Lista de medicamentos preferidos aprobada por Medicaid · Lista de medicamentos preferidos ......

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Lista de medicamentos preferidos aprobada por Medicaid En vigencia desde el 1 de noviembre 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 de medicamentos especiales 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 Referencia Notas

ADJUVANTES QUÍMICOS O FARMACÉUTICOS

ADJUVANTE FARMACÉUTICO (INHALADORES)

nebusal inhalation solution for nebulization

pulmosal inhalation solution for nebulization

sodium chloride inhalation solution for nebulization

NebuSal

ADJUVANTE FARMACÉUTICO

petrolatum topical ointment OTC

petroleum jelly topical gel OTC

petroleum jelly, white topical gel OTC

white petrolatum topical gel Lip Treatment OTC

white petroleum jelly topical gel OTC

QUÍMICOS O SOLVENTES

alcohol, rubbing solution OTC

isopropyl alcohol solution 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

PREPARADOS HEMORROIDALES

anu-med rectal suppository OTC

hemorrhoid rectal ointment OTC

hemorrhoidal (phenyleph-cocoa) rectal suppository

OTC

hemorrhoidal rectal ointment OTC

hemorrhoidal rectal suppository OTC

hemorrhoidal suppository rectal suppository

OTC

2


AGENTES ANTI-INFECCIOSOS

AGENTES ANTIBACTERIALES, OTROS

nitrofurantoin macrocrystal oral capsule Macrodantin

nitrofurantoin monohyd/m-cryst oral capsule

Macrobid

AGENTES ANTIBACTERIANOS ANTIPROTOZOARIOS

metronidazole oral capsule Flagyl

metronidazole oral tablet Flagyl

tinidazole oral tablet QL

AGENTES ANTILEPROSOS, DAPSONA

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 ANTINFECCIOSOS, OTROS

methenamine hippurate oral tablet Hiprex

AGENTES PARA EL TRATAMIENTO DE HEPATITIS B

adefovir oral tablet Hepsera PA

BARACLUDE ORAL SOLUTION PA

entecavir oral tablet Baraclude PA; QL

EPIVIR HBV ORAL SOLUTION PA; QL

lamivudine oral tablet Epivir HBV PA; QL

AMIBICIDAS

paromomycin oral capsule

AMINOGLICÓSIDOS

neomycin oral tablet

3


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 250-125 mg


Augmentin


Augmentin QL

amoxicillin-pot clavulanate oral tablet extended release 12 hr

Augmentin XR QL

amoxicillin-pot clavulanate oral tablet,chewable

QL

ampicillin oral capsule

ANTHELMINTIC AGENTS - MACROCYCLIC LACTONES

ivermectin oral tablet Stromectol

ANTIBIÓTICO SULFONAMIDA

sulfadiazine oral tablet

ANTIBIÓTICOS ANTIMICÓTICOS

fluconazole oral suspension for reconstitution

Diflucan

fluconazole oral tablet Diflucan

flucytosine oral capsule Ancobon PA

griseofulvin microsize oral suspension

griseofulvin ultramicrosize oral tablet

itraconazole oral capsule Sporanox PA

ketoconazole oral tablet

nystatin oral powder

nystatin oral tablet

terbinafine hcl oral tablet

voriconazole oral suspension for reconstitution

Vfend PA

voriconazole oral tablet Vfend PA

4


ANTIHELMÍNTICOS

ALBENZA ORAL TABLET PA; QL

ivermectin oral tablet Stromectol

praziquantel oral tablet Biltricide

reese's pinworm medicine oral suspension OTC

ANTIRETROVIRAL - INTEGRASE INHIBITOR AND NNRTI COMBINATIONS

JULUCA ORAL TABLET

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

BIKTARVY ORAL TABLET

CIMDUO ORAL TABLET

CRIXIVAN ORAL CAPSULE

DESCOVY ORAL TABLET

didanosine oral capsule,delayed release(dr/ec)

Videx EC

EDURANT ORAL TABLET

EMTRIVA ORAL CAPSULE

EMTRIVA ORAL SOLUTION

EVOTAZ ORAL TABLET

FUZEON SUBCUTANEOUS RECON SOLN

PA

GENVOYA ORAL TABLET

INTELENCE ORAL TABLET

ISENTRESS HD ORAL TABLET

ISENTRESS ORAL POWDER IN PACKET

ISENTRESS ORAL TABLET

ISENTRESS ORAL TABLET,CHEWABLE

5


KALETRA ORAL TABLET

lamivudine oral solution Epivir

lamivudine oral tablet Epivir

lamivudine-zidovudine oral tablet Combivir

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

PREZCOBIX ORAL TABLET

PREZISTA ORAL SUSPENSION

PREZISTA ORAL TABLET

RESCRIPTOR ORAL TABLET

RESCRIPTOR ORAL TABLET, DISPERSIBLE

REYATAZ ORAL POWDER IN PACKET

ritonavir oral tablet Norvir

SELZENTRY ORAL SOLUTION

SELZENTRY ORAL TABLET

stavudine oral capsule Zerit

STRIBILD ORAL TABLET

tenofovir disoproxil fumarate oral tablet Viread PA; QL

TIVICAY ORAL TABLET

TRIUMEQ ORAL TABLET

TRUVADA ORAL TABLET

VIDEX 2 GRAM PEDIATRIC ORAL RECON SOLN

VIDEX 4 GRAM PEDIATRIC ORAL RECON SOLN

VIRACEPT ORAL TABLET

VIREAD ORAL POWDER PA; QL

VIREAD ORAL TABLET PA; QL

zidovudine oral capsule Retrovir

zidovudine oral syrup Retrovir

zidovudine oral tablet

6


ANTIVIRALES, GENERALES

acyclovir oral capsule Zovirax

acyclovir oral suspension Zovirax

acyclovir oral tablet Zovirax

famciclovir oral tablet QL

oseltamivir oral capsule Tamiflu QL

oseltamivir oral suspension for reconstitution

Tamiflu QL

RELENZA DISKHALER INHALATION BLISTER WITH DEVICE

QL

rimantadine oral tablet Flumadine

TAMIFLU ORAL SUSPENSION FOR RECONSTITUTION

QL

valacyclovir oral tablet 1 gram Valtrex

valacyclovir oral tablet 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

cefdinir oral suspension for reconstitution QL

cefpodoxime oral suspension for reconstitution

cefpodoxime oral tablet

cefprozil oral suspension for reconstitution

cefprozil oral tablet

cefuroxime axetil oral tablet 250 mg

cefuroxime axetil oral tablet 500 mg QL

cephalexin oral capsule Keflex

cephalexin oral suspension for reconstitution

cephalexin oral tablet

7


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 QL

azithromycin oral suspension for reconstitution

Zithromax QL

azithromycin oral tablet 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)

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 (mixture) oral tablet, er multiphase 24 hr

Cipro XR QL

ciprofloxacin hcl oral tablet QL

levofloxacin oral solution QL

8


levofloxacin oral tablet QL

ofloxacin oral tablet QL

SULFONAMIDAS ABSORBIBLES

sulfamethoxazole-trimethoprim oral suspension

Sulfatrim

sulfamethoxazole-trimethoprim oral tablet Bactrim

sulfatrim oral suspension

trimethoprim oral tablet

TETRACICLINA

demeclocycline oral tablet

doxycycline monohydrate oral capsule Mondoxyne NL

doxycycline monohydrate oral suspension for reconstitution

Vibramycin

minocycline oral capsule

minocycline oral tablet

tetracycline oral capsule

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: COMPLEMENTO RADIOLÓGICO GASTROINTESTINAL

GLUCAGEN DIAGNOSTIC KIT INJECTION RECON SOLN

QL

PRUEBAS DIAGNÓSTICAS MÚLTIPLES DE ORINA

AZO TEST STRIPS STRIP OTC

URINARY TRACT INF.TEST (WBCS) STRIP

OTC

AGENTES DE TERAPIA CARDIOVASCULAR

AGENTES BLOQUEADORES ALFA ADRENÉRGICOS

doxazosin oral tablet Cardura QL

prazosin oral capsule Minipress

terazosin oral capsule QL

9


AGENTES BLOQUEADORES ALFA/BETA ADRENÉRGICOS

carvedilol oral tablet 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

pindolol oral tablet

propranolol oral capsule,extended release 24 hr

Inderal LA

propranolol oral solution

propranolol oral tablet

sorine oral tablet

sotalol af oral tablet

sotalol oral tablet Betapace

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 Norvasc QL

amlodipine oral tablet 2.5 mg, 5 mg Norvasc DO; 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

10


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 Cardizem QL

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

Cardizem LA DO; QL

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 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 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

11


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 injection auto-injector Auvi-Q 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 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

12


quinidine sulfate oral tablet

sorine oral tablet

sotalol af oral tablet

sotalol oral tablet Betapace

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

DIURÉTICOS DE ASA

bumetanide oral tablet

furosemide oral solution

furosemide oral tablet Lasix

torsemide oral tablet Demadex

GLUCÓSIDOS DIGITÁLICOS

digitek oral tablet

digox oral tablet

digoxin oral solution

digoxin oral tablet Digitek

HIPERTENSIÓN ARTERIAL PULMONAR

LETAIRIS ORAL TABLET PA; QL

sildenafil (antihypertensive) oral tablet Revatio PA; QL

tadalafil (antihypertensive) oral tablet Adcirca PA; QL

HIPOTENSIVOS, ANTAGONISTA DE LOS RECEPTORES DE LA ANGIOTENSINA

candesartan oral tablet Atacand QL

candesartan-hydrochlorothiazid oral tablet Atacand HCT QL

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

irbesartan oral tablet 300 mg Avapro QL

irbesartan-hydrochlorothiazide oral tablet Avalide QL

losartan oral tablet Cozaar QL

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

Hyzaar QL

13


losartan-hydrochlorothiazide oral tablet 50-12.5 mg

Hyzaar DO; QL

valsartan oral tablet Diovan QL

valsartan-hydrochlorothiazide oral tablet 160-12.5 mg, 80-12.5 mg

Diovan HCT DO; QL

valsartan-hydrochlorothiazide oral tablet 160-25 mg, 320-12.5 mg, 320-25 mg

Diovan HCT QL

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

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 DO; QL

guanfacine oral tablet DO; QL

methyldopa oral tablet

HIPOTENSIVOS, VARIOS

atenolol-chlorthalidone oral tablet Tenoretic 100

bisoprolol-hydrochlorothiazide oral tablet Ziac

14


methyldopa-hydrochlorothiazide oral tablet

metoprolol ta-hydrochlorothiaz oral tablet Lopressor HCT QL

nadolol-bendroflumethiazide oral tablet Corzide

propranolol-hydrochlorothiazid oral tablet

HIPOTENSIVOS, VASODILATADORES

hydralazine oral tablet

minoxidil oral tablet

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 10 mg, 20 mg, 40 mg

Lipitor DO; QL

atorvastatin oral tablet 80 mg Lipitor 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 QL

fenofibrate nanocrystallized oral tablet Tricor QL

fenofibrate oral tablet QL

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

Trilipix QL

15


fenofibric acid oral tablet Fibricor QL

fish oil concentrate oral capsule OTC

fish oil oral capsule,delayed release(dr/ec) OTC

gemfibrozil oral tablet Lopid

GRAM-O-LECI ORAL TABLET,CHEWABLE

OTC

inositol oral tablet OTC

lecithin oral capsule OTC

lecithin, soy oral capsule OTC

lovastatin oral tablet 10 mg, 20 mg DO; QL

lovastatin oral tablet 40 mg QL

maxepa oral capsule OTC

niacin oral tablet Niacor OTC

omega-3 fatty acids oral capsule Fish Oil Concentrate OTC

pravastatin oral tablet 10 mg DO; QL

pravastatin oral tablet 20 mg, 40 mg Pravachol DO; QL

pravastatin oral tablet 80 mg Pravachol QL

prevalite oral powder

prevalite oral powder in packet

simvastatin oral tablet 10 mg, 20 mg, 40 mg

Zocor DO; QL

simvastatin oral tablet 5 mg DO; QL

simvastatin oral tablet 80 mg Zocor PA; QL

super omega-3 oral capsule OTC

SUPER TWIN EPA-DHA ORAL CAPSULE

OTC

vitamin e oral capsule OTC

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

16


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 sublingual tablet Nitrostat

nitroglycerin transdermal patch 24 hour Minitran

VASOPRESOR ADRENÉRGICO

midodrine oral tablet

AGENTES DE TERAPIA GASTROINTESTINAL

AGENTES ANTIEMÉTICOS/ANTIVÉRTIGOS

anti-nausea oral solution OTC

compro rectal suppository

dimenhydrinate oral tablet Dramamine OTC

dramamine less drowsy oral tablet OTC

driminate oral tablet OTC

formula em oral solution OTC

meclizine oral tablet OTC

meclizine oral tablet,chewableMotion Sickness Relief(mecliz)

OTC

medi-meclizine oral tablet OTC

motion relief (meclizine) oral tablet OTC

motion sickness (meclizine) oral tablet OTC

motion sickness ii oral tablet OTC

motion sickness oral tablet OTC

motion sickness relief oral tablet OTC

motion sickness relief(mecliz) oral tablet OTC

motion sickness relief(mecliz) oral tablet,chewable

OTC

nausea control oral solution OTC

nausea relief oral solution OTC

17


ondansetron oral tablet,disintegrating QL

phenadoz rectal suppository AL

prochlorperazine maleate oral tablet Compazine

prochlorperazine rectal suppository Compazine

promethazine oral syrup AL

promethazine oral tablet 12.5 mg, 50 mg AL

promethazine oral tablet 25 mg AL; QL

promethazine rectal suppository Phenadoz AL

promethegan rectal suppository AL

travel sickness (meclizine) oral tablet,chewable

OTC

travel sickness oral tablet OTC

trimethobenzamide oral capsule Tigan

wal-dram oral tablet OTC

AGENTES PARA LA ENFERMEDAD INFLAMATORIA INTESTINAL

budesonide oral capsule,delayed,extend.release

Entocort EC QL

colocort rectal enema

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

acid gone antacid e.strength oral tablet,chewable

OTC

acid gone antacid oral suspension OTC

advanced antacid-antigas oral suspension OTC

alcalak oral tablet,chewable OTC

almacone oral suspension OTC

almacone-2 oral suspension OTC

aluminum hydroxide gel oral suspension OTC

18


antacid (calcium carb-mag hyd) oral tablet,chewable

OTC

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

OTC; QL

antacid (calcium carbonate) oral tablet,chewable 215 mg calcium (500 mg)

OTC

antacid anti-gas double str oral suspension

OTC

antacid anti-gas oral suspension OTC

antacid exst (mag carb-al hyd) oral tablet,chewable

OTC

antacid ext str (calcium carb) oral tablet,chewable

OTC

antacid extra-strength oral suspension OTC

antacid extra-strength oral tablet,chewable

OTC

antacid liquid oral suspension OTC

antacid m oral suspension OTC

antacid maximum strength oral suspension

OTC

antacid oral suspension OTC

antacid plus anti-gas oral suspension OTC

antacid regular strength oral suspension OTC

antacid supreme oral suspension OTC

antacid ultra strength oral tablet,chewable OTC

antacid-antigas oral suspension OTC

antacid-simethicone oral suspension 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), 430 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 suspension OTC

calcium carbonate oral tablet OTC; QL

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

Antacid (calcium carbonate) OTC; QL

19


calcium carbonate oral tablet,chewable 300 mg (750 mg)

Antacid Ext Str (calcium carb)

OTC

calcium carbonate oral tablet,chewable 400 mg calcium (1,000 mg)

Antacid Ultra Strength OTC

cal-gest antacid oral tablet,chewable OTC; QL

children's pepto oral tablet,chewable OTC

children's soothe oral tablet,chewable OTC

comfort gel extra strength oral suspension OTC

comfort gel oral suspension OTC

flavor chews antacid oral tablet,chewable OTC

foaming antacid oral suspension OTC

foaming antacid oral tablet,chewable OTC

geri-lanta oral suspension OTC

heartburn antacid oral tablet,chewable OTC

heartburn relief oral tablet,chewable OTC

liquid antacid oral suspension OTC

maalox maximum strength oral suspension

OTC

mag-al plus extra strength oral suspension

OTC

mag-al plus oral suspension OTC

magnesium oxide oral tablet MagOx OTC; QL

masanti double strength oral suspension OTC

mi-acid oral suspension OTC

mi-acid oral tablet,chewable OTC

mintox maximum strength oral suspension OTC

mintox oral suspension OTC

mintox plus oral tablet,chewable OTC

ri-gel ii oral suspension OTC

ri-gel oral suspension OTC

riginic oral suspension OTC

ri-mag oral suspension OTC

ri-mag plus oral suspension OTC

ri-mox oral suspension OTC

ri-mox plus oral suspension OTC

smooth antacid oral tablet,chewable OTC

sodium bicarbonate oral tablet OTC

tums ultra oral tablet,chewable OTC

20


ultra strength antacid oral tablet,chewable OTC

ultra strength calcium antacid oral tablet,chewable

OTC

ANTIDIARREICOS

anti-diarrhea oral tablet OTC; QL

anti-diarrheal (loperamide) oral capsule OTC; QL

anti-diarrheal (loperamide) oral liquid OTC; QL

anti-diarrheal (loperamide) oral tablet OTC; QL

bismatrol oral suspension 262 mg/15 ml OTC; QL

bismatrol oral suspension 525 mg/15 ml OTC

bismatrol oral tablet,chewable OTC

bismuth maximum strength oral suspension

OTC

bismuth oral suspension OTC; QL

bismuth oral tablet OTC

bismuth oral tablet,chewable OTC

bismuth subsalicylate oral tablet,chewable Bismatrol OTC

diamode oral tablet OTC; QL

diarrhea relief (bismuth subs) oral suspension

OTC; QL

diotame oral tablet,chewable OTC

diphenoxylate-atropine oral liquid

diphenoxylate-atropine oral tablet Lomotil

kaopectate (bismuth subsalicy) oral suspension

OTC; QL

kaopectate ex str (bismuth ss) oral suspension

OTC

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 tablet,chewable OTC

pepto-bismol oral tablet,chewable OTC

pepto-bismol to-go oral tablet,chewable OTC

pink bismuth maximum strength oral suspension

OTC

21


pink bismuth oral suspension 262 mg/15 ml

OTC; QL

pink bismuth oral suspension 525 mg/15 ml

OTC

pink bismuth oral tablet OTC

pink bismuth oral tablet,chewable OTC

soothe (bismuth subsalicylate) oral tablet OTC

soothe (bismuth subsalicylate) oral tablet,chewable

OTC

soothe regular strength oral suspension OTC; QL

stomach relief max strength oral suspension

OTC

stomach relief oral suspension 262 mg/15 ml

OTC; QL

stomach relief oral suspension 525 mg/15 ml

OTC

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

hyoscyamine sulfate oral tablet Levsin

hyoscyamine sulfate oral tablet,disintegrating

Anaspaz

hyoscyamine sulfate sublingual tablet Levsin/SL

hyosyne oral drops

hyosyne oral elixir

propantheline oral tablet

symax fastabs oral tablet,disintegrating

ANTIFLATULENTOS

anti-gas ultra strength oral capsule OTC

bicarsim forte oral tablet OTC

gas relief 80 oral tablet,chewable OTC

gas relief extra strength oral capsule OTC

gas relief extra strength oral tablet,chewable

OTC

22


gas relief oral capsule OTC

gas relief oral drops,suspension OTC

gas relief oral tablet,chewable OTC

gas relief ultra strength oral capsule OTC

infants gas relief oral drops,suspension OTC

mi-acid gas relief oral tablet,chewable OTC

simethicone oral capsule Anti-Gas Ultra Strength OTC

simethicone oral drops,suspension Gas Relief OTC

simethicone oral tablet,chewable Gas Relief OTC

ENZIMAS PANCREÁTICAS

CREON ORAL CAPSULE,DELAYED RELEASE(DR/EC)

dairy aid oral tablet,chewable OTC

dairy digestive oral tablet OTC

dairy digestive supplement oral tablet OTC

dairy relief oral tablet OTC

dairy relief oral tablet,chewable OTC

lac-dose oral tablet OTC

lactase fast acting oral tablet OTC

lactase fast acting oral tablet,chewable OTC

lactase oral tablet Dairy Relief OTC

ultra dairy digestive oral tablet OTC

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

mesalamine with cleansing wipe rectal enema kit

Rowasa QL

sulfasalazine oral tablet Azulfidine QL

sulfasalazine oral tablet,delayed release (dr/ec)

