Access Formulary Drug List

EFFECTIVE: JANUARY 1, 2026

About this drug list

This is a list of the medications included in your prescription plan. It is not, however, a complete list of products that are on the formulary, nor does it guarantee coverage. Please ask your prescriber to consider preferred medications from this list when medically appropriate.

How to read this drug list

Use the chart below to help you read this drug list. This chart is just an example. It may not show how these medications are actually covered on the 2025 Access Formulary List. Medications are listed by the condition they treat, then listed alphabetically.

The formulary is the list of drugs included in your prescription plan. Ask your prescriber to consider PREFERRED medications from this list when medically appropriate. Inclusion on the list does not guarantee coverage. The following list is not a complete list of products that are on the formulary.

Newly FDA approved medications are subject to evaluation by the Plan for coverage status and formulary placement prior to inclusion in the Prescription Drug Beneﬁt including the Specialty Drug Beneﬁt.

Abbreviations next to medications

In this drug list, formulary status (i.e., generic, preferred, or non-preferred) and extra coverage requirements (i.e., prior authorization) are indicated to the right of the medication. Here’s what they mean:

(G)

(P)

(NP)

Generic Medication

Generic medications are denoted by (G). The most affordable medications.

Preferred Medication

Preferred medications are denoted by (P). Ask your doctor about choosing a preferred medication.

Non-Preferred Medication

Non-preferred medications are denoted by (NP). The more expensive medications.

(SP)

(PA)

Specialty Medication

Some medications are considered specialty medications. These medications are denoted by (SP) and are available through our specialty pharmacy network.

Prior Authorization

Certain medications require VerusRx’s approval before they are covered by your plan. These medications are denoted by (PA). Unless your doctor requests and receives approval from VerusRx, your plan will not cover these medications.

Abbreviations next to medications

Medications are organized into groups in the table below. First, identify the appropriate group for your medication, then navigate to that section to view the covered medications. If you cannot find your medication within a group, please use the search feature or contact our customer service team for assistance.

This list contains injectable medical drugs covered under medical policies. For speciﬁc questions about your coverage, please call the phone number printed on your member ID card.

For the Health Care Provider: Please prescribe PREFERRED products and allow generic substitutions when medically appropriate.

