine / prilocainedrugId:1074		ANESTHETICS	A90
lidocaine ointmentdrugId:5604		ANESTHETICS	A90
lidocaine powderdrugId:6374	PA	ANESTHETICS
lidocaine topical jelly, solutiondrugId:7957		ANESTHETICS
lidocaine viscous solutiondrugId:5605		ANESTHETICS
LidodermdrugId:1071 (lidocaine 5% patch)drugId:1071	PA > 3 patches/day	ANESTHETICS	A90, #
Liletta (levonorgestrel-releasing intrauterine system 52 mg-Liletta)		CONTRACEPTIVES
LincocindrugId:2634 (lincomycin)drugId:2634		ANTIBIOTICS	#
lindane shampoodrugId:1076	PA	ANTIPARASITICS	A90
Linzess (linaclotide 145 mcg, 290 mcg)drugId:2658		CONSTIPATION AGENTS
Linzess (linaclotide 72 mcg)drugId:8218	PA	CONSTIPATION AGENTS
Lioresal (baclofen intrathecal injection)drugId:125		MUSCLE RELAXANT
LipitordrugId:105 (atorvastatin 10 mg, 20 mg, 40 mg)drugId:105	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90, #
LipitordrugId:2933 (atorvastatin 80 mg)drugId:2933	PA > 1 unit/day	LIPID LOWERING AGENTS	M90, #
Lipofen (fenofibrate 50 mg, 150 mg capsule)drugId:5480		LIPID LOWERING AGENTS	M90
Liposyn (fat emulsions, intravenous-liposyn)		ELECTROLYTES AND NUTRIENTS	#
lisinoprildrugId:1087		CARDIOVASCULAR	M90
LithobiddrugId:1092 (lithium)drugId:1092	PA < 6 years	ANTIPSYCHOTIC	A90, #
Lithostat (acetohydroxamic acid)		ANTIBIOTICS
Livalo (pitavastatin calcium)drugId:1962	PA	LIPID LOWERING AGENTS
Livmarli (maralixibat)drugId:8193	PA	BILE THERAPY
Livtencity (maribavir)drugId:8194	PA	ANTIVIRALS
Locoid (hydrocortisone butyrate lotion)drugId:6561	PA	GLUCOCORTICOIDS	A90
Locoid Lipocream (hydrocortisone butyrate / emollient)drugId:5031	PA	GLUCOCORTICOIDS	A90
LodosyndrugId:173 (carbidopa)drugId:173		ANTIPARKINSON	A90, #
Lokelma (sodium zirconium cyclosilicate)drugId:6905	PA > 1 unit/day	CHELATING AGENT
Lo Loestrin Fe (norethindrone / ethinyl estradiol / ferrous fumarate)		CONTRACEPTIVES
LomotildrugId:542 (diphenoxylate / atropine)drugId:542		ANTIDIARRHEALS	#
Lonhala (glycopyrrolate inhalation solution)drugId:6742	PA	BRONCHODILATORS
Lonsurf (trifluridine / tipiracil)drugId:5261	PA	CHEMOTHERAPY
loperamidedrugId:1097		ANTIDIARRHEALS	*
LopiddrugId:927 (gemfibrozil)drugId:927		LIPID LOWERING AGENTS	M90, #
LopressordrugId:1338 (metoprolol)drugId:1338		CARDIOVASCULAR	M90, #
Loprox (ciclopirox 0.77% gel, suspension)drugId:232	PA	FUNGICIDES	A90
Loprox (ciclopirox 1% shampoo)drugId:5128	PA	FUNGICIDES	A90
LoproxdrugId:5625 (ciclopirox 0.77% cream)drugId:5625		FUNGICIDES	A90, #
loratadine / pseudoephedrinedrugId:2264		ANTIHISTAMINES	*, A90
loratadine tablet, solutiondrugId:1099		ANTIHISTAMINES	*, M90
lorazepam powderdrugId:1102	PA	BENZODIAZEPINES
Lorbrena (lorlatinib)drugId:7042	PA	CHEMOTHERAPY
Loreev XR (lorazepam extended-release)drugId:8119	PA	BENZODIAZEPINES
Loseasonique (levonorgestrel / ethinyl estradiol-Loseasonique)		CONTRACEPTIVES	M90, #
Lotemax (loteprednol 0.5%)drugId:7304		OPHTHALMIC PREPARATIONS	BP, A90
Lotemax SM (loteprednol 0.38% gel)drugId:7287	PA	OPHTHALMIC PREPARATIONS
LotensindrugId:132 (benazepril)drugId:132		CARDIOVASCULAR	M90, #
Lotensin HCTdrugId:133 (benazepril / hydrochlorothiazide)drugId:133		CARDIOVASCULAR	M90, #
LotreldrugId:44 (amlodipine / benazepril)drugId:44		CARDIOVASCULAR	M90, #
Lotronex (alosetron)drugId:19	PA	GASTROINTESTINAL AGENT	BP, A90
lovastatin 10 mg, 20 mgdrugId:1108	PA > 1.5 units/day	LIPID LOWERING AGENTS	M90
lovastatin 40 mgdrugId:2735	PA > 2 units/day	LIPID LOWERING AGENTS	M90
LovazadrugId:1288 (omega-3 acid ethyl esters)drugId:1288		LIPID LOWERING AGENTS	M90, #
LovenoxdrugId:601 (enoxaparin)drugId:601		ANTICOAGULANTS	#
LoxitanedrugId:6324 (loxapine capsule)drugId:6324	PA < 6 years	ANTIPSYCHOTIC	A90, #
Lucemyra (lofexidine)drugId:6906	PA	ALPHA-2 ADRENERGIC AGONIST
Lucentis (ranibizumab)		OPHTHALMIC PREPARATIONS	MB
Lumakras (sotorasib)drugId:7980	PA	CHEMOTHERAPY
Lumigan (bimatoprost 0.01% ophthalmic solution)drugId:363		OPHTHALMIC PREPARATIONS
Lumizyme (alglucosidase alfa)drugId:11	PA	ENZYMES	MB
Lumoxiti (moxetumomab pasudotox-tdfk)drugId:7043	PA	CHEMOTHERAPY	MB
