lista de medicamentos preferidos aprobado por medicaid · washington lista de medicamentos...

Washington

Lista de medicamentos preferidos aprobado por Medicaid En vigencia desde el 1 de febrero de 2018

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

DO: programa de optimización de dosis

GR: restricción de género

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.

SP: farmacia especializada ST: requiere terapia escalonada. Es posible que necesite utilizar un medicamento antes de que los beneficios

para el uso de otro medicamento puedan autorizarse.

Nombre del medicamento Reference Notas

ADJUVANTES QUÍMICOS O FARMACÉUTICOS

ADJUVANTE FARMACÉUTICO (INHALADORES)

sodium chloride inhalation solution for nebulization

NebuSal

ADJUVANTE FARMACÉUTICO

syrpalta oral syrup OTC

AGENTES ANORRECTALES

AGENTES ANORRECTALES

hydrocortisone topical cream with perineal applicator

Anusol-HC QL

proctosol hc topical cream with perineal applicator

QL

proctozone-hc topical cream with perineal applicator

QL

AGENTES ANTI-INFECCIOSOS

AGENTES ANTIBACTERIANOS ANTIPROTOZOARIOS ANAEROBIOS

metronidazole oral capsule Flagyl

metronidazole oral tablet Flagyl

tinidazole oral tablet QL

AGENTES ANTILATIVOS, OTROS

dapsone oral tablet

AGENTES ANTIMICOBACTERIANOS

ethambutol oral tablet Myambutol

isoniazid oral solution

isoniazid oral tablet

PRIFTIN ORAL TABLET

pyrazinamide oral tablet

rifabutin oral capsule Mycobutin

rifampin oral capsule Rifadin

RIFATER ORAL TABLET

AGENTES PARA EL TRATAMIENTO DE HEPATITIS B

adefovir oral tablet Hepsera PA; QL

2


BARACLUDE ORAL SOLUTION PA; QL

entecavir oral tablet Baraclude PA; QL

EPIVIR HBV ORAL SOLUTION PA; QL

lamivudine oral tablet Epivir HBV QL

AMIBICIDAS

paromomycin oral capsule

AMINOGLICÓSIDOS

neomycin oral tablet

AMINOPENICILINAS

amoxicillin oral capsule

amoxicillin oral suspension for reconstitution

QL

amoxicillin oral tablet

amoxicillin oral tablet,chewable

amoxicillin-pot clavulanate oral suspension for reconstitution

Augmentin ES-600

amoxicillin-pot clavulanate oral tablet

amoxicillin-pot clavulanate oral tablet extended release 12 hr

Augmentin XR QL

amoxicillin-pot clavulanate oral tablet,chewable

ampicillin oral capsule

AUGMENTIN ORAL SUSPENSION FOR RECONSTITUTION

ANTIBIÓTICO SULFONAMIDA

sulfadiazine oral tablet

ANTIBIÓTICOS ANTIMICÓTICOS

fluconazole oral suspension for reconstitution 10 mg/ml, 40 mg/ml

Diflucan QL

fluconazole oral tablet 100 mg, 150 mg, 200 mg, 50 mg

Diflucan QL

flucytosine oral capsule Ancobon

griseofulvin microsize oral suspension

griseofulvin ultramicrosize oral tablet Gris-PEG (ultramicrosize)

itraconazole oral capsule Sporanox PA

ketoconazole oral tablet QL

nystatin oral powder

nystatin oral tablet

3


terbinafine hcl oral tablet Lamisil QL

voriconazole intravenous solution Vfend IV PA

voriconazole oral suspension for reconstitution

Vfend PA; QL

voriconazole oral tablet 200 mg, 50 mg Vfend PA; QL

ANTIHELMÍNTICOS

ALBENZA ORAL TABLET

BILTRICIDE ORAL TABLET

ivermectin oral tablet Stromectol

pin-x oral suspension OTC

pin-x oral tablet,chewable OTC

ANTIVIRALES, ESPECÍFICOS DE VIH

abacavir oral solution Ziagen

abacavir oral tablet Ziagen

abacavir-lamivudine oral tablet Epzicom

abacavir-lamivudine-zidovudine oral tablet Trizivir

APTIVUS ORAL CAPSULE

APTIVUS ORAL SOLUTION

atazanavir oral capsule Reyataz

ATRIPLA ORAL TABLET

COMPLERA ORAL TABLET

CRIXIVAN ORAL CAPSULE

DESCOVY ORAL TABLET

didanosine oral capsule,delayed release(dr/ec)

Videx EC

EDURANT ORAL TABLET

efavirenz oral capsule Sustiva

efavirenz oral tablet Sustiva

EMTRIVA ORAL CAPSULE

EMTRIVA ORAL SOLUTION

EVOTAZ ORAL TABLET

fosamprenavir oral tablet Lexiva

FUZEON SUBCUTANEOUS RECON SOLN

GENVOYA ORAL TABLET

INTELENCE ORAL TABLET

INVIRASE ORAL CAPSULE

4


INVIRASE ORAL TABLET

ISENTRESS HD ORAL TABLET

ISENTRESS ORAL POWDER IN PACKET

ISENTRESS ORAL TABLET

ISENTRESS ORAL TABLET,CHEWABLE

KALETRA ORAL TABLET

lamivudine oral solution Epivir

lamivudine oral tablet Epivir

lamivudine-zidovudine oral tablet Combivir

LEXIVA ORAL SUSPENSION

lopinavir-ritonavir oral solution Kaletra

nevirapine oral suspension Viramune

nevirapine oral tablet Viramune

nevirapine oral tablet extended release 24 hr

Viramune XR

NORVIR ORAL CAPSULE

NORVIR ORAL SOLUTION

NORVIR ORAL TABLET

ODEFSEY ORAL TABLET

PREZCOBIX ORAL TABLET

PREZISTA ORAL SUSPENSION

PREZISTA ORAL TABLET

RESCRIPTOR ORAL TABLET

RESCRIPTOR ORAL TABLET, DISPERSIBLE

RETROVIR INTRAVENOUS SOLUTION

REYATAZ ORAL POWDER IN PACKET

SELZENTRY ORAL SOLUTION

SELZENTRY ORAL TABLET

stavudine oral capsule Zerit

stavudine oral recon soln Zerit

STRIBILD ORAL TABLET

tenofovir disoproxil fumarate oral tablet Viread QL

TIVICAY ORAL TABLET

TRIUMEQ ORAL TABLET

TRUVADA ORAL TABLET

5


VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN

VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN

VIRACEPT ORAL TABLET

VIRAMUNE ORAL SUSPENSION

VIREAD ORAL POWDER QL

VIREAD ORAL TABLET QL

zidovudine oral capsule Retrovir

zidovudine oral syrup Retrovir

zidovudine oral tablet

ANTIVIRALES, GENERALES

acyclovir oral capsule Zovirax

acyclovir oral suspension Zovirax

acyclovir oral tablet Zovirax

famciclovir oral tablet 125 mg, 250 mg, 500 mg

QL

oseltamivir oral capsule Tamiflu

oseltamivir oral suspension for reconstitution

Tamiflu

RELENZA DISKHALER INHALATION BLISTER WITH DEVICE

QL

rimantadine oral tablet Flumadine

TAMIFLU ORAL CAPSULE

TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION

valacyclovir oral tablet 1 gram, 500 mg Valtrex QL

valganciclovir oral recon soln Valcyte

valganciclovir oral tablet Valcyte

CEFALOSPORINA, ANTIBIÓTICOS

cefaclor oral capsule

cefaclor oral suspension for reconstitution

cefaclor oral tablet extended release 12 hr

cefadroxil oral capsule

cefadroxil oral suspension for reconstitution

cefadroxil oral tablet

cefdinir oral capsule QL

6


cefdinir oral suspension for reconstitution 125 mg/5 ml, 250 mg/5 ml

QL

cefpodoxime oral suspension for reconstitution

cefpodoxime oral tablet

cefprozil oral suspension for reconstitution

cefprozil oral tablet

CEFTIN ORAL SUSPENSION FOR RECONSTITUTION

ceftriaxone injection recon soln QL

cefuroxime axetil oral suspension for reconstitution

Ceftin

cefuroxime axetil oral tablet

cephalexin oral capsule Keflex

cephalexin oral suspension for reconstitution

cephalexin oral tablet

COMBINACIONES DE PLASMOCIDAS

atovaquone-proguanil oral tablet Malarone Pediatric

LINCOSAMIDAS

clindamycin hcl oral capsule Cleocin HCl

clindamycin palmitate hcl oral recon soln Cleocin Pediatric

clindamycin pediatric oral recon soln

MACRÓLIDOS

azithromycin oral packet Zithromax

azithromycin oral suspension for reconstitution 100 mg/5 ml

Zithromax

azithromycin oral suspension for reconstitution 200 mg/5 ml

Zithromax QL

azithromycin oral tablet 250 mg, 500 mg Zithromax

azithromycin oral tablet 600 mg Zithromax QL

clarithromycin oral suspension for reconstitution

clarithromycin oral tablet

clarithromycin oral tablet extended release 24 hr

e.e.s. 400 oral tablet

ery-tab oral tablet,delayed release (dr/ec)

7


erythrocin (as stearate) oral tablet

erythromycin ethylsuccinate oral tablet E.E.S. 400

erythromycin oral capsule,delayed release(dr/ec)

