*Patients are limited in drugs, quantities and supply in accordance with applicable use. Individual Patients have a $250/year maximum benefit.

ANTIBIOTIC
AMOXICILLIN, 250 MG, CAP, Max Qty: 60, (Amoxil)
AMOXICILLIN, 500 MG, CAP, Max Qty: 30, (Amoxil)
AMOXICILLIN, 875 MG, TAB, Max Qty: 28, (Amoxil)
AMOXICILLIN, 250 MG 5ML, SUSP, Max Qty: 200, (Amoxil)
AMOXICILLIN, 400 MG 5M/L, SUSP, Max Qty: 200, (Amoxil)
AMOXICILLIN/CLAVULANIC ACID, 875-125 MG, TAB, Max Qty: 28, (Augmentin)
AMOXICILLIN/CLAVULANIC ACID, 500-125 MG, TAB, Max Qty: 28, (Augmentin)
AMOXICILLIN/CLAVULANIC ACID, 400-57 MG/5ML, SUSP, Max Qty: 200, (Augmentin)
AMOXICILLIN/CLAVULANIC ACID, 600-42.9 MG/5ML, SUSP, Max Qty: 200, (Augmentin)
AZITHROMYCIN, 250 MG, TAB, Max Qty: 6, (Zithromax)
AZITHROMYCIN, 500 MG, TAB, Max Qty: 3, (Zithromax)
AZITHROMYCIN, 100 MG/5ML, SUSP, Max Qty: 15, (Zithromax)
AZITHROMYCIN, 200 MG/5ML, SUSP, Max Qty: 30, (Zithromax)
CEFDINIR, 300 MG, CAP, Max Qty: 14, (Omnicef)
CEPHALEXIN, 250 MG, CAP, Max Qty: 56, (Keflex)
CEPHALEXIN, 500 MG, CAP, Max Qty: 28, (Keflex)
CEPHALEXIN, 250 MG/5ML, SUSP, Max Qty: 200, (Keflex)
CIPROFLOXACIN, 250 MG, TAB, Max Qty: 28, (Cipro)
CIPROFLOXACIN, 500 MG, TAB, Max Qty: 28, (Cipro)
CLINDAMYCIN, 150 MG, CAP, Max Qty: 28, (Cleocin)
CLINDAMYCIN, 300 MG, CAP, Max Qty: 28, (Cleocin)
DOXYCYCLINE HYCLATE, 100 MG, TAB, Max Qty: 28, (Vibramycin)
LEVOFLOXACIN, 250 MG, TAB, Max Qty: 21, (Levaquin)
LEVOFLOXACIN, 500 MG, TAB, Max Qty: 21, (Levaquin)
METRONDIAZOLE, 500 MG, TAB, Max Qty: 28, (Flagyl)
NTIROFURANTONI, 100 MG, CAP, Max Qty: 28, (Macrobid)
PENICILLIN VK, 500 MG, TAB, Max Qty: 28, (Veetids)
PENICILLIN VK, 250 MG/5ML, SUSP, Max Qty: 200, (Veetids)
SMZT/MPDS, 800-160 MG, TAB, Max Qty: 28, (Bactrim)
SMZ/TMP, 200-40 MG/5ML, SUSP, Max Qty: 120, (Bactrim)

Antibiotic Topical
ERYTHROMYCIN, 0.5%, OPTH OINT, Max Qty: 3.5, (Illotycin)
MUPIROCIN, 2%, OINT, Max Qty: 22, (Bactroban)
NEO/POLY/HC, OTIC SOLN, Max Qty: 10, (Cortisporin)
POLYMYXNI B/TRIMETH, OPTH SOLN, Max Qty: 10, (Polytrim)
SILVER SULFADIAZINE, 1%, CREAM, Max Qty: 50, (Silvadene)
TOBRAMYCIN, 0.3%, OPTH SOLN, Max Qty: 5, (Tobrex)

Antifungal
FLUCONAZOLE, 150 MG, TAB, Max Qty: 1, (Diflucan)
NYSTATIN, 100,000 USP, CREAM, Max Qty: 30, (Mycostatin)
NYSTATIN, 100,000 USP, OINT, Max Qty: 30, (Mycostatin)

Antihistamine
CETIRIZINE, 01 MG TAB, Max Qty: 30, (Zyrtec)
HYDROXYZINE, 25 MG, TAB, Max Qty: 30, (Atarax)

Cardiovascular
NITROGLYCERIN, 0.4 MG, SL TAB, Max Qty: 25, (Nitrostat)
PROPRANOLOL, 01 MG, TAB, Max Qty: 51, (Inderal)

Corticosteroid
METHYLPREDNISOLONE, 4 MG, PACK, Max Qty: 21, (Medrol Dosepak)
PREDNISONE, 10 MG, TAB, Max Qty: 20, (Deltasone)
PREDNISONE, 20 MG, TAB, Max Qty: 20, (Deltasone)
PREDNISOLONE, 15 MG/5ML, SOLN, Max Qty: 120, (Orapred)

Corticosteroid Topical
HYDROCORTISONE, 2.5%, CREAM, Max Qty: 30, (Hytone)
PREDNISOLONE, 1%, OPTH SOLN, Max Qty: 5, (Pred Forte)
TRAIMCNIOLONE, 0.1%, CREAM, Max Qty: 30, (Kenalog)
TRIAMCINOLONE, 0.1%, OINT, Max Qty: 30, (Kenalog)

Cough Suppressant
BENZONATATE, 100 MG, CAP, Max Qty: 20, (Tessalon Perles)
BENZONATATE, 200 MG, CAP, Max Qty: 20, (Tessalon Perles)
BROMPH/PSE/DM SYR, 03 MG, SOLN, Max Qty: 120, (Bromfed DM)

Gastrointestinal
DICYCLOMINE, 20 MG, TAB, Max Qty: 60, (Bentyl)
DIPHENOX-ATROPINE, 2.5-0.025 MG, TAB, Max Qty: 30, (Lomotil)
ONDANSETRON ODT, 4 MG, TAB, Max Qty: 6, (Zofran ODT)
ONDANSETRON ODT, 8 MG, TAB, Max Qty: 6, (Zofran ODT)
PANTOPROZOLE, 40 MG, TAB, Max Qty: 21, (Protonix)
PROMETHAZNIE, 25 MG, TAB, Max Qty: 30, (Phenergan)

Gout
ALLOPURINOL, 100 MG, TAB, Max Qty: 21, (Zyloprim)
ALLOPURINOL, 300MG, TAB, Max Qty: 21, (Zyloprim)

Migraine
SUMATRIPTAN, 50 MG, TAB, Max Qty: 9, (Imitrex)
SUMATRIPTAN, 100 MG, TAB, Max Qty: 9, (Imitrex)

Muscle Relaxant
CYCLOBENZAPRINE, 10 MG, TAB, Max Qty: 30, (Flexeril)

Pain Management
IBUPROFEN, 800 MG, TAB, Max Qty: 60, (Motrin)
NAPROXEN, 500 MG, TAB, Max Qty: 30, (Naprosyn)
PHENAZOPYRIDINE, 20 MG, TAB, Max Qty: 01, (Pyridium)
TRAMADOL, 50 MG, TAB, Max Qty: 30, (Ultram)

Respiratory
ALBUTEROL MD, I 90 MCG INH, Max Qty: 1, (6.7g)/1Year, (Proventil HFA)

Diabetes
INSULIN LISPRO, 10 U/ML, INJ, Max Qty: 2Vials/90 Days, (Humalog)

*Patients are limited in drugs, quantities and supply in accordance with applicable use. Individual Patients have a $250/year maximum benefit.

ADHD

ATOMOXETINE 10 MG CAP Max Qty: 90 (Strattera)
ATOMOXETINE 18 MG CAP Max Qty: 90 (Strattera)
ATOMOXETINE 25 MG CAP Max Qty: 90 (Strattera)
ATOMOXETINE 40 MG CAP Max Qty: 90 (Strattera)
ATOMOXETINE 60 MG CAP Max Qty: 90 (Strattera)
ATOMOXETINE 100 MG CAP Max Qty: 90 (Strattera)
GUANFACINE 1 MG ER TAB (24HR) Max Qty: 90 (Intuniv)
GUANFACINE 2 MG ER TAB (24HR) Max Qty: 90 (Intuniv)
GUANFACINE 3 MG ER TAB (24HR) Max Qty: 90 (Intuniv)
GUANFACINE 4 MG ER TAB (24HR) Max Qty: 90 (Intuniv)

ANTI-INFECTIVE

ACYCLOVIR 5% OINT Max Qty: 30 (Zovirax)
ACYCLOVIR 200 MG CAP Max Qty: 180 (Zovirax)
ACYCLOVIR 400 MG TAB Max Qty: 180 (Zovirax)
ACYCLOVIR 800 MG TAB Max Qty: 105 (Zovirax)
AMANTADINE 100 MG CAP Max Qty: 180 (Gocovri)
AMOXICILLIN 500 MG CAP Max Qty: 180 (Amoxil)
AMOXICILLIN 875 MG TAB Max Qty: 56 (Amoxil)
AMOXICILLIN 250 MG CAP Max Qty: 90 (Amoxil)
AMOXICILLIN 500 MG TAB Max Qty: 90 (Amoxil)
AMOXICILLIN/CLAVULANIC ACID 500-125 MG TAB Max Qty: 84 (Augmentin)
AMOXICILLIN/CLAVULANIC ACID 875-125 MG TAB Max Qty: 84 (Augmentin)
AMPICILLIN 250 MG CAP Max Qty: 180 (Omnipen)
AMPICILLIN 500 MG CAP Max Qty: 180 (Omnipen)
AZITHROMYCIN 250 MG TAB Max Qty: 6 (Zithromax)
AZITHROMYCIN 500 MG TAB Max Qty: 3 (Zithromax)
CEFADROXIL 500MG CAP Max Qty: 180 (Duricef)
CEFDINIR 300 MG CAP Max Qty: 28 (Omnicef)
CEFPROZIL 250 MG TAB Max Qty: 180 (Cefzil)
CEFUROXIME AXETIL 250 MG TAB Max Qty: 180 (Ceftin)
CEFUROXIME AXETIL 500 MG TAB Max Qty: 180 (Ceftin)
CEPHALEXIN 250 MG CAP Max Qty: 90 (Keflex)
CEPHALEXIN 500 MG CAP Max Qty: 90 (Keflex)
CHLORHEXIDINE 0.12% SOLN Max Qty: 473 (Peridex)
CIPROFLOXACIN 250 MG TAB Max Qty: 60 (Cipro)
CIPROFLOXACIN 500 MG TAB Max Qty: 60 (Cipro)
CIPROFLOXACIN 750 MG TAB Max Qty: 60 (Cipro)
CLARITHROMYCIN 250 MG TAB Max Qty: 60 (Biaxin)
CLARITHROMYCIN 500 MG TAB Max Qty: 60 (Biaxin)
CLINDAMYCIN HCL 150 MG CAP Max Qty: 90 (Cleocin)
CLINDAMYCIN HCL 300 MG CAP Max Qty: 90 (Cleocin)
DAPSONE 25 MG TAB Max Qty: 180 (Dapsone)
DICLOXACILLIN 250 MG CAP Max Qty: 180 (Diclocil)
EMTRICITABINE-TENOFOVIR 200-300 MG TAB Max Qty: 90 (Truvada)
ENTECAVIR 0.5 MG TAB Max Qty: 90 (Baraclude)
ENTECAVIR 1 MG TAB Max Qty: 90 (Baraclude)
FAMCICLOVIR 250 MG TAB Max Qty: 90 (Famvir)
FAMCICLOVIR 500 MG TAB Max Qty: 90 (Famvir)
IMIQUIMOD 5% CREAM Max Qty: 24 (Aldara)
ISONIAZID 100 MG TAB Max Qty: 90 (Hydra)
ISONIAZID 300 MG TAB Max Qty: 90 (Hydra)
LAMIVUDINE 50 MG TAB Max Qty: 90 (Epivir)
LEVOFLOXACIN 250 MG TAB Max Qty: 30 (Levaquin)
LEVOFLOXACIN 500 MG TAB Max Qty: 30 (Levaquin)
LEVOFLOXACIN 750 MG TAB Max Qty: 15 (Levaquin)
METHENAMINE 1 G TAB Max Qty: 270 (Hiprex)
METRONIDAZOLE 250 MG TAB Max Qty: 90 (Flagyl)
METRONIDAZOLE 500 MG TAB Max Qty: 90 (Flagyl)
NEVIRAPINE 200 MG TAB Max Qty: 180 (Viramune)
NITROFURANTOIN 50 MG CAP Max Qty: 180 (Macrodantin)
NITROFURANTOIN 100 MG CAP Max Qty: 180 (Macrodantin)
PHENAZOPYRIDINE 100 MG TAB Max Qty: 36 (Pyridium)
PHENAZOPYRIDINE 200 MG TAB Max Qty: 18 (Pyridium)
SMZ/TMP DS 800/160 MG TAB Max Qty: 90 (Bactrim DS)
TENOFOVIR 300 MG TAB Max Qty: 90 (Viread)
TETRACYCLINE 250 MG CAP Max Qty: 360 (Sumycin)
TETRACYCLINE 500 MG CAP Max Qty: 360 (Sumycin)
VALACYCLOVIR 500 MG TAB Max Qty: 90 (Valtrex)
VALACYCLOVIR 1 GM TAB Max Qty: 30 (Valtrex)