Azulfidine EN-tabs QL

23


LAXANTES Y CATÁRTICOS

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

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

chocolate laxative oral tablet,chewable OTC

citrate of magnesia oral solution OTC

citroma oral solution OTC

citrucel oral tablet OTC

clearlax oral powder OTC

col-rite oral capsule 100 mg OTC; QL

col-rite oral capsule 250 mg OTC

constulose oral solution QL

daily fiber oral capsule OTC

diocto oral liquid OTC

diocto oral syrup OTC

dioctyl oral syrup OTC

docu oral liquid OTC

docuprene oral tablet OTC

docusate calcium oral capsule Kao-Tin (docusate calcium) OTC

docusate sodium oral capsule 100 mg Col-Rite OTC; QL

docusate sodium oral capsule 250 mg Col-Rite OTC

docusate sodium oral liquid 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

dok plus oral tablet OTC

dss oral capsule OTC

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

dulcoease oral capsule OTC; QL

dulcolax stool softener (dss) oral capsule OTC; QL

easy fiber oral powder OTC

24


enema disposable rectal enema OTC

enema rectal enema OTC

enulose oral solution

epsom salt oral granules OTC

fiber (calcium polycarbophil) oral tablet OTC

fiber (dextrin) oral powder OTC

fiber (psyllium husk) oral capsule OTC

fiber (psyllium husk/sugar) oral powder OTC

fiber (with aspartame) oral powder OTC

fiber laxative (ca polycarbo) oral tablet OTC

fiber laxative (methylcellulo) oral tablet OTC

fiber laxative (psyllium husk) oral capsule OTC

fiber oral powder OTC

fiber smooth (sucrose) oral powder OTC

fiber smooth oral powder OTC

fiber supplement (inulin) oral tablet,chewable

OTC

fiber therapy (ca polycarboph) oral tablet OTC

fiber therapy (m-cell/sugar) oral powder OTC

fiber therapy (m-cellulose) oral tablet OTC

fiber therapy laxative (husk) oral capsule OTC

fiber-caps (psyllium husk) oral capsule OTC

fiber-lax oral tablet OTC

fiber-tabs oral tablet OTC

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

gentlelax oral powder OTC

geri-kot oral tablet OTC

25


glycerin (adult) rectal suppository Fleet Glycerin (Adult) 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)

QL

lactulose oral solution 20 gram/30 ml

laxacin oral tablet OTC

laxaclear oral powder OTC

laxative (bisacodyl) oral tablet OTC

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

OTC; QL

laxative (bisacodyl) rectal suppository OTC

laxative (sennosides) oral tablet OTC

laxative (sennosides) oral tablet,chewable OTC

laxative feminine oral tablet OTC

laxative maximum strength oral tablet OTC

laxative peg 3350 oral powder OTC

laxative pills oral tablet OTC

laxative pills regular oral tablet OTC

laxative plus stool softener oral tablet OTC

magnesium citrate oral solution Citrate of Magnesia OTC

magnesium hydroxide oral suspension Milk of Magnesia OTC

milk of magnesia concentrated oral suspension

OTC

milk of magnesia oral suspension OTC

mineral oil extra heavy oral oil OTC

mineral oil heavy oral oil OTC

mineral oil laxative oral oil OTC

mineral oil oral oil Mineral Oil Extra Heavy OTC

mineral oil rectal enema Fleet Mineral Oil OTC

miralax oral powder in packet OTC; QL

natural fiber laxative (sugar) oral powder OTC

natural fiber laxative oral capsule OTC

natural fiber laxative therapy oral powder OTC

26


natural fiber laxative(aspart) oral powder OTC

natural fiber supplement oral powder in packet

OTC

natural laxative oral tablet OTC

natural veg laxative(sennosid) oral tablet OTC

natural vegetable (psyllium) oral powder OTC

natural vegetable oral powder OTC

natural vegetable powder oral powder OTC

oral saline laxative oral liquid OTC

p-col rite oral tablet OTC

peg 3350-electrolytes oral recon soln GaviLyte-G QL

peg-electrolyte soln oral recon soln GaviLyte-N QL

perdiem overnight relief oral tablet OTC

phosphate laxative oral liquid OTC

polyethylene glycol 3350 oral powder ClearLax OTC

polyethylene glycol 3350 oral powder in packet

ClearLax OTC; QL

promolaxin oral tablet OTC

psyllium husk oral capsule Daily Fiber OTC

purelax oral powder OTC

purelax oral powder in packet 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

senexon-s oral tablet OTC

senna lax oral tablet OTC

senna laxative oral tablet OTC

senna laxative-stool softener oral tablet OTC

senna oral syrup OTC

senna oral tablet OTC

senna plus oral tablet OTC

senna with docusate sodium oral tablet OTC

senna-extra oral tablet OTC

senna-s oral tablet OTC

27


senna-time s oral tablet OTC

senno oral tablet OTC

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

sen-o-tab oral tablet OTC

silace oral liquid OTC

silace oral syrup OTC

smoothlax oral powder OTC

smoothlax oral powder in packet OTC; QL

sof-lax oral capsule OTC; QL

stimulant laxative plus oral tablet OTC

stool softener (docusate cal) oral capsule OTC

stool softener oral capsule 100 mg OTC; QL

stool softener oral capsule 250 mg, 50 mg OTC

stool softener oral liquid OTC

stool softener oral syrup OTC

stool softener oral tablet OTC

stool softener-laxative oral tablet OTC

stool softener-stimulant laxat oral tablet OTC

suppository adult rectal suppository OTC

surfak oral capsule OTC

the magic bullet rectal suppository OTC

trilyte with flavor packets oral recon soln QL

vegetable laxative oral tablet OTC

wal-mucil fiber (aspartame) oral powder OTC

wal-mucil fiber (sugar) oral powder OTC

wal-mucil fiber oral capsule OTC

wal-mucil natural fiber lax oral powder OTC

woman's laxative oral tablet OTC

woman's laxative oral tablet,delayed release (dr/ec)

OTC; QL

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

OTC; QL

women's laxative (bisacodyl) oral tablet OTC

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

OTC; QL

REDUCTORES DE SECRECIÓN ÁCIDA GÁSTRICA

acid control (ranitidine) oral tablet OTC; QL

28


acid controller complete oral tablet,chewable

OTC

acid controller oral tablet OTC

acid reducer (famotidine) oral tablet OTC

acid reducer (omeprazole) oral capsule,delayed release(dr/ec)

OTC; QL

acid reducer (ranitidine) oral tablet 150 mg OTC; QL

acid reducer (ranitidine) oral tablet 75 mg OTC

acid reducer complete (famot) oral tablet,chewable

OTC

CARAFATE ORAL SUSPENSION

complete oral tablet,chewable OTC

dual action complete oral tablet,chewable OTC

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

Nexium OTC; QL

famotidine oral suspension Pepcid PA

famotidine oral tablet 10 mg, 20 mg Acid Controller OTC

famotidine oral tablet 40 mg Pepcid

heartburn prevention oral tablet OTC

heartburn relief (famotidine) oral tablet OTC

heartburn relief (ranitidine) oral tablet 150 mg

OTC; QL

heartburn relief (ranitidine) oral tablet 75 mg

OTC

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

OTC; QL

lansoprazole oral capsule,delayed release(dr/ec)

Heartburn Treatment 24 Hour

OTC; QL

misoprostol oral tablet Cytotec

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

OTC; QL

NEXIUM 24HR ORAL TABLET,DELAYED RELEASE (DR/EC)

OTC; QL

nizatidine oral capsule

nizatidine oral solution PA

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

Acid Reducer (omeprazole) OTC; QL

29


omeprazole oral capsule,delayed release(dr/ec)

PA; Preferred for Members less than 6 years of age. PA required for members greater than 6.; QL

omeprazole oral tablet,delayed release (dr/ec)

OTC; QL

omeprazole oral tablet,disintegrat, delay rel

OTC

OMEPRAZOLE-SODIUM BICARBONATE ORAL CAPSULE

OmePPi OTC; QL

pepcid ac oral tablet OTC

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

OTC; QL

PRILOSEC OTC ORAL TABLET,DELAYED RELEASE (DR/EC)

OTC; QL

ranitidine hcl oral capsule

ranitidine hcl oral syrup

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

ranitidine hcl oral tablet 300 mg Zantac

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

sucralfate oral tablet Carafate

wal-zan 150 oral tablet OTC; QL

wal-zan 75 oral tablet OTC

ZANTAC 75 ORAL TABLET OTC

zantac maximum strength oral tablet OTC; QL

zantac oral tablet OTC; QL

ZEGERID OTC ORAL CAPSULE OTC; QL

SALES BILIARES

ursodiol oral capsule Actigall

ursodiol oral tablet URSO 250

AGENTES DE TERAPIA RESPIRATORIA

AGENTES ALFA/BETA ADRENÉRGICOS

epinephrine injection solution Adrenalin

epinephrine injection syringe

30


AGENTES BETA ADRENÉRGICOS

albuterol sulfate inhalation solution for nebulization 0.63 mg/3 ml, 1.25 mg/3 ml, 2.5 mg /3 ml (0.083 %)

QL

albuterol sulfate inhalation solution for nebulization 2.5 mg/0.5 ml, 5 mg/ml

albuterol sulfate oral syrup

albuterol sulfate oral tablet

albuterol sulfate oral tablet extended release 12 hr

metaproterenol oral syrup

metaproterenol oral tablet

SEREVENT DISKUS INHALATION BLISTER WITH DEVICE

QL

terbutaline oral tablet

VENTOLIN HFA INHALATION HFA AEROSOL INHALER

QL

AGENTES BRONCODILATADORES GENERALES

ATROVENT HFA INHALATION HFA AEROSOL INHALER

QL

ipratropium bromide inhalation solution QL

SPIRIVA RESPIMAT INHALATION MIST QL

AGENTES PARA EL TRATAMIENTO DE LA FIBROSIS QUÍSTICA

tobramycin in 0.225 % nacl inhalation solution for nebulization

Tobi

AGENTES PARA EL TRATAMIENTO DEL ASMA

ARNUITY ELLIPTA INHALATION BLISTER WITH DEVICE

QL

budesonide inhalation suspension for nebulization

Pulmicort PA; AL; QL

cromolyn inhalation solution for nebulization

FLOVENT DISKUS INHALATION BLISTER WITH DEVICE

QL

FLOVENT HFA INHALATION HFA AEROSOL INHALER

QL

montelukast oral granules in packet Singulair QL

31


montelukast oral tablet Singulair QL

montelukast oral tablet,chewable Singulair QL

zafirlukast oral tablet Accolate

ANALGÉSICOS/ANTIPIRÉTICOS, NO SALICILATO

acetadryl oral tablet AL; OTC

aceta-gesic oral tablet AL; OTC

acetaminophen pm extra str oral tablet OTC

acetaminophen pm oral tablet OTC

diphenhydramine-acetaminophen oral tablet

Acetadryl OTC

headache pm oral tablet OTC

headache relief pm oral tablet OTC

mapap pm oral tablet OTC

menstrual relief oral tablet OTC

midol pm oral tablet OTC

non-aspirin nightime oral tablet AL; OTC

non-aspirin pain relief pm 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 AL; OTC

pain reliever pm oral tablet AL; OTC

percogesic extra strength oral tablet AL; OTC

percogesic oral tablet AL; OTC

ANTIBIÓTICOS NASALES

BACTROBAN NASAL NASAL OINTMENT

QL

ANTICOLINÉRGICOS NASALES

ipratropium bromide nasal spray,non-aerosol

QL

ANTIHISTAMÍNICOS NASALES

azelastine nasal aerosol,spray QL

azelastine nasal spray,non-aerosol Astepro QL

ANTIHISTAMÍNICOS

alavert oral tablet,disintegrating OTC; QL

aler-cap oral capsule OTC; QL

alka-seltzer plus allergy oral tablet OTC

32


aller-chlor oral tablet OTC

allerclear oral tablet OTC; QL

aller-ease oral tablet PA; OTC; QL

aller-fex oral tablet PA; OTC; QL

aller-g-time oral tablet OTC

allergy (chlorpheniramine) oral tablet OTC

allergy (diphenhydramine) oral capsule OTC; QL

allergy (diphenhydramine) oral liquid OTC; QL

allergy (diphenhydramine) oral tablet OTC

allergy 4-hour oral tablet OTC

allergy medication oral capsule OTC; QL

allergy medicine oral capsule OTC; QL

allergy medicine oral liquid OTC; QL

allergy medicine oral tablet OTC

allergy relief (clemastine) oral tablet OTC

allergy relief (fexofenadine) oral tablet PA; OTC; QL

allergy relief (loratadine) oral solution OTC

allergy relief (loratadine) oral tablet OTC; QL

allergy relief (loratadine) oral tablet,disintegrating

OTC; QL

allergy relief(chlorpheniramn) oral tablet OTC

ALLERGY RELIEF(CHLORPHENIRAMN) ORAL TABLET EXTENDED RELEASE

OTC

allergy relief(diphenhydramin) oral capsule

OTC; QL

allergy relief(diphenhydramin) oral liquid OTC; QL

allergy relief(diphenhydramin) oral tablet OTC

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

carbinoxamine maleate oral liquid AL

carbinoxamine maleate oral tablet AL

child allergy relief (diphen) oral tablet,disintegrating

OTC

33


children's allegra allergy oral suspension OTC; QL

children's allegra allergy oral tablet,disintegrating

PA; OTC

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

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

children's allergy (diphenhyd) oral tablet,disintegrating

OTC

CHILDREN'S ALLERGY RELIEF(FEX) ORAL SUSPENSION

OTC; QL

children's allergy relief(lor) oral solution OTC

children's wal-dryl allergy oral liquid OTC; QL

children's wal-dryl allergy oral prefilled spoon

OTC

children's wal-dryl allergy oral tablet,disintegrating

OTC

CHILDREN'S WAL-FEX ORAL SUSPENSION

OTC; QL

chlorhist oral tablet OTC

chlorpheniramine maleate oral tablet Aller-Chlor OTC

chlorpheniramine maleate oral tablet extended release

Allergy Relief(chlorpheniramn)

OTC

chlortabs oral tablet OTC

clemastine oral tablet

complete allergy medicine oral capsule OTC; QL

complete allergy medicine oral tablet OTC

complete allergy oral capsule OTC; QL

complete allergy oral liquid OTC; QL

complete allergy oral tablet OTC

cyproheptadine oral tablet

dayhist allergy oral tablet OTC

diphedryl allergy oral liquid OTC; QL

diphedryl oral capsule OTC; QL

diphedryl oral liquid OTC; QL

diphedryl oral tablet OTC

diphen oral tablet OTC

diphenhist oral capsule OTC; QL

diphenhist oral liquid OTC; QL

diphenhist oral tablet OTC

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

34


diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral elixirChildren's Allergy (diphenhyd)

OTC; QL

diphenhydramine hcl oral liquid Allergy (diphenhydramine) OTC; QL

diphenhydramine hcl oral syrup OTC

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC

ed chlorped jr oral syrup OTC

ed-chlorped oral drops OTC

fexofenadine oral suspension Children's Allegra Allergy OTC; QL

fexofenadine oral tablet 180 mg Allegra Allergy PA; OTC; QL

fexofenadine oral tablet 60 mg Allegra Allergy OTC; QL

loradamed oral tablet OTC; QL

loratadine oral capsule Claritin Liqui-Gel OTC

loratadine oral solution Allergy Relief (loratadine) OTC

loratadine oral tablet Allerclear OTC; QL

loratadine oral tablet,disintegrating Alavert OTC; QL

nightime sleep oral capsule OTC

nighttime sleep aid (diphen) oral capsule OTC

nighttime sleep aid (diphen) oral tablet OTC

non-drowsy allergy oral tablet OTC; QL

pharbechlor oral tablet OTC

pharbedryl oral capsule 25 mg OTC; QL

pharbedryl oral capsule 50 mg OTC

phenadoz rectal suppository AL

promethazine oral syrup AL

promethazine oral tablet 12.5 mg, 50 mg AL

promethazine oral tablet 25 mg AL; QL

promethazine rectal suppository Phenadoz AL

promethegan rectal suppository AL

rest simply nighttime sleep oral tablet OTC

siladryl sa oral liquid OTC; QL

simply 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 ii oral tablet OTC

35


sleep oral tablet OTC

sleep tablet (diphenhydramine) oral tablet OTC

sleep-tabs oral tablet OTC

unisom sleepgels oral capsule OTC

valu-dryl allergy oral capsule OTC; QL

wal-dryl allergy oral capsule OTC; QL

wal-dryl allergy oral liquid OTC; QL

wal-dryl allergy oral tablet OTC

wal-fex allergy oral tablet PA; OTC; QL

wal-finate oral tablet OTC

wal-itin oral solution OTC

wal-itin oral tablet OTC; QL

wal-som (diphenhydramine) oral capsule OTC

ANTITUSIVOS, NO NARCÓTICOS

cough drops mucous membrane lozenge OTC

COMBINACIÓN DE AGENTES BETA ADRENÉRGICOS

ANORO ELLIPTA INHALATION BLISTER WITH DEVICE

QL

COMBIVENT RESPIMAT INHALATION MIST

ipratropium-albuterol inhalation solution for nebulization

STIOLTO RESPIMAT INHALATION MIST

QL

COMBINACIONES ANTITUSIVAS NO NARCÓTICAS

adult robitussin peak cold dm oral liquid AL; OTC

adult tussin cough congest dm oral liquid AL; OTC

adult tussin dm oral syrup AL; OTC

antitussive dm oral syrup AL; OTC

benzonatate oral capsule

biocotron oral liquid AL; OTC

biogil oral liquid AL; OTC

brotapp dm oral elixir AL; OTC

child chest congestion-cough oral liquid AL; OTC

child mucus relief cough oral liquid AL; OTC

children's cough oral liquid AL; OTC

36


CHILDREN'S MUCINEX COUGH ORAL LIQUID

AL; OTC

cough dm er oral suspension,extended rel 12 hr

OTC

cough relief oral liquid OTC

cough suppressant-expectorant oral syrup AL; OTC

cough syrup dm oral syrup AL; OTC

day-time cough oral syrup OTC

despec eda cough-cold drops oral drops AL; OTC

dextromethorphan polistirex oral suspension,extended rel 12 hr

12-Hour Cough Relief OTC

dextromethorphan-guaifenesin oral syrup Adult Tussin DM AL; OTC

diabetic siltussin-dm oral liquid AL; OTC

diabetic tussin dm oral liquid AL; OTC

g-tron oral liquid AL; OTC

kidkare cough/cold oral liquid AL; OTC

MUCINEX DM ORAL TABLET EXTENDED RELEASE 12 HR

AL; OTC

MUCINEX FAST-MAX DM MAX ORAL LIQUID

AL; OTC

mucus relief cough oral liquid AL; OTC

mucus relief dm max oral liquid AL; OTC

neo-tuss oral liquid AL; OTC

non-aspirin flu oral tablet OTC

pedia relief cough-cold oral liquid AL; OTC

pediatric cough and cold oral liquid AL; OTC

promethazine-dm oral syrup AL

ri-tussin dm oral syrup AL; OTC

robafen dm cough oral liquid AL; OTC

robafen dm cough-chest congest oral syrup

AL; OTC

robafen dm oral syrup AL; OTC

siltussin dm das oral liquid AL; OTC

siltussin-dm oral syrup AL; OTC

supress dx oral drops AL; OTC

tusnel diabetic oral liquid AL; OTC

tussin cough (dm only) oral liquid OTC

tussin cough-chest congestion oral liquid AL; OTC

37


tussin dm clear oral syrup AL; OTC

tussin dm cough oral syrup AL; OTC

tussin dm oral liquid AL; OTC

tussin dm oral syrup AL; OTC

tussin maximum strength cough oral syrup OTC

VICKS DAYQUIL COUGH ORAL SYRUP OTC

wal-tussin cough oral liquid OTC

wal-tussin dm oral syrup AL; OTC

wal-tussin max strength cough oral syrup OTC

COMBINACIONES DE ANTIHISTAMÍNICOS Y DESCONGESTIVOS

alavert d-12 allergy-sinus oral tablet extended release 12 hr

AL; OTC

allerclear d-12hr oral tablet extended release 12 hr

AL; OTC

allerclear d-24hr oral tablet extended release 24 hr

AL; OTC

allergy and congestion relief oral tablet extended release 12 hr

AL; OTC

allergy and congestion relief oral tablet extended release 24 hr

AL; OTC

allergy relief d12 oral tablet extended release 12 hr

AL; OTC

allergy relief d-24hr oral tablet extended release 24 hr

AL; OTC

allergy relief,nasal decongest oral tablet extended release 24 hr

AL; OTC

allergy relief-d (loratadine) oral tablet extended release 12 hr

AL; OTC

allergy relief-d(fexofenadine) oral tablet extended release 12 hr

AL; OTC; QL

allergy-congestion relief-d oral tablet extended release 24 hr

AL; OTC

aprodine oral tablet AL; OTC

ed a-hist pse oral tablet AL; OTC

fexofenadine-pseudoephedrine oral tablet extended release 12 hr

Allegra-D 12 Hour AL; OTC; QL

lohist - d oral liquid AL; OTC

lorata-d oral tablet extended release 24 hr AL; OTC

38


lorata-dine d oral tablet extended release 24 hr

AL; OTC

loratadine-d oral tablet extended release 12 hr

AL; OTC

loratadine-d oral tablet extended release 24 hr

AL; OTC

promethazine vc oral syrup AL

promethazine-phenylephrine oral syrup Promethazine VC AL

ritifed oral syrup AL; OTC

r-tanna oral tablet AL

rynex pse oral liquid AL; OTC

wal-act d cold and allergy oral tablet AL; OTC

wal-fex d 12 hour oral tablet extended release 12 hr

AL; OTC; QL

wal-fex d 24 hour oral tablet extended release 24 hr

AL; OTC; QL

wal-itin d 12 hour oral tablet extended release 12 hr

AL; OTC

wal-itin d oral tablet extended release 24 hr

AL; OTC

COMBINACIONES DE ANTITUSIVOS NARCÓTICOS

cheratussin ac oral liquid AL; OTC

guaiatussin ac oral liquid AL; OTC

guaifenesin ac oral liquid AL; OTC

guaifenesin dac oral syrup AL; OTC

hydrocodone-homatropine oral syrup Hydrocodone Compound AL

hydrocodone-homatropine oral tablet AL

hydromet oral syrup AL

m-clear wc oral liquid AL; OTC

promethazine vc-codeine oral syrup AL

promethazine-codeine oral syrup AL

promethazine-phenyleph-codeine oral syrup

Promethazine VC-Codeine AL

tusnel c oral syrup AL; OTC

virtussin ac oral liquid AL; OTC

39


COMBINACIONES DE GLUCOCORTICOIDES Y BETA-ADRENÉRGICOS

BREO ELLIPTA INHALATION BLISTER WITH DEVICE

PA; QL

fluticasone-salmeterol inhalation aerosol powdr breath activated

AirDuo RespiClick PA

CORTICOESTEROIDES NASALES

24 hour allergy relief nasal spray,suspension

OTC; QL

24 HOUR NASAL ALLERGY NASAL AEROSOL,SPRAY

OTC; QL

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

CHILDREN'S NASACORT NASAL AEROSOL,SPRAY

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

NASACORT NASAL AEROSOL,SPRAY OTC; QL

nasal allergy nasal aerosol,spray OTC; QL

triamcinolone acetonide nasal aerosol,spray

24 Hour Nasal Allergy OTC; QL

DESCONGESTIVOS SIMPATICOMIMÉTICOS SISTÉMICOS

12 hour decongestant oral tablet extended release

OTC

12 hour nasal decongest (pse) oral tablet extended release

OTC

children's silfedrine oral liquid OTC

nasal decongestant (pseudoeph) oral liquid

OTC

nasal decongestant (pseudoeph) oral tablet

OTC

40


nasal decongestant (pseudoeph) oral tablet extended release

OTC

pedia relief infant nasal oral drops OTC

pseudoephedrine hcl oral liquidNasal Decongestant (pseudoeph)