LunestadrugId:662 (eszopiclone)drugId:662	PA < 6 years and PA > 1 unit/day	SEDATIVES	#
Lupaneta Pack (leuprolide / norethindrone)drugId:2964	PA	OTHER HORMONES
Lupkynis (voclosporin)drugId:7785	PA	IMMUNOMODULATOR
Lupron (leuprolide)drugId:1033	PA	HORMONE AGENTS
LuxiqdrugId:355 (betamethasone valerate foam)drugId:355		GLUCOCORTICOIDS	A90, #
Luxturna (voretigene neparvovec)drugId:7497	PA	OPHTHALMIC PREPARATIONS	CO, MB
Luzu (luliconazole)drugId:2925	PA	FUNGICIDES	BP, A90
Lybalvi (olanzapine / samidorphan)drugId:8120	PA	ANTIPSYCHOTIC
Lynparza (olaparib)drugId:4783	PA	CHEMOTHERAPY
Lyrica (pregabalin)drugId:1582	PA	ANTICONVULSANTS
Lyrica CR (pregabalin extended-release)drugId:6608	PA	GABA ANALOGS	BP
Lysodren (mitotane)drugId:4881		CHEMOTHERAPY
Lysteda (tranexamic acid tablet)		HEMOSTATICS	#
Lytgobi (futibatinib)drugId:8531	PA	ANTINEOPLASTICS
Lyumjev (insulin lispro-aabc)drugId:7491	PA	DIABETIC AGENTS
Lyumjev Tempo (insulin lispro-aabc)drugId:8532	PA	DIABETIC THERAPY
Lyvispah (baclofen granules)drugId:8315	PA	MUSCLE RELAXANT
Macrilen (macimorelin)drugId:6920		OTHER HORMONES	MB
MacrobiddrugId:1225 (nitrofurantoin monohydrate / macrocrystals)drugId:1225		ANTIBIOTICS	A90, #
MacrodantindrugId:1224 (nitrofurantoin macrocrystals)drugId:1224		ANTIBIOTICS	A90, #
Macugen (pegaptanib)		OPHTHALMIC PREPARATIONS	MB
magaldrate		GASTROINTESTINAL AGENT	*, A90
magnesium injectiondrugId:8374		ELECTROLYTES & MISCELLANEOUS NUTRIENTS	MB
magnesium saltsdrugId:1114		ELECTROLYTES AND NUTRIENTS, GI AGENTS	*, A90
Malarone (atovaquone / proguanil)		ANTIMALARIALS	A90, #
Marcaine (bupivacaine)		ANESTHETICS	MB
Margenza (margetuximab-cmkb)drugId:7786	PA	CHEMOTHERAPY	MB
Marinol (dronabinol capsule)drugId:582	PA	ANTIEMETICS
Marplan (isocarboxazid)drugId:2619	PA	ANTIDEPRESSANTS
Marqibo (vincristine liposome)drugId:2890	PA	CHEMOTHERAPY	MB
Matulane (procarbazine)drugId:1589		CHEMOTHERAPY
Mavenclad (cladribine tablet)drugId:7224	PA	MULTIPLE SCLEROSIS AGENTS
Mavyret (glecaprevir / pibrentasvir)drugId:6360	PA	ANTIVIRALS	PD
MaxaltdrugId:1451 (rizatriptan tablet)drugId:1451	PA > 18 units/30 days	TRIPTAN	A90, #
Maxalt MLTdrugId:1450 (rizatriptan orally disintegrating tablet)drugId:1450	PA > 18 units/30 days	TRIPTAN	A90, #
Maxidex (dexamethasone ophthalmic suspension)drugId:493		OPHTHALMIC PREPARATIONS
MaxitroldrugId:1191 (neomycin / polymyxin B / dexamethasone ophthalmic ointment, suspension)drugId:1191		OPHTHALMIC PREPARATIONS	A90, #
MaxzidedrugId:1756 (hydrochlorothiazide / triamterene)drugId:1756		CARDIOVASCULAR	M90, #
Mayzent (siponimod)drugId:7184	PA	SPHINGOSINE 1-PHOSPHATE RECEPTOR MODULATOR
mebendazoledrugId:5394	PA	ANTIPARASITICS	A90
meclofenamatedrugId:1127	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
MedroldrugId:967 (methylprednisolone)drugId:967		GLUCOCORTICOIDS	A90, #
mefenamic aciddrugId:1133		NONSTEROIDAL ANTI-INFLAMMATORY	A90
mefloquine		ANTIMALARIALS	A90
megestrol 40 mg/mL suspensiondrugId:1135		APPETITE STIMULANTS	A90
megestrol 625 mg/5 mL suspensiondrugId:1136	PA	APPETITE STIMULANTS	A90
megestrol tablet		APPETITE STIMULANTS	A90
Mekinist (trametinib)drugId:2845	PA	CHEMOTHERAPY
Mektovi (binimetinib)drugId:6802	PA	CHEMOTHERAPY
melatonin / pyridoxine tabletdrugId:6211		ELECTROLYTES AND NUTRIENTS	A90
melatonin gummy, solution, tabletdrugId:6210		ELECTROLYTES AND NUTRIENTS	*, A90
melatonin powderdrugId:7111	PA	ELECTROLYTES AND NUTRIENTS
memantine solutiondrugId:7405	PA	ALZHEIMER'S THERAPY	A90
Menactra (quadrivalent meningococcal conjugate vaccine-Menactra)drugId:1140		BIOLOGICAL	1
Menest (estrogens,esterified)		HORMONE REPLACEMENT THERAPY	A90
Menostar (estradiol-menostar)		HORMONE REPLACEMENT THERAPY
Menquadfi (quadrivalent meningococcal conjugate vaccine-Menquadfi)drugId:7468		BIOLOGICAL	1
Mentax (butenafine)drugId:412		FUNGICIDES
Menveo (quadrivalent meningococcal conjugate vaccine-Menveo)drugId:1141		BIOLOGICAL	1
Mephyton (phytonadione)		ELECTROLYTES AND NUTRIENTS	BP, A90
meprobamatedrugId:1146	PA	ANTI-ANXIETY AGENT
MeprondrugId:106 (atovaquone)drugId:106		ANTIPARASITICS	A90, #
