comúnmente cubierto artículos de venta libre · otc: medicamento de venta libre disponible con...

163
BlueChoice® HealthPlan es un licenciatario independiente de Blue Cross and Blue Shield Association. BlueChoice HealthPlan tiene un contrato con Amerigroup Partnership Plan, LLC, una compañía independiente, para servicios de apoyo a la administración de Healthy Connections. Comúnmente cubierto Artículos de venta libre Leyenda En cada categoría, los medicamentos se listan en orden alfabético por marca o nombre genérico. Medicamento de marca: letra mayúscula en negrita Medicamento genérico: letra minúscula en texto sin formato AL: restricción de límite de edad OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización previa. La autorización previa es el proceso mediante el cual se obtiene la aprobación de los beneficios antes de que se puedan abastecer ciertas recetas. QL: límites de cantidad. Ciertos medicamentos recetados tienen límites de cantidad específicos, por receta o por mes.

Upload: others

Post on 27-May-2020

8 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

BlueChoice® HealthPlan es un licenciatario independiente de Blue Cross and Blue Shield Association. BlueChoice HealthPlan tiene un contrato con Amerigroup Partnership Plan, LLC, una compañía independiente, para servicios de apoyo a la administración de Healthy Connections.

Comúnmente cubierto

Artículos de venta libre

Leyenda

En cada categoría, los medicamentos se listan en orden alfabético por marca o nombre genérico.

Medicamento de marca: letra mayúscula en negrita

Medicamento genérico: letra minúscula en texto sin formato

AL: restricción de límite de edad

OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la

receta).

PA: requiere autorización previa. La autorización previa es el proceso mediante el cual se obtiene la aprobación

de los beneficios antes de que se puedan abastecer ciertas recetas.

QL: límites de cantidad. Ciertos medicamentos recetados tienen límites de cantidad específicos, por receta o por

mes.

Page 2: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

CURRENT AS OF 5/1/2020

Nombre del medicamento Referencia Notas

ADYUVANTES FARMACÉUTICOS

VEHÍCULOS SEMISÓLIDOS

cvs petroleum jelly external gelRA Tugaboos Petroleum Jelly

OTC

gnp petroleum jelly gelRA Tugaboos Petroleum Jelly

OTC

GRX WHITE PETROLATUM EXTERNAL OINTMENT

OTC

hm petroleum jelly gelRA Tugaboos Petroleum Jelly

OTC

petroleum jelly external gelRA Tugaboos Petroleum Jelly

OTC

petroleum jelly gelRA Tugaboos Petroleum Jelly

OTC

ra petroleum jelly external ointment OTC

ra petroleum jelly gelRA Tugaboos Petroleum Jelly

OTC

RA TUGABOOS PETROLEUM JELLY GEL OTC

sm petroleum jelly gelRA Tugaboos Petroleum Jelly

OTC

white petrolatum external ointment GRX White Petrolatum OTC

white petroleum jelly external gelRA Tugaboos Petroleum Jelly

OTC

yellow petrolatum external ointment OTC

AGENTES ANORRECTALES

COMBINACIONES RECTALES VARIAS

cvs hemorrhoidal rectal ointment Major-Prep Hemorrhoidal OTC

eq hemorrhoidal rectal suppository OTC

gnp hemorrhoidal rectal suppository Medicone OTC

hemorrhoidal rectal suppository Medicone OTC

MEDICONE RECTAL SUPPOSITORY OTC

px hemorrhoidal rectal ointment OTC

px hemorrhoidal rectal suppository OTC

qc hemorrhoidal rectal suppository Preparation H OTC

ra hemorrhoid relief rectal suppository OTC

ra hemorrhoidal rectal ointment OTC

2

Page 3: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

rectacaine rectal suppository Medicone OTC

sb hemorrhoid rectal ointment OTC

sm hemorrhoidal rectal suppository Medicone OTC

tgt hemorrhoidal rectal suppository OTC

TRONOLANE RECTAL SUPPOSITORY OTC

AGENTES CARDIOVASCULARES VARIOS

VASODILATADORES PERIFÉRICOS

eql niacin flush free oral capsule OTC

niacin flush free oral capsule OTC

qc niacin oral capsule OTC

AGENTES DERMATOLÓGICOS

ACEITES PARA LA PIEL

ALPHABATH EXTERNAL OIL OTC

therabath external oil AlphaBath OTC

AGENTES EMOLIENTES/QUERATOLÍTICOS

ULTRA MIDE 25 EXTERNAL LOTION OTC

urea 10 hydrating external cream Aqua Care OTC

urea 10 hydrating external lotion Aqua Care OTC

urea 20 intensive hydrating external cream OTC

AGENTES QUEROTOLÍTICOS/ANTIMICÓTICOS

acne external padClearasil Rapid Rescue Deep

OTC

callus removers external padClear Away 1-Step Wart Remover

OTC

callus removers extra thick external padClear Away 1-Step Wart Remover

OTC

CLEAR AWAY 1-STEP WART REMOVER EXTERNAL PAD

OTC

CLEARASIL RAPID RESCUE DEEP EXTERNAL PAD

OTC

COMPOUND W EXTERNAL LIQUID OTC

corn & callus remover external liquid Compound W OTC

corn remover one-step external strip Compound W for Kids OTC

3

Page 4: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs corn removers external padClear Away 1-Step Wart Remover

OTC

cvs corn/callus remover external kit OTC

cvs plantar wart remover external padClear Away 1-Step Wart Remover

OTC

cvs psoriasis medicated external shampooSelsun Blue Deep Cleansing

OTC

cvs wart remover external liquid Compound W OTC

cvs wart remover external padClear Away 1-Step Wart Remover

OTC

cvs wart remover one step external strip Compound W for Kids OTC

cvs wart remover pen external gel Sal-Plant OTC

daily face wash external liquidClean & Clear Advantage 3-in-1

OTC

DR SCHOLLS CALLUS REM/DURAGEL EXTERNAL PAD

OTC

DUOFILM EXTERNAL SOLUTION OTC

eq wart remover external liquid Compound W OTC

gel callus removers external padClear Away 1-Step Wart Remover

OTC

GETS-IT CORN/CALLUS REMOVER EXTERNAL LIQUID

OTC

gnp wart remover external liquid Compound W OTC

liquid corn & callus remover external liquid Compound W OTC

liquid wart remover external liquid Compound W OTC

medicated callus removers external padClear Away 1-Step Wart Remover

OTC

medicated corn removers external padClear Away 1-Step Wart Remover

OTC

medicated wart removers external padClear Away 1-Step Wart Remover

OTC

MEDIPLAST EXTERNAL PAD OTC

MOSCO CALLUS/CORN REMOVER EXTERNAL SOLUTION

OTC

MOSCO CORN REMOVER MAX STR EXTERNAL PAD

OTC

NEUTROGENA RAPID CLEAR EXTERNAL PAD

OTC

ra acne cleanser oil-free external liquidClean & Clear Advantage 3-in-1

OTC

4

Page 5: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra corn removers ultra thin external padClear Away 1-Step Wart Remover

OTC

ra scalp itch/dandruff relief external liquid Psoriasin OTC

ra wart remover external gel Sal-Plant OTC

ra wart remover external padClear Away 1-Step Wart Remover

OTC

ra wart remover external solution Duofilm OTC

ra wart remover max strength external liquid Compound W OTC

SAL-PLANT EXTERNAL GEL OTC

SELSUN BLUE DEEP CLEANSING EXTERNAL SHAMPOO

OTC

SELSUN BLUE NATURALS DRY SCALP EXTERNAL SHAMPOO

OTC

STRI-DEX MAXIMUM STRENGTH EXTERNAL PAD

OTC

tgt wart remover external liquid Compound W OTC

therapeutic t+plus max st external shampooSelsun Blue Deep Cleansing

OTC

ultra thin corn removers external padClear Away 1-Step Wart Remover

OTC

wart remover external gel Sal-Plant OTC

wart remover maximum strength external gel Sal-Plant OTC

wart remover maximum strength external liquid

Compound W OTC

wart remover maximum strength external strip

Compound W for Kids OTC

ANALGÉSICOS - TÓPICOS

blue gel external gel Mineral Ice OTC

cvs therapeutic menthol external gel Mineral Ice OTC

gnp therapeutic blue external gel Mineral Ice OTC

ice blue external gel Mineral Ice OTC

mineral freez external gel Mineral Ice OTC

ANESTÉSICOS LOCALES TÓPICOS

afterburn external gel OTC

aloe vera burn relief external aerosol Solarcaine Cool Aloe OTC

aloe/lidocaine pain reliever external gel OTC

ANECREAM EXTERNAL CREAM OTC

ASPERCREME LIDOCAINE EXTERNAL LIQUID

OTC

5

Page 6: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ASPERCREME LIDOCAINE EXTERNAL PATCH

OTC

ASPERCREME MAX STRENGTH EXTERNAL AEROSOL

OTC

ASPERCREME PAIN RELIEF PATCH EXTERNAL PAD

OTC

ASPERCREME W/LIDOCAINE EXTERNAL CREAM

OTC

BENGAY LIDOCAINE EXTERNAL CREAM OTC

capsaicin external cream OTC

capsaicin external padAspercreme Pain Relief Patch

OTC

capsaicin hot patch external padAspercreme Pain Relief Patch

OTC

capsaicin hp external cream Zostrix HP OTC

capzix external cream Zostrix HP OTC

cooling external gel OTC

cvs aftersun aloe/lidocaine external gel OTC

cvs capsaicin hp external cream Zostrix HP OTC

cvs instant burn relief external aerosol Solarcaine Cool Aloe OTC

cvs lidocaine maximum strength external cream

Aspercreme w/Lidocaine OTC

cvs medicated heat patch external padAspercreme Pain Relief Patch

OTC

cvs pain relief external cream Aspercreme w/Lidocaine OTC

cvs pain relief external patch Aspercreme Lidocaine OTC

DOLOGESIC PAIN RELIEF ROLL-ON EXTERNAL LIQUID

OTC

eq capsaicin patch external padAspercreme Pain Relief Patch

OTC

eq lidocaine pain relieving external patch Aspercreme Lidocaine OTC

eq pain relieving external cream Aspercreme w/Lidocaine OTC

FIRST CARE PAIN RELIEF EXTERNAL PATCH

OTC

gnp burn relief external aerosol Solarcaine Cool Aloe OTC

gnp burn relief spray external aerosol Solarcaine Cool Aloe OTC

gnp capsaicin external cream Zostrix HP OTC

gnp lidocaine pain relief external patch Aspercreme Lidocaine OTC

GOLD BOND MULTI-SYMPTOM EXTERNAL CREAM

OTC

6

Page 7: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

hm lidocaine patch external patch Aspercreme Lidocaine OTC

LIDO KING EXTERNAL PATCH OTC

lidocaine external cream AneCream OTC

lidocaine external patch Aspercreme Lidocaine OTC

lidocaine hcl external cream Aspercreme w/Lidocaine OTC

lidocaine pain relief external patch Aspercreme Lidocaine OTC

lidocaine plus external cream Aspercreme w/Lidocaine OTC

LIDOCREAM EXTERNAL CREAM OTC

LIDODOSE EXTERNAL GEL OTC

LIDODOSE PEDIATRIC BULK PACK EXTERNAL GEL

OTC

LIPOCAINE 5 EXTERNAL CREAM OTC

NEUROMED7 EXTERNAL CREAM OTC

pain relief maximum strength external patch Aspercreme Lidocaine OTC

pain relief roll-on external liquid Aspercreme Lidocaine OTC

pain relieving external cream Aspercreme w/Lidocaine OTC

pain relieving lidocaine external patch Aspercreme Lidocaine OTC

qc lidocaine pain relief external patch Aspercreme Lidocaine OTC

ra aloe vera/lidocaine external gel OTC

ra burn relief aloe extra external aerosol Solarcaine Cool Aloe OTC

ra capsicum hot patch external padAspercreme Pain Relief Patch

OTC

ra lidocaine pain relieving external patch Aspercreme Lidocaine OTC

ra pain relief external cream Aspercreme w/Lidocaine OTC

REGENECARE HA EXTERNAL GEL OTC

REGENECARE HA EXTERNAL LIQUID OTC

RE-LIEVED MAXIMUM STRENGTH EXTERNAL PATCH

OTC

SOLARCAINE COOL ALOE EXTERNAL AEROSOL

OTC

sure result sr relief external cream OTC

theracare pain relief external patch Aspercreme Lidocaine OTC

xolido external cream OTC

xolido xp external cream Aspercreme w/Lidocaine OTC

ZOSTRIX HP EXTERNAL CREAM OTC

ANTIBIÓTICOS TÓPICOS

bacitracin external ointment Bacitraycin Plus OTC; QL

bacitracin zinc external ointment OTC; QL

7

Page 8: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

BACITRAYCIN PLUS EXTERNAL OINTMENT

OTC; QL

cvs bacitracin external ointment OTC; QL

cvs bacitracin zinc external ointment OTC; QL

eq bacitracin zinc external ointment OTC; QL

eql bacitracin zinc external ointment OTC; QL

gnp bacitracin zinc external ointment OTC; QL

hm bacitracin zinc external ointment OTC; QL

kp bacitracin zinc external ointment OTC; QL

qc bacitracin external ointment Bacitraycin Plus OTC; QL

ra bacitracin external ointment OTC; QL

ra bacitracin zinc first aid external ointment OTC; QL

sb bacitracin external ointment Bacitraycin Plus OTC; QL

sm antibiotic external ointment OTC; QL

ANTIMICÓTICOS - COMBINACIONES TÓPICAS

g-myco nail external solution Myco Nail OTC

MYCO NAIL EXTERNAL SOLUTION OTC

UNDELENIC EXTERNAL TINCTURE OTC

ANTIMICÓTICOS RELACIONADOS CON EL IMIDAZOL TÓPICOS

alevazol external ointment OTC

antifungal external cream Carrington Antifungal OTC

anti-fungal external cream Clotrimazole GRx OTC; QL

antifungal external powder Desenex OTC

athletes foot external powder Desenex OTC

athletes foot powder spray external aerosol powder

Cruex Prescription Strength

OTC

AZOLEN TINCTURE EXTERNAL SOLUTION

OTC

CARRINGTON ANTIFUNGAL EXTERNAL CREAM

OTC

CAVILON EXTERNAL CREAM OTC

clotrimazole af external cream Clotrimazole GRx OTC; QL

clotrimazole anti-fungal external cream Clotrimazole GRx OTC; QL

clotrimazole athletes foot external cream Clotrimazole GRx OTC

clotrimazole external cream Clotrimazole GRx OTC; QL

8

Page 9: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

clotrimazole external solutionFungiCure Intensive/NailGuard

OTC

CLOTRIMAZOLE GRX EXTERNAL CREAM

OTC; QL

CRUEX PRESCRIPTION STRENGTH EXTERNAL AEROSOL POWDER

OTC

cvs athletes foot external aerosol powderCruex Prescription Strength

OTC

cvs clotrimazole external cream Clotrimazole GRx OTC; QL

cvs clotrimazole external solutionFungiCure Intensive/NailGuard

OTC

cvs itch relief external cream Clotrimazole GRx OTC; QL

cvs ringworm external cream Clotrimazole GRx OTC; QL

DERMAFUNGAL EXTERNAL OINTMENT OTC

DESENEX EXTERNAL CREAM OTC; QL

DESENEX EXTERNAL POWDER OTC

DESENEX JOCK ITCH EXTERNAL AEROSOL POWDER

OTC

eq antifungal external cream Clotrimazole GRx OTC; QL

eq athletes foot external cream Clotrimazole GRx OTC; QL

eq athletes foot spray external aerosol powder

Cruex Prescription Strength

OTC

eq jock itch external cream Clotrimazole GRx OTC; QL

eql antifungal external cream Clotrimazole GRx OTC; QL

eql athletes foot external cream Clotrimazole GRx OTC; QL

FUNGICURE INTENSIVE/NAILGUARD EXTERNAL SOLUTION

OTC

FUNGOID TINCTURE EXTERNAL SOLUTION

OTC

gnp athletes foot external aerosol powderCruex Prescription Strength

OTC

gnp athletes foot external cream Clotrimazole GRx OTC; QL

gnp miconazole nitrate external aerosol powder

Cruex Prescription Strength

OTC

gnp miconazorb af external powder Desenex OTC

jock itch external cream Clotrimazole GRx OTC; QL

jock itch relief external cream Clotrimazole GRx OTC; QL

kp clotrimazole external cream Clotrimazole GRx OTC; QL

kp miconazole nitrate external cream Carrington Antifungal OTC

9

Page 10: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

LOTRIMIN AF DEODORANT POWDER EXTERNAL AEROSOL POWDER

OTC

LOTRIMIN AF EXTERNAL AEROSOL OTC

LOTRIMIN AF EXTERNAL CREAM OTC; QL

LOTRIMIN AF EXTERNAL POWDER OTC

LOTRIMIN AF JOCK ITCH EXTERNAL CREAM

OTC; QL

LOTRIMIN AF JOCK ITCH POWDER EXTERNAL AEROSOL POWDER

OTC

LOTRIMIN AF POWDER EXTERNAL AEROSOL POWDER

OTC

micaderm external cream Carrington Antifungal OTC

MICATIN EXTERNAL CREAM OTC

miconazole antifungal external cream Carrington Antifungal OTC

miconazole nitrate external cream Carrington Antifungal OTC

MICRO GUARD EXTERNAL POWDER OTC

NIZORAL A-D EXTERNAL SHAMPOO OTC

podactin external cream Carrington Antifungal OTC

pro-ex antifungal external cream Clotrimazole GRx OTC; QL

px athletic foot external cream Clotrimazole GRx OTC; QL

qc clotrimazole external cream Clotrimazole GRx OTC; QL

ra antifungal external cream Carrington Antifungal OTC

ra atheletes foot external aerosol powderCruex Prescription Strength

OTC

ra athletes foot external cream Clotrimazole GRx OTC; QL

ra clotrimazole external cream Clotrimazole GRx OTC; QL

ra jock itch external cream Clotrimazole GRx OTC; QL

REMEDY ANTIFUNGAL EXTERNAL CREAM

OTC

REMEDY ANTIFUNGAL EXTERNAL POWDER

OTC

REMEDY PHYTOPLEX ANTIFUNGAL EXTERNAL OINTMENT

OTC

REMEDY PHYTOPLEX ANTIFUNGAL EXTERNAL POWDER

OTC

sb clotrimazole foot external cream Clotrimazole GRx OTC; QL

SHOPKO ATHLETES FOOT EXTERNAL CREAM

OTC; QL

sm antifungal clotrimazole external cream Clotrimazole GRx OTC; QL

10

Page 11: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm antifungal miconazole external cream Carrington Antifungal OTC

SOOTHE & COOL INZO ANTIFUNGAL EXTERNAL CREAM

OTC

TETTERINE EXTERNAL OINTMENT OTC

tgt clotrimazole external cream Clotrimazole GRx OTC; QL

TINEACIDE EXTERNAL CREAM OTC

triple paste af external ointment DermaFungal OTC

ZEASORB-AF EXTERNAL POWDER OTC

ANTIMICÓTICOS TÓPICOS

antifungal external aerosol Tinactin OTC

antifungal external cream Fungoid-D OTC

anti-fungal external powder Odor Eaters Antifungal OTC

athletes foot af external cream LamISIL AT OTC

athletes foot external cream LamISIL AT OTC

athletes foot powder spray external aerosol powder

Odor Eaters Foot/Sneaker Spray

OTC

athletes foot spray external aerosol Tinactin OTC

BLIS-TO-SOL EXTERNAL LIQUID OTC

cvs af spray powder external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

cvs antifungal external cream Fungoid-D OTC

cvs antifungal maximum str external liquidElon Dual Defense Anti-Fungal

OTC

cvs athletes foot external cream LamISIL AT OTC

cvs foot & sneaker external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

cvs jock itch external cream LamISIL AT OTC

ELON DUAL DEFENSE ANTI-FUNGAL EXTERNAL LIQUID

OTC

eq athletes foot (terbinafine) external cream LamISIL AT OTC

eq athletes foot (tolnaftate) external cream Fungoid-D OTC

eq athletes foot external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

eq tolnaftate external aerosol Tinactin OTC

eql antifungal (tolnaftate) external cream Fungoid-D OTC

eql athletes foot(terbinafine) external cream LamISIL AT OTC

fungi-guard external cream Fungoid-D OTC

FUNGI-NAIL EXTERNAL SOLUTION OTC

11

Page 12: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

FUNGOID-D EXTERNAL CREAM OTC

gnp terbinafine hydrochloride external cream LamISIL AT OTC

gnp tolnaftate external cream Fungoid-D OTC

GORDOCHOM EXTERNAL SOLUTION OTC

HONGO CURA ANTI-FUNGAL EXTERNAL LIQUID

OTC

jock itch spray external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

jock itch spray powder external aerosol powder

Odor Eaters Foot/Sneaker Spray

OTC

kp terbinafine hydrochloride external cream LamISIL AT OTC

kp tolnaftate external cream Fungoid-D OTC

LAMISIL AT EXTERNAL CREAM OTC

LAMISIL AT JOCK ITCH EXTERNAL CREAM

OTC

medicated anti-fungal external solution Blis-To-Sol OTC

MYCO NAIL A EXTERNAL SOLUTION OTC

odor control foot & sneaker external aerosol powder

Odor Eaters Foot/Sneaker Spray

OTC

ODOR EATERS ANTIFUNGAL EXTERNAL POWDER

OTC

ODOR EATERS FOOT/SNEAKER SPRAY EXTERNAL AEROSOL POWDER

OTC

podactin external powder Odor Eaters Antifungal OTC

qc athletes foot external cream LamISIL AT OTC

qc tolnaftate external cream Fungoid-D OTC

ra antifungal external aerosol Tinactin OTC

ra antifungal foot care external cream LamISIL AT OTC

ra anti-fungal foot care external solution Fungi-Nail OTC

ra athletes foot (tolnaftate) external cream Fungoid-D OTC

ra foot care antifungal external cream LamISIL AT OTC

ra jock itch max st external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

sb anti-fungal external cream Fungoid-D OTC

sm antifungal tolnaftate external cream Fungoid-D OTC

sm athletes foot external cream LamISIL AT OTC

terbinafine hcl external cream LamISIL AT OTC

tgt antifungal external cream Fungoid-D OTC

12

Page 13: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

tgt antifungal spray powder external aerosol powder

Odor Eaters Foot/Sneaker Spray

OTC

tgt athletes foot external cream LamISIL AT OTC

TINACTIN DEODORANT EXTERNAL AEROSOL POWDER

OTC

TINACTIN EXTERNAL AEROSOL OTC

TINACTIN EXTERNAL AEROSOL POWDER

OTC

TINACTIN EXTERNAL CREAM OTC

TINACTIN JOCK ITCH EXTERNAL AEROSOL POWDER

OTC

tolnaftate antifungal external cream Fungoid-D OTC

tolnaftate external aerosol powderOdor Eaters Foot/Sneaker Spray

OTC

tolnaftate external cream Fungoid-D OTC

tolnaftate external powder Odor Eaters Antifungal OTC

ANTIVIRALES - TÓPICOS

ABREVA EXTERNAL CREAM OTC; QL

APÓSITOS PARA HERIDAS

EXCEL-GEL EXTERNAL GEL OTC

ASTRINGENTES

calamine external lotion OTC

calamine phenolated external lotion OTC

cvs diaper rash external ointment Boudreauxs Butt Paste OTC; QL

cvs zinc oxide external ointment OTC; QL

diaper rash external ointment Boudreauxs Butt Paste OTC; QL

eql baby basics diaper rash external ointment

Boudreauxs Butt Paste OTC; QL

gnp calamine phenolated external lotion OTC

gnp diaper rash creamy external ointment Dr Smiths Adult Barrier OTC

gnp zinc oxide external ointment OTC; QL

HYPERCARE EXTERNAL SOLUTION OTC

meijer calamine external lotion OTC

meijer zinc oxide external ointment OTC; QL

qc calamine external lotion OTC

ra zinc oxide external ointment OTC; QL

sm calamine external lotion OTC

sm calamine phenolated external lotion OTC

13

Page 14: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

zinc oxide external ointment OTC; QL

COMBINACIONES ANESTÉSICAS TÓPICAS

allevess external patch OTC

reliever external patch OTC

COMBINACIONES DE ANTISEBORREICOS

sebex external shampoo Sebulex OTC

COMBINACIONES DE EMOLIENTES

mineral oil-hydrophil petrolat external ointment

OTC

COMBINACIONES DE ESCABICIDAS

complete lice treatment combination kit CVS Lice Solution OTC; QL

cvs lice killing external shampoo Licide OTC

CVS LICE SOLUTION COMBINATION KIT OTC; QL

eq lice killing max st external shampoo Licide OTC

eql lice killing max st external shampoo Licide OTC

gnp lice treatment external shampoo Licide OTC

hm lice killing max st external shampoo Licide OTC

lice killing external shampoo Licide OTC

lice killing maximum strength external shampoo

Licide OTC

LICIDE COMPLETE LICE TREATMENT COMBINATION KIT

OTC; QL

LICIDE MAXIMUM STRENGTH EXTERNAL LIQUID

OTC; QL

ra lice maximum strength external shampoo Licide OTC

ra lice solution combination kit OTC; QL

RID COMPLETE LICE ELIMINATION COMBINATION KIT

OTC; QL

sb lice killing max st external shampoo Licide OTC

sm lice killing external shampoo Licide Maximum Strength OTC; QL

sm lice killing max strength external shampoo

Licide OTC

sm lice solution kit combination kit CVS Lice Solution OTC; QL

stop lice complete treatment combination kit CVS Lice Solution OTC; QL

14

Page 15: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

stop lice maximum strength external liquid Licide Maximum Strength OTC; QL

COMBINACIONES DE ESTEROIDES TÓPICOS

CORTIZONE-10 INTENSIVE HEALING EXTERNAL CREAM

OTC; QL

CORTIZONE-10 PLUS EXTERNAL CREAM

OTC; QL

CORTIZONE-10/ALOE EXTERNAL CREAM

OTC; QL

gnp hydrocortisone/aloe external creamCortizone-10 Intensive Healing

OTC; QL

hm hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

hm hydrocortisone-aloe max st external cream

Cortizone-10 Intensive Healing

OTC; QL

hydrocortisone-aloe external cream OTC; QL

kls hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

kp hydrocortisone-aloe external cream OTC; QL

ra hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

sm hydrocortisone plus external creamCortizone-10 Intensive Healing

OTC; QL

sm hydrocortisone-aloe max st external cream

Cortizone-10 Intensive Healing

OTC; QL

COMBINACIONES DE LINIMENTOS

BIO-THERM PAIN RELIEVING EXTERNAL LOTION

OTC

DOULEURIN EXTERNAL LOTION OTC

MENTHOZEN EXTERNAL CREAM OTC

XOTEN-C EXTERNAL LOTION OTC

COMBINACIONES TÓPICAS VARIAS

calamine-zinc oxide external suspension OTC

gnp calamine external lotion OTC

goodsense calamine external suspension OTC

hm calamine external lotion OTC

ra calamine external suspension OTC

15

Page 16: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

CORTICOESTEROIDES - TÓPICOS

ala-cort external cream Aveeno Anti-Itch Max St QL

anti-itch maximum strength external cream Aveeno Anti-Itch Max St OTC; QL

AVEENO ANTI-ITCH MAX ST EXTERNAL CREAM

OTC; QL

CORTAID MAXIMUM STRENGTH EXTERNAL CREAM

OTC; QL

CURAD HYDROCORTISONE EXTERNAL CREAM

OTC; QL

cvs anti-itch maximum strength external cream

Aveeno Anti-Itch Max St OTC; QL

cvs cortisone intense healing external cream Aveeno Anti-Itch Max St OTC; QL

cvs cortisone maximum strength external cream

Aveeno Anti-Itch Max St OTC; QL

cvs eczema anti-itch external cream Aveeno Anti-Itch Max St OTC; QL

cvs hydrocortisone anti-itch external cream Aveeno Anti-Itch Max St OTC; QL

cvs hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

eq hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

eq hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

eq hydrocortisone plus external cream Aveeno Anti-Itch Max St OTC; QL

eql anti-itch intensive heal external cream Aveeno Anti-Itch Max St OTC; QL

eql anti-itch maximum strength external cream

Aveeno Anti-Itch Max St OTC; QL

eql anti-itch maximum strength external ointment

Cortizone-10 OTC

gnp hydrocortisone external cream OTC; QL

gnp hydrocortisone max st external ointment Cortizone-10 OTC

gnp hydrocortisone plus external cream Aveeno Anti-Itch Max St OTC; QL

hydrocortisone anti-itch external cream Aveeno Anti-Itch Max St OTC; QL

hydrocortisone external cream OTC; QL

hydrocortisone external ointment OTC

hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

hydrocortisone max st/12 moist external cream

Aveeno Anti-Itch Max St OTC; QL

hydrocortisone plus external cream Aveeno Anti-Itch Max St OTC; QL

KERICORT 10 EXTERNAL CREAM PA; OTC; QL

kp hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

kp hydrocortisone max st external ointment Cortizone-10 OTC

meijer hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

16

Page 17: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

NOBLE FORMULA HC EXTERNAL CREAM

OTC; QL

PREPARATION H EXTERNAL CREAM OTC; QL

px hydrocream external cream Aveeno Anti-Itch Max St OTC; QL

ra anti-itch maximum strength external cream

Aveeno Anti-Itch Max St OTC; QL

ra anti-itch maximum strength external ointment

Cortizone-10 OTC

ra hydrocortisone max st external cream Aveeno Anti-Itch Max St OTC; QL

ra hydrocortisone plus 12 external cream Aveeno Anti-Itch Max St OTC; QL

recort plus external cream Aveeno Anti-Itch Max St OTC; QL

sb hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

sb hydrocortisone max st external ointment Cortizone-10 OTC

scalp relief maximum strength external solution

Scalpicin Maximum Strength

OTC

SCALPICIN MAXIMUM STRENGTH EXTERNAL SOLUTION

OTC

sm hydrocortisone external cream Aveeno Anti-Itch Max St OTC; QL

sm hydrocortisone external ointment OTC

sm hydrocortisone max st external ointment Cortizone-10 OTC

tgt anti-itch plus oatmeal external cream Aveeno Anti-Itch Max St OTC; QL

tgt anti-itch/aloe/vit e external cream Aveeno Anti-Itch Max St OTC; QL

EMOLIENTES

AL12 EXTERNAL LOTION OTC

alph-e-cream external cream OTC

AMLACTIN EXTERNAL LOTION OTC

ammonium lactate external cream Geri-Hydrolac 12 OTC; QL

AQUA GLYCOLIC FACE EXTERNAL CREAM

OTC

beta care external cream Aqua Glycolic Face OTC

beta care external lotion Cam OTC

CAM EXTERNAL LOTION OTC

CERAVE PM EXTERNAL LOTION OTC

CETAPHIL MOISTURIZING EXTERNAL CREAM

OTC

cvs advanced healing external ointment DermaPhor OTC

cvs hydrating skin treatment external lotion AL12 OTC

cvs moisturizing external cream Aqua Glycolic Face OTC

17

Page 18: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs moisturizing external lotion Cam OTC

cvs moisturizing extra dry external cream Aqua Glycolic Face OTC

cvs skin treatment external lotion AL12 OTC

cvs special care external lotion Cam OTC

cvs vitamin a&d external ointment Curad Vitamin A & D OTC

cvs vitamin e external oil OTC

cvs vitamin e moisturizing external cream GRX Vitamin E OTC

DERMABASE EXTERNAL CREAM OTC

DERMAPHOR EXTERNAL OINTMENT OTC

DERMAVANTAGE EXTERNAL LOTION OTC

dry skin treatment external ointment DermaPhor OTC

e-cream complex external cream OTC

e-oil external oil OTC

EUCERIN ORIGINAL HEALING EXTERNAL LOTION

OTC

GERI-HYDROLAC 12 EXTERNAL CREAM OTC; QL

GERI-HYDROLAC 12 EXTERNAL LOTION OTC

GERI-HYDROLAC 5 EXTERNAL LOTION OTC

glycerin external liquid OTC

gnp glycerin external liquid OTC

gnp vitamin a & d external ointment Curad Vitamin A & D OTC

GORDONS-VITE A EXTERNAL CREAM OTC

gordons-vite e external cream GRX Vitamin E OTC

hm glycerin external liquid OTC

HYDROLATUM EXTERNAL OINTMENT OTC

leader finger cream external cream Aqua Glycolic Face OTC

LUBRIDERM SKIN NOURISHING EXTERNAL LOTION

OTC

LUBRISILK EXTERNAL LOTION OTC

LUBRISKIN EXTERNAL LOTION OTC

LUBRISOFT EXTERNAL LOTION OTC

MINERIN EXTERNAL LOTION OTC

natural oatmeal bath treatment external packet

Aveeno Baby Bath Treatment

OTC

PENTRAVAN EXTERNAL CREAM OTC

ra gentle skin external lotion Cam OTC

ra hydrating healing external ointment DermaPhor OTC

ra moisturizing oatmeal external lotion Cam OTC

18

Page 19: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra moisturizing therapy external cream Aqua Glycolic Face OTC

ra vitamin a & d external ointment Curad Vitamin A & D OTC

ra vitamin e external oil OTC

ra vitamin e-vit a & d external cream OTC

sm glycerin external liquid OTC

sm oatmeal bath external packetAveeno Baby Bath Treatment

OTC

thera-derm external lotion Cam OTC

VANICREAM EXTERNAL CREAM OTC

vitamin a & d external ointment Curad Vitamin A & D OTC

vitamin a&d external ointment Curad Vitamin A & D OTC

vitamin e external cream OTC

vitamin e skin external cream OTC

vitamin e skin external oil OTC

vitamins a & d external ointment Curad Vitamin A & D OTC

ESCABICIDAS Y PEDICULICIDAS

bedding spray lice treatment aerosol Licide OTC

cvs bedding spray lice treat aerosol Licide OTC

cvs lice treatment external liquid Nix Creme Rinse OTC; QL

gnp lice bedding aerosol Licide OTC

gnp lice treatment external liquid Nix Creme Rinse OTC; QL

hm lice treatment external liquid Nix Creme Rinse OTC; QL

lice treatment external liquid Nix Creme Rinse OTC; QL

lice treatment external lotion OTC; QL

ra lice bedding aerosol Licide OTC

ra lice treatment external lotion OTC; QL

sb lice treatment external liquid Nix Creme Rinse OTC; QL

sm bedding lice treatment aerosol Licide OTC

sm lice treatment external lotion OTC; QL

JABONES

AQUA GLYCOLIC SHAMPOO/BODY EXTERNAL LIQUID

OTC

CERAVE HYDRATING CLEANSER EXTERNAL LIQUID

OTC

LIMPIADORES DE ACNÉ

ra acne maximum external pad OTC

19

Page 20: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

LIMPIADORES PARA LA PIEL

alcohol wipes external OTC

cvs isopropyl alcohol wipes external OTC

ra isopropyl alcohol wipes external OTC

LINIMENTOS

sm arthricream rub external cream Aspercreme/Aloe OTC

LUBRICANTES

AQUA LUBE EXTERNAL GEL OTC

MEZCLAS DE ANTIBIÓTICOS TÓPICOS

cvs antibiotic external ointment Curad Triple Antibiotic OTC; QL

cvs antibiotic pain/scar external ointmentNeosporin + Pain Relief Max St

OTC; QL

cvs poly bacitracin external ointment Neosporin OTC

cvs triple antibiotic/pain external ointmentNeosporin + Pain Relief Max St

OTC; QL

double antibiotic external ointment Neosporin OTC

eq triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

eql first aid antibiotic external ointmentNeosporin + Pain Relief Max St

OTC; QL

gnp triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

gnp triple antibiotic plus external ointmentNeosporin + Pain Relief Max St

OTC; QL

hm double antibiotic external ointment Neosporin OTC

hm triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

hm triple antibiotic max st external ointmentNeosporin + Pain Relief Max St

OTC; QL

kp double antibiotic external ointment Neosporin OTC

NEOSPORIN + PAIN RELIEF MAX ST EXTERNAL OINTMENT

OTC; QL

NEOSPORIN + PAIN/ITCH/SCAR EXTERNAL OINTMENT

OTC; QL

NEOSPORIN EXTERNAL OINTMENT OTC

NEOSPORIN/BURN RELIEF EXTERNAL OINTMENT

OTC; QL

poly bacitracin external ointment Neosporin OTC

px triple external ointment Curad Triple Antibiotic OTC; QL

ra antibiotic/pain relief external ointmentNeosporin + Pain Relief Max St

OTC; QL

20

Page 21: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra double antibiotic external ointment Neosporin OTC

