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   Medical Necessity & Prior Authorization Forms/Criteria


  Instructions
 
Your provider (the prescriber) must obtain authorization for some prescription medications to be filled. Listed below are the Quantity Limits, Prior Authorization and Medical Necessity Forms and Criteria you will need in order to request drugs that require authorization. You do not need to submit multiple forms because authorization approvals apply to both the mail-order and retail network pharmacy options.

To submit a request:

1. Select and print the proper form(s) from the listings below by scrolling down and clicking on the appropriate pdf icon. Drugs are listed by AHFS Therapeutic Class, Brand Name, and Generic Name.
2. Have your provider fill out the form completely.
3. Follow the directions on the completed form for delivery to Express Scripts, Inc.

If you are unable to find a particular form please forward a message to DOD.customer.relations@express-scripts.com with your information and a ESI representative will be in contact with you shortly.

The forms are provided here in Adobe Acrobat. If you cannot view a file, please download the appropriate free plug-in from the Adobe Acrobat Reader link below:

Download Adobe Acrobat Reader

  Generic Medications
 
The pharmacy benefits program mandates substitution of generic drugs listed with an "A" rating in the current Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book) published by the FDA unless sufficient clinical justification from the prescriber is submitted. Prescribers may call 1-866-684-4488 to submit a request for a brand name drug to be dispensed in lieu of a generic.

Brand over Generic Prior Authorization Request Form


AHFS Therapeutic Class   Brand Name   Generic Name   Medical Necessity Form Prior Authorization Form
NARCOTIC ANALGESICS AND COMBINATIONSABSTRALFENTANYL CITRATE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSACCU-CHEK ACTIVEBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSACCU-CHEK COMFORT CURVEBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSACCUTREND GLUCOSEBLOOD SUGAR DIAGNOSTIC


-
PROTON PUMP INHIBITORSACIPHEXRABEPRAZOLE SODIUM





NARCOTIC ANALGESICS AND COMBINATIONSACTIQFENTANYL CITRATE-


DIABETES-NON-INSULINACTOPLUS METPIOGLITAZONE HCL/METFORMIN HCL-


DIABETES-NON-INSULINACTOPLUS MET XRPIOGLITAZONE HCL/METFORMIN HCL-


DIABETES-NON-INSULINACTOSPIOGLITAZONE HCL-


SELF MONITORING BLOOD GLUCOSE SYSTEMSACURA TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
PHOSPHODIESTERASE-5 INHIBITORSADCIRCATADALAFIL





SELF MONITORING BLOOD GLUCOSE SYSTEMSADVANCE TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
ANTILIPIDEMICS-1ADVICORNIACIN/LOVASTATIN-


SELF MONITORING BLOOD GLUCOSE SYSTEMSADVOCATE REDI-CODEBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSADVOCATE REDI-CODE+BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSADVOCATE TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
ANTILIPIDEMICS-1ALTOPREVLOVASTATIN-


PULMONARY-1 AGENTSALVESCOCICLESONIDE


-
SEDATIVE-HYPNOTIC AGENTSAMBIEN CRZOLPIDEM TARTRATE-


MIGRAINE AGENTSAMERGENARATRIPTAN HCL


-
CONTRACEPTIVE AGENTSAMETHIALEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSAMETHIA LOLEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSAMETHYSTLEVONORGESTREL-ETHINYL ESTRADIOL


-
TARGETED IMMUNOMODULATORY BIOLOGICSAMEVIVEALEFACEPT-


ANTILIPIDEMICS-1AMLODIPINE-ATORVASTATINAMLODIPINE BESYLATE/ATORVASTATIN CALCIUM-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESAMTURNIDEALISKIREN HEMIFUMARATE/AMLODIPINE/HYDROCHLOROTHIAZIDE-


ANDROGENS-ANABOLIC STEROIDSANDRODERMTESTOSTERONE-


ANDROGENS-ANABOLIC STEROIDSANDROGELTESTOSTERONE-


ANDROGENS-ANABOLIC STEROIDSANDROGELTESTOSTERONE





ANTILIPIDEMICS-2ANTARAFENOFIBRATE,MICRONIZED-


ANTIEMETIC-ANTIVERTIGO AGENTSANZEMETDOLASETRON MESYLATE


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSAPLENZINBUPROPION HBR


-
ALZHEIMERS AGENTSARICEPTDONEPEZIL HCL


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSASSURE 4BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSASSURE PLATINUMBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSASSURE PROBLOOD SUGAR DIAGNOSTIC


-
NASAL ALLERGY AGENTSASTEPROAZELASTINE HCL


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESATACANDCANDESARTAN CILEXETIL-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESATACAND HCTCANDESARTAN CILEXETIL/HYDROCHLOROTHIAZIDE-