Mepsevii (vestronidase alfa-vjbk)drugId:6521	PA	ENZYMES	MB
mercaptopurine tabletdrugId:1147		CHEMOTHERAPY	A90
meropenemdrugId:1148		ANTIBIOTICS
Mesnex (mesna injection)		ANTIDOTES	MB
Mesnex (mesna tablet)		ANTIDOTES
Mestinon (pyridostigmine bromide solution)drugId:8269		PARASYMPATHETIC AGENTS	BP, A90
MestinondrugId:1612 (pyridostigmine bromide 60 mg tablet, 180 mg extended-release tablet)drugId:1612		PARASYMPATHETIC AGENTS	A90, #
metaproterenol tablet, syrupdrugId:2196		BRONCHODILATORS	A90
metformin extended-release, osmotic tabletdrugId:1157	PA	DIABETIC AGENTS	M90
metformin extended-release, XR tabletdrugId:1159		DIABETIC AGENTS	M90
metformin immediate-release tabletdrugId:1158		DIABETIC AGENTS	M90
methadone injectiondrugId:2738	PA	OPIOID ANALGESICS
methadone powderdrugId:1162	PA	OPIOID ANALGESICS
Methadose (methadone oral-Methadose)drugId:1164	PA	OPIOID ANALGESICS
methotrexate injectiondrugId:2935		CHEMOTHERAPY
methotrexate tabletdrugId:943		CHEMOTHERAPY	A90
methylcellulosedrugId:5920		CONSTIPATION AGENTS	*, A90
methyldopa / hydrochlorothiazidedrugId:951		CARDIOVASCULAR	M90
methyldopadrugId:950		CARDIOVASCULAR	M90
methylergonovine		OXYTOCICS
Methylin oral solutiondrugId:3161 (methylphenidate oral solution)drugId:3161	PA < 3 years or ≥ 21 years and PA > 30 mL/day	CEREBRAL STIMULANTS	#
methylphenidate chewable tabletdrugId:3181	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
methylphenidate extended-release, CDdrugId:957	PA	CEREBRAL STIMULANTS
methylphenidate extended-release 72 mg tabletdrugId:6610	PA	CEREBRAL STIMULANTS
methylphenidate powderdrugId:954	PA	CEREBRAL STIMULANTS
methylphenidate sustained-release tabletdrugId:963	PA < 3 years or ≥ 21 years and PA > 3 units/day	CEREBRAL STIMULANTS
methyltestosteronedrugId:1329	PA	HORMONE REPLACEMENT THERAPY
metoclopramide orally disintegrating tabletdrugId:1334	PA	GASTROINTESTINAL AGENT	A90
metolazonedrugId:1335		CARDIOVASCULAR	M90
metoprolol / hydrochlorothiazidedrugId:1339		CARDIOVASCULAR	M90
MetrodrugId:5640 (metronidazole injection)drugId:5640		ANTIBIOTICS	#
metronidazole 0.75% creamdrugId:1344		DERMATOLOGICAL	A90
metronidazole 0.75% geldrugId:4883		DERMATOLOGICAL	A90
metronidazole 0.75% vaginal geldrugId:4882		ANTIBIOTICS	A90
metronidazole 1% geldrugId:1345	PA	DERMATOLOGICAL	A90
metronidazole 250 mg, 500 mg tabletdrugId:1341		ANTIBIOTICS	A90
metronidazole lotiondrugId:1346	PA	DERMATOLOGICAL	A90
mexiletinedrugId:1350		CARDIOVASCULAR	M90
Miacalcin (calcitonin salmon injection)drugId:4960	PA	HORMONE AGENTS	BP
MicardisdrugId:1660 (telmisartan)drugId:1660		CARDIOVASCULAR	M90, #
Micardis HCTdrugId:1663 (telmisartan / hydrochlorothiazide)drugId:1663		CARDIOVASCULAR	M90, #
miconazoledrugId:1352		FUNGICIDES	*, A90
miconazole nitrate powderdrugId:7163	PA	FUNGICIDES
Micrhogam (rho(d) immune globulin IM, human-Micrhogam)drugId:2746		BIOLOGICAL
Micro-K (potassium chloride-Micro-K)		ELECTROLYTES AND NUTRIENTS	A90, #
midazolam injectiondrugId:1354		BENZODIAZEPINES	MB
midazolam powderdrugId:2507	PA	BENZODIAZEPINES
midazolam syrupdrugId:4420	PA < 6 years	BENZODIAZEPINES
midodrine		ADRENERGICS	A90
MifeprexdrugId:8043 (mifepristone 200 mg)drugId:8043		ANTIPROGESTIN	#
miglitoldrugId:1356	PA	DIABETIC AGENTS	M90
Migranal (dihydroergotamine nasal spray)drugId:527	PA	ANALGESICS	A90
milrinone		CARDIOVASCULAR
Minastrin 24 Fe (ethinyl estradiol / norethindrone / ferrous fumarate chewable-Minastrin 24 Fe)		CONTRACEPTIVES	M90, #
mineral oildrugId:1360		CONSTIPATION AGENTS	*, A90
MinipressdrugId:1573 (prazosin)drugId:1573		CARDIOVASCULAR	M90, #
Minivelle (estradiol-Minivelle)		HORMONE REPLACEMENT THERAPY	M90, #
Minocin (minocycline injection)drugId:5660		ANTIBIOTICS
minocycline capsuledrugId:2303		ANTIBIOTICS	A90
minocycline extended-release 45 mg, 90 mg, 135 mg tabletdrugId:7165	PA	ANTIBIOTICS	A90
minocycline tabletdrugId:1361	PA	ANTIBIOTICS	A90
Minolira (minocycline extended-release 105 mg, 135 mg tablet)drugId:7262	PA	ANTIBIOTICS	A90
minoxidildrugId:1365		CARDIOVASCULAR	M90
Miochol-E (acetylcholine chloride)drugId:1982		OPHTHALMIC PREPARATIONS
