1. No category

www.horizonNJhealth.com
Listado de medicamentos con receta
Horizon NJ Health quiere asegurase de que reciba la atención que necesita.
Con frecuencia, esa atención podría incluir medicamentos de venta con receta.
La mayoría de los medicamentos de venta con y sin receta (de venta
libre) están cubiertos para que usted los pueda adquirir a bajo costo o
sin costo alguno, siempre que su médico los recete y se encuentren
en nuestro Formulario. Un comité de médicos y farmacéuticos revisa
la lista para garantizar que los medicamentos incluidos sean seguros y
eficaces. Si su médico decide que usted requiere un fármaco que no
está incluido en la lista de fármacos de venta con receta (formulario)
o que requiere aprobación previa, inclusive una excepción para
medicamentos de marca, puede llamar y solicitar una autorización
especial para ello. Su médico puede llamar al Departamento de
Farmacia de Horizon NJ Health al 1-800-684-9094.
Para encontrar una farmacia cerca de su domicilio busque en nuestro
Directorio de Proveedores en www.horizonNJhealth.com o
comuníquese a la línea telefónica gratuita del Departamento de
Servicios para los Miembros al 1-877-7NJ-HEALTH (1-877-765-4325).
Las personas con problemas auditivos o del habla pueden comunicarse
a nuestro servicio TDD/TTY al 1-800-654-5505.
• El Formulario es una lista
de medicamentos aprobados
cubiertos por Horizon
NJ Health.
• Sus recetas pueden surtirse
en cualquier farmacia
participante.
Símbolo
Interpretación
CAPS
Medicamentos de marca
@
Requieren autorización previa o
existen otras limitaciones
YO
Significa “años”
*
Se aplican limitaciones
(por cantidad, edad y/o sexo)
◊
Sujeto a terapia escalonada de agentes
de primera línea
Es posible que algunos miembros tengan sus medicinas para el VIH/SIDA cubiertas por medio del
Programa de Distribución de Medicinas para el SIDA (ADDP, por sus siglas en inglés).
Algunos productos tópicos y para la tos/resfrío se consideran beneficios de farmacia no cubiertos
para miembros de 21 años de edad y mayores. Los derivados de la vitamina A se consideran
beneficios de farmacia no cubiertos para miembros de 35 años de edad y mayores.
Horizon NJ Health is part of the Horizon Blue Cross Blue Shield of New Jersey enterprise, an independent licensee of the Blue Cross and Blue Shield Association.
© 2015 Horizon Blue Cross Blue Shield of New Jersey. Three Penn Plaza East, Newark, NJ 07105
A
abacavir@*
ABILIFY*
ABILIFY
DISCMELT*
ABILIFY
MAINTENA*
ABREVA*
acarbose*
ACCU-CHEK*
ACCUTANE
acebutolol*
acetasol
acetasol hc
acetazolamide
acetic acid
acetylcysteine
acid jelly
ACTHAR HP @
ACTONEL 5mg,
30mg, 35mg*
ACULAR LS*
acyclovir capsule,
tablet, oral
suspension,
powder,
vial*
acyclovir ointment
@*
ADACEL @*
adapalene 0.1% gel
and cream*
(Not covered if ≥35 YO)
ADCIRCA*
ADVAIR
HFA/Diskus*
ADVICOR*
ADVIL COLD
AND SINUS
AGGRENOX*
AGRYLIN