OSTEOPOROSIS AGENTSATELVIARISEDRONATE SODIUM


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESAVALIDEIRBESARTAN/HYDROCHLOROTHIAZIDE-


DIABETES-NON-INSULINAVANDAMETROSIGLITAZONE MALEATE/METFORMIN HCL


-
DIABETES-NON-INSULINAVANDARYLROSIGLITAZONE MALEATE/GLIMEPIRIDE


-
DIABETES-NON-INSULINAVANDIAROSIGLITAZONE MALEATE


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESAVAPROIRBESARTAN-


NARCOTIC ANALGESICS AND COMBINATIONSAVINZAMORPHINE SULFATE-


BENIGN PROSTATIC HYPERPLASIA AGENTSAVODARTDUTASTERIDE


-
MIGRAINE AGENTSAXERTALMOTRIPTAN MALATE


-
ANDROGENS-ANABOLIC STEROIDSAXIRONTESTOSTERONE





GLAUCOMA AGENTSAZOPTBRINZOLAMIDE


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESAZORAMLODIPINE BESYLATE/OLMESARTAN MEDOXOMIL-


CONTRACEPTIVE AGENTSBALZIVANORETHINDRONE-ETHINYL ESTRADIOL


-
NASAL ALLERGY AGENTSBECONASE AQBECLOMETHASONE DIPROPIONATE


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESBENICAROLMESARTAN MEDOXOMIL-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESBENICAR HCTOLMESARTAN MEDOXOMIL/HYDROCHLOROTHIAZIDE-


MULTIPLE SCLEROSIS AGENTSBETASERONINTERFERON BETA-1B


-
GLAUCOMA AGENTSBETIMOLTIMOLOL


-
CONTRACEPTIVE AGENTSBEYAZDROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSBG-STARBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSBLOOD GLUCOSE TESTBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSBLOOD GLUOCSE TESTBLOOD SUGAR DIAGNOSTIC


-
CONTRACEPTIVE AGENTSBRIELLYNNORETHINDRONE-ETHINYL ESTRADIOL


-
NARCOTIC ANALGESICS AND COMBINATIONSBUTRANSBUPRENORPHINE-


DIABETES-NON-INSULINBYDUREONEXENATIDE MICROSPHERES-


DIABETES-NON-INSULINBYETTAEXENATIDE-


BETA BLOCKERS AND HYDROCHLOROTHIAZIDE COMBINATIONSBYSTOLICNEBIVOLOL HCL


-
ANTILIPIDEMICS-1CADUETAMLODIPINE BESYLATE/ATORVASTATIN CALCIUM-


OSTEOPOROSIS AGENTSCALCITONIN-SALMONCALCITONIN,SALMON,SYNTHETIC


-
PAIN AGENTSCAMBIADICLOFENAC POTASSIUM


-
CONTRACEPTIVE AGENTSCAMRESELEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSCAMRESE LOLEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESCANDESARTAN CILEXETILCANDESARTAN CILEXETIL-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESCANDESARTAN-HYDROCHLOROTHIAZIDCANDESARTAN CILEXETIL/HYDROCHLOROTHIAZIDE-


CALCIUM CHANNEL BLOCKING AGENTSCARDENE SRNICARDIPINE HCL


-
CALCIUM CHANNEL BLOCKING AGENTSCARDIZEM LADILTIAZEM HCL


-
BENIGN PROSTATIC HYPERPLASIA AGENTSCARDURA XLDOXAZOSIN MESYLATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCARESENS NBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCHOICEDM CLARUS TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
PHOSPHODIESTERASE-5 INHIBITORSCIALISTADALAFIL





ANTIFUNGALSCICLODANCICLOPIROX OLAMINE


-
ANTIFUNGALSCICLOPIROXCICLOPIROX


-
ANTIFUNGALSCICLOPIROXCICLOPIROX OLAMINE


-
TARGETED IMMUNOMODULATORY BIOLOGICSCIMZIACERTOLIZUMAB PEGOL





ANTIHISTAMINE-1CLARINEXDESLORATADINE


-
ANTIHISTAMINE-1CLARINEX-D 12 HOURDESLORATADINE/PSEUDOEPHEDRINE SULFATE


-
ANTIHISTAMINE-1CLARINEX-D 24 HOURDESLORATADINE/PSEUDOEPHEDRINE SULFATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCLEVER CHOICE TALKBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCLEVER CHOICE TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCLEVER CHOICE VOICE+ TST STRIPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCONTOUR NEXTBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSCONTROLBLOOD SUGAR DIAGNOSTIC