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DRUG CLASS	DRUG NAME	FORMULARY STATUS	SPECIALTY (SP)	PRIOR AUTHORIZATION (PA)
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ADDERALL	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ADDERALL XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	AMPHETAMINE SULFATE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	AMPHETAMINE/DEXTROAMPHETA	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	APTENSIO XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ARMODAFINIL	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ATOMOXETINE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ATOMOXETINE HYDROCHLORIDE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	AZSTARYS	PREFERRED		PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CAFFEINE ANHYDROUS	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CAFFEINE CITRATE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CAFFEINE CITRATE	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CAFFEINE CITRATED	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CAFFEINE/SODIUM BENZOATE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CLONIDINE HCL ER	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CLONIDINE HYDROCHLORIDE E	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	CONCERTA	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DAYTRANA	NON PREFERRED		PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DEXMETHYLPHENIDATE HCL	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DEXMETHYLPHENIDATE HCL ER	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DEXMETHYLPHENIDATE HYDROC	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DEXTROAMPHETAMINE SULFATE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DOPRAM	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	DYANAVEL XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	EVEKEO	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	FOCALIN	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	FOCALIN XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	GUANFACINE HYDROCHLORIDE	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	INTUNIV	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	JORNAY PM	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	LISDEXAMFETAMINE DIMESYLA	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	METADATE CD	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	METHAMPHETAMINE HYDROCHLO	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	METHYLIN	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	METHYLPHENIDATE	GENERIC		PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	METHYLPHENIDATE HYDROCHLO	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	MODAFINIL	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	NUVIGIL	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	Onyda XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	PROCENTRA	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	PROVIGIL	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	QELBREE	PREFERRED		PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	QUILLICHEW ER	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	QUILLIVANT XR	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	RELEXXII	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	RITALIN	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	RITALIN LA	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	VYVANSE	NON PREFERRED
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	WAKIX	PREFERRED	SP	PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	XELSTRYM	NON PREFERRED		PA
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ZENZEDI	GENERIC
ADHD/ANTI-NARCOLEPSY/ANTI-OBESITY/ANOREXIANTS	ZENZEDI	NON PREFERRED
AMEBICIDES	IODOQUINOL	NON PREFERRED
AMINOGLYCOSIDES	AMIKACIN SULFATE	GENERIC
AMINOGLYCOSIDES	AMIKACIN SULFATE	NON PREFERRED
AMINOGLYCOSIDES	ARIKAYCE	NON PREFERRED	SP	PA
AMINOGLYCOSIDES	BETHKIS	NON PREFERRED	SP	PA
AMINOGLYCOSIDES	GENTAMICIN SULFATE	GENERIC
AMINOGLYCOSIDES	GENTAMICIN SULFATE PEDIAT	GENERIC
AMINOGLYCOSIDES	GENTAMICIN SULFATE/0.9% S	GENERIC
AMINOGLYCOSIDES	HUMATIN	NON PREFERRED
AMINOGLYCOSIDES	ISOTONIC GENTAMICIN	GENERIC
AMINOGLYCOSIDES	KITABIS PAK	PREFERRED	SP	PA
AMINOGLYCOSIDES	NEOMYCIN SULFATE	GENERIC
AMINOGLYCOSIDES	STREPTOMYCIN SULFATE	GENERIC
AMINOGLYCOSIDES	STREPTOMYCIN SULFATE	NON PREFERRED
AMINOGLYCOSIDES	TOBI	NON PREFERRED	SP	PA
AMINOGLYCOSIDES	TOBI PODHALER	PREFERRED	SP	PA
AMINOGLYCOSIDES	TOBRAMYCIN	GENERIC	SP	PA
AMINOGLYCOSIDES	TOBRAMYCIN SULFATE	GENERIC
AMINOGLYCOSIDES	TOBRAMYCIN SULFATE	NON PREFERRED
AMINOGLYCOSIDES	ZEMDRI	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	ABRILADA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ACTEMRA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ACTEMRA IV	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-AACF	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-AATY	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-ADAZ	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-ADBM	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-FKJP	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ADALIMUMAB-RYVK	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	AMJEVITA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ANAPROX DS	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	ARAVA	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	ARCALYST	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ARTHROTEC 50	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	ARTHROTEC 75	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	Avtozma	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	CALDOLOR	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	CELEBREX	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	CELECOXIB	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	COMBOGESIC	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	COXANTO	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	CYLTEZO	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	DICLOFENAC POTASSIUM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	DICLOFENAC SODIUM DR	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	DICLOFENAC SODIUM ER	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	DICLOFENAC SODIUM/MISOPRO	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	EC-NAPROSYN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	ENBREL	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ETODOLAC	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	ETODOLAC ER	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	FENOPROFEN CALCIUM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	FENOPROFEN CALCIUM	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	FENOPRON	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	FLURBIPROFEN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	FLURBIPROFEN	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	HADLIMA	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	HULIO	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	HUMIRA	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	Humira (1 Pen)	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	Humira (2 Pen)	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	HYRIMOZ	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	IBU	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	IBUPROFEN	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	IBUPROFEN LYSINE	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	ILARIS	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	INDOCIN	NON PREFERRED		PA
ANALGESICS - ANTI-INFLAMMATORY	INDOCIN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	INDOMETHACIN	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	INDOMETHACIN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	INDOMETHACIN	NON PREFERRED		PA
ANALGESICS - ANTI-INFLAMMATORY	INDOMETHACIN	GENERIC		PA
ANALGESICS - ANTI-INFLAMMATORY	INDOMETHACIN ER	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	KETAMINE HYDROCHLORIDE/RO	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	KETOROCAINE-L	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	KETOROLAC TROMETHAMINE	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	KETOROLAC TROMETHAMINE	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	KETOROLAC TROMETHAMINE/BU	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	KEVZARA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	KINERET	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	LEFLUNOMIDE	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	LODINE	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	LURBIRO	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	MECLOFENAMATE SODIUM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	MEFENAMIC ACID	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	MELOXICAM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	MELOXICAM	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	NABUMETONE	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	NAPROSYN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	NAPROXEN	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	NAPROXEN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	NAPROXEN DR	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	NAPROXEN SODIUM	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	NAPROXEN SODIUM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	NEOPROFEN	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	OLUMIANT	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	ORENCIA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	OTEZLA	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	OXAPROZIN	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	PHENYLBUTAZONE	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	PIROXICAM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	PIROXICAM	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	RIDAURA	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	RINVOQ	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	SIMLANDI	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	Simlandi (1 Syringe)	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	SIMPONI	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	SIMPONI ARIA	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	SULINDAC	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	SULINDAC	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	TOFIDENCE	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	TOLECTIN 600	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	TOLMETIN SODIUM	GENERIC
ANALGESICS - ANTI-INFLAMMATORY	TRESNI	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	TYENNE	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	XELJANZ	PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	XIFYRM	NON PREFERRED
ANALGESICS - ANTI-INFLAMMATORY	YUFLYMA	NON PREFERRED	SP	PA
ANALGESICS - ANTI-INFLAMMATORY	YUSIMRY	NON PREFERRED	SP	PA
ANALGESICS - NON-NARCOTIC	ACETAMINOPHEN	GENERIC
ANALGESICS - NON-NARCOTIC	ACETAMINOPHEN	NON PREFERRED
ANALGESICS - NON-NARCOTIC	ACETYL SALICYLIC ACID	NON PREFERRED
ANALGESICS - NON-NARCOTIC	ALLZITAL	NON PREFERRED
ANALGESICS - NON-NARCOTIC	ASPIRIN	NON PREFERRED
ANALGESICS - NON-NARCOTIC	BAC	GENERIC
ANALGESICS - NON-NARCOTIC	BUTALBITAL/ACETAMINOPHEN	GENERIC
ANALGESICS - NON-NARCOTIC	BUTALBITAL/ACETAMINOPHEN/	GENERIC
ANALGESICS - NON-NARCOTIC	BUTALBITAL/ASPIRIN/CAFFEI	GENERIC
ANALGESICS - NON-NARCOTIC	CLONIDINE HCL	GENERIC
ANALGESICS - NON-NARCOTIC	CLONIDINE HYDROCHLORIDE	NON PREFERRED
ANALGESICS - NON-NARCOTIC	CLONIDINE HYDROCHLORIDE	GENERIC
ANALGESICS - NON-NARCOTIC	DIFLUNISAL	NON PREFERRED
ANALGESICS - NON-NARCOTIC	DIFLUNISAL	GENERIC
ANALGESICS - NON-NARCOTIC	DOLOBID	NON PREFERRED
ANALGESICS - NON-NARCOTIC	DURACLON	NON PREFERRED
ANALGESICS - NON-NARCOTIC	FIORICET	NON PREFERRED
ANALGESICS - NON-NARCOTIC	JOURNAVX	NON PREFERRED
ANALGESICS - NON-NARCOTIC	LOTREXONE	NON PREFERRED
ANALGESICS - NON-NARCOTIC	NALTREX	NON PREFERRED
ANALGESICS - NON-NARCOTIC	PRIALT	NON PREFERRED	SP	PA
ANALGESICS - NON-NARCOTIC	SALSALATE	GENERIC
ANALGESICS - NON-NARCOTIC	SODIUM SALICYLATE	NON PREFERRED
ANALGESICS - NON-NARCOTIC	TENCON	GENERIC
ANALGESICS - OPIOID	ACETAMINOPHEN/CAFFEINE/DI	GENERIC
ANALGESICS - OPIOID	ACETAMINOPHEN/CODEINE	GENERIC
ANALGESICS - OPIOID	ACETAMINOPHEN/CODEINE PHO	GENERIC
ANALGESICS - OPIOID	APADAZ	NON PREFERRED
ANALGESICS - OPIOID	ASCOMP/CODEINE	GENERIC
ANALGESICS - OPIOID	BELBUCA	PREFERRED		PA
ANALGESICS - OPIOID	BENZHYDROCODONE/ACETAMINO	NON PREFERRED
ANALGESICS - OPIOID	BRIXADI	NON PREFERRED	SP	PA
ANALGESICS - OPIOID	Brixadi (Weekly)	NON PREFERRED	SP	PA
ANALGESICS - OPIOID	BUPRENORPHINE	GENERIC		PA
ANALGESICS - OPIOID	BUPRENORPHINE HCL	GENERIC
ANALGESICS - OPIOID	BUPRENORPHINE HCL/NALOXON	GENERIC
ANALGESICS - OPIOID	BUPRENORPHINE HYDROCHLORI	GENERIC
ANALGESICS - OPIOID	BUTALBITAL/ACETAMINOPHEN/	GENERIC
ANALGESICS - OPIOID	BUTALBITAL/ASPIRIN/CAFFEI	GENERIC
ANALGESICS - OPIOID	BUTORPHANOL TARTRATE	GENERIC
ANALGESICS - OPIOID	BUTRANS	NON PREFERRED		PA
ANALGESICS - OPIOID	CODEINE SULFATE	NON PREFERRED
ANALGESICS - OPIOID	CODEINE SULFATE	GENERIC
ANALGESICS - OPIOID	DEMEROL	NON PREFERRED
ANALGESICS - OPIOID	DILAUDID	NON PREFERRED
ANALGESICS - OPIOID	DURAMORPH	NON PREFERRED
ANALGESICS - OPIOID	ENDOCET	GENERIC
ANALGESICS - OPIOID	FENTANYL	GENERIC		PA
ANALGESICS - OPIOID	FENTANYL CITRATE	NON PREFERRED		PA
ANALGESICS - OPIOID	FENTANYL CITRATE	GENERIC		PA
ANALGESICS - OPIOID	FENTANYL CITRATE/BUPIVACA	NON PREFERRED
ANALGESICS - OPIOID	FENTANYL CITRATE/ROPIVACA	NON PREFERRED
ANALGESICS - OPIOID	FENTANYL CITRATE/SODIUM C	NON PREFERRED		PA
ANALGESICS - OPIOID	FENTANYL/BUPIVACAINE HYDR	NON PREFERRED
ANALGESICS - OPIOID	FENTANYL/BUPIVACAINE/NACL	NON PREFERRED
ANALGESICS - OPIOID	FENTANYL/ROPIVACAINE HYDR	NON PREFERRED
ANALGESICS - OPIOID	HYDROCODONE BITARTRATE/AC	GENERIC
ANALGESICS - OPIOID	HYDROCODONE/ACETAMINOPHEN	GENERIC
ANALGESICS - OPIOID	HYDROCODONE/IBUPROFEN	GENERIC
ANALGESICS - OPIOID	HYDROMORPHONE HCL	GENERIC
ANALGESICS - OPIOID	HYDROMORPHONE HCL	NON PREFERRED
ANALGESICS - OPIOID	HYDROMORPHONE HCL ER	GENERIC
ANALGESICS - OPIOID	HYDROMORPHONE HCL/SODIUM	NON PREFERRED
ANALGESICS - OPIOID	HYDROMORPHONE HYDROCHLORI	NON PREFERRED
ANALGESICS - OPIOID	HYDROMORPHONE HYDROCHLORI	GENERIC
ANALGESICS - OPIOID	INFUMORPH 200	NON PREFERRED
ANALGESICS - OPIOID	INFUMORPH 500	NON PREFERRED
ANALGESICS - OPIOID	MEPERIDINE HCL	NON PREFERRED
ANALGESICS - OPIOID	MEPERIDINE HCL	GENERIC
ANALGESICS - OPIOID	MEPERIDINE HYDROCHLORIDE	NON PREFERRED
ANALGESICS - OPIOID	METHADONE HCL	NON PREFERRED		PA
ANALGESICS - OPIOID	METHADONE HCL	GENERIC		PA
ANALGESICS - OPIOID	METHADONE HYDROCHLORIDE	GENERIC		PA
ANALGESICS - OPIOID	METHADONE HYDROCHLORIDE	NON PREFERRED		PA
ANALGESICS - OPIOID	METHADONE HYDROCHLORIDE I	GENERIC		PA
ANALGESICS - OPIOID	METHADONE HYDROCHLORIDE/S	NON PREFERRED
ANALGESICS - OPIOID	METHADOSE	NON PREFERRED		PA
ANALGESICS - OPIOID	METHADOSE	GENERIC		PA
ANALGESICS - OPIOID	METHADOSE SUGAR-FREE	NON PREFERRED		PA
ANALGESICS - OPIOID	MITIGO	NON PREFERRED
ANALGESICS - OPIOID	MORPHINE SULFATE	NON PREFERRED
ANALGESICS - OPIOID	MORPHINE SULFATE	GENERIC
ANALGESICS - OPIOID	MORPHINE SULFATE ER	GENERIC
ANALGESICS - OPIOID	MORPHINE SULFATE/SODIUM C	NON PREFERRED
ANALGESICS - OPIOID	MS CONTIN	NON PREFERRED
ANALGESICS - OPIOID	NALBUPHINE HYDROCHLORIDE	GENERIC
ANALGESICS - OPIOID	NUCYNTA	NON PREFERRED
ANALGESICS - OPIOID	OLINVYK	NON PREFERRED
ANALGESICS - OPIOID	OXYCODONE HCL	GENERIC
ANALGESICS - OPIOID	OXYCODONE HYDROCHLORIDE	GENERIC
ANALGESICS - OPIOID	OXYCODONE HYDROCHLORIDE/A	GENERIC
ANALGESICS - OPIOID	OXYCODONE/ACETAMINOPHEN	GENERIC
ANALGESICS - OPIOID	OXYCONTIN	NON PREFERRED		PA
ANALGESICS - OPIOID	OXYMORPHONE HYDROCHLORIDE	GENERIC
ANALGESICS - OPIOID	PENTAZOCINE/NALOXONE HCL	NON PREFERRED
ANALGESICS - OPIOID	PERCOCET	NON PREFERRED
ANALGESICS - OPIOID	REMIFENTANIL HYDROCHLORID	GENERIC
ANALGESICS - OPIOID	ROXICODONE	NON PREFERRED
ANALGESICS - OPIOID	SUBLOCADE	NON PREFERRED	SP	PA
ANALGESICS - OPIOID	SUBOXONE	NON PREFERRED
ANALGESICS - OPIOID	TRAMADOL HYDROCHLORIDE	GENERIC
ANALGESICS - OPIOID	TRAMADOL HYDROCHLORIDE	NON PREFERRED
ANALGESICS - OPIOID	TRAMADOL HYDROCHLORIDE/AC	GENERIC
ANALGESICS - OPIOID	TREZIX	GENERIC
ANALGESICS - OPIOID	ULTIVA	NON PREFERRED
ANALGESICS - OPIOID	ZUBSOLV	PREFERRED
ANDROGENS-ANABOLIC	AZMIRO	NON PREFERRED		PA
ANDROGENS-ANABOLIC	DANAZOL	GENERIC		PA
ANDROGENS-ANABOLIC	DEPO-TESTOSTERONE	NON PREFERRED		PA
ANDROGENS-ANABOLIC	KYZATREX	NON PREFERRED		PA
ANDROGENS-ANABOLIC	METHITEST	GENERIC		PA
ANDROGENS-ANABOLIC	METHYLTESTOSTERONE	GENERIC		PA
ANDROGENS-ANABOLIC	METHYLTESTOSTERONE	NON PREFERRED		PA
ANDROGENS-ANABOLIC	TESTONE CIK	NON PREFERRED		PA
ANDROGENS-ANABOLIC	TESTOSTERONE CYPIONATE	GENERIC		PA
ANDROGENS-ANABOLIC	TESTOSTERONE CYPIONATE	NON PREFERRED		PA
ANDROGENS-ANABOLIC	TESTOSTERONE ENANTHATE	GENERIC		PA
ANDROGENS-ANABOLIC	UNDECATREX	NON PREFERRED		PA
ANORECTAL AND RELATED PRODUCTS	ANALPRAM HC	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	ANUCORT-HC	GENERIC
ANORECTAL AND RELATED PRODUCTS	ANUSOL-HC	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	BARRIGEL	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	BUDESONIDE	GENERIC
ANORECTAL AND RELATED PRODUCTS	CORTENEMA	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	HEMMOREX-HC	GENERIC
ANORECTAL AND RELATED PRODUCTS	HYDROCORTISONE	GENERIC
ANORECTAL AND RELATED PRODUCTS	HYDROCORTISONE ACETATE	GENERIC
ANORECTAL AND RELATED PRODUCTS	HYDROCORTISONE ACETATE/PR	GENERIC
ANORECTAL AND RELATED PRODUCTS	LIDOCAINE HCL/HYDROCORTIS	GENERIC
ANORECTAL AND RELATED PRODUCTS	LIDOCAINE HCL-HYDROCORTIS	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	LIDOCAINE HYDROCHLORIDE/H	GENERIC
ANORECTAL AND RELATED PRODUCTS	LIDOCAINE HYDROCHLORIDE/H	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	LIDOCORT	GENERIC
ANORECTAL AND RELATED PRODUCTS	NITROGLYCERIN	GENERIC
ANORECTAL AND RELATED PRODUCTS	PROCORT	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	PROCTOCORT	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	PROCTOFOAM HC	PREFERRED
ANORECTAL AND RELATED PRODUCTS	PROCTO-MED HC	GENERIC
ANORECTAL AND RELATED PRODUCTS	PROCTOSOL HC	GENERIC
ANORECTAL AND RELATED PRODUCTS	PROCTOZONE-HC	GENERIC
ANORECTAL AND RELATED PRODUCTS	RECTIV	NON PREFERRED
ANORECTAL AND RELATED PRODUCTS	UCERIS	NON PREFERRED
ANTACIDS	MAGNESIUM OXIDE HEAVY	NON PREFERRED
ANTACIDS	MAGNESIUM OXIDE LIGHT	NON PREFERRED
ANTACIDS	MAGNESIUM TRISILICATE	NON PREFERRED
ANTACIDS	MAGNESIUM TRISILICATE HYD	NON PREFERRED
ANTHELMINTICS	ALBENDAZOLE	GENERIC
ANTHELMINTICS	BENZNIDAZOLE	NON PREFERRED
ANTHELMINTICS	BILTRICIDE	NON PREFERRED
ANTHELMINTICS	Egaten	NON PREFERRED
ANTHELMINTICS	IVERMECTIN	GENERIC		PA
ANTHELMINTICS	IVERMECTIN	GENERIC
ANTHELMINTICS	PIPERAZINE CITRATE	NON PREFERRED
ANTHELMINTICS	PRAZIQUANTEL	GENERIC
ANTHELMINTICS	STROMECTOL	NON PREFERRED		PA
ANTHELMINTICS	THIABENDAZOLE	NON PREFERRED
ANTIANGINAL AGENTS	ISORDIL TITRADOSE	NON PREFERRED
ANTIANGINAL AGENTS	ISOSORBIDE DINITRATE	GENERIC
ANTIANGINAL AGENTS	ISOSORBIDE MONONITRATE	NON PREFERRED
ANTIANGINAL AGENTS	ISOSORBIDE MONONITRATE ER	GENERIC
ANTIANGINAL AGENTS	NITRO-BID	NON PREFERRED
ANTIANGINAL AGENTS	NITRO-DUR	NON PREFERRED
ANTIANGINAL AGENTS	NITROGLYCERIN	GENERIC
ANTIANGINAL AGENTS	NITROGLYCERIN IN DEXTROSE	GENERIC
ANTIANGINAL AGENTS	NITROGLYCERIN TRANSDERMAL	GENERIC
ANTIANGINAL AGENTS	NITROSTAT	NON PREFERRED
ANTIANGINAL AGENTS	NITRO-TIME	GENERIC
ANTIANGINAL AGENTS	RANOLAZINE ER	GENERIC
ANTIANXIETY AGENTS	ALPRAZOLAM	GENERIC
ANTIANXIETY AGENTS	ALPRAZOLAM ER	GENERIC
ANTIANXIETY AGENTS	ALPRAZOLAM INTENSOL	NON PREFERRED
ANTIANXIETY AGENTS	ALPRAZOLAM ODT	NON PREFERRED
ANTIANXIETY AGENTS	ALPRAZOLAM XR	GENERIC
ANTIANXIETY AGENTS	ATIVAN	NON PREFERRED
ANTIANXIETY AGENTS	BUCAPSOL	NON PREFERRED
ANTIANXIETY AGENTS	BUSPIRONE HCL	GENERIC
ANTIANXIETY AGENTS	BUSPIRONE HYDROCHLORIDE	GENERIC
ANTIANXIETY AGENTS	CHLORDIAZEPOXIDE HCL	GENERIC
ANTIANXIETY AGENTS	CHLORDIAZEPOXIDE HYDROCHL	GENERIC
ANTIANXIETY AGENTS	CLORAZEPATE DIPOTASSIUM	GENERIC
ANTIANXIETY AGENTS	DIAZEPAM	GENERIC
ANTIANXIETY AGENTS	DIAZEPAM	NON PREFERRED
ANTIANXIETY AGENTS	DIAZEPAM INTENSOL	GENERIC
ANTIANXIETY AGENTS	DROPERIDOL	GENERIC
ANTIANXIETY AGENTS	DROPERIDOL/SODIUM CHLORID	NON PREFERRED
ANTIANXIETY AGENTS	HYDROXYZINE HCL	GENERIC
ANTIANXIETY AGENTS	HYDROXYZINE HYDROCHLORIDE	GENERIC
ANTIANXIETY AGENTS	HYDROXYZINE PAMOATE	GENERIC
ANTIANXIETY AGENTS	HYDROXYZINE PAMOATE	NON PREFERRED
ANTIANXIETY AGENTS	LORAZEPAM	GENERIC
ANTIANXIETY AGENTS	LORAZEPAM INTENSOL	GENERIC
ANTIANXIETY AGENTS	MEPROBAMATE	NON PREFERRED
ANTIANXIETY AGENTS	OXAZEPAM	GENERIC
ANTIANXIETY AGENTS	OXAZEPAM	NON PREFERRED
ANTIANXIETY AGENTS	VALIUM	NON PREFERRED
ANTIANXIETY AGENTS	XANAX	NON PREFERRED
ANTIANXIETY AGENTS	XANAX XR	NON PREFERRED
ANTIARRHYTHMICS	ADENOSINE	GENERIC
ANTIARRHYTHMICS	AMIODARONE HCL	GENERIC
ANTIARRHYTHMICS	AMIODARONE HYDROCHLORIDE	GENERIC
ANTIARRHYTHMICS	AMIODARONE HYDROCHLORIDE/	NON PREFERRED
ANTIARRHYTHMICS	CORVERT	NON PREFERRED
ANTIARRHYTHMICS	DISOPYRAMIDE PHOSPHATE	GENERIC
ANTIARRHYTHMICS	DISOPYRAMIDE PHOSPHATE	NON PREFERRED
ANTIARRHYTHMICS	DOFETILIDE	GENERIC	SP	PA
ANTIARRHYTHMICS	FLECAINIDE ACETATE	GENERIC
ANTIARRHYTHMICS	IBUTILIDE FUMARATE	GENERIC
ANTIARRHYTHMICS	LIDOCAINE HCL	GENERIC
ANTIARRHYTHMICS	LIDOCAINE HCL	NON PREFERRED
ANTIARRHYTHMICS	LIDOCAINE HCL IN D5W	GENERIC
ANTIARRHYTHMICS	LIDOCAINE HCL/DEXTROSE	GENERIC
ANTIARRHYTHMICS	LIDOCAINE HYDROCHLORIDE	NON PREFERRED
ANTIARRHYTHMICS	LIDOCAINE HYDROCHLORIDE/D	NON PREFERRED
ANTIARRHYTHMICS	LIDOCAINE HYDROCHLORIDE/S	NON PREFERRED
ANTIARRHYTHMICS	MEXILETINE HYDROCHLORIDE	GENERIC
ANTIARRHYTHMICS	MULTAQ	PREFERRED
ANTIARRHYTHMICS	NEXTERONE	NON PREFERRED
ANTIARRHYTHMICS	NORPACE	NON PREFERRED
ANTIARRHYTHMICS	NORPACE CR	NON PREFERRED
ANTIARRHYTHMICS	PACERONE	GENERIC
ANTIARRHYTHMICS	PROCAINAMIDE HCL	NON PREFERRED
ANTIARRHYTHMICS	PROCAINAMIDE HYDROCHLORID	GENERIC
ANTIARRHYTHMICS	PROPAFENONE HCL	GENERIC
ANTIARRHYTHMICS	PROPAFENONE HYDROCHLORIDE	GENERIC
ANTIARRHYTHMICS	QUINIDINE GLUCONATE CR	GENERIC
ANTIARRHYTHMICS	QUINIDINE GLUCONATE ER	GENERIC
ANTIARRHYTHMICS	QUINIDINE SULFATE	GENERIC
ANTIARRHYTHMICS	TIKOSYN	NON PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ACCOLATE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ADVAIR DISKUS	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ADVAIR HFA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	AIRSUPRA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ALBUTEROL SULFATE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ALBUTEROL SULFATE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ALBUTEROL SULFATE HFA	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ALVESCO	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	AMINOPHYLLINE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	AMINOPHYLLINE ANHYDROUS	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ANORO ELLIPTA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ARFORMOTEROL TARTRATE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ARNUITY ELLIPTA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ASMANEX HFA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ASMANEX TWISTHALER 120 ME	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ASMANEX TWISTHALER 14 MET	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ASMANEX TWISTHALER 30 MET	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ASMANEX TWISTHALER 60 MET	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ATROVENT HFA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BEVESPI AEROSPHERE	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BREO ELLIPTA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BREYNA	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BREZTRI AEROSPHERE	PREFERRED		PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BROVANA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BUDESONIDE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	BUDESONIDE/FORMOTEROL FUM	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	CINQAIR	NON PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	COMBIVENT RESPIMAT	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	CROMOLYN SODIUM	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	DALIRESP	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	DULERA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ELIXOPHYLLIN	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	EPHEDRINE HCL	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	EPHEDRINE SULFATE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FASENRA	PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	Fasenra Pen	PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FLUTICASONE FUROATE ELLIP	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FLUTICASONE FUROATE/VILAN	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FLUTICASONE PROPIONATE DI	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FLUTICASONE PROPIONATE HF	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FLUTICASONE PROPIONATE/SA	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	FORMOTEROL FUMARATE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	INCRUSE ELLIPTA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	IPRATROPIUM BROMIDE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	IPRATROPIUM BROMIDE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	IPRATROPIUM BROMIDE MONOH	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	IPRATROPIUM BROMIDE/ALBUT	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ISOPROTERENOL HYDROCHLORI	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	LEVALBUTEROL HCL	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	LEVALBUTEROL HYDROCHLORID	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	LEVALBUTEROL TARTRATE HFA	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	METAPROTERENOL SULFATE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	MONTELUKAST SODIUM	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	NUCALA	PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	OHTUVAYRE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	PERFOROMIST	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	PULMICORT	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	PULMICORT FLEXHALER	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	PULMICORT FLEXHALER	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	QVAR REDIHALER	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ROFLUMILAST	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	SEREVENT DISKUS	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	SINGULAIR	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	SPIRIVA HANDIHALER	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	SPIRIVA RESPIMAT	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	STIOLTO RESPIMAT	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	STRIVERDI RESPIMAT	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	SYMBICORT	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	TERBUTALINE SULFATE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	TEZSPIRE	PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	THEO-24	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	THEOPHYLLINE	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	THEOPHYLLINE ER	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	THEOPHYLLINE ETHYLENEDIAM	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	TIOTROPIUM BROMIDE	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	TRELEGY ELLIPTA	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	UMECLIDINIUM/VILANTEROL E	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	VENTOLIN HFA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	WIXELA INHUB	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	XOLAIR	PREFERRED	SP	PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	XOPENEX HFA	NON PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	YUPELRI	PREFERRED
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ZAFIRLUKAST	GENERIC
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ZILEUTON ER	GENERIC		PA
ANTIASTHMATIC AND BRONCHODILATOR AGENTS	ZYFLO	NON PREFERRED
ANTICOAGULANTS	ACD FORMULA A	NON PREFERRED
ANTICOAGULANTS	ACD-A NOCLOT-50	NON PREFERRED
ANTICOAGULANTS	ANTICOAGULANT SODIUM CITR	NON PREFERRED
ANTICOAGULANTS	ARGATROBAN	NON PREFERRED
ANTICOAGULANTS	ARGATROBAN	GENERIC
ANTICOAGULANTS	ARGATROBAN/SODIUM CHLORID	NON PREFERRED
ANTICOAGULANTS	ARIXTRA	NON PREFERRED
ANTICOAGULANTS	BD HEPARIN POSIFLUSH	GENERIC
ANTICOAGULANTS	BIVALIRUDIN	GENERIC
ANTICOAGULANTS	DABIGATRAN ETEXILATE	GENERIC
ANTICOAGULANTS	DEFENCATH	NON PREFERRED
ANTICOAGULANTS	ELIQUIS	NON PREFERRED
ANTICOAGULANTS	ELIQUIS	PREFERRED
ANTICOAGULANTS	ELIQUIS STARTER PACK	PREFERRED
ANTICOAGULANTS	ENOXAPARIN SODIUM	GENERIC
ANTICOAGULANTS	FONDAPARINUX SODIUM	GENERIC
ANTICOAGULANTS	FRAGMIN	NON PREFERRED
ANTICOAGULANTS	HEPARIN LOCK FLUSH	GENERIC
ANTICOAGULANTS	HEPARIN SODIUM	GENERIC
ANTICOAGULANTS	HEPARIN SODIUM	NON PREFERRED
ANTICOAGULANTS	HEPARIN SODIUM LOCK FLUSH	GENERIC
ANTICOAGULANTS	HEPARIN SODIUM/D5W	NON PREFERRED
ANTICOAGULANTS	HEPARIN SODIUM/DEXTROSE	NON PREFERRED
ANTICOAGULANTS	HEPARIN SODIUM/NACL 0.45%	NON PREFERRED
ANTICOAGULANTS	HEPARIN SODIUM/SODIUM CHL	NON PREFERRED
ANTICOAGULANTS	HEPARIN/SODIUM CHLORIDE	NON PREFERRED
ANTICOAGULANTS	JANTOVEN	GENERIC
ANTICOAGULANTS	LOVENOX	NON PREFERRED
ANTICOAGULANTS	PRADAXA	NON PREFERRED
ANTICOAGULANTS	RIVAROXABAN	GENERIC
ANTICOAGULANTS	SAVAYSA	NON PREFERRED
ANTICOAGULANTS	SODIUM CITRATE	NON PREFERRED
ANTICOAGULANTS	SODIUM CITRATE LOCK FLUSH	NON PREFERRED
ANTICOAGULANTS	SODIUM CITRATE/GENTAMICIN	NON PREFERRED
ANTICOAGULANTS	TRICITRASOL	NON PREFERRED
ANTICOAGULANTS	WARFARIN SODIUM	GENERIC
ANTICOAGULANTS	XARELTO	PREFERRED
ANTICOAGULANTS	XARELTO STARTER PACK	PREFERRED
ANTICONVULSANTS	APTIOM	NON PREFERRED		PA
ANTICONVULSANTS	BANZEL	NON PREFERRED
ANTICONVULSANTS	BRIVIACT	PREFERRED		PA
ANTICONVULSANTS	CARBAMAZEPINE	GENERIC
ANTICONVULSANTS	CARBAMAZEPINE	NON PREFERRED
ANTICONVULSANTS	CARBAMAZEPINE ER	GENERIC
ANTICONVULSANTS	CARBATROL	NON PREFERRED
ANTICONVULSANTS	CELONTIN	NON PREFERRED
ANTICONVULSANTS	CEREBYX	NON PREFERRED
ANTICONVULSANTS	CLOBAZAM	GENERIC
ANTICONVULSANTS	CLONAZEPAM	GENERIC
ANTICONVULSANTS	CLONAZEPAM ODT	GENERIC
ANTICONVULSANTS	DEPAKOTE	NON PREFERRED
ANTICONVULSANTS	DEPAKOTE ER	NON PREFERRED
ANTICONVULSANTS	DEPAKOTE SPRINKLES	NON PREFERRED
ANTICONVULSANTS	DIACOMIT	NON PREFERRED	SP	PA
ANTICONVULSANTS	DIAZEPAM RECTAL GEL	GENERIC		PA
ANTICONVULSANTS	DILANTIN	NON PREFERRED
ANTICONVULSANTS	DILANTIN INFATABS	NON PREFERRED
ANTICONVULSANTS	DILANTIN-125	NON PREFERRED
ANTICONVULSANTS	DIVALPROEX SODIUM DR	GENERIC
ANTICONVULSANTS	DIVALPROEX SODIUM ER	GENERIC
ANTICONVULSANTS	EPIDIOLEX	NON PREFERRED	SP	PA
ANTICONVULSANTS	EPRONTIA	NON PREFERRED
ANTICONVULSANTS	ESLICARBAZEPINE ACETATE	GENERIC		PA
ANTICONVULSANTS	ETHOSUXIMIDE	GENERIC
ANTICONVULSANTS	FELBAMATE	GENERIC
ANTICONVULSANTS	FELBATOL	NON PREFERRED
ANTICONVULSANTS	FINTEPLA	NON PREFERRED	SP	PA
ANTICONVULSANTS	FOSPHENYTOIN SODIUM	GENERIC
ANTICONVULSANTS	FYCOMPA	NON PREFERRED		PA
ANTICONVULSANTS	GABAPENTIN	GENERIC
ANTICONVULSANTS	GABAPENTIN TINYTABS	NON PREFERRED
ANTICONVULSANTS	GABARONE	NON PREFERRED
ANTICONVULSANTS	KEPPRA	NON PREFERRED
ANTICONVULSANTS	KEPPRA XR	NON PREFERRED
ANTICONVULSANTS	KLONOPIN	NON PREFERRED
ANTICONVULSANTS	LACOSAMIDE	GENERIC
ANTICONVULSANTS	LAMICTAL	NON PREFERRED
ANTICONVULSANTS	LAMICTAL CHEWABLE DISPERS	NON PREFERRED
ANTICONVULSANTS	LAMOTRIGINE	GENERIC
ANTICONVULSANTS	LEVETIRACETAM	GENERIC
ANTICONVULSANTS	LEVETIRACETAM	NON PREFERRED		PA
ANTICONVULSANTS	LEVETIRACETAM ER	GENERIC
ANTICONVULSANTS	LEVETIRACETAM/SODIUM CHLO	GENERIC
ANTICONVULSANTS	LEVETIRACETAM/SODIUM CHLO	NON PREFERRED
ANTICONVULSANTS	LYRICA	NON PREFERRED
ANTICONVULSANTS	METHSUXIMIDE	GENERIC
ANTICONVULSANTS	MOTPOLY XR	NON PREFERRED
ANTICONVULSANTS	MYSOLINE	NON PREFERRED
ANTICONVULSANTS	NAYZILAM	NON PREFERRED		PA
ANTICONVULSANTS	NEURONTIN	NON PREFERRED
ANTICONVULSANTS	ONFI	NON PREFERRED
ANTICONVULSANTS	OXCARBAZEPINE	GENERIC
ANTICONVULSANTS	PERAMPANEL	GENERIC		PA
ANTICONVULSANTS	PHENYTEK	GENERIC
ANTICONVULSANTS	PHENYTOIN	GENERIC
ANTICONVULSANTS	PHENYTOIN INFATABS	GENERIC
ANTICONVULSANTS	PHENYTOIN SODIUM	GENERIC
ANTICONVULSANTS	PHENYTOIN SODIUM	NON PREFERRED
ANTICONVULSANTS	PHENYTOIN SODIUM EXTENDED	GENERIC
ANTICONVULSANTS	PREGABALIN	GENERIC
ANTICONVULSANTS	PRIMIDONE	GENERIC
ANTICONVULSANTS	ROWEEPRA	GENERIC
ANTICONVULSANTS	RUFINAMIDE	GENERIC
ANTICONVULSANTS	SABRIL	NON PREFERRED	SP	PA
ANTICONVULSANTS	SPRITAM	NON PREFERRED		PA
ANTICONVULSANTS	SUBVENITE	GENERIC
ANTICONVULSANTS	TEGRETOL	NON PREFERRED
ANTICONVULSANTS	TEGRETOL-XR	NON PREFERRED
ANTICONVULSANTS	TIAGABINE HYDROCHLORIDE	GENERIC
ANTICONVULSANTS	TOPAMAX	NON PREFERRED
ANTICONVULSANTS	TOPAMAX SPRINKLE	NON PREFERRED
ANTICONVULSANTS	TOPIRAMATE	GENERIC
ANTICONVULSANTS	TRILEPTAL	NON PREFERRED
ANTICONVULSANTS	VALPROATE SODIUM	GENERIC
ANTICONVULSANTS	VALPROIC ACID	GENERIC
ANTICONVULSANTS	VALTOCO 10 MG DOSE	NON PREFERRED		PA
ANTICONVULSANTS	VALTOCO 15 MG DOSE	NON PREFERRED		PA
ANTICONVULSANTS	VALTOCO 20 MG DOSE	NON PREFERRED		PA
ANTICONVULSANTS	VALTOCO 5 MG DOSE	NON PREFERRED		PA
ANTICONVULSANTS	VIGABATRIN	GENERIC	SP	PA
ANTICONVULSANTS	VIGADRONE	GENERIC	SP	PA
ANTICONVULSANTS	VIGAFYDE	NON PREFERRED	SP	PA
ANTICONVULSANTS	VIMPAT	NON PREFERRED
ANTICONVULSANTS	XCOPRI	PREFERRED		PA
ANTICONVULSANTS	ZARONTIN	NON PREFERRED
ANTICONVULSANTS	ZONEGRAN	NON PREFERRED
ANTICONVULSANTS	ZONISADE	NON PREFERRED
ANTICONVULSANTS	ZONISAMIDE	GENERIC
ANTICONVULSANTS	ZTALMY	NON PREFERRED	SP	PA
ANTIDEPRESSANTS	AMITRIPTYLINE HCL	GENERIC
ANTIDEPRESSANTS	AMITRIPTYLINE HYDROCHLORI	GENERIC
ANTIDEPRESSANTS	AMOXAPINE	GENERIC
ANTIDEPRESSANTS	BUPROPION HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	BUPROPION HYDROCHLORIDE E	GENERIC
ANTIDEPRESSANTS	CELEXA	NON PREFERRED
ANTIDEPRESSANTS	CITALOPRAM HYDROBROMIDE	NON PREFERRED
ANTIDEPRESSANTS	CITALOPRAM HYDROBROMIDE	GENERIC
ANTIDEPRESSANTS	CLOMIPRAMINE HCL	GENERIC
ANTIDEPRESSANTS	CLOMIPRAMINE HYDROCHLORID	GENERIC
ANTIDEPRESSANTS	DESIPRAMINE HCL	NON PREFERRED
ANTIDEPRESSANTS	DESIPRAMINE HCL	GENERIC
ANTIDEPRESSANTS	DESIPRAMINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	DESVENLAFAXINE ER	GENERIC
ANTIDEPRESSANTS	DESVENLAFAXINE ER	NON PREFERRED
ANTIDEPRESSANTS	DESVENLAFAXINE SUCCINATE	GENERIC
ANTIDEPRESSANTS	DOXEPIN HCL	GENERIC
ANTIDEPRESSANTS	DOXEPIN HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	DULOXETINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	EFFEXOR XR	NON PREFERRED
ANTIDEPRESSANTS	EMSAM	NON PREFERRED		PA