ra triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

ra triple antibiotic plus external ointmentNeosporin + Pain Relief Max St

OTC; QL

sb triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

sm double antibiotic external ointment Neosporin OTC

sm triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

sm triple antibiotic max st external ointmentNeosporin + Pain Relief Max St

OTC; QL

sm triple antibiotic original external ointment Curad Triple Antibiotic OTC; QL

tri-biozene external ointmentNeosporin + Pain Relief Max St

OTC; QL

triple antibiotic external ointment Curad Triple Antibiotic OTC; QL

triple antibiotic pain relief external ointmentNeosporin + Pain Relief Max St

OTC; QL

triple antibiotic plus external ointmentNeosporin + Pain Relief Max St

OTC; QL

triple antibiotic plus max st external ointmentNeosporin + Pain Relief Max St

OTC; QL

triple antibiotic+pain relief external ointmentNeosporin + Pain Relief Max St

OTC; QL

wal-sporin external ointment Neosporin OTC

PRODUCTOS ANTISEBORREICOS

anti-dandruff external shampoo Selsun Blue Daily OTC

SELSUN BLUE DAILY EXTERNAL LOTION

OTC

PRODUCTOS DE BAÑO

CAMEO OIL EXTERNAL OIL OTC

MAPO BATH EXTERNAL OIL OTC

RA RENEWAL SHOWER & BATH EXTERNAL OIL

OTC

PRODUCTOS PARA EL ACNÉ

acne foaming wash external liquid PanOxyl Foaming Wash OTC

acne medication 10 external gelClean & Clear Persa-Gel Max St

OTC; QL

acne medication 10 external lotion OTC; QL

acne medication 5 external gel OTC

acne medication 5 external lotion OTC; QL

acne treatment external bar OTC

21

Page 22: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

acne treatment external gelClean & Clear Persa-Gel Max St

OTC; QL

acne-clear external gelClean & Clear Persa-Gel Max St

OTC; QL

advanced acne wash external liquid extended release

OTC

benzoyl peroxide external foam BenzePrO OTC

benzoyl peroxide external gel 10 %Clean & Clear Persa-Gel Max St

OTC; QL

benzoyl peroxide external gel 2.5 %, 5 % OTC

benzoyl peroxide wash external liquid 10 % PanOxyl Foaming Wash OTC

benzoyl peroxide wash external liquid 5 % Benzac AC Wash OTC; QL

bp gel external gel 10 %Clean & Clear Persa-Gel Max St

OTC; QL

bp gel external gel 5 % OTC

bp wash external liquid 10 % PanOxyl Foaming Wash OTC

bp wash external liquid 5 % Benzac AC Wash OTC; QL

CLEAN & CLEAR PERSA-GEL MAX ST EXTERNAL GEL

OTC; QL

cvs acne cleansing external bar OTC

cvs acne control cleanser external cream Clean & Clear Continuous OTC

cvs acne external cream Clean & Clear Continuous OTC

cvs acne foaming face wash external liquid PanOxyl Foaming Wash OTC

cvs acne treatment external gelClean & Clear Persa-Gel Max St

OTC; QL

cvs creamy acne face wash external liquid PanOxyl Creamy Wash OTC

cvs foaming acne face wash external liquid PanOxyl Foaming Wash OTC

cvs targeted acne spot external cream Neutrogena On-The-Spot OTC

DIFFERIN EXTERNAL GEL OTC; QL

kp benzoyl peroxide external gelClean & Clear Persa-Gel Max St

OTC; QL

kp benzoyl peroxide wash external liquid Benzac AC Wash OTC; QL

NEUTROGENA ON-THE-SPOT EXTERNAL CREAM

OTC

PANOXYL CREAMY WASH EXTERNAL LIQUID

OTC

PANOXYL FOAMING WASH EXTERNAL LIQUID

OTC

ra acne treatment external cream Clean & Clear Continuous OTC

22

Page 23: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

RA RENEWAL ACNE TREATMENT EXTERNAL GEL

OTC; QL

spot acne treatment external cream Neutrogena On-The-Spot OTC

PRODUCTOS PARA EL TRATAMIENTO DE CICATRICES

cvs scar external gel Celacyn OTC

ra scar external gel Celacyn OTC

scar gel external gel Celacyn OTC

PRODUCTOS PARA LA DERMATITIS DEL PAÑAL

A+D PREVENT EXTERNAL OINTMENT OTC

cvs pediatric ointment external ointment A+D Prevent OTC

PROTECTORES PARA LA PIEL

AMEDA TRIPLE ZERO LANOLIN EXTERNAL CREAM

OTC

AMERIPHOR EXTERNAL OINTMENT OTC; QL

AVEENO INTENSE RELIEF EXTERNAL CREAM

OTC

cvs daily moisturizing external lotion Aveeno Daily Moisturizing OTC

DERMACERIN EXTERNAL CREAM OTC; QL

hydrocerin external cream DermaCerin OTC; QL

hydrocerin external lotion Amerigel Barrier OTC

LAN-O-SOOTHE EXTERNAL CREAM OTC

LANSINOH LANOLIN EXTERNAL CREAM OTC

LANSINOH LANOLIN MINIS NIPPLE EXTERNAL CREAM

OTC

LANSINOH LANOLIN NIPPLE EXTERNAL CREAM

OTC

mineral oil light external oil OTC

MINERIN EXTERNAL CREAM OTC; QL

RA RENEWAL ADVANCED HEALING EXTERNAL OINTMENT

OTC; QL

SORBIDON HYDRATE EXTERNAL CREAM

OTC; QL

23

Page 24: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

AGENTES DIARRÉICOS/PROBIÓTICOS

AGENTES ANTIDIARRÉICOS/PROBIÓTICOS VARIOS

bismatrol maximum strength oral suspensionKaopectate Extra Strength

OTC

bismatrol oral suspension Kaopectate OTC; QL

bismatrol oral tablet chewable Pepto-Bismol OTC

bismuth oral tablet chewable Pepto-Bismol OTC

bismuth subsalicylate oral tablet chewable Pepto-Bismol OTC

cvs bismuth oral tablet chewable Pepto-Bismol OTC

cvs stomach relief max st oral suspensionKaopectate Extra Strength

OTC

cvs stomach relief oral suspension 525 mg/15ml

Kaopectate Extra Strength

OTC

cvs stomach relief oral suspension 525 mg/30ml

Kaopectate OTC; QL

cvs stomach relief oral tablet Soothe OTC

cvs stomach relief oral tablet chewable Pepto-Bismol OTC

diarrhea oral suspension Kaopectate OTC; QL

eq pink-bismuth oral tablet chewable Pepto-Bismol OTC

eq stomach relief oral suspension Kaopectate OTC; QL

eq stomach relief oral tablet chewable Pepto-Bismol OTC

eql stomach relief max st oral suspensionKaopectate Extra Strength

OTC

eql stomach relief oral suspension Kaopectate OTC; QL

eql stomach relief oral tablet chewable Pepto-Bismol OTC

gnp k-pec oral suspension Kaopectate OTC; QL

gnp pink bismuth oral tablet Soothe OTC

gnp pink bismuth oral tablet chewable Pepto-Bismol OTC

gnp stomach relief max st oral suspensionKaopectate Extra Strength

OTC

gnp stomach relief oral suspension Kaopectate OTC; QL

goodsense stomach relief oral suspension1050 mg/30ml

Kaopectate Extra Strength

OTC

goodsense stomach relief oral suspension525 mg/30ml

Kaopectate OTC; QL

24

Page 25: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

goodsense stomach relief oral tablet chewable

Pepto-Bismol OTC

hm stomach relief max strength oral suspension

Kaopectate Extra Strength

OTC

hm stomach relief oral suspension Kaopectate OTC; QL

hm stomach relief oral tablet chewable Pepto-Bismol OTC

hm stomach relief ultra oral suspensionKaopectate Extra Strength

OTC

KAOPECTATE EXTRA STRENGTH ORAL SUSPENSION

OTC

KAOPECTATE ORAL SUSPENSION OTC; QL

medi-bismuth oral tablet chewable Pepto-Bismol OTC

peptic relief oral tablet chewable Pepto-Bismol OTC

PEPTO-BISMOL ORAL TABLET CHEWABLE

OTC

PEPTO-BISMOL TO-GO ORAL TABLET CHEWABLE

OTC

pink bismuth maximum strength oral suspension

Kaopectate Extra Strength

OTC

pink bismuth oral suspension Kaopectate OTC; QL

px stomach relief max st oral suspensionKaopectate Extra Strength

OTC

px stomach relief oral suspension Kaopectate OTC; QL

px stomach relief oral tablet chewable Pepto-Bismol OTC

qc diarrhea relief oral suspension Kaopectate OTC; QL

qc pink bismuth oral tablet Soothe OTC

qc pink bismuth oral tablet chewable Pepto-Bismol OTC

ra pink bismuth oral tablet Soothe OTC

ra pink bismuth oral tablet chewable Pepto-Bismol OTC

ra stomach relief max st oral suspensionKaopectate Extra Strength

OTC

ra stomach relief oral suspension Kaopectate OTC; QL

ra stomach relief oral tablet chewable Pepto-Bismol OTC

sb bismuth oral tablet Soothe OTC

sm stomach relief oral suspension Kaopectate OTC; QL

sm stomach relief oral tablet Soothe OTC

sm stomach relief oral tablet chewable Pepto-Bismol OTC

SOOTHE MAXIMUM STRENGTH ORAL SUSPENSION

OTC

25

Page 26: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

SOOTHE ORAL SUSPENSION OTC; QL

SOOTHE ORAL TABLET OTC

SOOTHE ORAL TABLET CHEWABLE OTC

stomach relief max st oral suspensionKaopectate Extra Strength

OTC

stomach relief oral suspension 262 mg/15ml, 525 mg/30ml

Kaopectate OTC; QL

stomach relief oral suspension 525 mg/15mlKaopectate Extra Strength

OTC

stomach relief oral tablet chewable Pepto-Bismol OTC

stomach relief plus oral suspensionKaopectate Extra Strength

OTC

AGENTES GASTROINTESTINALES VARIOS

AGENTES AGLUTINANTES DEL FOSFATO

CALPHRON ORAL TABLET OTC

ANTIFLATULENTOS

BICARSIM FORTE ORAL TABLET OTC

cvs gas relief drops ex st oral liquid Gas-X Infant Drops OTC

cvs gas relief extra strength oral capsule Gas-X Extra Strength OTC

cvs gas relief extra strength oral tablet chewable

Phazyme OTC

cvs gas relief infants oral suspensionLittle Remedies for Tummys

OTC

cvs gas relief oral capsule Gas-X Extra Strength OTC

cvs gas relief oral tablet chewable Gas-X OTC

cvs gas relief ultra strength oral capsule Gas-X Ultra Strength OTC

cvs infants gas relief oral suspensionLittle Remedies for Tummys

OTC

drxchoice gas relief oral tablet chewable Gas-X OTC

eq gas relief extra strength oral tablet chewable

Phazyme OTC

eq gas relief oral capsule Gas-X Extra Strength OTC

eq gas relief oral tablet chewable Phazyme OTC

eq infants gas relief oral suspensionLittle Remedies for Tummys

OTC

eql gas gone oral tablet chewable Phazyme OTC

eql gas relief oral capsule Gas-X Extra Strength OTC

26

Page 27: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eql gas relief ultra strength oral capsule Gas-X Ultra Strength OTC

eql infants gas relief oral suspensionLittle Remedies for Tummys

OTC

gas relief drops infants oral suspensionLittle Remedies for Tummys

OTC

gas relief extra strength oral capsule Gas-X Extra Strength OTC

gas relief extra strength oral tablet chewable Phazyme OTC

gas relief infants oral liquid Gas-X Infant Drops OTC

gas relief infants oral suspensionLittle Remedies for Tummys

OTC

gas relief oral capsule Gas-X Ultra Strength OTC

gas relief oral liquid Gas-X Infant Drops OTC

gas relief oral suspensionLittle Remedies for Tummys

OTC

gas relief oral tablet chewable Gas-X OTC

gas relief ultra strength oral capsule Gas-X Ultra Strength OTC

GAS-X EXTRA STRENGTH ORAL CAPSULE

OTC

GAS-X INFANT DROPS ORAL LIQUID OTC

gnp anti-gas oral capsule Gas-X Ultra Strength OTC

gnp gas relief extra strength oral capsule Gas-X Extra Strength OTC

gnp gas relief extra strength oral tablet chewable

Phazyme OTC

gnp gas relief max st oral tablet chewable Phazyme OTC

gnp gas relief oral tablet chewable Gas-X OTC

gnp infant gas relief oral suspensionLittle Remedies for Tummys

OTC

gnp infants gas relief oral suspensionLittle Remedies for Tummys

OTC

goodsense gas relief oral tablet chewable Phazyme OTC

hm gas relief extra strength oral capsule Gas-X Extra Strength OTC

hm gas relief infants drops oral suspensionLittle Remedies for Tummys

OTC

hm gas relief oral tablet chewable Phazyme OTC

infants gas relief oral suspensionLittle Remedies for Tummys

OTC

infants simethicone oral suspensionLittle Remedies for Tummys

OTC

LITTLE REMEDIES FOR TUMMYS ORAL SUSPENSION

OTC

27

Page 28: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

LITTLE TUMMYS GAS RELIEF ORAL SUSPENSION

OTC

mi-acid gas relief oral tablet chewable Gas-X OTC

MOMMY'S BLISS GAS RELIEF DROPS ORAL SUSPENSION

OTC

mytab gas oral tablet chewable Gas-X OTC

PEDIACARE INFANTS GAS RELIEF ORAL SUSPENSION

OTC

PHAZYME ORAL TABLET CHEWABLE OTC

px gas relief extra strength oral capsule Gas-X Extra Strength OTC

px gas relief infants oral suspensionLittle Remedies for Tummys

OTC

px gas relief ultra strength oral capsule Gas-X Ultra Strength OTC

qc anti-gas oral capsule Gas-X Ultra Strength OTC

qc gas relief extra strength oral tablet chewable

Phazyme OTC

qc gas relief oral capsule Gas-X Extra Strength OTC

qc gas relief oral tablet chewable Gas-X OTC

ra gas relief extra strength oral capsule Gas-X Extra Strength OTC

ra gas relief extra strength oral tablet chewable

Phazyme OTC

ra gas relief maximum strength oral tablet chewable

Phazyme OTC

ra gas relief oral capsule Gas-X Extra Strength OTC

ra gas relief oral suspensionLittle Remedies for Tummys

OTC

ra gas relief oral tablet chewable Gas-X OTC

ra gas relief/infants oral suspensionLittle Remedies for Tummys

OTC

sb gas relief oral suspensionLittle Remedies for Tummys

OTC

sb gas relief oral tablet chewable Phazyme OTC

simeped oral suspensionLittle Remedies for Tummys

OTC

simethicone extra strength oral capsule Gas-X Extra Strength OTC

simethicone oral capsule Gas-X Extra Strength OTC

simethicone oral suspensionLittle Remedies for Tummys

OTC

simethicone oral tablet chewable Phazyme OTC

sm gas relief antiflatuent oral capsule Gas-X Ultra Strength OTC

28

Page 29: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm gas relief extra strength oral capsule Gas-X Extra Strength OTC

sm gas relief infants drops oral suspensionLittle Remedies for Tummys

OTC

sm gas relief infants oral suspensionLittle Remedies for Tummys

OTC

sm gas relief oral tablet chewable Gas-X OTC

tgt gas relief extra strength oral capsule Gas-X Extra Strength OTC

tgt gas relief extra strength oral tablet chewable

Phazyme OTC

tgt gas relief infants oral liquid Gas-X Infant Drops OTC

AGENTES GENITOURINARIOS VARIOS

ANALGÉSICOS URINARIOS

cvs urinary pain relief oral tablet AZO Urinary Pain Relief OTC

eq urinary pain relief oral tablet AZO Urinary Pain Relief OTC

gnp urinary pain relief oral tablet AZO Urinary Pain Relief OTC

ra urinary pain relief oral tablet AZO Urinary Pain Relief OTC

sm urinary pain relief oral tablet AZO Urinary Pain Relief OTC

urinary pain relief oral tablet AZO Urinary Pain Relief OTC

CITRATOS

cytra-2 oral solution OTC

CYTRA-3 ORAL SYRUP OTC

cytra-k oral solution OTC

AGENTES HEMATOPOYÉTICOS

ÁCIDO FÓLICO/FOLATO

cvs folic acid oral tablet FA-8 OTC

FA-8 ORAL TABLET OTC

folate oral tablet OTC

folic acid oral tablet OTC

gnp folic acid oral tablet OTC

hm folic acid oral tablet OTC

kp folic acid oral tablet FA-8 OTC

px folic acid oral tablet OTC

qc folic acid oral tablet FA-8 OTC

ra folic acid oral tablet OTC

sm folic acid oral tablet OTC

yl folic acid oral tablet OTC

29

Page 30: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

COBALAMINAS

B-12 DOTS ORAL TABLET DISPERSIBLE OTC

b-12 oral tablet OTC

b-12 oral tablet extended release OTC

b-12 sublingual tablet sublingual OTC

b-12 tr oral tablet extended release OTC

b-12-sl sublingual tablet sublingual OTC

cvs b-12 oral liquid OTC

cvs b-12 oral tablet OTC

cvs b12 quick dissolve oral lozenge OTC

cvs b-12 sublingual tablet sublingual OTC

cvs vitamin b12 oral tablet OTC

cvs vitamin b-12 oral tablet OTC

cvs vitamin b12 oral tablet extended release OTC

cvs vitamin b-12 oral tablet extended release OTC

cvs vitamin b-12 sublingual tablet sublingual OTC

cyanocobalamin sublingual tablet sublingual OTC

eql b-12 oral tablet OTC

eql vitamin b-12 oral tablet OTC

eql vitamin b-12 tr oral tablet extended release

OTC

gnp b-12 sublingual tablet sublingual OTC

gnp vitamin b-12 oral tablet OTC

gnp vitamin b-12 oral tablet extended release

OTC

gnp vitamin b-12 tr oral tablet extended release

OTC

hm vitamin b12 oral tablet OTC

hm vitamin b-12 oral tablet OTC

hm vitamin b12 oral tablet extended release OTC

hm vitamin b-12 tr oral tablet extended release

OTC

kp vitamin b-12 oral tablet OTC

pa vitamin b-12 tr oral tablet extended release

OTC

qc vitamin b12 oral tablet OTC

qc vitamin b12 oral tablet extended release OTC

qc vitamin b12 sublingual tablet sublingual OTC

30

Page 31: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra vitamin b-12 oral tablet OTC

ra vitamin b12 oral tablet extended release OTC

ra vitamin b-12 oral tablet extended release OTC

ra vitamin b-12 tr oral tablet extended release

OTC

sm vitamin b-12 oral tablet OTC

sm vitamin b12 tr oral tablet extended release

OTC

sv vitamin b-12 er oral tablet extended release

OTC

vitamin b 12 oral tablet OTC

vitamin b-12 er oral tablet extended release OTC

vitamin b-12 oral liquid OTC

vitamin b-12 oral lozenge OTC

vitamin b12 oral tablet OTC

vitamin b-12 oral tablet OTC

vitamin b12 oral tablet extended release OTC

vitamin b12 sublingual liquid OTC

vitamin b-12 sublingual liquid OTC

vitamin b-12 sublingual tablet sublingual OTC

vitamin b12 tr oral tablet extended release OTC

COMBINACIONES DE ÁCIDO FÓLICO/FOLATO

FOLTABS 800 ORAL TABLET OTC

MILLGUARD ORAL TABLET OTC

COMBINACIONES DE HIERRO

ABATRON AF ORAL TABLET OTC

fe c tab oral tablet Icar-C OTC

fe c tab plus oral tablet Icar-C Plus OTC; QL

gentle iron oral capsule OTC

HEMAX ORAL TABLET OTC

iron 100 plus oral tablet Icar-C Plus OTC; QL

iron 100/c oral tablet Icar-C OTC

iron complex oral capsule Chromagen OTC

HIERRO

BPROTECTED PEDIA IRON ORAL SOLUTION

OTC

cvs iron oral tablet FeroSul OTC; QL

31

Page 32: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs slow release iron oral tablet extended release

OTC

eq slow-release iron oral tablet extended release

OTC

eql carbonyl iron oral tablet Feosol Natural Release OTC

eql iron supplement therapy oral tablet FeroSul OTC; QL

eql slow release iron oral tablet extended release

OTC

fe tabs oral tablet delayed release OTC

FERATE ORAL TABLET OTC; QL

FERGON ORAL TABLET OTC; QL

FEROSUL ORAL TABLET OTC; QL

ferretts oral tablet OTC

ferrex 150 oral capsule Nu-Iron OTC

ferric x-150 oral capsule Nu-Iron OTC

FERROCITE ORAL TABLET OTC

ferrotabs oral tablet Ferate OTC; QL

ferrous fumarate oral tablet Ferrocite OTC

ferrous gluconate oral tablet Ferate OTC; QL

ferrous sulfate er oral tablet extended release

OTC

ferrous sulfate iron oral tablet Feosol OTC; QL

ferrous sulfate oral elixir OTC

ferrous sulfate oral solution BProtected Pedia Iron OTC

ferrous sulfate oral tablet 27 mg OTC

ferrous sulfate oral tablet 325 (65 fe) mg FeroSul OTC; QL

ferrous sulfate oral tablet delayed release OTC; QL

ferrousul oral tablet FeroSul OTC; QL

gnp iron oral tablet FeroSul OTC; QL

gnp iron oral tablet extended release Slow Fe OTC

gnp slow release iron oral tablet extended release

OTC

GOODSENSE IRON ORAL TABLET OTC; QL

hm iron oral tablet Feosol OTC; QL

hm iron slow release oral tablet extended release

Slow Fe OTC

hm slow release iron oral tablet extended release

OTC

32

Page 33: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

iron (ferrous sulfate) oral tablet extended release

Slow Fe OTC

iron 27 oral tablet Ferate OTC; QL

iron high-potency oral tablet FeroSul OTC; QL

iron high-potency oral tablet extended release

Slow Fe OTC

iron oral tablet FeroSul OTC; QL

iron slow release oral tablet extended release

Slow Fe OTC

iron supplement childrens oral solution BProtected Pedia Iron OTC

iron supplement oral elixir OTC

kp ferrous gluconate oral tablet OTC; QL

kp ferrous sulfate oral tablet FeroSul OTC; QL

meijer ferrous sulfate oral tablet FeroSul OTC; QL

myferon 150 oral capsule Nu-Iron OTC

nat-rul iron oral tablet FeroSul OTC; QL

NU-IRON ORAL CAPSULE OTC

POLY-IRON 150 ORAL CAPSULE OTC

polysaccharide iron complex oral capsule Nu-Iron OTC

polysaccharide-iron complex oral capsule Nu-Iron OTC

px iron oral tablet 200 (65 fe) mg Feosol OTC; QL

px iron oral tablet 27 mg OTC

qc ferrous sulfate oral tablet FeroSul OTC; QL

ra high potency iron oral tablet OTC

ra iron oral tablet 27 mg OTC

ra iron oral tablet 325 (65 fe) mg FeroSul OTC; QL

ra slow release iron oral tablet extended release

OTC

slow iron oral tablet extended release OTC

slow release iron oral tablet extended release

OTC

sm iron oral tablet FeroSul OTC; QL

sm iron slow release oral tablet extended release

OTC

sm slow release iron oral tablet extended release

Slow Fe OTC

wee care oral suspension Icar OTC; QL

33

Page 34: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

AGENTES NASALES - SISTÉMICOS Y TÓPICOS

AGENTES NASALES VARIOS

AFRIN SALINE NASAL MIST NASAL SOLUTION

OTC

altamist spray nasal solution Afrin Saline Nasal Mist OTC

AYR NASAL SOLUTION OTC

AYR SALINE NASAL DROPS NASAL SOLUTION

OTC

BABY AYR SALINE NASAL SOLUTION OTC

cvs nasal mist nasal aerosol solution Simply Saline OTC

cvs saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

deep sea nasal spray nasal solution Afrin Saline Nasal Mist OTC

eq saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

eql saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

gnp nasal moisturizing nasal solution Afrin Saline Nasal Mist OTC

hm saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

LITTLE NOSES SALINE NASAL SOLUTION

OTC

LITTLE NOSES STUFFY NOSE KIT NASAL SOLUTION

OTC

meijer saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

NASAL MOIST NASAL SOLUTION OTC

nasal moisturizing spray nasal solution Afrin Saline Nasal Mist OTC

OCEAN FOR KIDS NASAL SOLUTION OTC

OCEAN NASAL SPRAY NASAL SOLUTION

OTC

px saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

qc saline nasal relief nasal solution Afrin Saline Nasal Mist OTC

ra saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

ra sterile saline nasal mist nasal solution Simply Saline OTC

saline mist spray nasal solution Afrin Saline Nasal Mist OTC

saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

sb saline nose nasal solution Afrin Saline Nasal Mist OTC

sm nasal spray saline nasal solution Afrin Saline Nasal Mist OTC

tgt nasal spray nasal solution Afrin Saline Nasal Mist OTC

tgt saline nasal spray nasal solution Afrin Saline Nasal Mist OTC

34

Page 35: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

DESCONGESTIVOS SISTÉMICOS

12 hour decongestant oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

12 hour nasal decongestant oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

cvs 12 hour nasal decongestant oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

cvs nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

decongestant 12hour max st oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

decongestant oral tabletShopko Nasal Decongestant Max

OTC

eq suphedrine oral tabletShopko Nasal Decongestant Max

OTC

eql nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

genaphed oral tabletShopko Nasal Decongestant Max

OTC

gnp nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

gnp pseudoephedrine hcl 12 hr oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

gnp suphedrin oral liquid Sudafed Childrens OTC

hm nasal decongestant 12 hour oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

hm nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

kp pseudoephedrine hcl oral tabletShopko Nasal Decongestant Max

OTC

meijer nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

nasal decongestant 12hr oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

nasal decongestant max st oral tabletShopko Nasal Decongestant Max

OTC

nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

pseudoephedrine hcl er oral tablet extended release 12 hour

Shopko Nasal Decongestant

AL; OTC

pseudoephedrine hcl oral tabletShopko Nasal Decongestant Max

OTC

35

Page 36: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

px nasal decongestant oral tabletShopko Nasal Decongestant Max

OTC

px nasal decongestant oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

qc suphedrine maximum strength oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

ra suphedrine oral tabletShopko Nasal Decongestant Max

OTC

ra suphedrine oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

SHOPKO NASAL DECONGESTANT MAX ORAL TABLET

OTC

SHOPKO NASAL DECONGESTANT ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

sinus 12 hour oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

sm nasal decongestant max st oral tabletShopko Nasal Decongestant Max

OTC

sm nasal decongestant oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

SUDAFED 12 HOUR ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

SUDAFED SINUS CONGESTION 12HR ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

sudogest 12 hour oral tablet extended release 12 hour

Shopko Nasal Decongestant

OTC

SUDOGEST MAXIMUM STRENGTH ORAL TABLET

OTC

SUDOGEST ORAL TABLET OTC

WAL-PHED 12 HOUR ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

WAL-PHED D ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

WAL-PHED ORAL TABLET OTC

ESTABILIZADORES DE MASTOCITOS NASALES

cromolyn sodium nasal aerosol solution NasalCrom OTC

ESTEROIDES NASALES

allergy relief nasal suspension ClariSpray OTC; QL

allergy spray 24 hour nasal aerosol Nasacort Allergy 24HR OTC; QL

36

Page 37: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

allergy spray 24 hour nasal suspension ClariSpray OTC; QL

budesonide nasal suspension Rhinocort Allergy OTC; QL

CLARISPRAY NASAL SUSPENSION OTC; QL

cvs budesonide nasal suspension Rhinocort Allergy OTC; QL

cvs fluticasone propionate nasal suspension ClariSpray OTC; QL

cvs nasal allergy spray nasal aerosol Nasacort Allergy 24HR OTC; QL

eq allergy relief nasal suspension ClariSpray OTC; QL

eq budesonide nasal nasal suspension Rhinocort Allergy PA; OTC; QL

eq nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL

eql fluticasone childrens nasal suspension ClariSpray OTC; QL

eql fluticasone propionate nasal suspension ClariSpray OTC; QL

fluticasone propionate nasal suspension ClariSpray OTC; QL

gnp 24 hour nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL

gnp budesonide nasal spray nasal suspension

Rhinocort Allergy OTC; QL

gnp fluticasone propionate chl nasal suspension

ClariSpray OTC; QL

gnp fluticasone propionate nasal suspension ClariSpray OTC; QL

goodsense nasal allergy spray nasal aerosol Nasacort Allergy 24HR OTC; QL

hm allergy relief nasal suspension ClariSpray OTC; QL

KLS ALLER-FLO NASAL SUSPENSION OTC; QL

nasal allergy 24 hour nasal aerosol Nasacort Allergy 24HR OTC; QL

qc allergy relief nasal suspension ClariSpray OTC; QL

qc fluticasone propionate nasal suspension ClariSpray OTC; QL

ra budesonide nasal suspension Rhinocort Allergy OTC; QL

ra nasal allergy nasal aerosol Nasacort Allergy 24HR OTC; QL

RHINOCORT ALLERGY NASAL SUSPENSION

PA; OTC; QL

sm allergy relief nasal suspension ClariSpray OTC; QL

triamcinolone acetonide nasal aerosol Nasacort Allergy 24HR OTC; QL

AGENTES OFTÁLMICOS

ANTIALÉRGICOS OFTÁLMICOS

ALAWAY CHILDRENS ALLERGY OPHTHALMIC SOLUTION

OTC; QL

ALAWAY OPHTHALMIC SOLUTION OTC; QL

CLARITIN EYE OPHTHALMIC SOLUTION OTC; QL

cvs allergy eye drops ophthalmic solution Alaway OTC; QL

cvs eye itch relief ophthalmic solution Alaway OTC; QL

37

Page 38: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eye itch relief ophthalmic solution Alaway OTC; QL

gnp eye itch relief ophthalmic solution Alaway OTC; QL

gnp itchy eye ophthalmic solution Alaway OTC; QL

hm eye itch relief ophthalmic solution Alaway OTC; QL

ketotifen fumarate ophthalmic solution Alaway OTC; QL

kp ketotifen fumarate ophthalmic solution Alaway OTC; QL

ra antihistamine eye drops ophthalmic solution

Alaway OTC; QL

ra eye itch relief ophthalmic solution Alaway OTC; QL

sm eye itch relief ophthalmic solution Alaway OTC; QL

THERATEARS ALLERGY OPHTHALMIC SOLUTION

OTC; QL

COMBINACIONES DE DESCONGESTIVOS OFTÁLMICOS

cvs eye allergy relief ophthalmic solution Opcon-A OTC

cvs eye drops ophthalmic solution Visine Advanced Relief OTC

cvs redness relief ophthalmic solution OTC

eq eye allergy relief ophthalmic solution Opcon-A OTC

eql advanced relief ophthalmic solution Visine Advanced Relief OTC

eye allergy relief ophthalmic solution 0.025-0.3 %

Naphcon-A OTC; QL

eye allergy relief ophthalmic solution 0.027-0.315 %

Opcon-A OTC

eye drops advanced relief ophthalmic solution

Visine Advanced Relief OTC

eye drops allergy relief ophthalmic solution Visine-AC OTC; QL

eye drops maximum relief ophthalmic solution

Visine Advanced Relief OTC

eye drops ophthalmic solution OTC

gnp eye drops ophthalmic solution Visine Advanced Relief OTC

goodsense eye drops ophthalmic solution Visine Advanced Relief OTC

hm eye drops advanced relief ophthalmic solution

Visine Advanced Relief OTC

ra eye allergy relief ophthalmic solution Opcon-A OTC

ra sterile eye drops ophthalmic solution OTC

sm eye drops ophthalmic solution Visine Advanced Relief OTC

tgt eye allergy relief ophthalmic solution Opcon-A OTC

tgt redness reliever ophthalmic solution OTC

38

Page 39: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

COMBINACIONES DE LÁGRIMAS ARTIFICIALES Y LUBRICANTES

artificial tears ophthalmic solution GenTeal Tears OTC

cvs artificial tears ophthalmic solution Moisture Eyes OTC

cvs dry eye relief ophthalmic solution Visine Dry Eye OTC

cvs eye lubricant ophthalmic ointment Puralube OTC

eq artificial tears ophthalmic solution Moisture Eyes OTC

eye lubricant ophthalmic ointment Puralube OTC

for sty relief ophthalmic ointment Puralube OTC

lubricant eye nighttime ophthalmic ointment Puralube OTC

lubricant eye ophthalmic ointment Puralube OTC

lubrifresh p.m. ophthalmic ointment Puralube OTC

MOISTURE EYES OPHTHALMIC SOLUTION

OTC

PURALUBE OPHTHALMIC OINTMENT OTC

ra artificial tears ophthalmic solution Moisture Eyes OTC

ra lubricant eye ophthalmic solution Moisture Eyes OTC

TEARS AGAIN OPHTHALMIC OINTMENT OTC

tears pure ophthalmic solution GenTeal Tears OTC

tgt lubricant eye drops ophthalmic solution Moisture Eyes OTC

tgt lubricant eye nighttime ophthalmic ointment

Puralube OTC

DESCONGESTIVOS OFTÁLMICOS

cvs eye drops ophthalmic solution OTC; QL

eq eye drops ophthalmic solution OTC; QL

eql eye drops ophthalmic solution OTC; QL

eye drops ophthalmic solution OTC; QL

gnp eye drops ophthalmic solution OTC; QL

goodsense eye drops ophthalmic solution OTC; QL

hm eye drops ophthalmic solution OTC; QL

px sterile eye drops ophthalmic solution OTC; QL

redness reliever eye drops ophthalmic solution

OTC; QL

sm eye drops ophthalmic solution OTC; QL

LÁGRIMAS ARTIFICIALES Y LUBRICANTES

artificial tears ophthalmic solution OTC

39

Page 40: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs lubricant eye drops ophthalmic solution Ultra Fresh OTC

liquitears ophthalmic solution OTC

lubricant eye drops ophthalmic solution Ultra Fresh OTC

polyvinyl alcohol ophthalmic solution OTC

ULTRA FRESH OPHTHALMIC SOLUTION OTC

POMADA DE LÁGRIMAS ARTIFICIALES

AKWA TEARS OPHTHALMIC OINTMENT OTC

AGENTES ÓTICOS

AGENTES ÓTICOS VARIOS

auraphene-b otic solutionClearcanal Earwax Softener

OTC

CLEARCANAL EARWAX SOFTENER OTIC SOLUTION

OTC

cvs ear drops otic solutionClearcanal Earwax Softener

OTC

cvs ear wax removal system otic solutionClearcanal Earwax Softener

OTC

cvs earwax removal kit otic solutionClearcanal Earwax Softener

OTC

ear drops earwax aid otic solutionClearcanal Earwax Softener

OTC

ear drops otic solutionClearcanal Earwax Softener

OTC

ear wax removal drops otic solutionClearcanal Earwax Softener

OTC

ear wax removal kit otic solutionClearcanal Earwax Softener

OTC

ear wax removal system otic solutionClearcanal Earwax Softener

OTC

earwax removal kit otic solutionClearcanal Earwax Softener

OTC

earwax removal otic solutionClearcanal Earwax Softener

OTC

earwax treatment drops otic solutionClearcanal Earwax Softener

OTC

eq ear wax removal aid otic solutionClearcanal Earwax Softener

OTC

gnp ear drops otic solutionClearcanal Earwax Softener

OTC

40

Page 41: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp ear systems otic solutionClearcanal Earwax Softener