CARDIOVASCULAR

ACEBUTOLOL 200 MG CAP Max Qty: 180 (Sectral)
ACEBUTOLOL 400 MG CAP Max Qty: 180 (Sectral)
AMILORIDE 5 MG TAB Max Qty: 90 (Midamor)
AMILORIDE/HCTZ 5/50 MG TAB Max Qty: 90 (Midamor/HCTZ)
AMIODARONE 200 MG TAB Max Qty: 90 (Cordarone)
AMLODIPINE 2.5 MG TAB Max Qty: 90 (Norvasc)
AMLODIPINE 5 MG TAB Max Qty: 90 (Norvasc)
AMLODIPINE 10 MG TAB Max Qty: 90 (Norvasc)
AMLODIPINE/BENAZEPRIL 2.5-10 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/BENAZEPRIL 5-10 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/BENAZEPRIL 5-20 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/BENAZEPRIL 5-40 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/BENAZEPRIL 10-20 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/BENAZEPRIL 10-40 MG CAP Max Qty: 90 (Lotrel)
AMLODIPINE/OLMESARTAN 5-20 MG TAB Max Qty: 90 (Azor)
AMLODIPINE/OLMESARTAN 5-40 MG TAB Max Qty: 90 (Azor)
AMLODIPINE/OLMESARTAN 10-20 MG TAB Max Qty: 90 (Azor)
AMLODIPINE/OLMESARTAN 10-40 MG TAB Max Qty: 90 (Azor)
AMLODIPINE/VALSARTAN 5-160 MG TAB Max Qty: 90 (Exforge)
AMLODIPINE/VALSARTAN 5-320 MG TAB Max Qty: 90 (Exforge)
AMLODIPINE/VALSARTAN 10-160 MG TAB Max Qty: 90 (Exforge)
ATENOLOL 25 MG TAB Max Qty: 90 (Tenormin)
ATENOLOL 50 MG TAB Max Qty: 90 (Tenormin)
ATENOLOL 100 MG TAB Max Qty: 90 (Tenormin)
ATENOLOL/CHLORTHALIDONE 100-25MG TAB Max Qty: 90 (Tenoretic)
ATENOLOL/CHLORTHALIDONE 100-25MG TAB Max Qty: 90 (Tenoretic)
ATENOLOL/CHLORTHALIDONE 50-25MG TAB Max Qty: 90 (Tenoretic)
ATORVASTATIN 10 MG TAB Max Qty: 90 (Lipitor)
ATORVASTATIN 20 MG TAB Max Qty: 90 (Lipitor)
ATORVASTATIN 40 MG TAB Max Qty: 90 (Lipitor)
ATORVASTATIN 80 MG TAB Max Qty: 90 (Lipitor)
BENAZEPRIL 5 MG TAB Max Qty: 90 (Lotensin)
BENAZEPRIL 10 MG TAB Max Qty: 90 (Lotensin)
BENAZEPRIL 20 MG TAB Max Qty: 90 (Lotensin)
BENAZEPRIL 40 MG TAB Max Qty: 90 (Lotensin)
BENAZEPRIL/HCTZ 10-12.5 MG TAB Max Qty: 90 (Lotensin HCT)
BENAZEPRIL/HCTZ 20-12.5 MG TAB Max Qty: 90 (Lotensin HCT)
BENAZEPRIL/HCTZ 20-25 MG TAB Max Qty: 90 (Lotensin HCT)
BETAXOLOL 10 MG TAB Max Qty: 90 (Kerlone)
BISOPROLOL FUMARATE 5 MG TAB Max Qty: 90 (Zebeta)
BISOPROLOL FUMARATE 10 MG TAB Max Qty: 90 (Zebeta)
BISOPROLOL/HCTZ 2.5-6.25 MG TAB Max Qty: 90 (Ziac)
BISOPROLOL/HCTZ 5-6.25 MG TAB Max Qty: 90 (Ziac)
BISOPROLOL/HCTZ 10-6.25 MG TAB Max Qty: 90 (Ziac)
BUMETANIDE 0.5 MG TAB Max Qty: 90 (Bumex)
BUMETANIDE 1 MG TAB Max Qty: 90 (Bumex)
BUMETANIDE 2 MG TAB Max Qty: 90 (Bumex)
CAPTOPRIL 12.5MG TAB Max Qty: 180 (Capoten)
CAPTOPRIL 25 MG TAB Max Qty: 180 (Capoten)
CAPTOPRIL 50 MG TAB Max Qty: 180 (Capoten)
CAPTOPRIL/HCTZ 25-15 MG TAB Max Qty: 180 (Capozide)
CAPTOPRIL/HCTZ 25-25 MG TAB Max Qty: 180 (Capozide)
CAPTOPRIL/HCTZ 50-25 MG TAB Max Qty: 180 (Capozide)
CARVEDILOL 3.125 MG TAB Max Qty: 180 (Coreg)
CARVEDILOL 6.25 MG TAB Max Qty: 180 (Coreg)
CARVEDILOL 12.5 MG TAB Max Qty: 180 (Coreg)
CARVEDILOL 25 MG TAB Max Qty: 180 (Coreg)
CHLOROTHIAZIDE 500 MG TAB Max Qty: 180 (Diuril)
CHLORTHALIDONE 25 MG TAB Max Qty: 90 (Hygroton)
CHLORTHALIDONE 50 MG TAB Max Qty: 90 (Hygroton)
CHOLINE FENOFIBRATE 45 MG CAP Max Qty: 90 (Trilipix)
CHOLINE FENOFIBRATE 135 MG CAP Max Qty: 90 (Trilipix)
CILOSTAZOL 50 MG TAB Max Qty: 180 (Pletal)
CILOSTAZOL 100 MG TAB Max Qty: 180 (Pletal)
CLONIDINE 0.1 MG TAB Max Qty: 90 (Catapres)
CLONIDINE 0.2 MG TAB Max Qty: 90 (Catapres)
CLONIDINE 0.3 MG TAB Max Qty: 90 (Catapres)
CLOPIDOGREL 75 MG TAB Max Qty: 90 (Plavix)
DIGOXIN 125 MCG TAB Max Qty: 90 (Lanoxin)
DIGOXIN 250 MCG TAB Max Qty: 90 (Lanoxin)
DILTIAZEM 30 MG TAB Max Qty: 180 (Cardizem)
DILTIAZEM 60 MG TAB Max Qty: 180 (Cardizem)
DILTIAZEM 90 MG TAB Max Qty: 90 (Cardizem)
DILTIAZEM 120 MG TAB Max Qty: 90 (Cardizem)
DILTIAZEM ER 120 MG ER CAP (24HR) Max Qty: 90 (Cardizem CD)
DILTIAZEM ER 180 MG ER CAP (24HR) Max Qty: 90 (Cardizem CD)
DILTIAZEM ER 240 MG ER CAP (24HR) Max Qty: 90 (Cardizem CD)
DILTIAZEM ER 300 MG ER CAP (24HR) Max Qty: 90 (Cardizem CD)
DILTIAZEM ER 360 MG ER CAP (24HR) Max Qty: 90 (Cardizem CD)
DIPYRIDAMOLE 25 MG TAB Max Qty: 90 (Persantin)
DIPYRIDAMOLE 50 MG TAB Max Qty: 90 (Persantin)
DIPYRIDAMOLE 75 MG TAB Max Qty: 90 (Persantin)
DOFETILIDE 125 MG CAP Max Qty: 180 (Tikosyn)
DOFETILIDE 250 MG CAP Max Qty: 180 (Tikosyn)
DOFETILIDE 500 MG CAP Max Qty: 180 (Tikosyn)
DOXAZOSIN 1 MG TAB Max Qty: 90 (Cardura)
DOXAZOSIN 2 MG TAB Max Qty: 90 (Cardura)
DOXAZOSIN 4 MG TAB Max Qty: 90 (Cardura)
DOXAZOSIN 8 MG TAB Max Qty: 90 (Cardura)
ENALAPRIL 2.5 MG TAB Max Qty: 90 (Vasotec)
ENALAPRIL 5 MG TAB Max Qty: 90 (Vasotec)
ENALAPRIL 10 MG TAB Max Qty: 90 (Vasotec)
ENALAPRIL 20 MG TAB Max Qty: 90 (Vasotec)
ENALAPRIL/HCTZ 5-12.5 MG TAB Max Qty: 90 (Vaseretic)
ENALAPRIL/HCTZ 10-25 MG TAB Max Qty: 90 (Vaseretic)
EPLERENONE 25 MG TAB Max Qty: 90 (Inspra)
EZETIMIBE 10 MG TAB Max Qty: 90 (Zetia)
EZETIMIBE/SIMVASTATIN 10-10 MG TAB Max Qty: 90 (Vytorin)
EZETIMIBE/SIMVASTATIN 10-20 MG TAB Max Qty: 90 (Vytorin)
EZETIMIBE/SIMVASTATIN 10-40 MG TAB Max Qty: 90 (Vytorin)
EZETIMIBE/SIMVASTATIN 10-80 MG TAB Max Qty: 90 (Vytorin)
FELODIPINE ER 2.5 MG ER TAB Max Qty: 90 (Plendil ER)
FELODIPINE ER 5 MG ER TAB Max Qty: 90 (Plendil ER)
FELODIPINE ER 10 MG ER TAB Max Qty: 90 (Plendil ER)
FENOFIBRATE 48 MG TAB Max Qty: 90 (Tricor)
FENOFIBRATE 54 MG TAB Max Qty: 90 (Tricor)
FENOFIBRATE 145 MG TAB Max Qty: 90 (Tricor)
FENOFIBRATE 160 MG TAB Max Qty: 90 (Tricor)
FENOFIBRATE (MICRONIZED) 43 MG CAP Max Qty: 90 (Antara)
FENOFIBRATE (MICRONIZED) 67 MG CAP Max Qty: 90 (Antara)
FENOFIBRATE (MICRONIZED) 134 MG CAP Max Qty: 90 (Antara)
FENOFIBRATE (MICRONIZED) 200 MG CAP Max Qty: 90 (Lofibra)
FLECAINIDE 50 MG TAB Max Qty: 180 (Tambocor)
FLECAINIDE 100 MG TAB Max Qty: 180 (Tambocor)
FLECAINIDE 150 MG TAB Max Qty: 180 (Tambocor)
FOSINOPRIL 10 MG TAB Max Qty: 90 (Monopril)
FOSINOPRIL 20 MG TAB Max Qty: 90 (Monopril)
FOSINOPRIL 40 MG TAB Max Qty: 90 (Monopril)
FUROSEMIDE 20 MG TAB Max Qty: 90 (Lasix)
FUROSEMIDE 40 MG TAB Max Qty: 90 (Lasix)
FUROSEMIDE 80 MG TAB Max Qty: 90 (Lasix)
GEMFIBROZIL 600 MG TAB Max Qty: 180 (Lopid)
HCTZ 12.5 MG CAP Max Qty: 90 (Microzide)
HCTZ 12.5 MG TAB Max Qty: 90 (HydroDiuril)
HCTZ 25 MG TAB Max Qty: 90 (HydroDiuril)
HCTZ 50 MG TAB Max Qty: 90 (HydroDiuril)
HYDRALAZINE 10 MG TAB Max Qty: 270 (Apresoline)
HYDRALAZINE 25 MG TAB Max Qty: 270 (Apresoline)
HYDRALAZINE 50 MG TAB Max Qty: 180 (Apresoline)
HYDRALAZINE 100 MG TAB Max Qty: 90 (Apresoline)
HYDRALAZINE/HCTZ 50-50 MG TAB Max Qty: 90 (Apresazide)
INDAPAMIDE 1.25 MG TAB Max Qty: 90 (Lozol)
INDAPAMIDE 2.5 MG TAB Max Qty: 90 (Lozol)
IRBESARTAN 75 MG TAB Max Qty: 90 (Avapro)
IRBESARTAN 150 MG TAB Max Qty: 90 (Avapro)
IRBESARTAN 300 MG TAB Max Qty: 90 (Avapro)
IRBESARTAN/HCTZ 150/12.5 MG TAB Max Qty: 90 (Avalide)
IRBESARTAN/HCTZ 300/12.5 MG TAB Max Qty: 90 (Avalide)
ISOSORBIDE MONONITRATE 30 MG ER TAB (24HR) Max Qty: 90 (Imdur)
ISOSORBIDE MONONITRATE 60 MG ER TAB (24HR) Max Qty: 90 (Imdur)
ISOSORBIDE MONONITRATE 120 MG ER TAB (24HR) Max Qty: 90 (Imdur)
JANTOVEN 1 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 2 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 2.5 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 3 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 4 MG TAB Max Qty: 30 (Coumadin)
JANTOVEN 5 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 6 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 7.5 MG TAB Max Qty: 90 (Coumadin)
JANTOVEN 10 MG TAB Max Qty: 90 (Coumadin)
LABETOLOL 100 MG TAB Max Qty: 180 (Trandate)
LABETOLOL 200 MG TAB Max Qty: 180 (Trandate)
LABETOLOL 300 MG TAB Max Qty: 180 (Trandate)
LISINOPRIL 2.5 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL 5 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL 10 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL 20 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL 30 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL 40 MG TAB Max Qty: 180 (Zestril)