ANTIDEPRESSANTS	ESCITALOPRAM OXALATE	GENERIC
ANTIDEPRESSANTS	FETZIMA	PREFERRED		PA
ANTIDEPRESSANTS	FETZIMA TITRATION PACK	PREFERRED		PA
ANTIDEPRESSANTS	FLUOXETINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	FLUVOXAMINE MALEATE	GENERIC
ANTIDEPRESSANTS	FORFIVO XL	NON PREFERRED
ANTIDEPRESSANTS	IMIPRAMINE HCL	GENERIC
ANTIDEPRESSANTS	IMIPRAMINE HCL	NON PREFERRED
ANTIDEPRESSANTS	IMIPRAMINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	IMIPRAMINE PAMOATE	GENERIC
ANTIDEPRESSANTS	LEXAPRO	NON PREFERRED
ANTIDEPRESSANTS	MARPLAN	NON PREFERRED
ANTIDEPRESSANTS	MIRTAZAPINE	GENERIC
ANTIDEPRESSANTS	MIRTAZAPINE ODT	GENERIC
ANTIDEPRESSANTS	NARDIL	NON PREFERRED
ANTIDEPRESSANTS	NEFAZODONE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	NORPRAMIN	NON PREFERRED
ANTIDEPRESSANTS	NORTRIPTYLINE HCL	GENERIC
ANTIDEPRESSANTS	NORTRIPTYLINE HCL	NON PREFERRED
ANTIDEPRESSANTS	NORTRIPTYLINE HYDROCHLORI	GENERIC
ANTIDEPRESSANTS	PARNATE	NON PREFERRED
ANTIDEPRESSANTS	PAROXETINE HCL	GENERIC
ANTIDEPRESSANTS	PAROXETINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	PAXIL	NON PREFERRED
ANTIDEPRESSANTS	PHENELZINE SULFATE	GENERIC
ANTIDEPRESSANTS	PRISTIQ	NON PREFERRED
ANTIDEPRESSANTS	PROTRIPTYLINE HCL	GENERIC
ANTIDEPRESSANTS	PROZAC	NON PREFERRED
ANTIDEPRESSANTS	RALDESY	NON PREFERRED
ANTIDEPRESSANTS	REMERON	NON PREFERRED
ANTIDEPRESSANTS	REMERON SOLTAB	NON PREFERRED
ANTIDEPRESSANTS	SERTRALINE HCL	GENERIC
ANTIDEPRESSANTS	SERTRALINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	SERTRALINE HYDROCHLORIDE	NON PREFERRED
ANTIDEPRESSANTS	TRANYLCYPROMINE SULFATE	GENERIC
ANTIDEPRESSANTS	TRAZODONE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	TRIMIPRAMINE MALEATE	GENERIC
ANTIDEPRESSANTS	TRIMIPRAMINE MALEATE	NON PREFERRED
ANTIDEPRESSANTS	TRINTELLIX	PREFERRED
ANTIDEPRESSANTS	VENLAFAXINE BESYLATE ER	NON PREFERRED
ANTIDEPRESSANTS	VENLAFAXINE HCL	GENERIC
ANTIDEPRESSANTS	VENLAFAXINE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	VIIBRYD	PREFERRED
ANTIDEPRESSANTS	VILAZODONE HYDROCHLORIDE	GENERIC
ANTIDEPRESSANTS	WELLBUTRIN SR	NON PREFERRED
ANTIDEPRESSANTS	ZOLOFT	NON PREFERRED
ANTIDEPRESSANTS	ZURZUVAE	PREFERRED	SP	PA
ANTIDIABETICS	ACARBOSE	GENERIC
ANTIDIABETICS	ACTOPLUS MET	NON PREFERRED
ANTIDIABETICS	ACTOS	NON PREFERRED
ANTIDIABETICS	ADMELOG	NON PREFERRED
ANTIDIABETICS	ADMELOG SOLOSTAR	NON PREFERRED
ANTIDIABETICS	Admelog SoloStar	PREFERRED
ANTIDIABETICS	AFREZZA	NON PREFERRED
ANTIDIABETICS	ALOGLIPTIN	GENERIC
ANTIDIABETICS	ALOGLIPTIN/METFORMIN HCL	GENERIC
ANTIDIABETICS	ALOGLIPTIN/METFORMIN HYDR	GENERIC
ANTIDIABETICS	ALOGLIPTIN/PIOGLITAZONE	GENERIC
ANTIDIABETICS	Apidra	NON PREFERRED
ANTIDIABETICS	APIDRA SOLOSTAR	NON PREFERRED
ANTIDIABETICS	BAQSIMI ONE PACK	PREFERRED
ANTIDIABETICS	BAQSIMI TWO PACK	PREFERRED
ANTIDIABETICS	BASAGLAR KWIKPEN	PREFERRED
ANTIDIABETICS	BASAGLAR TEMPO PEN	NON PREFERRED
ANTIDIABETICS	BEXAGLIFLOZIN	NON PREFERRED
ANTIDIABETICS	BRENZAVVY	NON PREFERRED
ANTIDIABETICS	BRYNOVIN	NON PREFERRED
ANTIDIABETICS	CYCLOSET	NON PREFERRED
ANTIDIABETICS	DAPAGLIFLOZIN PROPANEDIOL	GENERIC
ANTIDIABETICS	DIAZOXIDE	GENERIC
ANTIDIABETICS	DUETACT	NON PREFERRED
ANTIDIABETICS	EXENATIDE	GENERIC		PA
ANTIDIABETICS	FARXIGA	PREFERRED
ANTIDIABETICS	FIASP	PREFERRED
ANTIDIABETICS	FIASP FLEXTOUCH	PREFERRED
ANTIDIABETICS	FIASP PENFILL	PREFERRED
ANTIDIABETICS	FIASP PUMPCART	NON PREFERRED
ANTIDIABETICS	GLIMEPIRIDE	GENERIC
ANTIDIABETICS	GLIPIZIDE	NON PREFERRED
ANTIDIABETICS	GLIPIZIDE	GENERIC
ANTIDIABETICS	GLIPIZIDE ER	GENERIC
ANTIDIABETICS	GLIPIZIDE/METFORMIN HYDRO	GENERIC
ANTIDIABETICS	GLUCAGON EMERGENCY KIT FO	NON PREFERRED
ANTIDIABETICS	GLUCAGON EMERGENCY KIT FO	GENERIC
ANTIDIABETICS	GLUCOTROL XL	NON PREFERRED
ANTIDIABETICS	GLYBURIDE	NON PREFERRED
ANTIDIABETICS	GLYBURIDE	GENERIC
ANTIDIABETICS	GLYBURIDE MICRONIZED	GENERIC
ANTIDIABETICS	GLYBURIDE/METFORMIN HYDRO	GENERIC
ANTIDIABETICS	GLYXAMBI	PREFERRED
ANTIDIABETICS	GVOKE HYPOPEN 1-PACK	PREFERRED
ANTIDIABETICS	GVOKE HYPOPEN 2-PACK	PREFERRED
ANTIDIABETICS	GVOKE KIT	PREFERRED
ANTIDIABETICS	GVOKE PFS	PREFERRED
ANTIDIABETICS	HUMALOG	PREFERRED
ANTIDIABETICS	HUMALOG JUNIOR KWIKPEN	NON PREFERRED
ANTIDIABETICS	HUMALOG KWIKPEN	PREFERRED
ANTIDIABETICS	HUMALOG MIX 50/50 KWIKPEN	PREFERRED
ANTIDIABETICS	HUMALOG MIX 75/25	PREFERRED
ANTIDIABETICS	HUMALOG MIX 75/25 KWIKPEN	PREFERRED
ANTIDIABETICS	HUMALOG TEMPO PEN	NON PREFERRED
ANTIDIABETICS	HUMULIN R U-500 (CONCENTR	PREFERRED
ANTIDIABETICS	HUMULIN R U-500 KWIKPEN	PREFERRED
ANTIDIABETICS	INSULIN ASPART	PREFERRED
ANTIDIABETICS	INSULIN ASPART FLEXPEN	PREFERRED
ANTIDIABETICS	INSULIN ASPART PENFILL	PREFERRED
ANTIDIABETICS	INSULIN ASPART PROTAMINE/	PREFERRED
ANTIDIABETICS	INSULIN DEGLUDEC	NON PREFERRED
ANTIDIABETICS	INSULIN DEGLUDEC FLEXTOUC	NON PREFERRED
ANTIDIABETICS	INSULIN GLARGINE MAX SOLO	NON PREFERRED
ANTIDIABETICS	INSULIN GLARGINE SOLOSTAR	NON PREFERRED
ANTIDIABETICS	INSULIN GLARGINE-YFGN	NON PREFERRED
ANTIDIABETICS	INSULIN LISPRO	PREFERRED
ANTIDIABETICS	INSULIN LISPRO JUNIOR KWI	PREFERRED
ANTIDIABETICS	INSULIN LISPRO KWIKPEN	PREFERRED
ANTIDIABETICS	INSULIN LISPRO PROTAMINE/	PREFERRED
ANTIDIABETICS	INVOKAMET	NON PREFERRED
ANTIDIABETICS	INVOKAMET XR	NON PREFERRED
ANTIDIABETICS	INVOKANA	NON PREFERRED
ANTIDIABETICS	JANUMET	PREFERRED
ANTIDIABETICS	JANUMET XR	PREFERRED
ANTIDIABETICS	JANUVIA	PREFERRED
ANTIDIABETICS	JARDIANCE	PREFERRED
ANTIDIABETICS	JENTADUETO	PREFERRED
ANTIDIABETICS	JENTADUETO XR	PREFERRED
ANTIDIABETICS	KIRSTY	NON PREFERRED
ANTIDIABETICS	KORLYM	NON PREFERRED	SP	PA
ANTIDIABETICS	LANTIDRA	NON PREFERRED	SP	PA
ANTIDIABETICS	LANTUS	PREFERRED
ANTIDIABETICS	LANTUS SOLOSTAR	PREFERRED
ANTIDIABETICS	LIRAGLUTIDE	GENERIC		PA
ANTIDIABETICS	LYUMJEV	PREFERRED
ANTIDIABETICS	LYUMJEV KWIKPEN	PREFERRED
ANTIDIABETICS	LYUMJEV TEMPO PEN	NON PREFERRED
ANTIDIABETICS	MERILOG	NON PREFERRED
ANTIDIABETICS	MERILOG SOLOSTAR	NON PREFERRED
ANTIDIABETICS	METFORMIN HYDROCHLORIDE	GENERIC
ANTIDIABETICS	METFORMIN HYDROCHLORIDE E	GENERIC
ANTIDIABETICS	MIFEPRISTONE	GENERIC	SP	PA
ANTIDIABETICS	MIGLITOL	GENERIC
ANTIDIABETICS	MOUNJARO	PREFERRED		PA
ANTIDIABETICS	MYXREDLIN	NON PREFERRED
ANTIDIABETICS	NATEGLINIDE	GENERIC
ANTIDIABETICS	NOVOLOG	PREFERRED
ANTIDIABETICS	NOVOLOG FLEXPEN	PREFERRED
ANTIDIABETICS	NOVOLOG FLEXPEN RELION	NON PREFERRED
ANTIDIABETICS	NOVOLOG MIX 70/30	PREFERRED
ANTIDIABETICS	NOVOLOG MIX 70/30 PREFILL	PREFERRED
ANTIDIABETICS	NOVOLOG MIX 70/30 PREFILL	NON PREFERRED
ANTIDIABETICS	NOVOLOG MIX 70/30 RELION	NON PREFERRED
ANTIDIABETICS	NOVOLOG PENFILL	PREFERRED
ANTIDIABETICS	NOVOLOG RELION	NON PREFERRED
ANTIDIABETICS	ONGLYZA	NON PREFERRED
ANTIDIABETICS	OZEMPIC	PREFERRED		PA
ANTIDIABETICS	PIOGLITAZONE HCL	GENERIC
ANTIDIABETICS	PIOGLITAZONE HCL/METFORMI	GENERIC
ANTIDIABETICS	PIOGLITAZONE HCL-GLIMEPIR	GENERIC
ANTIDIABETICS	PIOGLITAZONE HYDROCHLORID	GENERIC
ANTIDIABETICS	PROGLYCEM	NON PREFERRED
ANTIDIABETICS	REPAGLINIDE	GENERIC
ANTIDIABETICS	REZVOGLAR KWIKPEN	NON PREFERRED
ANTIDIABETICS	RIOMET	NON PREFERRED
ANTIDIABETICS	RYBELSUS	PREFERRED		PA
ANTIDIABETICS	SAXAGLIPTIN HYDROCHLORIDE	NON PREFERRED
ANTIDIABETICS	SAXAGLIPTIN HYDROCHLORIDE	GENERIC
ANTIDIABETICS	SEGLUROMET	NON PREFERRED
ANTIDIABETICS	SEMGLEE	NON PREFERRED
ANTIDIABETICS	SITAGLIPTIN	NON PREFERRED
ANTIDIABETICS	SITAGLIPTIN/METFORMIN HYD	NON PREFERRED
ANTIDIABETICS	SOLIQUA 100/33	PREFERRED		PA
ANTIDIABETICS	STEGLATRO	NON PREFERRED
ANTIDIABETICS	STEGLUJAN	NON PREFERRED
ANTIDIABETICS	SYNJARDY	PREFERRED
ANTIDIABETICS	SYNJARDY XR	PREFERRED
ANTIDIABETICS	TOUJEO MAX SOLOSTAR	PREFERRED
ANTIDIABETICS	TOUJEO SOLOSTAR	PREFERRED
ANTIDIABETICS	TRADJENTA	PREFERRED
ANTIDIABETICS	TRESIBA	PREFERRED
ANTIDIABETICS	TRESIBA FLEXTOUCH	PREFERRED
ANTIDIABETICS	TRIJARDY XR	PREFERRED
ANTIDIABETICS	TRULICITY	PREFERRED		PA
ANTIDIABETICS	TZIELD	NON PREFERRED	SP	PA
ANTIDIABETICS	VICTOZA	NON PREFERRED		PA
ANTIDIABETICS	XIGDUO XR	PREFERRED
ANTIDIABETICS	XULTOPHY 100/3.6	PREFERRED		PA
ANTIDIABETICS	ZITUVIMET	PREFERRED
ANTIDIABETICS	ZITUVIMET XR	PREFERRED
ANTIDIABETICS	ZITUVIO	PREFERRED
ANTIDIARRHEAL/PROBIOTIC AGENTS	DIPHENOXYLATE HYDROCHLORI	GENERIC
ANTIDIARRHEAL/PROBIOTIC AGENTS	DIPHENOXYLATE/ATROPINE	GENERIC
ANTIDIARRHEAL/PROBIOTIC AGENTS	KAOLIN	NON PREFERRED
ANTIDIARRHEAL/PROBIOTIC AGENTS	LOMOTIL	NON PREFERRED
ANTIDIARRHEAL/PROBIOTIC AGENTS	LOPERAMIDE HYDROCHLORIDE	GENERIC
ANTIDIARRHEAL/PROBIOTIC AGENTS	PECTIN	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	ACETADOTE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	ACETYLCYSTEINE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	BRIDION	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	CHARCOAL ACTIVATED	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	CHEMET	NON PREFERRED		PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	CYANOKIT	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	DEFERASIROX	GENERIC	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	DEFERIPRONE	GENERIC	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	DEFEROXAMINE	GENERIC	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	DESFERAL	NON PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	DIGIFAB	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	DIMERCAPTOPROPANE SULFONA	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	EDETATE CALCIUM DISODIUM	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	EXJADE	NON PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	FERRIPROX	NON PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	FLUMAZENIL	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	FOMEPIZOLE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	JADENU	NON PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	KLOXXADO	PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	METHYLENE BLUE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	METHYLENE BLUE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	NALMEFENE HYDROCHLORIDE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	NALOXONE HCL	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	NALOXONE HYDROCHLORIDE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	NALTREXONE HYDROCHLORIDE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	NARCAN	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	NITHIODOTE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	OPVEE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PENTETATE CALCIUM TRISODI	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PENTETATE ZINC TRISODIUM	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PRAXBIND	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PREVDUO	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PROTOPAM CHLORIDE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PROVAYBLUE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	PYRIDOSTIGMINE BROMIDE ER	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	RADIOGARDASE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	REXTOVY	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	SODIUM NITRITE	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	SODIUM THIOSULFATE	GENERIC
ANTIDOTES AND SPECIFIC ANTAGONISTS	SUGAMMADEX SODIUM	NON PREFERRED
ANTIDOTES AND SPECIFIC ANTAGONISTS	VISTOGARD	PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	VIVITROL	NON PREFERRED	SP	PA
ANTIDOTES AND SPECIFIC ANTAGONISTS	Zurnai	NON PREFERRED
ANTIEMETICS	AKYNZEO	NON PREFERRED		PA
ANTIEMETICS	ANZEMET	NON PREFERRED		PA
ANTIEMETICS	APONVIE	NON PREFERRED		PA
ANTIEMETICS	APREPITANT	GENERIC		PA
ANTIEMETICS	BARHEMSYS	NON PREFERRED
ANTIEMETICS	CINVANTI	NON PREFERRED		PA
ANTIEMETICS	DIMENHYDRINATE	NON PREFERRED
ANTIEMETICS	DRONABINOL	GENERIC		PA
ANTIEMETICS	EMEND	NON PREFERRED
ANTIEMETICS	EMEND	NON PREFERRED		PA
ANTIEMETICS	EMEND BIPACK	NON PREFERRED		PA
ANTIEMETICS	EMEND TRIPACK	NON PREFERRED		PA
ANTIEMETICS	FOCINVEZ	NON PREFERRED
ANTIEMETICS	FOSAPREPITANT DIMEGLUMINE	GENERIC
ANTIEMETICS	GRANISETRON HCL	GENERIC
ANTIEMETICS	GRANISETRON HYDROCHLORIDE	GENERIC
ANTIEMETICS	MARINOL	NON PREFERRED		PA
ANTIEMETICS	MECLIZINE HCL	GENERIC
ANTIEMETICS	MECLIZINE HCL	NON PREFERRED
ANTIEMETICS	MECLIZINE HCL MONOHYDRATE	NON PREFERRED
ANTIEMETICS	MECLIZINE HYDROCHLORIDE	GENERIC
ANTIEMETICS	MECLIZINE HYDROCHLORIDE M	NON PREFERRED
ANTIEMETICS	Ondansetron HCl	GENERIC
ANTIEMETICS	ONDANSETRON HYDROCHLORIDE	GENERIC
ANTIEMETICS	ONDANSETRON ODT	GENERIC
ANTIEMETICS	PALONOSETRON HYDROCHLORID	NON PREFERRED
ANTIEMETICS	PALONOSETRON HYDROCHLORID	GENERIC
ANTIEMETICS	POSFREA	NON PREFERRED
ANTIEMETICS	SANCUSO	PREFERRED		PA
ANTIEMETICS	SCOPOLAMINE	GENERIC
ANTIEMETICS	TIGAN	NON PREFERRED
ANTIEMETICS	TRIMETHOBENZAMIDE HYDROCH	GENERIC
ANTIEMETICS	VARUBI	PREFERRED		PA
ANTIFUNGALS	AMBISOME	NON PREFERRED
ANTIFUNGALS	AMPHOTERICIN B	GENERIC
ANTIFUNGALS	AMPHOTERICIN B LIPOSOME	GENERIC
ANTIFUNGALS	ANCOBON	NON PREFERRED		PA
ANTIFUNGALS	BREXAFEMME	NON PREFERRED		PA
ANTIFUNGALS	CASPOFUNGIN ACETATE	GENERIC
ANTIFUNGALS	CASPOFUNGIN ACETATE	NON PREFERRED
ANTIFUNGALS	CRESEMBA	NON PREFERRED		PA
ANTIFUNGALS	DIFLUCAN	NON PREFERRED
ANTIFUNGALS	ERAXIS	NON PREFERRED
ANTIFUNGALS	FLUCONAZOLE	GENERIC
ANTIFUNGALS	FLUCONAZOLE IN NACL	GENERIC
ANTIFUNGALS	FLUCONAZOLE IN SODIUM CHL	GENERIC
ANTIFUNGALS	FLUCYTOSINE	GENERIC		PA
ANTIFUNGALS	GRISEOFULVIN MICROSIZE	GENERIC
ANTIFUNGALS	GRISEOFULVIN ULTRAMICROSI	GENERIC
ANTIFUNGALS	ITRACONAZOLE	GENERIC
ANTIFUNGALS	KETOCONAZOLE	GENERIC
ANTIFUNGALS	MICAFUNGIN	GENERIC
ANTIFUNGALS	MICAFUNGIN	NON PREFERRED
ANTIFUNGALS	MICAFUNGIN SODIUM/SODIUM	NON PREFERRED
ANTIFUNGALS	MICAFUNGIN/SODIUM CHLORID	NON PREFERRED
ANTIFUNGALS	MICONAZOLE	NON PREFERRED
ANTIFUNGALS	MYCAMINE	NON PREFERRED
ANTIFUNGALS	NOXAFIL	NON PREFERRED		PA
ANTIFUNGALS	NYSTATIN	GENERIC
ANTIFUNGALS	POSACONAZOLE	GENERIC		PA
ANTIFUNGALS	POSACONAZOLE DR	GENERIC		PA
ANTIFUNGALS	REZZAYO	NON PREFERRED
ANTIFUNGALS	SPORANOX	NON PREFERRED
ANTIFUNGALS	TERBINAFINE HCL	GENERIC
ANTIFUNGALS	TERBINAFINE HYDROCHLORIDE	GENERIC
ANTIFUNGALS	VFEND	NON PREFERRED		PA
ANTIFUNGALS	VFEND IV	NON PREFERRED		PA
ANTIFUNGALS	VIVJOA	NON PREFERRED		PA
ANTIFUNGALS	VORICONAZOLE	GENERIC		PA
ANTIFUNGALS	VORICONAZOLE	NON PREFERRED		PA
ANTIHISTAMINES	BROMPHENIRAMINE	NON PREFERRED
ANTIHISTAMINES	BROMPHENIRAMINE MALEATE	NON PREFERRED
ANTIHISTAMINES	CARBINOXAMINE MALEATE	GENERIC
ANTIHISTAMINES	CARBINOXAMINE MALEATE ER	GENERIC
ANTIHISTAMINES	CARBZAH	GENERIC
ANTIHISTAMINES	CETIRIZINE HYDROCHLORIDE	GENERIC
ANTIHISTAMINES	CHLORPHENIRAMINE MALEATE	NON PREFERRED
ANTIHISTAMINES	CLARINEX	NON PREFERRED
ANTIHISTAMINES	CLEMASTINE FUMARATE	GENERIC
ANTIHISTAMINES	CLEMSZA	NON PREFERRED
ANTIHISTAMINES	CYPROHEPTADINE HCL	GENERIC
ANTIHISTAMINES	CYPROHEPTADINE HYDROCHLOR	GENERIC
ANTIHISTAMINES	DESLORATADINE	GENERIC
ANTIHISTAMINES	DESLORATADINE ODT	GENERIC
ANTIHISTAMINES	DIPHENHYDRAMINE HCL	GENERIC
ANTIHISTAMINES	DIPHENHYDRAMINE HYDROCHLO	GENERIC
ANTIHISTAMINES	DOXYLAMINE SUCCINATE	NON PREFERRED
ANTIHISTAMINES	KARBINAL ER	NON PREFERRED
ANTIHISTAMINES	LEVOCETIRIZINE DIHYDROCHL	GENERIC
ANTIHISTAMINES	PHENERGAN	NON PREFERRED
ANTIHISTAMINES	PROMETHAZINE HCL	GENERIC
ANTIHISTAMINES	PROMETHAZINE HYDROCHLORID	GENERIC
ANTIHISTAMINES	PROMETHAZINE HYDROCHLORID	NON PREFERRED
ANTIHISTAMINES	PROMETHEGAN	GENERIC
ANTIHISTAMINES	PYRILAMINE MALEATE	NON PREFERRED
ANTIHISTAMINES	RYCLORA	GENERIC
ANTIHISTAMINES	TRIPELENNAMINE HCL	NON PREFERRED
ANTIHYPERLIPIDEMICS	ATORVASTATIN CALCIUM	GENERIC
ANTIHYPERLIPIDEMICS	CHOLESTYRAMINE	GENERIC
ANTIHYPERLIPIDEMICS	CHOLESTYRAMINE LIGHT	GENERIC
ANTIHYPERLIPIDEMICS	COLESEVELAM HYDROCHLORIDE	GENERIC
ANTIHYPERLIPIDEMICS	COLESTID	NON PREFERRED
ANTIHYPERLIPIDEMICS	COLESTIPOL HYDROCHLORIDE	GENERIC
ANTIHYPERLIPIDEMICS	CRESTOR	NON PREFERRED
ANTIHYPERLIPIDEMICS	EVKEEZA	NON PREFERRED	SP	PA
ANTIHYPERLIPIDEMICS	EZETIMIBE	GENERIC
ANTIHYPERLIPIDEMICS	FENOFIBRATE	GENERIC
ANTIHYPERLIPIDEMICS	FENOFIBRATE MICRONIZED	GENERIC
ANTIHYPERLIPIDEMICS	FENOFIBRIC ACID DR	GENERIC
ANTIHYPERLIPIDEMICS	FLUVASTATIN	GENERIC
ANTIHYPERLIPIDEMICS	FLUVASTATIN SODIUM ER	GENERIC
ANTIHYPERLIPIDEMICS	GEMFIBROZIL	NON PREFERRED
ANTIHYPERLIPIDEMICS	GEMFIBROZIL	GENERIC
ANTIHYPERLIPIDEMICS	ICOSAPENT ETHYL	GENERIC
ANTIHYPERLIPIDEMICS	JUXTAPID	NON PREFERRED	SP	PA
ANTIHYPERLIPIDEMICS	LEQVIO	NON PREFERRED		PA
ANTIHYPERLIPIDEMICS	LESCOL XL	NON PREFERRED
ANTIHYPERLIPIDEMICS	LIPITOR	NON PREFERRED
ANTIHYPERLIPIDEMICS	LIPOFEN	NON PREFERRED
ANTIHYPERLIPIDEMICS	LIVALO	NON PREFERRED
ANTIHYPERLIPIDEMICS	LOPID	NON PREFERRED
ANTIHYPERLIPIDEMICS	LOVASTATIN	GENERIC
ANTIHYPERLIPIDEMICS	LOVAZA	NON PREFERRED
ANTIHYPERLIPIDEMICS	NEXLIZET	PREFERRED
ANTIHYPERLIPIDEMICS	NIACIN	GENERIC
ANTIHYPERLIPIDEMICS	NIACIN ER	GENERIC
ANTIHYPERLIPIDEMICS	NIACOR	GENERIC
ANTIHYPERLIPIDEMICS	OMEGA-3-ACID ETHYL ESTERS	GENERIC
ANTIHYPERLIPIDEMICS	PITAVASTATIN CALCIUM	GENERIC
ANTIHYPERLIPIDEMICS	PRALUENT	PREFERRED		PA
ANTIHYPERLIPIDEMICS	PRAVASTATIN SODIUM	GENERIC
ANTIHYPERLIPIDEMICS	PREVALITE	GENERIC
ANTIHYPERLIPIDEMICS	QUESTRAN	NON PREFERRED
ANTIHYPERLIPIDEMICS	QUESTRAN LIGHT	NON PREFERRED
ANTIHYPERLIPIDEMICS	REPATHA	PREFERRED		PA
ANTIHYPERLIPIDEMICS	REPATHA SURECLICK	PREFERRED		PA
ANTIHYPERLIPIDEMICS	ROSUVASTATIN CALCIUM	GENERIC
ANTIHYPERLIPIDEMICS	SIMVASTATIN	GENERIC
ANTIHYPERLIPIDEMICS	TRICOR	NON PREFERRED
ANTIHYPERLIPIDEMICS	VASCEPA	PREFERRED
ANTIHYPERLIPIDEMICS	WELCHOL	NON PREFERRED
ANTIHYPERLIPIDEMICS	ZETIA	NON PREFERRED
ANTIHYPERLIPIDEMICS	ZOCOR	NON PREFERRED
ANTIHYPERTENSIVES	ACCUPRIL	NON PREFERRED
ANTIHYPERTENSIVES	ACCURETIC	NON PREFERRED
ANTIHYPERTENSIVES	ALISKIREN	GENERIC
ANTIHYPERTENSIVES	AMLODIPINE BESYLATE/BENAZ	GENERIC
ANTIHYPERTENSIVES	AMLODIPINE BESYLATE/VALSA	GENERIC
ANTIHYPERTENSIVES	AMLODIPINE/OLMESARTAN MED	GENERIC
ANTIHYPERTENSIVES	AMLODIPINE/VALSARTAN/HYDR	GENERIC
ANTIHYPERTENSIVES	ARBLI	NON PREFERRED
ANTIHYPERTENSIVES	ATACAND	NON PREFERRED
ANTIHYPERTENSIVES	ATACAND HCT	NON PREFERRED
ANTIHYPERTENSIVES	ATENOLOL/CHLORTHALIDONE	GENERIC
ANTIHYPERTENSIVES	AVALIDE	NON PREFERRED
ANTIHYPERTENSIVES	AVAPRO	NON PREFERRED
ANTIHYPERTENSIVES	AZOR	NON PREFERRED
ANTIHYPERTENSIVES	BENAZEPRIL HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	BENAZEPRIL HYDROCHLORIDE/	GENERIC
ANTIHYPERTENSIVES	BENICAR	NON PREFERRED
ANTIHYPERTENSIVES	BENICAR HCT	NON PREFERRED
ANTIHYPERTENSIVES	BISOPROLOL FUMARATE/HYDRO	GENERIC
ANTIHYPERTENSIVES	CANDESARTAN CILEXETIL	GENERIC
ANTIHYPERTENSIVES	CANDESARTAN CILEXETIL/HYD	GENERIC
ANTIHYPERTENSIVES	CAPTOPRIL	GENERIC
ANTIHYPERTENSIVES	CAPTOPRIL/HYDROCHLOROTHIA	GENERIC
ANTIHYPERTENSIVES	CARDURA	NON PREFERRED
ANTIHYPERTENSIVES	CLONIDINE HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	CLONIDINE HYDROCHLORIDE E	GENERIC
ANTIHYPERTENSIVES	COZAAR	NON PREFERRED
ANTIHYPERTENSIVES	DEMSER	NON PREFERRED	SP	PA
ANTIHYPERTENSIVES	DIBENZYLINE	NON PREFERRED		PA
ANTIHYPERTENSIVES	DIOVAN	NON PREFERRED
ANTIHYPERTENSIVES	DIOVAN HCT	NON PREFERRED
ANTIHYPERTENSIVES	DOXAZOSIN	GENERIC
ANTIHYPERTENSIVES	Doxazosin Mesylate	GENERIC
ANTIHYPERTENSIVES	EDARBI	NON PREFERRED
ANTIHYPERTENSIVES	EDARBYCLOR	NON PREFERRED
ANTIHYPERTENSIVES	ENALAPRIL MALEATE	GENERIC
ANTIHYPERTENSIVES	ENALAPRIL MALEATE/HYDROCH	GENERIC
ANTIHYPERTENSIVES	ENALAPRILAT	GENERIC
ANTIHYPERTENSIVES	EPLERENONE	GENERIC
ANTIHYPERTENSIVES	EXFORGE	NON PREFERRED
ANTIHYPERTENSIVES	EXFORGE HCT	NON PREFERRED
ANTIHYPERTENSIVES	FOSINOPRIL SODIUM	GENERIC
ANTIHYPERTENSIVES	FOSINOPRIL SODIUM/HYDROCH	GENERIC
ANTIHYPERTENSIVES	GUANFACINE HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	HYDRALAZINE HCL	GENERIC
ANTIHYPERTENSIVES	HYDRALAZINE HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	HYZAAR	NON PREFERRED
ANTIHYPERTENSIVES	INSPRA	NON PREFERRED
ANTIHYPERTENSIVES	IRBESARTAN	GENERIC
ANTIHYPERTENSIVES	IRBESARTAN/HYDROCHLOROTHI	GENERIC
ANTIHYPERTENSIVES	LISINOPRIL	GENERIC
ANTIHYPERTENSIVES	LISINOPRIL/HYDROCHLOROTHI	GENERIC
ANTIHYPERTENSIVES	LOSARTAN POTASSIUM	GENERIC
ANTIHYPERTENSIVES	LOSARTAN POTASSIUM/HYDROC	GENERIC
ANTIHYPERTENSIVES	LOTENSIN	NON PREFERRED
ANTIHYPERTENSIVES	LOTENSIN HCT	NON PREFERRED
ANTIHYPERTENSIVES	LOTREL	NON PREFERRED
ANTIHYPERTENSIVES	METHYLDOPA	GENERIC
ANTIHYPERTENSIVES	METOPROLOL/HYDROCHLOROTHI	GENERIC
ANTIHYPERTENSIVES	METYROSINE	GENERIC	SP	PA
ANTIHYPERTENSIVES	MICARDIS	NON PREFERRED
ANTIHYPERTENSIVES	MICARDIS HCT	NON PREFERRED
ANTIHYPERTENSIVES	MINOXIDIL	GENERIC
ANTIHYPERTENSIVES	MOEXIPRIL HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	NEXICLON XR	NON PREFERRED
ANTIHYPERTENSIVES	NIPRIDE RTU	NON PREFERRED
ANTIHYPERTENSIVES	OLMESARTAN MEDOXOMIL	GENERIC
ANTIHYPERTENSIVES	OLMESARTAN MEDOXOMIL/AMLO	GENERIC
ANTIHYPERTENSIVES	OLMESARTAN MEDOXOMIL/HYDR	GENERIC
ANTIHYPERTENSIVES	PERINDOPRIL ERBUMINE	GENERIC
ANTIHYPERTENSIVES	PHENOXYBENZAMINE HYDROCHL	GENERIC		PA
ANTIHYPERTENSIVES	PHENTOLAMINE MESYLATE	GENERIC
ANTIHYPERTENSIVES	PRAZOSIN HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	PRAZOSIN HYDROCHLORIDE	NON PREFERRED
ANTIHYPERTENSIVES	PRESTALIA	NON PREFERRED
ANTIHYPERTENSIVES	QUINAPRIL HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	QUINAPRIL/HYDROCHLOROTHIA	GENERIC
ANTIHYPERTENSIVES	RAMIPRIL	GENERIC
ANTIHYPERTENSIVES	SODIUM NITROPRUSSIDE	GENERIC
ANTIHYPERTENSIVES	SODIUM NITROPRUSSIDE/SODI	GENERIC
ANTIHYPERTENSIVES	TEKTURNA	NON PREFERRED
ANTIHYPERTENSIVES	TELMISARTAN	GENERIC
ANTIHYPERTENSIVES	TELMISARTAN/AMLODIPINE	GENERIC
ANTIHYPERTENSIVES	TELMISARTAN/HYDROCHLOROTH	GENERIC
ANTIHYPERTENSIVES	TENORETIC 100	NON PREFERRED
ANTIHYPERTENSIVES	TENORETIC 50	NON PREFERRED
ANTIHYPERTENSIVES	TERAZOSIN HCL	GENERIC
ANTIHYPERTENSIVES	TERAZOSIN HYDROCHLORIDE	GENERIC
ANTIHYPERTENSIVES	TEZRULY	NON PREFERRED
ANTIHYPERTENSIVES	TRANDOLAPRIL	GENERIC
ANTIHYPERTENSIVES	TRANDOLAPRIL/VERAPAMIL HC	GENERIC
ANTIHYPERTENSIVES	TRIBENZOR	NON PREFERRED
ANTIHYPERTENSIVES	TRYVIO	NON PREFERRED
ANTIHYPERTENSIVES	VALSARTAN	GENERIC
ANTIHYPERTENSIVES	VALSARTAN/HYDROCHLOROTHIA	GENERIC
ANTIHYPERTENSIVES	VASERETIC	NON PREFERRED
ANTIHYPERTENSIVES	ZESTORETIC	NON PREFERRED
ANTIHYPERTENSIVES	ZESTRIL	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	ATOVAQUONE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	AZACTAM	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	AZTREONAM	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	BACTRIM	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	BACTRIM DS	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	Blujepa	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	CAYSTON	NON PREFERRED	SP	PA
ANTI-INFECTIVE AGENTS - MISC.	CHLORAMPHENICOL SODIUM SU	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLEOCIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	CLEOCIN PEDIATRIC GRANULE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	CLEOCIN PHOSPHATE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN HCL	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN HYDROCHLORIDE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN PALMITATE HYD	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN PHOSPHATE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN PHOSPHATE IN	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN PHOSPHATE/DEX	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	CLINDAMYCIN/SODIUM CHLORI	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	COLISTIMETHATE SODIUM	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	COLY-MYCIN M	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	DALVANCE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	DAPSONE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	DAPTOMYCIN	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	DAPTOMYCIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	DAPTOMYCIN/SODIUM CHLORID	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	EMBLAVEO	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	ERTAPENEM SODIUM	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	FIRST-METRONIDAZOLE 50	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	FIRVANQ	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	FOSFOMYCIN TROMETHAMINE	GENERIC		PA
ANTI-INFECTIVE AGENTS - MISC.	HIPREX	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	IMIPENEM/CILASTATIN	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	IMPAVIDO	NON PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	KIMYRSA	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	LAMPIT	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	LIKMEZ	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	LINCOCIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	LINCOMYCIN HYDROCHLORIDE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	LINEZOLID	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	LINEZOLID	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	MACROBID	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	MACRODANTIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	ME/NAPHOS/MB/HYO 1	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	MEPRON	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	MEROPENEM	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	MEROPENEM	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	MEROPENEM/SODIUM CHLORIDE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	METHENAMINE HIPPURATE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	METHENAMINE MANDELATE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	METRONIDAZOLE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	METRONIDAZOLE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	NALIDIXIC ACID	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	NEBUPENT	NON PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	NITAZOXANIDE	GENERIC		PA
ANTI-INFECTIVE AGENTS - MISC.	NITROFURANTOIN	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	NITROFURANTOIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	NITROFURANTOIN MACROCRYST	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	NITROFURANTOIN MONOHYDRAT	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	ORBACTIV	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	ORLYNVAH	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	PENTAM 300	NON PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	PENTAMIDINE ISETHIONATE	GENERIC		PA
ANTI-INFECTIVE AGENTS - MISC.	POLYMYXIN B SULFATE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	POLYMYXIN B SULFATE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	PRIMAXIN IV	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	RECARBRIO	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	SIVEXTRO	NON PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	SULFAMETHOXAZOLE/TRIMETHO	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	SULFATRIM PEDIATRIC	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	TINIDAZOLE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	TRIMETHOPRIM	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	TRIMETHOPRIM	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	URELLE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	URETRON D/S	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	URIBEL	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	UROGESIC-BLUE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	URO-MP	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	VABOMERE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOCIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HCL	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HCL	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HCL + SYRSPEND	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HYDROCHLORIDE	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HYDROCHLORIDE	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VANCOMYCIN HYDROCHLORIDE/	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VIBATIV	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	VILAMIT MB	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	VILEVEV MB	GENERIC
ANTI-INFECTIVE AGENTS - MISC.	XACDURO	NON PREFERRED
ANTI-INFECTIVE AGENTS - MISC.	XIFAXAN	NON PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	XIFAXAN	PREFERRED		PA
ANTI-INFECTIVE AGENTS - MISC.	ZYVOX	NON PREFERRED
ANTIMALARIALS	ARAKODA	NON PREFERRED
ANTIMALARIALS	ATOVAQUONE/PROGUANIL HCL	GENERIC
ANTIMALARIALS	ATOVAQUONE/PROGUANIL HYDR	GENERIC
ANTIMALARIALS	CHLOROQUINE PHOSPHATE	NON PREFERRED
ANTIMALARIALS	CHLOROQUINE PHOSPHATE	GENERIC
ANTIMALARIALS	COARTEM	NON PREFERRED
ANTIMALARIALS	DARAPRIM	NON PREFERRED		PA
ANTIMALARIALS	HYDROXYCHLOROQUINE SULFAT	GENERIC
ANTIMALARIALS	HYDROXYCHLOROQUINE SULFAT	NON PREFERRED
ANTIMALARIALS	KRINTAFEL	NON PREFERRED
ANTIMALARIALS	MALARONE	NON PREFERRED
ANTIMALARIALS	MEFLOQUINE HYDROCHLORIDE	GENERIC
ANTIMALARIALS	MEPACRINE DIHYDROCHLORIDE	NON PREFERRED
ANTIMALARIALS	PLAQUENIL	NON PREFERRED
ANTIMALARIALS	PRIMAQUINE PHOSPHATE	GENERIC
ANTIMALARIALS	PRIMAQUINE PHOSPHATE	NON PREFERRED
ANTIMALARIALS	PYRIMETHAMINE	GENERIC		PA
ANTIMALARIALS	PYRIMETHAMINE/LEUCOVORIN	NON PREFERRED
ANTIMALARIALS	QUINACRINE DIHYDROCHLORID	NON PREFERRED
ANTIMALARIALS	QUINACRINE HYDROCHLORIDE	NON PREFERRED
ANTIMALARIALS	QUININE SULFATE	GENERIC
ANTIMALARIALS	QUININE SULFATE DIHYDRATE	NON PREFERRED
ANTIMALARIALS	SOVUNA	NON PREFERRED
ANTIMYASTHENIC/CHOLINERGIC AGENTS	BLOXIVERZ	NON PREFERRED
ANTIMYASTHENIC/CHOLINERGIC AGENTS	FIRDAPSE	NON PREFERRED	SP	PA
ANTIMYASTHENIC/CHOLINERGIC AGENTS	MESTINON	NON PREFERRED
ANTIMYASTHENIC/CHOLINERGIC AGENTS	NEOSTIGMINE METHYLSULFATE	GENERIC
ANTIMYASTHENIC/CHOLINERGIC AGENTS	NEOSTIGMINE METHYLSULFATE	NON PREFERRED
ANTIMYASTHENIC/CHOLINERGIC AGENTS	PYRIDOSTIGMINE BROMIDE	GENERIC
ANTIMYASTHENIC/CHOLINERGIC AGENTS	REGONOL	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	AMINOSALICYLIC ACID	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	CYCLOSERINE	NON PREFERRED		PA
ANTIMYCOBACTERIAL AGENTS	ETHAMBUTOL HCL	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	ETHAMBUTOL HYDROCHLORIDE	GENERIC
ANTIMYCOBACTERIAL AGENTS	ISONIAZID	GENERIC
ANTIMYCOBACTERIAL AGENTS	ISONIAZID	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	PRETOMANID	NON PREFERRED		PA
ANTIMYCOBACTERIAL AGENTS	PRIFTIN	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	PYRAZINAMIDE	GENERIC
ANTIMYCOBACTERIAL AGENTS	RIFABUTIN	GENERIC
ANTIMYCOBACTERIAL AGENTS	RIFAMPIN	GENERIC
ANTIMYCOBACTERIAL AGENTS	RIFAMPIN/SYRSPEND SF PH4	NON PREFERRED