OTC

gnp earwax removal drops otic solutionClearcanal Earwax Softener

OTC

gnp earwax removal kit otic solutionClearcanal Earwax Softener

OTC

goodsense ear wax kit otic solutionClearcanal Earwax Softener

OTC

goodsense ear wax removal otic solutionClearcanal Earwax Softener

OTC

hm earwax removal aid otic solutionClearcanal Earwax Softener

OTC

hm earwax removal kit otic solutionClearcanal Earwax Softener

OTC

MURINE EAR OTIC SOLUTION OTC

MURINE EAR WAX REMOVAL SYSTEM OTIC SOLUTION

OTC

OTIX OTIC SOLUTION OTC

qc ear wax removal otic solutionClearcanal Earwax Softener

OTC

qc earwax removal otic solutionClearcanal Earwax Softener

OTC

ra ear drops otic solutionClearcanal Earwax Softener

OTC

ra earwax removal kit otic solutionClearcanal Earwax Softener

OTC

sm ear drops otic solutionClearcanal Earwax Softener

OTC

AGENTES PARA EL CUIDADO DE BOCA/GARGANTA/DIENTES

ANESTÉSICOS TÓPICOS ORALES - COMBINACIONES

CHLORASEPTIC MOUTH/THROAT LOZENGE

OTC

CHLORASEPTIC SORE THROAT MOUTH/THROAT LOZENGE

OTC

gnp sore throat mouth/throat lozenge Chloraseptic OTC

ra throat lozenges mouth/throat lozenge Chloraseptic OTC

sore throat lozenges mouth/throat lozenge Chloraseptic OTC

sore throat mouth/throat lozenge Chloraseptic OTC

41

Page 42: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

tgt lozenges mouth/throat lozenge Chloraseptic OTC

ultra throat mouth/throat lozenge Chloraseptic OTC

ANTISÉPTICOS - BOCA/GARGANTA

CHLORASEPTIC KIDS MOUTH/THROAT LIQUID

OTC

CHLORASEPTIC MOUTH/THROAT LIQUID

OTC

PASTILLAS

cherry cough drops mouth/throat lozenge Dentiva OTC

cough drops mouth/throat lozenge OTC

cvs cherry menthol drops mouth/throat lozenge

Dentiva OTC

cvs honey lemon drops mouth/throat lozenge

Dentiva OTC

cvs menthol drops mouth/throat lozenge Dentiva OTC

cvs sore throat relief pops mouth/throat lozenge on a handle

OTC

gnp cough drops mouth/throat lozenge OTC

gnp throat drops mouth/throat lozenge Ludens Throat Drops OTC

ra cough drops mouth/throat lozenge OTC

sm cough drops mouth/throat lozenge OTC

tgt throat drops mouth/throat lozenge Ludens Throat Drops OTC

zinc w/a&c mouth/throat lozenge Dentiva OTC

PRODUCTOS DENTALES CON FLUORURO

PERIOMED MOUTH/THROAT CONCENTRATE

OTC

AGENTES PSICOTERAPÉUTICOS Y NEUROLÓGICOS VARIOS

PRODUCTOS PARA DEJAR DE FUMAR

cvs nicotine mouth/throat gum KLS Quit2 OTC; QL

cvs nicotine mouth/throat lozenge KLS Quit2 OTC; QL

cvs nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

cvs nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

cvs nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

eq nicotine mouth/throat gum KLS Quit4 OTC; QL

42

Page 43: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq nicotine mouth/throat lozenge KLS Quit4 OTC; QL

eq nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

eq nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

eq nicotine step 3 transdermal patch 24 hour Nicoderm CQ OTC; QL

eq nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

eql nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

eql nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

gnp nicotine mini mouth/throat lozenge KLS Quit2 OTC; QL

gnp nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

gnp nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

gnp nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

goodsense nicotine mouth/throat gum KLS Quit4 OTC; QL

goodsense nicotine mouth/throat lozenge KLS Quit2 OTC; QL

hm nicotine polacrilex mouth/throat gum KLS Quit4 OTC; QL

hm nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL

hm nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

KLS QUIT2 MOUTH/THROAT GUM OTC; QL

KLS QUIT2 MOUTH/THROAT LOZENGE OTC; QL

KLS QUIT4 MOUTH/THROAT GUM OTC; QL

KLS QUIT4 MOUTH/THROAT LOZENGE OTC; QL

NICORELIEF MOUTH/THROAT GUM OTC; QL

nicotine mini mouth/throat lozenge KLS Quit2 OTC; QL

nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

nicotine polacrilex mouth/throat lozenge KLS Quit2 OTC; QL

nicotine step 1 transdermal patch 24 hour Nicoderm CQ OTC; QL

nicotine step 2 transdermal patch 24 hour Nicoderm CQ OTC; QL

nicotine step 3 transdermal patch 24 hour Nicoderm CQ OTC; QL

nicotine transdermal kit OTC

nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

px stop smoking aid mouth/throat gum KLS Quit4 OTC; QL

px stop smoking aid mouth/throat lozenge KLS Quit2 OTC; QL

ra mini nicotine mouth/throat lozenge KLS Quit2 OTC; QL

ra nicotine gum mouth/throat gum KLS Quit2 OTC; QL

ra nicotine mouth/throat gum KLS Quit4 OTC; QL

ra nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

ra nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL

ra nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

43

Page 44: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm nicotine mouth/throat gum KLS Quit4 OTC; QL

sm nicotine mouth/throat lozenge KLS Quit2 OTC; QL

sm nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

sm nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL

sm nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

sr nicotine mouth/throat gum KLS Quit2 OTC; QL

tgt nicotine mouth/throat gum KLS Quit2 OTC; QL

tgt nicotine polacrilex mouth/throat gum KLS Quit2 OTC; QL

tgt nicotine polacrilex mouth/throat lozenge KLS Quit4 OTC; QL

tgt nicotine step one transdermal patch 24 hour

Nicoderm CQ OTC; QL

tgt nicotine step three transdermal patch 24 hour

Nicoderm CQ OTC; QL

tgt nicotine step two transdermal patch 24 hour

Nicoderm CQ OTC; QL

THRIVE MOUTH/THROAT GUM OTC; QL

ANALGÉSICOS - ANTIINFLAMATORIOS

AGENTES ANTIINFLAMATORIOS NO ESTEROIDES (AINE)

ADDAPRIN ORAL TABLET PA; OTC; QL

ADVIL JUNIOR STRENGTH ORAL TABLET

OTC

ADVIL JUNIOR STRENGTH ORAL TABLET CHEWABLE

OTC; QL

all day pain relief oral tablet Mediproxen OTC; QL

all day relief oral tablet Mediproxen OTC; QL

childrens ibuprofen 100 oral suspension Childrens Medi-Profen OTC; QL

childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

CHILDRENS MEDI-PROFEN ORAL SUSPENSION

PA; OTC; QL

cvs all day pain relief oral tablet Mediproxen OTC; QL

cvs childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

cvs ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

cvs ibuprofen infants oral suspension Medi-Profen OTC; QL

cvs ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

cvs ibuprofen oral capsule Medi-Profen OTC

cvs ibuprofen oral tablet Addaprin OTC; QL

44

Page 45: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs naproxen sodium oral capsule Aleve OTC

cvs naproxen sodium oral tablet Mediproxen OTC; QL

dyspel oral tablet Addaprin PA; OTC; QL

eq all day pain relief oral tablet Mediproxen OTC; QL

eq ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

eq ibuprofen infants oral suspension Medi-Profen OTC; QL

eq ibuprofen junior oral tablet chewable Advil Junior Strength OTC; QL

eq ibuprofen oral capsule Medi-Profen OTC

eq ibuprofen oral tablet Addaprin OTC; QL

eq naproxen sodium oral capsule Aleve OTC

eq naproxen sodium oral tablet Mediproxen OTC; QL

eql childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

eql ibuprofen infants oral suspension Medi-Profen OTC; QL

eql ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

eql ibuprofen oral capsule Medi-Profen OTC

eql ibuprofen oral tablet Addaprin OTC; QL

eql naproxen sodium oral capsule Aleve OTC

eql naproxen sodium oral tablet Mediproxen OTC; QL

genpril oral tablet Addaprin PA; OTC; QL

gnp all day pain relief oral tablet Mediproxen OTC; QL

gnp childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

gnp ibuprofen infants oral suspension Medi-Profen OTC; QL

gnp ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

gnp ibuprofen oral capsule Medi-Profen OTC

gnp ibuprofen oral tablet Addaprin OTC; QL

gnp naproxen sodium oral capsule Aleve OTC

gnp naproxen sodium oral tablet Mediproxen OTC; QL

goodsense ibuprofen childrens oral suspension

Childrens Medi-Profen OTC; QL

goodsense ibuprofen infants oral suspension Medi-Profen OTC; QL

goodsense ibuprofen junior st oral tablet chewable

Advil Junior Strength OTC; QL

goodsense ibuprofen oral capsule Medi-Profen OTC

goodsense ibuprofen oral tablet Addaprin OTC; QL

goodsense naproxen sodium oral tablet Mediproxen OTC; QL

hm ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

45

Page 46: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

hm ibuprofen ib oral tablet Addaprin OTC; QL

hm ibuprofen ib oral tablet chewable Advil Junior Strength OTC; QL

hm ibuprofen infants oral suspension Medi-Profen OTC; QL

hm ibuprofen oral capsule Medi-Profen OTC

hm ibuprofen oral tablet Addaprin OTC; QL

hm ibuprofen oral tablet chewable Advil Junior Strength OTC; QL

hm naproxen sodium oral capsule Aleve OTC

hm naproxen sodium oral tablet Mediproxen OTC; QL

hy-vee all day relief oral tablet Mediproxen OTC; QL

HYVEE IBUPROFEN CHILDRENS ORAL SUSPENSION

PA; OTC; QL

ibu-200 oral tablet Addaprin OTC; QL

ibuprofen 100 junior strength oral tablet chewable

Advil Junior Strength OTC; QL

ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

ibuprofen infants drops oral suspension Medi-Profen OTC; QL

ibuprofen infants oral suspension Medi-Profen OTC; QL

ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

ibuprofen oral capsule Medi-Profen OTC

ibuprofen oral tablet Addaprin OTC; QL

infants ibuprofen oral suspension Medi-Profen OTC; QL

kls ibuprofen oral tablet Addaprin OTC; QL

kls naproxen sodium oral tablet Mediproxen OTC; QL

ks ibuprofen oral capsule Medi-Profen OTC

MEDI-PROFEN ORAL CAPSULE OTC

MEDI-PROFEN ORAL SUSPENSION OTC; QL

MEDI-PROFEN ORAL TABLET PA; OTC; QL

MEDIPROXEN ORAL TABLET OTC; QL

meijer ibuprofen oral tablet Addaprin OTC; QL

MOTRIN IB ORAL CAPSULE OTC

MOTRIN IB ORAL TABLET OTC; QL

naproxen sodium oral capsule Aleve OTC

naproxen sodium oral tablet Mediproxen OTC; QL

PAMPRIN ALL DAY RELIEF MAX ST ORAL TABLET

OTC; QL

PROVIL ORAL TABLET OTC; QL

px all day relief oral tablet Mediproxen OTC; QL

46

Page 47: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

px childrens profen ib oral suspension Childrens Medi-Profen OTC; QL

px ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

px ibuprofen oral tablet Addaprin OTC; QL

px infants profen ib oral suspension Medi-Profen OTC; QL

qc childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

qc ibuprofen ib oral tablet Addaprin OTC; QL

qc ibuprofen infants oral suspension Medi-Profen OTC; QL

qc ibuprofen oral capsule Medi-Profen OTC

qc ibuprofen oral tablet Addaprin OTC; QL

qc naproxen sodium oral tablet Mediproxen OTC; QL

ra ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

ra ibuprofen infants oral suspension Medi-Profen OTC; QL

ra ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

ra ibuprofen oral capsule Medi-Profen OTC

ra ibuprofen oral suspension Childrens Medi-Profen OTC; QL

ra ibuprofen oral tablet Addaprin OTC; QL

ra naproxen sodium oral capsule Aleve OTC

ra naproxen sodium oral tablet Mediproxen OTC; QL

ra pain relief ibuprofen oral tablet Addaprin OTC; QL

sb ibuprofen oral tablet Addaprin OTC; QL

sb infants ibuprofen oral suspension Medi-Profen OTC; QL

sb naproxen sodium oral tablet Mediproxen OTC; QL

sm childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

sm ibuprofen ib oral tablet Addaprin OTC; QL

sm ibuprofen ib oral tablet chewable Advil Junior Strength OTC; QL

sm ibuprofen jr oral tablet Advil Junior Strength OTC

sm ibuprofen oral capsule Medi-Profen OTC

sm ibuprofen oral tablet Addaprin OTC; QL

sm infants ibuprofen oral suspension Medi-Profen OTC; QL

sm naproxen sodium oral capsule Aleve OTC

sm naproxen sodium oral tablet Mediproxen OTC; QL

tgt childrens ibuprofen oral suspension Childrens Medi-Profen OTC; QL

tgt ibuprofen childrens oral suspension Childrens Medi-Profen OTC; QL

tgt ibuprofen junior strength oral tablet chewable

Advil Junior Strength OTC; QL

tgt ibuprofen oral capsule Medi-Profen OTC

47

Page 48: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

tgt ibuprofen oral tablet Addaprin OTC; QL

tgt infants ibuprofen oral suspension Medi-Profen OTC; QL

tgt naproxen sodium oral capsule Aleve OTC

tgt naproxen sodium oral tablet Mediproxen OTC; QL

WAL-PROFEN ORAL CAPSULE OTC

WAL-PROFEN ORAL TABLET OTC; QL

ANALGÉSICOS - NO NARCÓTICOS

ANALGÉSICOS - OTROS

8 hour pain reliever oral tablet extended release

Midol OTC; QL

acetaminophen childrens oral solution OTC

acetaminophen childrens oral suspension PediaCare Children OTC; QL

acetaminophen childrens oral tablet chewable

Mapap Childrens OTC

acetaminophen er oral tablet extended release

Midol OTC; QL

acetaminophen extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

acetaminophen infants oral suspension PediaCare Children OTC; QL

acetaminophen junior strength oral tablet dispersible

OTC

acetaminophen oral liquid Little Remedies for Fever OTC; QL

acetaminophen oral solution OTC; QL

acetaminophen oral suspension PediaCare Children OTC; QL

acetaminophen oral tablet 325 mg Pharbetol OTC

acetaminophen oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

acetaminophen oral tablet chewable Childrens Medi-Tabs OTC

acetaminophen rapid tabs child oral tablet dispersible

OTC

acetaminophen rectal suppository FeverAll Childrens OTC

aminofen oral tablet 325 mg Pharbetol OTC

aminofen oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

apap oral elixir Medi-Tabs Childrens OTC

apra oral elixir Medi-Tabs Childrens OTC

arthritis pain relief oral tablet extended release

Midol OTC; QL

48

Page 49: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

arthritis pain reliever oral tablet extended release

Midol OTC; QL

aurophen childrens oral suspension PediaCare Children OTC; QL

betatemp childrens oral suspension PediaCare Children OTC; QL

childrens acetaminophen oral suspension PediaCare Children OTC; QL

childrens acetaminophen oral tablet dispersible

OTC

childrens apap oral tablet chewable Childrens Medi-Tabs OTC

childrens aspirin free oral elixir Medi-Tabs Childrens OTC

CHILDRENS MEDI-TABS ORAL TABLET CHEWABLE

OTC

childrens non-aspirin oral suspension PediaCare Children OTC; QL

childrens non-aspirin oral tablet chewable Childrens Medi-Tabs OTC

childrens pain reliever oral tablet chewable Childrens Medi-Tabs OTC

childrens pain reliever oral tablet dispersible OTC

childrens silapap oral liquid Little Remedies for Fever OTC; QL

childrens tactinal oral tablet chewable Childrens Medi-Tabs OTC

CHLORASEPTIC SORE THROAT ORAL LIQUID

OTC

cvs acetaminophen ex st oral liquid Chloraseptic Sore Throat OTC

cvs acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs acetaminophen oral liquid Chloraseptic Sore Throat OTC

cvs arthritis pain relief oral tablet extended release

Midol OTC; QL

cvs childs non-aspirin oral tablet chewable Childrens Medi-Tabs OTC

cvs fever reducing childrens rectal suppository

FeverAll Childrens OTC

cvs infants pain relief drops oral suspension PediaCare Children OTC; QL

cvs non-aspirin childrens oral tablet chewable

Childrens Medi-Tabs OTC

cvs non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs pain & fever childrens oral suspension PediaCare Children OTC; QL

cvs pain & fever infants oral suspension PediaCare Children OTC; QL

cvs pain relief childrens oral suspension PediaCare Children OTC; QL

cvs pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

cvs pain relief oral tabletHealthy Mama Shake That Ache

OTC; QL

49

Page 50: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs pain relief oral tablet extended release Midol OTC; QL

cvs pain relief regular st oral tablet Pharbetol OTC

ed-apap oral liquid Little Remedies for Fever OTC; QL

eq 8hr arthritis pain relief oral tablet extended release

Midol OTC; QL

eq acetaminophen childrens oral tablet dispersible

OTC

eq acetaminophen oral tablet 325 mg Pharbetol OTC

eq acetaminophen oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

eq arthritis pain oral tablet extended release Midol OTC; QL

eq childrens pain reliever oral tablet chewable

Childrens Medi-Tabs OTC

eq pain & fever childrens oral suspension PediaCare Children OTC; QL

eq pain & fever infants oral suspension PediaCare Children OTC; QL

eq pain relief/rapid burst oral liquid Chloraseptic Sore Throat OTC

eq pain reliever oral tablet 325 mg Pharbetol OTC

eq pain reliever oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

eql acetaminophen childrens oral suspension

PediaCare Children OTC; QL

eql acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

eql acetaminophen infants oral suspension PediaCare Children OTC; QL

eql acetaminophen oral tablet Pharbetol OTC

eql acetaminophen rapid tabs oral tablet dispersible

OTC

eql arthritis pain relief oral tablet extended release

Midol OTC; QL

fever reducer childrens rectal suppository FeverAll Childrens OTC

FEVERALL ADULTS RECTAL SUPPOSITORY

OTC

FEVERALL CHILDRENS RECTAL SUPPOSITORY

OTC

FEVERALL INFANTS RECTAL SUPPOSITORY

OTC

gnp 8 hour pain reliever oral tablet extended release

Midol OTC; QL

gnp acetaminophen oral tablet Pharbetol OTC

50

Page 51: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp arthritis pain relief oral tablet extended release

Midol OTC; QL

gnp childrens easy-melts oral tablet dispersible

OTC

gnp infants pain relief oral suspension PediaCare Children OTC; QL

gnp infants pain/fever oral suspension PediaCare Children OTC; QL

gnp pain & fever childrens oral suspension PediaCare Children OTC; QL

gnp pain relief extra strength oral liquid Chloraseptic Sore Throat OTC

gnp pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

gnp pain relief oral tablet Pharbetol OTC

goodsense arthritis pain oral tablet extended release

Midol OTC; QL

goodsense pain & fever child oral suspension

PediaCare Children OTC; QL

goodsense pain & fever infants oral suspension

PediaCare Children OTC; QL

goodsense pain relief extra st oral tabletHealthy Mama Shake That Ache

OTC; QL

goodsense pain relief oral tablet extended release

Midol OTC; QL

HEALTHY MAMA SHAKE THAT ACHE ORAL TABLET

OTC; QL

hm acetaminophen childrens oral tablet chewable

Mapap Childrens OTC

hm arthritis pain relief oral tablet extended release

Midol OTC; QL

hm pain & fever childrens oral suspension PediaCare Children OTC; QL

hm pain & fever infants oral suspension PediaCare Children OTC; QL

hm pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

hm pain reliever oral tablet Pharbetol OTC

infants pain & fever oral suspension PediaCare Children OTC; QL

kls acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

kls rapid release pain oral tabletHealthy Mama Shake That Ache

OTC; QL

liquid pain relief oral liquid Little Remedies for Fever OTC; QL

LITTLE REMEDIES FOR FEVER ORAL LIQUID

OTC; QL

51

Page 52: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

MAPAP ACETAMINOPHEN EXTRA STR ORAL LIQUID

OTC

mapap arthritis pain oral tablet extended release

Midol OTC; QL

MAPAP CHILDRENS ORAL TABLET CHEWABLE

OTC

mapap oral capsule OTC; QL

mapap oral liquid Little Remedies for Fever OTC; QL

mapap oral tablet Pharbetol OTC

mapap oral tablet chewable Childrens Medi-Tabs OTC

MEDI-TABS CHILDRENS ORAL ELIXIR OTC

MEDI-TABS EXTRA STRENGTH ORAL TABLET

OTC; QL

meijer aspirin free oral tablet 325 mg Pharbetol OTC

meijer aspirin free oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

m-pap oral liquid Little Remedies for Fever OTC; QL

non-aspirin childrens oral suspension PediaCare Children OTC; QL

non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

non-aspirin oral tablet 325 mg Pharbetol OTC

non-aspirin oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

non-aspirin pain relief oral tablet Pharbetol OTC

pain & fever childrens oral suspension PediaCare Children OTC; QL

pain & fever infants oral suspension PediaCare Children OTC; QL

pain relief childrens oral elixir Medi-Tabs Childrens OTC

pain relief childrens oral suspension PediaCare Children OTC; QL

pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

pain relief oral liquid Chloraseptic Sore Throat OTC

pain relief oral tablet Pharbetol OTC

pain relief regular strength oral tablet Pharbetol OTC

pain reliever extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

pain reliever oral liquid Chloraseptic Sore Throat OTC

pain reliever oral tablet 325 mg Pharbetol OTC

pain reliever oral tablet 500 mgHealthy Mama Shake That Ache

OTC; QL

52

Page 53: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

pain reliever/fever reducer rectal suppository FeverAll Childrens OTC

PEDIACARE CHILDREN ORAL SUSPENSION

OTC; QL

PEDIACARE INFANT FEVER/PAIN ORAL SUSPENSION

OTC; QL

PEDIACARE INFANTS ORAL SUSPENSION

OTC; QL

PHARBETOL EXTRA STRENGTH ORAL TABLET

OTC; QL

PHARBETOL ORAL TABLET OTC

px arthritis pain relief oral tablet extended release

Midol OTC; QL

px childrens pain relief oral suspension PediaCare Children OTC; QL

px pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc acetaminophen 8 hours oral tablet extended release

Midol OTC; QL

qc acetaminophen 8hr arth pain oral tablet extended release

Midol OTC; QL

qc acetaminophen 8hr musc ache oral tablet extended release

Midol OTC; QL

qc arthritis pain relief oral tablet extended release

Midol OTC; QL

qc non-aspirin childrens oral suspension PediaCare Children OTC; QL

qc non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc non-aspirin jr strength oral tablet dispersible

OTC

qc pain relief childrens oral suspension PediaCare Children OTC; QL

qc pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

qc pain relief infants oral suspension PediaCare Children OTC; QL

qc pain relief oral tablet Pharbetol OTC

ra 8 hour pain relief oral tablet extended release

Midol OTC; QL

ra acetaminophen childrens oral tablet chewable

Mapap Childrens OTC

ra acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

ra acetaminophen oral tablet Pharbetol OTC

53

Page 54: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra acetaminophen oral tablet extended release

Midol OTC; QL

ra acetaminophen rapid melts oral tablet dispersible

OTC

ra arthritis pain relief oral tablet extended release

Midol OTC; QL

ra fever reducer/pain reliever oral suspension

PediaCare Children OTC; QL

ra pain relief acetaminophen oral tablet 325 mg

Pharbetol OTC

ra pain relief acetaminophen oral tablet 500 mg

Healthy Mama Shake That Ache

OTC; QL

ra pain reliever ex st oral liquid Chloraseptic Sore Throat OTC

sb childrens non-aspirin oral tablet dispersible

OTC

sb non-aspirin extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

sb non-aspirin jr strength oral tablet dispersible

OTC

sb non-aspirin oral tablet Pharbetol OTC

sb non-aspirin oral tablet chewable Childrens Medi-Tabs OTC

sb pain reliever childrens oral suspension PediaCare Children OTC; QL

sb pain reliever ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

sm 8 hour pain relief oral tablet extended release

Midol OTC; QL

sm arthritis pain relief oral tablet extended release

Midol OTC; QL

sm arthritis pain reliever oral tablet extended release

Midol OTC; QL

sm pain & fever childrens oral suspension PediaCare Children OTC; QL

sm pain & fever infants oral suspension PediaCare Children OTC; QL

sm pain relief extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

sm pain reliever ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

sm pain reliever ex st oral tablet extended release

Midol OTC; QL

sm pain reliever oral capsule OTC; QL

sm pain reliever oral tablet Pharbetol OTC

sm rapid melts junior oral tablet dispersible OTC

54

Page 55: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

tactinal extra strength oral tabletHealthy Mama Shake That Ache

OTC; QL

tactinal oral tablet Pharbetol OTC

tgt acetaminophen childrens oral suspension PediaCare Children OTC; QL

tgt acetaminophen ex st oral tabletHealthy Mama Shake That Ache

OTC; QL

tgt arthritis pain relief oral tablet extended release

Midol OTC; QL

tgt childrens acetaminophen oral suspension PediaCare Children OTC; QL

ANALGÉSICOS - SEDATIVOS

PREMSYN PMS ORAL TABLET OTC

ra menstrual pain relief oral tablet Premsyn PMS OTC

COMBINACIONES DE ANALGÉSICOS

back & body extra strength oral tablet Bayer Back & Body OTC

BAYER MIGRAINE ORAL TABLET OTC

cvs headache relief oral tablet Bayer Migraine OTC

cvs migraine relief oral tablet Bayer Migraine OTC

eql headache relief ex str oral tablet Bayer Migraine OTC

eql menstrual relief max st oral tablet Midol Complete OTC

eql migraine formula oral tablet Bayer Migraine OTC

gnp headache relief extra str oral tablet Bayer Migraine OTC

gnp migraine relief oral tablet Bayer Migraine OTC

goodsense migraine formula oral tablet Bayer Migraine OTC

headache relief oral tablet Bayer Migraine OTC

hm migraine relief oral tablet Bayer Migraine OTC

migraine formula oral tablet Bayer Migraine OTC

migraine relief oral tablet Bayer Migraine OTC

pain reliever extra strength oral tablet Bayer Migraine OTC

pain reliever plus oral tablet Bayer Migraine OTC

pain-off oral tablet Bayer Migraine OTC

PAMPRIN MAX ORAL TABLET OTC

px migraine relief oral tablet Bayer Migraine OTC

qc headache relief oral tablet Bayer Migraine OTC

ra back & body pain relief oral tablet Bayer Back & Body OTC

ra menstrual relief oral tablet Midol Complete OTC

ra migraine relief oral tablet Bayer Migraine OTC

55

Page 56: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra pain reliever ex st oral tablet Bayer Migraine OTC

sb pain relief x-str oral tablet Bayer Migraine OTC

sm migraine relief oral tablet Bayer Migraine OTC

tgt migraine relief oral tablet Bayer Migraine OTC

COMBINACIONES DE SALICILATOS

BUFFERIN ORAL TABLET OTC

cvs antacid & pain reliever oral tablet effervescent

Alka-Seltzer OTC

effervescent antacid/pain oral tablet effervescent

Alka-Seltzer OTC

effervescent pain relief oral tablet effervescent

Alka-Seltzer OTC

eq antacid & pain relief oral tablet effervescent

Alka-Seltzer OTC

eq buffered aspirin oral tablet Bufferin OTC

eq effervescent pain relief oral tablet effervescent

Alka-Seltzer OTC

eql antacid/pain relief oral tablet effervescent Alka-Seltzer OTC

gnp effervescent antacid/pain oral tablet effervescent

Alka-Seltzer OTC

goodsense antacid/pain relief oral tablet effervescent

Alka-Seltzer OTC

medi-seltzer oral tablet effervescent Alka-Seltzer OTC

neutralin oral tablet effervescent Alka-Seltzer OTC

px effervescent oral tablet effervescent Alka-Seltzer OTC

qc effervescent antacid/pain oral tablet effervescent

Alka-Seltzer OTC

ra antacid pain relief oral tablet effervescent Alka-Seltzer OTC

ra tri-buffered aspirin oral tablet Bufferin OTC

sb effervescent pain relief oral tablet effervescent

Alka-Seltzer OTC

sm aspirin tri-buffered oral tablet Bufferin OTC

sm effervescent pain relief oral tablet effervescent

Alka-Seltzer OTC

tri-buffered aspirin oral tablet Bufferin OTC

SALICILATOS

adult aspirin regimen oral tablet delayed release

Aspir-Low OTC

56

Page 57: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

aspirin 81 oral tablet chewable Bayer Low Dose OTC; QL

aspirin 81 oral tablet delayed release Aspir-Low OTC

aspirin adult low dose oral tablet delayed release

Aspir-Low OTC

aspirin adult low strength oral tablet chewable

Bayer Low Dose OTC; QL

aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

aspirin adult oral tabletBayer Advanced Aspirin Reg St

OTC

aspirin childrens oral tablet chewable Bayer Low Dose OTC; QL

aspirin ec adult low strength oral tablet delayed release

Aspir-Low OTC

aspirin ec low dose oral tablet delayed release

Aspir-Low OTC

aspirin ec low strength oral tablet delayed release

Aspir-Low OTC

aspirin ec oral tablet delayed release Aspir-Low OTC

aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL

aspirin low dose oral tablet delayed release Aspir-Low OTC

aspirin low strength oral tablet chewable Bayer Low Dose OTC; QL

aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

aspirin oral tablet chewable Bayer Low Dose OTC; QL

aspirin oral tablet delayed release Aspir-Low OTC

aspirin rectal suppository OTC

ASPIR-LOW ORAL TABLET DELAYED RELEASE

OTC

aspirtab maximum strength oral tabletBayer Advanced Aspirin Ex St

OTC

aspirtab oral tablet delayed release Bayer Aspirin OTC

BAYER ADVANCED ASPIRIN EX ST ORAL TABLET

OTC

BAYER ADVANCED ASPIRIN REG ST ORAL TABLET

OTC

BAYER ASPIRIN EC LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

BAYER ASPIRIN EXTRA STRENGTH ORAL TABLET

OTC

BAYER ASPIRIN ORAL TABLET OTC

57

Page 58: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

BAYER ASPIRIN ORAL TABLET DELAYED RELEASE

OTC

BAYER LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

childrens aspirin low strength oral tablet chewable

Bayer Low Dose OTC; QL

childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL

cvs aspirin adult low dose oral tablet chewable

Bayer Low Dose OTC; QL

cvs aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

cvs aspirin ec oral tablet delayed release Bayer Aspirin OTC

cvs aspirin low dose oral tablet delayed release

Aspir-Low OTC

cvs aspirin low strength oral tablet delayed release

Aspir-Low OTC

cvs aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

ECOTRIN LOW STRENGTH ORAL TABLET DELAYED RELEASE

OTC

ECPIRIN ORAL TABLET DELAYED RELEASE

OTC

eq adult aspirin low strength oral tablet delayed release

Aspir-Low OTC

eq aspirin adult low dose oral tablet delayed release

Aspir-Low OTC

eq aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL

eq aspirin low dose oral tablet delayed release

Aspir-Low OTC

eq aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

eq aspirin oral tablet delayed releaseEcotrin Maximum Strength

OTC

eq childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL

eql aspirin ec oral tablet delayed release Bayer Aspirin OTC

eql aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL

eql aspirin low dose oral tablet delayed release

Aspir-Low OTC

eql aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

58

Page 59: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp adult aspirin low strength oral tablet chewable

Bayer Low Dose OTC; QL

gnp aspirin low dose oral tablet delayed release

Aspir-Low OTC

gnp aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

gnp aspirin oral tablet delayed release Bayer Aspirin OTC

goodsense aspirin adult low st oral tablet chewable

Bayer Low Dose OTC; QL

goodsense aspirin low dose oral tablet delayed release

Aspir-Low OTC

goodsense aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

goodsense aspirin oral tablet chewable Bayer Low Dose OTC; QL

goodsense aspirin oral tablet delayed release

Bayer Aspirin OTC

h-e-b aspirin oral tablet delayed release Aspir-Low OTC

hm aspirin ec low dose oral tablet delayed release

Aspir-Low OTC

hm aspirin ec oral tablet delayed release Bayer Aspirin OTC

hm aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

hm aspirin oral tablet chewable Bayer Low Dose OTC; QL

hm aspirin oral tablet delayed release Bayer Aspirin OTC

kls aspirin ec oral tablet delayed release Bayer Aspirin OTC

kls aspirin low dose oral tablet delayed release

Aspir-Low OTC

kp aspirin oral tablet delayed release Aspir-Low OTC

MEDIQUE ASPIRIN ORAL TABLET OTC

meijer aspirin ec oral tablet delayed release Bayer Aspirin OTC

MINIPRIN LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

mm aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

NORWICH ASPIRIN ORAL TABLET OTC

px aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

px aspirin oral tablet chewable Bayer Low Dose OTC; QL

px enteric aspirin oral tablet delayed release Bayer Aspirin OTC

qc aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL

59

Page 60: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

qc aspirin low dose oral tablet delayed release

Aspir-Low OTC

qc aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

qc aspirin oral tablet delayed release Bayer Aspirin OTC

qc enteric aspirin oral tablet delayed release Bayer Aspirin OTC

ra aspirin adult low dose oral tablet chewable

Bayer Low Dose OTC; QL

ra aspirin adult low strength oral tablet chewable

Bayer Low Dose OTC; QL

ra aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

ra aspirin childrens oral tablet chewable Bayer Low Dose OTC; QL

ra aspirin ec adult low st oral tablet delayed release

Aspir-Low OTC

ra aspirin ec oral tablet delayed release Bayer Aspirin OTC

ra aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

ra pain relief aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

sb aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

sb aspirin ec oral tablet delayed release Bayer Aspirin OTC

sb aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

sb aspirin oral tablet delayed release Aspir-Low OTC

sb childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL

sb low dose asa ec oral tablet delayed release

Aspir-Low OTC

sm aspirin adult low strength oral tablet chewable

Bayer Low Dose OTC; QL

sm aspirin adult low strength oral tablet delayed release

Aspir-Low OTC

sm aspirin ec low strength oral tablet delayed release

Aspir-Low OTC

sm aspirin ec oral tablet delayed release Bayer Aspirin OTC

sm aspirin low dose oral tablet chewable Bayer Low Dose OTC; QL

sm aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

sm childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL

60

Page 61: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ST JOSEPH ASPIRIN ORAL TABLET DELAYED RELEASE

