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Please note that the listing of a medication on our Maintenance Drug List does notguarantee coverage as certain medications may be added or deleted from this list periodically. PRODNAMEABILIFYABILIFY DISCMELTACARBOSEACCOLATEACCUNEBACCUPRILACCURETICACEBUTOLOL HCLACEONACETAZOLAMIDEACTIGALLACTIMMUNEACTIVELLAACTIVELLAACTONELACTONEL WITH CALCIUMACTOPLUS METACTOSADALAT CCADDERALLADDERALL XRADVAIR DISKUSADVAIR HFAADVICORAEROBIDAEROBID-MAFEDITAB CRAGENERASEAGGRENOXAGRYLINAK-PENTOLATEAKINETONALBUTEROLALBUTEROLALBUTEROL SULFATEALBUTEROL SULFATE ERALDACTAZIDEALDACTAZIDEALDACTONEALENDRONATE SODIUMALESSEALESSE-28ALLOPURINOLALORAALPHAGAN PALTACEALTACEALTOPREVALUPENTALVESCOAMANTADINE HCLAMANTADINE HCLAMARYL AMIGESICAMILORIDE HCLAMILORIDE/HYDROCHLOROTHIAAMINOBENZOATE POTASSIUMAMINOPHYLLINEAMINOPHYLLINEAMIODARONE HCLAMITIZAAMITRIPTYLINE HCLAMITRIPTYLINE/CHLORDIAZEPAMLODIPINE BESYLATEAMLODIPINE BESYLATE/BENAZAMOXAPINEAMPHETAMINE SALT COMBOAMPHETAMINE/DEXTROAMPHETAANAFRANILANAGRELIDE HYDROCHLORIDEANAPROXANAPROX DSANASPAZANDRODERMANDROGELANDROGEL PUMPANDROIDANDROXYANGELIQANSAIDANTABUSEANTARAAPIDRAAPIDRA SOLOSTARAPLENZINAPPBUTAMONEAPPBUTAMONE-DAPPFORMINAPPFORMIN-DAPRIAPRISOAPTIVUSARALENARANELLEARAVAARCALYSTARICEPTARICEPT ODTARIMIDEXARMOUR THYROIDARMOUR THYROIDAROMASINARTHROTEC 50ARTHROTEC 75ASACOLASMANEX 120 METERED DOSESASMANEX 14 METERED DOSESASMANEX 30 METERED DOSESASMANEX 60 METERED DOSESASPIRINASPIRIN ECATACANDATACAND HCTATAMETATENOLOL ATENOLOL/CHLORTHALIDONEATREZAATRIPLAATROPINE SULFATEATROPINE-CAREATROVENTATROVENT HFAAVAILNEXAVALIDEAVANDAMETAVANDARYLAVANDIAAVAPROAVIANEAVODARTAVONEXAXIDAXIDAYGESTINAZASANAZATHIOPRINEAZILECTAZMACORTAZOPTAZORAZULFIDINEAZULFIDINE EN-TABSAZURETTEBACLOFENBALZIVABANZELBARACLUDEBELLADONNA ALKALOIDSBENAZEPRIL HCLBENAZEPRIL HCL/HYDROCHLORBENICARBENICAR HCTBENZTROPINE MESYLATEBETAGANBETAGAN C CAP QDBETAGAN WITHOUT C CAPBETAPACEBETAPACE AFBETASERONBETAXOLOL HCLBETAXOLOL HCLBETIMOLBETOPTIC-SBIDILBIO-THROIDBISOPROLOL FUMARATEBISOPROLOL FUMARATE/HYDROBONIVABRETHINEBREVICON-28BRIMONIDINE TARTRATEBROMOCRIPTINE MESYLATEBROVANABUDEPRION SRBUDEPRION XLBUDESONIDEBUMETANIDE BUMEXBUPHENYLBUPROPION HCLBUPROPION HCL ERBUPROPION HCL SRBUPROPION HCL XLBYETTABYSTOLICCADUETCALANCALAN