-
CALCIUM CHANNEL BLOCKING AGENTSCOVERA-HSVERAPAMIL HCL


-
ANTILIPIDEMICS-1CRESTORROSUVASTATIN CALCIUM-


DIABETES-NON-INSULINCYCLOSETBROMOCRIPTINE MESYLATE





ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSCYMBALTADULOXETINE HCL





CONTRACEPTIVE AGENTSDAYSEELEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSDAYTRANAMETHYLPHENIDATE


-
ANTIHISTAMINE-1DESLORATADINEDESLORATADINE


-
OVERACTIVE BLADDER AGENTSDETROLTOLTERODINE TARTRATE-


PROTON PUMP INHIBITORSDEXILANTDEXLANSOPRAZOLE





PAIN AGENTSDUEXISIBUPROFEN/FAMOTIDINE


-
CALCIUM CHANNEL BLOCKING AGENTSDYNACIRC CRISRADIPINE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASY CHECK TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASY GLUCO G2BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASY STEPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASY TRAKBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASYGLUCOBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASYGLUCO PLUSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASYMAXBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEASYPLUSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSECLIPSEBLOOD SUGAR DIAGNOSTIC


-
ANTIFUNGALSECONAZOLE NITRATEECONAZOLE NITRATE


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESEDARBIAZILSARTAN MEDOXOMIL-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESEDARBYCLORAZILSARTAN MEDOXOMIL/CHLORTHALIDONE-


SEDATIVE-HYPNOTIC AGENTSEDLUARZOLPIDEM TARTRATE





SELF MONITORING BLOOD GLUCOSE SYSTEMSELEMENT TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSEMSAMSELEGILINE


-
OVERACTIVE BLADDER AGENTSENABLEXDARIFENACIN HYDROBROMIDE





TARGETED IMMUNOMODULATORY BIOLOGICSENBRELETANERCEPT





RENIN-ANGIOTENSIN ANTIHYPERTENSIVESEPROSARTAN MESYLATEEPROSARTAN MESYLATE-


ANTIFUNGALSERTACZOSERTACONAZOLE NITRATE


-
CONTRACEPTIVE AGENTSESTROSTEP FENORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEVENCAREBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEVENCARE G2BLOOD SUGAR DIAGNOSTIC


-
NARCOTIC ANALGESICS AND COMBINATIONSEXALGOHYDROMORPHONE HCL-


ANTIFUNGALSEXELDERMSULCONAZOLE NITRATE


-
MULTIPLE SCLEROSIS AGENTSEXTAVIAINTERFERON BETA-1B


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEZ SMARTBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSEZ SMART PLUSBLOOD SUGAR DIAGNOSTIC


-
ANTIPSYCHOTIC AGENTSFANAPTILOPERIDONE


-
CONTRACEPTIVE AGENTSFEMCON FENORETHINDRONE-ETHINYL ESTRADIOL/FERROUS FUMARATE


-
ANTILIPIDEMICS-2FENOFIBRATEFENOFIBRATE-


ANTILIPIDEMICS-2FENOFIBRATEFENOFIBRATE,MICRONIZED-


ANTILIPIDEMICS-2FENOFIBRIC ACIDFENOFIBRIC ACID-


NARCOTIC ANALGESICS AND COMBINATIONSFENTANYL CITRATEFENTANYL CITRATE-


NARCOTIC ANALGESICS AND COMBINATIONSFENTORAFENTANYL CITRATE-


ANTILIPIDEMICS-2FIBRICORFENOFIBRIC ACID-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSFLUOXETINE DRFLUOXETINE HCL


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSFLUOXETINE HCLFLUOXETINE HCL


-
ANTILIPIDEMICS-1FLUVASTATIN SODIUMFLUVASTATIN SODIUM-


ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSFOCALIN XRDEXMETHYLPHENIDATE HCL


-
FOLLICLE-STIMULATING HORMONE-LUTEINIZING HORMONE FERTILITY AGENTSFOLLISTIM AQFOLLITROPIN BETA,RECOMB-


SELF MONITORING BLOOD GLUCOSE SYSTEMSFORA G30ABLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFORA G90BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFORA TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFORA V10BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFORA V30ABLOOD SUGAR DIAGNOSTIC


-
DIABETES-NON-INSULINFORTAMETMETFORMIN HCL


-
ANDROGENS-ANABOLIC STEROIDSFORTESTATESTOSTERONE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSFREESTYLE INSULINXBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFREESTYLE INSULINX TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSFREESTYLE TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
MIGRAINE AGENTSFROVAFROVATRIPTAN SUCCINATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSG-4BLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGE100 BLOOD GLUCOSE TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
OVERACTIVE BLADDER AGENTSGELNIQUEOXYBUTYNIN