OTC

pseudoephedrine hcl oral tabletNasal Decongestant (pseudoeph)

OTC

pseudoephedrine hcl oral tablet extended release

12 Hour Decongestant AL; OTC

sinus 12 hour oral tablet extended release OTC

sudogest 12-hour oral tablet extended release

OTC

sudogest oral tablet OTC

suphedrin 12 hour oral tablet extended release

OTC

suphedrin oral liquid OTC

suphedrin oral tablet OTC

suphedrine 12 hour oral tablet extended release

OTC

suphedrine oral tablet OTC

wal-phed 12 hour oral tablet extended release

OTC

wal-phed d oral tablet extended release AL; OTC

wal-phed oral tablet OTC

ESTABILIZADORES DE MASTOCITOS

cromolyn nasal spray,non-aerosolNasal Allergy Symptom Control

OTC

nasal allergy symptom control nasal spray,non-aerosol

OTC

EXPECTORANTES

adult tussin chest congestion oral liquid AL; OTC

adult wal-tussin oral liquid OTC

chest congestion relief oral tablet OTC

child mucus relief expectorant oral liquid OTC

children's chest congestion oral liquid OTC

cough syrup oral liquid OTC

coughtab oral tablet OTC

diabetic siltussin das-na oral liquid OTC

41


diabetic tussin ex oral liquid OTC

expectorant cough syrup oral liquid OTC

expectorant oral liquid OTC

fenesin ir oral tablet OTC

geri-tussin oral liquid OTC

guaifenesin oral liquidAdult Tussin Chest Congestion

OTC

guaifenesin oral tablet Coughtab OTC

mucosa oral tablet OTC

mucus relief chest oral tablet OTC

mucus relief oral tablet OTC

ri-tussin oral liquid OTC

robafen oral liquid OTC

scot-tussin expectorant oral liquid OTC

siltussin sa oral liquid OTC

tussin chest congestion oral liquid OTC

tussin expectorant oral liquid OTC

tussin honey oral liquid OTC

tussin mucus-chest congestion oral liquid AL; OTC

tussin oral liquid OTC

tussin oral tablet OTC

MUCOLÍTICOS

acetylcysteine solution

PULMOZYME INHALATION SOLUTION PA; QL

NASAL, OTROS

altamist nasal aerosol,spray OTC

ayr saline nasal aerosol,spray OTC

ayr saline nasal drops OTC

baby ayr saline nasal drops OTC

children's saline nasal spray nasal aerosol,spray

OTC

deep sea nasal nasal aerosol,spray OTC

little remedies nasal aerosol,spray OTC

nasal mist nasal aerosol,spray OTC

nasal moisturizing nasal aerosol,spray OTC

nasal spray (sodium chloride) nasal aerosol,spray

OTC

ocean nasal nasal aerosol,spray OTC

42


saline mist nasal aerosol,spray OTC

saline nasal mist nasal aerosol,spray OTC

saline nasal nasal aerosol,spray OTC

saline nose nasal aerosol,spray OTC

sterile saline nasal aerosol,spray OTC

XANTINAS

theochron oral tablet extended release 12 hr

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 intensol oral concentrate DO; QL

alprazolam oral tablet Xanax QL

alprazolam oral tablet,disintegrating DO; QL

buspirone oral tablet DO; QL

chlordiazepoxide hcl oral capsule DO; QL

clonazepam oral tablet Klonopin QL

clonazepam oral tablet,disintegrating QL

clorazepate dipotassium oral tablet DO; QL

diazepam intensol oral concentrate DO; QL

diazepam oral concentrate Diazepam Intensol DO; QL

diazepam oral solution QL

diazepam oral tablet Valium DO; QL

hydroxyzine hcl oral tablet DO; QL

hydroxyzine pamoate oral capsule DO; QL

lorazepam oral tablet Ativan QL

oxazepam oral capsule QL

ANTICONVULSIVOS

carbamazepine oral capsule, er multiphase 12 hr

Carbatrol QL

carbamazepine oral suspension Tegretol DO; QL

carbamazepine oral tablet Epitol DO; QL

43


carbamazepine oral tablet extended release 12 hr

Tegretol XR DO; QL

carbamazepine oral tablet,chewable DO; QL



diazepam rectal kit Diastat QL

divalproex oral capsule, delayed rel sprinkle

Depakote Sprinkles DO; QL

divalproex oral tablet extended release 24 hr

Depakote ER DO; QL

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

Depakote DO; QL

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

Depakote

epitol oral tablet DO; QL

ethosuximide oral capsule Zarontin

ethosuximide oral solution Zarontin

felbamate oral suspension Felbatol

felbamate oral tablet Felbatol

gabapentin oral capsule 100 mg Neurontin DO; QL

gabapentin oral capsule 300 mg, 400 mg Neurontin QL

gabapentin oral solution Neurontin QL

gabapentin oral tablet Neurontin QL

lamotrigine oral tablet Lamictal QL

lamotrigine oral tablet disintegrating, dose pk

Lamictal ODT Starter (Orange)

lamotrigine oral tablet extended release 24hr

Lamictal XR QL

lamotrigine oral tablet, chewable dispersible

Lamictal QL

lamotrigine oral tablet,disintegrating Lamictal ODT QL

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

levetiracetam oral solution Keppra

levetiracetam oral tablet Keppra

levetiracetam oral tablet extended release 24 hr

Keppra XR QL

oxcarbazepine oral suspension Trileptal DO; QL

oxcarbazepine oral tablet 150 mg, 300 mg Trileptal QL

oxcarbazepine oral tablet 600 mg Trileptal DO; QL

44


phenobarbital oral elixir QL

phenobarbital oral tablet 100 mg, 15 mg, 60 mg

phenobarbital oral tablet 16.2 mg, 30 mg, 32.4 mg, 64.8 mg, 97.2 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

roweepra xr oral tablet extended release 24 hr

QL

tiagabine oral tablet Gabitril

topiramate oral capsule, sprinkle Topamax QL

topiramate oral tablet Topamax QL

valproic acid (as sodium salt) oral solution Depakene

valproic acid oral capsule Depakene DO; QL

zonisamide oral capsule 100 mg Zonegran QL

zonisamide oral capsule 25 mg Zonegran

zonisamide oral capsule 50 mg

ANTIDEPRESIVOS ANTAGONISTAS DE RECEPTORES ALFA-2

mirtazapine oral tablet Remeron DO; QL

mirtazapine oral tablet,disintegrating Remeron SolTab DO; QL

ANTIDEPRESIVOS TRICÍCLICOS E INHIBIDORES DE RECAPTACIÓN NO SELECCIONADOS RELACIONADOS

amitriptyline oral tablet DO; QL

amoxapine oral tablet

clomipramine oral capsule Anafranil DO; QL

desipramine oral tablet Norpramin DO; QL

doxepin oral capsule DO; QL

doxepin oral concentrate DO; QL

imipramine hcl oral tablet Tofranil DO; QL

imipramine pamoate oral capsule DO; QL

maprotiline oral tablet DO; QL

nortriptyline oral capsule Pamelor DO; QL

45


nortriptyline oral solution DO; QL

protriptyline oral tablet DO; QL

trimipramine oral capsule Surmontil DO; QL

ANTIDEPRESIVOS, OTROS

perphenazine-amitriptyline oral tablet

ANTIPSICÓTICOS, DOPAMINA ATÍPICA Y ANTAGONISTAS DE SEROTONINA

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL RECON

PA; AL

ABILIFY MAINTENA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

PA; AL

aripiprazole oral tablet 10 mg, 2 mg, 5 mg Abilify DO; AL; QL

aripiprazole oral tablet 15 mg, 20 mg, 30 mg

Abilify AL; QL

ARISTADA INTRAMUSCULAR SUSPENSION,EXTENDED REL SYRING

PA; AL

clozapine oral tablet 100 mg, 25 mg Clozaril DO; AL; QL

clozapine oral tablet 200 mg AL; QL

clozapine oral tablet 50 mg DO; AL; QL

INVEGA SUSTENNA INTRAMUSCULAR SYRINGE

PA; AL; QL

INVEGA TRINZA INTRAMUSCULAR SYRINGE

PA; AL; QL

olanzapine intramuscular recon soln Zyprexa

olanzapine oral tablet 10 mg, 15 mg, 20 mg

Zyprexa AL; QL

olanzapine oral tablet 2.5 mg, 5 mg, 7.5 mg

Zyprexa DO; AL; QL

paliperidone oral tablet extended release 24hr 1.5 mg

Invega AL

paliperidone oral tablet extended release 24hr 3 mg

Invega DO; AL; QL

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

Invega AL; QL

quetiapine oral tablet 100 mg, 25 mg, 50 mg

Seroquel DO; AL; QL

quetiapine oral tablet 200 mg, 300 mg, 400 mg

Seroquel AL; QL

RISPERDAL CONSTA INTRAMUSCULAR SYRINGE

PA; AL; QL

46


risperidone oral solution Risperdal AL

risperidone oral tablet 0.25 mg, 0.5 mg, 1 mg, 2 mg

Risperdal DO; AL; QL

risperidone oral tablet 3 mg, 4 mg Risperdal AL; QL

ziprasidone hcl oral capsule 20 mg, 40 mg Geodon DO; AL; QL

ziprasidone hcl oral capsule 60 mg, 80 mg Geodon AL; QL

ZYPREXA RELPREVV INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION

PA; AL

ANTIPSICÓTICOS, TÍPICOS

chlorpromazine oral tablet 10 mg, 25 mg, 50 mg

DO; AL; QL

chlorpromazine oral tablet 100 mg, 200 mg

AL; QL

fluphenazine decanoate injection solution AL

fluphenazine hcl injection solution AL

fluphenazine hcl oral concentrate AL

fluphenazine hcl oral elixir AL

fluphenazine hcl oral tablet 1 mg, 2.5 mg DO; AL; QL

fluphenazine hcl oral tablet 10 mg, 5 mg AL; QL

haloperidol decanoate intramuscular solution 100 mg/ml

Haldol Decanoate AL; QL

haloperidol decanoate intramuscular solution 50 mg/ml

Haldol Decanoate AL

haloperidol lactate injection solution Haldol AL

haloperidol lactate oral concentrate AL

haloperidol oral tablet 0.5 mg, 1 mg, 2 mg DO; AL; QL

haloperidol oral tablet 10 mg, 20 mg, 5 mg AL; QL

loxapine succinate oral capsule 10 mg, 25 mg, 5 mg

DO; AL; QL

loxapine succinate oral capsule 50 mg AL; QL

perphenazine oral tablet 16 mg, 4 mg, 8 mg

AL; QL

perphenazine oral tablet 2 mg DO; AL; QL

pimozide oral tablet Orap PA; DO; QL

prochlorperazine maleate oral tablet Compazine

thioridazine oral tablet 10 mg, 25 mg DO; QL

thioridazine oral tablet 100 mg, 50 mg QL

thiothixene oral capsule 1 mg, 2 mg, 5 mg DO; AL; QL

47


thiothixene oral capsule 10 mg AL; QL

trifluoperazine oral tablet 1 mg, 2 mg DO; AL; QL

trifluoperazine oral tablet 10 mg, 5 mg AL; QL

BENZODIACEPINAS

alprazolam intensol oral concentrate DO; QL

alprazolam oral tablet Xanax QL

alprazolam oral tablet,disintegrating DO; QL

amitriptyline-chlordiazepoxide oral tablet

chlordiazepoxide hcl oral capsule DO; QL



clorazepate dipotassium oral tablet DO; QL

diazepam intensol oral concentrate DO; QL

diazepam oral concentrate Diazepam Intensol DO; QL

diazepam oral solution QL

diazepam oral tablet Valium DO; QL

diazepam rectal kit Diastat QL

estazolam oral tablet DO; QL

flurazepam oral capsule DO; QL

lorazepam oral tablet Ativan QL

oxazepam oral capsule QL

temazepam oral capsule Restoril DO; QL

triazolam oral tablet Halcion DO; QL

COMBINACIONES DE BENZODIACEPINA/ANTIDEPRESIVOS TRICÍCLICOS

amitriptyline-chlordiazepoxide oral tablet

DÉFICIT DE ATENCIÓN, HIPERACTIVIDAD (TDAH)/NARCOLEPSIA

atomoxetine oral capsule Strattera DO; AL; QL

caffeine citrate oral solution

clonidine hcl oral tablet extended release 12 hr

Kapvay AL

dexmethylphenidate oral capsule,er biphasic 50-50 10 mg, 15 mg, 20 mg, 5 mg

Focalin XR DO; AL; QL

48


dexmethylphenidate oral capsule,er biphasic 50-50 25 mg, 30 mg, 35 mg, 40 mg

Focalin XR AL; QL

dexmethylphenidate oral tablet 10 mg Focalin AL; QL

dexmethylphenidate oral tablet 2.5 mg Focalin DO; AL; QL

dexmethylphenidate oral tablet 5 mg Focalin PA; DO; AL; QL

dextroamphetamine oral capsule, extended release 10 mg, 15 mg

Dexedrine Spansule AL; QL

dextroamphetamine oral capsule, extended release 5 mg

Dexedrine Spansule DO; AL; QL

dextroamphetamine oral tablet 10 mg Zenzedi AL; QL

dextroamphetamine oral tablet 5 mg Zenzedi DO; AL; QL

dextroamphetamine-amphetamine oral capsule,extended release 24hr 10 mg, 15 mg, 5 mg

Adderall XR DO; AL; QL


Adderall XR AL; QL

dextroamphetamine-amphetamine oral tablet 10 mg, 12.5 mg, 15 mg, 5 mg, 7.5 mg

Adderall DO; AL; QL

dextroamphetamine-amphetamine oral tablet 20 mg, 30 mg

Adderall AL; QL

metadate er oral tablet extended release AL; QL

methylphenidate hcl oral capsule, er biphasic 30-70 10 mg, 20 mg, 30 mg

DO; AL; QL

methylphenidate hcl oral capsule, er biphasic 30-70 40 mg, 50 mg, 60 mg

AL; QL

methylphenidate hcl oral capsule,er biphasic 50-50 10 mg, 30 mg, 40 mg

Ritalin LA AL; QL

methylphenidate hcl oral capsule,er biphasic 50-50 20 mg

Ritalin LA DO; AL; QL

methylphenidate hcl oral capsule,er biphasic 50-50 60 mg

AL; QL

methylphenidate hcl oral solution Methylin AL; QL

methylphenidate hcl oral tablet Ritalin DO; AL; QL

methylphenidate hcl oral tablet extended release 10 mg

DO; AL; QL

methylphenidate hcl oral tablet extended release 20 mg

Metadate ER AL; QL

methylphenidate hcl oral tablet extended release 24hr 18 mg, 27 mg

Concerta DO; AL; QL

49


methylphenidate hcl oral tablet extended release 24hr 36 mg, 54 mg

Concerta AL; QL

ESTIMULANTES DEL SNC

dextroamphetamine oral capsule, extended release 10 mg, 15 mg

Dexedrine Spansule AL; QL

dextroamphetamine oral capsule, extended release 5 mg

Dexedrine Spansule DO; AL; QL

dextroamphetamine oral tablet 10 mg Zenzedi AL; QL

dextroamphetamine oral tablet 5 mg Zenzedi DO; AL; QL


Adderall XR DO; AL; QL


Adderall XR AL; QL

dextroamphetamine-amphetamine oral tablet 10 mg, 12.5 mg, 15 mg, 5 mg, 7.5 mg

Adderall DO; AL; QL

dextroamphetamine-amphetamine oral tablet 20 mg, 30 mg

Adderall AL; QL

INHIBIDOR SELECTIVO DE RECAPTACIÓN DE SEROTONINA (ISRS)

citalopram oral solution QL

citalopram oral tablet 10 mg, 20 mg Celexa DO; QL

citalopram oral tablet 40 mg Celexa QL

escitalopram oxalate oral solution QL

escitalopram oxalate oral tablet 10 mg, 5 mg

Lexapro DO; QL

escitalopram oxalate oral tablet 20 mg Lexapro QL

fluoxetine oral capsule 10 mg, 20 mg Prozac DO; QL

fluoxetine oral capsule 40 mg Prozac QL

fluoxetine oral capsule,delayed release(dr/ec)