erythromycin oral tablet

PENICILINAS

dicloxacillin oral capsule

penicillin v potassium oral recon soln

penicillin v potassium oral tablet

PLASMOCIDAS

chloroquine phosphate oral tablet

hydroxychloroquine oral tablet Plaquenil

mefloquine oral tablet QL

PRIMAQUINE ORAL TABLET

QUINOLONES

ciprofloxacin hcl oral tablet AL; QL

levofloxacin oral solution QL

levofloxacin oral tablet Levaquin

ofloxacin oral tablet 300 mg QL

ofloxacin oral tablet 400 mg AL; QL

SULFONAMIDAS ABSORBIBLES

sulfamethoxazole-trimethoprim oral suspension

Sulfatrim

sulfamethoxazole-trimethoprim oral tablet Bactrim

trimethoprim oral tablet

TETRACÍLICAS

demeclocycline oral tablet

doxycycline monohydrate oral capsule 100 mg, 50 mg

Mondoxyne NL QL

doxycycline monohydrate oral capsule 150 mg

doxycycline monohydrate oral capsule 75 mg

Mondoxyne NL

doxycycline monohydrate oral suspension for reconstitution

Vibramycin

minocycline oral capsule Minocin

minocycline oral tablet

tetracycline oral capsule

8


VANCOMICINA Y DERIVADOS

linezolid oral suspension for reconstitution Zyvox PA; QL

linezolid oral tablet Zyvox PA; QL

vancomycin oral capsule Vancocin PA

AGENTES DE DIAGNÓSTICO

AGENTES DE DIAGNÓSTICO: FUNCIÓN DE LA HIPÓFISIS

cosyntropin injection recon soln Cortrosyn QL

cosyntropin intravenous solution

DIAGNOSTIC DROGAS

GLUCAGEN DIAGNOSTIC KIT INJECTION RECON SOLN

QL

AGENTES DE TERAPIA CARDIOVASCULAR

AGENTES BLOQUEADORES ALFA ADRENÉRGICOS

doxazosin oral tablet 1 mg, 2 mg, 4 mg, 8 mg

Cardura QL

prazosin oral capsule Minipress

terazosin oral capsule 1 mg, 10 mg, 2 mg, 5 mg

QL

AGENTES BLOQUEADORES ALFA/BETA ADRENÉRGICOS

carvedilol oral tablet 12.5 mg, 25 mg, 3.125 mg, 6.25 mg

Coreg QL

labetalol oral tablet

AGENTES BLOQUEADORES BETA ADRENÉRGICOS

acebutolol oral capsule

atenolol oral tablet Tenormin

betaxolol oral tablet

bisoprolol fumarate oral tablet

metoprolol succinate oral tablet extended release 24 hr

Toprol XL

metoprolol tartrate oral tablet 100 mg, 50 mg

Lopressor QL

metoprolol tartrate oral tablet 25 mg, 37.5 mg, 75 mg

nadolol oral tablet Corgard

9


pindolol oral tablet

propranolol oral capsule,extended release 24 hr

Inderal LA

propranolol oral solution

propranolol oral tablet

sotalol oral tablet Betapace QL

timolol maleate oral tablet

AGENTES BLOQUEADORES DEL CANAL DE CALCIO

afeditab cr oral tablet extended release 30 mg

DO; QL

afeditab cr oral tablet extended release 60 mg

QL

amlodipine oral tablet 10 mg, 2.5 mg, 5 mg

Norvasc QL

cartia xt oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg

DO; QL

cartia xt oral capsule,extended release 24hr 300 mg

QL

diltiazem hcl oral capsule,ext.rel 24h degradable 120 mg, 180 mg

DILT-XR DO; QL

diltiazem hcl oral capsule,ext.rel 24h degradable 240 mg

DILT-XR QL

diltiazem hcl oral capsule,extended release 12 hr

QL

diltiazem hcl oral capsule,extended release 24 hr 120 mg, 180 mg

Taztia XT DO; QL

diltiazem hcl oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg

Taztia XT QL

diltiazem hcl oral capsule,extended release 24 hr 420 mg

Tiazac QL

diltiazem hcl oral capsule,extended release 24hr 120 mg, 180 mg, 240 mg

Cardizem CD DO; QL

diltiazem hcl oral capsule,extended release 24hr 300 mg, 360 mg

Cardizem CD QL

diltiazem hcl oral tablet 120 mg, 30 mg, 60 mg

Cardizem QL

diltiazem hcl oral tablet 90 mg QL

diltiazem hcl oral tablet extended release 24 hr 180 mg, 240 mg

Cardizem LA DO; QL

10


diltiazem hcl oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg

Cardizem LA QL

dilt-xr oral capsule,ext.rel 24h degradable 120 mg, 180 mg

DO; QL

dilt-xr oral capsule,ext.rel 24h degradable 240 mg

QL

felodipine oral tablet extended release 24 hr 10 mg

QL

felodipine oral tablet extended release 24 hr 2.5 mg, 5 mg

DO; QL

isradipine oral capsule 2.5 mg, 5 mg QL

matzim la oral tablet extended release 24 hr 180 mg, 240 mg

DO; QL

matzim la oral tablet extended release 24 hr 300 mg, 360 mg, 420 mg

QL

nicardipine oral capsule 20 mg, 30 mg QL

nifedipine oral capsule QL

nifedipine oral tablet extended release 24hr 30 mg

Procardia XL DO; QL

nifedipine oral tablet extended release 24hr 60 mg, 90 mg

Procardia XL QL

nifedipine oral tablet extended release 30 mg

Adalat CC DO; QL

nifedipine oral tablet extended release 60 mg, 90 mg

Adalat CC QL

taztia xt oral capsule,extended release 24 hr 120 mg, 180 mg

DO; QL

taztia xt oral capsule,extended release 24 hr 240 mg, 300 mg, 360 mg

QL

verapamil oral capsule, 24 hr er pellet ct Verelan PM DO; QL

verapamil oral capsule,ext rel. pellets 24 hr 120 mg, 180 mg

Verelan DO; QL

verapamil oral capsule,ext rel. pellets 24 hr 240 mg, 360 mg

Verelan QL

verapamil oral tablet QL

verapamil oral tablet extended release Calan SR QL

AGENTES DE TERAPIA ANAFILAXIA

epinephrine 0.3 mg auto-inject inner Auvi-Q

epinephrine 0.3 mg auto-inject outer Auvi-Q

11


epinephrine injection auto-injector 0.15 mg/0.3 ml

EpiPen Jr QL

epinephrine injection solution Adrenalin

AGENTES DIURÉTICOS, OTROS

acetazolamide oral capsule, extended release

acetazolamide oral tablet

methazolamide oral tablet

spironolactone oral tablet Aldactone

ANTAGONISTAS DEL RECEPTOR DE LA ALDOSTERONA

spironolactone oral tablet Aldactone

ANTIARRÍTMICOS

amiodarone oral tablet 200 mg Pacerone QL

amiodarone oral tablet 400 mg Pacerone

disopyramide phosphate oral capsule Norpace

flecainide oral tablet 100 mg, 150 mg, 50 mg

QL

mexiletine oral capsule

pacerone oral tablet 200 mg QL

pacerone oral tablet 400 mg

propafenone oral capsule,extended release 12 hr

Rythmol SR

propafenone oral tablet

quinidine gluconate oral tablet extended release

quinidine sulfate oral tablet

sorine oral tablet QL

sotalol af oral tablet QL

sotalol oral tablet Betapace QL

DIURÉTICOS AHORRADORES DE POTASIO

amiloride oral tablet

amiloride-hydrochlorothiazide oral tablet

spironolacton-hydrochlorothiaz oral tablet Aldactazide

triamterene-hydrochlorothiazid oral capsule

triamterene-hydrochlorothiazid oral tablet Maxzide-25mg

12


DIURÉTICOS DE ASA

bumetanide oral tablet

furosemide oral solution

furosemide oral tablet Lasix

torsemide oral tablet Demadex

GLUCÓSIDOS DIGITÁLICOS

digox oral tablet

digoxin oral solution

digoxin oral tablet Digitek

HIPERTENSIÓN ARTERIAL PULMONAR

ADCIRCA ORAL TABLET PA; QL

LETAIRIS ORAL TABLET PA; QL

sildenafil (antihypertensive) oral tablet Revatio PA; QL

HIPOTENSIVOS, ANTAGONISTA DE LOS RECEPTORES DE LA ANGIOTENSINA

candesartan oral tablet Atacand

candesartan-hydrochlorothiazid oral tablet Atacand HCT

irbesartan oral tablet 150 mg, 75 mg Avapro DO; QL

irbesartan oral tablet 300 mg Avapro QL

irbesartan-hydrochlorothiazide oral tablet 150-12.5 mg, 300-12.5 mg

Avalide QL

losartan oral tablet Cozaar QL

losartan-hydrochlorothiazide oral tablet 100-12.5 mg, 100-25 mg

Hyzaar QL

losartan-hydrochlorothiazide oral tablet 50-12.5 mg

Hyzaar DO; QL

valsartan oral tablet Diovan QL

valsartan-hydrochlorothiazide oral tablet Diovan HCT

HIPOTENSIVOS, INHIBIDORES DE LA ECA, COMBINACIONES

benazepril oral tablet QL

benazepril-hydrochlorothiazide oral tablet QL

captopril oral tablet QL

captopril-hydrochlorothiazide oral tablet QL

enalapril maleate oral tablet Vasotec QL

enalapril-hydrochlorothiazide oral tablet QL

13


fosinopril oral tablet QL

fosinopril-hydrochlorothiazide oral tablet QL

lisinopril oral tablet 10 mg, 20 mg, 5 mg Prinivil DO; QL

lisinopril oral tablet 2.5 mg Zestril DO; QL

lisinopril oral tablet 30 mg, 40 mg Zestril QL

lisinopril-hydrochlorothiazide oral tablet 10-12.5 mg

Zestoretic DO; QL

lisinopril-hydrochlorothiazide oral tablet 20-12.5 mg, 20-25 mg

Zestoretic QL

moexipril oral tablet

moexipril-hydrochlorothiazide oral tablet

perindopril erbumine oral tablet QL

quinapril oral tablet Accupril QL

quinapril-hydrochlorothiazide oral tablet Accuretic QL

ramipril oral capsule Altace QL

trandolapril oral tablet

HIPOTENSIVOS, SIMPATOLÍTICOS

clonidine hcl oral tablet Catapres

guanfacine oral tablet

methyldopa oral tablet

HIPOTENSIVOS, VARIOS

atenolol-chlorthalidone oral tablet Tenoretic 100

bisoprolol-hydrochlorothiazide oral tablet Ziac

methyldopa-hydrochlorothiazide oral tablet

metoprolol ta-hydrochlorothiaz oral tablet 100-25 mg, 100-50 mg

QL

metoprolol ta-hydrochlorothiaz oral tablet 50-25 mg

Lopressor HCT QL

nadolol-bendroflumethiazide oral tablet Corzide QL

propranolol-hydrochlorothiazid oral tablet

HIPOTENSIVOS, VASODILATADORES

hydralazine oral tablet

minoxidil oral tablet

14


INHIBIDOR DE LA ECA/COMBINACIÓN DEL BLOQUEADOR DEL CANAL DE CALCIO

amlodipine-benazepril oral capsule QL

INHIBIDORES DE LA PCSK-9

REPATHA PUSHTRONEX SUBCUTANEOUS WEARABLE INJECTOR

PA; QL

REPATHA SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL

REPATHA SYRINGE SUBCUTANEOUS SYRINGE

PA; QL

LIPOTRÓPICOS

atorvastatin oral tablet Lipitor DO; QL

cholestyramine (with sugar) oral powder Questran

cholestyramine (with sugar) oral powder in packet

Questran

cholestyramine light oral powder

cholestyramine light oral powder in packet

colestipol oral granules Colestid

colestipol oral packet Colestid

colestipol oral tablet Colestid

fenofibrate micronized oral capsule 130 mg, 134 mg, 200 mg, 43 mg

QL

fenofibrate micronized oral capsule 67 mg PA; QL

fenofibrate nanocrystallized oral tablet Tricor QL

fenofibrate oral tablet QL

fenofibric acid (choline) oral capsule,delayed release(dr/ec) 135 mg

Trilipix QL

fenofibric acid (choline) oral capsule,delayed release(dr/ec) 45 mg

Trilipix PA; QL

fenofibric acid oral tablet Fibricor PA; QL

gemfibrozil oral tablet Lopid

lovastatin oral tablet QL

niacin oral tablet Niacor OTC

pravastatin oral tablet Pravachol

prevalite oral powder

prevalite oral powder in packet

15


simvastatin oral tablet 10 mg, 20 mg, 40 mg, 5 mg

Zocor DO; QL

simvastatin oral tablet 80 mg Zocor PA; QL

TIAZIDA Y DIURÉTICOS RELACIONADOS

chlorothiazide oral tablet

chlorthalidone oral tablet

hydrochlorothiazide oral capsule Microzide QL

hydrochlorothiazide oral tablet 12.5 mg QL

hydrochlorothiazide oral tablet 25 mg, 50 mg

indapamide oral tablet

metolazone oral tablet

VASODILATADORES, CORONARIA

isosorbide dinitrate oral tablet

isosorbide dinitrate oral tablet extended release

ISOCHRON

isosorbide mononitrate oral tablet

isosorbide mononitrate oral tablet extended release 24 hr

nitro-bid transdermal ointment

NITRO-DUR TRANSDERMAL PATCH 24 HOUR

nitroglycerin oral capsule, extended release

Nitro-Time

nitroglycerin sublingual tablet Nitrostat

nitroglycerin transdermal patch 24 hour Minitran

nitro-time oral capsule, extended release

VASOPRESOR ADRENÉRGICO

midodrine oral tablet

AGENTES DE TERAPIA GASTROINTESTINAL

AGENTES ANTIEMÉTICOS/ANTIVÉRTIGOS

aprepitant oral capsule 125 mg, 40 mg, 80 mg

Emend QL

aprepitant oral capsule,dose pack Emend QL

compro rectal suppository

16


DICLEGIS ORAL TABLET,DELAYED RELEASE (DR/EC)

PA; QL

dimenhydrinate oral tablet Dramamine OTC

driminate oral tablet OTC

granisetron (pf) intravenous solution

granisetron hcl intravenous solution

granisetron hcl oral tablet QL

meclizine oral tablet OTC

meclizine oral tablet,chewable Bonine OTC

medi-meclizine oral tablet OTC

motion relief (meclizine) oral tablet OTC

motion sickness (meclizine) oral tablet OTC

motion sickness oral tablet OTC

motion sickness relief oral tablet OTC

ondansetron hcl (pf) injection solution

ondansetron hcl (pf) injection syringe

ondansetron hcl intravenous solution Zofran (as hydrochloride)

ondansetron hcl oral solution Zofran (as hydrochloride) QL

ondansetron hcl oral tablet 24 mg QL

ondansetron hcl oral tablet 4 mg, 8 mg Zofran (as hydrochloride) QL

ondansetron oral tablet,disintegrating 4 mg, 8 mg

Zofran ODT QL

phenadoz rectal suppository

prochlorperazine edisylate injection solution

prochlorperazine maleate oral tablet Compazine

prochlorperazine rectal suppository Compazine

promethazine rectal suppository Phenadoz

promethegan rectal suppository

travel sickness (meclizine) oral tablet,chewable

OTC

travel sickness oral tablet OTC

trimethobenzamide oral capsule Tigan

AGENTES PARA LA ENFERMEDAD INFLAMATORIA INTESTINAL

budesonide oral capsule,delayed,extend.release

Entocort EC QL

colocort rectal enema

17


HUMIRA PEDIATRIC CROHN'S START SUBCUTANEOUS SYRINGE KIT

PA; QL

HUMIRA PEN CROHN'S-UC-HS START SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA PEN PSORIASIS-UVEITIS SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA PEN SUBCUTANEOUS PEN INJECTOR KIT

PA; QL

HUMIRA SUBCUTANEOUS SYRINGE KIT

PA; QL

hydrocortisone rectal enema Colocort

ANTIÁCIDOS

antacid (calcium carbonate) oral tablet,chewable

OTC; QL

antacid calcium oral tablet,chewable OTC; QL

antacid ext str (calcium carb) oral tablet,chewable

OTC

antacid extra-strength oral tablet,chewable

OTC

calcium antacid oral tablet,chewable 200 mg calcium (500 mg)

OTC; QL

calcium antacid oral tablet,chewable 300 mg (750 mg), 320 mg calcium (750 mg), 400 mg calcium (1,000 mg)

OTC

calcium antacid tropical oral tablet,chewable

OTC

calcium antacid ultra max st oral tablet,chewable

OTC

calcium carbonate oral tablet OTC; QL

cal-gest antacid oral tablet,chewable OTC; QL

tums ultra oral tablet,chewable OTC

ultra strength calcium antacid oral tablet,chewable

OTC

ANTIDIARREICOS

anti-diarrhea oral tablet OTC; QL

anti-diarrheal (loperamide) oral liquid OTC; QL

anti-diarrheal (loperamide) oral tablet OTC; QL

bismatrol oral suspension OTC; QL

bismatrol oral tablet,chewable OTC

bismuth oral suspension OTC; QL

18


diphenoxylate-atropine oral liquid

diphenoxylate-atropine oral tablet Lomotil

kao-tin (bismuth subsalicylat) oral suspension

OTC; QL

k-pec antidiarrheal (bism sub) oral suspension

OTC; QL

loperamide oral capsule Anti-Diarrheal (loperamide) OTC; QL

loperamide oral liquid Anti-Diarrheal (loperamide) OTC; QL

loperamide oral tablet Anti-Diarrhea OTC; QL

peptic relief oral suspension OTC; QL

peptic relief oral tablet,chewable OTC

pepto-bismol oral tablet,chewable OTC

pink bismuth oral suspension OTC; QL

pink bismuth oral tablet OTC

pink bismuth oral tablet,chewable OTC

stomach relief oral suspension OTC; QL

stomach relief oral tablet OTC

stomach relief oral tablet,chewable OTC

stomach relief original oral suspension OTC; QL

ANTIESPASMÓDICOS

dicyclomine oral capsule

dicyclomine oral solution

dicyclomine oral tablet

glycopyrrolate oral tablet Robinul

hyoscyamine sulfate oral drops Hyosyne

hyoscyamine sulfate oral elixir Hyosyne

hyoscyamine sulfate oral tablet Levsin

hyoscyamine sulfate oral tablet extended release 12 hr

Levbid

hyoscyamine sulfate oral tablet,disintegrating

Anaspaz

hyoscyamine sulfate sublingual tablet Levsin/SL

hyosyne oral drops

hyosyne oral elixir

oscimin oral tablet

oscimin oral tablet,disintegrating

oscimin sl sublingual tablet

19


oscimin sr oral tablet extended release 12 hr

propantheline oral tablet

symax fastabs oral tablet,disintegrating

ANTIFLATULENTOS

gas relief 80 oral tablet,chewable OTC

gas relief extra strength oral capsule OTC

gas relief extra strength oral tablet,chewable

OTC

gas relief oral capsule OTC

gas relief oral drops,suspension OTC

gas relief oral tablet,chewable OTC

infants gas relief oral drops,suspension OTC

mi-acid gas relief oral tablet,chewable OTC

mytab gas maximum strength oral tablet,chewable

OTC

mytab gas oral tablet,chewable OTC

simethicone oral drops,suspension Gas Relief OTC

simethicone oral tablet,chewable Gas Relief OTC

ENZIMAS PANCREÁTICAS

CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 12,000-38,000 -60,000 UNIT, 24,000-76,000 -120,000 UNIT, 6,000-19,000 -30,000 UNIT

QL

CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC) 3,000-9,500- 15,000 UNIT, 36,000-114,000- 180,000 UNIT

ZENPEP ORAL CAPSULE,DELAYED RELEASE(DR/EC)

QL

ESTIMULANTES DE MOTILIDAD INTESTINAL

metoclopramide hcl oral solution

metoclopramide hcl oral tablet Reglan

INFLAMACIÓN CRÓNICA, ENFERMEDAD DE COLON, 5 AMINOSALICILATOS

APRISO ORAL CAPSULE,EXTENDED RELEASE 24HR

QL

balsalazide oral capsule Colazal QL

mesalamine rectal enema Rowasa QL

20


mesalamine with cleansing wipe rectal enema kit

Rowasa

sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet,delayed release (dr/ec)

Azulfidine EN-tabs QL

LAXANTES Y CATÁRTICOS

bisac-evac rectal suppository OTC

bisacodyl oral tablet,delayed release (dr/ec)

Alophen OTC; QL

bisacodyl rectal suppository Bisac-Evac OTC

bisa-lax oral tablet,delayed release (dr/ec) OTC; QL

biscolax rectal suppository OTC

citrate of magnesia oral solution OTC

clearlax oral powder OTC

clearlax oral powder in packet OTC; QL

constulose oral solution QL

diocto oral liquid OTC

diocto oral syrup OTC

dioctyl oral syrup OTC

doc-q-lace oral capsule OTC; QL

docu oral liquid OTC

docusate sodium oral capsule Col-Rite OTC; QL

docusate sodium oral liquid Diocto OTC

docusate sodium oral syrup Diocto OTC

docusate sodium oral tablet Docuprene OTC

docusil oral capsule OTC; QL

dok oral capsule 100 mg OTC; QL

dok oral capsule 250 mg OTC

dok oral tablet OTC

ducodyl oral tablet,delayed release (dr/ec) OTC; QL

enema disposable rectal enema OTC

enema rectal enema OTC

enulose oral solution

fiber (psyllium husk/sugar) oral powder OTC

fiber (with aspartame) oral powder OTC

fiber oral powder OTC

fiber smooth (sucrose) oral powder OTC

fiber smooth oral powder OTC

21


fleet enema rectal enema OTC

fleet glycerin (adult) rectal suppository OTC

fleet laxative oral tablet,delayed release (dr/ec)

OTC; QL

gavilax oral powder OTC

gavilyte-c oral recon soln QL

gavilyte-g oral recon soln QL

gavilyte-n oral recon soln QL

generlac oral solution

gentle laxative oral tablet,delayed release (dr/ec)

OTC; QL

gentle laxative rectal suppository OTC

glycerin (child) rectal suppository Fleet Glycerin (Child) OTC

glycolax oral powder OTC

healthylax oral powder in packet OTC; QL

kao-tin (docusate calcium) oral capsule OTC

konsyl (sugar) oral powder OTC

lactulose oral solution 10 gram/15 ml Constulose QL

lactulose oral solution 10 gram/15 ml (15 ml), 20 gram/30 ml

QL

laxative (bisacodyl) oral tablet OTC; QL

laxative (bisacodyl) oral tablet,delayed release (dr/ec)

OTC; QL

laxative (bisacodyl) rectal suppository OTC

laxative feminine oral tablet OTC; QL

magnesium citrate oral solution Citrate of Magnesia OTC

milk of magnesia oral suspension OTC

mineral oil rectal enema Fleet Mineral Oil OTC

natural fiber laxative (sugar) oral powder OTC

natural fiber laxative therapy oral powder OTC

natural fiber laxative(aspart) oral powder OTC

natural veg laxative(sennosid) oral tablet OTC

natural vegetable powder oral powder OTC

oral saline laxative oral liquid OTC

oral saline laxative oral solution OTC

peg 3350-electrolytes oral recon soln GaviLyte-G QL

peg-3350 with flavor packs oral recon soln QL

peg-electrolyte soln oral recon soln GaviLyte-N QL

22


polyethylene glycol 3350 oral powder ClearLax OTC

polyethylene glycol 3350 oral powder in packet

ClearLax OTC; QL

ready-to-use enema rectal enema OTC

reguloid oral powder OTC

reguloid, sugar free oral powder OTC

sani-supp (adult) rectal suppository OTC

sani-supp (infant) rectal suppository OTC

senexon oral tablet OTC

senna lax oral tablet OTC

senna laxative oral tablet OTC

senna oral syrup OTC

senna oral tablet OTC

senno oral tablet OTC

sen-o-tab oral tablet OTC

silace oral liquid OTC

silace oral syrup OTC

smoothlax oral powder in packet OTC; QL

sof-lax oral capsule OTC; QL

stool softener (docusate cal) oral capsule OTC

stool softener oral capsule 100 mg OTC; QL

stool softener oral capsule 250 mg OTC

stool softener oral liquid OTC

stool softener oral syrup OTC

stool softener oral tablet OTC

trilyte with flavor packets oral recon soln QL

women's gentle laxative(bisac) oral tablet,delayed release (dr/ec)

OTC; QL

women's laxative (bisacodyl) oral tablet OTC; QL

REDUCTORES DE SECRECIÓN ÁCIDA GÁSTRICA

acid control (ranitidine) oral tablet OTC; QL

acid controller oral tablet 10 mg, 20 mg OTC; QL

acid reducer (famotidine) oral tablet 10 mg, 20 mg

OTC; QL

acid reducer (ranitidine) oral tablet 150 mg, 75 mg

OTC; QL

23


acid reducer complete (famot) oral tablet,chewable

OTC

CARAFATE ORAL SUSPENSION

complete oral tablet,chewable OTC

esomeprazole magnesium oral capsule,delayed release(dr/ec)

Nexium OTC; QL

famotidine (pf) intravenous solution

famotidine oral suspension Pepcid

famotidine oral tablet 10 mg, 20 mg Acid Controller OTC; QL

famotidine oral tablet 40 mg Pepcid QL

heartburn relief (famotidine) oral tablet 10 mg, 20 mg

OTC; QL

heartburn relief (ranitidine) oral tablet 150 mg, 75 mg

OTC; QL

heartburn treatment 24 hour oral capsule,delayed release(dr/ec)

PA; OTC; QL

lansoprazole oral capsule,delayed release(dr/ec)

Heartburn Treatment 24 Hour

PA; OTC; QL

misoprostol oral tablet Cytotec

nizatidine oral capsule

nizatidine oral solution

omeprazole magnesium oral capsule,delayed release(dr/ec)

Acid Reducer (omeprazole) OTC; QL

omeprazole oral tablet,delayed release (dr/ec)

OTC; QL

PREVACID 24HR ORAL CAPSULE,DELAYED RELEASE(DR/EC)

PA; OTC; QL

ranitidine hcl oral capsule 150 mg

ranitidine hcl oral capsule 300 mg QL

ranitidine hcl oral syrup

ranitidine hcl oral tablet 150 mg Acid Control (ranitidine) OTC; QL

ranitidine hcl oral tablet 300 mg Zantac QL

ranitidine hcl oral tablet 75 mg Acid Reducer (ranitidine) OTC; QL

sucralfate oral suspension Carafate

sucralfate oral tablet Carafate

zantac 75 oral tablet OTC; QL

zantac maximum strength oral tablet OTC; QL

zantac oral tablet OTC; QL

24


SALES BILIARES

ursodiol oral capsule Actigall

ursodiol oral tablet URSO 250

AGENTES DE TERAPIA RESPIRATORIA

AGENTES ALFA/BETA ADRENÉRGICOS

epinephrine injection syringe

AGENTES BETA ADRENÉRGICOS

albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml

albuterol sulfate inhalation solution for nebulization 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %), 2.5 mg/0.5 ml, 5 mg/ml

QL

albuterol sulfate oral syrup

albuterol sulfate oral tablet

albuterol sulfate oral tablet extended release 12 hr

PROAIR HFA INHALATION HFA AEROSOL INHALER

QL

PROVENTIL HFA INHALATION HFA AEROSOL INHALER

QL

SEREVENT DISKUS INHALATION BLISTER WITH DEVICE

QL

AGENTES BRONCODILATADORES GENERALES

ATROVENT HFA INHALATION HFA AEROSOL INHALER

QL

ipratropium bromide inhalation solution QL

SPIRIVA WITH HANDIHALER INHALATION CAPSULE, W/INHALATION DEVICE

QL

AGENTES PARA EL TRATAMIENTO DEL ASMA

budesonide inhalation suspension for nebulization 0.25 mg/2 ml, 0.5 mg/2 ml, 1 mg/2 ml