LISINOPRIL/HCTZ 10-12.5 MG TAB Max Qty: 180 (Zestoretic)
LISINOPRIL/HCTZ 20-12.5 MG TAB Max Qty: 180 (Zestoretic)
LISINOPRIL/HCTZ 20-25 MG TAB Max Qty: 180 (Zestoretic)
LOSARTAN 25 MG TAB Max Qty: 180 (Cozaar)
LOSARTAN 50 MG TAB Max Qty: 180 (Cozaar)
LOSARTAN 100 MG TAB Max Qty: 180 (Cozaar)
LOSARTAN/HCTZ 50-12.5 MG TAB Max Qty: 180 (Hyzaar)
LOSARTAN/HCTZ 100-12.5 MG TAB Max Qty: 180 (Hyzaar)
LOSARTAN/HCTZ 100-25 MG TAB Max Qty: 180 (Hyzaar)
LOVASTATIN 10 MG TAB Max Qty: 90 (Mevacor)
LOVASTATIN 20 MG TAB Max Qty: 90 (Mevacor)
LOVASTATIN 40 MG TAB Max Qty: 90 (Mevacor)
METHYLDOPA 250 MG TAB Max Qty: 270 (Aldomet)
METHYLDOPA 500 MG TAB Max Qty: 270 (Aldomet)
METOPROLOL SUCCINATE 25 MG ER TAB (24HR) Max Qty: 90 (Toprol XL)
METOPROLOL SUCCINATE 50 MG ER TAB (24HR) Max Qty: 90 (Toprol XL)
METOPROLOL SUCCINATE 100 MG ER TAB (24HR) Max Qty: 90 (Toprol XL)
METOPROLOL SUCCINATE 200 MG ER TAB (24HR) Max Qty: 90 (Toprol XL) METOPROLOL TARTRATE 25 MG TAB Max Qty: 180 (Lopressor)
METOPROLOL TARTRATE 50 MG TAB Max Qty: 180 (Lopressor)
METOPROLOL TARTRATE 100 MG TAB Max Qty: 180 (Lopressor)
MIDODRINE 2.5 MG TAB Max Qty: 270 (ProAmatine)
MIDODRINE 5 MG TAB Max Qty: 270 (ProAmatine)
MIDODRINE 10 MG TAB Max Qty: 270 (ProAmatine)
MINOXIDIL 2.5 MG TAB Max Qty: 90 (Loniten)
MINOXIDIL 10 MG TAB Max Qty: 90 (Loniten)
NADOLOL 20 MG TAB Max Qty: 90 (Corgard)
NADOLOL 80 MG TAB Max Qty: 90 (Corgard)
NADOLOL 40 MG TAB Max Qty: 90 (Corgard)
NEBIVOLOL 2.5 MG TAB Max Qty: 90 (Bystolic)
NEBIVOLOL 5 MG TAB Max Qty: 90 (Bystolic)
NEBIVOLOL 10 MG TAB Max Qty: 90 (Bystolic)
NEBIVOLOL 20 MG TAB Max Qty: 90 (Bystolic)
NIACIN ER 500 MG TAB Max Qty: 90 (Niaspan)
NIACIN ER 750 MG TAB Max Qty: 90 (Niaspan)
NIACIN ER 1000 MG TAB Max Qty: 90 (Niaspan)
NIFEDIPINE XL 30 MG ER OSM TAB (24HR) Max Qty: 90 (Procardia XL)
NIFEDIPINE XL 60 MG ER OSM TAB (24HR) Max Qty: 90 (Procardia XL)
NIFEDIPINE XL 90 MG ER OSM TAB (24HR) Max Qty: 90 (Procardia XL)
NIFEDIPINE ER 30 MG ER TAB (24HR) Max Qty: 90 (Adalat CC)
NIFEDIPINE ER 60 MG ER TAB (24HR) Max Qty: 90 (Adalat CC)
NIFEDIPINE ER 90 MG ER TAB (24HR) Max Qty: 90 (Adalat CC)
NITROGLYCERIN 0.1 MG/HR PATCH Max Qty: 90 (Nitro Dur)
NITROGLYCERIN 0.2 MG/HR PATCH Max Qty: 90 (Nitro Dur)
NITROGLYCERIN 0.4 MG/HR PATCH Max Qty: 90 (Nitro Dur)
NITROGLYCERIN 0.6 MG/HR PATCH Max Qty: 90 (Nitro Dur)
NITROGLYCERIN 0.3 MG SL TAB Max Qty: 300 (Nitrostat)
NITROGLYCERIN 0.4 MG SL TAB Max Qty: 300 (Nitrostat)
NITROGLYCERIN 0.6 MG SL TAB Max Qty: 300 (Nitrostat)
OLMESARTAN/HCTZ 20-12.5 MG TAB Max Qty: 90 (Benicar HCT)
OLMESARTAN/HCTZ 40-12.5 MG TAB Max Qty: 90 (Benicar HCT)
OLMESARTAN/HCTZ 40-25 MG TAB Max Qty: 90 (Benicar HCT)
OLMESARTAN 5 MG TAB Max Qty: 90 (Benicar)
OLMESARTAN 20 MG TAB Max Qty: 90 (Benicar)
OLMESARTAN 40 MG TAB Max Qty: 90 (Benicar)
OMEGA-3 ETHYL ESTERS 1 GM CAP Max Qty: 360 (Lovaza)
PINDOLOL 5 MG TAB Max Qty: 180 (Visken)
PINDOLOL 10 MG TAB Max Qty: 180 (Visken)
POTASSIUM CHLORIDE 8 MEQ ER TAB Max Qty: 90 (Klor-Con)
POTASSIUM CHLORIDE 10 MEQ ER TAB Max Qty: 90 (Klor-Con)
POTASSIUM CHLORIDE 20 MEQ ER TAB Max Qty: 90 (Klor-Con)
POTASSIUM CHLORIDE 10 MEQ ER CAP Max Qty: 90 (Klor-Con)
PRASUGREL 5 MG TAB Max Qty: 90 (Effient)
PRASUGREL 10 MG TAB Max Qty: 90 (Effient)
PRAVASTATIN 10 MG TAB Max Qty: 90 (Pravachol)
PRAVASTATIN 20 MG TAB Max Qty: 90 (Pravachol)
PRAVASTATIN 40 MG TAB Max Qty: 90 (Pravachol)
PRAVASTATIN 80 MG TAB Max Qty: 90 (Pravachol)
PRAZOSIN 1 MG CAP Max Qty: 90 (Minipres)
PRAZOSIN 2 MG CAP Max Qty: 90 (Minipres)
PRAZOSIN 5 MG CAP Max Qty: 90 (Minipres)
PROCAINAMIDE 500 MG TAB Max Qty: 270 (Pronestyl)
PROCAINAMIDE SR 500 MG TAB Max Qty: 270 (Pronestyl SR)
PROPAFENONE 150 MG TAB Max Qty: 270 (Rythmol)
PROPAFENONE 225 MG TAB Max Qty: 270 (Rythmol)
PROPAFENONE 300 MG TAB Max Qty: 270 (Rythmol)
PROPRANOLOL 10 MG TAB Max Qty: 180 (Inderal)
PROPRANOLOL 20 MG TAB Max Qty: 180 (Inderal)
PROPRANOLOL 40 MG TAB Max Qty: 180 (Inderal)
PROPRANOLOL 60 MG TAB Max Qty: 90 (Inderal)
PROPRANOLOL 80 MG TAB Max Qty: 90 (Inderal)
PROPRANOLOL ER 60 MG ER CAP (24HR) Max Qty: 90 (Inderal LA)
PROPRANOLOL ER 80 MG ER CAP (24HR) Max Qty: 90 (Inderal LA)
PROPRANOLOL ER 120 MG ER CAP (24HR) Max Qty: 90 (Inderal LA)
PROPRANOLOL ER 160 MG ER CAP (24HR) Max Qty: 90 (Inderal LA)
PROPRANOLOL/HCTZ 40-25 MG TAB Max Qty: 180 (Inderide)
PROPRANOLOL/HCTZ 80-25 MG TAB Max Qty: 180 (Inderide)
QUINAPRIL 5 MG TAB Max Qty: 90 (Accupril)
QUINAPRIL 10 MG TAB Max Qty: 90 (Accupril)
QUINAPRIL 20 MG TAB Max Qty: 90 (Accupril)
QUINAPRIL 40 MG TAB Max Qty: 90 (Accupril)
QUINAPRIL/HCTZ 10-12.5 MG TAB Max Qty: 90 (Accuretic)
QUINAPRIL/HCTZ 20-12.5 MG TAB Max Qty: 90 (Accuretic)
QUINAPRIL/HCTZ 20-25 MG TAB Max Qty: 90 (Accuretic)
QUINIDINE SULFATE 200 MG TAB Max Qty: 270 (Cardioquin)
QUINIDINE SULFATE 300 MG TAB Max Qty: 270 (Cardioquin)
RAMIPRIL 1.25 MG CAP Max Qty: 90 (Altace)
RAMIPRIL 2.5 MG CAP Max Qty: 90 (Altace)
RAMIPRIL 5 MG CAP Max Qty: 90 (Altace)
RAMIPRIL 10 MG CAP Max Qty: 90 (Altace)
RANOLAZINE ER 500 MG TAB Max Qty: 180 (Ranexa)
RANOLAZINE ER 1000 MG TAB Max Qty: 180 (Ranexa)
ROSUVASTATIN 5 MG TAB Max Qty: 90 (Crestor)
ROSUVASTATIN 10 MG TAB Max Qty: 90 (Crestor)
ROSUVASTATIN 20 MG TAB Max Qty: 90 (Crestor)
ROSUVASTATIN 40 MG TAB Max Qty: 90 (Crestor)
SIMVASTATIN 5 MG TAB Max Qty: 90 (Zocor)
SIMVASTATIN 10 MG TAB Max Qty: 90 (Zocor)
SIMVASTATIN 20 MG TAB Max Qty: 90 (Zocor)
SIMVASTATIN 40 MG TAB Max Qty: 90 (Zocor)
SIMVASTATIN 80 MG TAB Max Qty: 90 (Zocor)
SOTALOL 80 MG TAB Max Qty: 180 (Betapace)
SOTALOL 120 MG TAB Max Qty: 180 (Betapace)
SOTALOL 160 MG TAB Max Qty: 180 (Betapace)
SOTALOL 240 MG TAB Max Qty: 180 (Betapace)
SOTALOL AF 120 MG TAB Max Qty: 180 (Betapace AF)
SOTALOL AF 160 MG TAB Max Qty: 180 (Betapace AF)
TELMISARTAN 20 MG TAB Max Qty: 90 (Micardis)
TELMISARTAN 40 MG TAB Max Qty: 90 (Micardis)
TELMISARTAN 80 MG TAB Max Qty: 90 (Micardis)
TERAZOSIN 1 MG CAP Max Qty: 90 (Hytrin)
TERAZOSIN 2 MG CAP Max Qty: 90 (Hytrin)
TERAZOSIN 5 MG CAP Max Qty: 90 (Hytrin)
TERAZOSIN 10 MG CAP Max Qty: 90 (Hytrin)
TICLOPIDINE 250 MG TAB Max Qty: 180 (Ticlid)
TORSEMIDE 5 MG TAB Max Qty: 90 (Demadex)
TORSEMIDE 10 MG TAB Max Qty: 90 (Demadex)
TORSEMIDE 20 MG TAB Max Qty: 90 (Demadex)
TORSEMIDE 100 MG TAB Max Qty: 90 (Demadex)
TRANDOLAPRIL 1 MG TAB Max Qty: 90 (Mavik)
TRANDOLAPRIL 2 MG TAB Max Qty: 90 (Mavik)
TRANDOLAPRIL 4 MG TAB Max Qty:90 (Mavik)
TRIAMTERENE/HCTZ 37.5-25 MG CAP Max Qty: 90 (Dyazide)
TRIAMTERENE/HCTZ 37.5-25 MG TAB Max Qty: 90 (Maxzide)
TRIAMTERENE/HCTZ 75-50 MG TAB Max Qty: 90 (Maxzide)
VALSARTAN 40 MG TAB Max Qty: 90 (Diovan)
VALSARTAN 80 MG TAB Max Qty: 90 (Diovan)
VALSARTAN 160 MG TAB Max Qty: 90 (Diovan)
VALSARTAN 320 MG TAB Max Qty: 90 (Diovan)
VALSARTAN/HCTZ 80/12.5 MG TAB Max Qty: 90 (Diovan HCT)
VALSARTAN/HCTZ 160/25 MG TAB Max Qty: 90 (Diovan HCT)
VALSARTAN/HCTZ 320/12.5 MG TAB Max Qty: 90 (Diovan HCT)
VALSARTAN/HCTZ 320/25 MG TAB Max Qty: 90 (Diovan HCT)
VERAPAMIL 40 MG TAB Max Qty: 180 (Calan)
VERAPAMIL 80 MG TAB Max Qty: 180 (Calan)
VERAPAMIL 120 MG TAB Max Qty: 180 (Calan)
VERAPAMIL ER 120 MG ER TAB Max Qty: 90 (Calan SR)
VERAPAMIL ER 180 MG ER TAB Max Qty: 90 (Calan SR)
VERAPAMIL ER 240 MG ER TAB Max Qty: 90 (Calan SR)
WARFARIN 1 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 2 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 2.5 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 3 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 4 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 5 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 6 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 7.5 MG TAB Max Qty: 90 (Coumadin)
WARFARIN 10 MG TAB Max Qty: 90 (Coumadin)