QL

fluoxetine oral solution QL

fluoxetine oral tablet Sarafem DO; QL

fluvoxamine oral tablet 100 mg QL

fluvoxamine oral tablet 25 mg, 50 mg DO; QL

paroxetine hcl oral tablet 10 mg, 20 mg Paxil DO; QL

paroxetine hcl oral tablet 30 mg, 40 mg Paxil QL

50


paroxetine hcl oral tablet extended release 24 hr 12.5 mg

Paxil CR DO; QL

paroxetine hcl oral tablet extended release 24 hr 25 mg, 37.5 mg

Paxil CR QL

sertraline oral concentrate Zoloft QL

sertraline oral tablet 100 mg Zoloft QL

sertraline oral tablet 25 mg, 50 mg Zoloft DO; QL

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

nefazodone oral tablet DO; QL

trazodone oral tablet DO; QL

INHIBIDORES DE RECAPTACIÓN DE DOPAMINA Y NOREPINEFRINA (IRND)

bupropion hcl oral tablet 100 mg QL

bupropion hcl oral tablet 75 mg DO; QL

bupropion hcl oral tablet extended release 24 hr 150 mg

Wellbutrin XL DO; QL

bupropion hcl oral tablet extended release 24 hr 300 mg

Wellbutrin XL QL

bupropion hcl oral tablet sustained-release 12 hr 100 mg

Wellbutrin SR DO; QL

bupropion hcl oral tablet sustained-release 12 hr 150 mg, 200 mg

Wellbutrin SR QL

INHIBIDORES DE RECAPTACIÓN DE SEROTONINA-NOREPINEFRINA (IRSN)

venlafaxine oral capsule,extended release 24hr 150 mg

Effexor XR QL

venlafaxine oral capsule,extended release 24hr 37.5 mg, 75 mg

Effexor XR DO; QL

venlafaxine oral tablet 100 mg, 25 mg, 50 mg

QL

venlafaxine oral tablet 37.5 mg, 75 mg DO; QL

venlafaxine oral tablet extended release 24hr 150 mg, 225 mg

QL

venlafaxine oral tablet extended release 24hr 37.5 mg, 75 mg

DO; QL

51


INHIBIDORES MAO

phenelzine oral tablet Nardil DO; QL

tranylcypromine oral tablet Parnate DO; QL

MEDICAMENTOS ANTIMANÍACOS

lithium carbonate oral capsule DO; QL

lithium carbonate oral tablet DO; QL

lithium carbonate oral tablet extended release

Lithobid DO; QL

lithium citrate oral solution

MEDICAMENTOS PARA EL PARKINSON, ANTICOLINÉRGICO

benztropine oral tablet

trihexyphenidyl oral elixir

trihexyphenidyl oral tablet

MEDICAMENTOS PARA EL PARKINSON, OTROS

amantadine hcl oral capsule

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

Stalevo 50

entacapone oral tablet Comtan

pramipexole oral tablet Mirapex

ropinirole oral tablet Requip

selegiline hcl oral capsule

selegiline hcl oral tablet

PREPARADOS PARA LA MIGRAÑA

divalproex oral tablet extended release 24 hr

Depakote ER DO; QL

ergotamine-caffeine oral tablet Cafergot

52


isometh-dichloral-acetaminophn oral capsule

migergot rectal suppository

naratriptan oral tablet Amerge QL

sumatriptan nasal spray,non-aerosol Imitrex PA; QL

sumatriptan succinate oral tablet Imitrex QL

sumatriptan succinate subcutaneous cartridge

Imitrex STATdose Refill PA; QL

sumatriptan succinate subcutaneous pen injector

Imitrex STATdose Pen PA; QL

sumatriptan succinate subcutaneous solution

Imitrex PA; QL

SEDANTE HIPNÓTICO, BARBITÚRICOS

phenobarbital oral elixir QL

phenobarbital oral tablet 100 mg, 15 mg, 60 mg

phenobarbital oral tablet 16.2 mg, 30 mg, 32.4 mg, 64.8 mg, 97.2 mg

QL

SEDANTE HIPNÓTICO, NO BARBITÚRICOS

alka-seltzer plus allergy oral tablet OTC

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

diphenhydramine hcl oral capsule 50 mg Banophen OTC

diphenhydramine hcl oral tablet Alka-Seltzer Plus Allergy OTC

estazolam oral tablet DO; QL

flurazepam oral capsule DO; QL

nightime sleep oral capsule OTC

nighttime sleep aid (diphen) oral capsule OTC

nighttime sleep aid (diphen) oral tablet OTC

rest simply nighttime sleep oral tablet OTC

simply sleep oral tablet OTC

sleep aid (diphenhydramine) oral capsule OTC

sleep aid (diphenhydramine) oral tablet OTC

sleep aid (doxylamine) oral tablet OTC

sleep aid max str (diphenhydr) oral capsule

OTC

sleep ii oral tablet OTC

sleep oral tablet OTC

53


sleep tablet (diphenhydramine) oral tablet OTC

sleep-tabs oral tablet OTC

temazepam oral capsule Restoril DO; QL

triazolam oral tablet Halcion DO; QL

unisom sleepgels oral capsule OTC

wal-som (diphenhydramine) oral capsule OTC

zaleplon oral capsule DO; QL

zolpidem oral tablet Ambien DO; QL

AGENTES HEMATOLÓGICOS

AGENTES ANTIFIBRINOLÍTICOS

tranexamic acid oral tablet Lysteda QL

AGENTES HEMORREOLÓGICOS

pentoxifylline oral tablet extended release

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

HEMATÍNICOS, OTRO

ARANESP (IN POLYSORBATE) INJECTION SOLUTION

PA

ARANESP (IN POLYSORBATE) INJECTION SYRINGE

PA

EPOGEN INJECTION SOLUTION PA

PROCRIT INJECTION SOLUTION PA

HEPARINA Y PREPARADOS RELACIONADOS

enoxaparin subcutaneous solution Lovenox QL

enoxaparin subcutaneous syringe Lovenox QL

heparin (porcine) injection cartridge

heparin (porcine) injection solution

heparin, porcine (pf) injection solution

heparin, porcine (pf) injection syringe

54


INHIBIDORES DE AGREGACIÓN PLAQUETARIA

anagrelide oral capsule Agrylin

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

aspirin childrens oral tablet,chewable OTC

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

OTC

aspirin oral tablet Bayer Aspirin OTC

aspirin oral tablet,chewable Aspirin Childrens OTC

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

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

OTC

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

OTC

bayer advanced oral tablet OTC

bayer aspirin oral tablet OTC

children's aspirin oral tablet,chewable OTC

cilostazol oral tablet

clopidogrel oral tablet 300 mg Plavix

clopidogrel oral tablet 75 mg Plavix QL

dipyridamole oral tablet

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

lite coat aspirin oral tablet OTC

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

55


SANDIMMUNE ORAL SOLUTION

sirolimus oral tablet Rapamune

tacrolimus oral capsule Prograf

AGENTES OFTÁLMICOS

AGENTES ANTINFLAMATORIOS OFTÁLMICOS

dexamethasone sodium phosphate ophthalmic (eye) drops

diclofenac sodium ophthalmic (eye) drops

fluorometholone ophthalmic (eye) drops,suspension

FML Liquifilm

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

ak-poly-bac ophthalmic (eye) ointment

bacitracin ophthalmic (eye) ointment QL

bacitracin-polymyxin b ophthalmic (eye) ointment

AK-Poly-Bac

56


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

neomycin-bacitracin-polymyxin ophthalmic (eye) ointment

Neo-Polycin QL

neomycin-polymyxin-gramicidin ophthalmic (eye) drops

QL

neo-polycin ophthalmic (eye) ointment QL

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

allergy eye (ketotifen) 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 allergy relief ophthalmic (eye) drops 0.025-0.3 %

OTC; QL

eye allergy relief ophthalmic (eye) drops 0.02675-0.315 %

OTC

eye itch relief ophthalmic (eye) drops OTC; QL

itchy eye drops ophthalmic (eye) drops OTC; QL

ketotifen fumarate ophthalmic (eye) drops Alaway OTC; QL

redness reliever lubricant ophthalmic (eye) drops

OTC

wal-zyr (ketotifen) ophthalmic (eye) drops OTC; QL

57


ANTIVIRALES OFTÁLMICOS

trifluridine ophthalmic (eye) drops Viroptic QL

DESCONGESTIVOS OFTÁLMICOS

altazine ophthalmic (eye) drops OTC; QL

eye drops (tetrahydrozoline) ophthalmic (eye) drops

OTC; QL

eye drops (with povidone) ophthalmic (eye) drops

OTC

eye drops advanced relief ophthalmic (eye) drops

OTC

eye drops allergy relief ophthalmic (eye) drops

OTC; QL

opti-clear ophthalmic (eye) drops OTC; QL

phenylephrine hcl ophthalmic (eye) drops

redness reliever eye drops ophthalmic (eye) drops

OTC; QL

redness reliever lubricant ophthalmic (eye) drops

OTC

sterile eye drops ophthalmic (eye) drops OTC; QL

ESTABILIZADORES DE MASTOCITOS OFTÁLMICOS

cromolyn ophthalmic (eye) drops QL

LÁGRIMAS ARTIFICIALES

advanced eye relief ophthalmic (eye) drops

OTC

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

OTC

artificial tears (pf) ophthalmic (eye) dropperette

OTC

artificial tears (polyvin alc) ophthalmic (eye) drops

OTC

artificial tears(dext70-hypro) ophthalmic (eye) drops

OTC

artificial tears(glycerin-peg) ophthalmic (eye) drops

OTC

artificial tears(pg-hypm-glyc) ophthalmic (eye) drops

OTC

dry eye relief ophthalmic (eye) drops OTC

eye drop tears ophthalmic (eye) drops OTC

for sty relief ophthalmic (eye) ointment OTC

58


liquitears ophthalmic (eye) drops OTC

lubricant (p-glycol-glycerin) ophthalmic (eye) drops

OTC

lubricant eye drops ophthalmic (eye) drops

OTC

lubricant eye ophthalmic (eye) ointment OTC

moisture drops ophthalmic (eye) drops OTC

polyvinyl alcohol ophthalmic (eye) drops Artificial Tears (polyvin alc) OTC

puralube ophthalmic (eye) ointment OTC

tears again (pva) ophthalmic (eye) drops OTC

ultra fresh ophthalmic (eye) drops OTC

MIDRIÁTRICOS

atropine ophthalmic (eye) drops Isopto Atropine QL

MIÓTICOS/OTROS REDUCTORES DE PRESIÓN INTRAOCULAR

apraclonidine ophthalmic (eye) drops Iopidine

betaxolol ophthalmic (eye) drops

brimonidine ophthalmic (eye) drops QL

carteolol ophthalmic (eye) drops

dorzolamide ophthalmic (eye) drops Trusopt QL

dorzolamide-timolol ophthalmic (eye) drops

Cosopt QL

latanoprost ophthalmic (eye) drops Xalatan

levobunolol ophthalmic (eye) drops

metipranolol ophthalmic (eye) drops

pilocarpine hcl ophthalmic (eye) drops Isopto Carpine

timolol maleate ophthalmic (eye) drops Timoptic QL

timolol maleate ophthalmic (eye) gel forming solution

Timoptic-XE QL

OFTÁLMICOS, OTROS

artificial tears(dext70-hypro) ophthalmic (eye) drops

OTC

ANALGÉSICO, ANTINFLAMATORIO O ANTIPIRÉTICO

ANALGÉSICO/ANTIPIRÉTICOS, SALICILATOS

added strength headache relief oral tablet OTC

antacid and pain relief oral tablet, effervescent

OTC

59


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

aspirin childrens oral tablet,chewable OTC

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

OTC

aspirin oral tablet Bayer Aspirin OTC

aspirin oral tablet,chewable Aspirin Childrens OTC

aspirin oral tablet,delayed release (dr/ec) OTC

aspirin rectal suppository OTC

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

OTC

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

OTC

back and body pain reliever oral tablet OTC

bayer advanced oral tablet OTC

bayer aspirin oral tablet OTC

bufferin oral tablet OTC

butalbital-aspirin-caffeine oral capsule Fiorinal QL

children's aspirin oral tablet,chewable OTC

choline,magnesium salicylate oral liquid

diflunisal oral tablet

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

efferves pain relief antacid oral tablet, effervescent

OTC

headache relief (asa-acet-caf) oral tablet OTC

lite coat aspirin oral tablet OTC

migraine formula oral tablet OTC

migraine relief oral tablet OTC

pain relief (acetamin-asp-caf) oral tablet OTC

pain reliever (acetam-aspirin) oral tablet OTC

pain reliever plus oral tablet OTC

pain-off oral tablet OTC

salsalate oral tablet Disalcid

tri-buffered aspirin oral tablet OTC

ANALGÉSICOS, NARCÓTICOS

acetaminophen-codeine oral solution PA; AL; QL

acetaminophen-codeine oral tablet 300-15 mg

AL; QL

60



Tylenol-Codeine #3 PA; AL; QL


Tylenol-Codeine #4 PA; AL; QL

ascomp with codeine oral capsule PA; AL; QL

butalbital compound w/codeine oral capsule

PA; AL; QL

butalbital-acetaminop-caf-cod oral capsule PA; AL; QL

butorphanol tartrate nasal spray,non-aerosol

PA; QL

codeine sulfate oral tablet PA; AL; QL

diskets oral tablet,soluble QL

endocet oral tablet PA; QL

fentanyl citrate buccal lozenge on a handle

Actiq PA; QL

fentanyl transdermal patch 72 hour Duragesic PA; QL

hydrocodone-acetaminophen oral solution Hycet PA; QL

hydrocodone-acetaminophen oral tablet Lorcet (hydrocodone) PA; QL

hydrocodone-ibuprofen oral tablet PA; QL

hydromorphone oral liquid Dilaudid PA; QL

hydromorphone oral tablet Dilaudid PA; QL

meperidine oral solution PA; QL

meperidine oral tablet PA; QL

methadone intensol oral concentrate PA; QL

methadone oral concentrate Methadone Intensol PA; QL

methadone oral solution PA; QL

methadone oral tablet Dolophine PA; QL

methadone oral tablet,soluble Diskets PA; QL

methadose oral concentrate PA; QL

methadose oral tablet,soluble PA; QL

morphine concentrate oral solution PA; QL

morphine oral solution PA; QL

morphine oral tablet QL

morphine oral tablet extended release MS Contin PA; QL

oxycodone oral capsule PA; QL

oxycodone oral concentrate PA; QL

oxycodone oral solution PA; QL

oxycodone oral tablet Roxicodone PA; QL

61


oxycodone-acetaminophen oral tablet Endocet PA; QL

oxycodone-aspirin oral tablet PA; QL

pentazocine-naloxone oral tablet PA; QL

tramadol oral tablet Ultram PA; AL; QL

tramadol-acetaminophen oral tablet Ultracet PA; AL; QL

vicodin es oral tablet PA; QL

vicodin hp oral tablet PA; QL

vicodin oral tablet PA; QL

ANALGÉSICOS, NO NARCÓTICOS

8 hour pain reliever oral tablet extended release

OTC

acephen rectal suppository OTC

acetaminophen extra strength oral tablet OTC

acetaminophen oral drops,suspension Infant's Pain Relief OTC

acetaminophen oral liquid Children's Pain-Fever Relief OTC

acetaminophen oral solution Mapap (acetaminophen) OTC

acetaminophen oral suspension BetaTemp OTC

acetaminophen oral tablet Athenol OTC

acetaminophen oral tablet extended release

8 Hour Pain Reliever OTC

acetaminophen oral tablet,disintegrating Children's Acetaminophen OTC

acetaminophen pain relief oral tablet OTC

acetaminophen rectal suppository Acephen OTC

arthritis pain relief (acetam) oral tablet extended release

OTC

arthritis pain reliever oral tablet extended release

OTC

athenol oral tablet OTC

betatemp oral suspension OTC

BUTALBITAL-ACETAMINOPHEN ORAL CAPSULE

QL

butalbital-acetaminophen oral tablet Tencon QL

butalbital-acetaminophen-caff oral capsule Capacet QL

butalbital-acetaminophen-caff oral tablet Esgic QL

capacet oral capsule QL

child pain rel-fever reducer rectal suppository

OTC

children's acetaminophen oral suspension OTC

62


children's acetaminophen oral tablet,chewable

OTC

children's acetaminophen oral tablet,disintegrating

OTC

children's easy-melts oral tablet,disintegrating

OTC

children's fever reducing rectal suppository

OTC

children's mapap oral tablet,disintegrating OTC

children's non-aspirin oral suspension OTC

children's non-aspirin oral tablet,chewable OTC

children's pain relief oral suspension OTC

children's pain reliever oral suspension OTC

children's pain reliever oral tablet,disintegrating

OTC

children's pain-fever relief oral liquid OTC

children's pain-fever relief oral suspension OTC

children's pain-fever relief oral tablet,chewable

OTC

children's pain-fever relief oral tablet,disintegrating

OTC

children's silapap oral liquid OTC

children's tactinal oral tablet,chewable OTC

ed-apap oral liquid OTC

fever reducer an pain reliever oral suspension

OTC

fever reducer rectal suppository OTC

feverall rectal suppository OTC

infant fever reducer-pain relf oral suspension

OTC

infant pain reliever oral suspension OTC

infants' pain and fever oral suspension OTC

infant's pain relief oral drops,suspension OTC

infants' pain relief oral suspension OTC

infant's pain relief oral suspension OTC

infant's pain reliever oral drops,suspension

OTC

jr. acetaminophen oral tablet,disintegrating

OTC

63


jr. str non-aspirin pain oral tablet,disintegrating

OTC

jr. strength pain reliever oral tablet,disintegrating

OTC

little remedies fever and pain oral liquid OTC

mapap (acetaminophen) oral capsule OTC

mapap (acetaminophen) oral liquid OTC

mapap (acetaminophen) oral suspension OTC

mapap (acetaminophen) oral tablet OTC

mapap arthritis pain oral tablet extended release

OTC

mapap extra strength oral tablet OTC

masophen oral tablet OTC

non-aspirin childrens oral drops OTC

non-aspirin extra strength oral liquid OTC

non-aspirin extra strength oral tablet OTC

non-aspirin jr strength oral tablet,chewable

OTC

non-aspirin oral elixir OTC

non-aspirin oral suspension OTC

non-aspirin oral tablet OTC

non-aspirin oral tablet,chewable OTC

non-aspirin pain relief oral tablet OTC

nortemp oral drops OTC

nortemp oral suspension OTC

pain and fever oral tablet OTC

pain relief 8hr oral tablet extended release OTC

pain relief adult oral liquid OTC

pain relief extra strength oral tablet OTC

pain relief oral liquid OTC

pain relief oral tablet OTC

pain relief oral tablet extended release OTC

pain relief regular strength oral tablet OTC

pain reliever extra strength oral tablet OTC

pain reliever jr strength oral tablet,chewable

OTC

pain reliever oral tablet OTC

pediacare fever reducer oral suspension OTC

64


pharbetol oral tablet OTC

pre-menstrual relief oral tablet OTC

premsyn pms oral tablet OTC

tactinal extra strength oral tablet OTC

tactinal oral tablet OTC

tencon oral tablet QL

tylophen oral capsule OTC

ANTINFLAMATORIO, INHIBIDOR DE LA SÍNTESIS DE PIRIMIDINA

leflunomide oral tablet Arava

RIDAURA ORAL CAPSULE

FÁRMACOS ANTIRREUMÁTICOS MODIFICADORES DE LA ENFERMEDAD (FARME)

DEPEN TITRATABS ORAL TABLET PA

hydroxychloroquine oral tablet Plaquenil

minocycline oral capsule

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 ANTINFLAMATORIA

ENBREL MINI SUBCUTANEOUS CARTRIDGE

PA; QL

ENBREL SUBCUTANEOUS RECON SOLN

PA; QL

ENBREL SUBCUTANEOUS SYRINGE PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL


PA; QL


PA; QL


PA; QL


PA; QL

65



PA; QL

INHIBIDOR DEL FACTOR DE NECROSIS TUMORAL ANTINFLAMATORIO

ENBREL MINI SUBCUTANEOUS CARTRIDGE

PA; QL

ENBREL SUBCUTANEOUS RECON SOLN

PA; QL

ENBREL SUBCUTANEOUS SYRINGE PA; QL

ENBREL SURECLICK SUBCUTANEOUS PEN INJECTOR

PA; QL


PA; QL


PA; QL


PA; QL


PA; QL


PA; QL

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

SANDIMMUNE ORAL SOLUTION

NSAIDS

advil oral tablet OTC

advil oral tablet,chewable OTC

all day pain relief oral tablet OTC

all day relief oral tablet OTC

child ibuprofen oral suspension OTC

66


children's advil oral suspension OTC

children's ibuprofen oral suspension OTC

children's profen ib oral suspension OTC

diclofenac potassium oral tablet

diclofenac sodium oral tablet extended release 24 hr

Voltaren-XR

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 Nalfon

flanax (naproxen) oral tablet OTC

flurbiprofen oral tablet

ibu oral tablet

ibu-drops oral drops,suspension OTC

ibuprofen ib oral tablet OTC

ibuprofen ib oral tablet,chewable OTC

ibuprofen jr strength oral tablet,chewable OTC

ibuprofen oral capsule Advil Liqui-Gel OTC

ibuprofen oral drops,suspension Ibu-Drops OTC

ibuprofen oral suspension Child Ibuprofen OTC

ibuprofen oral tablet 100 mg, 200 mg Advil OTC

ibuprofen oral tablet 400 mg, 600 mg, 800 mg

IBU

ibuprofen pm oral tablet OTC

indomethacin oral capsule

indomethacin oral capsule, extended release

infants ibu-drops oral drops,suspension OTC

infant's ibuprofen oral drops,suspension OTC

infants profenib oral drops,suspension OTC

i-prin oral tablet OTC

ketoprofen oral capsule

ketoprofen oral capsule,ext rel. pellets 24 hr

ketorolac oral tablet QL

67


meclofenamate oral capsule

mediproxen oral tablet OTC

meloxicam oral suspension QL

meloxicam oral tablet Mobic QL

motrin pm oral tablet OTC

nabumetone oral tablet

naproxen oral suspension Naprosyn

naproxen oral tablet

naproxen oral tablet,delayed release (dr/ec)