Pulmicort QL

cromolyn inhalation solution for nebulization

25


FLOVENT DISKUS INHALATION BLISTER WITH DEVICE 100 MCG/ACTUATION, 250 MCG/ACTUATION, 50 MCG/ACTUATION

QL

FLOVENT HFA INHALATION HFA AEROSOL INHALER 110 MCG/ACTUATION, 220 MCG/ACTUATION, 44 MCG/ACTUATION

QL

PULMICORT FLEXHALER INHALATION AEROSOL POWDR BREATH ACTIVATED

QL

AMINOGLICÓSIDOS

tobramycin in 0.225 % nacl inhalation solution for nebulization

Tobi QL

ANALGÉSICOS/ANTIPIRÉTICOS, NO SALICILATO

acetaminophen pm oral tablet OTC

diphenhydramine-acetaminophen oral tablet

Acetadryl OTC

headache pm oral tablet OTC

mapap pm oral tablet OTC

non-aspirin nightime oral tablet OTC

non-aspirin pm oral tablet OTC

pain relief pm oral tablet OTC

pain relief pm rapid release oral tablet OTC

pain reliever pm ex-strength oral tablet OTC

ANTAGONISTAS DEL RECEPTOR DE LEUCOTRIENO

montelukast oral granules in packet Singulair QL

montelukast oral tablet Singulair

montelukast oral tablet,chewable Singulair

zafirlukast oral tablet Accolate QL

ANTIBIÓTICOS NASALES

BACTROBAN NASAL NASAL OINTMENT

QL

ANTICOLINÉRGICOS NASALES

ipratropium bromide nasal spray,non-aerosol

26


ANTIHISTAMÍNICOS NASALES

azelastine nasal aerosol,spray QL

azelastine nasal spray,non-aerosol Astepro QL

ANTIHISTAMÍNICOS

aller-chlor oral tablet OTC

aller-ease oral tablet 180 mg OTC; QL

aller-ease oral tablet 60 mg OTC

allergy (chlorpheniramine) oral tablet OTC

allergy (diphenhydramine) oral capsule OTC; QL

allergy (diphenhydramine) oral tablet OTC; QL

allergy 4-hour oral tablet OTC

allergy medicine oral capsule OTC; QL

allergy medicine oral tablet OTC; QL

allergy relief (fexofenadine) oral tablet OTC; QL

allergy relief (loratadine) oral solution OTC; QL

allergy relief (loratadine) oral tablet OTC; QL

allergy relief (loratadine) oral tablet,disintegrating

OTC; QL

allergy relief(chlorpheniramn) oral tablet OTC

allergy relief(diphenhydramin) oral capsule

OTC; QL

allergy relief(diphenhydramin) oral liquid OTC; QL

allergy relief(diphenhydramin) oral tablet OTC; QL

allergy-time oral tablet OTC

banophen allergy oral liquid OTC; QL

banophen oral capsule 25 mg OTC; QL

banophen oral capsule 50 mg OTC

banophen oral liquid OTC; QL

banophen oral tablet OTC; QL

carbinoxamine maleate oral liquid

carbinoxamine maleate oral tablet

children's allergy (diphenhyd) oral liquid OTC; QL

children's allergy relief(lor) oral solution OTC; QL

chlorpheniramine maleate oral tablet Aller-Chlor OTC

clemastine oral tablet

complete allergy medicine oral capsule OTC; QL

complete allergy oral capsule OTC; QL

27


complete allergy oral liquid OTC; QL

cyproheptadine oral syrup

cyproheptadine oral tablet

DAYHIST ORAL TABLET OTC

diphedryl oral capsule OTC; QL

diphedryl oral liquid OTC; QL

diphedryl oral tablet OTC; QL

diphenhist oral capsule OTC; QL

diphenhist oral liquid OTC; QL

diphenhist oral tablet OTC; QL

diphenhydramine hcl injection solution

diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL

diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral elixirChildren's Allergy (diphenhyd)

OTC; QL

fexofenadine oral suspension Children's Allegra Allergy OTC; QL

fexofenadine oral tablet 180 mg Allegra Allergy OTC; QL

fexofenadine oral tablet 60 mg Allegra Allergy OTC

loratadine oral solution Allergy Relief (loratadine) OTC; QL

loratadine oral tablet Allerclear OTC; QL

loratadine oral tablet,disintegrating Alavert OTC; QL

non-drowsy allergy oral tablet OTC; QL

pharbechlor oral tablet OTC

pharbedryl oral capsule 25 mg OTC; QL

pharbedryl oral capsule 50 mg OTC

promethazine oral syrup

promethazine oral tablet 12.5 mg, 50 mg

promethazine oral tablet 25 mg AL; QL

rest simply nighttime sleep oral tablet OTC

siladryl sa oral liquid OTC; QL

sleep-tabs oral tablet OTC

valu-dryl allergy oral capsule OTC; QL

COMBINACIÓN DE AGENTES BETA ADRENÉRGICOS

COMBIVENT RESPIMAT INHALATION MIST

QL

ipratropium-albuterol inhalation solution for nebulization

28


STIOLTO RESPIMAT INHALATION MIST

QL

COMBINACIONES ANTITUSIVAS NO NARCÓTICAS

adult tussin cough congest dm oral liquid OTC; QL

adult tussin dm oral syrup OTC; QL

benzonatate oral capsule

cough control dm oral syrup OTC; QL

cough formula dm oral syrup OTC; QL

cough relief oral liquid AL; OTC; QL

cough suppressant-expectorant oral syrup OTC; QL

cough syrup dm oral syrup OTC; QL

dextromethorphan-guaifenesin oral syrup Adult Tussin DM OTC; QL

diabetic siltussin-dm oral liquid OTC; QL

promethazine-dm oral syrup QL

ri-tussin dm oral syrup OTC; QL

robafen dm cough oral liquid OTC; QL

robafen dm cough-chest congest oral syrup

OTC; QL

robafen dm oral syrup OTC; QL

siltussin dm das oral liquid OTC; QL

siltussin-dm oral syrup OTC; QL

tusnel diabetic oral liquid OTC; QL

tussin cough (dm only) oral liquid AL; OTC; QL

tussin dm clear oral syrup OTC; QL

tussin dm cough and chest oral syrup OTC; QL

tussin dm oral liquid OTC; QL

tussin dm oral syrup OTC; QL

COMBINACIONES DE ANTIHISTAMÍNICOS Y DESCONGESTIVOS

allergy and congestion relief oral tablet extended release 12 hr

OTC; QL

allergy and congestion relief oral tablet extended release 24 hr

OTC; QL

allergy relief d-24 oral tablet extended release 24 hr

OTC; QL

allergy relief,nasal decongest oral tablet extended release 24 hr

OTC; QL

29


fexofenadine-pseudoephedrine oral tablet extended release 12 hr

Allegra-D 12 Hour OTC

lorata-dine d oral tablet extended release 24 hr

OTC; QL

loratadine-d oral tablet extended release 12 hr

OTC; QL

loratadine-d oral tablet extended release 24 hr

OTC; QL

promethazine vc oral syrup QL

promethazine-phenylephrine oral syrup Promethazine VC QL

r-tanna oral tablet

COMBINACIONES DE ANTITUSIVOS NARCÓTICOS

cheratussin ac oral liquid AL; OTC; QL

codeine-guaifenesin oral liquid Cheratussin AC AL; OTC; QL

guaiatussin ac oral liquid AL; OTC; QL

guaifenesin ac oral liquid AL; OTC; QL

guaifenesin dac oral syrup AL; OTC

hydrocodone-homatropine oral syrup Hydrocodone Compound

hydrocodone-homatropine oral tablet Tussigon

hydromet oral syrup

mar-cof cg oral liquid AL; OTC

m-clear wc oral liquid AL; OTC

promethazine vc-codeine oral syrup AL; QL

promethazine-codeine oral syrup AL; QL

promethazine-phenyleph-codeine oral syrup

Promethazine VC-Codeine AL; QL

relcof c oral liquid AL; OTC

tusnel c oral syrup AL; OTC

tussigon oral tablet

virtussin ac oral liquid AL; OTC; QL

COMBINACIONES DE DESCONGESTIVOS Y EXPECTORANTES

pe-guai oral drops AL

30


COMBINACIONES DE GLUCOCORTICOIDES Y BETA-ADRENÉRGICOS

ADVAIR DISKUS INHALATION BLISTER WITH DEVICE

QL

ADVAIR HFA INHALATION HFA AEROSOL INHALER

QL

DULERA INHALATION HFA AEROSOL INHALER

QL

fluticasone-salmeterol inhalation aerosol powdr breath activated

AirDuo RespiClick QL

SYMBICORT INHALATION HFA AEROSOL INHALER

QL

CORTICOESTEROIDES NASALES

aller-flo nasal spray,suspension OTC; QL

ALLERGY RELIEF (FLUTICASONE) NASAL SPRAY,SUSPENSION

OTC; QL

children's flonase allergy rlf nasal spray,suspension

OTC; QL

CLARISPRAY NASAL SPRAY,SUSPENSION

OTC; QL

FLONASE ALLERGY RELIEF NASAL SPRAY,SUSPENSION

OTC; QL

fluticasone nasal spray,suspension 24 Hour Allergy Relief OTC; QL

DESCONGESTANTES SINTOMATIMICOS SISTEMICOS

nasal decongestant (pseudoeph) oral tablet

OTC; QL

pseudoephedrine hcl oral tablet 30 mgNasal Decongestant (pseudoeph)

OTC; QL

pseudoephedrine hcl oral tablet 60 mg Sudogest OTC

sudogest oral tablet 30 mg OTC; QL

sudogest oral tablet 60 mg OTC

suphedrin oral tablet OTC; QL

suphedrine oral tablet OTC; QL

EXPECTORANTES

adult tussin chest congestion oral liquid AL; OTC; QL

CHILD MUCINEX CHEST CONGESTION ORAL LIQUID

AL; OTC; QL

child mucus relief expectorant oral liquid AL; OTC; QL

31


diabetic siltussin das-na oral liquid AL; OTC; QL

guaifenesin oral liquidAdult Tussin Chest Congestion

AL; OTC; QL

scot-tussin expectorant oral liquid AL; OTC; QL

tussin chest congestion oral liquid AL; OTC; QL

tussin expectorant oral liquid AL; OTC; QL

MUCOLÍTICOS

PULMOZYME INHALATION SOLUTION QL

NASAL, OTROS

nasal moisturizing nasal aerosol,spray OTC

saline nasal mist nasal aerosol,spray OTC

saline nasal nasal aerosol,spray OTC

saline nose nasal aerosol,spray OTC

XANTINAS

theophylline oral elixir Elixophyllin

theophylline oral solution

theophylline oral tablet extended release 12 hr

Theochron

theophylline oral tablet extended release 24 hr

AGENTES DEL SISTEMA NERVIOSO CENTRAL

ANSIOLÍTICOS

alprazolam oral tablet Xanax

alprazolam oral tablet,disintegrating

buspirone oral tablet 10 mg, 15 mg, 5 mg, 7.5 mg

QL

buspirone oral tablet 30 mg

chlordiazepoxide hcl oral capsule

clonazepam oral tablet Klonopin

clonazepam oral tablet,disintegrating

clorazepate dipotassium oral tablet 15 mg, 3.75 mg

QL

clorazepate dipotassium oral tablet 7.5 mg Tranxene T-Tab QL

diazepam intensol oral concentrate

diazepam oral concentrate Diazepam Intensol

diazepam oral solution

diazepam oral tablet Valium

32


hydroxyzine hcl oral solution

hydroxyzine hcl oral tablet

hydroxyzine pamoate oral capsule

lorazepam oral tablet Ativan QL

oxazepam oral capsule

ANTICONVULSIVOS

carbamazepine oral capsule, er multiphase 12 hr 100 mg, 200 mg, 300 mg

Carbatrol QL

carbamazepine oral suspension Tegretol

carbamazepine oral tablet Epitol

carbamazepine oral tablet extended release 12 hr

Tegretol XR

carbamazepine oral tablet,chewable



diazepam rectal kit Diastat QL

divalproex oral capsule, delayed rel sprinkle

Depakote Sprinkles QL

divalproex oral tablet extended release 24 hr 250 mg, 500 mg

Depakote ER QL

divalproex oral tablet,delayed release (dr/ec) 125 mg, 250 mg

Depakote QL

divalproex oral tablet,delayed release (dr/ec) 500 mg

Depakote

epitol oral tablet

ethosuximide oral capsule Zarontin

ethosuximide oral solution Zarontin

felbamate oral suspension Felbatol

felbamate oral tablet Felbatol

gabapentin oral capsule 100 mg, 300 mg, 400 mg

Neurontin QL

gabapentin oral solution 250 mg/5 ml Neurontin QL

gabapentin oral solution 250 mg/5 ml (5 ml), 300 mg/6 ml (6 ml)

gabapentin oral tablet 600 mg, 800 mg Neurontin QL

lamotrigine oral tablet Lamictal

lamotrigine oral tablet disintegrating, dose pk

Lamictal ODT Starter (Orange)

33


lamotrigine oral tablet extended release 24hr

Lamictal XR

lamotrigine oral tablet, chewable dispersible

Lamictal

lamotrigine oral tablet,disintegrating 100 mg, 200 mg, 25 mg

Lamictal ODT

lamotrigine oral tablet,disintegrating 50 mg

Lamictal ODT QL

lamotrigine oral tablets,dose pack Lamictal Starter (Blue) Kit

levetiracetam oral solution Keppra

levetiracetam oral tablet 1,000 mg, 250 mg, 500 mg, 750 mg

Keppra QL

levetiracetam oral tablet extended release 24 hr 500 mg, 750 mg

Keppra XR QL

oxcarbazepine oral suspension Trileptal

oxcarbazepine oral tablet Trileptal

phenobarbital oral elixir

phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg

phenobarbital oral tablet 32.4 mg QL

phenytoin oral suspension Dilantin-125

phenytoin oral tablet,chewable Dilantin Infatabs

phenytoin sodium extended oral capsule Phenytek

primidone oral tablet Mysoline

ROWEEPRA ORAL TABLET 1,000 MG, 500 MG, 750 MG

QL

tiagabine oral tablet Gabitril

topiramate oral capsule, sprinkle Topamax

topiramate oral tablet Topamax

valproic acid (as sodium salt) oral solution Depakene

valproic acid oral capsule Depakene QL

zonisamide oral capsule 100 mg Zonegran

zonisamide oral capsule 25 mg Zonegran QL

zonisamide oral capsule 50 mg QL

ANTIDEPRESIVOS ANTAGONISTAS DE RECEPTORES ALFA-2

mirtazapine oral tablet Remeron

mirtazapine oral tablet,disintegrating Remeron SolTab

34


ANTIDEPRESIVOS TRICÍCLICOS E INHIBIDORES DE RECAPTACIÓN NO SELECCIONADOS RELACIONADOS

amitriptyline oral tablet

amoxapine oral tablet

clomipramine oral capsule Anafranil

desipramine oral tablet Norpramin

doxepin oral capsule

doxepin oral concentrate

imipramine hcl oral tablet Tofranil

imipramine pamoate oral capsule

maprotiline oral tablet

nortriptyline oral capsule Pamelor

nortriptyline oral solution

protriptyline oral tablet

trimipramine oral capsule Surmontil

ANTIDEPRESIVOS, OTROS

olanzapine-fluoxetine oral capsule Symbyax

SYMBYAX ORAL CAPSULE

ANTIMANIA DROGAS

lithium carbonate oral capsule QL

lithium carbonate oral tablet QL

lithium carbonate oral tablet extended release

Lithobid QL

lithium citrate oral solution 8 meq/5 ml AL

lithium citrate oral solution 8 meq/5 ml (5 ml)

ANTIPSICÓTICOS, DOPAMINA ATÍPICA Y ANTAGONISTAS DE SEROTONINA

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON

AL

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

AL

aripiprazole oral solution

aripiprazole oral tablet 10 mg, 15 mg, 2 mg, 5 mg

Abilify

aripiprazole oral tablet 20 mg, 30 mg Abilify QL

35


aripiprazole oral tablet,disintegrating

ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

AL

clozapine oral tablet Clozaril

clozapine oral tablet,disintegrating FazaClo

FANAPT ORAL TABLET PA; QL

FANAPT ORAL TABLETS,DOSE PACK PA

GEODON INTRAMUSCULAR RECON SOLN

AL; QL

INVEGA SUSTENNA INTRAMUSCULAR SYRINGE 117 MG/0.75 ML, 156 MG/ML, 234 MG/1.5 ML, 39 MG/0.25 ML, 78 MG/0.5 ML

AL; QL

INVEGA TRINZA INTRAMUSCULAR SYRINGE

AL; QL

LATUDA ORAL TABLET 120 MG, 20 MG, 40 MG, 60 MG, 80 MG

PA; QL

olanzapine intramuscular recon soln Zyprexa AL; QL

olanzapine oral tablet 10 mg, 2.5 mg, 5 mg, 7.5 mg

Zyprexa

olanzapine oral tablet 15 mg, 20 mg Zyprexa QL

olanzapine oral tablet,disintegrating 10 mg, 5 mg

Zyprexa Zydis

olanzapine oral tablet,disintegrating 15 mg, 20 mg

Zyprexa Zydis QL

paliperidone oral tablet extended release 24hr 1.5 mg

Invega

paliperidone oral tablet extended release 24hr 3 mg, 6 mg, 9 mg

Invega QL

quetiapine oral tablet Seroquel

quetiapine oral tablet extended release 24 hr

Seroquel XR

REXULTI ORAL TABLET 0.25 MG, 0.5 MG, 1 MG, 2 MG, 3 MG, 4 MG

PA; QL

RISPERDAL CONSTA INTRAMUSCULAR SYRINGE 12.5 MG/2 ML, 25 MG/2 ML, 37.5 MG/2 ML, 50 MG/2 ML

AL; QL

risperidone oral solution Risperdal AL

risperidone oral tablet Risperdal AL

risperidone oral tablet,disintegrating Risperdal M-TAB

36


SAPHRIS (BLACK CHERRY) SUBLINGUAL TABLET 10 MG, 5 MG

PA; QL

SAPHRIS (BLACK CHERRY) SUBLINGUAL TABLET 2.5 MG

PA

VRAYLAR ORAL CAPSULE PA

VRAYLAR ORAL CAPSULE,DOSE PACK

PA

ziprasidone hcl oral capsule Geodon

ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION 210 MG, 300 MG, 405 MG

AL; QL

ANTIPSICÓTICOS, TÍPICOS

chlorpromazine oral tablet

fluphenazine decanoate injection solution

fluphenazine hcl injection solution

fluphenazine hcl oral concentrate

fluphenazine hcl oral elixir

fluphenazine hcl oral tablet

HALDOL DECANOATE INTRAMUSCULAR SOLUTION

HALDOL INJECTION SOLUTION

haloperidol decanoate intramuscular solution 100 mg/ml

Haldol Decanoate QL

haloperidol decanoate intramuscular solution 50 mg/ml

Haldol Decanoate

haloperidol lactate injection solution Haldol

haloperidol lactate intramuscular syringe

haloperidol lactate oral concentrate

haloperidol oral tablet

loxapine succinate oral capsule

perphenazine oral tablet

pimozide oral tablet Orap

prochlorperazine maleate oral tablet Compazine

thioridazine oral tablet

thiothixene oral capsule

trifluoperazine oral tablet

BARBITÚRICOS

phenobarbital oral elixir

37


phenobarbital oral tablet 100 mg, 15 mg, 16.2 mg, 30 mg, 60 mg, 64.8 mg, 97.2 mg

phenobarbital oral tablet 32.4 mg QL

BENZODIACEPINAS

alprazolam oral tablet Xanax

alprazolam oral tablet,disintegrating

amitriptyline-chlordiazepoxide oral tablet

chlordiazepoxide hcl oral capsule



clorazepate dipotassium oral tablet 15 mg, 3.75 mg

QL

clorazepate dipotassium oral tablet 7.5 mg Tranxene T-Tab QL

diazepam intensol oral concentrate

diazepam oral concentrate Diazepam Intensol

diazepam oral solution

diazepam oral tablet Valium

diazepam rectal kit Diastat QL

estazolam oral tablet 1 mg, 2 mg QL

flurazepam oral capsule

lorazepam oral tablet Ativan QL

oxazepam oral capsule

temazepam oral capsule Restoril QL

triazolam oral tablet Halcion QL

COMBINACIONES DE BENZODIACEPINA/ANTIDEPRESIVOS TRICÍCLICOS

amitriptyline-chlordiazepoxide oral tablet

COMBINACIONES DE FENOTIAZINA/ANTIDEPRESIVOS TRICÍCLICOS

perphenazine-amitriptyline oral tablet

DÉFICIT DE ATENCIÓN, HIPERACTIVIDAD (TDAH)/NARCOLEPSIA

atomoxetine oral capsule Strattera PA

caffeine citrate intravenous solution Cafcit

caffeine citrate oral solution

38


clonidine hcl oral tablet extended release 12 hr

Kapvay PA

dexmethylphenidate oral capsule,er biphasic 50-50

Focalin XR PA

dexmethylphenidate oral tablet Focalin PA

dextroamphetamine oral capsule, extended release

Dexedrine Spansule PA

dextroamphetamine oral tablet Zenzedi PA

dextroamphetamine-amphetamine oral capsule,extended release 24hr

Adderall XR PA

metadate er oral tablet extended release PA

methylphenidate hcl oral capsule, er biphasic 30-70

PA

methylphenidate hcl oral capsule,er biphasic 50-50

Ritalin LA PA

methylphenidate hcl oral solution Methylin PA

methylphenidate hcl oral tablet Ritalin PA

methylphenidate hcl oral tablet extended release

PA

methylphenidate hcl oral tablet extended release 24hr

Concerta PA

ESTIMULANTES DEL SNC

dextroamphetamine oral capsule, extended release

Dexedrine Spansule PA

dextroamphetamine oral tablet Zenzedi PA

dextroamphetamine-amphetamine oral capsule,extended release 24hr

Adderall XR PA

dextroamphetamine-amphetamine oral tablet

Adderall PA

INHIBIDOR SELECTIVO DE RECAPTACIÓN DE SEROTONINA (ISRS)