DERMATOLOGY

ADAPALENE 0.1% GEL Max Qty: 45 (Differin)
ADAPALENE 0.3% GEL Max Qty: 45 (Differin)
ADAPALENE/BENZOYL PEROXIDE 0.1/2.5% GEL Max Qty: 45 (Epiduo)
AMINOBENZOATE 500 MG TAB Max Qty:90 (Potaba)
BENZOYL PEROXIDE WASH 5% WASH Max Qty: 474 (Benzac AC)
BENZOYL PEROXIDE WASH 10% WASH Max Qty: 474 (Benzac AC)
CICLOPIROX 8% SOLN Max Qty: 19.8 (Penlac)
CLINDAMYCIN PHOSPHATE 1% SOLN Max Qty: 180 (Cleocin-T)
CLINDAMYCIN PHOSPHATE 1% GEL Max Qty: 60 (Clindagel)
CLINDAMYCIN/BENZOYL PEROXIDE 1.2/5% GEL Max Qty: 135 (Duac)
CLINDAMYCIN/BENZOYL PEROXIDE 1/5% GEL Max Qty: 50 (Benzaclin)
CLOBETASOL 0.05% CREAM Max Qty: 60 (Temovate)
CLOBETASOL 0.05% GEL Max Qty: 60 (Temovate)
CLOBETASOL 0.05% OINT Max Qty: 60 (Temovate)
CLOBETASOL 0.05% SOLN Max Qty: 100 (Temovate)
DESONIDE 0.05% CREAM Max Qty: 120 (DesOwen)
DESONIDE 0.05% LOTION Max Qty: 177 (DesOwen)
DESONIDE 0.05% OINT Max Qty: 120 (DesOwen)
DESOXIMETASONE 0.25% CREAM Max Qty: 45 (Topicort)
DOXYCYCLINE HYCLATE 50 MG CAP Max Qty: 180 (Vibramycin)
DOXYCYCLINE HYCLATE 100 MG CAP Max Qty: 180 (Vibramycin)
DOXYCYCLINE MONOHYDRATE 50 MG CAP Max Qty: 90 (Monodox)
DOXYCYCLINE MONOHYDRATE 100 MG CAP Max Qty: 90 (Monodox)
ECONAZOLE NITRATE 1% CREAM Max Qty: 60 (Spectazole)
FLUOCINONIDE 0.05% CREAM Max Qty: 180 (Vanos)
FLUOCINONIDE 0.10% CREAM Max Qty: 120 (Vanos)
FLUOCINONIDE 0.05% OINT Max Qty: 90 (Vanos)
HYDROCORTISONE 1.0% CREAM Max Qty: 84 (Cortaid)
HYDROCORTISONE 1.0% OINT Max Qty: 85 (Ala-Cort)
HYDROCORTISONE 2.5% CREAM Max Qty: 85 (Ala-cort)
HYDROCORTISONE 2.5% OINT Max Qty: 60 (Ala-Cort)
HYDROCORTISONE 2.5% CREAM Max Qty: 30 (Anusol HC)
HYDROQUINONE 4% CREAM Max Qty: 90 (Lustra)
HYDROXYZINE HCL 10 MG TAB Max Qty: 180 (Atarax)
HYDROXYZINE HCL 25 MG TAB Max Qty: 180 (Atarax)
HYDROXYZINE HCL 50 MG TAB Max Qty: 90 (Atarax)
KETOCONAZOLE 200 MG TAB Max Qty: 60 (Nizoral)
KETOCONAZOLE 2% CREAM Max Qty: 90 (Nizoral)
KETOCONAZOLE 2% SHAMPOO Max Qty: 360 (Nizoral)
LIDOCAINE 5% OINT Max Qty: 106 (Xylocaine)
LIDOCAINE/PRILOCAINE 2.5%/2.5% CREAM Max Qty: 90 (Emla)
METRONIDAZOLE 0.75% CREAM Max Qty: 135 (Rosadan)
METRONIDAZOLE 0.75% GEL Max Qty: 135 (Rosadan)
MINOCYCLINE 50 MG CAP Max Qty: 90 (Minocin)
MINOCYCLINE 75 MG CAP Max Qty: 90 (Minocin)
MINOCYCLINE 100 MG CAP Max Qty: 90 (Minocin)
MUPIROCIN 2% OINT Max Qty: 90 (Bactroban)
NYSTATIN 100 MU CREAM Max Qty: 90 (Mycostatin)
NYSTATIN 100 MU OINT Max Qty: 45 (Mycostatin)
NYSTATIN 100 MU POWDER Max Qty: 180 (Nystop)
NYSTATIN/TRIAMCINOLONE 100 MU CREAM Max Qty: 90 (Mycolog-II)
SILVER SULFADIAZINE 1% CREAM Max Qty: 150 (Silvadene)
SPIRONOLACTONE 25 MG TAB Max Qty: 90 (Aldactone)
SPIRONOLACTONE 50 MG TAB Max Qty: 90 (Aldactone)
SPIRONOLACTONE 100 MG TAB Max Qty: 90 (Aldactone)
SULFACETAMIDE/SULFUR 10%/5% CLEANSER Max Qty: 170.3 (Plexion)
TERBINAFINE 250 MG TAB Max Qty: 90 (Lamisil)
TERBINAFINE 1% CREAM Max Qty: 90 (Lamisil)
TRIAMCINOLONE 0.025% OINT Max Qty: 240 (Kenalog)
TRIAMCINOLONE 0.1% OINT Max Qty: 240 (Kenalog)
TRIAMCINOLONE 0.5% OINT Max Qty: 45 (Kenalog)
TRIAMCINOLONE 0.025% CREAM Max Qty: 240 (Kenalog)
TRIAMCINOLONE 0.1% CREAM Max Qty: 240 (Kenalog)
TRIAMCINOLONE 0.5% CREAM Max Qty: 45 (Kenalog)