EC-Naprosyn

naproxen sodium oral capsule Aleve OTC

naproxen sodium oral tablet 220 mg Aleve OTC

naproxen sodium oral tablet 275 mg

naproxen sodium oral tablet 550 mg Anaprox DS

oxaprozin oral tablet Daypro QL

piroxicam oral capsule Feldene

provil oral tablet OTC

sulindac oral tablet

tolmetin oral capsule

tolmetin oral tablet

wal-profen oral capsule OTC

wal-profen oral tablet OTC

wal-proxen oral tablet OTC

ANESTÉSICOS

ANESTÉSICOS LOCALES

lidocaine hcl laryngotracheal solution LTA Pre-Attached QL

lidocaine topical ointment QL

ANTICONCEPTIVOS

ANTICONCEPTIVOS DE EMERGENCIA

econtra ez oral tablet OTC; QL

econtra one-step oral tablet OTC; QL

ELLA ORAL TABLET QL

my choice oral tablet OTC; QL

my way oral tablet OTC; QL

new day oral tablet OTC; QL

next choice one dose oral tablet OTC; QL

68


opcicon one-step oral tablet OTC; QL

option-2 oral tablet OTC; QL

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

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

69


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 Kelnor 1-50 AL

falmina (28) oral tablet AL

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

femynor oral tablet AL

gianvi (28) oral tablet AL

heather oral tablet AL

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

isibloom oral tablet AL

jencycla oral tablet AL

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

jolivette oral tablet AL

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

kelnor 1-50 oral tablet

kurvelo oral tablet AL; QL

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

70


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

lillow oral tablet AL; QL

loryna (28) oral tablet AL

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

melodetta 24 fe oral tablet,chewable 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

mono-linyah oral tablet AL

mononessa (28) oral tablet AL

myzilra oral tablet AL

necon 0.5/35 (28) oral tablet AL

nikki (28) oral tablet AL

nora-be oral tablet AL

noreth-ethinyl estradiol-iron oral tablet,chewable

Generess Fe AL

71


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 Estarylla AL

norlyda oral tablet AL

norlyroc oral tablet AL

nortrel 0.5/35 (28) oral tablet AL

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

ocella oral tablet AL

ogestrel (28) oral tablet AL

orsythia oral tablet AL

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

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

TODAY CONTRACEPTIVE SPONGE VAGINAL CONTRACEPTIVE SPONGE

OTC

tri femynor oral tablet AL

tri-estarylla oral tablet AL

tri-legest fe oral tablet AL; QL

72


tri-linyah oral tablet AL

tri-lo-estarylla oral tablet AL

tri-lo-marzia oral tablet AL

tri-lo-sprintec oral tablet AL

trinessa (28) oral tablet AL

trinessa lo oral tablet AL

tri-previfem (28) oral tablet AL

tri-sprintec (28) oral tablet AL

trivora (28) oral tablet AL

tri-vylibra oral tablet AL

tydemy oral tablet AL

VAGINAL CONTRACEPTIVE FILM VAGINAL FILM

OTC

vaginal contraceptive foam vaginal foam OTC

VCF CONTRACEPTIVE FILM VAGINAL FILM

OTC

velivet triphasic regimen (28) oral tablet AL

vienva oral tablet AL

viorele (28) oral tablet AL

vyfemla (28) oral tablet AL

vylibra 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

ANTÍDOTOS Y OTROS AGENTES DE REVERSIÓN

AGENTES QUELANTES

DEPEN TITRATABS ORAL TABLET PA

trientine oral capsule Syprine PA; QL

ANTAGONISTAS DE NARCÓTICOS

naloxone injection solution QL

naloxone injection syringe QL

naltrexone oral tablet

NARCAN NASAL SPRAY,NON-AEROSOL

QL

73


ANTÍDOTOS

acetylcysteine solution

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

hydroxyurea oral capsule Hydrea

imatinib oral tablet Gleevec PA; QL

IRESSA ORAL TABLET PA; QL

letrozole oral tablet Femara QL

leucovorin calcium oral tablet

megestrol oral tablet PA

melphalan oral tablet Alkeran

MESNEX ORAL TABLET PA

MYLERAN ORAL TABLET

tamoxifen oral tablet

tretinoin (chemotherapy) oral capsule

ANTISÉPTICOS Y DESINFECTANTES

ANTISÉPTICOS, OTROS

alcohol pads topical pads, medicated OTC

alcohol prep pads topical pads, medicated OTC

alcohol swabs topical pads, medicated Alcohol Pads OTC

alcohol wipes topical pads, medicated OTC

antiseptic skin clnsr(chlorhe) topical liquid OTC

betasept surgical scrub topical liquid OTC

chlorhexidine gluconate topical liquid Dyna-Hex OTC

curity alcohol swabs topical pads, medicated

OTC

easy touch alcohol prep pads topical pads, medicated

OTC

hibiclens topical liquid OTC

hydrogen peroxide solution OTC

74


sure comfort alcohol prep pads topical pads, medicated

OTC

webcol topical pads, medicated OTC

DESINFECTANTES, OTROS

alcoh-wipe towelette 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 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA 2018-2019 INTRAMUSCULAR SUSPENSION

QL

AFLURIA QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

AFLURIA QUAD 2018-2019 INTRAMUSCULAR SUSPENSION

QL

BEXSERO INTRAMUSCULAR SYRINGE

DAPTACEL (DTAP PEDIATRIC) (PF) INTRAMUSCULAR SUSPENSION

FLUAD 2018-2019 (65 YR UP)(PF) INTRAMUSCULAR SYRINGE

QL

FLUARIX QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

FLUBLOK QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

FLUCELVAX QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

FLUCELVAX QUAD 2018-2019 INTRAMUSCULAR SUSPENSION

FLULAVAL QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

FLULAVAL QUAD 2018-2019 INTRAMUSCULAR SUSPENSION

QL

FLUMIST QUAD 2018-2019 NASAL NASAL SPRAY SYRINGE

75


FLUZONE HIGH-DOSE 2018-19 (PF) INTRAMUSCULAR SYRINGE

QL

FLUZONE QUAD 2018-2019 (PF) INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUAD 2018-2019 (PF) INTRAMUSCULAR SYRINGE

QL

FLUZONE QUAD 2018-2019 INTRAMUSCULAR SUSPENSION

QL

FLUZONE QUAD PEDI 2018-19 (PF) INTRAMUSCULAR SYRINGE

QL

INFANRIX (DTAP) (PF) INTRAMUSCULAR SUSPENSION

INFANRIX (DTAP) (PF) INTRAMUSCULAR SYRINGE

M-M-R II (PF) SUBCUTANEOUS RECON SOLN

PREVNAR 13 (PF) INTRAMUSCULAR SYRINGE

PROQUAD (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION

SHINGRIX (PF) INTRAMUSCULAR SUSPENSION FOR RECONSTITUTION

AL; QL

TENIVAC (PF) INTRAMUSCULAR SUSPENSION

TENIVAC (PF) INTRAMUSCULAR SYRINGE

tetanus-diphtheria toxoids-td intramuscular suspension

TRUMENBA INTRAMUSCULAR SYRINGE

VARIVAX (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION

ZOSTAVAX (PF) SUBCUTANEOUS SUSPENSION FOR RECONSTITUTION

AL; QL

DEPENDENCIA QUÍMICA, AGENTES PARA TRATAMIENTO

AGENTES PARA DEJAR DE FUMAR

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

Zyban QL

bupropion hcl oral tablet sustained-release 12 hr

Wellbutrin SR QL

76


CHANTIX CONTINUING MONTH BOX ORAL TABLET

QL

CHANTIX ORAL TABLET QL

CHANTIX STARTING MONTH BOX ORAL TABLETS,DOSE PACK

QL

nicorelief buccal gum OTC

nicotine (polacrilex) buccal gum Nicorelief OTC

nicotine (polacrilex) buccal lozenge Nicorette OTC

nicotine (polacrilex) buccal mini lozenge Nicorette OTC

nicotine transdermal patch 24 hour Nicoderm CQ OTC

nicotine transdermal patch, td daily, sequential

OTC

NICOTROL INHALATION CARTRIDGE

NICOTROL NS NASAL SPRAY,NON-AEROSOL

quit 2 buccal gum OTC

quit 4 buccal gum OTC

stop smoking aid buccal lozenge OTC

ANTAGONISTA DEL ALCOHOL

acamprosate oral tablet,delayed release (dr/ec)

QL

disulfiram oral tablet Antabuse

ANTAGONISTAS DE NARCÓTICOS

buprenorphine hcl sublingual tablet QL

buprenorphine-naloxone sublingual tablet QL

SUBOXONE SUBLINGUAL FILM QL

DERMATOLÓGICO

AGENTES ANTIACNÉ, TÓPICOS

acne cleanser topical cleanser OTC

acne cleansing bar topical bar OTC

acne control cleanser topical cream OTC

acne foaming wash topical cleanser OTC

acne medication topical gel OTC

acne medication topical lotion OTC; QL

acne pads topical pads, medicated OTC

acne treatment (benzoyl perox) topical gel OTC

acne vanishing topical cream OTC

acne-clear topical gel OTC

77


advanced acne wash topical cleanser,extended release

OTC

benzepro topical foam OTC

benzoyl peroxide topical cleanser Acne Foaming Wash OTC

benzoyl peroxide topical foam BenzEFoam OTC

benzoyl peroxide topical gel OTC

bp foam topical foam OTC

bp gel topical gel OTC

bp topical gel OTC

bp wash acne treatment topical kit OTC

bp wash topical cleanser OTC

bpo-10 topical cleanser OTC

bpo-5 topical cleanser OTC

clindamycin phosphate topical gel Cleocin T

clindamycin phosphate topical solution Cleocin T

clindamycin phosphate topical swab Cleocin T

clindamycin-benzoyl peroxide topical gel Duac

creamy acne face topical cleanser OTC

daily face wash topical cleanser OTC

ery pads topical swab

erythromycin with ethanol topical solution

erythromycin with ethanol topical swab Ery Pads

foaming acne face wash topical cleanser OTC

metronidazole topical cream MetroCream QL

metronidazole topical lotion MetroLotion

NEUTROGENA ON THE SPOT TOPICAL CREAM

OTC

OC8 TOPICAL GEL OTC

panoxyl topical bar OTC

panoxyl topical cleanser OTC

persa-gel topical gel OTC

rapid clear treatment pads topical pads, medicated

OTC

RIAX TOPICAL FOAM OTC

rosadan topical cream QL

targeted acne spot treatment topical cream

OTC

78


AGENTES ANTINFLAMATORIOS ESTEROIDES TÓPICOS

amcinonide topical lotion

amcinonide topical ointment QL

anti-itch (hc) topical cream OTC; QL

anti-itch (hc) topical ointment OTC

anti-itch (hc) with aloe-vit e topical cream OTC; QL

anti-itch plus 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

cortisone (hydrocortisone) topical cream OTC; QL

cortisone with aloe topical cream OTC; QL

diflorasone topical cream Psorcon QL

eczema anti-itch topical cream OTC; QL

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 0.5 %

OTC

hydrocortisone acetate topical cream 1 % OTC; QL

hydrocortisone acetate topical ointment OTC

hydrocortisone plus topical cream OTC; QL

hydrocortisone topical cream 0.5 % OTC; QL

hydrocortisone topical cream 1 % Ala-Cort OTC; QL

hydrocortisone topical cream 2.5 % Ala-Cort QL

hydrocortisone topical cream in packet OTC

79


hydrocortisone topical cream with perineal applicator

Anusol-HC QL

hydrocortisone topical ointment 0.5 % OTC

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

hydrocortisone topical ointment 2.5 % QL

hydrocortisone-aloe vera topical cream Cortisone with Aloe OTC; QL

hydrocortisone-pramoxine topical cream Pramosone

hydrocream topical cream OTC; QL

mometasone topical cream Elocon QL

mometasone topical ointment Elocon QL

mometasone topical solution QL

noble formula hc topical cream OTC; QL

prednicarbate topical ointment Dermatop PA; QL

proctosol hc topical cream with perineal applicator

QL

proctozone-hc topical cream with perineal applicator

QL

scalp relief topical solution OTC

scalpicin anti-itch topical solution OTC

TEXACORT TOPICAL SOLUTION

triamcinolone acetonide topical cream Triderm QL

triamcinolone acetonide topical ointment QL

trianex topical ointment QL

triderm topical cream QL

AGENTES ANTIPSORIÁSICOS

calcipotriene scalp solution

calcipotriene topical cream Dovonex

calcipotriene topical ointment Calcitrene

calcitrene topical ointment

AGENTES PARA ROSÁCEA, TÓPICOS

metronidazole topical gel 0.75 % Rosadan

metronidazole topical gel 1 % Metrogel QL

metronidazole topical gel with pump Metrogel

rosadan topical gel

AGENTES SISTÉMICOS CONTRA EL ACNÉ

amnesteem oral capsule PA

80


claravis oral capsule PA

isotretinoin oral capsule Absorica PA

myorisan oral capsule PA

zenatane oral capsule PA

AGENTES TÓPICOS, VARIOS

a and d (lan, pet) topical ointment OTC

absorbine pain relieving topical gel OTC

advanced healing (petrolatum) topical ointment

OTC

alphabath topical oil OTC

ameriphor topical ointment OTC

amlactin topical lotion OTC

ammonium lactate topical cream Geri-Hydrolac OTC

ammonium lactate topical lotion AmLactin OTC

anti-dandruff topical shampoo OTC

aqua glycolic face topical cream OTC

aqua glycolic topical shampoo OTC

aqua lube topical lubricant OTC

arthricream rub topical cream OTC

aveeno intense relief topical cream OTC

bath oil topical oil OTC

beta care topical cream OTC

beta care topical lotion OTC

blue gel topical gel OTC

calamine phenolated topical lotion OTC

calamine-zinc oxide topical lotion OTC

calamine-zinc oxide-phenol topical suspension

OTC

callus remover topical adhesive patch,medicated

OTC

callus removers topical adhesive patch,medicated

OTC

cam topical lotion OTC

cameo oil topical oil OTC

CERAVE PM TOPICAL LOTION,EXTENDED RELEASE

OTC

CERAVE SUNSCREEN TOPICAL LOTION

OTC

81


CERAVE TOPICAL CLEANSER OTC

CERAVE TOPICAL CREAM OTC

cetaphil moisturizing topical cream OTC

cloverine topical ointment OTC

compound w topical liquid OTC

corn remover topical adhesive patch,medicated

OTC

daily moisturizing lotion topical lotion OTC

dermabase topical cream OTC

dermacerin topical cream OTC

dermaphor topical ointment OTC

dermavantage topical lotion OTC

DESENEX TOPICAL AEROSOL POWDER

OTC

diaper rash relief topical ointment OTC

diaper rash topical ointment OTC

diclofenac sodium topical drops PA; QL

dr scholl's clear away topical adhesive patch,medicated

OTC

dry skin care topical lotion OTC

dry skin therapy moisturizing topical lotion OTC

dry skin therapy topical cream OTC

duofilm topical liquid OTC

emollient topical cream Aqua Glycolic Face OTC

eucerin original topical lotion OTC

excel-gel topical gel OTC

finger cream topical cream OTC

geri-hydrolac topical cream OTC

geri-hydrolac topical lotion OTC

glycerin topical liquid OTC

glycerin topical solution OTC

gordon's vite a topical cream OTC

gordons-vite e topical cream OTC

hydrocerin (with petrolatum) topical cream OTC

hydrocerin topical lotion OTC

hydrolatum topical ointment OTC

HYPERCARE TOPICAL LIQUID OTC

ice blue gel topical gel OTC

82


johnson's baby oil topical oil OTC

lan-o-soothe topical cream OTC

lidocaine hcl mucous membrane jelly

lidocaine topical adhesive patch,medicated

Lidoderm PA; QL

lidocaine topical ointment QL

liquid corn and callus remover topical liquid

OTC

lubriderm daily moisture (pet) topical lotion OTC

lubriderm skin nourishing topical lotion OTC

lubrisilk topical lotion OTC

lubrisoft topical lotion OTC

mapo bath topical oil OTC

mediplast corn-callus-wart topical adhesive patch,medicated

OTC

mineral oil light topical oil OTC

mineral oil topical oil Lobana Bath OTC

minerin creme topical cream OTC

minerin topical lotion OTC

moisturizing cream topical cream OTC

moiturizing lotion topical lotion OTC

mosco callus-corn remover topical liquid OTC

mosco corn remover topical adhesive patch,medicated

OTC

natural oatmeal bath treatment topical packet

OTC

nivatopic plus topical cream

oatmeal bath regular topical packet OTC

pain relief (menthol) topical gel OTC

pain relieving (menthol) topical gel OTC

pediatric oint (cod liver oil) topical ointment

OTC

petrolatum topical ointment OTC

petroleum jelly topical gel OTC

petroleum jelly, white topical gel OTC

plantar wart remover topical adhesive patch,medicated

OTC

podofilox topical solution PA

protective ointment topical ointment OTC

83


prumyx topical cream

psoriasis medicated topical shampoo OTC

salactic film topical liquid OTC

salicylic acid topical cream,extended release

salicylic acid topical lotion,extended release

sal-plant topical gel OTC

scar gel topical gel OTC

scar topical gel OTC

sebex topical shampoo OTC

secura protective topical ointment OTC

selenium sulfide topical lotion

selsun blue (salicylic acid) topical shampoo

OTC

selsun blue naturals topical shampoo OTC

selsun blue topical shampoo OTC

silver sulfadiazine topical cream Silvadene

skin treatment topical lotion OTC

sorbidon hydrate topical cream OTC

special care lotion topical lotion OTC

ssd topical cream

sween cream topical cream OTC

sween topical cream OTC

thera bath topical oil OTC

thera-derm topical lotion OTC

therapeutic blue topical gel OTC

therapeutic moisturizing topical cream OTC

therapeutic t plus topical shampoo OTC

ultra mide 25 topical lotion OTC

unscented cold cream topical cream OTC

urea topical cream 20 % Gormel OTC

urea topical cream 40 %

urea topical cream 45 % Uramaxin

urea topical cream 50 % Ure-K

urea topical gel

urea topical lotion Uramaxin

vanicream topical cream OTC

84


vitamin a and d topical ointment OTC

vitamin e plus topical cream OTC

vitamin e topical cream Gordons-Vite E OTC

vitamin e topical oil OTC

vitamin e-vitamins a and d topical cream OTC

vits a and d-white pet-lanolin topical ointment

A and D (lan, pet) OTC

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

Vitamin A and D GRx OTC

walgreens dry skin treatment topical ointment

OTC

wart remover topical adhesive patch,medicated

OTC

wart remover topical gel OTC

wart remover topical liquid OTC

wart remover topical plaster OTC

white petrolatum topical gel Lip Treatment OTC

white petrolatum topical ointment Cloverine OTC

white petrolatum topical ointment in packet

Vaseline White Petroleum OTC

white petroleum jelly topical gel OTC

x-seb t pearl topical shampoo OTC

zinc oxide diaper cream topical cream OTC

zinc oxide topical ointment OTC

ANESTÉSICOS TÓPICOS

hydrocortisone-pramoxine topical cream Pramosone

lidocaine-prilocaine topical cream QL

ANTIBIÓTICOS TÓPICOS

antibiotic (bacitracin zinc) topical ointment OTC; QL

antibiotic (neomy-bacit-polym) topical ointment

OTC; QL

antibiotic-pain relief (bacit) 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

85


bacitraycin plus topical ointment OTC; QL

double antibiotic (b.tracn zn) topical ointment

OTC

double antibiotic topical ointment OTC

gentamicin topical cream

gentamicin topical ointment

mupirocin topical ointment Centany QL

neosporin plus painrelief(bac) topical ointment

OTC; QL

poly bacitracin topical ointment OTC

triple antibiotic (pram) extra topical ointment

OTC; QL

triple antibiotic plus topical ointment OTC; QL

triple antibiotic topical ointment OTC; QL

triple antibiotic topical ointment in packet OTC

wal-sporin topical ointment OTC

ANTIMICÓTICOS TÓPICOS

af topical aerosol powder OTC

ALEVAZOL TOPICAL OINTMENT OTC

antifungal (clotrimazole) topical cream OTC; QL

antifungal (tolnaftate) topical aerosol,spray

OTC

antifungal (tolnaftate) topical cream OTC

antifungal (tolnaftate) topical powder OTC

antifungal cream (miconazole) topical cream

OTC

antifungal spray topical aerosol powder OTC

antifungal topical liquid OTC

antifungal topical solution OTC

athlete's foot (clotrimazole) topical cream OTC; QL

athlete's foot (terbinafine) topical cream OTC

athlete's foot (tolnaftate) topical aerosol powder

OTC

athlete's foot (tolnaftate) topical aerosol,spray

OTC

athlete's foot (tolnaftate) topical cream OTC

athlete's foot af topical cream OTC

athlete's foot topical aerosol powder OTC

athlete's foot topical powder OTC

86


athletic foot cream topical cream OTC; QL

azolen tincture topical tincture OTC

baza antifungal topical cream OTC

baza cream hospital care pack topical combo pack

OTC

blis-to-sol (tolnaftate) topical solution OTC

ciclopirox topical cream Ciclodan

ciclopirox topical solution Ciclodan PA

ciclopirox topical suspension Loprox (as olamine)

clotrimazole af topical cream OTC; QL

clotrimazole topical cream Antifungal (clotrimazole) OTC; QL

clotrimazole topical solution OTC

clotrimazole-betamethasone topical cream Lotrisone QL

clotrimazole-betamethasone topical lotion QL

critic-aid clear af topical ointment OTC

DERMAFUNGAL TOPICAL OINTMENT OTC

desenex topical powder OTC

ELON DUAL DEFENSE TOPICAL SOLUTION

OTC

foot and sneaker topical aerosol powder OTC

FUNGI CURE TOPICAL SPRAY,NON-AEROSOL

OTC

FUNGI-NAIL TOPICAL SOLUTION OTC

fungoid tincture topical tincture OTC

fungoid-d topical cream OTC

GORDOCHOM TOPICAL SOLUTION OTC

HONGO CURA SPRAY TOPICAL AEROSOL,SPRAY

OTC

inzo antifungal topical cream OTC

itch relief (clotrimazole) topical cream OTC; QL

jock itch (clotrimazole) topical cream OTC; QL

jock itch (terbinafine) topical cream OTC

jock itch topical aerosol powder OTC

ketoconazole topical cream QL

ketoconazole topical shampoo Nizoral QL

LAMISIL (AEROSOL) TOPICAL AEROSOL,SPRAY

OTC

87


LAMISIL AF TOPICAL AEROSOL POWDER

OTC

LAMISIL AT TOPICAL CREAM OTC

LAMISIL AT TOPICAL GEL OTC

LOTRIMIN AF (CLOTRIMAZOLE) TOPICAL CREAM

OTC; QL

LOTRIMIN AF JOCK ITCH POWDER TOPICAL AEROSOL POWDER

OTC

LOTRIMIN AF POWDER TOPICAL AEROSOL POWDER

OTC

LOTRIMIN AF TOPICAL AEROSOL,SPRAY

OTC

LOTRIMIN AF TOPICAL POWDER OTC

micatin topical cream OTC

miconazole nitrate topical aerosol powder Athlete's Foot OTC

miconazole nitrate topical creamAntifungal Cream (miconazole)