SRCALCITONIN-SALMONCALCITRIOLCALCIUM ACETATECALOMISTCAMILACAMPRALCAPOTENCAPOZIDECAPTOPRILCAPTOPRIL/HYDROCHLOROTHIACARAFATECARAFATECARBAMAZEPINECARBAMAZEPINE ERCARBATROLCARBIDOPA/LEVODOPACARBIDOPA/LEVODOPA CRCARBIDOPA/LEVODOPA ERCARBIDOPA/LEVODOPA ODTCARBIDOPA/LEVODOPA SRCARBOPTICCARDENECARDENE SRCARDIZEMCARDIZEM CDCARDIZEM CDCARDIZEM LACARDURACARDURA XLCARNITORCARNITOR SFCARTEOLOL HCLCARTIA XTCARTROLCARVEDILOLCATAFLAMCATAPRESCATAPRES-TTS 2CATAPRES-TTS-1CATAPRES-TTS-2CATAPRES-TTS-3CAVARESTCAVIRINSECAZIANTCELEBREXCELEXACELLCEPTCELLCEPTCELONTINCENESTINCESIA CHLORDIAZEPOXIDE/AMITRIPTCHLOROQUINE PHOSPHATECHLOROTHIAZIDECHLORPROMAZINE HCLCHLORPROPAMIDECHLORTHALIDONECHLORTHALIDONECHOLESTYRAMINECHOLESTYRAMINE LIGHTCIALISCILOSTAZOLCIMETIDINECIMETIDINE HCLCIMZIACITALOPRAM HYDROBROMIDECLIMARACLIMARA PROCLINORILCLOMIPRAMINE HCLCLONAZEPAMCLONAZEPAM ORALLY DISINTECLONIDINE HCLCLORPRESCOGNEXCOLESTIDCOLESTID FLAVOREDCOLESTIPOL HCLCOLESTIPOL HCL FOR ORAL SCOLIDROPSCOLYTROL PEDIATRICCOMBIGANCOMBIPATCHCOMBIVENTCOMBIVIRCOMTANCONCERTACONSTULOSECONTROLRXCOPAXONECORDARONECOREGCOREG CRCORGARDCORZIDECOSOPTCOSOPTCOUMADINCOVARYXCOVARYX HSCOVERA-HSCOZAARCREONCREON 5CREON 10CREON 20CRESTORCRIXIVANCROMOLYN SODIUMCRYSELLE-28CYCLESSACYCLOGYLCYCLOGYL CYCLOMYDRILCYCLOPENTOLATE HCLCYCLOSPORINECYCLOSPORINE MODIFIEDCYCLOSPORINE MODIFIEDCYLATECYMBALTACYSTADANECYTADRENCYTOMELCYTOTECDAPSONEDAYPRODAYTRANADDAVPDEMADEXDEMULEN 1/35-28DEMULEN 1/50-28DENTA 5000 PLUSDENTAGELDENTALL 1100 PLUSDEPAKENEDEPAKOTEDEPAKOTE ERDEPAKOTE ERDEPAKOTE SPRINKLESDESIPRAMINE HCLDESMOPRESSIN ACETATEDESOGENDESOXYNDETROLDETROL LADEXEDRINEDEXMETHYLPHENIDATE HCLDEXTROAMPHETAMINE SULFATEDEXTROAMPHETAMINE SULFATEDEXTROSTATDIABETADIABINESEDIAMOXDICLOFENAC POTASSIUMDICLOFENAC SODIUMDICLOFENAC SODIUM DRDICLOFENAC SODIUM ECDICLOFENAC SODIUM ECDICLOFENAC SODIUM ERDICLOFENAC SODIUM SRDICLOFENAC SODIUM XRDIDANOSINEDIFLUNISALDIGITEKDIGOXINDIGOXINDILACOR XRDILANTINDILANTINDILANTIN INFATABSDILANTIN-125DILATRATE SRDILT-CDDILT-XRDILTIA XT DILTIAZEM CDDILTIAZEM HCLDILTIAZEM HCL ERDILTIAZEM HCL SRDILTIAZEM XRDILTZACDIOVANDIOVAN HCTDIPENTUMDIPIVEFRIN HCLDIPYRIDAMOLEDISOPYRAMIDE PHOSPHATEDISOPYRAMIDE PHOSPHATE ERDISPASDITROPANDITROPAN XLDIURILDIVALPROEX SODIUMDIVIGELDORZOLAMIDE HCLDORZOLAMIDE HCL/TIMOLOL MDOXAZOSIN