OVERACTIVE BLADDER AGENTSGELNIQUEOXYBUTYNIN CHLORIDE





GROWTH STIMULATING AGENTSGENOTROPINSOMATROPIN





CONTRACEPTIVE AGENTSGILDAGIANORETHINDRONE-ETHINYL ESTRADIOL


-
MULTIPLE SCLEROSIS AGENTSGILENYAFINGOLIMOD HCL-


SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOCARD 01 SENSORBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOCARD EXPRESSIONBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOCARD X-SENSORBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOCOM GLUCOSEBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOLABBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOSE TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSGLUCOSTIXBLOOD SUGAR DIAGNOSTIC


-
DIABETES-NON-INSULINGLUMETZAMETFORMIN HCL


-
FOLLICLE-STIMULATING HORMONE-LUTEINIZING HORMONE FERTILITY AGENTSGONAL-FFOLLITROPIN ALFA, RECOMB-


FOLLICLE-STIMULATING HORMONE-LUTEINIZING HORMONE FERTILITY AGENTSGONAL-F RFFFOLLITROPIN ALFA, RECOMB-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSGRALISEGABAPENTIN





PROTON PUMP INHIBITORSHEARTBURN RELIEF 24 HOURLANSOPRAZOLE





ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSHORIZANTGABAPENTIN ENACARBIL





GROWTH STIMULATING AGENTSHUMATROPESOMATROPIN-


TARGETED IMMUNOMODULATORY BIOLOGICSHUMIRAADALIMUMAB-


HEPATITIS C AGENTSINCIVEKTELAPREVIR-


EXCLUDED FROM THE PHARMACY BENEFITINCRELEXMECASERMIN-


HEPATITIS C AGENTSINFERGENINTERFERON ALFACON-1


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSINFINITY TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SEDATIVE-HYPNOTIC AGENTSINTERMEZZOZOLPIDEM TARTRATE-


CONTRACEPTIVE AGENTSINTROVALELEVONORGESTREL-ETHINYL ESTRADIOL


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESIRBESARTANIRBESARTAN-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESIRBESARTAN-HYDROCHLOROTHIAZIDEIRBESARTAN/HYDROCHLOROTHIAZIDE-


GLAUCOMA AGENTSISTALOLTIMOLOL MALEATE


-
BENIGN PROSTATIC HYPERPLASIA AGENTSJALYNDUTASTERIDE/TAMSULOSIN HCL-


DIABETES-NON-INSULINJANUMETSITAGLIPTIN PHOSPHATE/METFORMIN HCL-


DIABETES-NON-INSULINJANUMET XRSITAGLIPTIN PHOSPHATE/METFORMIN HCL-


DIABETES-NON-INSULINJANUVIASITAGLIPTIN PHOSPHATE-


DIABETES-NON-INSULINJENTADUETOLINAGLIPTIN/METFORMIN HCL-


DIABETES-NON-INSULINJUVISYNCSITAGLIPTIN PHOSPHATE/SIMVASTATIN-


NARCOTIC ANALGESICS AND COMBINATIONSKADIANMORPHINE SULFATE-


CYSTIC FIBROSIS AGENTSKALYDECOIVACAFTOR-


ANTIBIOTICSKETEKTELITHROMYCIN


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSKEYNOTEBLOOD SUGAR DIAGNOSTIC


-
TARGETED IMMUNOMODULATORY BIOLOGICSKINERETANAKINRA





DIABETES-NON-INSULINKOMBIGLYZE XRSAXAGLIPTIN HCL/METFORMIN HCL





PROTON PUMP INHIBITORSLANSOPRAZOLELANSOPRAZOLE





ANTIPSYCHOTIC AGENTSLATUDALURASIDONE HCL


-
NARCOTIC ANALGESICS AND COMBINATIONSLAZANDAFENTANYL CITRATE-


ANTILIPIDEMICS-1LESCOLFLUVASTATIN SODIUM-


ANTILIPIDEMICS-1LESCOL XLFLUVASTATIN SODIUM-


INSULINSLEVEMIRINSULIN DETEMIR


-
INSULINSLEVEMIR FLEXPENINSULIN DETEMIR


-
PHOSPHODIESTERASE-5 INHIBITORSLEVITRAVARDENAFIL HCL





ANTIHISTAMINE-1LEVOCETIRIZINE DIHYDROCHLORIDELEVOCETIRIZINE DIHYDROCHLORIDE


-
CONTRACEPTIVE AGENTSLEVONORG-ETH ESTRAD ETH ESTRADLEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSLEVONORGESTREL-ETH ESTRADIOLLEVONORGESTREL-ETHINYL ESTRADIOL


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSLIBERTY TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
ANTILIPIDEMICS-2LIPOFENFENOFIBRATE-