Miostat (carbachol 0.01%)drugId:1984		OPHTHALMIC PREPARATIONS
MirapexdrugId:1569 (pramipexole)drugId:1569		ANTIPARKINSON	A90, #
Mirapex ER (pramipexole extended-release)drugId:1943	PA	ANTIPARKINSON	A90
Mircera (methoxy polyethylene glycol / epoetin beta)drugId:4784		HEMATINIC AGENT	MB
Mirena (levonorgestrel-releasing intrauterine system 52 mg-Mirena)		CONTRACEPTIVES
Mitigare (colchicine capsule)drugId:4765	PA	GOUT AGENTS	BP, A90
mitomycin injectiondrugId:1370		CHEMOTHERAPY	MB
mitoxantronedrugId:1372		CHEMOTHERAPY	MB
M-M-R II Vaccine (measles / mumps / rubella vaccine)drugId:1121		BIOLOGICAL	1
MobicdrugId:1137 (meloxicam tablet)drugId:1137		NONSTEROIDAL ANTI-INFLAMMATORY	A90, #
moexiprildrugId:1375		CARDIOVASCULAR	M90
molindonedrugId:1378	PA < 6 years	ANTIPSYCHOTIC	A90
mometasone cream, solutiondrugId:1382		GLUCOCORTICOIDS	A90
mometasone nasal spraydrugId:1381	PA	NASAL PREPARATIONS	M90
mometasone ointmentdrugId:5024		GLUCOCORTICOIDS	A90
Monjuvi (tafasitamab-cxix)drugId:7492	PA	CHEMOTHERAPY
Monoferric (ferric derisomaltose)drugId:7599	PA	HEMATINIC AGENT
Mononine (factor IX)		ANTI-HEMOPHILIA AGENTS
Monovisc (hyaluronate-Monovisc)drugId:4805	PA	HYALURONAN	MB
MonuroldrugId:911 (fosfomycin)drugId:911		ANTIBIOTICS	A90, #
morphine extended-release capsuledrugId:1384	PA	OPIOID ANALGESICS
morphine immediate-releasedrugId:1386	PA > 120 mg/day	OPIOID ANALGESICS
morphine powderdrugId:1395	PA	OPIOID ANALGESICS
morphine suppositoriesdrugId:1387		OPIOID ANALGESICS
Motegrity (prucalopride)drugId:7136	PA	CONSTIPATION AGENTS
Motofen (difenoxin / atropine)drugId:6111	PA	ANTIDIARRHEALS
Mounjaro (tirzepatide)drugId:8254	PA	DIABETIC AGENTS
Movantik (naloxegol)drugId:4946	PA	LAXATIVES
Moviprep (polyethylene glycol-electrolyte solution-Moviprep)drugId:1551		LAXATIVES	BP, A90
moxifloxacin ophthalmic solution, twice dailydrugId:2175	PA	OPHTHALMIC PREPARATIONS	A90
moxifloxacin tabletdrugId:1398		ANTIBIOTICS	A90
Mozobil (plerixafor)		HEMATINIC AGENT
MS ContindrugId:1389 (morphine controlled-release tablet)drugId:1389	PA > 120 mg/day	OPIOID ANALGESICS	#
Mulpleta (lusutrombopag)drugId:6991	PA	HEMATOLOGIC
Multaq (dronedarone)drugId:583		CARDIOVASCULAR	A90
multivitaminsdrugId:1399		ELECTROLYTES AND NUTRIENTS	*, M90
mupirocin creamdrugId:1406	PA	ANTIBIOTICS	A90
mupirocin ointmentdrugId:1407		ANTIBIOTICS	A90
mupirocin powderdrugId:7054	PA	ANTIBIOTICS
Mvasi (bevacizumab-awwb)drugId:7787	PA	CHEMOTHERAPY	MB
Myalept (metreleptin)drugId:2965	PA	OTHER HORMONES
MyambutoldrugId:665 (ethambutol)drugId:665		ANTIBIOTICS	A90, #
Mycamine (micafungin)		ANTIBIOTICS	#
Mycapssa (octreotide capsule)drugId:7788	PA	ENDOCRINE/METABOLIC AGENTS
Mycobutin (rifabutin)drugId:1429		ANTIBIOTICS	BP, A90
Mydayis (amphetamine salts extended-release-Mydayis)drugId:6285	PA	CEREBRAL STIMULANTS
Mydriacyl (tropicamide)		OPHTHALMIC PREPARATIONS	A90, #
Myfembree (relugolix / estradiol / norethindrone)drugId:7922	PA	OTHER HORMONES
MyforticdrugId:1409 (mycophenolic acid)drugId:1409		IMMUNOMODULATOR	A90, #
Myleran (busulfan tablet)drugId:2536		CHEMOTHERAPY
Mylotarg (gemtuzumab ozogamicin)drugId:6342	PA	CHEMOTHERAPY
Myobloc (rimabotulinumtoxinB)drugId:1436	PA	BIOLOGICAL
Myrbetriq (mirabegron extended-release)drugId:2642		ADRENERGICS	BP
MysolinedrugId:1586 (primidone)drugId:1586		ANTICONVULSANTS	A90, #
Mytesi (crofelemer)drugId:5684	PA	ANTIDIARRHEALS
Nabi-HB (hepatitis B immune globulin IM, human-Nabi-HB)drugId:707		BIOLOGICAL
nabumetone 500 mg, 750 mgdrugId:1415		NONSTEROIDAL ANTI-INFLAMMATORY	A90
nafcillindrugId:1421		ANTIBIOTICS
Naftin (naftifine)drugId:8166	PA	FUNGICIDES	A90
Naglazyme (galsulfase)drugId:921	PA	ENZYMES	MB
nalbuphine		OPIOID ANALGESICS
Nalfon (fenoprofen capsule)drugId:839	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
naloxone vial, 0.4 mg/mL syringe, 2 mg/2 mL syringedrugId:1424		ANTIDOTES
naltrexone powderdrugId:8181	PA	ALCOHOL AND DRUG CESSATION AGENT
naltrexone tabletdrugId:1425	PA < 6 years	ALCOHOL AND DRUG CESSATION AGENT	A90
Namenda (memantine titration pack)drugId:7404	PA < 6 years and PA > 49 units/28 days	ALZHEIMER'S THERAPY	A90