citalopram oral solution QL

citalopram oral tablet 10 mg, 20 mg Celexa

citalopram oral tablet 40 mg Celexa QL

escitalopram oxalate oral solution

escitalopram oxalate oral tablet 10 mg, 20 mg, 5 mg

Lexapro QL

fluoxetine oral capsule Prozac

39


fluoxetine oral capsule,delayed release(dr/ec)

fluoxetine oral solution

fluoxetine oral tablet Sarafem

fluvoxamine oral tablet

paroxetine hcl oral tablet Paxil

paroxetine hcl oral tablet extended release 24 hr

Paxil CR

sertraline oral concentrate Zoloft

sertraline oral tablet Zoloft

INHIBIDORES DE RECAPTACIÓN DE DOPAMINA Y NOREPINEFRINA (IRND)

bupropion hcl oral tablet

bupropion hcl oral tablet extended release 12 hr

Wellbutrin SR

bupropion hcl oral tablet extended release 24 hr 150 mg

Wellbutrin XL AL; QL

bupropion hcl oral tablet extended release 24 hr 300 mg

Wellbutrin XL

INHIBIDORES DE RECAPTACIÓN DE SEROTONINA-NOREPINEFRINA (IRSN)

venlafaxine oral capsule,extended release 24hr 150 mg, 37.5 mg

Effexor XR

venlafaxine oral capsule,extended release 24hr 75 mg

Effexor XR QL

venlafaxine oral tablet

venlafaxine oral tablet extended release 24hr

INHIBIDORES DE REUNIÓN DE ANTAGONISTAS DE SEROTONINA-2 (SARIS)

nefazodone oral tablet

trazodone oral tablet

INHIBIDORES MAO

phenelzine oral tablet Nardil

tranylcypromine oral tablet Parnate

40


MEDICAMENTOS PARA EL PARKINSON, ANTICOLINÉRGICO

benztropine oral tablet

trihexyphenidyl oral elixir

trihexyphenidyl oral tablet

MEDICAMENTOS PARA EL PARKINSON, OTRO

amantadine hcl oral capsule QL

amantadine hcl oral solution

amantadine hcl oral tablet

bromocriptine oral capsule Parlodel

bromocriptine oral tablet Parlodel

carbidopa-levodopa oral tablet Sinemet

carbidopa-levodopa oral tablet extended release

Sinemet CR

carbidopa-levodopa oral tablet,disintegrating

carbidopa-levodopa-entacapone oral tablet 12.5-50-200 mg

Stalevo 50 QL


Stalevo 75 QL

carbidopa-levodopa-entacapone oral tablet 25-100-200 mg

Stalevo 100 QL


Stalevo 125 QL


Stalevo 150 QL

carbidopa-levodopa-entacapone oral tablet 50-200-200 mg

Stalevo 200 QL

entacapone oral tablet Comtan

pramipexole oral tablet Mirapex QL

ropinirole oral tablet Requip

selegiline hcl oral capsule Eldepryl

selegiline hcl oral tablet

PREPARADOS PARA LA MIGRAÑA

divalproex oral tablet extended release 24 hr 250 mg, 500 mg

Depakote ER QL

isometh-dichloral-acetaminophn oral capsule

Nodolor

migergot rectal suppository

41


naratriptan oral tablet Amerge QL

nodolor oral capsule

sumatriptan nasal spray,non-aerosol Imitrex PA; QL

sumatriptan succinate oral tablet Imitrex QL

sumatriptan succinate subcutaneous cartridge 4 mg/0.5 ml, 6 mg/0.5 ml

Imitrex STATdose Kit Refill PA; QL

sumatriptan succinate subcutaneous pen injector 4 mg/0.5 ml, 6 mg/0.5 ml

Imitrex STATdose Pen PA; QL

sumatriptan succinate subcutaneous solution

Imitrex PA; QL

SEDANTE HIPNÓTICO, NO BARBITÚRICOS

diphenhydramine hcl oral capsule 25 mg Aler-Cap OTC; QL

diphenhydramine hcl oral capsule 50 mg Banophen OTC

estazolam oral tablet 1 mg, 2 mg QL

flurazepam oral capsule

nighttime sleep aid (diphen) oral tablet OTC

rest simply nighttime sleep oral tablet OTC

restfully sleep oral tablet OTC

sleep aid (diphenhydramine) oral capsule OTC

sleep aid (diphenhydramine) oral tablet OTC

sleep aid max str (diphenhydr) oral capsule

OTC

sleep oral tablet OTC

sleep-tabs oral tablet OTC

temazepam oral capsule Restoril QL

triazolam oral tablet Halcion QL

zaleplon oral capsule Sonata QL

zolpidem oral tablet Ambien QL

AGENTES HEMATOLÓGICOS

AGENTES ANTIFIBRINOLÍTICOS

tranexamic acid oral tablet Lysteda QL

AGENTES HEMORREOLÓGICOS

pentoxifylline oral tablet extended release

AGENTES INHIBIDORES DE C1 ESTERASA

BERINERT INTRAVENOUS RECON SOLN

42


AGENTES INHIBIDORES DE LA TROMBINA

PRADAXA ORAL CAPSULE

AGENTES PARA LA ANEMIA FALCIFORME

DROXIA ORAL CAPSULE

ANTICOAGULANTES ORALES

ELIQUIS ORAL TABLET

ELIQUIS ORAL TABLETS,DOSE PACK QL

jantoven oral tablet

warfarin oral tablet Coumadin

XARELTO ORAL TABLET

XARELTO ORAL TABLETS,DOSE PACK

HEMATÍNICOS, OTRO

ARANESP (IN POLYSORBATE) INJECTION SOLUTION 100 MCG/ML, 150 MCG/0.75 ML, 200 MCG/ML, 25 MCG/ML, 300 MCG/ML, 40 MCG/ML, 60 MCG/ML

PA; QL

ARANESP (IN POLYSORBATE) INJECTION SYRINGE 10 MCG/0.4 ML, 100 MCG/0.5 ML, 200 MCG/0.4 ML, 25 MCG/0.42 ML, 300 MCG/0.6 ML, 40 MCG/0.4 ML, 60 MCG/0.3 ML

PA

ARANESP (IN POLYSORBATE) INJECTION SYRINGE 150 MCG/0.3 ML, 500 MCG/ML

PA; QL

EPOGEN INJECTION SOLUTION PA

PROCRIT INJECTION SOLUTION PA

HEPARINA Y PREPARADOS RELACIONADOS

enoxaparin subcutaneous solution Lovenox QL

enoxaparin subcutaneous syringe 100 mg/ml, 120 mg/0.8 ml, 150 mg/ml, 30 mg/0.3 ml, 40 mg/0.4 ml, 60 mg/0.6 ml, 80 mg/0.8 ml

Lovenox QL

heparin (porcine) injection cartridge

heparin (porcine) injection solution

heparin (porcine) injection syringe

heparin, porcine (pf) injection solution

43


heparin, porcine (pf) injection syringe

INHIBIDORES DE AGREGACIÓN PLAQUETARIA

anagrelide oral capsule Agrylin

aspirin oral tablet,chewable Aspirin Childrens OTC; QL

aspirin oral tablet,delayed release (dr/ec) Adult Aspirin Regimen OTC; QL

cilostazol oral tablet

clopidogrel oral tablet 300 mg Plavix

clopidogrel oral tablet 75 mg Plavix QL

dipyridamole oral tablet

ticlopidine oral tablet

AGENTES INMUNOSUPRESORES

INMUNOSUPRESORES

azathioprine oral tablet Imuran

cyclosporine modified oral capsule Gengraf

cyclosporine modified oral solution Gengraf

cyclosporine oral capsule Sandimmune

gengraf oral capsule

gengraf oral solution

mycophenolate mofetil oral capsule CellCept

mycophenolate mofetil oral suspension for reconstitution

CellCept

mycophenolate mofetil oral tablet CellCept

mycophenolate sodium oral tablet,delayed release (dr/ec)

Myfortic

RAPAMUNE ORAL SOLUTION

SANDIMMUNE ORAL SOLUTION

sirolimus oral tablet Rapamune

tacrolimus oral capsule Prograf

AGENTES OFTÁLMICOS

AGENTES ANTIINFLAMATORIOS OFTÁLMICOS

dexamethasone sodium phosphate ophthalmic (eye) drops

diclofenac sodium ophthalmic (eye) drops

fluorometholone ophthalmic (eye) drops,suspension

FML Liquifilm

44


flurbiprofen sodium ophthalmic (eye) drops

prednisolone acetate ophthalmic (eye) drops,suspension

Omnipred

prednisolone sodium phosphate ophthalmic (eye) drops

XIIDRA OPHTHALMIC (EYE) DROPPERETTE

PA; QL

ANTIBIÓTICO OFTÁLMICO, COMBINACIONES DE CORTICOESTEROIDES

neomycin-bacitracin-poly-hc ophthalmic (eye) ointment

Neo-Polycin HC

neomycin-polymyxin b-dexameth ophthalmic (eye) drops,suspension

Maxitrol

neomycin-polymyxin b-dexameth ophthalmic (eye) ointment

Maxitrol

neomycin-polymyxin-hc ophthalmic (eye) drops,suspension

neo-polycin hc ophthalmic (eye) ointment

sulfacetamide-prednisolone ophthalmic (eye) drops

QL

tobramycin-dexamethasone ophthalmic (eye) drops,suspension

TobraDex QL

ANTIBIÓTICOS OFTÁLMICOS

bacitracin ophthalmic (eye) ointment QL

bacitracin-polymyxin b ophthalmic (eye) ointment

Polycin

ciprofloxacin hcl ophthalmic (eye) drops Ciloxan

erythromycin ophthalmic (eye) ointment

gatifloxacin ophthalmic (eye) drops Zymaxid

gentak ophthalmic (eye) ointment QL

gentamicin ophthalmic (eye) drops QL

levofloxacin ophthalmic (eye) drops

moxifloxacin ophthalmic (eye) drops Vigamox QL

neomycin-bacitracin-polymyxin ophthalmic (eye) ointment

Neo-Polycin QL

neomycin-polymyxin-gramicidin ophthalmic (eye) drops

QL

neo-polycin ophthalmic (eye) ointment QL

45


ofloxacin ophthalmic (eye) drops Ocuflox QL

polycin ophthalmic (eye) ointment

polymyxin b sulf-trimethoprim ophthalmic (eye) drops

Polytrim QL

sulfacetamide sodium ophthalmic (eye) drops

Bleph-10 QL

sulfacetamide sodium ophthalmic (eye) ointment

QL

tobramycin ophthalmic (eye) drops Tobrex QL

ANTIHISTAMÍNICOS OFTÁLMICOS

alaway ophthalmic (eye) drops OTC; QL

azelastine ophthalmic (eye) drops QL

children's alaway ophthalmic (eye) drops OTC; QL

epinastine ophthalmic (eye) drops Elestat QL

eye itch relief ophthalmic (eye) drops OTC; QL

ketotifen fumarate ophthalmic (eye) drops Alaway OTC; QL

ANTIVIRALES OFTÁLMICOS

trifluridine ophthalmic (eye) drops Viroptic QL

DESCONGESTIVOS OFTÁLMICOS

phenylephrine hcl ophthalmic (eye) drops

ESTABILIZADORES DE CÉLULAS MASTALES OPTÁLMICAS

cromolyn ophthalmic (eye) drops

LÁGRIMAS ARTIFICIALES

artificial tears (petro/min) ophthalmic (eye) ointment

OTC

artificial tears (polyvin alc) ophthalmic (eye) drops

OTC

liquitears ophthalmic (eye) drops OTC

lubrifresh pm ophthalmic (eye) ointment OTC

puralube ophthalmic (eye) ointment OTC

MIDIÁTRICOS

atropine ophthalmic (eye) drops QL

atropine ophthalmic (eye) ointment QL

MIÓTICOS/OTROS REDUCTORES DE PRESIÓN INTRAOCULAR

apraclonidine ophthalmic (eye) drops Iopidine

betaxolol ophthalmic (eye) drops

46


brimonidine ophthalmic (eye) drops QL

carteolol ophthalmic (eye) drops QL

dorzolamide ophthalmic (eye) drops Trusopt QL

dorzolamide-timolol ophthalmic (eye) drops

Cosopt QL

latanoprost ophthalmic (eye) drops Xalatan QL

levobunolol ophthalmic (eye) drops Betagan

metipranolol ophthalmic (eye) drops QL

pilocarpine hcl ophthalmic (eye) drops Isopto Carpine

timolol maleate ophthalmic (eye) drops Timoptic QL

timolol maleate ophthalmic (eye) gel forming solution

Timoptic-XE QL

ANALGÉSICO, ANTIINFLAMATORIO O ANTIPIRÉTICO

ANALGÉSICO/ANTIPIRÉTICOS, SALICILATOS

adult low dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

aspir-81 oral tablet,delayed release (dr/ec) OTC; QL

aspirin low dose oral tablet,delayed release (dr/ec)

OTC; QL

aspirin oral tablet Bayer Aspirin OTC; QL

aspirin oral tablet,chewable Aspirin Childrens OTC; QL

aspirin oral tablet,delayed release (dr/ec) 325 mg

Aspir-Trin AL; OTC; QL

aspirin oral tablet,delayed release (dr/ec) 81 mg

Adult Aspirin Regimen OTC; QL

aspir-low oral tablet,delayed release (dr/ec)

OTC; QL

aspir-trin oral tablet,delayed release (dr/ec)

OTC; QL

buffered aspirin oral tablet OTC

butalbital-aspirin-caffeine oral capsule Fiorinal QL

butalbital-aspirin-caffeine oral tablet

children's aspirin oral tablet,chewable OTC; QL

choline,magnesium salicylate oral liquid

diflunisal oral tablet

e.c. prin oral tablet,delayed release (dr/ec) OTC; QL

lite coat aspirin oral tablet OTC; QL

47


lo-dose aspirin oral tablet,delayed release (dr/ec)

OTC; QL

salsalate oral tablet Disalcid

ST. JOSEPH ASPIRIN ORAL TABLET,DELAYED RELEASE (DR/EC)

OTC; QL

tri-buffered aspirin oral tablet OTC

ANALGÉSICOS, NARCÓTICOS

acetaminophen-codeine oral solution AL

acetaminophen-codeine oral tablet AL

ascomp with codeine oral capsule AL

butalbital compound w/codeine oral capsule

AL

butalbital compound-codeine oral capsule AL

butalbital-acetaminop-caf-cod oral capsule AL

butorphanol tartrate nasal spray,non-aerosol

PA; QL

codeine sulfate oral tablet AL

endocet oral tablet

fentanyl citrate buccal lozenge on a handle

Actiq PA; QL

fentanyl transdermal patch 72 hour Duragesic

hydrocodone-acetaminophen oral solution Hycet

hydrocodone-acetaminophen oral tablet Lorcet (hydrocodone)

hydrocodone-ibuprofen oral tablet

hydromorphone oral liquid Dilaudid

hydromorphone oral tablet Dilaudid

hydromorphone rectal suppository QL

meperidine oral solution

meperidine oral tablet

morphine concentrate oral solution

morphine oral solution

morphine oral tablet

morphine oral tablet extended release MS Contin

morphine rectal suppository QL

oxycodone oral capsule

oxycodone oral concentrate

oxycodone oral solution

oxycodone oral tablet Roxicodone

48


oxycodone-acetaminophen oral tablet Endocet

oxycodone-aspirin oral tablet

pentazocine-naloxone oral tablet

tramadol oral tablet Ultram PA

tramadol-acetaminophen oral tablet Ultracet PA

vicodin es oral tablet

vicodin hp oral tablet

vicodin oral tablet

ANALGÉSICOS, NO NARCÓTICOS

8 hour pain reliever oral tablet extended release

OTC; QL

acephen rectal suppository OTC

acetaminophen oral liquid Children's Pain-Fever Relief OTC; QL

acetaminophen oral solution Mapap (acetaminophen) OTC

acetaminophen oral suspension Children's Acetaminophen OTC; QL

acetaminophen oral tablet 325 mg Athenol OTC

acetaminophen oral tablet 500 mgAcetaminophen Extra Strength

OTC; QL

acetaminophen oral tablet extended release

8 Hour Pain Reliever OTC; QL

acetaminophen oral tablet,disintegrating Children's Pain-Fever Relief OTC

acetaminophen rectal suppository Acephen OTC

arthritis pain relief (acetam) oral tablet extended release

OTC; QL

arthritis pain reliever oral tablet extended release

OTC; QL

butalbital-acetaminophen oral tablet Marten-Tab QL

butalbital-acetaminophen-caff oral capsule Capacet QL

butalbital-acetaminophen-caff oral tablet Esgic QL

capacet oral capsule QL

children's acetaminophen oral suspension 160 mg/5 ml, 160 mg/5 ml (5 ml), 325 mg/10.15 ml