AKINETON
AKNE-MYCIN
alavert*
ALAWAY*
ALBENZA
albuterol*
alclometasone*
alendronate*
alfuzosin*
ALKERAN
allopurinol
ALOCRIL
ALORA
ALOXI*
ALPHAGAN*
Page 1 of 7
ALPHAGAN P*
alprazolam
amantadine
AMBISOME@
amidrine
amiloride
amiloride/
hydrochlorothiazide
aminocaproic
acid
aminophylline*
amiodarone
AMITIZA @*
amitriptyline
amlodipine*
amlodipine/
benazepril*
ammonium lactate*
amoxapine*
amoxicillin*
amoxacillin/
clavulanate*
amphetaminedextroamphetamine,
ER@*
amphotericin
ampicillin
AMPYRA*
ANA-KIT
ANADROL-50
ANDROGEL
1% @*
ANTABUSE @*
antipyrene/
benzocaine
anucort-hc
acetaminophen/
codeine*
apri*
apraclonidine
APRISO ER*
APTIVUS@*
ATRIPLA@*
aquatab d
ARCALYST @*
ARICEPT
5mg/10mg*
ARIMIDEX @*
ARIXTRA*
AROMASIN @
aspirin/codeine*
aspirin
ASMANEX*
ASSESS*
atenolol/chlorthalid
one
atorvastatin*
atropine sulfate
ATROVENT
HFA*
atovaquone/progua
nil
augmented
betamethasone
cream*
AUGMENTIN
XR*
aurodex*
AVANDARYL*
AVANDIA*
AVANDAMET*
AVASTIN @
AVC
aviane*
AVODART*
AVONEX @*
AXID AR (OTC)*
aygestin*
AZACTAM @
azathioprine
azelastine
nasal
spray*
AZELEX*
(Not covered if≥21 YO)
azithromycin*
AZOPT
B
b-c/folic
b-complex
bacitracin/neomyci
n/
polymyxin*
bacitracin
baclofen
BARACLUDE*
belladonna/opium
bellamine-s
bencort
BENLYSTA@
BENZAMYCIN*
benzonatate(≥11
YO)*
benzoyl peroxide
cream, lotion*
benztropine*
BERINERT @
betamethasone*
betamethasone
dipropionate
ointment*
betamethasone
valerate*
BETASERON @*
betaxolol*
bethanechol
BETOPTIC-S
BIDIL*
BICILLIN
BILTRICIDE
bisoprolol/
hydrochlorothiazide
bisoprolol
bleomycin
bleph-10
BLEPHAMIDE
BOOSTRIX @*
BOTOX @*
bromanate
bromfenex
bromocriptine*
budesonide
nebulizer
solution
(≤8YO)*
bumetanide
buprenorphine @*
buprenorphine/
naloxone
tablets@*
bupropion, SR*
bupropion XL*
buspirone
butalbital/acetaminophen/caffeine*
butalbital/aspirin/
caffeine*
butorphanol*
BYDUREON*
C
cabergoline
CAFCIT
calcipotriene*
calcitriol
calcitonin*
calcium acetate
CALDEROL
CAMPRAL*
CANASA
CAPITROL
captopril*
April 2015
captopril/
hydrochlorothiazide*
CARAC
CARBAGLU
carbdopa/
levodopa, CR*
carbidopa/levodopa
/entacapone*
carbamazepine,
ER
CARBATROL
CARBILEV
carboplatin
CARDEC
CARDEC DM
carisoprodol*
CARMOL 40
CARMOL SCALP
CARMOL-HC
cartia xt
CASODEX
CATAPRES-TTS*
carvedilol*
CAYSTON*
cefaclor, ER
cefadroxil
cefdinir*
cefpodoxime*
cefprozil*
ceftriaxone
cefuroxime
CELEBREX @*◊
CENESTIN
cephalexin
CEREZYME @
CETACAINE
cetirizine (OTC)*
cetirizine/
pseudoephedrine
(OTC)*
CHANTIX
(≥18YO) @*
CHEMET
chemstrip bg
CHILDREN’S ADVIL
chlorpheniramine
chloral hydrate
chlordiazepoxide
chloroquin
chlorothiazide
chlorpromazine
chlorthalidone
chlorzoxazone
cholestyramine,
light
Page 2 of 7
chromagen
ciclopirox 8%*
cilostazol*
CILOXAN*
CINRYZE @*
ciprofloxacin (≥1YO)*
CIPRO HC*
CIPRO XR (≥18YO)*
CIPRODEX*
cisplatin
citalopram*
citric acid
clarithromycin, SR
clemastine
CLEOCIN
VAGINAL
clindamycin*
CLINDESSE*
clindets