OTC

miconazorb af topical powder OTC

micro-guard topical powder OTC

MYCO NAIL A TOPICAL SOLUTION OTC

MYCO NAIL TOPICAL LIQUID OTC

NIZORAL A-D TOPICAL SHAMPOO OTC

nyamyc topical powder QL

nystatin topical cream QL

nystatin topical ointment QL

nystatin topical powder Nyamyc QL

nystop topical powder QL

odor control foot-sneaker topical aerosol powder

OTC

remedy antifungal topical cream OTC

remedy antifungal topical powder OTC

remedy phytoplex antifungal topical ointment

OTC

remedy phytoplex antifungal topical powder

OTC

ringworm topical cream OTC; QL

secura antifungal extra thick topical cream OTC

secura antifungal topical cream OTC

terbinafine hcl topical cream Antifungal (terbinafine) OTC

88


tinactin topical aerosol powder OTC

tinactin topical aerosol,spray OTC

tinactin topical cream OTC

tolnaftate topical aerosol powder AF OTC

tolnaftate topical cream Antifungal (tolnaftate) OTC

tolnaftate topical powder Antifungal (tolnaftate) OTC

triple paste af topical ointment OTC

UNDELENIC TOPICAL TINCTURE OTC

zeasorb (miconazole) topical powder OTC

ANTIVIRALES TÓPICOS

ABREVA TOPICAL CREAM OTC

acyclovir topical ointment Zovirax PA; QL

DERIVADOS DE LA VITAMINA A

DIFFERIN TOPICAL GEL OTC; QL

tretinoin (emollient) topical cream Refissa

tretinoin microspheres topical gel Retin-A Micro

tretinoin topical cream Retin-A PA

tretinoin topical gel Retin-A PA

ESCABICIDAS Y PEDICULICIDAS

complete lice treatment topical kit OTC; QL

lice bedding spray aerosol,spray OTC

lice complete kit 1-2-3 topical kit OTC; QL

lice killing (permethrin) topical liquid OTC; QL

lice killing topical shampoo OTC

lice pyrinyl shampoo topical shampoo OTC

lice solution topical kit OTC; QL

lice treatment (permethrin) topical liquid OTC; QL

lice treatment topical liquid OTC; QL

lice treatment topical shampoo OTC

permethrin topical cream Elimite QL

rid complete lice elim kit topical kit OTC; QL

spinosad topical suspension Natroba

INMUNOMODULADORES TÓPICOS

imiquimod topical cream in packet Aldara QL

tacrolimus topical ointment Protopic PA; AL; QL

89


TÓPICO ANTINEOPLÁSICO Y PREMALIGNO

fluorouracil topical cream Efudex QL

fluorouracil topical solution PA; QL

DISPOSITIVOS CON Y SIN AGUJAS, JERINGAS Y ACCESORIOS

AGUJAS, DISPOSITIVOS SIN AGUJAS, JERINGAS Y ACCESORIOS

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC

BD ECLIPSE LUER-LOK SYRINGE OTC

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC

BD INSULIN SYRINGE SAFETY-LOK SYRINGE

OTC

BD INSULIN SYRINGE SLIP TIP SYRINGE

OTC

BD INSULIN SYRINGE SYRINGE OTC

BD INSULIN SYRINGE U-500 SYRINGE

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC

BD LO-DOSE MICRO-FINE IV SYRINGE OTC

BD LO-DOSE ULTRA-FINE SYRINGE OTC

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE INSULIN SYRINGE SYRINGE

OTC

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE MINI PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE NANO PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE

OTC

BD VEO INSULIN SYR HALF UNIT SYRINGE

OTC

90


BD VEO INSULIN SYRINGE UF SYRINGE

OTC

insulin syringe microfine syringe OTC

insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC

INSULIN SYRINGE SYRINGE OTC

insulin syringe-needle u-100 syringe BD Insulin Syringe OTC

ANÁLISIS DE LA AZUCAR EN LA SANGRE

TRUE METRIX GLUCOSE TEST STRIP STRIP

OTC; QL

TRUETEST TEST STRIPS STRIP OTC; QL


alcoh-wipe towelette OTC

AUXILIARES PARA ANÁLISIS DE CUERPOS CETÓNICOS EN ORINA

KETONE CARE STRIP OTC; QL

KETONE URINE TEST STRIP OTC; QL

KETOSTIX STRIP OTC; QL

TRUEPLUS KETONE STRIP OTC; QL

DIAFRAGMAS/CAPUCHÓN CERVICAL

WIDE-SEAL DIAPHRAGM 60 VAGINAL DIAPHRAGM








DISPOSITIVOS CON Y SIN AGUJAS, JERINGAS Y ACCESORIOS

1ST TIER UNILET COMFORTOUCH OTC; QL

91


ACE AEROSOL CLOUD ENHANCER SPACER

QL

ADJUSTABLE LANCING DEVICE OTC

ADVANCED LANCING DEVICE KIT OTC

ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC

ADVOCATE RAPID-SAFE LANCING OTC

AEROTRACH PLUS SPACER QL

AEROVENT PLUS SPACER QL

AIMSCO LATEX CONDOM DEVICE OTC

AIRZONE PEAK FLOW METER DEVICE OTC

ALTERNATE SITE LANCET OTC; QL

ALTERNATE SITE LANCING DEVICE OTC

AQUA LANCE LANCING DEVICE OTC

ASSURE HAEMOLANCE PLUS OTC; QL

ASSURE LANCE OTC; QL

ASSURE LANCE PLUS OTC; QL

ASTHMA CHECK METER DEVICE OTC

AUTO-LANCET MINI OTC; QL

AUTOLET IMPRESSION LANC DEV KIT OTC

AUTOLET LANCING DEVICE OTC

AUTOLET PLUS LANCING DEVICE OTC

AZO TEST STRIPS STRIP OTC

BD AUTOSHIELD DUO PEN NEEDLE NEEDLE

OTC

BD ECLIPSE LUER-LOK SYRINGE OTC

BD INSULIN SYRINGE HALF UNIT SYRINGE

OTC

BD INSULIN SYRINGE MICRO-FINE SYRINGE

OTC

BD INSULIN SYRINGE SAFETY-LOK SYRINGE

OTC

BD INSULIN SYRINGE SLIP TIP SYRINGE

OTC

BD INSULIN SYRINGE SYRINGE OTC

BD INSULIN SYRINGE U-500 SYRINGE

BD INSULIN SYRINGE ULTRA-FINE SYRINGE

OTC

BD LO-DOSE MICRO-FINE IV SYRINGE OTC

92


BD LO-DOSE ULTRA-FINE SYRINGE OTC

BD LUER-LOK SYRINGE SYRINGE OTC

BD SAFETYGLIDE INSULIN SYRINGE SYRINGE

OTC

BD ULTRA-FINE MICRO PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE MINI PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE NANO PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE ORIG PEN NEEDLE NEEDLE

OTC

BD ULTRA-FINE SHORT PEN NEEDLE NEEDLE

OTC

BD VEO INSULIN SYR HALF UNIT SYRINGE

OTC

BD VEO INSULIN SYRINGE UF SYRINGE

OTC

BREATHERITE MDI SPACER SPACER QL

BREATHERITE SPACER-MASK, NEO. SPACER

QL

BREATHERITE SPACER-MASK,ADULT SPACER

QL

BREATHERITE SPACER-MASK,CHILD SPACER

QL

BREATHERITE SPACER-MASK,INFANT SPACER

QL

BREATHERITE SPACER-MASK,S.CHLD SPACER

QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

BREATHERITE VALVED MDI SPACER SPACER

QL

CAREONE LANCING DEVICE OTC

CAREONE ULTRA THIN LANCET OTC; QL

CARETOUCH LANCING DEVICE OTC

CARETOUCH TWIST LANCET OTC; QL

COLOR LANCETS OTC; QL

COMFORT LANCETS OTC; QL

COMPACT SPACE CHAMBER SPACER QL

93


COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

COMPACT SPACE CHAMBER-SM MASK SPACER

QL

CONDOMS-PREM LUBRICATED DEVICE

OTC

CUT N CRUSH OTC

DROPLET LANCING DEVICE OTC

EASY CLICK LANCING DEVICE OTC

EASY MINI EJECT LANCING DEVICE OTC

EASY TOUCH LANCETS OTC; QL

EASY TOUCH LANCING DEVICE OTC

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

FANTASY CONDOM DEVICE OTC

FC2 FEMALE CONDOM OTC

FINE 30 UNIVERSAL LANCETS OTC; QL

FORA LANCING DEVICE OTC

FORACARE LANCETS OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC

HEALTHY ACCENTS UNILET LANCET OTC; QL

HYPOLANCE AST LANCING KIT OTC

IN-CHECK NASAL WITH MASK DEVICE OTC

IN-CHECK ORAL FLOW METER DEVICE

OTC

INCONTROL LANCING DEVICE OTC

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

insulin syringe microfine syringe OTC

insulin syringe needleless syringe BD Insulin Syringe Slip Tip OTC

INSULIN SYRINGE SYRINGE OTC

insulin syringe-needle u-100 syringe BD Insulin Syringe OTC

94


INVACARE LANCETS OTC; QL

KETONE CARE STRIP OTC; QL

KETONE URINE TEST STRIP OTC; QL

KETOSTIX STRIP OTC; QL

KIMONO CONDOMS(NON-LUBRICATED) DEVICE

OTC

KIMONO MAXX CONDOMS DEVICE OTC

KIMONO MICROTHIN AQUA LUBE CON DEVICE

OTC

KIMONO MICROTHIN CONDOMS DEVICE

OTC

KIMONO MICROTHIN LARGE CONDOMS DEVICE

OTC

KIMONO TEXTURED CONDOMS DEVICE

OTC

lancets Advocate Lancet OTC; QL

lancets, super thin OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC

lancing device with lancets OTC

lancing device with lancets kitAccu-Chek FastClix Lancing Dev

OTC

lancing system OTC

LANZO LANCING DEVICE KIT OTC

LITE TOUCH LANCING DEVICE OTC

LITEAIRE MDI CHAMBER SPACER QL

MEDLANCE PLUS LANCETS OTC; QL

MICRO THIN LANCETS OTC; QL

MICROCHAMBER SPACER QL

MICROLET NEXT LANCING DEVICE KIT

OTC

MICROLIFE PEAK FLOW METER DEVICE

OTC

MICROSPACER SPACER QL

MINI LANCING DEVICE OTC

MINI WRIGHT PEAK FLOW METER DEVICE

MONOLET LANCETS OTC; QL

95


MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC

MYGLUCOHEALTH LANCETS OTC; QL

ON CALL LANCING DEVICE OTC

ON CALL PLUS LANCING DEVICE OTC

ON-THE-GO LANCETS OTC; 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

PANDA MASK DEVICE OTC; QL

PEAK AIR PEAK FLOW METER DEVICE

OTC

PEDIATRIC MEDIUM MASK DEVICE OTC; QL

PEDIATRIC PANDA MASK DEVICE OTC; QL

PEDIATRIC SMALL MASK DEVICE OTC; QL

PERSONAL BEST FULL RANGE DEVICE

OTC

PERSONAL BEST LOW RANGE DEVICE

OTC

PIKO 1 DEVICE OTC

POCKET CHAMBER SPACER QL

POCKET PEAK FLOW METER DEVICE OTC

PRIMEAIRE SPACER QL

PROCHAMBER SPACER QL

PRODIGY LANCING DEVICE OTC

RELIAMED MINI LANCING DEVICE OTC

RELION THIN LANCETS OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC

RIGHTEST GL300 LANCETS OTC; QL

RITEFLO AEROCHAMBER SPACER QL

SAFETY LANCETS OTC; QL

96


SIDESTREAM PEDIATRIC FACE MASK DEVICE

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

SUREFLEX LANCING DEVICE OTC

SURE-PEN LANCING DEVICE OTC

TABLET CUTTER OTC

TECHLITE LANCETS OTC; QL

THIN LANCETS OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC

TRUE METRIX GLUCOSE TEST STRIP STRIP

OTC; QL

TRUE METRIX LEVEL 1 SOLUTION OTC



TRUEDRAW LANCING DEVICE OTC

TRUEPLUS KETONE STRIP OTC; QL

TRUEPLUS LANCETS OTC; QL

TRUETEST TEST STRIPS STRIP OTC; QL

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

TRUZONE PEAK FLOW METER DEVICE

TWIST LANCETS OTC; QL

ULTI-LANCE OTC

ULTRA THIN LANCETS OTC; QL

97


ULTRA THIN PLUS LANCETS OTC; QL

ULTRA-CARE 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

UNISTIK 3 COMFORT DEVICE KIT OTC

UNISTIK 3 COMFORT LANCET OTC; QL

UNISTIK 3 EXTRA LANCET OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC

UNISTIK 3 NEONATAL KIT OTC

UNISTIK 3 NORMAL LANCET OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK PRO LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

URINARY TRACT INF.TEST (WBCS) STRIP

OTC

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


98









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 SPACER-MASK, NEO. SPACER

QL

BREATHERITE SPACER-MASK,ADULT SPACER

QL

BREATHERITE SPACER-MASK,CHILD SPACER

QL

BREATHERITE SPACER-MASK,INFANT SPACER

QL

BREATHERITE SPACER-MASK,S.CHLD SPACER

QL

BREATHERITE VALVED MDI CHAMBER SPACER

QL

BREATHERITE VALVED MDI SPACER SPACER

QL

COMPACT SPACE CHAMBER SPACER QL

COMPACT SPACE CHAMBER-LRG MASK SPACER

QL

COMPACT SPACE CHAMBER-MED MASK SPACER

QL

99


COMPACT SPACE CHAMBER-SM MASK SPACER

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

PANDA MASK DEVICE OTC; QL

PEDIATRIC MEDIUM MASK DEVICE OTC; QL

PEDIATRIC PANDA MASK DEVICE OTC; QL

PEDIATRIC SMALL MASK DEVICE OTC; QL

POCKET CHAMBER SPACER QL

PRIMEAIRE SPACER QL

PROCHAMBER SPACER QL

RITEFLO AEROCHAMBER SPACER QL

SIDESTREAM PEDIATRIC FACE MASK DEVICE

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

PRESERVATIVOS

AIMSCO LATEX CONDOM DEVICE OTC

CONDOMS-PREM LUBRICATED DEVICE

OTC

FANTASY CONDOM DEVICE OTC

100


FC2 FEMALE CONDOM OTC

KIMONO CONDOMS(NON-LUBRICATED) DEVICE

OTC

KIMONO MAXX CONDOMS DEVICE OTC

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 ANÁLISIS Y MONITOREO DE LA GLUCOSA EN SANGRE

1ST TIER UNILET COMFORTOUCH OTC; QL

ADJUSTABLE LANCING DEVICE OTC

ADVANCED LANCING DEVICE KIT OTC

ADVANCED TRAVEL LANCETS OTC; QL

ADVOCATE LANCING DEVICE OTC

ADVOCATE RAPID-SAFE LANCING OTC

ALTERNATE SITE LANCET OTC; QL

ALTERNATE SITE LANCING DEVICE OTC

AQUA LANCE LANCING DEVICE OTC

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

101


AUTOLET LANCING DEVICE OTC

AUTOLET PLUS LANCING DEVICE OTC

CAREONE LANCING DEVICE OTC

CAREONE ULTRA THIN LANCET OTC; QL

CARETOUCH LANCING DEVICE OTC

CARETOUCH TWIST LANCET OTC; QL

COLOR LANCETS OTC; QL

COMFORT LANCETS OTC; QL

DROPLET LANCING DEVICE OTC

EASY CLICK LANCING DEVICE OTC

EASY MINI EJECT LANCING DEVICE OTC

EASY TOUCH LANCETS OTC; QL

EASY TOUCH LANCING DEVICE OTC

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

FORACARE LANCETS OTC; QL

GLUCOCOM LANCETS OTC; QL

HEALTHY ACCENTS AUTOLET OTC

HEALTHY ACCENTS UNILET LANCET OTC; QL

HYPOLANCE AST LANCING KIT OTC

INCONTROL LANCING DEVICE OTC

INCONTROL SUPER THIN LANCETS OTC; QL

INCONTROL ULTRA THIN LANCETS OTC; QL

INVACARE LANCETS OTC; QL

lancets Advocate Lancet OTC; QL

lancets, super thin OTC; QL

lancets,thin OTC; QL

lancets,ultra thin OTC; QL

lancing device Adjustable Lancing Device OTC

lancing device with lancets OTC

lancing device with lancets kitAccu-Chek FastClix Lancing Dev

OTC

102


lancing system OTC

LANZO LANCING DEVICE KIT OTC

LITE TOUCH LANCING DEVICE OTC

MEDLANCE PLUS LANCETS OTC; QL

MICRO THIN LANCETS OTC; QL

MICROLET NEXT LANCING DEVICE KIT

OTC

MINI LANCING DEVICE OTC

MONOLET LANCETS OTC; QL

MONOLET THIN LANCETS OTC; QL

MULTI-LANCET DEVICE 2 KIT OTC

MYGLUCOHEALTH LANCETS OTC; QL

ON CALL LANCING DEVICE OTC

ON CALL PLUS LANCING DEVICE OTC

ON-THE-GO LANCETS OTC; QL

PRODIGY LANCING DEVICE OTC

RELIAMED MINI LANCING DEVICE OTC

RELION THIN LANCETS OTC; QL

RELION ULTRA THIN PLUS LANCETS OTC; QL

RIGHTEST GD500 LANCING DEVICE OTC

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

SUREFLEX LANCING DEVICE OTC

SURE-PEN LANCING DEVICE OTC

TECHLITE LANCETS OTC; QL

THIN LANCETS OTC; QL

TOPCARE UNIVERSAL1 LANCET OTC; QL

TRUE METRIX AIR GLUCOSE METER OTC




TRUEDRAW LANCING DEVICE OTC

103


TRUEPLUS LANCETS OTC; QL

TWIST LANCETS OTC; QL

ULTI-LANCE OTC

ULTRA THIN LANCETS OTC; QL

ULTRA THIN PLUS LANCETS OTC; QL

ULTRA-CARE 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

UNISTIK 3 COMFORT DEVICE KIT OTC

UNISTIK 3 COMFORT LANCET OTC; QL

UNISTIK 3 EXTRA LANCET OTC; QL

UNISTIK 3 GENTLE OTC; QL

UNISTIK 3 KIT OTC

UNISTIK 3 LANCETS OTC; QL

UNISTIK 3 NEONATAL DEVICE KIT OTC

UNISTIK 3 NEONATAL KIT OTC

UNISTIK 3 NORMAL LANCET OTC; QL

UNISTIK CZT LANCET OTC; QL

UNISTIK PRO LANCET OTC; QL

UNISTIK SAFETY OTC; QL

UNISTIK TOUCH LANCETS OTC; QL

UNIVERSAL 1 LANCETS OTC; QL

SUMINISTROS MÉDICOS Y DME: ESPIRÓMETRO

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

104


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

SUMINISTROS MÉDICOS Y DME

CUT N CRUSH OTC

TABLET CUTTER OTC

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 AndroGel PA; QL

AGENTES DE PROGESTERONA PARA LA FERTILIDAD: PREVENCIÓN DE NACIMIENTOS PREMATUROS

hydroxyprogest(pf)(preg presv) intramuscular oil

Makena PA; QL

AGENTES ESTROGÉNICOS

amabelz oral tablet

estradiol oral tablet Estrace

estradiol transdermal patch weekly Climara QL

estradiol-norethindrone acet oral tablet Activella

estropipate oral tablet

fyavolv oral tablet

jevantique lo oral tablet

jinteli oral tablet

lopreeza oral tablet

105


mimvey lo oral tablet

mimvey oral tablet

norethindrone ac-eth estradiol oral tablet Fyavolv

PREMPHASE ORAL TABLET

PREMPRO ORAL TABLET

AGENTES PROGESTACIONALES

hydroxyprogest(pf)(preg presv) intramuscular oil

Makena PA; QL

medroxyprogesterone oral tablet Provera QL

norethindrone acetate oral tablet Aygestin

progesterone micronized oral capsule Prometrium QL

AGENTES SUPRESORES HIPOFISARIOS

cabergoline oral tablet QL

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

OZEMPIC SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 2-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