OTC; QL

children's mapap oral tablet,disintegrating OTC

children's pain relief oral suspension OTC; QL

children's pain reliever oral suspension OTC; QL

children's pain reliever oral tablet,disintegrating

OTC

children's pain-fever relief oral liquid OTC; QL

49


children's pain-fever relief oral suspension OTC; QL

children's pain-fever relief oral tablet,disintegrating

OTC

children's silapap oral liquid OTC; QL

ed-apap oral liquid OTC; QL

fever reducer rectal suppository OTC

feverall rectal suppository OTC

infant pain reliever oral suspension OTC; QL

infant's non-aspirin oral drops OTC

infant's non-aspirin oral drops,suspension AL; OTC; QL

infants' pain and fever oral suspension OTC; QL

infant's pain relief oral drops,suspension AL; OTC; QL

infants' pain relief oral suspension OTC; QL

infant's pain reliever oral drops,suspension

AL; OTC; QL

jr. str non-aspirin pain oral tablet,disintegrating

OTC

mapap (acetaminophen) oral capsule OTC; QL

mapap (acetaminophen) oral drops,suspension

OTC; QL

mapap (acetaminophen) oral liquid 160 mg/5 ml

OTC; QL

mapap (acetaminophen) oral liquid 500 mg/15 ml

OTC

mapap (acetaminophen) oral suspension OTC; QL

mapap (acetaminophen) oral tablet OTC

mapap arthritis pain oral tablet extended release

OTC; QL

mapap extra strength oral tablet OTC; QL

marten-tab oral tablet QL

masophen oral tablet 325 mg OTC

masophen oral tablet 500 mg OTC; QL

non-aspirin childrens oral drops OTC

non-aspirin extra strength oral liquid OTC

non-aspirin extra strength oral tablet OTC; QL

non-aspirin infants oral drops,suspension AL; OTC; QL

non-aspirin oral elixir OTC

non-aspirin oral tablet OTC

non-aspirin pain relief oral tablet 325 mg OTC

50


non-aspirin pain relief oral tablet 500 mg OTC; QL

pain and fever oral tablet 325 mg OTC

pain and fever oral tablet 500 mg OTC; QL

pain relief 8hr oral tablet extended release OTC; QL

pain relief extra strength oral tablet OTC; QL

pain relief oral tablet OTC; QL

pain relief oral tablet extended release OTC; QL

pain relief regular strength oral tablet OTC

pain reliever extra strength oral tablet OTC; QL

pain reliever oral capsule OTC; QL

pain reliever oral tablet 325 mg OTC

pain reliever oral tablet 500 mg OTC; QL

pharbetol oral tablet 325 mg OTC

pharbetol oral tablet 500 mg OTC; QL

tactinal extra strength oral tablet OTC; QL

tactinal oral tablet OTC

tylophen oral capsule OTC; QL

ANTIINFLAMATORIO, INHIBIDOR DE LA SÍNTESIS DE PIRIMIDINA

leflunomide oral tablet Arava

RIDAURA ORAL CAPSULE

ENFERMEDADES MODIFICANTES ANTI-REUMATOIDES (DMARD)

DEPEN TITRATABS ORAL TABLET PA

minocycline oral capsule Minocin

minocycline oral tablet

sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet,delayed release (dr/ec)

Azulfidine EN-tabs QL

INHIBIDOR DEL FACTOR DE LA NECROSIS TUMORAL ANTIINFLAMATORIA

ENBREL SUBCUTANEOUS RECON SOLN

PA; QL

ENBREL SUBCUTANEOUS SYRINGE25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML)

PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL

51



PA; QL


PA; QL


PA; QL


PA; QL


PA; QL

INHIBIDOR DEL FACTOR DE NECROSIS TUMORAL ANTIINFLAMATORIO

ENBREL SUBCUTANEOUS RECON SOLN

PA; QL

ENBREL SUBCUTANEOUS SYRINGE25 MG/0.5ML (0.51), 50 MG/ML (0.98 ML)

PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL


PA; QL


PA; QL


PA; QL


PA; QL


PA; QL

INMUNOSUPRESORES

gengraf oral capsule

mycophenolate mofetil oral suspension for reconstitution

CellCept

NSAIDS

all day pain relief oral tablet OTC; QL

all day relief oral tablet OTC; QL

child ibuprofen oral suspension AL; OTC; QL

children's ibuprofen oral suspension AL; OTC; QL

diclofenac potassium oral tablet

52


diclofenac sodium oral tablet extended release 24 hr

Voltaren-XR PA

diclofenac sodium oral tablet,delayed release (dr/ec)

etodolac oral capsule

etodolac oral tablet Lodine

etodolac oral tablet extended release 24 hr

fenoprofen oral tablet ProFeno QL

flurbiprofen oral tablet

ibu-drops oral drops,suspension AL; OTC; QL

ibuprofen ib oral tablet OTC; QL

ibuprofen ib oral tablet,chewable OTC; QL

ibuprofen jr strength oral tablet,chewable OTC; QL

ibuprofen oral suspension Child Ibuprofen AL; OTC; QL

ibuprofen oral tablet 200 mg Advil OTC; QL

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

indomethacin oral capsule

indomethacin oral capsule, extended release

infants ibu-drops oral drops,suspension AL; OTC; QL

infant's ibuprofen oral drops,suspension AL; OTC; QL

ketoprofen oral capsule

ketoprofen oral capsule,ext rel. pellets 24 hr

QL

ketorolac oral tablet QL

meclofenamate oral capsule

meloxicam oral suspension

meloxicam oral tablet Mobic PA

nabumetone oral tablet

naproxen oral suspension Naprosyn PA

naproxen oral tablet 250 mg, 375 mg QL

naproxen oral tablet 500 mg Naprosyn QL

naproxen oral tablet,delayed release (dr/ec)

EC-Naprosyn PA

naproxen sodium oral tablet 220 mg Aleve OTC; QL

naproxen sodium oral tablet 275 mg

naproxen sodium oral tablet 550 mg Anaprox DS

53


oxaprozin oral tablet Daypro

piroxicam oral capsule Feldene PA

profeno oral tablet QL

provil oral tablet OTC; QL

sulindac oral tablet

tolmetin oral capsule

tolmetin oral tablet

ANESTÉSICOS

AGENTES ANESTÉSICOS LOCALES

lidocaine hcl laryngotracheal solution LTA Pre-Attached QL

lidocaine topical ointment QL

ANTICONCEPTIVOS

ANTICONCEPTIVOS DE EMERGENCIA

econtra ez oral tablet OTC

ELLA ORAL TABLET

my way oral tablet OTC

next choice one dose oral tablet OTC

opcicon one-step oral tablet OTC

option-2 oral tablet OTC

ANTICONCEPTIVOS

altavera (28) oral tablet AL; QL

alyacen 1/35 (28) oral tablet AL

alyacen 7/7/7 (28) oral tablet AL

amethia lo oral tablets,dose pack,3 month AL; QL

amethia oral tablets,dose pack,3 month AL; QL

amethyst oral tablet AL

apri oral tablet AL

aranelle (28) oral tablet AL

ashlyna oral tablets,dose pack,3 month AL; QL

aubra oral tablet AL

aviane oral tablet AL

azurette (28) oral tablet AL

balziva (28) oral tablet AL

bekyree (28) oral tablet AL

blisovi 24 fe oral tablet AL

blisovi fe 1.5/30 (28) oral tablet AL

54


blisovi fe 1/20 (28) oral tablet AL

briellyn oral tablet AL

camila oral tablet AL

camrese lo oral tablets,dose pack,3 month AL; QL

camrese oral tablets,dose pack,3 month AL; QL

caziant (28) oral tablet AL

chateal oral tablet AL; QL

cryselle (28) oral tablet AL

cyclafem 1/35 (28) oral tablet AL

cyclafem 7/7/7 (28) oral tablet AL

cyred oral tablet AL

dasetta 1/35 (28) oral tablet AL

dasetta 7/7/7 (28) oral tablet AL

daysee oral tablets,dose pack,3 month AL; QL

deblitane oral tablet AL

delyla (28) oral tablet AL

desog-e.estradiol/e.estradiol oral tablet Azurette (28) AL

desogestrel-ethinyl estradiol oral tablet Apri AL

drospirenone-e.estradiol-lm.fa oral tablet Beyaz AL

drospirenone-ethinyl estradiol oral tablet Ocella AL

elinest oral tablet AL

emoquette oral tablet AL

enpresse oral tablet AL

enskyce oral tablet AL

errin oral tablet AL

estarylla oral tablet AL

ethynodiol diac-eth estradiol oral tablet Zovia 1/50E (28) AL

falmina (28) oral tablet AL

fayosim oral tablets,dose pack,3 month AL; QL

femynor oral tablet AL

gianvi (28) oral tablet AL

gildagia oral tablet AL

heather oral tablet AL

introvale oral tablets,dose pack,3 month AL; QL

jencycla oral tablet AL

jolessa oral tablets,dose pack,3 month AL; QL

jolivette oral tablet AL

55


juleber oral tablet AL

junel 1.5/30 (21) oral tablet AL

junel 1/20 (21) oral tablet AL

junel fe 1.5/30 (28) oral tablet AL

junel fe 1/20 (28) oral tablet AL

junel fe 24 oral tablet AL

kaitlib fe oral tablet,chewable AL

kariva (28) oral tablet AL

kelnor 1/35 (28) oral tablet AL

kimidess (28) oral tablet AL

kurvelo oral tablet AL; QL

KYLEENA INTRAUTERINE INTRAUTERINE DEVICE

l norgest/e.estradiol-e.estrad oral tablets,dose pack,3 month

Amethia AL; QL

larin 1.5/30 (21) oral tablet AL

larin 1/20 (21) oral tablet AL

larin 24 fe oral tablet AL

larin fe 1.5/30 (28) oral tablet AL

larin fe 1/20 (28) oral tablet AL

larissia oral tablet AL

layolis fe oral tablet,chewable AL

leena 28 oral tablet AL

lessina oral tablet AL

levonest (28) oral tablet AL

levonorgestrel-ethinyl estrad oral tablet 0.1-20 mg-mcg

Aubra AL

levonorgestrel-ethinyl estrad oral tablet 0.15-0.03 mg

Altavera (28) AL; QL

levonorgestrel-ethinyl estrad oral tablet 90-20 mcg

Amethyst AL

levonorgestrel-ethinyl estrad oral tablets,dose pack,3 month

Introvale AL; QL

levonorg-eth estrad triphasic oral tablet Enpresse AL

levora-28 oral tablet AL; QL

LILETTA INTRAUTERINE INTRAUTERINE DEVICE

lomedia 24 fe oral tablet AL

loryna (28) oral tablet AL

56


low-ogestrel (28) oral tablet AL

lutera (28) oral tablet AL

lyza oral tablet AL

marlissa oral tablet AL; QL

medroxyprogesterone intramuscular suspension

Depo-Provera AL

medroxyprogesterone intramuscular syringe

Depo-Provera AL

mibelas 24 fe oral tablet,chewable AL

microgestin 1.5/30 (21) oral tablet AL

microgestin 1/20 (21) oral tablet AL

microgestin fe 1.5/30 (28) oral tablet AL

microgestin fe 1/20 (28) oral tablet AL

MIRENA INTRAUTERINE INTRAUTERINE DEVICE

mono-linyah oral tablet AL

mononessa (28) oral tablet AL

myzilra oral tablet AL

necon 0.5/35 (28) oral tablet AL

necon 1/50 (28) oral tablet AL

necon 7/7/7 (28) oral tablet AL

NEXPLANON SUBDERMAL IMPLANT

nikki (28) oral tablet AL

nora-be oral tablet AL

noreth-ethinyl estradiol-iron oral tablet,chewable

Wymzya Fe AL

norethindrone (contraceptive) oral tablet Camila AL

norethindrone ac-eth estradiol oral tablet Junel 1/20 (21) AL

norethindrone-e.estradiol-iron oral tablet Blisovi Fe 1/20 (28) AL

norethindrone-e.estradiol-iron oral tablet,chewable

Melodetta 24 Fe AL

norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-25 mcg

Ortho Tri-Cyclen LO (28) AL; QL

norgestimate-ethinyl estradiol oral tablet 0.18/0.215/0.25 mg-35 mcg (28)

Ortho Tri-Cyclen (28) AL; QL

norgestimate-ethinyl estradiol oral tablet 0.25-35 mg-mcg

Estarylla AL

norlyroc oral tablet AL

nortrel 0.5/35 (28) oral tablet AL

57


nortrel 1/35 (21) oral tablet AL

nortrel 1/35 (28) oral tablet AL

nortrel 7/7/7 (28) oral tablet AL

NUVARING VAGINAL RING AL; QL

ocella oral tablet AL

ogestrel (28) oral tablet AL

orsythia oral tablet AL

PARAGARD T 380A INTRAUTERINE INTRAUTERINE DEVICE

philith oral tablet AL

pimtrea (28) oral tablet AL

pirmella oral tablet AL

portia oral tablet AL; QL

previfem oral tablet AL

quasense oral tablets,dose pack,3 month AL; QL

rajani oral tablet AL

reclipsen (28) oral tablet AL

RIVELSA ORAL TABLETS,DOSE PACK,3 MONTH

AL; QL

setlakin oral tablets,dose pack,3 month AL; QL

sharobel oral tablet AL

SKYLA INTRAUTERINE INTRAUTERINE DEVICE

sprintec (28) oral tablet AL

sronyx oral tablet AL

syeda oral tablet AL

tarina fe 1/20 (28) oral tablet AL

tilia fe oral tablet AL; QL

tri femynor oral tablet AL; QL

tri-estarylla oral tablet AL; QL

tri-legest fe oral tablet AL; QL

tri-linyah oral tablet AL; QL

tri-lo-estarylla oral tablet AL; QL

tri-lo-marzia oral tablet AL; QL

tri-lo-sprintec oral tablet AL; QL

trinessa (28) oral tablet AL; QL

trinessa lo oral tablet AL; QL

tri-previfem (28) oral tablet AL; QL

58


tri-sprintec (28) oral tablet AL; QL

trivora (28) oral tablet AL

vcf contraceptive film vaginal film OTC

velivet triphasic regimen (28) oral tablet AL

vestura (28) oral tablet AL

vienva oral tablet AL

viorele (28) oral tablet AL

vyfemla (28) oral tablet AL

wera (28) oral tablet AL

wymzya fe oral tablet,chewable AL

xulane transdermal patch weekly AL; QL

zarah oral tablet AL

zenchent (28) oral tablet AL

zovia 1/35e (28) oral tablet AL

zovia 1/50e (28) oral tablet AL

ANTÍDOTOS Y OTROS AGENTES DE REVERSIÓN

AGENTES QUELANTES

deferoxamine injection recon soln Desferal

trientine oral capsule Syprine PA; QL

ANTAGONISTAS DE NARCÓTICOS

naloxone injection solution

naloxone injection syringe

naltrexone oral tablet

NARCAN NASAL SPRAY,NON-AEROSOL

QL

ANTINEOPLÁSICOS

MEDICAMENTOS ANTINEOPLÁSICOS/INMUNOSUPRESORES

anastrozole oral tablet Arimidex QL

bicalutamide oral tablet Casodex

EMCYT ORAL CAPSULE PA

exemestane oral tablet Aromasin QL

flutamide oral capsule

HEXALEN ORAL CAPSULE PA

hydroxyurea oral capsule Hydrea

59


imatinib oral tablet 100 mg, 400 mg Gleevec PA; QL

IRESSA ORAL TABLET PA; QL

letrozole oral tablet Femara QL

leucovorin calcium injection recon soln

leucovorin calcium oral tablet

megestrol oral tablet

melphalan oral tablet Alkeran

MESNEX ORAL TABLET PA

mitoxantrone intravenous concentrate

MYLERAN ORAL TABLET

PROLEUKIN INTRAVENOUS RECON SOLN

tamoxifen oral tablet

tretinoin (chemotherapy) oral capsule

VANTAS IMPLANT KIT PA

VELCADE INJECTION RECON SOLN PA

ANTISÉPTICOS Y DESINFECTANTES

ANTISÉPTICOS, GENERALES

alcohol swabs topical pads, medicated Alcohol Pads OTC

alcohol wipes topical pads, medicated OTC

curity alcohol swabs topical pads, medicated

OTC

easy touch alcohol prep pads topical pads, medicated

OTC

webcol topical pads, medicated OTC

BIOLÓGICOS

INMUNOGLOBULINAS

GAMUNEX-C INJECTION SOLUTION PA

OCTAGAM INTRAVENOUS SOLUTION PA

VACUNAS INMUNOLÓGICAS

ADACEL(TDAP ADOLESN/ADULT)(PF) INTRAMUSCULAR SUSPENSION

ADACEL(TDAP ADOLESN/ADULT)(PF) INTRAMUSCULAR SYRINGE

AFLURIA 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA 2017-2018 INTRAMUSCULAR SUSPENSION

QL

60


AFLURIA QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

BCG VACCINE, LIVE (PF) PERCUTANEOUS SUSPENSION FOR RECONSTITUTION

BOOSTRIX TDAP INTRAMUSCULAR SUSPENSION

BOOSTRIX TDAP INTRAMUSCULAR SYRINGE

DAPTACEL (DTAP PEDIATRIC) (PF) INTRAMUSCULAR SUSPENSION

FLUAD 2017-2018 (65 YR UP)(PF) INTRAMUSCULAR SYRINGE

QL

FLUARIX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUBLOK 2017-2018 (PF) INTRAMUSCULAR SOLUTION

QL

FLUBLOK QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUCELVAX QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUCELVAX QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLULAVAL QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLULAVAL QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUVIRIN 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

FLUVIRIN 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUZONE HIGH-DOSE 2017-18 (PF) INTRAMUSCULAR SYRINGE

QL

FLUZONE INTRADERM QUAD 2017-18 INTRADERMAL SYRINGE

QL

FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUAD 2017-2018 (PF) INTRAMUSCULAR SYRINGE

QL

61


FLUZONE QUAD 2017-2018 INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUAD PEDI 2017-18 (PF) INTRAMUSCULAR SYRINGE

QL

HAVRIX (PF) INTRAMUSCULAR SUSPENSION

HAVRIX (PF) INTRAMUSCULAR SYRINGE

INFANRIX (DTAP) (PF) INTRAMUSCULAR SUSPENSION

INFANRIX (DTAP) (PF) INTRAMUSCULAR SYRINGE

PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE

QL

SHINGRIX (PF) INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION

QL

SYNAGIS INTRAMUSCULAR SOLUTION

PA

VAQTA (PF) INTRAMUSCULAR SUSPENSION

VAQTA (PF) INTRAMUSCULAR SYRINGE

ZOSTAVAX (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION

QL

DEPENDENCIA QUÍMICA, AGENTES PARA TRATAR

AGENTES PARA DEJAR DE FUMAR

bupropion hcl (smoking deter) oral tablet extended release 12 hr

Zyban QL

bupropion hcl oral tablet extended release 12 hr

Wellbutrin SR

nicorelief buccal gum OTC; QL

nicotine (polacrilex) buccal gum Nicorelief OTC; QL

nicotine (polacrilex) buccal lozenge Nicorette OTC; QL

nicotine (polacrilex) buccal mini lozenge Nicorette OTC; QL

nicotine transdermal patch 24 hour Nicoderm CQ OTC; QL

nicotine transdermal patch, td daily, sequential

OTC

ANTAGONISTA DEL ALCOHOL

acamprosate oral tablet,delayed release (dr/ec)