OTC

ST JOSEPH LOW DOSE ORAL TABLET DELAYED RELEASE

OTC

tgt aspirin ec oral tablet delayed release Bayer Aspirin OTC

tgt aspirin low dose oral tablet delayed release

Aspir-Low OTC

tgt aspirin oral tabletBayer Advanced Aspirin Reg St

OTC

tgt aspirin oral tablet chewable Bayer Low Dose OTC; QL

tgt aspirin oral tablet delayed release Aspir-Low OTC

tgt childrens aspirin oral tablet chewable Bayer Low Dose OTC; QL

ANTIÁCIDOS

ANTIÁCIDO Y SIMETICONA

ALMACONE DOUBLE STRENGTH ORAL SUSPENSION

OTC

ALMACONE ORAL SUSPENSION OTC

antacid advanced oral suspensionAlmacone Double Strength

OTC

antacid anti-gas max strength oral suspension

Almacone Double Strength

OTC

antacid anti-gas oral suspension Almacone OTC

antacid anti-gas reg strength oral suspension

Almacone OTC

antacid extra strength oral suspensionAlmacone Double Strength

OTC

antacid fast relief oral suspension Almacone OTC

antacid iii oral suspensionAlmacone Double Strength

OTC

antacid liquid oral suspension Almacone OTC

antacid m oral suspension Almacone OTC

antacid maximum strength oral suspensionAlmacone Double Strength

OTC

antacid oral suspension Almacone OTC

antacid plus anti-gas fast act oral suspension

Almacone OTC

antacid plus anti-gas relief oral suspensionAlmacone Double Strength

OTC

antacid/simethicone ds oral suspensionAlmacone Double Strength

OTC

61

Page 62: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

comfort gel antacid & anti-gas oral suspension

Almacone OTC

comfort gel antacid anti-gas oral suspensionAlmacone Double Strength

OTC

cvs antacid plus antigas oral suspensionAlmacone Double Strength

OTC

cvs antacid/anti-gas oral suspensionAlmacone Double Strength

OTC

eq antacid maximum strength oral suspension

Almacone Double Strength

OTC

eq antacid oral suspension Almacone OTC

eq antacid/anti-gas oral suspension Almacone OTC

eql antacid advanced max st oral suspension

Almacone Double Strength

OTC

eql antacid/anti-gas oral suspension Almacone OTC

fast acting antacid/anti-gas oral suspensionAlmacone Double Strength

OTC

geri-lanta oral suspension Almacone OTC

gnp antacid & anti-gas oral suspensionAlmacone Double Strength

OTC

gnp antacid anti-gas oral suspension Almacone OTC

gnp antacid regular strength oral suspension Almacone OTC

hm advanced antacid max st oral suspension

Almacone Double Strength

OTC

hm antacid anti-gas ex st oral suspensionAlmacone Double Strength

OTC

hm antacid oral suspension Almacone OTC

hm antacid/antigas oral suspension Almacone OTC

MAALOX MAX ORAL SUSPENSION OTC

MAALOX MULTI SYMPTOM MAX ST ORAL SUSPENSION

OTC

mag-al plus oral liquid Almacone OTC

mag-al plus xs oral liquidAlmacone Double Strength

OTC

meijer antacid oral suspensionAlmacone Double Strength

OTC

mi-acid maximum strength oral suspensionAlmacone Double Strength

OTC

MI-ACID ORAL SUSPENSION OTC

62

Page 63: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

milantex extra strength oral suspensionAlmacone Double Strength

OTC

mintox maximum strength oral suspensionAlmacone Double Strength

OTC

MINTOX ORAL SUSPENSION OTC

MINTOX PLUS ORAL TABLET CHEWABLE

OTC

MINTOX REGULAR STRENGTH ORAL SUSPENSION

OTC

MYLANTA MAXIMUM STRENGTH ORAL SUSPENSION

OTC

px antacid maximum strength oral suspension

Almacone Double Strength

OTC

px antacid regular strength oral suspension Almacone OTC

qc antacid oral suspension Almacone OTC

qc antacid/anti-gas oral suspension Almacone OTC

ra antacid/anti-gas max st oral suspensionAlmacone Double Strength

OTC

ra antacid/anti-gas oral suspension Almacone OTC

ra antacid/gas relief max st oral suspensionAlmacone Double Strength

OTC

sb antacid anti-gas oral suspension Almacone OTC

sm antacid advanced max st oral suspension

Almacone Double Strength

OTC

sm antacid advanced oral suspension Almacone OTC

sm antacid anti-gas oral suspension Almacone OTC

sm antacid maximum strength oral suspension

Almacone Double Strength

OTC

sm antacid/antigas oral suspension Almacone OTC

tgt antacid anti-gas oral suspension Almacone OTC

ANTIÁCIDOS - BICARBONATO

sodium bicarbonate oral tablet OTC

ANTIÁCIDOS - SULFATO DE ALUMINIO

aluminum hydroxide gel oral suspension OTC

ANTIÁCIDOS - SULFATO DE CALCIO

antacid calcium extra strength oral tablet chewable

Antacid Flavor Chews OTC

63

Page 64: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

antacid calcium oral tablet chewable Cal-Gest Antacid OTC; QL

antacid extra strength oral tablet chewable Antacid Flavor Chews OTC

ANTACID FLAVOR CHEWS ORAL TABLET CHEWABLE

OTC

antacid maximum oral tablet chewable Tums Ultra 1000 OTC; QL

antacid oral tablet chewable Cal-Gest Antacid OTC; QL

antacid regular strength oral tablet chewable Cal-Gest Antacid OTC; QL

antacid ultra strength oral tablet chewable Tums Ultra 1000 OTC; QL

calcium antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

calcium antacid ultra max st oral tablet chewable

Tums Ultra 1000 OTC; QL

calcium antacid ultra strength oral tablet chewable

Tums Ultra 1000 OTC; QL

calcium carbonate antacid oral suspension OTC

calcium carbonate antacid oral tablet OTC; QL

calcium carbonate antacid oral tablet chewable 500 mg

Cal-Gest Antacid OTC; QL

calcium carbonate antacid oral tablet chewable 750 mg

Antacid Flavor Chews OTC

calcium carbonate oral tablet chewable Cal-Gest Antacid OTC; QL

CAL-GEST ANTACID ORAL TABLET CHEWABLE

OTC; QL

childrens pepto oral tablet chewable Childrens Soothe OTC

CHILDRENS SOOTHE ORAL TABLET CHEWABLE

OTC

cvs antacid extra oral tablet chewable Antacid Flavor Chews OTC

cvs antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

cvs antacid kids oral tablet chewable Antacid Flavor Chews OTC

cvs antacid maximum strength oral tablet chewable

Tums Ultra 1000 OTC; QL

cvs antacid ultra strength oral tablet chewable

Tums Ultra 1000 OTC; QL

CVS CHEWY NOT CHALKY FLAVOR ORAL TABLET CHEWABLE

OTC

cvs smooth antacid extra st oral tablet chewable

Antacid Flavor Chews OTC

64

Page 65: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

eq antacid ultra strength oral tablet chewable

Tums Ultra 1000 OTC; QL

eql antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

eql antacid oral tablet chewable Cal-Gest Antacid OTC; QL

eql antacid ultra strength oral tablet chewable

Tums Ultra 1000 OTC; QL

gnp antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

gnp antacid oral tablet chewable Cal-Gest Antacid OTC; QL

gnp antacid ultra strength oral tablet chewable

Tums Ultra 1000 OTC; QL

goodsense antacid oral tablet chewable1000 mg

Tums Ultra 1000 OTC; QL

goodsense antacid oral tablet chewable 500 mg

Cal-Gest Antacid OTC; QL

goodsense antacid oral tablet chewable 750 mg

Antacid Flavor Chews OTC

hm calcium antacid ex st oral tablet chewable

Antacid Flavor Chews OTC

hm calcium antacid oral tablet chewable 500 mg

Cal-Gest Antacid OTC; QL

hm calcium antacid oral tablet chewable 750 mg

Antacid Flavor Chews OTC

hm calcium antacid ultra st oral tablet chewable

Tums Ultra 1000 OTC; QL

MAALOX CHILDRENS ORAL TABLET CHEWABLE

OTC

px antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

px antacid maximum strength oral tablet chewable

Tums Ultra 1000 OTC; QL

px calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

qc antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

qc antacid oral tablet chewable Cal-Gest Antacid OTC; QL

qc antacid ultra strength oral tablet chewable Tums Ultra 1000 OTC; QL

ra antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

65

Page 66: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra antacid oral tablet chewable Cal-Gest Antacid OTC; QL

ra antacid ultra strength oral tablet chewable Tums Ultra 1000 OTC; QL

ra smooth antacid ex st oral tablet chewable Antacid Flavor Chews OTC

ra stomach relief kids oral tablet chewable Childrens Soothe OTC

sb antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

sb antacid oral tablet chewable Cal-Gest Antacid OTC; QL

sm calcium antacid ex st oral tablet chewable

Antacid Flavor Chews OTC

sm calcium antacid oral tablet chewable Cal-Gest Antacid OTC; QL

sm smooth antacid ex st oral tablet chewable

Antacid Flavor Chews OTC

tgt antacid extra strength oral tablet chewable

Antacid Flavor Chews OTC

tgt antacid oral tablet chewable Tums Ultra 1000 OTC; QL

TITRALAC ORAL TABLET CHEWABLE OTC

ANTIÁCIDOS - SULFATO DE MAGNESIO

gnp magnesium oxide oral tablet OTC

hm magnesium oral tablet 250 mg OTC

hm magnesium oral tablet 400 mg OTC; QL

magnesium oxide (antacid) oral capsule OTC

magnesium oxide oral tablet 250 mg OTC

magnesium oxide oral tablet 400 mg OTC; QL

magnesium oxide oral tablet 420 mg Maox OTC

MAOX ORAL TABLET OTC

qc magnesium oral tablet OTC

COMBINACIONES DE ANTIÁCIDOS

ACID GONE ORAL SUSPENSION OTC

ACID GONE ORAL TABLET CHEWABLE OTC

antacid extra strength oral tablet chewable Acid Gone OTC

antacid oral tablet chewable Rolaids OTC

cvs antacid supreme oral suspension OTC

cvs heartburn relief oral tablet chewable Acid Gone OTC

eq antacid extra strength oral tablet chewable

Acid Gone OTC

gavis-care oral suspension Acid Gone OTC

geri-lanta supreme oral suspension OTC

66

Page 67: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp antacid extra strength oral tablet chewable

Acid Gone OTC

gnp foaming antacid oral suspension Acid Gone OTC

gnp foaming antacid oral tablet chewable OTC

heartburn antacid ex st oral tablet chewable Acid Gone OTC

qc heartburn antacid oral tablet chewable Acid Gone OTC

sm foaming antacid oral tablet chewable OTC

ANTICONCEPTIVOS

ANTICONCEPTIVOS DE EMERGENCIA

AFTERA ORAL TABLET OTC; QL

ECONTRA EZ ORAL TABLET OTC; QL

ECONTRA ONE-STEP ORAL TABLET OTC; QL

levonorgestrel oral tablet Aftera OTC; QL

MY CHOICE ORAL TABLET OTC; QL

MY WAY ORAL TABLET OTC; QL

NEW DAY ORAL TABLET OTC; QL

OPCICON ONE-STEP ORAL TABLET OTC; QL

OPTION 2 ORAL TABLET OTC; QL

PREVENTEZA ORAL TABLET OTC; QL

REACT ORAL TABLET OTC; QL

TAKE ACTION ORAL TABLET OTC; QL

ANTIDIABÉTICOS

INSULINA HUMANA

HUMULIN 70/30 KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

HUMULIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN N KWIKPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

HUMULIN N SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN R INJECTION SOLUTION OTC; QL

NOVOLIN 70/30 FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

67

Page 68: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

NOVOLIN 70/30 FLEXPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN 70/30 RELION SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN 70/30 SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N FLEXPEN RELION SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN N FLEXPEN SUBCUTANEOUS SUSPENSION PEN-INJECTOR

OTC; QL

NOVOLIN N RELION SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN R FLEXPEN INJECTION SOLUTION PEN-INJECTOR

OTC; QL

NOVOLIN R FLEXPEN RELION INJECTION SOLUTION PEN-INJECTOR

OTC; QL

NOVOLIN R INJECTION SOLUTION OTC; QL

NOVOLIN R RELION INJECTION SOLUTION

OTC; QL

OTROS AGENTES PARA LA DIABETES - COMBINACIONES

cvs glucose oral tablet chewable Dex4 OTC

DEX4 GLUCOSE ORAL TABLET CHEWABLE

OTC

DEX4 NATURALS ORAL TABLET CHEWABLE

OTC

DEX4 ORAL TABLET CHEWABLE OTC

DEX4 POUCH PACK ORAL TABLET CHEWABLE

OTC

glucose instant energy oral tablet chewable Dex4 OTC

glucose oral tablet chewable Dex4 OTC

glucose-vitamin c oral tablet chewable Dex4 OTC

gnp glucose oral tablet chewable Dex4 OTC

goodsense glucose oral tablet chewable Dex4 OTC

hm glucose oral tablet chewable Dex4 OTC

hy-vee glucose oral tablet chewable Dex4 OTC

68

Page 69: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

kroger glucose oral tablet chewable Dex4 OTC

leader glucose oral tablet chewable Dex4 OTC

longs glucose oral tablet chewable Dex4 OTC

meijer glucose oral tablet chewable Dex4 OTC

preferred plus glucose oral tablet chewable Dex4 OTC

px glucose oral tablet chewable Dex4 OTC

ra glucose oral tablet chewable Dex4 OTC

RELION GLUCOSE ORAL TABLET CHEWABLE

OTC

sm glucose oral tablet chewable Dex4 OTC

SMART SENSE GLUCOSE ORAL TABLET CHEWABLE

OTC

tgt glucose oral tablet chewable Dex4 OTC

up & up glucose oral tablet chewable Dex4 OTC

value plus glucose oral tablet chewable Dex4 OTC

walgreens glucose oral tablet chewable Dex4 OTC

OTROS AGENTES PARA LA DIABETES

cvs glucose bits oral tablet chewable OTC

cvs glucose oral gel Gluco Burst OTC

cvs glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

cvs soft glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

DEX4 QUICK DISSOLVE GLUCOSE ORAL TABLET CHEWABLE

OTC

GLUCO BURST ORAL GEL OTC

glucose oral gel Gluco Burst OTC

glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

gnp glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

gnp quick dissolve glucose oral tablet chewable

Dex4 Quick Dissolve Glucose

OTC

leader quick dissolve glucose oral tablet chewable

Dex4 Quick Dissolve Glucose

OTC

RELION GLUCOSE ORAL GEL OTC

sm glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

69

Page 70: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

value plus glucose oral gel Gluco Burst OTC

walgreens glucose oral tablet chewableDex4 Quick Dissolve Glucose

OTC

ANTIDIARRÉICOS

AGENTES ANTIDIARRÉICOS VARIOS

bismatrol maximum strength oral suspensionKaopectate Extra Strength

OTC

bismatrol oral suspension Kaopectate OTC; QL

bismatrol oral tablet chewable Pepto-Bismol OTC

bismuth oral tablet chewable Pepto-Bismol OTC

bismuth subsalicylate oral tablet chewable Pepto-Bismol OTC

cvs bismuth oral tablet chewable Pepto-Bismol OTC

cvs stomach relief max st oral suspensionKaopectate Extra Strength

OTC

cvs stomach relief oral suspension 525 mg/15ml

Kaopectate Extra Strength

OTC

cvs stomach relief oral suspension 525 mg/30ml

Kaopectate OTC; QL

cvs stomach relief oral tablet Soothe OTC

cvs stomach relief oral tablet chewable Pepto-Bismol OTC

diarrhea oral suspension Kaopectate OTC; QL

eq pink-bismuth oral tablet chewable Pepto-Bismol OTC

eq stomach relief oral suspension Kaopectate OTC; QL

eq stomach relief oral tablet chewable Pepto-Bismol OTC

eql stomach relief max st oral suspensionKaopectate Extra Strength

OTC

eql stomach relief oral suspension Kaopectate OTC; QL

eql stomach relief oral tablet chewable Pepto-Bismol OTC

gnp k-pec oral suspension Kaopectate OTC; QL

gnp pink bismuth oral tablet Soothe OTC

gnp pink bismuth oral tablet chewable Pepto-Bismol OTC

gnp stomach relief max st oral suspensionKaopectate Extra Strength

OTC

gnp stomach relief oral suspension Kaopectate OTC; QL

goodsense stomach relief oral suspension1050 mg/30ml

Kaopectate Extra Strength

OTC

goodsense stomach relief oral suspension525 mg/30ml

Kaopectate OTC; QL

70

Page 71: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

goodsense stomach relief oral tablet chewable

Pepto-Bismol OTC

hm stomach relief max strength oral suspension

Kaopectate Extra Strength

OTC

hm stomach relief oral suspension Kaopectate OTC; QL

hm stomach relief oral tablet chewable Pepto-Bismol OTC

hm stomach relief ultra oral suspensionKaopectate Extra Strength

OTC

KAOPECTATE EXTRA STRENGTH ORAL SUSPENSION

OTC

KAOPECTATE ORAL SUSPENSION OTC; QL

medi-bismuth oral tablet chewable Pepto-Bismol OTC

peptic relief oral tablet chewable Pepto-Bismol OTC

PEPTO-BISMOL ORAL TABLET CHEWABLE

OTC

PEPTO-BISMOL TO-GO ORAL TABLET CHEWABLE

OTC

pink bismuth maximum strength oral suspension

Kaopectate Extra Strength

OTC

pink bismuth oral suspension Kaopectate OTC; QL

px stomach relief max st oral suspensionKaopectate Extra Strength

OTC

px stomach relief oral suspension Kaopectate OTC; QL

px stomach relief oral tablet chewable Pepto-Bismol OTC

qc diarrhea relief oral suspension Kaopectate OTC; QL

qc pink bismuth oral tablet Soothe OTC

qc pink bismuth oral tablet chewable Pepto-Bismol OTC

ra pink bismuth oral tablet Soothe OTC

ra pink bismuth oral tablet chewable Pepto-Bismol OTC

ra stomach relief max st oral suspensionKaopectate Extra Strength

OTC

ra stomach relief oral suspension Kaopectate OTC; QL

ra stomach relief oral tablet chewable Pepto-Bismol OTC

sb bismuth oral tablet Soothe OTC

sm stomach relief oral suspension Kaopectate OTC; QL

sm stomach relief oral tablet Soothe OTC

sm stomach relief oral tablet chewable Pepto-Bismol OTC

SOOTHE MAXIMUM STRENGTH ORAL SUSPENSION

OTC

71

Page 72: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

SOOTHE ORAL SUSPENSION OTC; QL

SOOTHE ORAL TABLET OTC

SOOTHE ORAL TABLET CHEWABLE OTC

stomach relief max st oral suspensionKaopectate Extra Strength

OTC

stomach relief oral suspension 262 mg/15ml, 525 mg/30ml

Kaopectate OTC; QL

stomach relief oral suspension 525 mg/15mlKaopectate Extra Strength

OTC

stomach relief oral tablet chewable Pepto-Bismol OTC

stomach relief plus oral suspensionKaopectate Extra Strength

OTC

AGENTES ANTIPERISTÁLTICOS

anti-diarrheal oral capsule Imodium A-D OTC; QL

anti-diarrheal oral liquid OTC; QL

anti-diarrheal oral tablet Imodium A-D OTC; QL

cvs anti-diarrheal oral capsule Imodium A-D OTC; QL

cvs anti-diarrheal oral tablet Imodium A-D OTC; QL

diamode oral tablet Imodium A-D OTC; QL

eq anti-diarrheal oral capsule Imodium A-D OTC; QL

eq anti-diarrheal oral liquid OTC; QL

eq anti-diarrheal oral tablet Imodium A-D OTC; QL

eql anti-diarrheal oral tablet Imodium A-D OTC; QL

gnp anti-diarrheal oral capsule Imodium A-D OTC; QL

gnp anti-diarrheal oral tablet Imodium A-D OTC; QL

hm anti-diarrheal oral capsule Imodium A-D OTC; QL

hm anti-diarrheal oral tablet Imodium A-D OTC; QL

hm loperamide hcl oral capsule Imodium A-D OTC; QL

kls anti-diarrheal oral tablet Imodium A-D OTC; QL

loperamide hcl oral liquid OTC; QL

loperamide hcl oral tablet Imodium A-D OTC; QL

meijer anti-diarrheal oral tablet Imodium A-D OTC; QL

mm anti-diarrheal oral tablet Imodium A-D OTC; QL

px anti-diarrheal oral tablet Imodium A-D OTC; QL

qc anti-diarrheal oral capsule Imodium A-D OTC; QL

qc anti-diarrheal oral tablet Imodium A-D OTC; QL

ra anti-diarrheal oral capsule Imodium A-D OTC; QL

ra anti-diarrheal oral liquid OTC; QL

72

Page 73: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra anti-diarrheal oral tablet Imodium A-D OTC; QL

sb anti-diarrhea oral tablet Imodium A-D OTC; QL

sm anti-diarrheal oral capsule Imodium A-D OTC; QL

sm anti-diarrheal oral tablet Imodium A-D OTC; QL

tgt anti-diarrheal oral tablet Imodium A-D OTC; QL

tgt loperamide hcl oral capsule Imodium A-D OTC; QL

ANTIEMÉTICOS

ANTIEMÉTICOS - AGENTE ANTICOLINÉRGICO

cvs motion sickness ii oral tablet Dramamine Less Drowsy OTC

cvs motion sickness oral tablet Driminate OTC

cvs motion sickness relief oral tablet chewable

Bonine OTC

dimenhydrinate oral tablet Driminate OTC

DRAMAMINE LESS DROWSY ORAL TABLET

OTC

DRIMINATE ORAL TABLET OTC

eq motion sickness oral tablet Driminate OTC

eq motion sickness relief oral tablet Dramamine Less Drowsy OTC

eql motion sickness relief oral tablet Dramamine Less Drowsy OTC

gnp motion sickness relief oral tablet Dramamine Less Drowsy OTC

goodsense motion sickness oral tablet Driminate OTC

hm motion relief oral tablet Dramamine Less Drowsy OTC

hm motion sickness oral tablet Driminate OTC

hm motion sickness relief oral tablet Dramamine Less Drowsy OTC

meclizine hcl oral tablet OTC

meclizine hcl oral tablet chewable Bonine OTC

motion sickness relief oral tablet Driminate OTC

motion sickness relief oral tablet chewable Bonine OTC

qc motion sickness relief oral tablet Driminate OTC

ra motion sickness relief oral tablet Driminate OTC

ra motion sickness relief oral tablet chewable

Bonine OTC

sb motion sickness oral tablet Driminate OTC

sm motion sickness oral tablet Dramamine Less Drowsy OTC

sm motion sickness relief oral tablet Driminate OTC

travel sickness oral tablet Driminate OTC

73

Page 74: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

travel sickness oral tablet chewable Bonine OTC

trav-tabs oral tablet Driminate OTC

WAL-DRAM ORAL TABLET OTC

COMBINACIONES DE ANTIEMÉTICOS

anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

anti-nausea/rekematol oral solutionLittle Tummys Nausea Relief

OTC

cvs nausea relief oral liquidLittle Tummys Nausea Relief

OTC

eql anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

formula em oral solutionLittle Tummys Nausea Relief

OTC

gnp nausea relief oral solutionLittle Tummys Nausea Relief

OTC

hm anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

LITTLE TUMMYS NAUSEA RELIEF ORAL SOLUTION

OTC

nausea control oral solutionLittle Tummys Nausea Relief

OTC

nausea relief oral solutionLittle Tummys Nausea Relief

OTC

ra anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

sb anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

sm anti-nausea oral solutionLittle Tummys Nausea Relief

OTC

ANTIESPASMÓDICOS URINARIOS

ANTIESPASMÓDICOS URINARIOS - ANTIMUSCARÍNICOS (ANTICOLINÉRGICOS)

OXYTROL FOR WOMEN TRANSDERMAL PATCH TWICE WEEKLY

OTC

ANTIHELMÍNTICOS

ANTIHELMÍNTICOS

reeses pinworm medicine oral suspension OTC

74

Page 75: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ANTIHISTAMÍNICOS

ANTIHISTAMÍNICOS - ALQUILAMINAS

aller-chlor oral tablet Wal-finate OTC

allergy oral tablet Wal-finate OTC

allergy oral tablet extended release Chlor-Trimeton Allergy OTC

allergy relief oral tablet Wal-finate OTC

allergy-time oral tablet Wal-finate OTC

chlorhist oral tablet Wal-finate OTC

chlorpheniramine maleate er oral tablet extended release

Chlor-Trimeton Allergy OTC

chlorpheniramine maleate oral tablet Wal-finate OTC

cvs allergy relief oral tablet Wal-finate OTC

cvs allergy relief oral tablet extended release Chlor-Trimeton Allergy OTC

DIABETIC TUSSIN ALLERGY ORAL SYRUP

OTC

ed chlorped jr oral syrup Diabetic Tussin Allergy OTC

eq chlortabs oral tablet Wal-finate OTC

eql allergy oral tablet Wal-finate OTC

gnp allergy oral tablet Wal-finate OTC

hm allergy relief oral tablet Wal-finate OTC

pharbechlor oral tablet Wal-finate OTC

qc allergy relief 4-hour oral tablet Wal-finate OTC

qc chlor-pheniramine oral tablet Wal-finate OTC

ra allergy relief oral tablet Wal-finate OTC

ra chlorpheniramine maleate oral tablet Wal-finate OTC

sb chlorpheniramine oral tablet Wal-finate OTC

sm allergy 4 hour oral tablet Wal-finate OTC

WAL-FINATE ORAL TABLET OTC

ANTIHISTAMÍNICOS - ETANOLAMINAS

aler-cap oral capsule Banophen OTC; QL

alertab oral tablet Alka-Seltzer Plus Allergy OTC

ALKA-SELTZER PLUS ALLERGY ORAL TABLET

OTC

allergy childrens oral liquid Banophen OTC; QL

allergy oral capsule Banophen OTC; QL

75

Page 76: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

allergy oral tablet Alka-Seltzer Plus Allergy OTC

allergy relief childrens oral liquid Banophen OTC; QL

allergy relief childrens oral tablet dispersibleWal-Dryl Allergy Rel Childrens

OTC

allergy relief oral capsule Banophen OTC; QL

allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

anti-hist allergy oral tablet Alka-Seltzer Plus Allergy OTC

aurodryl allergy childrens oral liquid Banophen OTC; QL

BANOPHEN ORAL CAPSULE 25 MG OTC; QL

BANOPHEN ORAL CAPSULE 50 MG OTC

BANOPHEN ORAL LIQUID OTC; QL

BANOPHEN ORAL TABLET OTC

complete allergy medicine oral capsule Banophen OTC; QL

complete allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC

complete allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

cvs allergy oral capsule Banophen OTC; QL

cvs allergy relief adult oral liquid Banophen OTC; QL

cvs allergy relief childrens oral liquid Banophen OTC; QL

cvs allergy relief childrens oral tablet dispersible

Wal-Dryl Allergy Rel Childrens

OTC

cvs allergy relief oral capsule Banophen OTC; QL

cvs allergy relief oral liquid Banophen OTC; QL

cvs allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

cvs childrens allergy oral liquid Banophen OTC; QL

DAYHIST ALLERGY 12 HOUR RELIEF ORAL TABLET

OTC

diphen oral tablet Alka-Seltzer Plus Allergy OTC

diphenhist oral capsule Banophen OTC; QL

diphenhydramine hcl oral capsule 25 mg Banophen OTC; QL

diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral liquid 12.5 mg/5ml Banophen OTC; QL

diphenhydramine hcl oral liquid 6.25 mg/mlPediaClear Cough Childrens

OTC

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC

dye-free allergy relief oral liquid Banophen OTC; QL

eq allergy oral capsule Banophen OTC; QL

eq allergy relief childrens oral elixir OTC; QL

eq allergy relief childrens oral liquid Banophen OTC; QL

76

Page 77: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq allergy relief childrens oral tablet dispersible

Wal-Dryl Allergy Rel Childrens

OTC

eq allergy relief oral capsule Banophen OTC; QL

eq allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

eql allergy oral tablet Alka-Seltzer Plus Allergy OTC

eql allergy relief childrens oral tablet dispersible

Wal-Dryl Allergy Rel Childrens

OTC

eql allergy relief oral capsule Banophen OTC; QL

eql allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

eql childrens allergy oral liquid Banophen OTC; QL

genahist oral capsule Banophen OTC; QL

geri-dryl oral capsule Banophen OTC; QL

geri-dryl oral liquid Banophen OTC; QL

geri-dryl oral tablet Alka-Seltzer Plus Allergy OTC

gnp allergy antihistamine oral liquid Banophen OTC; QL

gnp allergy oral capsule Banophen OTC; QL

gnp allergy oral tablet Alka-Seltzer Plus Allergy OTC

gnp allergy relief oral capsule Banophen OTC; QL

gnp allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

gnp allergy relief oral tablet chewableBenadryl Allergy Childrens

OTC

gnp childrens allergy oral liquid Banophen OTC; QL

gnp dayhist allergy oral tabletDayhist Allergy 12 Hour Relief

OTC

hm allergy relief childrens oral liquid Banophen OTC; QL

hm allergy relief oral capsule Banophen OTC; QL

hm allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

kls allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC

kp diphenhydramine hcl oral capsule Banophen OTC

m-dryl oral liquid Banophen OTC; QL

MEDI-PHEDRYL ORAL CAPSULE OTC; QL

meijer antihistamine allergy oral capsule Banophen OTC; QL

NARAMIN ORAL LIQUID OTC; QL

PEDIACARE CHILDRENS ALLERGY ORAL LIQUID

OTC; QL

PEDIACLEAR COUGH CHILDRENS ORAL LIQUID

OTC

pharbedryl oral capsule 25 mg Banophen OTC; QL

77

Page 78: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

pharbedryl oral capsule 50 mg Banophen OTC

px allergy oral capsule Banophen OTC; QL

px allergy oral liquid Banophen OTC; QL

px allergy oral tablet Alka-Seltzer Plus Allergy OTC

PX DAYHIST ALLERGY ORAL TABLET OTC

qc allergy childrens oral liquid Banophen OTC; QL

qc allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

qc complete allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC

ra allergy medication oral capsule Banophen OTC; QL

ra allergy medication oral liquid Banophen OTC; QL

ra allergy medication oral tablet Alka-Seltzer Plus Allergy OTC

ra allergy oral liquid Banophen OTC; QL

ra allergy oral tablet Alka-Seltzer Plus Allergy OTC

ra allergy relief childrens oral liquid Banophen OTC; QL

ra allergy relief childrens oral tablet dispersible

Wal-Dryl Allergy Rel Childrens

OTC

ra allergy relief oral capsule Banophen OTC; QL

ra allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

ra complete allergy oral tablet Alka-Seltzer Plus Allergy OTC

RA DIPHEDRYL ALLERGY ORAL LIQUID OTC; QL

sb allergy medicine oral liquid Banophen OTC; QL

sb allergy medicine oral tablet Alka-Seltzer Plus Allergy OTC

sb allergy oral capsule Banophen OTC; QL

siladryl allergy oral liquid Banophen OTC; QL

sm allergy relief childrens oral liquid Banophen OTC; QL

sm allergy relief oral capsule Banophen OTC; QL

sm allergy relief oral liquid Banophen OTC; QL

sm allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

tgt allergy melts childrens oral tablet dispersible

Wal-Dryl Allergy Rel Childrens

OTC

tgt allergy relief childrens oral liquid Banophen OTC; QL

tgt allergy relief oral capsule Banophen OTC; QL

tgt allergy relief oral tablet Alka-Seltzer Plus Allergy OTC

TOTAL ALLERGY MEDICINE ORAL LIQUID

OTC; QL

total allergy oral tablet Alka-Seltzer Plus Allergy OTC

WAL-DRYL ALLERGY CHILDRENS ORAL LIQUID

OTC; QL

78

Page 79: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

WAL-DRYL ALLERGY ORAL CAPSULE OTC; QL

WAL-DRYL ALLERGY ORAL LIQUID OTC; QL

WAL-DRYL ALLERGY ORAL TABLET OTC

WAL-DRYL ALLERGY REL CHILDRENS ORAL TABLET DISPERSIBLE

OTC

ANTIHISTAMÍNICOS - NO SEDANTES

24hr allergy relief oral tablet KLS Aller-Fex OTC; QL

ALAVERT ORAL TABLET DISPERSIBLE OTC; QL

ALLEGRA ALLERGY CHILDRENS ORAL TABLET DISPERSIBLE

OTC

aller-ease oral tablet Wal-Fex Allergy OTC; QL

allergy 24-hr oral tablet KLS Aller-Fex OTC; QL

allergy childrens oral syrup Wal-itin OTC; QL

allergy relief child oral syrup Wal-itin OTC; QL

allergy relief childrens oral syrup Wal-itin OTC; QL

allergy relief loratadine oral tablet KLS AllerClear OTC; QL

allergy relief oral tablet KLS AllerClear OTC; QL

allergy relief oral tablet dispersible Alavert OTC; QL

childrens loratadine oral solution Wal-itin OTC; QL

childrens loratadine oral syrup Wal-itin OTC; QL

cvs allergy relief childrens oral suspension Allegra Allergy Childrens OTC; QL

cvs allergy relief childrens oral syrup Wal-itin OTC; QL

cvs allergy relief childrens oral tablet chewable

Claritin PA; OTC

cvs allergy relief oral tablet KLS AllerClear OTC; QL

cvs allergy relief oral tablet dispersible Alavert OTC; QL

eq allergy childrens oral syrup Wal-itin OTC; QL

eq allergy relief childrens oral syrup Wal-itin OTC; QL

eq allergy relief oral tablet KLS AllerClear OTC; QL

eq childrens loratadine oral syrup Wal-itin OTC; QL

eq loratadine childrens oral tablet chewable Claritin PA; OTC

eq loratadine oral tablet KLS AllerClear OTC; QL

eq loratadine oral tablet dispersible Alavert OTC; QL

eql aller-ease oral tablet KLS Aller-Fex OTC; QL

eql allergy relief oral tablet KLS AllerClear OTC; QL

fexofenadine hcl oral tablet Wal-Fex Allergy OTC; QL

gnp allergy relief oral tablet KLS Aller-Fex OTC; QL

79

Page 80: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp allergy relief oral tablet dispersible Alavert OTC; QL

gnp loratadine childrens oral solution Wal-itin OTC; QL

gnp loratadine childrens oral tablet chewable Claritin PA; OTC

gnp loratadine oral syrup Wal-itin OTC; QL

gnp loratadine oral tablet KLS AllerClear OTC; QL

gnp loratadine oral tablet dispersible Alavert OTC; QL

goodsense aller-ease oral tablet KLS Aller-Fex OTC; QL

goodsense allergy relief oral capsule Claritin OTC

hm allergy relief oral tablet dispersible Alavert OTC; QL

hm fexofenadine hcl oral tablet KLS Aller-Fex OTC; QL

hm loratadine childrens oral syrup Wal-itin OTC; QL

hm loratadine oral tablet KLS AllerClear OTC; QL

KLS ALLERCLEAR ORAL TABLET OTC; QL

KLS ALLER-FEX ORAL TABLET OTC; QL

kp fexofenadine hcl oral tablet Wal-Fex Allergy OTC; QL

kp loratadine oral tablet KLS AllerClear OTC; QL

loradamed oral tablet KLS AllerClear OTC; QL

loratadine childrens oral syrup Wal-itin OTC; QL

loratadine oral capsule Claritin OTC

loratadine oral syrup Wal-itin OTC; QL

loratadine oral tablet KLS AllerClear OTC; QL

meijer allergy relief oral tablet KLS AllerClear OTC; QL

meijer allergy relief oral tablet dispersible Alavert OTC; QL

meijer loratadine oral syrup Wal-itin OTC; QL

px allergy relief loratadine oral tablet KLS AllerClear OTC; QL

px allergy relief oral tablet KLS Aller-Fex OTC; QL

px allergy relief oral tablet dispersible Alavert OTC; QL

qc allergy relief childrens oral syrup Wal-itin OTC; QL

qc allergy relief oral tablet KLS Aller-Fex OTC; QL

qc allergy relief oral tablet dispersible Alavert OTC; QL

qc fexofenadine hydrochloride oral tablet KLS Aller-Fex OTC; QL

qc loratadine allergy relief oral tablet KLS AllerClear OTC; QL

ra allergy relief childrens oral tablet chewable

Claritin OTC

ra allergy relief oral tablet KLS Aller-Fex OTC; QL

ra allergy relief oral tablet dispersible Alavert OTC; QL

ra loratadine childrens oral syrup Wal-itin OTC; QL

80

Page 81: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra loratadine oral syrup Wal-itin OTC; QL

ra loratadine oral tablet KLS AllerClear OTC; QL

ra loratadine oral tablet dispersible Alavert OTC; QL

sb allergy relief oral tablet dispersible Alavert OTC; QL

sb loratadine allergy relief oral tablet KLS AllerClear OTC; QL

sb loratadine oral syrup Wal-itin OTC; QL

sb loratadine oral tablet KLS AllerClear OTC; QL

sm allergy childrens oral syrup Wal-itin OTC; QL

sm allergy relief oral tablet dispersible Alavert OTC; QL

sm childrens loratadine oral syrup Wal-itin OTC; QL

sm fexofenadine hcl oral tablet KLS Aller-Fex OTC; QL

sm loratadine allergy relief oral tablet dispersible

Alavert OTC; QL

sm loratadine oral syrup Wal-itin OTC; QL

sm loratadine oral tablet KLS AllerClear OTC; QL

tgt allergy relief oral tablet KLS AllerClear OTC; QL

tgt allergy relief oral tablet dispersible Alavert OTC; QL

tgt loratadine childrens oral syrup Wal-itin OTC; QL

TRIAMINIC ALLERCHEWS ORAL TABLET DISPERSIBLE

OTC; QL

WAL-FEX ALLERGY ORAL TABLET OTC; QL

WAL-FEX ORAL TABLET OTC; QL

WAL-ITIN ALLERGY REDITABS ORAL TABLET DISPERSIBLE

OTC; QL

WAL-ITIN ALLER-MELTS ORAL TABLET DISPERSIBLE

OTC; QL

WAL-ITIN CHILDRENS ORAL SOLUTION OTC; QL

WAL-ITIN ORAL SYRUP OTC; QL

WAL-ITIN ORAL TABLET OTC; QL

WAL-ITIN ORAL TABLET DISPERSIBLE OTC; QL

WAL-VERT ORAL TABLET DISPERSIBLE OTC; QL

ANTISÉPTICOS Y DESINFECTANTES

ANTISÉPTICOS DE CLORO

antiseptic skin cleanser external solution Dyna-Hex 4 OTC; QL

BETASEPT SURGICAL SCRUB EXTERNAL LIQUID

OTC; QL

chlorhexidine gluconate external liquid OTC

81

Page 82: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs antiseptic skin cleanser external solution Dyna-Hex 4 OTC; QL

gnp antiseptic skin cleanser external solution Dyna-Hex 4 OTC; QL

hm antiseptic skin cleanser external solution Dyna-Hex 4 OTC; QL

ANTISÉPTICOS Y DESINFECTANTES

cvs hydrogen peroxide external solution OTC

eq hydrogen peroxide external solution OTC

eql hydrogen peroxide external solution OTC

gnp hydrogen peroxide external solution OTC

goodsense hydrogen peroxide external solution

OTC

hm hydrogen peroxide external solution OTC

hydrogen peroxide external solution OTC

meijer hydrogen peroxide external solution OTC

px hydrogen peroxide external solution OTC

qc hydrogen peroxide external solution OTC

ra hydrogen peroxide external solution OTC

sm hydrogen peroxide external solution OTC

tgt hydrogen peroxide external solution OTC

DISPOSITIVOS MÉDICOS

AGUJAS Y JERINGAS

BD AUTOSHIELD OTC; QL

BD AUTOSHIELD DUO OTC; QL

BD PEN NEEDLE MICRO U/F OTC; QL

BD PEN NEEDLE MINI U/F OTC; QL

BD PEN NEEDLE NANO 2ND GEN OTC; QL

BD PEN NEEDLE NANO U/F OTC; QL

BD PEN NEEDLE ORIGINAL U/F OTC; QL

BD PEN NEEDLE SHORT U/F OTC; QL

APLICADORES, BOLAS DE ALGODÓN, ETC.