ANTILIPIDEMICS-1LIVALOPITAVASTATIN CALCIUM





CONTRACEPTIVE AGENTSLO LOESTRIN FENORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE


-
CONTRACEPTIVE AGENTSLOESTRIN 24 FENORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE


-
ANTILIPIDEMICS-2LOFIBRAFENOFIBRATE-


ANTILIPIDEMICS-2LOFIBRAFENOFIBRATE,MICRONIZED-


ANTIFUNGALSLOPROXCICLOPIROX


-
CONTRACEPTIVE AGENTSLOSEASONIQUELEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
ANTILIPIDEMICS-2LOVAZAOMEGA-3 ACID ETHYL ESTERS-


SEDATIVE-HYPNOTIC AGENTSLUNESTAESZOPICLONE-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSLYRICAPREGABALIN





CALCIUM CHANNEL BLOCKING AGENTSMATZIM LADILTIAZEM HCL


-
PULMONARY-1 AGENTSMAXAIR AUTOHALERPIRBUTEROL ACETATE


-
PAIN AGENTSMEFENAMIC ACIDMEFENAMIC ACID


-
FOLLICLE-STIMULATING HORMONE-LUTEINIZING HORMONE FERTILITY AGENTSMENOPURMENOTROPINS-


DIABETES-NON-INSULINMETFORMIN HCL ERMETFORMIN HCL


-
OSTEOPOROSIS AGENTSMIACALCINCALCITONIN,SALMON,SYNTHETIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSMICROBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSMICRODOTBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSMICRODOT XTRABLOOD SUGAR DIAGNOSTIC


-
ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSMODAFINILMODAFINIL-


LEUKOTRIENE MODIFYING AGENTSMONTELUKAST SODIUMMONTELUKAST SODIUM-


NARCOTIC ANALGESICS AND COMBINATIONSMORPHINE SULFATE CRMORPHINE SULFATE-


NARCOTIC ANALGESICS AND COMBINATIONSMORPHINE SULFATE ERMORPHINE SULFATE-


NARCOTIC ANALGESICS AND COMBINATIONSMS CONTINMORPHINE SULFATE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSMYGLUCOHEALTHBLOOD SUGAR DIAGNOSTIC


-
PAIN AGENTSNAPRELANNAPROXEN SODIUM


-
PAIN AGENTSNAPRELAN CR DOSE CARDNAPROXEN SODIUM


-
MIGRAINE AGENTSNARATRIPTANNARATRIPTAN HCL


-
MIGRAINE AGENTSNARATRIPTAN HCLNARATRIPTAN HCL


-
NASAL ALLERGY AGENTSNASACORT AQTRIAMCINOLONE ACETONIDE


-
CONTRACEPTIVE AGENTSNATAZIAESTRADIOL VALERATE/DIENOGEST


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSNEUTEK 2TEK TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
CALCIUM CHANNEL BLOCKING AGENTSNICARDIPINE HCLNICARDIPINE HCL


-
CALCIUM CHANNEL BLOCKING AGENTSNISOLDIPINENISOLDIPINE


-
GROWTH STIMULATING AGENTSNORDITROPIN FLEXPROSOMATROPIN-


GROWTH STIMULATING AGENTSNORDITROPIN NORDIFLEXSOMATROPIN-


CONTRACEPTIVE AGENTSNORETHINDRONE-ETHIN ESTRADIOLNORETHINDRONE-ETHINYL ESTRADIOL/FERROUS FUMARATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSNOVA MAX GLUCOSE TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
NARCOTIC ANALGESICS AND COMBINATIONSNUCYNTATAPENTADOL HCL


-
GROWTH STIMULATING AGENTSNUTROPINSOMATROPIN-


GROWTH STIMULATING AGENTSNUTROPIN AQSOMATROPIN-


GROWTH STIMULATING AGENTSNUTROPIN AQ NUSPINSOMATROPIN-


ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSNUVIGILARMODAFINIL





ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSOLEPTRO ERTRAZODONE HCL


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PROTON PUMP INHIBITORSOMEPRAZOLE-SODIUM BICARBONATEOMEPRAZOLE/SODIUM BICARBONATE





NASAL ALLERGY AGENTSOMNARISCICLESONIDE


-
GROWTH STIMULATING AGENTSOMNITROPESOMATROPIN





SELF MONITORING BLOOD GLUCOSE SYSTEMSONE TOUCH ULTRA TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSONE TOUCH VERIOBLOOD SUGAR DIAGNOSTIC


-
DIABETES-NON-INSULINONGLYZASAXAGLIPTIN HCL





NARCOTIC ANALGESICS AND COMBINATIONSONSOLISFENTANYL CITRATE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSOPTIUMBLOOD SUGAR DIAGNOSTIC