ANTIMYCOBACTERIAL AGENTS	SIRTURO	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ABIRATERONE ACETATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ABIRTEGA	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ABRAXANE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ACTIMMUNE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ADCETRIS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ADRIAMYCIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ADSTILADRIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AFINITOR	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AFINITOR DISPERZ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AKEEGA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ALECENSA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ALIMTA	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ALUNBRIG	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ALYMSYS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ANASTROZOLE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ANKTIVA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ARIMIDEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AROMASIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ARRANON	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ARSENIC TRIOXIDE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ARZERRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ASPARLAS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AUGTYRO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AVASTIN	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AVGEMSI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AVMAPKI FAKZYNJA CO-PACK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AXTLE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AYVAKIT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	AZACITIDINE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BALVERSA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BAVENCIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BELEODAQ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BELRAPZO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BENDAMUSTINE HYDROCHLORID	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BENDAMUSTINE HYDROCHLORID	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BENDEKA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BESPONSA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BESREMI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BEXAROTENE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BICALUTAMIDE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BIZENGRI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BLEOMYCIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BLINCYTO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BORTEZOMIB	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BORTEZOMIB	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BORUZU	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BOSULIF	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BRAFTOVI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BRUKINSA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BUSULFAN	GENERIC		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	BUSULFEX	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CABOMETYX	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CALQUENCE	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CAMCEVI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CAMPTOSAR	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CAPECITABINE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CAPRELSA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CARBOPLATIN	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CARMUSTINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CASODEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CISPLATIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CISPLATIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CLADRIBINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CLOFARABINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	COLUMVI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	COMETRIQ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	COPIKTRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	COSELA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	COTELLIC	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CYCLOPHOSPHAMIDE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CYCLOPHOSPHAMIDE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CYCLOPHOSPHAMIDE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CYRAMZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	CYTARABINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DACARBAZINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DACTINOMYCIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DANYELZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DANZITEN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DARZALEX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DARZALEX FASPRO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DASATINIB	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DATROWAY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DAUNORUBICIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DAUNORUBICIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DAURISMO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DECITABINE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DEXRAZOXANE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOCETAXEL	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOCETAXEL	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOCIVYX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOXIL	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOXORUBICIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	DOXORUBICIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELAHERE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELIGARD	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELIGARD	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELITEK	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELLENCE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELREXFIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ELZONRIS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EMPLICITI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EMRELIS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ENHERTU	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ENSACOVE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EPKINLY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ERBITUX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ERIBULIN MESYLATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ERIVEDGE	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ERLEADA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ERLOTINIB HYDROCHLORIDE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ETOPOPHOS	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ETOPOSIDE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EULEXIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EVEROLIMUS	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EVOMELA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	EXEMESTANE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FARESTON	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FASLODEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FEMARA	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FIRMAGON	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FLOXURIDINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FLUDARABINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FLUOROURACIL	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FOLOTYN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FOTIVDA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FRINDOVYX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FRUZAQLA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FULVESTRANT	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	FYARRO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GAVRETO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GAZYVA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GEFITINIB	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GEMCITABINE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GEMCITABINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GEMCITABINE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GILOTRIF	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GLEEVEC	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GLEOSTINE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GLIADEL WAFER	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GOMEKLI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	GRAFAPEX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HALAVEN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HEPZATO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HERCEPTIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HERCEPTIN HYLECTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HERCESSI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HERNEXEOS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HERZUMA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HYCAMTIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HYCAMTIN	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HYDREA	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	HYDROXYUREA	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IBRANCE	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IBTROZI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ICLUSIG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IDAMYCIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IDARUBICIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IDHIFA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IFEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IFOSFAMIDE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IFOSFAMIDE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMATINIB MESYLATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMBRUVICA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMDELLTRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMFINZI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMJUDO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IMKELDI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	INLEXZO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	INLYTA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	INQOVI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	INREBIC	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IRESSA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IRINOTECAN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ISTODAX	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ITOVEBI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IVRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IWILFIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	IXEMPRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JAKAFI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JAYPIRCA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JELMYTO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JEMPERLI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JEVTANA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JOBEVNE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	JYLAMVO	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KADCYLA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KANJINTI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KEPIVANCE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KEYTRUDA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KHAPZORY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KIMMTRAK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KISQALI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KOSELUGO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KRAZATI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KYPROLIS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	KYXATA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LAPATINIB DITOSYLATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LAZCLUZE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LENVIMA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LETROZOLE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEUCOVORIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEUCOVORIN CALCIUM	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEUKERAN	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEUPROLIDE ACETATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEUPROLIDE ACETATE/BUPIVA	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEVAMISOLE HCL	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LEVOLEUCOVORIN CALCIUM	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LIBTAYO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LONSURF	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LOQTORZI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LORBRENA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUMAKRAS	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUNSUMIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUPRON DEPOT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUPRON DEPOT	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUTATHERA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LUTRATE DEPOT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LYNOZYFIC	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LYNOZYFIC	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LYNPARZA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LYSODREN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	LYTGOBI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MARGENZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MATULANE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MEGESTROL ACETATE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MEGESTROL ACETATE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MEKINIST	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MEKTOVI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MELPHALAN HYDROCHLORIDE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MERCAPTOPURINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MERCAPTOPURINE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MESNA	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MESNEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	METHOTREXATE	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	METHOTREXATE	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	METHOTREXATE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	METHOTREXATE SODIUM	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MITOMYCIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MITOMYCIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MITOXANTRONE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MODEYSO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MONJUVI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MUTAMYCIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MUTAMYCIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MVASI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MYLERAN	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	MYLOTARG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NELARABINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NERLYNX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NEXAVAR	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NILANDRON	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NILOTINIB	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NILOTINIB	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NILUTAMIDE	GENERIC		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NINLARO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NIPENT	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	NUBEQA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ODOMZO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OGIVRI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OGSIVEO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OJEMDA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OJJAARA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OMISIRGE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ONCASPAR	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ONIVYDE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ONTRUZANT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ONUREG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OPDIVO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OPDIVO QVANTIG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OPDUALAG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ORGOVYX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ORSERDU	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	OXALIPLATIN	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PACLITAXEL	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PACLITAXEL PROTEIN-BOUND	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PACLITAXEL PROTEIN-BOUND	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PADCEV	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PAZOPANIB HYDROCHLORIDE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEDMARK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMAZYRE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMETREXED	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMETREXED	GENERIC		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMETREXED	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMETREXED	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMFEXY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PEMRYDI RTU	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PERJETA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PHESGO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PHOTOFRIN	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PHYRAGO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PIQRAY	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PLUVICTO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	POLIVY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	POMALYST	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PORTRAZZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	POTELIGEO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PROLEUKIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	PURIXAN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	QINLOCK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RETEVMO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	REVUFORJ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	REZLIDHIA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RIABNI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RITUXAN	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RITUXAN HYCELA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ROMIDEPSIN	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ROMVIMZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ROZLYTREK	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RUBRACA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RUXIENCE	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RYBREVANT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RYDAPT	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RYLAZE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	RYTELO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SARCLISA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SCEMBLIX	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SOLTAMOX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SORAFENIB	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SPRYCEL	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	STIVARGA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	STRONTIUM CHLORIDE SR-89	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SUNITINIB MALATE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	SUTENT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TABLOID	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TABRECTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TAFINLAR	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TAGRISSO	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TALVEY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TALZENNA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TAMOXIFEN CITRATE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TARCEVA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TARGRETIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TASIGNA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TAZVERIK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TECENTRIQ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TECENTRIQ HYBREZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TECVAYLI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEMODAR (INJECTABLE)	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEMOZOLOMIDE	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEMSIROLIMUS	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEPADINA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEPMETKO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEPYLUTE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TEVIMBRA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	THIOTEPA	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TIBSOVO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TICE BCG	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TIVDAK	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TOPOTECAN HCL	GENERIC		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TOPOTECAN HCL	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TOREMIFENE CITRATE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TORISEL	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TORPENZ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRAZIMERA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TREANDA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRELSTAR MIXJECT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRETINOIN	GENERIC		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRISENOX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRODELVY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRUQAP	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TRUXIMA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TUKYSA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TURALIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	TYKERB	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	UNITUXIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	UNLOXCYT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	UVADEX	NON PREFERRED
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VABRINTY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VALRUBICIN	GENERIC	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VALSTAR	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VANFLYTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VECTIBIX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VEGZELMA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VELCADE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VENCLEXTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VERZENIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VIDAZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VINBLASTINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VINCRISTINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VINORELBINE	GENERIC
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VITRAKVI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VIVIMUSTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VIZIMPRO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VONJO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VORANIGO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VORAXAZE	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VOTRIENT	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VYLOY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	VYXEOS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	WELIREG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XALKORI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XATMEP	NON PREFERRED		PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XELODA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XOFIGO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XOSPATA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XPOVIO	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	XTANDI	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	YERVOY	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	YONDELIS	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	YONSA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZALTRAP	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZEJULA	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZELBORAF	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZEPZELCA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZEVALIN	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZIIHERA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZIRABEV	PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZOLADEX	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZOLINZA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZUSDURI	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZYDELIG	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZYKADIA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZYNLONTA	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZYNYZ	NON PREFERRED	SP	PA
ANTINEOPLASTICS AND ADJUNCTIVE THERAPIES	ZYTIGA	NON PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	AMANTADINE HCL	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	AMANTADINE HYDROCHLORIDE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	APOKYN	NON PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	APOMORPHINE	GENERIC	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	AZILECT	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	BENZTROPINE MESYLATE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	BROMOCRIPTINE MESYLATE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	BROMOCRIPTINE MESYLATE	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	CARBIDOPA	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	CARBIDOPA/LEVODOPA	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	CARBIDOPA/LEVODOPA ER	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	CARBIDOPA/LEVODOPA ODT	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	CARBIDOPA/LEVODOPA/ENTACA	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	CREXONT	PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	DHIVY	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	DUOPA	NON PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	ENTACAPONE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	INBRIJA	PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	LEVODOPA	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	LODOSYN	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	NEUPRO	PREFERRED		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	NOURIANZ	NON PREFERRED		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	ONAPGO	NON PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	ONGENTYS	NON PREFERRED		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	PARLODEL	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	PRAMIPEXOLE DIHYDROCHLORI	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	RASAGILINE MESYLATE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	ROPINIROLE ER	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	ROPINIROLE HCL	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	ROPINIROLE HYDROCHLORIDE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	RYTARY	PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	SELEGILINE HCL	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	SELEGILINE HYDROCHLORIDE	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	SINEMET	NON PREFERRED
ANTIPARKINSON AND RELATED THERAPY AGENTS	TASMAR	NON PREFERRED		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	TOLCAPONE	GENERIC		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	TRIHEXYPHENIDYL HCL	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	TRIHEXYPHENIDYL HYDROCHLO	GENERIC
ANTIPARKINSON AND RELATED THERAPY AGENTS	VYALEV	NON PREFERRED	SP	PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	XADAGO	NON PREFERRED		PA
ANTIPARKINSON AND RELATED THERAPY AGENTS	ZELAPAR	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY ASIMTUFII	PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY ASIMTUFII	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY MAINTENA	PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY MYCITE MAINTENANCE	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ABILIFY MYCITE STARTER KIT	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ARIPIPRAZOLE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ARISTADA	PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ARISTADA INITIO	PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ASENAPINE MALEATE SL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CAPLYTA	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CHLORPROMAZINE HCL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CHLORPROMAZINE HYDROCHLOR	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CLOZAPINE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CLOZAPINE ODT	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	CLOZARIL	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	COBENFY	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	COBENFY STARTER PACK	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	COMPRO	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	EQUETRO	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ERZOFRI	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FANAPT	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FANAPT TITRATION PACK A	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FANAPT TITRATION PACK B	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FANAPT TITRATION PACK C	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FLUPHENAZINE DECANOATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FLUPHENAZINE HCL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	FLUPHENAZINE HYDROCHLORID	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	GEODON	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	HALOPERIDOL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	HALOPERIDOL DECANOATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	HALOPERIDOL LACTATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	INVEGA	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	INVEGA HAFYERA	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	INVEGA SUSTENNA	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	INVEGA TRINZA	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LATUDA	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LITHIUM	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LITHIUM CARBONATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LITHIUM CARBONATE	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LITHIUM CARBONATE ER	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LITHOBID	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LOXAPINE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LOXAPINE SUCCINATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	LURASIDONE HYDROCHLORIDE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	MOLINDONE HYDROCHLORIDE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	NUPLAZID	NON PREFERRED	SP	PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	OLANZAPINE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	OPIPZA	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PALIPERIDONE ER	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PERPHENAZINE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PROCHLORPERAZINE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PROCHLORPERAZINE EDISYLAT	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PROCHLORPERAZINE MALEATE	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	PROCHLORPERAZINE MALEATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	QUETIAPINE FUMARATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	QUETIAPINE FUMARATE ER	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	REXULTI	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERDAL	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERDAL CONSTA	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERIDONE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERIDONE ER	GENERIC		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERIDONE ODT	GENERIC		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RISPERIDONE ODT	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	RYKINDO	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	SAPHRIS	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	SECUADO	NON PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	SEROQUEL	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	SEROQUEL XR	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	THIORIDAZINE HYDROCHLORID	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	THIOTHIXENE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	TRIFLUOPERAZINE HCL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	TRIFLUOPERAZINE HYDROCHLO	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	VERSACLOZ	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	VRAYLAR	PREFERRED		PA
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ZIPRASIDONE HCL	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ZIPRASIDONE HYDROCHLORIDE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ZIPRASIDONE MESYLATE	GENERIC
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ZYPREXA	NON PREFERRED
ANTIPSYCHOTICS/ANTIMANIC AGENTS	ZYPREXA RELPREVV	NON PREFERRED		PA
ANTIVIRALS	ABACAVIR	GENERIC
ANTIVIRALS	ABACAVIR/LAMIVUDINE	GENERIC
ANTIVIRALS	ACYCLOVIR	GENERIC
ANTIVIRALS	ACYCLOVIR SODIUM	GENERIC
ANTIVIRALS	ACYCLOVIR SODIUM/SODIUM C	NON PREFERRED
ANTIVIRALS	ADEFOVIR DIPIVOXIL	GENERIC		PA
ANTIVIRALS	Apretude	NON PREFERRED		PA
ANTIVIRALS	APRETUDE	PREFERRED		PA
ANTIVIRALS	APTIVUS	NON PREFERRED
ANTIVIRALS	ATAZANAVIR SULFATE	GENERIC
ANTIVIRALS	BARACLUDE	NON PREFERRED		PA
ANTIVIRALS	BIKTARVY	PREFERRED
ANTIVIRALS	Cabenuva	PREFERRED		PA
ANTIVIRALS	CIDOFOVIR	GENERIC
ANTIVIRALS	CIMDUO	PREFERRED
ANTIVIRALS	COMPLERA	NON PREFERRED
ANTIVIRALS	DARUNAVIR	GENERIC
ANTIVIRALS	DELSTRIGO	NON PREFERRED
ANTIVIRALS	DESCOVY	PREFERRED
ANTIVIRALS	DOVATO	PREFERRED
ANTIVIRALS	EDURANT	NON PREFERRED
ANTIVIRALS	EFAVIRENZ	GENERIC
ANTIVIRALS	EFAVIRENZ/LAMIVUDINE/TENOFOVIR	GENERIC
ANTIVIRALS	EFAVIRENZ-EMTRICITABINE-TENOFOVIR DISOPROXIL	GENERIC
ANTIVIRALS	EMTRICITABINE	GENERIC
ANTIVIRALS	EMTRICITABINE-RILPIVIRINE-TENOFOVIR DISOPROXIL FUM	GENERIC
ANTIVIRALS	EMTRICITABINE-TENOFOVIR DISOPROXIL FUMARATE	GENERIC
ANTIVIRALS	EMTRIVA	NON PREFERRED
ANTIVIRALS	ENTECAVIR	GENERIC		PA
ANTIVIRALS	EPCLUSA	PREFERRED	SP	PA
ANTIVIRALS	EPIVIR	NON PREFERRED
ANTIVIRALS	ETRAVIRINE	GENERIC
ANTIVIRALS	EVOTAZ	PREFERRED
ANTIVIRALS	FAMCICLOVIR	GENERIC
ANTIVIRALS	FOSAMPRENAVIR	GENERIC
ANTIVIRALS	FOSCARNET SODIUM	GENERIC
ANTIVIRALS	FOSCAVIR	NON PREFERRED
ANTIVIRALS	FUZEON	NON PREFERRED		PA
ANTIVIRALS	GANCICLOVIR	GENERIC
ANTIVIRALS	GANCICLOVIR	NON PREFERRED
ANTIVIRALS	GENVOYA	PREFERRED
ANTIVIRALS	HARVONI	PREFERRED	SP	PA
ANTIVIRALS	INTELENCE	NON PREFERRED
ANTIVIRALS	ISENTRESS	NON PREFERRED
ANTIVIRALS	ISENTRESS HD	NON PREFERRED
ANTIVIRALS	JULUCA	NON PREFERRED
ANTIVIRALS	KALETRA	NON PREFERRED
ANTIVIRALS	LAGEVRIO	NON PREFERRED
ANTIVIRALS	LAMIVUDINE	GENERIC
ANTIVIRALS	LAMIVUDINE	GENERIC		PA
ANTIVIRALS	LAMIVUDINE/ZIDOVUDINE	GENERIC
ANTIVIRALS	LIVTENCITY	NON PREFERRED	SP	PA
ANTIVIRALS	LOPINAVIR/RITONAVIR	GENERIC
ANTIVIRALS	MARAVIROC	GENERIC
ANTIVIRALS	MAVYRET	NON PREFERRED	SP	PA
ANTIVIRALS	NEVIRAPINE	GENERIC
ANTIVIRALS	NEVIRAPINE ER	GENERIC
ANTIVIRALS	NORVIR	NON PREFERRED
ANTIVIRALS	ODEFSEY	PREFERRED
ANTIVIRALS	OSELTAMIVIR PHOSPHATE	GENERIC
ANTIVIRALS	PAPZIMEOS	NON PREFERRED	SP	PA
ANTIVIRALS	PAXLOVID	PREFERRED
ANTIVIRALS	PEGASYS	NON PREFERRED	SP	PA
ANTIVIRALS	PIFELTRO	NON PREFERRED
ANTIVIRALS	PREVYMIS	NON PREFERRED		PA
ANTIVIRALS	PREZCOBIX	PREFERRED
ANTIVIRALS	PREZISTA	NON PREFERRED
ANTIVIRALS	RAPIVAB	NON PREFERRED
ANTIVIRALS	RELENZA DISKHALER	PREFERRED
ANTIVIRALS	RETROVIR	NON PREFERRED
ANTIVIRALS	RETROVIR IV	NON PREFERRED
ANTIVIRALS	REYATAZ	NON PREFERRED
ANTIVIRALS	RIBAVIRIN	GENERIC	SP	PA
ANTIVIRALS	RIBAVIRIN	GENERIC		PA
ANTIVIRALS	RIMANTADINE HYDROCHLORIDE	GENERIC
ANTIVIRALS	RITONAVIR	GENERIC
ANTIVIRALS	RUKOBIA	NON PREFERRED
ANTIVIRALS	SELZENTRY	NON PREFERRED
ANTIVIRALS	SOVALDI	NON PREFERRED	SP	PA
ANTIVIRALS	STRIBILD	NON PREFERRED
ANTIVIRALS	SUNLENCA	NON PREFERRED
ANTIVIRALS	SUNLENCA INJ	NON PREFERRED		PA
ANTIVIRALS	SYMFI	NON PREFERRED
ANTIVIRALS	SYMTUZA	PREFERRED
ANTIVIRALS	TAMIFLU	NON PREFERRED
ANTIVIRALS	TEMBEXA	NON PREFERRED
ANTIVIRALS	TENOFOVIR DISOPROXIL FUMA	GENERIC
ANTIVIRALS	TIVICAY	PREFERRED
ANTIVIRALS	TPOXX	NON PREFERRED
ANTIVIRALS	TRIUMEQ	PREFERRED
ANTIVIRALS	TROGARZO	NON PREFERRED		PA
ANTIVIRALS	TRUVADA	NON PREFERRED
ANTIVIRALS	TYBOST	NON PREFERRED
ANTIVIRALS	VALACYCLOVIR HYDROCHLORID	GENERIC
ANTIVIRALS	VALCYTE	NON PREFERRED
ANTIVIRALS	VALGANCICLOVIR	GENERIC
ANTIVIRALS	valGANciclovir HCl	GENERIC
ANTIVIRALS	VALGANCICLOVIR HYDROCHLOR	GENERIC
ANTIVIRALS	VALTREX	NON PREFERRED
ANTIVIRALS	VEKLURY	NON PREFERRED		PA
ANTIVIRALS	VEMLIDY	PREFERRED		PA
ANTIVIRALS	VIRACEPT	NON PREFERRED
ANTIVIRALS	VIREAD	NON PREFERRED
ANTIVIRALS	Vocabria	NON PREFERRED	SP	PA
ANTIVIRALS	VOSEVI	PREFERRED	SP	PA
ANTIVIRALS	XOFLUZA	NON PREFERRED
ANTIVIRALS	YEZTUGO	NON PREFERRED		PA
ANTIVIRALS	YEZTUGO	NON PREFERRED
ANTIVIRALS	ZEPATIER	NON PREFERRED	SP	PA
ANTIVIRALS	ZIAGEN	NON PREFERRED
ANTIVIRALS	ZIDOVUDINE	GENERIC
BETA BLOCKERS	ACEBUTOLOL HCL	NON PREFERRED
BETA BLOCKERS	ACEBUTOLOL HYDROCHLORIDE	GENERIC
BETA BLOCKERS	ATENOLOL	NON PREFERRED
BETA BLOCKERS	ATENOLOL	GENERIC
BETA BLOCKERS	ATENOLOL/SYRSPEND SF PH4	NON PREFERRED
BETA BLOCKERS	BETAPACE AF	NON PREFERRED
BETA BLOCKERS	BETAXOLOL HCL	GENERIC
BETA BLOCKERS	BISOPROLOL FUMARATE	GENERIC
BETA BLOCKERS	BREVIBLOC	NON PREFERRED
BETA BLOCKERS	BREVIBLOC PREMIXED	NON PREFERRED
BETA BLOCKERS	BREVIBLOC PREMIXED DOUBLE	NON PREFERRED
BETA BLOCKERS	BYSTOLIC	NON PREFERRED
BETA BLOCKERS	CARVEDILOL	GENERIC
BETA BLOCKERS	COREG	NON PREFERRED
BETA BLOCKERS	ESMOLOL HCL	GENERIC
BETA BLOCKERS	ESMOLOL HYDROCHLORIDE	NON PREFERRED
BETA BLOCKERS	ESMOLOL HYDROCHLORIDE IN	NON PREFERRED
BETA BLOCKERS	ESMOLOL HYDROCHLORIDE IN	GENERIC
BETA BLOCKERS	ESMOLOL HYDROCHLORIDE/SOD	GENERIC
BETA BLOCKERS	HEMANGEOL	NON PREFERRED		PA
BETA BLOCKERS	INDERAL LA	NON PREFERRED
BETA BLOCKERS	KAPSPARGO SPRINKLE	NON PREFERRED
BETA BLOCKERS	LABETALOL HYDROCHLORIDE	GENERIC