VICTOZA 3-PAK SUBCUTANEOUS PEN INJECTOR

PA; QL

ANTIHIPERGLUCÉMICOS, TIPO ANÁLOGO DE AMILINA

SYMLINPEN 120 SUBCUTANEOUS PEN INJECTOR

PA

SYMLINPEN 60 SUBCUTANEOUS PEN INJECTOR

PA

CALCITONINAS

calcitonin (salmon) nasal spray,non-aerosol

QL

GLUCOCORTICOIDES

cortisone oral tablet

dexamethasone intensol oral drops

dexamethasone oral elixir Decadron

dexamethasone oral solution

dexamethasone oral tablet Decadron

hydrocortisone oral tablet Cortef

106


methylprednisolone oral tablet Medrol

methylprednisolone oral tablets,dose pack Medrol (Pak)

prednisolone oral solution

prednisolone sodium phosphate oral solution

prednisone intensol oral concentrate

prednisone oral solution

prednisone oral tablet

prednisone oral tablets,dose pack

HIPERGLUCEMIA

dex4 glucose bits oral tablet,chewable OTC

dex4 glucose oral tablet,chewable OTC

dex4 glucose pouch pack oral tablet,chewable

OTC

dex4 glucose quick dissolve oral tablet,chewable

OTC

dextrose oral gel Dex4 Glucose OTC

GLUCAGEN HYPOKIT INJECTION RECON SOLN

GLUCAGON EMERGENCY KIT (HUMAN) INJECTION RECON SOLN

gluco burst oral gel OTC

glucose bits oral tablet,chewable OTC

glucose gel oral gel OTC

glucose oral tablet,chewable Dex4 Glucose OTC

HIPOGLUCEMIA, INSULINA, INTENSIFICADOR DE RESPUESTA

pioglitazone oral tablet Actos PA; QL

pioglitazone-glimepiride oral tablet DUETACT PA; QL

pioglitazone-metformin oral tablet Actoplus MET PA; QL

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

107


glyburide-metformin oral tablet

nateglinide oral tablet Starlix PA

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

HORMONAS ANTIDIURÉTICAS Y VASOPRESORAS

desmopressin nasal spray with pump DDAVP

desmopressin nasal spray,non-aerosol

desmopressin oral tablet DDAVP QL

HORMONAS DEL CRECIMIENTO

ZOMACTON SUBCUTANEOUS RECON SOLN

PA; QL

HORMONAS TIROIDEAS

levothyroxine oral tablet Levo-T

levoxyl oral tablet

liothyronine oral tablet Cytomel

nature-throid oral tablet

np thyroid oral tablet

thyroid (pork) oral tablet Armour Thyroid

unithroid oral tablet

westhroid oral tablet

INHIBIDOR DE LA DIPEPTIDIL PEPTIDASA IV Y COMBINACIONES

JANUMET ORAL TABLET PA; QL

JANUMET XR ORAL TABLET, ER MULTIPHASE 24 HR

PA; QL

JANUVIA ORAL TABLET PA; QL

INHIBIDORES DE RESORCIÓN ÓSEA

alendronate oral solution QL

alendronate oral tablet QL

108


raloxifene oral tablet Evista QL

INHIBIDORES DE SODIO-GLUCOSA (SGLT2)

JARDIANCE ORAL TABLET PA; QL

SYNJARDY ORAL TABLET PA; QL

SYNJARDY XR ORAL TABLET, IR - ER, BIPHASIC 24HR

PA; QL

INSULINAS

ADMELOG SOLOSTAR U-100 INSULIN SUBCUTANEOUS INSULIN PEN

QL

ADMELOG U-100 INSULIN LISPRO SUBCUTANEOUS SOLUTION

QL

BASAGLAR KWIKPEN U-100 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

HUMULIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION

OTC; QL

HUMULIN 70/30 U-100 KWIKPEN SUBCUTANEOUS INSULIN PEN

OTC; QL

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

PA; QL

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

PA; QL

NOVOLIN 70/30 U-100 INSULIN SUBCUTANEOUS SUSPENSION

OTC; QL

NOVOLIN N NPH U-100 INSULIN SUBCUTANEOUS SUSPENSION

OTC; QL

109


NOVOLIN R REGULAR U-100 INSULN INJECTION SOLUTION

OTC; QL

NOVOLOG MIX 70-30 U-100 INSULN SUBCUTANEOUS SOLUTION

QL

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

QL

MINERALOCORTICOIDES

fludrocortisone oral tablet

OXITÓCICOS

methylergonovine oral tablet Methergine

PREPARADOS ANTITIROIDEOS

methimazole oral tablet Tapazole

propylthiouracil oral tablet

EQUILIBRIO ELECTROLÍTICO, PRODUCTOS NUTRICIONALES

AGENTES CON MINERALES Y ELECTROLITOS

calcium-magnesium-copper-zinc oral tablet

OTC

k-phos-neutral oral tablet OTC

laxative dietary supplement oral tablet OTC

mag 64 oral tablet,delayed release (dr/ec) OTC

mag-delay oral tablet,delayed release (dr/ec)

OTC

mag-g oral tablet OTC

magnesium gluconate oral tablet Mag-G OTC

magnesium oral tablet OTC

magnesium oxide oral capsule OTC

magnesium oxide oral tablet 200 mg magnesium, 250 mg, 420 mg

OTC

magnesium oxide oral tablet 400 mg (241.3 mg magnesium)

MagOx OTC; QL

magnesium oxide oral tablet 400 mg magnesium

OTC; QL

magnesium oxide oral tablet 500 mgLaxative Dietary Supplement

OTC

mgo oral tablet OTC; QL

phospha 250 neutral oral tablet OTC

phospho-trin 250 neutral oral tablet OTC

110


virt-phos 250 neutral oral tablet OTC

AMINOÁCIDOS

levocarnitine oral tablet Carnitor OTC

COMBINACIONES BIOFLAVONOIDES

ear care oral tablet OTC

ear health formula oral tablet OTC

MULTIVITAMÍNICOS

a thru z advanced formula oral tablet OTC

a thru z high potency oral tablet OTC

a thru z oral tablet OTC

a thru z select 50+ formula oral tablet OTC

a thru z select oral tablet OTC

a thru z select women's oral tablet OTC

abc plus oral tablet OTC

actical oral capsule OTC

adults 50 plus oral tablet OTC

ANTIOXIDANT A/C/E/SELENIUM ORAL CAPSULE

OTC

apatate forte oral liquid OTC

bee-zee oral tablet OTC

biosupp oral liquid OTC

biotect plus oral liquid OTC

biovol oral syrup OTC

calcium citrate plus (vit b6) oral tablet OTC

centamin oral liquid OTC

centravites 50 plus oral tablet OTC

centravites oral tablet OTC

centrum women oral tablet OTC

century adults 50 plus oral tablet OTC

century cardio oral tablet OTC

century mature oral tablet OTC

century oral tablet OTC

century ultimate women's oral tablet OTC

cerovite advanced formula oral tablet OTC

cerovite senior oral tablet OTC

certa plus oral tablet OTC

111


certavite senior-antioxidant oral tablet OTC

certavite-antioxidant oral tablet OTC

chewable-vite oral tablet,chewable OTC

compete oral tablet OTC

complete 50+ oral tablet OTC

complete multi 50+ oral tablet OTC

complete multi oral tablet OTC

complete multivitamin oral tablet OTC

complete multivitamin-mineral oral tablet OTC

complete oral tablet OTC

complete premium vitamin oral tablet OTC

complete senior oral tablet OTC

complete women oral tablet OTC

corvita oral tablet OTC

daily multiple for men oral tablet OTC

daily multiple for women 50+ oral tablet OTC

daily multiple oral tablet OTC

daily multiple vitamins/iron oral tablet OTC

daily multi-vitamin oral tablet OTC

daily multivitamin with iron oral tablet OTC

daily multivitamin-minerals oral tablet OTC

daily multi-vitamins/iron oral tablet OTC

daily value oral tablet OTC

daily vitamin formula oral tablet OTC

daily vitamin formula-iron oral tablet OTC

daily vitamin formula-minerals oral tablet OTC

daily vitamin with iron and ca oral tablet OTC

daily vitamin with iron oral tablet OTC

daily vites/iron oral tablet OTC

daily-vite oral tablet OTC

e-400 c-500 and beta carotene oral tablet OTC

eldertonic oral elixir OTC

essentia oral tablet OTC

essential daily oral tablet OTC

eye health plus lutein oral tablet OTC

fosfree oral tablet OTC

geriaton oral liquid OTC

112


hair vitamins oral tablet OTC

hair,skin and nails oral tablet OTC

healthy eyes oral tablet OTC

healthy eyes supervision oral capsule OTC

icaps areds oral capsule OTC

i-vite oral tablet OTC

i-vite protect oral tablet OTC

macuvite eye care oral tablet OTC

maximum daily multivitamin oral tablet OTC

mega multi for women oral tablet OTC

mega multiple/chelated mineral oral tablet OTC

mega multivitamin for men oral tablet OTC

mega multivitamin with mineral oral tablet OTC

men's daily multivit-mineral oral tablet OTC

men's multi-vitamin oral tablet OTC

men's one daily oral tablet OTC

milltrium senior oral tablet OTC

multi complete with iron oral tablet OTC

multi for her oral tablet OTC

multi-day with iron oral tablet OTC

multi-delyn with iron oral liquid OTC

multilex oral tablet OTC

multilex-t and m oral tablet OTC

multiple vitamin-minerals oral tablet OTC

multiple vitamins oral tablet OTC

multivitamin 50 plus oral tablet OTC

multi-vitamin hp/minerals oral capsule OTC

multivitamin oral capsule OTC

multivitamin oral tablet Daily Multi-Vitamin OTC

multivitamin with iron oral tablet Daily Multi-Vitamins/Iron OTC

multivitamin with minerals oral liquid OTC

multivitamin with minerals oral tablet Bee-Zee OTC

multivit-min-iron fum-folic ac oral tablet OTC

my-vitalife oral capsule OTC

ocutabs oral tablet OTC

omnicap oral tablet OTC

once daily oral tablet OTC

113


one daily calcium/iron oral tablet OTC

one daily complete oral tablet OTC

one daily energy oral tablet OTC

one daily essential oral tablet OTC

one daily for men 50+ advanced oral tablet

OTC

one daily for women oral tablet OTC

one daily maximum oral tablet OTC

one daily men's 50 plus memory oral tablet

OTC

one daily multi-vit w-mineral oral tablet OTC

one daily multivitamin oral tablet OTC

one daily multivit-iron(folic) oral tablet OTC

one daily oral tablet OTC

one daily plus iron oral tablet OTC

one daily plus minerals oral tablet OTC

one daily with iron oral tablet OTC

one daily womens 50 plus oral tablet OTC

one daily women's health oral tablet OTC

one daily women's oral tablet OTC

ONE-A-DAY ESSENTIAL ORAL TABLET

OTC

ONE-A-DAY MAXIMUM FORMULA ORAL TABLET

OTC

ONE-A-DAY TEEN ADVANTAGE ORAL TABLET

OTC

opti-vitamins oral tablet OTC

optivite p.m.t. oral tablet OTC

purevit dualfe plus oral capsule OTC

quintabs-m iron free oral tablet OTC

senior tabs oral tablet OTC

sentry (with lutein) oral tablet OTC

sentry oral tablet OTC

sentry senior oral tablet OTC

se-tan plus oral capsule OTC

SPECTRAVITE ADVANCED FORMULA ORAL TABLET

OTC

SPECTRAVITE MEN'S ORAL TABLET OTC

114


SPECTRAVITE SENIOR ORAL TABLET OTC

SPECTRAVITE ULTRA WOMEN ORAL TABLET

OTC

SPECTRAVITE ULTRA WOMEN'S SR ORAL TABLET

OTC

sunvite oral tablet OTC

super antioxidant oral capsule OTC

super multiple oral tablet OTC

super multivitamin oral tablet OTC

super thera vite m oral tablet OTC

support oral liquid OTC

tab-a-vite oral tablet OTC

tab-a-vite/iron oral tablet OTC

thera m plus (ferrous fumarat) oral tablet OTC

thera oral tablet OTC

theralogix companion oral tablet OTC

thera-m oral tablet OTC

therapeutic liquid oral liquid OTC

therapeutic-m oral tablet OTC

therapeutic-m vitamin/minerals oral tablet OTC

thera-tabs m oral tablet OTC

thera-tabs oral tablet OTC

theratrum complete 50 plus/lut oral tablet OTC

theratrum complete 50 plus-lyc oral tablet OTC

theratrum complete with lutein oral tablet OTC

therems oral tablet OTC

therems-m oral tablet OTC

totalday multiple oral tablet extended release

OTC

tyr cooler oral liquid OTC

ultimate women's complete 50+ oral tablet OTC

ULTRA ANTIOXIDANT FORMULA ORAL TABLET

OTC

unicomplex-m oral tablet OTC

UROSEX ORAL TABLET OTC

v-c forte oral capsule OTC

vic-forte oral capsule OTC

vit 3 oral capsule OTC

115


vitacel (with lutein) oral tablet OTC

vitalee oral tablet OTC

vitamins a and d oral capsule OTC

vitamins and minerals oral tablet OTC

vitamins for hair oral tablet OTC

vitatrum oral tablet OTC

vitrum senior oral tablet OTC

women's daily formula oral tablet OTC

yelets oral tablet OTC

PREPARADOS DE VITAMINA A

vitamin a oral capsule OTC

PREPARADOS DE VITAMINA B

apetigen plus oral liquid OTC

b complex 1 oral tablet OTC

b complex 100 oral tablet OTC

b complex-vitamin b12 oral tablet OTC

b complex-vitamin c-folic acid oral tablet OTC

b-100 complex oral tablet extended release

OTC

b-12 dots oral tablet OTC

balance b-100 oral tablet OTC

balance b-50 oral tablet OTC

balanced b-100 complex oral tablet extended release

OTC

balanced b-100 oral tablet OTC

balanced b-50 complex oral tablet OTC

balanced b-50 oral tablet OTC

b-complex oral tablet OTC

b-complex with vitamin c oral capsule Super B/C OTC

b-complex with vitamin c oral tablet Super B Complex-Vitamin C OTC

b-complex with vitamin c oral tablet extended release

OTC

complex b-100 oral tablet extended release

OTC

cyanocobalamin (vitamin b-12) injection solution

cyanocobalamin (vitamin b-12) oral liquid Liquid B-12 OTC

cyanocobalamin (vitamin b-12) oral tablet Vitamin B-12 OTC

116


cyanocobalamin (vitamin b-12) oral tablet extended release

Vitamin B-12 OTC

cyanocobalamin (vitamin b-12) sublingual drops

OTC

cyanocobalamin (vitamin b-12) sublingual lozenge

OTC

cyanocobalamin (vitamin b-12) sublingual tablet

Vitamin B-12 OTC

dialyvite 800 oral tablet OTC

dialyvite oral tablet OTC

fabb oral tablet OTC

folbee oral tablet OTC

folbee plus oral tablet OTC

folbic oral tablet OTC

folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC

folplex 2.2 oral tablet OTC

foltabs 800 oral tablet OTC

full spectrum b-vitamin c oral tablet OTC

kobee oral tablet OTC

mynephrocaps oral capsule OTC

mynephron oral capsule OTC

natural b-100 complex oral tablet OTC

nephplex rx oral tablet OTC

nephronex oral liquid OTC

nephronex-sl oral tablet,disintegrating OTC

nephro-vite rx oral tablet OTC

niacin (inositol niacinate) oral capsule Niacin Flush Free OTC

niacin (niacinamide) oral tablet OTC

niacin flush free oral capsule OTC

niacin oral capsule, extended release 125 mg

OTC

niacin oral capsule, extended release 250 mg, 500 mg

OTC; QL

niacin oral tablet OTC

niacin oral tablet extended release Endur-Acin OTC

niacinamide oral tablet Niacin (niacinamide) OTC

pantothenic acid (vit b5) oral tablet OTC

pyridoxine (vitamin b6) oral tablet Vitamin B-6 OTC

117


renal caps oral capsule OTC

rena-vite oral tablet OTC

rena-vite rx oral tablet OTC

reno caps oral capsule OTC

riboflavin (vitamin b2) oral tablet Vitamin B-2 OTC

slo-niacin oral tablet extended release OTC

stress b plus zinc oral tablet OTC

stress b with zinc oral tablet OTC

stress formula 600 c oral tablet OTC

stress formula oral tablet OTC

stress formula plus iron oral tablet OTC

stress formula with iron oral tablet OTC

stress formula with iron(sulf) oral tablet OTC

stress formula with zinc oral tablet OTC

stresstabs with zinc oral tablet OTC

super b complex-vitamin c oral tablet OTC

super b maxi complex oral tablet OTC

super b/c oral capsule OTC

super b-50 complex oral capsule OTC

super b-50 complex plus oral tablet OTC

super quints b-50 oral tablet OTC

super quints oral tablet OTC

superplex-t oral tablet OTC

thiamine hcl (vitamin b1) oral tablet Vitamin B-1 OTC

thiamine mononitrate (vit b1) oral tablet Vitamin B-1 (mononitrate) OTC

tl gard rx oral tablet OTC

total b/c oral tablet OTC

triphrocaps oral capsule OTC

ultra b-100 complex oral tablet OTC

virt-gard oral tablet OTC

virt-vite oral tablet OTC

vitamin b complex oral capsule Super B-50 Complex OTC

vitamin b complex oral tablet B Complex 1 OTC

vitamin b complex with c oral capsule OTC

vitamin b complex-folic acid oral tablet B Complex 100 OTC

vitamin b-1 (mononitrate) oral tablet OTC

vitamin b-1 oral tablet OTC

118



vitamin b-12 oral tablet extended release OTC

vitamin b-12 sublingual tablet OTC



vitamins b complex oral capsule OTC

vitamins b complex oral tablet OTC

vitamins for hair oral tablet OTC

vp-vite rx oral tablet OTC

PREPARADOS DE VITAMINA C

acerola c-500 oral wafer OTC

ascorbate calcium oral tablet OTC

ascorbic acid (vitamin c) oral capsule, extended release

Vitamin C OTC

ascorbic acid (vitamin c) oral syrup OTC

ascorbic acid (vitamin c) oral tablet C-1000 OTC

ascorbic acid (vitamin c) oral tablet extended release

OTC

ascorbic acid (vitamin c) oral tablet,chewable

Acerola C OTC

ascorbic acid with rose hips oral tablet OTC

c complex oral tablet extended release OTC

c-1000 oral tablet OTC

c-1000 oral tablet extended release OTC

c-1000 with rose hips oral tablet OTC

c-500 oral tablet OTC

c-500 oral tablet extended release OTC

c-500 oral tablet,chewable OTC

endur-c with rose hips oral tablet extended release

OTC

fruit c oral tablet,chewable OTC

fruit c-500 oral tablet,chewable OTC

halls defense oral lozenge OTC

soothing pureway-c oral tablet OTC

strawberry c oral tablet,chewable OTC

vita-c oral crystals OTC

vitamin c drops oral lozenge OTC

vitamin c oral capsule, extended release OTC

119


vitamin c oral powder OTC

vitamin c oral tablet OTC

vitamin c oral tablet extended release OTC

vitamin c oral tablet,chewable OTC

vitamin c with rose hips oral tablet OTC

vitamin c with rose hips oral tablet extended release

OTC

zinc and c oral lozenge OTC

PREPARADOS DE VITAMINA D

calcidol oral drops OTC

calcitriol oral capsule Rocaltrol PA

calcitriol oral solution Rocaltrol PA

cholecalciferol (vitamin d3) oral capsule Dialyvite Vitamin D OTC

cholecalciferol (vitamin d3) oral drops D-Vi-Sol OTC

cholecalciferol (vitamin d3) oral tablet Delta D3 OTC

cholecalciferol (vitamin d3) oral tablet,chewable

VitaJoy Daily D OTC

d3-2000 oral capsule OTC

delta d3 oral tablet OTC

dialyvite vitamin d oral capsule OTC

d-vi-sol oral drops OTC

ergocalciferol (vitamin d2) oral capsule Drisdol

ergocalciferol (vitamin d2) oral drops Calcidol OTC

ergocalciferol (vitamin d2) oral tablet OTC

replesta oral wafer OTC

thera-d oral tablet OTC

vitajoy daily d oral tablet,chewable OTC

vitamin d2 oral capsule

vitamin d3 oral capsule OTC

vitamin d3 oral tablet OTC

vitamin d3 oral tablet,chewable OTC

PREPARADOS DE VITAMINA E

aquasol e (d-alpha tocopherol) oral drops OTC

vitamin e (dl, acetate) oral capsule OTC

vitamin e acetate oral capsule OTC

vitamin e mixed oral capsule OTC

vitamin e oral capsule OTC

120


vitamin e oral dropsAquasol E (d-alpha tocopherol)