MESYLATEDOXEPIN HCLDRISDOLDROXIADUETACTDUO-VILDUONEBDYAZIDEDYGASEDYLIXDYNACIRC CRDYNACIRC-CRDYRENIUMEASPRINEASPRINEC-NAPROSYNED K+10EDECRINEEMTEEMT HSEFFER-KEFFERVESCENT POT CHLORIDEEFFERVESCENT POTASSIUMEFFERVESCENT POTASSIUM/CHEFFEXOREFFEXOR XRELDEPRYLELESTRINELIPHOSELIXOPHYLLINEMSAMEMTRIVAENABLEXENALAPRIL MALEATEENALAPRIL MALEATE/HYDROCHENBRELENBREL SURECLICKENJUVIAENPRESSE-28ENULOSEENZYCAP ENZYMAXEPITOLEPIVIREPIVIR HBVEPLERENONEEPZICOMEQUETROERGOLOID MESYLATESERRINESCLIMESSIANESSIAN H.S.
ESTERIFIED ESTROGENS/METHESTRACEESTRACEESTRADERMESTRADIOLESTRADIOL/NORETHINDRONE AESTRASORBESTRATESTESTRATEST H.S.
ESTRINGESTROGELESTROPIPATEESTROSTEP FEETHEDENTETHMOZINEETHOSUXIMIDEETODOLACETODOLAC EREVAMISTEVISTAEVOXACEXELONEXFORGEEXFORGE HCTEXJADEEXUBERA COMBINATION PACKEXUBERA KITEXUBERA PATIENT PACKFAMOTIDINEFARESTONFELBATOLFELDENEFELODIPINE ERFEMARAFEMCON FEFEMHRT 1/5FEMHRT LOW DOSEFEMRINGFEMTRACEFENOFIBRATEFENOFIBRATE MICRONIZEDFENOGLIDEFENOPROFEN CALCIUMFINASTERIDEFIRST-TESTOSTERONEFIRST-TESTOSTERONE MC COMFLAVOXATE HCLFLECAINIDE ACETATEFLOMAXFLORINEF FLOVENT DISKUSFLOVENT HFAFLUDROCORTISONE ACETATEFLUOR-A-DAYFLUORABONFLUORABONFLUORIDEFLUORIDEX DAILY DEFENSEFLUORIDEX DAILY DEFENSE EFLUORITABFLUOXETINEFLUOXETINE HCLFLUPHENAZINE HCLFLUPHENAZINE HCLFLURA-DROPSFLURA-DROPSFLURBIPROFENFLUVOXAMINE MALEATEFOCALINFOCALIN XRFOLIC ACIDFORADIL AEROLIZERFORTAMETFORTEOFORTICALFOSAMAXFOSAMAXFOSAMAX PLUS DFOSINOPRIL SODIUMFOSINOPRIL SODIUM/HYDROCHFOSRENOLFUROSEMIDEFUROSEMIDEFUZEONGABAPENTINGABARONEGABITIDINEGABITRILGABOXETINEGALANTAMINE HYDROBROMIDEGANCICLOVIRGASTROCROMGEL-KAM ORAL CARE RINSEGELNIQUEGEMFIBROZILGENERLACGENGRAFGENOTROPINGENOTROPIN MINIQUICKGEODONGILDESS FE 1.5/30GILDESS FE 1/20GLIMEPIRIDEGLIPIZIDEGLIPIZIDE ERGLIPIZIDE XLGLIPIZIDE/METFORMIN HCLGLUCOPHAGEGLUCOPHAGE XRGLUCOTROLGLUCOTROL XLGLUCOVANCE GLUMETZAGLYBURIDEGLYBURIDE MICRONIZEDGLYBURIDE/METFORMIN HCLGLYCRONGLYCRONGLYNASEGLYSETGUANABENZ ACETATEGUANFACINE HCLGYNODIOLGYNODIOLHALOPERIDOLHCTZ/TRIAMTERENEHECTOROLHEPSERAHOMAPIN-10HOMATROPAIREHUMALOGHUMALOG KWIKPENHUMALOG MIX 50/50HUMALOG MIX 50/50 KWIKPENHUMALOG MIX 50/50 PENHUMALOG MIX 75/25HUMALOG MIX 75/25 KWIKPENHUMALOG MIX 75/25 PENHUMALOG PENHUMATROPEHUMATROPE COMBO PACKHUMIRAHUMIRA PENHUMIRA PEN-CROHNS DISEASEHUMIRA PEN-PSORIASIS