NamendadrugId:1139 (memantine tablet)drugId:1139	PA < 6 years and PA > 2 units/day	ALZHEIMER'S THERAPY	A90, #
Namenda XRdrugId:7447 (memantine extended-release)drugId:7447	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY	A90, #
Namzaric (memantine / donepezil extended-release)drugId:7448	PA < 6 years and PA > 1 unit/day	ALZHEIMER'S THERAPY
nandrolone		HORMONE AGENTS
naphazolinedrugId:1166		OPHTHALMIC PREPARATIONS	*
Naphcon-A (naphazoline / pheniramine)drugId:6212		OPHTHALMIC PREPARATIONS	A90
Naprelan CR (naproxen controlled-release)drugId:2051	PA	NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen capsule, tabletdrugId:1174		NONSTEROIDAL ANTI-INFLAMMATORY	*, A90
naproxen enteric coateddrugId:1978		NONSTEROIDAL ANTI-INFLAMMATORY	A90
naproxen suspensiondrugId:1977	PA ≥ 13 years	NONSTEROIDAL ANTI-INFLAMMATORY	A90
NarcandrugId:5280 (naloxone 4 mg nasal spray)drugId:5280		ANTIDOTES	#
NardildrugId:1515 (phenelzine)drugId:1515	PA < 6 years	ANTIDEPRESSANTS	A90, #
Naropin (ropivacaine)		ANESTHETICS	MB
Nascobal (cyanocobalamin-Nascobal)drugId:301	PA	ELECTROLYTES AND NUTRIENTS
Natacyn (natamycin)drugId:2753		OPHTHALMIC PREPARATIONS
Natazia (estradiol valerate and estradiol valerate / dienogest)		CONTRACEPTIVES
nateglinidedrugId:1178		DIABETIC AGENTS	M90
Natesto (testosterone nasal gel)drugId:7661	PA	HORMONE REPLACEMENT THERAPY
Natpara (parathyroid hormone)drugId:5107	PA	HORMONE AGENTS
Natroba (spinosad)drugId:2239	PA	ANTIPARASITICS	A90
NavanedrugId:1696 (thiothixene)drugId:1696	PA < 6 years	ANTIPSYCHOTIC	A90, #
NavelbinedrugId:1805 (vinorelbine)drugId:1805		CHEMOTHERAPY	#
Nayzilam (midazolam nasal spray)drugId:7288	PA > 10 units/30 days	BENZODIAZEPINES
Nebupent (pentamidine)		ANTIPARASITICS	A90, #
Nebusal (sodium chloride 6% for inhalation) - Non-Drug Product		NON-DRUG PRODUCT
nefazodonedrugId:1181	PA < 6 years	ANTIDEPRESSANTS	A90
neomycin / bacitracin / polymyxin B / hydrocortisone ophthalmic ointmentdrugId:1187		OPHTHALMIC PREPARATIONS	A90
neomycin / bacitracin / polymyxin B ophthalmic ointmentdrugId:2273		OPHTHALMIC PREPARATIONS	A90
neomycin / fluocinolone cream, cream kitdrugId:2966	PA	GLUCOCORTICOIDS	A90
neomycin / polymyxin B / gramicidindrugId:1192		OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / hydrocortisone ophthalmic suspensiondrugId:1194	PA	OPHTHALMIC PREPARATIONS	A90
neomycin / polymyxin B / hydrocortisone oticdrugId:2109		OTIC PREPARATIONS	A90
neomycindrugId:1186		ANTIBIOTICS	*, A90
NeoraldrugId:314 (cyclosporine modified)drugId:314		IMMUNOMODULATOR	A90, #
Neptazane (methazolamide)		CARDIOVASCULAR	A90, #
Nerlynx (neratinib)drugId:6287	PA	CHEMOTHERAPY
Nesacaine (chloroprocaine)		ANESTHETICS	MB
Nesina (alogliptin)drugId:2784	PA	DIABETIC AGENTS	BP, M90
Neulasta (pegfilgrastim)drugId:1489		HEMATINIC AGENT
Neumega (oprelvekin)drugId:1297		HEMATINIC AGENT
Neupogen (filgrastim)drugId:856		HEMATINIC AGENT
Neupro (rotigotine transdermal system)drugId:2643	PA > 1 unit/day	ANTIPARKINSON	BP
NeurontindrugId:3480 (gabapentin capsule, solution, tablet)drugId:3480	PA < 6 years and PA > 3600 mg/day	ANTICONVULSANTS	#
Nevanac (nepafenac 0.1% ophthalmic suspension)drugId:1197		OPHTHALMIC PREPARATIONS
nevirapinedrugId:1199		ANTIVIRALS	A90
nevirapine extended-releasedrugId:2295	PA	ANTIVIRALS	A90
Nexavar (sorafenib)drugId:1890	PA	CHEMOTHERAPY	BP, A90
Nexium (esomeprazole magnesium 10 mg, 20 mg, 40 mg suspension)drugId:8109		PROTON PUMP INHIBITORS	BP, M90
Nexium (esomeprazole magnesium 2.5 mg, 5 mg suspension)drugId:8097	PA	PROTON PUMP INHIBITORS	M90
NexiumdrugId:632 (esomeprazole magnesium capsule)drugId:632	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90, #
Nexium  IV (esomeprazole sodium IV)drugId:633	PA	PROTON PUMP INHIBITORS
Nexletol (bempedoic acid)drugId:7372	PA	LIPID LOWERING AGENTS
Nexlizet (bempedoic acid / ezetimibe)drugId:7393	PA	LIPID LOWERING AGENTS
Nexplanon (etonogestrel implant-Nexplanon)		CONTRACEPTIVES
Nexviazyme (avalglucosidase alfa-ngpt)drugId:8122	PA	ENZYMES