BETA BLOCKERS	LABETALOL HYDROCHLORIDE	NON PREFERRED
BETA BLOCKERS	LOPRESSOR	NON PREFERRED
BETA BLOCKERS	METOPROLOL SUCCINATE ER	GENERIC
BETA BLOCKERS	METOPROLOL TARTRATE	GENERIC
BETA BLOCKERS	METOPROLOL TARTRATE	NON PREFERRED
BETA BLOCKERS	NADOLOL	NON PREFERRED
BETA BLOCKERS	NADOLOL	GENERIC
BETA BLOCKERS	NEBIVOLOL HYDROCHLORIDE	GENERIC
BETA BLOCKERS	PINDOLOL	GENERIC
BETA BLOCKERS	Propranolol HCl	GENERIC
BETA BLOCKERS	PROPRANOLOL HYDROCHLORIDE	GENERIC
BETA BLOCKERS	RAPIBLYK	NON PREFERRED
BETA BLOCKERS	SOTALOL HCL	GENERIC
BETA BLOCKERS	SOTALOL HCL (AF)	GENERIC
BETA BLOCKERS	SOTALOL HCL AF	GENERIC
BETA BLOCKERS	SOTALOL HYDROCHLORIDE	NON PREFERRED
BETA BLOCKERS	SOTALOL HYDROCHLORIDE	GENERIC
BETA BLOCKERS	SOTALOL HYDROCHLORIDE (AF	GENERIC
BETA BLOCKERS	SOTALOL HYDROCHLORIDE AF	GENERIC
BETA BLOCKERS	SOTYLIZE	NON PREFERRED
BETA BLOCKERS	TENORMIN	NON PREFERRED
BETA BLOCKERS	TIMOLOL MALEATE	GENERIC
BETA BLOCKERS	TOPROL XL	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	AMLODIPINE BESYLATE	GENERIC
CALCIUM CHANNEL BLOCKERS	AMLODIPINE BESYLATE/SYRSP	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	CARDENE IV	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	CARDIZEM	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	CARDIZEM LA	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	CARTIA XT	GENERIC
CALCIUM CHANNEL BLOCKERS	CLEVIPREX	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	CONJUPRI	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HCL	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HCL	GENERIC
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HCL ER	GENERIC
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HYDROCHLORIDE	GENERIC
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HYDROCHLORIDE E	GENERIC
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HYDROCHLORIDE/D	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	DILTIAZEM HYDROCHLORIDE/S	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	DILT-XR	GENERIC
CALCIUM CHANNEL BLOCKERS	FELODIPINE ER	GENERIC
CALCIUM CHANNEL BLOCKERS	ISRADIPINE	GENERIC
CALCIUM CHANNEL BLOCKERS	KATERZIA	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	LEVAMLODIPINE	GENERIC
CALCIUM CHANNEL BLOCKERS	MATZIM LA	GENERIC
CALCIUM CHANNEL BLOCKERS	NICARDIPINE HCL	GENERIC
CALCIUM CHANNEL BLOCKERS	niCARdipine HCl in NaCl	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	NICARDIPINE HYDROCHLORIDE	GENERIC
CALCIUM CHANNEL BLOCKERS	NICARDIPINE HYDROCHLORIDE	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	NIFEDIPINE	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	NIFEDIPINE ER	GENERIC
CALCIUM CHANNEL BLOCKERS	NIMODIPINE	GENERIC
CALCIUM CHANNEL BLOCKERS	NISOLDIPINE ER	GENERIC
CALCIUM CHANNEL BLOCKERS	NORLIQVA	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	NORVASC	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	PROCARDIA XL	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	SULAR	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	TIADYLT ER	GENERIC
CALCIUM CHANNEL BLOCKERS	TIAZAC	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HCL	GENERIC
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HCL ER	GENERIC
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HYDROCHLORIDE	GENERIC
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HYDROCHLORIDE E	GENERIC
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HYDROCHLORIDE E	NON PREFERRED
CALCIUM CHANNEL BLOCKERS	VERAPAMIL HYDROCHLORIDE S	GENERIC
CARDIOTONICS	DIGOXIN	GENERIC
CARDIOTONICS	DIGOXIN	NON PREFERRED
CARDIOTONICS	DOBUTAMINE HCL	GENERIC
CARDIOTONICS	DOBUTAMINE HCL/D5W	NON PREFERRED
CARDIOTONICS	DOBUTAMINE HYDROCHLORIDE	GENERIC
CARDIOTONICS	DOBUTAMINE HYDROCHLORIDE/	NON PREFERRED
CARDIOTONICS	DOPAMINE HYDROCHLORIDE	GENERIC
CARDIOTONICS	DOPAMINE HYDROCHLORIDE	NON PREFERRED
CARDIOTONICS	DOPAMINE HYDROCHLORIDE/DE	NON PREFERRED
CARDIOTONICS	DOPAMINE/D5W	NON PREFERRED
CARDIOTONICS	LANOXIN	NON PREFERRED
CARDIOTONICS	LANOXIN PEDIATRIC	NON PREFERRED
CARDIOTONICS	MILRINONE LACTATE	GENERIC
CARDIOTONICS	MILRINONE LACTATE IN DEXT	GENERIC
CARDIOVASCULAR AGENTS - MISC.	ABLYSINOL	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	ADCIRCA	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	ADEMPAS	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	ADENOCAINE	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	ALPROSTADIL	GENERIC
CARDIOVASCULAR AGENTS - MISC.	ALYQ	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	AMBRISENTAN	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	AMLODIPINE BESYLATE/ATORV	GENERIC
CARDIOVASCULAR AGENTS - MISC.	ATTRUBY	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	AURLUMYN	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	BOSENTAN	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	CAMZYOS	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIA DEL NIDO FOR	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIA INDUCTION HI	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIA INDUCTION PL	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIA MAINTENANCE	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIA REPERFUSATE/	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIC	GENERIC
CARDIOVASCULAR AGENTS - MISC.	CARDIOPLEGIC	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	CORLANOR	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	DEHYDRATED ALCOHOL	GENERIC
CARDIOVASCULAR AGENTS - MISC.	DEL NIDO CARDIOPLEGIA SOL	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	ENTRESTO	NON PREFERRED		PA
CARDIOVASCULAR AGENTS - MISC.	EPOPROSTENOL	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	FLOLAN	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	INPEFA	PREFERRED		PA
CARDIOVASCULAR AGENTS - MISC.	IVABRADINE HYDROCHLORIDE	GENERIC
CARDIOVASCULAR AGENTS - MISC.	LETAIRIS	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	LODOCO	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	MICROPLEGIA MSA/MSG	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	NYLIDRIN HYDROCHLORIDE	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	OPSUMIT	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	OPSYNVI	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	ORENITRAM	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	ORENITRAM	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	PAPAVERINE HCL	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	PAPAVERINE HYDROCHLORIDE	GENERIC
CARDIOVASCULAR AGENTS - MISC.	PAPAVERINE HYDROCHLORIDE	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	PLEGISOL	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	PROSTIN VR PEDIATRIC	NON PREFERRED
CARDIOVASCULAR AGENTS - MISC.	REMODULIN	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	REVATIO	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	REVATIO IV	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	SACUBITRIL/VALSARTAN	GENERIC		PA
CARDIOVASCULAR AGENTS - MISC.	SILDENAFIL CITRATE	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TADALAFIL	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TADLIQ	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TRACLEER	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TREPROSTINIL SODIUM	GENERIC	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TYVASO	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	TYVASO DPI	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	UPTRAVI	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	UPTRAVI IV	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	VELETRI	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	VENTAVIS	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	VERQUVO	PREFERRED		PA
CARDIOVASCULAR AGENTS - MISC.	VYNDAMAX	PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	VYNDAQEL	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	WINREVAIR	NON PREFERRED	SP	PA
CARDIOVASCULAR AGENTS - MISC.	YUTREPIA	PREFERRED	SP	PA
CEPHALOSPORINS	AVYCAZ	NON PREFERRED
CEPHALOSPORINS	CEFACLOR	GENERIC
CEPHALOSPORINS	CEFACLOR ER	NON PREFERRED
CEPHALOSPORINS	CEFADROXIL	GENERIC
CEPHALOSPORINS	CEFAZOLIN	GENERIC
CEPHALOSPORINS	CEFAZOLIN	NON PREFERRED
CEPHALOSPORINS	CEFAZOLIN SODIUM	NON PREFERRED
CEPHALOSPORINS	CEFAZOLIN SODIUM	GENERIC
CEPHALOSPORINS	CEFAZOLIN SODIUM/DEXTROSE	NON PREFERRED
CEPHALOSPORINS	CEFAZOLIN SODIUM/SODIUM C	NON PREFERRED
CEPHALOSPORINS	CEFAZOLIN/DEXTROSE	NON PREFERRED
CEPHALOSPORINS	CEFAZOLIN/SODIUM CHLORIDE	NON PREFERRED
CEPHALOSPORINS	CEFDINIR	GENERIC
CEPHALOSPORINS	CEFEPIME	GENERIC
CEPHALOSPORINS	CEFEPIME	NON PREFERRED
CEPHALOSPORINS	CEFEPIME HYDROCHLORIDE	GENERIC
CEPHALOSPORINS	CEFEPIME HYDROCHLORIDE	NON PREFERRED
CEPHALOSPORINS	CEFEPIME/DEXTROSE	NON PREFERRED
CEPHALOSPORINS	CEFIXIME	GENERIC
CEPHALOSPORINS	CEFOTAN	NON PREFERRED
CEPHALOSPORINS	CEFOTAXIME SODIUM	NON PREFERRED
CEPHALOSPORINS	CEFOTETAN	GENERIC
CEPHALOSPORINS	CEFOXITIN SODIUM	GENERIC
CEPHALOSPORINS	CEFOXITIN SODIUM	NON PREFERRED
CEPHALOSPORINS	CEFPODOXIME PROXETIL	GENERIC
CEPHALOSPORINS	CEFPROZIL	GENERIC
CEPHALOSPORINS	CEFTAZIDIME	GENERIC
CEPHALOSPORINS	CEFTRIAXONE IN ISO-OSMOTI	GENERIC
CEPHALOSPORINS	CEFTRIAXONE SODIUM	NON PREFERRED
CEPHALOSPORINS	CEFTRIAXONE SODIUM	GENERIC
CEPHALOSPORINS	CEFTRIAXONE/DEXTROSE	NON PREFERRED
CEPHALOSPORINS	CEFUROXIME AXETIL	GENERIC
CEPHALOSPORINS	CEFUROXIME SODIUM	GENERIC
CEPHALOSPORINS	CEPHALEXIN	GENERIC
CEPHALOSPORINS	FETROJA	NON PREFERRED
CEPHALOSPORINS	TAZICEF	GENERIC
CEPHALOSPORINS	TAZICEF	NON PREFERRED
CEPHALOSPORINS	TEFLARO	NON PREFERRED
CEPHALOSPORINS	ZERBAXA	NON PREFERRED
CEPHALOSPORINS	ZEVTERA	NON PREFERRED
CONTRACEPTIVES	AFIRMELLE	GENERIC
CONTRACEPTIVES	ALTAVERA	GENERIC
CONTRACEPTIVES	ALYACEN 1/35	GENERIC
CONTRACEPTIVES	ALYACEN 7/7/7	GENERIC
CONTRACEPTIVES	AMETHYST	GENERIC
CONTRACEPTIVES	APRI	GENERIC
CONTRACEPTIVES	ARANELLE	GENERIC
CONTRACEPTIVES	ASHLYNA	GENERIC
CONTRACEPTIVES	AUBRA EQ	GENERIC
CONTRACEPTIVES	AUROVELA 1.5/30	GENERIC
CONTRACEPTIVES	AUROVELA 1/20	GENERIC
CONTRACEPTIVES	AUROVELA 24 FE	GENERIC
CONTRACEPTIVES	AUROVELA FE 1.5/30	GENERIC
CONTRACEPTIVES	AUROVELA FE 1/20	GENERIC
CONTRACEPTIVES	AVERI	NON PREFERRED
CONTRACEPTIVES	AVIANE	GENERIC
CONTRACEPTIVES	AYUNA	GENERIC
CONTRACEPTIVES	AZURETTE	GENERIC
CONTRACEPTIVES	BALCOLTRA	NON PREFERRED
CONTRACEPTIVES	BALZIVA	GENERIC
CONTRACEPTIVES	BEYAZ	NON PREFERRED
CONTRACEPTIVES	BLISOVI 24 FE	GENERIC
CONTRACEPTIVES	BLISOVI FE 1.5/30	GENERIC
CONTRACEPTIVES	BLISOVI FE 1/20	GENERIC
CONTRACEPTIVES	BRIELLYN	GENERIC
CONTRACEPTIVES	CAMILA	GENERIC
CONTRACEPTIVES	CAMRESE	GENERIC
CONTRACEPTIVES	CAMRESE LO	GENERIC
CONTRACEPTIVES	CHARLOTTE 24 FE	GENERIC
CONTRACEPTIVES	CHATEAL EQ	GENERIC
CONTRACEPTIVES	CRYSELLE-28	GENERIC
CONTRACEPTIVES	CYRED EQ	GENERIC
CONTRACEPTIVES	DASETTA 1/35	GENERIC
CONTRACEPTIVES	DASETTA 7/7/7	GENERIC
CONTRACEPTIVES	DAYSEE	GENERIC
CONTRACEPTIVES	DEBLITANE	GENERIC
CONTRACEPTIVES	DELYLA	GENERIC
CONTRACEPTIVES	DEPO-PROVERA CONTRACEPTIV	NON PREFERRED
CONTRACEPTIVES	DEPO-SUBQ PROVERA 104	NON PREFERRED
CONTRACEPTIVES	DESOGESTREL/ETHINYL ESTRA	GENERIC
CONTRACEPTIVES	DOLISHALE	GENERIC
CONTRACEPTIVES	DROSPIRENONE/ETHINYL ESTR	GENERIC
CONTRACEPTIVES	ELINEST	GENERIC
CONTRACEPTIVES	ELLA	NON PREFERRED
CONTRACEPTIVES	ELURYNG	GENERIC
CONTRACEPTIVES	EMZAHH	GENERIC
CONTRACEPTIVES	ENILLORING	GENERIC
CONTRACEPTIVES	ENPRESSE-28	GENERIC
CONTRACEPTIVES	ENSKYCE	GENERIC
CONTRACEPTIVES	ERRIN	GENERIC
CONTRACEPTIVES	ESTARYLLA	GENERIC
CONTRACEPTIVES	ETHYNODIOL DIACETATE/ETHI	GENERIC
CONTRACEPTIVES	ETONOGESTREL/ETHINYL ESTR	GENERIC
CONTRACEPTIVES	FALMINA	GENERIC
CONTRACEPTIVES	FEIRZA 1.5/30	GENERIC
CONTRACEPTIVES	FEIRZA 1/20	GENERIC
CONTRACEPTIVES	FEMLYV	NON PREFERRED
CONTRACEPTIVES	FINZALA	GENERIC
CONTRACEPTIVES	GALBRIELA	GENERIC
CONTRACEPTIVES	GEMMILY	GENERIC
CONTRACEPTIVES	HAILEY 1.5/30	GENERIC
CONTRACEPTIVES	HAILEY 24 FE	GENERIC
CONTRACEPTIVES	HAILEY FE 1.5/30	GENERIC
CONTRACEPTIVES	HAILEY FE 1/20	GENERIC
CONTRACEPTIVES	HALOETTE	GENERIC
CONTRACEPTIVES	HEATHER	GENERIC
CONTRACEPTIVES	ICLEVIA	GENERIC
CONTRACEPTIVES	INCASSIA	GENERIC
CONTRACEPTIVES	INTROVALE	GENERIC
CONTRACEPTIVES	ISIBLOOM	GENERIC
CONTRACEPTIVES	JAIMIESS	GENERIC
CONTRACEPTIVES	JASMIEL	GENERIC
CONTRACEPTIVES	JENCYCLA	GENERIC
CONTRACEPTIVES	JOLESSA	GENERIC
CONTRACEPTIVES	JOYEAUX	NON PREFERRED
CONTRACEPTIVES	JULEBER	GENERIC
CONTRACEPTIVES	JUNEL 1.5/30	GENERIC
CONTRACEPTIVES	JUNEL 1/20	GENERIC
CONTRACEPTIVES	JUNEL FE 1.5/30	GENERIC
CONTRACEPTIVES	JUNEL FE 1/20	GENERIC
CONTRACEPTIVES	JUNEL FE 24	GENERIC
CONTRACEPTIVES	KAITLIB FE	GENERIC
CONTRACEPTIVES	KALLIGA	GENERIC
CONTRACEPTIVES	KARIVA	GENERIC
CONTRACEPTIVES	KELNOR 1/35	GENERIC
CONTRACEPTIVES	KURVELO	GENERIC
CONTRACEPTIVES	KYLEENA	PREFERRED		PA
CONTRACEPTIVES	LARIN 1.5/30	GENERIC
CONTRACEPTIVES	LARIN 1/20	GENERIC
CONTRACEPTIVES	LARIN 24 FE	GENERIC
CONTRACEPTIVES	LARIN FE 1.5/30	GENERIC
CONTRACEPTIVES	LARIN FE 1/20	GENERIC
CONTRACEPTIVES	LEENA	GENERIC
CONTRACEPTIVES	LESSINA	GENERIC
CONTRACEPTIVES	LEVONEST	GENERIC
CONTRACEPTIVES	LEVONORGESTREL AND ETHINY	GENERIC
CONTRACEPTIVES	LEVONORGESTREL/ETHINYL ES	GENERIC
CONTRACEPTIVES	LEVORA 0.15/30-28	GENERIC
CONTRACEPTIVES	LILETTA	NON PREFERRED		PA
CONTRACEPTIVES	LO LOESTRIN FE	PREFERRED
CONTRACEPTIVES	LOESTRIN 1.5/30-21	NON PREFERRED
CONTRACEPTIVES	LOESTRIN 1/20-21	NON PREFERRED
CONTRACEPTIVES	LOESTRIN FE 1.5/30	NON PREFERRED
CONTRACEPTIVES	LOESTRIN FE 1/20	NON PREFERRED
CONTRACEPTIVES	LOJAIMIESS	GENERIC
CONTRACEPTIVES	LORYNA	GENERIC
CONTRACEPTIVES	LOW-OGESTREL	GENERIC
CONTRACEPTIVES	LO-ZUMANDIMINE	GENERIC
CONTRACEPTIVES	LUIZZA 1.5/30	GENERIC
CONTRACEPTIVES	LUIZZA 1/20	GENERIC
CONTRACEPTIVES	LUTERA	GENERIC
CONTRACEPTIVES	LYLEQ	GENERIC
CONTRACEPTIVES	LYZA	GENERIC
CONTRACEPTIVES	MARLISSA	GENERIC
CONTRACEPTIVES	MEDROXYPROGESTERONE ACETA	GENERIC
CONTRACEPTIVES	MELEYA	GENERIC
CONTRACEPTIVES	MERZEE	GENERIC
CONTRACEPTIVES	MIBELAS 24 FE	GENERIC
CONTRACEPTIVES	MICROGESTIN 1.5/30	GENERIC
CONTRACEPTIVES	MICROGESTIN 1/20	GENERIC
CONTRACEPTIVES	MICROGESTIN FE 1.5/30	GENERIC
CONTRACEPTIVES	MICROGESTIN FE 1/20	GENERIC
CONTRACEPTIVES	MILI	GENERIC
CONTRACEPTIVES	MINZOYA	GENERIC
CONTRACEPTIVES	MIRENA	PREFERRED		PA
CONTRACEPTIVES	MIUDELLA COPPER INTRAUTER	NON PREFERRED
CONTRACEPTIVES	MONO-LINYAH	GENERIC
CONTRACEPTIVES	NATAZIA	PREFERRED
CONTRACEPTIVES	NECON 0.5/35-28	GENERIC
CONTRACEPTIVES	NEXPLANON	NON PREFERRED		PA
CONTRACEPTIVES	NEXTSTELLIS	NON PREFERRED
CONTRACEPTIVES	NIKKI	GENERIC
CONTRACEPTIVES	NORA-BE	GENERIC
CONTRACEPTIVES	NORELGESTROMIN/ETHINYL ES	GENERIC
CONTRACEPTIVES	NORETHINDRONE	GENERIC
CONTRACEPTIVES	NORETHINDRONE & ETHINYL E	GENERIC
CONTRACEPTIVES	NORETHINDRONE ACETATE/ETH	GENERIC
CONTRACEPTIVES	NORETHINDRONE/ETHINYL EST	GENERIC
CONTRACEPTIVES	NORGESTIMATE/ETHINYL ESTR	GENERIC
CONTRACEPTIVES	NORLYROC	GENERIC
CONTRACEPTIVES	NORTREL 0.5/35 (28)	GENERIC
CONTRACEPTIVES	NORTREL 1/35	GENERIC
CONTRACEPTIVES	NORTREL 7/7/7	GENERIC
CONTRACEPTIVES	NUVARING	NON PREFERRED
CONTRACEPTIVES	NYLIA 1/35	GENERIC
CONTRACEPTIVES	NYLIA 7/7/7	GENERIC
CONTRACEPTIVES	OCELLA	GENERIC
CONTRACEPTIVES	ORQUIDEA	GENERIC
CONTRACEPTIVES	PARAGARD INTRAUTERINE COP	NON PREFERRED
CONTRACEPTIVES	PHILITH	GENERIC
CONTRACEPTIVES	PIMTREA	GENERIC
CONTRACEPTIVES	PORTIA-28	GENERIC
CONTRACEPTIVES	RECLIPSEN	GENERIC
CONTRACEPTIVES	RIVELSA	GENERIC
CONTRACEPTIVES	ROSYRAH	GENERIC
CONTRACEPTIVES	SAFYRAL	NON PREFERRED
CONTRACEPTIVES	SETLAKIN	GENERIC
CONTRACEPTIVES	SHAROBEL	GENERIC
CONTRACEPTIVES	SIMLIYA	GENERIC
CONTRACEPTIVES	SIMPESSE	GENERIC
CONTRACEPTIVES	SKYLA	PREFERRED		PA
CONTRACEPTIVES	SLYND	NON PREFERRED
CONTRACEPTIVES	SPRINTEC 28	GENERIC
CONTRACEPTIVES	SRONYX	GENERIC
CONTRACEPTIVES	SYEDA	GENERIC
CONTRACEPTIVES	TARINA 24 FE	GENERIC
CONTRACEPTIVES	TARINA FE 1/20 EQ	GENERIC
CONTRACEPTIVES	TAYSOFY	GENERIC
CONTRACEPTIVES	TAYTULLA	NON PREFERRED
CONTRACEPTIVES	TILIA FE	GENERIC
CONTRACEPTIVES	TRI-ESTARYLLA	GENERIC
CONTRACEPTIVES	TRI-LEGEST FE	GENERIC
CONTRACEPTIVES	TRI-LINYAH	GENERIC
CONTRACEPTIVES	TRI-LO-ESTARYLLA	GENERIC
CONTRACEPTIVES	TRI-LO-MARZIA	GENERIC
CONTRACEPTIVES	TRI-LO-MILI	GENERIC
CONTRACEPTIVES	TRI-LO-SPRINTEC	GENERIC
CONTRACEPTIVES	TRI-MILI	GENERIC
CONTRACEPTIVES	TRI-SPRINTEC	GENERIC
CONTRACEPTIVES	TRI-VYLIBRA	GENERIC
CONTRACEPTIVES	TRI-VYLIBRA LO	GENERIC
CONTRACEPTIVES	TURQOZ	GENERIC
CONTRACEPTIVES	TWIRLA	NON PREFERRED
CONTRACEPTIVES	TYBLUME	NON PREFERRED
CONTRACEPTIVES	TYDEMY	GENERIC
CONTRACEPTIVES	VALTYA 1/50	GENERIC
CONTRACEPTIVES	VELIVET	GENERIC
CONTRACEPTIVES	VESTURA	GENERIC
CONTRACEPTIVES	VIENVA	GENERIC
CONTRACEPTIVES	VIORELE	GENERIC
CONTRACEPTIVES	VOLNEA	GENERIC
CONTRACEPTIVES	VYFEMLA	GENERIC
CONTRACEPTIVES	VYLIBRA	GENERIC
CONTRACEPTIVES	WERA	GENERIC
CONTRACEPTIVES	WYMZYA FE	GENERIC
CONTRACEPTIVES	XARAH FE	GENERIC
CONTRACEPTIVES	XELRIA FE	GENERIC
CONTRACEPTIVES	XULANE	GENERIC
CONTRACEPTIVES	YASMIN 28	NON PREFERRED
CONTRACEPTIVES	YAZ	NON PREFERRED
CONTRACEPTIVES	ZAFEMY	GENERIC
CONTRACEPTIVES	ZOVIA 1/35	GENERIC
CONTRACEPTIVES	ZUMANDIMINE	GENERIC
CORTICOSTEROIDS	AGAMREE	NON PREFERRED	SP	PA
CORTICOSTEROIDS	BETAMETHASONE ACETATE/BET	NON PREFERRED
CORTICOSTEROIDS	BETAMETHASONE COMBO	NON PREFERRED
CORTICOSTEROIDS	BETAMETHASONE SODIUM PHOS	NON PREFERRED
CORTICOSTEROIDS	BETAMETHASONE SODIUM PHOS	GENERIC
CORTICOSTEROIDS	BUDESONIDE	GENERIC		PA
CORTICOSTEROIDS	BUDESONIDE ER	GENERIC		PA
CORTICOSTEROIDS	BUPIVACAINE HCL/DEXAMETHA	NON PREFERRED
CORTICOSTEROIDS	CELESTONE SOLUSPAN	NON PREFERRED
CORTICOSTEROIDS	CORTEF	NON PREFERRED
CORTICOSTEROIDS	CORTISONE ACETATE	NON PREFERRED
CORTICOSTEROIDS	DEFLAZACORT	NON PREFERRED	SP	PA
CORTICOSTEROIDS	DEFLAZACORT	GENERIC	SP	PA
CORTICOSTEROIDS	DEPO-MEDROL	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE	GENERIC
CORTICOSTEROIDS	DEXAMETHASONE (LA)	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE ACETATE	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE ACETATE/DEX	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE INTENSOL	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE SODIUM PHOS	NON PREFERRED
CORTICOSTEROIDS	DEXAMETHASONE SODIUM PHOS	GENERIC
CORTICOSTEROIDS	DEXLIDO	NON PREFERRED
CORTICOSTEROIDS	EMFLAZA	NON PREFERRED	SP	PA
CORTICOSTEROIDS	EOHILIA	NON PREFERRED		PA
CORTICOSTEROIDS	FLUDROCORTISONE ACETATE	GENERIC
CORTICOSTEROIDS	HEXATRIONE	NON PREFERRED
CORTICOSTEROIDS	HYDROCORTISONE	GENERIC
CORTICOSTEROIDS	HYDROCORTISONE SODIUM SUC	GENERIC
CORTICOSTEROIDS	JAYTHARI	GENERIC	SP	PA
CORTICOSTEROIDS	KENALOG-10	NON PREFERRED
CORTICOSTEROIDS	KENALOG-40	NON PREFERRED
CORTICOSTEROIDS	KENALOG-80	NON PREFERRED
CORTICOSTEROIDS	KHINDIVI	NON PREFERRED
CORTICOSTEROIDS	MARDEX-25	NON PREFERRED
CORTICOSTEROIDS	MEDROL	NON PREFERRED
CORTICOSTEROIDS	MEDROL DOSEPAK	NON PREFERRED
CORTICOSTEROIDS	METHYLPREDNISOLONE	NON PREFERRED
CORTICOSTEROIDS	METHYLPREDNISOLONE	GENERIC
CORTICOSTEROIDS	METHYLPREDNISOLONE ACETAT	NON PREFERRED
CORTICOSTEROIDS	METHYLPREDNISOLONE ACETAT	GENERIC
CORTICOSTEROIDS	METHYLPREDNISOLONE DOSE P	GENERIC
CORTICOSTEROIDS	METHYLPREDNISOLONE SODIUM	GENERIC
CORTICOSTEROIDS	METHYLPREDNISOLONE/LIDOCA	NON PREFERRED
CORTICOSTEROIDS	PEDIAPRED	NON PREFERRED
CORTICOSTEROIDS	PREDNISOLONE	GENERIC
CORTICOSTEROIDS	PREDNISOLONE ACETATE	NON PREFERRED
CORTICOSTEROIDS	PREDNISOLONE SODIUM PHOSP	GENERIC
CORTICOSTEROIDS	PREDNISONE	GENERIC
CORTICOSTEROIDS	PREDNISONE INTENSOL	NON PREFERRED
CORTICOSTEROIDS	PYQUVI	GENERIC	SP	PA
CORTICOSTEROIDS	ROPIDEX	NON PREFERRED
CORTICOSTEROIDS	SOLU-CORTEF	NON PREFERRED
CORTICOSTEROIDS	SOLU-MEDROL	NON PREFERRED
CORTICOSTEROIDS	TRIAMCINOLONE	NON PREFERRED
CORTICOSTEROIDS	TRIAMCINOLONE ACETONIDE	GENERIC
CORTICOSTEROIDS	TRIAMCINOLONE ACETONIDE	NON PREFERRED
CORTICOSTEROIDS	TRIAMCINOLONE ACETONIDE/B	NON PREFERRED
CORTICOSTEROIDS	TRIAMCINOLONE DIACETATE	NON PREFERRED
CORTICOSTEROIDS	UCERIS	NON PREFERRED		PA
COUGH/COLD/ALLERGY	ACETYLCYSTEINE	GENERIC
COUGH/COLD/ALLERGY	ACETYLCYSTEINE	NON PREFERRED
COUGH/COLD/ALLERGY	BENZONATATE	GENERIC
COUGH/COLD/ALLERGY	BROMPHEN/PSEUDOEPHEDRINE	GENERIC
COUGH/COLD/ALLERGY	CLARINEX-D 12 HOUR	NON PREFERRED
COUGH/COLD/ALLERGY	GUAIFENESIN	NON PREFERRED
COUGH/COLD/ALLERGY	HYCODAN	NON PREFERRED
COUGH/COLD/ALLERGY	HYDROCODONE BITARTRATE/HO	GENERIC
COUGH/COLD/ALLERGY	HYDROCODONE POLISTIREX/CH	GENERIC
COUGH/COLD/ALLERGY	HYDROCODONE/HOMATROPINE	GENERIC
COUGH/COLD/ALLERGY	HYDROMET	GENERIC
COUGH/COLD/ALLERGY	HYPERSAL	NON PREFERRED
COUGH/COLD/ALLERGY	N-ACETYL-L-CYSTEINE	NON PREFERRED
COUGH/COLD/ALLERGY	NEBUSAL	GENERIC
COUGH/COLD/ALLERGY	NEBUSAL	NON PREFERRED
COUGH/COLD/ALLERGY	NEOTUSS PLUS	NON PREFERRED
COUGH/COLD/ALLERGY	POTASSIUM IODIDE	GENERIC
COUGH/COLD/ALLERGY	PROMETHAZINE DM	GENERIC
COUGH/COLD/ALLERGY	PROMETHAZINE HYDROCHLORID	GENERIC
COUGH/COLD/ALLERGY	PROMETHAZINE/CODEINE	GENERIC
COUGH/COLD/ALLERGY	PROMETHAZINE/DEXTROMETHOR	GENERIC
COUGH/COLD/ALLERGY	PULMOSAL	GENERIC
COUGH/COLD/ALLERGY	SODIUM CHLORIDE	GENERIC
COUGH/COLD/ALLERGY	SSKI	NON PREFERRED
COUGH/COLD/ALLERGY	TERPIN HYDRATE	NON PREFERRED
COUGH/COLD/ALLERGY	TERPIN HYDRATE MONOHYDRAT	NON PREFERRED
COUGH/COLD/ALLERGY	TUXARIN ER	NON PREFERRED
DERMATOLOGICALS	ABENOR	NON PREFERRED
DERMATOLOGICALS	ABENOR HP	NON PREFERRED
DERMATOLOGICALS	ACCUTANE	GENERIC		PA
DERMATOLOGICALS	ACIOXIA	NON PREFERRED
DERMATOLOGICALS	ACIOXIAY	NON PREFERRED
DERMATOLOGICALS	ACITRETIN	GENERIC		PA
DERMATOLOGICALS	ACYCLOVIR	GENERIC
DERMATOLOGICALS	ACZONE	NON PREFERRED
DERMATOLOGICALS	ADAINZOXIA	NON PREFERRED
DERMATOLOGICALS	ADALINA	NON PREFERRED
DERMATOLOGICALS	ADAPALENE	GENERIC
DERMATOLOGICALS	ADAPALENE	NON PREFERRED
DERMATOLOGICALS	ADAPALENE PUMP	GENERIC
DERMATOLOGICALS	ADAPALENE/BENZOYL PEROXID	GENERIC
DERMATOLOGICALS	ADBRY	NON PREFERRED	SP	PA
DERMATOLOGICALS	ADEINZDE	NON PREFERRED
DERMATOLOGICALS	ADERMICA	NON PREFERRED
DERMATOLOGICALS	ADERMICA HP	NON PREFERRED
DERMATOLOGICALS	ADMIRAZOL	NON PREFERRED
DERMATOLOGICALS	ADMIRAZOL HP	NON PREFERRED
DERMATOLOGICALS	ALA-CORT	GENERIC
DERMATOLOGICALS	ALCLOMETASONE DIPROPIONAT	GENERIC
DERMATOLOGICALS	ALIXI	NON PREFERRED
DERMATOLOGICALS	ALIXI HP	NON PREFERRED
DERMATOLOGICALS	ALOMIRA	NON PREFERRED
DERMATOLOGICALS	ALOMIRA HP	NON PREFERRED
DERMATOLOGICALS	ALOMIRA LP	NON PREFERRED
DERMATOLOGICALS	ALTRENO	NON PREFERRED
DERMATOLOGICALS	ALUMINUM CHLORIDE ANHYDRO	NON PREFERRED
DERMATOLOGICALS	ALUMINUM CHLORIDE HEXAHYD	NON PREFERRED
DERMATOLOGICALS	ALURIS	NON PREFERRED
DERMATOLOGICALS	ALURIS HP	NON PREFERRED
DERMATOLOGICALS	ALURIS HP PLUS	NON PREFERRED
DERMATOLOGICALS	ALURIS LP	NON PREFERRED
DERMATOLOGICALS	ALURIS LP PLUS	NON PREFERRED
DERMATOLOGICALS	ALURIS PLUS	NON PREFERRED
DERMATOLOGICALS	ALUXOF	NON PREFERRED
DERMATOLOGICALS	ALUXOF HP	NON PREFERRED
DERMATOLOGICALS	ALVOX	NON PREFERRED
DERMATOLOGICALS	ALVOX HP	NON PREFERRED
DERMATOLOGICALS	AMCINONIDE	GENERIC
DERMATOLOGICALS	AMMONIUM LACTATE	GENERIC
DERMATOLOGICALS	AMNESTEEM	GENERIC		PA
DERMATOLOGICALS	AMZEEQ	NON PREFERRED
DERMATOLOGICALS	ANTHRALIN	NON PREFERRED
DERMATOLOGICALS	ANZUPGO	NON PREFERRED		PA
DERMATOLOGICALS	APEXOL CLEANSER	NON PREFERRED
DERMATOLOGICALS	APEXOL HP CLEANSER	NON PREFERRED
DERMATOLOGICALS	APHORIA	NON PREFERRED
DERMATOLOGICALS	APORIX	NON PREFERRED
DERMATOLOGICALS	ARNICA FLOWER	NON PREFERRED
DERMATOLOGICALS	ARTILIS	NON PREFERRED
DERMATOLOGICALS	ARTILIS HP	NON PREFERRED
DERMATOLOGICALS	ARZOL SILVER NITRATE APP	NON PREFERRED
DERMATOLOGICALS	AUGUSTIL	NON PREFERRED
DERMATOLOGICALS	AVAR CLEANSER	GENERIC
DERMATOLOGICALS	AVAR LS CLEANSER	NON PREFERRED
DERMATOLOGICALS	AVEIDAOXIA	NON PREFERRED
DERMATOLOGICALS	AVIDORA	NON PREFERRED
DERMATOLOGICALS	AVIDORA HP	NON PREFERRED
DERMATOLOGICALS	AWANIS	NON PREFERRED
DERMATOLOGICALS	AZALTA	NON PREFERRED
DERMATOLOGICALS	AZALTA HP	NON PREFERRED
DERMATOLOGICALS	AZELAIC ACID	GENERIC
DERMATOLOGICALS	AZELEX	NON PREFERRED
DERMATOLOGICALS	BACITRACIN	NON PREFERRED
DERMATOLOGICALS	BATIZIA	NON PREFERRED
DERMATOLOGICALS	BAXONIL	NON PREFERRED
DERMATOLOGICALS	BENZAC AC WASH	NON PREFERRED
DERMATOLOGICALS	BENZAMYCIN	NON PREFERRED
DERMATOLOGICALS	BENZEPRO	NON PREFERRED
DERMATOLOGICALS	BENZEPRO CREAMY WASH	NON PREFERRED
DERMATOLOGICALS	BENZOIC ACID	NON PREFERRED
DERMATOLOGICALS	BENZOIN COMPOUND TINCTURE	GENERIC
DERMATOLOGICALS	BENZOIN TINCTURE	NON PREFERRED
DERMATOLOGICALS	BENZOYL PEROXIDE	NON PREFERRED
DERMATOLOGICALS	BENZOYL PEROXIDE HYDROUS	NON PREFERRED
DERMATOLOGICALS	BETAMETHASONE DIPROPIONAT	GENERIC
DERMATOLOGICALS	BETAMETHASONE VALERATE	GENERIC
DERMATOLOGICALS	BEXAROTENE	GENERIC	SP	PA
DERMATOLOGICALS	BIMZELX	NON PREFERRED	SP	PA
DERMATOLOGICALS	BORIC ACID	NON PREFERRED
DERMATOLOGICALS	BRYHALI	PREFERRED
DERMATOLOGICALS	CABTREO	NON PREFERRED
DERMATOLOGICALS	CALAMINE	NON PREFERRED
DERMATOLOGICALS	CALCIPOTRIENE	GENERIC
DERMATOLOGICALS	CALCIPOTRIENE/BETAMETHASO	GENERIC
DERMATOLOGICALS	CALCITRENE	GENERIC
DERMATOLOGICALS	CALCITRIOL	GENERIC
DERMATOLOGICALS	CAMPHOR	NON PREFERRED
DERMATOLOGICALS	CETACAINE	NON PREFERRED
DERMATOLOGICALS	CHLOHUX	NON PREFERRED
DERMATOLOGICALS	CHLOOXIA	NON PREFERRED
DERMATOLOGICALS	CHLOROACETIC ACID	NON PREFERRED
DERMATOLOGICALS	CIBINQO	PREFERRED	SP	PA
DERMATOLOGICALS	CICLOPIROX	GENERIC
DERMATOLOGICALS	CICLOPIROX OLAMINE	GENERIC
DERMATOLOGICALS	CLARAVIS	GENERIC		PA
DERMATOLOGICALS	CLENIA PLUS	NON PREFERRED
DERMATOLOGICALS	CLEOCIN-T	NON PREFERRED
DERMATOLOGICALS	CLINDAMYCIN PHOSPHATE	GENERIC
DERMATOLOGICALS	CLINDAMYCIN PHOSPHATE/BEN	GENERIC
DERMATOLOGICALS	CLOBETASOL PROPIONATE	GENERIC
DERMATOLOGICALS	CLOBETASOL PROPIONATE E	GENERIC
DERMATOLOGICALS	CLOBETASOL PROPIONATE EMO	GENERIC
DERMATOLOGICALS	CLOBEX	NON PREFERRED
DERMATOLOGICALS	CLOCORTOLONE PIVALATE	NON PREFERRED
DERMATOLOGICALS	CLODAN	GENERIC
DERMATOLOGICALS	CLODERM	NON PREFERRED
DERMATOLOGICALS	CLOTRIMAZOLE	GENERIC
DERMATOLOGICALS	CLOTRIMAZOLE	NON PREFERRED
DERMATOLOGICALS	CLOTRIMAZOLE/BETAMETHASON	GENERIC
DERMATOLOGICALS	COAL TAR	GENERIC
DERMATOLOGICALS	COSENTYX	PREFERRED	SP	PA
DERMATOLOGICALS	COSENTYX IV	NON PREFERRED	SP	PA
DERMATOLOGICALS	Cosentyx UnoReady	PREFERRED	SP	PA
DERMATOLOGICALS	CROTAN	GENERIC
DERMATOLOGICALS	CRYODOSE TA	NON PREFERRED
DERMATOLOGICALS	DAPSONE	GENERIC
DERMATOLOGICALS	DAZAVEIDAOXIA	NON PREFERRED
DERMATOLOGICALS	DAZOMON	NON PREFERRED
DERMATOLOGICALS	DELIBON	NON PREFERRED
DERMATOLOGICALS	DENVITA	NON PREFERRED
DERMATOLOGICALS	DEOXIA	NON PREFERRED
DERMATOLOGICALS	DEOXIATAR	NON PREFERRED
DERMATOLOGICALS	DEOXIAVAR	NON PREFERRED
DERMATOLOGICALS	DERMA-SMOOTHE/FS BODY	NON PREFERRED
DERMATOLOGICALS	DERMA-SMOOTHE/FS SCALP	NON PREFERRED
DERMATOLOGICALS	DESONIDE	GENERIC
DERMATOLOGICALS	DESOXIMETASONE	GENERIC
DERMATOLOGICALS	DIADIMAXIA	NON PREFERRED
DERMATOLOGICALS	DIAOXIA	NON PREFERRED
DERMATOLOGICALS	DIASAXIATAR	NON PREFERRED
DERMATOLOGICALS	DIASDIMAXIA	NON PREFERRED
DERMATOLOGICALS	DIASOXIA	NON PREFERRED
DERMATOLOGICALS	DICLOFENAC SODIUM	GENERIC
DERMATOLOGICALS	DIFFERIN	NON PREFERRED
DERMATOLOGICALS	DIFFERIN PUMP	NON PREFERRED
DERMATOLOGICALS	DIFLORASONE DIACETATE	GENERIC
DERMATOLOGICALS	DIFMETIOXRIME	NON PREFERRED
DERMATOLOGICALS	DIMOXIA	NON PREFERRED
DERMATOLOGICALS	DIOCHLOY	NON PREFERRED
DERMATOLOGICALS	DIONARIS	NON PREFERRED
DERMATOLOGICALS	DIPROLENE	NON PREFERRED
DERMATOLOGICALS	DIVENDO	NON PREFERRED
DERMATOLOGICALS	DIVINIX	NON PREFERRED
DERMATOLOGICALS	DOMELA	NON PREFERRED
DERMATOLOGICALS	DRAXACE	NON PREFERRED
DERMATOLOGICALS	DRIXECE	NON PREFERRED
DERMATOLOGICALS	DRYSOL	NON PREFERRED
DERMATOLOGICALS	DUPIXENT	PREFERRED	SP	PA
DERMATOLOGICALS	DYCLOPRO	NON PREFERRED
DERMATOLOGICALS	DYNOMA	NON PREFERRED
DERMATOLOGICALS	EBGLYSS	PREFERRED	SP	PA
DERMATOLOGICALS	ECEOXIA	NON PREFERRED
DERMATOLOGICALS	ECONAZOLE NITRATE	GENERIC
DERMATOLOGICALS	EHA LOTION 4%	NON PREFERRED
DERMATOLOGICALS	ELIDEL	NON PREFERRED
DERMATOLOGICALS	ELIMITE	NON PREFERRED
DERMATOLOGICALS	ELYZIA	NON PREFERRED
DERMATOLOGICALS	ENZNONUTY	NON PREFERRED
DERMATOLOGICALS	EPIDUO	PREFERRED
DERMATOLOGICALS	EPIFOAM	NON PREFERRED
DERMATOLOGICALS	ERY	GENERIC
DERMATOLOGICALS	ERYGEL	NON PREFERRED
DERMATOLOGICALS	ERYTHROMYCIN	GENERIC
DERMATOLOGICALS	ERYTHROMYCIN/BENZOYL PERO	GENERIC
DERMATOLOGICALS	ETHOXIA	NON PREFERRED
DERMATOLOGICALS	ETHYL CHLORIDE	GENERIC
DERMATOLOGICALS	ETHYL CHLORIDE/FINE PINPO	NON PREFERRED
DERMATOLOGICALS	ETHYL CHLORIDE/FINE STREA	NON PREFERRED
DERMATOLOGICALS	ETHYL CHLORIDE/MEDIUM JET	NON PREFERRED
DERMATOLOGICALS	ETHYL CHLORIDE/MEDIUM STR	NON PREFERRED
DERMATOLOGICALS	ETHYL CHLORIDE/MIST	NON PREFERRED
DERMATOLOGICALS	EUCRISA	PREFERRED		PA
DERMATOLOGICALS	EXODERM	NON PREFERRED
DERMATOLOGICALS	FENOVIA	NON PREFERRED
DERMATOLOGICALS	FIDILA	NON PREFERRED
DERMATOLOGICALS	FINACEA	PREFERRED
DERMATOLOGICALS	FLUOCINOLONE ACETONIDE	GENERIC
DERMATOLOGICALS	FLUOCINOLONE ACETONIDE BO	GENERIC
DERMATOLOGICALS	FLUOCINOLONE ACETONIDE SC	GENERIC
DERMATOLOGICALS	FLUOCINOLONE ACETONIDE TO	GENERIC
DERMATOLOGICALS	FLUOCINONIDE	GENERIC
DERMATOLOGICALS	FLUOCINONIDE EMULSIFIED B	GENERIC
DERMATOLOGICALS	FLUOROURACIL	GENERIC
DERMATOLOGICALS	FLURANDRENOLIDE	GENERIC
DERMATOLOGICALS	FLUTICASONE PROPIONATE	GENERIC
DERMATOLOGICALS	FRIVO	NON PREFERRED
DERMATOLOGICALS	FUNGIZYL AL	NON PREFERRED
DERMATOLOGICALS	GEBAUERS PAIN EASE	NON PREFERRED
DERMATOLOGICALS	GEBAUERS SPRAY AND STRETC	NON PREFERRED
DERMATOLOGICALS	GENTAMICIN SULFATE	GENERIC
DERMATOLOGICALS	GENTIAN VIOLET	NON PREFERRED
DERMATOLOGICALS	GLYCOLIC ACID	NON PREFERRED
DERMATOLOGICALS	GLYCOLIC ACID 70% HIGH PU	NON PREFERRED
DERMATOLOGICALS	GLYDO	GENERIC
DERMATOLOGICALS	GORDOFILM	NON PREFERRED
DERMATOLOGICALS	HALCINONIDE	GENERIC
DERMATOLOGICALS	HALOBETASOL PROPIONATE	GENERIC
DERMATOLOGICALS	HALOG	NON PREFERRED
DERMATOLOGICALS	HAXCHLO	NON PREFERRED
DERMATOLOGICALS	HAXCHLODREX	NON PREFERRED
DERMATOLOGICALS	HOVYN	NON PREFERRED
DERMATOLOGICALS	HURRI-FREEZE MEDIUM STREA	NON PREFERRED
DERMATOLOGICALS	HURRI-FREEZE MIST SPRAY	NON PREFERRED
DERMATOLOGICALS	HYDROCORTISONE	GENERIC
DERMATOLOGICALS	HYDROCORTISONE ACETATE	GENERIC
DERMATOLOGICALS	HYDROCORTISONE BUTYRATE	GENERIC
DERMATOLOGICALS	HYDROCORTISONE VALERATE	GENERIC
DERMATOLOGICALS	HYPOCYN ANTIPRURITIC GEL	NON PREFERRED
DERMATOLOGICALS	ICHTHAMMOL	NON PREFERRED
DERMATOLOGICALS	ILEXOR	NON PREFERRED
DERMATOLOGICALS	ILUMYA	PREFERRED	SP	PA
DERMATOLOGICALS	IMIOXIA	NON PREFERRED
DERMATOLOGICALS	IMIQUIMOD	GENERIC
DERMATOLOGICALS	IMULDOSA	NON PREFERRED	SP	PA
DERMATOLOGICALS	INZDEAXIATAR	NON PREFERRED
DERMATOLOGICALS	INZDEOXIA	NON PREFERRED
DERMATOLOGICALS	ISOTRETINOIN	GENERIC		PA
DERMATOLOGICALS	ITHOXIA	NON PREFERRED
DERMATOLOGICALS	KAZURI	NON PREFERRED
DERMATOLOGICALS	KEFUNOVA	NON PREFERRED
DERMATOLOGICALS	KERAXA	NON PREFERRED
DERMATOLOGICALS	KERIDA	NON PREFERRED
DERMATOLOGICALS	KETOCONAZOLE	GENERIC
DERMATOLOGICALS	KLARON	NON PREFERRED
DERMATOLOGICALS	KLAYESTA	GENERIC
DERMATOLOGICALS	KYNARA	NON PREFERRED
DERMATOLOGICALS	L.E.T.	NON PREFERRED
DERMATOLOGICALS	LACTIC ACID E	NON PREFERRED
DERMATOLOGICALS	LIDOCAINE	GENERIC
DERMATOLOGICALS	LIDOCAINE HCL	GENERIC
DERMATOLOGICALS	LIDOCAINE HCL JELLY	GENERIC
DERMATOLOGICALS	LIDOCAINE HYDROCHLORIDE	GENERIC
DERMATOLOGICALS	LIDOCAINE HYDROCHLORIDE J	GENERIC
DERMATOLOGICALS	LIDOCAINE HYDROCHLORIDE/R	NON PREFERRED
DERMATOLOGICALS	LIDOCAINE/PRILOCAINE	GENERIC
DERMATOLOGICALS	LIDOCAN	GENERIC
DERMATOLOGICALS	LIDOCAN	NON PREFERRED
DERMATOLOGICALS	LIDODERM	NON PREFERRED
DERMATOLOGICALS	LIDORUB	NON PREFERRED
DERMATOLOGICALS	LIDOTRAL	NON PREFERRED
DERMATOLOGICALS	LIDOTRAL + HYDROCORTISONE	NON PREFERRED
DERMATOLOGICALS	LIDTOPIC	NON PREFERRED
DERMATOLOGICALS	LOUNZDOMDIOXIATAR	NON PREFERRED
DERMATOLOGICALS	MALATHION	GENERIC
DERMATOLOGICALS	MELZARA	NON PREFERRED
DERMATOLOGICALS	METDRAY	NON PREFERRED
DERMATOLOGICALS	METHOXSALEN	GENERIC
DERMATOLOGICALS	METHYL SALICYLATE	NON PREFERRED
DERMATOLOGICALS	METROGEL	NON PREFERRED
DERMATOLOGICALS	METRONIDAZOLE	GENERIC
DERMATOLOGICALS	MICONAZOLE NITRATE	NON PREFERRED
DERMATOLOGICALS	MICORT HC	GENERIC
DERMATOLOGICALS	MICURADERM	NON PREFERRED
DERMATOLOGICALS	MOMETASONE FUROATE	GENERIC
DERMATOLOGICALS	MUPIROCIN	GENERIC
DERMATOLOGICALS	MYCOZYL AL	GENERIC
DERMATOLOGICALS	NAFTIFINE HYDROCHLORIDE	GENERIC
DERMATOLOGICALS	NATROBA	NON PREFERRED
DERMATOLOGICALS	NEMLUVIO	PREFERRED	SP	PA
DERMATOLOGICALS	NEUAC	GENERIC
DERMATOLOGICALS	NEXOBRID	NON PREFERRED
DERMATOLOGICALS	NITROFURAZONE	NON PREFERRED
DERMATOLOGICALS	NOBELA	NON PREFERRED
DERMATOLOGICALS	NOLIRA	NON PREFERRED
DERMATOLOGICALS	NUCORT	NON PREFERRED
DERMATOLOGICALS	NUJO	NON PREFERRED
DERMATOLOGICALS	NUJU	NON PREFERRED
DERMATOLOGICALS	NYAMYC	GENERIC
DERMATOLOGICALS	NYNUTEY	NON PREFERRED
DERMATOLOGICALS	NYSTATIN	GENERIC
DERMATOLOGICALS	NYSTATIN/TRIAMCINOLONE	GENERIC
DERMATOLOGICALS	NYSTATIN/TRIAMCINOLONE AC	GENERIC
DERMATOLOGICALS	NYSTOP	GENERIC
DERMATOLOGICALS	ONYCHO-MED	NON PREFERRED
DERMATOLOGICALS	ONZDEAXIATAR	NON PREFERRED
DERMATOLOGICALS	ONZDEAXIAVAR	NON PREFERRED
DERMATOLOGICALS	ONZDEOXIA	NON PREFERRED
DERMATOLOGICALS	OPZELURA	PREFERRED		PA
DERMATOLOGICALS	OTULFI	NON PREFERRED	SP	PA
DERMATOLOGICALS	OVIDE	NON PREFERRED
DERMATOLOGICALS	OXIAICE	NON PREFERRED
DERMATOLOGICALS	OXIANUJO	NON PREFERRED
DERMATOLOGICALS	OXIATAR	NON PREFERRED
DERMATOLOGICALS	OXIAVAR	NON PREFERRED
DERMATOLOGICALS	OXIAVARRY	NON PREFERRED
DERMATOLOGICALS	OXIAZAR	NON PREFERRED
DERMATOLOGICALS	PERMETHRIN	GENERIC
DERMATOLOGICALS	PHEYO	NON PREFERRED
DERMATOLOGICALS	PIMECROLIMUS	GENERIC
DERMATOLOGICALS	PLENURA	NON PREFERRED
DERMATOLOGICALS	PLEXION CLEANSER	NON PREFERRED
DERMATOLOGICALS	PODOCON-25	NON PREFERRED
DERMATOLOGICALS	PODOFILOX	GENERIC
DERMATOLOGICALS	PR BENZOYL PEROXIDE	NON PREFERRED
DERMATOLOGICALS	PR BENZOYL PEROXIDE WASH	NON PREFERRED
DERMATOLOGICALS	PRAMOSONE	NON PREFERRED
DERMATOLOGICALS	PRAMOXINE HCL	NON PREFERRED
DERMATOLOGICALS	PREMIUM LIDOCAINE	GENERIC
DERMATOLOGICALS	PREPIV SUPPLY	NON PREFERRED
DERMATOLOGICALS	PRONAL GEL	NON PREFERRED
DERMATOLOGICALS	PRURADIK	GENERIC
DERMATOLOGICALS	PURAZIL	NON PREFERRED
DERMATOLOGICALS	PYROGALLIC ACID	NON PREFERRED
DERMATOLOGICALS	PYZCHIVA	PREFERRED	SP	PA
DERMATOLOGICALS	QUIHOXVAR	NON PREFERRED
DERMATOLOGICALS	REMYDA	NON PREFERRED
DERMATOLOGICALS	RENSOTI	NON PREFERRED
DERMATOLOGICALS	RESTIMO	NON PREFERRED
DERMATOLOGICALS	RETIN-A	NON PREFERRED
DERMATOLOGICALS	ROAOXIA	NON PREFERRED
DERMATOLOGICALS	ROSITARA	NON PREFERRED
DERMATOLOGICALS	ROVIS	NON PREFERRED
DERMATOLOGICALS	RUMILO	NON PREFERRED
DERMATOLOGICALS	SALVAX DUO PLUS	NON PREFERRED
DERMATOLOGICALS	SANTYL	NON PREFERRED
DERMATOLOGICALS	SAROXIA	NON PREFERRED
DERMATOLOGICALS	SCALACORT DK	NON PREFERRED
DERMATOLOGICALS	SCARTRATE	NON PREFERRED
DERMATOLOGICALS	SELARSDI	NON PREFERRED	SP	PA
DERMATOLOGICALS	SELENIUM SULFIDE	GENERIC
DERMATOLOGICALS	SILIQ	NON PREFERRED	SP	PA
DERMATOLOGICALS	SILVADENE	NON PREFERRED
DERMATOLOGICALS	SILVER NITRATE	NON PREFERRED
DERMATOLOGICALS	SILVER SULFADIAZINE	GENERIC
DERMATOLOGICALS	SIRVANA	NON PREFERRED
DERMATOLOGICALS	SKYRIZI	PREFERRED	SP	PA
DERMATOLOGICALS	SODIUM SULFACETAMIDE	GENERIC
DERMATOLOGICALS	SODIUM SULFACETAMIDE/SULF	GENERIC
DERMATOLOGICALS	SODIUM SULFACETAMIDE/SULF	NON PREFERRED
DERMATOLOGICALS	SOFDRA	NON PREFERRED
DERMATOLOGICALS	SORIXIA	NON PREFERRED
DERMATOLOGICALS	SOTYKTU	NON PREFERRED	SP	PA
DERMATOLOGICALS	SPEVIGO	NON PREFERRED	SP	PA