STARHUMULIN R U-500 (CONCENTRHYDRALAZINE HCLHYDRALAZINE/HYDROCHLOROTHHYDROCHLOROTHIAZIDEHYDROCHLOROTHIAZIDEHYDROXYCHLOROQUINE SULFATHYOMAX -DTHYOMAX-FTHYOMAX-SLHYOMAX-SRHYOSCYAMINE SULFATEHYOSCYAMINE SULFATE ERHYOSCYAMINE SULFATE IR/HYHYOSCYAMINE SULFATE SRHYOSCYAMINE SULFATE TRHYOSYNEHYPERTENEVIDE-12.5HYPERTENIPINE-2.5HYPERTENSOLOLHYTRINHYZAARIB-STATIBUIBUPROFENIMDURIMIPRAMINE HCLIMIPRAMINE PAMOATEIMURANINCRELEX INDAPAMIDEINDERALINDERAL LAINDERIDE 40/25INDOCININDOCIN SRINDOMETHACININDOMETHACININDOMETHACIN CRINDOMETHACIN ERINDOMETHACIN SAINDOMETHACIN SRINNOPRAN XLINSPRAINTALINTAL 112INTAL 200INTAL INHALERINTELENCEINTRON-AINTRON-A W/DILUENTINVEGAINVERSINEINVIRASEIPLEXIPRATROPIUM BROMIDEIPRATROPIUM BROMIDE/ALBUTISENTRESSISENTRESSISMOISOCHRONISONIAZIDISONIAZIDISOPTIN SRISOPTO ATROPINEISOPTO CARBACHOLISOPTO CARPINEISOPTO HOMATROPINEISOPTO HOMATROPINEISOPTO HYOSCINEISORDIL TITRADOSEISORDIL TITRADOSEISOSORBIDE DINITRATEISOSORBIDE DINITRATE ERISOSORBIDE DINITRATE SAISOSORBIDE MONONITRATEISOSORBIDE MONONITRATE ERISOXSUPRINE HCLISOXSUPRINE HCLISRADIPINEISRADIPINEISTALOLJANTOVENJANUMETJANUVIAJOLESSAJOLIVETTEJUNEL 1.5/30JUNEL 1/20JUNEL FE 1.5/30JUNEL FE 1/20K-EFFERVESCENT K-LORK-LOR HOSPITAL PACKK-LYTEK-LYTE DSK-LYTE/CLK-PHOSK-PHOS NEUTRALK-PRIMEK-TABSK-VESCENTKALETRAKAON-CL-10KAPIDEXKARIDIUMKARIGELKARIGEL-NKARIVAKAY CIELKELNOR 1/35KEMADRINKEPPRAKEPPRAKEPPRA XRKERLONEKETOPROFENKETOPROFEN ERKETOPROFEN ERKINERETKLONOPINKLONOPIN WAFERSKLOR-CONKLOR-CON 10KLOR-CON 25KLOR-CON 8KLOR-CON M10KLOR-CON M15KLOR-CON M20KLOR-CON/EFKLOTRIXKRISTALOSEKU-ZYMEKU-ZYME HPKUTRASEKUVANLABETALOL HCLLACTULOSELAMICTALLAMICTALLAMICTAL CHEWABLE DISPERSLAMICTAL ODTLAMICTAL XRLAMOTRIGINELANOXICAPSLANOXINLANTUSLANTUS FOR OPTICLIKLANTUS SOLOSTARLAPASELARIAMLASIXLEENALEFLUNOMIDE LESCOLLESCOL XLLESSINA-28LETAIRISLEVATOLLEVBIDLEVEMIRLEVEMIR FLEXPENLEVETIRACETAMLEVLEN CONTRACT PACKLEVLEN-28LEVLITE-28LEVOBUNOLOL HCLLEVOCARNITINELEVORA 0.15/30-28LEVOTHROIDLEVOTHYROXINE SODIUMLEVOXYLLEVSINLEVSIN/SLLEVSINEXLEXAPROLEXIVALEXXELLIMBITROLLIMBITROL DSLIOTHYRONINE SODIUMLIPEXLIPITORLIPOFENLIPRAM 4500LIPRAM-PN10LIPRAM-PN16LIPRAM-PN20LIPRAM-UL12LIPRAM-UL18LIPRAM-UL20LIQUADDLISINOPRILLISINOPRIL/HYDROCHLOROTHILITHIUM CARBONATELITHIUM CARBONATELITHIUM CARBONATE ERLITHIUM