clobetasol gel*
clomipramine*
clonazepam
clonidine*
clopidogrel*
clorazepate
clotrimazole*
clotrimazole/
betamethasone
clozapine*
clozapine ODT*
COARTEM*
codeine sulfate
colchicine*
COLCRYS*
colestipol
colocort
COLY-MYCIN
colyte
colyte flavored
COMBIPATCH
COMBIVENT*
COMPLERA@*
COMTAN*
constulose
COPAXONE
20mg/mL*
cormax
cortic
CORTIFOAM
cortisone
CORTISPORIN*
corvita*
CORZIDE
COUMADIN
CREON
CRIXIVAN@*
cromolyn*
CUPRIMINE
CUVPOSA*
cyanocobalamine
cyclobenzaprine
cyclopentolate
cyclophosphamide
cyclosporine
cyproheptadine
CYSTARAN@*
cytarabine
CYTOMEL
CYTOVENE
cytra k
cytra-2
cytra-3
D
danazol
dantrolene
DAPSONE
DARAPRIM
daunorubicin
DELATESTRYL@
DELSYM
demeclocycline*
DENAVIR @◊*
DEPOPROVERA*
DEPO-TESTOSTERONE
@*
desipramine*
desogestrel/ethin estradiol*
desonide cream*
desmopressin*
desoximetasone
gel,
0.25% ointment,
0.25% cream*
dexamethason/
neomycin/polymyxi
n
dexamethasone*
dexchloropheniramine
DEXFERRUM @
dexmethylphenidate*
dextroamphetamine
dextroamphetamine
/amphetamine
dextroamphetamine
/amphetamine
XR*
DHT
diazepam
DIBENZYLINE
diclofenac tablet
dicloxacillin
dicyclomine*
didanosine@*
DIFICID*
diflunisal
digitek
digoxin
diltia xt
diltiazem
DIMETAPP
DIPENTUM*
diphenhydramine
diphenoxylate/
atropine
dipyridamole
disopyramide
disulfiram @*
divalproex sodium
DIURIL
dorzolamide
dorzolamide
hydrochloride/
timolol maleate
doxazosin*
doxepin*
doxorubicin
dextromethorphan
doxycycline*
dronabinol @
DULERA*
duloxetine*
DURICEF
dyphyllin*
DYRENIUM
E
ear-gesic*
EASIVENT
econazole*
ECONOPRED
EDURANT@*
EFFEXOR XR*
EFUDEX
EGRIFTA*
ELELYSO @
ELIDEL @*
ELIGARD @*
ELIQUIS*
ELLA*
ELMIRON
ELOXATIN @
EMEND@*
EMSAM*
April 2015
EMTRIVA@*
ENABLEX*
enalapril*
enalapril/
hydrochlorothiazide*
ENBREL @*
endocet*
endodan
ENGERIX-B @*
enoxaparin
ENTEX
ENTEX LA
entex pse
EPIFOAM
epinephrine
EPIPEN
EPIPEN-JR
epitol
EPIVIR HBV*
EPZICOM@*
ERBITUX @
ergotamine/
caffeine
erythrocin
erythromycin base
erythromycin
estolate
erythrromycin
ethylsuccinate
ESBRIET@*
escitalopram*
ESCLIM
ESKALITH CR
estazolam
ESTINYL
ESTRACE
estradiol*
estradiol/
norethindrone*
estradiol valerate
injection
ESTRING
ESTROGEL
estrogen/methyltestosterone
estropipate
ethambutol
ethosuximide
ethyl chloride
etidronate
etodolac
etoposide
EUFLEXXA @*
EURAX*
EVISTA
Page 3 of 7
EVOXAC
EVZIO@*
EXELON, patch*
EYLEA*
F
famotidine*
FAMVIR*
FANAPT*
felbamate
felodipine ER
FEMARA
FEMRING
fenofibrate*
fentanyl patches@*
fentanyl citrate, oral
transmucosal@*
FERAHEME @
FERRLECIT @
ferrous sulfate*
fexofenadine
180mg*
fexofenadine/
pseudoephedrine
(OTC)*
FINACEA*
finasteride*
FIRAZYR@*
FIRMAGON
FLAGYL ER*
FLAREX
flecainide
FLOLAN
FLOVENT*
fluconazole*
flucytosine
fludrocortisone
fluocinolone*
fluocinolone otic
oil*
fluocinonide cream,
gel, ointment*
fluoritab
FLUOROPLEX
fluorouracil
fluoxetine*
fluphenazine*
flurazepam
flurbiprofen
flutamide
fluticasone*
fluvoxamine*
FML FORTE
FML S.O.P.