DIABETES

ACARBOSE 25 MG TAB Max Qty: 270 (Precose)
ACARBOSE 50 MG TAB Max Qty: 270 (Precose)
ACARBOSE 100 MG TAB Max Qty: 270 (Precose)
CHLORPROPAMIDE 250 MG CAP Max Qty: 180 (Diabinese)
GLIMEPIRIDE 1 MG TAB Max Qty: 90 (Amaryl)
GLIMEPIRIDE 2 MG TAB Max Qty: 180 (Amaryl)
GLIMEPIRIDE 4 MG TAB Max Qty: 180 (Amaryl)
GLIPIZIDE 5 MG TAB Max Qty: 180 (Glucotrol)
GLIPIZIDE 10 MG TAB Max Qty: 180 (Glucotrol)
GLIPIZIDE 2.5 MG ER TAB (24HR) Max Qty: 90 (Glucotrol XL)
GLIPIZIDE 5 MG ER TAB (24HR) Max Qty: 180 (Glucotrol XL)
GLIPIZIDE 10 MG ER TAB (24HR) Max Qty: 180 (Glucotrol XL)
GLIPIZIDE/METFORMIN 2.5-250 MG TAB Max Qty: 180 (Metaglip)
GLIPIZIDE/METFORMIN 5-500 MG TAB Max Qty: 180 (Metaglip)
GLYBURIDE 1.25 MG TAB Max Qty: 90 (Glynase)
GLYBURIDE 2.5 MG TAB Max Qty: 90 (Glynase)
GLYBURIDE 5 MG TAB Max Qty: 180 (Glynase)
GLYBURIDE/METFORMIN 1.25-250 MG TAB Max Qty: 180 (Glucovance)
GLYBURIDE/METFORMIN 2.5-500 MG TAB Max Qty: 180 (Glucovance)
GLYBURIDE/METFORMIN 5-500 MG TAB Max Qty: 180 (Glucovance)
METFORMIN 500 MG TAB Max Qty: 360 (Glucophage)
METFORMIN 850 MG TAB Max Qty: 360 (Glucophage)
METFORMIN 1000 MG TAB Max Qty: 360 (Glucophage)
METFORMIN 500 MG ER TAB (24HR) Max Qty: 360 (Glucophage XR)
METFORMIN 750 MG ER TAB (24HR) Max Qty: 360 (Glucophage XR)
NATEGLINIDE 60 MG TAB Max Qty: 270 (Starlix)
NATEGLINIDE 120 MG TAB Max Qty: 270 (Starlix)
PIOGLITAZONE 15 MG TAB Max Qty: 90 (Actos)
PIOGLITAZONE 30 MG TAB Max Qty: 90 (Actos)
PIOGLITAZONE 45 MG TAB Max Qty: 90 (Actos)
PIOGLITAZONE/METFORMIN 15/500 MG TAB Max Qty: 180 (Actoplus Met)
PIOGLITAZONE/METFORMIN 15/850 MG TAB Max Qty: 180 (Actoplus Met)
PRODIGY DIABETIC TEST STRIPS STRIPS Max Qty: 150
PRODIGY GLUCOSE METER METER Max Qty: 1
PRODIGY DIABETIC LANCETS Max Qty: 200
REPAGLINIDE 0.5 MG TAB Max Qty: 270 (Prandin)
REPAGLINIDE 1 MG TAB Max Qty: 270 (Prandin)
REPAGLINIDE 2 MG TAB Max Qty: 270 (Prandin)

ENDOCRINOLOGY

CINACALCET 30 MG TAB Max Qty: 90 (Sensipar)
DESMOPRESSIN 0.1 MG TAB Max Qty: 90 (DDAVP)
DESMOPRESSIN 0.2 MG TAB Max Qty: 90 (DDAVP)
LEVOTHYROXINE 25 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 50 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 75 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 88 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 100 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 112 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 125 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 137 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 150 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 175 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 200 MCG TAB Max Qty: 90 (Synthroid)
LEVOTHYROXINE 300 MCG TAB Max Qty: 90 (Synthroid)
LIOTHYRONINE 5 MCG TAB Max Qty: 90 (Cytomel)
LIOTHYRONINE 25 MCG TAB Max Qty: 90 (Cytomel)
LIOTHYRONINE 50 MCG TAB Max Qty: 90 (Cytomel)
METHIMAZOLE 5 MG TAB Max Qty: 90 (Tapazole)
METHIMAZOLE 10 MG TAB Max Qty: 90 (Tapazole)

GASTROINTESTINAL

DICYCLOMINE 10 MG CAP Max Qty: 180 (Bentyl)
DICYCLOMINE 20 MG TAB Max Qty: 90 (Bentyl)
DOCUSATE SODIUM 100 MG CAP Max Qty: 90 (Colace)
ESOMEPRAZOLE 20 MG DR CAP Max Qty: 90 (Nexium)
ESOMEPRAZOLE 40 MG DR CAP Max Qty: 90 (Nexium)
FAMOTIDINE 20 MG TAB Max Qty: 180 (Pepcid)
FAMOTIDINE 40 MG TAB Max Qty: 90 (Pepcid)
GLYCOPYRROLATE 1 MG TAB Max Qty: 90 (Robinul)
GLYCOPYRROLATE 2 MG TAB Max Qty: 90 (Robinul)
HYOSCYAMINE 0.125 MG TAB Max Qty: 360 (Levsin)
HYOSCYAMINE 0.125 MG ODT TAB Max Qty: 360 (Anaspaz)
HYOSCYAMINE SR 0.375 MG SR TAB (12HR) Max Qty: 90 (Levbid)
LANSOPRAZOLE 15 MG DR CAP Max Qty: 180 (Prevacid)
LANSOPRAZOLE 30 MG DR CAP Max Qty: 180 (Prevacid)
LIDOCAINE 2% SOLN Max Qty: 300 (Xylocaine)
LOPERAMIDE 2 MG CAP Max Qty: 90 (Imodium)
METOCLOPRAMIDE 5 MG TAB Max Qty: 180 (Reglan)
METOCLOPRAMIDE 10 MG TAB Max Qty: 180 (Reglan)
OMEPRAZOLE 10 MG DR CAP Max Qty: 180 (Prilosec)
OMEPRAZOLE 20 MG DR CAP Max Qty: 180 (Prilosec)
OMEPRAZOLE 40 MG DR CAP Max Qty: 180 (Prilosec)
ONDANSETRON 4 MG TAB Max Qty: 90 (Zofran)
ONDANSETRON 8 MG TAB Max Qty: 90 (Zofran)
ONDANSETRON 4 MG ODT TAB Max Qty: 90 (Zofran ODT)
ONDANSETRON 8 MG ODT TAB Max Qty: 90 (Zofran ODT)
PANTOPRAZOLE 20 MG DR TAB Max Qty: 180 (Protonix)
PANTOPRAZOLE 40 MG DR TAB Max Qty: 180 (Protonix)
POLYETHYLENE GLYCOL 17 GM POWDER Max Qty: 476 (Miralax)
PROMETHAZINE 12.5 MG TAB Max Qty: 90 (Phenergan)
PROMETHAZINE 50 MG TAB Max Qty: 90 (Phenergan)
RABEPRAZOLE 20 MG TAB Max Qty: 90 (Aciphex)

MEN'S HEALTH

ALFUZOSIN 10 MG TAB Max Qty: 90 (Uroxatrol)
BETHANECHOL 5 MG TAB Max Qty: 180 (Urecholine)
BETHANECHOL 10 MG TAB Max Qty: 180 (Urecholine)
BETHANECHOL 25 MG TAB Max Qty: 180 (Urecholine)
BETHANECHOL 50 MG TAB Max Qty: 180 (Urecholine)
BICALUTAMIDE 50 MG CAP Max Qty: 90 (Casodex)
DUTASTERIDE 0.5 MG CAP Max Qty: 90 (Avodart)
FINASTERIDE 1 MG TAB Max Qty: 90 (Propecia)
FINASTERIDE 5 MG TAB Max Qty: 90 (Proscar)
MINOXIDIL 5% SOLN Max Qty: 180 (Rogaine)
OXYBUTYNIN 5 MG TAB Max Qty: 180 (Ditropan)
OXYBUTYNIN 5 MG ER TAB (24HR) Max Qty: 90 (Ditropan XL)
OXYBUTYNIN 10 MG ER TAB (24HR) Max Qty: 90 (Ditropan XL)
OXYBUTYNIN 15 MG ER TAB (24HR) Max Qty: 90 (Ditropan XL)
SILDENAFIL 20 MG TAB Max Qty: 90 (Revatio)
SILDENAFIL 25 MG TAB Max Qty: 45 (Viagra)
SILDENAFIL 50 MG TAB Max Qty: 45 (Viagra)
SILDENAFIL 100 MG TAB Max Qty: 30 (Viagra)
SILODOSIN 4 MG CAP Max Qty: 90 (Rapaflo)
SILODOSIN 8 MG CAP Max Qty: 90 (Rapaflo)
SOLIFENACIN 5 MG TAB Max Qty: 90 (VESICARE)
SOLIFENACIN 10 MG TAB Max Qty: 90 (VESICARE)
TADALAFIL 2.5 MG TAB Max Qty: 90 (Cialis)
TADALAFIL 5 MG TAB Max Qty: 90 (Cialis)
TADALAFIL 10 MG TAB Max Qty: 45 (Cialis)
TADALAFIL 20 MG TAB Max Qty: 30 (Cialis)
TAMSULOSIN 0.4 MG CAP Max Qty: 90 (Flomax)
TOLTERODINE ER 2 MG CAP Max Qty: 90 (Detrol LA)
TROSPIUM 20 MG TAB Max Qty: 90 (Sanctura)