alcohol prep padBD Swabs Single Use Butterfly

OTC

alcohol swabs padBD Swabs Single Use Butterfly

OTC

BD SWABS SINGLE USE BUTTERFLY PAD

OTC

CURITY ALCOHOL PREPS PAD OTC

82

Page 83: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs alcohol prep pads padBD Swabs Single Use Butterfly

OTC

cvs prep padBD Swabs Single Use Butterfly

OTC

EASY TOUCH ALCOHOL PREP MEDIUM PAD

OTC

FIFTY50 ALCOHOL PREP PAD OTC

gnp alcohol swabs padBD Swabs Single Use Butterfly

OTC

hm sterile alcohol prep padBD Swabs Single Use Butterfly

OTC

qc alcohol swabs padBD Swabs Single Use Butterfly

OTC

RELION ALCOHOL SWABS PAD OTC

sm alcohol prep padBD Swabs Single Use Butterfly

OTC

tgt alcohol swabs padBD Swabs Single Use Butterfly

OTC

ULTICARE ALCOHOL SWABS PAD OTC

WEBCOL ALCOHOL PREP LARGE PAD OTC

WEBCOL ALCOHOL PREP MEDIUM PAD OTC

DISPOSITIVOS VARIOS

adult-lock tablet cutter Deluxe Tablet Cutter OTC

DELUXE TABLET CUTTER OTC

folding paddle walker Deluxe Tablet Cutter OTC

tablet cutter/deluxe safety Deluxe Tablet Cutter OTC

tablet cutter-crusher Deluxe Tablet Cutter OTC

MÁSCARAS

pediatric medium mask CPR Microshield OTC; QL

pediatric small mask CPR Microshield OTC; QL

MEDIDORES DE FLUJO MÁXIMO

AIRZONE PEAK FLOW METER DEVICE OTC

ASSESS FULL RANGE PEAK METER DEVICE

OTC

ASSESS LOW RANGE PEAK METER DEVICE

OTC

ASSESS PEAK FLOW METER DEVICE OTC

ASTHMA CHECK METER-ZONE SYSTEM DEVICE

OTC

83

Page 84: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ASTHMAMENTOR DEVICE OTC

CLEVER CHOICE PEAK FLOW METER DEVICE

OTC

lung perform peak flow meter device Airzone Peak Flow Meter OTC

MICROLIFE DIGITAL PEAK FLOW DEVICE

OTC

MINI WRIGHT PEAK FLOW METER DEVICE

OTC

peak a-i-r flow meter device Airzone Peak Flow Meter OTC

PEAK AIR PEAK FLOW METER DEVICE OTC

peak flow meter universal rang device Airzone Peak Flow Meter OTC

PERSONAL BEST FULL RANGE DEVICE OTC

PERSONAL BEST LOW RANGE DEVICE OTC

PIKO 1 DEVICE OTC

POCKET PEAK FLOW METER DEVICE OTC

POCKETPEAK PEAK FLOW METER DEVICE

OTC

PRESERVATIVOS (FEMENINOS)

FC FEMALE CONDOM OTC

FC2 FEMALE CONDOM OTC

PRESERVATIVOS (MASCULINOS)

aimsco lubricated Durex Extra Sensitive OTC

DUREX EXTRA SENSITIVE DEVICE OTC

FANTASY LUBRICATED OTC

FANTASY LUBRICATED/SPERMICIDE OTC

KAMELEON LUBRICATED OTC

kimono Durex Extra Sensitive OTC

KIMONO COLORS DEVICE OTC

kimono micro thin Trustex Non-Lubricated OTC

kimono micro thin plus Durex Extra Sensitive OTC

kimono plus Durex Extra Sensitive OTC

kimono ps Durex Extra Sensitive OTC

kimono ps plus Durex Extra Sensitive OTC

kimono sensation Durex Extra Sensitive OTC

kimono sensation plus Durex Extra Sensitive OTC

KIMONO SPECIAL DEVICE OTC

maxx Durex Extra Sensitive OTC

maxx plus Durex Extra Sensitive OTC

84

Page 85: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

premium condoms lubricated Durex Extra Sensitive OTC

REALITY LATEX CONDOMS OTC

REALITY LATEX/ULTRA TEXTURED DEVICE

OTC

REALITY LATEX/ULTRA THIN DEVICE OTC

TRUSTEX COLOR CONDOMS + LUBE OTC

TRUSTEX LUB/RIBBED/STUDDED OTC

TRUSTEX LUB/SPERMICIDE EX ST OTC

TRUSTEX LUB/SPERMICIDE XL OTC

TRUSTEX LUBRICATED OTC

TRUSTEX LUBRICATED EX LARGE OTC

TRUSTEX LUBRICATED EXTRA ST OTC

TRUSTEX LUBRICATED/SPERMICIDE OTC

TRUSTEX NATURAL CONDOMS + LUBE OTC

TRUSTEX NON-LUBRICATED OTC

TRUSTEX RIA LUB/SPERMICIDE OTC

TRUSTEX RIA LUBRICATED OTC

TRUSTEX RIA NON-LUBRICATED OTC

TRUSTEX-NONOXYNOL-9/RIB/STUD OTC

PRODUCTOS PARA EL CUIDADO DE LOS PIES

cvs callus remover padBand-Aid Hydro Seal Corn Cush

OTC

DESENEX FOOT/SNEAKER SPRAY EXTERNAL AEROSOL

OTC

JOHNSONS FOOT SPRAY EXTERNAL AEROSOL

OTC

SUMINISTROS DE PRUEBA DE CONTROL DE LA GLUCOSA

1st tier unilet comfortouchAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance lite lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance special lancets 17gAgaMatrix Ultra-Thin Lancets

OTC; QL

acti-lance universal 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

85

Page 86: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

advanced mobile lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

ADVOCATE RAPID-SAFE LANCING OTC; QL

AGAMATRIX ULTRA-THIN LANCETS OTC; QL

aimsco twist lancets 32gAgaMatrix Ultra-Thin Lancets

OTC; QL

AIMSCO TWIST LANCETS 33G OTC; QL

alternate site lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

aqua lance adjustable lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

ASSURE HAEMOLANCE PLUS HIGH OTC; QL

ASSURE HAEMOLANCE PLUS LOW OTC; QL

ASSURE HAEMOLANCE PLUS MICRO OTC; QL

ASSURE HAEMOLANCE PLUS NORMAL OTC; QL

ASSURE HAEMOLANCE PLUS PED OTC; QL

ASSURE LANCE LANCETS OTC; QL

ASSURE LANCE LANCETS 21G OTC; QL

ASSURE LANCE PLUS SAFETY 25G OTC; QL

ASSURE LANCE PLUS SAFETY 30G OTC; QL

ASSURE LANCE SAFETY LANCET 28G OTC; QL

aurora lancet super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

aurora lancet thin 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

AUTO-LANCET MINI OTC; QL

AUTOLET LANCING DEVICE OTC; QL

AUTOLET PLUS OTC; QL

careone advanced lancing devAdvocate Rapid-Safe Lancing

OTC; QL

careone lancet thin 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

careone lancet ultra thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

CARESENS LANCETS OTC; QL

CARETOUCH LANCING/EJECTOR OTC; QL

CLEANLET LANCETS 28G OTC; QL

comfort assured lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

86

Page 87: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

comfort assured lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

comfort lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets originalAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs lancets ultra-thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

cvs ultra thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

diathrive lancet ultra thin 30AgaMatrix Ultra-Thin Lancets

OTC; QL

diathrive lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

DROPLET LANCETS ULTRA THIN 30G OTC; QL

DROPLET LANCING DEVICE OTC; QL

drug mart lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

DRUG MART LANCING DEVICE OTC; QL

DRUG MART ON-THE-GO LANCET 30G OTC; QL

DRUG MART UNILET LANCETS 28G OTC; QL

DRUG MART UNILET LANCETS 30G OTC; QL

DRUG MART UNILET LANCETS 33G OTC; QL

easy mini eject lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

easy mini lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

EASY TOUCH LANCETS 21G OTC; QL

EASY TOUCH LANCETS 23G OTC; QL

EASY TOUCH LANCETS 26G OTC; QL

EASY TOUCH LANCETS 28G OTC; QL

EASY TOUCH LANCETS 28G/TWIST OTC; QL

87

Page 88: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

EASY TOUCH LANCETS 30G OTC; QL

EASY TOUCH LANCETS 32G OTC; QL

EASY TOUCH LANCETS 32G/TWIST OTC; QL

EASY TOUCH LANCING DEVICE OTC; QL

EASY TOUCH SAFETY LANCETS 21G OTC; QL

EASY TOUCH SAFETY LANCETS 23G OTC; QL

EASY TOUCH SAFETY LANCETS 26G OTC; QL

EASY TOUCH SAFETY LANCETS 28G OTC; QL

eql color lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql color lancets micro 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql super thin lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

eql thin lancets 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

E-Z JECT LANCET MICRO-THIN 33G OTC; QL

E-Z JECT LANCET SUPER THIN 30G OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT LANCETS 21G OTC; QL

E-Z JECT LANCETS THIN 26G OTC; QL

EZ SMART BLOOD GLUCOSE LANCETS OTC; QL

EZ-LETS LANCETS 21G OTC; QL

EZ-LETS LANCETS 26G OTC; QL

EZ-LETS LANCETS 28G OTC; QL

EZ-LETS LANCETS 30G OTC; QL

FIFTY50 SAFETY SEAL LANCETS OTC; QL

FIFTY50 UNILET LANCETS 33G OTC; QL

FINE 30 OTC; QL

FORA LANCETS OTC; QL

FORA LANCING DEVICE OTC; QL

freds pharmacy autolet lancingAdvocate Rapid-Safe Lancing

OTC; QL

freds pharmacy unilet lanc 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

freds pharmacy unilet lanc 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

FREESTYLE UNISTICK II LANCETS OTC; QL

GENTEEL BUTTERFLY TOUCH LANCET OTC; QL

88

Page 89: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

GENTLE-LET GP LANCETS OTC; QL

GENTLE-LET LANCETS OTC; QL

global lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

GLUCOCOM LANCETS 28G OTC; QL

GLUCOCOM LANCETS 30G OTC; QL

GLUCOCOM LANCETS 33G OTC; QL

gnp lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp micro thin lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

gnp super thin lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense color lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 26g univAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 30g univAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

goodsense lancets 33g univAgaMatrix Ultra-Thin Lancets

OTC; QL

HAEMOLANCE OTC; QL

HAEMOLANCE LOW FLOW LANCETS OTC; QL

HAEMOLANCE PLUS OTC; QL

HAEMOLANCE PLUS HIGH FLOW OTC; QL

HAEMOLANCE PLUS LOW FLOW OTC; QL

89

Page 90: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

HAEMOLANCE PLUS MAX FLOW OTC; QL

HAEMOLANCE PLUS PEDIATRIC FLOW OTC; QL

healthy accents lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

healthy accents unilet lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

h-e-b incontrol adv lancingAdvocate Rapid-Safe Lancing

OTC; QL

h-e-b incontrol lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

h-e-b incontrol lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

h-e-b incontrol lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

HYPOLANCE AST LANCING KIT OTC

HY-VEE LANCETS OTC; QL

hy-vee thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

IN TOUCH STERILE LANCETS 30G OTC; QL

kinney lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

kinney thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

KROGER AUTOLET LANCING DEVICE OTC

KROGER HEALTHPRO LANCET 26G OTC; QL

KROGER HEALTHPRO LANCET 30G OTC; QL

KROGER HEALTHPRO LANCET 33G OTC; QL

kroger lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

kroger lancets ultrathin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

90

Page 91: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

kroger lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

lancet device with ejectorAdvocate Rapid-Safe Lancing

OTC; QL

lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets super thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

LANCETS ULTRA FINE OTC; QL

LANCETS ULTRA THIN OTC; QL

lancets ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

LANZO OTC; QL

leader advanced lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

lite touch lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

LITE TOUCH LANCING PEN OTC; QL

LITETOUCH LANCETS OTC; QL

live better adv lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

live better lancet super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

live better lancet ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets standardAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

longs lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancet extraAgaMatrix Ultra-Thin Lancets

OTC; QL

medichoice safety lancet normAgaMatrix Ultra-Thin Lancets

OTC; QL

91

Page 92: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

MEDLANCE EXTRA 21G OTC; QL

MEDLANCE LITE 25G OTC; QL

MEDLANCE PLUS EXTRA 21G OTC; QL

MEDLANCE PLUS LANCETS OTC; QL

MEDLANCE PLUS LITE 25G OTC; QL

MEDLANCE PLUS SPECIAL 0.8MM OTC; QL

MEDLANCE PLUS SUPERLITE 30G OTC; QL

MEDLANCE PLUS UNIVERSAL 21G OTC; QL

MEDLANCE UNIVERSAL 21G OTC; QL

MEIJER LANCETS OTC; QL

MEIJER LANCETS THIN OTC; QL

MEIJER LANCETS UNIVERSAL 21G OTC; QL

MEIJER LANCETS UNIVERSAL 30G OTC; QL

MEIJER LANCETS UNIVERSAL 33G OTC; QL

MEIJER SUPER THIN LANCETS OTC; QL

MICROLET NEXT LANCING DEVICE OTC; QL

mini lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

MM LANCING DEVICE OTC; QL

MM TWIST LANCETS OTC; QL

MONOLET LANCETS OTC; QL

MONOLET OPD LANCETS OTC; QL

MONOLETTOR SAFETY LANCETS OTC; QL

mpd safety lancet 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

mpd safety lancet 23gAgaMatrix Ultra-Thin Lancets

OTC; QL

mpd safety lancet 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

mpd safety lancet 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC

MYGLUCOHEALTH LANCETS 30G OTC; QL

NOVA SAFETY LANCETS 23G OTC; QL

NOVA SAFETY LANCETS 28G OTC; QL

NOVA SUREFLEX LANCETS OTC; QL

ON CALL LANCETS OTC; QL

ON CALL LANCING DEVICE OTC; QL

92

Page 93: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ON CALL PLUS LANCETS OTC; QL

ON CALL PLUS LANCING DEVICE OTC; QL

pc lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

PERFECT LANCETS 28G OTC; QL

PERFECT LANCETS 30G OTC; QL

PHARMACY COUNTER LANCETS OTC; QL

pip lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

pip lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

PRECISION THINS GP LANCETS OTC; QL

preferred plus lancets coloredAgaMatrix Ultra-Thin Lancets

OTC; QL

preferred plus lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

pressure activat safety lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

PRODIGY LANCING DEVICE OTC; QL

PSS SELECT GP LANCETS OTC; QL

PSS SELECT SAFETY LANCETS OTC; QL

push button safety lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

push button safety lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

px advanced lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

px lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

px lancets ultra thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc lancets super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

qc unilet lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

qc unilet lancets micro thinAgaMatrix Ultra-Thin Lancets

OTC; QL

RA E-ZJECT COLOR LANCETS 33G OTC; QL

93

Page 94: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

RA E-ZJECT LANCETS 28G OTC; QL

RA E-ZJECT LANCETS THIN 26G OTC; QL

RA E-ZJECT LANCETS THIN 28G OTC; QL

RA E-ZJECT LANCETS ULTRA THIN OTC; QL

READYLANCE SAFETY LANCETS OTC; QL

reality lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

reality trigger lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

RELION LANCETS MICRO-THIN 33G OTC; QL

RELION LANCETS STANDARD 21G OTC; QL

RELION LANCETS THIN 26G OTC; QL

RELION LANCETS ULTRA-THIN 30G OTC; QL

RELION ULTRA THIN LANCETS 30G OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

REXALL LANCETS ULTRA THIN 30G OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC; QL

RIGHTEST GL300 LANCETS OTC; QL

SAFE-T-LANCE OTC; QL

SAFE-T-LANCE PLUS OTC; QL

safety lancet 21g/pressure actAgaMatrix Ultra-Thin Lancets

OTC; QL

safety lancet 28g/pressure actAgaMatrix Ultra-Thin Lancets

OTC; QL

SAFETY LANCETS 21G OTC; QL

SAFETY SEAL LANCETS OTC; QL

sb lancets thinAgaMatrix Ultra-Thin Lancets

OTC; QL

sb lancets ultra thinAgaMatrix Ultra-Thin Lancets

OTC; QL

SHOPKO AUTOLET LANCING DEVICE OTC; QL

SHOPKO ON-THE-GO LANCETS 30G OTC; QL

SHOPKO UNILET LANCETS 28G OTC; QL

SHOPKO UNILET LANCETS 30G OTC; QL

side button safety lancetAgaMatrix Ultra-Thin Lancets

OTC; QL

sm lancets 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

SMART DIABETES VANTAGE LANCING OTC; QL

94

Page 95: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

SMART SENSE COLOR LANCETS 33G OTC; QL

SMART SENSE STANDARD LANCETS OTC; QL

SMART SENSE SUPER THIN LANCETS OTC; QL

SMART SENSE THIN LANCETS 26G OTC; QL

SMARTEST LANCETS 28G OTC; QL

STERILANCE PA OTC; QL

STERILANCE TL OTC; QL

super thin lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

sure comfort lancing penAdvocate Rapid-Safe Lancing

OTC; QL

SURE-LANCE FLAT LANCETS OTC; QL

SURE-LANCE LANCETS 26G OTC; QL

SURE-LANCE THIN LANCETS 28G OTC; QL

SURE-LANCE ULTRA THIN LANCETS OTC; QL

SURELITE LANCETS OTC; QL

SURE-TOUCH LANCETS UNIVERSAL OTC; QL

TECHLITE AST LANCETS OTC; QL

TECHLITE LANCETS OTC; QL

TECHLITE LANCETS 30G OTC; QL

tgt lancet micro thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

tgt lancet thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

tgt lancet ultra thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

THINLETS GP LANCETS OTC; QL

todays health lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

todays health thin lancets 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

todays health thin lancets 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

topcare lancets micro-thin 33gAgaMatrix Ultra-Thin Lancets

OTC; QL

travel lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

TRAVEL LANCETS ADVANCED 28G OTC; QL

TRUE METRIX AIR GLUCOSE METER KIT OTC

95

Page 96: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

TRUE METRIX LEVEL 1 IN VITRO SOLUTION

OTC

TRUE METRIX LEVEL 2 IN VITRO SOLUTION

OTC

TRUE METRIX LEVEL 3 IN VITRO SOLUTION

OTC

TRUEDRAW LANCING DEVICE OTC; QL

TRUEPLUS LANCETS 26G OTC; QL

TRUEPLUS LANCETS 28G OTC; QL

TRUEPLUS LANCETS 30G OTC; QL

TRUEPLUS LANCETS 33G OTC; QL

TRUEPLUS SAFETY LANCETS 28G OTC; QL

ULTI-LANCE AUTOMATIC OTC; QL

ULTRA-THIN II LANCETS OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET EXCELITE OTC; QL

UNILET EXCELITE II OTC; QL

UNILET G.P. LANCET OTC; QL

UNILET G.P. SUPERLITE LANCET OTC; QL

UNILET GP 28 ULTRA THIN OTC; QL

UNILET LANCET OTC; QL

UNILET MICRO-THIN 33G OTC; QL

UNILET SUPERLITE LANCET OTC; QL

UNILET SUPER-THIN 30G OTC; QL

UNILET ULTRA-THIN 28G OTC; QL

UNISTIK 2 OTC; QL

UNISTIK 2 COMFORT OTC; QL

UNISTIK 2 EXTRA OTC; QL

UNISTIK 2 NEONATAL OTC; QL

UNISTIK 2 NORMAL OTC; QL

UNISTIK 2 SUPER OTC; QL

UNISTIK 3 COMFORT OTC; QL

UNISTIK 3 EXTRA OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 NEONATAL OTC; QL

UNISTIK 3 NORMAL OTC; QL

UNISTIK CZT COMFORT OTC; QL

UNISTIK CZT NORMAL OTC; QL

96

Page 97: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

UNISTIK PRO SAFETY LANCET OTC; QL

UNISTIK SAFETY LANCETS 28G OTC; QL

UNISTIK SAFETY LANCETS 30G OTC; QL

UNISTIK TOUCH SAFETY LANC 21G OTC; QL

UNISTIK TOUCH SAFETY LANC 23G OTC; QL

UNISTIK TOUCH SAFETY LANC 28G OTC; QL

UNISTIK TOUCH SAFETY LANC 30G OTC; QL

UNIVERSAL 1 LANCETS THIN 26G OTC; QL

UNIVERSAL 1 LANCETS THIN 33G OTC; QL

UNIVERSAL 1 LANCETS ULTRA THIN OTC; QL

value plus lancet standard 21gAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancets thin 26gAgaMatrix Ultra-Thin Lancets

OTC; QL

value plus lancing deviceAdvocate Rapid-Safe Lancing

OTC; QL

valumark lancet super thin 30gAgaMatrix Ultra-Thin Lancets

OTC; QL

valumark lancet ultra thin 28gAgaMatrix Ultra-Thin Lancets

OTC; QL

VIDA MIA AUTOLET LANCING DEV OTC; QL

VIDA MIA UNILET LANCETS 28G OTC; QL

VIDA MIA UNILET LANCETS 30G OTC; QL

VIVAGUARD LANCETS OTC; QL

walgreens adv travel lancetsAgaMatrix Ultra-Thin Lancets

OTC; QL

WALGREENS LANCETS OTC; QL

walgreens lancets micro thinAgaMatrix Ultra-Thin Lancets

OTC; QL

walgreens lancets super thinAgaMatrix Ultra-Thin Lancets

OTC; QL

WALGREENS THIN LANCETS OTC; QL

WALGREENS ULTRA THIN LANCETS OTC; QL

97

Page 98: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

HIPNÓTICOS

COMBINACIONES DE HIPNÓTICOS ANTIHISTAMÍNICOS

acetaminophen pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

acetaminophen pm oral tabletHealthy Mama eaZZZe the Pain

OTC

cvs ibuprofen pm oral tablet Motrin PM OTC

cvs non-aspirin headache pm oral tablet Excedrin PM OTC

cvs pain relief pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

eq acetaminophen pm oral tabletHealthy Mama eaZZZe the Pain

OTC

eq ibuprofen pm oral tablet Motrin PM OTC

eql acetaminophen pm oral tabletHealthy Mama eaZZZe the Pain

OTC

eql ibuprofen pm oral tablet Motrin PM OTC

eql pain relief pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

gnp headache pm oral tabletHealthy Mama eaZZZe the Pain

OTC

gnp ibuprofen pm oral tablet Motrin PM OTC

gnp pain relief pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

goodsense headache pm oral tabletHealthy Mama eaZZZe the Pain

OTC

goodsense ibuprofen pm oral tablet Motrin PM OTC

goodsense pain relief pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

headache pm oral tabletHealthy Mama eaZZZe the Pain

OTC

headache relief pm oral tablet Excedrin PM OTC

hm acetaminophen pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

hm ibuprofen pm oral tablet Motrin PM OTC

hm pain reliever pm ex st oral tabletHealthy Mama eaZZZe the Pain

AL; OTC

ibuprofen pm oral tablet Motrin PM OTC

mapap pm oral tabletHealthy Mama eaZZZe the Pain

OTC

98

Page 99: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

MOTRIN PM ORAL TABLET OTC

pain relief pm extra strength oral tabletHealthy Mama eaZZZe the Pain

OTC

pain reliever pm ex st oral tabletHealthy Mama eaZZZe the Pain

AL; OTC

pain reliever pm oral tabletHealthy Mama eaZZZe the Pain

AL; OTC

px pain relief pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

qc headache relief pm oral tablet Excedrin PM OTC

ra acetaminophen pm ex st oral tabletHealthy Mama eaZZZe the Pain

OTC

ra ibuprofen pm oral tablet Motrin PM OTC

ra pain reliever pm oral tablet Excedrin PM OTC

sb non-aspirin nighttime oral tabletHealthy Mama eaZZZe the Pain

AL; OTC

sm headache relief pm oral tablet Excedrin PM OTC

sm ibuprofen pm oral tablet Motrin PM OTC

sm pain reliever pm ex st oral tabletHealthy Mama eaZZZe the Pain

AL; OTC

tgt ibuprofen pm oral tablet Motrin PM OTC

HIPNÓTICOS ANTIHISTAMÍNICOS

compoz oral tablet Nytol Maximum Strength OTC

cvs sleep aid nighttime oral capsule Unisom Sleepgels OTC

cvs sleep aid nighttime oral tablet Nytol OTC

cvs sleep aid oral tablet Nytol OTC

cvs sleep-aid nighttime oral tablet Unisom SleepTabs OTC

cvs ultra sleep oral tablet Unisom SleepTabs OTC

diphenhydramine hcl (sleep) oral tablet Nytol Maximum Strength OTC

eq nighttime sleep aid max st oral capsule Unisom Sleepgels OTC

eq nighttime sleep aid oral tablet Nytol OTC

eql nighttime sleep aid oral tablet Nytol OTC

eql sleep aid oral capsule Unisom Sleepgels OTC

eql sleep aid oral tablet Unisom SleepTabs OTC

gnp nighttime sleep aid oral tablet Nytol OTC

gnp sleep aid oral tablet Unisom SleepTabs OTC

hm nighttime sleep aid oral tablet Nytol OTC

hm sleep aid oral tablet Unisom SleepTabs OTC

99

Page 100: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

kls sleep aid oral tablet Unisom SleepTabs OTC

night time sleep aid oral tablet Nytol OTC

nighttime sleep aid oral tablet Nytol OTC

NYTOL ORAL TABLET OTC

ormir oral capsule Unisom Sleepgels OTC

qc rest simply oral tablet Nytol OTC

qc sleep aid max st oral capsule Unisom Sleepgels OTC

ra night sleep aid oral tablet Unisom SleepTabs OTC

ra nighttime sleep aid oral tablet Nytol OTC

ra sleep aid (diphenhydramine) oral tablet Nytol OTC

ra sleep aid oral capsule Unisom Sleepgels OTC

ra sleep aid oral tablet Unisom SleepTabs OTC

sb sleep oral tablet Nytol OTC

SIMPLY SLEEP ORAL TABLET OTC

sleep aid (diphenhydramine) oral tablet Nytol OTC

sleep aid oral tablet Unisom SleepTabs OTC

sleep ii oral tablet Nytol OTC

sleep tabs oral tablet Nytol OTC

sleep-tabs oral tablet Nytol OTC

sm nighttime sleep aid oral tablet Nytol OTC

sm sleep aid oral tablet Unisom SleepTabs OTC

tetra-formula nighttime sleep oral tablet Nytol Maximum Strength OTC

tgt nighttime sleep aid oral tablet Nytol OTC

tgt sleep aid max strength oral capsule Unisom Sleepgels OTC

wal-som maximum strength oral capsule Unisom Sleepgels OTC

wal-som oral tablet Unisom SleepTabs OTC

LAXANTES

LAXANTES A GRANEL

CITRUCEL ORAL TABLET OTC

clear fiber powder oral powder OTC

cvs easy fiber oral powder OTC

cvs fiber laxative oral tablet FiberCon OTC

cvs fiber oral capsule Wal-Mucil OTC

cvs natural fiber supplement oral packet OTC

cvs soluble fiber therapy oral tablet Citrucel OTC

daily fiber oral powder Reguloid OTC

eq daily fiber oral capsule Reguloid OTC

100

Page 101: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq fiber supplement oral tablet chewable Fiber Select Gummies OTC

eq fiber therapy oral capsule Wal-Mucil OTC

eq fiber therapy oral tablet Citrucel OTC

eql fiber supplement oral powder OTC

eql fiber therapy oral tablet Citrucel OTC

eql smooth texture fiber oral powder Reguloid OTC

fiber (corn dextrin) oral powder OTC

fiber laxative oral tablet FiberCon OTC

fiber oral tablet FiberCon OTC

fiber therapy oral powder Reguloid OTC

fiber therapy oral tablet Citrucel OTC

fiber-lax oral tablet FiberCon OTC

gnp fiber therapy oral tablet Citrucel OTC

gnp fiber-caps oral tablet FiberCon OTC

gnp natural fiber oral capsule Wal-Mucil OTC

gnp natural fiber oral powder Reguloid OTC

goodsense fiber oral tablet Citrucel OTC

goodsense psyllium fiber oral powder Reguloid OTC

hm fiber oral capsule Reguloid OTC

hm fiber oral powder Reguloid OTC

hm fiber oral tablet Citrucel OTC

hm fiber powder oral powder Reguloid OTC

kls fiber-tabs oral tablet FiberCon OTC

konsyl daily fiber oral powder Reguloid OTC

natural fiber therapy oral powder Reguloid OTC

px fiber oral capsule Wal-Mucil OTC

px fiber oral tablet FiberCon OTC

qc fiber laxative oral capsule Wal-Mucil OTC

qc fiber therapy oral tablet Citrucel OTC

qc natural vegetable oral powder Hydrocil OTC

ra fiber laxative oral powder Reguloid OTC

ra fiber oral capsule Wal-Mucil OTC

ra fiber oral powder Reguloid OTC

ra fiber therapy oral capsule Wal-Mucil OTC

ra soluble fiber oral tablet Citrucel OTC

REGULOID ORAL CAPSULE OTC

REGULOID ORAL POWDER OTC

101

Page 102: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm fiber laxative oral tablet Citrucel OTC

sm fiber oral capsule Reguloid OTC

sm fiber oral powder Reguloid OTC

sm fiber oral tablet FiberCon OTC

sm fiber powder oral powder Reguloid OTC

SOLUBLE FIBER THERAPY ORAL POWDER

OTC

tgt fiber therapy oral powder Reguloid OTC

tgt psyllium fiber oral capsule Wal-Mucil OTC

WAL-MUCIL ORAL CAPSULE OTC

WAL-MUCIL ORAL POWDER OTC

LAXANTES ESTIMULANTES

ALOPHEN ORAL TABLET DELAYED RELEASE

OTC; QL

bisacodyl ec oral tablet delayed release Alophen OTC; QL

bisacodyl laxative rectal suppository The Magic Bullet OTC

bisacodyl rectal suppository The Magic Bullet OTC

chocolated laxative oral tablet chewable OTC

cvs bisacodyl oral tablet delayed release Alophen OTC; QL

cvs bisacodyl rectal suppository The Magic Bullet OTC

cvs chocolate laxative pieces oral tablet chewable

OTC

cvs gentle laxative oral tablet delayed release

Alophen OTC; QL

cvs gentle laxative rectal suppository The Magic Bullet OTC

cvs gentle laxative womens oral tablet delayed release

Alophen OTC; QL

cvs laxative pills oral tablet OTC; QL

cvs senna oral tabletDr Edwards Olive Laxative

OTC

cvs senna-extra oral tablet Senokot Extra Strength OTC

DR EDWARDS OLIVE LAXATIVE ORAL TABLET

OTC

ducodyl oral tablet delayed release Alophen OTC; QL

eq gentle laxative oral tablet delayed release Alophen OTC; QL

eq laxative maximum strength oral tablet OTC; QL

eq laxative oral tablet chewable OTC

eq natural laxative oral tabletDr Edwards Olive Laxative

OTC

102

Page 103: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq natural vegetable laxative oral tabletDr Edwards Olive Laxative

OTC

eq vegetable laxative oral tabletDr Edwards Olive Laxative

OTC

eql gentle laxative oral tablet delayed release

Alophen OTC; QL

eql laxative maximum strength oral tablet OTC; QL

eql laxative oral tablet OTC; QL

eql laxative oral tablet chewable OTC

eql laxative oral tablet delayed release Alophen OTC; QL

eql senna laxative oral tabletDr Edwards Olive Laxative

OTC

EVAC-U-GEN ORAL TABLET OTC

gentle laxative oral tablet delayed release Alophen OTC; QL

gentle laxative rectal suppository The Magic Bullet OTC

geri-kot oral tabletDr Edwards Olive Laxative

OTC

GNP BISA-LAX ORAL TABLET DELAYED RELEASE

OTC; QL

gnp gentle laxative rectal suppository The Magic Bullet OTC

gnp laxative oral tablet delayed release Alophen OTC; QL

gnp laxative pills oral tablet OTC; QL

gnp laxative rectal suppository The Magic Bullet OTC

gnp senna lax oral tabletDr Edwards Olive Laxative

OTC

gnp senna-lax oral tabletDr Edwards Olive Laxative

OTC

gnp womens gentle laxative oral tablet delayed release

Alophen OTC; QL

goodsense bisacodyl ec oral tablet delayed release

Alophen OTC; QL

goodsense laxative pills oral tablet OTC; QL

goodsense senna laxative oral tabletDr Edwards Olive Laxative

OTC

goodsense womens laxative oral tablet delayed release

Alophen OTC; QL

hm laxative oral tablet delayed release Alophen OTC; QL

hm laxative rectal suppository The Magic Bullet OTC

hm senna oral tabletDr Edwards Olive Laxative

OTC

103

Page 104: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

kp bisacodyl oral tablet delayed release Alophen OTC; QL

kp senna oral tabletDr Edwards Olive Laxative

OTC

laxative max str oral tablet OTC; QL

laxative oral tablet delayed release Alophen OTC; QL

laxative pills oral tablet 15 mg Medi-Lax OTC

laxative pills oral tablet 25 mg OTC; QL

laxative rectal suppository The Magic Bullet OTC

laxative regular strength oral tablet Medi-Lax OTC

MEDI-LAX ORAL TABLET OTC

medi-natural oral tabletDr Edwards Olive Laxative

OTC

natural senna laxative oral tabletDr Edwards Olive Laxative

OTC

px laxative oral tablet delayed release Alophen OTC; QL

px vegetable laxative oral tabletDr Edwards Olive Laxative

OTC

qc gentle laxative rectal suppository The Magic Bullet OTC

qc laxative oral tablet OTC; QL

qc natural vegetable laxative oral tabletDr Edwards Olive Laxative

OTC

qc senna oral tabletDr Edwards Olive Laxative

OTC

ra fast relief laxative rectal suppository The Magic Bullet OTC

ra laxative extra strength oral tablet Senokot Extra Strength OTC

ra laxative maximum strength oral tablet OTC; QL

ra laxative oral tablet OTC; QL

ra laxative oral tablet chewable OTC

ra laxative oral tablet delayed release Alophen OTC; QL

ra senna oral capsule OTC

ra senna oral tabletDr Edwards Olive Laxative

OTC

ra stimulant laxative rectal suppository The Magic Bullet OTC

ra womens laxative oral tablet delayed release

Alophen OTC; QL

sb bisacodyl laxative ec oral tablet delayed release

Alophen OTC; QL

sb laxative rectal suppository The Magic Bullet OTC

104

Page 105: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sb senna-lax oral tabletDr Edwards Olive Laxative