niacinamidedrugId:1206		ELECTROLYTES AND NUTRIENTS	*, M90
NiaspandrugId:1200 (niacin extended-release tablet)drugId:1200		LIPID LOWERING AGENTS	M90, #
nicardipine capsuledrugId:1207	PA	CARDIOVASCULAR	M90
nicardipine injectiondrugId:8176		CARDIOVASCULAR
nicotine gum, lozenge, patch		SMOKING CESSATION	*, A90
nicotinic acid		LIPID LOWERING AGENTS	*
Nicotrol Inhaler (nicotine inhalation system)		SMOKING CESSATION
Nicotrol NS (nicotine nasal spray)		SMOKING CESSATION
nifedipine capsuledrugId:2064		CARDIOVASCULAR	M90
nilutamidedrugId:1217		CHEMOTHERAPY	A90
nimodipine capsuledrugId:2208	PA > 21 days treatment/365 days	CARDIOVASCULAR
Ninlaro (ixazomib)drugId:5281	PA	CHEMOTHERAPY
Nipent (pentostatin)drugId:2692		CHEMOTHERAPY	MB
Nitro-BiddrugId:1227 (nitroglycerin 2% ointment)drugId:1227		CARDIOVASCULAR	A90, #
Nitro-DurdrugId:1228 (nitroglycerin patch)drugId:1228		CARDIOVASCULAR	M90, #
Nitrolingual (nitroglycerin lingual spray)drugId:1229	PA	CARDIOVASCULAR	BP, A90
NitrostatdrugId:1230 (nitroglycerin sublingual tablet)drugId:1230		CARDIOVASCULAR	A90, #
Nityr (nitisinone)		ENDOCRINE/METABOLIC AGENTS
Nivestym (filgrastim-aafi)drugId:6922	PA	HEMATINIC AGENT
nizatidine 150 mg capsuledrugId:1232	PA > 2 units/day	H2 ANTAGONISTS	M90
nizatidine 300 mg capsuledrugId:8116	PA > 1 unit/day	H2 ANTAGONISTS	M90
nizatidine solutiondrugId:8098	PA	H2 ANTAGONISTS	A90
Nocdurna (desmopressin-Nocdurna)drugId:6984	PA	HORMONE AGENTS
nonoxynol-9		CONTRACEPTIVES	A90
Norditropin (somatropin-Norditropin)drugId:1882	PA	HORMONE AGENTS
norethindrone 0.35 mg		CONTRACEPTIVES	M90
norgestrel / ethinyl estradiol 0.3/0.03 mg		CONTRACEPTIVES	M90
Noritate (metronidazole 1% cream)drugId:1348		DERMATOLOGICAL
Norliqva (amlodipine solution)drugId:8255	PA	CARDIOVASCULAR
NorpacedrugId:546 (disopyramide immediate-release)drugId:546		CARDIOVASCULAR	A90, #
Norpace CR (disopyramide controlled-release)drugId:548		CARDIOVASCULAR
Norpramin (desipramine)drugId:2620	PA	ANTIDEPRESSANTS	A90
Northera (droxidopa)drugId:4630	PA	ADRENERGICS	A90
NorvascdrugId:41 (amlodipine)drugId:41		CARDIOVASCULAR	M90, #
Norvir (ritonavir packet, solution)drugId:6640		ANTIVIRALS
Norvir (ritonavir tablet)drugId:1446		ANTIVIRALS	BP, PD, A90
Nourianz (istradefylline)drugId:7349	PA	ANTIPARKINSON	A90
Novavax COVID-19 vaccine, adjuvanted (COVID EUA – July 13, 2022 for members ≥ 12 years of age)		COVID - 19 related Treatments and Vaccines	PHE
Novoeight (antihemophilic factor, recombinant-Novoeight)		ANTI-HEMOPHILIA AGENTS
Novolin (insulin NPH / regular insulin 70/30)drugId:819		DIABETIC AGENTS
Novolin N (insulin NPH)drugId:1265		DIABETIC AGENTS
Novolin R (insulin regular)drugId:820		DIABETIC AGENTS
Novolog (insulin aspart 70/30-Novolog)drugId:801	PA	DIABETIC AGENTS
Novolog (insulin aspart-Novolog)drugId:804	PA	DIABETIC AGENTS
Novoseven (coagulation factor VIIa, recombinant)		ANTI-HEMOPHILIA AGENTS
Noxafil (posaconazole injection, suspension)drugId:8099	PA	FUNGICIDES	BP, A90
Noxafil (posaconazole powder for oral suspension)drugId:8533	PA	ANTIFUNGALS
NoxafildrugId:2928 (posaconazole tablet)drugId:2928		FUNGICIDES	A90, #
Nplate (romiplostim)drugId:1452	PA	HEMATINIC AGENT	MB
Nubeqa (darolutamide)drugId:7289	PA	CHEMOTHERAPY
Nucala (mepolizumab)drugId:5282	PA	BIOLOGICAL
Nucynta (tapentadol)drugId:1923	PA	OPIOID ANALGESICS
Nucynta ER (tapentadol extended-release)drugId:2369	PA	OPIOID ANALGESICS
Nuedexta (dextromethorphan / quinidine)drugId:2177	PA	MULTIPLE SCLEROSIS AGENTS
Nulibry (fosdenopterin)drugId:7883	PA	ENZYMES	MB
Nulojix (belatacept)drugId:2286	PA	IMMUNOMODULATOR
NulytelydrugId:1552 (polyethylene glycol-electrolyte solution-Nulytely)drugId:1552		LAXATIVES	A90, #
Nuplazid (pimavanserin)drugId:5588	PA	ANTIPSYCHOTIC
Nurtec (rimegepant)drugId:7394	PA	CALCITONIN GENE-RELATED PEPTIDE INHIBITOR	PD
Nutropin AQ (somatropin-Nutropin AQ)drugId:1884	PA	HORMONE AGENTS
Nuvaring (etonogestrel / ethinyl estradiol)		CONTRACEPTIVES	M90, #
Nuvessa (metronidazole 1.3% vaginal gel)drugId:4948	PA	ANTIBIOTICS
NuvigildrugId:94 (armodafinil)drugId:94	PA < 6 years and PA > 1 unit/day	NARCOLEPSY AGENTS	#