62


disulfiram oral tablet Antabuse

VIVITROL INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON

ANTAGONISTAS DE NARCÓTICOS

buprenorphine-naloxone sublingual tablet 2-0.5 mg, 8-2 mg

QL

SUBOXONE SUBLINGUAL FILM 12-3 MG, 2-0.5 MG, 4-1 MG, 8-2 MG

QL

DERMATOLÓGICO

AGENTES ANTIACNÉ, TÓPICO

clindamycin phosphate topical gel Cleocin T

clindamycin phosphate topical solution Cleocin T QL

clindamycin phosphate topical swab Cleocin T QL

clindamycin-benzoyl peroxide topical gel Duac QL

ery pads topical swab QL

erygel topical gel QL

erythromycin with ethanol topical solution QL

erythromycin with ethanol topical swab Ery Pads QL

metronidazole topical cream MetroCream QL

metronidazole topical lotion MetroLotion

rosadan topical cream QL

AGENTES ANTIINFLAMATORIOS ESTEROIDES TÓPICOS

amcinonide topical lotion

amcinonide topical ointment QL

anti-itch (hc) topical cream OTC; QL

betamethasone dipropionate topical lotion QL

betamethasone valerate topical cream QL

betamethasone valerate topical ointment QL

betamethasone, augmented topical cream

clobetasol scalp solution Cormax QL

clobetasol topical cream Temovate QL

clobetasol topical gel

clobetasol topical ointment Temovate QL

clobetasol-emollient topical cream QL

cormax scalp solution QL

CORTAID TOPICAL CREAM OTC; QL

diflorasone topical cream Psorcon QL

63


fluocinonide-e topical cream

fluocinonide-emollient topical cream Fluocinonide-E

fluticasone topical cream Cutivate QL

fluticasone topical ointment QL

halobetasol propionate topical cream Ultravate QL

halobetasol propionate topical ointment Ultravate QL

hydrocortisone acetate topical cream OTC; QL

hydrocortisone plus topical cream OTC; QL

hydrocortisone topical cream 0.5 % OTC; QL

hydrocortisone topical cream 1 % Ala-Cort PA; OTC; QL

hydrocortisone topical cream 2.5 % Ala-Cort QL

hydrocortisone topical cream in packet OTC

hydrocortisone topical cream with perineal applicator

Anusol-HC QL

hydrocortisone topical ointment 0.5 % OTC

hydrocortisone topical ointment 1 % Anti-Itch (HC) OTC; QL

hydrocortisone topical ointment 2.5 % QL

hydrocortisone-aloe vera topical cream Cortizone-10 with aloe PA; OTC; QL

hydrocortisone-pramoxine topical cream Mezparox-HC

mometasone topical cream Elocon QL

mometasone topical ointment Elocon QL

mometasone topical solution QL

prednicarbate topical ointment Dermatop QL

proctosol hc topical cream with perineal applicator

QL

proctozone-hc topical cream with perineal applicator

QL

TEXACORT TOPICAL SOLUTION

triamcinolone acetonide topical cream 0.025 %

QL

triamcinolone acetonide topical cream 0.1 %, 0.5 %

Triderm QL

triamcinolone acetonide topical ointment 0.025 %, 0.1 %, 0.5 %

QL

trianex topical ointment QL

AGENTES ANTIPSORIÁSICOS

calcipotriene scalp solution QL

calcipotriene topical cream Dovonex QL

64


calcipotriene topical ointment Calcitrene

calcitrene topical ointment

AGENTES CONTRA EL ACNÉ SISTÉMICOS

claravis oral capsule PA

myorisan oral capsule PA

zenatane oral capsule PA

AGENTES PARA ROSÁCEA, TÓPICO

metronidazole topical gel 0.75 % Rosadan

metronidazole topical gel 1 % Metrogel QL

metronidazole topical gel with pump Metrogel QL

rosadan topical gel

AGENTES TÓPICOS, VARIOS

a and d (lan, pet) topical ointment OTC; QL

ammonium lactate topical cream Geri-Hydrolac OTC; QL

ammonium lactate topical lotion AmLactin OTC

anti-dandruff topical shampoo OTC

diclofenac sodium topical drops PA; QL

glycerin topical solution OTC

lidocaine hcl mucous membrane jelly

lidocaine topical adhesive patch,medicated

Lidoderm PA; QL

podofilox topical solution PA

prumyx topical cream

salicylic acid topical cream Salimez

salicylic acid topical film forming liquid w/appl

Virasal

salicylic acid topical foam Salvax

salicylic acid topical gel Keralyt Rx

salicylic acid topical liquid

salicylic acid topical lotion

salicylic acid topical shampoo Salex

secura protective topical ointment OTC

selenium sulfide topical lotion QL

selenium sulfide topical shampoo

silver sulfadiazine topical cream Silvadene

ssd topical cream

65


urea topical cream QL

urea topical gel 40 % QL

urea topical gel 45 % CEM-Urea

urea topical lotion Uramaxin

vitamin a and d topical ointment OTC

vits a and d-white pet-lanolin topical ointment

A and D (lan, pet) OTC; QL

vits a and d-white pet-lanolin topical ointment in packet

Vitamin A and D GRx OTC

ANESTÉSICOS TÓPICOS

hydrocortisone-pramoxine topical cream Mezparox-HC

lidocaine-prilocaine topical cream QL

ANTIBIÓTICOS TÓPICOS

antibiotic (bacitracin zinc) topical ointment OTC; QL

bacitracin topical ointment Bacitraycin Plus OTC; QL

bacitracin topical packet OTC; QL

bacitracin zinc topical ointment Antibiotic (bacitracin zinc) OTC; QL

bacitracin zinc topical packet OTC; QL

bacitracin-polymyxin b topical ointment Double Antibiotic OTC

bacitracin-polymyxin b topical packet Polysporin OTC

double antibiotic (b.tracn zn) topical ointment

OTC

double antibiotic topical ointment OTC

gentamicin topical cream

gentamicin topical ointment

mupirocin topical ointment Centany QL

poly bacitracin topical ointment OTC

sss 10-5 topical cream

sulfacetamide sodium-sulfur topical cream Avar-E

ANTIMICÓTICOS TÓPICOS

antifungal (clotrimazole) topical cream OTC; QL

antifungal (tolnaftate) topical cream OTC

antifungal cream topical cream OTC

baza antifungal topical cream OTC

ciclopirox topical cream Ciclodan PA; QL

ciclopirox topical solution Ciclodan PA; QL

ciclopirox topical suspension Loprox (as olamine) QL

clotrimazole topical cream Antifungal (clotrimazole) OTC; QL

66


clotrimazole topical solution OTC

clotrimazole-betamethasone topical cream Lotrisone QL

clotrimazole-betamethasone topical lotion QL

fungoid-d topical cream OTC

inzo antifungal topical cream OTC

ketoconazole topical cream QL

ketoconazole topical shampoo Nizoral QL

miconazole nitrate topical cream Antifungal Cream OTC

nyamyc topical powder QL

nystatin topical cream QL

nystatin topical ointment QL

nystatin topical powder Nyamyc QL

nystop topical powder QL

remedy antifungal topical cream OTC

secura antifungal extra thick topical cream OTC

secura antifungal topical cream OTC

tolnaftate topical cream Antifungal (tolnaftate) OTC

ANTIVIRALES TÓPICOS

acyclovir topical ointment Zovirax PA; QL

DERIVADOS DE LA VITAMINA A

adapalene topical cream Differin PA; QL

adapalene topical gel Differin PA; QL

DIFFERIN TOPICAL GEL OTC; QL

tretinoin microspheres topical gel Retin-A Micro PA; AL; QL

tretinoin topical cream 0.025 % Avita PA; AL

tretinoin topical cream 0.05 %, 0.1 % Retin-A PA

tretinoin topical gel Retin-A PA; QL

ESCABICIDAS Y PEDICULICIDAS

lice killing (permethrin) topical liquid OTC; QL

lice killing topical shampoo OTC

lice treatment (permethrin) topical liquid OTC; QL

lice treatment topical liquid OTC; QL

lice treatment topical shampoo OTC

permethrin topical cream Elimite QL

spinosad topical suspension Natroba

INMUNOMODULADORES TÓPICOS

imiquimod topical cream in packet Aldara PA; AL; QL

67


tacrolimus topical ointment Protopic PA; QL

TÓPICO ANTINEOPLÁSICO Y PREMALIGNO

fluorouracil topical cream Efudex QL

fluorouracil topical solution

ENDOCRINO

AGENTES ANDRÓGENOS

testosterone cypionate intramuscular oil Depo-Testosterone PA

testosterone enanthate intramuscular oil PA

testosterone transdermal gel Testim PA; QL

testosterone transdermal gel in metered-dose pump

Vogelxo PA; QL

testosterone transdermal gel in packet 1 % (25 mg/2.5gram), 1 % (50 mg/5 gram)

AndroGel PA; QL

AGENTES ESTROGÉNICOS

amabelz oral tablet

estradiol oral tablet Estrace

estradiol transdermal patch transdermal patch weekly

PA; QL

estradiol transdermal patch weekly Climara PA; QL

estradiol-norethindrone acet oral tablet Activella

estropipate oral tablet

jinteli oral tablet

lopreeza oral tablet

mimvey lo oral tablet

mimvey oral tablet

norethindrone ac-eth estradiol oral tablet Fyavolv

PREMPHASE ORAL TABLET

PREMPRO ORAL TABLET

AGENTES PARA LA FERTILIDAD

MAKENA INTRAMUSCULAR OIL PA; QL

AGENTES PROGESTACIONALES

hydroxyprogesterone caproate intramuscular oil

PA

MAKENA INTRAMUSCULAR OIL PA; QL

medroxyprogesterone oral tablet Provera QL

norethindrone acetate oral tablet Aygestin

68


progesterone micronized oral capsule 100 mg, 200 mg

Prometrium QL

AGENTES SUPRESORES HIPOFISARIOS

cabergoline oral tablet QL

ANTIHIPERGLUCÉMICOS, TIPO ANÁLOGO DE AMILINA

SYMLINPEN 120 SUBCUTANEOUS PEN INJECTOR

PA; QL

SYMLINPEN 60 SUBCUTANEOUS PEN INJECTOR

PA; QL

CALCITONINAS

calcitonin (salmon) nasal spray,non-aerosol

GLUCOCORTICOIDES

cortisone oral tablet

dexamethasone intensol oral drops

dexamethasone oral elixir

dexamethasone oral solution

dexamethasone oral tablet Decadron

dexamethasone sodium phosphate injection solution

DEXPAK 10 DAY ORAL TABLETS,DOSE PACK



hydrocortisone oral tablet Cortef

MEDROL ORAL TABLET

methylprednisolone acetate injection suspension

Depo-Medrol

methylprednisolone oral tablet Medrol

methylprednisolone oral tablets,dose pack Medrol (Pak)

millipred oral tablet

prednisolone oral solution

prednisolone sodium phosphate oral solution

prednisone intensol oral concentrate

69


prednisone oral solution

prednisone oral tablet

prednisone oral tablets,dose pack

HIPERGLUCEMIA

dex4 glucose bits oral tablet,chewable OTC

GLUCAGEN HYPOKIT INJECTION RECON SOLN

QL

GLUCAGON EMERGENCY KIT (HUMAN) INJECTION KIT

QL

glucose oral tablet,chewable Dex4 Glucose OTC

HIPOGLUCEMIA, INSULINA, INTENSIFICADOR DE RESPUESTA

pioglitazone oral tablet Actos PA; QL

pioglitazone-glimepiride oral tablet DUETACT PA

pioglitazone-metformin oral tablet Actoplus MET PA

HIPOGLUCEMIA, INSULINA, TIPO ESTIMULANTE LIBERADOR

glimepiride oral tablet Amaryl

glipizide oral tablet Glucotrol

glipizide oral tablet extended release 24hr Glucotrol XL

glipizide-metformin oral tablet

glyburide micronized oral tablet Glynase

glyburide oral tablet

glyburide-metformin oral tablet

nateglinide oral tablet Starlix PA; QL

repaglinide oral tablet Prandin PA

HIPOGLUCEMIA, TIPO BIGUANIDA

metformin oral tablet Glucophage

metformin oral tablet extended release 24 hr

Glucophage XR

HIPOGLUCEMIA, TIPO INHIBIDOR DE LA ALFA GLUCOSIDASA

acarbose oral tablet 100 mg Precose

acarbose oral tablet 25 mg, 50 mg Precose QL

70


HIPOGLUCEMIANTE, MIMÉTICO DE INCRETINA (AGONISTA DEL RECEPTOR GLP-1)

TANZEUM SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

HORMONAS ANTIDIURÉTICAS Y VASOPRESORAS

DDAVP NASAL SOLUTION

desmopressin nasal aerosol,spray DDAVP

desmopressin nasal solution DDAVP

desmopressin nasal spray,non-aerosol

desmopressin oral tablet 0.1 mg, 0.2 mg DDAVP QL

HORMONAS DEL CRECIMIENTO

GENOTROPIN MINIQUICK SUBCUTANEOUS SYRINGE

PA; QL

GENOTROPIN SUBCUTANEOUS CARTRIDGE

PA; QL

NORDITROPIN FLEXPRO SUBCUTANEOUS PEN INJECTOR

PA; QL

HORMONAS TIROIDEAS

levothyroxine oral tablet Levo-T

levoxyl oral tablet

liothyronine oral tablet Cytomel

np thyroid oral tablet QL

thyroid (pork) oral tablet Armour Thyroid QL

unithroid oral tablet

INHIBIDOR DE LA DIPEPTIDIL PEPTIDASA IV Y COMBINACIONES

JANUMET ORAL TABLET PA; QL

JANUMET XR ORAL TABLET, ER MULTIPHASE 24 HR 100-1,000 MG, 50-1,000 MG, 50-500 MG

PA; QL

JANUVIA ORAL TABLET PA; QL

JENTADUETO ORAL TABLET PA; QL

71


JENTADUETO XR ORAL TABLET, IR - ER, BIPHASIC 24HR 2.5-1,000 MG, 5-1,000 MG

PA; QL

TRADJENTA ORAL TABLET PA; QL

INHIBIDORES DE RESORCIÓN ÓSEA

alendronate oral solution QL

alendronate oral tablet 10 mg, 40 mg, 5 mg

QL

alendronate oral tablet 35 mg

alendronate oral tablet 70 mg Fosamax QL

raloxifene oral tablet Evista

INHIBIDORES DE SODIO-GLUCOSA (SGLT2)

JARDIANCE ORAL TABLET PA; QL

SYNJARDY ORAL TABLET PA; QL

SYNJARDY XR ORAL TABLET, IR - ER, BIPHASIC 24HR 10-1,000 MG, 12.5-1,000 MG, 25-1,000 MG, 5-1,000 MG

PA; QL

INSULINAS

HUMALOG JUNIOR KWIKPEN U-100 SUBCUTANEOUS INSULIN PEN, HALF-UNIT

HUMALOG KWIKPEN INSULIN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 50-50 INSULN U-100 SUBCUTANEOUS SUSPENSION

QL

HUMALOG MIX 50-50 KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 75-25 KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

HUMALOG MIX 75-25(U-100)INSULN SUBCUTANEOUS SUSPENSION

QL

HUMALOG U-100 INSULIN SUBCUTANEOUS CARTRIDGE

QL

HUMALOG U-100 INSULIN SUBCUTANEOUS SOLUTION

QL

HUMULIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN 70/30 U-100 KWIKPEN SUBCUTANEOUS INSULIN PEN

OTC; QL

72


HUMULIN N NPH INSULIN KWIKPEN SUBCUTANEOUS INSULIN PEN

OTC; QL

HUMULIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN R REGULAR U-100 INSULN INJECTION SOLUTION

OTC; QL

HUMULIN R U-500 (CONC) INSULIN SUBCUTANEOUS SOLUTION

QL

HUMULIN R U-500 (CONC) KWIKPEN SUBCUTANEOUS INSULIN PEN

QL

LANTUS SOLOSTAR U-100 INSULIN SUBCUTANEOUS INSULIN PEN

QL

LANTUS U-100 INSULIN SUBCUTANEOUS SOLUTION

QL

LEVEMIR FLEXTOUCH U-100 INSULN SUBCUTANEOUS INSULIN PEN

QL

LEVEMIR U-100 INSULIN SUBCUTANEOUS SOLUTION

QL

NOVOLOG FLEXPEN U-100 INSULIN SUBCUTANEOUS INSULIN PEN

QL

NOVOLOG MIX 70-30 U-100 INSULN SUBCUTANEOUS SOLUTION

QL

NOVOLOG MIX 70-30FLEXPEN U-100 SUBCUTANEOUS INSULIN PEN

QL

NOVOLOG PENFILL U-100 INSULIN SUBCUTANEOUS CARTRIDGE

QL

NOVOLOG U-100 INSULIN ASPART SUBCUTANEOUS SOLUTION

QL

MINERALOCORTICOIDES

fludrocortisone oral tablet

OXITÓCICOS

methylergonovine injection solution

PREPARADOS ANTITIROIDEOS

methimazole oral tablet Tapazole

propylthiouracil oral tablet

EQUILIBRIO ELECTROLÍTICO-PRODUCTOS NUTRICIONALES

AGENTES CON MINERALES Y ELECTROLITOS

k-phos-neutral oral tablet

73


phospha 250 neutral oral tablet

MULTIVITAMÍNICOS

AQUADEKS ORAL TABLET,CHEWABLE

OTC

BACMIN ORAL TABLET AL; QL

corvita oral tablet

CORVITE FREE ORAL TABLET AL; QL

ICAPS AREDS ORAL CAPSULE OTC

I-CAPS ORAL CAPSULE OTC

multiple vitamin, womens oral tablet AL; OTC; QL

NUTRICAP ORAL TABLET AL; QL

OCUVITE ORAL CAPSULE OTC

PRESERVISION AREDS ORAL CAPSULE

OTC

PRESERVISION LUTEIN ORAL CAPSULE

OTC

PRORENAL QD ORAL CAPSULE OTC

purevit dualfe plus oral capsule

se-tan plus oral capsule

super ginseng multivitamin oral capsule OTC

vic-forte oral capsule

PREPARADOS DE VITAMINA B

cyanocobalamin (vitamin b-12) injection solution

Vitamin B-12

cyanocobalamin (vitamin b-12) sublingual drops

OTC

DIALYVITE 800 ORAL TABLET OTC

DIALYVITE ORAL TABLET

hydroxocobalamin intramuscular solution

nephplex rx oral tablet

niacin oral capsule, extended release OTC; QL

niacin oral tablet Niacor OTC

niacin oral tablet extended release Endur-Acin OTC

pyridoxine (vitamin b6) injection solution

renal caps oral capsule

reno caps oral capsule OTC

thiamine hcl (vitamin b1) injection solution

triphrocaps oral capsule

74


virt-vite forte oral tablet QL

virt-vite plus oral tablet

vitamin b-1 oral tablet OTC

vitamin b-12 injection solution

vitamin b-6 oral tablet OTC

vol-care rx oral tablet

vp-vite rx oral tablet

PREPARADOS DE VITAMINA C

ascorbic acid (vitamin c) injection solution

PREPARADOS DE VITAMINA D

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

cholecalciferol (vitamin d3) oral capsule Vitamin D3 OTC

cholecalciferol (vitamin d3) oral tablet Vitamin D3 OTC

ergocalciferol (vitamin d2) oral capsule Vitamin D2

vitamin d2 oral capsule

vitamin d3 oral capsule OTC

vitamin d3 oral tablet OTC

PREPARADOS DE VITAMINA K

MEPHYTON ORAL TABLET

vitamin k injection solution

vitamin k1 injection solution

PREPARADOS DE VITAMINAS PRENATALES

classic prenatal oral tablet AL; OTC; QL

daily prenatal oral combo pack OTC; QL

dothelle dha oral capsule QL

kpn oral tablet AL; OTC; QL

MINI PRENATAL ORAL TABLET AL; OTC; QL

prenatal formula oral tablet AL; OTC; QL

prenatal one daily oral tablet OTC; QL

prenatal oral tablet OTC; QL

prenatal vitamin plus low iron oral tablet QL

prenatal vits96-iron fum-folic oral tablet OTC; QL

virt-nate dha oral capsule QL

virt-nate oral tablet QL

75


RESINAS LIBERADORAS DE POTASIO

sodium polystyrene (sorb free) oral suspension

sodium polystyrene sulfonate oral suspension

sodium polystyrene (sorb free)