OTC

senna laxative oral tablet 25 mg OTC; QL

senna laxative oral tablet 8.6 mgDr Edwards Olive Laxative

OTC

senna oral capsule OTC

senna oral liquid OTC

senna oral syrup OTC

senna oral tabletDr Edwards Olive Laxative

OTC

SENNA SMOOTH ORAL TABLET OTC

senna-grx oral syrup OTC

senna-lax oral tabletDr Edwards Olive Laxative

OTC

senna-tabs oral tabletDr Edwards Olive Laxative

OTC

senna-time oral tabletDr Edwards Olive Laxative

OTC

sennazon oral syrup OTC

SENNO ORAL TABLET OTC

sm gentle laxative oral tablet delayed release

Alophen OTC; QL

sm laxative maximum strength oral tablet OTC; QL

sm laxative rectal suppository The Magic Bullet OTC

sm senna laxative oral tabletDr Edwards Olive Laxative

OTC

stimulant laxative oral tablet delayed release Alophen OTC; QL

tgt gentle laxative oral tablet delayed release Alophen OTC; QL

tgt laxative pills max st oral tablet OTC; QL

tgt natural laxative pills oral tablet OTC; QL

tgt senna laxative oral tabletDr Edwards Olive Laxative

OTC

tgt senna oral tabletDr Edwards Olive Laxative

OTC

tgt womens laxative oral tablet delayed release

Alophen OTC; QL

THE MAGIC BULLET RECTAL SUPPOSITORY

OTC

womans laxative oral tablet delayed release Alophen OTC; QL

105

Page 106: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

LAXANTES LUBRICANTES

cvs mineral oil enema rectal enema Fleet Oil OTC

cvs mineral oil oral oil OTC

eq mineral oil oral oil OTC

goodsense mineral oil oral oil OTC

hm enema mineral oil rectal enema Fleet Oil OTC

hm mineral oil oral oil OTC

mineral oil oral oil OTC

qc mineral oil heavy oral oil OTC

ra mineral oil oral oil OTC

sm mineral oil oral oil OTC

LAXANTES SALINOS

citrate of magnesia oral solution Citroma OTC

CITROMA ORAL SOLUTION OTC

cvs citrate of magnesia oral solution Citroma OTC

cvs epsom salt oral granules OTC

cvs laxative dietary supplemnt oral tablet Phillips OTC

cvs magnesium citrate oral solution Citroma OTC

cvs milk of magnesia oral suspension Phillips Milk of Magnesia OTC

eq magnesium citrate oral solution Citroma OTC

eql epsom salt granules OTC; QL

eql magnesium citrate oral solution Citroma OTC

eql milk of magnesia oral suspension Phillips Milk of Magnesia OTC

gnp epsom salt oral granules OTC

gnp magnesium citrate oral solution Citroma OTC

gnp milk of magnesia oral suspension Phillips Milk of Magnesia OTC

goodsense magnesium citrate oral solution Citroma OTC

hm magnesium citrate oral solution Citroma OTC

hm milk of magnesia oral suspension Phillips Milk of Magnesia OTC

magnesium citrate oral solution Citroma OTC

milk of magnesia concentrate oral suspension

OTC

milk of magnesia oral suspension Phillips Milk of Magnesia OTC

PHILLIPS MILK OF MAGNESIA ORAL SUSPENSION

OTC

px milk of magnesia oral suspension Phillips Milk of Magnesia OTC

qc magnesium citrate oral solution Citroma OTC

106

Page 107: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

qc milk of magnesia oral suspension Phillips Milk of Magnesia OTC

ra magnesium citrate oral solution Citroma OTC

ra milk of magnesia oral suspension Phillips Milk of Magnesia OTC

sb magnesium citrate oral solution Citroma OTC

sb milk of magnesia oral suspension Phillips Milk of Magnesia OTC

sm epsom salt oral granules OTC

sm magnesium citrate oral solution Citroma OTC

sm milk of magnesia oral suspension Phillips Milk of Magnesia OTC

LAXANTES SURFACTANTES

cvs stool softener oral capsule 100 mg Docusil OTC; QL

cvs stool softener oral capsule 240 mg Kao-Tin OTC

cvs stool softener oral capsule 250 mg DOK OTC

cvs stool softener oral capsule 50 mg Colace Clear OTC

diocto oral liquid OTC

diocto oral syrup OTC

docqlace oral capsule Docusil OTC; QL

docu oral liquid OTC

docu soft oral capsule Docusil OTC; QL

docuprene oral tablet DOK OTC; QL

docusate calcium oral capsule Kao-Tin OTC

docusate sodium oral capsule 100 mg Docusil OTC; QL

docusate sodium oral capsule 250 mg DOK OTC

docusate sodium oral liquid OTC

docusate sodium oral syrup OTC

docusate sodium oral tablet DOK OTC; QL

DOCUSIL ORAL CAPSULE OTC; QL

DOK ORAL CAPSULE 100 MG OTC; QL

DOK ORAL CAPSULE 250 MG OTC

DOK ORAL TABLET OTC; QL

dss oral capsule 100 mg Docusil OTC; QL

dss oral capsule 250 mg DOK OTC

DULCOLAX STOOL SOFTENER ORAL CAPSULE

OTC; QL

easy-lax oral capsule Docusil OTC; QL

eq stool softener oral capsule 100 mg Docusil OTC; QL

eq stool softener oral capsule 250 mg DOK OTC

eql stool softener oral capsule Docusil OTC; QL

107

Page 108: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp stool softener oral capsule 100 mg Docusil OTC; QL

gnp stool softener oral capsule 250 mg DOK OTC

gnp stool softener oral liquid OTC

gnp stool softener oral syrup OTC

hm stool softener oral capsule 100 mg Docusil OTC; QL

hm stool softener oral capsule 250 mg DOK OTC

hm stool softener oral tablet DOK OTC; QL

KAO-TIN ORAL CAPSULE OTC

ks stool softener oral capsule Docusil OTC; QL

mm stool softener laxative oral capsule Docusil OTC; QL

mm stool softener oral capsule Docusil OTC; QL

PROMOLAXIN ORAL TABLET OTC; QL

px docusate sodium oral capsule Docusil OTC; QL

ra col-rite oral capsule 100 mg Docusil OTC; QL

ra col-rite oral capsule 250 mg DOK OTC

ra col-rite oral capsule 50 mg Colace Clear OTC

ra stool softener oral capsule Docusil OTC; QL

sb docusate sodium oral capsule Docusil OTC; QL

silace oral liquid OTC

silace oral syrup OTC

sm docusate calcium oral capsule Kao-Tin OTC

sm stool softener oral capsule 100 mg Docusil OTC; QL

sm stool softener oral capsule 240 mg Kao-Tin OTC

sm stool softener oral capsule 250 mg DOK OTC

stool softener laxative oral capsule 100 mg Docusil OTC; QL

stool softener laxative oral capsule 250 mg DOK OTC

stool softener oral capsule 100 mg Docusil OTC; QL

stool softener oral capsule 240 mg Kao-Tin OTC

stool softener oral capsule 250 mg DOK OTC

stool softener oral liquid OTC

stool softener oral tablet DOK OTC; QL

SURFAK ORAL CAPSULE OTC

LAXANTES VARIOS

CLEARLAX ORAL POWDER OTC; QL

cvs glycerin adult rectal suppository OTC

cvs glycerin child rectal suppository Pedia-Lax OTC

CVS PURELAX ORAL PACKET OTC; QL

108

Page 109: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

CVS PURELAX ORAL POWDER OTC; QL

gavilax oral powder ClearLax OTC; QL

gentlelax oral powder ClearLax OTC; QL

glycerin (adult) rectal suppository OTC

glycerin (infants & children) rectal suppository

OTC

glycerin (pediatric) rectal suppository Pedia-Lax OTC

glycerin adult rectal suppository OTC

glycerin childrens rectal suppository Pedia-Lax OTC

GLYCOLAX ORAL POWDER OTC; QL

GNP CLEARLAX ORAL PACKET OTC; QL

GNP CLEARLAX ORAL POWDER OTC; QL

gnp glycerin (adult) rectal suppository OTC

gnp glycerin child rectal suppository OTC

GOODSENSE CLEARLAX ORAL POWDER

OTC; QL

HEALTHYLAX ORAL PACKET OTC; QL

HM CLEARLAX ORAL PACKET OTC; QL

peg 3350 oral packet CVS Purelax OTC; QL

peg 3350 oral powder ClearLax OTC; QL

polyethylene glycol 3350 oral packet CVS Purelax OTC; QL

polyethylene glycol 3350 oral powder ClearLax OTC; QL

px glycerin rectal suppository OTC

ra glycerin adult rectal suppository OTC

ra glycerin child rectal suppository OTC

ra laxative oral packet CVS Purelax OTC; QL

ra laxative oral powder ClearLax OTC; QL

sb glycerin adult rectal suppository OTC

SM CLEARLAX ORAL POWDER OTC; QL

sm glycerin pediatric rectal suppository OTC

SMOOTH LAX ORAL PACKET OTC; QL

SMOOTH LAX ORAL POWDER OTC; QL

TGT POWDERLAX ORAL PACKET OTC; QL

LAXANTES Y DSS

COLACE 2-IN-1 ORAL TABLET OTC

cvs senna plus oral tablet Colace 2-IN-1 OTC

cvs stool softener/laxative oral tablet Colace 2-IN-1 OTC

109

Page 110: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

docuzen oral tablet Colace 2-IN-1 OTC

DOK PLUS ORAL TABLET OTC

easy-lax plus oral tablet Colace 2-IN-1 OTC

eq senna-s oral tablet Colace 2-IN-1 OTC

eq stool softener/laxative oral tablet Colace 2-IN-1 OTC

eql senna-s oral tablet Colace 2-IN-1 OTC

eql stool softener/stimulant oral tablet Colace 2-IN-1 OTC

gnp senna plus oral tablet Colace 2-IN-1 OTC

gnp stool softener/laxative oral tablet Colace 2-IN-1 OTC

goodsense stimulant laxative oral tablet Colace 2-IN-1 OTC

hm senna-s oral tablet Colace 2-IN-1 OTC

hm stool softener/laxative oral tablet Colace 2-IN-1 OTC

laxacin oral tablet Colace 2-IN-1 OTC

medi-laxx oral capsule OTC

medi-natural plus oral tablet Colace 2-IN-1 OTC

qc senna-s oral tablet Colace 2-IN-1 OTC

qc stool softener pls laxative oral tablet Colace 2-IN-1 OTC

ra laxative & stool softener oral tablet Colace 2-IN-1 OTC

ra p col-rite oral tablet Colace 2-IN-1 OTC

ra senna plus oral tablet Colace 2-IN-1 OTC

sb docusate sodium/senna oral tablet Colace 2-IN-1 OTC

SENEXON-S ORAL TABLET OTC

senna plus oral capsule OTC

senna plus oral tablet Colace 2-IN-1 OTC

senna s oral tablet Colace 2-IN-1 OTC

senna-docusate sodium oral tablet Colace 2-IN-1 OTC

senna-plus oral tablet Colace 2-IN-1 OTC

senna-s oral tablet Colace 2-IN-1 OTC

senna-time s oral tablet Colace 2-IN-1 OTC

sennosides-docusate sodium oral tablet Colace 2-IN-1 OTC

sm natural laxative/stool soft oral tablet Colace 2-IN-1 OTC

sm senna-s oral tablet Colace 2-IN-1 OTC

sm stool softener oral tablet Colace 2-IN-1 OTC

sm stool softener/laxative oral tablet Colace 2-IN-1 OTC

stimulant laxative oral tablet Colace 2-IN-1 OTC

stool softener laxative oral tablet Colace 2-IN-1 OTC

stool softener plus laxative oral tablet Colace 2-IN-1 OTC

110

Page 111: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

stool softener/laxative oral capsule OTC

stool softener/laxative oral tablet Colace 2-IN-1 OTC

tgt senna laxative oral tablet Colace 2-IN-1 OTC

tgt stool softener & stimulant oral tablet Colace 2-IN-1 OTC

vegetable lax+stool softener oral tablet Colace 2-IN-1 OTC

MEZCLAS DE LAXANTES SALINOS

cvs enema disposable rectal enema Fleet Enema OTC

cvs enema ready-to-use rectal enema Fleet Enema OTC

enema disposable rectal enema Fleet Enema OTC

enema ready-to-use rectal enema Fleet Enema OTC

enema rectal enema Fleet Enema OTC

eq enema rectal enema Fleet Enema OTC

eql ready-to-use enema rectal enema Fleet Enema OTC

FLEET ENEMA RECTAL ENEMA OTC

gnp enema rectal enema Fleet Enema OTC

goodsense enema rectal enema Fleet Enema OTC

hm enema rectal enema Fleet Enema OTC

PURE & GENTLE ENEMA RECTAL ENEMA

OTC

qc enema rectal enema Fleet Enema OTC

ra enema rectal enema Fleet Enema OTC

ra saline enema rectal enema Fleet Enema OTC

sm enema rectal enema Fleet Enema OTC

tgt saline laxative rectal enema Fleet Enema OTC

MEDICAMENTOS PARA LA TOS/EL RESFRÍO/LA ALERGIA

ANTIHISTAMÍNICOS - ANALGÉSICOS

PERCOGESIC EXTRA STRENGTH ORAL TABLET

AL; OTC

ANTITUSIVOS - EXPECTORANTES - DESCONGESTIVOS - ANALGÉSICOS

cold & flu severe daytime oral tabletMucinex Fast-Max Cold Flu

AL; OTC

cold head congestion severe oral tabletMucinex Fast-Max Cold Flu

AL; OTC

111

Page 112: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq cold flu & sore throat oral tabletMucinex Fast-Max Cold Flu

OTC

eql cold multi-symptom severe oral tabletMucinex Fast-Max Cold Flu

AL; OTC

eql mucus relief max strength oral tabletMucinex Fast-Max Cold Flu

AL; OTC

gnp cold relief cold & flu oral tabletMucinex Fast-Max Cold Flu

OTC

gnp cold severe congestion day oral tabletMucinex Fast-Max Cold Flu

AL; OTC

gnp cold/flu severe oral tabletMucinex Fast-Max Cold Flu

OTC

gnp mucus relief cold flu oral tabletMucinex Fast-Max Cold Flu

AL; OTC

goodsense cold & flu oral tabletMucinex Fast-Max Cold Flu

OTC

goodsense day time cold & flu oral tabletMucinex Fast-Max Cold Flu

AL; OTC

hm daytime cold & flu oral tabletMucinex Fast-Max Cold Flu

AL; OTC

hm mucus relief fm cold/flu oral tabletMucinex Fast-Max Cold Flu

OTC

hm mucus relief fm severe oral tabletMucinex Fast-Max Cold Flu

OTC

hm severe cold/flu oral tabletMucinex Fast-Max Cold Flu

OTC

MUCINEX FAST-MAX COLD FLU ORAL TABLET

AL; OTC

MUCINEX SINUS-MAX ORAL TABLET OTC

mucus relief plus oral tabletMucinex Fast-Max Cold Flu

OTC

mucus relief severe cong/cold oral tabletMucinex Fast-Max Cold Flu

OTC

px severe cold oral tabletMucinex Fast-Max Cold Flu

AL; OTC

qc cold multi-symptom daytime oral tabletMucinex Fast-Max Cold Flu

OTC

ra cold multi-symptom daytime oral tabletMucinex Fast-Max Cold Flu

AL; OTC

ra cold/flu/sore throat max oral tabletMucinex Fast-Max Cold Flu

AL; OTC

112

Page 113: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra head congest cold daytime oral tabletMucinex Fast-Max Cold Flu

OTC

ra mucus relief plus oral tabletMucinex Fast-Max Cold Flu

OTC

ra severe congestion/cold max oral tabletMucinex Fast-Max Cold Flu

AL; OTC

sb cold head congestion severe oral tabletMucinex Fast-Max Cold Flu

AL; OTC

sb cold multi-symptom severe oral tabletMucinex Fast-Max Cold Flu

AL; OTC

severe cold & flu oral tabletMucinex Fast-Max Cold Flu

AL; OTC

sm cold & flu severe oral tabletMucinex Fast-Max Cold Flu

AL; OTC

THERAFLU EXPRESSMAX SEV CLD/FL ORAL TABLET

OTC

VICKS DAYQUIL SEVERE COLD/FLU ORAL TABLET

OTC

ANTITUSIVOS - EXPECTORANTES - DESCONGESTIVOS

biogtuss oral liquid Giltuss Cough & Cold AL; OTC

brontuss sf nr oral liquid Giltuss Cough & Cold OTC

despec eda oral liquid Desgen Pediatric AL; OTC

GILTUSS COUGH & COLD CHILDRENS ORAL LIQUID

OTC

GILTUSS COUGH & COLD ORAL LIQUID OTC

guaifenesin dac oral solution AL; OTC

sm tussin cf oral liquid OTC

supress-dx pediatric oral liquid Desgen Pediatric AL; OTC

TUSNEL C ORAL SYRUP AL; OTC

wal-tussin cf oral liquid OTC

ANTITUSIVOS - EXPECTORANTES

biocotron oral liquid Diabetic Tussin DM AL; OTC; QL

childrens cough oral liquid Mucinex Cough Childrens AL; OTC

childrens mucus relief cough oral liquid Mucinex Cough Childrens AL; OTC

cvs chest congest/cough child oral liquid Mucinex Cough Childrens AL; OTC

cvs tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

dextromethorphan-guaifenesin oral liquid Diabetic Tussin DM OTC; QL

dextromethorphan-guaifenesin oral syrup Robafen DM Cough Clear AL; OTC; QL

113

Page 114: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

diabetic siltussin-dm oral liquid Diabetic Tussin DM AL; OTC; QL

DIABETIC TUSSIN DM ORAL LIQUID OTC; QL

DIABETIC TUSSIN FOR CHILDREN ORAL LIQUID

OTC; QL

eq cough childrens oral liquid Mucinex Cough Childrens AL; OTC

eq mucus relief dm oral tablet extended release 12 hour

Mucinex DM OTC

eq tussin dm cough/chest oral syrup Robafen DM Cough Clear AL; OTC; QL

eql mucus-dm oral tablet extended release 12 hour

Mucinex DM OTC

eql tussin dm cough/chest cong oral syrup Robafen DM Cough Clear AL; OTC; QL

g tussin ac oral solution AL; OTC; QL

GILTUSS COUGH & CHEST CHILDREN ORAL LIQUID

OTC; QL

GILTUSS COUGH & CHEST ORAL LIQUID OTC; QL

GILTUSS DIABETIC COUGH & COLD ORAL LIQUID

OTC; QL

gnp mucus relief cough child oral liquid Mucinex Cough Childrens AL; OTC

gnp mucus relief dm max oral liquid Mucinex Cough Childrens AL; OTC

gnp tussin dm cough oral liquid Diabetic Tussin DM AL; OTC; QL

guaiasorb dm oral liquid Diabetic Tussin DM OTC; QL

guaifenesin ac oral syrup AL; OTC; QL

guaifenesin-codeine oral solution AL; OTC; QL

guaifenesin-dm oral syrup Robafen DM Cough Clear AL; OTC; QL

hm tussin adult dm oral liquid Diabetic Tussin DM AL; OTC; QL

intense cough reliever oral liquid OTC

m-clear wc oral solution AL; OTC

medi-tussin dm double strength oral liquid OTC

MUCINEX COUGH CHILDRENS ORAL LIQUID

AL; OTC

MUCINEX FAST-MAX DM MAX ORAL LIQUID

AL; OTC

mucus & cough relief childrens oral liquid Mucinex Cough Childrens AL; OTC

mucus dm oral tablet extended release 12 hour

Mucinex DM OTC

mucus relief cough childrens oral liquid Mucinex Cough Childrens AL; OTC

mucus relief dm max oral liquid Mucinex Cough Childrens AL; OTC

mucus relief dm oral tablet extended release 12 hour

Mucinex DM AL; OTC

114

Page 115: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

mucus-dm oral tablet extended release 12 hour

Mucinex DM AL; OTC

neotuss oral liquid AL; OTC

pediatric formula cough/congst oral liquid Diabetic Tussin DM OTC; QL

px tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

qc tussin dm cough/congestion oral liquid Diabetic Tussin DM AL; OTC; QL

ra mucus relief dm oral tablet extended release 12 hour

Mucinex DM OTC

ra tussin cgh/chest congest dm oral liquid Diabetic Tussin DM AL; OTC; QL

ra tussin cough oral liquid Diabetic Tussin DM AL; OTC; QL

ra tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

ROBAFEN DM CGH/CHEST CONGEST ORAL LIQUID

AL; OTC; QL

ROBAFEN DM COUGH CLEAR ORAL SYRUP

AL; OTC; QL

ROBAFEN DM COUGH ORAL LIQUID AL; OTC; QL

robafen dm oral syrup Robafen DM Cough Clear AL; OTC; QL

ROBAFEN DM PEAK COLD CGH/CONG ORAL LIQUID

OTC; QL

ROBITUSSIN PEAK COLD DM ORAL SYRUP

AL; OTC; QL

SAFE TUSSIN DM ORAL LIQUID AL; OTC; QL

siltussin dm das oral liquid Diabetic Tussin DM AL; OTC; QL

siltussin-dm alcohol free oral syrup Robafen DM Cough Clear AL; OTC; QL

sm mucus relief cough children oral liquid Mucinex Cough Childrens AL; OTC

sm tussin cough/chest congest oral syrup Robafen DM Cough Clear AL; OTC; QL

sm tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

SORBUGEN NR ORAL LIQUID OTC; QL

tgt cough formula dm oral liquid Diabetic Tussin DM AL; OTC; QL

trymine cg oral liquid Mar-Cof CG Expectorant OTC

tusnel diabetic oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm cough + chest oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm oral liquid Diabetic Tussin DM AL; OTC; QL

tussin dm oral syrup Robafen DM Cough Clear AL; OTC; QL

virtussin a/c oral solution OTC; QL

virtussin ac w/alc oral liquid AL; OTC; QL

WAL-TUSSIN COUGH/CHEST DM ORAL SYRUP

AL; OTC; QL

115

Page 116: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

WAL-TUSSIN DM CGH/CHEST CONG ORAL LIQUID

OTC; QL

ANTITUSIVOS - NO NARCÓTICOS

cough dm childrens oral suspension extended release

Delsym OTC

cough dm oral suspension extended release Delsym OTC

cvs cough dm oral suspension extended release

Delsym OTC

cvs tussin maximum strength oral syrup Wal-Tussin Cough OTC

daytime cough oral liquid Vicks DayQuil Cough OTC

dextromethorphan polistirex er oral suspension extended release

Delsym OTC

eq cough dm oral suspension extended release

Delsym OTC

eql tussin cough long-acting oral syrup Wal-Tussin Cough OTC

gnp cough dm er oral suspension extended release

Delsym OTC

gnp tussin cough long acting oral syrup Wal-Tussin Cough OTC

goodsense cough dm oral suspension extended release

Delsym OTC

hm cough dm oral suspension extended release

Delsym OTC

hm cough relief oral liquidWal-Tussin Cough Long Acting

OTC

px tussin max oral syrup Wal-Tussin Cough OTC

qc cough relief oral liquidWal-Tussin Cough Long Acting

OTC

ra cough dm oral suspension extended release

Delsym OTC

ra tussin long acting cough oral liquidWal-Tussin Cough Long Acting

OTC

ra tussin maximum strength oral syrup Wal-Tussin Cough OTC

sm cough relief oral syrup Wal-Tussin Cough OTC

tussin cough oral syrup Wal-Tussin Cough OTC

VICKS DAYQUIL COUGH ORAL LIQUID OTC

WAL-TUSSIN COUGH LONG ACTING ORAL LIQUID

OTC

WAL-TUSSIN COUGH LONG ACTING ORAL SYRUP

OTC

WAL-TUSSIN COUGH ORAL SYRUP OTC

116

Page 117: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

DESCONGESTIVO Y ANTIHISTAMÍNICO

ALAVERT ALLERGY/SINUS ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC; QL

allergy relief d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

allergy relief d-24 oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

allergy relief/nasal decongest oral tablet extended release 24 hour

KLS AllerClear D-24HR OTC; QL

allergy relief-d oral tablet extended release 12 hour

Alavert Allergy/Sinus OTC; QL

allergy relief-d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

allergy/congestion relief oral tablet extended release 12 hour

Alavert Allergy/Sinus OTC; QL

APRODINE ORAL TABLET AL; OTC

cvs allergy relief d oral tablet extended release 12 hour

Wal-Fex D Allergy & Congestion

AL; OTC; QL

cvs allergy relief-d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

cvs allergy relief-d12 oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

eq allergy relief d 24 hour oral tablet extended release 24 hour

KLS AllerClear D-24HR OTC; QL

eq cold/allergy childrens oral elixir OTC

eql allergy/congestion relief oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

fexofenadine-pseudoephed er oral tablet extended release 12 hour

Wal-Fex D Allergy & Congestion

AL; OTC; QL

fexofenadine-pseudoephed er oral tablet extended release 24 hour

Wal-Fex D Allergy & Congestion

OTC; QL

gnp allergy & congestion oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

gnp allergy/congestion relief oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

hm allergy & congestion oral tablet extended release 12 hour

Alavert Allergy/Sinus OTC; QL

hm allergy relief/nasal decong oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

117

Page 118: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

KLS ALLERCLEAR D-12HR ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC; QL

KLS ALLERCLEAR D-24HR ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC; QL

LOHIST-D ORAL LIQUID AL; OTC

loratadine-d 12hr oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

loratadine-d 24hr oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

meijer allergy relief-d oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

mm loratadine-d 24 hour oral tablet extended release 24 hour

KLS AllerClear D-24HR OTC; QL

px allergy relief d (loratid) oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

px allergy relief d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

qc loratadine-d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

ra allergy relief-d oral tablet extended release 12 hour

Wal-Fex D Allergy & Congestion

AL; OTC; QL

ra allergy/congestion relief oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

ra lorata-d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

rynex pse oral liquid AL; OTC

sb allergy relief/nasal decong oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

SHOPKO ALLERGY RELIEF-D (LORA) ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC; QL

sm cold & allergy childrens oral elixir OTC

sm loratadine d 12hr oral tablet extended release 12 hour

Alavert Allergy/Sinus AL; OTC; QL

sm lorata-dine d oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

tgt allergy/congestion relief oral tablet extended release 24 hour

KLS AllerClear D-24HR AL; OTC; QL

WAL-ACT ORAL TABLET AL; OTC

WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC; QL

118

Page 119: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

WAL-FEX D ALLERGY & CONGESTION ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC; QL

WAL-ITIN D 24 HOUR ORAL TABLET EXTENDED RELEASE 24 HOUR

AL; OTC; QL

WAL-ITIN D ORAL TABLET EXTENDED RELEASE 12 HOUR

AL; OTC; QL

wal-tap cold/allergy oral elixir OTC

EXPECTORANTES

altarussin oral syrup Diabetic Tussin EX OTC

chest congestion childrens oral liquid Diabetic Tussin OTC

chest congestion relief oral tablet Fenesin IR OTC

childrens mucus relief expect oral liquid Diabetic Tussin OTC

coughtab oral tablet OTC

cvs chest congestion childrens oral liquid Diabetic Tussin OTC

cvs chest congestion relief oral tablet Fenesin IR OTC

cvs mucus extended release oral tablet extended release 12 hour

EQ Mucus ER OTC

cvs tussin adult chest congest oral liquid Diabetic Tussin OTC

DIABETIC TUSSIN EX ORAL SYRUP OTC

DIABETIC TUSSIN ORAL LIQUID OTC

EQ MUCUS ER ORAL TABLET EXTENDED RELEASE 12 HOUR

OTC

eql tussin mucus/chest congest oral liquid Diabetic Tussin AL; OTC

FENESIN IR ORAL TABLET OTC

geri-tussin oral syrup Diabetic Tussin EX OTC

gnp mucus er oral tablet extended release 12 hour

EQ Mucus ER OTC

gnp mucus relief oral tablet Fenesin IR OTC

gnp tab tussin oral tablet Fenesin IR OTC

gnp tussin mucus & chest cong oral liquid Diabetic Tussin AL; OTC

goodsense mucus relief oral tablet Fenesin IR OTC

guaifenesin er oral tablet extended release 12 hour

EQ Mucus ER OTC

guaifenesin oral liquid Diabetic Tussin OTC

guaifenesin oral solution Diabetic Tussin OTC

guaifenesin oral syrup Diabetic Tussin EX OTC

guaifenesin oral tablet OTC

hm chest congestion relief oral tablet Fenesin IR OTC

119

Page 120: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

hm mucus er oral tablet extended release 12 hour

EQ Mucus ER OTC

hm tussin adult oral liquid Diabetic Tussin AL; OTC

kls mucus relief chest oral tablet Fenesin IR OTC

mucosa oral tablet Fenesin IR OTC

mucus relief chest congestion oral tablet Fenesin IR OTC

mucus relief er oral tablet extended release 12 hour

EQ Mucus ER OTC

mucus relief max st oral tablet extended release 12 hour

EQ Mucus ER OTC

mucus relief oral tablet Fenesin IR OTC

mucus-er max oral tablet extended release 12 hour

EQ Mucus ER OTC

organ-i nr oral tablet OTC

px tussin oral solution Diabetic Tussin OTC

qc medifin 400 oral tablet Fenesin IR OTC

qc mucus relief er oral tablet extended release 12 hour

EQ Mucus ER OTC

qc tussin mucus/congestion oral liquid Diabetic Tussin AL; OTC

ra mucus relief max st oral tablet extended release 12 hour

EQ Mucus ER OTC

ra mucus relief oral tablet Fenesin IR OTC

ra tussin chest congestion oral liquid Diabetic Tussin OTC

ra tussin chest congestion oral syrup Diabetic Tussin EX OTC

ra tussin oral syrup Diabetic Tussin EX OTC

ROBAFEN MUCUS/CHEST CONGESTION ORAL LIQUID

OTC

robafen oral syrup Diabetic Tussin EX OTC

sb cough control oral syrup Diabetic Tussin EX OTC

siltussin sa oral syrup Diabetic Tussin EX OTC

sm chest congestion relief oral tablet Fenesin IR OTC

sm mucus relief max strength oral tablet extended release 12 hour

EQ Mucus ER OTC

sm tussin mucus+chest congest oral liquid Diabetic Tussin AL; OTC

tussin mucus & chest congest oral liquid Diabetic Tussin AL; OTC

tussin mucus+chest congestion oral liquid Diabetic Tussin OTC

tussin mucus+chest congestion oral syrup Diabetic Tussin EX AL; OTC

tussin oral syrup Diabetic Tussin EX OTC

120

Page 121: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

WAL-TUSSIN CHEST CONGESTION ORAL LIQUID

OTC

wal-tussin oral syrup Diabetic Tussin EX OTC

INHALANTES RESPIRATORIOS VARIOS

nasal mist inhalation aerosol solution Simply Saline Baby OTC

SIMPLY SALINE BABY INHALATION AEROSOL SOLUTION

OTC

MEDICAMENTOS PARA ÚLCERAS

ANTAGONISTAS H2

acid control maximum strength oral tablet Pepcid OTC; QL

acid controller max st oral tablet Pepcid OTC; QL

acid controller oral tablet Pepcid AC OTC; QL

acid reducer maximum strength oral tablet Pepcid OTC; QL

acid reducer oral tablet Pepcid AC OTC; QL

cvs acid controller max st oral tablet Pepcid OTC; QL

cvs acid controller oral tablet Pepcid AC OTC; QL

eq acid reducer max st oral tablet Pepcid OTC; QL

eq acid reducer oral tablet Pepcid AC OTC; QL

eql heartburn prevention oral tablet Pepcid AC OTC; QL

famotidine oral tablet Pepcid AC OTC; QL

gnp acid reducer max st oral tablet Pepcid OTC; QL

gnp acid reducer oral tablet Pepcid AC OTC; QL

heartburn relief max st oral tablet Pepcid OTC; QL

heartburn relief oral tablet Pepcid AC OTC; QL

hm famotidine oral tablet Pepcid AC OTC; QL

kls acid controller max st oral tablet Pepcid OTC; QL

mm famotidine oral tablet Pepcid OTC; QL

px acid reducer max st oral tablet Pepcid OTC; QL

px acid reducer oral tablet Pepcid AC OTC; QL

qc acid controller max st oral tablet Pepcid OTC; QL

qc acid controller oral tablet Pepcid AC OTC; QL

ra acid reducer max st oral tablet Pepcid OTC; QL

ra acid reducer oral tablet Pepcid AC OTC; QL

sb acid controller max st oral tablet Pepcid OTC; QL

sb acid controller oral tablet Pepcid AC OTC; QL

sb acid reducer oral tablet Pepcid AC OTC; QL

121

Page 122: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm acid reducer max st oral tablet Pepcid OTC; QL

sm acid reducer oral tablet Pepcid AC OTC; QL

COMBINACIONES DE ANTIÁCIDOS-ANTAGONISTAS H2

acid controller complete oral tablet chewable Duo Fusion OTC

acid reducer complete oral tablet chewable Duo Fusion OTC

cvs dual action complete oral tablet chewable

Duo Fusion OTC

eq acid reducer complete oral tablet chewable

Duo Fusion OTC

eql dual action complete oral tablet chewable

Duo Fusion OTC

gnp dual action complete oral tablet chewable

Duo Fusion OTC

px dual action oral tablet chewable Duo Fusion OTC

ra dual action complete oral tablet chewable Duo Fusion OTC

COMBINACIONES DE INHIBIDOR DE LA BOMBA DE PROTONES Y ANTIÁCIDOS

cvs omeprazole-sod bicarbonate oral capsule

Zegerid OTC OTC; QL

omeprazole-sodium bicarbonate oral capsule

Zegerid OTC OTC; QL

ra omeprazole-sodium bicarb oral capsule Zegerid OTC OTC; QL

ZEGERID OTC ORAL CAPSULE OTC; QL

INHIBIDORES DE LA BOMBA DE PROTONES

acid reducer oral capsule delayed release OTC; QL

cvs esomeprazole magnesium oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

cvs lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

cvs omeprazole oral capsule delayed release

OTC; QL

cvs omeprazole oral tablet delayed release OTC; QL

cvs omeprazole oral tablet delayed release dispersible

OTC

eq lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

122

Page 123: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq omeprazole magnesium oral capsule delayed release