FML-S
folic acid
FORADIL*
FOSAMAX PLUS
D*
fosinopril,
hydrochlorothiazide*
FOSRENOL
FRAGMIN
FULVICIN UF
FUNGOID
FURADANTIN
furosemide
FUZEON@*
heparin sodium
HEPSERA
HERCEPTIN*
HIPREX
HIZENTRA
homatropine*
HUMALOG* (only
3mL vial for
LTC)
HUMATROPE @
HUMIRA @*
HUMULIN* (only
3mL vial for
LTC)
hydralazine
hydralazine/
G
gabapentin*
GABITRIL
galantamine*
GARDASIL@*
GASTROCROM*
GATTEX@
gemfibrozil
GEMZAR
GENEDEL
gentak
gentamicin
GILENYA*
GLASSIA
GLEEVEC*
glimepiride*
glipizide*
glipizide er*
GLUCAGON
glyburide*
glyburide/metformin*
glycopyrrolate
GLYSET*
GRANIX@*
griseofulvin
guaifenesin
guanfacine
GYNAZOLE @◊
hydrochlorothiazide
hydrochlorthiazide
hydrocodone /
acetaminophen*
hydrocodone /
ibuprofen*
hydrocortisone*hyd
rocortisone/
pramoxine*
hydromorphone
hydroxychloroquine
hydroxyurea
hydroxyzine
H
HALFLYTELY
Haloperidol
HARVONI@*
HAVRIX @*
HECTOROL
HEMANGEOL*
hemril
hep-lock
I
ibuprofen
ILARIS @
imipramine*
imiquimod
cream@*
INCRELEX
indapamide
indomethacin
INFED @
INNOHEP
INSPRA*
INSPIREASE*
insulin syringes*
INTAL
INHALER*
INTELENCE@*
INTRON-A @
INVEGA*
INVEGA
SUSTENNA*
INVIRASE@*
iophen nr
iophen c-nr
April 2015
iophen dm-nr
IPLEX*
ipratropium*
ipratropium/
albuterol*
IPRIVASK*
irbesartan*
irbesartan/
hydrochlorothiazide*
IRESSA*
irinotecan
iron complex*
ISENTRESS@*
isoniazid
isosorbide dinitrate
isosorbide
mononitrate
itraconazole*
J
JALYN*
JANUMET*
JANUMET XR*
JANUVIA*
JARDIANCE*
JUXTAPID@*
K
KADIAN
KALBITOR @
KALYDECO@*
KALETRA@*
kariva*
KERALAC
NAILSTICK*
ketoconazole*
ketoconazole
shampoo*
ketoprofen
ketorolac*
ketorolac eye
drops*
KORLYM @*
KRISTALOSE
KYNAMRO@*
L
labetalol
lactic acid*
lactulose*
LAMISIL AT*
lamivudine@*
Page 4 of 7
lamivudinezidovudine@*
lamotrigine*
LANOXICAPS
lansoprazole
capsules @*◊
LANTUS vial*
larin*
latanoprost*
LATUDA*
leflunomide
LETAIRIS*
leucovorin
LEUKERAN
leuprolide@*
LEVEMIR vial*
levetiracetam, ER*
levobunolol
levocarnitine
levofloxacin*
levora*
levororgestrel /
ethinyl estradoil*
levothyroxine
LEVOXYL
LEXIVA@*
lidocaine cream/
lotion/ointment*
lidocaine patch@*◊
liquibid
lisinopril*
lisinopril/
hydrochlorothiazide*
lithium carbonate
lithium citrate
LITHOBID
loperamide*
loratadine (otc)*
loratadine/pseudoephedrine*
lorazepam
losartan*
losartan/hydrochlorothiazide*