sodium polystyrene sulfonate rectal enema

sps (with sorbitol) oral suspension

sps (with sorbitol) rectal enema

SOLUCIONES DE CLORURO DE SODIO

sodium chloride 0.45 % intravenous parenteral solution

SOLUCIONES DE RIEGO

sodium chloride irrigation solution Sterile Saline

SUPLEMENTOS DIETARIOS

vp-zel oral tablet AL; QL

SUSTITUTO DEL CALCIO

calcium 500 + d oral tablet OTC

calcium 500 oral tablet OTC

calcium 600 + d(3) oral tablet OTC

calcium 600 with vitamin d3 oral tablet OTC

calcium carbonate oral suspension OTC

calcium carbonate oral tablet Calcium 500 OTC

calcium carbonate-vitamin d3 oral tablet 500 mg(1,250mg) -200 unit

Calcium 500 + D OTC

calcium carbonate-vitamin d3 oral tablet 600 mg(1,500mg) -400 unit

Calcium 600 + D(3) OTC; QL

calcium-folic acid-vitamin d oral wafer

gnp calcium 600-vit d3 800 tab s/f,p/f,gluten-free

Caltrate with Vitamin D3 OTC

oysco 500/d oral tablet OTC

oysco-500 oral tablet OTC

oyster shell calcium 500 oral tablet OTC

oyster shell calcium oral tablet OTC

oyster shell calcium-vit d3 oral tablet OTC

parva-cal 500 oral tablet OTC

sm calcium 600-vit d3 800 tab Caltrate with Vitamin D3 OTC

76


tl g-fol os oral tablet

SUSTITUTO DEL ELECTROLITO

pedialyte freezer pops oral solution OTC; QL

pedialyte oral solution OTC; QL

pedialyte singles oral solution OTC; QL

pediatric electrolyte oral solution OTC; QL

SUSTITUTO DEL HIERRO

centratex oral capsule

children's iron oral drops OTC

corvita 150 oral tablet

ferate oral tablet OTC; QL

ferosul oral elixir OTC

ferosul oral tablet OTC; QL

ferraplus 90 oral tablet

ferro-time oral tablet OTC; QL

ferrous gluconate oral tablet OTC; QL

ferrous sulfate oral drops Children's Iron OTC

ferrous sulfate oral elixir FeroSul OTC

ferrous sulfate oral solution OTC

ferrous sulfate oral tablet Feosol OTC; QL

ferrous sulfate oral tablet,delayed release (dr/ec) 324 mg (65 mg iron)

OTC; QL

ferrous sulfate oral tablet,delayed release (dr/ec) 325 mg (65 mg iron)

OTC

ferrousul oral tablet OTC; QL

folivane-f oral capsule

hematogen fa oral capsule

hematogen forte oral capsule

hematogen oral capsule

iferex 150 forte oral capsule

iferex 150 oral capsule OTC

infed injection solution

iron oral tablet OTC; QL

sodium ferric gluconat-sucrose intravenous solution

Ferrlecit

taron forte oral capsule

tl icon oral capsule QL

77


tl-hem 150 oral tablet extended release 24 hr

tricon oral capsule QL

trigels-f forte oral capsule

VENOFER INTRAVENOUS SOLUTION

SUSTITUTO DEL POTASIO

effer-k oral tablet, effervescent

k-effervescent oral tablet, effervescent

klor-con 10 oral tablet extended release

klor-con 8 oral tablet extended release

klor-con m10 oral tablet,er particles/crystals

klor-con m20 oral tablet,er particles/crystals

klor-con oral packet

klor-con/ef oral tablet, effervescent

K-TAB ORAL TABLET EXTENDED RELEASE

potassium bicarb-citric acid oral tablet, effervescent

Effer-K

potassium chloride oral capsule, extended release

Klor-Con Sprinkle

potassium chloride oral liquid

potassium chloride oral packet Klor-Con

potassium chloride oral tablet extended release

K-Tab

potassium chloride oral tablet,er particles/crystals

Klor-Con M20

VITAMINAS PEDIÁTRICAS CON FLÚOR

multi-vit with fluoride-iron oral drops OTC

multi-vitamin with fluoride oral drops OTC

multivitamin with fluoride oral tablet,chewable

multi-vitamin with fluoride oral tablet,chewable

multivitamins with fluoride oral tablet,chewable

multivit-fluor (vit e acetate) oral drops

mvc-fluoride oral tablet,chewable

78


triple vitamin with fluoride oral drops

tri-vit with fluoride and iron oral drops

tri-vitamin with fluoride oral drops

vitamins a,c,d and fluoride oral drops

VITAMINAS PEDIÁTRICAS

animal shapes plus iron oral tablet,chewable

OTC

AQUADEKS PEDIATRIC ORAL DROPS OTC

POLY-VI-SOL WITH IRON ORAL DROPS

OTC

VITAMINAS

folic acid injection solution

folic acid oral tablet OTC

virt-vite forte oral tablet QL

ESCLEROSIS MÚLTIPLE

MEDICAMENTOS PARA TRATAR LA ESCLEROSIS MÚLTIPLE

AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT

QL

AVONEX INTRAMUSCULAR PEN INJECTOR KIT

QL

AVONEX INTRAMUSCULAR SYRINGE KIT

QL

BETASERON SUBCUTANEOUS KIT QL

COPAXONE SUBCUTANEOUS SYRINGE 20 MG/ML

QL

COPAXONE SUBCUTANEOUS SYRINGE 40 MG/ML

GILENYA ORAL CAPSULE QL

REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE

REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR

REBIF TITRATION PACK SUBCUTANEOUS SYRINGE

TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC)120 MG, 120 MG (14)- 240 MG (46), 240 MG

QL

79


INSUMOS Y PREPARADOS DENTALES

AGENTES PARA LA BOCA Y GARGANTA

lidocaine hcl mucous membrane solution

lidocaine viscous mucous membrane solution

QL

oralone dental paste

pilocarpine hcl oral tablet Salagen (pilocarpine) QL

triamcinolone acetonide dental paste Oralone

ANTIBIÓTICOS ANTIMICÓTICOS

clotrimazole mucous membrane troche QL

nystatin oral suspension

ANTISÉPTICOS, GENERALES

chlorhexidine gluconate mucous membrane mouthwash

Paroex Oral Rinse QL

PREPARACIONES DE FLUORUROS

dentagel dental gel

FLUOR-A-DAY ORAL DROPS

fluoride (sodium) oral drops AL; QL

fluoride (sodium) oral tablet,chewable Fluoritab

ludent fluoride oral tablet,chewable

sf dental gel

MODIFICADORES METABÓLICOS

AGENTES DE DEFICIENCIA METABÓLICA

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

levocarnitine oral tablet Carnitor OTC

PHARMACOENHANCER - INHIBIDORES DEL CITOCROMO P450

TYBOST ORAL TABLET

ÓTICO

PREPARADOS ÓTICOS, MISCELÁNEOS, ANTINFECCIOSOS

acetic acid otic (ear) solution

carbamoxide ear drops otic (ear) drops OTC

80


ciprofloxacin hcl otic (ear) dropperette Cetraxal QL

ear drops (carbamide peroxide) otic (ear) drops

OTC

ear drops otc otic (ear) drops OTC

ear wax removal drops otic (ear) drops OTC

ear wax removal kit otic (ear) drops OTC

ear wax removal system otic (ear) drops OTC

floxin otic (ear) drops QL

neomycin-polymyxin-hc otic (ear) drops,suspension

neomycin-polymyxin-hc otic (ear) solution

ofloxacin otic (ear) drops Floxin QL

PRODUCTOS VAGINALES

ANTIBIÓTICOS VAGINALES

CLEOCIN VAGINAL SUPPOSITORY

clindamycin phosphate vaginal cream Cleocin

metronidazole vaginal gel Metrogel Vaginal

vandazole vaginal gel

ANTIMICÓTICOS VAGINALES

3 day vaginal vaginal cream OTC

3-day vaginal vaginal cream OTC

clotrimazole vaginal cream Clotrimazole-7 OTC; QL

clotrimazole-3 vaginal cream OTC

miconazole 7 vaginal cream OTC

miconazole nitrate vaginal cream Miconazole 7 OTC

miconazole-3 vaginal suppository

terconazole vaginal cream 0.4 % Terazol 7 QL

terconazole vaginal cream 0.8 % QL

terconazole vaginal suppository QL

PREPARADOS DE ESTRÓGENO VAGINALES

estradiol vaginal tablet Vagifem

yuvafem vaginal tablet

81


SISTEMA LOCOMOTOR

AGENTES PARA EL TRATAMIENTO DE TRASTORNOS MUSCULOESQUELÉTICOS

EUFLEXXA INTRA-ARTICULAR SYRINGE

PA; QL

OTROS MEDICAMENTOS AUTÓNOMOS/DEL SNC

MESTINON ORAL SYRUP

pyridostigmine bromide oral tablet Mestinon

pyridostigmine bromide oral tablet extended release

Mestinon Timespan

RELAJANTES DEL MÚSCULO ESQUELÉTICO

baclofen oral tablet

carisoprodol oral tablet Soma QL

carisoprodol-asa-codeine oral tablet AL; QL

carisoprodol-aspirin oral tablet QL

chlorzoxazone oral tablet

cyclobenzaprine oral tablet 10 mg QL

cyclobenzaprine oral tablet 5 mg

dantrolene oral capsule Dantrium

methocarbamol oral tablet 500 mg Robaxin QL

methocarbamol oral tablet 750 mg Robaxin-750 QL

orphenadrine citrate oral tablet extended release

QL

riluzole oral tablet Rilutek PA

tizanidine oral tablet 2 mg QL

tizanidine oral tablet 4 mg Zanaflex QL

SUMINISTROS MÉDICOS Y EQUIPO MÉDICO DURADERO (DME)

AGUJAS, DISPOSITIVOS SIN AGUJAS, JERINGAS Y ACCESORIOS

1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL

1ST TIER UNIFINE PENTIPS PLUS NEEDLE

OTC; QL

ADVOCATE PEN NEEDLE NEEDLE OTC; QL

ADVOCATE SYRINGES SYRINGE OTC; QL

82


ASSURE ID INSULIN SAFETY SYRINGE OTC; QL

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC; QL

BD ECLIPSE LUER-LOK SYRINGE OTC; QL

BD INSULIN PEN NEEDLE UF MINI NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF ORIG NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF SHORT NEEDLE

OTC; QL

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC; QL

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC; QL

BD INSULIN SYRINGE SAFETY-LOK SYRINGE

OTC; QL

BD INSULIN SYRINGE SLIP TIP SYRINGE

OTC; QL

BD INSULIN SYRINGE SYRINGE OTC; QL

BD INSULIN SYRINGE ULT-FINE II SYRINGE

OTC; QL

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC; QL

BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL

BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE INSULIN SYRINGE SYRINGE

OTC; QL

BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC; QL

BD ULTRA-FINE NANO PEN NEEDLES NEEDLE

OTC; QL

CAREFINE PEN NEEDLE NEEDLE OTC; QL

CARETOUCH PEN NEEDLE NEEDLE OTC; QL

CLICKFINE NEEDLE OTC; QL

COMFORT EZ PEN NEEDLES NEEDLE OTC; QL

COMFORT EZ SYRINGE SYRINGE OTC; QL

DROPLET PEN NEEDLE NEEDLE OTC; QL

83


EASY COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

EASY COMFORT PEN NEEDLES NEEDLE

OTC; QL

EASY TOUCH INSULIN SAFETY SYR SYRINGE

OTC; QL

EASY TOUCH INSULIN SYRINGE SYRINGE

OTC; QL

EASY TOUCH NEEDLE OTC; QL

EXEL INSULIN SYRINGE OTC; QL

FREESTYLE PRECISION SYRINGE OTC; QL

HEALTHY ACCENTS UNIFINE PENTIP NEEDLE

OTC; QL

INCONTROL PEN NEEDLE NEEDLE OTC; QL

insulin syringe microfine syringe OTC; QL

insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC; QL

insulin syringe syringe OTC; QL

insulin syringe-needle u-100 syringe Lite Touch Insulin Syringe OTC; QL

INSUPEN NEEDLE OTC; QL

LITE TOUCH INSULIN PEN NEEDLES NEEDLE

OTC; QL

LITE TOUCH INSULIN SYRINGE SYRINGE

OTC; QL

MAXI-COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

MINI ULTRA-THIN II NEEDLE OTC; QL

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 29 GAUGE X 1/2", 29 GAUGE X 1/2"

OTC; QL

MONOJECT INSULIN SAFETY SYRING SYRINGE 0.3 ML 30 GAUGE X 5/16, 0.5 ML 29 GAUGE X 1/2", 1/2 ML 30 GAUGE X 5/16

QL

MONOJECT INSULIN SYRINGE SYRINGE

OTC; QL

MONOJECT SAFETY SYRINGES SYRINGE

OTC

MONOJECT SYRINGE SYRINGE QL

MONOJECT ULTRA COMFORT INSULIN SYRINGE

OTC; QL

NOVOFINE 30 NEEDLE OTC; QL

84



pen needle needle 29 gauge x 1/2", 31 gauge x 1/4", 31 gauge x 3/16", 31 gauge x 5/16", 32 gauge x 5/32"

OTC; QL

pen needle needle 30 gauge x 5/16" QL

pen needle, diabetic needle 1st Tier Unifine Pentips OTC; QL

PENTIPS NEEDLE OTC; QL

PRO COMFORT PEN NEEDLE NEEDLE OTC; QL

PRODIGY INSULIN SYRINGE SYRINGE OTC; QL

RELION NEEDLES NEEDLE OTC; QL

RELION PEN NEEDLES NEEDLE OTC; QL

SURE COMFORT INS. SYR. U-100 SYRINGE

OTC; QL

SURE COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

SURE COMFORT PEN NEEDLE NEEDLE

OTC; QL

SURE-FINE PEN NEEDLES NEEDLE OTC; QL

SURE-JECT INSULIN SYRINGE SYRINGE

OTC; QL

TECHLITE PEN NEEDLE NEEDLE OTC; QL

TERUMO INSULIN SYRINGE SYRINGE OTC; QL

THINPRO INSULIN SYRINGE SYRINGE OTC; QL

TOPCARE CLICKFINE NEEDLE OTC; QL

TOPCARE ULTRA COMFORT SYRINGE OTC; QL

TRUEPLUS INSULIN SYRINGE OTC; QL

TRUEPLUS PEN NEEDLE NEEDLE OTC; QL

ULTICARE PEN NEEDLE NEEDLE OTC; QL

ULTICARE SYRINGE OTC; QL

ULTILET INSULIN SYRINGE SYRINGE OTC; QL

ULTILET PEN NEEDLE NEEDLE OTC; QL

ULTRA CMFT INS SYR HALF UNIT SYRINGE

OTC; QL

ULTRA COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

ULTRA-THIN II (SHORT) INS SYR SYRINGE

OTC; QL

ULTRA-THIN II (SHORT) PEN NDL NEEDLE

OTC; QL

85


ULTRA-THIN II INS PEN NEEDLES NEEDLE

OTC; QL

ULTRA-THIN II INSULIN SYRINGE SYRINGE

OTC; QL

UNIFINE PENTIPS NEEDLE OTC; QL

UNIFINE PENTIPS PLUS NEEDLE OTC; QL

VANISHPOINT SYRINGE SYRINGE OTC; QL

DIAFRAGMAS/CAPUCHÓN CERVICAL

WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM








EQUIPOS, DISPOSITIVOS, ESPACIADORES Y AUXILIARES RESPIRATORIOS

ACE AEROSOL CLOUD ENHANCER SPACER

QL

AEROTRACH PLUS SPACER QL

AEROVENT PLUS SPACER QL

BREATHERITE MDI SPACER SPACER QL

BREATHERITE RIGID SPACER-MASK SPACER

QL

BREATHERITE SPACER-MASK,ADULT SPACER

QL

BREATHERITE SPACER-MASK,CHILD SPACER

QL

BREATHERITE SPACER-MASK,INFANT SPACER

QL

86


BREATHERITE SPACER-MASK,S.CHLD SPACER

QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

BREATHERITE VALVED MDI SPACER SPACER

QL

BREATHERITE WITH MASK, LARGE SPACER

QL

BREATHERITE WITH MASK, MEDIUM SPACER

QL

BREATHERITE WITH MASK, SMALL SPACER

QL

COMPACT SPACE CHAMBER SPACER QL

COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

COMPACT SPACE CHAMBER-SM MASK SPACER

QL

EASIVENT MASK LARGE DEVICE QL

EASIVENT MASK MEDIUM DEVICE QL

EASIVENT MASK SMALL DEVICE QL

LITEAIRE MDI CHAMBER SPACER QL

MICROCHAMBER SPACER QL

MICROSPACER SPACER QL

OPTICHAMBER ADULT MASK-LARGE DEVICE

QL

OPTICHAMBER DIAMOND LG MASK SPACER

QL

OPTICHAMBER DIAMOND VHC SPACER

QL

OPTICHAMBER DIAMOND-MED MSK SPACER

QL

OPTICHAMBER DIAMOND-SML MASK SPACER

QL

POCKET CHAMBER SPACER QL

PRIMEAIRE SPACER QL

PROCHAMBER SPACER QL

RITEFLO AEROCHAMBER SPACER QL

VORTEX HOLDING CHAMBER CHILD SPACER

QL

87


VORTEX HOLDING CHAMBER SPACER

QL

VORTEX HOLDING CHAMBER TODDLER SPACER

QL

VORTEX VHC FROG MASK-CHILD SPACER

QL

VORTEX VHC LADYBUG MASK-TODDLR SPACER

QL

MEDIDORES DE FLUJO ESPIRATORIO MÁXIMO Y SUMINISTROS MÉDICOS

AIRZONE PEAK FLOW METER DEVICE OTC

ASTHMA CHECK METER DEVICE OTC

IN-CHECK NASAL WITH MASK DEVICE OTC

IN-CHECK ORAL FLOW METER DEVICE

OTC

MICROLIFE PEAK FLOW METER DEVICE

OTC

MINI WRIGHT PEAK FLOW METER DEVICE

PEAK AIR PEAK FLOW METER DEVICE

OTC

PERSONAL BEST FULL RANGE DEVICE

OTC

PERSONAL BEST LOW RANGE DEVICE

OTC

PIKO 1 DEVICE OTC

POCKET PEAK FLOW METER DEVICE OTC

TRUZONE PEAK FLOW METER DEVICE

PRESERVATIVOS

AIMSCO LATEX CONDOM DEVICE OTC; QL

CONDOMS-PREM LUBRICATED DEVICE

OTC

DUREX AVANTI BARE REAL FEEL OTC

FANTASY CONDOM DEVICE OTC

FC2 FEMALE CONDOM OTC

KIMONO CONDOMS(NON-LUBRICATED) DEVICE

OTC

KIMONO MAXX CONDOMS DEVICE OTC

88


KIMONO MICROTHIN AQUA LUBE CON DEVICE

OTC

KIMONO MICROTHIN CONDOMS DEVICE

OTC

KIMONO MICROTHIN LARGE CONDOMS DEVICE

OTC

KIMONO TEXTURED CONDOMS DEVICE

OTC

TRUSTEX LATEX CONDOM DEVICE OTC

TRUSTEX LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX NON-LUB CONDOMS DEVICE