OTC; QL

eq omeprazole oral tablet delayed release OTC; QL

eq omeprazole oral tablet delayed release dispersible

OTC

eql lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

eql omeprazole oral tablet delayed release OTC; QL

esomeprazole magnesium oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

gnp lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

gnp omeprazole oral tablet delayed release OTC; QL

gnp omeprazole oral tablet delayed release dispersible

OTC

GOODSENSE ESOMEPRAZOLE ORAL CAPSULE DELAYED RELEASE

OTC; QL

goodsense lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

heartburn treatment 24 hour oral capsule delayed release

Prevacid 24HR OTC; QL

hm esomeprazole magnesium dr oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

hm lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

hm omeprazole oral tablet delayed release OTC; QL

kls esomeprazole magnesium oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

kls lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

kls omeprazole oral tablet delayed release OTC; QL

kp omeprazole magnesium oral capsule delayed release

OTC; QL

lansoprazole oral capsule delayed release Prevacid 24HR OTC; QL

NEXIUM 24HR CLEAR MINIS ORAL CAPSULE DELAYED RELEASE

OTC; QL

NEXIUM 24HR ORAL CAPSULE DELAYED RELEASE

OTC; QL

NEXIUM 24HR ORAL TABLET DELAYED RELEASE

OTC; QL

123

Page 124: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

omeprazole magnesium oral capsule delayed release

OTC; QL

omeprazole oral tablet delayed release OTC; QL

omeprazole oral tablet delayed release dispersible

OTC

PREVACID 24HR ORAL CAPSULE DELAYED RELEASE

OTC; QL

PRILOSEC OTC ORAL TABLET DELAYED RELEASE

OTC; QL

px omeprazole oral tablet delayed release OTC; QL

qc omeprazole magnesium oral capsule delayed release

OTC; QL

ra esomeprazole magnesium oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

ra lansoprazole oral capsule delayed release Prevacid 24HR OTC; QL

ra omeprazole oral tablet delayed release OTC; QL

sb omeprazole oral tablet delayed release OTC; QL

sm esomeprazole magnesium oral capsule delayed release

GoodSense Esomeprazole

OTC; QL

sm lansoprazole oral capsule delayed release

Prevacid 24HR OTC; QL

sm omeprazole oral tablet delayed release OTC; QL

tgt omeprazole oral tablet delayed release OTC; QL

MEDICINAS ALTERNATIVAS

MEDICINAS ALTERNATIVAS

glucosamine chondroitin complx oral capsule

Glucosamine Chondr 500 Complex

OTC

MINERALES Y ELECTROLITOS

CALCIO

CALCITRATE ORAL TABLET OTC

calcium 600 high potency oral tablet High Potency Calcium OTC

calcium 600 oral tablet Caltrate 600 OTC

calcium carbonate oral tablet 1250 (500 ca) mg

OTC; QL

calcium carbonate oral tablet 1500 (600 ca) mg

Caltrate 600 OTC

calcium carbonate oral tablet 600 mg High Potency Calcium OTC

calcium citrate oral tablet OTC

calcium high potency oral tablet High Potency Calcium OTC

124

Page 125: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

calcium oral tablet OTC

calcium oyster shell oral tablet OTC; QL

CALTRATE 600 ORAL TABLET OTC

cvs calcium carbonate oral tablet OTC; QL

cvs calcium oral tablet OTC

gnp calcium oral tablet High Potency Calcium OTC

HIGH POTENCY CALCIUM ORAL TABLET OTC

OYSCO 500 ORAL TABLET OTC; QL

oyster shell calcium oral tablet Oysco 500 OTC; QL

OYSTERCAL ORAL TABLET OTC; QL

qc calcium fast dissolution oral tablet High Potency Calcium OTC

ra calcium 600 oral tablet High Potency Calcium OTC

ra calcium high potency oral tablet OTC

RA HI-CAL ORAL TABLET OTC; QL

ra oyster shell calcium oral tablet Oysco 500 OTC; QL

sb oyster shell calcium oral tablet Oysco 500 OTC; QL

super calcium oral tablet High Potency Calcium OTC

COMBINACIONES DE CALCIO

calcitrate plus d oral tablet OTC

calcium + d oral tablet OTC

calcium + d3 oral tablet OTC

calcium + vitamin d3 oral tablet chewable OTC

calcium 500 + d oral tablet OTC

calcium 500 +d oral tablet Oystercal-D OTC

calcium 500/d oral tablet RA Hi Cal OTC

calcium 500/d oral tablet chewable OTC

calcium 500/vitamin d oral tablet OTC

calcium 500+d high potency oral tablet OTC

calcium 500+d oral tablet Oystercal-D OTC

calcium 500+d3 oral tablet Oystercal-D OTC

calcium 600 + d oral tablet OTC

calcium 600 + minerals oral tablet OTC

calcium 600/vitamin d oral tablet OTC; QL

calcium 600/vitamin d oral tablet chewable OTC; QL

calcium 600/vitamin d3 oral tablet Caltrate 600+D3 OTC; QL

calcium 600+d high potency oral tablet OTC; QL

calcium 600+d oral tablet 600-200 mg-unit OTC

125

Page 126: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

calcium 600+d oral tablet 600-400 mg-unit OTC; QL

calcium 600+d plus minerals oral tablet OTC; QL

calcium 600+d plus minerals oral tablet chewable

OTC; QL

calcium 600+d3 oral tablet 600-200 mg-unit OTC

calcium 600+d3 oral tablet 600-400 mg-unit OTC; QL

calcium 600-d oral tablet OTC; QL

calcium carbonate-vitamin d oral capsule OTC; QL

calcium carbonate-vitamin d oral tablet 500-400 mg-unit

OTC

calcium carbonate-vitamin d oral tablet 600-400 mg-unit

OTC; QL

calcium citrate + d oral tablet OTC

calcium citrate + d3 oral tablet OTC

calcium citrate + oral tablet OTC

calcium citrate-vitamin d oral tablet OTC

calcium creamies oral tablet chewable OTC; QL

calcium for women oral tablet chewable OTC

calcium high potency/vitamin d oral tablet OTC

calcium oral tablet OTC

calcium oral tablet chewable OTC; QL

calcium plus vitamin d3 oral tablet Caltrate 600+D3 OTC; QL

calcium/c/d oral tablet chewable OTC; QL

calcium+d3 gradual release oral tablet extended release 24 hour

Citracal Slow Release OTC

calcium-magnesium oral tablet Cal-Mag OTC

calcium-magnesium-zinc oral tablet OTC

calcium-vitamin d oral tablet 500-125 mg-unit, 600-200 mg-unit

OTC

calcium-vitamin d oral tablet 500-200 mg-unit

Oysco 500+D OTC

calcium-vitamin d oral tablet 500-400 mg-unit

Oystercal-D OTC

calcium-vitamin d oral tablet 600-400 mg-unit

OTC; QL

calcium-vitamin d3 oral capsule OTC; QL

calcium-vitamin d3 oral tablet 250-125 mg-unit, 600-400 mg-unit

OTC; QL

126

Page 127: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

calcium-vitamin d3 oral tablet 500-400 mg-unit

Oystercal-D OTC

calcium-vitamin d-minerals oral tablet chewable

OTC; QL

CAL-MAG ORAL TABLET OTC

chewable calcium oral tablet chewable OTC

citrus calcium/vitamin d oral tablet Citracal Petites/Vitamin D OTC

cvs calcium 600 + d/minerals oral tabletCaltrate 600+D Plus Minerals

OTC

cvs calcium-magnesium-zinc oral tablet OTC

cvs oyster shell calcium-vit d oral tablet OTC

eq calcium 500+d oral tablet Oysco 500+D OTC

eq calcium 600+d oral tablet Caltrate 600+D3 OTC; QL

eq calcium 600+d+minerals oral tabletCaltrate 600+D Plus Minerals

OTC

eql calcium citrate/vitamin d oral tablet Calcitrate OTC

eql calcium soft chews oral tablet chewable OTC

eql calcium/vitamin d oral tablet OTC; QL

eql calcium/vitamin d3 oral tablet Caltrate 600+D3 OTC; QL

gnp calcium 500 +d3 oral tablet Os-Cal Extra D3 OTC

gnp calcium 500/d oral tablet RA Hi Cal OTC

gnp calcium 600 +d/minerals oral tabletCaltrate 600+D Plus Minerals

OTC

gnp calcium 600 +d3 oral tablet Caltrate 600+D3 OTC; QL

gnp calcium 600 +d3/minerals oral tablet chewable

Caltrate 600+D Plus Minerals

OTC

gnp calcium 600 plus d/mineral oral tablet OTC; QL

gnp calcium 600/d oral tablet OTC; QL

gnp calcium citrate +d3 oral tablet Calcitrate OTC

gnp calcium plus 600 +d oral tablet OTC

gnp calcium/vitamin d/minerals oral tablet chewable

OTC; QL

hm calcium citrate+vitamin d oral tablet Calcitrate OTC

hm calcium-vitamin d oral tablet 500-200 mg-unit

Oysco 500+D OTC

hm calcium-vitamin d oral tablet 600-400 mg-unit

OTC; QL

hm calcium-vitamin d oral tablet 600-800 mg-unit

Caltrate 600+D3 OTC; QL

127

Page 128: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

hm calcium-vitamin d-minerals oral tablet OTC; QL

liquid calcium with d3 oral capsule OTC

liquid calcium/vitamin d oral capsule OTC; QL

nat-rul oyster calcium+vit d oral tablet OTC

oscal 500/200 d-3 oral tablet RA Hi Cal OTC

OYSCO 500+D ORAL TABLET OTC

oyster calcium + d oral tablet 250-125 mg-unit

OTC; QL

oyster calcium + d oral tablet 500-125 mg-unit

OTC

oyster shell calcium + d oral tablet Oysco 500+D OTC

oyster shell calcium + d3 oral tablet Oystercal-D OTC

oyster shell calcium 250+d oral tablet OTC; QL

oyster shell calcium 500 + d oral tablet OTC

oyster shell calcium 500+d oral tablet chewable

OTC

oyster shell calcium oral tablet Oystercal-D OTC

oyster shell calcium plus d oral tablet OTC

oyster shell calcium/d oral tablet 250-125 mg-unit

OTC; QL

oyster shell calcium/d oral tablet 500-200 mg-unit

RA Hi Cal OTC

oyster shell calcium/d oral tablet 500-400 mg-unit

OTC

oyster shell calcium/d oral tablet 500-5 mg-mcg

Oysco 500+D OTC

oyster shell calcium/d3 oral tablet OTC

oyster shell calcium/vitamin d oral tablet250-125 mg-unit

OTC; QL

oyster shell calcium/vitamin d oral tablet500-200 mg-unit

Oysco 500+D OTC

OYSTERCAL-D ORAL TABLET OTC

pa oyster shell calcium oral tablet RA Hi Cal OTC

px calcium&d oral tablet OTC; QL

qc calcium 600 +d3/minerals oral tablet chewable

Caltrate 600+D Plus Minerals

OTC

qc calcium/minerals/vitamin d oral tablet OTC; QL

ra calcium 600/vit d/minerals oral tablet OTC

ra calcium 600/vit d/minerals oral tablet chewable

OTC; QL

128

Page 129: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra calcium 600/vitamin d-3 oral tablet OTC; QL

ra calcium cit plus vit d-3 oral tablet Calcitrate OTC

ra calcium citrate plus vit d oral tablet OTC

ra calcium cit-vit d-3 petites oral tablet Citracal Petites/Vitamin D OTC

ra calcium plus vitamin d oral tablet OTC; QL

ra calcium soft chews oral tablet chewable OTC

ra calcium/minerals/vitamin d oral tablet OTC; QL

RA HI CAL ORAL TABLET OTC

RA HI-CAL PLUS VITAMIN D ORAL TABLET

OTC

ra oyster shell calcium/d oral tablet 250-125 mg-unit

OTC; QL

ra oyster shell calcium/d oral tablet 500-200 mg-unit

RA Hi Cal OTC

risacal-d oral tablet OTC

sm calcium 500/vitamin d3 oral tablet OTC

sm calcium 600/vitamin d oral tablet OTC; QL

sm calcium citrate w/vit d3 oral tablet Calcitrate OTC

sm calcium citrate-vit d oral tablet OTC

sm calcium soft chews oral tablet chewable OTC

sm calcium/vitamin d oral tablet 500-200 mg-unit

Oysco 500+D OTC

sm calcium/vitamin d oral tablet 600-800 mg-unit

Caltrate 600+D3 OTC; QL

sm calcium/vitamin d3 oral tabletCaltrate 600+D Plus Minerals

OTC

sm calcium-magnesium-zinc oral tablet OTC

sm calcium-vitamin d oral tablet 500-200 mg-unit

Oysco 500+D OTC

sm calcium-vitamin d oral tablet 600-400 mg-unit

OTC; QL

sm oyster shell calcium/vit d oral tablet OTC

sm oyster shell calcium/vit d3 oral tablet Oystercal-D OTC

super calcium 600 + d 400 oral tablet OTC; QL

super calcium 600 + d3 oral tablet OTC; QL

tgt calcium dietary supplement oral tablet chewable

OTC; QL

129

Page 130: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

COMBINACIONES MINERALES

calcium citrate plus/magnesium oral tabletAdvanced Calcium/D/Magnesium

OTC

calcium-magnesium-zinc oral tablet Colamine OTC

ra ca/mg/zn/cu oral tablet Colamine OTC

ELECTROLITOS ORALES

ADVANTAGE CARE ELECTROLYTE PED ORAL SOLUTION

OTC; QL

CERALYTE 70 ORAL SOLUTION OTC; QL

cvs electrolyte solution oral solutionAdvantage Care Electrolyte Ped

OTC; QL

cvs ped electrolyte freeze pop oral solutionAdvantage Care Electrolyte Ped

OTC; QL

cvs pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

gnp pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

h-e-b oral electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

hm pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

ORALYTE FREEZER POPS ORAL SOLUTION

OTC; QL

ORALYTE ORAL SOLUTION OTC; QL

ped electrolyte freeze pops oral solutionAdvantage Care Electrolyte Ped

OTC; QL

ped electrolyte freezer pops oral solutionAdvantage Care Electrolyte Ped

OTC; QL

pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

pediatric electrolyte-zinc oral solutionAdvantage Care Electrolyte Ped

OTC; QL

ra ped electrolyte freezer pop oral solutionAdvantage Care Electrolyte Ped

OTC; QL

ra pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

sm pediatric electrolyte oral solutionAdvantage Care Electrolyte Ped

OTC; QL

MAGNESIO

cvs magnesium oral tablet OTC

130

Page 131: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs magnesium oxide oral tablet OTC

kp mag-oxide magnesium oral tablet Mag-Oxide OTC

MAG64 ORAL TABLET DELAYED RELEASE

OTC; QL

mag-g oral tablet OTC

magnesium gluconate oral tablet OTC

magnesium oral capsule OTC

magnesium oral tablet 200 mg, 250 mg OTC

magnesium oral tablet 400 mg OTC; QL

magnesium oxide -mg supplement oral tablet

OTC

magnesium oxide oral capsule OTC

magnesium oxide oral tablet 400 (240 mg) mg

OTC; QL

magnesium oxide oral tablet 400 (241.3 mg) mg

MAGnesium-Oxide OTC; QL

magnesium oxide oral tablet 420 (252 mg) mg, 500 mg

OTC

MAGNESIUM-OXIDE ORAL TABLET OTC; QL

MAG-OXIDE ORAL TABLET OTC

mgo oral tablet MAGnesium-Oxide OTC; QL

natrul magnesium oral tablet OTC

ra magnesium oral capsule OTC

sm magnesium oral tablet OTC

sm magnesium oxide oral tablet OTC

POTASIO

cvs potassium gluconate oral tablet OTC; QL

gnp potassium gluconate oral tablet OTC; QL

hm potassium oral tablet OTC; QL

potassium gluconate oral tablet OTC; QL

qc potassium oral tablet OTC; QL

ra potassium gluconate oral tablet OTC; QL

sm potassium oral tablet OTC; QL

ZINC

chelated zinc oral tablet OTC; QL

cvs zinc oral tablet OTC; QL

eql natural zinc oral tablet OTC; QL

gnp zinc chelated oral tablet OTC; QL

131

Page 132: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp zinc oral tablet OTC; QL

hm zinc oral tablet OTC; QL

qc zinc oral tablet OTC; QL

ra zinc oral tablet OTC; QL

sm zinc oral tablet OTC; QL

zinc chelated oral tablet OTC; QL

zinc gluconate oral tablet 100 mg, 30 mg OTC

zinc gluconate oral tablet 50 mg OTC; QL

zinc oral tablet 30 mg OTC

zinc oral tablet 50 mg OTC; QL

zinc sulfate oral capsule Orazinc OTC

zinc sulfate oral tablet OTC

zinc-220 oral capsule Orazinc OTC

MULTIVITAMINAS

MULTIVITAMINAS

anti-oxidant oral tablet One Daily Essential OTC; QL

daily multiple vitamins oral tablet One Daily Essential OTC; QL

daily value multivitamin oral tablet One Daily Essential OTC; QL

daily vitamin oral tablet One Daily Essential OTC; QL

daily vitamins oral tablet One Daily Essential OTC; QL

daily vite oral tablet One Daily Essential OTC; QL

daily vites oral tablet One Daily Essential OTC; QL

daily-vitamin oral tablet One Daily Essential OTC; QL

daily-vite oral tablet One Daily Essential OTC; QL

gnp essential one daily oral tablet One Daily Essential OTC; QL

healthy hair/skin/nails oral tablet One Daily Essential OTC; QL

multi vitamin daily oral tablet One Daily Essential OTC; QL

multi vitamin mens oral tablet One Daily Essential OTC; QL

multi-day oral tablet One Daily Essential OTC; QL

multiple vitamin-folic acid oral tablet One Daily Essential OTC; QL

multiple vitamins essential oral tablet One Daily Essential OTC; QL

multiple vitamins oral tablet One Daily Essential OTC; QL

multi-vitamin daily oral tablet One Daily Essential OTC; QL

multivitamin iron-free oral tablet One Daily Essential OTC; QL

multi-vitamin oral tablet One Daily Essential OTC; QL

multivitamins oral capsule Chlorocaps OTC

multi-vitamins oral tablet One Daily Essential OTC; QL

132

Page 133: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

once daily oral tablet One Daily Essential OTC; QL

ONE DAILY ESSENTIAL ORAL TABLET OTC; QL

one daily oral tablet One Daily Essential OTC; QL

one-daily multi vitamins oral tablet One Daily Essential OTC; QL

one-daily multi-vitamin oral tablet One Daily Essential OTC; QL

qc essentials oral tablet One Daily Essential OTC; QL

ra one daily essential oral tablet One Daily Essential OTC; QL

ra one daily multi-vitamin oral tablet One Daily Essential OTC; QL

SIGTAB ORAL TABLET OTC; QL

sm multiple vitamins essential oral tablet One Daily Essential OTC; QL

STRESSTABS ENERGY ORAL TABLET OTC; QL

TAB-A-VITE/BETA CAROTENE ORAL TABLET

OTC; QL

THERA ORAL TABLET OTC; QL

thera-mill oral tablet One Daily Essential OTC; QL

therapeutic oral tablet One Daily Essential OTC; QL

thera-tabs oral tablet One Daily Essential OTC; QL

THEREMS ORAL TABLET OTC; QL

vit e-vit c-beta carotene oral tablet One Daily Essential OTC; QL

vitalee oral tablet One Daily Essential OTC; QL

NIACINA CON INOSITOL

cvs niacin flush free oral capsule OTC

gnp niacin flush free oral capsule OTC

niacin flush free oral capsule OTC

PRODUCTOS DE BIOFLAVONOIDE

c complex oral tablet extended release Ascocid-1000 OTC

ra vitamin c cr oral tablet extended release Ascocid-1000 OTC

PRODUCTOS DE VITAMINAS ESPECIALIZADAS

cvs hair/skin/nails oral tablet Allerwell Allergy Formula OTC; QL

ra ear care oral tablet Allerwell Allergy Formula OTC; QL

vitamins for hair oral tablet Allerwell Allergy Formula OTC; QL

VITAMINAS CON LIPOTRÓPICOS

b-100 cr oral tablet extended release OTC

balance b-100 oral tablet Actiflovit Ear Health OTC; QL

balanced b-100 complex cr oral tablet extended release

OTC

133

Page 134: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

balanced b-100 oral tablet Actiflovit Ear Health OTC; QL

balanced b-50 complex oral tablet Actiflovit Ear Health OTC; QL

balanced b-50 oral tablet Actiflovit Ear Health OTC; QL

complex b-100 oral tablet extended release OTC

ear health formula oral tablet Actiflovit Ear Health OTC; QL

ear health plus oral tablet Actiflovit Ear Health OTC; QL

mega multiple/chelated mineral oral tablet Actiflovit Ear Health OTC; QL

multi-vitamin hp/minerals oral capsule OTC

risanoid plus oral tablet Actiflovit Ear Health OTC; QL

super stress b-complex cr oral tablet extended release

OTC

VITAMINAS DEL COMPLEJO B

APETIGEN-PLUS ORAL SOLUTION OTC

b complete oral tablet Big 100 OTC

b complex 100 tr oral tablet extended release

Endur-B OTC

b complex formula 1 oral tablet OTC; QL

b complex oral capsule OTC

b complex oral tablet OTC; QL

b complex plus oral tablet OTC; QL

b complex vitamins oral capsule OTC

b complex-biotin-fa oral tablet Big 100 OTC

b complex-c oral tablet Allbee/C OTC; QL

b complex-c-biotin-e-fa oral tablet OTC

b-100 b-complex oral tablet Big 100 OTC

b-100 complex cr oral tablet extended release

Endur-B OTC

b-100 tr oral tablet extended release Endur-B OTC

b-50 complex oral tablet extended release Endur-B OTC

b50 complex tr oral tablet extended release Endur-B OTC

balance b-50 oral tablet Big 100 OTC

balanced b complex oral tablet Big 100 OTC

balanced b-100 oral tablet extended release Endur-B OTC

b-compleet-100 oral tablet Big 100 OTC

b-compleet-50 oral tablet Big 100 OTC

b-complex balanced oral tablet OTC; QL

b-complex oral tablet Big 100 OTC

b-complex/b-12 oral tablet OTC; QL

134

Page 135: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

b-complex/vitamin c oral tablet OTC; QL

b-complex-c oral tablet Allbee/C OTC; QL

benfotiamine multi-b oral capsule OTC

BIG 100 ORAL TABLET OTC

complex b-50 prolonged release oral tablet extended release

Endur-B OTC

cvs b complex plus c oral tablet Allbee/C OTC; QL

cvs super b complex/c oral tablet Allbee/C OTC; QL

DIALYVITE 800 ORAL TABLET OTC

ELDERTONIC ORAL LIQUID OTC; QL

ENDUR-B ORAL TABLET EXTENDED RELEASE

OTC

eql b complex 50 oral tablet Big 100 OTC

eql b-100 complex oral tablet extended release

Endur-B OTC

eql super b complex/vitamin c oral tablet OTC; QL

extress oral tablet Big 100 OTC

extress-super oral tablet Big 100 OTC

full spectrum b/vitamin c oral tablet Dialyvite 800 OTC

geriaton oral liquid Eldertonic OTC; QL

gnp b-100 complex oral tablet extended release

Endur-B OTC

gnp b-50 balanced oral tablet Big 100 OTC

gnp b-50 complex oral tablet extended release

Endur-B OTC

gnp b-complex plus vitamin c oral tablet OTC; QL

hm super vitamin b complex/c oral tablet OTC; QL

hm vitamin b complex/vitamin c oral tablet OTC; QL

hm vitamin b100 complex oral tablet Big 100 OTC

hm vitamin b50 complex oral tablet Big 100 OTC

kobee oral tablet OTC; QL

NEPHRONEX ORAL LIQUID OTC

pa b-complex with b-12 oral tablet OTC; QL

POTEN B-150 CR ORAL TABLET EXTENDED RELEASE

OTC

qc b50 prolonged release oral tablet extended release

Endur-B OTC

qc b-complex/vitamin c oral tablet OTC; QL

quin b strong b-25 oral tablet Big 100 OTC

135

Page 136: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra balanced b-100 cr oral tablet extended release

Endur-B OTC

ra balanced b-100 oral tablet Big 100 OTC

ra balanced b-50 oral tablet Big 100 OTC

ra balanced b-50 tr oral tablet extended release

Endur-B OTC

ra b-complex oral tablet OTC; QL

ra b-complex with b-12 oral tablet OTC; QL

ra b-complex/vitamin c cr oral tablet extended release

OTC; QL

rena-vite oral tablet Dialyvite 800 OTC

rena-vite rx oral tablet Dialyvite OTC

reno caps oral capsule Mynephron OTC

sm b super vitamin complex oral tablet OTC; QL

sm b100 complex oral tablet Big 100 OTC

sm balanced b-100 oral tablet OTC; QL

sm balanced b-50 oral tablet OTC; QL

sm b-complex oral tablet Big 100 OTC

sm b-complex/vitamin c oral tablet OTC; QL

sm super b complex/c oral tablet Allbee/C OTC; QL

stress b/zinc oral tablet OTC; QL

stress formula oral tablet OTC; QL

stress formula/zinc oral tablet OTC; QL

super b complex maxi oral tablet OTC; QL

super b complex/fa/vit c oral tablet OTC; QL

super b/c oral capsule OTC; QL

super b-100 oral tablet Big 100 OTC

super b-50 oral tablet Big 100 OTC

super b-complex oral tablet Big 100 OTC

super b-complex/vit c/fa oral tablet OTC; QL

SUPER DEC B-100 ORAL TABLET OTC

SUPER QUINTS B-50 ORAL TABLET OTC

total b/c oral tablet Allbee/C OTC; QL

vitamin b complex oral tablet OTC; QL

vitamin b50 complex oral tablet extended release

Endur-B OTC

vitamin b-complex oral tablet OTC; QL

yl balanced b-100 oral tablet Big 100 OTC

136

Page 137: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

VITAMINAS MÚLTIPLES CON CALCIO

eql one daily womens oral tabletHM Vita-Mini Multi Complete

OTC; QL

gnp one daily womens health oral tabletHM Vita-Mini Multi Complete

OTC; QL

hm one daily essential oral tabletHM Vita-Mini Multi Complete

OTC; QL

VITAMINAS MÚLTIPLES CON HIERRO

daily vitamin formula+iron oral tablet OTC; QL

daily vite multivitamin/iron oral tablet OTC; QL

daily-vite/iron/beta-carotene oral tablet OTC; QL

gnp one daily plus iron oral tablet OTC; QL

hm one daily/iron oral tablet OTC; QL

multi-day plus iron oral tablet OTC; QL

multiple vitamins/iron oral tablet OTC; QL

once daily/iron oral tablet OTC; QL

one daily multivitamin/iron oral tablet OTC; QL

ra one daily multi-vit plus fe oral tablet OTC; QL

sm multiple vitamins/iron oral tablet OTC; QL

stress formula/iron oral tablet OTC; QL

tab-a-vite/iron oral tablet OTC; QL

VITAMINAS MÚLTIPLES CON MINERALES

a thru z advanced oral tabletABC Plus Senior Adults 50+

OTC; QL

a thru z select 50+ advanced oral tabletABC Plus Senior Adults 50+

OTC; QL

a thru z select advanced oral tabletABC Plus Senior Adults 50+

OTC; QL

a thru z select oral tabletABC Plus Senior Adults 50+

OTC; QL

a thru z select ultimate women oral tabletABC Plus Senior Adults 50+

OTC; QL

ABC PLUS SENIOR ADULTS 50+ ORAL TABLET

OTC; QL

actical oral capsule ICaps OTC; QL

137

Page 138: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

antioxidant a/c/e/selenium oral tabletABC Plus Senior Adults 50+

OTC; QL

centamin oral liquid Lysiplex Plus OTC; QL

centravites 50 plus oral tabletABC Plus Senior Adults 50+

OTC; QL

CEROVITE ADVANCED FORMULA ORAL TABLET

OTC; QL

CEROVITE SENIOR ORAL TABLET OTC; QL

certa plus oral tabletABC Plus Senior Adults 50+

OTC; QL

CERTAVITE SENIOR/ANTIOXIDANT ORAL TABLET

OTC; QL

CERTAVITE/ANTIOXIDANTS ORAL TABLET

OTC; QL

companion oral tabletABC Plus Senior Adults 50+

OTC; QL

complete oral tabletABC Plus Senior Adults 50+

OTC; QL

complete senior oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs daily multiple for men oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs daily multiple women 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs one daily womens formula oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite adult 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite advanced oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite senior oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite ultra mens oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite ultra women oral tabletABC Plus Senior Adults 50+

OTC; QL

cvs spectravite womens senior oral tabletABC Plus Senior Adults 50+

OTC; QL

daily combo multi vitamins oral tabletABC Plus Senior Adults 50+

OTC; QL

daily vitamin formula+minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

138

Page 139: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq complete multivit adult 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

eq complete multivitamin-adult oral tabletABC Plus Senior Adults 50+

OTC; QL

eql century mature adults 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

eql century mature oral tabletABC Plus Senior Adults 50+

OTC; QL

eql century oral tabletABC Plus Senior Adults 50+

OTC; QL

eql one daily mens health oral tabletABC Plus Senior Adults 50+

OTC; QL

eql vision formula oral tabletABC Plus Senior Adults 50+

OTC; QL

ESSENTIA ORAL TABLET OTC; QL

FOSFREE ORAL TABLET OTC; QL

gnp century adults 50+ senior oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp century cardio health oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp century mature oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp century oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp century ultimate womens oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp hair/skin/nails oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp healthy eyes oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp healthy eyes supervision oral capsule ICaps OTC; QL

gnp mega multi for men oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp mega multi for women oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp one daily maximum oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp one daily mens health 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

gnp one daily mens/lycopene oral tabletABC Plus Senior Adults 50+

OTC; QL

139

Page 140: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp therapeutic-m oral tabletABC Plus Senior Adults 50+

OTC; QL

hair/skin/nails oral tabletABC Plus Senior Adults 50+

OTC; QL

healthy eyes oral tabletABC Plus Senior Adults 50+

OTC; QL

hm antioxidant vitamins oral tabletABC Plus Senior Adults 50+

OTC; QL

hm complete 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

hm complete 50+ women ultimate oral tabletABC Plus Senior Adults 50+

OTC; QL

hm complete oral tabletABC Plus Senior Adults 50+

OTC; QL

hm complete women oral tabletABC Plus Senior Adults 50+

OTC; QL

hm one daily womens oral tabletABC Plus Senior Adults 50+

OTC; QL

ICAPS ORAL CAPSULE OTC; QL

i-vite oral tabletABC Plus Senior Adults 50+

OTC; QL

i-vite protect oral tabletABC Plus Senior Adults 50+

OTC; QL

kp adults 50+ daily formula oral tabletABC Plus Senior Adults 50+

OTC; QL

kp adults daily formula oral tabletABC Plus Senior Adults 50+

OTC; QL

kp mens 50+ daily formula oral tabletABC Plus Senior Adults 50+

OTC; QL

kp womens daily formula oral tabletABC Plus Senior Adults 50+

OTC; QL

LYSIPLEX PLUS ORAL LIQUID OTC; QL

MACUVITE EYE CARE ORAL TABLET OTC; QL

magnum-75 oral tablet extended release Endur-VM OTC; QL

mega multi for women oral tabletABC Plus Senior Adults 50+

OTC; QL

MEGA MULTI MEN ORAL TABLET OTC; QL

mega multivitamin for men oral tabletABC Plus Senior Adults 50+

OTC; QL

mega multivitamin for women oral tabletABC Plus Senior Adults 50+

OTC; QL

140

Page 141: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

mega-marathon 100 tr oral tablet extended release

Endur-VM OTC; QL

MILLTRIUM SENIOR ORAL TABLET OTC; QL

multi complete/iron oral tabletABC Plus Senior Adults 50+

OTC; QL

multi for her oral tabletABC Plus Senior Adults 50+

OTC; QL

multi vitamin/minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

multilex oral tabletABC Plus Senior Adults 50+

OTC; QL

multilex-t&m oral tabletABC Plus Senior Adults 50+

OTC; QL

multiple vit/minerals/no iron oral tabletABC Plus Senior Adults 50+

OTC; QL

multivitamin & mineral oral liquid Lysiplex Plus OTC; QL

multi-vitamin/minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

my-vitalife oral capsule ICaps OTC; QL

no iron mult vitamin-minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

ocutabs oral tabletABC Plus Senior Adults 50+

OTC; QL

ocutabs-lutein oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily calcium/iron oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily complete oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily for men 50+ advanced oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily for men/lycopene oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily for women 50+ adv oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily for women oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily maximum oral tabletABC Plus Senior Adults 50+

OTC; QL

ONE DAILY PLUS IRON ORAL TABLET OTC; QL

141

Page 142: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

one daily plus minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily womens 50 plus oral tabletABC Plus Senior Adults 50+

OTC; QL

one daily/minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

ONE-A-DAY TEEN ADVANTAGE/HER ORAL TABLET

OTC; QL

ONE-A-DAY TEEN ADVANTAGE/HIM ORAL TABLET

OTC; QL

OPTIVITE P.M.T. ORAL TABLET OTC; QL

PROSIGHT ORAL TABLET OTC; QL

px complete senior multivits oral tabletABC Plus Senior Adults 50+

OTC; QL

qc daily multivit/multimineral oral tabletABC Plus Senior Adults 50+

OTC; QL

RA CENTRAL-VITE ORAL TABLET OTC; QL

ra central-vite under 50 mens oral tabletABC Plus Senior Adults 50+

OTC; QL

ra one daily energy formula oral tabletABC Plus Senior Adults 50+

OTC; QL

ra one daily maximum oral tabletABC Plus Senior Adults 50+

OTC; QL

ra one daily womens oral tabletABC Plus Senior Adults 50+

OTC; QL

ra therapeutic m plus beta car oral tabletABC Plus Senior Adults 50+

OTC; QL

ra vision vite plus zinc oral tabletABC Plus Senior Adults 50+

OTC; QL

senior tabs oral tabletABC Plus Senior Adults 50+

OTC; QL

sentry adult oral tabletABC Plus Senior Adults 50+

OTC; QL

sentry oral tabletABC Plus Senior Adults 50+

OTC; QL

sentry senior oral tabletABC Plus Senior Adults 50+

OTC; QL

sm complete 50+ oral tabletABC Plus Senior Adults 50+

OTC; QL

sm complete 50+ ultimate women oral tabletABC Plus Senior Adults 50+

OTC; QL

142

Page 143: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm complete advanced formula oral tabletABC Plus Senior Adults 50+