-
NARCOTIC ANALGESICS AND COMBINATIONSORAMORPH SRMORPHINE SULFATE-


TARGETED IMMUNOMODULATORY BIOLOGICSORENCIAABATACEPT





CONTRACEPTIVE AGENTSOVCON-35NORETHINDRONE-ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSOVCON-50NORETHINDRONE-ETHINYL ESTRADIOL


-
NARCOTIC ANALGESICS AND COMBINATIONSOXECTAOXYCODONE HCL


-
ANTIFUNGALSOXISTATOXICONAZOLE NITRATE


-
NARCOTIC ANALGESICS AND COMBINATIONSOXYCODONE HCLOXYCODONE HCL-


NARCOTIC ANALGESICS AND COMBINATIONSOXYCONTINOXYCODONE HCL-


OVERACTIVE BLADDER AGENTSOXYTROLOXYBUTYNIN





PROTON PUMP INHIBITORSPANTOPRAZOLE SODIUMPANTOPRAZOLE SODIUM-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSPAROXETINE HCLPAROXETINE HCL


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSPAXIL CRPAROXETINE HCL


-
PULMONARY-1 AGENTSPERFOROMISTFORMOTEROL FUMARATE


-
CONTRACEPTIVE AGENTSPHILITHNORETHINDRONE-ETHINYL ESTRADIOL


-
DIABETES-NON-INSULINPIOGLITAZONE HCLPIOGLITAZONE HCL-


DIABETES-NON-INSULINPIOGLITAZONE-METFORMINPIOGLITAZONE HCL/METFORMIN HCL-


SELF MONITORING BLOOD GLUCOSE SYSTEMSPOCKETCHEM EZBLOOD SUGAR DIAGNOSTIC


-
PAIN AGENTSPONSTELMEFENAMIC ACID


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRECISION PCXBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRECISION PCX PLUSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRECISION POINT OF CAREBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRECISION Q-I-DBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRECISION XTRABLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPREMIUM BLOOD GLUCOSE TESTBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPREMIUM V10BLOOD SUGAR DIAGNOSTIC


-
PROTON PUMP INHIBITORSPREVACIDLANSOPRAZOLE





PROTON PUMP INHIBITORSPREVACID 24HRLANSOPRAZOLE





ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSPRISTIQ ERDESVENLAFAXINE SUCCINATE





SELF MONITORING BLOOD GLUCOSE SYSTEMSPRODIGY AUTOCODEBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSPRODIGY NO CODINGBLOOD SUGAR DIAGNOSTIC


-
PROTON PUMP INHIBITORSPROTONIXPANTOPRAZOLE SODIUM-


ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSPROVIGILMODAFINIL-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSPROZAC WEEKLYFLUOXETINE HCL


-
PULMONARY-1 AGENTSPULMICORT FLEXHALERBUDESONIDE


-
ANTIMALARIALSQUALAQUINQUININE SULFATE-


CONTRACEPTIVE AGENTSQUASENSELEVONORGESTREL-ETHINYL ESTRADIOL


-
ANTIMALARIALSQUININE SULFATEQUININE SULFATE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSQUINTET ACBLOOD SUGAR DIAGNOSTIC


-
PULMONARY-1 AGENTSQVARBECLOMETHASONE DIPROPIONATE


-
BENIGN PROSTATIC HYPERPLASIA AGENTSRAPAFLOSILODOSIN





SELF MONITORING BLOOD GLUCOSE SYSTEMSREFUAH PLUSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSRELION PRIMEBLOOD SUGAR DIAGNOSTIC


-
FOLLICLE-STIMULATING HORMONE-LUTEINIZING HORMONE FERTILITY AGENTSREPRONEXMENOTROPINS-


PHOSPHODIESTERASE-5 INHIBITORSREVATIOSILDENAFIL CITRATE-


NASAL ALLERGY AGENTSRHINOCORT AQUABUDESONIDE


-
HEPATITIS C AGENTSRIBAPAKRIBAVIRIN


-
HEPATITIS C AGENTSRIBATABRIBAVIRIN


-
SEDATIVE-HYPNOTIC AGENTSROZEREMRAMELTEON





NARCOTIC ANALGESICS AND COMBINATIONSRYZOLTTRAMADOL HCL


-
CONTRACEPTIVE AGENTSSAFYRALDROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM


-
GROWTH STIMULATING AGENTSSAIZENSOMATROPIN





OVERACTIVE BLADDER AGENTSSANCTURATROSPIUM CHLORIDE-


OVERACTIVE BLADDER AGENTSSANCTURA XRTROSPIUM CHLORIDE-


ANTIEMETIC-ANTIVERTIGO AGENTSSANCUSOGRANISETRON


-
ANTIPSYCHOTIC AGENTSSAPHRISASENAPINE MALEATE


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSSARAFEMFLUOXETINE HCL


-
ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSSAVELLAMILNACIPRAN HCL





CONTRACEPTIVE AGENTSSEASONALELEVONORGESTREL-ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSSEASONIQUELEVONORGESTREL-ETH ESTRA/ETHINYL ESTRADIOL


-
GROWTH STIMULATING AGENTSSEROSTIMSOMATROPIN-


PHOSPHODIESTERASE-5 INHIBITORSSILDENAFILSILDENAFIL CITRATE-


SEDATIVE-HYPNOTIC AGENTSSILENORDOXEPIN HCL-


ANTILIPIDEMICS-1SIMCORNIACIN/SIMVASTATIN-


TARGETED IMMUNOMODULATORY BIOLOGICSSIMPONIGOLIMUMAB





LEUKOTRIENE MODIFYING AGENTSSINGULAIRMONTELUKAST SODIUM-


SELF MONITORING BLOOD GLUCOSE SYSTEMSSMART CARESENS NBLOOD SUGAR DIAGNOSTIC


-
PAIN AGENTSSPRIXKETOROLAC TROMETHAMINE


-
PHOSPHODIESTERASE-5 INHIBITORSSTAXYNVARDENAFIL HCL





ANDROGENS-ANABOLIC STEROIDSSTRIANTTESTOSTERONE-


NARCOTIC ANALGESICS AND COMBINATIONSSUBSYSFENTANYL-


CALCIUM CHANNEL BLOCKING AGENTSSULARNISOLDIPINE


-
MIGRAINE AGENTSSUMAVEL DOSEPROSUMATRIPTAN SUCCINATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSSURE EDGE TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSSURE-TEST EASYPLUS MINIBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSSURECHEK TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSSURESTEP PROBLOOD SUGAR DIAGNOSTIC


-
DIABETES-NON-INSULINSYMLINPRAMLINTIDE ACETATE-


DIABETES-NON-INSULINSYMLINPEN 120PRAMLINTIDE ACETATE-


DIABETES-NON-INSULINSYMLINPEN 60PRAMLINTIDE ACETATE-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTEKAMLOALISKIREN HEMIFUMARATE/AMLODIPINE BESYLATE





RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTEKTURNAALISKIREN HEMIFUMARATE-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTEKTURNA HCTALISKIREN HEMIFUMARATE/HYDROCHLOROTHIAZIDE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSTEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
ANDROGENS-ANABOLIC STEROIDSTESTIMTESTOSTERONE-


GROWTH STIMULATING AGENTSTEV-TROPINSOMATROPIN-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTEVETENEPROSARTAN MESYLATE-


RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTEVETEN HCTEPROSARTAN MESYLATE/HYDROCHLOROTHIAZIDE-


CONTRACEPTIVE AGENTSTILIA FENORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE


-
OVERACTIVE BLADDER AGENTSTOLTERODINE TARTRATETOLTERODINE TARTRATE-


OVERACTIVE BLADDER AGENTSTOVIAZFESOTERODINE FUMARATE





DIABETES-NON-INSULINTRADJENTALINAGLIPTIN-


NARCOTIC ANALGESICS AND COMBINATIONSTRAMADOL HCLTRAMADOL HCL


-
NARCOTIC ANALGESICS AND COMBINATIONSTRAMADOL HCL ERTRAMADOL HCL


-
GLAUCOMA AGENTSTRAVATAN ZTRAVOPROST


-
GLAUCOMA AGENTSTRAVOPROSTTRAVOPROST (BENZALKONIUM)


-
CONTRACEPTIVE AGENTSTRI-LEGEST FENORETHINDRONE A-E ESTRADIOL/FERROUS FUMARATE


-
NASAL ALLERGY AGENTSTRIAMCINOLONE ACETONIDETRIAMCINOLONE ACETONIDE


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESTRIBENZOROLMESARTAN MEDOXOMIL/AMLODIPINE BESYLATE/HYDROCHLOROTHIAZIDE





ANTILIPIDEMICS-2TRIGLIDEFENOFIBRATE NANOCRYSTALLIZED-


ANTILIPIDEMICS-2TRILIPIXFENOFIBRIC ACID (CHOLINE)-


OVERACTIVE BLADDER AGENTSTROSPIUM CHLORIDETROSPIUM CHLORIDE-


SELF MONITORING BLOOD GLUCOSE SYSTEMSTRUETEST TEST STRIPSBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSTRUETRACK SMART SYSTEMBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSTRUETRACK TEST STRIPBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSULTIMABLOOD SUGAR DIAGNOSTIC