MENTAL HEALTH

AMITRIPTYLINE 10 MG TAB Max Qty: 90 (Elavil)
AMITRIPTYLINE 25 MG TAB Max Qty: 90 (Elavil)
AMITRIPTYLINE 50 MG TAB Max Qty: 90 (Elavil)
AMITRIPTYLINE 75 MG TAB Max Qty: 90 (Elavil)
AMITRIPTYLINE 100 MG TAB Max Qty: 90 (Elavil)
AMITRIPTYLINE 150 MG TAB Max Qty: 90 (Elavil)
ARIPIPRAZOLE 2 MG TAB Max Qty: 90 (Abilify)
ARIPIPRAZOLE 5 MG TAB Max Qty: 90 (Abilify)
ARIPIPRAZOLE 10 MG TAB Max Qty: 90 (Abilify)
ARIPIPRAZOLE 15 MG TAB Max Qty: 90 (Abilify)
ARIPIPRAZOLE 20 MG TAB Max Qty: 90 (Abilify)
ARIPIPRAZOLE 30 MG TAB Max Qty: 90 (Abilify)
BENZTROPINE 0.5 MG TAB Max Qty: 180 (Cogentin)
BENZTROPINE 1 MG TAB Max Qty: 180 (Cogentin)
BENZTROPINE 2 MG TAB Max Qty: 180 (Cogentin)
BUPROPION 75 MG TAB Max Qty: 270 (Wellbutrin)
BUPROPION 100 MG TAB Max Qty: 270 (Wellbutrin)
BUPROPION 100 MG SR TAB (12HR) Max Qty: 180 (Wellbutrin SR)
BUPROPION 150 MG SR TAB (12HR) Max Qty: 180 (Wellbutrin SR)
BUPROPION 200 MG SR TAB (12HR) Max Qty: 180 (Wellbutrin SR)
BUPROPION 150 MG XL TAB (24HR) Max Qty: 90 (Wellbutrin XL)
BUPROPION 300 MG XL TAB (24HR) Max Qty: 90 (Wellbutrin XL)
BUSPIRONE 5 MG TAB Max Qty: 270 (Buspar)
BUSPIRONE 7.5 MG TAB Max Qty: 270 (Buspar)
BUSPIRONE 10 MG TAB Max Qty: 270 (Buspar)
BUSPIRONE 15 MG TAB Max Qty: 270 (Buspar)
BUSPIRONE 30 MG TAB Max Qty: 180 (Buspar)
CARBAMAZEPINE 200 MG TAB Max Qty: 180 (Tegretol)
CARBIDOPA 25 MG TAB Max Qty: 360 (Lodosyn)
CARBIDOPA/LEVODOPA 10-100 MG TAB Max Qty: 270 (Sinemet)
CARBIDOPA/LEVODOPA 25-100 MG TAB Max Qty: 270 (Sinemet)
CARBIDOPA/LEVODOPA 25-250 MG TAB Max Qty: 270 (Sinemet)
CARBIDOPA/LEVODOPA 25-100 MG ER TAB Max Qty: 180 (Sinemet CR)
CARBIDOPA/LEVODOPA 50-200 MG ER TAB Max Qty: 180 (Sinemet CR)
CHLORPROMAZINE 25 MG CAP Max Qty: 180 (Thorazine)
CITALOPRAM 10 MG TAB Max Qty: 90 (Celexa)
CITALOPRAM 20 MG TAB Max Qty: 90 (Celexa)
CITALOPRAM 40 MG TAB Max Qty: 90 (Celexa)
CLOMIPRAMINE 25 MG CAP Max Qty: 90 (Anafranil)
CLOMIPRAMINE 50 MG CAP Max Qty: 90 (Anafranil)
CLOMIPRAMINE 75 MG CAP Max Qty: 90 (Anafranil)
DESIPRAMINE 10 MG TAB Max Qty: 90 (Norpramin)
DESIPRAMINE 25 MG TAB Max Qty: 90 (Norpramin)
DESIPRAMINE 50 MG TAB Max Qty: 90 (Norpramin)
DESIPRAMINE 100 MG TAB Max Qty: 90 (Norpramin)
DESVENLAFAXINE ER 25 MG ER TAB Max Qty: 90 (Pristiq)
DESVENLAFAXINE ER 50 MG ER TAB Max Qty: 90 (Pristiq)
DESVENLAFAXINE ER 100 MG ER TAB Max Qty: 90 (Pristiq)
DIVALPROEX 125 MG DR TAB Max Qty: 180 (Depakote)
DIVALPROEX 250 MG DR TAB Max Qty: 180 (Depakote)
DIVALPROEX 500 MG DR TAB Max Qty: 180 (Depakote)
DIVALPROEX 250 MG ER TAB (24HR) Max Qty: 90 (Depakote ER)
DIVALPROEX 500 MG ER TAB (24HR) Max Qty: 90 (Depakote ER)
DONEPEZIL 5 MG TAB Max Qty: 90 (Aricept)
DONEPEZIL 10 MG TAB Max Qty: 90 (Aricept)
DONEPEZIL 23 MG TAB Max Qty: 90 (Aricept)
DONEPEZIL 5 MG ODT TAB Max Qty: 90 (Aricept)
DONEPEZIL 10 MG ODT TAB Max Qty: 90 (Aricep)
DOXEPIN 25 MG CAP Max Qty: 90 (Silenor)
DOXEPIN 50 MG CAP Max Qty: 90 (Silenor)
DOXEPIN 75 MG CAP Max Qty: 90 (Silenor)
DOXEPIN 100 MG CAP Max Qty: 90 (Silenor)
DULOXETINE 20 MG DR CAP Max Qty: 90 (Cymbalta)
DULOXETINE 30 MG DR CAP Max Qty: 180 (Cymbalta)
DULOXETINE 60 MG DR CAP Max Qty: 180 (Cymbalta)
ESCITALOPRAM 5 MG TAB Max Qty: 90 (Lexapro)
ESCITALOPRAM 10 MG TAB Max Qty: 90 (Lexapro)
ESCITALOPRAM 20 MG TAB Max Qty: 90 (Lexapro)
ETHOSUXIMIDE 250 MG CAP Max Qty: 90 (Zarontin)
FLUOXETINE 10 MG CAP Max Qty: 90 (Prozac)
FLUOXETINE 20 MG CAP Max Qty: 90 (Prozac)
FLUOXETINE 40 MG CAP Max Qty: 90 (Prozac)
FLUOXETINE 10 MG TAB Max Qty: 90 (Prozac)
FLUOXETINE 20 MG TAB Max Qty: 90 (Prozac)
FLUOXETINE 60 MG TAB Max Qty: 90 (Prozac)
FLUPHENAZINE 2.5 MG TAB Max Qty: 270 (Modecate)
FLUPHENAZINE 5 MG TAB Max Qty: 270 (Modecate)
FLUVOXAMINE 25 MG TAB Max Qty: 90 (Luvox)
FLUVOXAMINE 50 MG TAB Max Qty: 90 (Luvox)
FLUVOXAMINE 100 MG TAB Max Qty: 90 (Luvox)
GALANTAMINE 4 MG TAB Max Qty: 180 (Razadyne)
GALANTAMINE 8 MG TAB Max Qty: 180 (Razadyne)
GALANTAMINE 12 MG TAB Max Qty: 180 (Razadyne)
HALOPERIDOL 0.5 MG TAB Max Qty: 270 (Haldol)
HALOPERIDOL 1 MG TAB Max Qty: 270 (Haldol)
HYDROXYZINE PAMOATE 25 MG CAP Max Qty: 90 (Vistaril)
HYDROXYZINE PAMOATE 50 MG CAP Max Qty: 90 (Vistaril)
IMIPRAMINE 10 MG TAB Max Qty: 180 (Tofranil)
IMIPRAMINE 25 MG TAB Max Qty: 180 (Tofranil)
IMIPRAMINE 50 MG TAB Max Qty: 180 (Tofranil)
LAMOTRIGINE 25 MG TAB Max Qty: 90 (Lamictal)
LAMOTRIGINE 100 MG TAB Max Qty: 90 (Lamictal)
LAMOTRIGINE 150 MG TAB Max Qty: 90 (Lamictal)
LAMOTRIGINE 200 MG TAB Max Qty: 90 (Lamictal)
LAMOTRIGINE ER 25 MG TAB Max Qty: 90 (Lamictal ER)
LAMOTRIGINE ER 50MG TAB Max Qty: 90 (Lamictal ER)
LAMOTRIGINE ER 100 MG TAB Max Qty: 90 (Lamictal ER)
LAMOTRIGINE ER 200 MG TAB Max Qty: 90 (Lamictal ER)
LEVETIRACETAM 250 MG TAB Max Qty: 180 (Keppra)
LEVETIRACETAM 500 MG TAB Max Qty: 180 (Keppra)
LEVETIRACETAM 750 MG TAB Max Qty: 180 (Keppra)
LEVETIRACETAM 1000 MG TAB Max Qty: 90 (Keppra)
LEVETIRACETAM XR 500 MG TAB Max Qty: 90 (Keppra XR)
LITHIUM 150 MG CAP Max Qty: 270 (Lithobid)
LITHIUM 300 MG CAP Max Qty: 270 (Lithobid)
LITHIUM 600 MG CAP Max Qty: 270 (Lithobid)
LITHIUM 300 MG ER TAB Max Qty: 180 (Lithobid)
LITHIUM 450 MG ER TAB Max Qty: 180 (Lithobid)
LOXAPINE 5 MG CAP Max Qty: 180 (Loxitane)
LOXAPINE 10 MG CAP Max Qty: 180 (Loxitane)
MEMANTINE 5 MG TAB Max Qty: 180 (Namenda)
MEMANTINE 10 MG TAB Max Qty: 180 (Namenda)
MIRTAZAPINE 15 MG TAB Max Qty: 90 (Remeron)
MIRTAZAPINE 30 MG TAB Max Qty: 90 (Remeron)
MIRTAZAPINE 45 MG TAB Max Qty: 90 (Remeron)
NEFAZODONE 50 MG TAB Max Qty: 180 (Serzone)
NEFAZODONE 100 MG TAB Max Qty: 180 (Serzone)
NEFAZODONE 150 MG TAB Max Qty: 180 (Serzone)
NEFAZODONE 200 MG TAB Max Qty: 180 (Serzone)
NEFAZODONE 250 MG TAB Max Qty: 180 (Serzone)
NORTRIPTYLINE 10 MG CAP Max Qty: 90 (Pamelor)
NORTRIPTYLINE 25 MG CAP Max Qty: 90 (Pamelor)
NORTRIPTYLINE 50 MG CAP Max Qty: 90 (Pamelor)
NORTRIPTYLINE 75 MG CAP Max Qty: 90 (Pamelor)
OLANZAPINE 5 MG ODT TAB Max Qty: 90 (Zyprexa Zydis)
OLANZAPINE 10 MG ODT TAB Max Qty: 90 (Zyprexa Zydis)
OLANZAPINE 15 MG ODT TAB Max Qty: 90 (Zyprexa Zydis)
OLANZAPINE 20 MG ODT TAB Max Qty: 90 (Zyprexa Zydis)
OLANZAPINE 2.5 MG TAB Max Qty: 90 (Zyprexa)
OLANZAPINE 5 MG TAB Max Qty: 90 (Zyprexa)
OLANZAPINE 7.5 MG TAB Max Qty: 90 (Zyprexa)
OLANZAPINE 10 MG TAB Max Qty: 90 (Zyprexa)
OLANZAPINE 15 MG TAB Max Qty: 90 (Zyprexa)
OLANZAPINE 20 MG TAB Max Qty: 90 (Zyprexa)
OXCARBAZEPINE 150 MG TAB Max Qty: 180 (Trileptal)
OXCARBAZEPINE 300 MG TAB Max Qty: 180 (Trileptal)
OXCARBAZEPINE 600 MG TAB Max Qty: 180 (Trileptal)
PAROXETINE 10 MG TAB Max Qty: 90 (Paxil)
PAROXETINE 20 MG TAB Max Qty: 90 (Paxil)
PAROXETINE 30 MG TAB Max Qty: 90 (Paxil)
PAROXETINE 40 MG TAB Max Qty: 90 (Paxil)
PAROXETINE CR 12.5 MG TAB Max Qty: 90 (Paxil CR)
PAROXETINE CR 25 MG TAB Max Qty: 90 (Paxil CR)
PAROXETINE CR 37.5 MG TAB Max Qty: 90 (Paxil CR)
PERPHANAZINE 2 MG TAB Max Qty: 270 (Trilafon)
PERPHENAZINE 4 MG TAB Max Qty: 270 (Trilafon)
PERPHENAZINE 8 MG TAB Max Qty: 270 (Trilafon)
PHENYTOIN ER 100 MG ER CAP Max Qty: 270 (Dilantin ER)
PRAMIPEXOLE 0.125 MG TAB Max Qty: 270 (Mirapex)
PRAMIPEXOLE 0.25 MG TAB Max Qty: 270 (Mirapex)
PRAMIPEXOLE 0.5 MG TAB Max Qty: 270 (Mirapex)
PRAMIPEXOLE 1 MG TAB Max Qty: 180 (Mirapex)
PRAMIPEXOLE 1.5 MG TAB Max Qty: 180 (Mirapex)
PRIMIDONE 50 MG TAB Max Qty: 90 (Mysoline)
PRIMIDONE 250 MG TAB Max Qty: 90 (Mysoline)
PROCHLORPERAZINE 5 MG TAB Max Qty: 180 (Compazine)
PYRIDOSTIGMINE 60 MG TAB Max Qty: 270 (Rifater)
QUETIAPINE 25 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 50 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 100 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 200 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 300 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 400 MG TAB Max Qty: 90 (Seroquel)
QUETIAPINE 50 MG ER TAB (24HR) Max Qty: 90 (Seroquel XR)
QUETIAPINE 150 MG ER TAB (24HR) Max Qty: 90 (Seroquel XR)
QUETIAPINE 200 MG ER TAB (24HR) Max Qty: 90 (Seroquel XR)
QUETIAPINE 300 MG ER TAB (24HR) Max Qty: 90 (Seroquel XR)
QUETIAPINE 400 MG ER TAB (24HR) Max Qty: 90 (Seroquel XR)
RILUZOLE 50 MG TAB Max Qty: 180 (Rilutek)
RISPERIDONE 0.25 MG TAB Max Qty: 180 (Risperdal)
RISPERIDONE 0.5 MG TAB Max Qty: 180 (Risperdal)
RISPERIDONE 1 MG TAB Max Qty: 180 (Risperdal)
RISPERIDONE 2 MG TAB Max Qty: 180 (Risperdal)
RISPERIDONE 3 MG TAB Max Qty: 90 (Risperdal)
RISPERIDONE 4 MG TAB Max Qty: 90 (Risperdal)
RIVASTIGMINE 1.5 MG CAP Max Qty: 180 (Exelon)
RIVASTIGMINE 3 MG CAP Max Qty: 180 (Exelon)
RIVASTIGMINE 4.5 MG CAP Max Qty: 180 (Exelon)
RIVASTIGMINE 6 MG CAP Max Qty: 180 (Exelon)
SELEGILINE 5 MG TAB Max Qty: 90 (Eldepryl)
SERTRALINE 25 MG TAB Max Qty: 90 (Zoloft)
SERTRALINE 50 MG TAB Max Qty: 90 (Zoloft)
SERTRALINE 100 MG TAB Max Qty: 90 (Zoloft)
THIORIDAZINE 10 MG TAB Max Qty: 270 (Mellaril)
THIORIDAZINE 25 MG TAB Max Qty: 270 (Mellaril)
THIORIDAZINE 100 MG TAB Max Qty: 270 (Mellaril)
THIOTHIXENE 1 MG CAP Max Qty: 180 (Navane)
THIOTHIXENE 2 MG CAP Max Qty: 180 (Navane)
THIOTHIXENE 5 MG CAP Max Qty: 180 (Navane)
TOPIRAMATE 25 MG TAB Max Qty: 180 (Topamax)
TOPIRAMATE 50 MG TAB Max Qty: 180 (Topamax)
TOPIRAMATE 100 MG TAB Max Qty: 180 (Topamax)
TOPIRAMATE 200 MG TAB Max Qty: 90 (Topamax)
TRAZODONE 50 MG TAB Max Qty: 90 (Oleptro)
TRAZODONE 100 MG TAB Max Qty: 90 (Oleptro)
TRAZODONE 150 MG TAB Max Qty: 90 (Oleptro)
TRIHEXYPHENIDYL 2 MG TAB Max Qty: 180 (Artane)
TRIHEXYPHENIDYL 5 MG TAB Max Qty: 180 (Artane)
VALPROIC ACID 250 MG CAP Max Qty: 180 (Depakene)
VENLAFAXINE 25 MG TAB Max Qty: 180 (Effexor)
VENLAFAXINE 37.5 MG TAB Max Qty: 180 (Effexor)
VENLAFAXINE 50 MG TAB Max Qty: 180 (Effexor)
VENLAFAXINE 75 MG TAB Max Qty: 180 (Effexor)
VENLAFAXINE 100 MG TAB Max Qty: 180 (Effexor)
VENLAFAXINE XR 37.5 MG ER CAP (24HR) Max Qty: 90 (Effexor XR)
VENLAFAXINE XR 75 MG ER CAP (24HR) Max Qty: 90 (Effexor XR)
VENLAFAXINE XR 150 MG ER CAP (24HR) Max Qty: 90 (Effexor XR)
ZIPRASIDONE 20 MG CAP Max Qty: 180 (Geodon)
ZIPRASIDONE 40 MG CAP Max Qty: 180 (Geodon)
ZIPRASIDONE 60 MG CAP Max Qty: 180 (Geodon)
ZIPRASIDONE 80 MG CAP Max Qty: 180 (Geodon)
ZONISAMIDE 25 MG CAP Max Qty: 180 (Zonegran)
ZONISAMIDE 50 MG CAP Max Qty: 180 (Zonegran)
ZONISAMIDE 100 MG CAP Max Qty: 180 (Zonegran)