OTC; QL

sm complete oral tabletABC Plus Senior Adults 50+

OTC; QL

sm complete senior formula oral tabletABC Plus Senior Adults 50+

OTC; QL

sm hair/skin/nails oral tabletABC Plus Senior Adults 50+

OTC; QL

sm opti-vitamins oral tabletABC Plus Senior Adults 50+

OTC; QL

STRESSTABS ADVANCED ORAL TABLET

OTC; QL

SUNVITE ADVANCED ORAL TABLET OTC; QL

super antioxidant oral capsule ICaps OTC; QL

super natrul-100 oral tablet extended release

Endur-VM OTC; QL

super thera vite m oral tabletABC Plus Senior Adults 50+

OTC; QL

superior 35 oral tablet extended release Endur-VM OTC; QL

TAB-A-VITE ORAL TABLET OTC; QL

THERA M PLUS ORAL TABLET OTC; QL

thera-m oral tabletABC Plus Senior Adults 50+

OTC; QL

therapeutic-m/lutein oral tabletABC Plus Senior Adults 50+

OTC; QL

thera-tabs m oral tabletABC Plus Senior Adults 50+

OTC; QL

THERATRUM COMPLETE 50 PLUS ORAL TABLET

OTC; QL

THERATRUM COMPLETE ORAL TABLET OTC; QL

THEREMS-M ORAL TABLET OTC; QL

totalday multiple oral tablet extended release Endur-VM OTC; QL

ultra-mega oral tablet extended release Endur-VM OTC; QL

unicomplex-m oral tabletABC Plus Senior Adults 50+

OTC; QL

vitamins/minerals oral tabletABC Plus Senior Adults 50+

OTC; QL

vitatrum oral tabletABC Plus Senior Adults 50+

OTC; QL

VITRUM SENIOR ORAL TABLET OTC; QL

143

Page 144: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

womens daily form/fa/ca/fe oral tabletABC Plus Senior Adults 50+

OTC; QL

womens one daily oral tabletABC Plus Senior Adults 50+

OTC; QL

YELETS TEENAGE FORMULA ORAL TABLET

OTC; QL

VITAMINAS PEDIÁTRICAS

animal chews oral tablet chewable Animal Shapes OTC

ANIMAL SHAPES ORAL TABLET CHEWABLE

OTC

animal shapes/iron oral tablet chewable Cerovite Jr OTC

BPROTECTED PEDIA POLY-VITE ORAL SOLUTION

OTC

BPROTECTED PEDIA POLY-VITE/FE ORAL SOLUTION

OTC

BPROTECTED PEDIA TRI-VITE ORAL SOLUTION

OTC

chewable vite childrens oral tablet chewable Animal Shapes OTC

child chewable vitamins/iron oral tablet chewable

Flintstones Plus Iron OTC

childrens chewable vitamins oral tablet chewable

Animal Shapes OTC

cvs gummy dinos oral tablet chewableGummi Bear Multivitamin/Min

OTC

DINO-LIFE ORAL TABLET CHEWABLE OTC

DINO-LIFE W/EXTRA C ORAL TABLET CHEWABLE

OTC

DINO-LIFE W/IRON-ZINC ORAL TABLET CHEWABLE

OTC; QL

gnp childrens chewables/ex c oral tablet chewable

Dino-Life w/Extra C OTC

gnp childrens chewables/iron oral tablet chewable

Flintstones Plus Iron OTC

gnp little ones childrens oral tablet chewable Animal Shapes OTC

gnp zoochews gummies oral tablet chewable

Gummi Bear Multivitamin/Min

OTC

GUMMI BEAR MULTIVITAMIN/MIN ORAL TABLET CHEWABLE

OTC

HONEY BEARS ORAL TABLET CHEWABLE

OTC

144

Page 145: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

HONEY BEARS W/IRON-ZINC ORAL TABLET CHEWABLE

OTC; QL

multi-delyn oral liquidNovaMV Pediatric Multi-Vitamin

OTC

multi-delyn/iron oral liquid OTC

multivitamin childrens oral tablet chewable Animal Shapes OTC

NOVAMV PEDIATRIC MULTI-VITAMIN ORAL LIQUID

OTC

PEDIAVIT ORAL LIQUID OTC

poly vitamin oral tablet chewable Animal Shapes OTC

POLY-VI-SOL ORAL SOLUTION OTC

POLY-VI-SOL/IRON ORAL SOLUTION OTC

poly-vite pediatric oral solutionBProtected Pedia Poly-Vite

OTC

tri-vite pediatric oral solution BProtected Pedia Tri-Vite OTC

zoo friends oral tablet chewableGummi Bear Multivitamin/Min

OTC; QL

zoo friends plus iron oral tablet chewable Flintstones Plus Iron OTC

VITAMINAS PRENATALES

ALIVE PRENATAL ORAL TABLET CHEWABLE

OTC

ATABEX ORAL TABLET CHEWABLE OTC

BRAINSTRONG PRENATAL ORAL OTC; QL

cadeau dha oral capsule OTC; QL

calna oral tablet OTC

CENTRUM SPECIALIST PRENATAL ORAL

OTC; QL

classic prenatal oral tablet OTC; QL

CLINICAL NUTRIENTS PRENATAL ORAL TABLET

OTC

cvs prenatal gummy oral tablet chewable0.4-113.5 mg

OTC; QL

cvs prenatal gummy oral tablet chewable0.4-25 mg

Alive Prenatal OTC

cvs prenatal multi+dha oral capsule OTC; QL

cvs prenatal oral tablet NeoNatal Vitamin OTC; QL

cvs womens prenatal+dha oral OTC; QL

ENFAMIL EXPECTA ORAL OTC; QL

eql prenatal formula oral tablet OTC; QL

145

Page 146: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ezfe forte oral capsule OTC

gnp daily prenatal oralOne-A-Day Womens Prenatal

OTC; QL

gnp prenatal oral tablet OTC; QL

goodsense prenatal vitamins oral tablet OTC; QL

HEALTHY MAMA BE WELL ROUNDED ORAL THERAPY PACK

OTC

hm one daily prenatal oralOne-A-Day Womens Prenatal

OTC; QL

hm prenatal oral tablet OTC; QL

kp prenatal multivitamins oral tablet OTC; QL

kpn prenatal oral tablet OTC; QL

multi prenatal oral tablet NeoNatal Vitamin OTC; QL

NEONATAL VITAMIN ORAL TABLET OTC; QL

OBTREX ORAL TABLET OTC; QL

ONE A DAY PRENATAL ORAL TABLET CHEWABLE

OTC

ONE-A-DAY WOMENS PRENATAL 1 ORAL CAPSULE

OTC; QL

ONE-A-DAY WOMENS PRENATAL ORAL OTC; QL

pa prenatal formula oral tablet OTC

PERRY PRENATAL ORAL CAPSULE OTC; QL

prenatabs fa oral tablet Co-Natal FA OTC; QL

prenatal + complete multi oral therapy pack OTC; QL

prenatal adult gummy/dha/fa oral tablet chewable

Alive Prenatal OTC

prenatal complete oral tablet OTC; QL

prenatal formula a-free oral tablet OTC; QL

prenatal formula oral capsule OTC; QL

pre-natal formula oral tablet OTC; QL

prenatal forte oral tablet OTC; QL

prenatal gummies/dha & fa oral tablet chewable

OTC; QL

prenatal low iron oral tablet NeoNatal Vitamin OTC; QL

prenatal multi +dha oral capsule 27-0.8-200 mg, 27-0.8-228 mg

OTC

prenatal multi +dha oral capsule 27-0.8-250 mg

OTC; QL

PRENATAL MULTIVITAMIN + DHA ORAL OTC; QL

146

Page 147: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

prenatal multivitamin plus dha oral capsule OTC; QL

prenatal one daily oral tablet NeoNatal Vitamin OTC; QL

prenatal oral tablet OTC; QL

prenatal vitamin and mineral oral tablet OTC; QL

prenatal vitamin oral tablet NeoNatal Vitamin OTC; QL

prenatal vitamins oral tablet OTC; QL

prenatal/iron oral tablet OTC; QL

prenatal/omega-3/fa/iron oral capsule Your Life Multi Prenatal OTC

prenatal+dha oral OTC; QL

px prenatal multivitamins oral tablet OTC; QL

qc prenatal oral tablet OTC; QL

ra one daily oralOne-A-Day Womens Prenatal

OTC; QL

ra prenatal formula oral tablet OTC; QL

ra prenatal oral tablet OTC; QL

RIGHT STEP PRENATAL ORAL TABLET OTC; QL

SIMILAC PRENATAL EARLY SHIELD ORAL

OTC; QL

sm one daily prenatal oralOne-A-Day Womens Prenatal

OTC; QL

sm prenatal vitamins oral tablet OTC; QL

STUART ONE ORAL CAPSULE OTC; QL

THERANATAL COMPLETE ORAL OTC; QL

THERANATAL CORE NUTRITION ORAL TABLET

OTC; QL

THERANATAL ONE ORAL CAPSULE OTC; QL

VINATE CARE ORAL TABLET CHEWABLE

OTC; QL

wegmans complete prenatal+dha oral OTC; QL

YOUR LIFE MULTI PRENATAL ORAL CAPSULE

OTC

NUTRIENTES

CARBOHIDRATOS

GERBER GOOD START WATER ORAL SOLUTION

OTC

GOOD START 5% GLUCOSE WATER ORAL SOLUTION

OTC

SIMILAC GLUCOSE WATER ORAL SOLUTION

OTC

147

Page 148: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

COMBINACIONES DE LIPOTRÓPICOS

cvs lecithin oral capsule OTC

gram-o-leci oral tablet chewable OTC

lecithin 3500 oral capsule OTC

lecithin oral capsule OTC

lecithin-19 oral capsule OTC

sm soya lecithin oral capsule OTC

soya lecithin oral capsule OTC

COMBINACIONES DE SUSTANCIAS NUTRICIONALES VARIAS

kelp-b6-lecithin-vinegar oral capsule OTC

pyridoxine-kelp-lect-vinegar oral tablet OTC

LIPOTRÓPICOS

inositol oral tablet OTC

SUSTANCIAS NUTRICIONALES VARIAS

omega 3 oral capsule Super Omega-3 OTC

omega-3 fish oil oral capsule Ovega-3 OTC

prenatal dha oral capsule OTC

sm fish oil oral capsule Super Omega-3 OTC

SUPER OMEGA-3 ORAL CAPSULE OTC

SUPER TWIN EPA/DHA ORAL CAPSULE OTC

PRODUCTOS DE DIAGNÓSTICO

ANÁLISIS DE DIAGNÓSTICO

AZO TEST IN VITRO STRIP OTC

CHEMSTRIP K IN VITRO STRIP OTC; QL

KETOSTIX IN VITRO STRIP OTC; QL

RELION KETONE IN VITRO STRIP OTC; QL

RELION KETONE TEST IN VITRO STRIP OTC; QL

TRUE METRIX BLOOD GLUCOSE TEST IN VITRO STRIP

OTC; QL

TRUETEST TEST IN VITRO STRIP OTC; QL

ANÁLISIS DE INFECCIONES

urinary tract infection test in vitro strip Reveal Urinary Tract OTC

148

Page 149: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ANÁLISIS MÚLTIPLES DE ORINA

CVS KETONE CARE IN VITRO STRIP OTC

PRODUCTOS DIGESTIVOS

ENZIMAS DIGESTIVAS

cvs dairy relief fast acting oral tablet Lactaid Fast Act OTC

cvs lactase oral tablet Lac-Dose OTC

dairy relief oral tablet Lac-Dose OTC

gnp dairy relief oral tablet Lac-Dose OTC

gnp fast acting dairy relief oral tablet chewable

Lactaid Fast Act OTC

kls fast acting lactase oral tablet Lactaid Fast Act OTC

LAC-DOSE ORAL TABLET OTC

lactase enzyme oral tablet Lac-Dose OTC

lactase fast acting oral tablet Lactaid Fast Act OTC

lactase oral tablet Lac-Dose OTC

lactose fast acting relief oral tablet Lactaid Fast Act OTC

lactose fast acting relief oral tablet chewable Lactaid Fast Act OTC

px dairy digestive oral tablet Lactaid Fast Act OTC

ra dairy aid oral tablet Lac-Dose OTC

ra dairy relief fast acting oral tablet chewable Lactaid Fast Act OTC

sb lactase oral tablet Lac-Dose OTC

sm ultra dairy digestive oral tablet Lactaid Fast Act OTC

surelac oral tablet Lac-Dose OTC

tgt dairy digestive aid oral tablet Lactaid Fast Act OTC

PRODUCTOS VAGINALES

ANTIMICÓTICOS RELACIONADOS CON EL IMIDAZOL

3 day vaginal vaginal cream Gyne-Lotrimin 3 OTC

clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

clotrimazole vaginal cream Gyne-Lotrimin OTC

clotrimazole-7 vaginal cream Gyne-Lotrimin OTC

cvs clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

cvs miconazole 1 combo pack vaginal kit Monistat 1 Combo Pack OTC

cvs miconazole 3 combo pack vaginal kit Vagistat-3 OTC

cvs miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

cvs tioconazole 1 vaginal ointment Monistat 1-Day OTC

eq miconazole 1 vaginal kit Monistat 1 Combo Pack OTC

149

Page 150: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

eq miconazole 3 combo pack vaginal kit Vagistat-3 OTC

eq miconazole 7 day treatment vaginal cream

Monistat 7 Simply Cure OTC

eq miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

eql miconazole 3 vaginal kit Vagistat-3 OTC

eql miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

eql tioconazole-1 vaginal ointment Monistat 1-Day OTC

gnp clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

gnp miconazole 3 vaginal kit Vagistat-3 OTC

gnp miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

goodsense miconazole 1 vaginal kit Monistat 1 Combo Pack OTC

miconazole 1 vaginal kit Monistat 1 Combo Pack OTC

miconazole 3 applicator vaginal kitMonistat 3 Combo Pack App

OTC

miconazole 3 combo pack app vaginal kitMonistat 3 Combo Pack App

OTC

miconazole 3 combo pack vaginal kit Vagistat-3 OTC

miconazole 3 vaginal cream Monistat 3 OTC

miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

miconazole 7 vaginal suppository OTC

miconazole nitrate vaginal cream Monistat 7 Simply Cure OTC

px miconazole 3-day combo vaginal kit Vagistat-3 OTC

qc 3 day vaginal cream Monistat 3 OTC

qc miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

ra clotrimazole 3 vaginal cream Gyne-Lotrimin 3 OTC

ra clotrimazole 7 vaginal cream Gyne-Lotrimin OTC

ra miconazole 3 combo pack app vaginal kitMonistat 3 Combo Pack App

OTC

ra miconazole 3 combo pack vaginal kit Vagistat-3 OTC

ra miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

ra tioconazole 1 vaginal ointment Monistat 1-Day OTC

sm 3-day vaginal vaginal cream Gyne-Lotrimin 3 OTC

sm clotrimazole vaginal vaginal cream Gyne-Lotrimin OTC

sm miconazole 3 applicator vaginal kitMonistat 3 Combo Pack App

OTC

sm miconazole 3 vaginal kit Vagistat-3 OTC

sm miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

sm miconazole 7 vaginal suppository OTC

150

Page 151: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm tioconazole-1 vaginal ointment Monistat 1-Day OTC

tgt miconazole 1 vaginal kit Monistat 1 Combo Pack OTC

tgt miconazole 3 combo pack vaginal kit Vagistat-3 OTC

tgt miconazole 7 vaginal cream Monistat 7 Simply Cure OTC

tioconazole-1 vaginal ointment Monistat 1-Day OTC

VAGISTAT-3 VAGINAL KIT OTC

ESPERMICIDAS

TODAY SPONGE VAGINAL OTC

VCF VAGINAL CONTRACEPTIVE VAGINAL FILM

OTC

VCF VAGINAL CONTRACEPTIVE VAGINAL FOAM

OTC

QUÍMICOS

LÍQUIDOS

glycerin liquid OTC

SOLVENTES

cvs isopropyl alcohol solution OTC

cvs rubbing alcohol solution OTC

eql isopropyl alcohol solution OTC

eql isopropyl rubbing alcohol solution OTC

gnp isopropyl alcohol solution OTC

goodsense isopropyl alcohol solution OTC

hm isopropyl alcohol solution OTC

isopropyl alcohol (rubbing) solution OTC

isopropyl alcohol, rubbing solution OTC

qc isopropyl rubbing alcohol solution OTC

ra isopropyl alcohol solution OTC

ra isopropyl rubbing alcohol solution OTC

sm alcohol solution OTC

sm isopropyl alcohol solution OTC

TDAH/ANTINARCOLEPSIA/ANTIOBÉSICOS/ANOREXÍGENOS

INHIBIDORES DE LA LIPASA

ALLI ORAL CAPSULE PA; OTC; QL

151

Page 152: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

VITAMINAS PRENATALES

VITAMINAS PRENATALES

ALIVE PRENATAL ORAL TABLET CHEWABLE

OTC

cvs prenatal gummy oral tablet chewable 0.4 mg

OTC

cvs prenatal gummy oral tablet chewable0.4-113.5 mg

OTC; QL

cvs prenatal gummy oral tablet chewable0.4-25 mg

Alive Prenatal OTC

ONE A DAY PRENATAL ORAL TABLET CHEWABLE

OTC

prenatal + complete multi oral therapy pack OTC; QL

prenatal adult gummy/dha/fa oral tablet chewable

Alive Prenatal OTC

prenatal gummies/dha & fa oral tablet chewable

OTC; QL

THERANATAL OVAVITE ORAL THERAPY PACK

OTC; QL

VITAMINAS

BIOTINA

biotin 5000 oral capsule Meribin OTC

biotin maximum strength oral capsule Meribin OTC

biotin oral capsule Meribin OTC

biotin oral tablet OTC

cvs biotin high potency oral tablet OTC

cvs biotin oral capsule Meribin OTC

gnp biotin oral capsule Meribin OTC

hm biotin oral capsule Meribin OTC

pa biotin oral capsule Meribin OTC

pa biotin oral tablet OTC

qc biotin oral tablet OTC

ra biotin oral capsule Hard Nails OTC

ra biotin oral tablet OTC

sm biotin oral capsule Meribin OTC

super biotin oral capsule Meribin OTC

VITAMINA A

vitamin a oral capsule OTC

152

Page 153: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

VITAMINA B

b-1 high potency oral tablet OTC

b-1 oral tablet OTC

b2 oral tablet OTC

b-2 oral tablet OTC

b6 natural oral tablet OTC

b-6 oral tablet OTC

calcium pantothenate oral tablet OTC

cvs b-1 oral tablet OTC

cvs b6 oral tablet OTC

cvs vitamin b-2 oral tablet OTC

eql b-6 oral tablet OTC

gnp niacin oral tablet OTC

gnp vitamin b1 oral tablet OTC

gnp vitamin b-1 oral tablet OTC

gnp vitamin b-6 oral tablet OTC

hm niacin oral tablet extended release Endur-Acin OTC

hm niacin tr oral tablet extended release Endur-Acin OTC

hm vitamin b1 oral tablet OTC

hm vitamin b6 oral tablet OTC

kp niacin oral tablet OTC

kp vitamin b-6 oral tablet OTC

neuro-k-250 vitamin b6 oral tablet OTC

neuro-k-50 oral tablet OTC

niacin er oral capsule extended release OTC; QL

niacin er oral tablet extended release Endur-Acin OTC

niacin oral tablet OTC

niacin-50 oral tablet OTC

niacinamide oral tablet OTC

plain niacin oral tablet OTC

px niacin oral tablet OTC

pyridoxine hcl oral tablet OTC

qc niacin oral tablet OTC

qc vitamin b1 oral tablet OTC

qc vitamin b6 oral tablet OTC

ra niacin oral tablet OTC

ra vitamin b-1 oral tablet OTC

153

Page 154: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

ra vitamin b-6 oral tablet OTC

SLO-NIACIN ORAL TABLET EXTENDED RELEASE

OTC

sm vitamin b1 oral tablet OTC

sm vitamin b6 oral tablet OTC

sm vitamin b-6 oral tablet OTC

thiamine hcl oral tablet OTC

vitamin b1 oral tablet OTC

vitamin b-1 oral tablet OTC

vitamin b-2 oral tablet OTC

vitamin b6 oral tablet OTC

vitamin b-6 oral tablet OTC

yl vitamin b-6 oral tablet OTC

VITAMINA C

ACEROLA C 500 ORAL WAFER OTC

acerola c-500 oral tablet chewable Sunkist Vitamin C OTC; QL

ascorbic acid oral tablet 1000 mg OTC

ascorbic acid oral tablet 250 mg OTC; QL

ascorbic acid oral tablet 500 mg PureWay-C OTC; QL

ascorbic acid oral tablet chewable OTC

asco-tabs-1000 oral tablet OTC

BPROTECTED VITAMIN C ORAL LIQUID OTC

c 1000 oral tablet OTC

c 250 oral tablet OTC; QL

c 250 oral tablet chewable OTC

c 500 oral tablet PureWay-C OTC; QL

c 500 oral tablet chewable Sunkist Vitamin C OTC; QL

c 500/rose hips oral tablet PureWay-C OTC; QL

c-1000 oral tablet OTC

c-1000 oral tablet extended release Endur-C OTC

c-1000 sr oral tablet extended release Endur-C OTC

c-1000/rose hips oral tablet OTC

c-1000/rose hips sr oral tablet extended release

Endur-C OTC

c-1500/rose hips sr oral tablet extended release

OTC

c-250 oral tablet OTC; QL

c-250 oral tablet chewable OTC

154

Page 155: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

c-500 non-acid oral tablet OTC; QL

c-500 oral tablet PureWay-C OTC; QL

c-500 oral tablet chewable Sunkist Vitamin C OTC; QL

c-500 oral tablet extended release Endur-C OTC

c-500 sr oral capsule extended release OTC

c-500 sr oral tablet extended release Endur-C OTC

c-500/rose hips oral tablet PureWay-C OTC; QL

calcium ascorbate oral tablet OTC; QL

c-chewable oral tablet chewable Sunkist Vitamin C OTC; QL

chew-c oral tablet chewable Sunkist Vitamin C OTC; QL

CRUSH VITAMIN C DROPS MOUTH/THROAT LOZENGE

OTC

c-time oral capsule extended release OTC

cvs chewable c with rose hips oral tablet chewable

Sunkist Vitamin C OTC; QL

cvs vitamin c oral tablet 1000 mg OTC

cvs vitamin c oral tablet 250 mg OTC; QL

cvs vitamin c oral tablet 500 mg PureWay-C OTC; QL

cvs vitamin c-rose hips oral tablet 1000 mg OTC

cvs vitamin c-rose hips oral tablet 500 mg PureWay-C OTC; QL

ENDUR-C ORAL TABLET EXTENDED RELEASE

OTC

eql vitamin c oral tablet 1000 mg OTC

eql vitamin c oral tablet 500 mg PureWay-C OTC; QL

eql vitamin c/rose hips oral tablet 1000 mg OTC

eql vitamin c/rose hips oral tablet 500 mg PureWay-C OTC; QL

fruit c 500 oral tablet chewable Sunkist Vitamin C OTC; QL

fruity c oral tablet chewable OTC

gnp vitamin c cr oral tablet extended release Endur-C OTC

gnp vitamin c drops mouth/throat lozenge Crush Vitamin C Drops OTC

gnp vitamin c oral tablet 1000 mg OTC

gnp vitamin c oral tablet 250 mg OTC; QL

gnp vitamin c oral tablet 500 mg PureWay-C OTC; QL

gnp vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL

gnp vitamin c oral tablet extended release Endur-C OTC

gnp vitamin c w/rose hips oral tablet PureWay-C OTC; QL

gnp vitamin c/rose hips oral tablet OTC

155

Page 156: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

gnp vitamin c/rose hips tr oral tablet extended release

Endur-C OTC

hm vitamin c oral tablet 1000 mg OTC

hm vitamin c oral tablet 500 mg PureWay-C OTC; QL

hm vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL

hm vitamin c tr oral tablet extended release Endur-C OTC

hm vitamin c/rose hips oral tablet 1000 mg OTC

hm vitamin c/rose hips oral tablet 500 mg PureWay-C OTC; QL

meijer c oral tablet PureWay-C OTC; QL

natural c/rose hips oral tablet 1000 mg OTC

natural c/rose hips oral tablet 500 mg PureWay-C OTC; QL

pure c 500 oral capsule extended release OTC

PUREWAY-C ORAL TABLET OTC; QL

px vitamin c oral tablet PureWay-C OTC; QL

qc vitamin c oral tablet 1000 mg OTC

qc vitamin c oral tablet 500 mg PureWay-C OTC; QL

qc vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL

qc vitamin c with rose hips oral tablet PureWay-C OTC; QL

ra vitamin c cr oral tablet extended release Endur-C OTC

ra vitamin c drops mouth/throat lozenge Crush Vitamin C Drops OTC

ra vitamin c oral tablet PureWay-C OTC; QL

ra vitamin c oral tablet chewable 250 mg OTC

ra vitamin c oral tablet chewable 500 mg Sunkist Vitamin C OTC; QL

ra vitamin c/acerola oral tablet chewable Sunkist Vitamin C OTC; QL

ra vitamin c/rose hips cr oral tablet extended release

Endur-C OTC

ra vitamin c/rose hips oral tablet 1000 mg OTC

ra vitamin c/rose hips oral tablet 500 mg PureWay-C OTC; QL

sb vitamin c oral tablet PureWay-C OTC; QL

sm chewable c oral tablet chewable Sunkist Vitamin C OTC; QL

sm chewable vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL

sm vit c/rose hips oral tablet OTC

sm vitamin c cr oral tablet extended release Endur-C OTC

sm vitamin c oral tablet 1000 mg OTC

sm vitamin c oral tablet 250 mg OTC; QL

sm vitamin c oral tablet 500 mg PureWay-C OTC; QL

sm vitamin c oral tablet chewable Sunkist Vitamin C OTC; QL

156

Page 157: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

sm vitamin c/rose hips oral tablet PureWay-C OTC; QL

SUNKIST VITAMIN C ORAL TABLET CHEWABLE

OTC; QL

tgt vitamin c drops mouth/throat lozenge Crush Vitamin C Drops OTC

vita-c oral crystals OTC

vitamin c drops mouth/throat lozenge Crush Vitamin C Drops OTC

vitamin c er oral capsule extended release OTC

vitamin c er oral tablet extended release OTC

vitamin c immune health oral tablet chewable

Sunkist Vitamin C OTC; QL

vitamin c oral liquid BProtected Vitamin C OTC

vitamin c oral powder Ascocid OTC

vitamin c oral tablet 100 mg, 1000 mg OTC

vitamin c oral tablet 250 mg OTC; QL

vitamin c oral tablet 500 mg PureWay-C OTC; QL

vitamin c oral tablet chewable 250 mg OTC

vitamin c oral tablet chewable 500 mg Sunkist Vitamin C OTC; QL

vitamin c plus wild rose hips oral tablet chewable

Sunkist Vitamin C OTC; QL

vitamin c/bioflavonoids/rosehp oral tablet PureWay-C OTC; QL

vitamin c/rose hips oral tablet PureWay-C OTC; QL

vitamin c/rose hips tr oral tablet extended release

Endur-C OTC

vitamin c-acerola oral tablet PureWay-C OTC; QL

vitamin c-acerola oral tablet chewable Sunkist Vitamin C OTC; QL

vitamin c-rose hips er oral tablet extended release

Endur-C OTC

vitamin c-rose hips oral tablet 1000 mg OTC

vitamin c-rose hips oral tablet 500 mg PureWay-C OTC; QL

vitamin c-rose hips oral tablet chewable Sunkist Vitamin C OTC; QL

vitamin c-rose hips tr oral tablet extended release

Endur-C OTC

yl vitamin c oral tablet 1000 mg OTC

yl vitamin c oral tablet 500 mg PureWay-C OTC; QL

yl vitamin c-rose hips oral tablet 1000 mg OTC

yl vitamin c-rose hips oral tablet 500 mg PureWay-C OTC; QL

VITAMINA D

aqueous vitamin d oral liquid BProtected Pedia D-Vite OTC; QL

157

Page 158: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

CALCIDOL ORAL SOLUTION OTC

cvs d3 oral capsule 10 mcg (400 unit) OTC

cvs d3 oral capsule 125 mcg (5000 ut) Dialyvite Vitamin D 5000 OTC; QL

cvs d3 oral capsule 25 mcg (1000 ut) Pronutrients Vitamin D3 OTC

cvs d3 oral capsule 50 mcg (2000 ut) OTC; QL

cvs vitamin d3 oral capsule Decara OTC

cvs vitamin d3 oral tablet chewableKids First Vitamin D3 Gummies

OTC

d 1000 oral capsule Pronutrients Vitamin D3 OTC

d 1000 oral tablet Vitamin D-1000 Max St OTC

d 1000 oral tablet chewableKids First Vitamin D3 Gummies

OTC

d 10000 oral capsule Decara OTC

d 400 oral tablet OTC; QL

d 400 oral tablet chewable Healthy Kids Vitamin D3 OTC

d 5000 oral capsule Dialyvite Vitamin D 5000 OTC; QL

d 5000 oral tabletRadiance Platinum Vitamin D3

OTC

d-1000 extra strength oral tablet Vitamin D-1000 Max St OTC

d-1000 oral tablet Vitamin D-1000 Max St OTC

d-2000 maximum strength oral tablet Thera-D 2000 OTC

d2000 ultra strength oral capsule OTC; QL

d3 adult oral tablet chewableKids First Vitamin D3 Gummies

OTC

d3 high potency oral capsule 125 mcg (5000 ut)

Dialyvite Vitamin D 5000 OTC; QL

d3 high potency oral capsule 25 mcg (1000 ut)

Pronutrients Vitamin D3 OTC

d3 high potency oral capsule 50 mcg (2000 ut)

OTC; QL

d3 high potency oral tablet OTC; QL

d3 maximum strength oral capsule Dialyvite Vitamin D 5000 OTC; QL

d3 maximum strength oral liquid OTC

d3 super strength oral capsule OTC; QL

d3-1000 oral capsule Pronutrients Vitamin D3 OTC

d3-1000 oral tablet Vitamin D-1000 Max St OTC

d-3-5 oral capsule Dialyvite Vitamin D 5000 OTC; QL

D3-50 ORAL CAPSULE OTC

d-400 oral tablet OTC; QL

158

Page 159: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

d-5000 oral tabletRadiance Platinum Vitamin D3

OTC

DECARA ORAL CAPSULE OTC

delta d3 oral tablet OTC; QL

DIALYVITE VITAMIN D 5000 ORAL CAPSULE

OTC; QL

DIALYVITE VITAMIN D3 MAX ORAL TABLET

OTC

eql vitamin d3 gummies oral tablet chewableKids First Vitamin D3 Gummies

OTC

eql vitamin d3 oral capsule 10 mcg (400 unit)

OTC

eql vitamin d3 oral capsule 125 mcg (5000 ut)

Dialyvite Vitamin D 5000 OTC; QL

eql vitamin d3 oral capsule 25 mcg (1000 ut) Pronutrients Vitamin D3 OTC

eql vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

ergocalciferol oral solution Calcidol OTC

gnp d 1000 oral capsule Pronutrients Vitamin D3 OTC

gnp d 2000 oral tablet chewableKids First Vitamin D3 Gummies

OTC

gnp vitamin d maximum strength oral tablet Thera-D 2000 OTC

gnp vitamin d oral tablet Vitamin D-1000 Max St OTC

gnp vitamin d super strength oral tabletRadiance Platinum Vitamin D3

OTC

gnp vitamin d3 extra strength oral tablet Vitamin D-1000 Max St OTC

gnp vitamin d-400 oral tablet OTC; QL

hm vitamin d oral tablet 10 mcg (400 unit) OTC; QL

hm vitamin d oral tablet 25 mcg (1000 ut) Vitamin D-1000 Max St OTC

hm vitamin d3 oral capsule 100 mcg (4000 ut)

OTC

hm vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

KIDS FIRST VITAMIN D3 GUMMIES ORAL TABLET CHEWABLE

OTC

kp vitamin d oral capsule Pronutrients Vitamin D3 OTC

kp vitamin d3 oral capsule 25 mcg (1000 ut) Pronutrients Vitamin D3 OTC

kp vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

nat-rul vitamin d oral tablet Vitamin D-1000 Max St OTC

natural vitamin d-3 oral tabletRadiance Platinum Vitamin D3

OTC

OPTIMAL-D ORAL CAPSULE OTC

159

Page 160: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

pa vitamin d-3 oral capsule OTC; QL

pa vitamin d-3 oral tablet Vitamin D-1000 Max St OTC

PRONUTRIENTS VITAMIN D3 ORAL CAPSULE

OTC

qc vitamin d3 oral capsule 25 mcg (1000 ut) Pronutrients Vitamin D3 OTC

qc vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

qc vitamin d3 oral tablet 10 mcg (400 unit) OTC; QL

qc vitamin d3 oral tablet 125 mcg (5000 ut)Radiance Platinum Vitamin D3

OTC

qc vitamin d3 oral tablet 25 mcg (1000 ut) Vitamin D-1000 Max St OTC

qc vitamin d3 oral tablet 50 mcg (2000 ut) Thera-D 2000 OTC

ra vitamin d-3 oral capsule OTC; QL

ra vitamin d-3 oral tablet Vitamin D-1000 Max St OTC

RADIANCE PLATINUM VITAMIN D3 ORAL TABLET

OTC

REPLESTA ORAL WAFER OTC

sm vitamin d oral tablet OTC; QL

sm vitamin d3 oral capsule 100 mcg (4000 ut)

OTC

sm vitamin d3 oral capsule 125 mcg (5000 ut)

Dialyvite Vitamin D 5000 OTC; QL

sm vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

sm vitamin d3 oral tablet Vitamin D-1000 Max St OTC

THERA-D 2000 ORAL TABLET OTC

THERA-D RAPID REPLETION ORAL TABLET

OTC

VITAJOY DAILY D GUMMIES ORAL TABLET CHEWABLE

OTC

vitamin d (cholecalciferol) oral capsule 10 mcg (400 unit)

OTC

vitamin d (cholecalciferol) oral capsule 25 mcg (1000 ut)

Pronutrients Vitamin D3 OTC

vitamin d (cholecalciferol) oral capsule 50 mcg (2000 ut)

OTC; QL

vitamin d (cholecalciferol) oral tablet 10 mcg (400 unit)

OTC; QL

vitamin d (cholecalciferol) oral tablet 25 mcg (1000 ut)

Vitamin D-1000 Max St OTC

vitamin d high potency oral capsule Pronutrients Vitamin D3 OTC

vitamin d infant oral liquid BProtected Pedia D-Vite OTC; QL

160

Page 161: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

vitamin d oral capsule OTC; QL

vitamin d oral liquid BProtected Pedia D-Vite OTC; QL

vitamin d oral tablet Thera-D 2000 OTC

VITAMIN D-1000 MAX ST ORAL TABLET OTC

vitamin d2 oral tablet OTC

vitamin d3 adult gummies oral tablet chewable

Kids First Vitamin D3 Gummies

OTC

vitamin d3 gummies adult oral tablet chewable

Kids First Vitamin D3 Gummies

OTC

vitamin d3 gummies oral tablet chewableKids First Vitamin D3 Gummies

OTC

vitamin d3 maximum strength oral capsule Dialyvite Vitamin D 5000 OTC; QL

vitamin d-3 oral capsule Pronutrients Vitamin D3 OTC

vitamin d3 oral capsule 1.25 mg (50000 ut) D3-50 OTC

vitamin d3 oral capsule 10 mcg (400 unit) OTC

vitamin d3 oral capsule 125 mcg (5000 ut) Dialyvite Vitamin D 5000 OTC; QL

vitamin d3 oral capsule 25 mcg (1000 ut) Pronutrients Vitamin D3 OTC

vitamin d3 oral capsule 250 mcg (10000 ut) Decara OTC

vitamin d3 oral capsule 50 mcg (2000 ut) OTC; QL

vitamin d3 oral liquid 10 mcg/ml BProtected Pedia D-Vite OTC; QL

vitamin d3 oral liquid 125 mcg/ml OTC

vitamin d-3 oral tabletRadiance Platinum Vitamin D3

OTC

vitamin d3 oral tablet 1.25 mg (50000 ut) Dialyvite Vitamin D3 Max OTC

vitamin d3 oral tablet 10 mcg (400 unit) OTC; QL

vitamin d3 oral tablet 125 mcg (5000 ut)Radiance Platinum Vitamin D3

OTC

vitamin d3 oral tablet 25 mcg (1000 ut) Vitamin D-1000 Max St OTC

vitamin d3 oral tablet 50 mcg (2000 ut) Thera-D 2000 OTC

vitamin d3 oral tablet chewable Healthy Kids Vitamin D3 OTC

vitamin d3 super strength oral tablet Thera-D 2000 OTC

vitamin d3 ultra potency oral tablet Dialyvite Vitamin D3 Max OTC

vitamin d-400 oral tablet OTC; QL

WEEKLY-D ORAL CAPSULE OTC

VITAMINA E

alph-e oral capsule Ester-E OTC

alph-e-mixed oral capsule Ester-E OTC

aqueous vitamin e oral solution SoluVita E OTC

161

Page 162: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

Nombre del medicamento Referencia Notas

cvs vitamin e oral capsule OTC

e400 mixed oral capsule Ester-E OTC

e400 oral capsule Ester-E OTC

e-400 oral capsule Ester-E OTC

e-400-clear oral capsule Ester-E OTC

e-400-mixed oral capsule Ester-E OTC

e600 oral capsule OTC

eql vitamin e oral capsule Ester-E OTC

ESTER-E ORAL CAPSULE OTC

gnp vitamin e oral capsule OTC

hm e vitamin oral capsule Ester-E OTC

hm vitamin e oral capsule Ester-E OTC

kp vitamin e oral capsule OTC

natural vitamin e oral capsule OTC

pa vitamin e oral capsule Ester-E OTC

px vitamin e oral capsule Ester-E OTC

qc vitamin e oral capsule Ester-E OTC

ra natural vitamin e oral capsule Ester-E OTC

ra vitamin e blend oral capsule Ester-E OTC

ra vitamin e oral capsule Ester-E OTC

sm vitamin e oral capsule Ester-E OTC

vitamin e blend oral capsule Ester-E OTC

vitamin e complex oral capsule Ester-E OTC

vitamin e high potency oral capsule Ester-E OTC

vitamin e oral capsule OTC

vitamin e water soluble oral capsule Ester-E OTC

vitamin e/d-alpha natural oral capsule Ester-E OTC

vitamin e/d-alpha oral capsule OTC

vitamin e-400 oral capsule Ester-E OTC

yl vitamin e oral capsule Ester-E OTC

VITAMINA K

k 100 oral tablet OTC

vitamin k (phytonadione) oral tablet OTC

vitamin k oral tablet OTC

162

Page 163: Comúnmente cubierto Artículos de venta libre · OTC: medicamento de venta libre disponible con receta. (Los recetadores deben incluir la sigla OTC en la receta). PA: requiere autorización

163