DERMATOLOGICALS	SPINOSAD	GENERIC
DERMATOLOGICALS	SSD	GENERIC
DERMATOLOGICALS	STELARA	PREFERRED	SP	PA
DERMATOLOGICALS	STEQEYMA	NON PREFERRED	SP	PA
DERMATOLOGICALS	STERILE TOPICAL L.E.T. GE	NON PREFERRED
DERMATOLOGICALS	SULFACETAMIDE SODIUM	GENERIC
DERMATOLOGICALS	SULFACLEANSE 8/4	GENERIC
DERMATOLOGICALS	SULFAMYLON	NON PREFERRED
DERMATOLOGICALS	SULFURATED LIME	NON PREFERRED
DERMATOLOGICALS	SUMADAN WASH	NON PREFERRED
DERMATOLOGICALS	SYNALAR	NON PREFERRED
DERMATOLOGICALS	TACLONEX	NON PREFERRED
DERMATOLOGICALS	TACROLIMUS	GENERIC
DERMATOLOGICALS	TALTZ	PREFERRED	SP	PA
DERMATOLOGICALS	TANNIC ACID	NON PREFERRED
DERMATOLOGICALS	TARDEOXIA	NON PREFERRED
DERMATOLOGICALS	TARDIMAXIA	NON PREFERRED
DERMATOLOGICALS	TARGRETIN GEL	NON PREFERRED	SP	PA
DERMATOLOGICALS	TAROXIA	NON PREFERRED
DERMATOLOGICALS	TAZAROTENE	GENERIC
DERMATOLOGICALS	TAZORAC	NON PREFERRED
DERMATOLOGICALS	TELIORA	NON PREFERRED
DERMATOLOGICALS	TETOXIA	NON PREFERRED
DERMATOLOGICALS	TETRACYCLINE HCL	NON PREFERRED
DERMATOLOGICALS	TEXACORT	GENERIC
DERMATOLOGICALS	TOLAK	NON PREFERRED
DERMATOLOGICALS	TOLNAFTATE	NON PREFERRED
DERMATOLOGICALS	TOPICAL L.E.T	NON PREFERRED
DERMATOLOGICALS	TOPICORT	NON PREFERRED
DERMATOLOGICALS	TREMFYA	PREFERRED	SP	PA
DERMATOLOGICALS	TRETINOIN	GENERIC
DERMATOLOGICALS	TRIAMCINOLONE ACETONIDE	GENERIC
DERMATOLOGICALS	TRIAMCINOLONE ACETONIDE I	GENERIC
DERMATOLOGICALS	TRIAMVEX	NON PREFERRED
DERMATOLOGICALS	TRIDACAINE II	NON PREFERRED
DERMATOLOGICALS	TRIDACAINE III	NON PREFERRED
DERMATOLOGICALS	TRIDERM	GENERIC
DERMATOLOGICALS	TURPENTINE SPIRITS	NON PREFERRED
DERMATOLOGICALS	UNZDOMDIOXIAZAR	NON PREFERRED
DERMATOLOGICALS	USTEKINUMAB	NON PREFERRED	SP	PA
DERMATOLOGICALS	USTEKINUMAB-AEKN	NON PREFERRED	SP	PA
DERMATOLOGICALS	USTEKINUMAB-TTWE	NON PREFERRED	SP	PA
DERMATOLOGICALS	VALCHLOR	NON PREFERRED	SP	PA
DERMATOLOGICALS	VANOS	NON PREFERRED
DERMATOLOGICALS	VARDIMAXIA	NON PREFERRED
DERMATOLOGICALS	VAROXIA	NON PREFERRED
DERMATOLOGICALS	VECTICAL	NON PREFERRED
DERMATOLOGICALS	VEVEN	NON PREFERRED
DERMATOLOGICALS	WAYZEN	NON PREFERRED
DERMATOLOGICALS	WELERIS	NON PREFERRED
DERMATOLOGICALS	WEZLANA	NON PREFERRED	SP	PA
DERMATOLOGICALS	XERAC AC	NON PREFERRED
DERMATOLOGICALS	XEROFORM OCCLUSIVE PETROL	NON PREFERRED
DERMATOLOGICALS	XICLO	NON PREFERRED
DERMATOLOGICALS	XIRUN	NON PREFERRED
DERMATOLOGICALS	YCANTH	NON PREFERRED
DERMATOLOGICALS	YESINTEK	PREFERRED	SP	PA
DERMATOLOGICALS	ZACARE 4% KIT	NON PREFERRED
DERMATOLOGICALS	ZACARE 8% KIT	NON PREFERRED
DERMATOLOGICALS	ZACLIR CLEANSING	NON PREFERRED
DERMATOLOGICALS	ZELSUVMI	NON PREFERRED
DERMATOLOGICALS	ZENATANE	GENERIC		PA
DERMATOLOGICALS	ZITHRANOL	NON PREFERRED
DERMATOLOGICALS	ZORYVE	PREFERRED
DERMATOLOGICALS	ZOVIRAX	NON PREFERRED
DIAGNOSTIC PRODUCTS	12-PANEL POC TOXICOLOGY M	NON PREFERRED
DIAGNOSTIC PRODUCTS	A1CNOW+ PROFESSIONAL MULT	GENERIC
DIAGNOSTIC PRODUCTS	ACCULA SARS-COV-2	NON PREFERRED
DIAGNOSTIC PRODUCTS	ADENOSINE	GENERIC
DIAGNOSTIC PRODUCTS	ARIDOL	NON PREFERRED
DIAGNOSTIC PRODUCTS	BINAXNOW COVID-19 AG CARD	NON PREFERRED
DIAGNOSTIC PRODUCTS	BLUDIGO	NON PREFERRED
DIAGNOSTIC PRODUCTS	CANVAS DX DIAGNOSIS AID,	NON PREFERRED
DIAGNOSTIC PRODUCTS	CHIRHOSTIM	NON PREFERRED
DIAGNOSTIC PRODUCTS	CHOLESTEROL & LIPID TEST	NON PREFERRED
DIAGNOSTIC PRODUCTS	COBAS LIAT SARS-COV-2 ASS	NON PREFERRED
DIAGNOSTIC PRODUCTS	COBAS LIAT SARS-COV-2 CON	NON PREFERRED
DIAGNOSTIC PRODUCTS	COBAS LIAT SARS-COV-2-AB	NON PREFERRED
DIAGNOSTIC PRODUCTS	CORTROSYN	NON PREFERRED		PA
DIAGNOSTIC PRODUCTS	COSYNTROPIN	GENERIC		PA
DIAGNOSTIC PRODUCTS	CYSVIEW	NON PREFERRED
DIAGNOSTIC PRODUCTS	CYTALUX	NON PREFERRED
DIAGNOSTIC PRODUCTS	D-CARE BLOOD GLUCOSE	NON PREFERRED
DIAGNOSTIC PRODUCTS	DIPYRIDAMOLE	GENERIC
DIAGNOSTIC PRODUCTS	D-XYLOSE	NON PREFERRED
DIAGNOSTIC PRODUCTS	GLEOLAN	NON PREFERRED
DIAGNOSTIC PRODUCTS	GLUCAGON	NON PREFERRED
DIAGNOSTIC PRODUCTS	GLUCAGON HCL DIAGNOSTIC	NON PREFERRED
DIAGNOSTIC PRODUCTS	GVOKE VIALDX	NON PREFERRED
DIAGNOSTIC PRODUCTS	HISTATROL	NON PREFERRED
DIAGNOSTIC PRODUCTS	HOME PAP KIT	NON PREFERRED
DIAGNOSTIC PRODUCTS	IC GREEN	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW COVID-19	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW COVID-19 2.0	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW COVID-19 CONTROL S	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW INFLUENZA A & B 2	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW RSV	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW RSV CONTROL SWAB	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW STREP A2	NON PREFERRED
DIAGNOSTIC PRODUCTS	ID NOW STREP A2 CONTROL S	NON PREFERRED
DIAGNOSTIC PRODUCTS	INDOCYANINE GREEN	GENERIC
DIAGNOSTIC PRODUCTS	ISOSULFAN BLUE	GENERIC
DIAGNOSTIC PRODUCTS	KINEVAC	NON PREFERRED
DIAGNOSTIC PRODUCTS	LEXISCAN	NON PREFERRED
DIAGNOSTIC PRODUCTS	LUCIRA COVID-19 & FLU TES	NON PREFERRED
DIAGNOSTIC PRODUCTS	LUCIRA COVID-19 ALL-IN-ON	NON PREFERRED
DIAGNOSTIC PRODUCTS	LUMISIGHT	NON PREFERRED
DIAGNOSTIC PRODUCTS	LYRA DIRECT SARS-COV-2 AS	NON PREFERRED
DIAGNOSTIC PRODUCTS	LYRA SARS-COV-2 ASSAY	NON PREFERRED
DIAGNOSTIC PRODUCTS	METHACHOLINE CHLORIDE	NON PREFERRED
DIAGNOSTIC PRODUCTS	METOPIRONE	NON PREFERRED
DIAGNOSTIC PRODUCTS	PH STRIPS	NON PREFERRED
DIAGNOSTIC PRODUCTS	PRE-PEN	NON PREFERRED
DIAGNOSTIC PRODUCTS	PROVOCHOLINE	NON PREFERRED
DIAGNOSTIC PRODUCTS	QUICKVUE + STREP A TEST	NON PREFERRED
DIAGNOSTIC PRODUCTS	QUICKVUE DIPSTICK STREP A	NON PREFERRED
DIAGNOSTIC PRODUCTS	QUICKVUE INFLUENZA A+B TE	NON PREFERRED
DIAGNOSTIC PRODUCTS	QUICKVUE IN-LINE STREP A	NON PREFERRED
DIAGNOSTIC PRODUCTS	QUICKVUE SARS ANTIGEN TES	NON PREFERRED
DIAGNOSTIC PRODUCTS	REGADENOSON	GENERIC
DIAGNOSTIC PRODUCTS	R-GENE 10	NON PREFERRED
DIAGNOSTIC PRODUCTS	SECREFLO	NON PREFERRED
DIAGNOSTIC PRODUCTS	SINCALIDE	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA INFLUENZA A+B FIA	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA SARS ANTIGEN FIA	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA STREP A FIA	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA STREP A+ FIA	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA2 FLU/SARS ANTIGEN F	NON PREFERRED
DIAGNOSTIC PRODUCTS	SOFIA2 SARS ANTIGEN FIA	NON PREFERRED
DIAGNOSTIC PRODUCTS	SPY AGENT GREEN	NON PREFERRED
DIAGNOSTIC PRODUCTS	SPY-MIS KIT	NON PREFERRED
DIAGNOSTIC PRODUCTS	SPY-PHI KIT	NON PREFERRED
DIAGNOSTIC PRODUCTS	STATUS COVID-19/FLU A&B	NON PREFERRED
DIAGNOSTIC PRODUCTS	THYROGEN	NON PREFERRED	SP	PA
DIAGNOSTIC PRODUCTS	TOXICOLOGY MEDICATED COLL	NON PREFERRED
DIAGNOSTIC PRODUCTS	TYFAST FLU A/B & COVID-19	NON PREFERRED
DIAGNOSTIC PRODUCTS	UDSX MEDICATED SYSTEM	NON PREFERRED
DIAGNOSTIC PRODUCTS	UDSXMP MEDICATED SYSTEM	NON PREFERRED
DIAGNOSTIC PRODUCTS	VUEBLU	NON PREFERRED
DIAGNOSTIC PRODUCTS	XPERT XPRESS SARS-COV-2	NON PREFERRED
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS	CAMINO PRO COMPLETE/GLYTA	NON PREFERRED
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS	GLYTACTIN COMPLETE 10PE	NON PREFERRED
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS	GLYTACTIN SWIRL 15	NON PREFERRED
DIETARY PRODUCTS/DIETARY MANAGEMENT PRODUCTS	HOMACTIN AA PLUS	NON PREFERRED
DIGESTIVE AIDS	CREON	PREFERRED		PA
DIGESTIVE AIDS	L-GLUTAMIC ACID HCL	NON PREFERRED
DIGESTIVE AIDS	PANCREAZE	NON PREFERRED		PA
DIGESTIVE AIDS	PEPSIN	NON PREFERRED
DIGESTIVE AIDS	PERTZYE	NON PREFERRED		PA
DIGESTIVE AIDS	SUCRAID	NON PREFERRED	SP	PA
DIGESTIVE AIDS	VIOKACE	PREFERRED		PA
DIGESTIVE AIDS	ZENPEP	PREFERRED		PA
DIURETICS	ACETAZOLAMIDE	GENERIC
DIURETICS	ACETAZOLAMIDE ER	GENERIC
DIURETICS	ACETAZOLAMIDE SODIUM	GENERIC
DIURETICS	ALDACTONE	NON PREFERRED
DIURETICS	AMILORIDE HCL	NON PREFERRED
DIURETICS	AMILORIDE HCL	GENERIC
DIURETICS	AMILORIDE HYDROCHLORIDE	NON PREFERRED
DIURETICS	AMILORIDE HYDROCHLORIDE	GENERIC
DIURETICS	AMILORIDE/HYDROCHLOROTHIA	GENERIC
DIURETICS	BUMETANIDE	GENERIC
DIURETICS	BUMEX	NON PREFERRED
DIURETICS	CHLOROTHIAZIDE SODIUM	GENERIC
DIURETICS	CHLORTHALIDONE	GENERIC
DIURETICS	DICHLORPHENAMIDE	NON PREFERRED	SP	PA
DIURETICS	DIURIL	NON PREFERRED
DIURETICS	EDECRIN	NON PREFERRED		PA
DIURETICS	ETHACRYNATE SODIUM	GENERIC
DIURETICS	ETHACRYNIC ACID	GENERIC		PA
DIURETICS	FUROSEMIDE	GENERIC
DIURETICS	FUROSEMIDE	NON PREFERRED
DIURETICS	FUROSEMIDE/SODIUM CHLORID	NON PREFERRED
DIURETICS	HEMICLOR	NON PREFERRED
DIURETICS	HYDROCHLOROTHIAZIDE	GENERIC
DIURETICS	HYDROCHLOROTHIAZIDE	NON PREFERRED
DIURETICS	INDAPAMIDE	GENERIC
DIURETICS	INZIRQO	NON PREFERRED
DIURETICS	KEVEYIS	NON PREFERRED	SP	PA
DIURETICS	LASIX	NON PREFERRED
DIURETICS	MANNITOL	GENERIC
DIURETICS	METHAZOLAMIDE	NON PREFERRED
DIURETICS	METHAZOLAMIDE	GENERIC
DIURETICS	METOLAZONE	GENERIC
DIURETICS	ORMALVI	NON PREFERRED	SP	PA
DIURETICS	OSMITROL VIAFLEX	GENERIC
DIURETICS	SPIRONOLACTONE	GENERIC
DIURETICS	SPIRONOLACTONE/HYDROCHLOR	GENERIC
DIURETICS	THALITONE	NON PREFERRED
DIURETICS	TORSEMIDE	GENERIC
DIURETICS	TRIAMTERENE	NON PREFERRED
DIURETICS	TRIAMTERENE/HYDROCHLOROTH	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	ACTHAR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ACTONEL	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	ALDURAZYME	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ALENDRONATE SODIUM	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	BILDYOS	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	BILPREVDA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	BOMYNTRA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	BONSITY	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	BRINEURA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	BUPHENYL	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CABERGOLINE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	CALCITRIOL	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	CARBAGLU	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CARGLUMIC ACID	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CARNITOR	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	CARNITOR SF	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	CINACALCET HCL	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CONEXXENCE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CORTROPHIN	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CRENESSITY	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	CRYSVITA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	DDAVP	NON PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	DDAVP	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	DESMOPRESSIN ACETATE	GENERIC		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	DESMOPRESSIN ACETATE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	DESMOPRESSIN ACETATE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	DOXERCALCIFEROL	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	EGRIFTA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	EGRIFTA WR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ELAPRASE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ELFABRIO	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	EVENITY	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	EVISTA	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	FABRAZYME	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	FENSOLVI	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	FORTEO	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	FOSAMAX	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	FOSAMAX PLUS D	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	GALAFOLD	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	HARLIKU	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	IBANDRONATE SODIUM	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	IMCIVREE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	INCRELEX	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ISTURISA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	JAVYGTOR	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	JUBBONTI	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	JYNARQUE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	KANUMA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	KEBILIDI	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	KERENDIA	PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	KUVAN	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	LAMZEDE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	LANREOTIDE ACETATE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	L-CARNITINE	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	LEVOCARNITINE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	LEVOCARNITINE SF	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	LUMIZYME	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	LUPRON DEPOT-PED	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	MEPSEVII	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	MIFEPREX	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	MIFEPRISTONE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	MYALEPT	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	MYCAPSSA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	NAGLAZYME	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	NEXVIAZYME	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	NITISINONE	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	NITYR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	NULIBRY	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	OCTREOTIDE ACETATE	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	OLPRUVA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	OPFOLDA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ORFADIN	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ORILISSA	PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	OSENVELT	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	OSPHENA	PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	PALYNZIQ	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	PAMIDRONATE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	PAMIDRONATE	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	PARICALCITOL	GENERIC		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	PARSABIV	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	PHEBURANE	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	POMBILITI	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	PROLIA	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	RALOXIFENE HYDROCHLORIDE	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	RAVICTI	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	RECLAST	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	RECORLEV	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	REVCOVI	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	RISEDRONATE SODIUM	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	ROCALTROL	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	SAMSCA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SANDOSTATIN	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SAPROPTERIN DIHYDROCHLORIDE	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SENSIPAR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SEPHIENCE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SIGNIFOR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SIGNIFOR LAR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	Sod Benz-Sod Phenylacet	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	SODIUM PHENYLACETATE/SODI	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	SODIUM PHENYLBUTYRATE	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SOMATULINE DEPOT	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SOMAVERT	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	STOBOCLO	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	STRENSIQ	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SUPPRELIN LA	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	SYNAREL	NON PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TEPEZZA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TERIPARATIDE	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TERIPARATIDE	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TERLIVAZ	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	TOLVAPTAN	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TRIPTODUR	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TRYNGOLZA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	TYMLOS	PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	VASOPRESSIN	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	VASOPRESSIN +RFID	GENERIC
ENDOCRINE AND METABOLIC AGENTS - MISC.	VASOPRESSIN/DEXTROSE	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	VASOPRESSIN/SODIUM CHLORI	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	VASOSTRICT	NON PREFERRED
ENDOCRINE AND METABOLIC AGENTS - MISC.	VEOZAH	NON PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	VIMIZIM	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	VOXZOGO	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	VYKAT XR	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	WYOST	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	XENPOZYME	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	XGEVA	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	XPHOZAH	NON PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	XURIDEN	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	YORVIPATH	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ZELVYSIA	GENERIC	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ZEMPLAR	NON PREFERRED		PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ZOLEDRONIC ACID	NON PREFERRED	SP	PA
ENDOCRINE AND METABOLIC AGENTS - MISC.	ZOLEDRONIC ACID	GENERIC	SP	PA
ESTROGENS	ABIGALE	GENERIC
ESTROGENS	ABIGALE LO	GENERIC
ESTROGENS	ACTIVELLA	NON PREFERRED
ESTROGENS	ALORA	NON PREFERRED
ESTROGENS	ANGELIQ	NON PREFERRED
ESTROGENS	BIJUVA	NON PREFERRED
ESTROGENS	CLIMARA	NON PREFERRED
ESTROGENS	CLIMARA PRO	PREFERRED
ESTROGENS	COMBIPATCH	PREFERRED
ESTROGENS	COVARYX	GENERIC
ESTROGENS	COVARYX HS	GENERIC
ESTROGENS	DELESTROGEN	NON PREFERRED
ESTROGENS	DEPO-ESTRADIOL	NON PREFERRED
ESTROGENS	DIVIGEL	NON PREFERRED
ESTROGENS	DOTTI	GENERIC
ESTROGENS	DUAVEE	PREFERRED
ESTROGENS	EEMT	GENERIC
ESTROGENS	EEMT HS	GENERIC
ESTROGENS	ELESTRIN	NON PREFERRED
ESTROGENS	ESTERIFIED ESTROGENS/METH	GENERIC
ESTROGENS	ESTRADIOL	GENERIC
ESTROGENS	ESTRADIOL	NON PREFERRED
ESTROGENS	ESTRADIOL VALERATE	GENERIC
ESTROGENS	ESTRADIOL/NORETHINDRONE A	GENERIC
ESTROGENS	ESTRATEST H.S.	GENERIC
ESTROGENS	ESTROGEL	NON PREFERRED
ESTROGENS	ETHINYL ESTRADIOL	NON PREFERRED
ESTROGENS	Evamist	NON PREFERRED
ESTROGENS	FYAVOLV	GENERIC
ESTROGENS	JINTELI	GENERIC
ESTROGENS	LYLLANA	GENERIC
ESTROGENS	MENOSTAR	NON PREFERRED
ESTROGENS	MIMVEY	GENERIC
ESTROGENS	MINIVELLE	NON PREFERRED
ESTROGENS	MYFEMBREE	PREFERRED		PA
ESTROGENS	NORETHINDRONE ACETATE/ETH	GENERIC
ESTROGENS	ORIAHNN	PREFERRED		PA
ESTROGENS	PREMARIN	NON PREFERRED
ESTROGENS	PREMARIN	PREFERRED
ESTROGENS	PREMPHASE	PREFERRED
ESTROGENS	PREMPRO	PREFERRED
ESTROGENS	VIVELLE-DOT	NON PREFERRED
FLUOROQUINOLONES	BAXDELA	NON PREFERRED		PA
FLUOROQUINOLONES	CIPRO	NON PREFERRED
FLUOROQUINOLONES	CIPROFLOXACIN HCL	GENERIC
FLUOROQUINOLONES	CIPROFLOXACIN HYDROCHLORI	GENERIC
FLUOROQUINOLONES	CIPROFLOXACIN I.V.-IN D5W	GENERIC
FLUOROQUINOLONES	LEVOFLOXACIN	GENERIC
FLUOROQUINOLONES	LEVOFLOXACIN IN D5W	GENERIC
FLUOROQUINOLONES	MOXIFLOXACIN HYDROCHLORI	GENERIC
FLUOROQUINOLONES	MOXIFLOXACIN HYDROCHLORID	NON PREFERRED
FLUOROQUINOLONES	MOXIFLOXACIN HYDROCHLORID	GENERIC
FLUOROQUINOLONES	OFLOXACIN	GENERIC
GASTROINTESTINAL AGENTS - MISC.	5-AMINOSALICYLIC ACID	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	ALOSETRON HYDROCHLORIDE	GENERIC		PA
GASTROINTESTINAL AGENTS - MISC.	ALVIMOPAN	GENERIC		PA
GASTROINTESTINAL AGENTS - MISC.	AMITIZA	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	APRISO	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	AURYXIA	PREFERRED
GASTROINTESTINAL AGENTS - MISC.	AVSOLA	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	AZULFIDINE	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	AZULFIDINE EN-TABS	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	BALSALAZIDE DISODIUM	GENERIC
GASTROINTESTINAL AGENTS - MISC.	BYLVAY	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	CALCIUM ACETATE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	CANASA	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	CHENODAL	GENERIC	SP	PA
GASTROINTESTINAL AGENTS - MISC.	CHOLBAM	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	CIMZIA	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	COLAZAL	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	CROMOLYN SODIUM	GENERIC
GASTROINTESTINAL AGENTS - MISC.	CTEXLI	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	DEXPANTHENOL	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	DIPENTUM	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	ENTYVIO	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	ENULOSE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	FERRIC CITRATE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	FOSRENOL	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	GASTROCROM	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	GATTEX	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	GENERLAC	GENERIC
GASTROINTESTINAL AGENTS - MISC.	IBSRELA	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	IMULDOSA IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	INFLECTRA	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	INFLIXIMAB	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	IQIRVO	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	LACTULOSE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	LANTHANUM CARBONATE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	LIALDA	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	LINZESS	PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	LIVDELZI	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	LIVMARLI	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	LOTRONEX	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	LUBIPROSTONE	GENERIC		PA
GASTROINTESTINAL AGENTS - MISC.	MESALAMINE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	MESALAMINE	GENERIC		PA
GASTROINTESTINAL AGENTS - MISC.	MESALAMINE	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	MESALAMINE DR	GENERIC
GASTROINTESTINAL AGENTS - MISC.	MESALAMINE ER	GENERIC
GASTROINTESTINAL AGENTS - MISC.	METOCLOPRAMIDE HCL	GENERIC
GASTROINTESTINAL AGENTS - MISC.	METOCLOPRAMIDE HCL MONOHY	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	METOCLOPRAMIDE HYDROCHLOR	GENERIC
GASTROINTESTINAL AGENTS - MISC.	MOTEGRITY	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	MOVANTIK	PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	OCALIVA	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	OMVOH	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	OTULFI IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	PENTASA	PREFERRED
GASTROINTESTINAL AGENTS - MISC.	PRUCALOPRIDE	GENERIC		PA
GASTROINTESTINAL AGENTS - MISC.	PYZCHIVA IV	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	REBYOTA	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	REGLAN	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	RELISTOR	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	REMICADE	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	RENFLEXIS	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	RENVELA	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	REZDIFFRA	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	ROWASA	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	SELARSDI IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	SEVELAMER CARBONATE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	SEVELAMER HYDROCHLORIDE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	SFROWASA	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	SIMETHICONE	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	SKYRIZI	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	SKYRIZI IV	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	STELARA IV	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	STEQEYMA IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	SULFASALAZINE	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	SULFASALAZINE	GENERIC
GASTROINTESTINAL AGENTS - MISC.	SYMPROIC	PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	TREMFYA	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	TREMFYA IV	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	TRULANCE	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	URSO FORTE	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	URSODIOL	GENERIC
GASTROINTESTINAL AGENTS - MISC.	URSODIOL/SYRSPEND SF PH4	NON PREFERRED
GASTROINTESTINAL AGENTS - MISC.	USTEKINUMAB IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	USTEKINUMAB-TTWE IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	VELPHORO	NON PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	VELSIPITY	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	VIBERZI	PREFERRED		PA
GASTROINTESTINAL AGENTS - MISC.	VOWST	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	WEZLANA IV	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	XERMELO	NON PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	YESINTEK IV	PREFERRED	SP	PA
GASTROINTESTINAL AGENTS - MISC.	ZYMFENTRA	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	ACETIC ACID 0.25%	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	ALFUZOSIN HCL ER	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	ALFUZOSIN HYDROCHLORIDE E	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	ARGYLE STERILE SALINE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	AVODART	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	CURITY STERILE SALINE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	CYSTAGON	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	CYTRA K CRYSTALS	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	DEFLUX	NON PREFERRED		PA
GENITOURINARY AGENTS - MISCELLANEOUS	DUTASTERIDE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	ELMIRON	NON PREFERRED		PA
GENITOURINARY AGENTS - MISCELLANEOUS	FILSPARI	PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	FINASTERIDE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	GLYCINE	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	GLYCINE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	GLYCINE (L)	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	K-PHOS NO 2	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	LITHOSTAT	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	NEOMYCIN/POLYMYXIN B SULF	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	OXLUMO	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	PENTOSAN POLYSULFATE SODI	NON PREFERRED		PA
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE AND CIT	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE ER	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE MONOHYD	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE/CITRIC	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	POTASSIUM CITRATE/SODIUM	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	PROCYSBI	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	PROSCAR	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	RAPAFLO	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	RENACIDIN	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	RIMSO-50	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	RIVFLOZA	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	SILODOSIN	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	SODIUM CHLORIDE 0.9%	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	SODIUM CITRATE	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	SODIUM CITRATE AND CITRIC	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	SODIUM CITRATE ANHYDROUS	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	SORBITOL	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	SORBITOL/MANNITOL IRRIGAT	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	TAMSULOSIN HYDROCHLORIDE	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	THIOLA	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	TIOPRONIN	GENERIC	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	TIOPRONIN EC	GENERIC	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	TIOPRONIN EC	NON PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	TRICITRATES	GENERIC
GENITOURINARY AGENTS - MISCELLANEOUS	UROCIT-K 10	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	UROCIT-K 15	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	UROXATRAL	NON PREFERRED
GENITOURINARY AGENTS - MISCELLANEOUS	VANRAFIA	PREFERRED	SP	PA
GENITOURINARY AGENTS - MISCELLANEOUS	VENXXIVA	GENERIC	SP	PA
GOUT AGENTS	ALLOPURINOL	GENERIC
GOUT AGENTS	ALLOPURINOL SODIUM	GENERIC
GOUT AGENTS	ALOPRIM	NON PREFERRED
GOUT AGENTS	COLCHICINE	GENERIC
GOUT AGENTS	COLCHICINE	NON PREFERRED
GOUT AGENTS	FEBUXOSTAT	GENERIC
GOUT AGENTS	GLOPERBA	NON PREFERRED
GOUT AGENTS	MITIGARE	NON PREFERRED
GOUT AGENTS	PROBENECID	GENERIC
GOUT AGENTS	PROBENECID/COLCHICINE	GENERIC
GOUT AGENTS	ULORIC	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	ADVATE	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ADYNOVATE	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ADZYNMA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	AFSTYLA	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	AGGRASTAT	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	AGRYLIN	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	ALHEMO	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ALPHANATE	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ALPHANINE SD	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ALPROLIX	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ALTUVIIIO	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ANAGRELIDE HYDROCHLORIDE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	ANDEMBRY	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ASPIRIN/DIPYRIDAMOLE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	ASPIRIN/DIPYRIDAMOLE ER	GENERIC
HEMATOLOGICAL AGENTS - MISC.	BALFAXAR	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	BENEFIX	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	BERINERT	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	BKEMV	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	BRILINTA	PREFERRED
HEMATOLOGICAL AGENTS - MISC.	CABLIVI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	CILOSTAZOL	GENERIC
HEMATOLOGICAL AGENTS - MISC.	CINRYZE	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	CLOPIDOGREL	GENERIC
HEMATOLOGICAL AGENTS - MISC.	COAGADEX	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	CORIFACT	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	DAWNZERA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	DEFITELIO	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	DIPYRIDAMOLE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	EFFIENT	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	EKTERLY	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ELOCTATE	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	EMPAVELI	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ENJAYMO	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	EPTIFIBATIDE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	EPYSQLI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ESPEROCT	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	FABHALTA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	FEIBA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	FIBRYGA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	FIRAZYR	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	GIVLAARI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	GOHIBIC	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	HAEGARDA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	HEMGENIX	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	HEMLIBRA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	HEMOFIL-M	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	HUMATE-P	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	HYMPAVZI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ICATIBANT ACETATE	GENERIC	SP	PA
HEMATOLOGICAL AGENTS - MISC.	IDELVION	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	IXINITY	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	JIVI	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KALBITOR	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KCENTRA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KENGREAL	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	KOATE	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KOATE-DVI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KOGENATE FS	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	KOVALTRY	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	NOVOEIGHT	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	NOVOSEVEN	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	NUWIQ	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	OBIZUR	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ORLADEYO	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	PANHEMATIN	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	PENTOXIFYLLINE ER	GENERIC
HEMATOLOGICAL AGENTS - MISC.	PIASKY	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	PLAVIX	NON PREFERRED
HEMATOLOGICAL AGENTS - MISC.	PRASUGREL HYDROCHLORIDE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	PROFILNINE SD	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	PYRUKYND	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	QFITLIA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	REBINYN	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	RECOMBINATE	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	RIASTAP	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	RIXUBIS	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ROCTAVIAN	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	RUCONEST	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	SAJAZIR	GENERIC	SP	PA
HEMATOLOGICAL AGENTS - MISC.	SEVENFACT	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	SOLIRIS	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	TAKHZYRO	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	TAVALISSE	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	TAVNEOS	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	TICAGRELOR	GENERIC
HEMATOLOGICAL AGENTS - MISC.	TIROFIBAN HYDROCHLORIDE	GENERIC