LOTEMAX*
LOTRONEX*
lovastatin*
low-ogestrol*
loxapine
LUCENTIS*
LUNELLE
LUPRON
DEPOT-PED@*
LUPRON
DEPOT@*
M
MACUGEN*
MAKENA*
malathion@◊*
maprotiline*
marten-tab
MAXIDEX
MAXIPIME
mebendazol
meclizine
medroxyprogesterone*
mefloquine*
megestrol*
meloxicam*
MENACTRA @*
MENEST
MENOSTAR*
meperidine
MEPHYTON
meprobamate
MEPRON
mercaptopurine
metformin, xr*
metforminglipizide*
methadone@
methazolam
methenamine
METHERGINE
methimazole
methocarbamol
methotrexate
methyldopa
methylphenidate
CD*
methylphenidate,
ER*
methylprednisolone*
metipranol
metoclopramide
metolazone
metoprolol
metoprolol ER*
metronidazole*
mexiletine
miconazole*
microgestin*
midodrine
MIGRANAL*
minitran
minocycline
capsule
mirtazapine*
misoprostol
MOBAN
moexipril*
moexipril/
hydrochlorothiazide
*
mometasone*
MONISTAT*
MONISTAT 7*
mononessa*
montelukast*
MONUROL
morphine sulfate,
SA,
ER
MOTOFEN
moxifloxacin*
MOZOBIL*
MUCINEX*
MUCINEX D*
MUCINEX DM*
MULTAQ*
mupirocin*
MYALEPT@*
MYCOBUTIN
mycophenolate
mofetil
MYOBLOC @
N
nabumetone*
nadolol
nafcillin
nalbuphine
naldelate
naltrexone @*
NAMENDA*
naphazolin*
naproxen*
naratriptan*
NARDIL*
NASACORT
ALLERGY
24HR*
NASCOBAL*
nateglinide*
nebulizer*
NEBUPENT*
necon*
neomycin/
bacitracin/
April 2015
polymyxin*
neomycin
NEPHRON FA*
NESTABS*
NEULASTA@*
nevirapine@*
NEXAVAR@*
NEXIUM 24HR
OTC*
next choice*
niacin
NIASPAN*
nicardipine*
nicotine transdermal
(≥18YO) @*
nifedical
nifedipine*
NILANDRON
nimodipine*
nitrofurantoin
nitroglycerin
nitrolingual
nizatidine oral
solution*
nizatidine capsule*
NIZORAL A-D*
nor-qd*
norethinedrone /
ethinyl estradiol*
norlyroc*
nortrel*
nortriptyline*
NORVIR@*
NOXAFIL*
NPLATE @
NUEDEXTA@*
NULYTELY
nupercainal
NYMALIZE@*
nystatin/
triamcinolone
nystatin*
O
OB COMPLETE*
octreotide*
OFEV@*
ofloxacin otic*
ogestrel*
olanzapine*
olanzapine orally
disintegrating
tablets*
olanzapine/
fluoxetine*
Page 5 of 7
omeprazole*
omeprazole OTC*
OMNITROPE@
ondansetron*
ondansetron
ODT*
ONE TOUCH*
OPTICHAMBER*
OPTIHALER*
OPTIONHOME
COMPRESSOR
(Respironics)*
ORAP
orphenadrine
ortho-est*
oticaine*
oxandrolone
oxaprozin
oxazepam
oxcarbazepine
oxybutynin, SR*
oxycodone/
acetaminophen*
oxycodone/aspirin*
oxycodone
oxycodone er @*
OXYCONTIN@*
oxymorphone IR
OXYTROL (OTC)*
P