MIGRAINE

NARATRIPTAN 1 MG TAB Max Qty: 27 (Amerge)
NARATRIPTAN 2.5 MG TAB Max Qty: 27 (Amerge)
RIZATRIPTAN 5 MG TAB Max Qty: 18 (Maxalt)
RIZATRIPTAN 10 MG TAB Max Qty: 18 (Maxalt)
RIZATRIPTAN 5 MG ODT TAB Max Qty: 18 (Maxalt MLT)
RIZATRIPTAN 10 MG ODT TAB Max Qty: 18 (Maxalt MLT)
SUMATRIPTAN 25 MG TAB Max Qty: 27 (Imitrex)
SUMATRIPTAN 50 MG TAB Max Qty: 27 (Imitrex)
SUMATRIPTAN 100 MG TAB Max Qty: 27 (Imitrex)
ZOLMITRIPTAN ODT 2.5 MG TAB Max Qty: 18 (Zomig ODT)
ZOLMITRIPTAN ODT 5 MG TAB Max Qty: 18 (Zomig ODT)
ZOLMITRIPTAN 2.5 MG TAB Max Qty: 18 (Zomig)
ZOLMITRIPTAN 5 MG TAB Max Qty: 9 (Zomig)

ONCOLOGY

CAPECITABINE 150 MG TAB Max Qty: 180 (Xeloda)
HYDROXYUREA 500 MG CAP Max Qty: 180 (Hydrea)
PILOCARPINE 5 MG TAB Max Qty: 270 (Salagen)

OPTHALMIC

ACETAZOLAMIDE 125 MG TAB Max Qty: 270 (Diamox)
ACETAZOLAMIDE 250 MG TAB Max Qty: 270 (Diamox)
BRIMONIDINE TARTRATE 0.2% OPTH SOLN Max Qty: 15 (Alphagan)
CIPROFLOXACIN 0.3% OPTH SOLN Max Qty: 5 (Ciloxan)
DICLOFENAC 0.1% OPTH SOLN Max Qty: 15 (Voltaren)
DORZOLAMIDE 2% OPTH SOLN Max Qty: 20 (Trusopt)
DORZOLAMIDE/TIMOLOL 2%/0.5% OPTH SOLN Max Qty: 20 (Cosopt)
ERYTHROMYCIN 0.5% OPTH OINT Max Qty: 3.5 (Illotycin)
GENTAMICIN 0.3% OPTH SOLN Max Qty: 5 (Garamycin)
LATANOPROST 0.005% OPTH SOLN Max Qty: 7.5 (Xalatan)
METHAZOLAMIDE 25 MG TAB Max Qty: 270 (Neptazane)
METHAZOLAMIDE 50 MG TAB Max Qty: 270 (Neptazane)
MOXIFLOXACIN 0.5% OPTH SOLN Max Qty: 6 (Vigamox)
NEOMYCIN/POLY/DEX OPTH SUSP Max Qty: 15 (Maxitrol)
NEOMYCIN/POLY/DEX OPTH OINT Max Qty: 10.5 (Maxitrol)
OFLOXACIN 0.3% OPTH SOLN Max Qty: 5 (Ocuflox)
OLOPATADINE 0.1% OPTH SOLN Max Qty: 10 (Pataday)
SULFACETAMIDE/PREDNISOLONE 10%/0.23% OPTH SOLN Max Qty: 1 (Blephamide)
TIMOLOL 0.25% OPTH SOLN Max Qty: 15 (Timoptic)
TIMOLOL 0.50% OPTH SOLN Max Qty: 15 (Timoptic)
TOBRAMYCIN 0.3% OPTH SOLN Max Qty: 15 (Tobrex)

PAIN MANAGEMENT

BACLOFEN 5 MG TAB Max Qty: 200 (Lioresal)
BACLOFEN 10 MG TAB Max Qty: 200 (Lioresal)
BACLOFEN 20 MG TAB Max Qty: 200 (Lioresal)
CELECOXIB 50 MG CAP Max Qty: 180 (Celebrex)
CELECOXIB 100 MG CAP Max Qty: 180 (Celebrex)
CELECOXIB 200 MG CAP Max Qty: 90 (Celebrex)
CELECOXIB 400 MG CAP Max Qty: 90 (Celebrex)
CHLORZOXAZONE 500 MG TAB Max Qty: 180 (Lorzone)
CHOLINE MAG TRISALICYLATE 500 MG TAB Max Qty: 180 (Trilisate)
CHOLINE MAG TRISALICYLATE 750 MG TAB Max Qty: 180 (Trilisate)
CHOLINE MAG TRISALICYLATE 1000 MG TAB Max Qty: 180 (Trilisate)
CYCLOBENZAPRINE 5 MG TAB Max Qty: 90 (Flexeril)
CYCLOBENZAPRINE 10 MG TAB Max Qty: 90 (Flexeril)
DANTROLENE SODIUM 25 MG CAP Max Qty: 90 (Dantrium)
DICLOFENAC 1.0% GEL Max Qty: 200 (Voltaren)
DICLOFENAC 50 MG DR TAB Max Qty: 180 (Voltaren)
DICLOFENAC 75 MG DR TAB Max Qty: 180 (Voltaren)
ETODOLAC 200 MG CAP Max Qty: 180 (Lodine)
ETODOLAC 300 MG CAP Max Qty: 180 (Lodine)
ETODOLAC 400 MG TAB Max Qty: 180 (Lodine)
ETODOLAC 500 MG TAB Max Qty: 180 (Lodine)
FENOPROFEN 600 MG TAB Max Qty: 270 (Nalfon)
FLURBIPROFEN 50 MG TAB Max Qty: 270 (Ansaid)
FLURBIPROFEN 100 MG TAB Max Qty: 270 (Ansaid)
IBUPROFEN 400 MG TAB Max Qty: 180 (Motrin)
IBUPROFEN 600 MG TAB Max Qty: 180 (Motrin)
IBUPROFEN 800 MG TAB Max Qty: 180 (Motrin)
INDOMETHACIN 25 MG CAP Max Qty: 90 (Indocin)
INDOMETHACIN 50 MG CAP Max Qty: 90 (Indocin)
KETOROLAC 10 MG TAB Max Qty: 180 (Toradol)
MELOXICAM 7.5 MG TAB Max Qty: 90 (Mobic)
MELOXICAM 15 MG TAB Max Qty: 90 (Mobic)
METHOCARBAMOL 500 MG TAB Max Qty: 180 (Robaxin)
METHOCARBAMOL 750 MG TAB Max Qty: 180 (Robaxin)
NABUMETONE 500 MG TAB Max Qty: 180 (Relafen)
NABUMETONE 750 MG TAB Max Qty: 180 (Relafen)
NAPROXEN 250 MG TAB Max Qty: 180 (Naprosyn)
NAPROXEN 375 MG TAB Max Qty: 180 (Naprosyn)
NAPROXEN 500 MG TAB Max Qty: 180 (Naprosyn)
NAPROXEN 550 MG TAB Max Qty: 180 (Anaprox-DS)
ORPHENADRINE ER 100 MG ER TAB Max Qty: 180 (Norflex)
OXAPROZIN 600 MG TAB Max Qty: 180 (Daypro)
PIROXICAM 10 MG CAP Max Qty: 90 (Feldene)
PIROXICAM 20 MG CAP Max Qty: 90 (Feldene)
ROPINIROLE 0.25 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 0.5 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 1 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 2 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 3 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 4 MG TAB Max Qty: 90 (Requip)
ROPINIROLE 5 MG TAB Max Qty: 90 (Requip)
SALSALATE 500 MG TAB Max Qty: 180 (Disalcid)
SALSALATE 750 MG TAB Max Qty: 180 (Disalcid)
SULFASALAZINE 500 MG TAB Max Qty: 180 (Azulfidine)
SULINDAC 150 MG TAB Max Qty: 180 (Clinoril)
SULINDAC 200 MG TAB Max Qty: 180 (Clinoral)
TIZANIDINE 2 MG TAB Max Qty: 180 (Zanaflex)
TIZANIDINE 4 MG TAB Max Qty: 180 (Zanaflex)
TIZANIDINE 2 MG CAP Max Qty: 180 (Zanaflex)
TIZANIDINE 4 MG CAP Max Qty: 90 (Zanaflex)
TIZANIDINE 6 MG CAP Max Qty: 90 (Zanaflex)