Nuwiq (antihemophilic factor, recombinant-Nuwiq)		ANTI-HEMOPHILIA AGENTS
Nuzyra (omadacycline injection)drugId:7101	PA	ANTIBIOTICS
Nuzyra (omadacycline tablet)drugId:7102	PA	ANTIBIOTICS
Nymalize (nimodipine oral solution)drugId:2847	PA > 21 days treatment/365 days	CARDIOVASCULAR
nystatin / triamcinolone cream, ointmentdrugId:1268		FUNGICIDES	A90
nystatin bulk powderdrugId:8268	PA	FUNGICIDES
nystatin cream, ointment, 100,000 powderdrugId:2898		FUNGICIDES	A90
nystatin oral suspensiondrugId:1266		FUNGICIDES	A90
Nyvepria (pegfilgrastim-apgf)drugId:7617		HEMATINIC AGENT
Obizur (antihemophilic factor, recombinant, porcine sequence-Obizur)		ANTI-HEMOPHILIA AGENTS
Ocaliva (obeticholic acid)drugId:5589	PA	BILE THERAPY
Ocrevus (ocrelizumab)drugId:6104	PA	MULTIPLE SCLEROSIS AGENTS
Octagam (immune globulin IV, human-Octagam)drugId:2684	PA	BIOLOGICAL
OcufloxdrugId:1273 (ofloxacin ophthalmic solution)drugId:1273		OPHTHALMIC PREPARATIONS	A90, #
Odactra (house dust mite allergen extract)drugId:8503	PA	ALLERGENS
Odefsey (emtricitabine / rilpivirine / tenofovir alafenamide)drugId:5389		ANTIVIRALS	PD
Odomzo (sonidegib)drugId:5284	PA	CHEMOTHERAPY
Ofev (nintedanib)drugId:4787	PA	PULMONARY FIBROSIS AGENTS
ofloxacin otic solutiondrugId:1272		OTIC PREPARATIONS	A90
ofloxacin tabletdrugId:1271	PA	ANTIBIOTICS	A90
Ogivri (trastuzumab-dkst)drugId:7789	PA	CHEMOTHERAPY	MB
Olinvyk (oliceridine)drugId:7790	PA	OPIOID ANALGESICS	MB
olopatadine ophthalmic solutiondrugId:1284		ANTIHISTAMINES	A90
Olumiant (baricitinib)drugId:6803	PA	IMMUNOMODULATOR
Olumiant (baricitinib COVID EUA - November 19, 2020 for members 2 to 17 years of age)		COVID - 19 related Treatments and Vaccines	PHE, MB
Olumiant (baricitinib for members ≥ 18 years of age)		COVID - 19 related Treatments and Vaccines	PHE, MB
OluxdrugId:268 (clobetasol propionate foam)drugId:268		GLUCOCORTICOIDS	A90, #
Olux-E (clobetasol propionate foam / emollient)drugId:2532	PA	GLUCOCORTICOIDS	A90
Omeclamox-Pak (omeprazole / clarithromycin / amoxicillin)drugId:2582	PA	H. PYLORI AGENTS
omeprazole 10 mgdrugId:2100	PA > 1 unit/day	PROTON PUMP INHIBITORS	M90
omeprazole 20 mg capsuledrugId:1289	PA > 4 units/day	PROTON PUMP INHIBITORS	M90
omeprazole 40 mgdrugId:2055	PA > 2 units/day	PROTON PUMP INHIBITORS	M90
Omidria (phenylephrine / ketorolac)		OPHTHALMIC PREPARATIONS	MB
Omnaris (ciclesonide 50 mcg nasal spray)drugId:231	PA > 1 inhaler/30 days	NASAL PREPARATIONS
Omnitrope (somatropin-Omnitrope)drugId:1885	PA	HORMONE AGENTS
Oncaspar (pegaspargase)drugId:2430		CHEMOTHERAPY	MB
ondansetron 24 mg tabletdrugId:6375	PA	ANTIEMETICS	A90
ondansetron injectiondrugId:1295		ANTIEMETICS
ondansetron orally disintegrating tabletdrugId:1294		ANTIEMETICS	A90
ondansetron solutiondrugId:1293	PA	ANTIEMETICS	A90
Onexton (clindamycin / benzoyl peroxide-Onexton)drugId:4788	PA	DERMATOLOGICAL
OnfidrugId:2419 (clobazam suspension, tablet)drugId:2419		ANTICONVULSANTS	#
Ongentys (opicapone)drugId:7564	PA	ANTIPARKINSON
Onglyza (saxagliptin)drugId:1834		DIABETIC AGENTS	BP
On-Go (COVID-19 antigen self-test)drugId:8175 - Non-Drug Product	PA > 8 tests/28 days	DIAGNOSTICS	PHE
Onivyde (irinotecan liposome)drugId:5285	PA	CHEMOTHERAPY	MB
Onpattro (patisiran)drugId:6985	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Ontruzant (trastuzumab-dttb)drugId:7791	PA	CHEMOTHERAPY	MB
Onureg (azacitidine tablet)drugId:7565	PA	CHEMOTHERAPY
Onzetra (sumatriptan nasal powder)drugId:5590	PA	TRIPTAN
Opcon-A (naphazoline / pheniramine)drugId:6213		OPHTHALMIC PREPARATIONS	A90
Opdivo (nivolumab)drugId:5108	PA	CHEMOTHERAPY	MB
Opdualag (nivolumab / relatlimab-rmbw)drugId:8256	PA	CHEMOTHERAPY	MB
opium tincturedrugId:2423	PA	ANTIDIARRHEALS
Opsumit (macitentan)drugId:2892	PA	CARDIOVASCULAR
Opzelura (ruxolitinib cream)drugId:8123	PA	DERMATOLOGICAL
Oralair (grass pollen allergen extract)drugId:4789	PA	ALLERGENS
OrapdrugId:1532 (pimozide)drugId:1532	PA < 6 years	ANTIPSYCHOTIC	A90, #
Ora-Plus suspending vehicledrugId:1298		COMPOUNDING AGENT	*