CITRATELITHOBIDLO/OVRALLO/OVRAL-28LODOSYNLOESTRIN 1.5/30-21LOESTRIN 1/20-21LOESTRIN 24 FELOESTRIN FE 1.5/30LOESTRIN FE 1/20LOFIBRALOPIDLOPRESSORLOPRESSOR HCTLOSEASONIQUELOTENSINLOTENSIN HCTLOTRELLOTREL LOTRONEXLOVASTATINLOVAZALOW-OGESTRELLOXAPINE SUCCINATELOXITANELOZI-FLURLOZI-FLURLUFYLLINLUMIGANLURIDELUTERALUVOX CRLYBRELLYRICALYTENSOPRILLYTENSOPRIL-90MAPROTILINE HCLMAR-SPASMARPLANMAVIKMAXZIDEMAXZIDE-25MEBARALMECLOFENAMATE SODIUMMEDROXYPROGESTERONE ACETAMEFENAMIC ACIDMEFLOQUINE HCLMEGACE ESMELOXICAMMENESTMENOSTARMEPHOBARBITALMETADATE CDMETADATE ERMETAGLIPMETAPROTERENOL SULFATEMETAPROTERENOL SULFATEMETFORMIN HCLMETFORMIN HCL ERMETHAZOLAMIDEMETHIMAZOLEMETHITESTMETHOTREXATEMETHYCLOTHIAZIDEMETHYLDOPAMETHYLDOPA/HYDROCHLOROTHIMETHYLINMETHYLINMETHYLIN ERMETHYLPHENIDATE HCLMETHYLPHENIDATE HCL ERMETHYLPHENIDATE HCL SRMETHYLTESTOSTERONE/ESTERIMETIPRANOLOLMETOCLOPRAMIDE HCLMETOLAZONEMETOPROLOL SUCCINATE ERMETOPROLOL TARTRATEMETOPROLOL/HYDROCHLOROTHIMETOPROLOL/HYDROCHLOROTHIMEVACOR MEXILETINE HCLMIACALCINMICARDISMICARDIS HCTMICRO-KMICROGESTIN 1.5/30MICROGESTIN 1/20MICROGESTIN FEMICROGESTIN FE 1.5/30MICRONASEMICRONIZED COLESTIPOL HCLMICROZIDEMIDAMORMINIPRESSMINIRINMINITRANMINOXIDILMIRAPEXMIRCETTEMIRTAZAPINEMIRTAZAPINE ODTMISOPROSTOLMOBANMOBICMODICON-28MOEXIPRIL HCLMOEXIPRIL/HYDROCHLOROTHIAMONOKETMONONESSAMONOPRILMONOPRIL HCTMOTRINMST 600MUROCOLL-2MYCOPHENOLATE MOFETILMYDRALMYDRIACYLMYFORTICMYSOLINENABUMETONENADOLOLNADOLOLNADOLOL/BENDROFLUMETHIAZINAFRINSENAFRINSE DAILY/NEUTRALNAFRINSE DROPSNAFRINSE WEEKLYNALFONNAMENDANAPRELANNAPRELANNAPROSYNNAPROXENNAPROXEN DRNAPROXEN ECNAPROXEN SODIUMNARDILNASCOBALNATURE-THROIDNATURE-THROIDNAVANENAVANE NECON 0.5/35-28NECON 1/35-28NECON 1/50-28NECON 10/11-28NECON 7/7/7NEFAZODONE HCLNEFAZODONE HCLNEORALNEUPRONEURONTINNEURONTINNEUTRAGARD ADVANCEDNEUTRAL SODIUM FLUORIDENIASPANNICARDIPINE HCLNIFEDIAC CCNIFEDICAL XLNIFEDIPINENIFEDIPINENIFEDIPINE ERNIMODIPINENIMOTOPNISOLDIPINENITREKNITRO-BIDNITRO-DURNITRO-DURNITRO-TIMENITROGLYCERINNITROGLYCERIN CRNITROGLYCERIN ERNITROGLYCERIN SRNITROGLYCERIN TDNITROGLYCERIN TRANSDERMALNITROLINGUAL PUMPSPRAYNITROLINGUAL PUMPSPRAY DUNITROQUICKNITROSTATNIZATIDINENOR-QDNORA-BENORDETTENORDETTE-28NORDITROPIN CARTRIDGENORDITROPIN NORDIFLEX PENNORETHINDRONE ACETATENORGESTREL/ETHINYL ESTRADNORINYL 