OTC

TRUSTEX-RIA LUB/SPERMICIDE DEVICE

OTC

TRUSTEX-RIA LUBRICATED CONDOMS DEVICE

OTC

TRUSTEX-RIA NON-LUB CONDOMS DEVICE

OTC

SUMINISTROS MÉDICOS Y DME PARA EL ANÁLISISY MONITOREO DE LA GLUCOSA EN SANGRE

1ST TIER UNILET COMFORTOUCH OTC; QL

ACCU-CHEK SOFTCLIX LANCET DEV OTC; QL

ADJUSTABLE LANCING DEVICE OTC; QL

ADVANCED LANCING DEVICE KIT OTC; QL

ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC; QL

ADVOCATE RAPID-SAFE LANCING OTC; QL

ALTERNATE SITE LANCET OTC; QL

ALTERNATE SITE LANCING DEVICE OTC; QL

AQUA LANCE LANCING DEVICE OTC; QL

ASSURE HAEMOLANCE PLUS OTC; QL

ASSURE LANCE OTC; QL

ASSURE LANCE PLUS OTC; QL

AUTO-LANCET MINI OTC; QL

AUTOLET IMPRESSION LANC DEV KIT OTC; QL

AUTOLET LANCING DEVICE OTC; QL

AUTOLET PLUS LANCING DEVICE OTC; QL

89


CAREONE LANCING DEVICE OTC; QL

CAREONE THIN LANCET OTC; QL

CAREONE ULTRA THIN LANCET OTC; QL

CARETOUCH TWIST LANCET OTC; QL

COLOR LANCETS OTC; QL

COMFORT LANCETS OTC; QL

DROPLET LANCING DEVICE OTC; QL

EASY CLICK LANCING DEVICE OTC; QL

EASY TOUCH LANCETS OTC; QL

EASY TOUCH LANCING DEVICE OTC; QL

EASY TOUCH SAFETY LANCETS OTC; QL

EASY TOUCH TWIST LANCETS OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT THIN LANCETS OTC; QL

EZ SMART LANCETS OTC; QL

FINE 30 UNIVERSAL LANCETS OTC; QL

FORA LANCING DEVICE OTC; QL

FORACARE LANCETS OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC; QL

HEALTHY ACCENTS UNILET LANCET OTC; QL

HYPOLANCE AST LANCING KIT OTC; QL

INCONTROL LANCING DEVICE OTC; QL

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

INVACARE LANCETS OTC; QL

lancets Accu-Chek FastClix OTC; QL

lancets, super thin OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC; QL

lancing device with lancets OTC; QL

lancing device with lancets kit Accu-Chek FastClix OTC; QL

lancing system OTC; QL

LANZO LANCING DEVICE KIT OTC; QL

LITE TOUCH LANCING DEVICE OTC; QL

MEDLANCE PLUS LANCETS OTC; QL

90


MICRO THIN LANCETS OTC; QL

MICROLET NEXT LANCING DEVICE KIT

OTC; QL

MINI LANCING DEVICE OTC; QL

MONOLET LANCETS OTC; QL

MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC; QL

MYGLUCOHEALTH LANCETS OTC; QL

ON CALL LANCING DEVICE OTC; QL

ON CALL PLUS LANCING DEVICE OTC; QL

ON-THE-GO LANCETS OTC; QL

PRODIGY LANCING DEVICE OTC; QL

RELIAMED MINI LANCING DEVICE OTC; QL

RELION THIN LANCETS OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC; QL

RIGHTEST GL300 LANCETS OTC; QL

SAFETY LANCETS OTC; QL

SMART SENSE LANCETS OTC; QL

SMARTDIABETES VANTAGE OTC; QL

STERILANCE TL OTC; QL

SUPER THIN LANCETS OTC; QL

SURE COMFORT LANCING PEN OTC; QL

SUREFLEX LANCING DEVICE OTC; QL

SURE-PEN LANCING DEVICE OTC; QL

TECHLITE LANCETS OTC; QL

THIN LANCETS OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC

TRUE METRIX LEVEL 1 SOLUTION OTC



TRUEDRAW LANCING DEVICE OTC; QL

TRUEPLUS LANCETS OTC; QL

TRUERESULT BLOOD GLUCOSE SYSTM KIT

OTC; QL

ULTI-LANCE OTC; QL

91


ULTRA THIN LANCETS OTC; QL

ULTRA THIN PLUS LANCETS OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET EXCELITE II LANCET OTC; QL

UNILET EXCELITE LANCET OTC; QL

UNILET GP LANCET OTC; QL

UNILET LANCET OTC; QL

UNILET LANCETS OTC; QL

UNILET SUPER THIN LANCETS OTC; QL

UNISTIK 2 DEVICE KIT OTC; QL

UNISTIK 2 EXTRA KIT OTC; QL

UNISTIK 3 COMFORT DEVICE KIT OTC; QL

UNISTIK 3 COMFORT LANCET OTC; QL

UNISTIK 3 EXTRA LANCET OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC; QL

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC; QL

UNISTIK 3 NEONATAL KIT OTC; QL

UNISTIK 3 NORMAL LANCET OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

SUMINISTROS MÉDICOS Y EQUIPO MÉDICO DURADERO (DME)

1ST TIER UNIFINE PENTIPS NEEDLE OTC; QL

1ST TIER UNIFINE PENTIPS PLUS NEEDLE

OTC; QL

1ST TIER UNILET COMFORTOUCH OTC; QL

ACE AEROSOL CLOUD ENHANCER SPACER

QL

ADJUSTABLE LANCING DEVICE OTC; QL

ADVANCED LANCING DEVICE KIT OTC; QL

ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC; QL

ADVOCATE PEN NEEDLE NEEDLE OTC; QL

ADVOCATE RAPID-SAFE LANCING OTC; QL

92


ADVOCATE SYRINGES SYRINGE OTC; QL

AEROTRACH PLUS SPACER QL

AEROVENT PLUS SPACER QL

ASSURE HAEMOLANCE PLUS OTC; QL

ASSURE LANCE OTC; QL

ASSURE LANCE PLUS OTC; QL

AUTOLET IMPRESSION LANC DEV KIT OTC; QL

AUTOLET PLUS LANCING DEVICE OTC; QL

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC; QL

BD ECLIPSE LUER-LOK SYRINGE OTC; QL

BD INSULIN PEN NEEDLE UF MINI NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF ORIG NEEDLE

OTC; QL

BD INSULIN PEN NEEDLE UF SHORT NEEDLE

OTC; QL

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC; QL

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC; QL

BD INSULIN SYRINGE SYRINGE OTC; QL

BD INSULIN SYRINGE ULT-FINE II SYRINGE

OTC; QL

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC; QL

BD LO-DOSE MICRO-FINE IV SYRINGE OTC; QL

BD LO-DOSE ULTRA-FINE SYRINGE OTC; QL

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE SYRINGE SYRINGE OTC; QL

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC; QL

BREATHERITE MDI SPACER SPACER QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

BREATHERITE VALVED MDI SPACER SPACER

QL

CAREFINE PEN NEEDLE NEEDLE OTC; QL

CARETOUCH PEN NEEDLE NEEDLE OTC; QL

CARETOUCH TWIST LANCET OTC; QL

93


CLICKFINE NEEDLE OTC; QL

COLOR LANCETS OTC; QL

COMFORT EZ PEN NEEDLES NEEDLE OTC; QL

COMFORT EZ SYRINGE SYRINGE OTC; QL

COMPACT SPACE CHAMBER SPACER QL

COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

COMPACT SPACE CHAMBER-SM MASK SPACER

QL

DROPLET LANCING DEVICE OTC; QL

DROPLET PEN NEEDLE NEEDLE OTC; QL

DUREX AVANTI BARE REAL FEEL OTC

EASY CLICK LANCING DEVICE OTC; QL

EASY COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

EASY COMFORT PEN NEEDLES NEEDLE

OTC; QL

EASY TOUCH INSULIN SAFETY SYR SYRINGE

OTC; QL

EASY TOUCH LANCETS OTC; QL

EASY TOUCH LANCING DEVICE OTC; QL

EASY TOUCH NEEDLE OTC; QL

EASY TOUCH SAFETY LANCETS OTC; QL

EASY TOUCH TWIST LANCETS OTC; QL

E-Z JECT LANCETS OTC; QL

E-Z JECT THIN LANCETS OTC; QL

FC2 FEMALE CONDOM OTC

FORA LANCING DEVICE OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC; QL

HEALTHY ACCENTS UNIFINE PENTIP NEEDLE

OTC; QL

HEALTHY ACCENTS UNILET LANCET OTC; QL

IN-CHECK NASAL WITH MASK DEVICE OTC

IN-CHECK ORAL FLOW METER DEVICE

OTC

INCONTROL LANCING DEVICE OTC; QL

94


INCONTROL PEN NEEDLE NEEDLE OTC; QL

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

INSUPEN NEEDLE OTC; QL

INVACARE LANCETS OTC; QL

lancets Accu-Chek FastClix OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC; QL

lancing device with lancets OTC; QL

lancing device with lancets kit Accu-Chek FastClix OTC; QL

lancing system OTC; QL

LANZO LANCING DEVICE KIT OTC; QL

LITE TOUCH INSULIN PEN NEEDLES NEEDLE

OTC; QL

LITE TOUCH LANCING DEVICE OTC; QL

LITEAIRE MDI CHAMBER SPACER QL

MAXI-COMFORT INSULIN SYRINGE SYRINGE

OTC; QL

MEDLANCE PLUS LANCETS OTC; QL

MICROCHAMBER SPACER QL

MICROLET NEXT LANCING DEVICE KIT

OTC; QL

MICROSPACER SPACER QL

MINI LANCING DEVICE OTC; QL

MINI ULTRA-THIN II NEEDLE OTC; QL

MINI WRIGHT PEAK FLOW METER DEVICE

MONOJECT SAFETY SYRINGES SYRINGE

OTC

MONOJECT SYRINGE SYRINGE QL

MONOJECT ULTRA COMFORT INSULIN SYRINGE

OTC; QL

MONOLET LANCETS OTC; QL

MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC; QL


ON CALL LANCING DEVICE OTC; QL

95


ON CALL PLUS LANCING DEVICE OTC; QL

ON-THE-GO LANCETS OTC; QL

OPTICHAMBER DIAMOND LG MASK SPACER

QL

OPTICHAMBER DIAMOND VHC SPACER

QL

OPTICHAMBER DIAMOND-MED MSK SPACER

QL

OPTICHAMBER DIAMOND-SML MASK SPACER

QL

PEAK AIR PEAK FLOW METER DEVICE

OTC

pen needle needle OTC; QL

pen needle, diabetic needle 1st Tier Unifine Pentips OTC; QL

PENTIPS NEEDLE OTC; QL

PERSONAL BEST FULL RANGE DEVICE

OTC

PERSONAL BEST LOW RANGE DEVICE

OTC

POCKET CHAMBER SPACER QL

POCKET PEAK FLOW METER DEVICE OTC

PRIMEAIRE SPACER QL

PRO COMFORT PEN NEEDLE NEEDLE OTC; QL

PROCHAMBER SPACER QL

RELIAMED MINI LANCING DEVICE OTC; QL

RELION NEEDLES NEEDLE OTC; QL

RELION PEN NEEDLES NEEDLE OTC; QL

RELION THIN LANCETS OTC; QL

RITEFLO AEROCHAMBER SPACER QL

SAFETY LANCETS OTC; QL

SMART SENSE LANCETS OTC; QL

STERILANCE TL OTC; QL

SUPER THIN LANCETS OTC; QL

SURE COMFORT PEN NEEDLE NEEDLE

OTC; QL

SURE-JECT INSULIN SYRINGE SYRINGE

OTC; QL

SURE-PEN LANCING DEVICE OTC; QL

TECHLITE LANCETS OTC; QL

96


TECHLITE PEN NEEDLE NEEDLE OTC; QL

TERUMO INSULIN SYRINGE SYRINGE OTC; QL

THIN LANCETS OTC; QL

THINPRO INSULIN SYRINGE SYRINGE OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC




TRUEDRAW LANCING DEVICE OTC; QL

TRUEPLUS INSULIN SYRINGE OTC; QL

TRUEPLUS LANCETS OTC; QL

TRUEPLUS PEN NEEDLE NEEDLE OTC; QL

TRUERESULT BLOOD GLUCOSE SYSTM KIT

OTC; QL

TRUZONE PEAK FLOW METER DEVICE

ULTICARE PEN NEEDLE NEEDLE OTC; QL

ULTI-LANCE OTC; QL

ULTILET PEN NEEDLE NEEDLE OTC; QL

ULTRA CMFT INS SYR HALF UNIT SYRINGE

OTC; QL

ULTRA THIN LANCETS OTC; QL

ULTRA-THIN II (SHORT) INS SYR SYRINGE

OTC; QL

ULTRA-THIN II (SHORT) PEN NDL NEEDLE

OTC; QL

ULTRA-THIN II INS PEN NEEDLES NEEDLE

OTC; QL

ULTRA-THIN II INSULIN SYRINGE SYRINGE

OTC; QL

UNIFINE PENTIPS NEEDLE OTC; QL

UNIFINE PENTIPS PLUS NEEDLE OTC; QL

UNILET COMFORTOUCH LANCET OTC; QL

UNILET LANCET OTC; QL

UNILET LANCETS OTC; QL

UNILET SUPER THIN LANCETS OTC; QL

UNISTIK 2 DEVICE KIT OTC; QL

UNISTIK 3 COMFORT DEVICE KIT OTC; QL

97


UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC; QL

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC; QL

UNISTIK 3 NEONATAL KIT OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

VORTEX HOLDING CHAMBER CHILD SPACER

QL

VORTEX HOLDING CHAMBER SPACER

QL

VORTEX HOLDING CHAMBER TODDLER SPACER

QL

VORTEX VHC FROG MASK-CHILD SPACER

QL

VORTEX VHC LADYBUG MASK-TODDLR SPACER

QL

TERAPIA ALTERNATIVA

TERAPIA ALTERNATIVA

OCUVITE LUTEIN AND ZEAXANTHIN ORAL CAPSULE

OTC

TERAPIA DE LA GOTA Y LA HIPERURICEMIA

AGENTES URICOSÚRICOS

probenecid oral tablet

COMBINADOS DE ALCALOIDE

probenecid-colchicine oral tablet

TERAPIA PARA HIPERURICEMIA, INHIBIDORES DE PURINA

allopurinol oral tablet Zyloprim

TERAPIA DEL TRASTORNO COGNITIVO

INHIBIDORES DE COLINESTERASA

donepezil oral tablet 10 mg, 5 mg Aricept QL

donepezil oral tablet 23 mg Aricept PA; QL

donepezil oral tablet,disintegrating QL

98


galantamine oral capsule,ext rel. pellets 24 hr

Razadyne ER

galantamine oral solution

galantamine oral tablet Razadyne QL

memantine oral solution

memantine oral tablet Namenda

memantine oral tablets,dose pack Namenda Titration Pak

NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK

rivastigmine tartrate oral capsule

TERAPIA GENITOURINARIA

ACIDULANTES URINARIOS (FOSFATOS)

k-phos-neutral oral tablet

phospha 250 neutral oral tablet

AGENTE PARA LA INCONTINENCIA/ANTIESPASMÓDICO PARA TRACTO URINARIO

darifenacin oral tablet extended release 24 hr

Enablex

flavoxate oral tablet QL

oxybutynin chloride oral syrup QL

oxybutynin chloride oral tablet

oxybutynin chloride oral tablet extended release 24hr

Ditropan XL QL

tolterodine oral capsule,extended release 24hr

Detrol LA

tolterodine oral tablet Detrol

trospium oral capsule,extended release 24hr

trospium oral tablet

AGENTES ANALGÉSICOS/ANESTÉSICOS PARA TRACTO URINARIO

phenazopyridine oral tablet Pyridium

AGENTES PARASIMPÁTICOS

bethanechol chloride oral tablet Urecholine QL

DESINTOXICANTES DE SANGRE

calcium acetate oral capsule PA

99


calcium acetate oral tablet Calphron PA

eliphos oral tablet PA

VELPHORO ORAL TABLET,CHEWABLE

PA

HIPERTROFIA PROSTÁTICA BENIGNA/AGENTES MICCIONALES

alfuzosin oral tablet extended release 24 hr

Uroxatral QL

finasteride oral tablet Proscar QL

tamsulosin oral capsule,extended release 24hr

Flomax QL

MODIFICADORES DEL PH URINARIO

cytra k crystals oral packet

cytra-2 oral solution

cytra-3 oral solution

cytra-k oral solution

potassium citrate oral tablet extended release

Urocit-K 10

potassium citrate-citric acid oral packet Cytra K Crystals

potassium citrate-citric acid oral solution Cytra-K

sodium citrate-citric acid oral solution Cytra-2

tricitrates oral solution

virtrate-k oral solution

QUIMIOTERAPÉUTICOS, ANTIBACTERIANOS, VARIOS

methenamine hippurate oral tablet Hiprex

methenamine mandelate oral tablet

nitrofurantoin macrocrystal oral capsule Macrodantin

nitrofurantoin monohyd/m-cryst oral capsule

Macrobid

QUINOLONES

ciprofloxacin (mixture) oral tablet, er multiphase 24 hr

Cipro XR

TERAPIA PARA TRASTORNOS DE LA ALIMENTACIÓN

AGENTES ESTIMULANTES DEL APETITO (PROGESTÁGENO)

megestrol oral suspension

100

lista de medicamentos preferidos aprobado por medicaid · washington lista de medicamentos...

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