HEMATOLOGICAL AGENTS - MISC.	TRETTEN	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ULTOMIRIS	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	VEOPOZ	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	VONVENDI	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	VOYDEYA	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	WAYRILZ	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	WILATE	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	XYNTHA	PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ZILBRYSQ	NON PREFERRED	SP	PA
HEMATOLOGICAL AGENTS - MISC.	ZONTIVITY	NON PREFERRED
HEMATOPOIETIC AGENTS	ADAKVEO	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ALVAIZ	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	APHEXDA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ARANESP	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	CASGEVY	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	CERDELGA	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	CEREZYME	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	DOPTELET	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	DROXIA	NON PREFERRED
HEMATOPOIETIC AGENTS	ELELYSO	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ELTROMBOPAG OLAMINE	GENERIC	SP	PA
HEMATOPOIETIC AGENTS	ENDARI	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	EPOGEN	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	FERAHEME	NON PREFERRED
HEMATOPOIETIC AGENTS	FERRLECIT	NON PREFERRED
HEMATOPOIETIC AGENTS	FERROUS SULFATE ANHYDROUS	NON PREFERRED
HEMATOPOIETIC AGENTS	FERROUS SULFATE HEPTAHYDR	NON PREFERRED
HEMATOPOIETIC AGENTS	FERUMOXYTOL	GENERIC
HEMATOPOIETIC AGENTS	FOLIC ACID	GENERIC
HEMATOPOIETIC AGENTS	FULPHILA	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	FYLNETRA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	GRANIX	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	INFED	NON PREFERRED
HEMATOPOIETIC AGENTS	INJECTAFER	NON PREFERRED
HEMATOPOIETIC AGENTS	IRON SUCROSE	GENERIC
HEMATOPOIETIC AGENTS	LEUKINE	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	L-GLUTAMINE	GENERIC	SP	PA
HEMATOPOIETIC AGENTS	LYFGENIA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	MIGLUSTAT	GENERIC	SP	PA
HEMATOPOIETIC AGENTS	MIRCERA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	MONOFERRIC	NON PREFERRED
HEMATOPOIETIC AGENTS	MOZOBIL	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	MULPLETA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NEULASTA	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NEULASTA ONPRO	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NEUPOGEN	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NIVESTYM	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NPLATE	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NYPOZI	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	NYVEPRIA	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	PLERIXAFOR	GENERIC	SP	PA
HEMATOPOIETIC AGENTS	PROCRIT	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	PROMACTA	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	PUREVIT DUALFE PLUS	GENERIC
HEMATOPOIETIC AGENTS	RELEUKO	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	RETACRIT	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ROLVEDON	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	RYZNEUTA	NON PREFERRED
HEMATOPOIETIC AGENTS	SIKLOS	PREFERRED		PA
HEMATOPOIETIC AGENTS	SODIUM FERRIC GLUCONATE C	GENERIC
HEMATOPOIETIC AGENTS	STIMUFEND	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	UDENYCA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	VAFSEO	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	VENOFER	GENERIC
HEMATOPOIETIC AGENTS	VENOFER	NON PREFERRED
HEMATOPOIETIC AGENTS	VPRIV	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	XOLREMDI	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	XROMI	NON PREFERRED
HEMATOPOIETIC AGENTS	YARGESA	GENERIC	SP	PA
HEMATOPOIETIC AGENTS	ZARXIO	PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ZAVESCA	NON PREFERRED	SP	PA
HEMATOPOIETIC AGENTS	ZIEXTENZO	NON PREFERRED	SP	PA
HEMOSTATICS	AMINOCAPROIC ACID	GENERIC
HEMOSTATICS	CYKLOKAPRON	NON PREFERRED
HEMOSTATICS	MONSELS FERRIC SUBSULFATE	NON PREFERRED
HEMOSTATICS	THROMBOGEN	NON PREFERRED
HEMOSTATICS	TRANEXAMIC ACID	GENERIC
HEMOSTATICS	TRANEXAMIC ACID/SODIUM CH	GENERIC
HEMOSTATICS	TRANEXAMIC ACID/SODIUM CH	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	AMBIEN	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	AMBIEN CR	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	BYFAVO	NON PREFERRED		PA
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	CHLORAL HYDRATE	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	DEXMEDETOMIDINE HYDROCHLO	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	DEXMEDETOMIDINE HYDROCHLO	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ESTAZOLAM	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ESZOPICLONE	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	FLURAZEPAM HYDROCHLORIDE	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	HALCION	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	LUNESTA	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM HCL	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM HCL	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM HYDROCHLORIDE	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM HYDROCHLORIDE	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM HYDROCHLORIDE/S	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM/SODIUM CHLORIDE	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	MIDAZOLAM/SODIUM CHLORIDE	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	Midazolam-Sodium Chloride	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PENTOBARBITAL SODIUM	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PENTOBARBITAL SODIUM	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PHENOBARBITAL	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PHENOBARBITAL	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PHENOBARBITAL SODIUM	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PHENOBARBITAL SODIUM	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	PRECEDEX	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	RAMELTEON	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ROZEREM	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	SEZABY	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	TEMAZEPAM	NON PREFERRED
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	TRIAZOLAM	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ZALEPLON	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ZOLPIDEM TARTRATE	GENERIC
HYPNOTICS/SEDATIVES/SLEEP DISORDER AGENTS	ZOLPIDEM TARTRATE ER	GENERIC
LAXATIVES	BISACODYL	NON PREFERRED
LAXATIVES	CLENPIQ	NON PREFERRED
LAXATIVES	CONSTULOSE	GENERIC
LAXATIVES	DOCUSATE SODIUM	NON PREFERRED
LAXATIVES	GAVILYTE-C	GENERIC
LAXATIVES	GAVILYTE-G	GENERIC
LAXATIVES	GAVILYTE-N/FLAVOR PACK	GENERIC
LAXATIVES	GOLYTELY	NON PREFERRED
LAXATIVES	LACTULOSE	GENERIC
LAXATIVES	MAGNESIUM SULFATE	NON PREFERRED
LAXATIVES	MAGNESIUM SULFATE HEPTAHY	NON PREFERRED
LAXATIVES	MINERAL OIL HEAVY	GENERIC
LAXATIVES	MINERAL OIL HEAVY	NON PREFERRED
LAXATIVES	MINERAL OIL LIGHT	NON PREFERRED
LAXATIVES	MOVIPREP	NON PREFERRED
LAXATIVES	MURI-LUBE	NON PREFERRED
LAXATIVES	PEG-3350/ELECTROLYTES	GENERIC
LAXATIVES	PEG-3350/ELECTROLYTES/ASC	GENERIC
LAXATIVES	PEG-3350/NACL/NA BICARBON	GENERIC
LAXATIVES	PEG-3350/SODIUM SULF/NACL	GENERIC
LAXATIVES	PEG-PREP	NON PREFERRED
LAXATIVES	PLENVU	NON PREFERRED
LAXATIVES	SODIUM SULFATE/POTASSIUM	GENERIC
LAXATIVES	SUFLAVE	NON PREFERRED
LAXATIVES	SUPREP BOWEL PREP KIT	NON PREFERRED
LAXATIVES	SUTAB	NON PREFERRED
LAXATIVES	VIBRANT	NON PREFERRED
LAXATIVES	VIBRANT STARTER KIT	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	ARTICADENT DENTAL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUFFERED LIDOCAINE HYDROC	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE FISIOPHARMA	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE HCL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE HCL MONOHYDRA	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE HYDROCHLORIDE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE HYDROCHLORIDE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE SPINAL	GENERIC
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE/EPINEPHRINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	BUPIVACAINE/EPINEPHRINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	CHLOROPROCAINE HYDROCHLOR	GENERIC
LOCAL ANESTHETICS - PARENTERAL	CLOROTEKAL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	EXPAREL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE HCL	GENERIC
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE HYDROCHLORIDE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE HYDROCHLORIDE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE HYDROCHLORIDE B	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE HYDROCHLORIDE/E	GENERIC
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE/EPINEPHRINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	LIDOCAINE/EPINEPHRINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	MARCAINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	MARCAINE SPINAL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	MARCAINE/EPINEPHRINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	MARCAINE/EPINEPHRINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	MEPIVACAINE HCL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	NAROPIN	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	NESACAINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	NESACAINE-MPF	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	ORABLOC	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	POLOCAINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	POLOCAINE-MPF	GENERIC
LOCAL ANESTHETICS - PARENTERAL	POLOCAINE-MPF	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	POSIMIR	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	PROCAINE HCL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	PROCAINE HYDROCHLORIDE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	RECK	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	ROPIVACAINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	ROPIVACAINE HCL	GENERIC
LOCAL ANESTHETICS - PARENTERAL	ROPIVACAINE HYDROCHLORIDE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	ROPIVACAINE HYDROCHLORIDE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE/EPINEPHRINE	GENERIC
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE-MPF	GENERIC
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE-MPF	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	SENSORCAINE-MPF/EPINEPHRI	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	TETRACAINE HYDROCHLORIDE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	XARACOLL	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	XYLOCAINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	XYLOCAINE/EPINEPHRINE	NON PREFERRED
LOCAL ANESTHETICS - PARENTERAL	XYLOCAINE-MPF/EPINEPHRINE	NON PREFERRED
MACROLIDES	AZITHROMYCIN	GENERIC
MACROLIDES	CLARITHROMYCIN	GENERIC
MACROLIDES	CLARITHROMYCIN ER	GENERIC
MACROLIDES	DIFICID	PREFERRED		PA
MACROLIDES	E.E.S. 400	GENERIC
MACROLIDES	E.E.S. GRANULES	NON PREFERRED
MACROLIDES	ERYPED 400	NON PREFERRED
MACROLIDES	ERYTHROCIN LACTOBIONATE	NON PREFERRED
MACROLIDES	ERYTHROMYCIN	NON PREFERRED
MACROLIDES	ERYTHROMYCIN BASE	NON PREFERRED
MACROLIDES	ERYTHROMYCIN BASE	GENERIC
MACROLIDES	ERYTHROMYCIN DR	GENERIC
MACROLIDES	ERYTHROMYCIN ETHYLSUCCINA	GENERIC
MACROLIDES	ERYTHROMYCIN ETHYLSUCCINA	NON PREFERRED
MACROLIDES	ERYTHROMYCIN LACTOBIONATE	GENERIC
MACROLIDES	FIDAXOMICIN	GENERIC		PA
MACROLIDES	ZITHROMAX	NON PREFERRED
MACROLIDES	ZITHROMAX TRI-PAK	NON PREFERRED
MACROLIDES	ZITHROMAX Z-PAK	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	APOGEE IC CATHETER/14FR/1	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	CONCEPTION KIT	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	INNOSPIRE ELEGANCE COMPRE	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	KANGAROO GASTROSTOMY TUBE	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	LITETOUCH MASK LARGE	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	LITETOUCH MASK MEDIUM	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	LITETOUCH MASK SMALL	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	OPTICHAMBER DIAMOND	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	OPTICHAMBER DIAMOND/LARGE	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	OPTICHAMBER DIAMOND/MEDIU	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	SIDESTREAM PEDIATRIC FACE	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	T.E.D. ANTI-EMBOLISM STOC	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	VAPRO PLUS POCKET/12FR/16	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	VAPRO PLUS POCKET/12FR/8"	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	VAPRO PLUS POCKET/14FR/8"	NON PREFERRED
MEDICAL DEVICES AND SUPPLIES	VAPRO PLUS/14FR/16"/STRAI	NON PREFERRED
MIGRAINE PRODUCTS	AIMOVIG	PREFERRED		PA
MIGRAINE PRODUCTS	AJOVY	PREFERRED		PA
MIGRAINE PRODUCTS	ALMOTRIPTAN	GENERIC
MIGRAINE PRODUCTS	ALMOTRIPTAN MALATE	GENERIC
MIGRAINE PRODUCTS	Brekiya	NON PREFERRED
MIGRAINE PRODUCTS	DIHYDROERGOTAMINE MESYLAT	NON PREFERRED
MIGRAINE PRODUCTS	ELETRIPTAN HYDROBROMIDE	GENERIC
MIGRAINE PRODUCTS	ELYXYB	NON PREFERRED		PA
MIGRAINE PRODUCTS	EMGALITY	PREFERRED		PA
MIGRAINE PRODUCTS	ERGOTAMINE TARTRATE/CAFFE	GENERIC
MIGRAINE PRODUCTS	FROVA	NON PREFERRED
MIGRAINE PRODUCTS	FROVATRIPTAN SUCCINATE	GENERIC
MIGRAINE PRODUCTS	IMITREX	NON PREFERRED
MIGRAINE PRODUCTS	IMITREX STATDOSE REFILL	NON PREFERRED
MIGRAINE PRODUCTS	IMITREX STATDOSE SYSTEM	NON PREFERRED
MIGRAINE PRODUCTS	MAXALT	NON PREFERRED
MIGRAINE PRODUCTS	MAXALT-MLT	NON PREFERRED
MIGRAINE PRODUCTS	NARATRIPTAN HCL	GENERIC
MIGRAINE PRODUCTS	NURTEC	PREFERRED		PA
MIGRAINE PRODUCTS	QULIPTA	PREFERRED		PA
MIGRAINE PRODUCTS	RELPAX	NON PREFERRED
MIGRAINE PRODUCTS	REYVOW	NON PREFERRED		PA
MIGRAINE PRODUCTS	RIZATRIPTAN BENZOATE	GENERIC
MIGRAINE PRODUCTS	RIZATRIPTAN BENZOATE ODT	GENERIC
MIGRAINE PRODUCTS	SUMANSETRON	NON PREFERRED
MIGRAINE PRODUCTS	SUMATRIPTAN	GENERIC
MIGRAINE PRODUCTS	SUMATRIPTAN SUCCINATE	GENERIC
MIGRAINE PRODUCTS	SUMATRIPTAN SUCCINATE REF	GENERIC
MIGRAINE PRODUCTS	SYMBRAVO	NON PREFERRED
MIGRAINE PRODUCTS	UBRELVY	PREFERRED		PA
MIGRAINE PRODUCTS	VYEPTI	NON PREFERRED		PA
MIGRAINE PRODUCTS	Zavzpret	NON PREFERRED		PA
MIGRAINE PRODUCTS	ZOLMITRIPTAN	GENERIC
MIGRAINE PRODUCTS	ZOLMITRIPTAN ODT	GENERIC
MIGRAINE PRODUCTS	ZOMIG	NON PREFERRED
MINERALS & ELECTROLYTES	AQUASTAT	GENERIC
MINERALS & ELECTROLYTES	AQUASTAT SFR	GENERIC
MINERALS & ELECTROLYTES	BD POSIFLUSH	GENERIC
MINERALS & ELECTROLYTES	BD POSIFLUSH NORMAL SALIN	GENERIC
MINERALS & ELECTROLYTES	BD POSIFLUSH SAFESCRUB	GENERIC
MINERALS & ELECTROLYTES	CALCIFOL	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CARBONATE	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CARBONATE HEAVY	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CARBONATE LIGHT	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	CALCIUM CHLORIDE ANHYDROU	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM CHLORIDE DIHYDRAT	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM GLUCONATE	GENERIC
MINERALS & ELECTROLYTES	CALCIUM GLUCONATE	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM GLUCONATE ANHYDRO	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM GLUCONATE MONOHYD	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM GLUCONATE/SODIUM	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM LACTATE PENTAHYDR	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM PHOSPHATE DIBASIC	NON PREFERRED
MINERALS & ELECTROLYTES	CALCIUM PHOSPHATE TRIBASI	NON PREFERRED
MINERALS & ELECTROLYTES	CHROMIC CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	CHROMIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	COPPER	NON PREFERRED
MINERALS & ELECTROLYTES	CUPRIC CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	CUPRIC SULFATE	NON PREFERRED
MINERALS & ELECTROLYTES	CUPRIC SULFATE PENTAHYDRA	NON PREFERRED
MINERALS & ELECTROLYTES	DEXTROSE 5%	NON PREFERRED
MINERALS & ELECTROLYTES	DEXTROSE 10%/SODIUM CHLOR	NON PREFERRED
MINERALS & ELECTROLYTES	DEXTROSE 10%/SODIUM CHLOR	GENERIC
MINERALS & ELECTROLYTES	DEXTROSE 2.5%/SODIUM CHLO	GENERIC
MINERALS & ELECTROLYTES	DEXTROSE 2.5%/SODIUM CHLO	NON PREFERRED
MINERALS & ELECTROLYTES	DEXTROSE 5%/LACTATED RING	GENERIC
MINERALS & ELECTROLYTES	DEXTROSE 5%/SODIUM CHLORI	GENERIC
MINERALS & ELECTROLYTES	DEXTROSE 5%/SODIUM CHLORI	NON PREFERRED
MINERALS & ELECTROLYTES	DEXTROSE/SODIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	DEXTROSE/SODIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	EFFER-K	GENERIC
MINERALS & ELECTROLYTES	EFFER-K	NON PREFERRED
MINERALS & ELECTROLYTES	ELLIOTTS B	NON PREFERRED
MINERALS & ELECTROLYTES	FLUORIDE	GENERIC
MINERALS & ELECTROLYTES	GALZIN	NON PREFERRED
MINERALS & ELECTROLYTES	GLYCOPHOS	NON PREFERRED
MINERALS & ELECTROLYTES	IODINE STRONG	GENERIC
MINERALS & ELECTROLYTES	IONOSOL-MB/DEXTROSE 5%	NON PREFERRED
MINERALS & ELECTROLYTES	ISOLYTE-P/DEXTROSE 5%	NON PREFERRED
MINERALS & ELECTROLYTES	ISOLYTE-S	NON PREFERRED
MINERALS & ELECTROLYTES	ISOLYTE-S PH 7.4	NON PREFERRED
MINERALS & ELECTROLYTES	KCL 0.075%/D5W/NACL 0.45%	GENERIC
MINERALS & ELECTROLYTES	KCL 0.15%/D5W/NACL 0.2%	GENERIC
MINERALS & ELECTROLYTES	KCL 0.15%/D5W/NACL 0.225%	NON PREFERRED
MINERALS & ELECTROLYTES	KCL 0.15%/D5W/NACL 0.45%	GENERIC
MINERALS & ELECTROLYTES	KCL 0.15%/D5W/NACL 0.9%	GENERIC
MINERALS & ELECTROLYTES	KCL 0.3%/D5W/NACL 0.45%	GENERIC
MINERALS & ELECTROLYTES	KCL 0.3%/D5W/NACL 0.9%	NON PREFERRED
MINERALS & ELECTROLYTES	KLOR-CON 10	GENERIC
MINERALS & ELECTROLYTES	KLOR-CON 8	GENERIC
MINERALS & ELECTROLYTES	KLOR-CON M10	GENERIC
MINERALS & ELECTROLYTES	KLOR-CON M15	GENERIC
MINERALS & ELECTROLYTES	KLOR-CON M20	GENERIC
MINERALS & ELECTROLYTES	KLOR-CON/EF	GENERIC
MINERALS & ELECTROLYTES	K-PHOS	NON PREFERRED
MINERALS & ELECTROLYTES	K-PHOS NEUTRAL	NON PREFERRED
MINERALS & ELECTROLYTES	K-PRIME	GENERIC
MINERALS & ELECTROLYTES	LACTATED RINGERS	GENERIC
MINERALS & ELECTROLYTES	MAGNESIUM CARBONATE HEAVY	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM CARBONATE LIGHT	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	MAGNESIUM CHLORIDE HEXAHY	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE	GENERIC
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE IN D5W	GENERIC
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE IN D5W	NON PREFERRED
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE/DEXTROS	GENERIC
MINERALS & ELECTROLYTES	MAGNESIUM SULFATE/SODIUM	NON PREFERRED
MINERALS & ELECTROLYTES	MANGANESE TRACE METAL	GENERIC
MINERALS & ELECTROLYTES	MONOJECT PHARMA GRADE FLU	GENERIC
MINERALS & ELECTROLYTES	MONOJECT SODIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	MULTIPLE ELECTROLYTES INJ	GENERIC
MINERALS & ELECTROLYTES	MULTRYS	NON PREFERRED
MINERALS & ELECTROLYTES	NORMAL SALINE I.V. FLUSH	GENERIC
MINERALS & ELECTROLYTES	NORMOSOL -R	NON PREFERRED
MINERALS & ELECTROLYTES	NORMOSOL-M/D5W	NON PREFERRED
MINERALS & ELECTROLYTES	NORMOSOL-R	NON PREFERRED
MINERALS & ELECTROLYTES	NORMOSOL-R/5% DEXTROSE	NON PREFERRED
MINERALS & ELECTROLYTES	PHOSPHA 250 NEUTRAL	GENERIC
MINERALS & ELECTROLYTES	PHOSPHOROUS	GENERIC
MINERALS & ELECTROLYTES	PHOSPHO-TRIN 250 NEUTRAL	GENERIC
MINERALS & ELECTROLYTES	PHOSPHO-TRIN K500	NON PREFERRED
MINERALS & ELECTROLYTES	PLASMA-LYTE 148	NON PREFERRED
MINERALS & ELECTROLYTES	PLASMA-LYTE A	NON PREFERRED
MINERALS & ELECTROLYTES	POKONZA	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM ACETATE	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM ACETATE	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM BICARBONATE	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE CR	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE ER	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE/DEXTRO	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE/DEXTRO	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE/LIDOCA	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE/SODIUM	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM CHLORIDE/SODIUM	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM PHOSPHATE	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM PHOSPHATE/SODIU	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM PHOSPHATES	NON PREFERRED
MINERALS & ELECTROLYTES	POTASSIUM PHOSPHATES	GENERIC
MINERALS & ELECTROLYTES	POTASSIUM PHOSPHATES/SODI	NON PREFERRED
MINERALS & ELECTROLYTES	RINGERS INJECTION	GENERIC
MINERALS & ELECTROLYTES	SALINE FLUSH	GENERIC
MINERALS & ELECTROLYTES	SELENIOUS ACID	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM ACETATE	GENERIC
MINERALS & ELECTROLYTES	SODIUM ACETATE	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM ACETATE ANHYDROUS	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM ACETATE TRIHYDRATE	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM BICARBONATE	GENERIC
MINERALS & ELECTROLYTES	SODIUM BICARBONATE	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	SODIUM CHLORIDE 0.45%	GENERIC
MINERALS & ELECTROLYTES	SODIUM CHLORIDE FLUSH	GENERIC
MINERALS & ELECTROLYTES	SODIUM CHLORIDE FLUSH	NON PREFERRED
MINERALS & ELECTROLYTES	SODIUM FLUORIDE	GENERIC
MINERALS & ELECTROLYTES	SODIUM PHOSPHATE	GENERIC
MINERALS & ELECTROLYTES	SODIUM PHOSPHATES	GENERIC
MINERALS & ELECTROLYTES	THAM	NON PREFERRED
MINERALS & ELECTROLYTES	TPN ELECTROLYTES	NON PREFERRED
MINERALS & ELECTROLYTES	TRALEMENT	NON PREFERRED
MINERALS & ELECTROLYTES	TROMETHAMINE	NON PREFERRED
MINERALS & ELECTROLYTES	TROMETHAMINE	GENERIC
MINERALS & ELECTROLYTES	WES-PHOS 250 NEUTRAL	NON PREFERRED
MINERALS & ELECTROLYTES	ZINC CHLORIDE	GENERIC
MINERALS & ELECTROLYTES	ZINC CHLORIDE	NON PREFERRED
MINERALS & ELECTROLYTES	ZINC SULFATE	GENERIC
MINERALS & ELECTROLYTES	ZINC SULFATE	NON PREFERRED
MINERALS & ELECTROLYTES	ZINC SULFATE HEPTAHYDRATE	NON PREFERRED
MINERALS & ELECTROLYTES	ZINC SULFATE MONOHYDRATE	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	AMPHADASE	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	ASCLERA	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	ASTAGRAF XL	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	ATGAM	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	AZASAN	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	AZATHIOPRINE	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	AZATHIOPRINE	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	BENLYSTA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	BENLYSTA IV	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	CELLCEPT	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	CELLCEPT IV	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	CHYMOTRYPSIN ALPHA	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	CUPRIMINE	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	CUVRIOR	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	CYCLOSPORINE	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	DEPEN TITRA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	EDETATE DISODIUM	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	ENSPRYNG	PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	ENVARSUS XR	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	ETHAMOLIN	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	EUA PATIENT ASSESSMENT	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	EVEROLIMUS	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	GAMIFANT	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	GENGRAF	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	IMAAVY	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	IMURAN	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	JOENJA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	KIONEX	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	KORSUVA	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	LENALIDOMIDE	GENERIC	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	LOKELMA	PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	LUPKYNIS	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	MYCOPHENOLATE MOFETIL	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	MYCOPHENOLATE MOFETIL	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	MYCOPHENOLIC ACID DR	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	MYFORTIC	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	MYHIBBIN	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	NEORAL	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	NIKTIMVO	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	NULOJIX	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	PENICILLAMINE	GENERIC	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	POLYOXYL LAURYL ETHER	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	PROGRAF	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	REVLIMID	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	REZUROCK	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	RYONCIL	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	RYSTIGGO	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	SANDIMMUNE	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	SANDIMMUNE IV	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	SAPHNELO	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	SIMULECT	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	SIROLIMUS	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	SODIUM POLYSTYRENE SULFON	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	SODIUM TETRADECYL SULFATE	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	SOLESTA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	SOTRADECOL	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	SOTRADECOL	NON PREFERRED
MISCELLANEOUS THERAPEUTIC CLASSES	SPS	GENERIC
MISCELLANEOUS THERAPEUTIC CLASSES	SYLVANT	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	SYPRINE	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	TACROLIMUS	GENERIC		PA
MISCELLANEOUS THERAPEUTIC CLASSES	THALOMID	PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	THYMOGLOBULIN	NON PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	TRIENTINE	GENERIC	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	UPLIZNA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	VARITHENA	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	Veltassa	PREFERRED		PA
MISCELLANEOUS THERAPEUTIC CLASSES	VIJOICE	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	VYVGART	PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	VYVGART HYTRULO	PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	XIAFLEX	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	ZOKINVY	NON PREFERRED	SP	PA
MISCELLANEOUS THERAPEUTIC CLASSES	ZORTRESS	NON PREFERRED		PA
MOUTH/THROAT/DENTAL AGENTS	ACYCLONINE MUM	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	AMPHOTERICIN B	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	CEVIMELINE HYDROCHLORIDE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	CHLORHEXIDINE GLUCONATE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	CLINPRO 5000	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	CLOTRIMAZOLE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	DENTA 5000 PLUS	GENERIC
MOUTH/THROAT/DENTAL AGENTS	DENTAGEL	GENERIC
MOUTH/THROAT/DENTAL AGENTS	EASYGEL	GENERIC
MOUTH/THROAT/DENTAL AGENTS	EVOXAC	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	FIRST-MOUTHWASH BLM	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	FLUORIDEX DAILY DEFENSE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	FLUORIDEX DAILY RENEWAL	GENERIC
MOUTH/THROAT/DENTAL AGENTS	FLUORIDEX ENHANCED WHITEN	GENERIC
MOUTH/THROAT/DENTAL AGENTS	FLUORIDEX SENSITIVITY REL	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	FLUORIMAX 5000	GENERIC
MOUTH/THROAT/DENTAL AGENTS	FLUORIMAX 5000 SENSITIVE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	FRAICHE 5000 DENTAL	GENERIC
MOUTH/THROAT/DENTAL AGENTS	JUST RIGHT 5000	GENERIC
MOUTH/THROAT/DENTAL AGENTS	JUST RIGHT 5000	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	KOURZEQ	GENERIC
MOUTH/THROAT/DENTAL AGENTS	LIDOCAINE HCL	GENERIC
MOUTH/THROAT/DENTAL AGENTS	LIDOCAINE HYDROCHLORIDE V	GENERIC
MOUTH/THROAT/DENTAL AGENTS	LIDOCAINE VISCOUS	GENERIC
MOUTH/THROAT/DENTAL AGENTS	NYSTATIN	GENERIC
MOUTH/THROAT/DENTAL AGENTS	NYSTATIN	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	ORALONE DENTAL PASTE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	ORAMAGICRX	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	ORAPEUTIC	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PERIDEX	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PERIOGARD	GENERIC
MOUTH/THROAT/DENTAL AGENTS	PILOCARPINE HYDROCHLORIDE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 BOOSTER PL	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 DRY MOUTH	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 ENAMEL PRO	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 ORTHO DEFE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 PLUS	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT 5000 SENSITIVE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT FLUORIDE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	PREVIDENT RINSE	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	SALAGEN	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	SF	GENERIC
MOUTH/THROAT/DENTAL AGENTS	SF 5000 PLUS	GENERIC
MOUTH/THROAT/DENTAL AGENTS	SODIUM FLUORIDE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	SODIUM FLUORIDE 5000 PLUS	GENERIC
MOUTH/THROAT/DENTAL AGENTS	SODIUM FLUORIDE 5000 PPM	GENERIC
MOUTH/THROAT/DENTAL AGENTS	SODIUM FLUORIDE 5000 PPM	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	TRIAMCINOLONE ACETONIDE	GENERIC
MOUTH/THROAT/DENTAL AGENTS	TRIAMCINOLONE ACETONIDE D	GENERIC
MOUTH/THROAT/DENTAL AGENTS	VANISH	NON PREFERRED
MOUTH/THROAT/DENTAL AGENTS	ZINC ACETATE	NON PREFERRED
MULTIVITAMINS	SUPERVITE	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	BACLOFEN	GENERIC		PA
MUSCULOSKELETAL THERAPY AGENTS	BACLOFEN	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	BACLOFEN	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	BACLOFEN REFILL KIT FOR S	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	CARISOPRODOL	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	CARISOPRODOL	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	CHLORZOXAZONE	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	CYCLOBENZAPRINE HYDROCHLO	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	DANTRIUM	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	DANTRIUM IV	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	DANTROLENE SODIUM	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	DUROLANE	PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	EUFLEXXA	PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	GABLOFEN	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	GEL-ONE	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	GELSYN-3	PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	GENVISC 850	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	HYALGAN	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	HYMOVIS	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	HYRONAN	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	LIORESAL INTRATHECAL	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	METAXALONE	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	METAXALONE	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	METHOCARBAMOL	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	MONOVISC	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	ORPHENADRINE CITRATE	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	ORPHENADRINE CITRATE	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	ORPHENADRINE CITRATE ER	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	ORTHOVISC	PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	OZOBAX DS	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	REVONTO	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	ROBAXIN	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	SOHONOS	NON PREFERRED	SP	PA
MUSCULOSKELETAL THERAPY AGENTS	SOMA	NON PREFERRED
MUSCULOSKELETAL THERAPY AGENTS	SUPARTZ FX	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	SYNOJOYNT	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	SYNVISC	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	SYNVISC ONE	PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	TIZANIDINE HCL	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	TIZANIDINE HYDROCHLORIDE	GENERIC
MUSCULOSKELETAL THERAPY AGENTS	TRILURON	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	TRIVISC	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	VISCO-3	NON PREFERRED		PA
MUSCULOSKELETAL THERAPY AGENTS	ZANAFLEX	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	ADRENALIN	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	AZELASTINE HYDROCHLORIDE	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	EPINEPHRINE CHLORIDE	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	FLUNISOLIDE	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	FLUTICASONE PROPIONATE	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	IPRATROPIUM BROMIDE	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	LIDOCAINE HYDROCHLORIDE/O	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	MOMETASONE FUROATE	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	OLOPATADINE HCL	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	OLOPATADINE HYDROCHLORIDE	GENERIC
NASAL AGENTS - SYSTEMIC AND TOPICAL	PHENYLEPHRINE HCL	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	PHENYLPROPANOLAMINE HYDRO	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	PSEUDOEPHEDRINE HCL	NON PREFERRED
NASAL AGENTS - SYSTEMIC AND TOPICAL	RYALTRIS	NON PREFERRED
NEUROMUSCULAR AGENTS	AMONDYS 45	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	BOTOX	NON PREFERRED		PA
NEUROMUSCULAR AGENTS	DAXXIFY	PREFERRED
NEUROMUSCULAR AGENTS	DAYBUE	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	DUVYZAT	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	DYSPORT	PREFERRED		PA
NEUROMUSCULAR AGENTS	EDARAVONE	GENERIC	SP	PA
NEUROMUSCULAR AGENTS	EVRYSDI	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	EXONDYS 51	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	MYOBLOC	PREFERRED		PA
NEUROMUSCULAR AGENTS	QALSODY	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	RADICAVA	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	RADICAVA ORS	PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	RILUZOLE	GENERIC		PA
NEUROMUSCULAR AGENTS	SKYCLARYS	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	SPINRAZA	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	TEGLUTIK	NON PREFERRED		PA
NEUROMUSCULAR AGENTS	TIGLUTIK	NON PREFERRED		PA