1+35NORINYL 1+50NORPACENORPACE CRNORPACE CRNORPRAMINNORTHYXNORTHYXNORTREL 0.5/35 (28)NORTREL 1/35 (21)NORTREL 1/35 (28)NORTREL 7/7/7NORTRIPTYLINE HCLNORVASCNORVIR NOVASALNOVOLOGNOVOLOG FLEXPENNOVOLOG MIX 70/30NOVOLOG MIX 70/30 PENFILLNOVOLOG MIX 70/30 PREFILLNOVOLOG PENFILLNOXAFILNULEVNUTROPINNUTROPIN AQNUTROPIN AQ PENNUVARINGNUVIGILOCELLAOCTREOTIDE ACETATEOGENOGESTRELOMACOROMEPRAZOLEOMNITROPEOPTIPRANOLOLORAPORENCIAORFADINORTHO EVRAORTHO MICRONORORTHO TRI-CYCLENORTHO TRI-CYCLEN LOORTHO-CEPTORTHO-CEPT-28ORTHO-CYCLENORTHO-CYCLEN-28ORTHO-ESTORTHO-NOVUM 1/35-28ORTHO-NOVUM 1/50-28ORTHO-NOVUM 7/7/7-28OVCON-35OVCON-50 28OVCON-50/28OXAPROZINOXCARBAZEPINEOXYBUTYNIN CHLORIDEOXYBUTYNIN CHLORIDE EROXYTROLPACERONEPACERONEPALCAPS 10PALCAPS 20PAMELORPANCREASE MT 10PANCREASE MT 16PANCREASE MT 20PANCREASE MT 4PANCRECARB MS-16PANCRECARB MS-4PANCRECARB MS-8PANCRELIPASEPANCRELIPASE 10000PANCRELIPASE 16000PANCRELIPASE 20000PANCRELIPASE 4500 PANCRELIPASE MST-16PANCRON 10PANCRON 20PANGESTYME CN 10PANGESTYME CN 20PANGESTYME ECPANGESTYME MT 16PANGESTYME UL 12PANGESTYME UL 18PANGESTYME UL 20PANOCAPSPANOCAPS MT 16PANOCAPS MT 20PANOKASEPANOKASE-16PANTOPRAZOLE SODIUMPAPAVERINE HCL CRPAPAVERINE HCL ERPARA-TIMEPARCOPAPARLODELPARNATEPAROXETINE HCLPAROXETINE HCL ERPAXILPAXIL CRPEGANONEPENTASAPENTOPAKPENTOXIFYLLINE CRPENTOXIFYLLINE ERPENTOXILPEPCIDPEPCIDPERFECT CHOICE BRUSH-ONPERFECT CHOICE PERIO RINSPERFOROMISTPERIO MEDPERPHENAZINEPERPHENAZINE/AMITRIPTYLINPERSANTINEPEXEVAPHARMAFLURPHENOBARBITALPHENOBARBITALPHENYTEKPHENYTOINPHENYTOIN SODIUM EXTENDEDPHOS-FLURPHOSLOPHOSLOPHOSPHA 250 NEUTRALPHOSPHOLINE IODIDEPILOCARPILOCARPINE HCLPILOCARPINE HYDROCHLORIDEPILOPINE HSPILOPTIC-1PILOPTIC-1/2PILOPTIC-2PILOPTIC-3PILOPTIC-4 PILOPTIC-6PINDOLOLPIROXICAMPLAQUENILPLARETASE 8000PLAVIXPLENDILPLETALPONSTELPORTIA-28POTABAPOTABAPOTASSIUM BICARBONATEPOTASSIUM BICARBONATEPOTASSIUM CHLORIDEPOTASSIUM CHLORIDE CRPOTASSIUM CHLORIDE ERPOTASSIUM CHLORIDE SAPOTASSIUM CHLORIDE SRPRANDIMETPRANDINPRAVACHOLPRAVASTATIN SODIUMPRAZOSIN HCLPRECOSEPREFESTPREMARINPREMARIN W/APPLICATORPREMPHASEPREMPROPREVACID NAPRAPACPREVALITEPREVIDENTPREVIDENT 5000 BOOSTERPREVIDENT 5000 DRY MOUTHPREVIDENT 5000 PLUSPREVIDENT FLUORIDEPREVIFEMPREZISTAPRILOSECPRILOSECPRIMIDONEPRINIVILPRINZIDEPRISTIQPRO-HYOPROAIR