pantoprazole*
paromomycin
paroxetine*
paroxetine cr*
PATANOL @◊*
peg 3350
PEG-INTRON @
PEG-INTRON
REDIPEN @
PEGASYS @*
pen needle*
penicillin
pentazocine
pentazocin/
acetaminophen*
pentoxifylline
perindopril*
periogard
permetherin
perphenazine
phenazopyradine*
phenobarbitol
PHENYTEK
phenytoin
phos-flur
phospholine
pilocarpine
pimtrea*
pindolol
pioglitazone*
pioglitazone/glimep
iride*
pioglitazone/
metformin*
poly-vit*
poly-vit/fluoride*
poly-vitamin*
polyethylene glycol
potassium chloride
potassium citrate
PRADAXA*
pramipexole*
pramoxine*
pravastatin*
prazosin
PRED MILD
PRED-G
prednicarbate
cream*
prednisolone*
prednisone
PREMARIN
PREMPHASE
PREMPRO
PREVACID
24HR OTC*
PREVIDENT*
previfem*
PREZISTA@*
PRILOSEC OTC*
PRIMAQUINE
primidone
PRIMSOL
probenecid/colchici
ne
probenecid
procainamide
prochlorperazine
PROCRIT @
proctocream
proctosol
proctozone
progesterone
PROMACTA*
prometh vc (≥2YO)*
promethazine/
codeine(≥2YO)*
promethazine
(≥2YO)*
PROMETRIUM
propafenone
propantheline
propoxyphene*
propoxyphene/
acetaminophen*
propranolol, cr*
propranolol/
hydrochlorothiazide
propylthiouracil
protriptyline
PROVIGIL @*
PULMICORT
RESPULES
(≤8YO)*
PULMOZYME*
pyrazinamide
pyridostigmine
Q
quetiapine*
quinapril*
quinapril/
hydrochlorothiazide
*
quinidine
QUIXIN*
QVAR*
R
ramipril*
ranitidine OTC*
ranitidine syrup*
RAPAMUNE
RECOMBIVAX HB@*
REBIF*
RECTIV*
REGRANEX*
RELENZA (≥5YO)
@*
REMODULIN
RENAGEL
RENAX
renal caps
RENVELA
TABLET*
repaglinide*
RESCRIPTOR@*
reserpine
RETIN-A
LIQUID*
REVATIO vial,
April 2015
powder*
REVLIMID*
REYATAZ@*
ribavirin @*
RIDAURA*
rifampin*
RILUTEK
rimantadine
RIMSO-50
RIOMET*
RISPERDAL
CONSTA*
risperidone*
RITUXAN @
rizatriptan,
MLT @◊*
ROBITUSSIN
ROFERON-A
ropinirole, ER*
ROWASA*
RUCONEST@*
S
SABRIL POWDER
salicylic acid*
salsalate
SAPHRIS*
SAVELLA*
SELECT-OB*
Selegiline*
selenium sulfide*
SELZENTRY@*
SEREVENT
DISK*
SEROSTIM @*
sertraline*
SIGNIFOR@*
sildenafil 20mg
tablet*
silver nitrate
silver sulfadiazine
simvastatin*
SIRTURO@*
sulfamethoxazole/
trimethoprim*
sulfamethoxazole/
trimethoprim
DS*
sodium fluoride*
sodium polysterene
sulfonate
sodium
sulfacetamide
cleanser/lotion*
sodium chloride
Page 6 of 7
SOMATULINE
DEPOT*
sotalol hc
SOVALDI @*
SPECTRACEF*
spironolactone
spironolactone/