OTC

wheat germ oil oral capsule OTC

PREPARADOS DE VITAMINA K

phytonadione (vitamin k1) oral tablet 100 mcg

OTC

phytonadione (vitamin k1) oral tablet 5 mg Mephyton

PREPARADOS DE VITAMINAS PRENATALES

classic prenatal oral tablet OTC; QL

daily prenatal oral combo pack OTC; QL

kpn oral tablet OTC; QL

one daily prenatal oral combo pack OTC; QL

perry prenatal oral capsule OTC; QL

pnv cmb#95-ferrous fumarate-fa oral tablet

Prenatal OTC; QL

prenatal + dha oral combo pack OTC; QL

prenatal 19 (with docusate) oral tablet OTC; QL

prenatal 19 oral tablet,chewable OTC; QL

prenatal complete oral tablet OTC; QL

prenatal formula oral tablet OTC; QL

prenatal multi-dha (algal oil) oral capsule OTC; QL

prenatal multivitamins oral tablet OTC; QL

prenatal one daily oral tablet OTC; QL

prenatal oral tablet OTC; QL

prenatal tablet oral tablet OTC; QL

prenatal vitamin oral tablet OTC; QL

prenatal vitamin with minerals oral tablet OTC; QL

prenatal vit-iron fum-folic ac oral tablet Prenatal Tablet OTC; QL

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

women's prenatal + dha oral combo pack OTC; QL

PRODUCTOS ALIMENTARIOS

gerber good start glucose oral solution OTC

RESINAS LIBERADORAS DE POTASIO

sodium polystyrene (sorb free) oral suspension

121


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 IRRIGACIÓN

sodium chloride irrigation solution Aqua Care Sodium Chloride

sterile saline irrigation solution OTC

SUPLEMENTOS DIETARIOS

hair, skin and nails advanced oral tablet OTC

SUSTITUTO DEL CALCIO

bone meal-vitamin d2 oral tablet OTC

ca-d3-mag ox-zinc-cop-mang-bor oral tablet

Calcium 600-D3 Plus OTC

ca-d3-mag ox-zinc-cop-mang-bor oral tablet,chewable

OTC

ca-d3-mag-zinc-cop-mang-bor oral tablet OTC

calci-chew oral tablet,chewable OTC

calcitrate oral tablet OTC

calcium 500 + d (d3) oral tablet OTC

calcium 500 + d oral tablet OTC

calcium 500 + d oral tablet,chewable OTC

calcium 500 oral tablet,chewable OTC

calcium 500 with d oral tablet OTC

calcium 600 + d(3) oral capsule OTC

calcium 600 + d(3) oral tablet OTC

calcium 600 + minerals oral tablet OTC

calcium 600 oral tablet OTC

calcium 600 with vitamin d3 oral capsule 600 mg(1,500mg) -400 unit

OTC

CALCIUM 600 WITH VITAMIN D3 ORAL CAPSULE 600 MG(1,500MG) -500 UNIT

OTC

calcium 600 with vitamin d3 oral tablet OTC

calcium 600 with vitamin d3 oral tablet,chewable

OTC

CALCIUM 600-D3 PLUS ORAL TABLET OTC

calcium acetate oral tablet Calphron QL

122


calcium carb and citrate-vitd3 oral tablet extended release

Citracal + D Slow Release OTC

calcium carbonate oral suspension OTC

calcium carbonate oral tablet Calcium 600 OTC

calcium carbonate oral tablet,chewableAntacid Ext Str (calcium carb)

OTC

calcium carbonate-vit d3-min oral tablet Calcium 600 + Minerals OTC

calcium carbonate-vit d3-min oral tablet,chewable

OTC

calcium carbonate-vitamin d3 oral capsuleCalcium 600 with Vitamin D3

OTC

calcium carbonate-vitamin d3 oral tablet Calcium 500 + D OTC

calcium carbonate-vitamin d3 oral tablet,chewable

Calcium 500 + D OTC

calcium citrate + d oral tablet OTC

calcium citrate oral tablet Calcitrate OTC

calcium citrate-vitamin d2 oral tablet OTC

calcium citrate-vitamin d3 oral tablet Calcium Citrate + D OTC

calcium for women oral tablet,chewable OTC

calcium gluconate oral tablet OTC

calcium lactate oral tablet OTC

calcium magnesium oral tablet OTC

calcium soft chew oral tablet,chewable OTC

calcium with vitamin d oral tablet OTC

calcium-folic acid-vitamin d oral wafer OTC

calcium-magnesium-zinc oral tablet OTC

calcium-vitamin d3-vitamin k oral tablet,chewable

Calcium Soft Chew OTC

citrus calcium oral tablet OTC

hi-cal plus vit d oral tablet OTC

oysco 500/d oral tablet OTC

oysco-500 oral tablet OTC

oyster shell + d3 oral tablet OTC

oyster shell calcium 500 oral tablet OTC

oyster shell calcium oral tablet OTC

oyster shell calcium-vit d2 oral tablet OTC

oyster shell calcium-vit d3 oral tablet OTC

oystercal-d oral tablet OTC

123


risacal-d oral tablet OTC

super calcium oral tablet OTC

tl g-fol os oral tablet

SUSTITUTO DEL ELECTROLITO

electrolytes-dextrose oral solution Enfamil Enfalyte OTC; QL

oralyte oral solution OTC; QL

pedialyte freezer pops oral solution OTC; QL

pedialyte oral solution OTC; QL

pedialyte singles oral solution OTC; QL

pediatric electrolyte oral solution OTC; QL

pediatric freezer pops oral solution OTC; QL

SUSTITUTO DEL HIERRO

centratex oral capsule OTC

chewable iron oral tablet,chewable OTC

children's iron oral drops OTC

corvita 150 oral tablet OTC

duofer oral tablet OTC

ezfe 200 oral capsule OTC

fe c oral tablet OTC

fe c plus oral tablet OTC; QL

feosol oral tablet OTC

ferate oral tablet OTC

ferocon oral capsule OTC

ferosul oral elixir OTC

ferosul oral tablet OTC

ferraplus 90 oral tablet OTC

ferretts oral tablet OTC

ferrex 150 forte oral capsule OTC

ferrex 150 forte plus oral capsule OTC

ferrex 150 oral capsule OTC

ferrex 150 plus oral capsule OTC

ferric x-150 oral capsule OTC

ferrocite oral tablet OTC

ferrocite plus oral tablet OTC

ferro-time oral tablet OTC

ferrous fumarate oral tablet Ferrocite OTC

ferrous gluconate oral tablet Ferate OTC

124


ferrous sulfate oral drops Children's Iron OTC

ferrous sulfate oral elixir FeroSul OTC

ferrous sulfate oral liquid OTC

ferrous sulfate oral solution OTC

ferrous sulfate oral tablet Feosol OTC

ferrous sulfate oral tablet,delayed release (dr/ec)

OTC

ferrousul oral tablet OTC

folitab oral tablet extended release OTC

folivane-f oral capsule OTC

folivane-plus oral capsule OTC

hematinic plus vit/minerals oral tablet OTC

hematinic/folic acid oral tablet OTC

hematogen fa oral capsule OTC

hematogen forte oral capsule OTC

hematogen oral capsule OTC

hemetab oral tablet OTC; QL

high potency iron oral tablet OTC

iferex 150 oral capsule OTC

iron (dried) oral tablet extended release OTC

iron (ferrous sulfate) oral tablet OTC

iron 100 plus oral tablet OTC; QL

iron chews oral tablet,chewable OTC

iron high potency oral tablet OTC

iron oral tablet OTC

iron oral tablet extended release OTC

iron, carbonyl oral tablet Feosol OTC

iron,carbonyl-vitamin c oral tablet FE C OTC

multigen folic oral tablet OTC

multigen oral tablet OTC

multigen plus oral tablet OTC

myferon 150 forte oral capsule OTC

myferon 150 oral capsule OTC

pedia iron oral drops OTC

poly-iron oral capsule OTC

slow release iron oral tablet extended release

OTC

125


stress formula oral tablet OTC

taron forte oral capsule OTC

tl icon oral capsule OTC

tricon oral capsule OTC

trigels-f forte oral capsule OTC

wee care oral suspension OTC

SUSTITUTO DEL POTASIO

klor-con 10 oral tablet extended release

klor-con 8 oral tablet extended release

klor-con m10 oral tablet,er particles/crystals



klor-con oral packet

k-tab oral tablet extended release

potassium chloride oral capsule, extended release

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

potassium gluconate oral tablet OTC

SUSTITUTO DEL ZINC

chelated zinc oral tablet OTC

zinc amino acid chelate oral tablet OTC

zinc gluconate oral tablet OTC

zinc oral tablet Chelated Zinc OTC

zinc sulfate oral capsule Orazinc OTC

zinc sulfate oral tablet OTC

zinc-220 oral capsule OTC

zinc-vit c-pyridoxine (vit b6) oral lozenge OTC

VITAMINAS PEDIÁTRICAS CON FLÚOR

multi-vit with fluoride-iron oral drops OTC

126


multi-vitamin with fluoride oral drops OTC

multivitamin with fluoride oral tablet,chewable

OTC

multi-vitamin with fluoride oral tablet,chewable

OTC

multivitamins with fluoride oral tablet,chewable

OTC

mvc-fluoride oral tablet,chewable OTC

triple vitamin with fluoride oral drops OTC

tri-vitamin with fluoride oral drops OTC

tri-vite with fluoride oral drops OTC

vitamins a,c,d and fluoride oral drops OTC

VITAMINAS PEDIÁTRICAS

animal chews oral tablet,chewable OTC

animal shape vitamins oral tablet,chewable

OTC

animal shapes complete oral tablet,chewable

OTC

chewable-vite oral tablet,chewable OTC

chewable-vite with iron oral tablet,chewable

OTC

children's chewable multivitmn oral tablet,chewable

OTC

children's chewable vitamin oral tablet,chewable

OTC

children's chewables extra c oral tablet,chewable

OTC

children's chewables oral tablet,chewable OTC

children's chewables with iron oral tablet,chewable

OTC

childs chew vite oral tablet,chewable OTC

child's chewable vitamins/iron oral tablet,chewable

OTC

child's vitamin with iron oral tablet,chewable

OTC

childs/iron oral tablet,chewable OTC

dino-life oral tablet,chewable OTC

dino-life with extra c oral tablet,chewable OTC

dino-life with iron-zinc oral tablet,chewable OTC

127


FLINTSTONES MULTI-VIT GUMMIES ORAL TABLET,CHEWABLE

OTC

FLINTSTONES TAB CHEW ORAL TABLET,CHEWABLE

OTC

gummi bear multivitamin oral tablet,chewable

OTC

gummy dinos oral tablet,chewable OTC

honey bears oral tablet,chewable OTC

little animals oral tablet,chewable OTC

little animals-iron oral tablet,chewable OTC

lysiplex plus oral liquid OTC

PEDIA POLY-VITE ORAL DROPS OTC

POLY-VI-SOL ORAL DROPS OTC

POLY-VI-SOL WITH IRON ORAL DROPS

OTC

polyvitamin with iron oral tablet,chewable OTC

poly-vitamins oral tablet,chewable OTC

vitalets oral tablet,chewable OTC

zoo chews oral tablet,chewable OTC

zoo friends original oral tablet,chewable OTC

VITAMINAS

biotin oral capsule Meribin OTC

biotin oral tablet OTC

elfolate oral tablet OTC

fabb oral tablet OTC

folbee oral tablet OTC

folbic oral tablet OTC

folic acid oral tablet OTC

folic acid-vit b6-vit b12 oral tablet Folplex 2.2 OTC

folplex 2.2 oral tablet OTC

levomefolate calcium oral tablet Elfolate OTC

l-methylfolate oral tablet OTC

tl gard rx oral tablet OTC

virt-gard oral tablet OTC

virt-vite oral tablet OTC

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ESCLEROSIS MÚLTIPLE

MEDICAMENTOS PARA TRATAR LA ESCLEROSIS MÚLTIPLE

AVONEX (WITH ALBUMIN) INTRAMUSCULAR KIT

PA

AVONEX INTRAMUSCULAR PEN INJECTOR KIT

PA

AVONEX INTRAMUSCULAR SYRINGE KIT

PA

BETASERON SUBCUTANEOUS KIT PA

EXTAVIA SUBCUTANEOUS KIT PA

GILENYA ORAL CAPSULE PA; QL

glatiramer subcutaneous syringe Copaxone PA

glatopa subcutaneous syringe PA

REBIF (WITH ALBUMIN) SUBCUTANEOUS SYRINGE

PA

REBIF REBIDOSE SUBCUTANEOUS PEN INJECTOR

PA

REBIF TITRATION PACK SUBCUTANEOUS SYRINGE

PA

TECFIDERA ORAL CAPSULE,DELAYED RELEASE(DR/EC)

PA; QL

INSUMOS Y PREPARADOS DENTALES

AGENTES PARA LA BOCA Y GARGANTA

cherry cough drops mucous membrane lozenge

OTC

cherry menthol mucous membrane lozenge

OTC

chloraseptic sore throat mucous membrane lozenge

OTC

chloraseptic throat spray mucous membrane aerosol,spray

OTC

clotrimazole mucous membrane troche QL

cough drops (with eucalyptus) mucous membrane lozenge

OTC

honey lemon mucous membrane lozenge OTC

lidocaine hcl mucous membrane jelly

lidocaine hcl mucous membrane solution QL

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lidocaine viscous mucous membrane solution

QL

medikoff drops mucous membrane lozenge

OTC

menthol drops mucous membrane lozenge

OTC

nystatin oral suspension

oralone dental paste

pilocarpine hcl oral tablet Salagen (pilocarpine) QL

sore throat (benzocaine-menth) mucous membrane lozenge

OTC

sore throat relief (pectin) mucous membrane lozenge on a handle

OTC

throat drops mucous membrane lozenge OTC

throat lozenges mucous membrane lozenge

OTC

triamcinolone acetonide dental paste Oralone

zinc with vitamins a and c oral lozenge OTC


chloraseptic mucous membrane aerosol,spray

OTC

chlorhexidine gluconate mucous membrane mouthwash

Paroex Oral Rinse QL

paroex oral rinse mucous membrane mouthwash

QL

periogard mucous membrane mouthwash QL

sore throat (hexylresorcinol) mucous membrane lozenge

OTC

PREPARACIONES DE FLUORUROS

fluoride (sodium) oral drops OTC; QL

fluoride (sodium) oral tablet,chewable Fluoritab OTC

fluoritab oral tablet,chewable OTC

FLURA-DROPS ORAL DROPS OTC

ludent fluoride oral tablet,chewable OTC

perio med dental solution OTC

MODIFICADORES METABÓLICOS

AGENTES DE DEFICIENCIA METABÓLICA

calcitriol oral capsule Rocaltrol PA

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calcitriol oral solution Rocaltrol PA

levocarnitine oral tablet Carnitor OTC

sodium phenylbutyrate oral powder Buphenyl PA; QL

sodium phenylbutyrate oral tablet Buphenyl PA; QL

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

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

murine ear wax removal system otic (ear) drops

OTC

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

neomycin-polymyxin-hc otic (ear) solution

ofloxacin otic (ear) drops 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 3 day vaginal cream OTC

clotrimazole vaginal cream Clotrimazole-7 OTC

clotrimazole-3 vaginal cream OTC

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clotrimazole-7 vaginal cream OTC

miconazole 7 vaginal cream OTC

miconazole 7 vaginal suppository OTC

miconazole nitrate vaginal comb pack,prefill appl, cream

Miconazole-3 OTC

miconazole nitrate vaginal cream Miconazole 7 OTC

miconazole nitrate vaginal kit Monistat 1 Combo Pack OTC

miconazole nitrate vaginal suppository Miconazole 7 OTC

miconazole-3 prefil,cream,wipe vaginal kit OTC

miconazole-3 vaginal comb pack,prefill appl, cream

OTC

miconazole-3 vaginal cream OTC

miconazole-3 vaginal kit OTC

miconazole-3 vaginal suppository PA

miconazole-skin clnsr17 vaginal kitMiconazole-3 prefil,cream,wipe

OTC

terconazole vaginal cream

terconazole vaginal suppository

tioconazole vaginal ointment 1-Day OTC

tioconazole-1 vaginal ointment OTC

PREPARADOS DE ESTRÓGENO VAGINALES

estradiol vaginal tablet Vagifem

yuvafem vaginal tablet

SISTEMA LOCOMOTOR

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

carisoprodol-aspirin oral tablet

chlorzoxazone oral tablet

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cyclobenzaprine oral tablet 10 mg QL

cyclobenzaprine oral tablet 5 mg

dantrolene oral capsule Dantrium

methocarbamol oral tablet Robaxin QL

orphenadrine citrate oral tablet extended release

QL

riluzole oral tablet Rilutek PA

tizanidine oral tablet QL

TERAPIA ALTERNATIVA

TERAPIA ALTERNATIVA

ANTIOXIDANT A/C/E/SELENIUM ORAL CAPSULE

OTC

e-400 c-500 and beta carotene oral tablet OTC

eye health plus lutein oral tablet OTC

glucosamine-chondroitin complx oral capsule

OTC

healthy eyes oral tablet OTC

healthy eyes supervision oral capsule OTC

icaps areds oral capsule OTC

i-vite oral tablet OTC

i-vite protect oral tablet OTC

kelp-lecithin-b6 oral tablet OTC

lecithin-kelp-b6 (100-8.3) oral tablet OTC

lecithin-kelp-b6 (400-20) oral tablet OTC

lecithin-kelp-b6 oral capsule OTC

opti-vitamins oral tablet OTC

prosight oral tablet OTC

super antioxidant oral capsule OTC

ULTRA ANTIOXIDANT FORMULA ORAL TABLET

OTC

TERAPIA DE LA GOTA Y LA HIPERURICEMIA

AGENTES URICOSÚRICOS

probenecid oral tablet

COMBINADOS DE COLQUICINA

probenecid-colchicine oral tablet

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TERAPIA PARA HIPERURICEMIA, INHIBIDORES DE PURINA

allopurinol oral tablet Zyloprim

TERAPIA DEL TRASTORNO COGNITIVO

INHIBIDORES DE LA COLINESTERASA

donepezil oral tablet 10 mg, 5 mg Aricept DO; QL

donepezil oral tablet 23 mg Aricept PA; QL

donepezil oral tablet,disintegrating DO; QL

galantamine oral capsule,ext rel. pellets 24 hr

Razadyne ER DO; QL

galantamine oral solution DO; QL

galantamine oral tablet Razadyne DO; QL

memantine oral solution DO; QL

memantine oral tablet Namenda DO; QL

memantine oral tablets,dose pack Namenda Titration Pak DO; QL

NAMENDA TITRATION PAK ORAL TABLETS,DOSE PACK

DO; QL

rivastigmine tartrate oral capsule DO; QL

TERAPIA GENITOURINARIA

ACIDULANTES URINARIOS

k-phos-neutral oral tablet OTC

phospha 250 neutral oral tablet OTC

phospho-trin 250 neutral oral tablet OTC

virt-phos 250 neutral oral tablet OTC

AGENTE PARA LA INCONTINENCIA/ANTIESPASMÓDICO PARA TRACTO URINARIO

darifenacin oral tablet extended release 24 hr

Enablex

flavoxate oral tablet

oxybutynin chloride oral syrup

oxybutynin chloride oral tablet

oxybutynin chloride oral tablet extended release 24hr

OXYTROL FOR WOMEN TRANSDERMAL PATCH 4 DAY

OTC

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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

urinary pain relief oral tablet OTC

AGENTES ANTIBACTERIANOS URINARIOS

ciprofloxacin (mixture) oral tablet, er multiphase 24 hr

Cipro XR QL

methenamine hippurate oral tablet Hiprex

nitrofurantoin macrocrystal oral capsule Macrodantin

nitrofurantoin monohyd/m-cryst oral capsule

Macrobid

AGENTES PARASIMPÁTICOS

bethanechol chloride oral tablet Urecholine

DESINTOXICANTES DE SANGRE

calcium acetate oral capsule QL

calcium acetate oral tablet Calphron QL

eliphos oral tablet QL

lanthanum oral tablet,chewable Fosrenol QL

sevelamer carbonate oral powder in packet

Renvela QL

sevelamer carbonate oral tablet Renvela QL

HIPERTROFIA PROSTÁTICA BENIGNA/AGENTES MICCIONALES

alfuzosin oral tablet extended release 24 hr

Uroxatral QL

finasteride oral tablet Proscar QL

tamsulosin oral capsule Flomax QL

MODIFICADORES DEL PH URINARIO

cytra k crystals oral packet

cytra-2 oral solution OTC

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cytra-3 oral solution OTC

cytra-k oral solution OTC

potassium citrate oral tablet extended release

Urocit-K 10

potassium citrate-citric acid oral solution Cytra-K OTC

sodium citrate-citric acid oral solution Cytra-2 OTC

tricitrates oral solution OTC

virtrate-k oral solution OTC

TERAPIA PARA TRASTORNOS DE LA ALIMENTACIÓN

AGENTES CONTRA LA OBESIDAD

ALLI ORAL CAPSULE PA; OTC; QL

AGENTES ESTIMULANTES DEL APETITO

megestrol oral suspension PA

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Lista de medicamentos preferidos aprobada por Medicaid · Lista de medicamentos preferidos ......

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