HFAPROBENECIDPROBENECID/COLCHICINEPROCAINAMIDE HCLPROCAINAMIDE HCLPROCAINAMIDE HCL ERPROCANBIDPROCARDIAPROCARDIA XLPROCENTRAPROCHLORPERAZINE MALEATEPROGLYCEMPROGRAFPROMACTAPRONESTYLPRONESTYL PRONESTYL SRPROPAFENONE HCLPROPINEPROPRANOLOL HCLPROPRANOLOL HCLPROPRANOLOL HCL ERPROPRANOLOL/HYDROCHLOROTHPROPRANOLOL/HYDROCHLOROTHPROPYLTHIOURACILPROSCARPROTONIXPROTONIXPROTRIPTYLINE HCLPROVENTILPROVENTIL HFAPROVERAPROVIGILPROZACPROZAC WEEKLYPULMICORTPULMICORT FLEXHALERPULMICORT TURBUHALERPULMOZYMEQC HEARTBURN 150 MAXIMUMQUASENSEQUESTRANQUESTRAN LIGHTQUICK-KQUINAPRIL HCLQUINAPRIL/HYDROCHLOROTHIAQUINARETICQUINIDINE GLUCONATE CRQUINIDINE GLUCONATE ERQUINIDINE GLUCONATE SAQUINIDINE SULFATEQUINIDINE SULFATE ERQVARRAMIPRILRANEXARANITIDINE HCLRAPAFLORAPAMUNERAPIFLUXRAUWOLFIA/BENDROFLUMETHIARAZADYNERAZADYNERAZADYNE ERREBIFREBIF TITRATION PACKRECLIPSENREGLANREMERONREMERON SOLTABRENAFRENAGELRENVELAREQUIPREQUIP XLRESCRIPTORRESERPINERESTASISRETROVIR REVATIOREYATAZRHEUMATREXRIDAURARILUTEKRIOMETRISPERDALRISPERDAL M-TABRISPERIDONERISPERIDONE M-TABRISPERIDONE ODTRISPERIDONE ODTRITALINRITALIN LARITALIN SRROCALTROLROFERON-AROPINIROLE HCLROZEREMRYTHMOLRYTHMOL SRSAIZENSAIZEN CLICK.EASYSAL-TROPINESALAGENSALFLEXSALSALATESANCTURASANCTURA XRSANDIMMUNESANDOSTATINSARAFEMSARAFEMSAVELLASEASONALESEASONIQUESECTRALSELEGILINE HCLSELEGILINE HCLSELFEMRASELZENTRYSENSIPARSENTRADINESENTRAFLOX AM-10SENTRALOPRAM AM-10SENTRAMODAFIN AM-100SENTRAVIL PM-25SENTROXATINESEREVENT DISKUSSEROQUELSEROQUEL XRSEROSTIMSERTRALINE HCLSERTRALINE HYDROCHLORIDESFSF 5000 PLUSSIMCORSIMPONISIMVASTATINSINEMETSINEMET CRSINGULAIR SODIUM FLUORIDESODIUM FLUORIDESODIUM FLUORIDE PLAINSOLIASOLTAMOXSOMAVERTSORINESOTALOL HCLSOTALOL HCL (AF)SPACOL T/SSPASDELSPIRIVA HANDIHALERSPIRONOLACTONESPIRONOLACTONE/HYDROCHLORSPRINTEC 28SRONYXSSKISTALEVO 100STALEVO 125STALEVO 150STALEVO 200STALEVO 50STALEVO 75STANNOUS FLUORIDE ORAL RISTARLIXSTAVUDINESTAVZORSTIMATESTRATTERASTRIANTSUCRAIDSUCRALFATESUCRALFATESULARSULFASALAZINESULFASALAZINE ECSULFAZINESULFAZINE ECSULINDACSURMONTILSURMONTILSUSTIVASYMAX DUOTABSYMAX FASTABSSYMAX-SLSYMAX-SRSYMBICORTSYMBYAXSYMLINSYMLINPEN 120SYMLINPEN 60SYMMETRELSYNTEST D.S.
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Source: http://advantagehealthplans.com/pdf/2010%20Maintenance%20Drug%20List.pdf