hydrochlorothiazide
SPIRIVA*
sprintec*
SPRYCEL @*
stavudine@*
STRATTERA*
STRIANT@*
STROMECTOL
STROVITE*
STROVITE
ADVANCE*
STROVITE
ADVANCE+D*
STROVITE
FORTE*
STROVITE ONE*
STROVITE PLUS*
sucralfate
sulfacet s*
sulfacetamide
sodium with
sulfur*
sulfadiazine
sulfasalazine
sulindac
sumatriptan*
SUSTIVA@*
SUTENT
SYMLIN *
SYNAGIS @*
SYNAREL @*
T
TAMIFLU*
tamoxifen
tamsulosin
TARCEVA
TAXOTERE
TAZORAC @◊*
TECFIDERA*
temazepam
TEMODAR
terazosin
terbinafine
tablets*
terbutaline
terconazole @◊*
TERRAMYCIN
testosterone
propionate@
tetracycline
THALITONE
THALOMID*
THEO-24*
theochron
theophylline*
THIOGUANINE
thiothixene
thyroid
THYROLAR-2
tiagabine
ticlopidine
TIKOSYN
tilia fe*
timolol maleate*
TINDAMAX
tricosal
trifluoperazine
trifluridine
trihexyphenidyl
trimethobenzamide
trimethoprim
trimipramine*
TRINATE*
trinessa*
trivora-28*
TRIZIVIR@*
tropicamide
trospium*
TRUVADA@*
TUDORZA*
tussigon
TWINRIX @*
TYKERB
TYVASO*
(≥3YO)*
tizanidine*
TOBI*
tobramycin*
tobramycin/
dexamethasone*
tolmetin sodium
tolnaftate*
tolterodine, ER*
topiramate*
torsemide
TRACLEER*
tramadol*
tramadol/
acetaminophen*
tramadol er*
trandolapril*
trandolapril /
verapamil*
transdermal
nitroglycerin
tranylcypromine*
trazodone*
tretinoin*
(Not covered if ≥35YO)
tri-legest fe*
tri-sprintec*
tri-vit/iron*
tri-vit/flluoride*
tri-vita/fluoride*
tri-vite/fluoride*
triamcinolone*
triamterene/
hydrochlorothiazide
triazolam
U
undecylinic acid*
unithroid
uroquid acid
ursodiol
V
VAGIFEM*
valacyclovir*
VALCYTE*
valproic acid
valsartan*
valsartan/
hydrochlorothiazide*
vancomycin*
VAQTA @*
VELCADE
venlafaxine*
VENOFER @
VENTAVIS*
VENTOLIN HFA*
verapamil
VEXOL
VICKS 44M
vicodin hp*
VICTOZA*
VICTRELIS@*
VIDEX@*
VIGAMOX*
vincristine
vinorelbine
VIRACEPT@*
VIRAMUNE
April 2015
XR@*
VIREAD@*
VISICOL
VITAFOL-OB*
VITAFOL-ONE*
VITAFOL-PN*
vitamin d
VIVAGLOBIN
VIVITROL @*
VOLTAREN GEL*
voriconazole*
VOTRIENT*
Page 7 of 7
W
warfarin
WELCHOL*
X
XELODA
XENAZINE *
XERAC-AC
XARELTO
10 MG*
XGEVA*
XOLAIR @
XYREM *
Y
YODOXIN
Z
ZADITOR OTC*
zaleplon*
ZEGERID OTC*
ZEMPLAR*
ZENPEP
ZETIA @◊*
zidovudine@*
zinc sulfate
ziprasidone*
ZIRGAN*
ZOLADEX @*
zolpidem*
ZOMETA*
zonisamide*
ZORBTIVE @*
ZORTRESS
ZOSTAVAX @*
zovia 1/35*
zovia 1/50*
ZYBAN (≥18YO)*
ZYPREXA
RELPEVV*
ZYVOX
April 2015