RESPIRATORY/ALLERGY

ALBUTEROL HFA 90 MCG INHALER Max Qty: 1 (Proventil HFA)
ALBUTEROL INH SOLN 2.5 MG/3 ML Max Qty: 3 (Proventil)
AMINOPHYLLINE 100 MG TAB Max Qty: 180 (Norphyl)
AMINOPHYLLINE 200 MG TAB Max Qty: 180 (Norphyl)
AZELASTINE 137 MCG NASAL SPRAY Max Qty: 3 (Astepro)
BENZONATATE 100 MG CAP Max Qty: 90 (Tessalon Perles)
BENZONATATE 200 MG CAP Max Qty: 90 (Tessalon Perles)
BUDESONIDE 32 MCG NASAL SPRAY Max Qty: 3 (Rhinocort)
CARBINOXAMINE 4 MG TAB Max Qty: 180 (Palgic)
CETIRIZINE 5 MG TAB Max Qty: 90 (Zyrtec)
CETIRIZINE 10 MG TAB Max Qty: 90 (Zyrtec)
CHLORPHENIRAMINE 4 MG TAB Max Qty: 180 (ChlorTabs)
CLEMASTINE FUMARATE 2.68 MG TAB Max Qty: 180 (Tavist)
CYPROHEPTADINE 4 MG TAB Max Qty: 180 (Periactin)
DESLORATIDINE 5 MG TAB Max Qty: 90 (Clarinex)
DEXAMETHASONE 0.5 MG TAB Max Qty: 90 (Decadron)
DEXAMETHASONE 0.75 MG TAB Max Qty: 90 (Decadron)
DEXAMETHASONE 1 MG TAB Max Qty: 90 (Decadron)
DEXAMETHASONE 4 MG TAB Max Qty: 30 (Decadron)
DEXCHLORPHENIRAMINE 4 MG CAP Max Qty: 90 (DexPhen)
DEXCHLORPHENIRAMINE 6 MG CAP Max Qty: 90 (DexPhen)
DIMENHYDRINATE 50 MG TAB Max Qty: 180 (Dramamine)
DIPHENHYDRAMINE 25 MG TAB Max Qty: 270 (Benadryl)
DIPHENHYDRAMINE 50 MG TAB Max Qty: 270 (Benadryl)
FEXOFENADINE 60 MG TAB Max Qty: 90 (Allegra)
FEXOFENADINE 180 MG TAB Max Qty: 90 (Allegra)
FLUTICASONE 50 MCG/ACT NASAL SPRAY Max Qty: 3 (Flonase)
GUAIFEN/DM 600-30MG TAB Max Qty: 40 (Mucinex DM)
GUAIFENESIN ER 600 MG TAB Max Qty: 30 (Mucinex)
IPRATROPIUM 0.02% (0.5MG/3ML) NEBULES Max Qty: 180 (Atrovent)
IPRATROPIUM 0.03% NASAL SPRAY Max Qty: 3 (Atrovent)
IPRATROPIUM 0.06% NASAL SPRAY Max Qty: 3 (Atrovent)
IPRATROPIUM/ALBUTEROL INH SOLN 0.5-3 MG/3ML Max. Qty: 3 (Duoneb)
LEVALBUTEROL INH SOLN 0.31 MG/3 ML NEBULES Max Qty: 144 (Xopenex)
LEVALBUTEROL INH SOLN 0.63 MG/3 ML NEBULES Max Qty: 150 (Xopenex)
LEVALBUTEROL INH SOLN 1.25 MG/3 ML NEBULES Max Qty: 180 (Xopenex)
LEVOCETIRIZINE 5 MG TAB Max Qty: 90 (Xyzal)
LORATIDINE 10 MG TAB Max Qty: 90 (Claritin)
MECLIZINE 12.5 MG TAB Max Qty: 90 (Antivert)
MECLIZINE 25 MG TAB Max Qty: 90 (Antivert)
METHYLPREDNISOLONE 4 MG DOSE PACK Max Qty: 63 (Medrol DosePack)
MONTELUKAST 4 MG CHEWABLE TAB Max Qty: 90 (Singulair)
MONTELUKAST 5 MG CHEWABLE TAB Max Qty: 90 (Singulair)
MONTELUKAST 10 MG TAB Max Qty: 90 (Singulair)
PREDNISONE 1 MG TAB Max Qty: 90 (Deltasone)
PREDNISONE 2.5 MG TAB Max Qty: 90 (Deltasone)
PREDNISONE 5 MG TAB Max Qty: 90 (Deltasone)
PREDNISONE 10 MG TAB Max Qty: 90 (Deltasone)
THEOPHYLLINE ER 100 MG ER TAB Max Qty: 180 (Uniphyl)
THEOPHYLLINE ER 200 MG ER TAB Max Qty: 180 (Uniphyl)
THEOPHYLLINE ER 300 MG ER TAB Max Qty: 180 (Uniphyl)
TRIAMCINOLONE 55 MCG NASAL SPRAY Max Qty: 3 (Nasacort)

RHEUMATOLOGY

ALLOPURINOL 100 MG TAB Max Qty: 180 (Zyloprim)
ALLOPURINOL 300 MG TAB Max Qty: 90 (Zyloprim)
AZATHIOPRINE 50 MG TAB Max Qty: 90 (Imuran)
CALCITRIOL 0.25 MCG CAP Max Qty: 180 (Rocaltrol)
CALCITRIOL 0.5 MCG CAP Max Qty: 180 (Rocaltrol)
COLCHICINE 0.6 MG TAB Max Qty: 90 (Colcrys)
FEBUXOSTAT 40 MG TAB Max Qty: 90 (Uloric)
FEBUXOSTAT 80 MG TAB Max Qty: 90 (Uloric)
HYDROXYCHLOROQUINE 200 MG TAB Max Qty: 90 (Plaquenil)
LEFLUNOMIDE 10 MG TAB Max Qty: 90 (Arava)
LEFLUNOMIDE 20 MG TAB Max Qty: 90 (Arava)
MERCAPTOPURINE 50 MG TAB Max Qty: 180 (Purinethol)
METHOTREXATE 2.5 MG TAB Max Qty: 120 (Trexall)

VITAMIN

ASPIRIN 81 MG CHEWABLE TAB Max Qty: 90
ASPIRIN 81 MG EC TAB Max Qty: 90
ASPIRIN 325 MG EC TAB Max Qty: 90
CHOLECALCIFEROL (Vit D3) 1000 IU TAB Max Qty: 180
CHOLECALCIFEROL (Vit D3) 50,000 IU CAP Max Qty: 13
CYANOCOBALAMIN 1000 MCG/ML SOLN Max Qty: 3
ERGOCALCIFEROL (VIT D2) 1.25 MG CAP Max Qty: 13
FERROUS SULFATE 325 MG TAB Max Qty: 90
FOLBIC 2-2.5-25 MG TAB Max Qty: 90
FOLIC ACID 1 MG TAB Max Qty: 90
FOLIVANE-F 125-1-40-3 MG CAP Max Qty: 90
FOLIVANE-PLUS 125MG-1 MG CAP Max Qty: 90
HEMATINIC F 106-1 MG TAB Max Qty: 90
MAGNESIUM 400 MG TAB Max Qty: 90
NIVA-FOL 2.5-25 MG TAB Max Qty: 90
PRENATAL VITAMIN PLUS IRON 1/27 MG TAB Max Qty: 90
ZINC SULFATE 50 MG CAP Max Qty: 90

WOMEN'S HEALTH

ALENDRONATE 10 MG TAB Max Qty: 90 (Fosamax)
ALENDRONATE 35 MG TAB Max Qty: 12 (Fosamax)
ALENDRONATE 70 MG TAB Max Qty: 12 (Fosamax)
ANASTROZOLE 1 MG TAB Max Qty: 90 (Arimidex)
DESOGESTREL-ETH ESTRADIOL 0.15 MG/0.03 MG (BCP) TAB Max Qty: 84 (Desogen, Apri, Isibloom)
DESOGESTREL-ETH ESTRADIOL 0.15 MG/0.02 MG - 0.15 MG/0.01 MG (BCP) TAB Max Qty: 84 (Mircette, Kariva)
DROSPIRENONE-ETH ESTRADIOL 3 MG/0.02 MG (BCP) TAB Max Qty: 84 (Yaz, Gianvi)
DROSPIRENONE-ETH ESTRADIOL 3 MG/0.03 MG (BCP) TAB Max Qty: 84 (Yasmin, Ocella)
ESTRADIOL 0.5 MG TAB Max Qty: 90 (Estrace)
ESTRADIOL 1 MG TAB Max Qty: 90 (Estrace)
ESTRADIOL 2 MG TAB Max Qty: 90 (Estrace)
ESTRADIOL VAGINAL 0.01% CREAM Max Qty: 1 (Estrace)
FLUCONAZOLE 50 MG TAB Max Qty: 60 (Diflucan)
FLUCONAZOLE 100 MG TAB Max Qty: 21 (Diflucan)
FLUCONAZOLE 150 MG TAB Max Qty: 3 (Diflucan)
FLUCONAZOLE 200 MG TAB Max Qty: 18 (Diflucan)
IBANDRONATE 150 MG TAB Max Qty: 3 (Boniva)
LETROZOLE 2.5 MG TAB Max Qty: 90 (Femara)
LEVONORGESTREL-ETH ESTRADIOL 0.15 MG/30 MCG (BCP) TAB Max Qty: 84 (Levora, Portia, Aviane, Jolessa)
MEDROXYPROGESTERONE 2.5 MG TAB Max Qty: 90 (Provera)
MEDROXYPROGESTERONE 5 MG TAB Max Qty: 90 (Provera)
MEDROXYPROGESTERONE 10 MG TAB Max Qty: 90 (Provera)
MEDROXYPROGESTERONE DEPOT 150 MG INJ Max Qty: 1 (Depo-Provera)
NORETHINDRONE 5 MG TAB Max Qty: 60 (Aygestin)
NORETHINDRONE 0.35 MG (BCP) TAB Max Qty: 84 (Ortho-Micronor, Camila, Heather)
NORETHINDRONE-ETH ESTRADIOL 1 MG/35 MCG (BCP) TAB Max Qty: 63 (Nortrel)
NORETHINDRONE-ETH ESTRADIOL 1 MG/20 MCG (BCP) TAB Max Qty: 63 (Loestrin 21, Microgestin)
NORGESTIMATE-ETH ESTRADIOL 0.25 MG/35 MCG (BCP) TAB Max Qty: 84 (OrthoCyclen, Sprintec)
NORGESTIMATE-ETH ESTRADIOL 0.18 MG/35 MCG - 0.215 MG/35 MCG - 0.25 MG/35 MCG (BCP) TAB Max Qty: 84 (OrthoTriCyclen, Tri-Sprintec)
NORGESTIMATE-ETH ESTRADIOL 0.18 MG/25 MCG - 0.215 MG/25 MCG - 0.25 MG/25 MCG (BCP) TAB Max Qty: 84 (OrthoTriCyclen-Lo, Tri-Lo Sprintec)
PROGESTERONE 100 MG CAP Max Qty: 90 (Prometrium)
PROGESTERONE 200 MG CAP Max Qty: 30 (Prometrium)
RALOXIFENE 60 MG TAB Max Qty: 90 (Evista)
RISEDRONATE 150 MG TAB Max Qty: 3 (Actonel)
TAMOXIFEN 10 MG TAB Max Qty: 90 (Nolvadex)
TAMOXIFEN 20 MG TAB Max Qty: 90 (Nolvadex)