-
NARCOTIC ANALGESICS AND COMBINATIONSULTRAM ERTRAMADOL HCL


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSULTRATRAKBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSULTRATRAK ULTIMATEBLOOD SUGAR DIAGNOSTIC


-
RENIN-ANGIOTENSIN ANTIHYPERTENSIVESVALTURNAALISKIREN/VALSARTAN-


ANTILIPIDEMICS-2VASCEPAICOSAPENT ETHYL-


NASAL ALLERGY AGENTSVERAMYSTFLUTICASONE FUROATE


-
CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ERVERAPAMIL HCL


-
CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL ER PMVERAPAMIL HCL


-
CALCIUM CHANNEL BLOCKING AGENTSVERAPAMIL HCLVERAPAMIL HCL


-
CALCIUM CHANNEL BLOCKING AGENTSVERELANVERAPAMIL HCL


-
CALCIUM CHANNEL BLOCKING AGENTSVERELAN PMVERAPAMIL HCL


-
OVERACTIVE BLADDER AGENTSVESICARESOLIFENACIN SUCCINATE-


PHOSPHODIESTERASE-5 INHIBITORSVIAGRASILDENAFIL CITRATE-


DIABETES-NON-INSULINVICTOZA 2-PAKLIRAGLUTIDE-


DIABETES-NON-INSULINVICTOZA 3-PAKLIRAGLUTIDE-


HEPATITIS C AGENTSVICTRELISBOCEPREVIR-


ANTIDEPRESSANTS AND NON-OPIOID PAIN SYNDROME AGENTSVIIBRYDVILAZODONE HYDROCHLORIDE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSVOCAL POINTBLOOD SUGAR DIAGNOSTIC


-
ANTIFUNGALSVUSIONMICONAZOLE NITRATE/ZINC OXIDE/PETROLATUM,WHITE


-
ANTILIPIDEMICS-1VYTORINEZETIMIBE/SIMVASTATIN-


ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSVYVANSELISDEXAMFETAMINE DIMESYLATE


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSWAVESENSE JAZZBLOOD SUGAR DIAGNOSTIC


-
SELF MONITORING BLOOD GLUCOSE SYSTEMSWAVESENSE PRESTOBLOOD SUGAR DIAGNOSTIC


-
ANTILIPIDEMICS-2WELCHOLCOLESEVELAM HCL


-
CONTRACEPTIVE AGENTSWYMZYA FENORETHINDRONE-ETHINYL ESTRADIOL/FERROUS FUMARATE


-
ONCOLOGICAL AGENTSXALKORICRIZOTINIB-


GASTROINTESTINAL-2 AGENTSXIFAXANRIFAXIMIN-


GASTROINTESTINAL-2 AGENTSXIFAXANRIFAXIMIN-


ONCOLOGICAL AGENTSXTANDIENZALUTAMIDE-


ATTENTION DEFICIT HYPERACTIVITY DISORDER-WAKEFULNESS PROMOTING AGENTSXYREMSODIUM OXYBATE-


ANTIHISTAMINE-1XYZALLEVOCETIRIZINE DIHYDROCHLORIDE


-
PROTON PUMP INHIBITORSZEGERIDOMEPRAZOLE/SODIUM BICARBONATE





ONCOLOGICAL AGENTSZELBORAFVEMURAFENIB-


CONTRACEPTIVE AGENTSZENCHENTNORETHINDRONE-ETHINYL ESTRADIOL


-
CONTRACEPTIVE AGENTSZENCHENT FENORETHINDRONE-ETHINYL ESTRADIOL/FERROUS FUMARATE


-
CONTRACEPTIVE AGENTSZEOSANORETHINDRONE-ETHINYL ESTRADIOL/FERROUS FUMARATE


-
GLAUCOMA AGENTSZIOPTANTAFLUPROST/PF


-
PAIN AGENTSZIPSORDICLOFENAC POTASSIUM


-
ANTIBIOTICSZMAXAZITHROMYCIN


-
SEDATIVE-HYPNOTIC AGENTSZOLPIDEM TARTRATE ERZOLPIDEM TARTRATE-


SEDATIVE-HYPNOTIC AGENTSZOLPIMISTZOLPIDEM TARTRATE





GROWTH STIMULATING AGENTSZORBTIVESOMATROPIN





ANTIEMETIC-ANTIVERTIGO AGENTSZUPLENZONDANSETRON


-
LEUKOTRIENE MODIFYING AGENTSZYFLOZILEUTON


-
LEUKOTRIENE MODIFYING AGENTSZYFLO CRZILEUTON


-
ONCOLOGICAL AGENTSZYTIGAABIRATERONE ACETATE-
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