NEUROMUSCULAR AGENTS	VILTEPSO	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	VYONDYS 53	NON PREFERRED	SP	PA
NEUROMUSCULAR AGENTS	XEOMIN	PREFERRED		PA
OPHTHALMIC AGENTS	ACULAR	NON PREFERRED
OPHTHALMIC AGENTS	ACULAR LS	NON PREFERRED
OPHTHALMIC AGENTS	ACUVAIL	PREFERRED
OPHTHALMIC AGENTS	AK-FLUOR	GENERIC
OPHTHALMIC AGENTS	AKTEN	NON PREFERRED
OPHTHALMIC AGENTS	ALCAINE	NON PREFERRED
OPHTHALMIC AGENTS	ALPHAGAN P	PREFERRED
OPHTHALMIC AGENTS	ALTACAINE	GENERIC
OPHTHALMIC AGENTS	ALTAFLUOR BENOX	NON PREFERRED
OPHTHALMIC AGENTS	ALTAFRIN	GENERIC
OPHTHALMIC AGENTS	APRACLONIDINE	GENERIC
OPHTHALMIC AGENTS	ATROPINE SULFATE	NON PREFERRED
OPHTHALMIC AGENTS	ATROPINE SULFATE	GENERIC
OPHTHALMIC AGENTS	AZASITE	NON PREFERRED
OPHTHALMIC AGENTS	AZELASTINE HCL	GENERIC
OPHTHALMIC AGENTS	AZELASTINE HYDROCHLORIDE	GENERIC
OPHTHALMIC AGENTS	AZOPT	NON PREFERRED
OPHTHALMIC AGENTS	BACITRACIN	GENERIC
OPHTHALMIC AGENTS	BACITRACIN/POLYMYXIN B	GENERIC
OPHTHALMIC AGENTS	BEOVU	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	BEPOTASTINE BESILATE	GENERIC
OPHTHALMIC AGENTS	BEPREVE	NON PREFERRED
OPHTHALMIC AGENTS	BESIVANCE	PREFERRED
OPHTHALMIC AGENTS	BETADINE OPHTHALMIC PREP	NON PREFERRED
OPHTHALMIC AGENTS	BETAXOLOL HCL	GENERIC
OPHTHALMIC AGENTS	BETOPTIC-S	PREFERRED
OPHTHALMIC AGENTS	BEVACIZUMAB	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	BIMATOPROST	GENERIC		PA
OPHTHALMIC AGENTS	BIMATOPROST/BRIMONIDINE T	NON PREFERRED
OPHTHALMIC AGENTS	BIO GLO	NON PREFERRED
OPHTHALMIC AGENTS	BRIMONIDE/DORZOLAMIDE P-F	NON PREFERRED
OPHTHALMIC AGENTS	BRIMONIDINE TARTRATE	GENERIC
OPHTHALMIC AGENTS	BRIMONIDINE TARTRATE/DORZ	NON PREFERRED
OPHTHALMIC AGENTS	BRIMONIDINE TARTRATE/TIMO	GENERIC
OPHTHALMIC AGENTS	BRINZOLAMIDE	GENERIC
OPHTHALMIC AGENTS	BROMFENAC	GENERIC
OPHTHALMIC AGENTS	BROMFENAC SODIUM	GENERIC
OPHTHALMIC AGENTS	BROMFENAC SODIUM	NON PREFERRED
OPHTHALMIC AGENTS	BROMSITE	NON PREFERRED
OPHTHALMIC AGENTS	BSS	NON PREFERRED
OPHTHALMIC AGENTS	BSS PLUS	NON PREFERRED
OPHTHALMIC AGENTS	BUPIVACAINE HYDROCHLORIDE	NON PREFERRED
OPHTHALMIC AGENTS	BUP-LIDO	NON PREFERRED
OPHTHALMIC AGENTS	BYOOVIZ	PREFERRED	SP	PA
OPHTHALMIC AGENTS	CARTEOLOL HCL	GENERIC
OPHTHALMIC AGENTS	CEQUA	NON PREFERRED
OPHTHALMIC AGENTS	CHONDROITIN SULFATE	NON PREFERRED
OPHTHALMIC AGENTS	CIMERLI	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	CIPROFLOXACIN HYDROCHLORI	GENERIC
OPHTHALMIC AGENTS	CLOBETASOL PROPIONATE	NON PREFERRED
OPHTHALMIC AGENTS	COMBIGAN	NON PREFERRED
OPHTHALMIC AGENTS	COSOPT	NON PREFERRED
OPHTHALMIC AGENTS	COSOPT PF	NON PREFERRED
OPHTHALMIC AGENTS	CROMOLYN SODIUM	GENERIC
OPHTHALMIC AGENTS	CYCLOGYL	NON PREFERRED
OPHTHALMIC AGENTS	CYCLOMYDRIL	NON PREFERRED
OPHTHALMIC AGENTS	CYCLOPENTOLATE HCL	GENERIC
OPHTHALMIC AGENTS	CYCLOPENTOLATE HYDROCHLOR	GENERIC
OPHTHALMIC AGENTS	CYCLOSPORINE	GENERIC
OPHTHALMIC AGENTS	CYSTARAN	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	DEXAMETHASONE SODIUM PHOS	GENERIC
OPHTHALMIC AGENTS	DEXAMETHASONE/MOXIFLOXACI	NON PREFERRED
OPHTHALMIC AGENTS	DICLOFENAC SODIUM	GENERIC
OPHTHALMIC AGENTS	DIFLUPREDNATE	GENERIC
OPHTHALMIC AGENTS	DORZOLAMIDE HCL/TIMOLOL M	GENERIC
OPHTHALMIC AGENTS	DORZOLAMIDE HCL/TIMOLOL M	NON PREFERRED
OPHTHALMIC AGENTS	DORZOLAMIDE HYDROCHLORIDE	GENERIC
OPHTHALMIC AGENTS	DORZOLAMIDE HYDROCHLORIDE	NON PREFERRED
OPHTHALMIC AGENTS	DUREZOL	NON PREFERRED
OPHTHALMIC AGENTS	DURYSTA	NON PREFERRED		PA
OPHTHALMIC AGENTS	ENCELTO	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	EPINASTINE HCL	GENERIC
OPHTHALMIC AGENTS	ERYTHROMYCIN	GENERIC
OPHTHALMIC AGENTS	ERYTHROMYCIN	NON PREFERRED
OPHTHALMIC AGENTS	EYLEA	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	EYLEA HD	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	FLAREX	NON PREFERRED
OPHTHALMIC AGENTS	FLUCAINE	GENERIC
OPHTHALMIC AGENTS	FLUORESCEIN	NON PREFERRED
OPHTHALMIC AGENTS	FLUORESCEIN SODIUM	GENERIC
OPHTHALMIC AGENTS	FLUORESCEIN SODIUM	NON PREFERRED
OPHTHALMIC AGENTS	FLUORESCEIN SODIUM/BENOXI	NON PREFERRED
OPHTHALMIC AGENTS	FLUORESCEIN/PROPARACAINE	GENERIC
OPHTHALMIC AGENTS	FLUORESCEIN-BENOXINATE	GENERIC
OPHTHALMIC AGENTS	FLUORESCITE	NON PREFERRED
OPHTHALMIC AGENTS	FLUOR-I-STRIPS A.T.	NON PREFERRED
OPHTHALMIC AGENTS	FLUOROMETHOLONE	GENERIC
OPHTHALMIC AGENTS	FLURA-SAFE	NON PREFERRED
OPHTHALMIC AGENTS	FLURBIPROFEN SODIUM	GENERIC
OPHTHALMIC AGENTS	FML FORTE	PREFERRED
OPHTHALMIC AGENTS	FML LIQUIFILM	NON PREFERRED
OPHTHALMIC AGENTS	GATIFLOXACIN	GENERIC
OPHTHALMIC AGENTS	GENTAMICIN SULFATE	GENERIC
OPHTHALMIC AGENTS	GLOSTRIPS	NON PREFERRED
OPHTHALMIC AGENTS	GREEN GLO LISSAMINE GREEN	NON PREFERRED
OPHTHALMIC AGENTS	HOMATROPAIRE	GENERIC
OPHTHALMIC AGENTS	IDOSE TR	NON PREFERRED
OPHTHALMIC AGENTS	ILEVRO	PREFERRED
OPHTHALMIC AGENTS	INVELTYS	NON PREFERRED
OPHTHALMIC AGENTS	IOPIDINE	NON PREFERRED
OPHTHALMIC AGENTS	ISTALOL	NON PREFERRED
OPHTHALMIC AGENTS	IYUZEH	NON PREFERRED
OPHTHALMIC AGENTS	IZERVAY	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	KETOROLAC TROMETHAMINE	GENERIC
OPHTHALMIC AGENTS	KLARITY-A	NON PREFERRED
OPHTHALMIC AGENTS	KLARITY-C DROPS	NON PREFERRED
OPHTHALMIC AGENTS	LATANOPROST	GENERIC
OPHTHALMIC AGENTS	LATANOPROST	NON PREFERRED
OPHTHALMIC AGENTS	LEVOBUNOLOL HCL	GENERIC
OPHTHALMIC AGENTS	LEVOFLOXACIN	GENERIC
OPHTHALMIC AGENTS	LIDOCAINE HYDROCHLORIDE/E	NON PREFERRED
OPHTHALMIC AGENTS	LIDOCAINE HYDROCHLORIDE/P	NON PREFERRED
OPHTHALMIC AGENTS	LOTEMAX	NON PREFERRED
OPHTHALMIC AGENTS	LOTEMAX SM	NON PREFERRED
OPHTHALMIC AGENTS	LOTEPREDNOL ETABONATE	GENERIC
OPHTHALMIC AGENTS	LUCENTIS	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	LUMIGAN	PREFERRED		PA
OPHTHALMIC AGENTS	MAXIDEX	PREFERRED		PA
OPHTHALMIC AGENTS	MAXITROL	NON PREFERRED
OPHTHALMIC AGENTS	MIEBO	NON PREFERRED		PA
OPHTHALMIC AGENTS	MIOCHOL-E	NON PREFERRED
OPHTHALMIC AGENTS	MIOSTAT	NON PREFERRED
OPHTHALMIC AGENTS	MITOMYCIN	NON PREFERRED
OPHTHALMIC AGENTS	MOXIFLOXACIN HYDROCHLORID	NON PREFERRED
OPHTHALMIC AGENTS	MOXIFLOXACIN/BROMFENAC	NON PREFERRED
OPHTHALMIC AGENTS	MYDCOMBI	NON PREFERRED
OPHTHALMIC AGENTS	MYDRIACYL	NON PREFERRED
OPHTHALMIC AGENTS	NATACYN	NON PREFERRED
OPHTHALMIC AGENTS	NEOMYCIN/BACITRACIN/POLYM	GENERIC
OPHTHALMIC AGENTS	NEOMYCIN/POLYMYXIN/BACITR	GENERIC
OPHTHALMIC AGENTS	NEOMYCIN/POLYMYXIN/DEXAME	GENERIC
OPHTHALMIC AGENTS	NEOMYCIN/POLYMYXIN/GRAMIC	GENERIC
OPHTHALMIC AGENTS	NEOMYCIN/POLYMYXIN/HYDROC	GENERIC
OPHTHALMIC AGENTS	NEO-POLYCIN	GENERIC
OPHTHALMIC AGENTS	NEO-POLYCIN HC	GENERIC
OPHTHALMIC AGENTS	NEVANAC	PREFERRED
OPHTHALMIC AGENTS	OCUFLOX	NON PREFERRED
OPHTHALMIC AGENTS	OFLOXACIN	GENERIC
OPHTHALMIC AGENTS	OLOPATADINE HYDROCHLORIDE	GENERIC
OPHTHALMIC AGENTS	PAVBLU	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	PHENYLEPHRINE HYDROCHLORI	GENERIC
OPHTHALMIC AGENTS	PHENYLEPHRINE HYDROCHLORI	NON PREFERRED
OPHTHALMIC AGENTS	PHOSPHOLINE IODIDE	NON PREFERRED
OPHTHALMIC AGENTS	PHOTREXA/PHOTREXA VISCOUS	NON PREFERRED
OPHTHALMIC AGENTS	PILOCARPINE HCL	GENERIC
OPHTHALMIC AGENTS	PILOCARPINE HYDROCHLORIDE	GENERIC
OPHTHALMIC AGENTS	PILOCARPINE HYDROCHLORIDE	GENERIC		PA
OPHTHALMIC AGENTS	POLYCIN	GENERIC
OPHTHALMIC AGENTS	POLYMYXIN B SULFATE/TRIME	GENERIC
OPHTHALMIC AGENTS	POVIDONE IODINE	NON PREFERRED
OPHTHALMIC AGENTS	PRED FORTE	NON PREFERRED
OPHTHALMIC AGENTS	PRED MILD	PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE ACETATE	GENERIC
OPHTHALMIC AGENTS	PREDNISOLONE ACETATE P-F	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE ACETATE/MOXI	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE ACETATE/NEPA	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE PHOSPHATE/BR	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE PHOSPHATE/MO	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE SODIUM PHOSP	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE/BROMFENAC	NON PREFERRED
OPHTHALMIC AGENTS	PREDNISOLONE/GATIFLOXACIN	NON PREFERRED
OPHTHALMIC AGENTS	PROLENSA	NON PREFERRED
OPHTHALMIC AGENTS	PROPARACAINE HCL	GENERIC
OPHTHALMIC AGENTS	PROPARACAINE HYDROCHLORID	GENERIC
OPHTHALMIC AGENTS	QLOSI	NON PREFERRED
OPHTHALMIC AGENTS	RESTASIS	PREFERRED
OPHTHALMIC AGENTS	RESTASIS MULTIDOSE	PREFERRED
OPHTHALMIC AGENTS	RHOPRESSA	PREFERRED		PA
OPHTHALMIC AGENTS	ROCKLATAN	PREFERRED		PA
OPHTHALMIC AGENTS	SIMBRINZA	PREFERRED
OPHTHALMIC AGENTS	SULFACETAMIDE SODIUM	GENERIC
OPHTHALMIC AGENTS	SULFACETAMIDE SODIUM/PRED	GENERIC
OPHTHALMIC AGENTS	SUSVIMO	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	SYFOVRE	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	TAFLUPROST	GENERIC
OPHTHALMIC AGENTS	TETRACAINE HCL	GENERIC
OPHTHALMIC AGENTS	TETRACAINE HYDROCHLORIDE	GENERIC
OPHTHALMIC AGENTS	TIMOLOL MALEATE	GENERIC
OPHTHALMIC AGENTS	TIMOLOL MALEATE IN OCUDOS	GENERIC
OPHTHALMIC AGENTS	TIMOLOL MALEATE OPHTHALMI	GENERIC
OPHTHALMIC AGENTS	TIMOLOL MALEATE/BIMATOPRO	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/BRIMONIDE TARTRAT	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/BRIMONIDE/DORZOLA	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/BRIMONIDINE TARTR	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/BRIMONIDINE/DORZO	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/DORZOLAMIDE/BIMAT	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/DORZOLAMIDE/LATAN	NON PREFERRED
OPHTHALMIC AGENTS	TIMOLOL/LATANOPROST	NON PREFERRED
OPHTHALMIC AGENTS	TIMOPTIC OCUDOSE	NON PREFERRED
OPHTHALMIC AGENTS	TOBRADEX	PREFERRED
OPHTHALMIC AGENTS	TOBRADEX ST	PREFERRED
OPHTHALMIC AGENTS	TOBRAMYCIN	GENERIC
OPHTHALMIC AGENTS	TOBRAMYCIN SULFATE	GENERIC
OPHTHALMIC AGENTS	TOBRAMYCIN/DEXAMETHASONE	GENERIC
OPHTHALMIC AGENTS	TOBRAMYCIN/VANCOMYCIN HYD	NON PREFERRED
OPHTHALMIC AGENTS	TOBREX	NON PREFERRED
OPHTHALMIC AGENTS	TRAVATAN Z	NON PREFERRED
OPHTHALMIC AGENTS	TRAVOPROST	GENERIC
OPHTHALMIC AGENTS	TRIFLURIDINE	GENERIC
OPHTHALMIC AGENTS	TRIMOXI+	NON PREFERRED
OPHTHALMIC AGENTS	TROPICAMIDE	GENERIC
OPHTHALMIC AGENTS	TROPICAMIDE/CYCLOPENTOLAT	NON PREFERRED
OPHTHALMIC AGENTS	TROPICAMIDE/PHENYLEPHRINE	NON PREFERRED
OPHTHALMIC AGENTS	TROPICAMIDE/PROPARACAINE/	NON PREFERRED
OPHTHALMIC AGENTS	TRYPTYR	NON PREFERRED
OPHTHALMIC AGENTS	UPNEEQ	NON PREFERRED
OPHTHALMIC AGENTS	VABYSMO	NON PREFERRED	SP	PA
OPHTHALMIC AGENTS	VERKAZIA	NON PREFERRED
OPHTHALMIC AGENTS	VEVYE	PREFERRED
OPHTHALMIC AGENTS	VIZZ	NON PREFERRED
OPHTHALMIC AGENTS	VUITY	NON PREFERRED		PA
OPHTHALMIC AGENTS	VYZULTA	NON PREFERRED
OPHTHALMIC AGENTS	XALATAN	NON PREFERRED
OPHTHALMIC AGENTS	XDEMVY	PREFERRED
OPHTHALMIC AGENTS	XELPROS	NON PREFERRED
OPHTHALMIC AGENTS	XIIDRA	PREFERRED
OPHTHALMIC AGENTS	ZERVIATE	PREFERRED
OPHTHALMIC AGENTS	ZIOPTAN	NON PREFERRED
OPHTHALMIC AGENTS	ZIRGAN	NON PREFERRED
OPHTHALMIC AGENTS	ZYLET	NON PREFERRED
OTIC AGENTS	ACETIC ACID	GENERIC
OTIC AGENTS	CETRAXAL	NON PREFERRED
OTIC AGENTS	CIPRO HC	NON PREFERRED
OTIC AGENTS	CIPROFLOXACIN	GENERIC
OTIC AGENTS	CIPROFLOXACIN/DEXAMETHASO	GENERIC
OTIC AGENTS	CIPROFLOXACIN/FLUOCINOLON	GENERIC
OTIC AGENTS	CORTISPORIN-TC	NON PREFERRED
OTIC AGENTS	DERMOTIC	NON PREFERRED
OTIC AGENTS	DEX24	NON PREFERRED
OTIC AGENTS	FLUOCINOLONE ACETONIDE	GENERIC
OTIC AGENTS	FLUOCINOLONE ACETONIDE EA	GENERIC
OTIC AGENTS	HYDROCORTISONE/ACETIC ACI	GENERIC
OTIC AGENTS	NEOMYCIN/POLYMYXIN/HC	GENERIC
OTIC AGENTS	NEOMYCIN/POLYMYXIN/HYDROC	GENERIC
OTIC AGENTS	OFLOXACIN	GENERIC
OTIC AGENTS	OTOVEL	NON PREFERRED
OTIC AGENTS	PRAMOTIC	NON PREFERRED
OXYTOCICS	CARBOPROST TROMETHAMINE	GENERIC
OXYTOCICS	CARBOPROST TROMETHAMINE	NON PREFERRED
OXYTOCICS	CERVIDIL	NON PREFERRED
OXYTOCICS	HEMABATE	NON PREFERRED
OXYTOCICS	METHERGINE	GENERIC
OXYTOCICS	METHYLERGONOVINE MALEATE	GENERIC
OXYTOCICS	OXYTOCIN	GENERIC
OXYTOCICS	OXYTOCIN	NON PREFERRED
OXYTOCICS	OXYTOCIN +RFID	GENERIC
OXYTOCICS	OXYTOCIN/LACTATED RINGERS	NON PREFERRED
OXYTOCICS	OXYTOCIN/SODIUM CHLORIDE	NON PREFERRED
OXYTOCICS	PITOCIN	NON PREFERRED
OXYTOCICS	PREPIDIL	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ALYGLO	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ANASCORP	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ANAVIP	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ANTIVENIN LATRODECTUS MAC	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ANTIVENIN NORTH AMERICAN	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ASCENIV	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	BABYBIG	NON PREFERRED		PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	BEYFORTUS	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	BIVIGAM	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	CNJ-016	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	CROFAB	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	CUTAQUIG	PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	CUVITRU	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	CYTOGAM	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ENFLONSIA	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	FLEBOGAMMA DIF	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMASTAN	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMMAGARD LIQUID	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMMAGARD S/D	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMMAKED	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMMAPLEX	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMMAPLEX 10%	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	GAMUNEX-C	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HEPAGAM B	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HIZENTRA	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HYPERHEP B	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HYPERRAB	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HYPERRHO S/D	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HYPERTET	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	HYQVIA	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	KEDRAB	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	NABI-HB	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	OCTAGAM	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	PANZYGA	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	PEMGARDA	NON PREFERRED
PASSIVE IMMUNIZING AND TREATMENT AGENTS	PRIVIGEN	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	RHOGAM ULTRA-FILTERED PLUS	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	RHOPHYLAC	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	SYNAGIS	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	VARIZIG	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	WINRHO SDF	NON PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	XEMBIFY	PREFERRED	SP	PA
PASSIVE IMMUNIZING AND TREATMENT AGENTS	ZINPLAVA	NON PREFERRED
PENICILLINS	AMOXICILLIN	GENERIC
PENICILLINS	AMOXICILLIN TRIHYDRATE	NON PREFERRED
PENICILLINS	AMOXICILLIN/CLAVULANATE P	GENERIC
PENICILLINS	AMPICILLIN	GENERIC
PENICILLINS	AMPICILLIN SODIUM	GENERIC
PENICILLINS	AMPICILLIN/SULBACTAM	GENERIC
PENICILLINS	AMPICILLIN-SULBACTAM	GENERIC
PENICILLINS	AUGMENTIN	NON PREFERRED
PENICILLINS	AUGMENTIN ES-600	NON PREFERRED
PENICILLINS	BICILLIN C-R	NON PREFERRED
PENICILLINS	BICILLIN L-A	NON PREFERRED
PENICILLINS	DICLOXACILLIN SODIUM	GENERIC
PENICILLINS	LENTOCILIN	NON PREFERRED
PENICILLINS	NAFCILLIN	NON PREFERRED
PENICILLINS	NAFCILLIN SODIUM	GENERIC
PENICILLINS	OXACILLIN SODIUM	GENERIC
PENICILLINS	OXACILLIN SODIUM	NON PREFERRED
PENICILLINS	PENICILLIN G POTASSIUM	GENERIC
PENICILLINS	PENICILLIN G POTASSIUM IN	NON PREFERRED
PENICILLINS	PENICILLIN G SODIUM	GENERIC
PENICILLINS	PENICILLIN V POTASSIUM	GENERIC
PENICILLINS	PFIZERPEN	GENERIC
PENICILLINS	PIPERACILLIN SODIUM/TAZOB	GENERIC
PENICILLINS	UNASYN	NON PREFERRED
PENICILLINS	UNASYN BULK PACK	NON PREFERRED
PENICILLINS	ZOSYN	NON PREFERRED
PROGESTINS	GALLIFREY	GENERIC
PROGESTINS	MEDROXYPROGESTERONE ACETA	GENERIC
PROGESTINS	MEGESTROL ACETATE	GENERIC
PROGESTINS	NORETHINDRONE ACETATE	GENERIC
PROGESTINS	NORETHINDRONE ACETATE	NON PREFERRED
PROGESTINS	PROGESTERONE	GENERIC		PA
PROGESTINS	PROGESTERONE	GENERIC
PROGESTINS	PROMETRIUM	NON PREFERRED
PROGESTINS	PROVERA	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	ACAMPROSATE CALCIUM DR	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	AMPYRA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	AQNEURSA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	ARICEPT	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	AUBAGIO	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	AUSTEDO	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	AVONEX	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	BAFIERTAM	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	BETASERON	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	BRIUMVI	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	BUPROPION HYDROCHLORIDE E	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	CHANTIX	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	CHLORDIAZEPOXIDE/AMITRIPT	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	COPAXONE	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	COPAXONE	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DALFAMPRIDINE	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DIMETHYL FUMARATE	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DISULFIRAM	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DONEPEZIL HCL	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DONEPEZIL HYDROCHLORIDE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	DONEPEZIL HYDROCHLORIDE O	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	EXELON	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	FINGOLIMOD	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	GALANTAMINE HYDROBROMIDE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	GILENYA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	GLATIRAMER ACETATE	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	GLATOPA	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	INGREZZA	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	KESIMPTA	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	KISUNLA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LEMTRADA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LENMELDY	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LEQEMBI	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LEQEMBI IQLIK	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LOFEXIDINE HYDROCHLORIDE	GENERIC		PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	LUCEMYRA	NON PREFERRED		PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MAVENCLAD	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MAYZENT	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MEMANTINE HCL TITRATION P	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MEMANTINE HYDROCHLORIDE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MEMANTINE HYDROCHLORIDE E	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	MIPLYFFA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	NAMENDA TITRATION PAK	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	NICOTROL NS	NON PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	NUEDEXTA	PREFERRED		PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	OCREVUS	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	OCREVUS ZUNOVO	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	ONPATTRO	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	PERPHENAZINE/AMITRIPTYLIN	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	PIMOZIDE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	PLEGRIDY	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	PONVORY	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	REBIF	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	RIVASTIGMINE TARTRATE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	RIVASTIGMINE TRANSDERMAL	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	SAVELLA	PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	SAVELLA TITRATION PACK	PREFERRED
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	SKYSONA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	TASCENSO ODT	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	TECFIDERA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	TERIFLUNOMIDE	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	TETRABENAZINE	GENERIC	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	TYSABRI	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	VARENICLINE STARTING MONT	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	VARENICLINE STARTING PACK	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	VARENICLINE TARTRATE	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	VARENICLINE TARTRATE CONT	GENERIC
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	VUMERITY	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	WAINUA	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	XENAZINE	NON PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	XYWAV	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	ZEPOSIA	PREFERRED	SP	PA
PSYCHOTHERAPEUTIC AND NEUROLOGICAL AGENTS - MISC.	ZUNVEYL	NON PREFERRED
RESPIRATORY AGENTS - MISC.	ALYFTREK	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	ARALAST NP	PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	BRINSUPRI	NON PREFERRED		PA
RESPIRATORY AGENTS - MISC.	BRONCHITOL	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	CUROSURF	NON PREFERRED
RESPIRATORY AGENTS - MISC.	ESBRIET	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	GLASSIA	PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	INFASURF	NON PREFERRED
RESPIRATORY AGENTS - MISC.	KALYDECO	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	OFEV	PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	ORKAMBI	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	PIRFENIDONE	GENERIC	SP	PA
RESPIRATORY AGENTS - MISC.	PROLASTIN-C	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	PULMOZYME	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	SCLEROSOL INTRAPLEURAL	NON PREFERRED
RESPIRATORY AGENTS - MISC.	STERILE TALC POWDER	NON PREFERRED
RESPIRATORY AGENTS - MISC.	STERITALC	NON PREFERRED
RESPIRATORY AGENTS - MISC.	SURVANTA INTRATRACHEAL	NON PREFERRED
RESPIRATORY AGENTS - MISC.	SYMDEKO	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	TRIKAFTA	NON PREFERRED	SP	PA
RESPIRATORY AGENTS - MISC.	ZEMAIRA	PREFERRED	SP	PA
SULFONAMIDES	SULFADIAZINE	NON PREFERRED
SULFONAMIDES	SULFADIAZINE	GENERIC
SULFONAMIDES	SULFADIAZINE SODIUM	NON PREFERRED
SULFONAMIDES	SULFAMETHOXAZOLE	NON PREFERRED
SULFONAMIDES	SULFAMETHOXAZOLE MICRO	NON PREFERRED
SULFONAMIDES	SULFAPYRIDINE	NON PREFERRED
SULFONAMIDES	SULFATHIAZOLE	NON PREFERRED
SULFONAMIDES	SULFISOXIZOLE	NON PREFERRED
TETRACYCLINES	AVIDOXY	GENERIC
TETRACYCLINES	DEMECLOCYCLINE HCL	GENERIC
TETRACYCLINES	DEMECLOCYCLINE HYDROCHLOR	GENERIC
TETRACYCLINES	DOXYCYCLINE	GENERIC
TETRACYCLINES	DOXYCYCLINE HYCLATE	GENERIC
TETRACYCLINES	DOXYCYCLINE HYCLATE	NON PREFERRED
TETRACYCLINES	DOXYCYCLINE MONOHYDRATE	GENERIC
TETRACYCLINES	MINOCIN	NON PREFERRED
TETRACYCLINES	MINOCYCLINE HCL	GENERIC
TETRACYCLINES	MINOCYCLINE HCL	NON PREFERRED
TETRACYCLINES	MINOCYCLINE HYDROCHLORIDE	GENERIC
TETRACYCLINES	MONDOXYNE NL	GENERIC
TETRACYCLINES	OXYTETRACYCLINE HCL	NON PREFERRED
TETRACYCLINES	TARGADOX	NON PREFERRED
TETRACYCLINES	TETRACYCLINE HYDROCHLORID	GENERIC
TETRACYCLINES	TETRACYCLINE HYDROCHLORID	NON PREFERRED
TETRACYCLINES	TIGECYCLINE	GENERIC
TETRACYCLINES	TIGECYCLINE	NON PREFERRED
TETRACYCLINES	TYGACIL	NON PREFERRED
TETRACYCLINES	XERAVA	NON PREFERRED
THYROID AGENTS	ARMOUR THYROID	NON PREFERRED
THYROID AGENTS	CYTOMEL	NON PREFERRED
THYROID AGENTS	LEVO-T	GENERIC
THYROID AGENTS	LEVOTHYROXINE SODIUM	GENERIC
THYROID AGENTS	LEVOTHYROXINE SODIUM	NON PREFERRED
THYROID AGENTS	LEVOXYL	GENERIC
THYROID AGENTS	LIOMNY	GENERIC
THYROID AGENTS	LIOTHYRONINE SODIUM	GENERIC
THYROID AGENTS	METHIMAZOLE	NON PREFERRED
THYROID AGENTS	METHIMAZOLE	GENERIC
THYROID AGENTS	NP THYROID 120	NON PREFERRED
THYROID AGENTS	NP THYROID 15	NON PREFERRED
THYROID AGENTS	NP THYROID 30	NON PREFERRED
THYROID AGENTS	NP THYROID 60	NON PREFERRED
THYROID AGENTS	NP THYROID 90	NON PREFERRED
THYROID AGENTS	PROPYLTHIOURACIL	GENERIC
THYROID AGENTS	RENTHYROID	NON PREFERRED
THYROID AGENTS	SODIUM IODIDE I-131	NON PREFERRED
THYROID AGENTS	SYNTHROID	PREFERRED
THYROID AGENTS	THYROID	NON PREFERRED
THYROID AGENTS	THYROID PORCINE	NON PREFERRED
THYROID AGENTS	UNITHROID	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ACIPHEX	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ATROPINE SULFATE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ATROPINE SULFATE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ATROPINE SULFATE MONOHYDR	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CARAFATE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CHLORDIAZEPOXIDE HYDROCHL	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CIMETIDINE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CIMETIDINE HYDROCHLORIDE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CUVPOSA	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	CYTOTEC	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	DEXILANT	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	DEXLANSOPRAZOLE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	DICYCLOMINE HCL	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	DICYCLOMINE HYDROCHLORIDE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	DONNATAL	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ESOMEPRAZOLE MAGNESIUM	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ESOMEPRAZOLE MAGNESIUM DR	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ESOMEPRAZOLE SODIUM	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	FAMOTIDINE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	FAMOTIDINE PREMIXED	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	FIRST-LANSOPRAZOLE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	FIRST-OMEPRAZOLE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	First-Pantoprazole	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	GLYCATE	NON PREFERRED		PA
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	GLYCOPYRROLATE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	GLYCOPYRROLATE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	GLYCOPYRROLATE	NON PREFERRED		PA
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	GLYRX-PF	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	HYOSCYAMINE SULFATE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	HYOSCYAMINE SULFATE ER	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	HYOSCYAMINE SULFATE ODT	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	HYOSCYAMINE SULFATE SL	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	HYOSYNE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	ISOPROPAMIDE IODIDE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LANSOPRAZOLE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LANSOPRAZOLE/AMOXICILLIN/	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LEVBID	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LEVSIN	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LEVSIN/SL	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	LIBRAX	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	METHSCOPOLAMINE BROMIDE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	METHSCOPOLAMINE BROMIDE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	MISOPROSTOL	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	NEXIUM	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	NIZATIDINE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	NULEV	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	OMEPRAZOLE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	OMEPRAZOLE DR	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	OSCIMIN	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PANTOPRAZOLE SODIUM	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PANTOPRAZOLE SODIUM	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PANTOPRAZOLE SODIUM/SODIU	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PEPCID	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PHENOBARBITAL/HYOSCYAMINE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PHENOHYTRO	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PREVACID	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PRILOSEC	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	PROTONIX	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	RABEPRAZOLE SODIUM	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	SUCRALFATE	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	SUCRALFATE	GENERIC
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	VOQUEZNA	NON PREFERRED
ULCER DRUGS/ANTISPASMODICS/ANTICHOLINERGICS	VOQUEZNA TRIPLE PAK	NON PREFERRED
URINARY ANTISPASMODICS	BETHANECHOL CHLORIDE	GENERIC
URINARY ANTISPASMODICS	DARIFENACIN HYDROBROMIDE	GENERIC
URINARY ANTISPASMODICS	DETROL	NON PREFERRED
URINARY ANTISPASMODICS	FESOTERODINE FUMARATE ER	GENERIC
URINARY ANTISPASMODICS	FLAVOXATE HCL	GENERIC
URINARY ANTISPASMODICS	GEMTESA	NON PREFERRED		PA
URINARY ANTISPASMODICS	MIRABEGRON ER	NON PREFERRED
URINARY ANTISPASMODICS	MIRABEGRON ER	GENERIC
URINARY ANTISPASMODICS	MYRBETRIQ	PREFERRED
URINARY ANTISPASMODICS	OXYBUTYNIN CHLORIDE	GENERIC
URINARY ANTISPASMODICS	OXYBUTYNIN CHLORIDE ER	GENERIC
URINARY ANTISPASMODICS	SOLIFENACIN SUCCINATE	GENERIC
URINARY ANTISPASMODICS	TOLTERODINE TARTRATE	GENERIC
URINARY ANTISPASMODICS	TOVIAZ	NON PREFERRED
URINARY ANTISPASMODICS	TROSPIUM CHLORIDE	GENERIC
URINARY ANTISPASMODICS	VESICARE	NON PREFERRED
VACCINES	ABRYSVO	NON PREFERRED
VACCINES	ACAM2000	NON PREFERRED
VACCINES	ACTHIB	NON PREFERRED
VACCINES	ADACEL	NON PREFERRED
VACCINES	AFLURIA 2025-2026	NON PREFERRED
VACCINES	AREXVY	NON PREFERRED
VACCINES	AUDENZ	NON PREFERRED
VACCINES	BCG VACCINE	NON PREFERRED
VACCINES	BEXSERO	NON PREFERRED
VACCINES	BIOTHRAX	NON PREFERRED
VACCINES	BOOSTRIX	NON PREFERRED
VACCINES	CAPVAXIVE	NON PREFERRED
VACCINES	COMIRNATY 2025-26	NON PREFERRED
VACCINES	COMIRNATY/5-11Y/2025-26	NON PREFERRED
VACCINES	DAPTACEL	NON PREFERRED
VACCINES	DENGVAXIA	NON PREFERRED
VACCINES	ENGERIX-B	NON PREFERRED
VACCINES	ERVEBO	NON PREFERRED
VACCINES	FLUAD 2025-2026	NON PREFERRED
VACCINES	FLUARIX 2025-2026	NON PREFERRED
VACCINES	FLUBLOK 2025-2026	NON PREFERRED
VACCINES	FLUCELVAX 2025-2026	NON PREFERRED
VACCINES	FLULAVAL 2025-2026	NON PREFERRED
VACCINES	FLUMIST NASAL VACCINE 202	NON PREFERRED
VACCINES	FLUZONE 2025-2026	NON PREFERRED
VACCINES	FLUZONE HIGH-DOSE 2025-20	NON PREFERRED
VACCINES	GARDASIL 9	NON PREFERRED
VACCINES	HAVRIX	NON PREFERRED
VACCINES	HEPLISAV-B	NON PREFERRED
VACCINES	HIBERIX	NON PREFERRED
VACCINES	IMOVAX RABIES (H.D.C.V.)	NON PREFERRED
VACCINES	INFANRIX	NON PREFERRED
VACCINES	IPOL INACTIVATED IPV	NON PREFERRED
VACCINES	IXCHIQ	NON PREFERRED
VACCINES	IXIARO	NON PREFERRED
VACCINES	JYNNEOS	NON PREFERRED
VACCINES	KINRIX	NON PREFERRED
VACCINES	MENQUADFI	NON PREFERRED
VACCINES	MENVEO	NON PREFERRED
VACCINES	M-M-R II	NON PREFERRED
VACCINES	MNEXSPIKE COVID-19 VACCIN	NON PREFERRED
VACCINES	MRESVIA	NON PREFERRED
VACCINES	NUVAXOVID COVID-19 VACCIN	NON PREFERRED
VACCINES	PEDIARIX	NON PREFERRED
VACCINES	PEDVAX HIB	NON PREFERRED
VACCINES	PENBRAYA	NON PREFERRED
VACCINES	PENMENVY	NON PREFERRED
VACCINES	PENTACEL	NON PREFERRED
VACCINES	PNEUMOVAX 23	NON PREFERRED
VACCINES	PREVNAR 20	NON PREFERRED
VACCINES	PRIORIX	NON PREFERRED
VACCINES	PROQUAD	NON PREFERRED
VACCINES	QUADRACEL	NON PREFERRED
VACCINES	RABAVERT	NON PREFERRED
VACCINES	RECOMBIVAX HB	NON PREFERRED
VACCINES	ROTARIX	NON PREFERRED
VACCINES	ROTATEQ	NON PREFERRED
VACCINES	SHINGRIX	NON PREFERRED
VACCINES	SPIKEVAX COVID-19 VACCINE	NON PREFERRED
VACCINES	TENIVAC	NON PREFERRED
VACCINES	TICOVAC	NON PREFERRED
VACCINES	TRUMENBA	NON PREFERRED
VACCINES	TWINRIX	NON PREFERRED
VACCINES	TYPHIM VI	NON PREFERRED
VACCINES	VAQTA	NON PREFERRED
VACCINES	VARIVAX	NON PREFERRED
VACCINES	VAXCHORA	NON PREFERRED
VACCINES	VAXELIS	NON PREFERRED
VACCINES	VAXNEUVANCE	NON PREFERRED
VACCINES	VIMKUNYA	NON PREFERRED
VACCINES	VIVOTIF	NON PREFERRED
VACCINES	YF-VAX	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	CLEOCIN	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	CLINDAMYCIN PHOSPHATE	GENERIC
VAGINAL AND RELATED PRODUCTS	CLINDESSE	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	ESTRACE	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	ESTRADIOL	GENERIC
VAGINAL AND RELATED PRODUCTS	ESTRING	PREFERRED
VAGINAL AND RELATED PRODUCTS	FEM PH	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	FEMRING	NON PREFERRED		PA
VAGINAL AND RELATED PRODUCTS	GYNAZOLE-1	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	IMVEXXY MAINTENANCE PACK	PREFERRED
VAGINAL AND RELATED PRODUCTS	IMVEXXY STARTER PACK	PREFERRED
VAGINAL AND RELATED PRODUCTS	INTRAROSA	NON PREFERRED		PA
VAGINAL AND RELATED PRODUCTS	METRONIDAZOLE VAGINAL	GENERIC
VAGINAL AND RELATED PRODUCTS	MICONAZOLE 3	GENERIC
VAGINAL AND RELATED PRODUCTS	PHEXXI	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	PREMARIN	PREFERRED
VAGINAL AND RELATED PRODUCTS	TERCONAZOLE	GENERIC
VAGINAL AND RELATED PRODUCTS	TRIMO-SAN	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	VAGIFEM	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	VANDAZOLE	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	XACIATO	NON PREFERRED
VAGINAL AND RELATED PRODUCTS	YUVAFEM	GENERIC
VASOPRESSORS	ADRENALIN	NON PREFERRED
VASOPRESSORS	AKOVAZ	NON PREFERRED
VASOPRESSORS	AUVI-Q	PREFERRED
VASOPRESSORS	BIORPHEN	NON PREFERRED
VASOPRESSORS	DROXIDOPA	GENERIC	SP	PA
VASOPRESSORS	DROXIDOPA	NON PREFERRED	SP	PA
VASOPRESSORS	EMERPHED	NON PREFERRED
VASOPRESSORS	EPHEDRINE SULFATE	GENERIC
VASOPRESSORS	EPHEDRINE SULFATE	NON PREFERRED
VASOPRESSORS	EPHEDRINE SULFATE/SODIUM	NON PREFERRED
VASOPRESSORS	EPINEPHRINE	GENERIC
VASOPRESSORS	EPINEPHRINE	NON PREFERRED
VASOPRESSORS	EPINEPHRINE BITARTRATE/SO	NON PREFERRED
VASOPRESSORS	EPINEPHRINE HCL	NON PREFERRED
VASOPRESSORS	EPINEPHRINE HYDROCHLORIDE	NON PREFERRED
VASOPRESSORS	EPINEPHRINE PROFESSIONAL	NON PREFERRED
VASOPRESSORS	EPINEPHRINE/DEXTROSE	NON PREFERRED
VASOPRESSORS	EPINEPHRINE/SODIUM CHLORI	NON PREFERRED
VASOPRESSORS	EPINEPHRINESNAP	NON PREFERRED
VASOPRESSORS	EPINEPHRINESNAP-EMS	NON PREFERRED
VASOPRESSORS	EPINEPHRINESNAP-V	NON PREFERRED
VASOPRESSORS	EPIPEN 2-PAK	NON PREFERRED
VASOPRESSORS	EPIPEN-JR 2-PAK	NON PREFERRED
VASOPRESSORS	GIAPREZA	NON PREFERRED
VASOPRESSORS	IMMPHENTIV	NON PREFERRED
VASOPRESSORS	LEVOPHED	NON PREFERRED
VASOPRESSORS	MIDODRINE HYDROCHLORIDE	GENERIC
VASOPRESSORS	NEFFY	NON PREFERRED
VASOPRESSORS	NOREPINEPHRINE BITARTRATE	NON PREFERRED
VASOPRESSORS	NOREPINEPHRINE BITARTRATE	GENERIC
VASOPRESSORS	NOREPINEPHRINE/DEXTROSE	NON PREFERRED
VASOPRESSORS	NOREPINEPHRINE/SODIUM CHL	NON PREFERRED
VASOPRESSORS	NORTHERA	NON PREFERRED	SP	PA
VASOPRESSORS	PHENYLEPHRINE HYDROCHLORI	NON PREFERRED
VASOPRESSORS	PHENYLEPHRINE HYDROCHLORI	GENERIC
VASOPRESSORS	VAZCULEP	NON PREFERRED