Ora-Sweet oral syrupdrugId:1299		COMPOUNDING AGENT	*
Ora-Sweet-SF oral syrupdrugId:1300		COMPOUNDING AGENT	*
Oravig (miconazole buccal tablet)drugId:1966	PA	FUNGICIDES
Orbactiv (oritavancin)drugId:4790	PA	ANTIBIOTICS
Orencia (abatacept auto-injection, prefilled syringe)drugId:8383	PA	IMMUNOMODULATOR
Orencia (abatacept vial)drugId:140	PA	IMMUNOMODULATOR	MB
Orenitram (treprostinil tablet)drugId:2940	PA	CARDIOVASCULAR
Orfadin (nitisinone)		ENDOCRINE/METABOLIC AGENTS	A90, #
Orgovyx (relugolix)drugId:7792	PA	HORMONE AGENTS
Oriahnn (elagolix / estradiol / norethindrone)drugId:7923	PA	OTHER HORMONES
Orilissa (elagolix)drugId:6921	PA	HORMONE AGENTS
Orkambi (lumacaftor / ivacaftor)drugId:5126	PA	CYSTIC FIBROSIS AGENTS	PD
Orladeyo (berotralstat)drugId:7720	PA	ENZYMES
orphenadrine / aspirin / caffeinedrugId:7164	PA	MUSCLE RELAXANT	A90
orphenadrinedrugId:1301	PA < 18 years	MUSCLE RELAXANT	A90
orphenadrine powderdrugId:6992	PA	MUSCLE RELAXANT
Orserdu (elacestrant)drugId:8534	PA	ANTINEOPLASTICS
Ortho Micronor (norethindrone 0.35 mg)		CONTRACEPTIVES	M90, #
Ortho-Novum (ethinyl estradiol / norethindrone-Ortho-Novum)		CONTRACEPTIVES	M90, #
Ortho Tri-Cyclen (ethinyl estradiol / norgestimate-Ortho Tri-Cyclen)		CONTRACEPTIVES	M90, #
Orthovisc (hyaluronan, high molecular weight)drugId:4808	PA	HYALURONAN	MB
Ortikos (budesonide extended-release capsule)drugId:7493	PA	GLUCOCORTICOIDS
Oseni (alogliptin / pioglitazone)drugId:2783	PA	DIABETIC AGENTS	BP, M90
Osmolex ER (amantadine extended-release tablet)drugId:7006	PA	ANTIPARKINSON
Osmoprep (sodium phosphate)drugId:1873		LAXATIVES
Otezla (apremilast)drugId:2941	PA	IMMUNOMODULATOR
Otovel (ciprofloxacin / fluocinolone)drugId:5683	PA	OTIC PREPARATIONS	A90
Otrexup (methotrexate subcutaneous injection-Otrexup)drugId:2929	PA	IMMUNOMODULATOR
Ovide (malathion)drugId:1117	PA	ANTIPARASITICS	A90
oxacillindrugId:1306		ANTIBIOTICS
oxaliplatindrugId:1307		CHEMOTHERAPY	MB
oxandrolonedrugId:1308	PA	ANABOLIC STEROID
oxazepamdrugId:1310	PA	BENZODIAZEPINES
Oxbryta (voxelotor)drugId:7350	PA	HEMATOLOGIC
Oxervate (cenegermin-bkbj)drugId:7103	PA	OPHTHALMIC PREPARATIONS
Oxistat (oxiconazole cream)drugId:1312	PA	FUNGICIDES	BP, A90
Oxistat (oxiconazole lotion)drugId:8167	PA	FUNGICIDES
Oxlumo (lumasiran)drugId:7793	PA	SMALL INTERFERING RNA AGENTS	PD, MB
Oxsoralen (methoxsalen topical)		DERMATOLOGICAL	A90
Oxsoralen-Ultra (methoxsalen capsules)		DERMATOLOGICAL	A90, #
Oxtellar XR (oxcarbazepine extended-release)drugId:4443	PA	ANTICONVULSANTS
oxybutynin immediate-release tablet, syrupdrugId:1313		URINARY ANTISPASMODICS	A90
oxycodone / acetaminophen 300 mgdrugId:5144	PA	OPIOID ANALGESICS
oxycodone / acetaminophendrugId:1321	PA > 80 mg/day oxycodone and PA > 4 g/day acetaminophen	OPIOID ANALGESICS
oxycodone / aspirindrugId:1460	PA > 80 mg/day oxycodone and PA > 4 g/day aspirin	OPIOID ANALGESICS
oxycodone powderdrugId:1317	PA	OPIOID ANALGESICS
Oxycontin (oxycodone extended-release tablet)drugId:1319	PA	OPIOID ANALGESICS	BP
oxymorphone extended-release, oraldrugId:2912	PA	OPIOID ANALGESICS
oxymorphone immediate-release, oraldrugId:1463	PA	OPIOID ANALGESICS
Oxytrol (oxybutynin transdermal system)drugId:1316		URINARY ANTISPASMODICS
Ozempic (semaglutide injection)drugId:6613	PA	DIABETIC AGENTS
Ozurdex (dexamethasone intravitreal implant)drugId:494		OPHTHALMIC PREPARATIONS	MB
paclitaxel injectiondrugId:1467		CHEMOTHERAPY
Padcev (enfortumab vedotin-ejfv)drugId:7351	PA	CHEMOTHERAPY
Palforzia (peanut allergen powder-dnfp)drugId:7373	PA	ALLERGENS
palonosetron 0.25 mg/2 mL injectiondrugId:6614	PA > 2 units/28 days	ANTIEMETICS	A90
Palynziq (pegvaliase-pqpz)drugId:6923	PA	ENZYMES
PamelordrugId:1262 (nortriptyline)drugId:1262	PA < 6 years	ANTIDEPRESSANTS	A90, #
pamidronatedrugId:1474		ELECTROLYTES AND NUTRIENTS
Pandel (hydrocortisone probutate cream)drugId:732		GLUCOCORTICOIDS
Panretin (alitretinoin)drugId:8411	PA	ANTINEOPLASTICS
Panzyga (immune globulin IV, human-ifas)drugId:7104	PA	BIOLOGICAL
Paragard (copper IUD)		CONTRACEPTIVES
ParlodeldrugId:377 (bromocriptine 2.5 mg, 5 mg)drugId:377